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Permit (2)
CITY OF TIGARD MASTER PERMIT 3111COMMUNITY DEVELOPMENT Permit#: MST2019-00419 T E A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2019 Parcel: 2S 103AB01100 Jurisdiction: Tigard Site address: 11100 SW WALNUT ST Subdivision: ECHO HEIGHTS Lot: 7 Project: KAHN Project Description: Enclosing front porch. Non habitable space. 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: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $35,000.00 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 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 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 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: ALT SF VB R-3 0 Owner: Contractor: KAHN,STEPHEN M&ANN L NW RESIDENTIAL Required Items and Reports(Conditions) 11100 SW WALNUT ST PO BOX 230635 TIGARD,OR 97223 TIGARD,OR 97281 PHONE: 503-860-2631 PHONE: 503-860-2631 FAX: Total Fees: $1,104.55 — "" 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 r direct questions to OUNC by calling 503.23 1987 or 1.800.33 344. Issued By: Permittee Signaarr`e: Cat]' . 39.4175 by 7:00 a.m.for the next available inspection d e. This permit card shall be kept in a conspicuous place on the job site until completiod f roject. Approved plans are required on the job site at the time of each inspecti n. Building Permit Application Residential ‘„ =) 1 012 (H I It I 1 51 OyI 1 City of Tigard Received y r Date/B : t / 5 2 - V 4-f `/ Ili 13125 SW Hall Blvd.,Tigard,OR 97223 'f 1 2, 2010 Plan Review �' (� 11 = Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T 1 G A K D Inspection Line: 503.639.4175 3` Date Ready/By: Q Juris: I3 See Page 2 for Internet: www.tigard-or.gov 'i(. 1 i Notified/Metho -! r 2/ Supplemental Information '� ..X S d 91.r�v / t-r" ' TYPE OF WORK REQUIR D ATA:1-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 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 1L1 1-and 2-family dwelling ElCommercial/industrial 3�/ SOL, ElAccessory building 1:1 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1/ !OD 56/v{ LI . tf/"( 5 7 New dwelling area: square feet City/State/ZIP: -J ivo q7v2/, Garage/carport area: square feet Suite/bldg./apt.no.: Project name: /i 4 i.) _ Covered porch area: square feet Cross street/directions` to job site:67:- �! I "�� f Deck area: square feet /( C le/o5 51' 1 17-1 IoW 1/ —re-o , > c.ov 5 Ot er structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 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. ti.t CI,L/0)r 1/—V�7 �70K6i Valuation: $ f- Nor,1©r, 1 611 b . C‘)• .(0-,-JR---- Existing building area: square feet L•jJ New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: ' J 'K:111"&si Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: f4 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: /1%Vir jet,i✓/J)'fW-/�2� ��, Structural plan review fee(or deposit): 19/.0/412/7t1 Contact name: `,���1"es5b( FLS plan review fee(if applicable): Address: 17D 12205(-- 7/3 63 C / Total fees due upon application: City/State/ZIP: "77 ,Q er r72,irt 3 v� Amount received: Phone:(,�,7 ) O Q.. 0� i Fax::( ) E-mail: ll 1j' r,Q,>j . �f a in)i`o01l,,,, ,GSL- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: /v til /Pr,,1 /y Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Fa 1"?;7 f[. 7„3 0635 Solar Installation Specialty Code checklist. City/State/ZIP: �i 0 /}�'l ' 722 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(��9.l Q:2,6-' ( �/ Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: / i 2. "'i. (1 _ 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: f�/� ling/ s Date: 4`q *Fee methodology set by Tri-County Building Industry �7' ' 5 1 f Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One— and Two—Family Dwelling FoR orrlcl: LSI: 0.N1.1 City of Tigard Received Permit No.: - II 13125 SW Hall Blvd.,Ti ard,OR 97223 Date/By: g Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T I G A R D Internet: www.tigard-or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No y/' 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 3 Verification of approved plat/lot. 0 0 4 Fire district approval required. Name of district: . 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 ❑ 0 7 Water district approval. 0 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 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 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 ❑ 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 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 ❑ 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 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 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 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 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 ❑ ❑ 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 0 COMMUNITY DEVELOPMENT DEPARTMENT C T1cARD Building Permit Review — Residential Ammosimmto p4 Building Permit #: /u57rd h Cool Site Address: WOO O �� i- 5.1-- Project Svc W v Project Name: Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review � Proposal: ,n ckw-e c- in A- p ore. " Verify address/suite#active in Accela. In River Terrace: AT No 0 Yes,River Terrace Review Addendum Site Plan Elements: DErosion Control /63 copies of site plan on 8-1/2"x 11"or 11 x 17"paper -BRetained trees with drip line and tree protection measures Drawn to scale(standard architect or engineer scale) ,Footprint of new structure(including decks)and FFE ;ZfNorth arrow gUtility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ,Sidewalk/driveway approach /Applicant information(name and phone number) ©Location of wells/septic systems ❑Lot dimensions and building setback dimensions EFStrZeT tree size,type and location ❑Square footage of buildings to be demolished Street names Existing structures on site 7Corner elevations(2'contours if more than 4'differential) [ ±x t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? s OrNo Nf'151- impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No g--Public Facilities Improvement(PFI) Pe t: Required: ❑ Yes,applicant was notified ❑ No Applied For: CIYes CINo,stop intake n p-Land Use Case#: t I 1 ❑ Zoning: 1 . z S yrRequired Setbacks: Front: 2LAD Rear: f Side: 5 Street Side: 15 Garage: Building Height: Max. Height: 3 0 Actual Height: ja Landscape Area: NIA- % 0 Lot Coverage Max: IV/Pr % Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ : um 12%of area of all street-fa.. g facades Garage ❑ Garage ... 's behind widest str- -facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door exten. •. mo an 5'from wall and there is a covered porch extending beyond garage. 1A ❑ Door extends no o an 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door wid is ❑ 12'or ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Cove :. porch ❑ Recessed entr..• e ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ e shingles ❑ Lap Siding ❑ 'oof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer Accent siding Cl Window trim ❑ Window recess ❑ Window projection ❑ Balcony visual Clearance ❑ Urban Forestry Plan .-8errsitive Lands: ❑ Yes ❑ No Type: -E—Conditions met prior to issuance of building permit Notes: ,l Approved By Planning: ill -� �---�„ Date: I I / / I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved 1:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: l ///2/// Site Plans: # 3 Building Plans: # ?l Building Permit#: ter building permit#above. Workflow Routing: Planning gineering Permit Coordinator ` Building Workflow Sign-off: ��-off for Planning(include notes from planning review) / Route Application Documents: ngineering (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: ( /EngBy Permit Technician: ,/, „ �4A, /' Date: /(7/— Engineering ineering Review Er Slope at building pad: Z Z ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ErWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 12(No Assess Water Quantity Fee in-lieu: ❑ Yes [] No LIDA Facility on lot: ❑ Yes R"--No [ final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: C7'pproved by Engineering: Date: ////3J281, 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: Revision Notice 3: Date Sent to Applicant: &DC Fees Entered: Wash Co Trans Dev Tax: El Yes N/A Tigard Trans SDC: ❑ Yes or N/A Parks SDC: ❑ Yes 1254/A LIDA ❑ Yes O'N/A K to Issue Permit f Approved by Permit Coordinator: áTate: // fl4//(� I:\Building\Forms\B1dgPennitRvw_RES_0228 I 9.docx FOR OFFICE USE ONLY–SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ii IIIPI . Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tig a d-or.12,ov_ TO: A2 y.56)N Al DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED NOV 192019 FROM: ' i LI PPE A , S>' CITY OF TIGARD COMPANY: NIA/ as, BUILDING DIVISION ,a PHONE: 5u j Y60-2-6 ( By:67.7 .. RE: III 02 .Sb✓ WA-uv Cr `TI 17Zz3 !tt ST l 4 — DO 1/7 (Site Address) (Permit (Permit Number) ga Al (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 57–A4. b 41"1// 5 FOR OFFICE USE ONLY Routed to Permit Technic' : Date: Initials: � Fees Due: ❑ Yes N9ee Description: Amount Due: �, $ (( Special 6 (23— Instructions: Reprint Permit(per PE): ❑ Yesilj>lo ❑ Don Applicant Notified: Date: /��„L,rjl(G(` Initials• — I:\Building\Forms\TransmittalLetter-Revisions_061316.doc