Permit (60) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00202
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/07/2015
Parcel: 2S103DA04300
Jurisdiction: Tigard
Site address: 10660 SW PARK ST
Subdivision: FANTASY HILL Lot: 4
Project: Arreola
Project Description: Adding new patio roof in rear yard, 365 sq ft
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: $6,000.00 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
Fooling Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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 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:
ADD COM VB R-3 0
Owner: Contractor:
ROSALES,LUIS ARREOLA OWNER Required Items and Reports(Conditions)
ARREOLA,JESSICA
10660 SW PARK ST
TIGARD,OR 97223
PHONE: 503-890-8911 PHONE:
FAX:
Total Fees: $399.98
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 issuanc or if work is suspended more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati Cent r. Those rules a set f rth in OAR
952-001-0010 through OAR 952-001-0090. You me obtain a o r direct questions to OUNC by calling 3.232.1987 or 1.800.33 44.
Issued By: Permittee Signature:
Call A. 9.4175 by 7:00 a.m.for the next available inspection datipo
This permit card shall be kept in a conspicuous place on the job site until com. b6tion of the project.
Approved plans are required on the job site at the time of each inspection.
Buildine Permit Avylicati NEC Ell'
City of Tigardnnllnn ReceiPermitNo.:
ved
13125 SW Hall Blvd.,Tigard,OR 97449'V Date/B �}51(�Oj CDaO
Plan Revie J�
Phone: 503.718.2439 Fax: 503.598.1960 DateB : Ckher Pit:
Inspection Line: 503.639.4175 C u k' Date Ready/By: Juris: 0 See Page 2 for
1> 0` 1 "����-' NotitiedlMethod:
Internet: www.tigard-or.gov /r Supplemental Information
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/replacetnent ❑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:
❑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: 10660 SW PARK ST., New dwelling area: square feet
City/State/ZIP:TIGARD OR 97223 Garage/carport area: s f t
Suite/bldg./apt.no.: Project name:ARREOLA Covered porch area: quare eet
Cross street/directions to job site: :3 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:W258612 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S103DA04300 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.
Valuation: S
ADDING NEW PATIO ROOF IN REAR YARD 365'SQ FT Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:JESSICA JOAN PATtNO ARREOLA Type of construction:
Address: 10660 SW PARK ST., Occupancy groups:
City/State/ZIP:TIGARD OR 97223 Existing:
Phone:(503)890-8911 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:SIMPL HOME DESIGNS m K iter
Contact name:MIKE MONTGOMERY Structural plan review fee(or deposit):
Address:5531 SW BUDDINGTON ST FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97219
Amount received:
Phone:(503)515-6495 Fax-:(503)719-4825
(�
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: m /�'1 rlicfr 2 Z J
CONTRACTOR Commerci and residential prescriptive installation of
roof-top mo ed PhotoVoltaic Solar Panel System.
Business name�9�BiEH- r Submit two(2)N
Vkof roof plan with connection details
and fire departmenrakcess,along with the 20 regon
Address: Solar Installation SpecWty SpecCode check
City/State/ZIP: Permit Fee(include Ian $180.00
and administra fees):
Phone:O Fax:()
State surcharge(12°/ permit $21.60
CCB lic.: Total f due upon application: $201.60
Authorized signature: This permit application expires if a per is n btained
within 180 days after it has been accepted as corn tete.
Print name:MIKE MONTGOMERY V
Date:10/19/15 *Fee methodology set by Tri-County Building Industry
Service Board.
\B uilding\Permits\BUP-RESPermitApp.doe 02/24/2011 4404613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and 'Ivo-Family Dwelling
City of Tigard "Received Permit No.:
a 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Assoc`ated ��'
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ® Other: E DECK REPLACED
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zonin Flood lain,solar balance points,seismic soils designation,historic district,etc. Dug
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district:
5 Septic sstem permit or authorization for remodel. Existing stem capacity
6 Sewer permit.
7 Water district approval.
8 Soils report Must carry original applicable stamp and signature on file or with application. M El
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 comer elevations(if
there is more than a 4-11.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 0 11 C1
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 Wail bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive
on-rescritive 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 Z El
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 Oregon and shall be shown to be applicable to the project under review.
23 Three 3 site plans are required for Item 1 I above. Site plans must be 8-1/2"x 11"or l 1"x 1 T'.
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 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.
RE
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 ofapproval.
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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Residential
Building Permit #: aU2--
Site Address: C) Sv.T PCA -\,C- C-
Project Name: h Lot #:
(New dwelling=4ubdivision name;.Addition or.Alteration=last name of owner)
Planning Review
Proposal: N Fav ('C-t" 200 - in rt!cl f' C�-
Verify site address/suite# exists and active in permit system.
4R-River Terrace Neighborhood: ❑ Yes �No
Site Plan Elements:
Three(3)copies of site plan Existing structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17'paper ootprint of new structure (including decks)with finished
�' 7rawn to scale(standard architect or engineer scale) floor elevations
,2 North arrow ty locations (required for new,may apply for additions)
Site address,project or subdivision name and lot number ocation of wells/septic systems
Applicant information(name and phone number) rosion control(including drainage-way protection,silt fence
❑Lot dimensions and building setback dimensions design,location of catch basin,etc.)
----E�Lmt area,building coverage area,percentage of coverage and IIE5Street names
impervious area (applicable if R-7,R-12,R-25&R-40) reet tree size,type and location
--Z441r6 erty corner elevations (2 foot contour lines if more than meting trees to be retained with drip line,and tree
4 foot differentialprotection measures
Water Services-Service Provider Letter(lot platted prior to 9/10/1995): W//\
Required: F-1 Yes,applicant was notified I] No Received: El Yes El No
/ "
�
-$7 u he Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
_Q--hand Use Case#:
XZoning:
Setbacks: Front 2-0 Rear S Side Street Side Z,,C Garage
E9--l-andscape Requirement:
$Lot Coverage Maximum: %
,10 Building Height: Maximum Height Actual Height S
$Visual Clearance
-Q-- asements
$-Sensitive Lands: ❑ Yes ❑ No Type
urban Forestry Plan
—17—Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: OV-h2ft 40Date: OZ5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Fonns\BldgPermitRvw_R ES_0709 l 5.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: # _
Building Plans: # 3
Building Permit#: 2"Enter building permit#above.
Workflow Routing: ❑'Planning D-5ngineering L hermit Coordinator �1 uilding
Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) cope of permit application, (1) site plan, (1) building plan and
original plan review routing form.
wilding: original permit application, site plans,building plans, engineer and
rbeam calculations and trust details,if applicable, etc.
Notes: / q !S T�'rl e-
By Permit Technician: Date: —�
En ineering Review
;ope at building pad: �1
�nditions "Met"prior to issuance of building permit
asements (encroachments) per engineering conditions of approval and plat
XJ
\y'ater Quality/Quantity Facility:
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: -�
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
,XOK to Issue Permit _
Approved by Permit Coordinator: Date: A/
I:\Building`,Fonns\BldgPennitRvw_RES_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti arg d_or.g_ov_
TO: 7(atly, DA
DEPT: BUILDING DIVISION
DEC 3 2015
FROM: fsor� Mor��c.nme Y'y CITY OFMAKU►
COMPANY: S i M Ip( 6-Jome as-ighS BUILDING DIWISI?N
�
PHONE: (,503) 5tS - 095$ BY:
RE: 10660 5 LO Po cue- SV S T 2015 —OU 20Z
e ress ermrt um er
(project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: E_J ey aE t o ns ;r�C,I'a e
"Routed to Permit Technician: Date: jZ 3 — Initials:
Fees Due: Yes No Fee Description: Amount Due:
r $
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes 10
No I ❑ Done
Applicant Notified: M,Itt, tn, I Date: ig 1,3TIr— Initials: ,
I:\Building\Forms\TransmittalLetter-Revisions.doe 05/25/2012
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
10660 SW PARK ST, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00202
Jeff Grove
Violation Summary:
Inspector Contractor