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Permit
CITY OF TIGARD BUILDING PERMIT ■ COMMUNITY DEVELOPMENT Permit#: BUP2018-00320 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/07/2019 T r�;a It.I7 g Parcel: 2S111BA01600 Jurisdiction: Tigard Site address: 14405 SW 97TH AVE Project: MITCHELL Subdivision: Lot: Project Description: Demolition of a 400 sq.ft.detached garage.DEMO CREDITS DO NOT APPLY. Contractor: OWNER Owner: MITCHELL, PATRICIA&MICHAEL MICHAEL&PATRICIA MITCHELL 14405 SW 97TH AVE 14405 SW 97TH AVE TIGARD, OR 97224 TIGARD, OR 97224 PHONE: PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 11/15/2018 $134.54 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 11/15/2018 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development 11/15/2018 $80.70 Bedrooms: 0 Bathrooms: 0 Investigation Fee 02/07/2019 $90.00 Value: $4,000 Investigation Building 12%State 02/07/2019 $10.80 Surcharge Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $316.54 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 s spended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those /es are set fort 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 1.800.3 344. A / ' / / Issued By: Permittee Signature: t >o 0j///414,44 Call 503.639.4176 by 7:00 a.m.for the next available i s••ction date. This pennit 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. Clean Water Services File Number CleanWater\ Services 14-001903 Sensitive Area Pre-Screening Site Assessment 1. Jurisdiction: Tigard 2. Property Information(example 1 S234AB01400) 3. Owner Information Tax lot ID(s): Name: Michael&Patricia Mitchell 2S111BA01600 and 2S111BA01700 Company: Address: 14325 SW 97th Avenue Site Address: 14325&14405 SW 97th Avenue City, State,Zip: Tigard,OR 97224 City, State,Zip: Tigard,OR 97224 Phone/Fax: Nearest Cross Street: SW Veiw Terrace E-Mail: 4. Development Activity(check all that apply) 5. Applicant Information ❑ Addition to Single Family Residence(rooms,deck,garage) Name: Danelle lsenhart ❑ Lot Line Adjustment ❑ Minor Land PartitionCompany: lsenhart Consulting,LLC Li Residential Condominium ❑ Commercial Condominium Address: P.O.Box 2364 Residential Subdivision ❑ Commercial Subdivision 1:1Single Lot Commercial LiMulti Lot Commercial City, State,Zip: Beaverton,OR 97075 Other Phone/Fax: 503.880.4979 E-Mail: danelle@isenhartconsulting.com 6. Will the project involve any off-site work? ❑Yes El No ❑Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project Proposing swales in planter areas along the street extension of SW View Terrace for water quality This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/Type Name Danelle lsenhart Print/Type Title Principal ONLINE SUBMITTAL Date 7/3/2014 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. 54 Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. Li Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. Li This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by ti}'.:r�-i;� f f: �.s-c s�' Date 07/11/14 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A u D Building Permit Review — Residential Building Permit #: l3' t'9 ) i -c_) O Site Address: /'h 2k 77 Project Name: / Ics:7rn Z.Z.,44 si'a7'l Lot #: (-e (New dwelling=sub vision name;Addition or Alteration=last name of owner) Planning Review Proposal: j12e -ex1342/19,0 .173 0 Verify site address/suite# exists and active - permit system. I1 'ever Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached SitP1an Elements: cipiree(3)copies of site plan Zxisting structures on site T S plan must be on 8-1/2"x 11"or 11 x 17"paper otprint of new structure(including decks)with finished VD awn to scale(standard architect or engineer scale) fl..r elevations 11QNorth arrow 1► :I'ty locations&easements (required for new and additions) liKte address,project or subdivision name and lot number %Sidewalk/driveway approach ,PPA..licant information(name and phone number) I1 !°`,cation of wells/septic systems in . dimensions and building setback dimensions Alb sting trees to be retained with drip line,and tree T •uare footage of buildings to be demolished protection measures 11' •t area,building coverage area,percentage of coverage and 0 Ai,eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) V4 Street names UQroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replace ? ❑Yes L►dN 7 4 foot differential) If yes,is a storm water quality facility shown?0 Yes Mo OXLlean Water Services-Service Provider Lette (lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notifiedNo Received: El Yes El No Public Faciliti mprovement(PFI)Permit: — �O- S^_ �O , l 1 Required: Yes,applicant was notified ElNo Applied For: /Yes ElNo,stop intake and Use Case#: ,S2Us8 C)it1_. 000©-7-i— Zoning: _k-1' Wequired Setbacks: Front Rear Side Street Side Garage 0..andscape Requirement: of Coverage Maximum: 0/0 Auilding Height: Maximum Height Actual Height \ sual Clearance ff Wnsitive Lands: ❑ Yes ❑ No Type 0*rban Forestry Plan 0 Conditions "Met"prior to issuance of buil-dii g permit Notes: Os k. 717, x41•tE /U -P cm l7L Ails i i� Cl Approved By Planning: �� r- sr Date: / Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\BuildingWorms\BldgpermitRvwRES 061417.docx Building Permit Submittal Original Submittal Date: ///1,j/l Site Plans: # a Building Plans: # /1///t Building Permit#: ❑ Ent uilding permit above. Workflow Routing: Tanning ngineering ermit Coordinator ❑ Building Workflow Sign-off: [ l.....SI5n-off for Planning(include notes from planning review) Route Application Documents: .gineering: (1) copy of permit application, (1) site plan, (1) building plan and o al plan review routing form. ar-Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: ' • IL V r By Permit ermit Technician: _� r Date y slog b !NI Engineering Review ErS-lope at building pad: 0.2. v E Conditions"Met"prior to issuance of building permit [2I-Easements (encroachments)per engineering conditions of approval and plat C21-Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes alCo Assess Water Quantity Fee in-lieu: ❑ Yes 12- 1-o LIDA Facility on lot: 0 Yes 12--No final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Er-Approved by Engineering: r` 4514- Date: / -g -j ? Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance-of building-permit ❑ Approved,NOT Released: Date: 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: ❑ C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes 2 N/A Parks SDC: ❑ Yes 0 N/A LIDA ❑ Yes 1� N/A OK to Issue Permit Approved byPermit Coordinator: 41/63ate: i 3 Of I PP I:\Building\Forms\BldgPermitRvw_RES_010118.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14405 SW 97TH AVE, TIGARD, OR, 97224 March 20, 2019 at 7:26:27 AM Record Type: Record ID: Residential - Building BUP2018-00320 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control prior to building final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14405 SW 97TH AVE, TIGARD, OR, 97224 March 21 , 2019 at 8:38:54 AM Record Type: Record ID: Residential - Building BUP2018-00320 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Demo of existing garage complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14405 SW 97TH AVE, TIGARD, OR, 97224 March 21 , 2019 at 8:38:54 AM Record Type: Record ID: Residential - Building BUP2018-00320 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Demo of existing garage complete. Violation Summary: Inspector Contractor