Loading...
Permit (17) CITY OF TIGARD MASTER PERMIT II ' ' COMMUNITY DEVELOPMENT Permit#: MST2019-00181 Date Issued: 05/28/2019 T I i,;1 R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB05800 Jurisdiction: Tigard Site address: 15364 SW SEINE DR Subdivision: POLYGON AT BULL MOUNTAIN Lot: 56 Project: Warren Project Description: Increasing size of deck by 408 sf. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $9,751.20 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 Ecompasing: N Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: WARREN,CHRISTOPHER A&EMILY JL STANLEY DEWAYNE MOORE Required Items and Reports(Conditions) 15364 SW SEINE DR 6107 SW MURRAY BLVD#263 TIGARD,OR 97224 BEAVERTON,OR 97008 PHONE: 813-465-0005 PHONE: 503-522-0047 FAX: Total Fees: $512.56 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 • to follow the rules adopted by the Oregon Utility Notifi tion Center. Those rules are set forth in OAR 952-001-0010 through•'- 952-001-009 r Yo/ ay obtain a i.y of the rule•, direct questions to OUNC by callin .232.198 r 1.800.332.2344. i' til.....------_______._>c. Issued By: /, .d AS, i t ///AA- 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 plana are regUireA on Bre job Me attire time of each Inspvctkm. Building Permit Ap: !cation Residential _ > 1012 OFFIC1l til:0\1 City of Tigard / Received r""— ] ��/�i/ ' T ?3 �� + , a ,7 �!/� (.,,l O r 7 1 ;7 Date/By: I 11 III 13125 SW Hall Blvd.,Tigard,OR 9722' " Plan Review S/1 j r I/� J Other Permit: C. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I 1 G A R ill Inspection Line: 503.639.4175 I,-to Ready/By. Juris: H See Page 2 for Internet: www.tigard-or.gov `' , - --, , -.• �•tified/Me.Yl/ I Supplemental Information /////i" �, TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction ❑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 ®Other: i�G:k equipment,materials,labor,overhead,aj thprofit for the CATEGORY"OF CONSTRUCTION work indicated on this application. l/ 53'1-and 2-family dwelling 0 Commercial/industrial Valuation: $ Number of bedrooms: ❑Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15 364 5 i1J ,S.e-1/1 t. Dr. New dwelling area: square feet City/State/ZIP: 71 ihrd i o 2 61-12231- Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Jt re.") Covered porch area: square feet Cross street/directions to job site: i 5f (3u1/m f fl, Deck area: (fcii, square feet ;, ✓ . L / I ! T Other structure area: square feet i f•1 of- iz) t s s tt oil r . REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. r cre-asGr- 5-17-e- vi- deck 6yc'FJ Valuation: $ /0/ 'Z yQ, 00 Existing building area: square feet New building area: square feet IZI PROPERTY OWNER ❑ TENANT Number of stories: Name: ( j. r 1 s i,4 an t'('.t;n Type of construction: Address: 153(cid S t,,.l Si-i n E, Dr. Occupancy groups: City/State/ZIP: T , 0 12,_ rii•ZZ'I Existing: Phone:($l3 ) q-55 0QO 5 Fax:( ) New: IZ APPLICANT DI CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee Business name: 6-fan M Q rAt- (,trls}TIA.c.-�t 0,1 :le} Structural plan review fee(or deposit): Contact name: s,1 M,vorR, FLS plan review fee(if applicable): Address: ,pptc 7 $Ini in.r relle F IV d - # 2-4,3 City/State/ZIP: 0 Total fees due upon application: Ci ty : Bad2r�•onr 02 ell Amount received: Phone:(5s 522,—00 4 7 Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM.FEES* S1- MOUr'�d-e-C.k-S. 4-pr� Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: n (N�p(� ((NIS 411.41-11111/� Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: tit 01 31,A) mu f(-p,. ib\Vd , 2403 Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP: q�{Q,r-IQ t)t 0Q �'1 CO and administrative fees): Phone:(503)5-2_2_-004-7 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: t O' 2 Lif. �(f /)./ Total fee due upon application: $201.60 Authorized signature: IA .�� This permit application expires if a permit is not obtained "//( within 180 days after it has been accepted as complete. * „ hi_.i 1.,.4 set b Tri-County Building Industry Print name: . h r, • a a e: — — • Service Board. -- - I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Clean Water Services File Number CleanWater Services 19-001614 RECEIVED Sensitive Area Pre-Screening Site Assessment MAY 2 8 201c, 1. Jurisdiction: Tigard CITY nF TIGAFC 2. Property Information(example 1S234AB01400) 3. Owner Information BUILDING DIVISION Tax lot ID(s): 2S108DB05800 Name: Chris Warren Company: Address: 15364 SW Seine Dr. Site Address: 15364 SE Seine Dr. City,State,Zip: Tigard,OR,97224 City,State,Zip: Tigard,OR,97224 Phone/Fax: Nearest Cross Street: 150th E-Mail: 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Stan Moore U Lot Line Adjustment ❑ Minor Land PartitionCom an _ Stan Moore Construction ❑ Residential Condominiump y U Commercial Condominium Address: 6107 SW Murray Blvd.263 ❑ Residential Subdivision ❑ Commercial Subdivision Li Single Lot Commercial 1:1 Multi Lot Commercial City,State,Zip: Beaverton,OR,97008 Other Phone/Fax: 503-522-0047 Increasing size of existing deck from 16ft to 35ft E-Mail: stan@mooredecks.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 Please let me know if there is anything else needed.The permit is ready,but they need a service prover letter first. 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 Stan Moore Print/Type Title Owner ONLINE SUBMITTAL Date 5/16/2019 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. ❑ 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. X 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 IS R MIRED. SEE POLYGON AT BULL MOUNTAIN PLAT Reviewed by Date 5/23/19 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone.(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org I +CA$ i/vty"CZ TI :�. ZM IS -6 "5W Srlidr 19Y 1 ir.:..._ \\ LEGEND: I R- r_-,j •4 //��� —ss— SANITARY SEWER Pacific'� `� r . -SD--- STORM DRAIN00 I Cnitl113ti1;i!) , DesiLsil —W— WATER LINE �2`ssasw an,.t ' O • MANHOLE m Q°Syy°R91223 a r+ea IPi �I� _.,.;___7,_ 64.!w ■ CATCH BASIN DAM v,um '441 + STREET LIGHT REVISIONS ���` a5p'449.5 J!�IN--1114‘°7';175::::,,r f 47.13• e_.1:$2' .y3 STRAW WATTLE PERIMETER ° w1 EezcarstoH , t t 2 Zit 4 J1; 1 ' 4 i`C I c�oc;o EROSION CONTROL ORM /I �A 1 _.__. ._ ____ R r.6 r Ne. ,� ( �c 1���'' 39,21' d / l PUE --_— _ J SETBACK SUMMARY FEB 2 9 016 ED \1Iiii[iiimIIII t �_ _ 2 r ,9 I �,� FRONT SETBACK: 2ff tAL.CIT �N'T , N.:10.„.1,// ,►, r n --__ 1 SIDE SETBACK: 5' t•►'►�..1_ v STREET SIDE SETBACK: 15' PLANT(4)STREET ,'t ,'i I 8• • REAR SETBACK: 15' TREE:2"CAL r./; I ;i! i 5.00 RAYWOOD ASH/ „� �I t I ti 55 FRAXINUS OXYCARPA , 56 t RAYWOOD 1 7.039 sF ; i1 �20.00' 8 t ',t I 1 BUILDING:SAR-DL ;�L�i% y1111111\ iFF= 9.61 'i i.,ri.Ar �' • — LOT COVERAGE: �� ��'� /,•�� 'r; � l_ �� -�� LOTAREa: 7,039 SF POLYGON AT o < i \ --IN riTilt� 311111116–'''''- BUILDING FOOTPRINT: 1,814 SF BULL B 111 ii...e� �� f- b.�' COVERED PORCH: sz SF MOUNTAIN 1-1,,e a 1; 22.79 20.00 t PL)iT / –— — — StC11WALK CANTILEVER LIVING SPACE 257 SF �, 457E 1111 ��lb, Jr- /�' / DECK AREA 276 SF ✓.L������r Six'. �N_A4P ,I l / / 2,399 SF / TOTAL CAVERAGE: • ;(ys ___I v' 8;fedr-AF i Ark,, LOT 56 34.1 % PLOTLAN cn NW WATER W t EN / II M M ' M N M R M IMPERVIOUS AREA 2,705 SF M ir`�. STORM LATERAL_ ,ANN PLANT(2)STREET to SANITARY LATERAL 50 TREE:N2CAL • SW SEINE DRIVE TREE/ SZI KOELREUTERIA OP. sS —o ss ss PANICULATA –ss s ,.ss x / -- 1 VI///CV/ _ CITY OF TIGARD POLYGON NORTHWEST (503) 221-1920 Approved by Pian Ing PROJECT Kkt 39$4139$4139$41312S1 W8 Date: c 2/29% _ �: °�°'." LOT 56 (R-4.5, LARGE) Initials: / g 1 i i 6 i ii i � POLYGON AT BULL MOUNTAIN 1 INCH•20 FEET )5 36 / le= SW SEINE DR II i City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 c A R D Building Permit Review — Residential Building Permit #: /f57-d-(,>/ — cot fl Site Address: 1 536L1 S V seine Dr. Project Name: 1N011•YeA l 0eck._ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Ni e w C)EaC k /1 Verify address/suite# active in Accela. I In River Terrace: No ❑ Yes,River Terrace Review Addendum Site Plan Elements: r J2Erosion Control /3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Bitetaitred'trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FEL 1Aorth arrow ; Utility locations&easements(required for new and additions) /Site address,project or subdivision name and lot number Sidewalk/driveway approach 1p`Applicant information(name and phone number) ❑Location of wells/septic systems /Lot dimensions and building setback dimensions /Street tree size,type and location /Square footage of buildings to be demolished .Ii Street names Existing structures on site ,Z1Corner elevations(2'contours if more than 4'differential) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes ❑N o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ) Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: 1\1//:\ Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: l"'!`I1 SO( I S r 0 ©(3GZ p Zoning:f-4 S • Required Setbacks: Front: 2-4...7 Rear: 1 5 Side: 5 Street Side: 1 5 Garage: -2_,C) • Building Height: Max.Height: 'Jo Actual Height: IV/A Landscape Area: N`/A % ❑ Lot Coverage Max: N f A Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: //�� 1=1 Door extends no more than 5'from wall and there is a covered porch extending beyond garage. wt iv /I\ ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. v e ❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony -visual Clearance Urban Forestry Plan -.0-Sensitive Lands: ❑ Yes Afi No Type: -e-'conditions met prior to issuance of building permit Notes: Approved By Planning: (I O^ L .`•----= Date: 5/47/i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPern itRvw_RES 022819.docx ..........._. it Building Permit Submittal Original Submittal Date: c-17, Site Plans: # _ Building Plans: # Building Permit#: Enter building1ermit#above. Workflow Routing: Planning I Engineering 2'Permit CoordinatorBuilding Workflow Sign-off: `iiCE Sign-off for Planning(include notes from planning review) / Route Application Documents: 9--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: .L .A. Date: />//,‘ Engineering Review KI Slope at building pad: 4 ) `Conditions "Met"prior to issuance of building permit N/A Zr Easements (encroachments)per engineering conditions of approval and plat Z Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Z'No Assess Water Quantity Fee in-lieu: ❑ Yes IZ No LIDA Facility on lot: ❑ Yes B"No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: [Approved by Engineering: 6.4,1, 7 ' 4.;tst Date: S • 13• 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 (\Jt .Conditions "Met"prior to issuan rmit ❑ 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: . (SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 1 N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A JOK to Issue PermitI Approved by Permit Coordinator: Date: 5 I 13 11!1 I:\Building\Forms\BldgPerniitRvw RES 022819.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 15364 SW SEINE DR, TIGARD, OR, 97224 June 17, 2019 at 10:00:47 AM Record Type: Record ID: Residential - Master Permit MST2019-00181 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor