Permit 1 lI
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2005 -00072
���11 DEVELOPMENT SERVICES DATE ISSUED: 3/9/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 102 C B -07700
SITE ADDRESS: 13157 SW GRANT AVE ZONING: R -4.5
SUBDIVISION: POOLE MLP2001 -00003 LOT: 002 JURISDICTION: TIG
REMARKS: Convert existing carport to a garage.
BUILDING
REISSUE: CUSTOM ��� STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK.) / "-5"
ter ti ' HEIGHT. FIRST. sf BASEMENT: sf LEFT. SMOKE DETECTORS:
TYPE OF USE SF FLOOR LOAD: SECOND' sf GARAGE: 480 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THRO sf RIGHT:
VALUE: 3,696 00
OCCUPANCY GRP: R3 BDRM: BATH. TOTAL: 0 sf REAR.
PLUMBING
SINKS: WATER CLOSETS. WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS. FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP. VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES. GAS OUTLETS:
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 FDR• PUMP /IRRIGATION. PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W /OSVC/FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp' 401 - 600 amp: EA ADDL 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: This permit is subject to the regulations contained In the
POOLE, PHILIP & DARLENE OWNER Tigard Municipal Code, State of OR Specialty Codes
13144 SW GRANT AVE and all other applicable laws All work will be done in
TIGARD, OR 97223 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
Phone: 503 670 - 8254 Phone: 503 475 - 3180 adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952 - 001 -0010 through
Reg #: 952- 001 -0080. You may obtain copies of these rules or
TOTAL FEES: $ 191.95 direct questions to OUNC by calling (503) 246 -6699
REQUIRED ITEMS AND REPORTS
l. Issued B Permittee Signature :. . ' .� �
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next busines • 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.
t _ ,
♦.
Building Permit Application FOR O FFICE USE -ONLY = F "`
l
City of Tigard P Date/By. e Ud ,1 PemutNo / , „ „
13125 SW Hall Blvd., Ti �i r! 72 M51"y..
Plan R ewew
l r
Phone 503.639.4171 F. . 'a i'•- 9 1960 d C � + '�II Date/By y Other Permit
Inspection Line. 503.639.4175 �� Date Ready/By El See Attached Checklist for
N
Internet: www.ct tigard or us klkA 0 005 Notified/Method. II Supplemental Information
_ , ,a -• 1) H a00 3 000
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fgE ,;' +4, ,it :;' 't ? o� '., ,.�,,"�,e.r„, Y.. E 3s . a. 3 x fez rin., tS i t ,." �'^: ^'-C.,
<� 1, r0 ." P l _' ,, .±, o , ' "r , a _ ;1` .,1,s , , i A tr ,T , ,:vier "ARE' 'TtIIRED`.DATA.,1=xAND „2-FAIVIIT.S''ELLI.,
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El New construction * � A 1 t1 Indicate the value (rounded to the nearest dollar) of all
t AG b Demolition Permit fees* are based on the value of the work performed.
p
J ' Addition /alteration/reptaEement ❑ Other: equipment, materials, labor, overhead, and the profit for the
' ,�• F ,, V -"IN I: 1< ', , f : , =',.,. °. },- ifj � °?° a P . lit, 1' 4 indicated t
work indicaed on this application.
:.f' ` . e CATECew,v 4i a v , - , - i ,i: kiiV J,,Q
.� ==;,� �, � � $ CONS T;R L 3GTIO N�3 : -�. li" t '� = s gal , ;:�.� '�k � - " � r.(f 6 0
""`ek,' 4: #++9 a- :.- ��a'.: &� H ^ux.6 rk� ., e. �;' yx„' ?<`°^: m.. sFaF4�£::, sd3. i' aK4: 32s�:) �' �'. �b°„ �: ���vs�^ n�' kc-", .*'>,f',e�»tiskt »z ",= �.` -�i+
Valuation: $
k 1- and 2- family dwelling ❑ Commercial /industrial r ,
E) Accessory building ❑ Multi - family Number of bedrooms.
CD Master builder ❑ Other: Number of bathrooms:
1 .er •. ,, ,.;,; � es-4s�; - •, §z -,i4-, : z, , l Total number of floors.
E = ' Wgiir s ' 'JOB SITE AT�IONAVNDM OCATEION'% - _' '
�t e.g4.?"1 P.,, 'S: a ,N .:-1ra3,� a .,a;& tfa:�k rw^$4v.gsli, t.414.; ;�;ai4:=. N,Nii
Job site address: / 3 /6-7 5 0 / re,tri. f )4 ✓ , . New dwelling area: square feet
City/State /ZIP. / j a rd dr , Q''723 - Garage /carport area square feet
Suite/bldg. /apt. no.: / Project name: oe , l Covered porch area square feet
Cross street/directions to job site: par k / Deck area: square feet
Other structure area square feet •
x, REQ IIRE C.OM MERC`IAL +'= tli gl' H;F ICLI
u,;;x+,`�,.�s�». ... n., � z� 4x - ,,. _
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
x xu rr. �' . A�,"7� =ice ` .:� � :: ' ;:4tzr, ,. :, er ; ", vn , <:,i r�"� , � "n. *
L, , A :, . % ` _, * K '' a ': R ^ =^' ,^�: ';," - `''` :' J ° : i ,> , work indicated on this application.
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Valuation: $
Chaftf►G Carsjart to .araq
`) • I Existing building area: square feet
New building area: square feet
M� � r' V toi { *?tix.� sSt ?� >'.�. �-- .rr•,iw : -:� ; ?'x r0.; '<;t:'�ra fw, ,� .. =� + :r.,, ° ��:; ` ^x " °..� s�. "i
it `,` ' ` ' _ '° -Wifi ifi "in s','. _ '. ,, s` ° TEN ;5 . �ti: ,i Number of stories:
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Name: Pei(' I e / ph i ' ,� : 4 air le iie Type of construction:
Address: � �e Occupancy groups:
City/State /ZIP: l t ` co q 7? 3 Existing:
Phone: ( �3) 6 0_ a, Fax. ( )
New
t':�,,a= �;,_'i#� « �,; " <`•.::: �"&,a. ".i;� ,. k. =1k��1,„° 3 .�<. �� -»°x', ;z`�" - °,K, , .,sxi :° ° - �°;�,.�,«H`"i � •y,r•'= t,,. ^,rk �' _ ? - i ^ - - - -
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x .; '- .,,',u .° " ,- ,- �.CnCOnTA T PER ON� „�"i " ,s, x , + K u: , ,<„ �: NOTIC_E' .. t —, .; ` .
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Business name All contractors and subcontractors are required to be
Contact name: Ph A I le... licensed with the Oregon Construction Contractors Board
1230 under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIIP applicant is exempt from licensing, the following reasons
apply.
Phone. ( ) Fax:: ( )
E -mail:
my .,. . -3� aG... "~�N•�; H, • .xp#. ' t '2 t.,,;it`l �2' rt.n,e:,�Y . t F,�Tr�- .^k��. /¢' -,�' �'s`,n� s _
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0 CON'PRAC II :,..,., yam M . .- a ,r ?,
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Business name: 01-s— 1Ji..(z "i f ; , -a. -T< ii it R ° :.;�,;:..:. 'rr ;._ ,; . -. <..
ti '' 'i , 13UIL"DiNG:rPERiIIIT,' :FkEES .; ': °" s..a<t:, 1
Add ress: a.�*+�,1'�� x, ,..= , :,- ^Rcn:}4r:�.:;:3:r -. - ... , -.
Please refer to fee schedule.
City/State/ZIP-
Fees due upon application
Phone: ( ) Fax: ( )
CCB tic.: Amount received
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: , i / 1',/1 A , 1 le Date .� / a o S' * Fee methodology set by Tn -County Building Industry
��'' t �/ Service Board
r\Bmiding\Pernuts \BUP- PermaApp doe 12/03 440- 4613T(11/02/COM /WEB)
One- and Two - Family Dwelling - ` •
Building Permit Application Checklist FOR "OFFICE. USE •ONLY ;
City of Tigard ° • Re ceived • Permit No .
Date/By
SW Hall Blvd., Tigard, OR 97223 Associated permits Phone: 503.639.4171 Fax: 503 598 1960 Align n A
24- Hour Inspection Line 503.639.4175 , .fef tI� ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.ct.tigard.or.us' C "� ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ' ° Yes ` ° No. : ,:N /A`
ompleted. See jurisdiction criteria for concurrent reviews. ❑ ❑ Li
<-2. Zosing. E kod plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
--3-.--Verificative-of approved plat /lot. ❑ ❑ ❑
Fir -e-a:4 .et-ap.pwal required. Name of district: . ❑ ❑ ❑
mit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
c 6— Server - permit. ❑ ❑ ❑
.: • . • • :., . al. ❑ ❑ ❑
p ow . t7H
_r. •poi* Must carry original applicable stamp and signature on file or with application. ❑ ❑ CI .. . El plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ill ❑
b. • otection, etc.
10 3 ./ plete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
lay' . <' ng codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
: eet 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 • wn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ S ❑
ther: 's mo - an a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and d ay; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
p
in. ator; lo •rea; building coverage area; percentage of coverage; impervious area; existing structures on site; and
urface drainage
1 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 Ore_on and shall be shown to be a.plicable to the .roject under review.
,JURI 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 ❑ Cl ❑
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 pnor to September 9, 1995. _
i \Building\Permits\One-Two-FamilyChecklist doc 12/03
11-lecirical�Permit Applic :. . FOR OFFICE USE ONLY
, 0 Received i 9 q
City of Tigard, Date/By /' ! do Permit No 'M s !
13125 SW Hall Blvd , Tigard, OR 97223 f\ / 1 Plan Review
MAR Phone. 503.639.4171 Fax: 503 598.1960 MAR 0 9 k �1 Date /By Other Permit
Inspection Line: 503.639.4175 e 1 Date Ready /By la 10 See Page 2 for
Internet www ci tigard.or us
CITY ®� I V H 4 Notified/Method Supplemental Informat
TYPA W f al G DIVISION PLAN REVIEW
❑ New construction KAddttion /alteration/replacement Please check all that apply.
❑ Demolition ❑ Other: 1:1 Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
Ny1- and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building El System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi family ❑Master builder El Other:
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
Job no : Job site address: i 3/5 s, 0, gr A ❑Health -care facility ❑Other
Submit 2 sets of plans with any of the above.
Ctty/State /ZIP: ! l
City/State/ZIP: ''''
y d r Q 7 c c The above are not applicable to temporary construction service
1/4.1 i ' % FEE* SCHEDULE
Suite/bldg. /apt. no Project name. • f i
Description Qty. Fee. Total
Cross street/directions to job site. p p New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq ft or less 145.15 4
Subdivision: Lot no.: Ea. add'1500 sq ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90 90 2
Gh a{jvt - o C ell ..dies Services or feeders installation, alteration, and /or relocation
U 200 amps or less 80.30 2
PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2
401 amps to 600 amps 160.60 2
Name: Poo (e. 49ii i't p 4, Da r'MA/ie., 601 amps to 1,000 amps 240.60 2
Address: l)3 1 S ( , bi/ c r L_ AA, Over 1,000 amps or volts 454.65 2
Reconnect only 66 85 2
City/State/ZIP: /) o! a ri Temporary services or feeders installation, alteration, and /or
relocation
Phone: (spa) b 7 c, _ Og 41 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2
intended for sale, lease, nt, or exchan e, a rdin to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 _ 2
Owner signature: IA 1 Date: 3 6 g /elr Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT ❑CONTACT PERSON
A. Fee for branch circuits with
service or feeder fee, each 6 65 2
Business name: branch circuit
B Fee for branch circuits
Contact name: Ph i / 41,6 j without service or feeder fee, i
Address: each branch circuit ( 46 85 2
Each add'l branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( )
Sign or outline lighting 53 40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension Describe. Page 2 2
Business name: OLLD IL
Address: Each additional inspection over allowable in any of the above
Per inspection 62 50
City/State /ZIP: Investigation per hour (1 hr min) 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electrical Lic.: Suprv. Lic.: Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name Date:
TOTAL PERMIT FEE
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 Tn -County Building Industry Service Board
** Number of inspections per permit allowed
i. \Butlding\Permits\ELC- PennitApp doc 12/03 440- 4615T(10/02 /COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
•
❑ Burglar Alarm
❑ Garage Door Opener*
Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
I I Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
(l Intercom and Paging Systems
❑ Landscape Irrigation Control*
Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
t.\Buildmg\Permns\ELC- PermttApp doc 04/03
/
' ~ \
CITY ��N���~N��^������ ` - -
��m w m ��m— n m°�/m�u�m��
BUILDING DIVISION PERMIT #: MST2005.80072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3V9/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 v-ta' *-....,
INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7 :13Ah4 PAGE: 22
SITE ADDRESS: 13157 SW GRANT AVE CLASS OF WORK: .
SUBDIVISION: POOLE kALP2001'00003 LOT #: 002 TYPE OF USE: .
PROJECT NAME: POOLE
DESCRIPTION: Convert existing carport to a garage.
OWNER: POOLE PHILIP & DARLENE, PHONE #: 603-670-8254
CONTRACTOR: OWNER PHONE #: 503-475.3180
Inspection Request Scheduled For: Date: 3V16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 001760-01 503-670-8254 i'
Corrections/Comments/Instructions:
�� �� I I �� �� u PARTIAL u CANCEL / . NO ACCESS
I |� UL CALL |ADD0ONAL FEES ASSESSED
/ . / .
|nInspector: / C>
T ^/ ' Date: 3�'
-5 Phone #: (503) 718-
1 ^
. . . ,