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MST2022-00384
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00384 Date Issued: 04/05/2023 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CA14300 Jurisdiction: Tigard Site address: 7728 SW LAYTON LN Subdivision: BROOKSIDE SUBDIVISION Lot: 3 Project: Brookside, Lot 3 Project Description: New detached dwelling. MECHANICAL PERMIT TO BE CREATED ONLINE SEPARATELY. NO FINAL INSNPECTION UNTIL DEFERRED SDC FEES ARE PAID. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2454 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 2 Second: 0 sf Garage: 438 sf Front: 10 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2454 sf Value: $397,600.72 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2454 Owner: Contractor: LAYTON,RONALD J OWNER Required Items and Reports(Conditions) 15630 SW 79TH AVE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 PHONE: PHONE: FAX: Total Fees: $23,628.29 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 suspe for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificaf C ter. Those rules are rth in OAR oc9-nni-nnin rhrni inh nAR Qc9-nnl-nnQn vni i mau nhtain n r v nt that ni a r rlircrt ni iactinnc to nl mu.by Tallinn C 7 nr 1 Ann 119 9 d Issued By: —• /, Permitfee Signature: C 0 . 39.4175 by 7:00 a.m.for the next available inspe ion te. This permit card shall be kept in a conspicuous place on the job site unti pletion of the pro' . Approved plans are required on the job site at the time of each inspection. Build n Permit Application ' Residential RFC IE I FOR OFFICE 1isE ONLY City of Tigard Received J/, 'I 13125 SW Hall Blvd.,Tigard,OR 97223 a Date/By: 1Z), %r ,'6 �-�'c5 ,� ACT �-_ 2a2�, �,�/ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Q'v Other Permit: _ /,����h� w cXt) I-1 t3 A is I) Inspection Line: 503.639.4175 c;rrY OF TIGARD Date Ready/By: 3 ^yf�I�l'TiJ Juris: vl3"SeeSe Page 2for '� Internet: www.tigard-or.gov pp UING o v p Notified/Method: � Supplemental Information TYPE OF WORK REQUIREDDATA I-AND 2-FA1k11ILY DWELLING pNew construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 'ei7,( 00,73-- Valuation: $ _ ",-_-_.-- 1-and 2-family dwelling 0 Commercial/industrial •J' Accessory building ❑Multi-family Number of bedrooms: 3 0 Master builder 0 Other: Number ofbathrooms: 2 JOB•.SITE INFORMATION AND LOCATION • Total number of floors: / 2i3-l !i Job site addres 72Z. _- S(0 44y/p �) � .)c/ New dwelling area: 2 _,�square feet ' V City/State/ZIP: n 6/t73'"0/ o'L F7 zZY Garage/carport area: .71f3$square feet Suite/bldg./apt.no.: Project name: r'"' Covered porch area: 3 5 square feet Cross street/directions to job site: 71 ///g74: Deck area: square feet 1... 1CCL ,//i (bt�c tnD� kit[, ai) Other structure area: square feet ,"'f 'C--‘1,.i s ,S, ,.A J(..trt • REQUIRED DATA:COMMERCIAL-USE CHECKLIST.. Subdivision: 3/2,0e/ .S/496 Lot no.: .3 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 (DESCRIPTION OF WORK. work indicated on this application. �`( �yWG , 1,S `� c,V u by i Valuation: $ '/ v Existing bssitding area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Ra/(iff7/p ilrity7Z,A.) Type of construction: Address: /533tO 5W 7 f-k r Occupancy groups: City/Statee/ZIIP:7761if'jg , ,t 72 -2 y/ Existing: Phone:(/O 1 J n g- 3 5� I Fax:(CO l h 1 rn LJ al ( 't (ll New: ❑ APPLICANT ❑ ONTA.CT PERS BUILDING PERMIT FEES* Business name: fPtead�iwer rofee uchedrrl Contact name: 45 e' 0 E�r� Structural plan review fee(or deposit): g�?6.`� i�1L FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Plume..( ) I Fax .t Amount received: I E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM TEES* OhflRAi"I©R Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: ' F g) .0 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP; Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: 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: ,/,/4' liehJ Date: 9':�a,Z *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Electrical Permit Api)lication IIIIIIIIIEIIIBIIIIIIIIIIIIIIIIII - , !.!,.....,..:. , City of Tigard . permit#: , ;,.., 1 - ... 131 25 SW Hall Blvd.,Tigard,OR 97223 2 Phone: 503.718.2439 Fax: 503.598.1960 Date/B.: Related Pemit If: Inspection Line: 503.639.4175 . Ready Date/By: Juris: gi See Page 2 for 1 li,,,Aki) Internet www.tigard-or.gov Notified/Method: Supplemental Information _ TYPE OF WORK ' • .,„ •'' . PLAN REVIEW 1 _ 50 New construction 0 Atkiition/alteration/replacentent Please check all that apply(submit a sets ofpfans wfitems checked): CI Service or feeder 400 amps or more El Building over three stories. 0 Demolition CI Other: where the available fault current Cl Marinas and boatyards. CATEGORY OF CONSTRUCTION iexceeds 1(1,000 amps at 150 volts or 0 Floating buildings. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family El Master builder 0 Other: 0 Fire pump, 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived • • 0 Addition of new motor load of system. Job site address:•72:',,,::: 51.1) edthileatl 4,40,/ia 100.HP or more. ...... ______._ .. City/State/ZIP: 1,4,432,0 , OA, g 7 2,2,.../. , ['Six or more residential units. occupancy. ,_ 0 Health-care facilities. 0 Reeteational vehick parks. Suite/bldg./apt.#: Project name:Sar,,14(45.1Pe" CI Hazardous Mentions. 0 Supply voltage for more than --- 0 Service or feeder 600 amps or more. t500 volts nominal. Cross street/directions to job site: 72 Zvi/5-r/e FEE SCHEDULE nescrboon 4!!.... Each Total * _. . New residential single-or multi-family dwelling unit. Subdivision- -W-261451,Cre Lot#: 3 Includes attached garage. ... • 1,000 sq.ft.or less I 168.54 itist57 4 Tax map/parcel#: ___ -,-— . ., _ ,. _ . ...... .___. . _ Ea_add'I 500 sq.ft.or poon . 33.92 icti 4* 1 DESCRIPTFON OF WORK __ Limited energy,residential 1 i 75.00 '21 3-„f4, 2 PEto 411757400xvo 642.6r-4721 e ef-T- . with above s.;..ft.t , ' —--- • Limited energy,multi-family 75.00 2 residential(with above sA.ft. - . Renewable Enere‘ 0 See Pave 2 tY PROPERTY OWNER i CI TENANT fe . .. . Services or eders installation,alteration,and/or relocation Name: go/444 ) tytifbA) 200 amps or less 100 70 /001 10 2' ,, .1, - . AddresS:i 070 30 5ct1 73 Pn ifire--- 201amps to 400 amps _ . 133.56 2 401 amps to 600 amps 200.34 i 2 City/State/ZIP: 176~ ea- 9-2A2y , - 601 amps to 1,000 maps ' * 301.04 ; 2 .." Phone:(Agc) as' 15735- Fax:( ) Over 1,000 amps or volts 552.26 ; 2- Temporary services or feeders installation,alteration,and/or Email: ,f..'„,,Wlit'll pi3,/je, "filen.. ccom relocation Owner Installation:This installation is being ma property that I own which is not 200 amps or less . 59.36 1 intended for sale,led. r t,or exch.,.- ,acco ..- o ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signatur -',--; . ,-- „. -- •Date: 401 amps to 599 amps 168.54 2 _ _ . . --— Branch drains-new,alteration,or extension,per_tanel __ APPLICANT 13 CONTACT PERSON .. A.Fee for branch circuits with ‘,., . Business name: • above service or feeder fee, /1.,,1 7.42 /0)-21 2 each branch circuit Contact name: 477g /r5 OAIX6K B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: ; Each addi branch circuit . 7.422 • Miscellaneous i service or feeder not included Phone:( ) Fax::( ) , Each manufactured or modular 67.84 2 ------, ' dwellin,,service and/or feeder Email: • j Reconnect only t 67.84 2 ` , , Pump or irrigation circle I 67.84 . . CONTRACTOR , , 2 Business name: 51.644,114(e &'-'2..e7412,1,6, 6.0 Sign or outline lighting , 67.84 i 2 Signal circuit(s)or limited-energy ' 0 See Page 2 1 2 Address: 5-7 o-) *acme- 0 ift .anel alteration,or extension. ,, i City/State/ZIP: a e4Clatityt-1 OteZ- T7 IN'S- , Each additional invection over allowable In an of of the above e Additional inspection(I hr min) ' 66.25/hr 1 , Phone:(07) q 30 cop. Fax:( ) Investigation(1 hr min) 90.00/hr 1 . ' Email: _. Industrial plant(1 hr min) 78.18/hr 1 - 1 • Inspections for which no fee is i90.00/hr I CCI3 Lie.:240 2 1 6, Electrical Lic.:, „ . „ sLut, 1 ,i• i'„ si ecificalb listed 'A hr anti) _ -_- " ''' • ' __.-' /.._-i ELECTRICAL PERMIT FEES , Sur-% rie,111Clati,Itin:11 :f,* t....-1: Itiect c ,.--V-- Subtotal- 1 4;0941 _ - - - i Print name: eli(14<i,:raVVie I Date. .,/ ss a..3 i .., 0.,Plan Review Required(25%of permit fee): ir. ,/52.•3/_, ,., ,/- • State surcharge(12%of permit fee): 73,/til i /„.."' ./. , ../,`.. TOTAL PERMIT FEE: ..„4,34/.66111 Authorized signatuy/ 4/.../ , ' .., , . - ---. This permit application expires if a permit is not obtained within 180 17,A0 , Print name: L':__0 jii-- trztil Date: 770/7„..z_ days after it has been accepted as complete. ' * Number of inspections allowed per pennit. IABuildinigerrnitsiELC PennitApp ELTt ERE.doe Rev 06/17/20/5 440-4615T(11/05/COMAVE6 ElectlricaJ Permit Application—City of Tigard '".Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: FSIDENTIAL WORK ONLY: SCHEDULE Description Qty. I Each l Total 1 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(fee in accordance with OAR.91h-309-0041)) , 552.26 2 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 (1 Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ O• ther: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) COMMERCIAL WORK ONLY: ELECT I,C,AL PERMIT FEES $75.00 Subtotal(Enter on Page 1): Fee for each commercial system: * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: • Audio and Stereo Systems ❑ Boiler Controls ❑ C• lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems n L• andscape Irrigation Control* ❑ M• edical n N• urse Calls ❑ Outdoor Landscape Lighting* n P• rotective Signaling ❑ O• ther.: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Buitding\Permits\ELC_PermitApp_ELR ERE.doe Rev 06/17/2015 Plumbing,Permit Application Buildin Fixt g ures FOR OFFICEUSE ONLY City of Tigard . Received Date/By: Permit No.: ii 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review � _�� � ■ Phone: 503.718.2439 Fax: 503.598.1960 O C T "' F PlanRe Date/By: Other Permit No.: Inspection Line: 503.639.4175 _ I I t.,A P D �� v I IGa� _ Date ReadyReady/By: 7uris: Ed See Page 2 for Internet: www.tigard-or.gov Gay" O W S is Notified/Method: Supplemental Information II tUlL0ING D FEE* SCHEDULE ew construction ❑Demolition For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath l 312.70 1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78 El Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder ❑Other: Each additional bath/kitchen 25.02 Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:' 5� L/4�T .) � C Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 126 €)) d" 57.22y Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: , Project name: A./ TLx' Manufactured home utilities 50.03 Cross street/directions to job site: 7s pi Atza,,, Manholes 18.76 Rain drain connector ( 18.76 Sanitary sewer(no.linear ft.: O) ( Page 2 p 2, Storm sewer(no.linear ft.: J 0) / Page 2 62 ` Water service(no.linear ft.: 3J1 2 Page 2 /(0.04 ��� Subdivision: 4'/qE Lot no.: 3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ' S DESCRIPTION OF VVOR Backwater valve 12.51 A, Clothes p� 4/�� Clothes washer 25.02 ZS aZ, Dishwasher ! 25.02 z5.0-2, Drinking fountain 25.02 Ejectors/sump 25.02 D 'PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: is 0 /„4,�/ � Fixture/sewer cap 25.02 /� 3 Cam'r,29 If Floor drain/floor sink/hub 25.02 Address: O J Garbage disposal ( 25.02 2d.J'2. City/State/ZIP: 726/f71„0, 6,./z. 9 7 2 Z / Hose bib '2 25.02 lietijo y Phone:(?07) 570Y- r„;?j.$-- Fax:( ) Ice maker 12.51 ,61 El'APPLICANT -. '❑ CONTACT`:PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 S/ 4 O 40N/ 12.51 Contact name: e% Primer Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 3 25.02 76.0 6 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 'j,, 12.51 2f.OZ E-mail: Urinal 25.02 C I+NTRAA TOR Water closet S.. 25.02 23•01. Water heater I 37.52 37'$'2. Business name: �mH6p„) •"SCh'is p4c.,2 1y /.,6 Water piping/DWV 56.29 Address: 4.37$ 7-a) y //�&( .0/2 Other: 25.02 City/State/ZIP: aA Subtotal gZs 3,7 Phone:(VI ) 7/) .-/7( 2 Fax:( ) PS )F '1 Minimum permit fee: $72.50 CCB Lie.: 4 Plum ' Lic.no.: Plan review (25%of permit fee) j 3/•3 i 01 State surcharge(12%of permit fee) &).pi Authorized signa e: TOTAL PERMIT FEE ?//,2 5- Print name: "es'ZO /ld% Date: /LZ This permit application expires if a permit is not obtained within 180 days 1 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PL_MU-PermitApp,doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard 'Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-ls`100' r 50.03 50 03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 ci.or 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' l 62.54 62$y Medical Gas Systems: Water Service-each additional 100' ( 37.52 77. Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 J 62.51 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Qty, Fee (ea) tiEal each additional$100.00 or fraction thereof,to . ' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: 275/1 Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate pp y' Baptistry/Font ❑ Any new commercial building with water service 2"and Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. ❑ Car Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" . ' Isometric or Riser Diagram �, Car Wash Drain El Isometric or riser diagram is required for new buildings Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard IIIp COMMUNITY DEVELOPMENT DEPARTMENT Small Form Residential Supplemental (Non-RT) TIGARD �5 Building Permit #: /,krpZ —O (? 717/ Site Address: T"1'2g c, LA ot•-) A Lot #: 3 Project Name: 13PSIPG- Proposed Development: Ingle-Detached 0 Duplex 0 Triplex 0 ADU 0 Other: Existing Units: 0 One 0 Two 0 Three Small Form Residential Standards Setbacks ront: /0 Rear: / Side: Street Side: /0 Garage: Height 0 Max. Height: 35 Proposed Height: e-S Landscape 0 Landscape Area: % Lot Coverage Max: eD oh Entrance 12°5et back 8' or less from street-facing wall ❑ P rallel to front lot line or offset max. of 45 degrees Windows inimum 12% of area of all street-facing facades, dimensioned on plans Attached Garages 0 ' ensioned on plans Yes, garage door not closer to street property line than façade that encloses living space; or ❑ No, and meets: • Door extends max. of 5' from wall and a covered porch extends beyond garage; OR • Door extends max. of 5' from wall and there is a 12 sq ft. window above garage on 2nd floor. Garage door width is: ❑ 13>or or less; poSOW0 or less of façade; or ❑ 60% or less and includes 7 of following: ❑ Covered porch 0 Recessed entrance 0 Wall offset ❑ 1' Roof eave 0 Roof offset 0 Fire shingles ❑ Lap Siding 0 Gable, hip, gambrel roof 0 Dormer, ❑ Roof pitch ❑ Accent siding 0 Window trim ❑ Window recess 0 Window projection 0 Balcony Accessory 0 Max. size of 528sf or 1,000 sf if lot is 2.5 acres or more. Structure /1)/ /77 Approved By Planning: rifir — Date: l:\Building\Foans\BldgPermitRvw_SFR Supplemental 070722 City of Tigard E COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review - Residential Building Permit #: 7/ , d (L2---,003 �I Site Address: q"9 SCA) LAYTof.J AV6 Project Name: e'D &1LE Lot #: 3 Proposal: W) SVbIPU. 6112K) Ifefl11AL- On tI Required Submittal Elements° 3/L�i,3 ' gG"'s�`r s`L'rk" �" ,i " ... 711c. ►(e V)k rr.L 1p t �ik r �w�• 7St�. copies of site plan & t e.f.ef js to be- r�rotist �' �'awn to standard scale Zit_:03, q,,, ‘A1. rth arrow • ' • n L, l.s,, Ple5ite address, project name, lot # S eet trees shown / labeled S et names pitl<falk / driveway shown and dimensioned licant name and phone # tility locations & easements (new / additions) E'Lot and setback dimensions ,.i ' of area and lot coverage percentage r sion control p i l) NVVision clearance triangle 0 Gl oun wn Planning Review 0;ifyaddress / suite # active in Accela. lean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) Required: ❑ Yes 2'No /� Received: ❑ Yes ❑ No 121 t is Facilities Improvement (PFI) Per ' Required: ❑ Yes D No � Applied For: ❑ Yes ❑ No op intake �{vS�v� �ae� ,0'Sensitive Lands: ❑ Yes Y To Type: '3 /a` I /23 ousing Supplemental Sheets Completed ❑ Cottage Cluster C&O (1 site, 1 per unit) ❑ Quad ❑ Courtyard Units C&O (1 site, 1 per building) ❑ R90t6use 0 Cottage Cluster Type II (1 per unit) mall Form Residential / ADU ❑ Courtyard Units Type II (1 per building) 0 River Terrace Addendum SAApj2O -O ❑ Land Use Case #: /40,00Z2'60Q0 ❑ Conditions met prior permit issuance Approved By Planning: _ Date: /04* Notes Revision 1:, Approved ❑ Not Approved Date: ,5 r2123 Approved ❑ Not Approved rife, Date: / 3/.1 S I:\Building\Forms\B1 dgPermitRvw_Res_08162022.docx Building Permit Submittal Original Submittal Date: /O7 722_ Site Plans #: Building Plans #: 3 Building Permit #: ,0-Building permit # entered on page 1 Workflow Routing: Er-Planning 2-Engineering i6 Permit Coordinator,-Building Workflow Sign-off: ,0-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. -Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, tc. Permit Technician: ate: D/4.Z Notes Engineering Review ''Slope at building pad verified Slope: )v /4 VConditions met prior to issuance of permit IB'Easements (encroachments) per engineering conditions of approval and plat 2/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Imo Assess Water Quantity Fee in-lieu: ❑ Yes *No � � LIDA Facility on lot: fd'`Yes _ Jo Add Fee: ❑ Yes ❑ No I�'Final Plat Recorded KNOT Approved: G. `17/9-5/4 -S 4 dais,' y Date: 37/23 / Notes Approved By Engineering: Da • /d/igZZ Revision 1: ❑ Approved ❑ N t Approved Date: ObViettifinitt 0 Approved 0 Not Approved Date: 5/?t Permit Coordinator Review eb,Cond itions met prior to permit issuance 06b t4 " Ora' w Approved, NOT Released: Date notifi d applicant: lW 1 t012022. ❑ ENG Revisions Required: Date notified applicant: SDC Exemption: LI Applied for ❑ Received Xr Does not apply ,, SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: 'Yes ❑ N/A ❑ Deferred Parks SDC: 'Yes ❑ N/A ❑ Deferred LIDA 0 Yes ,%N/A fl OK to Issue/Approved by Permit Coordinator: `A�r�YlJl Date: 77 Revision 1: ❑ Approved Not Approved c)k>\ V C Date: %Approved Not Approved Date: ;a29DZ 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 j 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. rint Name o it A an /X..3 ature of Permit Appl' nt Date Permit#: 7Y1 570 - (or 4. Address: 71,77_ Si,./ , "/y� ��a�l► ' -L4fj" ��. Issued by: / Date: 11/S 1,3 / 6 This Copy for Permit Offices Information Notice to Owners About Construction Responsibilities (ORS 701.325 (3)) Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: • Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. • Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. • Oregon's Business Identification Number(BIN): is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, go online to the Oregon Business Registry. For questions, call 503-945-8091. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.gov. Other Responsibilities of Homeowners: • Code Compliance:As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. • Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 —Fax: 503-373-2007 Website Address: www.oregon.gov/ccb f/property_owner adopted 9-2016 This Copy for Permit FOR OFFICE USE ONLY-SITE ADDRESS: 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 III a 7 Transmittal Letter r 16 i.K D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /ILLY50H AR PaaVt/ DATE RECEIVED: DEPT: BUILDING DIVISIONRECEIVEr FROM: Po/4 404YraN LIAR 2 2023 COMPANY: 11 /'�� 4- G T.7 an' ;} Mail., PHONE: 9Or7 .5-- $. ff 53s BULD1NG DtMMI EMAIL: 304P/iiN /4'S/ 196.01/9/t -cc)v( RE: 77 Z O 5 1-k/7DAJ 4416 /N1 r Z02 2"'p0.as`1 (Site Address) (Permit Number) aR si o e La r 3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: I Description: 1 Copies: 1;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: 3 5675 Fula 51 Z -. -I l9/1663 i9 2e y /N o/2/0iw*- 5c-33 , 1307 1U ) /2f-ufse S( 5 --'%0/i5C'7) /v 5�'2i/ '!,i., Mechtivx42—/ 3/U+J/NG fa-Wale-5 / SAS S YG✓i'b r S! 14‘r 7v sLi vG,, facc 4,iInitials: U FO OFFICE USE ONLY p�p� Routed to Permit Technic.,,i�a Date: 'L� Amount Due: Fees Due: ❑Yes LSd"No Fee Des do :do E.) $ 7j. Special Instructions: 0 Done Reprint Permit(per PE): ❑ Yes I ° Applicant Notified: Date: , Initials: FOR OFFICE USE ONLY—SITE ADDRESS: 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 1,1 .. Transmittal Letter H 1 G A,r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: �aP.F` POLL DATE RECEIVED:DEPT: 13441414ZIDIVISION RECEIVED FROM: a,U 4`/Ts7‘) MAR 21 2023 COMPANY: CITY OF TIGARD BUILDING DIVISIO J ,/ PHONE: 9 0 f j C S. S - Y EMAIL: do1,40/5/,//0702f Z.Ce•lot RE: 722 7 $W G -P 4,,frim /1i5f 2022 -003S-`1 (Site Address) (Permit Number) oaCXYZs< bc— r 3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. X Revisions: v%Tr'f�7) 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: ,/ 16?A) Rc 1,Sf67r.' 51 1/0 A FOR E USE ONLY ,¢� / Routed to Permit Technici : Date: '3 2 1.3 Initials: � '/� Fees Due: ❑ Yes No Fee Description: Amount Due: p co •b $ Special Instructions: Reprint Permit(per PE): ElYes L_ l�o El Done Applicant Notified: Date: Initials: r FOR OFFICE USE ONLY—SITE ADDRESS: 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 III P : ' Transmittal Letter r; ,A k it 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: L-)/50A), ,o 1$72 44 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: RI,-) 1- 'lT°N MAR 1 4 2023 COMPANY: CITY OF TIGARD BUILDING DIVISIO�IBy oJ� PHONE: ?v S J570 a $3 3 EMAIL: dD p`I t n/yw 67M'1y4 COG1 RE: 7 iY irmr2_02.2 -003vii (Site Address) (Permit Number) tvzs/ae- 47-- 3 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: I Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof flawing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: At-%Z4r-emi`?` — F`P'eS 91-71b1"WC f7e—LoDF (e9tiT/)6 GAG S FO O CE USE ONLY ff r'C Routed to Permit Technic' Date: 2�3 Initials: Fees Due: ❑ Yes No Fee Descripti n: Amount Due: 0 V e .) ( Special Instructions: I Reprint Permit(per PE): ❑Yes I a o ❑ Done Applicant Notified: Date: Initials: