Permit CITY OF TIGARD BUILDING PERMIT
'�-! - COMMUNITY DEVELOPMENT Permit #: BUP2011 -00161
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/22/2011
Parcel: 1 S133CC80131
Jurisdiction: Tigard
Site address: 14174 SW BARROWS RD 1
Project: Gauthier Subdivision: Lot:
Project Description: Replace insulation & drywall due to water damage.
Contractor: KENNEDY RESTORATION Owner: GAUTHIER, KYLE R & CINDI S
315 SE 7TH AVE 14174 SW BARROWS RD #13 -1
PORTLAND, OR 97214 TIGARD, OR 97223
PHONE: 503 - 234 -0509 PHONE:
FAX: 503 - 234 -4479
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee - Additions, Alterations, 07/22/2011 $104.12
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 07/22/2011 $12.49
Stories: 0 Height: 0 ft Plan Review 07/22/2011 $67.68
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 07/22/2011 $41.65
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $225.94
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 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. • ENTIO : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 8 01-001 0 through 0 • ' 95 .•01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 4.
I ued By: • I /tt / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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 oFFlcV USE ONLY
13125 SW Hall Blvd., Tigard, OR 9 . Received �� /1/ 4 t I permit No.: ' o p/ �oif 00/6 //
1L
City of Tigard
C : g ' '
O Plan Review / Phone: 503.718.2439 � pcl� Fax: 503.598 60 V 4\ S` DateBy:�
. Other Permit:
I' I G n R D Inspection Line: 503.639.4175 , Date ReadyBy: nn I Juris: 0 See Page 2 for
Internet: www.tigard- or.gov 0 �� No�e.� e od: 7 O ff , i 4 Supplemental Information
C ;# /rP At .'_?
TYPE OF WORK . / QUIRED 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
❑ Other: V-C--PA.1: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ Commercial /industrial
Valuation: $ 2
❑ Accessory building 1Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: Z
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: Hat/ sm.) gimittos 6E47, New dwelling area: 0 square feet
City /State /ZIP: 776,9 D (a / 72 2g Garage /carport area: SZ)f> square feet
Suite/bldg. /apt. no.: 4A - 1 Project name: TV/C... Covered porch area fi square feet
Cross street/directions to job site: IA A p -/ e 0 A lT beVse_Lpa etjTDeck area: square feet
ai t re 4c-c - t Y / CDet/ 40 O,?O 8'4 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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
DE CRIPTION OF WORK / / work indicated on this application.
re- /Gr t t v /G�/ / re/Ace dr W46/ e./ Valuation: $
/ Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups: •
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT Pl. CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: / RES7n rizp,/ Structural plan review fee (or deposit):
Contact name: M70477• 1, '( FLS plan review fee (if arplicable):
Address: 315
972-/q
City /State /ZIP: P i . 41' a 2 - Total fees due upon application: 6,
Amount received:
Phone: (S0) ‘•7 ` 1 — 7S 69 I Fax: : ( 0 3) 23
E -mail: iti 0 keimatres . eoi/ PHOTOVOLTAIC SOLAR PANEL SYSTEM.FEES *,.
Commercial and reside ial prescriptive installation of
C NTRACTOR roof -top mounted Photo ltaic Solar Panel Syst .
Business name: si9 ave Submit two (2) sets of roo Ian with conne on details
and fire department access, ong with 2010 Oregon
Address: Solar Installation Specialty de checklist.
Permit Fee (includes pl ceview
City /State /ZIP: and admini ativ fees): $180.00
Phone: ( ) Fax: ( )
State surcharge (1 0 of permit ee): $21.60
CCB lic.: 3402 74 (( �j
Total f upon app 'cation: $201.60
Authorized signature: This permit application expires if a permit is not obtained
,/ within 180 days after it has been accepted as complete.
Print name: kik ,r D ate: Z I * Fee methodology set by Tri -County Building Industry
1ptTT Y I Service Board
I: \ Building \Permits\BUP- RESPermitApp.doc 02/ 24/2011 440- 4613T(11 /02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
lc
City of Tigard Received Permit No.:
a 13125 SW Hall Blvd., Tigard, OR 97223 Date/By:
C ; - Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
• T fGA 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
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 ergineer or ❑ ❑ ❑
architect licensed in Ore_on and shall be shown to be a s licable 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.
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