Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2009 -00016
II ° COMMUNITY DEVELOPMENT DATE ISSUED: 1/23/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DA-05600
SITE ADDRESS: 06640 SW ALFRED ST ZONING: R -4.5
SUBDIVISION: KINGS VIEW LOT: 042 JURISDICTION: TIG
PROJECT: SAARINEN
Project Description: Demo existing single family dwelling.(approx. 500 sf residence and 150 sf shed)
(o/J 'E-to EiL)
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: : 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:
SAARINEN ANNETTE BEN BUTLER CONSTRUCTION INC
6640 SW ALFRED ST 11102 NW CRYSTAL CREEK LN
TIGARD, OR 97223 PORTLAND, OR 97229
Phone: 53 - 913 - 5652 Contact #: PRI 503 - 201 -5107
Reg #: LIC 161014
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/23/2009 $62.50 Ersn Cntrl 681-4444
[TAX] 12% State Surch 1/23/2009 $7.50
[ERPRMT] Erosion Con 1/23/2009 $26.00
[ERPLN] Erosn Pin Rv C 1/23/2009 $8.45
(additional fees not listed here)
Total $112.90
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 ru - .: . irect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ Issue By: _ �1�� Per mittee Signature � � � j
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 RECEIVED -
Residential FOR OF FICE_ USE ONLY
City of Tigard Received Date/By: d� Permit No.:1 t t P2,00 (� `� es _ -
lig
JAN 2 2 y : l - Z Z • oS V _' � ,.1
° 13125 SW Hall Blvd., Tigard, OR 97223 2�� Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T i GA RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method. 1- I CI Supplemental Information
- 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
' . CA TE_ G OF :CONSTRUCTION- ' work indicated on this application.
❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ 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 &, go S A-t rrel S!ii---. New dwelling area: square feet
City /State /ZIP: �((of -,o-40 c C7r),),D. 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
Other structure area: square feet
.REQUIRED DATA: COMMERCIAL= USEtCHECKLIST .
Subdivision: 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.
�/ / �..,, - .. Valuation: . $
l t' ....Yid . ' - , -,I
Existing building area: square feet
New building area: square feet
J PROPERTY. OWNER' . 7 • . ` , D. TENANT ` Number of stories:
Name: .4 n ti S (Zr/ ne. sA Type of construction:
Address: 9753 I.r) / ,h7, eb _ 41 Occupancy groups:
City /State /ZIP: ( L Y� ne_ 6 � ,,, e Q ).,,, z� , Existing:
Phone: (>0-y, C, 39 1 F l + New:
❑ APPLICANT ❑- CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following easons
apply: Pi.Qtk t l FE t & 3,.S
Phone: ( ) Fax: : ( ) r'R1 d`uk1/Met4 7 . 6C)
E -mail: Ate • ° °
0io ,t) d'o,o r ,
CONTRACTOR ' ` . f1?O S 6 a q 5
Business name: B�' d'.. 13 ,I, I Ir e _A _s,i ` - JDI PERMIT FEES *' 14 1 I. ..= 46 •
Address: 111 rJ g., N a) 0 .s`T N..1 fir- h (Please refer to fee schedule).
City /State /ZIP: pr 1" ft el 0_,1 Structural plan review fee (or deposit):
1 1 FLS plan review fee (if applicable):
Phone: (7 'Z)) -- .y l I—Li Fax: ( )
CCB lic.: I 6 LI Total fees due upon application:
I _ - -- Amount received: 8, 9 0
Authorized signature: r.��''' m — This permit application expires if a permit is not obtained .
' within 180 days after it has been accepted as complete.
Print name: , e..1 8 v }I, Date: I / ::Z / V ` , * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COM/WEB)
\-I
Building Permit Application Checklist
One- and Two - Family Dwelling FOR ; OFFICE USE ONLY,.
City of Tigard Received Permit No.:
Ass
q 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour lnspection.Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
, . Internet: www.tigard- or.gov ❑ Other
. i
THE FOLLOWING ITEMS , ARE" REQUIRED FOR.PLAN`REVIEW . : Yes...! No N /A ''„
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. ❑ ❑ ❑
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 mvterial, 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 SPE I 1
23 Three (3) 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 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. I ❑ t ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard CI .70 ❑
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 must include 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.
I \ Building \Permits\BUP- RES- PermitApp doc 03/21/06 440- 4613T(1 I /02 /COM/wEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2009-00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2009
Phone: (503) 639-4171 &hylimpol
Inspection Requests (24 Hrs.): (503) 639-4175 sAll• ' 411
IF
INSPECTION WORKSHEET FOR DATE: 2/17/20 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 06640 SW ALFRED ST CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 042 TYPE OF USE:
PROJECT NAME: SAARINEN
DESCRIPTION: Demo 500 sf dwelling & 150 sf shed. UPON FINAL INSPECTION SDC CREDITS FOR TIF, PARKS
AND SEWER WILL APPLY.
OWNER: ANNETTE, SAARINEN PHONE #: 63-913-5652
CONTRACTOR: BEN BUTLER CONSTRUCTION INC PHONE #: 503-201-5107
Inspection Request Scheduled For: Date: 2/17/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 080554-01 503.201-5170 N
Corrections/Comments/Instructions:
S6 e_etep
•
•
(47; PASS'' PARTIAL APPROVAL 0 CANCEL Li NO ACCESS
0 FAIL CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED
Inspector Date: ' • • Phone #: (503) 718- 7-----6
Nib
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for:P , gpp, � —Opp REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description. PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl dram 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc inspection:
235 Shear walls/anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage •
260 Tilt -up panel 195 Misc inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Gradin final 630 Fire damper
; 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test
310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain dram
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls _
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I.A Bmldnig \ Forms \InspCard- AOP- Blank.doc 02 /02/07
CITY OF TIGARD BUILDING PERMIT
u
° COMMUNITY DEVELOPMENT PERMIT #: BUP2009-00016
DATE ISSUED: 1/23/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DA-05600
SITE ADDRESS: 06640 SW ALFRED ST ZONING: R - 4.5
SUBDIVISION: KINGS VIEW LOT: 042 JURISDICTION: TIG
PROJECT: SAARINEN
Project Description: Demo existing single family dwelling.(approx. 500 sf residence and 150 sf shed)
(off j ag.w t2L .
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: 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:
SAARINEN ANNETTE BEN BUTLER CONSTRUCTION INC
6640 SW ALFRED ST 11102 NW CRYSTAL CREEK LN
TIGARD, OR 97223 PORTLAND, OR 97229
O
Phone: 53 Contact #: PRI . 503-201-5107
Reg #: LIC 161014
il k
FEES •
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/23/2009 $62.50 Ersn Cntrl 681
[TAX] 12% State Surch 1/23/2009 $7.50
[ERPRMT] Erosion Con 1/23/2009 $26.00 0
[ERPLN] Erosn PIn Rv C 1/23/2009 $8.45
(additional fees not listed here)
Total $112.90
g
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other A
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 MOP
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 r - . > . irect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue + P ermittee Signature � i /
By: J
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.