Permit (183) CITY OF TIGARD MASTER PERMIT
111 la
COMMUNITY DEVELOPMENT Permit#: MST2019-00177
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2019
Parcel: 2S102DB02100
Jurisdiction: Tigard
Site address: 13250 SW BURNHAM CT
Subdivision: BURNHAM PARK Lot: 16
Project: WALTON
Project Description: 156 sq.ft. deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $3,728.40 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
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!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:
WALTON,TERENCE ALL ABOVE FENCES DECKS&CONSTRUCT Required Items and Reports(Conditions)
13250 SW BURNHAM CT 7424 SW FIR ST
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 503-270-1864
FAX:
Total Fees: $405.18
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 rule ado ted by the Oregon Utility Notificatio Center. Those r s are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c of the rules or.'ect questions to OUNC by calling 50 232.1987 or 1.800.3 2. .
Issued By: ��.&L.,,fr,/; , Permittee Signature: /C..."---------*/ .,'
Cal '�.4175 by 7:00 a.m.for the next available inspection date.
This permit card shalt be kept in a conspicuous piecevnthe job site until compietfon of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residen ;al FOR orrlcl: FSI: (Nl.l
t ' of Tig?.rd RECEIVED Received
g Date/By: r Permit No.:f �l'y'_�j 1/ 7;
13125 SW Hall Blvd.,Tigard,OR 97223 S / y 1 �-+lr
■ Plan Review ,/
Phone: 503.718.2439 Fax: 503.598.1960 MAY 6 2019 Date/By: Other Permit:
r I(;ARI) Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD otified/Meth /ci f) '�s� Supplemental Information
■ it ► I ••► /../.4_, < ..-..i.... C
tilt OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
in 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 rofit fo the
CATEGORY OF CONSTRUCTION work indicated on this application. 37 (. .50 o
1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ., 2zi.L6-2d2..._
❑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: i3 2 5-0 5c,u 3 dei 11#9 ti cr New dwelling area: square feet
City/State/ZIP: it a6 g,0 9i'-7-22 ( Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:
EteR ttA,tf-ript. 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.
174 L 2 Valuation: $
Existing building area: square feet
New building area: ,— square feet
In PROPERTY OWNER
t-' E3 TENANT Number of stories:
Name: F Type of construction:
Address: /3 2 s I� 61)R ff/)/ i Cr: Occupancy groups:
4 P
City/State/ZIP: !;4.AIfI6 oif 6?1-2 2 / Existing: —
Phone:( ) Fax:( )
New:
El APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: v �L 7�xc ,s ,be A5 7'
/ (Please refer to fee schedule)
d ' Structural plan review fee(or deposit):
Contact name: 'n 16e,0
Address: 3-! 2 4 c X50---7 Fite FLS plan review fee(if applicable):
City/State/ZIP: ! 'o ./,/ 4 Total fees due upon application: s cL
r
Phone:( VD> 2�.p is 6ii. Fax::( ) Amount received:
E-mail 4 { f PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�►v t'),If(�t ^,f✓ve t ' e ,A,v,„,q . Ca___ .
tylxvrRACTAR v Commercial and residential prescriptive installation of
A, roof-top mounted Photo Voltaic Solar Panel System.
Business name: A vF /i Fr;/YC-ES /� Submit two(2)sets of roof plan with connection details
o/h S ( CO/4S� and fire department access,along with the 2010 Oregon
Address: ?/7 2 il c > 57 Solar Installation Specialty Code checklist.
City/State/ZIP: 1tGA2 223 Permit Fee(includes plan review
Phone:(6-03) 2 70 / 64. Fax:( ) and administrative fees): $180.00
State surcharge(12%of permit fee): $21.60
CCBlic.: /et ®6J1
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: 6 r2Ato ,2.66,d L Date: 's—&-- P5' .Fee methodology set by Tri-County Building Industry
Service livHId.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling ro R o i i u i: l s I 0 y 1.1
Cityof Tigard Received Permit No.:
g Associat
� 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T r( n K D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITE\IS ARE REQUIRED FOR PLAN REVIEW Aes yo 1 ‘
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 00
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 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.
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. 0 0 0
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 0 0 0
there is more than a 4-fl.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. 0 0 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
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. 0 0 0
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
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. 0 0 0
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive path analysis provide specifications and calculations to engineering standards. 0 ❑ 0
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 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. 0 0 0
20- -Manufactured floor/roof truss design_details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required -0-
for four or more appliances. 0 0 0
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
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
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 0 0 0
Street Tree List. 0 0 0
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. 0 0 0
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)
City of Tigard
qIli COMMUNITY DEVELOPMENT DEPARTMENT
III
T I c A u D Building Permit Review — Residential
Building Permit #: b7—m e q-a)i 7 7 t
Site Address: /3,D. 0 5 Li) Born G,a 4-1 ,--7--71.
Project Name: j e,cr , 1,ec_k JWotttvv Lot #:
(New dwelling=su1�'division name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /v a,t) t?e4(
Verify address/suite#active in Accela. ❑ In River Terrace: 2.-N7 ❑ Yes,River Terrace Review Addendum
Sit7Plan Elements: El Erosion Control
3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper CRctri=„rJ with drip line and tree protection measures
,�ilrawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE
aKorth arrow p• ty locations&easements (required for new and additions)
AP'S&address,project or subdivision name and lot number •.B€idedriveway approach
pplicant information(name and phone number) i#�in f'w lls/septic systems
Lot dimensions and building setback dimensions ee ,type and location
square footage of buildings to be demolished ,L--JStreet names
Fisting structures on site �rner elevations(2'contours if more than 4'differential)
et axe�Lbuilding coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes Aldo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No
"latlean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Re ed: ❑ Yes,applicant was notified j1--*'No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified „2"- ---o Applied For: ❑ Yes ElNo,stop intake
iThriThr—.
se Case#: p
Zoning: !\ 1/,5
Required Setbacks: Front: p t") Rear: 15 Side: 5 Street Side: Garage:
❑ Building Height: '1 Max.Height: 3 v Actual Height:
Landscape Area: v % ❑ Lot Coverage Max:
Entrance o more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ea of all street-facing facades
Garage 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 0 Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
0- VL u,k Clcatance ❑ Urban Forestry Plan
men mads: ❑ Yes j No Type:
Conditions met prior to issuance of building permit
Notes:
,
„a-Approved By Planning: _ �'�., Date: -� �' /9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 022819.docx
Building Permit Submittal
Original Submittal Date: 6 ari
Site Plans: #
Building Plans:
Building Permit#: A nter uilding permit# bove. Llt in
Workflow Routing: anning ngmeering ermtt Coordinator g
Workflow Sign-off: Fi off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori al plan review routing form.
kBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 07141
Engineering Review
Slope at building pad: (Plo
gl Conditions "Met"prior to issuance of building permit /../ A,
7 Easements (encroachments) per engineering conditions of approval and plat
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
Ill Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
d Approved by Engineering: �j _L ju Date: S'• /3. 19
Revisions (after Building Submittal only) �A )) $ Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
l c 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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes t<N/A
Tigard Trans SDC: ❑ Yes agt--N/A
Parks SDC: ❑ Yes (1 Y N/A
LIDA ❑ Yes cI N/A
1-OK to Issue Permit
Approved by Permit Coordinator: Air
Cef/L` Date: 6[1 3 11,9,
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13250 SW BURNHAM CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00177
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
No one home for inspection, loose dog in back yard.
Provide access for inspection with dog confined.
No message left with inspection request.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13250 SW BURNHAM CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00177
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
No one home for inspection, loose dog in back yard.
Provide access for inspection with dog confined.
No message left with inspection request.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13250 SW BURNHAM CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00177
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Finish knee brace at back trellis posts per approved plans.
Violation Summary:
Inspector Contractor