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Permit (33) CITY OF TIGARD MASTER PERMIT 114 I: ' COMMUNITY DEVELOPMENT Permit#: MST2016-00142 ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2016 T I- 9 Parcel: 2S103AC01800 Jurisdiction: Tigard Site address: 11200 SW FONNER ST Subdivision: None Lot: None Project: LIN Project Description: 56 sq.ft. covered porch. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: No Total: 0 sf Value: $4,000.00 Rear: 15 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 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<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: ALT SF VB R-3 0 Owner: Contractor: LIN,JESSICA CHIACHI OWNER Required Items and Reports(Conditions) CHOW,TATUNG JESSICA LIN 498 JEROME ST 498 SW JEROME ST SAN JOSE,CA 95125 SAN JOSE,CA 95125 PHONE: PHONE: 408-368-0739 FAX: Total Fees: $327.13 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 w rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce -r. ose re set forth in OAR 952-001-0010 through R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 . •8 o 1.800.332.- • K i 911,, Issued By: 2.415?- 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. i r Building Permit Application Residential ] FOR OFFICE USE ONLY C' f T>< and Received 4 ltd O g Permit No.: IN13125 SW Hall Blvd.,Tigard,OR 1,2236\8 Date/By: �� 1-1 Q1 - el-)144"1 g 16 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 1 �.0 � ' Other Permit: 1 Date/By: TIGARD Inspection Line: 503.639.4175 peR Date Ready/By: Juns: 0 See Page 2 for Internet: www.tigard-or.gov �� look- � Notified/method:1i A ict �'a I Supplemental Information TYPE OF W i � �i���1- € t•gill' T�-S4 l� REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction dl�'emolition 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. Valuation: $ //0D J41-and 2-family dwelling 0 Commercial/industrial 7" r 0 Accessory building 0 Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: //Zit $ J Fenner 45.tv New dwelling area: square feet City/State/ZIP: 7)1 ard t ©/'C f7-).- -? Garage/carport area: square feet Suite/bldg./apt.no.: J Project name: zip,/ Covered porch area: 6square feet Cross street/directions to job site: Deck area: 0 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. 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. Cev or PPrd Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: �?SS/ � L//� ' /'/, S// H/ Type of construction: Address: 4498. 0-,e�,,, J ,, Occupancy groups: City/State/ZIP: S VO ,P l 9�7y5— Existing: Phone:( 4/ ) ..) C5 0 7 / Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): Contact name: D,1/Ai FLS plan review fee(if applicable): Address: Total fees due upon application: iF 7 City/State/ZIP: �5- Amount received: Phone:( ) Fax: :( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: owner Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon application: $201.60 Authorized signature: .•. i This permit application expires if a permit is not obtained Print name: lin juy:41111111" Date: within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:A Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One— and Two—Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: l Blvd.,IIITpermits: IC Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW t"eS No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0 3 Verification of approved plat/lot. ❑ ❑ . CI - 4 Fire district approval required. Name of district: CI CI CI 5 Septic system permit or authorization for remodel. Existing system capacityCICI , CI 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 0 plan 0 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 ❑ ❑ El 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 ❑ 0 ❑ 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- 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. ❑ ❑ ❑ 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 0 ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ ❑ 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 0 ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ _ CI 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 0 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 0 ❑ ❑ architect licensed in Oreton and shall be shown to be a..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". ❑ ❑ ❑ 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. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 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 0 ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑ and protection measures must be drawn to scale and must include theproject 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\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t. J r City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT T I c A li n Building Permit Review — Residential Building Permit #: — i(o__ yo, Site Address: //Q c) 7n, j- ,- 7:7 3, Project Name: /---/?? 4L- G1i<Y,��i___ Lot #: (New dwelling=subdivisio name;Addition or Alteration=last name of owner) Planning Review //�� // Proposal: / ie ) 4777L �boji_.Gt_ riAV.erify site address/suite#exists and actio in permit system. Orkiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ViThree(3)copies of site plan xisting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished IIV awn to scale(standard architect or engineer scale) floor elevations rth arrow ity locations(required for new,may apply for additions) IS.e address,project or subdivision name and lot number cation of wells/septic systems plicant information(name and phone number) j osion control(including drainage-way protection,silt fence 1T of dimensions and building setback dimensions /esign,location of catch basin,etc.) Ii L' t area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) ,eet tree size,type and location operty corner elevations.(2 foot contour lines if more than 11 *.'sting trees to be retained with drip line,and tree 4 foot differential) protection measures lean Water Services—Service Provider Lette of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑talPOublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake land Use Case#: oning: ie- 1/ c Setbacks: Front p20 Rear f Side 5 Street Side , O Garage Q0 pr,.andscape Requirement: id ffot Coverage Maximum: cyo ) i ilding Height: Maximum Height 30 Actual Height _ __L9.72-porch_ Dilly, pt'isual Clearance pbasements �� i rnsitive Lands: ❑ Yes 1: No Type ban Forestry Plan p&nditions "Met"prior to issuance of building permit Notes: Approved By Planning: -- 111111111111M Date: 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved 1:\Building\Forms\BldgPermitRvw_RES_012116.docx r Building Permit Submittal Original Submittal Date: -00C Site Plans: # Building Plans: # Building Permit#: nter 'ding permit#above. Workflow Routing: annin ngineeringeL�1 rmit Coordinator ❑ -Building Workflow Sign-off: ign-off for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and ori 'nal plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: '�� Date: 4/4 /i& 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 ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No NOT Approv-d by E gineering: �� Date: -/ -- Notes: , e i c7. ,7 -.09—v.-.014W .� _ _ r �/ 5'G..e5 Ar4:42.". a ' -v i Approved by Engineering: 0/C per 61-- D Date: 1--/ 9 -/ (o Revisions (after Building Submittal only) 5 e c r1,. 14_5 �tl ^' 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: fb me r ; s Sq- ' lti l-' r.q kf of w (02'1 -f-I , -c e e.N-1-c.1 ;\, -) . Ey i s 4-:vt.g \ s 10 ' 4.0 c.e,-.-1-e. l ,ts" a". a d d;-f; uvt a 1 7 -4ee-+ v);a e Revisions (after Building Submittal only) Code . 020 -(7. se-,bac./c ;s ve �iu,,-e d hu r f peer-1•e_s Can t,^cw Rcti 3 { �-fu -�'!-- j[�hac/L Revision Notice 1: Date Sent to Applicant: sh,-s relai n.G✓dalMl Revision Notice 2: Date Sent to Applicant: -h a Jeal. i Klro s -f�ha ac_ o n t Revision Notice 3: Date Sent to Applicant: J ,. 4- iA -1.1-c c4d•e . `Wash Co Trans Dev Tax: [Y N/A i e. 73o. 0 so - (� [ SDC Fees Entered: ❑ Yes Tigard Trans SDC: ❑ Yes C N/A Parks SDC: ❑ Yes L N/A OK to Issue Permit Approved by Permit Coordinator: el e.c 4,.... Date: l:,Building\Forms\BldgPennitRvw_RES_0121 16.docx