13205 SW VILLAGE GLENN DRIVE 13205 SAN Village Glenri Drive
I
A��� BUILDING PERMIT (�
CITY OF
A T I GPERMIT#: BUP2002-00251
DEVELOPMENT SERVI(-PES DATE ISSUED: 7/1/02
13125 SW Hall Blvd., Tiqard. OR 972.23 (503) 639-4171 PARCEL: 2S102CA-00901
SITE ADDRESS: 13205 SW VILLAGE GLENN DR
SUBr)IVISION: VILLAGE GLENN ZONING: R-4.5
isLOCK: LOT: 001 .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 St N: S: E. W.
OCCUPANCY GRP: R3 TOTAL AREA: 0001 -1r ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATE):
GARAGE: sf O,CU SEP. RATED:
STOW HT: ft
SMT?: NIEZZ?: READ SETBACKS REQUfR�D
-------------...-------
FLOOR LOAD: I)sf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELL ING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS- BATHS: IMP SURFACE: PRO CCRR: PARKING:
VALUE: $ 1,500.00
Rernarks: Install new bay window
Owner: Contractor:
CAFFALL, E REX III JOHN XNDRICH
13205 SW VILLAGE GLEN DR 13001 SE KUEHN ROAD
TIGARD, OR 97223 MILWAUKIE,OR 97222
Phone: 503-5'16-7443 Phone: 503-704-3126
Reg #: LIC 150732
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
Insulation Insp
F MTr CTR 6/24/02 $62.50 27200200000 Final Inspection
5PCT CTR 6/24/02 $5.00 27200200000
PLCK CTR 6/24/02 $40.63 27200200000
I
Total $108.13
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR SI^ecialty Codes
and all other applicable law. All work will be done in acc:ordanoe with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if wor4: is suspended for more than 180 :lays. ATTENTION Oregon law
requires you to follow the rules adopted by the Oregon L.Itility Notification Center Those rules are set forth in OAF
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.
Pennittee
Signature: 1_s. _. , ,+ i < ► .J -- ---
Issued By: r y�Gi0-
Call
Call 639-4175 by 7 p.m. for an inspection the next business day
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7
Ruiiding Pp»mit Application o
_
PD�atceceived: a c /� I!`emitP.A tlO1-y r�,'l
City (►f Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expirednre:
('u,of Tigard --
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval l&2 family:Simple Complex:
1
I &2 family dwelling or accessory O Commercial/industrial U Muld-family ❑New con.trw tion U Demolition
Addition/alierition/replacement U Tenant improvement U Fire sprinkler/alarm U Other: __—
Job address: 13 j� S , i v'. Bldg,no.: Suite no.:
Lot: Block: Subdivision: Tax map/tax lotlaccount no.:
Projectme:__na34y kt„tj pc to --
Description and location of work on premises/special condilions: t?u•f- .iJE IL 4r A,1 (7 t AJ Jc,esT /,. ALL e,f”
�i,v r" /�rZc'A 11d••� %d.�,5 i14 ct �5N y �vi,t,l pGcL) i —
Mailing address: 13 .z , �r k•i` c.,t,.. 1 do 2 family dwelling:
City: Tt��•c.. _Mate: ZIP. ct-1 Z_ _ Valuation of work oc
Phot,'.. f I _ i�(t 4, FIX: I E-mail: No.of bedrooms/baths................................. --
:)wner representative: to C n C c t1 L.L _— Total numher of floors.......................... ......
Phone:tic , ,c• )(, Fax: Email: New dwelling area(sq. ft.) ..........................
Garage/carport area(sq. ft.)........................
Name: ,�c ��, (fit J �...a ,�•c t t Covered porch area(sq. ft.) ......................... _ --
Mailing address:t 3e-'e, i beck arca(sq. I't.) ........................................
_ __—
City: fes, c�kK �" Statm. 'GIP: c i 7 )_7_ Other structure.area(sq. ft.). ............. .........
i'hunc:x , c 3t z 1':t �ti email: Commerrial/Industrial/multi-family:
1 Valuation of work.............. ................... :. $
Business name: J kf c e Hi)c c _/,,v .�.� ��; Existing bldg.area(sq ft.)
. ........................
Address: SE- nsur New bldg'area(sq, ft.) ......
City: iU }-c{'eIe- State:c( ZIP: Number of stories............... ......................
—.—
—
Phone:;x; 1C ,t [.� Fax: E-mail:kll.siwi t'►u(ze.,. , ,Type of constmction...... ............: ,,
: `......... _
CCB no.: i 5� l i 2_ - �. , / &•cupancy group(s): ExisZhw-,
City/metro lic.no.: _
- _-- New:
Notice: All contractors and subcontractors are require lri he
i licensed with the Oregon Cor:struction Contractors Board under
Name: /v r provisions of ORS 701 and may he required to he licensed in the
Address: jurisdiction where work is being performed. If the applicant is
—r —
Cit State: ZIP:
exempt from licensing,(tie following reason applies:
------—_ T
Contact person: -W. Plan no.: -- — — —
Phone: Pax: Email: -
Name: lConlact person: Fees dun upon application ........................... $
Address: Date received:
City: State: ?.IP: Amount received ............................... ......... $
Phone: Faz: Email: Please refer to fee schedule.
I hereby certify 1 have read and examined Utis application and the Not all Jurisdictions accept credit cards,plane cell Jurisdiction For more mnKmation
attached checklist. All provisions of laws and ordinances governing this UVin UMeetercerd
work will be compo.-d with,wheftr svftfied herein or not, ceeda card numher
Expires
Authorized slgnalute- Date: •��' 'L'Z of cardholder as shown on c ft cte�ird--
s
Print name: c tU 1Lk," c .-1 Cardholder signatum _ - Amount
Notice:This permit application expires t a permit is not obtained within I go days eller it has leen accepted as complete. 4 kM13(6,t WOM)
i d - � ��nl
One-and Two-Family Dwelling �®
Building hermit Application Checklist Reference no.:
0tv rf hgord Cit of Ti and Associated permits:
Y g U Heclrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd.'fir+,t•d,(JR 1)'722 t U Other:
Phone: (503) 639A I71 — - - -Fax: (503) 598-1960
AME11E 1 1111M.7 :1 91AV
I Land use actions completed.Sr pini I,� i111 Llrrearl reviews.
2 Zoninq. Floud plain,solar halant c lu not,, .1 r.i;n, ,11W,do ign,tion,hworic districl,etc. - - -
-3 Veriflration of appi aved plat/lot. --—�-- — --'- -- -
4 Fire district_ _approval required.�- - ---— -- --- -- -
5 Septic system permit or authorization fur remodel. Iixislillp system capacty
1,
_ 6 Sewer permit. `-- —-_R ------ ----
7 Water district approval. ----�--_-- ---------- -� ---------
F Soils report.Must carry original applicable stamp and sipnaturc on rile of Willi application.
9 Erosion control U plan U permit required. Include drainage-waY In„lection,sill fence design and location of -
catch-basin prolectiun,etc.
10, 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and stale
building codes. Lateral design details and connections most he incorporated into rbc plans or un it separate full-siic
short attached to Ilse plans will,eros,,rrirr•nces between plan locnlion;tad dclalls. 1'1,11 Icvlew cannot he completed
_ if copyright violations cxisl. _
I I Sile/plot plan dra"n to sale.The plan n111�1 "how lot and hullllntg sel11114 dialed Dww,.I*I,ry,eriy curler elcvauous(if
Ihl Ir 1s nun Ilsut n•1 h 1 Ir,,tuuri diltrtrnlI'll,plan must show cu11tour lint';m 2-li.mwit' ;l,.r.Ilk;I111111 ill 1,I.rnu rN.al d
drivrsva�. I lulpnnl 111 ,uw ri11('(Im.lutlntll drrks):Il,c;ainn ll tvt•Ils/u•pllt'sN•,Wilts.utilt� 1111 aulnts:dnt'kUun 11011,A1ot:lilt
urea:hill hI ug cc” rage at';a:prrcenlagr Of cuveragc;nIIII(Tinus;Ire,:exislllip gIIk lures on stir.;utd sullace drainage.
12 Foundalion pian 'al( m dimensions,anchor halts.mi) hold-downy,and reinforcing pads,cun1Iecoo11(IOMIS,vent
size and loc.,tiun.
13 Floor plans.Show all dimensions,room int ntilu,lion. %%utd m,sive, locnlinn of smoke deleclors, water header.
__furnace.ventilation Eels. plumbing and decks WI nches above grade,etc._
1.1 Crost,nretlon(i)apd details.Show all frannng Incnthr wee;old spacntp such as 111017 lx anis.hradrrs, jn�tilti.,uh Iluur. --
Willi constnlclion to t, ul struction. More than one cro srclun nt:q he rcrluired lu clearly portray consuucuo11.Show
details of all h•til and rout .shealhing,ruol'ing, ruin slop 1 oiling heigltl,sidntg material.Iik1111IL5;old foundation. slilirs,
_ fireplace cunstrncti, t, Ihermal insulation,etc._
15 Elevation views. Provide clevalions for new C011',11UcII('[ ,minimum of Iwo elevations for addtions and remodels.
Exler•ior elevations must reflect the aclual gradt' it Ilic t I elate in grade is greater lhau foul loot it building envelope.
Dull-size sheel addendun,s showing foundation elevations c, th cross references are acceptable.
16 Wall bracing,tprescriptive path)and/or lateral analysis plans.Must indicate details and locations:for
nun-prescriptive palh analysis provide specificalions and calculations to engineering standards.
17 Floor/roof framing.Provide plans for all floors/roof assemblies.indicating inentber siring.spacing,and bearing
locations.Show attic ventilation.
18 Basement and retaining walls.Provide croSS SCLliorand details showing placement of rehar. f-or engineered - -
systems,ser item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets ofcalculations using curlrnl code design values for all l,cams and multiple joists
_ over 10 feel long andlor any beam/joist carrying It non-uniforin load.
2(i nl;norfactured floor/roof tress design details. -
( ' I tici j,-i, Code compliance. Identify Ulr prescriptive path or provide calculations. A gas-piping schematic is required
i• i i� m or more appliances.
22 Engineer's calculations, When required or provided.I i h•.n w;Ill.1,11 buss)shall he stamped by an engineer or
architect licensed in Oregon and shall he Shown to he apphutblr 111 the I,t item under wNlIew,
23 rive(5)site plans are required for hent I I ahuve. Site plans nne,l he H I/2" x I I"or I I x 17".
24 Two(2)sets each are requ::,:d for Items I6, 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 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 he in blue or black ink.
Red ink is reserved for department use only, aur-olid(6.attmolt)
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TYPICAL
(3 ZU5 5w VILLAGIC 6CCA1n:'
CITY OF TIGARD 2, -Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business rine; (503) 639-4171 pp
B li P
Received Date Reques ed_W_ /1__(jL2___ AM__.PM_ BUP
Location --_l�_?_ �;� _Suite_— MEC -_-
Contact Person -.. j_ir l .Lt•�--� Ph( ) i2_k2 PLM
Contractor —_- _ —_ Ph( ) _. SVVR
BUILDING Tenant/Owner - - _ _. ELC
Footing
Foundation ELC
Flg Drain ACCeSt3: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
;afr
ul ti
Drywall Nailing
Firewall
Fire Sprinkler - -
:ire Alarm
3usp'd Ceiling — --- -- - -
Roof
Other -- — -- —
Fin I
,�ZS,� PART_FAIL
PLD_MBIN_G
Post& Beam _
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shuwer Psn
Other. -- -
Final ---_-z..�.--..-
PASS PART FAIL
-------
MECHANICAL
------MECHANICAL
Post& Bei,n.�_�._
Rough-In --—_--_
Gas Line
Smoke Dampers --.�.-- -- - - --- —-- ------—
Final
PASS PART FAIL -- ---- - -- -----�. - -- ----- — - - --
ELECTRICAL
Servire
Rough-In
UG/Slab ----- - -
Low Voltage
Fire Alarm
Final Reinspection fee of$ re uired before next inspection, Pa at Cit Hall, 13125 SW Hall Blvd.
PASS PART FAIL f- � p Q p y y
SITE Please call for reinspection RE:—------- Unable to inspect--no access
Fire Supply Line _
ADA a: �C Lt
Approach/Sidewalk Daae / Inspector _ r'_ Ext _
Other:
Final E►O NOT REMOVE this Inspoctlon re–ord from the Job site.
PASS PART FAIL