Permit . CITY OF TIGAR® SITE WORK PERMI
; - 11 COMMUNITY DEVELOPMENT Permit #: SIT2012 00021
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/01/2012
Parcel: 2S109AB14100
•
Jurisdiction: Tigard
Site address: 14297 SW ALPINE CREST WAY
Project: Alpine View, Lot 22 Subdivision: ALPINE VIEW Lot: 22 '
Project Description: Retaining wall for new SF
'
Contractor: D R HORTON INC PORTLAND Owner: DR HORTON INC - PORTLAND
4380 SW MACADAM AVE SUITE 100 ATTN MELISSA TRUNNELL
PORTLAND, OR 97239 4380 SW MACADAM STE 100
PORTLAND, OR 97239
PHONE: 503 - 222 -4151 PHONE: 503 - 222 -4151 .
, t.:
FAX: 503 - 222 -1304
FEES •
• Description Date Amount
Specifics: Permit Fee - Site Work 11/01/2012 $102.20
Plan Review 10/25/2012 $66.43
Type of Use: SF 12% State Surcharge - Building 11/01/2012 $12.26
Class of Work: OTR Info Process /Archiving - Sm $0.50 (up to 11/01/2012 $8.50
•
. 11x17)
Project Valuation: $3,000.00
Site Specifics:
Excavation Volume: cu. yd.
•
Fill Volume: cu. yd.
Impervious Surface: sq. ft.
Engineered Fill: Soil Report Required: .
Paving: Grading: •
Landscaping: Site Prep:
• Storn Drains: Retaining Wall: Yes
Fire Underground: Accessible Parking:
Fence:
Total $189.39
Required Items and Reports (Conditions)
•
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 if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili otificatiori Ge Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or • ect questions to OU • , ; g 503.232.1987 or 1.800.332.2344.
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Iss ed By: / ■ / f Permittee Signat e: �//
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Call 503.639.4175 by 7:00 a.m. for the next available inspec • n 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. I
•
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B4iil itti -Permit Application RECEIVED
Residential "- FOR O FFICE USE ONLY
OCT 25 2012
• City of Tigard ; , V Permit No.S /� �aJa D O0,2
° 13125 SW Hall Blvd., Tigard, OR 97223 1TY (*TIGARD
C Phone: 503.718.2439 Fax: 503.598. , - q ♦ Other Penni /S7a0 /a.* 00/ "
TIGARD ' Inspection Line: 503.639.4175 `GILD DIVISION Juri ® See Page 2 for
Internet: www.tigard- or.gov Supplemental Information
TYPE OF WORK RE •ii IRED 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
work indicated on this application.
. CATEGORY OF CONSTRUCTION 1 v
Valuation: $ 3ia -
® I- and 2- family dwelling ❑ Commercial /industrial
1
❑ 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: ,1iOf 7 . ) 1/1`6 (A� �^ fei New dwelling area: square feet , •
City/State /ZIP: TIGARD, OR 97224 _. / Garage /carport area: square feet
Suite/bIdg./apt. r • Covered porch area: square feet
Cross • to job AND ALPINE CREST WAY Deck area: square feet C
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST '
Subdivision: • Permit fees* are based on the value of the work performe.N
Indicate the value (rounded to the nearest dollar) of all t
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
RESIDENCE NEW SINGLE FAMILY g&TRAll 1 Valuation: $
l
Existing building area: square feet
New building area: square feet •
PROPERTY CI ■ Number of stories:
D.R. 1 Type of construction:
I SW MACADAM 100 Occupancy groups:
PORTLAND, OR 97239 Existing:
Phone: I (503)222 New:
■ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: D.R. HORTON INC. - PORTLAND (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: GARY CULP
FLS plan review fee (if applicable):
Address: SAME
Total fees due upon application:
City/State /ZIP: ��//
Amount received: I , , 7�
Phone:( ) Fax::( )
E - mail: gaculp @drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: D.R. HORTON INC. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: SAME Solar Installation Specially Code checklist.
City/State /ZIP: Permit Fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( )
State surcharge (12% of permit fee): $21.60
CCB lic.: 130859 Total fee due upon application: $201.60
l Authorized signature This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as complete.
Print name: GARY I Date: /0/FA�
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits \BUP- RESPennitApp.doc 02/24/201 1 440- 4613T(I I /02 /COM /WEB)
III " Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No.: S 7 o /, — eo a 0 2.
Site Address: / ''oZ 9 7 S ) G /' /Al E CitEs 7 4J.9z
Project Name & Lot No.: /9 L/fA/C' !//, ciJ LO T .2
CWS Service Provider Letter
Required: Yes ❑ No
Received: Yes ❑ No ❑
Routed Plans: C^ L9'""✓ 0 /✓
Original Plan Submittal Date: /a/2s/a.... S
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 (✓) 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 ap roved.
Planning Review (contact at 503 - 718 -2 or 4
Land Use Case No. 716a?Pf el DOQ,'Zq
Zoning 7
❑ Setbacks: iv 4-
F ront Rear nn Side Street Side Garage
❑ Maximum Building H ight V /t Actual Building Height
❑ Visual Clearance /� Y
❑ Easements
Sensitive Lands T e: YLB�e_
❑ Street Trees Al
❑ Protected Trees
Notes: � P 4rl a°/1-40/ 4'
Original Plan: Approved L7 Not Approved ❑ Date: /0 " a S -- 1 .----
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Er Actual Slope: /5
Notes:
Original Plan: Approved .0' Not Approved ❑ Date: AD � l�
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 Appli t
Okay to Issue Permit: Yes o ❑
Date Routed to Building: ..
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Page 2 of 2
•
r ALPINE VIEW
LOT 22 RECEIVED
CITY OF TIGARD, OR OCT 25 2012
DISCLAIMER: CITY/JURISDICTION HAS AUTHORITY
TO CHANGE SITE PLAN IF NEEDED. CITY OF TIGARD
EROSION CRIPARIANWE
HAY AND
, N -- \ t , LOT COVERAGE
; LOT AREA = 4632 SF
BLDG FOOTPRINT = 1512 SF
, COVERAGE = 33%
__ ----- 4
580 ,./.:
EXISTING
LOT 22 / SETBACK REQUIREMENTS
a
4,632 SQ.FT. .
, FRONT (TO BLDG WALL/PORCH) 15'
(-) DOUG. FIR - TYP.
o si ( D. .. , -__________ SIDE YARD (ST.) 10'
of.P.../
0 A50.00 - ,r SIDE YARD 5'
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v . i ,.,_ GARAGE 20'
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li,", Et - --- SW ALPINE CREST WAY . - - - - STREET TREE - TYP. 1 INCH = 20 FEET
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ADDRESS: 14297 SW ALPINE CREST WAY
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Er- PLAN : 4701
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0 SCALE: 1" = 20'
DATE . 5/31-12 . ' " •
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