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Permit CITY OF TIGARD MASTER PERMIT I - COMMUNITY DEVELOPMENT Permit#: MST2015-00002 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2015 Parcel: 2S104DA07400 Jurisdiction: Tigard Site address: 13022 SW RAPTOR PL Subdivision: QUAIL HOLLOW-WEST Lot: 60 Project: DREW Project Description: Lattice on top of an existing 6 ft.fence. BUILDING Floor Areas Required Setbacks Required Stories: 0 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: Total: 0 sf Value: $500.00 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 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 add9 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: DREW,LORI A OWNER Required Items and Reports(Conditions) 13022 SW RAPTOR PL LORI DREW TIGARD,OR 97223 13022 SW RAPTOR PL TIGARD,OR 97223 PHONE: PHONE: 503-524-9155 FAX: Total Fees: $94.79 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 - • •ance 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. • TENTION: • -.on law =• es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95,001-0010 through OAR • X01-00• •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I rued By: k Permittee Signature: A _ a _ 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. r * Buildin! Permit Application Residential w tV IOIl t,l I It I I ,I (INI City of Tigard [Z�1,�,� v `� ) — hh��zz33 Permit No.: a7 l� /!III • I 13125 SW Hall Blvd.,Tigard,OR Plan Revi Phone: 503.718.2439 Fax: 503.598.1960 r� o1C� DateB : 411�i'� Other Permit: Inspection Line: 503.639.4175 0 1 2 Date ReadyBy. Juris ® See Page 2 for Internet: www.tigard-or.gov J Notified/Method: )� 1��T Supplemental Information ,`` ��) TYPE OF V��n _ ISIM L.d I''1 REQUIRED DATA:1-AND 2-FAMILY DWELLING �n �l ❑New construction B nohtton 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: S 5C 0- ❑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: 1 20 as Svv krtierac P , New dwelling area: square feet City/State/ZIP: -r i af el / cx 9,-71949-3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ren, L j,, Covered porch area square feet Cross street/directions to job site: Deck area: square feet Vi20 r / Si 6 to r J Other structure area: square feet � REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: -ei�' 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. IValuation: $ a,* (Q., ? -ccir e X. i.tyti rte c-e__. Existing building area square feet it1n ? riVAvk Sc_cee J New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: CA DIL T)rem,/ Type of construction: Address: iaotg-.a 5' / Ra_pk-t r P ' Occupancy groups: City/State/ZIP: -'fl o afc O 2 C?7a_3 Existing: Phone:(5b3) Spy co,55 Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Plnverefer roleese 1'I) tl '� Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: 3 (p'3 City/State/ZIP: Phone:( ) Fax: :( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: al.,i � Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): , Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon appication: $201.60 Authorized signature: \ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Lcs R_; 0 rev,/ Date: t 7- is *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) I 7 Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Associat 71 ■ Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TI( AR D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing p Mechanical Internet www tisard-or gov ❑ 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. ❑ ❑ El 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 ,j_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 son and shall be shown to be :,.licable to the ,ro'ect under review. .JURISDICTIONAL SPECIFIC'S 23 Thrce(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 1T'. ❑ ❑ • 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ El 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. ❑ ❑ El 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, ❑ ❑ El 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(11/02/COM/WEB) City of Tigard illq ■ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential l'IGAIiL) Building Permit #: frura,zp`S_ o Site Address: ) 3 uaa SSW R040-1-s PI • Project Name: Dr-e w Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review //�� Proposal: Tri s4-u I( k-t4i c c ui 4 0-C f y_is-�-�r.5 d-c-,c e 0 Verify site address/suite #exists and active in permit system. Site Plan Elements: h 0+ Ile eci e d pvSC C ❑Three(3)copies of site plan ❑Existing structures on site ❑Site plan must lg on 8-1/2"x 11"or 11 x 17"paper ❑Footprint of new structure(including decks)with finished El Drawn to scale(standard architect or engineer scale) floor elevations CI North arrow ❑Utility locations(required for new,may apply for additions) ❑Site address,project or subdivision name and lot number ❑Location of wells/septic systems ❑Applicant information(name and phone number) ❑Erosion control(including drainage-way protection,silt fence ❑Lot dimensions and building setback dimensions design,location of catch basin,etc.) ❑Lot area,building coverage area,percentage of coverage and ❑Street names impervious area(applicable if R-7,R-12,R-25&R-40) ❑Street tree size,type and location ❑Property corner elevations(2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Received: ❑ Yes Z No ❑ No yiLand Use Case#: /A 0 Zoning: R-4 .5 PD MAO Setbacks: Front Rear Side Street Side Garage (V�yi Landscape Requirement: cyo �If Az" Lot Coverage Maximum: Ni 1p Building Height: Maximum Height Actual Height 1 ` f gl Visual Clearance .k Easements Sensitive Lands: ❑ Yes No Type MA Jf Urban Forestry Plan 1,0 ,Z Conditions Met I-^ of Notes: LA-lick 0h -W of f'�nce_ 1')Ca.,' ,�y rn60 SM 4v,-c-- C rt w�c I et- pr-;,1.Ct Na1( bel-we t''1 -1-LV U a-fret a,rd G n;-Is . -- ',it( is hi yhe.- -His, 0 -0- - 01c per Approved By Planning: A��. ^`► D��c I .1 nVI�Gu�� Date: / -7 IS a- 61a4: - Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_I 00114.docx t I Building Permit Submittal Original Submittal Date: [ 7 ,S' 877--Site Plans: # �f Building Plans: # 7 Building Permit#: ['r building permit#above. Workflow Routing: anntneering ©—t Coordinator © g Workflow Sign-off: 1gn-off for Planning(include notes from planning review) Route Application Documents: [-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and oinal plan review routing form. L7 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: te: // Vi Engineering Review ❑ Actual Slope: ❑ Conditions Met El Easements (encroachments) ❑ Water Quality/Quantity Facility: Assess Water Quality Fcc: ❑ Yes ❑ No Assess Water Quantity Fee: ❑ Yes ❑ No Notes: AL. d.v G i iJ a e.¢,t,,9 C7 L S S u rE5 Approved by Engineering: Date: J . 7 r IS Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: K to Issue Permit (c14:7) Approved by Permit Coordinator: Date: 7/9-/ 1:\Bui[ding\Forms\a l dgPerm itRvw_RE S_100114.docx