Permit °�° BUILDING PERMIT
;-:...''IL'''''''''''1.C CITY Y ®� TIGARD PERMIT #: BUP2008 -00018
' °�:= ' COMMUNITY DEVELOPMENT DATE ISSUED: 2/15/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103AA - 01911
SITE ADDRESS: 10515 SW JOHNSON ST ZONING: R -4.5
SUBDIVISION: COTTONWOOD PLACE LOT: 018 JURISDICTION: TIG
PROJECT: DIAZ - CORTES
Project Description: Interior remodel - sub trade work done under separate permits.
REISSUE: CUSTOM FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 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:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,300.00
Owner: Contractor:
ALEJANDRO DIAZ - CORTES MOORE WOODWORKS
10515 SW JOHNSON 2140 SW 203RD AVE
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: 503 Contact #: PRI 503 - 329 - 9704
Reg #: LIC 173756
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
IBUPPLN] Pln Rv 1/18/2008 $47.66
(BUILD] Permit Fee 2/15/2008 $73.33
[FAX] 12% State Surch 2/15/2008 $8.80
Total $129.79
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 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: _ .. /� � �_ Permittee Signa ure: A i ? , . l/ 1y - -
/ap
Call 503.639.4175 by 7:00 a.m. for an inspec 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 Applicati t f !
EVEJ El..,Ca ? —DO 8th s'
Residentia _t AN 1 8 [UU8 ' , � seal` FORVO USE ONLY ': 1 4 1 ,
a : City of Tigard CITY - j IGR€ ® Date Received l ' D 1 ; I Permit No }. ;/ l g - aO�g
a 13125 SW Hall Blvd., Tigard, OR ''•%.,a ®LNG P lan Revi
: C DIM" 1 ' Other Permit: 01 .� Phone: 503.639.4171 Fax: 503.598.19 Date/By:
Inspection Line: 503.639.4175 Date Ready /By: / Ju / � El See Page 2 for
s*
t Internet: www.tigard- or.gov Notified/Method/ /f / �CO Supplemental Information
W
TYPE OF WORK • -: - QUIRED DATA: 1- AND 2- FAMILY DWELLING . -
❑ New construction ❑ Demolition rj it fees* are based on the value of the work performed.
ndicate the value (rounded to the nearest dollar) 61,111
EI4dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 2 3
VI- 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: /Db /5 .� - 14) , , .T 2. 5.-n� 6T New dwelling area: square feet
City /State /ZIP: co d A., 9 7 ,2 2 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: iA 2 (P Ti-5- Covered porch area: square feet
Cross street/directions to job site: /O6 r _ � 4 1,9671/ Deck area: square feet
T - 4).2 e (hr (eadi (hies r e" ami.,t. a , Other structure area: square feet
_Of F 9 4') � 0 / BL 01 K J t./ /h' / 'fZ9 //U6eP T 77/ t REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work perforated.
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.
Valuation: $
• 1 3 J f c ,2A ail 06 / a',9 44, leis enoapt. w l / Existing building area: square feet
Ef44( Qi"f /4 c t� Ifi ge h ear) �n c ui 4 c
,-,/ / // New building area: square feet
E3 1ROPERTY OWNER ❑ TENANT Number of stories:
Name: A /e/ /� / Type of construction:
Address: ,S'A(yjt- a.,5 f/is0 t,£ Occupancy groups:
City /State /ZIP: Existing:
Phone: (5 03)�0ii --,15 t1 Fax: ( ) New:
a-APPLICANT 7 a CONTACT PERSON NOTICE
Business name: 40a2£ eJt2J ejoRKS All contractors and subcontractors are required to :)e
Contact name: �'' � meat__ licensed with the Oregon Construction Contractor:; Board
U� under ORS 701 and may be required to be licensed in the
Address: 2 / [ 4 t.S A pU � jurisdiction in which work is being performed. If the cti
/State /ZIP: applicant is exempt from licensing, the following reasons
City/State/ZIP: .acc�(7i(Q7 ( ty� of 7.0,0 apply: _,
. Phone: (,5-03) c3 24.? - s.7 t )(_ I Fax:: ( )
• E -mail:
CONTRACTOR
Business name: • A'S A B O L 1. BUILDING PERMIT FEES*
Address: c.7 (Please refer to fee schedule)
Structural plan review fee (or deposit): 0. 6--
6' _
City/State/ZIP:
'
Phone: ( ) ( ) FLS plan review fee (if applicable): 69
Fax:
/ Total fees due upon application:
CCB Iic.: /7.3 95 ., 770 7 I-
` Amount received: Lj 1 . lX?
Authorized signat : • / /G 7 e2o _ This permit application expires if a permit is not obtained
Q;.-9- � within 180 days after it has been accepted as complete.
Print name: s
/7.
Print Date: / / / 7 2 2 0 8 * Fee methodology set by Tri-County Building Industry
Service Board. _
L \Buiiding\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB)
•
Building Perm Application Ch ecklist
One- and Two - Family Dwelling FOR O FFICE USE�ONLY
Ica .. u. ;ra3 r _.,., ... -.- .,.r •... . ..r. ;.'o,„ _ .�. ,.r.
City Of Tigard Received
Date /By: Permit No.:
a 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
a r Phone: 503.639.4171 Fax: 503.598.1960
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TICAKD
Internet: www.tigard- or.gov ❑ Other:
:THE- FOLLOWING ITEMSrcARE REQUIRED FOR =WA.N-REVIEW�
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0
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 -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 Oregon and shall be shown to be applicable to the •roject under review.
IU RIS`01-GUI NAL SPECII ICS�� . �� , '� r �" t s .< °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.
I:\ Building \Pernits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T( I I /02 /COM/WEB)
CITY OFTIGARD
BUILDING DIVISION PERMIT #: BM 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2f1h f2 )08 „ _A
Phone: (503) 639 -4171 41
Inspection Requests (24 Hrs.): (503) 639 -4175 _:_..
INSPECTION WORKSHEET FOR DATE: 2J27/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 10616 SW JOHNSON ST CLASS OF WORK: •
SUBDIVISION: COTTONWOOD PLACE LOT #: 018 TYPE OF USE:
PROJECT NAME: DIAL- CORTES
DESCRIPTION: Interior remodel - sub trade work done under separate permits.
OWNER: DIAL - CORTES, ALEJANDRO PHONE #: 603-309.3640
CONTRACTOR: MOORE WOODWORKS PHONE #: 503- 329.9704
Inspection Request Scheduled For: Date: 7/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 f=raming 065731 -01 503- 329 -9704 N
Corrections /Comments /Instructions:
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Pro f �vvn� e— 721 Tl gm CS ,� p t ) i 0/ g (6att
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g P. RTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z zi7 og Phone #: (503) 718