Permit Er CITY O F TIGARD CARD BUILDING PERMIT
. PERMIT #: BUP2007 -00287
COMMUNITY DEVELOPMENT DATE ISSUED: 6/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S109DA -12900
SITE ADDRESS: 12980 SW BIRCH HILL LN ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 118 JURISDICTION: TIG
PROJECT: KADAM
Project Description: Deck, 10' 2" x 22' 2 ".
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: 5N 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: 50 psf LEFT: 0 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: 5 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,652.00
Owner: Contractor:
RAJESH & RADNEE KADAM OWNER
12980 SW BIRCH HILL LN
TIGARD, OR 97224
Phone: 503 - 670 - 1485 Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 5/31/2007 $53.11
[BUILD] Permit Fee 6/8/2007 $81.70
[TAX] 8% State Surcha 6/8/2007 $6.54
[CDCPLN] CDC Pln Re 6/8/2007 $45.00
(additional fees not listed here)
Total $192.35
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
oft e rules o . .rect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I sued By: itimma 11,' ,, iL _, J r Permittee 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.
i
q CITY OF TIGARD • BUILDING PERMIT
PERMIT ISSUED: 6/8/2007
COMMUNITY DEVELOPMENT
DATE ISSUED: 6/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109 D A -12900
SITE ADDRESS: 12980 SW BIRCH HILL LN ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 118 JURISDICTION: TIG
PROJECT: KADAM
Project Description: Deck, 10' 2" x 22' 2 ".
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: 5N 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: 50 psf LEFT: 0 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: 5 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,652.00
Owner: Contractor:
RAJESH & RADNEE KADAM OWNER
12980 SW BIRCH HILL LN
TIGARD, OR 97224
Phone: 503 - 670 -1485 Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 5/31/2007 $53.11 VG �� `S( t., la..!/i4 g%
[BUILD] Permit Fee 6/8/2007 $81.70 c it-j -1 r� LLDf a *
l
[
4 4 2
TAX] 8% State Surcha 6/8/2007 $6.54
[CDCPLN] CDC Pin Re 6/8/2007 $45.00 '""74. Ito L[/ A r d / ��1 -
(additional fees not listed here)
Total $192.35
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
oft e rules o 'rest questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
`l
sued By: / )0 y Ai Permittee Signature: � l
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
`" Residential , ` FOR OFFICE USE ONLY •
City of Tigard i.,,FCENE Date /B y. Q� Q ,r/ Permit No.: , 0 7 (,�
13125 SW Hall Blvd., Ti ard, OR '7 1
.� = g Plan Re J/ ^ "
' ' Phone: 503.639.4171 Fax: 503.598.100 3 1 2007 Date By: 'eP /7/O ? /T V Other Permit•
TIGAR Inspection Line: 503 H DateReady /By: / IB See Page 2for
Internet: www.tigard or.gov ; Z GP D Notified/Method: 7l � �� Supplemental Information
_ _ 9a1P+ 1ifIS1UN �._:�'.
TYPE OF WORK ' ' QIRRED 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 'B Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $6 iZ ,. r v
❑ I- and 2- family dwelling ❑ Commercial /industrial /
El Accessory building ill Multi-family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11970 Q0 ¶ 3i Y( , 4 1 t �j >' /f Ile New dwelling area: square feet
City /State /ZIP: —fl Yd / b !\ / 1 7 "_2_L Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: �} F ( k/ Covered porch area: square feet
Cross street/directions job site: Deck area: 6 / square feet
i12 CrVe € e I Gj" of Y; tie g .c&fTtil 7) je Other structure area:' square feet
REQUIRED DATA: COMMERCIAL- USE.CHIt:CKLIST
Subdivision: 5U m in i 4 R 6 015e I Lot no.: 1 (g 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.
& 1541 — pec k 0 ---6tL Valuation: $
1 A./l) TTT 1 21--e i 7 _ Existing building area: square feet
New building area: square feet
•
'&]PROPERTY OWNER ❑ TENANT Number of stories:
Name: R ter )7 6 R a d ee a a am Type of construction:
Address: 1 2 - f 3 D scAj g i )-(,4 N,'' I Lon e Occupancy groups:
City /State /ZIP: --r< t^a yd f o R [ 9 22 Existing:
Phone: ( 6 i l I R ,-- Fax: ($b3) C 0 I y 85 New:
_1
O 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 reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: OLE_ 13 f_`1/ BUILDING PERMIT FEES*
• Address:
(Pleaserefer to fee schedule)
City /StatelZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application: $.53 , l/
Amount received:
Authorized signature: - This permit application expires if a permit is not obtained
Print name:
��
r C' e k� C•J`-t Yr I Date: 5 30101 within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(I l /02 /COM /WEB)
Building Permit Application Checklist . ,
One- and Two - Family Dwelling ` FOR : OFFICE USE ,
City of Tigard Received
Date /By Permit No '
a 13125 SW Hall Blvd., Tigard, OR 97223 `
-
I III I
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
• . 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. ❑ El ❑
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 info 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 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 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 \ Building \ Permits \BUP- RES- PermitApp.doe 03/21/06 440- 46I3T(I1 /02/COM/WEB)
•--`"r7 ' . — _ _ _
• .
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DON • : VIORISSETTE m O 3541 i.: 118 •
HO23ME0 S INCORPORATED DATE: 08/02/2005
4 GALEWOOD STREET
LAKE OSTEGO. OREGON 9703 PROPERTY: SUMMIT—RIDGE
(5 0 3) 8 8 7 - 7 5 3 8 P A X (5 0 3) 3 8 7 7 8 1 5 CITY: TIGARD
SCALE 1"=20'
PLAN No.: 170
_ . . _. . . ... . .. • OPTION 1 ELEVATION
• 12'380 .. W . ,. ... _
SW BIRCI-1 -LN, . • * ' '' .- RECENED
-.. • • ,„. , 4
• .
' - MAY 31 2007
4 4.ess 1
1 -1-
E..4 . CITY,G F. TIGARD
90' 15100, 3g, .00' 1 i EL 41461° BLUM° DIVISION
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NOTES: -
ALL GRADE AND FROPER75 : INES ARE ESTIMATES CF CURRENT LC.N,C.ATIc,
ALL DIMENSIONS AND 5aLIA:* FOOTAGE ARE AFFRXIMATE- LIRES.
ALL RETAINING WALL HEIG-H75 AND LOCATIONS ARE ESTIMATES,. LOT 4 118
THET MAT' VAR AND BE "SUBJECT TO CHANGE. 5,500 eq. ft.
...... .. . .
•
CITY OF TIGARD - SITE PLAN REVIEW .
BUILDING PERMIT NO.: 6a-1: o - f9OA$ 7
PLANNING DIVISION:;
Required Setbacks: q, Approved ❑ Not. Approved
Side: S Street Side:
From. Garage: Rear:
Visual Clearance: ❑ Approved ❑ Not Approved
Maximum Building Height feet
CWS Ser ' Provider Letter Required: ❑ Yes 1No
l ❑ Rec
B : 4 / Date: /k1 /
EN INEE l NG DEPARTMENT:
Actual Slope: _&.% % la Approved ❑ Not Approved
Site P3an: / B Approved 0 Flo Approved
By: �r , (� Date: 6 ( ( � 7
Notes: n &ti (it" 0.7,J rs 64 "L i fit'
0 ct4u s �" use.
5 EE
DON • MORISSETTE LOT: 118
OYES INCORPORATED DATE: 08/02/2005
I
4230 O S R E G O, OREGON STREET 97036
PROPERTY: SUMMIT-RI -7589 FAY (509)387 -7e 1
CITY: TIGARD
I SCALR: 1 " =20'
PLAN No.: 170
I 12e80 SUJ 131R04 WILL LW,
OPTION 1 ELEVATION
RED
i 4_Z 8 MAY 3 1 1_00/
i =49m' f
1 - BUILDING DIVISiOfl'
s — _ I _„r ;� , - , - a � x i 4 P.S.W.E.
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, ' "' - .yam ; `
? 450 1 w : v ., 1 20.
, 2 car gar. i, "
I ' PPE. 488'
LOT cOVEE
• / LOT AREA: 300 SQ. FT.
T
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NOTES: l / 0�� •
ALL GRADE AND FROFER7: :LINES ARE ESTIMATES = CURRENT LCCATiCE : . m 9 4::..
ALL DIMENSIONS -ND SQUARE FOOTAGE ARE AFFRtXIMAT= = 'CURE &. LOT �i�8
ALL RETAINING —'_L -ITS TS AND LOCATIONS ARE ESTIMATES.
T: ;E7 MAY VAR." AND EE 5U5JECT TO CHANGE. , 5,500 Sq. rt.
CITY OF TIGARD
BUILDING DIVISION 1 PERMIT �,Zoov.eOZB'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /e/
Phone: (503) 639 -4171 114411411 i� l l
Inspection Requests (24 Hrs.): (503) 639 -4175 Al ..
INSPECTION WORKSHEET FOR DATE: 1p e 7 -- TIME: PAGE:
SITE ADDRESS: / z cm3O .Q/6 RCA1 L h CLASS OF WORK:
SUBDIVISION: 'U /i/, f/ 2 .&.,F_ LOT #: TYPE OF USE:
PROJECT NAME: Kjq.`bl4 r!
DESCRIPTION: /0/2 10 N .Z k
/
OWNERR ij 7.47 k l7RIL1 PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # I spection Description Confirm # Co ct # Message
!=- «n/A L-__ .
Corrections /Comments /Instructions:
17 --f'e,4h/Ar_. t-'7A(A-)...._ --- .
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A/07-E; J eG `S 1GI,6.-S SD y 'T-7-r<vU`7JRE-
W e 7 ld-;rr- c: -re.) 1- 7490 - ,
NI PASS j I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6 4 5 .--- Phone #: (503) 718 - � Z _