Permit (83) CITY OF TIGARD BUILDING PERMIT
. COMMUNITY DEVELOPMENT Permit#: BUP2017-00326
Date Issued: 01/08/2018
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108CC00100
Jurisdiction: Tigard
Site address: 15727 SW TAYLOR LN
Project: TIGARD-TUALATIN SCHOOL DISTRICT Subdivision: None Lot: None
Project Description: Demolition of a 1,890 sq.ft.house and a 2,393 sq.ft.accessory structure on septic. UPON FINAL INSPECTION,
DEMO CREDITS FOR SDC FEES MAY APPLY.
Contractor: KONELL CONSTRUCTION CO Owner: TIGARD-TUALATIN SCHOOL DISTRICT
36000 SE INDUSTRIAL WAY 6960 SW SANDBURG ST
SANDY, OR 97055 TIGARD, OR 97223
PHONE:
503-668-3516 503-431-4093
FAX: 503-668-3518
FEES
Specifics: Date Amount
Description
Type of Use: SF Permit Fee-Additions,Alterations, 01/08/2018 $729.45
Class of Work: DEM Type of Const: Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 01/08/2018 $0.50
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 01/08/2018 $107.60
Bedrooms: 0 Bathrooms: 0
Value: $50,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $837.55
Required Items and Reports(Conditions)
Required:
1 Ersn Cntrl 503-639-4175
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. •87 or 1.800.332.2344.
Issued By: Permittee Si,nature: .i'\�
Call 503.639.4175 by 7:00 a.m.for the next availa• • •, •• •
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 Applicatio 1, _ � ...�
Commercial FOR OFFICE USE ONLY
E 1,a 2 8 ?.01/ Received Permit No 1
City of TigardDate/By: t,2 4,1.2/7
114v 13125 SW Hall Blvd.,Tigard,OR 972;4,...,„0, ,1 Id e•,-, y , Plan Review
IlE Phone: 503-718-2439 Fax: 503-59&-J i " i 1 b.G.AAL DateBy: — Related Permit:
Inspection Line: 503-639-4175 �p�( H r -, ' T �a Date Ready/By: 4u1/f
� Juris: WI See Page 2 for
IGAR3 Notified/Method. ""' Supplemental Information
Internet www.tigard-or.gov �1 a ..iJ:`
'tefi
•`,� t
11 k1w 116- '17,5C- 1 t�r ao> � �' d " i " ti -w 1i I 11 ,'C
!h ,
I� -..--',:4,. _ P� a� � � a. 1 .
0 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
-k; ` � - c- GOiI ,lC �ST �� L'7 i lK_ -1" work indicated on this application.
',', _ I1 d,� m1 ; ] y. . -,il4�. . �P'' -'1''''''':
Valuation: $
❑✓ 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
❑Accessoty building 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
^> n r ',..;`,''''r-„,,- ,.,,0 �k � 1 1 ��_ Total number of floors:
4,k, -' -011'4',..° ,,, I a `I j of AN oc I4 L -) .'4%'''''.% . -3
Job site address: 1 5727 SW Taylor Lane New dwelling area: square feet
City/State/ZIP: Tigard, OR Garage/carport area: square feet
Suite/bldg./apt.#: Project nam 6 I�A •--77 IL( p„Crzpvered porch area: square feet
Cross street/directions to job site: Si4.,,cd 1 0, . Deck area: square feet
SW Taylor Lane and SW Beef Bend Road Other structure area: square feet
i'RIS C'JIII I)DA,'A. bM1 RC,111. E C`1 'L IST 1
Pry OI 1� . 7`s
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
-- 11 <�I EScR1PT E3 -- !'WOR ... i' ,i.'-. ', i A'il(� work indicated on this application.
Demolition of existing buildings and decommission of septic tank Valuation: $5^O�U��
Existing building area: square feet
New building area: square feet
lir l -„, ,? „ , QWN R L' 1'1--1,''''',,,w-''..,,,,,,7, iw 0,° E " T 1 1r, Number of stories:
Name: Tigard-Tualatin School District Type of construction:
Address: 6960 SW Sandburg Street Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:( 503)431-4093 Fax:( ) New:
t 1A -YICA r 4i0ONTA T P4SON4; , : IUILDINGPRIVIITF}ES* i
,i . ;T �h a _ - 1 , hil
o 4k" -(Pleaserefe'i6`feeSedule , ., `
Business name: Konell Construction & Demolition Corp.
Structural plan review fee(or deposit):
Contact name: Stephanie Craig
FLS plan review fee(if applicable):
Address: 36000 SE Industrial Way
Total fees due upon application:
City/State/ZIP: Sandy, OR 97055
Amount received:
Phone:( 503)668-3516 Fax ( 503) 668-3518
� PTLC LA1UAVNSISEYE' IfOVQiTS
E-mail:stephanie@konell.net
,- . Commercial and residential prescriptive installation of
'7 '' " �i' , CO $T'RA`T°R,,i n .. t ';1,N..,,,. ".'4,.'. =_ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Konell Construction & Demolition Corp. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 36000 SE Industrial Way Solar Installation Specialty Code checklist.
City/State/ZIP:Sandy, OR 97055 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)668-3516 Fax:( 503)668-3518 State surcharge(12%of permit fee): $21.60
CCB Lic.: 122459 Total fee due upon application: $201.60
Authorized s lnatu 1 This permit application expires if a permit is not obtained
,l / 4 /�-.� ____)
within 180 days after it has been accepted as complete.
{_Print name: ". e' ' I' raig / Date: 12/19/17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1-1/02/COM/WEB)
City of Tigard
IIM COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #: A unzoi 7-p03a6
Site Address: /CSA 7 �� 7- �oy. z_, •
Project Name: ��-� i ri O Lot #:
ew welling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: TXYYI iJ ex..ts-h v S .+
.Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Site Plan EJ,ements:
Three copies of site plan VExisting structures on site
!r Site plan must be on 8-1/2"x 11"or 11 x 17"paper ('Footprint of new structure(including decks)with finished
es' Drawn to scale(standard architect or engineer scale) floor elevations
'North arrow Utility locations&easements(required for new and additions)
,RtSite address,project or subdivision name and lot number 1i. idewalk/driveway approach
,Applicant information(name and phone number) 74 •cation of wells/septic systems
l•-).7, •t dimensions and building setback dimensions !1 Existing trees to be retained with drip line,and tree
=4 Square footage of buildings to be demolished protection measures
1J�l,ot area,building coverage area,percentage of coverage and 14treet tree size,type and location
'' 'impervious area(applicable if R-7,R-12,R-25&R-40) °street names
Ni, Profperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Cly 7 No
4 oot differential) If yes,is a storm water quality facility shown? ��]``�� I�No
J "Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
!1 Public Facilities Improvement(PFI) Permit:
41'equired: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
1...'t-and Use Case#:
ming: TZ-1
❑ quirNed Setbacks: Front Rear Side Street Side Garage
El ' an . s e Requirement:
❑ Lot •ov-rage Maximum:
ZMB eight:
aximum Height Actual Height
Vi ual Clearance
❑ Snsitive Lands: ❑ Yes ❑ No Type
❑ Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: L' Date: r2, 2 6 ('7
Revisions (after Building Submitt only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: `,2./LV0
Site Plans: #
Building Plans: # —
Building Permit#: P.'"Enter building permit#above.
Workflow Routing: Planning [ Engineering ) Permit Coordinator -Bt ildis
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
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ‘c "krZ;Ii4„ Date: /2-/,7/7
/4,e/
Engineering Review ,
❑ Slope at building pad: N
❑ 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 .0.No
Assess Water Quantity Fee in-lieu: ❑ Yes '1 No
LIDA Facility on lot: ❑ Yes ,2 No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: hi 1 k L L4-.) 4 Date: /72/1 6Revisions (after Building Submittal only) Reviewer ate
Revision 1: ❑ Approved ❑ Not 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 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: ❑ Yes `P/ /A
Tigard Trans SDC: ❑ Yes 7 N/A
Parks SDC: ❑ Yes 1/_ N/A
I
LIDA El .Yes N/A
K to Issue Permit �,/
/3/d
Approved by Permit Coordinator: A/143ate:
I:\Building\Forms\BldgPennitRvw_RES_061417.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15727 SW TAYLOR LN, TIGARD, OR, 97224 January 29, 2018 at
10:03:08 AM
Record Type: Record ID:
Residential - Building BUP2017-00326
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Septic tank pump and removal receipt received.
Violation Summary:
Inspector Contractor