Permit CITY OF TIGARD SITE WORK PERMIT
.. a COMMUNITY DEVELOPMENT Permit #: SIT2013 -00009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/13/2013
Parcel: 25101 CA00400
Jurisdiction: TIGARD
Site address: 7940 SW HUNZIKER ST
Project: Hunziker Building Subdivision: 2007 -064 PARTITION PLAT Lot: 1
Project Description: Site work for 19,929 sgtt addition
Contractor: RUSSELL CONSTRUCTION INC Owner: MERITAGE FIVE LLC
20915 SW 105TH AVE 7940 SW HUNZIKER RD
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 692 -9002 PHONE:
FAX: 503 - 692 -9008
FEES
Description Date Amount
Specifics: Permit Fee - Site Work 06/13/2013 $809.42
12% State Surcharge - Building 06/13/2013 $97.13
Type of Use: COM Plan Review 04 /18/2013 $526.12
Class of Work: ADD Erosion Control w /Permit - Ping 06/13/2013 $150.00
Plan Review - Fire Life Safety 06/13/2013 $323.77
Project Valuation: $100,000.00
Site Specifics:
Excavation Volume: cu. yd.
Fill Volume: cu. yd.
Impervious Surface: 174240 sq. ft.
Engineered Fill: No Soil Report Required: No
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Yes Retaining Wall:
Fire Underground: Yes Accessible Parking:
Fence:
Total $1,906.44
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 if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Not • - . = uter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
ordirec .uestions to O by ing 503.232.1987 or 1.800.332.2344.
Issued ;y: Permittee Signature: I�•✓ `�
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 RECEIV ED
Site Work FOR OFFICE USE ONLY
Other Permit:
CI of Tigard APR 18 2013 Received r ��yy/
`J g Date/13y: 41(0 3 Permit No.: T�I 3`(��(/+/
IN /
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �.,.
;
_ .. �t (3 1'3 Sp2 2 -00oCy
Phone: 503.718.243 F ax: 503 OF TIGARD Date/B i
T I G A R D Inspection Line: g 03 .4175 BUILDING DIVISION Date Re e1 .a //__/� Juris: RI See Page 2 for
Internet: www.li ard - or. ov Notified of b 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
l grAddition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling Commercial /industrial Valuation: S
7
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder CI Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
"��i a � 1kut1 *syLm� StR.�Erct'
City /State /ZIP: Ti61142to ow- GV1 2.1.-12 Garage /carport area: square feet
I
Suite/bldg. /apt. no.: Project name: ,G14 k auag. 6, 1',,,�"i -� A, 122 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
t 1tre.¢.4,e -M' O c4 or SW 1.1-u a I leis!. t S %Al Other structure area:. square feet
Id / AA $ *1•CL>GE.r REQUIRED DATA: COMMERCIAL. USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed. rJ
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.:
2 CA 00400 2410 % CA 00100 equipment, materials, labor, overhead, and the profit for the lc
DESCRIPTION O WORK work indicated on this application.
co Mamie.µ A Nra,.1 19gz9 4F AEI- 11.24 A(.2,441 Valuation: S Io / 00 0 _
• 44 El7 o f la£ P i t 1t1 d1�1 , Existing building area: VA 4$ s feet
_ 1` n
Anil.. SrPQ AG Wy mv49 . Syr*. 1 My�vGMEzTS New building area: • 99'x.9 square feet (oa f
❑ PROPERTY OWN R TENANT Number of stories:
Name: G1-1.11►$. AAseirtiLe4 1 tGaL. Type of construction: 1 (v..15 4 4 -a (. d)
Address: i a 40 5%4 1.6,444 Z( jr Occupancy groups:
City /State /ZIP: T14A�.9 O R. ai ail 7.4.-3 Existing: F. 2 e. 111 -
Phone: ( ) � ) �
�3 OA11 1100 Fax: ( 9)3 �(. rim New: S _Z, . ' I Qe_ V - e,
❑ APPLICANT CONTACT PERSON
NOTICE
Business name: 4.4 EAz, ^ - �f yC,.st c.c ,.1 1Z.I4greu,4 1 h . / 4.... All contractors and subcontractors are required to be
Contact name: , J Ea .l 3. ... �"_— M ? licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Ici tt: 5E. 5i�OtL4"m, yr . u 4 too jurisdiction in which work is being performed. If the
77 applicant is exempt from licensing, the following reasons
. City /State /ZIP: 170 44 d 1 0 R" O11 20 Z apply:
Phone: (cjp3) 2 113 1 I Fax:: (co) vz.i . 111
E -mail: St y e. € 1.1", p r. co AA
CONTRACTOR
Business name: . , I, // BUILDING PERMIT FEES*
Address:
(Please refer to fee schedule)
City/State/ZIP: Structural plan review fce (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.:
Total fees due upon application:
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: erne J e� S Date: 4I 151 2o15, • Fee methodology set by Tri- County Building Industry
` — Service Board.
1:\ Building \ Permits \SIT- PermitApp.doc 10 /01/09 440- 4613T(11/02 /COM/WEB)
III a ° Building Division
Development Code Provision Review
T f G A R
i - Commercial Projects with Approved Land Use
i
Building Permit No.: )i-)1.3 -- W O & ' • /Tc / 3 -. 0000 9
Land Use Casefile No.: S p (L A) i 3 " c000
-----------)
Routed Plans: Sf
Submittal Date: ` a-'s II 3
Submittal Date: °S Mb '•
Submittal Date:
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 only mark those items on the left side that are approved.
Planning Review (contact 14 1 at 503-718-8
or AZ(____@tigard- or.gov)
UKL�nd Use Approval loll'+ ti
B'Bpilding Plans Match Approved Plan: Yes( No ❑
aximum Building Height 4
nditions Met
I Street Trees
❑ Protected Trees NJ /
Notes: /1/0 c 014 l XZ7 5 a it e-/
pc) Gy 4v - 4 .-s To La- N► -'rN6 c-b-z .Srn .
Original Plan: Approved ❑ Not Approved IV Date: t l' A LI — /3
Revision 1: Approved a Not Approved ❑ Date: S i i I
Revision 2: Approved ►i Not Approved ❑ Date: . EY
(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:
$ PFI Permit #
❑ Conditions Met
Notes: lF 1 FA" ri _ S %)-L . /
s wA-�' - z •v S S / 4, / 13 fax_
Original Plan: Approved ❑ • Not Approved Date: 4 id Revision 1: Approved ❑ Not Approved ' Date: S 3
Revision 2: Approved Not Approved ❑ Date: 6 / 1 21/5
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Pe t
Notes: j24.4.1. a_ a t 5 ct ,ri`
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Ye == No 117,411 13 f 5/7 03
Date Routed to Building.
6 /0 /7 3/1/V
•
Page 2 of 2
FOR OFFICE USE ONLY — SITE ADDRESS:
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 a . Transmittal Letter
ette r
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 •503.718.2439 • www.tigard- or.gov
TO: ` DATE ED: DEPT: CL
LDING DIVISION EIVED
MAY 1 3 2013
FROM:
(
��- .� Ca.�-r C ITY OF TIGARD •
COMPANY: C BUILDING DIVISION
•
PHONE: 6:6121
RE: 7? /O & /Q1- 11a,42__/ ,4- 6,t_1" 90 13 -00 gc/ct
(Site Address) r� UMW umg r
L -4- 1 .--41 �o�.+ � �r�.� ' IA. %�i gzeT;:a — 0v00
(Project a or subdivision name an' ,t 'limier
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: ( ,,p er er .�dC J ( ° .
D
FOR OIFFICV USE ONLY
Routed to Permit Techn�i '• Date: 6 (� I Initials: )
Fees Due: ❑ Yes No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11,1 a Transmittal Letter
T I G A R D 13W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
DATE t i ► t VI i�E�
DEPT: :UILDING DIVISION
JUL 01 2013
FROM: c �.c ,-10.0.,4,3
CITY DINGDGARD
BUILDING DIVISION
COMPANY: 1-1'I--17R,
PHONE: co3 . 2-2-i , t 1 a, I B
RE: 790) kl '�—•�r_�7Tt�iI
•
(Site Address) 'emit l um er
f3 k4 � L�/, 51-r-;,a/3- oac+U
(Project name or subdivision name an lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 7j 24. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 0-SAIL Vcv, f-t rz.E_ e - t 'p rz.4,s-- (4- 2 .0)
• FORFI�E USE ONLY _
Routed to Permit Technici ' Date: 7 2 ( Initials: O'
. Fees Due: ❑ Yes LvJ 1 o Fee Description: Amount t ue:
' �' `. /.1_ - I �,/ 1 $ ,-
.L• _� a ,.A • a ul cif ,.k $
' act-, J k.�, $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes 'o ❑ Done
A
A. •licant Notified: Date: Q , ,�, _ w Initials:Co
.1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I G 1 R D) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ,9_,y.� DATE ' k•.
DEPT: BUILDING DI SION
-%'. , 12 2013
FROM: a • ' CITY • ' GARD
' BUI .'r NGDIVISION
COMPANY:
PHONE: 50 3- 2 / - // 3/ By:
RE: 79 '-/O 5b..J .. . V ._ , i It �=
►te • •'ress e— 'ermit 1um'er
- (-T--. 61 / S Q000
1
•
roject n.Z or su'I'vision name ti of num.er
ATTACHED ARE THE FOLLOW G ITEMS:
Copies: I Description: I Copi• Description:
Additional set(s) of pl. 's. Revisions:
Cross section(s) and . tails. IF Wall bracing and/or lateral analysis.
Floor/roof framing. ./ Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): / 4) -t G
REMARKS: . •: — iv ono
Q •
FOR QFFIcE USE ONLY
Routed to Permit Technician: Date: E f l� I 1 _ Initials:
Fees Due: ❑ Yes 1 I N I ,_ Fee Description: Amount ue:
$
$
$
$
Special
Instructions:
Re.rint Permit .er PE : ❑ Yes /= No ❑ Done
A. .licant Notified: Date: fiim z:�1 a Initials:
/064 Yo-to c.q 60,0714,„ --(�,.c.-$-- l i L , �;( �-� o -ec.e 7 y004 -u-1
I:\Building\Forms\Tr smittalLetter-Revisions.doc 05/2573012 �!J �Li 1 Ur..-�
' U �C� J