Permit (128) CITY OF TIGARD MASTER PERMIT
p '> COMMUNITY DEVELOPMENT Permit#:: MST2019-00339
Date Issued: 09/16/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110BA04700
Jurisdiction: Tigard
Site address: 14383 SW MCFARLAND BLVD
Subdivision: SHADOW HILLS Lot: 18
Project: HOOBER
Project Description: 398 sq.ft. master bedroom addition. Trade permits to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 398 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 14 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 30 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: Yes
Total: 398 sf Value: $48,739.08 Rear: 25
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 RainStorm Sewer: 0
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 Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'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
Ecompasing: N
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF VB R-3 398
Owner: Contractor:
IIOQB€R,DIANAfi_ _..__ QARDNER CUSTOM CONSTRUCTION_ Required Items and Reports(Conditions)
14383 SW MCFARLAND BLVD 8905 NE 106TH CIRCLE 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97224 VANCOUVER,WA 98662
PHONE: PHONE: 503-601-4308
FAX:
Total Fees: $1,888.92
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 -, •• - •p - -- les or direct questions to OUNC by calling
503.232.1987 or 1.800.332.2344.
211)o Permittee Signature: t/ /
Issued By: _.....--,mer _��✓ _ 9
C•,,.�'p9.4175 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 ; -'0 �..II ,f
FOR(IFFI( l Csl: OAl.l
Cityof Tigard Received
IN
g h f t 2 0 1 2) 4.' Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 G�`"`I Plan Review -'- 3 td
' Phone: 503.718.2439 Fax: 503.598.1960 1)ateBy: • 'Lie 1-1 Other Permit:
I 1,A R D Inspection Line: 503.639.4175 -` 4` pate Ready/By. lens: H See Page 2 for
Internet: www.tigard or gov , . i a • ,Nd Ified/M i
ai �y/%% Supplemental Information
t�
eV I 7— ' REDADREDFIATAt i Aiiii.PAMILYDWEiLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.Lig(7
jg 1-and 2-family dwelling 0 Commercial/industrial Valuation: 1,4e,-1 -'5c
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND'LOCATION. Total number of floors:
Job site address:
IA?)"b5 3t.,0 N\CIzI\l2t-IA ND RLVO New dwelling area: ,3C+8 square feet
City/State/ZIP: Tic,-01,1 0. (jrz_ csibN on zz9 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: D 1 p,N A hcc E.g. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED,DATA:COMMERCIAL-USE CHEMIST
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
DESCRIPTIONwork indicated on this application.
Ci SC2 V - &N\Fi>TF",V- BC01-- 00Rt` ADD%Ti 0N) Valuation: $
Ce. 12- ?4.-r uA''S — Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ( TENANT Number of stories:
Name: DI AN) A 1-\--00(3E-Yt'
Type of construction:
Address: 193 3 c.)� MCFA12LpiN( IlUD Occupancy groups:
City/State/ZIP: ` i&f 1Z iJ ` ()V'Z ell 22-11 Existing:
Phone:en 7( ) ?,3'�._ 'lD O'Z, Fax:( ) New:
Business name: GAv D NE-Az C..u`.i--Orv\ coN`,• -r . .:�C..1 11�tv l-..'1.,(,
Contact name: _ Structural plan review fee(or deposit):
0 K.,\Et?,
FLS plan review fee(if applicable):
Address: ( cA0,7 1`.E /ELC'T}t Ci YZLLE
Total fees due upon application: /3, .
City/State/ZIP: vR N oU VE.l' (A)14 `�81010 2._
` ' o
Phone:(3(.00 L00(_9 Sob Fax::( )
E-mail: ,•)-r,C L 3 U S i (�ji l l D i l,U$
PHOTOVOLTAIC AR l'Au i.S '*l,Isi t FEES*
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
SAI DNiEQ._ C-U�Z�m co c�.) t -z_,
and fire department access,along with the 2010 Oregon
Address: 6cj0 5 1VE, I C +VI C 11ZCC-E. Solar Installation Specialty Code checklist.
City/State/ZIP: vilivc.(�vc-xe 1ti_)0 01 6 Z Permit Fee(includes plan review $180.00
I - and administrative fees):
Phone:(Sip()) f ( -1-1-3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: IQ co i 5 7
I Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J 1 EvE C,A .D k j� Date: S c `Fee methodology set by Tri-County Building Industry
J'1 Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
illg u COMMUNITY DEVELOPMENT DEPARTMENT
III
T I G A R D Building Permit Review — Residential
Building Permit #: /1157--,,74/<y-60337
Site Address: � ..2) .�s'JJ McEulnrei Pl cl
Project Name: \-1 pa Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: //il-�A t1i w .) F'2
1 Verify address/suite#active in Accela. In River Terrace: No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: Erosion Control
. 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper M.'etained trees with drip line and tree protection measures
)rawn to scale(standard architect or engineer scale) ►-1 ootprint of new structure(including decks)and FFE
]North arrow Utility locations&easements(required for new and additions)
,J Site address,project or subdivision name and lot numberSidewalk/driveway approach
'Applicant information(name and phone number) pJLAocation of wells/septic systems
. of dimensions and building setback dimensions RA-Street tree size,type and location
KAsquare footage of buildings to be demolished Xtreet names
xisting structures on site 'Worrier elevations (2'contours if more than 4'differential)
NLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? C{l�1e o
1 impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? }!I s o
.$. Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: : Yes,applicant was notified ❑ No Received: ❑ Yes A No
(Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified 1g No Applied For: n ❑ Yes ❑ No,stop intake
RNAL-and Use Case#: g Zoning: "2
rit-Required Setbacks: Front: 2)0 Rear: Side: 6 Street Side:: .C� Garage: ./ft-
til Building Height: Max. Height: Actual Hei ht: 14
NA-Landscape Area: NIA % Lot Coverage Max: � %
Entrance 'A Set back no more th.R 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows • Minimum :2%of ar:. of a street-facing facades
Garage • arage di or is be • d wi.- t street-facing wall ❑ Yes ❑ No,one of the following is met:
• D..r extend' no m, :than 5'from wall and there is a covered porch extending beyond garage.
11 Dior exten's no a - r an 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
• Garae oor wi.1 is 11 12 or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ ivered ,orch ■ Re •ssed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
w • - e s-Tr%es ii a 6 a g • Rootgre - n Ca-bre,htp,at gaMblei roof 17-noffft
❑ Accent ding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Visual Clearance ktrUrban Forestry Plan
(Sensitive Lands: ❑ Yes X No A/A-Conditions met prior to issuance of building permit
Notes:
Approved By Planning: OP----e.A----
two Date:
Revisions (after Building Submitta nly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: Xkill
Site Plans: #
Building Plans: # 3
Building Permit#: ❑..l-rtfer building permit#above. �_ -
Workflow Routing: Vanning -veering t Coordinator LTSu 1 g
Workflow Sign-off: -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.
Ott -ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: '. Date: r -%Y
Engineering Review
Et Slope at building pad: fm2Z
❑CConditions "Met"prior to issuance of building permit
[ E sements (encroachments)per engineering conditions of approval and plat
Q--Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes R'No
Assess Water Quantity Fee in-lieu: ❑ Yes a-No
LIDA Facility on lot: ❑ Yes C�No
C-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
E1--Approved by Engineering: Date: e/2 z//9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El 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:
0C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 4/A
VDTigard Trans SDC: ❑ Yes Gr/N/A
,�J/N A
Parks SDC: /
❑ Yes L� N/A
LIDA ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: a3A-71/1Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx