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42365 SW Corylus Court
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (603)639-4176
INSPECTION DIVISION Business Line: (503)639-4.1711-1 MST _
BUP
Received __ Date Requested_ s "aa .AM—�" -PM--- P
BU
/
Location _--1 a Suite — MEC
Contact Person Ph(. ) _ PLM
Contractor 's Ph Sl s.3 SWR
BUILDING TenanVQwner) 76 S - d' -3 ELC
Footing
Foundation ELC
Access:Fig Drain ELR -_
Crawl Drain �.
Slab Inspection Notes: (� /, SIT —_
Post&Beam �_ ' `+ �� L� Ili �J
Shear Anchors --
Ex'Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing --- — -- --
Firewall
Fire Sprinkler - -- -- --
Fire Aiarm I
Susp'd Ceiling ---
Roof
Other: --
Final
PASS PART FAIL --
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service -- --- -
Sanitary Sewer
Rain Drains - - --
Catch Basin/Manhole
Storm Drain -- - --
Shower Pan
Other: -
Fina! _ -----
PASS PART FAIL -- -- -
MECHANICAL
Post& Beam
Rough-In —���-------- --- -
Gas Line
Smoke Dampers ----------- --- -- _ --
Final
PASS PART FAIL_ -------- --- ------ELECTRICAL
Service Service -- ---- -- — - -- -�
Aough=ln
UG/Slab
Low Voltage
Fire Alarm
�n ❑ Reinspection fee of$_ -___required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_ SS PART FAIL
❑
SI Please call for reinspection RE: — E] unable to inspect-i�: access
Fire Supply Line
ADA Da1f -- U_- �� _ h1! f
Approach,Sidewal"k �-
Other.— -._------
Final DO NOT REMOVE this inspection record 40m the job site.
PASS PART FAIL
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CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: ELC2003-00276
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 5/14103
SITE ADDRESS: 12365 SW COP,YLUS CT PARCEL: 2S110BB-01700
SUBDIVISION: AMES ORCHARD ZONING: R-1
BLOCK: LOT : 008 URISDICTION: TIG
Project Description: Install(2)branch circuits for hot tub and lighting.
FRESIDENTIAL UNIT_ TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.:
MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL. (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPEC'T'IONS
0 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 400 amp: list W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: — PLAN REVIEW SECTION
1000 r amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
JOE 8 DENISE DALY COUNTRY WIDE ELECTRIC
12365 SW CORYLUS CT PO BOX 401
TIGARD,OR 97224 COLTON,OR 97017
P h o n n: 503-968-6603 Phone: 503-351-8153
_ Reg#: LIC 154008
FEES _ L113-55
— Sufi 4675SS
Description Date Amount
i -- Required Inspections
.Lf kM fl I I ( I rn»it 5114/03 $53.50 -- — ----
I'AXJ 89b Sl,tte Ia.x 5/14/03 $4,28 Rough-in
-- —. Elect'I Final
Total $57.78
This Permit is issied subject to the regulations rrontpined in the Tigard Municipal Code,State of OR Specialty Codes and 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 work is susperded
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 OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-800-332-2344. /
Issued By: (/ (/LL2 f �; Permit Signature:–L'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for i-'lu, lease, or rent.
OWNER'S SIGNATURE: tJATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELFC'N: <71
LICENSE NO:
Ca:l 639.4175 by 7.00pm for an inspection the next business day
r
Electriczl Permit Application 'WE USE.ONLY
Received I Electrical
Datc/B : S-/ -03 f►. Permit No.:1a4-_a00'3
Planning A
City of Tigard a roval pp sign I
Date/B : Permit No.: t
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Uate/B : — Permit No.:
Phone: 503.639-4171 Fax: 503-598-1960 �.,T t Post-Review land(Ise
Internet: www.ci.tigard.or.us Contact
— Case No.:
onfect Juris.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: t /� S1rplemental Inl'ormatinn.
TYPE OF WORK _ -� PLAN REVIEW Please_check all that apply)
PP Y)
New construction Demolition 0 Service over 225 amps- LJ Health-care facility
comrnerciol ❑Hazardous location
Addition/alteration/replacement I M Other: ❑Service o,et 320 amps-rating of ❑Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION 1&2 family dwellings four or more residential units in
1 &2-Family dwelling ❑Commercial/Industrial ❑System over 600 volts nominal one structure
Access
o Buildin Multi-Family ❑Building over three stories ❑Feeders,400 amps or man:
❑Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ❑Egress/lighting plan ❑Other:
JOB SITE INFORMATION and LOCATION Submit_sets of plans with any of the above.
--- .: L 4F - The above are nut applicable to temporary construction service.__
Job site address: 23E 5 St;c.' FEE*SCHEDULE
Suite#: Bid ,/A t.#: _ Number of Ins ections per permlt allowed
Project Name:phi(;f$(f 10 ZL Descrl tion I Qty I Fee(ea.) Total
Cross street/Directions to job site: �,ti -New residential-single or multi-fandly per
>U(< J /t) yf�►j' dwelling unit.Includes attached garage.
7-0r2CG7ht:�. LT CJ V ��Rte/L� Service Included:
1000 sq.O.or less 145.15 4
_ Each additional 500 sq.n.or portion thereof 33.40 1
Subdivision: Limited energy.residential _ 75.00 2
_ =L# Limited energy,non residential 75,00 1 9
Tax ma / arcaI #: _ Each manufactured home or modular dwelling S
DESCRIPTION OF WORK service and/or feeder 90.90 2 ,
Services or feeders-Installation,
s !-✓ :SLfi/I _C /3 _ alteralion or relocation:
200 amps or less 80.30 2
-- -- 201 amps to 400 ams 106.85 2
401 amps to 600 amps _ 160,60 2
PROPERTY OWNER _TENANT 601 amps to 1000 amps 240,60 2
Nalne: jet �LOver 1000 amps or volts 454.65 2
uNN,s'�' clti� L y Reconnect onl 66.85 2
Address: ?;36��E,t v Cr, ; T Temporary services or feeders-Installation,
�-
alteration,or relocation:
_Ci!y/State/Zin: 'rA-,aX4 C 22cJ 200 amps or less 66.85 1
Phone: Fax: 201 amps to 400 amps _ __ 100.30 2
APPLICANT CONTACT PERSON 401 to 600 2
Branch circrc s 133.75 uits-new,alteration,or
Name: CQC y Lr_r`�e !-'L��r c cd'y` _ extension per panel:
Address: A.Pee for branch circuits with purchase of
�'9C.L'>�TDC �� 1 service or feeder fee,each branch c rcuit 6.65 2
Cit /State/ZI : C.64LJ c' t.J B.Fee for branch circuits without purchase of I
service or feeder fee,first branch circuit 46.85 2
Phone: 3.- 3 %-��S' I"aX: Each additional branch circuit 6.65 2
E-mail: Misc.(Service or feeder not included):
_ CONTRACTOR Each pump or irriation circle _53.40 2
Job NO: — Each sign or outline lighting 53.40 2
_ _ Signal circuit(s)or a limited energy panel,
Business Name: • rllse# w� alteration or extension Page 2 2
Description:
Address: �al-x
Cit /State/ iR.1 6 fZ (i 700
Each additional Inspection over the allowable In on of the above:
Per inspection per hour(min. I hour) - 62.50
Phone: - Fax: 3 -94-t;--75 yam' Investigation fee: __
CCB Lic. #:l S4 .b 6 - Lic. -� L Other: — —
Supervising electricia _ — 1_Mrical Permit Fees*
_ Subtotal S
signature require Plan Review(25%of Permit Fee) S i �—
Print Name: iii. #: .) State Surcharge(8%of Permit Fee) S
_ TOTAL PERMIT FEE S 5
Authorized Notice: This permit application expires If a permit Is not obtained within
Signature: _ Date:__` IRO days after it has been aceepted as complete.
•Per ncethodolnKs set by Tri-County Building Industry Service Board.
(Please print name)
is\DstslPermit Forms\ElcPermitApp.doc 01/03
Electrical Permit Application -City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor all systems............................................................ $75.00
Check Type of Work Involved:
Audio and Stereo Systems*
Burglar Alarm
Garage Door Opener*
Heating,Ventilation and Air Conditioning System*
Vacuum Systems*
Other—.--------
COMMERCIAL WORK ONLY:
Fee for each system.......................................................... $75.00
(SCI:OAR 918-260.260)
Check Type of Work Involved:
r7 Audio and Stereo Systems
Boiler Controls
Clock Systems
Data Telecommunication Installation
Fire Alarm Installerion
HVAC
Instrumentation
Intercom and Paging Systems
0 Landscape Irrigation Control*
Medical
1
Nurse Calls
Outdoor Landscape lighting*
Protective Signaling
Other------ ---- -- — — ---
Numbcr of Systems
* No licenses are required. Licenses are required for all
other Installations
i:\Dsts\Perrnit Forms\UIcPermitAppPg2.doc 0IN3
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639.4175 MST
INSPECTION DIVISION Business Lin (5031639-4171 Blip
Received --- Date Requested' AM PM BUP
Location 2- V Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
Tenant/Owner ELC
Foot,n91
q,>
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain I
Slab :.-,Opection Notes SIT
Post&Beern
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 7-1
71g7
-f Wn �1--
'Imufflon
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
0119 h__ Act W
�� �� ^` -s��'���- ----
SPART FAIL
P EI
_PART
& Beam
Under Slab A
Rough-In
Water Service
Sanitary Sewer
Rain rrains
Cat,.:, 'lasin/Manhole
Storm Drain
Fhower Pan
Other:
--
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
L ow Voltage
Fire Alarm
Final Ij Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please;callfor r inspectio E: Unable toinspect-nq acces
Fire Supply Line
ADA
Approach/Sid3walk Date Iniipector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
BUILDING PERMIT
CITY OF TIGARD PERMIT#: BUP2r'!'3-00218
DEVELOPMENT SERVICES DATE ISSUED: 5/2'03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S11066-01700
SITE ADDRESS: 19365 SW CORYLUS CT
SUBDIVISION: "-S ORCHARD ZONING: R-1
BLOCK: LOT: 008 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: sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OC:CU SEP. RATED:
BSMT?: MEZZ?: REQD_SETBACK_S 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: $ 14,635.00
Remarks: Add 316 sf new deck with cover and replace 999 sf existing deck.
Owner: Contractor:
JOE & DENISE DALY SIBEL CONSTRUCTION
12365 SW CORYLUS CT 15035 S GREEN TREE DR.
TIGARD, OR 97224 OREGON CITY, OR 47045
Phone: 503-968-6603
Phone: 503-632-7755
Reg #: LIC 70900
FEES _ _l REQUIRED INSPECTIONS
Description Date Amount _ I Footing Insp
IIit II Ul i'cnml I-cc 5/2/03 _ $187.30 Footing Insp
if3U1'I'I.N] 1'In Framing 16, 5/2/G3 $121.75 Final Inspection
(TAXJ b' State Tax 5/2/03 $14.98
1(,DCBI.I)l CDC Bld Ile 5/2./03 $20.00
(additional fees not listed here)
Total $556.06
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cedes
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 suspe:ided 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By: J
Permittee/ 1
Signatur�:
Call 639-4175 y 7 p.rh- for an inspection the next business day
Building Permit Application ' ' OFFICF USE ONLY
— -- — Received Building
Date/By: ? L-- Permit No.: 1?
CityCl>L of Tigard Planning Approval Other _
g Date/By Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review I-and Use
Date/BInternet: www.ci.tigard.or.us Contac : Case No. 2
g Contact Ju s.' Sec I'a{�c.for
24-hour Inspection Request: 503-639-4175 Name/Method: _ _V 7 -SuhLlcmcntal Information
TYPE OF WORK REQUIRED DATA:
con:.truction r Demolition1 &2 FAMILY DWELLING
® Addition;', Iteratlun/replacement I LJ Other: — — -- —
CATEGORY OF rONSTRUCTION Note: Permit Ices'are based on the total value of the work performed. Indicate
1 & 2-Family dwelling Commercial/Industrial •n^value(rounded to the nearest dollar)of all equipment,materials.labor,
— —
Accessory Building Multi-Family overhead and profit for the work indicated on this application.
❑ Master Builder I El Other: valuation............... .........................................
_ JOB SITE,INFORMATION-and LOCATION No.of bedrooms: No.of baths:
Job site address: Total number of floors.....................................
New dwelling area(sq.ft.)..............................
Suite#: Bld ./Ap _ Garage/carport area(sq.ft.)............................
Project Name: - Covered porch areajsq. fl .. ...
cross street/Directions jo -itle: Deck area(sq. ..... ....�.�!`.................1 M k,-.-1,�+'f� p bor
61.Ali Lt' �T I�� . /� . U n Other structure area(sq.R.)............................
On C Q r^ Lob �-. REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: S Y )r)Z!Zt I Lot#:
Tax map/parcel#: Note• Permit fees'are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK — the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application
--- -- --
oI valuation........................................................ $
Existing building area(sq.ft.).........................
—— --- -- — New building area(sq.ft.)............................... _
Number of stories............................................
PROPErRTY OWNER' I EJ TENANT Type of construction.......................................
ante: joe' C' LX/11 2 Occupancy group(s): Existing: — -
-- New:
Address: l?,?�to5 qtr _ _
City/State/Zip: ✓ 12
Phone:W-94 Fax:5fo,- qus-�313 NOTICE: All contractors and subcontractors are required to be
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
tlsiness Name: _ jurisdiction where work is being performed. If the applicant is exempt
Contact Namc:'J" from licensing,the following reason applies:
Address: _ --
Cit —�--
Pltone:_ _ ax: — - ----
E-mail: I. �; Q OC.., L_p/Yl-- BUILDING PERMIT FEES"
T_ Please refer to fee schedule.
ONTRACTOR --- ---
Business Name: theCon4vvdicfn Fees due upon application.............................. S
Address: 15 r ►-t –Tret D✓
City/State/Zi an (A - -126Amount received............................................. S
Phone: 66 •--T7l) ^ u0 Date received:_____
— -------
Aut riled Notice: I Ili%permit applicafiou expll'cs If a Perrllit Is not obtailit-1 tsithin
Sign ure: Date: IRII dans aftri It tins been accepted as complete.
I
•I.cc mcthodolog; set by'1 Building Indusirs Service Board.
(Please print na e) ( �,
is\Dsts\Permit Forms\BldgPermitApp.doc 01/03
IV Lit ,
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
City of Tigard Cit of Tigard Associated permits:
City Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Electrical U Plumbing U MechanicalU Other.
Phone: (503) 639-4171
Pax: (503) 598-1960
'111111EII)LIAMVIA ITEMS ARIF REQUIRI-1-11) 1110111 PLAN REVIEW -7
I laird use actions completed.See jurisdiction criteria for concun•ent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plotilot.
4 Fire district — approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Wider district approval.
8 SoW 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 leg(bk�plans.Must he drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must he 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 he completed
if co yright violations exist.
I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if'
there is more than a 44 elevation differential,plan must show contour lines at 24 intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot
arca;building coverage area;percentagc of coverage;impervious area;existing structures on site;and surface drainage.
12 Foundation plan.Show dimer ions,anchor bolls,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dim,,nsions,room identification,window size,location of smoke detectors,wator heater,
furnace,ventilation fans,plumbing fixtures.balconies and decks 30 inches above grade,etc.
14 Cross secticn(s)and details.Show all framing-member sizes and spacing such its floor beams,headers,joists,sub-floor,
wall construction.too,'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 refle,-t the actual grade if the change in grade is greater than Four fool 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 erg iecring 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 walls.Provide cross sections and detail-,showing placement of rebar. For engineered
syslen- 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 calculatimis. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof n i hall he stamped by an engineer or
architect licensed in OTgon ami shall he shown to he applicalilr w the proiC,i 111 .view
JI IRISDI(I'IONAL !►!
23 Five(5)site plans are required for!tem I I above. Site plans must tie 8-1/2"x I I"or I I"x 17". _
24 Two(2)sets each are required for Items 16, 1 e) 20&22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criteria o•._!ined in the Permit&System Development Fees document. _
27 "Drawn to scale"indicates standard architect or engineer scale.
L28 Site plan to include tre.-size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
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(69WOM)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
City n/Tigard City ofrTigard Associated permits:
Address: 13125 SW Hall Blvd,'Tigard,OR 97223 O Electrical U plumbing U McthanicalU Ofh.�
Phone: (503) 639-4171 —
Fax: (503) 598-1960
.1702,111:7-0,
I Land use actions completed.See jurisdiction criteria for concurrent reviews. 1
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 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
if copyright violations exist.
I I Site/plot plan drawn to scale.The plan must slow 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-A.intervals);location of easements anti
driveway;fixotprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot
arca;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 farts,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,footinps 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 grr•le 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 pt 'h)and/or lateral analysis plans.Must indicate details and locations;for
_ non-prescriptive path analysis provide specifications and calculations to engineering standards.
1 l Floor/roof framing.Provide plans for all floors/roof assemhlles,indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
18 Basement and retaining walls.Provide cross sections and details showing placement of rehar. For engineered
systems,see item 22,"Engineer's calculations."
Ir► Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over I0 feet long and/or any beam/joist carrying a non-uniform load. _
20 _Manufactured floor/roof truss design details. --
21 Energy(ode 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 provide,I,(i.e..shear wall,roof muss)shall be stamped by an engineer or
architect licensed in Oregon and shall he shown to hr aly In able to flit,project under review.
JURISDIC110NALSPEC1111-114
mT Five(5)site plans are required for Item I I above. Site plans must be 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 plan,must meet criteria outlined in the Permit&System Development Fees document.
27 "brawn to scale"indicates standard architect or engin; n kale.
28 Site plan to include tree size,type&location per approve i r.oject street tree plan(if applicable),and COT Street'Tree List.
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 Ilrr department use only. 440-4614 WXWOM)
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LIABILITY
The City of Tigard and its
employees shell not be
PSE responsible for discrepancies
which may appear herein.
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Condltlonally Approved......................{ ):
Cada.,,. PL)j�� For only the workBe deeCribed in:
PERMIT NO, �� 16 0 2k* w all”
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C1eanWater Services
Our rnniuiiliin iii I. iF
May 2, 2003
Denise Daly Cor las
12365 SW Gats Ct.
Tigard, OR 97224
ler lus
RE: Deck addition located at 12365 SW Cer'�tmCt., Tigard, OR
CWS file 2972 (Tax map 2S110BB, Tax lot 01700)
Clean Water Services has received your Sensitive Area Certification for the
above referenced site. District staff has reviewed the submitted materials
including site conditions and the description of your project (see attached site
plan). Staff concurs that the above referenced project will not significantly impact
the existing sensitive areas found near the site. In light of this result, this
document will serve as your Service Provider letter as required by Resolution
and Order 03-11, Section 3.02.1, and your Stormwater Connection authorization
from Clean Water Services as required by Ordinance 27, Section 4.13. All
required permits and approvals mu3t be obtained and completed under
applicable local, state, and feaeral law.
This letter does NOT eliminate the need to protect sensitive areas if they are
subsequently identified on your site.
If you have any questions, please feel tree to call me at 503-846-3553.
Sincerely,
Chuck Buckallew
Environmental Plan Review
Site plan attached
E:wevelopment Svcs\SP(N)-7\ConcutTrnce l.cttcrs\2SI 10BB0170O-no impact to water qua Iity.doc
155 N First Avenue, Suite 270•Hillsboro, Oregon 97124
Phone: (503)846-8621 •Fax:(503)846-3525•www.cleanwaterservices.org
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REVISREVISION CITY OF**"'*.TIGARD
ION Approved ✓
Conditionally Approved.................... ( 1
For only the wo as sfjn�eOf� n
PERMIT NO L'1/ '"��?i�d
See Letter to Follow--,-___•_•,_• 1
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