Permit allk
BUILDING PERMIT
CITY OF TIGARD
I G � �R��
PERMIT #: BUP2005 -00418
�l il DEVELOPMENT SERVICES DATE ISSUED: 9/20/2005
13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171
PARCEL: 2S103CB -06800
SITE ADDRESS: 12391 SW HOLLOW LN ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - EAST LOT: 017 JURISDICTION: TIG
Project Description: Enclose existing patio with glass.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
1 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: $ 9,000.00
Owner: Contractor:
JOHN WAGENHOFFER CHAMPION WINDOW CO OF PORTLAND, LLC
12391 SW HOLLOW LN. 13009 NE DAVID CIR
TIGARD, OR 97223 PORTLAND, OR 97230
Phone: 503 - 590 -2674 Phone: 503 - 624 -2678
FEES Reg #: LIC 158326
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 8/24/2005 $84.31
[BUILD] Permit Fee 9/20/2005 $129.70
[TAX] 8% State Surchari 9/20/2005 $10.38
Total $224.39
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 rules or direct questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: - 7, / C,p ,e Permittee Signature: . �.1.
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 Appliair EQVED FOR OFFICE USE ONLY
2 4
City of Tigard AUG Date/By. ,42705" ) r Permit No.: $ 4 409 S ��y/
13125 SW Hail Blvd., Tigard, OR 97223 200 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 J // 'hrir' " Date/B . A 1) / ' G� Other Permit:
Inspection Line: 503.639.4175 CITY ' I Date Ready/By: Juti ® See Attached Checklist for ,
Internet: www.ci.tigard.or.us OF Notified/Method: r /6 Supplemental Information
. BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING -"
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. L
Indicate the value (rounded to the nearest dollar) of all
Additi alteratio replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
.1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ y, pop
❑ 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: / - 3 7 _ 1,,,, po to to C._. New dwelling area: square feet
City /State /ZIP: t ` e. v"r, 0 F ., '772) 3 Garage /carport area: square feet Qy
Suite/bldg. /apt. no.: Project name: j,,/et, en 4,0-rev— Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
4
J Other structure area: square feet __
REQUIRED DATA: COMMERCIAL =USE CHECKLIST pp
Subdivision: Lot no.: Permit fees* are based on the value of the work performed. a
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all W
equipment, materials, labor, overhead, and the profit for.the
DESCRIPTION OF WORK work indicated on this application.
vi c (o S c.,.._ e r -,-f-, 0 -747 c is ,, /v-rei j. Valuation: $
e ✓Pr e4'1 4, /`firs frill i !/� Y` f --1
Existing building area: square feet
c, ( 6(� / / ^ New building area: square feet 5 Li
®'"PROPERTY OWNER I ❑ TENANT 4I' Nv.bj Number of stories:
Name: ' 3 h fr t- i�� e 0 ti O . ( '. Type of construction:
Address: / 3 v _54_4 - 1 4/c // } / , Occupancy groups:
City /State /ZIP: 7 ` ,- / a g• a 3 Existing:
Phone: (5-621) y0-- a 6 y Fax: ( ) New: •
'r APPLICANT IWCONTACT PERSON NOTICE
Business name: ezk v•-tp/ '0 N f N do f. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 5 '
�� t/'t f under ORS 701 and may be required to be licensed in the
Address: / jurisdiction in which work is being erformed. If the
City /State /ZIP: Po �. f r K � d / / p� 4, a 3 0
applicant pp is exempt from licensing, the following reasons
Phone: (SU3) 5 - 7 � 3 7 0 ` , I Fax::( M )6 ,6 ,f1
E -mail:
CONTRACTOR
Business name: 5 ,.. e �S 6 L
BUILDING PERMIT .FEES*
• Address:
Please refer to fee schedule.
• City /State /ZIP:
Fees due upon application
Phone:( ) I Fax:( )
Amount received
CCB lic.: (s5 - 30
Date received: oD 3
Authorized signature: This permit application expires if a permit is � t obtained
within 180 days after it has been accepted as complete.
' Print name: 73 �v-., y s o't-- , .7 Date: �/a y7p5" * Fee methodology set by Tri- County Building Industry
Service Board.
i : \BuitdingWermits\BUP- PennitApp doc 12/03 440 -4613T(1 l /0JCOM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist t FOR OFFICE USE. ONLI(
City of Tigard Received
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 / �,rrn;,; -m„ 1,
24- Hour Inspection Line: 503:639.4175 � - f "' i I ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.ci.tigard.or.us ❑ Other.
' THE FOLLO 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 bal ce points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
• 4 Fire district approval required. Nam. of district: ❑ D ❑
5 Septic system permit or authorization for :. odel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. • ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp an* ignature on file or with application. ❑ ❑ ❑
9 Erosion control 0 plan 0 permit required. Include dr.: age way protection, silt fence design and loca on of catch- ❑ ❑ ❑
basin protection, etc. .
10 3 Complete sets of legible plans. Must be drawn to scale, s • .wing conformance to applicable locals d state ❑ ❑ ❑
building codes. Lateral design details and connections must be in..rporated into the plans or on a Sep.' ate full -size
sheet attached to the plans with cross references between plan locati• and details. Plan review can st be completed if
copyright violations exist.
I 11 Site /plot plan drawn to scale. The plan must show lot and building setb: ck dimensions; propert . corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour line- at 2 -ft. intervals); I. ation of easements
and driveway; footprint of structure (including decks); location of wells /septi ystems; utility Iocations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious 4 ea; existing s uctures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing .ads, •.nnection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smok= detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grad, - c.
14 Cross section(s) and details. Show all framing- member sizes and spacing such•as ..r b- .ms, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be r:• ired to early portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, cei ng height, s ding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two : evations for additi ins and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is gr:. ter than four foot at • ilding envelope.
Full -size sheet addendums showing foundation elevations with cross refe nces are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Mus indicate details and location-7 for non ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to et •'neering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, i' dicating member sizing, spacing, . • bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and d- ..ls showing placement of rebar. For engi eered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations usi .= current code design values for all beams and mu iple joists ❑ ❑ ❑
over 10 feet long and/or any beam /joist carrying a non— iform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescript' 'e path or provide calculations. A gas- piping schematic is retuired ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required o .rovided, (i.e., shear wall, roof truss) shall be stamped by an engin- ; r or ❑ ❑ ❑
architect licensed in Ore ton and shall be : own to be • .licable to the .ro'ect under review.
.JURISDICTIONAL SPE'CIF'ICS
23 Five (5) site plans are required fo tem 11 above. Site plans must be 8 -1/2" x I I" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are require. or Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not c* ain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building .: s must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" ' - j icates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to i • de tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree' ist.
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:\ Building \Permits\BUP- RES- PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION r.. PERMIT #: BUP2005 -00418
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/20/2006
Phone: (503) 639 -4171 /v puy�i�°�1l€
Inspection_ Requests (24 Hrs.): (503) 639 - 4175 53' �
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 117
SITE ADDRESS: 12391 SW HOLLOW LN CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW- EAST LOT #: 017 TYPE OF USE:
PROJECT NAME: WAGENHOFFER
DESCRIPTION: Enclose existing patio with glass.
OWNER: WAGENHOFFER, JOHN PHONE #: 503 - 590.2674
CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503 -624 -2678
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 019416 -02 503 - 572 -3242 N
Corrections /Comments/ Instructions:
C
K PASS rn PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL ` J , °'L FOR INSPECTION n ADDITIONAL FEES ASSESSED
�
Inspector ` Date: Phone #: (503) 718-
•
CITY OF TIGARD . ,
BUILDING DIVISION . . PERMIT #: BUP2005-00418
I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2012006
Phone: (503) 639-4171 . :
_
Inspection Requests (24 Hrs.): (503) 639-4175 „„..._,NI■ -- ..,
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 118
tit
SITE ADDRESS: 12391 SW HOLLOW LN CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW- EAST LOT #: 017 TYPE OF USE:
PROJECT NAME WAGENHOFFER
DESCRIPTION: Enclose existing patio with glass.
OWNER: WAGENHOFFER, JOHN PHONE #: 503-590-2674
CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503-624-2678
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # i; -ssage
275 Framing 019416-01 503-572-3242 Y
Corrections /Comments/ Instructions:
PASS , . 7- PARTIAL APPROVAL El CANCEL 0 NO ACCESS
I I FAIL // GAIL FOR FOR INSPECTION
_. Date: n ADDITIONAL FEES ASSESSED
/( r i C S
Inspector Phone #: (503) 718-