Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT MASTER PERMIT
'� Permit#: MST2019-00008
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/14/2019
T I G A It.[� 9 Parcel: 2S104AD06000
Jurisdiction: Tigard
Site address: 12932 SW SEVILLA AVE
Subdivision: WALNUT CROSSING Lot: 7
Project: SHELDON
Project Description: Master bathroom structural framing repairs to deteriorated ground floor framing.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $15,000.00 Rear: 0
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!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:
SHELDON,CHARLOTTE M PERFORMANCE PLUS RESTORATION Required Items and Reports(Conditions)
12932 SW SEVILLA AVE PO BOX 1727
TIGARD,OR 97223 CLACKAMAS,OR 97015
PHONE: PHONE: 503-545-2333
FA)(:
Total Fees: $538.77
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: Ore.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 A .952-0, -0090./ ou may obtain .copy of the rules or direct questions to OUNC by calling 503. 2.1987 or 1.800.332. 44. c..-l-�-
-19( c
Issued By: �i�f /i .�.e%�i� Permiftee-Signature: / I / 1--/
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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Building Permit Application
Residential FOR OFFICE USE ONLY
Received
City of Tigard E � h E 9 Date/By: p Permit No.: may— wd
[ - Y l/Iiy i ,/ /'7✓/ o�e-[—c :tkl
r 13125 SW Hall Blvd.,Tigard,OR 9723 " Plan Review I I � �'J N
Phone: 503.718.2439 Fax: 503.598.1960 JAN t` 4 Date/By: Other Permit:
Inspection Line: 503.639.4175 JAN 1 4 2 0 I9 Date ReadyBy: /�ih Juris: ® See Page 2 for
T I G A F,D Internet: www.tigard-or.gov is. 1 ified/Method: t /L�J////Ci , Supplemental Information
TYPE OF et&DING DIVISI0
REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑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 ®Other:Repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ Is COO
® 1-and 2-family dwelling 1=1Commercial/industrial
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12932 SW Sevilla Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Sheldon Repair Covered porch area: square feet
Cross street/directions to job site: Deck area: 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.
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.
In-kind structural framing repairs to deteriorated ground floor framing within Valuation: $
master bathroom.No proposed additions or alterations to residence. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER l 0 TENANT Number of stories:
Name:Charlotte Sheldon/Dan Sheldon(Power of Attorney Type of construction:
Address: 12932 SW Sevilla Avenue Occupancy groups:
City/State/ZIP:Portland,OR 97223 Existing:
Phone:(503)640-3000 x126 Fax:( ) New:
ill APPLICANT 02 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Advanced Structural Forensics Structural plan review fee(or deposit):
Contact name:Ken Oliphant
FLS plan review fee(if applicable):
Address: 1500 NW Bethany Blvd,Ste 200 /
Total fees due upon application: `t-'(e.
City/State/ZIP:Beaverton,OR 97006
Amount received:
Phone:(971)645-7559 I Fax: :( )
E-mail:ko@asf.expert PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Performance Plus Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1727 Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP: Clackamas,OR 97015 and administrative fees):
Phone:(503)577-5487 Fax:() State surcharge(12%of permit fee): $21.60
CCB lic.:206973Total fee due upon application: $201.60( .. .:
------X-4This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Ken Oliphant Date:1/11/17 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 USE ONLY
City of Tigard Received Permit No.:
iiigDate/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 El Electrical 0 Plumbing ❑ Mechanical
TI GA R D Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. • ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan LI permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ 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 ❑ ❑ ❑
and location.
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- ❑ ❑ ❑
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- ❑ ❑ ❑
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 ❑ ❑ ❑
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 Oreton 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". ❑ ❑ ■
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. ❑ ❑ ❑
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 ❑ ❑ ❑
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)
GENERAL AND DURABLE POWER OF ATTORNEY
GIVEN BY CHARLOTTE M.SHELDON AS PRINCIPAL
I, CHARLOTTE M. SHELDON, revoke all Powers of Attorney previously given, granted or
established by me.
!, CHARLOTTE M. SHELDON, (the"Principal"), appoint Dan M. Sheldon, 2205 S.W. 17th Ave.,
Portland, OR 97201 as my agent("Agent"),with full power of substitution, to exercise the powers set forth
below.
ARTICLE I
My Agent is authorized,with respect to any and all of my property and interests in property, real,
personal, intangible and mixed,to do and perform all and every act and thing whatsoever to be done as fully
as I might or could do if personally present, and in addition shall have the following powers:
A. to exercise all the powers of a trustee of an express trust in Oregon as provided in
the Oregon Uniform Trustees' Powers Act(and as hereafter amended);
B. to sell exchange, encumber or otherwise dispose of, absolutely or conditionally, any
property I now own or hereafter acquire, including contingent and expectant interests, marital rights and
survivorship rights, upon such terms and conditions as my Agent deems appropriate;
C. to invest and reinvest upon such terms and conditions as my Agent shall deem
appropriate all or any part of my property in any property or interests (including undivided interests) in
property, real, personal, intangible or mixed,wherever located, including commodities, options, securities of
all kinds, bonds,debentures, notes (secured or unsecured), general and limited partnerships, real estate or
any interest in real estate whether or not productive at the time of investment, interests in trusts, investments
trusts,whether of the open and/or closed fund types, and participation in common, collective or pooled trust
funds or annuity contracts;to arrange for appropriate disposition, use, safekeeping and/or insuring of any
such property;to sell (including short sales) and terminate any investments; to establish, utilize and
terminate savings, cash and money market accounts, credit card accounts, credit facilities, accounts
(including margin accounts)with securities brokers and managing agency accounts with fiduciaries;to
employ and terminate the services of financial and investment advisors, brokers, agents and consultants;
D. to lease, sublease, release and otherwise deal with real and personal property;to
eject tenants; to do any act of management, conservation, alteration, partition,demolition or improvement;to
pay, compromise or contest tax and other assessments;to subdivide, develop, dedicate to public use
without consideration, and/or dedicate easements;
E. to exercise all rights including voting and proxy rights, with respect to corporate
securities, partnership interests, limited liability companies, proprietorships, co-tenancies and any other
business enterprise in which I now own or hereafter acquire;
F. to create, contribute to,withdraw, roll-over and exercise all participant rights,
including settlement options and beneficiary designations, in all retirement and deferred compensation
plans, IRA's and employee benefit plans;
G. to establish, modify and terminate accounts of all kinds, including checking and
savings, for me with financial institutions; to make deposits to and write checks on or make withdrawals from
and grant security interests in all accounts;to negotiate, endorse or transfer any checks or other instruments
with respect to any such accounts; to contract for any services rendered by any bank or financial institution;
Page I — POWER OF ATTORNEY
affidavit shall be conclusive proof to all persons dealing with my alternate agent that my alternate agent is
authorized to exercise the powers and authorities under this instrument.
IN WITNESS WHEREOF, I have executed this Pow-r o :•ttorney this 19th da f J ne, 2018.
dir
"I. Pl 1 Pa '211
CHARLOTTE M. SHELDON, Principal
WIT ESS:
411 r �
Signature
d, Ada,
Printed Name
STATE OF OREGON
)ss.
County of Washington
This instrument was acknowledged before me on this 19th day of June, 2018 by CHARLOTTE M.
SHELDON.
cz. 6,
fv.., OFFICIAL STAMP NOTARY PUBLIC FOR OREGON
ZitPATRICKFINN BOILEAU My Commission Expires: 5/22/2020
NOTARY PUBLIC OREGON
COMMISSION NO.950810
MY COMMISSION EXPIRES MAY 22,2020
Page 5 — POWER OF ATTORNEY