11550 SW CROWN DRIVE-1 'll
rJ;
i
1
O
7
G
11550 SW Crmi n 1)r
'3,.
��� �� �'���� `__BUILDING PERMIT
►'ERMIT #: BUF12u02-00157
lk DEVELOPMEN i �ERV�CEJ DATE 13SUED: 5/2/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CA-80202
SITE ADDRESS: 11550 SW CROWN DR 002
SUBDIVISION: KING CITY CONDO. BLDG #80ti ZONING-
BLOCK; LOT: 002 JURISDICTION: KIN
— REISSUE: _----FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: I3,Ef'cut�� FIRST: sf M: S: E: W:
TYPE OF USE: §r m SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CONST: 5N sf N: S: E• W:
OCCUPANCY GRP: R3 TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMEN': st AREA SEI'. RATED:
STOR: H f: ;t GABA-C: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REVD SETBACKS _ _ _REQUIRED_ _
FLOOR LOAD: psf LEFT: ft RGHT. ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BFDRMS: BATHS: IMP SURFACE: "w CORR: PARKING:
VALUE: $ 3,329.00
Remarks: Repair of dry rot in common wall.
Owner: Contractor:
BRUCE HALLOCK HOMEFRONT REMODELING
10455 W TRAPPER TERRA('E 18351 WOODTHURST WAY
BEAVERTON, OR 97208 LAKE OSWEGO, OR 97035
Phone: 503-781-5145 Phone: 203-706-4183
Reg#: LIC 131181
_ — — FEES REQUIRED INSPECTIONS _
Type �By ' Date Amount Receipt Framing Insp
PRMT CTR 5/1102 $81.70 272JO200000 Insulation Insp
5PCT CTR 5/1/02 $6.54 27200200000 F;nal Inspection
PLCK—CTR 5/1/02 —__ $53.10 27200200000 v1
Total $141.34
',lis permit is issued subject to the regulatinnc contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work wi!i be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuar ca, or if work is suspen..ed for more than 180 days. ATTENTION: Orego.i law
requires you to follow the rules adop'.ed by the Oregon Utility Notification Center. Thos3 rules are set forth in OAR
9F2-001-0010 through OA)R 952.-001-V87. Y-artn ay obtain a copy of these rules or direct questions to OUNC by
k'vi11:nq (503)246-669.9 Qr'1-800-332-,234 /
Pe•mittee
Signature: %14-x_
q �
issued By: .I '' , _ r� L' - ---- - -
Cali 639-4175 by 7 p.m. for an Inspection the next huGiness day
77 �IAA '11
Building Permit Application
— --
IDatereceived: Pern►itno.: /�u,!�_�n r-7 \
City of Tigard
Aj I rojccUeppl.no.: Expire date: 1
CiryojTipard Address: 13125 SW Hall Blvd,Tigard,OR 97223 t
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: _T"
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-farnily U New construction U Demolition I
U Addition/alteration/:eplacement U Tenant improvement 'J Fire sprinkler/alarm U Other: —_ L
L
Job address: Px Bldg.no.: ISuite no.:
Lot: I Block: Subdivision: _ Tax map/tax lot/account no.:
Project name:
Descriptioc;and locatioo of work on premises/special conditions: l c 1V 6 AA eki'¢u—
._
i�
Name:
Mailing address: 1&2 family dwelling:
City: �1 State r ZIP: (,`e Valuation of work........................................ $
Phone: /(V Fax: E-mail: No.of bedrooms/baths.................................
Owner';representative: _ Total numbc.of floors.................................
Phone: Fax: E-mail: Nei%dwelling area(sq.ft.)
rarage/carpurt area(sq.ft.)......................... _
Name: Covered porch area(sq. ft.) .........................
Mailing address: Deck area(sq. t.) ................... ...................
Other structure area(sq, fl.).........................
City: State: ZIP: f'ommercitUlndustrtaUmulti-family:
Phone: lax E-mail: Y'
Valuation of work........................................ $
Existing bldg.area(sq.ft.) ..........................
Business name: 61+ —
Address: r" �J✓C� - P New bldg.area(sq,ft.)................. ..............
S State ZIP: Number of stories............ ...........................
city: . X
j$�
Type of construction....................................
Phone Fax: Email:
Ct�B no.- Occupancy group(s): Existing: —
New:
City/metro lie.no.: Notice:All contractors and subcontractors are requi- it to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: — _ State: TZIP: exempt from licensing,the following reason applies:
Contact person: Plan no.: -- —
Phone: Far.: _! - E-mail — —-- ---
Name: "on',act person: _ Fees due upon application ........................... $
Address: _ ^ Date received: _
1]ity• _ State: ZIP: Amount received ......................................... $- -- —
I'hone: F.-mail: Please refer to fee schedule.
1 hereby certify I have read and examined this application and the Not all iuridictions ucept credit cards,pleaw call Jurinfiction for more information
atcoched checklist. A.II rov ions of laws and ordinances—vernin this U visn U MasterCard
P �. g
wore will be complied wit whets ified h�p,a or not. Credit care number:— _ _ _��—
I' • Excites
Authorized signature! ..Date:_ c Name of cardholder as shown on credit card
__— - s -
Print name: .eJLC�' �� -_ Cardholder ai�nuwe Amount
Notice:71tis permit application expires if a permit is not obtained wi ip IRO days rRar it has been accepted as complete. 440.46:3(6KOCOM)
�i j
One-and Two-Family Dwelling.
Building Permit Application Checklist Reference no.:
Associated permits:
C'irya(Tigard City of Tigard g ❑Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ❑Other:
Phone: (503) 639-4171
Fax: (503) 598-1960
REQUIRED V N 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 plotflot.
4 Fire district_ approval: required.
5 Septi: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-wary protection,silt fence design and location of
_ catch-basin protection,etc. _
10 3 Complete sets of legibir plans.Must he drawn to scale,showing conformance to applicable local and state
building codes.Lateral Cesign details and connections must be incorporated into the pians or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review-annot he 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 4-11.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,windov, size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks iii inches above grade,etc.
14 Cross seeiion(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-Noor,
wall construction,roof construction.MOTE than one cross section may he 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 grauc is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(I.escriptive path)and/or lateral analysis plans.Must indicate details and locations;for
1 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 hearing
locations.Show attic ventilation.
18 Basement and retaining wills.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 fioorfroof 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 he stamped by an engineer or
atchitect licensed in Oregon and shall be shown to be applicable to the project under ►eview.
23 Five(5)site plans are required for Item I 1 above. Site plans must he 8-1/2"x I I"or I 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. "Mirrored"building plans will he not accepted. _
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees docum ni. _
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to in,7.lude tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checkiist 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. W46)4((A) ('OM)
f
t
KING CITY
15300 S.W.I l6th:►venue.King City,Oregon 979-94.2693
Phone:(503)639.4082•FAX(003)619.3771
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, manv building related permits
for projects in King City are issued and inspected by the City of Tigard.
If your permit application DOES NOT REQUIRE PLAY REVIEW, simply complete the
appropriate application legibly and submit it to the King City staff. The King City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard staff%gill then create
the permit. issue the permit, and perform inspections. Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is ready for issuance or
whether you prefer it to be mailed without any notificatinn A-nv incomplete or illegib,e
application will be returned to King City staff for correction and no processing .ill occur until a
complete. legible application is received.
If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a
King City staff person. King City staff will simple sign this form indicating land use approval.
Take this signed form to the .:ity of Tigard Development Services Counter located at 13125 SW
Hall Blvd. Tigard. to submit applications and plans. Development Services Technicians are
available at 639- 4171 Ext. 304 should you have any questions concerning submittal
requirements. All permit fees myill be assessed and collected at the City of Tigard.
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project: i
located at: 1 5O
King City Representative
I D;T5 XCI%ST DOC
i
Uij 1! Q
20
o L c L�
as
K
;#�-
J-
-----------T.`_._
• ; �'���o - �fssd ����:�,� dam. �.�_
LIABILITY
The City of Tigard and its
employees shall not be
responsible for discrepancies
which m;ay appear herein.
CITY OF TIGARD
Aupr0ved............ .
± ('.0n0l"0rna11Y Approved............... ( 1•
1 For cwVY too as described�in:
vERMIT t�.�. !.c-Z
See Loner to Follow.....
Allach
Job Address: �Q_ S w���f t�w V Ire
1
Py.
l
j
4
a i'
I v`..
OL
' 1
It j
I
f
t
f
I I
I
� 1
i '
CITY OF TIGARD 24-Hour
BUILDING inspection Une: j503)09-4175
INSPECTION DIVISION Business Line- (503)63:t-4171 MST
Received _Date Requested___. � AM___ . FM _ BUP
Location - —I% .S `t�.'�--c�cIY1 �l�' Suite_ - __ MEC
Contact 'erson Ph( . _r) �a PLM
Contractor _ —_ Ph( ) SWR
tJl G1 TenanJOwner _ _ _. ELC _—
Footing -
Foundation Access: ELC
Ftg Drair /
Crawl Dram ELR
Slab _-� -_-
Inspection Notes: SIT
Post& Beam
Shear Anchors ------ --..-----_.---� - ----___.__ _ -
Ext Sheath/Shear
Int Sheath/Shear ---
Framing - -------- - -- - - -- - - --- ---
Insulation
Drywall Nailing -----.. --- -- - -- -----
Firewall
Fire Sprinkler -- -------- --- _-__ -
I-ire Alarm
Susp'd Ceiling - - - -
Roof
Other: - - - - -- -
-Tri na j -
"ARl FAIL
--
P UMBING -- -
Post& Beam - -
Under Slab
Rough-in 7z
Water Service
Sanitary Sewer —
nain Drains I ---- --- - -- --- -
Catch Basin/Manhole
Storm Diain --- - - --
snower Pan
OtF.er. ---- - - - ------
Final
_ PASS PART FAIL
MECHANICAL
Post& Beam - --------- ---- ---- - -- ------ --- - -
Rough-In ---- ---- --- - --- -- - ----
Gas Lina - -
Smokr+Damper, --- - -- ---- - --
Final -.-- _
PASS PART FAIL -- ---- -- - --- --- ------.__ - -- ._-
ELECTRICAL —
Service ---- - ----- - -- -- --- - - -.
Pc.,,gh-In
/Slab -- - - - - ---
I Low Voltage
Fire Alarm
Firal L� Reinspection fee of$_--_-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
r] Please call for reinspection RE: _- -___-_- Unable to inspect-no access
Fire Supply Line _
i ARIA �
Approarh/Sidewalk D� _ ---..- _- Iosrrecto► _--Ut
Other:
Final DO NOT REMOVE this Inspection record from the Job sante.
PASS PART FAIL
�4
CITY OF TIGA RD 24-1-Iour
BUILDING inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 539-4171 MST
r_
B U P
Received __.. Date Rem. .ie d — AM -_PM_ BUP
Location -- ----��-Z-�—� �i" -C C-Q�YI Suite 'z-- MEC
----------- -
Cortact Person . _—_ -[���. p!,(-- ) _ -_ PLM
Contractor —� -.— Ph( ) . SWR
BUILDING _ Tenant/Owner - - - ELC '
Footing
Foundation ELC
Access: - ---
Ftg Drain ELR
Crawl Drain -
Slab Inspection Notes: L SIT ___�•_-
Post& Beam
Shear Anchors -
Fxt Sheath/Shear
Int eat-K'Shear
irrywa
amin
atio-ry`Nailing --------- ----- ___
- -
Firewall
Fire Sprinkler --- --- -
Fire Alarn; -_ -- --
Susp'dCei!ing -- -- - - -- -----
Roo!
Other: - - ---
Rna WFAS---
- -- - - —
• ASS,.��ART- FAIL
PUMGING
Post&Beam -
Under Slab - --_
Rough-In -
Water Service
Sonitary SewAr
Rain Drains - - - - - -- --
Catch Basin/Manhole
Storm Drain --- - - - - -_
Shower Pan
Other: _ ---- --- - - - - -
Final
PASS PART FAIL --- -- - -- -- -- - ----- --
MECHANICAL
Post&Beam ------------ --- ------- --- ---------
Rough-In -_ -.. _ --- ----- - -- - ----- --
Gas Line
Smoke Dampers —----_ -- - ---------- -- - --- a__-_-
Final
PASS PART FAIL
EL_ECT_RiCAL__
Service
Rough-In
Low Voltage
Fire Alarm -- ------------------------------
Final ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_PART FAIL_
SITE n P!Jase call for reinspection RE: __- _- �� Unable to inspect-no access
Fire Supply Line i�
ADA // G) 1,
Approach/Sidewalk Date_ Ir�sp��;tok� -_ Ext
Other:
Final DQ NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL