Permit . '.--, .
CITY OF TI BUILDING PERMIT
PERMIT #: BUP2006 -00064
I �; DEVELOPMENT SERVICES DATE ISSUED: 2/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103BD -07600
SITE ADDRESS: 12621 SW 115TH AVE ZONING: R -4.5
SUBDIVISION: HUNTER'S GLEN LOT: 032 JURISDICTION: TIG
Project Description: Enlarge 3 bay garage.
REISSUE: �,c5 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 9,k FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N . sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 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: 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: $ 6,000.00
Owner: Contractor:
BOECK, MARK G + CATHERINE L GASSO PROPERTIES LLC
12621 SW 115TH AVE 14065 SW DOMINO ST.
TIGARD, OR 97223 BEAVERTON, OR 97005 a
Phone: 503 - 520 -1141 Contact #: FAX 503 - 697 -0794
PRI 503 - 572 -3462
FEES Reg #: LIC 49290
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/24/2006 $100.90 Bolts in concrete
[TAX] 8% State Surchart 2/24/2006 $8.07
[BUPPLN] Pln Rv 1/30/2006 $65.59
Total $174.56
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 -6.99 or 1- 800 -332 -2 , 4.
Issued By: ,j . , // Permittee Signature _4. illike-d„,,,,
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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Building Permit AnnlicatryEC I ' 1 4 I � �� , 7 I t � .\ Sri , � ; 2
City of Tigard Received
Date/By _ ^O BP Permit N ' " °�
t
13125 SW Hall Blvd., Tigard, OR 97223 IA� ` 11I Plan Review q/ 6 "�0 {o
Phone: 503.639.4171 Fax: 503.598.1960 ^+ %e, ,n l i� Date/By: a �J Other Permit:
®
Inspection Line: 503.639.4175 Date Ready/By: s: See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TI - % Notified/Method L "ila .tea. 11 _ Supplemental Information
. BUILDING DNISIONAgrA'J _ /A� >�.L�_ ._ ■
TYPE OF WORK / REQUIRED DATA: 1 D2 AMILY 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
a Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation:
61 1- and 2 -family dwelling ❑ Commercial /industrial $ (0 6060
❑ 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: J a La J I ` S its New dwelling area: square feet
City /State /ZIP: '"'7' 764 6 ._ 9 . Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 8 0 PA AL — Covered porch area: square feet
Cross street /directions to job site: c . -4. 1 I 4 Deck area: square feet
1 ` (4 )--eae) ) h L I. � - S fJOQS(/ Other structure area: square feet y
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I 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
99 DESCRIPTION OF WORK - work indicated on this application.
PA E.�J , 5 Bav t�'r,Gt'Ya e: &Od w t der Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT " ' Number of stories:
Name: Cy‘ C A y BDec k Type of construction:
c Ji'
Address: 1 2(19a .S ivj t is- Occupancy groups:
City /State /ZIP: iagegrizrj °I W Oi e bf J 9 - 7„).3 Existing:
Phone: ( 933 ) 5"w• -1/4/ Fax: ( ) New:
iI. APPLICANT . 1 CONTACT PERSON . NOTICE
Business name: G4.55d b' To �� A.tes LLC, All contractors and subcontractors are required to be
Contact name: s C7 �Q licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: i yob 5i„.0 ` O j ,,., l w �- jurisdiction in which work is being performed. If the
ii__� �+� applicant is exempt from licensing, the following reasons
City /State /ZIP:
�IP r X�� �i % /r apply:
Phone: 6 03 3 - 3q a, Fax:: (303) (09 9 . 0
E -mail:
CONTRACTOR (;16.,4)
Business name: C — z p - eS �,L
BUILDING
V^ ^' - PERMIT FEESi
Address: 1 �-l0 (is— 5 vJ c �t D M t t'tL SI
Please refer to fee schedule.
(-� City /State /ZIP: k/ cIDIN 69-e- 111)05 � t pI f Fees due upon application
Phone: 57 ? 3Lfl F ax : (553) f!j7''l -moo° f` Amount received
JCCB lic.: / q �h MG 3 ' yQ
/ �� ,, (�V,,� �� Date received:
■
Authorized signatur & v Y r v } This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
Print name: , c./0 i C7� Date: i — 30 -- 0(0 * Fee methodology set by Tri -County Building Industry
Service Board.
i:\ Building \Permits\Bt1P- PermitApp.doc 12/03 440 -4613T(II /02/COM/WEB)
One- and Two- Family Dwelling
Building Permit Application Checklist l orz;:_ol`h :_�ci u�i'o�l
City Of Tigard Receiv
g Oate/By Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits
Phone: 503.639.4171 Fax: 503.598.1960 do��uif�,,
24- Hour Inspection Line: 503.639.4175 — ��'i, h ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.ci.tigard.or.us '' i ❑ Other.
T I E FOLLO\1( ITEMS ARE, RI QUIRED 1�OIZ PLAN REVIEW, r , e• N a‘
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. ❑ 0 ❑
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.
1 1 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, ❑ 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- ❑ ❑ ❑
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 ❑ ❑ 0
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 Orelon and shall be shown to be . .livable to the .ro'ect under review.
=IURIS'DIC:! JONA1' SPLCIFICS, ".
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 tree protection measures as required by conditions 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.
I:\ Building \Permits\BUP- RES- PermitApp.doc 2
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CITY OF T9
RESIDENTIAL PERMIT APPLICATION REVIEW OREGON
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As required by the 1999 Legislative action (Senate Bill 587), your residential permit
application and plans have been reviewed to determine if it is complete and if the plans are
deemed "simple" or "complex" as defined in ORS 455.467 and 455.469.
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The application is complete.
The application is incomplete for the following reason:
The submitted plans will be reviewed; however, a permit cannot be issued until the
above information is reviewed and/or approved.
The submitted plans cannot be reviewed until the above information has been
submitted and/or approved.
IN The plans are deemed "simple ". • ,74 The plans are deemed "complex ".
If you have any questi• - p - - call Chad Williams at (503) 718 -2708.
CIAMO ,
/ / ..,..3 0 , 0 6
Name of Plans Reviewer Date
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
CITY- OF ILGARD _ 6 6 4 e
BUILDING DIVISION PERMIT #:,..706 6 - 6a D 4 L1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i p.'i vix
Inspection Requests (24 Hrs.): (503) 639 -4175 g
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ) (p 1 l /3 ---41/ ' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
In = - Request Scheduled For: Date: 3 -- is 6 c Pour Time:
ode # Inspection Description Confirm # Contact # Message
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FAIL i� C LL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED
Inspector: f Date: 3 —YS --��6 Phone #: (503) 718-
CITY OF TI'GARD
BUILDING DIVISION PERMIT #:02066 ° 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ' /�
Phone: (503) 639 -4171 � V '�-
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: Le (s v( CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions:
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V PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: Date: ( "6 Phone #: (503) 718: 6
CITY, OF TI,ARD
BUILDING DIVISION PERMIT #. 020O (o (o
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 il
Inspection Requests (24 Hrs.): (503) 639 -4175 °__„
INSPECTION WORKSHEET FOR DATE: 6 71 t - -- " 1 4 ME: PAGE:
SITE ADDRESS: f�( . ( /' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: J - 6 �- 0 �P Pour Time:
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Inspector: Aw► I Date: 5 l'o 0,6) Phone #: (503) 718- 21"k0
CITY QF TIGARD C g, od goo‘
M DING DIVISION PER #: 7
13125 SW Hall Blvd., Tigard, OR 97223 1 ‘ DATE ISSUED:
Phone: (503) 639 -4171 �"n'� 'IF —
Inspection Requests (24 Hrs.): (503) 639 -4175 ' Ip�� I
INSPECTION WORKSHEET FOR DATE: 3/ ) �// 60 TIME: PAGE:
SITE ADDRESS: "' f / / J CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions:
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