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Permit
., , ° CITY OF TIGARD MASTER PERMIT q " COMMUNITY DEVELOPMENT Permit #: MST2008-00112 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/13/2009 Parcel: 2S111BA02104 Jurisdiction: TIG Site address: 9895 SW INEZ ST Subdivision: Lot: Project: SCOTT Project Description: 315 Sq. Ft. garage addition. 6/16/09 OWNER granted 180 day extension.8/12/09 Added rain drains to Scnf1P of work BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: First: sf Basement sf Left: Parking Spaces' Height 11 Bathrooms: Second: sf Garage: 315 sf Front: Smoke Dwelling Units' Third: sf Right: Detectors: Total: sf Value: $11,762.10 Rear PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Catch Basins' Lavatories: Dishwashers. Floor Drains: Sewer Lines: SF Rain Other Fixtures: Tubs /Showers: Garbage Disp. Water Heaters: Water Lines: Drains: Bckflw Prevntr: MECHANICAL Fuel Types Air Conditioning: N Vent Fans. Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn <100K: Vents: Woodstoves Gas Outlets Furn > =100K: ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 -200 amp: 0 -200 amp: W/ Svc or Fdr: Ea add9 500 sf: 20 1 -400 amp. 201 -400 amp. 1st W/O Svc /Fdr: Limited Energy 401 -600 amp: 401 -600 amp Ea add'I Br Cir: 601 -1000 amp, 601 +amp- 1000v. 1000 +amp /volt: 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: Owner: Contractor: Required Items and Reports (Conditions) ROBERT SCOTT 9895 SW INEZ ST TIGARD, OR 97223 PHONE: 503 - 577 -1542 PHONE' FAX: Total Fees: $435.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throug OAR 9 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: • Q C f Lr �(/� Plumbing Permit Application RECEIVE FOR OFFICE USE ONLY .. 1 Cl of Tigard �e Received �+� g Date/By: Permit No.• YY\STZ!8 001 IZ n 13125 SW Hall Blvd -, Tigard, OR 97223 AUG AQO9 iew Plan Rev Phone: 503.639,4171 Fax: 503.598.1960 I 2 Date/By: Other Permit No.: TIGARD Inspection Line: 503.639 t ate Ready/By: TIGARD By: luns. El See Page 2 for Internet: www.tigard- or.gov Cl T � otified/Method: Supplemental Information .n ,,' := ario x 4w v - . ? s ,,,,,, 1,,,', = .a „-,,,;:+ Vei l w . r, ,c r . a * - ,w,, -r: �IS�� t<nt4 x * a rr �� .- � , TYP OF vv 4, -i a ` ; �� FE E � ]j t : D i.���.�srro-.,ff� ,�:�;. .$�.,� r ? - ,a✓a�aau� ss_:� m".,..� ~F.. ",.._, -_,.ate s�, . .�s = -ate_ . s. .. .�� �. .r ,:.�� �ra.^��,_ , a>iatza ❑ New construction ❑ Demolition For special information use checklist Description I Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) .Yl " "'v 4, I CATEGORY OFtCO . STRUC'i'TON ' ' * ` SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder ❑Other: Each additional bath/kitchen 45.00 sprinkler s ft. Pa ', a *�°�� "�,,.�,. , t��,,' � =:.�.sc. ° :r:.�:;�,;�„yze:. „x °-.�' :;:z�a "°w '�wcr �xa .,;= :s.,.a.,,h :- ,� :� x- Fires ikl P ( 6 I� e 2 Page - :: -"M ' . JOB -SII FsF WF®ItMAfiION�AND LOCATION 5 � `' V 4 ' -,, - .. a: All asrr , ,o4oe �,,:. lm z.. _. 7 -.. .,,,,,< .:.,:134 7 t,a^ - Site utilities .lob site address: q- 8Q 5 1 r■.? Z Catch basin or area drain 16.60 . City /State /ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: ao Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: Manholes 16.60 Rain drain connector I 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: .,, ..,,.,, , u.,aa<r_: :.::.. Absorption valve A orpU I 0 =`'�?S�*�iff. -..: "a tea' i ''E ", ,.X� i? -,�M ;°- : r ^ «. ,, !•s s3,'' .<i:�... ; :%�,..fi.,. "�, ' .�; =,�,, �, ` i l ,�- a.,�.:. -: " :, ,., DESCRFP'FIONtcOF:�' ' =ux� k. -z; ..- ,�,;; >, ; tt r.4I.�: : :s�'��>?�? =��:ry:� :.r, >- ��:� �s =;� "- � °= : -:�`, „ :4� <:.�:: •.�- �.,w:��n��.� ...,...: x� #,:,:,;.b;- =::v>�:�s..,......, ��r...,,r:.,;:�:��.�.s,�r ;r��'. Backflow prey enter Page 2 C ha Q Qk rain • C Q I fit. Backwater valve 16.60 e; i eS Clothes washer 16.60 Dishwasher 16.60 a,:.; - -r„ . ".- x,.r: a =;; >.hr: _, x ti `' , ' FROPERTX () 4�'NE �2 �; ` ... " ' " TE NA n " ' " ' _ �� -�� - �,��� ���,rs,���s��., - ..- __• - -_�- ” -,_� �"'' �.� - �- _����� � ` a Drinking fountain 16.60 � fr_� . Ejectors /Sump 16.60 Name: Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 .s:; , ,"_, 35 � Hose bib 16.60 zk;' - K" -,� %'% , x.�.., -w y�.;.� ,fi'i.:, ,y; , �� a�.: �. y :", a ;,:,- �. � �'.- � ..�;.:�;r,,�,s, -.!x, :c:,, tease +t - , A T am ,� . =i,;.,� l ai*te t7:- wr ®,N— " ' -t' �� Ice maker 16 -60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Sink/basin /lavatory 16.60 Phone: ( ) Fax::( ) Tub /shower /shower pan - 16.60 E -mail: Urinal 16.60 ,,? '� �z � . :.0 ON I €TORtF' 15 , ! , w '� Water closet 16.60 ., .. x u _x. .,a,. "nom.. t.,x � � ° .,�„( 3�^a, ,- a5x.,�., P:... ,.'a.,s ...- V .. , -, .�. *a'1'a .�., .. ..- - kv .., .� h- trst. -; Business name: Water heater 16.60 Address: Other: Subtotal City /State /ZIP: Minimum permit fee: $72.50 72�So Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 C J CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) C. ?V Authorized signature: TOTAL PERMIT FEE 8 1 .2 v Print name: Date: This permit application expires if a permit is not obtained within . 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \'ermits\PLM- PermaApp.doc 12/27/06 440- 4616T(10 /02'COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: -:sxx Irv „•.rv.;da,.n-ey.. _�,.,y % .,.„yy,. t " 's - - S<telt><lrti<es` "._h Q>y e S ua'r Plata e� Footing drain - 1" 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46 40 - x:r •. NS : >- .c°? ° f° I` :: 'x ;; t i ` s ::' e ' "";`� ;<;.z a a; ii t • _ s a-.., rv _ aluat�o� �T�>�,� � „_ Per><t, Fee . ;;._ �..�- �.:.w n�... �. ��a Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46 . 4 0 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each 6tire Or tteill �� R ee (e Total' additional $100.00 or fraction thereof, to and d � .�x � including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Commercial Fixture Work: Are you capping, adding or replacing fixtures. If "yes", Pl i eV.iErtd ti 61'ii t faifi fib please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees Please check all that apply. h ' ``r z fi "` "' <' ' r' `' ":° ' °'' = ua`uti '''b l F xtut a wWorkpe fd fried;` ❑ . Any new commercial building with water service 2" and J'65"reT e' ` .. .� 3 ,�� � Re la a greater, except systems designed and stamped by licensed A b �" 4 i <`. P y C tp, i :fir R -, . 044 :a a .- previous Clappedi Added a ;z -Ex,st engineer. Baptistry/Font Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918- 780 -0040. - Jacuzzi /Whirlpool Car Wash Each Stall E] Medical gas and vacuum systems for health care facilities. Drive Thru 111 Any multipurpose fire sprinkler system. Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash 0 tl uriG t , iSel' l gram s , , Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory *Note: If the fixture work under this permit results in an -Bradley - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: I \Building\Permits PermitApp doc 12/27/06 . ..`: II TY OF TIGARD MASTER PERMIT PERMIT #: MST2008 -00112 COMMUNITY DEVELOPMENT DATE ISSUED: 1/13/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 BA -02104 SITE ADDRESS: 09895 SW INEZ ST ZONING: R -3.5 SUBDIVISION: INGEBRAND HEIGHTS LOT: 011 JURISDICTION: TIG PROJECT: SCOTT Project Description: 315 Sq. Ft. garage addition. BUILDING REISSUE: CUSTOM STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: 11 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 315 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 11,762.10 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: 5=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable ROBERT SCOTT OWNER laws. All work will be done in accordance with approved plans. This 9895 SW INEZ ST permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 -577 -1542 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 354.32 REQUIRED ITEMS AND REPORTS 4 Bolts in concrete Issue By : , /I Ii / ; Permittee Signature .1. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. - " e... at - Built., ermit Application Ri'cddeli� al FOR OFFICE USE ONLY . • ti �' Received City of Tigard ,^ Date /By: 7 � c..157-2-006"---00 Permit No.' 4/ 4 .,. ° 13125 SW Hall Blvd., Tigard, OR -;� ` � � Plan Review Phone: 503.639.4171 Fax: 503.5' ', i�9 �� ( Plan Re : 9 • ( . Other Permit: Date TI GARD Inspection Line: 503.639.4175 l � \� �Od Date Ready/By: orris Y ® See Page 2 for Internet: www.tigard- or.gov dV r i��� ` ® 917/f �J Supplemental Information - TYPE OF WO> � � , . ' R D : 1 ATA- ,AND-2- FAMILY DWELLING „ ❑ New construction ❑ D 0 •7rtton 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 - . . "' l' ATEGORY OF CONSTRUTION ." '- ,'- "a:_ work indicated on this application. CC dwelling Valuation: $ ' I 7o 0 ❑ 1 -and 2-family g ❑ Commercial /industrial ❑ Accessory budding ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: : JOB SITE. INFORMATION' AND.. LOCATION ' , ,'' ., , Total number of floors: Job site address: 9 I- 5 1-)\—.J (t. it. New dwelling area: square feet City /State /ZIP: T; o,'yo\ 17 2.oZ'11 Garage /carport area: 3 ( 4 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: V square feet Cross street/directions to job site: C roc-. Lecl -d t . )COO k - Deck area: square feet Other structure area: square feet . REQUIRED'DATA; COMMERCIAL =USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the ' , 'DESCRIPTION OF WORK <- „ . work indicated on this application. r:5rr249■e--- p (.4 A c0. -( Valuation: $ J �}A Existing building area: square feet New building area: square feet `�' P O ,ERTY` -❑ AN,T TEN ' • Number of stories: Name: /` I V two l ` Type of construction: Address: °I 46 9 s A..,� {\e l 5 Occupancy groups: City /State /ZIP: <T O O7 l Existing: Phone: 603) 577- 1 .1 Fax: ( ) (S q 1 7 23 New: it . APPLICANT` CONTACT PERSON r . NOTICE §Y Business name: All contractors and subcontractors are required to be Contact name: '. 06 c xe licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax::( ) E -mail: -_:CONTRACTOR Business name: - _ i r �� 4��� _ BUILDING PERMIT FEES*" . Address: i� ;, ' - -, ' . (Please refer to fee schedule - v y V p Structural plan review fee (or deposit): )— City/State /ZIP: ���� (� Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): ----.----- / / CCB lie.: Total fees due upon application: ! t// . 02- Amount received: tit' 0)— Authorized signat This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: — * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(l l /02 /COM/WEB) Building Permit Application Checklist - One- and _TWO- Famlly Dwelling - ' FOR OFFICE USE ONL c City Of Received Tigard III Permit No Date/By: . n 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: • Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 • ❑ Electrical ❑ Plumbing ❑ Mechanical TIGARD Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED .FOR P LAN REVIEW Yes I 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 fi xtures, 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 Oregon and shall be shown to be applicable to the project under review. • JURISDICTIONAL SPECIFICS I I, 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. t.'Building\Permits\BUP -RES- PermitApp doc 03/21/06 440- 4613T(1 I /02 /COM/WEB) f RECEIVED Property Owner Statement Regarding Construction Responsibilities AN 13 2009 Oregon Law requires residential construction permit applicants who are not licensed with tlefl'Y OFTIGARD Construction Contractors Board to sign the following statement before a building permit clailtbDIN issued. (ORS 701.055 (4)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not GDNISION submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or 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. r • r �/ Print f Permit Applicant _ � I / 3 49 1 Signature of Permit Applicant Date Permit #: 1 -. c 1 o ~ �� �o 1 5 b� i�Ex ° • ; Address: hcl � � � ������Ir�r�i %, • C . �5 -�.S a. • Issue by: Date: 1// 5/0 This Copy for Permit Offices V r c .-,4 . d y, . d . - -f I lAri/'9 1 - JUL 2 9 2008 1 to 11 jl.y 4 ylC4 0 - 4 i ' 40ny • • t - 00 • r . , 1 t ..t +4/ri ?( 1 f 1 1 . F.' / I f N rt'; ifEtrir;t T 0 ;.', /t 71 r 4' .:;;e tl ie II, iiii>i ■ i - . __ 1 1 t..`tW if' ) 0 t' •••; "1i ; :-;_, ri:, )1, ,,,, .,, : 1 I . ' i..i-, .,!!!! 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OtREcti 1721/4 •J • CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: , T P-C T_O /c PLANNING DIVISION: Required Setbacks: © ' 'Approved ❑ Not Approved Side: S Street Side: Front._ G: age: Rear: Visual Clearance: 5 Approved ❑ Not Approved 1) Maximum Building Height __... feet CWS Service Provider Letter Required: ❑ Yes ❑ No Rgceived l3, : Date: , q (oK ENGINEERING LPARTivltiNT: Actual SI pe: % 1, Approved ❑ Not Approved Site Ma �' approved ❑ t roved By: 7� Date: 7 `t ° S A Notes: a V' CITY.OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: //), - -Ucc /J, Q/7 • Sinet Trees: El Approved ❑ Not Approved lAotect �� Ef Approved ❑ Not pproved B . • ' 1" Date: `i 7 0 Notes: