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9665 SV`j Serena Way
CITY ®� �I���® --__ BUILDING PERMIT
PERMIT#: P'.;P2002-00347
DEVELOPMENT SERVICES DATE ISSUEn: 8'.9!0'
13125 W Hall Blvd , TiLiard, OR 97223 (503) 639-4171 PARCEL: 7.S114BA 03700
SITE ADDRESS: 0J665 SW SEkENA WAY
SUBDIVISION: PICKS LANDING NO 2 ZONING: R-4.5
FLOCK: LOT: 103 JURISDICTION: TIG
REISSUE: FLOORAREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf� N: _ S: E: W:
TYPE OF USE: SF SECOND: sf _ _ PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E. vW:
OCCUPANCY GRP: R3 TOTAL AREA: U IJO sf ROOF CONST: FiRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RAT' D:
37 OR: Hl': ft
GARAGE: sf OCCU SEP. RATr D:
RSMT?: MEZZ?: RECID SETBACKS _ REQUIRED
FLOOR LOAD. Psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UIJITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 200.00
Remarks: Foundation repair.
Owner: Contractor:
WILSON, WM E AND KAREN J OWNER
9665 S\N SERENA WAY
TIGARD. OR 97224
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
_ r
Type By Date Amount Receipt Foundation Insp
PP.MT CTR 8/9/02 $62.50 27200200000 Final Inspection
5PCT CTR 8/9'02 $5.00 2.7200200000
Total $67.60
This permit is issued subject to tha regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other 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 952-001-1987. You may obtain a copy of these nines or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Permittee
Signature:
Issued By: �61's J,4—d," V( )tA�
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
City of Tigard Datereceived:q e'Z- Permitno.: O
Address: 13125 SW Ifall Blvd,'I'igard,OR 97223 Projecdappl.no.: Expire date:
City of Tigard Phone: (503) 639-4171 Date if.sued: BEY:0 Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type: _
Land use approval: _ 1&2 family:Simple Complex:
maiwmtljmwmtikilt
❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-rarnily U New construction U Demolition
O Additicat/alteration/replaeement U Tenant improvement ❑Fire sprinkler/aiarm U Other:
Job address: 111.065 W JL't f•no� Wa• 2 m' I Bldg.no.: Suite no.:
Lot: I Block: ISubd ision: Ltmj Uh" Tax map/tax lot/account no,:
Project name:
Description and location of work on premises/spf•cial conditions: L' f rte ) il14L
INFORMATION,
Plame: l L LMLI Y04A
Mailing addrexaQ EQ 1, 3 p I 1 &2 faudly dwelling:
City: f\ State: OKIP. 1i :W Valuation of work........................................ $ Ale— .---
Phone: Fax: E-mail: No.of bedrooms/haths.................................
Owner's representative: Total number of floors................................. _
Phone: Fax: E-mail: New dwelling area(sq.ft,) ..........................
Garage/carport area(sq. ft.).........................
Name: Covered porch area(sq, ft.) .........................
-- --- Deck area
Ma111Itg%7ddfe55: sq. ft.( ) ........................................ -_
City: State: ZIP: Other structure area(sq.ft.)........................
_ —hone; Fax: Commerciallindustrial/multi-family:
l mail:
Valuation-cd'work........................................ $
Existing bldg.a sq. ft.) ..........................
Business name: C'tOA, iL
- — -- New bldg,arca(sq.ft..}'�-..�,,,,_. .....
Addrr,s,: _-----
- ---- Number o.
City: Stale: ZIP: i`�,....�.-���---
_— Type of construction.................................... --
Phone: Fflx_ E-mail: -- _
Occupancy group(s): Existing:
CCB no.: — New:
City/metro lic.no.: Iltotice:All contractors and subcontractors are required to be
l licensed with the Oregon Construction Contractors Board under
Nome: provisions of ORS 701 and may he requirer to he licensed in the
Address: �- — jurisdiction where work is being performed. If the applicant is
City. — --- State: -- ZIP: exempt from licensing,the following reason applies:
Contact person; Plan no.:
E-mail: —
Name: _Contact person: Fees due upon application ........................... $
Address: Date received:
City: State: ZIP: Amount received ......................................... $--
Phone: Fax: E-mail: i Please refer to fee schedule.
I hereby certify I have read and examined this application and the Nol all jwisdiclione accelrl credit cards,please call jurisdiction for more information
attached checklist. All provisions of laws and ordinances governing ttus U visa U Mastetcard
work will be.complied with.whether specified herein or not. Credu card number
�{ r•:spires
Authorized iignature: t 1n,�/y,1�"-�_— r a t�r'� Name of cardholder as shown on credit card
f
Print flame:._._ri rr Cardholder signature Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Wo-6u(&MCOM)
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--j��rmily Dwelling
Building hermit Applicatim Checklist Referenceno.:
Associated permits:
City ofTigard Cit of Ti and
�' � U Glcctrical U Plumbing U Mechanical
Address: 13125 SW Hall lil�d.7igard,OR 97223 UOther:
Phone: (503) 639-4171
Fax: (503) 598-1960
FIIE FOrll FOR'MN REVIEW Yes No N/A
1 Land use actions completed.See jurisdiction(r n-ri;i 1,a concurrent reviews.
2 Zoning.Floud plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plotflot. _
4 Fire district---approval required.
5 Septic system perntlt or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Wafer district approval.
8 Soils report.Must carry original applicable stamp and signature on file or with application. _
9 Erosion control U plan U permit required.Include drainage-way protection,sift 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 plait location and details, plan review Cannot be completed
if copyright violations exist.
11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if
there is more than a 4-11.elevation differential,plan must show contour lines a:?-ft.intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot
area;building coverage area;percentage 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 aff dimensions,room identification,window size,location of srnoxe detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _
14 Cross section(s)and details.Show all framing-member sizes and spacing,such as floor beams,head,.-r:,joists,suh-floor,
wall construction, oof construction. More than one cross section may he required to clearly portray construction.Show
details of all wall wid roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations fo^new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-5iie sheet addendums showing foundation elevations with cross references lire acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards. _
17 Flory/roof framing.Provide plaits for all floors/roof assemblies,indicating member sizing,spacing,,and bearing
locations.Show attic ventilation.
18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered
syslOns,see itern 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feel lung and/or any heam/joist carrying a non-uniform load.
20 Nlanufarim ed flur/roof Miss design detalls._
21 Energy Code compliance. Identify the prescriptive path or provide calculation;.A gas-pipi,ag schematic is required
for four or more appliances. _
22 Engineers calculations.When required or provided,0,c.,shear wall,roof truss)shall he stamped by an engineer or
architect licensed in Oregon and shall he shown to he applicable to the project under review.
JURISDICI
23 Five.(5)site plans are required for Item I I above. tier plans must be R-1/2"x 11"(1r 11" x 17".
24 'Two(2)sets each are required for Items 16, 19,20&22 above. _
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans mast meet criteria outlined in the Permit&System Development Fees document. _
27 "Drawn to scale"indicates standard architect dor engineer scale.
28 Site plan to include tree size,type&location per approved project street tree plan ..f applicable),and COT Street Tree List. _
Checklist must be completed belore plan review start date. Minor changes or notes on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 441-4614(6AXWOM)
1
_-_ PN4,f o nut 1U�f'1-4.{- .
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 BUP
Received L Date Requested_ I 4M PM BUP _ __—
c
Location LLQ 2 e v-`" `i W6. y —Suite MEC _ _—
Contact Pprson w ' o Ph(—) 6 PLM -- -- —
Contractor,-- _-- --_ Ph( ) — SWR
BUILDING Tenant/Owner ELC
Foundguar Access: ELR —
g rain --- -----
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam U n C�a-� 10 �� "� �'/� a ►'_ _ —��
Shear Anchors fj l� - ' r - `ti'�G 5 edvo 40#W1
Ext Sheath/Shear - -- ----
Int Sheath/Shear
Framing _ --
Insulation ,� - ` 'r 0Q il 64 �19 V #t Cy c�1
Drywall Nailing -- �`--}-
Firewall f C a v Q -�-
Fim Sprinkler --- -- --- ---
Fire Alarm
Susp'd Ceiling `---`---
Roof _
PASS ART FAIL
_
-ft
BIN(i- -- 1
Post&Beam i V�
Under Slab — ------- --
Raugh-In
Water Se•vice ------
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other:--- - ---- - -
Final
PASS PART FAIL -
MECHANICAL -
Post&Beam -
Rough-In - -- ----- - _._
Lias line
Smoke Dampers — ------ - ---
Final
PASS PART FAIL - ---
ELECTRICAL - -
Service -^--+ -- --
Rough-In
UQ/Slab
Low Voltage --------- ------- -- --
Fire Alarm
Final Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ __ [� Please eaP x re nspection RE: _— Unable to inspect-no access
Fire Supply Line �jt(1�
ADA 7� L Inspector�ii( r ! Ext�T L
Approach/Sidewalk Date -
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL