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41 CITY OF TIGARD
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BY OKL 7 TITLE DATE --b'
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9690 SW RIVERWOOD LANE
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"Quality at a , rice you Can Afford"
Additions and remodeling
mod REMODELING CO.
761-81-/ F
MARK GARDNER 5708 S.E. 136th Ave.
;upefmKr Portland,OR 97236
Structural E%,inecring
For
6LOT`.Cr;L 4k MciNIGHT BI ROOM
ADDITION
w
W.maa imlam .MINU CO.
W.Brown r1Cineering Co.
15010 S.B. It Louf,hiin avd.
MiJ-traukie, Clrag. 97267
P-ROFf��i
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�GINE�
( U _ 8361
OREGON ,
I
Sotteii: E�erviceE, Ltd
ciLUT-rEE & rU-N[Wf ADEITICtl
FT;UNT R.111 EcAl
Jot) Description: 9-01-TEE & 1,Q:N11314T AMMON
Frame Lc—scription: FRUNT RIM EEA*1
Structure Paramters Analysis Options
Pleffuers . . .. . . .. .. . . . . ID Linear Elastic.
Joints . . . . . .. . . . . . . 9 lfroerial. Units
6
-print's o
':ie tions . . .. . . . . .. .
Materials . .. . . . . . . .
1...Oad . . . . . .
Load (.bmb1.nAticA*')s J.
user Namp: W.FFOW4 HZINEPF�'ING C'J.
PR
I N
OREGON
'AN
__ 1986
Scftel% Service-, Ltd
Head Office*
West 12th FAvm-iue
,)anc.-r.x.t\,er, Fl.11. V6�,.
GwAda
Fficirve:
Suftet: aS--iLuT*--,- no tvsocrisibility f0t` tt)P aCCUr'wac''y.
validity or App'licability of the rvsults of F-fTlpm.
F'-+*Rf*L-', Ince t Data Str Na. CA
14---f1,11 P) VFR I NEI M. tale Am-1 C?(:) am
r
I
I
i
I
J[MK#V�mg MM
I
-.28 •-.28 -.28 -.28 -.28 -.28 -.28 --.28
-2.45
245 ��
-,245 245 -,245 -.245 -.245 -.245 -,245
�rua7;
-2.1
w w Iw RAN w w
1 1,
� I
'.52 5.. -.525 -.525L-.525 ,525 -125`, I
i
Iff , tin
i
I i
I
i
� �'`•, -
-,525 -.525 -.525 -,525 --.525 -.525 -,525 -,525
i
I
w m
Sof tek. Set'VICE'S Ltd
SLOT-TEF -& l,'D;:lel I(3HT ADDITION
FRVT RIM E.U.41
JOWT E*)TA
,Joint x - coord. y - coord. X - Deciree Deg r%ee Degree
14-utber (feet) Oeet) of FriRkedoM ofFreedom of F reexjom
1. Q Q
I
Q
4.5 Q
4 -7 Cj
9 o
C:)
El 1l� Q
18 to 1
Nc..)te: of Ft-peaom: 1=frve to iaint
arrr+F SECT ION Ff;1YEFJy DATA
Sec x-sec t 1 ona I Mom. inertia Shear Area Sec t 1 or. Mod Flastic llkxent
No. Area (ins.?) t in4) (ins:) (irl.'7.) C:,apacity (4.'-ft)
xz� ,-19..2.8 415.M 39.:-"k3
Notes.,
1. Nor.)'.-zeru "rea. and r1oment of Inertia atv. mianijauut"v.
For non--zei-o 9-sear- k-e,-4. shear stresses ary calculated.
F- - n()n---,et,-) 4ear Aroma and E3iear Modulus, secondatv xi os a Lte to
shear are ixicluded (linearelastic analvs�i-- only: .
4. F:I(:)tl rjr.3rj-L*k!ero Elastic SertiLT) CAMJUILAS (�3) , Stt-eSSe, atV CalCU1.ateU.
�Tj. hkin--zera Plastic Pkxnent C,�. -)acitv is mandatory for elastic ana.l.ysis.
MA'! kIAL K' ERTv DATA
Material Younqmod Rieatmud [tensity Coeff Exp Fy Yield
1'\k.ubet, (ksi) (ksi) (k:./f t3) (/F*I.E-6) (ksi)
t Xkx.)
Note
1. Elastic MCAUILIS kYOLVIO S MX-A.AlUS) IS 1TW1CjatDr\'.,.
2. For nur-k7ero Ehear Pk.X1U1US and ,Near f+,PR. ser-c-miary clef lections due to
#ieat, are incli.idpd (linear, elastic analysis Lrifyi
1\k:in--zetcj d"wsitv is reauit-ed if self-weic
jht is specified and (neffber weight
is to be constde' tex-j (linear elastic: and plastic analvsis� .
4. thermal Coefficient of E;,pa-Tision is required for th.er-ittal loads.
(linear elastic:: and 0.18Sit.h.-' ,.A
.rla
7. Non--zero Yield Str*,ss is mandatory for plastic analysis.
F---FF4VvE Inot-tt Date Str No. 01
W.ECOW W. ('18 Jan 90 11:5-) am
Sufte►-. ServICeS LtCJ
ELan-ei ',;., M--VIWT kDUITICIA
i::FuN-r Rim
t!t,jjtWL.S;�4E_gLFLVITY STA
Iffier Lcwaer Greater Section material Lower 6tvater f:Atribute Ler ig th
W-vrber Joint Joint 114urber I�Lwber End 'Type Ej id Type Type (ft)
2
4
4 4
5 5
6 6 2:5
7 7 2.5
W-)t es
.1. 1,kiriber Find Types: I=fixed (rigid connection) ("finned kwinned connection)
2. Attribute 'Tyne () indicates that the ffieryber has bewi deleted.
F-f-T-4VE InPLM Data str 1140. C)l
()8 Jan 17�.) 11 1 tSO &n
MONSOON=
Softw:. Services 1-td
ELOTTME & 11DI-NIWI, ADDITIM
FROW R IM hEPM
t!ft.J- All-k-,I Z k!dE—P—Aj—A !:!t
kxad # L(-,),Rcjeu # support # 1.oaded describe
t.;:� 1 1.n t s spttlemnts m"nbpts load case
I L 8 Li'vE L�
2 1 H U-YAD L(::1N)
J0114T LOAD DATA
load ca I q1obal joint loads
Record Loaded Horizontal Vertical Torsional
kimber Joint Load (kips) Load (kips) Load (k,-ft)
load cam._.»•_ Qlgual joint loads
Record Loaded Horizontal Vertical Torsional
Number Joint Load (kips) Load 0!ips) LoAd (k. ft)
140tes:
1. Joirit loads act in the gloual coordinate s,-stem.
Fositivp Horizontal Loads act in trie positive X dimction.
Positive Ver tucal Loads act in the positive Y direction.
4. Ftsitive Loads act ccunter-c-lock wise.
AkLAER LUki DATA
load case I -- member di ted loads
Rec- Mem Sb:.iped UDL Fro j. UDL Locai UDL Loca 1. LIDL TrianWlat' Therynal
No. No. k./ft slope F:-./ft hcr'iz k/f t perp K./-ft par'll f t GJ Change �F)
2 C.)
3 o to Q
4 4
Q Q C.
5
6 6
7 7
8 B --.LIS
loadcase2 iieftiet, distrIbUteu loads
Rec Mern Sloped LADL Fro j. UEX- Local UUL Loca I UDL T r i anC
_4Ulat- TnetvLAI
No. No. K, ft slope ft horiz k/ft perp f t pail I h::,/ ft @ 13J LhanQe kF,,
.1 Att5 �J
-.2 4b 2
W.R� tW,j EI•R?LPJjnR.I.143 U- C-0 Jan ;I-) 11:5 i am
M W
Sof teFt: aervices Ltd
SLID I'TEE & W;.N1(*fT
FTOW RIM FIE tilt
1(::)ad case 2 (Yefter distribUted loads
Rec: Mem Sloped UDL Proj. UDL Loc a 1. UDL Local LAX_ TrianQUlar Tbetvu4j.
r\k:). Na. h./ft slope E.-:./ft horiz f t perp i:_/ft pat'll I./ft @ GJ U-iange (F)
`45 tj
4 4
_45
5 C) o
6 t i ) o C.)
7 7 1) CJ .245
B 8 1) -.245
Notes.
1. SkX.)ed LKA-. Projected UDL Point Loads art; in the global Coordinate system.
2. Local F'erpendICLIlar, Local Farallel, Tri,-.Anqular Loads act in
the local IT"Wel" coordinate system.
Tri anOUlar Loads atv C.) at the lower joint with the maga ltUde spec:ifiec.1 at
the Qrtzlater joint.
LOO CXM14T ICSV L)PL1jO_ttt
Load Load Cor ib Load Cart:J Load (arb Load Uxrti Load CL*:xrb Load Ccxvt)
C,cx*j Case Fact Case Fact Case Fact Case Fact Case Fact Udse Fact
F:,-Ff4"..' Iript.it Data Str rJo.
W.W'C1W'4 E1,U1NU'T,,1NG CO. k.')G Jav 9�.') 1115.) am
Softel:. Servt.ceS Ltd
EL..r'1.Tom. & 1'1;r.N1C fl' ADDI•TICII
h R 1 RIM fA F•tl"I
t:t! F�PSIS H1�lUF;r x**
"'3tr•uctUrV (:)ergrees of rr aurt . . . . . . . . . . . . . . . . . .
Structure Half--bancaw:tdthi . . . . . . . .. . . .. .. . . . . . . . . . . .
Structure Stif'fne s [ lements . . • . „ . . , „ . . , „ , . . ]. +-
t`)eft)er with•t maxi rr>l.tm hiaIf-1:34andwi ath7 . . . . , . ,• . ,. . . . .
I'A mber of S.tpport Joints Ano S ortngs . . . . . .. . . .
tt-rr rt SLFFORT.,Fgt t;T l(SIV
Load Case Results
Join t.. Load X Reac t x on Y-Reaction Z--Reac t i on
kLurber Case lk:zps) ck:iPs)
1. 1. o.Cx :x:t l o.!x:xJ
ca.i x xa
A. Y:xa 0.(.0.)
Load Loabirtation hesulti:s
Joint Load X-Reaction Y-Reaction Z-Reaction
Nurtber Ccmo nation kkips) (kips)
t:x:x i i.wr►�i t t.�xjt:!
Q.t:x:xa 'y.(1:24
be]) u.C”)
I . Positive x--reactions act in the ncrs.ttive global A. direction.
�osxtave r-r^t?actacrs act in trie positiveglobal , dr.r�-tic+n.
F ctst.tive Z--tvac"tictrts act ctxnter--r:locMlwise.
ward Lase Results
t
Jot.nt: Load X--Di pi. Y--DiS:ti. Rotation
IA.unlaer Case (in) (in) (r ad
1 c.!.i;xlt;x x -.r:x.x;r:"� !:�.•.�.�•y:x:
4-44-i''l Linear Elastic analvstS r-est.tl.ts "Ar IJo. I:?i
�,�.i•::4+C1WN E:��II:i 1 r�.:�.F;ir�l: i�:1. �:?S Jau-t ��:t I.:L: �:, �.•vt,
■
Bottek. yieryices I-td
SLOTTEE !,. MU-NIL-Hr r4)DITICh
FFUT Rirl A:W
Load Lase Results
Joint Load X-Dispi. Y-DISPI. Rotation
NUrber Case (in) (in) trand)
0 'X.X.X.'X.) -.(.,<,X*7"3 0.
.C
(d.(.X.X.X:X. (:X:X,.)0:) Cx:AI:X.j"-,-
Cx.
C.).(,.X,.N.X,.X.) 109 (.X,.X.)C)1
o.
A2
C).CXX X. C.).(,.X:X*.,X:X:) xX
x , ')I(.,)
0.C, :K.X.X:) 0.(.,X.:X, X:) OCK.
b (,.X,.X.,X:X.) - ('.04 15 vCXA1?
(,.X,.X:X:x,.) 6 rw-N:) k K
(.,X:X:K.*X.') -.(.'X-')70 7
C.).OX.*:) (IKE58 (.,X.,.X)19
>4 X,)(,I dn
C, . d
Load Ion esu I ts. It
Join-c Load -Di..;p I Y-D isp I Rotation
14-urber Czxrb inat ion in) (in) wad)
X.,X.,A"x I Q.(."X.X:X.,X.,) CK9. *4 X.
4.1.t-X.X.x J X►34
41X,.X,.X.X'.)
X.X
(:X:X.X:K-.) (XJ77 1 (.X-X-.Gb
Q.(:X:X.,X.X.:' C'I 15 4-7
(d. x*.X:J
es
are in the r3asitive UIQbAI A dirfK-tion.
Y-ijisalarpnei-its are in the oositive uIr-bal i dirsctian.
are cmvitep,---clm. l7.wise.
Linear- Elastic analysis results Str k1o. %,.)I
W.RAWI (:R3 jar) 1 5 Ai
Softek. Set-vices Ltd
SLOT'TEE -'&. ivU;.N I C+ff' ADD I T I ON
FKU\fl' RIM EG41
MEPU:R fgEgf *t*
L=qad LasaResultri
I'Wi Load Axial Cd LJ Shear, CO LJ Eft C! LJ to W Shei:w @ W Eft @ Gj
Ne). Lase k 1 ps) kkips) skips) kkips) (k;-ft)
71:', k.).tjl.A I tz
C.).(x,k) 77
.515 -3.84
(.,X,.X:) 144) -.770 k.).(.X.)k.) 47 - 354
I o.(.,X.,X.,) tA5 -..184 CO.) J...L45 1.EfZl;
CO.) 473 -..];54 ta.(..X:X) I.(A35 1.59'1
(.X.X.) 2145 t Eki. 1.&.'r6 --4.9()2
2 o.(,.)(.X,.) 1 59"21 0.('.X.X) 1.575 -4...53
1 (0) -3.(jD) 4.1r4)2 (.,X.,X) --2.470 59 7
2
1 U.(.X"X.,) 1.470 1597 5.ER6
tg)e Q.
I (.'XX.) ta) a.ER6
2 -.578 -5.+:J79
07
I C). -'3..3141 (.X.X) 1.94a;, j.
Q.(.x.x) --1. 1.9u WO xx) 1.ba*
Load qnb_� _Lnq� 1 cxj. Resu I t s
_
Mem Load Axial @ LJ Shear- @ LJ Eft to LJ Axial Cd W Shear, CO GJ ENI @ G j
1.40. (.kxb (k:ps) (kips) (k-ft) u. fps) (KIPS) 0-ft)
'9-X) 1.345 Q. -1
.d.ci'5 1.641
(x-.X.-) 295- -1.641 17 .-1718
x --l.017' =a 3.4-15
-9. 1 Tj
4 1 K K) 445 (1. X'.X*) .7 a".)
5 1 5.e.Z 9. 155 Q.Cx.'X') -4.b(:6 1. V.6
(A'X) 4.&'.)5 -1. 11'.15 (Kx) -:2..2:2` 1.(j.970n
(.,X.N) --1.258 -1.0.976
6 1 1.91 X) 3.a3.1
Notes.,
1. Positive LAxial futices act in the posttive local wwWer) - dj.r�ection.
Fositive shear, for-ces act in the positive Icx-al kmwrbet,) v dit*-r--K,:tior1.
Ftnitive beribina moments act countet-clockwise.
P-+'F$4+ 1-ineat-, Plastic &jajvsi--q tvsLilts 'qtr, 1\10. (A
EN*.-ilr+E];~INCS W. us jan 4k) am
Sof tek Set,vices Ltd
BLffl TEE' & al.-NIC-141" AUG j.Tl CA,i
FRIO41, kilyl �E`41 i
O N N rel lEER
Load Lase kesults
Mem Load Jo i ri t A;,,ial Sheat- ELmnd i rig Top Normal But Notiwi
No. Case No. (psi) (pqi) (psi) (psl) kpsl)
A:).o
-4. 1 19.3
C)
2
4. 1 19. 139.3,
-61.4 61.4
14.E -61.4
-12
Q 3. 7 12.
-56
56.7
....14.5 b1 .4
4 296.5 2V6.5
--56. 756.7
--t6.
��4.8 --254.a
4 254.8
4
196.j 2%.5 -2-9b.'5
2
0 46. 1 784.4 764.44 --•'•'64.4
254.8 215�.B -254.6
5 42. tO-,.4 c&'.).4 -c"'.).4
I. 5 R.).tf 784.4 7&4.4 -7&4.4
6 -65.9 -95.4:) a Y5.e.a
5 70. oEk).4 -,-6&
b --56.9 --81.2 -61.2 61-4.
kj. 65.
--47. 47:'.4 -,:47.4 c/43.4
-81.2
•-G12::.7 812.7
7 -�4 4
--15.4 7 Gi
2 u
8 t:!.i1 ;.1.72 -459.2 459.:
r
01. 8 5 L.- ;211. ...
9 Q 151.7 0 (j.
(J.C) 1. 7 -45q. -459.2 *5.
44.8 C.).0 0,
Load Gorr hinal tion East lts
Mm Load Joint Ax,i a I Shoat, Fleflo I ng Top Nutvol But 1%,lomai
No. CAmb No. kpsi) (Psi) (psi.) (psi) (psi)
-315.9 1j.k., 0.Ci
-7. 5
7.9 2b.".5 5 .6.L.3
'7. 1 -116. 1 -118. 1 1 la. I
anAlveis rv.-A-tits; S!:t, tkD. (-')I
W.R",W04iNEFT-(11\6 M. 08 Jan-17k) llt!5(.') an
Sottei:. Set-viCeS Ltd
SLUTTEE �x, MJql&4T (4.ol)l I'101.1
FFUMT RN E+_'Wjl
�=gjg4 (tea rllnatlorl Results
IYL-Nn Load Joint Am'I a I Rleat, Lierlding Top r4xv%al . t Notv%ai
No. Ccxrtti No. kpsl) k P'na 1 Ipsi) (psl) kpsl)
551.
5 9)).1 1. 4tA.a i.,4tA.8 --l.464.8
5 cr.0 15.).8 1,'i6 4.E3 1. 8 41CD4.a
176.8
1. 6 ().o 1212.8 176.is -176.8 176.8
7 1 -1,75o. i 1. 756. 1
68.5 -990.5 -?9c:).5 91A.).5
-9ch.).5 _99().5 59().5
9 C.).1.)
:1. Axtal sir s is past ti.ve tot, tensicu.
Shear- str-ess is positive 'tot, positive shear-.
banning sttl*wss is for- top of memer. E."-iuinu sti-ess is positive fat, texisicu.
4. lcxa kvt-mai cistt-e—as = A,ial + L*4-iding. Bottom klot',fTial stt-ess; = ktial - E*ciaing..
F'-+T-441E Linear, Elastic anAlvsis rvsults Stt, No. 1A
W.WVW� ENGINEERI.1\6 00. CA Jan SA) 11t5) an
CITY OF TIGA RD r u BUILDING
NO. : PERMIT
c� fs0 RMIT NO. : bU892528
COMMUNITY DEVELOPMENT DEPARTMENT °NEON
IJ1255W HellHlvd P.O Rox"3397 Tigard,Oregon 97223,(503)639-4175 TE ISSUED: 12/ 4/89
rj' Tl-- d-p MT &S)2
JOB ADDRESS: 9690 SW RIVERWOOD LN
TAX MAP/LOT 2S1 14 SIJB: L1: BY,:
I AND USE:
LOT SIZES VALUATION: $ 16,880 SETBACKS
FRONT: REAR:
WORK CLASS: ADDITION DWELL.UNITS: LEFT: RIGHT:
USE TYPE: SINGLE FAMILY NO.BEDROOMSs 2 FXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: Ni S: E: W:
OCCUP.GRP. s R3 PROT.OPENINGSff
OCCUP.!_OAD Ns S: E: W.
TOTAL AREA: 392
NO.STORIES: IST: ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: 392 AREA SEPAR? RATED:
BASEMENT? 3RD: OCCUP.SFPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 46 GARAGE: FIRE SPRKLR? ALARM"'
FLOW(GPM) DETECT? YES
PLAN CHECK BY: rlt
REMARKS:
REISSUE OF NO.
LAST REISSUE
0 FEES:
W Slottee Richard PERMIT $122.50
N 9690 SW Riverwood Ln PLAN REVIEW $79.63
E
R 'Tigard OR 97224 FIRE DEPT
PHONE (503) 620-4065 STATE TAX
OTHER
C DEVELOPMENT CHARGESs
0
N SDC(STORM)
T HOFFARD REMODELING CO. SDC(STREET)
R 5788 SE 136TH AVE. PDC(M2 )
T Portland OR 97236 PREPAID < )
n PHONE (503) 761-8177
REGISTRATION NO. 59498 TOTAL: $208.26
This permit is issued sohlect to the regulations contained in Title 14 RECEIPT NO. 7 Z
of the TMC. State of Oregon Specialty Codes,zoning regulations ------_----____---_—.-._
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done in acrordance with the plans and FRAMING
spnclflcatlons and In compliance with all applirable codes and INSULATION
ordinances The Issuance of this permit does not waive restrictive GYP. BOARD
covnnans Contractor and subcontractors shall have current city
huslness tax permits, This permit will expire and become null and FINAL
void If work is not started within 180 days,or If work Is suspended or
anandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all squired inspections are requested and approved.
frlmittee Signa re
Issued B �` '
y: -.d __ __.__._ ___. ._ T-M..r FUR TNSPFC'TTUN-E3ri 4TT5—
(/J� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C1Tf OF TIFARD �.�1/ .Y
u7rovt1ralro PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK #
19125 S W.Hall BIM..P.O.Box 23397,Tigard,Oregon 9722+.150318394175 PERMIT N
DATE ISSUED
JOB ADDRFSS: _ TAX MAP/LOT
SUB: _ �— _ LOT: LAND USE: `--
� VALUAfTON: —
OWNER _ _ S_PEC_IAL NOTES
NAME: �/l REISSUE OF: — _---
ADDRESS: t �"LCA, r iG t!'(�.`i-tK, r'L � LAST REISSUE
FLOOD PLAIN/
-—'V SENSI l IVE LAND:
P40—NE: --
APPROVALS REQUIRED
CONTRACTOR / PLANNING:NAME: f � '��' C ENGINEERING:
ADDRESS: f ' 0 ? - u = f IRE DEPT
OTHER:
!" PHONE:: 77 _ J';" ITEMS REQUIRED
BUILDERS BOARD I!: EXP DATE: _ 5 LIST/SUBCONTRACTORS: _
-,�c• - �, BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME: _ ,'��? •� �C✓�� — TRUSS DETAILS: _
ADDRESS: OTHER:
COMMENTS:
SUBCONTRACTORS: PLUMB: MECH:
!< .. �.�. << "``a2/:3
PERMIT 0 ACCT M DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10- 432 00 Building Permit Fees
10--431 00 Plumbing Permit Fees —
__ 10-431 01 Mechanical Perr .t Dees
10 -230 01 State Building Tax (5X) —
Building G,13
Plumbing
Mech
10-433 00 Plans Check Fee
Building
Plumbing
Mech
30-202 00 Sewer Connection
30--444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC)
52-449 00 Paries System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 06 Fire
101 At 4iR —
✓% �" j RLC M
/ APPLICAN SIGNATURE
Received By: ;� �- _ Date Received:
cn/3587P/18P
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. /
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested ~_L _ Time _ A.M. _P.M.
Address ��9e) Permit
Owner ______— Lot # _
BuilderThe following Building Code deficiencies are required to be corrected:
K
r
y4
-,,�I..• -moi' �� ,'
Presented to ___ ❑ Approved
- �i
Inspector _ -_ Disapproved
Date
-- - >S
CALI, FOR REINSPECTION
(� YES r-1 NO
INSPECTION NOTICE !,
City of Tigard Building Department
12420 S.W. Main St.
i Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested T e — A.M. P.M.
i
Address _—�V�U �4[./ i�'v` —�L—_ Permit #---
Owner : -----•
Lot #
Builder ----
i
The following Building Code deficiencies are required to be corrected:
CZ
f
-
Presented to _ .-__--_ -_—_. Approved
Inspector _ --____-- /Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
1
i
I
BUILDING PERMIT APPLICATION TIGARD DATE_ _�«�Y �rI _ ,gIV'+ 4959
THE:t1Ni)FR c�i(iNED t,E'"'. CRY AI''3l IF5 F(-)Fi,4PERMIT FOIA '1L- ','v0RK HEREIN INDICATED BUILDER PHONE _.AL1*-M22__
OR AS SHOVVN AND A.PPRnVED IN THE ACCOMPANYING PLA"NJ AND SPECIFICATIONS. OWNER PHONE
LOT NO. 3
OWNER Bolo NelsonJOB ADDRESS 9690 SW Riverwood Lane _ Capper Creek lI
_ - - - ARCHITECT
ENGINEER
BUILDER _ SQ�ia _- ADDRESS -139-UQ SW Sere_ DESIGNER
STRUCTURE [ NEW REMODEL ❑ ADDITION 17 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE I] DEMOLITION
f RESIDENCE C❑ COMM ❑ EDUCATIONAL L GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE CJ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _A-__3 __.,LAND USE ZONE _ K-7P0 BLDG.TYPE 3N FIRE ZONE PLAN CHECK BY HEAT— Gas —
C:rrustl^�tcC
3 bedroom 3 bnrhroo-,i+
SEWER PERMIT# 27935 Gsra,er400
OCC.LOAD FLOOR LOAD tit) HEIGHT 7U+ NO.STORIES 2 AREA 1-19 1 NO.BEDROOMS 3 VALUE 69.000.
— BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 4,,: LEFT SIDE 4 RIGHT SIDE
Permit 349.UO THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE.
Plan Check 221,00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 561.UU RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 13,60LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
:,�.::,,�.t�i�
Total S 14.60 SDC- J�u C
PDC#'t 1 15().U0 AP A TOR AGENT
BY rl{ 1. ;IA" 250.00
Approved N.T1J Receipt No. ADDRESS ,� , } �i PHONE -
_.DP.ATE INSTYPE INSPECTION REMARKS PLUMBINPLUMBING�-
DATE
t3r.- Contractor
— — ---- ——a
�:- , �l ------- ---- Permit No.
Rough-in
----�—. _ _ Fixture
Final -----—
HRATiNO
1iel� r � ,�,r(y� � Contractor
Permit Nu, 3)L
� ,
Gas or Oil
Rough;n ---- ._
Final
--SEWER -- --
Finpl
DRIVEWAY —
-
- —— — — ---- Storm Drainage ~�-
- �— (Rain Drain)Final
------ — Sidewalk —�
-- Curb&Street final
APP'r�erh
BLD13.pEPT.FINAL TEMPORARY CERTIFICATE GCCUP4�'CY
CERTIFICATE UCCUPgNCY Final
Landscaping
2nh:rrt Final
BUILDING PERMIT APPLICATION TIGAiRD DAT /lk/ 4 9
THE
UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE(c�
OR AS SHOW7 AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
1 LOT NO. �
r JOB ADDRESS CPQ &
T' I T ARCHITECT
ENGINEER
RUII_DER �d f , I ADDRESS > �� �Sl�r ���fyl DESIGNER
STRUCTURE ^ NEW ❑ REMOD_E_L_ C7 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C1 DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCZU? NCY _LAND USE ZONE 4LDG.TYPE FIREZONE PLAN CHECK SY HEAT___
SEWER PERMIT M
OCC.LOAD _ FLOOR LOAD v HEIGHT �?v I ' NO.STORIES AREA NO.BEDROOMS VP.LU-
BUILDING DEPARTMENT — SEI'BACKS FRONT oC REAR LEFT SIDE y RIGHT SIDE
rsub,-total
mit , THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWN..
de REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS tIEREBY AGREED TYAT TF't
Check I — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC'
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
a � RESTRICTIVE.COVENANTS.COO;TRACTQR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU51Nt5'
LICENSE.SEPARATE PERMITS RECUIRLD FOR SEWER,PLUMBING AND HEATING.
-3tata Tax CPGt
SDC—
Total — -
PDCIt APPUCANT OR AGENT
By
Receipt No. ADDRESS PHONE
Ap
SDC
PDC -- _ L
SEWER CONNECTION
SEWER INSPECTION $
5FWER_SURCHARGE
Comments: \E-L:.
Building Permit Pio. _ 9S lc,
Location
Date
Certification of Registration
With the Qui lders Board
doing business as (dba),
r�
am registered under the provisions
of ORS Chapter 701 Oregon li mebui lders Law) .
My Builders Board Registration !dumber is 1
Ply registration is in full force and effect and expires on
Signature