Permit CIT OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00225
COMMUNITY DEVELOPMENT DATE ISSUED: 5/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DB-04100
SITE ADDRESS: 09505 SW 74TH AVE ZONING: R -4.5
SUBDIVISION: BOULEVARD HEIGHTS LOT: 024 JURISDICTION: TIG
PROJECT: SCOTT
Project Description: Remodel: basement and kitchen.
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:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 25,200.00
Owner: Contractor:
JASON SCOTT HEATS ON LLC
9505 SW 74TH AVE. 22560 NE NORTHVALLEY RD
TIGARD, OR 97223 NEWBERG, OR 97132
Contact #: PRI 503 - 502 -7412
Phone: 503 - 925 -1805
Reg #: LIC 172664
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 4/20/2007 $184.15
[BUILD] Permit Fee 5/16/2007 $290.80
[TAX] 8% State Surcha 5/16/2007 $23.26
[BUPPLN] Addl Pin Rv 5/16/2007 $4.87
Total $503.08
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. At 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: fit///t� /kJ j /// Permittee Signature: ; >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 Application
Residential + a : FOR OFFICE USE ONLY= : , , ,, " � j j Recei
Cit of Tigard ` a'1 8 Permit No II 227 q 1 3 1 25 SW Hall Blvd., Tigard, OR 97223 Plan Revi� U � �
IN
. ° . Phone: 503.639.4171 Fax: 503.59 990 2 20 0 �� Other Permit:
T.I GARD Inspection Line: 503.639.4175 2007 Date/By: y: Date Ready /By: / ( 1un ® See Page 2 for
Internet: www.tigard-or.gov �� g d (� a Notified/Method: �Ie � Supplemental Information
Ul" l itli iip I C)
I y,.+. 1Y (7 ROTI'K TVITIVAN 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
1• Addition/alteratiori/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
[2:1- and 2-family dwelling Valuation: $
y g ❑Commercial /industrial
❑ Accessory building 1=1 Multi-family
Number of bedrooms:
❑ Master builder 1=1 Other:
Number of bathrooms: Z
JOB' SITE INFORMATION AND LOCATION . Total number of floors: Z
Job site address: 9j-0 - s� 7 Val A U E r New dwelling area: square feet
City /State /ZIP: � 2 z_,,4 ND ( 7._ 4 70 44 _ 4 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cr`ossstreet/directions to job site: (4,4 N,_,,i_ b _ 7 V tL f / =G 1 . 1 ,..e.„ vcs) Deck area: square feet
_ ( U F r SW n= 7) r4/2_!' a c�3 7) Other structure area: square feet
_ REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the wort: pc:rforctedl. _
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.:(S 1 45 1)13 " a y / 00 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this ; application.
n \, (� , , 1 GVl Valuation: $ a �0
a.i- wtv1�' .5t ✓+, (✓1 ` ? k [a F VI /
Existing building area: / 63 - 2 _ square feet
New building area: square feet
/°'z PROPERTY OWNER / ID TENANT Number of stories:
Name: (v GGEf9 5,cb) Type of construction: [M I
� r'�o�6 ie k �5 M. A 3g Az c ' � • 7 gc oats
Address: -f fl Occupancy groups:
r 2>� /��-� O P Y� s: P
City /State /ZIP: • JG d/E /L/.r,,ncr• n t,� '9 7 r4f Existing:
Phone: (5 4 a s- 7, f 4 Fax: (S`o3) LJ-S- S// � i New:
❑ APPLICANT 171 CONTACT PERSON - NOTICE.
Business name: 1_1 ( L. v 5 04 LL (, - , All contractors and subcontractors are required to be
Contact name: l C, Y� licensed with the Oregon Construction Contractors Board
Al II p p under ORS 701 and may be required to be licensed in the
Address: Z.Z. ( Ai E 1f o v F k Vt,.� (e N t`,.t/s jurisdiction in which work is being performed. If the
1 � /
applicant is exempt from licensing, the following reasons
City /State /ZIP:
t\1 tctN\ - 3 e-rS apply:
Phone: (603) e 0 Z - 7 1 11 2- Fax:: ( )
E-mail: l* X Q. ENV G.^ P //ol -v t 1 , (.0-"
• CONTRACTOR
Business name: /( 4 ,,. .. \.‘ BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: •
Phone: ( ) Fax ( ) FLS plan review fee (if applicable):
CEB lic.: 1 -] Z (0(p I CD AA t U Total fees due upon application: •1s.
r;r:
Amount received: I .ii fig'
Authorized signature: This permit application expires if a permit is not obtained
• within 180 days after it has been accepted as complete.
Print name: A 1 IG ` e 1,, t ( Date: ♦ d * Fee methodology set by Tri- County Building Industry
Service Board
1: \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(11/02 /COM/WEB)
Building Permit Application Checklist '
One- and Two - Family Dwelling a FOR_OFFICE USE .,ONLY,-: 't' J:
City of Tigard Received Permit No.:
n 13125 SW Hall Blvd., Tigard, OR 97223 Dated Date/By:
t
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
.- ' 24- Hour inspection Line: 503.639.4175 ❑Electrical ❑Plumbing ❑ Mechanical
T1GAR
Internet: www.tigard - or.gov ❑ Other:
, THE `FOLL' OWING ITEMS ARE •REQUIRED, FOR':PLAN;REVIEW • : Y Yes ' No `'N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. r j ❑ ►i
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. 1 . ❑ or
3 Verification of approved plat/lot. • ❑ ti
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- ❑ ❑ 0
basin protection, etc.
C ❑ 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 7g(
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plQt plan drawn to scale. T _- • : - must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ,f(
there is o re than a 4 -1 ation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and drive .otprint of structure (including decks); location of wells /septic systems; utility locations; direction
'f r -:::.0 . • lot are., : • • • •g 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 ❑ ❑ XC
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, % K . ❑ ❑
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."
)9 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 Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS 1 i`. • ; '.
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ 'r .
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. ❑ ❑
'36 "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 ❑ ❑ V
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, ❑ ❑ 1
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(1 1/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639 -4171 ;100 Inspection Requests (24 Hrs.): (503) 639 4175 „Jai 1 —
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7 :02AM PAG • 6
SITE ADDRESS: 09505 SW 74TH AVE CLASS OF WO A
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE F iSE: ,; y �` l
PROJECT NAME: SCOTT
DESCRIPTION: Remodel: basement and kitchen. 3 - 166 ie, -- t 7 \ OWNER: SCOTT, JASON PHONE #: 5
CONTRACTOR: HEATS ON LLC PHONE #: 503 -502 -7412
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 051615 -01 503-929-7101 N
Corrections /Comments/ Instructions:
iidiONANW ___A n C r •1 ' ■
•
/ / • ' ,
- ) 4 t A . .' # ,
, e ...
_if / _,._. ,,__ ,...m.,, ________.. ■ '
70 kf 7 /1644_7. ) / /
.
r
A ‘ be/t
r ��/ / / r 9
A i ' CVO 'i' ` �' _ %� o / / 7
■ l Ai ��L r i
k61-77z1-J. ,A4k_v_.....,4 .
n PASS ❑ PART AL APPROVAL ❑ CANCEL n NO ACCESS
IL n , ' F O , ! a n ADDITIONAL FEES ASSESSED
IAN � ® •
Inspector: , � Date: � � � -
one #: (503) 71; .—
CITY .OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639-4171 Ip i� il�
Inspection Requests (24 Hrs.): (503) 639 -4175 _...
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 31
SITE ADDRESS: 09505 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE OF USE: .
PROJECT NAME: SCOTT
DESCRIPTION: Remodel: basement and kitchen.
OWNER: SCOTT, JASON PHONE #: 503 - 9251805
CONTRACTOR: HEATS ON LLC PHONE #: 503- 502 -7412
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # . Message
299 Final inspection 05152.9 -01 503-929-7101 N
Corrections /Comments /Instructions:
�l e lip _A// / , . %' • -4 / • / 'I (" 4
v /.41:7 r. -s -1‹.._t/.44...., .
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
C ' IL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: Date: 7— ‘--o 7 Phone #: (503) 718- IA-4—
CITY O_f 11GARD ,
BUILDING DIVISION PERMIT #: BUP2007- 00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1612007
Phone: (503) 639 -4171 A - l
Inspection Requests (24 Hrs.): (503) 639 -4175 =__..
INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AIVI PAGE: 59
SITE ADDRESS: 09505 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: SCOTT
DESCRIPTION: Remodel: basement and kitchen.
OWNER: SCOTT, JASON PHONE #: 503 - 925.1805
CONTRACTOR: HEATS ON LLC PHONE #: 503 -502 -7412
Inspection Request Scheduled For: Date: 7/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 051328.01 503- 502 -7412 Y
Corrections /Comments/ Instructions:
PASS ri PARTIAL APPROVAL El CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector.: :/ " Date: -S °i Phone #: (503) 718-
CITY O . IGARD
BUILDING DIVISION PERMIT #: BUP2007 -00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2007
Phone: (503) 639-4171 u li4p1�I A s
Inspection Requests (24 Hrs.): (503) 639 -4175 °`_ _..
INSPECTION WORKSHEET FOR DATE: 5/23/2007 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 09505 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: SCOTT
DESCRIPTION: Remodel: basement and I� atchen.
OWNER: SCOTT, JASON PHONE #: 503- 525.1905
CONTRACTOR: HEATS ON LLC PHONE #: 503 -502 -7412
Inspection Request Scheduled For: Date: 5/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2(30 Insulation 048096-01 503- 502 -7412 Y
Corrections /Comments /Instructions:
Si CA/1=71-L e .u y�
P ASS v' PARTIAL APPROVAL CANCEL
n a pi NO ACCESS
1 FAIL CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: .A Date: 2-3 677 Phone #: (503) 718- 2-9 -4-5-
- '5-
CITY O TIGARD
Jilt
BUILDIF'G - 15rVISION PERMIT #: BUP2007- 00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2007
Phone: (503) 639 -4171 'a NNu�i fib
Inspection Requests (24 Hrs.): (503) 639 -4175 �� § __:.
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 09505 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: SCOTT
DESCRIPTION: Remodel: basement and kitchen.
OWNER: SCOTT, ..-146.0
COTT, G K! PHONE #: 503 - 925.1805
CONTRACTOR: HEATS ON LLC PHONE #: 503-5017412
Inspection Request Scheduled For: Date: 5/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 048807 -01 503 -502 -7412 Y
Corrections /Comments/ Instructions:
X PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector, Date: '.5 -22.-a 7 Phone #: (503) 718- 2- '2-1
CITY 0P=TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00225
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1007
Phone: (503) 639 -4171 AiiH �ii
Inspection Requests (24 Hrs.): (503) 639 - 4175. : _..
INSPECTION WORKSHEET FOR DATE: 5/17 /2007 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 095506 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 024 TYPE OF USE:
PROJECT NAME: SCOTT
DESCRIPTION: Remodel: basement and kitchen.
OWNER: SCOTT, JASON PHONE #: 503 -926 -1805
CONTRACTOR: HEATS ON LLC PHONE #: 503-502-7412
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 04852.2 -01 603 -602 -7412 Y
Corrections/Comments/Instructions:
) 14 Ski' , e/1.Ez ei l-('S 7 , 1- Tics? \Gr42. s.
1 i I�J4- I. (D LaCciziL. i.6-v----e- , T-- Y,G�/ --
0 Y ver2,. 10i eT ,, a,(, d--&_, 0 4 z `' _5th4-wr � C I gvu C..,
`71 � -�L._ li v Ah6 ka-- c..c.J A i
z eaJ,ar. EL6 r., ?4 ' Lt 0 —∎ 7 AVS0 n
d 7 ? -- 7v -77-��.v s
L- /4 - --- -- 'car 02 --.0 ‘,.. .
r 60 ( / PPS — 75 CYJ ,-eto0 C — Lt./ r.uT)( e.4 r 5 'T r% ,n: 144p - ' � T� a
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3 / 7-67 Phone #: (503) 718- „„_41x