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Permit C BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2003 -00114 A i �fi DEVELOPMENT SERVICES DATE ISSUED: 3/26/03 41 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13157 SW GRANT AVE PARCEL: 2S102CB -07700 SUBDIVISION: POOLE MLP2001 -00003 ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: C1"Sk FIRST: 0 sf N: S: E: W: TYPE OF USE: SFM 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: 1 HT: 10 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET: DWELLING UNITS: 1 FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,968.00 Remarks: 480 square feet Free standing carport for Mfg. home. Pole barn style. Owner: Contractor: POOLE, PHILIP & DARLENE OWNER • 13144 SW GRANT AVE TIGARD, OR 97223 Phone: 503 - 670 -8254 Phone: Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Footing Insp [BUILD] Permit Fee 3/11/03 $120.10 Final Inspection [TAX] 8% State Tax 3/11/03 $9.61 [BUPPLN] Pin Rv 3/11/03 $78.06 [CDCBLD] CDC Bld Re 3/26/03 $20.00 (additional fees not listed here) Total $247.77 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- 00,1.0_thLOugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 3) 246 -6699 or 1- 800 - 332 -2344. Issue By: mi • s��9 • PO ) ill ,i,r) I . Peittee " - i� Signature: X �I i l 0 • I , Call 639 -4175 by 7 p.m. for an inspection the next business day Bui1d111' Permit 4.1 Ili' a • 1 1 FOR OFFICE USE ONLY -•: Received Building 12 ,1 _ V I Date/By — 1 1 —OS Permit No k� Vw '73— OQ 1 14 i City of Tigard Planning Approx�t / 1 / Other Y g Date/By: /g D 6. M�Y Permit No.' 114STa003 —e007-`f 13125 SW Hall Blvd. MAR 1 1 2003 Plan Review Other Tigard, Oregon 97223 1 Date /By Permit No.: Phone: 503- 639 -4171 Fax C56T3Y5 "t E1�d�AR 'Al�lll Post- Review Land Use Date/By: Case No. Internet: www.ci.tigard.or.uBU DIVI u:4:' SU . Contact Tuns ®See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information -. a° II,;-TYPE.OFIWORKh* .: -4' «;r,: -_.W; - ::,,; :4 ���,3;. REQUIRED' DATA New construction ❑ Demolition , ,, ., ' 1- & 2 FA DW ELLI N G'` = ' R .° ❑ Addition/alteration/replacement ❑ Other: ,. --% - CATEGORY OVCONSTRUCTION Note Permit fees* are based on the total value of the work performed indicate 0 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family / Q' ❑ Master Builder ® Other: in F(, Jp� Valuation $ /7 to�l-,C�l) .. , • = : '?JOB'SITE`INFORMATION'iaiid =LOCATION' '- ': 5;''`„ -. - :: No of bedrooms: No of baths: Job site address: / .:30-7 �j td, eramt Total number of floors New dwelling area (sq. ft.).... . Suite #: I Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: .p,,,/ Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) PaAJC /� �i/ REQII RED.D ATA :!, - © t� : lT/�G �<�:._ ' ` COMM ERCIAL ` - �USE�CHECKL;'ISWT�,�°,,� ��- Subdivision: 1 Lot #:2___ L ti Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed indicate ,'` &: 1: p' : x;;, i`k* ; ? RIC :' a i 4: "' `a" ,.f'.:, .',,;u; the value (rounded to the nearest dollar) of all equipment, materials, labor, � /f �� J G� overhead and profit for the work on this application. �rz 5 ��` 9 Carport" a / U /G l/l Valuation $ Existing building area (sq ft.) New building area (sq. ft.) Number of stories 1 PROPER Y OWNER � >. ' ., f: NA TENT . ' `` ° 4. `', f ' ='A'3' Type of construction , Name: Occupancy group(s): Existing: Agi ) (� , mg J New: Address: / 3 f S7 .S a), -'rte City /State /Zip: 7,7 S 0,- / NOTICE: All contractors and subcontractors are required to be Phone: ,r03 -� Fax licensed with the Oregon Construction Contractors Board under , ASE.PI;ICA•NT :," " =; `,_ :if,' : : : :.- _: ,.CONTACT : `PERSON %:;,_'_.;. : ;, ° r provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: PER ,,,N, , ., :,,m , t ,, E :, �, A. _ °'$ �BU: LI . DING.I VI IT'� . FEE,, S� : . . .,� :. x E -mail: $ ; _ J � a : � � s • :����_�: �_. u � .�':.�£� „, .- ��,?;�:;�;�. ,_ } "' i' Please'refer to fee:sctied'ule � - - ; - 5 `°�°�• _ •. -' i- - , , :- NTRACTOR:" ,,_`, ' . <.. _ . _. '.- • Nom - ,�� i.: '..4 r” ISM . Business Name: _, . . _ Fees due upon application. . $ Address: City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lic. #: Authorized i l � 0 / / � Date: D � /i Notice: This permit application expires if permit is not obtained within am Signature: l : ' 180 days after it has been accepted as complete. A I / j, .36/e., *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) ?ry�� • ` t 10 r \Dsts\Permit Forms\BldgPermitApp.doc 01/03 / � 1 � I ,Q (/ One- and Two - Family Dwelling + 1.h61 Building Permit Application Checklist Reference no.: Associated permits: City of Tigard CIS of Tigard Y U Electrical ❑ Plumbing U Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 - 4171 ' Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR "PLAN REVIEW . Yes No N/A I 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. 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 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 & 22 above. 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will be not 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 & location per approved project street tree plan (if applicable), and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440 -4614 (6/00 /COM) 3 -/3-03 el ` N D ., &f RECEIVED 1 312., S. W. l f J9&ji MAR 13 2003 CITY OF TIGARD J , Q 64 97,7c23 BUILDING DIVISION ?I&rAA )Jt AJY W(.4.4-7 : %Ai ° Paitatrt0 :... 6 ';► 15- 072) 03-/1 - 03 / eade.no . 6 LI 2o03-eg : / • :'.. .,2'11 •.• GleyaLectiv A t _8,2„.(Jteundi,;tpt, • . w itiu I tJ. (,w t 4 wzvtA ,a. ¢., j ,Q.k v,�.�. a 4 i4�" • • • . ofiu ativoi_at;the,56))0t4JLaktatiyut.cir2 a A A7111)/lItc.:57 t aScOt;/_ cziwv r-13-0--aA;rif -./tpakiAttiAth 6 " PT-7 --r4t) Cteated& c.J4tLinA41/4 , 0) T/Lettt, A gst ;(,14.t AQ) r-tx/ell cut a c4dt) • a l 6/7762 c-7bz 4 ,0-tyt oLoin-ALJ - 1#, a) /t JA),t cev-wx-4. tik, • kJ1 A-0 dfLarei .c0.1 CL Wit) "t CLia/Yrtedtte , al. -k alb-nu, ,cam / aLe e• . .y c AArt) t h-b-4.4) A 6 JAzuvL12.4i rwt,-1 c87z6.44 16 )3,s7 c, �• Gpn o, Q„ . 3 7 r Permit #: 6uP,96e (r) f f Li Address: I 157 ep,6_0- L— iss ed by: ` �62.--144.421 . Date: ,g Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ,„/Mt0 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or.offered for sale Er before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR b4 W 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with.the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Proper Owners about Construction Responsibili 'es - on the reverse side of this form. ,7cq,4,/,5 v- P 9— .. (Signature of permit applicant)/ (Date) (White copy to issuing agency permit file, pink copy to applicant) - - ~ Iinfmrmation Notice to Pro)ertyOwners About Construction RespoKUs^ Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction (ontractoi Board in accordance nith ORS70/.V55(5). Ifyou are act ing as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: if you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you V. i 1 in most instances, be ruled to be an employer and the people you hire ill be employees. As the employer, von must comply with the following: Oregon's withholding tax law: Asan employer, you must withhold income taxes from employee wages at the time employees are paid. You will he liable for the tax paYments even ifyou don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue ut94j-X0Y\. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378-3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law. and must obtain vorkers' compensation insurance for your employees. lfyou fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one ofyour employees is injured ootbc job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888, U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be _ liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1'800'829'1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: Ay the permit holder for this project, youxn:onponxib|e[orromo|vio8anyfui|urcU»/nectcodcrcquircmorka that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent \o see J you have adequate insurance coverage for accidents and om issions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise 10 act us your own general contractor, rocoordinate the work o[ rough- in and finish trxdno, and to notify building officials at the appropriate times so they can perform the required inspections, If you have additional qucstiuoa, write or call the Construction Contractors Board (PO Box 14140, Salem, ODV7309'5052. 503/378'4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-ovnpm^ 1/94 t / , ‹-- — 94• o2 > E1. 4A' ?9FTIOARP _ L �oz; A Y§51 _ _ -2- --C (4 (/ rl/�2K o�,T �ao��4�ZY t- Jw e<5 S �Bgdl4i?R AV AMMO • ( )• R ,) ( To Poo ; :) q I zn�SP�T'� F9f 8!) i � w��4 ! �� i� ? I gg A aI'c, -- A d dress shall be ostec� �,i ��A ;,�s s,�A,� � uN ,moo AA) see �gtt,ct�,;Ftta 35511110 (): and visible f street. 2 �� �2,�iv rsn� Ana " j . _ S -- _ . ( A� @ate J,ob,f�dcir =ss: /- - - s_�, �r �U� By: 4,/ /G IAii Date: _ _ . . I (V t 1 Lc cr A `� r a n .- — E !ip►ved pla>r�s shah bq on fob s>Ite� - � (.2 / ..,,, - N., U • • • • ..,__ i i f � � ct �p ( ABILITY l% ` � • 3• "ar • 4 • :' ` � Z� The,City of Tigard • � ' � and • and its . • • • / • • C....._.) y- is Cr: e rhployees shall not be • • • .� •. •° �c PI �- responsible • for discrepancies , • :. • • • • • • • • ;. • o ° which may appear herein. •• ••• ••••R I ! •••• ••••h V i i 4 ,IP IV :I, y , it •.•••: ----- c i' 1 A., Final inspection ap royal is ( '''s 1 / ,.... .4 I / required prior to oc - upancy, rh V I � P � j �• c� 1 . �J , ...... - Ab I ' I \ e ,,, .v ,<, N. fi • d es, A O \ 4 _ c ' -- r v _ - - -. N it IGX10 j -� _ _.. — G 1, /OD. „ -- _Y__. G e._ _ _ — —�._ .. k l ,. _ I 0 . _ _ Scale rib' Pk∎h p 1)&4-lane Note - —_ �__ 1 3151 .S. W. G�a,t A ve • ___ _ — �o o�� P riiT{b`n 2 f I i9arA Or. � 1 3 __ a urac fur perry l 5T Z ©o3 _ ° 0473 7 .� 5 = 5 �n P 0 = ' -__ _2'X 2.9' CARPORT - -_ Foof X I A 3 I I ►� t I oo2. Praf\ Cif P. f. P0E +� Se-l- I . IN U` . p Walec f�l (f (tL � ►� j ( e% will. Corcr~e.F CD0.1 - E1,4 \NIA min i/' I %.• 1 to .60) . dm v H Q e C5 n f sYti X 15 " 4 L 3 �'%�!' -` • .. , 9 ‘41115 at g � {�h e`4 wee n eac�, n` a F Y' f t • 6 xb ok s riles and reams • I _ A n l • •••• • • • X ..... •• • T •• • (� S • • • '�( • X _ f SAY V5-4/3 •• •• � •••• • /kid- hiQ p:c431 !a iocAr A1.5 p 5 4 gyp: I W 1.0cor'smS f R 111 T 61.:CA '44/D7 9,6a A QPj-. c Anti 3//se/ _Er4n - . SI _0.113)A_. __._._ ll'ECENE i-g END VIEW -_-__- -_ MAR 11 2003 CITY OF TIGARD BUILDING DIVISION T EP _ E. of so:sirs 2 Fkr-TCRS 1 'J •� rtfn /' ovcr hal 16't OM tie0. a t b a u Nurrrc -. ra. . ___ —� b u %— \` r l, ��R- to hoa5e.• 2 Qou9��� 5 �r5� a , �i r -- 5 . X I D 2X8 '' s r e ' -I` G - - - -- - -- -- ,.�,— o am H � ,S i � Two 51n son AC1 Strong / " 9 r I Oa iy1 ha 5ers gabfr SkeathecQ t 5 , ;AeQ aS �oaSe- Te Co nn�ci"orS IX �acia 4 i g 9 att.., • i - — -- – ° S � — 20` ,.. =, • 4 c rush e d rock - - 6PTSet -- �• — -_ of CorC. yy►;nas ovtc l�XB vJ4fer S�{�c� in II ta'��r� a � XN � Gonc. holy L Apply /5x1 fc.►t l — — Apply 25�- Cern to. 4o'»'jafc4 Nouse • r —_ ? �QQ• ?715/032`1-' —, CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION • Business Line: (503) 639 -4171 M 3 -- °° ll �f Received Date Requested D c - 1, AM PM BUP Location f 3 / .S 7 Suite MEC Contact Person P.- ' Ph ( ) 6 70-- S PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: - l J')i� SIT Post & Beam I Shear Anchors C->r'r Ext Sheath/Shear lYV" �� Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof (2 Other: Ij 1 4) PART FAIL ■ 1 BING 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 -In 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 ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date (6 3 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL