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Permit
FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT '1 _:'. Transmittal Letter r it)A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Branden Taggart DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Don Titus NOV 1 6 2020 RD COMPANY: Don R Titus, Residential Designer LLC CI OF DIVTIG SIO BUILDING DIISION PHONE: 503 621 6085 By EMAIL: don@donrtitus.com RE: 15220 SW 81 st Ave MST2020-00265 (Site Address) (Permit Number) , George Addition (Project name or subdivision name and tot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 3 Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. Other(explain): REMARKS: changes to floor framing, rough opening sizes 4;d44)4 pgoci A poet'41.6b Acreme op li,✓4 Jo ,q sm./4/6 AterL ~A i. FO OFFJCE USE ONLY Routed to Permit Technician: Date: U/ -' /7-0?_.p Initials: Mat— Fees Due: V Yes ❑No Fee Desc iption. Amount Due: $ bn 112 1 iA-II V-C-(. ) $ Lf✓s- $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: V Date: gididdo Initials: , =_- d�ti cti'1u;t . Branden Taggart From: #Building Permit Technicians Sent: Tuesday, November 24, 2020 1:50 PM To: Don R Titus Subject: RE:Addition for Jack George: MST2020-00265 - 15220 SW 81st Ave. Attachments: MST2020-00265.pdf Importance: High Hi Don, These revisions for Jack George are ready to issue now. The balance due is$45.00, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (mst2020-00265) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and I will place these revisions in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed this coming Thursday for the holiday and on Fridays. The City of Tigard Permit Center will be closed Thursday and Friday, November 26 and 27 for the Thanksgiving holiday, and inspections will not be performed on these days. Thanks, Branden Taggart City of Tigard ■ Senior Permit Technician Community Development TIGk RD 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov From: Don R Titus<don@donrtitus.com> Sent: Monday, November 23, 2020 1:41 PM To: Branden Taggart<brandent@tigard-or.gov> Subject: Re: Addition for Jack George: MST2020-00265 - 15220 SW 81st Ave. Caution!This message was sent from outside your organization. Allow sender I Block sender Thank you! On Mon, Nov 23, 2020 at 12:50 PM Branden Taggart<brandent(n)tigard-or.gov>wrote: Hi Don, 1 Our Plans Examiner approved the revision today, and she is working remotely. Once this revision is delivered to the office, we will make it ready to issue as quickly as possible. Thank you, Branden Taggart n City of Tigard • . Senior Permit Technician Community Development TICARD 13125 SW Hall Blvd Tigard,OR 97223 (503}718-2449 brandent@tigard-or.gov From: Don R Titus<don@donrtitus.com> Sent: Monday, November 23, 2020 10:49 AM To: Branden Taggart<brandent@tigard-or.gov> Subject: Re: Addition for Jack George: MST2020-00265 - 15220 SW 81st Ave. Hi Branden, Is it possible to check on the status of this permit submittal?The number is MST2020-00265.The owner is currently living in his garage and feeling pretty anxious about it, so I told him I'd try to get a status update. Thank you! Don On Sat, Nov 7, 2020 at 7:36 AM Don R Titus <don@donrtitus.com>wrote: Hi Branden, 2 ' t 6 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e- mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are { I retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention ( Schedule." is it * Important Note About Covid-19 * My commitment is always to serving my clients, and at this time that includes doing whatever is needed to protect your health. I will conduct meetings virtually whenever possible, but when meeting in person is needed,to keep you safe I am taking the following measures: • After arriving, but prior to exiting my vehicle, I will thoroughly sanitize my hands. • During our meeting I will not touch my face. • I will maintain a minimum distance of six feet between myself and others. • I will wear a mask during our meeting. DON R TITUS RESIDENTIAL DESIGNER, LLC NEW HOMES • ADDITIONS • REMODELS 503 621 6085 con@donrtitus.com 'www.donr€itus.corn * Important Note About Covid-19 * My commitment is always to serving my clients, and at this time that includes doing whatever is needed to protect your health. I will conduct meetings virtually whenever possible, but when meeting in person is needed,to keep you safe I am taking the following measures: 4 • • After arriving, but prior to exiting my vehicle, I will thoroughly sanitize my hands. • During our meeting I will not touch my face. • I will maintain a minimum distance of six feet between myself and others. • I will wear a mask during our meeting. DON R TITUS RESIDENTIAL DESIGNER, LLC NEW HOMES • ADDITIONS • REMODELS -44 503 621 6085 ' xetd i T i'g" a I 1 don@donrtitus.con, ,-: %F \M/VW.COI"iriv us.ucrr 1 * Important Note About Covid-19 * My commitment is always to serving my clients, and at this time that includes doing whatever is needed to protect your health. I will conduct meetings virtually whenever possible, but when meeting in person is needed,to keep you safe I am taking the following measures: • After arriving, but prior to exiting my vehicle, I will thoroughly sanitize my hands. • During our meeting I will not touch my face. • I will maintain a minimum distance of six feet between myself and others. • I will wear a mask during our meeting. , DON R TITUS RESIDENTIAL DESIGNER, LLC , .•,' NEW HOMES • ADDITIONS • REMODELS 1 _ 503 621 6085 don@donrtitus.corn www.donrt{us.corn I 5 N II City of Tigard INCOMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential llrAldl) Building Permit #: .A°TZo2e2 -a)1695 Site Address: 15220 SW 81st Avenue Project Name: George Addition Lot #: Planning Review ,t1l�120�t i `*1.8.4. s 4 Proposal: 235-square-foot addition on side of existing house iD S 1�t c , Scow ` ❑ Verify address/suite#active in Accela. ❑ In River Terrace: ElNo ❑ Yes, River Terrace Review Addendum Site Plan Elements: rosion Control I: copies of site plan on 8-1/2"x 11"or 11 x 17"paper (etained trees with drip line and tree protection measures OP awn to scale(standard architect or engineer scale) ,footprint of new structure(including decks)and FFE Q -orth arrow • ��tility locations&easements(required for new and additions) 0 ite address,project or subdivision name and lot number w)I1�jrdewalk/driveway approach 0 pplicant information(name and phone number) �� ,,,,vocation of wells/septic systems CI . dimensions and building setback dimensions i'treet tree size,type and location al I.•ware footage of buildings to be demolished •,treet names 0, 0,Ling structures on site ;.timer elevations(2'contours if more than 4'differential�_ ill t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 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: El Yes,applicant was notified El No Received: yes g El No IIWater Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑r Yes,applicant was notified ❑No Received: 0 Yes ❑No SDC Exemption for ADU applied for: ❑Yes Q No Received: ❑Yes ❑r No Public Facilities Improvement (PFI)Permit: Required: El Yes,applicant was notified ❑ No Applied For: ❑Yes ❑No,stop intake Land Use Case#: ❑r Zoning: R-4.5 QRequired Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: N/A Q Building Height Max.Height: 30 Actual Height. 11 • 1 . •.scape Area: °% 0 Lot Coverage Max: °6 Entrance A et back no more than 8'from street-facing wall ` a t. I el to street or offset 45 degrees or less Windows 1 h' ,.•. 12%of area of all street-facing facades 1~i Garage 111 Gars door is .-..nd widest street-facing wall ElYes ❑ No,one of the following is met: ❑gDoor extends no - - than 5'from 1 and there is a covered porch extending beyond garage. Door extends no more tha '- om wall and there is a 12 sq ft. • dow above garage on 2^a floor. ❑ Gara e door width is I - or less I 0%or less of facade60%or less and includes 7 of following: t► Covered porch II Recessed entrance 'all offset 1'Roof lave Roof offset Fire shi ; s lap Siding ❑Roofitch 1 Gable,hi.,or gambrel roof Dormer ent siding Window trim Window recess I Window projection ❑Balcony ❑ Visual Cie. :. cc ❑ Urban Forestrr'Plan Els- . e Lands: ❑ Yes LI No Type: .E Conditions met prior to issuance of building permit Notes: t` ❑ Approved By Planning: Date: 9/2/20 Revisions (after Building Submittal only) Review D to Revision 1: Approved ElNot Approved \, t1 �lO Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Qg/27i2©26 Site Plans: # L. Building Plans: # ..7 Building Permit#: P'Enter buildinmpermit#above. �y Workflow Routing. a Planning id—EngineeringR Permit Coordinator I 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 �-7 original plan review routing form. CI Building: original permit application,site plans,building plans,engineer and beam calculations . • trust details,if applicable,etc. Notes: 001.11 By Permit Technician: 17 Date: 49-22-2O2O Engineering Review `Slope at building pad: 2"/o [onditions "Met"prior to issuance of building permit/1/4.— BEEasements (encroachments)per engineering conditions of approval and plat f/' f .iVater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes �E No Assess Water Quantity Fee in-lieu: ❑ Yes 1_I No LIDA Facility on lot ❑ Yes [4 No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:te E Approved by Engineering: 1 yt!yi't,tit y Date: 9/Z3/Z6Zd �1f�Revisions (after Building Submittal only) Reviewer Date l J Revision 1: 0 Approved ❑ Not Approved ACl Revision 2: 0 Approved 0 Not Approved ��Permit Coordinator Review 1\151 Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes:ievisions(after Building Submittal only) AYRevision Notice 1: Date Sent to Applicant: O Revision Notice 2: Date Sent to Applicant: SSDC Exemption: ❑ Received Does not a ly SDC 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 OK to Issue Permit Approved by Permit Coordinator. Date: 91241.10 1:1Bu it ding\Fo rms\Bldg PermitRvw_RES_122419.docx ,01 CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2020-00265 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2020 Parcel: 2S112CB00402 Jurisdiction: Tigard Site address: 15220 SW 81ST AVE Subdivision: GOOD ACRES Lot: 6 Project: George Project Description: 235 sq.ft.addition to expand master bedroom, bathroom and closet. WATER METER UPSIZE REO'D PRIOR TO FINAL. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 235 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 235 sf Value: $28,778.10 Rear: 15 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 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: N Vent Fans: 1 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 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 add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1 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 Ecompasing: N Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 235 Owner: Contractor: GEORGE,JACK&MARILYN BUILT WELL CONSTRUCTION Required Items and Reports(Conditions) 15220 SW 81ST AVE 34977 MILLARD ROAD TIGARD,OR 97223 WARREN,OR 97053 PHONE: PHONE: 503-720-7162 FAX: Total Fees: $1,953.76 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 952-0007-0090. You,may obtain a copy of the rules or direct questions to OUNC by calling D503.2332.1987 or 1.800.332.2344. / Issued By: / �Y Permittee Signature: " .1 °,�1��0' 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 Application Residential RECEIVE ' FOR OFFICE USE ONLY City of Tigard AUG 2 7 2020 ReceivedDate/By: O?22- 20 , PermitNo.:MSTZOZO-eOU'S v 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t Phone: 503.718.2439 Fax: 503598.1960 CITY OF TIGARD Date/By: �/ Z7J� 1 4tithe Permit. TIGARD Inspection Line: 503.639.4175 Date Ready/By: tt- 1 atrm. I ES See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Nolified/Method: rl� �].�/� r] t c Supplemental Information TYPE OF WORK j EQUIRED DATA: I.-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 tJ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0'1-and 2-family dwelling ❑Commercial/industrial Valuation: 715 o0 0I 1 S 0 Accessory building El Multi-familyNumber of bedrooms: 4I ❑Master builder ❑Other: Number of bathrooms: tr\00 JOB SITE INFORMATION AND LOCATION Total number of floors: 2. c area: '7_ * square feet Jab site address: 15z2.0 cJ(1`) $IS} �1V� New dwelling City/State/ZIP: "rlpr(� C . Cp22( Garage/carportarea: square feet Suite/bldg./apt.no.: J Project name: Clear AcOrhoel Covered porch area: square feet Cross street/directions to job site: a w'-l/Z"le Sari of-S4C) ar.t{n t2d Deck area: square feet '-` ,v1 y� �-y, /� Other structure area: square feet 74 / 1� ic-C7y.'6 i D y' U-A /21 2J REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*arc based on the value of the work performed. 'Z j 112L�00`10 Z. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK 1 work indicated on this application. 1-3A-0,c t add��avv t0 cXpahr�f705-11n4 wkoes4CS bedroo✓Y11 Valuation: $ bath„r. s 1 taHd c,(o�}-T1.23r- S.E' ) Existing building area: square feet New building area: square feet » PROPERTY OWNER Cl TENANT Number of stories: Name: jock /'.Boa@ Type of construction: Address: 152 2O S v $1 si- ANk Occupancy groups: City/State/ZIP: 'rt t M eg 9-12 z 4 Existing: Phone:(911) Z /0 6-'J7 Fax: ( ) New: EI APPLICANT h CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: ' ov\ g., --n-6.5 r (ZeStclr-,sfia! e'Stq✓.�- LL( Structural plan review fee(or deposit): leg. 92 Contact name: e V1-'1-t-„g Ol FLS plan review fee(if applicable): Address: '51M SE IIS'h^ A./e Total fees due upon application: City/State/ZIP: POr-rtDAd cR q-126,6t Amount received: Phone:(503) G2 1 lo0155 Fax::( ) E-mail: do✓ �r do"!+tT Uy con, SOLAR PANEL SYSTEM FEES" Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: 6 0,1} i Gp�S,�fvG .U't �t 0-15 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: ',19 ) Mt1\0fLj �d r[ Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP: \O AT ren 2- cr 0S3 and administrative fees): $180.00 Phone:(5637) 120 ')I G2 " I Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: '� 5 a1 Total fee due upon application: $201.60 Authorized signature:C- e....,_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Tr LLt�� Date: 'Z-'I 2a� *Fee methodology set by Tri-County Building Industry rw 1tg5 Service Board. C1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) Mechanical Permit Application ECEIVE I FOR OFFICE: LSE ONLY Received City of Tigard Date/By: Penn Ms�20� a 2 o5' 13125 SW Hall Blvd.,Tigard,OR 97223 A U G 2 1 2020 Plan Review Eril Phone: 503.718.2439 Fax 503.598.1960 Date/By: Permit Oche Permit: TIGARD Inspection Line: 503.639.4175 Internet: www.tigard-or.gov CITY OF.i,( ARD Date Ready/By: ® See Page2 for BUILDING DIVISIO Notified/Method: ,u Supplemental information TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Lit 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1r-45-mo SW '6\49, !}de Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: '-1 cj,Afd 6y-)22-4 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: CI torte kaaik(tan Duct work I 23.32 Cross street/directions to job site: ka j3r I/2 Mk Sty C 5 v. EcA R 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 Subdivision: Lot no.: Other: 23.32 — Other fuel appliances: Tax map/parcel no.: 7,c \\ZGRj 00‘-\02_ Water heater 23.32 • DESCRIPTION OF WORK Gas fireplacelinsert 33.39 Flue vent for water heater or gas -SJr-a Addt)un 4v ex icv,c) e-mS"hvn 'M �a5-� 17eav-c,W! fireplace 23.32 A lr eAf`a CA05(k- Log lighter(gas) 23.32 b Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 I PROPERTY OWNER ID TENANT Other: 23.32 Environmental exhaust and ventilation: Name: J aG k C1 cony Range hood/other kitchen " equipment 33.39 Address: 152'lA rjtf3 g\ th`fLr Clothes dryer exhaust 33.39 City/State/ZIP: Itar C) tog_ 9l22`� Single duct exhaust(bathrooms, 0 _. toilet compartments,utility rooms) 23.32 Phone:(c-1 1\) Zyfv 0-1-'i Fax:( ) Attic/crawlspace fans 23.32 pt APPLICANT a CONTACT PERSON Other: 23.32 Fuel piping: Business name: t1%0V` 9-Tt t r'ha 1 42-LsOe t LS II,of LLC. $14.15 for first four;$4.03 for each additional Contact name: b ov, Tk (J\ Furnace,etc. Address: e 131) 56 115'n" PS•le Gas heat pump Wall/suspended/unit heater • City/State/ZIP: p0!'-4tAvNe Q '172(4 Water heater • Phone:(f0 7) i0,21 tr00$5 Fax::( ) Fireplace Range E-mail: Jainp, dor.r-41k..5.Cowl Barbecue CONTRACTOR Clothes dryer(gas) Business name: bok\1. 06,k Ciii.v53t-CuI C ciA 21c-\ - 0 6 Other: ,,,, `` I MECHANICAL PERMIT FEES* 1�0 Address: 124C1-11 Oki\Nard Subtotal .(•� Ci /State/ZIP: z Minimum permit fee($90.00) `I3 r 3 City/State/ZIP: �►-�o.eet?n Ct� ��0 / , Plan review(25%of permit fee) Phone:(rj 03) -1 ZQ 1 1 cot Fax:( ) State surcharge(12%of permit fee) CCB lie.: 51i l$ TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:: * Fee methodology set by Tri-County Building Industry Service Board Print name: 7ov*Tt Date: 21 P(1,201 d I:Uluildiag\Permits1MEC_PernutApp 040113.doc 440-4617T(II/02/COM/WEB) • Electrical Permit Application E ',. '... FOR OFFICE USE ONLY _ City of Tigard UL 1 6' :2Cuittl D Receivedeiv Pem»t 5�� Y 1 _> -0026 S et 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TI�GARD Plan Review 'a • Phone: 503.718.2439 Fax: 503.598.19 Date/B : Related Permit#: Supplemental Inspection 503.639.4175UILDING DIVISION. ReadyDateB : orris: TIGARD P > y See Paget for Internet: www.tigard-or.gov Notified/Method: S Information TYPE OF WORK PLAN REVIEW ❑New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/ilems checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-family dwellingCommercial/industrialless to ground,or exceeds 14,000 ❑Commercial-use agricultural ® ❑ El Accessorybuilding amps for all other installations. buildings. ❑Multi-family El Master builder ❑ Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:15220 SW 81 st Ave. 100l'W or more. ❑"A","E "l-2","1-3", City/State/ZIP:TI and OR 97224 ❑Six or more residential units. occupancy. g ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qtr. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with75.00 2 above sq.ft.) Electrician of Record on Permit# MST-202000265 Limited ener gy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 59.36 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 El APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Garner Electric above service or feeder fee, 7.42 2 each branch circuit Contact name:Brittany Burian B.Fee for branch circuits without service or feeder fee,first ( 56.18 2 Address:2890 SE Brookwood Ave. branch circuit • City/State/ZIP:Hillsboro, OR 97123 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503-'648-4552 Fax: :(503-642-7925 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permits@garnerelectric.com Reconnect only 67.84 2 CONTRACTOR / Pump or irrigation circle 67.84 2 Business name:Garner Electric -A,\ Sign or outline lighting 67.84 2 Y 4) Signal circuit(s)or limited-energy 0 See Page 2 2 Address:2890 SE Brookwood Ave. Y f& panel,alteration,or extension. City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)648-4552 Fax:(503)642-7925 Investigation(1 hr min) 90.00/hr Email: permits@garnerelectric.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 121159 Electrical Lie.: 34-305C Suprv.Lie.: 3707-S specifically listed(/5 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Charles Gamer Date: 10/22/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 8 rja TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Brittany Burian Date: 10/22/2020 days after it has been accepted as complete. * Number of inspections allowed per permit. L\BuitdinglPermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46i5T(I I/05/COM/WEB 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 DD. I Each Total ( Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 5.01 to 15 kva 133.56 2 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 30104 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ 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 an 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,E hr specifically listed(S4 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 subtotal(Enter on Page I): ' Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I\Building\Pemtits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 r Plumbing Permit Application Building Fixtures RECEIIV FOR OFFICE USE ONLY C City of Tigard AUG 7 7OZO Received Permit No.:M S,T2o 2Q-4026 J :� at 13125 SW Hall Blvd.,Tigard,OR 97223 Date BywGCO Phone: 503.718.2439 Fax: 503.598.1960Plan Review ■ Other Permit No.: CITY OF'fIGAP�ate/ey: TIGARD Inspection Line: 503.639.4175 BUILDING DIV!S gekb Ready/By:ie : oris:rt-t B1 See Page 2 for -- Internet: www.tigard-or.gov Notified/Method: t l a. Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist ,,--,,ff Description I Qty. I Ea. I Total Ux Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION. SFR(1)bath 312.70 El 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: 17220 SUS %\4!1 /Ss1L Drywell,leach line,or trench drain 18.76 City/State/ZIP: j 1(kArd -)2 • ct7 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: O I Project name: CA[Dfye_ Rfr]ff�'r1VIN Manufactured home utilities 50.03 Cross street/directions to job site: Aloa1J- tlL tyvtICOOSa.oc r'v- Scvokt Q.d Manholes 18.76 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: I Lot no.: Fixture or item: Tax map/parcel no.: ZS\I-1,0P5 00407. Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 e., Clothes washer 25.02 \-S ru.) P( vmnc 4-o ex ri6.4 (6411 rq WtA -4-c- Dishwasher 25.02 )3 Gd r ` oow% / 'ackln cccen i c,"a c)tl5e k' J Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: 3ack-- Cieo(rAQ JJ Floor drain/floor sink/hub 25.02 Address: Irj'2-.20 `jv-, "ifi k Ask Garbage disposal 25.02 City/State/ZIP: 1-1A ra cp._ ,21-7 22 4 Hose bib 25.02 Phone:(crl I) Z40 o---77-1 Fax:( ) Ice maker 12.51 Q APPLICANT 0. CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name: pot„ (Z -\^t.\.us I(LG5terCs�,o\1 DCS�+'�CJ' CLC t Primer 12.51 Contact name: 1>Qv,-1-,Jr, Roof drain(commercial) 12.51 Address: 5l 6t ttc ' A"'e Sink/basin/lavatory r 25.02 City/State/ZIP: poi-460,0a ctz pin 2,44, Solar units(potable water) 62.54 Phone:(.O2,) 621 6,Ce.ty Fax: :( ) Tub/shower/shower pan 1 12.51 E-mail: O on LJ a o'r}-t .cow \ Urinal 25.02 Water closet I 25.02 CONTRACTOR Water heater 37.52 Business name: . *)5I, 71.,•A/t`,72- /Jaz- --r e.iL /e/iy a.elater piping/DWV 56.29 Address: A 2 6 Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lio.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: 1:::>ov,-i1 r-'47 Date: '7 r 'Zoi This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building1Permits\PLMU-PermitApp.doc 10NIN9 440-4616T(10/02/COMIWEB) City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: MgT2020 -CtIZCo5 Site Address: 15220 SW 81st Avenue Project Name: George Addition Lot #: Planning Review Proposal: 235-square-foot addition on side of existing house ❑r Verify address/suite# active in Accela. El In River Terrace: 0 No ❑ Yes, River Terrace Review Addendum Site Plan Elements: rosion Control I: copies of site plan on 8-1/2"x 11"or 11 x 17"paper detained trees with drip line and tree protection measures 0prawn to scale(standard architect or engineer scale) footprint of new structure(including decks) and FFE O 'orth arrow tility locations&easements(required for new and additions) D.ite address,project or subdivision name and lot number idewalk/driveway approach CI pplicant information(name and phone number) location of wells/septic systems O .t dimensions and building setback dimensions street tree size,type and location M.uare footage of buildings to be demolished ,itreet names 0 xi ting structures on site °Comer elevations(2'contours if more than 4'differentia a.X t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 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: 0 Yes,applicant was notified ElNo Received:g ❑r No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs ' Required: Q Yes,applicant was notified 0 No Received: ❑r Yes ❑ No SDC Exemption for ADU applied for: ❑Yes ❑r No Received: ❑ Yes ❑. No \A Public Facilities Improvement (PFI) Permit: Required: ❑Yes,applicant was notified ❑o No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: ❑r Zoning: R-4.5 ❑o Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: N/A ❑r Building Height: Max. Height: 30 Actual Height: 11 • 1 .•.scape Area: % ❑ Lot Coverage Max: 0/0 Entrance II et back no more than 8'from street-facing wall I . . el to street or offset 45 degrees or less Windows ..•• 12% ,of area of all street-facing facades 0 r Garage II Gara e door is .:•• d widest street-facing wall ❑ Yes ElNo,one of the following is met: ❑gDoor extends no c - than 5' from . :i and there is a covered porch extending beyond garage. uuDoor extends no more th. '. om wall and there is a 12 sq ft.window above garage on 2"d floor. ❑ Gara e door width is I or less E. 0%or less of facade 60%or less and includes 7 of following: Covered porch 2 Recessed entrance all offset 1'Roof eave Roof offset Fire shi s Lap Siding ❑ Roof itch 1 Gable,hi.,or gambrel roof Dormer ent siding Window trim Window recess I Window projection ❑ Balcony ❑ Visual Cie: : ce ❑ Urban Forestry Plan ❑ Se 'i•e Lands: ❑ Yes ❑ No Type: 1111. Conditions met prior to issuance of building permit Notes: O Approved By Planning: Date: 9/2/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: Q$/27/ZO2 6 Site Plans: # Building Plans: # ..3 Building Permit#: P-�"Enter building}permit#above. 2- �,y Workflow Routing: 1!'l Planning L'� Engineering L7 Permit Coordinator L'1 Building Workflow Sign-off: 0n'Sign-off�, for Planning(include notes from planning review) Route Application Documents: l{d�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 2-Building: original permit application, site plans,building plans,engineer and beam calculations . • trust details,if applicable,etc. Notes: By Permit Technician: ,6, J Date: d9 2Z 2e00 Engineering Review L7—Slope at building pad: 2% U l.onditions "Met"prior to issuance of building permit/i/e.-- ErEasements (encroachments) per engineering conditions of approval and plat PI/A- la-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ErNo Assess Water Quantity Fee in-lieu: 0 Yes allo LIDA Facility on lot: 0 Yes El,No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: E Atepproved by Engineering: f,44y7�i)1,y Date: 9IZ3/Z4Z0 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 0-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: SDC Exemption: ❑ Received Et Does not a ly SDC 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 gOK to Issue Permit Approved by Permit Coordinator: v Date: 9[241/ 1:1Buil ding\Forms\BldgPermitRvw_RES_I22419.docx Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: RECEIVED Customer Name: Jack Cede ` (c }Icar1l !Tov� 2Ti-fvs) AUG 2 7 2020 Service Address: Street/Suite#: 0(5220 5(/,} 8-Is+ ANL, CITY OF TIGARD BUILDING DIVISION City: 1-i 0 r-d State: OZ. Zip:9-7 ZZ\ Phone Number: 503 6771 CcOSS Email: d.� ,dob.,,--4+,5.cowl 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 0 x 1 = G U x I = O Bidet C. x 1 = 0 0 x 1 = 0 Clothes washer I x 4 = 4 p x 4 - D Dishwasher I x 1.5 = I.S p x 1.5 = 6 Hose bib I x 2.5 = 2.5 0 x 2.5 = 0 Hose bib,each add' 5 x 1 = 3 o x 1 = 0 Kitchen sink I x 1.5 = i.5 0 x 1.5 = p Laundry sink I x 1.5 = 1.c 0 x 1.5 = 6 Lavatory 5 x 1 = S I x 1 = I Water closet, 1.6 GPF 5 x 2.5 = 125 0 x 2.5 = () Bathtub/whirlpool 0 x 4 = p I x 4 = c} Shower stall I x 2 = 2 0 x 2 = 0 Bath/shower combo 5 x 4 = 12 0 x 4 = 0 Current Points: 1-f5.5 Proposed Increase: 5 Current Points+Proposed Increase= 'j0.5 =New Total Points =Required Meter Size I 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: I D Cost: $ 24-} ,645.00 (see page 1) Current Meter Size per Utility Billing: *„ Cost: $ . 1I1-106,,•Cx3 (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ l51 ZVI•co (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Current Meter Size Confirmed with UB Signature of UB Representative Date I:/Building/Forms/WaterMeters_070119 Add.dOCx Page 2 RECEIVED SEP 0 3 2020 CITY OF TIGARD C1eanWater Services SENSITIVE AREA PRE-SCREENING SITE ASSgION Clean Water Services File Number 20-002348 1. Jurisdiction: Tigard 2. Property Information (example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Jack George 2S112CB00402 Company: Address: 5138 SE 115th Ave OR Site Address: 15220 SW 81st Ave City, State,Zip: Portland, OR, 97266 City, State,Zip: Tigard, OR, 97224 Phone/fax: 971 246 0777 Nearest cross street: about 1/2 mile south of SW Bonita Rd Email: timmy201041@gmail.com 4. Development Activity(check all that apply) 4. Applicant Information ID Addition to single family residence(rooms, deck, garage) Name: Don Titus ❑ Lot line adjustment ❑ Minor land partition Company: Don R Titus, Residential Designer LLC ❑ Residential condominium ❑ Commercial condominium Address: 5138 SE 115th Ave ❑ Residential subdivision ❑ Commercial subdivision City, State, Zip: Portland, OR, 97266 D Single lot commercial ❑ Multi lot commercial Phone/fax: 503 621 6085 Other Email: don@donrtitus.com 6. Will the project involve any off-site work? ❑Yes 0 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 Don Titus Print/type title Designer Signature ONLINE SUBMITTAL Date 8/24/2020 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 esources Assessment Report may also be required. V 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 06a.-kne aA- Date 09/02/2020 0 complete,email to:SPLReview@cleanwaterservices.org • Fax: (503) 681-4439 OR mail to: SPL Review, Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro, Oregon 97123 Revised 2/2020 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org /- / I 1 FROM CONTRACT DC 5-0"SIDE SETBACK -1 / DESIGNER IN WRITING / \ I 0 B. ALL DIMENSIONS ARE I 0 i )/ FACE/EDGE OF CON \ -- �1- / / I UNLESS OTHERWISE N ,r \ N. / / `� , _ _,`�' /�(E) TOPO I SITE LEGEI 1 / TYP \ _ / \ r — PROPERTY \�` - \V / - - - - - SETBACKL -\-\ _ _ / I- \ FENCE LINI / / / � � ` _ � i • —SS— SANITARY / / ` N W WATER LIN N ' / / 2ao(E)4PATIO / �q� �z SITE INFOF \ %�Yl 09/02/2020 U V i Q r N I Li.' ce ADDRESS 1: 1 y w r - _ --N. TI \ \ w • ;n TAX LOT ID 2: \ (E) RESIDENCE o 4 o PROP ACCT ID R: 1 1 - o LOT SIZE 0. J v ZONING SI r lc 1 1 - - (� AVG ELEVATION 21 r--� 1 / \ I LOT AVG SLOPE < S ; a 1 \ �3 /I/ (E) TREE TYP \ / • r- �/ / // ' \ /\ / / / \ ./ V / / 0 I v - . 7 , / V I I (N) ADDITbON N _ I / / I / J I\ \ / \ / /- I \ • ( 1 / — ,�e8 1 CWS FILE NO. \ i i 5-0"SIDE SETBACK / -W �W W W w / Approved 198 FT . _ _ r, ,�,_ . . . . _ .: _ _ _ Clean Water Ser 175'-0" PROPERTY LINE - - FOR ENVIRONMENTP By Date_ 18'-71" i a-51" SPL ATTACHMENT 18'-10" / 2 / 2 , 85'-1" Branden Taggart From: Branden Taggart Sent: Tuesday, October 27, 2020 2:04 PM To: 'don@donrtitus.com' Subject: Addition for Jack George: MST2020-00265 - 15220 SW 81st Ave. Attachments: Invoice.pdf Hello Don, The Building permit for the Jack George addition is ready to issue now. The balance due is$937.64, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (MST2020-00265) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Please note that we will need your Plumbing contractor's licenses prior to issuing this permit. Thank you, Branden Taggart 1i • City of Tigard m R Senior Permit Technician TioAvio Community Development 13125 SW Fail Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or;g ov 1 Lina Smith From: Lina Smith Sent: Wednesday, September 2, 2020 6:45 PM To: 'don@donrtitus.com' Cc: #Building Permit Technicians Subject: George Addition - 15220 SW 81st Ave Hi Don, I finished the Planning/Zoning review for this permit, and I've routed it to the Building Division for review. Before the Building Division can issue your permit,you'll need to first obtain a service provider letter from Clean Water Services. Please fill out this form online and upload your site plan here: https://www.cleanwaterservices.org/documents- forms/pre-screen-form/ This won't delay Building's review of your permit, but it will need to be submitted before they can issue the permit. When you obtain the response from Clean Water Services, please e-mail it to tigardbuildingpermits@tgard-or.gov (also copied on this e-mail). Thank you, Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard, OR 97223 E-mail: LinaCS@tigard-or.gov