Permit (182) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00058
T I(;r1 R F) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/04/2019
Parcel: 2S104DD02700
Jurisdiction: Tigard
Site address: 12859 SW RIDGEFIELD LN
Subdivision: MOUNTAIN HIGHLANDS NO.2 Lot: 24
Project: Wood
Project Description: Remodel existing second floor bedroom into master suite with additional bathroom, and gable
dormer addition. Trade permits will be submitted separately.
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: 85 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: Yes
Total: 85 sf Value: $10,068.25 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 Storm 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
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!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:
ALT SF VB R-3 85
Owner: Contractor:
LIBBY&RYAN WOOD NATURAL GRAIN HOME SERVICES Required Items and Reports(Conditions)
12859 SW RIDGEFIELD LN 4035 NE 15TH AVE
TIGARD,OR 97223 PORLAND,OR 97212
PHONE: 406-891-4553 PHONE: 503-388-1468
FAX:
Total Fees: $798.81
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••py of the-; direct questions to OUNC by calling 503.232.1987 1.80 . 2.2344.
f 41111/
Issued By: I°I i/A L�A / / 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 Checklist
One- and Two-Family Dwelling roiz orrice_ lis►: 0y1.1
Received
INCity of Tigard Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
• Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIt,ARD
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les 10 1/'%
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. 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 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 ❑
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 ❑
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 ❑
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 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 a1 9licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
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. 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
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)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City f Tigard ReceivDateBed Permit No.:
Illi '� 13125 S SW Hall Blvd.,Ti ard,OR 97223 y'
1 It Phone: 503.718.2439 Fax: 503.598.1960
T i C;A R D 24-Hour Inspection Line: 503.639.4175 t Associated permits:
Internet: www.tigard-or.gov Electrical Plumbing Mechanical
Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. X j
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ' 1
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district: . 1 1
5 Septic system permit or authorization for remodel. Existing system capacity 1 !
6 Sewer permit.
7 Water district approval. i x I
I j
{ 8 Soils report. Must carry original applicable stamp and signature on file or with application. i x 1
1-.____..___._._._._._.________.___.._____._______._____._._____.__.._____._._ _______.___.___.__._.__._._ _._.___ ____. _..._______1-___.__ L__ ____.. ....___1
0 j 9 Erosion control plan permit required. Include drainage-way protection,silt fence design and location of catch-basin j ; j
v protection,etc. ( 1
} 10 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 JS)/ [
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 i 1
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. f !
1
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size X X1
( and location. f j
L...T_
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ✓1 I
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. /�
i
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-
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, }
p
stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for
o. new construction;minimum of two elevations for additions and remodels. 1 j
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. jVI f
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- i I
( 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
locations. Show attic ventilation. k I
' 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 1 x f j
1 systems,see item 22,"Engineer's calculations."
_ _
2 1 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ' v I
over 10 feet long and/or any beam/joist carrying a non-uniform load. /\ , 1
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
F
20 Manufactured floor/roof truss design details. j C
w
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required
( for four or more appliances. f
1 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or z j
i
architect licensed in Oregon and shall be shown to be applicable to the project under review. j
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". i
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 4
_ �� _ _ __._ ,
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted.
{ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. !f
27 "Drawn to scale"indicates standard architect or engineer scale. 1
1 I
+ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 1i
Street Tree List. i j
' 29 Siteplan to include trees and treeprotection measures as required byconditions of approval. Tree locations,dri lines, '
q PP p .
j and protection measures must be drawn to scale and must include the project arborist's signature of approval. ! 3
I--_____ _- !
1
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, i
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 1 1
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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
1111111 Transmittal Letter
1 !i,A k D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: H I I U jun n 4r prif f ron DATE RECEIVED:
v
DEPT: BUILDING DIVISION RECEIVED
MAR 18 2019
P FROM: % rat) Are(( 11 -e r CITY OF TIGARD
{� ) BUILDING DIVISION
COMPANY: U a f-e )7(d 19 h -t A-re Jti1. t LI C /
PHONE: 763 _ 3 - I4-tob BY '/,
RE: I U 5 ct J iAl ic r a,Z A c or (kn.- ms-c--2-C rq- c:
(Site Address) - (9 a 0 p (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies Description:
Additional set(s) of plans. X Revisions: To fry eode Rey u/r l'hiw Vis.
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: M I n' v I,Lh7 tritl, f o rte. Imo"it,i"e, , -lei e - ' l cA<
o RSC C . it Ta.-b to kl( of. ( ( 1) .
FOOF ICE USE ONLY
Routed to Permit Technician: Date: 3 i Q/i ' Initials: A-
Fees Due: yi Ye D No Fee Description: Amount Due:
l
el,_,
$
$
Special
Instructions: �,, '
R-erint Permit ter PE : jt% i No Done
Applicant Notified: k i: /e/:" Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc