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Permit 114 .i.,. ,1 �e� O� �I���D BUILFlING PERMIT V PER : :;2 COMMUNITY DEVELOPMENT DATE IS SUED: TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 104CA - 07100 SITE ADDRESS: 13443 SW HILLSHIRE DR ZONING: R - SUBDIVISION: HILLSHIRE LOT: 071 JURISDICTION: T1G PROJECT: THIELEN Project Description: Patio room addition on concrete foundation - unheated. REISSUE: CUSTPM FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 260 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: 260 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: 1 FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,799.60 Owner: Contractor: THIELEN, JOE C + PAULA J CHAMPION WINDOW CO.OF PORTLAND LLC 13443 SW HILLSHIRE DR 13009 NE DAVID CIR. TIGARD, OR 97223 PORTLAND, OR 97230 Phone: Contact #: PRI 503 - 572 - 3242 FAX 971 - 634 -2678 Reg #: LIC 158326 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/7/2007 $94.99 [TAX] 8% State Surcha 8/7/2007 $7.60 [BUPPLN] Pln Rv 8/7/2007 . $61.74 [CDCPLN] CDC Pln Re 8/7/2007 $46.00 (additional fees not listed here) Total $216.33 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 th rules or direc , estions • OUNC by calling 503.246.6699 or 1.800.332.2344. I sued By: 1L _l ra i ` Permittee Signature , 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 Per plication Residential RECEIVED • . Fed OFFICE City of Tigard 3 QU 0 7 2007 Date /B : • moo, Permit No.. 6 1 40. 00 D7 II ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie ,� Phone: 503.639.4171 Fax: 503.598. Tt Date ` o ,m2 B Other Permit: Inspection Line: 503.639.4175 +, O Dat R /B : i / �u ® See Page 2 for TIGARD B Internet: www.tigard -or. "'��N � �`� otified/ ethod • / � Q 0 Supplemental Information IMO ' ' / . TYPE OF WORK ' REQ ; f D DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition ' . it fee are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement tgj Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. 1479 9 CATEGORY OF CONSTRUCTION X 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ / ❑ 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: 1 cf 6/3 s . v ,/, ,y,' //..a,, , '--e New dwelling area: _ square feet City /State /ZIP: - 1,`, 9 ,-, ,, e' 7t \ 97;?-3 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: -p d i YP / 4 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: 2 ( square feet untie lita REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I 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: $ Pe-. f/ o 0,,<A-7 ,a�. a,-, , --, ,, 7c: - c' e — ratJvl ciu froth _ 1/0 heal � Existing building area: square feet New building area: square feet RI PROPERTY OWNER ❑ TENANT Number of stories: Name: -- s,, e 7-lze„ yP, // / Type of construction: Address: / 3y y3 _5; G✓ // // - 1 < ✓� Occupancy groups: City /State /ZIP: .7;.. G ( 0 q 7,3 A 3 Existing: Phone: (fV3) S— — 5-7.7'( Fax: ( ) New: ® APPLICANT .® CONTACT PERSON NOTICE Business name: e,,`G ,„,/,, DVi ,,,, J., All contractors and subcontractors are required to be Contact name: 'S _S 2 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: /7�Oq 4/`, b c, ' (i.„ jurisdiction in which work is being performed. If the City /State /ZIP: P p r f0, h Di 9 ?� applicant is exempt from licensing, the following reasons � apply: quk 0 Q Phone: (>v3 f 7 a — r y 2 Fax:: (q7/) 6f y - )67 61.711- E-mail: D CONTRACTOR Business name: ad d , BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City /State /ZIP: Structural plan review fee (or deposit): CO (, 9-1 Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): t CCB lic.: /5-7?„, �/ / //� 18' Total fees due upon application: / �� 33 /�� /lJ Amount received: 2I c . 33 Authorized signature: --- 7 - ---- This permit application expires if a permit is not obtained - -_� j within 180 days after it has been accepted as complete. 3'rt Print name: .,,� 40, s d ., r , f 17 Date: O /7 * Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \BUP -RES PermitApp.doc 02/23/07 440- 4613T(I 1 /02 /COM/WEB) t 21 ( 3 2 J - , 4' z I D( 0 ,..nn i ?A..■ (/'\./T Building Permit Application Checklist ' . One- and Two- Family Dwelling ..i ::FOR OFFICE USE. ONLY , City of Tigard �., Received Permit No.: - v 13125 SW Hall Blvd., Tigard; O 97223 - t',, Associated x, permits: Phone: 503.639.4171 Fax: 50 3.598.1960 TIGARD 24- Hour Inspection Line: 503.639.4175 ID 'Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other: TH FOLLOWING. ITEMS ARE REQ FOR PLAN RE •' 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•'� %J r (cation 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. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ Cl 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 ❑ ❑ ❑ 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 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. ❑ Cl ❑ 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 prior to September 9, 1995. 1:\Building \Perm its \B UP- RE$- Permit App.doc 03/21/06 440- 4613T(11 /02 /CO1%4/WEB) STRT TR MUST R 1 - tioetYL-..-} BE PER APPROVED EES AUG 0 7 2007 AUG ®� 2007 . DEVELOPMENT EE TREE PLAN - CITY OPTIGARD CO OF TIGARD - \ - '.I..... is . , t t.. t ti 1 Q ',1 . i )t .r'iy: ,,,, s.: f \ NOTE: >- c W ° ° a En THIS SITE PLA DEPICTS THE GENERAL LAYOUT OF THE HOUSE I— •- . E� PROPERTY OF: \� I WITHIN THE PROPERTY LINES. DIMENSIONS SHOWN DEPICT 1- s O l JOE 6 PAULA TI-HELEN MEASUREMENTS THAT WERE ESTABLISHED BY USING A TAPE C Q (503) 57q-519c1 \ MEASURE REFERENCING THE EXISTING FENCE. NO FORMAL SURVEY ^ z� S Z SITE ADDRESS: WAS COMPLETED TO ESTABLISH HOUSE LOCATIONS, PROPERTY u ^, LINES, OR MONUMENTATION. Q v� ° S 13.443 SW HILLSHIRE DR. / 9 5 y8, 4) TIGARD, OR '17223 / J 0 PROPERTY: r \ Q PROPERTY ID: W25 '1'103 ---- 0 0;11° COUNTY: WAS v WASHINGTON / ' STATE ID: 25104GA07100 O / ow ` ` © \ Q V TAX LOT 7100 - ' L GEND: ~ ' © EXISTING ELECTRICAL METER j• ' / -7 1 ' ( / Z 0 co EXISTING GAS METER \ <� i OC 2 / ` 4:1 , -r , �RV Y © w , O M (NJ © EXISTING WATER METER = / Z N O EXISTING SEWER CLEANOUT 'S ' Y / z o u rn c . 2 ( 7; , r ' / y' W E o ¢ o� Q / / \ "-I p�ao kr L, ', / ` O Q' N • / , /1--.- / � a OOrO • ' O / y , ' / rn / �. `` (N) OVERHANG r ^ ` / ` J a (N) PATIO ROOM ICO� / W W r ` o O Z Q / 1 - - 1 / 1 - , 13443 SW NILLSI -IIRE DR. � o W rn ■ ■ : H ..i --1 0 ' i ` ' W 3 / ' / �� (E) OVERHANG G, (L/ / r` ` V � W / '� ; ' (E) HOUSE W z = m li N • 20.3 I, (E) 15' EASEMENT / m O P / re Q i oz ii______ — — — — 71.6c1' - - - - \ APPROVED BY CLIENT Q w w , z S' I T E PLAN DATE E H I ,• .. ,a NORTH W DATE. JLY 1077 ►„ �� _ � I of 6 I CITY OF TIGARD • BUILDING DIVISION ,.. PERMIT #: 13UP2007 -oo o9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2o /2007 Phone: (503) 639 -4171 / ,� it Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/28 /2007 TIME: 7 : 00AM PAGE: 31 SITE ADDRESS: 13443 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE LOT #: 071 TYPE OF USE: PROJECT NAME: THIELFN DESCRIPTION: Patio room addition on concrete: foundation - unheated. OWNER: `fHIELEN, JOE C + PAULA J, PHONE #: CONTRACTOR: CHAMPION WINDOW CO.OF PORTLAND LLC PHONE #: 503.572-3242 Inspection Request Scheduled For: Date: 9/28/2007 Pour Time: 1200 Code # Inspection Description Confirm # Contact # Message 205 tooting /51,,G. 065574 -01 503.572 -3242 N Corrections /Comments /Instructions: ►t/ < i V ... - L. ♦ S :. ; ,.-- LOlrJ' _. a , 1*._.., MI irlail SS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _ Ir / Inspector: -/� Date: � — 2 7 Phone #: (503) 718- (r.,` " R , ( :� Qd t" . t '. . CITY OF TIGARD ,. , o- BUILDING DIVISION PERMIT #: L3UP2007- 00409 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: EY2.0/2007 Phone: (503) 639 -4171 l re,�in l Inspection Requests (24 Hrs.): (503) 639 -4175 s.f+r INSPECTION WORKSHEET FOR DATE: 10/ 212007 TIME: 7:04AM PAGE: 97 SITE ADDRESS: 13443 SW HiLL.SHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE LOT #: 071 TYPE OF USE: PROJECT NAME: TI DESCRIPTION: Patio room addition on concrete. foundation - unheated. OWNER: THIELEN, ,117E C + PAULA j, PHONE #: CONTRACTOR: CHAMPION WINDOW GOOF PORTLAND LLC PHONE #: 503 - 572 -3242 Inspection Request Scheduled For: Date: 101212007 Pour Time: 0 ,/∎ t Code # Inspection Description Confirm # Co ct # Message Ja:1% �, 1' 75 Framing 056705 -01 03- 572 -3242 / Y Corrections /Comments /Instructions: bp -) LL c_.t-- -o ..e� /e1:1 , a 01'15 % cr-e ka,4,..ip-__ G___ 4 . 4-tcv‘p.,,a,__),,,_„, mod, .2 - .-ee.,et/ --,---- .11/14 i.42-8-4/ (" Va-f ,e Ote/Cr LE- 14 1, PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL ❑ .ALL FOR INSPE T ON ❑ ADDITIONAL FEES ASSESSED ./1" - r „ CD/iS 7 --- Inspector: Date: ( Phone #: 503 I�"!_�� ) 71 CITY OF TIGARD BUILDING DIVISION PERMIT #: 13tJP2007 -00409 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0 /20/2007 Phone: (503) 639 -4171 ! 11 Inspection Requests (24 Hrs.): (503) 639 -4175 . W "III.. INSPECTION WORKSHEET FOR DATE: 10/5!2007 TIME: 7 :01AM PAGE: 32 SITE ADDRESS: 13443 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILL SHIRE LOT #: an TYPE OF USE: PROJECT NAME: THIEI_FN DESCRIPTION: Patio room addition on concrete foundation - unheated. OWNER: THIF.L_FN, JOE C + PAULA J, PHONE #: CONTRACTOR: CHAMPION WINDOW CO.OF PORTLAND LLC P ONE #: 503- 572 -3242 Inspection Request Scheduled For: Date: 10/5.'2007 Pour Time: °L \ Code # Inspection Description Confirm # Co ct # Message 275 Framing 057050.01 .03.572 -3242 Y l'■' Corrections /Comments/ Instructions: .. ei/ tO 1/641Zejr_11/‘ „., .... ,..,... - JG ( . . PASS n PA' IAL APPROVA n CANCEL ❑ NO ACCESS FAIL M ILL FOR I ��� TION ❑ ADDITIO ' L FEES ASSESSED Inspector: i �f—/ Date. Phone #: (503) 712 .. .., . ._, . Wahm CITY OF TIGARD BUILDING DIVISION dv PERMIT #: 13UP2007-00409 11 13125 SW Hall Blvd., Tigard, OR 97223 a r DATE ISSUED: 8/20/2007 Phone: (503) 639-4171 '12711lii Inspection Requests (24 Hrs.): (503) 639-4175 ,.., ' INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7:01AM PAGE: 40 SITE ADDRESS: 13443 SW HILL.l3HIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE LOT #: 071 TYPE OF USE: PROJECT NAME: THIELEN DESCRIPTION: Patio room addition on concrete foundation - unheated. OWNER: THIELEN, JOE C + PAULA J, PHONE #: CONTRACTOR: CHAMPION WNDOW CO.OF PORTLAND LLC PHONE #: 503-572-3242 Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # 'Inspection Description Confirm # Contact # Message 299 Final inspection 058973-01 503-572-3242 N Corrections/Comments/Instructions: . II ddt ei 6,1? • a I 4 k . A 5 . 1 4 1.1- ..i. 4 .atau. i',:A. . , a, 1114ii" ' PASS fl PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL fl CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ' I , Inspector: Off Date*" I Phone #: (503) 718- . .