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6655 SW Kingsview Court
MASTER PERMIT
CI Y OF TIGARD
PERMIT#: MST2002-00327
DEVELOPMENT SERVICES DATE ISSUED: 7126102
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171
SITE ADDRESS: 06655 SW KINGSVIEW CT PARCEL: 1 S125DA-10800
SUBDIVISION: CHARLES ESTATES ZONING: R-4.5
BLOCK. LOT: 003 .!URISDICTION: TIG
REMARKS: Addition of 334 s.f. 2 level.
BUILDING
REISSUE. STORIES: _ FLOOR AREAS REQUIRED SETBACKS RcQUIRED
CLASS OF WORK: ADD HEIGHT _ FIRST: 161 sl BASEMENT. sf LEFT: 1i SMOKE DETECTORS.
TYPE OF USE: Sr FLOOR LOAD: 4n SECOND 161 st GARAGE It FRONT, PARKING SPACES
TYPE OF CONST: 5N DWELLINU UNITS: FINBSMEN-L sf RIGHT: a
�,a W F: $"iu.951 5n
OCCUPANCY ORP: R3 BDRM: 1 BATH: i TOTAL. 334 on tit REAR. Il
PLUMBING_
SINKS: WATER CLOSETS: WASHING MACH, y LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES. SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS. GARBAGE DISP: WATER HEATERS: WA "R LINES: BCKFLW PREVNTR GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: CLOTHES DRYER:
FURN 1•100K: UNIT HEATERS: HOODS: OTHER UNITS: 2
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 Sr OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 20. 400 emp: 201 - 400 amp: 1stW/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 :10 amp: 401 •$00 ump: EA AGDL OR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISvL,iFnn 001 - 1000 at,4: 601+4mos•1000v. MINOR LABEL:
1000♦amplvolt
PLAN REVIEW SECTION
Reconnect only: >=4 RES UNITS: SVCIFDR-225 A.: r 600 V NOMINAL: CLS AREA/SPC OCC:
FLECTRICAL•RESTRICTED E4ERGY
_ A.SF RESIDENTIAL B.COMMERCIAL
AI!DIO 6 STEREO. VACUUM SYSTEM. AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM. OTH: BOILER: HVAC LANDSCAPFARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/1'LLE COMM: NURSE CALLS. TOTAL 0 SYSTEMS:
TOTAL FEES: $ 822.34
Owner: Contractor This permit is subject to the regulations contained in the
THOMPSON,RONALD DAVID+ SE ELEYS CONSTRUCTION Tigard Municipal Code,State of OR. Specialty Codes and
DIANA PRINZ VINCENT JOHN SEELEY all other applicable laws. All work will be done In
6955 SW KINGVIEW CT 11(345 SW DENNY RD accordance with approved P'drs. This permit will expire if
TIGARD,OR 97223 BLAVERTON,OR 97005 work is not started within 180 days of issuance,or if the
work is suspended for more than',80 days. ATTENTION.
Phone: Phunv Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Thoae rules are set
Reg e: I (10"36131 forth in OAR 952.001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987,
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor Insulation Electrical Rough In Rain drain Insp
mooting Insp Crawl Drain/Backwater Framing Insp Electrical Final
Fou. ',n Insp Footing/Foundation Uri Shear Wall Insp Mechanical Final
Post/Beal -tura) Mechanical Insp Exterior Sheathing Ins; Plumb Final
Post/Beam Mei. Electrical Service Insulation Insp Final inspection
Su GL r'i c� Permittee Signature C
Issued E�, . , .�,_i.:_��C...�Ls.�>%____.-- r
c.
Call (503) 639-4175 by 7:00 p.m for an inspection r,Qedp-: thn next business day
0-z- a
Bni!lding Pernn"it Application
— Date received: Permit no.: r
City of Tigard .
ProjecUappl.no.: Expire date:
Ciryr�(Tignrd Address: 13125 SW Hall Blvd,I iyard,OR '172:.3 ;,' — ----
Phone: (503) 639-4171 Date issued: _ By::, Receipt ,.:rn
Fax: (503) 598-1960 1 ' I Case file no.: Payment type:
Land use approval: ____ I 1&2 family:Simple Complex:
TVPE OF PERMIT
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demoh un
U Addition/alteratiort/repl icement U Tenant improvement J Fire sprinkler/alarm !.'Other:
.16111SITE INFORMATION .
Job address: K't ^ PB!dg.no.: j suite no.:
Lot: — Block: ISubdivision: e :C" �'_ Tax map/tux loUaccount no.:
Project name: , _
Description and location of work on premises/special conditions: /,A 1 _,.Lt i hb;. l A7 1.1,-ION, USE CIIECKLI
1
+. / ! e tr�__ (Floodplain.qeptlp. t
Mailing address: ,c- S J6 j I &2 family dwelling: /
City: - Valuation of work.......wJ��.�ls�......._....
1 �—
Phone: fax: f? mail: No,of bLdrooms/baths.................................
Owner's representative: Total number of flcx,rs...........C.r./................
Phone: i', C i I lFax: E-mail. New dwelling area(sq.ft.) ..........................
Garage/carport area(sq. ft.)......................... _._...
Name: C'o\crcd porch area(sq. ft.) .. .... ................. _—__-r.--�—
Mailing address: Deck area(sq. ft.) .................... .�.. ..., ....... _ ..__
City: State: ZIP: Other structure arca(sq. ft.).....
Phone: Fax: Fs-mail: ('ommerelal/lndustriallu►u11i fantflr
Valuation of cork... . ......................... $
_... Existing bldg. s . (t.) ................. .......
Business name: Sr t'/(j .+�� i
New bldg.area(sq.fl.) ......... ........... _
Address: / +< t�L �.�� -L i� '' � � Number of stories............. ...............
City Stafe i Z1 —
ali- Type of construction
Phone: Fax: E-mail:
Occupancy group(s); Existing:
CCB no.: i[ t / l �' ' _— New:
City/metro lit.no.: ,� ; „ , ,. , IN(tice:All contractors and subcontractors are requit:d aI h
ensed with the Oregon('(instruction Contractors Board uncier
Name: _ 6 visions of ORS 701 and may he required to be licr!nsed in the
Address: �,. -� 1r '1 isdiction where work is being performed. If the applicant is
City: �7
State: +e LIP: �Iempt from licensing.the following reason applies:
Contact person: 7•,t ,i c- Plan no.:
Phone: r ' - ` <' Fax: Entail: —
Name' 1 o i s Contact person: ,;» Fees due upon application ..................... .... $
Address: _ Date received: .__
City: state: ZIP: _ Amount received ....... ................................. $
Phon—e:(,t( I Fax: _ E-mail: — Please refer to fee schedule.
hereby certify I have read and e,camined this application and the Na all iundiction%weeps credit cards,please call}urtsdiclion for ntotr informatlon.
attached checklist. AI {+rtWis! of I ws and ordinances governing this ❑visa u Mastercard
work will b�`�_ u
coted with, r six d herein or not. Credit pare rainier _ __—_—__ ,L_._
ixpircs
Authorized re Date: Name of c_dholder as shown en credit card
Print name: /� J —_ _ Crddroleer ilRnaswe s Amount—
Notice:This pennit application expire.i a pemiil is not obtained within ISO days alter it has been accepted.s complete. 41041613(6MCOM)
One- and Two-11amily Dwelling
Building Perinit Application Checklist ltcler"'« - -
--- Associated permits:
Ciryof'Pigard (fit ' �,of Tigard
� U Electrical U Plumping U Mechanical
Address: 13125 SW Hall Blvd,'Tigard,OR 97223 U tllher:
Phone: (503) 639-4171 ��---
rax: (503) 598-1960
THE FOLLOWING 1UIRED FOR PLAN REVIEW Yes No NIA
Land use act ions con►pleted. .tit•• tintill,U0nl ul Irl 1"1
2 Zonfng.flood plain,solar balsa I, all nn 16 .I, n;llion,Il toric disc l I. I, —_
Verification of approved pialllot. _
4 Fire district approval required.
5 Septic system-permit or authorization fro I modcI Lv-,ting system capacity
6 Sewer permit. _
7 Water district approval. �_ l
9 Solis report. Must carry original applicable stamp and signature on file cur with application.
9 Erosion control U plan U pennit required.Include drainage-way protection-sill fence design and location of /
catch-hasin protection,etc. _
10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state /
building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size
Sheet attached to the plans with cross references between plan location;tall detalls. I'Ian review cannot he completed
it rn tyrighf violaUo�C j.•t. __ __--- -.--- ---_-_-.---. _
I I Site/plot plan dra 'I
llu looeale. 'x'hl;In ho
[II sw 1411 and huildin)•selhack dimension:properly comer elev111011s(it' /
Ihrrr is nuns Illan a 4-If.elevation dlllrl nual.Dian must show Contour Encs;o 2 It.intervals):l caliun of e;e.emrnlc Will
Jlnr,\,I\•flx,tprim of suucture.(inCludnit'deCk'):localinn of \vells/sr1,uC syslrnls:utilay locations:direction indmilm:lilt
wet,building co\Crlgc area:petccntagr of coverage:inrlx'Ivious ora;exrsung strtrcunes un site;and urrlhu dl unauc
I., Foundation plan.Show dimensions,anchor hulls,any hold downs and reinforcing pads,conneclion details, veal -
i
s,ie and location.
I ; Floor plans.Show all dfmcnsions,room identilicalion•window size,location of smoke detectors,water heater.
furnace, ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
1 l Crocq seelIon(s)and details.Show all pantifig-nwnlix•r sizes and spacing such as floor heams,headers,joists,suh-flour.
wall r(ulstnrctfon,roof construction.More than one cry ss section may he required to clearly portray construction. Show
detail',�)I all wall and roof sheathing,roofing.roof slope•ceiling height,siding material,footings and foundation.stairs. /
fircplarc ronstruclion, fhemtal Insulation,etc.
I5 Elevation views. Provide Cle\inions for new construction:minimum of two elevations for additions rnd remodels.
Exterior elevations o,. -t ICIIC(t the actual gra'le if the change in grade is greater than four foot at hnilding envelope.
Full-size sheet addend itiv, 11mving foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path;sndlor lateral analysis plans.Must i:ldicate 11Ctails and locations:for
non-prescriptive path analysis pr( -de specifications and Calculations to engineering standards. _
17 Hoorlroof framing.Provide pl:ms for all floors/roof asu'mhhes,indicating member suing,spacing,n;.d hearing
locations.Show attic ventilation.
IR Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered
.ysterns,set:item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values fur all beans;rod muitiple joists
over 10 i'CL,lung and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance.Identify the pre.wiilit ive path or provide Calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calcul rlions. When required of 1n,1\ided,(i.e.,shear"all,roof buss)shall he stamped by an engineer or ;
architect licensed fn Oregon and shall he slit P%% to he applicable Iii the prole,i under review.
23 Five(5)site plans are required for Item I I above. Site plans must he s-11 \ 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. "Mirrored"building plans will he 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 sire,type& location per approved pliliect stret'tree plan(if applicable),and cur Street'I ree List.
Checklist must be completed before plan res•iety start date. Minor changes or notes on submitted plans may be in blue or black ink.
Iced ink is reserved for department use only, 440-ee14(603 coM)
FF-011 b=NHHP'.�T 'EIJ�SETTERS F'''SEEL:T F i� JU. �G�'_ ��4i� q��, Jul. 121 2Q02 139:22A`1 F'1
Fjecti lcA Permit Applivadfin
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.And UBC approval. .
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07/0B/2002 70;02 5037743057 EASTSICE HEATING PAGE a1
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MechanlcA Po rmh AppUcatian ��
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Addtm. 1312!SW Hall Blvd,TIRUw1 Olt 9722)
Clryrd7ljanl Ualewlw.. Ny:
Phones (SD'!)0!!01171
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CITY OF TIGARD 24-Hour
BUILDING Inspection Li-w (503)639-4175 ;� .'c
INSPECTION DIVI '109-4 Business Line: (503)639-4171 MS -
Bt!R ---Received, Date Requested --.Y AM --- . __._ PM — BUP -
location �� �� J � 1 GA-[�_�2 - Suite
-- MEC -- - -- - -
Contact Person --- Ph(-__) 8 7 —4 g 3 PLM
Ph( ) SWR - _ _-
ILD Tenant/Owner M FLC --_ -_ -
Foundation ELC
Access:
Ft Drain
g - V f l C ELR
Crawl Drain
Slab Inspection Notes SIT
Post& Beam
Shear Anchors -
��
Ext Sheath/Shear -''��-�!J t��.•��1✓ `�,���- C,.
Int Sheath/Shear
Framing --- -- _—
Insulation /
Drywall Nailing
Firewall Y
Fire Sprinkler - — —
Fire Alarm
Susp'dCeiling -- --- ---- - --- —
Roof
Other.
,iS BAR? FAIL
P INCi
Post&Beam \ /
Under Slab
Rough-In
Water Service ----
Sanitary Sewer
Pain Drains
Catch Basin/Manhole
Storm Drain f ----- ——
Shower Pan
Other. �- --- - — —
Final �.
PASS _PART FAIL - . _ --- -- --_----
MECHANICAL Post& Beam
Rough-In ,_------._------__--
Gas Line
Smoke Dampers -- -- - --
Fh,al
PA -"R1l;Ti''r 'FAIL -----
ECTRIC1
,1�
Rough-In
UG/Slab
Low Voltage _�—
Fire Alarm
rin �] Reinspection fee of$�_ —required before next insoeetion. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
_ [] Please cal for reinspection RE: —_ [ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date _—._-- — Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL