Permit ill .. F • CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DATE ISSUED: 5/1 U /200 P2007-00241 7
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103DC -04500
SITE ADDRESS: 13815 SW 114TH AVE ZONING: R -4.5
SUBDIVISION: VIEWMOUNT LOT: 033 JURISDICTION: TIG
PROJECT: HOOKER
Project Description: Open load bearing wall and add header over opening.
REISSUE: 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:
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: $ 2,000.00 .
Owner: Contractor:
BECKY HOOKER INGRAM CONSTRUCTION SERVICES
13815 SW 114TH 5964 SW CANBY ST
TIGARD, OR 97223 PORTLAND, OR 97219
Contact #: PRI 503 - 768 - 9224
Phone: FAX 503 - 768 -5976
Reg #: LIC 117018
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fcc 5/1/2007 $62.50
[TAX] 8% State Surcha 5/1/2007 $5.00
[BUPPLN] Pln Rv 5/1/2007 $40.63
Total $108.13
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. 7
Issued By: / /'� _ - Permittee Signature: ��y�.---`
Call 503.639.4175 by 7 :00 a.m. for :*'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.
Buildinc Permit Application
Residential CE 1`x ,' FOR OFFICE USE ONLY
City of Tigard MAY - 1 2007 Da e/B — � a .:9-2. Permit No.�L��O��' -doh /
1312 S W H Bl Ti gar d , OR 97223 Pla Review �r-
Inspection ection Line: 503163Fax: 503.598.1960,. Date Ready/By: OF TIGARD ae eay y5 I ) Other Permit:
TIGARD p Vi t�'^ 1Q Juris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method. Supplemental Information
' - • TYPE OF WORK REQUIRED DATA: 1 AND 2
0 New. 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OE CONSTRUCTION•
work indicated on this application.
p 1 - and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
CI Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 36 /s' ,, GO / /I 7 hi New dwelling area: square feet
City /State /ZIP: 7 767,22 0,7--.: Garage /carport area: 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 of the wc,:c performe:, ;
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.
- C / 4cP,ID 56/ ,! y' x . 9 >9 Valuation: $
/t — 6,01 C Z1 O ��� j` � / m l/ '� Existing building area: square feet
C� v New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: , "�A _/ z / c,4 J 7 Type of construction:
Address: /3 " s tt) //l X,1/) Occupancy groups:
City/State /ZIP: /G7ZL) C) Existing:
-., Phone: ( ) Fax: ( ) New:
X APPLICANT .0 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 iii which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR - . .
Business name: ,,,,c}61-2.7,7 C0-70S- 72e061I0 S' VC- - - 5 BUILDING PERMIT FEES*
�
- '(Pl refer to fee schedr/!e)` .
Address: 1/4 5 - 9 -
l] y .s,'g e-�J �'/�./j i.�` s' I 5O ` (03
Structural plan review fee (or deposit):
City /State /ZIP: ,�, ,e7 fJ 1 '72_,/
7 � " Fax: ( ) 7,6q— S 1 / FLS plan review fee (if applicable):
Phone: (S(5) / ,z2...4 q - �b
CCB lie.: //lei/
x /3/0 7 Total fees due upon application: /de,
c____
Amount received: /0a5 /3
Authorized signature:
,, ---- i - 1- --- 1 This permit application expires if a permit is not obtained
within 180 days-after it has been accepted as complete.
Print name: -- 75 in76 Date: S / c7
* Fee methodology set by Tri- County Building Industry
Service Board.
L \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(11 /02 /COM/WEB).
Building Permit Application Checklist `
One- and Two - Family Dwelling FO OFFICE USE ONLY .
City of Tigard Received Permit No.:
li - v 13125 SW Hall Blvd., Tigard, OR 97223 Dated t
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing El Mechanical
TIGARD
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED F PLAN REVIEW � . - Yes. No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 12 ❑
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.
1 1 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 asfloor 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 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 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.
I:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11/02/COM/WEB)
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By:
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: BUP2007 -00241
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ' W
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 82
SITE ADDRESS: 13815 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 033 TYPE OF USE:
PROJECT NAME: HOCKER
DESCRIPTION: Open load bearing wall and add header over opening.
OWNER: HOCKER, BECKY PHONE #:
CONTRACTOR: INGRAM CONSTRUCTION SERVICES PHONE #: 503- 768-3224
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 048126.01 503 - 705.4701 Y
Corrections /Comments /Instructions:
G O rLL 12,a4/. / ■&72
GAPP- .-; .. � %'DS ets. D r 45' -r0 cga /242S0 "5272/4-P.
(0
❑ PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
AIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: 5" — a ---42 7 Phone #: (503) 718 - -aS
CITY OF TIGARD - `__ _,,
BUILDING DIVISION. PERMIT #: BUP2007 -00241
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ►/1/2007
Phone: (503) 639 -4171 �ypny,
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.......W � . 11.
INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03AM PAGE: 62 .
SITE ADDRESS: 13816 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 033 TYPE OF USE:
PROJECT NAME: HOCKER
DESCRIPTION: Open load bearing wall and add header over opening.
OWNER: HOCKER, BECKY PHONE #: '
CONTRACTOR: INGRAM CONSTRUCTION SERVICES PHONE #: 503 - 76&9224
Inspection Request Scheduled For: Date: 5!8/2007 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 047848-01 503- 705 -4701 Y
Corrections /Comments/ Instructions:
SfieC4.v�s. -- O
K PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL l I CALL FOR INSPECTION ( I ADDITIONAL FEES ASSESSED
Inspector: }___ Date: 4- D 7 Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION' PERMIT #: BUP2007-00241
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/2107
.� u
Phone:, (503) 639 -4171 _ '� 9 1n1i '�I'
Inspection Requests (24 Hrs.): (503) 639 -4175i -
INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 82
SITE ADDRESS: 13815 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 033 TYPE OF USE:
PROJECT NAME: HOCKER
DESCRIPTION: Open Ioad.bearing wall and add header over.. opening.
OWNER: HOCKER, BECKY PHONE #:
CONTRACTOR: INGRAM CONSTRUCTION SERVICES PHONE #: 503 76119224
Inspection Request Scheduled For: Date: 5/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 048271 -01 503.705 -4701 N
Corrections /Comments /Instructions:
,r
PA : ❑ PARTIAL APPROVAL ❑ CANCEL ��r''
• CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Insp Date: .S - l$ =O 7 _ Phone #: (503) 718- Z:=1--4-')
CITY OF TIGARD .
BUILDING DIVISION' PERMIT #: BUP2007 -0Q241
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/1/2007
Phone: (503) 639 -4171 ° ��ii l Iii+�
Inspection Requests (24 Hrs.): (503) 639 -4175 ��'
INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 66
SITE ADDRESS: 13815 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 033 TYPE OF USE:
PROJECT NAME: HOOKER
DESCRIPTION: Open load bearing wall and add header over opening.
' OWNER: HOOKER, BECKY PHONE #:
CONTRACTOR: INGRAM CONSTRUCTION SERVICES PHONE #: 503 -768 -8224
Inspection Request Scheduled For: Date: 7/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 052208.01 503-705-4701 Y
Corrections/Comments/Instructions:
E - �. / -- S� " may - v i . (,c.G. % / i __
" 4rv6 h --
PAS - I I PARTIAL APPROVAL ❑ CANCEL • I I NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
i
Inspector:. Date: 7— /b Phone #: (503) 718 - ?-4
CITY OF TIGARD , ,- _- i.
BUILDING DIVISION' PERMIT #: BUP2007 0x241
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/112007
Phone: (503) 639 - 4171 �� IM��iti • ' 2,
Inspection Requests (24 Hrs.): (503) 639 -4175 .� " __..
INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 36
SITE ADDRESS: 13815 SW 114TH AVE CLASS OF WORK:
SUBDIVISION: VIEWMOUNT LOT #: 033 TYPE OF USE:
PROJECT NAME: HOCKER
DESCRIPTION: Open load bearing wail and add header over opening.
OWNER: HOCKER, BECKY PHONE #:
CONTRACTOR: INt3RAM CONSTRUCTION SERVICES PHONE #: 5037589224
Inspection Request Scheduled For: Date: 7/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 4 O5235& 01 (503-705 -4701 Y
Corrections /Comments /Instructions:
•
•
Iv I'AS: ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 — / 9 - 0 ? Phone #: (503) 718- 2..9-4