Permit CITY OF TIGARD MASTER PERMIT
a ,1 COMMUNITY DEVELOPMENT Permit#: MST2022-00345
T I C.;A R TT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2022
Parcel: 2S104DD04500
Jurisdiction: Tigard
Site address: 13573 SW AERIE DR
Subdivision: EAGLE POINTE Lot: 36
Project: Smith
Project Description: Remodel 2nd floor bath,add(1)window in bedroom.Trade permits to be pulled separate.
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: $13,500.00 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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<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 WI Svc or Fdr: 0
Ea addl 500 sf: 0 201-4D0 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:
CORELLA,MICHAEL J&ERIN W PARSONS CUSTOM REMODELING&CABNT Required Items and Reports(Conditions)
13573 SW AERIE DR 13783 S FORSYTHE RD
TIGARD,OR 97223 OREGON CITY,OR 97045
PHONE: PHONE: 503-656-7232
FAX: 503-656-6967
Total Fees: $518.86
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty C and I 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�bf ' su , or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No--tiifieSti C ter. T rules are set forth in OAR
OR9_nn1-nnl n thrn,inh CIA c9-nnl-noon Vasil a,,nhtain a rnnv of tha mice nr dinar}nnactinnc in rll INC by Tallinn 5161 1 p'nr fyil7 91.1.1
Issued By: Permittee Signature: /'
Call 503.639.4175 by 7:00 a.m.for the next available Inspe on
This permit card shall be kept in a conspicuous place on the job site until comp tlon of the project.
Approved plans are required on the Job site at the time of each inspection.
. Y
Building Permit Application
ResidentialECiEI5 �2D2�[ED FOR OFFICE USE ONLY
Ci of Tigard Received
1111 13125 SW Hail Blvd.,Tigard,OR 97223 SEP DateB J: n._ Permit
No.:',-, . .. -cc,
2 PlmRevi
II. Phone: 503.718.2439 Fax: 503.598.19 D:, ew V rr q Other Permit:
1.1 G A RE) Inspection Line: 503.639.4175 UI TY OF TIGAR D Date ReadyBy: Jana: to See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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
g Ad 'ton/alterationil placement 0 Other: equipment,materials,labor,overhead,and the profit for the
r ^� CATEGORY OF CONSTRUCTION work indicated on this application.
11-as d 2-family dwelling ❑Commercial/industrial Valuation: $ 1'j/ 5 Q� —
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
N Job site address: /3573 ski/ , QR)Vi= New dwelling area: square feet
/ City/State/ZIP: Ti 6 41-) , Oj (Qrf 7-7 2 .3 Garage/carport area: square feet
1 Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit f *are based on the value of the work performed.
Tax map/parcel no.: Indicate th value(rounded to the nearest dollar)of all
equipment, terials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indica this application.
409 2-. UP/o` FLDOL 64-111,4 0 0 Ai j A-0O Valuation: S
WI p(/� kJ Tf� /6� Existing building area: square feet
:rC r e- (�fIn% 4-k, -- . New building area: square feet
ff PROPERTY OWNER ElTENANT Number of stories:
Name: 441 CHif Cnn-r - 4 id sin i r w Type of construction:
Address: /31 73 St*/t/'� i LAI f Occupancy groups:
City/State/ZIP: 116-jzJ O j9,J 9 7j'L3 Existing:
r�,� 3� /
Phone:( Pax:( ) --.._--
y 001 ®��'L New:
pi APPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
Business name: &f7)kll' .5 j-1.1 Gyee,v2 JC,. (Please refer to fee schedule)
Structural plan review fee(or deposit): I.S 17 ,
Contact name: Sep TT t 74 04
FLS plan review fee(if applicable):
Address: /08 ,/ 0 X if-7—
Total! /�,�gg. n `'9_/ c Z OD`! Total fees due upon application:
Ci /State/ZIP: /��'(IV v+e v Fv
Phone:(03) 63 2_- z862 Fax::( ) Amount received:
ca. V h /,cli s l_.0 M PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: Pwu3
Commercial and residential prescriptive installation of
CO. RACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: if0A /Sv tij Cus7914 DO „//t.. Submit two(2)sets of roof plan with connection details
Address: p!Vy + F' p' n I I V and fire department access,along with the 2010 Oregon
r&)Q S[ /[,s(V s'iybp £'Ao 4 I 0 Solar Installation Speeial y Code checklist.
Ci /State/ZIP: Permit Fee(includes plan review
ry W�3� /,y�ln(, ® � op $ S180.00
and administrative fees):
Phone:( 3) t;b„`�Z'3� Fax:( ) State surcharge(12%of permit fee): $21.60
6CCBIic.: f 34/gi r
Total fee due upon application: $201.60
Authorized signature: l This permit application expires if a permit is not obtained
• // within 180 days after it has been accepted as complete.
Print name: c1 / '[` G/Y Date: D .3-7,4 2Z *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits1BUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist ' • '
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Cityof Tigard
Z.
Received
IlkPermit No.:
a 13125 SW Hall Blvd.,Tigard,OR 97223 Associates per n its:
Phone: 503.7182439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical
TIGARD
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED D FOR PLAN RE 1 I t:11 '1 N.t> a
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. i,4
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. g 0 0
3 Verification of approved plat/lot. )i.7. ❑ 0
4 Fire district approval required. Name of district: - • 0 fr
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ El
6 Sewer permit. 0 0
7 Water district approval. 0 0 t-
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ r'_
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ 1
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
j copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if l ' ❑ 0
there is more than a 4-fl.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 ❑ ❑ xi
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, tg ❑ ❑
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- X' ❑ ❑
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. 8B ❑ 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. ,p,�
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- EX ❑ ❑
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 fa, 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 sa, 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 0 ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(ie.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ [;litarchitect licensed in Ore.on and shall be shown to be a.,livable to the ro'ect under review. T
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". 17: ❑
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
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 Kr
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 p'
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 K
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.
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