Permit „ "16a1 CITY OF TIGARD BUILDING PERMIT
r �� " PERMIT #: BUP2007 -00213
y, COMMUNITY DEVELOPMENT DATE ISSUED: 5/1/2007
Li
TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104CC - 05300
SITE ADDRESS: 13609 SW ESSEX DR ZONING: R -
SUBDIVISION: HILLSHIRE ESTATES NO. 3 LOT: 161 JURISDICTION: TIG
PROJECT: ANTHONY
Project Description: 168 sf. deck. with hot tub
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: 0 sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N • 168 sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 168 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: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,000.00
Owner: Contractor:
DOLAN ANTHONY RICK'S CUSTOM FENCING
13609 SW ESSEX DR. 4543 SW TV HIGHWAY
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 590 - 5430 Contact #: PRI 503 - 640 -5434
Reg #: LIC 50088
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/19/2007 $72.10
[TAX] 8% State Surcha 4/19/2007 $5.77
[BUPPLN] Pln Rv 4/19/2007 $46.87
Total $124.74
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
i :Dance, or . irk is suspended for more than 180 days. ATTENTION: Oregon law re ou follow the rules adopted by the
Oregon Utility Noti ..tion - : r. Those rules are set forth in OAR 952-001-0010A ugh - OAR 952 -001 -0100. You may obtain a copy
of these rules or direc ; -stio' s to OUNC by calling 503.246.6699 or 1.800.3321'2344.
/ /� �/ Per mi ttee 5' • nature -
Issued By: A // II — ( /
y l �l
/
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.
, Building Permit Application
r_ a ;�
Commercial ` t �� Jt Pte Y " J,' T � f•r= I �J ''1 v' l 6jw-e reel I n Ir C u ll lv
�+' ; yy �.,z ,,x�'a of z � l '` , FOR30FFICE USEtONLY ' ' r'■,%� , i, + , �
T ri A ..r 1�a7 �' �r4"�' ,�; a �. „.y. %..yw'. . ,-.,, ,,,,, rr In '!-Yin, re�i.., -. II @+i� J . � .: L'i k
M s Rece ived 1
• ,!fi w R: City of Ti gar d DateB : ,�0 1 . 1 Permit No. - ip,; — Q
llpi ° 13125 SW Hall Blvd., Tigard, OR 97 a 2UU1 Plan Revie 1
�' Phone: 503.639.4171 Fax: 503.59 ' :'t v [ Date/By: • I • 07 ,l Other Permit:
� ` 3x ` Inspection Line: 503.639.4175 Date Ready /By: Juris ® See Page 2 for
T I.. A D . Internet: www.tigard or.gov city or iikiiil Notified/Method: Supplemental Information
TYPE' ftlio vvtmui. 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
j Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION ' . work indicated on this application.
® 1- and 2- family dwelling 1:1 Commercial /industrial Valuation: $ 27 88
El 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: 136 09 5 W Ersg D • New dwelling area: square feet
City /State /ZIP: ' a ✓ / O� ',
9 1 23 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet 1
SU✓ - -p.C7 Other structure area: square feet
`R 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
DESCRIPTION OF WORK - work indicated on this application.
Valuation: $
of P c IL e:7Ci‘eoin S 1ln
Existing building area: square feet
New building area: square feet
l PROPERTY OWNER r ❑ TENANT Number of stories:
Name: `� I� (e 5 'r , �/. _ / PV Type of construction:
Addres Ii t, s,� Occupancy groups:
City /Stat e 1 Existing:
Phone: (•o3) S 9D — S'/,3'p Fax: ( ) New:
E APPLICANT a CONTACT:, PERSON
NOTICE ;
Business name: All contractors and subcontractors are required to be
tact name: �� , f-ea,_ r t,� licensed with the Oregon Construction Contractors Board
�A under ORS 701 and may be required to be licensed in the
ddress: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply: - 7 ., . /D
Phone: (SOO) 53 YZY2 I Fax:: ( ) S A i& •D '�ff
E-mail: 5. 77 ' 2/t 74
CONTRACTOR
. Business name: RICK ►S CUSTOM'- FENCING , BULLDIN i 'E FEES*
Address: & DECKING, INC. (Plea refer to feesehedule
City /State /ZIP: 4543 S.E. TV Wy
Structural plan review fee (or deposit):
• F LS plan review fee (if applicable):
Phone: ( ) �I ,ri . � �O,. QR 97� 23 p ( PP )
' ' 13) 640 5434 Total fees due upon application:
CCB lic.: 5
Amount received:
Authorized signature�� - This'permit application expires if a permit is not obtained
within 180 days after it has been accepted as. complete.
Print name: r-7l�lr re ...... F5,e Date: N 49-07 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(1I /02 /COM/WEB)
Apr. r. 19. 2007 , 6: 32PM . N 2o. 0691 P 1
• r fi _ _ ., . J.- .... Rick s Custom Fencing 648 ..... P - 1 d; r A _.•. 4 --- L - 1
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it Is lr) l� !} 1!.I Ir.4 i
, ,�i 200
in 1 1 •
APR 1 1 200, J
lea,,3,1;�W c- _ - vices B1
Out commitment ix cis it. Sensitive Area re
P- Screeni ng Site Assessment d .
Jurisdiction _ +mssrtei Date it i —Cr,
Tax Map & Tax Lot _ o A Owner Oy
Applicant j r*,-, r /, ie
Site Address 1 O S Wes ompany IZ; t: 1<`s C ,,s ern ( bee
/ '1 hL'.�1 ry' Y..
_
Proposed 9 7 2 ,'. Address tisy 7
osed Activit � v �' ��
p Activity e„ j; . City State Zip 1 ,.))sa•oY'oo 'y 7123
__ _ Phone 0o3) 53' - ti Z y2.
Fax ( 5'00 e y •s .- 6 3
By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges
and agrees that employees of Clean- Water Services have authority to enter the project cite of all
reasonable times For the purpose of inspecting project slle conditions and gathering Information
related to the projeet'site, .
Official use only below Ilia line
■ Official use only below this Ilge Official use only below lhls lino
Y N NA Y N NA
Sensitive Area Com os n Stormwater Infrastructure maps
®( Li Maps 2 5/ tq lte Map n ��
U ❑ WI Locally adopted studies or maps n Other
Specify I I U l .. Specify
Based on a review of the above information and the requirements of Clean Water Services
Design and Construction Standards Resolution andOrderNo 04.9
❑ Sensitive areas potentially-exist on site or within 200' of the site. THE APPLICANT MUST
PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. It
Sensitive Areas orrthe or within on adjacent properties, a Natural
Resources Assessment Report may also be required.
Sensitive areas do not appear to exist on site or within 200' of the site. This pre-screening
site assessment'doesNOT ettmtnate need to evaluate and protect wator qualify
sensitive areas if they are subsequently discovered, This document will serve as your
Service Provider Iettar.as.requlred -by Resolution and Order 04-9, Section 3.02.1. All
required permits and approvals must be obtained and completed under applicable local,
state, and federal_law.
1b4 The proposed activity does not meet the definition of development. NO SITE ASSESSMENT
OR SERVICE PROVIDER1 ETTERlS
Reviewer Comments:
Z IAtl . et =e ,r - . ' o , _ .N as - " .
Reviewed By: 4 -- Date: tJ7jg /O7
•
Post -it° Fax Note 7671 Date V / , 4 1 Ip ®ff�c,aZ use only
To 0 Fro g14416 11 v •► /I a . . Returned 7w Applicant
Co.lOepl. C n ` v Mail __ Fax IC Counter
�re,t .7 415 Date __ __" By - _ .
Phone a Phone tl Col • 68i-floc _.
Fax #5o0.6 Fait
n
1 `7
7 ,.
k Building Division
� Accessibility: Barrier Removal Improvement Plan
;iT
42114Weigiaiig
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
• (g) When possible, additional accessible elements such as storage and
alarms: • $
• TOTAL (shall equal line [2] of Valuation Computation): $
•
l:ABuilding \ Permits \BUP -COM PermitApp.doc 02 /23/07
CITY OFTIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00213
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639 -4171 ?�
Inspection Requests (24 Hrs.): (503) 639 -4175 ma �,��i
INSPECTION WORKSHEET FOR . DATE: 6/23/2007 TIME: 7:OOAM PAGE: 39
SITE ADDRESS: 13609 SW ESSEX DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE ESTATES NO. 3 LOT #: 161 TYPE OF USE:
PROJECT NAME: ANTHONY
DESCRIPTION: 163 sf. deck. with hot tub
OWNER: ANTHONY, DOLAN PHONE #: 503 - 59(1.5430
CONTRACTOR: RICKS CUSTOM FENCING PHONE #: 503 - 610 - 5131
Inspection Request Scheduled For: Date: 5/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 048902 -01 503- 2542652 N
2 7 s Floc...-: A.-5
Corrections /Comments /Instructions: �—�
a4s4P2z -rc. i4 -rT1&c 1,-1 wt c• l (R.07w - /b^r.=31-e.4
l cs'S ( C) C�c �—
6 &� �r�. 'A74,16 ,, ,,e/o------ --
\ n PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 5 2 . 3 ' > Phone #: (503) 718- -Z-4-257-
CITY OF T-IGARD - --
BUILDING DIVISION PERMIT #: BUP2007 -00213
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 Vit
' INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 13609 SW ESSEX DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE ESTATES NO. 3 LOT #: 161 TYPE OF USE:
PROJECT NAME: ANTHONY
DESCRIPTION: 188 st. deck. with hot tub
OWNER: ANTHONY, DOLAN PHONE #: 503 - 690 - 5430
CONTRACTOR: RICKS CUSTOM FENCING PHONE #: 503- 640 -5434
Inspection Request Scheduled For: Date: 5/21 /2007 Pour Time:
r t� Code # Inspection Description Confirm # Contact # Me sage 6
275 Frarnirng 048671 -01 503- 2642652 N
Corrections /Comments /Instructio s: I
N J-) 1 iltlitL
\ ITI (\ r ), &/ r/1 Y ‘61(\- -e--0
/ ; -'
PASS n P TIAL APPROVAL CANCEL n NO ACCESS
FAIL eiSNCALL FOR INSPECTION ADDITIONAL FEES ASSESSED
5 v V/ 2.
Inspector:
V() C1 � Dat e: Phone #: (503) 718 -
CITY OFTIGARD -
BUILDING DIVISION PERMIT #: E3UP2007- 00213
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/1/2007
Phone: (503) 639 - 4171 �p
Inspection Requests (24 Hrs.): (503) 639 -4175 �'.
INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 13609 SW ESSEX DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE ESTATES NO. 3 LOT #: 161 TYPE OF USE:
PROJECT NAME: ANTHONY
DESCRIPTION: 168 sf. deck. with hot tub
OWNER: ANTHONY, DOLAN PHONE #: 503 - 590.5430
CONTRACTOR: RICKS CUSTOM FENCING PHONE #: 503 610 - 5134
Inspection Request Scheduled For: Date: 5/21 /2007 Pou/ 'm.
Code # Inspection Description Confirm # Contact # ' essage / �S
I
299 Final inspection 048671 -02 • 503 -250 -2652 N
Corrections/Comments/Instructions
kJ 6 01/\-e_ Livt.t. (
_....
II
if
(l PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
D ILLAIL , CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
L lL� �, b 18 - l L
Inspector: �� it_______,-
Date: J 1 P7 Phone #: (503) 7
CITY OFI IGAR® . - .. •
BUILDING DIVISION PERMIT #: 6tJP2007 -00213
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 511 /2007
Phone: (503) 639 -4171 ail k , ',���
Inspection Requests (24 Hrs.): (503) 639 -4175 , . W _.1 .
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 13609 SW ESSEX DR CLASS OF WORK:
SUBDIVISION: HIL.LSHIFRE ESTATES NO. 3 LOT #: 161 TYPE OF USE:
PROJECT NAME: ANTHONY
DESCRIPTION: 168 sf. deck. with hot tub
OWNER: ANTHONY, DOLAN PHONE #: 503 - 530 - 543()
CONTRACTOR: RICK'S CUSTOM FENCING PHONE #: 503 - 640 - 5431
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
206 Footing 047533 -01 503 - 250 -2652 N
Corrections /Comments/ Instructions:
1 5 i /- • ! • .i TLvo /50 - 7�
SASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL U CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: / ,4 Date: ,5 — 3 --o > Phone #: (503) 718-