The URL can be used to link to this page

Permit ® CITY OF TIGARD BUILDING PERMIT s COMMUNITY DEVELOPMENT Permit#: BUP2015-00358 . s 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/14/2016 Parcel: 2S103CC00500 Jurisdiction: Tigard Site address: 13825 SW 121ST AVE Project: Plantation Estates Subdivision: 2012-001 PARTITION PLAT Lot: 2 Project Description: Demo existing detached garage of approximately 591 sf.(No SDC credits available from this demo) Contractor: WESTWOOD HOMES LLC Owner: MURRAY JENKINS 1 LLC 12700 NW CORNELL RD CTH INVESTMENTS LLC 'i 12700 NW CORNELL RD 1800 NW 167TH PL#150 PORTLAND, OR 97229 BEAVERTON, OR 97006 PHONE: 503-330-2215 PHONE: FAX: 503-342-2403 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 01/05/2016 $134.54 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 01/05/2016 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 It Erosion Control w/Development 01/05/2016 $80.70 Bedrooms: 0 Bathrooms: 0 Value: $4,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $215.74 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 503.232.1987 or 1.800.332.2344. / Issued By: Permittee Signature: OA/- �PGi�UN J' 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 of the project Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECE(VEP "eived MCity of Tigard 1 3� 13125 SW Hall Blvd.,Tigard,OR3q Plan Review Phone: 503.718.2439 Fax: 503. . bC S 2015 Date/B : /✓ �" Other Permit: .� dC000s Inspection Line: 503.639.4175 Date Ready/By: Iwh'. ® See Page 2 for Internet: www.tigardor.gov C'TVOf f16ARD Notified/Melhod:A -� /b . Supplemental Information /, TYPE REQURtBD DATA.I-AND 2-FAMILY DWELLBIIG E]New construction Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement I ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ C/Q� E]Accessory building F] Number of bedrooms:Multi-family ❑Master builder Number of bathrooms: / JOB SM 4VFORMATION AND LOCATION Total number of floors: Job site add r New dwelling area: square feet City/State/ZIP. ,a,_ / 0'2 q 7'Lz'27 Garage/carport area: j!1 square feet Suite/bldg./apt.no.: Project name: 18;,.�� ,p� Covered porch area square feet Cross street/directions to job site: Deck area: _� square feet Other structure area: square feet REQUIRED DATA-COMMERCIALUSE 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 DESCRIUMON OF-WORK work indicated on this application. t^,WIPItS _ k Valuation: $ Existing building area: square feet New building area: square feet 0060BrY6W1QDt TENANT Number of stories: Name: ['A-,�Wr o- m.� (� L Type of construction: Address: 11?C0 /Vv ' r r, ,- . Occupancy groups: City/State/ZIP: f;/'} an,A G 1.Z`I Existing: Phone: O i Fax:( ) New: APPLICANT O CONTACT PERSON BUILDING PERMIT FEES!.., oftear Fear to hv MUM 0) Business name: sR 1ae u5 (AA//,a r Structural plan review fee(or deposit): Contact name:��f�{-�- "r .c �� FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: -qq Amount received: Phone:fl T l )6I-F- 0 1 r6 Fax::( ) �y/� `L, PHOTOVOLTAIC SOLAR PANEI.'SYMW4 FBBSa E-mail: ✓�utl OC (,Ve5 ,'Va��C �vc Mt Sat . 11sM CONTRACTOR Commercial d residential prescriptive installa' of roof-top mount PhotoVoltaic Solar Panel tem. Business name:�/Y,'r. a-2 O✓✓n 1_J` Submit two(2)set roof plan with co tion details and fire department ac s,along wi a 2010 Oregon Address: Solar Installation Special od ecklist City/State/ZIP: Permit Fee(include view $180.00 and ad ' istrative f Phone:( ) Fax:( ) State sure a(l2%of permit fee): $21.60 CCB lic.: j Total fee due upon application: $201.60I' Authorized signature: This permit application expires if a permit is not ob ed within 180 days after It has been accepted as completit. Print name: Lj�( 0 C7 Date: I �� Z C j j 'Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.dm 02/24/2011 4404613T(I1/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential Building Permit #: ��tt Q 15-00 3J`rg Site Address: �� 11121&4 Ale- Project Name: A6eZ44^ i F�—, -b*c Lot #: (:Jew dudfing=subdivision name;-Wdition or Vteration=last name of uxrner) Planning Review Proposal: 'Lam'-) E"X%sAinn S-w S9, .7 ? ��,.y� 'erifi site address/suite # exists and active in permit syste '`lJlAtiver Terrace Neighborhood: ❑ Yes No Sit Plan Elements: '1' ree (3)copies of site plan Existing structures-on site ite plan must he on 8-1/2"x 11"or 11 x 17"paper Offotprint of new structure (including decks)with finished brawn to scale(standard architect or engineer scale) oor elevations ,Y./llJd'orth arrow 'titin locations (required for new,may apple for additions) *d( address,project or subdivision name and lot number cation of wells/septic systems Applicant information (name and phone number) :rasion control (including drainage-xra}'protection, silt fence �7PI'loperm ot dimensions and building setback dimensions .i1,m,location of catch basin,etc.) nt area,building coverage area,percentage of coverage and �yStreet names pervious area (applicable if R--,R-12,R '_5& R-40) IIJI eet treesize, h1pe and location corner elevations (2 foot contour lines if more than 'VExisnng trees to be retained with drip line,and tree 4 foot differentialprotection measures lean Water Sc�ices —Sen-ice Provider Lett (lot platted prior to 9/1(1/1995): Required: ❑�/Tes,applicant was notified No Received: ElZ-es El No Public Facils Improvement (PFI) Permit-. W( equired: i Yes,applicant yeas notified El No Applied For: l es ❑ No,stop intake Vand Use Case #: PU'?Oiy- "zoning: —z/, //,�,etbacks: Front Rear Side Street Side Garage fjTl.andscape Requirement: Mot Coverage Maximum: Offluilding Height: Maximum I leight Actual I leight tsual Clearance Easements Sensitive bands: ❑ Yes /No 'Fcpc Urban Forestry Plan ❑ Conditions "Mct"prior to issuance of building pennit Notes: 7 j h,21" nke�w` C j Approved By Planning: Date: /S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ ;Approved ❑ Not Approved Revision 3: ❑ .Approved ❑ Not Approved I: Building FonnsBldgPemutRvn-RES_070915.docx Building Permit Submittal Original Submittal Date: /194 0/S� Site Plans: # Building Plans: #��— Building Permit #: F.t� iter budding pemu ^t# above. � Workflow Routing: ?Tlanning �Zgineering �1'ennit Coordinator a4w� Workflow Sign-off. YJ Sign-off for Planning(include notes from planning review) Route Application Documents: 2'�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. B on al p mit pp cari< sit ns, ldin ]ans g ran bea ca atio an , de s, i pplic e, e QQ Notes: �Eh1 C,1)L\/ – Nv PLR e ti E ]du D1r1�o• By Permit Technician: Date: 121�.s!/ Engineering Review Slope at building pad: ZZ bnd ons ILI prior to issuance of building permit I?asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantiry Facilin-: _Assess \C'ater Quality Fee in-lieu: ❑ Yes ❑ No Assess \\ater(QuantiR. Fee in-Geu: ❑ Yes ❑ No I-IDA Facility on lot: Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: lk Lt: .4 Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not :Approved Revision 2: ❑ i\pproved ❑ NotApproved Revision 3: ❑ Approved ❑ NotApproved Permit Coordinator Review U)6 ,,A •� Conditions "NIct" prior to issuance of budding pennit ❑ T �1 T' el Con Approv "N O 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 Fincred: AWash Co Trans Dev 1Fas: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: I Buildmg�Fonns.BldgPcrmllRrw_RFS 070915,dncx