Permit Support Document Building Permit Application \Pi---Ci V- 6 - 8 141 1 2_1
Residential RffEIVED l,:licclll it I: I'SI0\Li
City of Tigard 'e ag/�o zooti P«»itNo.:�STZOZI-av3l
13125 SW Hall Blvd.,Tigard,OR 97223 AU G ®'� 2021IS
Plan Review Other Permit:
Phone: 503.7182439 Fax: 503.598.1960 Date/By:
Inspection Line: 503.639.4175 Ci T Y OF i 11GARD Date Ready/By: �+� Si See Page 2 far
Internet: www.tigard-or.gov
(1ILDI!�� (�I4JlQtfl\J Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY Of CONS1RUCTION work indicated on this application
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITU INFORMATION AND LOCATION Total number of floors:
Job site address:8355 SW Lil�tiancha Ct New dwelling area: square feet
City/State/ZIP:Tigard, Or 97 24 Garage/carport area: square feet
Suite/bidg./apt.no.: Project name:Turley 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.
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.
Add 2 windows to garage,Add walls to make 2 rooms in garage. Valuation: $21,250
Existing building area: 1040 square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Ole Turley Type of construction:
Address:8355 SW Lamancha ct Occupancy groups:
City/State/ZIP:Tigard, Or 97224 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES'
Business name:Jenson General Contracting (Please
refer
:°fee
'c "�`�
Structural plan review fee(or deposit): 245,tfr
Contact name:Shawn Jenson
FLS plan review fee(if applicable):
Address:19120 S Fernwood Rd
Total fees due upon application:
City/State/ZIP:Molalla, Or 97038 .
Amount received:
Phone:(503 )310-6844 Fax::( )
E-mail:shawnjenson82@yahoo.Com PHOTOVOLTAIC SOLAR PANEL SYSTEM TEES"
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Jenson General Contracting Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:19120 S Fernwood Rd Solar Installation Specialty Code checklist.
City/State/ZIP:Molalla, Or 97038 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:603-3110-6844 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:1$2417 Total fee due upon application: $201.60
Authorized signature: 5W t�uyL �y This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Shawn Jenson Date:6-13-21 `Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist ,
One- and Two-Family Dwelling FOR OFFICE USE ONLI'
City of Tigard Received Permit No..
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Tic,i'/'l`1 Internet: www.tigard-or.gov O Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Ves No N/A
_ 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 . 0 Ii 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ I]
3 Verification of approved plat/lot. ❑ 0
4 Fire district approval required. Name of district: 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0El El
0
6 Sewer permit. 0 0
7 Water district approval. 0 El
Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan 0 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 ❑ ❑ 0
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 X❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® 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
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
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 Ei
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
iD
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 07
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 El
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 0 0
for four or more appliances. 0 ❑ ❑
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Ore.on and shall be shown to be •i ilicable 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. 0 0 0
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 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 ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑
and nrotection 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
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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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Residential Energy Additional Measure Selection
IF Department of Consumer& Business Services RECEIVED
BuildingCodes Division
f...' 1535 Edgewater St.NW, Salem,Oregon AUG 04 2021
Phone:(503) 373-1268 • Fax:(503)378-2322 Ci j y OF IIUN> D
Web: oregon.gov/bcd 3UI! litt14 tlgv qnr,r
RESIDENTIAL INFORMATION
Date: 7/7/2021 Building permit number:
Owner's name:Ole Turley
Job address:8355 SW La Mancha ct.
City:Tigard State:OR zip:97224
INSTRUCTIONS
Please select the type of construction. If the project is an addition,select the applicable addition type and enter the
selected measures accordingly; print and sign your name. Submit this form with your permit application or your project
will be placed on hold until the required information is provided.
❑ New construction.All conditioned spaces within residential buildings shall comply with Table N1101.1(1)and one
additional measure from Table N1101.1(2).
❑ Additions.Additions to existing buildings or structures may be made without making the entire building or
structure comply if the new additions comply with the requirements of this chapter. [See ORSC Section N1101.3]
❑ Large additions. Additions that are equal to or more than 600 square feet in area are required to select one
measure from Table N1101.1(2).
Enter the selected Table N1101.1(2)additional measure
LI Small additions. Additions that are less than 600 square feet in area are required to select one measure from
Table N1101.1(2)or select one measure from Table N1101.3.
❑ Selected Table N1101.1(2)additional measure
or
• Selected Table N1101.3 additional measure 1
❑ Exception: Additions that are less than 225 square feet in area are not required to comply with Table
N1101.1(2)or Table N1101.3.
For reference Tables N1101.1(2)and N1101.3 are included in this form below.
Note: Depending on the additional measure you have selected, there may be sub-options that you will have to spec.
Check the appropriate box if provided.
Applicant's printed name:Ole Turley Applicant's signature: 04
TABLE N1101.1(2) —ADDITIONAL MEASURES
HIGH EFFICIENCY HVAC SYSTEMa
1 a. Gas-fired furnace or boiler AFUE 94 percent,or
b. Air source heat pump HSPF 10.0/14.0 SEER cooling,or
c. Ground source heat pump COP 3.5 or Energy Star rated
HIGH EFFICIENCY WATER HEATING SYSTEM
a. Natural gas/propane water heater with minimum UEF 0.90,or
2 b. Electric heat pump water heater with minimum 2.0 COP,or
c. Natural gas/propane tankless/instantaneous heater with minimum 0.80 UEF and
Drain Water Heat Recovery Unit installed on minimum of one shower/tub-shower
3 WALL INSULATION UPGRADE
Exterior walls—U-0.045/R-21 conventional framing with R-5.0 continuous insulation
ADVANCED ENVELOPE
Windows—U-0.21 (Area weighted average),and
4 Flat ceilingb—U-0.017/R-60,and
Framed floors—U-0.026/R-38 or slab edge insulation to F-0.48 or less(R-10 for 48";R-15 for 36"or R-5 fully
insulated slab)
DUCTLESS HEAT PUMP
5 For dwelling units with all-electric heat provide:
Ductless heat pump of minimum HSPF 10 in primary zone replaces zonal electric heat sources,and
Programmable thermostat for all heaters in bedrooms
HIGH EFFICIENCY THERMAL ENVELOPE UAc
6 Proposed UA is 8 percent lower than the code UA
GLAZING AREA
7
Glazing area,measured as the total of framed openings is less than 12 percent of conditioned floor area
3 ACH AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION
8 Achieve a maximum of 3.0 ACH50 whole-house air leakage when third-party tested and provide a whole-house
ventilation system including heat recovery with a minimum sensible heat recovery efficiency of not less than 66
percent.
For SI: 1 square foot=0.093 m2, 1 watt per square foot= 10.8 W/m2.
a. Appliances located within the building thermal envelope shall have sealed combustion air installed.Combustion air shall be ducted directly from
the outdoors.
b. The maximum vaulted ceiling surface area shall not be greater than 50 percent of the total heated space floor area unless vaulted area has a U-
factor no greater than U-0.026.
c. In accordance with Table NI 104.1(1),the Proposed UA total of the Proposed Alternative Design shall be a minimum of 8 percent less than the
Code UA total of the Standard Base Case.
TABLE N1101.3 - SMALL ADDITION ADDITIONAL MEASURES (SELECT ONE)
1 Increase the ceiling insulation of the existing portion of the home as specified in Table N 1101.2.
2 Replace all existing single-pane wood or aluminum windows to the U-factor as specified in Table N1101.2
3 Insulate the existing floor,crawl space or basement wall systems as specified in Table N1101.2 and install 100 percent of
permanently installed lighting fixtures as CFL,LED or linear fluorescent,or a minimum efficacy of 40 lumens per watt as
specified in Section N 1107.2.
4 Test the entire dwelling with a blower door and exhibit no more than 4.5 air changes per hour @ 50 Pascals.
5 Seal and performance test the duct system.
6 Replace existing 80-percent AFUE or less gas furnace with a 92-percent AFUE or greater system.
7 Replace existing electric radiant space heaters with a ductless mini split system with a minimum HSPF of 10.0.
8 Replace existing electric forced air furnace with an air source heat pump with a minimum HSPF of 9.5.
9 Replace existing water heater with a water heater meeting:
Natural gas/propane water heater with minimum UEF 0.90,or
Electric heat pump water heater with minimum 2.0 COP.
Dianna Ornelas y /4P / 6
From: Allyson Armstrong
Sent: Wednesday, September 1, 2021 12:44 PM
To: shawnjenson82@yahoo.com
Cc: #Building Permit Technicians
Subject: Request for Permit Action - 8355 SW La Mancha Ct/MST2021-00319
Attachments: Allyson Armstrong.vcf; Reg PermitAction.pdf
Follow Up Flag: Follow up
Flag Status: Completed
Categories: Tina
Shawn,
I received an email stating that you had left a voice mail message that the project was not
moving forward. Would you please fill out the attached form and email it back to us at
tigardbuildingpermit@tigard-or.gov so we can void the permit?
Project address
8355 SW La Mancha Ct
MST2021-00319
Your help with filling this out is much appreciated.
Thank you,
Allyson
Allyson Armstrong
4 " City Of Tigard
°F
(503)718-2612 Work
(503) 71&-5137 Mobile
Ai,lyconA tigard-or.gov
13125 SW Hall Boulevard
Tigard, Oregon 97223
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
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