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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00205 „ DEVELOPMENT SERVICES DATE ISSUED: 6/21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103C6 -03600 SITE ADDRESS: 13185 SW 124TH AVE SUBDIVISION: WILLAMETTE NO.2 ZONING: R -4.5 BLOCK: LOT: 015 JURISDICTION: TIG REISSUE: / !`• FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: RI=P d FIRST: 425 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: 425.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: 10 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 40 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: $ 6,587.50 Remarks: Replace existing deck with new. Owner: Contractor: ERICKSON, NEIL A/PAMELA S RICK'S CUSTOM FENCING 13185 SW 124TH 4543 SW TV HIGHWAY TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: Phone: 640 -5434 Reg #: LIC 50088 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp PRMT CTR 6/6/01 $91.30 27200100000 Framing Insp Final Inspection PLCK CTR 6/6/01 $59.35 27200100000 5PCT CTR 6/6/01 $7.30 27200100000 Total $157.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1 -800 3 . 344. Perm ittee Signature:— I \ \ - Iss ed By:_ _ c- • LL.I_ .. ' Call 639 -4175 by 7 p.m. for an inspection the next business day - .- 4 / r/ Sg/ ./ /3 r • Bondi; Date received: 4 d/ Permit no.:P 4 ,)O, -.40" 5 A , C f ity o ' : -.. y _a� - Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 Date issued: By: Receipt no.: Fax: (503) 598 - 1960 M \\ Cse file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT igt & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: / ( 0 5 - 5 I,J / Z t A V e - Bldg. no.: Suite no.: Lot: I Block: (Subdivision: (,(f /U. •te-h 4'. Z I Tax map /tax lot/account no.: 5 /03L13jj 36 CA' Project name: Description and location of work on premises/special conditions: g.srit e e_ eo sS el ¢.c.k O%% NER FOR SPECIAL INFORMATION, USE CHECKLIST Name: Penn &/ r 4 (Floodplain, septic capacity, sold,, e.c.) ✓,� Sc Mailing address: /3i f3 q- .i . / Z y gvL I & 2 family dwelling: a 5 1/ • • City: j � q ,.1 I State: elk, I ZIP: 7'72 23 Valuation of work 4 lif in . / • •$• • . f J ' `' Phone: 5yp —ifctJ IFax: — IE -mail: -- No. of bedrooms/baths • . Owner's representative: f?r,, k ` /, U Tota • number of floors • • • • •••• • • • • • Phone: y fy 3 Fax: mail: •••• • • New dwelling area (sq. ft.) .......y r • - - • APPLICANT Garage/carport area (sq. ft.) .........• • • •. • • • .. • . Covered porch area (sq. ft.) ...s. :.t.!.......... s _ • • Mailing address: Deck area (sq. ft.) • • • • •.• %7 2 S 0 .. • S5 • City: I State: I ZIP: Other structure area (sq. ft.) ...• • ... • . Phone: Fax: E -mail: Commercial /industrial /multi - family: • • • CON TRACTOlt Valuation of work • $ • .... Existing bldg. area (sq. ft.) Business name: ei' j c,,,4_. (Z4 .',,s New bldg. area (sq. ft.) Address: 4 1 S71 5,T w / Number of stories City: /,1 //6 6- e I State: 1p I ZIP: ”72 Type of construction Phone: 6 e- Sy3 Y I Fax: I E -mail: — Occupancy group(s): Existing: CCB no.: ceo eg _ New: City/metro lic. no.: /n Notice: All contractors and subcontractors are required to be AR(11171:(' SIGNER licensed with the Oregon Construction Contractors Board uhder Name: / provisions of ORS 701 and may be required to be licensed in the 7� rYj � ��f' - i �C I/ P Y Address: jurisdiction where work is being performed. If the applicant is City: State: I ZIP: exempt from licensing, the following reason applies: Contact person: I Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: (State: IZIP: Amount received $ Phone: I Fax: I 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 :4/ ther specified herein or not Credit card number: / / Expires Authorized signature: p Date: (7 o / Name of cardholder as shown on credit card Print name: — tYie� �JvrA � d /� feS s ��re. Cardholder signature $ Amount Notice: This permit application e4ires if a permit is not obtained wii4in 180 days after it has been accepted as complete. 440-4613 (6/00 /CO t) One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: • Associated permits: City of Tigard City 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. l0 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state • • ... buildin Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attaitiadto the Zlancemith cross references between plan location and details. Plan review cannot be completed • • • if copyright ¥iolations exist. • 11 Site/plot p leat d rawateomit 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 sir' i i e (including decks); location of wells/septic systems; utility locations; direction indicator; lot . area; builrjiyg overaget, percentage of coverage; impervious area; existing structures on site; and surface drainage. •• 1 •Foundation plan. Sltow ltrnensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent • • size a&l location. r • • • b3 Floor plans. Show l iaiensions, room identification, window size, location of smoke detectors, water heater, • furnacepoontilation fan's, plumbing fixtures, balconies and decks 30 inches above grade, etc. • • 14 Cross seetk i (s) anSEtlisl Show all framing - member sizes and spacing such as floor beams, headers, joists, sub -floor, wall cot struction, roof construction. More than one cross section may be required to clearly portray construction. Show • • • • • *details s of aalwall 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 & 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 (M)0/C0m) S /,3/ C TY OF TIGARD BUILDING INSPECTION DIVISION - • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST _ �7 BUP , 2 oi o 2 Date Requested � /' AM PM BLD Location 13( g) 5 w Z"'1 Suite MEC Contact Person Ph 3" ' I VI I PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR * Access: foundation O< FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam ' Ext Sheath /Shear Int Sheath/Shear / Framing 1.04> Lyi Gi pp ire Insulation / J Drywall Nailing Firewall Fire Sprinkler k co c c r- Fire Alarm /laze Susp'd Ceiling Roof , I / y� /�� /y / '.. I1 Pro u �C �] s T/ / c C OJ y C c ASS/ PART FAIL "D ; 57 ..7C ti'7 BING Post & Beam Under Slab Top Out n Water Service �// Sanitary Sewer S Rain Drains L ei Final tel PASS PART FAIL , 1 O 1 MECHANICAL Post & Beam of, 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 72 01 Inspector / f Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ti BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback j 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 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing 7 -2 -r/ 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 Concrete Lab Final Fire damper Bolting Lab Final Duct work Structural observation Smoke detector Mechanical final Fireproofing Lab Final Final inspection 7-2 -0/ ,) PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab 4 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 is \dsts \forms \InspRecordBUP.doc 04 /17/01 a CITY OF T I G A R D BUILDING PERMIT PERMIT #: BUP2001 -00205 , .�I� DEVELOPMENT SERVICES DATE ISSUED: 6/21/01 ,� �--�' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103CB -03600 SITE ADDRESS: 13185 SW 124TH AVE SUBDIVISION: WILLAMETTE NO.2 ZONING: R -4.5 BLOCK: LOT: 015 JURISDICTION: T1G REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: REP FIRST: 425 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: 425.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: 10 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 40 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: $ 6,587.50 Remarks: Replace existing deck with new. Owner: Contractor: ERICKSON, NEIL A/PAMELA S RICKS CUSTOM FENCING 13185 SW 124TH 4543 SW TV HIGHWAY TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: Phone: 640 - 5434 Reg #: LIC 50088 FEES REQUIRED INSPECTIONS ' Type By Date Amount Receipt Footing Insp , PRMT CTR 6/6/01 $91.30 27200100000 Framing Insp Final Inspection PLCK CTR 6/6/01 $59.35 27200100000 5PCT CTR 6/6/01 $7.30 27200100000 1 Total $157.95 I I ■ 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 s 952 -001 -0010 through OAR 952 -001- 987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1 -800 1 344. 0 Pe rm ittee Signa Iss d By: p� t.,_ - O li g Call 639 -4175 by 7 p.m. for an inspection the next business day Vli