Permit (130) CITY OF TIGARD MASTER PERMIT
i. COMMUNITY DEVELOPMENT Permit#: MST2019-00344
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2019
Parcel: 2S 115A606100
Jurisdiction: Tigard
Site address: 11494 SW GABRIEL ST
Subdivision: WILLOW BROOK SUBDIVISION Lot: 6
Project: Willow Brook, Lot 6
Project Description: 182 sq. ft.deck addition and 129sq.ft. Deck Cover
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces:
Height: 13 Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: 5 Detectors:
Total: sf Value: $7,579.07 Rear: 15
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
: N
Other: N Other Description: Ecom pasin g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3
Owner: Contractor:
PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE: 360-573-8081 PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $432.78
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 Notificati+n Center. Those rules are set forth in OAR
952-001-0010 through OA,R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5.4.232.1987 or 1.800.332.234'.
Issued By: � _. Permittee Signature:– Ai i AP
/ - Ve ../I/
—
Call 603.639.4175 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 I OR 01 1 R. t Si.0yI.1
City of Tigard
l!^•" F t , eceived
g Date/By: .07)-- Permit No./175-7-20/[ -...003 iff,
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review14 ��-^�- "7
I Phone: 503.718.2439 Fax: 503.598.1960 ., ,t' 9 * 10 �, 4 • Other Permit:' ' U ` Ct 177-
. ., t,.y Date/By: � �� 1�J �` I 77-
Inspection
-t I C A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notifie�dfl hthod:� s. I or 1 77 Supplemental Information
/ACL///Lt..d
TYPE OF WORK `" " REQUIRED DATA:1-AND 2-FAMILY DWELLING
VNew 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 OF CONSTRUCTION work indicated on this application.
Valuation: $ - 4(;I) / 15/% i C1-and 2-family dwelling 0 Commercial/industrial
al
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 114(14_ 5,-,„0 G ),-,..e 3_ New dwelling area: square feet
City/State/ZIP e) 6', � Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: i sz. '] square feet
tiz trt street d J ifl square feet
,�' + CJ V u � � I REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Cle 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.: 2 11 `uz) equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
J'1 Q/1/ /6 Valuation: $
-.Q k/ J 1/0.
^•- IST l Existing building area: square feet
C /1(ul New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: U r"' ,. Type of construction:
Address: I c N -� c Occupancy groups:
� ��� _ P Y�' P
City/State/ZIP:JUl C e, I aor � &--)�
I Existin •
Phone:PQ) 51 3, `o o t, 1 Fax:( )
New:
TAPPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
J
{Please refer to fee schedule
Business name:
Structural plan review fee(or deposit):
Contact name: a
„]Q e j` v `'l l FLS plan review fee(if applicable):
Address: r°f s - _
City/State/ZIP:
�l Total fees due upon application: 7 41g
-r-=T_ --r_ _T_ Amount received:; — _— _
Phone:( ) Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: 6� a_S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:
L Total fee due upon application: $201.60
Ornd Authorized signatur • 6 �[ This permit application expires if a permit is not obtained
c v within 180 days after it has been accepted as complete.
p Date: *Fee methodology set by Tri-County Building Industry
Print name:
Gty I p 0424� 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 I o R 01 I 1 1. l ti l: oil l
City of TigardIN Received
Permit No.:
13125 SW Hall Blvd.,Ti ard,OR 97223 Y
g Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other:
THE FOLLOW'1'ENG ITE1IS ARE REQUIRED FOR PLAN REVIEW 1" 1O y',k
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 U
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 U 0
4 Fire district approval required. Name of district: • 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0
6 Sewer permit. 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
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
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
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 ❑
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 ❑
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
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 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 Oreton and shall be shown to be a,s licable to the aro•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 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0
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 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 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, 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)
City of Tigard
.114 p COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: 71,57- 6/i- tP� f
Site Address: /N 94/7` .,S? Qoin2 / 9J
Project Name: l ' &V° Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro osal: C?2v,R, die. (i1 r,,,,dr ---0140_ Ab-7,,,,L/J Verify address/suite#active in Accela. 1 11!' n River Terrace: 7No ElYes, River Terrace Review Addendum
SitPlan Elements: 1O) osion Control
titopies of site plan on 8-1/2"x 11"or 11 x 17"paper 1► • • ained trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) otprint of new structure(including decks) and FFE
opt
12rrth arrow la -. •ty locations&easements(required for new and additions)
address,project or subdivision name and lot numberr.Sidewalk/driveway approach
10 licant information(name and phone number) 71),.cation of wells/septic systems
I4Lot dimensions and building setback dimensions r4 S eet tree size,type and location
NI 0. uare footage of buildings to be demolished St et names
V sting structures on site Vorner elevations(2'contours if more than 4'differential)
I.Lot 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? ' Yes o
WO lean Water Services—Service Provider Lette of platted prior to 9/10/1995):
eguired: El Yes, notified
applicant was 1G No Received: ❑ Yes ❑ No
Vli�ti ublic FaciImprovement(PFI) Permit:
i quired: iCJ Yes,applicant was notified _ No Applied r: Yes ❑ No,stop intake
nd Use Case#: Cu .O1 ' a // Zoning: 1L"--9—
Required Setbacks: Front: P Rear: / T Side: ';- Street Side: opr
Garage: tilr
/Building Height: 4__n Max.Height: Actual Hei ht: l
1101 Landscape Area: c-Cj % Lot Coverage Max: !J_
Entrance 5 Set back no more than 8'from street-facing wall ❑ Parallel to street . . set 45 degrees or less
Windows ❑ 2%of area of all street-facing facade
Garage ❑ Garage door is se �.-• widest street-facing wall � ■ -es ❑ No,one of the following is met:
Door extends no more . -. 5'from wall and • e is a covered porch extending beyond garage.
❑ Door extends no more than 5' ro .n and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12' • •ss ❑ 50%o - _ of facade ❑ 60%or less and includes 7 of following:
El Covered porch a Recessed entrance ❑ Wall o ❑ 1'Roof eave ❑ Roof offset
-
■ ire ;n es ■ ap i. • •oo pitc • a. e, -b. .r: .re roo ❑ Dormer
_ ccent siding Wind •ow trim ❑ Window recess ❑ Window . •-ction ❑ Balcony
fE isual Clearance rban Forestry Plan
7 nsitive Lands: Yes CI No No Type: . i7 ?�
Y' 9 —
Ilt Conditions met prior to issuance of building permit C
No : _ yy
Aspproved By Planning: — ---k-- Date: -
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl 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: !�
Site Plans:
Building Plans: #
Building Permit#: me uilding permit#above.
Workflow Routing: lanning g Bering rmit Coordinator ung
Workflow Sign-off: gn-off for Planning(include notes from planning review)
Route Application Documents: C1'-,ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original lan review routing form.
ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: I,_� ,, Date: ; e
Af
Engineering Review
12r-S-1-ope at building pad: L o
Rfonditions "Met"prior to issuance of building permit
Basements (encroachments)per engineering conditions of approval and plat
eater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes C•3—No
Assess Water Quantity Fee in-lieu: ❑ Yes
LIDA Facility on lot: ❑ Yes Ls N o
R' N'inal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
•
pproved by Engineering: 1Z tit) lc S Date: g—`l f g
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 on Notice 3: Date Sent to Applicant: /
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes E1 /A
Tigard Trans SDC: ❑ Yes
Parks SDC: ❑ Yes Z /A
LIDA ❑ Yes N/A
OK to Issue Permit gir Approved by Permit Coordinator: Date:g/� l
I:\Building\Forms\BldgPermitRvw_RES_022819.docx