Permit . :._. .
4 6 4 , CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00064
jyi DEVELOPMENT SERVICES DATE ISSUED: 3/11/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112BD 02200
SITE ADDRESS: 14955 SW 79TH AVE
SUBDIVISION: DURHAM ACRES ZONING: R -4.5
BLOCK: LOT: 044 JURISDICTION: TIG
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: 0.00 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: $ 3,100.00
Remarks: Installation of 129' of 8' fence at rear property line.
Owner: Contractor:
PRESTON, ROBERT J ALAN HOWELL
14955 SW 79TH AVE 8685 SW INEZ ST
TIGARD, OR 97223 TIGARD, OR 97224
Phone: 503 -521 -9061 Phone: 620 -1554
Reg #: SIC 00074474
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PRMT CTR 2/25/02 $81.70 27200200000 Final Inspection
5PCT CTR 2/25/02 $6.54 27200200000
PLCK CTR 2/25/02 $53.10 27200200000
CDCB CTR 3/11/02 $20.00 27200200000
Total $161.34
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 • • R 952 - 001 -1987. , You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -66 % • . , - 800 -332 -2 4 , .
Permittee
Signature: T�- / /
Issued By: 411 Gcu,— 41t_f_ic./b
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
* Datereceived: a' Oa Permit no.:&aP _0006v
1 'j��i,- City of Tigard • r
Project/appl. no.: Expire date:
Ci n Ti and Address: 13125 SW Hall Blvd, i. ard, te.'r' ''F
rY f 8 Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 1-*1. Case file no.: Payment type:
Land use approval: 06, 2. 1- 101 I &2 family: Simple Complex:
,, TYPE OF PERMIT 1
L,aw"
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: / 1 5 et) -7 c' Q ,,,q. o f` Bldg. no.: Suite no.:
Lot: I Block: ,Subdivision: I Tax map /tax lot/account no.:
Project name: _
. ►7 — _ �j�
Description and location of work on premises /special conditions: `f ."� �_. ( it / tJ
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
<' bt f v / / (Floodplain, septic capacity, solar, etc.)
Name: o v ,c v;�Sl��w Y /410 - � —
Mailing address: / t 5c-c) 7 r9t 4__ 1 & 2 family dwelling:
City: rtt W.f. 'State: 64e— IZIP: 9 7Z z `! Valuation of work $ 3 �' ad
Pho _, 420. 4 o 'Fax: 1E-mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area.(sq. ft.)
Garage /carport area (sq. ft.)
Name: / 74 ,, /4 r L� r� .� _ cz Covered porch area (sq. ft.)
Deck area (sq. ft.)
Mailing address: u6 is s 0 7 z_ 57" _Other structure area (sq. ft.)
City: T a ,-c} -.. I State:0 if _l ZIP: q 7 Z z
E -mail: CommerciallindustriaUmulti- family:
Phorr�. 6 2 , 2 /SS Fax CONTRACTOR
Valuation of work $
,�)/ Existing bldg. area (sq. ft.)
Business name: t4', / -a�
New bldg. area (sq. ft.)
Address: .4 4, ,_, Number of stories
City: 'State: I ZIP:
Type of construction
Phone: I Fax: 1E-mail:
Occupancy group(s): Existing:
•
CCB no.: ,
• New:
City /metro lic. no.: ,,
Notice: A ll contractors and subcontractors are required to be
ARCI I ITECT/DESI GN ER licensed with the Oregon Construction Contractors Board under
Name: jL/ -w..e—e---' " provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: f Plan no.: . •
Phone: Fax: E -mail:
Name: Contact person: Fees due upon application $
Address: Date received:
City: IState: IZIP: Amount received $
Phone: 'Fax: 1E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All prov iyns of laws . • ordinances governing this 0 visa Cl MasterCard
work will be complied w i / hether spe ' led her-:n or not. Credit card number: /
Expires
Authorized signature: / 64.--'
s. •••- - , / Date: Z' ZS`vZ-- Name of cardholder as shown on credit card
Print name: Cardholder signature Amount $
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6✓00 /COM)
•
Al lit, One- and Two- Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City of Tigard
g ❑ Electrical 0 Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
THE FOLLOWING ITEMS ARE REQUIRED FOR' PLAN REVIEW Yes No NIA
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.
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
On-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 Oregon and shall be shown to be applicable to the project under review. - -.
JURISDICTIONAL SPECIFICS
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 & 22 above.
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable), and COT Street Tree List. •
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440 -4614 (6/00 /COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION- = Business Line: (503) 639 -4171 MST
BUP '2662 -occ9G� f
Received LI. 2- c-' Date Requested L ( - Z AM PM BUP
Location I -1� 5 J `2 (A) /1 1 Suite MEC
Contact Person Ph ( _ ) PLM
Contractor / 1 a. in 14 0 (.,) a I! ( Ph ( ) SWR
UILDI Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
eG1
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof r
Ot er: r'Cf/t G�
in
ASS RT FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In •
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Ell Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA /' /
Approach/Sidewalk Date `7 r 2 � 2 Inspector I- `, 6 �1'f�� �y Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION ° Business Line: (503) 639 - 4171 MST
BUP — d00 CO51
Received 5 ' 11 P Date Requested 3 AM PM BUP
Location 149 5S 7' 4-0 Suite MEC
Contact Person Ph ( ) PLM
Contractor P ( ) SWR
BUILDING Tenant/Owner k 5 fin) E F 5 7 ELC
Footing E Frr f- /PM
g l 3 ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear �/ % N6 J �� � � 2 :
Framing
Insulation
Drywall Nailing
Firewall /�� yd`�
Fire Sprinkler !G
Fire Alarm
Susp'd Ceiling
Roof '
PART FAIL e f0
PLUMBING /a"
Post & Beam
Under Slab
Rough -In
Water Service 1
Sanitary Sewer
Rain Drains
Catch Basin / Manhole SAS " P/' ,4:G
Storm Drain
Shower Pan ' ,
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
. Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service .
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA Date .3- ,z Z - d 2 Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this ins c oon record from the job site.
• PASS PART FAIL