Permit •
f � � �,� - �,. ' o BUILDING PERMIT
•, - ° � ITY TIGARD PERMIT #: BUP2007 -00032
. "
COMMUNITY DEVELOPMENT DATE ISSUED: 3/19/2007
`T,[GARDr, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-00200
SITE ADDRESS: 11560 SW 67TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 004 JURISDICTION: TIG
PROJECT: GREEN OFFICE BLDG. VESTIBULE
Project Description: Addition of airlock /vestibule to front entry.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
JOE GREEN INVESTMENT CO JOE GREEN INVESTMENT INC
PO BOX 1 PO BOX 1
DONALD, OR 97020 DONALD, OR 97020
Contact #: PRI 503 - 970 - 2927
Phone: 503 - 970 -2927 FAX 503 - 678 -6266
Reg #: LIC 57652
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUPPLN] Pln Rv 1/24/2007 $59.35
[FLS] FLS Pln Rv 1/24/2007 $36.52
[TAX] 8% State Surcha 3/19/2007 $7.30
[BUILD] Permit Fee 3/19/2007 $91.30
Total $194.47
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 the Tiles or7fii ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed B y 4 L _ La _L / / � // ,� / Permittee Signature:
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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 , - �'
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on ,' FOR OFFICIO ISE -6NI.Y •
City of Tigard Received
try / a 0 Permit No.
?)0 pe9Gi?n .6oa3p..._
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13125 SW HaII Blvd., Tigard, OR 97223 : A I I 2 Y it. 2001 Han , t .. 6 go.
=— II - - Phone: 503.639.4171 Fax: 503.598.19�� - / Other Permit
T 1 G A R D Inspection Line: 503.639.4175 Date Re.. y :•: 3 1 °i 01 Jurist ® See Attached Checldist for
Internet: www.tigard- or.gov :_!' ' ./ t.y y y ),^ - A�,y_j
-t Notifed/Method I SuppIemeatal Information
• 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling OGommercial /industrial
Valuation: $
❑ 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: 115'6,0 s 6 7 72i 41/6" New dwelling area: square feet
City /State/ZIP: -7c3r/ vA c Garage /carport area: square feet
Suite/bldg. /apt. no.: ! // ` Project name: \ye5l (,t L� Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
$ '" 60A G 7� A Ve 7/f b / 9 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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: $ 5, oov
g Pa Existing building area: ( 2 2 , 7 3L( square feet
New building area: 13 / , o 3 square feet (7b7k-G�
ROPERTY OWNER 1 0 TENANT . Number of stories: 1 ( DoSeAviek) Cal40t.
Name: 'i c 0 (L e : kte-5 rA.A E,- 1 Co Type of construction: V — i
Address: .Qp &:'K \ Occupancy groups:
City/State/ZIP: p / ,44 _ 970t0 Existing: 0
Phone: ( 5o3) r 17e 9 291 / Fax: (503 6 7 0 . New: Q
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: NkiPith 7?- 4-g of yr 6TJ/z_ All contractors and subcontractors are required to be
Contact name: /AIL( it y.-) -r-- c..6 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Pc 7 )C' 66 Li jurisdiction in which work is being performed. If the
t f
/ applicant is exempt licensing, he following reasons
City / State/ZIP: / °° 141" l•30
q a apply: d
Phone:(s I� 1 -�C(� Fax::(5c4) (7?j 1-710-- 5.1L. 59•a_5
E -mail: ( f t ✓t a e G1.4-t t+ec;ivir c P k bl e , C
CONTRACTOR �� i
Business name: G cr,Q e. s, - c j� co BUILDING PERMIT F
Address: f.:, .� ` (Please refer to fee .sebedafe) _
9 Structural plan review fee (or deposit): 7 c
City /State/ZIP: Qa Cy(k_ C I - 7 01 00
Phone: (5 2 i ) 9 70 � 29 2,...,-.7 Fax: ( tea 67 g 6Z. / FLS plan review fee (if appl icable): o .S
CCB lic.: 5 7 CS 2. Total fees due upon application:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
!• r �" Date: A /07 within 180 days after it bas been accepted as complete.
Print name: L4t,f� vJj I 1 a Fee methodology set by Tri-C unty Building Industry
Service Board pi ,x /q '/ ///
�\ Building\ Permiu \BUP -RES -Perm itApp doc 03/21/06 4404613T(11/02/COM/WL�) �/ % / e7 { �� �1
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One- and Two-Family Dwelling
Building Permit Application Checklis ' 1 ' l s I .i r " 4' 1 :l -a, ' 1
is i t-t ig ., ll 1 , It USLY � \c t 1Ni,1:4 `t .
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,i' f C of Tigard
`7 y Pemtit No
a 13125 SW Hall Blvd, Tigard, OR 97223 Associ permits
J. t' II %A. Phone: 503.639.4171 Fax: 503.598.1960
. 1».a AL .nr': 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
x31CU
�r. 4.7t Fit Internet: www.tigard - or.gov ❑ Other
i III I ( ) I _ " 1' '-e; I "..:f 415.N1214'11( 'Gil ZI 1i +l " I f - 3 , - 1 0 , . (0r "i`i ''1a 5.V , x: r .',;' . .-"i10l « : N1 rzi A/X'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. per ` fi e -,j CAI A e5 1 S 07 • d
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: ❑ 0 ❑
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. ❑ 0 ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- 0 ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state 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 ❑ ❑ ❑
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 ❑ ❑
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- ❑ 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 ❑
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 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
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required 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 ❑ ❑
architect in Ore_on and shall be shown to be : • `t D I licensed r .licable to the • o'ect under review.
k 13 3 ` lry J U, R I S C I I N A L` 51' I C I I C.S '. IJ I! y 1 "St�, 1 '� . '. ..yft ^i b. l i i l Y {3 SI N'., H � + lil }{iZ 1 ' r .t Ik " ..1� y. t� fd f b # �` .
_._..�.. ,.. ..,,. . . ,I ...... F 4 •; .�. Ccr �.I n ? .4aa 4� 1[ . 'r n yn 4. :gisr t yahi iwt�s4 iiiAlf Tey n"A �� 1
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ j
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ 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 ❑ ❑
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 0 ❑ ❑
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, ❑ ❑ 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.
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CITY OETIGARD - SITE PLAN RE VI
Req SITE & VICINITY 1 PLPLAN BUIL UI _ 0
PLANiriv' ed INC Setba Di c VIks: S ION ,• U 1/32" = 1' -0"
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(� ',proved
Side: Street Side: ° ❑ NUt Approved
fit:t. { � ara_r: b
Visua( ('tc a - an : .
Maxirrr f [3uiidin te 7 Ap r17 ed ❑ Not Appro _ ved
Hei��ht 7 3 feet
CWS Service Provider Letter Required:
Q 1's Rear:
inAnr>r4 o ouu000n
ra, P.O. Box 664 �� NU DATE: 01/23/07
o o��,►�N:e, ko Q, ❑ Re R EFERE NC E DRAWING: Donald, OR 97020 `x ` °0 a'° '� EN 'IN DEPARTME► Date: I 2 SCE: 1/32" = 1' -0"
C ° Actu S io ; o T: SITE / VICINITY PLC N PROD. NO.: DWNBY: J•G•�• Pr ® 2 005 -16 btc
(b) 503.989.2992 0 0.. o4eooe . , o $tom P � A • �rUVtd � Not A I ; �±p ^ Q
.c .. ` .r ►' pproved n Nint e pP�ov e d ,. GREEN OFFICE VESTIBULE