Permit (43) CITY OF TIGARD BUILDING PERMIT
'' COMMUNITY DEVELOPMENT Permit#: BUP2016-00249
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016
Parcel: 1S136AA00400
Jurisdiction: Tigard
Site address: 6909 SW OAK ST
Project: Oak Street Estates No.2 Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project Description: Demolition of 1,064 sq.ft.house,631 sq.ft.garage,and 256 sq.ft.shed.DEMO CREDITS FOR SDC FEES WILL
APPLY UPON FINAL INSPECTION.
Contractor: LANDIS&LANDIS CONSTRUCTION LLC Owner: MCGUIRE, SUSAN 0
PO BOX 50 6909 SW OAK ST
MARYLHURST, OR 97036 TIGARD, OR 97223
PHONE: 503-320-9443 PHONE:
FAX: 503-213-5964
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 08/17/2016 $347.48
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Development 08/17/2016 $80.70
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 08/17/2016 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $18,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $428.68
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 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 Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop • . . • direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: --rmitteeSignature: Th, Vi ,
/ . .�I r" _ .�.-mss_ _
/ • 39.4175 by 7:00 a.m.for the next availa. . _.2-i0TIrktel
This permit card shall be kept in a conspicuous place on the job site until com. ion of the project.
Approved plans are required on the job site at the time of each inspe tion.
.111111111111,
Building Permit Application .
Residential M
r ro` "a I ,� w��h{N2�OPII(`I C'ti[.011.1
' Cityof Tigard � " ` " Receivedt ,` ►'' 71, i a A- '
. 13125g '; Date/13 : Permit No.:
SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1460 l 1� Other Permit: _ _ --r/"a I I
A
RR DatelB :
r i,;A k D Inspection Line: 503.639.4175 ` l 1- s lJ' Date Ready/By: RI See age for
Internet: www.tigard-or.gov ��11 , atifted/Method: ,�j-. Supplemental Information
i i i,� 44,',
TYPE OF.WOR[ t - 4 1 iO REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ®D � Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑1-and 2-fami!Y dwellin Valuation: $18,000
g ❑Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ®Other:Demolition Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:6909 SW Oak St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Oak Street No.2 Covered porch area: square feet
Cross street/directions to job site:SW Locust St.and SW 69th 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.
Tax map/parcel no.:IS 136AC,Lot 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.
Demolition of existing house,detached garage,and shed. Valuation: $
j ol )-Cir' Existing building area: square feet
New building area: square feet
i7-4 PROPERTY OWNER 0 TENANT Number of stories:
w Name:Biggi Construction,LLC
Type of construction:
Address:11605 SW Normandy Ln Occupancy groups:
Lis ity/State/ZIP:Wilsonville,OR 97070 Existing:
Phone:(503)682-7292 Fax:(503)625-3510 New:
❑ APPLICANT ® CONTACT PERSON *
BUILDING PERMIT FEES
Business name:AKS Engineering and Foresty,LLC (Please refer to fie schedule)
Structural plan review fee(or deposit): $225.87
Contact name:Paul Sellke;Shawn Markman
Address:12965 SW Herman Rd
ct) FLS plan review fee(if applicable):
City/State/ZIP:Tualatin,OR 97062
Total fees due upon application:
Phone:(503)563-6151 Fax::(503)563-6152
Amount received:
I E-mail:pauls@aks-eng.com;markmans@aks-eng.com PHOTOVOLTAIC SOLAR PANEL SYSTEM EES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: / ,c/ 's.. i I/S, /;,s C-2._C_
Submit two(2)sets of roof plan with connection details
C // and fire department access,along with the 2010 Oregon
Address: /?e f)., S-e) Solar Installation Specialty Code checklist.
City/State/ZIP: /,jkC--)ie Cj- ' / Permit Fee(includes plan review
✓�-j G t0 and administrative fees):
Phone:(57.3) )[7 ._ei 4.1 Fax:( }
3 State surcharge(12%of permit fee):
CCB lic.:
Total fee due upon application:
Authorized signature: y" a This permit application expires if a permit is not obtained
j '`"""''� within 180 days after it has been accepted as complete.
Print name: * f Date: *Fee methodology set by Tri-County Building Industry
i 4 G: 4:&..- kJ L1\51 �1 i�f G� Service Board.
I:\Building\Permits\BUP-RESPermitAppoc 02/24/2011 440-46131(1 1/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
ill I
T I G A R D Building Permit Review — Residential
Building Permit #: o Civ--- 00,21
Site Address: 6 9o9 ----a,0 C ��„eg-
Project Name: c 2 d les ,4JJ, Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: __ G2 ®,11 e2.P -'X> 75 k,-e, ,f9e,„9,62jt a. ia,C sAec
TA Verify site address/suite# exists and actio in permit system.
1 11 °''ver Terrace Neighborhood: Vti No ❑ Yes,See River Terrace Review Addendum Attached
S'te Plan Elements:
III I'd ree(3)copies of site plan xisting structures on site
fl• •' e plan must be on 8-1/2"x 11"or 11 x 17"paper otprint of new structure(including decks)with finished
yawn to scale(standard architect or engineer scale) oor elevationsrth arrow Utility locations(required for new,may apply for additions)
5tte address,project or subdivision name and lot number °,cation of wells/septic systems
CApplicant information(name and phone number) 1A Existing trees to be retained with drip line,and tree
In Lot dimensions and building setback dimensions protection measures
0 Lot area,building coverage area,percentage of coverage and et tree size,type and location
" impervious area(applicable if R-7,R-12,R-25&R-40) Street names
❑Property corner elevations(2 foot contour lines if more than
4 foot differential)
❑ Clean Water S ces-Service Provider Letter (lot platted prior to 9/10/1995):
quired: V Yes,applicant was notified ❑ No Received: j
Public Facilitie mprovement(PFI)Permit: �Jl�`��' /'
�jJ
equired: Yes,applicant was notified ❑ No Applied For: yes ❑ No,stop intake
rfilik
and Use Case#: �( �/� —����
ICJ Zoning: P- 1/,5-
Setbacks: Front Rear Side Street Side Garage
Landscape Requirement:
Lot Coverage Maximum:
Building Height: Maximum Height Actual Height
Visual Clearance
/Easements
ensitive Lands: Yes ❑ No Type Lao- 14.7/j /7h„.4/Re
Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: Imo' ,fi<...
: Date: e3//s-h4„,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_0601 I 6.docx
Building Permit Submittal
Original Submittal Date: aIrr/i/
Site Plans: # `
Building Plans: # Al„a
Building Permit#: nter building ppermitt## ove.
Workflow Routing: [� �an—nen
ing ® gineering ermit Coordinator
Workflow Sign off: L,�:-.},0off for Planning(include notes from planning review)
Route Application Documents: L5"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
,�, original plan review routing form.
L Sutldtng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
tt
Notes: i/i ce ;c am— /e XAJ/”re- - e-LieA.7-per v` e , & e//s
-A
By Permit Technician: �_ Date: S !S �16,
Ingineering 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 ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
i
Approved by Engineering: i AI Date: ,+r .6.--fir,..,
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
K to Issue Permit
Approved by Permit Coordinator: //�y�v;% "Ate: .8-//1116(
I:\Building\Forms\BldgPermitRvw_RES_060116.docx
✓� / rig/ � 7s .lam