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Permit
r CITY OF TIGARD BUILDING PERMIT = COMMUNITY DEVELOPMENT Permit#: BUP2014-00190 T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2014 Parcel: 2S 110BA01900 Jurisdiction: Tigard Site address: 11760 SW GAARDE ST Project: Medallion Meadows Subdivision: CANTERBURY WOODS CONDO Lot: 76 Project Description: Demo existing single family residence. Septic tank must be pumped and filled or removed. Upon final inspection SDC credits will be available for future construction. Contractor: NORTHWEST EARTHMOVERS INC Owner: FOUR D CONSTRUCTION CO PO BOX 1609 PO BOS 1577 SHERWOOD, OR 97140 BEAVERTON,OR 97075 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, 08/12/2014 $195.38 Demolition Occupancy Grp: Occupancy Load: Erosion Control w/Permit-Eng 08/12/2014 $75.00 Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 08/12/2014 $0.50 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Value: $8,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $270.88 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. ATTENTION: r 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 rough OAR -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 987 or 1 00.332. 4. I ued By: Permittee Signature: Call 503.839.4175 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 completio of the project Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVED City of Tigard Received fi _. 13125 SW Hall Blvd.,Tigard,OR 9722AUG 7 2014 �y N PermitNo.: Al LCEO Plan Review Phone: 503.718.2439 Fax: 503.598 l�/„r.rin�.�pp e Other Permit: i I(, 1I:I) Inspection Line: 503.639.4175 Ct l I runny Date Read B y: Anis: H S__Page 2 for Internet: www.tigard-or.gov But. tyypc�t Notified/Method: 1 !H t 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. ❑Addition/alteration/replacement 12 Other: - Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ,te I-and 2-family dwelling ❑Commercial/industrial Valuation: $ g cea ❑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: t L 7i C ,v,/ (gftgp S 7 New dwelling area: square feet City/State/ZIP: -r'((2p► Garage/carport area: square feet Suite/bldg./apt.no.: I Project name:N?6',DA.LL/'w Oa-WOWS Covered porch area square feet Cross street/directions to job site: /�e ,,,, & 6,17.09A,. .- Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: MODALLI.c,►\i S 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 -�w DESCRIPTION OF WORK work indicated on this application. �©Z--1170/ 0 F h/.Sty,0� Valuation: $ _-i 5/A4,4_G �'T'�",N,,.r/c / /o e Existing building area square feet � New building area: square feet ROPERTY OWNER ❑ TENANT Number of stories: Name: Fpuf_ p db/),S j724A t7a i Type of construction: Address: P.c_'2 y /5-7 7 Occupancy groups: City/State/ZIP: REIN,vegfbA....3 Oft 770 7 5 Existing: Phone:(5.3) j9; 'e8c1S Fax ti )590 i 75 / New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: . M t4j yl- . (weaasiyerroleescialak) Structural plan review fee(or deposit): , Contact name: ,A y /p D a�T Add FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: r C,3) 7 .7 U y Amount received: Phone:tJ' 7 Fax::( ) E-mail: r(j i.l�D6�,NS-TC 1�J5 ti eZr PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of il CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: A/012•tpi Wes,-- z -4+M r Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: /,3EQ 0 s 6A L6g-e ')?- Solar Installation Specialty Code checklist. City/State/ZIP: z� ' Permit Fee(includes plan review STT�/e�t/JUL7 ��'� ]/l+il v $180.00 _ and administrative fees): Phone:(5.� 62-Z5 .-- 3)C,0 Fax:(%3) é 2S---3/c State surcharge(12%of permit fee): $21.60 CCB lic.: 6,2—76;1 Total fee due upon appication: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Dpy 1 1-0 - �� �1^" Date: 7 (� *Fee methoddogy set by Tri County Building Industry rV / Service Board I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) as LAI- - p...L.Q.4_4_e_ _Ada-A,A....._, City of Tigard .� (� I III ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: L 4 - Co 190 dig O� `t Site Address: I l`l b o S%.J G exa r 0— S4 . Project Name: Me d a t ion Ke a.a• ,.,a s Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Pe ....a -e 4.f,T-41°k S 5FR '1'0 prr.po.-r_ St-fie -c r .Su.B. VVerify site address/suite #exists and active in permit system. Site Plan Elements: ,� Three(3)copies of site plan i xisting structures on site [Site plan must ha on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished brawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations(required for new,may apply for additions) rite address,project or subdivision name and lot number Location of wells/septic systems 1KrApplicant information(name and phone number) KErosion control(including drainage-way protection,silt fence [2Lot dimensions and building setback dimensions design,location of catch basin,etc.) pt) Lot area,building coverage area,percentage of coverage and CgStreet names ‘31 impervious area (applicable if R-7,R-12,R-25&R-40) 0 Street tree size,type and location � /r�Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) ti protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes No Received: ❑ Yes ❑ No X Land Use Case#: SU„ea°t3 - p000s. gZoning: R - 4 .5 Setbacks: 1\i/A Front Rear Side Street Side Garage ilif Landscape Requirement: Lot Coverage Maximum: Building Height: Maximum Height Actual Height jiVisual Clearance Easements I Sensitive Lands: ❑ Yes $ No Type Urban Forestry Plan AConditions Met Notes: 1 ree Pro-ECG-i o/f 'r n plac t - - Conde;06 rne.4 . Approved By Planning: 0∎4-11 L— a C.A •. Date: $ - 7- /t1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved i:\Build ing\Forms\BldgPermitRvw_RES_042914.docx Building Permit Submittal// Original Submittal Date: (7 f i Site Plans: # �j Building Plans: # /JlA Building Permit#: 94. Enter building permit#above. Workflow Routing: 4 Planning 'Fi Engineering Permit Coordinator Building Workflow Sign-off: 'f Sign-off for Planning(include notes from planning review) Route Application Documents: To Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. rBuilding: original permit application,site plans,building plans,engineer and 6614/46\ beam calculations and trust details,if applicable,etc. Notes: T 1Q.41_,, J ptl LOS By Permit Technician: C3 ce Date: (20?-74i Engineering Review ❑ Actual Slope: {s ❑ Conditions Met Notes: Approved by Engineering: v, Date: 5. , Z /' 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: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit Approved by Permit Coordinator: /#.7./ Date: Fri/2/ I:\Buil d ing\Forms\BldgPermitRvw_RES_042914.docx •• .. • 811/24 Medallion Meadows UG 7 20;4 cin0Fry Initial Tree Protection Inspection at Medallion Meadows 9UL nitimo Twenty-two trees at the Medallion Meadows development are being protected as planned. Tree protection fencing was finished on 7131/2014 and l made the initial inspection that day. The tree protection is acceptable and the fencing was done according to specifications listed in the Tree Plan.The owner must receive approval by the City before any additional work is performed. I recommend that the approval be given now. To reiterate the rules, root protection tones may be entered only for tasks like surveying, measuring,and sampling without supervision by a qualified arborist. Upon completion of these tasks. the fence must be clod. Without written authorization, none of the following will occur within the root protection zones: 1. New buildings; • 2. Grade change or cut and fill,during or after construction; 3. New impervious surfaces; 4. Utility trench alignments; 5. Drainage field placement; 5. Staging or storage of materials and equipment during construction; 6. Vehicle maneuvering areas during construction. Once construction commences,the owner is required to have an inspection by a qualified arborist approximately every two weeks. Any problems will be reported to the owner and corrected immediately. A letter will be sent to the City and the owner after every inspection. • • • • Multnomah Tree Experts.Ltd. Page t of 2. • 111 Med latiOn M.eadows 8REE1 liFt) Assumptions and Limiting Conditions AUG 7 2014 ciTyof numb Multnomati Tree Experts.Ltd.$325 SW 42'4 Ave, Portland.OR 97219 ftp Voice(503i 432-8100 Fax(503)452-2921 lieter:44miltnoniatitree.c9.111 "DiNn/MVO. 1. Any legal description provided to*:consultat it is assuateli-to be eorree& Titles and ownerships to property are assumed to be good and marketable. No responsibility is assumed for legal matters. 2. Care has been taken to obtain all information from reliable sources. All data have been verified insofar as f,:asible;however,the consultant can neither guarantee nor be responsible for the aecnracy of information,provided by others. 3. The consultant shall not be required to give testimony or attend court by reason of this report unless subsequent contractual arrangements are made, including additional fees. 4. This report and any values expressed herein represent the opinion of the consultant.and the consultant's fee is in no way contingent upon the reporting eta spied—led value,a stipulated result,the occurrence of a subsequent event,nor upon any finding to be. reported. 5. Sketches,drawings and photographs in this report are intended as visual aids and may not be to scale.The reproduction of information generated by other consultants is for coordination and ease of TV&SWIM inchirsion of such information dues not constitute a representation by the consulting arboriit,or by Multnomah Tree Experts,Ltd.,as to the sufficiency or accuracy of the information. 6. Unless expressed otherwise. information in this report covers only items that were examined,and reflects the condition of those items at the time of inspection. The inspection is limited to visuai examination of accessible items without laboratory artalysis. dissection,excavation,probing,or coring,tmless otherwise stated. 7. There is no.warninty or guarantee,expressed or implied.that problems or deficiencies of the plants or property in question may not arise in the future. 4. This report is the completed work product.Any additional work,including production of a site plan,addenda and revisions,construction of tree protection measures,tree work,or inspection of tree protection measures,for example. must be contracted separately. 9. Loss or alteration of any pan of the report invalidates the entire report. Ownership of any documents produced passes to the Client only when all fees have been paid. Peter Torres. Master of Forestry octi# 154349 ASCA RCA N .372 ISA Board Certified Master Arborist PN 0650-B Niuttnomah Tree Experts, Ltd. Page 2 of 2 t 0 0 N �i G 720 • LL0Q TS 0018`,-x55—x55— 5—x55--0 =;EX 8 PVCYSANI _—---,...-=–______L____ ____—,;. _ __ ? E?�_��__.�1_l I'Ll: T" �, "�IO • O 1� OO19 .,'xw— SW GAARDE STREET - •x t., N EXISTING SLOPE& SD—xSJ x_ �« - 1 Z xW_,; w,- RESET EXISTING 1.�---w- UTILITY EASEMENT xww.,yx.��,i'�mo , c-- - �1 O LL r—UTILITY PEDESTALS –zw DOCUMENT 2003-022293 .. - '�_ - 1 Q - ... . REMOVE EXISTING rw--„w-----i . V�i'�t'C�'!! _ -EX 15'PVC STORM LINE \ ax—xAs--xw-..---` DRIVEWAY ENTRANCE_xxw—xw?: w' Y ._711:002i to r \ .`pop. REMOVE _ - EXISTING SLOPE& ' ! 1� e w , • O 4 SIDEWALK _.IE EXISTING \ EXISTING SIGNS J I• UTILITY EASEMENT.btu DOCUmEN1 2003-022202 , REMOVE EXISTING - -- �{ VE EXISTING 1 I TAX EOr \i ) i ASPHALT ORIVEWAY ne' LT DRIVEWAY ,.I` ——r Q I J/0 EXISTING t0'INCE PCE• 251 IOBA ' H WIDE \ DISTRIBUTION LINE 1600 "4 / • SRI TO ....I-•4j EASEMENT-BOOK . . i` M -- REMOVE •00 \■1 1 _ EXISTING HOUSE TAA'/00 032878 \ I 1`'• 754 AT PAGE 333 _._ - -.`+• 1 151 ION • CI) f ^ k-- . I- ► 'PRovED_ 1 f TT _ / 1? 84 i �.r* � 7 _1700 _- ' -' {{ § ///•� O w ir_- J ' REMOVE EXISTING J ' 7(,�D !/ V� O F_ •` -I I ` GRAVEL DRIVEWAY l 'l ,_ "6� J- I ---... - 3 CONC4Erz SgEWALK 00 �D U .__I �!+,` 111_ ... CC I L`_ � \ I C/)• ` \ ( 'I-, _ \ I X 1G„I - 1 REMOVE EXISTING TA`,, - }.J REMOVE EXISTING +;�� `I.� 1 WOOD BUILDINGS I 2S1 w I 1 ASPHALT DRIVEWAY„ \ 1 l 0270 I - - I. _ TAX LOT r I \t a-I.! '\ — - 2S1 10BA '.` /' t L \ .. I 1.\ 1800, \\t 1 1 TAX LOT •,c' ,y -,\ - IL„,, .-REMOVE EXISTING \sr, UTILITY PEDESTALS \ \ I ! 251 109A / SCALE 1 ,1 \ 11 I 1 1500 ,I 40 o�=o 40 4 L:. I 1 NCH.40 FEET A RNs I I I / i ' o 0- 1 k ai, \ . 4tr� i y • I 1 / i TAX LOT X II I \ I 1 r / / / p ,, 251 1034 w cc two / 1, I. I .. t I s . 43/ III t : / / ! / / r OT II '\ I I 1 � 1 1 I / 254 1111 \, '; , I 1 `"'I C ; 1 1 / , O I I I I /, o IX y' I ' 1 1 I I / 1� I I i" 1 r 1 I i / i I i I I it II \ -� EXISTING HOUSE I i I r 1 f I \ 14), LO7 0 ...I BA I 1 1 I I + 251 105A 1 '. 11 I I I 7 1 WOO 1 11 I i l . ■r 1 ',, I\ ' 1 1 I I 1 �. k°ge, 1 11 II I I 1 • : 1 •\\ \1 1 i I I \\ VV N 1 1' 11 1 TAX LOT I `T 1}1 I I I 2S1 tOBA / j i I 1 \ \ ' 'I 1 I 1 1 1900 / / 1 ! I I *TT \� _; 1 ■11 1 1 1 / / 1 1 I 1 1 "`"r 1 b R: T I I — ! r l 1 11 1 r 1 \ \ \ lr6•� rc . 5F I 1 1 ` 1\ \ REMOVE DRIVEWAY 1 1 \ \ 1 I /1 1 { I \\ �\ \ sro n ffi I I I ■ I f I e ! 1 � i \ In�I 1 I I I 1 / I I \ /AA tOr 1 11 1 1 1 Ji I 1 I \I I l \ `\ — ——— 251 /J5A 1 1 i C 4 / i l 11 1 I I 1 1 \ I 1 1 �.__- -----� OC 1 f t I 1 I d `\ rs / ��_ X 1 I \ I ` — '3 1 �- 272 Tip TAX L01 ?S1 i0c't I TAX LC7 UA'LOT SHEET 4200 251 '-05A 1.4X LCT 7 4100 251 106A I 2.5! 108A 2 4000 J9C0 Or V11 1