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Permit
y q CITY OF TIGARD BUILDING PERMIT 1,1111 it COMMUNITY DEVELOPMENT Permit#: BUP2014-00189 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2014 Parcel: 2S 110BA01500 Jurisdiction: Tigard Site address: 11740 SW GAARDE ST Project: Medallion Meadows Subdivision: CANTERBURY WOODS CONDO Lot: 76 Project Description: Demo existing single family residence and 2 outbuildings.Sewer service is to be capped. Upon final inspection SDC credits will be available for future construction. Contractor: NORTHWEST EARTHMOVERS INC Owner: FOUR D CONSTRUCTION CO PO BOX 1609 PO BOX 1577 SHERWOOD, OR 97140 BEAVERTON, OR 97075 PHONE: 503-625-3100 PHONE: 503-590-0805 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: Info Process/Archiving-Sm$0.50(up to 08/12/2014 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Permit-Eng 08/12/2014 $75.00 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) 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 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: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:;..332.234 Issued y: t 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• the project Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVES h()it OF F ICE USE ONL\ Received ,/ 111 g " City of Tigard Date/By: 7't�1 Permit No.: 6141),9154 /G 1G 13125 SW W Hall Blvd.,Tigard,OR 97223 n r Plan Review Phone: 503.718.2439 Fax: 503.598.196(x'U G 7 2 0 4 Date/By: Other Permit: T I G A K D Inspection Line: 503.639.4175 Date Ready/By: Juris: 63 See Page 2 for Internet: www.tigard-or.gov CITY OF FIGARD Notified/Method: Supplemental Information BUmLDIN( INVIRM 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(rotnded to the nearest dollar)of all ❑Addition/alteration/replacement IjilI Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 00 o xr 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ g ❑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: I i 7 YD std C;14A.12.1)E _S f New dwelling area: square feet City/State/ZIP: T (,P4 b'SL Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Ni&Df}LL/‘ W 44 j(,'$ Covered porch area square feet Cross street/directions to job site: /,g 7c-ii t 64.1.9„2 -:- Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: N IDAL. I,aN s Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rou:rded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. /L • o/11 Q / • Valuation: $ /M766- �7�""mss,,,A` ire e Existing building area square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: FOL& ._ P CbNS' cxi Type of construction: Address: PAD- it)‘? /57 7 Occupancy groups: City/State/ZIP: Eilve/2ThA_) ©/2 77c)d r 7 > Existing: Phone:(,)3) 596 -e 8 d s Fax -�3 )$90 ._175 / New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: - 1✓htr. �c> (Please refer to fee schedule Structural plan review fee(or deposit): Contact name: /7,1 y/D De L'r f� FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: ```2I) ?20—7 U vs Amount received: Phone:ti.y�J' 7 Fax::( ) E-mail: Fa u le w.5-7-62, MS N, Gfa,t/? PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: /1/04.1-)4 C�-r � �- � � � Submit two(2)sets of roof plan with connection details 1 Address: ,�3/f�D L and fire department access,along with the 2010 Oregon F) r✓'� 5[mot..) GA L,�e2i-P1 - Df-, Solar Installation Specialty Code checklist. .. City/State/ZIP: 57�&,fir/. / o 0� 77/V Permit Fee(includes plan review $180.00 1�^� and administrative fees): _ Phone:(5S3) &Z_5 5 3) t) Fax:(5)3) 6 2S_3/0 re State surcharge(12%of permit fee): $21.60 CCB lic.: (02_767/ Total fee due upon application: $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: - ,. ,('��J Date: 7---47.-/ (,/ *Fee methodology set by Tri-County Building Industry DA(1 J �12� / Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Phi City of Tigard Received Associat + 1 3125 SW Hall Blvd.,Tigazd,OR 9?223 Associated permits: U Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrica Plumbing❑ Pl 24-Hour Inspection Line: 503.639.4175 E ❑ Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No N/A I 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 1ro'ect under review. .I( RIti1)I('TION,\I, SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x II"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(l 1/02/COM/WEB) Cakas_A...,+- - 0.....(245,-,ak___ ,...)?...e_iTz.4,A____ City of Tigard —he `--r—D--32—h j yL L / NI COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: upa-o/4 -eol Q`/ Site Address: It-No SW Ga,o,,,- de. 54 . Project Name: MZd alb, o„ Nye aclo ,,a s Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review �+ Proposal: DG,-no -CX i.S�:nc1 SFe -'- Prepex-c. sl-4C.- -t-u r 4.S(Li3, 0. Verify site address/suite #exists and active in permit system. Site Plan Elements: Three(3)copies of site plan xisting structures on site IpSite plan must lze.on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow 'Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems Applicant information(name and phone number) (.Erosion control(including drainage-way protection,silt fence gLot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and 1O,Street names impervious area(applicable if R-7,R-12,R-25&R-40) /Street tree size,type and location /Prop/Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree erty foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes IX No Received: ❑ Yes ❑ No Land Use Case#: 5 LLB a V( 3 -z)O V V(o Zoning: (Z- y. 5 Setbacks: Front Rear Side Street Side Garage Landscape Requirement: % ZLot Coverage Maximum: % pv Building Height: Maximum Height Actual Height Visual Clearance /Q Easements g Sensitive Lands: ❑ Yes X. No Type tjn Urban Forestry Plan r$ Conditions Met Notes: "Tree ke..1u^ 1.1 0aee_ '6- Coed.-kotx1 me-1. Approved By Planning: [ a . C c.;1,.-.y, Date: 8- 7- 1 `f Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPerm itRvw_RE5_042914.docx Building Permit Submittal Original Submittal Date: i/7(f Y Site Plans: # Building Plans: #0.,. -- Building Permit#: Enter building permit#above. Workflow Routing: Planning 2—Engineering Permit Coordinator B-"$uilding Workflow Sign-off: 0—Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er Building: original permit application,site plans,building plans,engineer and 4).).-{ b/eeam calculations and trust details,if applicable, etc. ]Notes: L! f� /��.-p,� tJ� d .L c� �l 1J<<'° _. By Permit Technician: CD Date: 8'f/ t4 Engineering Review ❑ Actual Slope: ❑ Conditions Met Notes: ■'' a r- N u.e . 13 J v s-.S Approved by Engineering: l �� Date: 6' . 1 Z-i ii 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: yOK to Issue Permit Approved by Permit Coordinator: 4 Date: CY1 V/dc 1:\Building\Forms\BldgPermitRvw_RES_042914.docx Medallion Meadows RECEIVED AUG 7 20:4 CITY OF f iAlib 911ILDIN!;rwincin# Initial Tree Protection Intipection at Medallion Meadows &'i/2014 Twenty-two trees at the Medallion Meadows development are being protected as planned. Tree protection fencing was finished on 75112014 and.I 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. l rec:ontniend that the approval be given now. To reiterate the rules. root protection zones may be entered only for tasks like surveeying, measuting, and minting without superision by a-qualified arborist. Upon completion of these tasks, the fence must be closed, 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 alter construction; 3, New impervious surfaces: 4, Utility trench alignments; S. 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. lviultrtomtih Tree Experts.Ltd. •Page 4 ail. • Medallion Meadows Si 1/2014 Assumptions and Limiting Conditions Multnomah Tree Experts,Ltd. $325 SW 42t Ave, Porikeid.OR 97219 Voice(503)452-R160 Fax(503)452- 92 wier4:pini linonlitiltrCesLoill 1. Any legal ikseription provided to the 000•30kiitit ie assumed to be correct. Titles and ownerships to property are assumed to be good and marketable. No responsibility assumed for legal matters. 2. Care has been taken to obtain all information-from-reliable sources. All data have been verified insofar as feasible:however,the consultant can,neither guarantee nor be responsiNe for the tic:catavy 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 tbee0figatafle*foe is in no way coutingent.upon*C reporting of a.spookfte4,.yab**4 .stipulated result,the occurrence of a subsequent event,nor upon any finding,to be. reported. S. sketches,drawings and photographs in this report are intended as visual aids and may not be to scale. The reproduction of infonnation generated by other consultants is for coordination and ease°fret-cream ha:fusion of such nalrinn 'tion does not constitute a representation by the consulting arborist,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 reflixls the condition of tbow items at the tune of lasnectiim.The inspection is limited to vists,d examination of aceimihic items without laboratory analYsitk dissection,excavation,probing,or coring, unless otherwise stated. 7. There is no warranty 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 compkted work product.Any addhionai work,including pti .oia 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 part of the report imulidates the entire report. Ownership of any • documents produced passes to the Client only when all ties have beat paid., Peter Torres, Master of Forestry ccop 154349 ASCA RCA No.37 ISA Board Certified Master.Artiorist rtsr o650-s Multnomah Tree F.Aperts, Ltd. Page 2 01'2 FECF111F1) 0 C\J AUG 7 20 4 0 .5 1 li 1 1 1 , 114 an'of amili, 0 0 „,(3 co a --- o & 1---'.- •,----_ ,-:--__ '...V.7--=------•=--_-----__ ,- - . TS • .— --- ii.,----• .,._:-.-..7-_—...ir._•7----.7.:1-_---:=-'Vr----- )00.. .- Ass— S--AsS-,-61-.. EX 8.PVC SANITARY - -___2_____-; --......-- ---- • — CV I. _ /CI019• . ''sr SW GAARDE STREET &Ion stwr& •— up-=----. ----1 s,-----z-7- ----us * -,us---..u. s...-....s.'— .....7,--- Z > •- , xw •w* ... — - CL 119 • -- 0 0 , ...1. RESET EMSTING '.----.." 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