Permit (170) 11. CITY OF TIGARD MASTER PERMIT
3
COMMUNITY DEVELOPMENT Permit#: MST2019-00118
TIGARD.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2019
Parcel: 2S103CD09000
Jurisdiction: Tigard
Site address: 13571 SW PIPER TER
Subdivision: 2008-074 PARTITION PLAT Lot: 3
Project: Crook
Project Description: Installing in ground swimming pool with safety cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $30,000.00 Rear: 5
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 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:
OTR SF VB R-3 0
Owner: Contractor:
CROOK,NATHANIEL RUSS AARON SLOTHOWER Required Items and Reports(Conditions)
CROOK,CHRISTY 14543 SE WEST PARK CT i
13571 SW PIPER TER DAMASCUS,OR 97089
TIGARD,OR 97223
PHONE: 503-481-5937 PHONE: 503-927-8732
FAX:
Total Fees: $1,016.12
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 -••• -• •• tke Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o• - •• - es or direct ques)ions to OUNC by calling 503.232. •'7 or 1.800.332.2344. f
Issued By: .._/{ .400...,..--T-..-- —.—.. Permittee Signature: r
Call 503.63'., :00 a.m.for the next available inspection d
This permit card shall be kept in a conspicuous place on the job site until corn` tion of the project.
Approved plans are required on the job site at the time of each in pection.
Building Permit Application
Residential
114City of Tigard J b ReceivedDate/By: L` 7 i'� I" /�—40 iii-
:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ti
Phone: 503.718.2439 Fax: 503.598.1960 APR Date/By: I q f Other Permit:
T I(,ARI) Inspection Line: 503.639.4175rk Date Ready/By: /Z Juris: ® See Page 2 for
Internet: www.tigard-or.gov C ' ° 1" I I t ,1, ", ,. 'ed/Method: t/ Supplemental Information
BUILDING DIVISION
i
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
1E1 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:t w mwi,.n Woe( equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwellin Valuation: $ J..t 006
0 1_and2-famil
y g ❑Commercial/industrial I`!v
❑Accessory building I:1 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I '3SJ-7I i...) ‘3, C —CeC,r New dwelling area: square feet
City/State/ZIP: 7 tciw,6 Q2 "17 aa--J Garage/carport area: square feet
Suite/bldg./apt.no.: 0 Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
po°I
Other structure area. 4 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
1 DESCRIPTION OF WORK f work indicated on this application.
-:1-Y\ 1\0/1C7 it D.\I.rhy 11 et--4f3c (o/ �re'k-i Valuation: $
vP C. J Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: chc, Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:) Li 5,3[ - Q ---) Fax:( ) New:
0-APPLICANT � 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:
<>>S �dOt G'` 8 `) Q (Pleaserefer tofeescheduf
w Structural plan review fee(or deposit):
Contact name: R tY..sS �� C.oe•C''
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( 3)O''a,1 - ' ,/3 a Fax::( )
, �' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
c�}J�J�v�Yl `�NJ YY1C 1
Cz'Yl Commercial and residential prescriptive installation of
Ct7N RAi Tf7rR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C erci S pc,.‘ 0,y-N6 300\ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: t1_ 9.4 '3 e co csik ,‘ Solar Installation Specially Code checklist.
CPermit Fee(includes plan review
ity/State/ZIP:
�� US i C( R and administrative fees): $180.00
Phone:(53"3) C0.1 -- Zs 7 3 ra Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: S bie..„... . Total fee due upon applicataion: $201.60
Authorized signatu . ."- ----7--Z-..,.........,.........___,
� This permit application expires if permit is not obtained
within 180 days after it has been accepted as complete.
Print name: jR �1,..,.A--.1„,,, ,..„r Date: —d�' ICI *Fee methodology set by Tri-County Building Industry
�j 11Service Board.
I:ABuilding\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE. CSE ONLv
Received
11111 City of Tigard Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 AssocDate/Biated
I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
I1C,A,P.1)
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No y/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: . 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. 0 0 0
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
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 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
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 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 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 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 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
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 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 ❑ ❑ ❑
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 ❑
architect licensed in Ore:on and shall be shown to be a..licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
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, ❑ ❑ ❑
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.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
II a
" COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c a R D Building Permit Review — Residential
Building Permit #: /kt S7 Li i/? „le-
Site Address: . 5-1 I SN Torr.
Project Name: j k. Poo I Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: In ervivici )CO
Verify address/suite#active in Accela. X.In River Terrace: No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: ,,I ,rosion Control
3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper AtAltetained trees with drip line and tree protection measures
0: D rawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FEE
+ orth arrow H tility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number '!!adewalk/driveway approach
pplicant information(name and phone number) !: •cation of wells/septic systems
Xot dimensions and building setback dimensions f1i eet tree size,type and location
114Square footage of buildings to be demolished ' treet names
XFxisting structures on site ;Corner elevations(2'contours if more than 4'differential)
of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? n .it ■No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? S i-s ❑No
` 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 No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: Zoning: p..-4.s-
ix-
Required Setbacks: Front: 0A Rear: St Side: 5 I _ Street Side: N Pr Garage:N/4-
FA :uilding Height: Max.Height: Actual Height:
IIA andscape Area: °/U 'Lot Coverage Max: 0/0
En m ance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12%of area of all street-facing facades
ara ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2ad floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
ro .isual Clearance AUttrban Forestry Plan
2' Sensitive Lands: ❑ Yes No Type:
conditions met prior to issuance of building permit
s:
''S--Approved By Planning: Date: `'_ g
Revisions (after Building Submittal nly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvw RES_022819.docx
Building Permit Submittal��17/3 Original Submittal Date:
Site Plans: # 3
Building Plans: # 7
Building Permit#: "tit- Enter building permit#above.
Workflow Routing , Planning C Engineering Permit Coordinator 9A3uilding
Workflow Sign-off: Vr Sign-off for Planning(include notes from planning review)
Route Application Documents: Kt Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ftr-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: j[J�, /L:�1. /,��.....,4.:40.- Date: 4/702
Engineering Review
[ lope at building pad: 3 �o�o
[ 'Conditions "Met"prior tosl suance of building permit
C7''Easements (encroachments)per engineering conditions of approval and plat
CWWater Quality/Quantity Facility: ,_,f
Assess Water Quality Fee in-lieu: El Yes LJ No
Assess Water Quantity Fee in-lieu: ❑ Yes Rr, No
LIDA Facility on lot: CI Yes l /No
F.AFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
C✓'Approved by Engineering: S 6.4(6,5,-,6.4(6,5,-, Date: Li_so- 20/ 1
Revisions (after Building Submittal only) �l Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
14A..Conditions "Met"prior to issuance of building permit
El 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 ivi N/A
Tigard Trans SDC: ❑ Yes F.Z N/A
Parks SDC: ❑ Yes fcr N/A
LIDA ❑ Yes R N/A
K to Issue Permit
Approved by Permit Coordinator: Date: Li 1 JD7 n
I:\Building\Forms\BldgPermitRvw_RES_022819.docx