Permit CITY OF TIGARD MASTER PERMIT
■ ' COMMUNITY DEVELOPMENT Permit#: MST2020-00151
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2020
t t' �I'�� 9 Parcel: 2S110BB05000
Jurisdiction: Tigard
Site address: 12173 SW CHANDLER DR
Subdivision: ARLINGTON RIDGE Lot: 27
Project: Frye
Project Description: A 313 sq. ft. deck and a 313 sq. ft. deck cover.
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: $7,627.81 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
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: p BckFlw Prevntr: 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 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:
DAN FRY OWNER Required Items and Reports(Conditions)
12173 SW CHANDLER DR DAN FRYE
TIGARD,OR 97224 12173 SW CHANDLER
TIGARD,OR 97224
PHONE: 503-459-7439 PHONE: 503-459-7439
FAX:
Total Fees: $460.83
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 o follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA 001-0090. You m btain a copy oft rule estions to OUNC by calling 503.232.1987 0 800 332.2344_
Issued By: ermittee Signature:
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.
Building Permit Application . f_ y 7
Residential FOR orrll l_ 1 .I_ ()NI 1
City of Tigard RECEIVED RDay 3 ;� ..t orst
IN n 13125 SW Hall Blvd.,Tigard,OR 9722 /n� , °TnZ/� �/f
PI®Review 66 Zo. •
Phone: 503.7182439 Fax: 503.598.1960 Plan Re Permit:
TIGARD
Inspection Line: 503.639.4175 APR 2 7 2020 Date Ready/Br ® See Page 2 for
Internet: www.tigard-or.gov NotiSedgNethgd �� Sappkmemal Information
CITY OF TIGARD (fi �(/J//4
TYPE OF WILDING DIVISION 7 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
aAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
't CATEGORY OF CONSTRUCTION work indicated on this application. 7lr 7
Vall
R,l-and 2-family dwelling ❑Commercial/industrial andi0°' $
1
o RAccessory building(:s.
❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I 117 3 S,y C leunU (tr -De •
New dwelling area: square feet
City/State/ZIP: T;gorr) Cf. CI722 9 Garage/carport area: square feet
Suite/bl / no.: Project name: Covered
� dg.apt. �/(�- porch area: square feet
JCross street/directions to job site: I� I/ Deck are : ,' , .813 square feet
czt.d
JS 4/ 1 2Ili / S4! 61240 C- ST- er structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: A 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
ci /� 1-' DESCRIPTION OF WORK work indicated on this application.
/i t74 J 13 SQ,r" ecoc. Olier Psi-'`.1y JeCk Valuation: $
Existing building area: square feet
YYY
A--I i �tncrt ks arm t„t }l, l focJ an cep New building area: square feet.
-PROPERTY OWNER la-TENANT Number of stories:
Name: l�et." 'rir 11y[ Type of construction:
Address: 12 l7 3S(.,J cka,4'u, Dr-^ Occupancy groups:
City/State/ZIP: „),j t) giC mT,Dr 1 ram/t, . Existing:
,Phone:(�3)ii e1 Yt�743 Fax:( ) T 0 New:
Er-APPLICANT / Er...CONTACT PERSON BUILDING PERMIT FEES*
1 Business name: (Please refer la fee schedule)
,1 Structural plan review fee(or deposit):
V Contact name:
FLS plan review fee(if applicable):
Address:
N. Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
' E-mail: hei -71- pet.re..-e r0 HZ 5 Al . (a p!iln
S CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 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: Permit Fee(includes plan review g180 00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 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.
*Fee methodology set by Tn-County Building Industry
Print name: e M t Date: 27 Service Board.
1:113uildineemtits\BOP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
71 ■ COMMUNITY DEVELOPMENT DEPARTMENT
T l G A R D Building Permit Review — Residential
Building Permit #: _ 4,-/STT090d,0 — OC) L
Site Address: 12113 ski Ghavictlir bnv-ei
Project Name: f GZle/ Lot #:
Planning Review ( eXtSthks43)
Proposal: Deck-cvrer Gtn.cl aec k-
Verify address/suite#active in Accela. J In River Terrace: ,IRT No El Yes,River Terrace Review Addendum
Site Plan Elements: erosion Control
r-'3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper liketained trees with drip line and tree protection measures
V)rawn to scale(standard architect or engineer scale) 'N ootprint of new structure(including decks)and FFE
El orth arrow It a tility locations&easements (required for new and additions)
Mite address,project or subdivision name and lot number I' idewalk/driveway approach
►•A.plicant information(name and phone number) I!: ocation of wells/septic systems
01ii,ot dimensions and building setback dimensions treet tree size,type and location
w'
%I'•quare footage of buildings to be demolished treet names
:l Existing structures on site Comer elevations(2'contours if more than 4'differential)
prof area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes liZNo
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑YesXNo
Ki Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995): $Zo.i/Zo
Required: ,r Yes,applicant was notified ❑ No Received: [ Yes ,X.No
4 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
A SDC Exemption for ADU applied for: ❑ Yes AI. No Received: ❑ Yes ❑ No
a Public Facilities Improvement (PH) Permit:
Required: El Yes,applicant was notified X No Applied For: ❑ Yes ❑ No, stop intake
NilkLand Use Case#: nn Yi Zoning: f� �J-�
.. Required Setbacks: Front: 2O Rear: I S Side: �� Street Side:/�d0 Garage: O
Building Height: Max. Height: ao Actual Height: *2-0
'A-Landscape Area: % trkLot Coverage Max: %
Entrance II Set ba.i. no mo a than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ■I 'Minim, 12% f area of all street-facing facades
Garage ■i I arag: door is e ' a widest street-facing wall ❑ Yes ❑ No,one of the following is met:
• Poor ext nds , . ore than 5'from wall and there is a covered porch extending beyond garage.
■ Door ext nds • e than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
■ Gang: door dth . • 12'or less El 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered orc, ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire s ' les 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer
❑ Accent ding ❑ Window trim ❑ Window recess El Window projection ❑ Balcony
Visual Clearance r`(g Urban Forestry Plan
Sensitive Lands: ❑ Yes No Type:
Mik Conditions met prior to issuance of building permit
Notes:
Approved By Planning: '•q Date: 5(5 j2u
Revisions (after Building Submittal onl Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Build ng\Forms\BldgPermitRvw_RES_122419.docx A
Building Permit Submittal
Original Submittal Date: Y�.2 7 1265
Site Plans: #
Building Plans: #
Building Permit#: ❑Enter building permit#above.
Workflow Routing: "Er—Planning gineering Prmit coordinator Building
Workflow Sign-off: B-Stgn-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.
1iuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:By Permit Technician: AZ eU ^ _ Date: �(P fed
Enyineering Review
Er Slope at building pad: 90
onditions "Met"prior to issuance of building permit N 60-
Easements (encroachments)per engineering conditions of approval and plat n l—
EQ—Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: D Yes D'Sio
Assess Water Quantity Fee in-lieu: ❑ Yes "No
LIDA Facility on lot: ❑ Yes LT No
11"-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
C7Approved by Engineering: ��„r,,4 Date: 517/2PL0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Permit Coordinator Review
fonditions "Met"prior to issuance of building permit
0 Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
WrSDC Exemption: 0 Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: 0 Yes N/A
LIDA 0 Yes X N/A
Ikk-OK to Issue Permit
Approved by Permit Coordinator: Date: 61
Ia, W
iikI:\Bui(ding\Forms\BldgPennitRvw_RES_122419.docx
RECEIVED
MAY 2 0 2020
BUILDIG
CITY Or- •FIGARD C1eanWaterServices
SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT-
Clean Water Services File Number 20-001279
1. Jurisdiction: Tigard
2. Property Information(example: 1S234AB01400) 3. Owner Information
Tax lot ID(s): 2S110BB05000 Name: Dan Frye
Company:
Address: 12173 SW Chandler Dr
OR Site Address: 12173 SW Chandler Dr City, State,Zip: Tigard, Oregon,97224
City, State,Zip: Tigard, Oregon, 97224 Phone/fax: 503-459-7439
Nearest cross street: sw 121st ave Email: mtboardl0@msn.com
4. Applicant Information
4. Development Activity(check all that apply)
® Addition to single family residence(rooms, deck,garage) Name: Dan Frye
❑ Lot line adjustment ❑ Minor land partition Company:
D Residential condominium ❑ Commercial condominium Address. 12173 SW Chandler Dr
D Residential subdivision D Commercial subdivision City, State,Zip: Tigard, Oregon, 97224
❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 503-459-7439
Other Email: mtboardl0@msn.com
6. Will the project involve any off-site work? ['Yes 0 No 0 Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
adding a roof over part of my deck. Roof will be approximately 288 sq ft.
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 Dan Frye Print/type title
Signature ONLINE SUBMITTAL Date 5/5/2020
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 19-5,Section
3.02.1, as amended by Resolution and Order 19-22.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 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.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 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 LETTEER IS REQUIRED.
/Reviewed by ,4,.CG /�w.�s Date 5/20/2020
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
Re•rscd 212020
Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org
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
_ it Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Li;y SO Ai DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAY l 1 20
FROM: .6 el7k/ /'-/Z/ CITY OF TIGAFi:.•
BUILDING DIVISION
COMPANY:
PHONE: --CO 3 — yS 9 - 7�-.7 l By. < e
RE: /e2/ 73 S cJ 4 / e-> -AZ. /ZS 7 ad 2O -or/5/
(Site Address) (Permit Number)
-y
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: ZZ,T fz_, a ,{y; 'ka °'",` „1i,1'
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:
FOR OFFICE USE ONLY
Routed to Permit Technic' n: Date: Initials:
7 Fees Due: n Yes NoCescription: Amount Due:
//t1'- _
-------Pje. 0 e'. ------ $
Special
Instructions:
Reprint Permit (per PE): ❑ Yes `//`moo ❑ Done
Applicant Notified: tg,. _ I Date: 57L7 Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doe 05/25/2012