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Permit CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT IP/ Permit#: MST2019-00300 R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2019 T t '' Parcel: 1 S 126DC03002 Jurisdiction: Tigard Site address: 9250 SW LEHMANN ST Subdivision: LEHMANN ACRE TRACT Lot: 8 Project: Perry Project Description: Adding two bedrooms, a total of 439 sf,to existing home. Trade permits to be pulled separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 2 First: 439 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 12 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 439 sf Value: $53,759.94 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 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywall-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: ALT SF VB R-3 439 Owner: Contractor: PERRY,STEPHEN W S W PERRY CONSTRUCTION Required Items and Reports(Conditions) -986D-SW 92ND AVE ' -- TIGARD,OR 97223 PORLAND,OR 97223 PHONE: 503-407-1115 PHONE: 503-407-1115 FAX: Total Fees: $2,059.02 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 i ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Thos rules a set forth in OAR 952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by ca • .232.198 or 1.800.3 2344. �X` Issued By: ���� Permittee Signature: `— i .—"7.— Call 503.639.4175 by 7:00 a.m.for the next available inspe• '• 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. Bpildin2 Permit Application Residential FOR 01 F IC F I sF ON' City of Tigard " '? , .` ? Received g� 441rAm. �y L. DateB : ,,ai� l/_—.,ft 411r� / _/^ C/ 1,1 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,-4‘. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: V , ► " i Other Permit: 0-l G.K D Inspection Line: 503.639.4175 `' . Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notifi-. ethod: `— /�i Supplemental Information / i "YPE CO' WO ,'4 t i i'DATA:ix, -0AA y o I ❑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 Ywork indicated on this application. Valuation: 354*v � � CATEGORY OF CONSTRUCTION � � yZDI-and 2-family dwelling 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 2 El builder 0 Other: Number of bathrooms: 0 .Tol sin 1l J O A't ioN oto LOCATION Total number of floors: 1 Job site address:9250 SW Lehman/ New dwelling area: 439 square feet City/State/ZIP:97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Perry addition Covered porch area: square feet Cross street/directions to job site:92°"Ave Deck area: square feet Other structure area: square feet REQIJTRfl)11}ATA: O MMRaAL4JSE 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 bESCTIO work indicated on this application. This is a basic 439 sq ft two bedroom room addition that will be attached to the Valuation: $ texisting 1578 sq ft home. Existing building area: square feet New building area: square feet ►;a PROPERTY OWER ` © TEN?N? Number of stories: Name:Stephen W.Perry Type of construction: Address:9860 SW 92°d Ave Occupancy groups: City/State/ZIP:Portland,Oregon 97223 Existing: Phone:(503)407-1115 Fax:(503)2450089 New: A.imicM4T CONTACT PERSONTT� Ii :I� * leaseiefer Business name:Same as above 1 " _ (AW. ) Structural plan review fee(ort deposit)cc : Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount " r . E-mail:a737capt4aa@msn.com PHOTOVOLTAIC SOLAR PANELSYSTEM FEES* Commercial and residential prescriptive installation of ''' CA"ICTt roof-top mounted PhotoVoltaic Solar Panel System. T _ Submit two(2)sets of roof plan with connection details Business name: \.,,.g ,, p- , Cti rs1,,,,,_,�, _L C__, and fire department access,along with the 2010 Oregon Address: �`s °l Z t- . Solar Installation Specialty Code checklist. City/State/ZIP: ` Permit Fee(includes plan review $180.00 i to --$ C>t_ 1- L 3 and administrative fees): Phone:(,5%"7..,) 40-1 - \l t .5 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: -LZ( % G}'-i Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized sign C within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Print name:Stephen W.Perry Date: :'L'L— lck Service Board. I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT !Pi 111 T l c A R D Building Permit Review — Residential Building Permit #: //tGraaLG/ 7 --"Q043��� Site Address: 010150 S w Le li ..C-/- Project Name: Per P1 .tj 11 l Lot #: (New dwelling subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: SF(Z Old[1•-h- J Verify address/suite#active in Accela. -In River Teerr. -: I No ❑ Yes,River Terrace Review Addendum Site Plan Elements: :rosion Control 4.7), copies of site plan on 8-1/2"x 11"or 11 x 17"paper El'etained trees with drip line and tree protection measures !!P rawn to scale(standard architect or engineer scale) P. ootprint of new structure(including decks)and FFE orth arrow 6,td. Jtility locations&easements(required for new and additions) 0 .te address,project or subdivision name and lot number `'-' idewalk/driveway approach CO pplicant information(name and phone number) NLocation of wells/septic%Lot dimensions and building setback dimensions " treet tree size,type and location 1/ iltSquare footage of buildings to be demolished V. treet names IR:Existing structures on site Corner elevations (2'contours if more than 4'differential) '111I,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? p eI ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ s ❑No .2 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: X Yes,applicant was notified t❑ No Received: ❑ Yes ❑ No 1$'Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified Pl. No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: Zoning: R.--t 2_ krRequired Setbacks: Front: 1Jl A- Rear: t 5 Side: s Street Side: 10 Garage: N/A- . -Building Height: Max. Height: 3 S Actual Height: 1 2.-' Landscape Area: '2-0 % J:Nc Lot Coverage Max: B 0 °/a Entrance :IJ►,:et ba.. no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows al Minim 12%of area of all street-facing facades,Faces e -..--161 JZS W tis.al (J' F 11% Garage 11 . rag; door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: I.❑ boor extends no more than 5'from wall and there is a covered porch extending beyond garage. ►I Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. 'P7 Arr.;'e 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 __-•• • - . ,_•.:...._ _ • s - .•, .-. v.-.-- ;- .. .- a. - ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance O(Urban Forestry Plan .R"Sensitive Lands: ❑ Yes X:No Type: NA-Conditions met prior to issuance of building permit Notes:) By Planning: F = �, Date: — 2.. //- _q Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 7 14L//9' Site Plans: # _ Building Plans: # Building Permit#: I'Enter building permit#above. Workflow Routing: ► 'fanning veering hr- "ermit Coordinator 'Building Workflow Sign-off: ►. Sign-off for Pl nntng(include noteE from planning review)"/ Route Application Documents: I' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. C;iilding: original permit application, site plans,building plans,engineer and bea ' calcula 'ons and tru details,if applicable,etc. Notes: ` By Permit Technician: / �� Date: 741---1// Engineering Review Er-Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit n/A... [ 'Easements (encroachments)per engineering conditions of approval and plat EY/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 'No Assess Water Quantity Fee in-lieu: ❑ Yes Er/No LIDA Facility on lot: ❑ Yes R No EY/Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 2:4-42/' „�4.,,,f j Date: 7J23//5 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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes V/A Parks SDC: ❑ Yes f!' N/A LIDA ❑ YesN/A OK to Issue Permit )1?Approved by Permit Coordinator: Date: /� I:\Building\Forms\BldgPennitRvw_RES 022819.docx