Permit (124) CITY OF TIGARD MASTER PERMIT
IN----•*'
COMMUNITY DEVELOPMENT Permit#: MST2017-00278
Tr GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2017
Parcel: 2S 111 CA00400
Jurisdiction: Tigard
Site address: 15195 SW 98TH AVE
Subdivision: ALDERBROOK FARM Lot: 10
Project: Nelson
Project Description: New egress windows in basement.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: 1 Third: sf Right: Detectors: Yes
Total: sf Value: $1,400.00 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Footing Drain: Ice Maker: Hose Bib: Backwater Value: Bckflw Prevntr:
Drywell-Trench Drain: Other Fixtures:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
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
Owner: Contractor:
NELSON,GARY&SANDRA OWNER Required Items and Reports(Conditions)
NELSON,KEVIN ERIC GARY,SANDRA&KEVIN NELSON
15671 SW SUMMERFIELD LN 15195 SW 98TH AVE
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: 503-639-9539 PHONE: 503-639-9539
FAX:
Total Fees: $150.29
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. A A •A. •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-,•1-0010 through OA' 952-1. -0091. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 2.1987 or 1.800.332.2344.
'
By: `—/= �� y- Permittee Signature: k.
Is ued ,Z..a,,,,,,,..„,-,..
Call 503.639.4175 by 7:00 a.m.for the next available inspecit on 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 i vErt
FOR 01=1(\: 101I.1
la City Of TigardikEtyl_ REEew
13125SWHallTigardOR 9722R,'j 7 — PeritNo.: rPhone: 503.718.2439 Fax: 503.598.1960
T I T,A R D Inspection Line: 503.639.4175 t �t Date/By: .17 ', Other Permit:/}')�7 }»j6._
Internet: www.tigard-or.gov JULJA 3 /41 l l Date Ready/By: Jam: " t �" r. 1 i1[)
Notified/method. /7G/�17 ;-,J I See Page i for
U'
1 1 OF T1 Alb ��,�^C[.`(/l .fri
�T Gi Supplemental Information
TYPE`OF WO> 1� All !9>!l
� jj� � S" v REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction [ 1 i°ft'on Permit fees*are based on the value of the work performed.
atAddition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1-and 2-family dwellingValuation:
0Commercial/industrial $ /c7Gai C) ; c7 0.
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION- Total number of floors:
Job site address: /..)-7 .,..,---5 9GL1 G6,`�'" ; �KgG
/ ��t �J New dwelling area: square feet
City/State/ZIP: C" .77 a`�
`�"`}a'1 G�'- I T Garage/carport area: square feet
Suite/bldg./apt.no.: U I Project name:
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
`/
/✓ Other structure area:35",.7 'x(22
quare feet
Subdivision: E ' � ��'1REQUIRED DATA:COMMERCIAL-USE CHECKLIST
J t 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.: C.
DESCRIPTION OF WORT{ equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
INe-neA,,) Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER I 0 TENANT
Name: �P�/� �`�� � i ` Number of stories:
t it y- f-,i 4 Ate4.50Type of construction:
Address: 41/-0 7/ 5 a)
j„.1(44/11� 6?-/d it7 Occupancy groups:
City/State/ZIP: /oZ Q
(SQL ) -
Existing:
Phone: s3 ?1�y`"�rJr 3 el Fax:( )
kcf APPLICANT / New:
CONTACT PERSON BUILDING PERMIT FEES*
Business name:
i./t 1c Gt$ G (Please refer to feeschedule�
Contact name: Structural plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
��"
Phone:( )
I Fax::( ) Amount received:
E-mail:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
Business name: .. 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
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
Phone:( ) and administrative fees): $180.00
I Fax:( )
CCB lic.: State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: iI7 24-//,� This permit application expires if a permit is not obtained
f a � — within 180 days after it has been accepted as complete.
I Print name: / ,/ I 7 3 _j I *Fee methodology set by Tri-County Building Industry
Ai /v � Date:
Service Board.
I:\BuildingTermits\BUP-RESPennitApp.doc 02/24/2011
440-46131(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling
um( orr►cl: ll: oNl.1
City of Tigard
Received Permit No.:
Date/By:
r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
1 Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical 0 Plumbing 0 Mechanical
24-Hour Inspection Line: 503.639.4175 ❑ Other.
I G A R D Internet: www.tigard-or.gov
lcs \o A1
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 0 0
3 Verification of approved plat/lot. 0
4 Fire district approval required. Name of district: 0 0
5 Septic system permit or authorization for remodel. Existing system capacity0 0 0
6 Sewer permit. 0 0
7 Water district approval. 00 8 Soils report. Must carry original applicable stamp and signature on file or with application. 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. ❑ 0 0
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state
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
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. ❑ 0 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. ❑ 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
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. 0 0 0
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
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
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 joists0 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load. 0 0 0
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0
for four or more appliances. ❑ 0 0
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
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
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 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 0 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,
and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 0 0
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 approved prior to September 9,1995.
I:\Building\Petrnits\BUP-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
I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
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.
40, 4/04.cm/
Print Name of Permit Applicant
./Zra/j4L-
—ate- /
Signature of Permit Applicant Date
Permit it H67-001 7-400P.7
cp_ R �
Address: 15196- 4-JE �.;•'�
Issued b _ Date: 7 /4/ 7 f-i •
This Copy for Permit Offices
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15195 SW 98TH AVE, TIGARD, OR, 97224 August 11 , 2017 at 10:57:16
AM
Record Type: Record ID:
Residential - Master Permit MST2017-00278
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Headers installed.
Framing of window wells and new openings ok per city approved plans.
Basement not approved for sleeping purposes at this time on this permit.
Violation Summary:
Inspector Contractor