Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015 00033
T I c A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2015
Parcel: 2S 105 DA 16900
Jurisdiction: Tigard
Site address: 13270 SW NAHCOTTA DR
Subdivision: PACIFIC CREST Lot: 57
Project: Yee
Project Description: Installation of spa deck addition.
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: $30,000.00 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 TVDe5 Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<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,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 1 Piles/Caissons
TIGARD,OR 97223 YAMHILL,OR 97148
PHONE: PHONE: 503-502-3111
FAX:
Total Fees: $1,004.52
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 issuanc, • 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. . rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain copy o rules or direct questions to OUNC by calling 503.232.198 •r 1.800. •2.2344.
Issued By: ittee Signature:
503.639.4175 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• . project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED I ()It OI I It 1 I ,I t\l l
City of Tigard MQR 3 2 15 Date/By:
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223' Plan R�oi v✓
t
II ■ Other Permit:
Phone: 503.718.2439 Fax: 50 Date/B�E•l( ,-.
Inspection Line: 503.639.4175 '�F TIGARD Date R°_Y: luris: ® See Page 2 for
`'',�t�' Internet: www.tigard-or.gov BUILDING DIVISION Notified/Meth od: S /J Supplemental Information
1A-21
TYPE OF WORK 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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $ O0 06 0
❑ 1-and 2-famil y g ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder tif Other: 0 c„-A, cc, A4 Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: l 77 2.70 �t� ,,lrAI Le,k4-rA 17 f New dwelling area: square feet
City/State/ZIP: YGI 04._ �� Garage/carport area: square feet
1
Suite/b1dg./apt.no.: Project name: �yyZ�.T 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
a DESCRIPTION OF WORK work indicated on this application.
Valuation: $
90 ui 1 C uia C,. SPA 1`lL
„ Existing building area square feet
New building area: square feet
ZTROPERTY OWNER I ❑ TENANT Number of stories:
Name: ( )1 `L Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: _
Phone:( ) Fax:( ) New:
❑ APPLICANT . 0 CONTACT PERSON BUILDING PERMIT FEES*
(Meese refer to f rltaerlak) -
Business name: }G 1 Ike it ALA) Structural plan review fee(or deposit):
Contact name: L' ac itt i .(1 i FLS plan review fee(if applicable):
Address: 7. 0, 5c,,, a 731 —
Total fees due upon application:
City/State/ZIP: NJ "A II O-1
tt l Amount received:
Phone:(5j5) 5-6a ?7 t(1 Fax::( )
E-mail: � .�1 t I i AI),At e— c wi G.•f. �j IV\ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
l Commercial and residential prescriptive installation of
CONTRACTOR.- roof-top mounted PhotoVoltaic Solar Panel System.
Business name: e 41-111k t'l Cj A 60 J c_ Submit two(2)sets of roof plan with connection details
I and fire a-a artment access,along with the 2010 Oregon
Address: Solar Installa .:,Specialty Code c a-, .
Permit Fee i udes • .1 review
City/State/ZIP: and a•• alive fees): $180.00
c
Phone:( ) . 4 Fax:( ) State surc . _e(12%ofpe ' ee): $21.60
CCB lic.: ( 7 Y .-E-...,;.-„,
Total fee due upon appicatio` $201.60
Authorized signature;A, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: r *Fee methodology set by Tri-County Building Industry
�1///i y l j? jib k/id/ Date: 3'51 i 5-- Board
I:\Building\Permiits\BUP-RESPermitApp.doc 02/2`4/2011 440-4613T(l 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLI.
City of Tigard Received Permit No.: •
:. • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
a Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: t
fIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW I es 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. ❑ ❑ ❑
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.
I0 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.
I 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. 4
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 Ion and shall be shown to be a••licable to the .ro'ect under review.
.II RItiI)I('' ION:AL Sl'I':('IFI('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"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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
is
COMMUNITY DEVELOPMENT DEPARTMENT
. s
T I G A R D Building Permit Review — Residential
Building Permit #: 477-0e16-600 3-77
Site Address: 71 Yee,
Project Name: 132/0 3 SW pr. Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review ��!!
Proposal: o jon +0 exi s r1 dek 'To nsw sp .
DJ Verify site address/suite #exists and active in permit system.
Silo Plan Elements:
Oqhree(3)copies of site plan sting structures on site
YSite plan mii b g on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) floor elevations
•
orth arrow -El-Utility locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number - Location of wells/septic systems
j pplicant information(name and phone number) -l-El osion control(including drainage-way protection,silt fence
t dimensions and building setback dimens design,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and $Street names
impervious area(applicable if R-7,R-12,R-25&R-40) - Street tree size,type and location
$I roperty corner elevations(2 foot contour lines if more than TTExisting trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services—Service Provider tter(lot platted prior to 9/10/1995):
Required: El Yes,applicant was notified gNo Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Pe .
Required: ❑ Yes,applicant was notified V No Applied For: ❑ Yes ❑ No,stop intake
-13-1_,/ and Use Case#: JB iggq-00001-4
rei Zoning:
V/Setbacks: Front 15i Rear 5 Side 5 Street Side ' o Garage CO'
Landscape Requirement: 20
,_/
LJ Lot Coverage Maximum: $Q
®/Building Height: Maximum Height 300 Actual Height n l Ql,
-n--Visual Clearance
4g—Easements — q•
L�/
"Sensitive Lands: " Yes ❑ No Type s\ .1-0 /0
$-Urban Forestry Plan
$-Conditions Met
Notes:
Approved By Planning: ' la MA. ,• Date: 311 5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_020415.docx
Building Permit Submitta _
Original Submittal Date: 5-/t 5
Site Plans: #
Building Plans: # 3
Building Permit#: Center building permit#above.
Workflow Routing: P-151a g D--Eirigineering -dC'Permit Coordinator --El—guilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: .lam'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
er"- utlding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Ck 1� Date: 544s�
Engineering Review
CJ Actual Slope: 2-Sir V„i/,EC,�7v e, to R, e,1p
- Conditions Met !
E /Easements (encroachments) 8 //i V e L.4 Al 8 F4 d A'74 Q E .` 2- S 1 P
ter Quality/Quantity Facility:
Assess Water Quality Fee: ❑ Yes at/No
Assess Water Quantity Fee: ❑ Yes 2l No
❑ NOT Approved by Engineering: Date:
Notes: •
Approved by Engineering: Date: 3 ,. y, /5
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
❑ Approved,NOT Released: Date:
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:
114 I K to Issue Permit /
Approved by Permit Coordinator: I Date: /./(//___S-
1:\Building\Forms\Bl dgPermitRvw_RES_0204I 5.docx