Permit n CITY OF TIGARD MASTER PERMIT
` 1 COMMUNITY DEVELOPMENT Permit#: MST2015-00136
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2015
Parcel: 2S110BD07600
Jurisdiction: Tigard
Site address: 11798 SW ASPEN RIDGE DR
Subdivision: ASPEN RIDGE Lot: 48
Project: Doane
Project Description: Replace existing 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: No
Total: 0 sf Value: $6,900.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 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:
DOANE,JAMES L&LAURIE MIKEL ADRIANS QUALITY FENCING&DECKS Required Items and Reports(Conditions)
11798 SW ASPEN RIDGE DR 3115 SW 211TH AVE
TIGARD,OR 97223 BEAVERTON,OR 97003
PHONE. PHONE: 503-848-8233
FAX: 503-848-8721
Total Fees: $408.90
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable All work will
be done in a • • • - with approved plans. This permit will expire if work is not started within 180 days of issuance, or i work is suspend" .r more the 180
days. A NTION: Oreg•• la equires you to follow the rules adopted by the Oregon Utility Notification Center. T ose rules ar - ' forth in OAR
952-0r -0010 through OAR .-001-•'191 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 r 1 00.332.2344. 4
' l `'2
Iss .d By: i _ ft� Permittee Signature: (3�
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 RECEJVEJ) I iIZ OI l I( I 1 ',1 1 City of Tigard DatRece ived elB PermitNo.: /` / ! -,
II 13125 SW Hall Blvd.,Tigard,ORIQWl9q Plan Review g II T.
Phone: 503.718.2439 Fax: 503. t 960 3 21i 7`I Date/13 : /► • er Permit:
i 1(, \i 1, Inspection Line: 503.639.4175 Date Ready/By: Jung: ® See Page 2 for
Internet: www.tigard-or.gov CITY Of i'I A , Notified/Method: Supplemental Information
I V iui�tf
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
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIO
work indicated on this application.
Valuation: $ ' Q"—)
'
g1-and 2-family dwellin g ❑Commercia Undustrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
• OB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 17 90 Su ! PEN 406E Zr- New dwelling area: square feet
City/State/ZIP: neVig, OR ' 7��4 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: tee-/AeA 4 E-Ma itT Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 2 5 1 I O 0 76 00 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
4 tt- -4.,C4.f 0644' Valuation: $
Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: L ata.,e i t. 212,q i4A-4+j/ Q Type of construction:
Address:/(7 )S SI,�f DEK 4Q6E7 Or Occupancy groups:
City/State/ZIP: 776i '6 I Q£ 511 2 4 Existing:
Phone:( ) Fax:( ) New:
Business name: A.bie t$/'s a"i41 11-er �Elt/Celg6 4, 0 ..eits Structural plan review fee(or deposit):
Contact name: ?D1eG9t(/ 74/Erie/50X
FLS plan review fee(if applicable):
Address: 31/5 54,/ 2/f -4-02.._
City/State/ZIP: ci, > )%s-i ex '1°03
Total fees due upon application:
Phone:(6- ) 848- p13 I Fax::(5O3 Big -- g-224 Amount received: o$,9 o
E-mail: g 40,3 3 P1 OTOVOLTAIC SOLAR PANE SYSTEM FEES*
Commercial and residential prescriptive installation of
roof-top mounted.PhotoVoltaic Solar Panel System.
Business name: t/}F( rs //L l r y NC( 1 G q Q S Submit two(2)se •f roof plan with co 'ection details
Yand fire department • ess,all.: •• I the 2010 Oregon
Address: Solar Installation Spe • Code checklist.
City/State/ZIP: 50../s4.1t, G--' 0-ecru. Permit F.- includes • • review $180.00
and administrativ- ees):
Phone:( ) Fax:( ) r, e surcharge(12%of permit N..): $21.60
CCB lie.: 4/E60 q l ri Total fee due upon appication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�� 167.-k7.0-1-- within 180 days after it has been accepted as complete.
Print name: *Fee methodology set by Tri-County Building Industry
��R .(AIL( PE rSuR Date: 7 2 3/5
5 Service Board
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/W EB)
I, _
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFI( E: 1 SE: cl\I,A
11114 City of Tigard Received Date/By: Yennil No
13125 SW Hall Blvd.,Tigard,OR 97223 Associated pettnits:
■ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS .-ARE REQUIRED FOR PLAN REVIEW 1 e No \/.
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 ❑ Cl ❑
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 0 ❑ ❑
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 l on and shall be shown to be applicable to the .ro'ect under review.
it RISDICTION:AL SPECIFICS
23 Three(3)siteplans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". Cl ❑ ❑
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
L on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPemtitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
. I
Building Permit Submittal /
Original Submittal Date: 7/a 3/C.
Sitc Plans: # rr
Building Plans: #
Building Permit#: .. Enter building permit#above.
Workflow Routing: g Planning engineering rmit Coordinator I. ilding
Workflow Sign-off: O'Sign-off for Planning(include notes from planning review)
Route Application Documents: [e ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
ginal plan review routing form.
El Building: original permit application,site plans,building plans,engineer and
beam calculatitioons an trust details,if applicable,etc.
Notes: f,Q,Ut.2O 0 W
By Permit Tec c>< n: 0 � J-L.j Date: 7A3/5----
Engineering Review q
l/fSlope at building pad: ' `O
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: ❑ Yes g. No
Assess Water Quantity Fee in-lieu: ❑ Yes i No
LIDA Facility on lot: ❑ Yes VJ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: A,1 t<Z. 14.0, Date: 7/2. 1
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A 1
Parks SDC: ❑ Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: `//j, /gr. _/ Date: 3 ate- /S-
1:\Building\Forms\B1dgPermitRvw_RES_0709I 5.docx
or . -
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: k‘-yrc /S--Of) /Site Address: /l 9 A .6 2r
Project Name: 061.4.12 n Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: �io`2Cp CXi S t-t y G/
tk
Verify site address/suite#exists and active in permit syste
/saver Terrace Neighborhood: ❑ Yes No
Si n Elements:
ICJ ree(3)copies of site plan E frog structures on site
S plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
wn to scale(standard architect or engineer scale) floor elevations
!P �/.rth arrow ility locations(required for new,may apply for additions)
V.S' address,project or subdivision name and lot number �. !, ation of wells/septic systems
licant information(name and phone number) V,, '_e •sion control(including drainage-way protection,silt fence
1 tot dimensions and building setback dimensions d•.tgn,location of catch basin,etc.)
ijkit area,building coverage area,percentage of coverage and 7 treet names
impervious area(applicable if R-7,R-12,R-25&R-40) FA_4.eet tree size,type and location
perty corner elevations(2 foot contour lines if more than asting trees to be retained with drip line,and tree
4 f t differential) protection measures
Clean Water$9,ices—Service Provider Letter(lot platted prior to 9/10/1995):
Required: 4 es,applicant was notified ❑ No Received: ❑ Yes ti4o
Mtpublic Facilities Improvement(PFI)Permit: /
Required: ❑ Yes,applicant was notified No Applied For. ❑ Yes ❑ No,stop intake
t d Use Case#:
�g: ie- y_g-
Setbacks: Front p2
0 0 Rear IS Side $ Street Side /$ Garage c/O
Vi 4.andscape Requirement 0
!'1'• .t Coverage Maximum:
I. Building Height: Maximum Height �0 Actual Height .-L7.-A- 13.74,...
J `•isual'Clearance
V1 A .sements
It Sensitive Lands: El Yes if/lo o Type .
Vilittrban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes: f
Approved By Planning: _ ,,, / Date: • /09,3/l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved —
Revision 3: ❑ Approved ❑ Not Approved
I:\Bull ding\Fonns\BldgPermitRvw_RES_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT
111 Transmittal Letter
T I G A R 1 ) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: �,4 W (V e L So DAT N1 1 `
DEPT: BUILDING DIVISION
AUG 5 2015
FROM: 16 2! v( /%Rr so,2 CITY OFTI DIVISION
BUILDING DIVISION
COMPANY: 4-b,e/nxi c
PHONE: (503 ) d 4 k" a z 33 By: issy7
RE: ,. //7 9<f &c,/ 4s,�&' / 57,../5--c r>t3rO
(Site Address) (Permit Number)
(Projec ilfie or su6div isi on name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: : 1 . 4;7,c.-, 4
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: LJ(6__ v Initials: 1 '(-1���
Fees Due: ❑ Yes o Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: _ Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
D • fr Clean Water Services File Number
JUL 2 8 2015 C1eanWater�` Services /5"--0(31-/A?
- --Sensitive Area Pre-Screening Site Assessment
7 l
80.-turlsdretien: _- 0� 1!'
v r
2. Property Information (ex mple 15234± 01400) 3. Owner Information
Tax lot ID(s): z.S/I0gpo 7X Name: L 4u ,e, E J)O/4 A/c
Company:
Address: I 8 6'4) / Ae-N , 1/-
Site Address: SP6/'J ,',p{ -Zir City, State,Zip: 7/64 ,0, ,e),e '27 z,y. #
City, State, Zip: 7/Gftef D O ie 9'722 Phone/Fax:(, ..- 707- ? ' C7
Nearest Cross Street: flub 1- 4 . E-Mail:
4. Development Activity(check all that apply) 5. Applicant information
Addition to Single Family Residence(rooms,deck,garage) Name: ���<%r`K ,e -e
Lot Line Adjustment ❑ Minor Land Partition p�ti9-6(5 Q
Company: s` ✓❑.
❑ Residential Condominium U Commercial Condominium 0/(5- 2/7 e_
❑ Residential Subdivision Address:
Commercial Subdivision
I] Single Lot Co mercial Q Multi Lot Co mer al City, State, Zip: , 0/e '700,3
Other 4' , cf-u- ,Lexv 6-A;5� G - Phone/Fax: '/ ��'CP I i'3 3 '3)C -497.(
(f E-Mail: �`� ft u.4^- /'(amts. Cor.-,
6. Will the project involve any off-site work? I]Yes No ❑ Unknown
Location and description of off-site work
7. Additional comments or information that may be ne -eded to understand your project
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 andlor Depaitrmont of the Army
COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law,
r3y signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Crean Waler 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(rue,complete,and accurate
Print/Type Name �a/E'1 fl`r�/ / .C'(.6Ce Print/Type Title f�.ee S
Signature Date 7/2 7/5—
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.
0 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.
❑ Eased on review of the submitted materials and best available information the above referenced projecl will not significantly impact the existing or potentially
sensitive weals)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
0%-20,Section 3,02,1. All required permits and approvals must be obtained and completed under applicable local,state and federal law.
❑ This Servico 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 PROVIDE IS WIRED.
Reviewed by i-- Date 1,.�O//
,S
2550 SW Hillsboro Highway - Hillsboro,Oregon 07123 - Phone.(503)681-5100 • Fax:(503)681-44:n • www.cluanwaterservices.org U.
•el
•
TO/10 39td S,N7IeJt TZL88V8E09 ET:bI ST0Z/8 /L0 •m
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
11798 SW ASPEN RIDGE DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00136
David Young
Violation Summary:
Inspector Contractor