Permit (94) CITY OF TIGARD MASTER PERMIT
Ili4 COMMUNITY DEVELOPMENT
Permit#: MST2019-00025
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2019
T"I a l:.t 9 Parcel: 2S103CB04200
Jurisdiction: Tigard
Site address: 12270 SW MARION ST
Subdivision: WILLAMETTE NO.2 Lot: 21
Project: Price
Project Description: Removing interior wall and installing a beam next to kitchen.
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: Yes
Total: 0 sf Value: $3,800.00 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:
PRICE,NORMA JEAN LVI CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions)
12270 SW MARION ST 2103 NW 3RD AVE
TIGARD,OR 97223 BATTLE GROUND,WA 98604
PHONE: PHONE: 503-544-9811
FAX:
Total Fees: $246.63
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable -w. 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 susp d-. for/more the 180
days. ATTENTION: Oregon la� requires you o follow t e rules adopted by the Oregon Utility Notification Center. Those rul 'e set forth in OAR
r
952-001-0010 through OAR 95 ,1-0 •ou . obtain a c py- of the r es direct questions to OUNC by calling 503.232.1987 or 1.800.332 /
Issued By: i •e " /4 a� /�. " Permittee Signature: 4 _
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /���i
AIM
This permit card shall be kept in a conspicuous place on the job site until completion of the pr..�ct. r
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
ResidentialHF:(—.;}:i\# �o Y
FOR ohrlce t s1:oN►.1
City of Tigard Received ,� — /y� g
g /i t�. Date/By: 49 7/ 7 ier 1 Permit No.:/ ) )10 ICI_ t
13125 SW Hall Blvd.,Tigard,OR 97223 ' i C, R
■ g Plan Review ^
Phone: 503.718.2439 Fax: 503.598.196 3} k, Date/By: Vol Other Permit:
d � ..�� �a �,'bol� 1
1 t c n K I) Inspection Line:8503.639..4175 ,Lp , ► 3` t ='t Date Ready/By: /� // oris: I 0 p See Page 2 for
Internet: www.ti and-or. ov a• ► .. ► t otified Method: / j%2I Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
.tel l-and 2-family dwelling 0 Commercial/industrial Valuation: $ 3 0 0
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: l2 i G� fo �,, "(e� <. New dwelling area: square feet
1\
City/State/ZIP: ,t I �`�`�—__ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 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.
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.
yL Valuation: $
Re At -C. ViiI5 \i(\4-e(`' 1' Watt c7
n 'I A D e _ Existing building area: square feet
+ New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: !yj r./.1‘s1 Ari c.c.. Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
t APPLICANT - ONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application: # r 7, its—
City/State/ZIP:
Phone:( ) Fes;;( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
( iJ ` Submit two(2)sets of roof plan with connection details
Business name: � `I l- ,� r
ilA Wil S<1 1r,) (,4*--1aiA and firedepartment access,alongwith the 2010 Oregon
Address: � `7 S
2 I D`7 { ci Ave., Solar Installation Specialty Code checklist.
City/State/ZIP: \ ! �t () , Permit Fee(includes plan review
ty ( ` fit' �� U + and administrative fees): $180.00
Phone:( c(};)) ciLi 14 - O6 \\ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: ' -2,1 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: 1 1 0tOi IA. G 4v ‘1,),,,, Date: qi ficii *Service Fee oard.gy t by Tri-County Building Industry
I:\Buildin \Permits\BUP-REP i
g S erm tApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling l OR orrice. I Sl O'I.v
City of Tigard Received
Date/By: Permit No.:
11‘ 13125 SW Hall Blvd.,Tigard,OR 97223
I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITE\IS ARE REQUIRED FOR PLAN REVIEW les y0 1%:'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • 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
5 Septic system permit or authorization for remodel. Existing system capacity0 0
6 Sewer permit. 0 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 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
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. ❑ ❑ 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 ❑ ❑ 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 floortr000Ytruss designnetails. 0 -❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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 I,licable to the s 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 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. ❑ ❑ ❑
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, El ❑ ❑
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)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_III Transmittal Letter
etter
r i i. A iz i l 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • w- w.tigard-or.gov
TO: ,(( s 04 D• E RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: `e v MAR 5 2019
crry OF COMPANY: �._)1 Gs.4v li��Yuc,- 4 BUILDING DIVISION
PHONE: SO 3 s t m 9g c ( By
RE: 2 1.70 tit) ,l 0 A S /1'27-8-01 S"G,Jv2-s---
(Site Ad ess) (Permit Number)
(Project name or subdivision name and o t i
ATTACHED ARE THE FOLLOW 1\y%14.,, S\
Copies: Description: \ opies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: -- -- -.0XZ4- -'„L S
4
it i • T £(A 9 A liri'f • _ fr- . — ,/
;;rnte�►tie.' (YVd r,� d1 04-5 / CLito t u.91--JAcf° r
FORF CE USE ONLY
Routed to P t Tec cian: Date: f"2, -(-4
/ Initials: kit-
Fees Due: Yes • No Fee Description. Amount Due:
I i v
� LG�I f��/�2.1r- $
� $ �s b
V $
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ►=No ❑ Done
Applicant Notified: Date: 1/-7// q Initials: e-77-_—.
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12270 SW MARION ST, TIGARD, OR, 97223 June 19, 2019 at 12:42:32 PM
Record Type: Record ID:
Residential - Master Permit MST2019-00025
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor