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Permit (194) CITY OF TIGARD MASTER PERMIT IN 1111 ` COMMUNITY DEVELOPMENT Permit#: MST2019-00246 T1 GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2019 Parcel: 2S109AA00700 Jurisdiction: Tigard Site address: 14255 SW 125TH AVE Subdivision: None Lot: None Project: BLACK SHEEP CONSTRUCTION LLC Project Description: Second story addition, interior remodel, and new front deck. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 1 Second: 1026 sf Garage: 0 sf Front: 20 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 5 Total: 1026 sf Value: $129,153.24 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+a m p/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: ADD SF VB R-3 1026 Owner: Contractor: BLACK SHEEP CONSTRUCTION LLC BLACKSHEEP_CONSTRU_CTON__ ___ __._-- __ ____ __—_Required Items and Reports(Conditions) _ _ ______ 16340 NE YAMHILL RD 16340 NE YAMHILL RD YAMHILL,OR 97148 YAMHILL,OR 97148 PHONE: PHONE: 503-437-3998 FAX: Total Fees: $3,984.04 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 -- ru- =..pted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You obtain a k.py of the rules ol•direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ..'" / --J-e'l- 42-•.'' .- Issued By: :"„C„.- Permittee Signature: "f 03.639.4175 by 7:00 a.m.for the next available inspec' date. er This permit card shall be kept in a conspicuous place on the job site unt completion of the project. Approved plans are required on the job site at the time of each inspection. 1 Building Permit Application Residential p FOR OFFICE USE ONLY' City of Tigard E C E I /1-�® Received IN " 13125 SW Hall Blvd.,Tigard,OR 97 V L� Date/By: �, iii— , � Permit No 4 ' I, 111 Plan Review/t ! 'z Phone: 503.718,2439 Fax: 503.598.1960 (� � Other Permit: 1 JUN 18 2U 19 Date/Ry: TIGARL? Inspection Line: 503.639.4175 V L !.1 DateReady/By: I J°�s: See Page 2 for Internet: www.tigard-or.gov Notified/M ./.d / 1 CITY OF TIGARD /. / / - Supplemental Information - `�r er, " a. ,/.C4L/ iij// - REQUIRED DATA;I-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,overhead,and the profit for the CATEGORY SOF CONSTRUCTION work indicated on this application. © 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ -,...1 JAW" i1O/15 3 ❑Accessory building 0 Multi-family Number of bedrooms: 6 G— 0 Master builder ❑Other Number of bathrooms: 4 TOB SITE INFORt%FJON AND LOCATION Total number of floors: 120 Z40 Job site address: 14255 SW 125th Ave New dwelling area: _..soae-• square feet City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:6/ G�-tel,/� ss4,.,,,p G° ��Y�, a� Covered porch area: square feet Cross street/directions to job site: Bull Mountain&125th / Deck area: 144 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CIIECKLUST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: R1165401 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. 2nd Story Addition&interior remodel Valuation: $ IN.C7114 e.-i -fremi -' I Existing building area: square feet New building area: square feet ® PROPERTY OWNER TENANT Number of stories: Name: Black Sheep Construction,LLC. Type of construction: Address: 16340 NE Yamhill Rd Occupancy groups: City/State/ZIP: Yamhill,OR 97148 Existing: Phone:( 503 ) 437-3998 Fax:( ) New: ba APPLICANT ❑"CONTACT PERSON BUILDING PERMIT FEES* Business name: Black Sheep Construction,LLC. (Please refer tfee schedule) Structural plan review fee(or deposit): Contact name: Jack F.Shepherd Ill �jt � l 1 FLS plan review fee(if applicable): Address: 16340 NE Yamhill Rd /�" `. . ��`�O� _ City/State/ZIP: Yamhill,OR 97148 Total fees due upon application;JJ c�l� I 7 ._ r----- .. -Amount received: . Phone:( 503 ) 437-3998 Fax: :( ) E-mail: PHOTOVOLTAIC SOLAR I'ANE / YSTEM FEES* ///" - Commercial and residential prescriptive installation of O cT , roof-top mounted Photo Voltaic Solar Panel System. Business name: Black Sheep Construction,LLC. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 16340 NE Yamhill Rd Solar Installation Specialty Code checklist. City/State/ZIP: Yamhill,OR 97148 Permit Fee(includes plan review $180.00 and administrative fees): Phone: ( 503 ) 837-3598 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 217112 1 ((5/f Total fee due upon application: $201.60 Authorized signature: / X, pL.1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Print name: Jack F.Shepherd Ill,owner BSC,LLC. Date: June 9,2019 Fee methodology set by Tri-County Building Industry Service Board. 1:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: alli - Date/B'� 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical 0 Plumbing 0 Mechanical T t G A F,[-1 24-Hour Inspection Line: 503.639.4175 Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 00 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 00 0 0 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 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 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 0 0 basin protection,etc. " 0 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 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. 0 0 0 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 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. 0 0 0 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 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. 0 0 0 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. 0 0 0 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing — locations. Show attic ventilation. 1Z 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. 0 0 0 20 Manufactured floor/roof truss design details. 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. 0 0 0 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 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". 0 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 0 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. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 0 0 0 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. 0 0 0 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. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard d COMMUNITY DEVELOPMENT DEPARTMENT :1111 Ill T 1 c A R o Building Permit Review — Residential • Building Permit #: 020l f ibo Site Address: /11..2 S c-94 c 44 i v-e Project Name: l ,Plaek_ � e����.- L.�..�. Lot #: (New dwelling=subdivis' n name;Addition or Alteration=las(name of owner) Planning Review Pro�sal: �(71,4 L �� e., 0 � /A-) t�hff / �� % .O_&� iix i r. r-_&.•1-4 Er Verify address/suite#acre in Accela. OK River Terrace: ITI No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ❑Erosion Control /3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree protection measures ) rawn to scale(standard architect or engineer scale) 1F.otprint of new structure(including decks)and FFE rth arrow ••�I tility locations&easements(required for new and additions) 4address,project or subdivision name and lot number W\';-walk/driveway approach ��1 plicant information(name and phone number) PA. ation of wells/septic systems ilgfilLot dimensions and building setback dimensions Ft eet tree size,type and location ❑ ri(uare footage of buildings to be demolished \II' eet names Existing structures on site Yi Corner elevations(2'contours if more than 4'differential) 1Warea,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? ❑Yes inpervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown 7 No Clean Water rvices—Service Provider Letter(lot platted prior to 9/10/1995): �yRequired: 1 Yes,applicant was notified ❑ No Received: �-Yes ❑ No . OXPublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified 'V No Applie For: ❑ Yes ❑ No,stop intake I1 fit' and Use Case#: L✓J Zoning: e"— •c. 7/Required Setbacks: Front: c�(? Rear: /S.- Side: $ Street Side: Garage: ft.-2-0 1Q Building Height: Max. Height: Actual Height: Landscape rea: % of Coverage Ma Entrance liA Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows I hi' • urn 12%of area of all street-facing facades Garage ❑ Garage ..: 's behind widest street-facing wall Y ❑ Yes a No,one of the following is met: ❑ Door exten.s : ,.ore than 5'from wall and there• : overed porch extending beyond garage. ❑ Door extends no more . ' rom w. : : there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'o - I• !°0 or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch i 'ecessed entrance ■ v.... .ffset ❑ 1'Roof eave ❑ Roof offset obi g.._. -R ____ ii ;o,. Nor gam re roo _I7rormer - II Accent siding ,■ Window trim ❑ Window recess ❑ 7I ;• . .rojection ❑ Balcony �W •isual Clearance iZ yrban Forestry Plan l►. S-nsitive Lands: 04 Yes ❑ No Type: .2*1iV' j�i/ Oink/OF l lif* Conditions met prior to issuance of building permit c2.9,1, c --Q, s 1„ n,e g Notes: /C� ❑ Approved By Planning:/✓9A"\--, (�� Date: /) 9 Ii CI 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: 41/f Site Plans: # Building Plans: # 3 Building Permit#: ❑ Enter building permit#above. Workflow Routing: anningglneeringermit Coordinator ming Workflow Sign-off: [t]-S-off for Planning(include notes from planning review) Route Application Documents: [n-'g ngineering: (1) copy of permit application, (1) site plan, (1) building plan and ori al 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: "70.01.--effit--- e' Date: iv/i l�J`� / Engineering Review Er Slope at building pad: 17 S LT Conditions "Met"prior to issuance of building permit asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes X No Assess Water Quantity Fee in-lieu: ❑ Yes 12' No LIDA Facility on lot: ❑ Yes pt No II Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ¢�,�7_ 4 Date: (o ii 47/to/4 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: Re *sion Notice 3: Date Sent to Applicant: —/ C Fees Entered: Wash Co Trans Dev Tax: Ill E N/A Tigard Trans SDC: ❑ Yes 3/,AParks SDC: ❑ Yes /A LIDA ❑ Yes /A OK to Issue Permit 4/��/ 1#72A1 /� wY` J! Approved by Permit Coordinator: ®Date: /! ' ` I:\Building\Forms\BldgPennitRvw_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 III Transmittal Letter r 10 n It I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: �1 7 DATE RECEIVED: DEPT: B ILDI�ISION R C D JUL 1 b 2019 FROM: )e S ri( CITY 01- I IGARD ON COMPANY: Sia, '' Sl 60,A, - b '1 '3�11 ? l � i� l PHONE: (C493) `f-? r 3Pgg By` lZ--- RE: /0,rs_ 5V /2)- t 4 3 7-70/7- o o z Y� (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: 1 Description: ; Copies: Description: Additional set(s) of plans. I Revisions: /J Al S 2 _sf is i1 Cross section(s) and details. Wall bracing and/or1atera1'anlysis. 3 Floor/roof framing. Basement and retaining walls. Beam calculations. 3 Engineer's calculations. Other(explain): REMARKS: T-K ff 4 c.,P Cet (C S `-3---- i-e i/i s t- S Routed to Permit Technic an •ate: 7 (Le (, Initials: Fees Due: ❑ Yes ` No Fee Descriptioo: Amount Due: be-CAL" $ 0 e__./ •Ok., 1 $ \L $ Special ►" Instructions: Reprint Permit(per PE): ❑Yes ,� o' ❑ Done Applicant Notified: Date: S7hL it Initials: p-- MBuildingTorms\TransmittalLetter-Revisions_061316.doc 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. INCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT If Transmittal Letter r;c;n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 21 /i,; (/ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: 24..,/ 5/K2, /( AUG 8 2019 COMPANY: /3I 1�Y OF_`IGARD Gt G 3UILDING DIVE PHONE: C 3 93 Z3 7 iB By: f /� RE: ()its'$ _1// Of (Site Address) ' "���i u�l"��Z �� (Permit Number) (Project name or subdivisi s name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: ^I Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. 3 lV Floor/roof framing. Basement and retaining walls. Beam calculations. Z Engineer's calculations. Other(explain): REMARKS: 'out-Ito Perini echnician: Date: t Z / 1 Initials: Fees Due: ([ ,c„sC7 No Fee Desc ptio : Amount Due: IA pi& ,4\ r_,t_(A' .u"_),---- $ (43 . -----7 D $ --wf\ ...,---- Special Instructions: Reprint Permit(per PE): ❑ Yes No I p Done Applicant Notified: I Date: tLl` Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc 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 pIII Transmittal Letter TIGARDD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Al1, p J DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED NOV 12 2019 FROM: �it cee 5 ic4 CITY OF TIGA•• � BUILDING DI ION COMPANY: I( - ,.t 57..-e , 63 et s' k e, ar PHONE: TV3 'j 7- -3 '9 Z By:___ RE: ( y Z/-S` sl 1 2 i 07-d/`1-rx -tC. (Site Address) (P-, it Number) (Project name or subdivis' n name and lof number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: ► p'.s: Description: 3 Additional set(s)of plans. 6...) ' Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. U 1'I Engineer's calculations. Other(explain): REMARKS: RRA ti,S lb D'l I/1s0-r-. i I/V\JP G � L �` -- .l —Q,___FOR OFFICE USE ONLY Routed to Permit Teem ' 'an: _„,..-Date: Initials: Fees Due: ❑Yes rs Non Fee Description: Amount Due: /\. 0 .)(:::: r/ $ $ 7 ----- Spial Instr ons: Reprint Permit(per PE): ❑ Yes IDNo ❑ Done Applicant Notified: Date: id g,/'ti Initials: 1:1BuildinglFormslTransmittalLetter-Revisions_061316.doc