Permit bx r;
CITY OF TIGARD BUILDING PERMIT
f a : COMMUNITY DEVELOPMENT Permit #: BUP2010 -00081
I T R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/04/2010
I G 11
Parcel: 2S102AA00101
Jurisdiction: Tigard
Site address: 11900 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Tigard Auto Repair
Project Description: Demo existing 5,200 sq ft structure for Greenburg/Main /Hall /Pacific Hwy street/intersection
improvement project.
Owner: FEES
HOFFARBER, RAY ALBERT ESTATE OF Description Date Amount
C/O LEE, SAMMY &, NAM, NAM SOON, 11900 Permit Fee - Additions, Alterations, 05/04/2010 $377.90
SW PACIFIC HWY Demolition
PHONE: 12% State Surcharge - Building 05/04/2010 $45.35
Erosion Control 05/04/2010 $26.00
Erosion Plan Review CWS 05/04/2010 $8.45
Contractor: Erosion Plan Review COT 05/04/2010 $8.45
BELFOR ENVIRONMENTAL INC.
12821 NE AIRPORT WAY
PORTLAND, OR 97230
PHONE: 503- 408 -7404
FAX:
Specifics:
Type of Use: COM
Class of Work: DEM
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $466.15
Required: Required Items and Reports (Conditions)
1 BUP Ersn Cntrl 681 -4444
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 i cordance 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. A ENTION: Oregon =w re. ' -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through OAR 9 , % 61-0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: ' /0 P ermittee Signature: • / • I J
Ai
Call 503.638.4175 by 7:00 a.m. for an inspection that bu in -s day.
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 C � M a d o �.,e„,h �th e-
tR1.:*1 r I OW,01 11(.Lt.IJSl ON 1.1 , . 1 =t,r r
Y . City of Tigard A PR , 2 0 2010 Received 411 DateB : �� /d •/J� Permit No. 6 2, ii - j /0 •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I IIII
I, C Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGARD DateBy: Other Permit:
fi t; A R 1) Inspection Line: 503.639.4175 BUILDING DIVISIO Date Ready/By: Juris: ® See Page 2 for
'i.: C Internet: www.tigard- or.gov 4 Notified/Method: 7 16" Supplemental Information •
TYPE OF WORK • 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.
• Valuation:
❑ 1- and 2- family dwelling ,2ommercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
0 builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION . Total number of floors:
Job site address: New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 776 ,9 rer ,�� // 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
6-7"10 EX✓ST /A/G S cLCT E" Valuation: S a 0/ 0
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existin
ne: ( ) Fax: ( ) New:
v ❑ APPLICANT ' ❑ CONTACT PERSON •
NOTICE
l usiness name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: 3 Q EAT 1// QNM 7?9 — pve , BUILDING PERMIT FEES*
Address: (2...B Z / OE_ 4.,-;-_-...2 ., ��'1 A- (Please refer to fee schedul )
Structural plan review fee (or deposit):
City /State /ZIP: F a- 1 -iQ-u O lZ 9 723
r FLS plan review fee (if applicable):
Phone: ( ) j. i 6 & 7( Fax: ( )
CCB lic.: / 2 ( 13 2 I // //2JJi Total fees due upon application:
�� Amount received:
Authorized signature: C This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: e j) AAJ E2ps- a) (la A Date: j /� /0 * Fee methodology set by Tri- County Building Industry
X03 _,Q'e f6 --f77 0 �,9 Co , ` (` Service Board.
1:\ Building \Permits \BUP- RE � 10/01/09 4404613T(11/02/COM/WEB)
Building Permit Application Checklist
��, kx I OR :ol 1 1e < 's : nir�L)-.:;,t , , , ..;:...
One- and Two - Family Dwelling 3
City of Tigard Received permit No.:
14 V 1 3125 SW Hall Blvd., Tigard, OR 97223 Date/By:
® Phone: 503.639.4171 Fax: 503.598.1960 Associated permits:
.1.1( A1(1)
24- Hour Inspection Line: 503.639.4175 ID Electrical ID Plumbing ❑Mechanical
.- .; • I nternet : •
www.t or.gov 0 Other:
o �"Y"'': � � N � i • � � . .,. 1 �� f j' v - J ' l ; � �: � 1 � s i 11 .. 11��11 g / �4L
io rrac LL:b�V1\,C „1 I;C N1S : ALivSkE(1�uIli E lap R 1 LAis Rists0Si
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:on and shall be shown to be applicable to the .ro'ect under review.
7`- URISDIC I IONAI` 1'1 CIl ICS r
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. E ❑ ❑
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.
1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(11/02 /COM/WEB)
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 6 it /?? Dip —
PLANNING DIVISION:
Required Setl?acks 0 Approved 0 Not Approved
I 's;id ,. e24312. Street c.ide• °OP
n: 050 . ( V./..i2. W. ear
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;.• . ,c,,.. 1;i. ::.1, . .: Required: 0 Yes 0 No
Deed
NCINEERI
G EPARTMENT:
At.:tual SIo e:_a_ 7 .I. Approved 0 Not Approved
Site Or:
By: Eil. Approved 1A No ipproved
Date: " 2 2 , /0
Notes:
CITYOf TIGARD - SITE ?LAN RtVIEW
BUILDING PERMIT NO: /,2c /O -- Oa,/
Street Trees: Approved 0 Not Approved
Protected :ees: Approved 0 Not Approved
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