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Permit (11)
IN CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00213 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2016 Parcel: 1S135CD09000 Jurisdiction: Tigard Site address: 11455 SW GREENBURG RD Project: European Classic Homes Subdivision: 1994-102 PARTITION PLAT Lot: 1 Project Description: Demo 848 sf house on sewer service. Contractor: SCANDINAVIAN GENERAL CONTRACTING Owner: EUROPEAN CLASSIC HOMES LLC 7608 SW PINE ST 7608 SW PINE ST TIGARD, OR 97223 PORTLAND, OR 97223 PHONE: 503-452-9457 PHONE: 503-515-9464 FAX: 503-452-9457 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/14/2016 $149.75 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/14/2016 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 07/14/2016 $80.70 Bedrooms: 0 Bathrooms: 0 Value: $5,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $230.95 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: 1 Ersn Cntrl 503-639-4175 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 wit 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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 32.1987 or : 0.332.2344. Issued By: _ ..' , ' --rmittee Signature: A ...1...i. _ _ . Ca .*9.4175 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 Applica�tjon ,� LS (e / , Residential " 1. y FOR OFFICE USE ONLY - Cityof Tigard Received �j ' , / 5 g �t � ') ;^(� Date/By: 0 L'� Permit No.: l a,G o r�13 w 13125 SW Hall Blvd.,Tigard,OR 99223 4^` ' Plan Review Phone: 503.718.2439 Fax: 503 598.1960 Date/By: Other Permit: T1GARD Inspection Line: 503.639.417 ! Date Ready/By: Juris. H See Page 2 for Internet: www.tigard-or.gov.e Notified/Method: f i �t%O Supplemental Information iariTt%OF WORK ..,*A&,;-- y RE TIII D IIi.A 'A, I ANL'l,�'-FA14 D'WELL11'N , ❑New construction flif 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`O CONSTRUCTION work indicated on this application. Valuation: $ (c 0 0, s— '� 1-and 2-family dwelling ❑Commercial/industrial '` ❑Accessory building El Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: g.4.Y% B SITE INFORMATION A`l 't OCATION Total number of floors: Job site address: /1 LfSS ,c 6,,3 a e_iii i4 uR� ., ( New dwelling area: square feet City/State/ZIP: -rt 54 y4.4 p Ie? 9722-3 \ Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: S l) 8 ,l4 Deck area: square feet Other structure area: square feet REQU tED IIATA COM ER yC -US$ CKUsT Subdivision: Lot no.: Permit fees*are based on the value of the work performed. lsf 3S co ?t"Z C7 Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the I) SCRIPTION OF WOR , , work indicated on this application. t i/K0 g Cf g sq,. , h ovi•t Valuation: $ Existing building area: square feet 0--1,. .12-{.),)(./) New building area: square feet PROPERTY OWNER j, CI TENANT Number of stories: Name: r,IA ve�,� ii C(a. C/C. 1I o s LLC Type of construction: Address: '7(,02' c(..-1/4) Pivia Si - Occupancy groups: City/State/ZIP: 7'o f1-14 t.,d Oi( 971-23 Existing: Phone:('Q'3 ) Cf c C'1 Li 6y- Fax:(Se j) 49 2'94.,/c 7 New: StsAPPLICANIT ' I. CONTACT PERSON ,' , ;"'' BUILDPERIVLIT FEW ' /I iu-c. ( W/y:.rs, ' (P refill'to f e4ehed#t) Business name: SCe, i�E/(vim I)tit h bet it VR( 1 Contact name: 0 U.t Pe. lrse.h , Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: "760 8 cc ) ei KA. S f Total fees due upon application: City/State/ZIP: pc,,,f(A.p.44 dg (372z-3 _ Phone:(C "-S) S-(f-c)g6c4, Fax: :( ) Amount received: PHO•"OVOLTAC$OLAR PANEESYS 4I FEES?,%':' E-mail: L©p g3js? czoi.CO6'Y1 Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. Business name: SC c we d l vi yt AA C,cie 'r-p ( CCGt4f vgei/r i Submit two(2)sets of roof plan with connection details and fire departm- access,along with the 2010 Oregon Address: '7(,Ct u,) PI Kl S"it_ Solar Installation Sp ialty Code chec, . City/State/ZIP: Put f(a Kcd ote 97 -3 2 Permit Fee(inclu� s pla_. iew $180.00 and admin•-.!hive fees): Phone:(SC3) SIS- 9&( f Fax:( ) State surchar.. '%of pe fee): $21.60 CCB lie.: `7G Lf(? T. al fee due upon applicatio . $201.60 Authorized signature: �/J/ This permit application expires if a perm .'s not obtained �' within 180 days after it has been accepted as complete. i *Fee methodology set by Tri-County Building Industry P, Print name: V V t IA:7 2st� Date: (oh 4/ 14, Service Board. C\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) City of Tigard .14q COMMUNITY DEVELOPMENT DEPARTMENT 1 T I G A R D Building Permit Review — Residential Building Permit #: a0((.Q- Op a l Site Address: //4/-C— << Cji-•Q_erAbtry _,- koe__._ Project Name: ,(ra , / w, /y c LI-C Lot #: (New dw lk ling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ,�1�'yyte' tXJ 7 �S'1h /f Zni /1� (g/P_) q . 2, lld Verify site address/suite#exists and activpermit system. N/ y ver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan L�JExisting structures on site . to plan must be on 8-1/2"x 11"or 11 x 17"paper otprint of new structure(including decks)with finished IGD awn to scale(standard architect or engineer scale) floor elevations IF •rth arrow , tility locations(required for new,may apply for additions) e address,project or subdivision name and lot numberWe !i�cation of wells/septic systemsplicant information(name and phone number) isting trees to be retained with drip line,and tree [2Lot dimensions and building setback dimensions •rotection measures Plat area,building coverage area,percentage of coverage and Ide:eet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) IF treet names K1Aoperty corner elevations(2 foot contour lines if more than 4 f of differential) lean Water rvices—Service Provider Letter(lot platted prior to 9/10/1995): V/ Required: Yes,applicant was notified CI No Received: Yes ❑ No 1..1 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified CI No Applied For: CI Yes CI No,stop intake and Use Case#: Zoning: f�-/R Setbacks: Front0/0 Rear Side Street Side Garage Landscape Requirement: Lot Coverage Maximum: Building Height: Maximum Height Actual Height likVisual Clearance Easements Sensitive Lands: ❑ Yes CI No Type Urban Forestry Plan Conditions "Met"prior to issu nce of building permit otes: � �� ,1 Approved By Planning: -�_ r., Date: _.(__e7/2_014 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_060116.docx Building Permit Submittal Original Submittal Date: 0-r///6 Site Plans: # Building Plans: # /{- Building Permit#: Enter building permit#above. Workflow Routing: 2"-"Planning ,..2-Engineering Permit Coordinator l Building Workflow Sign-off: 12r-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 original plan review routing form. uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,r, , -.4_/ Date: • „ ngineering Review Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes El No Assess Water Quantity Fee in lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4 „......D Date: Z.--39 —(i 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: • 7 C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes !, N/A Parks SDC: ❑ Yes N/A •K to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES 060116.docx R EW EP Clean Water Services File Number C 2 4 201 ; r, Clean�'Vate�� Services 15-004146 `LI1lYOFTL, • ' nsitive Area Pre-Screening Site Assessment y gUIILDII ,kr 1. Jurisdicti Gardat 2. Property I formation (example 1S234A801400) 3. Owner Information r a{ Tax lot ID(s}�y Name: Ove Petersen 1S135CD09200, 1S135CD09100,1S135CD09000 Company: Scandinavian General Contcacyng Address: 7608 SW Pine St. �7x ;K" Site Address: City, State,Zip: Portland OR 97223 City,State,Zip: Tigard OR 97223 Phone/Fax: 503 515 9464,503 452 9457 Nearest Cross Street: SW Esau E-Mail: lop8318@aol.com 4. Development Activity (check all that apply) 5. Applicant Information Addition to Single Family Residence(rooms. deck,garage) Name: Ove Petersen ❑ Lot Line Adjustment ❑ Minor Land Partition Company: Residential Condominium .,;j Commercial Condominium .0 Residential Subdivision Address: Commercial Subdivision Single Lot Commercial City,State,Zip: 9 ❑ Multi Lot Commercial Other Phone/Fax: 503 515 9464,503 452 9457 one duplex to be built on each lot of record E-Mail: Iop8318@aol.com 6. Will the project involve any off-site work? ❑Yes gj No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands andlor Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete.and accurate. Print/Type Name Ove Petersen Print/Type Title ONLINE SUBMITTAL Date 12/21/2015 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site,This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20. Section 3.02.1 All required permits and approvals must be obtained and completed under applicable local,State,and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local.state and federal law. CJ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR • SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by ec-' � `c.e" Date 12/22/15 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org