7975 SW KROESE LOOP i
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797!5 SW Kroese Loop
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Building Permit Application
City of Tigard received: Permrtno.: q41-�
City njTigard Address: 131:5 SW Ilttll lilrc;, I'iltard,OR 1722 4
Project/appl.no.: Expire Me:
Phone: (50?) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 V
/ yy� Case file no.: Payment type: N
Land use appreval: �` jyu 1&2 family:Simple Complex:
1 � �
*61 B(2 family dwelling or accessory U Commercial/industrial J Mull latrttly J Ncw construction U Demolition �+
kg-Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other-
JOB SITE INF
ther1 1 1
Job a"ldress: _ s(,(� Y'O " _ Bldg.no.: Swtc no.: r
Lot: — 1-Block:
Pr,ijcct name: Subdivisio �7
= 'ax map/tax lot/account no.: Z S) 2
"
D-r iptt�ona id bcation of work on premises/special conditions: �Q.r,Zr t•� i ryy -
1 'r
Name: h t t ,
Halling address: Lt 1 &2 famil}'dncllinl;: aZ
=—!
City. ,r _ State: ?.I P: VnluaUon of work $±Q --
..—
Phonc: Pax: C-mail: No.of hcdrooms/haths.................................
Owner's representative, y r v
_. _ V Total number of floors................................. _
I'honc l Pax E-mail: New dwelling arca(sq.ft.) ......................... _ --
APPLICANT Oarnge/carport area(sq, ft.) —
Name: 1 LR_5 CVS• for" r` Covered porch area(sq.ft.) ........................ _
Mailing address: !'�t, M1 j Deck area(sq.ft.) .......................................
City: p _ State:G4Q ZIP: eyj Other structure area(sq. ft.)................ ........
Phone: fj 14n fax: E-mail: Commercial/industrial/multi-family:
Valuationof work........................................
Business name: yH Existing bldg.area(sq.ft.) ..........................
Address: — - --- - - New bldg.area(sq.ft.) .... ..........................
—� - — Number of stories _
Cit -- State: Gtp; ........................................
City:
of construction _
Phone: I ax: E-mail:
—_
Occupancy gmup(s): Existing: ----
CCB no.:—�Q Q t� � _
New:
f'ily/nutrnlic nuts: �� r
rNe contractors and subcontraLtcra arc required to be
r th the Oregon Construction Continctors Board under
Name: f ORS 701 and may be.required to be licensed in the
_ .. _
Address: jurisdictionwhere work is being performed.If the applicant is
City; — 3tatc: ZII,: licensing,the followin reason applies:
Contact persun. Plan no.: -- --- —
Phune: lax: C:-niiuil: --- - -
Name: Contact person: Pecs due upon application ...........................
Address: Date received: _.
City: _ State: IZIP: Amount received ...................................... .. $- •
Phone: — Fax: E_mall: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not at,)arisdictiom accept credit cards,please call Jurisdiction for nuke information
attached checklist.All provisions of laws and ordinances governing thi-i U Visa U MosteWard
work will be complied w whetl eas ed herein or nor / credit card numher._ -
Gzplres
Authorized sA' atur� S_ -i, Date: n Z -
�� 1� Natne of cardhuldrr as Fhmwn an credit cud
Print name: Cardhoider signature S Amount " I
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complr:c• (ao-361.1(NWCOM)
9 One;-and Two-Family Dwelling _
Reference no.:
Building Permit Appli_eation Checklist
t of Tigard Associated permits;
�' U Electrical U Plumbing U Mechuntcal
Address: 13125 SW Ball Blvd,Tigard,OR 9722; UOther:
Phone: (503) 639-4171
Fax: (503) 598-1960
THE 1 1 REQUIRED 1 ,
I (land use actions completed. '-- jurisdiction crteria for concurrent reviews,
2 !t►ning. flood plain,solar balance points,seir.mic soils designation,historic district,etc. --------
3 Verification of approved plat/lot. _
4 Tire district —approval required.
5 Septic system permit or authorization for r-model. Existing systern capacity
` 6 %wer permit.
7 Water district approval. _
8 Soils resort.Must c my origihtil Applicable star-rp and sit'nature on file or with application. _
i9 Erosion r wrol 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 he incorporated into the plans or on a separate full-sire
sheet attached to the plans with cross references between plan location and details.Plap,review canyibt he comNeted
-11"copyright violations exist. ,
1 I Site/plot pian drawn to scale.'I'he plan must show lot and building setback dimensions:hropery comer elevattions t it '-'-
there is more than a 441.elevation differential,plan nnust show contour lines at 241.intervals);location of eawillent.s and
driveway;l'ootprint of structure(Including decks);locution of weldsep(ic systems;utilft9 IAcatlons;dir!ction ntdirat n;IN
area,building coverage arca;percentage ofcovcragi%impervious arca;existing structures on site;and surface drainuffe.
12 )foundation plan.Show dimensions,anchor holts,any hold-downs and reinforcing finds,connection details, cent
-- size and location.
13 j1oorplans.Show all dincusions,room identification,window size,l5cation of smc k�detector's,watery icater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches aheve grade,etc:
14 Cross section(s)and details.Show till framing-member sires and spacing such as fluor herons,headers,joist.►,sub-flgbr,
�► wall construction,roof constnrc,'on. More than one cross section may he required to clearly portray construct ion,Show
details of all wall and roof sheathing,rooling,root slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulaliwi,etc.
15 Elevation views.Provide elevations for r,ew construction;minimum of two elevations for additions and retro tls.
Exterior elevations must reflect the actual grade if the chanlx• in rraale is greater than four tout at building envelope.
_full-sire sheet r4denclunhs showing foundation elevations with cross references are acce.)table.
16 Wall bracing(premAttillve path)and/, r Inferal nnalysis plans. Must Indicate details and locations;for
non-prescriptive path anmy.,'s provide speciliraoion',anal caticul;oionS to engineering standards.
17 Floor/roof framing, Provide p,.uns lotall Iloorshouf asx nihln s,is plicating nhenher sizing,spacing,anal hearing
locations,Show attic VC11011ta.nh. _
18 Basement and retaining walls. Provide cross sections acct dctails shoMng placement of rebar. For engineered
_ systems,see item 22,"Engineer's calculations.' _
I') Begin calculations. provide two sets oI calc'ulAUons using cut're t code design values for all heatms and multiple joists '
over 10 1'eet long and/or tiny beam/joist carrying a non-uniform load.
2n, 1Nanufactured Boor/roof truss design details.
21 Energy Code compliance.Identity the prescriptive path or prw-ide calculations.A gas-piping schematic is required
fur fo.rr or more appliances. _
22 Enghteer's calculations.When required or Inovidel,(i.e.,shear wall,rr-"truss)shall he stamped by an engineer or
architect licensed in(loon and shall he shoee'n to hr;ihfIb,ahlr t-+the ojcct under revieev.
JURISDICTIOA-11,SPECIFICS
7" t`ive(5)site plans are required for Ilan I I above. Ste 1,la N must he 8-1/2" x I I"or I I" x 17".
24 Two(2)sets each are required for Items 16, 19,20&22 above. _
25 Building plans shall not .ontain red lines or lope-ons. "Mirrored'building plr,ns will he not accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit& System Development fecS document.
27 "Drawn to scale"indicates standard architect or engineer scale.. 7_
28 Site plan to include tree size,type&location per approved project street tree plan of applkpt,le),,and COT Street TrµList,
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, a.u)..rr,a.e aenarc•ost
A _ BUILDING PERMIT
CITY OF T I GA R D PERMIT#: BUP2002-00389
DEVELOPMENT SERVICES DATE ISSUED: 9/13/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112BA-01000
SITE ADDRESS: 07975 SW KROESE LP
SUBDIVISION: �VAVERL" MEADOWL ZONING: R-7
BLOCK: LOT: 01; JURISDIJ:TION: '.IG
REISSUE: FLOOR AREAS _ EXi'FRIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E_ W:
TYPE OF USE: SF SECOND: sf ?ROJECT "-'1NGS?
TYPE OF CONST: 5N sf N: S: F: W:
OCCUPANCY GRP: P3 TOT L AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: __EMENT: sf AREA r.EP. RATE):
STOR: HT: ft GARAGE: sf OCCU S:P kATED:
BSMT?: MEZZ?: REQD_S_ETBACKS_ __ REQUIRED__
FLOOR LOAD: psf LEFT: 60 ft RGHT: _ sft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: G ft FIR ALRIvi . HNDICP ACC:
BEDRMS: BATHS: IMP F1 roFACE: PRO CORR: PARKING:
VALUE: $ 3,320.00
'Remarks: 200 sq.ft. deck
Owner: Contractor:
BUNDY, RALPH S AND RICK'S CUSTOM FENCING
SANDRA C 4543 SW TV HIGHWAY
7975 KROESE 7LO��OppP HILLSBORO,OR 97123
Tl 0%!53-VA=Z324 Phone: 640-5434
Reg#: LIC 50088
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PRMT CTR 9/6/02 $81.70 27200200000 Fivalramng Insp
Final Inspection
PLCK CTR 9/6/02 $53.11 27200200000
5PCT CTR 9/6/02. $6.53 27200200000
Total $141.34
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
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1 800-332-2344.
Permittee
Signature:
Issued By: 1_- -- 1- Q_
Call 639-4175 by 7 p.m. for an inspection the next business day
Buildi►rig Permit Application
City of Tigard Date received: Permit no.: a� -�
Address; 13125 SW Hall Blvd,Tigard,OR 97223 ProjecVappl.no.: Expire date:
City njTigard Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 / Case file no.: Payment type: t ' 4
Land use approval: `� IuUL 1&2 family:Simple Complex:
I TVPE OF PERMIT
1154 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition 3
b-Addition/alteratio✓replacement U Tenant improvement U Fitc tiprinHcrhhim f]Other:_
li SITE INFORMATION
Job address: __� 5 r d 3 _ Bldg,no.; Suite no.: -,
Lot: I Block: Subdivision: 4 Tax mal/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: I_00.5,�___ \ i req
10711 V A lot 7111 TF,V-17rol ill
Name: VIC,1 h
Mailing address: [- 1 &2 family dwelling:
City. rI State: 'LIP: 41 Valuation of work........................................ $ 6
Phone: Fax: f:mail: No.of bedrooms/baths.................................
Owner's representative: e LTotal number of floors.................................
Phone: Fax: E-mail: New dwelling area(sq.ft.) .........................
On�age/carport area(sq.ft).........................
--
Name; 1 LK V tom_ ' Covered porch area(sq.ft.) ..................... _
Mailing address: �� Deck area(sq.ft.) ........................................ 200
City p� state: ZIP:=#--� Other structure area(s ,fl.)
Phone: Fax: F-mail: Commereial/industrial/multi-family:
Valuation of work........................................ $
Existing bldg.area(sq.ft.) ..........................
Business name: New bldg,area(sq.ft.)
_A rens.
----� tatc: Number of stories........................................
City: SType of construction
– _
I'h_onc: Fax: E-mail:
—O -- — Occupancy group(s): Existing:
. CCB no.: — --
- -- New:
City/metro tic.no.: 10k Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Namc: provisions of OILS 701 and may be required to he licensed in lb,
Address; /T jurisdiction where work is tieing performed. If the applicant k
City: State: LIP exempt from licensing,the following reason applies:
Conflict person: Plan no.: - --
Phone: Fax: TC?-mail: --- -----
N
ame: — � Date received: pl
/{� J'�" Contact person: Fees due upon application ........................... R_
ress: j: --Mate: Izi P:+—^ Amount received............................... 'e
Phone: Fax: —I E-mail: _ Please refer to fee scheeulc. _
hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cards,please call Jur;sdi,tion for mar inG'"mili m.
att..acd checklist. All provisions of laws and ordinances governing this UVisa U MasterCard
work will be complied w' whet eaF ed herein or mat, / Credit card number __[ _1
Authorized si ature: Date: � ,�Z- Name ofcardhol<kr as shown on crrdit card
15— S I>e .�__ $
Print name: Cudhotder dEnsture —i_`– Amount
Notice:This permit application expires if a pe mit is not obtained within 180 days after it has been accepted as complete. 4404611(6KXWOM)
One-and k Wo-Family Dwelling
Building_P_erw%l Application Checklist 11cferen-no.:
City of Tigard _ N Associated permits.
furd City of Tigard U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 UOther:
Phone: (503) 639-4171
Fax: (503) 598-1960
THE FOUOWING ffEMS ARIP REiQUIYi 1 ' PLAN REVIEW Yes No N/A
I Land use actions completed. `.Cc ani,,!; ,nu criteria for concurrent reviews.
_2 7aoaing.Flood plain,solar balance points,seismic soils,icsi gnation,historic disiri o etc,
I Verification of approved plal/lot. �-
4 hire district —approval requiredY
5 Septic system pertall or authorization for rentodei.Existing system capacity
6' ,Vewerpermit.
7 Water district_approval.
S Soils report.Must can origihiil applicable stamp and stognature on file or with application,
9 Eroslon control U plan U permit required. Include drainage-way protection.J11 fence design and.10x;ation of
catch-basin protection,etc. _
10 Complete sets of legible plans.Must he drawn to scale,showing;conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plats or on a separate full-site
sheet attached to thc plans with cross references between plan location and detail.. 11I;ui.roviow canoUl be couii4elcd
11-copyright violations exist.
11 Sllelptol plan drawn to scale.lhr plus nao�t sly c�lot and huitding setback dintrnsiuns;property corner clrvaotions of
there is prom:than a 4-fl.elevatonn(lit IL-1011 lill.plan 11111A show contour lines al 241.intervals);location of ca.will nts and
driveway;footprint til stnocau_ (including decks);location of welWs;cpfie systems;utl1it9 IAcittlons;direction inUaGrr:lot
area;building cover�ig.e area,perCC1ll;l L!of covera}!e:impervious arca;existing structures on site:and surface tlminagc. '
r 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details.vent
size and location.
13 Tldoffilans.Show till dimensions,room i(ientificatiom,window size,lncatlon of smoki detec� tors,water t�cater,
furnace,ventilation fans,plumbing fixtures,halconies and decks 30 inches above grade,etc: '
14 Cross seetlon(s)and details.Show till framing;-rnemtxr sizes and spacing such as(loot hams,headers,joists,sulrtlgor,
wall Construction,roof construction.More than one cross section nuts,he required to clearly portray construction..Show
details of all wall and roof sheathing,roofing!,roof slope,ceiling hciphi,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
19 haevatlon views.Provide elevations for new construction,minitnwn of two clevations for additions and rehu ls.
[:stertor elevations must reflect the actual grade if the Ch;mf'e to Prater is VrCater that four foot at building envelope.
Full-size sheet addendums showing founclttion elevations st ith rro�ti lAvicnCes are a cceptable. ---'-
16 Nall bracing(prescriptive path)and/or lateral analysis plans. NIMI nulicslr(10;61S and hiCalions'; for
mat-prescriptive path analysis provide specifications and calculations to en!'incrrmg standards.
17 Floorlroof framing.Provide plants for all floors/roof'IISSC1111}hei,llndicating member si/ing.spacing.pn;l ticrin<t
locations. Show attic ventilation. _
18 Basement and retaining walls. Provide cross sections and details showing placement of rehar.For cttgineere,
_ systems,see item 22,"Empineer's calculations." _m
19 Hearn calculations.Provide two sets of calculations usi•tg_current code design values for all beams and nnlln�ctrl�joists �-I
over 10 feet long and/or any beam/joist carrying;it non-t,niform load,
20 Manufactured floor/roof truss design details.
21 Energy Code compliance, Identify the prescriptive path or provide calculations. A seas-piping schematic i%requin•d
for.'our or more appliances.
L22l;ngineer's calculations.When required or provided,O.e.,shear wall,roof tin ,;haul h• ;tamlj1Cd h} an elli'ineer of
archinitect licensed circ ion and shall hr sh w n to he apphcahlc to tl In I ,r w,f t •, : V.
JURISDICIAONALSPECIFI(S
23 Five(5)site plans are required for Item I I above. Site pians nn,•r he ti-1/2" x I 1" oil'1" •c 17".
24 Two(2)sets cacti are required Cor items 10. la),20& 22 ahove. _
25 Building:plans shall not contain red lines or tape-ons. "Mirrored" huilding plans will he not accepted.
2 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to settle" indicates standard architect or engineer scall:.. _
28 Site plan to include tree size,type fit location per approved project street tree plan(if applicph,le),noxi COT Street Ttw List.
Chccklist must he completed before plan review start date. Minor changes or notes on submitted plans n„t} he in blue or black ink,
Red ink is reserved for department use only. 4.a,-41,14 MIA OStI
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One & Two-Family Dwelling
Plan Check Fees
Cit ,of Vgrd
PERMIT INFORMATION:
Permit#: 1ju P1yU 2-DO SR i __-- Plan 8: Date: /r - G L _— --
Site Address: Q �� 75 �� /�raPS-* Ln Parcel #: �S//L_" -o/opo
Subdivision: _ — Lot #: _ Zoning: _—
Jurisdiction: Setbacks: Front: 1Zc.ar: Left: Right:
Class of Work: p r __ Stories: __ First Floor: _
Type of Use: -� Height: _ Second Floor:
Construction: N Floor Load: Third Floor:
Occupancy Group: It- .3 Dwelling Units: Fourth Floor: _
Valuation: Ud Bedrooms: _ — Total Floors: _
AL Bathrooms: _ Basement:
Decks: �o D._�^ Garage:
Porches: Other:
FEES: Description: Fee Amount: Amount Vaict: Balance Uuc:
Plan Check: Building:
Extra Set:
1'rrmit: Building: 8/. 70
Tax:
Mechanical:
Tax: --
Plumbing:
Tax:
Electrical: -
Tax: ----_ ----- — --
Low Voltage:
Tax:
SDC: CDC Bldg. Rev.:
CDC Ping. Rev.:
Parks:
TIF Res.:
TIF M'(': --____---- _ —,.---- -----
Erosion Permit-
Erosion CWS: ----
Erosion COT:
Water Quality:
Water Q,aantitY:
SUB-TOTAL: --
Sewer: Permit:
Inspection. ------— - ------- -- --
SUB-TOTAL:
TOTAL: .._—____�
1Adsts\forms\ResPlant'heckFeea doc 2'4102 �� Nage 1
CITY OF TIGA'RD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION riVISiJN Business Line: (503)639-4171 MST
BLIP cid e7V 3
Received _ Date Reque ted__ f_�G AM PM
BUP
Location _ _
Suite MEC _
Contact Person r�
—_.. .��2'yK�.� � Ph(_—) -��SCSL_.�k� —__ PLM
Contractor _ —` _ Ph(--) SWR
BUILDING _ Tenant/Owner ELC
Footi;,g �_ �
Foundation Access: EL.0 —
Ftg Drain ELR
Crawl Drain -
Slab Irisr ectic Notes ^-� A ��/7-- SIT _
Post&Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firev;all
Fire Sprinkler
Fire Alarm
Susp'd Ceilin
Roof
Other: - -
i
$S PART FAIL
PNG
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final ----—_..
PASS PART _F_XL
MECHANICAL
Post&Beam
Rough.-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab I - --
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART TAIL -
SITE _ PIF is9 call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk D��2- �!S - �' _ inspector _.•__
ext_
Other:
Final DO NOT REN.OVE this Inspection record from the Job site.
PASS PART FAIL