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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2022-00200 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/1/2022 Parcel: 251060003301 Jurisdiction: Tigard Site address: 13580 SW ROY ROGERS RD Project: River Terrace Town Center Subdivision: None Lot: None Project Description: Demolition of(1)2,400 sq.ft.house on septic, (1)3,200 sq.ft.building,and(1)100 sq.ft.building. Septic tank must be pumped and filled.UPON FINAL INSPECTION, DEMO CREDITS FOR PARKS AND TRANSPORTATION FEES WILL APPLY. Contractor: TNHC OREGON LLC Owner: ROSHAK, DON E 15231 LAGUNA CANYON ROAD 11300 SW RIVER RD SUITE 250 HILLSBORO, OR 97123 IRVINE, CA 92618 PHONE: 503-312-6213 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Info Process/Archiving-Lg$2.00(over 09/01/2022 $2.00 Occupancy Grp: Occupancy Load: 11x17) Dwelling Units: Misc Administration Fee 09/01/2022 $90.00 Erosion Control w/Development 09/01/2022 $107.60 Stories: Height: ft Bedrooms: Bathrooms: Value: $40,496 Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $199.60 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: 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 503.232.19 or 1.800.332.2344. Issued By: mittee Signature: 1 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 d E C E I VE D FOR OFFICE USE ONLY IICity of Tigard JUL 2 5 2022 Date>iy: i' G d l tosejp)i .)1 p6 • 13125 SW HaII Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.S98.1960r r' Ir Date/By: • I t�rj -oe)di T I G A R D Inspection Line: 503.639.4175 lJ I I Y Date Ready/By: rune: v" B See Page 2 for Internet: www.tigard-or.gov :.7' !II nip'(` r ,r,lf1A. 'fieNMethod: g Supplemental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING 0 New construction latemolition 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. ❑ 1-and 2-family dwellingValuation: $ ❑Commercial/industrial AgANWPI ❑Accessory building 0 Multi-family Number of bedroom . 9e5 5V6, Lim 0 Master builder El Other: Number of bathrooms: // JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /.3.3.29,e7 5 4 , , New dwelling area: square feet City/State/ZIP: � 102 e�/ Garage/carport area: square feet Suite/bldgJapt.no.: Project name: 6 7-71.•j7 CG Covered porch area: square feet Cross street/directions to job site: j,y j,_ (1A47/ Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAI.-USE CHECKLIST 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ae/nd 4h,-rt(ES) ex,,,f;rry -s,z/ .},c ti .r,5 Valuation: $ th fc> /M 6r-cr�l/-- f,fr C1°!N S�.1l 30(.t2_, Existing building area: square feet New building area: square feet 0 PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: I ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Contact name:� !�/ / ! Structural plan review fee(or deposit): �� / FLSplan review fee(if Address: / � applicable): �'�a3/ " t n4,,, ri.,yaei 1 geY,. sfi;to ie�—a City/State/ZIP: T ` l,�a/_i� Total fees due upon application: Phone:SQj3) 3� G��, Fax::( ) Amount received: E-mail:`!c>.jy�� J,G,syyr PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES' CONTRACTOR Commercial and residential prescriptive installation of A, roof-top mounted PhotoVoltaic Solar Panel System. Business name: -/v Or<®e� L� Submit two(2)sets of roof plan with connection details Y and fire department access,along with the 2010 Oregon Address: /sa LLi IGIA C6,+�_ 4 4 � �P� ;'le � SolarInrtallation Specialty Code checklist. City/State/ZIP: C�-✓Tit L g,GiPermit Fee(includes plan review $I80.00 and administrative fees): Phone:(yygl 3 eta Gses Fax:( ) State surchargepermit )�Vi/e (12%of fee): $21.60 CCB lie.: Total fee due upon application: $201.60 Authorized sign This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: G /�r=s 4,7 j I Date: *Fee methodology set by Tri-County Building Industry �4" Service Board. I:\Building\PermitsiBUP-RESPernutApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard li --,'� COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential Building Permit #: 6vc Pg,G — o( Site Address: \-3 b0 S(A P9erc u-vt Project Name: zive�Y— u� c'AA'A cfm+ it Deith6(-Lot <<j.' Land Use Case: -0)42_loL\- 0000y Zone: R 't , 0 , ;Cr-C Required Submittal Elements ici).3 copies of site plan VSquare footage of buildings to be demolished a Drawn to standard scale — eet-pr+rnt-of new structure and FFE 'North arrowetained trees, drip line / tree protection Site address, project name, lot # )1-Street trees shown / labelled Street names Sidewalk / driveway shown and dimensioned Applicant name and phone # © Utility locations & easements (new / additions) Lot and setback dimensions of wells i c pticsystems ❑ Existing structures on site verage percenrtage ❑ Erosion control omer elevations (2' contours if > 4' differential) 0 Vision dearance triangle shown Planning Review tIVerify address / suite # active in Accela. Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) Required: ❑ Yes ❑ No Received: ❑ Yes 0 No OA GV 9el U O Public Facilities Improvement (PFI) Permit: Required: ❑ Yes 0 No Applied For: ❑ Yes ❑ No, stop intake O Sensitive Lands: ❑ Yes 0 No Type: ;,_ ❑ Housing Supplemental Sheets Completed O Cottage Cluster C&O (1 site, 1 per unit) 0 Quad 0 Courtyard Units C&O (1 site, 1 per building) 0 Rowhouse O Cottage Cluster Type II (1 per unit) ❑ Small Form Residential / ADU O Courtyard Units Type II (1 per building) 0 River Terrace Addendum 0 Conditions met prior to issuance of building permit Approved By Planning: Date: -7' 7. 5's'Z2, Notes Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: I'+ButldingiFonmlBldpermdRIzc_Rea_0]0722 docx Building Permit Submittal Original Submittal Date: 7. �LZ Site Plans #: Building Plans #: Building Permit #: .' Building permit # entered on page 1 Workflow Routing: fanning ❑ Engineering 0 Permit Coordinator 0 Building Workflow Sign-off: Sign-off for Planning (include notes from planning review) Route Documents: .Engineering• (1)_copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ilding: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: Date: . 7,J/2..g Notes Engineering Review ❑ Slope at building pad verified Slope: ❑ Conditions met prior to issuance of permit ❑ Easements (encroachments) per engineering conditions of ap• • al and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ill No Assess Water Quantity Fee in-lieu: ❑ ❑ No LIDA Facility on lot: �'L7 Yes ❑ No Add Fee: ❑ Yes ❑ No ❑ Final Plat Recorded „---- ❑ NOT Approved Dater - Notes Approved By'Engineering: Date: Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved 0 Not Approved Date: /Permit Coordinator Review /2lConditions met prior to issuance of permit ❑ Approved, NOT Released : Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: 'SDC Exemption: ❑ Received X Does not apply 1ZZSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 1 N/A Tigard Trans SDC: ❑ Yes A N/A Parks SDC: ❑ Yes M N/A LIDA ❑ Yes ,p N/A OK to Issue/Approved by Permit Coordinator: Date: i(c{( 27 Revision 1: ElApproved ❑ Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: