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Permit CITY OF TIGARD MASTER PERMIT s -II COMMUNITY DEVELOPMENT Permit#: MST2016 00014 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 T l c;A R 1-) 9 Parcel: 1 S135DB06000 Jurisdiction: Tigard Site address: 11540 SW GREENBURG RD Subdivision: MILLER Lot: 6 Project: Galeana Project Description: Construction of a new 405 sq.ft.accessory structure. 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: $10,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 0 Drains: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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''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 asin N Other: N Other Description: Ecom p 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF 0 Owner: Contractor: GALEANA,EUNICE OWNER Required Items and Reports(Conditions) 11540 SW GREENBURG RD EUNCE GALEANA TIGARD,OR 97223 11540 SW GREENBURG RD TIGARD,OR 97223 PHONE: PHONE: 503-957-7042 FAX: Total Fees: $801.62 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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• : 44. Issued By:6% / Signature: ��_ '��� Call Mpllp,.... ..../ , .4175 by 7:00 a.m.for the next le inspection .. e. -- This permit card shall be kept in a conspicuous place on the job site until co, pletion of the project Approved plans are required on the job site at the time of each inspection. Ilir 1 Building Permit Application Residential 1 o R ow( F t ti l. ()NI 1 Received City of Tigard Date/B : i/� �� Permit No.. Auto,, 4 13125 SW Hall Blvd.,Tigard, Plan Review el° Date/B : 'P" II Phone: 503.718.2439 Fax: 5 9b0 A 1016 Other Perm it: A - C , I i( A R i Inspection Line: 503.639.4175 �� l Date Ready/By: See Page 2 for Internet: www.tigard-or.gov a Notified/Method:7ili j Supplemental Information Cf)j TYPE 0 ` + ' •G 0 �Q REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction ' di 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: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 121-and 2-family dwelling 0 Commercial/industrial Valuation: $ `a,p00_ op 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 11 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /1 5tr0 s(fit/ t%arc.en b"r- Rd New dwelling area: square feet City/State/ZIP: • . a r e1 { Garage/carport area: square feet Suite/bldg./apt.no.: 1 Project name: (e,v yi j ry. r5.-v d )D Covered porch area: ,aS square feet Cross street/directions toob site: j Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: 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 f� f DESCRIPTION OF WORK work indicated on this application. 1 8 `U j 111 ok .-k-1/4) a ( 0 Valuation: $ Existing building area: D"1v square feet New building area: ' //square feet ❑ PROPERTY OWNER 0 TENANT- Number of stories: Name: 6.v Y1c e .a I(o_civ)0, T/ Type of construction: S J a_I U Address: 15'-1 D S CA-) C r'e---IC✓1 bu rj ACL Occupancy groups: City/State/ZIP: "� gird © Y R7 2-2 Existing: Phone:( 5 5O ) Z Fax:( ) � � � 7Q� ._ New: 0Q.vi ❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* 1 Business name: (Please refer tofee sehedsIIe) Structural plan review fee(or deposit): I Contact name: — - -- 1 FLS plan review fee(if applicable): Address: Total fees due upon application:' j',. 7) City/State/ZIP: Phone:( ) Fax: :( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* t Commercial and residential prescriptive installation of . CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: llLl fiV6t/ 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 lic.: 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: Date: 'J *Fee methodology set by Tri-County Building Industry - �� — '/ �� Service oard. l:\Building\Pen its BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) III Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE LSF ON1.1 74 City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: III Phone: 503.718.2439 Fax: 503.598.1960 Received I R,A R l) 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov 0 Other: 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . El 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ 0 ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator; lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22."Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:ABuilding\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) L Pl t *ng Permit Application Building Fixtures RECEIVED colt orr1("1: 1 SI.: o\I,l Received ip City of Tigard ��f�R 42��6 Date/By: a I0 Permit No.. ��IAi/^d,,, /►/j^ly 13125 SW Hall Blvd.,Tigard,OR 1111`3 Plan Review O��1 a ti � • • Phone: 503.718.2439 Fax: ;4q 4;./l i VII i^• Other Permit No.: VV 9LARD Date/By: I I t ;�I:I Inspection Line: 503.639.417 t (� Date Ready/By: loris: ® See Page 2 for Internet: www.tigard-or.goBulL�I�) i I���' Notified,Method: Supplemental Information k s " YN' ,a, !1"'-^*!;;',"„'''',, :' i," '4 a fraw, 4{ �. a a' " ,,` y"'ovr +k.W ,etc r., �r ,^'Rr;,;., zs 1,� » , "x,F , tr tf 1 = q 1�a st ��:, IX. ; ,rr . a: '. E1 ° � r ¢;r'. ❑New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) y�4Y ? !e, a t rr. .,, i ar t " '-'•r a,x SFR(1)bath 312.70 ik�a . v ,.�t. <� «.4, q,ti '" , ss. XIY&�----iiz✓'4s,.-,,-,w._'...k,... ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 r ;y3:47z „fix,a .,4„„n r., E"IO T" r Site •utilities: Job site address: ii 5 ti P� 5w G r N 8t.)►5ti v � Catch basin or area drain 18.76 City/State/ZIP: r Y1 Drywell,leach line,or trench drain 18.76 a K& c2Y ct 7 Z Z 3 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: Cep(..1YA ` C [v C" 11(0 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: /00 ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: /00) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 .. Backwater valve 12.51 e . DESUPTION pF WORK i Clothes washer 25.02 JU\\ S- - ) A \Q Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 pRopiiy , 0Expansion tank 12.51 Name: l/ u y re Oa(ea Y10. Fixture/sewer cap 25.02 I Floor drain/floor sink/hub 25.02 Address: \\5 1.(, 5 U -e eL 6 r r\_b �q y J 1Z Ct_ Garbage disposal 25.02 City/State/ZIP: -I-‘c ot f Q ir q 7 2....2 3 Hose bib 25.02 Phone:( 56) a 5"1 7 0 4 .7 Fax:( ) Ice maker 12.51 tf►l CONTACT PERSON" Interceptor/grease trap 25.02 -, _,. . Ona,,s ,. _ :,h.. ., - a�. . y.. „, ' - ,.a , Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(comm ial) 12.51 Address: Sink/bas" la atory l 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/ r pan / 12.51 E-mailUrinal 25.02 n,m '*; .y:� u, , r ',' �� ). ter closet / 25.02 r A :� y � ��.'...,.'''''-.3.-%",-.14='; l'''''''-'24'''''.79';',"''''.41-',-''-' Water heater 37.52 Business name: a LC 10 Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone:( ) Fax:( ) Plan review (25%of permit fee) CCB Lie.: lumbing Lic.no.: State surcharge(12%of permit tee) Authorized signature: 0".... TOTAL PERMIT FEE Print pante: Date: �t r This permit application expires if a permit is not obtained within 180 days U y\\ C. 6 d I' a v A 2-H I1t'J after it has been accepted as complete. U! *Fee methodology set by Tri-County Building Industry Service Board. I:Building Permits PLMU-PermitApp.doc 10 01 09 440-4616T)10 02 COM WEB) s1 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su. 'ression S stems: Footing drain-I" 100' 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 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 LL, Storm&Rain Drain-1st 100' 62.54 $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 s;4 each additional$100.00 or fraction thereof,to awa- �: .� � _ _ :._ 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: 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* aria fa 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 Baptistry/Font ID Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive 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 ❑ 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" 0 ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain 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/Sery/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 fees assessed for the sewer increase must beaid before the Water Extractor P Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:ABuilding\Pennits\P LM F_PennitApp.doc 08/04/2011 2 1 City of Tigard ,71 q COMMUNITY DEVELOPMENT DEPARTMENT TI G n IZ D Building Permit Review — Residential Building Permit #: �0Zni6—&en lif Site Address: //574/6 �j'j) g i � P- Project Name: 4k , ecassO us , ,-P Lot #: (New dwelling=subdivision name; Addi . nor.AIteration=last name of owner) Planning Review ,+ Proposal: e, 3 z1i g 0 �ctiQs e ,___\--ince zo-e V(Verify site address/suite# exists and active in permit syste ti> c.iver Terrace Neighborhood: ❑ Yes L' No Sit Plan Elements: 41 v/( ree (3)copies of site plan 15/JExisting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper 1 ) otprint of new structure (including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations orth arrow l.l, ihty locations (required for new,may apply for additions) e address,project or subdivision name and lot numberi v 11,;°,cation of wells/septic systems ppf plicant information(name and phone number) 11 o osion control (including drainage-way protection, silt fence L of dimensions and building setback dimensions sign,location of catch basin,etc.) Offit area,building coverage area,percentage of coverage and Street names vppimpervious area (applicable if R-7,R-12,R-25&R-40) peet tree size,type and location 'fiBrtoperty corner elevations (2 foot contour lines if more than 9 isting trees to be retained with drip line,and tree 4 foot differential) protection measures fiklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified t No Received: ❑ Yes E No 1 Oublic Facilities Improvement(PFI) Permit: Required: E Yes,applicant was notified U No Applied For: ❑ Yes ❑ No,stop intake ( and Use Case #::onin g P— `f Setbacks: Front Nip Rear Side 5— Street Side Garage if4f). . ftandsca e Requirement: o,0 f/3 -�) 1- 4vw s iI of Coverage Maximum: V4 Building Height: Maximum Height /Jr Actual Height // AVisual Clearance kasements ORensitive Lands: ❑ Yes i No Type 0 '(Urban Forestry Plan 1IConditions "Met"prior to issuance of building permit Notes: Approved By Planning: i— _f ,,, Date: .7:V/q//k_ Revisions (after Building Submittal only) Reviewer Date Revision 1: X.Approved ❑ Not Approved CAp,�� Q, e a,�,�,¢� di--// —/ Revision 2: ❑ Approved ❑ Not Approved J Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPennit Rvw_RES_070915.docx Building Permit Submittal Original Submittal Date: AA 5/6 en- Site Plans: # Building Plans: Building Permit#: ter building permit#above. Workflow Routing: ng EH ,ncineering D--19 ---it mCoordinator EHItitr&Tig Workflow Sign-off: Sign-of for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and ori ' 1 plan review routing form. uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /� Date: ,,.4/7/� Engineering Review EJ Slope at building pad: Z'/,. - Conditions "Met"prior to issuance of building permit .4t. Easements (encroachments) per engineering conditions of approval and plat la Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes ] No JA, 4i1(t 1.IDA Facility on lot: ❑ Yes gr No --f'NOT Approved by Engineering: a-77 Date: tel, . /2.4 4. r nn__ Notes: JO KO K/ at c_ ._ . __ ( �- m•X1 'l�vcs Hurt LsNbn,'{!rL( 'I N/lb) , if ndoi/hy Sc Approved by Engineering: — _f r // Date: c..///i/zo/CQ Revisions (after Building Submittal only / eviewer Date Revision 1: pApproved CI Not. pproved �.ti Dli[ 40 20/Le Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: '/ Date: Notes: G/t1.LGC� n 4 t e_pfa e kG Ae,e/J- �f� tg2 hi7'/ �/z /'&, L Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: 3/2_41A 4 Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: .? SDC Fees Entered: Wash Co Trans Dev Tax: 111 Yes N/A Tigard Trans SDC;: CI: N/A Parks SDC: ❑ Yes N/A %OK to Issue Permit Approved by Permit Coordinator: 6i 0 a . eu...n..L.--/ Date: q -1" R e t. at- /9 Ai _ ,-.0Oy A-c,4 A,4b c,oc. k,..,{ , I:`,Building\Forms\BldgPennitRvw_RES_0709I 5.docx 11 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 per mits. 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 a II subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I w ill 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 horn eowner statement is true and accurate. X1/7 (c e- Cep lea 44 Print Name of Permit Applicant - / - 11- /6 Signa of Permit :•• Ica Date Permit#: At - / . -- _ Address: 1/ a J) �s _ ..c v ,,". Issued by: Date: 'v/i 3//b t t'1: This Copy for Permit Offices A 1 • 1 00 • 0. Information Notice to Owners About ` = r Construction Responsibilities i`>t (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 em ployer, 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 Em ployment 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, call 503-945-8091 or go to http://www.oregon.gov/DOR/BUS/docs/211-055.pdf for the appropriate forms. • 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 503-947-7815. • 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, call the IRS at 1-800-829-4933 or visit their website at 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 700 Summer St NE,Suite 300, 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 9-23-08 This Copy for Permit Applicant Jeremy Hanson From: Eunice Galeana <eunice.galeana20@gmail.com> Sent: Sunday,April 10, 2016 2:58 PM To: Jeremy Hanson Subject: Re: 11540 SW Greenburg Hi Jeremy, You asked us to fix the position of our project so we moved it 18 feet away from the property line. Please let us know when we can start building. 2016-04-10 14:55 GMT-07:00 Eunice Galeana<eunice..aleana20 a)•mail.com>: t6 -E O C sT _ y m _ 1 I 2016-04-06 10:32 GMT-07:00 Jeremy Hanson<JeremyH(a,tigard-or.gov>: Eunice, Since you have a corner lot, and the side that faces 95th is less than 75 feet,you can pick which is your front yard and side yard. If you pick the one that faces 95th as your front yard, then you only need 5 feet of setback in addition to the right-of-way distance. If you look at the maps provided, I drew in the right-of-way and the 5 foot setback. This means you will need to place the structure 18 feet from the property line. If you can do that, please submit a plan that shows the minimum 18 feet and engineering can approve the plans. Please call or email me with any questions. Also respond in anyway just so I know this email made it to you, in case I misspelled it. -Jeremy Jeremy Hanson II Engineering Technician 1 IN 1 (503)718-2467 Work - (971)713-0281 Cell T(G A R D JeremyHetigard-or.gov City of Tigard 13125 SW HE Brio Tigard OR 97223 LISCLAIMLR: L-mails sent or received by City of l igard employees arc subject to public record laws. If requested,e-mail may be disclosed to another party unless exempt from disclosure under Orogen Public Records Law. L-mails arc retained by the City of l igard in compliance with the Oregon Administrative Rules"City General Records Relenlien Schedule.' 2 18.510.040 Minimum and Maximum Densities A. Purpose. The purpose of this section is to establish minimum and maximum densities in each residential zoning district. To ensure the quality and density of development envisioned, the maximum density establishes the ceiling for development in each zoning district based on minimum lot size. To ensure that property develops at or near the density envisioned for the zone, the minimum density for each zoning district has been established at 80%of maximum density. B. Calculating minimum and maximum densities. The calculation of minimum and maximum densities is governed by the formulas in Chapter 18.715,Density Computations. C. Adjustments. Applicants may request an adjustment when, because of the size of the site or other constraint, it is not possible to accommodate the proportional minimum density as required by 18.715.020.0 and still comply with all of the development standards in the underlying zoning district, as contained in Table 18.510.2 below. Such an adjustment may be granted by means of a Type I procedure, as governed by Chapter 18.390,using approval criteria in 18.370.020.C.2. 18.510.050 Development Standards A. Compliance required.All development must comply with: 1. All of the applicable development standards contained in the underlying zoning district, except where the applicant has obtained variances or adjustments in accordance with Chapters 18.370; 2. All other applicable standards and requirements contained in this title. B. Development standards. Development standards in residential zoning districts are contained in Table 18.510.2. TABLE 18.510.2 DEVELOPMENT STANDARDS IN RESIDENTIAL ZONES STANDARD R-1 R-2 R-3.5 R-7 Minimum Lot Size -Detached unit 30,000 sq.ft. 20,000 sq.ft. 10,000 sq.ft. 7,500 sq.ft. 5,000 sq.ft. -Duplexes 10,000 sq.ft. 10,000 sq.ft. -Attached unit[1] 5,000 sq.ft. Average Minimum Lot Width -Detached unit lots 100 ft. 100 ft. 65 ft. 50 ft. 50 ft. -Duplex lots 90 ft. 90 ft. 50 ft. -Attached unit lots 40 ft. Maximum Lot Coverage - - - - 80%[2] ront yard 30 ft. 30 ft. 20 ft. 20 ft. 15 ft. -Side facing street on corner&through lots 20 ft. 20 ft. 20 ft. 15 ft. 10 ft. 5ft. 5ft. 5ft. 11111101r 5ft. -Rear yard 25 ft. 25 ft. 15 ft. 15 ft. 15 ft. -Side or rear yard abutting more restrictive zoning district 30 ft. -Distance between property line and front of garage 20 ft. 20 ft. 20 ft. 20 ft. 20 ft. Maximum Height 30 ft. 30 ft. 30 ft. 30 ft. 35 ft. Minimum Landscape Requirement - - - - 20% [I]Single-family attached residential units permitted at one dwelling per lot with no more that five attached units in one grouping. [2]Lot coverage includes all buildings and impervious surfaces. Residential Zoning Districts 18.510-5 Code Update:4/15 c. "Flag lot" - A lot located behind a frontage lot, plus a strip of land out to the street for an access drive. A flag lot results from the subdivision of partitioning of a residential lot or parcel which is more than twice as large as the minimum allowed in the underlying zone,but without sufficient frontage to allow two dwellings to front along a street. There are two distinct parts to a flag lot: the "flag" which comprises the actual building site located at the rear portion of the original lot, and the "pole" which provides access from a street to the flag lot. The flag pole can either be part of the rear lot or granted as a easement from the front lot. soimmmafn the case of an interior lot, a property line which abuts the street; in the case of a corner lot, the shortest of the two property lines which abut the street; except where the narrowest side of a lot is a minimum of 75 feet there may be a choice of frontage. e. "Improved lot" - (1) A lot upon which a building can be constructed and occupied; (2) a lot with buildings or structures. f. "Interior lot"-A lot other than a corner lot and having frontage on only one street. g. "Lot area" - The total horizontal area within the lot lines of a lot exclusive of public and private roads, and access easements to other property or the private driveway area of a flag lot. h. "Lot averaging" - A design technique permitting one or more lots in a subdivision to be undersized, providing that the average lot size is no less than that required in the underlying zone. i. "Lot coverage" - The percent of a lot area covered by the horizontal projection of any structures or buildings. j. "Lot depth" - The distance from the midpoint of the front lot line to the midpoint of the rear lot line. k. "Lot line"-The property line bounding a lot. 1. "Lot line adjustment" - The relocation of recorded lot lines which does not result in the creation of an additional lot. m. "Lot of record" - A lawfully created lot which existed prior to the effective date of the code codified in this title. n. "Lot width" - The average horizontal distance between the side lot lines measured within the building envelope. o. "Rear lot line" - The recorded lot line or lines most distant from and generally opposite the front lot line, except that in the case of an interior triangular lot or lot with more than four sides, it shall mean a straight line ten feet in length which is parallel to the front lot line or its chord and intersects the other lot lines at points most distant from the lot line. p. "Side lot line"-Any lot boundary not a front or rear lot line. Definitions 18.120-10 Code Update:4/15 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11540 SW GREENBURG RD, TIGARD, February 1 , 2018 at OR, 97223 12:00:14 PM Record Type: Record ID: Residential - Master Permit MST2016-00014 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11540 SW GREENBURG RD, TIGARD, February 1 , 2018 at OR, 97223 12:00:14 PM Record Type: Record ID: Residential - Master Permit MST2016-00014 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11540 SW GREENBURG RD, TIGARD, February 1 , 2018 at OR, 97223 12:01 :28 PM Record Type: Record ID: Residential - Master Permit MST2016-00014 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Electrical final approved on separate electrical permit. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11540 SW GREENBURG RD, TIGARD, February 1 , 2018 at OR, 97223 12:06:04 PM Record Type: Record ID: Residential - Master Permit MST2016-00014 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11540 SW GREENBURG RD, TIGARD, December 27, 2017 at OR, 97223 11 :40:16 AM Record Type: Record ID: Residential - Master Permit MST2016-00014 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved plumbing and electrical final with building final inspection. Open permits needing final inspections prior to MST 2016-00014. ELC 2016-00733. For plumbing final, secure Lay cabinet to wall and caulk sink to wall. Install strap on water heater in upper closet. Violation Summary: Inspector Contractor