Permit CITY OF TIGARDBUILDING PERMIT
U COMMUNITY DEVELOPMENT Permit#: BUP2015 00324
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/08/2015
T t i A F..t3 g Parcel: 2S104AC10900
Jurisdiction: Tigard
Site address: 13320 SW WALNUT ST
Project: Walnut Ridge Subdivision: HANDY ACRES Lot: 34
Project Description: Demo existing 664 sf house on sewer. DEMO CREDITS APPLIED TO MST2016-00304&SWR2016-00266.
1/23/17,REPRINTED,demo credits actually applied to MST2016-00280&SWR2016-00245.
Contractor: RENNER TRUCKING&EXCAVATING INC Owner: RIVERSIDE HOMES LLC
228 SW WALNUT ST 17933 NW EVERGREEN PKWY,#370
HILLSBORO, OR 97123 BEAVERTON, OR 97006
PHONE: 503-846-1512 PHONE:
FAX: 503-846-1354
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 12/02/2015 $256.22
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Development 12/02/2015 $80.70
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 12/02/2015 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $337.42
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.
Iss ed By: Gt Permittee Signatui`
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.
CITY OF TIGARD
�, BUILDING PERMIT
b y
'' • COMMUNITY DEVELOPMENT Permit#: BUP2015-00324
4t a' Date Issued: 12/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718.2439
Parcel: 2S104AC10900
Jurisdiction: Tigard
Site address: 13320 SW WALNUT ST
Project: Walnut Ridge Subdivision: HANDY ACRES Lot: 34
Project Description: Demo existing 664 sf house on sewer. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES MAY
APPLY
Contractor: RENNER TRUCKING&EXCAVATING INC Owner: RIVERSIDE HOMES LLC
228 SW WALNUT ST 17933 NW EVERGREEN PKWY,#370
HILLSBORO, OR 97123 BEAVERTON, OR 97006
PHONE: 503-846-1512 PHONE:
FAX: 503-846-1354
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 12/02/2015 $256.22
Demolition
Occupancy Grp: Occupancy Load: Erosion Control w/Development 12/02/2015 $80.70
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 12/02/2015 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct. 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $337.42
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 • •• ••R 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.
Issue By: '/l /L Permittee Signature_ i
_ .[:.✓ / Q ALJ
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 JT'l. - //_,� _/r
Residential tt Folz OFFICE USE ONLY ,
City of Tigard \ ReDaceived I Permit No.: s fn` v _
11 q 13125 SW Hall Blvd.,Tigard,OR I` "�� "' f t_ tx�
g G Plan Review
1" '• Phone: 503.718.2439 Fax: 503.59 1960 1 Gl `lQ1J Date/B : Other Permit:
'1'1 G A R U Inspection Line: 503.639.4175 h\ov 1 N Date Ready/By: See Pagefor
Internet: www.tigard-or.gov t` fa Notified/Method: Supplemental Information
TYPE OF W ®�� REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction lElDemolition 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.
0 I-and 2-family dwelling 0 Commercial/industrial Valuation: $12,000
❑Accessory building 0 Multi-family Number of bedrooms: 3
❑Master builder 0 Other: Number of bathrooms: 2
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address:13320 SW Walnut Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Walnut Ridge SUB 14-11 Covered porch area: square feet
Cross street/directions to job site:Walnut and SW 133rd Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Walnut Ridge SUB 14-11 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S104AC10900 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.
Demo existing buildings in preparation for upcoming subdivision. Valuation: $
House is on sewer. Hdust.A1464 4s pft,House#2 664 sq ft Existing building area: square feet
> x41/04 ¢it f New building area: square feet
• 0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Riverside Homes LLC Type of construction:
Address: 17933 NM'Evergreen Parkway,Suite 370
Occupancy groups:
City/State/ZIP:Beaverton,OR 97006 Existing:
Phone:(503)645-0986 Fax:(503)690-2942 New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Riverside Homes LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Niki Munson
FLS plan review fee(if applicable):
Address:17933 NW Evergreen Parkway Suite 370
Total fees due upon application:
City/State/ZIP:Beaverton OR 97006
Amount received:
Phone:(503)645-0986 Fax::( )
E-mail:nmunson@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top •.unted PhotoVoltaic Solar Panel Sys_,• •.
Business name:Renner Trucking and Excavating Submit two sets of roof plan with con =- on details
and fire departm-=t access,along wi_, e 2010 Oregon
Address:228 SW Walnut Street Solar Installation .•cialtyCod,.•' ecklist.
City/State/ZIP:Hillsboro OR 97123 Permit Fee(incl !es , .n review $180.00
and ad ative fees):
Phone:(503)846-1512 Fax:( ) State surchar.- '2%of pe'-sit fee): $21.60
CCB lie.:163385
/ Tot- .fee due upon applicat ..41: $201.60
Authorized signature: )J`� This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
�, *Fee methodologyset byTri-County Building
Print name: �. jL�f� � Date: I ,'�i i�/.---..)--., Service Board. ty Industry
/ i_
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Ef1.. ..
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
,„
_...il
Building Permit Review — Residential
4 Iid
cW�
Building Permit #: 66620/ 5----(36- 1.1
Site Address: j 3 3,2-r, S tA, Glut 114 vol—
Project
ofProject Name: Ulm /0d - P/c/ -e, Lot #:
(New dwelling= subdivision nun Addition or Alteration=last name of owner)
Planning Review
�1 n v e
Proposal: avnu a( J '1 G.,, 4,v►„. /. /-,
,..
xVerify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes ❑ No
Site Plan F ements: uo
copies of site plan xisting structures on site
'mite plan must be on 8-1/2"x 11"or 11 x 17"paper ft//Footprint of new structure(including decks)with finished
llDrawn to scale(standard architect or engineer scale) floor elevations
tEtNorth arrow C tifity locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number • ■Location of wells/septic systems
Applicant information(name and phone number) •osion control (including drainage-way protection, silt fence
Xof dimensions and building setback dimensions i en�sign,location of catch basin,etc.)
///..`Foot area,building coverage area,percentage of coverage and trees names
impervious area (applicable if R-7,R-12,R-25&R-40) -qtr- tree size,type and location
JProperty 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—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: D Yes ❑ No
❑ Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied/ For: ❑ Yes ❑ No,stop intake
❑ Land Use Case#: S1/6(90/94b0 1 l A/c 41 S 12,
❑ Zoning:g
--•B—Setbacks: Front Rear Side Street Side Garage
❑ Landscape Requirement: vo
of Coverage Maximum:
....--B--Building Height: Maximum Height Actual Height
aisual Clearance
—__Z—Easements
❑ Sensitive Lands: ❑ YesX.--No Type
rban�t.�r Plat - � � _�� � �r
Conditions "Met"prior to issu nee of buildi ern QQb ri sQ� Repo.-f- rCc e t .tiy�e,�/^"_
otes: �/1GL/ oh — tee /'0 O/1 14c4.1441/(.4.1 eist_ 9
W ' /WE✓€' ,/
Approved By Planning: Date: r /U
Revisions (after Building Submitta• nly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPennitRvw_RES_070915.docx
Building Permit Submittal
Original Submittal Date: e/i2/ds-4..%
Site Plans:
Building Plans: # 441-
Building Permit#: rater building permit# above.
Workflow Routing: anning -engineeringernut Coordinator ❑ Building
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: L ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: k-/Y) i,7,'V CWtr..
By Permit Technician: � Date: ///64s-
'7)7Engineering Review
❑ Slope at building pad: LW
❑ 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
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: /Ale—,6-
Revisions
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
Approved, NOT Released: Acriqw..;-_-, Date: ////40 c
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:
❑ SDC Fees Entered: Wash Co Trans Dcv Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
K to Issue Permit - NIwri sk report- <G," �� C.*,r,,, i CU-ITC-�
tG>-7-ts
Approved by Permit Coordinator: �'-- Date:-•"7-1
is -g-�
I:\Building\Forms\BldgPennitRvw_RES_0709I 5.docx
Albert Shields
From: Albert Shields
Sent: Thursday, November 19, 2015 10:10 AM
To: 'NMunson@riversidehome.com'
Cc: #Building Permit Technicians; John Floyd
Subject: Demo, 13320 SW Walnut St., BUP2015-00324
Niki, on reviewing your application for this demo permit Planning has noted that we do not have confirmation from your
project arborist that the required tree protection is in place. When the protection measures are in place please have
your arborist send a confirming report to me and to John Floyd.
Thanks, Albert Shields.
•
1
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13320 SW WALNUT ST, TIGARD, OR, 97223
Residential - Building
299 Final inspection
PASS - No C of O
BUP2015-00324
Chip Barnett
Violation Summary:
Inspector Contractor