Permit Elir CITY OF TIGARD BUILDING PERMIT
C OMMUNITY DEVELOPMENT P BUP2011 -00224
Date Issued 10/26/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 2S103CB02100
Jurisdiction Tigard
Site address 12190 SW JAMES ST
Project Wilson Partition Subdivision Lot 0
Project Description Demolition of 400 sq ft residential garage structure, remove asphalt and brush
Must provide erosion control measures per Clean Water Services requirements
Contractor Owner STEVE WILSON
BIG MOOSE DEVELOPMENT
9450 SW JAMIESON RD
BEAVERTON, OR 97005
PHONE PHONE 503 - 522 -0426
FAX
FEES
Specifics. Description Date Amount
Type of Use SF Permit Fee - Additions, Alterations, 10/26/2011 $119 33
Class of Work DEM Demolition
Dwelling Units 0 12% State Surcharge - Building 10/26/2011 $1432
Stories 0 Height 0 ft Erosion Control 10/26/2011 $26 00
Bedrooms 0 Bathrooms 0 Erosion Plan Review CWS 10/26/2011 $8 45
Value $3,000 Erosion Plan Review COT 10/26/2011 $8 45
DC Provision Review, SF - Ping 10/26/2011 $65 00
DC Provision Review, SF - LRP 10/26/2011 $10 00
Floor Areas Info Process /Archiving - Sm Sheet (up to 10/26/2011 $0 50
11x17)
Total Area 0
Accessory Struct 0
Basement 0
Carport 0
Covered Porch 0
Deck 0
Garage 400
Mezzanine 0
Tota $25205
Required' Required Items and Reports (Conditions)
Fire Sprinkler Parapet 1 Ersn Cntrl 681 - 4444
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 ` pecialty 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 1. • .- s 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 Util y I 4tification 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 •, c• 'L g 503 232 1987 or 1 800 332 2344
Issued By • v Permittee Signature \\�
Call 503 639 4175 by 700 am for the next available rasp, • nn •ate
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 ApplicationREc PIEiy
Residential �� 1 FOR OFric ONLY
City of Tigard OCT 2 6 2011 Received 4j��/ 0022
`d g Date/B l I(o /( g%r Permit No ,r
13125 SW H all Blvd , Tigard, OR 97223 Plan Review
12 Phone 503 718 2439 Fax 503 598 1930 OF TIGA tD Date/13 G
Other Permit MP - - 0x00/
TIGARD Ins Line 503 639 4175 BUILDING DIVISIO Date Ready/By in ® See Page 2 for
Internet ninny tigard gov Notified/Method Supplemental Information
'I YPE OF WORK REQUIRED DATA: I- AND 2-FAMILY DWELLING
❑ New construction .Demolition Permit tees* 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
/"- and 2- family dwelling 0 Commercial/industrial Valuation S SZ co0 i 0t
`-
❑ Accessory building ❑ Multi -family Number of bedrooms
❑ Master builder ❑ Other Number of bathrooms
•
JOB SI FE INFORMATION AND LOCATION Total number of floors
Job site address 12A - jJ c J S� ,, New dwelling area • square feet
City /State/ZIP`fl( to 6,1-O 0 t..— Garage/carport area square feet
Suite/bldg /apt no 1 Project name Covered porch area square feet
Cross street/directions to Job site Deck area square feet
`I si cfr
2) 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the proht for the
DESCRIPTION OF WORK work indicated on this application
g . vE n IT bk., t, CD, Valuation $
2 t,r,nb tz nip/Oct [ /J fJ(L� YF / Existing building area square feet
$ New building area square feet
❑ PROPERTY OWNER ❑ TENANT Number of stones
Name Type of construction
Address Occupancy groups
City /State /ZIP Existing
Phone ( ) Fax ( ) New
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name U\ b I V 4 ye ` 0Evfww Awl / " I� _ review deposit)
schedule)
Contact name ,��' U (-0 } t Structural plan review fee (or deposit)
FI,S plan review fee (if applicable)
Address T`-' d ode a „iv
y ,�erehi �1 « , 1 �` Total fees due upon application
City/State/ZIP ^ ,fy�{j
Phone ( 5 ) c -, 2 , 9 _ o L a L Fax ( ) Amount received s.?
E -mail IN M uo wD4iRcy/hra� CM 41, t. (r Lunn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescnptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System
Business name (1.j...) rf'Et-- Submit two (2) sets of roof plan with connection details
Address and fire department access, along with the 2010 Oregon
Solar Installation Specialty Code checklist
City /Slate /ZIP Permit Fee (includes plan review $180 00
and administrative fees)
Phone ( ) Fax ( ) State surcharge (12% of permit fee) $21 60
CCB lie 1"I fl t1, " Total fee due upon application $201 60
Authorized signature L�II
..C/f`t� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Pnnt name J Th ( LL., Date (S k tk,I V * Fee methodology set by Tn County Building Industry
I \Building \Pemits \ BUP- RESPermitApp doe 02/24/2011 440 4613T(I /02 /COM /WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No
Illi DaleBy
q 13125 SW Hall Rlvd, I agard,OR 97223 Associated permits Phone 503 718 2439 Fax 503 598 1960 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD 24- Hour Inspection Lane 503 639 4175
Internet www tigard -or gov ❑ Other
' THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN.REVIEW Yes t No i NA
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
I I 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 sues and spacing such as floor beams, headers, joists, sub ❑ ❑ ❑
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, fie , shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be ai likable to the iro ect under review
JURISDICTIONAL SPECIFICS
23 Three (3) site plans are required for Item I I above Site plans must be 8 -1/2" x II" or 11' x 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 free 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 protect arbonst'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 \BUP- RESPemutApp doe 02/24/2011 440 -4613 f(11 /02 /COM /WEB)
RECEIVED
Building Division OCT 26 2011
Development Code Provision Review
TIGARD CITY
Residential Projects
uiviblON
Building Permit No: a/.cF„2_ 0 // — °? „Ty
CWS Service Provider Letter Received Yes ❑ No ❑ N/A 13C
Routed Plans
Original Plan Submittal Date /d Zb //
1'i Revision Submittal Date ❑ Site Plan Only
2n Revision Submittal Date ❑ Site Plan Only
To the Applicant:
Each review type must be approved If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division Only checked (✓) items are approved items not approved and those listed in the notes must be
revised prior to re- submittal Poi questions please contact the appropriate staff person(s) listed above each cs ction
Staff: please check items along left only if approved.
Planning Review (contact 7 / /�r 1/"� at503- 718 - 2V0 9 or @tigard -or gov)
Land Use Case No /yam & / % 00 0 0/ Name 11,)/L / 777 /
❑ Zoning
❑ Setbacks
Front Rear Side Street Side Garage
❑ Maximum Building Height Actual Building Height
❑ Visual Clearance
❑
Easements
❑ Sensitive Lands T
Notes . C W m0 / n 4 ( 0t Anliv 4/.
Original Plan Approved Not Approved ❑ Date /0 - c2 (-//
Revision 1: Approved ❑ Not Approved ❑ Date.
Revision 2: Approved ❑ Not Approved ❑ Date
Engineering Review (contact Mike White at 503- 718 -2464 or MVhkeW @hgard -or gov)
❑ Actual Slope
Notes:
Original Plan Approved ❑ Not Approved ❑ Date
Revision 1 Approved ❑ Not Approved ❑ Date
Revision 2 Approved ❑ Not Approved ❑ Date
(Review Continues on Page 2)
Page I of 2
City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @ttgard -or gov)
❑ Street Trees
❑ Protected Trees
Notes
Original Plan Approved ❑ Not Approved ❑ Date
Revision 1 Approved ❑ Not Approved ❑ Date
Revision 2 Approved ❑ Not Approved ❑ Date
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard -or gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes
Original Plan- Date Sent to Applicant
Revision 1 Date Sent to Applicant
Revision 2 Date Sent to Applicant
Okay to Issue Permit Yes ❑ No ❑
Date Routed to Building
Page 2 of 2
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