Permit „ CITY OF TIGARD MASTER PERMIT
li = COMMUNITY DEVELOPMENT Permit#: MST2015-00104
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/29/2015
Parcel: 2S110DA01900
Jurisdiction: Tigard
Site address: 10580 SW NAEVE ST
Subdivision: RENAISSANCE SUMMIT Lot: 10
Project: BECK
Project Description: Covered porch 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: $9,000.00 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 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'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:
BECK,NATHAN A&MICHELLE L RIVER CITY CONTRACTING Required Items and Reports(Conditions)
10580 SW NAEVE ST 4843 SW GREENSBORO WAY#25
TIGARD,OR 97224 BEAVERTON,OR 97007
PHONE: PHONE 503-828-6600
FAX: i i
Total Fees: $474.74
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all . er a.. cable 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 . is `.pended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose ■es are set forth in OAR
952-001-0010 through OAR 9>-001-009.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987.r .:40.3 `.2344.
-',�
Issued By: ' "t'�� Permittee Signature:
Call 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 of the project
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential �1 FOR OFFICE USE ONLI
III City of Tigard ��\] �i1a Received Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 plan R �! J , 0
Phone: 503.718.2439 Fax: 503.598.1960 15 , el Other Permit:
DateB : �► •
��
TI c;A R I) Inspection Line: 503.639.4175 11 11t t %�j 20 Date Ready Supplemental See Page 2 for
Internet: www.tigard-or.gov I V Notified/Method: i CP� t/%j` Supplemental Information
TYPE OF WORK l,--II INVC tow= REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑DemA1ttdtt 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.
and 2-famil y dwelling Valuation: $ -(000, 'r'
g ❑Commercial/industrial
❑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: 10 c o St,J n 46) e S{-, New dwelling area: square feet
City/State/ZIP: 'j14-ltd oft 1 T a a Y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 3C C k Covered porch area .444... 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.
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.
Coo C(,,.
4 Valuation: $
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: (4141+1.1.t 44 73.e e.k Type of construction:
Address: I t7 S to 5'0 Nd eve S 1 Occupancy groups:
City/State/ZIP: 71prd C>lt y'#1? y Existing:
Phone:(563 ) 156. 3 7 t(4 Fax:( ) New:
❑ APPLICANT ❑/ CONTACT PERSON BUILDING PERMIT FEES*
Business name: IZ1 c7 t 2 tL t.-y (oOpi 1- ...(ti,.{
(Please refer to fee schedule)
J Structural plan review fee(or deposit):
Contact name: pas,5 D(e y
FLS plan review fee(if applicable):
q J
Address: y 3 Sw 6/wetslt;,,t0 44.4.14Y 4( as"
Total fees due upon application:
City/State/ZIP: 3,ptaaR 4, eft 4-xo7
Phone:(305 ) 196- 6640 Fax::( ) Amount received: t. gf
E-mail: D(t-y5 016.0, Cc,�, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: �� ct e--) Submit two(2)sets of roof plan with connection details
v V 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.: 13)OD S Total fee due upon application: $201.60
Authorized signature:
di
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: Dotn g ,fly Date: C/az 1,6 Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T 11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B
111111 y
r • Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
Internet: www.tigard-or.gov O Othc,.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es No N/,'t
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 :I Ilicable to the •ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item I1 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:Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
. .
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
�;1 Building Permit Review — Residential
Building Permit #: fT tS-cSo l 01
Site Address: /Q cQ , Pve
Project Name: Nair/ ,7 ) Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Nap ciDver-ec ,rc__ sO
I erify site address/suite#exists and active in permit syst .
g iOtiver Terrace Plan District: ❑ Yes No
Sit 1 n Elements:
ee(3)copies of site plan 'sting structures on site
e elan must on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
E P ra to scale(standard architect or engineer scale) I oor elevations
g N• arrow ��i:i 'ty locations(required for new,may apply for additions)
pi.' e address,project or subdivision name and lot number ' r/, :,cation of wells/septic systems
in ..licant information(name and phone number) N '*.sion control(including drainage-way protection,silt fence
IG i.t dimensions and building setback dimensions sign,location of catch basin,etc.)
n Lot area,building coverage area,percentage of coverage and treet names
pervious area(applicable if R-7,R-12,R-25&R-40) /mil reet tree size,type and location
"`f r perry corner elevations(2 foot contour lines if more than 1!4 a.:sting trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water S ices—Service Provider Letter(lot platted prior to 9/10/1995):
Required: Yes,applicant was notified ❑ No Received: ❑ Yes P No
' Ili Public Facilities Improvement(PFI) Permit:
Required: El Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
/ 714: and Use Case#:
W. oning: R- 3.S---
it Setbacks: Front Rear Side 5- Street Side /5-- Garage rt
if' andscape Requirement:
i If 4, of Coverage Maximum:
1L Building Height: Maximum Height .,50 Actual Height
'E 4'isual Clearance
FL g' asements
TA Sensitive Lands: /Yes ❑ No Type S Cl C
1:1/4 Urban Forestry Plan
/I` onditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: 1 -� Date: o� 1"—'
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\BldgPennitRvw_RES_031015.docx
I
Building Permit Submittal //
Original Submittal Date: 6VAVIr
Site Plans: # 3
Building Plans: #
Building Permit#: nes�ter building permit#above.
Workflow Routing. L�YPlanning ering a-rermit Coordinator Cry-—Biding
Workflow Sign-off: Q-- off for Planning(include notes from planning review)
Route Application Documents: ginecring: (1) copy of permit application, (1) site plan, (1) building plan and
o al plan review routing form.
"'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _ Date: 4 /.7.-
Engineering Review
lope at building pad: S
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes 0 No
Cl NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 144 1 1.<-6. u-5 • Date: G 12 3/1 S
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:
gl OK to Issue Permit
Approved by Permit Coordinator: CA Date: L,
1:\Building\Forms\BldgPermitRvw_RES_031015.docx
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RECE1vFi' ...
U t `t T Clot Water Services R Numb.r
� JUN 2 9 2015 � IS—c�v�.cso t
tl Water �`' Services MI SUN 2 3 X 0
CITY 0�
ensitive Area Pre-Screening Site Assessment
-urtedic or1:
3. Owner Information _.
2. Property Information(example 1S234A801400)
Tax lot ID(s) Name: ./ r r-�
'. r S It 0 D4 s.19a
Company: o c�c e
Address � — '16 `4'
� City, State,Zip: 7 �'� t.
Site Address:_ t 0�-- phonelFax: S4 — 5 F --
City. State.Zip: 7i f A�� o,
Nearest Cross Street: E-Mail;
5. Applicant Information '�
b!•
D4'''_____71- ________________to
4. Development Activity (check all that apply)
Addition to Single Family Residence(rooms,deck,garage) Name: ✓f�� L r�/ G��k'J'� '
ED Minor Land Partition Company: �-
Lot Line Adjustment ❑
❑ Residential Condominium Q Commercial Condominium Address: i 6,.i4.1 f' `�� i✓sr 9iCe.7
Residential Subdivision ID Commercial Subdivision City,State,Zip: Re'�""- ° C),-,_CI Multi Lot Commercial r 6L' �"�'1
Q Single Lot Commercial ❑ Phone/Fax; _ SC�• �;
Other E-Mail: bce S 'I' ^'' 4. Go+>�
6. Will the project involve any off-site work? ❑Yes No ❑
Unknown 1
Location and description of off-site work
7. Additional comments or information that may be Headed to understand your project -
Thts application does NOT replace and Erosion t Permits, l Permits, r
120 0•C P ermit or other permits as Issued b y the Department of Environmental Quality,Department of State ands endlor Department of Army
COE. All required permits and approvals ust be obtained and completed under applicable local,state,and federal law. Water Services have authority
By signing this form,the Owner or Owner'• authorized agent or representative.acknowledges and agrees that employees
to enter the project site at all rea enable i as for the document,and to the best of my knowledge and belief his information gathering s true,complete,project site. I certify
that I am familiar with the info :,� co, Ined in this docume print/type Title -jai co� �
Print/Typo Name %' • rY Datel��
Signature r��'
FOR DISTRICT USE ONLY
j] Sensitive areas potentially exist on site or within 200'of the site. sHE APPLICANT MUS ERFFOR PERFORM S NT RIOR TO ISSUAN E OF A
SERVICE PROVIDER LETTER. If Sensitive Areas exist within on a rtes,a Natural P
may also be required.
U Based ve on Area Pre-Screening e the submitted materials and best available
ssmentt does NOT eliminate the need tolevaluate and p oteccttwaterr quality sensitive areas iif hey are subsequently
Senovee Area is doumw Site Assessment
discovered.This document will serve f under Provider lettr as required b
IocaleStete,and faders eaw.ution and Order 07-20, Section 3.02,1. All required permits and
approvals must be obtained and completed u
p 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 -Scr erring SteA Assessment does NOT eliminate irate the
hr letter to as evaluate and by protect ad additional water
quaiity sensitive areas if All required qui ed subsequently discovered.
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.
Li The proposed activity does not meet the definition of development or the lot was platted atter 919195 ORS 92.040(2). NO SITE ASSESSMENT OR
SERVICE PROVIDER LE TER IS REQUIRED. Date ° �[ f
Reviewed by
nbo' v 1 i llsbinu I bylcway • 1 Idl•,buur,()icgun 97123 • Phone (003)tiHI-510(1 • I as (,03)081-4439 • w,wv.r:lh;+nw;alots,awic r.n'fl
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
10580 SW NAEVE ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00104
David Young
Deck at time of final inspection less than 30" above grade, no railing required.
Future hot tub pad below.
Violation Summary:
Inspector Contractor
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
10580 SW NAEVE ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
June 30, 2015 at 10:10:34 AM
MST2015-00104
David Young
Provide footing under post by hot tub pad.
Provide approved guardrail at deck over 30" in height.
Provide squash block at end rafter and between other rafters. Provide approved plans on
site for inspection.
Provide permit for house storage room addition.
Provide weatherproof cap for non pt guard rails.
Violation Summary:
Inspector Contractor