10975 SW PARK STREET c_
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10975 SAN PARK -E MEET
CITY OF T I G A R D ----BUILDING PERMIT
PERMIT #: BUP2003-00401
DEVELOPMENT SERVICES DATE ISSUED: 8/20/03
13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 PARCEL: 2S103DA-02201
SITE ADnRESS: 10975 `''.N PARK ST
SUBDIVISION: DERRY DELL PLAT 2 ZONiN G: R-3.5
BLOCK: _ LOT: 023 _ JURISDICTION: TIG
REISSUE- _ FLOOR AREAS ` r EXTERIOR ALL CON':.i RUCTION
CLASS OF WORK: A�t'ff FIRST: -----sf N: —"- S_ -E: W:—----
TYPE OF LISE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CCNST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: n sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 40 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ.?: __ R_EQD SETBACKS _ _ _ _ REQUIRED
FLOOR LOAD: 40 psf LEFT: — 5 ft RGHT: 5 ft FIR SPKL. SMOK DET:
DWELLING UNITS: 1 FRNT: 20 ft REAR: 15 ft FIR ALRM . NNDICP ACC
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING.
VALUE: $ 10,000 00
0,marks: Add covered deck
Owner: Contractor:
DISANTO, JAMES ELC INC
10975 SW PARK ST 5846 NE 11 TH
TIGARD, OR 97223 PORTLAND, OR 972.11
Phone: 503.598-3952
Phone- 503-349-2924
Reg #: LIC 88978
iFEES _ REQUIRED INSPECTIONS _
Description Date Amount Footing Insp
BUILD] Permit Fee 6/30/03 $139 30 Foundation Insp
o
Ir:�x] 8%State Tax 6/30!03 $11 14 Framing Insp I Rain Drain Insp
BIJPPLN] PIn Rv 6/30/03 $90 55 Final Inspection
Total $240.99
This permit is issued subject to the regulations contained in the Tigard i Aunicipal Coce, State of OR. Specialty Codes
and all other applicable law. All work will b,e 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 ty the Oregor Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a ropy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By: lam/
Permittee C ----
Signature: _--
Cali 639-4175 by 7 p.m. for an inspection the next busin-ss day
FOR OFFICE USE ONLY
BuildingPer 't 'on
Received� y-� Iiwldo,g - ,
r Date/ByL' r a✓U Permit N 6U i C� l
It 01< Tigard Planning Approval Other
CityDate/By: Permit No
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon (117223 Datc/Ily�— Perniit.vo_ _—
Phone: 503-639-4171 I ax, 303 :)9-S-1960 � Post-Review Land Use —
Uatc'I Case No.
Ittterttet: WwW.CI,tlgard.or.Us contact — tuns See Page 2 for
24-hour Inspection Request: 50.1-639-4175 Name/Mcthod: Supplemental Infurmaunn
--_ TYPE OF WORK - -- REQUIRED DATA: -
New construction 10 Demolition 1 &2 FAMILY DWELLING
Addition/alteration/rc 1p acement Other: —
CATEGOR"OF CONSTRUCTION _ Note.. Permit fees'are based on the total value of the work performed. Indicate
1 &2-Famil dwellln i Commercial/Industrial the value(rounded to the nearest dollar)o;all equipment,mr tcnals,labor,
� I-..-u_ overhead and profit ror the work indicated on this applicatirn.
Q A.;ccssoaj3uildin Multi-Tamil
- ---- ---- -
❑ Master Builder Other s ('0 V/61 b Valuation................. ...................................... S_0T ,+p _
JUB SI'1'E TNF T No,of bedrooms: No.of baths:._--
Total number of floors.....................................
Job 31td address: 07110
-- ----- IT S r .�_ 110 . New dwellingarea(sq. ft.)... . ........ . ... ........
Suite#: 131d ./A t.#: Garage/carport arca(sq. R.)........ . ................
Pro'ectName: Covered porch area(sq. R.).............................
Cross strecUDirccltons to job site: Deck Brea(sq. ft.)........ .. .......... .. . ............... -.-_ __ _
Other structure area(sq. ft.).. ..... ............. .....
REQUIRED DATA:
_ COMNIERCIAt -USE CHECKLIST
Subdivision:
Tax ma / arcel #: Note Permit fees*are based on the tot it value of the work performed Indicate
DESCRIPTION OF WORK the vaue(rou•tded to,:.,:nearest dolls,)of all equipment,materials,labor,
— - overhead and profit for the work indi:aled on Urs application.
- Valuation......... ........................... .. .... .... .... $------- k
--- — — -- - Existing building area(sq. it.)...... ............ .
-------- ------- -------- New building area(sq. fi.)........... .. .... ..........
Number of stories................... . .....................
PROPERTY OWNER Type of construction....... . ................ .....-....
N1211e: ------- - 1 Occupancy group(s):
New: g. ------
Address:
_ L.- J
Clt /StatC/ZI r" r , !, ',
--- .--.1- `- --"! NOTICE: All contractors and subcontractors arc required to be
Phone; ' - Fax: licensed with the Oregon Construction Contractors Board under
JD APPLICANT CON'T'ACT PERSON provisions of ORS 101 and may be required to be licensed in the
Business Name: 1C jurisdiction where work is being performed. If the applicant is exempt
Contact Name: jJ / 1/t' — -- _ from licensing,the following reason applies:
Address: - �' '�, __ ------ --- - ---
Cit /State/'ip: _ 1 ''-f?1_ 7,7 /.Y--
Phone:Phone: BUILDING PERMIT FEES* ------
E-mail: Please refer to fee schedule.
— CONTRACTOR __ - -- ---- - - ----
Business Name: /f_ Fees due upon application.............................. $
--`�— --
Address: � t tfb � � I7
--- i �, �� -_— Amount received.................... .... . ......... ..... $_
City/State'/Ip: 1PLI /1 1 —_
Phone: �' ('.1 U Fax: _ Date reccivco.
--_ -
CCB Lic. #: 5?Qq 7 d '1 _ �__ — --- -- — -- --
Authorized Notice: This permit application expires if a permit Is not obtained Ntthiu
Signature: Date:_ 180 days after t has beta accepted as,complete.
'Fee methodoiolt +et by Irl-County Building Industry SerAce Board.
- (Please print name) --, •
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 ��
l X
Orae-and'Two-Family Dwelling
Building Permit Application Checklist H.efcrcnccm
Associatedlu•nnttc
City of Tigard City of Tigard J I Ieetrir t j I' nnhing UMechanical
An.rress: 13125 SW liall IiI0. t'igard.OR 97223 JOther:
";tone: (503) 639.4171
Fax: (503) 59;1-1960
I ) I '
I Land us.actions cowpleted.See.lurrsdtcuon crilem, 1-1 -11,"'runt W\
2 Zoning.flood plain,solar balance points,scismtc Y-11 I. ' 'I etc.
3 Verification of approved plot/lot. _ ------
4 fare district_ approval required.— _
5 Septic system permit or authorization for remodel. I,xlsling system capacity
6 Sewer permit. -
7 Water dlstria f approval. _ —
s Solis report. Must carry original applicable stamp and signature..m file or with application. —
9 Lrosion control U plan U permit required. Include drainage-way protection,silt fence design and location of
catch-basin protection,etc. _
I(1 3 ComplMe sets of legible pians.Mu•t he drawn to scale,showing conformance to applicable Inca)and~talc
building codes. Lateral design details and cnnnections must he incorporated into the plans or on a separate full-sire
sheet attached to the plans with cross rcicrencc-,heaween plan location asci del;uts. flan review cannot he completed
il'copyright viotations exist. -- -- — --
I 1 Site/plot plan drawn to scale. I'he plan mist show lot and building a Ihnck dmtIt'll ns;prrperly coru•r elevations(rt
there is more than a 441.elevation differential,plan insist sh(w cnntunt hnrs nt 2 fl in(ervalS):IIKa11nIl of casenu•nls and
driveway;footprint of structure(including decks):locatio•1 ul wt-11"Nrpui s stenW:utility fixations:direction Indiurh n:IN
arca;building coverage area;tr:reentage of coverage, mina exrstlll�smau'rrres on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor hulls,any hold-downs and)rclnlowing pads,connection details, vent
sire and location. _ --
I t Floor plans.Show all dimensions, room identification,window stns. Incation of smoke detectors,water heater.
furnace,ventilation lions,plumbing fixtures,balconies and deck,.;u Ink ties above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spa(trig such as floor beams,headers,joists.sub-floor,
wall construction.roof construction. More than one cross section may he required to clearly portray construction.Show
details ol'all wall and roof sheathing,rool'ing,rxrl'slope.ceiling height,siding material,footings and foundation.stairs,
lure place construction, thermal insulation,etc. —
15 Elevation vlewE Provide elevations for new construction:minimum nl'two elevations for additions and g env cls.
fixterior elevatit..us must reflect the actual grade if the change in)trade is greater than four foot;u building envelope.
Full-size sheet addendums showing foundation_clevatinns with cross references are acceptable. _
16 Wall bracing(prescriptive path)andlor ialeral analysis plan+�'vlust indicate details and locations;far
non- rescri live path analysis provide specifications and calculations to engineenog standards. _
17 Floor/roof framing.Provide plans for all floor off a•;sernblies,indicating member ;izing,spacing,and heating
locations.Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems,see item 22,' riginecr's calculations."
19 Beam calculatlon+.Provide two sets of calculations using current code design values for all heanas and multiple foists
over 10 et ions;and/or any heana/joist canying a non-uniform load.
2( Manufactured floor/roof trots design detaHs.p
21 Energy --
Code compliance.Identify the prescriptive path or prov'tie calculations. A gas-.piping schematic is required
I'm four or more appliances.
22 Engineer's"lcuialions.When required or provided,(i.e.,shear •vall,roof till,s))shall be stamped by an engineer sir
architect licensed in Oregon and shall he shown to he applicable to the pr"Irrl undrr (c�r' +.
INAL101MMI MCA ►�
23 Five(5)site plans are required for Item I I above. Site plans must he.i-U2" x I I Or I I" x 17 _
24 Two(2)sets each are required fur hems 16, 19,20&22 above. _
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he 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 plar 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 fear department use only. "14614(Mx)A'oM)
6 CITY OF T I G A R D
h� ApprOVed. _................................. ;
IY
Conditionally i,pNru,i ill ...................._......._..... ( j
For only the work as describeRECEIVED E C C C I�V/C C D
PEFiMI (d_ t�
See t_e� 0 Follow..........................................(h
Atta ��
..,............
Job Address: �' 51'� 1 I JUN 32003
By: —Date: -M-2—V t;l(Y OF TIGARD
RUILDING DIVISION
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CITY OF 'TIGARED 24-Hour
BUILDING Inspection Line: (503)639-4175 MST —
INSPECTION DIVISION riusiness Line: (503) 639-4171 't
BU ; ..CSG �4 /
Received - �� !A —D7
Date R ested AMIv�; -_-__ BUP
Locati rn ___L_ -/7- �'�fe—= - --- -- Suite - - __ MEC
c
Contact Person -- --- _ Ph(-) PLM - ----- --
Contractor _ _____- _ Ph( ) _r SWR ---
TOrlant/OWner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain __� --------- -- ----
Slab Inspection Note,;- SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceip,ig
Roof
Ot
PART FAIL
PLUMBING _.
Pos!&Beam
Under Slab
Rough-In _
Water Service — ---'
Sanitary Sewer
Rain Drains -
Catch Basin/Manholt.
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL_
Post&Beam
Rough-In -- - —
Gas Line
Smoke Dampers
final
PASS PART FAIL
ELECTRICAL
Service
Hough-lo _
UQ/Slab ------
Low Voltage _ -- -- --
Fire Alarm
Final n Reinspection fee of$.- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
_SITE Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADApato t C� - - Inapoctor
Approsch/Sidewalk
rither:_—_
no NOT REMOVE this Inspectlon record from the job site.
PASS PART FAIL
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Notes
Deck framing to be Pt lumber
Roof framing to standard or better
3 tab roof to match exi,;ting roof
All nails, bolts, screws to be galvanized or better
Area calculations summary
First floor 2124.50
Basement 1021.50
Deck 510.00
I'atiu 319.00
96.00
To►al livable (rounded) 2125
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