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Permit III CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2014-00095 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2014 Parcel: 2S1106D01500 Jurisdiction: Tigard Site address: 11670 SW BULL MOUNTAIN RD Project: ORFIELD Subdivision: SHADOW HILLS Lot: 6 Project Description: Demo 1,500 sq.ft.residential dwelling on sewer and 100 sq.ft.shed.Property is connected to sewer.UPON FINAL INSPECTION APPROVAL,DEMO CREDITS FOR SDC FEES ARE AVAILABLE. Contractor: RIDGECREST CONSTRUCTION CO INC Owner: ORFIELD, KELLY A&TAMARA L 6600 SW 92ND AVE SUITE 100 14728 SW 117TH PL PORTLAND, OR 97223 TIGARD,OR 97224 PHONE: 503-246-8808 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 05/07/2014 $149.75 Demolition Occupancy Grp: Occupancy Load: Erosion Control w/Permit-Eng 05/07/2014 $75 00 Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $5,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $224.75 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 in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is sus ed for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those es are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obt.• , •• - e rules or direct questions to OUNC by calling 503.232.1987 or .332.2344. Issued By: . Permittee Signature: CCCCs- Ca 503.638.4175 by 7:00 a.m.for the next available inspection d a. 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. Buildin! Permit Application Residential FOR OFFICE. l SE O\I.1 City of Tigard Received DateBy: t.[ e)( ,) (d 477 Permit No61 )076 i f� ? ;1q • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review -'�! ! V s Phone: 503.718.2439 Fax: 503.59 �� Date/By. /U 4" Other Permit. Inspection Line: 503.639.4175 Date Ready/By: luris: H See Page 2 for rlc:, , to Internet: www.tigard-or.gov 20``� Notified/Method: ��� r 'D Supplemental Information i s. TYPE OF WORrK� I _i �‘ REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction Dddll • (7;' )1�1,`�1O Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑(§ 1 ■ equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. -and 2-family dwelling ❑Commercial/industrial Valuation: $ s Ott ❑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: 1 ) 1/7 V SW 13 11 L%- M 7N / New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ,_Q� Covered porch area square feet Cross street/directions to job site: „0„, 1/� i y Deck area: square feet f� 1 Other structure area: square feet r REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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 , !fit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ D,apt n n , s Existing building area square feet n•-'l`e(SrVD"`�J r, '1- us-.J New building area: square feet PROPERTY OWNER ❑ TENANT Number of stone • Name: �`,,,3 k\--(-7►3 Type of con don: Address: c Q_1M E 0'8 b(f(t Occup.' y groups: City/State/ZIP: xisting: Phone:( ) Fax:( ) New: Ary APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: fp�S-��- -111 i'rri review fee(or deposit): Structural plan review fee(or deposit): Contact name: 1..... g — Address: 1 4(33 V 1, 14 ' �L�1 06-e FLS plan review fee(if applicable): — City/State/ZIP: P)0X / ? . ., Total fees due upon application: Phone:( 1-05-03) 3 1) 1 D Fax::(rri )19 4—)-4.) U Amount received: E-mail: 7-4;)'g 6a P '► (b . (.p„t/v PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES; CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: .. 1 b 11C C.-T T yowl.tJ . Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 15S-6 ,S c.3 T- 5 . 1-1,A PI, .4 Lou Solar Installation Specialty Code checklist. City/State/ZIP: i 0 !Qh 1, U C7 11 V° Permit Fee(includes plan review $180.00 1/ + and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 9 2,t $'/b7 Total fee due upon appication: $201.60 Authorized signature: i-2—..-- r - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: !c..-a?Ti I'—/ . Date: 1 I/3 d 1 •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) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY III City of Tigard Received I i����n t v,, 13125 SW Hall Blvd.,Tigard,OR 97223 y Phone: 503.718.2439 Fax: 503.598.1960 Associated permits T I G A R n 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/.. 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ _ ❑ 0 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 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 •ro'ect under review. .II RI'UI( I IO\ V. SIT( III( S 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(II/02/COM/WEB) Building Permit Number: Building Permit Review Residential Projects TIGARD Site Address: i Itp1D fatit(I 1q61 . ❑Verify site address is valid. Project Name & Lot #: fnnalbe9 Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995) Required: Yes ❑ No ❑ Received: Yes ❑ No ❑ Site Plan Elements: ❑Sitgplan must be on 8-1/2"x 11"or 11"x 17"paper ee(3)copies of site plan iNerawn to scale(standard architect or engineer scale) orth arrow Cl Map and tax lot number,site address,project or subdivision ❑Footprint of new structure(including decks)with finished ,ame,lot number,and zoning floor elevations Irr rlpplicant 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. ❑UUt�tility locations ID Location of wells/septic systems. Nedsting structures on site ❑Surface drainage [ 'Street names �❑�,,SS�tre'et tree size,type and location ❑Erosion control(including drainage-way protection,silt fence L!1'Extsting trees to be retained with drip line,and tree design,location of catch basin,etc.) protection measures Planning Review ❑ Land Use Case Number: N LA- ❑ zoning: R-4-5 ❑ Setbacks: Front Rear Side Street Side Garage ❑ Landscape Requirement: ❑ Lot Coverage Maximum: ❑ Building Height: Maximum Height Actual Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands: ❑ Yes Type ❑ Urban Forestry Plan ❑ Conditions Satisfied Approved by: j� Date: .4.-30 Notes: Demo Oftl/� "i -tree p�C l K-1 IVt pt4CL Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ I:1Building\Forms\BldgPermitRvw_RES_123013.docx Building Permit Submittal Original Plan Submittal: Date: i/// ge,-7-,/// By: Q, Site Plans: # jjj Building Plans: # Create Case Record#: 1: _., i;fft[er case#abov r Building Permit Number. Workflow Routing. 2';'1' ning ngineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: -off for Planning staff,including notes from planning review(page 1) Route Application Documents: W'tngineering: (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: /v /4 Date: y/ //y Notes: OCcep0 Or,vyv)if ON 1 V. q Engineering Review—reviewed by: .� 6� Actual Slope: 0 Conditions Satisfied 46 Notes: fJ e �nr G I x.)G ei& n1 6.. / 5 s .., ..-.._.5 - Approved by: 7e__,,,_____- '2(::L Date: Li , 3 Q ,i `i Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ 13 Permit Coordinator Review ,onditions 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 Applic• __� L/�� J✓ Okay to Issue Permit- � _ �/ Date: I:1BuildinglForms\BIdgPermitRvw_RES_123013.docx * ..,. 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