Permit CITY OF TIGARD MASTER PERMIT
' 2,:- COMMUNITY DEVELOPMENT Permit#: MST2018-00201
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2018
[GARParcel: 1 S136CA01200
Jurisdiction: Tigard
Site address: 11280 SW 78TH AVE
Subdivision: None Lot: None
Project: FOLEY
Project Description: New 1,166 sq. ft.two-story addition to existing one-story house. New addition will include a 375
sq.ft.two-car garage, new master bedroom with master bathroom, and a new bedroom and bar
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 2 First: 351 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 21.5 Bathrooms: 2 Second: 815 sf Garage: 375 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: Yes
Total: 1166 sf Value: $156,037.70 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 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:
ALT SF VB R-3 1166
Owner: Contractor:
FOLEY,GREG P TRUE BREAD PROPERTIES Required Items and Reports(Conditions)
11280 SW 78TH AVE 1425 NE COCHRAN DRIVE 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 GRESHAM,OR 97030
PHONE: PHONE: 503-481-2597
FAX:
Total Fees: $4,535.35
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will ,- ore i " • •s not started within 180 d hys of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the - -s adopted the Oregon Utility otificati• Center. '.-A6.
hose rules are set forth in OAR
952-001-0010 through OAR 2-001-0090. Yo -y o•ain a •• •f the rues• -• - • .- tions to OUNC by ca 'n• 56. .'3'. '. .1.. . 34-.
,Y
Issued By: -- • Permittee Signature: ar,
all 50.' .y 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
ResidentialEl l OFF OI l l('F l SI.O\l,\
City of Tigard ''UL 1 0 201$ De`ed ' ' PermitNo.:
Date/By: 7 (� �' _ ��j�t:1�'''r �?e:3!
lig 41 13125 SW Hall Blvd.,Tigard,OR 972)3 Plan Review
• '1 ,•LCI 1 Other Permit:
' Phone: 503.718.2439 Fax: 503.$98 ° =�79p t t Date/By: fv
Inspection Line: 503.639.4175 a Date Ready/By: Juris_ la See Page 2 for
T t i..A K Il p g g BU I .p) ° � : t - Notified/Method: Gilt / 'T. Supplemental Information
Internet: www.ti and-or. ov /
TYPE OF WORK REQUIRED DATA:1-AM)2-FAMILY DWELLING
0 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 for the
CATEGORY OF CONSTRUCTION work indicated on this application. l��, 0 37
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: „,$135;Obe:01r-
0 Accessory building 0 Multi-family Number of bedrooms:/4"<'2__
❑Master builder 0 Other: Number of bathrooms: fi/
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 '5-44
Job site address:11280 SW 78Th AVE. New dwelling area: 1166 square feet 1=P
City/State/ZIP: TIGARD OR 97223 Garage/carport area: 375 square feet g(S
Suite/bldg./apt.no.: Project name:GREG&MELISSA FOLEY Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:W263591 I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S136CA01200 ,�, Indicate the value(rounded to the nearest dollar)of all
ALL 7f / 9 �,N �-equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK *-44 r7' vork indicated on this application.
new two story addtion to existing one story house, new addition will include Valuation: $
2 car garage,new master bedroom with master bath,and new bar area and bedroom Existing building area: square feet
above. new living area 1166'sq ft area and garage 375'sq ft New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:GREG AND MELISSA FOLEY Type of construction:
Address:11280 SW 78"'AVE. Occupancy groups:
City/State/ZIP:TIGARD OR 97223 Existing:
Phone:(503) Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:SIMPL HOME DESIGNS (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:MIKE MONTGOMERY
FLS plan review fee(if applicable):
Address:4931 SW 76TH AVE.,PMB 211 �Y
Total fees due upon application:`1 g
City/State/ZIP:PORTLAND OR 97225
Amount received:
Phone:(503)515-6495 Fax::(503)719-4825
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:mikem@ezpermits.biz
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TRUE BREAD PROPERTIES,INC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1425 NE COCHRAN DRIVE Solar Installation Specialty Code checklist.
City/State/ZIP:GRESHAM OR 97030-4419 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)481-2597 Fax:(5023) State surcharge(12%of permit fee): $21.60
CCB lic.: 190528 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:MIKE MONTGO RY Date:0707/18 *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)
4
City of Tigard
p COMMUNITY DEVELOPMENT DEPARTMENT
1
T I G A R D Building Permit Review — Residential
Building Permit #: "Sradtf(5 I
Site Address: il2go ,S1,,J Ave.
Project Name: NIL •4c,1 t ke' Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review Ij �rr }}
Proposal: t� S17 a ill in if ale S}er7 house tJe4,.i d c .\ L,(11 l„c;Lk Z Cay- L
,�,_,// 1 ara JLC►leu rha,,�ir� Wrbdr� 1, r V+r b f v/ b f a � oAk oN, AIM, kkw I arts. i 16 4-
[U" erify site address/suite#exists and active)permit system. .lark iS.k-O,
C17 River Terrace Neighborhood: Ly' No ❑ Yes,See River Terrace Review Addendum Attached
Sit- Plan Elements:
L , ee(3)copies of site plan I! xisting structures on site
04..te plan must be on 8-1/2"x 11"or 11 x 17"paper re ootprint of new structure(including decks)with finished
611/rawn to scale(standard architect or engineer scale) i s or elevations
I! orth arrow L!I_ ' 'ty locations&easements(required for new and additions)
4i- address,project or subdivision name and lot number idewalk/driveway approach
roSs'lbtt plicant information(name and phone number) /I' • ation of wells/septic systems
t ci,-e, : dimensions and building setback dimensions ': xisting trees to be retained with drip line,and tree
16 quare footage of buildings to be demolished p tection measures
of area,building coverage area,percentage of coverage andet tree size,type and location
84impervious area(applicable if R-7,R-12,R-25&R-40) treet names
S y roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? es o
4 f of differential) If yes,is a storm water quality facility shown? ❑Ye ❑ o
Clean Wate�r S ices-Service Provider Letter(lot platted prior to 9/10/1995):
/Required: IJ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
Ig Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified Ig No Applied For: ❑ Yes ❑ No,stop intake
1"' and Use Case#:
L' Zoning: k—Ll-S
l►_! Required Setbacks: Front 2,6 Rear ' K Side S Street Side -- Garage 2
40
B/ ndscape Requirement:
e of Coverage Maximum: + 0/0
11Q Building Height: Maximum Height 30 Actual Height 2.1.3
h1i -sual Clearance
I Sensitive Lands: ❑ Yes ET No Type
I.td Urban Forestry Plan
.Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: ` 'f... Date: 4 ci
Revisions (after Building Submitt 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
1
Building Permit Submittal
Original Submittal Date: 7/to/t i
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: - lingneeringrmit Coordinator LS—hiding
Workflow Sign-off: CIgn-off for Planning(include notes from planning review)
Route Application Documents: 4g'tngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
LLB'uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: -7/1,x/1
tri
Engineering Review
[ "Slope at building pad: 6 4
D
(Eonditions "Met"prior to issuance of building permit
E
Easements (encroachments) per engineering conditions of approval and plat e /f p f Sem �!�liy
1:1 Water Quality/Quantity Facility: /
Assess Water Quality Fee in-lieu: ❑ Yes It/No
Assess Water Quantity Fee in-lieu: ❑ Yes [12/
No
LIDA Facility on lot: ❑ Yes Q2Y No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: 7//g4ef
Revisions (after Building Submittal only) Reviewer Date
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:
Fees Entered: Wash Co Trans Dev Tax: ❑ Yes SIZ,N/A
Tigard Trans SDC: ❑ Yes JI;1 N/A
Parks SDC: ❑ Yes 5g N/A
LIDA ❑ Yes T N/A
OK to Issue Permit
Approved by Permit Coordinator: /( t Date: 1 ril/
I:\Building\Forms\BldgPermitRvwRES 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
TI( n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: AU-V. 04( , 77O//Q DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUL 302018
FROM: //<& / eN/ /'��/G'`,ey 1 CITY OF TIGA D
COMPANY: //7I`/''C /47''76- /04'. /C7/1/ 3 B U I L I S I
ON
By:� U�C6�
PHONE:
RE: // /7g-7-4 �r zo/k aj z
(Site Address) (Permit Number)
(966("V
(Project name or/
subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. V Revisions: /7/6-0/
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FO7 OF 'ICE USE ONLY
Routed to Perm' a hnician: Date: —7 I^9) Initials: /414-
Fees Due: ❑No Fee Descriptio : Amount Due:
Co
Z e)an rc v/'4_.r,J $ L(S °�
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes o ❑ Done
Applicant Notified: Date: "7/3/ /1F Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
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
_114 Transmittal Letter ette -
r i,,Ez-n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov/
TO: � DAT
ItCE i 0
DEPT: BUILDING
F % 12 2019
FROM: 177// e- /11;2/10—.674)/7 OF TIGARD
ILDING DIVISION
COMPANY: �i',7`/7ez-- /''77Lr'5 , 76 /�J/y
--- By: �,`�.
PHONE: ?j - 9
RE: , ./1,4/�Z 7 Pt4 l( t' �Q 'ir- d b�U/
(Site Address) (Permit Number)
- r / 0 �� I
Gy
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING IT
Copies: Description: 1 Copies; Description:
J
Additional set(s) of plans. ' I Revisions:
Cross section(s) and det.'1s.` \\ Wall bracing and/or lateral analysis.
gi
Floor/roof framing. `" � Basement and retaining walls.
Beam calculations. ' ulations.
Other(exp am :
REMARKS: �� �/// ,/‘/_ 0 Lah/e._ I It L t /E--
Ee44iV
i
/ FO OF ICE USE ONLY
Routed to Permi i-'chnician: Date: ' IZ 1 `l Initials:
Fees Due: ❑No Fee Desc 'pti amount Due:
s 0/
Y-2_.
.c.r\ rLJ� Lt.--JV:111$
4 S.
Speci
Ins P ctions: -
Reprint Permit(per PE): ❑ Yes KNo ❑ Done ii
Applicant Notified: Date: ((,), , , Initials:
Notified?-
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc