Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit #: BUP201300074
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013
T [ t, '� R. C7 g Parcel: 1 S126DCO3301
Jurisdiction: TIGARD
Site address: 9420 SW LEHMAN ST
Project: Empire Investments Subdivision: LEHMANN ACRE TRACT Lot: 6
Project Description: Demolition of 2,000 sq ft residence on sewer. No outbuildings.
Contractor: STRAUSS EXCAVATING Owner: EMPIRE INVESTMENT PROPERTIES LLC
24175 SW DAVIS RD PO BOX 1861
HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035
PHONE: 503 - 649 -8117 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee - Additions, Alterations, 04/25 /2013 $180.17
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w /Permit - Ping 04/25/2013 $75.00
Dwelling Units: 0 DC Provision Review, COM TI - Ping 04/25/2013 $67.00
Stories: 0 Height: 0 ft DC Provision Review, COM TI - LRP 04/25/2013 $10.00
Bedrooms: 0 Bathrooms: 0
Value: $7,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $332.17
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. AT • • • • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -s % -0010 through • . R 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: V \ � Permittee Signature: X
Call 503.839.4175 by 7:00 a.m. for the next available ins 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 Applicatio
Residential FOR OFFICE USE ONLY
City of Tigard APR 0 DateB : Received Permit / Agini No.. 9 , tV 7
13125 SW Hall Blvd., Tigard, OR 97223 3 2013 Plan Review
'� Phone: 503.718.2439 Fax: 503.598. l Date/By: Other Permit:
r �, i Inspection Line: 503.639.4175 fr OF TIGARD Date Ready/By: 217.37." ®See Page 2 for
Internet: www.tigard - or.gov BUILDNG DIVISION Notified/Method: , Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 8 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.
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 7 <500 0 Accessory building ❑ Multi - family
Number of bedrooms: t
❑ Master builder ID Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 'CiZr..) cs - � � 1..... St New dwelling area: square feet
City /State /ZIP: -� •--- Garage /carport area: square feet
Suite/bldg. /apt. no.: 6 Pr ' ct name: 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.
:D .xw.S1.. 11.�. OP rS `t , t 3.l4rt Valuation: $
Existing building area square feet
6- l 94 A. New building area: square feet
I ❑ PROPERTY OWNER I ❑ TENANT Number of stories:
M Name: Type of construction:
U N
Address: Occupancy groups:
M City /State /ZIP: Existing:
Phone: ( Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: _a �.S ` „ t' a 1ci N (Please refer to fee schedule)
� I7 ( LA c . Structural plan review fee (or deposit):
Contact name: v S J
-+S FLS plan review fee (if applicable):
Address: 3 6a.Z L �S. ta,. ZZci k
Total fees due upon application:
City /State /ZIP: Re, t'I _ ,. G Q i
Amount received:
j Phone: ( ;,-;) i . - . / n Fax: : ( 3) 61/5_ r' /j j
l E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top . nted PhotoVoltaic Solar Panel Syst=
Submit two ( ets of roof plan with conne '. n details
_) Business name: u 0-kf;+,1 IN
and fire departure access, along with • 2010 Oregon
Address: 36'1 i S Lace-- F Solar Installation S.. laity Code - cklist.
P City/State /ZIP: }� Permit Fee (inclu. • s p review $180.00
' sa.4 � t w" 7 66 7 and admin' • . live fees):
Phone: 63 ) *r - .. Fax: (7) ) _ 4_ ; -7 State surcharge /o of pe ' fee): $21.60
CCB lie.: 3 Ls" 1 "5 To . '- a due upon appicatio $201.60
Authorized signature: 4.% This permit application expires if a perm 's not obtained
/ 'in within 180 days after it has been accepted s complete.
Print name: Dat . I * Fee methodology set by Tri -County Building Industry
'! t� .. Z J Service Board
I: Building \Permits\BUP- RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
Received
City of Tigard Date/By: Permit No.:
IN v 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
0 • Phone: 503.718.2439 Fax: 503.598.1960
TIGARD
24- Hour Inspection Line: 503.639.4175 1:1 Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard- or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l'es No N/A
I 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: CI ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity CI CI CI
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.
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 -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 ❑ El ❑
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- Cl ❑ ❑
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 ❑ ❑ El
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 applicable to the rro'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. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
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- RESPerrnitApp.doc 02/24/2011 440- 613T(11/02 /COM/WEB)
Building Division
Development Code Provision Review
r G n iz a Residential Projects
Building Permit No.: ` D Ao 1 00 O 7If
Project /Subdivision ame: �.��� Lot #:
Site Address: a O 553 NA to ,51-7
CWS Service Provider Letter: --- Ofric D LY T
Required: Yes ❑ No 8 but 2 —00 °° 1 40 H4, ,�-r Ayr °
Received:Yes ❑ No p 1Jcr o urto-t),,Ja To
- AEJs✓wP ) Pee Coo c_rea..
Plans Routed:
Original Plan Submittal Date: z//54 Q ' Q ' Q ' Routed By:
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2nd Revision Submittal Date: ❑ Site Plan Only Routed By:
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 _ approved.
Planning Review (contact i I V Jt.G 4- at (503) 7180.421 or4JPW c !L. @tigard-
or.gov)
Land Use Case No.
Zoning
❑ Setbacks:
Front Rear Side Street Side Garage
❑ Maximum Building Height: Actual Building Height
❑ Visual Clearance
❑ Easements OW ❑ Sensitive Lands Type:
❑ Street Trees
❑ Protected Trees
Notes: shA < t cifrim w ( S ICE l wk t tfiheIt etv) F.1,1g2C01 DOW); Spti ficraLkil
C'PY L -.S ( . (se,: Mind/tag
Ail cn ra q -d4 -I3
Original Plan: Approved. ❑ Not Approved Er Date: 1 L '[ l t
Revision 1: Approved i Not Approved ❑ Date: 44 -2 `f
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov)
Actual Slope: Vie( V
Notes:
• i t 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 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 Applicant �.,/
Okay to Issue Permit: Yes ❑ No #1/S/ / 3
Date Routed to Building:
Page 2 of 2
I : \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Albert Shields
To: Bob Strauss, Strauss Excavating Inc.
- Subject: BUP2013- 00074, 9420 SW Lehman St., Demo Application
•
Bob, regarding this application to demo 9420 SW Lehman St., Planning notes that Conditions of Approval # 1— 5 for the
underlying Land Use Approval, SUB2007 -00006 must be met before the demo application can be approved and
Engineering notes that an Erosion Control permit must be applied for and received. A copy of the Conditions of
Approval is attached. Please let me know if you have any questions. Albert Shields, 503 - 718 -2426.
•
1
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9420 SW LEHMAN ST, TIGARD, OR, 97223
Residential - Building
299 Final inspection
2013-10-31 00:00:00
BUP2013-00074
PASS - No C of O
Violation Summary:
Inspector Contractor