Permit CITY OF TIGARD MASTER PERMIT
.1 ' COMMUNITY DEVELOPMENT Permit#: MST2016-00309
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2016
T l t.-;A 1"n 9 Parcel: 2S112BA04600
Jurisdiction: Tigard
Site address: 14295 SW 80TH PL
Subdivision: WAVERLY MEADOWS Lot: 9
Project: Weaver
Project Description: Add basement storage behind existing garage with covered porch and deck area above.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 0 sf Basement: 340 sf Left: 0 Parking Spaces: 0
Height: 24 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: No
Total: 340 sf Value: $30,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes 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!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
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB U 340
Owner: Contractor:
KROPP,BEVERLY& ECO BUILDERS Required Items and Reports(Conditions)
WEAVER,RIC 416 NE OAK CT
14295 SW 80TH PL SHERIDAN,OR 97378
TIGARD,OR 97224
PHONE: 503-551-7800 PHONE: 971-241-7167
FAX:
Total Fees: $998.02
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 - --• •-ice 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. -• TENTION: Or-.•n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 601-0010 through OAR•• :01-80':./YYou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Is ued By: / �/ Permittee Signature:
Call 503.639.4176 by 7:00 a.m.for the next available inspectio ate.
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.
Building Permit Application
Residential RIVE FOR OFF-1( E I SE ONE)
City of Tigard Received c DatetBy_ Y m lG Il Permit No.:1-�hT2o/6,_&)307(�+
li 13125 SW Hall Blvd.,Tigard,OR 'e?j 2 2016 Plan Review �)
ti Phone: 503.718.2439 Fax: 503.59:. '.1 Date/By: �j ' ;5 Other Permit:
7 I C,ARD Inspection Line: 503.639.4175 ray O T B if`A R D' Date Ready/By: Juris: BI See Page 2 for
Internet: www.tigard-or.gov t i l 1 I U Notified/Method: 1/1/1/It.,� � Supplemental Information
I�UIIJDING DIVISION * -\,A►tt:ar a•/
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Di,�/Addition/alteratiowre lacement 0Other: Indicate the value(rounded to the nearest dollar)of all
Pequipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
?t 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ fj/Q 6
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: •2,.._
Job site address: /LtZ,r5 51)L► $Q"+'1 f 1 GI,c.i . New dwelling area: square feet
City/State/ZIP: 'rt RD , OR i-7 224 LV Garage/carport area:$.6 3 ((square feet 3L 0
Suite/bldg./apt.no.: Project name: _ P ► `:'t ii '...r Covered porch ea: /1),to square feet 16
Cross street/directions to job site: Deck area: h3 A i 0 I p spare feet /g O
A�lv Pym t.1'. Rd, --s? Sir': }-�+.?:s NO �f;Pk Y"."---> Other structure •.•l°i2c'►z "I C pksquare feet
/....49,44-Cs t`1 •grfi PLet c:e.., '- -> /4-oast 1S cm re," REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: W DA 6441 WI e,,( Lot no.: 1 Permit fees*are based on the value of the work performed.
- I
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
�1-0- )/Nix /� h,,, �G /2 T`2 RI lityequipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
= . Existing building area: square feet
pc:--,-=,, �.v,,A A cje alit _d."a u -ta,,
Re-p 46te.....-1 t..,,x t-4-,t f) ' r New building area: square feet
`` ( PI OPERTY OWNER 0 T Number of stories:
Name: 'g l INF'soiCl<', .1_,K.• Type of construction:
Address: Occupancy groups:
City/State/ZIP1___ ._-_— —. Existing:
Phone:(.501) Cy 1_"'74.. (a 0 Fax:( ) New:
.APPLICANT } 0 CONTACTftPERSON BUILDING PERMIT FEES*
(Puk)
Business name: IS n.,a v.\ 1 "',A+`_S r :: k1 Ph e•-v B 0 L1� ,5 viewfease ef(or deposit):
Structural plan review fee(or deposit):
Contact name: fsr1'CIM
FLS plan review fee(if applicable):
Address: --//e itv ode_G
City/State/ZIP: S I y. h OR_9-7-3-7 Total fees due upon application:
Amount received: e.550•g r
Phone:(V)) 2' / .-?1 b''f] Fax::( )
re"1145 G Li). 'rr PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: �jr i s
11Ci. /1+ 41/r) . C-1'1411
Co •, ercial and residential prescriptive Inst. ation of
CONTRACTOR roof-to.. punted Photo Voltaic Solar Panel,,•stem.
Business name: CA,yy1 e_ ,LS APpL� Submit tw..2)sets of roof plan with e�.•Vection details
and fire depa ,-nt access,along, the 2010 Oregon
Address: Solar Installation :,'chatty C.•' checklist.
City/State/ZIP: Permit Fee(inc .- • an review $180.00
and a' ' istr.'_e fees):
Phone:( ) Fax:( ) State surchar:"'(12%ofpermit e $21.60
CCB tic.: /91., - !� Ital fee due upon application: $201.60
Authorized sig/nature • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Brtao Ree- 614\ Date: 7-2�'_�I b *Fee ServmethodologyBoard.
set by Tri-County Building Industry
1 I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
•II
r COMMUNITY DEVELOPMENT DEPARTMENT
T1cAan Building Permit Review — Residential
Building Permit #: I"i 1"--aci(e-OCA 36
Site Address: /41Q9c ` ?A0 004 n,)
Project Name: -t'ove,,s- ilx Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: e / vn '4j --,1',4:7 Un21� /n r"—�'* yarz-L,
2(Verify site address/suite# exists and actio permit system.
id/Aver Terrace Neighborhood: 1CJ No ❑ Yes,See River Terrace Review Addendum Attached
SithPlan Elements:
itree(3)copies of site plan sting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper otprint of new structure(including decks)with finished
Olprawn to scale(standard architect or engineer scale) oor elevations
Zorth arrow 11' • . .ty locations (required for new,may apply for additions)
e address,project or subdivision name and lot number 113 t ation of wells/septic systems
10 •plicant information(name and phone number) cpfisting trees to be retained with drip line,and tree
'TA •t dimensions and building setback dimensions •rotection measures
VA Lot area,building coverage area,percentage of coverage and ' +•et tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) 1'Street names
perty corner elevations(2 foot contour lines if more than
4 foot differential)
❑ Clean Water Vrvices—Service Provider Letter(lot platted prior to 9/10/1995):
Required: EVIK Yes,applicant was notified ❑ No Received: ❑ Yes 1.7.No
1 Public Facilities Improvement(PFI) Permit:/
Required: E Yes,applicant was notified W No Applied For: ❑ Yes ❑ No,stop intake
0and Use Case#:
Zoning: —
Setbacks: Front /S- Rear `j Side S' Street Side _ Garage -7O
andscape Requirement: 7O
V of Coverage Maximum:
17 uildin Height:
Maximum Height ` Actual Height P /ea `?
Kisual Clearance
)rasements
Sensitive Lands: /Yes ❑ No Type Ve 1 c a r n h r ...e
crban Forestry Plan CJ 1 i , i
Nonditions "Met" rior to issuance of b .ding permit
otes: � CSZ/h ,la 's 177 S i 1_{1 7?&1- In dlaiSc 7,k4,L rv/'P,a
Approved By Planning: _i„ y` Date: g AI
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_060116.docx
Building Permit Submittal
Original Submittal Date: /9'1/0
Site Plans: # 3
Building Plans: # ,3
Building Permit#: Q Enter building permit#above.
Workflow Routing: [fi Planning ,12--Engineering 1ermit Coordinator 2'Building
Workflow Sign-off: 13-Sign-off for Planning(include notes from planning review)
Route Application Documents: ['Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
o ginal plan review routing form.
2Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: CI - GQ2-v+ e Date: r/Z/,,
Engineering Review
Er Slope at building pad: 01.5
❑Conditions "Met"prior to issuance of building permit
L -Easements (encroachments)per engineering conditions of approval and plat
Q'Water Quality/Quantity Facility: �/
Assess Water Quality Fee in-lieu: ❑ Yes IQ No
Assess Water Quantity Fee in-lieu: ❑ Yes [ <No
LIDA Facility on lot: ❑ Yes 27-No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: i Date: g- 4- 1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes E /A
Tigard Trans SDC: ❑ Yes I N/A
Parks SDC: ❑ Yes pr
N/A
K to Issue Permit
roved byPermit Coordinator: S11/// ,
, Date:
I:\Building\Forms\B1dgPennitRvw RES_060116.docx