15691 SW SUMMERFIELD LANE 15691 SW Summerdeld Lane
CITY O F T I G�►b R D ---- BUILDING PERMIT
PERMIT#: BUP2001-00081
DEVELOPMENT SERVICES DATE ISSUED: 3/15/01
13125 SW Hall Blvd., Tiqard, OR 97223 15031 639-4171
PARCEL: 2S 111 DC-05200
SITE ADDRESS: 15691 SW SUMMERFIELD LN
SUBDIVISION. SUMMERFIELD NO.7 ZONINC=: R-7
BLOCK: LOT: :352 JURISDICTION: TIG
REISSUE: _ FLCOR AREAS -- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: —! S: E: — W:
TYPE OF LISE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf W. S:— v E W.
OCCUPANCY GRP: TOTAL .RFA: 0 00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEIN"ENT: sf AREA SEP. RATED:
STOR: HT- it GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS_ _ _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: --ft FIR SPI(L: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR. PARKING:
VALUE: $ 3,000.00
Remarks: Enclose Carpoi}
Owner: Contractor:
JAMES TPIELKE OWNER
15691 SW SUMMERFIELD LN SIGNED RESPONSIBILITY
TIGARD, OR 97224 FORM IN FILE
Phone: 503-590-4077 Phone:
Reg #:
FEES — —+ _REQUIRED INSPECTIONS
Type By Date Amount Receipt — FrarTiinq Insp
PLCK CTR 2/28/01 $48.87 27200100000 Final Inspection
PRMT um 3/15/01 $72.10 27200100000
5PCT CTR 3/15/01 $5.77 27200100000
Total —$124.74
Thi• permit is issued subject to the regulations contained in the Tigard Munici',,al Code, ate cf OR rpeu,!ty Codes
and all other applicable law. All work will be done in accordance with approved plans. Thia permit will expire if work is
not started within 180 days of issuance, of if work is suspended for more than 180 days. ATTENTION. Oregon law
requires you to follow the r,il�.s 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) 246-1987.
Permitee {
Signature: � f aL� , J' '-� — -- -- ----
Issued By: ' -- - -- --- ----
Call 639-4175 by 7 p.m. for an inspection the next business day
��?�ifi, '1,wr►S' �,�°I S i
Building II
AWLCity of Tig eceived: p Pe to .:b0a/-XdT1
�n�Ti�ard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 t-roject/oppl.no.: Expire date:
Phone: (503) 639-4171 / Date issued. By: Receipt no.:
Fax: (503) 598-1960 /1 I Case file no.: Payment type:
Land us, approval: 1 I&t family:Simple Complex:
:�J
&2 family dwelling or access:)ry U Commercial/industrial U Multi-family U New construction U M--nol•.ion
dditiotJalteration/replar,ement U'renant improvement U Fire sprinkler/alarm U Other: _
30.11 SITE,INFORNIA1116N
Job ad,',mis: ",;r 12; ,r// . y Bldg.no.:_ Suite no.:
l.ot: Block: - Subdivision:
_ Tax map/tax lot/account no.:
Project name:
Description and locatiolt of work on premises/special conditions: E _ /1 i°•�/ T-
Name: \. //` !_. 1�.��nin.�l. T /t_! kms. septicsolar,
Mailing addrrss: I &2 fondly jwelling:
-City: IZIP: 7. Valuation crwork........................................ _�_ . A
Phone:
o lis o3j E-mail: No.of K.,drooms/baths................................. _
Owner's representative: Totp!number of floors.................................
- ---- -- -- --
Phone: I E-mail• New dwelling area(sq.ft.) ..........................
Garage/carport area(sq.ft.)
Name: Covered porch area(sq. ft.) .........................
_Mailing address: Deck area(sq.ft.) ........................................
City: State: ZIP: Other stnicture area(scl.ft.).........................
Phone: Fix- E-mail: Commercial/industristi/niulti-famil':
Valuati,,n of work........................................ $—.
, �J Existing bldg.area(sq.ft.) ......................__ —
Business name: -
Address: _ New bldg.area(sq. ft.)........................... .... _
Number of stories........................................ —
City: State: ZIP -
Phone: Fax: F.-mail: Type of construction.................................... _
Occupancy group(s): Existing:CCBno.: __ New:
City/m'tnl; n"'
------
Notice:All contractors and subcunttactors are required to he
licensed with the Oregon Construction Contractois Board under
Name: provisions of ORS 701 and may he required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
Cit : State: ZI►': exempt from licensing,the following reason applies:
_ -- —T--- ----
Contact person: Plan no.: .L_ —
Phone:
Name: Contact person: Fees due upon application .....................
Address: — — Date received:
City: St;Ae: ZIP: Amount received ......................................... 4
Phone: Fax: E-mail: Please refer to fee schedule.
1 hereby certify 1 have read and examined this application and the Not au jurisdictions wce(a credll cards,pleare call jurisdiction for more information.
attached ctwcklist.All provisions of laws and ordinances governing this U vise U MastetCaM
work will he complied with,whether specified herein or not. credit card number
rspires
Authorized signature- _ _ ��—_ Date:— — - Nene of canadder is shown on crodit cud
Print name:— -- ----- S
-- — Cardholder signature Amount
Noti.v:This permit application expires if a permit is not obtained within 190 days after it has been accepted a9 complete. 440-4611(6ClarcoM)
One-and Two-f"arnily .[)welling
L/4L Building Permit Application Checklist Reference no.: _
Ciry?f1'igard Cit of Ti and �--- - Associated permits:
Y g U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Ti��..rd,OR y7„�
Phone: (503) 639-4171 U Other: .__.e^__..__
Fax• (503) 598-1960
1 Land use actions completed.See jurisdiction cnteria for concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Veriflcallon of approved plat/lot. _
4 Fire district approval required.
5 Septic system permit or authorization for remodel.Existing system capacity
6 Sewer permit.
7 Water district approval. —
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control U plan 1.1 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 be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed
if copyright violations exist.
11 Site/plot pian drawn to scale.The plan must show lot and building srtback dimensions;property corner elevations(if
dere is more than a 4-11.elevation differential,plan must show canto lines at 2-ft.intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/se is systems;utility locations;direction indicator;lot
arut;building coverage area;percentage of coverage;impervious area xisting structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor holts,any hold-dowr tnd reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window si location of smoke detectors,water heater,
furnace,ventilation finis,plumbing fixtures,balconies and decks 3u inches above grade,etc. _
14 Cross sections)and detal',s.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof conistru,:Uon. More tl,dn one cross section may he required to clearly portray construction.Show
details of all wall and roof sheathing,rcmfiug,roof slope,ceiling height,siding maierial,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if t,le change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elcvr,tions with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral anAysis plans.Must indicate details and location,;for
non-prescriptive path analysis provide specifications and calculations to engineering standards.__
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,v,,acing,and beanng
_locations.Show attic ventilation.
18 Basement and retaining wally..Provide cross sections and details showing placement of rebar.For engineered
systems,see item 22,"En ineer's calculations," _
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any heam/joist carrying a non-uniform load. _
20 Manufactured floor/roof truss design?!etalls.
21 Energy Code cotnpllal,. Identify the prescriptive path or provide calculations.A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculation;.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to he applicable to the project under review.
23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 11"or 1 I" x 17". _
24 Two(2):;cis each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons. _
26 No rolled,reversed or mirrored building plans will he accepted,
27 — �--
28 -
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. 4414614 Wffl'oM)
Permit#: v�CY��--t✓ 0��
of
Addrat
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Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with they Construction Contractors Board to sign the
following statement before a building pern;it can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt f om registration untler ORS 701.010(7),
need not submit this statement. This statement will he filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 311:
`x 1. 1 own, reside in, or will reside in the completed structure.
2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon comple!ion..
3A. My general contractor is —
Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
313. 1 will be my own general contractor.
11A hire subcontractors, i will hire only subcontractors v.-gistered with the Construction Contractors
Board. If i change my mind and hire a general contractor, i will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor
I hereby certify that the atr.,ve infornrsuimi is t-orrect and that I have read and ds)underst.rnd the hil'orm,ition
Notice to Property Owners about Construction Responsibilities or, the reverse side of this form.
(Signature of permit applicant) (Date)
(White copy to %s.suing agenc;v pet7nit file,
pink cc:;►y to applicant)
1af4rhiAtion 'Ne ice to Property Owners
About Responsibilities
tHESPONSIBIL 'S,
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection I rne: 539-4175 Business Line: 639-4171 — —
BUP ��c'c't D?JD 81(
_ -_Date Requested—�/ --•-AM— PM —_—. BLD —
Location Suite MEC
Contact Person Ph FLM
Contractor T /1 Ph SWR
BUILDING Tenant/Orr o l �Lr >< K k �� ��t c/o (A ELC _ ......
_
Retaining Wall ELR
Footing Access: FPS
Foundation -- --
Fog Drain SIGN
Crawl Drain Inspection Notes
Slab - - ---- -- - SIT --- -
Post&Beam
Ext Sheath/Shear ----
Int Sheath/Shear
Framing ---
Insulation
Drywall Nailing -- - - -
Firewall
Fire Sprinkler - -- - ---- - -
Fire Alarm ,
Susp'd Ceiling
Roof
Misc:
Or 51W
IV-AS-1
jRT FAIL. --- --- __
BING
Post& Beam
Under Slab -----------
Top Out
Water Service - —
Sanitary Sewer
Rain Drains ---
Final
PASS PART FAIL -- ---
MECHANICAL
Post& L3�,�n� -
Rough In - -
Gas Line - - - - -
Smoke Dampers
Final
_PASS PART FAIL.
ELErTRIC_AL
ervicP. - - -- -- - —
Rough In
UG/Slab _ - -- - ------ -...-- - --
Low Voltage
Fire Alarm -- - --- -- —
Final
PASS PART FAIL --- --- _ -_—. -
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Rainspection fee of$ equired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE: ---_ [ J Unable to inspect-no access
Fire Supply Line -
PDA
Approach/Sidewalk Date l`l �! d/ _ Inspectors Ext
Other _ -
Final
PASS MART FAIL DO NOT REMnVE this inspection rerord from the job site.