Loading...
Permit c r A, CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2004 -00427 � �� DEVELOPMENT SERVICES DATE ISSUED: 9/7/2004 AA 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 16185 SW 108TH AVE PARCEL: 2S115AA -01100 SUBDIVISION: WILLOWBROOK FARM ZONING: R -25 BLOCK: LOT: 027 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM 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: Remarks: Demolition of 1530 sq ft house, 462 sq ft garage and (2) outbuildings of 2,760 sq ft. Septic tank is to be pumped and removed. SDC credits to apply to future construction. Owner: Contractor: ELTON, MICHAEL D KEYWAY CORP BY MDE INSTITUTIONAL 7275 SW HERMOSO WAY 6950 SW HAMPTON ST STE 320 PORTLAND, OR 97223 PORTLAND, OR 97223 one: Phone: 503 - 654 -6223 Reg #: LIC 127522 FEES REQUIRED INSPECTIONS Description Date Amount Pump /Fill Septic Tank lnsp [BUILD] Permit Fee 9/7/2004 $62.50 [TAX] 8% State Surcharl 9/7/2004 $5.00 [ERPRMT] Erosion 9/7/2004 $26.00 [ERPLN] Ero Plck - CWS 9/7/2004 $8.45 (additional fees not listed here) Total $110.40 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 -00 ! OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling ( : ) 246 -6699 • 1- 800 - 332 - ,.S • . : By: I . d r / ) 0 � Iss u Y — — _ /L - • Perm _ - Signature: �■ Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Application FOR OFFICE USE ONLY / Pe rmit No.: ► City of Tigard Received � f 1 0,/ . r rff 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 0 i' h' l 'l '! Date/B : Other Permit. Inspection Line: 503.639.4175 �. I Date Ready/By: El See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: /, Supplemental Information TYPE OF , *box - 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 El Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the .;, ` & > „,7,37:7 - work indicated on this application. . ,---k,..:.:, tt a+ «r t -s tea.£. y , ; < , r .:-.-1,-,-,,,,',:._',---, ..' Q .R I Valuation: $ ❑ 1- 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: / (8...c AY lie New dwelling area: square feet City/State/ZIP: % 7:i erg g7ZZx Garage/carport area: square feet Suite/bldg. /apt. no.: 1 Project name: al K e 0 47,'S Covered porch area: square feet Cross street/directions to job site: /Q( ( /`Z✓T H.t -..- /tI( Deck area: square feet Other structure area: square feet REQQUIRRD DATA: COMMERCIAL -USE CHECKLIST Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: ZS //S d gA 7 , 'POO I/U p 1 zon Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the "" ! a3 �° '= `, a 'IF"! '` ;. -, a work indicated on this application. `DtHD . . Au4f- l 500 • #Q4-d EG. 9' t Valuation: $ t Existing building area: square feet a : I 5!470 v.- / xbo f a . New building area: square feet , ` 4' t Number of stories: Name: O7 -- e L L G Type of construction: Address: �/� �Y� 4 -_ Occupancy groups: City/State/Z)P: � (J/7 Q7 x — Existing: S� � , 1. �► t Phone: (S3I) 410 . .0zr ' Fax: (P �v, air New: a z �'. Y - t cl • F '-I t y" � 1 .' tib, ra ^u �..1 '3:,' _� ,_. .�. ?''£ . ... �: ya ;.� �' ":z§c`�.x�... .+� �.+s .yic .a. ° 7t- ' . c`�'" s. . . Business name: /7 All contractors and subcontractors are required to be Contact name: ,� ' `1 1 a0,7 licensed with the Oregon Construction Contractors Board Address: / under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed. If the City/State /ZIP: �G .� applicant is exempt from licensing, the following reasons apply: Phone: ( ) L I Fax:: ( ) E -mail: Business name: �1� (AD � y� w \\ �/ It v. ° r ;- aw 11. Y, w - ii.. mir , B !?S, Address: 7? 75 %Lt..) oc te.1`{b AI Please refer to fee schedule. City/State/ZIP: A 7 - ,, O l2 c 7 '� � ��) (9 5 l P a � ( ) Fees due upon application Phone: y� 7 . C Fax: CCB lie.: ?,-7 ._ 5 /A,,,, Amount received Date received: n Authorized sig e: / �/ d This permit application expires if a permit is not obtained ✓ 1 � /4 � within 180 days after it has been accepted as complete. Print name: / '" ate: 0/ry-/ * Fee methodology set by T '-County Buildin lndustryC Y Service Board. C' /E G'F °��� P is\ Building \Prnnits\BUP- pemitApp.doe 12/03 440- 4613T(11/02/COM/WEB) /0,4/0 (.../.../.4 (I7 One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City Of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 y g Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 dxnnu�t.�p ■ �,�, ❑ Electrical ❑Plumbing ❑Mechanical 24- Hour Inspection Line: 503.639.4175 Internet: www.ci.tigard.or.us . W ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No 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 pe it. ❑ ❑ ❑ 7 Water distr t approval. ❑ ❑ ❑ 8 Soils report. st carry original applicable stamp and signature on file or with appli•.tion. ❑ ❑ ❑ 9 Erosion control ■ plan ❑ permit required. Include drainage -way protection, si fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of le= `ble plans. Must be drawn to scale, showing confo. . ce to applicable local and state ❑ ❑ ❑ building codes. Lateral de ' . details and connections must be incorporat into the plans or on a separate full -size sheet attached to the plans wi cross references between plan location . • d details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The 'Ian must show lot and buildi : setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation di - ential, plan must show c: tour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (incl z "ng decks); locatio • of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; p- entage of co -rage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, . y old -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identific. on, dow size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balc. ies and d s 30 inches above grade, etc. 14 Cross section(s) and details. Show all &amine- member sizes •.•d spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. . re than one cross s • ion may be required to clearly portray x construction. Show details of all wall and • of sheathing, roofing, rot slope, ceiling height, siding material, footings and foundation, stairs, fireplace construc i .n, thermal insulation, etc. 15 Elevation views. Provide elevations fe new construction; minimum of • elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the a• al grade if the change in grade is grea -r than four foot at building envelope. Full -size sheet addendums showin • oundation elevations with cross references , e acceptable. 16 Wall bracing (prescriptive path and/or lateral analysis plans. Must indicate • - tails and locations; for non ❑ ❑ ❑ prescriptive path analysis provi• - specifications and calculations to engineering stan . ards. 17 Floor /roof framing. Provide .laps for all floors/roof assemblies, indicating member • ing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventil. ion. 18 Basement and retaining ails. Provide cross sections and details showing placement of -bar. For engineered ❑ ❑ ❑ systems, see item 22, "E :•peer's calculations." 19 Beam calculations. Pre ide two sets of calculations using current code design values for all ; eams and multiple joists ❑ ❑ ❑ over 10 feet long and/e any beam/joist carrying a non - uniform load. 20 Manufactured floor/ oof truss design details. ❑ ❑ ❑ 21 Energy Code comp ance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more ap a iances. 22 Engineer's calcul . ions. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed i Ore : on and shall be shown to be applicable to the .ro ect under review. JURISDICTIONAL SPECIFICS 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. • i:\Building\Permits \One- Two - FamilyChecklist.doc 12/03 II Ok • 0 Z w G a � rY u- 0 • U O z w ›- o Q c CC Cr, — — Q w � 0 cp tr O 1 1 J * ! ` \ U Q _. S_W. buR H _ AM RO . D •- - -- -•- , _ _ m z 0 .,1 I CARTER •, - - - 0 O .. I , I11 I � .eta = � -� °„ �. W -7 Q ;... rt . _ _ J- :.. - vA �_ b , t e a , � s /: �' � , R j j r' I f _ •'� / I I 1 �' .�:' tam, f 6 f n /� �• 5-1-,'',.°-„ 1 11 f � �,! -sly ': , 1 , � ' j ! /// j I Paul Frank. Arc hitecture o . � � 38 03 t281 AY•nu NE • ABOVE SD , �` ', Bulte 71 , - , / f I ! BMbvw, W..Nrgton 88004.7813 wETtANDR fd• L i O j j , ; j T.1.phoM s Soao7gz 1 f „, �� Jay �� •� I F.x 42 6.8 03.0 834 ' I� - � i . a _I j EnuB pnuH III iiiiiii "/- . Af ,� 4 # REMOVE ABOVE 60 I t, I r / No _ $= (� /�3;r3��tl \ \� wenAwetl�BR �� 1 I ! iBAWEBRU9FI8 " pi JI •��(, ... . •� �' .i r e I fF— ., l .., : VEGETATION ABOVE .,., 1 .rkd ��! .. r I : ,, W WETLAND BUFFEfl �� �� I BBB •82.... ! Il rio f , r ni . ' ' l'; j N c.) ' _ � 1• • •. MOVE . ABOVE fiO' - -- 4Jlmr-v. M - r I �' � _ 'r `---- -- ! /f{l�nr � tl•, � ���1A ? » .�!!►, �w B t c ` ' ' j Ci 9J a `�; 1 11 y „ ^ ; l/ ,� ; ; It ' , 1 - IA- 0 .1.- < ... al-t if , ,:,, : i / q ;I: :: I.- .: :, 1 . 3 L®j _ j o .. Z ; ,' , -� "' "._ a� VEGETAT \ // m sww 41111k �; : f ! I j O f l 1 Imp : '1 1 _ I 0 ,,,, „. ,. ABOVE BRUSH S 1 to I VEGETATION ABOVE If� 1 , 1•60'WETLANDBUFFER . # . '! I I • a ] �' i I j r TREE SURVEY i ll. I t AND DEMOLITION �I \w a PLAN �� gm ReaarE ( ps - BRUSH & VEGETATON 1 al 8 VEGETATION---_____ F ` , + • ^ ^ � J� ` _ 1- 1 I . I /1 - . I � 1111, Pa, I /ti r 1 / . .� I 1 Date 6/14/041:36 PM 1111 t Revisions j FOR .4 : � � Ulla! I � PRELIMINARY , • USE ONLY Job No 2360 I t I BASED UPON SURVEY . 111, I BY JUNE 11, 20 & , , . 40 T • !IS i JUNE 11, 2004 D By � —•• - � sse�sz•o3•w 31sas�r 7 i , `� � .. - - � Review -- --- •-- --- --- •- -- Computer Re I I I I I 2 36 0 DR–Site Pun I O SITE PLAN 6/14/041:36 PM I I I I - � SCALE 1'. 40•J0" Sheet I a 2V 4a 60' 8a 100 w k DR 2.2 j i - i j i L AI O Copyright 2004 Patti Franke Architecture 1 I I I I GRAPHIC SCALE 1" •• 40' -0" I I I I I I f i I + CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503639175 INSPECTION 'DIVISION Business Line: (503) 6 39 -4171 MST q� BUP 4PX� y--Oa 44 Received Date Requested /O /� 0 ,.,. AM PM BUP Location `c `c 0 b "'l"' Suite MEC Contact Person Ph ( ) g -2082 PLM Contractor Ph ( ) SWR LD Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: ce SIT Post & Beam Shear Anchors /� r Ext Sheath/Shear v ��C • Int Sheath/Shear -- l fC-y 1� Framing � Insulation 7 3 ©1<oZ.-- Drywall Nailing Firewall Fire Sprinkler Fire Alarm - � Fire Ceiling Al J!rU!r IL� -= t/ YV G � e— Roof ,.s C9 J < T f c Ttt€ PAS PART FAIL PLU :ING •ost & Beam 1U ` co •�,� `� Zak Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan ',A Other: Final /II ,, ;� PASS PART FAIL "Z ' — NOPV' MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reins•ection RE: Unable to inspe t – no access Fire Supply Line , } ADA D i Q I 1 J�rL Approach/Sidewalk Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL 0 AALLPUMP SANITATION SERVICES Dalko Corp. 191 0 13023 NE Hwy. 99 #7 Vancouver, WA 98686 0 (360) 887 -2969 Port. (503) 285.5838 0 (CUSTOMER'S ORDER NO. PHONE DATE , • • •• —,'- 9/ /o 4- NAME r p P1/21; ( K MCP1Pb a ADDRESS / _ �+j 4- , ` c7/4 -? ,/\ /J / / /L /[mil/ t3 ell 3 SOLD BY CASH C.O.D. HARGE ON • CT. MDSE. RETD. PAID OUT y x QTY. DESCRIPTION r PRICE AMOU C 1 r1 0 A-6 Iti-NtDviti .1 -- , ,,,. • I � Q tte . Oil' v S < f r v CO m " 6°1) I N rfr 6l1 N Payoff this invoice. NET 30 days. A finance charge of 11/2% per month (18% per annum) will be char: .n un. .alances. TAX —S• . • .' •_.•...• e.: • ess -rv. a RECEIVED BY - TOTAL .