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Permit (46) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT1111 Permit#: BUP2017-00310 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2017 TIGARD Parcel: 251070001400 Jurisdiction: Tigard Site address: 15252 SW ROY ROGERS RD Project: Polygon at River Terrace Edge Subdivision: None Lot: None Project Description: Demolition of 4,205 sf residence on septic. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES MAY APPLY. Contractor: NORTHWEST EARTHMOVERS INC Owner: POLYGON WLH LLC PO BOX 1609 109 E 13TH ST STE 200 SHERWOOD, OR 97140 VANCOUVER,WA 98660 PHONE: 503-625-3100 PHONE: FAX: 503-625-3108 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 12/28/2017 $475.99 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 12/28/2017 $2.00 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 12/28/2017 $107.60 Bedrooms: 0 Bathrooms: 0 Value: $26,750 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $585.59 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. Issued By: Permittee Signature: 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. RECIVED Building Permit Applicatio 'EI ResidentialNPV 2 9 2017 FOR OFFICE USF,ONE City of Tigard Received �7��� , ,r� S `, g q ,{, �y y� lateB : f o29 Permit No /�7 f�G��i o 13125 SW Hall Blvd.,Tigard,OR 97CITY Of TIGARD Plan Revim I Phone: 503.718.2439 Fax: 503.598. 60 ii�y DateB : Other Permit: i i t A i,i, Inspection Line: 503.639.4175 BUILDING DI Y IS1Q DateReadyBy: orris: la See Paget for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ®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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $26,750 ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:15252 SW Roy Rogers Rd New dwelling area: square feet City/State/ZIP:Sherwood,Oregon,97140 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ?ol.,m,.0.4 Gar-5.00.0, Ealt, Pr Covered porch area: square feet Cross street/directions to job site:South of Bull Mountain Road, Deck area: square feet adjacent to Roy Rogers Road. Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE C IIFCKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S1070001400 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. Demolish all existing buildings and structures e/V' S .6-707--,c Valuation: $ ` Existing building area: square feet --5-779--,-( d4;7 New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Polygon WLH,LLC. Type of construction: Address:703 Broadway Street Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: .. APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Polygon WLH,LLC. , 4, ,>/ Nieble L-` (Please safer tofeeschedule) / Structural plan review fee(or deposit): Contact name:Angela Grajewski g-,9-i 4.pv 40 — Address:703 Broadway Street FLS plan review fee(if applicable): RcI �1QG'%" C. CC��Iri7un, , /�„ Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com 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 a Total fee due upon application: $201.60 ik...' Authorized signature: / L This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 4 /pA �j e J n Date: / *Fee methodology set by Tri-County Building Industry �/ t� �W.l `����/�� Service Board. I:\Building\Permits\BUP-RESPermit doc 02/24/2011 440-4613T(11/02/COM/WEB) 4177 'f7 (TCr `'7 7 �e r .7 / City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: /3uio. /7 -e©3/U Site Address: 1 SZSL Sw i y Kay trs J. Project Name: Pa17 j- tt rr -Tv,-„it �dy<_ Lot #: - (New Melling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: O2r•wt311 M ei.31-iny (}vilrjiny5 Gnd Sl'rvNil LlY Xrify site address/suite# exists and activ in permit system. Er River Terrace Neighborhood: 5 No ❑ Yes,See River Terrace Review Addendum Attached Sit/Plan Elements: ree(3)copies of site plan Lxisting structures on site gSite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale)OD floor elevations orth arrowJtility locations&easements(required for new and additions) L7 ' e address,project or subdivision name and lot number Sidewalk/driveway approach pplicant information(name and phone number) Location of wells/septic systems [ t, t dimensions and building setback dimensions Existing trees to be retained with drip line,and tree Square footage of buildings to be demolished rotection measures ire of area,building coverage area,percentage of coverage and syeet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) DStreet names roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Ye INo 4 foot differential) If yes,is a storm water quality facility shown? ]1t❑No Elf Clean Water Services—Service Provider Lettyr (lot platted prior to 9/10/1995): Required: El Yes,applicant was notified C�( No Received: ❑ Yes ❑ No VPublic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified DI No Applied For: ❑ Yes ❑ No,stop intake re and Use Case#: -- r r L o L1d Zoning: R -1Z VD) _ K-1- Required Setbacks: Front Rear Side Street Side Garage Landscape Requirement: 011A-Lot Coverage Maximum: 0/0 AA Building Height: Maximum Height Actual Height ! ' isual Clearance Y SSensitive Lands: /Yes 111No Type \/yc II hJa[ (4 4,-� SLII G 7Z S� , i'lQ,j J Lt ' Urban Forestry Plan Sid. 1-11,UtN 41-(-1 Law Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: gf'L- Date: II-Z.01- Revisions I Z.01- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl Not Approved I:\Building\Fonns\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: /// 9//7 Site Plans: # s Building Plans: # N �}- Building Permit#: L 'Enter building permit#above. Workflow Routing: g"-Planning Er Engineering O 15ermit Coordinator ❑ Building Workflow Sign-off: Lg--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. A) 1 Building: original permit application, site plans,building plans,engineer and /I' beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: #<)", rtc_rf-C______ Date: ///P9// 7 Engineering Review R Slope at building pad: Conditions "Met"prior to issuance of building permit ErLEsements (encroachments)per engineering conditions of approval and plat 2K—Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [ No Assess Water Quantity Fee in-lieu: ❑ Yes Et—No LIDA Facility on lot: ❑ Yes CT1CTo ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: / , 67 l4 t IL Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: E 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:7Date: / Z- Notes.: c'41,--e--1)1- 416CLe0-1-t- 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: p317 SDC 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 OK to Issue Permit 12��-.Co Approved by Permit Coordinator: Date: 1.7____ I:\Building\Fonns\B1dgPermitRvw_RES_061417.docx Albert Shields From: Albert Shields Sent: Monday, December 11, 2017 10:58 AM To: Angela Grajewski (Angela.Grajewski@polygonhomes.com) Cc: Monica Bilodeau Subject: BUP2017-00310 - Demo for Polygon at River Terrace Edge Angela, in processing your application for this demo permit I note that condition#1 for PDR2015-00009,Tree Protection, has not yet been met. Accordingly, I will put this application on hold as "Approved but Not Released" until we receive notification that the requisite tree protection measures are in place. Please let me know if you have any questions. Albert Shields Permit Coordinator City of Tigard Albert a,tigard-or.gov 503-718-2426 1 Pacific Community Design Transmittal DATE: November 29, 2017 TO: Planning, Building Services City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 RE: River Terrace Edge - Demolition Permit PROJECT NO: 395-045 Via: Electronic Messenger: ❑ Mail ❑ Overnight ❑ Pick-up 0 Rush / Route ❑ Fax pages (including this page) Fax No. 000-000-0000 Transmitted: ® FOR APPROVAL ® FOR REVIEW AND COMMENT ® FOR YOUR USE ❑ AS REQUESTED CI Attached: COPIES DATE DESCRIPTION 1 11/29/17 Building Permit Application, Signed ,X'd2. 11/29/17 Demolition Plans 1 11/29/17 Tree Inventory for Nearby Properties 1 11/29/17 Tree Preservation Plan for River Terrace Edge REMARKS: SIGNED: ;rad Dillingham Mail: 12564 SW Main Street,Tigard, OR 97223 Phone: (503)941-9484Fax: (503)941-9485 Website: www.Pacific-communitv.com City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15252 SW ROY ROGERS RD, SHERWOOD, December 27, 2018 at OR, 97140 12:04:55 PM Record Type: Record ID: Residential - Building BUP2017-00310 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor