Permit DocuSign Envelope ID:6FFE12AE-14A8-4C18-A46D-7FAA2E65080A
-1\5� Building Permit Application
Residential RECEIVED FOR OFFICE lISE ONLY
Received
City of Tigard AUG 17 2020 (�` O. 020 Permit No:riST 02.0-+Q7
Date,'B
7.50
II • 13125 SW Hall Blvd.,Tigard,OR 97223Allill
Phone 503.718.2439 Fax: 503.598.1 Y OF TIGARD Da Plan eBReview Q zii w ALL
TIGARU Inspection Line: 503.639.4175 pIVISION Date ReadyiBy: p 1 Juris. ® See Paget for
Internet: www.tigard-or.gov BUILDING Notified/Method: 7 I�(f Supplemental Information
e;511 - (6-62-S6-79--
TYPI? OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
LI New construction ❑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: Repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 15,650
® 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
0 Accessory building El Multi-family❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7117 SW Mapleleaf Ct New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Richmann Voluntary Foundation Repair 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.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Voluntary repair to existing foundation Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Patrice Richmann Type of construction:
Address: 7117 SW Mapleleaf Ct Occupancy groups:
City/State/ZIP: Tigard,OR 97223 Existing:
Phone:( 503 )729-2482 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule) -
Business name: Ram Jack West
Structural plan review fee(or deposit): ., Q`.Q
Contact name: Kelsea Rossow
FLS plan review fee(if applicable):
Address: PO Box 11701
Total fees due upon application:
City/State/ZIP: Eugene,OR 97440
Amount received:
Phone:( 541 )359-2646 Fax: :( 541 )688-4991
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: kelsea@ramjackwest.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Rant Jack West Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: PO Box 11701 Solar Installation Specialty Code checklist.
City/State/ZIP: Eugene,OR 97440 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 541 )359-2646 Fax:( 541 ) 688-4991 State surcharge(12%of permit fee): $21.60
CCB tic.: 146906 Total fee due upon application: $201.60
f-Docusigned by:
Authorized signature: This permit application expires if a permit is not obtained
a�sca NI:Wow within 180 days after it has been accepted as complete.
Print name: Kel sea 8/17/2020 *Fee methodology set by Tri-County Building Industry
, atcaos7e4Fg... Date: Service Board.
1:1Building\PermitslBUP-RESPermitApp.doc 02/24/2011 440-46I3T(I 1/02/COM/WEB)
DocuSign Envelope ID:6FFE12AE-14A8-4C18-A46D-7FAA2E65080A
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit Fo
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/Bat
C ' Phone: 503.718.2439 Fax: 503.598.1960 . Associated permits:
TIGARD
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plwnbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l'es No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
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
5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ 0
6 Sewer permit. ❑ ❑ 0
7 Water district approval. ❑ 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0
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 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
and location.
13 Floor plans. Show all dimensions.room identification,window size,location of smoke detectors,water heater, ❑ ❑ 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 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,roofmg,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 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 ❑ ❑ ❑
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
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 ❑
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 0 0
architect licensed in Ore_on and shall be shown to be a.plicable to the ,ro'ect under review.
JURISDICTIONAL 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 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
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, 0 0 0
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.
1:113uilding)Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)