Permit M! CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00021
COMMUNITY DEVELOPMENT DATE ISSUED: 1/19/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125CA-03600
SITE ADDRESS: 09265 SW 74TH AVE ZONING: R -4.5
SUBDIVISION: BOULEVARD HEIGHTS LOT: 010 JURISDICTION: TIG
Project Description: Demo 1694 sq. ft. residential dwelling on sewer & 600 q. ft. out building. UPON FINAL, DEMO
CREDITS APPLY FOR SDC FEES.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: 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:
Owner: Contractor:
PACIFIC HOMES PACIFIC HOMES
6770 SW ALFRED ST 6770 SW ALFRED ST
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 - 975 -6560 Contact #: PRI 503 - 975 -6560
FAX 503 - 265 -8243
FEES Reg #: LIC 52417
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/19/2007 $62.50
[TAX] 8% State Surcha 1/19/2007 $5.00
[ERPRMT] Erosion Con 1/19/2007 $26.00
[ERPLN] Erosn Pln Rv C 1/19/2007 $8.45
(additional fees not listed here)
Total $110.40
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: ,,,li 4 . c . 4/ Permittee Signatu V. 7,r/::,,t, CC'
7
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 Applicatinu _ . rO t O1 1 Ic�t'; t si; ( NI i ' ° � t ,� 4 i z`
' City of Tigard "SY Recei ,
Permit No . r . 6 7
13125 SW Hall Blvd, Tigard, OR 97223 7
; Phone: 503.639.4171 Fax: 503.598.1960�AN 1 0 2001. - ' Ptate/g aa Revi . ew Other Permit:
TIGA Inspection Line: 503.639.4175 Date Ready/By: Jura: ® See Attached Checidist for
Internet: www.tigard- or.gov Notified/Method ' Supplemental Information
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,4 a . ; v r k� t . � t + T YPE ) 1 fs ; v n o r ' " ry .d j� �UIRED DATA. AND 2 FA�11iILY D� L1:ING ,
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❑ 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/alterationheplacement • ❑ Other: equipment, materials, labor, overhead, and the profit for the
: <u t ".*..a t `. , vs l,r sr x W, 1DVp.X �# r work indicated on this application.
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1 - and2- family dwelling 0 V aluation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: Z.
+ ,{ 1 n',k� d,•{ d t t Fa a r. 7.p +. ti'ry`,E 7t�s Gil ?v 43 .r`a:i7° f ¢
`iU. ' x � 70B SfitilINFO YtATIO TI , �l 3 '^ t9; Total number of floors: / _
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Job site address: C L t� N ewd X wellin g' area: e- ,e square feet �i�s
9v�6 / c 5,44 7 ..f! yG- g /l.0 / q
City /State/ZIP: - 7 - 7L ,9 /r> / 0/Z• 5 72Z 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
.
Cross street/directions to job site: 5, 7--.., ,, !o <ivr ,-.o. ®�,. Deck area: square feet
,r' C a �G" _ c P/' c o Ar 774 Y e.a.4•3 �.eia.•g' Y °i''�.. Other structure area: square feet 696
./7' 7 7 ,r, r
i R) ED( AA ,TA;;COMh1ERCIAL;USE,CHECKI:IST :
Subdivision: ,,„ c ,,„.,q,.r i� �F,6,."r 5 Lot no.: Permit fees* are based on the value of the work performed.
Tax ma Indicate the value (rounded to the nearest dollar) of all
map/parcel no.: / .5 / , 2 S C. A r. ! s , ' _ ea equipment, materials, labor, overhead, and the profit for the
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t:r ffi �s fil , ,e 1a. 0:4 1 DF.$ RIP TO 1:146∎04 �„� + r y , (11: Ialt ;�Vf i work indicated on this application.
Z Eit a . s T�.•ve__ Valuation: S
(7 J �� / Existing building area: square feet
x/ • • New building area: square feet
•
.b- 3 ' ',�i / `htY . 5 da1. .4, $4, i
ry ?i *xr PROPER) ' ,OWV r s � w i' ',�" ,�.t rOO + i fi4
�y : r ' Number of stories:
C. ne. ti m E w
Name: / / 2d NC / 5d . /.er. E ..s" ...... cL6 I'i9U�� /-?A'-'S Type of construction:
Address: 770 s; ,,,/, /9G,-, S 7 Occupancy groups:
City/State/ZIP: <y � / 4 ,,,,e , 977Z 3 Existing:
Phone: ( 975 — I n r i b O Fax: (*3).„7‘, 5— �� 'Y3 New:
k _ t� - !h si y F r - t' e y . } �S;tSa7' r �,,d_. .. ,•� it ,� s. - ral "a
r 'k 7''' M;; , a i s , x,r3 VVIA s CONT�.a' PF RSONx « 1 x 1 * : : , a a; A * 4, r' . 'NOTICE r ' ;, ,
Business name: ,2 �� /J4 - _'s All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: �a G /JGt//.= .4./e.......-- under ORS 701 and may be required to be licensed in the
Address: 7 ` / ,, e ^,,- ef r 5'77 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: 77, ".'4G 9,7.e • apply:
Phone: (5o3) 97.E t �iG �'-) Fax: : (5G3),„?‘ j -- Er.2 `/ 3
E-mail:
fr 1•... M'y . i j a jI . ` .', '- CONTRACTOR AY tO' 7k> a ii' 1 MI 1 r 4 ^ib t i r if
Business name /, =.G..- isr I a y , '°
�" . /Y� , S , 'b �s } sxZ B91.4P. IG I,'FWFU S' t T TM . ; *.r
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Address: ��� `v • /f6�i✓R�� i LC;r dr .', r`Crx 3S�, r(Pl[QSe referiofeeiebedu / e) f,:. " rd ?t 1. ..-
Structural plan review fee (or deposit):
City / State/ZIP: - �,,rz/ / ,e 9722 3
rj p ) 7> — <• Fax: (5.,03),...;:e 5— � / FLS plan review fee (if applicable):
Phone: (
9 � ��� �, Total fees due upon application: � ' � ,
CCB lic.: � �a?, //7 / /c,-/.�,)
Amount received: /la,. ` O
Authorized signature:
// 9���� e x p i r e s
within 180 days after it has been accepted as complete.
Print name: » 6. = /ff.'s /.- '..4 Pte- Date: 7//a 7 . Fee methodology set by Tri County Building Industry
Service Board.
1: \ Build ing \ Permits \ BUP-RE-S-Perrn itApp doc 03/21/06 410- 4613T(11/02/COM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist t oli 01;1 ; Ic E USE c)�IL , , # Y yr s t zi
C . of Ti and Received
h g Dat�By Permit No.
11 :
n 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits
: • Phone: 503.639.4171 Fax: 503.598.1960
TIGi1 24- Hour Inspection Line: 503.639.4175 ❑ Elect rical ❑Plumbing ❑ Mechanical
Internet: www.tigard- or.gov ❑ Other.
;T1-1c 1 c)1..LOWING ITEMS ARE REQULRFU FC21z PLAN itEVLE` \' . i E. ;:. r l , >'1!\ ' "./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. ❑ ❑ ❑
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 0 ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate fall -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. ❑ ❑ 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 wails. 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. 0 ❑ ❑
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 .ro'ect under review.
.,, - .. :JURISDICTIONAL SI'ECII ICES, '_ :., r ;4 5,; x- 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". 0 ❑ ❑
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. ❑ 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 scle. ❑ ❑ ❑
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, ❑ ❑ ❑
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. , . ,
11BuddingTermas \BUP -RES -Perm dApp. doc 03/11/06
- •
CITY OF TIGARD i
i
BUILDING DIVISION A - ,t, PERMIT #: BUP2007-00021
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2007
Phone: (503) 639-4171 ., 1111 1 `
Inspection Requests (24 Hrs.): (503) 639-4175 _70 1
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 32
SITE ADDRESS: 09265 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 010 TYPE OF USE:
PROJECT NAME: PACIFIC HOMES
DESCRIPTION: Demo 1694 sq. ft. residential dwelling on sewer & 600 q. ft. out building. UPON FINAL, DEMO
CREDITS APPLY FOR SDC FEES.
OWNER: PACIFIC HOMES, PHONE #: 503-975.6560
CONTRACTOR: PACIFIC HOMES PHONE #: 503-975-6560
Inspection Request Scheduled For: Date: 4/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 046181-01 503-975-6560 N
Corrections/Comments/Instructions:
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V . PASS I 1 PARTIAL APPROVAL fl CANCEL 1 I NO ACCESS
I FAIL H CALL F• - i SPECTION El ADDITIONAL FEES ASSESSED
Inspector: /di Date:
Phone #: (503) 718-
- .