Permit a CITY OF TIGARD
MASTER PERMIT
i c e) + s.
PERMIT #: MST2008 -00105
COMMUNITY DEVELOPMENT DATE ISSUED: 7/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DD-02500
SITE ADDRESS: 06905 SW VENTURA DR ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT: 016 JURISDICTION: TIG
PROJECT: BOYER
Project Description: Cantilevered deck cover over existing deck.
BUILDING
REISSUE: CUSTOM STORIES FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK OTR HEIGHT. FIRST sf BASEMENT sf LEFT SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND. sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST• 5N DWELLING UNITS THIRD sf RIGHT
VALUE: 7 50 0 0
OCCUPANCY GRP: R3 BDRM. BATH. TOTAL 0 sf REAR
PLUMBING
SINKS WATER CLOSETS. WASHING MACH LAUNDRY TRAYS: RAIN DRAIN TRAPS:
LAVATORIES. DISHWASHERS: FLOOR DRAINS. SEWER LINES: SF RAIN DRAINS' CATCH BASINS*
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS. WATER LINES' BCKFLW PREVNTR GREASE TRAPS
OTHER FIXTURES
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS.
MAX INP: btu FLOOR FURNANCES. VENTS: W00DSTOVES: GAS OUTLETS.
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS 0 - 200 amp: 0 - 200 amp: WISVC OR FDR. PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALIPANEL. IN PLANT:
MANU HMISVCIFDR" 601 - 1000 amp: 601 +amps -1000v MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only
>•4 RES UNITS. SVCIFDR> =225 A.: > 600 V NOMINAL CLS AREA /SPC OCC"
ELECTRICAL - RESTRICTED ENERGY
A SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO. VACUUM SYSTEM. AUDIO 8 STEREO. FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH. BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR
HVAC" DATA/TELE COMM. NURSE CALLS: TOTAL 0 SYSTEMS:
This permit is subject to the regulations contained In the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
THOMAS L BOYER OWNER laws All work will be done in accordance with approved plans This
6905 SW VENTURA DR permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 if the work is suspended for more than 180 days. ATTENTION
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth in OAR 952 - 001 -0010
through 952- 001 -0080 You may obtain copies of these rules or direct
Phone: 503 - 421 - 2250 Contact #: questions to OUNC by calling 503.246.6699 or 1 800 332 2344.
Reg #:
TOTAL FEES: $ 110.63
REQUIRED ITEMS AND REPORTS
i
�.,, ,,
Issued By, _5t��
// �� Per
j mittee Signature
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.
Building Permit Application
Residential FOR OFFICE USE ONLY
ECEI Q
City of Tigard � Date/By Received �t1 �/ Permit No -00/ 6
C ° 13125 SW Hall Blvd., Tigard, OR 97223 _ 2 2008 Plan Review
Phone 503 639 4171 Fax 503 598 1960 �UL Date/By ' 0� • Other Permit
T I G A R D Inspection Line 503 639 D Read B O / Ju. HI See Page 2 for
Internet. www tigard -or gov CITY OF T IGNR� Notifies eihyd. 7 7 O ( r Supplemental Information
TYPE OF �u i —
i I SIS 61 ,1<_ irM :_ ,.
QUIRED DA A: 1- • it = 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
E Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRUCTION work indicated on this application.
12and 2- family dwelling ❑ Commercial /industrial Valuation: $ 72 Q 4o
ID 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: 67 .5 sty ✓ENS ,qA O d7 New dwelling area: square feet
City /State /ZIP: 77 64,e0 Oe 97;2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: ?q11/ 7 Z' —2" i 'e 74. Deck area: square feet
/ r 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
/ . ' DESCRIPTION OF WORK • . • work indicated on this application.
4d/ CA et 2`•�� ✓e/'ei� o/PG/f ca 1/e/- (644/4/ f Valuation: $
/ D p _` /) Existing building area: square feet
T ,�/ New building area: square feet
� rROPERTY OWNER ❑ TENANT Number of stories:
Name: -7 t.7,1d 4._ ,ig ve� Type of construction:
Address: S'4f.41E / Occupancy groups:
City /State /ZIP: Existing:
Phone: (5Q3) 4,2/ _22 S0 Fax: ( S? ) 2r- -' 706 New:
❑ APPLICANT. ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: 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
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply: ( • SO
Phone:( ) Fax::( ) L
E -mail:
Otux) C ONTRACTO R O
Business name: � (2i BUILDING PERMIT FEES*
Address: (Please refer to fee scheduled .
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received: e Q . e0 3
Authorized signature: 1
This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
Print name: 7/,le 4 - eve-4 [p
" Date: ._ /9_ , 9g * Fee methodology set by Tri- County Building Industry
1 Service Board
I.\Building\Permits\BUP -RES PermitApp doc 11/6/07 440- 4613T(I 1 /02/COM/WEB)
Building Permit Application Checklist r' - -�
One- and Two - Family Dwelling FOR OFFICE USE ONLY 4 +
City of Tigard Received permit No
114 • 1 3125 SW Hall Blvd , Tigard, OR 97223
Associated
C Phone 503 639 4171 Fax 503 598 1960 Associated permits
24- Hour Inspection Line 503 639 4175 0 Electrical 0 Plumbing 0 Mechanical
TI G A R D Internet www tigard -or gov ❑ Other
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. Name of district: ❑ ❑ ❑
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 rf -
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 maybe 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'sh'owing 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 as slicable 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 1 I" 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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and accompanied by the project arborist's signature of approval.
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 03/21/06 440- 4613T(1 I /02/COM/WEB)
CITY OF TIGARD �
BUILDING DIVISION PERMIT #: /1J - 2" B 9G /OS'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 +d
Inspection Requests (24 Hrs.): (503) 639 -4175 ': "'IL.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 670T f (,✓ V 'M 2I ' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: pe Gg- C,0
OWNER: 77O't i r 110/7/1 f PHONE #:
CONTRACTOR: � � PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
FINf}i- doo2-36
Corrections /Comments/ Instructions:
f'
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j3I J /L4. Date: 3 -)-o? Phone #: (503) 718 - 2-4-9-g