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Permit (98) t * CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2023-00416 TJ CU A.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2023 Parcel: 1 S135AD02900 Jurisdiction: Tigard Site address: 8570 SW SPRUCE ST B Subdivision: METZGER ACRE TRACTS Lot: 1 Project: Larsen Garage Project Description: Addition of single car garage.Trade permits to be pulled separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 Height: 11 � Left: 5 Parking Spaces: 0 9 Bathrooms: 0 Second: 0 sf Garage: 319 sf Front: 10 Smoke Dwelling Units: 0 Third: 0 sf Right 5 Detectors: Total: 0 sf Value: $21,207.12 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 LaundryTrays: 0 Y Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: Storm Sewer. 0 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 P W/O SvGFdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000-tamp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo, N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: N Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: ADDP 3 Square Feet: SF VB R-3 0 Owner: Contractor: LARSEN,LANCE L&TINA K OWNER Required Items and Reports(Conditions) 8670A SW SPRUCE ST TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $914.70 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTIO - Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are t forth in OAR Q59-not-nnin Ihrn„nh- ,- • 9-rint-pnan Vnn m v nMain a rnnv of+h.mine nr rlimn+nuaefinne In r1i INrt by raninn c,7. '19 1gR7 nr 1[Rn Ix')9¢dd Issued By: .02-stl .®7�[i Permittee Signature: / , Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the Job site until completion of the project Approved plans are required on the job site at the time of each Inspection. Building Permit Application Commercial RECEIVED FOR OFFICE USE ONLN City of Tigard Date/a`: 5 a l a-3 33> Permit `I 14 • 13125 SW Hall Blvd.,Tigard,OR 97223n f't± 1 2023 Plan Review / _ / Phone: 503-718-2439 Fax: 503-598-14W 3 L � gy; `�y zj Relate04?-D - 00S0t* 7 1 C,11.D Inspection Line: 503-639-4175 Date Ready/By: / nA orris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/M.ethod: G 13 / W22.pip I Supplemental Information Pt..0_DsNG flu;ie ).i F'mCkt iCCO TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: l9- ❑Accessory building 0 Multi-family Number of bedrooms: (���~ ❑Master builder Other Number of bathrooms: �L JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 57V $. J r ip x s-r— , I r" New dwelling area: square feet City/State/ZIP: 77 ©A g7zZ3 (� Garage/carport area: 3 1ct square feet Suite/bldg./apt.#: r> Project name: Covered porch area: square feet Cross street/directions to job site: /-H7 A bed /5 f'/ev,J. 37" Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: / S /j c i) D 29 O C} Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ l rc ueLt, v � 4, L\ spiairake1.9 Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: J l � L-f^�1i 7<'` � -- //tux__ k{-1'1 �-/L � G, Type of construction: y Address: T j7O ,_��/ J Co-& S i 4-4 Occupancy groups: CL- City/State/ZIP: -T7G.re4) C 3ae 7-7ZZ 3 Existing: '"" (�n3) 9 7— 3T� ( ) Phone: 1 Fax New: S. AAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Contact name: 77'La__ 4_,44es Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: 70 Se,t) SJp/eli C, 57— t 4 Total fees due upon application: City/State/ZIP: 76a4�o 6!2 y72_2.-3 Phone:(9 3) 7 q 7_ 4.j tj__ Fax::( ) Amount received: E-mail:4-771.iN vk g f 4, f�NT-5 j A/< a a-in , La olet PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of _c? CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. ' J Business name: O uv ,l r Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon O Address: A- Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review $180.00 d 0 and administrative fees): 1- 0 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: / Total fee due upon application: $201.60 3 Authorized signature jl/_ y� This permit application expires if a permit is not obtained + GG�� within 180 days after it has been accepted as complete. o Print name: / * Fee methodology set byTri-Coup BuildingInd . f HG_ /el (ii-/c..,7 Date: ," ., 2 3 8Y tY Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 4404613T(l1/02/COM/WEB) , City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT , 'I Accessibility: Barrier Removal Improvement Plan °: Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.Qov REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: (f) Accessible drinking fountains:and, (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 City of Tigard Ili " COMMUNITY DEVELOPMENT DEPARTMENT it Building Permit Review - Residential TIGARD * Building Permit #: /fri JT -0O3 00L1-1 h Site Address: gi 570 �!k..1 S '1Ct SF'. P. d�1G� � ✓ l�Verified in Accela Project Name: LAr5-en 6.a.PA Q- ,"Ro^ Acid 1� S Lot/miffs- : g Proposal: Aid 5:,A ( CAT avvolse__ _ Zone: FeS'0 Housing Type: Ad SFR (❑ Single Detached iDuplex❑ Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU❑Quad❑Other Required Site Plan Elements: V3 co•i- • site .Ian on max 11x17" 21 'raven to standard sca e 'North arrow fi'Site address, project name, lot # 'Street names jiv7A for shR) 'Applicant name and phone zmt (,vet a--1-I�L, ot and setback dimensions_ ,ff.Existing structures(-1 s•uare footag: : ti it locations &easement f .00tprint of new structure - 9� • Q' ••erty corner a eva ions VSidewalk/driveway dimensione. E.Sr. o ` ' Ii•,■..--- ---• • --) of area an lot coverage percent g� s�W con Required Elevation Plan Elements: Cow incuS� S w (For SFR: calcs needed only on street-facing) Summary table with calculations for: Drawn to standard scale i.of .0'Total facade area 11•h 5�j°����"�'� " "�"'� eight •imensioned ithe a4vtTotal window and door area vwt•,0 v.i.lioo q, 2 Facade .amen i--• �Qp•d • •.• sdimensione• n arage moors .i - scone.► equ n Elements: (Not required for SFR) a at inc u es ❑ Each story dimension oor area oor area calculated ❑ Floor area per story Planning Review The following standards have been met: 0 , Setbacks "(Front: 10' Rear: t Sr Side: S Min/Max Street Side: `° / lJ(/IlGarag e: 0 Height //Max. Height: -75 Proposed Height: 11 (74vz$Ipe 0/ 1 ) ❑ Yes.dN/A Landscape (TOT JJ ❑ Yes ON/A Screening (Quad only) ❑Yes ❑ N/A % Window Coverage 9,�s 4km�n an -1r(gf Dial PfYes ❑ N/A Garage (SFR Only) Parking (Other Res)— ❑ Yes kJ N/A Entrance (SFR, Rowhouse, Quad only) ❑ Yes Ia'N/A Other building design standards (Rowhouse only) ❑ Yes) N/A Accessory Structure Standards ❑ Yes 0 No Qualifying pre-existi it exempt from standards (Cottage unit only) ditional standards f rtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes ❑ N/A • ❑ Yes Lot Width and Size s ❑ N/A Pathway Additional standards for Cour rd Units and Cottage Clusters only: A Urlit ❑ Yes ❑ N/ r Area (per story) ❑ Ye /A Courty es 0 N/A Fence El/Yes ❑ o ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes S io ON/A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes Et/No Applied For: ❑ Yes ❑ No, stop intake resensitive Lands: 0 Yes IleNo c 6ase-ems„ ❑ Conditions met Approved By Planning: - • Date: ®/Zl/23 Notes Revision 1: 0 Approved ❑ Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: Building Permit Submittal Original Submittal Date: g( at I Site Plans #: Building Plans #: Building Permit #: ISZ Building permit # entered on page 1 Workflow Routing: JK Planning K Engineering 1 Permit Coordinator kk'Building Workflow Sign-off: NI Sign-off for Planning (include notes from planning review) Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. k Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. / Permit Technician: J ' Date: 641 —3 • Notes: Engineering Review • 13•15FI Permit: b /d- ['Slope at building pad: 21. oh C3'Conditions met prior to issuance of permit n it- 13/Easements (encroachments) per engineering conditions of approval and plat l 'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes I3'No Assess Water Quantity Fee in-lieu:_C)Yes C 'No LIDA Facility on lot: O Yes L'No Add Fee: ❑ Yes ❑ No R4inal Plat Recorded 0 NOT Approved: Date: Notes: Approved By Engineering: 7—rt6h t ig Date: 7l1.72o2 3 Revision 1: ❑ Approved 0 Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: Permit Coordinator Review conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: ❑ ENG Revisions Required: _ Date notified applicant: ❑ SDC Exemption: ❑ Applied for ❑ Received 22r1Does not apply fd'SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /N/A Tigard Trans SDC: ❑ Yes ,1 N/A ❑ Deferred Parks SDC: ❑Yes ,ii N/A ❑ Deferred LIDA ❑Yes /N/A ,FrOK to Issue/Approved by Permit Coordinator: Date: (23 I"V 2/3 Revision 1: CI Approved ❑ Not Approved �J Date: Revision 2: 0 Approved 17 Not Approved Date: RECJVED AUG 2 1 2023 CITY OF TIGAR C1eanWater� Services D SENSITIVE AREA PRE-SCREENING SITE ,NS-EISgWW1 Clean Water Services File Number 23-002140 1. Jurisdiction: Washington County 2. Property Information(example: 1 S234AB01400) 3. Owner Information Tax lot ID(s): Name: Lance Larsen L and Tina K Larsen 1S135AD02900 Company: Address: 8570 SW Spruce St APT#A OR Site Address: 8570 SW Spruce St City, State,Zip: Tigard,OR,97223 City, State,Zip: Tigard,OR,97223 Phone/fax: 503-997439° Nearest cross street: Email: Ithinvestmentsinc@gmall.com 4. Development Activity(check all that apply) 4. Applicant Information ❑x Addition to single family residence(rooms, deck, garage) Name: Lance Larsen L and Tina K Larsen ❑ Lot line adjustment ❑ Minor land partition Company. ❑ Residential condominium ❑ Commercial condominium Address: 8570 SW Spruce St APT#A ❑ Residential subdivision ❑ Commercial subdivision City, State,Zip: Tigard,OR,97223 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 503-997-4390 Other Email: Ithinvestmentsinc@gmail.com 6. Will the project involve any off-site work? ❑Ye 0 No ❑Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: Garage Addition south of residence. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true, complete,and accurate. Print/type name Lance Larsen L and Tina K Larsen Print/type title Signature ONLINE SUBMITTAL Date 7/24/2023 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local, State and federal law. © Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5, Section 3.02.1, as amended by Resolution and Order 19-22. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2).NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by /606262,974 Date 7/25/2023 Onc omplete,email to:SPLReview@cleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway, Hillsboro, Oregon 97123 Millsboro Highway • Hillsboro, Oregon 97123 p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement.This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or K I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. 7(nck k. L Ex-1 Print Name f Permit Applicant et_ < C_ � /3--2,3 Signature of Permit Applicant Date Permit#: MS1flieb "MA110 .jam $S1 G SW %BYO 'h am `Address: r ��wm� l Mn by: ' all1lioz3 14;Issued MCP'k�VY1�,� Date: This Copy for Permit Offices