Permit Ar'' '''
v CIT Y OF TIGARD BUILDING PERMIT
" •: COMMUNITY DEVELOPMENT Permit #: BUP2010-00047
Date Issued: 03/30/2010
1 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S105DD01700
v �� Jurisdiction: Tigard
Site address: 14775 SW SUNRISE LN
Subdivision: Lot: 0
Project: Sunrise Lane
Project Description: Demo 3,877 sq ft house and 300 sq ft detached garage. On septic. UPON FINAL, SDC
CREDITS AVAILABLE FOR FUTURE CONSTRUCTION.
Owner: FEES
SRL 79 LLC Description Date Amount
2694 COUER D'ALENE DR Permit Fee - Additions, Alterations, 03/30/2010 $87.17
WEST LINN, OR 97068 Demolition
PHONE: 503- 657 -3402 Erosion Control 03/30/2010 $26.00
Erosion Plan Review CWS 03/30/2010 $8.45
Erosion Plan Review COT 03/30/2010 $8.45
Contractor:
BRIAN CLOPTON EXCAVATION INC
P 0 BOX 509
WILSONVILLE, OR 97070
PHONE: 503 - 682 -0420
FAX:
Specifics:
Type of Use: SF
Class of Work: DEM
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $1,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $130.07
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet: 1 BUP Ersn Cntrl 681 -4444
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 ,•- d- • •r more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule :re set :• • ' OAR
952 - 001 -0010 thr h OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503 46.6699 • .800.332.2344.
Issued By: Cika A4.4 A .�1 Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that b siness day. /
This permit card shall be kept in a conspicuous place on the job site until compl : *.n of the project.
Approved plans are required on the job site at the time of each i �ction.
Building Permit Application i o
aR tt / ._ rr -00003 Y� • .� tiRw�i '�"� t�i�r�y#rt'1Ft�� �'t> p' ` i`d""rur• �y 6 wR q � J �P �'1^;.
Residential REC ED i' '^t,, � �M+.' mr'.fn � ��ir Q � ;l ' tl�- 4 1 C 1 .04 .e itai'iHl�ai; ���
l g l � a .,If" BJ
City of Ti and Received Permit No.: 1 /
-s ` g DateB : !. 1p % • a /i i i 1 7
' q 13125 SW Hall Blvd., Tigard, OR 97223 MO Plan Review
'1 ;µf Phone: 503.639.4171 Fax: 503.598.1960 MA 2 Date/By: Other Permit:
I A i't j! Inspection Line: 503.639.4175 Date Ready /By: 1 • ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGAR Notified/Method: /(� Supplemental Information
BUILDING }D IVISIO N
. TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I- and 2-family dwelling Valuation: $
y g ❑ Commercial /industrial 1 t
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION • Total number of floors:
Job site address: ► �'� 5
4 5w so4g4sc L New dwelling area: square feet
City /State /ZIP: ^1"1c , oil_ 9"11.23 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 5vi.)R4se LA74e 5 tJ 27 • Covered porch area: square feet
Cross street/directions to job site: ( SO th 0 SuNgi a LANE I Al OPT* Deck area: square feet
c g 1h1TN3, Vo \ Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: So/412.46 LANE Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all
1 L 1100 02S OiVJ 05 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Dernousk EXISTINg. }4ptKBS AND f -{ CAY'r EA.11 OS i146vS VtA
Existing building area: square feet
TVV klg. TI4M4ING. a .EP cAse.
New building area: square feet
►! PROPERTY OWNER ❑ TENANT Number of stories:
Name: 4L — 11 LL(.. Type of construction:
Address: 26414 c ea_ DANE Dom Occupancy groups:
City /State /ZIP: war L.INN) OR- 011068 Existing:
Phone: ($3) 661 - %4O7... Fax: ( ) New:
L. APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Jr S M rni.- (A All contractors and subcontractors are required to be
Contact name: ...101i).3 („)y,,q�,lp licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2_614 LoEUR. D`A LANIe t jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
W G low OF- `11 06$
apply:
Phone: ( ) Zoe%. 1555 Fax: : 4Q)) 657- 3625
E -mail: J W' (L4 3b e „ITS rie1ITIfCD. Co(1 1
CONTRACTOR '
Business name: a i a BUILDING PERMIT FEES*
�wpt+�l Wh BU (Pleaserejertojeesebedule
Address: PQ 5.7, Structural plan review fee (or deposit):
City /State /ZIP: (ui -Vlsi OR. 410'10
f FLS plan review fee (if applicable):
Phone: ( ) E82 -04W Fax: ( )
CCB lic.: 6-011j7 Total fees due upon application: 'r130 • D7
yr Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 31{1,1 l _ LAND Date: Bit 1 [ 2:10 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(1l/02/COM /WEB)
Building Permit Application Checklist
�, s � am r i 1' Ms, ,7
1 ,,,,, ,,,, p,,, e : " w r' ', t ' y P a i " .
One- and Two - Family Dwelling frT 7'f ` 4 ' +'r!4: ;r k , . - , r
!,• , : ...: , ;a
Received
y. City of Tigard Date/By: Permit No.:
iliN q 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
C Phone: 503.639.4171 Fax: 503.598.1960
IIt` Il
24- Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing ID Mechanical
. x
Internet: www.tigard - or.gov ❑ Other:
�"" " ,0T , HPi ' 0LliOWING1 , [�rFNISO , RC R FQUIIIF " NyRENIFN` '; i „ � 3;. r' " . 'N' /A.'
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: • ❑ ❑ ❑
5 Septic system• permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable; local and state • ❑ ❑ ❑
building codes. Lateral desi 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 ❑ ❑ ❑
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 • ❑ ❑ ❑
and location. .
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, - ❑ ❑ ❑
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- . , ❑ ❑ ❑
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. ❑ ❑ ❑
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- ❑ ❑ ❑
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 . ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered • ❑ ❑ ❑
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 ❑ ❑ ❑
over 10 feet long and /or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. : ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore• on and shall be shown to be a to the .ro'ect under review.
7 , ' ' " ?IUR ;ISDIC I I0.1)Ai,'SPI , • II ICS . % . A , } tl : ` 7 . , ' ' ?� ∎ . ' . �' ,.f_ ., - '2%'!1;.'`,7":'=''.'': , { r ` '-, ;I s r, r�A..:;
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" z 17 ". • - ❑ • ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑. ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ' . ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑. . ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
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, ❑ ❑ ❑
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- RES- PermitApp.doc 03/21/06 440- 4613T(I1 /02/COM/WEB) •