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Permit (160) 1 CITY OF TIGARD MASTER PERMIT q Permit#: MST2019-00055 ' COMMUNITY DEVELOPMENT , Date Issued: 02/27/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114BB13200 Jurisdiction: Tigard Site address: 16429 SW 104TH AVE Subdivision: SWANSON'S GLEN NO.2 Lot: 73 Project: Ward Project Description: Repairing fire damage to roof structure of breakfast nook. 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 Yes Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $45,000.00 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 Ecompasing: N Other: N Other Description: BUILDING INFO Type of Work: T e of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: Required Items and Reports(Conditions) WARD,CHRISTOPHER&PATRICIA JR JOHNSON 1423 N JEFFERSON ST 9425 N BURRAGE AVE LAFAYETTE,OR 97127 PORLAND,OR 97217 PHONE: 503-864-4536 PHONE: 503-240-3388 FAX: Total Fees: $1,200.10 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 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 0 952-001-0090. You may obtain a =•• s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ---.....r..--- Permittee Sig' re: rx C i"•S 9.4175 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.Perniit Application Residential _„ , Ry FOR OFFICE USE ONLY Cl of Tigard Received /1 iA i „1-�,t5) j/Q� y1 - `J g f 1 -,,,,n DateBy: [ C ��'�i /[�( (/ 13125 SW Hall Blvd.,Tigard,OR 97223 ' 9 Z..01Plan Review l� Other Permit: Phone: 503.718.2439 Fax: 503.598.19 Date/13y: Inspection Line: 503.639.4175 i nl Date Ready/By: / / Janis: ® See Page 2 for TIGARD b,, �.t.= Notified , tho•:,, SupplementalInformation Internet: www.tigard-or.gov ,_ __ s;� �� / �� O ❑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 0 Other: equipment,materials,labor,overhead,and the profit for the _ Or , i, indicated on this application. ' �. CAT` ® ;Q O: VC ® work ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $45,000 0 Accessory building 0 Multi-family Number of bedrooms: ,..3.-"".° O Master builder 0 Other: Number of bathrooms: ,2y''' Total number of floors.• 2 Job site address:16429 SW 104Th AVE. New dwelling area: N/A square feet City/State/ZIP:TIGARD,OR 97224 Garage/carport area: N/A square feet Suite/bldg./apt.no.: Project name: Covered porch area: N/A square feet Cross street/directions to job site:BURHAM ROAD TO SW 104TH AVE. Deck area: N/A square feet Other structure area: N/A square feet e T+',1 9 1 ! .. e© ,1.-a;�=; r=..... ...:. 1 , +CiT'.i'`'. 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 I e, D 1 a ® . work indicated on this application. FIRE DAMAGE TO ROOF STRUCTURE OF BREAKFAST NOOK Valuation: $ Existing building area: square feet New building area: square feet k �® _ • + s, _ N Number of stories: `� ...�: .._ .` . . 1. .. . . .. .t.�. �...., Name:CHRIS AND PATRICIA WARD Type of construction: Address:1423 N.JEFFERSON ST. Occupancy groups: City/State/ZIP:LAFAYETTE,OR 97127 Existing: Phone:(503)864-4536 Fax:( ) New: '''1..i5%; { € ..,. .. Aga ..,: sk B lY.. . :s . Business name:TM RIPPEY CONSULTING ENGINEERS Structural plan review fee(or deposit): Contact name:GEOFF GORE FLS plan review fee(if applicable): Address:7650 SW BEVELAND ST.STE.100 Total fees due upon application: City/State/ZIP:TIGARD,OR 97223 Amount received: Phone:(503)443-3900 Fax: :( ) E-mail:GGORE@TMRIPPEY.COM ® ® ® • e` ;,: -,-;f4,-..44' f Commercial and residential prescriptive installation of . ;i�, a:.�, -,, ,�,,,, „,may, ”:,, . t,g...,-;.-, roof-top mounted Photovoltaic Solar Panel System. Business name:JR JOHNSON,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:9425 N.BURRAGE AVE. Solar Installation Specialty Code checklist. City/State/ZIP:PORTLAND,OR 97217 Permit Fee(includes plan review and administrative fees): Phone:(503)240-3388 Fax:( ) State surcharge(12%of permit fee): CCB lie.:221561 A/� Total fee due upon application: Authorized signature: J. .4/ ( *r/"�.-� This permit application expires if a permit is not obtained ff/ within 180 days after it has been accepted as complete. Print name:GEOFF GORE Date:02/19/2019 *Fee methodology set by Tri-County Building Industry Service Board. T•\Rnilrlino\Permitc\RTJP-RFSPermitAnn rine (17/74/7(111 44(1-4611T(1 1/CO/COM/WPM Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Received 11 City of Tigard Date By: Permit No.: III13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ IQ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 El 3 Verification of approved plat/lot. ❑ 0 4 Fire district approval required. Name of district: • ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ El 6 Sewer permit. ❑ 0 El 7 Water district approval. ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 9 Erosion control 0 plan ❑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 ® ❑ ❑ 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 ❑ ❑ El and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ El 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 ❑ 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 ❑ ❑ 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 Z ❑ ❑ architect licensed in Oreton and shall be shown to be ae,licable to the Pro'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 ❑ IZI 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. 0 ❑ El 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ EI 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 ❑ ❑ El 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) 1