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9460 SW OAK STREET
lee-%S )1e0 IAS 0916 .r ac �a O C: t9 a 9460 SW OAK ST CITY OF TIGARD BUILDING PERMIT PERMIT 0:DEVELOPMENT SERVICES GATE ISSUED: 512/ 03 3-00217 13125 SW Hall BIvJ.,Tigard,OR 9722: (503) 639-4171 PARCEL: 15135AC-03200 SITE ADDRESS: 09460 SW OAK ST SUBDIVISION: ASHBP.00K FARM ZONING: C-P BLOCK: LOT: 017 JURISDICTION: TIG _ REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM _ FIRST: sf N: S: E. W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: — S: E: —_W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: ORE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: if OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DcT: DWELLING UNITS: iFRNT: ft REAR: ft FIR ALRM : HNDICP ACC: 9EDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demc'ition of 1,000 sq. ft. dwelling and 400 sq. ft. garage All debris to be removed and sewar to be capped. Basement and foundation to be uncompacted fill. Fill to be compacted prior to new construction. Owner: Contractor: GRLAND LTD R + H CONSTRUCTION 5410 SW MACADAM AVE #100 1530 SW TAYLOR POR'(TLAN.`,OR 97201 PORTLAND,OR 97205 Phone: Phone: 503-228-7177 Reg 0: MET 30g030p041106 FEES i LIC REQUIRED INSPECTIONS Description r� Date Amount Sewer Insp [BUILD]Permit Fee 5/2/03 $62.50 Final Inspection [TAX]8%State Tax 5/2/03 $5.00 [ERPRMT]Erosion 512/03 $26.00 [F"RPLN] Fro Plck-USA 5/2103 $8.45 (addi'lion2l fees not listed here) Total $110.40 4 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes N and all other applicable 19N. All work will be done in accordance with approved plans. This permit will expire If work Is not started within 160 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you In, follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR m 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by 0 calling (503)246-6699 or 1-800-332-2344. W Issued By: Permittee / Signature: Call 639-4175 by 7 p.m.for an Inspection the next business day Buildint Pe�rm#��WuQon P �;„�, Building �� �. eJ0U3 ate/B�— 2 PemritN tt"il' � �'Qt7iZ�' City of Tigard 1 A lanning Approval Other _ Date/By:�_ Permit No.: 13125 SW Hall Blvd. C:I-TY OF TIGARD Plan Review tither Tigard,Oregon 97223 BUILDING DIVISI t Date/© _ Permit No.. Phone: 503-639-4171 Fax: 503-599-1960 Post-Review Land Use DatefflyInternet: www.ci.tigard.or.us Contact case No. _ g Contact Ju 's.: IM Set Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method: 6� Supplemental Information 's TYPE OF WORK REQUIRED DATA: str Ne_w con uction_ Demolition 4&2 FAMILY pWELLING Addition/aiteration/re lacenient CATEGORY OF CONSTRUCTION Note: Permit fees'are bases to the total value of the work perfumred. Indicate 1 &2-Family dwellingCommercial/Industria! the value(rounded.o the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Buildin Multi-Family Master Builder Other: Valuation...................................... ................. JOB ktl '1'ItI No.of bedrooms: No.of baths: _ "`� _ Totul number of floors. Job site address: qV,9� T�nrr.AL-' �ie�-trivellin arca fl. /,sz� Suite#: I bldg./Apt.#: Garage/carport area(s tt....... .... . - YO-a — I ro'ect Name: or/a,4„Q /�,�vt,ys. Pea r� '�s Covered porch area(sq.ft.)............................. Cross street/Directions to job site: Deck area(sq.ft.)........................................... corner of Oa-k 41 t rt4 .04T.,4C Other structure area(sq.ft.)............................ CO G Subdivision Tax map/parcel#: Note: Permit fees•are based on the total value of the work performed. Indicate I)ESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, �— overhead and profit for the work indicated on this application. 4r�I t tt �pl�r�►f/cV) T Valuation...:..................................................... S s Existing building area(sq.ft.)......................... _ New building area(sq.ft.)............................... Number of stories............................................ _ Type of construction....................................... Male: Qr��Q �eyltr/-.tc� Occupancy group(s): Existing: New: Address: City/State/Zip: _ Phone: --FFaX: NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under IK+7 IA provisions of ORS 701 and may be required to be licensed in the Business Name: R J K ! ►srs•.�rK�► _ jurisdiction where work is being performed. If the applicant is extmpt ContactName: �"ftwr.rf S�s��m�►�i from lice:tsing,the following reason applies: Address: 1soio Cit /State0p, nottf co 7t c s —_— _ ---- - F' Phone:sv3-Ay8 eels Fax:sod zty-76 38 ----- - HVILDIW',PFRMIT FEF_'k E-mail: Please t t rer to fAilikhedtile. CONTRACTOR — -.. AWL ___.--_.... m Business Name: S�r� R i5'f upon � Fees due u n .............................. S wAddress: ........................................... —1 City/State/Zip: _ Amount received.. $____ Phone: Fax: _ Date received: CCH Lic. #: J f Authorized oNotice: This permit application expires if a permit Is not obtained within Signature: Date: S -3 1100 days ager It hasbeen accepted as complete. •Far m•thodoinlri set by Tri-(County Nnilding Industry Service hoard. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.drx 01/03 One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: CirvoffigaidoAssociated permits: f Tigard O Electrical U Plumbing U Meclianical Address: 13125 SW Hall Blvd,Tigard,OR 97223 UOther: Phone: (503)639-4171 Fax: (50.1) 599-1960 I tAnd use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils Osignation,historic district,etc. 3 Verification of approved plat/lot. 4 Fire district _approval required. 5 Septic system permit athorization for remodei. xisting system capacity 6 Sewer permit. 7 Water district approval. F Solis report. Must carry original applicable stalfip and signature on file or with application. _ 9 Erosion control U plan U permit required.! lude drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must h drawn to scale,showing conformance to applicable local and state building codes. Lateral desigi,details and o6nnections must be incorporated into the plans or on%separate full-size sheet attached to the plans with cross refe noes between plan location and details.Plan review cannot be completed if ca yright violations exist. I 1 Ske/plot plan drawn to scale.The plan .zest show I,rt and building setback dimensions;property comer elevations(if there is more than a Oft.elevation diffe Tial,plait must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(includi g decks);location of wells/septic systems;utility locations;direction indicator,lot area;building area;percents 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 t dimensions, m identi:cation,window size,location of smoke detectors,water heater, furnace,ventilation!a%plumbini fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and de& s.Sho all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, ' wall coustruction,roof cons cti .More than one cross section may he required to clearly portray construction.Show details of all wall and roof she ng,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal i . lation,etc. 15 Elevation views.Provide eleva'ons%rnegw construction;minimum of two elevations for additions and remodels. Exterior elevations must reflec the aade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums sho in fon elevations with cross references are acceptable. 16 Wall bracing(prescriptive p th)and/or Ia al analysis plans.Must indicate details and locations;for non- msc Iptive path analysis 1provide specificaNpris and calculations to engineering standards. 17 Floor/roof framing.Provide tians for all floors/rc assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilate n. 18 Basement and retaining wells.Provide cross sections&d details showing placement of mbar. For engineered systems,see item 22,"En in er's calculations." 19 Beam calculations.Prov.de Iwo sets of calculations using cunt code design values for all beams and multiple joists over 10 feet long and/or any am/ rmjoist carrying a non-unifoad. _ IL 20 Manufae,tured floor/roof ts design details. 21 Energy Code compliance.Ifflentify the prescriptive path or provide culations.A gas-piping schematic is required U) for four or more a liances. 22 Engineer's caler:.rlons.Wn required or provided,(i.e.,shear wall, f truss)shall be stamped by an engineer or architect lice.,sed in Oregond shall he shown to be applicable to the'project under review. u23 Five(5)site plans are requirtd for Item 11 above. Site plans must be S-1/2"x 11"or 11"x 17". —� 24 Two(2)sets each are reauirrA for Items 16, 19,20&22 above. 25 Building plans shall not contai red lines or tape-ons. "Mirrored"building plans will be not 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&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. 440.1614(N0000M) May - 112. 2003 12: 12PM R&N CONSTRUCTION CO 503-224-3638 No-3291 P. 1/2 b' RSN(o1c�T1111m1oe RECEIVED MAY 12 7003 FA7r TRANSNY TTAL CITY OF TICARU BUILDING DIVISION Date: May 12, 2003 To. Building Permit Technician From: Stewart Scarbrough Company: City of Tigard Fax#: 503-224-3638 Fax#: 503-598-1960 Phone# 503-228-7177 No Pages- 2 (including this cover sheet) Job No: Job Name- C,riilnd Demo#2 MESSAGE re: Demolition permit#BTJP2003-00217 The following is a copy of the"Sensitive Area Pte-Screening Site AaRessment"ff m Clean Water Services,. The permit is complete:and paid for,the only thing required is this form from Clean Water 'Co-rvirre Pienqr mail rarmit ARAP(the Tenn ie arhrrinlm! 4'nr Thnrwtav';/1 C A M) 'hank you, Submitted by Stewart Scarbrough 'role ct Manager Direct phone#503-248--3535 CL a: lu H vs, to RRN(O"11MON M J 1 S 10 SMI TAYU1R S1./10971 ANQ 0 97MS/TEL SnY4 ll 17 j FOIL S08."COMM At fC!R p3M/Ii1i71/!�t7a1//WI AMS&/AINYIN"'i tIM/IiN1E4f'NMW�tCN1tM AM0 , 12. 2003 12: 13PM KR&H CONSTRUCTION CO 603-224-3638 No.3291 . EEP• 212 -- - V, V"RECEIVED Dco � � MAYS 12003 CJearMSe v ices APR 3 G Z003 q&H Construction, Inc OUT oommltmenf icclpr.. Sen>ssftive Area Fre-Scrosning Site Assessment MAY � 2 2003 Jurisdlation pate ��a CITY OF TIGARD Ma, &Tax Lot Ia/ 35.9c o3�Cx� Owner �ti_DING DIVISION Site.tiddnse kyr Proposod Adtvity N _ Adntact Phone Yom•.s�'3,�, aS' y N NA offilow u"0*blow ed.M. y N NA t�[�I ❑ ❑ Sensitive Area Compodto Map SM=* ser Intro ructure maps Map#_/3��1�----_--- NQS#. 11y N NA Y N NA L 1 Loony adopted studies or naps L] E] W]Other 1340ed on a review of the above informsWon and the regWrwnenis of Clean Water Semces rrDesign and Construction Standards Resolution and Order No,00-7: t_l Swuldve areas potentlslly exist on site or within 20tp of the site.THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERMIT.g SeneltNp Areas exist on the 91%or within 200 feet on adjacent properties,a Natur&l Resources Assessment Report may IF to required. Sensitive areas do not appear to exlet on site or within 200'of the 4-itts.This pre- screening site assessment does NOT$11minete the need to evaluate and protect water quality sPnsitlw areas N they are subMqusndy dtscovehsd on your property, NO FURTHER SITE ASSESSMENT OR SOMCK PROVIDER LETTER IS REQUIRED,THIS FORM WILL SE'RV'E'AS AUTHORIZATION To ISSUE A STORMWATER CONNECTION d PERMIT_ OC N The proposed activity does not most the deAnidon of development- Aro SRE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comm'ints: —r �nsriwe e. _.Ise+. ,1519 _,i _""....7—'slfi!(ia0.� Revlpred B)r NOWMed to Applira t 155 N F1rst Avenue,Suhe 270 HPAsboro,Oregon 97124 Jlfaq-L Fapr Comm* Dry Phone, (503)846.8621 +Fax: (503)84"525 -- wW 4"Mmm yicx9,_om CL < -4z Alk a 0 o CC cp c--j 0 z GO ........... ca IL F_T ---------- CITY BUILDING I GARC Insertion Line: (503)639-4175 BUILDING MST INSPECTION DIVISION Business Line: (50639-4171 S-15,1 s1/P 3 a ► Receivod Date R ted AM PM _ 13 UP Location �" �'_ ) Suite MEC — Contact Person Ph( _) c�-,��� ,�`p� PLM Contracts. Ph(C'�) �-7 L _� 2 _ SWR BUILDING Tenant#Vmr ___ — ELC -- Footing ELC Foundation Access: Fig Drain i LLRCrawl DrainSlab Inspection Notes:Post&BeamShear AnchorsQ�/ � -� Ext Sheath/Shear �, �,. Int Sheath/Shear Framing -- -------- ---- Insulation Drywall Nailing --- Firewall Fire Sprinkler -- — - Fire Alarm Susp'd Ceiling Roof Other A PART FAIL -- - -- P MBING_ Post i1,Beam Under Slab Rough-In Wate et+.VD — a Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other: —�—� PART FAIL MECHANICAL Post&Beam Rough-In ---- — IL Gas Line _ _— W Smoke Dampers - --- -- Final PASS PART FAIL ELECTRICAL Service Rough-In ------ -- - - -- — — f7 UG/Slab Wj Low Voltage --- Fire Alarm Final F1 Reinspection fen of$__ _.._ _ ______..required before next Inspection. Pay at City Hell, 13125 SW Hail Blvd. PASS PART FAIL �--� SITE F1 Please call for iainspertion HE:____.__-__- r J Unable to inspect•-no access Fire Supply Line ADA _ Approach/Sidewalk ( t��- -- —- "/� - Other. Final ---� �40T REMOVE this Inspoaon record from the job trite. PASS PART FAIL