Permit 1
1 ,,,.. ,,
1
�' BUILDING PERMIT
a CITY OF TIGARD
P ERMIT #: BUP2003 -00618
�i DEVELOPMENT SERVICES DATE ISSUED: 10/17/03
_14 ty 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07165 SW VENTURA DR PARCEL: 1S125DC -01400
SUBDIVISION: WASHINGTON SQUARE ESTATES ZONING: R -4.5
BLOCK: LOT: 004 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: 5 -1 HR : 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: $ 4,400.00
Remarks: 2 exterior decks.
Owner: Contractor:
ZIEGLER, FREDERICK W AND JRW CONSTRUCTION INC
BARBARA G 16540 SW 72ND AVE., #7
7165 SW VENTURA DR PORTLAND, OR 97224
TIGARD, OR 97223
Phone: 503 - 246 -0310
Phone: 503 - 620 -2333
Reg #: MET 0
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Footing Insp
[BUILD] Permit Fee 10/17/03 $91.30 Framing Insp
[TAX] 8% State Tax 10/17/03 $7.30 Final Inspection
[BUPPLN] Pln Rv 10/17/03 $59.35
[BUILD] Investigation Fi 10/17/03 $91.30
Total $249.25
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: SNP , . A i . AIIP .
Pe mi ittee
Signature:
Call .39 -4175 by 7 p.m. for an inspection the next business day
t
Building Permit Application FOR OFFICE y USE ONLY
Date /By: Permit No 0 ra -0:2
City of Ti and Planning Approval Other
Building g DateB Received y Permit Bw No
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 D /By /D f 7b4/0s/) Permit No
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 � I Post - Review Land Use
, - 41 Date/By Case No
Internet: www.ci.tigard.or.us Contact !u7s ®See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name /Method 7 /t Supplemental Information
TYPE OF WORK REQUIRED DATA:
[] New construction ❑ Demolition i & 2 FAMILY DWELLING
❑ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note Permit fees* are based on the total value of the work performed. Indicate
E 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
JOB SITE INFORMATION and LOCATION No of bedrooms: No of baths
Job site address: - 7 / 6,/ $ w Ire-1,7 - f�,, - g7-2-0 Total number of floors.
New dwelling area (sq. ft.)
Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: 7 /may /c-,... Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.) .2. ,C45 .. ......... . /1
Other structure area (sq. ft.)
REQUIRED DATA:
COMMERCIAL - USE CHECKLIST
Subdivision: Lot #: 1 7`
Tax map /parcel #: Note. Permit fees* are based on the total value of the work performed Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, matenals, labor,
overhead and profit for the work indicated on this application /''/
Valuation $ 4-
Existing building area (sq. ft.)
New building area (sq. ft.) .
Number of stones
pit PROPERTY OWNER . I ❑ TENANT Type of construction
Name: / -✓c 2 /_ Occupancy group(s): Existing:
Address: -7/ 61 ^ S - fern i - New:
City /State /Zip: 77--r co- <le •/ 9 73- 2-3
Phone: 2- 5`6 0310 Fax: NOTICE: All contractors and subcontractors are required to be
® APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: 7,1e I- n s fie.-1 a J.1 - jurisdiction where work is being performed. If the applicant is exempt
Contact Name: /3 . v,-- 7 /—GVgae from licensing, the following reason applies:
Address: A( ,f si-.. - 7 2h d
City /State /Zip: /9„ 7 /4_,,,, , f q' ? 2
Phone: /2_0 - /?_o 2-333 Fax: 62o- 2- 3 3V BUILDING PERMIT FEES*
E -mail: Ai 1 11A. e-,..., r Q cic,. ,, f 4 jr k.- , (--,'%n Please refer to fee schedule.
CONTRACTOR
Business Name: $
Fees due upon application
Address: ,
City/State /Zip: Amount received. $
Phone: t I - Fax: t ! Date received
CCB Lic. #: .S' 7 7 gr__
Authorized
Signature //., G a[e' / 7/p ? Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
)
/3 , / t U r n / e r/7 cc e ' - / *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name) ,,, �� Q�
i \Dsts\Pennit Forms \BldgPennitApp doc 01/03 fr/ %�� �^^' A:4-�-
One- and Two - Family Dwelling •
et, Building Permit Application Checklist Reference no.:
Associated permits:
City of Tigard City b of Tigard
O Electrical ❑ Plumbing O 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 distnct, 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 beanng
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 Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
( ) BUP 3 -6° (0 18
Received Date Re uested -/r / I 11 AM PM BUP
Location 7 / ' s 1/ l Suite MEC
Contact Person - 7� - Ph ( ) - 9 31 b PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: �� � f , SIT
Post & Beam Y
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
• Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Other:
PAS PAR_ PART FAIL
P BING
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
PASS PART FAIL El Reinspection fee of $ required before next inspection: Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
s‘4
ADA
Approach/Sidewalk Date / f 7 ° - Inspector l Ext
Other:
Final DO NOT REMOVE this inspection record from, the job site.
PASS PART FAIL