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Permit CITY OF TI CHAR® BUILDING PERMIT PERMIT #: BUP2005 -00234 mi ��i i�l DEVELOPMENT SERVICES DATE ISSUED: 6/1/2005 A ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S125DB-02300 SITE ADDRESS: 07200 SW TAYLORS FERRY RD ZONING: R -4.5 SUBDIVISION: BOULEVARD HEIGHTS LOT: 003 JURISDICTION: TIG Project Description: Demo house and outbuildings. Sewer to be capped. DEMO CREDITS FOR TIF & PARKS. 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: 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: 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: - Owner: Contractor: FARCAS, JOAN FARCAS CONSTRUCTION 15646 SE CLATSOP ST. 15646 SE CLATSOP ST PORTLAND, OR 97236 PORTLAND, OR 97236 Phone: 503 - 762 -6759 Phone: 503 - 887 -3761 FEES Reg #: LIC 141941 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/1/2005 $62.50 Ersn Cntrl 681 -4444 [TAX] 8% State Surchaq 6/1/2005 $5.00 [ERPRMT] Erosion 6/1/2005 $26.00 [ERPLN] Ero Plck -CWS 6/1/2005 $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. Issued By: ,jytiL ,t,�� Permittee Signature: - - + -- 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. - k� , , ple ,-, , , - ,(■ 1 4 Building Permit Ap1fYpy�l��_x ■C��•tyIL/ C LL ■en ; ; ``t� + 1 , F Gtl' i `b, a . ri . o` City of Tigard l Date/By: : t �6 Perntit No - : 11. ±1/ly�l(� - 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / �[ ��T/� Phone: 503.639.4171 Fax: 503.598.196 2 J 5 �� ��� � l/ , � , F 0 Date /By: Other Permit: Inspection Line: 503.639.4175 cam! ' , I Date Ready/By. Juris: Q See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARL) Notified/method: Supplemental Information BUILDING DIVISION r - �; = . : • � - � ' � ,�,r� • : ` ,,,5 ». t ; , i. t: x. lv:,, PE,, �. �, "3 ..: , 2, " . ., . ,,, . . .. , . REQUIRED DAT „l4a AND 2 FAMILY D WELLING ❑ New construction O. • emolition Permit fees* are based on the value of the work performed. • Indicate the value (rounded to the nearest dollar) of all El Addition/alteration/replacement • Other: equipment, materials, labor, overhead, and the profit for the le w�" } ,. a + ,;:'.'. work indicated on this application. mac, r.;._ ;gig da , A;6 C O F C � : � al : t , I C TIO : 'm s <, a 0 , :. ":'r . :4,m . ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building Iii Multi-family Number o .edrooms: El Master builder ❑ Other: Number of baii ooms: l ' w Po 4*. , 'a'` Total number of .. JOB SIIE�TNLIORIVI�T�IOIV LOCATION .. a . F a a .a a_ . �.: s, - _ n.A. i -tea . . . Job site address: ` , 1 on . .. ; ,/, j K \ e . �-�� 1.--A New dwelli : area: square feet City /State /ZIP: W n 1 ro 0 C\9 (2. Gara • ' carport area: square feet Suite/bldg. /apt. no.: Project name: 7-1l © -t Tp • '.vered porch area: square feet Cross street/directions to job site: �. Deck area: . uare feet CV 1`q - Q. `V t -t- -- 12 S .! i - Other structure area: square feet . ■ l ; ' 2REQUJRF DA C O VIMERCIAL USE CHEGICLIST 4 : _ ,,,,�...:,,..., _ ,,A,,, .a:. ,...u.,5.. � u_ W7 .. Subdivision: Lot no.: k 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 a e t o ' DEgCRII'TIO .ila4 ;WORK- '. * ssr ,F.- work indicated on this application. e mo � l - w l S - (_ i / • �h y -i-niS f _a..... Valuation: $ ( .0t ,Cl -G I. \ 4.c4 1111.-/X.(. S Existing building area: square feet °r New building area: square feet 4 ❑ P O VERT O ® TE NAN =T N _ f s - 2': Number of stories: Name: o q.' ( -\ e's Type of construction: Address: 1 sc.,4 6 c3,0_,0,3 Occupancy groups: City /State /ZIP: ( . ( - )c _ \ C) ?1`\9,03G Existing: Phone: (�- )) '"(c0c,� Q51 53 Fax: (50 °- t G9-.4 Q,1 5 New: ' .:zi APP ;'` CONTACT PERSONS ' ; < _ '' i ,.t � �. ,.,. ,a - .rs - . W � . .,; r,f � A:. ,a ..x_ . 'k?!.:: 1: : 1 \® t =� fix. , , i3 .�.a - .,,fix: :w�'a.: �� 3 � sw .i. ::_. Business name: � , (Q' S pu C \ O All contractors and subcontractors are required to be n licensed with the Oregon Construction Contractors Board Contact name: l ��t(� P\ v ea g under ORS 701 and may be required to be licensed in the Address: 6C .1-1 CO CC \ -q©e' jurisdiction in which work is being performed. If the 0(2— applicant is exempt from licensing, the following reasons City/State /ZIP: P'f'DC`AD � apply: Phone: (r5Q � ` �� 0 . O G, I Fax: : (C)EA -- t1 c� L. G 5s E -mail: _l'l.� �; ., . k CONT,}2ACT0 se " - , ! t r -: �.�, �u ..�'�. ,1 ...� �._.iZ -war. -,._,� .��Nr.4�L�,._. . ��.,... � .n__.,1 �,� Business name: C� V� �\ U� � ( \O\ \ . ..tk* 1r,k »-.. w - 9,E.a, �:: ,i a .: „�.,. r n ^ „ . t ;t .. i)ILDI G' PEP.IVIIT? 1 EES Address: SE G �-t b S.- c CSL_- S S4- Please refer to fee schedule. City /State /ZIP: c ._ )( .-- \--\. end �� e") Fees due upon application Phone: (€02.) O `Z _ `�` l G ` Fax: ( SC.i � / � . �”, � 3 � ; S A Amount received CCB lic.: T 'l Date received: Authorized signature: This permit application expires if a permit is not obtained A within 180 days after it has been accepted as complete. . Print name: c„,::-.3y fit°/ 'I"U - (-62c Date: aO O. Q 1 o * Fee methodology t by Tri-Coupty Building hidustry Service Board. / 1 • %'o 6 it L- i:\Building \Permits \BUP- PermiiApp.doc 12/03 440- 4613T(11/02/COM/WEB) ���"'fff"' rth One- and Two - Family Dwelling Building Permit Application Checklist �'; F ORS OFFICE USE "ONLY ra `'# City of Tigard Received Permit Na 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Phone: 503.639.4171 Fax: 503.598.1960 M'"N� Associated permits. 24- Hour Inspection Line: 503.639.4175 '61 II ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us ` ❑ Other: j THE :FOLLOWIN. G'ITEMS ARE LEQUIRED 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 Oregon and shall be shown to be applicable to the project under review. ICTIO JURISDNAL SPECIFICS ` r < q !.a _o ': i_✓ - '&� a .. ,.e _. _ _ l _ -a,,.. _ - �i.�� h i.° , 23 Five (5) site plans are required for Item 11 above. Site plans must be -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. ❑ ❑ ❑ 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 . . . . . ' • . , c- '.....,_. 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PORTLAND, OR 97233 I EVISION/DATE DESCRIPTION E DEV,?N CHECK CITY OF TIGARD A BUILDING' DIVISION APIA, , PERMIT #: ..., BUP2005-00234 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2005 Phone: (503) 639-4171 J; Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 64 SITE ADDRESS: 07200 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 003 TYPE OF USE: PROJECT NAME: FARCAS DESCRIPTION: Demo house and outbuildings. Sewer to be capped. DEMO CREDITS FOR TIF & PARKS. OWNER: FARCAS, JOAN, PHONE #: 503-762-6759 CONTRACTOR: FARCAS CONSTRUCTION PHONE #: 503-887-3761 Inspection Request Scheduled For: Date: 7/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 011396-01 .503-887-3761 N Corrections/Comments/Instructions: a ill A- 0 Gili' -- S -- e,e0 . 7e1 CIO 1 F 6/4 5 c -- 7 - 4 i V K / i e-- 4IP - t..- / --- t--6 4.44 I 4 4 Vc_.. 4—, ---=- /7 ..----- - El PASS ' PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED /f Inspector: , Date: — 7 — /3 #: (503) 718- CITY OF TIGARD 1 . - BUILDING DIVISION 4 / l PERMIT #: BLIP2005-00234 DATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 6 1" Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .-_-_-_. --. INSPECTION WORKSHEET FOR DATE: 12/6/2005 TIME: 7:02AM PAGE: 16 SITE ADDRESS: 07200 SW TAYLORS FERRY RD CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 003 TYPE OF USE: PROJECT NAME: FARCAS DESCRIPTION: Demo house and outbuildings. Sewer to be capped. DEMO CREDITS FOR TIF & PARKS. OWNER: F-ARCAS, JOAN, PHONE #: 503-762-6759 CONTRACTOR: FARCAS CONSTRUCTION PHONE #: 503-887-3761 Inspection Request Scheduled For: Date: 17/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Me,--,..: - 299 Final inspection 023010-01 503-887-3761 id, Corrections /Comments/ Instructions: 40 /Li it/N 64 ( 7 )'Ut- ( J- i c 1( 1)/1/V ■/' - 02-rv 1 / 4 -- --- 4 ■Jk — o i5 A 9 x Y2-A c.--6N) .e-72_,--v\-- . 2 ,,,,, ---- a_ 0 - t1-„---, S f \_.A.-,-A_ LeA--e---2 v\-- L.---1. ‘ ‘T - C ) 'AA/L c •‘- s vs c__-6/\,-.. v-, 9 __,A., _ cv---C7 (--Y \"---;'- 7 5 '' ■-- . ' E ) 0--- 0_,(22‘ -c (0 '■,,.../ %. 1..) C---- - ZA--vj - t e ,,, IT PASS 1 1 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS bJAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSE SED Inspector: Date: / ) 1/..." _ Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION MIT #: i PERdS _ -_ cd. 3?� , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i i Inspection Requests (24 Hrs.): (503) 639 -4175 ' ` :_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 72 0 / f .c f o .&5 : CLASS OF WORK: SUBDIVISION: J LOT TYPE OF USE: PROJECT NAME: DESCRIPTION: /® OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message " S (.. Corrections /Comments/ Instructions: „„e„,.,c,,gfe--,,e,____ (.„.„*..„,----_ , :e........-2 ..- i .- ,_e , I / 5)1L'''011-6 (.) Le....41L/ ' ■ ( : ii . . . . . s 9 ,11 . PASS I PARTIAL APPROVAL n CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 5 / Phone #: (503) 718-