Permit (128) CITY OF TIGARD BUILDING PERMIT
{IN Permit#: BUP2019-00058
. COMMUNITY DEVELOPMENT
Date Issued: 03/12/2019
T i G A 1.3: 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111CB02300
Jurisdiction: Tigard
Site address: 14885 SW 100TH AVE
Project: Weber Subdivision: MURDOCK HILL Lot: 4
Project Description: Demolition and fill of backyard pool.
Contractor: RAWSON SAUNDERS Owner: WEBER, MARILYNN C
1630 NW SALTZMAN RD 14885 SW 100TH AVE
PORLAND, OR 97229 TIGARD, OR 97224
PHONE: 503-730-4897 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: SF Permit Fee-Additions,Alterations, 03/12/2019 $256.22
Class of Work: ALT Type of Const: Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 03/12/2019 $30.75
Dwelling Units: 0 Plan Review 03/12/2019 $166.54
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/12/2019 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $454.01
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 orth 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 503.232.1987 or 1.800.332.2344.
a
Issued By: , � Permittee Signature:
5")
Call 503.639.4176 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.
.....
Building Permit Application
i-,
I-7 7 :''''
Residential ,,,4, , 1 ()R 0 iii( I. L I.0\1 1
City of Tigard MAR 12 2019 Rpeacteeii.ved, simEgim , lik ,,
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1111 II Phone: 503.718.2439 Fax: 503.598.1960 ' '', Date/B : Other Permit:
UAR I) Inspection Line: 503.639.4175 ,... , ; , ,?',.' Date Ready/By: Juris: 0 See Page 2 for
I I
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 2f;emolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION 00
/ ----
1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 42 / aa°
,
Number of bedrooms:
El Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
it A
Job site address: 1 ygg 6 .c4Y 40 New dwelling area: square feet
City/State/ZIP: 7$. (4.4 d 0 k 9 7g-,-). Y Garage/catport area: square feet
Suite/bldg./apt.no.: Project name: z/ be 4-- ,f3 0 / 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.
D
Valuation: tVIPIMS6r)e./1-,O ai., P rt.'; it hs iy .,-,,,01 s-& :(1...,,,,..5 12ai /
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
a{APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: R aw je,ii _cot,,de t S 1 .7";, c
Structural plan review fee(or deposit):
Contact name: 4//el) S a_i,,,,,c/ t i FLS plan review fee(if applicable):
Address: /6 So /1/44/ _S-'4,//2.,le,A,., 11 Cl
Total fees due upon application:
City/State/ZIP: Po t 114...s 0 R. 2 7 ad— 9' Amount received:
Phone:(503) 7 3 0 -yg 7 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: a.ye,r) , ...5a.„.„,,,d e,c 42.3 (........,, s#1,,6,i,j, 6 ei z.4.)
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: ,R4-i-J,v_J"0 4 s q Lem O/0-4-- r and fire department access,along with the 2010 Oregon
Address: ./e 3 0 /1/Ze/ $o.. ,1 7'z 4- ri Solar Installation Specialty Code checklist.
City/State/ZIP: po 4- ;)-1,0u,-‘d G R 9 '7 --,:l y Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(50 3) 7 3 0.... 4/g y 7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:
Total fee due upon application: $201.60
Authorized signature: .,...-------- ,,,..... .....--------
... .7.---'-'-- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: ki 36,., 0/e,4, 5 Date: 3 _ ic;?.._ /
Service Board.
I:\Building\Permits\BUP-RESPenflitApp.doC 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling r(Az 01.1 iR. 1_ t ,,t ON .v
City g of Tigard Received
III Date/By: Permit No.:
13125 S W 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
T 1 G A R D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITF IS ARE REQUIRED FOR PLAN REVIEW1u "° y%'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 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 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 0 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 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
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 ❑
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 0
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
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
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 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\Pern its\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
IIII
T1cARD Building Permit Review — Residential
Building Permit #: 6W'p t - C60S'1
Site Address: NM c i too—"Avc.
Project Name: Wakr
fri
1 PM Lot #:(Newlling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Pro sal: f tzj
L' Verify address/suite#active in Accela. Lid In River Terrace: [D/No ❑ Yes,River Terrace Review Addendum
Site lan Elements: C17 sion Control
- 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper —LidRetained trees with drip line and tree protection measures
" wn to scale(standard architect or engineer scale) Footprint of new structure(including decks) and FFE
- Orth arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number Sidewalk/driveway approach
Ilkcyplicant information(name and phone number) gLocation of wells/septic systems
dimensions and building setback dimensions "PS eet tree size,type and location
are footage of buildings to be demolished ^Q'Str et names
ArrExisting structures on site -[rner elevations(2'contours if more than 4'differentiaL.,..
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes 'No
imervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? p4-❑No
LId Clean Water S5rvites—Service Provider Letter(lot platted prior to 9/10/1995):
Required: [ Yes,applicant was notified ❑ No Received: ❑ Yes f2<o
kI] Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
hi ;and Use Case#: ❑ Zoning:
rU4Required Setbacks: Front: ./ Rear: S r.,) Side: Street Side: Garage:
ding Height: Max. Height: Actual Height:
Lid' Landscape Area: 9 % ❑ Lot Coverage Max: go
trance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
IL/A- ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
PA Visual Clearance ❑ Urban Forestry,Plan
[i jensitive Lands: CI Yes N o Type:
❑/Conditions met prior to issuance of building permit
Notes:
❑ Approved By Planning: Date:
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\BldgPermitRvw RES 022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Engineering ❑ P rmit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes f •m planning review)
Route Application Documents: ❑ Engineering: (1) copy of permit ap► cation, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit applic on,site plans,building plans,engineer and
beam calculations and trust d- ails,if applicable,etc.
Notes:
By Permit Technician: Date:
Engineering Review
Cl Slope at building pad:
❑ Conditions "Met"prior to issuance of building pe
❑ Easements (encroachments)per engineering condi:ins of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Y s ❑ No
Assess Water Quantity Fee in-lieu: ❑ ,'es ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
❑ Approved by Engineering: Date:
Revisions (after Building Submi :1 only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator 'eview
❑ Conditions "Met"priv r to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after B ilding Submittal only)
Revision Noti - 1: Date Sent to Applicant:
Revision No e 2: Date Sent to Applicant:
Revision N•ice 3: Date Sent to Applicant:
❑ SDC Fee ntered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
LIDA ❑ Yes ❑ N/A
❑
0 to Issue Permit
Appr i ved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_RES_022819.docx