Permit W CITY OF TIGARD BUILDING PERMIT
c H COMMUNITY DEVELOPMENT Permdu BUP2011 -00220
Date Issued 10/28/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439
Parcel 23110AD90073
Jurisdiction Tigard
Site address 14988 SW 109TH AVE
Project Canterbury Woods Condos - Aman Subdivision CANTERBURY WOODS CONDO Lot 73
Project Description Remove and replace footings
Contractor EVERGREEN PACIFIC INC Owner AMAN, JULIE L
9117 SW BURNHAM ST 14988 SW 109TH AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE 503- 624 -1337 PHONE
FAX
FEES
Specifics'
Description Date Amount
Type of Use MF Permit Fee - COM - New Construction 10/28/2011 $123 72
Class of Work ALT 12% State Surcharge - Building 10/28/2011 $14 85
Dwelling Units 0 Plan Review 10/28/2011 $80 42
Stories 0 Height 0 ft Info Process /Archiving - Sm Sheet (up to 10/28/2011 $7 50
Bedrooms 0 Bathrooms 0 11x17)
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 $22649
Required Required Items and Reports (Conditions)
Fire Sprinkler Parapet
Fire Alarm Protected Corridors
Smoke Detectors Manual Pull Stations
Accessible Parking 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952- 001 -0010 through OAR 952 -001 -0090 You may obtain a copy of r_ or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By ermines Signature
Call 503 6 • • by 7 00 a m for the next available i pi bon date
This permit card shall be kept in a conspicuous place on the job site it completion of the project
Approved plans are required on the job site at the time of each inspection
Building Permit Application RECEIVED
Residential FOR OFFICE USE ONLY
OCT 2 Received
(0 4 / . , di City of Tigard 1 2011 Date/13 / Permit No // /
13125 SW Hall Blvd, Tigard, OR 97223 Plan Review i
' u Phone 503 718 2439 Fax 503 5981960CITy OF TIGARD Date/F3 1a! /f f� Other Permit
TI Inspectio Lin 503 639 4175 BUILDING DIVISION Date Ready /Ry pans ® See Page 2 for
Internet www tigard gov Nonlied/Met (V 47, Supplemental Information
!i L7
TYPE OF WORK REQUIRED DATA: I - AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed
Indicate the value (rotuided to the nearest dollar) of all
J$ Addmon/alteration/replacement ❑ Other equipment, materials. labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
111 I- and 2 -family dwelling ❑ Commercial/industrial Valuation $ MG
❑ Accessory building el Multi- family Number of bedrooms E
❑ Master builder ❑ Other Number of bathrooms
JOB SITE INFORMATION AND LOCATION Total number of floors
Job site address if / (Z New dwelling area square feet
e ' ` ' Garage /carport area square feet
'.cite /bldg /apt no Project name der. , aS • 0 Covered porch area square feet
Cross street/directions to job site A o Deck area square feet
Other structure area square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision Lot no Permit fees* are based on the value of the work performed
Indicate the value (rotnded to the nearest dollar) of all
Tax map /parcel no equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK w ork indicated on this application
Valuation $
I ✓ Existing building area square feet
El ire
New building area square feet
❑ PROPERTY OWNER ❑ TENANT Number of stones
Name 'Type of construction
Una Occupancy groups
City /State /ZIP Existing
Phone ( ) Fax ( ) New
APPLICANT S CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
L / Structural plan review fee (or deposit)
0 7�6vw FLS plan review fee (if applicable)
Address lici Total fees due upon application
Amount received
Phone (e 3) _ sk— 3 rr
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
C ' 'e Commercial and residential prescnptive installation of
CONTRACTOR roof -top mounted PhotoVoltatc Solar Panel System
ro plan h connect on i dil
EMETER11 and Submit fire d two epart ment sets a ccess o f of , along wit with the 2010 Oregon
Address 7 , ` A. 1114 01:- Solar Installation Specialty Code checklist
Ellallenli Permit Fee (includes plan review $18000
and administrative fees)
( ,„ — /;i, ( ')
Phone Fax Fax S 6,eZej --11 State surcharge (12% of permit fee) $21 60
CCB lie et/ Total fee due upon apphcation $201 60
Authorized signature L SEEMhis permit application expires if a permit is not obtained
S 1µI/ within I80 days after it has been accepted as complete.
* Fee methoddogy set by Tn- County Building Industry
L Date �� Service Board
t \ Budding \Permits \BUP- RflSPemutApp doe 02/24 440 - 4613'f(11 /02 /COM/WER)
Building Permit Application Checklist
One- and Two - Family Dwelling FoR,OFFICE> USE ONLY
City of Tigard Reserved Perim[ No
4 13125 SW Hall Blvd, Tigard, OR 97223 Date/By
6 - Phone 503 718 2439 Fax 503 598 1960 Associated permits
TIGARD 24- Flour Inspection Line 503 639 4175 ❑ Glcaocal ❑ Plumbing ❑ Mechanical
Internet www tigard -or gov ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews ❑ ❑ El
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 focal 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 -11 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, foists, 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
Null -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 (J (J Li
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. .Imable to the • ro ect under review
JURISDICTIONAL SPECIFICS
23 'Three (3) site plans are required for Item I1 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 Budding 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 ❑ ❑ ❑
Sti cet Ti cc 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 \ Budding \Perrmts \BUP RESPemntApp doe 02/24/2011 440 - 46131( I 1 /02 /COM /WEB)
I