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Permit (118) CITY OF TIGARD MASTER PERMIT ,71, ,, 2 COMMUNITY DEVELOPMENT Permit#: MST2019-00242 T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2019 Parcel: 2S 110BA07400 Jurisdiction: Tigard Site address: 12195 SW WILDWOOD ST Subdivision: SHADOW HILLS NO.2 Lot: 59 Project: Stone Project Description: Adding 368 sf deck cover. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $9,105.90 Rear: 25 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 0 Owner: Contractor: STONE,BRIAN D&HILDA L SIGHT CONSTRUCTION LLC Required Items and Reports(Conditions) 12195 SW WILDWOOD ST 2407 SW 11TH ST TIGARD,OR 97224 BATTLE GROUND,WA 98604 PHONE: PHONE: 360-314-8761 FAX: Total Fees: $868.62 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 952-001-0.y. 'ou may o. =copy of the ru1B�s.pr direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. C Issued By• - -• • •• ',nature: `.. %—� 1175 by 7:00 a.m.for the next available inspectron date. ,�.. ThisjobP / permit nerd shell be kept in a conspicuous place on the site unto com lekfon o reject.-- Approved plans are required on the job site at the time of each insiEbfrn. Building Permit Application Residentialpa y) FOR OFFICE l'SE ONL\ RENCI of Tigard Received r e r 13125 SW Hall Blvd.,Tigard,OR 97223 p ')n 19 te/By: Ce P1aan Review f? �� / ��/ L1 L Phone: 503.718.2439 Fax: 503.598.19�� . Date/By: Other Permit: 1 i( °R I Inspection Line: 503.639.4175 �, y Date Ready/By: /4 �,uric: ® See Page 2 for Internet: www.tigard-or.gov CITY,Or 11�,ttJ N tified/Metho�(� /'/ ' Supplemental Information I lrl. D P DIVi',l�7 A TYPE OF WORK REQUIRED D d A:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all A Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the Y ` CATEGORY OF CONSTRUCTION work indicated on this application. 9/ /0 S'""' Valuation: $ l 1-and 2-family dwelling ❑Commercial/industrial 00Q/❑Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /2/9 S St/ i'/s lcy1 i 0°,4 s 4 New dwelling area: square feet City/State/ZIP: 7--;'5404-A 0 ,9e2 Z ^��Garage/carport y�tea: / square feet Suite/bldg./apt.no.: Project name: l ou(j yl°�r � y- t� e+IJ I area 3b 6 square feet Cross street/directions to job site: Deck area: \?j square feet Other structure area: square feet =.REQUIREID DATA.COMMERCIAL4JSE 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 f // DESCRIPTION OF WORK work indicated on this application. Aon//a'f �et of cC1( CO vc-r 36frr- Valuation: $ Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: gr i a/YI .- 4;/dc sibm ,/ i Type of construction: Address: /2f`1 S S W W t at,LOG77"` S I- Occupancy groups: City/State/ZIP: .�, _��-A o at q g z z 4 Existing: Phone:( ) �``�� Fax:( ) New: 0 APPLICANT Q CONTACT PERSON BUILDING PERMIT FEES* �J;344- Oft Shy c br, LL ,, ;- (Please reef la Sek) Business name: Structural plan review fee(or deposit): Contact name: Voile, °J- V FLS plan review fee(if applicable): Address: 2.�'Q 7 / dei J 1- City/State/ZIP: a a l/& Grb J,A (/tle- -1,6 0ci Total fees due upon application: / Phone:(?� 3 ie-(' ,7b I Fax: :( ) Amount received: c E-mail: i 4L Cori s 1 ,v C �� re_ei. ��1 PHOTOVOLTAIC SOL 'ANEL SYSTEM FEES* J 1 d r ' ''''Pe.''''Pe. fCOTtAC7,©R Commercial and residential prescriptive installation of -. /, roof-top mounted PhotoVoltaic Solar Panel System. Business name: 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 planreview $180.00 and administrative fees): Phone:( ) Fax:( ) — State surcharge(12%of permit fee): $21.60 CCB lic.: `q2/5-9y 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: Vtl sr . _VERG(?1_)/4I/L-1. Date: 6 0 q *Fee methodology set by Tri-County Building Industry i Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4 13T(1 /02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLI City of Tigard Received Permit No.: Date/By:13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: 2 Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T IC n rt n Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No NIA 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 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ 0 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 ❑ 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 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 ❑ 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 ❑ ❑ ❑ 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- 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 ❑ ❑ 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 ❑ 0 ❑ 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 ❑ ❑ 0 over 10 feet long and/or any beam/joist carrying anon-uniform load. 20 Manufactured floorfoof truss design details. — 0 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 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 ❑ architect licensed in Ore.on and shall be shown to be as Ilicable to the sro'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 ❑ 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 ❑ ❑ 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 0 0 ❑ 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, 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) , III City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: 4 S 7i// - O(, L/2 Site Address: ,L22'j A )1/1/2mr4)©Cx .2f Project Name:Name: -.).1-Dit.e ikefek 3 Ute-- Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal:. Cov\e- Verify address/suite#active in Accela. l In River Terrace: 1:g, No Li Yes,River Terrace Review Addendum Si e Plan Elements: IWosion Control A` 1i copies of site plan on 8-1/2"x 11"or 11 x 17"paper 'etained trees with drip line and tree protection measures ',1021 11 awn to scale(standard architect or engineer scale) ' ootprint of new structure(including decks)and FFE North arrow t tility locations&easements(required for new and additions) Site address,project or subdivision name and lot numberMA-Sidewalk/driveway approach • pplicant information(name and phone number) Jocation of wells/septic systems ! .t dimensions and building setback dimensions Street tree size,type and location Y= quare footage of buildings to be demolished /j treet names Existing structures on site KCorner elevations (2'contours if more than 4'differential) NALot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 11 i :ssONo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? a ds)❑No .R' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ,<Yes,applicant was notified ❑ No Received: X Yes ❑ No i +Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake NVYCLand Use Case#: ❑ Zoning: R-a- KRequired Setbacks: Front:_O Rear:15 i Side: 5, Street Side: .//1- Garage: N A 4 Building Height: Max.Height: ? Actual Height: Y./19' `/ NA-Landscape Area: % IstAr Lot Coverage Max: 0/0 Entrance • Set bac: no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows 11 Minim , 12 0 of area of all street-facing facades Garage II , arage a oor s b:,i ' d widest street-facing wall ❑ Yes ❑ No,one of the following is met: • P oor to I. s. more than 5'from wall and there is a covered porch extending beyond garage. • It oor to i s . more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ■I Garag- doo wid is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Cover d porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire ingfes 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer i ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance Urban Forestry Plan Sensitive Lands: ❑ Yes No Type: r�'Conditions met prior to issuance of building permit Notes:Approved By Planning: ) -�"'"'- -- 4 4 Date: (eh Revisions (after Building Submittal only) Reviewer clic/ Date Revision 1: CI Approved 1=1 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_)22819.docx Building Permit Submittal Original Submittal Date: (r 7 47 Site Plans: # Building Plans: Building Permit#: ►i — nter building permit#above. Workflow Routing: PlanningEngineering rmit Coordinator ❑ Building Workflow Sign-off: ►_ Sign-off for Pl,enning(include not from planning revie� 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: e i By Permit Technician: /��` � � /i� Date: /12/7 -- Engineering Review e Slope at building pad: f Z eConditions "Met"prior to issuance of building permit 1{ Easements (encroachments)per engineering conditions of approval and plat gJ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes /No Assess Water Quantity Fee in-lieu: El Yes )21/No LIDA Facility on lot: ❑ Yes No //// Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: VI Approved by Engineering: 1514 ettp g-- Date: Cop 9/x/9 Revisions (after Building Submittal only) �� Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit El 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: L�YSDC Fees Entered: Wash Co Trans Dev Tax: El Yes LX N/A Tigard Trans SDC: ❑ Yes D'N/A Parks SDC: El Yes LY N/A LIDA ❑ Yes N/A OK to Issue Permitita/ Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_022819.docx Clean Water Services File Number CleanWateer Services 19-001780 Sensitive Area Pre-Screening Site Assessment " Tigard REC 1. Jurisdiction: EIVED 2. Property Information (example 1S234AB01400) 3. Owner Information .I«N 1 7 on Tax lot ID(s): 2S110BA07400 Name: Brian and hilda stone CI--Y Off, FIGARD Company: 'BUILDING DIVISION Address: 12195 sw wildwood st Site Address: 12195 sw wildwood st City, State,Zip: tigard,or,98224 City, State,Zip: tigard,or,98224 Phone/Fax: 3603148761 Nearest Cross Street: sw mcfarland blvd E-Mail: sightconstruction@gmail.com 4. Development Activity(check all that apply) 5. Applicant Information 12 Addition to Single Family Residence(rooms,deck,garage) Name: VASILIY VERGULYANETS ❑ Lot Line Adjustment U Minor Land Partition Com an sight construction LLC P y: ❑ Residential Condominium ❑ Commercial Condominium Address: 812 NW 88TH ST U Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial LIMulti Lot Commercial City, State,Zip: VANCOUVER,WA,98665 Other 18 x 23 DECK COVER Phone/Fax: 3603148761 E-Mail: sightconstruction@gmail.com 6. Will the project involve any off-site work? ❑Yes Q]No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project 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 VASILIY VERGULYANETS Print/Type Title operation memeber ONLINE SUBMITTAL Date 6/3/2019 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 availabte 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. ❑ 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 6/6/19 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone (503)681-5100 • Fax (503)681-4439 • wwwcleanwaterservices org