Permit (23) CITY OF TIGARD MASTER PERMIT
1:111111111 : < COMMUNITY DEVELOPMENT Permit#: MST2019-00200
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019
Parcel: 2S103DB05000
Jurisdiction: Tigard
Site address: 11165 SW NOVARE PL
Subdivision: GENESIS NO.2 Lot: 47
Project: RANCK
Project Description: Rebuilding the elevated section of driveway, demolish current, driveway, installing supporting
posts and steel pan, and pouring new concrete driveway.
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: $32,000.00 Rear:
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
Drywell-Trench Drain: 0 Other Fixtures: 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:
OTR SF 0
Owner: Contractor:
HALME,TIMOTHY E&EILEEN K OWNER Required Items and Reports(Conditions)
RANCK,ROBERT JR&CATHERINE ROBERT RANAK JR
A 11165 SW NOVARE PLACE
11165 SW NOVARE PL TIGARD,OR 97223
TIGARD,OR 97223
PHONE: 503-250-0614 PHONE: 503-250-0614
FAX:
Total Fees: $1,090.03
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 OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: `_—' Permittee Signature:
Call a 503.639.4175 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 Permit Application
•
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
Date/BJ 9
"l 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 3 201 y - /( ✓/pY/L G/'0LbL(.5
Plan Review c
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7 j- 1 / I Other Perm/ a" it:
1 1( i\R C) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juns Ed See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION L � A.(--' y7l L- Supplemental Information
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❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
i � „ i , y /t y.,,,.
4. t e ( ),/' , P work indicated on this application.
, �
® I-and 2-familY Valuation: $32,000
dwelling ❑Commercial/industrial
El Accessory building . � El Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
tF t Y ' : t az m i0` 4 % Total number of floors:
Job site address:11165 SW Novare Place New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:driveway Covered porch area: square feet
Cross street/directions to job site:Take SW 115th Ave to Genesis Loop Deck area: square feet
Other structure area: square feet
I : t t :, s n € ,fl,'
Subdivision:Genesis I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S103DB05000 Indicate the value(rounded to the nearest dollar)of all
Baa j'N a y y equipment,materials,labor,overhead,and the profit for the
td � " � �l ,of , „ ,t ' f 6, /' r work indicated on this application.
Permit application is for rebuilding the elevated section of driveway Valuation: $
Demolish current driveway, clean&paint steel beams,install supporting posts Existing building area: square feet
Install steel pan,pour new concrete driveway New building area: square feet
�,x r ' a,• f.a
(0040,ee„ � . ;.,,te Number of stories:
ti
Name:Robert Ranck Jr Type of construction:
Address: 11165 SW Novare Place Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing:
Phone:(503)250-0614 Fax:( )
New:
2'1
:.'5 ;:•< „,;;
, / i ia ' , /s. ,a ,r %. „,,er'ZolV P „ o ,/ % e #.. . ,R 'j- " 'MBusiness name:Property Owner
Structural plan review fee(or deposit):
Contact name:
Address:
FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:( ) I Fax::( ) Amount received:
,
E-mail: riff' , t t; / ,;, , K °'1� ,:, = ,6
Commercial and residentialP
rescri five installation of
P
t ,ter G" * zo« / ,' '/ ( roof-top mounted Photovoltaic Solar Panel System.
Business name:Property Owner 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 lie.:
Total fee due upon application: $201.60
Authorized signature:r ...,; �^7 This permit application expires if a permit is not obtained
/(�Ji within 180 days after it has been accepted as complete.
Print name Robert 12apPlt jr Ha�f9 This
methodology set by Tri-Cnnnry Rnild;ng induct
Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223
Date/By: Permit No.:
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
I f C;1Kt7 24-Hour Inspection Line: 503.639.4175 El Electrical 0 Plumbing El Mechanical
Internet: www.tigard-or.gov ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0
3 Verification of approved plat/lot. ® 0 0
4 Fire district approval required. Name of district: ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑
6 Sewer permit. ❑\ ❑
El
7 Water district approval. 0 -❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0
9 Erosion control El plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 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-fl.elevation differential,plan must show contour lines at 2-fl. 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, ❑ ❑
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 ❑
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. ❑ ❑
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- ❑ ❑
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
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 ❑ ❑ El
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑
IZ
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 ® ❑ ❑
architect licensed in Oreton 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 ❑
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. ® ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ® ❑ ❑
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 ❑ ❑
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.
1.\Building\Permits\BUP-Rf.arermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
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. �f1�
submit this statement. This statement will be filed with the permit. VED
Please check the appropriate box: MAY 2 3 2019
CITY OF TIGARD
BUILDING
i I own, reside in, or will reside in the completed structure and my general contractors: DIVISION
Name
CCB#
Expiration Date
I will inform m
y general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
X I 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.
Robert B. Ranck Jr.
Print Name of Permit Applicant
5/21/2019
Signature of Permit Applicant Date
Permit#:
F
Address: 11165 SW Novare PI
Tigard. OR 97223 ui� y 'r''i z
.` /
Issued by: Date: �:_5:
This Copy for Permit Offices
City of Tigard
!PI II COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R n Building Permit Review — Residential
Building Permit #: 57-)_()//`C
Site Address: /M �C /Voya-r-2 fl a
Project Name: /Ca/1 4 Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review p�
7sa1: ir- I"P ,1/a -e/evJe eriaddress/suite#active in Accela. f� River Terrace: No El Yes,River Terrace Rev( vAddendum
Sit9 Plan Elements: 7 • osion Control
,copies of site plan on 8-1/2"x 11"or 11 x 17"paper 7.1 ' t.' ed trees with drip line and tree protection measures
Zrawn to scale(standard architect or engineer scale) 1O ''t•tprint of new structure(including decks)and FFE
�orth arrow Y. • -ty locations&easements(required for new and additions)
S address,project or subdivision name and lot number �Sid-walk/driveway approach
VrA
plicant information(name and phone number) •- ;,�• .tion of wells/septic systems
Lot a' ensions and building setback dimensions WI -et tree size,type and location
1:: are footage of buildings to be demolished 174 S eet names
1•Existing structures on site Corner elevations(2'contours if more than 4'differential)
\(area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? EYes VN,,
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 3, es LISNo
❑ Clean Water�S rvices—Service Provider Letter(lot platted prior to 9/10/1995):
Re.uired: V. Yes,applicant was notified ❑ No Received: ❑ Yes Zo
0 •blic Facilities Improvement(PFI) Permit/
Required: E Yes,applicant was notified L� No Applie For: ❑ Yes ❑ No,stop intake
dnd Use Case#: L\d Zoning: -
iv\ (Required Setbacks: Front: r.21 Rear: I Side: ' Street Side: //4-- Garage:
Max. Height: Actual Height:
tla
t: ' ding Height:
landscape Area: % of Coverage Max:
Entrance 5 et back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees • -
Windows ❑ Minim -°. of area of all street-facing facades \t/
Garage ❑ Garage door is behin. _ street-facing wall r ' ❑ Yes ❑ ► :,one of the following is met:
❑ Door extends no more than 5 . - and there is a c• - . porch extending beyond garage.
❑ Door extends no more than 5'from wall an.11?- - _ a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or le a 50%or less of faca•e Pi 0%or less and includes 7 of following:
❑ Covered porch P. 'ecessed entrance ❑ Wall offset ❑ 1'Roo -. •_ ❑ Roof offset
❑ Fire .... :es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo = S ormer
iiii Accent siding ❑ indow trim ❑ Window recess ❑ Window projection ❑ Balcon,
1.1,0 f isual Clearance J..ie rban Forestry Plan
74 Sensitive Lands: V Yes 111 No Type: ' Adi ., / / . .' il A Y'':
�l •. onditions met prior to issuance of building permit par i 071/ ---,,
No -
-- 111111.11111111r
Approved By Planning: ...... - �� Date: •
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\BldgPernritRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: j g____
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning engineering 4ermit CoordinatorBuilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review) /
Route Application Documents: ) 1"--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: } , /°
:014
By Permit Technician: 41%
Ad ��%= Date: �j'
r
Engineering Review
Pf Slope at building pad: ij
Ga Conditions "Met"prior to issuance of building permit
[Kr Easements (encroachments)per engineering conditions of approval and plat
Er Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes e No
LIDA Facility on lot: ❑ Yes /No
Lr Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Er-Approved by Engineering: Date: S. 2 j• /7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 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:
Re 'sion Notice 2: Date Sent to Applicant:
vision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: El Yes /A
LIDA El Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: /freDate: 6134) /1
I:\Building\Forms\BldgPennitRvw RES_022819.docx