Permit ' rt CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00254
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2015
Parcel: 2S102CCO3300
Jurisdiction: Tigard
Site address: 10375 SW MCDONALD ST
Subdivision: FRELEON HEIGHTS Lot: 1
Project: Mohammad
Project Description: Repair handrail to existing deck. Reframe west wall with new windows&dorr.
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: Yes
Total: 0 sf Value: $3,000.00 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
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
Other Fixtures: 0
Drywell-Trench Drain: 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 amp0 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:
MOHAMMAD,KELLY S&HARRIS H Required Items and Reports(Conditions)
7225 SW 160TH AVE
BEAVERTON,OR 97007
PHONE: 503-804-5161 PHONE:
FAX:
Total Fees: $310.21
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
Cays.
aacco a 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
NTION: Or onlaw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
through OAR -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 87 or 1.800.332.2344.
r Permittee Signature:
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.
Building Permit Application
Residential FOR OFFICE USE ONLY
Receiv
City of TigardEP Date/Bea /S Permit No.:H`jrao _wa
13125 SW Hall Blvd.,Tig 7 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
Date/By.
Z �S Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
x
Internet: www.tigard-or.govDEC 21 2015 Notified/Method: Supplemental Information
T1lP) VV f � IA
REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 'DJbi' j�' 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 dwellingValuation: $ co rj
❑Commercial/industrial
❑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: t) 2-1 S >� n 0i' ( New dwelling area: square feet
City/State/ZIP: '77 Z 7 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 4 Q Q 7(S `f r 0 UT Covered porch area: square feet
Cross street/directions to job site: t 0 41 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: ?,3 00 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.: '2-:5 O 2 L 3 3 O equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Q / -{ t ,— LP Valuation: $
1q'NV � S T iJ)Ar ( Existing building area; square feet
1
rw 1 .PMS CJ t pvJ y d-' O O lZ— New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: P, \:\A c �( i-N-1M.MA,�� Type of construction:
Address: -7 Z Z'j LJ ` (S i _l L 1J Occupancy groups:
City/State/ZIP: �.S �1`�1 1\ �, (` e) Existing:
C'
Phone:(6L�j) o 5( L Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES'
Business name: 'Z.l L_" t) S 1 e v L- G Com, Please rP er to fee schedule
Structural plan review fee(or deposit):
Contact name: J a N��+J Z t.�-K,r.
Address:7L.q.Z t 5� e%(L,H �T FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: ?p,/L�1,gr,.a Q ��•
Phone:(��) `j D 4-( tj S(p Fax: :( ) Amount received:
E-mail: Z, 1 t, l CJ 1 , J (� 4 r L r t`p\/V� PHOTOVOLTAIC SOLARPANEL L SYSTEM FEES*
Co 1 rcial and residential prescriptive inst ron of
CONTRACTOR roof- mounted PhotoVoltaic Solar P System.
Business name: O J C JY�lj�R l) Lel `O V-) - Submit t 2)sets of roof plan connection details
Li
G (� �� 7 and fire dep t access ong with the 2010 Oregon
Address:
\ 32's 5 �(j �`� Solar Installation SpWia'lly Code checklist.
City/State/ZIP: (� Q�'-�}1 , p�/1� 'f PermitF rnclu plan review $180.00
160 and adminis ve fees
Phone:�� "10 - s Fax.( ) State surcharge(12%of permit $21.60
CCB lie.: ZQ y S �(0 Total fee due upon application: $201.60
Authorized signature: k A This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: J V � -�� Z 1 t, 11� Date: f r / Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received permit No.:
ME
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175
❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-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. ❑ I ❑ 1 ❑
3 Verification ofapprovedplat/lot. ❑ I ❑ I ❑
4 Fire district approval required. Name of district: ❑ 1 ❑ 1 ❑
5 Septic sstem permit or authorization for remodel. Existing system capacity ❑ I ❑ I ❑
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 4-8.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 El 1:1 El
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 Oregon and shall be shown to be ai2plicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Three 3 site plans are required for Item 11 above. Site plans must be 8-1/2"x 1 I"or 11"x 17". ❑ ❑ ❑
24 Two 2 sets each are required for Items 16, 19,20 and 22 above. ❑ I ❑ I ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ I ❑ ❑
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 pfior to September 9, 1995.
1:\3uilding\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEV13l_,OPMLN'I'DEPART"MI-NT
C
OY:- =- Building Permit Review — Residential
Building Permit #: 6`1 5—, C�o 1 5—oda S`f
Site Address: I-J M c-.L)o,n a,(4
Project Name: Lot #:
(New dwelling=subdivision name;:Addition or:Alteration= last name of owner)
Planning Review
Proposal: w Gi'toa'ci . -i'1 -G =1 .- ho 6&-Qw % u../t.s. �Ju k v,,;-f'lA',—t
a , 2yiSl14- 5 +,4e o-r leioM�
Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes No
Site Plan l7-lcments:
,r hree(3) copies of site plan ,1N�T3sisting structures on site
;S�5ite plan must be on 8-1/2"x 1 1"or 1 1 s 17"paper Footprint of next structure(including decks) with finished
E�'Dravvn to scale (standard architect or engineer scale) NA floor elevations
"North arrow titin-locations(required for new,may apply for additions)
,Lite address,project or subdivision name and lot number Location of wells/septic systeuns
fkJ-\pplicant 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.)
r.NI ,X-ot area,building coverage area,percentage of coverage and ®Street names
impenv,ous area (applicable if R-7,R-12,R-25&R-40) Street tree size,t\1pe and location
Property corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree
N� 4 foot differential) rotection measures
Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1990:
Required: ❑ Ves,applicant was notified ,rNo Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified Ar No :-Applied For: ❑ Yes ❑ No,stop intake
Land Use Case #: N /a
T
Zoning: k - 3 , S
,S'Setbacks: Front Rear Side 5 Street Side Garage
�Landscape Requirement: %
t C�Lot Coverage Maximum: %,
Building Height: Maximum 1-Icight '30 Actual Height S�'+'�
Visual Clearance
9 Easements _ `(-iS4 - E'f1L- h UT W ��� it Cts l'r �F��� l'ieJ S , f G1rU�Jt ✓�t�
�rlI W 1
Sensitive Lands: ❑ Yes ❑ No Type
croan Forestry Plan
onditions "M'et"prior to issuance of building permit
Notes:
Approved By Planning: CQ/� j�� L �( [��?,��� Date:
Revisions (after Building Submittal orgy) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ approved ❑ Not Approved
I:\Building\Forms\BldgPe,roiitRvw_RES_070915.docz
Building Permit Submittal
Original Submittal Date: /X/Sw 5
Site Plans: # 3
Building Plans: #
Building Permit#: 2 Enter building permit# above.
Workflow Routing: Er Planning U-1-ngineering Lg Pernut Coordinator -O'Buflding
Workflow Sign-off: ff 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.
C�Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: a�
Engineering Review
ASlope at building pad:
/Conditions "IVIet"prior to issuance of building pernut
X-,,Easements (encroaclunents) per engineering conditions of approval and plat
/ \\/ater Quality/Quantity 1 acihtx,:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: ��.. :;45
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
&LConditions "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: El Yes El N/A
OK to Issue Permit
Approved by Permit Coordinator: /l/ Date: I 10 l ,S
I:\Bui IdingTornu\BldgPermiIR\,w RES-0 70915.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10375 SW MCDONALD ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00254
David Young
Deck and exterior wall final ok per approved plans.
Owner to finish installing screws in deck rim to joists.
Smoke detectors installed.
Violation Summary:
Inspector Contractor