Permit r1
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2001 -00319
w 1 1 DEVELOPMENT H BMENg Tigard, ) 639 -4171 DATE ISSUED: 6/7/01
SITE ADDRESS: 08986 SW WAVERLY DR PARCEL: 2S114AD -03500
SUBDIVISION: WAVERLY ESTATES ZONING: R -12
BLOCK: LOT: 034 JURISDICTION: TIG
- REMARKS: Storage area under SF dwelling.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: 220,00 sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: S 8.900 00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0.00 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: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & 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 # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 274.99
BURKE, E DAVID + This permit Is subject to the regulations contained in the
BUR KERRI E ALL TECHNIQUE CONSTRUCTION
BUR E, DAVID + DR 10810 NE FARGO Tigard Municipal Code, State of OR. Specialty Codes and
8986 SD, OR WAVERLY
PORTLAND, OR 97220 all other applicable laws. 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 the
work is suspended for more than 180 days. ATTENTION•
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 107005 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Footing Insp Framing Insp
Post/Beam Structural Insulation Insp .,
Underfloor insulation Electrical Final
Electrical Service Final inspection
Electrical Rough In
/ / I
� � �, , _/ I `
Issued B L �� . ��
By : �J I Permittee Signature ()dap
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
7D L'? - , / -cr_ °)3 3
Building Po
A tied: S 3/ D/ Permit no. 201)/, Dv
r i�il City of Tigar�
' . Projectlappl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: ����� • eceipt no.:
Fax: (503) 598 -1960 l/7 /
Case file no.: Payment type:
Land use approval: 1&2 family: Simple Complex:
TYPE OF PERMIT
Al I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
.' Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
X Job address: . : • ' Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: S TOR Q ( 0-h. 6 ee. Reim Of / oUJ.Se,
.00.,-i Ins E 1 ,
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: e..,
Mailing septic capacity, solar, etc.)
Mailing address: • 8d, S, _ a) , , ` I & 2 family dwelling: Q
ZIP: Valuation of work $ 8� {O �
Phone: i. - Fax: E -mail: No. of bedrooms/baths
Owner's representative: s ` it , a Total number of floors
Phone: 03 Y4'-O!_ O 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: State: ZIP: Other structure area (sq. ft.) t AO
Phone: Fax: E -mail: Commerciallindustriallmulti- family:
CONTRACTOR Valuation of work $
/ Business name: „ , . el io - ) �.C,�'LS7t • f O Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
I Address: /I, /6 , - ' . •
��i State zip:- a Number of stories
Phone: a e C ■∎ : -6'�,. . Type of construction
E -mail:
CCB no.: 0 p c5 3 0 2— Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /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: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $ P v. 3/
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: 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 Cl MasterCard
work will be complied with, whether $pec }feed h or not. Credit card number: Ex Tres
C�1 m ¶ S� Date: U �� +U IL — O p
` Authorized signature: Na me of cardholder as shown on credit card
/ Print name: / / /GDf_`N G thl/e 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 (6100/COM)
One- and Two - Family Dwelling
Permit Application '
Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City of a
❑ Electrical 0 Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
TIIE 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.
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 (6100 /COM)
•
.]u• 05 01 0 :34p p•1
Electrical Per mit Application
Date rea+ived: _553/0/ Permit no.; h,'p / —Da 3 9
"' `{ "1 Pro ecde l no.: Expire date:
Ciry ofTigard Address: 13125 SW Hall Blvd, Tigard, OR. 97223 Date tsar ed: 037rr 1 Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval:
. TYPE 01 PERMIT .
0 I & 2 family dwelling or accessory 0 Commercial /industrial O. Multi- family 0 Tenant improvement
(.1 New construction 0 Addition/alteration/replacement Cl Other: 0 Partial
Job address: r? e (m $ k1#i//'7eLy Bldg. no.: Suitt no.: Tax map /tax lot/account no.:
Lot: Block: 'Subdivision:
Project name: [ Description and location of work on p_retnises:
Estimated data of completion/inspection:
FEE SCHEDULE ......... ...._....,.
Fee Max
Job n0: Description Qt y- (em) Total no. Limp name: /7) /Up /Z Fd r (c. Nat rasideodal -single ortaultt- fomilyper
Address: 033 N/-' O 1 y . & wringanit _Inchsdea attached gerag-
• City: pt) r f (F1V e I State:012 I ZIP: 97a 3 , Ser ice:Awed:
Fax: •� E-mail: 1000 sq. h. co less 4
Phone; 'i �' f { /-3(� f �'1 �. y am/ Each Wilier td 500 sq. ft or portion thereof
CCB no.: OR n4( 1 Elec. bus, lie. no: Limited enesi y.,esidential 2
City /m tic. no.: Limitedenerly residential _ 2
,5' _ of Gashna ,uts au , ed home or modular dwellina
Signature of supervising code = required) Date // SeJviceand/tr feeder 2
/ 5 Senktsort:eders- 4"ullatioa,
Sup. elect name (prim): s , 1 L V or License no: alterationot relocation:
.l' ROPE.RT1',0NV:s;E It_ ... _ ..... _ zoo amps or esa 2 I .
k 201 harps to :100 amps 2
Name (print): u 401 amps to i00 amps 2 ,
Mailing address: 8 gb s; a ) am U e2 l 9 - 601 amps to 1000 amps 2
City: 7 dge)) 1 Srate ZIP: Over 1000 at lips or volts _ 2
Phone:S g 9 4 9 - 6 3 , 1 / [Fax: [ E -mail: Reconnect ally 1
Owner installation: The installation is being made on property I own lkoporary 'craters orfeden -
Installation, alteration, or relocation:
which is not intended for sale, lease, rent, or exchange according to amps or lets 2
ORS 447, 455, 479, 670, 701. 201 amps to•400 amps 2
Owner's signature: Date: 401 to 600 a rips 2
Branch etre alb - new, alteration,
oc extrados' per panel:
Name: , A. Fee (orb anch circuits with purchase of
Address: service or feeder Ice, each branch circuit 2
City: (State: [ZIP: B. Fee for branch circuits without purchase
of actvic: or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: ' .
Each additic nal brands circuit:
PLAN III '% IEW (Please cited( all HIM apph ) Misc. (Sen Ice or feeder nor liicladed):
U Hearth case facility Each pump sr irrigation circle - 2
OServiceover225amps- nunercial y Each outline lighting n
rc 2
O ratingofI &2 ❑Hazardouslocation Signal civets ora 6mt ieener anal,
family dwellings O Building over 10,000 square feet four w gnu (61 energy p
O System over600 volts nominal mom residential units inane structure alteration. o:extension• _
-
2
0 Uuildtng over three stories la Fenders, 400 amps or more •Descnpoo t: , - .
a Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspedion over the allowable In any of the above:
L] Egreas/lightingplan O Other. Per inspectim f l I l
Submit _ -- sets of plans with any of the above. tnvestigatic n fee
The above are not applicable to temporary construction service. Other
Penult fec $ _
Not all Jurisdictions accept endit cards, please rail jwi,dieuoo for more iv onnation• Notice: This permit apldteahon Plan review (at _ °/n) $
O visa la MasterCard expires if a permit is nod obtained
credit card number 1 / within 180 days after it has been State review
surcharge (8%) "" $
Ex accepted as complete TO AL $
None or cardholder as abown oo credit card $
Cameleer egsarrae Amount 440-461 S (SIOOICOM)
z �' Y
CITY OF TIGARD BUILnING INSPECTION DIVISION MST -40 3/
24,14b" ur Inspection Line: 639- 5 Business Line: ' 639 -41 ■
BUP
Date Requested 7 4 AM PM BLD •
Location v IK 5 w GdG y r /17 Suite MEC
Contact Person Ph 31t/- o /,S PLM
Contractor Ph SWR
tte 1 Dlt1l• Tenant/Owner ELC
mg Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: • SGN •
Slab SIT
Post & Beam •
Ext Sheath /Shear
Int Sheath /Shear
Framing Al 64 C i-Zo2k7e
Insulation
Drywall Nailing . 7 -C IZCS .' °/CA C C 3 ; /n �L� / 'i7
Firewall
Fire Sprinkler
Fire Alarm / U
Susp'd Ceiling /1/2a S' c - 1- / /T/ ()O 3 2
Roof - TrG
A p °' p �
Misc: - Td 1 e?",
A S PART FAIL
BING
• Post & Beam
Under Slab •
Top Out
Water Service it°, / ex,7, yr
Sanitary Sewer
Rain Drains -
Final /
PASS PART FAIL Sr" / 'h a
MECHANICAL
Post & Beam /44-2 �� gy
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 � ,�
Other Approach/Sidewalk / � ,.. w,'-' Ext ?lo
Other Date / " <v ' o� Inspector 2
Final
PASS PART FAIL - DO NOT REMOVE this inspection record from the job site. -
CITY OF TIGARD BUIL 'NG INSPECTION DIVISION L/, /l "
t
.24 -Hour Inspection Line: 639-4 5 Business •Line: 639 -417%
MST
BUP
Date Requested / -13 AM PM - BLD
Location g96-6.5 Suite MEC
Contact Person Vi y Ph 3/ d I / U PLM
V M
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall 7 ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab (ICC PS s G/L -oI.t /ta' SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing " •
Insulation
Drywall Nailing .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
• PASS PART FAIL
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
LECTRI
•
Service
Rough In
UG /Slab
Low Voltage
F' larm.
SS ART FAIL
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: S 411 [ Unable to inspect - no access
ADA / ¼. 13 / Approach /Sidewalk / other D a t e D / Inspector / � �,A / !. // AL. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.