Permit q CITY OF TIGARD MASTER PERMIT
'i 1/ COMMUNITY DEVELOPMENT Permit#: MST2014 00152
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014
Parcel: 2S105DA16900
Jurisdiction: Tigard
Site address: 13270 SW NAHCOTTA DR
Subdivision: PACIFIC CREST Lot: 57
Project: Yee
Project Description: Construction of new 1,300 sq ft 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: $27,000.00 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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
Fum>=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 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:
ADD SF VB R-3 0
Owner: Contractor:
YEE,CHRISTIAN C&JENNY T MITCHELL NW Required Items and Reports(Conditions)
13270 SW NAHCOTTA DR PO BOX 731
TIGARD,OR 97223 YAMHILL,OR 97148
PHONE: PHONE: 503-502-3111
FAX
Total Fees: $1,057.85
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 issuan -, •r 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 of the rules or direct questions to OUNC by calling 503 . •;7 or N60.332.2344.
Issued By: 4‘Lezez‘—.... Permittee Signature:
3.639.4175 by 7:00 a.m.for the next available inspect'.I date.
This permit card shall be kept in a conspicuous place on the job site until complet on o the project.
Approved plans are required on the Job site at the time of each inspection.
BO'ldinn Permit Application CEIVED
Residential l Ilk (II l I( I l tiI ()NI
SEP 1 0 2014 Received
City of Tigard dip/o/1/ Permit No.: K04 / OaJ5
tY g Date/By: / / l /-
13125 SW Hall Blvd.,Tigard,OR 97 Plan Revi-
8'OF TIGARD ,t r Other Permit:
Phone: 503.718.2439 Fax: 503.59 . Date/By: A`/ � '
II c,A R I1 Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By. L. 7/ tuns. ® See Page 2 for
Internet: www.tigard-or.gov DIVISION otifie ethod:. �� Supplemental Information
TYPE OF WORK - .. 7 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition 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: vDe-r ice- equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling Valuation: $ /0706 0
❑Commercial/industrial f
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 123 2 Z 0 SLR ,A cA'k c,04..1.1..,. '�^f' New dwelling area: square feet
City/State/ZIP: TI 1,3CLyek 0y __ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: /9() square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: pt9t(41 l G Crest - I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: , D (��� Indicate the value(rotnded to the nearest dollar)of all
_ equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: V,�i ;c t 5G[Yw ( ;1 e� Type of construction:
Address: )r?"l2.'0 a.7 1. Y l ci kf�'lfA_ �.,e. Occupancy groups:
City/State/ZIP: .1—Ct „r f CA-_� Existing:
Phone:( ) „'' Fax:( ) New:
titi APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
`�A (Please refer to fire schedwle)
Business name: vY`c ,C t �� Structural plan review fee(or deposit): 1
Contact name: ( tA y.�L. �+�AA_cAiL
�'�"'^-' FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) Fes: :( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 4-17,i,,�1 l u It Submit two(2)sets of roof plan with connection details
and fire deportment access,along with the 2010 Oregon
Address: P e., \2J0 27 31 Solar Installation Specialty Code checklist.
C Permit Fee(includes plan review
City/State/ZIP: '14,/,..,,,,v‘\A,V. Oil— $180.00 administrative fees): $180.00
''RR
�r Phone:( p33) 502.31 1 t _ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: I quI ?go /3// 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.
*Fee methodology set by Tri-County Building Industry
Print name: - - Date: Q Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
'
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Received
1114 City of Tigard Permit r,,
13125 SW Hall Blvd.,Tigard,OR 97223 DatcBy:
Associated permits
= Phone: 503.718.2439 Fax: 503.598.1960
T I G A K l) 24-Hour Inspection Line: 503.639.4175 El Electr cal ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or gov ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. El ❑ ❑
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 ❑ CI
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 ❑ 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 ❑ ❑ ❑
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 ar r licable to the rro'ect under review.
.Il'RISI)ICTIONAL SPEC'IFIC'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"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, ❑ El ❑
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 440-4613T(11/02/COM/WEB)
h A
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
E ..
r 1 G n K o Building Permit Review — Residential
Building Permit #: 6Ta O/(1-001 1 j 2,
Site Address: 1�j2'1 p Svi WA V1(o W)
Project Name: fie& ,t4- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Reviewoppo,X)
Proposal: YleW ‘1WO.Q G ec4-
,Verify site address/suite #exists and active in permit system.
Site Plan Elements:
G2rhree(3)copies of site plan J2txisting structures on site
JZite plan must be on 8-1/2"x 11"or 11 x 17"paper .'Footprint of new structure(including decks)with finished
_brawn to scale(standard architect or engineer scale) floor elevations
2Slorth arrow J2tJtility locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number ,ocation of wells/septic systems
LApplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence
ILot dimensions and building setback dimensions design,location of catch basin,etc.)
J2 of area,building coverage area,percentage of coverage and ..EIStreet names
impervious area(applicable if R-7,R-12,R-25&R-40) ,1;i5treet tree size,type and location
Property corner elevations(2 foot contour lines if more than j2Existing trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995):
Required: ❑ Yes 'No Received: ❑ Yes ❑ No
„Land Use Case#: SUB (°1cp -cxwti
,j2'Zoning: IZ--1
_0'Setbacks: Front I S Rear t5 Side 5 Street Side 10 Garage ?A
,' Landscape Requirement: ZO
Lot Coverage Maximum: csv
1 t
,12.-Building Height: Maximum Height � Actual Height N 11 Pk
)2'Visual Clearance
.Easements
,2'.Sensitive Lands: 0/Yes ❑ No Type 25% Stapes
2 Urban Forestry Plan
..2 Conditions Met
Notes: NO rts tk v& lAyels rtVCiAl r e ilea- Ce AS 1v I Dau k c \Ki k&.
Approved By Planning: Date: 4/0 k)/IL/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Bui lding\Forms\BldgPerm itRvw_RES_042914.docx
Building Permit Submittal/ '/
Original Submittal Date: 9%4/'`�'
Site Plans: # 3
Building Plans: # 3
Building Permit#: Enter building ppe t#above.
Workflow Routing: ]'Planning d—EEngineering Ef-termit Coordinator ,1:1-431iikling
Workflow Sign-off: off for Planning(include notes from planning review)
Route Application Documents: gineering: (1) copy of permit application, (1) site plan, (1)building plan and
on 'nal plan review routing form.
uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: CO-_____4_444-4—tj Date: g//v//
Engineering Review
❑ Actual Slope:
❑ Conditions Met
Notes: NI a En"-'G_I Al r-s•tgO 1/1 Ge /_SS t
r
Approved by Engineering: Date: q / ) / f
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El 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:
OK to Issue Permit •
Approved by Permit Coordinator: I Date: 9/!)//./
I:\BuildingWorms\BIdgPermitRvw_RES042914.docx