Permit (215) CITY OF TIGARD MASTER PERMIT
1111 _ " COMMUNITY DEVELOPMENT Permit#: MST2019-00334
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 08/26/2019
Trr;;�l?r� 9
Parcel: 2S103CA00213
Jurisdiction: Tigard
Site address: 13170 SW HOWARD DR
Subdivision: WOODCREST NO.2 Lot: 23
Project: Cahill
Project Description: Building 12x24 ft garage.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 11 Bathrooms: 0 Second: 0 sf Garage: 288 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 288 sf Value: $14,034.24 Rear: 5
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 addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1
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:
ACS SF VB S-2 288
Owner: Contractor:
CAHILL,JAMES&VANESSA ZB CONSTRUCTION&PLUMBING Required Items and Reports(Conditions)
TIGARD,OR 97223 PORTLAND,OR 97233
PHONE: 503-706-0072 PHONE: 503-888-5222
FAX:
Total Fees: $705.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
L.
Issued By: Permittee Signature: :
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential
City of Tigard 4 j''l I4 Receivedei
//� v1� 4rt/� �/ � J L/13125 SW Hall Blvd.,Tigard,OR 97223Date/By: ` ls Plan ReviewpPhone: 503.718.2439 Fax: 503.598.1960 Date/By: t Other Permit:
T l CARL) Inspection Line: 503.639.4175 Date Ready/By: �: See Page 2 for
Internet: www.tigard-or.gov Notified/Meth : ,4A. Supplemental Information
7
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
�\ dition/alteration/replacement 0 Other: equipment,materials,labor,overhead,an the profit fir the
" CATEGORY OF CONSTRUCTION work indicated on this application. / Q 3 C�
and 2-familyValuation: ,$„
dwellingj
0 Commercial/industrialCJ�s�;------.
Accesso buiidin Number of bedrooms:
ty g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: t t--4e:, Somex,,, ID New dwelling area: square feet
City/State/ZIP: (ti 6.7 /0 l- 2.2:3 Garage/carport area: 2tab square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: (2(� ESD Deck area: square feet
9j e.)(e`70'MRD 1)K & S Gr Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Q rA_iIrk r 1 c, otA AY,:L AA-ol -tic.ar 02' x 2.'-i' ) el,-, 4A-1.c.
Valuation: $
el 6 v fh s of , A. Out-k. Existing building area: square feet
New building area: square feet
J-PROPERTY OWNER 0 TENANT Number of stories:
Name: J,Q,in..Es 0..AKt c-L, Type of construction:
Address: `'',1-7d 5.,, E{vc.�A4(D --Dc-c.. Occupancy groups:
City/State/ZIP: -i(Pa7!_D/bR/ 172.2 3 `(G tzh i 11 3(c) c.;mit`I ,co try Existing:
Phone:( ) '�p‘_oo 72 Fax:( (J
New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:
(Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
- -
_ _ Amounf received:1.
Phone:( ) Fax::( )
E-mail:
CONTRACTOR
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: Z b. eex>5'f ,,c_..-,.,, S'FLfs.-km..a 6.
Address: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
(2�2$ "jam 9'�r$L� Solar Installation Specialty Code checklist.
City/State/ZIP: p�-TL / Permit Fee(includes plan review
< 2 6 and administrative fees): $180.00
Phone:(co; ) $$- S22 2 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: (rj-t I go 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: QS Gut,t:e_, Date: 7-2s-_2pt *Fee methodology set by Tri-County Building Industry
9 Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One— and Two—Family Dwelling I O R 011( �. 1 S 1: t)v I 1
f
1
City of Tigard1111‘ Received
Permit No.:
13125 SW Hall Blvd.,Ti ard,OR 97223 Associated Associated permits:
1 Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
n G n lz o Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEJIS :ARE REQUIRED FOR PLAN RE VIENN lc' y° y st
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 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 ❑ ❑❑
6 Sewer permit. 8
7 Water district approval. 0 0
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 0
0Qbasinprotection,etc.
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
heet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
( opyright violations exist.
1.1 ite/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.
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.
JURISDICTIONAL SPECIFICS
2
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 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. A
❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑
26 "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 A 0 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 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application t :l ,. FOR 01'1'l( I: I 'I OSI 1
'City of Tigard , 'Received Permit#:
Date/B :
lig13125 SW Hall Blvd.,Tigard,OR 97223 v Plan Review
' III Phone: 503.718.2439 �i`'` `i )?�� Date/B : Related Permit#:
Email: TigardBuildingPermits@Tigard or gov, Ready Date/By: Juris: H See Page 2 for
l I G A R D Inspection Line: 503.639.4175 Internet:-lvvvw.tigtt rd-or gov`- . Notified/Method: Supplemental Information
TYPE OF WORK ''' 4�s i ►' .aa.,y PLAN REVIEW
0 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2,sets of plans w/items checked):
❑Service or feeder 400 amps or more ElBuilding over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural
y 0 0Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job site address: ❑Addition of new motor load of system.
Job#:
I (31 gv f:1 - z limit, 100HP or more. ❑"A","E","I-2","1-3",
El Six or more residential units. occupancy.
City/State/ZIP: T d 6,AICt. t1� /et 7 2 s,'3 occuanc El Health-care vehicle Health-care facilities. 0 parks.
Suite/bldg./apt.#: I Project name: 0 Hazardous locations. 0 Supply voltage for more than
fit- ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: c,,J Hor�r►t2D 12.7r.,. t�. 12 I.5--r FEE SCHEDULE
l_ A� Description I Qty. Each I Total I *
S &-L D D K. ES C f• New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
PROPERTY OWNER ( 0 TENANT Services or feeders installationialteration,and/or relocation
Name: 7S-4, 5 1:.41 Nr L L 200 amps or less 100.70 2
Address: ['z tel.t9 S,.,-1, hld,_,,q�p �� 201 amps to 400 amps 133.56 2
/ 401 amps to 600 amps 200.34 2
City/State/ZIP: �.*.T(-�L/& Jet 7 2 23 601 amps to 1,000 amps 301.04 2
Phone:(5 ) got, -ex)-4_2_ Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: 'U.;t( IS q,,�,Q:I I.c.e.,--. relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchan e,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: 4/C Date:7-2S- (1 401 amps to 599 amps 168.54 2
0 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 7.42 2
Contact name: B.Fee for branch circuits without
service or feeder fee,first
Address: branch circuit 56.18 ( 2
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
` nante: _ 1 -9fgnurorrttittetighttng — -4-. a d'f:BA 4 _- `2,
Address: Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(Vs hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Description I qty. Icn I Total
3' Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n B• urglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener*
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
H Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
" > ELECTRIC = R ,FEES
C(IIMMERCIAI`WORK ONLY: 4 ,
��" Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
Fl Clock Systems
H Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017
L
Clean Water Services File Number
`�P.
1 2.65
CleanWater Services • x ,_ ,a
Sensitive Area Pre—Screening Site Assessment
• AVG 14 2019
1. Jurisdiction: " f t RXa
2. Property Information(example 1S234AB01400) 3. Owner Information ;
21
Tax lot ID(s): ZS I Q 3EW 002.13 Name: Vanessa Cahill
Company:
Address: 13170 SW Howard Drive
OR Site Address: 13170 SW Howard Drive City,State,Zip: Tigard, OR,97223
City, State,Zip: Tigard,OR, 97223 Phone/Fax: 5034309504
Nearest Cross Street: SW 121st E-Mail: vfm.cahill@gmail.com
4. Development Activity(check all that apply) 5. Applicant Information
la Addition to Single Family Residence(rooms,deck,garage) Name: Vanessa Cahill
U Lot Line Adjustment ❑ Minor Land Partition
Company:
la Residential Condominium U Commercial Condominium Address: 13170 SW Howard Drive
U Residential Subdivision ❑ Commercial Subdivision City,State,Zip: Tigard,OR,97223
❑ Single Lot Commercial f] Multi Lot Commercial
Other Phone/Fax: 5034309504
E-Mail: vfm.cahitl@gmail.com
6. Will the project involve any off-site work? Q Yes iiii No ❑Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
We're adding in a detached garage(12'x24')to the side of our house.
This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, f'
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 Vanessa Cahill Print/Type Title
Signature ONLINE SUBMITTAL Date 7/29/2019
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
required.
LL 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 19-05, Section 3.021. All required permits and approvals must be
obtained and completed under applicable local,State,and federal law.
LI ..sed 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 it they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 19-05,Section
3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. I•
❑ This Service Provider Letter Is not valid unless CWS approved site plan(s)are attached.
Li 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 S RE IRED.
Reviewed by Apr Date Q)112 1 2,0 11
Once complete, email to: SPLReview@cleanwaterservices.org • Fax: (503)681-4439
OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway, Hillsboro, Oregon 97123
Revised 8/2Q17
City of Tigard
114 a COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: //A5 Ci, ' 0('-'3 L/
Site Address: /2f gk ) ilo _ 2 r"
Project Name:ite ALot #:
(New dwelling=sub ivisio> e;Addition or Alteration=last name of owner)
Planning Review ������JJ////
Pro,osal: /t1,4) eit.) 1u,61
r Verify address/suite# active in Accela. n r' race: No CI Yes,River Terrace Review Addendum
Site lan Elements: osion Control
3 -.pies of site plan on 8-1/2"x 11"or 11 x 17"paper I\ tained trees with drip line and tree protection measures
M P awn to scale(standard architect or engineer scale) 61 .otprint of new structure(including decks) and FFE
ro›erth arrow Yqyfility locations&easements(required for new and additions)
.0'Si}te address,project or subdivision name and lot number S 'Sidewalk/driveway approach
Applicant information(name and phone number) ►1,I� .cation of wells/septic systems
Mot dimensions and building setback dimensions 111'reet tree size,type and location
ID' are footage of buildings to be demolished 7 S eet names
M. xisting structures on site VCorner elevations(2'contours if more than 4'differential)
%""It area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace.. ❑Yes V
servious area(applicable if R-7,R-12,R-25&R-40)
If yes,is a storm water quality facility shown? 3 kAYes aeo
YA Clean Water S rvtces—Service Provider Letter(lot platted prior to 9/10/1995): V/Y/es uired: Yes,applicant was notified ❑ No Received: Lg Yes ❑ No
I �•ublic Facilities Improvement (PFI) Permit: /
Required: ❑ Yes,applicant was notified No Appliiee For: ❑ Yes ❑ No,stop intake
\at.and Use Case#: m Zoning: c
n,Rtquired Setbacks: Front:. ..2(‘) Rear: Side: Street Side: A#—Garage: N2 0
Building Height: Max. Height: /8— Actual Height: /®-C
1111 andscape Area: % 01of Coverage Max: 0/0
Entrance ir. -t back no more than 8'from street-facing wall ❑ Parallel to street or . -t 45 degrees or less
Windows ❑ Minimu °o of area of all street-facing facades
Garage ❑ Garage door is be'ti : .'dest street-facing wall OK ❑ - ❑ No,one of the following is met:
❑ Door extends no more 1 . 'from wall and th : ' a covered porch extending beyond garage.
❑ Door extends no more than 5'from r . .nd there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or , ❑ 50%or .f facade ❑ 60%or less and includes 7 of following:
❑ Covered porch 'ecessed entrance ❑ Wall of s- ❑ 1'Roof eave ❑ Roof offset
• -0 .. - ...._ —0 Lots sick- 9-Rea€pig fl Gable;-%., . . roof-_-9-Dormer
■ ccent siding ❑ Window trim ❑ Window recess ❑ Window : :.- tion ❑ Balcony
\ Visual Clearance ‘ Urban Forestryyran
�l''Knsitive Lands: 0 Yes 0 No Type:
Il onditions met prior to issuance of building permit
of
1124 Approved _ v---
vr
PP ByPlanning: w . Date: AILINE
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: El Approved ❑ Not Approved
I:\Building\Forms\BidgPermitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: 7l GIG y
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning Engineering p7.Permit Coordinator Building
Workflow Sign-off: Sign-off f r Planning(include notes from planning review
Route Application Documents: 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: fe-
/
By Permit Technician: /Id- /A`,`__ `� Date: pi,-
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Engineering Review
igr Slope at building pad: 3 a o
• Conditions "Met"prior to issuance of building permit
• Easements (encroachments) per engineering conditions of approval and plat
t21 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes MI No
Assess Water Quantity Fee in-lieu: ❑ Yes ' No
LIDA Facility on lot: ❑ Yes ig No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
k Approved by Engineering: .5 J Date: 5 - (5
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
LI 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:
1Q SDC Fees Entered: Wash Co Trans Dev Tax: ❑ YesA/A
Tigard Trans SDC: ❑ Yes t/A
Parks SDC: ❑ Yes I /A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: L `�
I:\Building\Forms\BldgPermitRvw_RES_022819.docx