Permit CITY OF TIGARD MASTER PERMIT
'IN I COMMUNITY DEVELOPMENT Permit#: MST2019-00262
T I(:A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2019
Parcel: 1 S 134CA00505
Jurisdiction: Tigard
Site address: 11175 SW 119TH AVE
Subdivision: PANORAMA NO.2 Lot: 16
Project: Weaver
Project Description: Adding 233 sf master bedroom and bathroom and 110 sf covered patio to existing home.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 233 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 10 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: Yes
Total: 233 sf Value: $31,213.88 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
Drywell-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-3 233
Owner: Contractor:
WEAVER,WARREN A&TONI A PRO COM HOME SERVICES Required Items and Reports(Conditions)
11175 SW 119TH AVE 2033 6TH AVENUE STE 236
PORTLAND,OR 97223 SEATTLE,WA 98121
PHONE: PHONE: 206-429-8327
FAX:
Total Fees: $1,725.66
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: Or-gon law requires • to /'ow the rules adopted by the Oregon Utility Notification Center. Those rules • e set forth in OAR
952-001-0010 throu•• • - 952-0,i=.90. • ay o'ain, of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800. 2 4
/
Issued By: ' /1"/ Permittee Signature: _)-E, sr r
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. _-73/r/��
This permit card shall be kept In a conspicuous place on the job site until completion of the project. f/./
Approved plans aro required on the job site at the time of each inspection.
Building Permit Application Checklist
One- and Two-Family Dwelling Folz OI Fic i 1 S►. tivi 1
City g of Tigard Received
Permit No.:
Date/B :
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIGARD
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITE\IS .ARE REQUIRED FOR PLAN REVIEW 1'' "° y ,k
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ • 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. • 0 0
3 Verification of approved plat/lot. U 0
4 Fire district approval required. Name of district: ■
5 Septic system permit or authorization for remodel. Existing system capacity . ■
6 Sewer permit. • 0 0
7 Water district approval. 11 0 8
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 ❑ 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 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 0 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 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
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 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 0 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- 0 0 0
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 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
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 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 8 ❑ 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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 0 0
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". ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑
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. A R
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, 0 0 0
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 0 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\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Clean Water Services-Service Provider Letter RECEIVED
JUL 10 2019
MY FT G D
BUILDiNG DiiriSiON
Submission Date: 7/10/2019 Confirmation#: 208
Applicant Name: Joe Rotta Review Type: Partner City Plan Review
Contact Email: joe@pro.com Ground Disturbance: 633 Sq. Ft.
Contact Phone: 5035090047 New Impervious Area: 632 Sq. Ft.
Primary Address: 11175 SW 119TH AVE Mod.Impervious Area: 50 Sq. Ft.
Primary Jurisdiction: Tigard Development Activity: Single-Family Dwelling Addition
Affected Tax Lots: 1S134CA00505
INSTRUCTIONS:This pre-screening report is the Service Provider Letter(SPL)as required by Resolution and Order 17-05,Section
3.02.1. PROVIDE A COPY OF THIS SPL TO THE JURISDICTION RESPONSIBLE FOR LAND USE REVIEW AND PERMIT ISSUANCE.This pre-
screening review does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently
discovered and this review does NOT eliminate the need to obtain additional CWS permits or reviews if project changes in scope or
location.All required permits and approvals must be obtained and completed under applicable local,State and federal law.
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Environmental Site Assessment No
Review
Water Quality Treatment Review TBD Contact city(primary jurisdiction) responsible for land use review and permit
and Stormwater Inspection issuance.
Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit
issuance.
Erosion Control Inspection Permit TBD Contact city(primary jurisdiction) responsible for land use review and permit
with Site Plan issuance.
Line Tap Inspection Permit TBD Contact city(primary jurisdiction) responsible for land use review and permit
issuance.
Disconnection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit
issuance.
Connection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit
issuance.
Connection Permit with Plumbing TBD Contact city(primary jurisdiction)responsible for land use review and permit
Plan issuance.
Easement Review TBD Contact city(primary jurisdiction]responsible for land use review and permit
issuance.
The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our
partners include municipalities,environmental organizations,and developers large and small.
Contact Us*2550 SW Hillsboro Highway*Hillsboro,Oregon 97123
phone:503-681-5100*email:splreview@cleanwaterservices.org*website:www.cleanwaterservices.org/permits-development
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
liki
�� ® Building Permit Review — Residential
TBuilding Permit #: ./14,5T0)-0/ —00.21,
Site Address: ///7T - ?k) //9714 ,%
Project Name: /04.7-v /I i'df73 U eu._ Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pr. osal: d/h64 7'D e_ . . . ____ .,. _
VA Verify address/suite#active in Accela. ¢ ?J" n River Terr ce: re-No ❑ Yes,River Terrace Review Addendum
Sit Plan Elements: rosion Control
N
_J,3,copies of site plan on 8-1/2"x 11"or 11 x 17"paper 2etained trees with drip line and tree protection measures
9L awn to scale(standard architect or engineer scale) otprint of new structure(including decks)and Fh']
lir rth arrow ltility locations&easements(required for new and additions)
iZ address,project or subdivision name and lot number VSidewalk/driveway approach
plicant information(name and phone number) k,1 .cation of wells/septic systems
VJLot dimensions and building setback dimensionsvrW
Ill:1 eet tree size,type and location
ilii;,uare footage of buildings to be demolished U meet names
xi ting structures on site Corner elevations(2'contours if more than 4'differential)
kl area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? ❑Yes
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?0Yes VNo
Clean Water Srvices—Service Provider Letter(lot platted prior to 9/10/1995): ��
Required: VK Yes,applicant was notified ❑ No Receive*nv h , Yes Fi No
' Public Facilities Improvement(PFI) Permit: /
Required: ❑ Yes,applicant was notified Z No Applie or: ❑ Yes ' ❑ No,stop intake
L'O and Use Case#: _ I! Zoning: £ 44
VA equired Setbacks: Front: •=,.201 Rear: �l Street S / Garage: 0.0 C)i
l ode:
wilding Height: Max. Height: 0 Actual Height:
le' andscape Area: % "Coverage Max:
Entrance V et back no more than 8'from street-facing wall ❑ Parallel . reet or offset 45 degrees or less
Windows ❑ Minima,- 2%of area of all street-facing facade
Garage ❑ Garage door is I,- :-.d widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no mo .an 5'from w. . there is a covered porch extending beyond garage.
❑ Door extends no more than - ;., wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ■ - or less ❑ i' . ,r less of facade ❑ 60%or less and includes 7 of following:
❑ Covered .. - ❑ Recessed entrance ❑ v:, • fset ❑ 1'Roof eave ❑ Roof offset
_ - -Er 11 _. f3 ids Siding 0 Roof pitch El t 'i hip,or gambrel roof ❑ Dormer
d Accent siding ■ Window trim ❑ Window recess ❑ 1,...-..ow projection ❑ Balcony
PI isual Clearance \C' rban Forestry an
C - sitive Lands: ❑ Yes No Type:
I' �I.onditions met nrior to issuance of blaildino nermit A
o s: _
Approved By Planning: --- ",- ,---(--_____L Date: 4/7e 91
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal /
Original Submittal Date: 7(3 !/9
Site Plans: #
Building Plans: #
Building Permit#: nter buildingermit#above.
Workflow Routing: Planning ngineering
pr'Permit Coordinator 7Building
Workflow Sign-off:
E ign-off for Planning(include notes from planning review)
Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
riginal 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: r;� Date:
7/31/
EnLering Review C�
at building pad: ^q/G
;;
tc9.,taditions "Met"prior to issuance of building permit
asements (encroachments)per engineering conditions of approval and plat
Cater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Ca" o
Assess Water Quantity Fee in-lieu: ❑ Yes
LIDA Facility on lot: ❑ Yes a-No
4� Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: lG Z s, t-> Date: 1— Q • 1 QC
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ 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:
b _,
'DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ICY /A
Tigard Trans SDC: ❑ Yes C/N/A
Parks SDC: ❑ Yes D"-N/A
LIDA ❑ Yes El" N/A
OK to Issue Permit
Approved by Permit Coordinator: /411/ Date: 7/// I
I:\Building\Forms\BldgPermitRvw_RES_022819.docx