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Permit CITY OF TIGARD MASTER PERMIT IIIII '� Permit#: MST2020-00307 . ' COMMUNITY DEVELOPMENT T t,C}A Ft,o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2020 Parcel: 2S109AB15600 Jurisdiction: Tigard Site address: 14143 SW ALPINE CREST WAY Subdivision: ALPINE VIEW Lot: 37 Project: Zarrabi Project Description: 288 sf addition.Add (1) bedroom and (1)bathroom on main floor. Trade permits submitted separately. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 1 First: 270 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 13 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 270 sf Value: $42,076.80 Rear: 15 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 1 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 6 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 270 Owner: Contractor: ZARRABI,MEHRDAD CRAFT MASTER LLC Required Items and Reports(Conditions) 14143 SW ALPINE CREST WAY 6663 SW BEAVERTON HILLSDALE TIGARD,OR 97224 HWY#220 PORTLAND,OR 97225 PHONE: PHONE: 503-997-7172 FAX: 503-292-1177 Total Fees: $2,016.80 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 ••e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ t '—' yr Issued By: Permittee Signature: o `��03.639.4175 by 7:00 a.m.for the next available inspectio((�ate. J � 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. RECEIVED Building Permit Application 11 • 11, Residential OCT i 202f1 FOR:OrFicr USE oNL.Yipig ' CITY OF 'fIGARD Received City of Tigard ILDING DIVISION DatelEY, /0% �� � �� `°Pri`x°.:NtSTjOZp GE7�3o7 .113125 SW Ball Blvd.,Tigard,OR 97; Plan R°view .�y� ' c Phone: 503.718.2439 Fax: 50359810-Sn ---___pat&Bv: I 424 2.02� II, other Permit Tl(xARI7 Inspection Line: 503.639.417 y pzta;Ready/Bp: ,.p� �^1 +' r See Paget for Internet: Line O3 63 �/9.y�/y� Rot fioAMTaa.,vT �/ ' !f,✓ � Supplemental lnformati°n 4t L ai TYPE OF WORK REQUIRE!)DATA:1-AND 2-TA::IiLYDWELLING 0 New construction fl Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead.and the profit for the ._ ---CATEGORY OF CONSTRUCTION 6 • / `work indicated on this application. Gfine 77 Co — ®I-and 2-family dwelling ElCommerciallindastrial Valuation SQL A0.Q0- ❑Accessory building CI Multi-family _ Number of bedrooms.1 ❑Master builder ❑Other: Number of bathrooms:1 . JOB SITE INFORMATION AND LOCATION Total number of floors:1 70 Job site address:14143 SW Alpine Crest Way New dwelling area: square feet City/state/2IP:Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt no.: Project name:Zarrabi addition Covered parch area: square feet 7 oss street/directions to job site: SW Pipit Lane Deck area; square feet t l i3ADV .tom. $ 5 lO' a * I2/��/A L L!/t/tr IL-t(32,b Other structure area; square feet �. •✓y�4/ M SC7Z1./L•E W,�7u4sz/c-a;7 £ Q'2 REQUIRED DATA::COMMERCIAL-USE CCLC1.ZIST: �-r Jubdivision:Alpine View Lot no.:37 Permit fees*are based on the value of the work performed ''7./ ' Tax map/parcel no.:2S 109AB 15600 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit,for the DESCRIPTION.OF WORK work indicated on this application_ Add a bedroom and bathroom on the main floor tor homeowner whom has Valuation $ --- , ALS so he can get around with his electric wheelchair. Existing building area: square feet I will obtain all trade permits through ePermit system online. New building area: square feet i Ell PROPERTY OWNER 0 TENANT Number of.stories: I Name:Mehrdad&Katayoun Zarrabi Type of construction: Address:14143 SW Alpine Crest Way Occupancy groups: City/State/ZIP:Tigard,OR 97224 Existing: Phone:( 503)705-7878 Fax:( ) New: 0 APPLICANT ❑ CONTACT PERSON.. BUILDING PERMIT FEES* Business name:Craft Master, LLC. Phase elu ra fee:craedulr) Structural plan review fee(or deposit): 3///6 Contact name:Babak Jabbari FLS plan review fee(if applicable): Address:4931 SW 76th Ave.#348 City/State/ZIP:Portland, OR 97225 Total fees due upon application: Phone:( 503. 97-7172 Fax::( 503292-1177 Amount received: PROTOVOI.TAIC SOLAR PANEL SYSTEM FEES* E-mail:craftmaster@live.com _ Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoV oltaic Solar Panel System. Business name:Craft Master, LLC. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:4931 SW 76th Ave.#348 Solar Installation Specialty Code checklist. City/State/2P Portland,OR 97225 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503997-7172 Fax:( 5031292-1177 State surcharge(12%of permit fee): $21.60 CCB lie.:197648 � 'r Total fee due upon application: $201.60 Authorized signatureiJ ��� _ Thts permit application exp if a is ot �ined within 180 days after it hassires been acceptedperrnit aancomplet eba Print name:Babak Jabbari Date:October 14th/2020 *Fee methodology set.by'Di-County Building Industry Service Board. I:\Buildingg'Permits\BUP-RESPeemitApp.doc 02/24/2011 440 4613T(11102/COM/WEB) • Mechanical Permit Applicat' (�; I�Et,r�° FOR OFFICE IiSEO:NLY City of Tigard l I . "�' Permit ?)} *J 11 L • 13125 SW Hall Blvd.,Tigard,OR 97223 IV O V 0 3 2020 Uss R �`> �" } -( .j 7 • Phone: 503.718.2439 Fax: 503.598.1960 Das Rev ew ()tiler Perrier. Inspection Line: 503.639.4175 DntevBy. TIGAIID P� 1^ Dote Ready/By. lure,' nil See Page2for Internet: www.tigard-or.gay CITY OF Ttt""AR�J Notified/Mediae. Supplemental Information TYPE OF WORK : COMMERCIAL PEK* SVHEDULL USE GSECI L1s"f. Mechanical permit fees'are based on the value of the work ❑New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGostY OF CONSTRUCTION REs11)LNT7AL1r.()1IIP'Mh.:N/SYs1•EMs PRES* 1;1 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For syeriaf information Witt checklist. 0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total .COB SITE INFORMATION AM) LOCATION I1tating/nwleng 7 Job site address: I i}, 4-3 'StZ Act?I'vte Cv 44' Air conditioning 46.75 ��+ �a�/ Furnace cel00.000BTU(dacts+veats) 46.75 City/State/ZIP: Tt�,...,..-, ` cate-_ 9722-4 Furnace101000+IITU(duerslvenlsl 54.91 . r Heat wort() 23.32 Snitelbldg./apt.no.: Project name: �[^,t err�. ! t �t Duct work 23.32 Cress street/directions to job site: ltydronic 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 Oth Subdivision: Lot no.: er' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DL,scRJrTLoN OF WORK Gas tirere lace/insert 33.39 ` {` Flue vent Mr water heater or gas IJet.} 1a+ ``'Ct("tY2ot.rs'1 E)(\i‘e.J`TV s'l f e.)((._..qq 4L'C- fireplace 23.32 " Log lighter(gas) 23.32 tC;'\-�ti,ra.,, 1A0c::=81 yam.. r€_1oc. `Ae..—`\\ ,- ,4 C- I 1 Wood/pellet stove 33.39 V'^;A-• Wood fireplace/insert 23.32 Chinmey/liner/flue/vent 23.32 Other': 23.32 a PROPER/►' OWNER 0 7'F;T1AN7 Environmental exhaust and ventilation: Name: t . A.cs.,. �te-�., p"�lQ' i Range hovd/otherldLehen equipment I 33.39 7,3 Address: Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, '/ City/State/ZIP: toilet compartments,utility rooms) I. 23.32 7 '�` Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 171 APPLICANT 0 CONTACT PERSON Other. 23.32 _ Business name: �.ri=4 - i [cat 4c' yP,L-C--. . Fuel piping: _ �t eh '"�Y< $1.4,15 for first four;S4.03 for each additional Contact name: t � nte.nt�.�r.t Furnace,etc. �J --'} / Address: ei 331 •i4,) 1&, Asve44346 Gas heat pump Wall/suspendediunit heater City/State/ZIP: iPO�"'$'t .-„-,,,: . / o 7 2.2.'' Water heater Phone:( 0 '7 7i-72 Fax: :( -lip)29 2,— II?? Fireplace Range 1 E-mail: C-f os- 4/y)q 54E f I °./Q , e,ca f"- Barbecue CONTRACTOR Clothes dryer(gas) Business name: A— L` s 4,\0,:\c e_ t-�c, t,,, 4 Other: M ECRANIC_4L PERMIT FEES* res .. Adds: \\Z\(. Ste. Ada , Subtotal it'd 3 . 4' City/State/ZIP: P..A,i\�,,,.)c k 1, ram / c g__ .9—7222- Miuimuut permit fee(S90.00) i Plan review(25%of permit fee) ! Phone:(S6� O) 2) - 390C) Fax:( t 3)lG5}'�} �, f State surcharge(I2°io of pemtit tee) ,Z t CCB tic.: 7S-9?�"~ TOTAL PERMIT FEE//rf(S....y fr This permit application epires If a permit is not obtained within 10 dys after it bas been accepted as complete. Authorized signature: // .�.da . Fee,methodology set by Tri-Coemty Building Industry Service ttcani Print name: dl; riot Date: /2p2A 1:tBsildiog\Pe e,rtsWIFC__PermeApp_040I 17.doe 440d6171'(11,02/coM/W0B) ' Electrical Permit AnDiicationRECEIVED FOR OFFICE USF ONL_S Race ved City of Tigard Date 6 Permits: • { .� • 13125 SW hall Blvd.,Tiga nt,OR 97223 ) V 3 20 Plan Rc clan- 7 t' 9 Phone: 503.718.2439 Fax: 503.598.196 20 Date/By Related Pemat 8: Inspection Line: 503.639.4175 nnp"fir l'OF TI GA RD Ready Date/By: Inds: 69 See Page 2 for rR5ARE) Interact: www.ti and-or. uv 1-)1-/I!f)I�lr -Notified/.'vlethod: Su tementalInformation - g K �,',,lolr}I,l � PP TYPE OF WORK, PLAN REVIEW ❑New construction 13.Additionialterationkeplacement Please check all that apply(submit lsets of plans w/items chucked): Demolition ()[her; ['Service or feeder 400 amps or more 0 Building over three stories. when the available fault mantra ❑Marinas and boatyards. CATEGORY OF CONSTREt);ION caecaUs 10,000 snips at 150 volts or 0 Floating buildings. EkI-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amp, El Multi-family0 lvinster builder 0 ❑ Other: Fire for nth v is talWtions. buildings. pump. ❑Installation of 150 ICVA or JOU SITE INFORMATION AND LOCATION 0 Enuergem y system larger separately derived Toll : Job site address: t `L , A t h� ; r, ❑Addition of new motor load of system. -�-a 141 �j e `+ fYNe ST' too/ E WF1P or more. ❑ A.. .,p., ..l_7., ,.l 3,. City/State/ZIP: 1 1e r- c,fa,- 9-(2.2.�p f ❑Six or more residential mists. occupancy. f (Health-are facilities ❑Recreational vehicle park., Suite/bldg./apttt: (Project name: Zc r'-rr'46 t -AAA o av't ❑Hazardous locations. . 0 Supply voltage for more than 0 Service or fender 600 amps or more. 600 volts nominal. Cross street/directions to job site: PEE SCHEDULE Desceintiaa I Ots. I £at% I Total 1 . New residential single-or multi-family dwelling unit. Subdivision: Lot t. Includes attached garage. Tax map/parcel#: 1,000 sq.R.or less 158.54 4 Ea.add'I 500 sq.It or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.0.) 75.00 2 L'-IQ.G+rs 1 d•v.Iyr"t "VI?•'- VI Cs") Gt l�eSsn Limited energy,multi-family 75.00 v I residential(with above sq.ft.) i Renewable Energy CI See Page 2 I. PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation 9 Name: ,vA�11r1t''cl. -2.c.+eir^"�yNi 200 amps or less 100.70 2 Address: 1a1,43 5 L.-) AA?;,-\Q.- Cre5-4- "3c 201 amps to 400 amps 133.56 2 ��- 401 amps to 600 amps 200 34 2 / I 1 City/State/ZIP: y-.,�/ c^, ' �/` 2� 00 601 amps to 1,0 turps 301.04 2 Phone:( I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449.670,and 701 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 aAPPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch cirtmits with Business name: G,r-�.�-4- kAck<r y-- ` , above service or feeder fee, 7.42 2 ` each branch circuit Contact name: >Glo G, —Toll 1�o,v^j B.Fee for branch circuits without 1 service or feeder fee,first Address: 4-93\ �1..3 -7(`4't Aye „ 348 branch errant I 56.18 7ta �"�" 2 '-\- . �•-7 Each add'I branch circuit 57.42 '3-7� 2 City/State/Z1P: �pr / � Nlisccelleneous(service or feeder not included) Phone: (50-5) ' 9-"i--71ia. Fax::( ) Each manufactured or modular y o dwelling,service and/or feeder 67.84 2 Email: CY'GA. —,-MAC>Tet a- aele..-• Co M Reconnect only 67.84 2 CONTRAVIUR Pump or irrigation circle 67.84 2 ( Signor outline lighting 67.84 2 Business name: S 0.� ��sc-�i-IC � ��L, p y Signal circuits)or limited-energy Address: P.o,17 \ /- panel,alteration,or extension. 0 See Page 2 2 City/State/LIP: G.r'eyVt:.,• Q g. cl0-703(� F.aen additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503) 18- CJ$'3 7, Fax:( ) Investigation(1 hr min) 90.00/lu p . Industrial plant(1 hr min) 78.18/hr Email: q r't ties -^ „<ya.Z7ce,.,-2\e C.4 r IC)V C-.. re7"y %II LCB Lie.:(C$g 4, Electrical Lic.:C 9.5 Suprv.Lie.: t sInPsepceCctiaolna hfolr edwhic'!rh mn om fee nl)Is PIT90.0 lu ELECTRICAL ERMFEES Suprv.Electriciann required: 1,1 t r i O l I )Yr. Subtotal: Print name: Date: [J O si 2. 2020. 0 Plan Review Required(25°/a of permit fee): ( State surcharge(12%of permit fee): 9 ,!to Authorized signature: TOTAL PERMIT FEE:,,-0 �,;Jb7l 'l .., / This permit application expires if a penult is not obtained within r80 c.Print name: - jell icy A�U / Date: r`r',,.i z/2 b days after it Ins been accepted as complete. �f Vi' ! ( • Number of inspections allowed per permit. ttEluildi0skP,amrtes8LC PatmitApp_Etlt ERR doe Rav 06/1772015 440-4615'1111/05/COMANEO Plumbing Permit ApplicationRECElVE® • Building Fixtures NO V 0 3 2020 CICity of Tigard Received Prat Ho. r 1i12ssW'liallBlvd., t'igatd,c)R 9.2230TY OF TIGARD h,„it.„..Y, 7 "�� U7 Phone: 503.7182439 Pat 503.598 t1LDING DIVISIO pPat l4v caber Vero"'""' Inspection Line: 503.639.4175 l 8eaay7dy_ n,.:,; M S¢¢Page 2 for 1 Internee wWW.Clgard-Or.gnY Nafitktl/M4miatl: gnP nral lafarma4iaa , '. r ❑New construction ❑Demolition For special information use c7rerkML Description 1 QV. I Sa- I lets' 2L Addition/alteration/replacement 0 Other: v. New 1-2-family dwellings(includes 100 ft for each utility etuuwtistiOn) �'f :P -^ u'ioXl of •,y ?�n ri°3u Si. I b.th ' 312711 1-and 2-family dwelling 0 Con niercial/industrial 5F1t(2 bath 437.78 SFR 13)bath CO2 .. ❑Accessory building 0 Mutts-family ‘, Each additional.badrlkitniten 25.02 ❑Master builder 0 Other: Fire sprinkler(_.sq.Il.) Page 2 ., r .r er2t _ a: s r e. v 8ke etililies: Catch basin or area drain 18.76 lob site address: /� y' '?� f.,J At?Mt- y ..Wm,leach line,or trench dram 1 g.76 City/StatelZIP: T ce 012 61?22,q • Footing drain(no.linear ft.:_) Page Suite/bldg.iapt.no.: Project name: 2.01ksitragjoi Ariliell.1 4o7/1 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain etrnnector 18.76 Sanitary sewer(no.linear ft.:__) Page 2 Stone sewer no.linear IL:^) Page 2 Water service Ina.linear$:___) Page 2 Subdivision: 1 tot no.: Fixture or aeon: aX maap/parcel no 111 BarkfloW preveiller 31.27 tie : t t - Backwater valve 12.51 �' '°'° e '° I.YY` Y -6 r._ fat �G lao0tea w ash er 25.02 ,v7 Dishwasher 25.02 _ Drinking fountain 25.02 E)txton aump 25.02 t .,. ' r. ,. : . . se � �.,. •. Expstnsiou tank � 1_..S 1 `_r _ 1 urGacwx eau. 25.02 Name: r� t/r�is.1 Fizt Floor drain/floor asnk/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( 1 Fax:( I lee maker 1251 ,,. I lntcvccptor/groasc trap 25.02 Business name: t`r'q Maul t -, Medical gas(value:.% I Page 2 Primer 12.51 Contac Dane. 13elsh\pdk/Ilr. -.34.7. 4I Rarfduin(commercia) 1 .0 Address: �1 -`�� A __. �µ� v Sutklbasirolavatory I a� C 52 ' City/State/ZI : - e2F ' 722 f Solar units(potable water) 62.54 i ei ' Phone:(S 2))Q/ie y7�-7I-7Z I\Fa.C::( ) Tubfshowrsrsho el pan l 12_.51 ' 12 Z'^ 1 E-mail: [tall Vr 1k• a 1.NM. CO A" Urinal 25.02 i �+-.. .,, ." ` � %., ,�.. Water closet I 25.02 -)..+� 4ik ,�! [[ Water heater 37.52 Business name: /f,4.f�tf"'/- !- Lu.--1,Y1 0 f ( F Water piping/DWV 56.29 Address: 3 /Z.�^Z ,i i'" etCi /I,t�$A.1,'£¢. Uttar. 25.02 City/State/ZIP: f' )r fr I Gi^77 1.e 0✓' 9 7 2_ ter 3 Subtotal (.a-5� Phone:15j-Q. ^ '7, r-`f -4-77'7 2, Pax:( ) Minimum wink fee: $72.50 lk....5.0 Plan review(25 0 of permit fee) CCB Lie.: 7 >5-6 2 GI Plumbing Lic.m,:3 ,2,4.7 '1 J/� ,�j Stale=aurae(12%of Permit tee) re-1-1) Authorized signature' Y t t t...../ cat:r r J TOTAL PERMIT FEE x{C /t /T E i `� 5t I days Print name: �' L. �[' Mate:I. - ,�- _(', permit application expires t a derma k net obtained wit n fail days after}t Ns Para aa�spted m complete. `Fee m¢Wodology int by In-County lidWiag industry Service Board 1113inkhogainninaiLlitid-PenuitAppalare 1091407 44O-4o!5T51WG2Tr)s1W55 City of Tigard a COMMUNITY DEVFI OPMENT DEPARTMENT II T I G A RD Building Permit Review — Residential Building Permit #: M ST2A02O-O0 07 Site Address: 14143 SW Alpine Crest Way Project Name: Zarrabi Addition Lot #: Planning Review Proposal: Addition on side of existing house ❑' Verify address/suite#active in Accela. ❑° In River Terrace: Q No ❑ Yes, River Terrace Review Addendum Site Plan Elements: rosion Control 1: copies of site plan on 8-1/2"x 11"or 11 x 17"paper Detained trees with drip line and tree protection measures 0 D rawn to scale(standard architect or engineer scale) ootprint of new structure (including decks)and FFE 0 orth arrow ,i.Itility locations&easements(required for new and additions) Ili.ite address,project or subdivision name and lot number ..,Sidewalk/driveway approach 111 Applicant information(name and phone number) location of wells/septic systems 04 dimensions and building setback dimensions street tree size,type and location ,`?. are footage of buildings to be demolished °.t -et names 0 xisting structures on site N,'•.rner elevations(2'contours if more than 4'differential 12 .t area,building coverage area,percentage of coverage and 1,000 sf of impervious area created or replaced? j es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o ❑ Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ElYes,applicant was notified ❑No Received: Yes ❑r No ///3140 ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑✓ Yes,applicant was notified ❑No Received: Yes ❑o No /u/)L/iv ' J . II SDC Exemption for ADU applied for: ❑Yes El No Received: ❑ Yes ElNo • II Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑r No Applied For: ❑ Yes ❑ No,stop intake II Land Use Case#: ❑o Zoning: R-7 0 Required Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: 10 Garage: 20 ElBuilding Height: Max. Height: 35 Actual Height: 13 ❑o Landsca ea: 20 % ❑r Lot Coverage ax: 0 % Entrance et back no more than 8'from street-facing wall \ arallel to street or offset 45 degrees or less Windows ' Minimum 12%of area of all street-facing facades Garage e door is behind widest street-facing wall Yes ❑ No,one of the following is met Door s no more than 5'from wall a ere is a covered porch extending beyond garage. Door extends no m an 5'fr all and there is a 12 sq ft.window above garage on 2"d floor. ❑ Gara e door width is 12' ess 50%or less of facade 60%or less and includes 7 of following: Covered porch Recessed entrance Tall offset 1'Roof eave _ Roof offset Fire s ' es Lap Siding ❑ Roof itch able,hi ,or gambrel roof _ Dormer ccent siding Window trim U Window recess ' dow projection ❑ Balcony 0 Visual Clearance ❑ Urban Forestry Plan A` ► II Sensitive Lands: ❑ Yes ❑ No Type: Vj II Conditions met prior to issuance of building permit Notes: L ❑ Approved By Planning: Date: 10/26/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:1B ui Iding\Forms\B IdgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: //i /2o2o Site Plans: # Building Plans: #ury Building Permit#: Enter buildin permit# above. �� Workflow Routing: Planning ngineering Permit Coordinator LETiuilding Workflow Sign-off: Sign-off for Planning (include notes from planning review) Route Application Documents: Q'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and nn��original plan review routing form. Lv�tsuilding: original permit application, site plans,building plans,engineer and beam calculations an. st details,if applicable,etc. Notes: By Permit Technician: //;//pelf, Date: ia/z l:526 Engineering Review 13 Slope at building pad: Z�/b EtConditions "Met"prior to issuance of building permit M/ easements (encroachments)per engineering conditions of approval and plat {t/k- LI Water Quality/Quantity Facility: �y Assess Water Quality Fee in-lieu: ❑ Yes a-No Assess Water Quantity Fee in-lieu: ❑ Yes u No �y LIDA Facility on lot: El Yes allo u Final Plat Recorded: not- ❑ NOT Approved by Engineering: Date: Notes: ['Approved by Engineering: %y,ek,f 2kty Date: /D/,2 7/26 ZO Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review onditions "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: S- DC Exemption: El Received Does not a ly DC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes id N/A LIDA ❑ Yes N/A 6-OK to Issue Permit Approved by Permit Coordinator: /2j Date: 1012// c7 I:\Building\Forms\BldgPermitRvw_RES_122419.docx RECEIVED Clean Water Services-Service Provider Letter OCT 15 202E CITY OF TIGARD BUILDING DIVISION Submission Date: 10/13/2020 Confirmation#: 493 Applicant Name: Babak Jabbari Review Type: Partner City Plan Review Contact Email: craftmaster@live.com Ground Disturbance: 300 Sq.Ft. Contact Phone: 503-997-7172 New Impervious Area: 300 Sq.Ft. Primary Address: 14143 SW ALPINE CREST Mod.Impervious Area: 0 Sq.Ft. Primary Jurisdiction: Tigard Development Activity: Single-Family Dwelling Addition Affected Tax Lots: 2S109AB15600 INSTRUCTIONS:This pre-screening report is the Service Provider Letter(SPL)as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.PROVIDE A COPY OF THIS SPL TO THE JURISDICTION RESPONSIBLE FOR LAND USE REVIEW AND PERMIT ISSUANCE.This pre-screening review does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered and this review does NOT eliminate the need to obtain additional CWS permits or reviews if project changes in scope or location.All required permits and approvals must be obtained and completed under applicable local,State and federal law. Permit or Review Required Next Steps Environmental Site Assessment No Review Water Quality Treatment Review TBD Contact city(primary jurisdiction)responsible for land use review and permit and Stormwater Inspection issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit with Site Plan issuance. Line Tap Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Disconnection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit with Plumbing TBD Contact city(primary jurisdiction)responsible for land use review and permit Plan issuance. Easement Review TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our partners include municipalities,environmental organizations,and developers large and small. Contact Us*2550 SW Hillsboro Highway*Hillsboro,Oregon 97123 phone:503-681-5100*email:splreview@cleanwaterservices.org*website:www.cleanwaterservices.org/permits-development CleanWater Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 1. Jurisdiction: Tigard 2. Property Information(example: 1 S234AB01400) 3. Owner Information Tax lot ID(s): Name: Mehrdad&Katayoun Zarrabi Company: Address: 14143 SW Alpine Crest Way OR Site Address: 14143 SW Alpine Crest Way City,State,Zip: Tigard,OR,97224 City,State,Zip:Tigard,OR,97224 Phone/fax: (503)705-7878 Nearest cross street: SW Pipit Lane Email: mehrdadpdx@yahoo.com 4. Development Activity(check all that apply) 4. Applicant Information ® Addition to single family residence(rooms,deck,garage) Name: Babak Jabbari ❑ Lot line adjustment ❑ Minor land partition Company: Craft Master,LLC. ❑ Residential condominium ❑ Commercial condominium Address: 4931 SW 76th Ave.#348 ❑ Residential subdivision ❑ Commercial subdivision City,State,Zip: Portland,OR,97225 ❑ Single lot commercial ElMulti lot commercial Phone/fax: (503)997-7172 Other Email: craftmaster@live.com 6. Will the project involve any off-site work? ['Yes 0 No ❑Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: Proposing 300 sq.f. addition of a bedroom&an ADA bathroom for the home owner who has ALS.Please process ASAP. 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 Babak Jabbari Print/type title Owner Signature ONLINE SUBMITTAL Date 10/6/2020 FOR DISTRICT USE ONLY 0 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 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 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 Date Once complete,email to:SPLReview@deanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review,Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro,Oregon 97123 Main Office • 2550 SW H: c Hiynw::y • H ,xro. Oregon 97123 • p: 503.681.3600 f:503.681.3693 • cleanwaterservices org ALPINE VIEW /KtK3 1 flttic cwrts_.,., LOT 37 t-i�Y:�, . CITY OF TIGARD, OR '": DISCLAIMER: CITY/JURISDICTION HAS AUTHORITY 1 `+l`c. TO CHANGE SITE PLAN IF NEEDED. T.___ __ --, EROSION GONt'UFRONT_LANDSCAPE 4 ` O a HAY AND,SILT,fENCEF-NEEDED Lt �i. 28.:0' \\\ ram: �, <a4 3 LOT 37 ```tom:. 6,658 SQ.FT. ` 2° Pii S<b, SILT FENCE-TYP. --..''_ 5 ✓'l+0 V V i o `y I � ,� 4 ' (71 0O'0£ f / . W • !SETBACK REQUIREMENTS N. f g 1FRONT (TO BLDG BALL/PORCH) 15' a `` I o E ,* " I iSIDE YARD (ST.) 10' l LOT 36 - a (� F- N ) -- - 1 _�- r` n, 1 SIDE YARD 5' f :` t Lei j m 0. ; GARAGE ni' ��2. 1 I REAR 15' 4.: If --w w o ..3 P.U.E. a 41"' i ,Lj 6 r I • r« 50.00' '��g j JJ — s MB v0 ,L. `. I a a f PACIFIC DOGWOOD �, 8 � STREET TREE - TYP. I SD • e , I , �1 U i 5. , I SCALE I-. ;_� SW ALPINE CREST WAY o lo ao w � u r _1_.l._ _ ..._ ._ ,INCH= 20 FEET s' .,�SVI ALPINE CREST Y D.R. Horton Homes a- PLAN: 3724 9 Lr sAE: 1--20• 4386 SW. Macadam Avenue, Suite 102 0„g: 6-11-12 Portland Oregon ?WAIF.: .5532224151 FAA: 503.222.371/ _ - 1 Water Meter Fixture Unit Worksheet for Additions/RemodekADUs-- OCT 26 20?L- Please complete the following information: CITY OF TIGARD 'Customer Name: M,e lv--.8 004 2-0,1,--,-0hat nUILDING DIVISIC' Service Address: Street/Suite #: /''4 ( `1-3 5t.3 A1p;v-, ... C es* 1,3 c-y City: "t) ,,.-c State: fig.. Zip: 9i2Z4 Phone Number: (So3) `Z 05_-743 i Email: ✓n€t 12a dt €'a ,,)„,„ .c„,, Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total. the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x l = Bidet x 1 = x 1 = Clothes washer ( x 4 = 4. x 4 = Dishwasher l x 1.5 = 105 x 1.5 = IIose bib 1 x 2.5 = -,,5 x 2.5 = Hose bib, each x 1 = x 1 = Kitchen sink I x 1.5 = 1 0 5 x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory LI.. x 1 = 4 1 x 1 = 1 Water closet, 1.6 GPF 3 x 2.5 = 1 ,5 ( x 2.5 = 2„5 Bathtub/whirlpool 1 x 4 = x 4 = Shower stall l x 2 = .- I x 2 = " .. Bath/shower combo 1 x 4 = ,i.. x 4 = Current Points: S I Proposed Increase: S-5 ✓/ Current Points + Proposed Increase= G. =New Total Points =Required Meter Size f4 Meter Sizes: 1 to 30 points= 5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1" New Meter Size Needed for New Total Points: Cost: $ (see page I) Current Meter Size Utility per // Billing: 3/ Cost: $ (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) FOR OFFICE USE ONLY Current Meter Size Confirmed with UB ---Cr 4-Trete ii-t72. 671`7tn L " i7°f'/2CrOf L.-Signature of UB Representative Date I:/Building/Forms/WaterMeters_070119_Add.doCx Page 2 . - Dianna Ornelas From: UB Online Sent: Tuesday, October 27, 2020 7:06 AM To: #Building Permit Technicians; UB Online Cc: craftmaster@live.com Subject: RE: 14143 SW Alpine Crest Way The above-mentioned address currently has a % inch meter so with the increases in fixture units does not require an increase in meter size. Kind Regards, Jill (she/her/hers) K j A WCii4[ Jill 114 tiYg1l CAN BEAayy s , -'' City of Tigard-Utility Billing "4:6 3 g t r Senior Accounting Asst '; �IGkoto . r,as=,•' (888)826-7211 Payments (503)718-2460 U8 Main ' " jellb@tigard-or..gov (503)718-2494 ( Tigards RH97223d From:#Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Sent: Monday, October 26, 2020 3:15 PM To: UB Online<UBOnlinepay@tigard-or.gov> Cc: craftmaster@live.com Subject: FW: 14143 SW Alpine Crest Way Hello, Please see attached Water Meter Fixture Unit Worksheet for approval. Thanks, Branden Taggart City of Tigard R-= Senior Permit Technician `° Community Development TIGARD 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or.gov From: Babak Jabbari <craftmaster@live.com> Sent: Monday, October 26, 2020 12:57 PM 1