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Permit
r a�j" CITY TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT DATE SUIED: BUP2207 00498 0000 TIGA ISSUED: D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S133AD-10300 SITE ADDRESS: 10659 SW 127TH CT ZONING: R - SUBDIVISION: AMART SUMMER LAKE NO. 3 LOT: 159 JURISDICTION: TIG PROJECT: JACOBS Project Description: Interior wall removal. REISSUE: CUSTOM FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT 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: $ 5,400.00 Owner: Contractor: GREG & JULIE JACOBS VIAL & PHAM LLC 10659 SW 127TH CT 7145 SW YARNS ST TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503 Contact #: PRI 503 - 597 -2425 FAX 503 - 297 -2428 Reg #: LIC 167458 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 9/24/2007 $68.78 [BUILD] Permit Fee 10/10/2007 $105.82 [TAX] 8% State Surcha 10/10/2007 $8.47 Total $183.07 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Ai' ,. / i 4�?aG�. Permittee Si na i t i i' 1 Issued B y g i(llM will Call 503.639.4175 by 7:00 a.m. for an inspection that ■siness day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application (0 mac & 1 Z 7 C Residential REC ' � � , : ' ' 'c " o - ; V ° FO R O FIL:++ " W2lt "IJ r riN City of Tigard Received 4 i7 L) l Date/B : of 1 �� . _ /1/ - BU 7 13125 SW Hall Blvd., Tigard, OR 97223) E Plan Revie I k . ° g t • ] Other Permit: -„ ,,, Phone: 503.639.4171 Fax: 503.598. Date/B : rkL, ..' *'' Inspection Line: 503.639.4175 11 �¢ % a i t i ® Date Ready /By: 0 See Page 2 for TIGA`RD t n� "n !�± n t �d ? tN, �!: ! ,!t Internet: www.tigard or.gov BUILDI G DII ISIGP. Notified/Method: , p p Supplemental Information TYPE OF WORK REQUIRED �ATA: 1- AND 2- FAMILY DWEL 4 (3r ` ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: -$_:_ 6) 0 03 ❑ 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: - :I fcp 5G S� 1 i ti C New dwelling area: square feet City /State /ZIP: -- Ii -'r Y CI 7 a3-- 3 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 ' P y � n woo 0 Dr. i a , 0- Other structure area: square feet 01�— ,o• REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: atiOrneir eak�--' 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. I. /2 t l / � iv t/ �` Valuation: $ /V Existing building area: square feet New building area: square feet 0 PROPERTY OWNER I ❑ TENANT . ' Number of stories: Name: () ' i 11 0 a / t � E✓' , (� ' Type of construction: Address: / n o q w 1 Q� �"--)-D. L � Occupancy groups: City /State /ZIP: T ( � -I / ��g G 7� �3 Existing: ` Phone: 5)3) � 35 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 etempt fro 1 ensing, the following reasons apply: 5 � Phone: ( ) 1 Fax: : ( ) Q' Q �. E -mail: UU CONTRACTOR Business name: Hoo Ph � , l/lil (it 6 p ph L1L \ JJ BUILDING PERMIT FEES* Address: (� / ! C 1 (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: i)3) 140 s Dl�r Fax: ( ) FLS plan review fee (if applicable): CCB lic.: (97 Total fees due upon application: Amount received: (o i .1g Authorized signature: This permit application expires if a permit is not obtained i within 180 days after it has been accepted as complete. ':Print name: 5I /l l / (Li St (43 Date: q -^� Li - 0 7 * Fee methodology set by Tri- County Building Industry � Service Board. 1: \Building \Permits \BVP -RES PermitApp.doc 02/23/07 440- 46!3T(11 /02 /COM/WEB) Building Permit Application Checklist One- and Two- Family Dwelling �' ,a:FOROFFICEUSE? Y `�1r.wtn�,z' ' RciVeigf Received City of Tigard Permit No.: 13125 SW Hall Blvd., Tigard ;.OR 97223 - - t y: A Associssociated permits: , : },, Phone: 503.639.4171 Fax: 503.598.1960 ❑Electrical ❑Plumbing ❑Mechanical ,:k- 24- Hour Inspection Line: 503.639.4175 T:1 G'A R D . „0.;att2,i4; Internet: www.tigard- or.gov ❑ Other: 1THE FOL LOWI�NG I+ T EMSAI2EREQUIREDFORPLAN REVIEWi ' 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.- . u 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 •roject under review. 10'05 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 03/21/06 440- 4613T(11/02/COM /WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: 6UP2007- 00498 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2007 Phone: (503) 639- 4171 "wr�lU�i61� ° �'� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7 PAGE: 49 SITE ADDRESS: 10669 SW 127TH CT CLASS OF WORK: SUBDIVISION: AMART SUMMER LAKE NO. 3 LOT #: 159 TYPE OF USE: PROJECT NAME: JACOBS DESCRIPTION: Interior wall removal. OWNER: JACOBS, GREG & JULIE PHONE #: 503-679-8035 CONTRACTOR: VIAL & PHAM LLC PHONE #: 503-597-2425 Inspection Request Scheduled For: Date: 10/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 050242 -01 503.740 -0125 N Corrections /Comments/ Instructions: PASS U PARTIAL APPROVAL CANCEL NO ACCESS — FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: • Date: – Phone #: (503) 718- 2-54-1 • CITY OF - TIGARD BUILDING DIVISION A. PERMIT #: Bup2007.404 D ATE a.J8 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 10/10/2007 Phone: (503) 639-4171 "tivilI Inspection Requests (24 Hrs.): (503) 639-4175 00,1 -.■••■• INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7:00AM PAGE: 2 SITE ADDRESS: 10659 SW 127TH CT CLASS OF WORK: SUBDIVISION: AlviART SUMMER LAKE NO. 3 LOT #: 159 TYPE OF USE: PROJECT NAME: JACOBS DESCRIPTION: Interior wall removal. OWNER: JACOBS, GREG & JULIE PHONE #: 503-679-8035 CONTRACTOR: 'VIAL & PHAIVI LLC PHONE #: 503-597-2425 Inspection Request Scheduled For: Date: 10/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 216 Framing 058167-01 503-419-8765 N Corrections/Comments/Instructions: - , - - 6 h5 -,A5 Ls - ---74 . c 3 P - =l-t-e---t -- fri v,...-:- , oi„, - 4 / _. t ( - . Z .-- ;•-t-AZ Gra / 6 d Awri-it-f --r---- n PASS PARTIAL APPROVAL 7 CANCEL El NO ACCESS 7 FAIL n C LL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED ,-, ------ Inspector: , - Date: /6 - 2-Y —ici Phone #: (503) 718- CITY OF Y IGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 gi "a�mM "i' Inspection Requests (24 Hrs.): (503) 639 -4175 J -I INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /a (057 A $cy 2.0:27 ! 27 " — CLASS OF WORK7p -Gr7�c SUBDIVISION: / LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: g3 A 56 - 7'4(.3 - 01 25 OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: rb 1 0 —0 Pour Time: Code # Inspection Description Confirm # Contact # Message g DSO Corrections /Comments/ Instructions: w „AA/4" L i 5"n i. 4—n Z) o4 r-' ---- �2. i PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: , Date: /6 — /R —0? Phone #: (503) 718 - ?-. 5J CITY - -OF TI ARD 110 • � J BUILDING DIVISION PERMIT #: �, tr 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10l101i007 Phone: (503) 639 -4171 va i � r� Inspection Requests (24 Hrs.): (503) 639 -4175 A- IL. INSPECTION WORKSHEET FOR DATE: 101178007 TIME: 7:O2AIV PAGE: 13 • SITE ADDRESS: 10659 sw 127T} i CT CLASS OF WORK: SUBDIVISION: AMART SUMMER LAKE NO. 3 LOT #: 153 TYPE OF USE: PROJECT NAME: JACOIBS DESCRIPTION: Iritc-tiior w a l l removal. OWNER: JACOBS, GREG & JULIE PHONE #: 503.579-8036 CONTRACTOR: VIAL & 'HAM LLC PHONE #: 503 -597 -2425 Inspection Request Scheduled For: Date: 10/17/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 057772 -01 503- 573 -8035 N Corrections /Comments /Instructions: f - / L r �/r %., Y `-2 ,- e L_ ms s‹ ©•c.° '- /,, tom _I r i le i Q - rte -: —1 c . �-, y :;- r'7t1/ of , Tc . U PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS IL 1 I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: i Date: M f 7 J Phone #: (503) 718-