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Permit .1 CI CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00116 �p�� DEVELOPMENT SERVICES DATE ISSUED: 4/28/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11470 SW GALLO AVE PARCEL: 1S134DC-11500 SUBDIVISION: CASCADIAN PLACE ZONING: R -4.5 BLOCK: LOT: 004 JURISDICTION: TIG REMARKS: Construction of new SF detached residence. BUILDING REISSUE. MAS2230E STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK' NEW HEIGHT. 25 FIRST' 1,220 sf BASEMENT: sf LEFT' 5 SMOKE DETECTORS: Y TYPE OF USE • SF FLOOR LOAD' 40 SECOND' 1,198 sf GARAGE: 675 sf FRONT' 20 PARKING SPACES • TYPE OF CONST. 5N DWELLING UNITS' 1 THIRD sf RIGHT: 5 VALUE' 231,268 50 OCCUPANCY GRP• R3 BDRM• 4 BATH: 3 TOTAL. 2,418 sf REAR' 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH• 1 LAUNDRY TRAYS: 1 RAIN DRAIN' TRAPS: LAVATORIES 5 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: 5 CLOTHES DRYER: 1 GAS FURN > =100K• 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS' 4 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 FD R• 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 EAADDL BR CIR SIGNAL /PANEL: 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: Owner: Contractor: TOTAL FEES: $ 7,337.50 This permit is subject to the regulations contained in the DON -HUNT CONST. CO DON HUNT CONST. CO. Tigard Municipal Code, State of OR. Specialty Codes and PO 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 lnsp 8 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain lnsp Mechanical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line lnsp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Appr /Sdwlk Insp Post/Beam Structural Mechanical lnsp Shear Wall Insp Insulation Insp Electrical Final Issued By : VA.. / _ •_ . i Permittee Signature : (A:irk__ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day f .1 / Rate /B , - , � (> 10E d ? U U 3 - C)� //� ;. Building Permit Application Received Q Building A `I Y City of Tigard � a .� � !!�� Planning Approval Other SW e d , O V Date/By: Permit No h C9,0 13125 SW Hall Blvd. , Plan Review Other Tigard, Oregon 97223 Date /By •A p !/_])-'O Permit No i P� /EMI tsl �" 16 Post - Review Land Use Phone: 503 - 639 4171 Fax: 503 598 196 �"�V.. `� ' Date /By: ��/03 Case No Internet: www.ci.tigard.or.us r- = ' `� .a �N ® See Page 2 for g l Contact Juris.: 24 - hour Inspection Request: 503-639-4173 t-N IAG Name/Method. 60/V V fl97[_ Supplemental Information :qc: '� r�. =. ��;TI'PEOF:WORK; %':< .� .,���_���.... " " �` � "� °::n >:N.• " ,. � r' ��:f ... _ ... �. _ �� , _ � , ' ° : F;: , RE UIRED D ATA � . , �ta��. } � „� ,. ...,.. . _ lij New construction III Demolition -F - a p . tA 2 FAM IL'Y , DWE LL I NG _ , ` .•,:`� �' .,'' -', III Addition/alteration/replacement ❑ Other: 17 '"' ':' ATEOORY ®,F CONSTRUCTION ; , 'd[ r, ' Note Permit fees* are based on the total value of the work performed Indicate ig 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. ❑ Accessory Building ❑ Multi- Family F7 Master Builder ❑ Other: Valuation . $ x, No of bedrooms• ' No of bath l'' 1— . ,. ;,4 0131SITE INFORNIATION a'naLOCAT:ION =° 2 : : L. - °° Job site address: fjZ/7 o C41 U � Total number of floors a... o . - New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: Covered porch area (sq. ft.). Cross street/Directions to job site: Deck area (sq. ft.) .7, i—/ C D ^ , , 7 2 C � L. �l y Other structure area (sq. ft.) 7TH �O O U ^ ' ` ; ,e '•7 , 7747 , 7t, ft, "77% , °. -- ;:77177=' ,; :1 x :,t- �; ' RE QUIIZEDDATA• ' �'.:: _ °��': COMMERC = USE` .. S : _ ? " ¢A °, G A-D Lot # ..,...,-,,44p: '> . m,ao. 777 : „ ,..', . _ .W .7 41 ' ..t_ _... Subdivision: C45 l:�,.! 1 - . Tax map /parcel #: /'9 34 /,� - // X Note Permit fees* are based on the total value of the work performed. Indicate f S'SZ7 ., 14 —e tr ?DESGRIPTIONNOF WORI iC-,; < ;, '' v , ;' 45t.4- the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application AL kJ SF Q Valuation $ ! Existing building area (sq. ft.) ' New building area (sq. ft.) Number of stories Mt 'iLiitIONTANIT .,a; Q, ' MiC „::: Type of construction Name: 4 j 717. ea,i/sr l? 2 : Occupancy group(s): Existing: New: Address: ,,tt©'_ . x /83 City /State /Zip: LA- (053&C-;-6 c- 9703 3' - Phone :(p3 1,36- Qq/ Fax:. s'ei3 Z3 b 6.33 NOTICE: All contractors and subcontractors are required to be s , __ licensed with the Oregon Construction Contractors Board under 'rt :NPPI ICANT >t -.' :01, `�` 3glEa CONT:CZ A RSON•.!,'LOT: provisions of ORS 701 and may be required to be licensed in the Business Name: ,5-.E jurisdiction where work is being performed. if the applicant is exempt Contact Name: from licensing, the following reason applies:" Address: City /State /Zip: Phone: Fax: ; . ,. - .. ,n ' ,,! , . . , : .v; „ , v .... w ° L j: =,F: ; .. , x . . , -? . , -=. r :. -. > °�BUIL )� :. . E-mail: , _ = ) °.. r . e e - , . ;P ° , . :; wPleaset =refer.to;,fee;schedule': 9 '_< < t, As mss.. . ' ' '. ;.: r'' : " . . : ` : °;, . �` ; ;fi r; ' � : i ':; CON -WCTOR v_ ,rte.. � ',,'.* t76' =F ;04'-' :.�; ::_ , — :'," • v. °: i, ,'r - , ',r E . Business Name: , 5 F. Fees due upon application $ Address: City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lic. #: 4-4- Authorized Notice: This permit application expires if a permit is not obtained within Signature: /� _ / Date: L � 0 180 days after it has been accepted as complete. 4 g t ) 4 L- - AiA - A *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 1 Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City of Tigard g ❑ 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 ❑ 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, foists, 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) 04/25/2803 16:03 5036368339 DOH HUNT OONST CO PAGE 01 ,- �` . � • -----.0..tto sw.4,41 alvd. \ I Plan R.e ,,„ , ,t5_:„.,,,,,,..,,,,,___. • ... ,,,,,,,,,,,, ,,,_________,L*„..„... ______ ,.. ,,,,_ „,..,...:.,: „,„vvi.0 I Aiprd_or.us 14 I - i - - - contact i Juni, i 1r see Page 2 for ....•.7 ty..=-,. SF R ' 11 bath '''. 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'' A■ .,'"'''. : i i & 24E710 CiWellin._ COrriTnerCialfbld:.,:n-tid 1 L N .._. _ _.._. ce - -1- • _ ,..----, -..-sPt t3tli4 i rig 7 III Othtes: ... I Demo- ' - 10 r ) 4t, • likr!:: •:-;....` • . . ... (.24:Anz 14 00 ... r': ''- '• • - '4'(.;. „os.:t... :.r," : EIN5 met .,1...-.:r7z,,...r.•41_, LiLLIroLcc • ndd-ortalf cate) l'Ilnk.7" i ' - - • vkinter.r.11.11.:-n---.•':.: • ' . l'An'l , . . ' i. • . -- -gV. i all 6 ....., • 4 i Gas heat mrim_______T____ Bid . JA . _0: ---I r I Dy4c1 WOrk s - too . 1 14.00 , INIKeli I i - ..•.. ; ':••.. ,. . rf . i . • — , HYdrortic hot - 1.; , :ite ' I - ,-: - - : ... _ _„,_ ,,,.,,,.,_ :.,, 1/4 ••-.. . ',.:-.:" ---, 1 Residenoat boite: - 1 4 Ccests .. :2' ■iTcctiorts to job site' ' ffcr radialor Or b ,t) I 1 14 00 i :.1., : d A_J.4-, '------,, 1 ,, Untt heaters (fuel, 0% ' ) . 1 1,_tri wall, in-t.iiittgiLcri 1 * 1111M - •:,i' : - . ,'.-.'t:'. Flue/ elMett____ _ , 12 I ilinger.• ':.-;,:,. 4 . ----- 1 ' . '. 1 Rcios_ty_., " - , T 4). xi WbgiiViiiiiirt: CANI AP/ a •..) - , - , „,. 1 ..., ______Erfkfit..e),MOrlancst • 0. .."...' . -"... '... • ittc ... cel #: '4 L Water heater .,.. z .. 1 1000 ?. .„.. , -asc -,• Itt uivat.,,,,,,, : , „. . ,1 i { e, , 1 10,00 - ..,1 :;" . 11111111,!: _.. _ • ! Flt_22Le2j_lt wati _4_ I ,It Al, . "I rj-Er:L-1,c,.i.Zal_..-_;:.—.....____1,.....____L L WoottiTJellort , nova .... _ ., , A... r l I N o at firepl ts,:einnsart c' l 0,00 Intr•„, . - , ChIrravylltheriftiae ._ _ _ 1 0,06 111M',7': --- r Ce,h:- 0,00' ; g ' , ;•',7.:` , ,:.:7;:. , ,i , ;; .7.;•1t.L r '14 p ZweSiplifEabaust 4 Wool/4W* 0 ; ..' MirtW' - • 1*- /F-3 b t______ ; s *at -, IllEr 1 I OA 4!k. : rr- ■ : itag * ; -64i1-7— Clothe dryer * m . . 1 : 740 i i- ...- .....- .WORUffir v • I : t, - 4 ii:.,...:f.:-,.. ,., _ _____ _....: ____-. .. _ . I -. Zt • . ___ ....,„ . 1 ( tt , e t xhau jiti st muoleanen l ts. i 1 1 1.11i,tty r00(111) ._ _ r i, oth A:1c.: spira fa.41a ,--- 1 () 00- IL....c. ,,,s_n_cr. ___* _______4; :_ ,_ _ 7 :: . ') .. i . 1 ',. ,._ .. .- -.. ,...., . 19.' '7 4 ::,4 -.1 -1 17 ' Vsra -----$-.1 5h rcr 'r7te firt I .1:41.2"2. 47-1111tegMr'"1::\r. •, x „,,,,, , ii....-4 - t... - 1 ::,, . sintil. . .4 ,. _ :.i 7barie.: ....„...,,liaL(: .._ i atne: S 1 L.- FI la k .s..\- 1%; - 0) r-"`-1 i ce P o . a. '• AddIPPni. 2-0 _...-------„.,.....,_,... 1 ---- Clythes &vol.' ika0 : 1 , •• ' ma4m.h.:,' :;',=:•-•. , — - _.. - OlfTer -- _ ;PbAms: • I i -Co S i4 ) Fax "- : 6 71 ' / 4 _21 ;AM' -.' '-' CCE r IC t 41 • 1 s -- „.... ,, , , Permit r e«0 . _ ___ ..,„.... ' , -'7%.... .:1 ''. $41dzkirlead'.s _ Subtotal S - - _ - —,--, 1 ---- '-''' min Penni i - ,.... ' I Fee S'22 59 1 5 ".......-,::". . ...1. '.' ', .' i Nan Roview ' -. ie.% spt Perrtt3t Fee) I $ -',cKI--Y----._ „._ ,- , Sate SLZ0 :- ,:at reS of Prrrizt Fee ' S . .f CT ;• II :z 7 AL PERMIT FE S 'Fre nu thadotory set • ..' • • My 1301ding Instkotry ,) - ,--;...,,i• ,:: : --,- Kisigtosi ThiiCillernsig sppbcaboll expirca if a parinsil is wps Q b ta i nt ..,),,,ttbin • •slse pita recintivti winnow itie waltz. It boo been accepted " slirthi .2.: - . ' cernsk.lotecPerm doc 01/01 ,, . .... CITY OF TIQARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 et, ,?J' , y1 ``rc, INSPECTION DIVISION Business Line: (503) 639 -4171 '�"" ^^ L / BUP �/2 7` . / 0 Received }� -Requeste d� ". Suite MEC PM �� . BUP Location J�4? 7/ ,� Contact Person )00 /°• erek'LcIr\-- Ph ( ) 12') 6 — - / 2- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain GAL ELR Crawl Drain Slab Inspection Notes: C e-, Ad – .Q G _ SIT Post & Beam :Ll�� Shear Anchors `-4 D ry/1 I Ext Sheath /Shear Int Sheath/Shear � / � Framing �� f /Al 3-714 Li..5.- oc — 77 . i Insulation / - f Drywall Nailing � "'�/}C' h' —��lS CC�'c� ' fi Fi reveal I` c -- --- ....u-r, , - -- Fire Sprinkler � ur ��' Fire Alarm Susp'd Ceiling Roof Fin . _ SS 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 S Dampers Fi I ART FAIL ELECTRIC _ Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE . ❑ Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA Date — Z = lJ � -- Ext Approach /Sidewalk Inspector Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TICARD 2 -Hou • BUILDING • Inspection- te: (503) 639 -4175 MST of INSPECTION' DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested - 17 0 "\ AM PM BUP Location �) �" 2 C9 LLIJ Suite MEC Contact Person Ph _(23_) `� " q' PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain L JO\ i }` g i y� ELR Crawl Drain ►\ t--' `� Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm l Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final < r- ✓ PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final ASS__ PART FAIL � TRICAL Rough -In UG /Slab Low Voltage Fire Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. • RT FAIL SI E Please call for reinspection RE: Unable to inspect - no access Fire Supply Line Si ADA Approach/Sidewalk Date Inspector ���..� — rte Ext Other: Final DO NOT REMOVE this inspection record f om the j , site. PASS PART` FAIL r,,