Permit PhCITY OF TIGARD MASTER PERMIT
_. ' COMMUNITY DEVELOPMENT Permit#: MST2014-00053
TIC;AR o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2014
Parcel: 1 S 134 DB05300
Jurisdiction: Tigard
Site address: 11260 SW NORTH DAKOTA ST
Subdivision: 1992-049 PARTITION PLAT Lot: 2
Project: Wolfe
Project Description: Add engineered truss roof to replace flat roof.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 of Basement 0 sf Left: 0 Parking Spaces 0
Height: 0 Bathrooms: 0 Second: 0 of Garage: 0 sf Front: 0 Smoke
Dwelling Units: 1 Third: 0 of Right: 0 Detectors:
Total: 0 sf Value: $12,000.00 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
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 Tvoes 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
Fumy=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo Srvc/Feeders Branch Circuits
1000 of 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:
WOLFE,DUSTIN AAB CONSTRUCTION LLC Required Items and Reports(Conditions)
11260 SW NORTH DAKOTA 19190 SW 90TH AVE#3262
TIGARD,OR 97223 TUALATIN,OR 97062
PHONE: PHONE: 503-913-0904
FAX:
Total Fees: $537.01
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 160 days of issuance, or if work is sus.- dad for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce• =r. Those rul=. :re set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a • • i •uestions to OUNC by calling 503.2 .1•.7 or 1L 2. •
Issued By:� — . _ -- — Permittee Signature: - /
■
Cal 03.6 AP • •y 7:00 a.m.for the next available inspection •Ile.
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 Applicaya
Residential CEIVED FOR OFFICE USE°NIA
Received
II q City of Tigard /q�ppp Date BB : y _ `/ Permit No.: >r 53
13125 SW Hall Blvd.,Tigard,OR r992 1 7 2014 Plan Revie �
Phone: 503.718.2439 Fax: 503.598.1960 p Date/B : rim r�'"�mi Other Permit:
1 1,, \1:i i Inspection Line: 503.639.417CITY OF TIGARD Date Ready i y: r de. See Page 2 for
Internet: www.tigard-or.'BUILDIN N fied/Method: �J� /y Supplemental Information
'BUILDING DIVISION 4.y .-.10
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 Valuation: $ /
y g ❑CommerciaUindustrial /Z1&�
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: •
Job site address: // 2-LO N, NyetkaCTA New dwelling area: square feet
City/State/ZIP: 111#2,6 0iL. Cq 7 z 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: /4361 e_ Covered porch area 1 3 5 square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1 , ) Li D 2 d`3 3 ao 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.
�Q (4/1 � 4$j Ac 4J n„�0- Valuation: $
!—� ,�NJ Existing building area square feet
New building area: square feet
Ur PROPERTY OWNER f ❑ TENANT Number of stories:
Name: Ous 44A/ t foL Type of construction:
Address: Z iiZs(d A'1% Z,4L0 LN . Occupancy groups:
City/State/ZIP: A) 4 .nAlf_ ' 7 /3 2.-- Existing:
Phone:(SO ) i[f z_ z// Fax:( ) New:
❑ APPLICANT jg CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: 534440 L
��" sn FLS plan review fee(if applicable):
Address: ZS f 4'3 Alf_ $tl sli'.i/1i�e /�-f/ • _
City/StatelZIP: Z Total fees due upon application:
�4t1►4�?tq- ,DR g7dv
Phone:( ,3 ) 7g'0 .. ?7 43 Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commer .: and residential prescriptive installation •y
roof-top moun -• 'hotoVoltaic Solar Panel Syst- .
Business name: /111.8, ( T-.: ce) U l Submit two(2)sets . •If plan with conne '.n details
and fire department access, . :.• with 1 010 Oregon
Address: /Q`C 0 , Li fern 3 2� - Solar Installation Specialty Code list.
City/State/ZIP: �f (4,�(�,�!� B6•Z — Permit Fee(includes p1. vie ` $I80 00
/ and admini :'ve fees
Phone:(spa ) 9l3—D Fog'
y Fax:( ) State surcharge /o of permit fee): .21.60
CCB lic.: 1 736 II L �l
T... fee due upon appication: $201.60
Authorized signature: This 1 rmit 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
�,ttaO kcar� �°/7 _ Service Board.
I:\Building\Permits\BUP-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 B
Date/By
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
HOARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Phimbiie ❑ Mechanical
Internet www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 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 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.
C 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ El 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 licable to the ro-ect under review.
23 hree(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑
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-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
L A
I
Building Permit Number: Heal�D it/-06 063
3
NIN
I 11 - Building Permit Review
Residential Projects
TIGARD
Site Address: I 1 2 60 iv , k-Cf►oi
Jrify site address is valid.
Project Name & Lot #: P 1--A To k
Clean Water Services-Service Provider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No Received: Yes ❑ No ❑
Site Plan Elements;
,ite plan must be on 8-1/2"x 11"or 11"x 17"paper ee(3)copies of site plan
2TS �
rawn to scale(standard architect or engineer scale) .M�North arrow
Map and tax lot number,site address,project or subdivision -tJEootprint of new structure(including decks)with finished
.2),nie,lot number,and zoning r elevations
licant information(name and phone number) Lot and building setback dimensions
roperty corner elevations(2 foot contour lines if more than DLot area,building coverage area,percentage of coverage and
4 foot differential) impervious area.
❑Utility locations ❑Location of wells/septic systems.
,Existing structures on site .rface drainage
) ceet names .Street tree size,type and location
Jsion control(including drainage-way protection,silt fence DExisting trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review
❑ Land Use Case Number: /11 ft
—oning 1z — 9, 5
,B---Setbacks: _ _
Front + Rear 15/ 3 / Side 6" -- 5 ,9b Street Side /'v Z} Garage 9v I
JLandscape equirement:
Er Lot Coverage Maximum: %
/
...a Building Height: Maximum Height 30 Actual Height %v )5
,0 Visual Clearance
)asements
a—nsitive Lands: ❑ Yes Type
INPRO Urban Forestry Plan
Conditions Satisfied
Approved by: 6 8. Date: L� -17/V
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
I:1Building\Forms\BldgPermitRvw_RES_123013.docx
Building Permit Submittal
Original Plan Submittal: Date: /7//£1 ByCja
Site Plans: # 5
Building Plans: # 41).3
Create Case Record#: $ Enter case#above for Building Permit Number.
Workflow Routing Planning f Engineering Permit Coordinator ,W Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application,(1) site plan, (1)building plan and
original plan review routing form.
❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reiriewed-By: Ciir\-. (2C Date: A/
Notes:
Engineering Review—reviewed by:
Actual Slope:
❑ Conditions Satisfied
Notes:
Approved by: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applica
Revision Notice 3: Date Sent to App- t
Okay to Issue Permit- Date: /7.-- 1
I:\Building\Forms\BI dgPerm itRvw_RES_123013.docx