Permit CITY OF TIGARD BUILDING PERMIT
.14 r COMMUNITY DEVELOPMENT Permit #: BUP2012 -00099
T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/16/2012
Parcel: 25101 DB00400
Jurisdiction: Tigard
Site address: 13085 SW 76TH AVE
Project: Fields Subdivision:CONDO SUPPLEMENTAL PLAT NO.4: Lot: 22830 -2.
Project Description: Demo 3000 square foot house on septic. SDC credits available upon final incpection for future development.
Contractor: Owner: FIELDS, FRED W REVOCABLE LIVING
1149 SW DAVENPORT
PORTLAND, OR 97201
PHONE: PHONE: 503 - 205 -2308
FAX:
FEES
Specifics: Description Date Amount •
Type of Use: SF Permit Fee - Additions, Alterations, 05/16/2012 $104.12
Class of Work: DEM Demolition
Dwelling Units: 0 Erosion Control 05/16/2012 $26.00
Stories: 0 Height: 0 ft Erosion Plan Review CWS 05/16/2012 $8.45
Bedrooms: 0 Bathrooms: 0 Erosion Plan Review COT 05/16/2012 $8.45
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 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. ATTEN N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 0 throug AR 95 - 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.
Issued 02 t i Permittee Signature:
can 503.639.4175 by 7:00 a.m. for the next available inspe tion 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 A p p l i c a t i o n c v 2 (D
Residential FOR OFFICE USE ONLY
Y 2012 �� /� W / /
City of Tigard Mp Received P ertnitNo. :
`, g Date /B : / i / // /
• 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
0 Phone: 503.718.2439 Fax: 503.598 �f ®? - 111 g ®� Date /B : Other Permit:
TI G A K D Inspection Line: 503.639.4175 t �1 1V0 D b Date Ready /By: kris: Hi See Page 2 for
Internet: www.tigard- or.gov � �J��. Notified/Method: Supplemental Information
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.
® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $2,000
❑ Accessory building ❑ Multi- family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 13085 SW 76TH AVE New dwelling area: 3000 square feet
City/ State/ZIP: Tigard, OR 97223 Garage /carport area: 400 square feet
Suite/bldg. /apt. no.: I Project name: TVF &R - Training Burn Covered porch area: 200 square feet
Cross street/directions to job site: On 76 near intersection with Varns Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
. Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
• Tax map /parcel no.: 2SIOIDB 400 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
TVF &R will burn down house in training exercise for firemen Valuation: $
4000 9 l Ox— 1 I ' �- Existing building area: square feet
°� New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Fred W. Fields Revocable Living Trust Type of construction:
Address: I11 SW Fifth Avenue, Suite 3400 Occupancy groups:
City/State /ZIP: Portland, OR 97204 Existing:
Phone: (503)205 -2308 Fax: ( ) New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Miller Nash LLP (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Will Rasmussen
FLS plan review fee (if applicable):
Address: 111 SW Fifth Avenue, Suite 3400
City/State/ZIP: Portland, OR 97204 Total fees due upon application:
Phone: (503) 205 -2308 Fax:: ( )
Amount received: 4 1417 .0
E -mail: will.rasmussen @milleraash.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel Sy em.
Business name: TVF &R, Tim Weathers Submit two (2) sets of roof plan with co . - ion details
and fire department access, along e 2010 Oregon
Address: 1 1945 Southwest 70th Ave Solar Installation .ecial/v C. , checklist.
City/State/ZIP: Tigard OR 97223 Permit Fee (in . plan review $180.00
and a. i 'strative fees):
Phone: (503) 519 -7993 Fax: ( ) State surchar_ - (12% o .ermit fee): $21.60
CCB lic.: Total - due upon application: $201.60
Authorized signature: 4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: h �, �
Date: / * Fee methodology set by Tri- County Building Industry
�/!'/ 16 Z Service Board.
1:\Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 -4613T( l /02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
i q 13125 SW Hall Blvd., Tigard, OR 97223
City of Tigard Received Permit No.:
Date /By:
0 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard - or.gov ❑ Other:
I THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW I Yes I No I N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. • a •
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- ❑ ❑ 0
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.
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 0 ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, 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- ❑ ❑ ❑
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 ❑
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 ❑ 0 ❑
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 applicable to the •ro'ect under review.
JURISDICTIONAL SPECIFICS
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 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 -RESPermitApp.doc 02/ 24/2011 440- 4613T(Il /02 /COM/WEB) .
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