Permit CITY OF TIGARD BUILDING PERMIT
`x11 s ' COMMUNITY DEVELOPMENT Permit#: BUP2014-00300
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/30/2014
Parcel: 2S 104DC05800
Jurisdiction: TIGARD
Site address: 13950 SW ALPINE CREST WAY
Project: City of Tigard Subdivision: BENCHVIEW ESTATES Lot: E
Project Description: Demolition of the 2,000 sq.ft.Paull house.Demo credits do not apply.
Contractor: DUKE CONSTRUCTION&EXCAVATION LLC Owner: TIGARD, CITY OF
17860 SE FOSTER RD 13125 SW HALL BLVD
DAMASCUS, OR 97089 TIGARD, OR 97223
PHONE: 503-492-0530 PHONE:
FAX: 503-492-0760
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: VB Permit Fee-Additions,Alterations, 12/30/2014 $332.27
Demolition
Occupancy Grp: R-3 Occupancy Load: Erosion Control w/Development-Eng 12/30/2014 $80.70
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 12/30/2014 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $16,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $413.47
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 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 c h es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _,,,,A3ermittee Sign
. .v15 175 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.
r
Building Permit Application
Residential FOR OFFICE USE ONL1
Received
City of Tigard Date/B : 'AP Permit No.: L * )+
III
' • 13125 SW Hall Blvd.,Tigard,OR 97223 \ Plan Revie `� /, � _
Phone: 503.718.2439 Fax: 503.598.1 Date/B :
T I G A R t t Inspection Line: 503.639.4175 �Ql Date Read " iV, Juris: VI See Page 2 for
Internet: www.tigard-or.gov �\A .,, \tifiedMethod:ARA50 b �"�� Supplemental Information
p� _4041ik-�
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ®Demoli 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 CONSTRUCTION work indicated on this application.
OE 1-and 2-famil y dwelling Valuation: $16,500.00
g ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION 1 Total number of floors: 2
Job site address:13950 SW Alpine Crest Way New dwelling area: square feet
City/State/ZIP:Tigard,Oregon,97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Paull House Demo 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
DESCRIPTION OF WORK work indicated on this application.
Demolish House at 13950 SW Alpine Court
Valuation: $
U $�) ��M Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:City of Tigard Type of construction:
Address: 13125 SW Hall Blvd Occupancy groups:
City/State/ZIP:Tigard Oregon 97223 Existing:
Phone:(503)718-2608 Fax:(503)684-7297 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Duke Construction&Excavation (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Mike Dukart
FLS plan review fee(if applicable):
Address: 17860 SE Foster Rd
Total fees due upon application:
City/State/ZIP:Damascus Oregon 97089
Phone:(503)492-0530 Fax: :(503)492-0760 Amount received:
E-mail:mike@dukeconst.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:same as above Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 127933 //oZ 7o 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:Mike Dukart Date: 12/15/14 *Fee methodology set by Tri-County Building Industry
, Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
a •
City of Tigard lig
■
COMMUNITY DEVELOPMENT DEPARTMENT
��n l�r� Building Permit Review — Commercial - With Land Use
Building Permit #: /J/, /st—c j J
Site Address: b?7,5-0 s .%) G//),vv-e_ G-cA/ 61,k, Suite/Bldg#:
Project Name: G, %, s
(Name of commercial .Irsiness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: j)zywtotAt r - 1 j — 1/'`e, /0/1e �lc--•`, •' iyc.)f2E
❑ Verify site address/suite #exists and active in permit system.
❑ Land Use Case#:
Mans Match Approved Land Use:
❑ Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
)run. '{b Ar.4,417;14.X
Notes: oV�`eD f�0U34�15r ✓�lJ=iel4-7<oid OF j7GE ?ea-4(4-6m- '
J//1 es-s-rr5/ip&--- crf L 5/T PE721ni1 i ke 1 4 e tsS J, e 2 kg,7/V
Approved by Planning: Date: /-2- -/7 7/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: l 3/j7
Site Plans: #
Building Plans: # tf//I
Building Permit#: I���, F.n�te��r building�perm i #above.
Workflow Routing: LPlanning L7 Engineering $13.e.rmit Coordinator ❑ Building
Workflow Sign-off: Er-Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: aae/v)0 fzi+'N i f t/ rim.,yt,vi 7'b , 4,i /e-i,1 .
By Permit Technician: Date: /o11i75/7
1:\Building\Forms\BldgPermitRvw_COM_WithLandUse 042914.docx
Engineering Review
❑ Actual Slope:
❑ PFI Permit#:
❑ Conditions Met
Notes:
Approved by Engineering: &A) Date: I 4. I$.i tt
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:
K to Issue Permit
/ '
Approved by Permit Coordinator: I Date: / .2-g/ -
l:\Building\Forms\BIdgPermitRvw_COM_W ithLand Use_042914.docx
Cheryl Caines
From: Cheryl Caines
Sent: Monday, December 22, 2014 9:20 AM
To: Greg Stout
Cc: Albert Shields; Gary Pagenstecher; Steve Martin
Subject: Alpine Crest Demo Permit
Hi Greg,
Once the tree protection fencing is in place for the demo permit at the Alpine Crest Way site, please e-mail Albert and
Gary to let them know. They can then sign-off on the demo permit and issue it.
Thanks,
Cheryl Caines
Associate Planner
City of Tigard
(503)718-2437
cherylc(a tgard-or.gov
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REVIEWED FOR,9,pE COMPLIANCE
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s,v ; A p2,,, Approved by Planning
s az - : Date: i z- ( Y_
Gerka0-1 ,/ sr -77-e4_1(_ Initials:
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13950 SW ALPINE CREST WAY, TIGARD, OR,
97224
Residential - Building
299 Final inspection
PASS - No C of O
January 20, 2015 at 11:48:43
AM
BUP2014-00300
David Young
Pump receipt received for septic, tank filled.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13950 SW ALPINE CREST WAY, TIGARD, OR,
97224
Residential - Building
299 Final inspection
FAIL
January 15, 2015 at 3:16:00
PM
BUP2014-00300
David Young
Provide pump receipt and fill report for septic tank for final inspection.
Recall inspection with required information.
Violation Summary:
Inspector Contractor