Permit ` ` ,•1 . CITY OF Ti ^ARD _ MASTER PERMIT
�f „t ,1,,, CITY
PERMIT #: MST2008 00023
;� COMMUNITY DEVtLOPMENT s4;t DATE ISSUED: 3/19/2008
?_ I GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 •
PARCEL: 2S109DA - 04700
SITE ADDRESS: 15364 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 024 JURISDICTION: TIG
PROJECT: BOGDANOV
Project Description: Fire restoration.
BUILDING
REISSUE: STORIES: FLOOR AREAS REOUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sr BASEMENT: sf LEFT: • SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
• TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 28.000.00 REAR:
•
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
'ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L S00SF: 201 - 400 amp: 201 - 400 amp: 1st W/0 SVC /FOR: 0 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
• 1000• amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL 1
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: 0
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: • Municipal Code, State of OR. Specialty Codes and all other applicable
YURI BOGDANOV OWNER laws. All work will be done in accordance with approved plans. This
15364 SW GREENFIELD DR permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010
through 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: 360- 980 -3841 Contact #: questions to OUNC by calling 503 246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 595.16
•
• REQUIRED ITEMS AND REPORTS
•
f i
Issue y : j �: B j / y .f%,/%::"L " / -( -_,.>�L ,. Permittee Signature • / _ —�
Call 503.639.4175 by 7:00 a.m. for an inspection that business dais,
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.
•
1\.
C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2008 -00023
COMMUNITY DEVELOPMENT DATE ISSUED: 3/19/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109DA -04700
SITE ADDRESS: 15364 SW GREENFIELD DR ZONING: R -
SUBDIVISION: SUMMIT RIDGE LOT: 024 JURISDICTION: T1G
PROJECT: BOGDANOV
Project Description: Fire restoration.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 28,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W /O,SVC /FDR: 0 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 6014-amps-1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO. VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
YURI BOGDANOV OWNER laws. All work will be done in accordance with approved plans. This
15364 SW GREENFIELD DR permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 001 - 0010
through 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: 360- 980 -3841 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 595.16
REQUIRED ITEMS AND REPORTS
Issu. B 1/41_$./4. Permittee Signature • -
Call 503.639.4175 by 7:00 a.m. for an inspection that business da .
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.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Mi aT200B•00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3119/2000
Phone: (503) 639 -4171 /0,1
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 4/7/2008 TIME: 7:01,AM PAGE: 12
SITE ADDRESS: 15364 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 024 TYPE OF USE:
PROJECT NAME: f3OC3DANOV
DESCRIPTION: Firo ros11 r.)tion.
OWNER: E3OGDANOV, YUJRI PHONE #: 350 980.3841
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.380 to lrtion 06798/-01 503 - 969.0380
Corrections /Comments /Instructions:
sr 1 1U/us() L,Ailcyv 1- ..1- Si°e5cno r/477 ci)
7
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4- 7 - QF7 Phone #: (503) 718- 2-41-444-'
CITY OF TIGARD
BUILDING 'DIVISION PERMIT #: I ST 2008- 00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2000
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: . 3121/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 15364 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: =UM MI1 RIDGE LOT #: 024 TYPE OF USE:
PROJECT NAME: E3OGDANOV
DESCRIPTION: Fire restoration.
OWNER: l.3OGDANc:)V, YURI PHONE #: 360-980-3841
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 3121/2008 Pour Time:
Code # 'Inspection Description Confirm # Contact # Message
?75 Framing 067137 -01 503-969-0380 Y
Corrections /Comments / Instructions:
4- 5i crO --- 6 iLis 6 `S
•
•
•
V PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
/ ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 7 -Z-/ e}Phone #: (503) 718-
Building Permit Application
Residential - FOR= OFFICE ONLY • , '
'1 ''u '- Received City of Tigard Date /By: Permit No.:///N aC 5 �3
Jj, ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready /By: Juris' ' ® See Page 2 for
. Internet: www.tigard- or.gov Notified/Method: Supplemental Information
' N_._....- . - , - .. • TYPE OF WORK ' -' - - , - - -- REQUIRED DATA: 1, AND 2 -FAM LY DWELLING, '
N ew construction Permit fees* are based on the value of the work performed.
❑ ❑Demolition p
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the 1
CATEGORY OF CONSTRUCT ION work indicated on this application.
dwelling Valuation: $ 8d
❑ 1- and 2-family g ❑Commercial /industrial /
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB' SITE INFORMATION AND LOCATION /� Total number of floors:
Job site address: 1 S3 6 y S 1.17 0 y -e n ? e id .0 A-: New dwelling area: e- square feet
City /State /ZIP: ---r� Q r 0 e 9 7 2. 2 41 Garage /carport area: square feet
Suite/bldg. /apt. no.: v Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet '
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. �� Y ,
� �
�-- i re s e s�PQ1.I o4 Valuation: $
Existing building area: square feet
New building area: square feet
❑ ;PROPERTY OWNER , . ❑ TENANT .. .. Number of stories:
Name: 'l — tJ ; . S o0 G°f Q Al 0 Type of construction:
S3 64 t o c `-ce � �
Address: / C/ • e d /+ Oc cupancy groups:
\i‘
City /State /ZIP: - 77.1 a OR Q 7 22 mot / / Existing:
Phone: (36f), Cn ea _ 3 g 41 Fax: ( ) New: '
❑ APPLICANT ❑ CONTACT PERSON NOTICE - - '
ZN,
Business name: All contractors and subcontractors are required to be
c • licensed with the Oregon Construction Contractors Board
Contact name:
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 S
Phone: ( ) Fax: : ( ) U
E -mail: .
CONTRACTOR -
Business name: P,'h hQ e / t e/ c-t keio _ BUILDING PERMIT FEES* , •
Address: /2 702 N �^ //4, S ¢ 0� • (Please'refer to jee schedule)
1 V u cc i v p IA/' 72 6-4? Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (sr3) q 6'!? Q,� g0 Fax: ( )
CCB lie.: r '� 3 0 3 6 Total fees due upon application:
Amount 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: VO kit R D A NOV Date: 3 _ 18 —02 * Fee methodology set by Tn - County Building Industry
�J Service Board.
1:\Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY .
City of Tigard Received
. Date /By: Permit No..
q 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960
T I G A RD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard - or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes N o N/A
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.
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 -ft. elevation differential, plan must show contour lines at 2 -ff 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 1""Iacl.
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 Oregon and shall be shown to be applicable to the project under review.
:z
-;., ,- - :•= JURISDICTIONAL�SPECIFICS . �. .. ..�: _ � � M ., �� , � - ,�� r _' : _
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 trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and accompanied by the project arborist's signature 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
1: \Building \Permits \BUP- RES- PemtitApp.doe 03/2I/06 440- 4613T(11/02/COM /WEB)