Loading...
Permit IN CITY OF TIGARD MASTER PERMIT Permit = COMMUNITY DEVELOPMENT #: MST2020-00298 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/24/2020 T I CIA R.D 9 Parcel: 2S110BA10000 Jurisdiction: Tigard Site address: 11879 SW TREEHILL CT Subdivision: REDWOOD VISTA Lot: 13 Project: Rolfe Project Description: Remove and replace 1,100 sf existing deck in front and back of house. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: 0 First: 0 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: Total: 0 sf Value: $24,805.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Storm Sewer: 0 Tubs/Showers: 0 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: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 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 add'I 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: ROLFE,MICAH J&DARA A DACHSEL CONSTRUCTION LLC Required Items and Reports(Conditions) 11879 SW TREEHILL CT 14526 SE TENINO ST TIGARD,OR 97224 PORTLAND,OR 97236-5301 PHONE: PHONE: 503-708-2234 FAX: Total Fees: $1,021.43 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`t\h`r\ouggh 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: {sO\ .\ V`G1�42+C�ex Permittee Signature: O� Q�,1tL-�'l‘�u s JCall 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 .- )l I/4(zo ., Residential RECEIVED R FOR OFFICE USE OyL) e City of Tigard metecre: /4/2V 1D -'? I'errriit No.: /ytSr24 � S) I.Pii i hone S50 Hall Blvd.,Tigard OR 97223 0 C T 1 4 2020 PI"Review I J/2 a //i other Permit: e . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: rlcAxc� InspectionLinc: 503.639A175 CITY OF TIGARD D81eReseytB' a'a IEl See Page 2for Internet: www.tigardorgov Not.fed/Method: �I Z3 ZCf i(Y✓ '�/'_ Sapplemeatal taformaiion Rllil_nIAIC', im/I If)t 1 �1 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction El Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Nil Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION Fork indicated on this application. dwellingValuation: S-�% � gy �S- 'W 1-and 2-family ❑Commercial/industrial / ❑Accessory building 0 Multi-family Number of bedrooms: A 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I I g F-/ .S tl) 7ree-h/!I Ll/, New dwelling area: square feet City/State/ZIP: Tford o Jk q 7? L-I- Garage/carport area: square feet Suite/bldg./apt.no.: Project name: b ec,k re/04,m,4 f' Covered porch area: square feet Cross street/directions to job site: a,6 1'l r7 G avi-de„ r 14-/ ) Deck area: /// square feet /.eY7 j 1 q h 6 L r .Pi-rot l�L,_12,/l L/ IiI (,- 7L l -q Other structure area: square feet ✓ CWS .C612{i i[� �^ 12- GL' D V REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 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. Ann yg r� rt /. r Valuation: $ ,471l-UL% Wv�' ! L� oiLP_, eAF-71.1." ,_Jr'_i�l^�_ i ✓! YYZ�`t�lLd+ Oa-CA C1- Ihn V Existing building area: square feet New building area: square feet (E PROPERTY OWNER Cl TENANT Number of stories: Name: !r r+f_D ./,.1 AO/. .e__, Type of construction: Address: i t i5 2.q S(,) imeA;I( f Occupancy groups: City/State/ZIP: f p0d777 O—f q?�z4f Existing: Phone:(' Y L) .3,5 t< . (ba,/i J Fax:( ) New: 0 APPLICANT (l CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee sehedale) Business name: ' Structural plan review fee(or deposit): 4492,..9 Contact name: ),� le..., CISe FLS plan review fee(if applicable): Address: 1 Lt' b A "fail rho AI- Total P,-1- ,12 As D A� 7 6 • Total foes due upon application Phone:(S-43) j 1 7- _oci 16 Fax::( ) Amount received: '! PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: I/w 1,p�[l I,Q J/J1447't,� Commercial and residential prescriptive installation of t/ CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. (� _ _ /, ,/ _ _ ,/_„ice Ft 1 I f Submit two(2)sets of roof plan with connection details Business name: tJLt lJr4 I L-!h7/ l i Wr /� r` / !� and fire department access,along with the 2010 Oregon Address: 1 1-e, a.( /j t.. 7�;YLn .�I- solar Installation Specially Code checklist. City/State/ZIP: PO(` C Op, 47413 Permit Fee(includes plan review $180.00 and administrative fees): Phone:() 47"5---a a ( j, Fax:(91) 7-61 -10.7t -7, State surcharge(1r/e of permit fee): $21.60 CCB lic.: I S.7- QI,-G{/ // Total fee due upon application: $201.60 Authorized signature:�; ►% '�i �� This permit application expires if a permit is not obtained s within 180 days after it has been accepted as complete. Print name:!/tv 1 y(I� i 1�L,P.1 Date:tat r 3 I lv.) *Fee methodology set by Tri-County Building Industry Service Board vP 1:BBuildingermitsUP-RESPemiltApp.doe 02/24/2011 440-4613T(I1/02/COM/WEB) //r\P \B Building Permit Application Checklist One--and Two-Family Dwelling i i:'R t I i,< t. t •l i i N I 1 City of Tigard Received g Ass�8 : Permit No.: ,� el 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 - 24-24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical i t'\L l> Internet: www.tigard-or.gov ❑ Other: TiIF. F01.1.01\ INC; l EE\1S 1.121. REQUIRE!) FOR Pl. A\ RE\ IE1V ves •" \ v 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. it • ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 ■ 3 Verification of approved plat/lot. 0 0 ❑ 4 Fire district approval required. Name of district • 0 ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ 0 6 Sewer permit. ❑ 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 [ ■❑ 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ C basin protection,etc. 10 _1 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 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 ❑ 0 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;pe tentage 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 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 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. 0 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- 0 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 0 0 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of mbar. For engineered ❑ 0 ❑ 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 over 10 feet long and/or any beam joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.c.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ 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". m 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. (] - 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ (] 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 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 ❑ 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. 1:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 4404613'f0l/02/COM/WEB) 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 III Transmittal Letter FIG A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov TO: Al iy ,n 9-f ik rp1?,1 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: ),\t 1. n e ,) I(u<< 0 2 Z020 CITY OF TIGARD COMPANY: Dat,A,5ed r pro LLB BUILDING DIVISION PHONE: 6-01—it9-c--cog I 6 BY___ _,. RE: I $� .to Tr /I i fl6TQ 7-o0a9g ( s ermiturnger)(Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: , Copies: Description: 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. Engineer's calculations. Other(explain): R e-vil e-I safe- ►'yl,,� ta f jam,, ree, die wof'l( REMARKS: �T CE USE ONLY AA— Fees Routed to Permit Tee clan: Date: t I I 7�0� Initials: Fees Due: ❑ Yes Zig o Fee Descri tion. Amount Due: $ gf $ P7 Special Instructions: Reprint Permit(per PE): [: Yes 'No ❑Done Applicant Notified: Date: Initials: t:\BuildingWonns\TransmittalLetter-Revisions.doc 05/25/2012 t a 43 City of Tigard = r COMMUNITY DEVELOPMENT DEPARTMENT' TI G A R D Building Permit Review — Residential Building Permit #: M STZO2D-(V298 Site Address: 11879 SW Treehill Ct Lot#: Project Name: Rolfe Deck Replacement xr-17,f S/7 p Planning Review �, s L 0/ Proposal: Replace existing deck on front and back of house , -� eruit In River Terrace: El No ❑ Yes,River Ten'ace Review Addendum ElVerify address/state#active in Accela. El Site Plan Elements: II'rosion Control 0 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 'III'etained trees with drip line and tree protection measures Darawn to scale(standard architect or engineer scale) II ootprint of new structure(including decks)and FEE ) MI orth arrow 12 silty Iocations&easements(required for new and additions Mi.ite address,project or subdivision name and lot number Il•idewalk/driveway approach MI pplicant information(name and phone number) Y'II-oration of wells/septic systems M .t dimensions and building setback dimensions II.treet tree size,type and location :.!..uare footage of buildings to be demolished MI'met names ring structures on site MI '. er elevations(2'contours if more than 4'differential r e',t area,building coverage arca.percentage of coverage and >1,000 sf of impervious area created or replaced? 'es C5 r o0 impervious area(a t . cable if R-7,R-12,R-25&R-40) If :es,is a storm water .uali 'facili shown. Clean Water 'ices-Service Provider Letter(lot platted prior o 9/10/1995): ----Th � Required: V Yes,applicant was notified [ I No ❑Yes ❑No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUsReceived: Required: ❑Yes,applicant was notified No No Received: Yes H No te SDC Exemption Eor ADU applied for: lJYesQ No Received: Yes No Public Facilities Improvement (PFI)Permit Required: 0 Yes,applicant was notified Q No Applied For: 0 Yes ❑ No,stop intake Land Use Case#: El Zoning: R 4.5 El Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: N/A 0 Building Height: Max. Height: 30 Actual Height: <30 . dsca.e Area: % 0 Lot Coverage Max: % Entrance 1 Set back no more than 8'from street-facing wall Parallel to -• a or offset 45 degrees or less Windows I N ..•• 12%of area of all street-facing facades `,\/ Garage Gara e d.. ' behind widest street-facing wall i Yes El No,one of the following is met: ❑gDoor exten.s • ore than 5'from wall and - is a covered porch extending beyond garage. ❑❑ Door extends no mo - •:n 5' from ..1 and there is a 12 sq ft.window above garage on 2"d floor. ❑Gara door width is II 12'or r. 50%or less of facade 60"/o or less and includes 7 of following: Covered porch ' cessed entrap ❑Wall offset 1'Roof cave Roof offset Fire shingle Lap Siding ❑Roo 0 Gable,hi or gambrel roofDormer A • siding U Window trim I Win.0- cess dwindow projection 0 Balcony ❑ Visual Clear.• • 0 Urban Forestry flan ❑ Sen .. - nds: ❑ Yes ❑ No Type: .nditions met prior to issuance of building permit Notes: El Approved By Pta Date: 10/15/20 Revisions(after B ding Submittal only) Review Revision 1: Approved 0 Not Approved ..—.. �. Revision 2: 0 Approved 0 Not Approved 2 PP I\Building\FormsWBldgPemitRvw RES_122419.doex —_____ .s R:•e . • Building Permit Submittal Original Submittal Date: /_Zef 41A�o __ _- Site Plans: # 3 ' Workflow Routing: LI Building Plans: # _ _ Building Permit#: Enter buildin ermit#above. 8 Building ryPlanning Engineering neering &Permit Coordinator Workflow Sign-off: El Sign-off for Planning(include notes from planning review) _ Route Application Documents: Engineering: (1)copy of permit application,(1)site plan,(1)building plan and __original plan review routing form. Building: original permit application,site plans,building plans,engineer and IP beam calculations and st details,if applicable,etc. Notes: Date: /0�20�2dzo By Permit Technician: Engineering Review - Slope O at building pad: 7 - londitions"Met"prior to issuance of building permit - a'Easements(encroachments)per engineering conditions of approval and plat ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes �o Assess Water Quantity Fee in-lieu: 0 Yes L_Jtwo LIDA Facility on lot: 0 Yes LJ s- € afrnal Plat Recorded: Dam; I 0 NOT Approved by Engineering Notes: Date: B_�Y .� Approved by Engineering: Date Revisions(after Building Submittal only) Reviewer Revision 1: © Approved 0 Not Approved -„ C S t�z`L // �' Approved 0 Not Approved Revision 2: 1—_, pP Permit Coordinator Review conditions"Met"prior to issuance of building permit Date: CIApproved, NOT Released: Notes: Revisions(after Building Submittal only) ^ L 1 112D Revision Notice 1: Date Sent to Applicant: Y� Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received Does not a ly e 0Yes 'N/A SDC Fees Entered: Wash Co Trans Dev Tax: RN/A Tigard Trans SDC: 0 Yes0 Yes � LIDA N/A Parks SDC: ❑ Yes T: N/A ErOR to Issue Permit 84 Date: \,'A,� Approved by Permit Coordinator: ______4 n _ l l r l20 1:\Building1Forms1BidgPermitRvw RES_122419.docx City of Tigard / SI COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: IVI ST202O-002.9g Site Address: 11879 SW Treehill Ct Project Name: Rolfe Deck Replacement Lot #: Planning Review Proposal: Replace existing deck on front and back of house ❑r Verify address/suite #active in Accela. 0 In River Terrace: ❑r No ❑ Yes, River Terrace Review Addendum Site Plan Elements: 7 rosion Control II copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures 0 11 fawn to scale(standard architect or engineer scale) ' •Jootprint of new structure(including decks) and FEh CI orth arrow 'LItility locations&easements(required for new and additions) !.ite address,project or subdivision name and lot number ocSidewalk/driveway approach 0 pplicant information(name and phone number) L cation of wells/septic systems t dimensions and building setback dimensions OR street tree size,type and location square footage of buildings to be demolished street names 1 .•sting structures on site .L omer elevations (2'contours if more than 4'differential- /-\pia 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: ❑Yes,applicant was notified El No Received: ❑ Yes El No Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑✓ No Received: ❑Yes ❑ No SDC Exemption for ADU applied for: ❑Yes El No Received: ❑Yes El No Public Facilities Improvement (PFI) Permit: Required: ❑Yes,applicant was notified El No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: El Zoning: R-4.5 ElRequired Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: N/A El Building Height: Max. Height: 30 Actual Height: <30 1 dscape Area: % ❑ Lot Coverage Max: Entrance 1 Set back no more than 8' from street-facing wall Parallel to .- t or offset 45 degrees or less Windows I N R;•.urn 12%of area of all street-facing facades Garage n Gara e do. behind widest street-facing wall i Yes ElNo,one of the following is met: ❑gDoor exten.s • ore than 5'from wall and --re is a covered porch extending beyond garage. uuDoor extends no mor- ... 5'from 1 and there is a 12 sq ft.window above garage on 2"d floor. ❑ Gara e door width is I 12'or h: I 50%or less of facade % Covered porch ' -cessed entran El Walloffset B 601'Rooforleaveessand includes 7 of following: Roof offset Fire shingle Lap Siding Roo ❑ Gable,hi ,or gambrel roof ❑ Dormer Acc siding Window trim Win.o cessL Window projection ❑ Balcony ❑ Visual Clear. • • 0 Urban Forestry Plan ❑ Sen •:•e Lands: ❑ Yes ❑ No Type: 111 onditions met prior to issuance of building permit Notes: � El Approved By Planning: ( - — �� Date: 10/15/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:1B uil ding\Forms\BI dgPerm itRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: ie//54/24120 Site Plans: # .3 Building Plans: # 3 Building Permit#: Enter building ermit#above. n �7 � Workflow Routing: Planning H'Engineering ! Permit Coordinator l� Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan, (1) building plan and __original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: By Permit Technician: 70,ir_ i Date: /e/2:I26Zo Engineeying Review 1 �Slope at building pad: d d o EP�onditions "Met"prior to issuance of building permit � �i�.asements (encroachments) per engineering conditions of approval and plat ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes � o Assess Water Quantity Fee in-lieu: ❑ Yes L�J‹ ��--�����LIDA Facility on lot: ❑ Yes ago 121 nal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: )"" Approved by Engineering: 14,g ! 4 S _ Date: l B a y-? ' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ 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: SDC Exemption: ❑ Received Does not as sly SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes aN/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: O - Date: � kj,Q I:\Building\Forms\BI dgPerm itRvw_RE S_122419.docx RECE[\/ED NOV 2 2 2020 !s'%2® 20 — 04,E CITY OF TIGARD CleanWaterr Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services file Number 20-003047 1. Jurisdiction: Tigard 2. Property Information (example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Micah Rolfe Company: Address: 11879 SW Treehill Ct OR Site Address: 11879 SW Treehill Ct City, State,Zip: Tigard, Or, 97224 City, State,Zip:Tigard, Or, 97224 Phone/fax: 206-356-8055 Nearest cross street: 119th pl Email: Micah.rolfe@yahoo.com 4. Development Activity(check all that apply) 4. Applicant Information ® Addition to single family residence(rooms,deck,garage) Name: Kyle Dachsel ❑ Lot line adjustment ❑ Minor land partition Company: Dachsel construction LLC ❑ Residential condominium 0 Commercial condominium Address: 14526 SE Tenino St D Residential subdivision ❑ Commercial subdivision City, State,Zip: Portland, Or, 97236 ❑ Single lot commercial 0 Multi lot commercial Phone/fax: 503-475-0916 Other Email: Kyledachsel@gmail.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: Remove and replace existing deck in front and back of house. 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 Kyle Dachsel Print/type title Signature ONLINE SUBMITTAL Date 11/3/2020 FOR DISTRICT USE ONLY ❑ 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. O 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. fa' 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. NI THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS 1 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 /1G 04 Date 11/19/2020 Onc omplete,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 tc 3' Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org ! t"/ { Spa_`t-tg Cl1b - • f - ft Nii 1 d.r �; ///�„., A \\- 17 .' P. Y19t c. n rr = /'/ I ! 0 = i 64 1 __....._.. -...__. _.._ /I 1 \ \ : 4. . .- , ,,„ / , $1 — l ,. `� \�-�-- '36 CWS FILE N0.20-003047 w: -( `{'�L,- Approved �_ Clean Water Services FIRONMENTAL REVIEW ,r ? By SPL ATTA HMENT Date 11D/F 9/2020 r Lina Smith From: Lina Smith Sent: Monday, November 2, 2020 12:33 PM To: Allyson Armstrong; kyledachsel@gmail.com Cc: #Building Permit Technicians Subject: RE: 11879 SW Treehill Ct - Deck Plans (MST2020-00298) Hi Kyle, City staff spoke to Clean Water Services(CWS) and they stated that you will need to obtain a service provider letter before this building permit can be issued. Please fill out this form and upload your revised site plan here to obtain the service provider letter: https://www.clea nwaterservices.org/documents-forms/pre-screen-form/ If you have any questions for CWS, their contact info can be found here: https://www.cleanwaterservices.org/permits- development/step-by-step-process/environmental-review/ 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 From: Allyson Armstrong<AllysonA@tigard-or.gov> Sent: Wednesday, October 28, 2020 2:59 PM To: kyledachsel@gmail.com Cc: Lina Smith <LinaCS@tigard-or.gov> Subject: 11879 SW Treehill Ct- Deck Plans Good afternoon Kyle, I am reviewing your deck plan and am unable to determine where on the site plan the decks are being built. Please update the site plan to show where the decks are being built. Thank you, Allyson Allyson Armstrong City Of Tigard 3f 3;718-2612 dlork. Mobile llysanA tigard-,r,g,„ 13125 SW Hall Boulevard Tigard, Oregon 97223 1