Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00233
l� DEVELOPMENT SERVICES DATE ISSUED: 8/5/02
" . II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10230 SW SCHOOL ST PARCEL: 2S102CB -00400
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 034 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: I W NO FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf 'N: S: E: W:
OCCUPANCY GRP: U1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1 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: $ 5,613.30
Remarks: Construction of 11' x 12' storage building
Owner: Contractor:
ELWELL, JOHN A OWNER
10230 SW SCHOOL ST
TIGARD, OR 97223
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PRMT CTR 6/13/02 $62.50 27200200000 Framing Insp
PLCK CTR 6/13/02 $40.63 27200200000 Final Inspection
5PCT CTR 6/13/02 $5.00 27200200000
PRM2 CTR 8/5/02 $38.40 27200200000
(additional fees not listed here)
Total $174.56
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 • •'e th - - 180 days. ATTENTION: Oregon law
requires you to follow the rules .- • opted by the Oregon Uti • • rof ',a ion enter. Those rules are set forth in OAR
•
952 - 001 -0010 throug OAR, - - . ou may = stain - spy • ''ese rules or direct questions to OUNC by
calling (503) 246 -6• • • or 1 -00 -33 4. '
Pemiittee
Signature/
Issued By ` I /� _ _ .i , �.,
Call 639 -4175 by 7 p.m. for an inspection the next business day
r
•
64
LSD
Building Permit Application
. 4,, j''711:. .. Date received:6 a ( 09— Permit no.: J ∎ 1, �� i r
) 1 1 11 ' City of Tigard
Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
- TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement Q Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
• ac' JOB SITE INFORMATION
Job address: CA C) G 0. CO" Bldg. no.: Suite no.:
Lot: Block: Subdivision: T. map /tax lot/account no.: i #A0, e— 1 6,0)
Project name: �? s ; O'q • 4"...) ck74 - 5 i LG A PT,.
Description and location of work on premises/special conditions: '
•
OWNER FOR SPECIAL INFORMATION, 'USE CHECKLIST
(Floodplain, septic capacity, solar, etc.)
Mailing a• dress: 0 A 1 5 Wig-. 1 & 2 family dwelling:
IIENRAMMMINIIIIIIIII EMS ZIP: •2 Z. Valuation of work $
Phone. •'i Fax: E -mail: No. of bedrooms/baths
Owner's representative: A AA ¢.— Total number of floors
y/(477,1_,
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: I t'. Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E- mail: Commerciallindustrial /multi - family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
r y New bldg. area (sq. ft.)
Address:
City: State: ZIP: Number of stories
Phone: Fax: E -mail: Type of construction
CCB no.: Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: *A. provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensin , the following reason applies:
Contact person: Plan no.: E.SIi P R E ( )
Phone: Fax: E -mail:
ENGINEER
r
Name: Contact person: Fees due upon application — $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined • a . lication and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisi e s of laws . /d inances governing this ❑ Visa ❑ MasterCard
work will be complied ' , . h' . -' r Ifi- i/ erein or not. Credit card number: Expires
S
Authorized st _ a / a 4• Date: h / j ` O� Name of cardholder as shown on credit card
$
Print name: i d. 41M21131k. Cardholder signature Amount
Notice: This permit lication expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6rootCota)
li fbg • i3
G
A One- and Two - Family Dwelling
•.f.��.,�, Building Permit Application Checklist Reference no.:
City of Tigard City of Tigard Associated permits:
b t] Electrical O 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 O permit required. Include drainage -way protection, silt fence design and location of
a c basin protection, etc.
10 3 omplete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
• ng codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
eet attached to the plans with cross references between plan location and details. Plan review cannot be completed
if copyright violations exist.
11 ite/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
ere 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 (&OWCOM)