Permit (71) CITY OF TIGARD MASTER PERMIT
111 `I Permit#: MST2018 00078
COMMUNITY DEVELOPMENT Date Issued: 03/06/2018
T 1 G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 3/06/2 D10100
Jurisdiction: Tigard
Site address: 12643 SW 135TH AVE
Subdivision: 2006-043 PARTITION PLAT Lot: 3
Project: ALEXANDER
Project Description: 120 sq. ft. accessory structure with a height of 14 ft.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke No
Dwelling Units: 0
Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $7,200.00 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 RainStorm Sewer: 0
0
Drains: Catch Basins: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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 Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ACS SF V8 U 0
Owner: Contractor:
ALEXANDER,STEFAN DOMINIQUE ALEXANDER Required Items and Reports(Conditions)
POTTS,DIANA R 12643 SW 135TH AVE
12643 SW 135TH AVE TIGARD,OR 97223
TIGARD,OR 97223
PHONE: PHONE: 503-747-2143
FAX:
Total Fees: $346.83
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 • = ••• e ru adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. • • •tain a copy of the r,es or direct questions to OUNC by calling 503.232.1987 or 14 /800.332.2344.—Ie
Issued By: ermittee Signature: im ��'t (i/ -€ `'
Call 503.639.4175 by 7:00 a.m.for the next aval action 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
Residential �. l OR t>rl,< 1. 1 �l. t)\1 1
City of Tigard �:FINEDReceives
g Date/B : Mini61/ Permit No•. M;
13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReviewIII II
Phone: 503.718.2439 Fax: 503.598.1960 _ Date/13 : — / Other Permit:DC S
n R[) Inspection Line: 503.639.4175 FEB B 2 8 2018 Date ReadyByo: /� - Juris:
Internet: www.ti and-or. ov Notified/Method: -��r1 l S Page for
g g � "� Supplemental Information
CITY Ot TIGARD
TYPE OF " G DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
I New construction 0 Demolition Permit fees*are based on the value of the work performed.
0 Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
►Z� dwellingValuation: $7200
1-and 2-family ❑Commercial/industrial
®Accessory building 0 Multi-family Number of bedrooms: 0
❑Master builder 0 Other: Number of bathrooms: 0
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address:12643 Sw 135th Ave New dwelling area: 120 square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: 0 square feet
Suite/bldg./apt.no.: Project name:Shed Covered porch area: 0 square feet
Cross street/directions to job site:SW 135th ave Deck area: 0 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.: 2S104BD10100 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.
Valuation: $
Bild new shed in back of house Existing building area: square feet
New building area: square feet
►.� PROPERTY OWNER 0 TENANT Number of stories:
Name:Dominique Alexander Type of construction:
Address:12643 Sw 135th Ave.Tigard OR 97223 Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing:
Phone:(503)747-2143 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ryone LLC (Please referto fee schedrle)
Structural plan review fee(or deposit):
Contact name:Raul Onescu
FLS plan review fee(if applicable):
Address:2060 sw Himont ave
Total fees due upon application: 1/fL7$City/State/ZIP:Portland or 97225
Phone:(971)3229416 Fax::( )
Amount received:
E-mail:raulone28@yahoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:by owner 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: " 4/.1,71/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:taut onescu Date:2/212018 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
h
City of Tigard
III
DEVELOPMENT DEPARTMENT
114
T 1 c A a o Building Permit Review — Residential
Building Permit #: QST ii otk17
Site Address: -3 J�J 13S +ti lj O 1722 s
Project Name: Slid
Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A.f'r -4,\ ). Iv
Igi, erify site address/suite# exists and actio in permit system.
W
River Terrace Neighborhood: IINo ❑ Yes,See River Terrace Review Attached
Site Plan Elements:
ree(3)copies of site plan
-11
'sting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper `r ootprint of new structure(including decks)with finished
C_ /rawn to scale(standard architect or engineer scale) floor elevations
L,___ll,,//N orth arrow NI U;,;ty locations&easements(required for new and additions)
fJS e address,project or subdivision name and lot number e.idewalk/driveway approach
SFL pplicant information(name and phone number) l yL .. ation of wells/septic systems
•t dimensions and building setback dimensions
�■xisting trees to be retained with drip line,and tree
,!�I�,b/quare footage of buildings to be demolished protection measures
L�,o area,building coverage area,percentage of coverage and 'H:.treet tree size,type and location
(91' pervious area(applicable if R-7,R-12,R-25&R-40)
Street names Ci
roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes Ci�No
4 foot differential) If yes,is a storm water quality facility shown? DYjeep No
E Clean Water Services-Service Provider Letttee (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Ll7 No Received:
ig ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified "No Applied For:
A . /� pp CI Yes CI No,stop intake
1/Land Use Case#: k1'
11/Land
/Zoning: R_-1-
LJRequired Setbacks: Front 1 S Rear 'I SSide Street ' 1
� � Side Z� Garage 27. U
1 andscape Requirement: L.0 %
'L.,1,) of Coverage Maximum: G
U Building Height: ---3)D+r- ,3 Maximum Height IS' Actual
, 1
AN/Visual Clearance :t�'/ ),At --4 ,iLi ,}1 Seed( on Height
2_24-lr Sc
Di Sensitive Lands: Ci ,�/Yes Li/J No Type
0 Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: 0O6."..4 u c J ryilii act a., 7-2,I-1r afi,lr6,44- 14+ 6e,CiA L (".0 sL, itim ergs eL, )4- )741'5'
EL/Approved By Planning:
Date: 2-28-le
Revisions (after Building Submittal only) Reviewer
Revision 1: ❑ Approved CI Not Approved Date
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: , ;
Site Plans: #
Building Plans: # 3
Building Permit#: nter building��permit-:#above.
Workflow Routing: arming �,YEngineering t Coordinator Chu ding
Workflow Sign-off: ,,��, ��gi�-off for Planning(include notes from planning review)
Route Application Documents: LSE ineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
g.)34:titgig: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
L Date: /f/`�
By Permit Technician: �,�►
Engineering Review
Afr Slope at building pad:
Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I No
Assess Water Quantity Fee in-lieu: El Yes No
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering:
Date:
Notes:
El Approved by Engineering: 4 9 Date: .1-518
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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: CI Yes N/A
Tigard Trans SDC: CI Yes 'dill N/A
Parks SDC: El Yes Cal-N/A
LIDA ❑ Yes 111 N/A
OK to Issue Permit a � /
,/
Approved by Permit Coordinator:
RKEJte: J U
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12643 SW 135TH AVE, TIGARD, OR, 97223 March 27, 2018 at
10:31 :37 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00078
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Accessory structure ok per approved plans.
Structure not for living space, storage only.
Violation Summary:
Inspector Contractor