08-August (2) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00211
l[GARD D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017
Parcel: 2S 104AB00100
Jurisdiction: Tigard
Site address: 12050 SW 135TH AVE
Project: Progress Landing Subdivision: None Lot: None
Project Description: Demo 1,800 sf house on septic,(1)1,920 sf outbuilding,(1)2,320 sf outbuilding&(1)528 sf shed. Septic tank is
to be pumped&filled or removed. Demo credits to be applied to new construction.
Contractor: LANPHERE CONSTRUCTION AND DEVELOPMENT L Owner: SUNAMOTO, TOMO TRUST
13625 SW FARMINGTON RD 2740 SW BUCHAREST CT
BEAVERTON, OR 97005 PORTLAND, OR 97225
PHONE: 503-642-4333 PHONE:
FAX: 503-718-7935
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 08/03/2017 $408.32
Occupancy Grp: Occupancy Load: Demolition
Info Process/Archiving-Sm$0.50(up to 08/03/2017 $2.00
Dwelling Units: 11x17)
Stories: Height: ft Erosion Control w/Development 08/03/2017 $80.70
Bedrooms: Bathrooms:
Value: $21,666
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $491.02
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 • ance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili otification -nter. 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 OUN' by callin• a or 1.800.332.2344.
Issued By:
Permittee Signa'ture:._-
ItOe
Ca 503.639.4175 by 7:00 a.m.for the next available inspection da -.
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 RECEIVE') F(>'lz OIIIc I: 1 sI O\l.\
City of Tigard teB7 7illifi �� /644 bpi?—Qoaa/
� Permit No.:
13125 SW Hall Blvd.,Tigard,OR 9722,1H I 77 0r l
s Phone: 503.718.2439 Fax: 503.598.19601 L U Dan Review
Date/13 Other Permit. + �Y
1 C c.n R[) Inspection Line: 503.639.4175 r'v'ry OF-rIG A RD Date Ready/By: f'/jr / ,//► ® See Page 2 for
Internet: www.tigard-or.gov
CITY d 8 1 f7 Notified/Method:0 ® Supplemental Information
,, e 1 i /L lie-
AV
i ix 's d ,�a" y ',�
L3a� w -d%Aq§�'o-xfi'�..+£S' `'• „...W.,:%,-.„:".-:.!' v4.xc
❑New construction 1'+ Demolition M 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
,-,,,,,..,,,-4,-,,,,„� r e -4 Si7 , work indicated on this application.
I-and 2-family dwelling 0 Commercial/industrial Valuation: $ 2/t ii 4 if.
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: Z
t,-.:JW(`-,..:1;:•:,;:'',77, ®' ,1 ,,, Total number of floors:
�. -„, V#4,-,,,,,,„': ...�.. � � �,�;�.
Job site address: / 2 65 0 S'w /33"--Y71 4-1/ . 77.1,9-P� New dwelling area: / ezo square feet
City/State/ZIP: 97 2 2. Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: ee e-pe✓.sls, 6.4-7vr),A 14/ Covered porch area: square feet
Cross street/directions to job site: C /
/ I Deck area: square feet
&-,11.1)e-C-91 W4-r_''u L fi II.6. Seiv,//f, Other structure area: 5lpj c{i square feet
'1141441t:” . .r4 (,--,.:'-7-,y; tt-G ? iP3% -i .q �'
Subdivision: . .x
Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2 S/0 ye 0/� Indicate the value(rounded to the nearest dollar)of all
.a equipment,materials,labor,overhead,and the profit for the
t . : . .,, ,fi a„,,te `. $a _ work indicated on this application.
/4 S R'/z ,1 / b
Dewitt
(/�' ,� G[/i//,S/� Valuation: $
Existing building area: square feet
New building area: square feet
k...zr , ., �,„ Number of stories:
Name: ✓ Jd� /1/0,'n Type of construction:
Address: /71 l3 ,td / t /��t/ �v, f Occupancy groups:
City/State/ZIP: A-772477 ?7110!927/
9,6=y,
Existing:
Phone:( ) 6 4f—el(Op' Fax ( )
5�ar a New:
i 4 ¢ W.
BusinessS07-n, it A� f., a(t i i a
name:
Contact name: /lJ/ 1 J�S' Structural plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
E-mail: (ft,tsAt /2.11 i�/0�/ 1E-- C Oe C t „g
� Commercial and residential prescriptive installation of
�,x , xiv A' roof-top mounted Photo Voltaic Solar Panel System.
Business name: ( // , . f , ��p Submit two(2)sets of roof plan with connection details
Address: i _�/t`!/p _ y`ry Sol r n department on Specialty accal ode checklist.the. Oregon
/� u 2� �� ��YJ! �jJYJ ,l�t7ti Solar Installation Code checklist.
City/State/ZIP: 9716,E Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:( 7 f? 7 9 3 V Fax:( )
�< State surcharge(12%of permit fee): $21.60
CCB sic.: 1,.
Total fee due upon application: $201.60
Authorized signature: jf Fee — This permit application expires if a permit is not obtained
, �� pwithin 180 days after it has been accepted as complete.
h
Print name: /N(// Ai Ala l Date: 7/2/77 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
Ill w COMMUNITY DEVELOPMENT DEPARTMENT
I
T l GA R D Building Permit Review — Residential
Building Permit #: --3,t_Y aD/ ___,,,c2.1,
Site Address: j 0 Co s A 13 S .
Project Name: pro re.ss i(A in LL\ Lot #:
(New dw g=subdivision name;Additio'or Alteration=last name of owner)
Planning Review
Proposal: D n'i 0 )Oe(M rh
Ar Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: XI No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan
Existing structures on site
/f21eSite plan must be on 8-1/2"x 11"or 11 x 17"paper EfFtstrtprintefnew structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
North arrow ...D.U44145x-leeations&easements(required for new and additions)
j21/Site address,project or subdivision name and lot number
h
Applicant information(name and phone number) QSidevaa t� eway aptic
mon offwwells/septic ssyystems
f Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree
Square footage of buildings to be demolished protection measures
Biot area,building coverage area,percentage of coverage and AStreet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) trcct names
er elevations(2 foot contour lines if more than sous area created or replaced? ❑Yes ❑No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received:
APublic Facilities Improvement(PFI)Permit: e -r-, ❑ Yes ❑ No
Required: ❑ Yes,applicant was notified CI No 2,,0 `Applied C �3
Yes ❑ No,stop intake
/lZi Land Use Case#: 5 U 6 '2-0 I (o -- 0 O( )cl
J' Zoning. g i . S
oil tbacks: Front 2,,t9 Rear ) S Side 5 Street Side 1 S Garage 2-
1V//4 1 Landscape Requirement: %
If//P Lot Coverage Maximum:
N//Bnkeg eight: Maximum Height 3 'J Actual Height
0 Vi)aal Ckalat.ce
s. .v a s: 0 Yes 0 No Type
0 Urban Forestry Plan
LI Condiiioas"Met"prior to issuance of building permit
Notes:
Approved By Planning: ✓ " 1 6----ur
Date: -71'2S j ---1
Revisions (after Building Submittal only) Reviewer
Revision 1: ❑ Approved ❑ Not Approved Date
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms131dgPermitRvw_RES 061417.docx
Building Permit Submittal )
Original Submittal Date: 7/R S"' 7
Site Plans: #
Building Plans: # 9-
Building Permit#: 2--Enter building permit#above.
I :
Workflow Routing:
Planning Engineering la<rrnit Coordinator
Workflow Sign-off: -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.
:.i.
din•• • -rmit a..licatio• site • ,n ,buil.:s g plan , - .•
bea cal .ons a • st •= ..1 s,if . •plicable,etc.
Notes:
By Permit Technician:
C�. �� Date: 7 it 7
Engineering Review
❑ Slope at building pad:
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: e+n
rl G„51. Date: 1�1/i7
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
r Review 0Q.P -1'= .4---4);
Permit Coordlnato
❑ 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:
C Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: 0 Yes N/A
LIDA 0 Yes N/A
OK to Issue Permit isjg ) —
Approved by Permit Coordinator:
Date:
I:\Building\Forms\BldgPermitRvw_RES_061417.docx