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10040 SW HIGHLAND DRIVE
BUILDING PERMIT
CITY OF T I G A R D _
PERMIT#: BUP20(,,3-00463
DEVELOPMENT SERVICES DATE ISSUED: 8/11/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CG 16200
SITE ADDRESS: 10040 SW HIGHLAND DR
SUBVIVISION: SUMMERFIELD NO.4 ZONING: R 7
BLOCK: LOT: 213 -__ _ JURISDICTION: 1 IG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: 95 of N: S: E: Wi
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N. S: E: W:
OCCUPANCY GRP: R,3 TOTAL AREA: 9` sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: H1': ft
GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS_ _ REQUIRED
FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DEI:Y
DWELLING UNITS: 1 FRNT: 15 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 8,709.00
Remarks: Enclose 7'3"x13'existing patio with roof.
Owner: Contractor:
LARRY G. MC CULLOUGH OWNER
10040 SW HIGHLAND DR
T:GARD, OR 97224
Phone: 503-684-6984
Phone:
Reg #:
' FEES REQUIRED INSPECTIONS ,
Description Date Amount Foundation Insp
I litIPPt.Nj Pin Rv 7/29/03 $84.31 Framing Insp
Insulation Insp
Pernui I cc 9/11103 $129.70 Final Inspection
IA\JX" Sink I a\ d111113 $10.38
Total�y $224.39
This permit is Issued subject to the regulations contained the Tigard Municipal Code, State of OR. Specialty Codes
and all otliPr 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800.332-2344.
Issued By:
Pennittee
Signature: ------
Call 639-4175 by 7 p m. for an Inspection the next b.isiness day
FOR OFFICE USE ONLY.
BuIldin Permit Application Received liuildmg
_._r-- ---_ �_ _- -
Date/13yPermit
City of Tigard
Planning Approval Other
bate/El Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/Ry7 M V -4-a; Permit No,:
Date/By:
.'hone: 503-639-4171 Fax: 503-598-1960 bDCane Use
ete/H _ Case No.
Internet: www.ci.tigard.or.us Contact Juris.: N See Page 2 for
24-hour Inspection Request: 503-639-4175 1 Name/Method: Su lemon'..!!-formation
TYPE OF WORK REQUIRED DATA:
:J New construction _ T Demolition 1 &2 FAMILY DWELLING
Addition/alteration/replacement Other: _
_CATEGORY OF CONgTRUCTION _ Note: Permit fees*are based on the total value of the work performed. Indicate
-, the value(rounded to the nearest dollar)of all equipment,materials,labor,
1 & 2-Fa r Commereiat�Ltdustrial overhead and profit for the work indicated on this application.
Accesso Building_ _Multi-hamily_
Master Builder Other: Valuation S JDrl,'uo
JOU SITE INFORMATION and LOCATION No.of bedrooms: -Z No of baths:e2
Job site address: �,,,� Total number of floors..................................... _W
New dwelling arca(sq.fi.)..............................
Suite #: _ _ __Bldg./Apt.#. Garage/carport area(sq.R.)............................ _
Project Name:r i Covered porch area(sq.R.
Cross street/D' ections to_job site: �/X!rn L� ��a', Deck area(sq.ft.)............................. ....... ......
�� th 1?> � �¢ �� G �c Other structure arca(sq.ft.). _............ .__ _
REQUIRED DATA:
)U-ve COMMERCIAL-USE CHECKLIST
Subdivision' : i Lot#: — --- - -- — —
Tax map/parcel #: %U ;wQ(��„�9�J .tet_. - 11�-Jicv Nota Permit fees'are based on the IoM value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Valuation...........................
Existing building area(sq.ft.)......... .................
A ,LNew building area(sq. ft.)...............................
Number of stories............................................
PROPERTY OWNER NER TEN- ANT Type of construction.......................... ......... ^
._
Name: ` ljl , Occupancy group(s): Existing:
New:
Address:
Cit /S� tate/Z
�jrf'�/ Fax: NOTICE: All contractors and subcontractors are required to be
P h o n e• licensed with the Oregon Construction(7ontractots board under
_ APPLICANT 1 171 CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exe-npt
Contact Name: — from licensing,the following reason applies:
Address:
-
Phone: Faxes _ — —
--- Iilun,DlNr.PERI11f1'FEES*
E-mail: Please refer to fee schedule.
CONTRACTOR — - ----
Business Name: ZIA nIA)NeQ, __. Pees due upon application........ .... .. .......... ..
Address:
Cit /State/Zip: Amount received......................... ...... ...........
Phone: _ FaX: Date recce cd:
CCF! Lic. _.---
Authorized Notice: 1 his permit application expires Its permit is not obtained within
Signature: 180 days after it has been accepted as complete.
r I *Pee methodology set by Tri-County Building Industry Service Hoard.
(Please print n e)
is\bsts\Permit PormsMidgPermilAppdm 01103
Orae- and'1'wo-Family Dwelling
�- Building Permit Applieatian (heekliSt Referenceno. --
- --` Ass•chr,ed l crntits
Citi(it TigaId City of Tigard J Id:,uical U I'lunihing U Mechanical
Address: 11125 SW Ilall Blvd,Iigaid,012 97223 JrNher: _
Phone: (503) 639-4171 -
Fax: (503) 59R-1960
1 1WINGIT&S'ARE RIEQUIRIED FORYes No N/A
I Land use actions completed.Sc, mm hction critri i i for t n missal reviews.
2 'honing.Flood plain,solar hahur r ;' 'n ! 1 'Ig Soil,dcsignauon,Itdsloric district,etc.
3 v ell.aca:fon of approved plat/lot.
4 fire district approval required.
5 Septic system permit or authorization for remodel. Gxistirng system capacity -
6 Sewer permit.
7 Water district approval. _ -------�--- --_— T.
8 Solis report, Must carry original applicable slump and signature on file or with application. _
9 Eroslun control U plan U permit required. 111CIudr drainage-way protection,silt fence design and location o)
catch-basin protection,etc.
10 3 Complete sets or legible plans.Mus'ne drawn w~Cale,,howin}l confomtance to applicable local and state
building codes. Lateral design details and connections ritiA be nurorfiorated into the fila,;,or on a separate full-size
sheet attached to file plans with cross references between plan hOC;uion and detail, flan rc)ww cannot he completed
if cu yri ht violations exist.
I I Sitelplot pian drawn to scale.'1'he plan roust show lot and huddiny',NhA 1,dnnrn,ion,;firolx111y confer elevations(if
there is more than a 441.elevation differential,plan newt,how conn nu Ince,al 2 It tnti•n,tl,i:l(wation of easements and
driveway;Rxitprinl of structure(including decks);location of ivell,/,rl)uc systems,utahtq I Kation,,direction indicator:lot
area;building coverage arra;percentage of coverage;itupcivious area:existing structurcS on,tie:and surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any holt)-downs and reinforcing pads,connection details, vent
size and location.
13 Fluor plans.Show all dirriensi ins, room identification•window sire, location of smoke detectors,water heater•
furnace,ventilation fans,plumbing fixt,rrs,balconies and decks 30 inches above grade,etc.
I d Cross section(%')and details.Show all frannng-member site,and spa-ing such as floor learns,headers,joi,I,.,uh floor.
w
, all construction.roof coruuuc•tion. More than one cross,ccwin eta} hr required to clearly portray construction. Show
detail,of all l%.III and roof sheathing,roofing,rool'slope,ceiling hcil,ht,tiding material,frxttings and foundation.,fairs.
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction;nuninuun of two elevations for additions and remodels.
Extern r elevations must reflect the .ictu,ll ri ale ifthe change in grade is greater than four foot at building envelope.
Dull-size sheet addendums showing foundation elevations with crus,O-ferences are acceptable. _
Ic) Wall bracing(prescriptive path)and/or lateral analysis plans. M.1i1 indicate details and locations;for
non prescriptive path analysts provide specifications and calculation,to engineering standards.
17 Floor/roof framing. foto ide Dian,for all floors/roof assemblies, indicating meniher sizing,spacing,and hearing
locations,show attic ,'erlillallon.
18 Basement and retaining wall%. Provide cross sections and details showing placement of rehar. or engineered
syslet►ts,see item 22,"Engink i dculatiits,*' _
19 Ream calculations.Provide Iwo i d , .11 nlatiuns wing current code design values for all hearts and multiple joists
over 10 feet long and/or any heam w. i .0 1\ine a non uniform loild, - — —
20 INnnufactured floor/roof truss design detail,. _
21 Energy Code compliance.Identify the picsciipiiite path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provider'),(i.e.,shear wall,roof(rust)shall tic stamped hy an engineer or
architect lirenscd inOregon and sha11 he,ho„n In he nlii)licahlc to fair 1)14 lject under re•,t• v.
23 Five(5)site plans are required it Item I I ahovc. Si(e ll!,uts must he R-1/2" x I I"or 11"x 17 (✓
24 Two(2)sets each are required 1i it Items 16, 19, 20 K 2_'abuse.
25 Building plans shall not contain red lines or tape-ton,. "ruined"building plans will he not accepted. —
26 "Reversed"building plans must meet criteria outlined in the Permit& System Development fees document.
27 "brawn 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"I tee L.tst.
Checklist must he completed before plan rc.icis start date. Minor changes or notes on submitted plans may he in blue or black ink.
Iced ink is reserved for department use only. 444)-4614 rr,nuuConli
l,r�: ►, CWN'Y OREGON SCALE 1' 100'
I
4L��Y• h e9° !k•t1 --6--- `-M �' I14 ��r ..n —.;•-,,Y- --�
1g ` 13UG 14Rcic 14900 15500 It.60G
r 194 >h 19g r
1 200 '� 20E 207 n
U9 ICY
t41CY s, 1440x e` ! e' e• e; e_
h '•I r, r� 1470( .p I 15000, 1540- 1 15700
196 ^ti 19E3 � 1•' ' 20r " 008
Q 201 • r
" a4 `4 _�' _�r ea a ae V q
4Giy - I1 �,� w r iwl e.1 - -a
tg i t'If 14500 el 14600 Q' _ti ew+e f_l 15300 X! 15800 s
4 .7 17 N "• �� D'
196 � 197 � IN, d 15100 =�► 204 � % 209 ��
s v ' 664 �' ZA4' �.,� r
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190 I �1 nr/ �► >rc 15200 1 Z 1 g 15900 �
F. ,......--•► �V l� 'e Q� 203 I'` 210
'bE.I'/�1=16800 16700 �a+�wog•,��'/� R tea►.
a Y',e�
~t e''a.1, a1690a2I. 219 6,x 218 8 R w+ua ►s n »`e ta--ee�--�—N ,I r W '� 120 h��
�► eU J 7000 220 s 49411 e Nl�p a 217 I 16500 1640C>I! 1 16100 °w) s w
n K 2z I f� yb. .. ��, �: 216 1n _-1 �'� 16000
N 1 . :• a. ,z �� 9; 215 1" 214 EI
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61
GULF COURSE PMC)N FACILITI l
I, I
LIABILITY PL9 T L -• r�� �J
'
The City of Tigard and its
employees shall not be
responsible for discrepancies
Which may appear herein. Final inspection approval is
required price its occupancv.
This permit hues not authorise the violation of any
rights of holders of private easements. The ap-
plicant is urged to contact any such parties and
secure thier approval beftae commencing work.
CITY OF TIOARD
Approved ............................
Conditionally Approved......................( 1
For only thew as deneribed in: Approved plans
PERMIT NO shall be on job site
See Letter VI Follow........_....._..._ ...
Attach ....... 'T
t ��
..lob Addre��lob 67—c��il /-1
a
.__nate __�t.�-�
By: - Address shall be posted
and visible from street.
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CITY OF TIGARD 24-Hour
BUILD!NG Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MS _
OBUP5
v�
Received __ __ �--_ Dale Requested _�.01�47___ AM __ PM _ BUP
Location _J � [`S fit-�f,�_o� ��_/, Suite_ MEC
Contact Person ___1 k _1 (41IL— CCAVil Ph CC, PLM --__------- - _
Contractor `J
SWR
------ ----
B_UILDINGTenant/Owner _ --_ _ _ _ _ ELC
Footing -- — -_-.-
Foundation Access: ELC
Ftg Drain
Crawl Drain ELR -- -__-
Slab Inspection Notes: SIT
- - -
Post& Beam
Shear Anchors
-- —
Evt Sheath/Shear
Int Sheath/Shear --
Framing
Insulation
Drywall Nailing
Firewall
Fite Sprinkler - -
Fire Alarm
Susp'd Ceiling - ---
Roof
F I
AS_ _PART FAIL -
P ING ---
P_ost 8 Bearn --
Under Slab
Rough-In -
Water Service
Sanitary Sewer
Rain.Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other
Final -- - --
PASS PART FAIL
MECHANICAL
Post R Beam ---- -
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART_ FAIL
ELECTRICAL —
Service --
Rough-In
UG/Slab
Low Voltage _
Fire Alarm -----
Final
PASS PART FAIL Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
SITE _ �_� Please call for reinspection RE:__ - - I� Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector �•�
--
Other-
Final _ DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL