Permit (168) CITY OF TIGARD MASTER PERMIT
. 2.' .' COMMUNITY DEVELOPMENT
Permit#: MST2019-00158
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2019
I
t'� ° ' Parcel: 2S111BD01513
Jurisdiction: Tigard
Site address: 14980 SW 100TH AVE
Subdivision: ALDERBROOK FARM Lot: 6
Project: Knez
Project Description: Reconfiguring windows on two street facing sides for bedroom remodel.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: -1 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 0 sf Value: $10,000.00 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 RainStorm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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'I 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:
KNEZ,JOHN S JR&VICKI L RUPP FAMILY BUILDERS INCORPORATED Required Items and Reports(Conditions)
14980 SW 100TH AVE 29030 SW TOWN CENTER LOOP E
TIGARD,OR 97224 SUITE 202 BOX 429
WILSONVILLE,OR 97070
PHONE: 503-866-4281 PHONE: 971-264-9392
FAX:
Total Fees: $507.67
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• • 2-001-0090. Y• . •• . o.y of ._ . _ •irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / s•— ! PermitteeSignature: i� v -.--
Call APP4FiliPP 5 by 7:00 a.m.for the next available inspection e.te.
This permit card shall be kept in a conspicuous place on the job site until comp etion of the proje
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential rolz Ol FiCil ISI 011
City of Tigard ..
CE I V E D Date/By: Lt q (7 1 7lO15 -1oi s-T
13125 SW Hall Blvd.,Tigard,OR 9 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1 Date/By: S ' Alt_ Other Permit:
Inspection Line: 503.639.4175 �r1 2 9 2019 Date Ready/By: / — / Juis: 0 See Page 2 for
ricAHn G
Internet: www.tigard-or.gov CITY OF TIGARD Notified/me d: 1 Supplemental Information
TYPE OF W RK 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
AS11-and 2-family dwelling 0 Commercial/industrial Valuation: $ [C.-). 0O0
1:1Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: 1,
JOB SITE INFORMATION AND LOCATION Total number of floors: +- j
Job site address: ' _i iJ j%:.: 1 v C?..4. Ave New dwelling area: square feet
City/State/ZIP: 'T,c�t,,1- c)R. C 7 2_2.,./.-f 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: 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.
gzetivk erc�t21t' -- et9L,roo u"'- , Valuation: $
[l Existing building area: square feet
Si A tc rr^� (Sll fl t.L) ✓ i tx - it i i•L i- • '!'c>^I..cl
t 1
New buildingarea: square feetpr. (A).,r. o Z- 5W.e.�\- - -,‘CQ >> 5d
9 PROPERTY OWNER a TENANT Number of stories:
Name: J„.)l,,,,_ Jr. ( .c-L i K yLe z-. Type of construction:
Address: (Lf ciao `J t.j /0 o 4.
Occupancy groups:
City/State/ZIP: "�� c „_e( T � ��?
47/ Existing:
Phone:( ) Fax:( ) New:
Pr APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: ,� p Fa `( �.
(Please refer to fee schedule)
�J �' Structural plan review fee(or deposit):
Contact name: ill oc1 f' I .',,,L„�c
FLS plan review fee(if applicable):
Address: 8 7 5 5- Si.,_,' C.1—'2-e.,_5 -C . S 4 ZO
City/State/ZIP: Total fees due upon application:
GJ,(Scrk1 v;'((-C &-`C' X7070
2
Phone:(5z)3) 8�:6 L f ?( Fax::( ) Amount received:
E-mail: /k CcYc�c 2.S,5t G.,27/vt R, /. ftv7yt
PHOTOVOLTAIC'SOLAR PANEL SYS'PEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: _ c2 y �l�c� - Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 20 7 7 .3
/�` Total fee due upon application: $201.60
Authorized signature: /If This permit application expires if a permit is not obtained
�,. �I' within 180 days after it has been accepted as complete.
Print name: /4 &r,t h ,,,- Date /0,07 if *Fee methodology set by Tri-County Building Industry
Serviee 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 101( orrice: t SE oyl.v
City of Tigard Received Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associat
= Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T I G A K D Internet: www.tigard-or.gov ❑ Other:
"TIE: FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v« No y '
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
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 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 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.
29Manufactured floor/roof truss design details. _ _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,t on and shall be shown to be a..licable to the ,ro'ect under review.
Jt RISDICTIONAL 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 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\Pemuts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 C A R D Building Permit Review — Residential
Building Permit #: . Tijl`7 • f rf—
Site Address: Itnio si / / 7i%L>
Project Name: Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review /
Proposal: I2 ,,-Q v
p"-Verify address/suite# active in Accela. River Terrace. ■ No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: ❑Erosion Control
1=13 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree protection measures
■ Drawn to scale(standard architect or engineer scale) ❑Footprint of new structure(including decks)and FFE
❑North arrow ❑Utility locations&easem-. -..;. -. or new and additions)
❑Site address,project or subdivision na • .t number ❑Sidew. _ ..'veway approach
❑Applicant information(name and phone number) 'El .cation of wells/septic systems
❑Lot dimensions and building setback dimensio. ❑Street tree '. : .i.e and location
❑Square footage of buildings to be d- . s ed ❑Street names
❑Existing structures on s' - ❑Corner elevations(2'contours if more .. 'differential)
❑Lot area,b -.. coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? • `- ■No
'..:-mous area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ■No
er ervices—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
ovement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
-g__L. - e ase#: ❑ Zoning:
Lifilsagoifeel-Setbarlts: Front: Rear: Side: Street Side: Garage:
laJaaileling- I' ght'^ Max. Height: Actual Height:
n e1 uLte- % ❑ Lot Coverage Max: 0/0
Entrance e ac than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows Minimum 12%of area of all street-facing facades
Garage `l7 Garage door tg•behind 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.
a 2'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
❑ Visual Clearance ❑ Urban Forestry Plan
❑ Sensitive Lands: ❑ Yes ❑ No Type:
CI Conditions met • r to issuance of building permit
Notes:
Cl Approved By Planning: _ _.........— / — Date: fo9�
l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: 1ff1- c (/
Site Plans: # -
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: ›-Planning ❑ Pgiriring ❑ Perm�,tLeetdinator l�Building
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: 111----- :', -- -:: ; . ; . ..; . ,. , - . a • .4 . . ; -
, :.. •....
original permit application,site plans,building plans,engineer and
( beam calculations and trust details,if applicable,etc.
Notes:
^ i -
By Permit Technician: 2. hit/ Date>/ti,M7
Engineering Review A//4)-
❑ Slope at building pad:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approv and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Ye ❑ No
LIDA Facility on lot: ❑ ''es ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Enginee ' _: Date:
Notes:
❑ Approved by E 'neering: Date:
Revisions (aftelding Submittal only) Reviewer Date
Revision 1/ ❑ Approved ❑ Not Approved
Revis. 2: ❑ Approved ❑ Not Approved
R Sion 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review ///''
❑ 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 Appli t:
Revision Notice 3: Date Sent to • .. 'cant:
❑ SDC Fees Entered: Wash . rans Dev Tax: ❑ Yes ❑ N/A
T.:,rd Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
LIDA ❑ Yes ❑ N/A
❑ OK to Is •a Permit
Appr e -d by Permit Coordinator: Date:
I:\Building\Forms\BldgPemiitRvw_RES_022819.docx