Permit (79) CITY OF TIGARD MASTER PERMIT
N • COMMUNITY DEVELOPMENT Permit#: MST2018-00311
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2019
T I c;;�It t; g Parcel: 2S104AD07500
Jurisdiction: Tigard
Site address: 12936 SW PARKDALE AVE
Subdivision: OLSON WOODS Lot: 11
Project: MACNAB
Project Description: 420 sq.ft.patio cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: 20 Smoke
Dwelling Units: Third: sf Right: 5 Detectors:
Total: sf Value: $10,038.00 Rear: 15
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Drywell-Trench Drain: Other Fixtures:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K: •
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add!500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
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
Owner: Contractor:
MACNAB,SCOTT LANDSERVICES INC Required Items and Reports(Conditions)
12936 SW PARKDALE AVE PO BOX 1777
TIGARD,OR 97223 NORTH PLAINS,OR 97133
PHONE: PHONE: 503-644-8575
FAX:
Total Fees: $514.38
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 yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 2-001-0090. You - obtain a copy the rules or d, questions to OUNC by calling 50 32.1987 or 1.800.332.2344.
Issued By: f��IL_ /.�./ i��� er ee Signature: ��g'7�
Call 603.639.4175 by 7:00 a.m.for the next available inspection date. JJ
This permit card shall be kept in a conspicuous place on the job site until completion of the project. r
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential
City of Tigard 3 � v � Received ��-
Date/By: g /q/tr r Atel PermitNo.:insy— it fi
Illill13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /2.
c Phone: 503.718.2439 Fax: 503.598.1960 l' y 1 � AM. Alt Other Permit: )r t�j(�jDate/B /13) t /
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/' r' / Juris: H See Page 2 for
Internet: www.tigard-or.gov otified/Metlr f4/So Supplemental Information
�,�`�g��an s� DIVISION
TYPE OFd) thilLte i U 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
,Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this appli ation. /a/ 03 s
I` •••and 2-family dwelling ElCommercial/industrial Valuation: $ f s ` --
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: j
9 3 6 5 Le, Pelt,k 4 1 et ve. New dwelling area: square feet
City/State/ZIP: .-t,`J( ct , C1 7 ), JGarage/carport area: square feet
Suite/bldg./apt.no.: 1 Project name: 5pC CC,,,,it, Covered porch area: square feet
Cross street/directions to job site: V Deck area: . square feet
t i+ ��JJ .tt b (A✓ ��
L°l�'i:t 1 A/L""� r L ect i.f[;e,/..E' ei U e Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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: $
6,,/ Id pct //�i i i. ' +, a. Q ✓v ew
5 P� (3,k sI L ') ���,'�"-y` _ (5 P( Existing building area: square feet
e/CJ New building area: square feet
)5)PROPERTY OWNER 0 TENANT Number of stories:
Name: Sc.a , - y� L u Type of construction:
Address:
Occupancy�1 cu c groups:
`� 3 � S � c=a le t�l� Ire P Y 8t' P
/ n
City/State/ZIP: .1-1 Cf 4 CI ! v 12.2 . Cl 7) :� Existing:
Phone:(5 G 3) ?5` �f —•""j•),7/ Fax:( ) New:
,,APPLICANT JCONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: A,JS I,t;.Cej AiC
`l f � Structural plan review fee(or deposit):
Contact name: 31,.l/f til gm,,r5
FLS plan review fee(if applicable):
Address: p O, ,,Os/ 1 ?7 7 �
Total fees due upon application: IY 7.7
City/State/ZIP: A,c is-j-f5 Pie,t,,,i,s i 0(2,, C1 ?i3)
Phone:(y0)j) c, L j (,i_ 'S 5'7 5—' Fax::( ) Amount received:
E-mail: S PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
{•QvLegt.4,.d k:1 V,C,5 G V Cly-5,„; C vY+,
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: /,cSubmit two(2)sets of roof plan with connection details
l Nd s°MV •LeS //N C and fire department access,along with the 2010 Oregon
9,Address: 0, Se t f 7-7_7 Solar Installation Specialty Code checklist.
i Permit Fee(includes plan review
City/State/ZIP: Iwt h.r.k tv IU t`,,,5 , 0 <`,,,,,, C, 71 3 7j $180.00
J and administrative fees):
Phone:(S`ti3) (,4(,i 5'75- Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:f_(6, 1 0
"/ Total fee due upon application: $201.60
Authorized signature: i� 12, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Sf 2v,,, i PMIS Date: Cc-1 `� *Fee methodology set by Tri-County Building Industry
�l / Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling ro lz o i i i c l: l s l: ()NI.l
Received
City of Tigard Permit No.:
IIIAssociat
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
ociat
i Phone: 503.718.2439 Fax: 503.598.1960
TIGARD
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No Ni,'
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 0
4 Fire district approval required. Name of district: . ❑ 0 0
5 Septic system permit or authorization for remodel. Existing system capacity - - ❑ 0 0
6 Sewer permit. 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 ❑
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 ❑
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 ❑ ❑ ❑
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 ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 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 ❑
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 ❑
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 ❑
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 ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 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 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 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 ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be a licable to theproject 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 ❑
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
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
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 ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 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 ❑
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)
A
IIICity of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
r l c R D Building Permit Review — Residential
Building Permit #: 1ni7-07ct It 0)3/j
Site Address: ja, 93esty RA.kd,Q,l.2 4Ve, Tisa.xd, 0/1, 77,0)3
Project Name: ca. Cove's Lot #:
w dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: spe Co/CP- - S fr at cr !S 3?? 41 sl.(,
ff/ Ct'1ni t� t-, 17.f/l SCc�( qy��
r_U<erify site address/suite# exists and active in permit system.
W Ri' ver Terrace Neighborhood: ❑ No 0 Yes,See River
Terrace Review Addendum Attached
ite 'Ian Elements: /
1.` ee(3)copies of site plan ✓/ • tin structures
n�• plan must be on 8-1/2"x 11"or 11 x 17"paper g on site
• ¶9 awn to scale(standard architect or engineer c ale) flo•re leva eleof vations structure(including decks)with finished
- 0 orth arrow
1! • 'ty locations&easements (required for new and additions)
a to address,project or subdivision name and lot number '6 idew_alk/driveway approach
r1 splicant information(name and phone number)
If0t1 . anon of wells/septic systems
.t dimensions and building setback dimensions ii
xisting trees to be retained with drip line,and tree
P1 fa.quare footage of buildings to be demolished
.rotection measures
!,....ki*pervious
f area,building coverage area,percentage of coverage and ‘J•; - tree size,type and location
area(applicable if R-7,R-12,R-25&R-40) C`treet names
perty corner elevations(2 foot contour lines if more than _/oot differential) ,000 sf of impervious area created or replaced? DYes LWN
If yes,is a storm water quality facility shown? ❑Yes Wo
/ltd' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
R • ed: ❑ Yes,applicant was notified I(U'No Received:
ublic Facilities Improvement(PFI)Permit: ❑ Yes 0 No
Requii{ed: Cl Yes,applicant was notified TVNo Applied For:or: ❑ Yes ❑ No,stop intake
IVi i�i� and Use Case#:
oning: 1Z-1•3
Required Setbacks: Front 7,0 Rear
!i IS Side „q.Street Side � Garage 24
1 Landscape Requirement:
f..ri of Coverage Maximum: %
el uilding Height: Maximum Height ?
'I+ ) Actual Height I
isual ClearanceOf _/
Sensitive Lands: Lel Yes 0 No Type Gaal S . c`,^f-_ 4- 14'i (. (ow
44Urban Forestry Plan • J ails. U ttj l
( Conditions "Met"prior to issuance of building permit
r•TOtes:
Approved By Planning: i� / ItS;ilA ./ L� %:. Date: Lt11.Gl
Revisions (after B riding Submittal only)
Reviewer
Revision 1: Approved 0 Not Approved D
Revision 2: 0 Approved 0 Not Approved
f ��Y c- � ' ate-Z -1 qp
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw RES_o61417.docx
Building Permit Submittal
Original Submittal Date: // /ili
Site Plans: #
Building Plans: #
Building Permit#:
lme building permit#above.
Workflow Routing: antiitig
ngln g eerin ermit Coordinator Ig
I�''E
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.
—Iding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
� �1'►
Date. ��
By Permit Technician: it _ -=� '
Engineering Review
0 Slope at building pad: ,4;19/
XConditions"Met"p4d6o issuance of building permit
-21 Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes NI No
Assess Water Quantity Fee in-lieu: 0 Yes , No
LIDA Facility on lot: 0 Yes No
71 Final Plat Recorded:
Date:
❑ NOT Approved by Engineering:
Notes:
XApproved Engineering: 6 ! 4. 0 %+�► Date: II -27 - I 0
PP b y �' �:
Date
Revisions (after BinReviewer
Binding Submittal only) ,Date
�,g
Revision 1: gApproved 0 Not Approved 6,,,4. R R . ,NP,--
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑_Condit"tons_`_`Met"prior to issuance of-building permit
0 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:
DC Fe red: Wash Co Trans Dev Tax: 0 Yes /A
Tigard Trans SDC: 0 Yes '51-•N/A
Parks SDC: 0 Yes ,? N/A
LIDA ❑ Yes Tx N/A
OK to Issue Permit �� Z
Approved by Permit Coordinator:
Dat :
I:1Building\Forms\BldgPermitRvw_RES 010118.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
1h _ 4
Transmittal Letter
I i .,Al2 D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /L( 11-1 DATE RECEIVED:
DEPT: BUILDING RECFPIFD
FROM: S71- v-z 6l `(`rg JAN 2 4 2019f
/ C;o !CA
COMPANY: i ( sib 'v u 14c__ BL1`Q1c"�dt U7' 3 N ,
PHONE: f- —&G(4( ' r ?.5 IBY/ /
RE: ` 2. , Ye s!i, fa 4(; 7e- As--7-?. ofT-23)/
(Site Address) (Permit umber)
/1W4g--/14,Z
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. ' 74., Engineer's calculations.
Other(explain):
REMARKS: Seg& erovZ i 15 T. s 5 /f- ig/ i rc vi,.BeefG•(.i&(
rlrrci 1
e'l45i �6/ 1�
FOOF ICE USE ONLY
Routed to Psmi Tec 'an: Date: L Zq 11 Initials: Ali-
Fees Due: 2' o- U No Fee Desc 'pti n: Amount Due:
$
III- lin rt.v�,`cp-) $ Lf iii
$
$
Special
Instructions:
Reprint Permit(per PE): ❑YesoG/ - . ❑ Done
Applicant Notified: Date: 2(l ( Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc