Permit y CITY OF TIGARD BUILDING PERMIT
11111 s, COMMUNITY DEVELOPMENT Permit#: BUP2014-00151
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2014
Parcel: 2S 110C B02000
Jurisdiction: TIGARD
Site address: 12035 SW BEEF BEND RD
Project: South View Heights Subdivision: KING CITY NO.14 Lot: 9
Project Description: Demo 2,650 sq ft house,410 sq ft garage&(2)sheds. Existing well to be decommissioned,septic tank to be
pumped and removed or filled, SDC credits to be available upon final inspection.
Contractor: NORTHWEST EARTHMOVERS INC Owner: VENTURE PROPERTIES INC
PO BOX 1467 4230 GALEWOOD STREET SUITE 100
TUALATIN,OR 97062 LAKE OSWEGO,OR 97035
PHONE: 503-625-3100 PHONE: 503-387-7600
FAX: 503-625-3108
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/07/2014 $453.95
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Permit-Eng 07/07/2014 $75.00
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 07/07/2014 $1.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $529.95
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 •• - in accordan• ith 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
•. s. ATTENTION: Orego 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 95 001-0090. You may obtain a copy of the rules or direct questions to OUNC b - . •1.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: `i 'f/ ill--��
Call 503.639.4175 by 7:00 a.m.for the next ava a. pe .on date.
This permit card shall be kept in a conspicuous place on the job site •• completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED F012 OFFICE: I SE O\1.1
Received
City of Tigard Date/B : 7 I„ID/ 1 0/S/
'
13125 SW Hall Blvd.,Ti rd,OR 97223
ga H L 7 2014 Plan Review Phone: 503.718.2439 Fax: 503.598.196W Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/8y: �py II'' Juris: 61 See Page 2 for
Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method: 7 a fJT Supplemental Information
BUIGDINr,DIVISION TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ®Demolition A ,..e? 5-F 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.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 5'
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
.JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12035 SW Beef Bend Road New dwelling area: square feet
City/State/ZIP:Tigard,OR.97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:South View Heights Covered porch area: square feet
Cross street/directions to job site:Hwy 99W to West on Beef Bend Rd. Deck area: square feet
North side of Beef Bend Rd.,approximately 400 feet west of SW 119t Avenue Other structure arca: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:South View Heights-SUB2013-00005 Lot no.: Permit fees*are based on the value of the NAork performed.
Tax map/parcel no.:2S110CB/02000 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.
Demolition of existing home and appurtanent structures and/or storage buildings. Valuation: $
Existing building area: square feet
New building area: square feet
El,PROPERTY OWNER ❑ TENANT Number of stories:
Name:Venture Properties,Inc. Type of construction:
Address:4230 Galewood Street,Suite 100 Occupancy groups:
City/State/ZIP:Lake Oswego,OR.97035 Existing:
Phone:(503)387-7600 Fax:(503)387-7615 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Venture Properties,Inc.
Structural plan review fee(or deposit):
Contact name:Mimi Doukas —
FLS plan review fee(if applicable):
Address:4230 Galewood Street,Suite 100
Total fees due upon application:
City/State/ZIP:Lake Oswego,OR.97035
Amount received: 54?. c y
Phone:(503)387-7600 Fax::(503)387-7615
E-mail:mimi @ventureprop.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installa•
CONTRACTOR roof •• mounted Photo Voltaic Solar Pa': ystem.
Business name:Northwest Earthmovers,Inc Submit 2)sets of roof plan wi onnection details
and fire departm- . cess,alo i_with the 2010 Oregon
Address:PO Box 1609 Solar Installation Specia ,'ode checklist.
City/State/ZIP:Sherwood,OR 97140 Permit Fee(incl s plan w $180.00
and .. inistrative fees):
Phone:(503)625-3100 Fax:( ) _ State sur •rge(12%of permit tee): $21.60
CCB lie.:62761 I11' 1I4r Total fee due upon application: $20 .60
Authorized signature J This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kelly Ritz,President,Venture Prop Date:” z 1-' I *Fee methodology set by Tri County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(I 1/02/COM/WEB)
City of Tigard
PAI ,
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G n K D Building Permit Review — Residential .
Building Permit #: i) (-LP 6 o I 4- DD / Sf
Site Address: } 2-o3 c SW ge4 F.ena Red r
Project Name: SoiXtin View/ He.iph-{-5 Lot #: 3
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Prop sal: Demo 4 exIs+I n9 home and accessory shInGh4 reS,
Verify site address/suite #exists and active in permit system.
Si Plan Elements:
Three(3)copies of site plan 'sting structures on site
• e plan must he on 8-1/2"x 11"or 11 x 17"paper C - : •: =.- : 0 e(including decks)with finished
.
awn to scale(standard architect or engineer scale) : ' • ; . 5 n/a-
1-
�orth arrow F. i.'ty locations(required for new,may apply for additions)
to address,project or subdivision name and lot number 15 a ation of wells/septic systems
Ap.licant information(name and phone number) FI Erosion control(including drainage-way protection,silt fence
14P1 ❑ .t dimensions and building setback dimensions esign,location of catch basin,etc.)
I:Lot area,building coverage area,percentage of coverage and Ltd S et names
impervious area(applicable if R-7,R-12,R-25&R-40) location
s Property corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services
/I
ce Provider Letter: (lot platted prior to 9/10/1995):
RReq,' ed: ❑ Yes Received: ❑ Yes No
IS and Use Case#: SUB 2_01'3-0000 5
Zoning: R--7
etbacks: Front 1 S' Rear I S I Side 5 I Street Side Garage
IT(' Landscape Requirement: Z0 %
:t Coverage Maximum: 0
uilding Height: Maximum Height n 1 a, Actual Height r-4 c
k' Visual Clearance
2 Easements 1
❑ Sensitive Lands: Yes ❑ No Type 17 54e--
0 Urban Forestry Plan—,i
• .2 Conditions Met — prav i de arbo r i 5i l ei/ ne.,r C ar,d■i-i or 2_
t""�
Notes: 60M377/G7d 42. 01 b-.7 6-s'7 *lc S 4444 yu xi i I i c G4c
Approved By Planning: Date: 1. 1' /la.Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES 0429I4.docx
Building Permit Submittal
Original Submittal Date: 7/7
Site Plans: # 5
Building Plans: # N,
Building Permit#: 2rtnter building permit#above.
Workflow Routing: ( 1'ianning Engineering rmit Coordinator
Workflow Sign-off: 0/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.
/l -Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: C Date: 7/7/ /
Engineering Review
❑ Actual Slope:
❑ Conditions Met
Notes: iQ rA.v k/- 9
Approved by Engineering: Date: 7•• 7, i rf
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
our K to Issue Permit ,
Approved by Permit Coordinator: Date: f 4`
I:\Bui(ding\Fortes\BIdgPermitRvw_RES_042914.docx
l _ _
CITY OF TIGARD FEE AND PAYMENT HISTORY
r
i • . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
BUP2014-00151 - 12035 SW BEEF BEND RD, TIGARD, OR 97224
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Permit Fee-Additions,Alterations, 230-0000-43104 $453.95 $453.95 $295.07 7/7/14 Check 196722 $0.00
Demolition $158.88 7/7/14 Check 196723
Permit Fee-Additions,Alterations, 230-0000-43104 $453.95 $453.95 $295.07 7/7/14 Check 196722 $0.00
Demolition $158.88 7/7/14 Check 196723
Erosion Control w/Permit-Eng 100-0000-43134 $75.00 $75.00 $75.00 7/7/14 Check 196723 $0.00
Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $1.00 $1.00 $1.00 7/7/14 Check 196723 $0.00
11x17)
Totals for Fees $983.90 $983.90 $529.95 $453.95
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
196722 Check 31283 Venture Properties Inc 07/07/2014 $295.07
196723 Check 31346 Venture Properties Inc 07/07/2014 $234.88
Total Payments: $529.95
Balance Due: $0.00