Loading...
Permit Building Permit Application _313 22.. Residential FOR OFFICE USE ONLY RECEIVE Received BY o3/f 2z , "" ►�sT2O22 tz�� II Cityof Tigard Permit No.: SW Hall Blvd.,Tigard,OR 97223 MAR 0 2022 Plan Review n y M tt i Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 2, /� reCVVYI�� Other Permit: TIGARD Inspection Line: 503.639.4175 Date ReadylBy: hms• ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD No edlMethod: 'n( Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED I ATA:1-AND 2-FAMILY DWELLING ❑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 0 Other: equipment,materials,labor,overhead,and the root fo h CATEGORY OF CONSTRUCTION work indicated on this application. I' S 0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ f_i�� ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: it/\ Job site address: 9 5( 5 S } V€e 0�Uy-a, _1L New dwelling area: square feet � City/State/ZIP: 1•I aka r OK C 1-22-3 Garage/carport area: square feet Suite/bldg./apt.no.: cJ Project name: Q -(0 C e)Vl{^/ Covered porch area: x square feet y 5 0 Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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. r n Valuation: $ VA�w a o coV�iY w/ d'oa \Vt-Jq 1 Existing building area: square feet New building area: square feet Ja"PROPERTY OWNER 0 TENANT Number of stories: Name: I r l ICI-r (✓ l 1-- Type of construction: Address: CIS(L CD 5-(,1) UPM•fVrc), C4 Occupancy ou ,: __ Ygr p� City/State/ZIP: T` '(/.- t Q`Q1 i q 25 Existing: Phone:(03 51 —O(L& I Fax:( ) New: 0 APPLICANT 0. CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): I Cg 2O Contact name: Sam e, �S OwY'.J-V aix -e.. FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fax: :( ) Amount received: ( � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: S h a n1�C.K\-1- -k-±' CJ ,I'-),: 1 .( .(1 11 Commercial and residential prescriptive installation of CONTRACTOR r' �,,. roof-top mounted Photovoltaic Solar Panel System. Business name: QQ Submit two(2)sets of roof plan with connection details ©�C`*y Gj71�C�/cS z SV)/Gt Gx (/L 1 and fire department access,along with the 2010 Oregon Address: �� Solar Installation Specially Code checklist. City/State/ZIP: �� 4 �,/� -! Permit Fee(includes plan review $180.00 V and administrative fees): _ Phone:( Fax:( ) 2 G ��r �—S���y J (12%S[atesurchargeof permit fee): $21.60 CCB lie.: cz(? L /Lt Total fee due upon application: $201.60 Authorized signature: ✓ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: itim-vi Date: 31 3 ' Service Board. I:1 Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received . Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Assoc.y: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TIGAAD 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ ❑ E 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 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 0 9 Erosion control 0 plan ❑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 ❑ ❑ ❑ 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 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 0 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 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 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 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 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. ❑ El 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 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. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard 1114 r COMMUNITY DEVELOPMENT DEPARTMENT I Building Permit Review — Residential TIGARD . Building Permit #: S17p22-(700C¢2 1 Site Address: q 6 SW VYNIQVI(7t C4. Project Name: h aPk Va o 6JVf ' Lot #: Planning Review I,` j�.,,, Proposal: W m QQbd1 U cover W/ 1'�'t5- I0 Verify address/suite #active in Accela. ❑ In River Terrace: 11 No ❑ Yes,River Terrace Review Addendum Site Plan Elements: DEtwion Control Mi. copies of site plan on 8-1/2"x 11"or 11 x 17"paper n„_._: ., • t, ,t ' .. ....,t «.o Y r 1" prawn to scale(standard architect or engineer scale) giNorth arrow ) IA Site address,project or subdivision name and lot number )Sidewalk/driveway approach ?Applicant information(name and phone number) glLot dimensions and building setback dimensions ❑Surd ir.... tyt,..ariCHOrffltiCln fontage-ofircrilchrrgrrcrbe demolished Street names Existing structures on site ❑Ce.n.=el ms((".'cvn.oura if-mu tttan 4 dttterential) g d >1 o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? EYes ❑No pClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified k$7 No Received: ❑ Yes 0 No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified No Received: ❑ Yes ❑ No 71 SDC Exemption for ADU applied for: ❑ Yes X No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI)Permit: Required: ❑ Yes,applicant was notified A No Applied For: ❑ Yes ID No,stop intake L r _ ri__ C__. +. Zoning: _ t"f. 5 Pi Required Setbacks: Front ` Rear: 1, ` /Side: y Street Side:: d 5 l Garage: 24 t 0 Building Height Max. Height: 31::>1 Actual Height: q .315 t 5 La,rdst.apc Area: % D—tarCoverage M42 s: E^xc ce ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 grEes or less Windows ' um 12%of area of all street-facing facades Garage ❑ Garage door ' d widest street-facing wall ❑ Yes No,one of the following is met: O Door extends no more 'from wall and there is red porch extending beyond garage. O Door extends no snore than 5'from ere is a 12 sq ft.window above garage on 2.d floor. 0 Garage door width is ❑ 12'or le 50%or es cade 0 60%or less and includes 7 of following: ❑ Covered porch cessed entrance ❑ Wall offset ' oof cave 0 Roof offset ❑ Fire s ' ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gar oof ❑ Dormer ❑ cent siding 0 Window trim ❑ Window recess ❑ Window projection alcony rP--V•ig."-'1 finatauce ❑ Sensitive Lands: ❑ Yes g No Type: ❑ Conditions met prior to issuance of building permit Notes:f� Approved By Planning: IVVt /G�l�QAa:� Date: 1�J ZZ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved I:\Building\Forms\BldgPenuitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 03/3 TL Site Plans: # Building Plans: # Building Permit#: E Enter building permit#above. L Workflow Routing: 2 Planning [U- ngineering W.-Permit Coordinator Li]/ uilding Workflow Sign-off: Ii 'Sign-off for Planning(include notes.froni planning review) Route Application Documents: Engineering: (1) copy of permit application,-(1) site plan, (1) building plan and original plan review routing form. Ltd'Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 65/0122- Engineering Review [ Slope at building pad: /Q g 2/Conditions "Met"prior to issuance of building permit n to RI/Easements (encroachments)per engineering conditions of approval and plat*14 RI'Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes C2'No Assess Water Quantity Fee in-lieu: ❑ Yes N/No LIDA Facility on lot: ❑ Yes Q"No Add Fee: 0 Yes 0 No Final Plat Recorded: Mf ❑ NOT Approved by Engineering: Date: Notes: C 'Approved by Engineering: 7 11..J -e y Date: 3IIII2 l2- Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not.Approved Revision 2: 0 Approved 0 Not Approved Permit Coordinator Review ►( Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: -'SDC Exemption: 0 Received Does not apply .,Z.--SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes 7 N/A AR/OK to Issue Permit Approved by Permit Coordinator: Date: 3 11"l (762,Z I:\Building\Forms\B Id gPemutRvw_RE S_1208021.do cx