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Permit (143) CITY OF TIGARD MASTER PERMIT °I a • COMMUNITY DEVELOPMENT Permit#: MST2017-00064 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2017 TIC I'[� 9 Parcel: 2S104DA22300 Jurisdiction: Tigard Site address: 12938 SW PRINCETON LN Subdivision: QUAIL HOLLOW SOUTH TOWNHOMES Lot: 49 Project: Rhodes Project Description: Replace existing deck and add on 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: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $3,500.00 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 Fum<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'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: RHODES,STEPHEN MICHAEL ALL ABOVE FENCES DECKS&CONSTRUCT Required Items and Reports(Conditions) 12938 SW PRINCETON LN 7424 SW FIR ST TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-270-1864 FAX: Total Fees: $333.13 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 through R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee 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. IBuilding Permit Application Residential � � � roll 01'1,1C 1. I.SF OyLv Cityof Tigard Received + g Permit No.: 11 13125 SW Hall Blvd.,Tigard,OR 9722,E D i 3 Plan R : �� �� lld�Ot'7 s Phone: 503.718.2439 Fax: 503.598.1 t Pu 1. i ' Paan Review . Date/B Other Permit: T a G A R D Inspection Line: 503.639.4175 x Date Ready/By: / � / lads: (a See Page 2 for Internet: www.ti and-or. ov *' b 1 1 t., Notified/Method: g g r R ¢ z rx 't -I x /_� Supplemental Information {T� 1 i_ i t, .rano ( ,,- ,��� TYPE I m s.k,'" $41 1 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,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1-and 2-family dwellingValuation: $ '�60 0 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LO ATION Total number of floors: Job site address: /29' 3 ! 0 iKR,A) 2/1/ L-- . New dwelling area: square feet l- City/State/ZIP: 77&/` ®fli /72 2'7 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: /00 square feet G- /' d`-t C / 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the , DESCRIPTION`O, / F WORK work indicated on this application. /2 /P2- ,f-C. / --A p/ L c / 7 x f Sy- JQ Valuation: $ L &C,r Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: -5' 7 . /20/0 S' Type of construction: Address: ' 3 8 �G1�} ) P'�C 7t7/0 � S Occupancy groups: City/State/ZIP: 7-7-67-'4 "% , 2 2... 972.--z- --- Existing: Phone:( ) Fax:( ) New: APPLICANT 0 CONTACT PERSON - BUILDING PERMIT FEES* Business name: ,f--70 6" L e k CL b --"c (Please refer w fee schedule) Structural plan review fee(or deposit): Contact name: 4-7,,.../Z),P, V4y7-791--r4- � FLS plan review fee(if applicable): Address: 7 ...5„....e4, ../2._ �` City/State/Z1P: 7( G.,9--- ©R ?7'�`L 3 Total fees due upon application: Phone:( ) 7.,_--7Q / I R Fax::( ) a`�' Amount received: ��7, �S E-mail:-a,Cove C C-® , cJ"j®N dj 7.re-__ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: D 1/&---f� 11-: /)/C..-- � �, �C...,C.: 5 - Submit two(2)sets of roof plan with connection details 7 ff�,��` — �_ and fire department access,along with the 2010 Oregon Address: 7 v/ `J7 Solar Installation Specialty Code checklist. _ City/State/ZIP: r'" C-� � 7 22 - Permit Fee(includes plan review pG��7 e - $180.00 Phone: and administrative fees): ?f-- ) 170 / 1� Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: / 9' 0 / - Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained �n , ! 2j within 180 days after it has been accepted as complete. Print name:/ •/n�L� VA D'z-/� Date: 7i// i .7 *Fee methodology set by Tri-County Building Industry ll! Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 14 1 Building Permit Application Checklist One- and Two-Family Dwelling FOR OrriCI. i.Si: Oyl.1 City of Tigard Date/By: Received Permit No.: • 13125 SW Hall Blvd.,Ti ard,OR 97223 Associated Associated permits: >: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical 1 I G A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRE!) FOR PLAN REVIEW les No 1'k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ U 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Se s tic s stem i ermit or authorization for remodel. Existin_• s stem ca.aci 6 Sewer permit. • • • 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 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 ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑ 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 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 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 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 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 0 0 ❑ architect licensed in Ore on and shall be shown to be a licable to theproject under review. 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. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 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, ❑ 0 0 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. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard ■ q COMMUNITY DEVELOPMENT DEPARTMENT III T 1 c A R o Building Permit Review — Residential Building Permit #: HiiTc9e)1? -601/0( Site Address: 2_2-61 SV\J � e-ri Ltvz Project Name: h( GS �,�, Lot #: LACI (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: \) I i .PGCE i ( vt, Verify site address/suite# exists and active in permit system. -River Terrace Neighborhood: f4 No El Yes,See River Terrace Review Addendum Attached Site Plan Elements: J:KThree(3)copies of site plan . xisting structures on site .SSite 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 North arrow Mk.tility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number ocation of wells/septic systems Applicant information(name and phone number) I .xisting trees to be retained with drip line,and tree .f"Lot dimensions and building setback dimensions ,rotection measures rjWLot area,building coverage area,percentage of coverage and Nirkstreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names Rliiroperty corner elevations(2 foot contour lines if more than foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: .3X-Yes,applicant was notified CI No Received: X Yes --. -Id'o— Public Facilities Improvement(PFI) Permit: /3 T. Required: ❑ Yes,applicant was notified y No Applied For: El Yes ❑ No,stop intake 2Land Use Case#: ai.g 7ji) 0000H 0 Zoning: R-1-4-s-L P[. \ . ►2. Required Setbacks: Front �54 Rear t ��� q ICJ Side � Street Side j�ti/qyarage �,�')(Aj��) Landscape Requirement: % t' ) = Et'Lot Coverage Maximum: El Buildingi Height: Maximum Height NA ( (V-C .4„Actual Height :25\c- .k.”Visual Clearance 7.J(. . Easements .&,1 X71 pH- (t,(&1.,1 ;CWU (01A-A-e - PSS Sensitive Lands: El Yes No Type Urban Forestry Plan'J(4. "Conditions "Met"prior to issuance of building permit 1J Notes: Approved By Planning: � ,1 . Date: 2 4(" Revisions (after Building Submittal only) I Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\BuildingWorms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: i5/1 7 Site Plans: # 5 Building Plans: # 3 Building Permit#: rEnter building permit#above. � � Workflow Routing: - Planning ❑-gineering 1-2" rmit Coordinator .Building Workflow Sign-off: Zi-Sign-off for Planning(include notes from planning review) Route Application Documents: Er 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: (�c�n By Permit Technician: ( II) Date: - , / ngineering Review Slope at building pad: 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: El Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: ApprovedbyEngineering: .- Date: —/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review El 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: El Yes e! /A Tigard Trans SDC: El Yes ► N/A Parks SDC: ❑ Yes 'pil N/A OK to Issue Permit ..y ii. i Approved by Permit Coordinator: Date: A I:\Building\Forms\BldgPermitRvw_RES_091216.docx - f'-/57-0.1e1 7 —oc50 SO, L.., Clean Water Services File Number I 17-000508 I (lean kttp. i,Sci.vices, Sensitive Area Pre-Screening Site Assessment 1. Jiiristhrii. . TIGARD ... 2. Property Information(example 1S234AB01400) 3. Owner Infom,,tion Tax lot ID(s): 2S104DA22300 Name: 5- tirAl Company: . .. Address: '---- 2-9:378 '5‘4..TP4/1- AT'a• City q — OR A , • 7 Site ddre-s• ,...tate.Zip: ..:. . —tyt•--iti:‘ Zip: //4i-F-/Ze...? ....,_ C7r-e,-- 2722:5 Nearest Cross Street: 4-7/2-0•F----G- E-Mail: 4. Development Activity(check all that apply) 5. Applicant Information X Addition to Single Family Residence(rooms,deck,garage) Name: AA/..40 .) 1/14R--/1744/ O Lot Lina Adji rstmei it -I Minor Land Partition ..-,— Company.Alee)ye-el-a_riyC 1_1 Residential Condominium J Comiliorcial Condominium Address, . 7 •2-4- ,...Ce.-e—r_75)2..- 5'77 Li ResidenliFd Subdivision „J Crimmorcia)Subdivisio,i ' Single Lot Commercial D Mulii Lot Commercial Ll City,State.Zip: 7-2 tther c...-APiy. a „., AA(4/;," exiss7-74/6 Phone --270—4i •P 1 6. Will the project involve any off-site work? J Yes %No LI Unknown — Location and description of off-sito work ...___ , _ " ,,,i-p .6 cr.30e-,9,2e_3 y.P-eor ..5-0 . C E-Mail:17/5cW6-4-&-*ce->xisi2eeie_77'04)&5 ' " #2 --- _, (4— — 1-cx-isri/v4,i Aibrb.--,_ --------737.-.-_-_--- - . 7. Additional comments or information that may be needed to understand your project - -,--e— This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, 0E0 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,slate,and federal law. P i r- g1i 1i I 4( Ii or Ge fee,'olilf r., %I i " or ) ''''F',1"J'i''' V'frektl"'-;all vireo-•2i!,,riir-ki—,,,ot Cfr'ir,r',-itr, '3,,ivice,Imp•-ilt,irily In coin tit p:01Ect:::it[]at all reason:Ma 0;73.1'm rile PLIV)Sf:a'iik,p:"AifillpfOier!A'(::.,5qii,' r::4101.;VP'I'IU irOrinatiori rf.lac it 1.0 rie piripf.t site. I(citify hat I I imiliar mlitilip10011 ilion ronkied in this and accurate document,aid to Ike best of my riowledge and babel.this information is hue,colrAlete, . r--(-4- . Print/Type Na o /77Y-t — 0I jr , / C Print/Type TitleC) ei -2-AdC. tie- Signature -11 ,_Ar -....r—r_.---- 45;0 e—e - Date 2.7 All(7 FOR DISTRICT USE ONLY . . . ..j s,-.,51+.1 •- f")I ffi'li;(),-. no f't or,f 1'1 f 730 of 1-4 s,,e THE APPf_ICAN MUST PERFOTif A SITE ASSESSMENT P fun TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or witiiiii 200 feet on ail;iieent pini.i-erties,a Natural Resnurcec Assassnimil(Wort may also be required. Based . thematerialsand bestavailable' i ' i J on review of submitted informat 011 Sens tiva areas do not appear to exist on site or within 200'of the site.This Sensitive Arm Pre-Screeninq Sile Assessment does NOT eliminate the need lo evaluate and protect water quality sensitive areas ii they are subsequently discovered.This document will serve as your Seivice Plovider leker as required by Resolution and Order 07-20, Section ,02 1. . 3 All recoiled permits and approvals must be obtained aid romplotr-il IIIIIhr;:riplicabh:local,State,earl federal lie. j un. nick ( - "tt, -l„,„.1i rilii„iiii.,a,11b,,,,i;„„, ii hi,:i•,/,,p-ri:,-iii i-,,,a,-.--,-.1,.,,,,,,,,,,,i.,iiiii.i-1, iii l'6+-,i4)=MV,Irill,,',r!I-AO r.r.r.pijsror or flo:eilq.allt: sevic,., -• •, ', . 1 • 1 h 0 '/:' Cs'' )P 'IVO,'Pt '`ie,---n '' lf: /-, ,:----:'/1:- --1.Oi H lit(f 1,-i'''o t-,,,,,J in ti 1 vr.,', i i proic-it',1,iiii6a,-i rdtti 0,-Illy si Q...e,,..ii ' ,,' -c- r f`.1,..-',1f ,'!: —,. ,r7m,m A&L.:: .....: .,11....f 4. .k-'..• r . -, t: senslive areas if hey are subsequently discovered,ibis document will serve as your Service Provider letter as required by Resolution aid Order 07-20,Section 3.02.1. All required permits and approvals must he obtained and completed under applicable local,stale and federal law. U This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. The proposed activity does not meet the definition cl development or the lot was platted alter 9/9/95o RS 92,0100. 1,10 SITE ASSESSMENT OR SERVICE PROVIDER I 1:1 FFR IS 11FOLIRED. SEE QUAIL HOLLOW SOUTH TOWNHOMES PLAT Revir,, ..,u ,,,, c : 4: 4:.s._ 4 — .„ ... .. Once Complete,email to: SPIReview@cleanwaterservices.org • Fax:(503)681-4439 , . OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway,Hillsboro, Oregon 97123 2150% -_—_,-- ,