Permit Building Permit Application EXPIRED *77/4; ,rrokiL91,
Residential 1i0 FOR OFFICE USE ONLY
Received ��
City of Tigard` Date/By: 9 , ,,..5-77
Permit No.: 5j� �..r r 1 S
III II 13125 SW Hall Blvd.,Tigard, `y7 Plan Review 1 _y Kl
Phone: 503.639.4171 Fax: 5 t'.' .. •60 q 0 Date/By: Other Permit:
Y
t t �,l J Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov 0��te(*1
Notified/Method: Supplemental Information
TYPE OF��N��F SD" REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 4emolition 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.
I-and 2-family dwelling 0 Commercial/industrial Valuation: $ _
Accessory building
0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /0‘90 S ID PAKn S y- New dwelling area: square feet
City/State/ZIP: 17,¢itd dA CGarage/carport area: square feet
E9 223
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: 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.
Valuation: $
CO.1 e�.ed � /-i d old r,�,,, pe Existing building area: square feet
(/ Re-ph-cal �-vV New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: / C/t/ly J G E6E c.:0 Q-1 r 3:3aio,- Type of construction:
Address: /Q c, b ,5 id Aix 3 ' Occupancy groups:
City/State/ZIP: / / �K Q 0/e Existing:
Phone: p3) – � 7 � y )Fax:( ) New:
0 APPLICANTS.,.// 0 CONTACT PERSON NOTICE
Business name: Ltyiy•ie All contractors and subcontractors are required to be
Contact name: 0 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: �Q� jurisdiction in which work is being performed.If the
City/State/ZIP: S,,f_/y & 45 4561 applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
CONTRACTOR
Business name: 0/1}6fe- - BUILDING PERMIT FEES*
Address: � (Please refer to fee schedide
City/State/ZIP: S/4-1A-e /� �Q Structural plan review fee(or deposit): 6 F
Phone:( ) Fax:( ) /1 FLS plan review fee(if applicable):
Total fees due upon application:
CCB lic.: / —
Amount received:
Authorized signal -• This permit application expires if a permit is not obtained
.dgire If within 180 days after it has been accepted as complete.
Print name: �C ES. Date: i/2/062 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BU -RES PermitApp.doc 11/6/07 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
INDate/13y: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
Associated permits:
I Phone: 503.639.4171 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
TI(.AIM
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: ❑ 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
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 0 0 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 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 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 0 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. 0 0 0
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 0 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 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 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 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 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 0 0
architect licensed in Ore.on and shall be shown to be a..licable to the .ro'ect under review.
JURISIDIC-I'IONAI. 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 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 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, ❑ 0 0
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.
1\Building\Permits\BUP-RES-PermitApp.doc 03/21/06 440-4613T(11/02/COM/WEB)
CXPMEED-
September 11, 2008
Terry Weese
10600 SW Park St.
Tigard, OR 97223
Building Permit: BUP2008-00305 Construction Type: 5B
Address: 13245 SW Falcon Rise Dr. Occupancy Type: R3
Area: ? Sq. Ft. Stories: 1
The plan review was performed under the 2008 Oregon Residential Specialty Code. The review of the
submitted plans will be completed when the following information is provided.
1. Specify what roof covering will be used, adequate for the roof slope.
2. The plan provided is not to scale and contains conflicting dimensions. Draw to scale and
resubmit without conflicting dimensions.
3. Clarify the connection between the post and footing.
4. Provide a roof framing plan.
5. Provide a footing plan.
6. Provide a detail clarifying the attachment to the primary structure, properly flashed.
7. As drawn the "patio cover" is required to have lateral design. Revise to meet engineered design,
or prescriptive code.
8. When responding,provide an itemized letter stating in what way each issue has been addressed
in the revision.
Provide two copies of any necessary revisions. When submitting revised drawings or additional information,
please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists
the City of Tigard in tracking and processing the documents.
Respectfully,
Loraine Sellers
Plans Examiner
loraine@tigard-or.gov
Phone: 503.718.2708
Fax: 503.624.3681
• w
E
Information Notice to Property Owners About
'I ED
Construction Responsibilities Statement
Oregon Law requires residential construction permit applicants who are not licensed
with the Construction Contractors Board to sign the following statement before a
building permit can be issued. [ORS 701.055 (4)]
This statement is required for residential building, electrical, mechanical and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Please check the appropriate box and complete the following statement:
I own,reside in,or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
j' I will be performing work on property I own, a residence that I reside in or a residence that I will
reside in. If I hire subcontractors,I will hire only subcontractors licensed with the Construction
Contractors Board.If 1 change my mind and hire a general contractor,I will contract with a
contractor who is licensed with the CCB and will immediately notify the office issuing this building
permit of the name of the contractor.
I have read and understand the Information Notice to Property Owners about Construction
Responsibilities contained on these two pages and I hereby certify that the information checked and
completed above is correct and accurate. /
IA)
E e
Print n of permit applicant S' ature of p rmit applicant
y z
Date
Permit #: �dQrc/� J3US
This form is supplied to building 31
permit offices by the Oregon ' Address: 10600 SW, i v1.� S/.
er HI
Construction Contractors Board, 1 ‘,.1.,.,7!..,i...t...j /e q 204-)?
as required by ORS 701.055 (6) v. r
Issued by: Date: 46/74—
This copy to issuing permit office