Permit . J� BUILDING PERMIT
,A., C �� l� OF TIGARD PERMIT #: BUP2004 -00106
�I�, DEVELOPMENT SERVICES DATE ISSUED: 4/21/04
- 13125 SW Hall Blvd., Tigard, OR 97223 (5031 639 -4171
SITE ADDRESS: 13458 SW HILLSHIRE DR PARCEL: 2S104CA 07000
SUBDIVISION: HILLSHIRE ZONING: R -7
BLOCK: LOT: 070 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: 1 FRNT: ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,000.00
Remarks: 314 square foot deck
Owner: Contractor:
BRIAN KIMNETS BEAVERTON FENCE & DECK •
13458 SW HILLSHIRE DR 8028 SW 166 PL.
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: 503 - 579 -3765
Phone: 503 - 648 -3717
Reg #: LIC 146810
FEES REQUIRED INSPECTIONS
Description Date Amount Footing Insp
[BUPPLN] Pln Rv 3/15/04 $65.59 Framing Insp
[BUILD] Permit Fee 4/21/04 $100.90 Final Inspection
[TAX] 8% State Surcharl 4/21/04 $8.07
[CDCPLN] CDC Pln Re\ 4/21/04 $40.00
Total $214.56
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 I. I throu. •AR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin. 503) 246 -6699 or 800.3 344.
Issu d By: I A riei , ,
Permittee j
Signature: /� A.
/
a ll ; •1 5 y 7 p.m. for an inspection the next business day
7 RECEIVED
Building Permit ApplicatM4 1 5 2004 FOR OFFICE USE ONLY
City of Tigard
Received Permit No.: � s
CITY OF T IGARD Date/B : '�� r� i 'D DD 0 _
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review / Other Permit:
NG 'Q, + `� U / Permit: Inspection Line: 503.639.4175
DIV ISI I ' DateB :
Phone: 503.639.4171 Fax: 503.598.1960 �p r
m7 I Date Ready /By: v/Q s/ r�r'ir� ® See Attached Checklist for
In
� � me www.ci.t%:ar�.or.us nB Nottfied/Method: / G W , '. 4 . 4 Supplemental Information
Wi f e - ' 144 IQ C:04 lid-./. /142 14..0 to - .l 1
�pn -�;, N I : - .. ° a. ,' xh �; , arid 'i I .. '�,te.�,. ' ;l� "I ",' -;I yr 0 iTi a ry . ..,.
,' $� 45 -- Z R ? :} " (� r,- rl', '- ,1'PE� +kW 0' 1 r !! i j : l i REQUIRED DATA: i AI . 2 =F , A Y DWELLING
��- n�v�_'��.L�a.or�. ���iix,"�e1'�� 9� .r, � -.� . ��sk,, s,0«"�- r�r`.aKm,..a^sa"S�i';16. x-A .- e� .- _- � • _ " -..� ._ ; -.. �,: _ ., - - '.
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement M Other: 401 equipment, materials, labor, overhead, and the profit for the
.. ,; xat ,ta,- s >: 5 <.:;,:!a :7,- �rt��-:�� ;..s;, r;_!:,�,.a; =," E` °,= g:;xa1 ";U work indicated on this application.
a °;t..�`�,�`41���'g`i�r:;:���:� tm�ru�� <, � ,;, �rION< �,✓ w t, �,,, ..,��'�? ° : ,i; ,, "i,.it< ; ,;��' 3 �, ar °f �,a
:$ �s 1. , 4 kCATEGORY,.OFt CONSTRUC �„„ . * ;
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*l- and 2- family dwelling ❑ Commercial /industrial
Number of bedrooms:
❑ Accessory building ❑ Multi- family
12 Master builder ❑ Other: Number of bathrooms:
,... s, ': s oar N
. �LI.,t .r ,- ,,,.iw, : , , -, .. i q ,u ';_i .4� - s , 1 `=''i Total number of floors:
" tr ' z ` JOB aSITE IFO AN ��LOCATIO z ` a ry ,, ° t ><ya x', =t
e.
/J'V�Q f. f •
Job site address: New dwelling area: square feet
! D ,✓ • �y(� �• /✓! /L� � {L .
City/State/ZIP: 776 t q 1.O G R. • 7 2-7---3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: 3/ y square feet
Other structure area: square feet
E REQUIItED DATA tCOMDiRCTA U SE CHECKLIST: °;
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
a. .,�,. x'. t .,. ,x, sw;= : "_ �:- s �:2x"p o„"i;.4'. a?.� ..- vot;;1 t ctm„.�*', i' ' r p .s :z:' � ;ms < .g ',t ' "k; x"" „ 3e=`,. o
rx . t> ,<. ;. ,� ;;� , ;,. ; r. �. , t,�. ,_: . - *1,7 - '1," - ,E'''' - ' ' ' ;;,' work indicated on this application.
, `„ t ` : DESCRI R .7' I ON OF WORK > . , ) i
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6 aL� O Valuation: $ Existing building area: square feet
New building area: square feet
®.P ERTY'OWNER e - °� ,� `z i" ' _ !Ea kzTENANT `` , � i„ Number of stories: •
IT,,), ? v , ' Ali 3s-;.e L, .,a . .L» r, S „ ie,:. h , .; .v
Type of construction:
Name: �r /Gib /MagTS
Address: / 3 5/ f B J-,1,,) . / t i /'/ L L,J4 /Le AIL- Occupancy groups:
City/State/ZIP: -rlG,c M o R. 9-7 Lz3 Existing:
Phone: (?'0.3) 5-7 5 J7 6 , s ..,. --- Fax: ( ) New:
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,
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a m 1 ° ® CONTACT PERSON R a,vI ,� ;..,
�, �� � ���APPLI � , i � . _ T . _ , ,v .,.�.,.,» _ ..._ .,
..,n. .�';,�'. aYn.; �.=:+ �s' d' ��.kat¢5Rac°��a� €�..� „i,aa.».�u $� 4a_a: �3. s,....,.x...,,. -�' �:g;.an� °,�z ��?.,e��.+..- ".�-- *�'�.ans,r t, a �x s:'razc4 c L�+ ei r �,� . �p� P "��` df � 5�� E
Business name: g v p„--/-o,..-) !'ell t, Gn (p �e,,../,-- All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
( )1/F -‘ ,1l.. h./ m., under ORS 701 and maybe required to be licensed in the
Address: Sp L g S i,-► , ( (e ( / jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: --g r . OK j 0 0 7 f L apply:
Phone: (57! j / 7 y.f7 Fax: : (fey) tayz_ /' {�
E -mail:
i xz i '<`.< ”; ` ,;.. # " , N' 5. ��=>,, 6,f ees`.. tg "� « : ° AV: ,,, '�(ar;, `' � 'r. e,'.5 ' ,� y '�. f;t�,'?>fFZ.}
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Business name: er re$4,44_, ji__.... t ,le'� DI *
: g > a
: BUILDING7 PERiVIIT'FEES .
Address: Pe a..-1? 5 • 1,J • / & 6 1 0/t Please refer to fee schedule.
City/State/ZIP: Q y 4„ e , t / L 9 7 y g 7•
Fees due upon application
Phone: (f5 6 / Z . J7/ 7 Fax: ("di 6 //_ — p $ a 7' Amount received
CCB lie.: / 7 6 9/4. / Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J /t M.i 6- .N Date: .7 / C..1751 * Fee methodology set by Tri County Building Industry
L / . Service Board.
i:\Building \Permits \BUP- PermitApp doe 12/03 440-4613T(1 I /02 /COM /WEB)
One- and Two - Family Dwelling .
Building Permit Application Checklist FOR OFFICE IffSU ONLY
City, of Tigard DateBy
Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Associat permits:
Phone: 503.639.4171 Fax: 503.598.1960 , 4,0 i l P�H�Vd �' ± ❑ Electrical ❑ Plumbing ❑ Mechanical
24- Hour Inspection Line: 503.639.4178 ` ' I
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 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 Ore:on and shall be shown to be applicable to the .ro 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. El ❑ ❑
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
CleanWater Services :..
Our commitment is clear.
April 7, 2004 � E CEIVE.
APR 12 2004
CITY OF TIGARD
Jim Montgomery BUILDING DIVISfON
Beaverton Fence and Deck Inc.
8028 SW 166TH PL
Aloha OR, 97007
Brian Kemnitz
13458 SW Hillshire Dr
Tigard OR, 97223
RE: Deck addition to single family residence located at 13458 SW Hillshire Dr
Tigard OR, 97223
CWS file 4103 (Tax map 2S104CA, Tax lot 07000)
Clean Water Services has received your Sensitive Area Certification for the above
referenced site. District staff has reviewed the submitted materials including site
conditions and the description of your project (see attached site plan). Staff concurs that
the above referenced project will not significantly impact the existing Sensitive Areas
found near the site. In light of this result, this document will serve as your Service
Provider letter as required by Resolution and Order 04 -9, Section 3.02.1, and your
Stormwater Connection Permit authorization from Clean Water Services as required by
Ordinance 27, Section 4.B. All required permits and approvals must be obtained and
completed under applicable local, state, and federal law.
This letter does NOT eliminate the need to protect Sensitive Areas if they are
subsequently identified on your site.
If you have any questions, please feel free to call me at 503 -846 -3553.
Sincerely,
Chuck Buckallew
Environmental Plan Review
Site plan attached
E:\Development Svcs \SP 00 -7 \Concurrence Letters\2S104CA07000 - no impact to water quality 04 -9.doc
155 N First Avenue, Suite 270 • Hillsboro, Oregon 97124
Phone: (503) 846 -8621 • Fax: (503) 846 -3525 • www.cleanwaterservices.org
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ECEIVED
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CITY F TIGARD
BUILDING DIVISION
CITY OF TIGARD - SIT LAN ' VIEW
BUILDING PERMIT NO.: !I!
PLANNING DIVISION: R - 7 pD
Required Setbacks: VI Approved ❑ Not Approved
Side: - Street Side:
Front. Garage: Rear:
Visual Clearance: ) ❑ Approved ❑ Not Approved
Maximum Building Height 3�__ feet
CWS Service Provider Letter Required: g Yes ❑ No
- Received
Bti: Q• Cry Date: 3-o - U �
ENGIN ING DEPARTMENT:
Actual Slope: _% l"Approved ❑ Not Approved
Site Plan: grApproved ❑ Not Approved
Byi Pit I/'-'-4 Date: 3f 25101-
Notes: W V. H. tom/ I ' ,.
7
�.� tee 400,54 0«.4 kaai
t o u v2-e -S vo
}P- arc of +act s - i loa-u4 .A,Q
W E v c / /t'/�c� � d Olt'
cAoa oe -,•EY
CITY OF TIGARD . 24 -Hour
BUILDING Inspection Line: (503)639 -4175
INSPECTION DIVISION- Business Line: (503) 639 -4171 MST
BUP �dU`T �O /O
Received Date Requested 7 AM PM BUP
Location Suite MEC
Contact Person c),/,44 1 Ph ( ) '2/p 74 S 7 PLM
Contractor Od Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
.
'ART FAIL
• UMBING
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 � 17 " — Inspector < Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL