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Permit 4 ' , `-... ,v ,.., ,.„ CITY OF TIGARD B UILDING PERMIT A PERMIT #: B UP2001 -00264 pt,' DEVELOPMENT SERVICES DATE ISSUED: 7/25/01 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S125DD -03800 SITE ADDRESS: 09865 SW VENTURA CT SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 ZONING: R -4.5 BLOCK: LOT: 046 JURISDICTION: TIG 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: U2 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: $ 19,000.00 Remarks: Replace existing wood bridge /driveway with new concrete driveway. Owner: Contractor: KOSTUR, CHARLES J + DIANNE M TR CONCRETE 9865 SW VENTURA CT 1102 N SPRINGBROOK RD TIGARD, OR 97223 PMMB OOEBD-� 322 Phone: N Phon eR�03 -692D Reg #: LIC 107414 FEES REQUIRE ► IN : • ECTIONS � i -vi1 Type By Date Amount Receipt Footing Insp C - ;. PV Framing Insp s__ �' PLCK CTR 7/18/01 $146.71 27200100000 Final Inspection / / O PRMT CTR 7/25/01 $225.70 27200100000 ,p 5PCT CTR 7/25/01 $18.06 27200100000 l& 1 1 . Total $390.47 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes t 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 1 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1 -800 -3 -2 • - . Pennittee friii ii''-'- 7 4...".." Al Signature: _ Issued B : � W-. ' e% -6� By: Call 639 -4175 by 7 p.m. for an inspection the next business day .. BUP -.Building Permit ELC - Electrical Permit .4 Inspection Description Date Passed By -4 Inspection Description Date Passed By Footing /Setback $ -7- 01 K. Underground cover Foundatio , - (4 k K Wall cover _ Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing -4 Inspection Description Date Passed By Firewall _ Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing Inspection Description Date Passed By Suspended ceiling Post/beam mechanical Gas line Engineered soils Welding Lab Final Mechanical rough -in Concrete Lab Final Fire damper Duct work Bolting Lab Final Smoke detector Structural observation _ Mechanical final Fireproofing Lab Final Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab Inspection Description Date Passed By _ Crawl drain _ _Sprinkler underfloor /slab _ Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils / Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection _ Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \ forms \ 1nspRecordBUP.doc 04/17/01 4 p CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00264 �� DEVELOPMENT SERVICES DATE ISSUED: 7/25/01 {- II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S125DD -03800 SITE ADDRESS: 09865 SW VENTURA CT SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 ZONING: R -4.5 BLOCK: LOT: 046 JURISDICTION: TIG 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: U2 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: $ 19,000.00 Remarks: Replace existing wood bridge /driveway with new concrete driveway. Owner: Contractor: KOSTUR, CHARLES J + DIANNE M TR CONCRETE 9865 SW VENTURA CT 1102 N SPRINGBROOK RD ' TIGARD, OR 97223 PMB 114 G OR- g 32 Phone: N Phon eR b03 69Z -4'fD Reg #: LIC 107414 . T FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp PLCK CTR 7/18/01 $146.71 27200100000 Framing Insp Final Inspection PRMT CTR 7/25/01 $225.70 27200100000 5PCT CTR 7/25/01 $18.06 27200100000 Total $390.47 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 -6699 or 1 -800 -3 -2 Pe nn itu e re: J 7, 1 ,rip I ii 6, sv - # r . ■ i pm Signatu / Issued By: Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Application A Date received: 7 N. Q , Permit no.: t.[ pow - 00„94 � ..'A,,,�yi's City of Tigard Project/appl.no.: Expire date: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: ( TYPE OF PERMIT 15 1 & 2 family dwelling or accessory ❑ Commercial/industrial CI Multi-family CI New construction 0 Demolition ' • Addition/alteration/replacement ❑Tenant improvement O Fire sprinkler /alarm ❑Other: JOB SITE INFORMATION \ E Job address: Y$611 ,f (, (At lira , Bldg. no.: Suite no.: Lot: I Block: (Subdivision: I Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: id ..,/ ,/ Al. ,' A _ -.� ■ - _ /. . i _; .' _ - �. �; OWNER _ FOR SPECIAL INFORMATION, USE CHECKLIST ._1 Name: :'Illr. it (Flood plain, septic capacity, solar, etc.) Mailing address: C w V eil u.v c , I & 2 family dwelling: , City: T' IState: ©g IZIP: ?72,2 Valuation of work $ Phone: 503/.293 -42Y9 (Fax: IE -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.) T � ��� v s Mailing address: / /f), ,/�� , goo �' / f 6 / / / Deck area (sq. ftft.) q City: -'- . tate - ZIP: ‘ 72 Other structure area (sq. ft.) ha DG' ( Phone:: ! Fax: 330 - 0 Eg -j< Commercial/industriaIImulti- family: q CONTRACTOR Valuation of work $ Business name: Existing bldg. area (sq. ft.) y� , New bldg. area (sq. ft.) Address: • l ,,,�Lwt��gr ✓�rgwir Number of stories City: ; , 9 , 4 _L #J 4 ZIP: 10 2 Type of construction Phone: • / - 0 d Fax. 330 - 7i , CI1� ?Occupancy group(s): Existing: CCB no.: 70 7y /5/ °,► 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 City: I State: I ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: Name:// or , „. Contact person: Fees due upon application $ Address: / 3no l ,j, X � Date received: City: ,c� State��' (ZIP: -1 ii1 Amount received $ Phone: , r / ' 11.z I Fax: /,5' 4.0[0 (E-mail: I 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 d ordinances governing this ❑ Visa 0 MasterCard work will be complied with, fher : - • fled h - in or not. Credit card number: / / V / ` � � / . Expires Authorized sign � 1' ' Pls Date: 7 l� / Name of cardholder as shown on credit card Print name: 1amit s - / ✓ 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 (6/00/COM) One- and Two - Family Dwelling • • • • ' ' Building Permit Application Checklist Reference no.: Associated permits: City of Tigard 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 distnct, etc. 3 Verification of approved platllot. 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. �L— 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. I 1 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. 26 No rolled, reversed or mirrored building plans will be accepted. 27 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. 440 -4614 (6/00/COM) " - CIil( OF TIGARD BUILDING INSPECTION DIVISION .; MST �� r 24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171 p� BUPa2Q / -OOa Date Requested 0 - 1 AM PM BLD Location ? O (t Suite MEC Contact Person j" Ph 1 58107 z _ PLM Contractor 1 Ph ( J� z/9 %0 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR • 00 • Access: Foundation FPS Ftg Drain /V� e.)/ 524-A- SGN • Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing ,a oars uos A • u r N v" C/..1-4 c Insulation Drywall Nailing _ Firewall Fire Sprinkler - Fire Alarm . Susp'd Ceiling Roof Misc: Fin - AS PART FAIL - LUMBING • Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ " ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd • Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date P " 7r � Other • Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - • 'Cr( OF TIGARD BUILDING INSPECTION DIVISION , MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP avo( D6..l eo T Date Requested 7-(`f AM PM BLD Location ��(� � V , (t Suite MEC Contact Person Ph -/8 / —s—S6 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC - etai ing Wall ELR Foundatioli Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing ou� •. ps,r P /uq In sulation //�� Drywall Nailing 6 fv 2_ t S pc r�- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: . PASS PART -FAIL PLUMBING Po & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART. FAIL SITE Backfill /Grading Sanitary Sewer • Storm Drain [ ]•Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk _ / y � of Other Dat I nspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF 1 IGARD BUILDING INSPECTION DIVISION -- 24- Hour4nspection Line: 639 -4175 Business Line: 639 -4171 MST BUP c -,7OZ�( — O a to - Date Requested — 17 AM PM BLD Location ? (o ,� C}t Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall • ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT • Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Pe,e)(3 �,¢- '' l Tj� � 4 �k� ?I�� =-� 6r r r d.C� Firewall Fire Sprinkler , Fire Alarm i 1 1S ' 1J �� ! S Susp'd Ceiling.. _ -. P d. IN Roof • Misc: Final PASS PART IP PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer • Rain Drains , 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 PASS PART FAIL SITE BackfilUGrading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspecti n. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date I °/ Inspector ' Ext Final • PASS PART FAIL • DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION. DIVISION • MST 24 -Hour Inspection I, ine: 639 -4175 Business Line: 639-4 42) P-67) / — CZ)D- • Date`Requested E-2-\ AM PM BLD Location 9 S(o S 0.7/ Suite MEC Contact Person Ph e g ( S 7 PLM Contractor Ph SWR BUILDING Tenant/Owner V ELC Retaining Wall \ ELR Footing Foundation Acces sCy I i FPS Ftg Drain f Crawl Drain Inspection1Votcs: ,c SGN Slab �t/ , SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear Framing Insulation R,?5 Drywall Nailing C '1 T Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PART FAIL • II BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 . PASS PART FAIL SITE Backfill /Grading Sanitary Sewer • • Storm Drain V [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA (, Other C proach /Sidewalk H ?/f (O( Ext I nspector Date �� �--�� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.