Permit (49) INCITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019 00088
T E GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2019
Parcel: 2S 109AB 13800
Jurisdiction: Tigard
Site address: 13248 SW STARVIEW DR
Subdivision: ALPINE VIEW Lot: 19
Project: Bunger
Project Description: 293 sq.ft. patio cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 12 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $7,002.70 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!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1
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:
AVILLA,TODD VICTOR OWNER Required Items and Reports(Conditions)
13248 SW STARVIEW DR CHAD BURGER
TIGARD,OR 97224 13248 SW STARVIEW DRIVE
TIGARD,OR 97224
PHONE: PHONE: 541-788-2324
FAX:
Total Fees: $537.52
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 Notif -'•n Center.,. Thos- ules are set forte fr BAR
952-001-0010 through R 952-001-0090. You may obtai - copy o e r -- •r direct questions to OUNC b in•..•3.23 .r 332.2344.
Issued B�i��a•-r _ _--_...e •- s ittee Si:nature: IIIPIffilr
A
' -al •3.639.4175 by 7:00 a.m.for the next a ailable i'nsp e. OP—
This permit card shall be kept in a conspicuous place on the j•• ' - uy. : .:ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application Checklist
One- and Two-Family Dwelling roil orrice: I s l: 0\1.1 ,
City of Tigard Received Permit No.:
;, 41 13125 SW Hall Blvd.,Tigard,OR 97223 Associat
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l« y° "8.
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 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 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 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 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 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 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 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- 0 0 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 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 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 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 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 03-
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 ❑ 0
architect licensed in Ore!on and shall be shown to be a..licable to the •r&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 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 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 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 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 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)
Electrical Permit ApplicatiliECE(V rolz orrice: l si. o.l"\
City of Tigard Received
14 • 3.
yy Date/B : IZEIMIL iota
13125 SW Hall Blvd.,Tigard,OR 97223MAR 2 2019 Plan Review
C Phone: 503.718.2439 Date/B : Related Permit#:
Email: TigardBuildingPermits@Tigr141%111ARDReady Date/By: Jure !a See Page 2 for
I I''A R" nspection Line: 503.639.4175 �erNyt�lvlmti o h'l Notified/Method: Supplemental Information
TYPE OF WORKL!!VIl ! PLAN REVIEW
❑New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
rlessand 2-family dwelling ❑Commercial/industrial 0 Accessory building
to ground,or exceeds 14,000 0 Commercial-use agricultural
ulti-family ❑Master builder ❑Other: ❑Fre forall other installations. buildings.
pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
t�
0 Addition of new motor load of system.
Job#: Job site address: j'32 i.e& S v L� t..) N'�_ 100HP or more. ❑"A">"E">`°1-z",°`1-3",
❑Six or more residential units. occupancy.
City/State/ZIP:"'` CwA a. C{' 122 LI ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Eats I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WOR Limited energy,residential
1 (with above sq.ft.) 75.00 2
Z 41VeC-t-v-.L.0 t. s.l k- ' C> L-AV.r1✓( �' ..'"t. Limited energy,multi-family
C residential(with above sq.ft.) 75'00 2
Renewable Energy 0 See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: CAAaLA ji 2_/ 200 amps or less 100.70 2
.-5, l s .� h�`t .-= '1)1--
401
� 201 amps to 400 amps 133.56 2
Address: l Z i ' '+' 401 amps to 600 amps 200.34 2
City/State/ZIP: ` 1b c,N-& Uv G` 2.-2-q 601 amps to 1,000 amps 301.04 2
Phone:(j.(l ) 7 j- 2'32-{ Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lea , n I -xch. ge,acco •ing to ORS 447,449,670 and 701. 201 amps to 400 amps 125.08 2
Owner signa : AI,
/ Date::2.,( ( l1 401 amps to 599 amps 168.54 2
® 1'PLIC` ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 7'42 2
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 i 2
branch circuit
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy e 2 2
Address: panel,alteration,or extension. 0 See Page
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('/2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORIC WY: FEE SCHEDULE
Description I Qty. I Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(A hr min)
COMMERCIAL WORKON Y° 4° ELE IRIC ?N>uMrr SEs
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building,electrical, mechanical,and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
0I
will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
eirict_ck r-3Lticicr-
Print Name of Permit Applicant
Si.. 12
ure of ' -rmit ‘N•p' ant Date
Permit#: 1125j p7dI/— 0005K
Address: ✓r% y, ������m�i�
/ 745 2 77,2dit
Issued by: Date: 3/M y FSI
This Copy for Permit Offices
City of Tigard
III a
M COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: "s-7--;6/11-C,
Site Address: 132.1? ,,CV 1 r•vitw 19r,
Project Name: QVtr- CiArtil p(4) Lot #:
(New dwYlling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro osal: (Arta e.t,L vw b
it Verify address/suite#active in Accela. In River Terrace: ❑ No li Yes,River Terrace Review Addendum
Sit lan Elements: P •sion Control
3opies of site plan on 8-1/2"x 11"or 11 x 17"paper It ' ained trees with drip line and tree protection measures
rawn to scale(standard architect or engineer scale) ' •..tprint of new structure(including decks)and FFE
orth arrow 6 "ty locations&easements(required for new and additions)
i address,project or subdivision name and lot number Ii idewalk/driveway approach
[ A plicant information(name and phone number) 1Rli'.ocation of wells/septic systems
lot dimensions and building setback dimensions i!. et tree size,type and location
IJ 3. . re footage of buildings to be demolished LAS eet names
t' "sting structures on site Omer elevations(2'contours if more than 4'differential)
e . area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 0Yes L1No
� pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yi``ahNo
LU' Clean Water Services—Service Provider Lette of platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified IlQ No Received: ❑ Yes ❑ No
[I"'' Pu._'c Facilities Improvement(PFI) Permit: /
C -quired: ❑ Yes,applicant was notified "V No Applied For: ❑ Yes ❑ No,stop intake
I! nd Use Case#: ❑ Zoning: n
equired Setbacks: Front: 1C Rear: IC Side: c q�Street Side: ltw9- Garage: 0-0
Building Height: nMax. Height:_ Actual Hei ht: 11,5
Landscape Area: ,./ % Lot Coverage Max:
trance 7r.Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows
Miivmum 12%of area of all street facing facades
V.A. Garage Garage door is behind widest street-facing wall El Yes ❑ No,one of the following is met:
�" ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
Ig,Visual Clearance Ilaj-Urban Forestry,Pn
ensitive Lands: CI Yes Lid' No Type:
Conditions met prior to issuance of building permit
No s:
LK Approved By Planning: .L4 141 Date: 3 -21-11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved Cl Not Approved
Revision 3: ❑ Approved ID Not Approved
I:\Building\Forms\BldgPemiitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: ?j � (f
Site Plans: #
Building Plans: #
Building Permit#: iter building permit#above.
Workflow Routing: ning Qr"r gineering Lt Coordinator wilding
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
orial plan review routing form.
D-4t wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: - Date: 34/k7
Engineering Review
e Slope at building pad: 37
Er Conditions "Met"prior to issuance of building permit
12i Easements (encroachments)per engineering conditions of approval and plat
I2rWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
L� Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Er Approved by Engineering: 56e,,li g. 174;_, Date: 3/Z5//
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Permit Coordinator Review
U 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:
DC Fees Entered: Wash Co Trans Dev Tax: El Yes Lf N/A
Tigard Trans SDC: El Yes DrN/A
Parks SDC: El Yes C7-N/A
LIDA ❑ Yes
OK to Issue Permit
Ail:late:by Permit Coordinator: `�f!'v Date: ala >1
I:\Building\Forms\BldgPermitRvw RES_022819.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13248 SW STARVIEW DR, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2019-00088
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13248 SW STARVIEW DR, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2019-00088
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor