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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00357 Alp DEVELOPMENT SERVICES DATE ISSUED: 9/17/02 -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD -01800 SITE ADDRESS: 06805 SW PINE ST SUBDIVISION: VILLA RIDGE ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: nobs' FIRST: 0 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: 1 HT: 11 ft GARAGE: 286 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: 7 ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 20 ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 8,000.00 Remarks: Addition to garage. 286 sf. Owner: Contractor: CARDENAS, MICHAEL H /SANDRA J JLM SERVICES INC 6805 SW PINE ST 12220 SW WALNUT ST TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 590 -2451 Reg #: LIC 70082 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp PLCK CTR 8/21/02 $78.07 27200200000 Framing Insp PRMT CTR 9/17/02 $120.10 27200200000 Final Inspection 5PCT CTR 9/17/02 $9.61 27200200000 CDCB CTR 9/17/02 $20.00 27200200000 (additional fees not listed here) Total $247.78 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -669' or 1- 800 - 332 -2344. Permittee Sign - re: , / / �/ Is ued By: PM a z , / , Call 63' - 175 by 7 p.m. for an inspection the next business day 514; // i Building Permit Application R eceived _ FOR OFFICE USE ONLY Building ` Date/By: T - .7 t - o a Permit No.: �j � (��d00 0 - ()� 3 57 �� S? . • Plannin A Other City of Tigard Permit No.: T Fo *h ' '' Plan Planning 13125 SW Hall Blvd. y� ,,,b.-:-,141.... Plan Review Other l _c . �'( Date/By: �'.2 )-0v a H Permit No.: Tigard, Oregon 97223 �;� ti� - Phone: 503- 639 -4171 Fax: 503-598 496 '� V1 jilt 1eW • Date/By:9�3 /0 2..... — Case Noe Internet: www.ci.tigard.or.us ^^ Contact Juris.: 0 See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Methodut A) V Supplemental Information 7i • TYPE OF WORK REQUIRED DATA: ❑ New construction I ❑ Demolition 1 & 2 FAMILY DWELLING gi Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION 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. ❑ Accessory Building n Multi- Family • ❑ Master Builder Other: g�4ra 9Q valuation $ JOB SITE INFORMAT and LOCATION No. of bedrooms: No. of baths: Job site address: (o gas ,sCJ /U/:, e, Total number of floors New dwelling area (sq. ft.) ,�e, Suite #: I Bldg. /Apt. #: Garage /carport area (sq. ft.) ZS6.Ft+ $.86/00 Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) 6 g-i-+i ,- M Other structure area (sq. ft.) // REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: ; I Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK 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 PROPERTY OWNER I ❑ TENANT . Type of construction Name: /YJ e. ea rdeiias Occupancy group(s): Existing: New: Address: 6 a5 5 p,, e, City /State /Zip: 971 Ord ez 917123 ` 7) NOTICE: All contractors and subcontractors are required to be Phone: S'D3-28/S- 5z / 8 X78 li censed with the Oregon Construction Contractors Board under APPLICANT El NTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: t/ -M $eroces , � jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: ( J6n /SAS or) Address: City /State /Zip: Phone: I Fax: BUILDING PERMIT FEES* E-mail: Please refer to fee schedule. CONTRACTOR Business Name: CT A4 rSe✓'U,Ce • _Z c • Fees due upon application $ Address: a z.zit) 5 i lit/4Au City /State /Zip: 7 'va' Qd . 97223 Amount received $ Phone: .5" -2 / I Fax: Date received: CCB Lic. #: '7OV 8 'Z 11/7/03 Authorized Notice: This permit application expires if a permit is not obtained within Signature: Date: 8 z/ 180 days after it has been accepted as complete. 4 w A fAfDfr■ -� •Fee m thodology set by Tri -County Building Industry Service Board. (Please print name) ( ' iq 01 �_- 4 • One- and Two - Family Dwelling • • ' • ' Checklist Building Permit Application Chkli Reference no.: Associated permits: City ofTigard City of Tigard ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 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. 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 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 & 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 , 21\ . BUILDING � Inspectron LInM: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP 0.1 .0c3 Received Da te Requested �� / 9' AM PM BUP Location g° , --S - Suite MEC Contact Person 94-441-2 Ph ( -5 )- �.?- 7 8 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ramm _ _7 C., - r . egg. Insu ation Drywall Nailing - - J L- Firewall - Fire Sprinkler i - Fire Alarm Susp'd Ceiling Roof J() Other: Final PASS FAIL PLUMB! G 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 ❑ 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 i Fire Supply Line ADA � / Approach/Sidewalk Date f 7 J � Z Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 49 INSPECTION DIVISION • Business Line: (503) 639 -4171 BUP p -603,C Received Date Requested le 7, AM 9 �° PM BUP Location Co n 0 , (. _d?� Suite MEC Contact Person CD, 4( Ph ( ) Sd 4 ( -g .--""7g PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: _ Ftg Drain - r r ELR Crawl Drain - trz -' Slab Inspection No tes J / /1,� SIT ----, Post & Beam C�� W / _ te A - A7 . Shear Anchors ?��p f / / •- Y _ Ext Sheath /Shear Sheath/ rami Insulation Drywall Nailing N 6 6` 4 -'4_ Firewall 1/1/k S 7 Fire Sprinkler V Fire Alarm Susp'd Ceiling _ L Roof c i . i 5� S U. 7 b L - r Other: Final a • - .41 . 1 ' , ' _ PASS PA FAIL PLUMBING n Post & Beam M G .....4•1 c w\ AS Under Slab Rough -In Water Service 4 N d n - v • Sanitary Sewer _.Q�,�� Rain Drains Catch Basin / Manhol Storm Drain (..- 1 1 _ j Shower Pan t�J �1�1►"'Q V./V\ Z�✓� 4 Nr l�,/� Other: • 1 Final _ _ ill.. dr S ._ t ilt PASS PART FAIL - MECHANICAL G. Sr, Post & Beam G s Lin Gas 1 1 \s CA/ a Line p , <*e_...; S �� n Smoke Dam ers �lJ� -� Final PASS PART FAI 0 ELECTRICAL S L A i . . . ` _ _ Service �� , Rough -In C�C.�' . f . - - UG/Slab Q - Low Voltage • Fire Alarm �� 0 e o �V , t- �y� . d ` c s � �•w Final �� PASS ❑ Rei • _ on fee of $ quired before e ext inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ` ADA '1 d 'L cp Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. " PASS PART FAIL CITY OF'TIGARD 24 -Hour BUILDING = Inspection Line: (503) 639 -4175 INSPECTION DIVISION • Business Line: (503) 639 -4171 MST BUP — o 6 3,1 — 7 Received Date Requested // < AM _ RM BUP Location So �.� �� Suite MEC Contact Person �L1j4 Ph ( ) 3 1 7 4 f PLM Con�tr g o Ph ( ) SWR BU DIN Tenant/Owner ELC Foun3ation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: '�� PART FAIL ``= ING 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _ SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA t` / I ^ f �� Approach/Sidewalk Dat nspecto Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL