Permit -- '
C ITY OF TI BUILDING PERMIT
PE RMIT #: BUP2006 -00094
-,-, DEVELOPMENT SERVICES DATE ISSUED: 2/21/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1046A 00900
SITE ADDRESS: 12154 SW WESTBURY TERR ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS NO.3 LOT: 090 JURISDICTION: TIG
Project Description: Deck.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
ERIC WALSTROM OWNER
12154 SW WESTBURY TER
TIGARD, OR 97223
Phone: 503 - 531 -0556 Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 2/13/2006 $59.35
[BUILD] Permit Fee 2/21/2006 $91.30
[TAX] 8% State Surcharl 2/21/2006 $7.30
Total $157.95
This permit is issued subject to the 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 .10. - . . ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification C- ter. Thos: rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these r -s or di ect questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By ) ,, Permittee Signature: IV'
Call 503-639-4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Appl lca CEIVE! .' „m m t �:.,%,- 1 Ol z O I I IC I IS ° It: ?"f " `a Y r - 0, jt
City of Tigard FEB DR i BYC: i 3 ) .. ? I) PermitNo.6O � Odo '
13125 SW Hall Blvd., Tigard, OR 97223 EB 13 20 1 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 „ ,,,,,d 4��a.fi( -,,, Date/By. Other Permit:
Inspection Line: 503.639.4175 _ 1i; ;Illy Date Ready/By: // ® See Attached Checldist for
Internet: www.ci.tigard.or.us CITY OFTIG' - -∎ - Notified/Method: l.(, Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA 1- AND 2- FAMILY DWELLING,
❑ New construction ❑ Demolition . Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 1 S' t• ) • 1°O
Xl- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
” JOB .SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
City /State /ZIP: -T1 n a A r D. cr77 7 Garage /carport area: square feet
Suite/bldg. /apt. no.: ' Project name: �irk ii)EC-e- Covered porch area: square feet
Cross street /directions to job site: L) Lz-r-r) 3 % K:c; A .. Deck area: (C, square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL
Subdivision: Cj -SL-'W -, pob 1 - -. (6o.. I Lot no.: q (-) Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 COD "1 Indicate the value (rounded to the nearest dollar) of all
l � equipment, materials, labor, overhead, and the profit for the
. DESCRIPTIO ( OF WORK ,1 n work indicated on this application.
19-c\--- x and T U'O -4 G=am' c1,42 ,! -K, 4 Valuation: $
NCI.'" c C SS � � Existing building area: square feet
New building area: square feet
- PROPERTY OWNER I ❑ TENANT Number of stories:
Name afl 1 L� -�5cc- n7....3p,` Type of construction:
Address: S A` 11ci� U Occupancy groups:
City /State /ZIP: Existing:
Phone: n r Iy• a
�� 'v5 J New:
APPLICANT CONTACT PERSON NOTICE .
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) p Fax:: ( )
E -mail: 0 A 1 C _ ,,,a S k. 2 () u S • cac f,^... . try;', ,
�, \ ,
CONTRACTOR ) '✓
Business name:
BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.: -
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: F R 1 C l..:3{p1 y —?6-0--- Date: j 3 ri O. 3, • Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP- PemiitApp.doc 12/03 440 .4613T(11 /02/COM/WEB)
One- and Two- Family Dwelling
Building Permit Application Checklist 1 . FF a
,� r , ;' �{ y
�hv m I OR ° (I I ICI Utit. O�1t1'
.* 5 „ I F '40, s, G4N'L
City of Tigard Received
g Date /By Permit No
13125 SW Hall Blvd., Tigard, OR 97223
Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 iy,ty,. �i:
24- Hour Inspection Line: 503.639.4175 Ar`I ti Itl` 13 Electrical ❑ Plumbing ❑ Mechanical
Internet: www.ci.tigard.or.us - ❑ Other.
` .. 7 h hE Ci trov AiK` /I 17aE�
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
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 ❑ plan ❑ 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.
1 1 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 -ft. elevation differential, plan must show contour lines at 2 -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 all dimensions, room identification, window size, location of smoke 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, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, 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 the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are 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 Floor /roof framing. Provide plans 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 ❑ ❑ ❑
systems, see item 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 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be . s . licable to the .ro'ect under review.
I. W11:416 ®1 1 � 17 �1 1. .CHltlC " 4 4'i v -k Uo erg _ ' it ' f
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be 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 plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:\ Building \Permits\BUP- RES- PermitApp.doc 2
RECEIVED
f
2006 , n��igpG11
CITY OF TIGARD
BUILDING DNISION
RESIDENTIAL PERMIT APPLICATION REVIEW OREGON
e rmit�Number'
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17,4 ; Ad dress ; e1S Si A/ W ES Q L n cAc
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4416, %st eet �� L I` IM
1 :r State Q` Zip EOM
As required by the 1999 Legislative action (Senate Bill 587), your residential permit
application and plans have been reviewed to determine if it is complete and if the plans are
deemed "simple" or "complex" as defined in ORS 455.467 and 455.469.
The application is complete.
,x The application is incomplete for the following reason: /U as. , -
Si71 P6Ant.
The submitted plans will be reviewed; however, a permit cannot be issued until the
above information is reviewed and/or approved.
The submitted plans cannot be reviewed until the above information has been
submitted and /or approved.
[X] The plans are deemed "simple ". The plans are deemed "complex ".
If you have any questions, please call Chad Williams at (503) 718 -2708.
a -/0-06
Name of Plans Reviewer Date
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
02/06/2006 23:17 FAX 5036243746 FEDEX KINKOS U002/002
FEB 1-3 200
_ FEB 0 7 2006
CITY OF TIGARD • File umber („ ODD 4 1
8 f'in are-r Service. =y v l J -I "l
Our commitment is clear. Sensitive Area Pre - Screening Site Assessment
Jurisdiction GliVtt Date 0 FE3 (v
Map & Tax Lot 4 4o— Owner
_ 104.13 Applicant a tjc_ (..LAL T j
Site Address f 2Jf $ ®rrr p
11Eilk t1) 1 t q '\ p.. 3 Address sa,
Proposed Activity AL o N pp -mg c.__ City State Zip
Fi olnvr OF Moves Phone (543) 53t - OS V&
ofb x r .� t, Fax
By submitting this form the Owner, ow ner's authorized agent or representative, acknowledges
and agrees that employees of Clean Water Services have authority to enter the protect site at all
reasonable times for the purpose of inspecting project site conditions and gathering information
related to the protect site.
_ Of6dal we only below this line
Official use only below thle fine Official one only below this IMe
Y N NA Y N NA
Sensith'e Area Composite Map Stormwater Infrastructure maps
� Map # _ Z1 13 ❑ ELL OS# N3'
®
Locally adopted studies or maps Other
Specify Inn Specif Rmc�Y �•rca
Based on a review of the above information and the requirements of Clean Water Services
Design and Construction Standards Resolution and Order No. 04 -9:
❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST
PERFORM A SITIE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER. If
SensitiveAreae: exist on the site or within 200 feet on adjacent properties, a Natural
Resources Assessment Report may also be required.
al Sensitive areas file not appear to exist on site or within 200' of the site. This pre - screening
site assessment does NOT eliminate the need to evaluate and protect water quality
sensitive areas If they are subsequently discovered. This document will serve as your
Service Provider letter as required by Resolution and Order 04-9, Section 3.02.9. All
required pernlis and approvals must be obtained and completed under applicable local,
state, and federal law.
❑ The proposed ,Activity does not meet the definition of development. NO SITE ASSESSMENT
OR SERVICE PIROVIDER LETTER 15 REQUIRED.
Reviewer omments // :
ree reN ti4/t� 5 eofit;' Qret evrecyrt ro be fire./..
Reviewed By: Date: 2 /5/G 6
Official use only
Returned to Applicant
Mail ' Fax _ Counter
,/ �� y
2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Date 2/ Vox By CsT
Phone: (503) 681 -5100 • Fax: (503) 681.4439 • www,cleangate services.org
• Walstrom's Home @ 12154 SW Westbury Terrace,
Tigard, Oregon 97223
,; At
�- -� 80.32'
y
:
Westbury i f . w rY o ar yY
Terr. ., of f V .
y. Or / 35, 6, ,,f
62 I 17 r...
( w y
q f HOUSE ° OFFICE COPY
_ 6
Proposed DECK/PORCH @ h. , ;. g (
Front of House: .
" 35, � ' o
23' X 10-12' X 42" high at Al , , . cb �0.
S, o
lowest point from ground 1) . -, °
` ��• ;j �¢ f'
t r--7,—.1177.757- _ ii 4s . J ..... . v "e... _.._ 4 e a � L� L kY n L`✓ i w..r _yam
Front of House dimensions (I to r) : J , ,, I pull Dr; it I _ e t `t S
Garage entrance- 21'3" ..
Cutback to Front Door 5 0 0 4 1 �: ,,_ t i
Nk a
Front Entrance /Door - 7'10" ;
So. Cutback toward windows - 3' c `` ` ._`� i "" .. ` ` ,,
ti . J
Windows Section - 12'4" d e .,k.,. : ' 46 .._._
Y .3
- Cutback to Chimney - 2' x ,' °-' - ¢ r `
Remaining frontal sections - 3' _..._....__,.__ 7 i - : .__..._..__.,.__�.
Walnut Rd.
esio-
(NamK.h, fi t! cm l ? 7 ÷"
CITY.OF TIGARD r-�r �� 411L -t—°
BUILDING DIVISION vr` bu PERMIT #: 13 UfY2006-00094
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2 J2 i /20ftr;
Phone: (503) 639 -4171 440, � r>a
' Inspection Requests (24 Hrs.): (503) 639 - 4175'' �{
INSPECTION WORKSHEET FOR DATE: 2/24/2006 TIME: 7:03AM PAGE: It>
SITE ADDRESS: 1'21 &i SW WES"TBURY Ti: RR CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS W0.3 LOT #: 091) TYPE OF USE:
PROJECT NAME: WALSTROM
DESCRIPTION: Deck •
OWNER: WA LSTROM, ERIC PHONE #: 1:;03.,631.051:16
CONTRACTOR: OWNER PHONE #:
•
Inspection Request Scheduled For: Date: 2124/2006 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
205 Footu%g 027530-01 60`3-531•0560 rN
Corrections /Comments /Instructions:
•
•
•
•
EK PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecto . AL/ Date: 2 0 6 Phone #: (503) 718- 2`7 v,ic)
•