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Permit (182)
CITY OF TIGARD MASTER PERMIT INx` Permit#: MST2018-00084 COMMUNITY DEVELOPMENT Date Issued: 03/19/2018 Tic;A iz.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CD00400 Jurisdiction: Tigard Site address: 13615 SW 115TH AVE Subdivision: None Lot: None Project: BITHER Project Description: New 384 sq.ft.detached garage. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 384 sf Front: 0 Smoke No Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $17,314.56 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 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 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 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 Ecompasing: N Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB U 0 Owner: Contractor: BITHER,ANDREW D&KELLY A JD HILL CONSTRUCTION INC Required Items and Reports(Conditions) 13615 SW 115TH AVE ' 17700 SW SHAWNEE TRAIL TIGARD,OR 97223 TUALATIN,OR 97062 PHONE: PHONE: 503-612-7854 FAX: Total Fees: $785.25 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 AR 952-001-8090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.f� ( ,.e II/ Issued By: e' ' / • .4' 1.(/142 ( ,' , Permittee Signature: // X17 2 7 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 Residential City of Tigard Received Permit 1 g + « r'. S : � r "r 70 i f'CS13125 SW Hall Blvd.,Tigard,OR 97223 ' , s , nReview' 0 _1 , ye/By i�f— Other Permit: III lIl Phone: 503.718.2439 Fax: 503.598.1960 eBy: �" Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for TIGARD 3'/(i/tF/ Rn s. Internet: www.tigard-or.gov MAR .otified/Method fa-6 Supplemental Information ormation 04 TYPE OF WORItF i O ' IGARREQUIRED DATA:1-AND 2-FAMILY DWELLING New construction 0 M�.• Permit fees*are based on the value of the work performed. 1 al j) 1 INC1 1 *„j1, S 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. Valuation: $ f2" ❑ 1-and 2-family dwelling 0 Commercial/industrial Accessory building 0 Multi-family Number of bedrooms: )7/ 3 j 4 ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /3 , /5- 514) /756 New dwelling area: square feet City/State/ZIP: 77/` ,, D f- 9 7.203 Garage/carport area: square feet 3 s Li Suite/bldg./apt.no.: Project name: g;, e.,/ Gci..,i cli r„ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet S k G A i.-v le .5 i. 14 //5-I--4. 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 OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: A 1ay 6:tr, e J Type of construction: Address: /3z, 1 t-ti j j J"M Occupancy groups: City/State/ZIP: Ti ` vet / by q7 2.3 Existing: Phone:( ) Fax:( ) New: g APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: 3-1, N ,UI yi-64-✓if 0.1 �t'2 C.' - Structural plan review fee(or deposit): f 5e(7 7 Contact name: ❑ --t.LA FLS plan review fee(if applicable): Address: 17?Co 60 Total fees due upon application: City/State/ZIP: alai-rel 0,1706z — . nAmount received: Phone: 3)�34 i.-'/0/ Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: j-p R.©CoK & J'nvv- Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: "0 1.1:t 1 C2z✓g,e..r v 1,A . I _ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: /7,D 0 r0 ids 61,1 4,44) v K e ✓&L. 1 Solar Installation Specialty Code checklist. Permit Fee(includes plan review t $180.00 City/State/ZIP: �r✓ �w-�„/t 0../ 701,,2and administrative fees): Phone:(5b3)34 y—/O/' Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 77 4/07 Total fee due upon application: $201.60 nr is d This permit application expires if a permit is not obtained Authorized signature: (._---7-(#7)7 �(/ i(� within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: �'c �(At D44 r Date:3I�i//g Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB) City of Tigard r ■ COMMUNITY DEVELOPMENT DEPARTMENT T,cAIz>, Building Permit Review — Residential Building Permit #: ,,,,?- , 4 Site Address: 1361S S Li i t c*.-h At? Project Name: 13itiele-r C-7acc j Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: �J ,J Cc Nri-!1/Lti o u, y' Verify site address/suite#exists and active)n permit system. tVRiver Terrace Neighborhood: L 'No ❑ Yes,See River Terrace Review Addendum Attached SityPlan Elements: ree(3)copies of site plan �, xisting structures on site to 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 FFEc Corz, [i2 rth arrow 0 qty locations&easements (required for new and additions) I }te address,project or subdivision name and lot number [[r��' ❑/ ,,�.._,.,,VG/Sidewalk/driveway approach .pltcant information(name and phone number) g ocation of wells/septic systems it .t dimensions and building setback dimensions OI xisting trees to be retained with drip line,and tree vtt (Square footage of buildings to be demolished protection measures f` .ot area,building coverage area,percentage of coverage and Anky,eet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) treet names 'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? es ❑No 4 foot differential) If yes,is a storm water quality facility shown? •Yes ❑No 0 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified c27-No Applied For: ❑ Yes ❑ No,stop intake �6 ;and Use Case#: IA D/Zoning: R-9= Required Setbacks: Front Rear IC Side 3 Street Side A4 Garage -eci tel Landscape Requirement: 1J4 d/Lof Coverage Maximum: j4 % Ld Building Height: Maximum Height Actual Height ILI4�V1sua1 Clearance ' Sensitive Lands: ❑ Yes LJ No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: /7 Approved By Planning: 471,gel, _ 3/ I .2,Date: Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved El Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved i:\Building\Forms\BIdgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: Nylir Site Plans: # 3 Building Plans: # Building Permit#: la'<--2>r building permit:#above. Workflow Routing: Tanning [ .. i sneering g-Isermit Coordinator nilding Workflow Sign-off: sign-off for Planning(include notes from planning review) Route Application Documents: ®-ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. (:;i�3uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: .----) By Permit Technician: 17-4,".."--- -` / Date: (.77g1/4" En sneering Review peat building pad: [�/ nditions "Met"prior to issuance of building permit 1:5Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: /(/`/`�'n Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: AA ❑ Yes ❑ No ❑ Final Plat Recorded: 14./4 Date: CINOT Approved by Engineering: Notes: 0 � 111;:-":proved by Engineering: v �/, Date: 3 /3 lige Revisions (after Building Submittal 8 nly) Reviewer Date Revision 1: ❑ Approved ❑ 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit7/14 -- 3 1(4// V Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPernutRvw_RES_010118.docx Clean Water Services File Number CleanWater Services 18-000750 MAR ensitive Area Pre-Screening Site Assessment ITV 1. Jurisdiction: urr. 2. Property information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: ` _ i5tn xWe. Company. ci Address: 1.#615 SW 115th.Ave Site Address: City, State,Zip: City, State,Zip: 2 .-- Phone/Fax t - -- Nearest Cross Street: SW 3aarde&115th,Ave. E-Mail: andy.bither gmail,com 4. Development Activity(check all that apply) 5. Applicant Information ija Addition to Single Family Residence(rooms,deck,garage) Name: a._, r, :FF ❑ Lot Line Adjustment ❑ Minor Land Partition Company: JD Hill Construction Inc U Condominium ❑ Residential CondominiumCommerciale y' U Residential Subdivision Address: ❑ Commercial Subdivision U Single Lot Commercial ❑ Multi Lot Commercial Gity, State, Zip: { Other Phone/Fax: 503-349-1018 E-Mail: .. 6. Will the project involve any off-site work? U Yes xi No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project 'levy 3etacned garage at niE c rtler of existing structure, 7-ging on to existing ram Train system 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 Jettrey Ueat,Niii Print(fype Title President ONLINE SUBMITTAL Date 3/6/2018 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 ay also be required. lirBased 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 17-05, Section 3.02.1. 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 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 by lade Eunce Date 03/07/18 2550 SW Hillsboro Highway • Hillsboro. Oregon 97123 • Phone. (503)681-5100 • Fax (503)681-4439 • www.cleanwaterservices.org