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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2011 -00192 ?1GAR1} 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/10/2011 Parcel: 2S 112C B06800 Jurisdiction: Tigard Site address: 15443 SW 81ST AVE Subdivision: ASHFORD OAKS NO.2 Lot: 82 Project: DeSellier Project Description: Interior remodel. BUILDING Floor Areas Required Setbacks Required Stories: 2 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: Yes Total: 0 sf Value: $25,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 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'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 2 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: DESELLIER, GRETCHEN G CREATIVE HOME REMODELING CO Required Items and Reports (Conditions) 15443 SW 81ST AVE 7350 SW LANDMARK LN TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503 - 684 -4078 PHONE: 503 - 639 -2411 FAX: 503 - 639 -0950 Total Fees: $807.49 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 -00'. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �41 //) 1 � Issued By: 4r , � �� .. Permittee Signature: /tm.mx..•(_11 , ,./ 4 �C -D 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 HE FOR OF ICE USE ONLY City of Tigard Received permit No.: lig A. q 13125 SW Hall V Blvd., Tigard, OR 94 0 4 2011 Plan Revie l �� // Sj � O � / � 0 Phone: 503.718.2439 Fax: 503.598.1960 DateB ' gm il I Other Permit: T I G A R D BUILDING Line: 503.639.4175 CITY OF TIGARD Date Ready :: f I .runs: 10 See Page 2 for Internet: www.tigard- or.gov B UILDIA G DIVISION Notified/Method: ti "1 �� �•v� v, Supplemental Information f U9i! VI TYPE OF WORK 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 Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. �t Jo 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ZS* oW Number of bedrooms: ❑ Accessory building CI Multi-family 3 ❑ Master builder ❑ Other: Number of bathrooms: Z �, x S JOB SITE INFORMATION AND LOCATION Total number of floors: ta • Job site address: 1 f Lk U,, '3 5 G! 40, $i' New dwelling area: 2. (T.'� square feet City /State /ZIP: eTritiVt4OlrL CO ZZ Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: b,.).s.e.,(1(4_1#4 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. (� Valuation: $ Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: kps i 6,,, 1n , _:..t Type of construction: Address: � Cg 1 4.1,44,c- Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: f 1 APPLICANT ❑ CONTACT PERSON .BUILDING PERMIT FEES* Business na e: J J Please re er to ee schedule b = Structural plan review fee (or deposit): Contact name: ! 3 5 6 -SO 1 y- 1 J FLS plan review fee (if applicable): Address: Port ^-� �r' t - o @ ` 2,2_1-1 Total fees due upon application: City /State /ZIP: / J/ Amount received: -, a Phone: (c a3) 63q,•- 'Li* 1 Fax:: (50.'1) u �R� Coq 57) E -mail: r� PHOTOVOLTAIC SOLARPANEL SYSTEM FEES* 1 ` CONTRACTOR — Corn 'al and residential prescriptive installation of roof -top mo =• PhotoVoltaic Solar Panel Syst- • . Business name: Submit two (2) sera oof plan with conn- .. on details — and fire department acce., , ong wit ' e 2010 Oregon Address: Solar Installation S.ecial Con. ecklist. City /State /ZIP: ( include :111 and ad Phone: ( ) Fax: ( ) of permit ` 61 CCB lie.: '3 S `T vg ~ • al fee due upon application: $211.60 Authorized signature: - s permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: - ��,��- -' Date: /-, if * Fee methodology set by Tri- County Building Industry "'ttt ( Service Board I: \Building\Pe y1r":UP- 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 N 13125 SW Hall Blvd., Tigard, OR 97223 Date at Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T I GA RD 24- Hour Inspection Line: 503.639.4175 Electrical ❑Plumbing ❑Mechanical Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes f 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. ❑ ❑ ❑ 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 applicable 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. ❑ ❑ ❑ 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:\Buil ding \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)