Permit CITY OF TIGARD MASTER PERMIT
71 COMMUNITY DEVELOPMENT Permit#: MST2022-00100
Date Issued: 05/19/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108D803400
Jurisdiction: Tigard
Site address: 15172 SW THAMES CT
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 32
Project: Chisholm
Project Description: Remove existing deck, replace with bigger deck 455sf and partial deck cover 228sf.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $17,512.12 Rear: 15
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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 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:
LILES,SUSAN RENEE JRA CONSTRUCTION Required Items and Reports(Conditions)
15172 SW THAMES CT 13139 SW 64TH AVE
TIGARD,OR 97224 PORTLAND,OR 97219
PHONE: PHONE: 503-209-6952
FAX:
Total Fees: $877.88
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 uspended for more
the 180 days. ATTENTION: Oregon law requires you t he rules adopted by the Oregon Utility Notific ' ente . Those rule are set forth in OAR
acs.nM-nnin thn',,nh R o59An111nan Yn, may nhtain m,of tha ni r diranf nm iaetlnne In rll INr..by ram nR 999 10 nr 1 ann la d
Issued By: erP r ttee Signature: '/ "u----__
Call 50 by 7:00 a.m.for the next available inspecti te.
This permit card shall e kept in a conspicuous place on the Job site un'- ompletion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
Cityof Tigard Received permit No.: ,M¢ c,f
g DateBy: 4 II a l !•r J� �'-^CC
111 • 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 1 2022 Plan Review y '
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1(3 2_ Other Permit:
T f G A R D Inspection Line: 503.639.4175 CITY OF I'GAR D Date ReadyBy: Jwiv ® See Page 2 for
Internet: www.tigard-or.gov Not 4ethed: ' Supplemental Information
3UILDING DIVISIn l
TYPE OF WORK • ''a v - REQ. RED DATA:1-AND 2-FAMILY DWELLING
fees*are based on the value of the work performed.
❑New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑x Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
°stn=- work indicated on this application.
CATEGORY' OF CONSTRUCTION r V ---
4, ,. . m . 414;
Valuation: 17/�J l , 0
E l-and 2-family dwelling 0 Commercial/industrial
0 Accessory building
❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15172 SW Thames CT. New dwelling area: square feet
City/State/ZIP: Tigard OR,97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Chisholm Deck alteration Covered porcl�4 Coye,fssquare feet228
•
Cross street/directions to job site: Deck area: 1), c-J square feet 455
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
01 Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S I OSDB03400 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.
removing existing deck at back of home to install new bigger deck with a partial deck roof Valuation: $
m® � Existing building area: square feet
New building area: square feet
Ise PROPERTY OWNER ❑ TENANT Number of stories:
Name:Brad Chisholm Type of construction:
Address: 15172 SW Thames CT Occupancy groups:
City/State/ZIP:Tigard OR 97224 Existing:
Phone:(503 ) 849-2504 Fax:( ) New:
® APPLICANT ® CONTACT.PERSON BUILDING.PERMIT FEES*
(Please refer to fee schedule)
Business name: JRA Construction LLC
Structural plan review fee(or deposit):
Contact name: Joe Alexander
FLS plan review fee(if applicable):
Address: 13139 SW 64th AVE
Total fees due upon application:
City/State/ZIP:
Portland OR,97219
Amount received: --),..l i ii
Phone:(503 ) 209-6952 Fax: :
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
E-mail:jra.remodel@gmail.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:JRA Construction LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 13139 SW 64th AVE Solar Installation Specialty Code checklist.
City/State/ZIP: Portland OR 97219 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 503 ) 209-6952 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 211979 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.
Print name`.---�/,4di� Date:April 4th, 2022 *Fee methodology set by Tri-County Building Industry
/`r Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
, .r •
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
a71 Date/By: Permit No.:
e 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
-
TtGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ElPlumbing CIMechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No NIA
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 [
2 Zoning. Flood plain,solar balancepoints,seismic soils designation,historic district,etc. ❑ ❑
3 Verification of approved plat/lot. ® ❑ ❑
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. ❑ ❑
7 Water district approval. 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- ❑ ❑
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 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
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- ® ❑ ❑
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
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 x❑ ❑ 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 ® ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ x❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 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 X❑ ❑ ❑
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". ❑X 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ® 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 x❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. ® 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 ❑ X❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 lai
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
El
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:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
7111 COMMUNITY DEVELOPMENT DEPARTMENT
e Building Permit Review — Residential
TIGARD
i
Building Permit #: (YW st-- a oDa - o c,1 o O
Site Address: IS L 5/A) IiiA '5 Cr
Project Name: GI4ISttoL-t Lot #:
Planning Review
Proposal: ZJ — P)ITzoN.)
Verify address/suite#active in Accela. ❑ In River Terrace: No ❑ Yes,River Terrace Rem.ewAddendum
Sit/Plan Elements: Xrmsion Control
3 popies of site plan on 8-1/2"x 11" or 11 x 17"paper l tamed trees with drip line and tree protection measures
to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
•rth arrow ty locations&easements(required for new and additions)
address,project or subdivision name and lot number Sidewalk/driveway approach
Zi pplicant information(name and phone number) tit, Location of wells/septic systems
aIILot dimensions and building setback dimensions Location
tree size,type and location
f 11 S••.re footage of buildings to be demolished .0 Street names
►A Existing structures on site 0 I,]Corner elevations (2'contours if more than 4'differential)
t Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? DYes No
I impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? DYes 7f .c,
Clean Water Services—Service Provider Letter of platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
(Water Meter Fixture Unit Worksheet—Additiono Remodels and ADUs
quired: ❑ Yes,applicant was notified Received: ❑ Yes ❑ No
DC Exemption for ADU applied fox: ❑ Yes No Received: ❑ Yes CI No
Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified IIV-No Applied For: ❑ Yes ❑ No,stop intake
❑ Land Use Case#: /03' ❑ Zoning. Q" y' r
pr Required Setbacks: Front: 447 Rear: /CC Side: s Street Side: IS- Garage: ZOO
( Building Height: Max. Height: f' Actual Height: AA
❑ Landscape Area: 1445°'r % ❑ Lot Coverage Max:
nuance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Win o ❑ Minimum 12%of area of all street-facing facades
Garage ❑ oor is behind widest street-facing wall ❑ Yes 0 No,one of the following is,met:
❑ Door ex o more than 5' from wall and there is a covered porch extending beyond garage.
❑ Door extends no more 'from wall and there is a 12 sq ft.window above garage on 2'd floor.
❑ Garage door width is ❑ 12'or less °o or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch 0 Recessed entrance ffset 0 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch e hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim 0 Window recess in w projection ❑ Balcony
I!J Visual Clearance ❑ Urban Forestry Plan
❑ Sensitive Lands: ❑ Yeso Type:
06 ❑ Conditions met prior to issuance of building permit
Notes:
❑ Approved By Planning: - Date: = 2 2
Revisions (after Building Submittal o ) Reviewer Date
Revision 1: 0 Approved Not Approved
Revision 2: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: Li/l Jr
Site Plans: # 3
Building Plans: # 3
Building Permit#: ErEnter building permit#above.
Workflow Routing: [ -Planning C-Engineering Permit Coordinator a-Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
LEBuilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /� �
By Permit Technician: l Date: it�jf/Q a`
Engineering Review
R-Slope at building pad: /C"%
[ l Conditions "Met"prior to issuance of building permit /0%-
a-Easements (encroachments)per engineering conditions of approval and plat vl.A-
Z Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Ca'No
Assess Water Quantity Fee in-lieu: ❑ Yes a.--No
LIDA Facility on lot: ❑ Yes a'/No Add Fee: ❑ Yes ❑ No
2/Final Plat Recorded: h A--
El NOT Approved by Engineering: Date:
Notes:
dApproved by Engineering: > Date: '//L/2vzl.
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
IcAl 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:
4 SDC Exemption: ❑ Received ❑ Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: El Yes N/A
16 LIDA 0 Yes N/A
OK to Issue Permit
pproved by Permit Coordinator: [004(1. Date: 4 -hi vz
I:\BuildingWorms\BldgPemutRvw_RES_1208o21.docx