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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 ea Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Branden Taggart DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Martha Alicia Bashir RECEIVED FEB 2 3 2022 COMPANY: CITY OF TIG/tfit, PHONE: 503-267-9085 Blur WING DIVISit = EMAIL: alicia.bashir@gmail.com RE: 14040 SW Fern Street, Tigard, Oregon 97223 MST2020-00283 (Site Address) (Permit Number) Bashir Remodel (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 2 Revisions: existing wall stays,add passtrough 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: the wall in the living room was not and will NOT be removed A 39" passthrough created,with minimum header of 4"x6", shown on proposed plan page 3-thank you! FO OFFICE USE ONLY Routed to Permit Technici ji Date: `f— -2_ VI-- Initials: Alf- Fees Due: E Yes ❑✓.No Fee Desc ption: Amount Due: N_) b P c s 7-- s _ Special Instructions: Reprint Permit(per PE): U Yes No ❑ Done Applicant Notified: Date: Initials: FOR OFFICE USE ONLY—SITE ADDRESS:This ;'orrn is recognized by most building departments in the Tri-County area for Itransmi:ling information. --- Please complete this limn when submitting.i:n:forrnntion for plan review responses and re«isiorls. This limn and the in14 rmation it provides helps he review process and response to your 1'rvject_— • I, ti CitM' of Tigard • COMMUNITY DEVELOPMENT DEPARTME:� T IR [= r, �JCai:I �Mcn.smiita1 Leiter i , 13125 SWHall Bllvd, • Ti lard. Oregon 97223, 503.718.2439 • www.tigard-or.gov MMMMIMIMMMMMMMMMMIININMMIMMMOMMMIIIIIIMIIIMIIMM1MMMMMIIMAIMMMIIIIIIIII1.1111MM1�BMMIMMYMM11BINIINNMIMM IIYv/IIIMMMMIMMI TO: Allysc•n Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION 4ECEIVED FROM: Mike Montgomery __-- DEC 2 3 !OV COMPANY: t= Designs 11 Home Desi ns ,.;IIY OF rICIAHL) IrHG NE: 503-.515-649:5 QILDING DIVISIOly Py. :-F _ EWAIL: mike iti;simplhomedesigns.cceu RE: 14040 SW Fern St. MST2020-00283- 14040 SW Fern St. (Site Address) I Pen nit Nulnbe:r) Alicia I'iahir (Project nam;or subdivision name and tit number) ATTACHE))ARE T:HIE FOLLOWING' IT'IEMS: Cppiees: I Description: Copies_. filc!scription: --- —_ — Additional set(s)of plans. 3 Revisions: D2.0,D:3.0,D4.0, D5.0 and D6.0 .____ Cross section(s)and details. Wall bracing andior lateral analysis. _r � Floor/roof framing. Basement and retaining walls. __ Beam ca:Iculations. Engineer's calculations. Other(explain):_ RE&IA Revised plans for the new deck coven and 1 ''1 ,halt%lauit in the living space Mn — L ' It o a- J 3r) -c_c_iL _ _ ----- Y :it. __ 1�.,e;-r; k l-� \YINIY\YY MIMYYYMYY Y.YY••IMMIBMY�YYYIYONNI\I\IM Y IOC.. WO OF ICE USE ONLY _, Flouted to Permit T chnici . Date: ']_�i _ Initials: �'� Fees Due:_ Yes c No e De._ 'pttk Amount Due: . ...____,_ $$ t___1_7 Special _ -- — --- --- --- __ 4-- 1:nstnictions: R, rint Permit(per IPE 0 Yes_ o_-- - ] Done , _ //jj Date: rl2j Initials: I iXl licant Notified:,..,.YYYYYMlYYY�I1� \YIY�YYYM»IIIIM MYYYYYYMI»INMYYYYY YIYM.\I» 'Fr �%, .. 14,-/— WC— �u>Gb7— r i vt- - s t 5�rrol /66}gfifwriww � � i Ca, 11€A)`' G6vt.4 Gl J4 1 e4K , �c-'trX� _ °C Aitr V' fr -S�. 7 i c- YY.V&6(Tc7 -t., 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 111 Transmittal Letter Ti Alt n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ALLYSON ARMSTRONG DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: MIKE MONTGOMERY FEB 7 2022 COMPANY: SIMPL HOME DESIGNS CITY OF TIGARQ PHONE: 503-515-6495 BUILDING DIVISI(p!UY: 4 `r, EMAIL: mike@simplhomedesigns.com RE: 14040 SW FERN ST. MST2020-00283 (Site Address) (Permit Number) Alicia Bashir (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 3 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): REMARKS: REVISED ALL SHEETS D1.0 THUR D6.0 FORj OF CE USE ONLY Routed to Permit Technicia • Date: ? ��— Initials: 1144- ..Fees Due: ❑ Yes o 6, e-D cnpti n: Amount Due: 0 6.-t.----- ' $ 0, Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑Done Applicant Notified: Date: a2li-1,--42-- Initials: L FOR OFFICE USE ONLY—SITE ADDRESS: '140a-d 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 71 Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ALLYSON ARMSTRONG DATE RECEIVED: DEPT: BUILDING DIVISION ECEIVED FROM: MIKE MONTGOMERY JAN 18 2022 COMPANY: SIMPL HOME DESIGNS UITY OF TIGARD PHONE: 503-515-6495 iUILDING DIVISIONz : , EMAIL: mike@simplhomedesigns.com RE: 14040 SW FERN ST. MST2020-00283 (Site Address) (Permit Number) Alicia Bashir (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 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): ,ti REMARKS: REVISED SHEETS D2.0,D3.0, D4.0 AND D5.0. r�S 4 liAw — J ��(/�jY) l VAULATION FOR THE NEW DECK COVER AND GARAGE CONVERSION 35,000.00. �'� -- lPZ ; - �' \` it3,- i -k- \ — (r .A `I 4-t� l p„r_Ji-- .a-. 1) ILE cir FO OF ICE USE ONLY Routed to Pe Technician; Date: 2 `7 2�' Initials: /4-1 ' Fees Due: Yes ❑No Fee Descripti : Amount Due: V-D,)- r pt\.a r -r=ea/ti-c-t.,J $ ( 1) 0 ?/ $ $ Special Instructions: / Reprint Permit(per PE): Yes 1- J ❑No IDDone Applicant Notified: Date: ,a,if() / 7 Initials: G �� CITY OF TIGARD MASTER PERMIT Ili • ' COMMUNITY DEVELOPMENT Oat Permit#: MST220200283 T I GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439i. i/�! Parcel: 2S104BCO2200 :.. /� Jurisdiction: Tigard Site address: 14040 SW FERN ST Subdivision: HANDY ACRES ��I ot: 22 Project: Bourquin Project Description: Int/Ext reno&garage conversion. 2/15/22: REPRINT to add deck cover&garage conversion. .Add 2 bdrms, relocate bath/laundry. Demo chimney&vault section liv/din area. Resurface some BUILDING Floor Areas Reaulred Setbacks Required Stories: 1 Bedrooms: 2 First: 415 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 15 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $116,626.00 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 Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 Drywall-Trench Drain: 0 Other Fixtures: 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 Unlit Service Feeder Temo 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+ampNolt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: MOHAMMAD BASHIR BELLS DRAFTING&CONSTRUCTION INC Required Items and Reports(Conditions) 13534 SW LINDEN DRIVE 11385 SHELBY ROSE DR TIGARD,OR 97223 OREGON CITY,OR 97045 PHONE: 503-267-9087 PHONE: 503-313-9228 FAX: Total Fees: $4,347.64 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 rubs are set forth in OAR oc ..nni_nnin rhrnnnh rl OS9_ _nnon . n in a a rnnv d of the,n ac dirarr nnactinnc to CHINO.by raliinn Sn'1 979 QR7 nr 1 ROAnny/o`G'39 9�J7d/.4 Issued By: Permittee Signature: iP G� ti 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. li City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT ■ r I A l;►� Building Permit Review — Residential Building Permit #: alsr202o-,(023 Site Address: 14040 SW Fern St Project Name: MK Homes, LLC Lot #: Planning Review I1-18I22 s115‘J5 - Rlac .p1 gSr' T UlrvercitrO. Proposal: Exterior and interior remodel; adding onto deck on north side of existing home I] Verify address/suite #active in Accela. I] In River Terrace: ❑r No ❑ Yes, River Terrace Review Addendum Site Plan Elements: _7rosion Control rile copies of site plan on 8-1/2"x 11"or 11 x 17"paper ...Retained trees with drip line and tree protection measures drawn to scale(standard architect or engineer scale) ootprint of new structure(including decks)and FFE I' orth arrowltility locations&easements(required for new and additions) 12 ite address,project or subdivision name and lot number Sidewalk/driveway approach -Applicant information(name and phone number) ration of wells/septic systems 11 4,,. dimensions and building setback dimensions ..„Street tree size,type and location a1',.uare footage of buildings to be demolished .Street names 0_xisting structures on site Corner elevations(2'contours if more than 4'differential II , area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'es " AA 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): c0/2-L/.2O Required: ❑Yes,applicant was notified ❑ No Received: likes 0 No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified No Received: ['Yes ❑ No II SDC Exemption for ADU applied for: Yes CI No Received: 0 Yes 0 No li dI Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Y��jjcz CI No,stop intake Land Use Case #: ❑ Zoning: 2 7- 0 Required Setbacks: Front: 15 Rear. 15 Side: 5 Street Side: N/A Garage: 20 ❑r Building Height: Max. Height: 35 Actual I Ieight: 13.5 ❑/ Landsca•e Area: 20 0,,,, VLot Coverage Max: 80 Entrance I - • ck no more than 8'from street-facing wall ❑ Parallel t. . •et or offset 45 degrees or less Windows I Minimum f area of all street-facing facades - ► _ Garage I Gauge door is behin. .. -st street-facing wall I Yes ❑No,one of the following is met: Door extends no more tha ' om wa ,- • there is a covered porch extending beyond garage. — Door extends no more than 5' . .. . . d there is a 12 sq ft.window above garage on 2,'d floor. ❑ Gara•e door width is I or less ❑ 50%or - • facade II 60%or less and includes 7 of following: I Covered . - I Recessed entrance ❑ Wall of -r 1'Roof cave Roof offset • F' : , igles I Lap Siding ❑Roof itch lJ Gable, u , • _ambrel roof El Roof tl/ Accent siding / Window trim U Window recess I Window • :'-ction ❑ Balcony Visual Clearance 1.1' Urban Forestry Plan 112 S-nsitive Lands: CI Yes ❑ No Type: Steep slopes on site, but not in project area '1' onditions met prior to issuance of building permit Notes: C '7 , 0 Approved By Planning: - _ Date: 10/8/20 Revisions (after Building Submittal only) e i er Date Revision I: 0 Approved El Approved 1/2 f7 7.7z.— Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RLS_122419.docx Building Permit Submittal Original Submittal Date: 49 21 2e2.0 Site Plans: # .S Building Plans: #�7.- Building Permit #: [n Planning lJ Engineering la-Permit Coordinator L7 -uilding Workflow Sign-off: '�ign-off for Planning(include notes from planning review) n Route Application Documents: �t�'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal plan review routing form. - Building:- original permit application,site plans,building plans,engineer and beam calculation• . d trust details,if applicable,etc. Notes: By Permit Technician: - %iiliilr" Date: /06I20ZO Engineering Review Er Slope at building pad: /,V El-Conditions "Met"prior to issuance of building permit PA' � ' asements (encroachments) per engineering conditions of approval and plat h/� u Water Quality/Quantity Facility: �� Assess Water Quality Fee in-lieu: ❑ Yes L�¢o Assess Water Quantity Fee in-lieu: ❑ Yes LI No LIDA Facility on lot: ❑ Yes allo Final Plat Recorded: N .4- O NOT Approved by Engineering: Date: Notes: • Approved by Engineering: % Date: AtVif f?1'r.J Revisions (after Building Submittal only) ��Reviewer Date Revision 1: L;J Approved 0 Not Approved j,,,,�.A.94- _evi t/27/2P22- Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review II Conditions "Met"prior to issuance of building permit II Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only)Revision Notice 1: Date Sent to Applicant A...-- �v Revision Notice 2: Date Sent to Applicant: !!!! 0SDC Exemption: ❑ Received NJ Does not a 1 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard"Trans SDC: El Yes �/A Parks SDC: ❑ Yes W..9iTA LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: -- -- ��r� Date: /92 "/20 I:\Building'.Forms\BldgPermitRvw_R!S_1224 I9.docx 'I. City of Tigard • COMMUNITY DEVELOPMENT DEPAAEGE IVED Water Meter Fixture Unit Worksheet JAN 18 2022 TIGARD For Additions /Remodels /ADUs TIGARDUlfY OF DIVISION 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-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: Pricing effective 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. I:/Building/Forms/WaterMeters_070119 Add.dOCX Page 1 I. • Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: Customer Name: Alicia Bashir Service Address: Street/Suite#: 14040 SW Fern Street City: Portland State: OR Zip: 97223 Phone Number: (503) 267-9085 Email: Alicia.bashir@gmail.com Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total. the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer 1 x 4 = 4 x 4 = Dishwasher 1 x 1.5 = 1.5 x 1.5 = Hose bib 1 x 2.5 = 2.5 x 2.5 = Hose bib,each 1 x 1 = 1 x 1 = Kitchen sink 1 x 1.5 = 1.5 x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory 2 x 1 = 1 1 x 1 = 1 Water closet, 1.6 GPF 2 x 2.5 = 2.5 1 x 2.5 = 2.5 Bathtub/whirlpool x 4 = x 4 -- Shower stall 1 x 2 = 2 x 2 = Bath/shower combo 1 x 4 = 4 x 4 = Current Points: 20 Proposed Increase: 3.5 Current Points+Proposed Increase= 23.5 =New Total Points =Required Meter Size 5/8 Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1" New Meter Size Needed for New Total Points: Cost: $ (see page 1) Current Meter Size per Utility Billing: Cost: $ (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY /Abg,Sr bi✓ Si:f hrl Irk' A1r' e he- WC, eGr h re-1ta 5- -11i- r nA S/ate . Current Meter Size Confirmed with UB Signature of UB Representative Date I:/Building/Forms/waterMeters_070119_1dd.d0cx Page 2 ww // S 11 A bi i Plan# I 2-12 /24 Floors Large Bed rooms Small WC I LAV Tub Basement 'EGER/ED Vent 1st Floor " .. b 7 Water Heater 2nd Floor Li(S ,;i T Y 0 Tt( t) AC 3rd Floor vJq_DI�}Q [JNU School R-3 Total b 1, I / v Vli ,p, aLz Garage YL I N l� 3� t�2 pcA,1,U GGe�, Total 4/2 - . I`S OA,(A6-S, j`-/0 i--'14 #for Elec ktio.... , „c ,,A-) Pv-66(!eis ,_ ---c-o*v ( -e--lc CI-4--- (-) r\-t--- a._ Le3C-t461 fe-yvL,L(5.---- --c %,C-(-1/0- 1.--N kef)r- -\-4 \O-1 C-M-YV k.e.A--J ci...rj st..g...)-- ---\-0 vQ -f-or p pr-o„42 1 . AA b.k.,-6i J„_, c.4,-,,.,_, i) (.0“-‘ 4\4:0'3 3•W(7.--`1 6:•-c---.J P--4-V-e---4-cl k2-) y\kic -,--- c-110,(--1,`-r7 l'i— ,+i-vt— ot"—"-- °4-c-'-r- - -4-- (-).-C- 6 --' '''-` 4) c»,,,Cqc fY\ I: t ' A /6) Ocok„) k.f•.e_ '10 -e, N--/-A-t`--- s (--).J--k^ I'D-"°Q-L---'-'''''r''N • v 1k c 7 • 1 Q _ $ , -ass e . A>) St-Aa.A.m Gs•--,k__ e---00\-',, ----- \ %-> Ini -c-e_A-- -(-4^-e-r- 1 C__EQ-AL_ QsY— AAli' GLf`x__ O J &,-, ---% \ -0 V`42---'--k � % A- . .� ,� �� J►• �- f��r -ems 0.zrnLA - n CITY OF TIGARD MASTER PERMIT : ■ ' COMMUNITY DEVELOPMENT Permit#: MST2020-00283 T r i;A i I 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2021 Parcel: 2S104BCO2200 Jurisdiction: Tigard Site address: 14040 SW FERN ST Subdivision: HANDY ACRES Lot: 22 Project: Bourquin Project Description: Interior remodel-Relocate master bedroom/bathroom and laundry. Demo chimney and add 1 bedroom. Non structural minor repairs to existing deck. Trade permits to be pulled separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 1 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 0 sf Value: $45,000.00 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>=10OK: 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: MK HOMES LLC MK HOMES Required Items and Reports(Conditions) 5800 SEVILLE AVE 5800 SEVILLE AVE LAKE OSWEGO,OR 97035 LAKE OSWEGE,OR 97035 PHONE: PHONE: 503-522-7566 FAX: Total Fees: $1,352.10 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy ppp of he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Y^�,-'1 Issued By: ' OC,►rrl� i....A) Permittee Signature: \ c1cct\v \\C..\N46 Call 503.639.417 y 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application q Z II —g St,esidential y•f_ I DR DI I R I t Sf OyI 1 City of Tigard � Br /d/ /Za -4, Petmi1No.:M$r 2z a2ze3 • 13125 SW Hall Blvd..Tigard,OR 97223 S E P 2 1 Phone: 503.718.2439 Fax: 503.598.1960 Date_ 2020 Plan Review By: ) 2.-7ZO1C> i alOther permit: Tl t n f li Inspection Line: 503.639.4175 Date ReadyBy i� ® See Page 2 for Internet: www.tigard-or.gov Noti . ethod:/. 1 1� Supplemental Information A t I/. le TYPE OF WORK REQUIRED DA •:1-AND 2-FAMILY DWELLING ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alterationireplacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling IDCommercial/industrial Valuation: $ Li / ❑Accessory building D Multi-family Number of bedrooms: 1 0 Master builder D Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: (1 Job site address:14040 SW Fern St., New dwelling area: square feet City/State/ZIP:Tigard OR 97223 Garage/carport nrrn: square feet Suite/bldg./apt.no.: Project name:MK Homes LLC Coverw pdP6h area: square feet tiPVa s street/directions to job site: Deck area: square feet Ottl � ' �✓ / / t Other structure area: square feet e�°y"y C. ��T t4' 1?& r '2 ( REQUIRED DATA:COMMERCIAL-USE CHECKLIST Y Subdivision:W260225 J Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S104BCO2200 Indicate the value(rounded to the nearest dollar)of all eq i ment,materials,labor,overhead,and profit for the DESCRIPTION OF WORK work i icated on this application. Enterior remodel of existing house,new deck cover over remodel of existing Valuation: $4500 deck. Existing building a: 249 square feet New building a: square feet 0 PROPERTY OWNER 0 TENANT Numbe f stories: Name:Mike Bourquin Type of construction: Address: 7140 SW Taylors Ferry Rd Occupancy groups: City/State/ZIP: Portland,OR 97223 Existing: Phone:() Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:SIMPL HOME DESIGNS (Please refer to fee schedule) Structural plan review fee(or deposit): 33 Contact name:MIKE MONTGOMERY FLS plan review fee(if applicable): Address:5531 SW BUDDINGTON ST City/State/ZIP:PORTLAND OR 97219 Total fees due upon application: Phone:(503)515-6495 Fax::(503)719-4825 Amount received: E-mat (vl '14,m 7 tpC-✓}v� t'S `) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:MK HOMES LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5800 SEVILLE AVE Solar Installation Specialty Code checklist. City/State/ZIP:LAKE OSWEGO OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)522-7566 Fax:(503) State surcharge(12%of permit fee): $21.60 CCB lic.:203186 Total fee due upon application: $201.60 Authorized signatu This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:MIKE MONTGOMERY Date:09/21/20 *Fee methodology set by Tri County Building Industry Service Board. I:1Building1 Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(1 l/02/COM/WEB) Building Permit Application Checklist O ,e- and Two-Family Dwelling FOR OFFRCI: [.51: oNi.) Cityof Tigard Received g Date By: Permit No ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Associated its: I a Phone: 503.718.2439 Fax: 503.598.1960 P� IIGA RI. 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical Internet: www.tigard-or.gov 0 Other: THE FOL1.O1v'I\(. I FENS ,ARE RI'QI IRFD FOR 1'L;V\ RFVlF\V tics No N/.t 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ �0+ ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 3 Verification of approved plat/lot. ❑ 4 Fire district approval required. Name of district: . _ E 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 6 Sewer permit. 0 El 7 Water district approval. ® 0 8 Soils report Must carry original applicable stamp and signature on file or with application. 0 El 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- LI ❑ ❑ basin protection,etc. 10 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 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 ® 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;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ►Zl ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 tE 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 ❑ El 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 ❑ El locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 El 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 ❑ ❑ over 10 feet long and/or any beam/joist carrying a nonuniform load. 20 Manufactured floor/roof truss design details. 0 El @ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 121 architect licensed in Ore on and shall be shown to be a licable to the 'ect under review. 23 Three(3)site plans are required for Item 11 above. Siteplans must be 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 Ej 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ lel El 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ DU 121 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 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 gproval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ ►4 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. 1:1Building\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Plan# / /2---7(//7iOZ0 Floors Large - Bed rooms I Small WC LAV 14+-7.7)--$P1P-- Tub Basement j _ v� ' Vent 1st Floor � nn�p V Water Heater 2nd Floor f�'t' AC 3rd Floor ✓ School R-3Total { Vyy. _ ' r Garage �i T � cle- Total #for Elec 41 xA-erk. or ` 4—I Ur . -4.r aoo�°1 r.�^w�-e.r t,:�c.� rn a m d bE) r' ° L{ ' (aur...IL] Fr) 0 rvl --- D-LArY\0 CV-''''''` "-`1 -C-(6-'``rA S rt vt-K--; ar ai ySr'S . 5 2 toL 1( /1 I 1' LL Y F 2 'Cu b ALDir-a&c- wa&-L.1-r- adeq,e-, 5�N 2 b;bs - k'S w.esh_47 )0: bs City of Tigard 41 COMMUNITY DEVELOPMENT DEPARTMENT 1111 S TIGARD Building Permit Review — Residential Building Permit #: IKEr202e7 728 Site Address: 14040 SW Fern St Project Name: MK Homes, LLC Lot #: Planning Review Proposal: Exterior and interior remodel; adding onto deck on north side of existing home CIVerify address/suite #active in Accela. 0 In River Terrace: 0 No ❑ Yes, River Terrace Review Addendum Site Plan Elements: _Erosion Control Os copies of site plan on 8-1/2"x 11"or 11 x 17"paper „Jtetained trees with drip line and tree protection measures GI rawn to scale(standard architect or engineer scale) ootprint of new structure(including decks) and FFE O orth arrow ". tility locations&easements(required for new and additions) rite address,project or subdivision name and lot number sidewalk/driveway approach 11 kpplicant information(name and phone number) ...,:idocation of wells/septic systems Mr. dimensions and building setback dimensions , Street tree size,type and location a .uare footage of buildings to be demolished street names O xisting structures on site ,_;:orner 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 (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): 1o/ Ce/20 Required: ❑r Yes,applicant was notified ❑ No Received: 'es ❑ No ❑ Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: El Yes,applicant was notified ❑ No Received: 0 Yes ❑e No SDC Exemption for ADU applied for: ❑ Yes El No Received: ❑Yes ❑° No Public Facilities Improvement (PFI) Permit: \3\ Required: El Yes,applicant was notified ElNo Applied For: nn❑ Yes ❑ No,stop intake Land Use Case#: ❑ Zoning: /C"9— Required Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: NSA Garage: 20 ElBuilding Height: Max. Height: 35 Actual Height: 13.5 ❑o Landsca se Area: 20 % E Lot Coverage Max: 80 Entrance I - •.ck no more than 8'from street-facing wall ❑ Parallel t. . -et or offset 45 degrees or less Windows IMinimum " , .f area of all street-facing facades Garage I Gara e door is behin• •-st street-facing wall I Yes ❑No,one of the following is met: Door extends no more tha ' om wa . • there is a covered porch extending beyond garage. Door extends no more than 5' • d there is a 12 sq ft.window above garage on 2nd floor. ❑ Gara_•e door width is I or less ❑ 50%or - • facade I 60%or less and includes 7 of following: I Covered .. - I Recessed entrance ❑ Wall of se I 1'Roof eave Roof offset I F' - gles I Lap Siding ❑ Roof itch ❑ Gable, r., e tambrel roof Dormer Accent siding I Window trim U Window recess II Window . : -ction ❑Balcony Visual Clearance V Urban Forestry Plan S-nsitive Lands: El Yes U No Type: Steep slopes on site, but not in project area & Conditions met prior to issuance of building permit Notes: O Approved By Planning: , Date: 10/8/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Bu ild ing\Forms\BldgPerm itRvw_RE 5_122419.docx Building Permit Submittal Original Submittal Date: 49 21 2620 Site Plans: # 5 Building Plans: # -• Building Permit#: n�Enter building pertpit# above. ��/ Workflow Routing: [ Planning Er-Permit y Engineering u Permit Coordinator L'� Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 111'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and griginal plan review routing form. Building: original permit application, site plans, building plans,engineer and beam calculations . Id trust details,if applicable,etc. Notes: i By Permit Technician: - �iiii�'. Date: /94 i'202.0 Engineering Review Slope at building pad: trg Conditions "Met"prior to issuance of building permit /!lam`` �gy asements (encroachments) per engineering conditions of approval and plat hA- L_I Water Quality/Quantity Facility: / Assess Water Quality Fee in-lieu: ❑ Yes ( 1�jlo Assess Water Quantity Fee in-lieu: ❑ Yes 13 No LIDA Facility on lot: ❑ Yes El--No Final Plat Recorded: h A" ❑ NOT Approved by Engineering: Date: Notes: giipproved by Engineering: j-..)"4-.-11 Date: i /lfl2ra Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ 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 LVJ Does not a..1 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes 1/A Parks SDC: ❑ Yes A LIDA ❑ YesA OK to Issue Permit Approved by Permit Coordinator: :-C'--a/ Date: //— "/.?i7 I:\Building\Forms\B1dgPermitRvw_RES_122419.docx 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 I , ,,,is i ; 13125 SW Hall Blvd. • Tigard, Oregon 97223 . 503.718.2439 • www.tigard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Mike Montgomery COMPANY: Simpl Home Designs JAB 0 5 2020 PHONE: 503-515-6495 CITY OF TIGARC BUILDING DIVISIC KY. EMAIL: mikem@ezpermits.biz RE: 14040 SW Fern St., MST2020-00283 (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: _ Description: Additional set(s) of plans. 8 Revisions: Revised plans per check sheet 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: D2.0 REVISED SHOWING EXISTING BEAM,D3.0 ADDING NEW BM AND MOVED WALL IN LAUNDRY AREA, D4.0 REMOVED DECK AND COVERED FROM THIS PERMIT AND ADDED NOTE FOR FLOOR FRAMING FOR fp REMOVED D5.0 REVISED THE ROOF PLAN TO SHOW HOW WE ARE INFILLING LOCATION OF FIREPLACE REMOVED. FOit OF�'10E USE ONLY �y Routed to Pe echnician: Date: l 2- ZI Initials: ,4 Fees Due: YesV ❑No Fee Descriptr n: Amount Due: L(2 elain L $ . $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No 0 Done Applicant Notified: /Date: / ! 21/ ) Initials: "Z---- /t9S7 c o —00 Zcp 3 Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: Customer Name: MK HOMES LLC Mike Bourquin Service Address: Street/Suite#: 14040 SW Fern St. City: Tigard State: OR Zip: 97223 Phone Number: 503-522-7566 Email: Mike.mkhomes@gmail .com Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total. the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer 1 x 4 = 4 x 4 = Dishwasher 1 x 1.5 = 1 . 5 x 1.5 = Hose bib 1 x 2.5 = 2 . 5 x 2.5 = Hose bib,each 1 x 1 = 1 x 1 = Kitchen sink 1 x 1.5 = 1 . 5 x 1.5 = Laundry sink 1 x 1.5 = 1 . 5 x 1.5 = Lavatory 2 x I = 2 1 x 1 = 1 Water closet, 1.6 GPF 2 x 2.5 = 5 x 2.5 = Bathtub/whirlpool x 4 = x 4 = Shower stall 1 x 2 = 2 x 2 = Bath/shower combo 1 x 4 = 4 1 x 4 — 4 Current Points: 2 5 Proposed Increase: 5 Current Points+Proposed Increase= 3 0 =New Total Points =Required Meter Size 5/8 Meter Sizes: 1 to 30 points= 5/8" 30.5 to 37 points='/a" 37.5 and over points= 1" New Meter Size Needed for New Total Points: Cost: $ (see page 1) Current Meter Size per Utility Billing: Cost: $ (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Current Meter Size Confirmed with UB SEC— E^'4"I L— t r u l- C ft ifla P fkrrel-1-- Signature of UB Representative Date ��Z/2, .4(e 1:/Building/Forms/WaterMeters_070119 Add.docx Page 2 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT N . it Water Meter Fixture Unit Worksheet IlliA It 1, For Additions /Remodels /ADUs 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-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: Pricing effective 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. I:/Building/Forms/WaterMeters_070119 Add.dOCx Page 1 Dianna Ornelas From: UB Online Sent: Tuesday, January 12, 2021 5:09 PM To: Allyson Armstrong; mikem ezpermits.biz Cc: #Building Permit Technicians Subject: RE: MST2020-00283 - 14040 SW Fern St. The current meter size at this property of 14040 SW Fern Street is one inch. With the additional fixture units added there will be no requirement to increase the meter size. Kind Regards, Jill (she/her/hers) iri A IAID.,. Jill soon all BE gNyrie,: . " City of Tigard -Utility Billing w '"'� a Senior Accounting Asst TR.ARI) Mg)826-7211Payments 2 (503)718-2460 UBftain jillb@tigard-or.gov �y/ (503)718-2494 iJ A'u yy�E 13125 SW Hall Blvd. Tigard,OR97223 From:Allyson Armstrong<AllysonA@tigard-or.gov> Sent:Tuesday,January 12, 2021 4:28 PM To: mikem ezpermits.biz<mikem@ezpermits.biz>; UB Online<UBOnlinepay@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: FW: MST2020-00283 - 14040 SW Fern St. Mike, I am forwarding this to utility billing for approval. The building department does not approve water meter fixture sheets. Please provide the beam check requested for the beam added in the living room. Thank you, Allyson From: mikem ezpermits.biz<rnikem@ezpermits.biz> Sent: Tuesday, January 12, 2021 4:21 PM To: Allyson Armstrong<AllysonA@tigard-or.#ov> Subject: RE: MST2020-00283 -14040 SW Fern St. Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender verify the sender. I turned this a month ago, let me know if it works 1 Most Sincerely Mike Montgomery dba, Simpl Home Designs/EZPermits permit expeditor Residential/Commercial Design Consulting 4931 SW 76th Ave., PMB 211 Portland OR 97225 S(503)515-6495 8(503)-719-4825 mikem ezpermits.biz http://www.ezpermits.biz 1127 The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material.Use disclosure,distribution,or reproduction if this message by unintended recipients is not authorized and may be unlawful.If you received this in error,please contact the sender and destroy any copies of the document From:Allyson Armstrong<AllysonA@tigard-or.gov> Sent: Tuesday, January 12, 2021 12:19 PM To: mikem ezpermits.biz<mikem@ezpermits.biz> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; UB Online<UBOnlinepay@tigard-or.gov> Subject: MST2020-00283 - 14040 SW Fern St. Mike, Thank you for dropping of the 3rd set of plans needed for review. I see the adjustments to the scope of work and will revise the permit description accordingly. I also see that item #2 on the on the original plan review letter has not been received. Even though you have removed a utility sink you are still adding a shower and the water meter fixture sheet is required. - Complete the water meter fixture sheet and send to utility billing for approval. I have attached the Water Meter Fixture sheet that was active at the time you submitted you permit application. - Provide beam check for new beam in living room. Email — Beam calc to me directly at AllysonA@tigard-or.gov. Thank you, Allyson 2 7 Allyson Armstrong City Of Tigard (503)718-2612 Work Mobile AllysonAkPtigard-or.gov 13125 SW Hall Boulevard Tigard,Oregon 97223 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." 3 MSTZo -0 - 00'123 RECEIVED OCT 2 6 2020 CITY OF TIGARD CleanWateiServices SENSITIVE AREA PRE-SCREENING SIT BUILD'tSSIVIEN'ON I Clean Water Services File Number 20-002795 1. Jurisdiction: WASHINGTON COUNTY 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): W260225 Name: MIKE BOURQUIN 2S104BCO2200 Company: MK HOMES LLC Address: 7140 SW TAYLORS FERRY RD 14040 SW Fern St., City,State,Zip: PORTLAND OR 97229 OR Site Address: 503-522-7566 City,State,Zip: TIGARD OR 97223 Phone/fax: Nearest cross street: SW ASCENSION DR Email: Mike.mkhomes@gmail.com 4. Applicant Information 4. Development Activity(check all that apply) Name: MIKE MONTGOMERY ® Addition to single family residence(rooms,deck,garage) Company: HOME ❑ Lot line adjustment 0 Minor land partition Company: ss: 4931 SIMPL S 7ME6TH DESIGNS PMB 211 ❑ Residential condominium 0 Commercial condominium City,State,Zip: PORTLAND OR 97225 ❑ SingleReselotal commercialsubdivcia ❑ Commercial lot commerci l Phone/fax: 503-515-6495 0 503-718-4825 F ❑ lot 0 Multi lot commercial Other RELACEMENT OF DECK AND ENLARGEMENT Email: mikem@ezpermits.biz 6. Will the project involve any off-site work? ❑Yes 21 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,DER 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 Mike ntoomery Print/type title Designer Signature �� n Date 10/26/20 \` FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' f 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. }ii:( 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. 0 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 PROV D LETTER I REQUIRED. . Reviewed by //[ Date 10/26/2020 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 Revised zrzoza Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p:503.681.3600 f:503.881.3603 • cleanwaterservices.org PROPERTY LINE 1./ 93'-0' 0 — — — PROPERTY IIdE — — 0 / y / 50'-3' I L 0 / I i JIi I i / / n rr=•• I f AI ri 1 I m / L o� I. I . I t� / L 1 1 I I --, _ ,_ 1 1 it- .... ,,,-----\A- 4 _ �,: &".. till' i—�— '^L7 MAGCANS(1CTIN65 LLGd(w �rt r� a K/y C/OI 9�5 LL-GL f Slrrpl/lore.Dcsigm r to;rxii7r;r ,.r 451m70:041rrr AXTUInOrmk") fc�u.i. r-17-0 19040 .SIN F�I�Sr.,l if ca2..VV1H/ns.rF,u;rA-Jars �•,c,,g, - nesteD Q ' 9'722- alS.ep:,fs rvor 1 P� o P V. PC � P I22'4 'A 0 90 co J pp m 'at. 1 4 s P V. P m 14040 SE FERN ST 0 I SIMPL HOME DESIGNS MK HOMES LLC V 4 9(503)31 5515-6495, (FAX) 719-4825 211 T I GA RD OR 14040 SW FERN 97223 1. I Lina Smith From: Lina Smith Sent: Thursday, October 8, 2020 3:29 PM To: mikem ezpermits.biz Cc: #Building Permit Technicians; Agnes Lindor Subject: RE: Information 14040 SW fern St. Thank you Mike! I signed off on this permit and routed it to the Building Division for processing.They will contact you when the permit is ready for payment, . Before Building Division can issue the permit,they'll need the following additional items: 1. Service provider letter from Clean Water Services- please upload your site plan here, and then CWS will e-mail you a response: https://www.cleanwaterservices.org/documents-forms/pre-screen-form/ 2. Please fill out this water meter worksheet, since you're re-arranging a bathroom and laundry room: https://www.tigard-or.gov/document center/UtilityBilling/Water MeterWorksheet- Additions Remodels ADUs.pdf When you obtain these items, please e-mail it to the Building Division at tigardbuildingpermits@tigard-or.gov 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: mikem ezpermits.biz<mikem@ezpermits.biz> Sent:Thursday, October 8, 2020 1:23 PM To: Lina Smith <LinaCS@tigard-or.gov> Subject: RE: Information 14040 SW fern St. Caution!This message was sent from outside your organization. Allow sender I Block sender Good afternoon, here are the revised site plans. I did a 1-10 scale plan showing location of the existing house. I also removed the 1-40 and labeled it NTS. Please let me know if this will work. Most Sincerely 1 , Building Permit Application q Z a -ta Residential FF �' IsfF l Olt ()I I I( 1. 1 .1. O.l.\ City of Tigard I .t S DateBy: f(/ /( ' ,2402( —4, Permit No.:MO r2O2O""G2 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 2 1_ 2020 Plan Review 1 Phone: 503.718.2439 Fax: 503.598.1960 Datefny: Other Permit: 1 I��,�t.n Inspection Line: 503.639.4175 Ci-IY (JFil: A (;: DateReady/By: lit ® See Page 2for Internet: www.tlgard or.gov BU 1LLING DIV 1 /S.�ION Notified/Method: 4 Supplemental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELT ING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all I5 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling IDCommercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:14040 SW Fern St., New dwelling area: square feet City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:MK Homes LLC Covered porch area: square feet Crossy street/directions �tooj job isite: Deck area: ' square feet Al (Z GI'//i- �L-$ I/ G / 494• Other structure area: square feet 41 W 2 Air--a - 1�S r �vt' REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:W260225 Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S104BCO2200 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. Enterior remodel of existing house,new deck cover over remodel of existing Valuation: $45000 deck. Existing building area 2249 square feet New building area: 409 square feet PROPERTY OWNER 0 TENANT Number of stories: Name:Mike Bourquin Type of construction: Address: 7140 SW Taylors Ferry Rd Occupancy groups: City/State/ZIP: Portland,OR 97223 Existing: Phone:() Fax:( ) New: 121 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* refBusiness name:SIMPL HOME DESIGNS (Pleasejeekedu Structural plan review fee(or deposit): 33 Contact name:MIKE MONTGOMERY l Address:5531 SW BUDDINGTON ST FLS plan review fee(if applicable): City/State/Z1P:PORTLAND OR 97219 Total fees due upon application: Phone:(503)515-6495 Fax::(503)719-4825 Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mai 1 ijnel w` ZPe "' "t,' Z Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:MK HOMES LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5800 SEVILLE AVE Solar Installation Specialty Code checklist. City/State/ZIP:LAKE OSWEGO OR 97035 Permit Fee(includes plan review $180 00 and administrative fees): Phone:(503)522-7566 Fax:(503) State surcharge(12%of permit fee): $21.60 CCB lic.:203186 Total fee due upon application: $201.60 Authorized signatu This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:MIKE MONTGOMERY Date:09/21/20 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building1Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)