01-January CITY OF TIGARD MASTER PERMIT
1111 1 ' COMMUNITY DEVELOPMENT Permit#: MST2024-00004
T f I. A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2024
Parcel: 2S 111 AA09000
Jurisdiction: Tigard
Site address: 14205 SW 89TH AVE
Subdivision: GREENSWARD PARK NO.3 Lot: 74
Project: Miller
Project Description: New 432 sq ft attached patio cover.
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: 15 Smoke
Dwelling Units: 0 Third: 0 sf
Right: 5 Detectors:
Total: 0 sf Value: $14,359.68 Rear: 15
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 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 W/Svc or Fdr: 0
Ea add'l 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:
ADD SF VB R-3 0
Owner: Contractor:
MILLER,PATRICK P&BRITTANY Y DRY OAK INC Required Items and Reports(Conditions)
14205 SW 89TH AVE PO BOX 284
TIGARD,OR 97224 NEWBERG,OR 97132
PHONE: PHONE: 503-953-9648
FAX:
Total Fees: $734.97
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 issuan•- or if work is suspended for more
the 180 days. ATTENTI: Oregon law re. Tres you to follow the rules adopted by the Oregon Utility Notification Ce - Those rules are set forth in OAR
QS9-nn1-nn1 n lhrni,nh R QS9-nn1-nno •O Ins.,nhf in a Tnrnu of fha n,lae nr diraM ni iadinnc tn rll INC!by Tallinn Sn/919 1-. 1 Rnn 119 91dd
���k Zizy? ,l' �/A
Issued By: Permittee Signature: /ler
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 E(E'V
Residential FOR OFFICE USE ONLY'
NI
o w 2024 Received
CityOf Tigard
Date/By: t (..)ql /4 Permit No.: 'm`r c 1 oilII
13125 SW Hall Blvd.,Tigard,OR 97223 D Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF.r.If7 Date/By: 7j Other Permit:
1 1 ci t N I., Inspection Line: 503.639.4175 BUILDING DIVISI ,ate Ready/By: /�/� q J `is: ld See Page 4 for
Internet: www.tigard-or.gov Notified/Method: ( l//�lilt.f l 1 Supplemental Information
Ai
T 'tom' tt
[!(-New construction El 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
CA RY=OF CO1'NIST.RU�ON work indicated on this application.
1-and 2-familydwellingValuation: $ � l�
❑ 0Commercial/industrial I qt 69,
ElAccessory building El Multi-familyNumber of bedrooms:
ElMaster builder ['Other: Number of bathrooms:
SIT;E+, INFOR €TION AND ATION Total number of floors:
Job site address: l'(_�a o s w ifiit
New dwelling area: square feet
City/State/ZIP: j T 1 0.,.pl/i (...7 g2;4 j,y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: /Li,t).c.r 4..<j; A.4 Covered porch area: 4:1 6...2. square feet
Cross street/directions to job site: 5 tti /f1 c D0+'tik(t,( st Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.:1.4 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
3�CRIPTION OF WORK.; work indicated on this application.
/k11 c__—. 0l ` e pY.!C Valuation: $
if C✓Y
Existing building area: square feet
New building area: square feet
DIRE OWN R ❑ 'I NANT', Number of stories:
Name: (Per f-Y,.0. ,
jrj t}-r.,,1 AL.;I(p r Type of construction:
Address:
y.,2.uS^ S L'' g 1t"4 A9-44 Occupancy groups:
City/State/ZIP: f l c Hol (>4 ct -7..)--1-4 Existing:
Phone:(J/L) j q f - "'S' 1 S• Fax:( ) New:
B;1AP CAIWF ❑ CONTACT PER28iON:.
Business name: ,.yalc_ R� �f
,? - Structural plan review fee(or deposit): ( 1j(44 aG
Contact name: C�y1 _�.
J FLS plan review fee(if applicable):
Address:2 4,0 ti S ,,t . J/f'-u.� M-r-4-
City/State/ZIP: �i,w D le-- CI' 7 i?;.;-4.
Total fees due upon application:
Phone:(4/7/ ) 2?A q?e-7 Fax::( ) Amount received:
E-mail t 0 U tr < fJ(t-}'-1 k•A X-.L��..-. i � 3t Il ± s �t
R*
" '` ` " Commercial and residential prescriptive installation of
'•' •,`• ONT A roof-top mounted Photo Voltaic Solar Panel System.
Business name: 0 1, 1 0 f I Submit two(2)sets of roof plan with connection details
2 and fire department access,along with the 2010 Oregon
Address: 7 , y S- 4 L 1),A) ,t-o'- /=-11-ve._ Solar Installation Specialty Code checklist.
City/State/ZIP: (t() p Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(q jt ) cf*Y6jz Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 4; 61 Q L C
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: L.)ri Iz.Z Date: /2/Z 6 p *Fee methodology set by Tri-County Building Industry
ei l Service Board.
1:\Building\Pennits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
City of Tigard
to
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: ,i ,'� yL "i� C'/O Ave,Site Address: ) LI 2 �L' U� 1"` Verified in Accela
Project Name: I' Yil-W\ Lot/Unit(#:
Proposal: // . � �U 1 n Zone: ' s '" B
Housing Type: (Jingle Detached ❑ Duplex 0 Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑Other
uired Site Plan Elements:
❑ . ies of site plan on max 11x17"
u prawn to standard scale
0. orth arrow @
►• ite address, project name, lot #
e .treet names (N/A for SFR)
pplicant name and phone # r rec ang a im le)
i of and setback dimensions teararrce triangte
E xisting structures &square footage tility locations &easements
d ootprint of new structure and FFE learly visible topo lines and property corner elevations
i: .idewalk/driveway dimensioned ) �fz� t tom"` �1t �^���
e Lot area and lot coverage percentage
Req ired Elevation Plan Elements:
(For : calcs needed only on street-facing) Summary table with cal . 'ins for:
❑ Dra , • o standard scale ❑ Total façade .
❑ Building ••ht dimensioned ❑ Tota ' sow and door area
❑ Façade dimens :•ed
❑ Windows and doors :' ensioned
❑Garage doors dimension-:
Required Floor Plan Ele I. ts:
(Not required for SF? ❑ Summary table that includes
❑ Each st• ; •imensioned ■ Total floor area
❑ . story floor area calculated ❑ :•r area per story
Planning Review
The following/standards have beene ,
Setbacks i Front: I} Rear: J ' Side: Min/Max Street Side: /U / Garage: 2 r
'
H jght I 'Max. Height: �S Proposed Height: ' ('""' `'c')
e Yes N/A Landscape
❑ Yes N/A Screening (Quad only)
❑ Yes N/A % Window Coverage
❑ Yes 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)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes 17 N/A Unit Count:
❑ Yes Q N/A Lot Width and Size
❑ Yes P N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑ Yes N/A Unit Area:
❑ Yes N/A Floor Area (per story)
❑ Yes N/A Courtyard
0 Yes N/A Fence
es ❑ NNoo ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes 14o ❑N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes 0 No
Applied For: 0 Yes ❑ ;'stop intake
ensitive Lands: 0 Yes No
0 Conditions met
pplicant notified of land use e p tion date:._ fi
Approved By Planning: Date: L! 4! '1
Notes
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: I/��;
Site Plans #:
Building Plans #:
Building Permit #: building permit # entered on page 1
Workflow Routing: -ErPlanning Engineering hermit Coordinator Erf uilding
Workflow Sign-off: sign-off for Planning (include notes from planning review)
Route Documents: 1 ngineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
fd'guilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. 1 `
Permit Technician: '14 �1.".X�Y( l Date: ��!/v</
Notes:
Engineering Review
iPFI Permit: H/w
l ' lope at building pad: 2 %
B Conditions met prior to issuance of permit
''Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes Il'No
Assess Water Quantity Fee in-lieu: 0 Yes IS'No
LIDA Facility on lot: 0 Yes o'No Add Fee: 0 Yes 0 No
Erfinal Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: I-reef /3Y+ Date: 1 I f 8/2o2y
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
N Conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
.p'SDC Exemption: 0 Applied for 0 Received .oes not apply
,SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes ,0-N/A
Tigard Trans SDC: 0 Yes 0 Deferred
Parks SDC: 0 Yes 40 /A 0 Deferred
LIDA 0 Yes N/A
,3'OK to Issue/Approved by Permit Coordinator: Date: j2ZfrA2Z_-'4
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS: 14'bOS SW staT-�4V.
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
Nis
I Transmittal Letter
T i G;,\E,n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: h 0YYVSkY6 DATE F V G I VG
DEPT: BUI DING DIVISION
1!e) 0 j 2024
FROM: Dk l' Q C IC f 14 c - k)h;4_,e_-
CITY OF TIGARD
6 \,
COMPANY: BUILDING DIVISION
PHONE: 97/ - 7 "- ('7 BY: '-
EMAIL: Dkc c a IC 014-1 v4 K_ t ornt i S
RE: 114 us- sw 67- M '1 tiA -60604
(Site Address) (Permit Number)
/vtt),.e` i2PfIl-a-0,-_
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
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: '.3rd Se 6 f pLoIL4 .
FOROF CE USE ONLY
Routed to Permit Technic' n: Date: Initials:
Fees Due: [l Yes No Fee Desc hption: Amount Due:I
b E-: $
Special
Instructions:
Reprint Permit(per PEy ❑ Yes ❑ Done
Applicant V Q�1,1, 1,(�A•trnQ,11 NoLA lerl.• Initials:
Notified: Date: