Permit ill , CITY OF TspARD BUILDING PERMIT
PERMIT #: BUP2007 -00511
COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109DA -09900
SITE ADDRESS: 15302 SW OAK VALLEY TERR ZONING: R -
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 088 JURISDICTION: TIG
PROJECT: NGUYEN
Project Description: Installation of 112 sq ft deck, replace 6 x 4 window with door and window.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
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: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: �} a Dtotp . b d
Owner: � Contractor:
HUNG NGUYEN TDM FRAMING INC
15302 SW OAK VALLEY TERR 22268 KNOTTINGHAM CT
TIGARD, OR 97224 SHERWOOD, OR 97140
Phone: 503 - 905 - 8488 • Contact #: PRI 503 - 710 - 4593
Reg #: LIC 174559
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/2/2007' $73.33
[TAX] 8% State Surcha 10/2/2007 $5.87
[BUPPLN] Pin Rv 10/2/2007 $47.66
[CDCPLN] CDC Pln Re 10/2/2007 $46.00
•
(additional fees not listed here)
Total $178.86
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 no - tarted within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow he rules adopted by the
Oreg i i y o i ion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-100 t You may obtain a copy
of ese rules or direct .u- . io s to OUNC by calling 503.246.6699 or 1.800.332.2344. /
L Sd By: / 4- 4 Permittee Signatur � ,� ■
Call 503.639.4175 by 7:00 for an inspection that b : ness 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
Residential r, FOR OFFICE USE ONLY
City of Tigard Received fQ A v Permit No.: ,o07 DOS //
Ili 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C . Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T I G A It D Inspection Line: 503.639.4175 Date Ready/By: J� la See Page 2 for
Internet: www.tigard or.gov Notified/Method: / CO 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
❑ 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: $ A . O6 /^
❑ 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: /530 mg, . volley 7 New dwelling area: square feet
City /State /ZIP: Ti 7 G �1Z1? Op_ 97 2 Z 4 Garage /carport area: square feet
Suite/bldgiapt. no.: Project name: //V pi &St t-a_ Covered porch area: square feet
Cross street/directions to job site: Deck area: UR square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Sam /ir F Rai. w . 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.
O (, o
�,pNc4— 4111 wtvdt,t.J wt 241,4 wtN17ow J—
Valuation: $
2. $ rG Q' 0o0 2 ,9a► -t- ,Ld N ` � p e X / f ' Existing building area: square feet
D �k New building area: square feet
❑ OWNER ❑ TENANT Number of stories:
Name: A v N lc, V f Type of construction:
Address: ( Opt-. V f I 2t� -rtz.rr Occupancy groups:
City /State /ZIP: , �-�p o . 0 i'7Z z q Existing:
j
Phone: (5 ) 9 o f 4 v s ( Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E -mail:
• CONTRACTOR
Business name: �� � f uKl,9 �/JCi BUILDING PERMIT FEES*
Address: 2 Q " � jN � 4-74- g (Please refer to fee schedule) �,
`j Structural plan review fee (or deposit): 66
City/State /ZIP: 51.( -r/' t,tloOr /9P-- - 4 q7 /1'1 D v
Phone: ( sp31 7/ _ •¢cis Fax: ( ) FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: / ?Y 65 / 3
V. f°
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 61a55•2 Date: le .— 2 —,/,7 7 '' Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -RES PermitApp.doc 02/23/07 440- 4613T(11/02 /COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
. • 13 125 SW Hall Blvd., Tigard, OR 97223 Assoc
C Phone: 503.639.4171 Fax: 503.598.1960 Assoc permits:
TIGARD
24- Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard - or.gov 0 Other:
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. 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 br bti 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. i ' ,
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 sdch as floor Beams, headers, joists, sub'- ' ❑ ' ' ®' . ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray : 4,,r , •, ,
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. - i •
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. t
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 .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 free 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 \Permits\BUP- RES- PennitApp.doc 0321/06 440-4613T(II /02/COM/WEB)
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Air D ON • MORISSETTE OBE: 3522 m o
HOMER INCORPORATED W (--
4230 GALEWOOD STREET LOT: 88 W ate,
LAEB OR1/EGo� OREGON ! p� CL
a •o s s e •-• DATE: 02/22/2005 cc¢ w
C ITY OF TIGARD - SITE PLAN . E` PROPERTY: SUMMIT -RI)
j • •• BUILDING PERMIT NO.: ft�$T a-c9v S - Vex) Si CITY: TIGARD w n. O
PLANNING DIVISION: R - - 7 ' SCALE: 1 " =20' ¢ w -�
I R equired Setbacks: ( Approved. ❑ Not Approved PLAN No i' t' -
Side: ��
Street Side: ._t.. -_. OPTION ; r .. y, , �,, r
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1 ! �5 Garage: — Rear: ='
Front. j
j Visual Clearance: Al Approved ❑ Not Approved �� 2 200 w
Maximum Building Height feet - C 1 x Ur 1117A�
CWS Service Provider Letter Required: ❑ Yes No
5.-0. 6. u . ❑ Received 1 - 1 1 c; -' `�� DINGDIVISI 6 -
E GI E:*RI —_- ENT:
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A tua Sl a '� ' pproved 0 Not Approved 460 458 452
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456 Street Side: �� p. r•+ '
at Front. ...1_>___ Garage: roved ° s
' 16' -0' Vrsual Cleae R ear: °��
Maximum Bu ildi : ► A Pr oved ❑ Not A
b Hcight feet pp
CWS Service ider Lett Required: ❑ Y es
0
B . l C.7 • eceivc�i 4 ENGINE DEPARTM E Date: /a
Actual Slope:
❑ Approved
NOTES: Site Plan: [[ ,���� r8 ❑ Not Appro , •
ALL GRADE AND PROPERTY LINES :::ESTIMATES OF CUR;ENP IONe Not Ape Ov i
ALL DIMENSIONS AND SQUARE FOOT • 1, T • •
ALL RETAINING WALL HEIGHTS AND L. - • ONS ARE ESTIMATES. - Egate: �
THEY MAY VARY AND BE SUBJECT TO CHANGE. •
TREES: LOT COVERAGE 9Z C- 1----
1 LOT AREA: 6,390 SQ. FT. r
N. — FRAXINUS PENNSYLVANICA BUILDING AREA: 2360 SQ. FT. LOT *88
/
0 I 'URBANITE A5N' PERCENTAGE: 36.9%
I \ SEE RECORDED PLAT 6,3W eq. ft,
CITY OF TIGARD , •
BUILDING DIVISION PERMIT #: BtJP20Q7_00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007
Phone: (503) 639 -4171 emu: � l
Inspection Requey3 (24 Hrs.): (503) 639 -4175 ` ---
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 :00AM PAGE: 20
SITE ADDRESS: i5302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 068 TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Installation of 112 sq ft deck, replace 6 x 4 window with door and window.
OWNER: NGUYEN, HUNG PHONE #: 503 - 905-8489
CONTRACTOR: TDM FRAMING INC PHONE #: £03.710 -4593
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069146-02 503 - 619-7077 N
Corrections/Comments/Instructions: -, /
•
P3 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: . Date: /d —t:3—o7 Phone #: (503) 718 -7q- `
CITY OF TIGARD . ,
BUILDING DIVISION PERMIT #: BUP2007 -00511
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/2/2007
Phone: (503) 639 -4171 a W� g , A
Inspection Requests (24 Hrs.): (503) 639 -4175 ` �..
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 :00AM PAGE: 21
SITE ADDRESS: 15302 SW OAK VAt LEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: Ogg TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Installation of 112 sq ft deck, replace 6 x 4 window with door and window.
OWNER: NGUYEN, HUNG PHONE #: 503-905 -8488
CONTRACTOR: TDM FRAMING INC PHONE #: 503-710 -4593
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 058146-01 503 619.7077 Y
Corrections/Comments/Instructions:
e LbAs P2�TZ &'o r ,' 3 (d I , - Th4 C PLMj.
(Aef /- 4.4076P
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /A Date: 7O — 23 67 Phone #: (503) 718 - 2_445—
CITY OF TIGARD
BUILDING DIVISION PERMIT - #�
st/Pa0o7 -OA51
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/200r
Phone: (503) 639 -4171 VIII?'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/113/2007 TIME: 7 :01AM PAGE: 16
SITE ADDRESS: 15302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO.2 LOT #: 0138 TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Installation of 112 sq ft deck, replace 6 x 4 window with door and window.
OWNER: NGUYEN, HUNG PHONE #: 503 - 905.0488
CONTRACTOR: TDM FRAMING INC PHONE #: 503 - 71(14593
Inspection Request Scheduled For: Date: 10/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 057872 -01 503-619-7077 N
Correct /Comments /Instructions: !�j
AP ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
x A .
Inspector: Date: 2 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: SUP2007 -00611
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 s' "'I L
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7 :01AM PAGE: 15
SITE ADDRESS: 16302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 088 TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Installation of 112 sq ft deck, replace 6 x 4 window with door and window.
OWNER: NGUYEN, HUNG PHONE #: 603.90[
CONTRACTOR: TDM FRAMING INC PHONE #: Jq3 71114593
Inspection Request Scheduled For: Date: 10/113/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 057872 -02 503-619-7077 N
Corrections /Comments /Instructions:
.LaO ss-- r .. _ wi A, O - .�
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .2
Date:/ i 8 — o 7 Phone #: (503) 718- Z4 ----"
v
CITY OF TIGARD
BUILDING DIVISION 1 r PERMIT #: RUP2007- 00611
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1002007
Phone: (503) 639 -4171 4,1-11i1
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7:01AM PAGE: 53
SITE ADDRESS: 15302 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 088 TYPE OF USE:
PROJECT NAME: NGUYEN
DESCRIPTION: Installation of 112 sq ft deck, replace 6 x 4 window bvixh-ch ar,_and window.
OWNER: NGUYEN, HUNG PHONE #: 503 - 9058488
CONTRACTOR: TOM FRAMING INC PHONE #: 503-710 -4593
Inspection Request Scheduled For: Date: 10/5/2007 Pour Time: 9,00
Code # Inspection Description Confirm # Contact # Message
205 Footing 057011 -01 503-619 -7077 N
Corrections /Comments /Instructions:
gal 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v A (7L___...- Date: ) 0 /CA 7 Phone #: (503) 718- 24'2'4