Permit (16) CITY OF TIGARD BUILDING PERMIT
' '-! A ' COMMUNITY DEVELOPMENT Permit#: BUP2022-00251
Date Issued: 10/5/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BC01300
Jurisdiction: Tigard
Site address: 12200 SW BULL MOUNTAIN RD
Project: Heights at Bull Mountain Subdivision: HEIGHTS AT BULL MOUNTAIN Lot:
Project Description: Demolition 1,412 sq.ft.detached dwelling on septic and a 150 sq.ft.shed.Septic tank to be pumped and filled.
UPON FINAL INSPECTION, DEMO CREDITS FOR PARKS AND TRANSPORTATION SDC FEES WILL APPLY.
Contractor: VENTURE PROPERTIES INC Owner: VENTURE PROPERTIES INC
4230 GALEWOOD ST STE 100 ATTN RITZ, KELLY
LAKE OSWEGO, OR 97035 4230 GALEWOOD ST STE 100
LAKE OSWEGO, OR 97035
PHONE: 503-563-6151 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM T Erosion Control w/Development 10/05/2022 $107.60
ype of Const: Misc Administration Fee 10/05/2022 $90.00
Occupancy Grp: Occupancy Load:
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 10/05/2022 $1.00
11x17)
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $50,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $198.60
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 btain a copy orttre-.E.Wes or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ittee Signature:
a 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 e - S/5/2 _
Residential RECEIVE
Received 11. t Permit No. T_ ' 4.s
City of Tigard tyg`a Date/By: (ZZ R"V
;. 13125 SW Hall Blvd.,Tigard,OR 97223 itii'' u°r' Plan Review
Phone. 503 718.2439 Fax: 503.598.1960 7 rry p Date/By: Other Permit:
I I t, I:I) Inspection Line: 503.639 4175 CITY OF tIGAI- Date Ready/By: +S t��j" ® See Page 2 for
Internet www.tigard-or gov r Notified/Method: /t S/)� )Y lie Supplemental Information
g 1! !, n! tr n7100 t
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction leDemolition 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
CATEGORY OF CONSTRUCTION work indicated on this application.
� valuation: S 50,000.00
L�J I-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12200 SW Bull Mountain Rd New dwelling area: square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Heights at Bull Mountain Covered porch area: square feet
Cross street/directions to job site: SW Bull Mountain Rd and SW 120th Place Deck area: square feet
One residential home and shed Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 2S11 OBCO1300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Removal of one residential home and shed Valuation: S
Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: Venture Properties, Inc. Type of construction:
Address:4230 SW Galewood St., Suite #100 Occupancy groups:
City/State/ZIP: Lake Oswego/OR/97035 Existing:
Phone:( )Please contact applicant Fax:( ) Please contact applicant New:
'APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please rev,to fee sche utr)
Business name: AKS Engineering & Forestry, LLC Structural plan review fee(or deposit):
Contact name:Darko Simic
FLS plan review fee(if applicable):
Address: 12965 SW Herman Rd Unit#100
Total fees due upon application:
City/State/ZIP: Tualatin/OR/97062
Amount received:
Phone:( 503)563-6151 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: darkos@aks-eng.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Venture Properties, Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4230 SW Galewood St., Suite#100 Solar Installation Specialty Code checklist.
City/State/ZIP: Lake Oswego/OR/97035 Permit Fee(includes plan review S180.00and administrative fees):
Phone:( ) Please contact applicant F. :( • )Please contact applicant State surcharge(12%of permit fee): $21.60
CCB lie.: 94969 - ! Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
g within 180 days after it has been accepted as complete.
gate: vZZ_ *Fee methodology set by Tri-County Building Industry
Print name: Rd C�( F� I z� , '= Service Board
l:\Building\Permits\BUP-RESPermitApp doe 02/24/201 1 440-4613T(1 1/02/COM/WEB)
City of Tigard
IN7 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD
Building Permit Review — Residential
•
Building Permit #: 1S 202-Z %,
Site Address: 6 UO 614 'Jtt M+ .
Project Name: Ve.thAtePr r1-I f5 D- 't&o `i.f,.��v1 Lot #:
Planning Review ((,, (( 1(���'''_ , j £ j \ vProposal: i � 't'l�\N k#&ckA.. .1).' aka
Verify address/suite # active in Accela. In River Terrace: No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: yErosion Control
f3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper ❑R..tu.;.....1 tt...,,'nitl..ltil li..,,,,,,,1 II,,J imA...,t.�.....ett�ttte�
`'Drawn to scale(standard architect or engineer scale) re Inc u ing
pNorth arrow ea emen s new an a ons
ite address,project or subdivision name and lot number
idewalk/driveway approachApplicant information(name and phone number) Location of wells/septic systems
ebldTgttacicB-S e -*+-PP size type and locati�_
Square footage of buildings to be demolished ltreet names
Existing structures on site Agorner elevations (2'contours if more than 4'differential)
a,percen >1,000 sf of impervious area created or replaced? EYes K3No
a , 12,E 25&R 10) If yes,is a storm water quality facility shown? ❑Yes 82No
Clean Water Services -Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 4 No Received: ❑ Yes ❑ No
C7 Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified AO'No Received: ❑ Yes ❑ No
449 SDC Exemption for ADU applied for: ❑ Yes No Received: El Yes ❑ No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified - No Applied For: ❑ Yes ❑ No,stop intake
M Land Use Case #: ( 15?0Z( " 3 f Zoning: R. '1
❑-RequiredSet}2acks: Front:_ RPa+ Side: gttggt Side• ma's _
ht: M v ugh+
B—L-rrt-vv"eraMax:
Entrance back no more than 8'from street-facing wall ❑ Parallel treet or offset 45 degrees or less
Windows ❑ Minimum °o of area of all street-facing facades
Garage ❑ Garage door is be • widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more 5'from wall t ere is a covered porch extending beyond garage.
❑ Door extends no more than 5'fro 11 and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width is ❑ 12' ss ❑ 50°o s of facade ❑ 60%or less and includes 7 of following:
❑ Covered porch ecessed entrance ❑ Wall o ❑ 1'Roof eave ❑ Roof offset
❑ Fire shingle ❑ Lap Siding ❑ Roof pitch ❑ Gable, • r ambrel roof ❑ Dormer
❑ Acc siding ❑ Window trim ❑ Window recess ❑ Window tion ❑ Balcony
-E Visual eleaiaiiee ,i Urban Forestry Plan "Sr-
�o �`
Sensitive Lands: Yes ❑ No Type: fI �-P u �d
PConditions met prior to issuance of building permit 1
Notes: $GG 508 202t - 3 `-0r- re_IvrPo
j
Approved By Planning: i Date: 5251Zo 22
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
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I
Building Permit Submittal
Original Submittal Date: S I S 12Z
Site Plans: # S
Building Plans: # 3
Building Permit#: 2 Enter building permit#above.
Workflow Routing: CYPlanning [ ' Engineering El/Permit Coordinator 2/Building
Workflow Sign-off: [ISign-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;routingiorm.
dBuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,,etc. .
Notes:
By Permit Technician: \\`�- v A"Dew e co,.e,- Date: t o\gyp'
V
gineering Review
❑ S eat building pad:
❑ Condit.• "Met"prior to issuance of building permit
❑ Easements (en •achments)per engineering conditions of approval and plat
❑ Water Quality/Qu, Facility:
Assess Water Quality in-lieu: ❑ Yes 0 -No
Assess Water Quantity Fee i •eu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Y ❑ 'No Add Fee: ❑ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineeri • Date:
Notes:
❑ Approved by En_•-eering: Date:
Revisions (after : ilding Submittal only) Reviewer Date
Revision . ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
P- r it Coordinator Review
!, •onditions "Met"prior to issuance of building permit
/Approved,NOT Released: y) Cj e a b Date: (Q -752
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
' ' DC Exemption: ❑ Received If Does not apply
4SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes `N/A
�bK to Issue Permit
Approved by Permit Coordinator: Date: ( L((1 v
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