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Permit
.4 CITY OF TIGARD MASTER PERMIT II I COMMUNITY DEVELOPMENT Permit #: MST2011 -00061 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/03/2011 Parcel: 2S102CA00907 Jurisdiction: Tigard Site address: 13410 SW ASH AVE Subdivision: VILLAGE GLENN Lot: 7 Project: DAVENPORT Project Description: Replacing 324 sf. deck. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: No Total: 0 sf Value: $6,476.76 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 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 SrvclFeeders 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: DAVENPORT, SCOTT J & RICK'S CUSTOM FENCING & DECKING INC Required Items and Reports (Conditions) KRISTINA J 4543 SW TV HWY #A 13410 SW ASH AVE HILLSBORO, OR 97183 TIGARD, OR 97223 PHONE: PHONE: 541 - 648 -7830 FAX: Total Fees: $395.40 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 - e the 180 days. A I IS •. •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are t :rth in OAR 952 -00 -0010 hrough 0 • ' 95 .11-0c 90. You may obtain - copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 3 44. Issue. =y: ■ I / % _� I/ - , , -,1 1 _ Permittee Signature: /` ly` �! Call 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 00,1:\ FOR OFFICE l'tiF: Oti I 1 II City of Tigard Dates : � r 1 Permit No.: lir 0 _ II . 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 �, �- Date/B : / ∎ %�' ' - m Other `t I I ( , \ R l Inspection Line: 5(13.639.4175 ■QAk �1G A e \ . t Ready: y: Juno: ® See Page 2 for Internet: www.tigard- or.gov ` � �� 'ed / Method: �� Supplemental Information • t % V 4 'f!dkt . e[ tr.. TYPE OF WORK �U�� REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all NrAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ l `�� a .� /� ❑ Accessory building ❑ Multi - family Number of bedrooms: j ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / 3 ii f G c GL' 0 - 5 (f // > . New dwelling area: square feet City/ State/ZIP: -r ( 61-- SZ 0 'EL Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: O xti p n Covered porch area square feet Cross street/directions to job site: F Arr. 1..) l pa 7— Deck area: square feet 39_ ,Li 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.: 'LS (0 C p p '� Indicate the value ( routded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. . 1l e lace rn-Pn}� Valuation: $ Existing building area square feet New building area: square feet R- PROPERTY OWNER l 6 TENANT Number of stories: Name: 5 G, C - r - r - D f . pO 1 Type of construction: Address: 1 3 L( ( © 5 co 69'5-e 4 J E Occupancy groups: City/State/ZIP: -- i 4 - D i9 9 7 2-2" 3 Existing: Phone: (5'Z3) 6 6-4p? Fax: ( ) New: is APPLICANT ®' CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) ca ctural plan review fee (or deposit): Contact name: p 4- ( l D B F. -` � f (S6 i � T S plan review fee (if applicable): Address: ( `�" tS City/ State/ZIP: e o. Total fees due upon application: Phone: (c5 >3) 2 5 . ,6 5 Fax: : ( ) t Amount received: E -mail: f 1 -p I / PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR /Commercial and residential prescriptive installation of _ _ _ i ' roof -top mounted PhotoVoltaic Solar Panel System. Business name: - Submit two (2) sets of roof plan with connection details Z l G S G. a fi % Oo � '! I' *� r � /Gr and fire depa meat access, along with the 2010 Oregon Address: 4 c(t '3 ! - f / (,,//I Solar Installation Specialty Code checklist. City/State/ZIP: � I t_ S (Czz o 4 -7 (- -3 Permit Fee (includes plan review $180.00 and administrative fees): Phone: (e; "0- 6 f f p 5 - 43C-1 jCf Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lic.: .. " - co E t .? ,9 3 /4 3 Total fee due upon application: $201.60 Authorized signature: 4 (, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 'p AI J ( D f ‘p_c0 e- 71 Date: it ,...-'Z * Fee methodology set by Tri -County Building Industry (� f'� 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 USE ONLY City of Tigard Received Permit No.: II 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW \ « No `I 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. El • • 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 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 Ore:on and shall be shown to be a plicable 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 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. Cl ❑ ❑ 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. I:\ Building \Pennits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB) I Building Division Development Code Provision Review r c' n ii ° Residential Projects Building Permit No: (J T r, // - ocao 1 CWS Service Provider Letter Received: Yes ❑ No E( N/A ❑ Routed Plans: Original Plan Submittal Date: i01/// &I 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact at 503- 718 - c*7 or iU ri--/LI @tigard- or.gov) Land Use Case No. 0 ILLI&E aellt Name pAt)el.) R—( onin - 5 ' Ld' Setbacks: s: � / 5 ' ^^ ll Front v Rear Side Street Side (5 Garage d6 ❑ Maximum Building Height _ D Actual Building Height c:KVisual Clearance l Easements / 13' Sensitive Lands Type: 01 "V Notes: Original Plan: Approved Lr7 Not Approved ❑ Date: `t (6A( 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) gl Actual Slope: Notes: Original Plan: Approved Y Not Approved ❑ Date: 9- / VI I Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) CJ' treet Trees C5 Protected Trees Notes: Original Plan: Approved El Not Approved ❑ Date: 41 7; 5/ U e Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes 411 .10 ❑ Date Routed to Building: Page 2 of 2 Apr, 25. 2 1: 48PM Icl<s CUT No. 0970 P. 1 61 Post-It' brand fax transmittal memo 7671 # or Pages ■ 1 ' . ` q,, 1 lb 1) et A 1 Iii From (rau V,rI s MAY - 3 2011 ° (� t�ws Gµ�o�tce. °' c)ea�wc�tev Sexv�z�s Dept. Phone # 53.3 Co l 3631 _ ' • ta 5 la 4/3 C+3/ Faxa 1 BU � "�n File Number u1Cd11 v veuvi ‘' Ue al I I H- d o ( ' .. ' `` Sensiitive Area Pre - Screening Site Assessment ' t 1. Jurisdiction: " Ot ' S. Property Information (exampla 1S234A801400J 3. Owner Information Tax lot ID(s): `2-• S 10% C 1 C2P - Name: 5 6 0 ') (1 N O- f , Company: Address: _ ! . . i / ' 7 W •6 U Site Address: /3 K/ b. Q 4 5 4ij E .. - City, State, Zip' .1`)t - Li R-17 7 40 , R q7 2 City, Slete, Zip: '2.2 r4.2 Phone/Fax! ftr> 5 /. S 7r7 Nearest Croae Street: F (_J 6-- E -Mall: - - 4. Development Activity (check all that apply) S. Applicant InformatIon 0 Addition to Single Family Residence (rooms, deck, garage) Name: T t (:-'� Li Lot LineAd{ustment 0 Mihor Land Partition Company: _ jG( ('2e25rowu ?Cb • © Residential Condominium a Commeroial Condominium Add 5 _ / reFS:' • 1 f 3 5_.,$. 'T lie 1 1j)Yc- El Reeldantidi Subdivision Commercial Subdivision Single Lot Commercial 0 Multi Lot Commercial City, State, ZIP: _J! f 1L.6 t3a � 0:,_ g , Other Phone /Rex: 5'93 Z 6 1-6 s"2- / 5-63 6q6 %' _ E -Mall: , 0 _ C. Will the project Involve any off wlte work? ElYee'No Unknown Location end description of off -site work UµJD LF:2 - i , 7, Add Mona) comments or Information that may be needed to 'understand your project ___1.2.,..4 7 c?T (- Thlo opplIoation does NOT replace Grading and Erosion Control Permits, Connection Permits, leuilding ' Site Development permits, DEQ 1200 -C Permit or other permits as issued by the Departmeni'of Environmental Quality, Department of State tends antler Department of the Army cDE, All required permits and approvals must be obtained and completed under applicable local, etete, and federal law. By elg ning (his form, the Owner or Owner's authorized agent or representative, acknowledges and gees that employees of Cleen Water 8ervieee have authority to enter the project site at all resionebie times for the purpose of Inspecrting proJeut elle sondItlane and gathering information related to the project elle. I certify that I am familiar with the informotlon contained In hue dooumeni; end to the best of my knowledge end belief, this infonnellon is true, complete, and accurate, PrintiType Name 1)1 LI g QT . Printliype Titla . ' Signature _ ^ Data )1- / - /( FOR DISTRICT USE ONLY CI Sensitive areas potentially acist on site or within 200' of the elle, THS APPLICANT MUST PrER1 A SrTE ASSESSMENT PRIOR TO ISSUANCE OF A - SERVICE PROVIDER Lt3TTBR, II Sensitive Areas exist on the site or within 200feet on adjacent properties, a Natural Resources Assessment Report "tiny aroo be required, Ul Dosed on review of the submitted materiels and best available information Sensitive ergo do not appear to codet en site or within 200' of the site. This Sensitive Area Pre•Screening Site Movement does NOT eliminate the need to evaluate and protect water quality sensitive areas If they ere subsequently . discovered, Thle document will serve as your Service Provider latter as required by Resolution and Order 07 -20 Section 3.021. it repaired perms en approvals must be obleined and completed under applicable local. Stale, and federal law. 1 Df j ��eeirtis fl3 k24.' ec / In eased on review oI the submitted materials end best available irdonnation the above referenced proJaot Wfi6016(gnifloanity Impact the existing or potentially sal eitive aree(s) fourd near the she, This SensItivekao Pts•8G6enIng Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensiwe areas if they ore eubsequemly discovered. Tills document will serve as your Salvia Provider letter ae required by Resolution and Order 07.20, Section 3.02.1. Ail required permits and approvals must be obtained and completed under applicable tool, state and federal I &w. CI This Service Provider Letter Is not valid unless CWS approved site pfen(e) are attached. Q The proposed activity does not meat ire definition of development or the lot was platted eller 919195 ORS 92.040(2). NO SiTE ASSESSMENT OR SERVICE PROVID • LETTER 19 - ' UIRED Reviewed /i..u...4 _- Data 2 2 Slid IhIIsbuioIIighe:ay • 1-ll1sbori.•Oroonn97123 - PhDt':e: -5101) • fa, : (5113)009.01 :1f! • 1 ` rt .;+,r1i_.int'rah: .