Permit (19) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00229
T EG RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2016
Parcel: 2S103CA00101
Jurisdiction: Tigard
Site address: 13185 SW 115TH AVE
Project: BCS Batiment LLC Subdivision: None Lot: None
Project Description: Demo carport structure,approximately 90 sq ft
Contractor: Owner: BCS BATIMENT LLC
SKYTERA LLC
19705 SW 65TH AVE
TUALATIN, OR 97062
PHONE: PHONE: 541-337-8306
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/14/2016 $119.33
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/14/2016 $0.50
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $3,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $119.83
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 .:•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 {:y: -AL
`/1111� rim111,41.._ Permittee Signat re: I lar
Call 503.639.4175 by 7:00 a.m.for the next available inspection d.te.
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 , r = FOR OFFICE USE ONEI'
City of Tigard Received
DateB : 7® Permit No.: G /_ ,�,o aa,
'a 13125 SW Hall Blvd.,Tigard,OR 97223 `''
_ Phone: 503.718.2439 Fax: 503.598.1960 Paan Review
Date/B Other Permit:
:
T 1 G ARU Inspection Line: 503.639.4175 Date Ready/By. Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
," -- fg till't t o :11 ii 3 8 i, ---f,
'Hl l a «" J r i ,,wdpi
rin.❑Newconstrutct-ion `ii. . �au� ®DeWimoliton ,te a 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
41'4 'M '''e� yx j - `' work indicated on this application.
. -. ' iii .rX16=,.. ', '-
® 1-and 2-family dwelling 1:1Commercial/industrial Valuation: $3,000.00
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
t ;a 1, i t .-=',1„- ,, , •_ Total number of floors:
Job site address:13185 SW 115th Ave., New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:115th Covered porch area: square feet
Cross street/directions to job site:SW GAARDE ST Deck area: square feet
Other structure area: square feet
Subdivision:MAP NO:2S103CA I Lot no.:101 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S103CA/00101 Indicate the value(rounded to the nearest dollar)of all
a equipment,materials,labor,overhead,and the profit for the
ten` 1r _�, ,„ w ' --- _ work indicated on this application.
DEMOLITION OF THREE SIDE AUXILARY BUILDING 500 SQ FT Valuation: $
Existing building area: square feet
New building area: square feet
-m �v, N a:eil �. 'r " : PisiVRIMFvax , Number of stories:
Name:BCS BATIMENT LLC&SKYTERA INVESTMENTS LLC Type of construction:
Address:19705 SW 65TH AVE., Occupancy groups:
City/State/ZIP:TUALATIN OR 97062
Existing:
Phone:(541)337-8306 Fax ( )
w,--, � � „ � � New
,yr ti " 'i _ ,' 1 6 - r . 1,77r04,,, ,..714777,7„,.. fes
Business name:BCS BATIMENT LLC f7,,,,..,, ,,:, 4 w N
Contact name:CAITLIN KJEMPERUD Structural plan review fee(or deposit):
Address:19705 SW 65TH AVE FLS plan review fee(if applicable):
City/State/ZIP:TUALATIN,OR 97062 Total fees due upon application:
Phone:(541)337-8306 Fax::( ) Amount received: ` lig. g3
E-mail:,BCSBATIMENT@GMAIL COMrt. '.' [i -'*•t 1- t r y " t, r
"`'W_,471---L`
r {fit � 1�' r r T; Commercial and residential prescriptive I.(rounded to of
". '` 1
City of Tigard
111 q COMMUNITY DEVELOPMENT DEPARTMENT
i
T I G A R D Building Permit Review — Residential
Building Permit #:
Site Address: )1:771t3 S W \\tom Pc\P-Qi
Project Name: Kf- \per o,. Q Lot #:
(New dwelling �s"ubdivision name;Addition or Alteration=last name of owner)
Planning Review --CV
(L.,I i\o ( ' y- 1)01'4-- ' 1 oYl- ST.
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements: rn
,Three(3)copies of site p.a. xisting structures on site
ite plan must be on 8-1/2'x 1 "or 11 x 17"paper lilt. •otprint of new structure(including decks)with finished
'J( Drawn to scale(standard architect or engineer scale) oor elevations
-4KNorth arrow M''i tility locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number N 1 Location of wells/septic systems
Applicant information(name and phone number) xtsting trees to be retained with drip line,and tree
El .of dimensions and building setback dimensions � rotection measures
W Lot area,building coverage area,percentage of coverage and 'vn1jl4Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) >Street names
IJ roperty corner elevations(2 foot contour lines if more than
4 foot differential)
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified ,....2--5o Received: E Yes ❑ No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified Applied For: ❑ Yes ❑ No,stop intake
'Land Use Case#: N) /A.-
..a-Zoning:
,®'Zoning: (2't•
S-
'Setbacks: Front )(LP o Rear Is Side S Street Side \S Garage
__12---Landscape Requirement:
„aLot Coverage Maximum:Iv A
❑ Building Height: i a um Height Actual Height
Visual Clearance
Easements
.,,,i2"Sensitive Lands: ❑ Yes „....2---No Type 0 0 V-0
Urban Forestry Plan
conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Ant,L. AP: /A. Date: 'ILI i?
Revisions (after Building Submittal.nly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw RES_060116.docx
Building Permit Submittal
Original Submittal Date: ikF// 4'
Site Plans: # 3j
Building Plans:
Building Permit#: Enter building permit#above.
Workflow Routing: d$Planning 'Engineering 4y1Termit Coordinator [4/Building
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
—7�Jbeam calculations and trust details,if applicable,etc.
-
Notes: Je-7) i 1- /45 Gut- l�f� '�—t /l/ld.t
By Permit Technician: �42 ytti.a.�� Date: y/V4
Engineering Review
❑ Slope at building pad:
❑ Conditions "Met"prior to issuance of buil.' g permit
❑ Easements (encroachments) per enginee ' conditi ns of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in 'eu: • Yes 111 No
Assess Water Quantity Fee in`I'eu: ❑ Yes t N.
LIDA Facility on lot: ❑ Yes ■ II o
J
❑ NOT Approved by Enginee ing: I'' Date:
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal .nly) Reviewer Date
Revision 1: ❑ Approved a of 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: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date t.+t to App:cant:
Revision Notice 2: Date Se to Appli ant:
Revision Notice 3: Date Sea t. •pplic:nt:
❑ SDC Fees Entered: Wash Co 1 rans P-s Tax: ❑ Yes ❑ N/A
Tigard Tra s SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_060116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13185 SW 115TH AVE, TIGARD, OR, 97223 May 11 , 2017 at 9:47:03 AM
Record Type: Record ID:
Residential - Building BUP2016-00229
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Structure removed from site.
Violation Summary:
Inspector Contractor