Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00182
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2020
T i CitlAI7 Parcel: 1S134DB08200
Jurisdiction: Tigard
Site address: 11098 SW 113TH TER
Subdivision: STONECHASE Lot: 6
Project: Belfiore
Project Description: Construct a 16'x 16'patio cover over an existing concrete patio.
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: Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $6,238.72 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 Dlsp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevnir: 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 add"500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mtd 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:
BELFIORE,GUYON J&LISA K EATON CONSTRUCTION Required Items and Reports(Conditions)
11098 SW 113TH TER 2430 TULANE ST
TIGARD,OR 97123 WEST LINN,OR 97068
PHONE: PHONE: 503-351-9447
FAX:
Total Fees: $445.67
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 throu.' ••R 95 .a -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987.1 oror 1.800.332.2344. /
Issued By: ��tt ( --, Permittee Signature: ell/ -" �r ' c'/ /04
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 i
Residential RECEIVED
� Li t IL f t >1 .
Cat of Tigard Received 1 Pe m t uo.
Y 3& ,µ n r ony �o il 7C co 0 I ]S'T'Zcl J.i •-00(I 2_
lig • 13125 SW hall Blvd.,Tigard,OR gnSAY 21 2020
a Phone. 503.718.2439 Fax 503.598.1960 PD.i&nBy: 1
other paw,
TtMc,�gA Internet onwww.et�-orgov CITY OF TDMSIOAHD l lie ea`b�',� iiew S AIM u Sae Page pplemental ii narend..
MY! niNc3 nlvlstaN td', /ter `Z
TYPE OF WORK DATA:1-AND 2-FAMILY DWELLING
P0 New construction ❑Demolition Permit fees'are based on the value of the work performed.
1o� indicate the value(rounded to the nearest dollar)of all
,nl Additionfalteration!replacement 0 Other: equipmart,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $ (1,238
1-and 2-family dwelling 0 Commercialfindustrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of flours:
Job site address: t t 0 9 88. 5 L, �') l 13 1 r'YY4 ce, New dwelling area: square feet
(Sty/StatrlZIP: -Ti30,Yo( p R 9 -7 2 D 3 Garage/carport area: square fart
Suite/bldg./apt.no.: Project name: 'B I.firc_, Covered porch arts: pf ' square feet
Cross streetidirections tojob site: (;1.,,ttee Gi a. 5 4) ►Jor net D,k kat,. Deck area: , square feet
(hhccSut d - :L Ttc'O square fait
REQUIRED DATA:COMMERCIAL-LSE CHECKLIST
Subdivision: Lot no.: Permit teas•are based on the value of the work perlorm<sl,
Tax maptpamel no.: Indicate the value(rounded to the nearest dollar)of all
aqui ant,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work in tcd on this application.
C.ovl't'uc't A 36X it;"Po`t-lo Cotter t7Jcr co"‘
vValuation: $ �(Oo
e.x 1 s 1 L t Flc C o t,C Y 'P 0.�t O Existing buildin square foci
New building area: -, square feet
PROPERTY OWNER ` ❑TENANT Number of stori
t/Name: G U -4- (-,i5at
-Be
BF �f o✓� t..�
Type of con clion: OO
Address: \(,t a ? so l t 3 Occu cy groups:
City1Sta a'ZIP:--1-1, Grd O R `I'7 ).)-3 •xisting:
Phone:c5o3) 804 Ca q 7 S Fax:( ) _ •
.... New:
jigt APPLICANT Co
1 0 CONTACT PERSON BUILDING PERMIT.PEF-St
Business name: E Yl Co l't,]tt'UCL t on (Pewfeierue e( to dcpo it): j
_ -�ire Structural plan review fee(�dzptisit): I3�P a ��
Contact name: (r re .v ��` ya
Address: `a!f U ( ,Lf FLS plan review fee(if applicable):
ahC SZ
City/StateJZlP: tie OR 7 of Total•
faxri due upon applia�tion:
Inn
Phone:(53c1) - 14 t 7 Fax::( ) Amount received:
E-mail: 't' nco✓1,i ve ilop1 c-,3( G i 1k. Cc'✓ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR JWi Commercial and residential prescriptive installation of
roof-lop mounted Pho tnVoltaic Solar Panel Systan.
Business name: n rats-6 14,41 Co Submit two(2)sets of roof plan with connection details
ai43D Tvt�ham � ' and fire department recess,along with the 2010 Oregon
Address: DR.
Solar Installation Specialty Code checklist.
City/StateiZIP: L)C5t J to l V 1 . .9—1 0 6 Permit Fee(includes plan review s 1t30 oo
5V3 3 C� _ 9 41' -7 and administrative fees):
Phone:( ) 'f Fax:( ) State.rcharge(12atoot permit fee): S21.60
CCB lie.: I 56 dD3 3 v��—�
///�/ Total fee due upon application: $201.(><1
Authorized signature:/
[Print name: (_/� n I DaM:3-�19 This permit application expires if a permit is not obtained
_Xi�l / has
within 180 days after it been accepted as complete.
�G v _ •Fee methodology act by Tri-Co unty Building Industry
$/TViee Board.
I:13uildingTannits'd31.1RRESPennitApp.doe 02'24/2011 440-4613T(11/02/COMIWEB)
City of Tigard
III6 N COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
I u■
Building Permit #: h'j S f Zo Zo - oo t tf.2--
Site Address: I 1 (IS (SW 1 I MI1 Terrace,
Project Name: p eD Lot #:
Planning Review
Proposal: Path° aver
pizr Verify address/suite# active in Accela. $. In River Terrace: '-No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: ,rosion Control
03 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Maitetained trees with drip line and tree protection measures
K.Drawn to scale(standard architect or engineer scale) 4otprint of new structure(including decks) and FF'E
i•I orth arrow ✓�tRit�itility locations&easements(required for new and additions)
►:s.ite address,project or subdivision name and lot number 1 eAStdewalk/driveway approach
Kdlpplicant information(name and phone number) kir, ocation of wells/septic systems
1 Lot dimensions and building setback dimensions P4treet tree size,type and location
n quare footage of buildings to be demolished ,Street names
i xisting structures on site Comer elevations (2'contours if more than 4'differen •al)
',tatarea,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? o
',tat
area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? s'LJNo
1*Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 'No Received: ❑ Yes ❑ No
Io Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: El Yes,applicant was notified ri No Received: ❑ Yes ❑ No
N'SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified .N"No Applied For: ❑ Yes ❑ No,stop intake
RigrLand Use Case#: —Zoning: P-4 S-
4I Required Setbacks: Front: NIA— Rear: 15 Side: 5 Street Side: ♦J)A-- Garage: N Pr
IFr Building Height: Max. Height: 3 e 1 Actual Height: 13
landscape Area: % Nth(Lot Coverage Max: 0/0
Entrance Set ba k no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows IV' ' urn 1 °/u of area of all street-facing facades
Garage arag doo is be • d widest street-facing wall ❑ Yes ❑ No,one of the following is met:
oor xten o more than 5'from wall and there is a covered porch extending beyond garage.
oor xten more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor.
Gara doo wid is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Cover d 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 ❑ Window recess ❑ Window projection ❑ Balcony
IgbkVisual Clearance l` )rban Forestry Plan
IS.Sensitive Lands: ❑ Yes 'No Type:
conditions met prior to issuance of building permit
Notes:
Approved By Planning: /C- Date: 6114
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Bui lding\Forms\BldgPenmtRvwRES 122419.docx
Building Permit Submittal
Original Submittal Date: 5 12 r/2.43
Site Plans: # 3
Building Plans: #
Building Permit#: M Enter building permit# above.
Workflow Routing: .2'Planning 'ErEngineering Q—I ermit Coordinator ..D—Btulding
Workflow Sign-off: 12'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: (7 /s--x_J Date: 6/1//2 )
Engineering Review
• Slope at building pad: 44
Er-Conditions "Met"prior to issuance of building permit h/4-
REasements (encroachments) per engineering conditions of approval and plat + ✓/
EI'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes E` "-No
Assess Water Quantity Fee in-lieu: ❑ Yes E-1;--No
LIDA Facility on lot: ❑ Yes E No
L9"Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
RI-Approved by Engineering: 7y�yr,741d few Date: (r/t/i j
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
O 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: 0 Received -'Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes .K N/A
Tigard Trans SDC: ❑ Yes 81 N/A
Parks SDC: 0 Yes t,N/A
LIDA ❑ Yes N/A
k-OK to Issue Permit
Approved by Permit Coordinator: Date: le tq (-2,0
1:1Building'Forms\B IdgPermitRvw_RES_l 22419.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
Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: W(>/_ ' DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUN242020
FROM: (Gt
CITY OF 1 IGARD
COMPANY: �� - / C If���!7 BUlLDI G DIVISION
PHONE: CUS 3 7 7'/'77 By:
RE: ' ( U r-SGU if 372` M57�„L-( ") l) -)t7/
(Site Ad ress) (PermitNum )
(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:
FOR OF1j�ICE USE ONLY
Routed to Permit Tec ' 'an: te: (Q I( /�'ji Z Initials: / '
Fees Due: ❑ Yes No Fee Description: Amount Due:
ci ° 6 $
$ v.,(07:----
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No El Don,e
Applicant Notified: — Date: �i (12 ) Initials:
I:\Building\Forms\TransmittalLetter-Reevisions_061316.doc