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Permit Iii CITY OF TIGARD k MASTER PERMIT ii 4 COMMUNITY DEVELOPMENT id 22- .zo , Permit#: MST2019-00357 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2019 Parcel: 2S103BA00104 Jurisdiction: Tigard Site address: 11890 SW ANN ST Subdivision: LERON HEIGHTS Lot: 4 Project: HUTCHISON Project Description: A new 240 sq.ft.storage addition. 10/22/20;Adding (5)branch circuits BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 12 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $11,695.20 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 SrvclFeeders Branch Circuits 1000 star less: 0 0-200 amp: 0 0-200 amp: 0 Wl Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 5 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: ADD SF VB R-3 0 Owner: Contractor: HUTCHISON,PERRY C STRAIGHT LINE DESIGN&REMODELING LL Required Items and Reports(Conditions) 11890 SW ANN ST 4640 SW BEAVERTON HILLSDALE TIGARD,OR 97223 HWY PORTLAND,OR 97221 PHONE: PHONE: 503-244-5463 FAX: Total Fees: $656.67 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 throug R 952-00 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. --5 �ie�-- Permittee Signature: B/V • --f'"'L/G-1—TTOBI! 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. Electrical Permit ArPolicAtion OCT 2 1. 2n7f) 1.14.11.(4 1 ,1 ,i,i ) City or Tigard RPM/1MM P"'"'4--\ /-1.5 r2o/9—V >' ..- 13125 SW liaLt Blvd,Tigard.OR 9,221 '-1 ' e'--)i- 1 '' .., Phone: 503.7 t6.2429 Far. 503.196 146f2'1.1)i \i G DIVISIOf ERijinIIIIIIIIIII invo.r...fi law 563639 4172 1;' ''1.''; hamost vhitruitatiolautotot Notiftiolhlothwa hopptanwohal irtformatilow 0',Um imnstmacition & Acidiritonhittcuitaitescolovainent Pkwor Morita*that opal ismitat;saw ot tram a torsos taw:twat 0 Stnorr or imam 466 imps,*Pil.*It 0 litaiden4456,11146.00{41eS 0Demoloo4i 0 ekhcr. wharr air oisouttir tam KINOVIV: ID M.,...5.04 t1,41.9i.44, clatIrldt 661.1)(1114161(1131 LSO.,L*s.II 0 invocea tooluip. Fgt.und z roma 13:doer*ing 0 r11111111/411.140441t566rimi ID Acocssory hal[dog *rya tor oil maer inuallationt bailiastm. 0 multi.fittlii, 0 Maga bulkier 0 Ulm': DPW Pal* 0 howihooti of LSO SW km ,,IfIttlItIzi, ..,f4i27.777771'.'""Tr, c.:,:,..; ,,..,,,,.:,. : Ao-etgar—in DERNAPAWAYAAem- wfvel foorticiy4desi,--il „At. ,.,„-ii L... „airs. 0,66ifition of arir motor toad of 1511156 kb*: 5011 vac wilitietiv- 1//Dee, m•tit..' irrrve•in, -20 f MOM"or MY D'A',1E',"lr, I-r. 06iii or mire maistrosol Was. 6.711115111115,. Cil)1151156dZIP: T t(,:,. A i. t, , ' 7 Z-2 Clairatth rare tra-titurs. 0 ikeifisuauwit',shit is tool* Suiawabldssiapi.fa: Project sante: DI tivaterven lamina 0 Smola maw hts 1601161145 1:)&1r6101.or form*660 atom or mow Ctous surwAhtectiona to yob site: twenties, Stw, ,,3401„„„ 111.6771111111111 • Neat residemial siogire or oultietaratly Owing.rant. • Subdivision: I lot#: inciades attached wrap. — 1,060 in,h.re Iwo 166-24 4 :Tax maprparcei#. 2 sie -l-gielecici-. F4,WW1 Sik m.* ot powatut 33.92 I ;;;;‘,"i't tatimuat Wirral.iWe-vsisil-ivIsi 7500 ! 2 Coo*Moir It limiind erwora,moati-family 75 OP 2 /14.S'; '-/ residential, (Malt„Mow tio.OA • Ste ... 2 ' -- * Santos or fordtra . , ' .. slier ettank aselkir relosolas Slatg'• Pi--1.?izy c i-lci•Te tii.se 200 wen ot ito. Mtn a Acithcac i(rye .,51„4„) /34,,,),41 45.-r 201 amps to**amp 121.16 MI 2 40i ampi*WM twiltat 211234 Mil 2 CitylStiorMP: -riticifit2D: 1)4 cr2 ---3 WI awns to I,300 woe 3611.64 2 MUM"15(3) 59.c,-30) 3 Fax:i, i Over 13017 owns cr auits 622.26 -- - p'1. 07-0 e Acte$261,-. 141›teico., Caat"1- Tasupurarywerrioss or Smititint '--inisteillidwo,allatrottow aridior I relocation Owner insodiationt This initallatiOn is being made on tympany:that I own which is not 203 now er kw .1"-- Wended ftw le vale, ase '..,.Orript, , (.YRS 447.449.670;7... ..,to 402 araimt s to- I Inxis , : 2 (luso stiutiou - , '- .;04":„..„..........-------- wir / iceer*( nil wipe to Yita maw I I 118.51 I 2 i II. -at**o",:'"" — —",-„-'',-, ,'':a,,,,,,t,,a6 A^V,',!..RA '':----"IrAr:.ArrirLAL: -27,,..,..til Rama dittiaala-WM! , . ,, wr a - ' Huta MSS 11,NMC: above senate sr kasha lite. 742 2 , mai briutrh r Imola Contact name: B.Far furl:womb circuits Kubota tornat or frocks few dm i Stilt Oh If 2 Address:, brutal drain C61)1S625Cir7ir: Eitt16 44411115611410 oiteui6 Phone:( I Fax::t i Each mwouttwattuil ot staailwatr 4,784 duitatitts ioraviO4 maidAtt fooka rissil: • Stostoten*My 67.34 6734 StAintilt mune Si1n or Quaint ktailtiitig, 6714 2 2 -----, • -548riai circuit(al ar limmethetertl 0 sat thou 2 i 2 Mariam: • pace*atilitIMOW 46 441419605 EN*01511115511114155 5110P44151611 over inerrahle in ono dew Meow City4Stalei7IP; liskiiiimmi impactors 41 hr miwa f 66,2ew at Maw 4 i —1 FOX.4 i' inentionwe C I Itt Irani ,. e , 33/93 ht * bewatrial pan(l IV Oral t ' 71,13/1u EtnatE ko%Naga,00 att 8, I , stooviv Cat Lk.: Eitactrical I...ic,7 Supra.tic.: '... *Wad 06 hr mitt Swprv.Fircincian stream mquired: Sistasat : , 'es . Fririt name: I Mtn: D Phut grain;R43111411611151g1 a p51111111 fCC4, Siam midair t1212 a Fenno lac): he it,,32 TorAt.PERMIT WE: fc., i Audwitizeti sionallutr. Talti wow aontklantninref it a wpm*I ittAt ObNilled nitwit IUD Prisr—W7a lima" Paw 116,64 after Es ht.bon.*I rertanAl Rh Millpiltigt, 4 Numbcr of 16654610m aimed F46 perm! 1^AkaAnwthAixotar 146,164144_63116-115 dPIP ill.Cklirg.tepcs 5414615111161510364111411 CITY OF TIGARD MASTER PERMIT I ' COMMUNITY DEVELOPMENT Permit#: MST2019-00357 Date Issued: 10/09/2019 T I G A It 11) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2 S 103BA00104 Jurisdiction: Tigard Site address: 11890 SW ANN ST Subdivision: LERON HEIGHTS Lot: 4 Project: HUTCHISON Project Description: A new 240 sq. ft. storage addition. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 12 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $11,695.20 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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'I 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: ADD SF VB R-3 0 Owner: Contractor: HUTCHISON,PERRY C STRAIGHT LINE DESIGN&REMODELING LL Required Items and Reports(Conditions) 11890 SW ANN ST 4640 SW BEAVERTON HILLSDALE TIGARD,OR 97223 HWY PORTLAND,OR 97221 PHONE: PHONE: 503-244-5463 FAX: Total Fees: $560.51 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 :quires you to i•Ilow the r es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-Or .0997 ttmay o =in a copy/e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 344. Issued By: _ / Permittee Signature: � G / Call 503.639.4175 • vai able inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the pro' Approved plans are required on the job site at the time of each inspection. I Building Permit Application Residential lUIt(HUH . l SE t)v► l City of Tigard �f� E' V E® ReceivDate/By: // . PermitNo.: ,9y-tSI rry_wit. 7 13125 SW Hall Blvd.,Tigard,OR 97 3 Plan Review ' Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t Co �� TIGARD Inspection Line: 503.639.4175 SEP 5 2019 Date Ready/By: /may Juns: 0 See Page 2 for Internet: www.tigard-or.gov TIGARD 'otified/Met ,�, ` L/� Supplemental Information CITY OF -', `,, TYPE OF 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 OF CONSTRUCTION work indicated on this application. Valuation: ►� $if QO s 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ElMulti-familyNumber of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11890 SW ANN ST. New dwelling area: square feet City/State/ZIP: TIGARD, OR 97223 Garage/carport area: 240 square feet Suite/bldg./apt.no.: Project name: HUTCHINSON Covered porch area: square feet Cross street/directions to job/ site: SW 21ST AVE [[ may. Deck area: square feet Slry J �/(,der- G.,eG/[� /e,e-eii'Z (/4/A1,- Other structure area: square feet A'rl/1 rt-15 5th' lce ieee t/1iY C t/4 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: R471563/2S103BA00104 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. CONSTRUCT 20'X12' STORAGE ADDITION ON SW CORNER OF Valuation: $ THE EXIST. RESIDENCE. Existing building area: square feet New building area: square feet IR PROPERTY OWNER I 0 TENANT Number of stories: Name: PERRY HUTCHINSON Type of construction: Address:11890 SW ANN ST Occupancy groups: City/State/ZIP: TIGARD, OR 97223 Existing: Phone:( ) Fax:( ) New: Ni APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (PleasBusiness name: STRAIGHT LINE DESIGN AND REMODELING LLC. viewere(ordfer to epoe it): Structural plan review fee(or deposit): Contact name: STEVE GRIFFIN FLS plan review fee(if applicable): Address: 9645 SW BEAVERTON HILLSDALE HWY City/State/ZIP: Total fees due upon application: 7'f 6.1,-� y BEAVERTON, OR 97005 `/�' Amount received: Phone:( 971) 275-3261 Fax:: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: STEVE@STRAIGHTLINEDR.COM Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: STRAIGHT LINE DESIGN AND REMODELING LLC. 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: 9645 SW BEAVERTON HILLSDALE HWY Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503) 244-5463 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:195218 (1, /1 t-!91_ 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: Cj' ` F + /...._.: _ Date: ( r *Fee methodology set by Tri-County Building Industry �t '�C, 7�+ , !-i/1 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-461 T(lI/02/COM/WEB) Clean Water Services File Number CleanWater\ Services 19-003087 Sensitive Area Pre-Screening Site Assessni C' 1 VED 1. Jurisdiction: Tigard OCT 9 2019 2. Property Information (example 1S234AB01400) 3. Owner Information ='(� �� R� Tax lot ID(s): 2S103BA00104 Name: Perry Hutchiso�r UILD1NG IJiViS rj o7"�... 1 Company: Address: 11890 SW Ann St. QR Site Address: 11890 SW Ann St. City, State,Zip: Tigard , OR, 97223 City, State,Zip: Tigard , OR, 97223 Phone/Fax: Nearest Cross Street: 121st Ave E-Mail: pluto@agora.rdrop.com 4. Development Activity (check all that apply) 5. Applicant Information In Addition to Single Family Residence(rooms,deck,garage) Name: Steven Griffin Q Lot Line Adjustment 13 Minor Land Partition Company: Straight Line Design and Remodeling LLC. a Residential Condominium a Commercial Condominium Address: 9645 SW Beaverton Hillsdale Hwy ▪ Residential Subdivision Commercial Subdivision Single Lot Commercial U Multi Lot Commercial City, State,Zip: Beaverton, OR, 97005 Other Phone/Fax: 5032445463 E-Mail: steve@straightlinedr.com 6. Will the project involve any off-site work? ❑Yes lin No Q Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits,Connection Permits, Building Permits,Site Development Permits, DEO 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 Steven Griffin Print/Type Title Architectural Manager Signature ONLINE SUBMITTAL Date 9/17/2019 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 19-05, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. 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 1 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 REQUIRED. Reviewed by _��c% Date 10/9/19 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 - . ANN ST. - CURBLINE -,r- ,-- '14 110' / r • 77.._ _ 41, ----, •. r-- ---1 r ___ • • . , EXIST. •-- 11'-4" RESIDENTIAL & I GARAGE I I I . I r , I . • 1 z\I PROPOSED 1 • 5,,i N— ADDITION 1 in 4, -20' 68'-8" • : ,-- . , b CWS FILE NO. i /.0c/30 g 7 Co 71- 'Tr Approved • ,-- . • Clean Water Services FOR ENVIRONMENTAL REVIEW Oate /a-?•19 SR:ATTACHMENT / OF • • -4--- N FORESTER_) SITE PLAN A C__ AREA 1" = 16'0" • — — — — — SETBACK 4 BOUNDARY LINE ( is / Imonom.....• • • em•••••••••••••••......Emom • -A- . . - 110'-1" -4. City of Tigard IIw COMMUNITY DEVELOPMENT DEPARTMENT C . TIGAIZD Building Permit Review — Residential Building Permit #: l)157-0/q-0035-7 Site Address: //g 9D SA) / nn Project Name: AlAjin-Qt,'t_ 4,01/3>--r� Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pro al: Ald/jf ?l On i e - hOnut_ IV Verify address/suite#active in Accela. OKI Terrace: V No ❑ Yes, River Terrace Review Addendum Sit ,Plan Elements: II.` ion Control (43c. opies of site plan on 8-1/2"x 11"or 11 x 17"paper \•. tained trees with drip line and tree protection measures yawn to scale(standard architect or engineer scale) `..tprint of new structure (including decks) and FFE V.erth arrow .ty locations&easements(required for new and additions) 4Se 1� address,project or subdivision name and lot number y`�:�5 =walk/driveway approach 4Q .plicant information(name and phone number) VA anon of wells/septic systems L• dimensions and building setback dimensions \\Jj reet tree size,type and location .IA-uare footage of buildings to be demolished 7/ reet names Mting structures on site oCorner elevations (2'contours if more than 4'differential) area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Y s N uyipervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes 10 Clean Water S ices—Service Provider Letter(lot platted prior to 9/10/1995): Required: es a lica t was n•,i•ed CI No Received: CI Yes No gyp( .1 'Y�zt'Ge ' ubhc Fac nes Improvement (P I) Permit: Required: ❑ Yes,applicant was notified Permit: AppliFor: ❑ Yes ❑ No,stop intake vI1 :nd Use Case#: gr Zoning: e ST 'equired Setbacks: Front: - Rear: / Side: Street Side: Garage: /0/if— VA Building Height: Max. Height: 0 Actual Height: /f S '00 andscape Area: % of Coverage Max: cyo Entrance ii -t back no more than 8'from street-facing wall ❑ Parallel to street or o . '5 degrees or less Windows ❑ Minimi %of area of all street-facing facades Garage ❑ Garage door is •e • widest street-facing wall ❑ _- ❑ No,one of the following is met: ❑ Door extends no mo - ...n 5'from wall and e - " a covered porch extending beyond garage. ❑ Door extends no more than 5 i•. w. : • there is a 12 sq ft.window above garage on 2"d floor. ❑ Garage door width is ❑ 12'or -: • I' . • less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ■ 'ecessed entrance ❑ fa, : set ❑ 1'Roof eave ❑ Roof offset ❑ Fire s . . ❑ Lap Siding ❑ Roof pitch ❑ .; - hip,or gambrel roof ❑ Dormer o • cent siding CIWindow trim ❑ Window recess ❑ '''.-•ow projection ❑ Balcony Visual Clearance OK-rban Forestry P ensitive Lands: ❑ Yes V No Type: oonditions met prior to issuance of building permit 0,..:re pproved By Planning: ..,___—___ lanning: /,, Date: Si FM Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 1751/4 Site Plans: # Building Plans: # Building Permit#: nterer�building permit#above. Workflow Routing: 11."1 nning El- S gineering coordinator ding Workflow Sign-off: ][ n-off for Planning(include notes from planning review) Route Application Documents: gineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. D—BTfding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .,..- Date: _ _ __/ Engineering Review Slope at building pad: 2Z ❑ Conditions "Met"prior to issuance of building permit Er F�.asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes 2'No ^/ LIDA Facility on lot: ❑ Yes [ No 12 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: a-Approved by Engineering: T.,,`,,,/Zf,�� Date: 9//a/9 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved E Not Approved Revision 2: ❑ Approved E 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: P4DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes WI/N/A Tigard Trans SDC: ❑ Yes I/N/A Parks SDC: ❑ Yes 1 N/A LIDA ❑ Yes N/A OK to Issue Permit X q//12// r Approved by Permit Coordinator: AD %ate: lIU /I 1:\Building\Forms\BldgPermitRvw_RES_022819.docx ANN ST. CURBLINE - r-- _ <91:111 110' i. 1-• 1L2OU . r CN1 C\1 1 N-- 1 e- ..............] / : F --1 r . • • . 10' EXIST. N.- 11'-4" RESIDENTIAL & GARAGE • it • • PROPOSED • ADDITION = (7 20' 68'-8" • = -i- -1- -4- CITY OF TIGARD Nt • • .--- . Approved by P anning • Date: Initials: Sielit" C7Pt rgcl • • (T70 275 - 3261 I FORESTEp_j SITE PLAN , c AREA 1" = 16'0" - - - - - SETBACK I BOUNDARY LINE L_ —f— — — — — ____J • , 6.--........... • • ... 19 .................. • lio'-i"