Permit 4 n
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00086
I i DEVELOPMENT SERVICES DATE ISSUED: 4/7/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11455 SW GALLO AVE PARCEL: 1S134DC-12300
SUBDIVISION: CASCADIAN PLACE ZONING: R -4.5
BLOCK: LOT: 012 JURISDICTION: TIG
REMARKS: New SF detached dwelling.
BUILDING
REISSUE: MAS22130 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT. 24 FIRST: 1,083 sf BASEMENT' sf LEFT: 15 SMOKE DETECTORS Y
TYPE OF USE: SF FLOOR LOAD' 40 SECOND. 1,158 sf GARAGE: 484 sf FRONT: 20 PARKING SPACES :
TYPE OF CONST• 5N DWELLING UNITS: 1 THIRD sf RIGHT' 5
VALUE: 221,917 20
OCCUPANCY GRP: R3 BDRM: 4 BATH. 3 TOTAL: 2,241 sf REAR' 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS. SEWER LINES: 1 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS. 1 WATER LINES. 1 BCKFLW PREVNTR. GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K. BOIUCMP < 3HP• VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS. 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS 1 WOODSTOVES• GAS OUTLETS' 5
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp' 0 - 200 amp. W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EAADD'L 500SF: 4 201 - 400 amp: 201 - 400 amp. 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY' 401 - 600 amp: 401 - 600 amp EAADDL BR CIR: SIGNAL /PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps -1000 v. 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: 0TH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL.
GARAGE OPENER' CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC. DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,264.57
This permit is subject to the regulations contained in the
DON -HUNT CONSTRUCTION CO. DON HUNT CONST. CO. Tigard Municipal Code, State of OR. Specialty Codes and
P O. BOX 1836 PO BOX 1836 all other applicable laws. All work will be done in
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 accordance with approved plans. This permit will expire 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 adopted by the
Phone' 503 636 - 9912 Phone: 503 636 - 9912 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 31954 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain Insp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final
Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Appr /Sdwlk lnsp
Post/Beam Structural Mechanical lnsp Shear Wall Insp Insulation Insp Electrical Final
Issued By : , � � <` �`Lift�!/Ci Permittee Signature : IL
1
Call (503) 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
4 '
Building Pei � t !n'1� tion ' . '` ' , R FO OFFICE USE ONLY ' ' •
•-- ` Received Building M o
>t �J II llo. - Date /By 2 �2f / 0 ?i ' Permit No.f / S%2QO,j heed 6
City of Tigard FEB 8 2003 Planning Approval Other Date /By: Permit No. 'WRo7003 -
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date /By. Permit No.:
A Post - Review Land Use
�
Phone: 503-639-4171 u yE U3 I 9 ( .a 4 � . e l I� Date /By: Case No.
Internet: www.ci.tigard.or.us W Contact Jur s . ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name /Method• i ic Supplemental Information
_.x '', i.4 ,° ' 'll) ` `';: TYPETOF °WORK ;1 =A �.L'" ;., ,s,.':° v,Pt :. ,H=. :k _ =x :> , -
. '= REQUIRED A
DAT: >x' ', :' -'`r
XI New construction ❑ Demolition mi ='> ` - " 4 FAIVIIL
=v. $' - 1� 2' - , : ", -- '•'°
El Addition/alteration/replacement ❑ Other: x..d =.- A3
W, ; ;. v¢ ,''," `' __ CATEGORY ,OFt`,CONSTRUCTION;'�`:A `, :__ - _ Note Permit fees* are based on the total value of the work performed Indicate
iz 1 & 2- Family dwelling ❑ Commercial /Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application 13164 ❑ Accessory Building _ ❑ Multi - Family o'ao, y2 /
10 Master Builder ❑ Other: Valuation.... y . $ o
. o. of o. f bh
oats:
.; '� Ariz - g. �;€,` � rJOBSITE�INEORMA�TION�and�liOCAT 'ION -,,. �' : ", . ';�� ,`' N f bedrooms: � N �
Job site address:
s� L) CIA L L 0 Total number of floors..... t{ �s ?TUF . New dwelling arca (sq. ft.).... -��. 0 20 7 a foes
Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) // 7 Co /
i
Project Name: - _ Covered porch area (sq. ft.) / -2 () 9
Cross street/Directions to job site: Deck area (sq ft.) .. ...............................
Other structure area (sq. ft.)........................
7 c t 414c. ro C4 4?).E
k : ' ,' -_ : _ E QlJIRED : DATA::. , ;..,w _ `,;`r;:.:' -
'. ` - ,COI∎ MERCIAL�: -'USE CHECKLIS'I'�'' _ - ' ` ;;
S C A},
Subdivision:C� /��.1 �fs�t_
F Lot #: / Z `` .
Tax map /parcel #: /S /3 4/4C' —/ 2 307) vZDQg /56 Fe; '/ Note: Permit fees* are based on the total value of the work performed. Indicate
t FI:;',1341::Wr':,; "-' DESCRIPTION,. OF`w'ORK , .`, :', ' : the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
AlEI,J S'r / Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories .
All sPROPERTY. O.WNER. ;_ ` e '❑.', TENANT , 11 : ;,R.° _ Type of construction
Occu group(s). Existing.
Name: 4,61 - quo; �,�1s� cp . New:
Address:p 0_ ,& /33 &
City /State /Zip KE Osier p Of 1703r -
3 9 / Fax; (43 4 3b--e33 9 NOTICE: All contractors and subcontractors are required to be
Phone: 0 �, — t
'. a A PP LI CANT '''" " . ' . : ,.: ® : - SO >;«x`. ,; r licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: �/�- E__ jurisdiction where work is being performed. if the applicant is exempt
Contact Name:,, e,l /1DC.ti/.09-,J from licensing, the following reason applies:
Address: -
City /State /Zip:
Phone: Fax:
',ice ' IL,DINGPE F * :' � € € ,'4 '
E -mail: _',,BU,., ;�.,, _ �� =',r =- ;�:,'.,,;
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Business Name:."4tF Fees due upon application $
Address:
City /State /Zip: Amount received .... ........ $
Phone: Fax: / Date received:
CCB Lic. #: i 7J /- _ t -D
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: Datet 4 5 180 days after it has been accepted as complete.
y J a L � � *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
is \Dsts \Permit Forms\BldgPermitApp doc 01/03
One- and Two - Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard Cit Tigard J ❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
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.
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 0 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 & 22 above.
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable), and COT Street Tree List.
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440 -4614 (6 /00 /COM)
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°I DE 1 8 2003
TY OF T GARD
1
STREET TREE CERTIFICK - TON
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1
I, 4741 -744L14,-4 , Owner/Agent for 4,t eii,,,J,1 J Ce. 0-
(PLEASE PRINT) (PERMIT HbLDER) 0*
1 0>
1 0-
1 0-
1
1
1 0>
Do hereby 'Ortify thttlhe following location
-4 0 i r :,,loo,g4._ i- ;4A N 0:-
meets Cit ofjigarcl/NXTas:hinglion County
1 00-
1 0-
land use and development standards for street tree installation. 0-
-
-44
-4
ADDRESS: // 4,fy _5:4) C4-a� .57-4E 7— Ot.
Os.
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LOT: / 2_ SUBDIVISION: CA-R,A0 1 yei-1J A4-ce_ 0.
1 0-
1 0-
BY: 0 47t.) 'Z DATE: / 2-a-03 0-
1 0>
1
' RECEIVED BY: 1 ae-4, il(ele.) DATE: /i i-//i/D 3 0>
04-
A k.
VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVN
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 3 - 000 S7:. INSPECTION DIVISION Business Line: (503) 639 -4171 M
BUP
Received ( -/ 2 //D5 ) p ° ate Request d / 7/ 2 3 /O3AM PM BUP
Location `14 5 d — A ' ' Suite MEC
Contact Person n7ryt Ph ( 2) 9' / Z. PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain C ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing r
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
'� PART FAIL
P T1,MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
• Other:
Final
PASS - • RT FAIL
ECHANICAL
• . • . -..
Rough -In
Gas Line
Smoke Dampers
ASS 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
I SITE , Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date / Z 23 G 3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL