Permit x a CITY OF TIGARD
Vi BUILDING PERMIT
1 ,,, COMMUNITY DEVELOPMENT Permit #: BU P2010-00052
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/30/2010
Parcel: 2S105DD01000
Jurisdiction: Tigard
Site address: 15035 SW SUNRISE LN
Subdivision: Lot: 0
Project: Sunrise Lane
Project Description: Demo 2,072 sq ft house. On septic. UPON FINAL, SDC CREDITS AVAILABLE FOR FUTURE
CONSTRUCTION.
Owner: FEES
SRL 79 LLC Description Date Amount
22694 COUER D'ALENE DR Permit Fee - Additions, Alterations, 03/30/2010 $83.78
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: $1,400
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $126.68
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 la . • II work
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 suspen• :-• or m' re the • • .
days. ATTENTION _Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are se •rth in O'
952 - 001 -00yv mrough R 952 -001 -0100. You may obtain a copy of the rules or direct questions to OUNC by 'ng 503.246.6. • 9 or 1.800 .32,2
Issued gtv\ (�C�CX Permittee Si nature: I ii
9 �._
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion o • eject. '
Approved plans are required on the job site at the time of each inspectio
Building Permit Application au 6 ,gt,D 7 - COCCI
.. ... ., . . . ,.
Residential - :• .. FOR OFFICE USE ONLY
. - City of Tigard RECEIVED Received g
DMe/Bv: or 42 /0
. Pennit No.: • u a 4 .4 4 0 app., ,
; . il 13125 SW Hall Blvd., Tigard, OR 97223
7 Plan Review
: M Phone: 503.639.4171 Fax: 50101 Date/B : Other Permit:
2 010
. x R D Inspection Line: 503.639.4175 Date Ready/By: (il See Page 2 for
rn
. Internet: www.tigard-or. go YI OF TIGARD
vri NotifiedfNlethod: VLL Supplemental Information
BUL ' tti KVIAr
' , . - -" - . - "' "' - ' • " , ,. . , TYPE OF '• uR './IN ' ' 2 ' -.. ': -' : ' ': '-:,: ''' - 'REQUIRED DATA. 'I- AN11 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 0 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY 4'.0F CONgTRIJ&
' ION '-- .': '''''::W.' work indicated on this application.
'j 1 : -.'7,;*,:- r:.:.'" ''-' ,' ": . - '..- ''''.;:.-', '
Valuation: S i , ADO
El 1- and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family
of bathrooms:
0 Master builder 0 Other: Number
. ,
:lb WbSITE INFORMATION AND 'LOCATION::.,.-,:::,;v:i;,-..:,c,..,; Total number of floors:
Job site address: 150 Ski Sut4g4 se, L A-r4E. New dwelling area: square feet
City/State/ZIP: Ttaitf-P, op._ el 12.'S Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: 50/4 114 SE LA74E. S ‘...) el. Covered porch area: square feet
Cross street/directions to job site: l•-■
• ----131 "INC SuNg4Ce LA /1O-TI t Deck area: square feet
t
c Buu.. MTN . 2.o)(\ Other structure area: square feet
REQUIREplyATA:fcommiEIRGIApGSE!GREGRosTt.:±
Subdivision: SOrig* SE: "AWE Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
fax map/parcel no.ra. 1000 02.S oiNN oE equipment, materials, labor, overhead, and the profit for the
'''%-',--•: 4.As io,:ei: -.- , -;,-'''':-17.'t,R..-=:',- t-'''';:f',;..-.1
;,;(pFscRirpoN W ORK , 7.,.,:;,:: work indicated on this application.
Valuation: S
DEMCL.1511- e)( 1ST 14 6■ 141:roWE S A740 NW( 04r tS1/411 LAN if•J bc r q tA
- rvf g.
Existing building area: square feet
k Ti.40.11,.g, eker-c4sE..
New building area: square feet
fliciiitrii.';i4Niit' ' ,..- ii. 1 .'ir':'- - ;i 4 ;:i''',- ., ' al TENANT -- -; Number of stories:
'----''''' ' -..6....' . v, ',...4.'" , ,i... -•-_,-,
Name: 11 LL.L Type of construction:
Address: 2. ( c b'A pp... Occupancy groups:
City/State/ZIP: Ne•S'r 1.-.1,04 01 C110645 Existing:
Phone: ( SOS ) 661 - 1 0 401. Fax: ( ) New:
[21:,YA rv t.,y,',-;,..S.:- • . - ' : - -: ''‘'..;1_:'c ; :' ,. i.4 ; •i. 112 ., ;( ? 6 ,.:O.,....Nt...",til* 11 .: . O.,,N;",-- ,..'.'-..%;-,'''''--.:''';.: 1 ' 1 •':' ,- ,' , 'Niifici.'''.,::', : ;;' , : .,, ,, , : ' : ' . '1 1 :: -. = , ' , .;`,'. -: ' , ',":'..,4 , 1
Business name: j-r SAA n-H- Co . All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: JOON) 1,Jy(A-1,1c,
under ORS 701 and may be required to be licensed in the
Address: 2,6,14 c t AL.G.)..)e. f jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following rcasons
City/State/ZIP: ( G olz- 1 lobe apply:
Phone: (0) VA .1555 Fax: : (6 ) 657- 3615
E-mail: j w e.... 3rsAirrif coon
b31:iit,RAcroR vzta;o156:7;6::,--,
„ ...; , ,,c ; - , a7, ' "0. '....'• ' ''', • W. ' : ,,, . . •?...} X';11■: .1. '. ,c iAt A
Business name: ,:BIJI
Address ,...., .. :..' :J.. , IPledse Weriolee sehedtilef
: F. k? Fix )
Structural plan review fee (or deposit):
City/State/ZIP: c,u% og. 91010
FLS plan review fee (if applicable):
Phone: (9V. ) tig._ cAto Fax: ( ) 6 g
CCB lic Total fees due upon application:
.: 501
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: Jo* Wy LAND Date: 3it k 1 zo 0 * Fee methodology set by Tri-County Budding Industry
Service Board.
I:\Building\Permits\BUP-RES PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling HORN. OFF US `
E OVI \-
... City of Tigard Received - Permit No.:
I N • 1 3125 SW Hall Blvd., Tigard, OR 97223 Date . y:
Phone: 503.639.4171 Fax: 503.598.1960 A ssociated permits:
1 .
- 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing .. ❑ Mechanical
-I ,IC •.
- Internet: www.tigard-or.gov ❑ Other
^1-IE=FOLLOWINC ITEV1S. RE;REQL112ED,`FO RFUIEAV ;
' tip N /
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 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.
I 1 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
sui 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 cros se c t ion 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. 0 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 as • licable to the sro'ect under review.
_:IURISDIC. Z ION A PS ICS T ,
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 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. " • 00 • ❑ ❑
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 -4613 T(1 I /OJCOM/WEB)
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