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Permit Support Document Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Da[eBed Permit No.: , - 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: 11111 Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical El Plumbing 0 Mechanical <iAltD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No yy 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 El 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. El 0 0 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: • 0 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 ❑ 6 Sewer permit. ❑ 0 0 7 Water district approval. ❑ 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. El 0 ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 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 ❑ 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, El 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 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 ❑ 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 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 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 ❑ ❑ architect licensed in Ore:on and shall be shown to be applicable 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 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. 0 0 0 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 ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ ❑ 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, 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) )7riA1 cell 97( f City of Tigard l�/ 0 COMMUNITY DEVELOPMENT DEPARTMENT / II a ■ T r c;a R a Building Permit Review — Residential Building Permit #: a0ILt--001 r)- Site Address: tO 770 SL- ) I G(cJ -4 IP 31 it '7 Sr Project Name: Rom/= CS f- Gpa rime/f�"S Lot #: (New dwelling=subdivision name;/Addition or Alteration=last name of owner) Planning Rc:ATiew / � / // / Proposal: / /G2. /0 exi Si�in iec%S Oil t 4iee 4v/4&i�;�,5, � 5 1s r�min ➢-tie. S4.4411off►►�' s/Sw s vlo 6e l(time`o, (o e,.f , /utr/,4 d/o ❑ Verify site address/suite #exists and active in permit system. Site Plan Elements: XThree (3)copies of site plan 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 ,AM E AS /6 A 91A) North arrow j Site address, 1/1G�tA�lY1 -a ` #S -3 1.... ..�1. [ lc ri.... ,.-...ells.Le tir �ssdr-vcav�ia visivir-rraiuc �Y'w7 ❑Applicant information(name and phone number) - 1 di a =' ❑Lot dimensions and building setback dimensions ae 4g do "£"4«"t'bVie,' aei ❑Lot area,building coverage area,percentage of coverage and ,treet names impervious area(applicable if R-7,R-12,R-25&R-40) • r ' e Tfurertiturrneastrres Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes ❑ No Received: ❑ Yes ❑ No ❑ Land Use Case#: ' ❑ Zoning: R /. ❑ Setbacks: Front o20/ Rear l2 2" Side // Street Side I Garage o) ❑ Landscape Requirement: ElLot Coverage Maximum: �f %CIBuilding Height: Maximum Height .?S`' Actual Height ❑ Visleararlce ,�4. ❑ Easements ❑ Sensitive Lands: ❑ Yes ❑ No Type ❑ Urban Forestry Plan ,� ❑ Conditions Met L- Kls#c5 %ck ,0,e..- rg, mod°Se 1/C0 ks pev &/.J. Notes: /Q/�'I,ci'e#( p/ovlle/ , (y d cv hot- /��, )/4,+, 140 6.0U(i/! (.tl/ii6 kg . '�1R►q e ' Age Co 'e/e �,,11nA, ret.,filet's .i� wig /lam,4ur1 Approved By Planning: UU Date: $ G Revisions (after Building Submittal onl Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fortes\BldgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date:� .‘Ili Site Plans: #0 Building Plans: # Building Permit#: Ent building permit bove. Workflow Routing: n:Sp-off 11 nning L�d�Engineering mit Coordinator ©—�uTdingWorkflow Sign-off: for Planning(include notes from planning review) Route Application Documents: ineering: (1) copy of permit application, (1) site plan, (1) building plan and or nal plan review routing form. F Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ..a� „., Date: r/6//7 ..:_ 3Ta'SY$ :t!:.b5t1 - stkxks;v '; i47. ! 1M x; Engineering Review ❑ Actual Slope: ❑ Conditions Met Notes: iio C.n/c,(L, r S4,0 LI Approved by Engineering: i,.7---- - Date: &I L./y Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved #y,, , z.f+dw". , ,iiik a,T,,,,e;45 .... Y= 0*t,,,•.15, ,�S E..`*di t11 ,,,,, Ult.,1a';5. 3R9Fin c,, ,, 0e4 =.YV44H4110#1§A,,, WennitiM 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: ?<31 OK to Issue Permitr/271,1- Approvedby Permit Coordinator: / ` Date: I:1Building\Forms\B1dgPermitRvw_RES_042914.docx