Permit CITY OF TIGARD MASTER PERMIT
IN,
1 ' COMMUNITY DEVELOPMENT Permit#: MST2018-00193
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2018
T r�_ ,�I'[� g Parcel: 2S108DB05300
Jurisdiction: Tigard
Site address: 15410 SW SEINE CT
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 51
Project: SATRAN
Project Description: Adding 260 sf to existing 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: $13,642.75 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 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 addl 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 0
Owner: Contractor:
SATRAN,BRADLEY WEST COAST RENOVATIONS Required Items and Reports(Conditions)
15410 SW SEINE CT 605 PORTLAND AVE,#116
TIGARD,OR 97224 GLADSTONE,OR 97027
PHONE: 503-481-3524 PHONE: 503-998-0511
FAX:
Total Fees: $588.31
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 I-- requires to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OARy,•07.7•0 r1-0�=r. Yo may obtain •copy oft 7 les or direct questions to OUNC by callin 3. 32.1987 0 1.800.332.2344.
Issued By: /' soPermitteeSignature:
Call 603.639.4175 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 u oR OFIRE USE 011.1
City of Tigard ._.I:- 2 1.1.0i8 ReceivedDatelBy: 7.2-(a- ,40,
Permit Noi,its7?‘)/ 6.07,3
4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1,6 Aft.
Other Permit:
I I Phone: 503.718.2439 Fax: 503.598.1960 ) Date/By: 7
E, , , , r,I Date Ready/By: (grafr.,/ kris I la See Page 2 for
TIGARD Inspection Line: 503.639.4175
Internet: www.tigard-or.gov Jitrfied/Method: Supplemental Information
1111,AM,..-
TYPE OF WORK I REQUIRED DATA:1-AND 2-FAMILY DWELLING
El 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
I.:: Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for
work indicated on this application. iri 65ql„,
CATEGORY OF CONSTRUCTION
Valuation:
1-and 2-family dwelling El Commercial/industrial
0 Accessory building El Multi-family Number of bedrooms:
El Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
- Job site address: (5l (0 .N:,.2 .5e-ie.,e_ C f• New dwelling area: square feet
City/State/ZIP: -C; a r-c‘ ()e. q 7 a,)_Li Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ,-,,,,k, c.t.+fr.<.-- Covered porch area: square feet
Cross street/directions to job site: 5 i.,) OA i"%.,bf._ Deck area: 2/00 square feet
1;446 struc e area: 9)Cir square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 vs/X. -renr-4,Ce.• 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.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
add 6o Valuation: $
VO0 Existing building area: square feet
New building area: square feet
rip PROPERTY OWNER 0 TENANT Number of stories:
Name: "6,r-c‘c,f, C.i_4-tr-e-41-"- Type of construction:
Address: (5 t-li 0 5 c,...) St,-ve.- r-L--. $. Occupancy groups:
City/State/ZIP: --T;TA,(-A Oka q--1 a pi Existing:
Phone:(503) q sl-s-5244 Fax:( ) New:
El APPLICANT le CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: A/7A
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address: t 5-1-1 I e, Skt.1 5-6A
Total fees due upon application:
City/State/ZIP: -T,1,-..,"--,A Oa- ell g-)-1-1
Amount received:
Phone:(57.53) t/?)... '35pl.c.( Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:10.54.jy-m.A e..... ,,,k4-er-.3 Freft,irtio glAc.i ,C erv--%..
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:(4..)e,54 c oei_5+ g,_,,.,0 Vek-k al 5, i.,-,c ..,
and fire department access,along with the 2010 Oregon
Address: 60s- por+v,a livc., -471/6 Solar Installation Specialty Code checklist.
City/State/ZIP: 6 kjial-w01e. (II 071 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(5*) q9 8-05f I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: .2.01.59.c) Total fee due upon application: $201.60
Authorized signature:
vi This permit application expires if a permit is not obtained
, ii
within 180 days after it has been accepted as complete.
Print name: 6e-c„el trek it," Date: -7-'),- /8
*Fee methodology set by Tri-County Building Industry
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 Lsh oil.v
City of Tigard d Received
11
g Dale/By: Permit No.:
r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
T 1 C A K D 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les 1 0 'V/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 ❑
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 . 0 0 ❑
6 Sewer permit. 0 ❑ 0
7 Water district approval. ❑ ❑ ❑
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
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.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
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- ❑ ❑ ❑
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.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ 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 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 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 ❑ 0 ❑
architect licensed in Ore:on and shall be shown to be a s I licable to the i 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. 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. 0 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard A ❑ 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 0 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
:114 M COMMUNITY DEVELOPMENT DEPARTMENT
■
T l c A R o Building Permit Review — Residential
Building Permit #: ,moiST,1,G, G-0ol93
Site Address: 19U0 Sti,J Sem e Ci
Project Name: r-nn De> Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
•
Proposal: 2M Si-'al 'tz c L.. ` Cc A -O\1Py eX LS ( C- ---.
��erify site address/suite# exists and actio n permit system.
L' River Terrace Neighborhood: ' No ❑ Yes,See River Terrace Review Addendum Attached 0ec J a'1u,/SI tZ.
t- Plan Elements:
1L ree.(3)copies of site plan Existing structures on site
V'.. - plan must be on 8-1/2"x 11"or 11 x 17"paper footprint of new structure(including decks)with finished
I! P awn to scale(standard architect or engineer scale) floor elevations
L •rth arrow Jtility locations&easements (required for new and additions)
L Site address,project or subdivision name and lot number idewalk/driveway approach
IL pplicant information(name and phone number) ItALocation of wells/septic systems
'of dimensions and building setback dimensions lxisting trees to be retained with drip line,and tree
It bquare footage of buildings to be demolished rotection measures
of area,building coverage area,percentage of coverage and / eet tree size,type and location
'impervious area(applicable if R-7,R-12,R-25&R-40) UStreet names
CLJd'roperty corner elevations s2 foot cont�l?nes if more than >1,000 sf of impervious area created or replaced? ❑Yes Lcd'No
4 f t differential) If yes,is a storm water quality facility shown? ❑YeMNo
Clean Water Services-Service Provider Letter t platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
;And Use Case#:
,� oning: -`1 S
LAY Required Setbacks: Front Zi9 Rear iS Side S Street Side pvt Garage Z,o
Iligl Landscape Requirement: N, %
Lot Coverage Maximum: t4'
Maximum Height 3a Actual Height _±2�f
Building Height:
LFP
Clearance /
L Sensitive Lands: /Yes ❑ No Type G7 o 1 S S s(S.'1 ,4' W,lL /411,4.-L ,
M4pUrban Forestry Plan
Ii '
.Conditions "Met"prior to issuance of building permit
Notes:
I
Approved By Planning: 'MIA I " '11---- Date: 7/7 )
Revisions (after Building Submittal o1` ) 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: 7/,Z/(6.--
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning .'Engineering Permit Coordinator ,Building
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
original plan review routing form.
MO Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / ' ,/ -- -Date: 7/ -1(
Engineering Review
Er Slope at building pad:
ErConditions "Met"prior to issuance of building permit
[ Easements (encroachments)per engineering conditions of approval and plat
C7'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes la No
Assess Water Quantity Fee in-lieu: ❑ Yes 2" No
LIDA Facility on lot: ❑ Yes CrNo
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: C Date: 3./ 9/2e7/S
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
14-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:
cSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes C1RI N/A
Tigard Trans SDC: ❑ Yes 10 N/A
Parks SDC: ❑ Yes cgr N/A
LIDA ❑ Yes ' N/A
)RrOK to Issue Permit Q '-
Approved by Permit Coordinator: 6\( Date: 1 ( it)f
I:\Building\Forms\BldgPermitRvw_RES_061417.docx