Permit (161) _ CITY OF TIGARD MASTER PERMIT
: 1 ' COMMUNITY DEVELOPMENT Permit#: MST2018-00161
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2018
T t(;A l'1 g Parcel: 25104AD07500
Jurisdiction: Tigard
Site address: 12936 SW PARKDALE AVE
Subdivision: OLSON WOODS Lot: 11
Project: MACNAB
Project Description: 126 sq.ft. in-ground fiberglass swimming pool.
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: $40,000.00 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 Rain Storm Sewer: 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
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'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: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
MACNAB,SCOTT PREMIER POOLS&SPAS OF OREGON Required Items and Reports(Conditions)
12936 SW PARKDALE AVE PO BOX 346
TIGARD,OR 97223 WILSONVILLE,OR 97070
PHONE: PHONE: 503-855-4117
FAX:
Total Fees: $1,199.57
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 thro R 952-001-0090. Y f the rules or direct questions to OUNC by calling 50- .1987 or 1.800.332.2344./
iia*
Issued By: A_ .se' Permittee Signature: ...-9 .�
all 503.639.4175 by 7:00 a.m.for the next available inspec•• 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 I
CEIST
eceived
0ity125 Of Tigard DateBy: ( Permit No./or/ad Iia-c,of I
111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review V
m Phone: 503.718.2439 Fax: 503.598.1960 {{ �i J j;i Date/By: VV/11 b Other Permit:
�J�I V � � C.I.� `� (((
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By. . ` Juris: ® See Page 2 for
Internet: www.tigard-or.gov �vrTY �>PGA ,:+;ori. d/Method: l Supplemental Information
Lel /� �►
TYPE OF WO' , 1 1 . .0 1. REQUIR 1-AND 2-FAMILY DWELLING
1p 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.
Lig-s) POO
o i-and 2-family dwelling 0 Commercial/industrial Valuation: $
gAccessory building 0 Multi-family
Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i Z b SW 9 1q ,f,a(n ,•p'
k , . New dwelling area: square feet
City/State/ZIP: i 1�(7l/Ye7� l dP 't'71.23 Y ` Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: '}„i i _ square feet
REQUIRED DATA:COMMERCIAL-USEF + CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: tM(� 7I�SZg, 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.
I . Valuation: $
( vt Irti J.... i \- S Sw\w is, &: goo\
Existing building area: square feet
New building area: square feet
[x PROPERTY OWNER 0 TENANT Number of stories:
Name: _4 ► actns.b Type of construction:
Address: }Z ot3 Jvv cam , �l j Ate. Occupancy groups:
City/State/Z1P: C`i1; 0(2, 60 Z.Z'S Existing:
Phone:( ,) 75 'a 1 I Fax:( ) New:
0 APPLICANT t CONTACT PERSON
BUILDING PERMIT FEES*
Business name: Qoc\ Q- �a (Please refertofeeosit):t�
, v Structural plan review fee(or deposit):
Contact name. t/13 cit,". S�Q,,A)ar
Address: ' FLS plan review fee(if applicable):
qt5(1 'P!`avLeQr ( . ►�-e.
City/State/ZIP: (A)1 t sistew e, G+- 0(7 0 ®
7 — Total fees due upon application C—,
Phone:(5 03) gs-s'_ f f/ I Fax::( [ ) Amount received: J
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 1,,1
0
C n AS' (Alf\
Commercial and residential prescriptive installationiof
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.``'.,
Submit two 2 sets of roof Ian with connection details
Business name: ( ( ,,,k k. O p
�� � y� `�'� and fire department access,along with the 2010 Oregon
Address: 913-V/ .Sc- R\ CA-. 5L.i4 -k- Solar Installation Specialty Code checklist.
City/State/ZIP: W ( GF- 01-707c Permit Fee(includes plan review $180.00
l�h t ) and administrative fees):
Phone:(.T3) gSS--y/17 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 174-0 1 Total fee due upon application: $201.60
-- - Thispermit application expires if a permit is not obtained
Or-Authorized signature lir "V.- PP P
within 180 days after it has been accepted as complete.
j �, *Fee methodology set by Tri-County Building Industry
Print name: W S felA26 Date: ,/,/, g Service Board.
I:\Building\Permits1UP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
N
Buildint Permit Application Checklist
One- and Two-Family Dwelling FOR (111,1( I. t sl; (J I.v
Cityillof Tigard Received
g DateBy. Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
• Phone: 503.718.2439 Fax: 503.598.1960
I 1 c A i D 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les NO Nit
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 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 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 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 I
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". 0 0
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(l I/02/COM/WEB)
City of Tigard
III114 COMMUNITY DEVELOPMENT DEPARTMENT
i
T I G A R D Building Permit Review — Residential
Building Permit #: /I is To2O/? —V/(o /
Site Address: -12.A36 sw Pur Lbtait A,,t.
Project Name: hacr b , r,,,;r,A„"''.j ind Lot #:
(New dwelling=subdivision name;A/ddItron or Alteration=last name of owner)
Planning Review
Proposal: 7A 9((v4 f,6{(yai St,/i,, Mi1 pcsl
t6Wrify site address/suite# exists and active in permit 9r.stem.
LU'River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached
Sit�lan Elements:
Mpfree(3)copies of site plan ting structures on site
nS e plan must be on 8-1/2"x 11"or 11 x 17"paper I, ootprint of new structure(including decks)with finished
ILV
yawn to scale(standard architect or engineer scale) 9•or elevations
arrow
3, locations&easements(required for new and additions)
✓_U5 ° address,project or subdivision name and lot number 4 dewalk/driveway approach
kir N .plicant information(name and phone number) if' . :tion of wells/septic systems
541 .t dimensions and building setback dimensions Ave, xisting trees to be retained with drip line,and tree
T":.uare footage of buildings to be demolished .rotection measures
Ii !..t area,building coverage area,percentage of coverage and .2 treet tree size,type and location
_�•ervious area(applicable if R-7,R-12,R-25&R-40) treet names
Gloperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? EYes
oot differential) If yes,is a storm water qualityfacility shown? ❑Yes e No
tjf
Clean Water Services—Service Provider Lettttee of platted prior to 9/10/1995):
/Required: E Yes,applicant was notified [ No Received: ❑ Yes Q No
'LSI Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified V No Applied For: E Yes ❑ No,stop intake
2"
T�A Land Use Case#:
L� ZZoning: k-i.S
EIB Required Setbacks: Front LO Rear i S Side S Street Side IVA- Garage id
I Landscape Requirement:
idiot Coverage Maximum:
I11Building Height: Maximum Height Actual Height
T'CTearance /
Sensitive Lands: L� Yes ❑ No Type GGc(I S Siq/�� tt(,,,. I4 i,)*'. ` �t,i 4" i'W.
,,'U an Forestry Plan `/
1 Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: ,r..--- Date: 47/1/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: 07:///ic,F
Site Plans: # -
Building Plans: #
Building Permit#: [enter building peit#above.
Workflow Routing: El.--Planning ['Engineering [3/Permit Coordinator Building
Workflow Sign-off: C Sign-off for Planning(include notes from planning review)
Route Application Documents: D'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � Date:
Engineering Review
LJ Slope at building pad: 5%.,
8'Conditions "Met"prior to issuance of building permit
2"—Easements (encroachments) per engineering conditions of approval and plat
2-Nater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0"No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes 2No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: , KS14-4( Date: —/1
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
OA/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:
Tigard Trans SDC: ❑ Yes
Wash Co Trans Dev Tax: ❑ Yes .�
SDC Fees Entered: N/A
N/A
Parks SDC: ❑ Yes d N/A
LIDA ❑ Yes it N/A
. r-OK to Issue Permit � ��
Approved by Permit Coordinator: � ��ti%"� Date: (..( 1201 l$
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
r Transmittal Letter
T!c,n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
i,: { ','.i E
IA
TO: Gl`�rSUi✓ DATE '•. a• ,, l'
DEPT: BUILDING DIVISION JUN 2 7 2018
CITY OF TIGARD
FROM: 4/ 3-1,74 ;S hetAii.A,,,,,s BUILDING DIVISION
COMPANY:
PHONE: (.-s-3. ) rj(a /0 i(o 13„7p
:-
RE: /64,93(o Stu /2 Le. 47J-1' P237-420 a"--Ora(/
(Site Address) (Permit Number)
Te-ACA/16
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. S Revisions: s-
Cross section(s) and details. Wall bracing lateraalysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFIF E USE ONLY
Routed to Permit ic. :/ate: 27 /(�j Initials: ,4/14)--
$
-
Fees Due: ❑Yes o Fee Descri tion:( Amount Due:
N- D It \)).-- $
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ►; ❑ Done
Applicant Notified: Date: 70,f 0 Initials:
I:\Building\Fonns\TransmittalLetter-Revisions 061316.doc
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12936 SW PARKDALE AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00161
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Corrections from failed inspection dated 9/6/18 not complete, footing poured without
approved inspection.
Provide approved electrical final inspections prior to building final.
No inspection done at this time.
Violation Summary:
Inspector Contractor