Permit _X s
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit #: BUP2009 -00132
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2009
Parcel: 2S 1036 D06000
Jurisdiction: Tigard
Site address: 12716 SW 116TH AVE
Subdivision: HUNTER'S GLEN Lot: 16
Project: Hayden
Project Description: Add new deck to existing deck.
Owner: FEES
HAYDEN, DARRON R Description Date Amount
12716 SW 116TH AVE Permit Fee - COM 07/17/2009 $76.80
TIGARD, OR 97223 CDC Plan Review, RES 08/05/2009 $46.00
PHONE: 503- 524 -3332 CDC Plan Review, RES - LRP 08/05/2009 $6.00
12% State Surcharge - Building 08/05/2009 $9.22
Contractor: Plan Review 08/05/2009 $49.92
OWNER
PHONE:
FAX:
Specifics:
Type of Use: SF
Class of Work: OTR
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $4,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 775
Garage: 0
Mezzanine: 0
Total $187.94
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 . ill
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance or' • k is suspended for mor= the 80
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T ose rules -re set forth in OA'
952- 001 -0010 throug OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by call 503.246.6699 or 1.800.3 • '34
l•� auk, .
Issued By: /� (1 ��/1 fl Permittee Signature: .' ,- r Call 503.639.4175 by 7:00 a.m. for an inspection that busine
This permit card shall be kept in a conspicuous place on the job site until c • pletion of the project
Approved plans are required on the job site at the time of each inspection.
l3u�ldin;: Permit Applicati
Residential K rol( ('I I lt•F I I. 0y11
City of Tigard Received
g JUL 17 2009 DateB : / / 4 , : i%/I ion . Permit N.A. 4/0?o,q— il, /3.'
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review OFI1� /`'
Ill _ Other Permit:
Ph o ne: 503.639.417] Fax: s1 �� TIGARD DateB : r ,' /L` �J�
i 1 L ARD Inspection Line: 503.639 DIVISION Date Ready v.: 0 d. 'i 0 See Page 2 for
Internet: www.tigard- or.gov tS Notified/Method: 0 Supplemental Information
TYPE OF WORK ..,1„,..;:',-„,,, q J ? T .e w� u a t 6 i a' 4 s r a' 7 Ffai—
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
KAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
t , • 5` work indicated on this application.
' ".:".'W...0.-...... 4. .. ' , r ; Valuation: $
X1 - and 2- family dwelling ❑ Commercial/industrial
�� •�
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB Sift INFORMATION' AND LOCATION Total number of floors:
Job site address: 1',`I w ii 1(p 5( ( �.N New dwelling area: square feet
City /State /ZIP: —r j L ri , ,,:,,,a,_.
e6/ L -3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: t Z7 g e ) 11 De Covered porch area: square feet
Cross street/directions to job site: ( A ` 4 K . - / / 9 ' Deck area: —7- i ' square feet
l l l / Other structure area: square feet
" � F 6 B Br A ct Fz r, @ i �
Subdivision: Vl 1r lev S (nLE1,1 I Lot no.: I C 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
`` 4 A j( ' I'Ti{'o j° - 6tji' work indicated on this 5 i ! application.
1 I� , � e Valuation: S
a (n � k V � Et-k —1 R� �k+, ',it �, C.�
Existing building area: square feet
New building area: square feet
` f a g. �5
Number of stories:
Name: ` Dpl'2S2.o/je v • j4 e Type of construction:
Address: 12•-1 1(0 S l.) I [(Qv/ Occupancy groups:
City/State /ZIP: --r i c,, A A e,f2 O, 72.23 Existing:
Phone: ($ ).5-2.4--31-37._ Fax: ( ez3 ) O3 (m, — 0444 New:
ea ;;,. . , .. <zv. a � ' -% i6 ,ro,ry _ 1i r --1., a . ',',..*;!-'4'''''.4'''' °a 3 . 9 W/fR: -rov
Business name: 44 '(j -;,J (1 4 L.t 1 ,1� E_ f A(e(; rs All contractors and subcontractors are required to be
Contact name: A2 gmb licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1S, 4t ' Su" 6451" k jurisdiction in which work is being performed. If the
City /State /ZIP: �� Vt a�I) c:42 OJ'1 ZZ3 q �n applicant is exempt from licensing, the following reasons
( Sd3 ) 9 (. $ -9 J� 4. I Fax: : ( SD3 ) J2 • $ 44 J apply:
Phone: I t r I
E-mail:D�,Q D e_ (4,A•(DG�( - Eilutl ERI • Can&
4r ` CONTRACTOR
Business name: 1.-0 (XI _ (,^I7 ' i = B h � f � 3 -` : T
Address: /`.l .,r i .,)., , s . , ..� ') .. . > ) . °"' ,ia n 4 :
Structural plan review fee (or deposit): '7
' i co
City /State /ZIP: !
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.:
Total fees due upon application:
Amount received: '74 ptj
Authorized signature.. / This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as cornpl f
Print name: 1 . • _ . , Date:j,, jj'� • * Fee methodology set by Tri -County Building Industry
Service Board.
l: \Building\Permits \BUP - RES PermitApp.doc 11/6/07 440- 4613T(1 I/02 /COM/WEB)
Building Permit Application Checklist `
One- and Two - Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
1111111 g Date/By: Permit No.:
• 13 125 SW Hall Blvd., Tigard, OR 97223 Associated ermits:
1 Phone: 503.639.4171 Fax: 503.598.1960 P
1 . I IZ D 24- Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard- or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es No N/A
1 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. ❑ ❑ 0
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.
0 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.
Cf 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
0 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 pen- ❑ ❑ ❑
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered • • • ❑ . ❑ ❑
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. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
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 : • • licable to the r ro'ect under review.
JURISDICTIONAL SPECIFICS
Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 1 or 11" x'17 ". _ ❑ ❑ ❑
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, ❑ ❑ ❑
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- RES- PermitApp.doc 03/21/06 440- 4613T(t1 /02/COM/WEB)
J
RECEIVED
JUL 17 2009
CITY OF TIGARD
BUILDING DIVISION
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— - _ Consulting .ngi veers 7� G ' \ N D ! T (t71� JOB NO J 7i (O
SHEET_ OF 7/
(503) 968 -9994 p (503) 968 -8444 f (
. , 'L
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: /i in ,Q 04 9 4(I/_ q
PLANNING DIVISION:
. Required Setbacks: ❑ Approved ❑ Not Approved
Side: S Street Side: K
Front. O Garage. . Rear:
Visual Clearance: E'Approved ❑ Not Approves+ r
Maximum Building Nei011• 30 fer!
CWS Service Provider Letter Reui. r. ❑ Yes ❑ No
❑ Received
B : 1 t Dale. ' / f
ENGINEERING D EPARTMENT:
Actual Slope /o ( Approved ❑ Not Approved
Site P f / ,grArN oved ❑ Not Approved
By: l � ,I�1.4- Date: '7 7/,----
Motes. 1 , rU-e ei /02 _,
j j i � TlGARD - SITE PLAN RE igamum
BUILDING PERM1 ' =
❑ ..roved ❑ Not Approved
Street Trees: Approved ► Not Approved
Protected Trees:
Date:
B:
Notes:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12716 SW 116TH AVE, TIGARD, OR, 97223 March 14, 2018 at 2:09:23 PM
Record Type: Record ID:
Residential - Building BUP2009-00132
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved plans on site for inspection.
no answer at door, no one home.
No message left with Inspection request.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12716 SW 116TH AVE, TIGARD, OR, 97223 March 15, 2018 at
12:10:05 PM
Record Type: Record ID:
Residential - Building BUP2009-00132
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Finish lateral X bracing per approved plans.
Finish nailing hangers left end opposite of stairs.
Joist by existing structure appears to be over spanned per approved plans.
Provide handrail per approved plans, 2x6 flat does not meet grip requirements, see
approved plan.
Provide full support for lower stair stringers.
Provide hangers at joist to existing deck rim per approved plans.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12716 SW 116TH AVE, TIGARD, OR, 97223 March 21 , 2018 at 1 :19:28 PM
Record Type: Record ID:
Residential - Building BUP2009-00132
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Engineers stamped letter for corrections from previous inspection received.
Corrections per stamped engineering complete.
Hand rail installed.
Deck final ok.
Violation Summary:
Inspector Contractor