Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00469
u DEVELOPMENT SERVICES DATE ISSUED: 11/22/00
rJ II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10252 SW PICK'S CT PARCEL: 2S1146B -16100
SUBDIVISION: RIVERVIEW ESTATES ZONING: R -7
BLOCK: LOT: 007 JURISDICTION: TIG
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: 0.00 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: $ 5,288.00
Remarks: Removal of bearing wall.
Owner: Contractor:
MATT HUTCHESON COVENANT CONSTR & CONSULTING
10252 SW PICK'S CT 16200 SW PACIFIC HWY, #199
TIGARD, OR 97224 TIGARD, OR 97224
Phone: Phone: 503 - 624 -1997
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
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PLCK CTR 11/15/00 $65.59 27200000000 Post/Beam Insp
Framing Insp
PRMT CTR 11/22/00 $100.90 27200000000 Final Inspection
5PCT CTR 11/22/00 $8.07 27200000000
Total $174.56
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Pe nn itee �
Signature: IffaM-�
Issued By: /
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
D ate received: / // /5 /DT) P ermit no.:B jf 2O0O —00 / 9
1- =`t=i � iii: City Cit of Tigard Pro and
�,�- �• y jecdappl. no.: Fxpire date:
CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
(`
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 famil ■ •• • • : r r accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition a
• ._ • dditio i teration/ • - p :cement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
-" t
Job address: /6'A..5 .S'() ,0 /L',k 's e Bldg. no.: Suite no.:
X Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.: a s// y/36 -/, /p 6i
Project name: No 7 H--& er-A Kper -(tip L d--Ee((yA'L �e
Description and location of work on premises/special conditions: • f"7GlifE- e- 6riF7ctilcr FA-ell C /
fzc, -TrY .)-13 G l (1 (e,.;6 1
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: l7 A-77 -77 /-• cf 7 (�- erS'0-1. (Floodplain, septic capacity, solar, etc.)
Mailing address: i 0 - f• 5 c.„_; 1 L/e S' Cr • 1 & 2 family dwelling:
City: 7 - ( t — IState: of, I ZIP: 77 - 2_2_ c/ Valuation of work $ . Air, '
Phone: cf GS • `fit 2 3 I 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.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: CommerciallindustrlaUmulti- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
C o L co f/�r 9 N T Ce ; .v
Business name: Cl C `I'v u '' L� New bldg. area (sq. ft.)
Address: 6 'ova , /9 Ste (`may 0- ( Number of stories _
x City: 77 G- -A ) I State: Q/< I ZIP: 7 'Z 2 Y . T of construction
Phone: 6 7._y (Qc} 7 I Fax: 6 2_1( -(9? 6 I E -mail: Rtn Occupancy group(s): Existing:
CCB no.: ( - S' ( 7 /0 /01/0 2 [Div / • 01 New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/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
Cit : State: ] ZIP: exempt from licensing, the following reason applies:
Y
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $ A5 •S'7
Address: Date received:
City: (State: IZIP: Amount received $
Phone: I Fax: I 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 and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with, whether s. -ir h-_..- • • o.i" ot. ca
Credit rd number: / (
f Authorized signature: t w 7i _ gel-A- c 4W D. • !/ if Name of cardholder as shown on credit card Expires
/� Print name: DY L' . f e(r i' i � Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6AOICOM)
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One- and Two - Family Dwelling
Building Permit Application Checklist Reference no.:
ty of Tigard Associated permits:
City
City of Tigard ❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TIIE FOLLOI1'ING 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
catch -basin protection, etc.
10 . 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 review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above.
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25
26
27
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28
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. 4400.4614 (6/00/COM)
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PLAN CHECK FEE .
Plan check # Permit # Bit P.20Po- aui/(o f Date /1 I /7 / GU
A d d r e s s /UZ Se✓ �cl( • : Tax Map.# .LS /I/ 513-//00
Sub. Sub. Lot # Land Use
• Valuation 42 flOf i Set backfiront Back Left
Work class G T Height Total Area ' •
Use The $ 7e. Floor load l Floor
Coast Type 3 N Heat type . 2 Floor
Occupy Group 12 3 Dwell Group • 3 Floor
Stories . Bed Rooms Basement
Deck Bath rooms Garage
Permit # Description Amount Amount paid Bal Due •
Building Permit /O0:90 100.9
Plumbing Permit
Mechanical Permit • •
•
Electrical Permit
State Building Tax
Building 9.0 7 -
Plumbing
Mechanical
Electrical
•
Total 9,o7 g. 0'
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Plan Check Fees //
Building (c , 1
CDC
. Parks
Residentical Tiff
Mass Triffic
• Water Q •
Water Quantity
• Erosion Control Plans
Erosion Control USA • •
Erosion Control COT •
• Sewer Inspection
Sewer Permit
TOTAL _j_24 ' / • Joe. t!-
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