Permit (37) CITY OF TIGARD MASTER PERMIT
IIICOMMUNITY DEVELOPMENT Permit#: MST2019-00209
13125 SW Hall Blvd.,Ti Date Issued: 06/13/2019
Tt[ 11Fd.0 and OR 97223 503.718.2439 9
Parcel: 1 S 135AA00904
Jurisdiction: Tigard
Site address: 10170 SW 90TH AVE
Subdivision: METZGER, TOWN OF Lot: 6
Project: Williams
Project Description: Install new 565 sf patio cover over existing 565 sf concrete patio. No erosion control is required.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 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: $13,503.50 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: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0
Drywall-Trench Drain: 0 Other Fixtures: 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
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 0
Owner: Contractor:
WILLIAMS,BRIAN T&SUONG D CHAMPION WINDOW CO OF PORTLAND Required Items and Reports(Conditions)
10170 SW 90TH AVE 13009 NE DAVO CIRCLE
TIGARD,OR 97223 PORTLAND,OR 97230
PHONE: PHONE: 503-624-2678
FAX: 971-634-2678
Total Fees: $769.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through•,: 952-001-0090. You may obtain a copy o •_• - - .r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: moi/ Aii, .-- s� •e • •.nature: ,
Cal ' 9.4175 by 7:00 a.m.for the next available insp- do ate.
This permit card shall be kept in a conspicuous place on the job site until mpletion of the project.
Approved plans are required on the lob site at the time of each inspection
Building Permit Application
DECEIVED FOR OFFICE USE ONL1
City of Tigard Received!
114 a Blvd OR 97223 MAY 2 8 2019 Plan Re /��J 9 Perms t sraki,/9-4V r 9
Phone: 503.718.2439 Fax: 503.598.1960 ew�/�Q
T'1�i A R t7 Inspection Line: 503.639.4175 TIGARD
Date/By: tEN4Other Permit:
Internet: www.tigard-or.gov CITY OF Date Ready/By: / fj{ luris: I See Page 2 for
BUILDING DIVISION Notified/Method: d\-("4" Supplemental Information
,'::',--4 ., ' '
. ..k:'rn <4�, i � =' � �$«�# � t t 4 � : d,-$i � � Vis..#
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition
❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
®Other:Patio Cover
/ �� ,�� � � � equipment,materials,labor,overhead,and the profit for the
P
✓� � + a#� # � � work indicated on this application.
M ® 1-and 2-family dwelling m Valuation: ��_�� Bila;
❑Commercial/industrial -�'���
0 Accessory building ❑Multi-family Number of bedrooms:
El Other:
Number of bathrooms:
❑Master builder
` � 1114 + A 4,:** Total number of floors:
Job site address:10170 SW 906 Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Williams
Covered porch area: square feet
Cross street/directions to job site:
Deck area: /square feet
Other structure area: 565 V square feet
.. ,sae,# s 1€itt' �£., s"1` y_ -': '''''%Z:)--;:':;:!!
Subdivision:
I Lot no.: Permit fees*are based on the value of the work performed.
ax map/parcel no ISI35AA00904 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
. 1, ... I t#i I %
���'- .�.., ,,, � work indicated on this application.
Install Patio Cover .0,S S E—/Z � , j ��� Valuation: $
r;7/✓Cc- 7 � /(f�J � , Existing building area: square feet
New building area: square feet
," ,>, 7,: �" ,a . 4:, . = �. .,.
Number of stories:
Name:Brian Williams
Type of construction:
Address: 10170 SW 90`h Ave
Occupancy groups:
City/State/ZIP:Portland OR 97223 __
Existing:
Phone:(503)765-5517 Fax ( )
New:
Business name:Champion Window :� � ,
Contact name:Joe Burnett Structural plan review fee(or deposit): f-/`7 t1 r et)
Address:13009 NE David Circle FLS plan review fee(if applicable):
City/State/ZIP:Portland OR 97230 Total fees due upon application:
Phone:(-971)3344122 Fax::( ) Amount received:
E mailjoe.burnett@getehampion.com
+ Commercial and residential prescriptive installation of
-f W. ` w � ' , roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Champion Window Submit two(2)sets of roof plan with connection details
Address:13009 NE David Circle and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Portland OR 97230 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(971)334-8122 I Fax:( ) State surcharge(12%of permit fee):
CCB lic.:180343
Total fee due upon application: $201.60
Authorized signature: ,,- This permit application expires if a permit is not obtained
G within 180 days after it has been accepted as complete.
Print name:Joe B snit *Fee methodology set by Tri-County Building Indnctry
Date..5/28/2019 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
MAY 2 8 201 Clean Water Services File Number
CITY OF TIGARD CleanWater Services 19-001376
BUILDING DIVISIbensitive Area Pre-Screening Site Assessment
1. Jurisdiction: Tigard
2. Property Information(example 1S234AB01400) 3. Owner Information
Tax lot ID(s): 1S135AA00904 Name: Brian Williams
Company:
Address: 13009 NE David Circle
Site Address: 10170 SW 90th Ave City, State,Zip: portland,or,97230
City, State,Zip: Portland,OR,97223 Phone/Fax: 503-756-5517
Nearest Cross Street: Locust E-Mail:
4. Development Activity (check all that apply) 5. Applicant Information
❑ Addition to Single Family Residence(rooms,deck,garage) Name: Joe Burnett,Champion Window of Portland
❑ Lot Line Adjustment Li Minor Land Partition Company: Champion Window
❑ Residential Condominium ❑ Commercial Condominium Address: 13009 NE David Circle
❑ Residential Subdivision Li Commercial Subdivision
LISingle Lot Commercial L] Multi Lot Commercial City, State,Zip: portland,or,97230
Other Phone/Fax: 5036242678
Patio cover E-Mail: joe.burnett@getchampion.com
6. Will the project involve any off-site work? ❑Yes CI No ❑Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
Job will require removal of approximately 3 c.y.of dirt from site for new footings.
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 Joe Burnett,Champion Window of Portland Print/Type Title Installation Supervisor
ONLINE SUBMITTAL Date 4/29/2019
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.
I$[ 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.
U 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.
Reviewed by Date 4/30/19
2550 SW Hillsboro Highway • Hillsboro. Oregon 97123 • Phone: (503)681-5100 • Fax (503)681-4439 • wwwcleanwaterservices ern
IllCity of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: )167-2-0(q 00 2.0 q
Site Address: /0 , '' ) 96-/A five
Project Name: is jiJ ,pc, ? , o v.e -- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro:osal:
X10 e'� <�� -f-- 0.4 ,rot .o/ PX�.� Lyra._
x Verify address/suite#active in Accela. WWRiver Terrace: ACJ No ❑ Yj'es1River Terrace Review Addendum
Sit Plan Elements: , •'rosion Control
,g .copies of site plan on 8-1/2"x 11"or 11 x 17"paper 'ice °',tamed trees with drip line and tree protection measures
li
copies
to scale(standard architect or engineer scale) II2 ,otprint of new structure(including decks) and FFE
VNorth arrow KV• 'ty locations&easements(required for new and additions)
Iii
tte address,project or subdivision name and lot number L S.dewalk/driveway approach
iplicant information(name and phone number) .tion of wells/septic systems
!Lot dimensions and building setback dimensions f.eet tree size,type and location
Lware footage of buildings to be demolished Street names
Existing structures on site ‘•l iner elevations(2'contours if more than 4'differential)
ilt i t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes
jpervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes o
VJ Clean Water S ices—.Service Provider Letter(lot platted prior to 9/10/1995):
,__,�
oi., t-quired: F. Yes,applicant was notified ❑ No Received: Yes ❑ No
X$ublic Facilities Improvement(PFI) Permit:
Required: ElYes,applicant was notified No Applied r: ❑ Yes ❑ No,stop intake
D1 II:and Use Case#: fig: P- 21- c—
.. ,„ 1,
Kiequired Setbacks: Front: Rear: / --- Side: Street Side: Garage: tOl
Building Height: Max.Height: Actual Height:
andscape Area: % of Coverage Max:
Entrance \ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ • .. 2%of area of all street-facing facades
Garage ❑ Garage door is bei. , .'dest street-facing wall VD ❑ Yes ❑ No .•- . e following is met:
❑ Door extends no more -.. 'from wall and there is a covere. •: extending beyond garage.
❑ Door extends no more than 5'from •... •d the - *: . sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less • i•o or les • .cade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ :-- e. entrance ❑ Wall offset II. 'Roof eave ❑ Roof offset
0 Fire shin?=: • Lap Siding ❑ Roof pitch ❑ Gable,hip,or : - • el roof ❑ Dormer
Ocrisual
■ -ccent siding ❑ Window trim ❑ Window recess ❑ Window projects. ❑ Balcony
C earancevim Trban Forestry r an
ensitive Lands: ❑ Yes i►I No Type:
conditions met prior to issuance of building permit
,s:
`� •
pproved By Planning: — y iDate: AP
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 022819.docx
Building Permit Submittal
Original Submittal Date: /7 26// 7
Site Plans: # .J
Building Plans: # —23
Building Permit#: Enter building permit#above.
Workflow Routing: M.—Planning CEngineering C—Permit Coordinator B—Building
Workflow Sign-off: C}—Sign-off for Planning(include notes from planning review)
Route Application Documents: E'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
-Er-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: (
By Permit Technician: `� Date: --C/2c///9`
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: El Yes El No
LIDA Facility on lot: El Yes El No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
[Approved by Engineering: Date: SST'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: El Approved El 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:
VCDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: El Yes LAN/A
Parks SDC: El Yes LJ A
LIDA ❑ Yes N/A
OK to Issue Permit /' / (//3 )/
3 1
Approved by
Permit Coordinator: O�'1� ' "Ate: (A/
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10170 SW 90TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00209
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Electrical contractor on site to install new electrical.
No electrical permit at this time.
Minor label if used to be posted prior to work commencing.
Re schedule final inspection after electrical work is complete and inspected if minor label
not used.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10170 SW 90TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00209
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Final approved, See inspection dated 6/28/19.
Inspection added at contractors request.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10170 SW 90TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00209
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Covered patio complete.
Electrical on minor label ELS 725401
Violation Summary:
Inspector Contractor