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Permit P 6fn O 4 it CITY OF TIGAR® BUILDING PERMIT PERMIT #: BUP2006 -00350 DEVELOPMENT SERVICES DATE ISSUED: 7/20/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CD SITE ADDRESS: 15685 SW 79TH AVE ZONING: R - SUBDIVISION: DURHAM ACRES LOT: 013 JURISDICTION: TIG Project Description: DEMO 2317sf house and garage. Not on sewer. Septic system to be pumped and filled or removed. Other TIF credit apply. 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: 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: Owner: Contractor: DRIESNER, ROBERT E TR GVS CONTRACTING 15685 SW 79TH AVE 700 N. COLLEGE TIGARD, OR 97224 NEWBERG, OR 97140 Phone: Contact #: PRI 503 - 538 - 2998 Reg #: LIC 00054340 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/20/2006 $62.50 [TAX] 8% State Surcha 7/20/2006 $5.00 [ERPRMT] Erosion Con 7/20/2006 $26.00 [ERPLN] Erosn Pln Rv C 7/20/2006 $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: * Sign ature: o 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 Applicati9ECEW FOR OFFICE USE ONLI' • Received ' City of Tigard Date/By. PO % Permit No . 130 1a 6 - 7 3 S 6j 't 13125 SW Hall Blvd., Tigard, OR 97223 '' 11 Plan Revie // / ®.` ' Phone: 503.639.4171 Fax: 503.598.196. U L 20 2006 Date/By. Other Penni4: TI G A R D CI FY Line: 503.639.4175 Date Ready/By: ®See Attached Checklist for Internet: www.tigard - or.gov f y 6 F i'g a , i^ . d Notified/Method: Supplemental Information TYP WORK REQUIRED DATA: 1= AND 2- FAMILY°DWELLING ❑ New construction [i 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: $ ❑ 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: 1 9,a 5 5th '=`- A J .v,,, ,,-z. New dwelling area: square feet City /State /ZIP: 1 l v ■2 ` 02- 9-)2Z-2> Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: c L . L ; (( 1,..).....S Covered porch area: square feet Cross street /directions to job site: Deck area: square feet T°I Other structure area: square feet 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. Valuation: $ b;,, £x, >,� o T aK1L lror� Existing building area: square feet • New building area: square feet Q-isROPERTY OWNER ❑ TENANT Number of stories: Name: S c,c -t e 1.:=;14).-0- l Type of construction: Address: 12.3 0 3 Se,. c.:4 A ,-e___ Occupancy groups: City /State /ZIP: - t i GM d*z_ 9'-Z z 3 Existing: Phone: (53) 5 _ Q,' Zb Fax: ( ) New: ❑ APPLICANT 0, CONTACT PERSON ' ., NOTICE .. Business name: S o oi-� All contractors and subcontractors are required to be Contact name: lc licensed with the Oregon Construction Contractors Board • t 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 exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) E -mail: r CONTRACTOR . Business name: US" /�.�^��G�` BUILDING PERMIT FEES* . Address: '-7 L (: // �r (Please refer to fee schedule) 11 / �l ,` Structural plan review fee (or deposit): City /State /ZIP: //1 i ii- Q- FLS plan review fee (if applicable): Phone: 63 ) <-' f Cl Fax 60.7) 53g - 9gZ9 CCB lic.: Total fees due upon application: li ra � a l b h Amount received: l `�, 1�G Authorized signature: RW J / T is permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (1 5 z • vj Date: Pg% j/ G * Fee methodology set by Tri -County Building Industry / Service Board. • I:\ Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11/02/COM/WEB) One- and Two - Family Dwelling • Building Permit Application Checklist FOR OFFICE USE ONLY • City of Tigard Received Permit No.: 71 13125 SW Hall Blvd., Tigard, OR 97223 Assoei y III Phone: 503.639.4171 Fax: 503.598.1960 ssociazed permits: TIGARI) 24 -Hour Inspection Line: 503.639.4175 ❑ Electrical El Plumbing ❑ Mechanical Internet: www.tigard - or.gov ❑ Other. THE FOLLOWING. ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I 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. 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 .. likable to the •ro'ect under review. ;IURISDICTIONAL 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 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. .. a 113uilding \Peamits \BUP- RES- PermitApp.doc 03/21/06 GVS Contracting, Inc. Phone: (503) 538 -2998 700 N College Street Fax: (503) 538 -9829 Newberg, OR 97132 www.gvscontracting.com FAX FROM THE DESK OF DALE SMITH February 10, 2007 To: Don Re: Churchill Woods- Existing Septic .A(Z ;4- ' - U 2.01) („0 - C> 02 51) Dan, the existing septic was removed during the course of excavation for the site. It was identified on the plans, sheet C102 as a aft dia conc lid. I will call in for a final inspection of demo for Monday. Dale Smith GVS Contracting Inc Cell 503 -209 -8169 Sincerely, DALE SMITH PRESIDENT, GVS CONTRACTING, INC. ZO 39dd 'ONI 9NI1OVUN00 SAE 6Z868ESE05 OE:OI LOOZ /OZ /ZO Page 1 of 1 ° vv.ATER SUPPLY WELL REPORT . SKYLES DRILLING, INC. 503-656-2683 n'AR :;A..: 0 V{1076%3 ,,....-...,,,,,,e, ic•..cier,--,,h,rec700 i- 40 %Fa um 5 . 1 '3 5 V r" 5 ‘ 5 r w., 1,1 01,01,1ER A _i'li.r.t gi 191 LOCA f ION OF WELI. %y legal dtaocrvuon ' ' GYS Canstrntion ' Spoctrtirn Der.0 Chun Woods 1 -,. ' .. • - _ -'' '-- 701 N C.falloto St ',--•,- z..,....• : :•-• TYPE OF %YORK , ..0,,,, ..aa,,,, I ,..• • a. - . ." ...541115 SW 79ui Ave. TI vrd_OB_ 0.•-,.-...--- •-•-• r.. + .. -- AVO-CCrT.1 .. 1 0) S T A ITC WAI LEVEL (3 DRILL METHOD 25 , _ h •:,.: 7 e ...T.,: 7 . - e" ', n •,. F. ,1,- .• -'"," .t.tIF. Truck - IT WATER BEARING ZONES - 14. PROPOSED USE _,...• r. ,., • ....w. ,,,,.. • , . _ tib,N . - .:,, , er• - ■ ..i.... _ (51 aowe HOLE CONSTRUCTION :.z.:-. _:--t•-•,- : • ,_-... .4 .!-,..- lk. ' . - 7. .'::."- v 0 _ -,-. -- . _ _. ______ ritYLE 5t AL , 112) WELL LOG: 17,' •hhliti ;r..7,r 5.Z. Vt:r1Zral , ran, 711 saclis ..d, J3UMIS . JO Conrcr1.0 ii 6 5 su itta Semen ne 6 1 28 SEt I.:8 . This +13 an atanciAnrnent 43 ) , ..^.00c.roic 1.1'..e lined dul)..roll 511 11C1_120 1 1 0 g , Inc 11,5:2 NlolaCIa Ave _ CUMP1L1 111 Orin Cqw. OR 0 -14 7,- I .. -• ,,]■:_,.... • ___ L5091_656-2E83 -,-,,,, ;,-9, 1•,-- h r • ; 7..; -' :: ,-... . .. 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Sky les Drclling, 1r1C. :R. ,..M ■ .RLEt '_•Lf. 1 t.,•••: - 4 .".._11 ::0'.,...:1P.t__ '011 f-",t ..-!.... _ „;,' • ■ , , - ' " http://www.mai12web.com/cgi-bin/dn.asp?xd=FC5BA4C877A5501DF438BB8236D5740C... 2/8/2007 CITY OF TIGARD _ BUILDING DIVISION PERMIT #: BUP2006-00350 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2006 Phone: (503) 639-4171 Ab Inspection Requests (24 Hrs.): (503) 639-4175 „...- 44 90 ... . INSPECTION WORKSHEET FOR DATE: 2112/2007 TIME: 7:05AM PAGE: 32 SITE ADDRESS: 15665 SW 79TH AVE CLASS OF WORK: SUBDIVISION: CHURCHILL WOODS LOT #: 013 TYPE OF USE: PROJECT NAME: CHURCHILL WOODS DESCRIPTION: DEMO 2317sf h»use and garage. Not on sewer. Septic system to be pumped and filled or removed. -. Other TIF credit apply. OWNER: DRIESNER, ROBERT E TR, PHONE #: CONTRACTOR: GVS CONTRACTING PHONE #: 503-5362998 Inspection Request Scheduled For: Date: 2/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 043263-01 503-209-8169 N Corrections /Comments / Instructions: sic_s e .....,.. : :\ I/Li Val ,ipv 0 I. 4 / 4 k, ■ — v f , . , k: ..,.. .:........ Z - PASS PARTIAL APPROVAL fl CANCEL NO ACCESS FAIL fl CALL F R INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: it T Date: 7 m 67 Phone #: (503) 1 „,,.1Z(' r -- --1 T. L.. 13600 I N I i b� Ili ® ® i I a1 V ti ti W / I 1 t° 1 I 11 Q GRAPHIC SCALE 0$ N. N \ I 1 v ! 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