Permit CITY OF TIGARD MASTER PERMIT
I COMMUNITY DEVELOPMENT Permit#: MST2014-00149
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2014
Parcel: 2S104DA08500
Jurisdiction: Tigard
Site address: 13111 SW RAPTOR PL
Subdivision: QUAIL HOLLOW-WEST Lot: 71
Project: PAVIK,
Project Description: Adding Spiral stair to existing deck.
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: $2,000.00 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:
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 add9 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 VB R-3 0
Owner: Contractor:
PAVIK,JANICE S DECKING SOLUTIONS LLC Required Items and Reports(Conditions)
13111 SW RAPTOR PL 554 SE 39TH AVE
TIGARD,OR 97223 HILLSBORO,OR 97123
PHONE: PHONE 503-844-8867
FAX
Total Fees: $282.79
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 copy of the t questions to OUNC by callin• 03.232.1987 or 0.332.2344.
�� 4, A A. , r
Issued By: ^ << Permittee Signature: / �L■ �L
Call lid"' by 7:00 a.m.for the ne 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.
V ><
Building Permit Application
Residential I o R ()I I I( I I .t I)\I \
Illq is
City of Tigard % '‘). •',� ��^ Permit No.: _
• 13125 SW Hall Blvd.,Tigard,t ,. Plan Revie
Phone: 503.718.2439 Fax: 51 '• ∎. 'Pk Date/B : ,two Other Permit:
I I h 1 Inspection Line: 503.639.4175 Q Date ReadyBy: U ® See Page 2 for itymm
Internet: www.tigard-or.gov S� �,p�v Notified/Method: ` Supplemental Information
TYPE OF ' -i 1 REQUIRED DATA:1-AND 2-FAMILY DWELLING
r
❑New construction i.►- ,olition Permit fees* are based on the value of the work performed.
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.
1-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:
Job site address: 13111 5\4 ?Qo r P L New dwelling area: square feet
City/State/ZIP: 1-.16 u�i tj� g� 3 Garage/carport area: square feet
Suite/bldg./apt.no.: C) I Project name: iAV) 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.
00 Indicate the value(roded to the nearest dollar)of all
Tax map/parcel no.: �5 (pY $5 m
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
I Valuation: $ a '
,J Existing building area square feet
New building area: square feet
P PROPERTY OWNER f ❑ TENANT Number of stories:
Name:
�,0,[e 1"AJ, -. Type of construction:
Address: I5/1 I $1J I Aptpidr j?1 Occupancy groups:
City/State/ZIP: 1ko Y/1 7j ci-7ae3 Existing:
Phone:(SD3 )Gj 9906 I Fax:( ) New:
al APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: �r 1
(Please refertofeeschedule)
��°.GI„f t 5G(J Iorc / L.� . Structural plan review fee(or deposit):
Contact name:bV51',n 11 4., n
FLS plan review fee(if applicable):
Address: Ej 91 ! 31-1- At-4.
City/State/ZIP:R∎\15'7Erd O\ 11�i a 3 Total fees due upon application:
Amount received: ( '_ 4'I
Phone:(505 ) /t!' 84-7 I Fax: :( )
E-mail: 66111N e bE6r,114(7-Stiwr la g s.lip PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
S01,111,04,.,6
Submit two(2)sets of roof plan with connection details
Business name:
c'� COI '0 and fire department access,along with the 2010 Oregon
Address: 5.0/ 5E It./1 Solar Installation Specialty Code checklist.
City/State/ZIP: / 1 1 jdfa V� GJ�1�3 Permit Fee(includes plan review $180.00
N �5 and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: �51� �(�,�Ql� 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:D U mg 4a LLYA Date: 1/5// ( Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(111/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
IN Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223
1 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits
TIGARD
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ btce,amiead
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ves 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. ❑ El ❑
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 Cl ❑ ❑
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 plicable 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 Buildingplans 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.
L\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
a s
11 City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
o
Building Permit #: /nS d/y dd/4-/9
Site Address: /&/1I S'(,/ RA
Project Name: f ,vick 4pc,k /,a' tyo-vx Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: IL.i silt / Slics4frAX OY Ak
Ke erify site address/suite#exists and active in permit system.
Site ' an Elements:
ee(3)copies of site plan 121;sling structures on site
S i plan must he on 8-1/2"x 11"or 11 x 17"paper L�footprint of new structure (including decks)with finished
C �wn to scale(standard architect or engineer scale) floor elevations
Ly,No arrow ❑Utility locations(required for new,may apply for additions)
L�75t�t'Address,project or subdivision name and lot number ptic systems
g'Siv cant information(name and phone number) ❑Erosion control(including drainage-way protection,silt fence
[ 1..ot dimensions and building setback dimensions des n,location of catch basin,etc.)
I r ! _. , .•..,.. . • - _ .- . :_ • _- . •. L�S.treetnames
!!, •• • . t t _)]Street tree size,type and location
CI Property corner elevations (2 foot contour lines if more than ❑Existing trees to be retained with d and tree
4 foot differential) protection measures
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995):
Required: ❑ Yes El No Received: El Yes El No
❑ Land Use Case#: Ap
❑ Zoning: 'ts'CPQ) _
10 Setbacks: Front 010 Rear /S Side Street Side — Garage ..26•
❑ Landscape Requirement: /V/.
❑ Lot Coverage Maximum: ifii4
\ i
CI Building Height: Maximum Height Actual Height /0) f
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands: ❑ Yes ❑ No Type
❑ Plan
❑ Gan.ditio s Met cod /ocJr w 1Notes: cod nof- JL/ w ose & / 14 U.�r4 l«r /boa Jciese 3..
E eeL S{sAAivi'( se I occkJ
Approved By Planning: Date: f— 5—/t1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
l:\Building\Forms\BldgPermitRvw_RES_042914.docx
1
Building Permit Submittal
Original Submittal Date: ri,f
Site Plans: #
Building Plans: # 3
Building Permit#: nter b 'ding permit#above.
Workflow Routing: g gineering B-Permit Coordinator g
Workflow Sign-off: 3'Sigri-off for Planning(include notes from planning review)
Route Application Documents: [ eering: (1) copy of permit application, (1) site plan,(1)building plan and
oal plan review routing form.
3'Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , r `�
v 7 Ay
:ate: �/
Engineering Review
❑ Actual Slope:
❑ Conditions Met
Notes: !V c &NG,R. . I S.4.■A-EJ
C
Approved by Engineering: Date: 'I.9 . /if
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
7 K to Issue Permit ��% .
Approved by Permit Coordinator: Date:9 ��
I:1Building\Forrns\BldgPennitRvw RES 042914.docx
L.
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
13111 SW RAPTOR PL, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00149
David Young
Corrections complete, new stairway installed.
Violation Summary:
Inspector Contractor