Permit qCITY OF TIGARD BUILDING PERMIT
1111
2 '` COMMUNITY DEVELOPMENT Permit#: BUP2019-00296
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2019
Parcel: 1 S135CC03700
Jurisdiction:
Site address: 10150 TIGARD ST
Project: Burt's Landing Subdivision: Lot:
Project Description: Permit for final inspection only for prior demolition of concrete, materials,and disconnection of all services and
removal of mobile home on wheels in done in 2014. DEMO CREDITS FOR TRANSPORTATION AND PARKS
SDCS MAY BE APPLIED TOWARDS NEW CONSTRUCTION.
Contractor: GROW CONSTRUCTION LLC Owner:
7900 SW HUNZIKER ST
TIGARD, OR 97223
PHONE: 503-597-2425 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SFM
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 10/24/2019 $53.27
Demolition
Occupancy Grp: Occupancy Load:
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $250
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $53.27
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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. • Permittee Signature: ?/7 aww-L
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
Commercial RECEIVED l:OROr'I[Ct.tST.I . .l
City of Tigard Received
easet/
pac, _`.' �� rata
II
r 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 2 4 2019
patens--P1a n �� �'/�y4ty" 1' P /9v�tteiew
0 Phone: 503-71 8-2439 Floc 503-598-1960 Date/Tl : Ranttd Pemait:
T IG.4IL I) Inspection Line: $03-639-4175 CITY OF TIGARD Date Ready/By tui fa Stt Prier 2 far
Internet: ww'ei'.ti and-t)t 3,i.PeNotified lfeds,Kt. Supplemental Iufurmatiarl
4t IiI rniNit^_ n01i01nrt ..__
'TYPE OF WORK REQI FIRF,D DATA: I-AND 2-FAMILY DWELLING
❑New construction 1*4 Demolition Permit fees*arc based on the value of the work perforated.
°-- Indicate the vxdue(rounded to the nearest dollar)of all
a,tddtt:=Yn"alteration rept cement 0 Other;
rqutprnrnt,tuatrrials,labor.ov+trhead and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this apphratitatr.
IN 1-and 2-ti ntily dwelling ID ComValuation: s 250
0Accessory buildinf [ Multi-amity Number of bedroomsI
❑Master budder 0 Other: Number of bathrooms
JOB SITE *FORMATION AND LOCAT1Oit# _, i Total number of floors: I
Job site address: 10150 SW Tigard Steel New dwelling area: 200 square feet
City/State/ZIP: Tigard OR 97223 Garageiearport area, square feet
Suite/bldg./apt,#: Project name: Burt's Landing Covered porch area: square feet
Cross street/directions to job site: Deck area: 50 square feet
Between SW Tiedeman Ave and SW Alyne Ln Other structure area squate feet t
REQUIRED DATA.COMMERCIAL-USE CHECKLIST
Subdivision: Burt's Landing Lot#: Permit fees*are based on the value of the work performed.
fax map/parcel Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION or WORK work indicated on this application.
Demolition of concrete and materials. Disconnection of all services Valuation: $
Existing building area: square feet
New building area' square feet
q PROPER'TY OWNER 0 'TENANT Number of stories:
Name' CSC Cap Holding„ LLC, Manager Tim N'1 Gray Type of construction:
_
Address. 11820 SW Tiedeman Ave Occupancy groups:
City/State/ZIP:-Tigard OR 97223 Existing:
Phone:(503)828-7868 Fax:( )
New:
p APPLIt AYI 0 CONTACT PERSON BUILDING PERSIIT FEES*
.. .._. (Pkerav,e refer rrfre schedule)
Business name: CSC Cap Holding. LLC
Stntcturad plan review fee(or deposit):
Contact name: Tills Gray - '
Address:
11820 SW Tiedeman Ave ELS plan review fee(if applicable):
Total fees due upon application: 5'3 . 7
City/State/ZIP: Tigard OR 97223 ,
i 51 .02?
,��niUUp)received:
Phone:( 503)828 - 7868 Fax::( )
E-mail' ti1T1eW ra4'2010 f.. n3ail.CC)f11 PHOTOVOLTAIC SOLAR PANEL SYSTEM FELS*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System,
Business name: Grow Construction Submit two(2)sets of roof plan with connection details
13170 14'a11 St and fire department access,along with the 2010 Oregon
Address; Sofar Installation S/reemfty('u&checklist. _
City+'State,'llP: Tigard OR 972 Permit fee(includes plan review $18000
and administrative fees):
Phone:(503 )278-5332 Fax:( ) State surcharge(12%of permit fee): 521.60
CCU Lie,: 191492
Total fee due upon application: $201.60
Authorized signature: • '4- f "' This permit application expires if permit is not obtained within 180 days after it has been accepted as complete.
Print name: Tim lv1 Gray Date
10/24/19 * Fee methodology set by'Fri-County Building Industry
Service Board.
t;\ButIding)PermitslBt3P,COM PermitApp:doc Rev,04/21/2014 440.46131(I 1102/COM/WEB)
City of Tigard
71 ° COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Residential
Building Permit #: 6--e-e-i°. -..0/ 9 00 . .2._9(4,
Site Address: /0/CD Sl CA
Project Name: /'j,/,— ', ' Lot #:
(New dwelling=subdivision natter ldition or Alteration=last name of owner)
Planning Review
Pro osal: !a 6 717a/0 t-- &A// l D _/
V Verify address/suite#active in Accela. \ �1,1�1 n River Terrace: m No ❑ Yes, River Terrace Review Addendum
Sit5.Plan Elements: CI Erosion Control
6 itopies of site plan on 8-1/2"x 11"or 11 x 17"paper CI Retained trees with drip line and tree protection measures
Drawn to scale(standard architect or engineer scale) ❑Footprint of new structure(including decks)and FFE
North arrow •Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number ` ❑Sidewalk/driveway approach
Applicant information(name and phone number) ❑Location of wells/septic systems
Lot dimensions and building setback dimensions ❑Street tree size,type and location
Square footage of buildings to be demolished CI Street names
Existing structures on site ❑Corner elevations(2'contours if more than 4'differential)
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes [No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No
gt4 Clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified a No Received: ❑ Yes ❑ No
$1'ublic Facilities Improvement(PFI)Permit:
Iquired: ❑ Yes,applicant/waspno�tified No Applied For: CI Yes ❑ No,stop intake
and Use Case#: �(�OJe�dirlP LC�t�2 0'Zoning.
'equired Setbacks: Front: Rear: Side: Street Side: G. -:
❑ B ' .ii : eight: Max. Height: Actual Height:
❑ Landscape Ar-.• % ❑ Lot Coverage Max: °,
Entrance ❑ Set back no •.re than 8'from street-facing wall ❑ Parall- • street or offset 45 degrees or less
Windows ❑ Minimum 12%of, -; •f all street-facing facades
Garage ❑ Garage door is behind wides eet-facing wall V ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5 :•. w, • there is a covered porch extending beyond garage.
❑ Door extends no more than 5' . w, I . •• there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 'or less ❑ 50%or e • facade ❑ 60%or less and includes 7 of following:
❑ Covered porc• • Recessed entrance ❑ Wall of s- ❑ 1'Roof eave ❑ Roof offset
❑ Fire •.. g es ❑ Lap Siding ❑ Roof pitch ❑ Gab e, or gambrel roof ❑ Dormer
■ ccent siding +• Window trim 1:1 Window Win.. CI recess n.. .rojection Balcony
1r' Visual Clearance X11!' Urban Forestry pan
%' S-nsitive Lands: ❑ Yes gr No Type:
11° onditions met prior to issuance of building permit
N. es:
VA Approved By Planning: — 4111111,77 Date: 1 Al .
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: l/2f‘
Site Plans: # 2-
Building Plans: # .—
Building Permit#: Enter buildin permit#above. /�
Workflow Routing: Efrnanning N fj'Engineering Permit Coordinator Building
Workflow Sign-off: Z—Sign-off for lanning(include notes from planning review)
Route Application Documents:, 1 ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
�" original plan review routing form.
E�uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/
By Permit Technician: / 16. - Date: 4) 2--u
Azimmilmmemmom
Engineering 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: 0 Yes ❑ No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
O Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
O Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
O 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: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
LIDA 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_RES 022819.docx