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Permit (75) EXPIRED Building Permit Application 2 .77 /40 466/ A_ , 4 Residential RECEIVED FOR OI l I( I I ()yI.1 11: City of Tigard Received /O0t: i /9- bNT�/i�-d0 tga0�0 Permit No.: 13125 SW Hall Blvd.,Tigard,OR 972230C1:2 2 2012 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: luris: H See Page 2 for Internet: www.tigard-or.gov BUILD r Notified/Method: Supplemental Information TYPE OF WORK w; REQUIRED DATA:I-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/alteratio • -p ace -2 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling Valuation: $ ❑Commerciallindustrial S,d 00 I=1Accessory building ID Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9y/Q S 1.t)s[1/"/pyEx�El) peNew dwelling area: square feet City/State/ZIP: / ,q0` CRC 9?2 2 4/ Garage/carport area: square feet Suite/bldg./apt.no.:l Project name: Covered porch area: square feet Cross street/directions to job site: C�R.A4ER QF /S' ) Deck area: /) square feet c' , nin�R rie--cp ))I '(/E ,4,Aj.O .D W Other structure area: square feet Alai B,eovA /e///J REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: SU/77mFRA CL./2 Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(romded 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. R l F (sr/N6- fizewr � s/ Valuation: $ Existing building area square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: J19,8-2_47— 5 %...._ 9 Av2 Z-- Type of construction: Address: °l uk`0 S t� 5 0 i"11.4.m ir k 1,141 t R Occupancy groups: City/State/ZIP: '-17k 6 im to k C.k"l ',..7,A Existing: Phone:(5,pCtot�,.4.1%1 Fax:( ) New: APPLICANT 'CONTACT PERSON BUILDING PERMIT FEES* (Please refee) Iofeescl*edal Business name: Structural plan review fee(or deposit): Contact name: 8o6 'SeHt•.,ftirt'Z. FLS plan review fee(if applicable): Address: C'ky`© 5 W '1 £-t i 5 v./ t i.l..t t1 City/State/ZIP: _ Total fees due upon application: .4/ R. , 1 Gv., rol 6 �, �7.,‘-‘ Amount received: `r 97. 3' Phone:(5039,4%.2.^(o\k"1 Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: Z v f'P A e6 Art' 304 I^15 N , (.0.,•NCommercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. C,0171.__ Submi wo(2)sets of roof plan with connect' .e .ils Business name: �� and fire .-. a ent access,along wi . . - 010 Oregon Address: /6•V 7 v-w,4d j>/.. Solar Installation ':• laity C.• c ecklist. City/State/ZIP: 6-+ST' �-?p„c)yEz CRC9716 Permit Fee(incl review $180.00 an. •a ministrative Phone:( ) 3,S 7 f)11SS/ Fax:( ) States • arge(12%of permit fee): $21.60 CCB lic.: 7y 6/1,1,11 Total fee due upon appication: : 11.60 Authorized signature/ee: / This permit application expires if a permit is not obtained L within 180 days after it has been accepted as complete. Print name: eIlant3 5eNk Date: C> *Fee methodology set by Tri-County Building Industry t� 9Z . — ^ 2 iL"�� 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 1.()R OI.F1cI: t til: 0\L1 City of Tigard Received Permit No.: Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical IIGi1Rl) p Internet: www.tigard-or.gov 0 Other: 'HIE FOLLOWING ITE\IS .VZE REQS IRED FOR PLAN REVIEW les No Nig 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ■ • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑ 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: 0 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ ❑ 6 Sewer permit. ❑ 0 ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ El ❑ 9 Erosion control 0 plan 0 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 tha 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 0 ❑ ❑ 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, 0 ❑ ❑ 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- 0 ❑ ❑ 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 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 0 ❑ ❑ architect licensed in Ore:on 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". ❑ ❑ 0 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. 0 ❑ ❑ 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, 0 ❑ ❑ 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\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) EXPIRED10 1111‘ • ' Building Division 44/ Development Code Provision Review c' Ez D Residential Projects Building Permit No.: M'a i 9.O/a - Cd a t0 p Site Address: 91//6 to - u,4 iffhF.t--b D2 Project Name&Lot No.: ctelft.c-V}i2-?1 CWS Service Provider Letter Required: Yes ❑ No 0 Received: Yes ❑ No 0 Routed Plans: Original Plan Submittal Date: /D/JAS//A, 1st Revision Submittal Date: 0 Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re-submittal. For questions please contact the appropriate staff person(s)listed above each section. Staff: please check items along leftonly if approved./ Planning Review(contact `4 at 503-718-2 Y''f or 11-4, @tigard-or.gov) Land Use Case No. ❑ Zoning g —7 4i-t 4 ek 4 d/f--C,7 • ❑ Setbacks: Front Rear Side Street Side Garage ❑ Maximum Building Height Actual Building Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: ]]_ f , Note : y/� / . 7 17 ! e % 2r/�C2v, / • , k /trTU el ''cc! Original Plan: Approved 0 Not Approved Date: i°--2—Z- —/Z- Revision 1: Approved ❑ Not Approved 0 Date: Revision 2: Approved 0 Not Approved 0 Date: Engineering Review(contact Mike White at 503-718-2464 or MikeW@tigard-or.gov) ❑ Actual Slope: Notes: ci i/k Original Plan: Approved 0 Not Approved 0 Date: Revision 1: Approved 0 Not Approved 0 Date: Revision 2: Approved 0 Not Approved 0 Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review(contact Todd Prager at 503-718-2700 or todd@tigard-or.gov) ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved 0 Not Approved 0 Date: Revision 1: Approved 0 Not Approved 0 Date: Revision 2: Approved ❑ Not Approved 0 Date: Permit Coordinator Review(contact Albert Shields at 503-718-2426 or albert@tigard-or.gov) ❑ Conditions of Appr val rior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes 0 No 0 Date Routed to Building: Page 2 of 2