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15295 SW Alderbrook Court
/. 73p
C:TY OF TIGARD BUILDIN INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -�----
B UP
—- -Date Requested s— z — AM PM — BLD
> Sw' C!/ D r�G Suite MEC
Location- / -- — -- —G- -- _--- __-- .
Contact Person --_ -�—^� Ph / PLM
r"ontractor - - ----- - Ph --- SWR ------_----
11Ll�lr� - Tc-nant/Owner -
Retaining Wall EL!2 —
Footing Access:
Foundation FPS
Ftg Drain —�_-- -- SGN
Crawl[gain Inspection Nate.: - - -----— -
Slab �_..— ----- ------- -__ - ----- ------- SIT
Post RBeam ---------�-----
Ext Sheath/Shear
Int Sheath/Shear _.._
Framin
F
ailingkler ilingPART FAIL -- - - - ' - --_
PL NhBING
Post 8 Beam —
Under Slab
fop Out
Water Service
Sanitary Sewer
Rain Drains _—
Final
PASS PART FAIL
MECHANICAL
Post& Beam --__ -- -----___. ._-____-- - — — --
Rough In
Gas Lina - ------- -- ------- --- — — -------
Smoke Dampers
Final _ —- ----------- — — —
PASS PART FAIL
ELECTRICAL ---------___._ --__---- _ .— --
Service
Rough In
UG/Slah
Low Voltage
Fire Alarm - -- ---- —s_.— -- — -- ---- -
f final
PASS PART FAIL _-- -----------_----_._-.-- _ -- -SITE
Backfill/Grading _._—..-------- ----_---__--_----------�---_ -------- ------
Sa,atary Sewer
Storm Drain I ]Reinspaction fee of$ required befcre next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ]F lease call for reinspection RE _ [ ] Unable to inspect-no Z!rr.,,-Ss
Fire Supply Line -------
ADA
Approach/Sidewalk
Date S' 2 S-'C �_ Inspector �.� Ext
Other ----- --- - -- --- ---
Final
PASS PANT FAIL DO H07 REMOVE this inspection record from the job site.
BUILDING PERMIT _
CITY OF TI ��AR BUILDING
BUP2001-001)52
DEVELOPMENT SERVICES DATE ISSUED: 2/2/01
13125 5W Hall Blvd., Tigard, OR 97223 (503) 639-4171
PAR-EL: 2S111 DB-06600
SITE ADDRESS: 15295 SW ALDEPBROOK CT
SUBDIVISION: SUMMERFIELD NO.7 ZONING: R-7
BLOCK: LOT: 394 JURISDICTION: TIG
REISSUE: FLOOR AREAS - EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPF OF USE: SF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: LINK. sf N: S: E: W:
OCCUPANCY CRP: R3 'TOTAL AREA: 0.00 sf ROOF CONST: FIkE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQ_D_SETBACKS REQUIRED _
FLOOR LOAD: ps` LEFT: - ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: fl REAR. ft FIR ALRM : HNDICP ACC.:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Installation of 4' x 5'window in south wall of house.
Owner: Contractor:
^KIE HOLDEN OWNER
15295 SW ALDFRBROOK CT
TIGARD, OR 97224
Phone: 503-968-1796 Phone:
Reg #:
- — -� FEES _ _ — REQUIRED INSPECTIONS
Type By hate Amount Receipt I Framing Insp
PRMT CTR 2./2/01 $62.50 27200100000 Final Inspection
5PCT CTR i;9"11 $5.00 2720010001.`0
PLCK CTR 2/2/01 $40.63 27200100000
— – notal ---$1Q8.13
This perrni,is issued sul ject 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 r1iles adopted by the Oregon Utility Notification Center. Thcse rules are set forth in OAR
952--001-0010 through GAR 952-001-1987 You may o0ain a copy of the.,:e rules or direct questions to CUNC by
calling (503)246-1987.
Pemiitee
Signature: -.._-
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Permit #:
pF U
�� 2 9 S �,� ,�L�f/zh/�o�
,n;, Address:
c o
N .° T � z IssuedQj Q-,�c.o _ Date: yZ
—
Statement: Information Notice to Property Owners
About Construction Respow.soibilities
Note: Oregon Law, URS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit c an be issued. This statement is required
for residential building, electrical, mechanic a., and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and einer box 3A or 313:
. I own, reside in, or will reside in the completed stnti:ture.
2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
1;1 My general contractor is —--———
(Name) Contractor regis. #
I will instruct my general contractor that all subcon ractors who work;on the structure must be
registered with the Construction Contractors Board
OR
3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontracto-s registered with the Construction Contractors
Board. If I change my mind and hire a general contr.ictor, I will contract with a contractor who is
registered with the CCD and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that'the above information is correct and that I have r ead and du understand(Fie Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
C (Signa o permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
information Notice to Property Owners
AbOUt Con:traction Responsibilities
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Building Permit Application
ID,!.tereceived: P J6) r Permit no.-. J44
City of 'Tigard
Cas rr//'igard
Address: 13125 SW Hall Blvd,Tigard,OR 97221 Pro�ec t/appl.no.: Expire date:
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:
;Job
2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition
dition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: — —_
dress: Bldg.no.: Suite no.:
Lot: _Block: Subdivision: _ Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
Name: t
Mailing address: eA 1 &t family dwelling:
City: State: ZIP: Valuation of work........................................ $ COO
Phone:_, >> Fax: E-mail: No.of bedrooms/baths.................................
Owner's representative: Total number of floors.................................
Phone: Fax: E-mail:
New dwelling area(sq. ft.) ..........................
Garage/carport area(sq.ft.).........................
Name: t Covered porch area(sq. ft.) .........................
q. ft.)Deck area(s
Mailing address: ........................................ — ----
City: I �c - ZIP. Other structure area(sq.ft.).........................
Phone: Fax: E-mail: CommerciaUindnatrinUmtrlti-family:
Valuationof work•....................................... $
Business name: _
Existing bldg.area(sq.ft.) ..........................
Address: New bldg.area(sq. ft.)................................
Ci---ty: state: 7.IP: Number of stories
........................................
Phone: Fax: _ E-mail
Type of construction....................................
CCB no.: — - -'— Occupancy group(s): Existing:
New:
City/metro lie.no.: Notice:All contractors am'-ubcontractors are required to he
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
Cit State: 7-hp - exempt from licensing,the following reason 1pplies:
Contact person: _ Plan no.:
Phone: __Rax:
E-mail: --- --
Name: Contact person: Fees due upon application ........................... $
Address: Date received: _
City: State: ZIP: Amount received ......................................... $ _
Phone: Fax_ - E-mail: Please refer to fee s.hedule.
hereby certify 1 have read and examined this application and the Not dl jurisdictions accept crrdii cards.please can 06dkaon for more infixmation
attached checklist.All provisions of laws and ordinances governing this U Visa U MasterC.rd
work will be complied with,whether seer ed herein or not. r'Rmt card number __-_ - Expires/
Authorized signatutt3:,(�� 'CL ' 'JV-6t- n-Date: 4 - Z C Name of cardholder u shown on t cwd
Print name: �•` t t / t' - $ -
---- Cardholder signature Amount
Notic'e:11►is permit ap lication expires if a permit is not obtained within 180 days atter it has beet,accepted as complete. 4404611(60WOM)
leu�
One-an+Two-Family Dwelling
Building Permit Application Checklist Keferenceno.:
Associated permits.
0tv of Tigard Civy of Tigard U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97'.' U Other.
,'hone: (503) 639-4171
Fax: (503) 509 1960
FOLLOWING t t t '
Land use actions completed.tics iunsdtctuut crucna fur concurrent revlcw.s.
2 toning.Flood plain,solar balance points,seismic soils designation,historic district,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 U plan U 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
it copyright violations exist. __-
11 ilelplot plan drawn to scale.The plan must show lot and building setback dimensions;pi ierty corner elevations(if
there is more than a 4-111.elevation differential,plan must show contour lines at 2-11,intervals):location of easements and
ciriveway;f�xrtprint 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
Sire and location.
13 Floor plans.Show all dimensions,room identification,window sire,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 its floor Dams,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 Wail bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations,for
tion-prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floorlroof framing.Provide plans for all ilo ors/roof assemblies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
18 Basement and retaining walls.Pro%ide cross sections and details showing placement of rebar. For engineered
systems,see item 22,'•En ineer's calculations." _
19 Beam calculations.Provide two sets of calculatiuns using current ;ode design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floorlroof 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,rad muss)shall he stamped by an t agineer or
architect licensed in Oregon and shall he shown to he applicable 1,d the project under review.
23 Five(5)site plans are required for Item I I above. Site plans must be 8-1/2"x. 11"or 1 I" 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
!'hecklist 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. coo-614 tdoorc'oMd
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