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Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2004 -00411 r ,, i DEVELOPMENT SERVICES DATE ISSUED: 8/31/2004 �' I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10825 SW ERROL ST PARCEL: 2S103AA -01400 SUBDIVISION: ECHO HEIGHTS ZONING: R -4.5 BLOCK: LOT: 003 JURISDICTION: TIG REISSUE: AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: G 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: 1 HT: 11 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,800.00 Remarks: 800sf carport. Owner: Contractor: SAVAGE, FRANKLIN WILLIAM OWNER 10825 SW ERROL STREET TIGARD, OR 97223 Phone: 503 - 620 -3981 Phone: • Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp • [BUPPLN] Pln Rv 8/24/2004 $46.87 Final Inspection [BUILD] Permit Fee 8/31/2004 $72.10 [TAX] 8% State Surchari 8/31/2004 $5.77 [CDCPLN] CDC Pln Re` 8/31/2004 $42.00 Total $166.74 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 rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: i�� + ��� Permittee i Signature: _ � J/ Call 639 -4175 by 7 p.m. for an inspection the next business day lio (2 4-c-iii:/ , , - ,.... 6 : 6 ,,I3C1:::)--P3 Buildin Per U 5 i . fi � ..' ; �� ` - � � FOR.OFFICE USE ONLY ">` • City of Tigard '''' •'-'h Date/By ; 5470v 7 t, Permit No.:` (' N 13125 SW Hall Blvd., Tigar ��QQ 9072 Plan Revie Li Phone: 503.639A171 Faxti4@ 5T88'.1-9602 � a,ll ' i ' �I Date/By: f 2-)/45/ H4 t Other Permit: . Inspection Line: 503.639.4175 € Date Ready/By: , / See Attached Checklist for Internet: www.ci.tigard.o -y OF TIGARD Notified/Method: ' /1 J O 4 0 y ' J / I (S Supplemental Information 8 ' i VM 111 UILDING DIVISfON /' E' "-4}s1�= f . fi , 4? ' ". i:t�"" :x. ti ,,,, ." ..'„.,': t ASS w ,,,.. , b. ":'tom' ..� :�;= • :, E=<,. `=v'r' g;: :te . -, x t `--. r t" t ` TXPE O F" QRKa i 4° , ` 1440 = $ T2 '' .7 .• y �,- .:,._. «va .r�i.r:�. _..:`._ : �.. ��.. ..:.�m:�:t,�:...�.;...,:�,:�:�r �..Ye .; . .,.:*...;� �. .�x :„�at;.,, ..,,s�� �.:�,. ;. ���3'. ��. � .s.:,x�s_��"p;`^�D,,;�FesAMILY D VE•L I LNG. . ❑ New construction ❑ Demolition Permit fees* are based on the value of the work perfonned. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the n„Ya q� ?, g.;xygs:. - t: :ar ; °';:e.4 ..:HE t l': :. �`..^ ..;z:`,'a F c:,.yw,. .,_.o.<. ^a �': a .', . � �' � � � P ,- � ,� �- .�,. '" work � - indicated on this application. " . ' .a'" . al. j , ..., E GO�RT OI!E ON : T ION 1, s__ .= . , . ` , eVi; 1 - and 2-family dwelling Valuation: $ `4 00 Q0 El y g ❑ Commercial /industrial • 4. - • ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder • ❑ Other: Number of bathrooms: • ": I,N.F ., <..Rl.. r ; . i „. Total number of floors: ,c , ,., ;; "' , d ; J O :3M: W , E =.; O 614C n,. ,C OCAT ION,: ? .k,, - Job site address: /poi? ...5-:6.1 4-Zed, New dwelling area: square feet City/State /ZIP: ---77 f 0/e. 97 a , Garage/carport area: square feet g©C Suite/bldg. /apt. no.: Project name: -5-"fie- Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet R EQU�IREI )`DATA:'EOMMERCI:A;LAYSE 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, ,M,... , > ,. " ,p, " 3 , ; x,„ .,x,;;s: :" : = .v._ , :xt t 74'1'11w; . ^j,:: =,s . :. ter; work indicated on this a a and the profit for the materials, labor, overhead, a " a r,,,.li ,NP=M; � M. r a D SCRIPTTON OF WORK �{ x. 3 a ` 1: -. application. XO X CZ CA/Z Valuation: $ Existing building area: square feet . New building area: square feet Fl : "� `PROPERTY a INTER: N � ` s e TE1 iANT " Number of stories: a,; ,�, ,I,,,w.�.,,, n,,. a .fir,. - _> -. . , i > �'.4 t ' - te . �. uA Name: Sj /CAW/el. /J f ��14 (zt ui0E. Type of construction: / Address: �` 5 6.), jr 0L Occupancy groups: City/State/ZIP: a ZIP: ,29-/z..,(//447 QY e. 7 A2-2 Existing: Phone: rd ?) ‘ O - 17k/ Fax: b ‘, 9 // New: :Y; �,,E . - , e , , � : ° O VII E ;q,. i::, -.,K E,. .. .. t : ,mow - 1. ' � ,.�,,, *^ ?iifi: ?a a,v': °_'�`� «s �*z„„`�s - -:s >.. �x , kfit �i�'.«r:�;.rH ;,,:vz'x. -u .;r :a:%'.::� », _ ~� ;r AP)Q ICAN � . , ® CONTAC -T 7 PEn r -- : ,c = p t, . �, x . ,'"�`!ra ': �t+€.$c."M e.. - °c ='stw: .iwaY G «;z;< . -.,,.� G a ,'a < - , <g,,, :5�,x... i ,� � :;,�,i1. ..�;,tS, + sz�)::;.�. . � �.:.�r � „�,��a,: . �.� . � .�. ,� � �'; � .. <.,.' e N OTICE t �, s' _'" : �:' %' = � -' »., '1A.: «..., .�t,� ��� {:c�'�m "«'..�"4*F::�sr.�'. -.� ;aas*i`.:.«: ���' ". -'Y s;.�. - . .. 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: '` Et e , b.. W 1 �. CONTRACTOR A � � t ' �, �i . �. � . _ �." ��>���1� Fes. � �., . � _. � - � Business name: ..- =:.r . BTIILDINGPERNIITEE * = r Address: � : „w :_w, , ._.� ,,J ,_ . i refer to fee schedule. City/State /ZIP: Fees due upon application Please Phone: ( ) Fax: ( ) Amount received CCB lie.: 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: �,euie T !v / Sl`Fv . Date: g_ 5'_... t fl*e * Fee methodology set by Tri -County Building Industry Service Board. V / Q ' "3 i \ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(1 l /02/COM/WEB) One- and Two - Family Dwelling ,. • Building Permit Application Checklist FOR OFFICE USE ONLY • City'of Tigard ' Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Da Associated ._ Associated permits Phone: 503.639.4171 Fax: 503.598.1960 • // . � l i. 24- Hour Inspection Line: 503.63 ' Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us � Z' _ �"-' W CI Other: 'Il 3 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurren' eyiews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, histo istrict, 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 portpy construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding 4terial, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevation_ s for new construction; minimum of two elevations for additi s and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot 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 r €bar. 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., sheaf wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore:on and shall be shown to be a, ilicable to the •roject 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 t� 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 \One- Two- FamilyChecklist.doc 12/03 CITY OF TIGARD 24 -Hour t . BUILDII�C Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST /4 BUP �D OS�'790 10 Received / Date Reques AM PM BUP Location ( Ba' FA Suite MEC Contact Person C/i/P–AT Ph ( ) /9c2 PLM Contractor Ph ( ) SWR �UILDINC� Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: L414 Alllam I VS3 PART FAIL PLUMBING' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam • Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service • Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Oct Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL • •