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Permit
Property Owner Statement RECEIVED Regarding Construction Responsibilities MAR 2o2i Oregon Law requires residential construction permit applicants who are not licensed witF 1l ®F TIGARG Construction Contractors Board to sign the following statement before a building permitjG DIVISION' issued. (ORS 701.325 (2)) This statement is required for residential building,electrical, mechanical,and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not submit this statement.This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: ?ZIA". , c rk - G ( 06 s--96 • y-2-1 Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. K girt/ Ni -j Print Name of Permit Applicant /v2/ Signature of Permit App Date Permit#: I 2 03 £ 1 j Address: .;r „ .., ;i r- ;. w- 160.47( DIE ,q9-22.-3 • Issued by: Date: This Copy for Permit Offices 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 „I iir, Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439•www.tigard-or.gov TO: Dianna L.Ornelas DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Nestor Ngo AUG 10 2021 COMPANY: Harmony Decor LLC CITY OF TI PHONE: 503-943-9744 SUILDING DIVE Iti EMAIL: project@harmonydecor.org RE: 12403 SW 134th Ave,Portland,OR 97223 MST-2020-00269 . (Site Address) (Permit Number) Kien Nguyen Addition (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Copies: Description: Additional set(s)of plans. 3 Revisions: Bathroom Layout 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): REMARKS: Bathroom Layout Revision for permit MST2020-00269 • FOR OH CE USE ONLY Routed to Permit T c_O ian: Date: �f'(7/7-I Initials: Fees Due: �: Yd,' 0 No Fee Description: Amount Due: , $ OD t12 Mi At�MJYV, $ < ----'— $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes it<No�- ❑Done l Applicant Notified: ate: /ni 2] Initials: I:\Building\Forms\TransmittalLetter-Revisions 073120.doc ,4-i 1A a35642131-7( City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _ Water Meter Fixture Unit Worksheet T 16,11?D For Additions /Remodels /ADUs RECEIVED 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 3 2021 CFP(OF TAD BUILDING DIVISION LOCATION: City of Tigard —City Hall WATER METER SALES: Utility Billing By Appointment Only: 503-718-2460 13125 SW Hall Blvd. Tigard, OR 97223 METER: SIZE: FEE: Pricing effective 01/01/2021 5/8" $9,495.00 Fee includes: 3/4" $13,554.00 water system development charge, 1" $24,886.00 water meter, and 1-1/2" $73,689.00 meter installation fee. 2" $119,333.00 DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the variety of home sizes built in the Tigard area, we count the fixture units of all homes to determine the appropriate meter size. Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed increased number of fixture units, which will determine whether an increased meter size will be required. Submit this signed worksheet with your building or plumbing permit application submittal. DOCUMENTATION Once you are ready to purchase the new meter, please provide the following items to the Utility Billing counter: • Completed water meter fixture unit worksheet for additions, remodels, ADUs, etc. (on back page). • Copy of building or plumbing permit application date-stamped by building division. • Copy of issued building or plumbing permit. Your fixture count will be verified and your request will be processed upon receipt of these documents. No exceptions. INSTALLATION TIME Once the upgraded meter size has been purchased, please contact Public Works for installation. Their number is 503-718-2591. Most meters are installed within 10-14 business days. I:/Building/Forms/WaterMeters_070120_1dd.dOCX Page 1 Water Meter Fixture Unit Worksheet for Additions/Remodels/AD Us Please complete the following information: Customer Name: Kien Nguyen Service Address: Street/Suite#: 12403 SW 134th Ave City:Tigard State: OR Zip: 97223 Phone Number: 503-943-9744 Email: project©harmonydecor.org 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 = 1 x 1 = 1 Bidet x 1 = x 1 = Clothes washer 1 x 4 = 4 x 4 = Dishwasher 1 x 1.5 = 1.5 1 x 1.5 = 1.5 1"Outside Water Spigot x 2.5 = x 2.5 = Water Spigot,each add'I x 1 = x 1 = Kitchen sink 1 x 1.5 = 1.5 1 x 1.5 = 1.5 Laundry sink x 1.5 = x 1.5 = Lavatory(bathroom sink) 3 x 1 = 3 1 x 1 = 1 Water closet,1.6 GPF(toilet) 3 x 2.5 = 7.5 1 x 2.5 = 2.5 Bathtub/whirlpool x 4 = x 4 = Shower stall x 2 = 1 x 2 = 2 Bath/shower combo 2 x 4 = 8.0 x 4 = Current Points: 25.5 Proposed Increase: 9.5 Current Points+Proposed Increase= 35 =New Total Points =Required Meter Size 3/4" Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=1" 37.5 and over points= 1" 3!4" Cost: $tf 4 $13,554.00 (see page New Meter Size Needed for New Total Points: P g 1) Current Meter Size per Utility Billing: 5/8" Cost: $M $9,495.00 (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ o$4,059.00 (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Current Meter Size Confirmed with UB J Bentley (mtr required to be upsized) 6/1/21 Signature of UB Representative Date I:/Building/Forms/WaterMeters_070120_Add.dOCX Page 2 _ /ft t )Iry 3 S GI, / y71,, NOV 3 0 2020 CITY Of- i GARD C1eanWater� Services SENSITIVE AREA PRE-SCREENIN8uSA ( SMENT Clean Water Services File Number 20-002611 1. Jurisdiction: Tigard 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Kien Nguyen 2S104AB13500 Company: Address: 12403 SW 134th Ave OR Site Address: 12403 SW 134th Ave City, State,Zip: Tigard, OR, 97223 City, State,Zip:Tigard, OR, 97223 Phone/fax: Nearest cross street: Email: 4. Development Activity(check all that apply) 4. Applicant Information ® Addition to single family residence(rooms,deck,garage) Name: Nestor Ngo ElLot line adjustment 0 Minor land partition Company: Harmony Decor LLC ❑ Residential condominium ❑ Commercial condominium Address: 522 NW 23rd Ave, Suite E ❑ Residential subdivision ❑ Commercial subdivision City, State,Zip: Portland,Oregon, 97210 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5039439744 Other Email: project@harmonydeccr.org 6. Will the project involve any off-site work? ['Yes ❑ No ❑ 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 Nestor Ngo Print/type title Signature ONLINE SUBMITTAL Date 9/24/2020 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. ❑ 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 Cs. Date 10/8/2020 Once 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 Fons,vl 2/2020 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p:503.681.3600 f:503.681.3603 • cleanwaterservices.org • SW B ENI S H ST j FROG A E,rIGARD,OR 91223 • FROJFCT LEGAL: I ROPERTY ID:R2005312 /4ONY PARCEL ID 261044513500 LOT N 163 6 1 0� ON G:R-15 OR%v LAND AAA:8ID35 SF. P3 993970 -Tom. �..-� ..-r: / \ VD MAXA' LOT COVERAGE:6035 9F.F 80%•6,418 BF �... ;S `9 ..� PROFo9ED LOT!'4v£RK,E-.3014'.F. 'A DATE: 41.."4 22'-4y2' 9 36'-4' \T eJIL,PMG FOOTPRINT: • �� v r- EXISTM 1464 SF /F `�` MAN I0101 SF { 245AGF: 462 SF. ADDITION: T3 SF a1 ADDITK>ti: 30 SF, !' I FOFGH: 23 TOTAL: 113 SF. NEW ADDITION PROPOSED BUILDING FOOTPRNT '1 I, 2 (750 SF.) r-PROPOSED ROOF OVERHANG 4 I OR To aPEc1F1c Exit LOCATION cF I a JI -NO EUILDMG WiHM 5'-0'OF PROPERTY LINES I Z a •I •... / Q. ---� 1 1 II 'f I: �- -H EROSION CONT MEA ROL SURE:_! W CO, SILT FENCE I CsENERAL NOTES w W PROPERTY LINE I. EXISTNG IBUILDNG ON SEE DALT TO PROPERTY a E--1 LEES 1. DEMo TREES AND SSWABSFER PLAN,PROVIDE P U.) I EXISTING BUILDING FOOTFRINT TREE FRoTECTICN FER 2A11"6 CODE TITLE 33CNAFTER II , W r-I r-EX$T NG ROOF OVERHANG X 3. COMECCT STORM DRAINII G TO NEW DR SELL ex 4.CONTRACTOR SHALL CC FIR_CONCRETE FLOCK FMISH UNOWJER _ 5.CONTRACTOR SHALL COORDINATE WITH OWER cO I FOR LANDSCAPE MD YARD IMPROVEMENT J @ UI �•y� Q i' 20-0' 1 00, k in EXISTING HOUSE L (1,055 SF.) CIO �• C m (n 26'-0' 1E)DRIVEWAY Z r a N E-1 d 5 0 SPACED•V IIAX Zi' I I Eaav(NO 8'-0'MIN W g 0 co a- J OR T1 STAKED 3 }}II F-F-1 7 ISO PAORO RICE __-__ - __ 11IDIETURiED ® fdPAtIED CN{IPILL__- ' .r N� -------- GROUND SLOPE au ogaq.mzo �3-��' aE.YpRtR@ =1e DE 3,,._1-o. Danner.. NNmror Nµ SITE PLAN e TYP. SILT FENCE DETAIL Drafter W1 No e' SCALE:3/32'• I'-0' SCALE:I/4'• I'-0' AO CITY OF TIGARD MASTER PERMIT ■ COMMUNITY DEVELOPMENT Permit#: MST2020-00269 Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/07/2020 T I 4'_A P.17 9 Parcel: 2S 104AB 13500 Jurisdiction: Tigard Site address: 12403 SW 134TH AVE Subdivision: MORNING HILL NO.7 Lot: 163 Project: Nguyen Project Description: 1,198 sf 2-story addition:2-bed/1-bath, kitchen, living, dining&bonus room. NO FINAL INSP UNTIL WATER METER UPSIZED. NOT APPROVED FOR ADU.Separate trade permits. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 821 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 18 Bathrooms: 1 Second: 377 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 1198 sf Value: $146,707.08 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 Storm Sewer: 0 0 Drains:Tubs/Showers: 0 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 Drywall-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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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: ADD SF VB R-3 1198 Owner: Contractor: NGUYEN,KIEN NGUYEN VO CORPORATION Required Items and Reports(Conditions) TRUONG-NGUYEN,KIM 10798 SE FOREST VIEW LN 1 Ersn Cntrl 503-639-4175 NGUYEN,ANDREW HAPPY VALLEY,OR 97086 552 N WHITE RD SAN JOSE,CA 95127 PHONE: PHONE: 503-737-7976 FAX: Total Fees: $5,897.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344, Issued By: h\\otrA e We,2. Permittee Signature: tesh a )I 1«$r'CI"".• 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 r3- I 120 Residential RECEIVE FOR OFFICE ('SE O\i 1 ® Received 7/1/City of Tigard DateBy: /VW/2020 PermitNo.: msT2O2O 0O2(� t illii - • 13125 SW Hall Blvd,Tigard,OR 97223 S E P 0 9 2020 Plan Review t Phone: 503.718.2439 Fax: SD3.598.1960 Date/B ID Itte, Other Permit: TIGAAD Inspection Line: 503.639.4175 Date ReadyBy: tuns 0 See Page 2 for Internet: www.tigard-or.gov CITY OFi 1GARD Notified/Method: �I 1 7i(7 '��' I Supplemental laformafion BUILDING DIVISION L v/ ( N ---- TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 1711/ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead and HIP profit for the CATEGORY OF CONSTRUCTION work indicated on this application. , 1,,,L_f..cc,-707 1-and 2-family dwellingValuation: a ► emu 0Commercial/industrial i� ❑Accessory building ❑Multi-family Number of bedrooms: 2, ❑Master builder 0 Other: Number of bathrooms: ( JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: i2A o3 .S W I. 411S PNV e, New dwelling area: ,'eig square feet 377 City/State/ZIP: TK-ARC I! o*� g."1� Garage/carport area: square feet "2'L1 Suite/bldg./apt.no.: Project name: KIFN 1.4601EN A00, 1 ia4 Covered porch area: square feet t P Cross street/directions to job site: Deck area: square feet IC VE)W A T"ETL fl(a f (z 12-.. 1&,V$12.6- { ,—za b P I`n IO 1`-p -- Other structure area: square feet r 1',MI— !Kr SP i7-10/.i, REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: C/S SDI/I ,i C „ 12412026 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. P�OPOSF NE.%. 3 A[ DcrIOiy TO e)Cl TII C2- Valuation: $ �O0SE- i rA& ci w ki- f , )�?r L Existing building area: square feet J `V New building area: square feet gPROPERTY OWNER ❑ TENANT Number of stories: Name: KIF�1 NCsUTE'1�1 lype of construction: Address: 12...i 0.5 Sup ,�4erk Ail_ Occupancy groups: City/State/ZIP: -4 i„GA,Rx OR c3-122. Existing: Phone:(Ake 7 a4 „ 05-4I Fax:( ) New: Eif APPLICANT 21 CONTACT PERSON BUILDING PERMIT FEES* Business name: �1�1V* I U t\r� �Q/�. Q t i (Please refer to fee schedule} V4'� U L•r_ Structural plan review fee(or deposit): 1772,03 Contact name: N E'STOR N J522 N l.) 2- � A' F FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: prATL S6. D . 01t 97210 q Amount received: Phone:(Sb.9 947,. 9744 Fax..( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: rO:Ne`a a Korrno+, airor . r?('Z� P + Commercial and residential prescriptive installation of CONTRACTOR (1 roof-top mounted PhotoVoltaic Solar Panel System. Business name: j SD N cAj Iv V o LORP. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 1,Q,4Cz, se., foetesk v(rt..) Lt.3 Solar Installation Specialty Code checklist. `t Permit Fee(includes plan review City/State/ZIP: tC1 va��L`� 1Q and administrative fees): $180.00 Phone:(603)Ill- — 1O i(i 1 7Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: Total fee due upon application: $201.60 Authorized signattue: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. -f *Fee methodology set by Tri-County Building Industry N Print name: r S fnR �� Date: 1 fJ aJ Service Board. 1:\Building\PermitstBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling Fon orr►ci; 1 s1: ONLY City of Tigard Received Permit N • 13125 SW Hall Blvd.,Ti ard,OR 97223 Y g Associated permits: e Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TtGARI) Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l e. No \/k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 • G 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 n 3 Verification of approved plat/lot. ❑ 0 CI 4 Fire district approval required. Name of district: ❑ ❑ U 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 11 6 Sewer permit. ❑ ❑ 7 Water district approval. ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 2] 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size . sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. / 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if Ly ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements aid driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction 1 indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. ,�t 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size I�l 0 ❑ _ and location. r#�, 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, RJ ❑ ❑ 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 ❑ ❑ 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. +Ll ❑ ❑ 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 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 III 0 0 locations. Show attic ventilation. y— ,( 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 CJ 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 IA 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. ❑ 20 Manufactured floor/roof truss design details. LJ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 for four or more appliances. 1 0 0 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or �] architect licensed in Ore:on and shall be shown to be applicable to the .ro'ect under review. .JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". C4 ❑ 0 24 Two(2)sets each are required for Items 16,19,20 and 22 above. rA ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. IJ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. M ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. 1/ 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard [I ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, D .❑ .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 ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • - - City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT T I G A K D Building Permit Review — Residential Building Permit #: MST 2 p2b-oo 26,g Site Address: 12403 SW 134th Ave Project Name: Nguyen Addition Lot #: Planning Review Proposal: Adding onto side of existing home ElVerify address/suite # active in Accela. ❑a In River Terrace: ElNo ❑ Yes, River Terrace Review Addendum Site Plan Elements: erosion Control O: copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures O1rawn to scale (standard architect or engineer scale) , _Footprint of new structure(including decks)and FFE CI 'orth arrow \ _.:hility locations&easements (required for new and additions) O.ite address,project or subdivision name and lot number sidewalk/driveway approach O pplicant information(name and phone number) ,, ,,;,:,ocation of wells/septic systems O • dimensions and building setback dimensions _Street tree size,type and location \10. uare footage of buildings to be demolished et names Oxisting structures on site met elevations (2'contours if more than 4'differential_ O .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o impervious area(a plicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ' o ❑ Clean Water ices—Service Provider Letter (lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: ❑Yes No ❑r Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: Q Yes,applicant was notified 0 No Received: ❑r Yes ❑ No II SDC Exemption for ADU applied for: ❑ Yes ❑r No Received: ❑ Yes El No II Public Facilities Improvement (PFI) Permit: Required: ❑Yes,applicant was notified ❑o No Applied For: ❑ Yes ❑ No,stop intake II Land Use Case#: ❑r Zoning: R-25 ❑r Required Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: 10 Garage: 20 ❑r Building Height: Max. Height: 35 Actual Height: 18 ❑r Landsca!e A ea: 20 % Q Lot Coverage ax: 8 Entrance 1' 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 .ra•e door is behind widest street-facing wall ❑Yes ❑ No,one oft - •rowing is met: Do• -.tends no more than 5' from wall and theee is a covered porch ex -•.i g beyond garage. Door exten.s ore than 5' from wall and there is a 12 s• ' •ow above garage on 2nd floor. ❑ Gara e door width is — 1 . - s El504/o or le : acade 60%or less and includes 7 of following: Covered porch — Recessed entra ..• I Wall offset 1'Roof rave Roof offset Fire shingles La. g I Roo ❑ Gable,hi ,or gambrel roof Dormer Accent sidin_• Window trim Window re UWindow projection ❑ Balcony ❑ Visual Clearance ❑ Urban Forestr ,Plan ❑ Sensitiv- .. •s: ❑ Yes ° No Type: II "onditions met prior to issuance of building permit Notes: �y C--•� 0 Approved By Planning: ` x-- a -Sv__ Date: 9/24/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:1Building\Forms\Bl dg PermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 0q'09-2oZo Site Plans: # 6 Building Plans: # 3 Building Permit#: a-Enter buildingpermit# above. �y �y Workflow Routing: Planning Engineering LI Permit Coordinator LPI Building Workflow Sign-off: B Sign-off for Planning(include notes from planning review) Route Application Documents: B Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. �y LEI Building: original permit application,site plans,building plans,engineer and beam calculations an. trust details,if applicable,etc. Notes: By Permit Technician: Date: /5-of-2 20 Engineering Review Er-Slope at building pad: 2G �aconditions "Met"prior to issuance of building permit rl/ . u Easements (encroachments) per engineering conditions of approval and plat h/' Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes Er-No n LIDA Facility on lot: ❑ Yes �1�10 Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: [Approved by Engineering: ",..{ { Date: Jc)/S/Zaza Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Permit Coordinator Review YConditions "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 a7 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: V Date: D((a I20 r 1:\Building\Forms\Bl dgPermitRvw_RES_122419.docx /'7- r ono - op t 7 Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs •`' IVED JV 0 q 2020 Please complete the following information: CITY OF TIGARD Customer Name: KIEIN1 e jGiUYF1.t DING DIVISION Service Address: Street/Suite#: 12_4O3 SO 154' -ME, City: 'T1G11tRj) State: OR. Zip: 4:3.7).5 Phone Number: 94J -914' Email: o psi QI Wtf`triA(W ��' CS 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 I = i x I = — ` Bidet x I = x I = Clothes washer j x 4 = 4 x 4 = _ Dishwasher i x 1.5 = 1.5 { x 1.5 = `r cj Hose bib t x 2.5 = 2 .5 x 2.5 = Hose bib,each 1 x I = I x t = Kitchen sink t x 1.5 = +t,5 x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory 3 x 1 = 3 j.. x I = t Water closet, 1.6 GPF 3 x 2.5 = is L x 2.5 Z.5 Bathtub/whirlpool x 4 = x 4 = Shower stall x 2 = 1.. x 2 = Z, Bath/shower combo z x 4 = go x 4 = Current Points: 29 _ Proposed Increase: _ _ 8 tr Current Points+Proposed Increase= _ 37 =New Total Points =Required Meter Size 3/4 Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1" a New Meter Size Needed for New Total Points: 3/4 Cost: $ t 9h, 4`J (see page 1) Current Meter Size per Utility Billing: 5/8 r Cost: $ 9, 4 Del (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ 4 . 0 j (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 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ;I :• Water Meter Fixture Unit Worksheet T 1 G A R D For Additions /Remodels /ADUs 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • ww,tinard-or.gov LOCATION: City of Tigard—City Hall WATER METER SALES: Utility Billing By Appointment Only: 503-718-2460 13125 SW Hall Blvd. Monday—Thursday, 9 a.m. to Noon Tigard, OR 97223 METER: SIZE: FEE: Pricingeffectire 7/1/2019 5/8" $9,406.00 Fee includes: 3/4" $13,425.00 water system development charge, 1" $24,645.00 water meter, and 1-1/2" $72,969.00 meter installation fee. 2" $118,163.00 DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the variety of home sizes built in the Tigard area, we count the fixture units of all homes to determine the appropriate meter size. Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed increased number of fixture units, which will determine whether an increased meter size will be required. Submit this signed worksheet with your building or plumbing permit application submittal. DOCUMENTATION Once you are ready to purchase the new meter, please provide the following items to the Utility Billing counter: • Completed water meter fixture unit worksheet for additions, remodels, ADUs, etc. (on back page). • Copy of building or plumbing permit application date-stamped by building division. • Copy of issued building or plumbing permit. Your fixture count will be verified and your request will be processed upon receipt of these documents. No exceptions. INSTALLATION TIME Once the upgraded meter size has been purchased, please contact Public Works for installation. Their number is 503-718-2591. Most meters are installed within 10-14 business days. liBu11ding/Forms/WaterMeters_070119 Add.dOCX Page 1 Dianna Ornelas From: UB Online Sent: Monday, November 9, 2020 4:45 PM To: Vy Bui; Harmony Decor Cc: #Building Permit Technicians Subject: FW: MST2020-00269 - Nguyen - 12403 SW 134th Ave Attachments: image001.jpg; image002jpg; image001 jpg; NGUYEN ADDITION - WATER METER FIXTURE UNIT WORKSHEET 1109020.pdf The attached Water Meter Fixture Unit worksheet for additional fixtures is correct. The address currently has a 5/8 inch meter and will need to be upgraded to a % inch meter. Kind Regards, Jill (she/her/hers) tit A W[ih . Jill 61w ow BE Ask- • City of Tigard -UtiIity Billing It 'M^`' � Senior AccountingAsst TIfiARi? (888)826-7211 Payments ir (503)718-2460 UB Main jiilb@tigard-or.gov (503)718-2494 BE AINL 13125 SW Tigard,OR H 97223all d, From: Vy Bui<vybui@harmonydecor.org> Sent: Monday, November 9, 2020 2:23 PM To: UB Online<UBOnlinepay@tigard-or.gov>; #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Cc: Harmony Decor<project@harmonydecor.org> Subject: Fwd: MST2020-00269- Nguyen - 12403 SW 134th Ave Warning!This message was sent from outside your organization and we are unable to verify the sender. Hello, There are two hose bibbs at the moment. Please review the updated water meter worksheet form attached below and let me know if you have any questions. Thank you for your help! Best regards, Forwarded message From: Harmony Decor<proiect@harmonydecor.org> Date: Mon, Nov 9, 2020 at 9:17 AM Subject: Fwd: MST2020-00269- Nguyen - 12403 SW 134th Ave To:Vy Bui <vybui@harmonydecor.org> 1 Forwarded message From: UB Online<UBOnlinepay@tigard-or.gov> Date: Mon, Nov 9, 2020, 7:51 AM Subject: RE: MST2020-00269-Nguyen- 12403 SW 134th Ave To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>, Harmony Decor<proiect@harmonvdecor.org> Cc: UB Online<UBOnlinepay@tigard-or.gov> Good Morning Nestor, I have reviewed the form and have one quick question. How many hose bibs does the property have? You currently have down that there are no hose bibs. Please let me know as soon as possible so I can get the approved form returned. Kind Regards, Jill (she/her/hers) From:#Building Permit Technicians<TigardBuildingPermits a@tigard-or.gov> Sent: Friday, November 6, 2020 5:05 PM To: 'Harmony Decor'<proiect@harmonydecor.org> Cc: UB Online<UBOnlinepay@tigard-or.gov> Subject: MST2020-00269-Nguyen - 12403 SW 134th Ave Hello Nestor, Building plan review has been completed and we are in the process of getting the permit ready to issue. 2 We will need the attached water meter worksheet approved by our Utility Billing (UB) Division before we can make this permit ready to issue. I have copied UB on this email for their review and approval. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits 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 retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." Vy Bui Interior Designer Harmony Decor 522 NW 23rd Ave, Suite E, Portland, OR 97210 US & INTL Business +1-503-943-9744 I Nestor Ngo Vietnam Business +84-935305488 I Thao Duong https://www.harmonydecor.orq/ https://www.facebook.com/harmonydecor.orq/ 3