Permit 1111 CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2018 00036
T[rAfd,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/08/2018
Parcel: 2S108DB05700
Jurisdiction: Tigard
Site address: 15372 SW SEINE DR
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 55
Project: COLLING
Project Description: 216 sq. ft. deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $4,870.80 Rear: 15
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
Bckflw Prevntr: 0 Catch Basins: 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 p
Owner: Contractor:
COLLING,BRIAN&KIRSTEN STANLEY DEWAYNE MOORE Required Items and Reports(Conditions)
15372 SW SEINE DR 6107 SW MURRAY BLVD#263
TIGARD,OR 97224 BEAVERTON,OR 97008
PHONE: PHONE: 503-522-0047
FAX:
Total Fees: $278.44
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 throu R 952-001-0090. You may obtain a copy o .- s to OUNC by calling 503.-(2.1987 or 1,.b0.: 2.2344.
Issued By: / r r —'� - �Ir
� `
,nature:
Ca 5.".4175 by 7:00 a.m.for the next available inspec • = te.
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
4-1.i--i4
1l
City of Tigard Received 0:5"
'�4 Date/By: Permit No.: tom '+-'yti r f•- �,r13125 SW Hall Bivd.,Tigard,OR 97223s A67g+' 6
III
C Phone: 503.718.2439 Fax: 503.598.1960 Plan Review �(
Date By: p1-,-- U Other Permit:
T 1 G A K D Inspection Line: 503.639.4175 F :Date Ready/By: /` / 7 165 See Page 2 for
Internet: www.tigard-or.gov ,jdptified/Method: Z/ Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
riZt 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑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: I S 3-7-2_ 5 ) 3e-1 il e.- _Dr, New dwelling area: square feet
City/State/ZIP: 1 1 olG rd (7R 01 -1 ZZ`t Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered
(.o I 1 I vv.) �G[,1C.. porch area: square feet
Cross street/directions to job site: 1 5 OTq yitQ f -6d
rlci Deck area: Z)(0 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.
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.
k. kold l ho n pl 6 Valuation: ..�- -^r 0 Z 70.
Existing building area: square feet
New building area: square feet
l PROPERTY OWNER 0 TENANT Number of stories:
Name: B r l a rl ( l l,,lk Type of construction:
Address: 15 '12, 5y,) 5U€i n D f . Occupancy p y groups:
City/State/ZIP: -r-,n,,,,4 012 01-17...-2-Y 22-
Existing:
Phone:(50 3 ) 7 o S Z-2-e''i 5 Fax:( )
New:
0 APPLICANT
a CONTACT PERSON BUILDING PERMIT FEES*
Business name: 31.101 'v4iorp. 'COns lf10n (Please refer tofee schedule)
Contact name: S. ,1 M,0�rsZ Structural plan review fee(or deposit):
Address: in irl reF', 6 i v A 21,.E FLS plan review fee(if applicable):
tD"14 l7(
City/State/ZIP: P tA\J¢.r'Ivn, "t<-10 pff Total fees due upon application: /0-7.
Phone:(50 ) 5-272 —DO 91 J Fax::( ) Amount received:
E-mail: s}art 0 /n 0 4 e-Gt ei & E Cum PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: j Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:
(p 1 01 'S i'\) Inµr r c 15 tv d z to 3 Solar Installation Specialty Code checklist.
City/State/ZIP: f J on/ ♦�u c.-IWePermit Fee(includes plan review $180.00
and administrative fees):
Phone:(50 ) 522- (yr)1-l7 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 105$2 5-
/ Total fee due upon application: $201.60
Authorized signature: J//..._( '� This permit application expires if a permit is not obtained
c within 180 days after it has been accepted as complete.
Print name: Si-Gr) Moo ft, Date: i—12--/5 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPerntitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One and Two-Family Dwelling FOR 01,11(E
f i ici usl: OM.v
City of Tigard Received Permit No.:
Associat
Ili � 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
_ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
II G A R D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v`s N° N i.'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • •
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 ID 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.
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 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 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 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 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. 0 0 0
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
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. 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 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 0 0 0
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.
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 0
24 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
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.
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. 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
IIII ■
TICAR>a Building Permit Review — Residential
Building Permit #: /I 6ra)/ic,—cicv)3
Site Address: 15 3 12, c v./ 'S(1 rte,. 0 r
Project Name: !CDT It n `) 0€c Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review p
Proposal: V Op1'Sec,L 10CCAXL- C)C cU 'h1) n
Verify site address/suite#exists and active in permit system.
0 River Terrace Neighborhood: ❑ No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
/ViThree(3)copies of site plan ,Existing structures on site
,XiSite plan must be on 8-1/2"x 11"or 11 x 17"paper ,J Footprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
North arrow ,Utility locations&easements(required for new and additions)
/Site address,project or subdivision name and lot number ,Sidewalk/driveway approach
,Applicant information(name and phone number) Qbecatiee of wells/septic systems
ZrLot dimensions and building setback dimensions 'B£-iristtrtg trees to be retained with drip line,and tree
-1;4S/trate-footage of buildings to be demolished protection measures
0-Lot arcs,building coverage area,percentage of coverage and ❑Sweet tiee size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) Street names
Property corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑YesNo ,,,
4 foot differential) If yes,is a storm water quality facility shown? QYe ❑No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ,zi No Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified /` No Applied For: ❑ Yes ❑ No,stop intake
p Land Use Case#: Co 132 j S 0 GOO.L
Zoning: Q q . S
Required Setbacks: Front ✓i Rear t 5 Side C Street Side f\f/ Garage Z�
�l Landscape Requirement: IV A
Lot Coverage Maximum: 1 i I,
/71 Building Height: Maximum Height .- 0 Actual Height
/— Visual Clearance
Sensitive Lands: CI Yes E No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: (V\ (..0".\--/ (----"------S-- Date: I J Z S / i J
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\BldgPennitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: `�-51 it
Site Plans: # 3
Building Plans: #
Building Permit#: iter uilding permit#above.
Workflow Routing: arming Engineering ermit Coordinatorut ding
Workflow Sign-off: ®'Sign-off for 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.
i�'8uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 1-,,,,e",,,,&-.. Date: `/?/%i y
Engineering Review
❑ Slope at building pad: L/%
❑ Conditions "Met"prior to si uance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yeso
Assess Water Quantity Fee in-lieu: ❑ Yes rNo
Facility on lot: El Yes L+1 No
Final PlLIDAat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
12/Approved by Engineering: ( ' 4 12. 54- Date: -/111 g
Revisions (after Building Submittal only) Reviewer / Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El 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:
11:.DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes k' /A
Tigard Trans SDC: ❑ Yes it N/A
Parks SDC: ❑ Yes �' N/A
LIDA ❑ Yes ►% N/A
yOK to Issue Permit ate: _//4/ ' FV1(1 d�
Approved by Permit Coordinator:
I:\Building\Forms\B1dgPermitRvw_RES_010118.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15372 SW SEINE DR, TIGARD, OR, 97224 March 20, 2018 at
12:37:02 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00036
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Final ok per approved plans and engineering.
Violation Summary:
Inspector Contractor