Permit q CITY OF TIGARD MASTER PERMIT
l , COMMUNITY DEVELOPMENT Permit#: MST2019-00469
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2020
TIGARDParcel: 2S102CCO2200
Jurisdiction: Tigard
Site address: 10135 SW HILLVIEW ST
Subdivision: FRELEON HEIGHTS NO.2 Lot: 25
Project: Foltz
Project Description: Replacing 475 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: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $11,575.75 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 Rain0 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 SrvcfFeeders 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:
FOLTZ,JAN M&STEPHEN F REV LIV Required Items and Reports(Conditions)
10135 SW HILL VIEW ST
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $385.81
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 rul are set forth in OAR
952-001-0010 through OAR 952-001-0090. ain a cop - -- . - .r direct questions to OUNC by calling 503.23..1987. .80 .33 344.
�kn�/ )
Issued By: 'e - ature: �`! '
..
al''.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 proje .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVE I FOR OFFICE USE ONLI
City of Tigard Received �� �� ��_
DEC 312019 Date/By: �°ot
iii 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n n
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t �4 Other Permit:
CITY OF TIGARD
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Me od: i Supplemental Information
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,aid the prof�F the
CATEGORY OF CONSTRUCTION
work indicated on this application. 1/ 5-7
. 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
I
ElAccessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: (L> I S S'‘,,,, hi LLL,'L Ev., New dwelling area: square feet
City/State/ZIP: --/-1_614 tz-n, (Z, 91-0.3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: ki9-5 square feet
SL-' k1Tl.LNIT-e_Lv 4 S 1N I v O" ✓ -ve— Other 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.: 'LS L: Z ,®2'LC)u \2`-jC. 'i 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: $
Sr,e UG r ,ere)V iar' /G y , — re'�-tire / Existing building area: square feet
New building area: square feet
(5Q PROPERTY OWNER ❑ TENANT Number of stories:
Name: ST ev c 1.ri. Type of construction:
Address: t v(/S Sw HtLL J EW Occupancy groups:
City/State/ZIP: Tr.(,41?.._n/ op_ 91-2-23 Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: K L i.,i L,z,h1 C k.t(:'T-LN C, Co-1-2...u7.-CeiS Structural plan review fee(or deposit):
Contact name: ittLtXTS tAZC,....uAt o
Address: 11�b�- FLS plan review fee(if applicable):
s �� b�V� � l Total fees due upon application:
City/State/ZIP: gf 1otkrzT';9N t C,12- cCi'OC,a—
Phone:‘Q3) LI Of.-(.559 Fax::( ) Amount received:
t- 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
��/t{y S, r v\1clJtic1.{).�-it;-,,,, (.- c--y`'1nCat I. L.t.�t
CONTRACTOR l Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: H-L cj_s c`�viL,IAA a S +- cm-kc-( A V1" %f j Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: p v gQ?( 5 ems s Solar Installation Specialty Code checklist.
City/State/ZIP: f -LQ HA,i6. (2.- 11-0 OC Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(5 03)%4I...n 42_ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: i Cto 5 R 9
/�� Total fee due upon application: $201.60
Authorized signature: t:.z,4.1f�,A.,,,/ This permit application expires if a permit is not obtained
�_ l within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
l�
Print name: A LecT S wL(-0 kA Date: t-LI?), 1 Service Board.
I:\Building\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE 01I.1
City of Tigard Received
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIGARD
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' l« "° 1 '
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 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: . 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. 0 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
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, ❑ ❑ ❑
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
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 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
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 ❑ ❑ ❑
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 ❑ ❑
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. ❑ 0 ❑
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. ❑ ❑ ❑
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.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
.71 e COMMUNITY DEVELOPMENT DEPARTMENT
TICARD Building Permit Review — Residential
e
Building Permit #: ,/ 7 /c -. 127q
Site Address: 1 013 5 S "s" I-t-i t I of eM/ S+•
Project Name: Fv 11'Z Dec lx- Lot #:
Planning Review
Proposal: Rep lace. Dec-1t.
VVerify address/suite#active in Accela. ❑ In River Terrace: ❑ No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: 2-Erasion Control
/3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper R3tetained trees with drip line and tree protection measures
ADrawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE
/17cNorth arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number f C�Sidewalk/driveway approach
Applicant information(name and phone number) gLocarlion-of wells/septic systems
Lot dimensions and building setback dimensions g-St-fee -tree size,type and location
°Square footage of buildings to be demolished Street names
?Existing structures on site Corner elevations (2'contours if more than 4'differential)
WrLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es No "IA
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ e No
7 Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: Yes,applicant was notified E No Received: ❑ Yes ❑ No
❑ Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
❑ SDC Exemption for ADU applied for: ❑ Yes ZIZNo Received: ❑ Yes ❑ No
APublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified gr No Applied For: ❑ Yes ❑ No,stop intake
9-L-arrd-Use Case#: Willr ❑ Zoning:
ZiRequired Setbacks: Front: X) Rear: I S Side: S Street Side: '2'0 Garage: Z.40
Building Height: Max.Height: 3 0 Actual Height: NA
Landscape Area:tj/' °/U — it Coverage Max:
Entrance ❑ Set back no more than 8'from street-facing wall LI Parallel to street or offset 45 degrees or less
Windows ElMinimum 12%of area of all street-facing facades
.L'
Garage El1\1 I Pt Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less LI 50%or less of facade ❑ 60%or less and includes 7 of following:
te JIN❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
El shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
,ErVisual Clearance ❑ Urban Forestry Plan
pusitive Lands: CIYes ElNo Type:
nditions met prior to issuance of building permit
Notes
J Approved By Planning: 71/1, k.Cin./•-^— (...-------- Date: 12- / 3l / 19
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Building\Forrns\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: t.&h/ll,
Site Plans: #
Building Plans: #
Building Permit#: nter buildin permit# above.
Workflow Routing: Planning Engineering ''ermit Coordinator Building
Workflow Sign-off: /-Sign-off for Tanning(include notes from planning review)
Route Application Documents: I Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
7 Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: i� Date: J 1
41_4 //f
Engineering Review
C'-Slope at building pad: 0.4Z
❑ Conditions "Met"prior to issuance of building permit
❑ EE sements (encroachments)per engineering conditions of approval and plat
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes CTNo
Assess Water Quantity Fee in-lieu: ❑ Yes LNo
LIDA Facility on lot: ❑ Yes ErNo
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
IfiA-pproved by Engineering: Date: //z/20ZU
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
0-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:
SDC Exemption: ❑ Received 91 Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ; ] N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes V N/A
LIDA ❑ Yes g N/A
OK to Issue Permit
Approved by Permit Coordinator: Aro-vo. Date:ll zI id
I:\Building\Forms\BldgPermitRvw_RES_122419.docx