Permit tQa„ CITY OFTIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00119
COMMUNITY DEVELOPMENT DATE ISSUED: 5/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 109 DA -0450 0
SITE ADDRESS: 15412 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 022 JURISDICTION: TIG
PROJECT: BUTCHER
Project Description: Convert crawl space to storage and shop.
REISSUE: CUSTOM 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: $ 6,000.00
Owner: Contractor:
BILL BUTCHER OWNER
15412 SW GREENFIELD
TIGARD, OR 97224
Phone: 503 - 679 -5137 Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 3/8/2007 $65.59
[BUILD] Permit Fee 5/25/2007 $100.90
[TAX] 8% State Surcha 5/25/2007 $8.07
Total $174.56
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 U • . • • ation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of thes- rules or direct • . estio . to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue: I /I' i Permittee Signature:
/� &4/6-4---)
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 EI-CCle 7-&- 120
ReSldeIItlal �fl (� `W�� � l'
? FOR OFFICE USE ONLY e .
l Il, `4 L N ' v Received I
i - City of Tigard D ate /B or 0 ' ' Permit No.: i AO • 7 r QQ /i y
V 13125 SW Hall Blvd., Tigard, OR 97223 Plan R vie
Phone: 503.639.4171 Fax: 5p 1 0
5 � • al..' • U� Other Permit:
1 �; 2007 Date/By:
Inspection Line: 503.639.4175 ' Date Ready / Jur � See 2
Internet: www.tigard- or.gov Notified/Method/ /p� 6�
T 1 G ![O� Supplementa l lnfo rm for aHon
'1`- TI'PhJ" tTeiriN REQI D D A T A : AND LY 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
tiir Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRUCTION work indicated on this application.
y dwelling ❑ Commercial /industrial Valuation: $ �i� OOD
I -'and 2 -famil dwellin
Accessory building Number of bedrooms:
El ry g ❑ M ulti - family
❑ Master builder ['Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION ` . Total number of floors:
Job site address: /55//1 5. W GREE/Uf/CLp D R New dwelling area: square feet
City /State /ZIP: j- /2,1) OK q72 2 y Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: $HOP /s ill:W 4G-E »DP I7'' A/ Covered porch area: square feet
Cross street/directions to job site: 13e 7LN 6W $t.4 z L /►47AJ . R D, A A Deck area: square feet
gee/' w'-6.:7'D Rxs , Other structure area: S' 5,e, square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 5 Low 44 tT R t DfrE• Lot no.: 0 7 2 Permit fees* are based on the value of the work performed.
Tax inap /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: $
ApbrrION OF SM oP *ND STvg *GE: ROGniS
IN L` X 15 T /MG. G RA 1.01- S PAcC— Existing building area: square feet
New building area: square feet
1f PROPERTY OWNER ❑ TENANT Number of stories:
Name: Ball Fld- 7'ene -R Type of construction:
Address: / S y/ 2 5. 1JJ . - g& - - - - /✓f /e LD tt i', Occupancy groups:
City /State /ZIP: 7'/ 6,./4..A D 0 R. 4 7,2_2',/ Existing:
Phone: (.6703) !;; 7 q- S / 33 7 Fax: ( /V R 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 exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CON CTOR,
Business name: _ 660 �
W L, . WILDING ILDING PERMIT FEES*
•
Address: > ; ' (Please refer to fee scheda[e). ` '
City /State /ZIP: Structural.planreview fee (or deposit): •# 65 S/ q
Phone: (. ) Fax: ( ) FLS plan:review fee (if applicable):
Total fees due upon application:
CCB lie.:
• Amount received: #6 5
q
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: 3_ 8 - 0 7 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(11/02/C MEB
/W
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Building Permit Application Checklist -
One- and Two - Family Dwelling FOR OFFICE USE ONLY `
City of Tigard Receive Permit No.:
III . Date/By:
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
TIGARD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ID Plumbing ❑ Mechanical
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. ❑ ❑ IN -
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. ❑ ❑ N
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 IN ❑ ❑
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.
1 1 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ 2
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 ❑ ❑ g
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, Egl ❑ ❑
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- ® m ❑
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. ❑ ❑ L1
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- ' • • • ❑ ❑ SI
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 R ' ❑ ❑
locations. Show attic ventilation. ' • .
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ r
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 ❑ ❑ IA
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 ❑ ❑ 53
architect licensed in Oregon and shall be shown to be applicable to the project under review.
r 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. ❑ ❑ El
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ m
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 ❑ ❑ IS
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, ❑ ❑ El
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.
L\Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02 /COM/WEB)
-
CITY OF TIGARD
BUILDIN DIVISION PERMIT #: BUP2007 -00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 505/2001
Phone: (503) 639 -4171 :al
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 56
SITE ADDRESS: 15412 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE:
PROJECT NAME: BUTCHER
DESCRIPTION: Convert crawl space to storage and shop.
OWNER: BUTCHER, BILL PHONE #: 503 - 679-5137
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 056602 -01 5503 - 679.5137 N
Corrections /Comments /Instructions:
4 21) / 414-1-- 71 1?,Z
1 �� / ✓ZJO �� w� '�✓ f ni s' 1076 � _ E-z . .0�
,/
ASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL I , ALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: Date: 1 ? --e> Phone #: (503) 718- 2Z
f v -�.; s
CITY OF TIGARD 0, f �' `- '/
1 - BUILDING DIVISION PERMIT #: BUP2007 -00119
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/2007
Phone: (503) 639 -4171 u� li' �
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `:_..
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 46
SITE ADDRESS: 15412 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE:
PROJECT NAME: BUTCHER
DESCRIPTION: Convert crawl space to storage and shop.
OWNER: BUTCHER, BILL PHONE #: 503-679-5137
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 051489 -01 503-679-5137 N
Corrections /Comments /Instructions:
, f e
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
•
;e
Inspector: Date: ! - O - e2 7 Phone #: (503) 718-
CITY- QF,,TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00119
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25120117
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 i_1111
INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 15112 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE:
PROJECT NAME: BUTCHER
DESCRIPTION: Convert crawl space to storage and shop.
OWNER: BUTCHER, BILL PHONE #: 503 -679 -5137
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/11/2007 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 049910 -01 503- 679.5137 N
Corrections /Comments /Instructions:
#/ E C SaAA7 7. /F YX fS
till -/,L ,4 (Z C3'rde-x--
PASS ❑ PARTIAL APPROVAL n CANCEL O ACCESS
n FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: a - l`_G 7 Phone #: (503) 718- 74123