Permit (84) CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2019-00190
T I t_,A l+'.0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2019
Parcel: 2S103AA01702
Jurisdiction: Tigard
Site address: 10770 SW WALNUT ST
Subdivision: ECHO HEIGHTS Lot: 2
Project: BRADEA
Project Description: 450 sq.ft. patio cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 16 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $10,755.00 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 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!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 0
Owner: Contractor:
BRADEA,BENJAMIN&ALINA OWNER Required Items and Reports(Conditions)
10770 SW WALNUT ST BENJAMIN BRADEA
TIGARD,OR 97223 10770 SW WALNUT STREET
TIGARD,OR 97223
PHONE: PHONE: 971-506-5592
FAX:
Total Fees: $640.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty .•- 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 i- uance or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to foll•w the ru-.- adopted by the Oregon Utility Notifica'on Cir - Those rules are set forth in OAR
952-001-0010 through OAR. -Or -0090. You may obt. -copy• e rules, rect questions to OUNC by calling 513• .1987 or •. P.2344.
Issued By: iii_ , -- �� Jr = ` Permittee Signature: irr
Call 503.639.4175 by :'0 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.
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Building Permit Application Checklist
One- and Two-Family Dwelling FOR OlFICL t SE O1l.1
City of Tigard ReceivDate/Bed Permit No.:
11 13125 SW Hall Blvd.,Tigard,OR 97223 a
g Associated permits:
■ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
1 1 t' 1 11 Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les 1 o N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 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 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
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.
2ft 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 I.licable to the s 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 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)
Information Notice to Owners About
y `' ,4
Construction Responsibilities
. �4wir1,IYYfJ�
-k-4ry
(ORS 701.325 (3))
Homeowners acting as their own general contractors to construct a new home
or make a substantial improvement to an existing structure, can prevent many problems
by being aware of the following responsibilities:
• Homeowners who use labor provided by workers not licensed by the Construction Contractors
Board, may be considered an employer, and the workers who provide the labor may be considered
employees. As an employer, you must comply with the following:
• Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages
at the time employees are paid. You will be liable for the tax payments even if you don't actually
withhold the tax from your employees. For more information, call the Department of Revenue at
503-378-4988.
• Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment
Department at 503-947-1488.
• Oregon's Business Identification Number(BIN): is a combined number for both Oregon
Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or go to
http://www.oregon.gov/DOR/BUS/docs/211-055.pdf for the appropriate forms.
• Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation
Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain
Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs
if one of your workers is injured on the job. For more information, call the Workers Compensation
Division at the Department of Consumer and Business Services at 503-947-7815.
• Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from
employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax.
For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their website at www.irs.gov.
Other Responsibilities of Homeowners:
• Code Compliance:As the permit holder for a construction project, the homeowner is responsible
for notifying building officials at the appropriate times, so that the required inspections can be
performed. Homeowners are also responsible for resolving any failure to meet code requirements
that may be found through inspections.
• Property Damage and Liability Insurance: Homeowners acting as their own contractors should
contact their insurance agent to ensure adequate insurance coverage for accidents and omissions,
such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not
otherwise covered as employees by Workers Compensation Insurance.
• Expertise: Homeowners should make sure they have the skills to act as their own general
contractor, and the expertise required to coordinate the work of both rough-in and finish trades.
CONSTRUCTION CONTRACTORS BOARD
700 Summer St NE, Suite 300,PO Box 14140, Salem, OR 97309-5052
TT6pl,one.003-378-4021 —Fax.003-373-2007
Website Address:www.oregon.gov/ccb
f/property_owner adopted 9-23-08 This Copy for Permit Applicant
r •
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2))
This statement is required for residential building, electrical, mechanical,and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
32_
Print Name o rmit Appli _ t
631x-D- 20o
Signature of Permit Applicant Date
Permit#:
.#*
Address: \\\ii,,
Issued by: Date: i
This Copy for Permit Offices
City of Tigard
11111 I
q COMMUNITY DEVELOPMENT DEPARTMENT
T l c A R o Building Permit Review — Residential
Building Permit #: ,/7772 /I-60/40
Site Address: 1040 S�„/ ` iAlAut Sit.
Project Name: (jr,4J.I0)d,Z, CA4c- Lot #: --
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: AT 0«\-111 cm.
P Veriaddress/suite#active in Accela.
fy ii/In River Terrace: Lam'No ❑ Yes,River Terrace Kevieav Addendum
Sit Ian Elements:
rosion Control
fopies of site plan on 8-1/2"x 11"or 11 x 17"paperOdEr►A ' tamed trees with drip line and tree protection measures
P413.11(r to scale(standard architect or engineer scale) Ii ootprint of new structure(including decks)and FFE
arrow
e,,,. 'ty locations&easements(required for new and additions)
S: Sj address,project or subdivision name and lot number 1�1_idewalk/driveway approach
[ Ap Ad
Location information(name and phone number) �ILocation of wells/septic systems
M.6t dimensions and building setback dimensions
2,S et tree size,type and location
W� uare footage of buildings to be demolished L�IS et names
[ Existing structures on site :Monier elevations(2'contours if more than 4'differential)
,ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes { o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑' No
g Clean Water�,S�ices—Service Provider Letter(lot platted prior to 9/10/1995):
Ruired: IV Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
LYPublic Facilities Improvement (PFI) Permit: y�
Required: ❑ Yes,applicant was notified rE No AppliededFor: ❑ Yes ❑ No,stop intake
I/Vnd Use Case#: LAY Zoning: k'91
quired Setbacks: Front: to Rear: )S Side: S Street Side:, Imo- Garage: Z6
Building Height: Id".
,/� Max.Height: 3o Actual Height: IS 3"
IR-Landscape Area: N� % a-Lot Coverage Max:
1.4 EI 4 ance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
4 Wiows ❑ Minimum 12%of area of all street-facing facades
fitAG"ve ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim LIWindow recess ❑ Window projection ❑ Balcony
,,tsual Clearance lu^�,q"Urban Forestry In
nsitive Lands: CI Yes [Y No Type:
I!d C ditions met prior to issuance of building permit
No s:Approved By Planning: fLA—e_ Date: SI-11-101
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES_022819.docx
Building Permit Submittal
Original Submittal Date: 5-Pt/1'1
Site Plans: #
Building Plans: #
Building Permit#: rater building permit#above.
Workflow Routing. arming veering g-Pfi it Coordinator ®—Bidding
Workflow Sign-off: [,�, Si ff for Planning(include notes from planning review)
Route Application Documents: L� Tngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original
plan review routing form.
Ira-7Swldtng: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _ Date: 57;3/h7
Engineering Review
Slope at building pad: "70
p Conditions "Met"prior to issuance of building permit A-1/54
PEasements (encroachments)per engineering conditions of approval and plat
7i Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes X No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes yI No
Final Plat Recorded: /
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: *15Ltt*15Date: S7 2/• /
ct
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
❑ Conditio_ns"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
Tigard Trans SDC: ❑ Yes 12 N/A
Parks SDC: 0 Yes 11Y)l-/A
LIDA 0 Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10770 SW WALNUT ST, TIGARD, OR, 97223 August 9, 2019 at
10:22:04 AM
Record Type: Record ID:
Residential - Master Permit MST2019-00190
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Approved per engineering packet on site.
Violation Summary:
Inspector Contractor