Permit " CITY OF TIGARD MASTER PERMIT
11111 I • . COMMUNITY DEVELOPMENT Permit#: MST2015-00165
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2015
Parcel: 2S104CD03300
Jurisdiction: Tigard
Site address: 13518 SW HILLSHIRE DR
Subdivision: HILLSHIRE ESTATES Lot: 33
Project: Davis
Project Description: Replace existing deck,320sf.
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: No
Total: 0 sf Value: $6,935.00 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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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
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'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:
ALT SF VB R-3 0
Owner: Contractor:
DAVIS,HAROLD T OWNER Required Items and Reports(Conditions)
13518 SW HILLSHIRE DR HAROLD T DAVIS
TIGARD,OR 97223 13518 SW HILLSHIRE DR
TIGARD,OR 97223
PHONE. 503-312-6025 PHONE: 503-312-6025
FAX:
Total Fees: $328.40
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 C hose rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c•• • • = • direct questions to OUNC by calling 503 3 I :00.332.2344.
f 'u.J J11
Issued By: _ -'� — Permittee Signature: V Ir ,„../ 7--iv /
Call .1 42,F 4175 by 7:00 a.m.for the next available inspection date. v
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 Application
Residential FOR (H 11( 11 1 SE OvI.1
City of Tigard RECEIVED Received / /s Permit No.: 1 9r l(c 7ieDs--
111 I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review� I
Phone: 503.718.2439 Fax: 503.598.19 p 7 pa1e/By 'N /�2.) ' Ocher Permit:
Inspection Line: 503.639.4175 r I Q�5 Qate Ready 0: runs ® See Page 2 for
Internet: www.tigard-or.gov CI-ly OF TIGARD Notified/Method: q 3/6_ �,� Supplemental Information
t REQUIRED D
❑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
work indicated on this application.
Valuation: $ // tw
❑ 1-and 2-family dwelling ❑Commercial/industrial t l� � �n
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION IIII Total number of floors: 1 1 Q y r t c14)414_
Job site address: /35)J se ,Laws y/,per .tve New dwelling area: square feet
City/State/ZIP: :ri-45? , OR C.t 7 a a t Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 9 Covered porch area square feet
Cross street/directions to job site: Deck area: ?J a square feet
Other structure area: square feet
REQUIRED DATA:COMMERC
Subdivision: j\\ \J\i e p_- .1%<A1--e s s Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORD work indicated on this application.
Q? ace (, v. ex 1 51-1 U J Q Cle, Valuation: $
Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Oa in,ck -T Type of construction:
Address: ('3 S(& S IIS't I it (S Occupancy groups:
City/State/ZIP: —S "T—"I! 4 • • k I 9 701 3 3 Existing:
Phone:(s' ) J�p Fax:( ) New:
,4)7; CONTACT PERSO
Business name:
Structural plan review fee(or deposit):
Contact name:
Address:
SOMA FLS plan review fee(if applicable):
P A._. ///
l Total fees due upon application:
City/State/ZIP:
Phone:( ) Fax::( ) Amount received: 4 If 7, r°/
E-mail: 4- IA, • 460 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*'
1
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2 sets of roof plan with connection details
and fire departm ccess,along with the 20 t Oregon
Address: Solar Installation Spec: ode the . . .
Permit Fee(includes
City/State/ZIP: and a• rstrative fees): $180.00
Phone:( ) Fax:( ) States arge(12%of permit fee): ` $21.60
CCB lic.: Total fee due upon application: , 01.60
Authorized signa f Ilk
I Total
permit application expires if a permit is not obtained
1 within 180 days after it has been accepted as complete.
Print name: 0 okst.Q•,d —r , 1 tS Date: q — 1— .016.1 **Fee methodology set by Tri-County Building Industry
V Service Board
I:\Buil ding\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 ONLI
City of Tigard Received
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associ t
■ Phone: 503.718.2439 Fax: 503.598.1960 Associated perrnrts:
TIGARI)
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other
TIIE FOLLOWING ITEMS ARE REQt IRE]) FOR PLAN REVIEW 1 e yo yI.1
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- ❑ ❑ ❑
0 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
Q copyright violations exist.
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
8 13 surface drainage.
Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
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.
X141 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.
INWall 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 l on and shall be shown to be a.p licable to the insect under review.
LIRISI)ICTION.AL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x I I"or 11"x 17". ❑ ❑ ❑
Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
"Reversed"buildingplans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
"Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
8 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(I 1/02/COM/WEB)
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building, electrical, mechanical,and plumbing per mits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not
submit this statement.This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that a II subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I w ill
7\` reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this horn eowner statement is true and accurate.
- A
a-bI II « Li 6
Print Name of Perm. pplicant
I - I -aC
Signature of Permit Applicant Date
Permit#: N'To�O15. CO tLe-) ,,,�
Address: 1Z5—at Lo f'T s Lisa ig€D/L.- 04
r ,r u.,
17aa3 ` ` : •
Issued by: N•%. Date: //PP(/5—
This Copy for Permit Offices
71 City of Tigard
r COMAILNITY DEVELOPMENT DEPARTMENT
■
T l G A R D Building Permit Review — Residential
Building Permit #: ).46.7-cc90/5—Gad/CO<-
Site Address: / r/cf' ,/it
Project Name: / V/,S ,flci 41ltc,id- Lot #:
(New dwe ng=subdivision name;Addition r Alteration=last name of owner)
Planning Review C" , ,")Proposal: / f / ��pie /
Verify site address/suite#exists and active in permit s stem.
River Terrace Neighborhood: CI Yes No
Site Plan Elements:
■e"- ree(3)copies of site plan if. 'sting structures on site
■
►.ite plan must kg on 8-1/2"x I1"or I1 x 17"paper ►_■ ootprint of new structure(including decks)with finished
• rawn to scale(standard architect or engineer scale) floor elevations
• orth arrow ❑Utility locations(required for new,may apply for additions)
►: ite 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
iot dimensions and building setback dimensions d sign,location of catch basin,etc.)
❑Lot area,building coverage area,percentage of coverage andtreet 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(Iqt platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ,No Received: ❑ Yes ❑ No
❑ Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was oti *No Applied For: ❑ Yes ❑ No,stop intake
❑ Land Use Case#:
❑ Zoning Off"-7 ( PV)
❑ Setbacks: Front Ho Rear jr Side S Street Side Garage
❑—Lendscxp RE ment-
over m:
❑ Building Height: Maximum Height 3- Actual Height
❑ Easements {
❑ Sensitive Lands: *Yes El No Type Si7'e€,, J/o ,j
n
et prior to issuance of building permit
Notes:
Approved By Planning: _ - -01/ Date: — 7
Revisions (after Building Submi only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
l:\Building\Forms\BldgPermitRvw_RES_0709 15.doc x
Building Permit Submittal p
Original Submittal Date: //7//5---
Site Plans: # 3
Building Plans: # 3
Building Permit#: .8' Enter building permit#above.
Workflow Routing: B"Planning Q'Engineering la-Permit Coordinator �7iBuilding
Workflow Sign-off: a Sign-off for Planning(include notes from planning review)
Route Application Documents: ®'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
"Ef Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ci.U()6_4/.1-4-1 i Date: c1/7/5�
Engineering Review
❑ Slope at building pad:
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes • •
Assess Water Quantity Fee in-lieu: ❑ -. ❑ No
LIDA F. ' on ot: ❑ Yes ❑ No
• • •T Approved by Engineering: Date:
Notes:
Approved by Engineering: j7 Date: ?. fS
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
❑ Approved,NOT Released: Date:
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
P62K to Issue Permit
Approved by Permit Coordinator:
I:\Building\F'orms\BldgPermitRvw_RES_0709I 5.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13518 SW HILLSHIRE DR, TIGARD, OR, 97223 March 20, 2018 at
12:13:39 PM
Record Type: Record ID:
Residential - Master Permit MST2015-00165
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide handrail to code at stairs.
Step from landing exceeds 8" maximum rise per code.
See back page of approved plans.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13518 SW HILLSHIRE DR, TIGARD, OR, 97223 March 20, 2018 at
12:13:39 PM
Record Type: Record ID:
Residential - Master Permit MST2015-00165
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide handrail to code at stairs.
Step from landing exceeds 8" maximum rise per code.
See back page of approved plans.
Violation Summary:
Inspector Contractor