Permit (130) . CITY OF TIGARD MASTER PERMIT
` COMMUNITY DEVELOPMENT
7,4
Permit#: MST2019-00345
Date Issued: 09/16/2019
TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DB02600
Jurisdiction: Tigard
Site address: 13460 SW GENESIS LOOP
Subdivision: GENESIS Lot: 2
Project: LEINBERGER
Project Description: Replacing a 450 sq.ft. deck.
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: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors:
Total: 0 sf Value: $15,000.00 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 Rain0 Storm Sewer: 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 SrvcfFeeders 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 N
Ecompasing:
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LEINBERGER,DAVID A&KIMBERLY M ADRIANS QUALITY FENCING&DECKS Required Items and Reports(Conditions)
13460 SW GENESIS LP 3115 SW 211TH AVE
TIGARD,OR 97223 BEAVERTON,OR 97003
PHONE: PHONE: 503-848-8233
FAX: 503-848-8721
Total Fees: $727.27
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 952-001-0090. You ma e• -'n a co. of the rules or direct questions to OUNC by calling 503. 3 7 gr 0.332.2344.
i► Permittee Signature: ////� �
Issued By: moi. -�
' ;03.639.4175 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 FOR OFFICE USE ONLY
Received /
City of Tigard DateBy: / PermitNo.. 'l'� di\/ �/ 1 / r STac i/ X315`
1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 E V E wE Plan Review
S Phone: 503.718.2439 Fax: 503.598.19 0 or
Date/By: Other Permit:
Inspection Line: 503.639.4175 AUG 2 8 2019 Date Ready/By / Juris: I H See Page 2 for
T 1 G A R D p e.-----Notified/meth ` ZT�j Supplemental Information
Internet: www.tigard-or.gov
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.
Indicate the value(rounded to the nearest dollar)of all
[;A Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the nrofi ql the
CATEGORY OF CONSTRUCTION work indicated on this applic iotr-----,j)
Valuation: tly...aae-)
[�] 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: v3l{,6ej SW (..r.",‘o 5119
New dwelling area: square feet
City/State/ZIP: c i y,,,,A 10(>, `( 1-2.1,2 Garage/carport area: square feet
Suite/bldg./apt.no.: J Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: 1.4 5 0 square feet
Sc(t/G //-i/( J r/ �.A/^ 144 te " J/f� Other structure area: square feet
e(✓r�(o�t� /!����1� l "�1��� L SS (Cjl`�— REQUIRED DATA:COMMERCIAL-USE CHECKLIST
ubdivision: f` Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
g441Au, 1-: 1;4 — 41) 'Y./ Lf i
E.-co/0— t ^ ( Existing building area: square feet
1 I !J�`' 01 New building area: square feet
RI PROPERTY OWNER 0 TENANT Number of stories:
Name: 044t.. 64 r*wa-rr. Type of construction:
Address: (31(60 SW C(,n,Si, LI Occupancy groups:
City/State/ZIP: Tided ro(5 / ', 1715 Existing:
Phone:( ) Fax:( ) New:
[gl APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ,:,, s ( 1` Fenei ka k 0,...iAS
Contact name: AStructural plan review fee(or deposit):
A( Kv� Pp,{r 5 p FLS plan review fee(if applicable):
Address: SU.5 Sw 2tl Awe-. /9i
Total fees due upon application: MCI, 1
City/State/ZIP: 6044$6,,, /O(k f 3
Amount received:
Phone:(503 ) \ -' 2. 6 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 40 6aaftons.cam
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
o� S Submit two(2)sets of roof plan with connection details
Business name:
Ur: S Ce.u4+\+'�"`( Ire cAc..) t and fire department access,along with the 2010 Oregon
Address: 3 tt S SW `Ltt fr .. Solar Installation Specialty Code checklist.
City/State/ZIP: (�,e f / 0 vk / a,-i 3 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 ) let - Ck7.t(o Fax:l 0 3) $qg S TZ 1 State surcharge(12%of permit fee): $21.60
CCB lie.: b LI GG 0 Total fee due upon application: $201.60
Authorized signature:
ritA y/1.- This permit application expires if a permit is not obtained
I`� within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: 1$ftw Ptt;5 e t Date: $-lc,-tcl Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
11111 " COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: /17)7-076/y-c j3li c--
Site Address: 13t+too SW G-evests Loop
Project Name: I-61 h 4'i>'a1 tech Lot #:
(New dwelling=su vision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Qplovz'
*Verify address/suite#active in Accela. N In River Terrace: jgt.No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: Witrosion Control
.143 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ''/ 'etained trees with drip line and tree protection measures
IN:Drawn to scale(standard architect or engineer scale) ►: ootprint of new structure(including decks)and FFE
forth arrow !'' tility locations&easements(required for new and additions)
,kite address,project or subdivision name and lot number I:.idewalk/driveway approach
. pplicant information(name and phone number) NI .cation of wells/septic systems
,TRGot dimensions and building setback dimensions V!.treet tree size,type and location
NISquare footage of buildings to be demolished 74 treet names
`xisting structures on site ►=Corner elevations(2'contours if more than 4'differential)
XLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [. e No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? s No
Z. Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: >c Yes,applicant was notified ❑ No Received: ❑ Yes X No
x Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified AS1.No Applied For: ❑ Yes ❑ No,stop intake
in Land Use Case#: lil Zoning: R--L4
Required Setbacks: Front: 20 Rear: IS- Side: 5 Street Side:Ni Garage: J/A"'
Building Height: Max. Height: 30 Actual Height: 7'I her.r/ to t
f�Q�andscape Area: % Y�t Coverage Max:Entrance IJ Set bac. no m a than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows II ' ' 12°/ of area if all street-facing facades
Garage 11 I.rage door' behind I'k dest street-facing wall ❑ Yes ❑ No,one of the following is met:
a I oor xtends n.0
1• e than 5'from wall and there is a covered porch extending beyond garage.
■ 1)oor xtends • mo e than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
r Garai: do r width is ❑ 2'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Cov red porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fir shingles =❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Ac ent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
WA-Visual Clearance 144kUrban Forestry Plan .
1g Sensitive Lands: Yes ❑ No Type: 1Ckt) VU k M Vtollp tiii1'r
tot Conditions met prior to issuance of building permit
Notes: Q
la Approved By Planning: ./1/3c r - Date: e 1-242119
Revisions (after Building Submittal on y) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvw_RES_022819.doex
Building Permit Submittal
Original Submittal Date: Vaim
Site Plans: #
Building Plans: #
Building Permit#: nt/er building permit#above.
Workflow Routing: H-'iiuing la.-Eirgmeering t Coordinator taLuailiTig..
Workflow Sign-off: 6.4n-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori nal plan review routing form.
L wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: �i 1 Gtr laaF+c J-Ce_i , 00/11
By Permit Technician: Date: 2009
Engineering Review
2"-Slope at building pad: .z
Er-Conditions "Met"prior to issuance of building permit
EKEasements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes ENo
Assess Water Quantity Fee in-lieu: ❑ Yes Cil'-No
LIDA Facility on lot: ❑ Yes ErNo
C7rFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
C3 Approved by Engineering: Date:
9/347
Revisions (after Building Submittal only) Reviewer Date
Revision 1: Cl 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: CI Yes fc;y' A
Tigard Trans SDC: El Yes r4,A
Parks SDC: ❑ Yes
CI
LIDA Yes
4/A '3
OK to Issue Permit ik �� /�
Approved by Permit Coordinator: tate: /3fi/
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: A l[ sc r DATE RECEIVED:
DEPT: BUILDING DIVISION
SEP 4 2019
FROM: A4r�LA1 tgecr�svl �P � �.�-� GIIY`-GI . R. ,e
('�
' U11 Of G ,19x4 I
COMPANY: A IT i a^.5 oat, cnc�")
PHONE: I -300 r
By:81
RE: L) i 6Q 51,E Cr"0,,5 e /1/ 7` /w �1p3�is'J
• (Sitee�Address) (Permit Number)
I+ctvt 1-2-'41Lf
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 2- Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: AdArtSSincc, 3 Qu,Q5 .As tic e,tir,u; I
FO OF ICE USE ONLY
Routed to Pe it Technician: Date: Q Z' ( 63 Initials: /1 V41—
Fees Due: Yr.a�❑ No Fee Des 'ption: Amount Due:
2 f/ 1 vYL $ yS •
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: - Date: 1(Gn./ Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc