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Permit y p CITY OF TIGARD BUILDING PERMIT I'1 3 COMMUNITY DEVELOPMENT Permit#: BUP2015 00087 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2015 Parcel: 251118801800 Jurisdiction: Tigard Site address: 10390 SW AMANDA CT Project: Harbick Subdivision: TIGARDVILLE HEIGHTS Lot: 1 Project Description: Demo 1200 sq ft house on sewer. Detached shop to remain. Demo credits for new SF available upon approved final inspection. Contractor: PACIFIC NORTHWEST EXCAVATING LLC Owner: HARBICK,CHARLES C PO BOX 61 16057 SW 2ND ST WILSONVILLE,OR 97070 SHERWOOD, OR 97140 PHONE: 503-329-5007 PHONE: 503-522-4768 FAX: 503-651-1443 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 04/08/2015 $164.96 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 04/08/2015 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development-Eng 04/08/2015 $80.70 Bedrooms: 0 Bathrooms: 0 DC Provision Review,SF-Ping 04/08/2015 $75.00 Value: $5,800 DC Provision Review,SF-LRP 04/08/2015 $11.00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $332.16 Required: Required Items and Reports(Conditions) 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 acc. •: ce 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. • NTION: Ore!•• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-4,1-0010 through OAR 952-'• *090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is ued By: 1111 / Permittee Signature: EI 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 I Ol i>I Il( I I "I (i\1.1 City of Tigard rived. smAgrapm # Permit No.: n % ) dx g 13125 SW Hall Blvd.,Ti[ $I�DR �72n15 ��''��r`"'33 ttffgg Plan Review t3 Phone: 503.718.2439 ax: 0 .5 .1960 Date/By: Other Permit: T I G A R I) Inspection Line: 50 'OF Date Ready/By: Avis: ® See Page 2 for Internet: www.tigaf�j, , vl ^ D'V S i 0 N Notified/Method: Supplemental is pplementalInformation 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. El 1-and 2-family dwelling ❑Commercial/industrial Valuation: S ❑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: 10390 SW Amanda Ct. New dwelling area: square feet City/State/ZIP:Tigard,Or 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Charles and Peggy Harbick Covered porch area: square feet Cross street/directions to job site: 103rd Ave. Deck area: square feet Other structure area: square feet • REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Demolition of original house located on property Valuation: $5800 ef—st— g Existing building area: square feet 11:,/{4 _ 49op, / "j F r ItC firo JAiai T hN,q0ti=, New building area: square feet TTY ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Charles and Peggy Harbick Type of construction: Address: 16057 SW 2"Street Occupancy groups: City/State/ZIP:Sherwood,OR 97140 Existing: Phone:(503)522-4768 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please r Business name:Same as above efnmfee scMeitle) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fax::( ) Amount received: �j f (� n� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:P No,stb tc,K Cl/ . Li( / ti/ Commercial and residential prescriptive installation of CONTRACTOR roof-top m. I PhotoVoltaic Solar Panel System. Business name: Pacific Northwest Excavating,LLC Submit two(2)se •f roof plan with connection details and fire department ac.-ss,along with the 2010 0 ,:on Address:P.O.Box 61 Solar Installation Specia ode checklist. Permit Fee(includes p •1 -v City/State/ZIP:Wilsonville,OR 97070 and administra' $180.00 Phone:(503)329-5007 Fax:(503)651-1443 State surcharge( '. of permit fee): $21.60 CCB lic.: 161119 id,// f/( • .1 ee due upon application: $201.60 r Authorized signature: , , _ r This permit application expires if a permit is not obtained • A ICJ a ..v ,.../ within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Charles Harbick Date: Service Board. / 7 (c I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .f,5,30� - City of Tigard lig COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R[) Building Permit Review — Residential Building Permit #: E D a 90/ 5 -6o 0 87 Site Address: 103°10 StjJ Asvnancl o. CA. Project Name: \-Ao,rbk .k Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review - Proposal: demo SV home, `" gy-,_„„j, d hey) 7c •-� ile-e 0 . Verify site address/suite# exists and active in permit system. IK. River Terrace Plan District: ❑ Yes Et No Site Plan Elements: P: ree(3)copies of site plan Existing structures on site ite plan must b2 on 8-1/2"x 11"or 11 x 17"paper $Footprint of new structure(including decks)with finished $Drawn to scale(standard architect or engineer scale) floor elevations North arrow motility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number —Etocation of wells/septic systems litApplicant information(name and phone number) W4Erosion control(including drainage-way protection,silt fence `, Lot dimensions and building setback dimensions design,location of catch basin,etc.) f,ot area,building coverage area,percentage of coverage and lgStreet names impervious area(applicable if R-7,R-12,R-25&R-40) 'Street tree size,type and location )gtProperty corner elevations(2 foot contour lines if more than - Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Er Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified , No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified 'No Applied For: ❑ Yes ❑ No,stop intake -Band Use Case#: -6 Zoning: R- S ,S $-Setbacks: Front Rear Side Street Side Garage 'Landscape Requirement: €1-Lot Coverage Maximum: -El-Building Height: Maximum Height Actual Height $Visual Clearance $Easements Sensitive Lands: -a Yes CI No Type S69 e S 7 2..S�lb owls i d e {o t e&.- Urban Forestry Plan -g-Conditions "Met"prior to issuance of building permit Notes: / Approved By Planning: j$ A.—A r 0/ CJ A Date: 3 31 15 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_031015.docx Building Permit Submittal Original Submittal Date: c4' 7/� Site Plans: # 3 Building Plans: #��— Building Permit#: [ ranter building permit#above. Workflow Routing: Manning D--Engineering B"Permit Coordinator $Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and � o ginal plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: t 1 Date: ?/S— Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ` ) ❑ Easements (encroachments) per engineering conditions of approval and pla N . ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: i/■ 1. /3. e7:...... Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved _ Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit Approved by Permit Coordinator: / i.s// Date: /1 I:\Building\Fonns\BldgPermitRvw_RES_031015.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10390 SW AMANDA CT, TIGARD, OR, 97224 Residential - Building 299 Final inspection FAIL BUP2015-00087 David Young Sewer to be capped within 5' of property line. 722.0 Provide approved ﬁnal erosion control prior to BUP ﬁnal inspection. Violation Summary: Inspector Contractor