Permit (69) CITY OF TIGARD MASTER PERMIT
,, Permit#: MST2017-00150
2 COMMUNITY DEVELOPMENT
"` 777
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2017
T I't R. Parcel: 2S109BA00800
Jurisdiction: Tigard
Site address: 13643 SW MOUNTAIN RIDGE CT
Subdivision: THREE MOUNTAINS ESTATES Lot: 16
Project: CANNARD
Project Description: 1,250 sq. ft. deck addition.
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: $17,521.20 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 RainStorm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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 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:
CANNARD,LEE&MICHAELA EMERALD FENCE DECKS&CONSTRUCTIOT Required Items and Reports(Conditions)
13643 SW MOUNTAIN RIDGE CT 1193 NW 2ND CT
TIGARD,OR 97224 HILLSBORO,OR 97124
PHONE: PHONE: 503-709-7933
FAX:
Total Fees: $712.04
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 don a •rdance 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
s. ATTENTION: 5 egos law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those les set forth in OAR
952-001-0010 through OA 101-1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. -- • 1.8'0.33: 34
ued By: / _Li /4A--itl i 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
Residential
ev:VNI VA)
City of Tigard Received , /
Date/By: �' I Y 7 {,yam' . Permit No.: �.1 i1 7_�f5Z'
111 NI 13125 SW Hall Blvd.,Tigard,OR 97223 ZQ1� Plan Revie �i I
I Phone: 503.718.2439 Fax: 503.598.1 Date/By: -a;S' ) Other Permit:
�-i A K IJ Inspectionterne: Line: 503.639.4175.gov (IV 1. �®� Date Rd/Metho ,L J See Page 2 nr
Internet: www.tigard-or.gov �3 No•led/Method: � „�-� (Z Supplemental Information
' ADI GDS at/ ,
TYPE REQUIRED DATA:1=AND 2-FAMILY 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
Iddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this acation.
—
Valuation: $
LadEl"1-and 2-family dwelling Commercial/industrial j ( Z
--)i.
El Accessory building ❑Multi-family Number of bedrooms: ) 7j 4K-A
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ` 5(G'-1-3 S •P(\ok,,-r `nL.
,;a4 k- New dwelling area: square feet
City/State/ZIP:
---s-5,,,, ! C 0.., c( 7 2,-2,t 1 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: C o--n>1o_rgS:c x,n rG 0. (.-k- Covered porch area: square feet
Cross street/directions to job site: Deck area: 7 <RS"' 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
p P SCRIPTION OF WORK work indicated on this application.
.A- &-i' `Sc' `‘ •-•)+I r" Lk.-
Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: L— (.L n(\`,c--A Type of construction:
Address: ( '2) L` 3 szs:' rv' ,,,, •,, ( _;'`ck < G4 Occupancy groups:
City/State/ZIP: \i i 0_,,r-j c 02 Cl 721,4 Existing:
Phone:( ) Fax:( )
New:
(3 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Y\ r, c} (Please refer to fee schedule)
Business name:
e, 1'I--v-' `f L"cy\ski-u '`� l ik- Structural plan review fee(or deposit):
Contact name: (\jr\,a.:r a (�a.{-c.,
Address: k ct ?j �:.. L NA l_1' FLS plan review fee(if applicable):
City/State/ZIP: G' Total fees due upon application:
IA �hct-, T cG et a
Phone:(co .) c-1 LJ - L(.,_.,ti (" Fax::( ) Amount received:
E-mail: r ,,;; .�,(L cj_. - {- i cc t - c�m PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: iy\a,„-,`, -' Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1\ CI 3 ;Kj V G yo, c -- Solar Installation Specialty Code checklist.
City/State/ZIP: y��y.. - -i-- t 2-4 Permit Fee(includes plan review
t�S i U and administrative fees): $180.00
Phone:(SI;) v S ic co, Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: / 5.76,6%
Total fee due upon application: $201.60
ao
Authorized signature: I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: *Fee methodology set by Tri-County Building Industry
L C. u Date: .( 7 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR 01.1 IC t SE oNL.v
City of Tigard Date/BReceived
Permit No.:
13125 SW Hall Blvd.,Ti ard,OR 97223 Associated Associated permits:
■ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T G A R D Internet: www.tigard-or.gov
❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No /:8
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ •
ii
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 ❑ CI
6 Sewer permit. 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 ❑
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
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 ❑ ❑ ❑
and location. .
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 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 ❑
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 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 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
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".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 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
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 9 El ❑
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 of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ 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-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
iill .
" COMMUNITY DEVELOPMENT DEPARTMENT
TIRD Building Permit Review — Residential
Building Permit #: 4i - )I/7- )156
Site Address: / 4I.:g -QV l .. .kin i/ V at,,-/--
Project Name: ( ./ r Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review �J deck
Proposal: A1dhs'b71 '7 c GLF'Ck
1Q, Verify site address/suite#exists and activ in permit system.
tO)diver Terrace Neighborhood: NJ No ❑ Yes,See River Terrace Review Addendum Attached
Sit,�Plan Elements:
ree(3)copies of site plan IILII 'sting structures on site
ie plan must be on 8-1/2"x 11"or 11 x 17"paper tprint of new structure(includingdecks)with finished
awn to scale(standard architect or engineer scale) floor elevations
orth arrow U) +�t.'ty locations(required for new,may apply for additions)
e address,project or subdivision name and lot number e. 1*'�..tion of wells/septic systems
plicant information(name and phone number) Az F ting trees to be retained with drip line,and tree
—1 'it
dimensions and building setback dimensions protection measures
area,building coverage area,percentage of coverage and �: t tree size,type and location
VVV
impervious area(applicable R-40)
Street names
�'.erty corner 0
elevations(2 foot contour lines if more than
oot differential)
II Clean Water ervices—Service Provider Letter(lot platted prior to 9/10/1995):
tRequired: Yes,applicant was notified ❑ No Received: Yes ❑ No
fublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified CI No Applied For: CI Yes CI No,stop intake
tom/ and Use Case#: / X1-9 ()DX 'C
oning: _
equired Setbacks: Front 0.4 Rear — /Q Side Street Side f3) arage — =f-�•'
andscape Requirement: 620
Vof Coverage Maximum: _e.a 0/0
K
Building Height: Maximum Height .- Actual Height //
Si isual Clearance
j�1 asements
Sensitive Lands: LIG Yes ❑ No Type klid it Vc 1i i 4-
1rban Forestry Plan
to conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: c'�— r= Date:
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 091216.docx
Building Permit Submittal
Original Submittal Date: -7 /7
Site Plans:
Building Plans: # 3
Building Permit#: me building permit#above. --~
Workflow Routing: lanning C ' neering E fern it Coordinator ding
Workflow Sign-off: 13---51gn-off for Planning(include notes from planning review)
Route Application Documents: eering: (1) copy of permit application, (1) site plan, (1) building plan and
orial plan review routing form.
L�'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: i Date: ®hy!7
Engineering Review
❑ Slope at building pad:
El 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: Cl 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: 4_,P Date:—/7
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:
7 DC Fees Entered: Wash Co Trans Dev Tax: Cl Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
K to Issue Permit
pproved by Permit Coordinator: , , Date: 1i/l 7--
I:\Building\Forms\BldgPermitRvw_RES_091216.docx