Permit (44) CITY OF TIGARD MASTER PERMIT
2..' COMMUNITY DEVELOPMENT Permit#: MST2018 00046
T i GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2018
Parcel: 1 S 133AD03500
Jurisdiction: Tigard
Site address: 10760 SW SUMMER LAKE DR
Subdivision: AMART SUMMER LAKE Lot: 9
Project: DIMAGGIO
Project Description: Extending upper floor over garage and enclosing utility room in garage.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 2 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 339 sf Value: $50,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0
Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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 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
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-3 339
Owner: Contractor:
DIMAGGIO,LAURA&DAVID BUILT WELL CONSTRUCTION Required Items and Reports(Conditions)
10760 SW SUMMER LAKE DR 34977 MILLARD ROAD
TIGARD,OR 97223 WARREN,OR 97053
PHONE: PHONE: 503-720-7162
FAX:
Total Fees: $1,821.26
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialt ,des and all ot•- 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 • :nce, or ' wor -uspended for more the 180
days. ATTENTION: Oregon law requires you to follow the - ...•ted by the Oregon Utility Notifi - •• Center Tho les are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtai - copy of the rules or dire questions to OUNC by calling ..3.23j2.198 •,1.8,6.3-;.2344.
c
Issued By: --tom Permittee . . . `__., AI
C,_fl ,ft,.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
RecelvDa,riMMIMMIlli r -17.--- Painitm-iv,,57-dori-ttore
74, 13125 SW Hall Blvd.,Tigard,OR *Alt- 11 ,;4 i.4 t"' I 4 pbateview
Phone: 503.71112439 Fax: 503.598.1960 ' Da teBy, 171 10)//f(3 Ary Other. Permit
Inspection Line: 501639.4175 El See Page 2 for
1 k -I) Dats Ready/Ey:i ti ) c.f./a-fro
Internet www.tigard-or.gov '-7F-": I 2111") Trep SappteneatsI Intennaden
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TYPE Okiibili ': ',.-,.‘(.:.,t P': REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction Aultbaiiii* Lc,?F)3.- Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alterationfreplacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCITON
Ost.
Vr-
0
Valuation: $ iC:bj..9a0 —and 2-family dwelling Ccanmercialfindustrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other:— Number of bathrooms: Z
JOB S!Th INFORMATION AND LOCATION Total number of floors:361 1.
Jet"sire adcbess: 101 brSOVVVVir tittk.r.. P2. New dweffing area47)..aiy square feet
City/State/ZIP: Ti 6,44,P oi.„ 1'2Z3 Garage/carport area: .....-• square feet
PC
Suite/bldg./apt.no.: ,..• Project name: Q I siA46„.6.t,,1=, Covered porch area: square feet
Cross street/directions to job site: .„. Deck area: 10. ... square feet
5ovot or 5c4c.tiA, W.9-427 ()IJ 5 $ J Other structure area: .-- square feet
tfitot-15_, 9 t. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: .5,jouva, (A.te... Lot no.: GI Permit fees*are based on the value of the work performed.
-
Indicate the value(rounded to the nearest dollar)of all
Tax=A/Pam1143
' -:We lea h in/alrP Sr(k/te.,.1°Yeivir equipment,materials,labor,overhead,and the profit for the
Lr 41res rm.,tDESCIRIPTION OF WORK work indicated on this application.
Elcitt, Of f‘g- Fkir3.-4-- 004e0-. 644144-C, r...• i Valuation: $
a
Ili ADD Svtc-LoaCrt-P kinlArY 1244A tU (E) Existm- g building area: square feet
-
1,41146.471%E. New building area: square feet
)2rPROPERTY OWNER 0 TENANT Number of stories:
Name:DAti(CO a- 4;4.4 Di wv4e,te„.tec) Type of construction:
Address: 10L 6‘2 , t,tl .SJ,A#viNiT4- Ax-ir. DV Occupancy groups:Tt
City/State/ZIP: bvo,A4et_ cti-2,2:2, Existinx
Phone.ga 3;44_ /41.6 4 Fax ( ....) ew
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APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
ifkase rgfer to fee seinskio
Business name: usg tv..z, i
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Contact name: A4414
1,2251/..... ,ti 5....,S tp 14"4 'ScePS
gi:r_. Structural phm review fee(or deposit):
FLS plan review fee(if applicable):Address:
Total fees due upon application:I ti 7/1 ity
City/StaterLIT: pit..4tAd41.1 r* Cit_.
) I 44443
Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E ":: V-Z•IdGiOy Ztool C NrAkove4 . Ce,v1/4./1
Commercial and residential prescaiptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 30 ttT- IAJCLL. l'Ioall?..4.)e.414:7 i.i Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: eice.y foSsr,.... ine- Solar Installation Specialty Code cheMist _
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:c03)/20. `1 t ("1„„.. Fax:(
State surcharge(12%of permit fee): $21.60
,,
CCB lic.: 1 4.' 07 iii Total fee due upon application: $201.60
Authorized signature This permit application attires ha permit in not obtained
_ t within ISO days after it has been accepted as complete:---
Print name:AsktAl D. go..." Date: (- -jct._ iii =Fee methodology set by Tri-County Building Industry
Service Board.
Or "I RE CEIVED
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CITY OF TIGA ''ir!Witter f,•0+4•>P:-,Fq,,_1 Number , _-..
111',;:•'./ 71/'
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Sensitive Area Pre-Sci-E:.,a,;ing Site Assessment
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EL Win the project irwove any off-site work? CI Yes
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i Location aro cfaroution of off-site work
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On complete.°ma to:SRL `ReviewacteanwatersetvIces.ovg • Fax(503)6814439
OR mail to SRL Review,Clean%Atter&micas.2550 SW14Esbaro Highway.itanboro,Oregon 97123
1
City of Tigard
1111 v COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A o Building Permit Review — Residential
Building Permit #: /174),--aa)/c'—ct" -y
Site Address: 1 0"7 60 S vV S 'J(no-Lc,— L ci(.— Q r ,
Project Name: D j 'Y?Gi O Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 1+0 1v\J2, D9 d(t; 4)b.�1 / Q X-42'1 c( U PeeC �CC( l�Ver 9 (41-c4
J71 Verify site address/suite#exists and active in permit system.
XRiver Terrace Neighborhood: /01 No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan Existing structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with find hed
Drawn to scale(standard architect or engineer scale) floor elevations
North arrow Utility locations&easements (required for new and a ditions)
Site address,project or subdivision name and lot number ,®Sidewalk/driveway approach
4IApplicant information(name and phone number) EftuaTon of wells/septic systems
,g]Lot dimensions and building setback dimensions ❑r.xtstmg trees to be retained with drip line,and tree
7iSquare footage of buildings to be demolished protection measures
21'Lot area,building coverage area,percentage of coverage and U eet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) [ S t names
Ai Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes,4No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No
IZr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required:A Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
4Q-241blic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Q—sand Use Case#:
Zoning:
Required Setbacks: Front /S Rear °(S Side S Street Side/0 Garage 0
4 Landscape Requirement: 20
Lot Coverage Maximum: 8 a %
)d Building Height: Maximum Height .5 S Actual Height 7. CI
n--Visual Clearance
Ei—Sensitive Lands: ❑ Yes ❑ No Type
n"Urban Forestry Plan
---Conditions "Met"prior to issuance of building permit
Notes:
J Approved By Planning: Date: 2/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: 11/i it-
Site Plans: #
Building Plans: # 3
Building Permit#: ITLerter building permit� ��..,.,����#above. ��//��
Workflow Routing: ming ISE ineering hermit Coordinator ding
Workflow Sign-off: 111.31"gn-off for Planning(include notes from planning review)
Route Application Documents: [1,..E2fgtneering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ILkSwiding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 4yn
� , , � Date: 611 2(
Engineering Review ��f
Slope at building pad: �yb
g'''Conditions "Met"prior to issuance of building permit
la-Easements (encroachments)per engineering conditions of approval and plat
IG Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes a-No
Assess Water Quantity Fee in-lieu: ❑ Yes [ No
��LIDA Facility on lot: ❑ Yes 12-No
LTJ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
pproved by Engineering: (4t4.4 64(4- Date: a r -kg
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: El 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:
7
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC:
III
`�'N/A
Parks SDC: El Yes N/A
LIDA El Yes N/A
tOK to Issue Permit
rovedPermftCoordinator: Date: 2-//a--1 1/
I:\Building\Forms\BldgPermitRvw_RES_010118.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
i , , E i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov
TO: ` 1 ✓VI DAT:t'•- t
TIVED
DEPT: BUILDING DIVISION
APP iCo �111
FROM: A L,,4 . rte_ �l�i'�' 1 � = x; l
Awl.
��
COMPANY: /c� Af GSL( ` ScLbL4 EL'Ii,tliN6►o vlSION
PHONE: - -Ta3
RE: ttcz.Z(0 .Cjrw.vt,(91- ist4--q, wlsrio t% --
(Site Address) (Permit Number)
ject name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: I Copies: Description:
�.� Additional set(s)of plans. Revisions:
Cross section(s)and details. Z Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 4,-Q 00.cT LAs-meArL. tom46..ti(L
t A-479 vrie ,.i 4-- ik_e_ -\c-et--ri,c3.t4 c j-r)-r In
sfz, - AAA__ FlAi Lel or y 1 s "J
FOR OFFICE USE ONLY
Routed to Permit Techni 'an: /bate: Initials: AIV
Fees Due: ❑Yes No (� Fee Description: Amour Due:
$ 0 .
$
$
Special
Instructions:
Reprint Permit(per PE): 0 Yes !! No 1 E]Done
Applicant Notified: Date: '-��,� i' Initials: p
1:\Building\Fotms\TiansmittaILetter-Revisions 061316.doc