Permit r R 'n CITY OF TIGARD
BUILDING PERMIT
's w C COMMUNITY DEVELOPMENT Permit #: BUP2010 -00049
Date Issued: 03/30/2010
T[GAR0 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S105DD01300
Jurisdiction: Tigard
Site address: 14885 SW SUNRISE LN
Subdivision: Lot: 0
Project: Sunrise Lane
Project Description: Demo 2,712 sq ft house and 1200 sq ft outbuilding. 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 $77.00
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: $1,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $119.90
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 ap•I • ble 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 •spen• -d fo, ore the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule -re set to, h i /
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503 46.6699 0 1.: :0.332.2344.
Issued By. Permittee Signature: /
Call 503.639.4175 by 7:00 a.m. for an inspection that business'
This permit card shall be kept in a conspicuous place on the job site until completio • f the project.
Approved plans are required on the job site at the time of each ins!) ...on.
i
Building Permit Application -t- ■
a iv, d • i *
Residential IP 1 . F OR 011 ICI USE ONI - • :
. . I , i CEIVED ' ' - . ..- • - - - ' ,-.''''' ' .
.......... City of Tigard Received g
';., .: - , Tigard, ' q 13125 SW Hall Blvd. Tigard OR 97223
II Date/Bv: t....) IP" to 114111M Permit No.: ... ,R Ono . .P
.:-:, 2 . Ph MAR 1 010 2 2 PplaatneiBRevview
P hone: 503.639.4171 Fax: 503.598.1960
Other Permit:
- / ' A it 8 Inspection Line: 503.639.4175 Date Ready/By: Ju_ 53 See Page 2 for
_'. i • ' •': Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: - 7/ O. Supplemental Information
BUILDING DIVISION
IiiE.(ik ,:':',•:Aiktjuliiiiiimui 1 - Alii=yAiii I 6i,(DWELLI T:A
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
,,,•,,•..-:',.',‘,„, , - '', ., ' •;'•:,, ,' . -'- •• • ' ''' 4 • '" .`•‘ work indicated on this application.
,,-; . ,:., ,,; :: ; ;, .,;...,CATEGORY,..?0F.CONSTRUCTIONA,r,-,;,-,;i.:g,,if,wp;
Valuation: S I 8
0 I- and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
'.-!:*''''''''''': ."-' • ''''''''''- JoB'SliilSiiiiiinAiiiiisirXSIOiciaiiii, ;
rg v';-'!'''-:'''''''l Total number of floors:
g t:51.' , ":, ; ' f, •." : -', i ',. .: ,,•:, . •,f 5 .-,`:, ;: •., : ..: ..,!.,:..!: - 1",
Job site address: leie sw Sow It4S' Likr4E.. New dwelling area: square feet
City/State/ZIP: - rto,Alit. , ott_ cin 22.. Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: Sora LANE. S %..) IL . Covered porch area: square feet
Cross street/directions to job site: I A.N0 5,40.4‘e LANE i /4o Deck area: square feet
c IStn..t.. MTN. 1 Other structure area: square feet
, q()!.:IiftED 0ATA:(CortiEaci8i.;: pli EC 1(Ll!ST-1
Subdivision: Sot4RASa. LA Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
"fax map/parcel no.:-r L ii3O0 OZ.S 01.v4 05 equipment, materials, labor, overhead, and the profit for the
trIAP.'ciiigi .: 46iiic 4
;!A.' work indicated on this application.
tE!,16:.Tk" ". .:11 4 '; :17,-='..:'btYA1
Valuation: S
DerAcusit Exts IN) k i-laftts A-No fkr.)-( oortott...tanUNS V 1 A
-rvf
Existing building area: square feet
kg. -rp..40.11,g, ex.0.44sE..
New building area: square feet
OW NER ,: `‘" ,,,,.;..:, • :,- . .;
P?:V0 :.•:',',,,,,,;...4.,?,:::,,p;stFNAN.11,::,:.:Fi::icfiVi'''':.;% Number of stories:
Name: 4L P -- 11 LLL Type of construction:
-
Address: 2,6cto c bs NI Occupancy groups:
City/State/ZIP: ) ET Li/44 OIL G11068 Existing:
Phone: ( CPS ) 661 -140z.. Fax: ( ) New:
Lc2A1;iti6Ni -''j .-' ,•. `E'F -, i ; W'.' 1 11CCi1/41ii•ACi4PEil.§6N::0•'"'W'1 4 - %''''' ''' • '-'. ' .;'-'-''' ,4 '.- "'" '' -- ,'' • ,' E.' '.''', El
Business name: dr S AA rm .. c . All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Jovt>„) t,Jy
under ORS 701 and may be required to be licensed in the
Address: 1614 (,,u btA b . jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: 1 G wt.) 01?.... 'r-o430 apply:
Phone: (5a ) 7_001.1655 Fax: : (50 ) 657- 3615
E-mail: ..3 w e 3rsoi irnto. coin
':;)- r : , ;i: ‘ L . X: i :.. ;', t:;::;■.'; :!.;: ■ Q
f ' T . ed N ilk Atiii k,',M10.%,e‘e.,ki*:;;Rikk
;-.... ...;,.., ...,..,
Business name: 5410 C Lo p rop a ekawffru.g1 .g.."::.‘:;,:-/,':, . 11:11,T#7E ES*, 1-
Address 5)1 liPleaserefii tolee seliedtileY
: Pq Fix
Structural plan review fee (or deposit):
City/State/ZIP: cjij-tll Lst og ci 1010
l FLS plan review fee (if applicable):
Phone: (C% ) E02,_ 041 Fax: ( )
CC B lie.:
Total fees due upon application: If/ ? 76)
6Cypri .
Amount received:
Authorized signature: /
/(/_-.
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: joiw 1 Date: 21% k ijoio
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RES PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling v'
F012 OHFI 115E
ii +w Received
� C of Tigard • 13125 SW Hall Blvd., Tigard, OR 97223
Date /B Permit No.:
I : Phone: 503.639.4171 Fax: 503.598.1960 Y Associated permits:
d.-au, :e [ ❑ Electrical ❑ Plumbing ❑ Mechanical
I I G iv it u. 24- Hour Inspection Line: 503.639.4175
=- Internet: www.tigard- or.gov El Other:
THE =FOLLOWING I CENI IZE IlEQUI : RFDYFOlt PLAN`REVIENV , Yeti` '. vo ;ZN /.- '
1 Land use acti 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 beams, headers, joists, sub- . ❑ 0 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. ❑ ❑ ❑
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 a p licable to the.ro'ect under review.
JU IZISDIC"FIQNA'L S PECIFICS ;.' , '
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" z 1
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. 0. ❑ ❑
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. it : : ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable)'; arid 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 'Pcrmits\BUP- RES- PermitApp.doc 0321/06 440-4613T(11/07JCOM/WEB)
0 0 'Igo- 00 q-ci
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
1, .
a BUILDING DIVISION
a
T I G A R D TRANSMITTAL LETTER
TO: /J 4A) /V DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUN 3 0 2010
FROM: ;l' L _., e.n CITY OF TIGARD
BUILDING DIVISION
COMPANY: v t v e C S 1 o & 0,0.
PHONE: 5 °' — `t ' 6 (Y2 By:_ 11---
RE: L -- `)-, S al erm S \X ,ems ?��- --c)c-7-4 - °:
(Site Address) ' ermt ase • um , er y
�
6 �� �y
S (Project name or subdivision name and lot number)
(t ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: . 1 Copies: . Description:
3 Additional set(s) of plans. Revisions:
-, Cross section(s) and details. ') Wall bracing and/or lateral analysis.
3 Floor /roof framing. Basement and retaining walls.
. Beam calculations. Z Engineer's calculations.
Other (explain): •
REMARKS:
FOR, 9 FF E'USE ONLY
Routed to Perm echnician: Date: `7 I> (6 Initials: r 11
Fees Due: es ❑ No Fee Description: ' • s tint rue:
IN.,- it \ Or gto
1 $
A _ �$
�� ,L, $
Special
Instructions: VI ?,'.
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: p Date: 7/(3/0 ' Initials:
e
l:\ Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07