Permit (127) CITY OF TIGARD MASTER PERMIT
,IN COMMUNITY DEVELOPMENT Permit#: MST2017-00323
T t G .RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/23/2017
Parcel: 2S 104C B03500
Jurisdiction: Tigard
Site address: 13188 SW ASCENSION DR
Subdivision: HILLSHIRE WOODS Lot: 81
Project: Haima
Project Description: Replace existing deck and expand deck area for a total of 730 sf and covered deck area of 520 sf.
Trade permits to be taken out under separate permits.
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: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $28,187.50 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
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 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 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:
HAIMA,CHAD M&NATALIE E JD HILL CONSTRUCTION INC Required Items and Reports(Conditions)
13188 SW ASCENSION DR 17700 SW SHAWNEE TRAIL
TIGARD,OR 97223 TUALATIN,OR 97062
PHONE: PHONE: 503-612-7854
FAX:
Total Fees: $1,394.81
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 0 952-00 -0090. ou may obtain a copy of the
rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: 4%/A ,����QiJ Permittee Signature: (,(/il�/�W 2
Call 503.639.4175 by 7:00 a.m.for the next available inspection da e. g
This permit card shall be kept in a conspicuous place on the job site until completion o the project.
Approved plans are required on the job site at the time of each inspection.
Elf
Building Permit Application - : E ' ' .
Residential
Cityof Tigard AUG " 5 ali! Received
g p i� N
' Date/By: �� / ,0474.....----
PermitV.V.57 /7 t7a3
jig 13125 SW Hall Blvd.,Tigard,OR 972 3 / a "4
C g A!GI a Plan Review
Phone: 503.718.2439 Fax: 503.598.f% Date/By: S-J__ Other Permit:
1-1 G n R D Inspection Line: 503.639.4175BUILDING Ir7� ftc Date Ready/By: Juris: I Ed See Page 2 for
Internet: www.tigard-or.gov Notified/Methodll /7 Supplemental Information
TYPE OF WORK REQUIRED 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
-gi Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Tp
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ , / '
❑Accessory building ❑Multi-family Number of bedrooms: a 8 1 8 7
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /3/e _ski/ ��Cse✓75 ,--1 New dwelling area: square feet
City/State/ZIP: 23- g7.7?3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: s a i,yl a S>/✓✓ ./-i",Ei Coveredaaarea: square feet 52c
Cross street/directions to job site: Deck area: ?'`►h _-rsquare feet? 3
Other structure area: n,,„, square feet 3$(}..
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.
Valuation: $
C�-a0t,'2 Pe ' '- (' 7�� sem-✓v�✓.'-e
a" -SrX-tf/ - Q,,:j� Existing building area: square feet
71&-'62.,`t\ P ./e� 7Z /<. !`+?Ate`' f(la7'I l - New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: ( i7ez.r.Q a__i„.e Aia.-h, / , f Type of construction:
Address: /3/fs .5Li,/ ,4-5c
�.;Z S 1��! Occupancy groups:
City/State/ZIP: T`‹CjL- t Zb2 97 723 Existing:
Phone:(5r3) 750—R9 O 9 Fax:( --- ) . -- New:
2 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
/ (Please refer to fee schedule)
Business name: .�'D 14:a `; "i-,ivt/V'.)-i,�J 7—ii r!=' .
), Structural plan review fee(or deposit):
Contact name: __.1 c-- f-b a G,.
_. / FLS plan review fee(if applicable):
Address: l 77 Gd 3,4,,3,4,, 'S .4,4,/2 t' /`T�l.,
City/State/ZIP:' /L;,,L, ( G''Z Cr ?70 6.
Total fees due upon application:
Phone: 3) C —ii.--..,/6 Fax::( ---)-- Amount received:
_J� ii.lig. /_'- M 3/. /1r PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: (� C
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C�� Submit two(2)sets of roof plan with connection details
,5 and fire department access,along with the 2010 Oregon
Address: i( y c Solar Installation Specialty Code checklist.
City/State/ZIP: /< L. Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 7 7 f
7 �`7 1///
/ D _ Total fee due upon application: $201.60
Authorized signature: / /` Y✓ -, C*l; ,K,--{ This This permit application expires if a permit is not obtained
L within 180 days after it has been accepted as complete.
Print name: _ /Lo f !c J,. � a Date: 6 /6�
*Fee methodology set by Tri-County Building Industry
1/ Service Board.
I:\Building\Pernvts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling 1.0R ()Fmm i. I SI Oy1.1
City of Tigard
Received
Permit No.:
M 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
TIGARD
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' les "o y/'1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ U
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: . 0 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
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.
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 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
.74 " COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: /iSi O /7 0033
Site Address: 13) $'. Ski Ascent:p,-.
Project Name: FiQ,w1Q Pec le Ova Co ver Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
A Proposal: Ada Co Nev-e01 d eCk
JG Verify site address/suite#exists and active in permit system.
Ztver Terrace Neighborhood: �o 0 Yes,See River Terrace Review Addendum Attached
• - Plan Elements:
TOree(3)copies of site plan I xisting structures on site
FA Site plan must be on 8-1/2"x 11"or 11 x 17"paper I r•otprint of new structure(including decks)with finished
Drawn to scale(standard architecror engineer scale) Moor elevations
/North arrow t.y locations&easements(required for new and additions)
Site address,project or subdivisionname and lot number edea„alk/driveway approach
copplicant information(name and phone number) of wells/septic systems
■ .t dimensions and building setback dimensions Existing trees to be retained with drip line,and tree
C! .s. - ootage of buildings to be demolished protection measures
C of area,building coverage are rcentage of coverage and re-size,type and location
impervious area(applicable if(R 7,�R-12,R-25&R-40) I7Street names
e'roperty corner elevations(2 foot contour lines if more than l>1,000 sf of impervious area created or replaced? EYes
INo
4 foot differential) If ality facility shown? ---BYes o
n:.: lean Water Services—Service Provider Letter(lot platted prior to 9/10/199-5):.
Required: )Zi Yes,applicant was notified ❑ No Received: yes ❑ No
flic PFacilities Improvement(PFI) Permit: '. 7
Required: ❑ Yes,applicant was notified 7 No 'Applied For: 0 Yes 0 No,stop intake
g Laud Use Case#:
i Zoning: R. -----1
Required Setbacks: Front 1 5 Rear l 5 Side S Street Side I 0 Garage 2,0
A Landscape Requirement:
d';1 Lot Coverage Maximum: g 0 %
II :uilding Height: Maximum Height 35
Actual Height i 9.
'- 1/
4,12'Sensitive Lands: ❑ Yes It.'-no Type
urban Forestry Plan
❑ Conditions'Met”prior to issuance of building permit
Notes:
Approved By Planning: Date: '8! 4/ ( -7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: /S /'7
Site Plans: #
Building Plans: #
Building Permit#: Er-Enter building permit#above.
Workflow Routing: 12—Planning Q"Engineering C"I Permit Coordinator El"—Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
1:1-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: "G% lei-t,ef, Date: 01-7/57/`7
Enfilneering Review
•
).16ope at building pad: -7 to
Zr. onditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
CV
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: /Pr -‘fr. Date: l/I tel/7
Revisions (after Building Submittal only) 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:
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:
SDC Fees Entered: Wash Co Trans Dev Tax: CI Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes I3'N/A
LIDA ❑ Yes N/A
rOK to Issue Permit
Approved by Permit Coordinator: 4% Date: &/1
6 1
I:\Building\Forms\BldgPernmitRvw_RES_061417.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13188 SW ASCENSION DR, TIGARD, OR, 97223 January 8, 2018 at
11 :05:19 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00323
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Waterline to exterior hose bib at deck existing.
Violation Summary:
Inspector Contractor