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Permit (6) CITY OF TIGARD MASTER PERMIT 'II 1 . ' COMMUNITY DEVELOPMENT Permit#: MST2019 00461 Date Issued: 01/14/2020 T i G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136AD02400 Jurisdiction: Tigard Site address: 10530 SW 71ST AVE Subdivision: VILLA RIDGE Lot: 4 Project: Robinson Project Description: Remove and replace a 484 sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 14 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $11,795.08 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 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 add9 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: ROBINSON,MARK JAMES SUNNO CONSTRUCTION Required Items and Reports(Conditions) 10530 SW 71ST AVE 10600 SE PARDEE ST TIGARD,OR 97223 PORTLAND,or 97166 PHONE: 503-593-8830 PHONE: 203-442-2035 FAX: Total Fees: $851.30 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 la requires you to follow the r,„. s adopted by the Oregon Utility Notification - . Those rules are set forth in OAR 952-001-0010 through OAR 1-0090 You m-r •stain a c•. :/-- . - •- • - questions to OUNC by calling 503 2.19: or 1 800. . 34 . Issued By: „lG• i' Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ?c,..... 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 C C ` ,C City of Tigard REGEI v c® /.��ZC,MM11115111=11.111111111DReacteeii.veyd: m %3.0/, - 4'c./ 1,1 . 13125 SW Hall Blvd.,Tigard,OR 97223e Plan Review 7 / = Phone: 503.718.2439 Fax: 503.598.196WGC 2 6 2019 Date/By: /!� 0 1i ),A Other Permit: T I G R D Inspection Line: 503.639.4175 Date Ready/By: ((( / Juris: I 1:3 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARDtifie thod: I i/, Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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. /if 715---- Valuation: S`Valuation: $ li 0 1-and 2-family dwelling 0 Commercial/industrial - t ❑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: 1°5‘:5< ' i,,✓ 7) .5-1714 , ' 4 New dwelling area: square feet City/State/ZIP: ?or-I-101,N AI 'i` 1/ Z`Z-- Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: _7 52r - 1D,,,3 e Deck ar a: square feet -s i„04.../. (.�e�li Other structure area: ` square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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. Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: /1,1. iZA 'n 50 i. Type of construction: Address: ,. 3,.��/ c L,, a A-y Occupancy groups: City/State/ZIP: rAi Ie vi V- 11 Z—L- Existing: Phone:O� ) --41.--lb Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: /1/,/,k 1'601 i -i FLS plan review fee(if applicable): Address: I')5- 0 s',,,,, `7 11 5.1 A-4-c_ City/State/ZIP: ) t/ 1 1 C.� 1' Total fees due upon application: ,�p,�y, Amount received: Phone:(53 3) S13 -11 0 J 9 Fax::( ) E-mail: rvl ev�t ye, y"‘C55 ; i t..S PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: // Submit two(2)sets of roof plan with connection details^vtn ��``�l�t C Tt 7i� and fire department access,along with the 2010 Oregon Address: 06' OD 5).:- e'2 r cte e. Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 c and administrative feesL Phone:(.*1 ID_�_ t(Z...� 9?}..J Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: -2_1-5 9/ (Raz/ Total fee due upon application: $201.60 Authorized signature:• 7/r1 This permit application expires if a permit is not obtained r within 180 days after it has been accepted as complete. Print name: 4..,1')-, 11D b i1.1 o v-t 'Z,Date: ' -Z e"-i -i *Fee methodology set by Tri-County Building Industry 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 FOR oFFlcl: I SI: ()NI.) City of Tigard Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: 111 Phone: 503.718.2439 Fax: 503.598.1960 T 1 G A R D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: CI ❑ 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 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑ 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 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. 1 1 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 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ 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. ❑ 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 ❑ ❑ 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 ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ 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 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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 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. CI CI _ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 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, ❑ ❑ ❑ 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, ❑ ❑ ❑ 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. L:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard al It COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: 496 7-20(j -- 6(f1 Site Address: /073 0 00 9/(4 '-e_ Project Name: k, >n cl,Dry Ipo7�`0 Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pro• •sal: zeopdve (i l"-P,A ci p,275® ()- _ r- i- 4)/Lom--e l► Verify address/suite#active in Accela. aPifii River Terrace: [ld'No 0 Yes,River Terrace Review Addendum Site lan Elements: 11` osion Control 3.eopies of site plan on 8-1/2"x 11"or 11 x 17"paper I Retained trees with drip line and tree protection measures pawn to scale(standard architect or engineer scale) 11, .otprint of new structure(including decks)and FFE arrow u U • •ty locations&easements(required for new and additions) Sjt:address,project or subdivision name and lot number Sidewalk/driveway approach slicant information(name and phone number) ( ocation of wells/septic systems 7 6t dimensions and building setback dimensions 1101, eet tree size,type and location II a:uare footage of buildings to be demolished 7 S eet names A Existing structures on sitel4 Corner elevations(2'contours if more than 4'differential) I I t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes 'F • - pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes o l r Clean Wate�r S ces—Service Provider Letter(lot platted prior to 9/10/1995): Required: V Yes,applicant was notified ❑ No 100..L,.- Received: 2'Yes ❑ No 111 01'ublic Facilities Improvement(PFI) Permit: / t)-ix ix Required: ❑ Yes,applicant was notifiedIV No Applied For: ❑ Yes s ❑ No,stop intake 01 .< d Use Case#: rei Zoning: —` ' quired Setbacks: Front: Rear: Side: Street Side, f � Garage: � t2 Building Height: Max. Height: SO Actual Height: f. "./f Landscape Area: % El Lot Coverage Max: Entrance P. et back no more than 8'from street-facing wall ❑ Parallel to street or of - . degrees or less Windows ❑ • 12%of area of all street-facing facades Garage ❑ Garage doo ' .ehind widest street-facing wal3\ CICINo,one of the following is met ❑ Door extends : ore than 5'from wall nd the - • a covered porch extending beyond garage. ❑ Door extends no mor- ...n 5'from -- .n I there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'o 1"- - ❑ 50%or less of facade ❑ 60%or less and includes 7 of following. ❑ Covered porch 'ecessed entran = ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire • :es ❑ Lap Siding ❑ Roo ••tch ❑ Gable,hip,or gambrel roof ❑ Dormer 1 ccent siding • Window trim ❑ Win.. recess ❑ Window projection ❑ Balcony \ 0 isual Clearance ht* Urban Forestry pan "A) Sensitive Lands: ❑ Yes No Type: RI onditions met prior to issuance of building permit v;74: Approved By Planning: Date: /-2/ c7--- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: (,.1-/ , Site Plans: # Building Plans: # Building Permit#: !- nter building ermit#above. Workflow Routing: : lanning gineering ( €rmit Coordinator CZ.. uilding Workflow Sign-off: !. 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: / `� /.,.L , Date: P, Engineering Review CYSlope at building pad: 2% ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er No Assess Water Quantity Fee in-lieu: 0 Yes C'No ' LIDA Facility on lot: ❑ Yes Er-No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 24pproved by Engineering: j Date: I Z/3v/Ze/ 9, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review SWConditions "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: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes k-N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes I N/A OK to Issue Permit Approved by Permit Coordinator: C Date: 1/19A ' I:\Building\Forms\BldgPennitRvw_RES 022819.docx Clean Water Services File Number CleanWater Services 19-001681 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard RECEIVED 2. Property Information (example 1S234AB01400) 3. Owner Information DEC 2 6 2019 Tax lot ID(s): Name: Mark Robinson 1S136AD02400 Company: Robinson CITY OF TIGARD Address: 10530 SW 71st A\BUILtJ NG DIVISIOP Site Address: 10530 SW 71st Ave City, State,Zip: Portland,OR,97223 City, State,Zip: Portland,OR,97223 Phone/Fax: 503-593-8830 Nearest Cross Street: 10530 SW 71st Ave E-Mail: markr@rcss.us 4. Development Activity(check all that apply) 5. Applicant Information ljd Addition to Single Family Residence(rooms,deck,garage) Name: Mark Robinson ❑ Lot Line Adjustment ❑ Minor Land PartitionCompany: Robinson ❑ Residential Condominium ❑ Commercial Condominium Address: 10530 SW 71st Ave ❑ Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial LIMulti Lot Commercial City, State,Zip: Portland,OR,97223 Other Phone/Fax: 503-593-8830 Tear down and replace existing garage. E-Mail: markr@rcss.us 6. Will the project involve any off-site work? ❑Yes Xi No ❑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,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 Mark Robinson Print/Type Title ONLINE SUBMITTAL Date 5/23/2019 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 17-05, 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 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. X 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 - Date 5/29/19 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org