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Permit i !i t 4e- 7SS4� N Ile--1/ c�� -vim ^)o CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00679 j i+ls DEVELOPMENT SERVICES DATE ISSUED: 12/9/03 �` --' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 03-E14 HERMOSO WAY '7 Sys ge/Z/j'nOSD PARCEL: 2S101AB 01501 SUBDIVISION: HERMOSO ARK ZONING: MUE BLOCK: LOT: 021 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 existing 2500 sq ft residence. All debris to be removed. Septic system to be removed or pumped, filled and inspected. Owner: Contractor: JOENS, JOHN D MARJORIE A GRAY PURCELL INC. 7545 SW HERMOSO WAY PO BOX 23516 TIGARD, OR 97223 TIGARD, OR 97281 -3516 Phone: Phone: 503 - 639 -6127 Reg #: LIC 79018 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846 - [BUILD] Permit Fee 12/9/03 $62.50 Sewer Insp [TAX] 8% State Surcharl 12/9/03 $5.00 Final Inspection [ERPRMT] Erosion 12/9/03 $26.00 [ERPLN] Ero Plck -USA 12/9/03 $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 calling (503) 246 -6699 or 1- 800 - 332 -2344. ft. Issued By: ` ' I / _ Perm ittee Signature: M/ ( l i Call 639 -4175 by 7 p.m. for an inspection the next business day Building Perm' pp t ea _ on Recei ved .FOR OFFICE USE ONLY Building 9 Date /By: /e P 03 Permit NO U - e0 6 79 Cit of Ti and DEC 9 2003 Planning Ap ro al Other ,1Raoo y g Date/By: Permit No. 3 -opt d� 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date /By: Permit No.: Phone: 503- 639 -4171 I.a ? 5981/f'960N I Post- Review Land Use 1.i ,., I I ' Date/By: Case No. Internet: www.ci.tigard.or.us � * ^^ " --� Contact Juris.: ® See Page 2 For 24 hour Inspection Request: 503-639-4175 Name /Method: 776 Supplemental Information - ' TYPE`OF`WO I ,P: ., -.1.,:--,;,::, . , _Y, k , - . .. ,- ' .� � ', .,. , ' REQUIRED DATA „ , New construction e molition „1 & "FAMILY�DWELLING t ❑ Addition/alteration/replacemen . 4,-1-.7.' a - ,CATEGORY, OF C ONSTRUCTION := :,?,:',`,_ ,;." Note: Permit tees* are based on the total value of the work performed.�lndigate ❑ 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to 'e nearest dollar) of all equipment, materials,-labor, overhead and profit fo the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation ,.., T - i:, ;'a'1; ; .,.JOB`SITE`INFORMATION and `LOCATION`,,'I ''> ' r '' No of bedrooms: ...f bat s� Job site address: '5 St? Her/a«)sQ W Total number of floors .... Suite #: 755 Bld /A t. #: New dwelling area e ft. g• P ., Garage /carport area s. t.) Project Name: min ll I n press (94:- +,, ,c,r� Covered porch ar• - sq. ft.) Cross street/Directions to job site: j Deck area (sq. _ n Other structure area (sq. ft.) &, Bevefc,na Orte4 �. Y e E? t., l .: , va.p a'^:p�e d x. ..�F` � Si'. « % k ' ...,f i :.., , a.'' ; ° . e >;REQUIRED,DATA vyP ' Trt`i: t :'_,:',/ " , ° 'COMMERCIAL =: :" °CHECKLIST-= ;' ' ;' ' Subdivision: f�trmcso purr_ Lot #: )1 q ` . . .r • ,,..,,• : ' :� ... Tax map /parcel #: l51 o 1 R p, - iao ( Note: Permit fees* are based on the total value of the work pe rTiie 1. indicate . ii -±: - the value (rounded to the rarest dollar) of all equipment, matena s, labor, ,a�t .t �` ��� �.:� _„ DESCRIPTION :OF.WORK' °:� - P..�. ».ay. ~�- : . � ( ) ment, q P overhead and profit for the Q k indicated on this application. Consf{'vt,froi e ont e_ > Irh (nn'f'f9 /4 Thcx./e QxeM-I�t 1 b.rse_ De� /hp - CO,,✓IY& ?ia Valuation / $ Existing building area (sq. ft.) New building area (sq. ft.) / V Number of stories / ;, �' PROPERTYIOWNEk! ;' :' '^ t::,17 ®`T,EN.ANT`: ` `•'•A '} , '.'.1;_', � : : 14 Type of construction Name: L 1oiel Lt.( Occu group(s) Existing: New: Address: 0-045 . s,.., Pa, 16 City /State /Zip: TI ,rd i o rz. 97aDy NOTICE: All contractors and subcontractors are required to be Phone: S03 -6) o 510 Fax: S03 - G), 0- $5 03 licensed with the Oregon Construction Contractors Board under ®, APPLICANT ' .. ` . ` - . . - ..CONTACT PERSON.' - '',,'''•° prov 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: Roky fled from licensing, the following reason applies: Address: a,4i195 NE / X40 City /State /Zip: Ne.,,i)erj , pit 97/...22_ 03- 2 J0)- 538 -o67 ,' ,, :_;.a,:.i ., w= ,, : Phone: .� �37-'0o Fax: ,07 : . � BU ; > T °,FEES * - `f .5 : ` x ; ,1- : ::,- - E- mail: re... rie -S i 0/15 (t?7 \/l'il ac- n • AM-I-- a -�. , . `1 � ' x t Plea refer to v f ee sch � f : „°. , . CONTRACTOR'_ " . ; 'I � g - . . - x� . , �' ' :''' '' . Business Name: a-a r put cc ti r T n G Fees due upon application S Address: Po no t3.3S16 City /State /Zip: Po, 1 02 ?7�fZI -3516 Amount received S Phone: ..Si I , 63q -6127 Fax: So3_ 637- 61,)O Date received: CCB Lic. #: `7QoIR C ,2f /6/6 Authorized /� Notice: This permit application expires if a permit is not obtained within Signature: '� '(. Date: /1.,e.03 180 days after it has been accepted as complete. ! r l II49. KEt I' *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) is \Dsts \Permit Forms \BldgPermiLApp.doc 01/03 • s One- and Two - Family Dwelling Reference no.: vrs,I Building Permit Application Checklist Associated permits: City of Tigard City of Ti g ard `� O Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 O Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 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. 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 (6ro0/COM) CITY OF TIGARD 24 -Hour BUILDING Inspection Li .., •4175 MST INSPECTION DIVISION Business Line: ' ''� ^ = • ' - , 171 IN L 2 ��j BUP -/ -8.36 1 7 Received D Requested ��� M %_�!® ---pm BUP Location 75 Suite MEC Contact Person Ph ( ) PLM Contracto • Ph ( ) SWR ow 11.51 - L 51 Tenant/Owner v14_l— i td-, 0 0 J aW— ELC - - , • ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors , . Ext Sheath/Shear 1 — • • - --- 7 - ; , - , # - i Int Sheath/Shear — <. Framing � ' Insulation Drywall Nailing Firewall 1000 vv■ ,(7 h / b Fire Sprinkler Fire Alarm 1 &r) V 4 --A . A . J - 112 _j Susp'd Ceiling °`-=� _ H �X Roof a CD 1 , rt 6 1 Q '--1 Lf . cO" I Other: ,/ / Find / , .- PAS FAIL B , , ost & Beam / / ` d Under Slab` S' 4 � Rough -In - ..:t' C/`� '1/� &∎ 6 L j r ..e - S Water Service /;,/,‘ / Sanitary Sewer '00 D C 5 ,, � lj Rain Drains , Catch Basin / Manhole q :3 / A lL� / > -c /61,.) ,L , Storm Drain / / v Shower Pan 7 YG..,..— C / z J? LN' . ) 6 6 d Other: Final PASS PART FAIL 16 -/ MECHANICAL CSI - C.r . 2-/1-2/6 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 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Wl � / Approach /Sidewalk Date v Inspector Ext Other: / Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL