Permit (111) CITY OF TIGARD MASTER PERMIT
: a . COMMUNITY DEVELOPMENT Permit#: MST2018-00271
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2018
T t ;,1 IF D9 Parcel: 2S108DB06900
Jurisdiction: Tigard
Site address: 15340 SW THAMES LN
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 67
Project: ALBEE
Project Description: Adding 180 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: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $13,000.00 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 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 add l 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 0
Owner: Contractor:
ALBEE,CHRIS&TERI A STANLEY DEWAYNE MOORE Required Items and Reports(Conditions)
15340 SW THAMES LN 6107 SW MURRAY BLVD#263
TIGARD,OR 97224 BEAVERTON,OR 97008
PHONE: 503-515-9877 PHONE: 503-522-0047
FAX:
Total Fees: $581.93
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 iss •nce, or if work is suspended for more the 180
days. ATTENTION: Oregon I.^ requires yo 'to follow the rules adopted by the Oregon Utility Notificatio /' Center. Those rules are set forth in OAR
952-001-0010 through OAR 95 •11-0090 You y obtain a c. y of the rules or direct questions to OUNC by calling 503'.2.198 r 1.800.332.2344.
R
il
Issued By: ��i' Permittee Signature: 1
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.
1
Building Permit Application
Residential REC E 14014014K,: I SF 011.1
Received
City of Tigard Date/By: ( 7 '( (IF , P 57XU`P601;17 7/
114 u13125 SW Hall Blvd.,Tigard,OR 972 ( T 2 O 11 Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1 6 Date/By: 1 La Alc Other Permit:
T I G A R D Inspection Line: 503.639.4175 C!T`{ i' € Date Ready/By: , Anis: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING' i , f '" ffi/otified/Metho Supplemental Information
TYPE OF WORK Y REQUIRED DATA:1-AND 2-FAMILY DWELLING
ID 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 fo
CATEGORY OF CONSTRUCTION work indicated on this application. it
Valuation: $ • ,..o0Z
1-and 2-family dwelling 0 Commercial/industrial 1.4 .2.r.,2„,
Number of bedrooms:
Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 153 4Q ..5i/J l'h.ai'4g.-5 1 a rt.k New dwelling area: square feet
City/State/ZIP: -rig a.rd OA C-11--/- - Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site:
Q 150 br,,-}-1,,¢,Q n 13 i,t 11 IYl hn O. Deck area: I ••uare feet
A.n a 9 2 t+- ' i 44 ('Q Acts . j OO-O l J 1 s/0 rl k 4 (e 7 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: R Ilion of 5i411 1it4n. I Lot no.: 7 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
1 DESCRIPTION OF WORK (a5 work indicated on this application.
AaGl ft? Li tS)tnS ala eck intrekse.. S10tL- S l Valuation: $
l) J Existing building area: square feet
New building area: square feet
VI PROPERTY OWNER 0 TENANT Number of stories:
Name: (kris A-`}, j,, Type of construction:
Address: 15',5340 51.si Tht r-1 Q-5 14 r?L. Occupancy groups:
City/State/ZIP: 715 a r•d t Q,Z c 1 u t/ Existing:
Phone:(5473) i5—5 `l $17 Fax:( ) New:
, APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 5•tti n M opt R- Cons)-/led-70 (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Brei vi Moo a-
FLS plan review fee(if applicable):
Address: (Pi 01 5t.A.Y VYl 33i tie) 21,6
t1 Total fees due upon application:
City/State/ZIP: peAvul—o;nI to R- {'jo
Phone:(503) 5 _ftO'--t 1 Fax::( ) Amount received:
E-mail: .5-1-6,c)t o(Y10 0 Y'2-d-_CICS• Co enPHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Ste, i/`,0O(Q,. c n 5 i"71.+-C-hti Submit two(2)sets of roof plan with connection details
V and fire department access,along with the 2010 Oregon
N
Address: t b ,1 5 hi M 1,1.r f a. 1 }l/d 243 Solar Installation Specialty Code checklist.
City/State/ZIP: qd€4-1-4- ►°l 6g aCim g' Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(6-D3)c522-0 0 L1 i Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 1_052/2g
Total fee due upon application: $201.60
Authorized signature: ct6kThis permit application expires if a permit is not obtained
�` within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: 0` Mn oorc Date: 9•-,,2 9-(c9 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 LSE ONLI
Received
City of TigardIpq
Date/By:Received
Permit No.:
13125 SW Hall Blvd.,Tigard,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
1IGAKD
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEJ\IS ARE REQUIRED FOR PLAN REVIEW les No 1/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. 0 0 0
4 Fire district approval required. Name of district: . 0 ❑ 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 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 ❑ 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
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
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
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. ❑ ❑ ❑
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
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 ❑
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 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•,licable to the sro'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". ❑ ❑ ❑
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. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
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 ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 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, ❑ ❑ ❑
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)
1111 City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
T ARD Building Permit Review — Residential
Buildingti
Permit #: 445/1Z 0(7--- c62_,/
Site Address: /c17/0 7`0 ••-7`
Project Name: i '
(New dwelling=subdivision name;Additionr Alteration=last name of owner) Lot #:
Planning Review
Proposal: /Yd. an 'A h
U� erify site address/suite#exists and active in
permit s tem.
X
River Terrace Neighborhood: 0 No Yes,See _ _ -_
SitxPlan Elements:
ree(3)copies of site plan
sting structures on site
S' - plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished
E D- .wn to scale(standard architect or engineer scale) i:or elevations
�arth arrow
"V % ;'ty locations&easements (required for new and additions)
itt address,project or subdivision name and lot number I,Sid-walk/driveway approach
V3pplicant information(name and phone number) ii i.cation of wells/septic systems
Lot dimensions and building setback dimensions i1, sting trees to be retained with drip line,and tree
tuare footage of buildings to be demolished otection measures
t area,building coverage area,percentage of coverage and eet tree
$i ervious area(applicable if R-7,R-12,R-25&R-40) Street namesize,
eye and location
�/p P (PP�
roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replace ❑Yes
4 foot differential) ljer
If yes,is a storm water quality facility shown? Yes 012No
lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
�Required: ElYes,applicant was notified W1 No Received:
ublic Facilities Improvement(PFI)Permit: ❑ Yes ❑ No
Required: 0 Yes,applicant was notified No Applied For:
0 Yes ❑ No,stop intake
II and Use Case#:
I� inning: fc _.l S-
rd Required Setbacks: Front N\ pr Rear 1(� Side c
1V° ,ndscape Requirement: /o Street Side Garage
Ill'° of Coverage Maximum:
7 Building Height: Maximum Height
Actual Height "3
opisual Clearance
\Knsitive Lands: 0 Yes 0 No Type
HP rban Forestry Plan
a' k onditions "Met"prior to issuance of building permit
otes:
0 Approved By Planning: - ---.��'
/7� Date: A0 N
Revisions (after Building Submittal only)
Revision 1: 0 Approved ❑ Not Approved Reviewer Date
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: 0 ,
Site Plans: #
Building Plans: #
Building Permit#: I Enter building permit#above.
Workflow Routing: I Planningengineering BP': 'Permit Coordinator Building
Workflow Sign-off: -Sign-off for P anntng(include notes from planning review)
Route Application Documents: 7 Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: '
By Permit Technician. / l0/cl�j�
ii«./� I Date:
��v�
Engineering Review
Slope at building pad: 3 0
IfaConditions"Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility: �,r
Assess Water Quality Fee in-lieu: 0 Yes W No
Assess Water Quantity Fee in-lieu: 0 Yes jzfNo
LIDA Facility on lot: 0 Yes CV No
XFinal Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
-
Approved by Engineering: �„1 2 �� Date: ,/O.8 .j
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
0 Conditions"Met"prior to issuance of building permit
0 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:
v.iff‘DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes /A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: 0 Yes N/A
LIDA 0 Yes N/A
OK to Issue Permit �v
Approved by Permit Coordinator: Date:
I:1Building\Forms\BldgPermitRvw_RES 010118.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15340 SW THAMES LN, TIGARD, OR, 97224 November 13, 2018 at
12:27:04 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00271
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor