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Permit
CITY OF TIGARD BUILDING PERMIT ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00304 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/06/2017 Parcel: 2S108DB00200 Jurisdiction: Tigard Site address: 15475 SW 150TH AVE Project: River Terrace Crossing Subdivision: None Lot: None Project Description: Demolition of 4,238 sf residence and 1,368 sf accessory structure on septic. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES MAY APPLY. Contractor: NORTHWEST EARTHMOVERS INC Owner: KADEL, ROGER A TRUST PO BOX 1609 KADEL,JANET S TRUST SHERWOOD, OR 97140 15475 SW 150TH AVE TIGARD, OR 97224 PHONE: 503-625-3100 PHONE: FAX: 503-625-3108 Specifics: FEES Description Date Amount Type of Use: SFM Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 12/06/2017 $531.09 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 12/06/2017 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 12/06/2017 $107.60 Bedrooms: 0 Bathrooms: 0 Value: $31,620 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $639.19 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: 1 Ersn Cntrl 503-639-4175 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. Issued By: 7 C ,-.4c Permittee Signature: i/t/ /0‘ el/-/ 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 FOR OFFICE USE ON El City of Tigard DateBy: �/ 7 Permit No k,P,2 j� �0 56)7 13125 SW Hall Blvd.,Tigard,OR 972 .,� i T'; Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1 S60&-....k.„4",-,-. F K v` Date/By: Other Permit: 1 t C \I`II Inspection Line: 503.639.4175 Date Ready/By: /7/_51/' Juris: IN See Page 2 for Internet: www.tigard-or.gov N 0 V 1 4 2017 Notified/Method:MSupplemental Information C5 o 097 t ii'IC%fz'L-( TYPE OF wan (,t �� - I e }) REQUIRED DATA:1-AND 2-FAM1LY DWELLING ❑New construction d t Tilt "`' .'k\;s ::i - ' 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. Valuation: $31,620 ❑ 1-and 2-family dwelling 0 Commercial/industrial m ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:15475 SW 150th Ave New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:River Terrace Crossing V Covered porch area: square feet Cross street/directions to job site:East of SW Roy Rogers Road,South of SW Deck area: square feet Bull Mountain Road 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.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Demo existing structures,fence,and gravel Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name:CDCG 4 WLH 2 LP Type of construction: Address:703 Broadway St Suite 510 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695-7700 Fax:(360)693-4442 New: 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH LLC (Please reJertojeeseheduit) Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:703 Broadway St Suite 510 Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695-7700 Fax::(360)693-4442 E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:NW Earthmovers Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:13600 SW Galbreath Dr Solar Installation Specialty Code checklist. City/State/ZIP:Sherwood OR,97140 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)625-3100 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:62761 �. r Total fee due upon application: $201.60 Authorized signature: A jce e��GV 9 L t This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: A- . ( & e Date: y *Fee methodology set by Tri-County Building Industry Y uJS�I © ( 1 Service Board. I:lBuilding�Permits\BUP-RESPermitl4�p.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard .74N COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 c A R o Building Permit Review — Residential Building Permit #: 43 it/79,20/7-ee 3c y • Site Address: 6 7 S S A ve Project Name: �d✓� j Lot #: (New dwelling=subdivision name;Addition or Alteration=last nan) of owner) Planning Review Proposal: Po/no is 4 ey, 5��1•-I� �� --El Verify site address/suite# exists and active in permit system. p River Terrace Neighborhood: ❑ No GYYes,See River Terrace Review Addendum Attached Site Plan Elements: 't❑Three(3)—copies of site planung—structures on site O Site plea.,hast be on 8-1/2"x 11"or 11 x 17"paper structure(including decks)with finished ❑B�aWn tv JLale(standard architect or engineer scale) floor elevations 12-Narth'arrorop-- Eirtitritrefitions&easements(required for new and additions) _;I.Site—aikkessrpraiect or subdivision name and lot number ay approach l an ittferrnation(name and phone number) cif-wells/septic systems and building setback dimensions C£ sting-rreerto be retained with drip line,and tree €eetitge-erf buildings to be demolished protection measures building-coverage area,percentage of coverage and ❑ret tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) atrreet-frag4es EfPf6p'ertye eselevations(2 foot contour lines if more than >1,000-ofaf_impervious area created or replaced? ❑Yes"�No 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes,Efirro man wafer Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No I—I Publi, Earilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake E"Land Use Case#: S03 QO/gyp ~000i3 />L)/ c Q/l -0OD/ c Zoning: - l z (Pb backs: Front Rear Side Street Side Garage l i T.andsrape Requirement: 0/0 0/0 n T^t r overage Maximum: 1 l Building Height Maximum Height Actual Height ❑-�Lisual Clearance EL Sei ve Lands: ❑ Yes ❑ No Type roan Forestry Plan —renditions "Met"prior to issuance of building permit Notes: Approved By Planning: 4 Date: t/ 17/ i- — 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\B1dgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: //,/y//7 Site Plans: # 2. Building Plans: # i✓,/9' Building Permit#: $Enter building permit#above. Workflow Routing: �YI'lanning C <ngineering [ermit Coordinator ❑ Building Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: er Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. i)/ !: uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 9'j A" Date: 7/�///7 Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes ❑ No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: ((AAA,tl— Date: 1( 11 Revisions (after Building Submittal only) Reviewer ate Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review i, Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Dern l7 O fl /' 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 ■ /A Tigard Trans SDC: El Yes Al N/A Parks SDC: El Yes II N/A LIDA El Yes N/A ' OK to Issue Permit Approved by Permit Coordinator: Oeitkijii, Date: \2,114 I 1 1 I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15475 SW 150TH AVE, TIGARD, OR, 97224 December 27, 2018 at 12:06:10 PM Record Type: Record ID: Residential - Building BUP2017-00304 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor