Permit IN NI CITY OF TIGAR BUILDING PERMIT
11 COMMUNITY DEVELOPMENT Permit #: BUP2013 -00185
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/23/2013
Parcel: 1 S126DCO3200
Jurisdiction: TIGARD
Site address: 9350 SW LEHMAN ST
Project: JT Smith Company Subdivision: LEHMANN ACRE TRACT Lot: 7
Project Description: Demolition of 1190 square foot house and 120 square foot shed. Property on sewer service. Upon approved final
inspection, SDC credits are available for future development.
Contractor: NORTHWEST EARTHMOVERS INC Owner: LF 8 LLC
PO BOX 1609 5285 MEADOWS RD, STE 171
SHERWOOD, OR 97140 LAKE OSWEGO, OR 97035
PHONE: 503 - 625 -3100 PHONE:
FAX: 503 - 625 -3108
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee - Additions, Alterations, 07/23/2013 $225.80
Demolition
Occupancy Grp: Occupancy Load: Info Process /Archiving - Sm $0.50 (up to 07/23/2013 $0.50
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w /Permit - Eng 07/23/2013 $75.00
Bedrooms: 0 Bathrooms: 0
Value: $9,100
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $301.30
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. ATTE • 1 : 0 :.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0. 0 through OA' 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.
Issue. By: _ / % A O A Permittee Signature:
Call 503.639.4175 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 OI FlCl USE ONLY
Cl of Z'1 g and Received 7 / d R z 3
Date/B: ./ Permit No.: e,„. 0 ,, 3 -to 1 gs
l
° 13125 SW Hall Blvd., Tigard, OR 97223 . I l 2 2 2013 Plan Review 0 A w
Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 �T DDate/By: A00 7 _ k
t- R n Inspection Line: 503.639 CITY OFTIGARD Date ReadyBy: Juns: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION N ifie ethod: 701 / Supplemental Information
1.0 / •
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
0 New construction ErDemolition
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.
El 1-and 2-family dwelling Valuation: $ Po
y g ❑C ommercial /industrial 9 i
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 5 W 1....e fi New dwelling area: square feet
City /State /ZIP: I ( (• J 0 Q-- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: C-'F G 0 E IA I O 5 Covered porch area: square feet
Cross street/directions to job site: I ?:::t_ .. apeci 0 rr Deck area: square feet
6v.1 11 Alit- Other structure area: square feet
� ,- REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ( . �j rx tE E L 0 S 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.
I D t 9.1 1 190SE 4- pJ I I LO1 s Valuation: $
I 1 q P 0 1,V771,t,s .. i 2,0 6t-i -4 Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: �-r s v.. 1Tr( 0 . pp J Y Type of construction:
Address: Gfj >;l,1/4) M ar.) S 9-004) Occupancy groups:
City /State /ZIP: 1,.. E - 1 0 0 t2__ T)O Existing:
Phone: (s ) ( 1 -3. 1 o Fax: ( )
�/ New:
APPLICANT IS CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: i\l J r1 v E/\ U 4 . s 1 t,J c .
Structural plan review fee (or deposit):
- Contact name: M1 V--.0 0 PJE{L_ FLS plan review fee (if applicable):
Address: Po BO-A '. (v 0 q
Total fees due upon application:
City /State /ZIP: FOOD o a_- q 1 Iii-0
Amount received:
Phone: ( p 3 ) ( - , 2 c _ `j 100 I Fax:: ($b3) 62r-3105
E -mail: INA .010-e r a n Iw ear- vvv,D4 ('5 • C J PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Com ercial and residential prescriptive install..: of
CONTRACTOR roof -to. ounted Photo Voltaic Solar Pan- "ystem.
Business name: ¢ �E Submit two sets of roof plan wi nnection details
and fire departm- access, alon: ith the 2010 Oregon
Address: Solar Installation Spe ' .de checklist.
Permit Fee (incl : - Ilan review
City /State /ZIP: an. : + ministra , e fees):
$180.00
Phone: ( ( )
Fax: State su.• arge (12% of permit -e): $21.60
CCB lic.: 6'Z ? 6
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is no obtained
within 180 days after it has been accepted as complete.
Print name: Date: - 2 Z f 71 * Fee methodology set by Tri- County Building Industry
1 Service Board
I: \ Building \Permits\BUP- RESPermitApp.doc 02/24/2011 440- 613T(1 I /02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
Received
City of Tigard Permit No.:
1 V 1 3125 SW Hall Blvd., Tigard,OR 97223 bate/BY:
Associated permits:
: C Phone: 503.718.2439 Fax: 503.598.1960
"I IGARD
24- Hour Inspection Line: 503.639.4175 ❑Electrical ❑ Plumbing ❑Mechanical
Internet: www.tigard- or.gov ,'i ,: . . ❑ 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 -fl. 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 Ion and shall be shown to be a pplicable 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 ". 0 ❑ ❑
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, '❑ 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(1 I /02 /COM/WEB)
l •
Building Division
Development Code Provision Review
Ti n I: D Commercial Projects - With Approved Land Use
Building Permit No.: 7 J Lc P a C t 3 (:)0( S 5 - u i..ti. 'fr.' b
Land Use Case File o.: `auP, 9-00 - 0000(p - I
Project Name: / Co ES7 - ft-T C S e.,_ g7/ ✓� 5 io IJ �^
Site Address: ct 350 w 1-*-- it N /+ , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: 7/aa1/ 3 Routed By:
1St Revision Submittal Date: Routed By:
2 Revision Submittal Date: 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 only mark those items on the left side that are approved.
Planning Review (contact V NA - at (503) 718 -2421 or ANUS I� @tigard-
or.gov) U
Land Use Approval
❑ Building Plans Match Approved Plan: Yes ❑ No ❑ OA--
❑ Maximum Building Height Pl I Dt
QV Met
0 treet Trees r
� Protected Trees
Notes:
Original Plan: Approved.R Not Approved ❑ Date: 1/13 11.3
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
1: \CURPLN\Masters\Development Code Provision RevietrkDCPR _COM_WithLandUse.doc Rev. 01/16/13
Engineering Review (contact Mike White at (503) 718 -2464 or MikeW @tigard- or.gov)
❑ Actual Slope: %
❑ PFI Permit #
❑ Conditions Met
Notes:
Original Plan: Approved X, Not Approved ❑ Date: yq ( 5_
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)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue 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
I: \CURPLN\Masters\Development Code Provision RevievADCPR _COM_WithLandUse.doc Rev. 01/16/13
i
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_V
•
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
9350 SW LEHMAN ST, TIGARD, OR, 97223
Residential - Building
299 Final inspection
2013-10-31 00:00:00
BUP2013-00185
PASS - C of O
Violation Summary:
Inspector Contractor