Permit v i ' F TIGARD BUILDING PERMIT
COMMUNITY
PERMIT #: BUP2008 -00113
" ' DATE ISSUED: 4/18/2008
TIGARD _
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109DA -09600
SITE ADDRESS: 15228 SW OAK VALLEY TERR ZONING: R -
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 085 JURISDICTION: TIG
PROJECT: NGUYEN
Project Description: 8' x 18' deck addition
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 144 sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 144 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 75 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
SANG NGUYEN DEAN SHELLEY CONSTRUCTION
15228 SW OAK VALLEY TERRACE 6950 SE DEARDORFF RD
TIGARD, OR 97224 PORTLAND, OR 97236
Phone: 503 - 704 - 3185 Contact #: PRI 503 - 998 - 9695
FAX 503 - 761 -9695
Reg #: LIC 100943
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 4/11/2008 $61.74
[BUILD] Permit Fee 4/18/2008 $94.99
[TAX] 12% State Surch 4/18/2008 $11.40
[CDCPLN] CDC Pln Re 4/18/2008 $46.00 i
(additional fees not listed here)
Total $220.13
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 than 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2
1 1 I ,
4 b is . . . . _. ' 41 NIP
Issued By: ` _� ,--,, ■!� ■ - ittee Signature: j
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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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11114 City of Tigard APR 1 1 2008 DateBy: // � /p� Permit N.8u/o�?d0� 00/L�
13125 SW Hall Blvd., Tigard, OR 97223 P l an Revie
C �, I, < �� { /\ Other Permit
P hone: 503.639.4171 Fax: 503.598.19 . OF r A Date/By: �.,,
I nspection Line: 503.639.4175 ��� �� �'r +�� Date Ready/By: ions: Ri See Page for
Ticn + ii Dt R
l�
, . 1 t ∎S i ^' Noti ( ,t (I - 7(075 Tr Supplemental Information
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._ : „':<�•t Internet: www.tigard or.gov i3Ul�Gi�IC� � �4JN fied Method t ��)
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TYPE OF WORK 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: ZE /< /92sis / 77 A / equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ �
❑ 1- and 2- family dwelling ❑ Commercial /industrial / D
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / AS” ,S 0 4/<. 12R LG E y % e% /L New dwelling area: square feet
City /State /ZIP: / Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:
I " I nil, to ,(-( , Covered porch area: square feet
Cross street/directions to job site: Deck area: /yy square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK ' • work indicated on this application.
P 'k /J' / 2)EC;� 4.6.6 /77 / Valuation: $
Existing building area: square feet
—/ New building area: square feet
PROPERTY OWNER ❑ TENANT' Number of stories:
Name: 5a4 J C N& V V (7 Type of construction:
Address: /52.2_0 $ c.,.., / 0 AA- (J,4. - 2,t. Occupancy groups:
City /State /ZIP: 7744--g...6 CV_ ? 7 Z�c? Existing:
Phone: ( ) - 70y— 3 / f3 3--- 6 Fax: ( (( New:
❑ APPLICANT ❑ CONTACT. PERSON NOTICE -
Business name: All contractors and subcontractors are required to be '
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
•
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
4 '1
apply: q - q
Phone: ( ) Fax:: ( ) I 10t
E -mail:
CONTRACTOR
Business name: D i.sL-tzE-t_yG -Y C._ c , n . ZU L-R ' BUILDING PERMIT FEES* •
Address: , (Please refer to fee schedule)
t%p�jS`D 5r ar p�F Struct plan review fee (or deposit):-
City /State /ZIP: p rLa•,,b ()---,_ 9 72.. 3 {o
FLS plan review fee (if applicable): 4 /, 7 y
Phone: (9G; ) c19 8- 76, 4S Fax: ( ) / �P /
CCB lic.: /00 94/3 Total fees due upon application: , r
�1
Amount received:
Authorized signature: JAN) Si+e1 -1-61 This permit application expires if a permit is not obtained
Print name / within 180 days after it has been accepted as complete
: _ Date: /l g * Fee methodology set by Tri -County Building Industry ,, ', _
Service Board. `
1: \Building \Permits \BUP -RES PermitApp.doc I 1 6/07 440- 4613T(I1 /02 /COM/WEB)
Building Permit Application Checklist
One- and Two- Family Dwelling Ao *y °Ii'FOWOFFIC USE NLY i % � ' Y' y ,
, ( City of Tigard Received permit No.:
1114 Date/By: -
a 13 125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
' a Phone: 503.639.4171 Fax: 503.598.1960
24- Hour I nspect i on Li ne: 5
0 ❑ Plumbing g ❑ Mechanical
Internet: www.tigard- or.gov ❑ Other:
,, THE, F atiWIN6441EMtAREREQUI'REiAbr PLANOREVIEW44 r ? i fsi ± NV
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
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; 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 ❑ ❑ ❑
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 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, stairs, fireplace construction, thermal insulation, etc.
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.
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 ❑ ❑ ❑
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 ❑ ❑ ❑
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 Oregon and shall be shown to be applicable to the •ro'ect under review.
k� i s e :
x ' IURISDICTIONAL�SPECIFICSi- . R - •t.. 5' x .,:;, , K "1 ' ' r 4, :yv ",m ,, : ,, t �- �� �� -,i
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
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. ❑ ❑ ❑
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, ❑ ❑ ❑
and protection measures must be drawn to scale and accompanied by 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.
•
1 \ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT # : FA /PAW -00113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2000
Phone: (503) 639 -4171' Al
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE 7/25/20108 TIME 7 :00AM PAGE: 7
SITE ADDRESS: 15278 SW OAK VALLEY TERF< CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. '7 LOT #: 08, TYPE OF USE:
PROJECT NAME: NGI /YEN
DESCRIPTION: 8' x 18' det :k: addition
OWNER: NGUYEN, SANG PHONE #: 503 704 - 3185
CONTRACTOR: DEAN Si- IFELLEY CONSTRUCTION PHONE #: 503-998-9695
Inspection Request Scheduled For: Date 7,25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message p
'
299 Final inspection 073231 -01 503.99E -9. Y
v
Corrections /Comments /Instructions: 1 h r e"--
._________________________
r PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: S.5 Date: g 5 - j u I \ / O f Phone #: (503) 718 - / 7`-3
CITY OF TIGARD
BUI G DIVISION PERMIT #: t3UP2008- 0(3113
13125 S H all Blvd., Tigard, OR 97223 DATE ISSUED: 41181200:3
Phone: (503) 639 -4171 4fm ' '' ��I�L t:
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/29/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 15220 SW OAK VALI_.EY I"IERR CLASS OF WORK:
SUBDIVISION: SUIAMIT RIDGE NO. 2 LOT #: U$fi TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: 8' x 1U de+ I. addition
OWNER: NGUYEN, SANG PHONE #: 503-701-31 85
CONTRACTOR: DEAN `:3I CONSTRUCTION PHONE #: F/03-998 -9695
Inspection Request Scheduled For: Date: 4/29/2008 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
205 Footllia 0G9023-01 503 -998 -9595 ¥
Corrections /Comments/ Instructions:
-dt ° 44''0 " F i e.r—rc 1- S - R- i---> c c..lr-: . •
ASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
❑ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4- z ' -dB Phone #: (503) 718 - -.Sic-lb-----'