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Permit R EVISED MASTER PERMIT iip n CITY OF TIGARD ii -Ali- t+�-- ' IS " , COMMUNITY DEVELOPMENT Permit #: MST2012 -00011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/24/2012 Parcel: 2S112BD07400 Jurisdiction: Tigard Site address: 14787 SW 79TH AVE Subdivision: BRITTANY MEADOWS Lot: 10 Project: Brittany Meadows, Lot 10 Project Description: Removing existing deck and adding 10 x 12 deck. 11/13/12 REPRINT to make correction on address and lot number. 11/28/12 REPRINT to make corrections on address and lot number BUILDING Floor Areas Required Setbacks Required Stories: 1 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: $2,200.00 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 Bcktlw 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 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: . PACIFIC EVERGREEN HOMES LLC JC & SONS CONSTRUCTION INC Required Items and Reports (Conditions) 16615 MAPLE CIRCLE 1775 E LINCOLN RD LAKE OSWEGO, OR 97034 WOODBURN, OR 97071 PHONE: PHONE: 503- 984 -2796 FAX: 503- 982 -7054 Total Fees: $291.71 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 OAR 952- 001 -0090. You may y obt V aiin a copy of the rules or direct questions to OUNC by calling 503.232.1987 4 or` 1. 33.232.19887 or 1.800.332.2344. Issued By: AV OYIi'_ Permittee Signature: Ue/4TID IS , 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. . • C- cr/V-2EL7 Si 7-6- 4-/ :S s /A/ T e 1, Building Permit Application Residential �. FOR OFFICE USE ONLY ! City of Tigard � : � � \'t, Received `J b �0 Datc /Dy• i i )- Permit No.: p)57";?_ 0 O ..... �.[ .)/ l • 13125 SW Hall Blvd.. Tigard 1R 7223 q1 Plan Re ', �����/// ����, i 13 Phone: 503.718.2439 Fax: 503.598. N G Date /Dy: ,'t �. / •ther Permit: Inspection Line: 503.639.4175 S Date Ready/ y: 65 See Page 2 fur TI 1 " . I !memo: www.ligard- or.gov ° \)� Notified /Method: �) Ji s� Supplemental Information CV. �\� ^n.a, C,4 \I�1 /01 11% Spoke u,>✓ Tut,v TYPE OF ORK REQUIRED DATA: I- 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 igi Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. g I - and 2- family dwelling ❑ Commercial /industrial Valuation: S ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: t/ Y7 9 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site add ress: 'n New dwelling area: square feet / City /State /ZIP: T3Cc� OY 9,7,z,g / Garage /carport area: square feet Suite /bldg. /apt. no.: ! Project name: Covered porch area: square feet Cross street /directions to job site: Deck area: izk square feel 1 n aa Other structure area: square feet ;S;Sites UD D !�1 4 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 11) r I tt 0,4/Ne� /eo,Sol,JS 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 \YORK work indicated on this application. PNe. - Maul L_ 3 X 3 1 D et-UN Valuation: S ,2 1 "k)() ) " 1u, - 1 (1 I • l I D' )r- l 7,1 1 Existing building area: square feet � New building area: square feet PROPERTY OWNER I ❑ / Number of stories: Name: Ct..tL LL Z 0I . T/UP.r f G �IM C in. �LS ( / 4 13 Ittyt 0R Yhcor Type of construction: Address: L/ 5 l,j D1 L , \ a d/ 3 3 Occupancy groups: City /State /ZIP: Por 1 D1 Existing: Phone: (5533) `64 - L H 7_3 Fax: ( ) New: (APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* name: /'� r �, {�.. (Please refer (nfcc schedule) BU51ne55 Oa St ' lf7Li ' `" �� ` �QY Dot_ Structural plan review fee (or deposit): Contact name: \ V �� n S ,...% L I n 11 FLS plan review fee (if applicable): Address: 13 )S L Ltnt0Lv1 0,4k, City /State /ZIP: W Ito elks „t1 9 10 I Total fees due upon application: 77 S� Phone: (5-03) 9 pi -7. Fax: : (j 973 I. -7H os Amount received -� 7�� E- mail: `` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* J f4.n vv\ L(A .rvlAiYj e in 5 f% . ! Q✓n Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. l� { Submit two (2) sets of roof plan with connection details Business name: G''�L r ^S � C ' and fire department access, along with the 2010 Oregon Address: Solar Installation Specie /ro Code checklist. City /State /ZIP: Permit Fee (includes plan review S 180.00 and administrative fees): Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): S_ I .GO CCB lie.:16P11.13 ) (--7/ Li Total fee due upon application: 5201.60 Authorized signature.— /J This permit application expires if a permit is not obtained �, /�-�? within 180 days after it has been accepted as complete. : f/t7),1.--Q / -7 * Fee methodology set by Tri- County Building Industry Print name vG�/l /e rL f f CG �t� ,S Date: / ”! / Z Service Board. 1:\ Building \Permits \BUP- RESPemiitApp.doc 02/24/2011 440- 4613T( 1 I /02 /COM /WEB) FOR OFFICE USE ONLY — SITE ADDRESS: This form 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 your project. City of Tigard ® COMMUNITY DEVELOPMENT DEPARTMENT T II I rans ittal Letter F I c�'AR D ` 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: L. A L K L—SU 1.1 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: gi- UQ (� 0 FjC NOV 00(2e 1 3 2012 COMPANY: CITY OF TIGARD ' BUILDING DIVI ION PHONE: � By: 4 RE: 14-7 87 ' - (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Technicia : Date: 1/ (1 5//3-- Initials: S.< Fees Due: ❑ Yes o Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): 2/Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I: \Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 ., CITY OF TIGARD FEE AND PAYMENT HISTORY 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 'TIGARD MST2012 -00011 - 14787 SW 79TH AVE, TIGARD, OR 97224 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid • Method Receipt # Due Building Permit - Additions, Alterations, 230 - 0000 -43104 $119.33 $119.33 $119.33 10/24/12 Credit Card 188899 $0.00 Demolition Plan Review 230 -0000 -43106 $77.56 $77.56 $77.56 1/27/12 Credit Card 185345 $0.00 12% State Surcharge - Building 100 -0000 -24001 $14.32 $14.32 $14.32 10/24/12 Credit Card 188899 $0.00 DC Provision Review, SF - Ping 100 -0000 -43112 $65.00 $65.00 $65.00 10/24/12 Credit Card 188899 $0.00 DC Provision Review, SF - LRP 100 - 0000 -43117 $10.00 $10.00 $10.00 10/24/12 Credit Card 188899 $0.00 Info Process /Archiving - Sm $0.50 (up to 230 -0000 -43135 $5.50 $5.50 $5.50 10/24/12 Credit Card 188899 $0.00 11x17) Totals for Fees $291.71 $291.71 $291.71 $0.00 Receipt # Payment Method Check # _ Payor: Receipt Date Receipt Amount 185345 Credit Card Juan Andres Camps 01/27/2012 $77.56 188899 Credit Card Juan A Campos - JC & 10/24/2012 $214.15 Sons Construction Inc Total Payments: $291.71 Balance Due: $0.00 Building Division Development Code Provision Review T L G A R D Residential Projects Building Permit No: g7S7c2 C. io 000 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A l _ — Routed Plans: Original Plan Submittal Date: I 7 / ,J 15 Revision Submittal Date: /� / , P-- ? Site Plan Only £ 7 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- e24 or @tigard- or.gov) Land Use Case No. % - Or - OZI Name e,---( T7 9&tL/ L(e)4 L 2 VZoning R. 7 J" Setbacks: / Front /5 Rear (. Side Street Side /0 Garage 9-0 pr Maximum Building Height 3,s Actual Building Height 2" Visual Clearance 0 Rear (. la A Ael A61-g - PSD� ❑ Sensitive Lands Type: , U i ii Notes: r , , 4 / ' ' /' /F'- / /r /Y7 Original Plan: Approved l Not Approved ❑ Date: 1 3 f 1-2 Revision 1: Approved L�l Not Approved ❑ Date: I /4/4112.''" Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) 6 Actual Slope: 5 cyo Notes: Original Plan: Approved e iEr Not Approved ❑ Date: / Revision 1: Approved -Er Not Approved ❑ Date: /4 1 2 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) r Page 1 of 2 City jrborist Review (contact Todd Prager at 503-718-.2700 or todd @tigard - or.gov) L4 treet Trees Protected Trees Notes: Original Plan: Approved • Not Approved ❑ Date: ,,,,/ la 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 .7 .o A Date Routed to Building: _ . -■ ///07 , /(( /4 Page 2 of 2 TROXEL'S HOME DESIGN 1217 N.E. BURNSIDE STE. 303 GRESHAM, OR. 97030 LOT #IO 7,607 SQ FT — EVISE i I X1-13• !�. iusT aate -000 I I i of lb O • 0 I CONC. - PA110 �1 I � 5' > PROPOSED {[ RESIDENCE PLAN #I225 F. F.E. = 101 .00' TI I II i G.F.E.= 1 00.50 I CO I - ooF 0.11. . 3�y /yZnlib I I 4" CONC v DRIVE N eb 4161 LEGEND / / //5 2. 7, // 5 ® 3" SEWER — / -- ED I " WATER P NTER • GAS — — — © POWER - -- RAIN DRAIN SW 79th AVE. NAME: SITE PLAN DATE: 6 -18 -12 SCALE: 1 " = 20.00• PLAN: PLAN # 1228 DRAWN BY: DENNIS TROXEL ADDRESS: e-72-7 5W —7944" J TROXEL'S H ME�ESIGN • 1217 N.E. BURNSIDE SIT.' 363 • • • • GRESHAM, OR. 97030 • • • • • • • • • • • • • • • • • • • Y � Y � \ c,--01/-40-- _ _ _ _ _ _ •_ • • _ • ( . • 52 .7$'•• •••�� ••• •• •••• ••• _� i LOT # I 0 i i IM- I 7,607 SG7•F••• -• • 1•• •• • • • • • • • • • .• • • • • • �•• •• I•• • • r • • •• t • II l3• !.1. I I i i4T avle - COOL( I I I I G I I I I I I I I I I o I !S P 2� t •a- o l v I- 5... i APP O ED i coNO 40 V 2 (2 I I 5' > PROPOSED l RESIDENCE SITE COPY PLAN # 1 228 I F, F.E. = I O I .00' I II i G.F.E. = I00.50' COVERED ORC P 1 Z- ROOF 0.1 ` / 4" CONC / /// - 7. eRzszO..J Vq mi " I DRIVE N Q I i �,AVcE I e b O 5 • LEGEND 1 + 5 2:7' — ac 77() • ® 3.. SEWER / - 7g / / / //7--.°' // / SI - ® I " WATER _r c _ _ _ _ = PI NTER — 0 GAS — © POWER AVE. - -- RAIN DRAIN SW 79th E NAME: SITE PLAN DATE: 6 -18 -12 SCALE: 1"= 20 PLAN: PLAN # 1228 DRAWN BY: DENNIS TROXEL ADDRESS: (78'7 Su.) -- 79' Ave 1 IN ,q CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit #: MST2012 00011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/24/2012 Parcel: 2S112BD09200 Jurisdiction: Tigard Site address: 14726 SW 78TH AVE Subdivision: BRITTANY MEADOWS Lot: 28 Project: Brittany Meadows, Lot 28 Project Description: Removing existing deck and adding 10 x 12 deck. BUILDING Floor Areas Required Setbacks Required Stories: 1 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: $2,200.00 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 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 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum > =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 & 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: PACIFIC EVERGREEN HOMES LLC JC & SONS CONSTRUCTION INC Required Items and Reports (Conditions) 16615 MAPLE CIRCLE 1775 E LINCOLN RD • LAKE OSWEGO, OR 97034 WOODBURN, OR 97071 PHONE: PHONE: 503- 984 -2796 FAX: 503 - 982 -7054 Total Fees: $291.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i - -- ..ce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 • days. • ENTION: 0 -gon requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 - 001 -0010 through OA s 2 -001 90. You may obt'n a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ssued By: _ Permittee Signature: _ ■ ,i _.,,, �� Call 503.639.4176 by 7:00 a.m, for the next available Insp. bone. This permit card shall be kept In a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. Building Perm Application Residential ----, FOR OFFICE USE ONLY III � City of Tigard ti��� D ate /Bya I / a f�'' my/ 'yy r Pcnnil No.: • 131_5 SW Hall Blvd.. Tigard 1 ` � flan Re C Phone: 503.718.2439 Fax: 503.598. (�$(l c * CO% D f /B ,•t ' ( '� ( / '- ther Permit: T I G Inspection Line: 503.639.4175 , �5, Date Ready/ t y: El Sec Page 2 for y A R D Internet: www.tigard -oego+ ' °� V Notified /Method: �� J Supplemental Information CV .v \VG — C `� t L..1 ■bra,.) /olagliA Wit al/ Suss TYPE OF OK REQUIRED DATA: I- 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 rgi Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. gi I - and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ 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: / �/_ 7 �/ 5 �� � y . 7 , New dwelling area: square feet Cit /State /ZIP: ` 3a. ' d ' ,�7 y 9 ,7,_, gy Garage /carport area: square feet Suite /bldg. /apt. no.: / , Project name: Covered porch area: square feet Cross street /directions to job site: Deck area: square feet j2 c, Other structure area: square feet REQUIRED DATA: COM MERCIAL -USE CHECKLIST Subdivision: 1131 (�.�e� I f�ot,JS Lot no.: 23 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. PG IM,?9v ?e_ 3 3 1 Q +I. Valuation: $ ) )1)c) N �\ 9 + O ' k (7 I ` ti, V. Existing building area: square feet . N ` l New building area: square feet PROPERTY OWNER ❑ TENANT /- Number of stories: Nance: e4. Z ( f , 'u e%�e.� �,. fc DYvg..s ( I t kv't CTo g yhcorra Type of construction: Address: )Li 54) D1 Lit, " . a l3 Z Occupancy groups: City /State /ZIP: Perrk-kolj.. ark Existing: Phone: ( 'rj) `61 - LH '` Fax: ( ) New: KAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: C� (Please refer to fee schedule) �'� O V\.S (, O r\54 Nr ��0 °^ DOL Structural plan review fee (or deposit): Contact name: V � to on() n S FLS plan review fee (if applicable): Address: 17 IS f. Li (LLv ikk. City /State /ZIP: W ro �b*Jr� 9 ( Total fees due upon application: + 5� / Amount received: -�f Phone: ('S03) 9 pi -7.-7n to Fax: : (503) 973 7...- 7 r E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* fA� . � �' .fi r � � Commercial and residential prescriptive installation of C ONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: y I Submit two (2) sets of roof plan with connection details L' L �S pP 'n and fire department access, along with the 2010 Oregon Address: Solar /esrwlenon Specie! / Code checklist. City /State /ZIP: Permit Fee (includes plan review S 180.00 and administrative fees): Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): S21.60 CCB lie.: ti 6p-14 3 ) 1 fri Total fee due upon application: 5201.60 Authorized signature _g This permit application expires if a permit is not obtained ,-4,14 within ISO days after it has been accepted as complete. /� �S Date: / * Fee methodology set by Tri- County Building Industry Print name: - 1liG - / T /t s f CG y��✓ Service Board. I:\ Building \Permits \BUP- RESPennitApp.doc 02/24/2011 440- 4613T( I I /02 /COM /WEB) f Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY • Received ill/ .1. City of Tigard Dale /By: Permit No.: 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 ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW \'es No N/A 1 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: . ❑ ❑ CI 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ CI 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 as s licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item I I above. Site plans must be 8 -1/2" x 1 I" or I I" 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 \Pernits \BUP- RESPermitApp.doc 02/24/2011 440 -4613T(I I /02 /COM /WEB) Building Division Development Code Provision Review T 1 c A ►i ° Residential Projects Building Permit No: M57026 /a- -- UOO 1 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A 171—.--- Routed Plans: Q Original Plan Submittal Date: 0.-7/0, 'l , !J 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 (V) 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 -0/4 or du @tigard- or.gov) Land Use Case No. fi '37) O001 Name %7/4&W j402615 S]/Zoning 2.7 J2' Setbacks: Front / Rear (. 5.." Side Street Side 1 v Garage Maximum Building Height 3 ,5 * Actual Building Height ,fY Visual Clearance 0 Easements 1 tleVec,M A U i .. - !44 3 PSDL� ❑ Sensitive Lands Type: , 0 Notes: Original Plan: Approved I Not Approved ❑ Date: 1 13 11 Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @igard - or.gov) 6 Actual Slope: S Notes: Original Plan: Approved AE1 Not Approved ❑ Date: / 3i/ 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) /, trees Trees v� Protected Trees Notes: Original Plan: Approved It Not Approved ❑ Date: , la- 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 Ap•licant Okay to Issue Permit: Yes '7 . o A Date Routed to Building: _ , - P" 4#7 Page 2 of 2 , - •. - . -.-. ; . • '-' . : .• - .. , . ._, . . ...., ::.,:, E Ei -...',C•1-' . . , . TR4r;XE:A.,. HOME DESIGN- 1217 N.E. BURNSIDE STE. 303 GRESHAM, OR. 97030 , RECEIVED .,.: ., ., 2 7 2012 LOT #2C3 4,443 50 FT CITY OF TIGARD ..-, 1 Oil•• I ; 11 ; 5' EA5EvE \ii" I I 3 UILDING DIVISION t ti 0.. N ■ I P. 1-!.-,.,,1 HI-I ' i . I I i I I , PROPOSED I ' i RESIDENCt I : i PLAN #223 -- 1 , ccvEREL: , _ __ , ..., . roRcH G r .c . = , CO, 5t." • I ---. I =' , • 1' ,■ . ' — — ! r r ,■!.. : !—• ' I r ! 1 0: 4" CONC I (N.Ii pRivc 1 4 ti I '• ; ■ 1 ■ pr_v1.. 3 _ _ . _ _ _ . „,_ . _ . _ . — - L._ ' SIDEWALK 5 9 - °C ' ' - rz — - — — — • PLI-A ■ ,.. / \ — - .-_-:=-_—: _ 1 :— ‘ - 1 - S\AI 7 AVE. LEGEND T1) (74 : ---- P0•NE P. ' —e--e— SJ-L,1 l'Er 5 IT LAN R.AiN DR.Aliq ; , ..._ ,- 1 = 20.00 P!../..r1 # 2222 T. --- ,.:-.. V,. : .:--- V• NiCK PO VEY