Permit (25) CITY OF TIGARD MASTER PERMIT
1
� a Permit#: MST2018-00140
COMMUNITY DEVELOPMENT
Date Issued: 05/30/2018
1 fa.t‘RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S133DD10800
Jurisdiction: Tigard
Site address: 11958 SW 125TH CT
Subdivision: VILLAGE AT SUMMER LAKE PARK NO.4 Lot: 145
Project: ANDERSON
Project Description: 741 sq.ft.two-story addition:Adding(2)bedrooms and(1)bathroom; Relocating kitchen and
master bathroom. Trade permits will be submitted separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 2 First: 362 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 21 Bathrooms: 0 Second: 364 sf Garage: 0 sf Front: 20 Smoke
Yes
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors:
Total: 726 sf Value: $183,000.00 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 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 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:
ADD SF VB R-3 726
Owner: Contractor:
ANDERSON,JESSICA L BUILD IT CO INC Required Items and Reports(Conditions)
11958 SW 125TH CT 15951 SE HWY 212 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 DAMASCUS,OR 97089
PHONE: PHONE: 503-891-2410
FAX:
Total Fees: $4,367.63
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 throug• •'R 952-0� •90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
"/fr•.4 4 el
Issued By: / / .&' Permittee Signature: (llA
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat
This permit card shall be kept in a conspicuous place on the job site until complet o of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE. CSE ON Ll
City of Tigard •RECk,,te/By: 5 fel t•
� , Permit No.:/�5� i,r_a_?/ )
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review U
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I Other Permit:
1 l C,A K D
Inspection Line: 503.639.4175 4/ Date Read /B : Jure ld See Pae 2 for
p n' t (() Y B
Internet: www.tigard-or.gov + Notified/Method:� h_ L friiil,ir y I Supplemental lnformation
CITYOF A I�GTARD Ci)[+ L � ^fi I6QUIRED DATA:1-AND 2-FAMILY DWELLING
TYPE OF W foDING D lI,91
❑New construction 0 Demolition `' Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ //0 3,000
14 -and 2-family dwelling 0 Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms: s I„z4,y,ev1S (aritt Z.)
❑Master builder ❑Other: Number of bathrooms: �t Cj berth (uktf ))
JOB SITE INFORMATION AND LOCATION Total number of floors: 2,
Job site address: //9 se 564) 106 414 New dwelling area: rti . quare feet'54(.0-2...p 4
City/State/ZIP: t T l(�U ` a 67) .9-/z Z 3 Garage/carport area:4z„'7i ..�square feet ' (.0-2...Suite/bldg./apt.no.: Project name: Akid etre;6A/ex Covered porch area: / ,Jr square feet 1l
Cross street/directions to job site: Deck area:'" fieiA) square feet
(4/a I n u/- - J — (- rl g,5 r - /z.5414_ Other structure ar a: 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.
Scent ay`r ' �ig. 1 vC )refiii Valuation: $
Existing building area: square feet
i"rf/o rte,¢ ic- 44,-\, v� via--,-.06-1A., ,-
hr,Lk New building area: square feet
,9PROPERTY OWNER 0 TENANT Number of stories:
Name: (h vk 4- J c.--53 6 c a Av t d W.''Ov, Type of construction:
Address: )(a)�0 LJ'1,1.) /2: (,_. Occupancy groups:
City/State/ZIP: --(-7,.4
414a) 7 Z'7?j Existing:
Phone:(1 ,) Oat— . 04frrt Fax:( ) New:
PPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: gJ C Z7�� (Please refer to fee schedule)
a Structural plan review fee(or deposit):
Contact name: pa �at( �
(ft /// FLS plan review fee(if applicable):
Address: 35 ) �riV'�ib( t 2 1 .1✓ ,
" Total fees due upon application:
City/State/ZIP: taA A 017 1 1 �l 04/..i
�1" - 7
i ' I Amount received:
Phone:(i j)20"1 `"ti Zo f Fax::( )
E-mail: py,/,,,� a o .. ff t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�I ll AA�/��,� Commercial and residential prescriptive installation of
CON7�ItAr CTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: /Ike, .8utll rT.1L ' Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: ) 955 J ( 2 Solar Installation Specialty Code checklist.
City/State/ZIP: pqVvt. .ez6 01.7 )80) Permit Fee(includes plan review $180.00
and administrative fees):
(63 ip Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: )ti)66-9 G� Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
��� /' within 180 days after it has been accepted as complete.
Print name:l /�Gi�" `r, Date: J ra I *Fee methodology set by Tri-County Building Industry
/ Service Board.
I:\Building\Permit�RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR orrlcL USE ONEv
City of Tigard Received
Permit No.:
IP/ Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
_ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
II G A R I> Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No 1/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 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 ❑
4 Fire district approval required. Name of district: . 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 ❑
6 Sewer permit. 0 0 ❑
7 Water district approval. 0 ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 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 ❑ ❑ ❑
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 ❑ ❑ 0
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
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 ❑ ❑
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 ❑ ❑
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
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 ❑ ❑
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 0
architect licensed in Ore•on and shall be shown to be al.licable to the ,ro'ect under review.
JURISDICTIONAL SPECIFICS
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. 0 0 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
27 "Drawn to scale"indicates standard architect or engineer scale. 0 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
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 0
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-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
III ■
T l c A iz o Building Permit Review — Residential
Building Permit #: /7),57 5--0c) WO
Site Address: //q<-"e -.7p3 x2,s--72-il 00,/,_-
-/-
Project Name: /7121-er Com_ Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: (/C ri:/?) 7— .-=0��(72/ )f i'-et: 61 ,)iyuc _
7.
lid Verify site address/suite# exists and activ in permit system.
❑ River Terrace Neighborhood: . No ❑ Yes,See River Terrace Review Addendum Attached
Si Plan Elements:
�ree(3)copies of site plan 1 fisting structures on site
e tete plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
NVl yawn to scale(standard architect or engineer scale) nor elevations
orth arrow i, i •ty locations&easements(required for new and additions)
•pe address,project or subdivision name and lot number 7 Sidewalk/driveway approach
plicant information(name and phone number)
cation of wells/septic systems
ISI Lo dimensions and building setback dimensions !I Pa'sting trees to be retained with drip line,and tree
!J 4 uare footage of buildings to be demolished p otection measures
0 1 .t area,building coverage area,percentage of coverage and eet tree size,type and location
ylipervious 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? EYes
4of differential) If yes,is a storm water quality facility shown?¶JiYes VJ No
L/ Clean Water vices—Service Provider Letter of platted rior to 9 10 1995
p /
_ Re aired: Yes,applicant was notified CIN Received::
Yes CINo
0\ iblic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
1s and Use Case#:
iToning: e_ Li`c'
Ltd Required Setbacks: Front 620 Rear ic-- Side Street SideI arage "1
Cl3andscape Requirement:
• !i of Coverage Maximum: 0/0
l►
` Building Height: Maximum Height ( Actual Height 2/
�isual Clearance
'nsitive Lands: CICIYes No Type
`� �y
1�11rban Forestry Plan
onditions "Met"prior to issuance of building permit
Notes:
❑ Approved By Planning: — — Date: — 6 I
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_061417.docx
Building Permit Submittal
Original Submittal Date: 5/ld/i 7
Site Plans: #
Building Plans: #
Building Permit#: n r building permit#above.
Workflow Routing: Inr Planning -ngineering C -i'ermit Coordinator ceding
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan and
) oi.F.ial 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: ! --��c-^ Date: �,4Y/y
. Engineering Review
Slope at building pad:
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: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: J4iZ D Date: 5z f kg
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
NA-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:
(SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N. N/A
Tigard Trans SDC: ❑ YesN/A
Parks SDC:
El
N/A
LIDA ❑ Yes )4'N/A
OK to Issue Permit Approved by Permit Coordinator: kl
4,49k, Date: S 12( l rf
I:\Building\Forms\BldgPermitRvw_RES_010118.docx
h
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11958 SW 125TH CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00140
Inspection Type: Inspector:
275 Framing David Young
Result:
FAIL
Comments:
Provide approved leak test letter from HVAC installer for gas Line added without test.
Correction for adding to permit, ok.
Hood vent to exterior not installed.
Provide 4" bearing for wood beam replacing steel beam per engineers design.
Provide stamped engineers approval or fix for no double rim at cantilever per
approved plans.
Provide horizontal draft stop at 10'oc maximum at furred walls. R302
Violation Summary:
Inspector Contractor
RNS Consulting LLC
Memo
To: Brad Lindstedt
From: P. Ricardo Pitts, BSc, P.E.
cc:
Date: 09/19/2018
Re: Anderson Remodel
Brad,
This memo shall serve as approval of the two following changes to the previously
approved plans and specifications.
1. The 5 1/4" x 11 %a" Parallam PSL beam is approved with the existing 1 3/4' of bearing
instead of the previously approved 4" of bearing. Verifying calculations are attached.
2. The cantilevered floor, at the kitchen area, is approved with a single 2x rim joist instead
of the previously approved double 2x rim joist.
If you should have any questions, please feel free to contact this office.
Sincerely, �
RNS Consulting LLC '•J
P. Ricardo Pitts, BSc, P.E.
Principal
f _,3
I
Check bearing of parallam beam
Reaction: P=3.1745 kips
Bearing distance:b= 1.75 in
Beam width: w=5.25 in
Bearing area: A=b'*w=9.188 int
Bearing stress: ff=P/A=345.524 psi
Allowable stress: Fe=625 psi; >345.524 O.K.
i
Ali- t1..
/
a
h..is /
zx As .1 v j3�/26�
C-R,--A1-,_- unTK�/'f�,,� /eC Project New Addition Job# 180145
`
f Address 11958 SW 125th Ct.,Tigard,OR 97223
RNS Consulting LLC Client Chris&Jessica Anderson
11611 NE Angelo Dr.#17
Vancouver,WA 98684 (503)737-4344 By R.P. Date 9/19/2018 Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11958 SW 125TH CT, TIGARD, OR, 97223 December 12, 2018 at
11 :20:19 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00140
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved plumbing final prior to building final inspection. PLM 2018-00324
Fix leak left side Lay in master.
Add water heater to plumbing permit.
Provide approved mechanical final prior to building final inspection. MEC 2018-00324
Trade final inspections to be complete prior to final building inspection. R109.1 .6
Provide steps at new rear exterior doors to code.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11958 SW 125TH CT, TIGARD, OR, 97223 December 14, 2018 at
10:29:27 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00140
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Corrections complete from previous inspection.
Violation Summary:
Inspector Contractor