Permit ■ PP C ITY OF TIGARD BUILDING PERMIT
V PERMIT #: BUP2006 -00550
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109DB -03000
SITE ADDRESS: 15028 SW 132ND TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 068 JURISDICTION: TIG
Project Description: Deck.
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 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: $ 1,200.00
Owner: Contractor:
KIM NGUYEN LOSLI FENCE & DECK INC
15028 SW 132ND TERR 547 SE 73RD
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 250 - 3452
FEES Reg #: LIC 171559
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/13/200€ $62.50
[TAX] 8% State Surcha 11/13/200€ $5.00
[BUPPLN] Pin Rv 11/13/200€ $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.
Issued By: 0 - Aor Permittee Signature{ J n. 2.,e _
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 Application _ FOR OFFICE USE ONLY
City of Tigard RECEIVED Received ,�Srs L _ /� .
DateB ,j '\
Permit N..: 1 66 (J
g � I
. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
III 0 ''' Phone: 503.639.4171 Fax: 503.598.1n v 1 3 2006 Date/By, OtherPemut.
T IG AR 0 Inspection Line: 503.639.4175 U Date Ready/By: ®See Attached Checklist for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method Supplemental Information
BUILDING DIVISION
, . 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
iri Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION. work indicated on this application.
• jEt 1- and 2-family dwelling Valuation: $ 1 i ZOO'
y g ❑ Commercial /industrial
❑ 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: ) 6J028 5IA/ / 92 " -r-Egg New dwelling area: square feet
City /State /ZIP: -1--1�o l c , Q . 17 .2.1 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
R LI L)1- I`479.' , `TO aYkr4 (f) 13.7,E l , Other structure area: square feet
REQUIRED.DATA: COMMERCIAL- USE:CAECKLIST
Subdivision: f..-+�` R c Lot no.: Permit fees* are based on the value of the work performed.
i Tax map /parcel no.: '1' Indicate the value (rounded to the nearest dollar) of all
1 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK- work indicated on this application.
Valuation: $
Existing building area: square feet
. New building area: square feet
' ❑ PROPERTY OWNER ' ' ' - ❑ TENANT Number of stories: '
Name: k (� �j U , Type of construction:
Address: i 50-2B SV A 2 t) �* 0 O ccupancy groups:
City /State /ZIP:' fl , l '� /3_4 j ! O ,4 i~ Existing:
Phone: ( ) Fax: ( ) New:
❑ A PPLICANT ❑ CONTACT PERSON , NOTICE
• Business name: C e' 6 r �� o f'�( (pG , All contractors and subcontractors are required to be
Contact name: ' �r ,c�^'� licensed with the Oregon Construction Contractors Board
LS�N under ORS 701 and may be required to be licensed in the
Address: S 9 - Sr . 3 jurisdiction in which work is being performed. If the
L applicant is exempt from licensing, the following reasons
City/State/ZIP:
N 1 ILS�S�,a�lp) r C .C . Cfl I l apply:
Phone: (5,3) z --) G 7 Fax: : ( )
E-mail: , \ (65 t i re lrt ct° clod rkcx_ f , . con',
CONTRACTOR
Business name: L,.-� , ?T --. � �
A� O � J BUILDING PERMITFEES* '
Address: v5 in ss 13 (Please refer to fee schedule)
1 Structural plan review fee (or deposit):
• City /State /ZIP: f..(I (LSErs_,fZRn. ) Cir, C \ l IVA
Phone:) l Z Fax ( )
1
CCB lic.: FLS plan review fee (if applicable):
p 3 / 5 �_ I - q ~pY i<� Total fees due upon application: ,f , /3
Win „ „ y Amount received:
Authorized signature: J) This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �� 6?/(a Jl j ) is - Date: i /- - 83—'7, * Fee methodology set by Tri- County Building Industry
v Service Board.
I: \Building \Permits \BUP- RES- PennitApp.doc 03/21/06 440-4613 TO 1 /02/COM/WEB)
One- and Two - Family Dwelling , "
Building Permit Application Checklist FOR OFFICE USE ONLY
•
City of Tigard Received Permit No.: i .
U 13125 SW Hall Blvd., Tigard, OR 97223 Date/By
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
TIGARD
24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑Plumbing ❑Mechanical
Internet: www.tigard - or.gov ❑ Other.
THE FOLLOWING ITLNIS ARE IZEQUIREI) 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 al t royal re t uired. 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 Ore•on and shall be shown to be . • slicable to the •ro'ect 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 II" x IT'. ❑ ❑ ❑
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:\ BuildingWermits \BUP- RES- PermitApp.doc 03/21/06
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: h7..?
PLANNING DIVISION:
Required Setbacks: [A Approved ❑ Not Approved
Side: 2 Street Side: _L
Front. Garage: 2.0 Rear: /
Visual Clearance: 9 Approved
t 0 Not Approved
Maximum Building Height- 35
CWS Service Provider Letter Required: ❑ Yes " No
13� : , ❑ Received
Date:
j r -N INEERING DEPARTMENT:
Actual Slope: % ❑ Approved ❑ Not Approved
Site Plan: ❑ Approved ❑ Not Approved
Date•
Notes *$"1 - f ck"r
-E.� 4 ems,,
'� � ycLi.f J1-4424-,-4
CITY\ OF :TIGARD - ,T
BUILDING DIVISION PERMIT #: BUP200 €00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 49
SITE ADDRESS: 16020 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 06B TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Deck.
OWNER: NGUYEN, KIM PHONE #:
CONTRACTOR: LOSLI FENCE & DECK INC PHONE #: 503-250-3452
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time: lam
Code # Inspection Description Confirm # Contact # Message
205 Footing 039939-01 603- 250 -3162 N
Corrections /Comments /Instructions:
10! '5 'X I�� Cij� . i -�a2f� ll��/�t��'L 6 i�'�l. � L �Y��.�GlC- L . 7: 4
I PARTIAL APPROVAL I CANCEL I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
•
Inspector: - Date: Phone #: (503) 718- �,
_ , __,
CITY- .,OF•TIGARD ( - 4-
BUILDING DIVISION • PERMIT #: BUP200 &_00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639 -4171 w ogiii
Inspection Requests (24 Hrs.): (503) 639 -4175 A- m.-1-
INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7 :03AM PAGE: 49
SITE ADDRESS: 15028 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 068 TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Dec:k.
OWNER: NGUYEN, KIM PHONE #:
CONTRACTOR: LOSLI FENCE & DECK INC PHONE #: 503.250 -34552
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 040093-01 503-- 250 -3152 N
Cor�rections /Comments /Instructions:
1 ;Le- r . i -dr‹ ti- e.i ° -, -°.Y1.. 4 a v- -='; C.— 6 i 9 - .,-
/,/C li
—•% i,' ry /.� - 6 �. Q-/--.4. nom=
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PASS n PARTIAL APPROVAL I I CANCEL NO ACCESS
FAIL 7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: - 1 �,
Date: d — --e Phone #: (503) 718 -`�
CITY.F IGARD
BUILDING DIVISION PERMIT #: BUP2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I1/1 006
Phone: (503) 639- 4171 rnudM��� "�
Inspection Requests (24 Hrs.): (503) 639 -4175 A 'I � ..
INSPECTION WORKSHEET FOR DATE: 11/27/2006 TIME: 7 :05AM PAGE: 20
SITE ADDRESS: 15028 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 068 TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Deck.
OWNER: NGUYEN, KIM PHONE #:
CONTRACTOR: LOSLI FENCE & DECK INC PHONE #: 503 -250 -3452
Inspection Request Scheduled For: Date: 11/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 040245 -01 503. 250.3152 N
Corrections /Comments /Instructions: ,,
-. ' --met, �' ,4a-L�r2.z7 -,v 44-.t..:4-,; e .-=" '7I4 " /plc tcLt - . <
- z =4 rte. ,. >, =' kilo- k? /y2.4..e__ ice- .
•
I I PASS---
.--'- ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
®'FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: - Date: / -- ?.7— Phone #: (503) 718- 4-4- "i
�.r m BA '
— a r -
BUILDING D IVISION PERMIT #: BUP2005~00550 '
131 25 SW Hall Blv Tigard, OR 9722 DATE ISSUED: 11/13/2006
Phone: (503) 639 -4171 "Ott
J�I
Inspection Requests (24 Hrs.): (503) 639-4175 ... __..
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7 :03AM PAGE: 42
SITE ADDRESS: 15028 SW 132ND TERR CLASS OF WORK:
SUBDIVISION:' SUMMIT RIDGE LOT #: 068 TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Deck.
OWNER: NGUYEN, KIM PHONE #:
CONTRACTOR: LOSLI FENCE & DECK INC PHONE #: 503-250-3452
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 99 Final inspection 040302 -01 503.250.3162 N
•
Corrections /Comments / Instructions:
- Ie / "/ S P erte .) Z c f iZ- ( "' &•6=‘ca7z.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
( I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: Date: 0J -28-- o, , Phone #: (503) 718- Z.-4-'-