Permit (190) CITY OF TIGARD BUILDING PERMIT
. COMMUNITY DEVELOPMENT Permit#: BUP2017-00156
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2017
Parcel: 2S108DC01402
Jurisdiction: Tigard
Site address: 15745 SW 150TH AVE
Project: River Terrace Crossing Subdivision: None Lot: None
Project Description: Demo(1)2,356 sf dwelling on septic,(1)66 sf accessory structure,(1)593 accessory structure,and(1)850
accessory structure. 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-Additions,Alterations, 07/13/2017 $453.95
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/13/2017 $0.50
Dwelling Units: 1 11x17)
Stories: Height: ft Erosion Control w/Development 07/13/2017 $80.70
Bedrooms: Bathrooms:
Value: $24,900
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $535.15
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 952-001-00090. 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—,Obt/i-/-
i2f�l�,,p2ili� Permittee Signature: / ' (--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.
Building Permit Applicata -' ' r
„, iiii FOR OFFICE USE ON 1,1
City of Tigard j ll 4 1 2 2017 /7 nal se (//3/ Vii,. re»t xoig-u e/7-d tc/.S ::
1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
D Phone: 503.718.2439 Fax: 503.5 a n f^T}
OF r Y z_' "�a � DatelBy: Other Permit:
T1"
t i A 7Z€� Inspection Line: 503.639.4175 �; t �.� Date Ready/By: 7 , Anis: Ri See Page 2 for
Internet www.tigard-or.gov +tl ILD.i V t„ s�' si Notified/Method: I 3/�) ,� ♦ Supplements]information
a "`i,l,4 C e,�a-,a ear' ' " - ,_,•,' r4 ti!.ir-a "3 �'S'a k y A" �x
p ,r�� is .v r � E Q�,'J F @ �� t w E rt' �3' �
4s. �;:`-3 ._Sr,�:, 'G"��-�- rw... ,., f�?�?.., ,�k.,.;afl "'av'Z';4'p"xaw-�, ::.c li" %,�' �r_�e"�`:,.>,,.�2 .,r. ;'�, �..3�vl�n. _.�.Ss�S•.'k .r...._.,r-•:9-r-7.,rs�.��,-.,r.�:'r'�z;!w '''.
❑New construction ®Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
r* -..n- - .,,. ' � ' " ,t hn a ttao5431,171.w .rte- 4 work indicated on this application.
.L,,:,_„,,„2-.. . ,„_Lm...f r .0 .2csc ,.., i $ti i ri:. V,4,-iw.
®1-and 2-family dwelling 0 Commercial/industrial Valuation: Sal.}1�06
❑Accessory building 0 Multi-family Number of bedrooms: r
❑Master builder 0 Other: Number of bathrooms:
' '' z' 1s.��,pe' ,.�rf ll @IYre t:.S' 4ffaF & G'..�i�g@' ,ar •f*".�*4 �
14. Total number of floors:
Job site address:15745 SW 150th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:River Terrace Crossing Covered porch area: square feet
Cross street/directions to job site:East of SW Roy Rogers Road,South of SW Deck area: square feet
Bull Mountain Road Other structure area: square feet
Subdivision: J Lot no.: Permit fees*are based on the value of the work performed.
ax map/parcel no 2S108DC01402 Indicate the value(rounded to the nearest dollar)of all
y equipment,materials,labor,overhead,and the profit for the
45 t� a 'h v ^'r'h'' t y t - f,'- E r= iiix`s�""�i'' , �, ro z ,« � work indicated on this application.
Demo existing structures,fence,concrete,and gravel Valuation: $
Existing building area: square feet
New building area: square feet
E 3 9 C.i, 4 r rF h .iiZ µ �. .1.^1['.,x..', ;' a- --Ci".; ..,?f `gh � Number of stories:
Name:JAW Properties LLC Type of construction:
Address:15745 SW 150th Avenue Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:( ) Fax:( )
New:
3
........22.,..2 .---.1,-,n--,...-2.'.. tatCC r.
{ - ra t � (ti @ i..;,-,1,,2 ' _ , `z 7.L i.; .:_,` .::. �... ..:F - --:.v.• ,� i.,..v. ... -,.-.,::•-,;";`,:',,;71::
r7. ",V4;
Business name:Polygon WLH LLC
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
FLS plan review fee(if applicable):
Address:109 E 13th Stree
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Amount received
Phone:(360)695-7700 Fax::(360)693-4442
E-mail:angels.grajewsld@polygonhomes.com ., a.. ; 3 z
. '',,,-;7;,7;'...E-_,:1- 7 Commercial and residential prescriptive installation of
', ,_,_: , .._ . . .,� -.... �.,«pct. �r, %s ,,,.' _. _,,:� :l.,:; ` 2�_„: roof=top mounted PhotoVoltaic Solar Panel System.
Business name: �� Or-S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 13 00e) W 61 at brem+1,,rb(2- Solar Installation .ecial Code checklist.
City/State/ZIP: S ,r W oo cI a e_ qi 1i4Perrnit Fee(includes plan review $180.00
and administrative fees):
Phone:
(503)6 2S- 3 to p Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: LI 21(01
Total fee due upon application: $201.60
Authorized signature: Z t This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Prim name: l 6 ^ i Date: 12-111 *Fee methodology set by Tri-County Building Industry
6/few �
Service Board.
1:1Building\Permits\BUP- j PermitApp.doc 24/2011 440.4613T( /02/COM/WEB)
Albert Shields
From: Albert Shields
Sent: Monday,June 19, 2017 3:06 PM
To: Angela Grajewski (Angela.Grajewski@polygonhomes.com)
Cc: Monica Bilodeau
Subject: River Terrace Crossing, demo permits
Angela, in reviewing the application for four demo permits for River Terrace Crossing, BUP2017-00154, -00155, -00156,
&-00157,we noted that we do not have on record an arborist's certification that required tree protection is in
place. Accordingly, I will code these applications"Approved but Not Released." Plan review will continue but the
permits will be held until we receive an arborist's report.
Albert Shields
City of Tigard
1114 p COMMUNITY DEVELOPMENT DEPARTMENT
Q
T1cARD Building Permit Review — Residential
Building Permit #: /3 a/-'.72 o i 7 _. e/5
Site Address: 15745 9,0 1 (OTt} L
Project Name: River Terrace C.fo 5s rhOk Lot #: M
(New dwelling=subdivision name;Addition or Altion=last name of owner)
Planning Review
Proposal: ')y1/101)41 tAe1 (5(154013414041154013 013q c97 el �CCRS5 o h i c 41
V
Cvi Verify site address/suite# exists and active in permit ystem.
LI River Terrace Neighborhood: ❑ No LUi Yes, - : • ':,' •• ••= -- '
Sit Plan Elements: -/
SThree(3)copies of site plan- '2 Or clopeto ,r'�ts1 axisting structures on site
ite plan must be on 8-1/2"x 11"or 11 x 17"paper 'JFootprint of new structure(including decks)with finished
floor elevations
--//Drawn to scale(standard architect or engineer scale)
L,�K,N�orth arrow ttlity locations&easements(required for new and additions)
L9'Site address,project or subdivision name and lot number ,1 idewalk/driveway approach
l�ipplicant information(name and phone number) 'Location of wells/septic systems
ti)IIl' .t dimensions and building setback dimensions ErExisting 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 t1 li.treet tree size,type and location
,}�-impervious area(applicable if R-7,R-12,R-25&R-40) (Street names
operty corner elevations (2 foot contour lines if more than torm water quality facility required if>1,000 sf of
r 4 foot differential) impervious area is created or replaced.
t4 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
/Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
[? Public Facilities Improvement (PH) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Land Use Case#: 171glogo' 01 ,‘ ,6 ) 5 uB2O 16-000 13
Zoning: 12-7
Required Setbacks: Front Rear Side Street Side Garage
titiN Landscape Requirement:
Lot Coverage Maximum:
Building Height: Maximum Height Actual Height
Altsual Clearance /
Sensitive Lands: LW Yes ❑ No Type 5S 1,; Lqnk- Irtto1-04-okrect
Urban Forestry Plan
®Conditions "Met"prior to issuance of building permit
Notes: 0 ..L:• • * CO • 11. • f L d1 ••::!' d f) ' II- 0 Vi ••
tp • ir.-��WAV:.�` - •• i,I•TiL-
Approve• By Planning: A ilr._�l. ,A Date: (o/17 ! 1
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\BldgPermitRvw_RES_051617.docx
1
Building Permit Submittal
Original Submittal Date: el/2"//7
Site Plans: # 2
Building Plans: # AJ/,'+
Building Permit#: ` P Enter building permit#above.
Workflow Routing: jei Planning C Engineering ,S Permit Coordinator ❑ Building
Workflow Sign-off: iit Sign-off for Planning(include notes from planning review)
Route Application Documents: g Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
__f-. Date: 6AV/7
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: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date: 6//G/ 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
pproved,NOT Released: 1j gifahiK.c: �0� D te: ''1 r`r'/l 4--
Revisions
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: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
LIDA ❑ Yes ❑ N/A
to Issue Permit
Approved by Permit Coordinator: 741----13ate: ?/I /l cZ
J
I:\Building\Forms\BldgPermitRvw_RES_051617.docx