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Permit
CITY OF TIGARD BUILDING PERMIT 1111 1 . COMMUNITY DEVELOPMENT Permit#: BUP2015-00222 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2015 Parcel: 2S104AD04100 Jurisdiction: Tigard Site address: 12540 SW WALNUT ST Project: Olson Woods Subdivision: BELLWOOD Lot: 50 Project Description: Demolition of house,garage and shed. Septic tank to be pumped and filled or removed. Upon final inspection SDC credits will be available to be applied to future construction. Contractor: WINDWOOD CONSTRUCTION INC Owner: OLSON, DENNIS D& BONNIE LOUISE 12655 SW NORTH DAKOTA WINDWOOD CONSTRUCTION INC TIGARD, OR 97223 12540 SW WALNUT ST TIGARD, OR 97223 PHONE: 503-625-6526 PHONE: FAX: 590-7606 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 08/31/2015 $301.85 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 08/31/2015 $1.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 08/31/2015 $80.70 Bedrooms: 0 Bathrooms: 0 Value: $15,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $384.05 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 952-01 -s 110 thro ••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. I sued By: ' / • Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available insp ction 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. Building Permit Applicatio n CEI 1'En Residential FOR OFFICE USE ONLI City of Tigard Received �� _,�,8 � I � DateBy: Permit No.: S 13125 S W Hall Blvd.,Tigard,OR 9722?'L 2 2 2 O 5 Plan Review c--- ll Phone: 503.718.2439 Fax: 503.5 DateBy: Other Permit: I I ;�I;I i Inspection Line: 503.639.4175 ( 11V OF TIGARD Date Ready/By: runs: 0 See Page 2 for Internet www.tigard-or.gov Notified/Method: 7/07.,54.50-c,71 Supplemental Information BUILDING DIVISION rre REQUIRED DATA:1-AND IIIEILY DWELLING ❑New construction emolition 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 work indicated on this application. -and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: 1:1 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LLOCATIOII '- Total number of floors: Job site address: /�s�0 SW (,U�/h k-• New dwelling area: square feet City/State/ZIP: TO'G a 4 ©c. q7,-y3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ©/5c4dCA Covered porch area square feet Cross street/directions to job site: / Deck area: square feet io /d/—/O ( o■1A c-f Other structure area: square feet 11111111111.01MMERCIAL-USE CHECKLIST Subdivision: 0/C,t' 6,06,J I 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 WO' work indicated on this application. _ `J Valuation: $ / U D 1_ is e jcl t y I q<I � �0`. ` 5 r ( t ) Existing building area square feet New building area: square feet ,-PROPERTY OWNER Number of stories: Name: b(hA 4,00e1 (IA SIL thC Type of construction: Address: /,G g .S'C L) AA,/4 D k 4 SA t-i Occupancy groups: City/State/ZIP: ri,a'?'r 44,2_13 Existing: — Phone:( ) 751-(, Fa,:( ) New: 4 ❑ APPLICANT • ` ❑ CONTACT PERSO • Business name: �ivt-, �7 Structural plan review fee(or deposit): Contact name: �0.,J- ia/ a FLS plan review fee(if applicable): Address: 5 Al to City/State/ZIP: Total fees due upon application: Phone:( ) I Fax::( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: ^�.. G.8 Submit two(2)sets of roof Pall::with connectionod etails 6�6r1 ti- � � Cl/�'�! and fire department access, g with the 2010 regon Address: 42(55 C a nd, Solar Installation Specialty Code checklist. T � � Permit Fee(includes plan review City/State/ZIP: and administrative feesL $180.00 Phone:(5� ) 7 �O L1 75 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 1-01 9f6. 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. / *Fee methodology set by Tri-County Building Industry Print name: /�//��„/� �jt�� �i6 ate: 7'`��j'S' Service Board I:\Building\Permifts\B"UP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONL\' Received City of Tigard Permit No IN 13125 SW Hall Blvd.,Tigard,OR 97223 AateBy: • Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T[G A R D 24-Hour Inspection Line: 9)3.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOI.I,OWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es No N/A 1 Land use actions completed. Sec 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 0--- ❑ ❑ 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-ff 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 he shown to be a•r licable to the 'ro'ect under review. .Il'RNI)I('"TIONAI. SPECIFICS 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"buildingplans 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, CI ❑ and protection measures must be drawn to scale and must include theproject 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(11/02/COM/WEB) IIIII City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T i GAR I7 Building Permit Review — Residential Building Permit #: 6,0 t P 9ar 6-_co 9.. -- Site Address: Q p Ls/O �h,.r,- Project Name: 0/Son c g Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: L m t' er, - 12cLrg-e/ o�nG , . t x_ __) c , Verify site address/suite# exists and active in permit syste . ptiver Terrace Neighborhood: ❑ Yes PrNo Site Plan Elements: To.ree(3)copies of site plan sting structures on site F/ i - plan must ke on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished N. t .wn to scale(standard architect or engineer scale) 1 oor elevations '>' 9rth arrow iv/ .4..'ty locations(required for new,may apply for additions) PS( address,project or subdivision name and lot number r• ation of wells/septic systems plicant information(name and phone number) I`Erosion control(including drainage-way protection,silt fence dimensions and building setback dimensions sign,location of catch basin,etc.) ZLot area,building coverage area,percentage of coverage and V eet names . .•rvious area(applicable if R-7,R-12,R-25&R-40) ( reet tree size,type and location 15 'roperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures / lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified lut No Received: ❑ Yes ❑ No Ur Public FacilitievImprovement(PFI)Permit: squired: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake rrUse Case#: u�)JC4- g iland nmg. L f.g"" Setbacks: Front Rear /S Side 5 Street Side /s— Garage tap it1 4 andscape Requirement: / I % Ii 4, .t Coverage Maximum: A. it IC Building Height: Maximum Height 3) Actual Height ody....\ 170/".isual Clearance !i sements ensitive Lands: Yes ❑ No Type ! (l/P 7 /i7�e/'/44 l`n - V Urban Forestry Plan /V`/ � f� ❑ Conditions "Met" rior to issuance of building permit Notes: /jeDC vc A„4T - t a _ 4 �Qa '— iSSLt�tf� Approved By Planning: -■ _ ,/1 Date: l Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_070915.docx i Building Permit Submittal Original Submittal Date: `74 S� Site Plans: # 3 Building Plans: # —r— Building Permit#: ©-triter building pet#above. Workflow Routing: [ 'Planning Engineering riErfermit Coordinator Workflow Sign-off: r n-off for Planning(include notes from planning review) Route Application Documents: E--Engineering: (1)copy of permit application, (1) site plan,(1) building plan and oal plan review routing form. k Building original permit application,site plans,beans, Notes: By Permit Technician: � _ ,. 4 i Date: `7 — Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot ❑ Yes ❑ No ❑ NOT App ved by Engineering: Date: Notes: — r-/>tip b li L Y -- Approved by Engineering: in I K IL U1. Date: 7/2-2/ Revisions(after Building Submittal only) Reviewer 111 Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance dof�building permit (� ?egijApproved,NOT Released: /"�-"� �r��1V Date: 4-'3A . �/}� r Notes: /l/lUly/!( d./ G� ,Adn-{,. 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Adir. air Date: Ø(A I:\Building\Forms\BldgPermitRvw_RES_0709I 5.docx iriP MHA1457 Olson Woods-Tree Protection Monitoring Morgan Nolen 7/27/2015 —e- -- AfJOCIAT�/'��� Page 1 of 1 Inspection On Site Recommendation for Resolution Inspector Item Condition or Comment Date Contact Corrective Action Date Tree Tree protection measures satisfactorily in place 7/27/2015 Morgan None Protection and in good repair where needed prior to None. N/A (Demo) demolition phase of site development. General Comments: None. Morgan Nolen b Associates, LLC Consulting Arborists and Urban Forest Management 3 Monroe Parkway, Suite P220, Lake Oswego,OR 97035 morgan.holen @comcast.net l 971.409.9354 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 12540 SW WALNUT ST, TIGARD, OR, 97223 Residential - Building 299 Final inspection PASS - No C of O BUP2015-00222 David Young Approved per previous inspection, called for final to close permit. Violation Summary: Inspector Contractor