Permit (37) CITY OF TIGARD MASTER PERMIT
ilq ' Permit#: MST2018-00113
� . COMMUNITY DEVELOPMENT
Date Issued: 05/02/2018
T i[;A,rC) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1106A12100
Jurisdiction: Tigard
Site address: 14177 SW 118TH CT
Subdivision: MEDALLION MEADOWS Lot: 14
Project: LOWE
Project Description: 208 sq.ft.freestanding patio cover.
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: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $8,569.00 Rear: 5
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: 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!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
Ecompasing: N
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LOWE,J MITCH&SUSAN M VULCAN DESIGN&CONSTRUCTION INC Required Items and Reports(Conditions)
14177 SW 118TH CT 2856 NE 65TH AVE STE C
TIGARD,OR 97224 VANCOUVER,OR 98661
PHONE: PHONE: 503-227-9034
FAX:
Total Fees: $452.47
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 da - - • e, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility I otification Ce - lose rules are set forth in OAR
952-001-0010 through OAR 9 001-0090. Yo y obtain a copy f the rules or direct questions to OUNC by ca • 503.232.1''.• or 1.800. ' .2344.
Issued By: t Permittee Signature: A
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 ''' FOR OI:I.ICE LSE ON Ll
City of Tigard A w / �`D eceived •
y r
Date/By: (/ r Permit No.:7116r de a,co//3
• 13125 SW Hall Blvd.,Tigard,OR 9722314 �y a;, Plan Review �p/
III Phone: 503.718.2439 Fax: 503.598.1960 1,-NPR 1 2 Z l i�S Date/By: (6 /43 7�7` Other Permit/3a 020/1(TAD/ND
1 1<i A R D Inspection Line: 503.639.4175 Date Ready/B : I Juris: ® See Page 2 for
Internet: www.tigard-or.gov (,wi t f y tit-- 3 3 G B ,Notified/Method: ,y 1 i I_ Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑Ne onstruction 0 Demolition Permit fees*are based on the value of the work performed. '
Indicate the value(rounded to the nearest dollar)of all 1
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and e •rofi fore
0
CATEGORY OF CONSTRUCTION 0Commercial/industrial 4,0work indicated on this application. os ��
Valuation: $
ID/d 2-family dwelling !i�L
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: 1"-t 117- S(.,-) i,l New dwelling area: square feet
City/State/ZIP: C-1 l.-65.P:L59 Q�- 0 tv `4 2--qt( Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: PDQ- c C.L=UR Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
ther s ructure area: -5qp square feet
M
REQUIRED DATA:CO MERCIAL-USE CHECKLIST
Subdivision: I 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.
Valuation: $
��� i 1[6 p_ D : ( kl�t riz- 1 1+1
_f< Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: /)1 "* / rte Type of construction:
Address: ` Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
r� t�O�{��`0,x;1
'lease re Cr to ee schedule
Business name: \k,t_c 0 tS(GA-) 4- �r --
CO N'I
Structural plan review fee(or deposit):
Contact name: Se...cetk 5 i �A,
f� FLS plan review fee(if applicable):
Address: —ZS-S-6 Vs- AU6 {E C,
•U ��1 Total fees due upon application: i /1 7 ii
City/State/ZIP: p,, - W 1NS N 0�1
Phone:( ) 7722-- is-qt Fax::( ) Amount received:
E-mail: S Ck, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
��ry� V� Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: s �� Submit two(2)sets of roof plan with connection details
�"" " a `' ' and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:
N( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB li ) 2I G I t ?-7 /1 / /i Total fee due upon application: $201.60
Authorized signa ._: This permit application expires if a permit is not obtained
411 within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
�Print name: S �kk Svtil•i,toDate: lkzi t 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 OFFICE L SE oyl.l
City of Tigard Received Permit No.:
01 13125 SW Hall Blvd.,Ti ard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T I G A K D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/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
3 Septic system permit or authorization for remodel. Existing system capacity ❑ 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. 0 ❑ 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 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.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 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 ❑ ❑ 0
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 ❑
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
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 ❑ ❑ ❑
architect licensed in Ore•on and shall be shown to be a.,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 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
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
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, ❑ ❑ ❑
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, ❑ ❑ ❑
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
v COMMUNITY DEVELOPMENT DEPARTMENT
r l c A�D Building Permit Review — Residential
Building Permit #: >i'er— J f/
Site Address: /''f77 Si-'i 1 1E22' Of;
Project Name: 18Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: k/ ) �C�.j-7//t�-P-J i ,X CU ?ce? (4)v-6--
Verify site address/suite# exists and active • permit system.
0 River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Sit/Plan Elements:07h7
xee(3)copies of site plan Existing structures on site
0j8ite plan must be on 8-1/2"x 11"or 11 x 17"paper t otprint of new structure(including decks)with finished
UllAl yawn to scale(standard architect or engineer scale) flo.r elevations
► of
arrow1 R'. ty locations&easements(required for new and additions)
w •te address,project or subdivision name and lot numberlal Sidewalk/driveway approach
.plicant information(name and phone number) i1& anon of wells/septic systems
.of dimensions and building setback dimensions I,r.'sting trees to be retained with drip line,and tree
I1''uare footage of buildings to be demolished .r.tection measures
11 •t area,building coverage area,percentage of coverage and r
�: .eet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) VA Street names
. Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes yo
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes YJNo
El' lean Water Services—Service Provider Letr(lot platted prior to 9/10/1995):
0e,
�R�quired: CIYes,applicant was notified 'I No Received: ❑ Yes CINo
blic Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
II? Land Use Case#:
74 oning: Li_2-
Oil*landscape
Setbacks: Front ND b- RearC Side ----- Street Side [1\.)pcGarage ��
31 Landscape Requirement: %
�p I I .t Coverage Maximum: 0/0
T4 Building Height: Maximum Height 1C Actual Height /,h,Ce)1
Visual Clearance
`Sensitive Lands: ❑ Yes M No Type
Urban Forestry Plan tkonditions "Met"prior to issuance of building permit
tot
7
GI Approved By Planning: �.. _ ®yam, Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: ith I
Site Plans: #
Building Plans: #
Building Permit#: 0nter building permit� it#above.
Workflow Routing: ,r Planning L�I;ngineering rmit Coordinator s ding
Workflow Sign-off: [� �i -off for Planning(include notes from planning review)
Route Application Documents: LJ''Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori plan review routing form.
2.
uildtng: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: .446 r-1f=1 t:✓f .fJr,ai r l'iy/ f,.,t✓�4„,,, :19'+ .s ke:. 4 ly
t, ,- tt '
Date:
By Permit Technician: / L,� -, �� 1'
ie
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 t 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: 49Z cif- Date: ______/,‘ 41-9_-1<g
Revisions (after Building Submittal only) Reviewer
Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 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 C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes riA
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes /A
LIDA ❑ Yes /A
OK to Issue Permit
Approved b Permit Coordinator: Date: ii8v)t --
PP y
I:\Building\Forms\BldgPennitRvw_RES_010118.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14177 SW 118TH CT, TIGARD, OR, 97224 August 10, 2018 at
11 :39:37 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00113
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Covered structure previously built without permits.
Permit and engineering received.
Structure appears to meet approved plan specifications.
Final approved.
Violation Summary:
Inspector Contractor