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Permit CITY OF TIGARD MASTER PERMIT INS' ' Permit#: MST2021-00117 COMMUNITY DEVELOPMENT Date Issued: 07/27/2021 T I CA P.'D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BD02700 Jurisdiction: Tigard Site address: 14889 SW 116TH PL Subdivision: HELM HEIGHTS Lot: 4 Project: Sanchez Project Description: 416 sq ft detached patio cover 16'x 26'. No meter upsize required per UB. Trade permits to be obtained separately. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 14 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $10,046.40 Rear: 5 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 Bcktiw Prevntr: 0 Drywell-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 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'l500 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 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: DIAZ,LUIS RAMON SANCHEZ ETERNAL ROCK CONSTRUCTION INC Required Items and Reports(Conditions) 14889 SW 116TH PL 715 NW HOYT ST UNIT 6059 TIGARD,OR 97224 PORTLAND,OR 97228 PHONE: PHONE: 503-606-6900 FAX: Total Fees: $823.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done In accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR o69_nn1_nnln film!onh R 0R9-nm �,on_ vn„1 mme.,nhtein a rnnv of the ndee nr dirent ni ieetinnc 1n nu INC by Tallinn Rol 919 1aR7 nnr,1 soon 117 99dd _- / Issued By: "{ .. "!/�''C.( �/1� Permittee Signature: OA/ z/1'�/ L./ C 'ft'��/ Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Building Permit Application j , Residential RECEIVE I Foil Of EICf USE O\1A" f_ IIICity of Tigard MAR 2 4 2021 Received 03 3o 2/ Pemnit Na.: 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ' i�S TZD.Z/-,�D/?� S- Phone' 503.718.2439 Fax: 503.59$.1960 Plan Review CITY OF TIGARD y: 2'1A.A. Other Permit; 1!G,�lC 17 Inspection Line: 503.639.4175 DateReedy/By 7' Turn: ttt)See Page 2 for Intern. www.tigard-or.gov BUILDING DIVISION' NohfiediMalm?/Z•(�/v/ 41d Supplemental Information i7.9'/C— Lair TYPE OF WORK REQUIRED DATA:1-AND 2-FAMII.Y DWELLING .:- ❑(New construction 0 Demolition Permit fees*are based on the value of the work performed. Y t�Addition/alteration/replacemcnt ❑Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for Mil CATEGORY• OF CONSTRUCTION work indicated on this application. h ©MJ(„I `Tf ❑ I-and 2-family dwelling ❑Comm ercial/industrial Valuation; S t w� U Accessory building �`� Yii ❑Multi-familyNumber of bedrooms: if I❑Master builder tgOtherrjeketteot c, eit.,1,10 Number of bathrooms: t /7 JOB SITE INFORMATION AND LOCATION Total number of floors: 7 Job site address: I 1484,1 S yN lib I"- P I New dwelling area: square feet City/State/ZIP: 1 j 4 rd/ OIL. I+24 9 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 1 9I$ 1 Covered ero area; le square feet Cross street/directions'to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:'COINMERCtAIAUSE-CItFCIcI 1ST Subdivision [Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: a 08 fz c,;-.5..._.1 I__ -j A I t,, p Indicate the value(rounded to the nearest dollar)of all �+ 5 �"�equmment,materials,labor,overhead,and the profit for the g _ DESCRIPTION OF- R.1' Cr..s, l work indicated on this application: Ge.1-44,1ta Cord Pe1110. ?Arm � �Q Valuation: S pill S7ye, 7. 4 X�.( Existing building area: square feet 4 New building area: square feet NI/PROP'ERTY OWNER I ❑ TENANT Number of stories: - E Name: /...vt - Set,vie Type of construction: Address: J1i 0S 9 S 4 1 G 644" 171 Occupancy groups: City/State/ZW: ,r aP.. 40-2.2y Existing: Phone:(So3) `II - 59ol Fax:.( ) New: Er APPLICANT ❑ CONTACT PERSON BUILDING PERMITFEES* Business name: Q 1 J,� �c f _th,- Ct� (Please refer tofeeschedule) Contact name: �i� r "�.fj_-�� ri Structural plan review fee(or deposit): •gQ' FLS plan review fee(if applicable): Address: t ii ee,i 5w I i`I^ P 0 City/State/ZIP: ` (/ of-. 1} z y l Total fees due upon application 9 �, Phone:(503) 115_ 5161 f Fax::( ) Amount received: E-mail; ryt1nlC � y (h� 1 , E PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* < 4 h3�NiC migc,, CffYI'l CONTRACTORCommercial and residential prescriptive installation of roof-top mounted PhotoVoItaic Solar Panel System. Business name: ( i GI 1 VC fiat Submit two(2)sets of roof plan with connection details , and fire department access,along with the 2010 Oregon Address: pc x r� Solar Installation Specialty Code checklist. City/State/ZIP: F0 f f,1 Of- p t 22 l Permit Fee(includes plan review f`f and administrative fees): 518000 Phone:(503) 3-1-6-t$6 I Fax:( ) `A � � State surcharge(12%of permit fee): S21.60 CCB lie.: i`I ^4P Total fee due upon application: S201.60 Authorized.signature: This permit application expires If a permit is not obtained Print methodology 180 days after it has been accepted as complete. LV1 Inc Date: 3(I1 /ZQZ` 1 *FeeethodologysetbyTri-County Building Industry r Service Board. 146- / I:\Building\Permlts\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) / mow. — -:, ai✓: _`•' City of Tigard i _ ' COMMUNITY DEVELOPMENT DEPARTMENT T 1 n IDBuilding Permit Review — Residential Building Permit #: 0 7-zD2Fdd ii 7 Site Address: 14889 SW 116th PI Project Name: Sanchez Diaz Lot #: iPla ing Review Pr osal: Detached covered patio Verify address/suite#active in Accela. n River Terrace: ICJ No ❑ Yes, River Terrace Review Addendum Sit: Ian Elements: ° _Erosion Control II: opies of site plan on 8-1/2"x 11"or 11 x 17"paper detained trees with drip line and tree protection measures rip awn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE ti, .rth arrow tility locations&easements(required for new and additions) X. e address,project or subdivision name and lot number •�' ;`_iidewalk/driveway approach .12, plicant information(name and phone number) location of wells/septic systems .t •- ensions and building setback dimensions et tree size,type and location lir are footage of buildings to be demolished tr t names 7 xi • g structures on site omer elevations(2'contours if more than 4'differential ., area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es > ' i pervious area(ap licable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facili shown? Yes o `12 Clean Water ices —Service Provider Letter (lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: Yes ❑ No I! Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs si Required: ❑Yes,applicant was notified ❑ No Received: [' Yes ❑ No II SDC Exemption for ADU applied for: ❑Yes ❑No Received: ❑Yes ❑ No II Public Facilities Improvement (PFI) Permit: quired: ❑ Yes,applicant was notified ❑ No plied For: ❑ Yes ❑ No,stop intake iiied Use Case#: SLR2020-00008 ���"' Zoning: R-4.5 equired Setbacks: Front: N/A Rear: 5 Side: 5 ight:Actual HeStreet Side: N/A Garage: N/A F/ Building Height: Max. Height: 15 14 .ndscape Area: % 0 Lot Coverage Max: '/° Entrance et back no more than 8'from street-facing wall \ • I P. :•e to street or offset 45 degrees or less Windows Minim i %of area of all street-facing facades 1 Garage Gara door is bei� : .'dest street-facing wall ❑ Yes ❑ No,one of the following is met: Door extends no more - ..- ' wall and there is a covered porch extending beyond garage. Door extends no more • ' from ,nd there is a 12 sq ft.window above garage on 2"d floor. ❑ Gara••e door width' 12'or less CI50°/u or - • facade 60%or less and includes 7 of following: Cov- -• porch Recessed entrance El Walloffset 1'Roof eave Roof offset ire shingles Lap Siding Rooritch ❑ Gable,hi , • :.: brel roof Dormer Accent siding , . Window trim Window recess Window pro -- ;.n El Balcony 1 isual Clearance 114.rban Foxes Plan ensttive Lands: I Yes U No Type: Steep slopes Co ditions met prior to issuance of building permit Not Approved By Planning: _______—.—'„ C ti-- Date: a� -2. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1:1Bu i Id ing1Form s1BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 03/2L1/ J Site Plans: # Building Plans: # 3 Building Permit#: linter building ero it#above. Workflow Routing: EFPlanning ngineering Iermit Coordinator 0-Building Workflow Sign-off: O.-Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and yoriginal plan review routing form. li Building: original permit application, site plans,building plans,engineer and beam calculations an trust details,if applicable,etc. Notes: By Permit Technician: Date: 0?m iy2--/ Engineering Review E Slope at building pad: '1-202 aConditions "Met"prior to issuance of building permit Yl(a✓ Easements (encroachments) per engineering conditions of approval and plat h � /44-- E Water Quality/Quantity Facility: � Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes Eno � LIDA Facility on lot: ❑ Yes Er No RFinal Plat Recorded: T Jw ❑ NOT Approved by Engineering: Date: Notes: [''Approved by Engineering: Tr�.Y,7 6rr'Gka°.t7 Date: 3/11 zuzl Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved mit Coordinator Review conditions "Met"prior to issuance of building permit M' . pproved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: / r` ‘`I SDC Exemption: ❑ Received L Does not a II SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes /A Parks SDC: ❑ Yes LvJ :1/A LIDA ❑ Yes M N/A OK to Issue Permit Approved by Permit Coordinator: _ r J Date: 44/ l:\Building\Forms 1BldgPerm itRvw_RES_122419.docx t r. AS io20,. / •` 001f 7 Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUsjE1VE® Please complete the following information: JUL 2 1 2021 C:.. ARD Customer Name: f� 5 CAA(WC-- RD Service Address: Street/Suite#: 1/6 CSR 5 &i \`✓a 4 c)L City: -\-L'ujcw-A State: OR, Zip: q7-2 21"1 Phone Number: Email: Lv is Y" 6-ervuAl PO , Pro 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 I x I = ` x 1 = Bidet x 1 = x 1 — Clothes washer 1 x 4 = l.j x 4 = Dishwasher x 1.5 = 1.5 x 1.5 = Hose bib 1 x 2.5 = '2..$ x 2.5 = Hose bib, each 4.3 x 1 = 3 x I = Kitchen sink 1 x 1.5 = 1,5 I x 1.5 = \,c x 1.5 = l s x 1.5 = Laundry sink �Lavatory _ x 1 = x 1 — Water closet, 1.6 GPF 3 x 2.5 = 7.5 x 2.5 = Bathtub/whirlpool x 4 = S x 4 = Shower stall 1 x 2 = 2 x 2 Bath/shower combo 1 x 4 = LAx 4 = Current Points: 3 b'6.- Proposed Increase: \ •S Current Points+Proposed Increase= =New Total Points =Required Meter Size Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4",• 37.5 and over points 1" ill New Meter Size Needed for New Total Points: Cost: $ (see page 1) Current Meter Size per Utility Billing: ilf 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) ******************************* ******************************* *** **************** Address currently has a 1" meter so no upgrade will be required FOR OFFICE USE ONLY Current Meter Size Confirmed with UB J. Bentley 07/21/21 Signature of UB Representative Date L/Building/FOrms/WaterMeterS 070119_1dd.docx Page 2 ,- City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 4 Water Meter Fixture Unit Worksheet /PI TIGARD 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: 64" $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. c/Building/Forms/WaterMeters_070119_Add.dOCX Page 1 4 Dianna Ornelas From: UB Online Sent: Wednesday, July 21, 2021 12:23 PM To: #Building Permit Technicians Cc: Allyson Armstrong Subject: RE: Outdoor Kitchen - Trade Permits and water meter fixture count sheet Attachments: 14889 SW 116th PI 072121.pdf Follow Up Flag: Follow up Flag Status: Completed Categories: Holly Attached is the signed form. Since address currently has a one inch meter there will be no need for an increased meter size. Kind Regards, Jill (she/her/hers) ii A Who_ Jill G ioUCANBEAo"°e .- " City of Tigard -Utility Billing � Senior AccountingAsst TIGARD11* (888)825 7211Payments (503)718-2460 LIE slain jillbl�Dtigard-or.gov (503)718-2494 LIE KINL 13125 SW Tigard, H Blvd.all OR 97223 From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent:Wednesday,July 21, 2021 11:41 AM To: UB Online<UBOnlinepay@tigard-or.gov> Cc: Allyson Armstrong<AllysonA@tigard-or.gov> Subject: FW: Outdoor Kitchen -Trade Permits and water meter fixture count sheet Hi Jill, Please see attached water meter worksheet. Customer says they have existing 1" meter, but their current points would only require 3 ". Proposed new sink will require 1". Thanks for looking into this, Holly Van De Wege Program Development Specialist City of Tigard I COMMUNITY DEVELOPMENT 13125 SW Hall Boulevard Tigard,Oregon 97223 www.tigard-or.gov 1 44 From: Luis Sanchez JR<luis@eternalrock.pro> Sent: Wednesday,July 21, 2021 11:30 AM To:Allyson Armstrong<AllysonA(nitigard-or.gov> Cc: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: Outdoor Kitchen -Trade Permits and water meter fixture count sheet Warning!This message was sent from outside your organization and we are unable to verify the sender. What is the next step? On Wed,Jul 21, 2021 at 10:47 AM Allyson Armstrong<AllysonA( tigard-or.gov>wrote: Luis, Attached are the permit applications you will need for your project. To approve the permit I will need • An approved water meter fixture sheet. Send water meter fixture sheet to UBonlinepay@tigard-or.gov they will review and send to the approval to the building department. This will not take long once sheet is sent. • Plumbing permit application filled out for the bar sink you are adding. Send to tigardbuildingpermits@tigard-or.gov and copy me on the email please. Trade permits can be pulled separately by trade contractors for the electrical and mechanical work. Mechanical - Gas lines serving barbecue and gas fire place Electrical - Lights and outlets Please let me know if you have any questions. Thank you, Allyson 2 , Allyson Armstrong • City Of Tigard (503)718-2612 Work (503)718-8137 Mobile .Ilyso nA=^tigard-or.gav 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." Sincerely, Luis JR 00- Ent General Manager Eternal Rock Construction, Inc. r c 503-770-8807 i , Op Luis©EternalRock.pro j wWw.EternalRockConstructionlnc.com 9 PO Box 6059 Portland OR 97228 00 The contents of this email ore confidential and meant only for the named recipient(s).If you received it by mistake,please destroy it and notify me.Thank you. 3 RECEIVED lygg 2 �0z, CleanWater Services SENSITIVE AREA PRE-SCREENING SITE ASSESSME6TGARQ y � eClean Water Services Filer� I. oM -003094 1. Jurisdiction:Washington County 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): 2S110BD02700 Name: LUIS SANCHEZ Company: Eternal Rock Construction, Inc Address: Po Box 6059 OR Site Address: 14889 SW 116TH PL City, State,Zip: Portland, OR, 97228 City, State,Zip: TIGARD, OR, 97224 Phone/fax: 5037708807 Nearest cross street: SW BEEF BEND RD Email: frank@eternalrockconstructioninc.com 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck,garage) Name: Luis Sanchez ❑ Lot line adjustment 0 Minor land partition Company: Eternal Rock Construction, Inc ElResidential condominium 0 Commercial condominium Address: Po Box 6059 ❑ Residential subdivision 0 Commercial subdivision City, State,Zip: Portland, OR , 97228 ❑ Single lot commercial 0 Multi lot commercial Phone/fax: 5037708807 Other Landscaping, Parking Pad and 3 Patios Email: frank@eternalrockconstructioninc.com 6. Will the project involve any off-site work? ❑Yes 0 No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief,this information is true,complete, and accurate. Print/type name Luis Sanchez Print/type title OWNER Signature ONLINE SUBMITTAL Date 11/20/2020 FOR DISTRICT USE ONLY 0 Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered,This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,State and federal law. X 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. X THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS 1 CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by ✓. Date 11/25/2020 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 P vm.1 112620 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p:503.681.3600 f: 503.681.3603 • cleanwaterservices.org WV 716,10 JTC 97.30' PER ENGINEER D&IWN AND LAYOUT. ,' INC NOTE ANY PART OF PATIO,STAIRCASE THAT 30'ABOVE GRADE REWIRED GUARDRAIL GUARDRAIL TO BE MIN.36'HIGH AND ENGINEER f.. FOR NI 200 P0.ND PUSH N CF AN PAT@ TO BC APPROVED Z X.;���y\BBBppµ \ MINIMA 5 FfEt FRRM%lRPERIY LMC � Q o \ By Chuck Buckslhw for Clean WAtw 9avl vs Rf R:Stem,.Nn 00,SOtT Q V bqile1° •'. pyn"'/ \ -NEV SIMkCAati. i 1 N 'OJS� / � CV STAIRCASE �l %ISTING STAIRCASE. V STAIRCASE. P '- BIN k. W.11 6 S.r.M era„O�.1.. • 444 ````y �� OO Sf19AMR I 7:(4?„‘" So4g.SNPlq�C S V) SITE PLAN c„ SCALE, 1' = 10'-0' /60.S• PROJECT/0 SITE INFORMATION, --- e 4 3420 ADDRESS, 14889 SW 116TH PLACE v h1' b DWG Br: m NI 6'CURB. 'ti 10nv2U ti 3 ti i SHEET Al Building Permit Application 1 ' Residential RECEIVE E �'�y t City of Tigard MAR 2 4 2021 Received JJ3 3o z/ ql MS r242/�d/17 ' 13125 SW Hall Blvd.,Tigard,OR 97223 Date Sy Permit No.: a Phone: 503.7182439 Fax: 503.598.1960 CITY OF TIGARD Date B ' T 1 G A h D Inspection Lane: 503.639.4175Da»stela • Other Permit: Internet: www.tigard-or.gov BUILDING DIVISION' s Ready/By: � pe 2ltof Bupplatueatat Ieformadon Tx rE•of WORKREQUIRED DATA: ,-AND 2-- LX DWZLLIN ❑[New construction ❑Demolition Permit fees'arc based on the value of the work performed. lJ Addition/alteratiaoheplacemcnt ❑0�� Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,end the profit for the CATJ✓`Cgale OF CONSTRUCTION work indicated on this application. 01-and 2-familydwelling ❑Commetcial/industrial Valuation S 30,000 El Accessory building Q Multi-family Number of bedrooms: :VIA Master builder itilOther:e'Y cowered440 Number of bathrooms: 14/A JOB SITE INFORM4T1ON ANI LOCATION Total rmmber of floors: Job site address: I/Well SW I i b it. p! New dwelling area: square feet f l City/State/LtP: i a rd ex *2i 9 Crarage/carpori area: square feet Suite/bldg./apt.no_: Project name: I y lS i t Covered porch area: 5 20 square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision I2EQUIJ2ED:DATA:Ct1 ' Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equiDESCRIPTION OP WORN work materials,labor,overhead,and the profit for the y work indicated on this application. RLluty,td coverej Rclio Valuation: $ P471` ritx, : 2,61 % 2-0t Existing building area: square feet • 7•YAX sJ lit is t 2/ New building area: square feet RTE.OWNER Iq �PRClPE 0 TENANT Number of stones: Name: i- `,,belie Type of construction: Address: Nogg $ ) I164t. pi OccuCity/State/ZIP: "y groups: T deigrdi, QQ 17-2 -9 Phone:(503) 9 L "' 5 ct O I Existing: Fax;( ) g APPLICANTNew 0 CONTACT PERSON BUILDING PE mir FEES* Business name: e- ne, I tt .�j% La 1. "'t t�LYF^ Lam St<^/\.t''t't Ot�1 Meese ear toeee sit add Contact name: L. lis Sev,t @_ Structural plan review fee(or deposit): .gp FLS plan review fee(if applicable): Address: I Y 8bi 5 W I«�` p I City/State/ZIP: ''7 {�r O� 13-fZ� Total fees due upon application: Phone:(55033) °[1 5yts Fax:: e7 t( ) Amount received: . nlCep,� PhQII'Af.�GSYtSAYiGtiD+ltPLC CGNt PROTOVOLTAICSOLARPANk3.SYSTLMFEES*'. E-mail: CONTRACTORCommercial and residential prescriptive installation of t roof-top mounted PhotoVoltaie Solar Panel System E] �C t T!,� Submit two(2)sets Of roof plan with connection details Business name: {� Y1 t tY Address: YB Rio X r 0 sq and fire department access,along with the 2010 Oregon W Solar Installation Specialty Code checklist j City/State/ZIP: Par f-I J I a— Permit Fee plan f2.2 (includes lanreview Phone:(G03) 11-d —la86 T- I Fax:( ) and administrative fees): $180.00 CCB lie.: l9 ,�'1 3Cf Stare surcharge(12%ofpermitfce); $21.6 • 0 � Total fee due upon application: $201.60 Authorized signature: ate%% This permit application If a permit la not obtained�' ,,rr within 180 days after it has been accepted as complete. f Print name: LV)c e _vi GD_ mil_ I Date: 3/ i I 1Q�l I *Fee methodology set by Tri-County Building Industry 74 '"Ip�4.� I Service Board I:\Building1Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(13/02JCOM/WEB) FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. III og City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter r i c;A it n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov_ TO: CITY OF TIGARD DAT tME D DEPT: BUILDING DIVISION tt II VV t JUL 202821 FROM: LUIS SANCHEZ CITY OF TIGARD COMPANY: ETERNAL ROCK CONSTRUCTION BUILDING DIVIf ION PHONE: 503-915-5901 By.6 EMAIL: luisrsanchezdiaz@gmail.com RE: 14889 SW 116TH PL MST2021-00117 (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE,FOLLOWING ITEMS: .1 n a a%.-� ii '� : ' ,b's _ t •+ .,! rciv =` i _ =Cop>ies: ; r� .eirrYpii+b`nx,N �$_, � r, µ ; GaP3es: D'escrip#�tin: ' ' Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. X Engineer's calculations. Other(explain): REMARKS: I've attached our revised engineer calculations for the concrete retaining walls Ys, CT �7:4- t`! {.¢x x `: 5 i".F 10. -Of n Cl�, ^St;-01�1LY 4 .h 'J4..a- t i..3 5 V.e..� tia t r Routed to Pe t Technician: Date: - o2/ gf Initials: Fees Due: Yes IC No Fee Description: Amount Due: t t g .`� ,fr - $ r� : .7e r � �_� � ,t. 1 GID,ti, x s $ & ��T „1. reeve )( $ a . 71 iv/„1t Special Instructions: � Reprint Permit (per PE): ❑ Yes L ivo 0 Done Applicant Notified: Date: Initials: