Permit n CITY OF TIGARD MASTER PERMIT
II
s : COMMUNITY DEVELOPMENT Permit#: MST2013 00234
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2013
Parcel: 2S 111 AD14800
Jurisdiction: Tigard
Site address: 14783 SW 91ST AVE
Subdivision: MALLARD LAKES Lot: 14
Project: FUSICK
Project Description: Constructing a 7 ft.fence.
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: $4,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 add'I 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
Other N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF 0
Owner: Contractor:
FUSICK,MARK E&JONI W Required Items and Reports(Conditions)
14783 SW 91ST AVE
TIGARD,OR 97224
PHONE: PHONE:
FAX:
Total Fees: $240.63
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 952-001-0090. You may obtain a • es or direct questions to OUNC by calling 503.,:2,1987 or 1 00.332.2344.
l
IF
Issued By: i Permittee Signature: / L
Call 516 :A( 75 by 7:00 a.m.for the next available In-•ectlo• ./1.
This permit card shall be kept In a conspicuous place on the job site' ntil-••etion of the project.
Approved plans are required on the Job site at the time o each inspection.
Building Permit Application
Residential FOIZ order: USE ONLY
�1
T
City of Tigard CEIvE; � Received t d Date/By: //hiI3 �/ Permit No.: nS'7'2 1 2. 'yi
13125 SW Hall Blvd.,Tigard,OR '�L'�'3 Plan Review 1 nW
C ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: orris: ® See Page 2 for NOV 2013
Internet: www.tigard-or.gov
Notified/Method: Trip Supplemental Information
TYPE OlCWF TIGARD . REQUIRED DATA:1-AND 2-FAMILY DWELLING
1;Ut RIVISION Permit fees*are based on the value of the work performed.
❑New construction t p
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.
RI-and 2-family dwelling El Commercial/industrial Valuation: $ ki roO
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7/s t /C/ 7 r 3 New dwelling area: square feet
City/State/ZIP: f tJ q yv O e 97003 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ru,j!.G Covered porch area 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.: /V 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.
7/ (ri L< Valuation: $
Existing building area square feet
New building area: square feet
'® PROPERTY OWNER ❑ TENANT Number of stories:
Name: m a y.i c 1 C S I L k Type of construction:
Address: / L/7£' ; f/J t Occupancy groups:
City/State/ZIP: 7a i.jt e/ Existing:
Phone:(Sol 3 ) 7 gf g 3 f 5 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON . BUILDING PERMIT FEES*
(Please refer to fee schedule) .
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application: •
Phone:( ) Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C 0.7 ,`pet k- g 2c Ca v 4+ 1(r'0N Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: t 7G 61 7 S evedfo`vet-- (...,, y Solar Installation Specialty Code checklist.
d
City/State/ZIP: S4 7` /Q Permit Fee(includes plan review
t:✓�U p ra and administrative fees): $180.00
Phone:(f 7/).„2.3 5----__ 7 7 , 0 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: /7 70 2 S"—
_ Total fee due upon application: $201.60
Authorized signature: / Ale , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: / / ^ e/ _/ ' 1 *Fee methodology set by Tri-County Building Industry
j„,t / CL J et e•-• Date:/j ! Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
•
Building Permit Application Checklist
One- and Two-Family Dwelling • FOR OFFICE USE "OiNLY
City of Tigard Received
Permit No.:
n 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
O. Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 ❑ Electrical . ❑ Plumbing ❑ Mechanical
-TIG'AKD ••'1
Internet: www.tigard-or.gov ❑ Other:
'THE FOLLOWING-ITEMS ARE REQUIRED FOR PLAN, RE-VIEW Yes No N/,'
I Land use actions completed. See jurisdiction criteria for concurrent reviews: :• : ❑ ❑ ❑
2 Zoning. Floodplain,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 al I 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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
11,„, .
Building Division
Development Code Provision Review
T l c n 1z D Residential Projects
o.
Building Permit No.: f i,S-r0(3—c,0d'31 j
Project/Subdivision Name: Mall a,d Lai beJ Lot #: i4
Site Address: 147 83 SO 91s h A-re_
67402.0 °IOSo Sw Pinebro0\L 5'1 .
CWS Service Provider Letter:
Required:Yes ❑ No
Received:Yes ❑ No E'
Plans Routed:
Original Plan Submittal Date: 11141/3 Routed By:
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd Revision Submittal Date: ❑ Site Plan Only Routed By:
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 (1) 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 Cinery I Cal nes at(503) 718- a y 3 7 or C..kery I C.- @tigard-
or.gov)
Land Use Case No. N 1
Zoning R - .5
/ Setbacks:
/ Front _ Rear Side Street Side Garage
Maximum Building Height: 8 - Actual Building Height -��
Visual Clearance P1/ A
Easements -' cx l o n S rca (v-c1- ,oaf e^^e^-� .- �'a"'°` e s
)2r Sensitive Lands Type: N/
gr Street Trees 0/'4
Protected Trees N/
Notes: PrO )0 St c( 7 -4--t- . C l- al o.. rt c i p r-u pe
Po ( .4)01 c x-1;1 4--v) Pi^e 3 -tom. a aJ e —e .
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_R$S,doc Rev.01/1_6/13
Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov).
❑ Actual Slope:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approv-• a" Not Approved ❑ Date:
Revision 2: A•-.'oved ❑ Not Approved ❑ Date:
Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albeit @. . • or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applic..- :
Revision 1: Date Sent to ' . cant
Revision 2: Date Sent . Applicant
Okay to Issue Pe-- t: Yes ❑ No ❑
Date Routed to Building:
Page 2 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
o 1 r e t2✓ rye .
PINEBROOK ST RECEIVED
APPROVED NOV 4 2013
f-- TIGARQ
BUI DING DIVISION
9080
7, •
14795 14802 III
J Fi
•
1480 P
Feet
0 63