Permit IN y CITY OF TIGARD SITE WORK PERMIT
y
e COMMUNITY DEVELOPMENT Permit #: SIT2012 -00022
T IGARD', 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2012
Parcel: 2S109A614800
Jurisdiction: Tigard
Site address: 13367 SW OUZEL LN
Project: Alpine View, Lot 29 Subdivision: ALPINE VIEW Lot: 29
Project Description: Retaining wall - extension of retaining wall permitted under SIT2012- 00011.
Contractor: D R HORTON INC PORTLAND Owner: DR HORTON INC - PORTLAND
4380 SW MACADAM AVE SUITE 100 ATTN MELISSA TRUNNELL
PORTLAND, OR 97239 4380 SW MACADAM STE 100
PORTLAND, OR 97239
PHONE: 503 - 222 -4151 PHONE: 503 - 222 -4151
FAX: 503 - 222 -1304
FEES
Description Date Amount
Specifics: Permit Fee - Site Work 12/03/2012 $102.20
Plan Review 11/20/2012 $66.43
Type of Use: SF 12% State Surcharge - Building 12/03/2012 $12.26
Class of Work: OTR Info Process /Archiving - Sm $0.50 (up to 12/03/2012 $8.50
11x17)
Project Valuation: $3,000.00
Site Specifics:
Excavation Volume: cu. yd.
Fill Volume: cu. yd.
Impervious Surface: sq. ft.
Engineered Fill: Soil Report Required:
Paving: Grading:
Landscaping: Site Prep: .
Storn Drains: Retaining Wall: Yes .
Fire Underground: Accessible Parking:
•
Fence:
Total $189.39
Required Items and Reports (Conditions) •
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 i ' suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Not ation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 -I! . + - You may obtain a copy of the rules
or direct 4uestions to OUNC by = ing • r .. '32.1987 or 1.800.332.2344. ■,_
L
Issued By: / 4 Permittee Si atur ,q
Call 503.639.4175 by 7:00 a.m. for the next available inspection 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 RECEIVED D FOR OFFICE USE ONLY
�� Received / ^�
111111 • City of Tigard Iv V t1 0 2012 Date /By: ///o20 /oZ, Permit No.S' //' ' e --000A. 13125 SW Hall Blvd., Tigard, OR 97223 2 Plan Revie - `
Phone: 503.718.2439 Fax: 503.598.19 Date /B : . AIk V I Zit Other Permit:
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready Juris: ® See Page 2 for
Internet: www.tigard- or.gov g[JILDING DIVISION Notified/Method: t// / ( 7 776-- 776-- Supplemental Information
TYPE OF WORK 4 QUIRED 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: $
❑ 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: /3 . 3(07 t9GC r.-- New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ALPINE VIEW Covered porch area: square feet
Cross street/directions to job site: SW ALPINE VIEW AND ALPINE CREST WAY Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: ALPINE VIEW I Lot no.: 01 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
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
NEW SINGLE FAMILY RESIDENCE Valuation: $
P er/41A/1/44 / Existing building area: square feet
lNo i f �Q vl/ � New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: D.R. HORTON INC. - PORTLAND Type of construction:
Address: 4380 SW MACADAM AVE, SUITE 100 Occupancy groups:
City/State /ZIP: PORTLAND, OR 97239 Existing:
Phone: (503)222 -4151 Fax: (503)222 -1304 New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: D.R. HORTON INC. - PORTLAND
Structural plan review fee (or deposit):
Contact name: GARY CULP
FLS plan review fee (if applicable):
Address: SAME
City/State /ZIP: Total fees due upon application:
Phone: ( ) Fax:: ( )
Amount received: 6 , '/3
E - mail: gaculp @drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: D.R. HORTON INC. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: SAME Solar Installation Specialty Code checklist.
City/State /ZIP: Permit Fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: 130859 /
Total fee due upon application: $201.60
Authorized signature: 04/ A This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: GARY CULP Date: Un/a....--- * Fee methodology set by Tri County Building Industry
Service Board.
1:\ Building \Pennits \BUP- RESPennitApp.doc 02/24/2011 440- 4613T(1 I /02 /COM /W EB)
11 q, Building Division
Development Code Provision Review
T Uc A ►i ° . Residential Projects
Building. Permit No.: S/% — osaU
Site Address:'' /33 60 7 S aJ d £ 2 _ Ads /
Project Name & Lot No.: /9-LA
CWS Service Provider Letter
Required: Yes ❑ No
Received: Yes ❑ No ❑
Routed Plans:
Original Plan Submittal Date: / / /ZV //Z
1st Revision Submittal Date: ❑ Site Plan Only
2 °d Revision Submittal Date: ❑ Site Plan Only
•
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (/) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if appr ved.
Planning Review (contact ' ' ' at 503 -718- LA157 or @tigard-or.gov)
Land Use Case No. _ .
Zoning
❑ Setbacks:
Front Rear Side Street Side Garage
❑ Maximum Building Height: Actual Building Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands Type:
❑ Street Trees
❑ Protected Trees
4
Notes: ,r.�, *(f ) i ll
�7 4A4-age, -- Ao / GC ( „aao1
Original Plan: Approved .12Y Not Approved ❑ Date: (( L / (
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
Notes:
Original Plan: Approved Not Approved ❑ Date: t (/ /(Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Appli nt
Okay to Issue Permit: Yes o ❑
Date Routed to Building: ff >6 ` 6
Page 2 of 2
l ALPINE VIEW RECEIVED
LOT 29 LANDSCAPE
CITY OF TIGARD, OR
, NOV 20 2012
DISCLAIMER: CITY/JURISDICTION HAS AUTHORITY CITY OF TIGARD
TO CHANGE SITE PLAN IF NEEDED. BUILDING DIVISION
EROSION CONTROL FRONT LANDSCAPE
HAY AND SILT FENCE IF NEEDED
1? i
UI 0 \? 01 1 LOT COVERAGE
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(S) cp I LOT AREA = 4634 SF
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. . „ H , BLDG FOOTPRINT = 1391 SF
0 oD i COVERAGE = 30%
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C ADDRESS: 13367 SW OUZEL LW
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DATE : 10/19/12 i-)u,' 0
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