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Permit (49) CITY OF TIGARD BUILDING PERMIT 11 2 ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00201 T fGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016 Parcel: 2S110AC00200 Jurisdiction: TIGARD Site address: 14595 SW 109TH AVE Project: Annand Hill Subdivision Subdivision: 2003-083 PARTITION PLAT Lot: 2 Project Description: Demo 3,200 sf residence on sewer service. Upon approved final inspection SDC fees may be available for future construction. Contractor: WINDWOOD CONSTRUCTION INC Owner: ANNAND PROPERTIES IV-P LLC 12655 SW NORTH DAKOTA VINELLA, MARY JANE TIGARD, OR 97223 KELLER, SUSAN A TRUST 21640 SW LEBEAU RD SHERWOOD, OR 97140 PHONE: 503-625-6526 PHONE: FAX: 590-7606 Specifics:, FEES Type Date Amount of Use: SF Class of Work: DEM Type of Const: Erosion Control w/Development 08/08/2016 $80.70 Permit Fee-Additions,Alterations, 08/08/2016 $225.80 Occupancy Grp: Occupancy Load: Dwelling Units: 0 Demolition Stories: 0 Info Process/Archiving-Sm$0.50(up to 08/08/2016 $0.50 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 $307.00 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r Permittee Signature: �0all 503.639.4175 by 7:00 a.m.for the next available inspection date r This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicat I ,1 a 'l .� Residential �;o . r its$` FOR OF ICE I:SF OVL1 City of Tigard JUN 16 2016 Received /_ f f 1b VI ^�, 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: (� Permit No.:Il 1L110�f]._�G�/ = Phone: 503.718.2439 Fax: 50 5 t.i.60,...i; '@ g',A.II Date/By:view tJW/ T I( A k I) Inspection Line: 503.639.4175 o f A A e s1='i.1. Other Permit: Date Ready/By: Juris: Internet: www.ti and-or. ov r ;ary e I See Pagel for g g j g Notified/Method: ij' s� "�15,J��a �4�3y�r�"���+P�� ����` Q� ' Supplemental Information r� TYPE:OB WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING 0 New construction molition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF.CONSTRUCTION work indicated on this application. 0 I-and 2-family dwelling ❑Commercial/industrial Valuation: $ /4 0, ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: /4/...5715--Job site address: � 5, /0 9/A New dwelling area: square feet / Jq City/State/ZIP: -r`64/2/. �'! �. 97�23 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: . 4/110? 4' �.� /�, i t Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COIVIMERCIAL-LSECHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: /,� � .. 4, 0 Q,Ge Indicate the value(rounded to the nearest dollar)of all O equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. OII d e )7/,�J�jti 4 tilt re' Valuation: $ oZ9C0for l [r-k_ ., KJj cif-A a e_Q Existing building area: square feet New building area: square feet 0 PROPERTY OWNER I Q TENANT. Number of stories: Name: .t.)Ivelbtr)& K �Qrl S'7i I)?C Type of construction: Address: � ,r �„,�� /�`0 ` '-C /J y, 4 ,/ 5f p,, Occupancy groups: City/State/ZIP: - , , pe, .c. c-7)-.)23 �`' 413 ,,�- Existing: Phone:( ) `(1:Fa '25 Fax:( ) `-.'2; (.,1 New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: ,fh�- (Please refer to fee schedule Contact name: f�� Structural plan review fee(or deposit): Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) I Fax::( ) Amount received: E-mail: 1.L//N Gf t,-f)d, /t O PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review Phone:( ) I Fax:( ) and administrative fees): $180.00 CCB lic.: :5--,..,: (€ +� State surcharge(12%of permit fee): $21.60 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: c. 4,- /••• Date: �� L *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard fi- 0 g' 4/ ' q COMMUNITY DEVELOPMENT DEPARTMENT T i c A Ro Building Permit Review — Residential Building Permit #: p as:, 1,L-©p ao Site Address: X 4 6 ci 5 SAN V 1 Mtn F--e_ Project Name: / \ t na rlA iilli Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Den% E - Verify site address/suite# exists and active in permit system. X River Terrace Neighborhood: „(No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3) copies of site plan ,.xisting structures on site • ite plan must be on 8-1/2"x 11"or 11 x 17"paper footprint of new structure(including decks)with finished :i Prawn to scale(standard architect or engineer scale) floorelevations :' orth arrow NOCtility locations(required for new,may apply for additions) i.Site address,project or subdivision name and lot number L ocation of wells/septic systems 0i- Ina O F- ,tg(Applicant information(name and phone number) Jxisting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures ivipLot area,building coverage area,percentage of coverage and 0/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 4 foot differential) Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No S Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: pP(2-261 --c -op 0C�S Zoning: 12_-I 2- Setbacks: Setbacks: _N / p Front Rear Side Street Side Garage Landscape Requirement: QJ Lot Coverage Maximum: t"/pr % Building Height: Maximum Height N/ }c- Actual Height X.Visual Clearance (\//A-- ✓ Easements NIA_ • Sensitive Lands: ❑ Yes ` No Type i!/ Urban Forestry Plan l.,(f A-- COConditions "Met"prior to issuance of building permit otes: Da r\tf (SSW urt+1t CivJ CT- P Dl -i4 -c . Approved By Planning: �[A1, ►�w Date: (e 1 , Ili Revisions (after Building Submittal • ly) Reviewer ` Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 060116.docx Building Permit Submittal Original Submittal Date: feb //6 Site Plans: # 3 Building Plans: 412 Enter Permit#: Enter building permit#above. Workflow Routing: 2 Planning gineering15 —rmit Coordinator ❑ Building Workflow Sign-off: ErSign-offfor Planning(include notes from planning review) Route Application Documents: , Engineering: (1) copy of permit application, (1) site plan, (1) building plan and gin. .al plan review routing form. 'L1 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ��. By Permit Technician: , ` , .• I 1 kDate: ep /!a i ngineering Review Slope att building pad: Conditions"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 Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: El Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: tI , Date:� 6•/-7.a - Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit proved,NOT Released: "h1,------:late: /� 7/ Notes: 4� ,„. - -- '(rr 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: CI Yes /A Tigard Trans SDC: CI Yes AbN/A Parks SDC: ❑ Yes N/A 7` OK to Issue Permit Approved by Permit Coordinator: / Date: 't7/6//6" /Lt�(�7 `� G2J► r/ GG�✓� �/ r I:\Building\Forms\BIdgPermitRvw_RES 060116.docx MHA15037 Annand Hill-Tree Protection M Morgan Molen 8/7/2016onitoring A/JOCIATF Page 1 of 1 Onesy �:fx t ; �. Recommendatiot ;for€a n Cinspector item Condition or Comment Resoltioia -ztDater Contact _, Corrective:Action Tree Tree Tree protection measures satisfactorily in place 8/7/2016 Morgan None Protection None. N/A (Demo) and in good repair where needed. General Comments: None. Morgan f1olen &Associates, LLC Consulting Arborists and Urban Forest Management 3 Monroe Parkway,Suite P220, Lake Oswego,OR 97035 morgan.holen@comcast.net 1971.409.9354 Albert Shields From: Albert Shields Sent: Monday, June 20, 2016 2:27 PM To: 'Dale Richards' Subject: BUP2016-00201, Demo 14595 SW 109th Ave. Dale, we cannot issue this permit until we received confirmation from your arborist that the required tree protection measures are in place. Please have your arborist submit a verification letter. Albert Shields Permit Coordinator 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14595 SW 109TH AVE, TIGARD, OR, 97224 August 15, 2017 at 7:11 :46 AM Record Type: Record ID: Residential - Building BUP2016-00201 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control inspection prior to BUP final Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14595 SW 109TH AVE, TIGARD, OR, 97224 August 16, 2017 at 9:22:24 AM Record Type: Record ID: Residential - Building BUP2016-00201 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Demo complete, material removed. Violation Summary: Inspector Contractor