Permit (144) 'PI 1 ' CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00348
T I i_;A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2019
Parcel: 1S134CB01800
Jurisdiction: Tigard
Site address: 12130 SW SUMMER ST
Subdivision: SUMMER HILLS PARK Lot: 21
Project: Lamb
Project Description: Addition to master bedroom and new bathroom. Trade permits to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required _
Stories: 1 Bedrooms: 0 First: 135 sf Basement 0 sf Left: 5 Parking Spaces: 0
Height: 16 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 135 sf Value: $16,532.10 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 1 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
Ecompasing: N
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 135
Owner: Contractor:
LAMB,RICHARD PIERCE HELPING HAND CONSTRUCTION Required Items and Reports(Conditions)
- SURERJANNA 1WIETVIARTIN 27 b64 SW GREGORY-CR —'
12130 SW SUMMER ST BEAVERTON,OR 97006
TIGARD,OR 97223
PHONE: 541-840-5537 PHONE: 503-201-1874
FAX:
Total Fees: $931.30
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 yo to follow e rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR -001- . Youou )' y obtai •copy,.... e rules or direct questions to OUNC by calling 503 .1987 or 1.800.332.234 '
Issued By: • Permittee Signature: _______„..... Y
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
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 "`t f'. i L . ' ' FOR OFFICE LSE ON Ll
City of Tigard /'� ![i 2 9 2 U?I, •tired ♦ /N/1 i 't, �`Si°11 /X7'70/ /-1,
,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i
I Phone: 503.718.2439 Fax: 503.598.1960 , Da- ; s f/ Other Permit:
I 1 G A RI, Inspection Line: 503.639.4175 - Date Ready/By huffs H See Page 2 for
Internet: www.tigard-or.gov "` `'s " _ Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
J,Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the rofit for the
work indicated on this application. 'V
CATEGORY OF CONSTRUCTION
� �j
'1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
El Master builder 0 Other: Number of bathrooms: I
JOB SITE INFORMATION AND,LOCATION Total number of floors:
Job site address: / z.i,()O / 4jt1/M/?7�-1' c.5-77L: New dwelling area: 4.3b--- square feet
/
City/State/ZIP: ' d // 9,q t2/'ll Garage/carport area: .00 square feet
Suite/bldg./apt.no.: - "Project e: 6, /l h �I � ii7.1 Covered porch area: (� square feet
Cross street/directions to job site: Al,,tev� f Deck area: 0 square feet
Other structure area: ® square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 6a r- /4//y /�s� Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: S 7 01 (�,` 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.
� ho�4,/67/:h
* ia�s1 Valuation: $
/ -e. 5 e . e/9) w Existing building area: square feet
`56 G / 2. z(,j �,l -i New building area: square feet
p PROPERTY OWNER 0 TENANT Number of stories:
Name: 7//7/7q Xilj d4i!TType of construction:
Address: /,2-/3&S/4/S�/nrOccupancy groups:
// 7-City/State/ZIP: cxr' e?7z-z. Existing:
Phone:(Sy I ) s ......s---s'3 Fax:( ) New:
'APPLICAN//T 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: O� 'TZ) / loi,-�� L_G-6
(Please KI4w1eesehe rtes
1/" Structural plan review fee(or deposit):
Contact name: �efC /�� ��y
" 15. /V E- 4ve FLS plan review fee(if applicable):
Address:
City/State/ZIP: j7�/ Total fees due upon application:
/✓)/r eft// , Z� ( ) �___ /Mount recebedr- -
Phone: -f Fax::
E-mail: iGZ. 0 /�o Olee'k6, �' j'f PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
"'CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: 4'/ %rj/.. i� ITd / %",?f iic1 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 010 Oregon
Address: S� &Vt Solarlrrstallation Specialty Code checklist.
City/State/ZIP: Q Permit Fee(includes plan review $180.00
7 /5,,,,
Ok g/ and administrative fees):
Phone:(6( 3) 2O/ ./v. 74 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: ZZ Total fee due upon application: $201.60
Authorized signature: /2 i.. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:' Date: �i / �°� L *Fee methodology set by Tri-County Building Industry
wry?!l Lr /�Lb (//! 1 Service Board.
I:1 Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Build ine Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No:
Date/I3 :
r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
= Phone: 503.718.2439 Fax: 503.598.1960
`_,1 h 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
I Internet: www.tigard-or.gov 0 Other:
THE 1 OL.LO1\ I\(s I I L\IS ARL RLQ II:LD 1 0k I'L.A\ RL\ IL\\ t ""l Ni-.k
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
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. 0 0
9 Erosion control ❑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
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
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 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 0
architect licensed in on and shall be shown to beapplicable to the .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
24 Two(2)sets each are required for Items 16,19,20 and 22 above. ( 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
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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard 1
III ■ q COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A o Building Permit Review — Residential
Building Permit #: ////, 7p.6`5 -- '
Site Address: /206 -2/ 1i p j-i-7
Project Name: L -m Idth -r.. Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review ,�( �
Pro sal: IT' /S , d!/p tri,--
UCJ Verify address/suite#active in Accela. n River Terrace: [Id No ❑ Yes,River Terrace Review Addendum
Sit Plan Elements: 0•k.sion Control
IPO3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Id Retained trees with drip line and tree protection measures
awn to scale(standard architect or engineer scale) al�,•otprint of new structure(including decks)and FFE
vipt
rth arrow V Lytility locations&easements(required for new and additions)
e address,project or subdivision name and lot number Si.-walk/driveway approach
plicant information(name and phone number) INt!,•c.tion of wells/septic systems
Lo dimensions and building setback dimensions 11V',eet tree size,type and location
1 t:uare footage of buildings to be demolished V S eet names
T. xisting structures on site Corner elevations (2'contours if more than 4'differential)
a w',t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? Yes
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility showl3 Yes o
IV lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
\ 'ublic Facilities Improvement (PFI)Permit:
Required: ❑ Yes,applicant was notified No Applie or: ❑ Yes ❑ No,stop intake
nd Use Case#: nn Zoning: N& •C
II 'equired Setbacks: Front:o.9L1 Rear: l g- Side: Street Sid : �g— Garage: 0
E Building Height: Max. Height: '9 Actual Height:
ndsca•e Area: %
OV:ctCoverage ax: 0/0
ntrance 14.•t back no more than 8'from street-facing wall \, Il' b aralle to street or fset 45 degrees or less
Windows "'Minimum 12%of area of all street-facing facades QS-Qr 7 j C0-o71 rl I
Garage • .; - door is behind widest street-facing wall ❑ Yes ❑ No .• • the following is met:
❑ Door ex e .- •• ore than 5'from wall an th a is a covere. .: c extending beyond garage.
❑ Door extends no more a ' • wall and the - •- . 2 sq ft.window above garage on 2"d floor.
❑ Garage door width is ❑ 12'or less • •o . - of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ : - se. entrance ❑ Wall offset to 'Roof eave ❑ Roof offset
■ ccent siding ❑ Window trim CI Window recess ❑ Window projection 5. ony
_............ ......_r
10 isual Clearance ban Forestry lan
1 sensitive Lands: ❑ Yes No Type:
IIA onditions met prior to issuance of building permit
Not L __ ) r
Approved By Planning: 12 Date: e - /
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\BldgPennitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: i Planninggineering erniit Coordinator '<Building
Workflow Sign-off: Sign-off for Pla ting(include notesfrom planning review)
Route Application Documents: 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: / I
-1‘.
By Permit Technician: Date: 17. 77-
Engineering Review
Slope at building pad:
Conditions "Met"prior to issuance of building permit
❑Easements (encroachments)per engineering conditions of approval and plat
Es---Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ErjI)To
Assess Water Quantity Fee in-lieu: El YesirNo
LIDA Facility on lot: El Yes CrNo
Er-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes: �,r
L�-''Approved by Engineering: / -t �4 -L,7 Date: 97.g//
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: Cl 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 Applicant:
Revision Notice 3: Date Sent to Applicant:
1C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes lErN/A
Tigard Trans SDC: ❑ Yes RrN/A
Parks SDC: ❑ Yes Z/A
LIDA El Yes /A
OK to Issue Permit /�
Approved by Permit Coordinator: ��,;�'`� 9/3 Date:
I:\Building\Forms\B1dgPermitRvw_RES_022819.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12130 SW SUMMER ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00348
Inspection Type: Inspector:
205 Footing David Young
Result:
FA I L
Comments:
No access for inspection, no answer at front door.
No access instructions left with inspection request.
Provide access for inspections.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12130 SW SUMMER ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00348
Inspection Type: Inspector:
205 Footing David Young
Result:
FA I L
Comments:
No access for inspection, no answer at front door.
No access instructions left with inspection request.
Provide access for inspections.
Violation Summary:
Inspector Contractor