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Permit (67)
CITY OF TIGARD MASTER PERMIT 11 n COMMUNITY DEVELOPMENT Permit#: MST2019-00263 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/22/2019 Parcel: 2S112CA03400 Jurisdiction: Tigard Site address: 15270 SW 79TH AVE Subdivision: DURHAM ACRES Lot: 30 Project: Trevor Project Description: Moving front door six feet out from existing location. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 42 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 42 sf Value: $5,143.32 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 add9 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 42 Owner: Contractor: TREVOR FAMILY TRUST JOHN HARVEY CONSTRUCTION INC Required Items and Reports(Conditions) BY TREVOR,BRETT&AMY JO 1750 SW SKYLINE BLVD.,STE 12 TRS PORTLAND,OR 97221 15270 SW 79TH AVE TIGARD,OR 97224 PHONE: 541-350-0383 PHONE: 503-969-2009 FAX: Total Fees: $462.08 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon I. • requires you to,follow the ru s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -00 -0090. Y may ' sin a copy o e rules or d' t questions to OUNC by calling 503.232.198'or 1.800.332.2344. ooe Ai Issued By: �/� _ Permittee Signature: �� ' " �' &- iCall 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential ► OR 01 1 1( 1 l S 1. ON l.1 RECEIVED Received City of Tigard Date/By: g /4 ' / J rd-0/5*-- -)_ -_i 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review q C 9 1 J: Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 .j U L. 3 2019 Date/By: I r T I G A R D Inspection Line: 503.639.4175 Date Ready/By: kris: I ® See Page 2 for Internet: www.tigard-or.gov CITY Of' •—Method. Ti-7// 1 Supplemental Information 3UILDINfi- v'iSic) ' ''' tAr�/ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Et Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application.$/y3 CATEGORY OF CONSTRUCTION Valuation: $ 0=L G 1-and 2-family dwelling 0 Commercial/industrial rJ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: t 5 170 S-QL/ 7Ave,: New dwelling area: ‘712 square feet City/State/ZIP: `i G r3, 1 c K �7j.1.' - Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Tre,,,-0 r (t„,k,,,",,\n Q v� Covered porch area: square feet Cross street/directions to job site: 7`ti\ `-- TA,Ar -C `1Deck area: square feet lSC S ' c-e__ / rcAleo/t e, (/�)�riP tT5 Other structure area: square feet /f?. -bt I (Z ( reit 11 K IVpr-444 L7 L?S_ki&At("L REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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 DESCRIPTION OF WORK work indicated on this application. y- , Valuation: $ � ^ t Existing building area: square feet - vv\ \SAC'v\.(1 I,©CUT\OUA. New building area: square feet [yZ PROPERTY OWNER 0 TENANT Number of stories: Name: 6 dei '\ Tv-\for Type of construction: Address: t 5170 eskAI 7 '--\-\ Ave, Occupancy groups: l City/State/ZIP: \ at 1 0 R x.7 21+ Existing: Q Phone:(541) 3 _0-3'C-. Fax:( ) New: [5] APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: ,vv\'Q- � c i C7 vA../ ' Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: I7_`3Lf Phone:( ) Fax::( ) Amount received: ' E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: } � ` I Submit two(2)sets of roof plan with connection details "0�� Ctc�t V C� v ��^� and fire department access,along with the 2010 Oregon Address: 17 gQ $ \ydNC ��v.(�,, 5�2 t2 Solar Installation Specialty Code checklist. D 1\ q Permit Fee(includes plan review City/State/ZIP: Ot 0.V Q L �� $180.00 d and administrative fees): Phone:(503) t ct _` © Fax:( ) State surcharge(12%of permit fee): $21.60 ') .3 g c �j� + CCB lic.: �, � 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: Date: I *Fee methodology set by Tri-County Building Industry (`L ^�-I p� V�tt� 7'— t q( Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFF ICE ESE ONEV City of Tigard Received Permit No.: asci As711 sociated SW Hall Blvd.,Tigard,OR 97223 permits: _ Phone: 503.718.2439 Fax: 503.598.1960 T 1 GARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing ❑ Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No 1/,>, 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 ❑ ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ Cl 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ 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 ❑ 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 ❑ 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 ❑ 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 ❑ 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 ❑ ❑ Cl 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 a non-uniform load. 30 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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. .1URISDI(: I ION;itL 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. ❑ ❑ ❑ 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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, ❑ ❑ ❑ 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) fClean Water Services File Number CleanWater Services 19-002298 Sensitive Area Pre-Screening Site Assessment, ; 1. Jurisdiction: Tigard 2. Property Information (example 1S2301301400) 3. Owner Information Tax lot ID(s): 2S112CA03400Name: Brett Trevor _""t Company: Address: 15270 SW 79th Ave Site Address: 15270 SW 79th Ave City, State,Zip: Tigard,OR,97224 City, State,Zip: Tigard,OR,97224 Phone/Fax: 5413500383 Nearest Cross Street: Thurston Lane E-Mail: lilbearn@hotmail.com 4. Development Activity(check all that apply) 5. Applicant Information • Addition to Single Family Residence(rooms,deck,garage) Name: Brett Trevor ❑ Lot Line Adjustment ❑ Minor Land Partition Company: ❑ Residential Condominium ❑ Commercial Condominium Address: 15270 SW 79th Ave ❑ Residential Subdivision ❑ Commercial Subdivision Ei Single Lot Commercial IJMulti Lot Commercial City, State,Zip: Tigard,OR,97224 Other Phone/Fax: 5413500383 E Mall: lilbeam@hotmail.com 6. Will the project involve any off-site work? ❑Yes No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Adding 40 square feet to the entrance by moving the front door closer to the street by about 6'. 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 Brett Trevor Print/Type Title ONLINE SUBMITTAL, Date 7/3/2019 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 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, Se 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 SensitiveArea 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 919/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by .0624,111, Date 7/18/2019 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org 130'-0" I. 188 — - 184' —T--- r �� ) 1 A. ,1 Utility Easement .i-2a' i No Erosion Control Needed i' Addition 15270 FFE 190' 15'x; No Utilities Impacted Existing g �� ExistingFFE186 House ' to r ;` Existing Concrete ©riviway and Approach / I I � rl / 1 4 186 �" Project Name: Trevor Bump Out 174 15270 SW 79th Ave. Tigard, OR 97224 Scale: 1"=-15' Submitted By: Brett Trevor, 541-350-0383 City of Tigard III M COMMUNITY DEVELOPMENT DEPARTMENT B T l c A R D Building Permit Review — Residential Building Permit #: /1 s�r.OGi - 4 Site Address: )C,-' j R10 2.- &-e__ Project Name: .L'Ud f Aid/ji A__ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proysal: .04)ddil?pyl c,rl ti Verifyaddress/suite#active in Accela. ,'ver Terrace: No ❑ Yes,River Terrace Review Addendum N�����" SityPlan Elements: •4'.sion Control 3icopies of site plan on 8-1/2"x 11"or 11 x 17"paper I1; •tained trees with drip line and tree protection measures 711 yawn to scale(standard architect or engineer scale) it Fo.tprint of new structure(including decks)and FFE �°rth arrow ik 'ty locations&easements(required for new and additions) 6Q ' e address,project or subdivision name and lot number 1►, ewalk/driveway approach M •plicant information(name and phone number) \ll' cation of wells/septic systems it •t dimensions and building setback dimensions \II' '.eet tree size,type and location `k\',uare footage of buildings to be demolished Xi eet names I! xisting structures on site VCorner elevations(2'contours if more than 4'differential) EV''.t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EYes • •.ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown?OpYes ao kt Clean Water vices—Service Provider Letter(lot platted prior to 9/10/1995): rrrr�t�t �1�1 Required: Yes,applicant was notified ❑ No Pec_eit.'=e/ Received: ❑ Yes m No I W;ublic Facilities Improvement (PH) Permit: 74 Required: ❑ Yes,applicant was notified 1St No Applie For: ❑ Yes ❑ No,stop intake \I' t:and Use Case#: Zoning: ie-24, c- Kiequired Setbacks: Front: 0 Rear: /g- Side: Street Side:__ ���""} /9'"Gara e: ...-20Building Height: Max. Height: -gO Actual Height: A4a?t/ -ex is.h andscap�e�ea: % of Coverage Maxi,. % J ntrance L1Q Set back no more than 8'from street-facing wall Parallel to street or offset 45 degrees o -- Windows r. 14' ' um 12%of area of all street-facing facades Garage ❑ Garage a.. ' behind widest street-facing wall ❑ Yes ❑ ► :, .ne of the following is met: ❑ Door extends no •- - than 5'fromwallthere is a • - -4 porch extending beyond garage. . ❑ Door extends no more than : wall .•: • ere is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12' • - • 50'o . - of facade ❑ 60%or less and includes 7 of following: ❑ Covered •o • ill Recessed entrance ❑ Wall o s- ■ 1'Roof eave ❑ Roof offset ' _ ■ -• - s . gles =❑ Lap Siding ❑ Roof pitch ❑ Gable,hip, • :.• brel roof ❑ Dormer ❑ Accent siding • Window trim ❑ Window recess ❑ Window proje .o• ❑ Balcony ‘i ?,,c/isual Clearance FM rban Forestry Forestry 1)14n iik&-•sitive Lands: El Yes Pr No Type: '�',I..nditions met prior to issuance of building permit No -s: y4 Approved By Planning: -- Date: d. Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved _ Revision 3: ElApproved 1:1Not Approved I:\Building\Forms\BldgPermitRvw RES_022819.docx Building Permit Submittal l Original Submittal Date: 7(-3/ZSite Plans: # /// Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: ri' Planning Arrrigineering @ rmit Coordinatoy wilding Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review) Route Application Documents: 1 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 t beam calculations and trust details,if applicable,etc. Notes: /' By Permit Technician: /, ' i% Date: uommiiiiims& ANEW En,f 'neering Review Y. SJ pe at building pad: a� Y. Conditions "Met"prior to issuance of building permit V4- Lld" Easements (encroachments)per engineering conditions of approval and plat (Water Quality/Quantity Facility: // - Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No � � LIDA Facility on lot: CI Yes ❑ No 11YFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:� Lfd'Approved by Engineering: Date: 777/(----- Revisions '/9 /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: ,,�_ Revision Notice 3: Date Sent to Applicant: [D''13C Fees Entered: Wash Co Trans Dev Tax: 0 Yes L:1--1\T/A Tigard Trans SDC: ❑ Yes M'N/A Parks SDC: ❑ Yes CZY I (A / LIDA ❑ Yes N/A IP OK to Issue Permit Approved by Permit Coordinator: aQ Date: I:\BuildingForms\BldgPermitRvw RES_022819.docx