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Permit (13) CITY OF TIGARD BUILDING PERMIT Permit BUP2017-00096 111 COMMUNITY DEVELOPMENT T t GA R,0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S109AC01100 Jurisdiction: Tigard Site address: 14980 SW 133RD AVE Project: Madeline Heights Subdivision: None Lot: None Project Description: Demo(1)residence:5,392 sq ft on septic, (1)garage:600 sq ft and(1)shed: 100 sq ft. Demo credits(not sewer) are available upon final inspection. Contractor: K&G CONSTRUCTION CO Owner: SAGE BUILT HOMES LLC 26090 NW TIMBER CO 1815 NW 169TH PLACE, SUITE 1040 FOREST GROVE, OR 97116 BEAVERTON, OR 97006 PHONE: 503-681-2370 PHONE: 503-969-8298 FAX: Specifics: FEES Type of Use: SF Description Date Amount Permit Fee-Additions,Alterations, 04/24/2017 $564.15 Class of Work: DEM Type of Const: Occupancy Grp: Occupancy Load: Demolition Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 04/24/2017 $1.00 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 04/24/2017 $107.60 Bedrooms: 0 Bathrooms: 0 Value: $35,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $672.75 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 6 �e Permittee Signature: _. all 503.639.4175 by 7:00 a.m.for the next available inspection d. 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 RECEIVEI) City of Tigard Received i/ /7 /2 Permit No.: C/7 O&Q 'Date/By: 13125 SW Hall Blvd.,Tigard,OR 97A R 1 2 2017 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Ti G A R D Inspection Line: 503.639.4175 L1 CITY OF TIG A RD Date Ready/By: '\ Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY�t Notified/Method: O'u / ' Supplemental Information BUILDING DIVISION i' / w TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction IDemolition 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. El1-and 2-family dwelling ❑Commercial/industrial Valuation: $ c3...-52 O 0 0 ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: t 419 g fl ) \ � 1;2-1 Ave._., New dwelling area: square feet City/State/ZIP: -"A"-- (0,/ ,\("\` . 1 6) q 7 Z-z-3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ate`,-,tx.e__ \ ,is Covered porch area: square feet Cross street/directions to job site: r� q v Deck area: square feet 5C) �V\ ✓l f Quv\-rc t\ Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:AAt \ ��� �. td 1 Lot no.: 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. 4 0 A e S 7 Z SCA/r7- Valuation: $ 0U d i\cr;',v�p 700JQ/FT- Existing building area: square feet (p-:.` 6...4.421;—(L...., �l New building area: square feet 01PROPERTY OWNER ❑ TENANT Number of stories: Name: --)/ '&).�� . , . Type of construction: Address: i -] /1J.&) t" 6 q 30 i /0 ,/.67 Occupancy groups: City/State/ZIP: \ otvef'-v2 t' 0 Q 011?-7C0 6 Existing: Phone:(503) 96 9- "2 i j Fax:( ) New: p(APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule)) �� e . AS A$3 Q(J�- Structural plan review fee(or deposit): Contact name: JA .e- \-- ©v e-v FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fax::( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installatio of CONTRACTOR roof-top mounted 'hotoVoltaic Solar Panel Sy . Business name: - • ' Co fi (-w CoSubmit two(2)sets o 'of plan with conn-• ion details and fire department access, ong wit e 2010 Oregon Address: Z.CCJ O /9 /t/ 7j p1 b.e (> Solar Installation Ssecial Co'' ' ecklist. _ City/State/ZIP: �-1R9CA..e._ , 092_ �� Permit Fee� (includes • . re • w $180.00 Phone:(so3) &o/ Zs 70 Fax:( ) — and ad strative fees): o 0(//g State surcharge(12%of permit fee): $21.60 CCB lic.: o Total fee due upon application: $201.60 Authorized signature: /7This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 6-A-J 6© Date: q//0//_7 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR orr,cis l:SI. oNl. City of Tigard Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: 3 Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical i R D Internet: www.tigard-or.gov ❑ Other: 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 ❑ 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0 architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 El 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 111RCity of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T 1 c u n Building Permit Review — Residential Building Permit #: t Lc.nc9al 7- 000 c�(p Site Address: / (2 / 4 Project Name: �� .i , e A Lot #: (New dwelling=subdivision to -;Addition or Alteration=last name of owner) Planning Review Proposal: -� OVerify site address/suite#exists and activ in permit system. fiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan e plan must be on 8-1/2"x 11"or 11 x 17"paper A a�;sting structures on site 444YYY r nt onew structure(including decks)with finished raven to scale(standard architect or engineer scale) M„ oor elevations orth arrow �� rte address,project or subdivision name and lot number 81114�ty locations(required for new,may apply for additions) •plicant information(name and phone number) anon of wells/septic systems ❑Existing trees to be retained with drip line,and tree El Lot dimensions and building setback dimensions \'ilk area,building coverage area,percentage of coverage and tectreen measures pervious area(applicable if R-7,R-12,R-25&R-40) et tree size,type and location y,Property corner elevations(2 foot contour lines if more than Street names 4 foot differential II �t lean Water Services—Service Provider Lett- (lot platted prior to 9/10/1995): 'equired: 0 Yes,applicant was notified tl No VA Public Faciliti'Improvement(PFI)Permit: Received: ❑ yeS El No equired: �Yes,applicant was notified El No Applied For: Yes El No,stop intake 102/rand Use Case#: ��4�©��_ �� 0 ir Zoning — Required Setbacks: Front Rear Side Street Side Garage Landscape Requirement: _\4\ Lot Coverage Maximum: t�(, Building Height: Maximum Height Visual Clearance Actual Height Easements Sensitive Lands: ❑ Yes No Type Urban Forestry Plan ❑ Conditions "Met" rior o issuance of building g .ermit ' „ Notes: �V- / , Approved By Planning: — — /il� Date: AI Revisions (after Building Submittal only) Revision 1: 0 A rovedReviewer Date Pp El Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:43uilding\Forms\BldgPermitRvw RES_091216.doex Building Permit Submittal /� j Original Submittal Date: Site Plans: # , x Building Plans: # Building Permit#: nter building permit#above. Building �Plannin Engineering Permit Coordinator Workflow Routing: g Workflow Sign-off: P- Sign-off for Planning(include notes from planning review) Route Application Documents: k'Engineering: (1) copy of permit application, (1) site plan, (1)building plan and riginal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ANNI` / Date: /y / By Permit Technician: k irliP11/ Engineering Review ❑ Slope at building pad: O Conditions"Met"prior to issuance of building permit O Easements (encroachments)per engineering conditions of approval and plat O Water Quality/Quantity Facility: 0 No Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes Date: 0 NOT Approved by Engineering: Notes: /,�, Date: .fr� Approved by Engineering: Date FA V Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit / 1 O. y /� 4 (]/� -AIT// Date: H ( .13 Approved,NOT Released: Ae Notes: J 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: 0 Yes N/A Tigard Trans SDC: 0 Yes N/A Parks SDC: 0 Yes N/A ►� •K to Issue Permit Z____Y -------„ Date: • pproved by Permit Coordinator: I:\BuildineForms1BldgPermitRvw_RES_091216.docx