Permit (119) fiECEIVRT),
-,, ....• .- -- , . .
City of Tigard • commuN ITN" DEVELOPMENT DEPA RTMENT JAN 1 2 2018
!'' ' •.1
Request for Permit Action
II
, .
CITY Or 111,--VARD
TIA RD 13125SW I-Iall Blvd. •Tigard, Oregon 97223 • 503-718-2439 • WWW.tigard-PIVArDING OW/SIO ;
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TO: CITY OF TIGARD V a a
Building Division
13125 SW1 hull Blvd,Tigard,OR 97223
7/2 /1.
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or, (iv
FROM: V Owner LI Applicant L Contractor _ City Staff
Check(V)one
REFUND OR Name:
INVOICE TO: (Business or Individual) , ..K)c.,,)-C G , C , ..- Cooc _________
Mailing Address: \ i , , N ,,,1.CA) **I. (:).kN rCL)('\ I 10 0 it
City/State/Zip: Nti) Qii(2.,_: 99 77,4.
--/-
Phone No,: CM- 210 ''-' q ZIA
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (V):
CANCEW, VOID PERMIT APPLICATION,
MI _--R.-EF-UNO PERMIT FEES (attach copy of original receipt and provide explanation below).
Ei INVOICE.FOR FEES DUE (attach case fee schedule and provide explanation below).
Ej
REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit).
Permit 11: Rc'-.). 1 2:01(t)
Site Address or Parcel t4: a (5k2-.) !:".... Tit6cfcrlkit,-) 12
Project Name;
_.,
Subdivision Name: fa)(3'T1--\ . ‘;- 0.‘:,,,-,Ak ti i. - Lot It: Zie,_,_
EXPLANATION: Tit k\i 1\-.(2) 'PIA.(Q.i.:( 5 WALL____L-
i
,
Signature: i
Date: i i, 0 •
Print Name:
itus>
Refund Policy ,_
I. The city's Cominunity Deve )pment Director,Building Official or City 1,Ingineer may authorize the refund of:
o Any fee which was erroneously paid or collected,
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2 All refunds will be returned to the original payer in the form of a check via I.IS postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date / fe--- By VP'
Refund Processed: Date A/A9 B' (Or Invoice Processed: Date By
Permit Canceled: Date 4//2,//er 13,AlijAi Parcel Tag Added: Date
l:\Buildiotl\11/4'ms\Re'1l'ennitArlion—‘62314110c
CITY OF TIGARD MASTER PERMIT
R .A` COMMUNITY DEVELOPMENT
IN
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit d: 1/08/2 6-00320
?L Date Issued: 01/08/2018
Tfa
Parcel: 2S110CB13800
Site address: 12033 SW TURNAGAIN DR Jurisdiction: Tigard
Subdivision: SOUTH VIEW HEIGHTS
Project: CISNEROS Lot: 26
Project Description: Installation of(2)sections of privacy fence panels, not to exceed 8 ft. in height. Attached to
existing fence.
BUILDING
Floor Areas Required Setbacks
Stories: 0 Bedrooms: 0 --�--�_ Required
First: 0 sf Basement: 0
sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0
Second: 0 sf Garage: 0 sf
Dwelling Units: 0
Front: 0 Smoke
Third: 0 sf No
Right 0 Detectors:
Total: 0 sf Value: $500.00
Rear 0
PLUMBING
Sinks: 0
Water Closets: 0 Washing Mach: 0
Lavatories: 0 Laundry Trays: 0 Rain Drain: 0
Dishwashers: 0 Floor Drains: 0 Urinals: 0
Tubs/Showers: 0 Sewer Lines: 0 SF Rain
Garbage Disp: 0 Water Heaters: 0 Storm Sewer 0
Footing Drain: 0 Ice Maker: 0 Water Lines: 0 Drains: 0
Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 Catch Basins: 0
Drywell-Trench Drain: 0 Other Fixtures 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning: N
Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0
FOther Units: 0
urn<100K: 0
Vents: 0 Woodstoves: 0
Furn>=100K: 0 Gas Outlets: 0
ELECTRICAL
Residential Unit Unit Service Feeder Temp Srvc/Feeders
rcuits
1000 sf or less: 0 BranchSvcodr:
0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 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
Other: N Other Description: All
Ecompasing: N
BUILDING INFO
Class of Work: Type of Use:
ALT Type of Constr: Occupancy Group:
SF VB Square Feet:
R-3 0
Owner:
Contractor:
CISNEROS,JOSE GERARDO&JESSICAOWNER
Required Items and Reports(Conditions)
12033 SW TURNAGAIN DR 1 No part of this fence may be
TIGARD,OR 97224
over 8'
PHONE: PHONE:
FAX:
Total Fees: $95.79
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 C,"ter. Thi e rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yo obtain a co of the rules or direct questions to OUNC by calling 503.232. °:87 or 1.;,0.332.2344.
Issued BY: - j� L_
Permittee Signature:
�
�
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 , the project.
Approved plans are required on the job site at the time of each inspectio r.
Building Permit Application
Residential
RFCFIVEI)
FOR O ► ►c►: t S►: O\1 1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : �® 1✓ Permit No.:
• ■ Phone: 503.718.2439 Fax: 503.598.19CU G ' Plan ReviewII
V ' _
T 1 G A R D Inspection Line: 503.639.4175 Date/B : < (� Other Permit:
Internet: www.tigard-or.gov Date Ready/By:
1. 1.' O f It RP Notified/Method: �f �� MI o See Page 2 for
p / DIVISION
Supplemental Information
TYPE O�� 1 !L�iyl 1 71t 1 10 tL e
REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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.
❑ 1-and 2-family dwelling ❑ mValuation: $
Comercial/industrial
57
❑Accessory building J V
❑Multi-family Number of bedrooms:
❑Master builder
0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
Job site address: 1 Lo `3?) S j'- (IN R GAT
New dwelling area: square feet
City/State/ZIP: ' 1 6 A- 0 y2 Ct 7 2 2
I Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:
Cross street/directions to job site: t0� Covered porch area: square feet
w r,)- V 1 fa.l b(/6/ f s Deck area:
0-FT— ,'t E i- BFik JP 'T
O12� O square feet
�
V l� T�C N ��� `� S Other structure area:
G -7 6�. '?(�/2�A-6 f ry square feet
Subdivision: v vi F 1 Lot no.: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
!E 6 H T�j I Cp 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
Z /N work indicated on this application.
Pi / tr./4) C,y /�;7/ iNjS J' ler Valuation: $
7 4677�� TO 6--X.1 .77)\-) E PE'.) c Existing building area: square feet
8 TodT f J/ 6t New building area: s uare feet
Ai PROPERTY OWNER I q
TEN'�NT Number of stories:
Name: 2-051-= n e C k S tic-6-0
-,. Type of construction:
Address: /Z a 33 5 co 7-0 y n�'-wdj/}(A.,1 Occupancy groups:
City/State/ZIP: y' 6,4/24 0 � 2Z1-Z 1-
Phone: pp�� /
(7r, ) Z f ® 221 Fax:( ) Existing:
0APPLICANT 0 New:
CONTACT PERSON BUILDING PERMIT FEES*
Business name:
dei ' (Pleasea knit
refer'tofee schedule)
Contact name: sryie
Structural plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application: 31/..‘
Phone:( ) ,
I Fax::( ) Amount received:
E-mail:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
Business name: ^ roof-top mounted Photo Voltaic Solar Panel System.
`l!V�✓ Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
City/State/ZIP: Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
Phone:( ) I Fax:( ) and administrative fees): $180.00
CCB lie.: State surcharge(12%of permit fee): $21.60
Authorized signature:
/eii Total fee due upon application: $201.60
/ /zz�� This permit application expires if a permit is not obtained
I Print name: (/��! within 180 days after it has been accepted as complete.
5e- c I S�J S I Date: 8/Q �6 *Fee methodology set by Tri-County Building Industry
I:\Building\Permits\BUP,/ SPermitppp.doc 02/24/201146 / Service Board.
440-46131(11/02/COM/W EB)
Building Permit Application Checklist
One- and Two-Family Dwelling
rolz or►.►cl: lSl: omA
City of Tigard
Received Permit No.:
Date/By:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
• I Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical 0 Plumbing 0
Mechanical
24-Hour Inspection Line: 503.639.4175 ❑ Other:
T 1G A RD Internet: www.tigard-or.gov
lcs 10 A!:k
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW' •
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. M• •U
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. II 4 Fire district approval required. Name of district: U 0
5 Septic system permit or authorization for remodel. Existing system capacity U 0
6 Sewer permit. ❑ 0
7 Water district approval.
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- U 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; corner elevations(if 0 0 0
property
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 0
surface drainage. 0 U
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 U 0
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 an one cross sectionspacing such
c required floor bo eams,helearlyaders,joists,sub- 0 0 0
floor,wall construction,roof construction. More
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings 0
and foundation,stairs,fireplace construction,thermal insulation,etc. ❑ U
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. 0
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-
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
U 0
0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0U 0
systems,see item 22,"Engineer's calculations." 0
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 U 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 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 as•fiances. III22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or M ■
architect licensed in Ore:on and shall be shown to be a s s licable to the s ro'ect under review.
JURISDICTIONAL SPECIFICSVAII
23 Three 3 site •lans are resuired for Item 11 above. Site •lans must be 8-1/2"x 11"or 11"x 17". j 0
24 Two(2)sets each are re,uired for Items 16,19,20 and 22 above.
25 Buildin: clans shall not contain red lines or to• ons. "Mirrored"the Permit&System nsDwill not be acce Fees,document. I�l 0
26 "Reversed"building plans must meet criteria outlined �� 0
27 "Drawn to scale"indicates standard architect or en•ineer 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.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 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,
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)
1,11
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #:
Site Address:
Project Name: ft^iv c„j Ce,,--)
(New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #:
Planning Review
Proposal: B I--}- nVU G-e4-1t-Q.
Verify site address/suite#exists and active in permit system.
0 River Terrace Neighborhood: -B-No 0 Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
/ljel`i hree(3)copies of site plan rd Existing structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper Foo rint of new structure(including decks)with finished
/ brawn to scale(standard architect or engineer scale) floor elevations
fp'North arrow
laUtilitri
Site address,project or subdivision name and lot number ocations(required for new,may apply for additions)
Applicant information(name and phone number) mon of wells/septic systems
misting trees to be retained with drip line,and tree
Lot dimensions and building setback dimensions
)tot area,building coverage area ercentage of coverage and Street
protectione measures
impervious area(applicable i g Street tree eine,type and location
( PP R-12,R-25&R-40) Street names
,Property corner elevations (2 foot contour lines if more than
4 foot differential
0 Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No
Received: ❑ yeS ❑ No
0 Public Facilities Improvement(PH) Permit:
Required: ❑ Yes,applicant was notified 0 No
Applied For: 0 Yes 0 No,stop intake
❑ Land Use Case#:
71 Zoning: gL 1
Setbacks: Front / Rear
Landscape Requirement: �S IS Side Street Side 14 Garage
.1 Lot Coverage Maximum:
�,O oA
�I Building Height: Maximum Height 0 r 0
$"Visual Clearance Actual Height
-G- asements
fa-Sensitive Lands: 0 Yes 0 No
Type
Z--.Urban Forestry Plan
0 Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: 71/1-,p vi,1.4.
t (; ke,...cic.".,,- Date: 8/ 1/ 1/6
Revisions (after Building Submittal only)
Revision 1: 0 A rovedReviewer Date
pp 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPennitRvw RES_060116.docx
Building Permit Submittal
Original Submittal Date: i s - lar
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above. oordinator � g
Workflow Routing: anning �E3'gineering
Workflow Sign-off: Sign off for Planning(include notes from planning review)
Route Application Documents: eering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[wilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
_ Date: �
By Permit Technician: -
Engineering Review
Slope at building pad:
Conditions "Met"prior to issuance of building permit
C1 Easements (encroachments)per engineering conditions of approval and plat
C Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes No
Assess Water Quantity Fee in-lieu: 0 Yes NoNo
LIDA Facility on lot: 0 Yes
Date:
0 NOT Approved by Engineering:
Notes:
i/0�P Date: % ffelli►
Approved by Engineering: Date
Revisions (after Building Submittal only)
Reviewer
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit
Date:
0 Approved,NOT Released:
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:
Wash Co Trans Dev Tax: 0 Yes �' '/A
*iN/A
DC Fees Entered:
Tigard Trans SDC: 0 Yes
Parks SDC: 0 Yes N/A
OK to Issue Permit 11/7//k
I d Date:
Approved by Permit Coordinator:
I:\Building\Forms\B1dgPermitRvw_RES_060116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12033 SW TURNAGAIN DR, TIGARD, OR, 97224 January 9, 2018 at
11 :17:03 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00320
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Privacy fence exceeds 8' max height from grade per approved plans.
Violation Summary:
Inspector Contractor