11-November (2) ipii ,, CITY OF TIGARD MASTER PERMIT
- COMMUNITY DEVELOPMENT Permit#: MST2019-00402
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2019
Parcel: 2S108DB05400
Jurisdiction: Tigard
Site address: 15402 SW SEINE CT
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 52
Project: BABICKY
Project Description: 320 sq.ft. deck and a 295 sq. ft. deck cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $14,987.55 Rear: 0
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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 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:
ALT SF 0
Owner: Contractor:
BABICKY,JASON L&MARY L A-FRAME CUSTOM HOMES LLC Required Items and Reports(Conditions)
15402 SW SEINE CT 15007 NE 69TH ST
TIGARD,OR 97224 VANCOUVER,WA 98682
PHONE: PHONE: 503-719-0583
FAX:
Total Fees: $627.57
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 se •rth in OAR
952-001-0010 through OAR 952-001-0090. You may ob - of the rules or direct questions to OUNC by calling 503.232.198 'dr 1 0 x.332 34•
Issued By: /497----Ar-"-e-6---- „ Permittee Signature:
all 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 offhe project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED rt>Iz tl1.1.,cl: I �,� tl.l.,
Cl of Tigard Received
`JganDate/B : 7 ' tir Permit No.: 0 -
1114 "I 13125 SW Hall Blvd.,Tigard,OR 97223 OCT
T 2 1 2019 Plan Review ��� `
S Phone: 503.718.2439 Fax: 503.598.1960 1 Le 1 Date/B : QA212 {/' Other Permit:
Ti G A R D Inspection Line: 503.639.4175 ey fi Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov lT F.
t1 Notified/method: gfill Supplemental Information
91.PI TPNG DAVIS ON
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
►Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the rofit for the
work indicated on this application. / l t S-7
CATEGORY OF CONSTRUCTION ///
Valuation: $
1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATIONTotal number of floors:
Job site address: 1t J'rY!'i y 5 I,V, s ( f �" r New dwelling area: square feet
City/State/ZIP: 't w"_I or.�,a n Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area:,, 3square feet
r![C[t
Other st �e 5rea�t°"" square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
1VC. /-t� Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: armex(/a C f Type of construction:
Address: i So Cyz > 5 a : e Cr Occupancy groups:
City/State/ZIP: r,t ("4"e rt Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: ,/1}. -- �-f`�.�L � (Please refer to fee schedule)C r4 ci-CL n i ``'7 tbl G.7 Structural plan review fee(or deposit):
Contact name: v.t 1 1"tipzMci S I v`
r FLS plan review fee(if applicable):
Address: I6,0 ? iV 4' f 'S�'
Total fees due upon application: iiii.7
L,g..
City/State/ZIP: v C Gy v e/` %A/4—
` Amount received:
Phone:(, t{° 1 f 7 S' `' ,9 Fax::( )
E-mail: /i PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
''t r t' ►5 '`'1 '� �%`► '�c'' r Li�r' Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
/Tit-- Zie Af and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 11 3w3 ,�� d ,'F t 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.
' tks *Fee methodology set by Tri-County Building Industry
Print name: (/h
I S a Date: Ic�"� f y Service Board.
I:ABuilding\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
IN - g Date/B : Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
T t G A R D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical Q Plumbing 0 Mechanical
Internet: www.tigard-or.gov ❑ other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No 1/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. ❑ 0 0
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . 0 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ 0
7 Water district approval. H 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. . ❑ ❑
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
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 ❑ 0 ❑
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 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 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 0 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- 0 ❑ 0
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 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑
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.
20 Manufactured floor/roof truss design details. 0 0 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 0 ❑ ❑
architect licensed in Ore:on and shall be shown to be a,a licable to the .ro"ect under review.
.IURISDICTIONAL 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. ❑ 0 ❑
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. 0 ❑ ❑
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, ❑ ❑ ❑
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, ❑ ❑ ❑
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.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.goy
r/7
TO: v� DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVE.
/J OCT 3 0 2019
FROM: fM c \41.6: _ t �,S c�V` CITY OFSID
D
BUILDING DIVISION
COMPANY: a. - fckw1 howt
PHONE: 300 'r/ ,�_ X58 B /
RE: ( 5q02, s%/ 5 Cc,-Ic Ct- r 1I/
(Site Address) (Permit Num,. )
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 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): ,,q/i�� / S r 5 ► ,
REMARKS:
`,� ` FOR OF ICE USE ONLY
_V Routed to Permit Technician: Date: I bis 1 1C Initials:
Fees Due:Wes ❑No Fee Descriptio : Amount Due:
p6.1A. r tArC e $ 0
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ''No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
■
TICARD Building Permit Review — Residential
Building Permit #: ,7 i ,1 i-tool
Site Address: 15 402 SMI Se.- he, C-(-.
Project Name: 'Ip j •,i (e, _ Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: New c1eck--
14 Verify address/suite#active in Accela. In River Terrace: ❑ No tel,Yes,River Terrace Review Addendum
Site Plan Elements: MErosion Control
Xi copies of site plan on 8-1/2"x 11"or 11 x 17"paper tkiirittetained trees with drip line and tree protection measures
,Drawn to scale(standard architect or engineer scale) 1SFootprint of new structure(including decks)and FFE
.',North arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number atSidewalk/driveway approach
,Applicant information(name and phone number) tiPpocation of wells/septic systems
Lot dimensions and building setback dimensions NAStreet tree size,type and location
quare footage of buildings to be demolished ItkIstreet names
. xisting structures on site .;Corner elevations(2'contours if more than 4'differential)
f I.Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?. No
! 1
unpervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? s No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Z No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified A-No Applied For: ❑ Yes ❑ No,stop intake
NI'Land Use Case#: tJ 1 PS ❑ Zoning: R`41.-S
.Required Setbacks: Front: ,Q/A Rear: IJ' Side: S Street Side: kg it Garage: WA.
X Building Height: Max.Height: 3D Actual Height: ir
, piLandscape Area: % Lot Coverage Max: 0/0
Entrance ;i Se bac no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows I. , ' %of area of all street-facing facades
Garage J k.:ra:- do 's behind ' stt;e t a g wall ❑ Yes ❑ No,one of the following is met:
❑ Do ends no a wall and there is a covered porch extending beyond garage.
• Do r ext nds no ore thar'• . .AI d rr- ' a 12 sq ft.window above garage on 2nd floor.
❑ G. age door width is ❑ 12'or ':'l 1'o or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recess e trance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
.Visual Clearance Jrban Forestry Plan
. Sensitive Lands: ❑ Yes No Type:
/Conditions met prior to issuance of building permit
Notes:
-Approved By Planning: IV/VD 06--•..... Date: 1 O 12 t I t "1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ 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.
❑ Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
„ wu
Engineering Review
❑ Slope at building pad: ,4',%
❑ conditions "Met”prior to issuance of building permit 1,74(111W/Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [No
Assess Water Quantity Fee in-lieu: ❑ Yes g/No
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded: /1741.
❑ NOT Approved by Engineering: Date:
Notes:
LVJ Approved by Engineering: Date: /e9/7.e.
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:
R ision Notice 3: Date Sent to Applicant:
L"J SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 114./A
Tigard Trans SDC: ❑ Yes /A
/ Parks SDC:
1::1
LIDA
/ LIDA ❑ Yes LJ N/A
❑ OK to Issue Permit '
Approved by Permit Coordinator: �y��f IDate:113/Z�f IA
I:\Building\Forms\BldgPermitRvw_RES_0228 19.docx
City of Tigard
III
v COMMUNITY DEVELOPMENT DEPARTMENT
s
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: 57--,26i 17 -- c -tC1
Site Address: 15'+02 SW SCA yt,L Cf•
Project Name: I-j1 I peC,� Lot #:
(New dwelling=su division name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.640.070.1):
Is the project subject to the plan district design standards?,;Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional
elemti �re ed for lots with over 60 ft. of street frontage shall be provided every 30 ft.
mmt
V Balcony w/ access 2 Window Projection Vertical Wall Offset a
Porch deep ft. deepmin. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
❑ ❑ ❑ ❑ ❑
2. Eyest e street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Perc wn:
3. Entrances:At least one entrance must meet both of the following standards:
❑ Max 8 f s back from longest street facing wall ❑ Parallel to street,angle no more than 45° from street,
or open onto porch
Entran o en to orch: ❑ Yes ❑ No
If yes,a e f llo ' apply: ❑ 25 sq.ft.min.
❑ One street facing entry ❑ 12 ft.max.roof above floor of porch
❑ 5 ft. depth min. 0 30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
❑ Covered p•rch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wallff e mi 16 inches ❑ Dormer min.4 ft.wide
❑ Roo e ' 12 inch projection ❑ Roof offset min.of 2 ft.
❑ Roo shin;les er tile or wood ❑ Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street façade ❑ Window trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street façade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closero f o to ide lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one):
❑ May ex e t .if there is a covered front porch and garage does not extend beyond the front porch.
❑ May e end t 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door ❑ 40%max. of street façade
❑ 50%max. of street façade with 7 detailed design elements
Notes: tnciet f etS nOi—apes t Ca.bi-P . Penn t f- l S -Fo (add l' .c,k. C42va-ed
Ott CX .
Approved By Planning: Date: I(42t Ito/
I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx