Permit BUILDING PERMIT
M CITY �°�' P ERMIT #: BUP2001 -00351
� I�� DEVELOPMENT SERVICES DATE ISSUED: 10/10/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AD -16600
SITE ADDRESS: 09033 SW WESTLUND CT
SUBDIVISION: MALLARD LAKES ZONING: R -4.5
BLOCK: LOT: 032 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: 5: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 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: $ 800.00
Remarks: Extend entry door out 2' and delete sidelight.
Owner: Contractor:
MEDINGER, JOANNA EILEEN ARNETT CONSTRUCTION COMPANY
9033 SW WESTLUND CT 15450 SW MIDDLETON COURT
TIGARD, OR 97224 BEAVERTON, OR 97007 -5181
Phone: 503 - 241 -3667 Phone: 503 - 644 -6644
Reg #: LIC 105058
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT CTR 10/2/01 $62.50 27200100000 Insulation Insp
Final Inspection
5PCT CTR 10/2/01 $5.00 27200100000
PLCK CTR 10/2/01 $40.63 27200100000
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 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe rm ittee
Signature: 1,(,_ c J e /4,.v'� frt , JL„-t
Issued By: fe d 7 a71a,j 7
C 39 -4175 by 7 p.m. for an inspection the next business day
I ° '
J Building Permit Applic . • 1 t
/ Date received :��y D I Permit no.: 607,9.0--D - 3 /
�.,re ti �6
°i ��y City of Tigard
- '' -- I Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, 0' 9722
Phone: (503) 639 -4171 Date issued: By:(05 Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
t
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT r
1 & 2 famil : •ng or accessory Cl Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
Addition/ a teratid - placement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
• JOB SITE INFORMATION V
Job address: '7-g 5/2 A/16 C _ Bldg. no.: Suite no.:
Lot: 3a__ I Block: (Subdivision: S I Tax map /tax lot/account no.:
Project name: r
n� .1i�t w'_ �
Description and location of work on premises/special conditions: Fa-4 Z914. L Z
/o l Pf 5)(4-11 -Al
. , , • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: , L /, i ie , (Floodplain, septic capacity, solar, etc.)
Mailing Fddress: �l ,1m03, a ,f,, I7 _ 1 & 2 family dwelling:
City: ' / EOM ZIP: - Valuation of work $ SO-90
Phone: „ 14--51`35" [Plc E -mail: No. of bedrooms/baths
- - - -- =Owner's -- - - — - = Total of floors = • - -- -- _
Phone: Fax: E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: S e, Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
CONTRACTOR Valuation of work $
Business name: I., ,$ C..- 5 Existing bldg. area (sq. ft.)
Address: ) 645 Q lli /a New bldg. area (sq. ft.) _
City: ,g #.0r7 I State:( ZIP: 77007 Number of stories
Phone: / -be ax: I E -mail: Type of construction
CCB no.: Il Occupancy group(s): Existing:
New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCI I ITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: N14- provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: I State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
Name: 01- Contact person: Fees due upon application $
Address: Date received:
City: - Istate: (ZIP: Amount received $
Phone: I Fax: •I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied with whether specified herein or not. Credit card number: / /
gyp - Expires
Authorized signature: P i-_4 -_ i '1 i4l - Date: /62/0/__ Name of cardholder as shown on credit card
$
Print name: "V/4) i Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4 (6ro0/COM)
a,L, 1 6 a - sa
774-X 5.06 i if .13
One- and Two - Family Dwelling
•
, Building Permit Application Checklist Reference no.:
a
City of Tigard C>, of Tigard Associated permits:
g 0 Electrical 0 Plumbing 0 Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 0 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 0 plan 0 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.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x I I" 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.
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document.
27 No "mirrored" building plans will be accepted.
28 "Drawn to scale" indicates standard architect or engineer scale.
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 (6/00 /COM)
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:2G`iTY t F TIGARD BUILDING INSPECTION DIVISION MST
. _ Inspection Line: 639 -4175 Business Line: 639 -4171
•, °Y►'17• BUP ,g-6e l O 1J 3,
V1-,-,. Sri Date Requested /0 AM PM
Location 6 3 3 b.kQd hi_, l d 436 Suite MEC
• Contact Person / Ph 6 v (o G 4 /Z 7 Z PLM
Contractor Ph 2.- 3 ), -S' SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: - G ,f _ )'7Z Yl
Post & Beam 4 SIT
Ext Sheath /Shear ,i >
Int Sheath /Shear
Framin SBel-L. c L-Gr i - J 44,, t ( PA Y
nsulatio
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling . -
Roof •
Misc: -
Fina
P SS RT -FAIL
ING
Post & Beam
Under Slab
Top Out -
Water Service .
Sanitary Sewer
Rain Drains
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. .
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain • [ ] Reinspection fee of $ required before next inspection. Pay at City -Hall, 13125 SW Hall.Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �r / .
Approach /Sidewalk Date /U `‘ -e/ Inspector y i Ext
Other
Final
- • PASS PART FAIL DO NOT REMOVE this - inspection record from the job site. .
CITY OF TIGARD BUILDING INSPECTION DIVISION Ou P
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 mar D_oz) I U 33-2_
BUP . 0-Pe / 00357
Date Requested l / AM • PM BLD
Location 90 3 Suite MEC
Contact Person \ .Ph 6 4 ./ (.0 (' 6 PLM ? _
Contractor Ph SO 2.- 3/5" SWR
UILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab SIT
Post & Beam
Ext Sheath /Shear -
Int Sheath /Shear � / ��
Framing . fwd 0 4� "v / l7dQ &e Oc/C'
Insulation
Drywall Nailing v J y 1 ,A/ Q <9 2/
Firewall
Fire Sprinkler.
Fire Alarm
Susp'd Ceiling .
Roof
Misc:
SS PART FAIL
PLUMBING
Post & Beam
Under Slab /\
Top Out
Water Service
Sanitary Sewer
Rain Drains
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 N
PASS PART FAIL - -
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk / 1 _ C) _Q l 7 Ext
f EX
Other Date / Ins pec t or
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.' •