Permit C ITY O PERMIT #: BUP2005 -00253
�jl�; DEV ELOPMENT SERVICES DATE ISSUED: 6/14/2005
--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103AA -01902
SITE ADDRESS: 10625 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: COTTONWOOD PLACE LOT: 005 JURISDICTION: TIG
Project Description: Replace existing deck with same.
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: psf LEFT: 5 ft RGHT: 15 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 5 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Owner: Contractor:
HATANAKA, BARRY BIG AL'S CONSTRUCTION
10625 SW WALNUT 16712 S. HOWARDS MILL RD.
TIGARD, OR 97223 BEAVERCREEK, OR 97004
Phone: 503 - 639 -7144 Phone: 503 - 632 -2105
FEES Reg #: LIC 70385
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/14/2005 $148.90
[TAX] 8% State Surchari 6/14/2005 $11.91
[BUPPLN] Pin Rv 6/14/2005 $96.79
Total $257.60
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 You may obtain a copy of these rules or direct questions to OUNC by
calling 503 -246 • =99 or 1- 800 -332 - j 4.
Issued By: � y .. 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.
it,
•
,ti ' IV E D , .
Building Permit Ai) " FOR OFFICE USE ONLY •
City y A 2005 Received/ Q �
y of Tigard g JUN 1 [} Plan :'. o % /" Permit No.:,_ //t / 00x5
13125 SW Hall Blvd., Tigard, OR 97223' Plan Revr
Phone. 503.639.4171 Fax: 503.598.1960 4pa. i tli\ Date/By. Other Permit:
Ins Date Read /B Ju • ® See Attached Checklist for
Inspection Line' 503.639 4175 �. � C'' I
P CITY OF T1C Notified/Method: Supplemental
Internet: wwwci.tigazd.or.us BUILDING D1`TIST
OF Information
BUILDING
TYPE lv F WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Additin/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ . l
El 1- and 2- family dwelling ❑ Commercial/industrial - C)&
El Accessory building ID Multi-family Number of bedrooms: `� 3 7 5
❑ Master builder ,Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: j 0 • SW 1J a ' h 4 New dwelling area: square feet
City/State /ZIP: T{ ( Q Garage /carport area: square feet
' Suite/bldg. /apt. no.: 6 Q r Project name: - flab r y a (p� � Covered porch area: square feet
' Cross street/directions to job site: v Deck area: 62-5 square feet
• Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST .
Subdivision: I Lot no.: 5 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.
- k , n Valuation: $
• I L (/� 1 /tk V
�� I C fl _ Existing building area: square feet
5 New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories:
Name: ) rir #Q-/4 it 4 Type of construction:
Address: / 6 2 S w C4 H U'k Occupancy groups: •
City/State /ZIP: - 7 f r• d op, Existing:
Phone: GB) ( 63 7_ 7 /9.9... Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: / �,{ S C� j - % � All contractors and subcontractors are required to be
Contact name: t ' ' ` 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: applican yjs exempt from licensing, ]lowing reasons
apply: { A . /5 .- 90
Phone: ( ) Fax: : ( )
Q.wS x/ .79
E -mail: O .
• CONTRACTOR A• /,. .
Business name: Al ` � 1 S �d T► - LA di O In
B G PERMIT a5�•
BUILD IT FEES*
Address: ) f .S . 0 wo r d d 41, � I kd I /' Please\efer to ee schedule.
City/State /ZIP: / e e4(i ►^e PC Off- 7007' '
/C Fees due upon application
Phone: (S03) G32_,210.5 I Fax: (^ 3 j O g
7 O 3 gS ! / 0' / _ 6, Amount received
CCB lic.: ! 7
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: �' y Q 1 Br P Date: � k OS * F ee me thodology s by Tri- County Building Industry
V , Service Board. l •
i \Building\Per mns\BUP- PennuApp doe 12/03 440- 4613T(11 /02/COM/WEB)
One- and Two - Family Dwelling . '
Building Permit Application Checklist FOR OFFICE USE O NLY
City of Tigard Received Permit No :
13125 SW Hall Blvd., Tigard, OR 97223 Associat
Associated
Phone: 503.639.4171 Fax: 503.598.1960 �� � � ed permits:
24- Hour Inspection Line: 503.639.4175 �' . ❑ Electrical ❑ Plumbing ❑ Mechanical
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 ❑ ❑ ❑
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- ❑ ❑ ❑
otection, etc.
10 • 3 Co lete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
buildi 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
right violations exist.
11 Site lot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
e 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 a ' . licable to the • roject under review.
JURISDICTIONAL SPECIFICS
■ 3 Five ( .ite plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
- _ _ ets each are required for Items 16, 19, 20 and 22 above. . II ❑ ❑
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 \Perniits\BUP- RES- PermitApp.doc 2
CITY OF TIGARD - SITE PLAN REVIEW
B ILDING PERMIT NO.: /2.005- OPxs3 - —
i (' CANNING DIVISION: Approved ❑Not Approved
' equired Setbacks: ix App
Side: _ Street Side:
Front. ,' __ Garage: .2.4.z_ Rear:
V isual Clearance: A roved ❑ Not Approved
M aximum Building He'ght feet
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i I∎ - • _ • • inked: ❑ Yes ► 1 a79
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1. fir-io ' 4 i) ate: - 5
t ' ( N ERING DEPAR MEN ..
Actual SI 10 % Approved ❑ Not Approv
Site Play 0 Approved I t_4
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CITY IlliGARD
BUILDING DIVISION • PERMIT #: gUP2005 -00253
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSU 6/14/005
Phone: (503) 639 -4171 d4p u1' 1
Inspection Requests (24 Hrs.): (503),639 -4175 "'I � ..
INSPECTION WORKSHEET FOR DATE: TIME: • PAGE:
9/22/2005 7:12AM 3
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 10625 SW WALNUT ST LOT #: TYPE OF USE:
PROJECT NAME: COTTONWOOD PLACE , 005
•
DESCRIPTION: HATANAKA
Replace existing deck with same. • ,
OWNER: HATANAKA, BARRY, PHONE #: 503 - 639.7144
CONTRACTOR: BIG AL'S CONSTRUCTION PHONE #: 503 -632 -2105
Inspection Request Scheduled For: Date: 2?12005 Pour Time:
Code # Inspection, Description - Confirm # Contact # Message
299 Final inspection 016392-01 503 - 267 -3668 N
Corrections /Comments / Instructions:
•
PASS ❑ PARTIAL APPROVAL 111 CANCEL. • El NO ACCESS
El FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector:. . Date: 0.- T CT Phone #: (503) 718-
L