Permit (57) CITY OF TIGARD MASTER PERMIT
"� Permit#: MST2016-00176
a . ' COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2016
Tri;; It n g Parcel: 2S104BA06700
Jurisdiction: Tigard
Site address: 13919 SW NORTHVIEW DR
Subdivision: CASTLE HILL NO.2 Lot: 100
Project: Rager
Project Description: 280 sf covered porch
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: No
Total: 0 sf Value: $15,000.00 Rear: 0
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
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
F u rn>=100 K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 SvcFdr: 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 U 0
Owner: Contractor:
RAGER,GAIL A CRAFTSMAN CONSTRUCTION&HOMES LLi Required Items and Reports(Conditions)
13919 SW NORTHVIEW DR 9850 SW DENNEY RD
TIGARD,OR 97223 BEAVERTON,OR 97008
PHONE: PHONE: 503-998-8027
FAX:
Total Fees: $635.27
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 w.- will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, o • ork is suspended for ..- - the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce r. hose rules are forth in OAR
952-001-0010 through R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 987 or 1 800.332.234
AP
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspection d
This permit card shall be kept in a conspicuous place on the job site until complex•n . e project.
Approved plans are required on the job site at the time of each insp • on.
Building Permit Application
•. •• • • , • ••
i •
Commercial RECEIVED
1 OIt 0,.11(1: ' ,!: 0NI-1
City of Tigard RDate/B: �.�� Permit No.: �S�
. 13125 SW Hall Blvd.,Tigard,OR ups 3 2016 Plan Review AraWallill
Phone: 503-718-2439 Fax: 503- 96 Date/B : RelateciPenniL•
Inspection Line: 503-639-417 ++ Date Read /B • ♦ • • �•'
I I I) p �'' 1C7A O Notified/Metho 5 • - I S See Pagel nr
Internet: www.tigard-or.go . • • • S plemen[al Information
�3U1!_D1N�` Ds�et 1�' ••'. 9`tiiJ-i,i0Z••P'g: i2? ;
!JIM/DING .., •
a TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY*WELLING
0 New construction 0 Demolition • Petorybfeesi`are based In the talue of the work performed.
Indicate tie valve((undid to the nearest dollar)of all
ipxCidition/alteration/replacement 0 Other: equigmentlitatCns,tater,;va-head,and the profit for the
CATEGORY OF CONSTRUCTION
wotic ilidiceted en Mis ap�lic'aton.
1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 4j! an'-' ••,----
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
SITE INFORMATION AND LOCATION Total number of floors:
Job site addres - S Li ,,,,,,,,,—,„;:mo - a— New dwelling area: square feet
City/State/ZIP: _ "` c)1 . s' � Garage/carport area: square feet
Suite/bldg./apt.#: / Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: • square feet
Other structure area: square feet
RE+QDED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
I DESCRIPTION OF WORK work indicated on this application.
Gb Valuation: $
DWIlteExisting building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: U Sal£ �c � Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
3 APPS I#� .. 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: fPlease refer tvfee s ewW e
� ‘ ani�CuC�loi. Structural plan review fee(or deposit):
Contact name: ON e.c.,S
FLS plan review fee(if applicable):
Address: S81Eit. f►} {�RCVI A
City/State/ZIP:-"S r,. � G 8 Total fees due upon application:
✓A-4.17If
Amount received:
Phone:( ) Fax::( ) /9ole
E-mail: � �.�AM@ •�� PHOTOVOLTAIC SOLAR PANEL SYSTEN*!EESS•
rC • Commercial and residential prescriptive installation of
CONTRACTOR roof-top ounted PhotoVoltaic Solar Panel System.
Business name: Submit two sets of roof plan with connection details
5.� - G --A._ and fire departm.ut access,along with the i i Oregon
Address: Solar Installation •: laity Code 1st.
City/State/ZIP: Permit fee(inclu.- . .n review $180.00
and al- nist . 've fees):
Phone:( ) Fax:( ) State sur .rge(12%of perms -e): $21.60
CCB Lic.: i(,36u, Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is .t obtained
/� ` within 180 days after it has been accepted as co •Tete.
Print name: /�� Date: * Fee methodology set by Tri-County Building Industry
/�1 S L L/ / Service Board.
l:ABuilding\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 4400-4613T(11/02/COM/WEB)
•• • r • • •• • •• •
• . . • •• • •• • •• • • . .
• •. . •• •. • •• •• • •
• • • • • . •••
• . . • • • . • .
• City dfTighrd • COMMUNITY DEVELOPMENT DEPARTMENT
AcFe�sibility. Barrier Removal Improvement Plan
-1r Eoriilierei t1:8 Multi-Family - Additions or Alterations
T i G i • 13}2; S Y Half 4 A% Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
••• ••• • • •.• •••
•
•
REQUIlar Mots: OREGON EVISED STATUTE (ORS) 447.241.
• .
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
1:ABuilding\Pcrrnits\BUP_(;OU_Permit.lpp.doc Rev. 12/18/21114
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: �{ ,)d((o – (DO l? - ,
Site Address: ) 3 11 ' Sk.) N o r4±Q' e w D,
Project Name: g e ✓ Lot #:
(New dwelling= subdivision name;.\ddition or.AIteration=last name of owner)
Planning Review
Proposal: 1\-.eL ;--- o -, - 3<3 o .. et), -(1 . co\-e. -ct p a r-cA, o r ,o-e- o P
-ice �- -h o- �
' Verify site address/suite# exists and active in permit system.
ARiver Terrace Neighborhood: No ❑ Yes, See Riper Thrace Review_Addendum Attached
Site Plan Elements:
Ai Three (3)copies of site plan ,Lxisting structures on site
lite plan must be on 8-1/2"x 11"or 11 x 17"paper -Footprint of new structure (including decks)with finished
?Drawn to scale(standard architect or engineer scale) floor elevations
,I?vorth arrow fatJtility locations (required for new,may apply for additions)
.'Site address,project or subdivision name and lot number Location of wells/septic systems
,2epplicant information(name and phone number) Erosion control(including drainage-way protection, silt fence
1?Lot dimensions and building setback dimensions design,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and .®'Street names
impervious area (applicable if R-7,R-12,R-25&R-40) 2�reet tree size,type and location
,Property corner elevations (2 foot contour lines if more than ..LTJ 1~:xisting trees to be retained with drip line,and tree
4 foot differential) protection measures
El Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: g Yes,applicant was notified E No Received: 'es ❑ No
&Public Facilities Improvement(PFI) Permit: Sifi /. Sia
Required: ❑ Yes,applicant was notified Ii-rNo Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: INJ A
iN'Zoning: .nr.I: P.--- t PD
tR'Setbacks: Front ._ Rear \ 5 Side — Street Side — Garage —
Landscape Requirement: °o
fk'Lot Coverage Maximum: %
L$Building Height: Maximum Height 3-5 Actual Height 15-1-11, -
Npc Visual Clearance
le'Easements
V-Sensitive Lands: ❑ Yes kiNo Type
Urban Forestry Plan
Nconditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Ca _ cf Date: 5 —3-- I to
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:ABuilding\Fonns\BldgPermitRvw_RES_0121 16.docx
Building Permit Submittal
Original Submittal Date: 6A/,
Site Plans: #
Building Plans: # 3
Building Permit#: ErEnter building permit#above.
Workflow Routing: ErPlanning ❑Engineering EL.Pcfmit Coordinator Building
Workflow Sign-off: Qv-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.
0�3uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: C-__ _aLtriAt.....4...1. Date: 5",h,
Engineering Review
Z Slope at building pad: _ideo
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 ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes E No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: AtZDate: �—, ��
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved E 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: ❑ Yes 4 N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
)OK to Issue Permit
Approved by Permit Coordinator: Date: 5 - `r - ( C.
1:\Building\Forms\BldgPennitRvw_RES O 12116.docx
RECEIVED /risra616-cam/�6
Clean Water Services File Number
MAY 11 2016 16-001720
OF 1'IGARD C1eanWater Services
CITYsltive Area Pre-Screening Site Assessment
BUILDING I9 I tl '
1. Jurisdiction:
2. Property Information(example 1 S234AB01400) 3. Owner Information
Tax lot ID(s): 2S104BA06700 Name: Gail Rager
Company:
Address: 13919 SW Northview Dr
Q@ Site Address: 13919 SW Northview dr City,State,Zip: Tigard Or 97223
City, State,Zip: Tigard Or 97223 Phone/Fax:
Nearest Cross Street: E-Mail:
4. Development Activity(check all that apply) 5. Applicant Information
d Addition to Single Family Residence(rooms,deck,garage) Name: Chris Pete
❑ Lot Line Adjustment ❑ Minor Land Partition Company: Craftsman Construction
❑ Residential Condominium ❑ Commercial Condominium Address: 9850 SW Denney Rd
Li Residential Subdivision ❑ Commercial Subdivision Beaverton Or 97008
Li Single Lot Commercial ❑ Multi Lot Commercial City,State,Zip:
Other Back Porch Phone/Fax: 503-998-8027
E-Mail: cp.craftsman@gmail.com
6. Will the project involve any off-site work? ❑Yes No Li 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 Chris Pete Print/Type Title Contractor
Signature Date 5/9/2016
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 07-20, Section 3.02.1. All required permits and approvals must be
obtained and completed under applicable local,State,and federal law.
XBased 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.
❑ 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 LETTER IS REQUIRED.
Reviewed bye Date 5/10/16
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
Revised 2/2015
Northview Drive
Driveway
- I-7 4
y
11 1 T 1 I
L--I-- - - - - -,
L L_ I
77--.1 "-,:-
vl
°'
I
in L
0
0
0
_..__ j__,
__. ....._ Craftsman Construction
503-998-8027
PO H v r Address:13919 SW Northview Dr
u SFT 1
p.� Tigard, OR 97227
13'-T - / Zoning: R-12
`"` "�, E,z / v-11 1aaPO °".R Lot Size : 5997Sq Ft
-/ 4 .
.44_
Driveway 420
i— J 0 Garage 409
Shed 64
I MainArea-89.
New Covered Patio 320
Lot Coverage 2524 sq ft
v Lot Coverage 51%
En m Site Plan 1"=10'
t-
Lu
0
I .1
60'-0"
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13919 SW NORTHVIEW DR, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00176
David Young
Violation Summary:
Inspector Contractor