Permit CITY OF TIGARD MASTER PERMIT
:- 2 : COMMUNITY DEVELOPMENT Permit #: MST2012 -00055
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/14/2012
Parcel: 1 S 133AC09400
Jurisdiction: Tigard
Site address: 10820 SW BRIARWOOD PL
Subdivision: HAWKS BEARD TOWNHOMES Lot: 12
Project: Autumn Park
Project Description: This permit is for addresses: 10820, 10830, 10840, 10850 & 10860 SW Briarwood and 10825,
10835, 10845, 10855 & 10865 SW 130th Ave. OSB dryrot and some framing repair.
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: $2,500.00 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
Fum <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 st 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
Other N Other Description: Ecompasing: N
•
BUILDING INFO ,
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SFA 0
Owner: Contractor:
AUTUMN PARK HOMEOWNERS ASSN. SEAN GORES CONSTRUCTION INC Required Items and Reports (Conditions)
TIGARD, OR 97223 PO BOX 1519
CLACKAMAS, OR 97015
PHONE: PHONE: 503- 723 -7500
FAX: 503- 723 -7504
Total Fees: $133.65
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code and all •ther applicable law. All work will
be done in -:.:. ce with approved plans. This permit will expire if work is not started within 180 days of issuan- - or if ork is suspende• • -. _ - the 180
days. • ENTION: • -gon law requires you to follow the rules adopted by the Oregon Utility Notification : ter. Those rule .re set forth in OAR
952 -0. -0010 through OA • 95 -I 1 You may obtain a copy of the rules or direct questions to OUNC by calling 503..E 1987. 8
.....• By: -- Permutes Signature: ��l� �-
i
Call 503.639.4175 by 7:00 a.m. for the next available inspecti• �'
This permit card shall be kept In a conspicuous place on the job site until c • • Ion of the project.
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application '
Residential _ FoR 01-TICE ICE LS t: iN ONLY
City of Tigard RECEVP. I eceived 2 �� � a
Permit No.: % /�/� -���
II •
b ., : b ateB !%�
13125 SW Hall Blvd., Tigard,OR 9722 Plan Review
• . Phone: 503.718.2439 Fax: 503.598.1960 MAR 1 4 20,2 Date/By: Other Permit:
l' i G A it r> Inspection Line: 503.639.4175 Date Ready/By: Juri8: ® See Page 2 for
Internet: www.tigard or.gov p CITY OF TIGARD Notified/Method: , Supplemental Information
BUILDING 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
❑ Addition/alteretion/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling 11 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: j � "30 f pyl /c$9Jq /4'a 64 4eilzer) C°' � , ) New dwelling area: square feet
City/State /ZIP: t �E E /G$o'ts / /c % le4b , ' Garage /carport area: square feet
'13e
Suite/bldg. /apt. no.: Project name: 40 ) M u r6 K Covered porch area square feet
Cross street/directions to job site: /� Deck area: square feet
Q,S /� '/ IQ
i e07 2I* pa 1 rQ a sp t- y /us P'D, Other structure area: square feet
7 T REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: l Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ Z..S• O °
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 4 o j vil Li P,9,e /7 6 /9 Type of construction:
Address: A Occupancy groups:
/c »
City /State /ZIP: , Peis /Of 4. ! �— .ie ix.DO,-) [_ ' e)C /2(£i/ Existing:
Phone: ( ) Fax: ( ) / New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Structural plan review fee (or deposit):
Contact name:
Address: FLS plan review fee (if applicable):
Total fees due upon application:
City /State /ZIP: , eP5
Phone: ( ) Fax:: ( ) Amount received: ° / 35
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
. roof -top mounted Photo Voltaic Solar Panel System.
Business name: S£ici� 6 &XIS 7 /A) c Submit two 2) s .. • roof plan with connection details
and fire department ace- . along with the I ! ; 'egon
Address: P o 6 0 ,/ x is / 9 Solar Installation Specialty .de . - - 1st.
jf �
City /State /ZIP: d, GK I r S 6� 7 Permit Fee (includ- view $180.00
O an • .. mistrative fe • - •
Phone: (Sol 7a 3- - .)s - pc. Fax: (.,5-433 7 Z 3-
- 7�D`� harge (12% of permit fee): $21.60
CCB lie.: i & $ s 1 �........ Total fee due upon application:
01.60
Authorized signature: A/ Pr '' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: D a t e: * Fee methodology set by Tri -County Building Industry
`+ �J!�'Jt 3' /�/' / Service Board
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Building Permit Application Checklist ' '
One- and Two- Family Dwelling FOR OFFICE: uSE ONLY
Received
i City of Tigard Permit No.:
Date
/By:
1 3125 S W Hall Blvd., Tigard, OR 97 Date/By: 0 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
l' i G n tt p 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑Mechanical
Internet: www.tigard - or.gov ❑ Other:
1 -IE 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 k,
sheet attached to the plans with cross references between plan 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, waterheater, ❑ ❑ ❑
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 asiloor 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 all 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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