Permit 111 CITY OF TIGARD MASTER PERMIT
14 1 COMMUNITY DEVELOPMENT Permit#: MST2015-00154
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/01/2015
Parcel: 25111 BA06300
Jurisdiction: Tigard
Site address: 9628 SW MCDONALD ST
Subdivision: ARLIE'S PLANTATION Lot: 3
Project: DRUMHILLER
Project Description: Replacing 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:
Total: 0 sf Value: $1,500.00 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
Fu rn>=100 K: 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.'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: Ecomaasing N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB U 0
Owner: Contractor:
DRUMHILLER,TIMOTHY L OWNER Required Items and Reports(Conditions)
9628 SW MCDONALD ST TIMOTHY DRUMHILLER
TIGARD,OR 97224 9628 SW MCDONALD ST
TIGARD,OR 97224
PHONE: PHONE: 503-830-1208
FAX:
Total Fees: $258.79
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 issuance, or if work is suspended for more the 180
days. ATTENTION Oregon law requires you to fo • - les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obta i a copy of the les or direct questions to OUNC by calling 87 or 1.800.332,2344.
Issued By: .. 1-- -- tee Signature: -�N�=
7-0M-111°.639.4175 by 7:00 a.m.for the next available inspection date. Air
This permit card shall be kept in a conspicuous place on the job site until completion of the
Approved plans are required on the job site at the time of each inspection.
Building Permit Application Ca Ntli)
p
Residential L� t()l( Hi( I. l siiON1.)
��`C3 Received
14 City of Tigard PUG`- Date/B : f I (,/IS" kjj Permit No.: rt,l _r 31 13125 SW Hall Blvd.,Tigard,OR 97223 ((��� t Plan Review
■ (�(� V L I Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 v V}AO�, ` e/By. J"'
TIGARI) Inspection Line: 503.639.4175 C1�1V````` �iateReady/By: luris ® SeePage2for
Internet: www.tigard-or.gov Q��� R'V Notified/Method: % Supplemental Information
OW ' .
TYPE OF WORK 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 CONSTRUCTION work indicated on this application.
,X1-and 2-family dwelling ❑Commercial/industrial Valuation: \SCA $
❑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: mil �� S �k 0 New dwelling area: square feet
City/State/ZIP:�—+ }N Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: c)L 01 L( \1\L L Covered porch area: square feet
Cross street/directions to job site: .0.„ ., ter\c,C>cc,t ii Deck area: \ 1..0 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
C Q1 G j C;-\ ‘7:'` t C 04— Valuation: $
Existing building area: square feet
New building area: square feet
...,,XSPROPERTY OWNER ❑ TENANT Number of stories:
Name:"T N M Z c,..k.k V,\\\ ( ( rr�, Type of construction:
Address: C\ b I ( t v,s, 10 S, IN,.,\ 6 54 Occupancy groups:
City/State/ZIP:"rt %r U 0 ) J.-L\
Existing:
g.
Phone:(5'b Gt.ICS ..\ Lo I Fax:( ) New:
❑ APPLICANT 7 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
...e"
Phone:( ) Fax::( ) Amount received:
Ml \ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: �,\tt1V . Ci y.,k)kILr,Q�' rwl\ 1. Cam
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets . oof plan with corn- on details
and fire department ace- along wi . . e 2010 Oregon
Address: Solar Installation Specialty ••'• ecklist.
City/State/ZIP: Permit Fee(includ- . •• -view $180.00
and a. mistrative fe-• •
Phone:( ) Fax:( ) State sure .._e(12%of permit fee): $21.60
CCB lie.:
/� TofaTfee due upon application: $201.60
Authorized signature`=� i�1�4 ? . This permit application expires if a permit is not obtained
y^ "`-- within 180 days after it has been accepted as complete.
Print name: . ~ 1 *Fee methodology set by Tri-County Building Industry
(v , . .. s..:. .., (,1 t`S',! .f( Date: �,t, � �•- t
Service Board.
�j
1:\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 "L'
N 13125 SW Hall Blvd.,Tigard,OR 97223
ilh
Dated
I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑ Mechanical
TIGARD
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. ❑ ❑ ❑ _
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 . 0' ❑ ❑
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 El 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 EJ ❑ ❑
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. 0 ❑ ❑
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 Oregon and shall be shown to be a••licable to the iro'ect under review.
JURISDICTIONAL SPECIFIC'S
23 Three(3)site plans are required for Item I I 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(I 1/02/COM/WEB)
City of Tigard
III .1.. COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A I: 1 Building Permit Review — Residential
Building Permit #: fl)57 l o 16r/
Site Address: )b&P sk) 47e2) oe
Project Name: ,bileir1/1/// leP cenipm L Lot #:
(New dwelling=subdivision name;Addition or Alteratiorf=last name of owner)
Planning Review 06
Proposal: X. ex)C e 4L
Verify site address/suite# exists and active in permit syste
,tver Terrace Neighborhood: ❑ Yes LJ No
Sit 1an Elements:
ee(3)copies of site plan structures on site
plan must bg on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
to scale(standard architect or engineer scale) floor elevations
0 rth arrow Y� ;'ii'ty locations(required for new,may apply for additions)
I! address,project or subdivision name and lot number ►�'..: ation of wells/septic systems
L�' plicant information(name and phone number) osion control(including drainage way protection,silt fence
of dimensions and building setback dimensions d ,location of catch basin,etc.)
X4"area,building coverage area,percentage of coverage and eet names
impervious area(applicable if R-7,R-12,R-25&R-40) jet tree size,type and location
Miloperty corner elevations(2 foot contour lines if more than sting trees to be retained with drip line,and tree
414ot differential) protection measures
Clean Water S5,rbices—Service Provider Letter(lot platted prior to 9/10/1995): /
Required: Yes,applicant was notified ❑ No Received: ❑ Yes No
/ /Oublic Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified Permit:
Applied For. ❑ Yes ❑ No,stop intake
Fq a..nd Use Case#:
11 oning: E-L4_
I1 O!Setbacks: Front !-�
() Rear /S— Side Street Side /S Garage c:Q()
/ 111" andscape Requirement:
-fir of Coverage Maximum: %
L Building Height: Maximum Height 30 Actual Height '' / J
ight (S/ ( / C'�
,/'' isual Clearance
I J!4 .asements
11 Sensitive Lands: [Ves ❑ No Type V"'' r
/// ban Forestry Plan I ' j 1 dals-
/Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Date: ;AY
Revisions(after Building Submittal only) - Reviewer Date
Revision 1: ❑ Approved
0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Buil ding\Forms\BldgPermitRvw_RES_0709I5.docx
Building Permit Submittal
Original Submittal Date: j-//95//S
Site Plans: # 3
Building Plans: #
Building Permit#: me�te—r building permit#above.
Workflow Routing: I 15i nning ngineering ermit Coordinator ceding
Workflow Sign-off: off for Planning(include notes from planning review)
Route Application Documents: P--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ort 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: -1:—.r„--''..,_____e___, ----- Date: r/Vt5---
En,�inx-ering Review
,[��lope at building pad:
L”" onditions"Met"prior to issuance of building permit
CE Z/ asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: / 2 7 Date: .07..44_ 6
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
Parks SDC: ❑ Yes ❑ N/A
OK to Issu: orator:Permit
Approved by / Date: /15'
1_•\Building\Forms\BldgPermitRvw_RES_070915.docx
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building, electrical, mechanical, and plumbing per mits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not
submit this statement.This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that a II subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I w ill
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this hom eowner statement is true and accurate.
,------r.
j \ CNN IS) c\k-ki\f\\\ ((
Print Name of Permit Applicant
--)N_____
°)\ ) \ )
Signature of Permit plicant Date
Permit#: /717,.2.I c—UOIcT 1
1.1:411!1-5*,,
Address: � -i„.���.N,,,,- �:
/ i9�� "Wy "+. .
Issued by: 3 l , Date: 7//) t-it
This Copy for Permit Offices
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
9628 SW MCDONALD ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00154
David Young
Violation Summary:
Inspector Contractor