Permit (45) e q COF TGARD MARMIT
COMMUNITYITY DEVELOPMENTIPermit#: MSTSTER2018-0PE0060
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2018
Parcel: 2S 103 D D06800
Site address: 13800 SW 110TH AVE Jurisdiction: Tigard
Subdivision: 1996-046 PARTITION PLAT Lot: 1
Project: Kennett
Project Description: Converting attached garage to bedroom, closet and office. Trade permits to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 320 sf Basement: 0 sf Left: 0
Height: 15 Parking Spaces: 0
9 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front 0
Dwelling Units: 0Smoke
Third: 0 sf Right 0 Detectors: Yes
Total: 320 sf Value: $36,432.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 LaundryTrays: 0
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: 0 WaterDrains: 0
Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Bckflw Prevntr: 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''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
Y Garage Opener: N All
Other: N Other Description: N
Ecompasing:
BUILDING INFO
Class of Work: Type of Use:
ALT TYPe of Constr: Occupancy Group: Square Feet:
SF VB R-3
320
Owner: Contractor:
KENNETT,DEBORAH OWNER Required Items and Reports(Conditions)
VOYTILLA,ANDREW J DEBORAH KENNETT
VOYTILLA,JUDITH A 4034 SW HUBIE STREET
13800 SW 110TH AVE PORTLAND,OR 97219
TIGARD,OR 97223
PHONE: 503-244-2384 PHONE: 503-244-2384
FAX:
Total Fees: $1,182.34
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 ru-. ^dcptad by the Oregon Utility Notification enter. Those rul s are set forth in OAR
952-001-0010 throu 952-001-0090.�ou may obtain a co•' he rules or direc .uestions to OUNC by calling 5 3.2 .1987 pr 1.800 32 44.
Issued By: ���
Permittee Signature:
Call 50 y 7:00 a.m.for the next available inspect ate.
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 Applicatio 4' 17 T ,. i'''
Residential . , 7 •
FOR DUI I( E CSE 011.1
Ci11 . ty of Tigard , II1 I Received `7 ! / '
13125 SW Hall Blvd.,Tigard,OR 97223 Date/B r l Permit N.
Plan Review I �` AW �,� • O
Phone: 503.718.2439 Fax 503 59 1�� 1
Inspection Line: 503.639.4175 S Date/By: a. Other Permit:
T I G A}2 D p Date Ready/By: Jars:
Internet: www.tigard-or.gov ' //3%/. I H See Page 2 for
¢r a", <_ 4:,,, Notified/Method: Supplemental Information
/d
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Xr Addition/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 apas2tion.
- ' — --J,
X1-and 2-family dwelling ElCommercial/industrial Valuation: $ v �`�
❑Accessory building ❑Multi-family Number of bedrooms: 3 l)_
❑Master builder ❑Other: Number of bathrooms: �J
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13(ism ci'-) 1 1f O�. �, i New dwelling area:3�O square feet
City/State/ZIP: o ��+-). 1142:5
z_� —
�..fly..7Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:
Covered porch area: square feet
Cross street/directions to job site:
IV T ^ 1 VI� -4— Deck area: square feet
T 1 Other structure area: square feet
Subdivision: l l ! /_ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
F �(� I Lot no.: O4(p Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Z� /02 j�r� O�G� Indicate the value(rounded to the nearest dollar)of all
3 YJ O equipment,materials,labor,overhead,and the profit for the
(� _ DESCRIPTION OF WORK work indicated on this application.
`���\vTQ.t� - C3,--- _1 _O Valuation: $
`� -�"" t ` r c TExisting building area: square feet
New building area: square feet
ROPERTY OWNER I ❑ TENANT
Number of stories:
Name:
,,, ((( tel ( Type of construction:
Address: SO��� �
(''� Occupancy groups:
City/State/ZIP: !-44
Phone:( ) 2'Y " Z? 1 j Fa ( ) Existing:
"'1 Fax:
APPLICANT New:
%CONTACT PERSON -
t' BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Contact name: V ti Structural plan review fee(or deposit):
Address: °.`4 SW a
� ..j ` ,.✓&KA I ,..4. cjii.1,.
FLS plan review fee(if applicable)
�4,1C 7l t
City/State/ZIP: 9 Total fees due upon application:
Phone:(5D'D7/ „ 2:.? ELI l Fax::( ) Amount received:
E-mail: I�e�i / I f� ��� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR T Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: e,t)//i t.v. 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 si\..,,ure: This permit application expires if a permit is not obtained
,�, 4, '� within 180 days after it has been accepted as complete.
*
I
Print name: `Jt V1 Date: 2- ;Zl)� I Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pemuts\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling i O 12 o i FR`ii t s is 011.'
City of Tigard
Received Permit No.:
1pg
Date/By:
w 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
2 Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical 0 Plumbing 0 Mechanical
24-Hour Inspection Line: 503.639.4175 ❑ Other:
T IC;A R D Internet: www.tigard-or.gov
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW
lcs 1'o A/:+..
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
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district: 'V I' P. 00 0
0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0
0
0
6 Sewer permit. ❑
7 Water district approval. ❑0 ❑0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 3/'� basin protection,etc. 0 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;propertycorner 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
C Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
0 0 0
elation 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 clear y 6rtray
4' 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. 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. 0 0 0
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
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.
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 ❑ ❑ ❑
for four or more appliances. 0 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.
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
4 Two(2)sets each are required for Items 16, 19,20 and 22 above.
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.
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.
440-4613T 11/02/COM/WEB)
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 �
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13800 SW 110TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00060
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor