Permit CITY OF TIGARD BUILDING PERMIT
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!PA a COMMUNITY DEVELOPMENT Permit#: BUP2014-00031
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/18/2014
TtC;A R.C� 9
Parcel: 2S109DB00800
Jurisdiction: TIGARD
Site address: 15060 SW 133RD AVE
Project: Sequoia Heights Subdivision: WOODSIDE Lot: 7
Project Description: Demo SF residence of approximately 3,342 sq ft on septic and(1)shed,approx. 120 sq ft. System Development
Fee credits for Parks&TDT available upon final inspection.
Contractor: ROTSCHY INC Owner: LENNAR NORTHWEST INC
9210 NE 62ND AVE 15060 SW 133RD AVE
VANCOUVER,WA 98665 TIGARD,OR 97224
PHONE: 360-334-3100 PHONE: 360-258-7900
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 02/12/2014 $301.85
Demolition
Occupancy Grp: Occupancy Load: Misc Administration Fee 02/12/2014 $0.50
Dwelling Units: 0 Erosion Control w/Development-Bldg 02/12/2014 $75.00
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $15,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $377.35
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
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 ccordance 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 TTENTION. Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -001-0010 through OAR 952-'' -'090. You may obtain a copy of the rules or direct questions to OUNC by call 503.232.1987 or 1.800.332.2344.
sued By: - ' / / ya .4 Permittee Signature: J
Call 503.639.4175 by 7:00 a.m.for the next avai a• , ' - i• date.
This permit card shall be kept In a conspicuous place on the job site un' ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential BEGEt\J ED FOR OFFICE USE ONLY
Received /���'//
City of Tigard Date/By: /9.- Permit No , POD"(��(?j/
13125 SW Hall Blvd.,Tigard,OR 97223FEB 1 2 2014 Plan Review "TT
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:61489 Cy 5. _2.
TIGARD Inspection Line: 503.639.4175 CITY 1 0 r�GryDft Date Ready/By: luris. ® See Page 2 for
Internet: www.tigard-or.gov 11a11f1LJ Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®Demolition Permit fees*are based on the value of the work performed
❑New construction Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,lat. Crrrn:+st . . t e p r • the
CATEGORY OF CONSTRUCTION
work indicated o. . ' application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ (556(j0
❑Accessory building ❑Multi-family Number of be• :•us:
❑Master builder ❑Other:
Number of bathrooms: -f
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15060 SW 133rd Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Sequoia Heights Covered porch area: square feet
Cross street/directions to job site:SW 132"d Terrace and Hazelcrest Way Deck area: square feet
West of above intersection.Hazelcrest Way will be subsequently extended to West Other structure area: square feet
and connect to SW 133rd Ave. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Sequoia Heights-SUB2013-00002 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S1 9DB,TL 800 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.
Demolition of existing single family residential home. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TE:P-ANT Number of stories:
Name: Lennar Northwest,Inc. Type of construction:
Address: 11807 NE 99th Street,Suite 1170 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)258-7900 Fax:(360)258-7901 New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Lennar Northwest,Inc.
Structural plan review fee(or deposit):
Contact name:Mike Loomis
Address: 11807 NE 99th Street,Suite 1170 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver,WA 98682 Total fees due upon application:
Phone:(360)258-7900 Fax: :(360)258-7901 Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TO -� ty�. Submit two(2)sets of roof plan with connection details
r and fire department access,along with the 2010 Oregon
Address: 92-10 Re. (,2... ME Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
"A TFax: and administrative fees):
Phone:(atop ) 3 set- ( 3100 ) 334-31n1 State surcharge(12%of permit fee): $21.60
CCB lie.: 4K1eS)'• a/Pff17
Total fee due upon application: $201.60
Authorized signature: 1.vriai This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Mike Loomis-Directs 1 elopment Date: 1/15/2014 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESP; , .p.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
MICity of Tigard Received Pen,
13125 Sw Hall Blvd.,Tigard,OR 97223 Date/Date/13, Phone: 503.718.2439 Fax: 503.598.1960 Associated permits.
TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing E=1 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. ❑ El ❑
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- ❑ ❑ El
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 Oregon and shall be shown to be applicable 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"buildingplans 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, ❑ ❑ El
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(11/02/COM/WEB)
Building Permit Number: lh,aa01 q - 600 B f
1111 " Building Permit Review
Residential Projects
TIC; RD
SSit, Address: /50(0U �uD / 5-5- 6-'4' -v+✓ rb-t-iwin _A-40---. .)
LdVerify site address is valid.
Project Name & Lot #: , u_e. ,,} 46/CH-7-5
Clean Water Services-Service Provider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No 15 Received: Yes ❑ No ,-
Site Plan Elements:
❑Site plan must be on 8-1/2"x 11"or 11"x 17"paper ❑Three(3)copies of site plan
❑Drawn to scale(standard architect or engineer scale) ❑North arrow
❑Map and tax lot number,site address,project or subdivision ❑Footprint of new structure(including decks)with finished
name,lot number,and zoning floor elevations
❑Applicant information(name and phone number) ❑Lot and building setback dimensions
❑Property corner elevations(2 foot contour lines if more than ❑Lot area,building coverage area,percentage of coverage and
4 foot differential) impervious area.
❑Utility locations ❑Location of wells/septic systems.
❑Existing structures on site ❑Surface drainage
❑Street names ❑Street tree size,type and location
❑Erosion control(including drainage-way protection,silt fence ❑Existing trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review
2' Land Use Case Number: al ej2 13-cZXz 2-
(2 Zoning: R--1
24tbacks: 1
Front IS Rear t S Side 5 Street Side 10 Garage Id
2/Landscape Requirement: 2.0
R"Lot Coverage Maximum: PO
Q/Building Height: Maximum Height S Actual Height N/A
2/Visual Clearance
❑ Easements
2/-Sensitive Lands: ❑ Yes Type
❑ Urban Forestry Plan
❑ Conditions Satisfied
Approved by: / Date: Q4r%
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
1:\Building\Forms\B l dgPerm itRvw_RES_123013.docx
Building Permit Submittal f
Original Plan Submittal: Date: o�-r/?- //(1 By. C.
Site Plans: # 3
Building Plans: # 7..V4--
Create Case Record#: "Enter case#above for Building Permit Number.
Workflow Routing: 2(Planning Er Engineering Permit Coordinator irBuilding
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application,(1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
Engineering Review—reviewed by: tfrt4 k t •
Actual Slope:
1. Conditions Satisfied t C
Notes:
Approved by: I- 1l Date: 2- 1g
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to App -.':nt 4
Okay to Issue Permit- 410 illir 7-, )),Date: � � J
I:\Building\Forms\BldgPermitRvw_RES_123013.docx