Permit F p CITY OF TIGARD MASTER PERMIT
it
' " I: • COMMUNITY DEVELOPMENT Permit #: MST2009 -00193
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/29/2009
TIGARD Parcel: 1S133DD16500
Jurisdiction: Tigard
Site address: 11994 SW 129TH PL
Subdivision: VILLAGE AT SUMMER LAKE PARK 5 Lot: 201
Project: Chin
Project Description: Add 224 sq ft covered patio.
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: NO
Total: sf Value: $8,800.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0
Drains: 0
Bckflw Prevntr: 0
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 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 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add'I Br Cir:
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
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
CHIN LARRY HOFFARD HOME IMPROVEMENT CO
11994 SW 129TH PL 5708 SE 136TH AVE
TIGARD, OR 97223 PORTLAND, OR 97236
PHONE: PHONE: 503 - 761 -8177
FAX:
Total Fees: $296.81
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 'n OAR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 or 1.800.332.2344.
Issued By: try . , ! - 1 . 3 Permittee Signature: " -
Building Permit Application k pe Cl 1 ke
' Residential City g
RECEIVE ■ FOR OFFICE USE ONLY
� • ec eived
Cit of Tigard
1114 DateB : _ .
, i �r _ _
`.1 �
13125 SW Hall Blvd., Tigard, OR 97223 S E P 2 2009 Plan Review��
Phone: 503.639.4171 Fax: 503.598.1960 3 Date B : _ w® Q� Other Permit:
I I CARD Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
9UILDING DIVISION
TYPE OF WORK 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
W Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
14 1- and 2- family dwelling ❑ Commercial /industrial Valuation: I $ g 6 0 Q
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1/ ( y'G./ s•,,,) / Z , -. 7- 1-4 A New dwelling area: square feet
City /State /ZIP: . 7 j 672') 7 d)7 9 7 LZ 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: C•' /- /A/ Covered porch area: a L 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 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
DESCRIPTION OF WORK work indicated on this application.
/`l t / 6 t C J 1z A P 1 0 Valuation: $
�1G/'� Existing building area: square feet
New building area: square feet
®. PROPERTY OWNER ❑ TENANT Number of stories:
Name: 4._A-8 it aA-t JAJ Type of construction:
Address: / f 9 5 1/ 0 l 29 7't-1 A f. z Occupancy groups:
City /State /ZIP: -7—/�/ 6 R, 9'7 2 -2-3 Existing:
Phone: (.54)3 ) 5 -7 c5 _ / 99 4/ Fax: ( ) New:
a APPLICANT ❑ CONTACT PERSON NOTICE
Business name: At0 rr` L0 ti_OM G �M P 2 iztt r i All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 5-7 d 5 S z 1 4, Ave, jurisdiction in which work is being performed. If the
City /State /ZIP: '7 0 �� y0t O R q L3 6
applicant is exempt from licensing, the following reasons
Phone: (5. c)) _ '6 % 7 � 7 / Fax: : ( )
E -mail: C(da, `'L U 1- 44,..r) i.tJ t ( , r. aiA
CONTRACTOR
Business name: I, -ytp )-4- r. _ Z/V ,,p l �v c ,, 1 .r-• BUILDING PERMIT FEES*
Address: <7 U g S I ( / 3 6 to-t- ,C (Please refer to fee schedules)
Structural plan review fee (or deposit): g.0 j 9 0
'�
City /State /ZIP: o 0? 97 2 3(
cJ Fax: FLS plan review fee (if applicable):
Phone:
,,,) -7 to/ x/ (Sv3)`
CCB li c . : /2-2- 23 Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: rt... IL) Date: (j 2, 3 ,_, S * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -RES PermitApp.doc 11 /6/07 440- 4613T(11 /02 /COM/WEB) @ 0 ? , S'
Building Permit Application Checklist •
One- and Two - Family Dwelling FOR OFFICE USE ONLY
City of Tigard Rece ived Permit No
II 1 3125 SW Hall Blvd., Tigard, OR 97223
Associated
I Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
TIGARD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑numbing ❑ ht i, .,i
Internet: www.tigard - or.gov ❑ der:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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. ❑ ❑ ❑
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 conformance to applicable local and state ❑ ❑ ❑
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.
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 Ore • on and shall be shown to be a. , licable to the . ro'ect under review.
JL I:ISI)IC CIONAL SPECIFIC'S
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" 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 \Pamits)BUP- RES- PennitApp.doc 03 /21/06 440.4613T(11/02/COM/WEB)
09/24/2009 15:26 5037600387 HOFFARD PAGE 01
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09 2 ll� L> T 0 387 HGFFARA PAGE 01
RECEIVED C r e fi��
SEP 2 2009 FAX rb .; 50 "! -- 5/ g Jc. 0
� P 2 4200 9
-- CITY OF TIGARD C Ci le , — en Water Services pile Number
BUILD � Tr Services ! `- -e •"' Q ® «qj
Sensitive Area Pre - Screening Site Assessment
t Jurisdiction: 1 i C�tfdL -
2. property tnt rYnatto (vampire 15234A/30/400) 3. Owner Information
Tex lot ION; , 1, :n l 53 t Name:
Company: __C .j ,W —
Addraas: ir+.,.4_ - .
SiteAdd 1 1i1 - 9 _ City, state, Zip:
City. State, Zip Phonc/Fax: _
Nearest Cross Street; E Mail;
Al. Development Activity (Check all that epp/y) OR Applicant Information
Addition to Single Family Reeldence (rooms, deok, care e) Name: _ DAA& f ti `1
❑ Lot Line Adjustment f] Minor land Partition Company: ,a :. — �.■ A! L.I4.- i -n/l "T
d Residential Condominium 13 Commercial Condominium Address: ' « h
O Residential Sugdlvtslon D Commercial Subdivision City, State, ZIP; �,Pt1 b'P 172434 • Single Lot Commercial ❑ Multi Lot Commerdai
Other — PhonelFax; S' -3= r� r 1 '
_
E -Mail; ketA da t r (iiiNAe. • c. -004
S. Will the project Involve any off.elte work? ❑ Yes Wlo lJ Unknown
Location and description of off -site wilt -- - .- - -- ______
7, Additional comments or information that may be needed to undert;tand your prn)ect
_. k Ex 6i`r /r .. rIX- 5A Ig L r/, ! 1~ C-X .7 .,
This application does NOT replace Grading and Erosion Control Penults, Connection Permlte, muliding Peiiimite, site Development Permits, DER
1x00 -C Permit or other permits ea issued by the Department of Environmental Quality, Department of State Lands andlar Department of the Army
COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal taw.
By signing this form, the Owner or Owner's authorized agent or representative, admowledgea and agrees that employees of Clean Water Services have authority
to enter the pro)ect site at at reasonable times for the purpose of Inspecting pro)ect site conditions end gathering Information related to the project site. I certify
that I em familiar with the informa contained in this document, and to the best of my knowledge and ballot this Information Is true, complete. and accurate.
.1 Print/Type Name ,fit . ,:.AL real ' ff- r _ • rint/Type Title „'.
Signature - - — Date y -7-3 -- V .
FOR DISTRICT USE ONLY
Q Sensitive arose potentially exist on sits or within 200' of the Bits. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. if Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural ResoufoSs Assessment Report
may also be required.
G] Beeed on review of the submitted materials and best available information Sensitive areas do not appear to mist on site or within 200' of the elk. This
Sensitive Area Pre Soreening Slte Assessment does NOT eliminate (he need to evaluate and protect water quality sensitive areas if they are subsequently
discovered, This document will serve ea your Service Provider letter es required by Resolution and Order 07 -20. Section 3,02.1. All required permits end
approvals must be obtained and completed under applicable local, State, and federal law,
sed on review of the submitted materials and best available intermdtlon the above referenced project will not significantly Impact the existing or potentially
sensitive aree(5) found near the silo, This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water
quality sensitive areas If they are subsequently discovered - This document will serve as your Service Provider latter as required by Resolution and Order
07-20, Section 3.02.1. All required permit :nd a • ruil be obtained and completed under apoficabie local, stale and federal law,
Cl This Service Providtr r is not talid ■ as a �---.._, S - • . ro ad site plan(s) are attached,
.0'1he proposed ad i .. nonmattl the . :1lnilli 'f develop r yt�t or the was platted after 9/9/96 ORS 92,040(2). NO S E ASS SSMEi4T OR
sERVicS PROV r TIER IS Rtes ,I', G I •
Reviewed b 1 5 - - Dale G V • Jt#t�- — assol et*mar
:550 SW Hilrcbnro I liornvey . i-iiit :her ,. C 'anon 27in . Phone: (rirl GS1 -51st • f -ax: (603) e31 l'l32 • ' w,rl rinw: _ 's.,rrg
C_.-)\
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
September 24, 2009
•
RE: RESIDENTIAL ADDITION T I GARD
Project Information
Building Permit: MST2009 -00113 Class of Work: Alt
Address: 11994 Sw 129 ave Lot Number: NA
Area: 224 square ft. Stories: 2
Builders Name: Hoffard Home Improvements Subdivision: NA
The plan review was performed under the State of Oregon Residential Specialty Code
(ORSC) 2008 edition. Please respond to conditions below.
1) Provide rafter ties on rafters per ORSC R802.3.1
2) Provide engineering to show structure is capable of resisting lateral loads per
chapter 6 or increase column size to 6x6 and insert in footing and increase
size to 24x24x48
When responding, provide an itemized letter stating in what way each numbered
issue has been addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City
of Tigard in tracking and processing the documents.
Respectfully,
Dan Nelson
Senior Plans Examiner
(503) 718 -2436
dann @tigard - or.gov
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
SITE PLAN FOR:
LARRY CHIN
t 1 1 994 5W 1 29Th PLACE.
SW 129th Pl, N TIGARD OREGON.
I
[COVERED PATIO]
35 ,48
TAX ID: 15 1 33D 1 65
LOT= 85 60 5Q FT.
5
0
s-o 6-s_ I / I6" = II
5'
o
RECE EXST . SEP
9
HOUSE ED
BUILDING l BARD
15' + DIVISION
1 / A NEW COVERED
/ PATID
21'
I HOFFARD HOME IMPROVEMENT CO.
1P2,68' 5708 SE 136TH AVE
PORTLAND, OR 97236
503-761-8177
CO3 122823
r . . .
. ..
. . . .
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.:tn,51 r-oleit
PLANNING DIVISION:
Required Setbacks ,ti.r A , -Irnved El
Side.
( . , . - , dc)
F t.o.,; . „_ . , ,_.____
t..x - ktial ( =pr i 17 "
c .i. y'Q , Maximum Buildiog Heittht k 1
CWS Service Provider I eti- -•?eci
) 4A,Gam.... duA.t
ENG RING DEP
INEEAR MENT:
Actual S
4 , , ope: % Approved 0 Not Approved
Site Pla • Approved 0 4/813proved
By: Date: 4 "1 2- cil
Notes: at-b
Aff‘.116 - I 3 G- I AO ii&Se 74 -7-- 41 21C/t#.
c. co S. s 'L..
.......
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO. 1 ''(2(1-1:1.altir.
i 2 .,
ii ,
Street Trees: proved 0 Not Approved
protected cer i : , , Approved DIA/proved
By: OM (*II,/ Date: 9 ?I ()I
Notes: