Permit (189) . CITY OF TIGARD BUILDING PERMIT
l
2, ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00157
T E cl AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2017
Parcel: 2S 108DC01404
Jurisdiction: Tigard
Site address: 15915 SW 150TH AVE
Project: River Terrace Crossing Subdivision: None Lot: None
Project Description: Demo(1)1,019 sf dwelling on septic and(4)accessory buildings. UPON FINAL INSPECTION,SDC CREDITS
MAY APPLY.
Contractor: NORTHWEST EARTHMOVERS INC Owner: NEIDERS, REGINE I &GUNARS K
PO BOX 1609 14517 SE 178TH PL
SHERWOOD, OR 97140 RENTON,WA 98058
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-COM-New Construction 07/13/2017 $379.22
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/13/2017 $0.50
11x17)
Dwelling Units: 1 Erosion Control w/Development 07/13/2017 $107.60
Stories: Height: ft
Bedrooms: Bathrooms:
Value: $29,550
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $487.32
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
I
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:
4.4 Permittee Signature: ���/,�///�/s'Gli�Gt��7 ��"
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.
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Building Permit Applicatio }A }�d -ix.X
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City of Tigard 9�� 7.01. e J G /3 /7 Permit NWeifc /761)/S 7
13125 SW Hall Blvd.,Tigard,OR 9p. u-0: • a e . Plan Review
Phone: 503.718.2439 Fax: 503.5 lt f, )( 1 i `'1l'. Date/By: Other Permit:
.i-1 c,n R r} Inspection Line: 503.639.4175 T t kir -1 t'c I Date Ready/By: Auris: El See Page 7 for
Internet: www.tigard-or.gov 151)11 a to t-' .. t. X011,141 Notified/Method: 7f�5/ 7 , 1 - Supplemental Information
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❑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
y. e aV ';'.y,'t"'.t`tiKi.-t4.1tta. 6 � ikvi tctoz: ` :�:,,"a''4s`"r . work indicated on this application.
►t Valuation: $ alit 55o
■ ■ Number of bedrooms:
Memory building■ Master builder ■ Number of bathrooms:
'”' �°^ r - Total number of floors:
:.:1-''''''',".q.qu .,i ` f, 2' lt. 8 S��?l, k: ,-'8 R 4, C
address:Job site 15915 SW 150* New dwelling area: square feet
I Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: square feet
Cross street/directions •job site:East of SW Roy Rogers Road,South of SW Deck area: square feet
Bull Motmtain'• • Other structure area: square feet
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
I l € { Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S108 , equipment,materials,labor,overhead,and the profit for the
- " fr ll ,' 3 ,i',V,:t a t i$ 4 ea ,A.' sr : ` . r:, ,'k' ;.t work indicated on this application.
�yku.� �-�+,.>,.,m.Y°c�...� .aa.«...s=?' sem. a�".�s�..,."�`x,'n4."3S. �.isJai�^,' '2. �'.,:.._,.. -... ,..:.Fus�.:c,
Demo existing structures,fence,and gravel Valuation: $
Existing building area: square feet
New building area: square feet
, .; � ` ' - `
.i. r 4 & F°Vb2i��,qP� ^5'�� ' M �� a„4 i£Yk' ,M5Number of stories:
Name:
� _ Jae-obson
r � — �
Type of construction:
•• Occupancy groups:
I' Tigard,OR 97224 Existing:
Phone: New:
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Business name:Polygon WLH LLC I jjyyyy
1 1!. . , (or deposit):
Contact name:Angela Grajewski
FLS plan review fee(if appcable):
Address:109 E.13th Street
Totaldue ♦, application:
City/State/ZIP:Vancouver,WA 98660
Amount received:
Phone:(360)695-7700 Fax::(360)6934442
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eta a ewsk o onhomes.eom
z ^ rf x 'r 7— F p7 Commercial and residential prescriptive installation of
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roof-top mounted Photo Voltaic Solar Panel System.
Business name: /Y Ili ,., n,, , Submit two(2)sets of roof plan with connection details
/3(,�Op S jQ/ �j 4 2)r and fire department access,along with the 2010 Oregon
Address: Solar Installation S,ecial Code checklist.
City/State/ZIP: sh`�/t/I/0o ®/e 7,L f Q Permit Fee(includes plan review $180.00
and administrative fees
Phone:( Q5) $64.5
V - 3 i 00 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 0 o7tf/ _ Total fee due upon application: $201.60
Authorized signature: .,./(iffiii,2/} J This permit application expires if a permit is not obtained
Qy71(JJSkI / within 180 days after it has been accepted as complete.
Print name: 19-4411a a Date: 6/f ai/`7 *Fee h o ology set by Tri-County Building Industry
I:\BuildingWennits\BB P--I SPermitAppp,dd 02/24/2011 440-46113T(II/02/COM/WEB)
1101 i City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Residential
Building Permit #: /' ci i 7 — , 0/....5 7
Site Address: 159(g �. GOT1li pwE
Project Name: RINK"( -VenTICe Cfo FS Lot #: 4 lik-
(New •A dition or Altion=last name of owner)
dwellin —subdivision name, dg
Planning Review TTr_
Proposal: 'poli h4-1� 4- eX 1 s�Yt 3 c1404/A1Q sand c cC�S 5 O PS/ S 1 1J
V
Ci Verify site address/suite#exists and active in permiitt%ystem.
Ll River Terrace Neighborhood: ❑ No Ltd' Yes, = :;• ' • - -
Sit Plan Elements: T —/
EThree(3)copies of site plan 'Z �d p�'U1411 f�Existing structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paperFootprint of new structure(including decks)with finished
—Drawn to scale(standard architect or engineer scale) floor elevations
LNNorth arrow tility locations&easements(required for new and additions)
L% .'te address,project or subdivision name and lot number --//idewalk/driveway approach
411) pplicant information(name and phone number) f (cation of wells/septic systems
I) t dimensions and building setback dimensions L"'Existing trees to be retained with drip line,and tree
Square footage of buildings to be demolished protection measures
I'�t .t area,building coverage area,percentage of coverage and rMtreet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) erStreet names
operty corner elevations(2 foot contour lines if more than Worm water quality facility required if>1,000 sf of
4 foot differential) impervious area is created or replaced.
* Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 'W No Received: ❑ Yes ❑ No
Er
Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: N/Yes ❑ No,stop intake
Land Use Case#: ��'LOi(O"�6196► O(X'j, ,6 1 S laW�D 16—600 13
Zoning: -'� /
Required Setbacks: Front Rear Side Street Side Garage
it\Landscape Requirement:
l/ Lot Coverage Maximum:
I� Building Height: Maximum Height Actual Height
'f /Visual Clearance / 1
Sensitive Lands: LW Yes ❑ No Type 51 h� 2 c&( h4b0'.y
-' )-c
Sti Urban Forestry Plan
® Conditions "Met"prior to issuance of .uilding permit
Notes: C) .,i`. / I # C13Y • 1 . r L v& ....;.0 D u' ' t oil -? • •
. (P- ■ ` . [' CO •A o v
ApprovedBy Planning: i.�mi ter
� / I ate:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BidgPermitRvw_RES 05 1617.docx
Building Permit Submittal
Original Submittal Date: //Z//7
Site Plans: # .2.
Building Plans: # ,//4-
Building Permit#: Enter building permit#above.
Workflow Routing: p Planning A Engineering ,Permit Coordinator ❑ Building
Workflow Sign-off: '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.
9 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: c..a
By Permit Technician: - Date: l? /y
Engineering Review
❑ Slope at 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: 0 Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: 0 Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: -. '1 )1 Date: //G//7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
- ()folks:1K,—pproved,NOT Released: fn.e.�, Date: 4,j/9//�
otes:
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:
7
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: 0 Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
LIDA ❑ Yes 0 N/A
K to Issue Permit
/�iii/ 1iJ
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPermitRvw_RES_051617.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15915 SW 150TH AVE, TIGARD, OR, 97224 December 27, 2018 at
12:07:15 PM
Record Type: Record ID:
Residential - Building BUP2017-00157
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor