Permit CITY OF TIGARD MASTER PERMIT
III2 ' COMMUNITY DEVELOPMENT Permit#: MST2019-00312
13125 SW Hall Blvd.,Ti Date Issued: 08/07/2019
TIC;/1and OR 97223 503.718.2439.f 9
Parcel: 2S 115AB07200
Jurisdiction: Tigard
Site address: 11337 SW GABRIEL ST
Subdivision: WILLOW BROOK SUBDIVISION Lot: 17
Project: Willow Brook, Lot 17
Project Description: Add new deck to rear of single-family residence.
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: $1,389.09 Rear: 15
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:
Footing Drain: Ice Maker: Hose Bib: Backwater Value: Bckflw Prevntr:
Drywell-Trench Drain: Other Fixtures:
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:
NEW SF VB R-3
Owner: Contractor:
PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions)
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE: PHONE: 360-213-0813
FAX: 360-574-6401
Total Fees: $257.29
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR•52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800.332.2344.
I , I
Issued = �/ f_ ', Permittee Signature: f �j � A '�.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential /E("� Plan FOR OFFICE USE ONLI
,:11
City of Tigard Received
Date/By: 7 ..Permit N r
13125 SW Hall Blvd.,Tigard,OR 97223 JUL 2 9 2019 =f� '�> _et) '��
^ 11
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: (� Other Permit:
_
i-t G A R D Inspection Line: 503.639.4175
-x CIlY OF TIGARD Date Ready/By 7.7
� j r� uns:
® See Page 2 for
or
Supplemental Info
rmationInternet: www.tigard-or.gov ed
' !$ 8 yx9 $PLANNING/ENGINEERI '
! , !, r , • r, . i */>r ..`f , 3;r ,. d" F ,*, xrf p; -rv. d r 1gB .�„ra rF;µ a`re „TM ;.i!1a y..,ftr:r,r �wIa,L;A'f;
,.S.
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
r rr,, r7r tr s .,�
,<A ,,,7Y f rer x „ e tr 4 tr ftt J, rot ` 8i 1,4'4 r 0 r , r work indicated on this application.
,l",,, / is J.,r'r r /r. �.^�
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: .TUU 1l 3 eri
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
, f„ O-Ar f= f tt ., Pt ti iF` f fi Total number of floors: 1
Job site address:11337 SW Gabriel St New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Willow Brook 17 Deck Covered porch area: square feet
Cross street/directions to job site: Deck area: 57 square feet
Other structure area: square feet
M t .,r. , ,,f,,, s fr` �` a' r v i
' tf”'$.`8t ,,V,1asl: `t i! #.. ! .b,.
Subdivision:Willow Brook Lot no.: 17 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S115AB07200 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
' '4 r {c ih° 1E t? <t r i` ` work indicated on this aPPlication.,Y, 4 ” Fw . f ,,f, ,, r ,,„,,,,,/:.
- -
Deck permit Valuation: $
Existing building area: square feet
New building area: square feet
r f rR: t :44''v' t2 1
; e'li f i14,v 1 ' „ Number of stories:E, , rti r ,;, ! .,;r,.,
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 99th Street,Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)573-8081 Fax (360)574-6401
,,,,,,,,,,,,„,,,,,,,,,w,,„,,,,,,,
/ .,, . Newx ' , , t N , w ,, ,,f
ta lldi' sa�wl r,, -ii, 1,lritri,,,, , ,,,A„r, i, r ; ,,,,,r„,, ,rrf., ? ,, „ ;,1o ,..�, , u,�r, N ,, ;a„r,.rrrrr,� � , ,, f , ,,rrN
p ,
Business name:Pacific Lifestyle Homes
Structural plan review fee(or deposit):
Contact name:Permit Coordinator
FLS plan review fee(if applicable):
Address: 11815 NE 99th Street,Suite 1200
City/State/ZIP:Vancouver,WA 98682 Total fees due upon application:
r__ _) - .,. ..—1'Kone (3S11j373="808I Fax::(360)574-6401
Aiiiuuntrecejvert
s '
7,1 > l r" tt i41,;t .
1
E-mail:permits@buildplh.com S.;a,u;,,,.,,r ./Ar�r ,-;= ,r2fr, , , � . .,f,, fr,,,
0,
G5 rd " r C4; tf r t f ,r Yi% % rY i Commercial and residential prescriptive installation of
0 r y ° it orf`6 %% , l�.r
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Same
Address:Same
City/State/ZIP:Same
Phone:( )
Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
and administrative fees):
Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:173524
Total fee due upon application: $201.60
Authorized signature: . lf This permit application expires if a permit is not obtained
,, L j`l lz) ',- l•--. i ''' f-`�_-
Jwithin 180 days after it has been accepted as complete.
Print name:Summer Dowell Date:7/29/19 *Fee methodology set by Tri-County Building Industry
Service 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 FOR OFFICE USE ()NEN
City of Tigard Date/BReceived
Permit No.:
13125 SW Hall Blvd.,Ti ard,OR 97223 Associated Associated permits:
a Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical El Plumbing 11 Mechanical
TIC;ARD CI Other:
Internet: www.tigard-or.gov
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0
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: CICI CI
5 Septic system permit or authorization for remodel. Existing system capacityCI ❑ 0
6 Sewer permit. ❑ 0 ❑
7 Water district approval. ❑ 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- El ❑ 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
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 El ❑ ❑
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 El El ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ 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
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- ❑ ❑ ❑
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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.
•+ i; :: truss design details. 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 ❑ ❑ ❑
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". 0 ❑ ❑
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, El ❑ 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 ❑ ❑
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
p COMMUNITY DEVELOPMENT DEPARTMENT
111
T 1 G A R D Building Permit Review — Residential
Building Permit #: A-C%0/9 .6 d 34.2—
Site Address: /J -- 'S' =e ( v�
Project Name: V jlfoto ,0,?, Aack_ Lot #: /9--
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Revicw
Pro sal: /Veto chei on y t,i- '
Idi Verify address/suite# active in Accela. 4KRiver Terr.ce: [P No ❑ Yes,River Terrace Review Addendum
Sit Plan Elements: "A Erosion Control
Iopies of site plan on 8-1/2"x 11"or 11 x 17"paper ", tamed trees with drip line and tree protection measures
'VJ rawn to scale(standard architect or engineer scale) ►J .•otprint of new structure(including decks)and FFE
orth arrow p ..•ty locations&easements(required for new and additions)
e address,project or subdivision name and lot number ,.1 Sid-walk/driveway approach
0 pplicant information(name and phone number) ,�. : ation of wells/septic systems
I. o dimensions and building setback dimensions VA reet tree size,type and location
IT 1.uare footage of buildings to be demolished l eet names
7••sting structures on site Corner elevations(2'contours if more than 4'differential)
11�JLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? EYes 1►, •
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 1..j Yes I>.No
1%?' lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Z No Received: ❑ Yes ❑ No
CV ' ublic Facilities Improvement(PFI) Permit:
wired: ❑ Yes,applicant was notified MAI No Appliiee or: ❑ Yes ❑ No,stop intake
Iand Use Case#: 't/L2 vJte— 7co i V/J Zoning: / —�
quired Setbacks: Front: ��' Rear: IS- Side: Street Side: 1v Garage: 13,i'1
0 ding Height: ^/p� Max. Height: Actual •Hei ht: ii GP
•.=-Q- ° °
Landscape Area: /o Lot Coverage Max: _ /o
Entrance i _• back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum -°, of area of all street-facing facades
Garage ❑ Garage door is behin. •-st street-facing wall {s j\r ❑ Yes ❑ No e-- o the following is met:
❑ Door extends no more than • wall and there is a cove -e ..rch extending beyond garage.
❑ Door extends no more than 5'from wa i . -• _.- - •s a 12 sq ft.window above garage on Did floor.
❑ Garage door width is ❑ 12'or less r• V/0 or less o : .de ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ ' essed entrance ❑ Wall offset i; ' 'oof eave ❑ Roof offset
Pe ccent siding r Window trim ❑ Window recess ❑ Window projecno ❑ Balcony
e. 1
IN isual Clearance ,►/ rban Forestry Plan ® "
'4 sensitive Lands: 6CJ Yes ❑ No Type: -917-10L1-0/ cake/ v- kiep( Cem�
Ta Conditions met prior to issuance of building permit S.J
N es• 41111111=P ‘
Approved By Planning: -� Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: 7/P-,7/
Site Plans: # 3
Building Plans: # 3
Building Permit#: -Enter building permit#above.
Workflow Routing: Planning a--Engineering Permit Coordinator ..k-Building
Workflow Sign-off: ®-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
original plan review routing form.
a-Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
"c(),By Permit Technician: Date: 7/7-1/.,
Engineering Review
12"-groPe at building pad: y
g;
2"...-Co ditions "Met"prior to issuance of building permit
IU'Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes RYNo
Assess Water Quantity Fee in-lieu: ❑ Yes [2io
LIDA Facility on lot: ❑ Yes 12rNo
[2"Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
( proved by Engineering: St-�Y2 Date: 7—;o -I ct
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:
.SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ,V1 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes 7 N/A
LIDA ❑ Yes 0 N/A
IcscOK to Issue Permit
Approved by Permit Coordinator: (leek, Date: Jt)) 19
C�
I:\Building\Forms\BldgPennitRvw_RES 022819.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11337 SW GABRIEL ST, TIGARD, OR, 97224 August 9, 2019 at 11 :54:35 AM
Record Type: Record ID:
Residential - Master Permit MST2019-00312
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor