Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00052
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/14/2020
Parcel: 1 S 133DC00400
Jurisdiction: Tigard
Site address: 11640 SW 135TH AVE
Project: Donna Park Subdivision: ASH VALLEY TRACT Lot: 6
Project Description: Demolition of a 2,350 sq.ft.house on septic and a 500 sq.ft.garage. Septic tank to be pumped and filled. UPON
FINAL INSPECTION SDC FEES WILL APPLY.
Contractor: SCOTTCO BUILDING &DESIGN INC Owner: SCOTTCO BUILDING & DESIGN INC
13467 SW LAURMONT CT 11640 SW 135TH AVE
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-407-3731 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM T Permit Fee-Additions,Alterations, 07/13/2020
ype of Const: Demolition $149.75
Occupancy Grp: Occupancy Load:
Erosion Control w/Development 07/13/2020 $80.70
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 07/13/2020 $1.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $231.45
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503 639 4175
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
-���—ea.d___i Permittee Signature: 0/7 /���7`7
/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept Ina conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR oFnci: t SE 01'1.\
City of Tigard Received /j'��!y,
• 13125 SW Hall Blvd.,Tigard,OR 972 EC E IV E CG Date/By: ��a5ya. J � Permit No.:gilt JL'rji. i.C-C.l
Plan Review ////
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ,i/ Other Permit:
1 1 t ,\I.I1 Inspection Line: 503.639.4175 FEB 1 8 2020 Date Ready/By: HISee Page 2 for
Internet: www.tlgafd-or.gov Notified/Method: 2/ e-
lu s: I Supplemental Information
OITY OF TIGARD 3 �'
TYPE OF WLDINU DIVISION 6
REQUIRE DATA:1-AND 2-FAMILY DWELLING
0 New construction A Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
�'El 1-and 2-family dwelling ElCommercial/industrial Valuation: $ �( `�C7
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 116 Sk) `s'i", . New dwelling area: square feet
City/State/ZIP: 77,y J ( girl rl. Garage/carport area: square feet
Suite/b►dg./apt.no.: r Project name: „�� /�
��Y" , Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
I`3.- ° `' 6 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
TT-pfo f,0-1 `�'1 1'�u� A- 6-pt i Valuation: $
--‘0*/ iFf '-�( Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: `3
*P7...../....-ac4
Name: 11-
Type of construction: o�T +(to .
Address: � YL9Q1C--
Occupancy groups:
City/State/ZIP: 410 lit f-f on 11'7645 Existing:
Phone'' 13) A g '7 '2�l Z, Fax:( )
' / C New:
i APPLICANT } n 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: r ���� / /; (L. �, 7r� (Please refer to fee schedule
Contact name:
(7j C rd od1- I Structural plan review fee(or deposit): 1
Address: /'�,g„� FLS plan review fee(if applicable):
City/State/ZIP: I 1 Total fees due upon application:
Phone:( ) 7in--ko Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: S"Co _- C 0 ,t.s/lftT Submit two(2)sets of roof plan with connection details
Address: /3!,� r and fire department access,along with the 2010 Oregon
1�GG2 Aica,v r �. / Solar Installation Specialty Code checklist.
City/State/ZIP: //� t , � _ r. 7 �oti3 Permit Fee(includes plan review $180.00
Phone:($p,') 1(0 _ 372/ Fax:( ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lic.: L` / -S(.r09�CO e, httfr/Cl/ •}> e de l'/;'��
` r / I U �, i Total fee due upon application: $201.60
, ,...,/,,„h
Authoriz sigA
�i-�{-i- ,� a' „Cites/permit application expires if a permit is not obtained
GCJ(,( // _�` within 180 days after it has been accepted as complete.
Print name: / Date:/— /8 Z1 *Fee methodology set by Tri-County Building Industry
v Service Board.
I:\Building\P 'ts\BUP-• .PetmitApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB)
.
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of TigardIN Receised
Permit No.:
Dat• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical El Plumbing ❑ Mechanical
t I G A R U Internet: www.tigard-or.gov El Other:
TILE FOLLOWING FFF\IS .ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 ❑
6 Sewer permit. ❑ 0 ❑
7 Water district approval. 0 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ ❑
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 ❑ 0 ❑
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, 0 ❑ ❑
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- 0 ❑ ❑
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. 0 0 0
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- ❑ 0 ❑
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 0 ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 ❑
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 ❑ 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
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 0 0 ❑
architect licensed in Ore:on and shall be shown to be applicable to the .ro'ect under review.
.ICRISDiC1'IONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, El ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9,1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
111/1
T 1 G A R D Building Permit Review — Residential
Building Permit #: ell>D?Cige—r x 0sol
Site Address: 11 (p 4 0 s vV I '3 S -in at Vo,
Project Name: tO l() n of Poi rk D e f Q 2Uy 1 i -f- Lot #:
Planning Review
Proposal: >&1Q ..e(m t,i-
Verify address/suite#active in Accela. 0 In River Terrace: V No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: 2rosion Control
,3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper , Retained trees with drip line and tree protection measures
4Drawn to scale (standard architect or engineer scale) ❑Footp.int of new structure(including decks)and FFE
,..�(North arrow �FUtility locations&easements(required for new and additions)
JCJ Site address,project or subdivision name and lot number 7_lSidewalk/driveway approach
/Applicant information(name and phone number) Bloeation of wells/septic systems
DInot dimensions and building setback dimensions .Street tree size,type and location
f2quare footage of buildings to be demolished B^stITet names
XExisting structures on site DC-or., elevations(2'contours if more than 4'differential)
$bet:-area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? o QV//1
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑�o
,i Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
ater eter Fixture Unit Worksheet-Additions,Remodels and ADUs
N./A- Required: 0 Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
Et—S15-C—Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
0 Public Facilities Improvement(PH) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: X Yes 0 No,stop intake
Land Use Case#: S V(3 W j°) O(oC)U t ❑ Zoning:
Required S •
Front: Rear: Side: Street Side: Garage:
Building Height: x. • Actual Height:
Landscape Area: % 0 Lot Coverage Max:
Entrance ❑ Set ba o more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows um 12%of area of all street-facing facades
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
pf ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
r v(J 1� ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2"floor.
ff ❑ Garage door width is 0 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following:
❑ Covered porch 0 Recessed entrance ❑ Wall offset 0 1'Roof eave 0 Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
isual Clearance 0 Urban Forestry Plan
Sens' ' Lands: ❑ Yes ❑ No Type:
❑ Conditions met prior to issuance of building permit
Notes:
❑ Approved By Planning: /i ce^ V`f,:_ 2-1 / S/ZO
Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw RES 122419.docx
m.
Building Permit Submittal
Original Submittal Date: Hi 06
6
Site Plans: # �
Building Plans: # ;-
Building Permit#: nter building permit!##above.
Workflow Routing: arming LrJ%Enguieering ermit Coordinator 0 Building
Workflow Sign-off: [�D.- �' off for Planning(include notes from planning review)
Route Application Documents: g. ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
or_i.ginal plan review routing form.
tr {�'Suilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / /1-.4J at) i
By Permit Technician: _— Date: ,/)3 �
ti Engineering Review /
0 Slope at building pad:
❑ Conditions"Met"prior to issuance of building permit
0 Easements (encroachments)per engineering conditions of approval and plat
t ❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: ❑ Yes 0 No
O Final Plat Recorded:
O NOT Approved by Engineering: Date:
il, Notes:
a Approved by Engineering: 7i-Y-4.1 r}.1--v-7 Date: Z/z!r /?o2O
` Revisions (after Building Submittal only) / Reviewer Date
Revision 1: 0 Approved 0 Not Approved
. i Revision 2: 0 Approved ❑ Not Approved
Z.
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: /Pm ur e /zetpl,r 1,40 e!a►ufii
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant
Revision Notice 2: Date Sent to Applicant:
❑ SDC Exemption: 0 Received 0 Does not apply
IiirSDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes IIV�,/N/A
Tigard Trans SDC: 0 Yes LT /A
Parks SDC: 0 Yes Z/N/A
LIDA 0 Yes t7( N/A
OK to Issue Permit �j/� 0-Approved by Permit Coordinator: /��/I Date:�/
L:\Building\Forms\BldgPemiltRvw_RES_122419.docx
Albert Shields
From: Albert Shields
Sent: Wednesday, February 26, 2020 6:35 PM
To: Monica Bilodeau
Subject: BUP2020-00052, Donna Park demo BUP2020-00052
Monica, I was about to approve and release this demo permit when I realized that there is no indication of tree
protection on the site plan but Condition#1 for SUB2019-00001 calls for it.
Are they clear-cutting this parcel and therefore need no tree protection or do they need to add it?
If they need to add it I'll be happy to get back to them. If not,just return this folder to me and I'll complete approving it.
Thanks,Albert.
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