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Permit CI TY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00434 Ake .I DEVELOPMENT SERVICES DATE ISSUED: 9/7/2006 , 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25111 DB -03100 SITE ADDRESS: 15335 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT: 490 JURISDICTION: TIG Project Description: New skylight. 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 : 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: $ 500.00 Owner: Contractor: DIANA POORMAN CUSTOM RENOVATIONS CONTRACTING 456 GOOSE CREEK RD 9370 SW WASHINGTON DR WOODBURN, OR 97071 TIGARD, OR 97223 Phone: 503 - 720 -7652 Contact #: FAX 775 - 243 -6774 PRI 503- 563 -1600 Reg #: LIC 164689 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/7/2006 $62.50 [TAX] 8% State Surcha 9/7/2006 $5.00 [BUPPLN] Pln Rv 9/7/2006 $40.63 Total $108.13 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 -2344. Issued By: ,,* - Apr Permittee Signature: . vtI /" 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 y �� ����® FOR OFFICE USE ONLY City of Tigard R. - Permit . _ / - 66 y.�y • ' Date/By. °I 13125 SW Hall Blvd., Tigard, OR 97223 ry Plan Review �a i , , : , I r.' • Phone: 503.639.4171 Fax: 503.598.19605 E P ® , 2006 Date /By q.1.4 � Other Permit. TI G A K D Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: ® See Attached Checklist for Internet: www.tigard- or.gov Notified/Method: Supplemental Information BUILDING DIVISION 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. El 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: S 50O El Accessory building Multi - family Number of bedrooms: El Master builder El Other: Number of bathrooms: ' . JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 153 3 5 S 3 44,Dt' t> . BQsaL C./reit New dwelling area: square feet City /State /ZIP: 4 ` ©� if Z Z Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: i POOR—Al a-ft/, Covered porch area: square feet Cross street/directions to job site: i4 \ To 5 ti ,er Q.,,}. . Deck area: square feet V "Gf" e40er 6 r a-614_, . - / RI Q Ip e ( 5n -a /G cie / Other structure area: square feet OM C OrtJ !� / 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. • . 7-rvs' (1 1 - 2,X 4l S Yy I jets Valuation: S — = :— i��,..- � �r., :e.. Existing building area: square feet • • -- O New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: O f a0 c Peck , Ai Type of construction: Address: )-1 -3 7 g Oft Cete R ' Occupancy groups: City /State /ZIP: t")/2- I 7 i Existing: Phone: (5p3) 7 Z O - - 3 4 , c 1 Fax: ( ) New: ❑ APPLICANT 0 CONTACT PERSON NOTICE ' Business name: C •"- All contractors and subcontractors are required to be , ` licensed with the Oregon Construction Contractors Board Contact name: • rn l f� d ' � o•. under ORS 701 and may be required to be licensed in the Address: 'j'3, D fuJ )t // P/2- ,. jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: ; dr crif - a trIIL- 9 '7-21_7 . apply: Phone: (�' 7I) - 5 e - IL p d Fax:: ( ) 0 E -mail: CONTRACTOR Business name: CIA, 3d`v --- - It?Grt I ea c-440 al r . BUILDING PERMIT FEES* ' Address: .� (Please refer to fee schedule S Structural plan review fee (or deposit): City /State /ZIP: FLS plan review fee (if applicable): Phone:( ) Fax:( ) CCB lic.: j („ 7 / Total fees due upon application: Amount received: • Authorized signature: This permit application expires if a permit is not obtained Print name: 2".1---.17 within 180 days after it has been accepted as complete. Date: 9 - 7 Q ��� D Y Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permils\BUP- RES- PennitApp.doc 03/21/06 440- 4613T(I I /02/COM/WEB) One- and Two - Family Dwelling r ,: Building Permit Application Checklist FOR OFFICE 'U E ONLY City of Tigard Received Permit No. 511 : • a 13125 SW Hall Blvd., Tigard, OR 97223 Date/By. C : Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: T I GA R t� 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other • THE FOLLOWING ITEMS ARE REQUIRED FOR PLAIN REVIEW Y e s N 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 a r r royal re, uired. 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 maybe 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 ❑ ❑ ❑ 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 Ore on and shall be shown to be .. ,livable to the aro'ect under review. JURISDIC`TIONAL.SPLCI TICS 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- PennitApp.doc 03/21/06 . CITY ��u o m OF TIGARD _ - �` __ � BUILDING' lDUVUgUON PERMIT #: B0P200& 00434 1312SSVVHaUBlvd..7lgard.ORQ7223 DATE ISSUED: 9V7/2006 Phone: (503) 639-4171 kosikuipli it- Inspection Requests (24Hna.):(S03)S3Q'4175 �8�N+ *Lli. INSPECTION WORKSHEET FOR DATE: 8y13/2006 TIME: 7:02AM PAGE: 61 SITE ADDRESS: 15335 6WALDERBR{)OKC|R CLASS OF WORK: SUBDIVISION: SUkAKMERFIELDN{).8 LOT #: 490 TYPE OF USE: PROJECT NAME: POORMAN DESCRIPTION: Mew owight ,OWNER: poQRkHAN`[)/ANA PHONE #: 603-720'7652 CONTRACTOR: CUSTOM RENOVATIONS CONTRACTING PHONE #: 509-603..1600 Inspection Request Scheduled For: Date: 9V13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 0364O1'01 971'553-1600 N Corrections/Comments/Instructions: • ' . // liXASS . PARTIAL APPROVAL 7 CANCEL ' NO ACCESS | | FA|L L FOR INSPECTION 1 | ADDITIONAL FEES ASSESSED | c u Date: Phone 8�O3\718- `