Permit (113) CITY OF TIGARD MASTER PERMIT
N .,....,... ,. COMMUNITY DEVELOPMENT Permit#: MST2019-00224
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2019
TIGARD g Parcel: 1 S135DD04000
Jurisdiction: Tigard -
Site address: 11770 SW 90TH AVE
Subdivision: None Lot: None
Project: CUFFEL
Project Description: Adding 541 sf to rear of existing house for a new master bedroom, (2)additional bedrooms, and
(1)bathroom. Trade permits to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 2 First: 541 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 13 Bathrooms: 2 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 541 sf Value: $66,250.86 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-3 541
Owner: Contractor:
CUFFEL,CHRISTOPHER&AMBER OAKWOOD REMODELING CO INC Required Items and Reports(Conditions)
r --- - 1 Ef fft 503-939-4175
T17T6�/90TH AVE 9320 SWSARBUR BLVD,#146
PORTLAND,OR 97223 PORTLAND,OR 97219
PHONE: PHONE: 503-646-5376
FAX:
Total Fees: $2,548.41
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 R 952-001-0090. u may obtain a py of rules or direct questions to OUNC by calling 503 .1987 or 1.800.332.2344.
Issued By: �/--- 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 plans are required on the job site at the time of each inspection.
4
Building Permit Application
Residential I ()R t)FI It f 1 ,,I.0A\1,1
City of Tigard RECEIVED at 513o./'? ,0 �T01 j.?7a'1
':
II 4 13125 SW Hall Blvd.,Tigard,OR 972 i' t 3 Plan Review
Phone: 503.718.2439 Fax: 503.598.1'.I Y 3 29 Date/By: /(3 / Other Permit:
•
i it t� Inspection Line: 503.639.4175 CITY OF TIGARD ., 'Ready/By: Auris: M See Page 2 for
Internet www.tigard-or.gov BUILDING DIVISION otified/Method: Supplemental Information
,—
TYPE
TYPE OF WORK REQUIRED DATA:1-AND 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,overhe and the profit for the
A.
CATEGORY OF CONSTRUCTION
work indicated on this application. 2�
V ►Zt 1-and 2-family dwelling ❑Commercial/industrial Valuation: $d';898 tM
0 Accessory building 0 Multi-family Number of bedrooms: x2,
❑Master builder 0 Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 1.5
Job site address:Chris Cuffel New dwelling area: 541 square feet
City/State/ZIP:11770 SW 90th Ave.Portland„OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Cuffel 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:W264790 I 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.
541 SQ FT ADDDTION TO THE REAR OF THE EXISTING HOUSE. New MASTER Valuation: $
BEDROOM,2 BEDRROMS AND 1 BATH ROOM Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:CHRIS CUFFEL Type of construction:
Address:11770 SW 90111 AVE., Occupancy groups:
City/State/ZIP:PORTLAND OR 97223 Existing:
Phone:(503) Fax:( ) New:
0:4 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
Address:5531 SW BUDDINGTON ST FLS plan review fee(if applicable):
City/State/ZIP:PORTLAND OR 97219 Total fees due upon application:
_ r _..___ Amoant received.
Phone:(503)515-6495 Fax::(503)719-4825
E-mail:mikewmontgomery@gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:IBI Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15240 SE 82nd Drive Solar Installation Specialty Code checklist.
City/State/ZIP:Clackamas OR 97015 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)646-5376 Fax:(800)7174132 State surcharge(12%of permit fee): $21.60
CCB lic.:32734
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 MONTGOMERY Date:05/27/19. *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling I0R (011 1( 1 1 si OyI.)
City of Tigard Received
Permit No.:
INDate/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
■ Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical ❑ Plumbing ❑ Mechanical
E�l 24-Hour Inspection Line: 503.639.4175
Internet: www.tigard-or.gov _' Other: Addition
THF: 1=U1 l O\\ INC l I l:AlS ;Ila: RI Qt lRI I) FOR IT \\ RF\ IF:AV lc, NIt
` N,
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ ►ii ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 1 0
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district: .
5 Septic system permit or authorization for remodel. Existing system capacity .
6 Sewer permit. ❑
7 Water district approval. ►5
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 e
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ►i4 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 gi 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 ►1 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, El 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- IS 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 Iocations;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 ►�
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 U 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 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
t I• ,...l • . , . •, I( ',I :.I, 17 .,• 1 1 ./1 • ., :,,. . .:, I I r U•..,:ti ,. 4 ,
.1( RISI)1(" I IU\;Al. S1'l;( 11.1( S --�
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ■ Ill ►Zi
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 U ►moi
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ _ 0 026 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. []
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 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\Pe mits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
iliiq COMMUNITY DEVELOPMENT DEPARTMENT
■
r 1 c A R D Building Permit Review — Residential
Building Permit #: j 7 j I7 - 5 y
Site Address: jt ` 0 S\ i0"' Avg:
Project Name: I cinr Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review - f
Pro sal: 't, 54, 1i+ 0.,,,,,-., rl r(Wr ;^' ,-0,,,,..„ k ,,t 1,,,,,„, ,„,, )fr L 'ri>^1
El Verify address/suite# active in Accela. In River Terrace: Dr/c1 ❑ Yes,River Terrace Review Addendum
Site Plan Elements: IV r..'.n Control
0edopies of site plan on 8-1/2”x 11"or 11 x 17"paper
trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) ,13 ..tprint of new structure(including decks)and FFE
rth arrow it ' tility locations&easements(required for new and additions)
S' e address,project or subdivision name and lot number 'A..idewalk/driveway approach
I(d"A licant information(name and phone number) cation of wells/septic systems
Ilrnt dimensions and building setback dimensions 114. eet tree size,type and location
j1c4. are footage of buildings to be demolished F1 .eet names
El,. sting structures on site ru Corner elevations(2'contours if more than 4'differential)/
L9 of area,buildipg coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes L1d-No
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 Lette (lot platted prior to 9/10/1995):
/Required: CI Yes,applicant was notified V No Received: CI Yes U(No
LJ Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified a No Applied For: El Yes ❑ No,stop intake
►:4 and Use Case#: ll Zoning: �i.'i2_
equired Setbacks: Front: 1:S. Rear: 1S Side: , Street Side: ? 4' Garage:.2 l
ding Height: Max. Height: _ Actual Hei ht:__. i L,5
C Landscape Area: TO % Lot Coverage Max: %
nuance El Set back no more than 8'from street-fac g wall ❑ Parallel to street or offset 45 degrees or less
iWindows El Minimum 12%of area of all street-facing facades
(V i) Garage ❑ Garage door is behind widest street-facing wall El Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
.Jb )t' ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
6,'^9 El Covered porch ❑ Recessed entrance ❑ Wall offset El 1'Roof eave El Roof offset
0 Fire shinglesg0 La Sicrm oof itch_" 0""Gib2e--W or m relroof 11 Dormer
r'10.414‘1-‘11p g p P ga
El Accent siding �p Window trim ❑ Window recess El Window projection El Balcony
li4 isual Clearance E! Urban Forestry lan
M Sensitive Lands: ElYes DIgli No Type:
Conditions met prior to issuance of building permit
No s: j
OVI Approved By Planning: X Date: 50-11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: /'� 1 /
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: PlanningIC Engineering ermit Coordinator _uilding
Workflow Sign-off: Sign-off for fanning(include note(from planning review)
Route Application Documents: p.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: / / ' Date: s 73r///
Engineering Review
P Slope at building pad: Z.1
❑ Conditions "Met"prior to issuance of building permit "l1
❑ Easements (encroachments) per engineering conditions of approval and plat4�1
❑ Water Quality/Quantity Facility: /
Assess Water Quality Fee in-lieu: CI Yes CI No l
eit-
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
1Q Approved by Engineering: Date: ,,47ge2 '
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:
Rision Notice 3: Date Sent to Applicant:
0104
SDC Fees Entered: Wash Co Trans Dev Tax: CI Yes 0/A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes
VLIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:4/3/1
I:\Building\Forms\B1dgPemutRvw_RES_022819.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
II
= . Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • ww ✓.ti$2.ard-or.gov
TO: r /( D• E RECEIVED:I
DEPT: BUIL1i NG DIVISION RECEIVED
,.
NOV 12 2019
FROM: i(k /�o/ttrg01176iC( CITY OF TIIVASION
7'/
BUILDING D
COMPANY: Os
PHONE: 97j ,f - — By:
(Site Address) 1 (Permit Number)
(Project name or subdi V :a1�►� umber)
\ +
t
ATTACHED ARE THE FOLLO ►'4"G IT S:
Copies: Description: Copies: Description:
Additional set(s) of p .ns. Revisions:
Cross section(s) an, details. Wall bracing and/or lateral analysis.
Floor/roof frami Basement and retaining walls.
if Beam calculati f s. Engineer's calculations.
If Other(explai : youirg
�Q��T/0/� � vV,L A1�, ' /Ap p5,e'EMARKS: 4 " 1//v
FO O FICE USE ONLY
Routed to Pe it Te hnician: Date: ll (Z ( � Initials: 4441--
Fees Due: 1 Y El Fee Des pt' n: Amount Due:
$ nt,
�S l/
1/Z._ loiA.„-t ir AAA:,C,1,--) $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes /fL(1f7
o ❑ Done
Applicant Notified: Date: I I Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc