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Permit INq CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00368 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/01/2019 1. 'r t � Parcel: 2S102BB01300 Jurisdiction: Tigard Site address: 9980 SW JOHNSON ST Subdivision: NORTH TIGARDVILLE ADDITION, AMENDE Lot: 16 Project: SHEARER Project Description: 187 sq. ft. single story addition. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 187 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 13 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 187 sf Value: $22,900.02 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 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'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+a m p/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: ADD SF VB R-3 187 Owner: Contractor: SHEARER, EMMETT J JR&ELISE C ROYAL REMODELING RESOURCES INC Required Items and Reports(Conditions) 9980 SW JOHNSON ST PO BOX 230805 TIGARD,OR 97223 TIGARD,OR 97281-0805 PHONE: PHONE: 503-684-7873 FAX: Total Fees: $1,154.36 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 may obtain a copy of the rules or direct questions to OUNC by calling 5 .232.19871.800 2.234 G Issued By: �—. Permittee Signature: ,�// /� /Gtei- (�✓L Cal .639.4175 by 7:00 a.m.for the next available inspect ö 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 City of Tigard RECEIVED ECEIVED Received C Date/By: rit ter et/ Permit No.:� J�����,_y �3.,y % 1413125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.196p1 2019 pDlaanteBReyview ( It OtherPermit: TIGAhU Inspection Line: 503.639.4175 Date ReadyBy:t. ri/-,...;,Avis: M See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD "` re Supplemental information eUILDING DIVISIOI V 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 3 %Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,And the �for the CATEGORY OF CONSTRUCTION work indicated on this application. ,4 /219 VI'`-and 2-family dwelling 0 Commercial/industrial Valuation: $ Z$-i Ctl'd El Accessory building 0 Multi-family Number of bedrooms: —.. 0 Master builder 0 Other: Number of bathrooms: ` JOB SITE INFORMATION AND LOCATION Total number of floors: l Job site address: 9'etej0 .6 LiL3 3'0 .,,SpN ilOSi New dwelling area: t square feet City/State/ZIP: --r 14( C) ©R A. q"7 Z,Z 5 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: .6(1 cokrac,t, Covered porch area: ......' square feet Cross street/directions to job site: Deck area: square feet Other structure area: ..___ square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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.:ZStOZ 813 O 150 0 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. i 8i * ‘4,..) (...4,- .‘4.00.. Ac '�!1 _ c Valuation: $ � r V> CO ink o-E, Po .- 15474-4 Existing building area: square feet New building area: square feet FROPERTY OWNER ❑ TENANT Number of stories: Name: !!!EL lSF tJ t..1Gr4..rte-e Type of construction: Address: ' �'� Occupancy groups: City/State/ZIP: 1v Existing: Phone:( ) Fax:( ) New: 'APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application:` .3/6,56 City/State/ZIP: Amount received: Phone:( ) Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: + QL ,26,„„„,,,6.L,0,,j.5 Submit two(2)sets of roof plan with connection details r.J and fire department access,along with the 2010 Oregon 1 Address: o 30)( 23ag0 r Solar Installation Specialty Code checklist. ty T !`fl o 2 i1 2,23 Permit Fee(includes plan review City/State/ZIP: ! $180.00 and administrative fees): Phone:ta) 4t.6,4 -7813 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: cio"1 46, Total fee due upon application: $201.60 Authorized signatures`'^v \ This permit application expires if a permit is not obtained f,t within 180 days after it has been accepted as complete. >4IFE g. Print name: e JC C4 Date: 9 (( . l�-i *Fee methodology set by Tri-County Building industry `F+' 1 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard I/ COMMUNITY DEVELOPMENT DEPARTMENT I Building Permit Review — Residential TIGARD Building Permit #: 7?1,57-- /q_ co 3r.g' Site Address: IVO g,ti,/ 3o1&Sdn a Project Name: Shcatr'tr A-1, Lot #: --- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Revie n 1 ' Pro osal: Ig7til $ S)vr 7Mi Cl')aki- , � o.t- I -k L' Verify address/suite#active in Accela. © In River Terrace: Lam'No 0 Yes,River Terrace Review Addendum Site lan Elements: 7i •sion Control opies of site plan on 8-1/2"x 11"or 11 x 17"paper tti�: -tained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) 1) •otprint of new structure(including decks)and FPI. i.• rth arrow f tility locations&easements(required for new and additions) S e address,project or subdivision name and lot number Cil.idewalk/driveway approach Irk: •plicant information(name and phone number) Ci,', 'cation of wells/septic systems pi •t dimensions and building setback dimensions '1:.treet tree size,type and location V.. are footage of buildings to be demolished e • -et names [ Existing structures on site 4 Corner elevations(2'contours if more than 4'differenti,a,_l),// Mt of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes I� to impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes D No Clean Wate�r S vices—Service Provider Lette.,(lot platted prior to 9/10/1995): equired: V Yes,applicant was notified 0 No Received: ❑ Yes ld'No L Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified [ 'No Applied For: ❑ Yes ❑ No,stop intake j,�!"�nd Use Case#: Eoning: K-1"S LIQ' quired Setbacks: Front: 2,0 Rear: IS Side: S Street Side: 1S Garage: 14 [ Building Height: Max. Height: 30 Actual Height: 13 . Landscape Area: % 0-Lot Coverage Max: Entrance role- et back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windowsinimum 12%of area of all street-facing facades 's , Garage l _Garage door is behind widest street-facing wall 0 Yes 0 No,one of the following is met: O Door extends no more than 5'from wall and there is a covered porch extending beyond garage. O Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. IA Garage door width is 0 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following: O Covered porch 0 Recessed entrance 0 Wall offset 0 1'Roof cave 0 Roof offset 0 Fire shingles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer O Accent siding`,3 0 Window trim 0 Window recess 0 'Window projection 0 Balcony ��isual Clearance kUrban Forestryy n nsitive Lands: ❑ Yes L'_T No Type: lid' Conditions met prior to issuance of building permit N�ot9 Ltd'Approved By Planning:LI- C/h-- Date: c-11+1 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: Vi//`9 Site Plans: # Building Plans: # Building Permit#: n�ter building permit#above. Workflow Routing: �J'Planning 0' ineering LitCoordinator B-17 ilding Workflow Sign-off: I,l�,d��5i off for Planning(include notes from planning review) Route Application Documents: I _,' ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [U.uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: , � ' Date: ��r/� Engineering Review [ 'Slope at building pad: 2 Lel Conditions "Met"prior to issuance of building permit 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 Cr-No LIDA Facility on lot: ❑ Yes C3'No ErFinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: LApproved by Engineering: /yrs ,�j Date: 9//2//, 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: E /SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes riA Tigard Trans SDC: ❑ Yes /A / Parks SDC: ❑ Yes /A to Issue PermitLIDA 0 Yes N/A OK �' �� Approved by Permit Coordinator: /��/�'O Date: `97 -4 Z l:\Building\Forms\BldgPermitRvw RES 022819.docx