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Permit (156) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019 00020 TEG AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/28/2019 Parcel: 2S102DB01900 Jurisdiction: Tigard Site address: 13245 SW BURNHAM CT Subdivision: BURNHAM PARK Lot: 13, PT 8 Project: LEWIS Project Description: 210 sq.ft. addition and kitchen remodel. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 210 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 11 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 210 sf Value: $24,874.50 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 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 addl 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: ADD SF VB R-3 210 Owner: Contractor: LEWIS,EVAN W&KAREN E IBI CONSTRUCTION LLC Required Items and Reports(Conditions) 13245 SW BURNHAM CT 15240 SE 82ND DR TIGARD,OR 97223 CLACKAMAS,OR 97015 PHONE: PHONE: 503-646-5376 FAX: Total Fees: $1,470.45 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090u-rmay btain - opy of the ru- or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Y- 4*(-)T-- -.'Permittee Sib� 't e-��'`-- e Issued By• _...',1111'. 9n-ture: '7639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential i .' � 4 City of Tigard Reeeived 51/4 11 q + `' i � u natcisy: Permit No.. 13125 SW Hall Blvd.,Tigard,OR 97223 I ''t1, R Plan Review / �' f'7 "� ��.� � Phone: 503.718.2439 Fax: 503.598.1960. t . may, (p/I pts p�,;t: t t c ,,R D Inspection Line: 503.639.4175 - s :_= a 3 'a ..a Date Ready$ J : Internet: www.tigard-or.gov 3 ,i I_ i l? q i"' f)r p ji..i ethod e/ ?'Y}�� 'i t3-7,-- S See Pegs 2 for ��*h� �� `�U �� Supplemental Worsening' ( 1 {�r!yt i psi K .,te--1 . • TYPE OF WORK RIjQ1!IRl•D DATA:1-AND 2-FAIITIL%'DWELLING ❑New construction L,..:.,Demolition Permit fees*are based on the value of the work performed. [Addition/alteration/replacement ❑Other Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and theecofitfw the CATEGORY OF CONSTRUCTION • work indicated on this application. Z,t-f) IS/ t-t 11�1-and 2-family dwelling ❑Commercial/industrialValuation: s In Accessory building ElMulti-familyNumber of bedrooms: \Li / ❑Master builder o Other. Number of bathrooms:` JOB SITE. INFORMATION AND LOCATION !�` Total number of floors: / Job site address: 13 Dig Ski SU.rnit eti,n Cf: New dwelling area: 22.10 square feet City/State/ZIP: --rtet,0d'.0(, OR 97 a a3 Garage carpo t area: square feet Suite/bldg./apt.no.: (1 Project name: LeztAiis5Covered porch area: square feet Cross street/directions to job site: )4;// sf Deck area: Other structure area: square feet _ REQUIRED DATA:COMMERCIAL, !SE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the vuork performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. kit hafp,,t Ode! tn,, ilddi`feoh Valuation: $ Existing building area: square feet 13,.,,/ New building area: squarefeet YROPERTY OWNER 1 • Q TENANT — Number of stories: Name: ever 4 //cj /_ew s Type of construction: Address: 1,,1245- Sw E3u,#-n h et-rn COT Occupancy groups: City/State/ZIP: 71' a..4-et. ©R. 9 7.2.2 13 Existing: F Phone:(10 3) (�2 - s az,0 Fax ( ) _ ___ J New: [] APPLICANT �+BUILDING PERMIT FES* 0 CONTACT PERSON Business Warne: 117raee refer to fee erharwol Contact name: � J/ /oice Structural plan review fee(or deposit): Oil *5Fr�-- - /K GCr .-,.„linu L., (S FIS plan review fee(if applicable): Address: / �2145 SW b -,-1't - C Jyt-. �. ) _ City/Stater/1P: -.-j s ,..e D`7 9 7a a 3Total foes due upon application "7�, v Phone:i6-03) //v.:�._/7a , Fax::( ) Amount received:r S E-mail: K LDC-,S1 G'jj Q CoTni& -S T. ��T PxoTovo[:r.�Tc SOLAR PANEL SYSTEM FEES CONTRACTOR Commercial and residential prescriptive installation of `�- roof-top mounted Photo Voltaic Solar Panel System. V Business name: /0 I doy ls17„ On Submit two(2)sets of roof plan with connection details Address: /5t�l �' d and fire department access,along with the 2010 Oregon )/^J tied Solar Installation Specialty Code checklist. City/State/ZIP: C.ice.c.ka„.. rt t .S Cie, 4'701.6 Permit Fee(includes plan review $180.00 Phone: 3 [}6_5 3 7 60 and administrative fees): (Jp ) �o Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: 2f is 9,36, `� Total fee due upon application: $201.60 I Authorized signature: /�^® This permit application expires if a permit is not obtained C p� C•Z(JE�-, within 180 days after it has been accepted as complete. Print name: �. L e, "cS Date: / /� /f q *Fee methodology set by Tri-County Building Industry f L ! Service Board. 1:1Building\Perrnits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WI B) Branden Taggart From: Branden Taggart Sent: Tuesday, February 5, 2019 1:13 PM To: aaron@iibii.com Cc: #Building Permit Technicians; keldesign@comcast.net Subject: Building Permit Submittal Payment: MST2019-00020 - 13245 SW Burnham Ct. Hi Aaron, I have created the permit for your addition and kitchen remodel. The balance due for plan review is$572.03, and you can pay this fee online now through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and we will route your permit for plan review. Thank you, Brannen Taggart City of Tigard ppb Senior Permit Technician Community Development TIGARD13125 SW Han Blvd Tigard,OR 97223 (503)7184+449' b ra nde nt r'ti Bard-o r.goes 1 Branden Taggart From: Branden Taggart Sent: Thursday, February 28, 2019 9:19 AM To: keldesign@comcast.net Cc: #Building Permit Technicians Subject: Building Permit: MST2019-00020 - 13245 SW Burnham Ct. Hi Karen, Your building permit is ready to issue. The balance due is$898.42, and the permit fees can be paid online now at https://aca.accela.com/TIGARD/Default.aspx or in person between the hours of 8:00 a.m. and 4:30 p.m., Monday through Thursday. We are closed on Fridays. If you pay online, please notify us at tigardbuildingpermits@tigard-or.gov. Thanks, Branden Taggart III ■ City of Tigard ': :<. Senior Permit Technician Community Development TIGARD 13125 SW Half Blvd Tigard,OR 97223 (503}71B-2449 brandent tigard-or.gav 1 Clean Water Services File Number v��m�z��D .-° K � �p �Z��l'C��8 18-000290 ~ ` * Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard P 2. Property|n8unnoti�n�«an�6yyS234480/40V 3. Owner Information Tax lot ID(s): 2S102DB01900 Name: Karen Lewis ` F-3r ZD1° Company: Address: zuz4sawuumhamc� ��[�� (�� ]}��/4�� Site Address: zaz4sawBurnham Ct. C�8S��.�ip� T�an�o�oun.G��A-Tl��[� f��y��OCV� City, State,Zip: Tigard,Oregon,97223 Phone/Fax: phone 503-522-6728/fax 503-684-7297 Nearest Cross Street: Hill Street E-Mail: keldesign@comcast.net 4. Development Activity(check all thaapply) 5. Applicant Information 111 Addition to Single Family Residence(rooms,deck,garage) Name: Karen Lewis Li Lot Line Adjustment lj Minor Land Partition Company: lj Residential Condominium 1:1 Commercial Condominium Address: 13245 SW Burnham Ct. U Residential Subdivision Li Commercial Subdivision [� Single��Commercial LiMu/dLot Common�o/ CitKG��.Zip� r/aa,u.o,eVon'*7zzs Other Phone/Fax: Phone sox'szz'*rzu/fax so3'oo«'raor E-Mail: keldesign@comcast.net 6. Will the project involve any off-site work? LII Yes XI No Z1 Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project This is a kitchen remodel which includes an addition where a covered porch used to be. 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,Departmentof State Lads andloDepartmentof theA'my 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 conditionsendgmthohnginfonnoUonm|atedto the project site. I certify that I am familiar with the information contained in this docment,and to the best ofmyknowledge and belief,this information istrue,nompl �� .and accurate. Phnt/Typemmme Karen Lewis PhntITypeTlt|e ONLINE SUBMITTAL Date 1/28/2019 FOR DISTRICT USE ONLY • Sensitive areapotentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER, |fSensitive Areas exist onthe site o,within 2OOfeet ooadjacent properties,aNatural Remoumo Assessment Report may also homquimd. — • Based onmvo*ohosub mWedmaehasand bosavail ob|oinormodonGonahivoame d000app ear ooxhXonohoorwithin2N'ohooU� Thio 8onote4mePm'ScmoningSUeAmmmmontdmmN0To|iminmahonedoowduae'ndpmec *ae | voomaofhoyamou- ony diuooemd.ThiodmumontviUoonmuoyou 8emiooPmvdore8oraomquimd -ionandO�or `~~''^~~~3O21 A|| = und ePpmv smusboobainodandoompoedundorappioeh|o|mm|.Sae.anded^||m«- � ' ~~`~~' . . � '`y=""p"""'° • 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 SensitiveArea Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitve 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. J This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. The proposed activity does not meet the clef nition 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 //�u�~ �«�' Dahy 1/30/19 111 City of Tigard 7 COMMUNITY DEVELOPMENT DEPARTMENT I G -:1 Building Permit Review — Residential Building .-`_...` ..�_:__ • .> - ; .--v,-,---.4:-,,,7. - ,-,k. _ F Permit #: Site Address: / q - , ) 161v-rho-Pi 61lr-1— Project Name: ,L-etoT sd/ Lot #: r vim.. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: / � 1. / e, ,t 4' AC I.._ A .rAtliflanifingilWRINIMERIMINIMIlliir tiOVerify site address/suite#exists and activezial permit system. Liver Terrace Neighborhood No 0 Yes,See River Terrace Review Addendum Attached Sit lan Elements: Oykree(3)copies of site plan .xxisting structures on site fillSite plan must be on 8-1/2"x 11"or 11 x 17"paper ( Footprint of new structure P awn to scale(standard architect or engineer scale) or elevations (including decks)with finished 6�' 'Apiorth arrow VJ . "ty locations&easements(required for new and dewalk/driveway approach additions o address,project or subdivisioni name and lot number t .11% ) •plicant information(name and phone number) J►u ation of wells/septic systems P2 • dimensions and building setback dimensions VA Existing trees to be retained with drip line,and tree n 4 .re footage of buildings to be demolished •r•tection measures MI 1,,t area,building coverage area,percentage of coverage and J�.eet tree size,type and location .pervious area(applicable if R-7,R-12,R-25&R-40) P. treet names 'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? :Wes 4 oot differential) If yes,is a storm water quality facility shown? ❑Yes o Clean Water S ces—Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: Yes 0 No OWublic Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notified IZi No Applied For: pp 0 Yes 0 No,stopintake IV - d Use Case#: ITA' oning: 1J1 S- 7 Required Setbacks: Front �0 Rear /S' Side S— Street Side OprGarage 6 110 Landscape Requirement % L► of Coverage Maximum: % rd Building Height Maximum Height „_ () /0 i r 0isual Clearance uaegt (� ensitive Lands: 0 Yes 0 No Type rban ForestryPlan an 9 %nditions "Met”prior to issuance of building permit Notes: 0 Approved By Planning: / J� Date: ) // / / Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Date Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingWorms131dgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 49f Slif Site Plans: # 3 Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: arming engineeringPermit Coordinator Workflow Sign-off: la—gin-off for Planning(include notes from planning review) Route Application Documents: eering: (1) copy of permit application, (1)site plan, (1)building plan and o plan review routing form. 3. wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: - By Permit Technician: Date: �-/s//1 —.rte _ " Engineering Review �� Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit 1J//lc ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes g No Assess Water Quantity Fee in-lieu: 0 Yes B No LIDA Facility on lot: 0 Yes .0 No Ja Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ,0 Approved by Engineering: M(A cl. uV. Date: 2 N t 9 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 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: 0 Yes [VN/A Tigard Trans SDC: 0 Yes CSN/A Parks SDC: 0 Yes 0/N/A LIDA 0 Yes VN/A ® OK to Issue Permit /� byPermit Coordinator: d�l`� Date: 02/ /j� Approved / I:\Building\Forms\BldgPermitRvw_RES 010118.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13245 SW BURNHAM CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2019-00020 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control inspection prior to building final inspection. Provide drainage to code at rear of new addition. R401 .3 Provide landing/step to code at side man door. Step exceeds 8" maximum at this time. R311 Non pt or decay resistant siding to maintain minimum 6" clearance from grade. R317.1 (5) Violation Summary: Inspector Contractor