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Permit
CITY OF TIGARD MASTER PERMIT IIIIIII 1/ - COMMUNITY DEVELOPMENT Permit#: MST2021-00349 Date Issued: 11/10/2021 TIGARD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109AB15300 Jurisdiction: Tigard Site address: 13294 SW ALPINE VIEW DR Subdivision: ALPINE VIEW Lot: 34 Project: Clay Project Description: Interior remodel of powder room to add shower stall. Trade permit to be pulled separately. 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: $30,000.00 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 Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<10OK: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: CLAY,GILES R&CECILIA REFRESH RENOVATIONS Required Items and Reports(Conditions) 13294 SW ALPINE VIEW DR 725 OAK MEADOW CT TIGARD,OR 97224 LAKE OSWEGO,OR 97034 PHONE: PHONE: 503-443-5548 FAX: Total Fees: $907.52 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 oc9-nnl-nnln thrni inh nAr,oq7-nnl-nnon vni i n,w nhf in o rnnw of tho n oloe nr riirorf no ioerinne en nI INC by rollinn Snq 9'39 10A7 nr 1 Ann'319 9Z1d Issued By: HoU,y Va.w De,\A)S91, Permittee Signature: O in.,Apio-tic..cuti,o-vu Call 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 of the project. Approved plans are required on the lob site at the time of each inspection. Building Permit ApplicatiorRECEIVED -F. - 6!1?3124 Rggootto E:AUG 18 2021 FOR OFFIC t'SI ONLY City of Tigard Received 8 2 V. MST :12 .00ViC g Date/By: � � �/ Permit No.: IJLI ` `+l 4 13125 SW Hall Blvd.,Tigard,OR 97223CI1Y OF TIGARU / A1A G, Plan Review t.►'�'T Phone: 503.718.2439 Fax: 503.598. Date/By: 11.7 Z a i Other Permit: 1.WARD Inspection Line: 503.639.4175 boi' GILDING DIVISION Date Ready/By: Ju i�:t� H See Page 2 for Internet: www.tigard-or.gov N.ified/Metho. %J�(/� % SOIL Supplemental Information .�� ...s.. : n"s alli =11;-. ,,,..at, ,., rz-,.-„r u: ,' '`", s, t,,Y ,7?7.�a P'Y'. r r 4."4 -,,,,Ism. ❑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 '* --7-t- i work indicated on this application. dwellingValuation: $ ,., 1-and 2—family 0 Commercial/industrial ?jt� �Io ❑Accessory building 0 Multi-family Number of bedrooms: V-, tC 1< ['Master builder ❑Other: Number of bathrooms: , rt t 1' .! s)1° e: :' Y a r c $ :`` ' Total number of floors: Job site address: 13Z c1 � Au , C �, PL. New dwelling area: square feet City/State/ZIP: `c-ts (/ W -7. 7v� Garage/carport area: le,'- square feet j' t ILL Suite/3ldg./apt.no.: Project name: -/ `v 1) Covered porch area: Ai square feet K S cti �` Cross street/directions1 to job site: " 0� (Sw Deck area: Afro square feet Vi.6 V I i' # ...... i h, �S r Other structure area: square feet 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 th- '-/,.. •`'. w. . k r work indicated on this application. l /) ,C ! -- '^ Valuation: $ '�'�`1�yr � . -tA\ cC) WOtt (i4 Existing building area: :.uare feet 1- New building area: square feet _F. `,�. n,�-- �,_.,,-,.. .,;>,�:r .*ram ,- - : 4 �. .. Number of stories: Name: p..1 i( ,y�_c. t Type of constt tion: Address: (�`'3�at4- v % ( (4 . JIv rF'- /�� Occupa • groups: City/State/ZIP: ''n�4-am i,Yi el�'7 A_ -xisting: Phone ( .,..) tea Fax..( -....--- New: Business name: v , g : • j�.� ' f' __s I(�a,•<_ Contact name: /emu 1fIFT�' �°/+\ c1 J✓ Structural plan review fee(or deposit): �a _ ` FLS plan review fee(if applicable): Address: �2_7 Z� (' + ja /�, y- City/State/ZIP: "] J=..14..0 2Z"tb Total fees due upon application: Phone 2) 8 S 4 4 D Fax::( ) Amount received: E-mail: 11 ` ,1 Zt � ' ral c - -..r � � x Commercial and residential prescriptive installatio tat- * ..,>. {;, t ,' '' ,.:ems, , , , % roof-top mounted Photovoltaic Solar Panel em. Business name: ��-t?�it V �i,D V4-ri3O' iS Submit two(2)sets of roof plan withSection details �'- `'= and fire department access,alo ith the 2010 Oregon Address: Solar Installation Special ode checklist. City/State/ZIP: V�V.-6- ( (.:a-I,C7 00— cj-i 3�- Permit Fee(inc es plan review $180.00 ( 3) ket3 ,,cceloo I Fax: / an dministrativefees): Phone: ( State sur rge(12%of permit fee): $21.60 CCB lie.: �� `14, 1 �_��' ,/ vli�J otal fee due upon application: $201.60 Authorized signature: % / This permit application expires if a permit is not obtained 1 within 180 days after it has been accepted as complete. Print name VJ� Date: _2 *Fee methodology set by Tri-County Building Industry �1F� , Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-461 3T(1 1/02/COM/WEB) R Building Permit Application Checklist One-and Two-Family DwellingFOR OFFICE I SE O\I.l' City of Tigard ReceivedDate/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: D Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical_ i 1UARD i Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW es ' y%' 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • C 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. Cl ❑ [y 3 Verification of approved plat/lot. ID/d ❑ ❑ 4 Fire district approval required. Name of district: • ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ _ 6 Sewer permit. 0 0 7 Water district approval. ❑ 0 `r 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑K -` 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ NI, 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 ❑ _❑ 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 ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 27 ❑,.:` 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- Y❑ Ei floor,wall construction,roof construction. More than one cross section maybe 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. ®//❑ ❑ 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- KV❑ ❑ 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 1f" D. ❑ locations. Show attic ventilation. l 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 1&/ 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 ❑ ❑ V. over 10 feet long and/or any beam/joist carrying a non-uniform load. - Y 20 Manufactured floor/roof truss design details. ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑` j 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 El ❑ SY architect licensed in Ore:on and shall be shown to be applicable to the project 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". 5 ❑` 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. ❑ l 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. I / 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard R ❑ ❑ 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. I:\Building\Permits\BUP-RESPem-iitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard Received Permit No.: II 0 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review 0 Phone: 503.718.2439 Fax: 503.598. ( ' Date/By: Other Permit: T I GARD Inspection Line: 503.639.4175 I Dlie 121 Date Ready/By: Suns: WI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information s $r t,-g,`: i z pa a s? e a z'� - �.7 s ,. ,'�. w�. gi -sin, u ✓ x ,y -s c._ ?fi'esi, liec . , ... .,.. .#, ,� s x>{.Y.'. _k. '.,M'I 'A;r l I �- `r X i 1#'"� s 4R�J _ ❑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 E Other: equipment,materials,labor,overhead,and the profit for the t` } 4 : �A? -,4 w work indicated on this application. 1-and 2-familydwelling Valuation: $ �� ❑Commercial/industrial �� �I�� ❑Accessory building ❑Multi-family Number of bedrooms: .3 v_)Gs 0 Master builder 0 Other: Number of bathrooms: 'i, j Ic J t''t. 4 t �.�w _ , 'QI>r )f ll 1 # 119N: Ek` .�'3�* O Total number of floors: "' III Job site address: 13 , 4 f J AL() ( 1 , ��cam' )� P L New dwelling area: square feet ioil City/State/ZIP: r a CV CAI 2-4 Garage/carport area: 1 6 square feet lvyiS'r 4"7,a Suite/bldg./apt.no.: Project name: e,. r/ 411C,I) Covered porch area: c square feet 5iS illt 1 Cross street/directions to job site: ccy t- c7� (St-Aa Deck area: Fc square feet BO V r � p����i ( ��� '�— ��1A,_1 rZ, iS! Ot�yher structure area ���- square feet Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no '� � s/ Indicate the value(rounded to the nearest dollar)of all VI. ,. .x - .,tiS�^ equipment,materials,labor,overhead,and the profit for th -- „µ vetf4-,z �', � �A . ,fi = work indicated on this application. A;Q �j1-1C71.�. L id 75 I' C'A - Valuation: $ J .uare feet i i I c C _ kf l I Existing building area: A9 New building area: square feet � r ` ' �.r v- _ i��,';,��� .,r. §"°_. ,�i _,� �'�,'�' �T; Number of stories: Name: 6,1 ((c,.. " Type of const tion: Address: t 32,O 4. v, ," .. 1,4i V' )�/Uv' Occupa • groups: City/State/ZIP: ''n , 4.. On__ 1 ' �� h_ 'xisting: Phone ( ,.-)- e1Fa .(x. * `.0 ��y`��p New: ,y l 4)44 . ,. ,k 0:,*: I !yet A z g i1 OXiq 1 ggg L Business name: A..„,..Li g t� et ` Dg-$' t�.-ti r��� '.'r _...= acei eJu fie`c1re, �eJ F.,.. Contact name: f�I n u 1 � / - Structural plan review fee(or deposit): Address: ,,\,_ t + (........1 0,4116 FLS plan review fee(if applicable): City/State/ZIP: {--p a"1 ^ / �►ry � J 2ZG Total fees due upon application: Phone 3) d S 4[J Fax: :( ) Amount received: i -1- L o P 6 k S� d E-mail: �2,yLi�� t , IA_6l�,c, e Cr. xf� �ilC �5. � • .'e©isirntAur Commercial and residential prescriptive installatio ., ' roof-top mounted PhotoVoltaic Solar Panel em. Business name: j"t- g`t- V -1— V -�''�-if_ Submit two(2)sets of roof plan with ection details �'� and fire department access,alm rth the 2010 Oregon Address: Solar Installation Special ode checklist. City/State/ZIP: (../6 6- C . -'`�. 7 ©0-. `I 11 3 Permit Fee(inc es plan review $180.00 (f�3 4-43 . cs-Gio Fax:( an dministrative fees): Phone: ) State sur rge(12%of permit fee): $21.60 CCB lie.: '-Z/� otal fee due upon application: $201.60 Authorized signature: ( This permit application expires if a permit is not obtained CCCC��� within 180 days after it has been accepted as complete. Print name Date: _2 *Fee methodology set by Tii-County Building Industry ", r Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) . RECEIVED Property Owner Statement /1u6 1 R 2021 Regarding Construction Responsibilities tITYOFTIGARIJ Oregon Law requires residential construction permit applicants who are not licensed with t} LDING DIVISION Construction Contractors Board to sign the following statement before a building permit can be 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 my general contractor is: giv-ie. 6.11cf S 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 I 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. E -2_,, c...._, Print Nameof ermit A licant f" 0 ( 90 — -2- atu of Perm plicant Date Permit#: F Address: ��==vireo � Issued by: Date: l g 9 This Copy for Permit Offices 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 r Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov ` Au- cam TO: C.( ' 0 C= —1 i( p) T DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: &AO- f?,Zy am-C k OCT 18 2021 COMPANY: , 7� -T t1" CITY OF TIGARD PHONE: c A-Ta 3 - 4 4-4Q, 3Ui!DING DiVISt JR► -9�_. EMAIL: D2'f q C�J Y in e (``�I4,=„, , RE: 13 2 14- 3L.J AT4-16-\454/4 P -- 01 sr-2oz ®O 4 t (Site Address) (Permit Number) ( roject nami or subtlivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. / Revisions: r-3 ) Co Q GS kai l.S ho S 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): REMARKS: CW\'' - C to o V__ _‘x -o -j'-o ' App l l.j b.,, A �t-� A5- s�c2..�(e,"?..r-A/1 S,t,!(,-, v.1/v + c t4 le- e ( ` JP ' ?,..,,, To Cv- D 7 3/4- -ri+ FO OFF CE USE ONLY Routed to Permit TechniciDate: IC ?g"a,) Initials: ) - Fees Due: ❑ Yes L I o Fee Desc iptio : Amount Due: OD.N\ C‘ $ $ Dr;...----- Special Instructions: Reprint Permit (per P): ❑ Yes Ncdf E Don Applicant Notified: Date: I a,�2) Initials I1,/