Permit III CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00145
Date Issued: 07/07/2022
"TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111DA22700
Jurisdiction: Tigard
Site address: 15505 SW APPLEWOOD LN
Subdivision: HERITAGE CROSSING Lot: 46
Project: Mascorro
Project Description: Fire damage repair. Replace roof sheathing.
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: $10,000.00 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
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
Furn>=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:
MASCORRO,SHERYL TRUST CORNERSTONE DISASTER REPAIR Required Items and Reports(Conditions)
6369 SE KETCHUM ST 5331 SW MACADAM AVE SUITE 377
MILWAUKIE,OR 97267 PORTLAND,OR 97239
PHONE: PHONE: 503-295-0108
FAX: 503-295-1896
Total Fees: $400.67
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
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nrav I
Issued By: Permittee-SignAture: SC
e .. i7 /)7
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. --- f/4‘
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 Application RFCEIVEC
Residential -�� ( �HAY 1. 1 2027 Received �/i I Z2 Permit No.. �n� z--j v
City of Tigard Ilae/t1): 'UJL.�
13125 SW Nall Blvd.,Tigard,OR 97223Plan RevkM e 33 /1Q* Other Prrmn:
S Phone: 503.718.2439 Fax: 503.598,19M1 '�I! OF ^IIGf�I��; Date/By: .. �T'�
i ' t, Inspention Line: S03.t+39.4175 3U'LDING DIVISION. Dew Ready/Hy• ) � 0 See Parr 2 for
Internet: www.tigard-or.gov willed/Met LL/��i% � 161 Information
TYPE OF WORK REQUIRED DATA:I-AND 2"FAMILYDWELLING
❑New construction 0 DemolitionPermit fees*are based on the value of the work performed
- Indicate the value(rounded to the nearest dollar)of all
1 ®Addition/alteration replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
l CATEGORY OF CONSTRUCTION work indicated on this application.
i
Valuation: S q o l ro'C
® 1-and 2-family dwelling 0 Cottmercial/industrial
I Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 0 Other: Number of bathrooms: ��
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
n, Job site address: (SSos 5v'-) p p t.QMI ooO New dwelling area: square feet
.V City'State71P: 1.1 GAD t c 2 2 y Ciarage/carport area: / square feet
Suiteibldg✓apt.no.: Project name: Covered porch area: iger square feet
Cross street directions to job site: - J Deck area: f e. square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
T
Subdivision: Lot no.: Permit fees'are based on the value of the work performed.
' Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
j Valuation: S
i Ft b ANPtC4L tez etw it. ot e.e P1C.�_ ;too P &tirtpetit V"U'
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
' --
Name: Type of construction:
1 Address: Occupancy groups:
City Statc'ZIP. Existing:
j Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: pRp[itc•S(•f d "we etre1 feesrteoksIV
f (41I ��'� � LA-C.- — Structural plan review fee(or deposit):
Contact name: Cti•vuy 1JRStt t£it_oo IC P ----
FLS plan review fee(if applicable):
Address: 2 y Sv sw ete•O µ(ILLS,S, 13e-00• S v I tr• I a b
yy _ Total fees due upon application:
i l Ciry State 7.1P: 27:4vtArst..1CM a Ort 1)0 co
i I Phone (.yt)ly ) ,j'1 1 • 6 60► ( Fax: :( ) Amount received:
E-mail; •ci.i*,t%e P p LAX,.Nv.)•-e+� PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES*
-_ __ __
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Bar.:ors, name rertt.••Ma;,rus.i C p__ v er (N L. Subunit two(2)sets of tool plan with connection details
I + -- --- -- ..-.___ and lire department access,along with the 2010(br vu
Addre+n S 1j1,( S v1404Mr•0, # B • '.SAb '�
IfE 1 Rr.h„ hr.ruNalirrrl,'a,a.r,n c •,1 Checklist.
1 rty Stoic/IP %le R A.)4 ^AA Pei ntit Fee(inclu.t.s ohm re%ICw
mud admnuw t%R ties : SI80.00
Phone tS{ry 2515 - r>(r,T,, ) I'ex ! ) __. ).
Stoic sutrhutgc(1`"o of print' tee): S21 till
t� 0. ._....___.
( ( Li lie Is 1 S ,_ _._.._..
( t tut Ice due upuu uppin ut'Orn S..(/I of
Authoriltd signature '
Ibis pariah appllratin a rxphr+11 a permit is not obtained/ r
G--' within IVO dais aftrt It has been rcrrpied av complete.
" ivy ntrthttifi.lu n +rt Iw I u t roue+ Ilw1.114 In.lu.0 v
Yrtnt pane r (,L llns vW R•. Hole • 11 i-Z. g
Snorer Huuul
I :Hutldorgd'rrrnmta'I11,I'III doe 112/24/2011 44114nL11i I it)1,112A100141111
Bui___ldin� Permit Application Checklist
One- and Two-Family Dwelling I I M (II l I( 1 I NI 1 I\I 1
City of Tigard Rarivcd
Permit Vo.:
lAssociated
13125 SW Hall Bhd.,Tigard,OR 97223 ciy:
Phone: 503.718.2439 Fax: 503.598.1960 DeiAsso permits:
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
ii
Internet: ss ww►.tigard-or.gov 0 other:
1111. I Ol 1 O\11\(. I i I.\IS kl f RI..()( IRI]) I OR I'I. \\ la\ IL•.\\ 1us NO \ 1
i Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ ■ b`
l 2 Zonin . Flood lain,solar balance mints,seismic soils desi*ration,historic district.etc. ❑ ❑
3 Verification of approved plat/lot. ❑ ❑
4 Fire district approval required. Name of district: • ❑
__
, , 5 Septic system permit or authorization for remodel. Existing system capacity ❑ J
6 Sewer permit.
a
7 Water district approval.
8 Soils report. Must care original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- -❑ 121.
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 121 0 0
i 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 arca;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
1 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size i ❑ 0 (3
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ® J
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 [�
floor,wall construction,roof construction. More than one cross section may b e 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
El
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
3 Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescripth•e path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑
Eil
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
f locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0
IR
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 Eg
21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required % 0 ❑
for four or more appliances.
r22 Engineer's calculations. When required or provided.(i.e..shear wall,roof truss)shall be stamped by an engineer or 0 0 ►2
architect licensed in Ore'on and shall be shown to be a .licable to the ro ect under review.
.il'iti.SinC it)\.ti. Si/E('ii'i(•S
23 1 hrec(31 site plans are required for Item I I above. Site plans must be 8-1/2"x 11"or 11"x 17". 11 1
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 11 •
II
25 Ouildini 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. ■ ■ U
27 "Drawn to scale"indicates standard architect or engineer scale. •
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable).and City of Tigard ■ ■ •
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, r 0 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
3/1 A Clean Water Services'.Senoi(ive Arca Pre-St reening Site A.s.u•s.rrnene 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.
1 Building Permits 13UI'•RI•SI'ernutApp doe (12 24t211I I 4411-Ut11111 1/02 COM'WEN)