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Permit CITY OF TIGARD MASTER PERMIT iti 11111 2 • COMMUNITY DEVELOPMENT Permit#: MST2014-00161 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2014 Parcel: 1 S 125 DA 10000 Jurisdiction: Tigard Site address: 6606 SW WALNUT TER Subdivision: 1993-011 PARTITION PLAT Lot: 1 Project: Gilbert Project Description: Replace roof, carport&front porch. 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: $10,000.00 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 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: 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: GILBERT,JAY&MICHELE RW DESCH WOODWORKING INC Required Items and Reports(Conditions) 6711 SW ALDEN ST 7941 SE STEEL ST 4 PORTLAND,OR 97223 PORTLAND,OR 97206 PHONE: 503-701-2600 PHONE: 503-284-5500 FAX: Total Fees: $408.17 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 su pended for more the 180 days. ATTENTION: Oregon law requires you to follow - -vales ted by the Oregon Utility Notification Center. ose ru s are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain- opy of the rules or i t questions to OUNC by calling 503.232.1987 1 00.382 344. Issued By:!/`«�, - u ittee Signature: Cal .• . .010..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 oject Approved plans are required on the job site at the time of each inspection. t Building Permit Application Residential FOR OFFICE USE ONLRECEIVED Received City of Tigard Permit No.: III �9 / /yh�f�' z25 l!p/ • 13125,SW Hall lvd.,Tigard,OR 97223 CEP 2 9 2 014 Pl Review� a Phone: 503.718.2439 Fax: 503.598.1966' Date/By: ( �� .2 Other Permit. T I G n R D Inspection Line: 503.639.4175 Co �� U Date Ready/By: Juris: ® See Page 2 for of-Internet: www.tigard-or.gov Notified/Method: Supplemental Information BijigAry!MINIM' TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all tEl Addition/alteration/re acemen ❑Other: equipment,materials,labor,overhead,and the profit for the CA GORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ I0 i(3°() ID 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: (b L �3 0 WNW a u3/ ,\ 1,,L L Nor-rt y New dwelling area: square feet City/State/ZIP: 'T=(o Alt I , 0 I L r7-L 3 Garage/carport area: v9., c[ square feet l Suite/bldg./apt.no.: Project name: 4 La Covered porch area 4 g v square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rotded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 1_ 11__ Valuation: $ �k« t 11 `101(.1 CAR Xi— I 2ApbCc FAD n w 10 Existing building area square feet 7, New building area: square feet MI PROPERTY OWNER ❑ TENANT Number of stories: Name: 0---A 1 i ‘ 2c^ Type of construction: Address: (6(00 Co ' ) WAt,tytyr 7 Eit.Ja Occupancy groups: City/State/ZIP: .1-`.. Q, /� 6 l (^}k' q�.2-t Existing: Phone:(.S V'3) 101 — --6000 Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer so fee schedule) Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: �j�j Phone:( ) Fes;;( ) Amount received: ! et• ` / E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. la .. ., Business name: 'P.\ t i �6( O� (,�)O-(/y 1\g i�C_, Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: '7( l/l 6CL 1.L, - *Q-I„/ Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/StateIZIP: t`{ on, 4'� $180.00 Phone:(g503) (9.V1 S00 Fax:( ) and administrative fees): `J State surcharge(12%of permit fee): $21.60 CCB lie.: 7os t./ 14 3// Total fee due upon appication: $201.60 Authorized signatu [ / 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: T�{) �� Date: Z�, �4 Service Board. I:1 Building\Permits\BU'P-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) • Building Permit Application Checklist One- and Two-Family Dwelling volt OFFlt"; USE ONLI City of Tigard Received I'crmil N∎' Date/By. Eril 1 3125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 T I G ARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing CI Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No \/.1 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 a.,licable to the sr&ect under review. JURISDICTIONAL SPECIFIC'S 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) ■ - -- — - City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT RECEIVFD It ■ Building Permit Review - Residential TIGARD SFP 29 21114 ClTYOf fIGAAD Building Permit #: Mcjr2-O/[//�00 /1a/ �CIT f�t{i�lSIC11�` Site Address: 476' t ;7ef/ C% . Project Name: 6 '/ -v' 1&i,/'/ai Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pida,,,,,i Proposal: killgy ( jo v q,n0(,// p?t 4e5 ❑ Verify site address/suite # exists and active in permit system. Site ' an Elements: . •e(3)copies of site plan R.,'Exisjg structures on site L i plan must on 8-1/2"x 11"or 11 x 17"paper an otpnnt of new structure(including decks)with finished L4Dr wn to scale(standard architect or engineer scale) floor elevations arrow Cl Utility locations(required for new,may apply for additions) L��Siddress,project or subdivision name and lot number c lion of wells/se tic systems 6":Acant information(name and phone number) rosion co JJ'• g drainage-way protection,silt fence [ ''of dimensions and building setback dimensions design,lo a tch basin,etc.) 4/4/Lot area,building coverage area,percentage of coverage and U.Sfreet names impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location Tr .d .."" --(-va.11,,- y. •.,.s y1.0* ''.re than xisting trees to be retained with drip line,and tree 00 : ff:jed .' protection measures Clean Water,_Seices—Service Provider Letter: (lot platted prior to 9/10/1995): Required: [ Yes ❑ No Received: ❑ Yes LY No ❑ Land Use Case#: h/4_ C7.Zoning: f.- 44.c 2 Setbacks: Front a0 Rear is- Side ; Street Side /s— Garage aO ❑ Landscape Requirement: — ❑,/Lot Coverage Maximum: R" Building Height: Maximum Height act Actual Height • Visual Clearance ['Easements/44. ,,,t Ad-jet + N 14riyv/< - ❑ Sensitive Lands: ❑ Yes li No Type ❑ an 940 ❑ Conditions Met Notes: Approved By Planning: Date: /� �� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:1Building\Fonns\BldgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: cjr2`q//f Site Plans: # 3 Building Plans: # 3 Building Permit#: [ 1✓nter building�p,,e t#above. Workflow Routing: �anning LVYPngineering —P it Coordinator �B�uildin � g Workflow Sign-off: ..I�,� 5ign-off for Planning(include notes from planning review) Route Application Documents: ❑ gineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Ceding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: d. By Permit Technician: Date: Engineering Review Actual Slope: 0, ❑ Conditions Met Notes: Approved by Engineering: =/ i„J Date: ' • Revisions (after Building Submittal only) / Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El 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: !jai K to Issue Permit Approved by Permit Coordinator: V,/ T' Date: 9/2°l /7 1:\Building\Forms\B IdgPerm itRvw_RES_042914.docx Clean Water Services File Number CleanWater Services 14-002671 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: City of Tigard (, " R 2. Property Y Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: JAY GILBERT OCT 2 2014 15125da10000 Company: (��j/!1�rr Address: 6606 SW WALNUT T 1PI r OT-1+> D Site Address: 6506 SW'WALNUT TERRACE City, State, Zip: TIGARD,OR 9��, v'fSIVt�l City, State, Zip: TIGARD,OR 97223 Phone/Fax: 503-701-2600 V Nearest Cross Street: 69TH E-Mail: JAYGILBERT@YAHOO.COM 4. Development Activity (check all that apply) 5. Applicant Information • Addition to Single Family Residence(rooms, deck garage) Name: JAY GILBERT ❑ Lot Line Adjustment ❑ Minor Land Partition Company: Li Residential Condominium Li Commercial Condominium Address: 6605 SW WALNUT TERRACE ❑ Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial ❑ Multi Lot Commercial City, State,Zip: TIGARD,OR 97223 Other Phone/Fax: 503-701-2600 E-Mail: JAYGILBERT @YAHOO.COM 6. Will the project involve any off-site work? ❑Yes tal No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project REPLACE EXISTING CARPORT AND ADD ENTRY PORCH ON BOTH FRONT AND REAR OF PROPERTY. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name JAY GILBERT Print/Type Title ONLINE SUBMITTAL Date 9/25/2014 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. XI Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by :;;::/-e.,*.;.;:. ` Date 10/02/14 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org Property Owner Statement RECEVFD Regarding Construction g g ResponsibilitiesSEP 29 2L Oregon Law requires residential construction permit applicants who are not licen ittthe Construction Contractors Board to sign the following statement before a building Wakibitat issued. (ORS 701.325(2)) ,,ntliMir)0 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 own, reside in, or will reside in the completed structure and my general contractor is: ?o-grCerr rl- oS(o Name 1J�.8rc.e1, �0oboopv.{r►6 i��CBt _ On C =�� E iration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or 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. 2—r Print Name of Permit Applicant °1\2.\\ \q • at re • -ermit Applicant Date Permit#: H61-171-6/ / —GPI(Q / • P Address: �12(2 6"-) ��Q�� r•��_,;,_,��>.• 1 02 979-3- 3 :. . •;L . Issued by: a T Date: 10/1//x/ f•i-Y This Copy for Permit Offices 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 6606 SW WALNUT TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL November 10, 2014 at 9:07:22 AM MST2014-00161 David Young Provide engineers stamped letter approving design without front and rear 4x6 beams not installed per plan. Provide positive connection at back overhang rafter at house side. All else ok. Recall for ﬁnal approval after stamped letter received. Violation Summary: Inspector Contractor