Permit Is n CITY OF TIGARD I MASTER PERMIT
III ' - COMMUNITY DEVELOPMENT .f liv/6 • Permit#: MST2014-00086
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2014
Parcel: 25101 BC00500
Jurisdiction: Tigard
Site address: 12300 SW KNOLL DR
Subdivision: KNOLL ACRES Lot: 10
Project: Stolt
Project Description: 2/8/16, REPRINTED to correct project description: Replace and reposition windows in the two
western facing rooms of the top floor. Electrical work under ELC2014-00257.
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: $1,000.00 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 W/Svc or Fdr: 0
Ea add,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:
STOLT,FREDERICK OWNER Required Items and Reports(Conditions)
12300 SW KNOLL DR FREDERICK STOLT
TIGARD,OR 97223 12300 SW KNOLL DR
TIGARD,OR 97223
PHONE: 503-312-0657 PHONE: 503-312-0657
FAX:
Total Fees: $125.29
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. ' ENTIO . Oregon law requires you to follow the rules adopted by the Oregon •tification Center. Those rules are set forth in OAR
95 601-0010 through••.R 9 -001 09 . You may obtain a copy of the rules or direct questions t• •UNC by callig6 232.1987 or 1.800.332.2344.
ls'ued By: • /�! �_ Permittee Sign. . • _ 0,4
Call 503.639.4175 by 7:00 a.m.for the next available inspectio •ate.
This permit card shall be kept in a conspicuous place on the job site until • pletion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2014 00086
T tGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2014
Parcel: 2S 101 BC00500
Jurisdiction: Tigard
Site address: 12300 SW KNOLL DR
Subdivision: KNOLL ACRES Lot: 10
Project: Stolt
Project Description: (3)branch circuits to rewire 1st floor bedrooms.
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: $1,000.00 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
Bckftw 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 Twos 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 Tema Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr 0
Ea addl 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:
STOLT,FREDERICK OWNER Required Items and Reports(Conditions)
12300 SW KNOLL DR FREDERICK STOLT
TIGARD,OR 97223 12300 SW KNOLL DR
TIGARD,OR 97223
PHONE: 503-312-0657 PHONE: 503-312-0657
FAX:
Total Fees: $125.29
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 r = -••• =• by the Oregon Utility Notification Center. Those rules are set fo in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop •f the rules or di t questions to OUNC by calling 503.232.1987 or 1..8/00. 32.234
_ , "r'
Issued By: L� _ -�_ _ Permittee Signature:
t Ca�+�" •75 by 7:00 a.m.for the next available inspection d te.
This permit card shall •: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 �� I Olt (►I It I I .I I l�1 ,
City of Tigard 8.'N"y Received Permit No.: _` 13125 SW Hall Blvd.,Tigard,OR e< Plan eReviewr `j ` !r if I—
Phone: 503.718.2439 Fax: 503.* '+'t Other Permit:
Date/By: i / -dO 7
T I cl 1) Inspection Line: 503.639.4175 ‘05\b‘ Date Ready/13y: Jens H See Page for
Internet: www.tigard-or.gov w\ �a Notified/Method: G Supplemental Information
' 1p1k\
TYPE OF WORK .i.— to REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Di,ilvkt \` Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ddition/alteration/replacement El( ````: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 1 COO
l-and 2-family dwelling ❑Commercial/industrial t rU FC_-L�v f
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms: f
JOB SITE INFORMATION AND LOCATION Total number of floors: a
Job site address: /03 e 3 k) 14,mit i J r._ New dwelling area: square feet
City/State/ZIP: f,J C*-- ch aa3 \ Garage/carport area: j square feet
Suite/bldg./apt.no.: Project name: �)l nA»�� t Q, j j (IA rzys") Covered porch area: square feet
Cross street/directions to job site: Vrp rn 'IA)l spE�a/1!! t�ndi l 1)r / Deck area: I�9- square feet
* 44 ca\l St • ,J D gasf or, fC 1i D r 5 ahj /, is Other structure area: square feet
Q h ,,Le P f REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: 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.
Valuation: $
2 lit,514 r� I ( pins 61---' Q 46 Oar Existing building area square feet
/ New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Pp Q.f 1 r k C /+o I f 1l Type of construction:
Address: i a3 0( S 1 0 K .8 r' `2/� Occupancy groups:
City/State/ZIP: ---r6,ord tc, 9-aa3 Existing:
Phone:(03 ) 31 a _ 4:51,s7 Fax:( ) New:
JELAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee sole)
Business name:
/ Structural plan review fee(or deposit):
Contact name: Pere(l G S F
�� ail u pr FLS plan review fee(if applicable):
Address: f2 co
City/State/ZIP: Total fees due upon application: '/d ` Q'
--ft aa`3 Amount received:
Phone:(23 ) 3 s I? I Fax:::( ) _ -
E-mail: 54-6 l*' kZ i @ Cd►n c a57.n t°� PHOTOVOLTAIC SOLAR PANEL 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.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 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.
1�- *Fee methodology set by Tri-County Building Industry
Print name: �rP�e f I C i�T a Date: —a.— Service Board.
I:Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLI
City of Tigard Received
g Re Date/By:ive Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
74
a Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
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 1 es No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 10
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc ❑ ❑ 1
3 Verification of approved plat/lot. ❑ ❑ .O
4 Fire district approval required. Name of district: ❑ ❑ ff
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑
6 Sewer permit. ❑ ❑ 12
7 Water district approval. ❑ ❑ M
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ '4
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 12 ❑ a
basin protection,etc.
10 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 ❑ ❑ 0
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 ET ❑ ❑
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.
.Il RISUI( "I'IO\,k1, SPECIFIC'S
23 Three(3)site plans 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"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:1 Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
r
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 permits.
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 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 all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
I will be performing work on property I own, a residence that I reside in, or a residence that I will
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.
(4 enL So f
Print Name of Permit Applicant
k;' D — ig
Signature of Permit Applicant Date
Permit#: `111$7-0/OI'1
Address: if(1'1x0 SLA, JIV.)/i{ Or.
Issued by: 6 I ' Date: !D/oqM r1'�
it
This Copy for Permit Offices
, =-
! 'L_-L_- 1 - - -- 1- - 1 -i- 1 i r 1 J i - 1 - 1- I 1 1 1 -1 o . i il -1-
-.______±_____- illi1011111— _.:
-4. 61 pia A .e_ R‘- rnodel noorpai. I rt-nor _ _ immautrogs
- ---1 t-9 Pli Pt '"a-r — • I. IIPP --.'
____ . . _ ___ -
1 lirliiiiiiii .
MIN
i., .■ ip .; &L -III, Lam is
,e,z,_-,1-„ • Li rim
, • 1 .__ -
, . I - - 111. 1
Ella" --_
, ,_ ,
_1._ --1. - ,,,„, ..„. I __ _ _
F---7----__ cf ," , ,
. .), _
„TN! i . .
, el- _
. _________ _ _______
.6_,, . 1 I _i_
_ _t__ ____ nevntwilii. poROcooll ti , ! 'Ili
- - t� | |
, —0T42— -1-1- 1 1 i
t/ ---------
-
�
_-- • _--
'
_ -7 - -'- __ , ~-1_- _- _' - _ _-m
Liei, ,J ' a = , . ^ra _ey
•' - - 'm*w^0rx ', _ — _ 5S --~
) w4164 _ � _ 1
-- |---r_ 1111 -m /�, /�-~°'
Fiminimm.
,.
' `'
• --
1 4
--r---,_
i 4, 1
1 '- i i ... .
1 !
I , I
! I 1 I
■ ?IV/.'. I f 1 I
i ! 1
I 1 1
I I 1
I I irThl I
1 1 I 1
I h 1 I
I I
1 1 .4.11 ! I I 1 I t•
1 ! ! 1 1
I I I 1 P I 1 1
, 1 1111b■-' ' Th-Q i 1 9r ' I 4■.. I I 1 1
j , 6 ! I
I P !
I I I
_ILA 1 I 1 1 i 1
i s si 1 ! Il 1 S A Ali ' I II I I 1 , 1 si 9)
, , , • . 1 , 1 , , , i ,
S I , I I I I 11111 I
1 I 1 II I ; 11 I ..
li I I s - 1
s s , 1, I s
is I , I I s , S 1 —
+1* - 111 , ,
r^* ,
■
ill I 1
..).s;:),
I r •
144 1
. . .
1 ,
1 1
I I ' ll i
1 I i 1
i
1 1
. I
• i 1 , 1
, 1
i 1 i I , ■ , i , , I i :
I ! fl II
,
! 1
I 1
- Ane 1'1 I
i I
I 1
'
1 I
•
_ :...---- r
1
1 1- ,-
J h I 1-7---- i
1 I
1 1 '
,
1
I
I.
- f i
I 1
1 1
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12300 SW KNOLL DR, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
FAIL
MST2014-00086
David Young
Provide approved weatherproofed siding for final inspection.
All else ok.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12300 SW KNOLL DR, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2014-00086
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Correction complete.
Violation Summary:
Inspector Contractor