Permit IN v CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2008 - 00161
° COMMUNITY DEVELOPMENT DATE ISSUED: 11/20/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114BC -04900
SITE ADDRESS: 10395 SW BONANZA WAY ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES NO. 2 LOT: 086 JURISDICTION: TIG
PROJECT: THOMAS
Project Description: Add dormer.
• BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 2,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
JOSHUA & LAUREN THOMAS SQUARE DEAL REMODELING CO INC laws. All work will be done in accordance with approved plans. This
10395 SW BONANZA WAY 8603 SE STARK ST permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 PORTLAND, OR 97216 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: 503 443 - 6018 Contact #: PRI 503 - 254 - 4156 questions to OUNC by calling 503.246.6699 or 1.800 332.2344.
Reg #: LIC 79188
TOTAL FEES: $ 110.63
REQUIRED ITEMS AND REPORTS
Issued By : /�2 .--' --.... ' - rmittee Signatur •
i
Call 503. by 7:00 a.m. for an inspection that business day.
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.
Building Permit Application
Residential FOR OFFICE USE
• City of Tigard �������� Received I i•-/T::-.,37/0e)•....-00 /-
.114 "� g DateB . �! IT
Permit No.: /�Y/
° 13125 SW Hall Blvd., Tigard, OR 97223 ^^IIt� q Plan Review
Phone: 503.639.4171 Fax: 503.598.19600uv 19 2 UU17 Date /B : i . . d V J1 � Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Rea.r:y: runs See Page 2 for
Internet: www tigard or.gov CITY OF TIGARD Notified/Method: / /c Supplemental Information
BUILDING DIVISION
TYPE O W p REQUIRED DATA 1= AND .2 =FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
V Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
' CATEGORYOF'_,CONSTRUCTION, ` " work indicated on this application.
%1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi family
Number of bedrooms:
❑ Master builder Ill Other: Number of bathrooms:
: ,Q JOB' SITE INFORMATION, AND, LOCATION, ., r Total number of floors:
Job site address: 1 0 yIS 3 r\ct. u p c ,..„ ‘ New dwelling area: square feet
City /State /ZIP: 1 ; „i�,1 0 O\-i Z. 7...1- , Garage /carport area: square feet
Suite/bldg. /apt. no.:L Project name: t Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
,REQUIRED.I)ATA:.COMMERCIAL-USE CHECKLIST
Subdivision: 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
- - . . `' .- ,D ESCRIPTION* OF WORK _' '. work indicated on this application.
aai (kW Me f gnat- Valuation: $
Existing building area: square feet
New building area: square feet
' PROPERTY' OWNER - - ` . �' ❑ TENANT Number of stories:
Name: 5' oNhua and [mac - Vie.•] -- rh DrY24.. Type of construction:
Address: /O be/ 5 51.J e,0,14,.., i.A toctAi Occupancy groups:
City /State /ZIP: `7 ; are ( og.. 9 72.2 Li Existing:
Phone: (903) 7 • (001 0 Fax: ( ) New:
APPLICANT': CONTACT PERSON NOTICE° '
Business name: /Au Di ! o cno -% Con s klh's All contractors and subcontractors are required to be
Contact name: �LLv 10 Ma S licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1
e S .. l n 24. k3C1'-` It jurisdiction in which work is being performed. If the
City /State /ZIP: 7 t �� 1.122S4 _ applicant is exempt from licensing, the following reasons
apply: �i"2 •' G
Phone: (50 y 3 r . /0 Z3 Fax:: ( )
' .‘,"3
E -mail: 1 *$'tr“ C. V fat ea/712' 44 I. C-0�
'7, "SC3
CO RACTOR,a' '
Business name: - BUILDI PERMIT FEES *'. ` _� . A'
��Gl11cv ?.� �r - .
Address: b(QQ'� St. Sla�l_ S'T • . (Ple`aserefer`'tofeesch "edule) '
P` 1 � r Structural plan review fee (or deposit):
City /State /ZIP: ► , ( 't'�( -f Zf co
Phone: �jd?. ) Z91 •'- f S149 Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 79 / SS 014 Total fees due upon application:
Amount received: ....4
Authorized signature: y This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 14z V oy} Dale: C( ((4 �7 Od * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(1l /02 /COM/WEB)
Building Permit Application Checklist
One- and Two- Family Dwelling ,. _ FOR OFFICE USE ONLY •
• • ' City of Tigard Received
Permit No:
I III Date/ By:
1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
C : Phone: 503.639.4171 Fax: 503.598.1960
TI G A R : D 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet. www.tigard- or.gov 1:1 Other:
,.THE FOLLOWING ITEMS ARE REQUIRED F P LAN'REVIEW'�' ' ' '. . Yes ,I "No ' N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, 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 _ ❑ ■ ❑ .
6 Sewer permit. ❑ ■ ❑
7 Water district approval. ❑ ■ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ■ ❑
9 Erosion control ❑ 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 conforinance,to applicable local and'state _. r ,I=I ID ❑
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 ❑ ■ ❑
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, ❑ ■ ❑
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. ❑ ■ ❑
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- ° ❑ ■ ❑
prescriptive path analysis provide specifications and calculations to engineering standards. • i 1 %
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing i i . ❑ 1=1 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ' - El ❑
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. • - . . " 0. ■ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ III ❑
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. ❑., '. ■ ❑
architect licensed in Oregon and shall be shown to be applicable to the project under review.
J URISDICTIONAU SPECFICS -
23 Three (3) site plans are required for Item 11 above. Site plans must be 8-1/2" x 11 "`or 11" x 1 "'. • • " 1❑ ' ' ❑' - ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building 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.' ❑ ❑, ❑
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; `❑ ' ❑, s ❑
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, ❑ ❑ ❑
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 \Building\Permits\BUP -RE$- PermitApp.doc 03/21/06 440- 4613T( 1 /02 /COM /WEB)
` v C ITy ®F `TII - ARO _ MASTER PERMIT
COMMUNITY DEVtLOPMENT PERMIT ISSUED: M /20/20 00161
OPMENT
■ DA ISSUED: 11/20/2008
yi 'Altd: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 114BC - 04900
SITE ADDRESS: 10395 SW BONANZA WAY ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES NO. 2 LOT: 086 JURISDICTION: TIG
PROJECT: THOMAS
Project Description: Add dormer.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REOUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: 51 • LEFT: SMOKE DETECTORS: y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 51 FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: s1 RIGHT:
VALUE'.
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sr 2,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: • GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 3
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
CA
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: - 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: o
MANU HM /SVC /FDR: 601 - 1000 amp: 601 - amps- 1000v: MINOR LABEL: f Q v
1000. amp /volt : 0
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: 4
ELECTRICAL - RESTRICTED ENERGY
0
A. SF RESIDENTIAL 8. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: V
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 4 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
JOSHUA & LAUREN THOMAS SQUARE DEAL REMODELING CO INC laws. All work will be done in accordance with approved plans. This
10395 SW BONANZA WAY 8603 SE STARK ST permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 PORTLAND, OR 97216 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010
through 952- 001 -0080. You may obtain copies of these rules or direct
Phone: 503- 443 -6018 Contact #: PRI 503-254-4156 questions to OUNC by calling 503.246.6699 or 1.800.332.2344_
Reg #: LIC 79188
TOTAL FEES: $ 110.63
REQUIRED ITEMS AND REPORTS
Issued By : rmittee Signatur
Call 503.6 .4175 by 7:00 a.m. for an inspection that business day.
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.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2008 -00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 "?..
INSPECTION WORKSHEET FOR DATE: 12/11/2000 TIME:. 7:00AM PAGE: 24
•
SITE ADDRESS: •iO396 SW BONANZA WAY CLASS OF WORK:
SUBDIVISION: RIVERVIEW ESTATES NO. 2 LOT #: 086 TYPE OF USE:
PROJECT NAME: THOMAS
DESCRIPTION: Add dormer.
OWNER: THOMAS, JOSHUA & LAUREN PHONE #: 503- 443 -6010
CONTRACTOR: SQUARE DEAL REMODELING CO INC PHONE #: 603- 7E44166
Inspection Request Scheduled For: Date: 12/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 078951 -01 603- 309 -0887 N
Corrections /Comments / Instructions:
all
•
PASS 1 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FoR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ���� /' Date: ( 1 ( VCS Phone #: (503) 718 - v 3a3'