Permit (28) CITY OF TIGARD MASTER PERMIT
`' I COMMUNITY DEVELOPMENT Permit#: MST2016-00013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2016
Parcel: 2S110BD03200
Jurisdiction: Tigard
Site address: 14916 SW 116TH PL
Subdivision: HELM HEIGHTS Lot: 9
Project: Hopkins
Project Description: Replace existing deck and extend roof line.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 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: $40,000.00 Rear: 0
PLUMBING
Sinks:
0 Water Closets: 0 WashingMach: 0 LaundryTrays: 0 Rain Drain: 0 Urinals: 0
Y
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<10OK: 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 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:
HOPKINS,GENE H ZUVER CONSTRUCTION LLC Required Items and Reports(Conditions)
14916 SW 116TH PL 20449 SW TV HWY#209 1 Special Inspection(see
TIGARD,OR 97224 ALOHA,OR 97006 plans)welding
PHONE: 503-648-4571 PHONE: 503-649-4380
FAX:
Total Fees: $1,210.07
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 iss ance, or if work is pended for more the 180
days. A 1 •,. Oregon law requires you to follow the rules adopted by the Oregon Utility Notificat: Center. Those rill:s are set forth in OAR
952-0, -0010 through••R• '-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli !. 0 .232. •87 or 1.800.332. 44.
/Is ued By: Permittee Signature:
• 4 ��w i
Call 503.639.4175 by 7:00 a.m.for the next available inspect e.
- This permit card shall be kept in a conspicuous place on the job site until c•..• etion of the ,roje .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 24)
Residential FOR OFFICE USE ONLY
City of Tigard RECEIVED Received q )g A^ PermitNo..ML5��t�-t '/ 13
PlanDatev: - J / ` YJ
� N 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie r
Phone: 503.718.2439 Fax: 503.598.1960 FEB 3 2015 Date/By: X/iC:, Other Permit:
T I G A R D Inspection Line: g 03 .63 .4175 Date Ready/By. 1G ] suns Ea See Page 2 for
Internet: www.ti and-or. ov CITY OF TIGA?-.D Notified/Method: / I/�(p 677 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/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ l 0
00
0 Accessory building 0 Multi-family Number of bedrooms: 1 "
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: 14916 SW 116`h P1 New dwelling area: square feet 7
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Z1'
Suite/bldg./apt.no.: Project name: type€,► Covered porch area: square feet
Cross street/directions to job site: 1" Deck area: 653 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
fax map/parcel no.: 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: $
Replace Deck&Extend Roof Line Existing building area: square feet
New building area: square feet
El PROPERTY OWNER 0 TENANT Number of stories:
Name: Gene Hopkins Type of construction:
Address: 14916 SW 116th P1 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)648*4571 Fax:( ) New:
APPLICANT: ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Zuver Construction LLC (Please relerrofee schedul
Structural plan review fee(or deposit):
Contact name: Wade Zuver
FLS plan review fee(if applicable):
Address:20449 SW TV hwy#209
City/State/ZIP: Aloha,OR 97006 Total fees due upon application:
Phone:(503)649*4380 Fax: :( ) Amount received: .51a, 51
E-mail:w.zuver@zuverconstruction.com PHOTOVOLTAIC SOLAR PANEL,SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mou •d Photo Voltaic Solar Panel System.
Business name:Zuver Construction LLC Submit two(2)se . of roof plan with connection details
and fire department • cess,along with the 21 : Oregon
Address: 20449 SW TV Hwy#209 Solar Installation S'pecr. tv Code ch tst.
City/State/ZIP:Aloha,OR 97006 Permit Fee(includes 41.• eview
$180,00
and admi.' ra' e fees):
Phone:(503)649-4380 Fax:( ) _ State surchar. 2%of permit e): $21.60
CCB lic.: 183347 7 o‘
ee due upon application. $201.60
Authorizedsignature: This permit application expires if a per, it is not obtained
within 180 days after it has been accepted as complete.
Print name:Wade Zuver Date:2/1/16 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\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 ONLY
City g of Tigard Received
Permit No.:
13125 S W Hall Blvd.,Tigard,OR 97223 Date/By
>Q Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. El 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ El El
3 Verification of approved plat/lot. El El ❑
4 Fire district approval required. Name of district: ❑ ❑ El
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ CI
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. El 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control 0 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
copyright violations exist.
II 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, ❑ ❑ El
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- ❑ ❑ El
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. ❑ ❑ El
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- ❑ ❑ 0
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 ❑ El ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ El El
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El ❑ 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 Oreton and shall be shown to be as e licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 El El
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 El 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. El 0 El
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ El
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.
I:\Building\Permits\Bl1P-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
111111 City of Tigard
41COMMUNITY DEVELOPMENT DEPARTMENT
T(G A R D Building Permit Review — Residential
�.
Building Permit #: ac 1 to 00 O 6 /3
Site Address: 1149 It/ S w 1 I & 4''1 P L
Project Name: HO/ l'Zl 1r1.1 Q-eC(-- Lot #:
(New d elling=subdivision name;.Addition or Alteration=last name of owner)
Planning Review P-00
Proposal: KeP1C(CL D-eutt Ong 04 .e)(1-(A-70( r
xe'Verify site address/suite# exists and active in permit syste .
❑ River Terrace Neighborhood: ❑ Yes No
Site Plan Elements:
Three (3)copies of site plan XrExisting structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paperootprint of new structure (including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
r North arrow ,Utility locations(required for new,may apply for additions)
AS to address,project or subdivision name and lot number .cation of wells/septic systems
pplicant information (name and phone number) -8-Erosion control (including drainage-way protection,silt fence
Sot dimensions and building setback dimensions esign,location of catch basin,-ffrETt area,building coverage area,percentage of coverage and treet names
impervious area(applicable if R-7,R-12,R-25&R-40) Jreet tree size,type and location
property corner elevations (2 foot contour lines if more thanxisting trees to be retained with drip line,and tree
4 foot differential) protection measures
lean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified E No Received: ❑ Yes E No
�PGG5.c Facilities Improvement (PFI) Permit:
/ Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
and Use Case #:
.r Zoning:
XSetbacks: Front 20 Rear i Side c. Street Side /5" Garage
�L'J Landscape Requirement: °/0
.�Lrot Coverage Maximum:
Building Height: Maximum Height 30 Actual Height
Visual Clearance
sements
ensitive Lands: ❑ Yes ❑ No Type
Urban Forestry Plan
,onditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: 5170 'tel //IC ofi_ 1A/L Date: 213 / `,b
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved E Not Approved
l:\Building\Fonns\BldgPennitRvw_RES_070915.docx
Building Permit Submittal /
Original Submittal Date: 3//lp
Site Plans: # `
Building Plans: # -j
Building Permit#: [Enter building permit#above.
Workflow Routing: p-Planning Engineeringermit Coordinator ❑ Building
Workflow Sign-off: ErSign-off for Planning(include notes from planning review)
Route Application Documents: g--"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
2uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,_ -.0`,/_; _ Date: ,p/3/4
ngineering 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 I No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 1_..-- ) Date: .2_, --/A
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:
Fp SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 0— /A
Tigard Trans SDC: ❑ Yes I.- N/A
Parks SDC: ❑ Yes p N/A
1 OK to Issue Permit -
//1Approved by Permit Coordinator: ,/Cf v Date: 4 -i
I:ABuilding\Fonns\BldgPennitRvw_RES_070915.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
14916 SW 116TH PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
MST2016-00013
David Young
Provide approved electrical and mechanical final inspections prior to or with building
final.
Violation Summary:
Inspector Contractor
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
14916 SW 116TH PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
FAIL
MST2016-00013
David Young
Provide gas line pressure test for line changed after original gas line test.
Schedule mechanical final with building final inspection.
Violation Summary:
Inspector Contractor
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
14916 SW 116TH PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00013
David Young
Violation Summary:
Inspector Contractor