Permit (47) CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2016-00200
TI G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2016
Parcel: 2S111 DA00400
Jurisdiction: Tigard
Site address: 15435 SW HALL BLVD
Project: Heritage Crossing Subdivision: KEVINGTON Lot: 8
Project Description: Demo 1,720 sf residence on septic. Septic tank to be pumped and filled or removed.UPON FINAL INSPECTION,
DEMO CREDITS FOR SDC FEES MAY APPLY.
Contractor: NORTHWEST EARTHMOVERS INC Owner: SCHMIDT ACRES LLC
PO BOX 1609 12525 NW JACKSON QUARRY RD
SHERWOOD, OR 97140 HILLSBORO, OR 97124
PHONE: 503-625-3100 PHONE:
FAX: 503-625-3108
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 06/20/2016 $301.85
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 06/20/2016 $0.50
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 06/20/2016 $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 $383.05
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
952-001-0010 thr 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.
Issue By: _ ••g Permittee Signa , e: r ��y ,
T Call 503.639.4175 by 7:00 a.m.for the next available inspect'• date.
This permit card shall be kept in a conspicuous place on the job site untr completion of the project.
Approved plans are required on the job site at the time of each inspection.
38-7-6,—N r44e--
Building Permit Application
Residential FOR OFFICE USE ONLY
City ofTig and RECEIVE® ReceivedM
PermitNo.t ,
111111 `J Date/B / I It /""41,10,,00• 13125 SW Hall Blvd.,Tigard,OR 97223 6 Plan Review
111 Phone. 503.718.2439 Fax 503.598J 1 2016 Date/B : Other Permit:i .if3,,,,,at 5610615'
TI GA R D Inspection Line: 503.639 4175 Date Ready/By Jens I3 See Page 2 for
Internet www ttgard or gov
CITY OF ARD Notified Method. Supplemental Information
TIG`
f ! t kV.E a REQUIRED'DATA I-AND 24,44114i#6444:0-
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... v.�" �."v ..4k-,-.--= . i " .4- ,i: ,. 1, Vis_ y. „r,: .s a,,, ' ,--,..t.4„,
❑New construction ®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
�u y � -ez,. work indicated on this application.
® 1-and 2-family dwellingValuation: $
❑Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
OBSIEIFO°tt ° "Y ' 'f.4 AaJNw;,, s ., ., '' , , Total number of floors:
Job site address: 15435 SW Hall Boulevard New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Heritage Crossing Sub. Covered porch area: square feet
Cross street/directions to job site:West of SW Hall Blvd./SW Ashford St. Deck area: square feet
South of SW Applewood Avenue and east of SW Ashford Street. Other structure area: square feet
'REQUIRED DATA;COMMED L VAS 'IS',
Subdivision: Heritage Crossing SUB 2015-00015 Lot no.:62 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S 1 11DA/#400 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
1 . I a I , i,; work indicated on this application.
Demolition of existing home and appurtanent structures and/or storage buildings. Valuation: $ 1 5,0 0 0.00 •
`7e94::)0 Dom`— ✓��_ 1.--, Existing building area: square feet
New building area: square feet
114 el PROPERTY OWNER 51#'4V1r ?-j3 TENANT' Number of stories:
Name:Venture Properties,Inc. Type of construction:
Address:4230 Galewood Street,Suite 100 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 970035 Existing:
Phone:(503)387-7600 Fax:(503)387-7615 New:
APPLIt NT , ,,, � ', " r . „,„,,,,„:„.. ,i.„,.a =BIn DI NG PE )� ,a'go
,,, ;r'° . ,• ,W,,. :''' 514 �"74i..
Business name:AKS Engineering&Foresty,LLC ""� � � "�
Structural plan review fee(or de osit): , '6.20**
Contact Name:Paul Sellke;Shawn Markman:444 c
FLS plan review fee(if applica
Address: 12965 SW Herman Rd.STE 100
City/State/ZIP:Tualatin,OR 97062 Total fees due upon ication: 98.05**
Phone:(503)263-6151 Fax::(503)263-6152 ount received: "—.
•
E-mail: PaulS@AKS-Eng.com;MarkmanS rAKS-Eng.com PHOTOVOLTAIC SOLAR PANEL SYSTEM EEES*"
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Northwest Earthmovers,Inc. Submit t o(2)sets of roof plan with con to details
and fire de..rtment access,along wi . e 2010 Oregon
Address:P.O.Box 1609 Solar Installau. Specially Co • tecklist.
City/State/ZIP:Sherwood,OR 97140 Permit Fee(i de .an review $180.00
and as i • ative fees):
Phone:(503)625-3100 Fax:( ) State sun .rge(l2%of pen * fee): $21.60
CCB lie.:62761
Total fee due upon applicatio • $201.60
Authorized signature: This permit application expires if a pc mit is not obtained
within 180 days after it has been accepted as complete.
Print name Scott Newcombe Date: 6/3 /16 n Fee methodology set by'I ri-Counth Building Industry
Sery ice Board
-. /f T 1 rl- ('1/-( 1'1 4I1)10 BF ctU1 Sc 1i451/)(}1 20/5-2/)/f /:/,: ('IIF:/)('/f II-1 N.RI I It ti (.it CI I €Tf7) i J %
01 PFR;111I 1-1,C. 101 II 01.498.of
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE ISE ONLY
City of Tigard Received Permit No.:
114Date By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
•
T I G A R D 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑ 1
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0
3 Verification of approved plat/lot. 0 0 ❑
4 Fire district approval required. Name of district: • 0 ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
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-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 ❑ 0 ❑
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 ❑ 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 ❑ ❑ ❑
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 be shown to be a..licable to the.roject under review.
JURISDICTIONAL SPECIFICS
23 "three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x I7". ❑ ❑ ❑
• 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ LI
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 ❑ ❑ ❑
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 tbrm is required for all building additions. LI ❑ ❑
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)
City of Tigard & , D
----- "
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: -- Lp 3.p V6-CO aoc
Site Address: 154 S6 &\A1 toe i 1i IN Vei
Project Name: l-}'e f C i'OSSI�( VC�0 Lot #:
ew dwelling subdivision name;A4clition or Alteration=last name of owner)
Planning Review vvvvvv
Proposal: &T' ro 1c-hyl ho ru. G(hd, aCceS$b 1 Sir.c_ re
1x Verify site address/suite# exists and active in permit system.
gRiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
►; ee(3)copies of site plan ,Existing structures on site
Cite plan must be on 8-1/2"x 11"or 11 x 17"paper J/ootprint of new structure(including decks)with finished
• D yawn to scale(standard architect or engineer scale) floor elevations
• •rth arrow ,Jtility locations(required for new,may apply for additions)
-1 S'te address,project or subdivision name and lot number _!e.cation of wells/septic systems
►"'• .plicant information(name and phone number) :4 xisting trees to be retained with drip line,and tree
•t dimensions and building setback dimensions protection measures
tj Lot area,building coverage area,percentage of coverage and ftreet tree size,type and location
/f impervious area(applicable if R-7,R-12,R-25&R-40) treet names
roperty corner elevations(2 foot contour lines if more than
foot differential)
,Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 'No Received: ❑ Yes ❑ No
,, Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified _.13. No Applied For: ❑ Yes ❑ No,stop intake
=' Land Use Case#: C1-162-01S---CMS
►4 Zoning: ri—l'Z-
!' etbacks: —NI / A.- Front Rear Side Street Side Garage
andscape Requirement:—P,// A-
Lot Coverage Maximum: Ti r k
g..Building Height: 1d /4 Maximum Height Actual Height
Visual Clearance N l ft-
Easements N/A
Sensitive Lands: ❑ Yes 'No Type
Urban Forestry Plan IJ [p
GConditions "Met"prior to issuance of building permit _
Notes: DO n I.SSU 1 utrr C'o i fitv.S F-SU.&O 1S UCC( S 1f
Approved By Planning: /J .),.'-- Date: (I'I M (t le
Revisions (after Building Submitt only) Reviewer ` Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1::\Building\Forms\BldgPennitRvw_RES_060116.docx
Building Permit Submittal
Original Submittal Date: , /it I, .
Site Plans: #
Building Plans: # fr
Building Permit#: D'Enter building permit#above.
Workflow Routing: B'Planning -Engineering ;mit Coordinator LIZ Building
Workflow Sign-off: 2Sign-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
2ariginal plan review routing form.
Building: original permit application,site plans,building plans,engineer and
1 beam calculations and trust details,if applicable,etc.
Notes: O- �►x� C'..r --- ` \\ fir,
I
By Permit Technician: Date: 624 62 / /(o
Engineering Review
Slope at building pad: AZ
A''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 i No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: g—z Date: 449• lio,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl Not Approved
Revision 2: ❑ Approved • _ ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
?giApproved,NOT Released: Date:G/�//C"
Notes: /4/0)
e
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:
en SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Z/A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes N/A
K to Issue Permit /
Approved by Permit Coordinator: 1 Dater ///;D
I:\Building\Forms\BldgPermitRvw_RES_060 1 16.docx