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Permit Support Document (39) CITY OF TIGARD t 4 MASTER PERMIT "Pq ■ ,f / Permit#: MST2023-00063 COMMUNITY DEVELOPMENT T I GA R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2023 Parcel: 2S 111 CA 14400 Jurisdiction: Tigard Site address: 15105 SW 98TH AVE Subdivision: ALDERBROOK FARM Lot: 8 Project: WAMALA Project Description: Garage conversion into new bedroom and bathroom. TRADE PERMITS TO BE PULLED SEPARATELY. REPRINT: 6/21/2023 to add general contractor. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 1 First: 231 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 231 sf Value: $34,850.97 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add,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-3 231 Owner: Contractor: WAMALA,RONALD&ELIZABETH RIVERAS REMODELING LLC Required Items and Reports(Conditions) 15105 SW 98TH AVE 19577 SW 68TH AVE TIGARD,OR 97224 TUALATIN,OR 97062 PHONE: PHONE: 971-212-5151 FAX: Total Fees: $1,452.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specially Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not sta 180 days of issue ce, or if work is suspended for more the 180 days. ATTENTIO : r 'on law requires you to follow the rules adopted by the regon Utilit Notification C nter. Those rules are set forth in OAR QS9_11111_nnin thrn inh P a _nm_nnan vn ,nhtain a nnn"nr tha rrdae nr riirnrt nnuetinne to fll IMr`11,1 ra inn cry;'19 1411R7 1 n IT?TlAA I Issued By: Permittee Signatur . Call 503.639.4175 by 7:00 a.m.for the next available in pection d . 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 job site at the time of each inspection. O � S , Building Permit Application til tii. , Residential FOR OFFICE USE ONLY City of Tigard Received -✓ g i .. w .... DateBBy. 10/Vt (W(is ' 14,19 C Pemit No.:M U 1 V i. O W III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.196g •!N 2 1 2023 Date/By: Other Permit: T I G n L l) Inspection Line: 503.639.4175 1 L J Date Ready/By: lads: Ei See Page 2 far Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE or AikUING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING i ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all i Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ i i 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: L 41_, New dwelling area: square feet City/State/ZIP: 1S lb r S /�,//. r ��� /4pG•- Garage/carport area: square feet 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: l 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. - Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: j-ICA 1M q\ 4 - Type of construction: Address: , 6j l0 c e � t,,,,,.- 77,4 nv(-f Occupancy groups: City/State/ZIP: c a-� Existing: Phone:('5 )S33 /,3-/ Fax:( ) / L New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer("fee rcaedele Business name: Structural plan review fee(or deposit): Contact name: 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: CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: �\/�?145 -u �I h Submit two(2)sets of roof plan with connection details �s and fire department access,along with the 2010 Oregon Address: 54) 1 � � Solar Installation Specialty Code checklist. City/State/ZIP: l t 0 6 C Phone: Permit Fee(includes plan review $180.00 f t and administrative fees): �� O� Fax ( ) State surcharge(12%ofpermit fee): $21.60 CCB lic.: `Z 2 4Total fee due upon application: $201.60 Authorized signature: 1 Y / This permit application expires if a permit is not obtained '� la, J within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Date: Service Board. 1:1Building\Permits\BUP-RESPennitApp.doc 02./24/2011 440-4613T(I 1/02/COM/WEB) sr t Building Permit Application Checklist i,., .a. One- and Two-Family Dwelling FOR OFFICE USE OylX City of Tigard Received Date/13 : Permit No.: lill13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumb ng 0 Mechanical 7 1 G A I.ll Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. I ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. ❑ ❑ 0 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑ 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 ❑ ❑ 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, ❑ 0 0 fu nace,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,roofmg,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 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 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 ❑ ❑ architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 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 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 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 A 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, ❑ 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. I:BBuidding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 6/21/2023 CCB Contractor Search JON onstrucbon ordractors oard BUSINESS DETAIL Licensee:RIVERAS REMODELING LLC Address: 19577 SW 68TH AVE TUALATIN OR 97062 License No.:221306 License Status:Active Date First Licensed:9/17/2018 Expiration Date:9/17/2024 Entity Type:Limited Liability Company Phone:(971)212-5151 Endorsement Type: Residential General Contractor Workers'Compensation/Independent Contractor Status:Exempt ADDITIONAL BUSINESS LICENSES AND CERTIFICATIONS CERTIFIED LEAD-BASED PAINT RENOVATION(LBPR)CONTRACTOR LICENSE: NO Required to bid and work on pre-1978 residential structures. OTHER BUSINESS INFORMATION WORKERS'COMPENSATION INSURANCE INFORMATION Coverage Carrier Policy No, Employee None None Personal Election None None LIABILITY INSURANCE INFORMATION(History) Company Amount Expiration Date CONTINENTAL CASUALTY COMPANY $1,000,000.00 6/20/2024 SURETY BOND INFORMATION(History) Typg Company Amount Residential WESTERN SURETY COMPANY $20,000.00 Continuous until cancelled Commercial None None None ASSOCIATED INDIVIDUALS Member(Limited Liability Company) AVILA FLORES,INOCENCIO Member(Limited Liability Company) RIVERA URIOSTEQUI,ODALI DE JESUS RMI Owner RIVERA URIOSTEQUI,ODALI DE JESUS Click here to see past associated individuals'names. ASSUMED BUSINESS NAMES($) None Click here to see past assumed business names. BACK CCB Home I CCB License Search ©2023 Oregon Construction Contractors Board search.ccb.state.or.us/search/business_details.aspx 1/1