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Permit 2020 -Co ,2 NOTICE OF TYPE I DECISION Tia ACCESSORY DWELLING UNIT ADU2020-00007 BONN DETACHED ADU 120 DAYS = September 29th,2020 SECTION I. APPLICATION SUMMARY FILE NAME: BONN DETACHED ADU CASE NO.: Accessory Dwelling Unit(ADU) ADU2020-00007 PROPOSAL: The applica4 proposes to build a 69225 square foot detached accessory dwelling unit(ADU)at 11242 SW 81'Avenue. APPLICANT: Richard Bonn • PO Box 615 Cannon Beach,OR 97110 OWNER: Jason Bonn and Noelle Fistonich-Bonn Richard Bonn et al 11242 SW 81'Avenue Tigard,OR 97223 LOCATION: 11242 SW 81'Avenue;WCTM 1S136CB,Tax Lot 9400 BASE ZONE: R-4.5: Low-Density Residential Zone APPLICABLE REVIEW CRITERIA: Community Development Code(CDC)Chapter 18.220 SECTION II. DECISION Notice is hereby given that the City of Tigard Community Development Director's designee has APPROVED the above request,subject to a condition of approval.The findings and conclusions on which the decision is based are noted in Section IV. CONDITION OF APPROVAL THE FOLLOWING CONDITION MUST BE SATISFIED: Unless noted otherwise,the staff contact is Samuel Copelan,Assistant Planner, (503) 718-2450 or Samue1CWtigard-or.gov 1. Prior to building permit submittal,the applicant must apply for and obtain a new address for the approved ADU. ADU2020-00007:BONN ATFA( IED ADU 1/4 SECTION III. BACKGROUND INFORMATION Site Information: The subject property (11242 SW 81'Avenue;WCTM 1S136CB,Tax Lot 9400) is located east of SW 81' Avenue,north of SW Pfaffe Street,west of SW 79th Avenue,and south of SW Thom Street The subject tax lot was originally approved as Lot 20 of the Herb and Peggie's Place Subdivision. The Low-Density Residential (R-4.5) subject tax lot contains one single detached house and one accessory structure. GIS information indicates that the water meter and sanitary sewer main are located in the right-of-way on SW 81'Avenue,and that no utilities appear to be in the rear setback of the subject tax lot.There are no sensitive lands or ovedays on the subject tax lot SECTION IV. APPLICABLE REVIEW CRITERIA AND FINDINGS Findings for only the applicable code sections are found below 18.220 Accessory Dwelling Unitsi 18.220.040 Approval Criteria The approval authority will approve or approve with conditions an accessory dwelling unit application when all of the standards in Section 18.220.050 are met. 18.220.050 Standards A. Number of dwelling units. 1. A maximum of 2 accessory dwelling units are allowed per single detached house. FINDING:The applicant proposes just one(1) detached ADU.This standard is met. 2. A maximum of 1 detached accessory dwelling unit is allowed per single detached house. A second accessory dwelling unit must be attached to the primary dwelling unit. FINDING:The applicant proposes just one(1)detached ADU.Any future ADU will need to be attached to the primary unit.This standard is met. B. Size. 1. The maximum size of a detached accessory dwelling unit is 800 square feet. FINDING:The applicant proposes a detached ADU in the rear setback of the primary dwelling unit to be 19 feet, 6 inches wide and 35 feet,6 inches long.The area of the proposed detached ADU is 692.25 square feet,which is less than the maximum allowed 800 square feet.This standard is met. C. Height. 1. The maximum height of a detached accessory dwelling unit is 25 feet FINDING: The applicant proposes a 15-foot-tall ADU with a shed roof. The height of the proposed ADU will be less than 25 feet tall.This standard is met. ADU2020-00007:BONN ATTACHED ADU 2/4 D. Setbacks.Accessory dwelling units must meet the setback standards for a single detached house in the base zone,with the exception that a detached accessory dwelling unit may be located within 5 feet of the rear property line if the accessory dwelling unit is 15 feet or less in height FINDING:The subject tax lot is Lot 20 of the Herb and Peggie's Place Subdivision,which adheres to the standard setbacks in Table 18.290.1.The applicant's proposed detached ADU will be 15 feet tall or less, and therefore may be located within 5 feet of the rear property line.Setback standards for the proposed detached ADU at Lot 20 of the Herb and Peggie's Place Subdivision can be found below: Minimum Setback R4.5 Development Proposed Meets R-4.5 Standard Standards Attached ADU Development • Standards -Front 20 feet 97 feet Yes -Side 5 feet 5 feet Yes -Side 5 feet 29.5 feet Yes -Rear 5 feet 5 feet Yes Staff reviewed the applicant's site plan to confirm that the detached accessory dwelling unit cutuplies with the setback standards.This standard is met G. Home occupations.Type II Home Occupations are prohibited on a lot with two accessory dwelling units. FINDING: City records for this property show no current home occupation permits on file. This standard is met. CONCLUSION: This proposal is to create an accessory dwelling unit for a proposed single detached house and is in compliance with the applicable requirements of this Title. • sormse ADU2020-00007:BONN ATTACIIED ADU 3/4 SECTION V. PROCEDURE AND APPEAL INFORMATION Final Decision: An accessory dwelling unit application is processed through a Type I procedure.As such,this decision is final for purposes of appeal on the date it is mailed or otherwise provided to the applicant,whichever occurs first.This decision is not appealable locally and is the final decision of the City. TTI THIS DECISION IS FINAL ON8 JUNE 2020, AND BECOMES EFFECTIVE ON JUNE 9TH,2020. Questions: If you have any questions, please contact Samuel Copelan at (503) 718-2450 or by em21 at SamuelCC4tigard-or.gov C6PLINL June 8 ,2020 APPROVED BY: Samuel Copeian Assistant Planner Community Development Duci.tur's Designee • ADU2020-00007:BONN ATTACFIED ADU 4/4 CITY OF TIGARD MASTER PERMIT 1114 • COMMUNITY DEVELOPMENT Permit#: MST2020-00244 TIGARD 13125 SW Hall Blvd-,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2020 Parcel: 1S136CB09400 Jurisdiction: Tigard Site address: 11240 SW 81ST AVE Subdivision: HERB AND PEGGIE'S PLACE Lot: 20 Project: Bonn Project Description: New 692 sf detached ADU. Water meter upsize to 3/4"required prior to final inspection. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 2 First: 692 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 692 sf Value: $84,742.32 Rear: 5 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 1 Clothes Dryers: 1 Electricity Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=10OK: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addi 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW ADU VB R-3 692 Owner: Contractor: BONN,JASON OWNER Required Items and Reports(Conditions) FISTONICH-BONN,NOELLE 1 Ersn Cntrl 503-639-4175 BONN,RICHARD ET AL 11242 SW 81ST AVE TIGARD,OR 97223 PHONE: PHONE: FAX: Total Fees: $12,294.37 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: Permittee Signature: St e GpP��L Call 503.639.417E 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 7 3O sa Residential RECEIVE Received Permit Noj 2 till City of Tigard Date/By: efry 2 4a �ZO' III • 13125 SW Hall Blvd.,Tigard,OR 97223 J U L 3 0 2020 ` A'fAi Other Permit: = Phone: 503.718.2439 Fax: 503.598.1960 Date/By:Plan Review z 1. Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: y /�,,�� Iris El See Page 2 for TIGARD w Notified/Method: Supplemental Information Internet: ww.tigard-or.gov BUILDING DIVISION / '�1 tlilri-vw t �7f TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 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,overheask and the profit fore work indicated on this application. S CATEGORY OF CONSTRUCTION o f , Valuation: $ �- 1-and 2-family dwelling ElCommercial/industrial ❑Multi-family Number of bedrooms: ❑Accessory building ❑Master builder J 0 Other: Number of bathrooms: //.,.y0 JOB SITE INFORMATION AND LOCATION Total number of floors: / Job site address: - (e S1 s f'AVE New dwelling area: 03, .7csquare feet City/State/ZIP: �9Q� ©k. 9 7 32 3 Garage/carport area: 0 square feet J •/ I I Suite/bldg./apt.no.: Project name: gooti j cJl u PCI /9.2 ui Covered porch area: 0 square feet Cross street/directions to job site: Deck area: 0 square feet Pig 4 l• p h 0( .S-CLI 51-00h Pr/9 fir7,F s//C q7 ' Other structure area: O square feet �J p� REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: NFR e AN 1) PE&&1- t 5- 1 19C Lot no.: p,+) Permit fees*are based on the value of the work performed. r1 Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: Q 1 00 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. GO le[ 6G92 1 9.br Srt(St de,FOLcil Pcf 110(l Valuation: $ n�, Z ii Existing building area: square feet �lA�pladf-7Z,,y7.. . fi6i�� at�S/Z /. Zi2'P2OA-. 7 °On-- 49e New building area: square feet p PROPERTY OWNERI 0 TENANT Number of stories: Name: A<lla rd all d s f a S o in O hI IV Type of construction: Address: pa fox 6IS ,r,,„, It alp_ 5W S-l5 five Occupancy groups: City/State/ZIP:cowoo 6atc..1 ar97(10 yc Or r3"7a-2 3 Existing: Phone:(�)r ) 'tf 0 tt (ifil'I . ( )(e?7() 5'70 17,9 New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: 5 G( m e- Structural plan review fee(or deposit): Lis , is( Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: 1n C; ( /� 1LQi ev, Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: OW P/ G ' Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 ty and administrative fees): , Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 /1 Authorized signature: �g 1--r1 This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. N Date: ..�r,,�,1 *Fee methodology set by Tri-County Building Industry Print name: R! 4 d �' .w Service Board. 1 I:\Building\Pernilts\BUP-RESPerutitApp.doc 02/24/2011 440-46I3T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE LSE ONI.V City of Tigard Received 71 • 13125 SW Hall Blvd.,Tigard,OR 97223• Date/: Ycrmil No 1 Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T 1 C3 A R I) 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov Q Other. I'iIE FOLLOWING ITEMS ARE REQUIRED FOR PI.AN REVIEW 1 l'. No y%.k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ® 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® 0 0 3 Verification of approved plat/lot. 4 Fire district approval required. Name of district: O n' a 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 6 Sewer permit. 0 Z. CI7 Water district approval. 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if rEjo 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Ia" 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- p 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing J 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 b' systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 Ej over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. I' 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 .® for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 ,®' architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ a 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 [> 27 "Drawn to scale"indicates standard architect or engineer scale. Ei ❑ g. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 13, and protection measures must be drawn to scale and must include the project arborist's signature of approval. L30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, El ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:1Building\Pennits\BUP-RESPernritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • A IMechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED ReceivedDciv Permit No. ligi •• 13125 SW Hall Blvd.,Tigard,OR 97223 I Plan Review Phone: 503.718.2439 Fax: 503.598.1960 JUL L 3 0 2020 DateBy: Other Permit T I G A R D Inspection Line: 503.639.4175 Date Ready/By: luris: I ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARDNotified/Method: Supplemental Information F;1 Pi n',Nr, D!',PSION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑ New construction ❑Addition/alteratio lacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: Pe fi c ") mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* �1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total ,,1IJOB SITE INFORMATION AND LOCATION AirHeating/cooling:conditioning �� V Air conditioning 46.75 Job site address: Z' SW '1 S� Ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: d op- Gj-7 ,.�?) Furnace 100,000+BTU(ducts/vents) 54.91 ��A Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: 170r,, Np.0 V Duct work 23.32 Cross street/directions to job site: S(A) - f icx e s-fi Hydronic hot water system , 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision R. is P S PldC p Lot no.: Other fuel appliances: Tax map/parcel no.: ccfoo Water heater 4F 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 / ( j t Flue vent for water heater or gas (le.1'1 f O-/txn1 /oU ail;GLS neede•) SOY' (, fireplace 23.32 4 Ac{I P d //U '^ bC1 1 FyP h yo V P Log lighteWood/pellet (gas)stove 23.32 �[ Wood pellets[ove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 pPROPERTY OWNER ElTENANT Environmental exhaust and ventilation: Name: le(cJ1 a� ¢- Ci s'O h ej O IV IN/ j Range hood/other kitchen equipment I 33.39 Address: Po Go (j f5' Clothes dryer exhaust f 33.39 City/State/ZIP: &e ®(" C 7( r 0 Single-duct exhaust(bathrooms, c4,4111 o l7 toilet compartments,utility rooms) i 23.32 Phone:(5'0 j) t f f 0 t f j g t Fax:( ) Attic/crawlspace fans 23.32 *APPLICANT ❑ CONTACT PERSON 4 Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: ets. 6V-e Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range f E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: ®(,)jek e MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) /� Plan review(25%of permit fee) /T Phone:(50$) 1 0 Cf( 9/ Fax: ( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within l80 / i days after it has been accepted as complete. Authorized signature: Fee methodology set by Tri-County Building Industry Service Board Print name: Rick( , 1, It (s j Date: 7/p/?o a_ip I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 t/02/COM/WEB) Mechanical Permit Application - City of Tigard 1 Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 rElectrical Permit Applicatia C,V I V C.V FOR OFFICE CSE ONLY City ofTigard Received g JUL 3 0 2020 Date/B : OEIMMOMMEI II • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review S Phone: 503.718.2439 CITY OF TIGARD Date/B : Related Permit#: Email: TigardBuildingPermits@Tig�'Q���1'{1\�('�D I,/I S I O N Ready Date/By: Juris: ® See Page 2 for T I G A R D Inspection Line: 503.639.4175 htt>SfIICt'.'iStvvJ:ligardor.gov Notified/Method: Supplemental information TYPE OF WORK PLAN REVIEW ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition �]Other: / /' 1 0 Service or feeder 400 amps or more 0 Building over three stories. j�c//ec Apo where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. tin 1-and 2-family dwelling ❑Commercial/industrial ElAccessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION //.' 'it") 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: -g�7 04 s(,v ,--ist"4 p I00HP or more. ❑"A">"E',"1-2">"l-3"> -�� 0 Six or more residential units. occupancy. City/State/ZIP: i..d /ry !l �r 2 0 Recreational vehicle parks. 190 C{" -1 7 a.J. l ❑Health-care facilities. Suite/bldg./apt.#: Project name: 60N kill /7 DU 0 Hazardous locations. 0 Supply voltage for more than �Nf ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job si pr'ts,$ $fe 7 DescriptionFEE SCHEDULE Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: HERD '(- PE 15-`1- P/ace Lot#: p.p Includes attached garage. 1,000 sq.ft.or less , 168.54 4 Tax map/parcel#: qt1 Fa.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Of PROPERTY OWNER ❑ TENANT Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name: (Cit gle,d 4- TES v yl 0 0 ht 1st 200 amps or less .-- 100.70 2 201 amps to 400 amps 133.56 2 Address: /�D A®x Cic- / 401 amps to 600 amps 200.34 2 City/State/ZIP: Comi off 010,4 Op-. 971! 0 601 amps to 1,000 amps 301.04 2 Phone:(52)3 ) /y D (,f it?( Over 1,000 amps or volts 552.26 2 r / 7 / Temporary services or feeders installation,alteration,and/or Email:.( d I akric,t hD a( ( •coo relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or [change,according to ORS 447,449,670,and 701. 201 amps to 400 amps A i 25.08 2 Owner signature: Date: 7-(7-)....0 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7 42 2 each branch circuit Contact name: ryj�" ©L/.f B.Fee for service ora feeder fee,ch circuits firs[�out Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: /)i C.1/t �74' vl t� /tom /C„ Sign or outline lighting 67.84 2 pppppp�,� [ GG Signal circuit(s)or limited-energy 0 See Page 2 2 Address: y„(Z i / If� � 6/1 panel,alteration,or extension. -/ 44 "'- 0 it Each additional inspection over allowable in any of the above City/State/ZIP: l� 1t 7j 3 7 J4�� Additional gat inspection )ter min) 90.00/hr Phone:�yj� /dam, JJ Investigation(1 hr min) 90.00/hr Email:72. c�/ 1TUZ s j� Industrialsppectiplant(I hr min) 78.18/hr �� y/� i�Lk i �5 '.) (J Inspections for which no fee is §-3 I " [ - '� � specifically listed CA hr min) 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic. ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: �� y/ Subtotal: Print name:/4 V✓7 Di C,k (Irt g-- - Date: 7. Z . - .O 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. ldBuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(I 1/05/COMNJEB 1 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or leas 100.70 2 5.01 to 15 kva 133.56 2 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: El Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any_of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 (SEE OAR 918-309-0000) • Number of inspections allowed per permit. • Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1;1Duilding\Pe mits'ELC_PetmitApp_ELR_ERE.doc Rev 10/26/2017 . Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard I LI L 3 p 2020 Received Date/By: Permit No.Ms 20 DO 2-YY. lig • 13125 SW Hall Blvd.,Tigard,OR 97223 M. Plan Review Phone: 503.718.2439 Fax: 503.5 Other Permit No.: OFTIGARD Date/By: Inspection Line: 503.639.4175 .�,., -,1,r I<�I fl,1 Date Ready/By: Cu ® See Page 2 for T IGARD 11 I! Internet: www.tigard-or.gov - Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist n Description I Qty. I Ea. I Total El Addition/alteration/replacement Other: !7e?,.� /cJe) p(I New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath I 312.70 0,1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 IDAccessory building 0 Multi-family SFR(3)bath 500.32 - Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.R) Page 2 //2 4/0 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Ste) gl s f (/ _ Catch basin or area drain 18.76 City/State/ZIP: �' ^� Drywell,leach line,or trench drain 18.76 <<9�h OR. 97 22-3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: &6 h M /9.0(,/ Manufactured home utilities 50.03 Cross street/directions to job site: S W Pea- /P ,( Manholes 18.76 7' Rain drain connector - 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: H6eB iF PGs6 s tijace I Lot no.: g.,p Fixture or item: Tax map/parcel no.: CN pO Backflow preventer 31.27 1 DESCRIPTION OF WORK Backwater valve 12.51 ,.� n/� / f� Clothes washer 25.02 �A I-eip/e V; ///rim iiitt 7 r v- a bed C ham Dishwasher ' 25.02 (I e f(pit / e q Pert,(/t Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 I II Fixture/sewer cap 25.02 Name: f C110\h(S 5 ITASCr 11 H PI Floor drain/floor sink/hub 25.02 Address: /)0 13ox 6tr- ,,I/�� Garbage disposal 25.02 City/State/ZIP: C,FJ�GI NO 13 p eeA tJck v C1 n?( ( 0 Hose bib 25.02 Phone:(503) tl.+./o !1( cr( Fax:( ) Ice maker I 12.51 v \ APPLICANT/ ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Primer 12.51 Contact name: 465 V`✓ Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan ( 12.51 E-mail: Urinal 25.02 Water closet ( 25.02 CONTRACTOR Water heater 1 37.52 Business name: °W A eV". ter- ^Y'/3 0 Water piping/DWY 56.29 Address: 1 Other: 25.02 City/State/ZIP: Subtotal Phone:(6'r3) 4.q 0 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: fele_ .. >� TOTAL PERMIT FEE Print name: ! C_A tom(^c 4 -p I�/(�/ Dater//O/!ems p This permit application expires if a permit is not obtained within 180 days ( f/r after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1Buildiug\Permits lPLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Retiig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard IN COMMUNITY DEVELOPMENT DEPARTMENT E ■ . T I a u D Building Permit Review — Residential Building Permit #: tl S 7—LC 7-000 ?t/t-( Site Address: 1244O . V ccV 6 l'- Aft nut Project Name: 3QU Isi MU Lot #: — Planning Review (� II II � A P�ro�os al: 6 q 2_' ,s t„,,. i'tn f 6L HL A-O(� Lld Verifp address/suite#active in Accela. Id In River Terrace: (No ❑ Yes,River Terrace ReviewAddendum SityPlan Elements: osion Control 3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper wined trees with drip line and tree protection measures yawn to scale(standard architect or engineer scale) iiaorth arrow otprint of new structure (including decks)and FFE afJpIty locations&easements(required for new and additions) S e address,project or subdivision name and lot number tdewalk/driveway approach pplicant information(name and phone number) (,�_Location of wells/septic systems IDILot dimensions and building setback dimensions L�l'reet tree size,type and location `,faSxiare footage of buildings to be demolished L�1$freet names xisting structures on site Comer elevations(2'contours if more than 4'differential)/al Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes IIdNo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ ]No IiIClean Water>rvicespP Service Provider Letter(lot platted prior to 9/10/1995): eg uired: Yes,applicant was notified ❑ No Received: es No ni Water Meter Fixture Unit Worksheet-Additi ns,Remodels and ADUs 1. ilequired: ❑ Yes,applicant was notified o Received: " es ❑ No i7-~0 ^lt�Yr�7 O L ' C Exemption for ADU applied for: es ❑ No Received: ('� es �:No � h.! Public Facilities Improvement(PFI)Perrot�. � /Required: ❑ Yes,applicant was notified reVNo Applied For: :p ❑ Yes ❑ No,stop intake iD,_.,'//Land Use Case#: 400/Re0oO0� ❑ Zoning: Piti 0 equired Setbacks: Front: ZO Rear: S Side: S Street Side: hA- Garage: 1'4- Ild Building Height: Max.Height: I5 Actual Height: 1S ka Landscape Area: % p-Lot Coverage Max: % --Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less W\ Windows ❑ Minirnum 12%of area of all street-facing facades Garage 0 Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: r 0 Door extends no more than 5'from wall and there is a covered porch extending beyond garage. h/ ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. I,j j I ❑ Garage door width is 0 12'or less 0 50%or less of facade ❑ 60%or less and includes 7 of following: °��N� ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave 0 Roof offset Ar i ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer ❑ Accent siding �/❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony I -"Visual Clearance LJ Urban Forestry Plan [nsitive Lands: ❑ Yes I2No Type: Conditions met prior to issuance of building permit Notes: E Approved By Planning: Ixt Gji---- Date: d``1-la2d Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved 1:\Building\Forms\B IdgPermitRvw_RES_I22419.docx Building Permit Submittal Original Submittal Date: 7/30 12--t� Site Plans: # Building Plans: # Building Permit#: c12--Enter building permit#above. Workflow Routing: Planning .0—Engineering `1E—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 o_rlginal plan review routing form. I?"Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �' � �' Date: P/�7F.17 Engineering Review ❑ Slope at building pad: %) C� ,.. LConditions"Met"prior to issuance of building permit [ ' asements (encroachments)per engineering conditions of approval and plat 4..'"Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes CI'No Assess Water Quantity Fee in-lieu: ❑ Yes 2"-No LIDA Facility on lot: 0 Yes e"No O Final Plat Recorded: O NOT Approved by Engineering: Date: Notes:�te IQ Approved by Engineering: I4 tt„t 65.14 VI— Date: $ •/ 9-Zoe 0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review %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: DC Exemption: Received Does not apply — i•Tello.1.,. _► �� SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A y�_ Parks SDC: Yes 0 N/A LIDA 0 Yes X N/A E_OK to Issue Permit Approved by Permit Coordinator: Date: `lG( (X I.\Bui Iding\Fonn s\BldgPennitRvw_RES_122419.docx RECEIVED JUL 31 2020 Property Owner Statement a CITY TIGARD 10 DIVISION Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325(2)) This statement is required for residential building,electrical,mechanical,and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7),need not submit this statement This statement will be filed with the permit Please check the appropriate box: I own, reside in,or will reside in the completed structure and my general contractor is: Name cca# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or 11 I will be performing work on property I own, a residence that I reside in, or a residence that I wilt reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. jh50lJ �6NN Print Name of PermdApplicant Signatu of P rmitApplicant Date Permit it: /7,5 f 1t1 - C) )691f'J .Y Address: /I?Ali) 5 2A01 "It -1 S Y '�• `t t' ' a 202.0 LL Issued by: CV Date: a I 3 This Copy for Pemilt Offices RECEIVED JUL 3 0 2020 CITY OF TIGARD F3i."!DING DIVISION CkanWttc\\Sen'ices SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Sew Free Number 20-001960 1. Jurisdiction:GitY of Tigard 2. Property Information(example: 15234A801400) 3. Owner Information Tax lot ID(s): Name: RICHARD&DOLORES BONN AM)JASON 7 NOELLE BONN HERB AND PEGGIE'S PLACE LOT#20 TAX#9' Company: 1S136CB09400 Address: 11242 SW 81st AVE Og site Address: 11242 SW 81st AVE City,State,Zip: TIGARD,OREGON,97223 City,State,Zip:TIGARD,OREGON,97223 Phone/fax: 503 4404191 Nearest cross street: SW PFAFFLE ST Email: dickdol@a hotmail.com 4. Development Activity(check all that apply) 4. Applicant Information ® Addition to single family residence(rooms,deck,garage) Name: RICHARD&DOLORES BONN AND JASON&NOELLE BONN ❑ Lot line adjustment ❑ Minor land partition Company: 0 Residential condominium ❑ Commercial condominium Address: 11242 SW 81st AVE ❑ Residential subdivision 0 Commercial subdivision City State,Zip: TIGARD,OREGON,97223 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 503 440 4191 Other DETACHED ADU Email: dickdol@hotmail.com 6. Will the project involve any off-site work? ❑Yes ❑� No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project 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 RICHARD&DOLORES BONN AND JASON&NOELLE BONN print/type title OWNER Signature ONLINE SUBMITTAL Date 7/9/2020 FOR DISTRICT USE ONLY O 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_ 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 Pm-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 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,State and federal law. ❑ 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 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ 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 Li.'t�C 2r� �6a t rit a.� Date 7/30/2020 Once ifmplete,email to:SPLReviewedeanwaterservices.org • Fax:(503)681-4439 OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway,Hillsboro,Oregon 97123 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f. 503.681.3603 • cleanwaterservices.org Dianna Ornelas- This packet adds to the information already sent you regarding the detached ADU at 11240 SW 81st Ave. We have sent previously- Land Use Approval Building Permit Application SDC Exemptions Included in this packet- Water Meter Upgrade from Tualatin Plumbing Permit Application Mechanical Permit Application Electrical Permit Application Clean Water Report Please let us know if there is anything further to add. Thank you- Noelle Bonn For Richard Bonn, Dolores Bonn, and Jason Bonn 11242 SW 81st Ave Tigard Or 97223 Noelle- 971-570-1781 /emrldorn57nv@gmail.com Richard- dickdol@hotmail.com Jason-jasbonn@gmail.com From: Michelle Rosa Sent:Tuesday,July 7, 2020 3:31 PM To: Mail Service Cc:Sarah Alton Subject: RE:Water meter upgrade or new Hi Richard, Thank you for submitting your residential fixture worksheet. Based on the total fixture units you provided of 42.5(28 existing fixture units+14.5 new fixture units),your existing 5/8" meter will not be sufficient and will need to be upgraded to a'/."meter. Please see the cost breakdown below. 3/4"System Development Charge(meter) 11,682 5/8"System Development Charge(credit for existing) (7,788) 3/4"Meter Install Fee 335 Total Upgrade cost: 4,229 When you are ready to process payment, please note our temporary payment process below due to COVID-19. I am in the office every Wednesday and can process a card payment over the phone. We accept all cards except for American Express.You may also mail or drop off a check payment to our office. Please attention the payment to our Engineering Dept.—Meter Sales. Should you have any questions, please feel free to contact me directly.Thank you. NOTICE:Due to the COVID-19 front office closure,all Development Services payments(Plan Reviews, Meter Sales,and Fireflow testing payments)will be processed on Wednesdays. Payments may be mailed to our office,Attn: Meter Sales for quickest processing. Credit card payments over the phone may also be made on Wednesdays. Thanks, Michelle Rosa Engineering Administrative Assistant 1850 SW 170th Ave,Beaverton,OR 97003 direct 503-848-3028 II office 503-848-3000 michelle.rosa@tvwd.org www.tvwd.org Tualatin Valley Water District Delivering the Best Water•Service•Value From: Michelle Rosa Sent:Tuesday,July 7,2020 1:37 PM To: Mail Service<dickdol@hotmail.com> Lina Smith From: Lina Smith Sent: Thursday, July 30, 2020 5:24 PM To: Samuel Copelan Cc: Agnes Lindor; #Building Permit Technicians Subject: Building permit review - Bonn ADU Attachments: SKM_C65920073017111.pdf; SKM_C65920073017121.pdf Hi Sam, Can you please review this building permit submittal,fill out a routing sheet, and send it back to us? Thanks! Lina Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard, OR 97223 E-mail: LinaCSPtigard-or.gov 1