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Permit
CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2015-00157 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2015 Parcel: 2S111CB02500 Jurisdiction: Tigard Site address: 14977 SW 100TH AVE Subdivision: MURDOCK HILL Lot: 6 Project: Ness Protect Description: Construct 460 sf freestanding carport. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement 0 sf Left: 5 Parking Spaces 0 Height: 12 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front 20 Smoke Dwelling Units 0 Third: 0 sf Right: 5 Detectors. Total: 0 sf Value: $6,000 00 Rear: 15 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 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/Fd • 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: ACS SF VB U 0 Owner: Contractor: NESS.DYANN E SWANSON CONSTRUCTION INC Required Items and Reports(Conditions) 14977 SW 100TH AVE PO BOX 1874 TIGARD,OR 97224 SANDY,OR 97055 PHONE. PHONE: 503-839-2284 FAX: Total Fees: $389.98 This perm t 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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O•'A1\2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232.1987 or 1.800.332.2344. Issued By: / C- 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 CEIVEJ) FOR OFF I('F. USE ONLY City of Tigard Received 15-7 Re Date/By:ive s /6,1 Permit No.: T 5'-(� 13125 SW Hall Blvd.,Tigard,OR 97? i 2 6 2015 Plan Review J I [, Phone: 503.718.2439 Fax: 503.598.1960 DateBy: / J tit Other Permit: I I G A R D Inspection Line: 503.639.4175 �/Q Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CH i V� IIGARD Notified/Method: ,,,./ f i5 Supplemental Information RIMMING eft-ed; �,,ru. G DI�ISi01� 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/alterAion/replacement [Other: ,A...1)„(.4 equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ID 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ lb 6 t--) �//� ❑Accessory building ❑Multi-family Number of bedrooms: eot Number of bathrooms: ❑Master builder [(Other: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I _i 9 7.7 .g w 1 0 0+h c.& a New dwelling area: square feet City/State/ZIP: .4. „,,.„i 0 Garage/carport area: square feet � Suite/bldg./apt.no.: ■ 1-01 Project name: t ._c (p +- 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: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rowded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the I ,I I,DESCRIPTION OF WORK work indicated on this application. 210 `( C.. M)4.. .t co,q rpk. Valuation: $ Existing building area square feet y/ New building area: square feet LW PROPERTY OWNER ❑ TENANT Number of stories: Name: $fe VE Type of construction: Address: 1 l,1 177 s w Loo�h cAve Occupancy groups: City/State/ZIP: -8 J. `OR Existing: Phone:(Sod 30-7- 9 Si'' ., Fax:( ) New: IlY APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule Business name: S(A3 l Af V ' GODS``l l. ''--�1'�� d Structural plan review fee(or deposit): Contact name: VV,s,.;-1 SL,..1 CArtfra N FLS plan review fee(if applicable): Address: Po aDi. bz-7 Total fees due upon application: City/State/ZIP: �� g7pss -�q jl Amount received: #IO 7. �� Phone:(521"3) 8 z l �lR LI Fax::( ) ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: 9,..;� � © N!1 e d'CMc.,d e\, CO M Commercial' d residential prescriptive installation of CONTRACTOR roof-top moun --, PhotoVoltaic Solar Panel System Business name: Submit two(2)s- of roof plan with connec 't s etails and fire department. cess,along wi . . • 2010 Oregon Address: Solar Installation Spec: ••• c ecklist. City/State/ZIP: Permit Fee(in .. . .lanreview $180.00 . 8 administra' e fees): Phone:( ) Fax:( ) o Star- surcharge(12%of permit .- : $21.60 CCB lie.: 1 8 7zc gob Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is n obtained ..../y within 180 days after it has been accepted as complete. Print name: Date: *Fee methodology set by Tri-County Building Industry Service Board 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ___A' Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T I G A R[� 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Me b� l Internet: www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ' es No V k 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. 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 0 ❑ ❑ 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 a,.licable to the •ro'ect under review. .IURISDICTIONAL SPECIFIC'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"building plans will not be accepted. ❑ - ❑ ❑ 26 "Reversed"buildingplans 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:�BuildinglPermits�BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) City of Tigard 711 r COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Residential • 1 Building Permit #: h' T cC l 5 —CO l 7 Site Address: (yg11 SW \OO-l-h Ave.. Project Name: ,;,,;;(;1;/:% Ness Lot #: (New dwelling= subdivision name;.Addition or.\Iteration=last name of owner) Planning Review l9, 1 Proposal: flew 2.14 x Carpoy`i' V/Verify site address/suite# exists and active in permit system. E River Terrace Neighborhood: ❑ Yes ig No S4e Plan Elements: leihree(3)copies of site plan4xisting structures on site r/ ite plan must bg on 8-1/2"x 11"or 11 x 17"paper Lb Footprint of new structure(including decks)with finished . yawn to scale(standard architect or engineer scale) floor elevations Morth arrow Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot number - Location of wells/septic systems pplicant information(name and phone number) $frosion control (including drainage-way protection,silt fence Lot dimensions and building setback dimensions esign,location of catch basin,etc.) Tot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) -Street tree size,type and location `BProperty corner elevations(2 foot contour lines if more than -B xisting trees to be retained with drip line,and tree foot differential protection measures C 152, p 3-681 S1D� Clean Water rvices-Service Provider Letter (lot platted prior to 9/10/1995):C}tan (Services.ors Ifirrnit RRWJ /Required: Received: q Yes,applicant was notified ❑ No Yes ❑ No RI Public Facilities Improvement (PFI) Permit: / Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake ,$L and Use Case#: I ' Zoning: R- 3,5 4Q Setbacks: access:1 Sf Front 20' Rear } 5' Side 51 Street Side Garage 20' $Landscape Requirement: C Lot Coverage Maximum: % t ►'1 Building Height:aceeSSo�y Maximum Height }rJ Actual Height 1 2., -Et-Visual Clearance €1-/Easements b Sensitive Lands: ❑ Yes No Type $Urban Forestry Plan —B-Conditions "Met"prior to issuance of building permit Notes: OJ r�� Approved By Planning: r C�jyt�_ Date: � -' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw_RES070915.docx Building Permit Submittal�y Original Submittal Date: 6 IC Site Plans: # Building Plans: # Building Permit#: O.-Enter building permit# above. Workflow Routing: Fa-Planning 2 -Engineering Permit Coordinator a Building Workflow Sign-off: 2-Sign-off for Planning(include notes from planning review) Route Application Documents: r❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and � original plan review routing form. D' building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technici n: L 'L ' Date: U /3-- Enneering Review CJ ope at building pad: ...er:7) ° Conditions "Met"prior to issuance of building permit ase ents (encroachments)per engineering conditions of approval and plat ater 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: Date: (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: Date4ent 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 Issue Permit . Approved by Permit Coordinator: .01 Date: 04//vr I:\Building\Forms\BldgPennitRvw_RES_070915.docx Clean Water Services File Number C1eanWater Services 15-002549 Sensitive Area Pre-Screening Site AssessmenR fv 1. Jurisdiction: Tigard [[ ej1/1j 1 j 2. Property Information (example 1S234AB01400) 3. Owner Information /-IU(i 26 2 lot ID(s): Name: Steve ness Company: l/,�I �J4 Address: 14977 sw 100th av @,/�JJNC 1/62.1 � Site Address: 14977 sw 100th ave City, State,Zip: Tigard,OR l IS City, State, Zip: tigard,or Phone/Fax: 503-307-4512 �O`� Nearest Cross Street: E-Mail: 4. Development Activity (check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Justin Swanson ❑ Lot Line Adjustment ❑ Minor Land Partition Company: Swanson Construction Inc ❑ Residential Condominium ❑ Commercial Condominium Address: PO Box 1874 ❑ Residential Subdivision ❑ Commercial Subdivision ❑ Single Lot Commercial I] Multi Lot Commercial City, State,Zip: Sandy,OR 97055 Other Phone/Fax: 503-839-2284 24x21 carport E-Mail: swanson @MHEremodel.com 6. Will the project involve any off-site work? J Yes Xi No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project It has 4 post to beams which support the trusses. 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 and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water 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 true,complete,and accurate. Print/Type Name Justin Swanson Print/Type Title President ONLINE SUBMITTAL Date 8/7/2015 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. ❑ 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. 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 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 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. ❑ 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 PROVIDER LETTER IS REQUIRED. Reviewed by i4c.iire 611:0,4"-*' Date 08/10/15 2550 SW Hillsboro Highway • Hillsboro.Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org