Permit CITY OF TIGARD MASTER PERMIT
.�e COMMUNITY DEVELOPMENT Permit#: MST2017 00178
TtG. R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2017
Parcel: 2S 103CC 13200
Jurisdiction: Tigard
Site address: 12076 SW WHISTLER'S LOOP
Subdivision: WHISTLER'S WALK NO.2 Lot: 79
Project: Rockenstein
Project Description: Replace existing deck and add new man door to garage.
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
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $5,000.00 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
0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains:
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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 W/Svc or Fdr: 0
Ea add'I 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:P Y Square Feet:
ALT SF
0
Owner: Contractor:
ROCKENSTEIN,EDWARD&KIRENJEETSURFACE BROKERS LLC Required Items and Reports(Conditions)
1413 OWEN DR 109 SE 78TH AVE 1 Inspector must approve final
CHULA VISTA,CA 91911 PORTLAND,OR 97215 inspection work done with out
PHONE: PHONE: 503-341-4247
FAX:
Total Fees: $869.86
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. Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.
Issued By: 1,/ / •%I �'
/' Permittee Signature: //"' y
Call 503.639.4175 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 l ''''4 � i I --Cv„h al,.i—j)r..,
Residential RECEIVED
City of Tigard Received !Z 0
6 ' 13125 SW Hall Blvd.,Tigard,OR 97Y 2 2 2017 Date/By: 5 iy 17 Permit No.: yt'
C Phone: 503.718.2439 Fax: 503.598. b0 Plan Review 7, J 7
Date/By: Other Permit:
1 1 G A ii D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: GG 7 Juris: I H See Page 2 for
Internet: www.tigard-or.gov Notified/M thod: //7� Supplemental Information
BUILDING DIVISION n�,°, to/ ('h r'c�
TYPE OF WORK ( ' 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION` work indicated on this application.
cal-and 2-family dwelling ❑Commercial/industrial Valuation: $5y
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /Z 0 7.4 5(J 4.4,154-14,5 I pros New dwelling area: square feet
City/State/ZIP: 7—q 4 yC O n.. I�, 3 Garage/carport area: square feet
Suite/bldg./apt.no.: / 1 Project name: iiecir444.ski ho‘. Covered porch area: square feet
Cross street/directions to job site: /2.4 St +. l✓k,3 t tam 1 trop Deck area:
tog � .-././1 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.
pa,p 14 ae IL i s �►1, DG t Valuation: $
—
°l` ,�_e �) �/Y „ �/� Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:
K;„r4.‘„ p_oC k G9 SJRet h Type of construction:
Address: 1 Z Q&G 5(.�
Gatst'i[,vS i6be Occupancy groups:
City/State/ZIP: /jC�4 ,O1 q'7- 3
Existing:
Phone:( ) Fax:( )
APPLICANT New:
G] CONTACT PERSON BUILDING PERMIT FEES* —
Business name: S�,r-r4 g(..., 6 r �� fly (Please refer to fee actieatkteJ
Contact name: GGAyy f 5JSGV Structural plan review fee(or deposit)_
Address: /o e S5 ,�sA�FLS plan review fee(if applicable)_
City/State/ZIP: IV: ?or{-t4fr d ,�, g7e/5 I Total fees due upon application:
Phone: J) 3 / / �I Fax::( ) Y E 4�r:G.I f
tit_ YAunt received: i ,s/,iSC
LiL�`f
E-mail: C k t.-i se s(J1 r e.- ffie.. �ti,
r0 icws PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR , Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
Address: 5 4 bit z and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
Phone:( ) Fax:( )
and administrative fees): $180.00
CCB lic.: ( � '4- ��ja II g State surcharge(12%of permit fee):_ $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: (h r-j5 5� /s,. Date: s-/2,4. �1 1 *Fee methodology set by Tri-County Building Industry
''�J Service Board.
I:\Building\Perntits\BUP-RESPermitApp.doc 02/24/2011 440-4613 11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling Folz o14lc1 t si. oyi.v
City of Tigard
Received Permit No.:
Date/By:
M 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
= Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical 0 Plumbing 0 Mechanical
24-Hour Inspection Line: 503.639.4175
1 1 V A RD Internet: www.tigard-or.gov ❑ Other:
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district: • 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 00
6 Sewer permit. 0 0 0
7 Water district approval. 0 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 ❑
basin protection,etc. ❑ 0 0
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 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. 0 0 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 0 0
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- 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. 0 0 0
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. 0 0 0
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. 0 0 0
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 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. CI ❑ CI Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 ❑
for four or more appliances. 0 0 0
22 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 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". 0 0 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. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 CI
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 ❑
Street Tree List. 0 ❑ 0
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines,
and protection measures must be drawn to scale and must include the project arborist's signature of approval. CI ❑ CI 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)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
. i
Building Permit Review — Residential
TIGARD
'
BuildingPermit #: H6 r02,0 i l - 0017 g
Site Address: /e.20?-(e ,a) /0M-1/.07c L op
Project Name: CLeit? s' E'in Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ( e ` h ' A_ �i_ I /.. de-1 2/
/ 111, i.. ' I c
//�i - t it 1 . 'ii., �. ��+
I.Verify site address/suite# exists and actio m permit system.
015ver Terrace Neighborhood: VNo E Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
xee(3)copies of site plansting structures on site
e plan must be on 8-1/2"x 11"ox 11 x 17"paper Footprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) oor e
orth arrow ktiwalk/driveway
ryllocationsevations &easements (required for new and additions)
e adress,project or subdivision name and lot number approach
licaifti ( dhber) on of wells/septic systems
1Lot dimensions and building setback dimensions \ fisting trees to be retained with drip line,and tree
Il A are footage of buildings to be demolished rotection measures
iCI area,building coverage area,percentage of coverage and /treet tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40) k21 Street names
F Property corner elevations(2 foot contour lines if more than perm water quality facility required if>1,000 sf of
4 foot differential) impervious area is created or replaced.
OClean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
011,lublic Facilities Improvement (PH) Permit: /
Required: CI Yes,applicant was notified l% No Applied For: ❑ Yes ❑ No,stop intake
4tvY,Iand Use Case#:
oning:
,, ))
R.—`7
/t-Required Setbacks: Front 3 A-Rear ' Side S.-- Street Side plA Garage ,
i andscape Requirement: % 3'
,'/ deck /s 34," Dr- erica f
PI l'i of Coverage Maximum: % °FABuilding Height: Maximum Height / Actual Height ,'V,
0 �'isual Clearance jj� Ad:A-74-
f/, Sensitive Lands: Yes1=1No Type kdtt)— y',Zl. i
rban Forestry Plan
Anditions "Met"prior to issuance of building permit
otes:
t .,
Approved By Planning: - //;S Date: .yam+
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_051617.docx
Building Permit Submittal
Original Submittal Date: 157a9-2-/ 17
Site Plans: # 3
Building Plans: # 5
Building Permit#: V Enter building permit#above.
Workflow Routing: [Planning engineering D-' rmit Coordinator ilding
Workflow Sign-off: a-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
,afiginal plan review routing form.
d Building: original permit application, site plans,buildin5 plans,engineer and
beam calculations and trust details,if applicable,etc. /►r..eQ_40,24 c.�-- j /17-•(sz. _/9
,40
, i
Notes: On i a cv ' P fj��
By Permit Technician: �� J late: S p p
Engineering 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 I No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: fee— Date: ..- A ffar
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:
? : 1)C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes �v /A
Parks SDC: ❑ Yes la /A
LIDA ❑ Yes • N/A
Meg K to Issue Permit
pproved by Permit Coordinator: Date: .iG
I:\Building\Forms\BldgPennitRvw RES 051617.docx