Permit � bITY OF TIGARD MASTER PERMIT
PERMIT #: MST2006 -00098
�� "7
DEVELOPMENT BMENg Tigard, -639 -4171 DATE ISSUED: 5/2/2006
� PARCEL: 2S103DA -01800
SITE ADDRESS: 10815 SW DERRY DELL CT ZONING: R - 3.5
SUBDIVISION: DERRY DELL PLAT 2 LOT: 018 JURISDICTION: TIG
Project Description: Remodel, change beam & remove posts.
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 THIRD sf RIGHT
VALUE
OCCUPANCY GRP• 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: BOIUCMP < 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 FDR. 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 SIGNAUPANEL 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 Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
DOUG SAWKINS ROYAL DESIGN BUILDERS & REMODELERS applicable laws. All work will be done in accordance with approved
10815 SW DERRY DELL CT PO BOX 338 plans. This permit will expire if work is not started within 180 days
TIGARD, OR 97223 OREGON CITY, OR 97045 of issuance, or if the work is suspended for more than 180 days
ATTENTION Oregon law requires you to follow rules 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
Phone: 503 - 620 - 5043 Contact #: FAX 503 722 - 0501 of these rules or direct questions to OUNC by calling 503 - 246 -6699
PRI 503 722 - 0500 or 1 -800- 332 -2344
Reg #:
TOTAL FEES: $ 108.13
REQUIRED ITEMS AND REPORTS
Issued By : r G'� Permittee Signature .
Call 503 - 639 -4175 by 7:00 a.m. for an inspection tha 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.
Buildlin;� Permit Application , - . t \ V FOR OFFICE USE ONLY
CI Of Ti and Received .s—
Q
`J g Daze /B . i �� Permit No S ..... .I C I / 2
ii 13125 SW HaII Blvd , Tigard, OR 97223 r Pl Revie
a, Phone: 503.639.4171 Fax: 503.598.1960MM ( 2 13 6 Date /By Other Permit
T IC ARD Inspection Line: 503.639.4175 Date Ready/By ®See Attached Checklist for
Internet' www.tigard - or.gov ' `fry 4 V r itur Notified/Method INI Supplemental Information
L ...r
. Ts^ IVA TT ciCM:
' TYPE OMbit -K I'" 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
CATEGORY 'OF, CONSTRUCTION work indicated on this application.
j R1 -and 2 -family dwelling 0 Commercial/industrial Valuation: $ /000
❑ Accessory building ❑ Multi- family Number of bedrooms.
❑ Master builder El Other: Number of bathrooms:
" JOB SITE INFORMATION AND LOCATION , . r Total number of floors:
Job site address: /d ?/S SJ° Darr did' 6{.. New dwelling area: square feet
City /State /ZIP: — 49/2.., 972-23 Garage /carport area: square feet
j .
Suite/bldg. /apt. no.: Project name: Sekki vt 5 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 work indicated on this application
� i eA n Valuation $
G h , b t U'-.2,,,c)U z- e os'T ` S
Existing building area. square feet
New building area square feet
®- PROPERTY OWNER ❑ TENANT = Number of stories.
Name: i) - i e , �(,L
i C ‘ „5 Type of construction:
Address: /os /� 560 0,2,,,,&, D (''4 , Occupancy groups.
City /State /ZIP:' U i r 04- 97 -223 Existing.
Phone: (93) &pp _ . Fax: ( ) New'
- I] APPLICANT . 3 CONTACT PERSON NOTICE
Business name: / 0 t `� All contractors and subcontractors are required to be
Contact name: r licensed with the Oregon Construction Contractors Board
1 `��t �'► ?- under ORS 701 and may be required to be licensed m the
Address: p o R 0x, 3 g jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP
/Q C) ' t2 r az q›oYS apply.
Phone. (Sb3 )'�s`_,-oSsoo Fax: : (S"03 ) )22 _ a5
E -mail:
CONTRACTOR . .
Business name: n R,,;14,,,, BUILDING'PERMITFEES *'
yak U J�zs r. fC � c�, in 47-1.1-- / ��G
Address P D g 3 3 (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: ov C)� (2,1 ®2 �2pc” ' '
J I Fax: Z ) FLS plan review fee (if applicable):
Phone:
(So3 ) - 22a_ os (' 3 7 ,22. - aSv
CCB lic : A� / 0n' �/ -/3 �� Total fees due upon application:
'� ! J Amount received /`I /3
Authorized signature: r
-,__ This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name'' �,� „ Date: a -, �1.0 * Fee methodology set by Tri- County Building Industry
Service Board.
i.\ Building \ Permits \BUP- RES- PernutApp doc 03/21/06 440.4613T(I I /02/COM/WEB)
One- and Two- Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY
III City of Tigard Received Permit No'
13125 SW Hall Blvd., Tigard, O 9 7223 Date /By.
® Phone: 503.639.4171 Fax: 503.598.1960 Associated permits
TIGA
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑Plumbing ❑ Mechanical
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. - ❑ ❑ ❑
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 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 . • •livable 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 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 -Perm UApp doc 03/21/06
CITY OF TIG�►RD- Pme t t)fi t - -
BUILDING DIVISION c PERMIT #: MST2006- 0009F3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 512J2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7 :02AM PAGE: 22
SITE ADDRESS: 10815 SW DERRY DELL CT CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 018 TYPE OF USE:
PROJECT NAME: SAWKINS
DESCRIPTION: Remodel, change beam & remove posts.
OWNER: SAWKINS, DOUG PHONE #: 503-620-5043
CONTRACTOR: ROYAL DESIGN BUILDERS & REMODELERS PHONE #: 503.72/
Inspection Request Scheduled For: Date: 6/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 031176-01 503-807-0165 Y
/hi L�1
Corrections /Comments /Instructions:
A 1
200(' I 0
i Lf
•
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `, Date: �� Phone #: (503) 71
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MS1200$- 00018
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 517/2006
Phone: (503) 639- 4171Ai ���Ml�
Inspection Requests (24.Hrs.): (503) 639 -4175 ' �f l..
INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AM PAGE: 77
SITE ADDRESS: 10815 SW DERRY DELL CT CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 018 TYPE OF USE:
PROJECT NAME: SAWN NS
DESCRIPTION: Remodel, change beam & remove posts. 02/19/08 PERMIT REINSTATED FOR :'-0 DAYS FOR
FINAL INSPECTION.
OWNER: SAWKINS, DOUG; PHONE #: 603-620-5043
CONTRACTOR: ROYAL DESIGN BUILDERS & REMODELERS PHONE #: 503 - 0800
• Inspection Request Scheduled For: Date: 2/22/2003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 065270-01 503 - 350 -0800- • Y
C orrections /Comments/ Instructions:
/rr
1
f
I I PASS I I PARTIAL APPROVAL /CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - 2— -22 -66 Phone #: (503) 718 - 2.
CITY OF TIGARD
BUILDING DIVISION
4,0 PERMIT #: MST'2006•00098
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 51212006
Phone: (503) 639-4171 . 4 00011
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 10015 SW DERRY DELL CT CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 018 TYPE OF USE:
PROJECT NAME: SAVVKINS
DESCRIPTION: Remodel, change beam & remove posts 02/19/08 PERMIT REINSTATED FOR 30 DAYS FOR
FINAL INSPECTION.
OWNER: SAW DOUG PHONE #: 503-620-5043
CONTRACTOR: ROYAL DESIGN BUILDERS & REMODELLERS PHONE #: 503-350-0800
Inspection Request Scheduled For: Date: 2126/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 065637-01 503-350-0800
Corrections/Comments/Instructions:
4- J 57-Ne,
.44
I I PASS fl PARTIAL APPROVAL El CANCEL P1 NO ACCESS
riT ALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD -
mST
BUILDING DIVISION PERMIT #:400 , — DO 4 9 g '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 : ��'
Inspection Requests (24 Hrs.): (503) 639 -4175 .,� __..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / U g f S i f 9 l/ V CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6 - / S - 0 (t, Pour Time:
Code # Inspection Description Confirm # Contact # Message
T44-- 5?'6 (3 7 r
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL _ CANCEL 7 NO ACCESS
FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ":72
Inspector: _' Date: ,a-is--De Phone #: (503) 718 - 2S'
� �
' CITY d�^����N��������
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BUILDING DIVISION PERMIT #: hHST2U(X:4O098
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2005
Phone: (503) 639-4171
|napo��ionRequests (24Hmj:(583)63Q'4175 *J "��� '
INSPECTION WORKSHEET FOR DATE: 2/27/2000 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 1D816SW DERRY DELL C[ CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 010 TYPE OF USE:
PROJECT NAME: SAWKINS
DESCRIPTION: Remodel, chmn beam & remove posts, 02/1810D PERMIT REINSTATED FOR JO DAYS FOR
FINAL INSPECTION.
OWNER: SAWK|NS.D0\lG PHONE #: 603-630-6043
CONTRACTOR: ROYAL DESIGN BUILDERS & REMODELERS PHONE #: 503-360-0808
Inspection Request Scheduled For: Date: 2y27Y2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Final inspection 065749'01 503'807-0165 Y
Corrections/Comments/Instructions:
,
'
`', -~ .
.
P / FASS 0 PARTIAL APPROVAL 7 CANCEL fl NO ACCESS
I | FAIL 7 ALL FOR INSPECTION ,I | I ADDITIONAL FEES ASSESSED
Inspector: '�� Date: 2'~ ��7 ~`e Phone #: (603) 718'
- - . ' , '
CITY OF - �
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BUILDING DIVISION
PERMIT #: �ST,1 'D0(EJ8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/24/7006 TIME: 7:12AM PAGE: 48
SITE ADDRESS: 10;315 SW DERRY DELL el CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 019 TYPE OF USE:
PROJECT NAME: SAWKINS
DESCRIPTION: Remodel, change beam remove pots.
OWNER: SAWKINS, DOUG PHONE #: 503-020-5043
CONTRACTOR: ROYAL DESIGN BUILDERS & REMODELERS PHONE #: 503-722'0600
Inspection Request Scheduled For: Date: 5J24/2086 Pour Time:
�^�.�
� �'= .�
Code # Inspection Description Confirm # Contact # Message
706 Footing 030495-01 603'804'6378 N
Corrections/Comments/Instructions:
-774^0 Zmira -6yz./
�� [ ��
~' SS �� PARTIAL APPROVAL �� CANCEL �� NO ACCESS
FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY OF ~ ' , . -
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BUILDING ��U��U��U��0�
DIVISION �
PERMIT #: &8S1
13125 SW Hall Blvd., Tigard, OR 97223 ! DATE ISSUED: 5/3/2006
Phone: (503) 639-4171
Inspection Raquea����Hmj:(5O3 639-4175 ~ :wilt �
INSPECTION WORKSHEET FOR DATE: 6/16/2006 TIME: 7:04AM PAGE: 4
SITE ADDRESS: iU815DW DERRY DELL CT CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 010 TYPE OF USE:
PROJECT NAME: SAM NS
DESCRIPTION: Remodel, change beam & remove posts.
`.
OWNER: SAVVK)WS.[)UG PHONE #: 603-620-5043
CONTRACTOR: ROYAL DESIGN BUILDERS & REMODLERS PHONE #: 5n722'0500
Inspection Request Scheduled For: Date: 5/15/2006 Pour Time: 2:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 029087'01 503-804-8378 N
Corrections/Comments/Instructions:
� � �' ��� u�� ���'` • ---
'
/
ri PASS 'El PARTIAL APPROVAL ri CANCEL I I NO ACCESS \
`
L I CALL FOR INSPECTION I | ADDITIONAL FEES ASSESSED
Inspector: A Date: ,5 Phone #: (603) 718-