Permit C BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2006 -10021
� 1 � . DEVELOPMENT SERVICES DATE ISSUED: 3/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S103CC - 00402
SITE ADDRESS: 13875 SW 121ST AVE ZONING: R - 4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Demo (1) 840 sq ft residential dwelling on sewer & (2) outbuildings. UPON FINAL DEMO CREDITS
WILL APPLY.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : 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:
Owner: Contractor:
STEPPING STONE HOMES LLC STEPPING STONES HOMES LLC
- 735 SW KATHERINE ST 11735 SW KATHERINE ST
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 - 720 -6445 Contact #: FAX 503 - 590 - 2344
PRI 503 - 720 - 6445
Reg #: LIC 148026
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/4/2006 $62.50
[TAX] 8% State Surcha 4/4/2006 $5.00
[ERPRMT] Erosion Con 4/4/2006 $26.00
[ERPLN] Erosn Pln Rv C 4/4/2006 $8.45
(additional fees not listed here)
Total $110.40
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.
Issued By: —6-21--,1==----
,_ Permittee Signature: K-0 .. 1 1:),c
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 Aim licii4rpiCEIVE A . . FOROFFI(I l SEONI l
City of Tigard Received t : ; Permit No.:'
131 Hall Blvd., Tigard, OR 97223 MAR v k �� /� 1 l w - j
20 p Plan Plan R Review
Phone: 503.639.4171 Fax: 503.598.1960 - Dig . Other Permit: Inspection Line: 503.639.4175 -Ak;. '/ i „ Date Ready/By: El See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGA Notified/Method: BEI Supplemental Information
?!!!! r+t?liT, ^(i "c;
TYPE OF WORK REQUIRED DATA: 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
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. j
El 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: S f V 0
I
El Accessory building ❑ Multi - family Number of bedrooms:
L r t/ 11 • O n� Number of bathrooms
El Master builder Other: Z
JOB SITE INFORMATION AND LOCATION Total number of floors: I
Job site address: / 3 g . S-"" ... 5- - t__, l ,z/ =7.1 4 ! New dwelling area: square feet
City /State /ZIP: -r; 6 4-i-4) , 2 1 7 L Z �. Garage /carport area: square feet
Suite/bldg. /apt. no.: --- Project name: - g EE [..Cdr- 4-1.7 � uv Covered porch area: square feet
Cross street /directions to job site: / 7 / ¶ r /24 Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: �C6-,.....cg. 4 __L„, S u n _Tv t'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 OF WORK work indicated on this application.
r
cr.to J d' 6 +V s. Fr U sz /g'•• p / — ` 44t0r4,:c”- Valuation: $
) - t Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 'T t1 P Q t NA g %ST2)l...l E t vv...c3 1-.--4c_ Type of construction:
Address: `\ 1 3 .! s L...- 1'�r E tt-w_ ' . ^ , Occupancy groups:
City /State/ZIP: -r „AryLR Q. 5 -1 Z. z • Existing:
Phone: (503) '7 1.0 - C. 4.4 5- Fax: ('t 3) S e> . Z'• A 4- New:
❑ APPLICANT ❑ CONTACT PERSON
_ NOTICE
Business name: S -T "? •P 1 6 °7TD. �G `. ,„,,,d--% t 11.L, All contractors and subcontractors are required to be
Contact name: p. ,..j L.4. licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 1 2 s std.-. ! v - 4c(f j jurisdiction in which work is being performed. If the
City /State/ZIP: 1 d L. 't `7 Z -a_ applicant is exempt from licensing, the following reasons
apply:
Phone: (.y"v 7 - <. 4 N S Fax: : (7)2 , i 0 - Z 3 4 4.-
E-mail: - 7)4"iJ43C /' $ 4 -S A- - . e_... .
CONTRACTOR
Business name: -FC' ' - l k,-,,, 5, (-.-L BUILDING PERMIT FEES*
Address: k \ -1 1,( s. v_p„, ..., f c..r.. Sc.
Please refer to fee schedule.
City /State /ZIP: 'T. -) _ (... ( 9 Zz 3 Fees due upon application
Phone: 3) I.2_e.1 - G 4 i /-S' Fax: i r k , / ) S` es- L-3 t-0-1.--•
CCB lic.: l Amount received
Date received:
Authorized si ature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: "D I p, n ) 73 E Date: 3—) S-- 0 L * Fee methodology set by Tri- County Building Industry
Service Board.
is\ Building \ Permits \BUP- PennitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
One- and Two - Family Dwelling
•
Building Permit Application Checklist FOR 0FF1( I: I SF O\1.1
City of Tigard Received Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223
Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 ❑Electrical ❑Plumbing ❑Mechanical
24- Hour Inspection Line: 503.639.4175 .� J
Internet: www.ci.tigard.or.us ❑ Other.
'ril FOLLO\\ ING ITEMS ARE IZEQl IRFI) FOR PLAN RLv II:NN \ is No N %
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. El ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ El
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 ditnensibns; property corner elevations (if ❑ ❑ El
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, El ❑ El
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- ❑ 0 0
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. ❑ El ❑
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- El El ❑
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 ❑ ❑ El
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. ❑ El El
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required El El ❑
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 El ❑ ❑
architect licensed in Ore•on and shall be shown to be . . 'licable to the .ro'ect under review.
t JRISI)ICI ION.AI. SITU!' (C'S
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". El El ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ El El
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. El ❑ ❑
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 El ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. El ❑ El
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, El ❑ ❑
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.
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CITY OF TIGARD . .
, BUILDING DIVISION #: f3UP20:D6100.'1 (4-------' " 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/'15/2006
Phone: (503) 639 -4171 ivi Ins pection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 13875 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BEELER SUBDIVISION
DESCRIPTION: Demo (1) 840 sq ft residential dwelling on sewer 8, (2) outbuildings. UPON FINAL DEMO CREDITS
WILL APPLY.
OWNER: STEPPING STONE HOMES LLC, PHONE #: 503- 720 -6445
CONTRACTOR: STEPPING STONES HOMES LLC PHONE #: 503. 720 - 6445
Inspection Request Scheduled For: Date: 5118/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 030106.01 503 -969 -6019 N
Corrections /Comments /Instructs s:
9 A'Ut-f27< . 5 5 , )
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l 6 x�c,„ 6.
7 , r \ Q A i i
// / 6 ,.. ... .. .. ... . _ . _ .. _ .,,,.. , ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `"� Date: Y eV6,6 Phone #: (503) 718 - 2---- 2-/
CITY OF TIGARD .
BUILDIIV'G DIVISION PERMIT #: /C-/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ,, I i'\ Inspection Requests (24 Hrs.): (503) 639 -4175 A!�- '' ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 3 4-75 / P-I S ' S`f' • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: q
OWNER: PHONE #: 5773 - Cog - (
CONTRACTOR: `,ern PHONE #:
Inspection Request Scheduled For: Date: 62 — 0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
--6/ .� G;4,'0-1-‘
Corrections/Comments/Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CA Date: 1-- +G—a'G Phone #: (503) 718 - �-sr-