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Permit CITY OF TIGARD BUILDING PERMIT ill i• a COMMUNITY DEVELOPMENT Permit#: BUP2014-00069 T t G A P O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2014 Parcel: 2S110BB04000 Jurisdiction: Tigard Site address: 12165 SW AMES LN Project: Peterson Subdivision: ARLINGTON RIDGE Lot: 17 Project Description: 8 ft.fence. Contractor: RIVER CITY CONTRACTING Owner: PETERSON, BRYCE D&KRISTI A 6625 SW 185TH AVE 12165 SW AMES LN BEAVERTON, OR 97007 TIGARD, OR 97224 PHONE: 503-828-6600 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: NEW Type of Const: Permit Fee-Additions,Alterations, 03/27/2014 $134.54 Demolition Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 03/27/2014 $16.14 Dwelling Units: 0 Plan Review 03/27/2014 $87.45 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/27/2014 $1.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $3,500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $239.13 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code. and •I /Jr pplicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan or ' wo uspended for more the 180 days. ATTENTIQN: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C.nter. Thrules are set forth in OAR 952-001- 0 through••- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987•r 1.8132.2344 Issued By: ,,Cei.„ ,,( A Permittee Signature: Call 503.839.4175 by 7:00 a.m.for the next available inspection da IV 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. .1 Building Permit Application Residential I t l ll (H I I t I I 'I (1\I , Received City of Tigard i,�� DateB : �� Permit No.:4F i •_ 13125 SW Hall Blvd.,Tigard,OR 97 �J Plan Re �7 Phone: 503.718.2439 Fax: 503. 1�G1� �.1 Date/B : Ara(; A.©a Other Permit: .- / / y„ �St^ o; U, 7 1 It l� Inspection Line: 503.639.4175 Date Rea; " See Page InteInternet: www.tigazd or.gov 7-°4 Notified/Method: ��� Supplemental 2 Infor formation I TYPE OF we n(� l,GI� REQUIRED DAT '1-AND 2-FAMILY DWELLING ❑New construction [ZI �G 1.01S10N Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ddition/alteration/replacement 91-b11114 equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. D 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 930 r ID Accessory building ❑Multi-family Number of bedrooms: CI builder Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 a/65- 5 a /4,.1 e 5 6,44e New dwelling area: square feet City/State/ZIP: ,Jr Kiel p✓L• Garage/carport area: square feet Suite/bldg./apt.no.: Project name: pe /coti 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: I Lot no.: Permit fees*are based on the value of the work performed. C /3 O,/ Indicate the value(rounded to the nearest dollar)of all ZJ Tax map/parcel no.: //Q /3 %oo° equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. _ s re Valuation: $ TJ Existing building area square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* 'I (Please refer Mite rlratrff) Business name: n I II C L (/J-,' con 4-t/ 4 f Structural plan review fee(or deposit): Contact name: D b� r. J — Q 5 � FLS plan review fee(if applicable): Address: L/V t/3 ,5 6,) 6reeiii ever 44'47 #‘3)S— Total fees due upon application. "7 q t°d t!i?� � y Amount receiv day: /3 Phone:(5 3 ) 6,016 66j06 Fax: :( ) E-mail: ��,eyS "a 31\ 6O�v► PHOTOVOLTAIC SOLAR P L SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: �,!�, Solar Installation Specialty Code checklist. �j 0/M e, A6 Permit Fee(includes plan review City/State/ZIP: // and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 13100,5-- Total fee due upon appication: $201.60 Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - Y *Fee methodology set by Tri-County Building Industry Print name: �Qtn q t y Date: a�j Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) A Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received permit No Iii Date/By 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits 1 Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No N/A I 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 applicable 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"buildingplans will not be accepted. ❑ ❑ ❑ 26 "Reversed"buildingplans 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 440-46131(11/02/COM/WEB) IL Building Permit Number: 62jQ /e.7.— ajc7 III ■ " Building Permit Review Residential Projects TI(.;ARD Site ddress: 12 f (o EE 'vk/ 46c-Vne3 L oo s•1t ertfy site address is valid. Project Name & Lot #: Clean Water Services —Service Provider Letter: (lot platted prior to 9/10/1995) Required: Yes El No tg Received: Yes ❑ No El 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. ❑Existing structures on site ❑Surface drainage ❑Street names ❑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: A EW Zoning: 1Z ?j.1j CVSetbacks: Front Rear Side Street Side Garage ❑ Landscape Requirement: 0--- ❑.I/Lot�overase Maximum:/'JP 0/0 Y_�7B ik guHee'ight: 23/ , / Maximum Height Actual Height Ek Visual Clearance ❑ Easements AA _ E 'Sensitive Lands: [i Yes Type /0",€57 7�o ❑ Urban Forestry Plan /,R- ❑ Conditions Satisfied I V ' / Y2-77/17 Approved by: i Date: Notes: Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved Cl t:\Building\Forms\Bl dgPermitRvw_RES_123013.docx b. Building Permit Submittal Original Plan Submittal: Date: 7l,4/./f By: Q /' Site Plans: # 3 Building Plans: Create Case Record#: E'1;nter case# above for Building Permit Number. Workflow Routing: Manning engineering EiPermit Coordinator ❑ Building Workflow Sign-off: l�ik�-off for Planning staff,including notes from planning review(page 1) Route Application Documents: Ingineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ding: 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: .L o-N T v i.5 O AI Ay-ual Slope: k Conditions Satisfied Notes: -7E3 Approved by: Date: 3 ' Z 2, /t/t Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved Cl Not Approved ❑ 'ermit Coordinator Review 17 onditions Met-Prior to Issuance of Building Permit Notes: Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to A.: 'cant 3//-71.-- Okay to Issue Permit- Ald / , Date: 3 I:\Building\Forns\BldgPerm itRvw_RES_123013.docx