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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00358 � i ;ll DEVELOPMENT SERVICES DATE ISSUED: 6/13/03 -'-' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12250 SW LANSDOWNE LN PARCEL: 2S103BC 07100 SUBDIVISION: FYRESTONE ZONING: R -4.5 BLOCK: LOT: 010 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 144 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: 144 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: 23 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:Y DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Addition of 144 sq ft bonus room above existing garage. Owner: Contractor: JOSH WALLACE TAC NORTHWEST INC 12250 SW LANSDOWNE LN PO BOX 115 TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: Phone: 503 - 640 -0712 Reg #: LIC 150565 FEES REQUIRED INSPECTIONS Description Date Amount Footing lnsp [BUILD] Permit Fee 6/13/03 $121.75 Framing Insp • Insulation Insp [TAX] 8% State Tax 6/13/03 $14.98 Final Inspection [BUILD] Permit Fee 6/13/03 $187.30 Total $324.03 ' 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 -% , : ••9 or 1- 800 - 332 -2344. Iss • d By: I_ Pemiitt- - -- Signature: - AG' Call 639 -4175 by 7 p.m. for an inspection the next business day FOR OFFICE USE ONLY Building Permit Application Received By: / 4 Permit Date/By: N o.: Q lIi . 35 By: co � 0- - Permt N `dL�" Planning Approval Other -on 3 City of Tigard Date /By: PermitNo.: ZLea0U3 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No.: Phone: 503- 639 -4171 Fax 503 -598 -1960 / u l a Post- Review Land Use Internet: www.ci.tigard.or.us sgENfr e. --a Date/By: Case No. Contact ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: / t�J/° • Supplemental Information TYPE OE WORK * i, .§ g xis I s r -.... _ `y_ a�. SQUIRED DATA ❑ New construction ❑ Demolition & Z- TA ',` ❑ Addition/alteration/replacement ❑ Other: �, - - - (CATEGORY OI±F_CONSTRUCTION _Pt':: ' `j Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling ['Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. El Accessory Builder g ❑ Other: Accesso Building Multi-Family Valuation $ ' lS,vGo ' ; xi' ,5 JOB SITE"INFORMAT LOCATION s . off;; No of bedrooms: No of baths: Job site address: /225 - 0 Sc-t) L•!¢i 00r..,�,vE Total number of floors New dwelling area (sq. ft.) !41'(S•{ Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: ex.:4- 62-4.c , 5( --sC& Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) k — - dos ' REQUIRED'DATA: 4 b 1 COMMER6 USE CHECKLIST � --.'� -'. �� �. ,� � , � �. , .._.. . �.._��. ,_ .... _. 7 '' ''.:: . �. Subdivision: Lot #: Tax map/ 4 /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate ` . i = 1 r ,..� p a `, DESCRIPTION° OF. WORK .- ' � , ,. Y _ ;; the value (rounded to the nearest dollar) of all equipment, materials, labor, -:• overhead and profit for the work indicated on this application. Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories IC 'ilPROPERTY OWNER , `. gli TENANTi . ll : . Type of construction Name: -:moo »w % /S I (.t/f4LL0Qf.E Occupancy group(s): Existing: New: Address: /2 2 5 S w L 4.-S Oct„, o-- E City /State /Zip: 7 ( -,wiz 0 0c? Phone Fax NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ,grAT5KIc:045 r _ '- ,x;,:51 5 El [ CONTACT,P,ERSON rW, :. provisions of ORS 701 and maybe required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax ' BU j ` E-mail : , ' a f ,to f e c `� . .. .; ' - r �� Ple se r er � ee s e , J .n. ,., , . r ,.,� ,; F.. _., _. iti�_�,.A ��.�,`.��_S .�CONTRACTOR� _zr �P;:_ <�5 ,`. - „ -� e , _ .. F Business Name: 77/6 ,27, -(e 6 L r.' - Fees due upon application $ Address: pc, g ,,c- f/s Cit /State /Zip: i--!r Gt.g L ,roc,, aR q! 7/23 Amount received $ Phone: . 5 - 03-6‘10 - © 7,L Fax: 5 -6 0 -4793 Date received: CCB Lic. #: / D' c 9 0 `1 Authorized Wiffraleri N This p ermit application expires if a ermit is not obtained within - G / Vo_3 pp p p-- Si n ature: Date. g 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) I: \Dsts\Permit Forms\BldgPermitApp.doc 01/03 One- and Two - Family Dwelling • (t, Building Permit Application Checklist Reference no.: Associated permits: City of Tigard City of Ti and Y g ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 LI Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE .REQUIRED FOR PLAN REVIEW Yes No N/A I 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 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 revive. 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 on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440 -4614 (6 /00 /coM) CITY OF TIGARD 24 -Hour •r, • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP 3 —. 66 a i Received Date Requeste• t ` AM PM BUP ; I 2 2 - S ' Location ,, L�. • _ . >. . 1 A Suite MEC Contact Person , -- Ph ( ) 9S73 — a—.1 1 ' f PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain . Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear g amin Drywall Nailing / Firewall Fire Sprinkler r ' Fire Alarm Susp'd Ceiling Roof , Other: ai0i' PART FAIL • o BING ". z. 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 0 Reinspection fee of $ required before next inspection: Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ,\ (� ADA Date Inspector . p Ext / Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL