Permit (248) IN CITY OF TIGARD MASTER PERMIT
1: COMMUNITY DEVELOPMENT Permit#: MST2019 00189
Date Issued: 08/22/2019
T1G'A .D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136AA14100
Jurisdiction: Tigard
Site address: 10167 SW 67TH AVE
Subdivision: OAK STREET ESTATES Lot: 36
Project: Esser
Project Description: New second level deck.
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: $4,874.00 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:
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 addl 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 N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3
Owner: Contractor:
ESSER,MICHAEL JOHN&KERI MARIA TK SQUARED ENTERPRISES LLC Required Items and Reports(Conditions)
- -
itJ1ETSWb7l'FfAVE - POSOX 2J07139 -- — ---- _— ___-- -- -- - -- ---
TIGARD,OR 97223 PORTLAND,OR 97281
PHONE: PHONE: 503-407-0597
FAX: 503-246-8319
Total Fees: $339.76
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 952-0011--0090, .• ' -.ir-11 _..y o e r •r direct questions to OUNC by calling 503.232.19 or 1.800. 2.2344.
Issued By: .e — — /.f-- Permittee Signature: �j��/2/44—\`
.4-
g. .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.
IIICity of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: 44 4,7-a,0/ -a)!Y,
Site Address: /0/(j: 0'0 (":34
Project Name: (eC 60.71c6 1 Lot #:
(New dwelling=subdivision naddi on or Alteration 211=last name of owner)
Planning Review 11
Pro sal: A�rMI 1 4- .,,,,,,s. L/ee, -/fe .
Or 1
Verify address/suite#active in Accela. 'ver Terrace No ❑ Yes,River
��� Terrace Review Addendum
Sit "Plan Elements: 11 :1 ..ion Control
VJVcopies of site plan on 8-1/2"x 11"or 11 x 17"paper 11.x';tained trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale)iir
IV ootprint of new structure(including decks)and FFE
rth arrow 14 i4,".'ty locations&easements(required for new and additions)
•
m; address,project or subdivision name and lot number IA. .-walk/driveway approach
.licant information(name and phone number) a' o ation of wells/septic systems
• •' ensions and building setback dimensions A'reet tree size,type and location
111'�rt are footage of buildings to be demolished art names
It Exi • g structures on site rner elevations(2'contours if more than 4'differential)/
V1.t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes L✓'N9
��imm(pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown. ❑Yes Mo
Olean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
e uired: 1=1 Yes,applicant was notified {7 No Received: 1=1 Yes ❑ No
blic Facilities Improvement(PFI) Permit:
Required: 1=1Yes,applicant was notified Lt No Applied For: ❑ Yes ❑ No,stop intake
nd Use Case#:uf
❑ Zoning: /
equired Setbacks: Front: 1`-�1 Rear: lc Side: CEI
Street Side: F 1P Garage: 13)
Building Height: Max. Height: .O Actual Height:_/C)
Landscape Area: % of Coverage Max: % T
Entrance ii _ .ack no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or 1-
Windows ❑ Minimum -' . • area of all street-facing facades
Garage ❑ Garage door is behind . eet-facing wall 0( 1=1 Yes ❑ ► ., •ne of the following is met:
❑ Door extends no more than 5' r• . an there is a e • e. porch extending beyond garage.
❑ Door extends no more than 5'from w. .`i-- a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 1 ' - -ss ❑ 50%or less of faca.e ■ 60%or less and includes 7 of following:
❑ Covered ., - • Recessed entrance ❑ Wall offset ❑ 1'Roo - ❑ Roof offset
_
- a
.. --:: -. = 116 , - Z—.65 Plc Ella.e, p,or gam•rel roo"111111• Dormer T.-_
❑ Accent siding ❑ Window trim 1=1 Window recess ❑ Window projection El :a
I'i� isual Clearance ban Forestryn
II +ensitive Lands: ❑ Yes 1a No Type:
SI onditions met prior to issuance of building permit
L
Approved By Planning: — _
0 �III rt? -:Date: i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw RES 022819.docx
Building Permit Submittal 7/9
Original Submittal Date: 7!/1/ 9
Site Plans: ## 3
Building Plans:
Building Permit#: nter building permit#above.
Workflow Routing: Planning [ngineering 7ermit Coordinator Building
Workflow Sign-off: Sign-off for Pl ning(include notes rom planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
�Bu.ilding: original permit application,site plans,building plans,engineer and
971
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: fl v/ / ..,��
Date: 7
Engineering Review
2—Slope at building pad: 02%
Er Conditions "Met"prior to issuance of building permit
2"-Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ErNo
Assess Water Quantity Fee in-lieu: ❑ Yes Er No
LIDA Facility on lot: ❑ Yes L:No
Er Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
t rApproved by Engineering: 27...-€.—"e-4 Date: i//r//7
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
fl 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:
CEJ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 2/1 /A
Tigard Trans SDC: ❑ Yes p/A
Parks SDC: ❑ Yest-Z--- A
LIDA ❑ Yes N/A
❑ OK to Issue Permit �7/1 /)4
PPby
Approved Permit Coordinator: ✓V Date: 7
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10167 SW 67TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00189
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Deck final ok per engineered stamped and city approved plans.
Violation Summary:
Inspector Contractor