Permit a CITY OF TIGARD MASTER PERMIT
III
PERMIT #: MST2009 -00007
COMMUNITY DEVELOPMENT DATE ISSUED: 2/11/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 111 AD -05600
SITE ADDRESS: 08730 SW PINEBROOK ST ZONING: R-4.5
SUBDIVISION: PINEBROOK TERRACE LOT: 079 JURISDICTION: TIG
PROJECT: THOMPSON
Project Description: 528 sq. ft. carport.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ACS HEIGHT: 14 FIRST: 0 of BASEMENT: sf LEFT: SMOKE DETECTORS: N
TYPE OF USE: SF FLOOR LOAD: SECOND: if GARAGE: 528 of FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: U1 BDRM: BATH: TOTAL: 0 of 9,958.08 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: BOIL/CMP < 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 ADDL INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADDL 500SF: 201 - 400 amp: 201 - 400 amp: 1st WIO SVCIFDR: SIGN/OUT UN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp/von :
PLAN REVIEW SECTION
Reconnect only:
>=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 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 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
WILLIAM THOMPSON THOMPSON QUALITY CONSTRUCTION laws. All work will be done in accordance with approved plans. This
8730 SW PINEBROOK ST 11505 SW TWIN PARK PL permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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: Contact #: PRI 503- 312 -5715 questions to OUNC by calling 503.246.6899 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 358.88
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
_
Issued B • , • . .. .1 i..4 �� Permittee Signature : Awl; , , die A /ice /�/
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 proje t.
Approved plans are required on the job site at the time of each inspection.
Buildin Perm A licatio � ��G (e�SI
• OISIAIQ DMU II118
Residential Q21 %DLLJOAID FOR OFFICE USE ONLY
Received
711 City of Tigard 60007 r� NVf Date/By: ,( ( 09 Permit No.: V �zKDQ, C 'O7
• 13125 SW Hall Blvd., Tigard, OR 9 7223 [ l 4 I! N Y I Plan Review )v
17 . Phone: 503.639.4171 Fax: 503.598.1960 Date/By: (,� 1 :2 ) �' Other Permit:
T I G n P. D Inspection Line: 503.639.4175 Q�1L > ►1i1 3 Date Ready/By: tins: la See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
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
RI Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the rofit for the
CATEGORY OF CONSTRUCTION work indicated on this application. • (
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial/industrial / ) -
.Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: % t ]"j C3 5 W 3 Z p o S r • New dwelling area: square feet
City/State /ZIP: L (iAfa O(Z- 97 al Garage /carport area: 5'W square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 14 „ 3a D , 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.
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: $
c4421 AMMTmn/
Existing building area: square feet
New building area: square feet
•14 PROPERTY OWNER ❑ TENANT Number of stories:
Name: (,JD I • - A% Type of construction:
Address: 9 730 < L . n -- 1( ST• Occupancy groups:
City /State / /ZIP: "1 .6 A(Z� (("Z.— 17 Z2f ' Existing:
Phone: ( „)3) 621 S 2_79 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: '�,6Z)� ar,/ � Q ..co .v". -.r 00 f $ 6 , G_ All contractors and subcontractors are required to be
Contact name: ( f'L f .C7 s licensed with the Oregon Construction contractors Board
under ORS 701 and may be required to be licensed in the
Address: //9, r S f / Wr / nc,,, jurisdiction in which work is being performed. If the
City/State /ZIP: 7T64440 CA-- C 7 u, applicant is exempt from licensing, the following reasons
_ apply:
Phone: ( 5 t1yy D 'S IL- S ^ 7/ S I Fax:: ( )
E -mail:
CONTRACTOR
Business name: S f- , `^-i% BUILDING PERMIT FEES*
Address: T (Please rejo to jee schedule)
City /State /ZIP: Structural plan review fee (or deposit): 9 b . 9Ii.
FLS plan review fee (if applicable): GG
Phone: ( ) Fax: ( )
CCB lic.: '6, ei3s-- Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �j I Date: Z D, *Fee methodology set by Tri- County Building Industry
•
Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB)
Building Permit Application Checklist
One- and Two- Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
II Date/By:
No.:
a 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
C Phone: 503.639.4171 Fax: 503.598.1960
T I G A It D 24- Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical
Internet: www.tigard -or.gov O Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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 tnember,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 at p 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 ". ❑ ❑ ❑
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.
1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440-4613T(I1 /02/COM/WEB)
•
This is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to project.
•
o BUILDING DIVISION .
TIGARD TRANSMITTAL LETTER
TO:fN- DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
•
JAN 2 6 2009
FROM: IIU- I K,,, L..'.?s CITY OF TIGARD .
BUILDING DIVISION •
"T
COMPANY: 1(tn�(�rj�J C1vA-t� --Y Cn, -?S� ,
?‹. PHONE: 5f 312_ S 7 /S' • By:_
RE: 7 3 r bro�C - . °
(Site Address) � � 2 � � 1:0C:67 ( ) . (Permit/Case.Number)
(Project name or subdivision name and lot number)
. ATTACHED ARE THE FOLLOWING ITEMS: -
_ Copies: I Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) anb details. Wall bracing, and/or lateral analysis.
• Floor /roof framing. Basement and retaining. walls.
Beam calculations. • • Engineer's calculations. -
' • Other, (explain): - •
REMARKS:,
• FOR FF E - USE ONLY
Routed to Permit Technician- ` Date: 2 / `3'I Initials�L�
Fees Due: ❑ Yes Fee Description: Amount Due:
• $ .
• -$ •
$•
•
$
Special • •
Instructions: • •
'Reprint Permit (per PE): ❑ Yes • ❑ No . • ❑.Done
Applicant Notified: • Date: • Initials: •
•
I:\Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07
•
•
. .
l‘ $ .i; .! ,' 4,
. . _ . . • • - -- ' -
• ., 'i 1 -I i . ; • , !. , 1 i
. ... . . . . ._ , .
, - . , --• i ..; . , . ;-...: ■ 't " 1 1 '
7 ' ', ', :, , ,'''',''„ ' ;', • '....r
•
•
, , . .. ..
a- Mt •,t ' .. .. • ■
. 1 N r
6 . 2. 0°."
L i
■,• . , , •• • • i
4 . „Cft . .
, • , . , • .% • •'• • = • ' ' . • •• ' • '• .
.14- -r
_..te . • - ' - -- Cl i tY OF
[SION
• , . :: - 'i BunDlliG DIV .
. ,
" EXISTING '
DRIVEWAY • • (' :
„ ,'• ; : - ! , .' •
. . • .• , •
01 . ', •
—
il ..1, ?.._ .:. - • ' '.iz , : .' ,%...',.; .... ': i
1. EXISTING .—..........._. . . . - . , .. , . .
DRIVEWAY EXISTING HOUSE .•• -
1 %...
..
EL RV
. , \
1
N O N G TO DOLING
EXISTING
GARAGE 0.• aw
SITE . PLAN •.6
SCALE : 1- - 30
SITE INFORMATION:
ADDRESS: 8730 SW PINEBROOIC
TIGARD, OREGON. 97224
OMER %ULAN AND MILA THOrIP 7 ; • " .;-,' ..." $:7; ; - -,.::: .,...,-•', , T,..; ,7(: 5. - i 1 '`. 7 ; ' -'.". - '1
. A ,
' ' - ' - 7 ", ' , ' 4 . - ; i - ; , 17: 7 i .?
-
i
I . ., d ,- r; ,, .! ..... I ,■, ',. . r t ,
:•"
• • i'...P.'fir'ill,1"-‘ r 1
. :.- „,•,.1; '..).-,! .-:, e. I
0 .'..;0''
./.
CITY OF TIGARD • SITE PLAN REVIEW
•
BUILDING PERMIT NO.: rnV . 00007
PLANNING DIVISION:
• Required Setbacks: Approved ❑ Not Approved
Side: 5' St et Side: is
i:ront. � Garage: .-? Rear:
"isuai Clearance: Clj Approved ❑ Not Approved
':'%imu ;•.. Building Height feet
. \:VS S;•.vi Provider Letter Required: ❑ Yes 0 No
❑ Received
Date: //- / S v 9
v1-7.E: RING DEPARTMENT:
Ai:itta! 'lope: % lApproved ❑ No Approved
Site PI : Approved O t A
By: Date: ( �JO Y'
Notes: //
CITY OF TIGARD - SITE PLAN REVIEW
'BUILDING PERMIT NO: 11 . oc3OC
Street Trees: th Approved ❑ Not Approved
Protected la Approved ❑ t proved
By: Io pf y Y Date: al 0 7
Notes: