Permit •
CITY OF TIGARD BUILDING PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: BUP2021-00042
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/18/2021
T f �'� g Parcel: 2S112BD01100
Jurisdiction: Tigard
Site address: 14630 SW 79TH AVE
Project: Serenus Subdivision Subdivision: DURHAM ACRES Lot: 62
Project Description: Demolition of 2,000 sf detached dwelling&350 sf accessory structure;septic to be properly decommissioned.
UPON FINAL INSP CREDIT FOR TRANSPORTATION&PARKS SDCs AVAILABLE TOWARDS(1)NEW
DWELLING.
Contractor: BLUE PALOUSE PROPERTIES Owner: BLUE PALOUSE PROPERTIES
333 S STATE ST, SUITE V452 333 S STATE ST, SUITE V452
LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97034
PHONE: 503-936-3212 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 02/18/2021 $453.95
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 02/18/2021 $3.00
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 02/18/2021 $80.70
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $537.65
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.
f,v,
Issued By: ‘i"`l , Permittee Signature: n
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 'E- 1 Wilt
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received -
III r 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 2 6 2621 PIDmRei yv'ew 5 Z.4 ,� Ftf` 1k tNo� J 7 j -000y2_
Phone: 503-718-2439 Fax: 503-598-1960 A L� Date/By: Related Permit:
l I t;A I:1) Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: jull ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 New construction Di 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 application.
DI1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 25,000
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 1 w/daylight basmnt
Job site address: 14630 Sw 79th New dwelling area: 2000 square feet
City/State/ZIP: tigard or Garage/carport area: 325 square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Sw bonita and sw 79th Deck area: square feet
LOCATED SOUTH OF BONITA RD,EAST OF SW 79TH Other structure area: 350 square feet
AVE,NORTH OF SW CORNUFF ST,AND WEST OF SW — q
LOCH AVE DATA:COMMERCIAL-USE CHECKLIST
LOCATED IN THE NW 1/4 OF SECTION 12, _ REQUIRED
Subdivision: TOWNSHIP 2 SOUTH,RANGE 1 WEST,WILLAMETTE Permit fees*are based on the value of the work performed.
MERIDIAN,CITY OF TIGARD,WASHINGTON COUNTY,_
Tax map/parcel no.: 2S112BD01100 OREGON 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.
remove and demo existing home and outsheds 0/V S-F'T) e Valuation: $ 25,000
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: blue palouse properties Type of construction:
Address: 333 s state st, suite v452 Occupancy groups:
City/State/ZIP: lake oswego, OR 97034 Existing:
Phone:( ) 503-936-3212 Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: blue palouse properties
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: rob matthews
FLS plan review fee(if applicable):
Address: 333 S state st, suite v452
Total fees due upon application:
City/State/ZIP: lake oswego, OR 97034
Phone:( ) 503-936-3212 Fax::( )
Amount received:
E-mail: robm@bluepalouse.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: blue palouse properties Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 333 s state st, suite v452 Solar Installation Specially Code checklist.
City/State/ZIP: lake oswego, OR 97034 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) 503-936- 21 Fax:( )
3,� State surcharge(12%of permit fee): $21.60
CCB lie.: 197047 31
Total fee due upon application: $201.60
Authorized signatur . \ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: rob hews Date: 12-21/2020 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pern its'BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB)
City of Tigard
M COMMUNITY DEVELOPMENT DEPARTMENT
11111 li. I (2,- /
T I G A KD Building Permit Review — Residential
Building Permit #: alto 2.6 2/<--�OO vim----
Site Address: 14630 SW 79th Ave
Project Name: Serenus Lot #:
Planning Review
Proposal: Demo existing house and accessory structures
1 Verify address/suite# active in Accela. ® In River Terrace: a No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: ®Erosion Control
Cr copies of site plan on 8-1/2"x 11"or 11 x 17"paper [ Retained trees with drip line and tree protection measures
I IDrawn to scale(standard architect or engineer scale) L. •. .Tint of new structure(including decks)and FN'h
®North arrow ❑Utilr• ions&easements(required for new ..ditions)
®Site address,project or subdivision name and lot number ❑Sidewalk/d • • approach
RiApplicant information(name and phone number) ❑Location of wells s-. ' stem
XLot dimensions and building setback dimensions ❑Street tree size,type and
CSquare footage of buildings to be demolished ❑Street names
Mtxisting structures on site ❑Corner el- . s(2'contours if more tha ••fferential)
j,ot area,building coverage area,percentage of coverage and >1,010 . impervious area created or replaced? Ilh ❑No
impervious area(applicable if R-7,R-12,R-25&R-40) •es,is a storm water quality facility shown? ❑Yes b I
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified I No Received: ❑ Yes ❑ No
riaWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
njaSDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
® Public Facilities Improvement(PFI) Permit
Required: ❑ Yes,applicant was notified ❑ No PF12020-00357Applied For: 1 Yes ❑ No,stop intake
® Land Use Case#: SUB2020-00001 2 Zoning: R-12-
ngli Required Setbacks: Front: Rear: Side: Street Side: Garage:
nia Building Height: Max.Height: Actual Height:
-• ca.e Area: % ❑ Lot Coverage Max:
Entrance is. _ -• . no more than 8'from street-facing wall ❑ Parallel to street or . • •egrees or less
Windows ❑ Minimum • -. of all street-facing facades
Garage ❑ Garage door is behind a -• -facing wall s ❑ No,one of the following is met:
❑ Door extends no more than 5' r. . . ere is a covered porch extending beyond garage.
❑ Door extends no more • .m wall and t - . ft.window above garage on 2nd floor.
❑ Garage door 'a - WI 12'or less ❑ 50%or less of faca.e - '°• or less and includes 7 of following:
■ " -• porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roo -. •, ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo - `- . er
❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balco •
itta Visual Clearance lial Urban Forestry Plan
® Sensitive Lands: ® Yes ❑ No Type: Sig. Tree grove
1 Conditions met prior to issuance of building permit
Notes: Tree protection letter submitt-d
® Approved By Planning: iv/ 4 4,,,,,,,,, Date: 1/28/2021
Revisions (after Building Submittal only) I Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: //20Z—
Site Plans: # 2-
Building Plans: # Z-
Building Permit#: (:1--Enter building permit#above.
Workflow Routing: anning C -Lnineering CLLPerr it Coordinator ZI-Betlding
Workflow Sign-off: 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.
Wilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: l�d_ Date: 2/_.t/�`
Engineering Review
Qr Slope at building pad: .a
Conditions"Met"prior to issuance of building permit Yl ie-
Er5 sements (encroachments)per engineering conditions of approval and plat hl'-
V Water Quality/Quantity Facility
Assess Water Quality Fee in-lieu: ❑ Yes CVNo
Assess Water Quantity Fee in-lieu: ❑ Yes QVNo
LIDA Facility on lot ❑ Yes
final Plat Recorded: et te--
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 7,eY v„94-66/� Date: 2,Is/z024
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Permit Coordinator Review
Conditions"Met"prior to issuance of building permit
0 Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: 0 Received [5r,Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 104 N/A
Tigard Trans SDC: 0 Yes C N/A
Parks SDC: 0 Yes N/A
LIDA 0 Yes N/A
'a OK to Issue Permit
Approved by Permit Coordinator: ��— Date: 2 120-2/(
l:\Building\Forms\BldgPermitRvw_RES_122419.docx
Dianna Ornelas
From: UB Online
Sent: Thursday, February 4, 2021 1:41 PM
To: #Building Permit Technicians
Subject: RE: 14630 SW 79th Ave
Hi Permit Team!
No, this property is not connected to sewer.
Kind Regards,
Jill
(she/her/hers)
rrl A Jill
iktot3 CAM BFIiNyj City of Tigard-Utility Billing
Senior Accounting Asst
(888)826-7211 Payments
44", (503)718-2460 UB Main
jillb@tigard-or gov
ex
(503)718-2494
Kit
13125
T gard,SW ORHall 97223d'
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent:Thursday, February 4, 2021 1:03 PM
To: UB Online<UBOnlinepay@tigard-or.gov>
Subject: 14630 SW 79th Ave
Hi UB Team!
Can you please tell us if this property is being billed for public sewer?
Thanks!
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
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