Permit --In CITY OF TIGARD MASTER PERMIT
'`1 COMMUNITY DEVELOPMENT Permit#: MST2015-00131
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2015
T t C''�)� 9 Parcel: 2S110DA01900
Jurisdiction: Tigard
Site address: 10580 SW NAEVE ST
Subdivision: RENAISSANCE SUMMIT Lot: 10
Project: BECK
Project Description: Shed addition to exterior of home.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 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: No
Total: 0 sf Value: $900.00 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 Times 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 addl 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:
Total Fees: $213.29
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes - oth 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, •• ork suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cen,- Tho : rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy• - - •r direct questions to OUNC by calling 503.23-.19; •• 1.8•■.332.2344.
/ /
Issued By s� Permittee Signature:
p9.4175 by 7:00 a.m.for the next available inspection date.W
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 FOR OFFICE USE ONLY
City of Tigard RECEIVED Received Pernut No.:
514 Date/B �, i1� /'►'1ST,. S- !
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev] w
Phone: 503.718.2439 Fax: 503.598.1960 Date/B 4 WA'1 flE 1� aher Permit: Ob s At ,
I IU \I:I,
Inspection Line: 503.639.4175 JUL 2 0 2015 Date Ready : Jam' ® See Page 2 for
Internet: www.ti and-or. ov Notified/Method: �6O Supplemental Information
g g CITY OF TIGARD '( cs
G ■11 -■ ` Cr • , ■• • °/\;‘) CI
TYPE OF s • • RUIRED DATA:1-AND 2-FAMILY DWELLING
PkNeQ-econtri .tier-- ❑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.
1-and 2-family dwelling ❑Commercial/industrial
Valuation: $ j''Q, 4947
13 Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 0v ` 5�) S 641 j�q e--die .5-7i, New dwelling area: square feet
G
City/State/ZIP: /gs2 U L7‘Z c '7a y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: jet 'K Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: 120 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(minded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
5' /C'd mar 5tiont _ q 1(C�`, Valuation: $
n Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 44,./- C.'e /t Type of construction:
Address: /05 O 6 hi /!ofc"6 51 Occupancy groups:
City/State/ZIP: /i /3r al elt 177:77 Existing:
Phone:(5'3') -‘--3 7 w Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ,lac 2 Gi Zepr:l09eX n review ee( r deposit):
Structural plan review fee(or deposit):
Contact name: De b re),
Address: lie 7 3 s(O tv kf7 ,75- FLS plan review fee(if applicable):
�' G/t�t� Total fees due upon application: p,3. yi7
City/State/ZIP: Rt..44.04L1011 OrZ 17m',
Amount received:
Phone:003 ) Pjc,7 g c 6e Q I Fax;-r(----j-
/� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: � s I lrvf.ch , 6iu"
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: (4 /41;50e Permit 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.: /3/0/ Total fee due upon appication: $201.60
Authorized sign . • ' 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: ttq �� f/ Date: Y070/5--
Service Board
I:\Building\Petmits\BUP-RRESPertnitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLI
City of Tigard Received
14 • 13125 SW Hall Blvd.,Tigard,OR 97223
Date/Bat y
Phone: 503.718.2439 Fax: 503.598.1960 Associated permit.,
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plurnb ng 0 Mechanical
'1 1 R D
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No N/A
1 Land use actions completed. Sce 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 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 licable to the project under review.
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.
L•1 Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
w
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
(p'
Building Permit #: t'li 7-0 y‘ --- 13/
Site Address: ( 05 4)0 5 c,J N ae u-L 5 .
Project Name: 13-e_cV-_ Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: aid•, 1-i o n - (7,.4-k-ocE,e d S •
Verify site address/suite# exists and active in permit syste
gr River Terrace Neighborhood: ❑ Yes l No
Site Plan Elements:
f Three(3)copies of site plan J xisting structures on site
Site plan must he 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
1eClorth arrow 'i Utility locations(required for new,may apply for additions)
,ite address,project or subdivision name and lot number of •cation of wells/septic systems
,VApplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence
J .ot dimensions and building setback dimensions ►``'1� design,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and Ztreet names
impervious area(applicable if R-7,R-12,R-25&R-40) V treat tree size,type and location
rElfroperty corner elevations(2 foot contour lines if more than J xisting trees to be retained with drip line,and tree
4 foot differential) i protection'measures
XClean tWater Services–Service Provider Letter(lot platted prior to 9/10/1995): — IN i'h" N4 ST.2015-- Oa hi 4
Requifed1• ❑ Yes,applicant was notified C 'No Received: ❑ Yes ❑ No
['Publii~Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified J 'No Applied For ❑ Yes ❑ No,stop intake
NI P� Land Use Case#:
k'Zoning: R - 3 •5 P A
!—"Setbacks: Front Rear #I5 Side 5 Street Side -- Garage —
,..-ErLandscape Requirement: -- %
Lot Coverage Maximum:
,Building Height: Maximum Height Actual Height t
N! r - 5 sual Clearance
1 .Easements
1,1) Sensitive Lands: ❑ Yes ❑ No Type
,_,/Urban Forestry Plan
2u Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: (') AJ_ 3L LGu vs-s--- Date: 7 -a u--t_s---
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Buil ding\Forms\BldgPennitRvw_RES_070915.docx
Building Permit Submittal
Original Submittal Date: 7 /S
Site Plans: #
5
Building Plans: # 3
Building Permit#: ,}rater building permit Bove.
Workflow Routing. [ - ' g ngineering PrJ ermit Coordinator uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: C--Engineering. (1) copy of permit application,(1) site plan, (1) building plan and
on • Ian 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: �C'___ CZ-3)......., Date: 7/3-0//..
Eljgineering Review
e at building pad:
onditions "Met"prior to issuance of building permit
F ements (encroachments)per engineering conditions of approval and plat
0/Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: 0 Yes No
C] NOT Approved Engineering: Date:
Notes: doe)Q 4.-1C■
Approved by Engineering: 4elz 0 Date: ' —
Revisions (after Building Submittal only) Reviewer .--
1 Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved O Not Approved
Permit Coordinator Review
O Conditions"Met"prior to issuance of building permit
O 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:
O SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
OK to Issue Permit �
Approved by Permit Coordinator: Date: / s
l:\Buil ding\Forms\BldgPermitRvw RES_0709 I 5.docx
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
MST2015-00131
David Young
Finish hangers and header over man door, contractor on site finishing work.
Violation Summary:
Inspector Contractor