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Permit CITY OF TIGARD BUILDING PERMIT ` COMMUNITY DEVELOPMENT • Pe rmit #: BUP2012 -00086 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/26/2012 Parcel: 2S110DA00400 Jurisdiction: Tigard • Site address: 15100 SW 109TH AVE Project: Hagel Subdivision: WILLOW- BROOK -FARM Lot: 6 Project Description: Demo 1,800 sq ft residence and 800 sq ft shed. Septic must be removed or pumped and filled. DEMO CREDITS for TDT, PARKS and WATER may apply for new construction. Contractor: SCOTT DAHME CONSTRUCTION INC Owner: HAGEL, MICHAEL & SHAWN PO BOX 1389 14979 SW JULIET TER SHERWOOD, OR 97140 TIGARD, OR 97224 • PHONE: 503 - 784 -4909 PHONE: FAX: 503 - 628 -0858 . FEES Specifics: Description Date Amount Type of Use: SF Permit Fee - Additions, Alterations, 04/26/2012 $210.59 Class of Work: DEM Demolition Dwelling Units: 0 12% State Surcharge - Building 04/26/2012 $25.27 Stories: 0 Height: 0 ft DC Provision Review, COM TI - Ping 04/26/2012 $64.00 Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - LRP 04/26/2012 $9.00 Value: $8,500 Erosion Control 04/26/2012 $26.00 Erosion Plan Review CWS 04/26/2012 $8.45 Erosion Plan Review COT 04/26/2012 $8.45 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 • Deck: 0 • Garage: 0 Mezzanine: 0 Total $351.76 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: 5fZ0 5/ i✓ ONrnOL.. /A/SPEC_ T/O,J 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 i suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Thee 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 calling 503.232.1987 0 Issued By: Permittee Signature: ��� ` e° Call 603.639.4175 by 7:00 a.m. for the next available inspection date. 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 Application Residential RECEIVED FOR OFIICI: IUSI1 OM.1 City of Tigard Da e/By Y/ 4A9--- Permit Ne u/°aD /a -400cp6 13125 SW Hall Blvd., Tigard,OR 97223 APR 2 6 2012 Plan Review II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TIGARD inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: , _ la See Page 2 for Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: I (0 Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction )g- 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. ❑ l- and 2- family dwelling ❑ Commercial/industrial Valuation: $ . •- ° ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION ola� �eroffloors: Job site address: 16760 t/0? 41/fi S w dwelling area: /re square feet ,9 l ara e/ 'b City /State/ZIP: '1`v�a,' CAA_ q'� Z Z.) l�7` g �P area: Ay Q square feet Suite/bldg. /apt. no.: Project name: /a A A AP..s-c 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. l' /^� ! ��t1 Valuation: $ , ...I &vs ST .a� MO N,6. tih 644n4, Existing building area square feet New building area: square feet 3 ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: A City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees due upon application: Phone: ( ) F es; ; ( ) Amount received: E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Cl... Commercial and residential prescriptive installation of r.t‘N1 /CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Nto Business name: SGO TT OiAt�" 4 T � J Submit two (2) sets of roof plan with connection details P and fire department access, along with the 2010 Oregon Address: 1' r 0 , "1), 13871 Solar Installation Specialty Code checklist. City /State /ZIP: G, © � � � id Permit Fee (includes planreview $180.00 0 J �:�/00 and administrative fees): Phone: ( SD)) -7 r Li.- L(1 d q I� ax: ( S ) G Z. r- OS S15 State surcharge (12% of permit fee): $21.60 CCB lic.: 1 c� G( 1 7 ° i3 Total fee due upon application: $201.60 Authorized signature: - This permit application expires if a permit is not obtained i at . ,/ within 180 days after it has been accepted as complete. Print name: - / Date: q . Z0-- it_ * Fee methodology set by Tri -County Building Industry wi4i. Z.t Ali "f I Service Board l:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOIZ OFFICE USE ONE) City of Tigard R eceived Permit No.: 1 1114 Y 1 3125 SW Hall Blvd., Tigard,OR 97223 Associated C Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TIGARD 24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑ Plumbing ❑Mechanical Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING. ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No • / :\ 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ El El 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . CI ❑ El 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. El ❑ ❑ 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; buildin coverage area; percentage of coverage; imp rvious area; existing structures on site; and surface drainage. ? icy /D/J (lG/ P.0L L4tJ / 4 tI4t . Foor4aft, cyroritud.rettk 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- ❑ El ❑ 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- El ❑ ❑ 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 ❑ ❑ El 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 ❑ ❑ El architect licensed in Ore Ion and shall be shown to be applicable 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 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ El ❑ 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. ❑ El ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ El ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ El 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, ❑ ❑ El 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(11/02/COM/WEB) I IIIII v ° Building Division r i c , ` R r) Development Code Provision Review Residential Projects • Building Permit No: 4U -PAO 42. ' 00Od'( L� CWS Service Provider Letter Received: Yes ❑ No N/A ❑ " �' Routed Plans: Original Plan Submittal Date: V/2(0h Z 1st Revision Submittal Date: ❑ Site Plan Only 2 ^ d 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 (1) 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 alog left only if approved. Planning Review (contact Q 4 / i at 503-718- el, or _ ii i44 Pq @tigard- or.gov) Land Use Case No. /(/ /,I Name ❑ Zoning ❑ Setbacks: • Front Rear Side Street Side Garage ❑ ,Maximum Building Height Actual Building Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: Notes: • /00 "C44.0-) 7:76W rtlrc.sn /9 ., j p.1 r y 4P, £e4. miAt loo p /ep.S. Original Plan: Approved IE' Not Approved ❑ Date: 4 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard- 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 1 of 2 City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard- 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 RECEIVED APR 2 6 2012 I° I I , . 107 E)OSRIG GROUND CWTOUR (1/T) - CITY OF TIGARD 1 I ° I I - T/L 90000, MAP 25- 1 -10AD _ Am _ TDF ND 0U (10,T) BUILDING DIVISION r — - -- - - •- 7i - - - - - -r - — EMIRS SMEARY SEMI W ▪ I 1 p, . ,;,. O ,. 10 ,,,,,RA,,,,- "C" OF► "ERICI y�I ,,EIGHTS" 7648 -rn - 0f6T-• - (=la WATER UIE ' - eF/Pe OVEl, iY1 p M4 m _(w,]31o) e1G STORY DWI � •' M ,g S 89'`�JjN -j W 350.84' • , GXi15, 13. y^ /L/31 N . — E1 s= OVERHEAD MIES I - 13' `�OR1:,1. ;. � _�0! f Ti .p, e.. ex S l� r Ewe°° fi a°A° °0 c6Fr?RO Ta SENSITIVE AREA NOTE: — ] Z"� ''''''''C' ]e,4 , t i PROPERTY DOES NOT LIE WITHIN (/) 2 I pe] ee e (� 100 —YEAR FLOOD PLAIN. '° I l '. e — 5� NO RIPARIAN, WETLAND, OR CWS SENSITIVE I ' ° 7 °5°S e>o Iggi" �t5, ` AREAS EXIST ON THE PROJECT SITE. III 03 N • — \ e TREE GREATER THAN 12" DBH I— I W I 5 ) / 918 m ``` i / s EXEMPT TREES (AS INDICATED) Z < L "• NU) .• / n. wpa — x — — •— — NOTE: REFER TO ARBORIST REPORT FOR ow e 6 ti "� em —SD "0 ) FOR SPECIFICS ON TREE SPECIES, DBH, W nR ___ i p er' " a'. x/ x 1 AND HEALTH. AA 1314 9 C � } � VV//(( y�� MIST: COO •R� •,,, . 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Y 1 I DOMING TREE CANOPY I sr • x ��} } /L 8700 () I \ I ✓► O c u ' AREA =6,068 SF = f aooe :i , S C � r . ) - I` •) { 1 N I I �% °S ai3 (""]u ;�.y�, , p I 4 LOT 48 _ I 1 1 A �� // � �� A y I_ ° I B 51 240 SF ` 0......0 ) ( � •) (N 1T:7 IS.WO) I 7777 1 I i 1 5 ' t ✓ • 1 I 1Qe° • I • D vEh p 1 e] u m)m> ` `' _ 1•44‘ _ - � y I - • ° —\\ \ \\'‘\— — [a''S 011 ( iw,vm) ` / . ` W 1 1\ 1\ `.i? 8.303 Si � / — ... 6F 8 • 777 \ \ O I I e 375 SF ,, — I , - - e / { /L 8800 \ \ 1 \ \ � 1 m I - ,,, I _ S(NwwOm y; r ti '„6 »m - ` 7774 LOT 49 \ \I\ \\ / / � , .. arAz n](N�7M5) _ , ,3.215 • w'� ( �'- - i ; F 4- I 4 °TNB - - ROl- 7749 tad ' �r`r• • S0 '�y "; ' \ \ \ ' 1 1 II i* , 7 77+5/ N 8953 E 350 2' / 7763 7766 7787 7770 I I I 1 1 I I as IXISTING TREE CANO / / I 0 50 0 Slailagaill AREA=1.460 SF / T/L 9500 / T/L 8900 I 1 I P I T/L 9700 / T/L 9600 LOT 50 1 1 I — I LOT 58 / LOT 57 / LOT 56 L/ I I 1 N REFERENCE INFORMATION AND NOTES: SmcN PACELINE HOLDINGS, LLC WALE 11 77G;RO RE s COURT TRILLIUM HILL TCN 503 -657 -2425 TM - ply CRECRED HARRIS— MCMONAGLE ASSOCIATES, INC. "¢] JON E N G I N E E R S- SURVEYORS EXISTING CONDITIONS PLAN 2 REV OESdUPIDN SUP /PPR. 031E ' MR 5722 SW SCORiNS 5987 REFER TO TRACING FOR LATEST REVISION 6 - 24 - 09 PHONE WARD. OR O] 72] - 5255 PHONE: OR (503) 9 504 - 01,