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Permit
.�II7 r aide' "�7� A �y BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2004 -00468 II6, DEVELOPMENT SERVICES DATE ISSUED: 9/30/2004 — 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07-4-1-5-SW BEVELAND RD PARCEL: 2S101AB -02100 SUBDIVISION: BEVELAND – '''^ ZONING: MUE BLOCK: '7 005 LOT: 003 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: 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: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demo existing 1200 sq ft house and 150 sq ft outbuilding, septic is to be abandoned. SDC credits to apply to new construction. Owner: Contractor: ZIMMLER DEVELOPMENT CAMROCK EXCAVATION 14915 SW 72ND AVE SUITE 200 PO BOX 1228 TIGARD, OR 97223 BORING, OR 97009 Phone: 503 - 598 -3440 Phone: 503 - 665 -0560 Reg #: LIC 141879 FEES REQUIRED INSPECTIONS Description Date Amount Ersn Cntrl 681 -4444 [BUILD] Permit Fee 9/30/2004 $62.50 Pump /Fill Septic Tank Insp [TAX] 8% State Surchaq 9/30/2004 $5.00 Final Inspection [ERPRMT] Erosion 9/30/2004 $26.00 [ERPLN] Ero Plck -CWS 9/30/2004 $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 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calli 503) 246 -•.•• or 1- 800 - 332 -2344. Iss - d By: � Pe rm ittee Signature: _ Call 6 9 -4175 by 7 p.m. for an inspection the next business day Building 'Permit Application " ), FOR OFFICE USE ONLY - Received City of Tigard Date : 9 Permit No.: i y �.� 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19604i „ Date/I3 : Other Permit: Inspection Line: 503.639.4175 ,. a� 6 � Date Ready/By: Juris: 0 See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 's� "� s, ;4.,:,i.�.es - .�.k;s ri-. -.. "p ,�" =•: s at• : a; * .:v. a; "- `:'., " r ::� , •;.r w .: r;s:; Ci:e:.: ;. ( a:n�:. ;o- ;:s . ;a e ;. itt , =Y'•'P F �' °M.i; i'.a:: ' WELL ti., a l .q . T O WOR 4 * ;ri ; i' ' RE ,AN 3' -., ;. . EL NG - '.� „�.:� _as4- a��..�F; . .: , P�1t�'_ �v.... �. t�s ?;`u�k�Ta.+ �� ::".�wrf� ��=' �' � 'L;^���,•.u.S��.=:.�'�:.�'�.u+. §� . -- ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,.�., a ° , :•.°$11-':L41...-1;''..76;1Z-l- - ?:::wt' .: r .:3;«t5w•��.sc;,: i *k�r�. x?;�t'.a;1 c',+”. i w.-za :: ors .. . �� ,, . I?,�i1. work indicated on this application. x�� t, l `tO, -16/ : Nllitt ION 4' i s i ;�`'•; .: PP " �. _ -t :. c��au:: we��: ��ex��:- u�r�u.R aw..,.. ��= ��:�.a:r�,�»;.�s....:�z:.r�.� 12 1- and 2- family dwelling El Commercial /industrial Valuation: $ El Accessory building El Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: �r, '' - „. .,t' Total number of floors: n i :I9 INPO , . ;)s Job site address: –ig � J E L –/ � �J New dwelling area: square feet 7// �/ '7 Garage/carport area: square feet Suite/bldg. /apt. no.: / Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet :�;�- ter. .t� REQU RED Di §TEA eii N $,: . ,,IER'CIA: i.6 .CHECKLIST• .' , ..x . .,:: «. � , :. �,,e-.-.1ra:- ,._:.mow• .. -- . -•. 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 sue- - ,+.:» _.+ .•, . aa „, .iiSa =-` - ... -�,,�� ,_ - 3r;,'�;.A: :''.'' : 4 4 °'' i'4 r-4, itY . ;O "`VOii , 1 : ;f * : • ' work indicated on this application. .._ •,eRy. Au),4 c-W;c,»s.:cif.4 cb, ':ZQc\.. 4i4th •.rir da r xi`l,)?,W );4 0` ,k .),,, Valuation: $ I /use -e.-2. it7, /.go o pe � a b t i Existing building area: square feet /50 euT 6u r t.a.,J6 e.J 644g c . New building area: square feet �, � 'PR O WNER t ” �E ' ' � ; ' Number of stories: ...fi baa:.k =!;& -. .,t.:& .�>;r ; ., , r:s,. A 4 -, t ,y ® k TENAN . T•,` r: - Name:. 2 / /Yl 4 1 ir Gltl Type of construction: Address: j –/ O/ / S s.'”" bej 72/u ,p SV % < a_ e-1 Occupancy groups: City/ State/ZIP: 7 ' /97 ' CSi ? "7 a `Z -- Existing: 'Phone: ( )�C,j –S g - 3 yyo Fax: ( ) New: . -� Mme„- . 1...W. .�; I , ��.��ifi;:��� ��`- K"`, �'�.' ' °?'s " 3.s ;:^� • l •.vs ';";�: C .n��3:�yC'�.Ei;K. r� h • ®tEAP FI a f a C .im,;,T?PERSONia..tr=+ � H ,,; �s «;Er N io n e - � c f . . ��. � „ yI asp.. ." .¢a x •'x k l , N �x�� t,�rsc3 �. fib r a bza dau;»xas ": x3iP �RoS: � t. -a..:. " `.ar . . 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: ( ) Fax: : ( ) . E -mail: d`in"°' I ',� � ',;6 ; � t " � , ra�^�•a.,iss. °w:.; 5:- .u�iz-:: °., , ^ -m� - _ s'� 5 . & ° _:- - s" - , . � Wra ; .th:i is TRACTOR. n„.�. • L E . ^rt, ..3 �.�..�,� � . .1. s 't&x'. ' � ;�``+ti= �s'o,`+•s..s .. t: S•: 4?s:• mi. �a; ��,:' si3� �`�.'��,�`.�x- `�a�4,..- xt..�,a; i SBusiness name: 4.. ss-� , ems #• � � r���oC° 12_ li RGF9u75�—i�7a rs:;�,.- �;',, .. .. <` s '� ' ' t �BUIIIDIN,G ; - E)5.`t +. :y : Address: – PO K C I. Z Q - Please refer to fee schedule. City/State/ZIP: ECJ�1 � f *—e– q 70 D 4,,6,,---....._0 Fees due upon application Phone: ( 5 10 c, Fax: 67)3 ) C – Z� L /i � Amount received CCB lie.: / L// g 7 - 3v O i '�i Date received: Authorized signa-. -. , --i''� �� I This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. Print name: e'er e , e ce._, !Date: 7-3 0 * Fee methodology set by Tri- County Building Industry Service Board. ,�/ / � D • �� i:\Building \Permits \BUP- PermitApp doc 12/03 440- 4613T(11 /02/COM/WEB) �I One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE USE ONLY City of Tigard Received Permit No.: Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 //u d�, t ;" , °\ 24- Hour Inspection Line: 503.639.4175 ll) 0 Electrical 0 Plumbing 0 Mechanical Internet: www.ci.tigard.or.us — ❑ 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 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 maybe 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 project 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 J '5-5 ORVALL T. CADE JOB INVOICE B YER'S SEPTIC TANK SERVICE, INC. P.O. BOX 549 Wants 7:.30 - 8: AM OREGON CITY, OREGON 97045 CUSTOMERS ORDER NO. DATE ORDERED (503) 656-3326 10 -21 -04 • ORDER TAKEN BY DATE PROMISED ❑ A.M. • Grace 10 -22 ❑ P.M. BILL TO PHONE ADDRESS MECHANIC Camrock Exc. I i CITY . HE ER A 4) l 1 ist JOB NAME AND LOCATION ❑ DAY WORK [-' 7155 SW Beveland St. / Thal. ❑ CONTRACT • ' DESCRIPTION O WRK p 4 o r : m Scott 971- 235 -1306 ❑ ExA ? 200- 00/ i B Ly 26 C +- ol? 9• b OUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT • i-' fin, • - Tank pumping -•- . . I 7 / / / HOURS BOR AMOUNT TOTAL MECHANICS @ MATERIALS TOTAL • • HELPERS © LABOR I hereby acknowledge the satisfactory TOTAL LABOR TAX completion of the above described work. SIGNATURE DATE COMPLETED OMPL TED TOTAL . I j /, ,ice 7 1 4 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 - 75 INSPECTION DIVISION - Business Line: (5 71 MST // BUP D7'Or� 4 got Received Date Requested /U a b AM PM BUP Location `7 ) I Suite MEC Contact Person V Ph ( ) 9 '9 . -g�� PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing it Ii : ,. Insulation • 1114 Drywall Nailing �G- Firewall Fire Sprinkler Fire Alarm i 1 Susp'd Ceiling Roof Other: ?i! Other: 9'Y\-)s----- 1 PART c ��� � D • BING (NW ' r Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan - Other: Final PASS PART FAIL MECHANICAL Post-& Beam Rough-1n Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /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 1111 Please call for reinspection RE: 111 Unable to inspect – no access Fire Supply Line / ADA Approach /Sidewalk Date ©/ ` c (( Inspector \ — Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL ".,.tre...."4 I r -, 70.4011- ow A 7EX. 1 4 ' WIDE KEYSTONE WALL— . 15r. - --- --- — E kcs(4, I , / !;, az it)7---ie c. ._ _,......0.,/ n :, - mpzetir - an•lk;.-81------------7,------ (-0.--,-4. ," -------- ...,,, N,89°05'00 E. 42.p " .‘,& b' / .:. 07 , , ...o s ..,..: , 7 .. (if: I •• 4, , / , - I , ,,,,,/ .. . i . :.,.., ,., ) 1,•'' • I r 8 "1 )., . - ' ' 1 1 ../ . ......, • r. --- 27,.. : . .._ _. ...: ..'".--,.,.. (,■.,. ;.::. ( Yr: ..'"-- 20 ,.k„Ter 7: ..,---- ,-:; ,.... ... 1 A : • eo i. / 1 a , ,_:...> 4' ,Q ,..., ,,,, /' 1 r- 7`5 .,„,..a REMOVE EX. FENCE , ,., / ( .- --A- ././ i WITHIN PROPERTY \,,,, "../-,/ • --; (; (V 0 ,,'.7;''' 1 ,...;?2rA I ? , _, LIMITS 1 l'Irc:44 ::::,.:••••,:, .„..... ,. : i t i.,, j i . REMOVE EX. HEDGE . i . 1 .. . .. ... . . .. ,.,, • •I '';",. ''...:-.::.,,.:•:.- y.. BUILDING :,.,..:i l'.. .;`, 940/.. :,,:•' :.: • .......— -...:.:. t . ,. v„,• ,•-,:,,.:-..,,, .,.. : ,-.,-;•.:::•••:...;".7::1 4 't ti :i . . ..II i / // ,, .. • - ' 2:- 'I: .: ': - .; '.. -, /. : '• , !.,-; I ';-.1 1/ 1 ...S... s::';'::: ".': : ...'"?:--..- : ::::.:.... GRAVELLED AREA 5 ,, / .: :::..;:::. .: .....;:. * ."' '':. '';;..": REMOVE EX. ) ' • ::. ..!:.:::: , '.43 . ' 1• : 1 1 "CSCD . 0' • ....','". ....:::: ' - ' s -: : ;.!.k...'• : : -. ::: ' .. • .. -;.''. CO J, 1, ` : ; , 1 I 1146 ' 1,? ".::, • , REMOVE EX. CONCRETE PAD AND SIDEWALK . ..: 1 1 1.0 , ' 7 .: : .: .'• .1 7 '., :,; •.'',......' ,:: ': • •::: -1-1 : • Y I • ::: :...::::. ::': .:.',.: .:::.::,''. ' :; .. ..' :,, ,I . .:,..' . . : - . .1 .• :::::..!: ',...,.., .:.: :.',1.....! 1: . : \ 1 I i • ,,..::....,....::,:::::,...,, .,;„,..,,..,,, ,,, /• r II .. 'I 1 i 10 I , . . . ... . . . 0 . . . 5 1 ; ) , ., ; ,• 1 ■• I Vi k • „, • .:' i 1 1 +'■ '". ,:•::;'.. ':h ./ i I ELAND ' :t. OVE i :. ., :.. ''..,:: .7. ':, \ 7115 So • SING ST°RY 51 ■ '' '' ' 2, FENCE i • :.; ?..±•.',:•,:; „,-, 1 k . . .:.: .. .. ' LEC. METER . ECTRIC i • , : EM 0 vE , 1 . ., \•-•311A-. • , 4 ,„, ,/ 'k .1 .1 •:;"...,-.':'--;.!. ' - 2 E„ BOX 1$ D • ,, '''''' ' REMOVE EX. BUILDING tERytc. , ..,,, ,: \ : .....,..:::,..,.-.:•:.,•.,:, .:,•—•:::;.-.,-,-. ' '.,, i • , .,‘ \.,I • \ , .,, .....,„:,,,,: ,. :.,.,••:...,..: ..:f S ': ,: \ / i I / -- '1OVE X. ::' c.',..;'.,:........7'',-.S: '.:, ..., , -• . -'..., ; ' o ,;• i '.::. '.:::.... ',;',. , ..-; :: ., '... 2 1 ,E: DRNE \ , • •,: i• , '- • , ., - • ,-,.:::.. , . , / ,../ :;:.:.-;:;" \ ;''': . 4...,,,,f :, ',:" , 1 A - ,,, , EX. SANITARY .. , . , ..• .. ..• .., . •: • • •. - -, I \ SERVICE ' i 1 ' . ',..-:H!,... • , :, :.-;:•.7.,..... 1 ,.,.. ,........„., 1 : ',''''-':. . I \TO REMAIN , . •, '1 •:,„ : •: .• A •01. if • , , • , -:;--;, ; :.-:,:;.,,-,„.;,••!;,;.;!';-:-..,. ;.;,.:•:..::,, ', I \. \ I ,.- .<,!.:.„...:•:;.„,.,:.• I \ \ k \ I •-, . \ 1 :-.;:;,. '':.... :.:-:•):':.;.,•;.,..:•:,...;:.. '.::,.:,.'',-;,, \ 1 1 ..,.;.;',•-:,:.;'.„.,. .-:..- .`;'< .' . „.„, . ; , — . . • .. , , . - ., - ' ' 1 2"7: , :9*0 00"W. 42.00; , . \ \ \,) , ( -GRAVEL ......, ...- E - - — ,.. ' _, _ - ., , • • ..,,,,. , I I : \ 1 -.--•"-.7:' - I X. DRIVEWAY _ - _ _ k _ __....„__ — . — _ ...... !io ST \ — TO DC RELOCATED , . ...... ----------- ,T, -- -- WTR — - .. i .„..,. .- .10 — — , EX. OVERHEAD ...„ ....,..,.... ....,...,, : - ELECTRICAL 0 ., ......_ !.., .-•-, TO BE REMOVED 4 ' ' OIMO ••=1 AMM 0 cam, Mem amp Oz. 11M..............°......... ...... ..... .." .2 •••■•••••°....0•=.... Oa. WOW ■.• EX. UNDERGROUND ELECTRICAL STUB 4 ' CITY OF TIGARD Approved TO REMAIN y , . . :.. i' l ,•. '' tThnditionally Approved [ I , 1 j' F 4 Jr only the w k descri ed in: - •:• S P e E e FIM L.e rr tter.:;: Follow ..... 7 . ... 7 t°c6 [ I — 6 /L,z AttactLif _ /_ _ ... .... ... J i-n— ress- i 6 I)) I . Data' /," BD-azset - -,. - _',.•' •I . 1 '.. --'; F `..; ....