Permit (2) CITY OF TIGARD MASTER PERMIT
N . . . COMMUNITY DEVELOPMENT Permit#: MST2023-00291
Tr 1,;An[7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2023
Parcel: 1 S135DB00100
Jurisdiction: Tigard
Site address: 11245 SW 90TH AVE
Subdivision: TIGARDVILLE PARK Lot: 1
Project: Soto
Project Description: New 20'x20'prefab accessory building with new concrete foundation, includes(1)rain drain
connector.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 9 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf
Right: 5 Detectors:
Total: 0 sf Value: $24,172.00 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 1 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 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 Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 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:
NEW ACS VB R-3 0
Owner: Contractor:
SOTO,ADRIAN QUINTANA TUFF SHED Required Items and Reports(Conditions)
MORALES-ZAMUDIO,ESBEIDE 6500 NE HASEY 1 Ersn Cntrl 503-639-4175
MORELIA PORTLAND,OR 97213
11245 SW 90TH AVE
TIGARD,OR 97223
PHONE: PHONE: 503-8486090
FAX:
Total Fees: $783.31
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. ATTENTION: Oregon law req follow the rules adopted by the Oregon Utility Notification ter. Tho le re set forth in OAR
ac9-nnl-nnin}hrniinh fAR oc)nnljinori Vnu air nh}ain n nv of fho nJoc nr riiro t nnoc}inne fn rll INR h,nnllinn cn '2 R nr'I Ann'2 9 TI
Issued By: Permittee Signature: G `
1503.639.4175 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 iob site at the time of each inspection.
Building Permit Application
Residential m
City of Tigard i d t:�, .DateBy C 10 3 P�' (�0A-3 '-(7C)r -9 f
10 13125 SW Hall Blvd.,Tigard,OR 97223 I } ; 2023 Plan Review n ' /lam
U DateBy: !/v jS� Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960
Inspection Line: 503.639.4175 Date Ready/By: :// Jug• ® See Page 4 for
T I G A K D Notified/Method: �J� Supplemental Iurormafion
Internet: www.tigard-or.gov ( ,f1 �r:� w 4 �j / PP
soli P-JruNii0i 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
O Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and.the profit for the
CATEGORY OF CONSTRUCTION work indicated on this applic ion 'C�`f i -
O 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
ID Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND,LOCATION Total number of floors:
Job site address:11245 SW 90th Ave New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 1920408 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
OR-99W-Right onto SW Greenburge Rd, right onto SW 90th Ave. Site is Other structure area: q ba square feet
on the left.
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1 N227CD09300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work i ''cated on this application.
L.
.:S1 Construction of a 20' x 20' prefabricated accessory building on Valuation: $ 11,00
L a new concrete foundation (to be installed by others). Existing built'•. area:400 square feet
Q-
New building area: . 0 I square feet
li PROPERTY OWNER ❑ TENANT Number of stori . 1
'• Name:Adrian Quintana Soto-Age Commercial Interiors Type of co ction: .
'D Address:11245 SW 90th Ave Occu cy groups: I
A4 City/State/ZIP:Tigard, OR 97223 4zisting:
71---' P• hone:( ) Fax:( ) New:
EE ll J APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer robe schedule)
g Business name:Tuff Shed Structural plan review fee(or deposit):
es—Contact name:Alice Shannon
_.--1 FLS plan review fee(if applicable):
t7:— C Address:6500 NE Halsey St, Suite A
..0 .� Total fees due upon application:
. C• ity/State/ZIP:Portland, OR 97213
Amount received:
aPhone:(971 428-0096 Ext 16017 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:ashannon@tuffshed.com
L
tel Commercial and residential prescriptive installation of
•-. % CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Tuff Shed Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
to v Address:6500 NE Halsey St, Suite A Solar Installation Specialty Code checklist.
' City/State/ZIP:Portland, OR 97213 Permit Fee(includes plan review $180.00
and administrative fees):
2 Phone:(971 428-0096 Ext 16017 Fax:( ) State surcharge(12%of permit fee): $21.60
(:::)•S C• CB lie.:105914 Total fee due upon application: $201.60
Authorized signature: ,(q4_ 3"Aa. .4494i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date:6/15/2023 *Fee methodology set by Tri-County Building Industry
Print name:AliCe Shannon Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
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Plumbing Permit Application - City of Tigard
Page 2 , Supplemental Information
Fee Schedule: Residential Fire Suppression S.°stems:
She Utilities Qt,t, "a" mist Square Footage: Permit Fee:
I,-:,,,it;g,)rarr,, I"'".1 !O.,: n:t•: t� 3121 441
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',i�.xl •rs.-'"zai{a;r.ns I•.t �_' and r:c dre: $a ,°�
1 IS wit 1c"ice- .•r,,+i'` t`==4 %kdtcal f,as Systems:
A 41:3 Vic. t •tacit isli ImsaJ It' t -.t:
�, „X Kam t l a t;, wt i r i j :a ` Valuation: Permit-Fee:
' , l - sI i t s ,.r,,,,. 11,ntnt,ttnlecS ;{ri
t SI.t mr 3 ka-I Train••raid)atiartti;z at t tot,' r:� r r ll f,t the fin.S. and 1 C,
Other Inspections or Fees Qh,. Fe!ttat Total t each adtinlimal`r r, ;i,ta 'kar,t rir
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I Subtotal: 1
Commercial Fixture Work:
Are patu capping,adding or replacing fixtures? If"des".
please indicate work performed h) fixture. Failure to
accurate!} report fixtures could result in increased seaer tee.''. Plan Review for Plumbing Installations
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1 Isometric or Riser Diagram
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aa,r.lN;r' 0 t�ometnc ter riser�tiaitr;irn is required for nos l ullt3inas
I t*tic 1'1-•r;t:Ut 1 ti,n•:;•A i that trier!the qualifications also%c
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Tip fiF Shod �iee,,c� /1i 1r
t s,4'�xra,i r z•a,1,aLt ua I� fn+
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"`,`` '40te: If the fixture stark under this permit results in an
',,•tmtnutr I•x,i I the:
i increase of sewer EDLs,a sewer permit atll be issued anti Slasher i_!•:}:c,
lacer tvrr:t:c.>r fees assessed for the sewer increase must he paid before the
;t Air-:;i,in- Iruca plumbing permit can be issued.
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City of Tigard
III " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: M ra-Za`3-- 000)-q I
Site Address: 1124 5 Sul) 6TD i-k Ave Verified in Accela
Project Name: Sol c) ACce5so7 6-4 AL/we Lot/Unit #:
Proposal: N1 11OOSP pre(nb gwo'e Zone: - c -
Housing Type:.] SFR(❑Single Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑ CYU ❑Quad]Other
Required Site Plan Elements:
7(3 copies of site plan on max 11x17"
Drawn to standard scale ❑-R ained trees, drip line/ tree protection
North arrow U Street ana site trees shown / labeled
igrSite address, project name, lot # ' g tree canopy at maturity
Street names (N/A for SFR)
,4 Applicant name and phone # angle dimensioned (if applicable)
7(Lot and setback dimensions riangle
Zr Existing structures &square footage y ocations &easements
4 Footprint of new structure and FFE ® Property corner elevations
-Sidewalk/driveway dimensioned s is u nce)
rt5 Lot area and lot coverage percentage I
... ... .Re uired Elevation Plan Elements:
(For • calcs needed only on street-facing) Summary table wi h calculations for:
❑ Dra o standard scale 0 To ade area
❑ Building ' ht dimensioned Total window and door area
❑ Façade dimens ed
❑ Windows and doors ' ' ned
❑ Garage doors di toned
Required or Plan Elements:
(No quired for SFR) ❑ Su ry table that includes
❑ Each story dimensioned ❑ Total floor a
❑ Each story floor area calculated ❑ Floor area per story
Planning Review
The following standards have been met:
f -` . Setbacks Front: ER - Rear: \�J Side: S Min/Max Street Side: \ C / Garage:
6 sl
C� Height Max. Height: �S Proposed Height:
❑ Yes N/A Landscape
❑ Yes N/A Screening (Quad only)
❑ Yes N/A % Window Coverage
ZGYes ❑ N/A Garage (SFR Only) Parking (Other Res)
❑ Yes N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
diti nal standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ 0 N/A Unit Count:
❑ Yes N/A Lot Width Size
❑ Yes ❑ Path y
Additional a ards for Courtyard Units and Cottage Clusters only:
❑ Yes ❑ N/ it Area:
❑ Yes /A Floo rea (per story)
❑ Ye N/A Courtyar
es 0 N/A Fence
❑ Yes ❑ No A/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 0 NoZrKl/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes 0 No
Applied For: ❑ Yes 0 No, stop intake
,'Sensitive Lands: 0 Yes ,I2i'No
❑ Main Land Use Case #s: ❑ Conditions met
0 Applicant notified of land use expiration date: )
Approved By Plan`nin7 Date: (p(Lo l Z3L
Notes Cow% � Vbe . L, i.w probe
C Q Revision 1: ` rove 0 Not Approved 1.-1 Date: a/ hp(i?
Revision 2: r. Approved 0 Not Approved Date: /1 /ZJ/Z2
Building Permit Submittal
Original Submittal Date: 7? -(3
Site Plans #: _
Building Plans #:
Building Permit #: k Building permit # entered on page 1
Workflow Routing: 4 Planning It.Engineering 1p Permit Coordinator N.Building
Workflow Sign-off: 1g Sign-off for Planning (include notes from planning review)
Route Documents: Jai Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
lici Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: _ � Date: &7>
-,-
Notes: 1. YIAMCOn oM 1\11 6t/i \S vo\CtLa. '(Zoc d rwiSion 1 on N1,0(1,01,5 •AP (LnuLd -Ent-
tawtalotpt
Engineering Review
O PFI Permit:
❑ Slope at building pad: 1�,r, ok
'Ionditions met prior to issuance of permit
Iasements (encroachments) per engineering conditions of approval and plat
( Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: ❑ Yes 0 No Add Fee: ❑ Yes 0 No
p-Final Plat Recorded
El NOT Approved: Date:
Notes: —
Approved By Engineering Date: 3
Revision 1: �'Approv Not Approved Date: /
Revision 2: 0 Approved 0 Not Approved Date:
�� Permit Coordinator Review
conditions met prior to permit issuance
O Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: _ Date notified applicant:
Ni.SP Exemption: 0 Applied for 0 Received d'.Roes not apply
\\ii "PC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A
Tigard Trans SDC: 0 Yes N/A 0 Deferred
Parks SDC: 0 Yes N/A 0 Deferred
LIDA ❑ Yes N/A
OK to Issue/Approved by Permit Coordinator: . Date: ! ` 5- 23
Revision 1: AApproved 0 Not Approved Date: `\.r'Z`�'Z7j
Revision 2: ❑ Approved ❑ Not Approved Date:
Property Owner Statement RECEIVED
Regarding Construction Responsibilitie4EP 28 2023
Oregon Law requires residential construction permit applicants who are not licen .' tAItFGARD
Construction Contractors Board to sign the following statement before a building :- rQ SION
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
x 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.
Adrian Quintana
Print Name of Permit Applicant
NY) Or\ r" Uir\--an a _ _
09 28 2023
Signature of Permit Applicant Date
Permit#: VMS. _ f
Address: 1Vti'ASiI QQ1
SIUG ,4;' '''
F� �/s'3 10
Vyard, ,.JZ
Issued by: _6'f,_ Date: 1/:3 -
This Copy for Permit Offices
FOR OFFICE USE ONLY—SITE ADDRESS: \\1.A Sin\ (k(\kh .D,cve
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
r I c A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: GlkYVYW A/CIPu.l?,t oOvl.PA DATE RECEIVED:
DEPT: BUILDING DIVISION
41t �� � RECEIVE
FROM: n NOV 2 0 2023
COMPANY: \Vic _ CITY OF T iuAR
PHONE: 7)( O" 7-7,1.-J 4 ) PLANNING/ENGINEEI FNC'RP
EMAIL: dry1
RE: \ VAS Ski G1 O- Pi-OR- V'(.Si 0?3-0 0 aq'
(Site Address) (Permit Number)
(Project name or su ivisi n name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: _ Copies: Description:Additional set(s) of plans. Revisions: S I plain
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. . Engineer's calculations.
Other(explain):
REMARKS: avur to the. 5 .—
FO OFFICE USE ONLY
Routed to Permit Technic' : Date: 1, ZI 23 Initials:
Fees Due: Yes No Fee Description: Amount Due:
❑ p
N\ li p E $ 7
Special
Instructions: ilo
Reprint Permit(per P ): ❑ Yes ❑ Done
Applicant Notified: Date: \I VO 3�� •t M OVA rt 1l C,t., ' Initials: Pk,'()
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc