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Permit q • CITY OF TIGARD MASTER PERMIT PERMIT #: MST2008 -00130 COMMUNITY DEVELOPMENT DATE ISSUED: 9/9/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134CD SITE ADDRESS: 12050 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: LERON HEIGHTS NO.3 LOT: 068 JURISDICTION: TIG PROJECT: BLANCHARD Project Description: 360 sf. carport addition. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: 11 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 360 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 6,721.20 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /vok : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL S SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable JAMES & LAUREL BLANCHARD OWNER laws. All work will be done in accordance with approved plans. This 12050 SW 121ST AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 579 - 0248 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 258.47 REQUIRED ITEMS AND REPORTS ...NM= / a Issued = �. , Permittee Signature : / ',J Call 503.639.4175 by 7:00 a.m. for an inspection that busin: s 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. l cs,5" 4/, /ayv241 , T Building mit Applic ion Residential �� FO OFFICE 1 sE ONLY III City of Tigar � �� Date/B Permit No.: ql 13125 SW Hall Blvd., Tigard, OR 97223 rr y I L Plan Review • ��� '' �� Phone: 503.639.4171 Fax: 503.598.1960 �w DateB : - r ' al al „�� Other Permit: T I G A R D Inspection Line: 503.639.4175 •�CjC►'` 0� D Ready /By: 0 See Page 2 for Internet: www.tigard-or.gov � A O G \llS Notifie A R � Supplemental Information TYPE OF WCIIQC 1 � QUIRE ' QUIItED DAT 1 -AND 2 -FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all A Addition/alterationfreplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1- \ and 2- family dwelling ❑ CommerciaUindustrial Valuation: $ -7 , ❑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: I losa . W , Lai 4, Ave. New dwelling area: square feet City /State /ZIP: "- `619R J 0 C 7 ag3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 3.) xi..: .../.4 . 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 work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. C n K Po �� ^ . I � 1 1 Valuation: $ 'l !� I V Existing building area: square feet New building area: square feet V PROPERTY OWNER — 1 ❑ TENANT Number of stories: Name: — SA v.4 e-5 -E,L.4 Net 023 Type of construction: Address: 1. -c) ST S' (,V - j-1 -�/ gvC Occupancy groups: City /State /ZIP: — ,6 f p 0 2 712,2-3 Existing: . Phone: ( $(TS ) $l q -6, Fax: (5 77 -al 1-3 New: i fq APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: -S./ c /A/Itc 1 ')20 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: t a-n$o S 1 -) t ,4 g jurisdiction in which work is being performed. If the n n r7„..., applicant is exempt from licensing, the following reasons City /State /ZIP: �1G 0 apply: r_ Phone: (3-03) Q ^ 0 2 9 Fax: : ( SU3 g - A)'I3 11 e .1 E -mail: TAM , 'BLf1' fI eo so. c Co M 14.00 CONTRACTOR 1 Business name: / / / BUILDING PERMIT FEES* �/ (Please refer to fee scked s-,?, Address: Structural plan review fee (or deposit): I City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: Total fees due upon application: 7 5, -� Amount received: Authorized signature: ',y / ? / This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. Print name: ,9t'l h, uzo Date: ,..lyvec/ * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Petmits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COM/WEB) T Building Permit Application Checklist , One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: Date/By: Er 13125 SW Hall Blvd., Tigard, OR 9 7223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 T I G ARD 24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑ Plumbing 0 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 Oregon and shall be shown to be . • • licable to the tro'ect under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item I 1 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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and accompanied by the project arborist's signature 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.doe 03/21/06 440.4613T(11/02/COM/WEB) 1 • RECE i AUG 2 2 2008 CITY OFTIQARD �/ 3 1N h .. , ., .1 2. � V - - - 1 1 1 -L- 44 . -:%1 3 .4 r.. o Kst c w m C4. , 'r'' 4 l©)`l- - i\isw4ipsivAL 4,,, 1 „ , /�, / i f . 4 • - e l 0. Ct9 _ t2/ ?P V/` III Avg . . . . - . . CITY OF TIGARD - SITE PLAN REVIEW • BUILDING PERMIT NO: 72 me a -out .41, Street Trees: proved 0 Not Approved Protectesafg•s Approved . P N. Approved B: OL r • Date: ‘' _ 5 / Notes: CITY OF TIGARD- SITE PLAN REVIEW / BUILDING PERMIT NO.: /47, (._ 5/7" ` PLANNING DIVISION: Required Setbacks: el Approved , 0 Not Approved Side: 5 Street Side: I Rear: V IAIP i t, UK ,:i D Not Approved NA;Ixiw Iluildinp Eleu:i .(). 1,2Lt C N :-.,:rvi4:e Provider Letter Required: 0 Yes 0 No 11111 Rec-,!ived L l.1.,: , jAeal Date: g9-51 ......._ _......... _.. FNCiNEERINck )EPAR.' N I: Actu ,' Slop . '\; 0 7..!;'t Approved Site. ' &Approved 0 7 - pproved By - Date: 5 2- ■ Olt' No .;-,: a pbt_ ei.1.44u.pc-ar_evt.o 5ive-,,- CITY OF TIGARD BUILDING DIVISION iii1.1 4. MST2008-00130 13125 SW Hall Blvd., Tigard, OR 97223 DATE 9/a0008 Phone: (503) 639-4171 A PIVAI# Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME. • 7:01AM PAGE: 17 SITE ADDRESS: 1 2060 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LERON HEIGHTS N0,3 LOT #: 0 TYPE OF USE: PROJECT NAME: BLANCHARD DESCRIPTION: 360 si carport a ddi t i on. OWNER: BLANCHARD, JAMES & LAUREL PHONE #: 503-579-0248 CONTRACTOR: RYLANDS, GARTH PHONE #:. 503-538-2199 Inspection Request Scheduled For: Date 10/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 07725901 503-201-6475 Y Corrections/Comments/Instructions: • .. ,....r.„... „...--< --- I , ASS 0 PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: - / A Date: /' - 2 53 -6 . .i" Phone #: (503) 718- _7_., ^ CITY OF ` ��m� ° n�'m TIGARD BUILDING ��K��Ux�U���� 4- / PERMIT | DIVISION � K4ST2008-OO130 | 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9180088 Phone: (503) 639-4171 Inspection Reque�s(24Hm.):(5O3)63Q'417G ^��N «� INSPECTION WORKSHEET FOR DATE: � TIME: � PAGE: 1CV��/2OU� 7:01AM � 6 SITE ADDRESS: 12 CLASS OF � <>6D� VV 121ST � SUBDIVISION: LOT TY OF USE: � LERON HBGHTSNC>.3 #: 068 � PROJECT NAME: � EU-ANCHARD DESCRIPTION: � 36U capon addionm. #: OWNER: � � @LANCNAR[).JAk0ES��LAUREL P HONE # 603-679-0248 CONTRACTOR: PHDNE# � �YL�ND �.(�ARTH : 603_535-2199 Inspection Request Scheduled For: Date: 10/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message K ^A w ' 275 Framing 077159.01 503-201-8478 Y Corrections/Comments/Instructions: 86 44-4:c. veliv \ ^^ nN /~ v k c 4 9 P / ^ /ve.._ SG -- PARTIAL APPROVAL Q4CANCEL 0 NO ACCESS 0 FAIL �� CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 2 vmCrOe Inspector: 73 3 Date: 4^ a 3 Phone #: (503) 718- 2 3 V CITY OF TIGARD BUILDING DIVISION A p, PERMIT #: marmos.oui:30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/912008 Phone: (503) 639-4171 44. Pi 14401I# Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/7/2008 7:00AM 10 SITE ADDRESS: CLASS OF WORK: 12050 SW 121ST AVE SUBDIVISION: LOT #: TYPE OF USE: LERON HEIGHTS NO.3 068 PROJECT NAME: BLANCHARD DESCRIPTION: 360 sF. carport addition. OWNER: BLANCFIARD, JAMES & LAUREL PHONE #: 503-579-0248 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 10/7/2008 Pour Time' ' UM& Code # Inspection Description Confirm # Contact # Message 205 Footing 076390-01 503-939-7455 Y Corrections/Comments/Instructions: • • 0 g - TO Tovr" i f - F \ DASS EI PARTIAL APPROVAL fl CANCEL El NO ACCESS I FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 0-5 Date: --- 7.0c7is Phone #: (503) 718- 7c 6. 7 3 INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: MST2008 -00130 REQUIRED ON GREEN INSPECTION CARD. [ ✓ ` [. Cow I i + I i _ $... > n . n I rASS Date 1 By MST - Master Permit 405 Excavation 410 Fill 415 Grading X 205 Footing 7c) drag ,3 3 805 MFG - Structure grading/footing 210 Foundation walls 215 Footing drain 305 Plumbing underslab 105 Underground/slab cover 220 Slab 310 Crawl drain 315 Post/beam plumbing 605 Post/beam mechanical 225 Post/beam structural 230 Underfloor insulation 235 Shear walls /anchors 240 Exterior sheathing 242 Interior shear walls 245 Firewall 250 Roof nailing 255 Wtr proofing basement walls 265 Masonry 270 Reinforcing steel (rebar) 320 Plumbing rough -in 322 Shower pan 610 Gas line 615 Mechanical rough -in 110 Temporary electrical service 115 Electrical service 120 Electrical rough -in 135 Low voltage 910 Sprinkler rough -in X 275 Framing 2 £$ 810 MFG - Structure set -up 280 Insulation 330 Water service 335 Rain drain 340 Storm drain 505 Sanitary sewer 350 Septic tank 285 Drywall nailing 289 Approach/sidewalk 295 Misc. inspection: 899 MFG - Structure final 498 Grading final 699 Mechanical final 399 Plumbing final 199 Electrical final X 299 Final inspection 1: \Building \Inspection Cards Worms \MST- InspCard- Blank.doc 12/09/2005