Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit #: BUP2013 -00176
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/22/2013
Parcel: 1S135BD01400
Jurisdiction: Tigard
Site address: 10910 SW GREENBURG RD
Project: City of Tigard Subdivision: MEADOW VIEW Lot: 8
Project Description: Demo 1,560 sq ft residence. House is connected to sewer. Upon approved building final, demo credits for SDC
fees will be available for future development.
Contractor: DCS DJOSELAND CONSTRUCTION SERVICES Owner: TIGARD, CITY OF
36150 S HWY 213 13125 SW HALL BLVD
MOLALLA, OR 97038 TIGARD, OR 97223
PHONE: 503 - 545 -0115 PHONE:
FAX: 503 - 829 -6701
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: DC Provision Review, COM TI - Ping 07/22/2013 $70.00
Occupancy Grp: Occupancy Load: DC Provision Review, COM TI - LRP 07/22/2013 $10.00
Permit Fee - Additions, Alterations, 07/22/2013 $256.22
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft Erosion Control w /Development - Ping 07/22/2013 $75.00
Bedrooms: 0 Bathrooms: 0
Value: $11,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $411.22
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
1 Ersn Cntrl 503 - 639 -4175
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. ATT . • ....n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 610 through OAR 9 = 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.
Issue. By: 1/ - QAMAL/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available insp n date.
This permit card shall be kept in a conspicuous place on the job site completion of the project
Approved plans are required on the job site at the tim each inspection.
Building Permit Application Residential EE FOR OFFICE USE ONLY
C1 of TI and 1Lt `� Received 2
Date/By: Permit No.:
131 Hall lvd., Tigard , OR 9,31413. 1 6 2013 Plan Review w / l 7 u��
1 C • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
- I . I G A R D Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: Juris See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION � Notified/Method: / 7 � � Supplemental Information
TYPE OF WORK N S 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.
dwelling Valuation: $
❑ 1- and 2-family g ❑ Commercial/industrial
El 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: /09 / U S L.1 ( 1- F il. I-J R ■ 7 Q. 128 New dwelling area: square feet
City /State /ZIP: / Garage /carport area: square feet
- - Suite/bldg. /apt. no.: Project name: - — - -- - Covered porch area - • square
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
■ REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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. •
Valuation: $ go o ___
pE �dl ; � i a� dr,yar >sx I 15 I 11 ,
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: C. ; -1 d . 1-- k i i9 a 6 Type of construction:
Address: I Occupancy groups:
O City /State /ZIP: Existing:
.Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
4... (Please refer lo 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: ( ) I Fax: : ( ) Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
....5, Corn - rcial and residential prescriptive insta - :on of
CONTRACTOR roof -top , nted PhotoVoltaic Solar P•.• - System.
Business name: DC S b.-) CSI I A i-., 6 C) Li S,� 2V / L •S Submit two ( s of roof plan • . r connection details
- A
and fire department - ss I ng with the 2010 Oregon
- r Address: ( 9 Is--0 S .1 L L Z / 3 Solar Installation S.ec erode checklist.
City /State /ZIP: t h J i9)J 0k._ / c1 3 0 Permit Fee eludes pl $180.00
D •. d administrative fe-
Phone: (50 7 ) 5 — 41 //r Fax: ( ) 5 62 ) ) S2' — (o I State s harge (12% of permit fee): $21.60
CCB lic.: 1 7 (IPI 2 / 6 c/ /5 Total fee due upon application: ••201.60
Authorized signature: )1_____________•
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
n Date: * Fee methodology set by Tri -County Building Industry
Print name:
1, 5e) . p`1 tS F./ »A � //6//3 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 F012 OFFICE USE ONLY
City of Tigard Received Permit No.:
a 13125 SW Hall Blvd., Tigard,OR 97223 Date/By:
C Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
I' G A R l�, 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 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 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 ❑ ❑ ❑
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 ❑ ❑ ❑
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 l on and shall be shown to be a • s licable 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. ❑ ❑ ❑
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- RESPermitApp.doc 02/ 24/2011 440- 4613T(I I /02 /COM/WEB)
.
, .. . 1 .-.... .' :, . ' •
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IN Building Division
°
Development Code Provision Review
T IGARD Commercial Projects - No Associated Land Use Case
Building Permit o: fb u P ad / 3- OCR 1740 ❑ Expedited Review
Project Name: L y T U 0 r T (r, H 2 'b
Site Address: 18q 10 k 0 ..e.,J tertAta 6) , Suite /Bldg #:
Plans Routed: -
Original Plan Submittal Date: 7/t6 /' 3 Routed By: C
1" Revision Submittal Date: Routed By:
2 Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review ( ntact 3 y 0 in F at (503) 718- or @tigard- or.gov)
Proposal: L 4 (SAO
Zoning
Permitted Use Yes Er ❑
Land Use Required: Yes ❑ No
Notes: NO 4J x4164 401 USPQ Os -Nile. 1-44
I Approved ❑ No Ap roved ❑ DCPR Not Required – No DCPR Fees Due
Date Routed to Building: / / i 15
1 j tL- 1 P--iA -A-;� �, - tom .
I: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev. 01/16/13
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