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Permit
TIGARD A R D BUILDING PERMIT CITY OF PERMIT #: BUP2005 00397 ��, 44. DEVELOPMENT SERVICES DATE ISSUED: 8/15/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104DB -04400 SITE ADDRESS: 13130 SW ROCKINGHAM DR ZONING: R -4.5 SUBDIVISION: AMESBURY HEIGHTS LOT: 044 JURISDICTION: TIG Project Description: Deck 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: 40 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: $ 3,390.00 Owner: Contractor: DUFORT, ERIC J + D DAWN CUSTOM DECK & FENCING 13130 SW ROCKINGHAM DR 20345 SW PACIFIC HWY. PORTLAND, OR 97223 SHERWOOD, OR 97140 Phone: 503 - 313 -0605 Phone: 503 - 625 -6789 FEES Reg #: LIC 164165 Description Date Amount REQUIRED ITEMS AND REPORTS [CDCPLN] CDC Pln Rel 8/15/2005 $42.00 [LRPF] LR Planning Sur. 8/15/2005 $6.00 [BUILD] Permit Fee 8/15/2005 $81.70 [TAX] 8% State Surchari 8/15/2005 $6.54 (additional fees not listed here) Total $189.35 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 fort •AR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or •' ect question - 4i�'• calling 503 - 246 -6699 or 1-800- 332 -2344. , Issued By: Permittee Signature: ,� _reccidg..4.1.,i,th.... It NI Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit cared 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 OFFICE USE ONLY City of Tigard Received , /41.1.- _d:<< .� r 13125 SW Hall Blvd., Tigard, OR 972 E F Plan Review Phone: 503.639.4171 Fax: 503.598.1'.0 ' f'- ' r , s'1 ' Date/B . Other Permit: Inspection Line: 503.639.4175 t, J _ Date Ready/By. �1" ®See Attached Ch ecldist for Internet: www.ci.tigard.or.us 2005 - _ _ _ Notified/Method� Supplemental Info rm ation .� Te ,Pt F. W tO RI P. � REQUIRED DATA: 1- AND 2- FAMILY DWELLING s to ( *ew construction 3U. -LAIR daReMA 1�(O 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. Oe p 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 3 3 CO ..----- ❑ 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: I 1 1 R New dwelling area: square feet 3 Garage /carport area: square feet Project Suite/bldg./apt. no.: ‘' Covered porch area: square feet Cross street /directions to job site: Li3 s-" A C osr S.I_ 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.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the / ` � D � ESCRIPTION OF WORK 1 n work indicated on this application. `i / V E' U IJ it q ktA 5'� P p1 ore esst+ Valuation: $ O 4citrlel R I t Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: F i, C Dz,t. 1- Du /+�- Type of construction: Address: 1 `l RQ SC 1O e.)L1`n )19 Or Occupancy groups: City /State /ZIP: � c, 1 . 1 r\ O q 7 223 Existing: Phone: (fig ?(' .-OG ©C Fax: ( ) New: ❑ APPLICANT F CONTACT PERSON NOTICE Business name: C C , . OeCK A. 1 e vic. K.5 All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: Ti t� Deli, I v ^� under ORS 701 and may be required to be licensed in the Address: RC') sci C S L 9 0._ __ .1._t ,( jurisdiction in which work is being performed. If the _ applicant is exempt from licensing, the following reasons City /State /ZIP: S� ecu cx� O / apply: Phone: ( 9 0 3 ) G 2c- ` G7 R-9 Fax:: (5 )) rp z s G i 3 E -mail: CONTRACTOR Business name :S'13....K A PC'nC l l� .BUILDING PERMIT FEES* O � Address: � � ct CI 3 � l F t J Please refer to fee schedule. City /State/ZIP: e �' wo Q 9 7 i 44 c G �^ ..7.)- 6 6.r 3-i Fees due upon application Phone 3 ) tpoZ's- 7 ,3 C I Fax: (7 C 3) 6p 2 ' /6 L( (6, r ! / � Amount received CCB lic.: ;_ 42._ Date 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: --- 1f ,... Deli. Pi / K q I Date: " ( s Q S r - 41 Fee methodology set by Tri- County Building Industry J 1 Service Board. i:\ Building \PennitstBUP_PennitApp.doc 12/03 440-4613T(II /02ICOM/W®) One- and Two - Family Dwelling Buildine Permit Application Checklist loll usE oNi.Y City of Tigard Received g Date/By Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 n,. ,, Assoa permits: 24- Hour Inspection Line: 503.639.4175 _ �^ m( - II I ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us "". ❑ Other. THE FOLLOWING ITEMS ARE IZI QUIREU FOR PLAN REVIEW' , es 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 0 ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 ❑ 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 0 ❑ ❑ 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 0 ❑ ❑ 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, 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- ❑ 0 0 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 ❑ 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 ❑ ❑ ❑ architect licensed in Ore • on and shall be shown to be . • • licable 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 1T'. • ❑ ❑ 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. 0 ❑ ❑ 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 0 ❑ ❑ 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 \Permits\BUP- RES- PermitApp.doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15!2005 Phone: (503) 639 -4171 .��mm;dlgjtV Ihil Inspection Requests (24 Hrs.): (503) 639 -4175 . -„14 IL INSPECTION WORKSHEET FOR DATE: 8/17 /2005 TIME: 7:05AM PAGE: 80 SITE ADDRESS: 13130 SW ROCKINGHAM DR CLASS OF WORK: SUBDIVISION: AMESBURY HEIGHTS LOT #: 044 TYPE OF USE: PROJECT NAME: DUFORT DESCRIPTION: Deck OWNER: DUFORT, ERIC J + D DAWN, PHONE #: 503 - 313-0605 CONTRACTOR: CUSTOM DECK & FENCING PHONE #: 503 - 625 -6789 Inspection Request Scheduled For: Date: 8/17/2005 Pour Time: 9 Code # Inspection Description Confirm # Contact # Message 205 Footing 013700 -01 503-625 -6789 Y Corrections/Comments/Instructions: E'er - 5. x 4oS n-k Q L.� S. C��e,,e -- ,.----?, c Et PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 8— 1 — O 5 Phone #: (503) 718-