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Permit CITY OF TIGARD MASTER PERMIT IIIs '. COMMUNITY DEVELOPMENT Permit#: MST2018-00149 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2018 TIC;;1 I.D Parcel: 2S103CB00100 Jurisdiction: Tigard Site address: 13035 SW 121ST AVE Subdivision: WILLAMETTE Lot: 1 Project: Lancaster Project Description: 240 SF shop. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 9 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $10,821.60 Rear: 5 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 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 Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 0 Owner: Contractor: LANCASTER,MICHAEL TRAVIS&PATR Required Items and Reports(Conditions) 13035 SW 121ST AVE TIGARD,OR 97223 PHONE: 971-322-6730 PHONE: FAX: Total Fees: $484.15 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty ' ,des an• 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 i •: Building Permit Application R'edential }� A fro--,, FOR OI'GICCUSE O\Ll e Received / _ City of Tigard Date/By: J) / / 4 Permit / 17'7 13125 SW Hall Blvd.,Tigard,OR 97223 "S��01 5 �� ` 7 �r� (3 Plan Review Phone: 503.718.2439 Fax: 503.598.7'Ati'`(� 2; Z l IO DateBy: �� y / '111 Other Permit: _ T I GARD Inspection Line: 503.639.4175 Date Ready/By. Juris: Bl See Page 2 for Internet wwwtigard or.gov [r°°��`; • -) • tified/Method: _(�/', 1 Supplemental Information /, T]tF a1 " �` i 1 I i,. irr1I .. t l v)lll s NAll New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit fosthR --, �. ` O Y , ' lA % M work indicated on this application. i $� 00 t -and 2-family dwelling 0 Commercial/industrial Valuation: = ' [Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB 1 $ Tit � I/ no : Total number of floors: 1 Job site address: 13035 SW 121st Ave New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Lancaster Shed Covered porch area: square feet Cross street/directions to job site: Deck area: square feet SW Fonner St Other structure area: 246 square feet &110(ii4r_ ,ar CA/Ceitc LC 4/ itC/clef/0/. C-07,1 ,,,:):t.z..!„:4 •,,,,z,.4401,,,iiv.,e,,,,,;,...:.:11:::::,,,, i,c.-i..24:::,.,&.j,,,,,,,.:.:.., 1,titifirt Subdivision: Derry Dell neighborhood Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: 2S103CB00100 equipment,materials,labor,overhead,and the profit for the fi \\ ✓ / ' . , ' ', IU work indicated on this application. 1 X 2,© S 1 1-''p L � (A �p be, ccJ SValuation: $ � Existing building area: square feet New building area: square feet \ ,,, PizoP % Number of stories: Name: Michael Lancaster Type of construction: Address: 13035 SW 121st Ave Occupancy groups: City/State/ZIP: Tigard,OR 97223 Existing: Phone:( 971 ) 322-6730 Fax:( ) New: ,,yam , W �,: APPLT14 *. \� CONT1. ! \ `, 1 1 /,'t/,nT''-''4',,-'4„..0.,',r%•4„0/'et, Business name: Structural plan review fee(or deposit): Contact name: Nick Lancaster FLS plan review fee(if applicable): Address: 13035 SW 121st Ave Total fees due upon application: City/State/ZIP: Tigard,OR 97223 Amount received: Phone:( 971) 322-6730 Fax::( ) E-mail: nicklancast@lancastercustom.com P-;'-1/4-4/,.7P/5'4 i.Af Lr , , .��,.a • ,frCommercial and residential prescriptive installation of „„,,,, „,,, -, ,,,,,; ,, "y, y�,;,,. - ' j �� �., ' roof-top mounted Photovoltaic Solar Panel System. Business name: Tuff Shed Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 6500 NE Halsey St, Ste.A Solar Installation Specially Code checklist. City/State/ZIP: Portland, OR 97213 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503 ) 288-8833 Fax:( 971 ) 254-3941 State surcharge(12%of permit fee): $21.60 CCB lic.: 105914 -�.^^ �/'���p Total fee due upon application: $201.60 Authorized signature:1:24 r 1V1.J1 V This permit application expires if a permit is not obtained JJII within 180 days after it has been accepted as complete. Print name: Rhiannon Moore Date: 5/22/2018 *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) .w Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE I.SE ONLY City of Tigard ReceivedDate/By: Permit No.: 14 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TIG ARD Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ''es No NIA 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: ❑ 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 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 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 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 LI 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 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 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.alicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 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 0 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 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED 7-4s-r:2v/ 00/477 JUN 1 4 ?_018 Clean Water Services File Number CITY OF TIGARD CleanWater Services 18-001856 BUILDING fliVlSI nsitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): 2S103CB00100 Name: Nick Lancaster Company: Address: 13035 SW 121st AVE Site Address: 13035 SW 121st AVE City, State,Zip: Tigard,OR,97223 City, State,Zip: Tigard,OR,97223 Phone/Fax: 9713226730 Nearest Cross Street: Former ST E-Mail: nicklancast@lancastercustom.com 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Nick Lancaster ❑ Lot Line Adjustment ❑ Minor Land Partition Company: ❑ Residential Condominium ❑ Commercial Condominium Address: 13035 SW 121st AVE ❑ Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial ❑ Multi Lot Commercial City,State,Zip: Tigard,OR,97223 Other Phone/Fax: 9713226730 12x20 foot shed installation in middle of lot. E-Mail: nicklancast@lancastercustom.com 6. Will the project involve any off-site work? ❑Yes Xi No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project no known sensitive area anywhere within 200 feet of our property. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name Nick Lancaster Print/Type Title ONLINE SUBMITTAL Date 6/12/2018 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 17-05, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. t Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. �' 6/14/18 Reviewed by6,„;:;;,', Date ..�•� �� �-- :�.� �-_� 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT 1 T l c A R o Building Permit Review — Residential Building Permit #: , ç7 /3--(v1 q' Site Address: /ga.:',S--. 77.0 /2/c72-- ,i4 Project Name: ,,arced r- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review n J Proposal: IU-60 1v —,.���1p -P- 4-4--- �CC�Scd,f' X12(rAi --c 7 VJ Veri site address/suite# exists and actio inpermit system. �' � Y 1 River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached gSi Plan Elements: J ree(3)copies of site plan E ' ting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper p,.otprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations gi?orth arrow IIA1 utility locations&easements(required for new and additions) f,_,j�to address,project or subdivision name and lot number VA Sidewalk/driveway approach VJ pplicant information(name and phone number) II ►A cation of wells/septic systems U Lot dimensions and building setback dimensions 'e'.'sting trees to be retained with drip line,and tree Nuare footage of buildings to be demolished ro ection measures ',t area,building coverage area,percentage of coverage and ,,2 eet tree size,type and location im.ervious area(applicable if R-7,R-12,R-25&R-40) Street names 0At operty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replace ? ❑Yes/No foot differential) If yes,is a storm water quality facility shown. KOYes ❑No ❑ Clean Water if —Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: ❑ Yes No Oublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified �No Applied For: ❑ Yes ❑ No,stop intake IN and Use Case#: A oning: E- T Required Setbacks: Front ���( Rear Side g- Street Side W ,/ Garage r�1I andscape Requirement: % 'IV k of Coverage Maximum: % Ir Building Height: Maximum Height /C- Actual Height \Visual Clearance Ill k ensitive Lands: ❑ Yes ❑ No Type IP.1/ rban Forestry Plan onditions "Met"prior to issuance of building permit Notes: ❑ Approved By Planning: -- - 7Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 061417.docx Building Permit Submittal Original Submittal Date: S ZAeLlir Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: lanning l ngineering s ®"i'ermit Coordinator /�Building Workflow Sign-off: 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 original plan review routing form. P.Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: AL.v _4�j, .AIAZA.d4i Date: i Engineering Review Slope at building pad: 4 ❑ 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 No Assess Water Quantity Fee in-lieu: ❑ Yes .IEEI No LIDA Facility on lot: ❑ Yes E`No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ,12- Approved by Engineering: ivt(v y.- !.v , Date: Revisions (after Building Submittal only) Reviewer ate Revision 1: ❑ Approved ❑ Not Approved 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: 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 a- /A Tigard Trans SDC: ❑ Yes `b N/A Parks SDC: El Yes V_ N/A LIDA ❑ Yes Ii N/A .9OK to Issue PermitAr 1/ Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES 010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13035 SW 121ST AVE, TIGARD, OR, 97223 August 10, 2018 at 12:00:18 PM Record Type: Record ID: Residential - Master Permit MST2018-00149 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide (4) required earth anchors at four corners per approved plans. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13035 SW 121ST AVE, TIGARD, OR, 97223 August 21 , 2018 at 11 :53:51 AM Record Type: Record ID: Residential - Master Permit MST2018-00149 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Correction complete, earth anchors installed. Violation Summary: Inspector Contractor