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Permit CITY OF TIGARD MASTER PERMIT Iliq >s COMMUNITY DEVELOPMENT Permit #: MST2012 -00209 T [CARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/20/2012 Parcel: 1 S125DD04700 Jurisdiction: Tigard Site address: 9775 SW VENTURA CT Subdivision: WASHINGTON SQUARE ESTATES NO.2 Lot: 55 Project: Ball Project Description: Replace and add to existing deck. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: No Total: 0 sf Value: $11.832.00 Rear: 15 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 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! 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 8 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: OTR SF VB R -3 0 Owner: Contractor: BALL, MIKE BIGFOOT CONSTRUCTION Required Items and Reports (Conditions) 9775 SW VENTURA CT 7923 SW LELAND DR TIGARD, OR 97223 BEAVERTON, OR 97007 -7546 PHONE: PHONE: 503 - 317 -5924 FAX: Total Fees: $538.26 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. Th • - - rules are set forth in OAR 952- 001 -0010 throug R 952- 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 .:•.332.2 • ••:— Issued By: Permitte e Signature: / Call 503.639.4175 by 7:00 a.m. for the next available Imp :,- This permit card shall be kept Ina conspicuous place on the job site un I corn •tlon of the project Approved plans are required on the Job site at the time of each inspection. Building Permit Application ,.,, 1 Residential li,..., Y" I ` f_ FOR OFFICE USE ONLY City of Tigard AUG 0 6 2012 Received Permit No.: ���42 -� Date/B : t i , ;� ° 13125 SW Hall Blvd., Tigard,OR 97223 Plan Revie il Phone: 503.718.2439 Fax: 503.598.1960 a � Date/B : W it • her Permit: f I G ,� It D Inspection Line: 503.639.417 Cl j b 7 7 ` i0 Date Ready*: A , ® See Page 2 for Internet: www.tigard-or.gov v' : j ; c ,,,'° , .: iocv Notified/Method A � Supplemental Information , SPo, w/ / /kg ✓ OA/ES 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. ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 1 :6 ❑ Accessory building ❑ Multi - family Number of bedrooms: 1 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1, 5w V Q■ V Yt0.. Q t New dwelling area: square feet City /State /ZIP: ''`' ,, �Z Garage /carport area: square feet Suite/bldg. /apt. no.: �""'� Project name: 1711 Covered porch area square feet Cross street/directions to job site: Deck area: Gan 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. �e4l�� C� \nt Pf 'O riQ.w Valuation: $ Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: T 0% Nal Type of construction: Address: on 11 5 W v ti Occupancy groups: City /State /ZIP:7 , c5y?—.. - 17.7.... Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: Total fees due upon application: City /State /ZIP: /64 y 6 Phone: ( ) I Fax: : ( ) Amount received: �P E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Co ercial and residential prescriptive installatio roof -top - . - i ed Photo Voltaic Solar Panel S m. Business name: Submit two (2) se , roof plan with co _ ion details C31 r a�n5r��c{{r,rr� and fire department acce., ong wi r 2010 Oregon Address: l 3 Sw L e �R Solar Installation Specialty Co - + ecklist. City/State /ZIP: Permit Fee (includes , : revie-• $180.00 �k In B � C ' and admi.. ' alive fees): Phone: ($ ) 3 c. i Fax: ( ) State surcharge % of permit fee): 60 CCB lie.: 11Au - Ice ` Li jah, ee due upon application: $201.60 Authorized signatur This per mit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ^cT�Y�+45 I Date: ) (_ — * Fee methodology set by Tri -County Building Industry Service Board 1:\ Building \Permits\BUP - RESPermitApp.doc 02/24/2011 440 -4613T(I 1/02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling Foli °m u_ usi oNl,Y Received City of Tigard Permit No.: IN, q Date/By: SW Hall Blvd., Tigard,OR 97223 C ; - Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: I' I C. A R D 24- Hour Inspection Line: 503.639.4175 ❑ Electrical El Plumbing ❑Mechanical Internet: www.tigard - or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ,es No N/A I 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 separatefull -size • sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 1 1 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- ❑ 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 . ❑ ` ❑ . ❑ 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 Ion and shall be shown to be ap 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. I:\Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 -4613T(I 1/02 /COM/WEB) fiR OM :BIGFOOT FA p +4' •c� ;• : 1. 162012 A'!f Aug. 09 2012 10: 11AM P1 j ., p � . rl n ciTy I"J�i @ , O BI i _ , , : I AUG U 9 2012 J Clean Water services File Number • B CleanWate Services 11 Z - U D I ?" I Sensitive Area pre- Screening Site Assessment • 1. Jurisdiction: GW ab'' jT • 2. Property Information (example 1S234AB01400) 3. Owner information Tax lot ID(a): Name: rYticino.L ) (41 Company: • Address: „,/ ,a,a U0,en�vn �T Site Address: :) 15 Sur - y e '- , ,Y2 0_ Ch•• City, State, Zip: 'C∎ q rYYd- City, State, Zip: 'f' 19 ,sa.4 rY1Z, . Phone/i�c Cb 70) t• -v13D(g Nearest Cross Streets' C'tc4,4111,40k-r: E -Mail: . ' 4. Development Activity (chock a/i that eppy) 6, Applicant Information ®' Addition to Single Family Residence (rooms, deck, garage) Name: • 1 fl Lot line Adjustment Mior Lend Partition ® n Company: ti�it, �r,ii C c d'1�Jr� • 0 Residential Condominium D. Commercial Condominium Addreas' , ")q s., L €„Q t .. • 0 Residential Subdivision 0 Comnlerclal Subdlvielon © Single Lot Commercial. 0 Multi Lot Commercial City, State, Zip: w - �r� rJ1 ���o • Other fl�v. V \_ 21c 2y� Phone /Fax: (0)n1'in-0>at t{ \ 1 E -Mall; a1�� 'riv -t;� � h .CCm 6. Will the project Involve any off elte work? ❑Yes Jt No 0 Unknown Location and description of off -cite work 7. Adr:lonal comments or Information that may be needed to understand your project 1 . V h Pte a 4 %.;,,% p f - e - 412k0 7rno. L t ,RAtad.Ax c)!h This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEC 1200 -C Permit or other pennite Issued by the Department of Environmental Quality, Department of State Lends randier Department of the Army COE. AU required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's mthodzed agent of representative, aoimowledges and agrees that employees of Clean Water Services have authority to enter the project site at ell reasonable limes for the purpose of Inspecting project site conditions and gathering information related to the project site. I Certify that I em familiar with the Infarnatton contained in this document and to the best of ray knowledge and belief, this Infomlafwn is hue, complete, and•accurala. Print/Type Name �.. �a1 VQS • Print/Type Title b t,,.r Yt t_ 1Z ' Signature Date 11 \ .... FOR DISTRICT USE ONLY ❑ Sensitive areas potenttaty mast an site orwit is 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200•feet on adjacent properties, a Natural Resources Assessment Report J may also be required. Based on review of the submitted materials end best available Information Sensitive areas do not appear to exist on site or Within 200' of the site. This Sensitive Area Proscreening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02,1. AN moulted permits and • approvals must be obtained and completed under applicable local, State, and federal law. C:3 Based on review of submitted materials and best available Information the above referenced project will not significancy impact the existing or potentially sensitive area(s) found marts she, This SensitiveArea Pie-Screening Sib Assessment does NOT eliminate the need to evaluate and protect additional water • quality sensitive areas If they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 8.02.1. All requked permits and approvals must be obtained and completed under applicable local, state and federal law, ❑ This Service Provider !efforts not valid unless CW8 approved site plan(s) are attached. ❑ The proposed activity does not meet the dart • n of development or the tot was platted alter 918195 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PRO r I. •' LETTER IS REM R ■ . . Reviewed b /f- / II /L 4 Date ' Z • 2550 got hit bbio l min Nr7ay • Hillsboro. Oregon 07123 • Phone: (503) 681 -5100 • I (503) 581.4430 • I r. ' • ° 1 1 1 111 e Building Division Development Code Provision Review T I A R D Residential Projects Building Permit No: H ' 1 .901-60909 CWS Service Provider Letter Received: Yes ❑ No N/A ❑ 67 ' ✓) t/ erej2-4-4 to/ GwS. Routed Plans: , R9 ' Original Plan Submittal Date: ((/ Pt 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 /7Z ,/ at 503 -71807 y V or __II&P @ tigard- or.gov) La U se Case N Name �� S 4 z-- Gv+s5 Lot Zoning /� S ["Setbacks: ont Z/, . Rear / 5 Side S Street Side /6 Garage 219 Lv] ximum Building Height _�/ - " - 1� Actual Building Height i 0 e— l isual Clearance L '7 sements LN Sensitive Lands Type: Notes: � , ! - rte Original Plan: Approved Not Approved ❑ Date: / l l� 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) -0 Actual Slope: / 6 % Notes: Original Plan: Approved Not Approved ❑ Date: BA Viz— Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) � treet Trees P rotected Trees Notes: ph 1Yre r erro 6-.l „/ /. J i.. j o- ) t/i'^e /,,..J k . f ' O a p t{,...II Original Plan: Approved E: . Not Approved ❑ Date: S -13 '/a" 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 ►►'I No ❑ Date Routed to Building: I - Page 2 of 2