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MAP # 2S1 2BB .0 '�•.�.
PARCEL # 2S102BB-01202 ! ;/
LOT #SUBDIVISION #N O TIGARDVILLE ADDITION ./ / .,�•.`
ADDRESS 10010 SW JOHNSON STREET. /
TOPO MAP 4319 '/ j•
SITE AREA 11,005 SF = .25 ACRES : •
ZONING R4.5 /
Setbacks
Front PL to front of Garage 20' • 00
Slue 5
Reser 15, 0
ARES, OF NEW CONST. 504 SF ;/ j•
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SECTION 8.02.3 Erosion Control Permits
'14,
Se United Sewerage Agency Design and
'•�•• �v l/' / Construction Standards 1996
�••� ! C. No erosion control permit(from the
Agenss••,. ,' � fl :/ fo!low�or City)is required for the
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�4►•. 1. For work of a minor nature provided
•• ''�,, all the following are met:
Lr? �••�� �%% -� ! 164 a. The land development does not o. Not applicable
/ require a development permit or approval
:`��.! + from the local Jurisdlutlon having land usA
•. / decision and auttiority, and
�• b. No land disturbance of lend surface b. No wdtlands or sensitive areas in
C=3 N •%%•. ! occurs within 100 feat of a sensitive area Immediate nighborhood as outlined In
a, �•.lgei00 defined In section 3.11.1, and section 3.11.1.
rn Y c. The slope of the site Is less than 20
% end C. SRO le flat with slopes of 1-296
ite Pl
San
d he work on the alta Involves the d No site work for is necessary for
disturbance of less than 500 SF of land this portion of work. t`
surface, and `
�" = �Or-0" e. The excavation, fill, or combination e. 0 cubic yards. No excavation for
site thereof Involves leas than 20 cubic Yams this portion of worts.
of material. :
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�n APPLICANT
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PETER DRAKE, ARCHITECT
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11205 S.E. HOME AVENUE, MILWAUKIE, OREGON 97222
(503) 353-9436 FAX (503) 353-9437 E-mal = pdarchIN!rrvpa.com
2 Residential Commercial Planning Architecture
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ILI ! �f IMAGE IS NOT AS CLEA IIRAS THIS NOTICE, 4 g �Al
T IS DUE TU tHE QUALITY OF THENo.36 .
ORIGINAL DOCUMENT
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested 1 AM �� PM BLD
Location Suite MEC _
Contact Persc,n Ph . .�-I PLM
Contractor _ Ph _ SWR
ELC
BUM Tenant/Owner
Re am g all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Exl Sheath/Shear -
Int Sheath/Shear
Framing -
Insulation
f)rywall Nailing — - —_— -
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling _--------- —�� - --- — — -------- - ---
Roof
Misc: ----------- ---�_ .._.. -- ---- - -- -- -.--
APART FAIL -------- _- ------ -- -- _ -- --_ --- — ----
-PTUMBING
Post&Beam ------ __..--- ---- ----- ___--- - ---- —
Under Slab
Top Cut
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ME :HANICAL —
Post& Beam ---------- - _ - - —- ------- - ---------- -
Rough In
Gas Line --
Smoke Damper s
Final - ------.__-___-..----------------_ _- - --- - ---_ ___.-- --------
PASS PART FAIL
ELECTRICAL ----_—_------------ - -..- -- - �_� _ __Service
Rough In
UG/Slab --- ---- -
Low Voltage
Fire Alarm ------- - - - - - ---- --- - ----- ---- - -
Final
PASS PART FAILSITE
BartcfilllGrading ---- ---•-- - -- _—� - -- -------
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ regiiired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line I 1 Please call for reinspection RE � [ ) Unable to inspect- no access
ADA
Approach/Sidewalk Date Inspector - Ext
Other _?C t---- - -- —�— ---
Final -
PASS PART FAIL D NOT REMOVE this ir„spection record from the job site.
CITY OF TIGARD MASTER PERMIT
PERMIT M MST1999-00228
DEVELOPMENT SERVICES DATE ISSUED: 7/12/99
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 71
SITE ADDRESS: 10010 SW JOHNSON ST MIGNAL PARCEL: 2S102BB-01202
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-4.5
BLOCK: LOT: JURISDICTION: TIG
REMARKS: Add a 504 sq, ft.second story addtion over the existing attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 7r+ FIRST: 504 5f BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFM FLOOR LOAD: 40 SECOND: 5f GARAGE: sf FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT:
VALUE: S 10.000 00
OCCUPANCY GRP: N3 BDRM: 2 BATH: I TOTAL: of REAR:
PLUMBING
SINKS: WATER CLOSETS: I WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS. SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL-rYPFS FURN c 100:1,: BOIL/CMP c IIHP: VENT FANS: 1 CLOTHES DRYER:
I URN-100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 200 amp: W/SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 400 amp: 201 - 400 amp: tat WIO SVCIFDR. SIGWOUT LIN LT. PER HOUR
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 1000 amp: $01.ampa-1000v: MINOR LABEL:
1000•amp/volt
PLAN REVIEW SECTION
Reconnect nnly.
-4 RES UNITS: SVC/FDR> 225 A. 600 V NOMINAL CLS AREAtSPC OCC'
ELEC rRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO B STEREO: VACUUM SYSTEM: AUDIO 8 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 N SYSTEMS:
Owner: Contractor: TOTAL. FEES: $ 1,280.29
ROBIN WATKINS FREEMAN HOME INC This permit is subject to the regulations contained in the
OBI W JOHNSON RD REE A HO32NTigard Municipal Code,State of OR Z,.-• kity Codes and
I IGARD,OR 97223 MILWAUKIE,OR 97222 all other applicable laws All work will be done
n.
accordance with approved plans. This permit will exN,re 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
Rep M I-iC /1499 forth in OAR 952-001-0010 through 952-001.0080 You
may obtain copies of!nese rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Mechanical Insp Exterior Sheathing Insl Plumb Final
Plumb Top Out Insulation Insp Final inspection
Electrical Rough In Rain drain Insp
Framing Insp Electrical Final
Shear 1aaHitlsp Mechanical Final I
A
r / v i
ISS(Ied By : i Permittee Signature : --
Cal! (503) 639-4175 by 7:00 p.m. for an inspection needed the next bl In S day
CITY OF TIGARD Residential Building Permit Application Plan Chea* ;' _
13125 SW HALL BLVD. Additions or Alterations Recd
Date R.ecec'd o ;
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.41a: uk
V 503-639-4171 Date to DST
F 503-684-7297 -d� �' P rmit#p17=/9 - a
Print or Type Called �r'n4
Incomplete or illegible applications will not be ccepted `�-.�,r ✓M-r*4"-O ° t
Name of Project t — Name }�,✓ �/r�l�
Job �1V'' L� Mailin, Addr s
Address site AQ to �tn A Architect gi^ , rHi7Wl(
ZI I Phone
Narr1,% ,�. ! C
/i'IJ' ��F.1„1 J Name
Owner Mailing Ad4,rota
ICS' Engineer Mailing Address
Cityls. tete /� I Pho e
City/Slate Zip Phone
General Name
Contractor ��' ' '�'/ t. Describe wo M. New O Addition• Alteration O Repair O
Mailing Address to be done:
Prior to permit Additional Description of Work:
ssuance,a copy City/State Zip Phone "_� ! +.i• ( �1_ VYv
of all licenses _
are required if Oregon Const Cont. Board Exp.Date PROJECT h
expired in COT Lic# 7 -. Cp VALUATION $
database
rMechanical Name NEW CONSTRUCTION ONLY: _
' S F Ho a Sq. Ft Garage
Sufi- q .:. _1 ,
Contractor Mailing Address
y in -
Indicate the restricted energstallation by the electrical
Prior to permit -- subcontractor in the followin9 areas
issuance,a copy city/State Zip Phone — —of all licenses Restricted Audio/Stereo i
are required if Oregon Const Cont.Board Exp Date Energy System Alarms --
expired in COT Lic.# Installations Vacuum Irrigation
database _ System S "tem
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address -- Corner Lot YES NO,,, Flag Lot YES NO
(check one) _ _ (check one)
_ Has the Subdivision Plat recorded? N/A (FS NO
Prior to permit City/State Zip Phone _
issuance,a copy
of all Incenses are Oregon const Cont.Board Exp Date
required it Lic# I hearby ackhowledge that I have read thins application,that the
expired in COT _
database Plumbing Lic # Exp Date the o information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon State s'_
--- — Name -- SigrtOimillAgent "1" ,}- Date,
Electrical _„i � Phone#
Sub- Milin
ag A d ss Cont c Berson /�
Contractor
City/State Zip Phone
Prior to permit
issuance,a copy _ FO_R_ OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board — Exp Date .Plat# � � Map/TL#: ,
required if Lic#
expired in COT _ - c
database Electrical Lic.# Exp Date S acks: Solar
— I EleCiical Supervisor Lic # Exp Date Engineering Approval: Planning Approval: TIF.
lI 1\dsts\forms\sfaddalt doc 11/20/98
Its