Permit T �
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00065
_ i � t/lik DEVE R9 ICES -639 -4171 DATE ISSUED: 1/30/2006
- 13125 alb PARCEL: 2S104BD -07100
SITE ADDRESS: 13784 SW FERN ST ZONING: R -7
SUBDIVISION: PP1995 -017 LOT: 003 JURISDICTION: TIG
Project Description: Demo 1200sf. garage and decking on mobil home on sewer. SDC CREDITS APPLY.
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: $ 3,000.00
Owner: Contractor:
DDR DEVELOP IKE AND SONS
14295 SW WOODHUE ST. 21855 SW BLAIR ST.
TIGARD, OR 97223 ALOHA, OR 97006
Phone: 503 - 260 -3017 Contact #: PRI 503 -- 649 - 5714
FAX 503. 649 - 7153
FEES Reg #: LIC 145754
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/30/2006 $62.50 Ersn Cntrl 681 - 4444
[TAX] 8% State Surchari 1/30/2006 $5.00
[ERPRMT] Erosion Conn 1/30/2006 $26.00
[ERPLN] Erosn Pln Rv C 1/30/2006 $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 o irect questions to OUNC by
calling 503 - 246 -66' • or 1- 800 - 332 -23r .
Issued By: I �L/ o 32 ; � Permittee Signature •
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.
Buildin' Permit A i 1 li 1 . ,= 1a . FOR OFFICE USE ONLY .
■ Received tr
City of Tigard DateB . / 2j --e)..6 . A Permit No.: I) ��.�ay �, ' >�i
13125 SW Hall Blvd., Tigard, OR 97223 n Plan Review
Phone: 503.639.4171 Fax: 503.548 �6O3 2U06 //v4 :914"1.' ; DateB Other Permit:
Inspection Line: 503.639.4175 ' Ali � Date Ready/By: Ur ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
�,��j�� DNISID
BUILGITY YPE OF WOR REQUIRED DATA: 1- AND 2- FAMILY DWELLING '
❑ New construction emolition 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
. CATEGORY OF CONSTRUCTION work indicated on this application.
O
CI I - and 2 -family dwelling ❑ Commercial /industrial Valuation: S QOb
❑ Accessory building El Multi -famil Number of bedrooms: v
El Master builder Off 1 r: . CL Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 3 ak-, i f " New dwelling area: square feet
City /State/ZIP: J /5W / Garage /carport area: square feet
Suite/bldg. /apt. no.: v Project name;, Covered porch area: square feet
Cross street /directions to job site: II c C I (1 A Vr Deck area: square feet
'v Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST ,
Subdivision: I 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 RK k I work indicated on this application.
r2,YAnV n r � Valuation: $
6� �1 W Existing building area: square feet
New building area: square feet
. PROPERTY OWNER e
I 0 TENANT Number of stories:
Name: t)ibV 1I0 P t j — d Type of construction:
Address: Li 29 %AO It Occupancy groups:
City /State /ZIP: �� C. ( d,, Existing:
Phone: ({`-� 2l� Fax: --5t - 6 gL►2 New:
` � J APPLICANT a CONTACT PERSON NOTICE •
Business name: ,, IF DL • 1 "` ,- 4 All contractors and subcontractors are required to be
Contact name: 7 _ �3 ` (, . Ci licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: LR 'KIIMIAPTIPA jurisdiction in which work is being performed. If the
J
City /State /ZIP: - l! ZZ�I applicant is exempt from licensing, the following reasons
/ apply:
�- wt-r2_
Phone: l q r ' 7 n t ) F `�q'
E -mail: v ' "' t� ] v
C TRACTOR
Business name: n L.
�� p B UILDING PERMIT FEES* Address: t yX Please refer to fee schedule.
City /State /ZIP: t � . 9 ?ONO Fees due upon application
Phone: (51S ('-1 g '5 1 � l Fax: � ) 9 ` 7 /c ..--
/ I a a Amount received
CCB lic.: / y 5 75` rO 30 _ = • to
Date received:
Authorized si: ature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: IF eir A Date: J— 3a.- O • Fee methodology set by Tri- County Building Industry
Service Board.
i'\ Building \Permits\BUP- PennitApp.doc 12/03 4404613T(I I /O2JCOM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE „ ONLY
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 - �� I l ❑ El ectrical ❑ Plumbing ' - : ❑ Mechanical
24- Hour Inspection Line: 503.639.4175 _�l;
Internet: www.ci.tigard.or.us ' -” ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW YLs 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 bn fife 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 spabingsuch as floor beams, headers, joists, - ❑ ' ❑ ❑
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. i 1 . i
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 O. . ❑ ❑
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." , e ., • ,, r
19 Beam calculations. Provide two sets of calculations using current code design values for'all beams and multiple joists.. ! M " ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load. , . ;
20 Manufactured floor /roof truss design details. - U. ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. •A gas- piping schematic is required • , U. ❑ ❑
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 .. slicable to the •ro'ect under review. • -
JUIZISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x I I" 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 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. .. • •
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CITY OF TIGARD
BUILDING 'DIVISION PERMIT #: IUP2006.00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /13012006
Phone: (503) 639 -4171 �agl�
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 1 ° ='! L.
INSPECTION WORKSHEET FOR DATE: 4/1212007 TIME: 7:00Alli PAGE: 52
SITE ADDRESS: 13784 SW FERN ST CLASS OF WORK:
SUBDIVISION: PP1995 - 017 LOT #: 003 TYPE OF USE:
PROJECT NAME: DOR DEVELOPMENT
DESCRIPTION: Demo 1200sf. garage and decking on mobil home on sewer. SDC CREDITS APPLY.
OWNER: DID DEVELOP, PHONE #: 503.260 -3017
CONTRACTOR: IKE AND SONS PHONE #: 503- -649 -5714
Inspection Request Scheduled For: Date: 4/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 046360.01 503. 260.3017 N
Corrections/Comments/Instructions:
•
J ry
w � • PASS I I PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
FT-FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-