Permit Y CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2005 -00290
4 L G DEVELOPMENT SERVICES DATE ISSUED: 8/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BC 00100
SITE ADDRESS: 418040- Sid B$fdtfitc 1 537 s � DFkor�r� I ZONING: R -4.5
SUBDIVISION: DURHAM ACRES LOT: 069 JURISDICTION: TIG
Project Description: Permit created for purpose of 'final inspection'. Old permit #MST96 -00461
BUILDING
REISSUE' STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT. sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: DWELLING UNITS: THRD sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH' TOTAL 0 sf 0 00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES. DISHWASHERS: FLOOR DRAINS. SEWER LINES: SF RAIN DRAINS: CATCH BASINS'
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS.
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS'
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp• 0 - 200 amp: W /SVC OR MR' PUMP /IRRIGATION: PER INSPECTION
EA ADD'L 500SF: 201 - 400 amp. 201 - 400 amp 1st W/O SVC/FDR: SIGN /OUT LIN LT. PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp' EA ADDL BR CIR: SIGNAL /PANEL: IN PLANT
MANU HM/SVC /FDR: 601 - 1000 amp' 601 +amps -1000v MINOR LABEL:
1000+ amp /volt .
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.. > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A SF RESIDENTIAL B COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM' AUDIO & STEREO: FIRE ALARM. INTERCOM/PAGING: OUTDOOR LNDSC LT
BURGLAR ALARM. OTH: BOILER: HVAC• LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK' INSTRUMENTATION. MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit Is subject to the regulations contained In the
Owner: Contractor: Tigard Municipal Code, State of OR Specialty Codes
BROOK KNOWLTON OWNER and all other applicable laws All work will be done in
14537 SW DEKORTE TERR. accordance with approved plans. This permit will expire
TIGARD, OR 97224 if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days
ATTENTION Oregon law requires you to follow rules
Phone: 503 - 515 - 4476 Phone: 503 475 - 3180 adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
Reg #: direct questions to OUNC by calling 503 - 246 -6699 or
TOTAL FEES: $ 62.50 1 - 800 - 332 - 2344
REQUIRED ITEMS AND REPORTS
Issued By : Permittee Signature 1` 4
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, f FOR QF FICE USE OLN . -
City of Tigard R �1=�J � � Received
/ � '
Daze /By. Permit No I // / / /I L61% .�•,S�Cl� J
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
. Phone. 503.639.4171 Fax: 503.598.1960, /4*?' mj> )0
20��, r
Date /B Other Permit: Ms
Inspection Line: 503.639 4175 Date Ready/By: Ed See Attached Checklist for
Internet: www.ci tigard or.us Notified/Method IIM Supplemental Information
TY OF TIG 0
rrttE ors
. 3LTYPE CI OF WORK REQUIRED DATA: l- 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 TEGORY' OF CONSTRUCTION work indicated on this application.
.1- and 2- family dwelling ❑ Commercial /industrial Valuation:
�
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms
JOB SITE INFORMATION, AND LOCATION , . Total number of floors.
Job site address: k ti ,2� , LJ 00,_ �A i s2-1--4-- New dwelling area: square feet
City /State /ZIP. O 12 9 �� Garage /carport area. square feet
Suite/bldg. /apt no.: .: Project name: r Covered porch area: square feet
Cross street /directions to job site: Deck area square feet
Other structure area. square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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 4 , , work indicated on this application.
Valuation: S
Existing building area: square feet
New building area: square feet
(,PROPERTY OWNER. ❑ TENANT Number of stories:
Name. G k_ .; Type of construction:
Address: (! 1 �7 < > - � Occupancy groups.
City /State /ZIP: ` CM 0-- . -- Existing:
Phone: `0)� C - l.k _ L Fax: ( ) New:
❑ APPLICANT l - ❑ 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:
BUILDING PERMIT FEES* ,
Address:
Please refer to fee schedule.
City /State /ZIP
Fees due upon application
Phone. ( ) Fax:( )
Amount received
CCB lic.
Date received:
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: . Dater 0 cy -- * Fee methodology set by Tri- County Building Industry
Service Board.
i \ Building \Penmts\BUP- PermrtApp doc 12/03 440-4613T(1 1 /02/COM /WEB)
One- and Two - Family Dwelling _
Building Permit Application Checklist FOR OFFICE USE ONLY `§
City of Tigard Received
Date /By Permit No.
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits
Phone 503.639 4171 Fax: 503 598.1960 �� "n"t in lj " ❑E lectrical ❑ Plumbing ❑ Mechanical
24- Hour Inspection Line 503.639.4175 � t . I
Internet: www ct.ttgard.or.us ❑ Other
THE- FOLZOWING1TEMS:ARE REQUIRED FOR PLAN REVIEW Yes ' no ..l 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. 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 c onstruction. 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 .8 e licable to the sro'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 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.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200 00 90
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/11/2005
Phone: (503) 639 -4171 .4 n +N � i
Inspection Requests (24 Hrs.): (503) 639 -4175 A ' I ..
INSPECTION WORKSHEET FOR DATE: 9/•16/2005 TIME: 7:01AM PAGE: 103
SITE ADDRESS: l4 ,. , r e ---/----72.2 CLASS OF WORK:
SUBDIVISION: DURHAM ACRES LOT #: 069 TYPE OF USE:
PROJECT NAME: DEKORTE
DESCRIPTION: Permit created for purpose of "final inspection ". Old permit # 96- 00461
OWNER: KNOW IILTON, BROOK <�j PHONE #: 503•.515-4476
CONTRACTOR: OWNER PHONE #: 503 - 475 -3180
Inspection Request Scheduled For: Date: 9/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 015701 -01 503. 515 N
Corrections /Comments/ Instructions:
di
1
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ! CA, 0 .PECTION _ ADDITIONAL FEES ASSESSED
Inspector: iiliall....... / 6 n - hone #: (503) 71 4
WI ■
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CITY OF TIGARD
Shaping A Better Community
MEMORANDUM
CITY OF TIGARD
13125 SW Hall Blvd.
Tigard, OR 97223
Phone 503 - 639 -4171
Fax: 503 - 684 -7297
TO: Distribution List
FROM: Shirley Treat
DATE: April 7, 2005
SUBJECT: NEW ADDRESS/WCTM2S112BC, 00100
The above mentioned parcel has been given a new address due to the Leiser Park
Subdivision.
OLD ADDRESS NEW ADDRESS
8040 SW Bonita Road 14537 SW DeKorte Terrace
Tigard, OR 97224 Tigard, OR 97224
If you should have any questions, you may contact me at
503/639 -4171 ext. 2459 or e -mail me at shirley @ci.tigard.or.us.
Thank you.
is eng \shirley \address\
LLI ZTh .Z�7 "1"'�,�1 GI P IN TIGARD'
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GEO GRAPHIC INFORMATION SYSTEM
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VICINITY MAP
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■ I 0 ♦ 0 100 200 300 400 Feet
IIIItL ■ - 1 "= 304 feet
�IIII •• ' SW VIOLAS
W LA- MANCHA "" _ I ” ' - cn 4 �� `
r- � i�i�IIIII ,• ■ City of Tigard
0 - Information on this map is for general location only and
should be verified with the Development Services Division
A • THEW pq . ST 13125 SW Hall Blvd
! I Tigard, OR 97223
(503) 639 -4171
h ttp I/www ci tigard or us
Community Development Plot date: Apr 7, 2005; C: \magic \MAGICO3.APR