Permit (149) t _ q CITY OF TIGARD MASTER PERMIT
"7111 2. COMMUNITY DEVELOPMENT Permit#: MST2023-00602
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2023
Parcel: 1 S 135AD02502
Jurisdiction: Tigard
Site address: 10973 SW HALL BLVD
Subdivision: METZGER ACRE TRACTS Lot: 6
Project: Sherwood
Project Description: Helical piles to stabilize foundation of duplex.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $22,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 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 Tvoes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<10OK: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 WI Svc or Fdr: 0
Ea add 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
N
Other: N
Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0 '
Owner: Contractor:
SHERWOOD,LARRY&KATHLEEN REV FOUNDATIONS FIRST NORTHWEST Required Items and Reports(Conditions)
BY SHERWOOD,LARRY D& 16869 65TH AVE 1 Special Inspection-Pilings,
KATHLEEN L TRS LAKE OSWEGO,OR 97035 Drilled Piers,and caissons.
10432 SW MORATOC DR
TUALATIN,OR 97062
PHONE: PHONE: 503-754-4682
FAX:
Total Fees: $742.23
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty des and al pother applicable law. All work
will be done in accordance proved plans. This permit will expire if work is not started within 180 days issuance, r if work i suspended for more
the 180 days. ATTEy.FIlaw-requires-you to follow the rules adopted by the Oregon Utility Notiflcati Center. — ose rule re set forth in OAR
052nn1-Mint rf6 flAp O6' flftiJVt Vn„ma„ bf2n n rnn,of thn nduc nr,1irert nunelinnc+n Oh INf`by rollinn Fon 1 10117 I 1'19 91A
Issued By Lon.:Wr-- Permittee Signature: l ilk I. t
/ 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
Residential FOR OFFICE USE ONLY
City of Tigard 2�ECEIVED Receive // p+}a�,l?1_�]] /o
Da[e/B /l/ / V Permit No.:�Sj'—l�UPJ'—�UIOI,YT
Phone:
SW Hall Blvd.,Tigard,OR 97 3 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date By: `I 1.4 ?) / i. Other Permit:
TIGARD Inspection Line: 503.639.4175 n Date Ready/By: '1` \n. Jars &I Seep Page 2 for
NOV 2 9 202" 1 1l'1°1V1 q
Internet: www.tigard-or.gov Tv Notified/Method: eV 'VQ o Supplemental Information
TYPE OF W;y t is OF TIGARD `�'L� QUIREJD DATA:1-AND 2-FAMILY DWELLING
f ° NG DIVI4'ION
❑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 ®Other: repair p 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: $22,000
ElAccessory building 0 Multi-family Number of bedrooms:
47 ❑Master builder ❑Other: Number of bathrooms:
JOB WE INFORMATION AND LOCATION Total number of floors:
1)49 Job site address:10973 SW HALL BLVD a- Lt-75 Sw thil Iola New dwelling area: square feet
City/State/ZIP: TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.; Project name: SHERWOOD Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
INSTALLING HELICAL PILES TO STABILIZE FOUNDATION Valuation: $
Existing building area: square feet
New building area: square feet !,
ig PROPERTY OWNER 0 TENANT Number of stories:
Name: LARRY SHERWOOD Type of construction:
Address: 10975 SW HALL BLVD Occupancy groups:
City/State/ZIP:TIGARD OR 97223 Existing:
Phone:( ) Fax:( )
New:
M APPLICANT ril CONTACT PERSON BUILDING PERMIT FEES*
Business name:FOUNDATIONS FIRST NW (Please rrtermteeacLreduie)
Structural plan review fee(or deposit):
Contact name:ANNE SNYDER
Address:28655 SW BOONES FERRY RD FLS plan review fee(if applicable):
City/State/ZIP: WILSONVILLE OR 97070 Total fees due upon application:
Phone:(971)206-4876 Fax::( ) Amount received:
E-mail: ANNE@FOUNDATIONSFIRSTNW.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: FOUNDATIONS FIRST NW Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:28655 SW BOONES FERRY RD Solar Installation Specialty Code checklist.
City/State/ZIP:WILSONVILLE OR 97070 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503) 719-7548 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 219837
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ANNE SNYDER Date: 11/1/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
City of Tigard
e
" COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
e , --
- _- MS-Alt q �'\I^Building Permit #: J ,_„v
Site Address: 1 o9 7-s-S LA) rb t' Ri-V1) 1/erified in Accela
Project Name: S1►-C12(.-)c- --)D Lot/Unit #:
Proposal: `ITC)l0p ��O S17aQgiL.I7E#fC Zone: (i R-2
Housing Type: FR(❑ Single Detached p'Duplex ❑ Triplex❑ADU) ❑ Rowhouse❑Cottage Cluster❑ CYU ❑Quad ❑Other
Required Site Plan Elements:
opies of site plan on max 11x17"
❑ Dr. • o standard scale ❑ Retained trees, drip line / tree protection
❑ North arrow ❑ Street and site trees shown / labeled
❑ Site address, project . •- lot # ❑ Table calculating tree canopy at maturity
❑ Street names (N/A for SFR)
❑ Applicant name and phone # ❑ Courtyard rectangle dimensioned (if applicable)
❑ Lot and setback dimensions ❑ i •n clearance triangle
❑ Existing structures &square footage ❑ Utility to : 'ens & easements
❑ Footprint of new structure and FFE ❑ Clearly visible to.: •nes and property corner elevations
❑ Sidewalk/driveway dimensioned ❑ LIDA (>1,000 sf disturb. -
❑ Lot area and lot coverage percentage ❑ Erosion control
Regirise_ Elevation Plan Elements: ) -I i
(For SFR: ca eeded only on street-facing) Summary table with calculations for: •`\f,, if\�� r�
❑ Drawn to stan scale ❑ Total facade area
❑ Building height dime ' ed ❑ Total window and door area � �l�) U' P
❑ Facade dimensioned //15l) ()`� - ' '\
❑ Windows and doors dimensioned ((�� 1: yn �p
❑ Garage doors dimensioned v
Required Floor Plan Elements: \ OC'Q '0
(Not required for SFR) ❑ Summary tab t includes ,y
❑ Each story dimensioned ❑ Total floor area �X 4
❑ Each story floor area calculated ❑ Floor area per story (1� C'
Planning Review
The following standards have been��77 met:
��
Setbacks ❑ Front: /6 Rear: //"'' Side: /� Min/Max Street Side: /U / Garage: d
Height ❑ Max. Height: Vc Proposed He's t: A_
• Yes ❑ N/A Landscape
❑ -s ❑ N/A Screening (Quad only.
❑ Yes m N/A % Window Covera!-
❑ Yes ❑ , A Garage (SFR O, ) Parking (Other Res)
❑ Yes ❑ N/- Entrance ( •, Rowhouse, Quad only)
❑ Yes ❑ N/A ether b • ding design standards (Rowhouse only)
❑ Yes ❑ N/A A .- :ory Structure Standards
❑ Yes El No Q . I . ing pre-existing unit exempt from standards (Cottage unit only)
Additional sta. ards •r Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes ❑ N/A Unit Coun .
❑ Yes ❑ N/ Lot Width an. ize
❑ Yes ❑ /A Pathway
Additi,nal standards for Courty. d Units and Cottage Clusters only:
❑ Y: ❑ N/A Unit Area:
❑ es ❑ N/A Floor Area (per story)
a Yes ❑ N/A Courtyard
❑ Yes 0 N/A Fence
Yes ❑ Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) I
❑ Yes No N/A'Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ❑ No
Applied For: ❑ yes ❑ No, stop intake
❑ Sensitive Lands: ❑ No CAS Ve ,'I¢
❑ Main Land Use Case #s: ❑ Conditions met
❑Applicant notified of land use expirati
Approved Planning: Date: f)hc..7/Z3
Notes L- 2 r c (to i IC, Or)
Revision 1: Approved ❑ Not Approved Date: c,CV
Revision 2: ❑ Approved ❑ Not Approved Date: 0.1
jo93
Building Permit Submittal
ll1 lA V�1 ti3 ArifJ wli
Original Submittal Date: l vin
Site Plans #: e,:: ou
Building Plans #: ti At.orfo
01
Building Permit #: g Building permit # entered on page 1 }3
Workflow Routing: 'BY/Planning Engineering I$�(Permit Coordinator ❑2uilding
Workflow Sign-off: C5 Sign-off for Planning (include notes from planning review) Urdu
Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan
a)d original plan review routing form. 1019'4;
G Building: original permit application, site plans, building plans, engineer and
- beam calculations and trust details, if applicable, etc.
'f Permit Technician: /1 (kA)VVI ( //UY " l Date: M`til t
Notes:
•
Eng eering Review
❑ PFI Pe it:
O Slope at Building pad:
❑ Conditions -t prior to issuance of permit
❑ Easements (en oachments) per engineering conditions of approval and pl.
❑ Water Quality/Qu..tity Facility:
Assess Wat- Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water ► antity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on to • ❑ Yes ❑ N. Add Fee: ❑ Yes ❑ No
El Final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Date:
Revision 1: 0 Approved ❑ Not ' .prov-. Date:
Revision 2: 0 Approved ❑ N. Approved Date:
Permit Coordinator Review
❑ Conditions met prior to per . issuance
❑ Approved, NOT Releas=.: ,ate notified applicant:
O ENG Revisions Requi--d: Da - notified applicant:
❑ SDC Exemption: ❑ Applied for ❑ Received ❑ Does not appl'.
❑ SDC Fees Ente--d: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ r-ferred
Parks SDC: ❑ Yes ❑ N/A ❑ De = red
LIDA ❑ Yes ❑ N/A
O 0 to Issue/Approved by Permit Coordinator: Date:
Revision 1: ❑ Approved 0 Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date: