Permit CITY OF TIGARD BUILDING PERMIT
'`1 2,° COMMUNITY DEVELOPMENT Permit#: BUP2021-00129
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/21/2021
T(O" g Parcel: 2S103CB04903
Jurisdiction: Tigard
Site address: 13613 SW 121ST AVE
Project: 121st Avenue Cottages Subdivision: COTTAGE CLUSTER Lot:
Project Description: Demolition of a 1,763 sq.ft.house on septic. Septic tank to be pumped and filled. UPON FINAL INSPECTION,
DEMO CREDITS FOR PARKS AND TRANSPORTATION FEES WILL APPLY.
Contractor: ARIA TOUCH Owner: 121ST AVENUE COTTAGES LLC
502 MAIN STREET 502 7TH ST#207
OREGON CITY, OR 97045 OREGON CITY, OR 97045
PHONE: 951-236-9628 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 06/21/2021 $195.38
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 06/21/2021 $1.50
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 06/21/2021 $80.70
Bedrooms: 0 Bathrooms: 0
Value: $7,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $277.58
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: ' / 1 j
� i y Permittee Signature: e-/V 61-14/CI f 644-77 a A)
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 —
Residential RECEIVED
City of Tigard Received / Permit No.,
• 13125 SW Hall Blvd.,Tigard,OR 97223 pp Date/Hr. IP f /`l 04.904(,`('j ��
8 Phone: 503.718.2439 Fax: 503.598.1960HY ��� Dale/By;
Review ! /)/ Other Permit:
DatcJBy; /f�
t ,14 1, Inspection Line: 503,639.4175 Date Ready/By: �]� ^-�/�us'�; RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notificd/Method. /Z/,/2i r�-� Supplemental Information
-� 3U►LDIhIC_DIVISIGhl _ .,,
TYPE OF WORK QUIIR!)pATA 1-AND 2-FAMILY DWELLING
0 New construction Et Demolition Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
[1 A.cislt;im atten%,ion/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
work indicated on this application,
CATEGORY OF CONSTRUCTION .
I-and 2-familydwellingValuation: $7,500
® 0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:3
Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:2
Job site address: 13613 SW 12IST AVE New dwelling area: square feet
City/State/ZIP; TIGARD,OR 97045 Garage/carport area: I square feet 400
Suite/bldgJapt,no.: Project name: 121ST AVE COTTAGE Covered porch area: square feet
Cross street/directions to job site; SW GAARDE ST. Deck area: square feet
Cr, iv' ,r L,,r.e-e 3`ii G,`fil IS:,, s--e- , i f" ''-L..}t Other structure area: square feet
r J M ,-ir �..�Jt�or 2---. ei REQUIRED DATA:COMMERCIAL:-USL CHEG'KLIST
Subdivision: I Lot no.; Permit fees*are based on the value of the work performed,
Tax maplparcel no.: R 140537G Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
r DESCRIPTION,;OF,;WORKr "'z r,,,k F",°; , f ,a work indicated on this application.
EXISTING SINGLE FAMILY HOME DEMOLITION — G� - ^Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER • 0 TENANT . Number of stories:
Name: 121ST AVE COTTAGES LLC Type of construction:
Address: 502 MAIN STREET Occupancy groups:
City/State/ZIP: OREGON CITY,OR 97045
Existing:
Phone:(951 ) 965-2252 Fax:( ) New:
®`APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES'? .
Business name: 121ST AVE COTTAGES LLC (Meese per?raJHsekddid_rf"
-_- -----•--••---•••--•---- Structural plan review fee(or deposit):
Contact name: CHRISTOPHER STAGGS
Address: 502 MAIN STREET FLS plan review fee(if applicable):
City/State/ZIP: OREGON CITY,OR 97045 Total fees due upon application:
Phone:( 951)236-9628 I Fax::( )
Amount received:
E-mail. CHRIS@ARIATOUCH.COM ..
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
- Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
,RIATOUCH,I.i.0 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 502 MAIN STREET Solar Installation Specialty Code checklist.
City/State/ZIP: OREGON CITY,OR 97045 Permit Fee(includes plan review $180 00
--..--....".-•.- and administrative fees):
Phone:( 951 ) 236-9628 Fax:( ) State surcharge(12%of permit fee): $21.60
CCH tic.: 220194 / ' Total fee due upon application: $201.60
Authorized si a lure: r This permit application expires if a permit is not obtained
v within 180 days after it has been accepted as complete.
Print name: TOPHER AGGS I Date: 5l24/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permitsd3UP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) at ,277 . .54e
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i
T1GAun Building Permit Review — Residential
rr.
Building Permit #: ez4,91--`&j i
Site Address: 13613 SW 121 st Ave
Project Name: 121st Avenue Cottage Cluster Lot #:
Planning Review
4 oposal: Demo permit only
Verify address/suite #active in Accela. �� n River Ter c • No ❑ Yes, River Terrace Review Addendum
Si • Ian Elements: rosion Control
!I; .pies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures
J'i wn to scale(standard architect or engineer scale) _Footprint of new structure(including decks)and FFE
E.,. th arrow tility locations&easements(required for new and additions)
13, to address,project or subdivision name and lot number sidewalk/driveway approach
FA �.licant information(name and phone number) ND ,;,ocation of wells/septic systems
J . dimensions and building setback dimensions _3treet tree size,type and location
!'quare footage of buildings to be demolished Street names
•:. g structures on site _Corner elevations(2'contours if more than 4'differential
► ii area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es Y4 .
pervious area( plicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality fac.'ty shown? es E o
U Clean Water ervices—Service Provider Letter(lot platted prior to 9/10/1995):
Required: Yes,applicant was notified ❑ No Received: Yes ❑ No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
^\ Required: ❑Yes,applicant was notified ❑No Received: 0 Yes ❑No
tee') SDC Exemption for ADU applied for: ❑Yes ❑No Received: ❑Yes ❑No
Public Facilities Improvement(PFI)Permit:
equired: ❑Yes,applicant was notified El No pplied For: ❑Yes ❑No,stop intake
dR
Land Use Case#: SDR2019-00003 Zoning: R-4.5
S ' -.uired Setbacks: Front: Rear: Side: Street Side: . .ge:
❑ Buildin: .eight: Max. Height: Actual Height:
❑ Landscape Are.. % ❑ Lot Coverage Max: `o
Entrance — Set back no • e than 8'from street-facing wall ❑ Par. - o street or offset 45 degrees or less
Windows _ Minimum 12%of a -:- .f all street-facing facades
Garage _ Gara e door is behind wides eet-facing wall �� Yes ❑ No,one of the following is met: •
Door extends no more than • wa . • there is a covered porch extending beyond garage.
Door extends no more than 5' f , w.. d there is a 12 sq ft.window above garage on 2nd floor.
❑ Gara e door width is 1 ' : ess El 50%or of facade 60%or less and includes 7 of following:
Covered porch Recessed entrance El Wall o •-t ❑ 1'Roof eave Roof offset
Fire s s Lap Siding ❑ Roof itch a. hi-3,or gambrel roof Dormer
ent siding Window trim Window recess •, •.ow projection ❑Balcony
❑ Visual Cl-- .nce ❑ Urban Forestry Plan
❑ s-• • ve Lands: ❑ Yes ❑ No Type:
il Co itions met prior to issuance of building permit
No s: A roved for demo onl • do not issue until a lice • tree rotection fencing
Approved By Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved j
r
I:\Building\Forms\BldgPermitRvw_RE5_122419.docx
I,
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Building Permit Submittal
Original Submittal Date: 5/121
Site Plans: #
Building Plans: #Lys �
Building Permit#: nt building it# above.
Workflow Routing: Ni5lanning f Engineering RI ermit Coordinator ❑ Building
Workflow Sign-off: U3ign-off for Planning(include notes from planning review)
Route Application Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan and
on .nal plan review routing form.
uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: kivw of-A /6 76,3 3 -_' 7.
By Permit Technician: < Date: 6. ?I
Engineering Review l/
❑ Slope at building pad: /t///
❑ Conditions "Met"prior to issuance of building permit
- ❑ Easements (encroachments) per engineering conditions of approval and pl
❑ Water Quality/Quantity Facility:'A tto
0
N Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
4 a LIDA Facility on lot: ❑ Yes ❑ No
❑ Final Plat Recorded:
4 ` ❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: /
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
r
'' ermit Coordinator Review
1
Conditions "Met"prior to issuance of building permit &h 21—
Q Approved, NOT Released: - -- — 1
Date: 6P///2-/
Notes: 17^-0L. 03eCA.A ,_ ri 2,i
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
'4 SDC Exemption: El Received Does not a
d
sw SDC Fees Entered: Wash Co Trans Dev Tax: El Yes /A
r.fx; Tigard Trans SDC: ❑ Yes /A
a
'A Parks SDC: ❑ Yes N/A
Asi
LIDA
A ❑ Yes N/A
OK to Issue Permit
___ _ k_
_�,%Approved by Permit Coordinator: - T=-- .,,. Date: -V
ii
1:\Building\Forms\B1dgPermitRvw RES_122419 docx
Branden Taggart
From: Jill Bentley
Sent: Wednesday, June 9, 2021 7:55 AM
To: Branden Taggart
Subject: RE: 13613 & 13615 SW 121ST AVE Demo Permits
Hi Branden,
Both of those addresses are not on sewer.
Kind Regards,
Jill
(she/her/hers)
A WILLI. Jill
it cAMnANP --;i City of Tigard -Utility Billing
`' G` 1 # Senior Accounting Asst
TIVAitti
fi (8881826-7211 Payments
(503)718-2460 UB Main
jit(b@cigar -organ
(503)718-2494
13125 SW Hall Blvd,
Tigard, OR 97223
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Tuesday,June 8, 2021 6:40 PM
To:Jill Bentley<JILLB@tigard-or.gov>
Subject: 13613 & 13615 SW 121ST AVE Demo Permits
Hey Jill,
Do you have a moment to check and see if 13613 and 13615 SW 1215t Avenue are on sewer?
Thanks,
Branden Taggart
City of Tigard
Senior Permit Technician
x Community Development
11006
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or,gov
1