Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT'PI
Permit#: MST2019 00434
- I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/17/2019
Parcel: 1S125DC03500
Jurisdiction: Tigard
Site address: 7071 SW BARBARA LN
Subdivision: RAZBERRY PATCH, THE Lot: 28
Project: JACKSON
Project Description: 490 sq. ft. deck addition.
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: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $4,750.00 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 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!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
Other: N Other Description:
Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
JACKSON,SCOTT M&RHONDA A OWNER Required Items and Reports(Conditions)
7071 SW BARBARA LN SCOTT&RHONDA JACKSON
TIGARD,OR 97223 7071 SW BARBARA LN
TIGARD,OR 97223
PHONE: PHONE: 503-977-9028
FAX:
Total Fees: $390.06
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. Tho rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yo, ua obtain aw rules or direct questions to OUNC by calling 503.232.1987.>or 1.800.332.2344.
Issued By: �`._ _� _ �� ••ermitteeSignature: — —
' 03.639.4175 by 7:00 a.m.for the next available in.pection date.
This permit card shall be kept in a conspicuous place on the job site .til completion he projec
Approved plans are required on the job site at the time of each inspecti .
Building Permit Application
Residential 1Ok O1 FICI 1 sl 11\I.\
Received
City of Tigard DateB : 1171117,1-0:04, Perrot No.:
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960 Date/B : `2' Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: B See Page 2 for
Internet: www.tigard-or.gov Notified/Method:,/Z /7 /5, t� NM Supplemental Information
C-41•14.r e.- S ec 77---
TYPE
rTYPE 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
®Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 2-familydwelling 0 Valuation: ft!AV 1 I 1� '
1-and Commercialf�ndustrial
ID Accessory building ❑Multi-family Number of bedrooms:
�i� Number of bathrooms:
(UC ❑Master builder 0 Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7071 SW Barbara Lane New dwelling area: square feet
City/State/LIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Jackson Residence Deck Covered porch area: square feet
Cross street/directions to job site: Deck area: 490 square feet
In the Cul-de-sac on Barbara Lane between Ventura and Shady1S125DC Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Raspberry Patch Lot no.: 28 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1 S125DC03500 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.
Addition of an exterior deck on the south and west sides of the existing house. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Scott Jackson Type of construction:
Address: 7071 SW Barbara Lane Occupancy groups:
City/StateiZlP: Tigard,OR 97223 Existing:
Phone:( 503 ) 977-9028 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Scott Jackson
FLS plan review fee(if applicable):
Address: 7071 SW Barbara Lane ��l
City/StatetztP: Tigard,OR 97223 Total fees due upon application: 7 7
Amount received:
Phone:( 503 )977-9028 Fax::( )
E-mail: smjackson57@gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: oi,„t/Altf Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specially Code checklist.
City/State/LIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: -414.7\ -"___ __ This permit application expires if a permit is not obtained
�` within 180 days after it has been accepted as complete.
Print name: 'cott lac on Date 5 December 2019 I *Fee methodology set by Tri-County Building Industry
Service BoartL
I:\Building\Permitst:-1•-: • -• I•pp.doc 42/24/2011 440-4613T(11/02/COM/WEB)
1
1
City of Tigard
ligCOMMUNITY DEVELOPMENT DEPARTMENT
s
TICARo Building Permit Review — Residential
Building Permit #: 57-4 `q.. 00`13I/
Site Address: "6-91 -DO Ave-.110/10 2,--7--A4)
Project Name: 7 c Oii LecL Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro 6sal: Aitdt) c4c 2-i� I , 1 ,, �/ /,-1
�L✓J Verify address/suite#active in Accela. '1n '.•er Terrace: NZ- No ❑ Yes,River Terrace Review Addendum
Sit�e''Plan Elements: osion Control
opies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures
f?"cawn to scale(standard architect or engineer scale) of new structure(including decks)and FFE
4rth arrow OW: 'ty locations&easements(required for new and additions)
address,project or subdivision name and lot number M Si.-walk/driveway approach
V plicant information(name and phone number) PI i.cation of wells/septic systems
Lot dimensions and building setback dimensions 1 IC j eet tree size,type and location
i 14 are footage of buildings to be demolished 15 S eet names
✓ xisting structures on site M Corner elevations(2'contours if more than 4'differential)
A.t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac d? EYes N
impervious area(applicable if R-7 R-12 R-25&R-40)
If yes,is a storm water quality facility shownp Yes o
❑ Clean Water S rvices—Service Provider Letter(lot platted prior to 9/10/1995):
Required: Yes,applicant was notified ❑ No Received: ❑ Yes /No
0 Public Facilities Improvement(PFI)Permit: /
Required: ❑ Yes,applicant was notified 'No Applied or: ❑ Yes ❑ No,stop intake v
L • and Use Case#: Zoning: r 7• c-
• 'equired Setbacks: Front: Rear: A--- Side: Street Side: Q3� Garage: 1�
/. Building Height: Max. Height: -&i Actual Height: /.2.
ITh andscape Area: % ox-ot Coverage Max: 0/0
Entrance Iii et back no more than 8'from street-facing wall ❑ Parallel to - or offset 45 degrees or less
Windows ❑ ..•. 12%of area of all street-facing facades
Garage ❑ Garage door t . d widest street-facing wall ig Yes ❑ No,one of the following is met:
❑ Door extends no e than 5'from wall . •: i ere is a covered porch extending beyond garage.
❑ Door extends no more 'fr.- all and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 1 ' . ess q 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porc• • Recessed entrance ■ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire es ❑ Lap Siding ❑ Roof pit Cl Gable,hip,or gambrel roof ❑ Dormer
ccent siding ❑ Window trim ❑ Window re ; ❑ Window projection ❑ Balcony
MY isual Clearancerban Forestry Plan
• Sensitive Lands: VYes ❑ No Type: .___,,,_ _Cf_) c
1C1 Co.:;.ons met prior to issuance of building permit
No s:
U Approved By Planning: °' — Date: Q
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: /, lS//q
Site Plans: #
Building Plans: #
Building Permit#: nter�uilding,�p,ermit.�#above.
Workflow Routing: ld�I'l riing I�Fngtneering ❑ it Coordinator u ding
Workflow Sign-off: [,,_Y,�i -off for Planning(include notes from planning review)
Route Application Documents: Ge"—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
oal plan review routing form.
L7 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
411111
By Permit Technician: , - Date: /UL // i
Engineering Review
LYSlope at building pad: /S-2
❑ Conditions "Met"prior to issuance of building permit
2-Easements (encroachments)per engineering conditions of approval and plat
L- Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er-No
Assess Water Quantity Fee in-lieu: ❑ Yes CYNo
LIDA Facility on lot: ElYes 1:2-"No
Er-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
L'Approved by Engineering: 7i/ „e,,.,4 Date: /ah,/20/9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 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 L� /A
Tigard Trans SDC: ❑ YesA
Parks SDC: ❑ Yes 2 /A
E r LIDA CIYes L1 N/A
E1 OK to Issue Permit
Approved /1/4D byPermit Coordinator:
Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Property Owner Statement lSInIO 9N1011n
Regarding Construction Responsibilitie4IVXL JQIL.tO
Oregon Law requires residential construction permit applicants who are not license&`ithLtlden0
Construction Contractors Board to sign the following statement before a building per. cahe
issued. (ORS 701.325 (2)) "�
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the
completed structure and mygeneral contractor is:
p
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
FI will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
Pritil Name of Permit Applicant
': �7��7/17
Signature of Permit Appl an, Date
Permit#: 1r'&i !' — O f7 , F
Address: 707 l ,St ti .6-.74/6z4,---A ��;
?' A , d� 4"7);?-? ��
Issued by: Date: 447/ 4.'
This Copy for Permit Offices