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7545 SW HERMOSO WY
CITY O F TIGARD BUILDING PERMIT
PERMIT#: BUP2003-00673
DEVELOPMENT SERVIGEE DATE ISSUED: 11/9/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCL 2S101AB-01501
SITE ADDFESS: p7.643SW HERMOSO WAY 7 S_qS AlJl/ cLs,D
SUBDIVISION: HERMOSO ARK ZONING: MUE
BLOCK LOT: 021 JURISDICTION: TIG _
REISSUE=: _ FLOOR AREAS EXTERIOR',JALL CONSTRUCTION _
CLASS OF WORK: ULM FIRS i sf N_ S: E: W:
TYNE OF USE: SF SECOND: Sf _ PROJECT OPENINGS? _
TYPE OF CONST: sf N: _____ S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT. sf AREA SEP RATED:
STOR: HT: ft GARAGE: sf OC;U SEP. RATED:
BSf.1T','. MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: _ vft FIR SPKL: _ SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACI;:
BEDRMS: BATHS: IMP SURFACE- PRO CORR: PARKING:
VALUE:
Remarks: Demolition of existing 25300 sq ft residence. All debris to be removed. Septic system to be removed or pumped,
filled and inspected.
Owner: Contractor:
JOENS,JOHN D MARJORIE A GRAY PURCELL INC.
7545 SW HERMOSO WAY PO BOX 23516
TIGARD, OR 97223 TIGARD, OR 97281-3516
Phone:
Phone: 503-639-6127
Reg #: LI;. 79018
i FEES _ REQUIRED INSPECTIONS _
Description Date Amount Erosion Control Insp 846-8 s � 1
III'ILDI Permit Fcc 12/9/03 $62.50 Sewer Insp
I AXI 81YO State Surcharl 12/9/03 $5.00 Final Inspection
FlUIRMT] Erosion 12/9/03 $26.00
[ERI'I.N] Ero I Ick-USA 12/9/03 $8.45
(additional fees not listed here)
Total $110.40
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 worts 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By:
Permittee q
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
Quildin I Permit ADDlication
-- - Receives O Building q
Date;B �jZ 7 D Permit N9aa1 n__t, �J
City of Tigard Planning A rov 1 Other
Date/By: Permit No...5 Ro?00
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/B : Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 '�?� Post-Review Land Use
Date/B : Case No.
Internet: www.ci.tigard.or.us Contact Juns.: 1 0 See Iluge 2 for
24-hour Inspection Request: 503-639-4175 NameiMelhod: Su Iemental Information
fF TYPE OF WO R'i.� REQUIRED DATA: 1
New construction _- emolition I &Z FAMILY DWELLING
Addition/alteration/re lacemeri �— -
CATEGORY OF CONSTRUCTION Note: Permit tecs•are based on the total value of the work performed. h:dile
1 & 2-Family dwelling ❑Commercial/Industrial the value(roundel t c nearest dollar)of all equipment,materials,labor,
overhead and profit fo the work indicated on this application.
AccessoryBuildin _SMulti-Family
Master Builder Other: Valuatic i.
.......... .... S
JOB SITE INFORMATION and LOCATION No.of tearooms: f bat �r- _
Job site address: �^''*j'� 5 U n,,,r i„t Total number of floors............... .... .............
New dwellirg arca(sq. ft. .......................
Suite#: ��Bldg./Apt.#: _
Garage/carport area( .)... ........................
Project Name: 1111h Ilm-An 9',W ioE 4-taarA Covered porch ar sq. 11.)........................ .. -
Cross street/Directions to job site: Deck area(sq. .)... ............ ....................
Other structure area(sq. ft.)...........................
REQUIRED DATA: —
COMMERCIAL-USE CHECKLIST
Subdivision: Hrrihijo PcrIL Lot#: .1 -- - - —
Tax map/parcel#: ^
10 f A -1$y( Note: Permit roes*are h sed on the wtal value of'he work performed. Indicai,
DESCRIPTION OF WORK the value(rounded to the crest dollar)of all equips•nt.trAicnals,labor,
overhead am'profit for the w k indicated on this r.ppliagfion.
<'x� •r►n { n�u��n:t Valuation.. ...... ......
Existing buildin;;arca(sq. fl.t....... ......: ...... —_-
--- - New buil Jing an•a(sq. fl.)..... .. ........ _
Number of stories... ................. ......
PROPERTY OWNER TENANT Type of construction_... —........... .................
Name: I�.�� LLQ _ Occupancy group.(ss�- Existing: — —
Address: y.��s Sv I�AG►(i� µu y New: _
Cit /State/Zi 71 r.l oil u -- "—
Phone:
City/state/Zip:
3 : � Fax: r, NOTICE: A!i contractors and subcontractors are required to be
0 SU3 '(3 `J v3 license'!with the Oregon Construction Contractors Boare Bader
APPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: _ jurisdiction where work is being performed. If the applicant is exempt
Contact Name: /'c R✓ /}n}�J _ from licensing,the following reason applies:
Address: J t1 ty91 NE HW j, ,4 y -
City/State/Zip: k w „ -----------
Phone: `,,u.3 2 Fax: 3067 —
--
E-mail: BUILDING: PERMIT FEES*
ra`.r4 e5 f.1r 5 lit!i Zen.Aja l- Please refer to fee schedule.
_ CONN TRACTOR
Business Name:
Fees due upon application..............................
Address: {. 0 Pox 1 S 1(" -i
City/State/Zip: �.�,�IM,,� OQ .27)91-3716 Amount received............................... ............ _-
Phone: sj - 19- 127 Fax: ,u3_ 6jg_6131)
Date received:
CCB Lic. #: 7 _
Authorized
Signaturea _— Notice: Thl+permit application expires If a permit is not obtained within
/:�� Date: 11Pt3 180 days after It has been accepted as complete.
---•-1�.s1.1� 1�--��— -
'Fee methodniop,y set by Trl-County Building Induitry Service Board.
(Please print name)
i'0sts`,Permrt Forms Bldgl etmitApp.doc 01/03
One- and Two-Family Dwelling
Building Permit Application_ Checklist Relcrenceno..
oj?igard Associated permits:
Cory
City of Tigard _1 Electrical U Plumbing C Mech,nical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 UOther:
Phone: (503) 639-4171
Fax: (503) 598-1960
R*FQVIIRFDY
I Laney use actions completed.See junsdirtion criteria for concurrent revir S. _
2 Zoning.Flood plain,solar balance points,seismic soils designation histo nci., i
3 Verification of approved platnot.
4 Fire district approval required.
5 Septic sys°em permit or authorization for remodel.Existing systrm capacity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stamp and signature on file or wall application.
9 Erosion control U plan U Ixrma 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 tjetails 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 he coinplet..d
if copyright violations exist.
I I tiitelpiot plan drawn to scale.The plan must show lot and building sethack dimensions:property comer elevations(if
there is more than a 4-11.elevation differential,plan must show contour lino.of 2-11.inter abo:locati-)n of easements and
driveway;footprint of struci ire(including decks);location of wells/septic ss litems:utiliIN locations;direction it dicator;lot
area;building coverage area percentage of coverage;impervious area:existing structures on site;and surface drainage.
1' Foundation plan.Show din,^nsions,anchor bolts,any hold-Jowns and reinforcing pads,connection details, vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,locatio -of vmoke 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 he required to clearly portray constructiun.Show
details of all wall and roof sheathing,roofing,mcri'slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views. Provide elevations for view conshuction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is treater than four foot at building envelope.
Full-size sheet addendums showing''oundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Moist incdcMe details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing.Provide plans for all floorsh of assemblies.indicating member sizing,spacing,and hearing
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 calcilations using currant 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 requites
for four or more appliances. _
22 Engineer's calculations.When required or provided.(i.e..shear wall,roof truss)shall he stamped)y an engineer or i
architect licensed in Oregon and shall he shown to be applicable io the project under review.
23 Five(5)site plans are required for Item i I above. Site plans must be 8.1/2"x i I"or I I" x 17".
24 Two(2)sets each are required for hems 16, 19.20& _'2 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&S-stem 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 he completed before plan review start date. Minor changes or notes on submitted plans ma} be in blue or black ink.
Red ink is reserved for department use only. "1.4614 W101'oMr
c
CITY OF TIG ARD 24-Hour
BUILDING Inspection Lir -4175
MST _
IASPECTION DN"SION Business Line: 171 -- ,
SUP
Received —_ ___ - _ �P& Requested-- -- Am y PM BUP
Location —� __1✓__—_—___LYxA— Suite MEC
Contact Person �_— — _____. Ph(--) —__ PLM
Contract o�_— _ Ph( ! _ SWR
iL 1[ g
Tenant/Owner ELC --_-- --------
hg __
-- -
Foundation ACC@S5: EL.0
Ftg Drain ELH --- - --- -- -
Crawl Drain --.__--
Slab Inspection Notes: SIT --_- - --
post&Beam
Shear Anchors -
Ext Sheath/Shearer L
Int Sheath/Shear _
Framing -
nculation - -
L rywall Nailing ----_ ---
Firewall - 1N: 'vV� . ✓ ..� /�,� J�
Fire Sprinkler — -- �.�.^""•, ` _ /'T
Fire Alarm _ _ --vVl C�7 �~ �►' ±::2
Susp'd Ceiling _ ----
Roof
Final
PAS FAIL ----- --
P _
Tif-ost& Beam
Under Slab T" / l L� `] J di
Se Rough4- t „/U �� At -
Water SService t L Wc L L _
Sanitary Sewer
Rain Drains Oo Q /?7 X- r>A,4-7
Catch Basin/Manhole C j NC- 14c\-e- / y"j
Storm Drain /
Shower Pan _ ��L f J sc ��C� • �7 7 Q (v p
Other:- -----
Final
PASS _PART FAIL -
MECHAN_ICAL
Post& Beam
Rough-In —
Gas Line
Smoke Dampers -- --
Final
PASS PART FAIL -- — - — —
ELECTR_ICAL
Service
Rough-In
UG/Sleh
Low Valtage
Fire Alarm
Final Reinspection fee of$ _—_—required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE �— [� Please call for reinspection RE: _ — Unable to Inspect-no access
Fire Supply Line 'kADA
Approach/Sidewalk Date _v.0 _ Inspector 11 -- Ext -_-
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL