Permit C ITY T I A R D OF P ERMIT #: BUP2005 -00432
4k DEVELOPMENT SERVICES DATE ISSUED: 9/9/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 103 D D -00415
SITE ADDRESS: 10770 SW FAIRHAVEN ST ZONING: R -3.5
SUBDIVISION: FAIRHAVEN COURT LOT: 003 JURISDICTION: TIG
Project Description: Repair framing, replace windows and slider.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: 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: $ 4,500.00
Owner: Contractor:
RYAN GARRETT OWNER .
10770 SW FAIRHAVEN WAY •
TIGARD, OR 97223 .
Phone: 503 - 358 -3554
Phone:
. FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 8/29/2005 $59.35 Bolts in concrete
[BUILD] Permit Fee 9/9/2005 $91.30 .
[TAX] 8% State Surchari 9/9/2005 $7.30
Total $157.95
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
require . :. e .flow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 101 -0010 thro ! h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct.uestions to OUNC by
c.• ling 503 - 246 -6699 : - . �� 332 -2344. /
I -sued By: k I ; 1:;.,„&i.„,:./.., Permittee Signature: A,.'"_ ' i .. „,
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 Ai in 'FOR OFFICE USE ONLY
City of Tigard A Receive. ��
131 SW Hall Blvd., Tigard, OR 9722�1UG 2 9 2005 Date/I1 ie j ij ks 13 ' ' / r
Phone: 503.639.4171 Fax: 503.598.1960 arl rr0 I Date/By. -1 `G Other Permit:
Inspection Line: 503.639.4175 I Date ReadyReady/By: y. /AA/AA./ C.-- J 65 See Attached Checklist for
•
Internet: www.ci.tigard.or.us CITY OF TIGARD cl I Notified/Method: Supplemental Information
• BUILDING DIVISION
TYPE OF WORK ' REQUIRED DATA: I- AND 2- FAMILY, DWELLING'
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. v\
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.
Valuation: $ g �� a
1 11 - and 2- family dwelling ❑ Commercial /industrial "7
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10-1 /0 SW F `t,Y� „„)„ New dwelling area: square feet
City /State /ZIP: I t &az- NZ 9 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street /directions to job site: 0. , .-{- k j <, pi>4-,‘.- kik ,r a. j-a Deck area: square feet
• Fif 'Le- / .4- IIPi(1 tfv ,47/ Other structure area: square feet .
REQUIRED DATA: COMMERCIAL - USE CHECKLIS7
Subdivision: Lot no.: Permit fees* are based on the value of the work performed. 41,.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all �s•
equipment, materials, labor, overhead, and the profit for the
. DESCRIPTION' OF WORK . work indicated on this application.
t ■ (/ Valuation: $
P i r / ` A .nr. % .n Ad i�. p I. 4.- i 9 - vLcIfau:
`� / �� _Jg� D ^ U Existing building area: square feet
�[ New building area: square feet
VI OWNER . ❑ TENANT .. Number of stories:
Name: RIA0tA. (— r6 Type of construction:
Address: V V -1 1 b , ,,,,\,, lAUQv, W Occupancy groups:
City /State /ZIP: I I rt.t Die 9 7223 J Existing:
Phone: ( J' - 5 - 3 S st-+ Fax: (• ) New:
❑ .APPLICANT e (;:,',1-1,0,-- CONTACT PERSON NOTICE
Business name: 5 - t - r or, - r° f 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: CO Atri r applicant is exempt from licensing, the following reasons
J l/ apply:
. Phone: (6b.,3 v 73,, : 9, ).C.354.J Fax:: ( ) •
E-mail:
��-- ��
CONTRACTOR � 6 • 85
Business name:
t -
(0/L'e l� BUILDING PERMIT FEES* `
Address:
Please refer to fee schedule.
City /State /ZIP: Fees due upon application
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: Date: * Fee methodology set by Tri- County Building Industry .
Service Board.
is \ Building \ Perm its\B UP- Perm itApp.doc 12/03 440 -4613T(!1 /02/COM/WEB)
One- and Two - Family Dwelling '
Building Permit Application Checklist FOR OFFICE USE' O
of Tigard Received
"City g Date/By Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 't ,dir,, 41 i l k
41. !`
•
24- Hour Inspection Line: 503.639.4175 • a II ❑ Electrical ❑ Plumbing Cl Mechanical
Internet: www.ci.tigard.or.us ❑ Other.
THE FOLLOWING ITEIVIS ARE REQUIRED FOR PLAN REVIEW Yes '10 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
a 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. ' i • -•
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by ati engineer or ❑ ❑ , ❑
architect licensed in Ore:on and shall be shown to be . • •licable to the .ro'ect under review.
.IURISDICTIONAL 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 #: BUP2005 -00432
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/912005
Phone: (503) 639 -4171 ulI Inspection Requests (24 Hrs.): (503) 639 -4175 ..._-_,NI- • '_..
INSPECTION WORKSHEET FOR DATE: 11/29/2005 TIME: 7:05AM PAGE: 53
SITE ADDRESS: 1077Q SW FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 007 TYPE OF USE:
PROJECT NAME: CARRECT
DESCRIPTION: Repair framing, replace windows and slider.
OWNER: GARRE.I I , RYAN PHONE #: 503-35B- 3554
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.
299 Final inspection 022560.01 503. 332-4035 Y ) 1R'.
Corrections /Comments /Instructions:
fL4 .4----q._ • • ( gym okNot 0.6, i,_.e-L•) --6
',IF / • •
4 , PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /l Ze Uc-- Phone #: (503) 718-
CITY OF � D
C ® TIGA' ,,,� 1 .
BUILDING DIVISION PERMIT #: BUP2005.00432
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9/2005
Phone: (503) 639 -4171 la�u�jll�
Inspection Requests (24 Hrs.): (503) 639 -4175
•
INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7 :04AM PAGE: 17
SITE ADDRESS: 10770 SW FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 007 TYPE OF USE:
PROJECT NAME: GARRET ("
DESCRIPTION: Repair framing, replace windows and slider.
OWNER: GARRLI I, RYAN PHONE #: 503 -358 -3554
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 10/17/2005 Pour Time:
Ii Code # Inspection Description Confirm # Contact # Message
200 Insulation 018512 -01 503 - 332 -4035 Y
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /6- 7 -0 ) Phone #: (503) 718-
,
CITY OF TI-GA'RD - '
BUILDI DIVISION PERMIT #: p 0 705'1_6)0z .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 6 3 9 - 4 1 7 1 ° u � p m � � i 6 - I \
Inspection Requests (24 Hrs.): (503) 639 -4175 &!J' 1I...
INSPECTION WORKSHEET FOR DATE: f 0 7/ VA S TIME: PAGE:
SITE ADDRESS: 1,4.91717 /(// W / CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
• OWNER: / PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
4,'27( F' ` V. 4
Corrections /Comments /Instructions:
. SI., PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A
Inspector: rir , Date: (4) ( L Phone #: (503) 718-
•
CITY OF. V AID r `�
BUILDING DIVISION PERMIT #: gUP200t'r00432
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/912005
Phone: (503) 639 -4171 i�dy�„
Inspection Requests (24 Hrs.): (503) 639 -4175 I 12.
INSPECTION WORKSHEET FOR DATE: 9/28f2005 TIME: 7:08AM PAGE: 35
•
SITE ADDRESS: 10770 SW FAIRHAVEN WAY CLASS OF WORK:
SUBDIVISION: FAIRHAVEN COURT LOT #: 007 TYPE OF USE:
PROJECT NAME:
GARRETT
DESCRIPTION: Repair framing, replace windows and slider.
OWNER: GARRLI I , RYAN PHONE # : 503. 358 -3554
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/2812005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 016852 -01 503- 332 -4035 Y
Corrections /Comments/ Instructions:
•
I' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
r
Inspector: D ate: ze — Phone #: (503) 718
CITY OFT'
BUILDING DIV ` N PERMIT #: BUP200500432
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
I9/2Q5
Phone: (503) 639 - 4171- ai��iifihl
Inspection Requests (24 Hrs.): (503) 639 -4175
alit/
INSPECTION WORKSHEET FOR DATE: 9127/2005 TIME 7:05AM PAGE 21
SITE ADDRESS: 10770 SW FAIRHAVEN WAY
OF WORK:
SUBDIVISION: FAIRHAVEN COURT 007
#: ��� TYPE OF USE:
PROJECT NAME:
GARRETT
DESCRIPTION: Repair framing, replace windows and slider.
OWNER: GARRETT, RYAN PHONE #: J03- 358-3554
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016733 -01 503 -332 -4035 N
Corrections /Comments/ Instructions:
' / Iv or Z& av •ti \d'
I I PASS I ARTIAL APPROVAL n CANCEL I I NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
Inspector:
Date: 27---e, Phone #: (503) 718-
,.,
CITY OF. Ti13D ._� �:
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP005`00432
Phone: (503) 639 -4171 Aiim0/00 I /1 ��
A AL Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE 9/23/2005 TIME: 7:07AM PAGE
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 10770 SW FAIRHAVEN SY LOT #: TYPE OF USE:
PROJECT NAME:
FAIRHAVEN COURT 003
DESCRIPTION: GARRETT
Repair framing, replace windows and slider.
OWNER: C3ARRETT RYAN PHONE #: 503 - 358 -3554
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 8!23!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 016448 -01 503 -332 -4035 Y
Corrections /Comments /Instructions:
4 POK ., '7
/CALL PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: -.�z Phone #: (503) 718-