Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00200
DEVELOPMENT SERVICES DATE ISSUED: 5/25/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111BD - 02300
SITE ADDRESS: 09705 SW PEMBROOK ST ZONING: R - 3.5
SUBDIVISION: CLOUD CAP LOT: 005 JURISDICTION: TIG
Project Description: deck 160sf
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: 50 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: $ 2,656.00
Owner: Contractor:
STAMM, MICHAEL E + JOSEPHINE P RICKS CUSTOM FENCING
9705 SW PEMBROOK 4543 SW TV HIGHWAY
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: 503 - 620 -6185 Contact #: PRI 640 -5434
Reg #: LIC 50088
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/9/2006 $72.10
[TAX] 8% State Surcha 5/9/2006 $5.77
[BUPPLN] Pin Rv 5/9/2006 $46.87
Total $124.74
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:� CLe Permittee Signatur-• d p
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.
F.
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Building Permit Appl>IC o GE FOR orrlcl: USE ONLY
City of Tigard ]j C // ,
5 ®2) 2 00 6 Review
III el Perntit No.. 0 ... 0 o0
a 13125 SW Hall Blvd., Tigard, O 23 ::::,:5.-tm
Phone: 503.639.4171 Fax: 503. 1960 V S - D..33.4_ f�6 t h Permit: •
T I G A i D Inspection Line: 503.639.4,1- 4 ++ �y Date Ready/By. ha ' ® See Attached Checklist for
Internet: www.tigard- or.goia A OF a�` '- — Notifed/MethodJ) Q6� Supplemental Information
'II TIT DING TYIV 1 t, 5f fr J c' /'T1`c r-w-/ .
TYPE OF WORK REQUIRED DAT : 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.
14 I- and 2- family dwelling El Commercial /industrial Valuation: $ Z 4..sa
❑ 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: q 70 5 sw ..+b ra=- New dwelling area: square feet
City / State/ZIP: T �*t(, Of _ 17 2.ZI4 . Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: Covered porch area: square feet
Cross street/directions to job site: 9 7'S' y o r y •P-. Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: 2.,S I $D O'L3>DO 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.
' v� „ _ Valuation: $
K , el _ C � Existing building area: square feet
/ New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Spserili;pig_ .5 Type of construction: . •
Address: . Occupancy groups:
• City /State/ZIP: Existing:
Phone: (SO ) 6 Z0-' 6,85 Fax: ( ) New:
❑ APPLICANT •CONTACT PERSON NOTICE .
Business name: All contractors and subcontractors are required to be
Contact name: (W% Fte.4�- • 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
applicant is exempt om licensing, the following reasons
City / State/ZIP: apply: 72 -/0
W
Phone: L ) 539 . -Yzy I Fax:: ( ) k • 1 /6 , .17
E -mail: i K '
CONTRACTOR ✓ I
/ a 17V
Business name: RICK'S CUSTOM FENCING BUILDING PERMIT FEES*
RIC
Address: & DECKING, INC.
(Please
Structural plan review fee (or deposit): i
City / State/ZIP: 4543 S.F. 11/ H .
FL S plan review fee (if applicable):
Phone: ( ) I jilisboro, OR 97123
CCB lic.: 5 0 D SO
o (5u3) 640 -5434 Total fees due upon application:
�
�/l Amount received: / 7 y
Authorized signature his rmit application expires if a permit is n obtained
/ within 180 days after it has been accepted as complete. .
I Print name: v- r f ,,,, .Q � I Dated S' 9 -06 ' Fee methodology set by Tri- County Building Industry
•
Service Board.
1:\ Building \Permits\Bt1P- RES- PermitApp.doc 03/21/06 4704613T(11/02/COM/WEB)
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•
One- and Two - Family Dwelling
Building Permit Application Checklist 1 0k OFFlcl.: l oixi.,
•
City of Tigard Received permit No.:
1,
a 13125 SW Hall Blvd., Tigard, OR 97223 x
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
TIGARD
24 -Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard - or.gov ❑ Other.
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: . 0 ❑ ❑
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- ❑ 0 ❑
basin protection, etc. V , , r
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state , b ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or one separate full- size' • l t
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
a copyright violations exist.
• 1 ^1 s • Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; pro}ierty col•ner 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. ` i„ 4 `
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, 0 ❑ ❑
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- - E] ❑' a ' ❑
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. 0 a'> ❑
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 0 ❑ ❑
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 0 ❑ ❑
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 ❑ ❑ , 0
architect licensed in Ore on and shall be shown to be licable to the project under review. , - •
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. ' • 0 . ❑
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 \Pennite»»BUP -RES- PermitApp.doc 03/21/06
RICK'S t ►. -IGH t0 N am e 5 erh 5^ fw � rr� Cs �3 61'
r CUSTOM 'FENCING &e DECKING
Phone No.
9705 SW febroag
Gresham Hillsboro Salem Vancouver Ben ! a,, ��� �' a¢ 972-24
(503) 669 -0795 (503) 640 -5434 (503) 589 -9663 (360) 253 -3792 (541) 389-9181 • 2006
www.RicksFencing.com
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CITY OF TIGARD . `.
BUILDING DIVISION PERMIT #: BUP2006 -00200
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2612006
Phone: (503) 639- 4171 °�i. ICI;
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: - 6/21/2006 TIME: 7:07AM PAGE: 49
SITE ADDRESS: 09705 SW PEMBROOK ST CLASS OF WORK:
SUBDIVISION: CLOUD CAP LOT #: 00+-; TYPE OF USE:
PROJECT NAME: ST AMM
DESCRIPTION: deck 160sf
OWNER: SIAM, MICHAEL E + JOSEPHINE P. PHONE #: 503.630 -6188 i
CONTRACTOR: RICK'S CUSTOM FENCING PHONE #: 64°- 51.:11
Inspection Request Scheduled For: Date: 6/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032042 -01 603. 539-4242 N
Corrections /Comments/ Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL
2 C LL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: < Date: G -21 dC? Phone #: (503) 718 - �-_<1-1-6.
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2006-00200
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/25/200G
Phone: (503) 639 -4171 , r;1 �'+A
Inspection Requests (24 Hrs.): (503) 639 -4175 '!4 "'ll�
INSPECTION WORKSHEET FOR DATE: 6/16!2006 TIME: 7 :00AM PAGE: 85
SITE ADDRESS: 09705 SW PEMBROOK ST CLASS OF WORK:
SUBDIVISION: CLOUD CAP LOT #: 005 TYPE OF USE:
PROJECT NAME: STAMM
DESCRIPTION: deck 160sf
OWNER: STAMM, MICHAEL E + JOSEPHINE P, PHONE #: 503.620.6185
CONTRACTOR: RICK'S CUSTOM FENCING PHONE #: 640 -
Inspection Request Scheduled For: Date: 6/16/2006 Pour Time: 1 :00
Code # Inspection Description Confirm # Contact # Message
205 Footing 031801 -01 503 - 539.242 N
Corrections /Comments /Instructions:
10 —77-1f2 C j7 c,lc t
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ZALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: , a---/O--C1 b Phone #: (503) 718 - 2.44 -5---