Permit (160) CITY OF TIGARD MASTER PERMIT
III '' COMMUNITY DEVELOPMENT Permit#: MST2019-00096
T(GAI D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/11/2019
Parcel: 2S103AB01100
Jurisdiction: Tigard
Site address: 11100 SW WALNUT ST
Subdivision: ECHO HEIGHTS Lot: 7
Project: Kahn
Project Description: Sunroom addition and kitchen remodel.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 225 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 9 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: Yes
Total: 225 sf Value: $26,651.25 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 add9 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-3 225
Owner: Contractor:
KAHN,STEPHEN M&ANN L NW RESIDENTIAL Required Items and Reports(Conditions)
11100 SW WALNUT ST PO BOX 230635
TIGARD,OR 97223 TIGARD,OR 97281
PHONE: PHONE: 503-860-2631
FAX:
Total Fees: $1,497.17
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 foil.. -- - _-- -d.p ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yo • - •• •R: • •f the rules or direct questions to OUNC by calling 503.232.1 87 or 1.800.332.23
Issued By:`s'� r . ai Permittee Signature:
Call 50 y 7:00 a.m.for the next available inspection date
This permit card shall a kep in a conspicuous place on the job site until complef project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicaticri__ _ _,,_ _
Residential FOR of FR i 1,()NIA
City of Tigard MAR 2 i3 y`,019 Received _ 1
Permit No.tc 7,.. r(_` ,,( / 7
g Date/By: ^' aS ��� C. `\\�\ ��V�l'1 VtSl1-"t�'
13125 SW Hall Blvd.,Tigard,OR 972,3._ Plan Review.
■ j (q Other Permit:
Phone: 503.718.2439 Fax: 503 5 1960 Date/By:
Inspection Line: 503.639.4175 t. �., -_ -N Date Ready/By: ,iris: [d See Page 2 for
Tic;nlu� p
Internet: www.tigard-or.gov tyotifie ethhood: r
Supplemental Information
Gr
TYPE OF WORK RE IRED 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
_pi-Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit fgr the
CATEGORY OF CONSTRUCTION work indicated on this application. aei`ersi
1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11) Op t/J %1�,-12/Vj r( �a S7 New dwelling area: square feet
City/State/ZIP: 77&,4-t' Cj 7 22, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: K 447A) A-'0i)j 701J 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: I 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.
(i,ai i)0M . apt-r,2d + kl-rof ((N (2.4-y",l dev Valuation: $
Existing building area: square feet
New building area: square feet
[] PROPERTY OWNER 9 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: N11" 1-65/0 17
.<_ //✓C (P �reJar fee schedule)
Structural plan review fee(or deposit):
Contact name: i'9/4/L l Y/22 /1 t/` $6 FLS plan review fee(if applicable):
Address: PO 00}( 2,j0(yl Total fees due upon application:
City/State/ZIP: 77 -(i) e;ic. /7 24-'
Amount received:
Phone:(yi.,3) Ac ,-ZC, / Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: /JO/ -t= /j2k-)7 42 /46- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Co 50� 23D,6: 5 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includesplan review
tY (�- � � �J.7 � $180.00
and administrative fees):
Phone: 56 6 �> . Fax:( )
(50'9 . — f' /
State surcharge(12%of permit fee): $21.60
CCB lic.: /6 24q.(�
l �• �% 1l/�`�J 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-{` t„,/pe ,. C " *Fee methodology set by Tri-County Building Industry
/ �(� Date: >�l i 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 l SI Oyl.l
ligCl of Tigard Received
g Date iv Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
T I G A 1Z D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ve, 10 yi,S
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 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 ❑ ❑ ❑
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 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
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
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 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 detaits 0 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 0 ❑
architect licensed in Ore:on 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". 0 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 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 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
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-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
i
T 1 c A R D Building Permit Review — Residential
Building Permit #: r`c\- ?j 6i- .
Site Address: 1 /( 60 S U) (,o4h v{ 5 -t,
Project Name: V0A n Re nneo(2 I Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review �(+'
Proposal: 41 d1 on .-10 ''2c.t o r,uS Q
Verify address/suite#active in Accela. ❑ In River Terrace: 2-No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: VE osion Control
33 copies of site plan on 8-1/2"x 11"or 11 x 17"paper -,1 Reetained trees with drip line and tree protection measures
OTrawn to scale(standard architect or engineer scale) -C 1 otprint of new structure(including decks)and FFE
arrow ., Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number 'ESidewalk/driveway approach
) Applicant information(name and phone number) --PLarlitian of wells/septic systems
❑Lot dimensions and building setback dimensions -OS t free size,type and location
-CQS.tuare footage of buildings to be demolished ,�StS et names
Tisting structures on site .I Corner elevations(2'contours if more than 4'differentiaall)/
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes L oI o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes CI No
0----Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): �/
Required: s,applicant was notified CI No Received: ❑ Yes .IBJ No
ePublic Facilities Improvement(PFI) Permit:
Required: CI Yes,applicant was notified ,No Applied For: p❑ /Y/es 1=1 No,stop intake
Use Case#: - Imo
Zoning: - 5
Required Setbacks: Front: a 6 Rear: (. Side: 3 Street Side: /rj Garage: Zd
❑ Building Height: Max. Height: ?C) Actual Height: °`
e,-Area: % ❑ Lot Coverage Max:
Entrance '- S ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows —CI Minimum 12%of area of all street-facing facades
Garage d widest street-facing wall ❑ 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
iEl -lea ance ❑ Urban Forestry!lap
sitive Lands: ❑ YesNo Type:
on tions/me priorto issu., ce of/
buildin permit
Notes: S .m ,� s �. /
'Ssva ,¢
Approved By Planning: Date: 3j/a5//c
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: '1C"(
Site Plans: #
Building Plans: #
Building Permit#: 'Enter building permit#above.
Workflow Routing: Er Planning Er Engineering Er Permit Coordinator 2/Building
Workflow Sign-off: 0' Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
R'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � . L� Date: 4--eS`tCl
Engineering Review
Slope at building pad: Z. y.
Kr Conditions "Met"prior toissuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
L'J Water 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
Li'Final Plat Recorded:
El NOT Approved by Engineering: Date:
Notes:
/Approved by Engineering: i-z Date: 3 . ict
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit C nator Review
- ❑ _ditions "Met"prior to issuance of building permit
Approved,NOT Released: 66X1.- .e/y►Ge42,�i`'�6 A,L_ Date:
3/ J L
Notes: !� �/
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
R 'cion Notice 3: Date Sent to Applicant: �
SDC Fees Entered: Wash Co Trans Dev Tax: I=1 Yes L7'N/A
Tigard Trans SDC: ❑ Yes ' /A
Parks SDC: El Yes lir N
LIDA ❑ YesN/A
0474///4/
OK to Issue Permit
/ 1
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
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
1 ..
11 2 Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.govz/
TO: •' //!/ def/ DATE RECEIVE 1 .
DEPT: BUILDING DIVISION
AY 132019
FROM: F14117(PPi / V 5 J CITY OF TIGARD
COMPANY: AAA/ i2.6//b (A 2 j,JG
BUILDING DIVISION
PHONE: 9-0 3 . b o U' ( By:-A
RE: ill 0 St," VA-L-r✓vr S---(. MST 2011 - 0O121
(Site Address) (Permit Number)
k1frl
(Project name or subdivision n. - d to .i'
k '0,,,,
ATTACHED ARE THE FOLLOWIN . all •
Copies: Description: t , 1 Copies: Description:
Additional set(s) of plans. I 3 Revisions: 19t-Ao j 4- a.,'VA1,)
Cross section(s) and detail% Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: `1 ' I QfLCI, I1 l (-..CAt L Sl`CY1 --\(`G,.ryvp...j
k
FO OFF CE USE ONLY
Routed to P- s it Techn : Date: S (F0707
(' Initials: Afr
Fees Due• EYes No Fee Descriptio : Amount Due:
l cyQi‘/'wA_A, L% $ Li c1
Special
Instructions:
Reprint Permit(per P ): ❑ Yes No ❑ Done
/
Applicant Notified: e: � I Initial •
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11100 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00096
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide smoke detector in upper level bedroom and lower level per ORSC R314
Carbon monoxide detectors ok.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11100 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00096
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Smoke detectors installed.
Final inspection approved.
Violation Summary:
Inspector Contractor