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Permit (90) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017 00251 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2017 Parcel: 2S 104AC 14400 Site address: 12990 SW HILLSIDE TER Jurisdiction: Tigard Subdivision: HILLSIDE ESTATES Lot: 9 Project: HONG Project Description: Interior Remodel: Removing existing shear wall and relocating it to adjacent wall. Electrical permit to be submitted online. BUILDING Floor Areas Required Setbacks Required Stories: 3 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: Total: 0 sf Value: $25,000.00 Rear 0 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 0 LaundryTrays: 0 Y 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: p Water Lines: 0 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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 P W/Svc or Fdr: 0 Ea add!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 SecurityAlarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: N Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: HONG,LIEN Al LEDGEWOOD CONSTRUCTION LLC Required Items and Reports(Conditions) CHANCHALEUNE,SENGPRASITH PO BOX 298 12990 SW HILLSIDE TER SHERWOOD,OR 97140 TIGARD,OR 97223 PHONE: PHONE: 503-522-2500 FAX: Total Fees: $911.69 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 work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may.. '- _ _, . the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. allPr Issued By: n %L f,� ` Permittee Signature: — '�" €='• r44"�0.639.4175 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. Building Permit Application Residential FOR OFF1C1: 1 SE ()NEN CI of Tigard Received + `J g ei\J Date/By: i.i _ Permit No.:�.yy��ya� _, C 13125 SW Hall Blvd.,Tigard,OR i bbb��� Plan Review J�� KJ ED S� Other Permit: Phone: 503.718.2439 Fax: 503. 8. 60 q� Date/By: hum ® See 1 A IZ[� Inspection Line: 503.639.4175 ,`� t ZU 11 Date Ready/By: Page 2 for 1 Internet: www.tigard-or.gov J � � Notified/Method:7 / /, Supplemental Information TYPE OF 1141° ‘1\1‘.1 w REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. tir 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ -'S w..„ ElAccessory 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: ��?90 54) ,/�%�, ,, Ttj/', New dwelling area: square feet City/State/ZIP: -7-7,7 e,...4, Garage/carport area: square feet Suite/bldg./apt.no.: Project name: /7/(1//G- Covered porch area: square feet Cross street/directions to job site: 4JJ,,,„r�� eeDeck area: 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. e</1429i61/‘1, < 0/_ / Valuation: $ Existing building area: square feet ReiAnit 54� 1,96//a 74 R ,-t �S a New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) 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: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application:i )els 0.7 Amount received: Phone:( ) Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: L Y°� �a9d��e-�f f/ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: A ,(9 0) 2 9,f Solar Installation Specialty Code checklist. City/State/ZIP: 7.,Cv , ,e, /9 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(S"®3 ,_r22_2,-,e9Fax:( - ) State surcharge(12%of permit fee): $21.60 _CCB lic.: s or or / �( �� Total fee due upon application: $201.60 Authorized signature AllIPPP This permit application expires if a permit is not obtained .....0.00--- within 180 days after it has been accepted as complete. Print name: 3Q" / G /9 Date:4 _../ *Fee methodology set by Tri-County Building Industry C 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 OFFIcI. ( SF 0\1.1 City of TigardMpg Received PermitNo.: , al 13125 SW Hall Blvd.,Tigard,OR 97223 Date /By: Associated permits: _ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T l c n k n Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No yi,‘ 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. • IN • 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: • ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 ❑ 6 Sewer permit. _ ❑ 0 0 7 Water district approval. El 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control ❑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 ❑ 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 ❑ 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, ❑ ❑ ❑ 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. ❑ 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 ❑ 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 ❑ ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 A 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ for four or more appliances. 2.2 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore on and shall be shown to be a licable to theproject under review. 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. ❑ 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. ❑ ❑ 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 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, ❑ ❑ ❑ Lincluding 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) Plumbing Permit Application FOR OFFICE 1 S OyLv City of Tigard RECEIVE ` ceived r ateBPermit No.: Z, III � 13125 SW Hall Blvd.,Tigard,OR 97223 y �tq�fir! 7 ./�9�- �Z� �e '��s ,,� �( ' i Phone: 503.639.4171 Fax: 503.598.1960 7 1 Plan Review Other Permit No.: Inspection Line: 503.639.4175 JUN 2 2017 Date/By: 7 1�'A R D Date Ready/By. )`� Juris' ® See Page 2 for Internet: www.tigard-or.gov tRead/By.. l/t • �� Supplemental Information TYPE OF WORK uTY OF TIS J ���DING DIVISION FEE* SCHEDULE 0 New construction ❑D rtlon For special information use checklist Addition/alteration/replacement 0 Other: Description Qty. Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 350.00 ❑Accessory building 0 Multi-family SFR(3)bath 399.00 Each additional bath/kitchen 45.00 0 Master builder 0 Other: Fire sprinkler( sq.Ii) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 4,e 7 0 Jam) //�%moi.( 7?,v,,,, Catch basin or area drain 16.60 City/State/ZIP: 7?7 r e''2/ '.* - / ' -7T Z 2 Drywell,leach line,or trench drain 16.60 Suite/bldg./apt.no.: I Project name: L f YFooting drain(no.linear ft.: ) Page 2 Cross street/directions to job site: �/L Manufactured home utilities 110.00 Z/ � Manholes 16.60 / //f f, Rain drain connector 16.60 Sanitary sewer(no.linear ft.: ) Page 2 Stone sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: ( Lot no.: Tax map/parcel no.: Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK / Backflow preventer Page 2 et /t�in[� f 7 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 0.PROPERTY OWNER I 0 TENANT Drinking fountain 16.60 Name: Ejectors/sump 16.60 Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone:( ) I Fax:( ) Garbage disposal 16.60 0 APPLICANT 0 CONTACT PERSON Hose bib 16.60 Business name: Ice maker 16.60 Interceptor/grease trap 16.60 Contact name: Medical gas(value:$ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain(commercial) 16.60 Sink/basin/lavatory 16.60 Phone:( ) I Fax::( ) E-mail: Tub/shower/shower pan 16.60 Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: go Water heater _ 16.60 Address: ,al I t 6 Sf� C hc,,e P Other: City/State/ZIP: Shay-011008 ©R c-) I q D Subtotal Phone: _^^ ( 05:456 l Minimum permit fee: $72.503�) + d Fax: ) 7 Residential backflow minimum permit fee: $36.25_ CCB Lic.: �� i Plumbing Lic.no.:�� � Plan review (25%of permit fee) Authorized si• afore a.\� . State surcharge(8%ofpermit fee) Print name ���I mai*��� TOTAL PERMIT FEE r\ Date: This permit application expires if a permit is not obtained within i 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Penults\PLM-PermitApp.doc 06/26/06 440-4616T(10/02/COMJWEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12990 SW HILLSIDE TER, TIGARD, OR, 97223 August 8, 2017 at 12:05:48 PM Record Type: Record ID: Residential - Master Permit MST2017-00251 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Existing plumbing for remodeled room removed and capped. No new plumbing installed on this permit. Violation Summary: Inspector Contractor