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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit a: BUP2015-00068 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2015 TIGARD 13125 Parcel: 2S103BB06100 Jurisdiction: Tigard Site address: 12600 SW 124TH AVE Project: ENGLISH Subdivision: BROOKWAY Lot: 61 Project Description: Demolition of a 1800 sq.ft.detached garage. Contractor: HEWITT CONSTRUCTION LLC Owner: ENGLISH, JAMES& PO BOX 2212 HAYES, JEANETTE HILLSBORO, OR 97123 3373 E MISSOULA LN SAHUARITA,AZ 85629 PHONE: 971-246-0501 PHONE: FAX: 503-629-0196 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 03/24/2015 $149.75 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 03/24/2015 $1.00 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development-Eng 03/24/2015 $80.70 Bedrooms: 0 Bathrooms: 0 Value: $4,500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $231.45 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. S tate 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 1.800.332.2344. Issued By: -rmittee Signatu all 503.639.4175 by 7:00 a.m.for the next availa• _ ion date. This permit card shall be kept in a conspicuous place on the job s' - ntil completion of the p • ,ct. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential 1 O1:t)1 1:11 I I til ()\I 1 City of Tigard D Rece 'r"`. ®n Permit No.: .314 1 C .— _i (0 • 13125 SW Hall Blvd.,Tigard,OR 3 ECEIVED Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I 6A It l) Inspection Line: 503.639.4175 MAR 19 2015 Date Ready/By: luris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method. /• -._ Supplemental information ,t CITY OF TIGARD TYn 4 ibING DIVISION .; REQUIREDDATA I AND 2-FAMILY DWELLING ❑New construction (15Z 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 ?C`ATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ // all 0 1-and 2-family dwelling ❑Commercial/industrial `7/500 Y 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:I24,©p Sw 12 4/T4/tli New dwelling area: square feet City/State/ZIP: 776/4,0 Garage/carport area: square feet SuitePoldgJapt.no.: Project name: „ il dil •! Covered porch area: square feet 0 Cross street/directions to job site: n14 Z01Zi _ di Deck area: square feet Other structure area: square feet REQUIRED DATA COMMERCIAL-USE CHECKLIST Subdivision � /(2/„.77k t u.7 0 2 Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rornded 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. t J t`71/1 or i=,c_t, 77/v d. �.•1e`T f o9 44R-46&-- Valuation: $ /8(22 building area square feet G? New building area: square feet a PROPERTY OWNER ❑ TEN]NT i Number of stories: Name:Z,,(1' ru/4i'00 /670e.,-5 GL� Type of construction: Address:/x.70 0 il4t1 c3/jiJ c:EZ.L (2,9 Occupancy groups: City/State/ZIP: Pary Di 6 7Z L 1 Existing: Phone:( ) Fax:( ) New: ( ,APP.ICa1NI' 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Pleur 'elerloleeschedule) . t��'" Structural plan review fee(or deposit): _ Contact name: 0 • .4 . Address: FLS plan review fee(if applicable): v( _ Lr� City/State/ZIP: �/j�p J Total fees due upon application: Phone: ( )((( �� Fax::( ) Amount received: -- — E-mailsV—Ofr @ t2O-(fig r+ C�On-% PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES=_ ,, Co . ercial and residential prescriptive installs' oaf CONTRACTOR roof-top •mounted PhotoVoltaic Solar Pan- ysl� tem. Business name: /-4-}".."6-77- C£y‘..07 Submit two 1. sets of roof plan wi• onnection details {� and fire departure :ccess,alo :with the 2010 Oregon Address: i"� Doss' 2,z./z_ Solar Installation Spe ". 'ode checklist. _ City/State/ZIP: ' - Cam'` Permit Fee(inc .+e. : : review r� a/nd dmmistranv• ees): $180.00 Phone: 7/ )Z,�� [5 7 / Fax:( ) Sta rKa-rge(12%of permit fee): $21.60 CCB lie.: /64, /V.7 Total fee due upon application: $201.60 ,t Authorized signature: � Z,,,----Z,,,-------____ This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. �f Print name: / n Date: *Fee methodology set by Tri-County Building Industry !^ -1 �`! L--.5 �h / Service Board fl I:1 Building\Permits\BUP-RESPermitAppf4Q 02/24/2011 440-46 T(11/4 /COM/WEB) City of Tigard 114 ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: „PLeP(,9o/S rye Site Address: /02(coo /cQ4 Aloe_ Project Name: /j f7 �S0�J'�oi Lot #: �e welling=subdi i name;Addition or Alteration=last name of owner) Planning Review Proposal: &PC j).7.49-jigi cJ4/7 5/Verify site address/suite #exists and active in permit stem. 0 liver Terrace Plan District: ❑ Yes M No Sift Plan Elements: IS47hree(3)copies of site plan LdExisting structures on site LW)Site plan must bb on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished fprawn to scale(standard architect or engineer scale) poor elevations orth arrow IJ Utility locations(required for new,may apply for additions) YJ ite address,project or subdivision name and lot number 11''i •cation of wells/septic systems igi plicant information(name and phone number) In Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions /esign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and eet names impervious area(applicable if R-7,R-12,R-25&R-40) 0 reet tree size,type and location °roperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree foot differential) protection measures Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: d Yes,applicant was notified ❑ No Received: ❑ Yes No Fri Public Facili 'es Improvement(PFI) Permit: Required: [Yes,applicant was notified ❑ No Applied For: Ltd'Yes El No,stop intake I"and Use Case#: Ni∎P O/"lf' 6000V E ./Zoning: 2- '/ E- a' Setbacks: Front 6,)0 Rear /S Side ,,..g— Street Side is Garage ,9G 11'Landscape Requirement: i of Coverage Maximum: puild ing Height: Maximum Height ) Actual Height Visual Clearance f - c ��;� I. ❑ Easements S/w'Lt) On Y7i D42'71 EIMi Sensitive Lands: Mir Yes ❑ No Type _SY y > . 2,S.--6/0 Urban Forestry Plan ❑ Conditions Met See �A tk_ / � ///� Notes: .ea I.L7 iie S' /Jg./j 00 S "7'�7 L - , .40.,,,. .-,_,.:„. ii C.5 •4'. Alb' ' -'6F/ Al' ;!.�/II —L. C. Approved By Pl.nning: n r _ 2L__. 3-1 is--Revisions (after Building Submittal only) R v w D to Revision 1: ❑ Approved ❑ Not Approved I ��LG Gf' 3,/ q//'s;- Revision 2: ❑ Approved ❑ Not Approved ��n° Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\Bl dgPerm itRvw_RES_0204I 5.docx Building Permit Submittal Original Submittal Date: 3/14/15— Site Plans: # 3 Building Plans: # tij Building Permit#: [g-'i rater building permi above. Workflow Routing: ng ngtneering ern-lit Coordinator ❑ Building Workflow Sign-off: no-off off for Planning(include notes from planning review) Route Application Documents: JEngineering: (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. Notes: a7r)a ClAg y By Permit Technician: ^� Date: 3 /q//5-- Engineering Review —ff.—Actual Slope: $Conditions Met /)/ 4 $Easements (encroachments) ...eater Quality/Quantity Facili . Assess Water Quality Fce: ❑ Yes ❑ No Assess Water Quantity Fee: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: 9k1 O eNSe//0 6 is,FL..l..I(r /SiVEJ Approved by Engineering: Date: 3 •2 0, ,I g 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 Approved,NOT Released: / ' 'a 1 hd7 11 ate: ' 23 /S Notes: et...:r '22V , ri' / 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: Date: 3/2'-'/// S 1:\Building\Forms\B I dgPermitRvw_RES_0204 15.docx RECEIVED MAR24 2015 tio Tree P e MHA1435 SW 124th Avenue -Trl.>`Mor�,ifo G, Morgan Ilolen PLA €�u��, —&— LJ 3/23/2015 AJJOClAT Page 1 of 1 Inspection On Site Recommendation for Resolution Inspector Item Condition or Comment Date Contact Corrective Action Date Morgan Al (Hewett Verification Tree protection measures satisfactorily in 3/23/2015 of Tree place and in good repair where needed 'None. N/A Holen Construction) Protection across the site prior to demolition. General Comments None. Morgan Ilolen & Associates, LLC 3 Monroe Parkway Suite P220, Lake Oswego, Oregon 97035 morgan.holen @comcast.net I 971.409.9354 Albert Shields From: Albert Shields Sent: Monday, March 23, 2015 9:34 AM To: 'JKomp @PD-GRP.com' Subject: BUP2015-00068, 12600 SW 124th Ave. Josh, on review of the site plan, Planning has noted that a written statement from your arborist is required to the effect that tree protection measures are in place. Please provide such a statement and resubmit. R: • Albert Shields City of Tigard Permits/Projects Coordinator AibertCtfgard-w.go. (503)718-24226 • (503)624-3681' -.• 13125 SW Ball Blvd. I gard,OR 97223 1 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 12600 SW 124TH AVE, TIGARD, OR, 97223 Residential - Building 299 Final inspection FAIL April 14, 2015 at 10:56:43 AM BUP2015-00068 David Young Provide ﬁnal erosion control inspection prior to ﬁnal demo inspection. 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 12600 SW 124TH AVE, TIGARD, OR, 97223 Residential - Building 299 Final inspection PASS - No C of O April 29, 2015 at 8:47:40 AM BUP2015-00068 David Young Final erosion control passed. Final inspection passed. Violation Summary: Inspector Contractor