Permit (4) CITY OF TIGARD MASTER PERMIT
41
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`' COMMUNITY DEVELOPMENT Permit#: MST2019-00423
Date Issued: 11/26/2019
--f GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S115AB06100
Jurisdiction: Tigard
Site address: 11494 SW GABRIEL ST
Subdivision: WILLOW BROOK SUBDIVISION Lot: 6
Project: Hyink
Project Description: A new 220 sq.ft. 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: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $4,961.00 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
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 addl 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 N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
CAROLYN HYINK ADRIANS QUALITY FENCING&DECKS Required Items and Reports(Conditions)
BROWN,CAROLYN A TRUST 3115 SW 211TH AVE
15532 SW PACIFIC HWY Cl B#507 BEAVERTON,OR 97003
TIGARD,OR 97224
PHONE: PHONE: 503-848-8233
FAX: 503-848-8721
Total Fees: $408.94
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 fo •• -s adopted by the Oregon Utility Notification Center. rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o•ain a copy of the rd:s or direct questions to OUNC by calling 503 232 :• 0, .809 32.2344.
-41111Issued By: / AL.I_ - •- Signature: .w
41.03.639.4175 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 RECEIVE Received
Date/By: 1�/ �14 PemutNo.:
y: s'°? c'I&r'_ti i)..
1„, II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r
Phone: 503.718.2439 Fax: 503.598.1960 NOV 18 2019 Date/By: `lt/ 11 Other Permit:
['1 c;A R D Inspection Line: 503.639.4175 Date Ready/By. 111 � Jwis: H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD No ed/Meth : i ��//�R. SupplementatInformation
RIM DING DIVISION ., /
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
[(New construction ❑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."'"j
1//�I C�I
f*943u* g- mmValuation: $and 2-family dwelling 0Coercial/industrial -t l
ElAccessory 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: 11411- S i" Ga 6„z1 Si-. New dwelling area: square feet
City/State/ZIP: PerUo4 to9,, / Cj 7,72, l Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: rl N44 Covered porch area: square feet
Cross street/directions toob site:
J Deck area: ZQQ square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
1:-.54.4 V Nw /� t, Valuation: $
L��- Existing building area: square feet
New building area: square feet
[PROPERTY OWNER 0 TENANT Number of stories:
Name: (‘kr. /^ H Y I A k Type of construction:
Address: I(�q If Sw O4,i e 1 V- Occupancy groups:
City/State/ZIP: po f 44,4 /Old, / ciX22`{ Existing:
Phone:($1i ) 963 -38,7; Fax:( ) New:
Er APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please Pe(ermjeeschlee)
Business name: 2nt pa I- .i-r f,.vt,o..t
Structural plan review fee(or deposit):
Contact name:
A 1 c'ew Pe}-riser
FLS plan review fee(if applicable):
Address: 3 115 5 W 2.u* Ay, on:Total fees due upon application:
City/State/ZIP: tNrtl
a6n // a R / Q 3 .' I. 1
a
Amount received:
Phone:(503 ) 2,D61 - Q2I6 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: iA.to G wlr;an.s . Cefh
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Imp.4� . Z.kre.�f, 1 Submit two(2)sets of roof plan with connection details
3tt t 5 w and fire department access,along with the 2010 Oregon
Address: 211'14 Aut. Solar Installation Specialty Code checklist.
City/State/ZIP: 4Gwt, .Vet, / A K / T7-063 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(50 3 ) 261 - 12i fD Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: (9 6 6 Total fee due upon application: $201.60
Authorized signature: fli•AThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: And ()AI Date: 11 fly q *Fee methodology set by Tri-County Building Industry
re,.., I Service Board.
1 I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
III
T I G A RD Building Permit Review — Residential
Building Permit #: f+157-ad i y —(X)1101-3
Site Address: 1W14 SVS &gbri i Ste'
Project Name: DrINV if\ PcLot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: New(,
Verify address/suite#active in Accela. ---In River Terrace: A No El Yes,River Terrace Review Addendum
Site Plan Elements: l.k' -rosion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper 'etained trees with drip line and tree protection measures
la
.Drawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
ET:'aorth arrow !: tility locations&easements(required for new and additions)
te address,project or subdivision name and lot number
i
dewalk/driveway approach
pplicant information(name and phone number) cation of wells/septic systems
lot dimensions and building setback dimensions IMStreet tree size,type and location
p':quare footage of buildings to be demolished KStreet names
: xisting structures on site -Corner elevations(2'contours if more than 4'differential)
,r�Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?. A❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? POI No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
X Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: _ '' CC K Zoning: �`�
N 'equired Setbacks: Front: rJ Rear: t- Side: S Street Side: ilk Garage: tJ/ it
A Building Height: Max. Height: S Actual Hei ht: 7
fgt Landscape Area: -(0 % CD Lot Coverage Max: oU
ntrance ❑ Set back no more than 8'from street-facing wall CI Parallel to street or offset 45 degrees or less
Windows ❑ - ' um 12%of area of all street-facing facades
Garage ❑ ar ge do or, s behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
■ Doo-t--ds no more than 5'from wall and there is a covered porch extending beyond garage.
•� Do. ex -nds no more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
❑ Ga age di or wi.th is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
II Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Wmdow recess ❑ Wmdow projection ❑ Balcony
Visual Clearance Urban Forestry Plan Lew
f
Sensitive Lands: Yes No Type: IJW I IN .�O114 V i,12.1-1-'
Conditions met prior to issuance of building permit
allototes: h
Yr-Approved By Planning: AaO Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: # /F
Building Plans: # 3
Building Permit#: -''F'rater building permit#above.
Workflow Routing: a�la--ning gineering g- mit Coordinator <4;1—Building
Workflow Sign-off: LJ�SIg i-off for Planning(include notes from planning review)
Route Application Documents: [ ngineering: (1) copy of permit application, (1) site plan, (I) building plan and
i.).p.ginal plan review routing form.
NIX—Building: original permit application,site plans,building p ans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ; 6— Date: ///f,/ 4
Engineering Review
Slope at building pad: 02
Conditions "Met"prior to issuance of building permit
2--Easements (encroachments)per engineering conditions of approval and plat
'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes tNo
LIDA Facility on lot: ❑ Yes 2"No
Erinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
D'pproved by Engineering: 4g,,v (d i.}F(Z � Date: )t.-2(-i q
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 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:
04C Fees Entered- Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes De N/A
Parks SDC: ❑ Yes .r)1/A
LIDA ❑ Yes 0-N/A
OK to Issue Permit ,�
Approvedby Permit Coordinator: �` /'D Da e: `/A7ii
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