Permit A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00214
j l�� DEVELOPMENT SERVICES DATE ISSUED: 6/13/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103AD -01200
SITE ADDRESS: 10705 SW PATHFINDER WAY ZONING: R -4.5
SUBDIVISION: PATHFINDER LOT: 003 JURISDICTION: TIG
Project Description: Pole barn.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ACS 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: 1 HT: 12 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: FRNT: ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,720.00
Owner: Contractor:
BARTLEY, VERN S + DEBORAH A M + W BUILDING SUPPLY CO
10705 SW PATHFINDER WAY PO BOX 220
PORTLAND, OR 97223 CANBY, OR 97013
Phone: Phone: 263 -9000
FEES Reg #: LIC 079450
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 5/20/2005 $65.59
[BUILD] Permit Fee 6/13/2005 $139.30
[TAX] 8% State Surchari 6/13/2005 $11.14
[BUPPLN] Addl Pin Rv 6/13/2005 $24.96
•
(additional fees not listed here)
Total $288.99
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.
Issued By:S7'J % Gi Permittee Signature: ' �..api; _
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.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard E 9 .0 DatDate/B VED Received . y ,Q _, • 6 Permit N • S
13125 SW Hall Blvd., Tigard, OR 9 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 koy; '1t I� i\ Date/B : 4 J 6 - G - O g` Other Permit:
�
Inspection Line: 503.639.4175 ■� 0 2005 e!
l '
} / , Date Ready/By: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us h ' F ` ` Notified/Method: Supplemental Information
CITY OF TIGM
QUiRED DATA: I -AND 2 FA}VIII Y DWELLING
(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
'�• - '• work indicated on this application.
. CATEGORY OF CONSTRUCTION = ;a. >' ^`ni;`.!;.;.;,;;'
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: C ! 7 .10
CEI Accessory building Number of bedrooms:
ry g ❑ Multi- family
❑ Master builder ❑ Oth Number of bathrooms:
- • JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: 1 0705 5 J P t9-1 rl At o e - WPB' y New dwelling area: square feet
City/State/ZIP: f c_lo 0 GI .4-??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: square feet
Other structure area: square feet
. REQUIRED DATA COMMERCIAL -USE CHECKLIST:
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
- ' • DESCRIPTION OF WORK work indicated on this application.
3 u c A:o A 90 x 0-0° P 811g44 EettXND TH-r- Valuation: $
ex/ST1N(�, /- 'l d - PA ve Dpi it ,w A y TIEKj 7b Existing building area: square feet
ktry -t F_ 60C-le- 714- N 13w 1-01M L C ✓a 1 New building area: square feet
ig PROPERTY' OWNER ❑TENANT Number of stories:
Name: V.. ✓1`f F F_T t Type of construction:
Address: COI1 CT Co CGa. Occupancy groups:
City/ State/ZIP: Y \ I 1 - ' e 503 - s . 7-X3 I Existing:
Phone: ( 3) ( 60 - 63'1 9 Fax: ( ) New:
' ❑ APPLICANT ❑ CONTACT PERSON , • NOTICE
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:
. CONTRACTOR
Business name: CY► h Bo WI NG, S • . : . BUILDING PERMIT FEES*
Address: 27 I: S. 14 toy g 9 a
City/ State/ZIP: C 0M - 1 11
Please refer so fee schedule
cS('N 263 - ( Fax: 6 - .4 I (77- Fees due upon application
Phone: (J��) 2 6
, `. _ Amount received
ccB hc.: � 450 _ � ` T 03
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:
t/ ■. I rhrz j . Date: � � 9. * Fee methodology set by Tri -County Building Industry
Service Board.
i:\Building \Permits \BUP- Penni1App.doc 12/03 440- 4613T(11 /02/COM/WEB) ,
Building Division
7000111,i,\ Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type' of Submittal _ # of Plans
(Includes new, additions and alterations.) Required at' -
• Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
•
Washington County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
. 05 '05/2005 15: 5036243751 GRAY WOLF COMPUTERS PAGE 01
RECEIVED T' s r
o os
MAY 2 0 2005 . ✓ MA Y 0 5 2.005 File Num er
• CITY oF�naWater . • Services
BUILDING DIVISION ce»un ementr is clear. g Se ns' ' e- Screening Site Assessment
Jurisdiction )/G4 ate 5/5/
Map & Tax Lot • - . I • +. e■ Owner V. S T F-/N f jZTt, 3-
Site Address 10 • Ste ' • Tit FirVer- WY
TiG -A+r.D CO Contact
Proposed Activity Su l LD _ 0' X , Toc-4 Address
(3na.*I i t la
14 0
• Phone 503 -9(8 C3 99
Official use only below this line
Y •N NA Y N NA
i t Sensitive Area Composite Map • Stormwater Infrastructure maps
❑ Map # 15/6/4 ❑ ❑ as # 4'
❑ ❑ Fa Locally adopted studies or maps fa 0 ❑ Other
Specify Specify o.cti ti /! err
Based on a review.of the above Information and the requirements of Clean Water
Services Design and Construction Standards Resolution and Order No. 04 -9:
n Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT
• MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE
PROVIDER LETTER OR STORMWATER CONNECTION PERMIT. If Sensitive Areas
• exist on the site or within 200 feet on adjacent properties, a Natural Resources
Assessment Report may also be required.
•
11)71 Sensitive areas do not appear to exist on site or wlthin•200' of the site. This pre-
screening site assessment does NOT eliminate the need to evaluate and protect
water quality sensitive areas if they are subsequently discovered on your
property.
•
❑ The proposed activity does not meet the definition of development. NO SITE
ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED.
Comments: •
/.weal ok r eview o d iLOnq A..inl T 4e pref. led peo /ee
:ll
or s iyi•:Ae...7 /1 pxtf r•„ t t-•,s ;rive .61 ?•0k1
£ .# / roc S•}Y •
Reviewed By: r-4' __.G- -- Date: ?./ ?IG5
Returned to Applicant
Mail?( Fax Counter
Date J // }� o5 By j
2550 SW Hillsboro Highway • Hillsboro, Oregon 97123
Phone: (503) 681 -3605 • Fax: (503) 881 -4439 • =iskaayatrasakmgrz
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: °(„3,.,2 (74 ..ey
PLANNING DIVISION:
Required Setbacks: 0 Approved ❑ Not Approved
Side: . 5 Street Side:
Front. . Garage: Rear: _
Visual Clearance: Nf /fi ❑ Approved ❑ Not Approved
Maximum Building Height J feet
CWS Service Provider Letter Required: izr Yes 0 No
O - C
0 Re.. °; e.�
� ' �tte: � �i' "U 5'
E NGINES ING DEPARTMENT:
Actual Slope: to °/ Approved ❑ Not Approved
Site Plan: Approved 017 Approved
By: Date: L 7 0
Notes: "'?v j
bA Gt1 CA--e ickr .
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: BUP200S-00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13 /20(Th
Phone: (503) 639 -4171 A l�
Inspection Requests (24 Hrs.): (503) 639 -4175 -- L.
INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7 :03AM PAGE: 4
1
SITE ADDRESS: 10705 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 003 TYPE OF USE:
PROJECT NAME: BART Ltd`
DESCRIPTION: Pole ham.
OWNER: BARTLEY, VERN S + DEBORAH A, LZ PHONE #:
CONTRACTOR: M + W BUILDING SUPPLY CO PHONE #: 263-9000
Inspection Request Scheduled For: Date: 1/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 025715-01 503.805.7281 Y
C6/
Corrections /Comments /Instructions:
Z � :14tG k ,JJ (/(4.16,.( � P ci
(11
( ra4d-f-e _
,,,,,, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,6
Inspector: Date: U Phone #: (503) 718- 7v
CITY OF TIGARD �'
BUILDING DIVISION PERMIT #: BUP2005.00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13,000:i
Phone: (503) 639 -4171 Alb
��fi7
Inspection Requests (24 Hrs.): (503) 639 -4175 F 1 J..
INSPECTION WORKSHEET FOR DATE: 114/2006 TIME: 6 :59AM PAGE: J1
SITE ADDRESS: 10705 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 03 TYPE OF USE:
PROJECT NAME: BARTLEY
DESCRIPTION: Pole barn.
OWNER: BARTLEY, VERN S + DEBORAH A, PHONE #:
CONTRACTOR: M + W BUILDING SUPPLY CO PHONE #: 263 -9000
Inspection Request Scheduled For: Date: 1/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message S__U t
299 Final inspection 024335 -01 503- 805-72131 Y 2 o
Corrections /Comments /Instructions: Ca-LQ igf/t -D
P2/id? P, (.41 �� i �dr/ Rio q
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
4 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: t — Phone #: (503) 718- 2749 G
CITY CAF ..TI ARD ,. .- fr\1
BUILDING DIVISION PERMIT #: BUP2005 -00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1312005
Phone: (503) 639 -4171 / a�p,� : X 1 1
Insp Requests (24 Hrs.): (503) 639 -4175 - "I--
INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7:03AM PAGE: 90
SITE ADDRESS: 10705 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 003 TYPE OF USE:
PROJECT NAME: BARTLEY
DESCRIPTION: Pole barn.
OWNER: BARTLEY, VERN S + DEBORAH A, PHONE #:
CONTRACTOR: M + W BUILDING SUPPLY CO PHONE #: 263-9000
Inspection Request Scheduled For: Date: 9/21 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 016202 -01 603-263-9000 N
Corrections /Comments/ Instructions:
' / . EC i / L G[,c.,fo e.s --
, iV/LcSCT �i1Zi.. i - �i_:.._j .
•
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: g�Z/ --r, Phone #: (503) 718-
CITY OF TIGARD • Om
BUILDING DIVISION PERMIT #: BUP200S -00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2005
Phone: (503) 639 -4171 allertinvit i
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7 : 11AM PAGE: 109
■
SITE ADDRESS: CLASS OF WORK:
10705 SW PATHFINDER WAY
SUBDIVISION: PATHFINDER LOT #: 003 TYPE OF USE:
PROJECT NAME: BARTLEY
DESCRIPTION: Pole barn.
OWNER: BARTLEY, VERN S + DEBORAH A, PHONE #:
CONTRACTOR: M + W BUILDING SUPPLY CO PHONE #: 263 -9000
P-thic e 1.101 I —
Inspection Request Scheduled For: Date: 8/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 014521 -01 503-263-9000 N
Corrections/Comments/Instructions:
•
•
N_ PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL V/ • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
a ^d
Inspector: L Date: 6 3 S Phone #: (503) 718 -
r
CITY OF TIGARD ..
1 BUILDING DIVISION PERMIT #: BUP2005.00214
13125 SW Hall Blvd., Tigard, OR 97223 " DATE ISSUED: 6/13/2005 ,
Phone: (503) 639 -4171 i ' A ` y' I
Inspection Requests (24 Hrs.): (503) 639 -4175 ` I
INSPECTION WORKSHEET FOR DATE: 8/18 /2005 TIME: 7 :06AM PAGE: 52
leg 'F Nrlea
SITE ADDRESS: 10705 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 003 TYPE OF USE:
PROJECT NAME: BARTLEY
DESCRIPTION: Pole barn.
OWNER: BARTLEY, VERN S + DEBORAH A, PHONE #:
CONTRACTOR: M + W BUILDING SUPPLY CO PHONE #: 263 -9000
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time: 2 : 00
Code # Inspection Description Confirm # Contact # Message
205 Footing 013817 -01 503- 263.9000 Y
Corrections /Comments /Instructions:
f ■ PASS TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL /F ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I r‹....._ .......-
Inspector: Date: 8 bS Phone #: (503) 718-