Permit CITY OF TIGARD BUILDING PERMIT
'! COMMUNITY DEVELOPMENT Permit #: BUP2011 -00244
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/14/2011
Parcel: 2S110BC01201
Jurisdiction: TIG
Site address: 12300 SW BULL MOUNTAIN RD
Project: TROY PARK SUBDIVISION Subdivision: Lot:
Project Description: Demo 4,000 sq ft residence with attached garage and shed. Property on septic.
DEMO CREDITS for TDT, PARKS and WATER may apply to the FIRST LOT SUBMITTED FOR BUILDING
PERMITS PER STEVE BROWN.
Contractor: WHITBEY CONSTRUCTION INC Owner: PRESTIGE INVESTORS LLC
3831 NE AZALEA ST 12670 SW 68TH AVE SUITE 300
HILLSBORO, OR 97124 TIGARD, OR 97223
PHONE: 503 - 789 -5682 PHONE: 503 - 620 -8860
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: SF DC Provision Review, COM TI - Ping 12/14/2011 $64.00
Class of Work: DEM DC Provision Review, COM TI - LRP 12/14/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/14/2011 $271.43
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 Erosion Control 12/14/2011 $26.00
Value: $13,000 Erosion Plan Review CWS 12/14/2011 $8.45
Erosion Plan Review COT 12/14/2011 $8.45
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $387.33
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. •ecialt Codes an. all other a..licable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 d of i.suance, or if work is - uspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica'o Center Thos- 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 ailing 543. '3 1987 •r 1.801. 32.2344.
Issued B.. : � - ure_ ' '
Call by 7:00 a.m. for the next available inspection dat-
This permit card shall • • ept in a conspicuous place on the job site until co . • •t'• of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application` . fl fl G
1 ire�P " . •
Residential FOR OFFICE USE ONLY .
NOV 18 2 011 Received
City of Tigard DateB : // Ip tit ....--P No . /y ,1 a •
'
° 13125 SW Hall Blvd., Tigard, OR 97223
K Plan Review
OF T a� a... Phone: 503.718.2439 Fax: 503.598 ?1960 1 i Date/By: Other Permi&iB Am 7 - zyde /
Ti G A R D Inspection Line: 503.639.4175 g ' O ViS 1C; Date Ready/By: Juris',� El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 7� (.T ` Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction 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.
i gi s 1- and 2- family dwelling ❑ Commercial /industrial Valuation: D , $ 13 0 ,
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 123 V 0 5w Is all ttiu, (LA . New dwelling area: 1/4--zyz square feet
City /State /ZIP: I ;1q� ()R. 9112.3 Garage /carport area: / G�U --v square feet
Suite/bldg. /apt. no.: J Project name: Tr. M Qa 114. Covered porch area: square feet
Cross street/directions to job site: ! 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1� 1 • Valuation: $
p,J UtiNI.�I 1ST 140%a Oh SI1e • { dGwluvwI
,t[ a' � % S TO PL y 17 PI $"r / / `Afn/� Existing building area square feet
H ' p 49 _� .- /V F t, A/ S-67° 77C___ New building area: square feet
4 PROPERTY OWNER ❑ TENANT Number of stories:
Name: No sligya 1 h ye S + wt Type of construction:
Address: 114 0 SW b g1 A yr. , , # 3.0 Occupancy groups:
City/State /ZIP: ThA►,41 E 0 a 17.R.2.3 G Existing:
Phone: (y 0 3) tp�.0 ° �g L 0 Fax: ( 5u3) Sg$•q VO l New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please referto fee schedule)
Business name: ?re -hUL I hv(Si USA
S J Structural plan review fee (or deposit):
Contact name: STEVE gyeo W w
FLS plan review fee (if applicable):
Address:
City/State /ZIP: Total fees due upon application:
t u 6A7
Phone: ( 503) gt",. 51 03 Fax:: ( ) Amount received: .0-- 2W----
E -mail: Solcve0+0ti41:t✓t41.4,d 6 m e$ • ►i,e-f-• PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
. roof -top mounted PhotoVoltaic Solar Panel System.
Business name: W W'`' CilyI,S t4 K., `K(, Submit two (2) sets of roof plan with connectio. ails
and fire department a ess, along with the . ; 0 Oregon
Address: 323 I N E A V% lea St. Solar Installation Sped. - t Code ch •..- 1st.
`I
City /State /ZIP: , 1 vu q
5 bA o z. 1'J 111•' Permit Fee (include ` d la l- --view $180.00
and admini ; ve fees):
Phone: (93 ) 189 • 51.82. Fax: ( ) State surcharge ''o of pe t fee): $21.60
CCB lie.: I a cj 255 f Total e due upon appllcatic $201.60
Authorized .tur : This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
i * Fee methodology set by Tri - County Building Industry
Print name. Date: I I. I s. I! Service Board.
I: \Building\Pe a UP- RES..doc 02/24/2011 440- 4613T(I 1 /02 /COM/WEB)
A
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No :
Date By:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
' . e Phone: 503.718.2439 Fax: 503.598.1960
24- Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
TIGARD Internet: www.tigard- or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes I No N/A
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 "I ❑ ❑ ❑
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'dr on a+separate"full -size C. ,
sheet attached to the plans with cross references between plan location and details. Plan review cannot.be completed if - 1 `
copyright violations exist. J '
1 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 sizes 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. ' . m , ❑ ❑
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 ap plicable to the • ro . ect under review.
JURISDICTIONAL SPECIFICS •
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x l'nor 11'; x 17 ". , , • , , ; r . ' '❑ ❑ ., ❑
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 Pees document. .4 • .:''El , ❑ ❑
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 Cify ofTigara' NI ' ❑ • ❑
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\BUP - RESPermitApp.doc 02/24/2011 440- 4613T(1,1 /02/COM /WEB) -
I
Building Division
Development Code Provision Review
T1cARD Residential Projects
Building Permit No: ea/0 ao //
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans:
Original Plan Submittal Date: / / / /r, //
1st Revision Submittal Date: ❑ Site Plan Only
2 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 (V) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved. rr
Planning Review (contact r at 503- 718 -,.µSl or r°�-✓ @tigard- or.gov)
Land Use Case No. S.td,B Dr 7 - 0001( Name 7EM P tle--
❑ Zoning Z7
❑ Setbacks:
Front 1.5 Rear I Side Street Side / 2) Garage
❑ Maximum Building Height 3 ' Actual Building Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands Type: Plf-
•
.
Notes: i(.:F 6e- / � �r;' � � /4/-1- " �
11Mo f G* / jig .
Original Plan: Approved ❑ Not Approved Date: I /' 2 ' -t t
Revision 1: Approved Not Approved ❑ Date: 1 1 1i 1/ /
Revision 2: Approved ❑ Not Approved ❑ Date: /
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
.Er Actual Slope: V f* 11-4 S
Notes:
Original Plan: Approved -4:r Not Approved ❑ Date: 1( ki 1 (
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Cit AArborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
t S treet Trees
❑ Protected Trees
Notes: 5 `t w/4k &
T
Original Plan: Approved I Not Approved ❑ Date: / d -G -a °) I
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert@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 Applic
Okay to Issue Permit: Yes No ❑
Date Routed to Building: '.,
Page 2 of 2