Permit IR CITY OF TIGARD BUILDING PERMIT
1111
, COMMUNITY DEVELOPMENT. Permit#: BUP2021-00056
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/8/2021
Parcel: 2S108AB01300
Jurisdiction: Tigard
Site address: 15395 SW BULL MOUNTAIN RD
Project: Bull Mountain Summit Subdivision: None Lot: None
Project Description: Demo 1,924 sf dwelling on septic system. DEMO CREDITS FOR TRANSPORTATION AND PARKS APPLY
TOWARDS NEW CONSTRUCTION.
Contractor: BRIAN CLOPTON EXCAVATION INC Owner: CORTESE,VITO P& FELICITY J
P O BOX 509 11856 SW 175TH AVE
WILSONVILLE, OR 97070 BEAVERTON, OR 97007
PHONE: 503-682-0420 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 03/08/2021 $256.22
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 03/08/2021 $0.50
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 03/08/2021 $80.70
Bedrooms: 0 Bathrooms: 0
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $337.42
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: IC Permittee Signature: a1503.639.4175 by 7:00 a.m.for the next available inspection
This permit card shall be kept in a 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 L/rwiti
Residential RECEIVED FOIL()Ili( l l sr O\l.l
City of Tigard Received
gEB 16 2021 Date/By: 2/75/2/ 4 0 Permit NojOQZj,i9���j
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review (J (�1
_ Phone: 503.718.2439 Fax: 503.598 Other Permit:
Gl OF TIGARD Date/By:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for
Internet www.tigard-or.gov BUILDING DIVISION Notifed/Method:`3//, �(� Supplemental Information
6r 4rL G-i i/Tr/
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0,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.
OKI 1-and 2-family dwelling Valuation:
❑Commercial/industrial $ ` /2` 0
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builderJ
0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: /
Job site address: f i-3`j,jd j i3 t2. 4 �_ j AO a;l New dwelling area: i C; ,./ square feet
City/State/ZIP: AR 7/--. Ai'4)1 o Iz 9?2-.2..11 Garage/carport area: 6" ,' square feet
Suite/bldg./apt.no.: Aiz . Project name: s U,..L• pi,:t,,tl;rt-r•t� ;Sirjvj,✓ipel" Covered porch area: AV A. square feet
�
Cross street/directions to job site: a/ /j 5 A,. 66,6,5 Deck area: -A /4 / square feet
Other structure area: square feet
_ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 8�; f„/G, �,�-/A j T;,iy7 Y r 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
°�`S 3C equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
h e-M C 6 1'J i.Aic..- 4 C<-t , r-e fZ 11-:".i.;l Valuation: $
C• N' r?v 6,,,r-ten„) e / r-i , K/j Existing building area: square feet
.A 7 0 eit S re-n.. 77/4"/S /0,97Z/GS 4�fr y ��d fy,e 4 i- New building area: square feet
)A PROPERTY OWNER ❑ TENANT/ AjaAj
Number of stories:
Name: /. L`i`I ri-ic 2-2,dZ-7it tLGt?_ Or418-2,-(4n/ r Type of construction:
Address: Fe&G L(„ „S;. v ,00/ Occupancy groups:
City/State/ZIP: p-:>;Z ,-/-4A..J zw 172I9 _ Existing:
Phone:(5 2) 'r `>``.... 6i. Fax:( )it-//
APPLICANT
aNew:m CONTACT PERSON BUILDING PERMIT FEES*
Business name: > 'r✓ fv ,e Ribtr1: / Li� (Plreserefertofeesekedute�
Structural plan review fee(or deposit):
Contact name: 6,0 4-/ Mail/ Co 2.Tell A,l
f, j e71 FLS plan review fee(if applicable):
Address:
(fi'fr O is Lt 4, i
City/State/ZIP: 27e r 4-(-14 )A -7
12
Total fees due upon application:
19
Phone:(Vera ) 7,i/_ g 3 & I Fax::( ) J/4 Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
C(-;ltC A.
Mai /.. Cr:,1'
CO TRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: t G^`/ Submit two(2)sets of roof plan with connection details
6 �1` tft��' rt^'" and fire department access,along with the 2010 Oregon
Address: A r/ !./f 7 Solar Installation Specialty Code checklist.
City/State/ZIP: f,�t,i/,�Z �J 17��� Permit Fee(includes plan review $180.00
`'Vr�� v J and administrative fees):
Phone:(cam(? ) G'1 _U is ] Fax:( ) State surcharge(12%of permit fee): $2 1.60
CCB tic.:
,3-2 c, i/.t),_ Total fee due upon application: $201.60
Authorized signatures J This permit application expires if a permit is not obtained
C{tLIG t� /-ct trC `7t✓ within 180 days after it has been accepted as complete.
Print name: AAA,. rv/ � ` 1 Date: / *Fee methodology set by Tri-County Building Industry
��1-{,(7{i I Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4_613/T(11/02/COM/WEB)
w
City of Tigard
1 II
COMMUNITY DEVELOPMENT DEPARTMENT
R
T 1 c li D Building Permit Review — Residential
Building Permit #: ,e%/2! 2/ooS(�,
Site Address: /g s— Q (// Milin,4th one_
Project Name: lea/ /j O1As14/n -SI/mrn 19_ Lot #:
Plan rig Review
Pr osal: / PI c? eyjt�
Verify address/suite# active in Accela. n River Terr e: L✓J No E Yes,River Terrace Review Addendum
Sit Plan Elements: [1dEr.sion Control
)copies of site plan on 8-1/2"x 11"or 11 x 17"paper \V-etained trees with drip line and tree protection measures
VJ► awn to scale(standard architect or engineer scale) �► ootprint of new structure(including decks)and FFE
7,idorth arrow / tility locations&easements(required for new and additions)
e address,project or subdivision name and lot number ElSidewalk/driveway approach
1lJrl..licant information(name and phone number) &`ClLocation of wells/septic systems
1,1t4.t dimensions and building setback dimensions ❑ treet tree size,type and location
1uare footage of buildings to be demolished Stre names
sli 'sting structures on site rner elevations(2'contours if more than 4'differential)
of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes [ No
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
�` Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
DC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
gli Public Faciliti)A Improvement(PFI) Permit:
R ed: •,� Yes,applicant was notified ❑ Noplied For: Yes ❑ No,stop intake
Land Use Case#: -.DtQ2-02-0 —0 0062- 1% Zoning: --9---
ig 'equired Setbacks: Front: Rear: Side: Street Side: Garay e•
❑ Buil.ii : eight: Max.Height: Actual Height:
❑ Landscape Ar-.• % ❑ Lot Coverage Max: 0/0
Entrance ❑ Set back no .re than 8' from street-facing wall ❑ Parallel to -et or offset 45 degrees or less
Windows ❑ Minimum 12%of a , of all street-facing facades
Garage ❑ Garage door is behind wide - eet-facing wall ii Yes ❑ No,one of the following is met:
❑ Door extends no more than • wall an. . -re is a covered porch extending beyond garage.
❑ Door extends no more than 5' from c - d there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'o - s ❑ 50%or of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ■ 'ecessed entrance ❑ Wall o ❑ 1'Roof eave ❑ Roof offset
❑ Fire shin•1- ❑ Lap Siding ❑ Roof pitch ❑ Ga. , .'.,or gambrel roof ❑ Dormer
❑ Ac - siding ❑ Window trim ❑ Window recess ❑ 't•I '.w projection ❑ Balcony
❑ Visual Clea . e ❑ Urban Forestry Plan
❑ Se •; e Lands: ❑ Yes ❑ No Type:
Conditions vf t prior to is anc f buil permit
No : / r/b✓ ,I) 0v
V� Approved ByPlanning: ' :' Date �� -
rr r
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
I:\Building\Forms\BldgPennitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 2.-Ac 72-/
Site Plans: # 2---
Building Plans: #
Building Permit#: 0-Enter building permit# above.
Workflow Routing: {]-Planning { -Engineering ErPermit Coordinator - uilding
Workflow Sign-off: 'Q-Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
1'Y 7Ai,,./.._", Date: 2/ 7By Permit Technician: ..
Engineering Review
['Slope at building pad: 0"g?
12'Conditions "Met"prior to issuance of building permit r l`,
Er-Easements (encroachments) per engineering conditions of approval and plat /,z/k
Er Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er--No
Assess Water Quantity Fee in-lieu: ❑ Yes Er-No
LIDA Facility on lot: ❑ Yes ErNo
[]"Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
L1 Approved by Engineering: 7`rrti r) Date:a f t 12vz1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant: �/
SDC Exemption: Received ,L�J Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes izr N/A
Tigard Trans SDC: ❑ Yes )zr N/A
Parks SDC: ❑ Yes V N/A
LIDA ❑ Yes le N/A
.K OK to Issue Permit
Approved by Permit Coordinator: Date: 3 fv i z.n
I:\Building\Forms\BldgPermitRvw_RES_122419.docx