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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00041 A' DEVELOPMENT SERVICES DATE ISSUED: 2/14/01 4-- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14916 SW 116TH PL PARCEL: 2S1106D -03200 SUBDIVISION: HELM HEIGHTS ZONING: R -4.5 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD 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: 16 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 11,500.00 Remarks: Extension of, and installation of new decking and railing to existing deck. Owner: Contractor: GENE HOPKINS GEMINI GENERAL CONSTRUCTION 14916 SW 116TH PLACE 20623 SW GRACIE STREET TIGARD, OR 97223 BEAVERTON, OR 97006 Phone: Phone: 503 - 649 -7597 Reg #: LIC 131611 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing lnsp PLCK CTR 1/30/01 $96.79 27200100000 Framing Insp Final Inspection PLC2 CTR 2/14/01 $6.24 27200100000 PRMT CTR 2/14/01 $158.50 27200100000 5PCT CTR 2/14/01 $12.68 27200100000 (additional fees not listed here) Total $294.21 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe rm itee Signature: �� Issued By: • A - Mob a2/0_,//h_ts Call 639 -4175 by 7 p.m. for an inspection the next business day i — vy i �J/ / L G of x.61 Building id A :ceve: / 1? , // Permt no.: a, 0' 0 City of Tig o y/ l' �' ' Project/appl. no.: Expire date: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition Addition/alteration /replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm `dOther: .2' ee,e. JOB SITE INFORMATION Job address: I y ) 6 S;,J j 1 6 Z ti, C e _ Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: 0 .<, — t 4J K 1 v, ,,^ c2t4 G - OWNER FOR SPECIAL INFORMATION, USE CHECKLIST IIME eve Pio a k', v. (Floodplain, septic capacity, solar, etc.) Mailing address: 1 4 I E 5,.,.; 1 6 Q 9 1 & 2 family dwelling: -f) State: 0 (. ZIP: `l) •23 Valuation of work $ I I i 5 00' Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: 6 - 45 1 j Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) L S Covered porch area (sq. ft.) Name: � ctC � n� - Tv- � � : � K Mailing address: i 1 e-b „ DA Ko r.i 5?. Deck area (sq. ft.) City: Ti 4k'P•b State: O. ZIP: �� 2-?- Other structure area (sq. ft.) Phone: o0- -Z1) t. Fax: E -mail: Commerciallindustriallmulti- family: CONTRAChOR Valuation of work $ Existing bldg. area (sq. ft.) Business name: 24.41.1.9. ; evt e ,r,,t, s tel 5 c 71 1v VN New bldg. area (sq. ft.) Address: AAARK A ka-Sa,,,. Number of stories City: State: ZIP: Phone: Fax: ��Gil� IjaM Type of construction CCB no.: Occupancy group(s): Existing: � ° New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be ARCIIITECI /DESIGNER licensed with the Oregon Construction Contractors Board under Name: ' R l rs (Z 2 a il SC ,,� • provisions of ORS 701 and may be required to be licensed in the Mg Mr Address: i i 4 jurisdiction where work is being performed. If the applicant is ;;► State :0k ZIP: 2L exempt from licensing, the following reason applies: Contact person: _Sill Plan no.: Phone: OEM ax: 6,.) _ '8;0 E -mail: ENGINEER Name: Contact person: Fees due upon application $ 9 , 7' Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -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 provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied • whether specified herein or no . Credit card number: / / igi` / Expires Authorized signature: • .I. 1. Date: /4G/c.)1 Name of cardholder as shown on credit card $ Print name: ( J 0 - "k ` Cardholder signature Amount Notice: This permit applicati in expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6a00/COM) e- Pi 96 , 79 • One- and Two - Family Dwelling 1;a Building Permit Application Checklist Reference no.: Associated permits: City of Tigard cit f Tigard y b ❑ Electrical ❑ 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 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. 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, roofmg, 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 & 22 above. 25 Building plans shall not contain red lines or tape -ons. 26 No rolled, reversed or mirrored building plans will be accepted. 27 28 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 (6t00ICOM) s - - -,. CITY OF TIGARD BUILDING INSPECTION DIVISION .‘ MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �� BUP p� uDfdUGC( / Date Requested G T AM PM BLD _ Location / Y �7 / / l -54.) //‘ 6t /i/ Suite MEC Contact Person Ph 573 Z. f- ,96y PLM Contractor Ph SWR Tenant/Owner ELC etaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear V" Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 4.4 Other Date 2 Inspector ArC Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - ,CITY OF TIGARD BUILDING INSPECTION DIVISION /, /r � 24 -Hour Inspection Line: 639 -4175 Business Line: 63 171 BUP d -coo q 1 Date Requested -` ' 5 AM PM BLD Location / </ f /G SLJ 1/‘ t ,6j Suite MEC Contact Person Ph 3Z Z- v '( 7/ PLM Contractor Ph SWR BUILDING j Tenant /Owner p/' $, (ey l( / I7 . ? J )4 n5A ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: / //t- Final PASS PAR FAIL � j l�lS .� 1 � ap� l GTC U AN) 04L_ PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk � Other Date JJ Inspector 'r, Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION • "� • • 24 Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 2 I — d'604 Date Requested 3— ?-- of AM PM BLD Location (4°i j Co / /(o Suite MEC Contact Person i.1,t A,Lic Ph C 2 2 - y / 7 7 PLM • Contractor Ph ),' SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing C/`.% /as:� � a� 1� � `���...� s dos -- ' - Insulation Drywall Nailing ' 2. • Firewall Fire Sprinkler A14/4- Jaw FSn -. v217A-,c S fvc c r Fire Alarm Susp'd Ceiling Aci3 i ?� vs�: ,� vc G �17'. l.1.�.� t��iz s �✓5�+.2 1 �;- �a`c.s Roof e Misc: �•ciEE �� Final PASS PART 6A7)- Sc 4 'r' 4 4. cc e PLUMBING 6G 577,z+P 4�.v1 szL, Post & Beam Under Slab s S �,o v� TZ•..s Top Out p J — Water Service ,,— .2e} 4z-7 @ . GaLUrs� G�� C� Sanitary Sewer �) Rain Drains % ( ,c//i,c, r! -cdJ) crr7s."" - 7av Sla Final PASS PART FAIL e' Nr16 v .{� MECHANICAL Post & Beam %�lJo...,7 f os� �.� - rTzr�lc� /rLtcS�r 4 Rough In Gas Line 47-Y-44-c4/ l�-z . � art- si= P ��2 co Srr7c, r--0.2zr Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 7 F e Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 4 .164 / • `CITY OF TIGARD BUILDING INSPECTION DIVISION MST • `. - 24:-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP „.2.L0/ -' t q / Date Requested Z-441 AM PM BLD Location / 1f f /' 541 /Ll - Suite MEC Contact Person n7 f kk Ph 51 Y/ 7 7 PLM Contractor Phi �D y SWR Tenant/0 er ��PG C� ELC gETIM ELR Footing Access: Access: FPS -Ft rain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ra P I nsulation Drywall Nailing Firewall , S � r t " Q L� Fire Sprinkler 'tfl pig S �v tZ Fire Alarm Susp'd Ceiling �� 'CN _ C' .O 1 . Roof Misc: Final PASS PART - 11I\ _` r Wti PLUMBING �Q•N b it_ I j.'. Post & Beam 1 Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date " Inspector E Final PASS PART FAIL DO NOT REMOVE this inspectio record from the job site. 0 6 7 CITY OF TIGARD BUILDING INSPECTION DIVISION . *. :' • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP ZGGJ -OUh (// Date Requested 2- 2 -1 AM PM BLD Location / q ,l 4' 514 f / ' Ae Suite MEC Contact Person Ph 5 7)3 Ze f ° 04'9 PLM Contractor Ph SWR Tenant/Owner ELC Re -' I'ng Wall ELR ndation Access: FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear � rami 0 / 04". s`7 sy ` jJUE_s" TWA ation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART c211 2. Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 2 - 27—e/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. M t � • • BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing J Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation - 4 Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection 11 al PLM - Plumbing Permit 4 Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR ELC, ELR, MEC, SIT PERMITS ti w r 1 • * CCITY F TIGARD BUILDING PERMIT PERMIT #: BUP2001 00041 "'�' ii,, DEVELOPMENT i L O ) 639 -4171 DATE ISSUED: 2/14/01 s SITE ADDRESS: 14916 SW 116TH PL PARCEL: 2S1106D 03200 SUBDIVISION: HELM HEIGHTS ZONING: R -4.5 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD 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: 16 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 11,500.00 Remarks: Extension of, and installation of new decking and railing to existing deck. Owner: Contractor: GENE HOPKINS GEMINI GENERAL CONSTRUCTION 14916 SW 116TH PLACE 20623 SW GRACIE STREET TIGARD, OR 97223 BEAVERTON, OR 97006 Phone: Phone: 503 - 649 -7597 Reg #: LIC 131611 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp PLCK CTR 1/30/01 $96.79 27200100000 Framing Insp Final Inspection PLC2 CTR 2/14/01 $6.24 27200100000 PRMT CTR 2/14/01 $158.50 27200100000 5PCT CTR 2/14/01 $12.68 27200100000 (additional fees not listed here) Total $294.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. s t3t1 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 mor 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Permitee ' SSignature: � - . • Issued By: ,j � ! G2-6 1 Call 639 -4175 by 7 p.m. for an inspection the next business day