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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00172 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2018 f rt h.l) g Parcel: 2S104BC01200 Jurisdiction: Tigard Site address: 14504 SW FERN ST Subdivision: HILLSHIRE HOLLOW Lot: G Project: KAUFER Project Description: 441 sf pool house with storage. Trade permits to be pulled separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 441 sf Basement: sf Left: 5 Parking Spaces: Height: Bathrooms: 1 Second: sf Garage: sf Front: 15 Smoke Dwelling Units: 0 Third: sf Right: 5 Detectors: Total: 441 sf Value: $53,658.00 Rear: 15 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Drywell-Trench Drain: Other Fixtures: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add!500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: • 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-3 441 Owner: Contractor: KAUFER,GREGORY&VALERIE OWNER Required Items and Reports(Conditions) 14504 SW FERN ST GREGG AND VALARIE KAUFER PORTLAND,OR 97223 14504 SW FERN STREE TIGARD,OR 97223 PHONE: PHONE: 503-277-3828 FAX: Total Fees: $1,750.02 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 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 se forth in OAR 952-001-0010 through OAR 952-001-0090. You may btain a copy of the rules or direct questions to OUNC by ing 503.23 .1987 or 1.800.332.2344:. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection 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 FOR OFFICE; ISE o11.1 City of TigardReceived permit No.: I.I hi 1 I 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : �� /��/Ga / / 1-_,(4,7/7, Plan Review Q A ■ Phone: 503.718.2439 Fax: 503.598.1960 ,i ; .1 7tl l 1 Date/B : t - 1 ( et jai Other Permit: iori, .' 4 NI,E T I G A RD Inspection Line: 503.639.4175 Date Ready/By: Juris: Ea See Page 2 for Internet: www.tigard-or.gov r� Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. 5�� Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement Other: L equipment,materials,labor,overhead,and the pro t fwork indicated on this application. 5SCATEGORY OF CONSTRUCTIONl `�( ' ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ElOther: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: \L i=(C)t � 1'-Si1'Yl k- New dwelling area: square feet City/State/ZIP'�C` �rd 0`L`�-� 91 ZZ3 Garage/carport area: square feet Suite/bldg./apt.no.: lv Project name: QCs Covered porch area: square feet Cross street/directions 7toojjob site: �)t �/� �' Deck area: 1 5‘4:1 square feet ( /kV.1�(� f°X 01 ,7E- L _ Other structure area: �11 f1/ square feet pe'-a(.(__T-ye 5 0 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 DESCRIPTION OF Wim. work indicated on this application. `�� "� ,� Valuation: $ �'�� r•r°!�t Existing building area: square feet I T kr 7441,6 Srft-�� /�- New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: &r .£4,.A,\ xC^ Type of construction: Address: f/t.J L vl (�� JAN f . -1.J 5/J . Occupancy groups: City/State/ZIP: z i . jp1,,�A/ L)C ry 1 },13 Existing: Phone:(J�r"'G`'3) 9 i 1 -1 - L% 1�12j Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: 11111624_ .6v,n \-kt"\ FLS plan review fee(if applicable): Address: ---7 co\ cl, City/State/ZIP: c — Total fees due upon application: Phone:( Amount received: Lz-t - 'SFS a$"' _ ( ) r -- i3 sctSt PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: ex-"c1.>`\ e -c t ev.ci a CONTRACTOR (g-v-. j.„, ,,\ .cc YY XJ Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: 524) 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 and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due uporrapplication: $201.60 Authorized Signa -4re� This permit application expires if a permit is not obtained ' :Pi within 180 days after it has been accepted as complete. Print name: + L Date: //� / {-� *Fee methodology set by Tri-County Building Industry0. C '( , Service Board. Tit-I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling roll orrlcl: use oyL.v City of Tigard Date/BReceived Permit No.: 13125 SW Hall Blvd.,Ti ard,OR 97223 Associated Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TI G A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No ,/`s. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • 0 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 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ 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- ❑ ❑ ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 ❑ ❑ ❑ architect licensed in Ore•on and shall be shown to be a..licable 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 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 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 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, ❑ ❑ ❑ 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, ❑ ❑ ❑ 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-RESPcimitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Clean Water Services File Number CleanWater Services 18-002038 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): 2S104BC01200 Name: Greg and Valerie Kaufer Company: Address: 14504 SW Fern Street Site Address: 14504 SW Fern Street City, State,Zip: Tigard,Oregon,97223 City, State,Zip: Tigard,Oregon,97223 Phone/Fax: 5033133958 Nearest Cross Street: SW Ascension E-Mail: twsmithcorp@gmail.com 4. Development Activity (check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Troy Smith for Greg and Valerie Kaufer ❑ Lot Line Adjustment ❑ Minor Land Partition Company: ❑ Residential Condominium ❑ Commercial Condominium Address: 14504 SW Fern Street ❑ Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial LiMulti Lot Commercial City, State,Zip: Tigard,Oregon,97223 Other Phone/Fax: 5033133958 We are building a small storage building E-Mail: twsmithcorp@gmail.com 6. Will the project involve any off-site work? ❑Yes j No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project word part of an already underway outdoor living addition project already being inspected by CWS with no issues 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 Troy Smith for Greg and Valerie Kaufer Print/Type Title Owners Representative ONLINE SUBMITTAL Date 7/2/2018 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. XBased 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. Reviewed by � _ Date 7/2/18 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: Sal 3----a)/(7,., Site Address: ly SOI \Ai Fun 54. Project Name: cl,,,.c,- 1v1 I c/A 4 Uv,;)- Lot #: (New dwelling=subdivision name;Audition or Alteration=last name of owner) Planning Review l f � II II Proposal: y II 1I St R. Q.C( Siry S'`rj(Nr- Ukc k D eat,' koJg t Artfi latA . 4/erify site address/suite# exists and active permit system. EV River Terrace Neighborhood: Lg No ❑ Yes,See River Terrace Review Addendum Attached SitIPlan Elements: • ee(3) copies of site plan l► existing structures on site iri r4 • e plan must be on 8-1/2"x 11"or 11 x 17"paper I ootprint of new structure(including decks)with finished / L2 r. .wn to scale(standard architect or engineer scale) P fl,or elevations V I!► orth arrow L 1 tility locations&easements(required for new and additions) / JE e address,project or subdivision name and lot number 74.•ewalk/driveway approach V V. •plicant information(name and phone number) 'nom) .cation of wells/septic systems — • 14.1I . VA of dimensions and building setback dimensions V xisting trees to be retained with drip line,and tree axe footage of buildings to be demolished .rotection measures Platof area,building coverage area,percentage of coverage and 9�9.tr-et tree size,type and location .. N.A , J / - pervious area(applicable if R-7,R-12,R-25&R-40) Greet names roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes 4 .ot differential) If yes,is a storm water quality facility shown? ❑Yes No J Clean Water Se ces—Service Provider Letter(lot platted prior to 9/10/1995): Zeqbuirlied: es,applicant was notified ❑ No Received: ❑ Yes No c Facilities Improvement(PFI)Permit wired: ❑ Yes,applicant was notified Fi No Applied For: El Yes ❑ No,stop intake L�1 nd Use Case#: [124612/end Sd Zoning: l` 0/Required Setbacks: Front I S Rear I S Side 5 Street Side VA- Garage 20 Ai Landscape Requirement: 2,e) 0/0 �: .t Coverage Maximum: 0 % ®G:wilding Height: Maximum Height I Actual Height 1,1' to f Visual Clearance L4 ,� 1'Sensitive Lands: Yes ❑ No Type �7Q�1 S S�„��•-�J- H,,Gi1'I „ ,. I -yrban Forestry Plan [iX Con p s "Met”prior to issuance of building permit ( (� Notes: ek ^ f („� �ppin�1)- 1'Rwf M�Ap6t Of" �(C6i017.( 4k �11frc ('Got' USI M_C lS cF r Approved By Planning: Date: 6-191 f b) Revisionsg Submittal after Buildin ( tta only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPernutRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: (if`-(7/� Site Plans: # Building Plans: # Building Permit#: FIP. nter building permit#above. Workflow Routing: Pr lanning D7Engineering ermit Coordinator Building Workflow Sign-off: R. 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. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �' Date: ��7��zi Engineering Review 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 No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: .1- ....0Date: ______ 0451-- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved Cl-Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review t4I ;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: X.SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes 12r-4\l/A OK to Issue Permit Approved by Permit Coordinator: -Aly)v) OevatA' Date: CQ I2,0\16 I:\Building\Forms\BldgPermitRvw_RES 061417.docx 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 _ ~ Transmittal Letter r i,;\k t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 671\frk3 DATEt � �DEPT: BUILDISION _ NOV 1 3 2018 FROM: ,Arts Ks � • COMPANY: v,Cs.-l - v ING 1 '`'; PHONE: Spa RE: Lk+ Svc�-F-• � '- ( 7/ 0l ` Site Ad s) (Permit .umber (Project name or subdivision name and lot number) �Ay vl ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copie• Description: Additional set(s) of plans. Revisions: Cross section(s) and details. ,Jlr j Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): lr ) "A-$r <t REMARKS: IA..)ak-t 1 - �-� tr.� t`�►1 C\LIO' - -11^e\ '" I CIAZ- FO OF ICE USE ONLY Routed to P echnici,, : Date: `t ‘kte 1 ` Initials: IV-- Fees Due: Yes No Fee Desc ption: Amount Due: 60 /=, L- 7Af1 6'1-,v -Ld $ 7/ $ $ Special Instruct'', s: R-$ : t Permit(per PE): [] Yes No E Done Applicant Notified: 7,e," Date: id/Gib) Initials: 1 f - I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 14504 SW FERN ST, TIGARD, OR, 97223 March 29, 2019 at 7:54:46 AM Record Type: Record ID: Residential - Master Permit MST2018-00172 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor