Permit (41) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2016-00392
T[(a.''kR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2016
Parcel: 2S 102 BC06500
Site address: 10640 SW PATHFINDER WAY Jurisdiction: Tigard
Subdivision: YOLO ESTATES Lot: 14
Project: TIBBETS
Project Description: Adding window and door to existing garage.
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 No
Right: 0 Detectors:
Total: 0 sf Value: $2,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Lound Tra s: 0
dry
Y 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: pWatDrains: 0
er Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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 add9 500 sf: 0 201-400 amp: 0 201-400 amp: 0
P 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
Other: N Other Description: All
Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr:
ALT Occupancy Group: Square Feet:
SF VB
R-3 0
Owner: Contractor:
TIBBETS,KATHLEEN M REVOCABLE TROWNER Required Items and Reports(Conditions)
12235 SW JAMES ST KATHLEEN TIBBETS
TIGARD,OR 97223 10640 SW PATHFINDER WAY
TIGARD,OR 97223
PHONE: PHONE: 503-713-8872
FAX:
Total Fees: $185.79
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 throughhRR- ,952-0010090. cop,of the ru- •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r�'r Permi e- ature: •
9.4176 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
Residential
�, } 1OR 0111(1; l \I 0\1.1
City of Tigard g - � � .i ;,,I '"" Received
1114 r 13125 SW Hall Blvd.,Tigard,OR .\ Date/B : , E < Permit No.: i
I Phone: 503.718.2439 Fax: 503.59 Plan Review I _
-11(2, R Inspection Line: 503.639.4175 ��ll Date/B : 1 - C ' Other Permit:
Internet: www.tigard-or.gov ` Date Ready/By:
,c{ ` i / /4q (')'J See Page 2 nr
�,� N.ifr•/Method: D /al
,- ,ry. � r Supplemental Information
Iia . sD -7/ - �t�rZ9-
TYPE OF W R f°‘•
� REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction 1 ;
iit�;; Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ii. 'ddition/alteration/replacement • Other:
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
(01-and 2-family dwelling Valuation:
❑Commercial/industrial $ G ;
❑Accessory 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:
0 Pt \ 1, . .t. New dwelling area: square feet
City/State/ZIP: `
Ck.*, Garage/carport area:
Suite/bldg./apt.no.: square feet
Project name:
Cross street/directions to job site: Covered porch area: square feet
I 1 Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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 a..lication.
At AMMINNUN 0 4
17)"el. Valuation: $
C,4 '
Existing building area: square feet
New building area: square feet
/® ' 'OPERTY OWNER 0 TENANT
Name: r r es,„ k.,_ \ Number of stories:
Address: \�� Type of construction:
� mi Occupancy groups:
City/State/ZIP: ' , C 'C.'0 4
— MS11111101
Phone:( i ) 2 _ Existing:
!3 ' 71 Fax:( )
0 APPLICANT /%► New:
CONTACT PERSON BUILDING PERMIT FEES*
Business name:
'lease re er to ee schedule
Contact name: Structural plan review fee(or deposit):
Address: • `C t I •� FLS plan review fee(if applicable):
City/State/ZIP: 1 Total fees due upon application: `
Phone:(5--07 ) ( • 2_ Fax::( ) Amount received:
E-mail: a l _rc, �
�, �,. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
.v i"l-S�Ca eta& k 0 ACTOR Commercial and residential prescriptive installation of
Business name: , A. roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
City/State/ZIP: Solar Installation S.ecial Code checklist.
Permit Fee(includes plan review
Phone:( ) Fax:( ) and administrative fees): $180.00
CCB lic.: State surcharge(12%of permit fee): $21.60
Authorized si C-2 /1"n"gnature: Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�6/
Print name: 4 I *Fee methodology set by Tri-County Building Industry
I:\Building\Permits\BUP-RESPennitA ( I Date: /0 3 t6 Service Board.
pp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application in Checklist
Dwellt
One- and Two-Family g
ReceivDate/By:
ed per:rmit No.:sl. 011.1
City of Tigard
II 13125 SW Hall Blvd.,Tigard,OR 97223IN
Associated permitsro►z: Orde
S Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electricanical
C0 0 Mechanical
24-Hour Inspection Line: 503.639.4175
El Other:
T 1 G A R D Internet: www.tigard-or.gov
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es❑ i) N/k
1 Land use actions corn•leted. See'urisdiction criteria for concurrent reviews. 0 mum
2 Zonin.. Flood slain,solar balance •Dints,seismic soils desi:nation,historic district,etc. `j`��0
,
34INIIIINE
Verification trop of a r o rd • a . "�7"
4 Fire district a• •royal re•uired. Name of district:
Lil<7�07
5 Se•tic s stem •ermit or authorization for remodel. Existin:s stem ca acrt uC"I
6t.
Sewer d erdistrict
7 Water district a* i royal. �'����
8 Soils re•ort. Must ca ori•inal a s,licable stam s and si: ature on file or with a s s lication.
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- L
UM
basin .rotection,etc. drawn Must be
10 building3 Complete sets of l die details
etail and onnections must be incorporat d scale,showing into the planslor on local and state • • MI separate full size
shett codes. htepl designs de
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
■
coayri:ht violations exist.
11 then is plan adrawn to scale. The differential,show must showd building
con our lines at 2-ft.ack intery intervals);location of elevationseasements(if 0
there is more than a 4-ft.elevationplan
on
and driveway;footprint of structure(including entase;location ofof coverage impe rvous area existing structusessonlsrteladd
indicator;lot area;building coverage area;p g
surface draina:e. hold-downs and reinforcingpads,connection details,vent size ��
•
12 Foundation plan. Show dimensions,anchor bolts,any ado locatin
onn.
. III
�
13 Fland rto plaan . Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0
furnace,ventilation fans, •lumbin:fixtures,balconies and decks 30 inches above: ade,etc.
14 Cross section(s)and details. Show all framing-member e than one Dross sectpon maybe required to clearly portray eams,headers,joists,sub- 0 0
floor,wall construction,roof construction.
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. ❑
tion;
nimum of two elevations for additions and
15 Elevation a views.elevations Provide
reflect the actual grade if the echange tin grade is greater than four foot at building en elope.
Exterior ele 0
Full-size sheet addendums showin. foundation elevations with cross references are acce stable.
e. 0 0
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ■
rescristive cath anal sis ,rovide s.ecifications and calculations to en:ineerin: standards. ��
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
locations. Shownattic ventilation.g1111=1111
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 ❑
s stems,see item 22,"En.ineer'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 Ion:and/or an beam/oist c. in:a non-uniform load.
20 Manufactured floor/roof truss desi:n details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0
for four or more as'fiances.
IN
22 Engineer's calculations. When required or provided,
(i.e.,
glishear
le to the roo' trct usus)sshall
ree stamped by an engineer or a U
architect licensed in Ore.on and shall be shown
to be JURISDICTIONAL SPECIFICS ❑ ❑
23 Three 3 site clans are required for Item 11 above. Site glans must be 8-1/2"x 11"or 11"x 17". 0 II
MII
MAI
24 Two(2)sets each are re s uired for Items 16, 19,20 and 22 above.
25 Buildin: s lans shall not contain red lines or to s e-ons. "Mirrored"buildin: glans will not be acce sted. 1111.111 `i
226 "Reversed"building plans must meet criteria outlined in the Permit&System Develo sment Fees document. "`■,r■'
27 "Drawn to scale"indicates standard architect or en•ineer scale.
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard a ❑ 0
0
Street Tree List. 0 0
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
and srotection measures must be drawn to scale and must include the sro'ect arborist's si:nature of a',royal.
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 a I I roved ,rior to S-,tember 9,1995.
I:\Building\Permits\BIJP-RESPermitApp.doc 02/24/2011
440-4613T(11/02/COM/WEB)
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name
CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
XI will be performing work on property I own, a residence that I reside in, or a residence
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction will
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
CO C-( ``I
Print Name of Permit Applicant
I
f'D1JzIL6
ignature of Permit App i.j Date
Permit#: H.31 aUl: le- ov392
.lam
Address: 10 440 6rAD 19-TI-f6ww (Jqy �;
Issued by: 6, /... Date: /0,2-71(.. f=3
This Copy for Permit Offices
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
10640 SW PATHFINDER WAY, TIGARD, OR,
97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00392
David Young
Landing and light at new door ok.
Final inspection ok.
Minor label for electrical # ELS 548128
Violation Summary:
Inspector Contractor