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Permit CITY OF TIGARD MASTER PERMIT • COMMUNITY DEVELOPMENT Permit M: MST2015-00272 13125 SW Hall Blvd.,Tigard OR 97223 503.7182439 Date Issued: 01/04/2016Parcel: 2S103DB10800 Jurisdiction: Tigard Site address: 13235 SVV GENESIS LP Subdivision: GENESIS NO.3 Lot: 68 Project: McKinney Project Description: Replace existing 988 sq ft 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 at Garage: 0 at Front. 0 Smoke Dwelling Units: 0 Third: 0 at Right: 0 Detectors: No Total'. 0 at Value: $24,500.00 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 0. Tubs/Showers: a Garbage Disp'. 0 Water Heaters: 0 Water Lines: 0 DrainsCatch Basins: 0 Footing Drain'. 0 Ice Maker'. 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevnt[ 0 Drywell-Trench Drain 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning'. N Vent Fans'. 0 Clothes Dryers0 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 at or less'. 0 0-200 amp: 0 0-200 amp: 0 W/Svc or For. 0 Ea anal 500 sf. 0 201-400 amp: 0 201-400 amp: 0 AND Svc/Fdf: 0 Mid HomelFeeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp'. 0 601-amp-100W 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 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 Carl Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: MCKINNEY,BRUCE CHARLES AND BOB WILLIAMS CONSTRUCTION COMPANY Required Items and Reports(Conditions) EILEEN THERESA 21446 SWCHRISTENSEN CT 13235 SW GENESIS LOOP TUALATIN,OR 97062 TIGARD,OR 97223 PHONE. 503-639-4040 PHONE: 503-260-4634 FAX Total Fees: $895.99 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 follow the rules adopted by the Oregon Utility Notifi bn Center. Those Mireset forth in OAR 952-001-0010 throw 01-0 90. You may obtain a copy of the rules or direct questions to OUNC by callin 50 232 1 7 or 1 800 332 Issued By. �— —L 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 LQ o? 3 /S' Residential RECEIVED 12111111411111111111111111 MM Received CI Of Tigard f� : /� ag ,(� Permit No. 13125SWHall Blvd.,Tigard, 97229EC 2 3 2015 Date/By:g Plan Review Phone: 5n Line:.5 39 Fax: 503.5961-N OF TIGARD Date/B : Other Permit Inspection Line: 503.639.4175 I�� �Y V Date Ready/By: 1u' ® See Page 2 far Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information T1lPE OF WORK REQUIRED DATA:I-AND 21FgMiLY 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 dition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 535t_and 2-family dwelling E]Commercial/industrial Valuation: ❑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: Zj5^ SLL G� i S New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to jobb site: Deck area: square feet ✓ Is, v e S. 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 a2plication. Valuation: $ C+ / Existing building area: square feet New building area: square feet PROPERTY OWNER ❑:TENANT Number of stories: Name: igG < </ Nc Type of construction: Address: r L Occupancy groups: City/State/ZIP: d r2 C, ZZ3 Existing: Phone:(!5Z3) 6 35 y0 y0 Fax:( ) New: ❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES' east re mro fm whadu Business name: , �.y err C-7-, s7ra, 7 *, (� , Structuralral plan review fee(or deposit)osit):: Contact name: r O r FLS plan review fee(if applicable): Address: y I Tn 51 n 6 Total fees due upon application: City/State/ZIP: f q Amount received. 29-,5', V '7 Phone:(<j`D ) -Z v Fax: :( ) E-mail: PHOTOVOLTAIC SOLAR PANEL,SYS#MPEES'* Commercial and residential prescriptive installation of -_ CONTRACTORCommercial mounted Photo Voltaic Solar Panel System. Business name: (� r d Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: -Z� y ), t S Rn Solar Installation Specialty Code checklist. City/State/ZIP: laz'�— Q Q Permit Fee(includes plan review $180.00 and administrative fees): Phone:(figi) 2 .6 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 20 © Z 6 tFs//1 -7 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained q r within 180 days after it has been accepted as complete. Print name: f Date: l2-Ll " l "Fee methodology set by Tri-County Building Industry Service Board. 1:ABuildingVPeimitsVBUP-RESPermitApp.doe 02/24/2011 4404613T(I 1/02/COM/WEB) I Building Permit Application Checklist One- and Two-Family Dwelling City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 DateiBy: Phone: 503.718.2439 Fax: 503.598.1960 . Associated pemuts: 24-Hour Inspection Line: 503.639.4175 ElElectrical ❑ Plumbing EIMechanical ma Internet: www.tigard-or.gov ❑ Other: 1 Land use actions completed. See'urisdiciion criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plattlot. ❑ ❑ I ❑ 4 Fire district approval required. Name of district: ❑ 5 Septic sstem permit or authorization for remodel. Existiny 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 revien cannot be completed if copyright violations exist. 1 I 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 0 El ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, El El ❑ 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 oftwo elevations for additions and remodels. ❑ ❑ El 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. IS 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 multiplejoists ❑ ❑ ❑ over 10 feet long and/or any beam/hist 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 applicable to the project under review. 23 Three 3 site plans are required for Item I 1 above. Site plans must be 8-1/2"x 11"or 11"x 17". 1N El Q 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 Tans 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 77—71— 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 ofapproval. 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. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(I 1/02/COM/WEB) J City of Tigard COMMUNITY DEVELOPMENT'1)1?PAR'I'MI:N'I' ■ Building Permit Review — Residential Building Permit #: /%S 7—a2o/S-- Site Address: J 3s— ` � gA Z-") Project Name: ek Lot #: (Ncw dwelling= iviniun nam,;.Addition or.AIteration=last name of owner) Planning Review pp� Proposal: _ [7 1'-V• C.XXn� //! /RrX VIv�,erify site address/suite# exists and active in permit syste � P11%ver Terrace Neighborhood: ❑ Yes V No Si Plan lilements: ree(3) copies of site plan K41.o ting structures on site e plan must be on 8-1/2"x 11"or 11 x 1-"papertprint of new structure (including decks) vvnh finished axon ro scale (standard architect or engineer scale) 'fAloor elevations trth arrow- iklin locations (required for next,mac apple for additions) V address,project or s-ubdivisioo name and lot number ,yication of xvells/septic sxstems VC[ plicant information (name and phone number) !W osion control(including drainage-wav protection,silt fence ot dimensions and building setback dimensions t_' sign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and 'treet names �impennous area (applicable if R-7,R-12,R-25 R R-40) Areet tree size,ty c and location Ofl�perv,'corner elevations (2 foot contour fines if more than Ov�-isting trees to be retained with drip line,and lice 4 foot differentialprotection measures ❑ Clean AVater S -Ices—Service Provider letter (lot platted prior to 9/10/1995): Rcyuircd: s, applicannvas notified ElNo Received: El Ycs �' kiblic Facilities Improvement(PFT) Permit: Required: E-1Ycs,applicant was notified / No Applied For: ❑ Yes ❑ No, stop intake �1�1and l'se Case #: �/ Doing: IV Setbacks: Front c1<0Rear 5- Side IS7 Strcet Side Girage �'andscape Requirement: °o x Coverage Maximum: /� �� IV Building I leight: Maximum I Icight ` actual Fleight / Visual Clearance asemcnts IA Sensitive Lands: Id Yes ❑ No Type ��tiQ� clrban Forestry Plan ���� Al onditions "Met" prior to issuance of building permit Notes: OL119 / i Approved By Planning: Date: 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`.B1dgPennilRvw_RES_070915 docx Building Permit Submittal Original Submittal Date: /-)1,23�>S Site Plans: # 3 Building Plans: # 3 Building Permit#: [`Enter building permit# above. Workflow Routing: [Planning ❑' `,nginccring EJ-Permit Coordinator $Building \Workflow Sign-off: [;4-Sign-off for Planning(include notes from planning review) Route Application Documents: D- Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original 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: Engineering Review Slope at building pad: n Conditions "IMet"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality-/Quintin- Facility: :Assess Water Quality Pee in-lieu: ❑ Yes No Assess Water Quantity bee in-hcu: ❑ Yes No I,IDA Eacihp� on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 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 XConditions "Flet"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 Ices 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: ?�11 / IZG r��sJ Date: I:\Building'Ponns\BldgPennitRvw RES 070915.doex JAN 4 2016 Clean Water Services File Number CITY OF TIGARD C1ean%a r Services 15-004221 BUILDING OIVISIOftensitive Area Pre-Screening Site Assessment 1. Jurisdiction: City of Tigard 2. Property Information (example 1 S234ABO1400) 3. Owner Information Tax lot ID(s): Name: bruw Mc kinney 2s13db10800 Company: Address: 13235 sw Cenem Loop Site Address: 13235 sw genesis loop City, State, Zip: tigad or 97223 City, State, Zip: tigard.or,97223 Phone/Fax: 5036394040 Nearest Cross Street: sw 115th E-Mail: gohorc3W@ nsn.00m 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: bob williams ❑ Lot Line Adjustment ❑ Minor Land Partition Company. bob williamsoDrdruct on mmpamy ❑ Residential Condominium ❑ Commercial Condominium Address: 21446s6vchristensen ct ❑ Residential Subdivision ❑ Commercial Subdivision tualatin or 97062 ❑ Single Lot Commercial ❑ Mufti Lot Commercial City, State,Zip: Other Phone/Fax: 503 260 4634 replacing exciting decksamesize arid foot Print E-Mail: bobLoPbobwoc.com 6. NAZI the project involve any off-site work? ❑Yes ®No ❑ Unknown Location and description of off-site work 7. Additional comments or information that may be needed 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 Departnentof 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, PrintlType Name bob williams Print/Type Title Owner ONLINE SUBMITTAL Date 12/28/2015 FOR DISTRICT USE ONLY ❑ Sensitive areas potentiaily exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OFA 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 malenals 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,Stale,and federal law. XBased 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/vea 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 plans)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 95/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by _ Date 12/31/15 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 13235 SW GENESIS LP, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O MST2015-00272 Jeff Grove Violation Summary: Inspector Contractor