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Permit
C ITY OF T I G A R D PERMIT #: B U P2002 -00550 A DEVELOPMENT SERVICES DATE ISSUED: 1/6/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PA}2CEL: 2S110DA 04200 SITE ADDRESS: 10832 SW KABLE ST SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 003 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : 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: $ 30,000.00 Remarks: New permit for existing pool. Owner: Contractor: RENAISSANCE DEVELPMENT CO NEPTUNE SWIMMING POOL CO 1672 SW WILLAMETTE FALLS DR 13785 SE AMBLER RD WEST LINN, OR 97068 CLACKAMAS, OR 97015 -0000 Phone: 503 - 557 -8000 Phone: 503 - 659 -1335 Reg #: LIC 11810 FEES REQUIRED INSPECTIONS Description Date Amount Final Inspection [BUILD] Permit Fee 1/6/03 $320.80 [TAX] 8% State Tax 1/6/03 $25.66 [BUPPLN] Pln Rv 1/6/03 $208.52 Total $554.98 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: %� I � t 10//t) 4.6(Ae(11Z- Permittee Signature: 0.6:64 Z Call 639 -4175 by 7 p.m. for an inspection the next business day is A 'wilding Permit Application • , � Date received: is —? Permit no.: 1g : .20O,a -QD ' s7� 'i City of T><gar ECE NED Cuy.of Tigard 1 Address: 13125 SW H 1 tgard, OR 97223 Project/appl. no.: Expire date: Phone: (503) 639 - 4171 oOZ Date issued: By: Receipt no.: Fax: (503) 598 -1960 DEC Case file no.: Payment type: Land use approval: CITY OF TIGARD 1 &2 family: Simple Complex: `• rt• : TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm , Other: Pd C) L— • JOB SITE INFORMATION .. Job address: / 32_ „Si I 1 L. : 57- Bldg. no.: Suite no.: Lot: 3 I Block: ISubdivision: Cn eicsc,, fiEl6A t c I Tax map /tax lot/account no.: Project name: j Description and location of work on premises /special conditions: 210.,444// / 4 1 to -rill 5'!T //I» h9 iv1q „ - • .• t OWNEk ,: u k / ,�,• z � FOR SPECIAL USECHECKLIST Name: 0( r , - (Floodplain, septic capacity, solar, etc) ,,,,,` Mailing address: 1 & 2 family dwelling: City: State: I ZIP: Valuation of work $ ) ODD Phone: (Fax: I E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: • Fax: E -mail: New dwelling area (sq. ft.) • : 'APPLICANT Garage /carport area (sq. ft) , - . fi r , "'k.tt �.;xt k.i � ra N � Name: Rj � /4- )ss`/}}- ttf.e CUS'i pM /gmC- 5 Covered porch area (sq. ft.) Mailing address: /672— iii/ILC.4 y_s _ Deck area (sq. ft.) City: L State: ©, ZIP: 70 6 1 Other structure area (sq. ft.) Phone: C-5-7 taco Fax:6$Z Md/ E -mail: Commercial/industrial/multi- family: ,, ' :” n� a �F = Ar 1 `' CONTRACTOR ° • ,, : • ) Valuation of work $ Business name: �t.P -�-�, , I Al /lI A.) r pp(� Lci Ne w bl bldg. area (f ft.) At AL12 22,-,, New bldg. area (sq. ft.) Address: /3 7 $ , StatePL ZIP: 974 /$ Number of stories City: G C /+CAF1,9`� I Type of construction Phone: I Fax: E -mail: j` g /d Occupancy group(s): Exi sting: CCB no.: New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be x °,t : -'• ,`, ARCI-IITECT/DESIGNER • ".'' licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: I State: I ZIP: exempt from licensing, the following reason applies: . Contact person: l Plan no.: Phone: - Fax: E -mail: • ENGINEER - . Name: Contact person: Fees due upon application $ Address: Date received: City: (State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws +nd ordinances governing this ❑ visa ❑MasterCard work will be complied with, r; ether spo fi• d herein or not- Credit card number: / / - Expires Authorized signature: .ijtt =� � = Date: I� 4 � Name of cardholder as shown on credit card Print name: 1 z.S�L� iU •l� Cardholder signature $- Amount Notice: This permit application expires if a permit is n obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00 /COM) `PraT 320 W ss�f e -4 . 2O .5D- 1 One- and Two - Family Dwelling ``0" . ydt'' `�� Building Permit Application Checklist Referenceno.: , I Associated permits: City of Tigard City f Tigard Y ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 - - 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. 5 Septic system permit or authorization for remodel. Existing system capacity • 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 rch=bgsin protection, etc. 10 3 Complete sets of legible plans. Must.be drawn to scale, showing conformance to applicable local and state ui ding codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size met attached to the plans with cross references between plan location and details. Plan review cannot be completed 7 " S 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 & 22 above. _ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable) and COT Street Tree List. ' Checklist must be completed before plan review start date. Minor changes or notes of 's'ubmitted plans may be in blue or black ink. Red ink is reserved for department use only. .uo -4614 (6 /00 /COM) • CITY OFTIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 BU , S Received Date Requested` 1 t' , / 3 AM PM BUP Location /o 81.3 y c11/ '- g� Suite MEC Contact Person Ph ( ) PLM / Ph ( ) SWR NG Tenant/Owner ELC Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear \ C Framing � \ / c� Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling o of ' 3 /�1li! 1_ SS PART FAIL - ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date / l 7 - ( / r 1 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. • PASS PART FAIL CITY OF TICARD 24 -Hour .! BUILDING Inspection Line: (503) 639 - 4175 a INSPECTION DIVISION Business Lin • (503) 639 -4171 BUP. O 7 e ' CO Received Date Reque / 5 11 O AM PM BUP Location !6 r3 — c 5 (�Y Kg; A E MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear - e� js a r or A � rj� / 5 � Framing G� Insulation gj�, f�TJ2l e'jQ.L 4 / S i vivi, � / / J ✓ L 000_ 0 '�o ( r Drywall Nailing / Firewall HeGel -09 /C4L_ , t 1 L /1lt/ 2 / ' EC 2-Q52 - 0 060/ Fire Sprinkler Fire Alarm // / / 0 33 . /'6L -- /15 fe___ Susp'd Ceiling - / Roof / 5 //V 91-. Othe r: 00 ili(ly //{��L-__ PASS PART FAIL °— jy / /� � 3 PLUMBING © O,, n t /`7 4 6 l o Post & Beam a Under Slab M /5l"R I R f : U 7RE £/1r�c5 . Rough -In r `,� Water Service /��ArC� �p/� 5 Sanitary Sewer / ,,,,P 6)n &', Rain Drains Catch Basin / Manhole - d ,1 l' ----- GF---- NO 7 r. � Storm Drain Shower Pan ./ - ( /e_i is Z ,•/ Other: Final PASS PART MECHANICAL FAIL S t- k'& '6 - Z-L_ )172/0111— `, ` /A/4 Post& Beam i/ee JO 0 2 _ Oo6 C70 %>f�S s . Rough -In Gas Line Th f . _� - f"° IY ��D V / ^ 1c ae� e. /7/ Smoke Dampers ! a"1.� ��_ }.-_- Final , grf 2� -- !� , 4 J A S 7 /�/ LL PASS PART FAIL A/ ELECTRICAL .===. /VV-_ ae /aU , %a O' Service Rough -In C4zi___ (f /3 t55ie k - 07.1k/iii--- UG /Slab / Low Voltage /n , 0 Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for eins ection RE: /' �,• ble to inspect - no access Fire Supply Line A , ,, ADA D 3 // a3 Ins ector e , / I � - P Ext Approach /Sidewalk P Other: Final DO NOT REMOVE this inspection ord from the Job site. PASS PART FAIL