Permit Support Document Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE I SE ONLY
City of Tigard Received Permit No.:
IIIw 13125 SW Hall Blvd.,Tigard,OR 97223 Associat
I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD
24-Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing El Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v"es No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ D ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑
3 Verification of approved plat/lot. ❑ ❑ 0
4 Fire district approval required. Name of district: . ❑ ❑ 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 El
6 Sewer permit. 0 0 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 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 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 ❑ ❑ ❑
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 ❑
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,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 ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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. ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore.on and shall be shown to be as•licable 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". ❑ ❑ ❑
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. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 ❑
plantypeperapprovedproject plan(ifapplicable), City Tigard Site to include tree size, and location ro'ect street tree a licable ,and of Ti and 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 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 ❑
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)
FK04-ii Cell 9 7(^ c' a,
City of Tigard /g/
III v COMMUNITY DEVELOPMENT DEPARTMENT
•
JGAR'D Building Permit Review — Residential
TBuilding Permit #: 8,,fX(., l8-3
Site Address: 1 o 7 fo Si A) intA ck # 3 % 7i 7 jr
Project Name: PC{C, 7c t-- J f- C y YNeAirM Lot #:
(New dwelling=subdivision name;:ddition or Alteration=last name of owner)
Planning Recie�w / r p / /
Proposal: le'./o 4ce__ /0 e)<IN.s i lock 0-7 Cf-4iee `Ov/�ii. S. �6 „ /4 6
re,,,,,,-, itA SA. f S/fyieer t A Fit 70c,diA n, (oncro ft ac AG,'ix k
❑ Verify site address/suite #exists and active in permit system.
Site Plan Elements:
Three (3) copies of site plan RI'xisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper •Footprint of new structure (including decks with finished
Drawn to scale (standard architect or engineer scale) floor elevations ��/v1 6 AS /6 Now
North arrow
incl f�nq a�sl '--- ter,
Site address, #S ' ' ❑1�ration-ef well ,L&eptic s stemc —
❑Applicant information(name and phone number) �T 1 l a _ ,W ,
r_
❑Lot dimensions and building setback dimensions 0.qsign,location of catch basin,etc.)
lk.7
❑Lot area,building coverage area,percentage of coverage and ,treet names
impervious area(applicable if R-7,R-12,R-25&R-40) •
rr� Tracs tng raaa rl�r-rrh�iii 1�r+itl iiir li + e
d--faat differe+-al-1 el5Folraturrmeastires
Clean Water Services-Service Provider Letter: (lot platted prior to 9/10/1995):
Required: El Yes El No Received: ❑ Yes ❑ No
El Land Use Case #:
El Zoning: / /)
El Setbacks: Front 020/ Rear ,2D/ Side /f. Street Side c2.0 / Garage sY/
El Landscape Requirement:
El Lot Coverage Maximum: i2 %
❑ Building Height: Maximum Height J SJ, Actual Height
El Visual-clearance /4
❑ Easements
❑ Sensitive Lands: ❑ Yes ❑ No Type
El Urban Forestry Plan [� �+
❑ Conditions Met L- Y1SA5 hk5 4.ppe.- Ya -...ro SeFIC.ok.1 poi' r:/.f.
Notes: 4////dr//ie,( "cavae/ 40,4✓ Ica 'iy G / e ech C6/ hot- A )"4n /�i lllo
�( a6.4/f tv/V lijo C4AD E f !";' CONCieI C /".i71/3,, Ste../wtpn .et s� //C�,t4u✓1
Approved By Planning: / Date: _5
Revisions (after Building Submittal onl Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B ldgPerm itRvw_RES_042914.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #�``5
Building Plans: �E
Building Permit#: nt r building pe above.
Workflow Routing: [ g L�'E ngineering ermit Coordinator L_ adding
Workflow Sign-off: SL�7 i ' 'off for Planning(include notes from planning review)
Route Application Documents: LS�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
,� oal plan review routing form.
L�Bwlding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / Date: 1/i,7 ,
Engineering Review
❑ Actual Slope:
❑ Conditions Met
Notes: ,J o p q s3 ✓
Approved by Engineering: = Date: o f'l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
. ..ix. r L".A°""iF„ .,.ffi.`Y.. #.Wx.3411,W..r'u+'.°= yalG. e%-agaV`i_Rr"^%;a:'Yi :4 r.t,:,,fZ AI7,i1a aaY PLikd3P';5IFE..f..42=M ITNI.re td--1'"^.c...v.M. ITV A
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
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:
/146 OK to Issue Permit
‘,/,/
Approved by Permit Coordinator: Date: '37 -/ ' �f /
I:\BuildingWForms\BldgPermitRvw_RES_042914.docx