Permit CITY OF TIGARD
MASTER PERMIT
lii 2 ' •- COMMUNITY DEVELOPMENT Permit #: MST2011 -00083
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/25/2011
Parcel: 1 S125DD09900
Jurisdiction: Tigard
Site address: 9600 SW VENTURA CT
Subdivision: WASHINGTON SQUARE ESTATES NO. 3 Lot: 107
Project: Wilberding
Project Description: Deck addition, approximately 215 sq ft.
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: $3,870.00 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 Storm Sewer: 0
Drains. 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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
Furn <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 W/ Svc or Fdr: 0
Ea add9 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
Ecompasin N
Other: N Other Description: g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R -3 0
Owner: Contractor:
WILBERDING, B J & MICHAEL J CO -T LYNN FEINAUER Required Items and Reports (Conditions)
9600 SW VENTURA CT 7243 SW APPLE GATE DR
TIGARD, OR 97223 ALOHA, OR 97007
PHONE: 503- 913 -5566 PHONE: 503 - 730 -6004
FAX:
Total Fees: $313.13
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 r -. arin ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throu• • e 952- 001 -0090. You of the rules or •irect questions to OUNC by calling 503.232 1987 or 1.800.332.2344.
_ / 1
Issued B/ e �; �. "_ s �� fee
PermitSignature: 1 / _� /.4" . . .L41
i gff 7 0 :39.4175 by 7:00 a.m. for the next available inspection date.
This permit card all 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 R E C E \I FOR OFFICE USE ONLY
. oaf. Received
City of Tigard Date/By: 7 1 I / Permit No.: /-/ q ?c/ /-}Q O 3
11 q 13125 SW Hall Blvd., Tigard, OR 97223 pp 1 Plan Revie !i
C .' Phone: 503.718.2439 Fax: 503.598.19o0 201 Date/By: 4 / I� l Other Permit:
I' I G n It D Inspection Line: 503.639.4175 Date Ready : y: Juris: El See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: / /( j, Supplemental Information
BUILDING DIVISION > ) i-wi LA ' \n9 ,6i
TYPE OF WORK S REQUIRED DATA: 1- AND 2- FAMILY DWELLING
DJ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ 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: $
❑ 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: 67 New dwelling area: square feet
City /State /ZIP: (Mg) y, il ew 'i t toi £ 7 9'-, 2 2_ "5 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: W I f � r; N'.1.3 Covered porch area square feet
Cross street/directions to job site: 1,),Q,3412,,,, 9 . re, j S 64 e $ rrl F (5. ,/c 5 Deck area: Z) 5 square feet
Lc) C F rn( ;r1 S o 'x5 T1 (. S ii IW Other structure area: square feet
W r•-r Cit 7 0 c- T16-41- O,Iy t„
d,lv ec COMMERCIAL REQUIRED DATA: COMERCIAL - USE CHECKLIST
Subdivision: / Lot no.: /0 7 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.
Valuation: $ 3-37 0
Existing building area square feet
New building area: square feet
[1 PROPERTY OWNER ❑ TENANT Number of stories:
Name: 13 ~tj W 1 1Serd, >1 � Type of construction:
Address: (moo S cu v t�fittf /3. L r- Occupancy groups:
City /State /ZIP: Q1 - 5 Existing:
Phone: ( SAS) 50.3 ci /•3 5c4 ;c„ Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name. (Please refer to fee schedule
Structural plan review fee (or deposit):
Contact name: ;TeX- Pei - -k5 .4
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP:
Amount received:
Phone: (503) 5 5 Fax:: ( )
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commer and residential prescriptive installation . •
roof -top mou ed PhotoVoltaic Solar Panel Sys , .
Business name: �„`�(� r e t l J f{-l.�ti/2, Submit two (2) s of roof plan with Conn ion idetails
and fire department . ess, along wit. t e 2010 Oregon
Address: 7 A43 c ,.„) A-p put_. (,4-T1._ - D P-- Solar Installation Speci.. Cod- ecklist.
j
Permit Fee (includes ••. review
n revi
City /State /ZIP: -t 1 .1-"j- 02 9700 and adm strati • ees): $180.00
Phone: ( ) 750 -- 19 61 0 4 f Fax: ( ) State surchar:: 2% of permit fee $21.60
CCB lic.: 507,0 q/f e) /3 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtain • .
within ISO days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
�e� + a t'�Srl� 1 Service Board.
1:\ Building \Petmits\BUP - RESPermitApp.doc 02/24/2011 440 -4613T(I I /02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONL
City of Tigard Received Permit No.:
1111 '1 13125 SW Hall Blvd., Tigard, 97223 Date/By:
0 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
T I G A R D 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑ Mechanical
Internet: www.tigard - or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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 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, mofing, 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 ap to the . ro'ect under review.
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 ". ❑ ❑ ❑
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- RESPermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB)
i
.
MAY 2 011 Clean Water Services File Number
—J CleanVUater Services 11-0o22-2i-
B _....- .,.._... _.Sensitive Area Pre - Screening Site Assessment
1. Jurisdiction: C tTy 4 F .41- 1 - Cso -D
2, Property Information (example 18234AB01400) 8512517D oe a. Owner Information /
Tax lot ID(s): Leal ln_ "f 4 u+,44>L' I- .1 . �v;:., %•e' w,'rrtVyy Name: 13 Well) 0/ % •✓y
4).1 i n 1._e(0 ed 6.) 4,e owe 621,. ..;N i ei• Company:
c; 5{YPil'1 6 'T, LS. (L. Ili. + L), 44 r „rl, r4 Address: 410 GC • 5'- V6.11 .t L7
Site Address: t.F�c,C, 1.J V(a1`ru / Y� L't- City, State, Zip: n o -ix•0 e ?' 7,s -
City, State, Zip: 'Tic.rti ✓•11 1 it 0 PhonelFax: kit, 7i S 554-r
Neareat Cross Street: tat rrn. E•Mail:
4. Development Activity (check all that apply) 5. Applicant Information g. Addition to Single Family Residence (rooms, deck, garage) Name:
Lot Line Adjustment
CI Land Partition Company:
(.3 Residential Condominium ❑ Commercial Condominium
C) Residential Subdivision fa Commercial Subdivision Address:
ID Single Lot Commercial 01 Multi Lot Commercial City, State, Zip:
Other Phone /Fax:
E -Mail:
6. WIII the project Involve any off - site work? ❑ Yea ip No ❑ Unknown
Location and description of off - elite work
7. Additional comments or Information that may be heeded to understand your project •
This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permite, Site Development Permits, DEQ
1200 Permit or-otharpermits as Issuedby:the Department of Environmental =Qual ly, Department of State Linde and /or Department of the Army - -- - - - -
COS, All required permits and approvals must be obtained and completed under applicable focal, state, and federal law.
By elgning this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority
to enter the project site at all reasonable times for the purpose of Inspecting project site conditions and gathering Information related to the project site I certify
that I em familiar with the Information contained in this documenL and to the best of my knowledge and belief, this Information in true, complete, and accurate,
Print/Type Name Print/ yrpe Title
Signature Date
FOR DISTRICT USE ONLY
I] Sensitive areas potentially exist on site or within 200' of the elte. THE APPLJCANT 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 Resources Assessment Report i
y elag be required.
Based on review of the submitted materials and beat available Information Sensitive areas do not appear to exist on site or within 200' at the Bile. The
Sensitive Area Pre - Screening Slte Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently
discovered, This document wit eerve as your Service Provider letter as required by Resolution and Order 07-20, Section 9.02.1. All required permits and !
approvals must be obtained and completed under applicable local, State, and federal law.
d Biased on review of the submitted materials and best available Information the above referenced project will not significantly Impact the existing or potentially
sensitive area(s) found near the site, Ina 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 letter as required by Resolution and Order j
07.20, Section 3.02.1. All required permits and approvals must be obtained end completed under applicable local, state end federal law, I
❑ This Service Provider Letter Is notvalld unless CWS approved site plan(e) are attached,
❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92,040(2). NO SITE ASSESSMENT OR
SERVICE PROVI! ER LETTER I- : EOUIRED,
Reviewed by 1 £ ' £,tom./ Date 5/2-5 9
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1 S I'I1011� ' ( �d, �,i, , .
2 Mid 13C213SU1 dH Wd21 rt T TOZ Bi Rei4
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MAY 1'
111 14 ° Building Division C/ 2011
Development Residential Projectr oS Review B11TLDl � DI MS,
TIGARD
Building Permit No: " — � " 5 �Q�,(
CWS Service Provider Letter Received: Yes ' No ❑ N/A ❑ ; � P-O ' 1 t
Routed Plans:
Original Plan Submittal Date: 61/ 7 /f
15t Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (/) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review (contact .mo L at 503 - 718 - .�`r�l or SIU44141 @ tigard- or.gov)
Land Use Case i o. / Name �l (� i ! e. LC
ET' Zoning K s f
Setbacks:
yront c Rear is Side S Street Side ( Garage �O
Maximum Building Height 'O Actual Building Height
al —/ Visual Clearance
Id .. asements Sensitive // _ l j�,
ld �-' �ds Type: L20,6 S Li -1 "/
Notes: +ILCiAA 36
Original Plan: Approved Q Not Approved ❑ Date: bit iC I(
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: / O
Notes:
Original Plan: Approved Zr. Not Approved ❑ Date: g
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
Er Street Trees
IF Protected Trees
Notes:
Original Plan: Approved d Not Approved ❑ Date: 64 % . • n
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
/
Okay to Issue Permit: Yes ' ❑
Date Routed to Building: .'/ r i ti fifr
Page 2 of 2
GRAPHIC SCALE
1 20 0 10 20 40 80
(IN FEET)
1 inch = 20 ft.
77 78 79
9 `
7r) R �16 ' 1 /
VENTURA COURT N g2 1,M> --<----_
)0'00 "W 620.86' (621.00')(P)
BASIS OF BEARINGS -
iINGTON SQUARE ESTATES NO. 3"
FOUND 2" ALUMINUM
N CAP IN CONCRETE,
ILLEGIBLE, HELD [PLAT]
(S 87'00'00" E 70.00')(P)
• S 87'00'00" E 70.04'(M)
\ tW f •
FOUND 5/8" IR
DOWN 0.3' I FOUND 5/8" IR W /YPC
HELD [PLAT] 1 �' STAMPED "MARX & CHASE"
DOWN 0.4', HELD [SN 19,202]
ii
63;d y -6' WOOD FENCE
..-..m o ^ BEGINS HERE
' 06 "� 1.5' WEST OF
0 O ( ear Q � ` � 7 O b PROPERTY LINE
00 0 0 108
•
re) to
',"--:\ FENCE JOGS TO
0.5' WEST OF
4 „ T 44.4„ PROPERTY UNE
, ` 1,S Al10.41 �` ?v+J °
Rf
b FENCE ENDS HERE M ��
LIES 0.4' WEST OF P 0 0
S Lo
0 a -LINE (A v 0•
0 C J FENCE UES
Z O 0.6' WEST OF
Z ❑ PROPERTY LINE
FENCE JOGS EAST f
AND IS ON PROPERTY
LINE HERE
0
4' CHAINLINK FENCE °
FENCE UES
BEGINS 5.6' NORTH
0.3' WEST OF
OF SOUTH LINE &
—PROPERTY UNE
0.7' WEST OF UNE - ■
•
I N 87'03'53" W 69.84'(M)
(N 87'00'00" W 70.00')(P) FENCE CORNER IS
FOUND 5/8" IR 0.2' EAST Sc 0.5' NORTH
HELD [PLAT] X.
71 P P �2
S S � o.
CO
a3
CD . F . rThli
G) � .
c -4 '°'` fl i
00 0