Permit (13) CITY OF TIGARD MASTER PERMIT
,1111.,....., k.
COMMUNITY DEVELOPMENT Permit#: MST2016-00364
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/06/2016
Parcel: 2S 109AB 17200
Jurisdiction: Tigard
Site address: 13198 SW WILMINGTON LN
Subdivision: HIGHLAND HILLS ESTATES Lot: 1
Project: BOSNAR
Project Description: 264 sq. ft. patio cover.
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: $6,800.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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:
BOSNAR,TONY&PAMALA ALPINE OUTDOOR LIVING SOLUTIONS Required Items and Reports(Conditions)
13198 SW WILMINGTON LN 5115 NE 94TH AVE
TIGARD,OR 97224 VANCOUVER,WA 98662
PHONE: PHONE: 503-830-4398
FAX:
Total Fees: $331.40
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 e 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those - set fo• in OAR
952-001-0010 throu•h OAR 952-001-0090. • ••- •• t ule py of the r . direct questions to OUNC by calling 503.232.1987 or 1.800.
Niewc �a _
Issued By: i�~>--At-- _ —� Permittee Signature:
"3.639.4175 by 7:00 a.m.for the next available inspe tion date.
This permit card shall be kept in a conspicuous place on the job site until completion -'f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential roiz orrice. 1'A.Oy1.1
7111 City of Tigard q eceiveyd / // , permit No.: /y1�' a�// /�
11 ate/B : !f 077_ / Y (t? (,�,� �'/t
13125 SW Hall Blvd.,Tigard,OR 97223 �, /, �. Ian Review�/( !
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 96 `j' Other Permit:
1 I t.ARD Inspection Line: 503.639.4175 Date Ready/By: L� ., / Avis: See Page 2 for
Internet: www.tigard-or.gov SPP 1 5 2016
Notified/Method: /)I4 j I ®Supplemental Information
TYPE OF WORI( ,TY OF TIGARD REQUIRED DATA:1-AND 2-FAMILY DWELLING'
❑New construction 0 MiItiNG DIVISION 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.
ti 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ CvC) .)
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 1��� (( L"(j '. j to New dwelling area: square feet
City/State/ZIP: `( ; oc rkCT d r, 6', y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 'I30 fr,ez Covered porch area: ,2c/ square feet
Cross street/directions to job site: Deck area: / square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Valuation: $
Ci,t) n� lin 1-ci ow ,' z.,✓r/ Pk $,S I-
Existing building area: square feet
c2r-,i k
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: q--A--,b, ,gC..yllt r Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
/ New:
I:0'APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
+ (Please refer to fee schedule)
Business name: ,-3; Q �..4.1sat!, 1;/'v ✓f u l rte, n
�' � Structural plan review fee(or deposit):
Contact name: `,✓l' G(,)h
Address: I/J- fL 1 f•!-, 2.......,e_ FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application: I//Z //_
Amount received:
Phone:( )3(,V_9%.6,- ici30 Fax::( )
E-mail: ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
.1�i{w.ll 2 ' Cl'` -i' �'�c r�/r J'nc 6)./1/k
, � ,,,,� ,� Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: G i , Submit two(2)sets of roof plan with connection details
,�'1 n'`e ii S 1:2e.,+t, P _Ei/)•�-f y�- 4,,a� p g S
�, s and fire de •artment access,alon with the 2010 Oregon
Address: cfl. 4,— ciif ;a¢L/e. -I Solar Installation Specialty Code checklist.
�Y Permit Fee(includes plan review
City/State/ZIP: $180.00t"[ ' '~/ et and administrative fees):
Phone:
�r Fax:
(94`) 41 "'� 0�� ( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 0 0 0 C' 3 jw'Z7/�)
`( Total fee due upon application: $201.60
Authorized signature: ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:6 ,7.e., t / Cr7 e Date: c /S„ J� *Fee methodology set by Tri-County Building Industry
l> � / ( Service Board.
I:\Building\Permits\BUP-RE PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling roil of i icl: t si 0y1.1
City of Tigard Received
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Assciat
Assoociat
I Phone: 503.718.2439 Fax: 503.598.1960 ed permits:
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
I I G A R D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEJ\IS ARE REQUIRED FOR PLAN REVIEW les "O y/,'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. IN ■ ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 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 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 ❑
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 ro'ect under review.
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
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)
Building Permit Application
Residential I OR 01 is ►: ► ►: �>�►.�
City of Tigard eceived
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 RECEIVE
s Phone: 503.718.2439 Fax: 503.598.1960 'lanRev�wle `� /� 077-- ` `5���/���er�
. ) Inspection Line: 503.639.4175 Date/Re Other Permit:
Date Ready/By: 7uris: ® See Page 2 for
Internet: www.tigard-or.gov SEP 15 2016 Notified/Method: Supplemental Information
0 New construction ❑0L1IG DIVISION Permit fees*are based on the value of the work performed.
Addition/alteration/replacement - Indicate the value(rounded to the nearest dollar)of all
0 Other: equipment,materials,labor,overhead,and the profit for the
' xr s , 3 +., ,�� ` , _ ' � work indicated on this application.
1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
r a ' ( � Total number of floors:
Job site address: /?e{ / )- New dwelling area: square feet
City/State/ZIP: !�') tit', q y Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Sus , Covered porch area: a(., square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
L. a
Subdivision: I 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
a41 : ;, work indicated on this a..lication.
G 6U i‘,15 5.5
L i ? `Le/ Cc'v�C/ wr/ P i[� �. ., Valuation: $
112.0 to Existing building area: square feet
New building area: square feet
" 4c.k, as - g d ' Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax ( )
New:
Business name: dcv1u
�16.0.e— ./,v) 5)it" }� n Structural plan review fee(or deposit):
Contact name: 3e 1/7, P
Address: 5'/5- y If" A FLS plan review fee(if applicable):
City/State/ZIP: ^^ 4� Total fees due upon application:
Phone:( )3G- J_ 2� 1 Fan::( ) Amount received
E-mail ` v l 1 4404. 4
. i s
f 1- sal it Commercial and residential prescriptive installation of
���.� "' . � roof-top mounted Photo Voltaic Solar Panel System.
Business name: C et„a �S S A t v Q Submit two(2)sets of roof plan with connection details
Address: ‘}' /�(L and fire department access,along with the 2010 Oregon
Solar Installation Special Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
Phone:( ) Fax:( )
and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lic.:
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:6 e 7G t 13 en 5 Date: >' S, /r *Fee methodology set by Tri-County Building Industry
/ Service Board.
I:\Building\Peimits\BUP- PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1111 City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
•
T 1 c A R i) Building Permit Review — Residential
Building Permit #: fi)S j /(0—(n364/
Site Address: 1./9g ,git) A )//hirn q
Art LIM
Project Name: 6x/212r- A6 (T Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Ai&j /bk; Ce1/ec- 1k'?b P
Verify site address/suite# exists and activ in permit system.
krer Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Plan Elements:
/Sitt ree(3)copies of site plan sting structures on site
to plan must be on 8-1/2"x 11"or 11 x 17"paper V ootprint of new structure(includingdecks)with finished
0I awn to scale(standard architect or engineer scale) floor elevations
IG •rth arrow i 'ty locations (required for new,may apply for additions)
M S' a address,project or subdivision name and lot number "SI ., anon of wells/septic systems
MS
plicant information(name and phone number) td :".sting trees to be retained with drip line,and tree
t dimensions and building setback dimensions rotection measures
❑Lot area,building coverage area,percentage of coverage and iii eet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40)
Street names
fperty corner elevations (2 foot contour lines if more than
4 foot differential)
. lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
t 'ublic Facilities Improvement(PFI) Permit
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
IC) i i and Use Case#:
VII/Zoning: t-
Required Setbacks: Front Rear /S' Side Street Side Gara e
�s s- g �r
,Landscape Requirement:
of Coverage Maximum: t/V %
Building Height: Maximum Height `� Actual Hei iri 0
(pi g
sual Clearance
Easements
Id Sensitive Lands: ❑ Yes No Type
i1rban Forestry Plan
Id ,Jnditions "Met"prior to issuance of building permit
Notes:
sk
Approved By Planning: ` Date: �I��
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
1:\Building\Forms\BldgPermitRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date: 77/c://4
#
Site Plans: 3
Building Plans: # 3
Building Permit#: Center building permit#above.
Workflow Routing: B—Planning D-S gineering ermit Coordinatorul g
Workflow Sign-off: 13—Sig-n. -offfor Planning(include notes from planning review)
Route Application Documents: [--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori nal 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: 70 ,--��"
,.�-- Date: 7,/*
Engineering Review
❑ Slope at building pad: 0 Y.0✓�24
❑ 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: A,L.+.P Date: ?...0,_44
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
()OS
Tigard Trans SDC: ❑ Yes :111,,,N/A
Parks SDC: ❑ Yes no N/A
4toK to Issue Permit
Approved by Permit Coordinator: I ate: 19/32,/l4'
I:\Building\Forms\B1dgPermitRvw_RES_091216.docx
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13198 SW WILMINGTON LN, TIGARD, OR,
97224
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00364
Inspector:
Jeff Grove
Contractor