Permit : 'r ` a CITY OF TIGARD BUILDING PERMIT
t COMMUNITY DEVELOPMENT
Permit #: BUP2010 -00050
Date Issued: 03/30/2010
T 1 GAR0 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 105DD01400
Jurisdiction: Tigard
Site address: 14895 SW SUNRISE LN
Subdivision: Lot: 0
Project: Sunrise Lane
Project Description: Demo 1,120 sq ft house. On septic. UPON FINAL, SDC CREDITS AVAILABLE FOR FUTURE
CONSTRUCTION.
Owner: FEES
SRL 79 LLC Description Date Amount
2694 COUER D'ALENE DR Permit Fee - Additions, Alterations, 03/30/2010 $63.44
WEST LINN, OR 97068 Demolition
PHONE: 503- 657 -3402 Erosion Control 03/30/2010 $26.00
Erosion Plan Review CWS 03/30/2010 $8.45
Erosion Plan Review COT 03/30/2010 $8.45
Contractor:
BRIAN CLOPTON EXCAVATION INC
P 0 BOX 509
WILSONVILLE, OR 97070
PHONE: 503- 682 -0420
FAX:
Specifics:
Type of Use: SF
Class of Work: DEM
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $106.34
Required: Required Items and Reports (Conditions)
1 BUP Ersn Cntrl 681 -4444
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 / . II 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 e ded foir ore the 180
days. ATT : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule re set f rth in '/AR
952 -00 -0010 throug OAR 95 1 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .246.6699 r 1.8' 0 .332.2344.
Issue y: Permittee Signature:
•
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completin •f the project.
Approved plans are required on the job site at the time of each inspec on.
Building Permit Application
. . .
Re RECEIVE ' Received Brffillelas
FOR OEFE USE ONLY
City of Tigard Permit No.: , A
frig, Ai li t yBirj 1211 . /le .....0
4 13125 SW Hall Blvd., Tigard, OR 97223
III MAR 1 2 2011 Date/Bv: ,
Plan Review
: I . Phone: 503.639.4171 Fax: 503.598.1960 Date/13 : Other Permit:
-
G A RD Inspection Line: 503.639.4175 .... , • r pate Ready/By: Juris: 0 See Page 2 for
T I
• ' . • Internet: www.tigard-or.gov CITY OF 'fib A 5 -Notified/Method: Supplemental Information
BUILDING DIVIS • 0 ,
:N* ;'''.'":.' !. ;--''',' '''': `;• :-. 'TYPE OF SVORIC.''' : - - " Y. . ;7 '"' L ' .'.:REQUIRED :6A+Ai':i=:.;ksiii24
0 New construction %Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
Crediiiii
l ioi ., ' CONSTRUCTION work indicated on this application.
. , . . - 1 ; , i . ,.:. :)fl'. ;,......
Valuation: S 80C)
0 1- and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family
bathrooms:
ID Master builder 0 Other: Number of
•:''.' 1::,•-: Z'l'.- -C r '• ,••••,‘ 30B ;,-,, Total number of floors:
Job site address: 14915 SW Sut.w.Ase LANE. New dwelling area: square feet
City/State/ZIP: 1161c4-0, oil._ Gin 2-7-2. Garage/carport area: square feet
Suite/bIdglapt. no.: Project name: 5...44,24sa Lert4e. 5.4,, . Covered porch area: square feet
Cross street/directions to job site: 150 Amp SuNg4Se LANE i Al 01Z-T* Deck area: square feet
c i: Enn.4.. ' ricrAIN Other structure area: square feet
F.W4r.)1.411EFIDATA:JCOMNIEKII...,:=VSKCHECILIgo
Subdivision: SOMIZASE. LINE. Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: T L 1400 02S ol* o5 equipment, materials, labor, overhead, and the profit for the
,Iiiiisthiliiiiiiisi i t) #.iotik,n4::::,,..;:.,,,,;,'.: 7 -V ,..,.: work indicated on this application.
2 ; - •;s , ..., . :: _i., ,.,,,., :Y..... : .• , '
V A
Valuation: S
berACUS1f e( 1ST it.)Ck 140MES &NO NN•4 04r ESk3i UN 1/46NS %
- TVF -ctse
Existing building area: square feet
kg. T ex.e-p.
New building area: square feet
Egl *ilii0iiiiioiliNEk7 ':'‘nf-' Number of stories:
% 1 . ' . '''' "- "- .. ' .' -.' , ' - • .,' - ...V '' '' ' ' '- '' . `., ..-, • -,: 1 - tt, ' ,'„„;,,,:„
Name: 4 P L —11 LLL Type of construction:
... t-
Address: 2 Co R_ bsA NZ- . Occupancy groups:
City/State/ZIP: )esi- 1,„1" O (7- C1106,8 Existing:
Phone: ( CAS ) 661 -1402,, Fax: ( ) New
gt../A A PPLICANT =':L".. '-:4.,n'i'M si i''Ciiii'zA&(i;,ii,kii■il c'-- : -.,,:-.,,-,,,, -);.,,-,;:-..--, ... , -2,- ,
:.,. :.. r. ... ! ..., I .0 V',7':,,:th, 't4''" NOPCE.1
Business name: J Si rrtf- Co . All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: JOON) LJyt..67413 under ORS 701 and may be required to be licensed in the
Address: z614 c btA hg, , jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: w (,,,,,,,,, oft_ 110‘,0 apply:
Phone: (03) 7j%-9 Fax: : (GZ)5 ) £/7-
E-mail: j wyt..4140 e.. jr.smaif-co. cowl
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4
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Business name: 5 C excpteriva.‘ :'t.,7,f':,;:e.;''..".,:":"t7.7.13,U,11.1:111NGPERIVI1TfEES'".4).-.,,":,.:::‘,3':-:::';';:.
Address:
...-•..2.; :-.•.I(Please:rejeiioieisehedule)..' .,' - ':4'" = ''',' - ! - q - ';
Po sx 50i
Structural plan review fee (or deposit):
City/State/ZIP: col % LA-si og 9-70•0
f FLS plan review fee (if applicable):
Phone: (60 ) (432.,- 042,.0 Fax: ( )
r
CCB lic.:
Total fees due upon application: 4/Oe •:
6
Amount received:
Authorized signature: (2
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J0IN WyLA Date: lit 1 1 zoio * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-RES PermitApp.doc 10/01/09 440-461 3T( I I/02/COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR, Of F•ICH USE -opt ti —
City of Tigard Received Permit No.:
d 13125 SW Hall Blvd., Tigard, OR 97223 ssociat
A
Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
1IGi�Rf�;
Internet: www.tigard-or.gov ❑ Other
THE FOLI O�VINCITEi�[S ARE: REQUIRED;.`. FORI'LAN'_REVIEW '
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application- ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit 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 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 ❑ ❑ ❑
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, • • ❑ ❑ ❑
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 beas, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be may m
equired 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. ❑ ❑ ❑
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 assemblies, indicating member sizing, spacing; and bearing , ; ❑ ❑ ❑
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 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 design 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 an engineer or ❑ ❑ ❑
architect licensed in Ore•on and shall be shown to be as .licable to the .ro•ect under review-
JURISDIC['IONAL SPECIFICS '
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" z 17 ❑ ' ❑ ' ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above- ❑ ❑ ❑
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- ❑ , ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ - ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable) ;_and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines; ❑ ❑ ❑
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, ❑ ❑ ❑
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\BL''P- RES- PcrmitApp.doc 03/21/06 440= 4613T(II /02 /COM/WEB) '