Permit ,,'C.I 1 Y OF TIGARD
BUILDING PERMIT
PERMIT #: BUP2007 -00486
COMMUNITY DEVELOPMENT DATE ISSUED: 10/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133DA-05700
SITE ADDRESS: 12920 SW GLACIER LILY CIR ZONING: R - 7
SUBDIVISION: AMART SUMMERLAKE LOT: 079 JURISDICTION: TIG
PROJECT: HERRALL
Project Description: Replace existing deck, total sq footage = 182
REISSUE: CUSTOM FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: 0 sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N DECK : 182 sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 182 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: 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: $ 3,359.72
Owner: Contractor:
JAMES C. HERRALL ALL ABOUT REMODELING LLC
12920 SW GLACIER LILY CIRC 4821 SW 35TH PL.
TIGARD, OR 97223 PORTLAND, OR 97221
Phone: 503-524-6363 Contact #: PRI 503 - 475 - 7706
FAX NA
Reg #: LIC 156683
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/13/2007 $54.70
[BUILD] Permit Fee 10/5/2007 $84.16
[TAX] 8% State Surcha 10/5/2007 $6.73
[CDCPLN] CDC PIn Re 10/5/2007 $46.00
(additional fees not listed here)
Total $197.59
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 rule .r direct questions to OU■ by calling 503.246.6699 or 1 800.332.2344
Issued s : /J1 I //. ■ J / // Permittee Signature: zip., _ n
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 ` a •aa - v
Residential ''
esiden ial ' ` i FOR OFFICE' USE ONLY
,..t.',;- 1 Received ,
City of Tigard Date/By t 7 Permit No ) 7 -00 « I
III
13125 SW Hall Blvd , Ttg !otOR .T 3 ? Plan Review
Phone 503 639 4171 Fa4 S1;8t?96.0UU ( DateBy Other Permit
5 439 U lens ®See Page 2 for
T 1 GA,R . Intern Inspection Line: et. www t g�v I � A Notified/Method Ready /By ( ed /Method ��� 7 36 / / t CR Supplemental Information
a: till i*.. 2..'1< . A _
D; I -_ • WI- '. ",.
i 6.7 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.
00
CI 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 3�3.8
❑ 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: r Q G o o e . c-Lc l? L I IA CyR New dwelling area: square feet
City /State /ZIP: - 7 . 1G..el. rZ ID 0 R g' GC Ai cr-7 22 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: T r LIv Covered porch area: square feet
Cross street/directions to job site: Deck area: / g A 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
. DESCRIPTION OF WORK . work indicated on this application.
Valuation: $
Pa p LA —z:X) G r= xs5; - 2NG D"E_C-k
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER El TENANT Number of stories:
Name: �' sa en- LI_ r-I F OD Type of construction:
Address: r2 4 120 S W GI. c - r a Lui.- .re Occupancy groups:
City /State /ZIP: 7., r D r brzP GOA,) 97 2 2 3 Existing:
Phone: (5o3 ,' ,Q L4 (D a 6, Fax: ( ) 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 efrirp licensing, the following reasons
apply: •
Phone: ( ) Fax: : ( ) Gl�,..7 0
E -mail: ��ll 3
CONTRACTOR
Business name: AU_ AeRettr REf.4Vt, D EG (/J L1- c BUILDING PERMIT FEES* .
�f
/ (Please refer to fee schedule)
Address:
� 02 3 ` 5 . — - L - Structural plan review fee (or deposit): $5y. 70
City /State /ZIP: -- - iie —G/4 AI e � 9'72.2_
Phone: (cO3) ‘./7 c' _ ? ?Q S� F ax: ( ) FLS plan review fee (if applicable): --6
CCB lie.: / C 4"4K3 ._3/0`7 Total fees due upon application: ' . 70
Amount received:
Authorized signature: ,—.-- This permit application expires if a permit is not obtained
' f within 180 days after it has been accepted as complete.
A -'
Print name: uss u 5 6/N6/� Date: 03/0 ' * Fee methodology set by Tri- County Building Industry
Service Board
l: \Building \Permits \BUP -RES PermitApp doc 02/23/07 440- 4613T(11/02/COM /WEB)
Building Permit Application Checklist
A .
One- and Two - Family Dwelling _ . FOR OFFICE USE ONLY
City of Tigard Received ' Permit No
II V 13125 SW Hall Blvd , Tigard, OR 97223 Date/By
cia , t _
Phone 503 639.4171 Fax 503 598 1960 Associated permits
24- Hour Inspection Line 503 639 4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD Internet www tigard -or gov ❑ Other
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. Name of district: . ❑ ❑ ❑
-
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ CI
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 CI CI
for four or more applian.cel.. Li';
22 Engineer's calculations W$ n.r quired or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or CI ❑
architect licensed in Oregon andahall 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 \Buddmg\Permns\BUP- RES- PermnApp doc 03/21/06 440- 4613T(I1/02 /COM/WEB)
p N E g
SEP 1'3 2007 SEP 2 1 2007
C�lCJT1 'Gct(C1 Service)_,‘
tuft iIr i „ .i�'.si � y CWS File Numb OF- TIGARD t
Sensitive Area Pre - Screening I � � Q p.47 va'..,�r i
Site Assessment
Jurisdiction: S,4 RI>
Property Information: (example 1S234AB01400) Owner Information:
Taxlot ID(s)' A. —057 O C Name' _r mi J - F' R Rig LL_
-@ompany
t C t c I �I /, Address* % yki E
Site Address.f �- o Q `1 ( C Cd.ER 1j (
/ /RD / O R G17 a� Phone /FaxSO3 52 s 3'f 3 /
Nearest Cross Street* E -mail
Development Activity: Check all that apply ,Applicant Information:
Addition to Single Family Residence (roorr(s d� rage) e •' Name
Lot Line Adjustment ❑ Minor Land Partition ❑ Company.
Residential Condominium ❑ Commercial Condominium ❑ Address
Residential Subdivision ❑ Commercial Subdivision ❑
Single Lot Commercial ❑ Multi Lot Commercial ❑ Phone /Fax /
Other T) Eck_ RE p4../4CF_i' YY1 E N E -mail.
r l O SNG . Pe iG i Q V) ly
Will the project involve any off -site work: YES I I NO Unknown I I Location and description of off -site work:
Additional comments or information that may be needed to understand your project:
This application does NOT replace the need for Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development
Permits, DEQ 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of
the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law.
By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority
to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site I certify
that I am familiar with the information containe in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate
Print/Type Name ) _ ! _ (Z jam Print/Type Title
Signature //1'Y1 ,_.t . Date`1
FOR DISTRICT USE ONLY
I Sensitive areas potentially exist on site or within 200' of the site THE APPLICANT MUST PERFORM A SITE ASSESSMENT
PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on
adjacent properties, a Natural Resources Assessment Report may also be required
Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or
within 200' of the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and
protect water quality sensitive areas if they are subsequently discovered This document will serve as your Service Provider
letter as required by Resolution and Order 07 -20, Section 3 02 1 All required permits and approvals must be obtained and
completed under applicable local, State, and federal law
tX Based on review of the submitted materials and best available information the above referenced project will not significantly
impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre- Screening Site Assessment
does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently
discovered This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section
3 02 1 All required permits and approvals must be obtained and completed under applicable local, state, and federal law
��� This Service Provider Letter is not valid unless CWS approved site plan(s) are attached.
The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE
ASSESSMENT JOR SERVIC PROVIDER LETTER IS REQUIRED
Reviewed By: Date: q O
2550 SW Hillsboro Highway • Hillsboro, Oregon 97123
Phone (503) 681 -5100 • Fax (503) 681 -4439 • www cieanwaterservices org
Revised. May 8, 2007
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CITY OF TIGARD ,. . ,..
BUILDING DIVISION PERMIT #: BUP2007-00406
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2007
A
Phone: (503) 639-4171 ' Jitti lir
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 12920 SW GLACIER LILY (IR CLASS OF WORK:
SUBDIVISION: AMART SUIvIMF LOT #: OM TYPE OF USE:
PROJECT NAME: HERRALL
DESCRIPTION: Replace existing deck, total sq footage -= 182
OWNER: HERRALL, JAMES PHONE #: 503
CONTRACTOR: ALI., ABOUT REMODELING LLC PHONE #: 503
Inspection Request Scheduled For: Date: 1/11/2008 Pour Time:
Code # Inspection Description Confirm # ntact # Message
299 Final inspection 063841-01 503-524-8363 N
Corrections/Comments/Instructions:
/
'" PASS El PARTIAL APPROVAL pi CANCEL El NO ACCESS
I I FAIL I I .■ I_L FORI TION ADDITION FEE ASSESSED
/
Inspector: r /A Air
Ai(
e ) r
Date: Phone #: (503) 718-€2 2,4
,.. _ . .
f
CITY OF `IGARD _
BUILDING DIVISION PERMIT #: RUP?007 -00486
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •!0/5/2007
Phone: (503) 639- 4171y�q��l�j�hl
' Inspection Requests (24 Hrs.): (503) 639 -4175 4 __..
INSPECTION WORKSHEET FOR DATE: 1/8/2000 TIME: 7 :01AM PAGE: 40
SITE ADDRESS: 12920 SW GLACIER LILY CIR CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE LOT #: 079 TYPE OF USE:
PROJECT NAME: HERRALL
DESCRIPTION: Replace € <isting deck, total sq footage = 182
OWNER: HERRALL, JAMES PHONE #: 503-524-6363
CONTRACTOR: ALL ABOUT REMODELING LLC PHONE #: 503.47f -7706
Inspection Request Scheduled For: Date: - 102008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.299 Final inspection 062731. -01 503-5246363 Y
275" 1 iliK t
Corrections /Comments/ Instructions:
w' ID' SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
' FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i'-� -- P Phone #: (503) 718-
r
CITY OFT 11 M 1
BUILDING DIVISION �/
(� PERMIT #: BUP2007 -0O485
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2007
Phone: (503) 639 -4171 /rdevIt ,
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,__...W
INSPECTION WORKSHEET FOR DATE: /115/2007 TIME: 7:01AM PAGE: 50
SITE ADDRESS: 12920 SW GLACIER LILY CIR CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE LOT #: 079 TYPE OF USE:
PROJECT NAME: HERRALL
DESCRIPTION: Replace existing deck, total sq footage = 182
OWNER: HERRALL, JAMES PHONE #: 503.5241 -6363
CONTRACTOR: ALL ABOUT REMODELING LW PHONE #: 503475-7706
Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: 9 :00
Code # Inspection Description Confirm # Contact # Message
205 looting 050.95E-01 503 - 524 -6363 N
Corrections/Comments/Instructions:
$ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Dater Phone #: (503) 718-