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Permit „ CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2021-00292 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/2/2021 Parcel: 1S136DD02000 Jurisdiction: Tigard Site address: 6980 SW BAYLOR ST Project: Riverside Carpentry Subdivision: WEST PORTLAND HEIGHTS Lot: 1-2 Project Description: Demolition of a 772 sq.ft. house on septic. UPON FINAL INSPECTION DEMO CREDITS FOR TRANSPORTATION AND PARKS SCD FEES WILL APPLY. Contractor: RIVERSIDE CARPENTRY LLC Owner: RIVERSIDE CARPENTRY LLC 12042 SE SUNNYSIDE RD 584 12082 SE SUNNYSIDE RD#584 CLACKAMAS, OR 97015 CLACKAMAS, OR 97015 PHONE: (360)521-6442 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 12/01/2021 $195.38 Occupancy Grp: Occupancy Load: Demolition Erosion Control w/Development 12/01/2021 $80.70 Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 12/01/2021 $1.50 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Value: $7,890 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) 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. Issued By: HcrUAJ Va-w De Wege, Permittee Signature: on application 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 .0 —C• Residential �� ������ H"oKOH"H"Icf:USE ONLY City of Tigard Received /f��� J /� g Date/By: it �4/,�'l I-i j Permit No.: /5(j,�10 };il_ j91j1 " 13125 SW Hall Blvd.,Tigard,OR 97223 V l !{J`''I WIT r 2 6 2021 Dan Review Phone: 503.718.2439 Fax: 503.598. Date/By Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: �� Juris: ® See Page2 for Internet: www.tigard-or.gov Notified/Method: J SupplementalInformation uITY OF TICAf D f.0 a TYPE (]n IMI ON REQUIRE'LDDATA:`1-AND'Z-FAMILTOViiE , G E 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 ❑Other: equipment,materials,labor,overhead,and the profit for the „ray "cATEGORY OFF ONSTRUCTTON work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 7 Tri 0 Accesso Number of bedrooms: ❑ ry buildin g ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: :5",a�'�df 4,OB SITE INFORMATIor, A,14f LOOATIaN ° Total number of floors: Job site address: 6980 SW Baylor St New dwelling area: square feet City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Baylor Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet '9kR - UIR7lI'I 0** r*I :KI IJSE.0 «CKLI :,' Subdivision: I 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 Iilit r,�� p i,.Dre �)III _ x " equipment,materials,labor,overhead,and the profit for the )tom m: : °"" �iT70,., :IPTIO, OP RK .:,r work indicated on this application. Demolition of an existing house to build new construction" Valuation: $ Existing building area: square feet `77a�.-�-� — S G c.,-�..r,�f3 -��►tr -t-rvv�iv,�l��iu,.�'a..m e..443 New building area: square feet ,: L�9 , Y'E Y OWNER a ii,lt : ' -sl .i O's'TEN N,'C , t'' Number of stories: NameRiverside Carpentry LLC Type of construction: I Address: 12042 SE Sunnyside Rd Occupancy groups: City/State/ZIP:Clackamas OR 97015 Existing: Phone:(916)202-9311 Fax:( ) New: 0 APPLICANT C�'( 4ryCONN' ACT"PERSON o,: t 7 pi i, „aa '�ii BITING PI~ FE; t Business name: Riverside Carpentry LLC Fa � ''fPfeasc referto feesehedrrle),0 k .,, Structural plan review fee(or deposit): Contactname:Alex Rykhlyuk Address: 12042 SE Sunnyside Rd FLS plan review fee(if applicable): City/State/ZIP: Clackamas OR 97015 Total fees due upon application Phone:(916)202-9311 Fax::( ) Amount received �' 77.5- E-mail: alexr@riversidecarpentryllc.com ,,. : 'IO' OV? 'TAILSOLAR P LS` T?,M FEES* '" , ' . .r i�,ya �t,�q A. e^ Commercial and residential prescriptive installation of Y' CONTRA,cTOIt 1 J r r ° ���� n roof-top mounted Photovoltaic Solar Panel System. Business name:Riverside Carpentry LLC Submit two(2)sets of roof plan with connection details 12042 SE Sunnyside Rd and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Clackamas OR 97015 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(916)202-9311 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: 181810 Total fee due upon application: $201.60 Authorized signature: / This permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. Print name:Alex Rykhlyuk Date:10/19/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB) Building Permit Application 7 ' '�'IV / 7 Commercial FOR OFFICE I sl':ONI.) City of Tigard Received Permit No.. Date/By: " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Related Permit: T I c i A R D Inspection Line: 503-639-4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 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. ❑ I-and 2-family dwelling ElCommercial/industrial Valuation: $ l Oj 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: pp Job site address:69 Cf o s u 30.v 'oc- S J} New dwelling area: square feet City/State/ZIP: 1-:1CMYSL 0 Q-. I Z Z S Garage/carport area: square feet Suite/bldg./apt.#: Project name: Covered porch area: square feet Cross strre�� erections to job site: Deck area: square feet r CIVS S 7z./I Ce /"{/0 11/Ai 7L Le' 02- „b Other structure area: square feet IQ/l1( I M REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: ( Si 36 0 Z Odt) 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. C'cnr�'Ai t7A Qc- 14oM(L Valuation: $ •-- -Si)C., CdL.c- S,/3 Fe-72- T j/log-7'4-7 70n>�/00Ie- 0:s f Existing building area: square feet a� f t)y r t A. /)S A/c z,f (e A1- '7Zu e 77e,U New building area: square feet © PROPERTY OWNER 0 TENANT Number of stories: Name:l`lull'Si de CcG r pc Al't'k t U.G. Type of construction: Address: (2 c z SE S .vnii1y T:d e cc( #S 8 t1 Occupancy groups: City/State/ZIP: Clcx .L40,nty.s Olt 970/s Existing: Phone:(360 ) 9 I-9610 Fax:( ) New: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* /� (Please refer to fee schedule) Business name: 1Z,iurc:ck C,(+,,CQe.K1T'e Lt. L Structural plan review lee(or deposit): Contact name: A1LX FLS plan review fee(if applicable): Address: u,O4Z S E s i.,rt`tr i i at. R a #SRN '� Total fees due upon application: City/State/ZIP: Clr cwmos D . 9 Amount received: Phone:(340) 9i6_ 9610 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: Q\e`iipfskVGC sae.Co.4pcnATL (Lc..*corn Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Q`,., 6.61.e acp gdmi LLc_ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon N Address: '`0 Z S C S k n,n� S� td 44-5S't{ Solar Installation Specialty Code checklist. City/State/ZIP:_l �1 Permit fee(includes plan review Gk� � ��Z- 9 Tod s and administrative fees): $180.00 Phone:( ) ??.S. 94(c Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 1$ g(d 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. Print name: Za,1\16` ki\f.tb LY1 V Date: )-20-2/ * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB) City of Tigard 14p COMMUNITY DEVELOPMENT DEPARTMENT i T1cARD Building Permit Review — Residential Building Permit #: ,64 pal_09 Site Address: 6980 SW Baylor St Project Name: Riverside Carpentry LLC Lot #: Planning Review 10-gl}l :Reviit.4 ,r k ply,,, akvia,), C? i,1t�Pro Proposal: Demo house ® Verify address/suite#active in Accela. ® In River Terrace: ® No ❑ Yes,River Terrace Review Addendum Site Plan Elements: XErosion Control i3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper rig Retained trees with drip line and tree protection measures JDrawn to scale(standard architect or engineer scale) (l Footprint of new structure(including decks)and FFh ®North arrow 11Utility locations&easements(required for new and additions) JSite address,project or subdivision name and lot number sidewalk/driveway approach ®Applicant information(name and phone number) !! Location of wells/septic systems nLot dimensions and building setback dimensions lltreet tree size,type and location ®Square footage of buildings to be demolished ®Street names ®Existing structures on site 0 Corner elevations(2'contours if more than 4'differential) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? L1j ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes No ® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: Q Yes,applicant was notified ❑ No Received: Yes ® No O Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Pfil at 4-3-1 Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No DI SIC Exemption for ADU applied for: E Yes E No Received: ❑ Yes ❑ No ® Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ® No Applied For: ❑ Yes ❑ No,stop intake O Land Use Case#: 1 Zoning: TMU uired Setbacks: Front: Rear: Side: Street Side: Garage: ❑ Buil • t: Max.Height: Actual Height: ❑ Landscape Area: °A ❑ Lot Coverage Max: ° Entrance ❑ Set back no more ' om street-facing wall ❑ P reet or offset 45 degrees or less Windows ❑ Minimum 12%of area of a ring facades Garage ❑ Garage door is behind widest street-f Does not apply ❑ Yes ❑ No,one of the following is met: ❑ Door extends no more th wall an covered porch extending beyond garage. ❑ Door extends an 5'from wall and there is a . dow above garage on 2nd floor. ❑ Garage is ❑ 12'or less ❑ 50%or less of facade ss and includes 7 of following: overed porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eav ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof mer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Ba Egl Visual Clearance a Urban Forestry Plan • Sensitive Lands: ❑ Yes Ig No Type: ► ] Conditions met prior to issuance of building permit Notes: E7 Approved By Planning: ADate: 8/30/2021 Revisions (after Building Submittal only) fJ��� ewer — Date Revision 1: Approved ❑ Not Approved )� "L I ZL{/,12)2-( Revision 2: ❑ Approved ❑ Not Approved pp pp I:\Building\Fortes\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: a r mi'ng nglneering ermit Coordinator ❑ Building Workflow Sign-off: : f for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1)building plan and plan review routing form. uilding: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: de41J By Permit Technician: Date: `/tm:Of_ 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: ❑ Approved by Engineering: Date: Revisions (after Bu. ing Submittal only) evtewer Date Revision 1: W. Approved ❑ Not Approved l/ /Z l Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 71 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: 3 )I I3p17,0' .I Revision Notice 2: Date Sent to Applicant SDC Exemption: ❑ Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes VN/A LIDA ❑ Yes Cr N/A OK to Issue Permit Approved by Permit Coordinator: Date: t l 17(Y2/1 I:\Building\Forms\BldgPermitRvw_RES_122419.docx RECEIVED OCT 1 1 2021 CITY OF MARL) CleanWate"� Services SENSITIVE AREA PRE-SCREENING SITE ASSESfIVIseoi Clean Water Services File Number 21-002580 1. Jurisdiction: Tigard 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Riverside Carpentry LLC 1S136DD02000 Company: Riverside Carpentry LLC Address: 15648 SE 114th Ave Suite 210 OR Site Address: 6980 SW BAYLOR ST City,State,Zip: Clackamas,OR, 97015 City,State,Zip: Tigard,OR,97223 Phone/fax: 360-975-9610 Nearest cross street: 70th Ave Email: alex@riversidecarpentryllc.com 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck,garage) Name: Alex ❑ Lot line adjustment ❑ Minor land partition Company: Riverside Carpentry LLC ® Residential condominium ❑ Commercial condominium Address: 15648 SE 114th Ave Suite 210 ❑ Residential subdivision ❑ Commercial subdivision City,State,Zip: Clackamas, OR,97015 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 360-975-9610 Other Email: alex@riversidecarpentryllc.com 6. Will the project involve any off-site work? ❑Yes 0 No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: I am currently working with the city of Tigard and am told I need a clean water service provider letter for my permit. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/type name Alex Print/type title Project Manager Signature ONLINE SUBMITTAL Date 8/30/2021 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,State and federal law. Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2).NO SITE ASSESSMENT OR SERVICE P OV DER LETT R IS REQUIRED. Reviewed by Date 10/8/21 Once complete,email to:SPLReview@cleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway,Hillsboro,Oregon 97123 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681.3600 f: 503.681.3603 • cleanwaterservices.org FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. ill . City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i . Transmittal Letter T I G,A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RE��IOCT 1 `4702�VEC�aT FROM: Alex Rykhlyuk aoal COMPANY: Riversde Carpentry LLC ? VIIY OF TIGARI 4y: 97) PHONE: (916)202-9311 3UILDING DIVIS Of, EMAIL: alexr@rivesidecarpentryllc.com RE: 6980 SW Baylor St applying for demo permit • (Site Address) (Permit Number) Tax lot number:2000 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 1 Additional set(s) of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Demo Plans ® a'/L1'2L. ,t. /ohvii eA✓ls r -6-0 S.S'Ix // y4 II "x/7 ' / clA44 rt-w,1.-,_1 ter, /0/2* 44 r /ll�t/ / 4-T, FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes [No . Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: