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Permit (51) BUILDING PERMIT CITY OF TIGARD s ° Permit#: BUP2017-00283 COMMUNITY DEVELOPMENT Date Issued: 12/21/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB01500 Jurisdiction: Tigard Site address: 16285 SW 113TH AVE Project: Willow Brook Subdivision: WILLOW-BROOK-FARM Lot: 19 Project Description: Demolition of(1)2,660 sq.ft.house on septic. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES MAY APPLY. Contractor: REVCON INC Owner: MISSION HOMES NW LLC 21420 NW NICHOLAS CT BY DALBEY, KURT HILLSBORO, OR 97124 PO BOX 1689 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 Ersn Cntrl 503-639-4175 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. )-25V Issued By: Permittee Signature: 1 O�ht cr 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 i o i o I I R i. i SI.0\1 1 III City Of Tigard Received Permit No.: �l' ��..,�� 4 13125 SW Hall Blvd.,Tigard,OR 97223 %T ReceivY. ed �(,� ��7 j"T- /J�1�7G 7_62,49.9 g y► Plan Review s Phone: 503.718.2439 Fax: 503.598.196. R Date/By: Otter Permit: T I G n I D Inspection Line: 503.639.4175 Date Ready/By: 1 / J Juris: 66 See Page 2 for Internet: www.tigard-or.gov ' Notified/Method: /) ,j,O 0) /�dl� 47:� Supplemental Information l C �, 2017 re•t. 1Lt.t ,2r g.44..,�J ' TYPE of WO REQULR D DAT;1 A4ND 2:FAMILY D LING• ❑New construction I 1.. ► • tfriT• �� � Permit fees*are based on the value of the work performed. 1iIC DIVISION Indicate the value(rounded to the nearest dollar)of all 12 Addition/alteration/replacement ■`I er: equipment,materials,labor,overhead,and the profit for the ',...•,' CAi`Ee;dit'>7.Olr:"CE>"NS�tIei'IQN' _< �.., work indicated on this application. El1-and 2-family dwelling ElCommercial/industrial Valuation: $ I Q IDAccessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION 4ND LOCATION • Total number of floors: Job site address: �� ,?45 5 //3 ;ft4K- New dwelling area: square feet City/State/ZIP: T I a_ 0 Q- Garage/carport area: square feet — Suite/bldg./apt.no.: Project name:,t W_i;i I LAdiet/V, t)j(, Covered porch area: square feet Cross street/directions to job site: "��r Deck area: square feet S L&) C)U(r(x \N et d S U.. ) ' ç‘N Other structure area: square feet Subdivision: Lot no.: .'-':.-1:-.**.Permit fees*are based on the value of the work performed. Tax map/parcel no C Indicate the value(rounded to the nearest dollar)of all r , p equipment,materials,labor,overhead,and the profit for the x p `" r application. .y work indicated on this a lication. Valuation: $ C__ e d. e co �' o,r t ��v Existing building area: square feet ( aA/ 587f)77 C. New building area: square feet •'r fO�l Number of stories: Name: N\ c.-... s ka `\a cNk.- .es Type of construction: Address:'i q'-- 1 S l A ) C L Q c S Occupancy groups: City/State/ZIP: C eC&je xA_CJ IN CD9.___ —too& Existing: Phone:(15(j2 -1(4Co 424s- Fax ( ) New: r ase wafer eschedilEA r , _. ` a..s- Business name: t= rk..,,e eS • Structural plan review fee(or deposit): Contact name: S--- 01._�\. G v d Address: qL4 5 J v�\L��O G\(._ kpL - 00 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP: 02..Qre'CA\--01.-..._ U Q �-—Le 0 Amount received: Phone:(S-02.,1, (46,._ t L Fax::( ) E-mail: D Q'(`1�rz e�e v-k,0 C_ 251 cj h.C U h!\ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of �NT4 , roof-top mounted Photo Voltaic Solar Panel System. Business name: XE VC.OA/ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: , / Ai Ait'C; /t.- 7` Solar Installation Specialty Code checklist. Ci /State/ZIP: �" L' Permit Fee(includes plan review ty l�S 6 tike" e4 l'2/r and administrative fees): $180.00 Phone:(sitj) 93 / i 0 D Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: f(a7 0 t7 j 7 4g Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: *Fee methodology set by Tri-County Building Industry a_ �, \I L Date: `U,'Z`(-(-i Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011`/ 440-4613T(11/02/COM/WEB) City of Tigard 114e COMMUNITY DEVELOPMENT DEPARTMENT 1 T 1 c a R o Building Permit Review — Residential Building Permit #: 19t4i ---ex.. .,r 3 Site Address: 1626 -g S w 1 ( 3 1-11 oi vt, Project Name: W t 1(0 t&,/ e(00 it- P-PXli 0 Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: o o O r) i 9 Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: No No ❑ Yes,See River Terrace Review Addendum Attached Site Planements: Three copies of site plan Existing structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper 7 Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations 0North arrow • tility locations&easements(required for new and additions) / Site address,project or subdivision name and lot number ❑S . walk/driveway approach Applicant information(name and phone number) ❑Locate. - ells/septic systems / Lot dimensions and building setback dimensions "Existing trees to be ret,I with drip line,and tree quare footage of buildings to be demolished protection measures Lot area building coverage area,percentage of coverage and ❑Stree ee size,type and location impervio area(applicable if R-7,R-12,R-25&R-40) ❑Street nam ❑Property co er elevations(2 foot contour lines if more than >1,000 sf of impe 'ous area created or replaced? ❑Yes ❑No 4 foot differen 'al) If yes,is a storm water quality facility shown? ❑Yes ❑No 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: ❑ Yes ❑ No,stop intake ❑ Land Use Case#: c 6 U) 16 -0 `U 0 ❑ Zoning: 7 Required Setbacks: Front Rear Side Street Side Garage Landscape Requirement: 0/0 JP^ Lot Coverage Maximum: 0,0 ❑ Building Height: Maximum Height Actual Height {{{ ❑ Visual Clearance ❑ ensitive Lands: ❑ Yes ❑ No Type ❑ rban Forestry Plan ❑ C ditions "Met"prior to issuance of building permit Notes: Approved By Planning: VI l 1A-/\"" fr �� Date: 10/24 / 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\BldgPemutRvw RES_061417.docx Building Permit Submittal Original Submittal Date: (0��i,'7 Site Plans: # Building Plans: # /ft/4 Building Permit#: r building permit#above. Workflow Routing: LJ'Planning LS—t:ngineering [J- Coordinator ❑ Building Workflow Sign-off: gn-off for Planning(include notes from planning review) Route Application Documents: Cngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 0 B lding: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: ovv) 0t, By Permit Technician: /;;;!4f1'1 -. '` Date: idt5t:// 7 Engineering Review El Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat .moi ElWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes El No R. Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: l Notes: Iff,„K,O 472. uG.hi2-fi (S IlAJL--`r1. /`.') 4 "(�. !OJ L Approved by Engineering: 114/!c i [.LJ , Date: i i N r 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved 00 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved ,g Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit nn// pproved,NOT Released: (Aa t 7e%-,, Date: 76/3 J/ 4' 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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: El Yes N/A Parks SDC: Cl Yes N/A LIDA ❑ Yes N/A K to Issue Permit Approved by Permit Coordinator: Date: i214v / -9-' I:\Building\Forms\B1dgPermitRvw_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 1 Branden Taggart From: Jill Bentley Sent: Monday, October 30, 2017 4:12 PM To: Branden Taggart Subject: RE: Sewer Connections Attachments: J i I I.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 13dr City of Tigard-Utility Billing Senior.Accounting Asst w w (888)826-7211 Payments (503)718-2460 UB Mair jillb r -or av (503)7t8-2494 13125 SW Hall 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. Branden Taggart Ill1 City of Tigard mrA Permit Technician Community Development r WARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandent@tigard-or.gov 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16285 SW 113TH AVE, PORTLAND, OR, 97224 November 20, 2018 at 8:31 :09 AM Record Type: Record ID: Residential - Building BUP2017-00283 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control prior to building final inspection. 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: 16285 SW 113TH AVE, PORTLAND, OR, 97224 November 21 , 2018 at 11 :48:38 AM Record Type: Record ID: Residential - Building BUP2017-00283 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Final erosion control approved. Demo complete. Septic tank removed per contractor, pump receipt received. Violation Summary: Inspector Contractor