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Permit (40) CITY OF TIGARD MASTER PERMIT 'III COMMUNITY DEVELOPMENT �` /`�' - Permit#: MST2019-00229 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/18/2019 T r C.;t I:.l) 9 Parcel: 2S111AC01100 Jurisdiction: Tigard Site address: 14650 SW 92ND AVE Subdivision: PINEBROOK TERRACE Lot: 52 Project: Hunter Caputo Project Description: 192 sq.ft.swim spa with a 530 sq.ft.deck around perimeter. 8/12/2019: REPRINT permit to add contractor. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: 5 Detectors: Total: sf Value: $45,000.00 Rear: 5 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: 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 Owner: Contractor: CAPUTO,HUNTER VORTEX HEATING AND COOLING LLC Required Items and Reports(Conditions) [ -14660-SW-9210-AVE -- ---PG-80X283_ TIGARD,OR 97224 HUBBARD,OR 97032 PHONE: PHONE: 503-871-1300 FAX: Total Fees: $1,604.80 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 thro e'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: "�-- OP Permittee Signature: 503.639.4176 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 OR (>1 1 ►( 1 1 5F 0N►.1 City of Ti and J G i 2 ?019 Received f `, g Date/B : C t / ' 7 , Permit N/ISTcql/7 DO.2„2 9 13125 SW Hall Blvd.,Tigard,OR 97223 > Plan Review Phone: 503.718.2439 Fax: 503.598.1960;1 Y7 °o_ '-,'A,-. Date/B : Other Permit: l 1 G,4 R D Inspection Line: 503.639.4175 :31. a t ', Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. �j Indicate the value(rounded to the nearest dollar)of all 1k.Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ FA 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 7 Job site address: k uw e c-o C ) . New dwelling area: square feet City/State/ZIP: - 1- ` bU °1,ZeZP' Garage/carport area: square feet • Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: 'T'O [-7) )\_ Deck area: square feet 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. 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. •1 --d �� Caw.i�/ wc, f ...1-0 - {+r,` Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: )tnie{ ) Type of construction: Address: '( ( ) c..4-.. ..)L) �C - Occupancy groups: City/State/ZIP:` �� � A � ('�e___ °U\ZZ Existing: Phone:603 ) -7W,- c�C0 Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule. Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: , ;._. Phone: Am.. ( ) Fax::( ) E-mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. 7- Business name: f1`v.\.X14 c,--e_c,u, l CC>0\Il''c'1 L(.Q., Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: -gyp --ejoc .. --2,c2-5 Solar Installation Siecial Code checklist. City/State/ZIP: \ \J CAI'X 6 C —10 3 Z Permit Fee(includes plan review $180.00 Phone:60-;) 8-1 \- ,� Fax:( ) "l and administrative fees State surcharge(12%of permit fee): $21.60 CCB lic.: 9"'V Total fee due upon application: $201.60 Authorized signattise:---�----z� - This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. Print name C`, ,��) Date: �J , ( *Fee methodology set by TriCounty Building Industry 9 N.1' "us✓ ((( Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling 1 0R 0rr1( 1. i ,,i. 0v1.l City of Tigard DateReceived Permit No.: . • 13125 SW Hall Blvd.,Tigard,OR 97223 Y g Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical I IGARD Internet: www.tigard-or.gov ❑ Other: THE: FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' v« No • 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 . m 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 3 Verification of approved plat/lot. 0 0 . 4 Fire district approval required. Name of district: A ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 6 Sewer permit. A4 7 Water district approval. u 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 R ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 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 ❑ ❑ 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 ❑ 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 ❑ 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 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 - fanufactured#loor/roof truss design_detnlls. 0 A 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 0 architect licensed in Ore•on and shall be shown to be a..licable to the s ro'ect under review. .Jt RISDICTIONAL 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". 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 8 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. 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 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2019-00229 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/18/2019 TIGARD Parcel: 2S111AC01100 Jurisdiction: Tigard Site address: 14650 SW 92ND AVE Subdivision: PINEBROOK TERRACE Lot: 52 Project: Hunter Caputo Project Description: 192 sq. ft.swim spa with a 530 sq.ft. deck around perimeter. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: 5 Detectors: Total: sf Value: $45,000.00 Rear: 5 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add9 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: 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 Owner: Contractor: CAPUTO,HUNTER OWNER Required Items and Reports(Conditions) 14650 SW 92ND AVE HUNTER CAPUTO TIGARD,OR 97224 14650 SW 92ND AVENUE TIGARD,OR 97224 PHONE: PHONE: 503-793-5948 FAX: Total Fees: $1,403.20 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 952-001-009D -Yeti 'n acs or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Ga^- x Permittee Signature: : r'` ' 69.4175 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 (��-- 71570/0117 g Date/By: (y le; e� / Permit No.: 9* 13125 SW Hall Blvd.,Tigard,OR 9722 S E C S IV E I PlanDate/By: w C t L� 44).... 4) / � Phone: 503.718.2439 Fax: 503.598.19 0Other Permit. , .l,. �t 713, T I(,A R D Inspection Line: 503.639.4175 Date Ready/By: Jura: See Page 2 for Internet: www.tigard-or.gov JUN -4 2019 tified/Meth • ee, _ Supplemental Information TYPE OF WO ILD-OF- ING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING ra New construction 0 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 dwelling 0 Commercial/industrial Valuation: $ G J 00 ET Accessory building 0 Multi-family Number of bedrooms: __T,.._ ❑Master builder 0 Other: Number of bathrooms: €•- JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: t4lDsa kl (9Zv1 A A 4.e- New dwelling area: .. square feet City/State/ZIP: a (4..IG14,13 �l{.{ Cr " la-1 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: GAQ U\to s.„, vti S ),A.. Covered porch area: square feet Cross street/directions to job site: ---- i1yr_-, frn It �? N A ti F Deck area: UL— square feet.....„4:3q' Other structure area:'Poo E.. square feet I j 2.. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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 { DESCRIPTION OF WORK work indicated on this application. W('°S # t Valuation: $ � ' ftp'p�0�! `'� �-'(.? 5�.� 50,� ��-,r,�.e„r�"' mow, M �A A r t- Existing building area: square feet ` i t/Vve t�vu 12)0:i G�yCcA 53 v 6cif, (:) ArAt!fe9AJ Cr '"?'7Z(3't_._ New building area: square feet a PROPERTY OWNER 0 TENANT Number of stories: Name: 1'f u4 Eft, C^Apt. Type of construction: Address: {Liir Z 0 s.1J.3 Z. KA Occupancy groups: City/State/ZIP: r �x ��+`6\ (>1_ CV12't(-1/2 Existing: Phone:(St)!, )..1C3 - B Fax:(tel)5 Z{.p_ '1 O y New: (gi APPLICANT fl CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) h �� Structural plan review fee(or deposit): Contact name: V �v y Ic , t FLS plan review fee(if applicable): Address: `ClBJ n C ,j,,,, ,, q ,38,-. 3_3 , City/State/ZIP: \"` el ot 4 di V1. 1-i 2,Z Total fees due upon application: .fir Phone: vAmount received: ( Aly) lei 3-5j a...to Fax::( ) E-mail: \ oil-k e ( (74? - /,1 ,O , t, + PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR t� Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: Ga Submit two(2)sets of roof plan with connection details —"�- and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signature: c S This permit application expires if a permit is not obtained 4.41 it/ within 180 days after it has been accepted as complete. Print name: 4.11/ iA / A Date: *Fee methodology set by Tri-County Building Industry . "iii �&W:UN��AMMIIM1111111 Scrvice Board: I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling l O R 01 1 1(1. t s►. ()NI.v City of Tigard Date/Bed Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: 1 Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T'I G n k n Internet: www.tigard-or.gov ❑ Other: 'Hi F, FOLLOWING ITEMS ARE REQUIRE':) FOR PLAN REVIEWWve's No 1i:v 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 i 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 3 Verification of approved plat/lot. 0 0 4 Fire district approval required. Name of district: Q E3 5 Septic system permit or authorization for remodel. Existing system capacity J 6 Sewer permit. ❑ 7 Water district approval. 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 9 Erosion control 0 plan 5it 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 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 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 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 R 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 0 architect licensed in Ore:on and shall be shown to be as.licable to the ,ro'ect under review. JURISDICTION,, 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". ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. R ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 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 8 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 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) MS—iiON— � Gl Clean Water Services File Number CleanWater Services 19-001793 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): 2S111AC01100 Name: Hunter Caputo Company: Address: 14650 sw 92nd ave Site Address: 14650 sw 92nd ave City, State,Zip: tigard,or,97224 City, State,Zip: tigard,or,97224 Phone/Fax: 5037935948 Nearest Cross Street: pinebrook E-Mail: hunter@caputo-group.com 4. Development Activity (check all that apply) 5. Applicant Information L Addition to Single Family Residence(rooms,deck,garage) Name: Hunter Caputo ❑ Lot Line Adjustment ❑ Minor Land Partition Company: ❑ Residential Condominium ❑ Commercial Condominium Address: 14650 sw 92nd ave ❑ Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial ❑ Multi Lot Commercial City, State,Zip: tigard,or,97224 Other Phone/Fax: 5037935948 Adding a recessed swim spa and deck E-Mail: hunter@caputo-group.com 6. Will the project involve any off-site work? ❑Yes Xi No ❑ Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Excavating area next to house for recessed swim spa and deck to be added. 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 andlor 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 Hunter Caputo Print/Type Title ONLINE SUBMITTAL Date 6/3/2019 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 may also be required. Based 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 � Date 6/6/19 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax: (503)681-4439 • www.cleanwaterservices.org cAE liL\ 5 -‘•1-1-.--.. „.. „, RECEIVED ,2 4.--- 92.6,D A u6_,- --1). ,4„.......s...„ ..'...*"'..*'‘''''.."."'"...............,..,,, 4 1 - CITY OF tilf9.1940 BUILDING DIV SION -„-- , - -.....„,_,.. / s , ! , ' --(Da) T-C.1)1(TI 1 : A C. ,... , F.N.---- Olt 4-k6,5 -i 1 . 4 - 4 - „3„,,,....,„.......< . P----, eos`1:‘,,-;,\,,,,,) (1c1,2.51.(2 0 L, i !LIU .:.;3•0 SA.,) , , rM.,,A, r A c-. ,c:\ IL. ki,,,,,,,,,-t.cy„)%;c) 1i \:- .N4L ,.4a-d,Li-.,,z, 5:,-'44,„JiNj • I et.701- 1 Z-4 I 7 I t „1, ...., "r”' .4..-. r "1„ t ,,,,,t q- 1 04 1 .,,',Z,, '':,,,,,,,), ,-,./1 .= '' ) ' 0, A , 1' ',. '''',19 , , CI(.t.7:, ` i" \ , \ / t,:,-,----I \ ...,__01 , N \ I , 1 6.6',LF titAc /A\ ,-- ,Ac-7 cyytt5 A ,i,'7..,,,, , - - i1 / \ \ ,, II04", c\IL SL,,% ‘1/4.A31-- - Adts;,---tik., -..rz.,,,-. . erry Or TIGARD CV--1 - Approved by PlannirtO ,,, '---\ I , Date: initials: IA City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT III T 1 c A R D Building Permit Review — Residential Building Permit #: 7157,-;2)/9_r } s7 Site Address: N`N650 cy q211- ritivt Project Name: COP S,,..41 SPA/ /004( Lot #: (New dwelling=subdivisi n am ;Addition or Alteration=last name of owner) Planning Review Pro sal: 00I / fci Sfii%cb)r re-rzi6');vi() c;,tjl 11d Verify address/suite#active in Accela. ❑ In River Terrace: V No ❑ Yes,River Terrace Review Addendum Site/Plan Elements: ,10 M rosion Control LEI opies of site plan on 8-1/2"x 11"or 11 x 17"paper r' etained trees with drip line and tree protection measures L' II rawn to scale(standard architect or engineer scale) 'f` ootprint of new structure(including decks)and FFE II •rth arrow CO .i ty locations&easements(required for new and additions) 6:- address,project or subdivision name and lot number Itidewalk/driveway approach �V pplicant information(name and phone number) , 'cation of wells/septic systems IJ •t dimensions and building setback dimensions P treet tree size,type and location 7.1.,uare footage of buildings to be demolished tIJareet names L'1'Extsting structures on site de orner elevations(2'contours if more than 4'differential) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes Pl ° impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? EYes ❑No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): RR uired: ❑ Yes,applicant was notified ❑ No Received: Z . .ii)< 1M4ublic Facilities Improvement(PFI) Permit: at di',/, . Required: ❑ Yes,applicant was notifiedlid'No Applied or: /� 1=1 Yes CI No,stop intake i and Use Case#: IJd Zoning: K``l.S Y Required Setbacks: Front: Rear: ,c Side: S Street Side: g Garage: 0 Building Height: Max.Height: Actual Height: 4'Landscap Area: % ❑ Lot Coverage Max: Entrancei""' Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows 0 Minimum 12%of area of all street-facing facades Garage j .Garage door is behind widest street-facing wall 1=1 Yes CI No,one of the following is met: '' 1 ❑ 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 2nd floor. 1,C4.Garage door width is ❑ 12'or less ❑ 50%or less of facade CI 60%or less and includes 7 of following: ��`"' '' ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset O Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim CIWindow recess ❑ Window projection ❑ Balcony Visual Clearance kVUrban Forestry P an [ ,4ensitive Lands: ❑ Yes tEr No Type: ❑ Conditions met prior to issuance of building permit Notes: ❑ Approved By Planning: Al O' �"`----- Date: / '1/+ ci 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\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 4,, //I Site Plans: # 3 Building Plans: # 3 Building Permit#: Gunter building�permit—#above. Workflow Routing: Canning LTJ'F ngineering [ -P iit Coordinator Workflow Sign-off: 4/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 oal plan review routing form. .f..1'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: - Date: C/ly Engineering Review 111. Slope at building pad: 4/v 2/Conditions "Met"prior to issuance of building permit Ci Easements (encroachments)per engineering conditions of approval and plat 2 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: LI Yes zr No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes ,e No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 6.104 ( Date: C21/2/2©/9 Revisions (after Building Submittal only) 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: 1DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes p/A Tigard Trans SDC: 1E1Yes /A Parks SDC: ❑ Yes Ctt/ /A LIDA ❑ Yes WN/A ❑ OK to Issue Permit / /./ Approved by Permit Coordinator: A(Date: I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard IIN ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A ,o Building Permit Review — Residential Building Permit #: 71579 o9 Site Address: 196So K QZ- Avt' Project Name: ` afth S",i'll ....(104/0c,‘( Lot #: (New dwelling=subdivision ;Addition or Alteration=last name of owner) Planning Review Proosa1 Po0i / S fci S C NJ rte. re.rcl'v1,v-1,) k9e CA(I V Verify address/suite#active in Accela. 0 In River Terrace: it No 0 Yes,River Terrace Review Addendum Site/Plan Elements: ,A? rosion Control • •pies of site plan on 8-1/2"x 11"or 11 x 17"paper ,nom- 'etained trees with drip line and tree protection measures Um rawn to scale(standard architect or engineer scale) ^ 'ootprint of new structure(including decks)and Fr' ►t .rth arrow il ....ty locations&easements(required for new and additions) 4' address,project or subdivision name and lot number 7 idewalk/driveway approach ,p►" pplicant information(name and phone number) 1(`'l ation of wells/septic systems r!1 •t dimensions and building setback dimensions P= treet tree size,type and location • • e footage of buildings to be demolished tit.treet names L sting structures on site 0 omer elevations(2'contours if more than 4'differenti,a�l)/ kot area,building coverage area,percentage of coverage and 1,000 sf of impervious area created or replaced? ❑Yes Rio impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No (7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): • Yes,applicant was notified ❑ No Received: Yes C o �blic Facilities Improvement(PFI)Permit / eft)/0/3-r. Required: 0 Yes,applicant was notified fiYNo Applie For: r 0 Yes 0 No,stop intake d Use Case#: lla Zoning: k-1 J 2''Required Setbacks: Front Rear: . Side: S Street Side: s Garage: Building Height Max.Height: Actual Height 4'Landscap Area: % 0 Lot Coverage Max: % Entrance Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows 0 Minimum 12%of area of all street-facing facades Garage )Garage door is behind widest street-facing wall 0 Yes 0 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 2nd floor. L ,Garage door width is 0 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following: ❑ Covered porch 0 Recessed entrance 0 Wall offset 0 1'Roof eave 0 Roof offset t Fht&Wes__-.._—a.,L _. -Ronf#tely---13-13able,-biworgambretme l -$vaner O Accent siding 0 Wmdow trim 0 Window recess 0 Window projection 0 Balcony Visual Clearance -Urban Forestry Sensitive Lands: 0 Yes No Type: O Conditions met prior to issuance of building permit Notes: O Approved By Planning: !`1 G-"\-.^`` k-,-"------- Date: G/ 4/1 cl Revisions (after B Submittal only) Review- �, to Revision 1: IV pp owed 0 Not Approved .-- -wj %/ t9 Revision 2: V Approved 0 Not Approved mgri -2,1' Revision 3: ErApproved ❑ Not Approved f __'r l:\Building\Fornffi\B1dgPermitRvw_RES 022819.docx • 'Building Permit Submittal Original Submittal Date: C►/ J fg Site Plans: # 3 l Building Plans: # .3 Building Permit#: nter building�perrmiitt�#above. / Workflow Routing 0-"P anning I 'engineering d ernut Coordinator in Workflow Sign-off. 41/Sign-off for Planning(include notes from planning review) Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan and o al plan review routing form. Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 17By Permit Technician: , Date: CAA Engineering Review f Slope at building pad: [B'Conditions"Met"prior to issuance of building permit [21 Easements (encroachments)per engineering conditions of approval and plat 2'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes gr No Assess Water Quantity Fee in-lieu: 0 Yes ,..�(No LIDA Facility on lot 0 Yes ,LJ No Final Plat Recorded: O NOT Approved by Engineering: Date: Notes: k Approved by Engineering: 13 /54(1%-' Date: ( .j/ f?Q/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 O 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: 0 Yes 1/›/A Tigard Trans SDC: 0 Yes } Parks SDC: 0 Yes /A //1� �1, O/ / LIDA 0 Yes N/A 113 `i/7 0 OK to Issue Permit Approvedby Permit Coordinator: (Date: le h l 1:\Building\Forms\BldgPermitRvw_RES_022819.docx