Permit (100) CITY OF TIGARD BUILDING PERMIT
III
s COMMUNITY DEVELOPMENT Permit#: BUP2018-00274
Date Issued: 10/18/2018
T I t;A It 11, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101AB01401
Jurisdiction: Tigard
Site address: 7355 SW HERMOSO WAY
Project: Reinhart Subdivision: HERMOSO PARK Lot: 4
Project Description: Demolition and fill of backyard pool.
Contractor: TIER 1 EXCAVATING Owner: INDEPENDENCE GROUP LLC
14231 S MORTON RD 30 INDEPENDENCE AVE
OREGON CITY, OR 97045 LAKE OSWEGO, OR 97035
PHONE: 503-285-2110 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF Permit Fee-Additions,Alterations, 10/18/2018 $225.80
Class of Work: ALT Type of Const:
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 10/18/2018 $27.10
Dwelling Units: 0 Plan Review 09/27/2018 $146.77
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/18/2018 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $9,750 Erosion Control Fee 10/18/2018 $322.80
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $722.97
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 through OAR9 101-0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332 ,, '
r 4111111.
Issued By: /,/ Permittee Signature: / iimmoo ,
/ Call 3.639.4175 by 7:00 a.m.for the next available i spection date
This permit card shall be kept in a conspicuous place on the job sit until comple'•n of the project.
Approved plans are required on the job site at the tim of each ins -ction.
Building Permit Application
Residential F
,j F
OR 01: I( I I 10\1.1
City of Tigard Date/B d6/(/ `l �1i, /„
;14 u 13125 SW Hall Blvd.,Tigard,OR 9722 " Plan Review
. Other Permit:
1
4
Phone: 503.718.2439 Fax: 503.598.1 (� Date/B :
l I
GA R D Inspection Line: 503.639.4175 i el 1II Date Ready/By: hms lig See Page 2 for
Internet: www.tigard-or.gov j' N c�C. - Notified/Method: Supplemental Information
TYPE OF WORIC1IN 1 �G 0„._ REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 New construction ❑l 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ i-(�,
❑Accessory building ❑Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 74. S tj S , New dwelling area: square feet
��,/ fie 2 twl C>s � C�t,��1-'��
City/State/ZIP: Ti. i 6,,di O f2 I..2 2-z 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: -9.3, S S t,,) f-,4"?y-y-,a.f e1 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Cin14 U//71/gin (AAA,/ 7// %Cl[j_yam/ j z 4.-
Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
.1t)Stpff eglsv ,tl�✓LT-
Address: "9-33 g.S .s cu t ]-a vv,0S z, 14/1–ti Occupancy groups:
City/State/ZIP: Iis Am/ 0Q c14 2 3 Existing:
Phone:(505) 530 8 3g y Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
)' 4 ere f.?, – Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: '77 j E t2 j__ Z x(vi v 4 'j j f\ 7 L_ L. Submit two(2)sets of roof plan with connection details
r and fire department access,along with the 2010 Oregon
Address: / L/ 2 3 ( < yrylo,27-0Y) Solar Installation Specialty Code checklist.
' �1 f t 6,/L 7'''7v t�–C--- Permit Fee(includes plan review
City/State/ZIP: C) py ll �1• / and administrative fees): $180.00
Phone:(17/) 2g - 2.j/ 0 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: /q 9y i` ✓._ Total fee due upon application: $201.60
Authorized signature: - —_~ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
/// Date: *Fee methodology set by Tri-County Building Industry
Print name:
Jose() , e j n h��, r j!/2 4",Af Service Board.
I:\Building\Permits\BUP-RESPerinitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling I o R o t t i c l: i s l: ()NI.)
City g of Tigard Received
IN Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
1IGARD
Internet: www.tigard-or.gov ❑ Other:
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: • 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. 0 0 0
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
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 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 ❑ ❑ 0
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 ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
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- 0 0 0
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. 0 0 0
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- 0 0 0
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 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
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 ❑ 0
over 10 feet-long and/or any beam/joist carrying a non-uniform load. _
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy-Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 ' 0
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 ❑ 0 0
architect licensed in Ore•on and shall be shown to be a..licable to the .ro'ect under review.
Jl'RISUICTIONIl, SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ 0
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 form is required for all building additions, 0 0 0
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 ofTigard
1
'1 COMMUNITY DEVELOPMENT DEPARTMENT
11111 T c A R Building Kermit Review — Residential
Building Permit #: Viga/,0( Co3.-.. 0274—/
'� /7L
Site Address: .S V
ea* Project Name: Ru;A ,.1- pezil 61.,"0 Lot #: --
(New dwelling=subvision name;Addition or Alteration=last name of owner)
Planning Review,
--- 11
Proposal: P001 Quid. P I r gOOSt./krt. Li-
Lf_�'`Verify site address/suite#exists and active in permit system.
Ll d River Terrace Neighborhood: EVNo ❑ Yes,See River Terrace Review Addendum Attached
�'
te lan Elements:
,.. rr , ee(3)copies of site plan L (r,er1i -(-71, 4 t.,0
[sog structures on site
I plan must be on 8-1/2"x 11"or 11 x 17"paper 1�° p
rint of
r.wn to scale(standard architect or engineer scale) - floorelevationswstructure(including decks)with finished
III i
.rth arrow
Jtility locations&easements (required for new and additions)
'A` ,ii_►i address,project or subdivision name and lot number Ni .ewalk/driveway approach
-- )J'pplicant information(name and phone number) ..,-- ft'i .cation of wells/septic systems
IP .t dimensions and building setback dimensions IP xisting trees to be retained with drip line,and tree
a
(JL quare footage of buildings to be demolished
protection measures
l Piot area,building coverage area,percentage of coverage and
!r"" impervious area(applicable if R-7,R-12,R-25&R-40) „jet tree size,type and location
treet names //
j4roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes BNo
4 fpot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No
[9'/Clean Water S -ces—Service Provider Letter(lot platted prior to 9/10/1995):
equired: Yes,applicant was notified ❑ No Received: ��
Public Facilities Improvement(PFI)Permit,�:, ❑ Yes �l�'No
Required: ❑ Yes,applicant was notified [ No Applied For:
fl ❑ Yes ❑ No,stop intake
t`s—' I,,and Use Case#:
Zoning: r M
E3" Required Setbacks: Front J/3- Rear s Side S Street Side ---
Landscape Requirement: % Garage
! 1Lot Coverage Maximum:
L "Building Height: Maximum Height ‘
f � r7 Actual Height �3 cki,Alc
sual Clearance ,,,_/
Sensitive Lands: 0 Yes t' No Type
( - Urban Forestry Plan
p.Conditions "Met"prior to issuance of building permit
Notes:
"Approved By Planning: lf ��
�tr Date: cf'Z-1-1
Revisions (after Building Submittal only) Reviewer
Revision 1: 0 Approved ❑ Not Approved Date
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\BuildingForms\BldgPermitRvw RES_061417.docx
Building Permit Submittal
Original Submittal Date: 7l A 2 nr
#
Site Plans: A
Building Plans: #�� ?i
L1p
Building Permit#: Enter building permit#above. oordinator ❑ $
Workflow Routing: Planning ❑ eermg ❑ P
Workflow Sign-off: V'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.
/
GU .
0
Notes: POO 1 �L'GGJri`( � r/�t � (! ir
By Permit Technician: sSt- Date. �
En. 'neering Review
❑ Slope a building pad:
❑ Conditions '.4 et"prior to issuance of building permit
❑ Easements (encro, hments)per engineering conditions of approval and plat
O Water Quality/Quanti acility:
Assess Water Quality Fe ' -lieu: 0 Yes 0 No
Assess Water Quantity Fee in -u: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
❑ Final Plat Recorded:
Date:
❑ NOT Approved by Engineering:
Notes:
O Approved by Engineering: Date:
Revisions (after Building Submittal only)
" -viewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Pe • ' Coordinator Review
❑ Conditions' et"prior to issuance of building permit
❑ Approved,NO„ eleased:
Date:
Notes:
Revisions (after Building Submi only)
Revision Notice 1: Date Sent' Applicant
Revision Notice 2: Date Sent to A.•licant:
Revision Notice 3: Date Sent to Appli'•-s t:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: !! Yes 0 N/A
Parks SDC: 0 0 N/A
LIDA 0 Yes - 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator:
Date:
I:\Building\Forms\BldgPermitRvw_RES_010118.docx