Permit •
lir ���� � ������ BUILDING PERMIT
'
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00053
Date Issued: 03/30/2010
T f GhRL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S105DD00500
Jurisdiction: Tigard
Site address: 15175 SW SUNRISE LN
Subdivision: Lot: 0
Project: Sunrise Lane
Project Description: Demo 4,448 sq ft house. 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 $104.12
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: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $147.02
Required: Required Items and Reports (Conditions)
1 BUP Ersn Cntrl 681 -4444
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. ATTENTION1Dregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -00 through 0 - 952- 001 -01 • I. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.66•: • :00. ;.2344.
Issued B : Permittee Signature:
Call 50 .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 completio jfihe projec
Approved plans are required on the job site at the time of each ins,. 4.
Building Permit Application a , 00 7- D
Residential FOR OFFICE USE: ONLY
City of 'Tigard Received ®M�_1� Permit No.: `` '
RECEIVED DateB u P . o/ r, •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I • Phone: 503.639.4171 Fax: 503.598.1960 Date /Bv: Other Permit:
• I' I . i1 IL I� Inspection Line: 503.639.4175 A Date Ready/By t ® See Page 2 for
MAR 2 O Notified/Method: -/ / Internet: www.tigard-or.gov 1 � � j � Supplemental Information
I�UI�, I'Pl, t Otkidll 4
+ - -. TYPE OF WOR '� � �' RE D ATA 1 A 2- FAMILY�D • �1
to DIVISION.
Pe rmit fe es* are based on the value of the work performed.
❑ New construction %Demolition P
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
a w � ., + + work indicated on this application. • ' d. . C " i OF CONSTRUCTION . t a FA ; ; r rjf -,
El 1- and 2- family dwelling Valuation: S Z. t OOP
❑ Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE': INFORMATION- ANDr LOCATION ,, Total number of floors:
Job site address: 16115 514 SutaelSG LA. New dwelling area: square feet
City /State /ZIP: 116,Aep oR. 4 :1 - 1 22. Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: SJNRtse: LthNE $ ) p • Covered porch area: square feet
Cross street/directions to job site: (50 MNO S u.. j e LINE t Aott -1-1♦ Deck area: square feet
c g /VM Other structure area: square feet
NREQUIRED DATA'COMMERCIAL =USE CHECKLIST:`/;
Subdivision: St 4 S LANE 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.: 7L 6co 02S 01vsi O5 equipment, materials, labor, overhead, and the profit for the
' ms s, t " ma x' s 3DESCRIPTION�OF `WORK ' {' T �' , ` '-:::,,:,'1 work indicated on this application.
a...�,, ,_ ., F't .. ,, rt . ,, . . s ._s ,
Valuation: : S
DEMCVS EXtSTiati }LprttiGS A740 No-{ 04r g.11 Lti/JkS V to
TVP L Tp�^E4{NlW(n I E% -CiSE. Existing building area: square feet
New building area: square feet
f ', ® +PROPERT h - t > 4 � t ;,.:.,,,,,I.,‘"7:0--,,,6`;'4.4-
s 'n ; ,E ® TENANT: /1 ' ' t Number of stories:
Name: 4 -- ii LLC. Type of construction:
Address: 2, ( cowl_ DAtt el DR. Occupancy groups:
City /State /ZIP: WEST LIN)J oft g1068 Existing:
Phone: ( C PS ) 661 -14QZ Fax: ( ) New:
r 't1 i ' ;®. APPLICANT �t ∎ ' " 't 4�� ! ®aCONTA SPERSON ` ` iO .l'" 4 j nt { r
- , . , '',!-:,•_.::: . , - ,.... ,., ,. ,- . %.„,.,';:',:t.':•.•:, . ,, ,r,NOTICE , A .. r .tom', C ;y'
Business name: iT' St rrH- Co . All contractors and subcontractors are required to be
Contact name: i(:)01.3 ifl licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Z6`t4 ( 3p. Dv e- he_ , jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
4.les - L 1,4N OR °11 apply:
Phone: (565) ?,0°l .1655 Fax: : (603) 657 362$
E -mail: J W■1.4h40 f✓ s3rsam iflff,o. CDM
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( ++ a z 1 .... t - ,aCONT . ' ..: t th V * s us ..:Aif- �� t� C,
....., .. :1y {„ ' ,.f ;, ',.=e,.."- '^`C ..,.o :. . . � . ..�. , , >... .i, N ,i;'r�,.,, sue.,,- ,, C :
Business name: 5wp C L.ofie eXLfW rJh a ." BUILDING PERIi11TfFEES* ; e r 4V'd
Address: � WI - "- ,(pleasereferiofeesehedule) , . °,':� i'
Structural plan review fee (or deposit):
City /State /ZIP:
c.J) r- .t_suw W O. 'l ?Oio
l
FLS plan review fee (if applicable):
Phone: (( ) ($32,_04-1 Fax: ( )
CCB lie.: 6-0V:7 Total fees due upon application: 5'/g7.
Af. 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: L\ , L ip Date: 31► f, 1 2010 * Fee methodology set by Tri- County Building Industry
�"� Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(1 I /02 /COM /WEB)
Building Permit Application Checklist
One- and Two- Family Dwelling
•
- s fOR`Of PICF USl O�1 Y -_G,
* '?
City of Tigard Received
Date /By: Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
C F ,, Phone: 503.639.4171 Fax: 503.598.1960
I ICn
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
-= Internet: www.tigard-or.gov ❑ Other:
TH E :FOL LOW ING REQU1RED'FOR °['LAN;IZE
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 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 • :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 cornea 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 con 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 ❑ ❑ ❑
r 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 applicable to the .ro•ect under review.
JUR
p[U [ IONAL SPEC[I ICS x
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. 0. ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Developmen Fees do 'Er ❑ ❑
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 (ifapplicable):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.
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1 : \ Building 'Pcrmits\BUP- RES- PcrmitApp.doc 03/21/06 440- 4613T(1I /O2/COM/WEB)