Permit a
CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permltf: MST2016-00001
Date Issued: 01/19/2016
. s 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103AC06900
Jurisdiction: Tigard
Site address: 12933 SW 113TH PL
Subdivision: FONNER WOODS Lot: 5
Project: KILLIAN
Project Description: Removing wall between rooms, adding beam, adding closet,and moving door.
BUILDING
Floor Areas Required Setbacks Reauired
Stories: 0 Bedrooms: 0 First: 0 at Basement. 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second'. 0 sf Garage: 0 at Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: No
Total. 0 sf Value: $6,250.00 Rear: 0
PLUMBING
Sinks: 0 WaterClosets: 0 Washing Mach. 0 Laundry rays: 0 Rain Drain: 0 nna s:
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF RainStorm Sewer: 0
Tub0s/Shcwers: 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 Tvges Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Omer Units: 0
Fum<100K: 0 Vents'. 0 Woodstoves: 0 Gas Outlets: 0
Fum>=1001: 0
ELECTRICAL
Residential Unit Service Feeder Tema Smc/Feeders 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 401600 amp. 0 401-600 amp: 0
601-1000 amp: 0 601-amp-1000v: 0
1000tamp/volt 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr.. Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
KILLIAN,RICHARD V JEFFREY D BAUER CONSTRUCTION Required Items and Reports(Conditions)
NOXEL,SHERRI A 33030 CORRAL CREEK RD
12933 SW 113TH PL NEWBERG,OR 97132
TIGARD,OR 97223
PHONE: PHONE: 503-5384663
FAX
Total Fees: $322.40
This permit is issued subject to the regulations contained in the Tigard Municipal Cade, 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 form in OAR
952-001-0010 throu R 95 1--000/090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.800.332.234
Issued By:��T V�'cCJ � _ Permittee Signature: I)
Call 603.639.4175 by 7:00 a.m.forthe next available Inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion he project.
Approved plans are required on the job she at the time of each inspection.
Buildine Permit Application
Residential
CI of Tigard Received
City g G`�1 vD Date By: / S 1Permit No.: Sr `
13125 SW Hall Blvd.,Tigar 1./ plan Review, //
Phone: 503.718.2439 Fax: 0 . .1960 e Q,6 Date/B : G Odrer Permit:
Inspection Line: 503.639.4175 ppt,\ J Date Ready/By: - J.'N ® See Page 2 for
Internet www.tigard-or.gov �lk9 dD NotifiedNeumd: � Supplemental Information
nr,f SGP t�
TYPEG Vitt REQUU=DATA:1-AND 2-PAM1ILY WAXPJNG
❑New construction Demolition Permit fees•are based on the value of the work perforrned.
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.
C7 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: 3
Job site address: I �_)c 3J S W 3 '_, k t o . Nev, dwelling area: //A square feet
City/State/ZIP: _r I Y Garage/carport area: AA square feet
Suite/bldg./apt.no.: Project name: ul/ 14v Covered porch area: Ntj square feet
Cross street/directions to job site: _ 4y 11 .3
_ Deck area: 4/() square feet
Other structure area: AA square feet
REQUIRED DATA:COMMERCUL USE CHECKLIST
Subdivision: 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.
Valuation: $
lSec ,.v— rA A r4of-e, Y Existing building a a: square feet
New building area: square feet
t2 PROPERTY OWNER 13TENANTNumber ofstories:
Name: ,N 6'r"r i�� 3(r./�/ Type of construction:
Address: 29 3-3 S Lv 3 Occupancy groups:
City/State/ZIP. -T t 6'xr a (L Existing:
Phone:( ) _ Q Fax:( ) New:
10 APPLICANT ❑ CONTACT PERSON. - - BUILDING PERMIT FEES"
Business name: , . - naseMier ro scArJa2e
e� G` C ,m<.J'4Structural plan review fee(or deposit):
Contact name: — ��••,,�
Address: 3303 0 E �ctr� C � FLS plan review fee(if applicable):
�v Grt
City/State/ZIP: y,'b 4 / 131— Total fees due upon application:
I Amount received:
Phone:( ) �_ Fax::( )
E-mail: .� + ,;L- - dt PHOTOVOLTAIC SOLAR PANEL SYSTEM !
S•
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
e _ °�'v'F and fire department access,along with the 2010 Oregon
Address: ,.3 iV t C vrmk L rt , Solar Installation Specialty Code checklist.
City/State/ZIP: t d R_ -7132- Permit Fee(includes plan review S180.00
tA3and administrative fees):
Phone:( ) (— ILIFax:( ) 71State surcharge(12%of permit fee): $21.60
CCB Iic.: ! f Total fee due upon application: $211 L60
Authorized signature: U� This permit application expires if a permit is not obtained
_ FF// within 180 days after it has been accepted as complete.
Print name: J Q Date: _ 'Fee methodology set by Tri-County Building Industry
QI/u•V
__ / —� � � O Service Board.
1: Building Permits.BUP-RESPennitAppAm 02 24 2011 440-4613T(1102-COM'WEB)
Buildin¢ Permit Application Checklist
One- and Two-Family Dwelling
City of Tigard Received
`'r g Dale�F3y: Permit N.
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ F.Icctrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov Dther.
I Land use actions completed. Sec'urisdiction criteria for concurrent reviews.
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approvedplat/lot. ❑ ❑
4 Fire district approval required. Name of district:
5 Septic sstem 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 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.
I 1 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 2-11.intervals); location of easements
and driveway; footprint of structure(including decks); location of wellstseptie systems; utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious arca;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, El E-1 EJ
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- ❑ Cl ❑
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 multiplejoists ❑ ❑ ❑
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 andshall be shown to be applicable to the project under review.
E401 1111121 NMI
23 Three 3 site plans are required for Item 11 above. Site plans must be 8-1/2"x 11-or 11"x 17. Li Li U
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 Tans must meet criteria outlined in the Permit& Svstem Develo ment Fees document. Li
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 Seryices' Sensitive Area Pre-Screening Site.4.s.sessmew 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 a roved prior to September 9, 1995.
C Building Permits BUP-RESPemti1App.doc 02 24 2011 4404613T(1102 COM WEB)
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
12933 SW 113TH PL, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00001
David Young
Violation Summary:
Inspector Contractor