Permit (68) ,44 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT1111
Permit#: MST2016-00297
T EGA.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016
Parcel: 2S104CB01600
Jurisdiction: Tigard
Site address: 13083 SW ASCENSION DR
Subdivision: HILLSHIRE WOODS Lot: 32
Project: DAWOODBHAI
Project Description: 480 sq.ft. deck addition and replacing (2)windows with sliding doors.
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: $34,999.20 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
Bckflw Prevntr: 0 Catch Basins: 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
0
Owner: Contractor:
DAWOODBHAI,YUSUF&INSIYA SIGHT CONSTRUCTION LLC Required Items and Reports(Conditions)
13083 SWASCENSION DR 2407 SW 11TH ST
TIGARD,OR 97223 BATTLE GROUND,WA 98604
PHONE: PHONE: 360-314-8761
FAX:
Total Fees: $1,098.55
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes an•all other -pplicable law. All 'ork will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuanc-, • if work ': uspended for • .re the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification ren"r. Th•.e rules are forth in OAR
952-001-0010 through OAR 952-001-0090.C ynu may.. in a copy of the rules or direct questions to OUNC by calling 503.2 . =87 or 1.:'0. 2.2344.
111110
Issued By: _ � - _ ...._-,_•.-_...-..-_-- •- ittee Signature: -mirk
Call 50 •Air by 7:00 a.m.for the next available inspection..4.
This permit card shall .e kept in a conspicuous place on the job site until co •etion of th, .
Approved plans are required on the job site at the time of eachection.
Building Permit Application LS .?-ao )
Residential ,--, , ' , FOR OFFICE ISI: O\1.1
City of Tigard Received '7 /V�i6 /371-- Permit No.:j. 5-rd.6Ii ..eccolei-7
II "I 13125 SW Ha11 Blvd.,Tigard,OR 97223 1 U'1 2 0 2.016 Plan Review
_ ✓ )-) ( . Other Permit:
Phone: 503.718.2439 Fax: 503 598 196 Date/By:
11 c,A R 1� Inspection Line: 503.639.4175 ( ,) F ` > Date Ready/B ���// Ju—r s:�� H See Page 2 for
Internet: www.tigard-or.gov • a ,--%;,„,,. Notified/Method: /C�Cy I Supplemental Information
�`{{ s'
TYPE OF WORK RE(�'�/v/f /IREK/!DD DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 0 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: $ ')C1 t s, 2_63
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
- - New dwellingarea: square feet
Job site address: ����`�� p � �n,�/ �t;,��f ,,1.1'�,'t ��io^ 9
City/State/ZIP: p'c;0.,,,,,,,A, 7 1`< 7 Garage/carport area: square feet
i ��,`["� art b
Suite/bldg./apt.no.: ,) Project name: (:,' O,,r J tat Covered porch area: square feet
Cross street/directions to job site: Deck area: Vit` 2 1square 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(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
DD PA.—if.... re . i, ` irir; Valuation: $
1, / Existing building area: square feet
jNew building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: I'Lic b l ,-,,✓f c)ah 4(J. Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:(5,3) 9,3 a — t�..-.,� Fax:( ) New:
-P APPLICANT 4 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
�. r .�, Structural plan review fee(or deposit):
Contact name: 4J Ai'5 .�- 1. kif.^,ice;G U j,,•. 71, j 1
Address: ``���// FLS plan review fee(if applicable):
>2 ?r' .f? s,-
;;y. .;;. ,' ,^� " ✓: ;t (7 r? l" (? Total fees due upon application: 3 �f' 70
City/State/ZIP: vrt
Amount received:
Phone:(34-.,C) /s-,, 2 7 L i Fax :( )
//' �/ /', PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: ‘,✓c. d i' ' t'_idi fru�_.f"%%>'1 (<_'f,w j✓i, .✓: o k 'Z.„r v�
Commercial and residential prescriptive installation of
1 CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: C H 7 tN 3 f PL,: (:_ .,j. ,i /..4.-;;v„ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1 C 7 S5 I,,/ ft ilk It c " Solar Installation Specialty Code checklist.
1 ' r°07/ r', Permit Fee(includesplan review
City/State/ZIP: 1 r_ i' . (;ci $180.00
r f P '� t` �'m",til i and administrative fees):
Phone:(AC C') "7t I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: /9 °, M.- /2J .7/�,(e, Total fee due upon application: $201.60
r l4��
Authorized signature: ^/ / / This permit application expires if a permit is not obtained
``" !f` J within 180 days after it has been accepted as complete.
Print name: i (`` . ,l , Date: ¢ ✓ *Fee methodology set by Tri-County Building Industry
V 1 V( `lr") t l e t f ,� f$ Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/ 2/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling holt ohhicl: I SI: 0\l.1
Received
City of Tigard Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Dated
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
T 1 G A R D 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 c y° 1/_1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: . ❑ 0 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. 0 0 0
7 Water district approval. ❑ 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
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 0 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 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
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- 0 0 0
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 0 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- 0 0 0
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 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
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 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
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 0 0 0
architect licensed in Ore.on and shall be shown to be as slicable to the Iro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
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, 0 0 0
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 440-4613T(11/02/COM/WEB)
City of Tigard
114 v COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: A757-,A0/0- cJc;gq 7
Site Address: /3(')(j A ) /iS'Ce11S'r`c 2
Project Name: ii),.vAPx hs� G-k Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review /
Proposal: A, e C P '('j Cart.-. Se it d ��, �. /70 c I i? /071--
Verify site address/suitdexists and actiivez permit system.
' fiver Terrace Neighborhood: V No ❑ Yes,See River Terrace Review Addendum Attached
SiSi9e Plan Elements:
VJ P ree(3)copies of site plan 'sting structures on site
Y4 ' e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
P awn to scale(standard architect or engineer scale) floor elevations
74 yorth arrow Pletility locations(required for new,may apply for additions)
PrSte address,project or subdivision name and lot number $$ation of wells/septic systems
[A plicant information(name and phone number) pasting trees to be retained with drip line,and tree
ot dimensions and building setback dimensions yrotection measures
1 Ill tof area,building coverage area,percentage of coverage and V treet tree size,type and location
impervious a ee(ap licable if R-7,R-,1,2,R-25)&R-40) I14 Street names
l operty corner e1e a<fs(5 foot conkour line's if - 1 an
di
4 foot differential)
Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified V o Received: ❑ Yes ❑ No
( Pfublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
0 and Use Case#:
Setbacks:
C
►Setbacks: Front g ear " Side 5— Street Side Garage
-Wpf.
OiLandscape Requirement:
0of Coverage Maximum:
0/0
Building Height: Maximum Height S iActual Height J i y j)
td?Visual Clearance CL)
asements
piKnsitive Lands: ❑ Yes ZNo Type
p\P§rban Forestry Plan
fil I'onditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: "— 'j Date: o 7(e
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_060116.docx
Building Permit Submittal
Original Submittal Date: 7/16P0
Site Plans: #
Building Plans: # `�
Building Permit#: nter building permit#above.
Workflow Routing: arming C ngineering ermit Coordinator ui ding
Workflow Sign-off: [i-- -off for Planning(include notes from planning review)
Route Application Documents: .gmeering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[ iiilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ..0.""- ./' _ - = Date: /jam
_
ngineering Review
Slope at building pad:
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 ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 'ill...,:wi,) Date: 7Z1—/Z
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes `!/A
Tigard Trans SDC: ❑ yes r /A .
r
Parks SDC: ❑ Yes IN/A
?'° OK to Issue Permit
Approved by Permit Coordinator: Date: 2/ /e:'
I:\Building\Forms\BldgPennitRvw_RES_060116.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—..it: Transmittal s ittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: �--/Dc DATE I ��----,
m
DEPT: BUILDING DIVISION
:.. ) 2 .gyp.
I / AUG 2 9 2016
FROM: V ,,1CM1 Iit, Ai .)
COMPANY: BUTT NC OIO
PHONE: Q.4_
RE: ILO dw A-40_. ,-/ o- - Ji! )16-17090. 6-0027
(Site Address) (Permit Number /
(Project name or subdivision name and lot number) 4
ATTACHED ARE THE FOLLOWING ITEMS:
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: ► A
'---?----7_4_D
Routed to Permit Technician• s ate: ''' :'n (I Initial41 5111
Fees Due: ❑ Yes 1; o Fee Description: Amount a ue:
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes 16No ❑ Don
Applicant Notified: Date: may/f 40 Initial :
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13083 SW ASCENSION DR, TIGARD, OR, 97223
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
December 30, 2016 at
11:06:36 AM
Record ID:
MST2016-00297
Inspector:
David Young
Contractor