Permit q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00055
T IGAAD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014
Parcel: 25111 BA06100
Jurisdiction: Tigard
Site address: 9680 SW MCDONALD ST
Project: Mawhirter Subdivision: ARLIE'S PLANTATION Lot: 1
Project Description: Demo 16'x 33'swimming pool. Grading yard to obtain fill material for pool. Erosion control must be in place.
Contractor: VP CUSTOM CONSTRUCTION LLC Owner: IMT PROPERTIES LLC
8613 NE 97TH CT 507 N SANTA FE DR
VANCOUVER,WA 98662 VANCOUVER,WA 98661
PHONE: 360-521-6494 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 03/06/2014 $134.54
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 03/06/2014 $16.14
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 03/06/2014 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Erosion Control w/Permit-Eng 03/06/2014 $75.00
Value: $3,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $226.18
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 i -—• •- - 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. TENTION: Oreg•• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule/are set forth in OAR
952 ∎01-0010 through OAR 95 001-••'0. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198/r 1;01.332./, 4.
Is=ued By: 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 ri 4!
Residential r 1,, _ F I t,lz i is ,t , ,, O\, ,
City of Tigard MAR - 6 2014 Date/Bvyd. o[ (p /4 l_a'J PermitNo.:/ctJ 9 / -4005-5-
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
g Phone: 503.718.2439 Fax: 503.598.0 flyOr I IGAf7L! Date/By: Other Permit::
Inspection Line: 503.639.4175 vV,t 1I r1 Or 1.�11I1 Date Ready/By: Jura ® See Page 2 for
I l A l ll Internet: www.ti g ar d-or.g ov 9UILMIr 11Q@ Notified/Method: Supplemental Information
• -- TYPE OF void 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 CONSIBUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑ComerciaUmdustrial Valuation: $ 3 0
m
i
CI Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: CI(12/Q %Ad J . WkcaoNA.a,cl New dwelling area: square feet
City/State/ZIP: 1‘,Q w A OP- `-1 1 22A Garage/carport area: square feet
Suite/bldg./apt.no.: II Project name: Is-t �� 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
----C- G M G� DESCRIPTION OF WORK
_ work indicated on this application.
v-I Z D C7t,D 11-4 t-I t 1� e 1 IC L— Valuation: $
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I , El TENANT Number of stories:
Name: ,e„.. .N \,ANta Type of construction:
Address: 5 0 7 C � f- r Occupancy groups:
City/State/ZIP: V eiy wi'ti cdct ! 104( Existing:
Phone:(3 ue) bq S S7 cf."( Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
- Commercial and residential prescriptive installation of
CONTRACTOR roof-to. ounted Photo Voltaic Solar Panel S .
Business name: U I� e C./ s,i v pi c 0^-I S 4 g L L� Submit tw• sets of roof plan with co.• ction details
�D �y and fire dep. 1 t access,alon 'i the 2010 Oregon
O
Address: G ( N (i -/ 7 C + V Solar Installation . 'ally ..e checklist.
City/State/ZIP: ci U (V e J u 'f e z u-'/9 78 C 6 .� Permit Fee(incl .lanreview $180.00
an, ..ministra t - fees):
Phone:(?mac e � ? ! � V pr (/ Fax:( ) State arge(12%of permit fee . $21.60
CCB lic.: 199335 `//6-//7 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
Iwithin 180 days after it has been accepted as complete.
Print name: ;/ ,//�/.(# Date: `3 / // cii *Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Buildini Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONL1
Cl}�,of Tigard Received �', ,,
71 `•� g Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
= Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
Internet www.tigard-or.gov ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es 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.on and shall be shown to be a•.licable to the rro'ect under review.
.Il RItiI)I( I IONAI. 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(11/02/COM/WEB)
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lie uxe Excavation Inc Invoice
19958 S Bakers Ferry RD
OR 97045 Date Invoice#
PH:503-701-5637,FAX503-631-3201 3/10/2014 43592
CCB-189157,WA-DELUXEI901 B 1 -
Bill To � may}
VP Custom Construction g t ]p 20/e/— xz
9680 SW Mcdonald
Tigard,OR
Quantity Description Rate Amount
DEMOLITION GARAGE,HAUL OUT WOOD,AND GARBAGE TO
RECYCLE PLACE
REMOVE SHRUBS,CUT TREE,HAUL OUT TREE, SHRUBS TO
RECYCLE PLACE
CUT BOTTOM COUPLE HOLES AND REMOVE CONCRETE FOR
FUTURE DRAIN,DEMO PARTIAL POOL APPROX 2 TO 3 FT
FROM TOP, FILL POOL WITH CONCRETE AND DIRT
INSTALL EROSION FENCE ONLY 100 FT
LABOR AND MATERIALS 3,550.00
EXTRAS:
RECEIVED DEPOSIT 3/7/14 -2,000.00 -2,000.00
I LOAD GRAVEL FOR EROSION CONTROL 240.00 240.00
INSTALL EXTRA 50 FT EROSION FENCE 75.00 75.00
Late payment charge will he assessed at the rate of 10%on all accounts Balance Due $1,865.00
more than thirty days old.
E-mail
IdhiEucc aoa3rmthart ll uum
AOS LOCPRT: 6.5(22] FIRE EXTINGUISHER SVC CENTER File: CUSLOC
RUN DATE: 02/17/14 10:36:09 J081 CUSTOMER SERVICE DUE LIST FOR: 03/01/2014 TO 03/31/2014 PAGE 4
DSK02:LOCPRT.PRT DSKO:(31,1] FAIMA
CUSTOMER#--LOCATION NAME CITY PHONE- --C O N T A C T- EXING SYSTE BK/FL SPRIN FIRST E.LIG
000001604 0001 ELDERLY CARE HOME (TIGARD) TIGARD 590-9854 ANNA/SARA 03/14
890001608 1001 WESTERN FAMILY FOODS TIGARD 639-6380 NIKE 03/14
098081621 0019 RIDGE APARTMENTS LINCOLN CITY 541-96-1667 GLENA BROWN 03114
100001642 0001 CONTINENTAL CLEANERS BEAVERTON 521-8845 NICHAEL/MARISSA 03114
099991125 0001 CURTIS TRAILERS ALOHA 503-649-8528 SHAWN TURNER 03114
099101745 0001 MAXWELL MANOR APARTMENTS BEAVERTON 503-614-9811 JOHN 03/14
009991786 0001 ENTERPRISE 4613 6TH EUGENE EUGENE 541-344-2020 RYAN 03/14
000001186 0003 ENTERPRISE 4624 SPRINGFIELD SPRINGFIELD 541-741-4100 GRANT 03/14
900001786 0007 ENTERPRISE 4610 HAZEL DELL VANCOUVER 360-516-9999 ROBERT 03/14
009981786 0009 ENTERPRISE 4620 ROSEBURG ROSEBURG 541-441-3831 MICHELLE 93/14
000901786 9010 ENTERPRISE 4622 NORTH BEND COOS BAY 541-266-7108 TIA 03)14
000981186 9013 ENTERPRISE 4618 MEDFORD MEDFORD 541-112-1200 PAULA 83114
800/01186 0014 ENTERPRISE 4628 GRANTS PASS GRANTS PASS 541-411-1890 SHAWN 83/14
000001786 0015 ENTERPRISE 4632 KLAMATH FALLS KLAMATH FALLS 541-850-9000 JAMES 03/14
008001786 8819 ENTERPRISE 4606 POWELL GRESHAM GRESHAM 665-3300 CHRIS/KEN 83/14
800091786 0025 ENTERPRISE 4601 4TH VANCOUVER VANCOUVER 361-254-1111 KEVIN 03/14
081081786 0028 ENTERPRISE 4627 MILL VANCOUVER VANCOUVER 361-150-1111 ROSS 03114
181101186 1134 ENTERPRISE 4602 LLOYD CENTER PORTLAND 231-1212 MICHAELIS 93/14
008/81786 0045 ENTERPRISE 4601- HILLSBORO HILLSBORO 681-8000 KELSI JAVA 03/14
089881186 0052 ENTERPRISE 4651 EUGENE EUGENE 612-8111 DAVE 03/14
009901786 0061 ENTERPRISE 82N AVE-CLACKAMAS CLACKAMAS 503-653-2288 MATT 03/14
808981186 0062 ENTERPRISE DOUGLAS OR-EUGENE EUGENE 541-689-1563 JASON 03/14
011101786 4614 ENTERPRISE RENT A CAR ALBANY 541-928-1099 CASEY HAIDEMAN-MNSR/14
110/81786 4688 ENTERPRISE MEOFORO AIRPORT MEDFORD 513-692-8400 RACHEL 03/14
909001198 0001 HART THEATER HILLSBORO 693-7815 WARD/JEANETTE 03/14
080081823 0081 HALSEY COLLISION CENTER PORTLAND 503-256-4210 KC/VIC 03/14
908081845 0001 NASHITA TERIYAKI NE 6TH PTLD PORTLAND 335-7185 TUN/SUK 03/14
000001848 0016 CHARNEL APARTMENTS PORTLAND 503-203-1881 STEVE 03/14
000001849 0001 AUTO LAND PORTLAND 513-238-1048 JOE 03/14
0/8/01862 0001 LOREN BERG CHEVROLET-NEWBERG NEWBERG 503-538-3161 DAN 93/14
909001903 0091 SHOGUN SUSHI RESTAURANT HILLSBORO 513-314-9716 PETER 03/14
000101958 8901 BLAZING STITCHES PORTLAND 239-5647 RICK KNUDSON 03/14
009002010 0001 KAPLAN PORTLAND 503-227-1118 RICHARD 03/14
090902017 0001 PACIFIC ROOFING COMPANY NORTH PLAINS 503-647-2894 MARK 03/14
200002116 0001 LABOR READY-VANCOUVER-MACARTHR VANCOUVER 360-693-1203 KELLY OR ISABEL 03/14
00/002118 9091 INOIA GRILL PORTLAND 583-236-1790 BASSI 83/14
880002151 0081 INNOVARI HILLSBORO 512-289-4279 PHONG 83)14
010002152 8004 SWEET BY AND BY SALEM 503-811-8629 TRACY 03/14
080002192 9001 RANA THAI RESTAURANT BEAVERTON 503-521-0685 PHO (OWNER) 03/14
008002193 0181 ALLEN FREMONT PLAZA PORTLAND 503-282-8668 JOHN WINNER 03/14
080082224 0001 COLUMBIA COUNTY JAIL ST HELENS 503-397-7983 JOHN 03/14
888002227 8001 NW NEIGHBORH000 VET HOSP PORTLAND 503-227-6847 JAN 03/14
900802239 0081 GOLDEN PALACE REST LONGVIEW 369-423-4261 JOOY 03/14
0889/2278 1881 COLONIAL OFFICE CAMPUS PORTLAND 246-5662 NANCY 03/14
008802296 8001 REJUVINAITON DAY SPA PORTLAND 583-293-5699 MNGR 83/14 93/14
000002298 8081 FARMERS INSURANCE-VANCOUVER VANCOUVER 360-516-2924 JASON 03/14
080002309 0901 LORI MANOR HILLSBORO 503-648-4452 BOB HERB 03/14
/08012310 0001 THE COMPETITIVE EDGE VANCOUVER 361-256-1189 SANOI 03/14
000002311 8081 1 11 127453 WILSONVILLE 503-682-1481 SOCO 03/14
0/0002312 0081 KRUSE WAY COMMONS LAKE OSWEGO 503-697-7997 RYAN 03/14
0/0002326 0601 HEARTS FOR CHILDREN NORTH PLAINS 503-647-5269 VIRGINIA 03/14