Permit (156) IL CITY OF TIGARD BUILDING PERMIT
191 . ` COMMUNITY DEVELOPMENT Permit#: BUP2019-00094
Date Issued: 04/24/2019
T1 G r j2 L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103BD00400
Jurisdiction: Tigard
Site address: 11850 SW WALNUT ST
Project: Springer Construction Subdivision: None Lot: None
Project Description: Demolition of(1) 1,300 sf dwelling on septic. NOTE: PUMP/FILL RECEIPT REQUIRED PRIOR TO FINAL
INSPECTION. UPON FINAL INSPECTION,DEMO CREDITS FOR TRANSPORTATION AND PARKS SDC FEES
WILL APPLY.
Contractor: SPRINGER CONSTRUCTION LLC Owner: SPRINGER CONSTRUCTION
14845 SW MURRAY SCHOLLS DR STE# 110 14845 SW MURRAY SCHOLLS DRIVE,
PMB 105 SUITE 110
BEAVERTON, OR 97007 BEAVERTON, OR 97007
PHONE: 503-209-7959 PHONE: 503-209-7959
FAX: 503-524-4026
FEES
Specifics:
Description Date Amount
Type of Use: SF •
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 04/24/2019 $149.75
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Development 04/24/2019 $80.70
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 04/24/2019 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $230.95
Required: Required Items and Reports(Conditions)
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 cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
, -
Issued By: - nature:
4111.
I .639.4175 by 7:00 a.m.for the next available inspecti• 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
Residential i OR OFFICE: 1 '41 ().1,1i
APR13 'L019 Received
City of Tigard Date/B : ' Alrgiliniriol
II0 13125 SW Hall Blvd.,Tigard,OR 97223 - - - - ). Plan Review
Ill Phone: 503.718.2439 Fax: 503.598.1960.. - : i, Date/B . Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: hais. la See Page 2 for
I w\RI)
Internet: wwvv.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
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
0 Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
—
0-and 2-family dwelling 0 ComValuation: $ 5d7?)
mercial/industrial 1
Number of bedrooms:
0 Accessory building El Multi-family
Number of bathrooms:
0 Master builder El Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: // xs-v5-1.., 4,,A 1..iv s/,--,- .s.--7.- New dwelling area: square feet
City/State/ZIP: 7-,.0./1746 ,, 4,42 677 2 2- 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 6t,A z/vii 7- .),(,,,vd-co 7-,-,,va e 5. Covered porch area: square feet
Cross street/directions to job site: 5 i,t//.2.i /*F-5--7-: 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: $
Ac rrl e /1/4'4/.it
Existing building area: square feet
New building area: square feet
V(PROPERTY OWNER 0 TENANT Number of stories:
Name: 5-'1ce-. ( 72 4mY1 Z Z 6- Type of construction:
Address: //i-ys--_5-'4,,,,IpA,e..lysc,94izs'Att 50/77/o/,,,,,/5/45--- Occupancy groups:
City/State/ZIP: 6 6-,q vejj 7" -- ei',//, 97 pp 7 Existing:
Phone:(52 3 ) . Fax:( ) New:
'APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofee selterlale)
Business name: _5;09„eiy„ee,e1 e4.,...3-7--„i4,.e774.„...... x_e_ C. Structural plan review fee(or deposit):
Contact name: ..s-7-e owe-A, 5-//,1 I
FLS plan review fee(if applicable):
Address:/0,/*/5- ..<64,..-nikrAikly se/4‘44%-,6,1, 5-72---,//e) r/phe/or
Total fees due upon application:
City/State/ZIP:/36.-4/f64 . OW., 97o 0 7
Amount received:
Phone:62,3 ;409... 795-47 Fax::(571) ..5-3 .-•2 99
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Sirdedeet,/6-LeA. e"......f-rxe/77.0?„ 4Z CL_ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:/V4775.-ft*/ /97"'A 4 Y fiv/4,zit I hee. s,7-6-,./0/440/0,5- Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP: /3 ....--. A ve....›.z. 7-e" a,e. e9 7e,e7 $180.00
and administrative fees):
Phone:( 3) g_t, 9,_79 s--47 Fax:(52i3) 5-3 S.- -799 5— State surcharge(12%of permit fee): $21.60
CCB lie.: / r /
Total fee due upon application: $201.60
Authorized signature:......1.....„...- e-- ---, ...- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: <7.e7v/e-m.... 5-///9 4, Date: . /.../*/..../9 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIA COMMUNITY DEVELOPMENT DEPARTMENT
III
T 1 G A R D Building Permit Review — Residential
Building Permit #: 7U/12..(1/g - Z 'i
Site Address: 0 ,,..,i \.,/i,k4,A SA-
Project
AProject Name: _ `loan .ek Oce...0 Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 0 r'(ht) c
{ Verify address/suite#active in Accela. Lid In River Terrace: [No ❑ Yes,River Terrace Review Addendum
Sit lan Elements: V1 I osion Control
is copies of site plan on 8-1/2"x 11"or 11 x 17"paper IT 'etained trees with drip line and tree protection measures
M II awn to scale(standard architect or engineer scale) Pitootprint of new structure(including decks)and FFE
rg. .rth arrow W U=+'ty locations&easements(required for new and additions)
I i S}teaddress,project or subdivision name and lot number AA.':ewalk/driveway approach
rip . cant informaon(name and pone number) L •cation of wells/septic systems
dimensions and building setback dimensions 772 Stmt tree size,type and location
NI:uare footage of buildings to be demolished W5 et names
L xisting structures on site orner elevations(2'contours if more than 4'differentiaal)),,,
1114Lot area,building coverage area,percentage of coverage and ,000 sf of impervious area created or replaced? EYes IJ�,N9'
im ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes [ o
[ Clean Water Se ices—Service Provider Letter(lot platted prior to 9/10/1995):
equired: Yes,applicant was notified ❑ No Received: ❑ Yes LJ'No
LSd Public Facilities Improvement(PFI)Permit�:
Required: ❑ Yes,applicant was notified lQ No Applie or: ❑ Yes ❑ No,stop intake
[L Land Use Case#: Zoning: '-c
wtr/Required Setbacks: Front: 2,t) Rear: d Side: ; Street Side: 1) Garage: 0
eilding Height: Max.Height:' ' Actual Height: 0
as Landscape Area: OF % Lot Coverage Max: L; 0/0
nuCI back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows CI 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
❑ 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 CI Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
^� ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
L� isual Clearance [' 1Jrban Forestry an
• nsitive Lands: ❑ Yes LTJ No Type:
Conditions et . .orito is trance of building pe t `,,,
otes: / :: Yet- fio.it i„14�i r( :{.13 Vl'�r�. h �(&-tr ,f.j) rtt U-re )-64,, ^‘v� d- mi4.
❑ Approved By Planning: f 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: eil'U /f
Site Plans: # 3
Building Plans: #
Building Permit#: VEnter building permit#above.
Workflow Routing: lanning Engineering i'l:Permit Coordinator ❑ g
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.
,p-Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc. pl<cr -.." /r,, haSAe7:
Notes:
By Permit Technician: ,,_./ �� -- ei.t, -, �--- ,---%-- Date: Gi//7///
Engineering Review
-2-Slope at building pad: p
❑ Conditions "Met"prior to issuance of building permit
1'
CI '"'Easements (encroachments)per engineering conditions of approval and plat r 6( "
�. ❑ Water Quality/Quantity Facility: d 111 ��
�U Assess Water Quality Fee in-lieu: ❑ Yes Noi'l 1/
Assess Water Quantity Fee in-lieu: GIYes No .44
M LIDA Facility on lot: ❑ Yes No
,S'
❑ Final Plat Recorded:
CP ❑ NOT Approved by Engineering: Date:
Notes:
4
k
Approved by Engineering: Date: . //���`e
3 Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
6 Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1,32 Permit Coordinator Review
NAConditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
NRevision 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: ❑ Yes di! N/A
Tigard Trans SDC: ❑ Yes '':i N/A
Parks SDC: ❑ Yes ''':) r N/A
LIDA ❑ Yes aKN/A
&OK to Issue Permit
Approved by Permit Coordinator: ilavA6ae Date: j 1/72,1 )
I:\Building\Forms\BldgPer iitRvw RES 022819.docx