Permit •
I
. N
t. ~ CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00511
. COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CA -14300
SITE ADDRESS: 15065 SW 98TH AVE ZONING: R -3.5
SUBDIVISION: ALDERBROOK FARM LOT: 008 JURISDICTION: TIG
Project Description: Front porch addition.
REISSUE: LW FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADB d FIRST: 69 sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 69 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: $ 1,145.00
Owner: Contractor:
DAN & PEGGY GARDNER -ROSS CURTIS SLUYTER
15065 SW 98TH AVE PO BOX 14075
TIGARD, OR 97224 PORTLAND, OR 97293 -0075
Phone: 503 - 624 -6334 Contact #: PRI 503 299 - 0854
FEES Reg #: LIC 65841
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 10/25/200€ $140.47
[BUILD] Permit Fee 11/14/200€ $43.84
[BUILD] Permit Fee 11/15/200€ $18.66
[TAX] 8% State Surcha 11/14/200€ $5.00
(additional fees not listed here)
Total $159.13
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.
' � db,wie„,
`
Issued By: ' , ‘ `�� Permittee Signature: JL , U 6
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.
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Buil n Application RECEIVED i oR of i icr`usE o I;i°
City of Tigard Datee/ed i tam Permit o) ' f
) , t, ,;() S7
v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
iF III .' ' Ph I , Other Permit:
• Line: Ready/By: 0 one: 503.639.4171 Fax: 503.598.1960 Date/B . � � ��
Inspection Li 503.639.4175 OCT 2 5 2006 Date Ready/B See Attached Checklist for
T IG'A R D I ` N Supplemental Information
g g
' Internet: www.ti ard -or. ov CITY OF TIGARD � %� �' Nog,ei ='o
_ . _. NG DI I • /' ' J . y .,...irdfin!
TYPE OF WORK / REQU ' ED DATA: 1- AND 2- FAMILY DWELLING
Per
El 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 El Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application. 1 L 5.4 Q
. CATEGORY OF CONSTRUCTION �¢ J
ria 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $�''�) " " s
I
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder CI Other:
Number of bathrooms:
• JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 fjo (05 SKI a B'% AvQ_ New dwelling area: square feet
City /State /ZIP: 1 OK 9-1224 Garage /carport area: square feet
. Suite/bldg. /apt. no.: -- Project name: 1. .- (. CLfn k ,r Pw.5iCIQeYICt'� Covered porch area: (,9 square feet
. Cross street /directions to job site: LI o 5C4+kir Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I 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 f OF WORK work indicated on this application.
c( OY1 p L�Q�I ( fl .�O .IJh n (421 1ej � \c __ Valuation: $
1 Existing building area: square feet
New building area: square feet
• va.. PROPERTY OWNER ❑ TENANT Number of stories:
��� f
P
Name: 12Ne`7 ®\�,� Goss- n ,�/ Type of construction:
Address: �6006 Q / - I NH s& Occupancy groups:
City /State /ZIP: ''' o,,(2 (DP 172_2_4 Existing:
Phone: ( `303) (D "" (zy334 Fax: ( )
New:
. ❑ APPLICANT. g CONTACT PERSON NOTICE
Business name: f p s H L1/450...., ►rd.‘ i •t-e:dxce...� All contractors and subcontractors are required to be
Contact name: 1,k.�6■, C ItOs.rcj licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 5734 SE. MO ( i 5 o In .� jurisdiction in which work is being performed. If the
City /State /ZIP: Po r H a 0 1 °I 7214 applicant is exempt from licensing, the following reasons
e apply:
Phone: (yD�J) 2) ( 6 _(Oi 1 t I Fax: : ( 5°, ) 2 0
. -9)01/ 0
E -mail:
CONTRACTOR •
• Business name: G; f 6(uA, t' cr BUILDING PERMIT FEES * ' .
Address: f? 0, 13 ®:. 190175 (Please refer to fee schedule
City /State /ZIP: 1 r 4 04 . 1 ,1 Op, at'? 213-005 Structural plan review fee (or deposit) NO, i�
Phone: (5o ' ) 2_99-0i34 Fax: ( ) FLS plan review fee (if applicable):
/ Q Total fees due upon application:
6.7
CCB lic.: 5 ik e-b\0
c tir jul" Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
5 (1.43 I� � r� Date: '0 y � J within 180 days it has been accepted as Industry
complete.
Print name: CkY1 G - C� * Fee methodollogy y set by by Tri- County Building In dusry
Service Board.
1:\ Building \ Penn its\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.:
' 13125 SW Hall Blvd., Tigard, OR 97223 Daze /By
Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960
TIGARD
24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard - or.gov ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No 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 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 .. to the .ro ect under review.
JURISDICTIONAL SPECIHCS
23 Five (5) site plans are required for Item I I 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.
1: \ Building \Permits \BUP- RES- PermitApp.doc 0321/06
Oct.31. 2006 9:46AM CLEAN WATER SERVICES 503 6814439 No.5435 P. I/I
0 Oct :'.5 06 23p 'iusan Co`17ar-ei 503- 238 -8065 p.2
'RECEIVED
•
OCT 2 5 7.(106 NOV 0 L 2006
CITY OF TIGARD
RIIIuul nIVISION
• � CWS File Number v G_ co ac 3r14 3
C ka nWate� N' Services •
Chlr cpniTilrncnl is clear. Sensitive Area Pre - Screening Site Assessment
• Jurisdiction 1 orr Date _ i}. Z. , 2_0() f�,,._
Tax Map & Tax Lot ` ? 5 I C.A 14�Ot2 Owner C✓ _l PZo sue' v� Gctfn e.
_ Applicant .5 `(
Site Address i6Cn 'J 4 1� /.VQ. Company _ .. u
- 1 1 121 4 1 . 722.4 Address ' `7'3,' IJ a .pO 34
Proposed Activity { nr .J,J + p a n City State Zip A:"., a 4 M ...g121
_IQ i ,11," fe,e2ifiv.Ace.Phone �r"' - ( 09)
,J .... Fax 5b .- 2 -.S 05
By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges
and agrees that employees of Clean Water Services have authority to enter the project site at all
reasonable times for the purpose of inspecting project site conditions and gathering information
related to the project site.
Officiai tIGo oni below (fib line
Official use only below Utle line Official use only Wow this line
Y N NA Y N NA
1--1 ►, � � Sensitive h ����m Map � Q ® Stor QS mwater Infrastructure maps
l } 1 WS/
[ - Locally adopted studies or maps [ r ' - Other
E_._. i.� Specify { [ �"�--SpecifY
Based on a review of the above information and the requirements of Clean Water Services
Design and Construction Standards Resolution and Order No. 04 -9:
I I cAitsttiyo aroas pntentially exist en site or within 200' of the site. THE APPLICANT MUST
PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE ° ""' ° - ° ' r ' t.
Son & &tive Areas gist on t e site or within 200 feet $3ta adjacent ;.rn:Te Ei'2.`. a Ktti:3rpi
r — /f
IiA i SAiritiNVE areas On not an soar to exist on site or within 20€0' of the site_ Ibis is 17i e - screeninu
conciFivai . re:.ft ii in thy firec, ni itinnaii;entt:i discov -rod This document will Serve and 'loll
FAIllif Pft permits and approvals most be obtained and completed under aS3E^i.licabie iuceai,
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T - b(, -� -- — 'bZ BUIt. ING PERMIT N(? J1�t�� - ODS 1 � '1 i :
O a 'OOZ PLANNING DIVISION:
' Required Setbacks: Dr Approved ❑ Not Approved
Side: . Street Side: _..._
From. . Garage _.. _ R ear:
;� Visual Clearance: 0 ,Approve.{ 0 Td,,! a #
P / NOISIAIO ONIt,'IIt18 Maximum Building ,;, :. 'i
01:1V01.1. JO A110 CWS Service Provider Letter Required: ❑ Yes ❑ No '
9001 g 130 / �, ❑ Received
--- C13/N13031:1 C13/N13031:1 EN
(14- '^� Date: ( ( 110/0(7
EN 1NEERtNG EPARTMENT:
Actual Slope: _% ❑ Approved ❑ Not Approved
t ` l�- 0� G - Site Plan: [] Approved ❑ Not Approved
By: - -- Date:
, .
CITY OEPHOARD ..
,..
BUILDING DIVISION
AO PERMIT #: BUP2006-00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) 639-4171 "Pipit ii
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,,t1Pr - n.
INSPECTION WORKSHEET FOR DATE: 4/1112007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 15065 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: 008 TYPE OF USE:
PROJECT NAME: GARDNER
DESCRIPTION: Front porch addition.
OWNER: GARDNER-ROSS, DAN & PEGGY PHONE #: 503-6246334
CONTRACTOR: SLUYTER, CURTIS PHONE #: 503-299-0854
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 046244-01 503-887-2934 N
Corrections/Comments/Instructions:
- e-. ..e.c - . z.-- ai l 5V ---cs-id...
4to ct,c44, .; 7.47 d o _.... ' ge-'81-d ,
)
PASS El PARTIAL APPROVAL El CANCEL I I NO ACCESS
FAIL fl CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
—
Inspector: ,, . Date: el- — 1/ —6 "7 Phone #: (503) 718- 151-.1-S-J
CITY OF-TIGARD .,
,
BUILDING DIVISION
PERMIT #: BUP2006-00511
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/160006
Phone: (503) 639-4171 kmet
Inspection Requests (24 Hrs.): (503) 639-4175 A-1,1- 112.
INSPECTION WORKSHEET FOR DATE: 1/9/2007 TIME: 7 0-3Aivi PAGE: 25
SITE ADDRESS: 15065 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: ow TYPE OF USE:
PROJECT NAME: GARDNER .
DESCRIPTION: Front porch addition.
OWNER: GARDNER-ROSS, DAN & PEGGY PHONE #: 503-624-6334
CONTRACTOR: SLUYTER, CURTIS PHONE #: 503-299-0354
Inspection Request Scheduled For: Date: •/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final impaction 041921-01 503-887-2934 N
Corrections/Comments/Instructions:
0 g d A-wse-A-L_ \--c., CD _ 451,1.c44 -5 , — a p• c iv a---Ez7 y ( b 6
P 144 ■so ; 4c! ---- '36 ' ,,,c40 /A-Ai v o-z- e /AG -7..40,....7794 4 Ala- S
L S 1 4 • i/ AdO_
•
•
] PASS — PARTIAL APPROVAL 7 CANCEL fl NO ACCESS
AIL . 7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: , 7
/1 Date: /-----9'.--.es 7 Phone #: (503) 718-
, _ --
CITY Ort !GARD .,
,. ., -, - .,---
._,
BUILDING'DIVISION PERMIT #:
B
DATE ISSUED: 1 a
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639-4171 - A404
Inspection Requests (24 Hrs.): (503) 639-4175 _41 4 1 1
• w A a .
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7;04AM PAGE: 57
SITE ADDRESS: 15065 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: 008 TYPE OF USE:
PROJECT NAME: GARDNER
DESCRIPTION: Front porch addition.
OWNER: GARDNER-ROSS, DAN & PEGGY PHONE #: 503-624-6334
CONTRACTOR: SLUYTER, CURTIS PHONE #: 503-299_0854
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 040999-01 603-887-2934 N
Corrections/Comments/Instructions:
•
p PASS Li PARTIAL APPROVAL 0 CANCEL NO ACCESS
FAIL j CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
/
Inspector: , 7 Date: /Z. - I 5 -----av Phone #: (503) 718-
CITY OF"tI'GARD
BUILDING DIVISION PERMIT #: BUP2006 -00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006 I Phone: (503) 639 -4171 �H • � I I�
Inspection Requests (24 Hrs.): (503) 639 -4175 l_..
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :00AM PAGE: 30
SITE ADDRESS: 15065 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: 008 TYPE OF USE:
PROJECT NAME: GARDNER -ROSS
DESCRIPTION: Front porch addition.
OWNER: GARDNER -ROSS, DAN & PEGGY PHONE #: 503 -624 -6334
CONTRACTOR: SLUYTER, CURTIS PHONE #: 503. 299.0954
Inspection Request Scheduled For: Date: 11/16/2006. Pour Time: 11 :00
Code # Inspection Description Confirm # Contact # Message
20 5 Footing 039874 -01 503.887 -2934 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
_ FAIL CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: "' / ( On Phone #: (503) 718 -
'
-
CITY �� ' 00��������
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BUILDING' `'��U����U��� ' '
~~~°."~~°..°�� DIVISION PERMIT #: j
13125 SW Hall Blvd., Tigard, OR 97223
` /�3 v� DATE ISSUED: 1i/YG��OO�
Phone: (503) 639-4171 p~��,�V
Inspection Roquea�C24Hmj:�}3 639-4175 � "�J�+ ^���
INSPECTION WORKSHEET FOR DATE: 11/1612006 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 15OGSSWS8THAVE CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: 008 • TYPE OF USE:
PROJECT NAME: GARDNER-ROSS
DESCRIPTION: Front porch ddition.
OWNER: GARDNER-ROSS, DAN & PEGGY PHONE #: 508-624-8334
CONTRACTOR: SLUYTER.CURT|S PHONE #: 503-299-0851
Inspection Request Scheduled For: Date: 11/16/2008 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 038874-02 603-8872934 N
Corrections/Comments/Instructions: •
PASS -- PARTIAL APPROVAL CANCEL �� NO ACCESS
�� ��
-FAIL -- CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
' 6�li / � �
U/ �� � /JL
Inspector: m�w��� Oode� ~' / ~ / Phone#� /503\718'
� � ` ` '
•