Permit q CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2009 -00198
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2009
TIGARD Parcel: 2S103DB10500
Jurisdiction:
Site address: 13215 SW GENESIS LP
Subdivision: Lot:
Project: Riles
Project Description: Replace existing deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: p
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: sf Value: $13,272.70 Rear: 20
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
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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)
RILES, JOHN R & SUZANNE B EDELEN CUSTOM DOORS &
13215 SW GENESIS LP WINDOWS INC
TIGARD, OR 97223 700 NE 102ND AVE
PORTLAND, OR 97220 -4005
PHONE: PHONE: 503 - 255 -6552
FAX:
Total Fees: $559.36
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 in OAR
952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
By: _ �
Issued B ry ( A ill /LL\ Permittee Signature: /
�A ' N lJ,
' . Building Permit Application 1 , GI c
Residential RECEIVE FOR OFFICE USE ONLY
r City of Tigard Rec •� Permit No.: • i��y • =
13125 SW Hall Blvd., Tigard, OR 97223 0 T Q 1 200 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �gy. 6.44- l0 • ' Other Permit:
TIGARD Ins Line: 503.639 =,�� r•eReadyBy: _l f 1 " El See Page 2for 09 Internet: www.tigard-or.gov CITY OF fied/Method: l ( / � I Supplemental Information
BUILDING DIVIS • (K2
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.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder $ Other: . 0 ec 4. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /3a /S .5 (,J, G. en e s; . Lao.N New dwelling area: square feet
City/ State/ZIP: -- r . ? „,,,,,,, / ok. 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: R . / e s Covered porch area: square feet
Cross street/directions to job site: Deck area: it 7o ter square feet
-SW 1 15 +6 A bte 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.: S id 3 Indicate the value (rounded to the nearest dollar) of all
05 C) 0 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: 1 2 a � � d
Omit CXS;S :ne� 6 ec x e- in Sfa // / � ■
�/ Existing building area: square feet
Z e a l ACe rrt e., f
New building area: square feet
I
ER PROPERTY OWNER ❑ TENANT Number of stories:
Name: Tr) h n c1.... zu q g i l eS Type of construction:
Address: /3 a /s S ,w, G -enes. S L ✓, , t . Occupancy groups:
City/State/ZIP: -r o12e° n cl7 a3 Existing:
U
Phone: (sz, - 6. y 6 Fax: ( ) New:
($ APPLICANT RI CONTACT PERSON NOTICE
Business name: (de 1 x i e) : ,ses All contractors and subcontractors are required to be
Contact name: �a ri �' fSts� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 700 p F l0 2 hd /q ,,,, e jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP:
rf'Jg„Q/ oi 572 .o apply:
Phone: (5 , 5 - 1 9 . , . . K 0 4 , 7 Fax:: (V) 3) ASS- De L2k,
E -mail: N✓,e.44) RI_ (-(jC /to deers • ez,h
CONTRACTOR
Business name: SA me BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/ State/ZIP: Structural plan review fee (or deposit): i l Q , 5 L4
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: 7 D ,26 ) • ItA •`\ Total fees due upon application:
Amount received:
Authorized signature t Thi permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Y , ( / .0-50 Date: /d_ k 9. * Fee methodology set by Tri -County Building Industry
Service Board.
I:1Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02/COM/WEB)
,
Building Permit Application Checklist
One- and Two- Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No
1 3125 SW Hall Blvd., Tigard, OR 97223 Associated
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑Mechanical
T[ G A R D 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 engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be a. +licable to the sro'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- RES- PemtitApp.doc 03 /21/06 440.46t3T(11/02/COM/WEB)
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 1111N • Oa q g
PLANNING DIVISION:
Required Setba ,j4/01 Approved"- 0 Not Aporoved
Side: Street Side _g
From. ee
,
Visual Clearance: 13 r 1. 1
Maximum Building 450 ■o:
CWS Service Provider Letter Required 0 '
. yok Ca V6
la ■ikld
e 69-(pi
ENGINEERING EPARTMENT:
Actual lope: % W Approved 0 Not Approved
Site PI : VI 0
By: V Date: lel 2-- 0 9'
Notes: -u_ed LIA4.4
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO: PitSt 2 00q - 001
pproved 0 Not Approved
Street Trees:
G/Approved 0 Not Approved
Protected Treo:
— 7 —
By: of, rs Date: I yro
Notes: