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15029 SW KENTON DRIVE-1 it J �� I ,r of Lju Pk < < 15 D 2- '1 7 rL 0V5 lt�' GNOC i er4i I r4o iZ \.tf 5 � 1 r ' I s r C � CITY OF" TIGApD Approved................................................ Conditionally Approved..........................j j For only the vvgras descrbed in: PERMIT NO.. -. J� See I titter to: Follow.....90909066006...............( Attach..........«...,....,.........«.( Job Ad g Date: By* _A X � 5 4- ma , G N G c 33 G�av- s u../ 1 FEY 1 S I- �-- -- - ti e VV + NOTICE: IFTHEt RINTORiYPEONANY J [TI 1—r1.r—Ir ._r.1_�_i1I.1 111 i lel t � l I � l 111 .lil l � t ill l + l lel IIS I � I I � I 1 � � � 1 � 1 I � I l l � � 1 Ill I � i � i � t tit ISI I � l � i � l 111111 ) 1JillII II I I I I I I I i I I i IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 4 6 �l $ 1d 11 12 IT IS DUE TO THE (QUALITY OF THE - - -----No.3s -L / ORIGINAL DOCUMENT � i ^ �lii�iliil9�iIililiiSl�i' Iiii�� iiilTllliilli 7 T i T T � lllll6llS lill� 11-1 , Z Til1I �E f7 8 L Z �ZZI iti6 TI�II81TIliiL T 1111111tII ►'IJill Ii� iii� �i � 1i .iiiiiiiiiiiiii�ili1'►1 iiiiiiIIiiii,lii 'iiii�i� iiiilZilii' . iiE1'. . 111 ,111-1 i3w �..•-- _.wry_+...w.-r....•�....�� --�� ba'.1' � ,' r ��,�a-4, � .,� . �• r _:.. J r' ... 1. �.e,' r - .. .- � . t \ i I ' ii 1 I I Ji 00 El I `T -, LAN OFFICE COPY CITY OF TIGARD Approved a..a.......rte ..._...______________... ,nditio"Ol Approved I pp .................. i / r )r only thf, w rk as describpd in: � � I Pr- 9MI'r NCI. nQ — 1.10 q 5 See 1.0tcj to, roleow Job A&ress- I.J.V?2._ Date.- Fc�AL- Pec LA G L2 tv I� I • I 1 { IIIIIIIIIIIIIII III TT1Tl ITI , f IIS II111IIIIIIjIIfII I fllllillllr 1 IT111Ir IlliIIIIIIIIII NOTICE: IF THE PRINT OR TYPE ON ANY I iii I I I I I 1 1 1 1 1 1 T' 1 C 1 - I ! 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T r 1 f1T� i (T i Tl-� IIh��1 `T� I I I i I I I I I f ( I I I f I I I I I I I l I I 1 f 1 1 I I- ( I l � 1I � I , I1 ', ► I I I I I 1 1� 1 -�� ( ( ( � I I I I f 1 1 1 l l l 1 1 ' ( i I III I T X111 ! 1111 IMAGE I,.- NOT AS CLEAR AS THIS NOTICE, Z 2 I I � I ( I 3 4 _ � 6 7 1 g 10. 11 12 IT IS DUE TO THE QUALITY OF THE --- - ORIGINAL DOCUMENT - -- — _ h LZ ZI LT9IIII I!II11163 IIII11l11111311,1 II 111111111111111111 Il111111 l! _u. 11l. LI< Ill IIJl 111.1. 11 Ill 1111 IIII 11111111 Illilllll 11111111 :111111111i1111111111111111111u1 .1111111 llil llll�l(111�I1 u1 ull I�IIII 1� .. .,. .......�,........:r:..-.,,.., waw.u...�.,.w..:,..„,...,�..., .......��.�:.:nw.;.....,u..ltz:i.,..._.«�wt.,��..._.........uw-��,+�owl:.:,,�: w:... I Ln O N kD E (D d ;U a� .q I i i -- 15029 SW Kenton DR ELECTRICAL CITY OF TIGARD PERMIT#: ELC2.004-00276 f.,.. DEVELOPMENT SERVICES DATE ISSUED: 5/19/2004 13125 SW Hail B'-,A.,Ticiard. OR 97223 (503)639-4171 PARCEL: 2S112CB-08200 SITE ADDRESS: 15029 SW KENTON DR ZONING: R-7 SUBDIVISION: ASHFORr_ OAKS NO. 2 BLOCK: LOT: 096 JURISDICTION: TIG Project Description: Wire for A/C and future hot tub RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 206 amp: PUMPIIRRIGATION: TACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st 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+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: HAWKINS, JEREMY CANBY ELECTRIC INC 15029 SW KENTON DR 790 S IVY T l(3ARD,OR 97223 CANBY,OR 97013 Phone: 503-968-7089 Phone: 503-266-7878 Reg#: LIC 26071 ---- — SUP 21235 FEES ELE 3-1120 Description Date Amount Required Inspections I LPRiIM I] L-L('Pcrrnit 5/19/2004 $53.50 I I'AXI 8916 Statc Surcharge 5/19/2004 $4.28 Elect'I Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR Specialty Codes and all other applicable laws All work will be done in accordance wit.h approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-010'0 You may obtain copies c`these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344 Issued Ry: _ � p�2� �L- Permit Signature: �L �`!L [��• OWNER INSTALLATION ONLY 1 tie installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ __ DATE: CONTRACT OR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _, _ DATE:_ LICENSE NO: ,_— Call 639-A"75 by 7:00pm for an inspection the next business day EleLttical Permit ,Upileation City of TiC V0 bard D te/e° lsrttllt No. � _�j 77A I?123 SW Holl Plvd,Tigard,OR 97223 P!%-.Ravirm Phcae: 103'6A4171 Vex: 503 59$.196(1 De 011ier PC='t�� '& e to i a �. Ins peet'on Line 503,639.4175 Aue eadyay: � - :.•!. - see edea i for InHrneL www cf,tigerd.ot.,-s t ,tlt�3edMearod; 1 su�plemenral mrermonan I„� i=Tt. lrL�l:'�i'l��. Y '.11!�I ! iAM•.�'�,.,, '�i�:�i�a'�,..:i,.atSfi.St'��pilsui'rit 4!'�i �r}ti��4ir,.1,.N, ,��d%�,r}�Gl�il!. 1- ��:' ��I'�'4ei�'?++i�w ❑Now construction Addition/alterationlreplacemant Please check ail chat apply, Demolition Other: QSarviec over 22!tmp5,comer.'! UH&Zardoul letillon ' L • ` y�'+Y,•,••U�,.,� ❑Servive over 37.0 errr,�5-racing UBulldng over 10,000 eq.B., .�, 1 a �}�, �!, •. l ar of 1-and 2-termly dwellings 4 or snow new residential I.and 2-fami15 dwelling Q Commercial/tttdustrial []Accessory building MSystem ove-�,00 volts nomir.al units in one sttli tare MU)li Master builder Qt�14r: I�Building over three atones MFeeders,400 amps or More ❑Oecupm load c.,,e 99 persons ClManufKNttd structures or 02gress/ligAting plat RV park Job no,: l Job site address- '� 0'2 � of IJ , ��a, nHeslth-care t'acility []Other -��- Submit 2 vets of plans wish ar,y ot'the above �tY�s i'•�' �-c d1�'=f f Cn 2-'2- 'ilia above are not applicable to temporary col struotion service, PEten. Suir Vlddfap.nl),:�---` -- P1.1 ect nestle' —J� -y��- •,. Dmrl tlYn Qry, !w 711u Cron srrefd/dinzNnns!0 JOh Site. New retidoneiol single-or mules-family dwelling unit, 7. ! _ rslcludas attached garage. _ ,w M�-"S nrs� .. _. t0 5 .7 fes_ 1 �..� lX0 sq.rL or IfA 1.45,19 A� SuMiSV1610t1; Lot no,; Sa,edd'1 500- sq.!l,or pertino 33.40 1 J -- — Limited r-ner ,residential 1 X5,00 'Cox ma IUcal no.l II--Limited energy,11 -msldential�� 00 2 4 r Earl!manufactured or modular T_ dwelling,service andror feeder i' 9C.90 2 Servic/6 nr feeders installation,altaratlen,and/or relocation 200 amps or less ~� 80,30 I 2 I 201 amps to 400 ernpg -------�•-il---�Ah,85I -2--1 -- ' 40I e s to 5011 ampe I6o 40 2 ''ire' µ.p.yr-1` ,... 601 stn s to t,00D arms -- 1�O.bq 2 Address' �• n"�1x000 amps or volts 454.65 2 66,15 2 City/Stp.e alp Temporary services or readers installation,sitetation,and/or _- ---- Phone (To—t,) 1 Fax:( ) 1 200 snips or leas Owner'msWlation Th: mt•.sllarion is bang made on property the!I own which is not 201 daisest�46 0 am,as 100 2_I intended for sit)c,lease,seat,or i XCi1An Pr according to DRS d47 449,670,and 701. 30 sola s to ti0o emp5 ��^�133.75 �2 Owner Eijnarl>re: _Date:_ Branch ctre;llu new,alteration,or extension,per panel A.Fee for branch circ wa mrh •- - ------- sa:ti�ioe or feeder tee,ea:h � � �� Business namebranch clrcuit _ " B Pte fbt branch c;rrul� I rrontdset nam(: - — I I wilhoul servtee of fecde-fed, I 4d,ES 6•� AddtCab: I Cach branch Ctrcwt 6aob a4d'1 branch circuit 1 -~0.45 city/9tetd2'IP Nliscellancaus(scrvlce or feeder not Included) Pump or irri don circle _.r.. 63.40 Phone ( ) I Fax ( — T' Sign or E�miSi: outline lighting2 53.40 t Signal aircvit(s)or lirr11tad. •s.f J r!tlri., '• r lf� 111 r-.��' , entrgy phnel,aimorf,or 13usiam Rartte. rl ` `' — — a%tenalon U!.SCr16C _ Address: � ' I �� ` � � invrs7 aro^ K hour t ,L men altnweble In any of the above � �- Each additlonal,na ecrlon over citrisc�d2>p. _.._ 42.so �. .� ... Fax "� Industrial plant i,K hour b_— CCB Lit '1 b f`t t Cle.clricat Lic. .C1 z L TSupn,Lic. l Z3 S Subtotal 63 ,CD SUprv,JFleCtr ran 41ImAiure,remired P>r �7e•,v s< Cf ,ermit fee)- Ptislrnano O /J I $sale '7 M , awCna dG N 's Mr rl!fee) I VFE Authoru d r^:n:turF. _._.� .-. .... �a•.S...a»2�''••.. L__) �;�,-�_�_ � TslEpnrmirappt�:.�:� oarf�•• .nnkifneiabuinedwithinl0 dA.'e' if h -•p,ed 41 O0 nlple4 Print Ilanld'` rl. 5 ( Dat( �} M. � 6g.aauo •SItvICP Hoard t,_, 1reG Mklhe^,c'. . r Nomber 4:rape, , td Wd9z:20b00Z zi 'Fu'W 2i7SS99?20(; 'ON 3NOHd ON DIdi:)3-13 MINHC : W08J CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00285 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/17/2004 PARCEL: 2S1 112013-08200 SITE ADDRESS: 15029 SW KENTON DR SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7 BLOCK: LOT:096 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: DI 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: GAS PRESSURE: 50+ HP: '-'LO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS :;LO DRYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Furnace an(1 A(' installation. Owner: FEES HAWKINS, JEREMY Description Data Amount 15029 SW KENTON DR IME.CIiJ i crmit [-cc 5/17/2001 $72.50 TIGARD, OR 97223 ITAX] 80/)State Surrhart 5/17/200e $� 80 Phone: 503-968-7089 Total $78.30 Contractor: SUPREME COMFORT HEATING 9425 SW COMMERCE CIRCLE #16 WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone- 0.02-1985 Mechanicallnsp Cooling Unt Insp Reg#: LI;; 21892. Final Inspection This permit is issued subject to the regulations contained it the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expireif work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct qucss to OUNC by calling (503)246-6699. �. % Issued By: L- Permittee Signature: , '� Call (503) 639-4175 by 1:00 P.M. for inspections needed tho next business day Mechanical Permit Application City of Tigard Receivef `' e� Pernut No�l D _ m-V 13125 SW Hall Blvd.,Tigard,OR 97223 y Phone: 503.639.4171 Fax: 503.598.1960 Plan Revie Date/By, Other Pemut Inspection Line: 503.639.4175 Date Ready/By lu ® Sre Page 2 for Internet: www.ci.tigard.or.us Notified/Method: IG� Supplementallnformation TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST ❑New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ ❑Commercial/industrial -� RESIDENTLAL.EQUIPMENT/SYSTEMS FEES• 4-and 2-family dwelling ❑Accessory building F1Multi-family ❑ Master builder Forspecial information use checklist. Other: Description p Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heatin coolin Job site address F r'� Air conditioning or heat pump ✓0 29 �ki Ie e-V �/'- O r re uires site plan showing placement) ( 14.00 City/State/Z1P: VUR 0-142 el 7 Z;14- Furnace 100,000 BTU ducts/vents) 14.00 Suite/bldg./apt.no.: Project name: /, r 5 Furnace 100,000+BTU ducwvents) 17.90 �T�A/✓�(y( Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 H dronic hot waters stem 14.00 F�OJe^' Residential boiler(radiator or h dronic) 14.00 - - Unit heaters(fuel-type,not electric), n-wall,in.luct,suspended,etc.. 10.00 Subdivision: -- Lot Ito.: --` Flue'vent for au of above (PVC) 10.00 Other 10.00 Tax map/parcel no.: Other fuel appliances � 7 IU.00 DESCRIPTION OF WORK. `:� i:._ Water heater nn '—-`-`----- _._ -- Gas fire lace 10.00 ,CLh _��Ate,' C7i�� ( Flue vent for water heater or gas t,_"ter---- __ _--- ------- fireplace _ 10.00 _.- Log lighter .$) 10.00 Wood/pellet stove 10.00 -<� Wood fireplace/insert _ 10.00 PROPERTY s)WNF.R Chimne !liner/flue vent �- 10.00 Q TENANT' Other _ 10.00 ---- ``rr' II-,-�..— ----- - _- -. Name: -�f'J ejVY� Cil. ` _ 1 �L(� Environmental exhaust and ventilation Address- 0 Z- 5LL) f-c�t tZo /J 1 Range hood/other kitchen _ equipment 10.00 City/State/ZIP: -�� Gj 7 z 7- 4 Clothes dryer exhaust 10.00 Single-duct exhaust(bathrooms, Phone:(�o17) -Ito?) Fax:( l toilet compartments,utility rooms) 6.80 61�-r PPLkANt +. ❑ CONTACT PERSON Attic/crawls ace fans 10.00 Business name: '7l tt ,� � � -------�-�� Other: 10.00 Fuel piping Contact name: ba-UC Fox"-r $5.40 for first four;$1.00 for each additional Address: 9426 SUl CU�'L�VCP ! tr, Furnace,etc. _ / --- ---- Gas heat u City/State/ZIP: </(/l Ur f t -r�7U 7V Wall/suspended/unit heater Phone:60A, Fax::(5,n? 0z -(Ot k' Water heater Fireplace E-mail: --- _ CONTRACTOR Barbecue Business name: K')� -f{i'�I IT r �- Clothes dryer as _- --------- __---- - --- Other. Address: MECHANICAL PERMIT FEES" City/State/ZIP: - Subtotal Phone:( ) J� -- --� Fax:( ) - ---- ---- -� Minimum permit fee($72.50) Plan review(25%of permit fee) CCB lic.: State surcharge(8%of permit fee) TOTAL PERMIT FEE 3 Authorized signature: This permit application expires If a permit Is not obtained within Igo _ days after It has been accepted a complete. Print name: V t ( Date: /7 D • Fee methodology set by Tri-County Building Industry Service Board i\Budding\PemdU%.NMC-PerndtApp doc 12/03 440.4817T;11102/CO4wBB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: 'Petidt AZ x;1.00 to$2,000.00 Minimum fee$72.50 $2,001.00 to$5.000.00 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction thereof, to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and $1.$0 for each additional$100.00 or fraction thereof, to and including _ $10,000.00. $10,001.00 to$50,000.00 $231.50 for the first$10,000,00 and $1.35 for each additional$100.00 or fraction thereof,to and including _ $50,000.00.__ $50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and $1.25 for each additional$100.00 or fraction thereof,to and including _ $100,000.00. $100,000.01 and up $1,396.50 for the first$100,000.00 and $1.10 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i\3uilding\Permits\NEC-PermitApp.doc 12/03 2 1%6 iL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _-- BUP — Received _._._ _—�Date Requested—___s�`}�'_ AM ✓ PM BUP — Location Suite_ MEC aUCv�(—UG Contact Person _ -- Ph ( ) � �— _�� PLM Contractor _ _ Ph( Q) pp�//(�, SWR BUILDING — Tenant/ EL(; Footing Foundation Access: ELC Fig DrainU 1 (a ELR —__--_ Crawl Drain Slab Inspectio',i Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear - Framing --- —- - -- -- --- --.-.. ----- — -- - ------ ----- Insulation Drywall Nailing —�__._,,� v---------__ —. r---( —�(_�_--- -- — Firewall _—� �v�d UN 1 1 5�ot� �, tj� 1 _,L�'`'oQt Fire Sprinkler ---- --- ------- —_—_ Fire Alarm Susp'd Ceiling -- — — _ -- -- --- ---- ----- Roof Other: —_ --- --- ------- - --- — Final � -��------ PASS PART FAIL PLUMBING Post& Beam -- Under Slab ---- - — -- -— -— ----- Rough-In Water Service —_—_— Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: - Final -- - ---- _PASS PART FAIL -- - -- — — -- -- ME-CHANICAL PoM& Be Rough- Ga ough Ga ine oke Dampen -- - -- -- ---- ----- -- ---- Final PASS PART FAIL --- -- -- -- --- _- ELECTRICAL Service -- Rough-In UG/Slab -----..-- -- — ----_____--- --- Low Voltage I Fite-Alarm I-Fin0l El Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S[4_;AS Please call for reinspection RE:_----- _-__... Unable to inspect-no access Fire Supply Line ADA r- Approach/Sidewalk Date Zb (� __.. Inspector-- _ i��Z __ _ - ----_--___--Ext- - --_ Other. Final DO NO! KEMOVE this Inspection record from the job site. PASS P<.RT FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)63 175 INSPECTION DIVISION Business Line: (503) -4171 MST — _ BUP _ Received �L Date Requested ' — PM BUP Location Suite __ MEC Contact Person ___ _ Ph( ) _ PLM _ Contractor __—_ ___ Ph( ) SWR BUILDING Tenant/Owner _ __�_ ELC Footing —� Foundation ELC Access: Ftg Drain ELR — Crawl Drain Slab Inspection Notes- SIT Post$Beam Shear.Anchors --- Ext Sheath/Shear Int Sheath/Shear � �,� r e Framing N'Q ✓ f'�' - - �fl - Insulation V - � � � � Drywall Nailing L� `• Firewall ti I Fire Sprinkler -- Fire Alarm Susp'd Ceiling - — --- _---�— Roof — :i- U STA L L_ Other: - -- — _-�— Final ART P PASS FAIL ------ -------_-_T_--T -- S PART -- PLUMBING Post 8;Bea 17/ IJntD - -- - -- -- -- - -- _-.- - —- - Ho ' Warvice - -- - -- --- SanSewer Rains - --- - ---- Co( sin/Manhole oainhoan Other- Final 7 _ PASS T FAIL -- L Post& Beam Rough-In Gas Line Sin Dampers ------- ---- ------ - - - -- SS BART FAIL --- L-- - ICAL Service Rough-In UG/Slab - M_ Low Voltage Fire Alarm Final IJ Reinspection fee of$__- required before next inspection. Pay at City Hall, 131_5 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ____-_ -_{ _.,_-__ L nable to inspect-no access Fire Supply Line / . ADA Date�� ` -- Ins ector / 1 �.•.. A roach/Sidewalk -- ------ - - - - Other: Final DO NOT REMOVE this Inspection recrd from the fob site. PASS PART FAIL CITY OF T I G A R D MASTER PERMIT PERMIT M MST2000-00221 DEVELOPMENT SERVICES DATE ISSUED: 7/11/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE)ADDRESS: 15029 SW KENTON DR PARCEL: 2S112CB-08200 S�tffBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7 BLOCK: LOT:096 JURISDICTION: TIG REMARKS: Construction of fireplace enclosure, to include installation of gas fireplace and associated gas piping, and one branch circuit. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: FIRST: of BASEMENT: at LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: of GARAGE: at FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: if RIGHT: VALUE S 2.000 00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 000 sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES. DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS. GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE'rRAP& OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILJCMP<3HP: VENT FANS: CLOTHES DRYER: FURN>=100K: UNIT HEATERS: HOODS: OTHER UNITS: I MAX INP: blu FLOOR FURNANCES: VENTS: WOODS.')VES: GAS OUTLETS: 1 ELECTRICAL T RESIDENTIAL_UNIT SERVICE FEEDER _TEMP SRVCIFEE DER3 BRANCH CIRri ir,S MISCELLANEOUS— ADD'L INSPECTIONS 1000 SF OR LESS. 0 200 amp: 0 200 amp: WISvr JR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5005F: 201 400 amp: 201 400 amp: 1st W/O SVCIFDR'. SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDI.BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCiFDR: 601 1000 amp: 601-amps-1000v: MINOR LABEL: 1000+amp/volt PLAN REVIEW SECTION Reconnect only: —' >m4 RES UNITS SVCIFDR>=225 A.: 800 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL. B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC: DATA(TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: S 86.50 This permit Is subject to the regulations contained in the SMI TH,PHILIP D AND VICKY A MARTIN L CONLEY Tigard Municipal Code, State of OR Specially Codes and 15029 SW KENTON DR 4334 NE HANNAH CT all other applicable laws. All wor,L will be done in I-IGARD,OR 97223 HILLSBORO,OR 97124-6871 accordance with approved plans. This permit will expire ff 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 followrules adopted by the Oregon Utility Notification Center Those rules are set Rep N: uc r3161 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Mechanical Insp Mechanical Final Electrical Rough In Building Final Framing Framing Insp Gas Line Insp 1 Electrical Final Issued Permittee Signature : fzr Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan #_ 1312 -)W HALL BLVD. Additions or Alterations Dat Redd // e TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. V 503-639-4171 Date to DST ---- F 503-664-7297 Permit# .' f�lY✓ c 'J�� Print or Type Called Incomplete or illegible applications will not be accepted f - Name of Project Name II Job - — . - - - _ — Address Site Address 7� Architect Mailing Address l _---_-.-- /J��') ( 4" , r ' �/�f~/��1 ' City/State zip Phone Na l �C P- — /� Name Owner Ma Ad res Ci !Stale Phone Engineer Mailin ddress rly/State Zip Phone General Na e / Contractor ��'� ' n C-Ah'(�'. Describe work / New O Addition O Alteration O Repair O AQa gAd ress to be done. lq / -- -- — Prior to permit 6 __S /A_ IL[r z-L Additional Description of Work: issuance,a copy i /S t�� rp Phone _--- — of all licenses �r G'�fJ �� 1"� 62 yo 'ZV)3 r are required if Oregon Con^r Cont Board Exp. Date PROJECT expired in COT Lic.# database VALUATION _ �� - Mechanical Name — NEW CONSTRUCTION ONLY: Sub- ' f ! , t Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address — ��/ Indicate the restricted ener installation b the el�ctric�l Prior to permit SiZ1W d S u'✓01�'- _ subcontractor in the followin gg y issuance,a copy City/State Zip Phone areas — of all licenses Restricted Audio/Stereo are required if Oregon Const. Cont Board Exp.Dah Energy �— System Alarms expired in C01 Lic# I I,is;�,llations Vacuum Irrigation database _ _ _ stem System _ Plumbing Name (check all that o r Sub- ate) — Contractor Mailing Address Corner Lot YES Flag Lot YES NO J� (check one) (clle k one) Has the Subdivision PI ecorded? YES NO Prior to permit City/Stale Zip' Phone \ Issuance,a copy of all licenses are Oregon Const Cont Board Exp Date required if Lic# -� expired in COT _ _ I hearby apKnowleclge that I have read this application,th)11,the database Plumbing Lic # Exp Date inform on given is correct,that I am the owner or authorized agent oft owner, and that plans submitted are in compliance with Or State laws. _ Name- it o U er/ ent Electrical Sub- Mailing Address — CoSqact�erson Name Phone# 2Q _ Contractor City/State Zip Phone (�JU r . 7 Prior to permit issuance,a copy FOR OFFICE USE ONLY: of all lirenses are Oregon Const Cont Board Exp Date Plat#: Map/TL#: required if Lic# expired in COT - database Electrical Lic # Exp. Date Setbacks. Zone: _? Q, Sole Eltricaecl Supervisor Lic # Exp Date Engineering Approval: Planning Approval: TIF: r i\dsts\forms\sfaddatt doc 11120/98 Permit #: rf - L Address: 1.5(099 � � _l D Issued I\.t(_ Date: _l 11-60 Statement: Information Notice to Proparty Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the ,fallowing statement before a building permit c•an be issued. This,vtcatenurnt is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), ►Teed not submit tlris statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313: r 1, 1 own, reside in, or will resi& in the completed structure. r�,. 2. I understand that I mu,it registe:as a construction contractor if the structure is sold ur offered for sale r L before or upon completion. (� 3A. My general contractor is d tN t J (Nam ) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 113. 1 will be my own gerx:-al contractor. If I hire subcontractors, I will hire only subcontractors registered with the construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB 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 read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) i lnformatinn Notice to Property Owners About Construction Responsibilities I„I,Ifi)II 1'1 I r olk Ie, S atlrAral ('r,11tI;,luIc 'lion RN;lu /i nisibi %lr v' 1, Cr7f•,,i!'!l!'f(,111 (�!'')'Ilrli f, li(rli)�t/ tl0't11-diAnl'L' St'lfll (lC\S 70 11 'YOU :dre ilc 111W. sal! %it i+lllt j,1 Ir, l'll.lftlll III ii'�.'Ilt' I`1 Milk( 1 Olsh ritlal iltll),o".r'►'1'I ilt III LII? cyI411 Al Cdll (,tl'C�'L:III lilally t)ftlhn lqs i+'► 1!( JW:II� ;'r! fltt �I,It t''III iL�O,ItiSli li;tlC;t ai1� sUU1f11� t)Ji.")Zj( , 1EMJP;LOYEP RESPONSIBILITIES.” ' if you hirelvI ,t'(1' tl"t I''.t:l',h:'15:1i „lih i'lc l-itWi'tl l.0 Ilk) 1,111('t III c(In`,trtlt.'III-II! (,I t:'.1rltitrU,'(P n! x 1 Iliit•-r ,..'llh'lll t t , I' ! - "Al, _; I;lrf' I ' 1 t 1 t f, f�i` it I Ir' t •il'iP..,IIh', ;',la a'el , III illi'+l II �, It: �IIII t �,, tir" ;Ylt:'lllt-�i 1'cx1 hire will he A" 0u' ('111r1w I,r, '%(n1 111to-4 A.oillplr' v.1111 flit ft,111+v`.in.; If tregoo's WiIhholffltYh tns'1mv- A , In t"T`!('}h1-tlr,voii Inw;if witllhol I Ir,l,'tIIIll.I;'I�,i_.frol'Il e0II&I-VI'F wtiolo':,,itill, ,,r, i.I;llci '(III t\111 hr li;iillr for ill,`t.lY vwr llv'1114;evell if olu doll t ;Icrllill" a Irlt►lt'If lil+. t11, fliltit vr,lir e1n11i iiiformati(m. call Illy 'ilrtt(,n i)Cpl (,f Fte�I-tit �lr 1►45.fttttll. tTBI'Itll'1i111Is tic 11t 1I16UrHITI'f7 til?(: /'1i, all employf t'. "�1, f ,I• ,; I.l I i`I :IIC111 1liti!!1')II:: j,: 'I' 1'•dgc'i of all e11111loyees Fol 1110tr i11I'm latilltl.ralI Iho 01cI}'oil I mplr,y lr,,.: 1 1.11c1!,ioll ut Ilit', I:),"'puttttent of 111.nIla n ill at 179-1524, Workers'compensation in,amrance: As all eiripluve'i. V'uii ule "LlOtcta iti lilt. n, ,tlrltl, i(i iii, j—, +liiiln work-ci ck)wpv11'aIIt,II IllNII;;Ili(` for Ytits rc1q)1o,Ut's. 11 (Ill f,+ii I, Iit tkc I IIperl5atIi)II lil`1!';t,I, . )U he I'llhirct t017Cimllit', :md\%ill ht'll'ahle flit-all elf mi6i.Ms iffiric of l(kill IIIII11t.'l till thi', i Ill,'!. Ill" 11111th,; Ct)IItile.11salio ll Dici4 U.S.internal Ru erwe,'erl,ice. X,an L.In`>luye.r,you rrul,;s \\ithhuld tederal mcc int,t,.).y, tri-,Itl empinyev%' hit Ho f(ir the tax ptivrrlelit o,I'll II(!r)'l ;I( tualI withhold tW tav I'or Mori,iI)forn�u.lti1. . ;lil Itie I1114-111,.. ;. 1 1 �410-S29-1040 OTHER RESPONSIBILITIES AND AREAS OF COI CERN: 4 ti(tecompiiunce: ;v,tilepermilholdcifl+rthr,pl+j,, it+rll:'C� , :!• ih) ,I mn he brought it) %our attention thrritigh inspr;-_Im, t•ialliiit:, -and properth damage insurance: CwiLwt 9(,nJt ;1�,ivt t,)stye it vinl havt:adcquaLe msur mcq- �_�It1.�la. Ind IIn1i�r.iun� �ut:ll :i� f„llinl;t,!uls. ;�a�..t i)'�et�prtlr,. tivjtt'r damage (loin pipe pu11ct1.lrer., fill., ')l I -dl lil 1 T1►ne to supervise employees: maki' "Ill'.' vo-I 1mve slllhcivilt 1111te so Stipcn i,:� Stull'elllplt,Nt't"' # i Expertise: Makt`0111`\`tlllll8\'etll('CXp(''111`<Ctt ;p:f " vtilift\C!1(!eTtet'elcr'ntr;lct(1r,tC+CrlrtrClift,lf11tI1(`lV'.+rk tlil'tnt' II tl,,mlli"ii i; !Tilde". ane! to!NMify hlidding officials it►he appinpriste times si)they c;1i1 perform the redulrt•d irvgv(tiltn', If \('+I.I have addiiic)nal (lucsilow,, write ilrcali the Cclnstnu'tii,n C'tlntrarti)rs E>I(,u,l!l'f)F11rx 1414ft,,tialetn,,)il t► aryl �I)V 1 78-102 1 1 The Board is located at 700 Summer St. NI[ Suite M),in Salem. t CITY OF TIGARD BUILDING INSPECTION DIVISION MST .;2 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 6UP Date Requested AM PM BLD Location1� 2 ,� w /��.�yv'� Suite _ — MEC _ Contact Person Ph (6"(/ Y1 ��7 PLM Contractor Ph _ SWR / BUI4DING,;� Tenant/Owner — ELC Retaining Wall ELR — Footing Access: Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes: Slab _ — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing —. _�----.--�_---_---- -- Insilation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -------_----- — - ----- -- - _ --— Roof c• _ Final - PART FAIL ----- — —_ --- — — P GING Post& Bearn Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PAS PART FAI _ CHANT ost& Beane - - -- -- - - ----- - - -- - Rough In Gas Line ----_ --- _- _ _ - ------..___--------------- --- S oke Dampers PART FAIL -RIC Service _-!1 Rough In UG/Slab - -- - - - - -- — — Low Voltage F i Alarm m -- - - - - - - -- -- PA PART FAIL - -- -- - ---- -- - -— -— --- -- StTE Backfill/Grading -- -- - - - - - - _ - -- - --- Sanitary Sewer Storm Drain ) ) Pf )s,Jwct!.rm tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvri Catch Basin Unable to Inspect-no access Fire Supply Line I ) {'Ie�Se call for reinspection RE: -� [ ADA 1� / p� Approach/Sidewall, Date ��C��_ Inspector // V 1 Ext Other ----- fttt--- �LL Final PASS PART FAIL DO NOT REMOVE this in,4pection record from the job site. BUILDING PERMIT CITY OF T I GA R D PERMIT#: BUP2004-00473 DEVELOPMENT SERVICES DATE ISSUED: 10/1/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112C3-08200 SITE ADDRESS: 15029 SW KENTON DR SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R-7 _ BLOCK: LOT: 096 _ .!L'oISDICTION: 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: 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: BSMI?: MEZZ?: REQD SETBACKS 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: $ 200.00 Remarks: Add extarior window to family room. Owner: Contractor: .JEREMY HAWKINS OWNER 15029 SW KENTON DR TIGARD, OR 97224 Phone: 503-968-1089 Phone: Reg#: FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp 1131JILD1 1'ermit Fee 1011/':004 $62.50 Final Inspection TA 1811/0 State Surcharl 10/1/2004 $5.00 Bolts in concrete final repo 113U1'111,Nl Pln 16 10/1/2004 $40.63 Total $108.13 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 he done in accordance with approved plans. This permit will expire if wog k is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires;ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952001-0010 through OAR 952-001-0100. You may obtain a :opy of these rules or direct questions to OUNC by cailing,4503) 246-6699 or 1-800-332-2344. Issu d By: Permi a Signature: — ! Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Received Pern,tt No / 7 Date By 13125 SW Hall Blvd.,Tigard,OP 97223 Plan Revmw Phone 503.639.4171 Fax 503.598.1960 Date/By Other Permit Inspection Line: 503 639.4175 Date Ready/By lu la See Attached Checkabt for Internet: www.ci.tigard.or us Notified/Method. ---�- _Supplernenta1 Information - - TYPE IU RED DATA:I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees`are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement — ❑Other: equipment,materials,IaLor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ aluation: I-and 2-family dwelling ❑Commercial industrial - $ ZG ) -❑Accessory building ❑Multi-family Number of bedrooms: F1 Master builder slOther: — Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of f)cors Job site address � - t� --� r� f -t_--��_-- v New dwelling area: "-- --- square feet -- City/State/ZIP: G c172 / Garage/carport area: _ square feet IZ Z t1. _ Si ite/hldg./apt.no.: Project name: , �,vt j o't_ Covered porch area: square feet Cross street/directions to job site _ -- Deck area: -^ square feet Other Structure arca: _-v-- square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: - _- —� T Lot no.: Permit fees•are based on the value of the work performed- Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all _ equipment,materials,labor,overhead,and the profit for the work indicated on this application. —� ——. Valuation: S Existing building area: square feet ---------------- New building area. square feet (] PROPERTY OWNER' ❑ TENANT Number of stones: Name: --- t"ri 1��.�►^7 J w k Type ofconstruction^ Address: 1 S-G } �� `, „ ``��, Occupancy groups: City/State/ZIP: `%7 - _ _ Existing.: _-- �1 Phone: c/G `Y W(Vi New —T_- _------- ❑ APPLICANT ❑ CQNTACT PERSON NOTICE Business name_ - - All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board -- ------ -- ---- -- under ORS 701 and may be required to be licensed in the Address: jurisdiction In which work is being performed. If the City/State/ZIP: applicant is exempt from licensing,the following reasons _--- - -- apply Phone: F-mail Business name: ) � - -T- -- -� - - --_- - _ BUILDING PERMIT FEES- Address: _---- --- -- ---- - - Piease refer to fee schedule. City/Stale/'!IP: ----- - -- -- ---------- -- Fees due upon application - P...r... : ) Fax:( ) -_------ - -- -- - - - — - Amount received CCB lic.: —! _- Date received: Authorized91gnet ;� This permit application expires If a permit Is not obtained C_-.._ within 180 days after It has been accepted Pc complete. i Print n _' -r4 '� �w,�L�,7�� Date: G �L� • Fee methodology set by Tri-County Building Industry Service Board nmld,nM�Permoe�BIIP PermitAppdoc 12/0 440.46t)T(11/02/C0WWPB) One- and Two-Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard 13125 SW Hall Blvd.,Tig ard,OR 97223 Phone. 503.639.4171 Fax'. 503.598.1960 24•Hour Inspection Line: 503.639 4175 6 k a r�ecmc.�� U ri��„r,,, a. ,� , � Internet: www.ci.tigard.or.us a crier THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ J 2 'Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ C 3 Verification otfaa approved plat/lot. ❑ ❑ 4 Fire district approval required. Name of district. ❑ ❑ _ 5 Septic sstem permit or authorization for remodel. Existing system capacity _❑_ �J __ 6 Sewer permit. ❑ _� 7 Water district approval. ❑ ❑ _ ❑_ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ 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 completed if copyright violations a-rist. _ I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if LJ there is more than a 441.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 ❑ ana location. 13 Floor plans. Show all dimensions,room identification,window size,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 trammg-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 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 gre�.ter than four foot at building envelope. Full-size sheet addendum;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 engineering standards. 17 Flour/roof framing. Provide plans for all floors/roof'assemblies,indicating member sizing,spacing,and beating ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cress 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 an beatn/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. Agas-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 enginee or architect licensed in Ore on and shall'e shown to be 7 livable to the ro ect under review 23 Five(5)sit^,plans are reguireni'o,tem 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 and 22 above. ___ ___ ❑ - 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 26 "Reversed"buildingpicots must meet criteria outlined in the Permit&System Development Fees document. _ 27 "Drawn to scale"indicates standard architect or engineer scale. _ ❑ �L 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 surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. s _ is\Building\Permits\One-Two-FarnilyChecklist.doc 12/03 C.K. Engineering Consulting Engineers o Job # pry -42 Prepared For Q°..�0011 NQ KUA� EXPINEs Prepared by Chung lu,ang Lee, P.E. Structural / Civil Engineer 7014 SNV Nyberg Road Tualatin OR 97062 • TEL. (503) 692-5907 The engineering calculations only for this lot site No duplications shall be made without written consent. I i i i I _ I I I _ i �� p _ � __ .. __ _ V ,� �/'� �.JL S� - ------ i • -�Itil i. I.r a L �� v Lx ( '7 -4. 7' 12, X'� ( 4, 14) tj k lb,Q-AI 0xd,b2 XI.jx(�x3 '� + V161D &71V v � ` �03 � y 1 �i �;�• ��J�4jq/� 6/vL �O�/C� 2-0 A� v. L rYLB c, c AA-F,r- I i • 2 . Cj¢1�rM�v (roA. 0,lb¢ W- FI4**p))0 L.�.+l.5-)x(1 4-( t7Y+Y. 0Sv 4- 2,771 -LZj1 L -r 0,�b4 C 4 7-C �'�� 343q- 1734 V, - I'134 ed o All 74 to W/�py,/ �f(Jir.JLf� 1 " �.A'�'Wjtj -T- Of Y h,r �o xy , 7 r'�-,..�i. CP�a., �r-�w•-,t�,r 0U /� Header rAvurrt�xrtaninm (taking point load from girder truss above) TJ-aearNTM)8.10 Serial Nu er:7003012921 User 9128/1200490139AM 3 1/2" x 7 1/4" 1.6E So;id Sawn Douglas Fir #2 Pape 1 Engine Version 1 10 3 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 0 Product Diagram Is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Lead Width: 6" Primary Load Group-Residential-Living Areas(pl;f):40.0 Live at 100%duration, 10 0 Dead Vertical Loads: Type Class Live Dead Lor,ation Application Comment Point(lbs) Snow(1.15) 2712 879 4" Uniform(plf) Snow(1.15) 96.0 30 0 0 To 4" Adds To Uniform(plf) Floor(1 00) 0.0 9:1.0 0 To 4" Adds To SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Llve/Dead/Uplift/Tolal 1 Trimmers 1.50" 1.86" 3083/996/0/4079 By Others None 2 Trimmers 1.5o" 1.50" 766/221 /0/988 By Others None -See TJ SPECIFIER'S/BUILDERS GUIDE for detains): By Others Bearing length requirement exceeds input at support(s) 1. Supplemental hardwar,is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Control Lor,ation Shear(lbs) 4079 -746 1848 Passed(40%) Rt.end Span 1 under Snow loading Moment(Fl-Lbs) 1474 1474 3341 Passed(44'16) MID Span 1 under Snow loading Live Load Den(in) 0.021 0.142 Passed(L 999+) ,,AID Span 1 under Snow loading Total Load Dell(in) 0.027 0.213 Passed!L/9994) MID Span 1 under Snow loading -Deflection Criteria:MINIMUM(LL:L/360,TL:L/240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability -The allowable shear stress(Fv)has not been increased due to the potential of splits,checks and shakes. See NDS for applicability of increase PROJECT INFORMATION: OPERATOR INFORMATION: Jererny Hawkins Kelly McKain Hawkins Remodel Parr Lumber Company 15029 SW Kenton Dr 2351 SW Borland Rd Tigard,OR 97224 West Linn,OR 97068 Phone:502 338-7575 Fax :503 638.7733 kellym@parr.com Copyright O 2003 by True Joist, a Weyerhaeuser Business e:\bocuments and Settings\ke11ym1my roO Pnte\TJ Beam cslcs\Hawkins Re ,del bml.ems �Ij*� a/ Header Y,�Yom, ,x921. (taking point load from girder truss above) TJ-aeem(TM)8.10 serial Nu r:70030122921 User 2 92FV20049.01.39AM 3 1/2" x 7 1/4" 1.6E Solid Sawn Douglas Fir #2 Page 2 Engine Version 1 10 3 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by'rrus Joist(TJ). TJ warrants the sizing of is products by this software be accomplished in ar cordance with TJ product design criteria and code accepted design values. The specific product 1pplication,input desig-i loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -Solid sawn lumber analysis is in accordance with 1997 NDS methodology and ib solely presented for comparison purposes. Program limitations and assumptions about this analysis are available through the software's On-line Help. Trus Joist does not warrant the an3ly:;is nor the performance of solid sawn lumber materials. Allowable Stress Design methodology was used for Building Code UBC analyzing the solid sawn lumber material listed above PROJECT INFORMATION: OPERATOR INFORMATION: Jeremy Hawkins Kelly McKain Hawkins Remodel Parr Lumbar Company 15029 SW Kenton Dr 2351 SW Borland Rd Tigard,OR 97224 West Linn,OR 97068 Phone:503 638-7575 Fax 503 639-7733 kel!ymftparr.com copyright o 2007 by Trus Joist, a Meyerhaeucer auniness C:\Document■ and Setting®\kellym\My Documents\TJ seam eaten\Hawkins Remodel hurl.ams o � � _ E V oft `` F it J � c T ` rJ 'yr I OC. r I J -- n I _ T I k � I i CITY OF TIrARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171' a UP Received _— _Date Requested Z AM ✓ _PM _ BUP _ Location Suite - M_ MEC Contact Person Ph( L `> PLkl _ Contractor-- j __ Ph( ) —_ - _ SWR _ BUILDING Tenant/Owner � _- ELC _ Footing ELC Foundation Access: Fig Drain ELF! Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear -- --_ - Shear Anchors Ext Sheath/Shear —_ Int Sheath/Shear Framing -- Insulation Drywall Nailing ---- Firewall Fire Sprinkler - ------- - - --- — — Fire Alarm Susp'd Ceiling -- -- — Roof Other: -- -----------__------- -- ------ SART 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 -- --_._ J.------ - --- Rough-In - - - -- - - ---- --- UG/Slab Low Voltage _ -- __�---- --- -.---- --- Fire Alarm Final Reinspection fee of$ - required before next ins ction. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PANT FAIL SITE _— C Please call for reinspection RE: _,� �� Unable to inspect-no access Fire Supply LineADA _ Approach/Sidewalk Date �� 1'= Inspector_ Ext Othpr Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL 10 - S Ila .— -- - — 17 - � �J h x n va Ibdri -- 10 x 13 o� 5 4 I-IVd Q n n s p i 1 I Nj Grid S ►y� ,'� i SII i�I IIII L �Qr vin. I �x A I i ; I i ' aVelf --- - � I� 1� �. - ,� 1 •yam . bd Fn C., 0�" qc) _j -FK 40 q4 T —J 1 I �1Vti� GL 1 k L77 1 (�U r I . I . i f ! II II ► I il I I1 ( r Ii T� r r —� 1 i � I I I rl I I I �_I I I I1 i I I I I i i I i I i i IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 12I NOTICE: IF THE PRINT OR TYPE ON ANY 7 III.1 III ► IIiIII III III-it IT IS DUE TO THE QUALITY OF THE No.38 "� _ +° •~ ORIGINAL DOCUMENT �6 Z 8 Z L Z 9 Z s Z I IIit, II Illi IIII IIII ill) IIII III) 11.111111111-I 1 11111 ��111111111. 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