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Permit
CITY OF TIGARD BUILDING PERMIT !PICOMMUNITY DEVELOPMENT Permit#: BUP2021-00123 Date Issued: 7/7/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S125CA03400 Jurisdiction: Tigard Site address: 9205 SW 74TH AVE Project: Steeves/Hayashi Subdivision: BOULEVARD HEIGHTS Lot: 10 Project Description: Demolition of a 1,504 sq.ft.dwelling,a 148 sq.ft.shed,and a 336 sq.ft.detached garage. Dwelling is connected to sewer. SDC CREDITS FOR TRANSPORTATION, PARKS&SEWER APPLY TOWARDS NEW CONSTRUCTION FOR MST2021-00215. Contractor: MOUNTAINWOOD HOMES INC Owner: HAYASHI,SHARON PO BOX 2257 STEEVES, RICHARD H BEAVERTON, OR 97075-2257 7408 SW CEDARCREST ST TIGARD, OR 97223 PHONE: 503-746-7338 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/07/2021 $377.90 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/07/2021 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 07/07/2021 $80.70 Bedrooms: 0 Bathrooms: 0 Value: $20,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $459.10 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 Permittee Signature: 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 "13_5/Z-7/2 Residential RECEIVE i FOR OFFICE USE ONLY City of Tigard Date/By OG/Q� ��/ Permit No: t3.UP202 —00123 Mill R " 13125 SW Hall Blvd.,Tigard,OR 97223 ��rbf 2 ? 2121 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: OtherPermit TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: i rq `7 VI See Paget for Internet: www.tigard-or.gov Notified/Method: v`/ L-1 �� p�I Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ®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. Valuation: $2nnnn QO ® 1-and 2-family dwelling El Commercial/industrial �!'' ElAccessory building ❑Multi-family Number of bedrooms: i ❑Master builder ®Other:Shed and Detatched garage Number of bathrooms: ' .IOR SITE INFORMATION AND LOCATION Total number of floors: Job site address:9205 SW 74th Ave New dwelling area: square feet City/State/ZIP:Portland OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Steeves/Hayashi New Home Covered porch area: square feet AA C ss street/directions to job site: /� Deck area: square feet C.C� ' 2- 126- /RJOR 7Z) /SSLf 4 Jt& Other structure area: square feet 9 - o �t4uet CAD TO r(7 S r4_ - REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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. Demo 1504 sq foot home. 148 sq foot shed and Valuation: $ 336 sq foot detatched garage. Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Richard Steeves and Sharon Hayashi Type of construction: Address:9205 SW 74th Ave Occupancy groups: City/State/ZIP:Portland OR 97223 Existing: Phone:( 501 522-5265 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Mountainwood Homes (Pleaserejertajeesehedale) Structural plan review fee(or deposit): Contact name:Kim Hancock Address:8324 SW Nimbus Ave FLS plan review fee(if applicable): City/State/ZIP:Beaverton OR 97008 Total fees due upon application: Phone:(91 )269-5253 Fax: :( ) Amount received: 7 E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* khancock(&mountainwoodhomes.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Mountainwood Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:3824 SW Nimbus Ave Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton OR 97008 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503 )746-7338 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:184317 Total fee due upon application: $201.60 Authorized signature: ` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 1C 1Vh IiY 5/25/21 *Fee methodology set by Tri-County Building Industry Print name: NJ � �� Date: Service Board. /l I:\BuildingWermitslBUP-RESPenttitApp.doc 02/24/2011 440-4613T(ll/02/COM/WEB) f 1/_9e w City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 16 A�IS D Building Permit Review — Residential Building Permit #: BUI)2221- C9l Z3 Site Address: 9205 SW 74th Ave Project Name: Hayashi Demo Lot #: Planning Review Proposal: Demo house and two accessory structures ® Verify address/suite # active in Accela. 0 In River Terrace: E No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control L333 copies of site plan on 8-1/2"x 11" or 11 x 17"paper g7Retained trees with drip line and tree protection measures ®Drawn to scale (standard architect or engineer scale) h aFootprint of new structure(including decks)and FFL ®North arrow rrathility locations&easements (required for new and additions) ®Site address,project or subdivision name and lot number fll Sidewalk/driveway approach ®Applicant information(name and phone number) riA Location of wells/septic systems &Lot dimensions and building setback dimensions REStreet tree size,type and location ®Square footage of buildings to be demolished ♦]Street names i7Existing structures on site ®Corner elevations(2'contours if more than 4'differential) I ]Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Eis ❑No impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No E Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified El No Received: ❑ Yes IX No © Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified g] No Received: ❑ Yes ❑ No MI SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No :1CJ Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified IJ No Applied For: ❑ Yes ❑ No,stop intake 0 Land Use Case #: 0 Zoning: R-4.5 ri: Required Setbacks: Front: Rear: Side: Street Side: Garage: t® Building Height Max.Height: Actual Height: Landscape Area: % 1® Lot Coverage Max: ' ❑ Set hack no more than 8' from street-facing wall ❑ Parallel to street or offset 45 degree • Windows ■ . ' .. 2%of area of all street-facing facades Garage ❑ Garage door is .- .est street-facing wall ❑ - _ •o,one of the following is met: ❑ Door extends no more •. . -.• wall a.• - . overed porch extending beyond garage. ❑ Door extends no more . • ' - oat . . - • a 12 sq ft.window above garage on 2' floor. ❑ Garage door .:• • - 'or less ❑ 50%or less o a .. - 0%or less and includes 7 of following: ' • ered porch ❑ Recessed entrance ❑ Wall offset ❑ 1' ' .. - ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo — •• mer ❑ Accent siding ❑ Window trim El Window recess ❑ Window projection ❑ B. c. • TM Visual Clearance nil Urban Forestry Plan X Sensitive Lands: J Yes ❑ No Type: Sig. Habitat n® Conditions met nrinr to issuance of building permit Notes: I7 Approved By Planning: GJ Date: 611/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: Cl Approved ❑ Not Approved 1:\BuildingWorms1131dgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: J 7 J Site Plans: # 3'T. Building Plans: # j0-5 -i Building Permit#: ErEnter building permit#above. Workflow Routing: 2—Planning 2-Engineering [ Permit Coordinator liknidisg---- Workflow Sign-off: 0'Sign-off for Planning(include notes from planning review) Route Application Documents: Ig--Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans, engineer and beam calculations trust details,if applicable,etc. Notes: &gyp 811iv_ By Permit Technician:` Date: .e' 62 .202 f Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit O Easements (encroachments)per engineering conditions of approval and plat /� O 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 ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Pr-Approved by Engineering: Date: _f��/� Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Per it Coordinator Review �1t' -onditions"Met"prior to issuance of building permit II Approved,A � NOT Released: ��_-= ,C� Date: (Ohbiaj Notes: Ajeeoi cpL f 7", I4'i v� {/ ,J Cftn/} Revisions (after Building Submittal only) // Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ,,Ois(❑ SDC Exemption: ❑ Received Does not app ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes glg /A Parks SDC: 0 Yes M /A LIDA ❑ Yes �( N/A OK to Issue Permit Approved by Permit Coordinator: Date: Ccf241/2/ 1:\Building\Forms\BI dgPermitRvw_RES_122419.docx ti,/'020.-Z/-Gro/02. 3 SA) 7 ' Clean Water Services -Service Provider Letter RECEIVED JUL 07 2021 CITY OF TIGARD Submission Date: 7/7/2021 Confirmation tt: 602 BUILDING DIVISION Applicant Name: Kim Hancock Review Type: Partner City Plan Review Contact Email: khancock@mountainwoodhomes.com Ground Disturbance: 1973 Sq.Ft. Contact Phone: 971-269-5253 New Impervious Area: 0 Sq. Ft. Primary Address: 9205 SW 74TH AVE Mod.Impervious Area: 1973 Sq.Ft. Primary Jurisdiction: Tigard Development Activity: Lateral Cap Affected Tax Lots: 1S125CA03400 Single-Family Dwelling Demolition INSTRUCTIONS:This pre-screening report is the Service Provider Letter(SPL)as required by Resolution and Order 19-5, Section 3.02.1,as amended by Resolution and Order 19-22. PROVIDE A COPY OF THIS SPL TO THE JURISDICTION RESPONSIBLE FOR LAND USE REVIEW AND PERMIT ISSUANCE.This pre-screening review does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered and this review does NOT eliminate the need to obtain additional CWS permits or reviews if project changes in scope or location.All required permits and approvals must be obtained and completed under applicable local,State and federal law. [-Permit or Review Required Next Steps j Environmental Site Assessment No j Review I Water Quality Treatment Review TBD Contact city(primary jurisdiction) responsible for land use review and permit l and Stormwater Inspection issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit with Site Plan issuance. !Line Tap Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Disconnection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit with Plumbing TBD Contact city(primary jurisdiction)responsible for land use review and permit Plan issuance. Easement Review TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our partners include municipalities,environmental organizations,and developers large and small. Contact Us*2550 SW Hillsboro Highway*Hillsboro,Oregon 97123 phone:503-681-5100*email:splreview@cleanwaterservices.org*website:www.cleanwaterservices.org/permits-development