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Permit .�t CITY OF TIGARD MASTER PERMIT CITY V IN - COMMUNITY DEVELOPMENT Permit#: MST2013-00235 TIGpRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2013 Parcel: 2S102CCO2700 Jurisdiction: Tigard Site address: 13965 SW 102ND AVE Subdivision: FRELEON HEIGHTS NO.2 Lot: 11 Project: Taylor Project Description: Permiting construction of(2)additions, 310 sq ft and 45 sq ft,done in 1996. BUILDING . Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 350 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 77 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Yes Total: 350 sf Value: $40,605.74 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 Other Fixtures: 0 Drywell-Trench Drain: 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 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: 0 201-400 amp. 0 201-400 amp: 0 W/O Svc/Fdr 1 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: ADD SF VB R-3 350 Owner: Contractor: TAYLOR,PETER H&BONITA J OWNER Required Items and Reports(Conditions) 13965 SW 102ND AVE PETER&BONITA TAYLOR TIGARD,OR 97223 13965 SW 102ND AVE TIGARD,OR 97223 PHONE: 503-639-8701 PHONE: 503-639-8701 FAX: Total Fees: $1,191.00 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 accorda - ith 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: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 01-0010 through OAR 95-.:'1-s09 . •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 332.2344. Issu By: / /l�'/L,14_42., Permittee Signature: y6 Y4/.PJ/ L��� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Thls 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 OFFICE USE ONE). City of Tigard RECEIVED RDeact : //ff 1W114... PermitNo.: /ysT�i3_t�o�5s 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �I C Phone: 503.718.2439 Fax: 503.598.1960 NOV 6 2013 Date/B : /rd��� IN Other Permit: TI G A R D Inspection Line: 503.639.4175 Date ReadyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: // 013 4 •� Supplemental Information r TYPE OF WORIeUDING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. d -52-03...-f XI 1 NY Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement Other:peF 1.4,r III- equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. �-and 2-family dwelling Valuation / , y g ❑Commercial/industrial �"`'`?� ❑Accessory building ❑Multi-family Number of edrooms: ❑Master builder 12 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 0./4 5-,-S; u). .10' -' f(v New dwelling area: C2 - It square feet s•tj-0- City/State/ZIP: I rJ A. r 4 o} 772.-)._ Garage/carport area: square feet 77 Suite/bldg./apt-no.: "1 J"Project name. " z_64., Covered porch area square feet Cross street/directions to job site: Me. . ance) 51--: Deck area: square feet Other structure area: square feet IT REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I c011 �e�3 t+ No, 2_ Lot no.: f ( 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 nDESCRIPTION OF WORK work indicated on this application. IJU M fr—w o..�-vi ii 1-t��. a I f,,,,d Valuation: $ - i �l a +�e-C t Existing building area square feet New building area: '( 6-1■c I tL square feet 35-0 0 PROPERTY OWNER ❑ TENANT Number of stories: / Name: /ef-e Y .1-f- 41�5 i -J ki IO'� Type of construction:ll Address: 1 3 y6,t,-6 .u) f 0-2_ Ave-, Occupancy groups: City/State/ZIP: 7 4 y7 j ©/{)- y 7o )3 Existing: Phone:( ) bJ % --Flo I Fax:( ) New: . ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) 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: .#3/6, 5"-:, E-mail: PHOTOVOLTAIC-SOLAR PANEL SYSTEM FEES* • Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Q to A)EA` Submit two(2)sets of roof plan with connecti.• details and fire departme . cess,along with .= " 110 Oregon Address: • Solar Installation Specia Co,= ecklist. Permit Fee(in .- p •1 eview City/State/ZIP: administrative $180.00 Phone:( ) Fax:( ) States harge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 • Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:�Q ' ^�` ��1` Date: /��6 r/3 Service Board :\Building\Permits\BUP-RESPetmitApoc 02/24/2011 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.: lig V 13125 SW Hall Blvd.,Tigard,OR 97223 Associated C Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical -1 IC,,\\R'D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW yes No •/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 ❑ El 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- 0 ❑ ❑ 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 .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) . Electrical Permit Applicatiof E I.OR OFFICE USE ONLY Received City of Tigard NO V Date/By: CI CP 13 I Permit No.:N Tom/3-002 3S 13125 SW Hall Blvd.,Tigard,OR 97223 6 2013 Plan Review ,' C Phone: 503.718.2439 Fax: 503.598. Re Date/By:Received Other Permit: '1,1�, a Inspection Line: 503.639.4175 p'' VOFTIGARD Date Ready/By: Juris: IA See Page 2 for Internet: www.tigard-or.gov puICD�/�^'�ISIO Notified/Method: .Supplemental Information TYPE OF WORK • 171�J 'PLAN REVIEW • . ❑New construction ❑Addition/alteration/replacement y Please check all that apply(submit 2 sets of plans w/items checked below): Pte► ,7 �T�/�L R I S 1 I • y s ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition Q Other. , 1/riI• where the available fault current ❑Marinas and boatyards. 'CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ' less to ground,or exceeds 14,000 ❑Commercial-use agricultural []l-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder Other:' 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION '❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","I-3", Job no.: Job site address: ` -t IOOHP or more. occupancy. 3 ' , q' e 7• • 1 O/ 1� ❑Six or more residential units. ❑Recreational vehicle parks. • / 77g2_,3 ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: 1 yet 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Yne 41 0�/y K,4 6) S Description I Qty. I Fee. I Total I • �/ New residential single-or multi-family dwelling unit. ( Includes attached garage. Subdivision:_ft/eJ en1O ei3l,,•f^1+_ p'7 Lot no.: /f 1,000 sq.ft.or less 168.54 4 f �/ ,1 `t7 h Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: ,3 /2 cc, —0 r'a, Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 ' /a I„�5 l PU�- I e)1C ?, h p de pr5 residential(with above sq.ft.) C/1 Y` 1 ✓ /� `'Kd �7 Renewable Energy • ❑ See Page 2 Services or feeders installation,alteration,and/or relocation [Q"PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2 n I 201 amps to 400 amps 133.56 2 Name: /�cte H. ,- Bon tQ 2 T119'y f Ov- 401 amps to 600 amps 200.34 . 2 Address: 1113 7 b5 cr � /40 s e 601 amps to 1,000 amps 301.04 2 `l ^�V� Over 1,000 amps or volts 552.26 2 City/State/ZIP: I J vV/J ON, // 3 Temporary services or feeders installation,alteration,and/or Phone:(,93)-- -/ p' j Fax:( ) relocation _ vY�! 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchan_e,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: 1,4,,,-- ,,, Date: Jr-�-0 Branch circuits-new,alteration,or extension,per panel ' , '❑ APPLICANT e ❑ CONTACT `PERSON . A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: • each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first ' branch circuit 56.18 2 Address: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 Phone:( ) Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 - Business name: O W !v Ea- Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) ' 66.25/hr City/State/ZIP: Investigation(I hr min) 66.25/hr Phone:( ) Fax:( ) . . Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(/=hr min) ELECTRICAL'PERMIT FEES ' ' Suprv.Electrician signature,required: Subtotal: Print name: Date: Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: rRESIDENTIA'L WORK,ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I Qty. I Fee I Total I Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems*. 15.01 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 2 ❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 ❑ Each additional inspection over allowable in any of the above: Other: • Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) • Inspections for which no fee is 90.00/hr specifically listed('h hr min) •COMMERCIAL WORK ONLY: j ELECTRICAL PERMIT'FEES , '` Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required • for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 Building Division Development Code Provision Review T l G A R D Residential Projects CJ Building Permit No.: HT�O —ova-3 Project/Subdivision Name: -Y L/2- , Lot #: Site Address: /34 le S t O a 1L) t CWS Service Provider Letter: Required:Yes ❑ No Received:Yes ❑ No Plans Routed: Original Plan Submittal.Date: / 3 Routed By. 1" 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 (✓) 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 9Th'7 p47,...Ag at(503) 718-213y or @tigard- ongov) Land Use Case No. Zoning - backs: O Front Rear Side Street Side Garage (0 Maximum Building Height: Actual Building Height ❑ Visual Clearance k1 ❑ Easements 'V ❑ Sensitive Lands Type: ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: IL ` 7"l3 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_RES.doc Rev 01/16/13 Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov) ❑ Actual Slope: Notes: IVh COI1 pi---S Original Plan: Approved 12/71W Not Approved ❑ Date: _ 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 No ❑ Date Routed to Building: 111��- // •Z,, / Page 2 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR_RPS.doc Rev.01/16/13 P.- / Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325(2)) This statement is required for residential building, electrical,mechanical,and plumbing per mits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not submit this statement.This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that a II subcontractors who work on the structure must be licensed with the Construction Contractors Board. Oor I will be performing work on property I own, a residence that I reside in, or a residence that I w ill reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. 0 0-)4.-)rfet (Print Name of Permit Applicanj z.:&" //12— '' 11 —i — / S Signature of Permit Applicant Date Permit#: h 1--`94:71.2 - 00,g. 5 NAddress: 1 405 54)) [D� � ..��� i ;.4. 1.� Iss d by: �. /_ Date: ///g)//3 r_ This Copy for Permit Offices