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Permit r CITY OF TIGAR'D BUILDING PERMIT PERMIT #: BUP2006 -00431 , DEVELOPMENT SERVICES DATE ISSUED: 9/6/2006 �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25111 DA - 01200 SITE ADDRESS: 08627 SW LODI LN ZONING: R -7 SUBDIVISION: APPLEWOOD PARK NO. 1 LOT: 008 JURISDICTION: TIG Project Description: Add window to bonus room. 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: 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: 4 , (5 6 Owner: Contractor: BARBARA & DEARDORFF J3 CONSTRUCTION 8627 SW LODI LN 9847 SW 60TH AVE TIGARD, OR 97223 PORTLAND, OR 97219 Phone: Contact #: FAX 503 - 246 - 0292 PRI 503 - 349 -4160 FEES Reg #: LIC 154467 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/6/2006 $62.50 [TAX] 8% State Surcha 9/6/2006 $5.00 [BUPPLN] Pln Rv 9/6/2006 $40.63 Total $108.13 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: - A / / Permittee Signature: X /' A. Call 503 - 639 -4175 by 7:00 a.m. for an inspection t at 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 FOR orr:ICF USE ONLY ' City of Tigard Received Date/By. , - 1 (76 Permit No.: , L , -/13 C a ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By.. Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ®See Attached Checklist for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK . " REQUIRED DATA: 1- AND 2- FAMILY 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 0 - Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . CATEGORY OF CONSTRUCTION work indicated on this application. I - and 2- family dwelling ❑ Commercial /industrial Valuation: $ WY� 00 .J ❑ Accessory building ❑ Multi- family Number of bedrooms: El Master builder El Other: Number of bathrooms: I ,JOB- SITE INFORMATION. AND .LOCATION • 3 - Total number of floors: Job site address: 2 -7 6,,, .4p L, New dwelling area: square feet City /State /ZIP: 7; ,-4 ( Garage /carport area: square feet Suite/bldg. /apt. no.: f Project name: 'D D Covered porch area: square feet Cross street /directions to job site: L , f 1j�n / c ,..crP� Deck area: square feet I I Other structure area: square feet REQUIRED - DATA: `COMMERCIAL -USE CHECKLIST,. . Subdivision: 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. del w � �ct 8, e JS 0A , Valuation: $ Ot Existing building area: square feet New building area: square feet , O.L.PROPERTY_ OWNER ' , ❑ TENANT Number of stories: Name: R4_,,_ h r& / ort,_ D, arc la r .. Type of construction: Address: e‘ z-7 S L v 6 f, G , Occupancy groups: City /State /ZIP: ' © /q 'p( / Cg fe Existing: Phone: ( ) Fax: ( ) New: 1A- APPLICANT , El CONTACT PERSON NOTICE , Business name: --- . 1 - 17 6 z. 5rrwe /1 , l All contractors and subcontractors are required to be Contact name: - 37 e _ r '77 j/ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: %'`7 7 je--L> �'c2 4 vC_ jurisdiction in which work is being performed. If the r applicant 'exempt from licensing, the following reasons City /State /ZIP: POI- f /p...) b /L ? 7,D/ % apply: rn r 4 Phone: 62/ ) 24/1 1 , 1 /( 6 ,.. p Fax: : (C- J) 2 y e - 6 2 7 E-mail: T 9. i'/ ,.,��, -- — CONTRACTOR . Business name: 5T ( .3).r oc.. 1 h BUBO PERM * . . Address: 7t 5 G/ 7 -5 to 60 � (Please refer to fee schedule) r 1-� L( E .,2-" '7 �- / Structural plan review fee (or deposit): City /State /ZIP: rp Phone: (5'0 5) 39 7 L / /'v Fax: (SG ?) 24 © 2 FLS plan review fee (if applicable): CCB lic.: /5 vi.-7 Total fees due upon application: Amount received: Authorized signature: ''' This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. -0, * Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11 /02/COM/WEB) • One- and Two - Family Dwelling . • Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Permit No.: a 13125 SW Hall Blvd., Tigard, OR 97223 Date /By. C Phone: 503.639.4171 Fax: 503:598.1960 Associated permits: 7I G A R D 24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑Plumbing ❑Mechanical Internet: www.tigard- or.gov ❑ Other. 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 a t t royal re i aired. Name of district: _ ❑ ❑ ❑ • 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 Ore•on and shall be shown to be a, ilicable to the .ro'ect 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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. l:\ Building \Permit \BUP- RES- PermitApp.doc 03/21/06 sh . . ___ . . „____I iq DA, -`, r `d� G Fi - � — �5---4 a c CO al inspection. approval is `- � re fired prior to occupancy. a Q y i pproved plans ll ABI LITY be on job site. LI The City of Tig and its W 1 \, a employees shall not be vv responsible for discrepancies Nk wh ch riay appear herein. ft, l This p unit does not authorize the violation of any rights holdtrs of private easements. The ap- plicant Is urgeld to contact any such parties and secure t ier approval before commencing work. V Zx 6 CITY OF TIGARD /6 L E,( "A l i '1 Approv ,d . . p Conditionally Approved For only the w r s descr bed in: W t l V (F raft\ 1 il_ PERMI' NO. l nCiL( r`� See Letjer to: follow ): �_ ...... 6 .— -- � ` \� �I B y : Date: � . 1 . ( fe I • -1 g I • CITY ������N���&���� ^ `' ��nn n ��u ,mm��m=:vn�� BUILDING DIVISION ` PERMIT #: BUp2006-00431 13125SVV Hall 8hd, Tigard, OR07223 DATE ISSUED: 916/2006 Phone: (503 ) 639'4171 Inspection Requests (24 Hrs.): (503) 639-4175 a�4 INSPECTION WORKSHEET FOR DATE: 9/7y2006 TIME: 7 02Ai PAGE: 12 SITE ADDRESS: 08627 SW LODI LN CLASS OF WORK: SUBDIVISION: APPLEWOOD PARK NO. 1 LOT #: OOM TYPE OF USE: PROJECT NAME: DFARDORFF ' DESCRIPTION: Add window to bonu room. OWNER: DEARDORFF, BARBARA & DANA PHONE #: CONTRACTOR: J3 CONSTRUCTION PHONE #: 503-3494160 ' Inspection Request Scheduled For: Date: 9/7y2006 Pour Time: {}ode # Inspection Description Confirm # Contact # Message 276 Framing 836165-01 503-3494160 Y Corrections/Comments/Instructions: • -~ - is PASS I | PARTIAL APPROVAL I |CANCEL n NO ACCESS I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: g 7- Gm Phone #: (503) 718- .Z.9., ze --' . ' ' ' CITY OF,.TI.ARD BUILDING DIVISION PERMIT #: BUP200€- 00431 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '9/6/2005 Phone: (503) 639 -4171 i�� "h n "� Inspection Requests (24 Hrs.): (503) 639 -4175 �..'�'L. INSPECTION WORKSHEET FOR DATE: 9/ ?12006 TIME: 7:02AM PAGE: 11 SITE ADDRESS: 08627 SW LODI LN CLASS OF WORK: SUBDIVISION: APPLEWOOD PARK NO 1 LOT #: 008 TYPE OF USE: PROJECT NAME: DEARDORFF DESCRIPTION: Add window to bonus room. OWNER: DEARDORFF, BARBARA & DANA PHONE #: CONTRACTOR: J3 CONSTRUCTION PHONE #: 503-349- 4160 Inspection Request Scheduled For: Date: 9/7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 036165 -02 503 -349 -4160 N Corrections /Comments /Instructions: • I PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL . CA L FOR INSPECTION I I ADDITIONAL FEES ASSESSED , j Inspector: ' Date: Q -- ?---D6 Phone #: (503) 718 - ��1"c