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Permit CITY OF TIGARD MASTER PERMIT III - C - COMMUNITY DEVELOPMENT Permit#: MST2014-00028 Date Issued: 03/11/2014 TIGARD 13125 SW Hall Blvd.Tigard OR 97223 503.718.2439 Parcel: 2S110DD04600 Jurisdiction: Tigard Site address: 15635 SW OLD ORCHARD PL Subdivision: SUMMERFIELD NO 3 Lot: 148 Project: RIGGS Project Description: Construction of a 640 sq ft patio cover 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 $6.000 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 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 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 WI Svc or Fdr 0 Ea addl 500 sf 0 201-400 amp 0 201-400 amp 0 W/O SvcrFdr 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 VB R-2 C Owner: Contractor: RIGGS.CHERYL TK SQUARED ENTERPRISES LLC Required Items and Reports(Conditions) 15635 SW OLD ORCHARD PL PO BOX 230783 TIGARD,OR 97224 PORTLAND.OR 97281 PHONE PHONE 503-407-0597 FAX 503-246-8319 Total Fees: S295 48 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 nce 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 ENTION- Oregon law roquucs you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1-0010 through OA •001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232.1987 or 1.800 332 2344 Is ed By: `� °i( 4-4. 1 Permittee Signature: k C' - -1 -� 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. A. ► Building Permit Application �j Residential rr{�v Y� FOIL UI FICE Ii SE ONLI �V 3 City of Tigard Received DateB : l PermitNo.. M. i . 1._' ill -• 13125 SW Hall Blvd.,Tigard,OR 97223 7-114 Plan Review j► ■ .S`=i � •her Permit: Phone: 503.718.2439 Fax: 503.598.1964 t A� DarcB : / TI f.;A R h Inspection Line: 503.639.4175 M OC T A�� Date Ready :y: `/d/' 1 i ® tiee Pale 2 tnr Internet: www.tigard-or.gov C 11.blx Notified/Method: ;- 1 Supplemental Information (IN V)INIS1� Zur L,..71 cam` TYPE OF W Ti�,)\�G REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees* are based on the value of the work performed. Indicate the value(rotmded to the nearest dollar)of all ❑Addition/alteraion/replacement El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling ❑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: I- Job site address: /56,35- 6'4,) Lt,6 OfiC lf/92 p /l-.4-c c New dwelling area: square feet City/State/ZIP: r162-0 Jog_ g 7_2 a y Garage/carport area: square feet Suite/bldg./apt.no.: Project name: g 166S/ (j/t Covered porch area square feet Cross street/directions to job site: Deck area: square feet i` Other structure area: square feet �` REQUIRED DATA:COMMERCIAL-USE CHECKLIST ,J� Subdivision: I.ot no.: Permit fees*arc based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this lication. DESCRIPTION OF WORK �P C - v C Valuation: S Existing building area square feet New building area: square feet ii ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: C jQ y L A.16,6 S Type of construction: vAddress: /5-40`�S 6 LJ O t:t: O t2 C if4h2Q f2 - C Occupancy groups: City/State/ZIP: T (GA-,,0 / 02 177 Act y Existing: 4 Phone:(so 73 6-57)-Z/6,Vo Fax:( ) New: (z' ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business Warne: (Pl�erefow fee schedule Structural plan review fee(or deposit): — Contact name: - FLS plan review fee(if applicable): ' 3 Address: Total fees due upon application: -- City/State/ZIP: }'-Phone:( ) Fax::( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* tCommercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. * Business name: !J i 1 i , 'S f k A 't A.1 6, l k 604 A b €14T / Cr.- Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: p©-? 0 yX ')-307 3 Solar Installation Specialty Code checklist. City/State/ZIP: Lb O2 C}7g/ Permit Fee(includes plan review $180.00 and administrative fees): Phone:(1503 y07_059 7 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: D a fiA 4 rt tr h Total fee due upon appication: $201.60 Authorized signature: ( 61,00k This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: pl(f<. , 600/4-- Date: 3-S - a ay *Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) a n, Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE O\I.1 City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By II Phone: 503.718.2439 Fax: 503.598.1960 Associated Amin TIGARD 24-Hour Inspection Line: 5013.639.4175 ❑ Electrical ❑ Plena,'� ❑ :Me,henicaI Internet: www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 'i" No v.1 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. ❑ r. ❑ ❑ 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 ro'ect under review. 23 Three(3)siteplans are required for Item I I 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"buildingplans 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. t:l Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/W EB) a- . a Building Permit Number: TP?e l k—(Loa 8 IN • Building Permit Review Residential Projects TIGARI) Site Address: t 35-j" 544) aL t. = ZA /'L, Verify site address is valid. Project Name & Lot #: 5a- ,ti,U , eca4., Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995) Required: Yes ❑ No ❑ Received: Yes ❑ No ❑ Site Plan Elements: Site plan must be on 8-1/2"x 11"or 11"x 17"paper ,Three(3)copies of site plan Drawn to scale(standard architect or engineer scale) %North arrow ❑Map and tax lot number,site address,project or subdivision ❑Footprint of new structure(including decks)with finished name,lot number,and zoning floor elevations ❑Applicant information(name and phone number) . Lot and building setback dimensions ❑Property corner elevations(2 foot contour lines if more than ❑Lot area,building coverage area,percentage of coverage and 4 foot differential) impervious area. ❑Utility locations ❑Location of wells/septic systems. El-Existing structures on site CI Surface drainage CI Street names CI Street tree size,type and location ❑Erosion control(including drainage-way protection,silt fence ❑Existing trees to be retained with drip line,and tree design,location of catch basin,etc.) protection measures Planning Review ❑ Land Use Case Number: Al A ``,� J Zoning. g--- 12.C/"v ❑ Setbacks: 1 Front / b Rear g Side 7 Street Side Garage ❑ Landscape Requirement: ❑ Lot Coverage Maximum: I Building Height: /U Maximum Height ' Actual Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands: ❑ Yes Type ❑ Urban Forestry Plan ❑ Conditions Satisfied r Date: - Sl-/y Approved by: (/ Notes: Revisions (after Building Submittal only) Reviewer Date Revision I Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ I:\Building\Forms\BldgPermitRvw_RES_123013.docx 4 'w Building Permit Submittal Original Plan Submittal: Date: 3Ic-iiii By: Q 7-- Site Plans: # 3 Building Plans: # Create Case Record#: Iri rater case# above for Building Permit Number. Workflow Routing: Manning D Engineering 0—Permit Coordinator 0—Building Workflow Sign-off: [Sign-off for Planning staff,including notes from planning review (page 1) Route Application Documents: C .ngineering: (1) copy of permit application, (1) site plan, (1) building plan and l plan review routing form. 011il Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Reviewed By: Date: Notes: Engineering Review—reviewed by d /. C/i� ,e -1---) Actual Slope: .2. 1 7e Ira- C=onditions Sa 'stied Notcs. •erre,0,111r- ��s-_s•`� ._...r.Af -if _ �_- Z0e- Approved by: 1G 116-1(-z-,4--"/"2 Date: 6___iii Revisions (after Building Sul:,miittal only) Reviewer Date Revision 1 Approved Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ P it Coordinator Review Conditions Met-Prior to Issuance of Building Permit Notes: Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applic. • Revision Notice 3: Date Sent to Ap. .•. t Okay to Issue Permit- ' /, ■ZI Date: 3/`Ol/ 1:1Building\Forms\BldgPennitRvw_RES_123013.docx