Permit (112) CITY OF TIGARD MASTER PERMIT
`' Permit#: MST2017-00373
COMMUNITY DEVELOPMENT Date Issued: 10/12/2017
T FCSARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BD04100
Jurisdiction: Tigard
Site address: 11977 SW ELEMAR CT
Subdivision: ASPEN RIDGE Lot: 6
Project: LOONEY
Project Description: 248 sq. ft. patio cover addition.
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: 20 Smoke
Dwelling Units: 0
Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $7,216.00 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 RainStorm Sewer: 0
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
Drywall-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 N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LOONEY,GAYLAND R&PATRICIA M OWNER Required Items and Reports(Conditions)
11977 SW ELEMAR CT PATTY LOONEY
TIGARD,OR 97224 11977 SW ELMAR CT
TIGARD,OR 97224
PHONE: PHONE:
FAX:
Total Fees: $408.28
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through•i R 952-001-0090. Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
P Z � Q o
Issued By: -t, Permittee Signature:
/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential 10k OFI ICL 1ONI.v
t t ' . Received Permit No.:
City of Tigard 1 rr Date/By: i$ n - 7-0)373
. `.. 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
it Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i(') Q -11 lfr Other Permit:
T I G A P.D Inspection Line: 503.639.4175 ; Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov D(.1 4 N 'fled/Method: C fel ? �j� Supplemental Information
/VI
TYPE OF WO'RIA- : (J- R`g L.1:.0
REQ SIRED DATA:1-AND 2-FAMILY DWELLING
rt c- eat nnna.
❑New construction [ fi1b,eg hifidn 'x = `,,'* 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. //
1
Al-and 2-family dwelling El Valuation: $ 7 0L) b
Commercial/industrial L
Number of bedrooms:
ElAccessory building ElMulti-familyElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: {an ;JG'J e le nil i• -t" (..\--, New dwelling area: square feet
City/State/ZIP: r'9 --rt., o( C1 7 2 2 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ges,,,ipCovered porch area: square feet
Cross street/directions to job site: A5p6ux g(dote
P Deck area: 3„)..0 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: e I" 5p1i l� Lot no.: Permit fees*are based on the value of the work performed.
r` 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: $
bpt -,O cc Ut: Existing building area: square feet
New building area: square feet
ROPERTY OWNER 0 TENANT Number of stories:
Type of construction:
Name: 1,,)LA( 0 d-f-1-Th �D 1. 1Address: 1-1 1 e Fav Occupancy groups:
City/State/ZIP: 1 ,,C8. i 0& 9 7 2:2. Existing:
•Phone:(5 j)913"..(9 1 J 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: J —j1 �0OiA.C2l
FLS plan review fee(if applicable):
Address:
Total fees due upon application: F7. Lug-
City/State/ZIP: z=
Amount received:
Phone: c' Fax::
(53> 1 13 Cr�` ( )
E-mail: kP+�6)pt?t—Ir toe:, z.- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�`(3()b
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Col Submit two(2)sets of roof plan with connection details
Business name:
Pc Cc�u r `'ltd!` and fire department access,along with the 2010 Oregon
Address: I(LEO( -a V'
7? - v '� Solar Installation Specialty Code checklist.
City/State/ZIP: G Permit Fee(includes plan review $180.00
—it'C<j c�( ice- �� Z and administrative fees):
Phone:(%.5)(c,24,..... Cc C Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
signature: This permit application expires if a permit is not obtained
Authorized
a -c '7 �-1 within 180 days after it has been accepted as complete.
-� *Fee methodology set by Tri-County Building Industry
Print name: �o�-�1 �o owe Date: lC L4 - 7 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling 10k 01•1•K is t SI, ()NI 1
City of Tigard Received
iliNDate/By:
Permit No.:
_ • 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
T t .ARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No N/-1
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ■ i1
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 cavy 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
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
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 ❑
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 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Clean Water Services File Number
C1eanWateServices 17-002706
Sensitive Area Pre-Screening Site Assessment
1. Jurisdiction: Tigard
2. Property Information (example 1S234AB01400) 3. Owner Information
Tax lot ID(s): Name: Gayland and Patty Looney
Company:
Address: 11977 SW Elemar Ct
Site Address: 11977 SW Elemar Ct City, State,Zip: Tigard,Oregon,97224
City,State,Zip: Tigard,Oregon,97224 Phone/Fax: 503-913-6915
Nearest Cross Street: Aspen Ridge E-Mail: Plooney@perlo.biz
4. Development Activity (check all that apply) 5. Applicant Information
12 Addition to Single Family Residence(rooms,deck,garage) Name: Gayland and Patty Looney
❑ Lot Line Adjustment Li Minor Land Partition Company:
❑ Residential Condominium ❑ Commercial Condominium Address: 11977 SW Elemar Ct
❑ Residential Subdivision ❑ Commercial Subdivision
City, State,Zip: Tigard,Oregon,97224
❑ Single Lot Commercial 01 Multi Lot Commercial 503-913-6915
Other Phone/Fax:
E-Mail: Plooney@perlo.biz
6. Will the project involve any off-site work? ❑Yes MI No ❑Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
We are building a patio cover.
This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ
1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army
COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law.
By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority
to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify
that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate.
Print/Type Name Gayland and Patty Looney PrintlType Title
ONLINE SUBMITTAL Date 8/22/2017
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report
ay also be required.
Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This
s
Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently
discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and
approvals must be obtained and completed under applicable local,State,and federal law.
❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially
sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water
quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order
07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law.
❑This Service Provider Letter is not valid unless CWS approved site plan(s)are attached.
❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR
SERVICE PROVIDER LETTER ISUIRED.
Reviewed by - �� Date 08/22/17
2550 5W Hillsboro Highway • Hillsboro Oregon ;7123 • Pnone-1503)681-5100 • Fax )503)681-4439 • wvdw cleanwaterservices.org
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
i
T I c A R D Building Permit Review — Residential
Building Permit #: O/T-cO3 7 3
Site Address: (icl ?'1 'x,.) el€i r Cf.
Project Name: LoOA.e. g.QSi 0°1(11, Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: V(Op dle CA p&1 k'1 D 0) v
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: / No ❑ Yes,See River Terrace Review Addendum Attached
Sjte Plan Elements:
/IJree(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
)Z-Drawn to scale(standard architect or engineer scale) floor elevations
/North arrow ❑_:.. , -- .. ..'..?Site address,address,project or subdivision name and lot number ❑
Applicant information(name and phone number)
/Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree
❑' o age o o e emo' protection measures
e area,percentage of coverage andEigtgoot-ttee-size,..4pe_andlcicaticau
licable if R-7,R-12,R-25&R-40) /Street names
/Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Ye)No N h/T,
'B
4 foot differential) If yes,is a storm water quality facility shown? B ts �
Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
/
Required: ❑,/es,applicant was ohed 171".No Received: /Yes ❑ No
❑ Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
LI Land Use Case#:
Zoning: L) , S
XRequired Setbacks: Front SD Rear I c Side S Street Side / Garage
andscape Requirement: —
.-arroverage Maximum: —
Building Height: Maximum Height '3 Actual Height 7.--C3
)2'Visual Clearance
❑ Yes ❑ No Type
7 Urban Forestry Plan
ELCaLditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: (n
- 1, - Date: t 0 /i/ i'7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved Cl Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: ldl' 17
Site Plans: # 3
Building Plans: # '?,
Building Permit#: P.---Enter building permit-- --#above. ��--
Workflow Routing: D.-I/brining ngineering [Et i'ertntt Coordinator -it ding
Workflow Sign-off: i-off for Planning(include notes from planning review)
Route Application Documents: [ gineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori ' al plan review routing form.
wilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /04-0,--,--2e/ �j_ _ Date: MAO 7
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 ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: /112 Date: /i --05:17
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: ❑ Yes N/A
Tigard Trans SDC: CI Yes N/A
Parks SDC: CI Yes N/A
LIDA ❑ Yes N/A
OK to Issue Permit
nftp,„----
Approved by Permit Coordinator: Date: W//
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11977 SW ELEMAR CT, TIGARD, OR, 97224 February 7, 2018 at
11 :18:18 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00373
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Install A34 clips on blocking between rafters per approved plan engineering.
All else appears ok per approved plans.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11977 SW ELEMAR CT, TIGARD, OR, 97224 February 26, 2018 at
10:32:19 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00373
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Corrections complete per owner, clips installed.
Violation Summary:
Inspector Contractor