Permit °" ! CIT 1 OF . IGARD BUILDING PERMIT
PERMIT #: BUP2007 -00259
COMMUNITY DEVELOPMENT DATE ISSUED: 5/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103DA -05400
SITE ADDRESS: 13395 SW 107TH AVE ZONING: R -3.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TABERT
Project Description: (2) separate 380 sq ft accessory structures.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ACS FIRST: 380 sf N: S: E: W:
TYPE OF USE: SF SECOND: 0 sf PROJECT OPENINGS?
TYPE OF CONST: 5N • 380 sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 760 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: $ 18,468.00
Owner: Contractor:
DEAN TABERT OWNER
13395 SW 170TH AVE
TIGARD, OR 97223
Phone: 503 - 684 -6401 Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 5/9/2007 $146.71 Ersn Cntrl 681 -4444
[BUILD] Permit Fee 5/29/2007 $225.70
[TAX] 8% State Surcha 5/29/2007 $18.06
[CDCPLN] CDC Pln Re 5/29/2007 $45.00
(additional fees not listed here)
Total $484.37
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
oft rules or dire uesti s to OUNC by calling 503.246.6699 or 1.800.332.2344.
I sued By: ) .04 - 1.1 Permittee Signature: 1 ,,e1 .
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' ,.. F(1. °. OFFICE, USE ONLY
1111 El City of Tigard AY Received J� 9 0 Permit No : r R �8AU7 04/ . 9
13125 SW Hall Blvd., Tigard, OR 97223 — 9 ZO y
nnnn Pla R eview
Phone: 503.639.4171 Fax: 503.598.1960' Date/By: 3 ' p1 • f ,z3w Other Permit:
T l GAR D Inspection Line: 503.639 CITY OF 1 IGARD Date Ready /B y: 1�� See Page 2 for
Internet: www.tigard or.gov BUILDING DIVISION Notified/Method. �( O 7 �� i / S Supplemental Information
TYPE OF WORK REQUIRED DA 1- AND,2- FAMILY DWELLING,
[t'ew 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
CATEGORY OF CONSTRUCTION work indicated on this application. [
❑ 1- and 2-family (j
Y dwelling O Commercial /industrial
Valuation: $ — /.8.7 1 -- -14 - -G - 83 /g Z t
dwellin
Er building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: •
JOB SITE' INFORMATION'.AND LOCATION. Total number of floors:
Job site address: ? (339S SW /07e MG' New dwelling area: - ',quare feet
City /State /ZIP: i— — - -9 G,p & 1 0I2„ 97ZZ3 Garage /carport area: '7600 square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: \- __/ square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
,REQUIRED DATA: 'COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value oi- the wof k 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.
r R1,} S oRNGS l3Wt - tINGS Valuation: $
Existing building area: square feet
r New building area: square feet
r -) ❑ PROPERTY OWNER. ` . _ ❑ TENANT Number of stories:
l —Na: me OE -Alsa • T748 NRT Type of construction:
( Address: 1 330)5 SW / 0 711 ATUE Occupancy groups:
`` C13 Ti GAR. t OR. 97223 Existing:
Lpho e: (S03) Co84 —G4.0 I Fax: ( ) New:
. - 0 APPLICANT ❑ .CONTACT PERSON „
- NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
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: F• — IC)
Phone: ( ) Fax:: ( )
E -mail: 1% -
' CONTRACTOR'
Business name: c = De-A4.3 S TBE6ZT (p u.. t., �,` BUILDING PERMIT FEES''
Address: \\ JJ • . (Please refer to lee schedule)
Structural plan review fee (or deposit): 1{ / 6.11
City /State /ZIP: •
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
/ Amount received: $ 146 7/
Authorized signature: —`—. n This permit application expires if a permit is not obtained
P within 180 days after it has been accepted as complete.
YPrint name:_____DERN S -pis e tT Date: * Fee methodology set by Tri- County Building Industry
Service Board.
\ I: \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(I 1 /02 /COM/WEB)
•
Building Permit Application Checklist
One- and Two - Family Dwelling '. - • FOR OFFICE USE . ONLY .
•
City of Tigard Received Permit No.:
- v Date /By:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960
TIGARD 24- Hour Inspection Line: 503.639.4175 . 1:1 Electrical ❑ 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. • . . •
100 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state CI ❑
, 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.
; X 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. .i
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. ❑ ❑ ❑ 1
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; fdr 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 Oregon and shall be shown to be applicable to the project under review.
• JURISDICTIONAL SPECIFICS
-c-n td( 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. ❑ CI
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.
Cl BuildinglPermits 'BUP- RES- PermitApp doc 03/21/06 440 .4613T(11 /02 /COM /WEB)
1 i'
I - t ° :. -eh iW •
a MAY _9 2007
I S' \may
,s, \\'‘,..i• OF TiGAR ®:
.. •
BUILDING DIVISION :
. • 155' -0" 20' -0" • ' 20' -0" '.'
RIGHT OF WAY . .. RIGHT OF WAY - •. '
EL. 223.0' PROPERTY LINE .
« °} SURFACE DRAIN TO f11TCH -- ROAD
nr SETBACK CATCH BASIN-
PROPOSED o 0
o BUILDING #2 I ii I ' '
I 380 SQ. FT.
CD
N _ SEWER1LINE _
WORK AREA
1
I ! I = x
i
1 U
FRONT YARD o p
c l - PROPOSED
�1 / BUILDING #1
BACK YARD ..
I 3 80 SQ. FT. /// HOUSE I
1 N 0
(2280 SQ. FT.)
1 a In
` co
0 Q
i •°
0 5' -0" 19' -0" t`
1T LOT SIZE 15,550 SQ. FT. i 0
5' -O
CONCRETE
GARAGE DRIVEWAY
a I (400 SQ. FT.) (720 SQ. FT.) COOK LANE
a_., w on
z 1—
J V7
F-
cc
to i
° CITY oFT °- E l.., -
a_ i!.l '•11� 1
GATE FENCE iv 7;T7 L r y
BUILDING PERMIT NO.: _ u� )-i^i� 1 t 7).,130
PLANNING DIVISION:
Required Setba ks: ❑ Approved ❑ Not Approved
EASEMENT
'Side: Street Side: 1 ��
Front. Garage: I Rear: S
Visual Clearance: ❑ Approved ❑ Not Approved
Maximum Building Height feet
-. .- _ -._. 'acs 0 N •
PROPERTY LINE '� ❑ Received .
BN: /L Date: (?)(0
PLOT PLAN ENGINEERIN DEPARTMENT:
SCALE 1/16 " =1' -0 Actual Slope:% 0 Approved ❑ Not Approved •
Site Pia4: ‘,/,.._ ®'Approved ❑)N Approved By: lj�,. Date: 5 100
LEGEND Sc NOTES Notes: 1 4jt,aueet - 4A--/
® - PROPERTY CORNER
E.O.P. - EDGE OF PAVEMENT I I
1. ELEVATIONS AT PROPERTY CORNERS ARE WITHIN ONE FOOT IN ELEVATION I y�rp+
• 2. TOTAL IMPERVIOUS AREA IS 4287 SQ. FT, OR 28% OF THE LOT AREA. I) A DESIGN
3. BUILDING SETBACKS ARE 5' FROM REAR AND SIDES OF LOT. mµu 1/16 "
4 _
= -0" .4'K." w. MAY .1 M. D. TABERT
M. 4/27/07 OtCZD DT• SKCT WI 1 OF 1
. I DEAN Sc LESA TABERT
I I 13395 SW 107TH AVE. TIGARD, OREGON
Db•VL ,d[R' G wu AK ,
REV. DATE , Ell I i _ I>i; AM PL PLAN DT- SITE -00 01
C
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -002E9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/28/2007
Phone: (503) 639- 4171�u�ii�t� +
Inspection Requests (24 Hrs.): (503) 639 -4175 �_'� �'��
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7 :07AM PAGE: 70
SITE ADDRESS: 13395 SW 107TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TABERT
DESCRIPTION: (2) separate 300 sq ft accessory structure&.
OWNER: TABERT, DEAN PHONE #: 503.884 -G401
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 0575411
503-684-6401 N
Corrections /Comments/ Instructions:
of 2
•
ASS I I PARTIAL APPROVAL I CANCEL I I NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: — 7—W-02 Phone #: (503) 718- 2_41
CITY OF TIGARD
BUILDING DIVISION f PERMIT #: t31JP2007 -00259
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 519,12(07
Phone: (503) 639 -4171 :� +I.
Inspection Requests (24 Hrs.): (503) 639 -4175 �_!i�
INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7:01A1M1 PAGE: 36
SITE ADDRESS: 133955 SW 107TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TABERT
DESCRIPTION: (2) separate 380 sq ft accessory structures.
OWNER: TAE3ERT, DEAN PHONE #: 503-6E14-6401
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/11/2007 Pour Time:
Code # Inspection Description Vv1,4 Confirm # ontact # Message
a 299 Final inspection 057424 -01 • 503.694 -G401 N 7 Mions. /5 .
ctio§ pm ® 'S- '5/ - /0
0"
ASS I I P A A L A P P R O V A ❑ CANCEL 111 NO ACCESS
FAIL •. ' 'Ll''I► • PEC ON n ADDITIONAL FEES ASSESSED
Inspector: r i Or(-/// !°/ Phone #: (503) 718 - ' 1:1 4 .
„,.