Permit (42) CITY OF TIGARD MASTER PERMIT
ill ' ' COMMUNITY DEVELOPMENT
Permit#: MST2016-00264
T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016
Parcel: 1S125DC09000
Jurisdiction: Tigard
Site address: 7206 SW ASH CREEK CT
Subdivision: ASH CREEK ESTATES Lot: 23
Project: Houck
Project Description: Add to existing deck(143sf)and covered area over deck(100sf).
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
Yes
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors:
Total: 0 sf Value: $22,500.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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 addl 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:
HOUCK,JAMES MICHAEL&GAIL M Required Items and Reports(Conditions)
7206 SW ASH CREEK CT
PORTLAND,OR 97223
PHONE: 503-730-2868 PHONE:
FAX:
Total Fees: $850.64
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all oth- -pplicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days • su- e, or if work is s pended for more the 180
days. ' 1 • . Oregon law requires you to follow the rules adopted by the Oregon Utility •tification Ce . Thos= rule are set forth in OAR
95 .01-0010 through••R 95 :• #.90. You may obtain a copy of the rules or direct questions to OUNC by•ailing 503.232.1•:7•r 1.800. 32.234,.
/ 0111
I:sued By: , /� ...4.4._ "��./ Permittee Signature:
Call 603.639.4175 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 pro'=ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicati
Residential . tC Ei 1 id FOR OFFICE l. SE("IA
Cityof TigardPermit No.:
g , , 2 Received: ��/l 510110'
13125 SW Hall Blvd.,Tigard,OR 9722$1)�! 2016
Plan Review 'I2.3 I _ Other Permit:
s Phone: 503.718.2439 Fax: 503 598 1960 Date/By: • / J
T 1 G A R D Inspection Line: 503.639.4175 s •� r,11' i(� 0 1 Date Ready/By: �p / Jm9s: H See Page 2 for
Internet: www.tigard-or.gov 3 Notified/Method�p 7 /6 ,./ I Supplemental Information
I' 'ii d i+,yrY_,, �w 1
IN .,'Ii.Itit1al. • I�x., t1,:. t
TYPE OF WORK -`� REQUIRE I 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.
x/:_and 2-family dwelling ElCommercial/industrial Valuation: $ 22,500
0 Accessory building 0 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: 7206 SW Ash Creek Ct. New dwelling area: square feet
City/State/ZIP: Tigard, 012 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Covered porch area: 100 square feet
Cross street/directions to job site: Deck area: 143 new square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax 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.
Add on to existing deck; add roof overhang on Valuation: $
Existing building area: square feet
portion of deck
New building area: square feet
XPROPERTY OWNER ❑ TENANT Number of stories:
Name: Mike Houck Type of construction:
Address: 7206 SW Ash Creek Ct. Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:(50330-2868 Fax:( ) New:
APPLICANT CONTACT PERSON BUILDING PERMIT FEES*(Pleas
Businessname: Doug Ziebart Construction, Inc. viewere(ordo eeosit):le)
Structural plan review fee(or deposit):
Contact name: Doug Ziebart
FLS plan review fee(if applicable):
Address: PO Box 80402
Total fees due upon application:
city/state/ZIP: Portland, OR 97280 ��//
Amount received: T1�-7 3.—•
Phone:(503 )307-4114 Fax::(503)245-5433
E-mail: zbart3@comcast.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR _ roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit t • 2)sets of roof plan with connectio s . ails
Doug Ziebart Construction, Inc. and fire depart • access,along with •- `110Oregon
Address: same as above Solar Installation Spe '• Co,• ecklist.
Permit Fee(in_ •-s .- review
City/State/ZIP: administrative s : $180.00
Phone:( ) same as above Fax:( ) same as above State rcharge(12%of permit fee) $21.60
CCB lic.: 96471 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
ol within 180 days after it has been accepted as complete.
Print name: Date: *Fee methodology set by Tri-County Building Industry
Douglas G. Zieb t, Pres. 6/22/16 Service Board.
I:A Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE Gsl: ONLY
City of Tigard Date/By: Permit No.:
114 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
_ Phone: 503.718.2439 Fax: 503.598.1960 Received
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIGARD
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es No N/A
1 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 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 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
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.
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 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 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.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
!PI ■
T 1 G A 1z D Building Permit Review — Residential
Building Permit #: i H dao i io- o o a Cn q
Site Address: /?gulp (-f (.
Project Name: #1c C Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ti 10 exv (At-a_
xC Verify site address/suite# exists and active in permit system.
XRiver Terrace Neighborhood: A No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
ree(3)copies of site plan Existing structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper [Footprint of new structure(including decks)with finished
3gDrawn to scale(standard architect or engineer scale) floor elevations
'orth arrow Utility locations (required for new,may apply for additions)
Site address,project or subdivision name and lot number s ocation of wells/septic systems
Applicant information(name and phone number) xisting trees to be retained with drip line,and tree
Lot dimensions and building setback dimensions protection measures
( Lot area,building coverage area,percentage of coverage and Street tree size,type and location
"1 impervious area(applicable if R-7,R-12,R-25&R-40) Street names
Nrjel roperty corner elevations(2 foot contour lines if more than
11-foot differential)
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified $1 No Applied For: ❑ Yes ❑ No,stop intake
,Land Use Case#: 0/ Pc- A but vi C%Cer'W-cG,
zoning: P--4-s— ( F D
Setbacks: Front I Rear IS Side c 3 Street Side J/f}--Garage 1
Landscape Requirement: _
KLot Coverage Maximum:
Building Height: a xim um Height Actual Height- 2.0
Visual Clearance
Easements , r
Sensitive Lands: 1Yes ❑ No Type MOkry L l v V eA kki.(' h&1 h 1±,t-t"
Urban Forestry Plan NI
Conditions "Met"prior to issuance of building permit IQ/
Notes:
Approved By Planning: Date: 2'2'
Revisions (after Building Submittal onl Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_060116.docx
S
Building Permit Submittal
Original Submittal Date: (a/P-W/0
Site Plans: # ?j
Building Plans: # S
Building Permit#: ILJ Enter building permit#above.
Workflow Routing: Er Planning Engineering 2--i-Permit Coordinator .'Building
Workflow Sign-off: C"Sign-off for Planning(include notes from planning review)
Route Application Documents: [i]' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Er Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: c--k-- o.,0"4,, , Date: (,/,y/4 fE gineering 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 Approved by Engineering: Date:
Notes: ��
Approved by Engineering: itZ"- Date: �'' keLI
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 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:
I SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ‘,0 /A
Tigard Trans SDC: ❑ Yes •M.', N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
pproved by Permit Coordinator: 711(---Date: 3//6
I:\Building\Forms\BldgPerniltRvw_RES_060116.docx