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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 III Transmittal Letter T j c A R r) 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: Hilary Mackenzie JUN 15 2021 COMPANY: Sundeleaf Mackenzie Architecture, Inc. 'I1 Y OF TI ._PD PHONE: • 503-282-7674 3UILDING DI' EMAIL: hilary@sundeleafmackenzie.com RE: 14303 SW 114th Avenue, Tigard, OR 97224 MST2021-00012 (Site Address) (Permit Number) Zeng ADU (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies; _ Description: I Copies: 1 Description: Additional set(s)of plans. 3 Revisions: Wall Assemblies X Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. X Other(explain):Testing data REMARKS: alternative wall assemblies for the 1-hr area separation between the main house ar FO `"OF ICE USE ONLY Routed to Permit Technician: Date. i LZ 21 Initials: Fees Due: es n No Fee Desc pion. Amount Due: 1(� OI&V) $ H 5. $ Special Instructions: Reprint Permit(per PE): ( ❑Yes (.14 No ❑Done 1 Applicant Notified: ph l ¢l Date: -7 j 13 f z j Initials: )a .6 1 (.-- CITY OF TIGARD MASTER PERMIT 1E COMMUNITY DEVELOPMENT Permit#: MST2021-00012 Date Issued: 03/16/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S11OA603100 Jurisdiction: Tigard Site address: 14303 SW 114TH AVE Subdivision: COLE'S ACRES Lot: 15 Project: Zeng ADU Project Description: Convert existing internal space to an ADU. NO FINAL INSP UNTIL WATER METER UPSIZED. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 2 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 2 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1688 sf Value: $8,000.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 1 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo, N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT ADU VB R-3 1688 Owner: Contractor: ZENG,VI DEAN RANDALL ENG Required Items and Reports(Conditions) 14305 SW 114TH AVE 2850 SW CEDAR HILLS BLVD,#233 TIGARD,OR 97224 BEAVERTON,OR 97005 PHONE: PHONE: 503-482-9470 FAX: Total Fees: $17,613.91 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: 1, int.� �/� �7. Permittee Signature: �i�P r�1�y� r � ,G Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �y�`l/' 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. Z C f\J G— >9-&-r c.. Building Permit Application ^ ,ZO-00p05 /H305 i2 3a zo Residential iECEiVEDl Fnl: (�rFr<_ : 1,1:<��l.v City.._ of Tigard DEC 3 0 2020 Received / I C PemitNo! 1ST G , —00 0 I Z g �ws„- r/z 21 _ a " 13125 SW Hall Blvd.,Tigard,OR 972 TY OF TIGAR �°n Review /J f othe Perms , p Phone: 503.7181439 Fax 503.54 Dates Q. 74AtX w�2�2l -od o�i 0 Inspection Line: 503.639.4175 DING DIVISION Date Ready /jjpp/ ,tw HI See Page 2 for ) T I G A R D Notified/Method: 2 F 7 / Internet wSVwllgefd-Or.gov �/ FC/�/ I � Supplemental Information �/ Cr et/L /"r C..j11 *r` L L - h + " TYPE OF WORK 1 ! Tr- 1 e'14Q1.7I tED DATA:I-A AID 2-FAMILY DWELLING ❑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/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 0 Commercial/industrial Valuation: $ 6,/ �. ,, -- Number of bedrooms: (,� ❑Accessory building 0 Multi-family .�L n w ❑Master builder 0 Other: Number of bathrooms: Alf JOB SITE INFORMATION AND LOCATION Total number of floors: r AY Q Job site address: / i7 0,i 5(,�,s' ��z j ,�, /94 Nos,dw�eding area: ,I`'�) square feet City/State/ZIP: it ir , / _ z, Garage/carport area: ) square feet Suite/bldg./apt.no.: Project name: . G �/) Covered porch area: , square feet 4/Cross street/directions to job site: 9 f .7t t ), 47 Deck area: �� square feet S, L 1) //9 TY iti#E Other structure area: .igii square feet ^,�, Z OOA-MX MI5" - 2- crl(l2Kf/> 7T�' LN'S/2& t ' R >1R D DATA:COMMERCIAL-USE CHECKLIST Ir Subdivision: G_:, ��Ry_4— -r Lot no. y 0 0 Permit fees*are based on the value of the work performed. Tax map/parcel no.:. J ! S! Indicate the value(rounded to the nearest dollar)of all �l�'G%�� '7Z S �{/1� CZt./ 2\ equipment,materials,labor,overhead,and the profit for the .� s� „ . U i. a, al _ -,, , s.. work indicated on this application. QJ/ P- l Existing building area: efeet fe r i a� / \ /C)i,/1,`/ ,'/y !�j�44 New building area: square feet 0-PROPERTY OWNER - 0 TENANT Number of stales: Type of construction: Address: S . �5" --: 0 i Occupancy groups: City/State/ZIP: K/6,7-0// Ai gf V - � Existing: Phone:7,-j�)) ,g3 f Tr -7, -r, Fax:( ) New: re APPLICANT art.TONTACf PERSON BUILDING PERMIT FEES* . Ytaare ' 80 p me Business ram ��b 0/�p-- .g 1r /®LG'/ az-r Structural plan review fee(or deposit): `,g,7, Cl) Contact namefrip# -7.--/� FLS plan review fee(if applicable): Address: ',,,, Total fees due upon application: City/State/ZIP: /1"I'ler4_ p c'� 9 7 77'.Q 43 ei Amount received: Phone:( 2,0 I n^�'�a,1,l / Faxr�( /) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail4;let i-VCrt-Nr (iAlde- /vl Z ?'-ee e--E �..r Commercial and residential prescriptive installation of NI COt4TRACTOR roof-top mounted PhotoVollaic Solar Panel System. Business name: D3if'fd/ � 0A'G� x,y6 roof Submit two(2)sets of plan with connection details �` and fire department access,along with the 2010 Oregon ��7 Address: / � \rt� t,�Qfr/Z //J/J J' �L-Y#2 +#7. , Solar Installation Specialty Code checklist. City/State/ZIP: e�lv Al Qg_ 77 42� Permit Fee(includes plan review $180.00 and administrative fees Phone:5 f) 140Z 9 z,7.0 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Z-O i Li J 1..__._ , Total fee due upon application: $201.60 Authorized e: This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. I o �j ■Fee methodology set by Tri-County Building Industry j' /G 1174 4/7 hej Date:/j1✓�/7"! Service Board. ✓✓ I 5,e / / CT169-7'tt/la- F' S CO -?J0--- ez t e_77-tiel-._ ( 60 /C1n- PLI.t/`7Q-LI✓G- • Building Permit Application Checklist O ndTw ' a " rtu; OFFICE USE ovl.r" City of Tigard Received �,` . Permit No.: (`� 13125 SW Hall Blvd,Ti OR 97223 Phone: 503.718.2439 Fax 503.598.1960 �'°"a �'u . a T i G n R n 24-Hour Inspection Line: 503.639.4I75 ❑ Electrical 0 Plumbing g 0 Me han:cal Internet www.tigardor.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 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 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: ❑ 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity LJ ❑❑ Q 6 Sewer permit. 7 Water district approval ❑ ❑ 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- ❑ 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state l 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 comer 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 derails,vent size 0 ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, Q- 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 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. 2 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ 0 architect licensed in Ore:on and shall be shown to be:y licable to the . ."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 1T'. f ❑ 24 Two(2)sets each are required for Items 16,19,20 and 22 above. 0 25 Building plans shall not contain red lines or tape-ons. `Mirrored"buildingplans will not be accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document 27 "Drawn to scale"indicates standard architect or engineer scale. fay0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 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. L'1Building\Permits\BCP-RESpermitApp.dec 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application ECEIVED FOR OFFICE t-SE ONLY City of Tigard qReceived q DEC 3 0 ZOZO Date/By. Permit No 111 i 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439' Fae 503.598.106(y Date/Br Other Permit Inspection Line: 503.639.4175 U ITY OF TI�,ART7 rI�nRI� BUILDING DIVISION Date Ready,By: see ragezfor Internet www.tigazd a.gov DiZti Raliethod: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USECIRCE:UST Mechanical permit fees*are based on the value of the work 0 New construction Addition!alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit. Value:$ / CATEGORY OF CONSTRUCTION nalo riALEotar miDarsvanxZSFEs• .. v'I-and2-familydwelling ❑Commetcialindustrial 0 Accessory building Forsiitfurnvllan ace checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: ���-tt Air conditioning 46.75 Job site address: / L3 D3 V'W 1� � Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: / t64-'-,D 6 '� l�2 '�7 Furnace I00,000+BTU(ducts/vents) 54.91 / ' Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: �ve0,71(6 e-D63 Duct twit 2332 Cross street directions to job site: T V /_ ' `.S-4.-' Hydronic hot water system 23.32 yy� r- uL p Residential boiler(radiator or �`I/' IZpG ` 77/0' V L�l/1'/tf /" // Unit ic) 23.32 Un Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: /'o, ,1 Lot no.:7 U U Other: 23.32 Other fuel appliances: Tax map/parcel no.: r`'/ ,� e/ 23.32 /` Water heater DESCRIPTION OF WORK Gas fireplace/insert 33.39 / Flue vent for water heater or gas //t / ,l<i/✓ 4 !y.�i r1nr1K //17 fireplace 23.32 r Log lighter(gas) 23.32 XX `� -t /A /�( ' `0�/o-//r/4- `Q/�7 JZ b° Wood/pellet stove 33.39 4,12..z Sr.oi}'jL r 2?,:T7/FFAI C/i'�/ rr7 ` Wood fireplace/insert 2332 /V c P7/-7,z t-r K �-�1 A / ®e,,; r Chimney/liner/flue/vent mney/linerlflue/vent 23.32 a 'F OPERTY O © TENA TIO Other: 23.32 Environmental exhaust and ventilation: Name: f// ?� N Range hood/other kitchen J / equipment / 33.39 ,T?. 3"' I Address: /L,0,r 3 6 sy R J p(, ,n i 1, - Clothes dryer exhaust / 33.39 7 f,3 fo City/State/ZIP: c /4' /`-C IC Single-duct exhaust(bathrooms, �//C�TC�,� C� � '✓�i el Phone: Zl? r'=;-`'- / Fax toilet compartments,utility rooms) / 2332 Z 7,3 1 ^7`- 6/ ( �,,,,) Attic/erawlspace fans 23.32 f PPLICANT ( TACT PERSON Other: 23.32 Business name: c‘S7 Fuel piping: L/A!!7 1_1_,,,fp- ,(114-6 iV`z1 !/12.4// $14.15 for first four;$4.03 for each additional Contact name: /,., y„� �1� �z` " 1/� ��i'� ,!'�^Z' Furnace,etc. Address: e, �p o 7 / Gas heat pump �`'' i"" k Wall/suspended/unit heater City/State/ZIP: /j 77. 47/ %r�7-I-6 $ Water heater Phone: ) _- 1 Fax: :( ) Fireplace / Range // E-mail: +I/ a' Sv/./LI -VeW{Na61�/ p Le-4'L Barbecue [ CONTRACTOR Clothes dryer(gas) Business name: 7 Other: J /r< , 2,7G iti` ) lklECHANICALputr TJ 5. Address: �/Yl'i`.72) -' .,/,... / L' . I * Subtotal D o/6, City/State/ZIP: ,> Minimum permit fee($90.00) y*e�. /is / Plan review(25%of permit fee) 2� 5-3 Phone: { J Si. z—G%(�.�1� Fax:( ) State surcharge(12%of permit fee) /Q 77_ CCB lie.: •��3J ! TOTAL PERMIT FEE rA j" j This permit application expires if a permit is not obtained within 180 .�� days alter it has been accepted as complete. Authorize` re: ..„_� * Fee methodology set by In-County Building Industry Service Board Prin name: 7i /i7i1s1// ✓.. !/,/1t�'f�y.it I Date: /7® -/ /--9 .1 Plumbing Permit Application Building Fixtures RECEIVED FCoR OFFIc'E (SF; 1 f\l.' City of Tigard Received ill Date/By - Permit No.: • 13125 SW Hall Blvd_,Tigard,OR 97223 flE rr, 3 O 20K plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: inspection Line: 503.639.4175 TY OF TIGARi' Date/By T I Cs A R D - -`!,l N Date Ready/By Jude;, See Page 2 for Internet www.tigard-or.gov Notified/Method. i IGE Supplemental Information TYPE OF WORK VIZ SCHEDULE ❑Ne siruction ❑Demolition Fol-special information use checklist. Description I Qty. I Ea. I Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONIsIRUC ft)N SFR(1)bath 312.70 E1-and 2-family dwelling 0 Comntercialiindustrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft_) Page 2 JOB MTE INFORMATION AND LOCATION Site utilities: Job site address: / T Catch basin or area drain 18.76 �Y-J'0 ,/ � 11,leach line,or trench drain 18.76 City/State/ZIP: 7J6 yZ / ,Oi (Q' 2- Foo`Ye I "F' r/ ,�:y�� Fooling drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:,Z,,7�6? /i d/ Manufactured home utilities 50.03 Cross street/directions to job site: /9 W es / Ze„vagpx- Manholes 18.76 6194,171 OA 7/ Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 y��< �/ Water service(no.linear ft.: ) Page 2 Subdivision: (O 42/4.J' l I Lot no.77 D G Fixture or item: Tax map/parcel no.: y�0itzs /e/ Backflow preventer 31.27 DESCRIPTION.OF WORK Backwater valve 12.51 46�6� Clothes washer / 25.02 ; , i0 Z- 646 /7 ( \S)N/c it/ --2z.- 11t./.CJ"l Dishwasher / 25.02 a oz. DAX/5",-- eGikI N /T, C, ,4/ / toW Drinking fountain 25.02 Ejectors/sump 25.02 (YPROPERTY ONINER 0 TENANT Expansion tad* 12.51 Name:_yz_ Fixture/sewercap 25.02 _ �/�, Floor drain/floor sink/hub 25.02 Address: a / 7 I.06z /)1 - t✓ l� Garbage disposal 25.02 City/State/ZIP: V i//c/a/� ,/' tz c1 0 v ¢ .' Hose bib�N /� ( 25.02 Phone:(7,---G-1 tftj,> -'7-:7 UCl I Fax:(. ) Ice maker 12.51 ille.ErPLICANT Ef 6)NTACT FE RSfy't Interceptor/grease trap 25.02 Business nameS£�4>FL-2-r .�C1/j,o lii to 4&-:/i7n5 !LPrimierr Medical gas(value:$_) Page 2 Contact name: /' ,¢���y 12.51 /` "" ��� Roof drain(commercial) 12.51 Address: if`�? eL, Sink/basin/lavatory 25.02 z� City/State/ZIP: /jT1 v, )/( 9 Solar units(potable water) / 62.54 Phone:(5° ),^ Z- ,,, r4-. Fax::( ) Tub/Mower/shower pan 12.51 E-mail: ,It � c51%/7 fe Urinal 25.02 //ff��''` ! �?'�� Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: /0/e 6 � Water piping/DWV V 56.29 Address: /0 - O V Gf� / -L / 5J t/�7 4// Other: 25.02 City/State/ZIP: v�.� 97.,1 �+7C)Osue. 7 Phone:(�3 _..S'33_e, Fax:( ) Minimum permit fee: $72.50 CCB Lie:/0 0 ` S J ��, Plan review (25"/oofpermit fee) /r J7 Plumbing l.ic.no.: Z State surcharge(12%of permit fee) /' el cl Authorized stgn Eire: r G 7�r v TOTAL PERMIT FEE /O e Print name: / //�/ 1,� .� I Date:/. / This permit application expires if a permit is not obtained within 180 days +" ! aster it has hsen accepted ee complete: =Fee methodology set by Tri-County Building Industry Service Board. City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A RD Building Permit Review — Residential Building Permit #: M $TZp ZI —00 O 12_ Site Address: 14303 SW 114th Ave Project Name: Zeng ADU Lot #: Planning Review Proposal: Convert part of existing home into attached ADU; add new handrails and guardrails ❑o Verify address/suite #active in Accela. ❑o In River Terrace: ❑r No ❑ Yes, River Terrace Review Addendum Site Plan Elements: _rosion Control 111I copies of site plan on 8-1/2"x 11"or 11 x 17"paper {/rtetained trees with drip line and tree protection measures 13 11rawn to scale(standard architect or engineer scale) �\ r."ootprint of new structure(including decks)and FEE. 11 orth arrow _)tility locations&easements(required for new and additions) !Lite address,project or subdivision name and lot numberiidewalk/driveway approach 0 pplicant information(name and phone number) `'. ocation of wells/septic systems Cc. dimensions and building setback dimensions \ ,__Street tree size,type and location ` .uare footage of buildings to be demolished et names CI 'sting structures on site Omer elevations(2'contours if more than 4'differential N.i..t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? IIY'es o • :ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° o ita lean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): • Required: ❑ Yes,applicant was notified ❑r No Received: ❑Yes ❑r No 0 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑✓ Yes,applicant was notified ❑ No Received: ❑✓ Yes 0 No ❑ C Exemption for ADU applied for: ❑r Yes ❑No Received: ❑ Yes ❑' No Public Facilities Improvement (PFI)Permit: Required: ❑Yes,applicant was notified ❑r No Applied For: ❑ Yes ❑ No,stop intake ❑. Land Use Case#: ADU2020-00005 ❑r Zoning: ❑r Required Setbacks: Front: 30 Rear: 25 Side: 5 Street Side: N/A Garage: 20 ❑r Building Height: Max. Height: 30 Actual Height: No change dscape Area: % ❑ Lot Coverage Max: Entrance Set back no more than 8' from street-facing wall ❑ Parallel to street or offset 45 .-: --s or less Windows b . •. 12%of area of all street-facing facades Garage Gara e door i .-.'nd widest street-facing wall ❑ Yes E o,one of the following is met: ❑gDoor extends no : • than 5' from wall an th re is . : .-red porch extending beyond garage. uuDoor extends no more than ' om wall a.• • ere is a 12 sq ft.window above garage on 2"d floor. ❑ Gara: e door width is 112'or les : s%or less of facade 60%or less and includes 7 of following: Covered porch ' -cessed entrance lb .11 offset 1'Roof eave Roof offset Fire s • , - II Lap Siding ❑ Roof itch 9 Gable,hi ,or gambrel roof Dormer - ccent siding I Window trim U Window recess Window projection ❑Balcony ❑ Vis .. - earance ❑ Urban Forestry Plan Sensitive Lands: ❑ Yes ❑ No Type: ❑.. Conditions met prior to issuance of building permit Notes: C ❑ Approved By Planning: --�= :nte Date: 1/13/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\B uilding\Forms\B IdgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: /213 d/2I Site Plans: # 3 Building Plans: # Building Permit#: Enter buildingx,ermmiit# above. Workflow Routing: 8 Planning I`J''Engineering Permit Coordinator LJ iuilding Workflow Sign-off: '�Si,gn-off for Planning(include notes from planning review) Route Application Documents: La'Fngineering: (1) copy of permit application, (1) site plan, (1) building plan and or ginal plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: �� Date: 0 6,/z/ Engineering Review - Slope at building pad: elfIFr onditions "Met"prior to issuance of building permit A Jo- ErEasements (encroachments)per engineering conditions of approval and plat Aid g Vater Quality/Quantity Facility: �����///// Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes ,�, LIDA Facility on lot: ❑ Yes EK Io Einal Plat Recorded: k ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: �,,.`..f�Vn?��, Date: 1/2,9)202) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ 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 ❑ Does not a tegly 'Wa Ifin5 Ov SD C' SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A e empfiwi' Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes g.N/A SOK to Issue Permit Approved by Permit Coordinator: Date: 1-1 I (' O 1.1 1:\Building\Forms\BldgPermitRvw_RES_122419.docx RECEIVED JAN 13 2021 CITY OF TIGARi7 Water Meter Fixture Unit Worksheet for Additions/Remodels/A15UkDING DIVISION Please complete the following information: Customer Name: / �r h a )i t. 4(, LL f Service Address: Street/Suite t: / Q 5— e / jay 04, /iv— mic — City: hMZ. 7 State: Zip: 9 7j... ' Phone Number: 60 3 9 T 6 yo 7 Email: n. ,tw,v - 4,41-r t C �tnr g f',- 5 of (r� i�°s r;r/vim) ,p,1f-.t,.f K1502/0 J 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 = --/) Bidet x 1 = x 1 = l Clothes washer I x 4 = _____„1.._ x 4 = Dishwasher / x 1.5 = /.. 4.;-- x 1.5 = / , Hose bib i x 2.5 = 7„ x 2.5 = ^ Hose bib,each x 1 = , x 1 = Kitchen sink / x 1.5 = /,.T / x 1.5 = /, Laundry sink x 1.5 = x 1.5 = Lavatory (., x 1 = & x 1 = Water closet, 1.6 GPF Ls-` x 2.5 = /.2., 5 x 2.5 = Bathtub/whirlpool x 4 = x 4 = Shower stall ?�. x 2 = 4 x 2 = Bath/shower combo I x 4 = x 4 = d1ct15 r (y) d°.tR, 12- ` Current Points: 1p Proposed Increase: (j) C77����� It Cilr'i<edt i ui& &posed Increase= 116D =New Total Points =Required Meter Size Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points='h" 37.5 and over points= 1" ,�: _. ^ p New Meter Size Needed for New Total Points: / ' Cost: $ ,- `'t 5-- (see page 1) ,�b_e_ Current Meter Size per Utility Billing: _ `'y Cost: $ ?r 14 O 6 —(see page 1) n rl 1' New Meter Size Cost minus Current Meter Size Cost= $ / ZS (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) FOR OFFICE USE ONLY Current Meter Size Confirmed with UB Jim '" 12? 01/13/2021 Signature of UB Representative Date _..i._ , . ,.m,..),-umar.viw.h.rwters 070119 Adcidocx Page 2 4 r Dianna Ornelas From: UB Online Sent: Wednesday,January 13, 2021 7:54 AM To: #Building Permit Technicians Cc: Tracy Short Subject: FW: 14305 (primary) & 14303 (ADU) SW 114th Ave -Water Meter Worksheet Attachments: SKM_C65921011218110.pdf; 14305 SW 114th Ave.pdf Good Morning, Please see the attached approved water meter sheet. Customer will need to upgrade to a one inch meter. Please ask the customer to contact UBOnlinePay@tigard-or.gov to schedule a time to make payment. Kind Regards, Jill (she/her/hers) f l A Wt o. 714 Jill 11:43 CAN SEANyrs,,, Y • City of Tigard-Utility Billing "n R '., Senior Accounting Asst TIGp W� A (888)826-7211 Payments (503)718-2460 UB Main jWb@tigard-or.gov (503)718-2494 13125 SW Hall Blvd, -' Tigard, OR 97223 From:#Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Sent:Tuesday,January 12, 2021 6:19 PM To: UB Online<UBOnlinepay@tigard-or.gov> Subject: 14305 (primary) & 14303 (ADU)SW 114th Ave - Water Meter Worksheet Hi UB Team, Please see attached for review. Please email back your approval to TigardBuildingPermits@tigard-or.gov. 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 1 I Dianna Ornelas From: Hilary Mackenzie <hilary@sundeleafmackenzie.com> Sent: Monday,January 25, 2021 3:52 PM To: #Building Permit Technicians Cc: Jared lsaksen; Deanna Kemper Subject: Re: 14303 SW 114th Ave - Zeng ADU Categories: Dianna Warning This message was sent from outside your organization and we are unable to verify the sender. Hello Dianna &Jared, I mis-counted the bedrooms in the main unit. There are 4 bedrooms in the existing dwelling unit and 2 bedrooms in the ADU for 6 bedrooms total. This will change the SDC fee. I need information on how to complete the deed restriction for the ADU. Is there a template we can use?Or is just the completed form recorded and returned to the City? Please advise. Best regards, Hilary Mackenzie 503-282-7674 cell From: #Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Date: Wednesday, January 13, 2021 at 4:20 PM To: "hilary@sundeleafmackenzie.com" <hilary@sundeleafmackenzie.com> Cc: Jared Isaksen <jaredi@tigard-or.gov> Subject: 14303 SW 114th Ave - Zeng ADU Hello Hilary, The permit has been approved by planning and we are preparing to create the permit and route for building plan review, however I have a couple of questions. 1. A copy of the SDC exemption application was included with the submittal package. a. Did you send this to our finance department for review? I have copied Jared lsaksen in our finance department for an update. b. Has the document been recorded? 2. In order to determine the sanitary sewer SDC, we will need to know the total number of bedrooms combined for the primary dwelling and the ADU. Once we have this information, I will create the permit and notify you of the plan review submittal fee due. Thank you. Dianna L. Ornelas 1 I 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." 2 • RECEIVED DEC 3 0 2020 . . . . City of Tigard CITY OF TIGARD . . . BUILDING DIVISION Systems Development Charge (SDC) Exemption Application REQUEST FOR ACCESSORY DWELLING UNIT SDC EXEMPTION (ABuwed under TMC 3,2=1.M.F) Note:Refer to TMC 3.24180 and the Systems Development Charge(SDC)Evemptions for Accessory Dwelling Units Guideline for eligibitity-requirements before completing application.City Transportation and Park SDC8 exemption 011tkr. . I REQUIRED SUBMITTAL PROPERTY INFORMATION ELEMENTS 0 Recorded Deed.Restriction: Name of property owner Yi Zeng M•11"-egal De2icription of Property . , 0 Estimate of Exempt SDCs 1.ocarion (address if available): 14303 SW 114th Avenue, Tigard! . ,i-fi Iroof of Ownership/ • Authorized Representative Tax map and tax lot numbers: Sec.10 T2S R1W tot 3100 Colev ...„,. 'FN-pie of Unit T(Ital Units .. quare tbotage 0 -isf ach unit 7- 4--L L.crz,J.6-7S Attached \DU . 1 / - 1,688 Ai i4.s r r' /,owl K 0 A- ...T 67S- 4-7r1T,471-r-4,N 6-e-t ef-r L._ Detached ADU APPLICANT INFORMATION Namc,as appears on title of properly: Yi Zeng Mailing address: 4865 Sea Ridge Drive City/State: Victoria, BC Zip v8y2r9 Phone: 250-885-7500 Email: cui677203@gmail.com Applicant's representative: Deanna Michelle Kemper Phone: 806-392-6907 Email: aligrouprealty.dkayahoo.com . , nrE PROPERTY OWNER ACKNOWT EDGES AND AGREES TO THE FOLLOWING: #, I. understand that acceptance of this application and&Yew-lents by the City does not constitute an approval of an exemption. Exemptions are not granted until after all documentation is received and city staff have reviewed and approved my reque.-J 2. I understand that if at arty time during a period of tO years from the time my final inspection is approved the City 0/Tigard • 13125 SW Hail Blvd. • Tigard,Oregon 97221 • www.ogard.orgny • 303-718-2421 ., Awe lot? accessory dwelling unit 14 which an exemption is granted is rented or listed as a short-term rental i',AirBiab, VRBO,etc.), the owner t the property, at that time will be retiwred t pay-ti.)the_city the am taunt of the exempted system development charges,pins interest I also understand that an advi rill-$ t of the AM eel:::lAlty dwelling unit as a short-term rental is sufficient evidence for the city,- to assess the amount of the exempted SE(Cs. undersiand that this restriction littid the property even through traitaifers of ownership, 3 I understand that the Ow may verify any of the information contained in this application at am nine, 4. I understand that the City,its agents successors and assigns will rek oil the infisrenatitat COQ ill this application and the information represented herein;if any information should change prior to obtaining a certificate of itycupancy,I will notify the City. I certib, that to the best of tny knciwiedge,ail the ibformation provided in this application is true and accurate as of the date provided opposite my signatures below yi 7-6-Na Property owner signature Print Name Date Property owner signature Print Name Date APPLICANTS • lit is the reSp011Sibin ty of the applicant to ensure that the pi anon for the SDC exemption is submitted and faoproved before the Payment of till SDCs are due to the City. SDCs are calculated and due and payable puts-mutt to I intad Municipal Gide 3.24.08(7 In accordance withl*.MC 3.24,080B, the City ma' not isSLit a building permit or connection to the City's systems until either all SDCs have hi-en paid in full or an exemption has been granted. It is the applicant's sole responsibility to ensure an exemption applit:atton t ubrititted to the Cite in a timely manilrr in order to meet the timelines in I'M( 3_24.080, .1.34Y111. CONIPLETED APP1ICV41(4N TO; SIX:: Atimmistrator, fitnatue and Information Services,Cate of Tigard, 13125 SW Hall Blvd.,Tigard, OR 97223. If dropping the application off in person,drop tii,ff at the (4tileY !Billing t B front ctRinter located within Tigard Cite Ilan. -(:,,,),yiestions can be directed to the ,:kdraintstrator at SDC*tigard-or.gov or303-718-24htl, STAFF USE ONLY .Received.I4t: : Date: -Approved by.: - Date- Aniount of:SDcsi-Exiartot. : . Park Tranpottationi City ofrigard 13125 SA.'[IA Blvd, • Tigard Oni- ain'.17123 * wwv,-,tigard-or,gov • 503-718-242E • 12' ..agr 1 012 a 4 ...._. RECEIVED1 W hD-D n9 on County,Oregon 2020-022848 RECORDING REQUESTED BY: O 2020 si0Stn.00 C WHITE 03/17/2020 02:45:29 PM z . DEC 3 sio.eo st l.00 ss.00 560.00 s650.00 $636.00 Q Chicago Title 4 Margaret Garza.interim Terecrer a assecamem and Taxation and St3 `"""""°""' OF TIGARD Ea-orncto County Gore for Waah.agm county.unty.Oregon. hereby CITY [ cartily that tee Within instrument of XYNMd en meowed and NI 1433 SW 6th Avenue CITY t i recorded in the book of records of said county. Pnrtiand.OR 97201 BUILDING DIVISION { Margaret Garza.interim Director of Assessment and Taxation.Ex-Officio AFTER RECORDING RETURN TO: Order No.: 472520001434-MJM i Zeno 1 4305 1 3055W 71dthAvenue • Tigard,OR 97224 "fl SEND TAX STATEMENTS TO: • Yi Zeng 14305 SW 114th Avenue ▪ Tigaro,OR 97224 W APN: 520489563 J 14305 SW 114th Avenue,Tigard,OR 97224 I'"" SPACE ABOVE THIS LINE POR RECORDER'S USE Oct• STATUTORY WARRANTY DEED 0 David G. Burnette and Theresa Ann Burnette,AS TENANTS BY THE ENTIRETY, Grantor.conveys and warrants to Yi 2leng Grantee, the following described read property, free anc dear of encumbrances except as specifically set forth below, situated in the County of Washington,State of Oregon: The East half of Lot 15.COLE'S ACRES, in the City of Tigard.County of Washington and State of Oregon. EXCEPT a portion of the Fact one nett of said Lot 15, more particularly described as follows: Beginning at the Northeast corner of said lot 16,thence West along the North line of said Lot to the Northwest corner of said East half of Lot 15:thence South along the common lines between the West half and the East half of said Lot 15,a distance of 20 feet;thence East parallel with the North line of said Lot 15. to a point which is 10 feet West of the East line of said 15:thence Southeasterly to a point on the East line of said Lot 15 which is 40 feet south of the Northeast corner thereof:thence North along the East line of said Lot 15,a distance of 40 feet to the point of beginning. THE TRUE AND ACTUAL CONSIDERATION FOR THIS CONVEYANCE IS FIVE HUNDRED FIFTY THOUSAND AND NO/100 DOLLARS($550,000-00), (See ORS 93.030). Subject to: Covenants, conditions, restrictions and easements-but omitting any covenants or restrictions. if any, including but not limited to those based upon race,color, religion. sex,sexual orientation,tami?tat status.marital status. disability, handicap, national origin,ancestry, source of income, gender,gender identity,gender expression, medical condition or genetic information,as set forth in applicable state or federal laws,except to the extent that said covenant or restriction is permitted by applicable law,as set forth in the document Recording Date: October 2, 1972 Recording No.: Book 690, Page 297 Covenants,conditions, restrictions and easements but omitting any covenants or restrictions,if any, including but not limited to those based upon race,color,religion, sex. sexual orientation,familial status, marital status. disability, handicap, national origin, ancestry, source of income, gender,gender identity,gender expression. medical condition or genetic information,as set forth in applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law,as set forth in the document Recording Date: June 24, 1973 Recording No.: Book 906, Page 631 Easement Deed Recording Date: April 13, 1978 Recording No.: 76-016936 BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON TRANSFERRING FEE TITLE SHOULD INQUIRE ABOUT THE PERSON'S RIGHTS, IF ANY, UNDER ORS 195.300, 195.301 AND 195.305 TO 195.336 AND SECTIONS 5 TO 11, CHAPTER 424, OREGON LAWS 2007, SECTIONS 2 TO 9 AND 17, CHAPTER 855, OREGON LAWS 2009, AND SECTIONS 2 TO 7, CHAPTER 8, OREGON LAWS 2010. THIS INSTRUMENT DOES NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH 0R (Statutory Warranty)42 t n 1368o Updated: 04g PaJa oR-aT-FNPT-027e6.472542-4M520001434 STATUTORY WARRANTY DEED (continued) THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY THAT THE UNIT OF LAND T OR , AS DEFINED IN ORS 92.010 OR 215 010 TRANSFERRED E HIE APPROVED USES OF THE LOT S A LAWFULLY ESTABLISHED OOR PARCEL,LT TO ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES, AS DEFINED IN ORS 30.930, AND TO INQUIRE ABOUTOPERTY 95..305 TO 19 336 AND SECT ONS 5 TO OWNERS, 1,CHAPTER 424. OREGON LAWS 2007.. SECTIONS 2 TO 9 AND 17, CHAPTER 855, OREGON LAWS 2009. AND SECTIONS 2 TO 7. CHAPTER 8, OREGON LAWS 2010, IN WITNESS WHEREOF, the undersigned have executed thss document on the dates)set forth below. Dated: 3 -r 7-ao David G. Burnette } ic �34aa1v_ Y��`LkvJ�: 1 -.e•esa .. Ed•nette Co--. This rostrums• •.as acknow+edged before me or. 3'• 2�G by Gav:d G. Burnette and Theresa Ann Burnette N ='Sate cf Oregon Gommmssio^- Exp,res