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Permit (53)
CITY OF TIGARD BUILDING PERMIT 111 " Permit#: BUP2017-00284 COMMUNITY DEVELOPMENT Date Issued: 12/21/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB01400 Jurisdiction: Tigard Site address: 16325 SW 113TH AVE Project: Willow Brook Subdivision: WILLOW-BROOK-FARM Lot: 19 Project Description: Demolition of a 1,836 sq.ft.house on septic. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES WILL APPLY. Contractor: REVCON INC Owner: MISSION HOMES NW LLC 21420 NW NICHOLAS CT PO BOX 1689 HILLSBORO, OR 97124 LAKE OSWEGO, OR 97035 PHONE: 503-848-7300 PHONE: FAX: 503-356-5599 FEES Specifics: Date Amount Description Type of Use: SF Permit Fee-Additions,Alterations, 12/21/2017 $225.80 Class of Work: DEM Type of Const: Demolition Occupancy Grp: Occupancy Load: Erosion Control w/Development 12/21/2017 $80.70 Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 12/21/2017 $0.50 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Value: $10,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $307.00 Required: Required Items and Reports(Conditions) 1 Engineered Soils Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: a Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applica ntitIVED Residential k• 1oR 0111(11 1s1 0\I.1 City of Tigard 11 2017 E€ew'0 11? PermitNo.: L,./r /7 ZiIN , J N13125 SW Hall Blvd. Tigard,OR 9723 ■ Phone: 503.718.2439 Fax: 5O3.59�$ Ql,,v, fl Date/By: l Other Permit: T I G n R D Inspection Line: 503.639.4175 4 l Il Date Ready/By: , jjj .orris. ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:/i,I)id i e., Supplemental Information E tI L4.tl 44-"t',1-P(!.... TYPE OF.WORK REQUIRED DATA:1 AND 24'AMILY 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 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY O EONSTRUC'ION work indicated on this application. 0 0 ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ I (� Number of bedrooms: ❑Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /'•�3) ,( New dwelling area: square feet City/State/ZIP: i [ Ca(L\ Ca 0 Q_ Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: 1 Deck area: square feet SU.) ©C 7(ho. 'M Ct h 6, S LA ) \ -'1\'N Other structure area: square feet t tf ' 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 O„,,.,i,,:,,,,,,,„,,_,,,,<„,„,,,,,:.:,.,1,,..„,,,,„:„,„.7„,,,,,,,,,,,,,,;„,,,,:,,,,L,' * - work indicated on this application. Valuation: $ 1 c 1 ce d( e.\Q C'-(�_ ,c r;"' vk v Q Existing building area: square feet / t ( S () � tAi S 0°77 C. New building area: square feet �.r _ TO ,r, =:=';"---`.-n-',== =-• >A .A N. ,, ...,. :.�a»�.'; Number of stories: Name: N\Acz..iskcj c \1/4:\0 c\-._e5 Type of construction: Address:--/Ct'?>Ci e)l_ j C k c- cu S ‘---, Occupancy groups: City/State/ZIP: GeCt Je.w'-_0 N \ ___ -Loci& Existing: Phone:(t'(j (4,62 424 S Fax ( ) New: . � * ! 0i1ZPiiii:i r. k ;ButGjmNVPERmirtgEs k ' � ttd e7ec l tch l Business name: { vfiofkneStructural plan review fee(or deposit): Contact name: S--- C� CJ v d f l f� /t/ FLS plan review fee(if applicable): Address: t.k'-i Lt 5 j ctA Oc O a V C`— 10 o n i^I U n ctZ o o Total fees due upon application: City/State/ZIP: LxX.J ` '\�-J VC.- Phone:(�'�?� --7 4 S�[L Fax::( ) Amount received E-mail: '-'3Y� `� 2 C .Q d e5` h•C U F`H8£© t?L AIC SQLAR I?ANEL S'YST I FEES* k. CIL .: - Commercial and residential prescriptive installation of CONTRACTOR , , _ roof-top mounted Photo Voltaic Solar Panel System. Business name: %.G/G'C,\/ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: , s/'47 ;A/dy Jx�g C`// ©te-S" C f Solar Installation Specialty Code checklist. City/State/ZIP: if L�S �d/20/ e)‘__ 9 i,0�/ Permit Fee(includes plan review $180.00 and administrative fees): Phone: ,�3) `,•13:k..2 ._ (,,3 C,C� Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: ./(r,0 9/ `7 Total fee due upon application: $201.60 Authorized signature: f iv 1 t C1 ..,5`"..tel This permit application expires if a permit is not obtained 6,1(1 ` within 180 days after it has been accepted as complete. `/ Date: `_ *Fee methodology set by Tri-County Building Industry Print name: a_ K�\ K�(J '1. Cl k U'Z ! (� Service Board. I:\Building\Permits\BUP-RESPemritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard IIM COMMUNITY DEVELOPMENT DEPARTMENT I: Building Permit Review — Residential TIGARD Building Permit #: 0,09o„1)i 7-- Lj Site Address: j & 3 Z S Cw 1 1 3 fl owe. Project Name: WI I 1 OW e r90 k_ O All O Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 001 0 On I inVerifysite address/suite# exists and active in permit system. Z1River Terrace Neighborhood: / No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Existing structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper ❑Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floo elevations /North arrow CI Utility cations&easements(required for new and additions) /Site address,project or subdivision name and lot number ❑Sidewalk . eway approach fV/A /Applicant information(name and phone number) ❑Location of wells s stem ❑Lot dimensions and building setback dimensions ,P'Existing trees to be retained with drip line,and tree ei quare footage of buildings to be demolished protection measures •Lot area,building coverage area,percentage of coverage and ❑Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ❑Street names ❑Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? EYes CI No /1 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ,No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified / No Applied For: El Yes ❑ No,stop intake Land Use Case#: c V 6 lo I b -000 Zoning: a 7 11 Required Setbacks: Front Rear Side Street Side Garage ■ Landscape Requirement: ❑ I.t Coverage Maximum: ❑ B : ding Height: Maximum Height Actual Height ❑ Vis -1 Clearance ❑ Sensi.' e Lands: N f A ❑ Yes ❑ No Type ❑ Urban srestry Plan ❑ Conditions `' et"prior to issuance of building permit Notes: Approved By Planning: V l t��- �__L ,/ Date: 1 0/2 4/ 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: ld3di 7 Site Plans: # -02 Building Plans: # A/11.- Building Permit#: ter building permit#above. �- Workflow Routing: D.P}�ning gineering [ 'Permit Coordinator ❑ Building Workflow Sign off: [Sign-off for Planning(include notes from planning review) Route Application Documents: [-gineering: (1) copy of permit application, (1) site plan, (1) building plan and orinal plan review routing form. L9'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: _�' .. Date: Engineering Review ❑ Slope at building pad: vGIConditions "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 A Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No i'''' ❑ NOT Approved by Engineering: Date: Notes: h Gi 712,0C �(Z.ti, CS d"�L `� ( O 61 (J l d C"] ( /i/i Approved by Engineering: Al �06L06Lw If. Date: 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved CI Not Approved Revision 2: IDApproved 1=1 Not Approved Revision 3: CI Approved ❑ Not Approved fl Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit i proved,NOT Released: dpi "-- /k-v 5tin 4Q a e: /d/3k k7-- 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: Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A it, LIDA ❑ Yes N/A XOK to Issue Permit Approved by Permit Coordinator: Date: -//>(2 i 7-- I:\Building\Forms\BldgPermitRvw_RES_061417.docx Albert Shields From: Albert Shields Sent: Tuesday, October 31, 2017 11:37 AM To: 'pam@emeriodesign.com' Cc: Gary Pagenstecher Subject: Willow Brook Demos, BUP2017-00283, -00284, & -00285 Pam, on reviewing your plans and applications for these three demo permits we noted that condition of approval#1, tree protection,for the underlying land use case,SUB2016-00011, has not yet been met. We do require that tree protection be in place before we issue demo permits for subdivisions. Please have your tree protection installed and have your arborist certify same in an email or letter to us. Thanks for your cooperation. Please let me know if you have any questions. Albert Shields Permit Coordinator City of Tigard Albert@tigard-or.gov 503-718-2426 i Branden Taggart From: Jill Bentley Sent: Monday, October 30, 2017 4:12 PM To: Branden Taggart Subject: RE: Sewer Connections Attachments: Jill.vcf Hi Branden, All three lots are not being billed sewer, and address 16285 is on a well and not connected to water either. Kind Regards, Jill Jill 1iCity of Tigard-Utility Billing �S Senior Accounting A55t TI43 Ago ,r-r a iuik (888)826-7211 Payments (503)718-2460 U13 t.t a i rt 1 rd-or.gov (503)718-2494 13125 SW I-fall Blvd. Tigard, OR 97223 From: Branden Taggart Sent: Monday, October 30, 2017 3:57 PM To:Jill Bentley<JILLB@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Sewer Connections Hi Jill, Can you check to see if the following addresses are billed for sewer? 16380 SW 113th Ave 16325 SW 113th Ave 16285 SW 113th Ave Thank you. I appreciate it. Brandon Taggart ONq City of Tigard . Permit Technician Community Development TiSsAltil 13125 SW Fla II'Blvd Tigard,OR 97223 (543(718-2449 brandent@tigard-or.gov 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16325 SW 113TH AVE, PORTLAND, OR, 97224 March 23, 2018 at 8:58:55 AM Record Type: Record ID: Residential - Building BUP2017-00284 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved initial and final erosion control inspections prior to final inspection. Provide pump receipt with receipt for proof of septic tank removal for final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16325 SW 113TH AVE, PORTLAND, OR, 97224 November 20, 2018 at 8:32:34 AM Record Type: Record ID: Residential - Building BUP2017-00284 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control prior to building final. Provide septic tank pump receipt for building final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16325 SW 113TH AVE, PORTLAND, OR, 97224 November 21 , 2018 at 11 :44:39 AM Record Type: Record ID: Residential - Building BUP2017-00284 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Demo complete. Final erosion control approved. Septic tank removed per contractor, pump receipt received. Violation Summary: Inspector Contractor