Permit 0
��� TI GAR® BUILDING PERMIT al k '.
PERMIT #: BUP2007 -00167
° , ' COMMUNITY DEVELOPMENT DATE ISSUED: 4/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 D C -01601
SITE ADDRESS: 09100 SW EDGEWOOD ST ZONING: R -4.5
SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT: 014 JURISDICTION: TIG
■ PROJECT: GERTZ HOMES AT EDGEWOOD
Project Description: Demo 1400 sq ft residence, 400 sq ft garage, 800 sq ft barn and (2) small sheds. On septic. SDC
credits available upon final.
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: R1 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:
KEN GERTZ BRIAN CLOPTON EXCAVATION INC
19200 SW 46TH AVE P 0 BOX 509
TUALATIN, OR 97062 WILSONVILLE, OR 97070
Phone: 503-692-3390 Contact #: PM 503 - 682 -0420
Reg #: LIC 50337
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/19/2007 $62.50 Ersn Cntrl 681
[TAX] 8% State Surcha 3/19/2007 $5.00
[ERPLN] Erosn Phi Rv C 3/19/2007 $8.45
[EROSN] Erosn Pln Rv ( 3/19/2007 $8.45
(additional fees not listed here)
Total $110.40
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
Ore .- . • '.. 'cation C-rtr. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of ese rules or direc •u tions\to e NC by calling 503.246.6699 or 1.800.332.2344.
r
s ued By: ' • `/ r t. ,/, Permittee Signature:
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 Ju .. AD6C - .5 .--- G
Residential 9/X cw E _ abo� FOR ,QFFICE' USE ONLY
_
City of Tigard Date/By d 9 0 7 Permit No � u A , 0 7.. �/ 7
a 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review v
ip
Phone 503.639 4171 Fax. 503.598 1960 Date/By Other Permit
TIGARD Inspection Line 503 639 4175 Date Ready /By Jens ® See Page2 for
Internet. www.ttgard- or.gov Notified/Method 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling El 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: q / o 5 c-J ,C1c 2 l ,i _ New dwelling area: square feet
City /State /ZIP: G l- �{ ,,^ ._Q ®� q - Z 6 6Z Garage /carport area: square feet
�/ s r4{ - tit
-f- no.: Project name:- �`kJ� to ca �f w Covered porch area: square feet
r
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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION 'OF WORK work indicated on this application.
ct,t_ . /6 --- r--(i 0 (ce . S ec _ Valuation: $
Existing building area: square feet
New building area: square feet
IN PROPERTY OWNER ❑ TENANT Number of stories:
Name: a ,e „ .IC 7 c _ Type of construction:
Address: / R Z 0 Sal '/ -_S Occupancy groups:
City /State /ZIP: 77- e (,. 0/4_ `j eG Z Existing:
Phone: ( ) y .Z ' 3 3 mil U ' Fax: (S e,, % L S 3.3 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 reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: ,) ",( (c fep , ctt 0 (._ BUILDING PERMIT FEES* •
Address: �D (Please refer to fee schedule)
/ Structural plan review fee (or deposit):
City /State /ZIP: (,`'�l L�r3't L , t _t_ O2 976270
Phone: (5 3) 6,3g- Q "7 Fax: ( ) FLS plan review fee (if applicable):
50537 Total fees due upon application:
CCB lic.: fl
Amount received: 47/Q , 1le
Authorized signature: This permit application expires if a permit is not obtained
�/ within 180 days after it has been accepted as complete.
Print name: /r -c, . // Date: 3--(7 - 0 ) * Fee methodology set by Tn- County Building Industry
Service Board
I \Budding \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(11/02 /COM/WEB)
A
Building Permit Application Checklist .. I ,
One- and Two - Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No
® 13125 SW Hall Blvd , Tigard, OR 97223 Date/By
. Phone. 503 639.4171 Fax 503 598.1960 Associated permits
24- Hour Inspection Line 503 639 4175 0 Electrical ❑Plumbing 0 Mechanical
TIGARD Internet www.tigard -or gov ❑ Other
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 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 \ Budding \Permits \BUP- RES- PermnApp doc 03/21/06 440- 4613T(I1/02 /COM/WEB)
...r S.W. EDG WOOD RECEIVED
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BUILDING SCALE 1" = 50'
CUSTOM HOMES SINCE 1977 GERTZ CONSTRUCTION COMPANY INC.
(503) 692 -3390 PLOT PLAN 3/19/07
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CITY OF-TIGARD
BUILDING DIVISION PERMIT #: BUp2007.00167
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
Phone: (503) 639-4171
:1,414 II I
Inspection Requests (24 Hrs.): (503) 639-4175 —Or ---
INSPECTION WORKSHEET FOR DATE: 4119/2007 TIME: 7:01AM PAGE: 67
SITE ADDRESS: 09100 SW EDGEWOOD ST CLASS OF WORK:
SUBDIVISION: GERTZ HOMES AT EDGEWOOD LOT #: 014 TYPE OF USE: •
PROJECT NAME: GERTZ HOMES AT EDGEWOOD
DESCRIPTION: Demo 1400 sq ft residence, 400 sq ft garage; 800 sq ft barn and (2) small sheds. On septic. SDC
credits available upon final.
OWNER: GERTZ, KEN PHONE #: 503-692-3390
CONTRACTOR: BRIAN CLOPTON EXCAVATION INC PHONE #: 503-682-0420
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 046721-01 603-209-6669 N
Corrections /Comments/ Instructions:
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PASS 0 PARTIAL APPROVAL fl CANCEL n NO ACCESS
I I FAIL 0 CALL FO SPECTION n ADDITIONAL FEES ASSESSED
Z Inspector: Date: o 7 Phone #: (503) 718-