Permit CITY OF TIGARD BUILDING PERMIT
`' : ' COMMUNITY DEVELOPMENT Permit#: BUP2021-00143
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/23/2021
Parcel: 2S112CB00301
Jurisdiction: Tigard
Site address: 15160 SW 81ST AVE
Project: Vukanovich Subdivision: Lot:
Project Description: Demolition of 493 sf detached garage.
Contractor: OLSON BROS EXCAVATING INC Owner: BIG-VUK PROPERTIES LLC
4515 NW SILVER LEAF DR PMB 360
PORTLAND, OR 97229 4931 SW 76TH AVE
PORTLAND, OR 97225
PHONE: 503-531-0529 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: ACS
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/06/2021 $134.54
Occupancy Grp: Occupancy Load: Demolition
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 07/06/2021 $2.00
11x
7)
Stories: 0 Height: 0 ft Info Pr Process/Archiving-Sm$0.50(up to 07/06/2021 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,500 Erosion Control w/Development 07/06/2021 $80.70
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $217.74
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 18D 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: OA/ / 7/14.-/ CW 70,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 .-S//1 i
Residential EC FIVE FOR OFFICE ESF.(1\Ll
City of Tigard ved D
DateB S !71�L/ Permit No eI4,10u-40Pi3
v 13125 SW Hall Blvd.,Tigard,OR 97223 i Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Y s LULL Other Permie
Date/By:
T I G A R U Inspection Line: 503.639.4175 Date Ready/By: ./ r H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/M /�q/'v/ .eV u Supplemental Information
3UIwitiG.DIYISIUIII 111 ,
TYPE OF WORK *s'' #.7"t4-/v D ATA:1-AND2-FAMILY DWELLING
❑New construction DA Demolition 77) .f= feed'"`A add on the value of the work performed.
/A / 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.
DA 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 3,500
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15160 SW 81 St Ave New dwelling area: square feet
City/State/ZIP: Tigard,OR 97224 Garage/carport area: 493 square feet
Suite/bldg./apt.no.: Project name: Bella Meadows Subdivsion Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Bella Meadows I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 112C8 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.
Removal of garage in southwest corner of property. Valuation: $
Existing building area: square feet
New building area: square feet
lit PROPERTY OWNER 0 TENANT Number of stories:
Name: Mark Vukanovich Type of construction:
Address: 4931 SW 76th Ave.,#360 Occupancy groups:
City/State/ZIP: Portland, OR 97225 Existing:
Phone:( 541)350-1060 Fax:( ) New:
x APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Big-Vuk LLC (Please refer mfee ackedpte)
11
•
Contact name: Mark Vukanovich
t��' FLS plan review fee(if applicable):
Address: i 1\°131 St 1-b;`'-' P-.te . . 100
City/State/ZIP: gpameFten, OR�t! - 4 u o� 4.4 - Total fees due upon application:
Phone:( 541) t729-3734 tlj Fax::( ) Amount received:
3s�—\Ob
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES°
E-mail: ni A y14.✓k.A tzvi c t,'iCA, t -•1—' /. C:-en---`
1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Olson Bros Excavation Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4515 NW Silver Leaf Dr Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97229 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:503-531-0529 Fax:( ) State surcharge(12%of pent fee): $21.60
CCB lic.: 69866
Total fee due upon application: $201.60
Authorized signet r! --"s-- r--___ . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: r� J 1 „- Date: \,�, la 1 *Feee methodology
Bod gy set by Tri County Building Industry
\1 kav v�
I:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-46I3T(11/02/COM/WEB) I.;z/ 7. 7
City of Tigard
III ■ w COMMUNITY DEVELOPMENT DEPARTMENT
T I c n u D Building Permit Review — Residential
Building Permit #: /SL-f , % '— CJOJ'J —
Site Address: 15160 SW 81st Ave
Project Name: Bella Meadows Demo Lot #:
Planning Review
Proposal: demo garage in SW corner or r12 erecie---roc
® Verify address/suite# active in Accela. IFI In River Terrace: a No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: $]Erosion Control
73 copies of site plan on 8-1/2"x 11" or 11 x 17"paper X1(Retained trees with drip line and tree protection measures
kDrawn to scale (standard architect or engineer scale) nEFootprint of new structure(including decks)and FFE
®North arrow 1 Utility locations&easements (required for new and additions)
It Site address,project or subdivision name and lot number nit Sidewalk/driveway approach
®Applicant information(name and phone number) Location of wells/septic systems
fl Lot dimensions and building setback dimensions egiStreet tree size,type and location
®Square footage of buildings to be demolished ®Street names
f(7Existing structures on site IE Corner elevations(2'contours if more than 4'differential)
f aLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? DNA❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? DYes ❑No
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified Xil No Received: ❑ Yes ❑ No
rM Water Metes Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: El Yes,applicant was notified El No Received: ❑ Yes ❑ No
a SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
® Public Facilities Improvement (PFI) Permit: PFI2021-00073
Required: ® Yes,applicant was notified El No Applied For: l Yes ❑ No,stop intake
fl Land Use Case#: SUB2020-00003 Z Zoning: R-4.5
L -m uired Setbacks: Front: Rear: Side: Street Side: Garage:
❑ Builir : -..ht: Max. Height: Actual Height:
® Landscape Area. % ❑ Lot Coverage Max:
Entrance ❑ Set back no m. _ .-. 8'from street-facing wall ❑ Parallel • or offset 45 degrees or less
Windows ❑ Minimum 12%of area o . - -et-facing facades
Garage ❑ Garage door is behind widest stre- '•• • Yes ❑ No,one of the following is met:
❑ Door extends no more than 5 Does not apply overed porch extending beyond garage.
❑ Door extends no more t " om wall and :. . ' • 2 sq ft.window above garage on 2nd floor.
❑ Garage door width i 'or less ❑ 50%or less of fac... ■ 60%or less and includes 7 of following:
❑ Coy- - .. c ❑ Recessed entrance ❑ Wall offset ■ , cave ❑ Roof offset
P. re shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or ga .. .of ❑ Dormer
El Accent siding El Window trim ❑ Window recess ❑ Window project. • Balcony
•. Visual Clearance ME Urban Forestry Plan
® Sensitive Lands: ❑ Yes ® No Type:
Conditions met prior to issuance of building permit
otes: Meet conditions prior to issuance. pp''
® Approved By Planning: /v4-,L Date: 5/13/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:1Building\Forms\Bl dgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 46�! 16Z/
Site Plans: #
Building Plans: #, .3
Building Permit#: LI Enter building permit#above.
Workflow Routing: t. Planning Engineering [ Permit Coordinator CYBnilding
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.
2-"Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: 75OP", Date: d5 /7202-1
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: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot ❑ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
g Approved by Engineering: Date: 0/,21603/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Permit Coordinator Review
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:
'SDC Exemption: ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes fl7' N/A
Tigard Trans SDC: 0 Yes Pi N/A
Parks SDC: 0 Yes ' N/A
LIDA 0 Yes 7 N/A
V.OK to Issue Permit
Approved by Permit Coordinator: V / �`" Date: ilirM
I:\Building\Forms\BldgPermitRvw_RES_122419.docx