9496 SW SHADY PLACE f
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9496 SW Shady PI::-e
4
CITY OF 1 IGARD ----- BUILDING PERM��T
PERMIT #: E3UP2002-00015
DEVELOPMENT SERVICES DATE ISSUED: 2/6!02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S125DB-08600
SITE ADDRESS: 09496 SW Sf IADY PL
SUBD0,ISION: THE RAZBERRY PATCH ZONING: H-4.5
BLOCK: LOT: 006 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLA,LS OF WORK: REP 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: 000 sf ROOF CONST: FIRE RET?
OCCUPANC . LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BS M T?: MEZZ.?: —EF
REQD SETBACKS _ REQUIRED_
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKI-: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING-
VALUE: $ 2,495.00
Remarks: Underpin fireplace.
Owner: Contractor:
WORLEY, RONALD L + KATHERINE E LZB INC
9496 SW SHADY PL 619 SE 12TH AVENUE
TIGARD, OR 97223 PORTLAND,OR 97214
Phone: 214-305-8900 Phone: 503-235-4625
Reg#: LIC 75450
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection I
5PCT CTR 1/17/02 $5.77 27200200000 Final Inspection
PLCK CTR 1/17/02 $46.86 27200200000
PRMT CTR 1/17/02 $72.10 27200200000
Total $124.73
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 riles are set forth in OAR
952-001-0010 through OAR 952-001-1987. You me obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-8Q0-332-2344.
Pennittoe
Signature:
Issued By:
Call 639-4178 by 7 p.m.for an Inspection the next business day
l l
Building Permit Appiication Oale
City of Tigard — � l i,• /"1 errant no.: � —� .�
Address: 13125 SW Hal Blvd,'Tigard,OR�3' Proj�" pl.nod: Expire date:
CitynjTigard phone: (503) 639.4171 !;k7JltQP11 By: Receipt no..
Fax: (503) 598-1960 j(611 YMM DMSION Paymentt;pe:
Lund use app—oval: 1&2 family:Simple Complex:
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New cerosin ion U Demolition
d Addition/alteration/replacement U Tcnam improvenlent U Fire:sprinkler/alarm U Other:
Job address: C_J!e �2 PJ, _ Bldg.no._ Suite no.:
I.ot: Black: _ Su_hdivision: Tax map/tax Iot/ac.ount uu.:
Project name:
Description and location of work on premises/special conditions: k.L� A ,?_ --
OWNER J-0111 SPECIAL IINFOII�IIATJON, USE,01111ECKLIST
Name: ' ' ' tit '
Mailing address: ' 1 &2 family duelling:
City: u State: 'LIP: Valuation of work........................................ $ ��_
Phone: ti Fax: E-mail: No.of hedrooms/haths................................. --
Owner's representative: _ Total numbe►of floors.................................
Phone: — E-mail: New dwelling area(sq. ft.) ..........................
Garage/carport area(sq. ft.)......................... --
Name: Covered porch area(sq. ft.)
Mailing address: Deck area(sq. ft.) ........................................
City: _ State: ZIP:
Other structure area(sq.ft.)..... .................. _
Phone: Fax: E;-mail: ('ommerclal/inda4trlal/multi-family:
Valuation of work........................................ $--
IN
Business name: —
Existing bldg.area(sq. ft.) .................
New bldg.area(sq.ft.) ..... ... ..........
Address: Lems'_ !
Cit y. 7L�
Number of stories.......... ,:�.,•'.
.,
.
State:J?1• 7IP: A Type of construction .....•.,.,,
Phone: ^ , Faxl . Occupancy group(sf Existing:�
_
CCB no.: 1 9/;' _-- New:
Ci(y/metro lic.no.: r Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he 1h ensed in the
ere work is being performed. If the applicant v,
Address: jurisdiction wh
City: -- _ State: ZIP: exempt from licensing•the following reason applies:
Contact person: Plan no.: —
Phonc: E-mail: � � — --------
Narne: pf L) _ Contact person: Fees due upon application ........................... $
Address: i cJUful Date received:
City: ( S1ate ZIP: q 7 Z/7- Amount received .......... ...................I.......... $
Phone: Fax: 10-1 7471 I E-mail: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cams,please call jurisdiction lot tnoa infnrmatian.
attached checklist. All provisions of laws and ordinances governing this U Visn U h1asteWard
work will he complied with,whet) r specifieO Perein or not. credit card nundwi ---------__..__.—.
s� Expires
Authorized signature:_ LGA` '_— Date: Nome nl cardholder u shown on credit card
$
Print name:. — P/. Z rJ Nrl t((14 f —— � cardholder sipm ae
._ Amour,:
Notice:'this permit application expires if apermit is not obtained within 190 days after it has been accepted as complete. am-4611 tdSYMM)
�n Oije-a-id Two-Family Dwelling
Building Permit Application Cheek list Reference no.: _—
a Associated permits:
01v"/s'par`s City oil 1'_
T gard U Flectrical U Plumbing U Mechanical
Address: 13125 SW Nall Blvd,Tigard,OR 97223 U Other:
Phone: (503) 639-4171
Fax: (503) 598-1960
1111 It"FO "JINO ITEMS ARE REQUr FOR FiLAN REVIEW es No NIA
I Land use actions completed.Sec,lunsdlction criteria lur concurrent review~. _
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 Solis report.Must carry original applicable stamp and signature on file or with application. _
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-hasin protection,etc.
10 3 Complete sets of legible plans.Must he drawn to sc le,showing conformance to applicable local and state
building codes. Lateral design(lrtails and connections must he incorporated into the plans or on it separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed
if copyright violations exist.
1 I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
there is more than a 4-Il.elevation differential,plan must show contour lines at 2-ft,intervals):location of easements and
driveway;footprint of structure(includiug 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-clowns and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window sire,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-Iloo)r,
wall construction,roof construction. More than one cross section may he required to clearly portray construction.Show
details of all wall and mol sheathing,reciting,roof slope,ceiling height,siding material,footings and fouadation,stairs.
Fire face 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 asscmblies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
I R Basement and retaining walls.Provide cross sections anti details showing placement of rebar. For engineered
systems,see iiern 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 de-tgn 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 in engineer or
architect licensed in Orcgon and hall h, 1t,he;,lipucahlr to the project under review,
23 Five(5)site plans are required for Item 1 I above. Site plans must he R-1/2"x I I"or l I"x 17".
24 Two(2)sets each are required for Items 16, 19,20&22 above. _
25 Building plan.,.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 c►engineer scale.
28 Site plan must include street tree sire,type&location per City of Tigard Street Tree hist booklet.
Checklist must be completed before plan review star date. Minor chant cs or notes on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 4404614((&WCOM)
JAN--16-02 WED 02:26 PM P. 06
LaVIELLE GEOTECHNICAL P.C. 2313 NEAlaiaeda
Portland, Oregon 97711
(S0?)287 0511.Far 28 2-76 71
January 16, 2(Y)2 Our ref- 02.7445.055
1.7.14 Jnr.
619 SE 12" Street
Portland, Oregon 97214
tgpggn: Lee 7.umwalt
RE: G UTECHNICAL EVALUATION
CIIIMNEY SETTLEMENT
9496 SW SHADY PLACE
TIGARD, 0R1r.GON
Dear Mr Zumwalt'
We are pleased to present the results of our geotechnical evaluation of the
settlement of the chimney at 9496 SW Shady Place, in Tigard, Oregon. We have
proceeded with our report based on your verbal authorization.
The soil ut the area of the chimney is a.Clayey Silt with some gravel that is pat t of
the Pleistocene Flood depnaitc The Oregon Department of Geology and Mmeral
Industries (DOGAMI)have mapped the area. The geology is presented on the
DOGAMI publication Open Flic 0-90-2 Earthquake Hazard Geology Map of the
Portland Metropohtan Area, Otegon. Groundwater is expected to be at a dppih of
15 feet or more.
Geotechnical Engineering Conclusions and Rft-oin tendations
We recommend the chimney f6tindations be underpinned to support vertical loads.
These and other related points are discussed in more detail ut the f( 'low-rr,
paragraphs.
RECE11/9D
Cv�'�I
Crrd OF TIGARr) Q j I. f�P CIU
Approved 8WD At j
For only the work as described in. �G�1V1S1!'ir
PERMIT NO..agj4jj, vlr.
Job Address: yg� SV�!f�dy
JAW-16-02 WED 02:26 Pit P. 07
January 16,240). 2 02-1445065
Underpinrun_�T)es�
We recommen,i the existing, chimney foundation be underpinned with A. B.
Chance helical soil ancF yrs or an equivalent method. The underpinning;anchors
shall be capable of achieving the embedment depths and capacity limitHtionc
prr;ented below.
Bearing Material: Medium Stiff, Clayev Silt
Minimum Tip Embedment- 10 Il below base of due footing,
Maxximurn Tip Embedment 20 feet below the base of the
footing or as approved by the
geotechnical cnginecr.
Anchor Ultimate Capacity: 20 kips for Anchors
Anchor Proof Testing: 100 Percent of Design Load
Note. Undcr,, Ui tnsng authors shall be installed according to manufacturers
published recommendations.
Anchor Proof Testing Procedure
All of the anchors and should be proof tested 'I'Ite proof testing shall consist of
loading the each anchor in 5 equal increments to 1000/of the d?sign load The
I Of)%loud should be held for 10 minutes. Ifthe anchor movement between I and
10 minutes is less than 0.1 inches the anchor is acceptable. If the anchut a., -es
more than 0.1 inches the anchor should deepened and retesmu' ok—:fined and a
new, redesigned, replacement anchor installed.
Closure
This report has peen prepared exclusively for the use of LZB Inc for specific
application to phis project. This exploration wis performed in gencral accordance
with locally accepted geotechnical engineering practice to provide infotri9*fon for
the area explored. We are available to discuss any questions you may have
F
concerning this report.
Sincerely,
La HELI LE GEOTECHNICAL, P.0 Cram, La`Vielle, P.F, Principal
3-27-94 *'
C. L A
JAN-16-02 WED 02:27 Ph P. 10
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LaVIELLE GEOTECHNICAL,P.C. 02-1445.065
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JAN-16-02 WED 02:26 PM P. 08
lams' 16,2)02 3 02-1445.065
LaV1ELLE GEOTECHNICAL, AC 2313 NEAlmnedo
Portlmd Oo"on 97212
(303)287-051/,FAX 2132-7671
9496 SW Shady Place Chimney Underpinning:
A.B. Chance Helical Anchors
Total Axial Load
Chimney 20(150x5.5°)2 � 33,000 4
2. Helical Anchors at locations shown on sketch = 15,000#/anchor
Install 8" & 10" Helical Anchors(C-150-006)
Minimum embedment of 10 feet,
January 16, 2002 LaVielle Geotechnical, P.C. report.
Load test to 15 kips or load required to lift footing which ever is lower, Lock off
anchor with a load of 15 kips or load required to lift footing which ever is lower
after load test.
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CITY OF TIGA,RD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
.- 11 B U P
Received _ Date Requested____ - __ AMS S PM SUP -
Location _�L1 __.__ Suite __ MEC
Contact Person _— -_--.__-- s_-- Ph(__- -_ _) _1-1--5 ' PLM
Contractor _ - ___-' _ Ph(_. _ ) --- __ - SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain �-✓� Ij `'+� --�`"' ELI; _
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam _ - 1
Shear Anchors
Ext Sheath/Shear
Int Shuath/Shear �{ .�-
Framing A4 r-
Insulation -�
Drywall Nailing — - -- --- - - - - -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling --- --
Roof
Other:_ f
in l
A PART FAIL --
AV
_ 1
Post& Beam
Under Slab -
Rough-In
Water Service ---- ---------___T__ _- --
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: - - --
Final - -- --------
PASS PART FAIL - -
MECHANICAL - — _-
Post&Beam
Rough-In —---
Gas Lino
Smoke Dampers
Final
PASS PART FAIL —- — — -
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage --- - - --._�— _-----.�.__..------
Fire Alarm
Final C 1 Reinspection fee of$._._.-.___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reinspection RE:--------- F� Unable to inspect-no access
Fire Supply Line _
ADA �// �-
Approach/Sidewalk Da#Dot"
Other
Final DO NOT REMOVE this Inspection record from the Job siva,
PASS PART FAIL