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Permit 71CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00206 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2016 Parcel: 2S1060001100 Jurisdiction: Tigard Site address: 17000 SW FRIENDLY LN Project: River Terrace East Subdivision: None Lot: None Project Description: Demo 1,028 sf house,361 sf garage, 187 sf shed &570 sf barn,on septic. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES MAY APPLY. Contractor: NORTHWEST EARTHMOVERS INC Owner: ADLV LAND HOLDINGS LLC PO BOX 1609 BY FORSUM, MICHAEL SHERWOOD, OR 97140 7600 E DOUBLETREE RANCH RD STE 1 SCOTTSDALE,AZ 85258 PHONE: 503-625-3100 PHONE: FAX: 503-625-3108 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/13/2016 $301.85 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/13/2016 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 07/13/2016 $80.70 Bedrooms: 0 Bathrooms: 0 Value: $14,250 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $383.05 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 vales 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: /kti ,�,,, „ Q ,r Permittee Signature: Y ` ✓�' Call l55033.639.4175 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 1 S CE' !E' ED FOR OFFICE I'SI.()NI l 1:111 City of Tigard MAY 2 0 2016 Receivedt %' -!a PenmiNo.`,6p-./( —a • - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I Phone: 503.718.2439 Fax: 5 "' pat�g : Other Permit: Inspection Line: 503.639.4176 411' `'F ' �U�� Date Ready/By: turn: faSee Page 2 for TIGARD Internet: www.tigard-or.gov,....• ..ONG DIVISION Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 1;4 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this applica�tion� ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: S 53y�50 f a� ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder D Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: V-1170 SIN 'elt f-eAYIGi 11 teiVt-Z—, New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: River Terrace East Covered porch area: square feet Cross street/directions to job site: East of SW Roy Rogers Road,South of Deck area: square feet SW Scholls Ferry Road 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.: 2S106 Lot 1100 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. Demo 1 existing structure,driveway,and sidewalk p„ rt C✓ Valuation: S J 6 1: Existing building area: square feet l D a-C6 of (fir uE,rc r 5 7G 6 i}p 1 3614 a k4-6 23i-l/9794 alf>:r) New building area: square feet Ed PROPERTY OWNER 0 TENANT Number of stories: Name: ADLV Land Holdings LLC Type of construction: Address: 7600 E.Doubletree Ranch Rd.,Suite 100 Occupancy groups: City/State/ZIP: Scottsdale,AZ 85252 Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ErCONTACT PERSON BUILDING PERMIT FEES* (Please refer:glee schedule) Business name: Polygon WLH LLC Structural plan review fee(or deposit): Contact name: Angle Grajewski FLS plan review fee(if applicable): Address: 109 E.13th Street City/State/ZIP: Vancouver,WA 98660 Total fees due upon application: Amount received: .®----- Phone:(360 )695-7700 Fax::(360 )693-4442 E-mail: an gela.gr aj ews ki*polygon PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* (a Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Northwest Earthmovers,Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 13600 SW Galbreath Drive PO Box 1609 Solar Installation Specialty Code checklist. City/State/ZIP: Sherwood,OR 97140 Permit Fee(includes plan review S 180.00 and administrative fees): Phone:( 503 )849-8540 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:62761 // A • Total fee due upon application: $201.60 Authorized signature: ,(f J 1/1 C��I?i�^J, LI! / This permit application expires if a permit is not obtained �I j1' 000 III Ul/V VVV within 180 days after it has been accepted as complete. Print name: , r ^`' Date: *Fee methodology set by TO-County Building Industry A, �a 1e w JV! �� \ok Service Board. 1:1BuildingTennits\BIJP-RES itApp.doc 02/24/2011 440-4613T(12/COM/WEB) a ,(6 7) pa-/v i)62/-?t-7-46- City of Tigard �" �e� iIII IllCOMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential 1IGARI) u. Building Permit #: LP,901(c-CC?O(c Site Address: 1-1000 SW -fr,.ea-,d ly Leah e. Project Name: t t)j,2 ‹i/2. ,1-C� Cks l Lot #: (New dwe ' g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Der{/0 m+- T.co &Vn p Ski LXYGi GU.Ce'SSt;+--1 S1Yk:=C-1U KS• 0.Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: 0 No VA Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,Three(3)copies of site plan KExisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper l\Footprint of new structure(including decks)with finished _1Z:brawn to scale(standard architect or engineer scale) floor elevations RI1orth arrow NIL tility locations(required for new,may apply for additions) fZiSite address,project or subdivision name and lot number l w .cation of wells/septic systems Applicant information(name and phone number) Ti Existing trees to be retained with drip line,and tree 4 Lot dimensions and building setback dimensions protection measures 1J(Lot area,building coverage area,percentage of coverage and IllfiStreet 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) R• 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: 0 Yes,applicant was notified %...,No Applied For: ❑ Yes 0 No,stop intake 'Land Use Case#: PP - Oi. -ooc0cv ISkJezo(S-off ISt- - 'Ze4S--0 o''] 'Zoning: 42.'1 4K Setbacks: NIA- Front Rear Side Street Side Garage R Landscape Aequirement ►J`-ft grLot Coverage Maximum: NIA Building Height: rJ/i\- l Maximum Height Actual Height Visual Clearance N IA Easements Sensitive Lands: 0 Yes X No Type Urban Forestry Planl.J f pf 0 Conditions "Met"prior to issuance of building permit otes: Pi'1/li 11.01 VO US"C Ci/rd itl P4n4 BeVA 1 I bC vwi 4 plaev .i'V Approved By Planning: -,A t Date: Li ," � tlQ Revisions (after Building Submittal only t VtCi � Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_060116.docx Building Permit Submittal / Original Submittal Date: �p/aU( �i6 Site Plans: # 5 Building Plans: # id/4-- Building Permit#: ['Enter building permit#above. Workflow Routing: Planning 12ngineering Q 1 ermit Coordinator -E Building Workflow Sign-off: D-Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering. (1) copy of permit application, (1) site plan, (1) building plan and ,original plan review routing form. dBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: k...___) J Date: _P 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 No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /Z. ft Date: _44— ff`'� Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved II III 11111.I I Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: Date: 4// //Ci 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: DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 1 N/A Tigard Trans SDC: 0 Yes N/A Parks SDC: 0 Yes N/A Oilit to Issue Permit . pproved by Permit Coordinator: Date: )2, / I:\Building Worms\BldgPennitRvw_RES_060116.docx Albert Shields From: Angela Grajewski <Angela.Grajewski@polygonhomes.com> Sent: Thursday, June 23, 2016 3:18 PM To: Albert Shields Subject: Re: Demos, River Terrace East Albert, We are in process of installing the tree protection fence on River Terrace East and will get the arborist report done when that is complete. We are anticipating having it the first week of July. Angela Grajewski PROJECT MANAGER Angela.Graiewski@polvgonhomes.corn Office 360.695.7700 Fax 360.816.7817 PotwonHomes.com Sent from my Verizon Wireless 4G LTE DROID Albert Shields <albert@tigard-or.gov>wrote: Angela, I have 4 demo permits here for River Terrace East but I don't see that we've received an arborist's report that the required tree protection measures are In place. Would you please let me know if you have a copy of one that you can send me? Otherwise I'll put these on Hold until we get one. Albert Shields DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 1