Permit Cv 'p'
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00421
,Ati, DEVELOPMENT SERVICES DATE ISSUED: 7/9/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12820 SW WALNUT ST PARCEL: 2S104AD -03501
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: ft RGHT: ft FIR SPKL: SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 500.00
Remarks: New headers for pass through openings at second floor load.
Owner: Contractor:
LAURA GRAHAM BSC GENERAL CONTRACTORS INC
12820 SW WALNUT ST 3836 NE SKIDMORE ST
TIGARD, OR 97223 PORTLAND, OR 97211 -8252
Phone:
Phone: 503 - 287 -8814
Reg #: LIC 36092
FEES REQUIRED INSPECTIONS
Description Date Amount Final Inspection
[TAX] 8% State Tax 7/9/03 $5.00
[BUPPLN] Pin Rv 7/9/03 $40.63
[BUILD] Permit Fee 7/9/03 $62.50
Total $108.13
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 OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (5 246 -6699 o 1- 800 -332- ' 4.
A . , Ai
Issue y: !L•�;•:i , • . . �l�
Pemiittee ___
i
Signature: „� a _
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Call 639 -4175 by 7 p.m. for an inspection the next business day
Building FOR OFFICE USE ONLY
g Permit Application Received el:: QQ
Building /
DateBy: '7 Q Per Other Bumit No 5-00
Approval ildi
City of Tigard Date /By: Permit No
,h,A,
Planning
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 DateBy Permit No.
Phone: 503- 639 -4171 Fax: 503 -598 -1960 ' ^ n yl ' - j r Post - Review Land Use
e= Date/By. Case No.
Internet: www.ci.tigard.or.us I Contact Ju is� Su See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name /Method: - � ,f?) Supplemental Information
leS
TYPE OF WORK REQUIRED DATA:
❑ New construction ❑ Demo i ion 1 & 2 FAMILY DWELLING
r iEZAddition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note- Permit fees* are based on the total value of the work performed Indicate
IN 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 , W El Master Builder 111 Other: Valuation $
JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths:
Job site address: id.' " / ''�� �n c5(,1,/ Total number of floors
New dwelling area (sq. ft.)
Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: L �2.. //,01 ,J / f I ? Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
', q Other structure area (sq. ft.)
Da( ■19 G(.` REQUIRED DATA:
COMMERCIAL - USE CHECKLIST
Subdivision: I Lot #:
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, materials, labor,
overhead and profit for the work indicated on this application
of Jv /sus %oT .sl•L' t/i7 , 1 GDS • Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
❑ PROPERTY OWNER - I ❑ TENANT Type of construction ..
Name: Occupancy group(s): Existing:
New:
Address:
City /State /Zip:
NOTICE: All contractors and subcontractors are required to be
Phone: Fax;
APPLICANT I F. CONTACT PERSO licensed with the Oregon Construction Contractors Board under
of ORS 701 and may be required to be licensed m the
Business Name: a,',(jprovisions urisdiction w here work is being performed. If the applicant is exempt
Contact Name: iz 5�� jZ from licensing, the following reason applies:
Address:
City /State /Zip:
Phone: I Fax:
BUILDING PERMIT FEES*
E -mail: Please refer to fee schedule.
CONTRACTOR
B usiness Name: - F 6e-Ai , 7 /2. Fees due upon application $
Address: ,6 A1, S ",k) DIi40114 --
City /State /Zip: /�e,t j 4), A, c , .7% i / Amount received $
Phone: _ ,2 7. -_S'4 Pax: Date received:
CCB Lic. #: 609
Authori
l Notice: This permit application expires if a permit is not obtained within
Signature: Date: 6 °� `J 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
One- and Two - Family Dwelling
Building Permit Application Checklist Reference no.:
rynfTigard Associated permits:
City of Tigard ❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ 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 CI 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 revi• . .
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 (6100 /COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPEOTI DIVISION Business Line: (503) 639 -4171 - - _' MST
Oft r
Received Date Requested � AM PM 6 -' )13UR .
Location - • � �i �l�IGU! Suite ■ // MEC 7�`�v3
Contact Person ) 144' _ I Ph ( 92) 1 5 � M - ������
Con�ctnr 56 - (.1044 Ph ( ) 7 / •0--"5
BUILD Tenant/Owner ELC 3=e2( 1 / 2-
Footing
Foundation ELC
Access: iy Ftg Drain /#7-7/4&70--- ELR
Crawl Drain
Slab Inspection Notes:A�� . SIT
Post & Beam ''%%ll
Shear Anchors
Ext Sheath/Shear g / L
Int Sheath/Shear /� ' A
Framing �f /� �/
Insulation
MA4-44r ALIT 2003 " ae C �' 1401 Drywall Nailing h� fret-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: G �G
PART FAIL
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm D rain
Shower Pan
Other:
1► _
SS PART FAIL
0 NIC L
beam
Rough -In -
Gas Line
Smoke Dampers
_ART FAIL
- yam`
Service e C 4 G ' 2 ' f C7 G
`T /
Rough -In � / � 'e�i •
UG /Slab
Low Voltage
Fir larm
a 7`A
PASS PART ` ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _ ❑ Please call far reinspection RE: �,,❑ Unable to inspect — no access
ADASupply Line C J ' _ t
/ Approach/Sidewalk Date , - Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL