Permit '- -Ey- CITY OF TIGARD BUILDING PERMIT
t,. COMMUNITY DEVELOPMENT Permit#: BUP2015 00344
a.�, l' Date Issued: 12/08/2015
Tfakkb 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
7;;t; r1.., Parcel: 2S104AC10900
Jurisdiction: Tigard
Site address: 13350 SW WALNUT ST
Project: Walnut Ridge Subdivision: HANDY ACRES Lot: 34
Project Description: Demo existing house(1643 sf)and detached garage(520 sf). On sewer service. Upon building final demo credits
may be applied.
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: 503-645-0986
FAX: 503-846-1354
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const:
Occupancy Grp: Occupancy Load:
Dwelling Units: 1
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $0
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $0.00
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. ATT =u' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- - 010 through OA- t52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli •503.232.1987 or 1.800.332.2344.
Issued By: / , Permittee Sign J /
Call 503.639.4175 by 7:00 a.m.for the next available inspe do• .ate.
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 j.-Y.
, FOR OFFICE USE ONLY �p p�
City of Tigard \ '`
Received /� ,,�' r1 /jam Permit No.: ���Q 7—`KJ��,
aDPate R v: J
✓� = 13125 SW Hall Bl d.,Tigard,OR tliieN'Jtt \ PlanReview i / - ' ` "'Phone: 503.718.2439 Fax: 503.51960 y7- 1\3
G 1 1 DateBv: Other Permit.
TIGARD Inspection Line: 503.639.4175 Vit\I . 9� Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov -'r r+f;IPAj.. Notified/Method: MI Supplemental Information
;TYPE,iOF? A z i. 1k.�".`a%' .
' • .. _ FAMILY DWELLING
4�5 = REQUIItED DATA:1-A�7L12-F
V, ❑New construction tf 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
:-' ---GORY OF jCONSTR•UCTION.)T - '!{ ;.;�,'.,, -` work indicated on this application.
IA
K
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $12,000
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 2
a. `>,'Z a JOB•`SITEINFORMATIONAND ...Art,,,,..., ,,,,:.,:,v: Total number of doors: 1
J �_ , ^' ; :' ....z�:�.,.,: li� rr..._ ._ • .,. -.r...�... � ..
Job site address:/33x4 S41Walnut Street New dwelling area: square feet
NIN
4aCity/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
gSuite/bldg./apt.no.: Project name:Walnut Ridge SUB 14-11 Covered porch area: square feet
t Cross street/directions to job site:Walnut and SW 133rd Deck area: square feet
Other structure area: square feet
REQUIRED,DATA:COMMERCIAL-USE CHECKLIST',,
aSubdivision:Walnut Ridge SUB 14-11 Lot no.: Permit fees*are based on the value of the work performed.
e/ 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 o=` i -, work indicated on this application.
M Demo existing buildings in preparation for upcoming subdivision. Valuation: $
House is on sewer. House#1 1643 sq ft, Existing building area: square feet
Detached Garage 520 sq ft New building area: square feet
< 3 "®•'PROPERT} OWNER ❑„TENANT -:,,4;. Number of stories:
Name:Riverside Homes LLC Type of construction:
Address: 17933 NW Evergreen Parkway,Suite 370 Occupancy groups:
City/State/ZIP: Beaverton,OR 97006 Existing:
Phone:(503)645-0986 Fax:(503)690-2942 New:
,' .® APPLICANT : ❑ CONTACT''PERSON `= S''',", t"t;'".-.a:
Z i . . . ._� � �.. .. ,-., . , ,:: �, '" BUIL"DINGPERMIT•FEE "•�
n .i;_:�._;"`-.:-.� -: Pleaser `s ,
Business name:Riverside Homes LLC {- efer7ofeeschedule)
Structural plan review fee(or deposit):
Q Contact name:Niki Munson
FLS plan review fee(if applicable):
ik Address: 17933 NW Evergreen Parkway Suite 370
Total fees due upon application:
04 City/State/ZIP: Beaverton OR 97006
`` Phone:(503)645-0986 Fax: :( )
Amount received:
E-mail:nmunson@riversidehome.com " i"PHOTOVOLTAIC.SOLAR'PANELASYSTEMFEES_trs�_'-'
- -:.:1.•" Commercial and residential prescriptive installation of
- . ;,CONTRACTOR = -"`' • ., ""`•-�=`' ' roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Renner Trucking and Excavating Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Q_ Address:228 SW Walnut Street Solar Installation Specialty Code checklist.
City/State/ZIP:Hillsboro OR 97123 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)846-1512 Fax:( )
...yo State surcharge(12%of permit fee): $21.60
CCB lie.:163385
v Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
1__ / • within 180 days after it has been accepted as complete.
Print name: ,/,,h,�, /d ! •i ;9 '„;'---,i Date: - *Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-RESPermiL4pp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
II >n COMTIUNITY DEVELOPMENT DEPARTTIENT
• H` Building Permit Review — Residential•A.LiARDi
Building Permit #:
Site Address: /355-6 S ;,v LtAt wi i/
. Project Name: (jet 6i, t /a.1 Lot #:
(New dwelling= subdivision nam''.Addition of.Alteration = last name of owner)
Planning Review it(
( /�nv�e�
Proposal: a. Lno f t(A) j C� r5�v}�, iU /'
Verify site address/suite # exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes ❑ No
Site Plan * ements:
' copies of site plan 14.xisting srnictures on site
ite plan must be on 8-1/2"x 11"or 11 x 17" paper 7 tprint of new structure (including decks) with finished
aDrawn to scale (standard architect or engineer scale) floor elevations
North arrow Crlity locations(required for new,may apply for additions)
[51Site address, protect or subdivision name and lot number cation of wells/septic systems
X\pplicant information(name and phone number) ❑ -osion control (including drainage-way protection, silt fence
of dimensions and building setback dimensions lE esign,location of catch basin,etc.)
w//�''ffrot area,building coverage area, percentage of coverage and meet names
impervious area(applicable if R-7,R-12,R-25 & R-40) .-EI-S+rr tree size, type and location
I t'Property corner elevations (2 foot contour lines if more thanxisting trees to be retained with drip line,and tree
4 foot differential) protection measures
❑ Clean Water Ser-vices-.Service Provider Letter (lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified ❑ No Received: E Yes ❑ No
❑ Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified� � ❑l No �} pApplied For: ❑ Yes El No,stop intake
❑ Land Use Case #: SV/ 0.0 / U(U(,' /( G'V/G20 )21. -t9
❑ Zonin :
--- Setbacks: Front Rear Side Street Side Garage
-0 Landscape Requirement: °%a
-Lot Coverage Maximum: `%'a
---2--Building Height: Maximum Height Actual Height
$Visual Clearance
--a-Easements
❑ Sensitive Lands: ❑ Yes , ----No Type
Q--i aan FQres.tr-Plan IOU pU $ F 1�eecs. re c e;t-'-� -41-e-3- (>�-kc.1?,,�
Conditions "Met" prior to is ulnce of buildia ern p y
"`���otes: i 1 Oi,i /� -G� cef A>�G o� Ve4/-4 1 .//cv� J !
Approved By Planning: f/ Date: l' ,�—/j/
Revisions (after Building Submittaj%6v) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:1Building\Forms`.Bld2PennitRvw_RES_0709I 5.docx
Building Permit Submittal
Original Submittal Date: ////,y�i 5— .77
Site Plans: # 321
Building Plans: # 714"1-
Building Permit#: nter building permit# above.
Workflow Routing: [alt ring ngineering ❑'I�mit Coordinator ❑ Building
\Workflow Sign-off: tgn-off for Planning(include notes from planning review)
Route Application Documents: Ing eering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
iuildmg: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: � ' /,
G c,o,/ crii/1�_
By Permit Technician:
Ar f - Date: /7/j&/5—
Engineering Review
❑ Slope at building pad: /25
❑ 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:
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: 4Date: 8/1/A
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 Dev Tax: ❑ Yes Cl N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
id--7-115AcS
Kto Issue Permit - Nrlooricf tcpufl- Prc-icc--fi ,01u /'
Approved by Permit Coordinator: ��������' Date: 74,1‘
-£+--[S
I:\Building\Forms\BldgPennitRvw_RES_070915.docx
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
13350 SW WALNUT ST, TIGARD, OR, 97223
Residential - Building
299 Final inspection
PASS - No C of O
BUP2015-00344
Chip Barnett
Violation Summary:
Inspector Contractor