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Permit (125) CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2019-00340 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2019 T i c_,A R f� g Parcel: 1 S134AB01700 Jurisdiction: Tigard Site address: 11331 SW BASSWOOD CT Subdivision: ENGLEWOOD Lot: 74 Project: Sunnarborg Project Description: Replacing second story 172 sf deck. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $11,502.64 Rear: 0 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 0 Owner: Contractor: DAVIS,ELEANOR R OWNER Required Items and Reports(Conditions) 11331 SW BASSWOOD CT JUSTIN SUNNARBORD TIGARD,OR 97223 11331 SW BASSWOOD TIGARD,OR 97223 PHONE: 503-702-2542 PHONE: 503-702-2542 FAX: Total Fees: $557.01 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 plan , This per-it will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Ore•• law/e5uires u to f •. -•.• -•-_•. •--0 -••n Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0•: •52--•1-0090. may o• .in a of the rules or direct questions to OUNC by calling 503.232.1•;7 o00.332.2344 Issued By: i Permittee Signature: . �/ - Call 503.639.4175 by 7:00 a.m.for the next available Map,/tin e. This permit card shall be kept in a conspicuous place on the job site un d completion •.6 e project. CCC Approved plans are required on the job site at the time of each inspection. Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLI' City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associat I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: I I(,A .I) 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical 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. ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ® 0 3 Verification of approved plat/lot. 0 ® 0 4 Fire district approval required. Name of district: • 0 ® ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ® 0 6 Sewer permit. ❑ ® 0 7 Water district approval. 0 ►/ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ® El 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ® ❑ 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 ® ❑ ❑ there is more than a 4-fl.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 ® El and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ® 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- ►/ ❑ ❑ 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. ® ❑ ❑ 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- El ® ❑ 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 ❑ ® ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El ® ❑ 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 ❑ ® El 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 ❑ ® ❑ 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 ® ❑ architect licensed in Ore•on and shall be shown to be a to 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". ® ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 El 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. ❑ ® ❑ 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 0 ❑ El Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ El 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 El 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) RECEIVED ),' A SAN 5 ZU19 Clean Water Services File Number' - ITY OF TIGARD /9-a)2113 CleanWater USak&iNVISION Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: '1414#4441 2. Property Information(example 1S234AB01400) 3. Owner Information Tax lot ID(s): is 13L/T b Z7) Name: Justin Sunnarborg Company: N/A Address: 11331 SW Basswood Ct Qa Site Address: 11331 SW Basswood Ct City,State,Zip: Tigard, Oregon,97223 City,State,Zip: Tigard,Oregon,97223 Phone/Fax: 5037022542 Nearest Cross Street: SW Ironwood Loop E-Mail: justin.sunnarborg@gmail.com 4. Development Activity(check all that apply) 5. Applicant Information la Addition to Single Family Residence(rooms,deck,garage) Name: Justin Sunnarborg ❑ Lot Line Adjustment 0 Minor Land Partition Company: N/A ❑ Residential Condominium O Commercial Condominium Address: 11331 SW Basswood Ct ❑ Residential Subdivision 0 Commercial Subdivision 0 Single Lot Commercial laMulti Lot Commercial City,State,Zip: Tigard,Oregon,97223 Other Phone/Fax: 5037022542 E-Mail: justin.sunnarborg@gmail.com 6. Will the project involve any off-site work? ❑Yes a No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Replacing 400 SQ foot deck with 470 SQ foot deck. Same location,increasing dimension away from house. 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 Justin Sunnarborg Print Type Title PROPERTY OWNER Signature ONLINE SUBMITTAL Date 8/19/2019 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 )-6f 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 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. L 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 Sensitive Area 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 19-05,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 I CWS approved site plan(s)are attached. 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 IS REORED. '/ Reviewed by4, filr"----- //��Date `7 (4(249 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 6/2017 1 1 7 • *, R 9 /LOT I fi ' Leril � ' !, v f EUE S 1 tJs P t(2k7: 503 7,,n2 15. i-ro sr114 �` 1r ' er,.�i.�..2 ,.yam e e , . -,y - ,. ti s''' i f. A. 4, IJEW DEQ ;__ , i ¢ �, \IIIIi 1 �� 1 wr / �Q \ bECk# s ' WAY i 'I1 183'` -' 1T ____7,... t1 483' �= A �tfl _ - tJALt, (3') ¢ j C SHEb CWS FILE N0. L -G,Z7/3 x `- k Approved t _ i"..0/)r Clean Water Services ,�. C FOR NVIRONMENTAL REVIEW 8 ‘ ... .; I i, 0ate 9Iq{J2aA 1 SPL ATTACHMEN 1 I OF I ISI City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT II T l c A a D Building Permit Review — Residential Building Permit #: /04i Com' `A p/5 ` o 3 '- D Site Address: I( ,I SO1 P7445010114 0-- Project Name: Ot lly rjrl Dec Lot #: (New dwelling=subdivisi name;Addition or Alteration=last name of owner) Planning Review Proposal: Dec*-- tg,Verify address/suite# active in Accela. or,In River Terrace: i.No Cl Yes,River Terrace Review Addendum Site Plan Elements: 7A rosion Control ig3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 1J!A! 'etained trees with drip line and tree protection measures %Drawn to scale(standard architect or engineer scale) ' ootprint of new structure(including decks)and FFE Jlorth arrow Rptility locations&easements (required for new and additions) ' ite address,project or subdivision name and lot number IKSidewalk/driveway approach Applicant information(name and phone number) ttALocation of wells/septic systems " of dimensions and building setback dimensions treet tree size,type and location Igkquare footage of buildings to be demolished Street names .`Existing structures on site Corner elevations(2'contours if more than 4'differential) IJ Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 7+I- ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? I s JNo XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: l' Yes,applicant was notified ❑ No Receive`"'�� 'yes No ,Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified 'No Applied For: ❑ Yes ❑ No,stop intake 'Land Use Case#: I Zoning: R 4-S- Required Setbacks: Front: ii/A— Rear: IS— Side: 5 Street Side: )IA' Garage: 0/A- O. Building Height: Max. Height: ' 0 Actual Height: g i PArLandscape Area: % ❑ Lot Coverage Max: 0/0 ntrance l! Set back. o m re than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows II Minim 12°0 of area of all street-facing facades Garage II , arage door s be • d widest street-facing wall ❑ Yes ❑ No,one of the following is met: • Door xten o more than 5'from wall and there is a covered porch extending beyond garage. ■ IJ oor xte s n more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. Illi Garage do r wid is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Co red porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset Lf Fire shingles U Lap Siting Li Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony 144-Visual Clearance PitkUrban Forestry Plan X Sensitive Lands: ❑ Yes 'No Type: Nk-Conditions met prior to issuance of building permit Notes: Approved By Planning: Date: Gl Revisions (after Building Submittal on Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw RES 022819.docx Building Permit Submittal Original Submittal Date: i 7/ Site Plans: # Building Plans: # Building Permit#: b►- nter building permit#above. Workflow Routing: ri' lanning Engineering Permit Coordinator Building Workflow Sign-off: I .Sign-off for 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: / ' / By Permit Technician: Date: / Engineering Review [ope at building pad: 07 ❑ Conditions "Met"prior to issuance of building permit LJ Easements (encroachments) per engineering conditions of approval and plat R Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er/No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ❑ Yes C7--No LFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LJ" Approved by Engineering: % •;i Date: eye*? 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: r SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes iN/A El Trans SDC: Yes N/A Parks SDC: ❑ Yes /A Issue PermitLIDA ❑ Yes C N/A OK K to 4 " te: / �/�/Approved by Permit Coordinator: I:\Building\Forms\B1dgPermitRvw_RES_022819.docx