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7130 SVS' BAYLOR ST
�►R D - BUILDING PERMIT
CITY OF T I G _
PERMIT #: BUP2004-00183
DEVELOPMENT SERVICES DATE ISSUED: 4/22/04
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 6:19.4171 PARCEL: 1S'136DC-02900
SITE ADDRESS: 07130 SW BAYLOR ST
SUBDIVISION: ELNOLA HEIGHTS ZONING: MUE
BLOCK: LOT: 005 JURISDICTiONv TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N S. E: W:
TYPE OF USE: SF SECOND: st PROJECT_OPENINGS?
i YPE OF CONST: 5N 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 OCCU SEP. RATED:
BSMT'?: MEZZ?: REQ_D SETBACKS _ ___ _REQUIRED_ _f
FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: 1 FRNT: 15 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS. IMP SURFACE: PRO TORR: PARKING:
VALUE: $ 3,585.60
Remarks: Cunstruction of 216 square foot elevated deck.
Owner: Contractor:
KOCH, ROBERT J EMPIRE CONTRACTORS
7130 SW BAYLOR ST 7191 SW SAGERT
TIGARD, OR 97223 SUITE 103
TUALATIN, OR 97062
Phone:
Phone: 203-504-1037
Reg #: LIC 0100958
_
FEES REQUIRED INSPECTIONS
Description Date Amount Footing Insp
VIII ILUl I'rrnu( fee 4/22/04 $81.70 Framing Insp
Final Inspection
1'1 A N 1 R" State Surchut y 4/22/04 $6.54
flit PPLNJ IM Rv 4/22/04 $53.11
(1)(111n ReN 4/22/04 $40.00
Total $181.35
This permit is issued subject 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 52-00 1-01310 ftw,gh OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling(S03)246-66 or 1-800- -23444. 7
s ed B :
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sit y _
Permittee
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Kermit Applicatiohl FOR OPFICF USE ONLV.
Recei
City of Tigard DateByi as D� Pei mit Na
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Per-nut
Phone: 503.639.4171 Fax: 503.598.1960 Date/By
Inspection Line: 503.639 4175 Date Ready/Sy 0 See Attached Checklist for
Internet: www.ci.tigard at us Nowlled/Method / Supplemental Information J
--�- `� TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
—� -- - Penni fees'arc based on tate value of the .voik performed.
❑New corutruction _ ❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑ Addition;alteration/replacement ❑Other: _ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
❑ I-and 2-family dwelling ❑Commerciaindustr Valuation: $
Aial
Number of bedrooms:
❑Accessory building ❑Multi-family --- - -�
❑ blaster builder ❑Other: Number of bathrooms:
t JOB SITE INFORMATION kND LO' ATION Total number of floors:
Job site address: '`> New dwelling area: ,square feet
City/State/ZIP: ( C) - 1 j,Z„1 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: 206 square feet
Other structure area square feet
— REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision --� Lot no. - Permit fees*are based on the value of the work performed.
- -- --- -- Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
. DESCRIPTION OF WORK work indicated on this application _
Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT t" Number of stories:
Name: ��� �>� Type of construction:
Address. d 7 Sf -�-v�-- - - _ Occupancy groups:
City/State/ZIP: f o� � �..�- � Existing:
Phone:(jI/j) 4 !a0 3- Fax:(
) ---- - New:
[I APPLICANT! ❑ CONCACT PERSON NOTICE
Business name: - - _ All contractors and subcontractors are required to be
— - - T licensed with the Oregon Construction Contractors Board
Contact name: __ -- -- under ORS 701 and may be required to be licensed in the
Address: jurisdiction In which work is being performed. If the
-- --_ - - -- applicant is exempt from licensing,the following reasons
City/State/ZIP: apply:
Phone:( ) - 1 Fax I I
E-mail - ---
(CONTRACTOR -- -
Business name: ?yt'>< L2111.tt ,�' y BUILDING PERMIT FEES -
Address: SetPlease refer to fee schedule.
CityiState/ZIP: �-/ _ ��� ---- _ ---- - ---
Fees due upon application
Phone:fes )J- L�j Fax:( ) ��- Amount received - — -
CCB tic.: M1111 O _ ----- —
Date received:
Authorized signature: -� This permit application expires If a permit is not obtained
within 180 days after It has been accepted as complete.
f Print name: S � / Date: r -� Fee methodology set by Tri-County Building Industry
L- - -� Service Board-
t�awldmg`Permts\aUP"i'emulApp doc 12/07 4404617T(I I/021CtlM/Wr8)
One- and Two-Family Dwelling
Building Permit Application Checklist FOR OFFICE VSE '
NLN
Received I pernut Nu
City of'Tigard Date/By
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits
Phone: 503.639.4171 Fax: 503.598.1960 0 Electrical 0 Plumbing O Mechanical
24-Hour Inspection Line: 503.639.4175 O Other-
Internet
therInternet www Ci tigard or us -- - --- —-ITTne 1 ❑ ❑ ❑
Land use actions completed. See jurisdiction criteria for concurrent rcvic•%" —�J-
2 Zoning Flood plain solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved lat/lot. ❑
4 Fire district approval required. Name of district:
5 Se tic s stem permit or authorization for remodel. Existin s stem ca acit �-
6 Sewer permit.
7 Water district approval. _
8 Soils re ort. Must ca ori inal a licable stain 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-omp/eted if
copyright violations exist.
I 1 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 24 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 above
smoke detectors,water heater,
furnace,ventilation fans,plumbingfixtures,balconies and decks 30 inches above ade,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 Elevatlon 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 addendurns showing foundation elevations with cross references are acce table.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive path analysis provide s ecifications 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."
Li
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 a licable to the r ect under review.
Milli
_23 Five(5)site plans are required for Item It above. Snc plans must be 5-l it 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 tree protection measures as required by conditions 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 sutfacN and accessory structuresto existing res denti I dw lings
on a lot of record approved prior to September 9, 1995
i\Building\Petrnits\One--i'ao-FamilyChecklist.doc 12/03
/ r � WASHING.ON COUNTY OREGON
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CITY OF TIGARD
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mditionaily Approved.................... 1
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W il-'m t r;rrhs Approved ❑ Not Approved 16 —
Street Side:
1 I - - t.,arg;l -MAMO Rear:
242 ; \ "oo; t i,:;rrdncc. i8pr v3�DA ❑ Not Approved 17 W
Ilnilrlinc Height' �reet
We Provider L.citer kequired: ❑ Yes JANo — — — z
W \ / ❑ Received ► W
I.ti(,INEFIZIN6 OFTARIMENI': J
Actual Slope: %e ❑ Approved ❑ loot Approved -- —
Site Plan: ❑ Approved ❑ Not Approved 19
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639.4171
/ J BUPiLL -�Ci!
Received Date Request 5 AM PM__ BUP
Location z ' C Suite MEC —
Contact Person _ Pj Ph( ) �6)V=l -�l 7 PLM
Contractor ____T Ph(— ) SWR
BUILDING Tenant/ wner — ELC
Footing— ELC
Foundation Access:
Fig Drain „ . ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam _ - -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing -" ---`
Firewall
Fire Sprinkler - --- -" ---
Fire Alarm
Susp'd Ceiling - - --- --- --!--
Roof
Other—
Fir
� ART FAIL --�--_-
PLUMBING ---
Post& Beam
Under Slab - ---- --- -- --"
Rough-In
Water Service -- ----- —
Sanitary Sewer
Rain Drains — ---
Catch Basin/Manhole
Storm Drain ----�-
Shower Pan —
Other: --- ----- ...
Final
PASS PART FAIL -
MECHANICAL —_-_ __ __
Post& Beam
Rough-In --
Gas Line
Smoke Dampers -
Final
PASS PART FAIL - ---- - —
ELECTRICAL
Service - --
Rough-In _--
UG/Slah
Low Voltage -"_.-
Fire Alarm
Final F] Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ Please call for reinspection RE: F SITE a to Inspect-no access
Fire Supply Line
ADA Ext
Approach/Sidewalk Ga�� - ------ Insp�c4or -
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL