Permit CITY OF TIGARD BUILDING PERMIT
1111
' COMMUNITY DEVELOPMENT Permit#: BUP2015-00339
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2015
Parcel: 2S112CC01700
Jurisdiction: Tigard
Site address: 8255 SW DURHAM RD
Project: Quail Park Subdivision: 2015-004 PARTITION PLAT Lot: 2
Project Description: Demo existing 1500 sq ft house and 520 sq ft garage.Connected to sewer service.
Contractor: CERTIFIED MOLD CLEANING&RESTORATION Owner: QUAIL PARK APTS LLC
4120 NE BURTONWOOD CT 2850 SW CEDAR HILLS BVLD#132
VANCOUVER,WA 98662 BEAVERTON, OR 97005
PHONE: 360-910-2678 PHONE: 503-292-3999
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 12/15/2015 $149.75
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Development 12/15/2015 $80.70
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 12/15/2015 $0.50
Stones: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $230.95
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 copy of the rules or direct questions to OUNC by calling 503232.198-1 or 1.800.332.2344.
A
•
Issued By: .i ittee Signature:
4.,n-�,t
3.639.4175 by 7:00 a.m.for the next available inspection da . I/W
This permit card shall be kept in a conspicuous place on the job site until completi of the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard
illig ■
41 COMMUNITY DEVELOPMENT DEPARTMENT
T 1 GR n Building Permit Review — Residential
Building Permit #: ........61,A1)(9015-00.35?
Site Address: 9 2 5 S Svv DUC1nCntn-
Project Name: • Q Vat, PGerk. Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review Peri /1114—Proposal: 'Demo r j C k i S -1 vc) `v l ,0Q s.---(.
Verify site address/suite#exists and active in permit system.
fiver Terrace Neighborhood: ❑ Yes %No
Site Plan Elements:
Three (3)copies of site plan Existing structures on site
/Ate plan must lig on 8-1/2"x 11"or 11 x 17"paper —EFootprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
Torth arrow Xlitility locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number motion of wells/septic systems
Zp
t dimensions and building setback dimensions plicant information(name and phone number) control(including drainage-way protection,silt fence
design,location of catch basin,etc.)
Mea,building coverage area,percentage of coverage and Street names
impervious area(applicable if R-7,R-12,R-25&R-40) ,treet tree size,type and location
, $
Property corner elevations(2 foot contour lines if more than - Exrsting trees to be retained with drip line,and tree
/ 4 foot differential) protection measures
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: CI Yes 0 No
u Tic Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: 0 Yes 0 No,stop intake
Land Use Case#: S•Q IZ 9- S 00f) O¢
zoning: (2_1 2-
Setbacks: Front -Z„C) Rear lam) Side 10 Street Side ' Garage •
/Landscape Requirement: --220
0/0
/`f Lot Coverage Maximum: 6
Building Height: Maximum Height S Actual Heighf-- -
Visual Clearance
--Q Easements
ensitive Lands: 0 Yes 0 No Type
rban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: ./V./ (i
J 0 ,z c4 d?il0GL� OAJ . Date: /2/L //
Revisions (after Building Submittal only) Reviewer Date
Revision 1: CI Approved ❑ Not Approved
Revision 2: Cl Approved ❑ Not Approved
Revision 3: Cl Approved 0 Not Approved
I:\Building\Forms\BldgPennitRvw_RES 070915.docx
Building Permit Submittal
Original Submittal Date: /A////5/
Site Plans: # 5
Building Plans: #
Building Permit#: Q" Enter building permit#above.
Workflow Routing: C?Planning 1d r.ngineering t Coordinator „eg-Iuilding
Workflow Sign-off: 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.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 62{0.14414.4.4i Date: /a*,s"
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 0 No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 11 Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
O Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
>41(to Issue Permit
Approved by Permit Coordinator: a. (J,t,t)/'
l h Date: I a'— 1— 15
1:\Building\Forms\BldgPermitRvw_RES 070915.docx
Building Permit ApplicaCEIVED
Residential DEC 2 2015 FOR OFFICE USE ONLY
City of Tigard Da�sea OP '
Permit No.: gpl5~LY339� • 131e SW Hall Bd.,Tigardr' Nn V Plan Review
I Phone: 503.718.2439 ax:BUILDING
WLJTPGDISION
Date/B : � Other Permit:
l I G A R I) Inspection Line: g 03.63 8.4175 Date Ready/By: /il p A Supplemental
pp a Page 2 for
Internet: www.ti and-or. ov Notified/Method: /(J i Su lemental Information
d I-sv".•1 C''01 TZ.lvJ
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction Igl 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
j811-and 2-family dwelling 0 Commercial/industrial Valuation: $�I QU()
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 82 S$ s-la ave ke M k,40 New dwelling area: square feet
City/State/ZIP: r:9 a r.t, D R- £77 2..y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Qygt I ffrk }louse Demo Covered porch area: square feet
Cross street/directions to job site: On put A*" Ad 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
�'e»1U o� 2X�T��rh yd✓Se!gti.� ISGrRyP w�f-
2 s�D�� Valuation: $
Existing building area: square feet
4p1rox /5"-OO Sf• ./4-61._ . • 59.6 640 4t4Q >`
,-� k i ' f-2 tt'�4 New building area: square feet
Et PROPERTYDOWNER 0 TENANT Number of stories:
Name: QvG;I le k 4.,f7 LL.G Type of construction:
Address: 2 r5-0 s,W Ct,ear 1.61 is leivd#132 Occupancy groups:
City/State/ZIP: 6 E„v e.,-40 a, &Q /7cL3 Existing:
Phone:( 5)J) '92.3 99,z, Fax:( ) New:
Fl APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to Pe schedule)
S4 ht Structural plan review fee(or deposit):
Contact name: J D ix- N V( S
FLS plan review fee(if applicable):
Address: —
City/State/ZIP: Total fees due upon application:
Phone:(5-03) 70q._-753 ? Fax: :( ) Amount received:
E-mail: To 1/, r/-a E.fOin PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR i3 77 roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Cev-fl.:(i n/1-,� � i S Submit two(2)sets of roof plan with connection details
t/ #�' 6ov and fire department access,along with the 2010 Oregon
Address: /14.7 eftiv..ivisteii Solar Installation Specialty Code checklist.
City/State/ZIP: tlt:l/t�LOklJt� 14 e�. Permit Fee(includes plan review $180.00
and administrative fees :
Phone:(%o) lit)—d.s•'ff Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: / ? Total fee due upon application: $201.60
Authorized signature: ali.) •
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: j vpil
N f7, /ls Date: 2 —2—1 *Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
• Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARU 24-Hour Inspection Line: 501639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW lies 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. 0 ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0
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 ❑ 0 ❑
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. ❑ 0 ❑
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- ❑ 0 ❑
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 ❑ ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 0
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 ❑ 0 0
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 0 ❑ ❑
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 0 ❑ ❑
architect licensed in Ore:on and shall be shown to be a..licable to the sro'ect under review.
it RISI)I('TIO1;1L SPECIFICS
S
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ ❑
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 ❑ 0 0
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\Penmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)