Permit (11) CITY OF TIGARD74
MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2016 00345
T' ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2016
Parcel: 2S103CC11700
Jurisdiction: Tigard
Site address: 12275 SW HANCOCK CT
Subdivision: WHISTLER'S WALK Lot: 64
Project: Galvez
Project Description: Add 384 sq ft deck with stairs. Maximum height of deck is 5'above grade.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $11,200.00 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/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:
GALVEZ,EVARISTO E&NERISSA TK SQUARED ENTERPRISES LLC Required Items and Reports(Conditions)
12275 SW HANCOCK CT PO BOX 230783
TIGARD,OR 97223 PORTLAND,OR 97281
PHONE: 503-473-7764 PHONE: 503-407-0597
FAX: 503-246-8319
Total Fees: $548.51
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 Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You a.. o. -in-e-eopq-ef4l a Jules or direct questions to OUNC by calling 503 .1987 or 1.80 . .2344 -,,
Issued By:�`.. Permittee Signature: V v 41/03.639.4175 by 7:00 a.m,for the next available inspect e. /
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 ,` 1.oR ou i ic I. [ SI. 0\i \
City of Tigard Received 6,
Date/B : 1 A3 / 1 Permit No.: ,do/1,-06, q
" 13125 SW Hall Blvd.,Tigard,OR 9g6 0 4) ,-,n,, Plan Review
111111 Phone: 503.718.2439 Fax: 503.508 0.4e ,..4 't i u-1 Date/B : - .ic...), — . A Other Permit:
G A R D Inspection Line: 503.639.4175 Date Ready/By: asr01.11. 0 See Page 2 for
I I
Internet: www.tigard-or.govi,-,,,,,, I 1 Notified/Method:/ i 9Av" .'- Supplemental Information
Vii it)/ 9e-f.r riD
TypplidWAI 1,4 I/INK/A REQUIRED DATA:1-AND 2-FAMILY DWELLING
EiNew construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
0 1-and 2-family dwelling El /4 9r,c.
Commercial/industrial
El Accessory building 0 Multi-family Number of bedrooms:
0 Master builder Z'Other: 1) c.vNumber of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 2"2.7, 5 IA) ickA06/96V-- C T New dwelling area: square feet
City/State/ZIP: T i64-127 OR C7 Z:Z. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: „.3 <3 4-1-- 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.
WAIL-D A- t.4,--titi ATIA-am-ip --p`-e_ K "10 IZY.ATZ. aF Valuation: $
-1-4VE 4+Ot V5 e ui++\CAA MO cr;-' I4- AJ SO / iyj Existing building area: square feet
4E‘&47 New building area: square feet
,r25 PROPERTY OWNER 0 TENANT Number of stories:
Name: " VATZ..1.6170 • 6A.--VE - Type of construction:
Address: II-Z7S- 'ikj 4-}-ANG-er GI Occupancy groups:
City/State/ZIP: T A2-t) 017_ ci7Z2-3 Existing:
Phone:(. J3) £..74 -7704 Fax:( )
New:
ra APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:
Address: SAMT A- ?PoYetz--y 1/t i viR (if .
FLS plan review fee applicable).
i/
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted Photo Voltaic Solar Panel System.
Business name: iAt t.c., cvs-c 0 kAItilq cA pc / 17- 1 tj 6 Submit two(2)sets of roof plan with connection detai
and fire department access,along with the 21 e •regon
Address:
Solar Instecflpeciel Code che st.
City/State/ZIP: Permit Fee(includes . :. -view
$180.00
and admini - .tive
Phone:( ) Fax:( )
$21.60
This StatpeesrIcthaaprgpelieadeloefxppeirrne permit itffaee):
CCB lic.: g/,-
A :„
Tot. ee due u oip_ lication:
permit is not obtained
$201.60
within 180 days after it has been accepted as complete.
Authorized signature: AIP 401mA
*Fee methodology set by Tri-County Building Industry
Print name: 'VA(Zt STD " . Date:
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
3
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE 1 SI: 0yl.v
City of Tigard Date/BReceived
i Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Y
g Associated permits:
■ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T 1 G A K D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No 1,a
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ U
III
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: • 0 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 0 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 a•.licable to the i ro'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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB)
City of Tigard
.71q COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A a D Building Permit Review — Residential
Building Permit #: g-'1 7 /ea_cx 34/5!
Site Address: /Q7 7 1) e0(74 c2 -
Project Name: tIv/yprSC- Lot #:
((New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /e4t, c4oL /n /;vim P
Verify site address/suite#exists and active4 permit system.
River Terrace Neighborhood: 4Q No ❑ Yes,See River Terrace Review Addendum Attached
Sitlan Elements:
M we(3)copies of site planixi
sting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) floor elevations
orth arrow Utility locations(required for new,may apply for additions)
Ve address,project or subdivision name and lot number Location of wells/septic systems
plicant information(name and phone number) �`�` Existing trees to be retained with drip line,and tree
of dimensions and building setback dimensions protection measures
tiOt area,building coverage area,percentage of coverage and >tteet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
i(bean Water Services—Service Provider Letter /•t platted prior to 9/10/1995):
Required: E Yes,applicant was notified t. No Received: ❑ Yes ❑ No
id)(ublic Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified V No Applied For: ❑ Yes ❑ No,stop intake
and Use Case#:
/Zoning: 2' 4/-c-
gor Setbacks: Front A,)/4 Rear /S Side 5— Street Side A)/' Garage ,/ /,q
} Landscape Requirement:
piT
itot Coverage Maximum:uilding Height: Maximum Height/ Actual Height S
Visual Clearance
Easements
0Sensitive Lands: 1=1 Yes E No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: (------ --.7. �' Date: 9 c2 „
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:
034
Site Plans: # 3
Building Plans: # 3
Building Permit#: 2--Enter building permit#above.
Workflow Routing: a Planning ,12--Engineering 1:1---Permit Coordinator „wilding
Workflow Sign-off: 2-Sign-off for Planning(include notes from planning review)
Route Application Documents: Q"-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: C Aj. a0d ,, Date: d/g4
Engineering 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: / t...0Date: ®- /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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes &N/A
Tigard Trans SDC: ❑ YesN/A
Parks SDC: C] Yes /Ll'N/A
fel- OK to Issue Permit
(Approved by Permit Coordinator: Date: 87( s �Y
I:\Building\Forms\B1dgPermitRvw_RES_060116.docx