Permit (17) INCITY OF TIGARD BUILDING PERMIT
2
:r„ COMMUNITY DEVELOPMENT Permit#: BUP2016 00259
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2016
T[G" g Parcel: 1 S 135AD03400
Jurisdiction: Tigard
Site address: 8735 SW SPRUCE ST
Project: Hall Pointe Subdivision: 1990-053 PARTITION PLAT Lot: 2
Project Description: Demolition of(1) 1200 sq.ft.house connected to sewer. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC
FEES WILL APPLY.
Contractor: E&V DEVELOPMENT LLC Owner: DAVIS, EUGENE REVOCABLE LIVING T
10875 SW 89TH AVE 10875 SW 89TH AVE
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-246-5862 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 08/29/2016 $195.38
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 08/29/2016 $0.50
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 08/29/2016 $80.70
Bedrooms: 0 Bathrooms: 0
Value: $7,400
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $276.58
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 •srk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent Tose 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 503.23 . •87 or .:00.3 . 344
Is ed By: 0 /I /f/ ; • Permittee Signature: •
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.
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City of Tigard
lig COMMUNITY DEVELOPMENT DEPARTMENT
I
Building Permit Review — Residential
TIGARD
Building Permit #: ei,.j p01 I —t c 02 5
Site Address: '61 35 S w S p r 'o St
Project Name: II Pot r) k t vi ti 0111,2 i P&Ili 0 Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: D rf)0 0 t h o v°
%Verify site address/suite# exists and active in permit system.
7 River Terrace Neighborhood: A No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,]Three(3)copies of site plan Existing structures on site
/Site plan must be on 8-1/2"x 11"or 11 x 17"paper -Elttsotprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
North arrow 9111Mly locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number tion of wells/septic systems
/Applicant information(name and phone number) Existing trees to be retained with drip line,and tree
ALot dimensions and building setback dimensions protection measures
-Eta:area,building coverage area,percentage of coverage and Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) Street names
4Property corner elevations(2 foot contour lines if more than
4 foot differential)
yl Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
6Public
Facilities Improvement (PFI)Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
7fLand Use Case#: 3 P—1,0 1 c - 0 0 00 S
4..
Zoning: 10 LI 14-
Setbacks: Front Rear Side Street Side Garage
andscape Requirement: 0/0
$Zot Coverage Maximum:
OM' " 0 " n 9
Building Height: Maximum Height Actual Height
Visual Clearance
7 Easements
Sensitive Lands: ❑ Yes ❑ No Type
%Urban Forestry Plan
)2 Conditions "Met"prior to issuance of building permit
Notes: tC k C'i m GP 0 in 9/24z (—v' aeAcY10
Approved By Planning: kg/k^---N. b vim,` Date: /Z�/ ( 'a
Revisions (after Building Submittal only) 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: //, j/(J
Site Plans: ##
Building Plans: # A//
Building Permit#: /er building permit#above.
Workflow Routing: mingeeringt Coordinator ❑ Building
Workflow Sign-off: Ki"Sign off for Planning(include notes from planning review)
Route Application Documents: ngttieering: (1) copy of permit application, (1) site plan, (1) building plan and
orinal plan review routing form.
ME Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _ _ 7 Date: _400....____
Engineering Review
CO ❑ Slope at building pad:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes El No
❑ NOT Approved by Engineering: Date:
` Notes:
Approved by Engineering: irdegfFil 7.-de:Im—/Z L 17 Date:
Revisions (after Building Submittal only)) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Ct Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
El Conditions "Met"prior to issuance of building permit
❑ 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: El Yes - /A
Tigard Trans SDC: CI Yes ` N/A
Parks SDC: ❑ Yes ?:E' N/A
11-1e0K to Issue Permit 0-1)/1 "
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw REs 060116.docx