Permit 1
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00137
4'1 DEVELOPMENT SERVICES DATE ISSUED: 3/25/04
-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11250 SW VIEWMOUNT CT PARCEL: 2S103DC -03200
SUBDIVISION: VIEWMOUNT ZONING: R -4.5
BLOCK: LOT: 020 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: 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: $ 5,000.00
Remarks: Replace existing 270 square foot deck.
Owner: Contractor:
ERIC WILKISON OWNER
11250 SW VIEWMOUNT CT •
TIGARD, OR 97223
Phone: 503 - 620 -1622
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Footing Insp
[BUILD] Permit Fee 3/25/04 $91.30 Framing lnsp
[TAX] 8% State Surchart 3/25/04 $7.30 Final Inspection
[BUPPLN] Pln Rv 3/25/04 $59.35
Total $157.95.
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 246 -6. • • • r 1- 800 - 332 -2344.
jv• � •
Iss ed By: . 'I . ' I/
Perms
Signature: k ///2�
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Ap 1,,:.1-31 :d ,;_ 1 E® f FOR OFFICE USE ONLY
City of Tigard ed _,I 6 na l Permit Nod / „� 3
13125 SW Hall Blvd., Tigard, OR 97223 i, 1` p A 5 1 0 04 Date/I3
Plan Review
Phone: 503.639.4171 Fax 503.598 1960 M I lti DateDate/I3 • Other Permit:
Inspection Line: 503.639.4175 Y of TIGA � ' Date Ready/By ® See Attached Checklist for
Internet www.ci.tigard.or.us Gil- Dlvl • ` Notified/Method. Supplemental Information
BUILDI
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed
❑ New construction ❑Demolition
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ S ) 000 ❑ 1- and 2- family dwelling ❑ Commercial /industnal
❑ Accessory building Number of bedrooms:
❑ Multi -famil y
❑ Master builder ❑ Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I 5 o ,LW if . c .vl,Ntn u L¢ L.6 , New dwelling area: square feet
City/State/ZIP: T "h r u L OK � "7 ,�3 Garage/carport area: square feet
Suite/bldg. /apt. no.: i Project name: Rtu r 0ez.( -v Covered porch area: square feet
Cross street/directions to job site Deck area: 2 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
pp 0 cG
cpiQ, P, ILeG r IJ Existing building area: square feet
New building area: square feet
EriROPERTY OWNER ❑ TENANT Number of stories:
Name: l'.74- W I I K i 5 a tI / I Type of construction:
Address: 1 12-5'0 b 41 Vet wfnLWA 1 64 • Occupancy groups:
City/State/ZIP: T--, a r L 0 R X9-3 Existing:
Phone: ( 5o3) & 2 D ^ 1( Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name:
Address: (/ /A lo Li-) /. `J } C 1 BUILDING PERMIT FEES*
Ae Please refer to fee schedule.
City/ State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
l within 180 days after it has been accepted as complete.
Print name: / Date: 3 -) * Fee methodology set by Tn- County Building Industry
���fff Service Board.
i \Buiiding\Permns\ - PermitApp doc 12/03 440- 4613T(I I /02/COM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE 'ONLY
City Of Tigard Received
eceBy Permit No :
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 / 0 Electrical ❑Plumbing ❑ Mechanical
24- Hour Inspection Line: 503.639.4175 _411:',;11 A
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 CI ❑ ❑
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.
ite/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 El ❑ ❑
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 El El ❑
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'ect under review.
JURISDICTIONAL SPECIFICS
11107 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
4 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. . ' - ❑ CI CI
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. ❑ ❑ ❑
31 A Clean a. r Services' , nsitive Area Pr: " : -fling Site A • - t form is re. :red for all buildi .: a.: 'tons, ❑ ❑ 2Rr
inclu • • g dec , pat' • over over n. • mpervious . -• ce and acces : ctures • : - esidential . ' , a
: a lot of rec. • approved prior o September 9, 1995.
----; -----
i:\Building\Permits \One - Two- Fami1yChecklist.doc 12/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MS
INSPECTION // DIVISION Busipess Line: (503) 639 -4171 � , /_OQ 73 7
Received 5 b / Date 7 equested * 2-3 AM PM BUP 7
Location / / c7. S D /1/6 ite MEC
Contact Person .Sa_.- a._. Ph ( ) °" ((0� PLM
Contractor Ph ( ) SWR
�ILDII Tenant/Owner ELC
-F ooting
Foundation ELC
Ftg Drain A �� e � ,( � � : ,� r , j� c,� 1 ELR
Crawl Drain �Zr' k c (g+ i� v)1' av i I�
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Inh/Shear
- ion '-''.----
Drywall Nailing -' '
/ Firewall iworty f 6�l
Fire Sprinkler 1,
Fire Alarm
Susp'd Ceiling
Roof
Other: � I
Other: i,
ASS. PART FAIL ,
PLUMBING � � �
Post & Beam
Under Slab ` v
Rough -In \
Water Service vvv
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 p11 I j Rough -In - / 111,/ f_ ,,�:e-�
UG /Slab ��roo' Low Voltage fri
Fire Alarm -
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL