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Permit • 1 \ City of Tigard III /1 COMMUNITY DEVELOPMENT DEPARTMENT ■ -- Building Permit Review — Residential T 1 G A R D Building Permit #: H&T2021-E702$2_ Site Address: 13 2g a cW Z P-1 T•rxg t Y 1.0-• Project Name: " OC„lc_ PPP I n p/`,) Lot #: Planning Review 1 D (P I it . 12ev‘sed Slte Planhood,`(- AC. yA�(� TAM Lai e4Z ��oc6t:� Df CoJer. erify address/suite#active in Accela. ❑ In River Terrace: ❑ Nos,River Terrace Review Addendum Site n Elements: 7.41. t Erosion Control pies of site plan on 8-1/2"x 11"or 11 x 17"paper tR ained trees with drip line and tree protection measures FA I► to scale(standard architect or engineer scale) JQFootprint of new structure(including decks)and FFE i rth arrow kr' IIsly locations&easements(required for new and additions) rite address,project or subdivision name and lot number OSidewalk/driveway approach phcant information(name and phone number) kik Location of wells/septic systems lI•dimensions and building setback dimensions eet tree size,type and location Ld uare footage of buildings to be demolished 1Street names Existing structures on site C lComer elevations(2'contours if more than 4'differenti ) Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes No pervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No Clean Water ces—Service Provider Letter(lot platted prior to 9/10/1995): squired: Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Water Meter F. re Unit Worksheet—Additions,Remodels and ADUs Required: Yes,applicant was notified ❑ No Received: 0 Yes ❑ No SDC Exemption for ADU applied for: 0 Yes 0 No Received: 0 Yes El No Public Facilities Improvement (PFI)Permit: Required: ❑ Yes,applicant was notified ❑ No A lied For: 0 Yes 0 No,stop intake 0�0/Required Use Case#: Zoning: R Q._ ,(LI Required Setbacks: Front: /S^ Rear: /0 Side: S Street Side: /.- Garage: GO 1 ding Height: Max.Height: 3S'Landscape Area: � /o Actual Hei$�ht: ill ° 1C! Lot Coverage Max: V °/o En. . e ❑ Set back no more than 8'from street-facing wall 0 Parallel to street or offset 4 •s or less Windows O Minimum . . . -. of all street-facing facades Garage ❑ Garage door is behind widest stre- - .... wall 0 Y d No,one of the following is met: 0 Door extends no more than 5'from wall an. . covered porch extending beyond garage. ❑ Door extends no more than 5'from w. . . there is a 1 s. : dow above garage on 2",floor. ❑ Garage door width is ❑ 12'o •. • 50%or less of facade El 60°o . • and includes 7 of following: ❑ Covered porch 'ecessed entrance ❑ Wall offset ❑ 1'Roof eave 0 Roof offset ❑ Fire s .•. •s ❑ Lap Siding ❑ Roof pitch 0 Gable,hip,or gambrel roof ❑ . • : ccent siding ❑ Window trim 0 Window recess ❑ Window projection ❑ Balcony 0 Vis . ' earance 0 Urban Forestry Plan P -nsitive Lands: 0 Yes 0 No Type: PI Conditions met prior to issuance of building permit No _ Approved By Planning: ^-... Date: r Af Revisions(after Building Submittal only) t viewer Date Revision 1: A Approved 0 Not Approved CV/ Z1 Revision 2: 0 Approved 0 Not Approved 6 0 1:\Building\Forms\BldgPermitRvw_RES_1224 19.docx !, Building Permit Submittal Original Submittal Date: 07 12 2624_ Site Plans: # Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: (1r Planning Engineering a-Permit Coordinator Er Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: krEngineering: (1) copy of permit application,(1) site plan, (1) building plan and original plan review routing form. CS'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / ,,/ By Permit Technician: �„-j/r//. / d!// � Date: 5-402/ Engineering Review Q'Slope at building pad: 2, B'Conditions "Met"prior to issuance of building permit f'1/#. L ''asements (encroachments)per engineering conditions of approval and plat hi"' LAC \Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er No Assess Water Quantity Fee in-lieu: ❑ Yes .No ,/ LIDA Facility on lot: CI Yes LrJ No hQ Final Plat Recorded: II k- ❑ NOT Approved by Engineering: Date: Notes: ot L1 Approved by Engineering: 1 ,-1gy2 Date: 7//1/20Z Revisions(after Building Submittal only) Reviewer Date Revision 1: a Approved ❑ Not Approved 7 /. /I/&-/2.021 Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review - honditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only)Revision Notice 1: Date Sent to Applicant: A I/� " till (7o2' Revision Notice 2: Date Sent to Applicant: V•SDC Exemption: ❑ Received 4 Does not apply yi SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes V N/A Tigard Trans SDC: ❑ Yes X N/A Parks SDC: 0 Yes 7 N/A LIDA ❑ Yes / N/A ct OK to Issue PermitAr �n Approved by Permit Coordinator: Date: 1 ii/v t I:`Building‘Foims\BidgPermitRvw_RES_122419.docx RICK'S RI � tame r f j* ck t ,LZY . :TNO w.RicksFencing.comRIM __ csjz _ r I 1 zyr , rrromme 1 f____s_ 5 1,.\1 ril _ 0 J 4 c a — Is' I i ' Ia i. a.j '-' , , , . LAvjk, .,_ ... . . tr-2,,,,,, . (5-) 1ZE p rJ sTEYvt QN. 0 A -c PO 1 f (3) I+o-r u Lv r A- ,,-- . e . 1 + '� >1/ 'ter ' %''� .'� - r i) i .. fi 1 � •f" ' .._ IW. I_i6i .��..`'Yi.. ��. �YL"t.�� .r a...-' .-- yam.". — iild. .«.....� A , , A i ;.t -III '1V \ 1 \\ p i 7 \/(,) . .A. e),.;\ e, U \.„ 1 i L4 S ' + -, > _46.; ... \ 4 ....... .. �� \�` '` �. t-._ --- - ��,\.. . , Cam .}',r. �... � + � „. r t ' � � a _. v�.r 41 r t ., I RPLt �Nt.b k CI$) � , � ` .,/' Scale .. V/T „ _ 2 ' . 'V) St-oCk k�� 13211D SW I�riiitAn b I. , _ Ti 9 Gird , D12. 019-2:1_3 \ a / / / TAX I,0 f' # % ...' °� .. 1S 133 DCUSf f,s: lit, a 'lit. 1 32 30 1 III, \?\: /k) iv /.:;P• cI 4 1/1 1 32 4 i c1.0.k,(0-= . ,I. 0, g .‘N.# ,.--p 1 . .i.,A --- .;.....iks- ..3 .‘ Iwo/ co vL 'tos. 02 50 I ill �o 1. lit '. • 11( \N... lit, 4000\..4 )\'' \ 1.';:4 dr \I Near' III me 1 ..•,.°' \ CITY OF TIGARD MASTER PERMIT IN s. COMMUNITY DEVELOPMENT Permit#: MST2021-00282 T f C;A R Q 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2021 Parcel: 1 S133DC10500 Jurisdiction: Tigard Site address: 13240 SW BRITTANY DR Subdivision: BRITTANY SQUARE NO.3 Lot: 71 Project: Stock Project Description: New 324 sq ft patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke No Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $7,824.60 Rear: 10 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 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: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!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 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: STOCK,MICHAEL K&MARY L LIVING TIRICK'S CUSTOM FENCING&DECKING INC Required Items and Reports(Conditions) 13240 SW BRITTANY DR 4543 SW TV HWY#A TIGARD,OR 97223 HILLSBORO,OR 97183 PHONE: PHONE: 503-640-5434 FAX: Total Fees: $554.69 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc,_nnl-nnin fhrnii,h nep oc9-nM-nn0n Yni,mat,nhtnin rnnv of fhe r,doe nr,firorf nllActinnc to nl IRIr`by raninn cri 91,1Q5:17 no-'I arm 119 9'24d Issued By: OvvApp '�O Permittee Signature: Holy Vc 4/D&Wege Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the lob site at the time of each inspection. FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT ■ Transmittal Letter A r i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Y\1iycbY1 ATMs-MN DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Y't'cV YLv+\td c JUL 2 7 2G2i COMPANY: 12,i GAS cvSAYM I\Cf nC CITY OF TIGA G PHONE: (%5O ) 0912.- `Q$�'0� BUILDING MIS! EMAIL: S'Ve•nA-It.dote&YIl!I"Sfth Um RE: 1320 S\A) Y i4tC4� Dr. I'1'Z,021 - b dySZ (Site Address) (Permit Number) Stott-cl To�Y Lo--4..1s1�3DGLOb (Project name subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. )( Revisions: S11 S (ytockci NI \Stih01> 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: /2.ep/ k Ci'13 �x i s'-/J' i'i''S' fLji I(\.14 --"\-% r� �--c� Sz�� . CK IS-h." \4-6 FORI7ICE USE ONLY Routed to Permit Tec i ian: Date: 2 ) Initials: Fees Due: ❑ Yes No Fee Description: Amount Due: n $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: .....W. - .. City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 GA lz o Building Permit Review — Residential cr- Building Permit #: H$1W21-0O282_ Site Address: 132y12). cw (LI-rrAA Nt TA, Project Name: < C PPP al OK) Lot #: Planning Review Propos l: ` C.-C YAe� �,17� L.wee- erify address/suite# active in Accela. ❑ In River Terrace: ❑ No �s, River Terrace Review Addendum Site an Elements: Erosion Control 3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper �� 1:_gtained trees with drip line and tree protection measures KJF"' n to scale (standard architect or engineer scale) ..Footprint of new structure(including decks)and FFE +rth arrow kr' II . .ty locations&easements(required for new and additions) Ira:ite address,project or subdivision name and lot number VA Sidewalk/driveway approach A plicant information(name and phone number) `� Location of wells/septic systems List dimensions and building setback dimensions IV' eet tree size,type and location are footage of buildings to be demolished Street names Extsting structures on site Corner elevations(2'contours if more than 4'differentia) IlLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes No dpervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No ean Water ices—Service Provider Letter (lot platted prior to 9/10/1995): Wequired: Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ater Meter F. re Unit Worksheet—Additions,Remodels and ADUs Required: Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No `i ❑ SDC Exemption for ADU applied for: ❑ Yes El No Received: ❑ Yes ❑ No r" 0 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No r1 lied For: ❑ Yes ❑ No,stop intake ❑ Land Use Case#: Zoning: g rz- "Required Setbacks: Front: !S^ Rear: /0 Side: ,5— Street Side: /f Garage: Go iding Height: Max. Height: 3S1 Actual Hei ht: a Landscape Area: % l Lot Coverage Max: En •ce ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 •-: -•s or less Windows ❑ Minimum . . •. of all street-facing facades Garage ❑ Garage door is behind widest stye- - : . wall ❑ Y- • No,one of the following is met: ❑ Door extends no more than 5'from wall an. _ covered porch extending beyond garage. ❑ Door extends no more than 5'from w. . a there is a 12 s. . .: dow above garage on 2"' floor. ❑ Garage door width is ❑ 12'or =c ❑ 50%or less of facade ❑ 60°o • and includes 7 of following: ❑ Covered porch PI 'ecessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset El Fire s '• •s ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ i• -• 111 ccent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony ❑ Visu. ' earance ❑ Urban Forestry Plan P. -nsitive Lands: ❑ Yes ❑ No Type: M Conditions met prior to issuance of building permit No s: • Approved By Planning: _ Date: 7/r5/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 07`i 1/•O2/ Site Plans: # 3 Building Plans: # 3 Building Permit#: le-Inter building permit#above. Workflow Routing: EiPlanning Engineering le"Permit Coordinator RyBuilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Pre-Engineering: (1) copy of permit application,(1) site plan, (1) building plan and original plan review routing form. [-Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: / By Permit Technician: ��/�9777� Date: dT/6-,2-02i Engineering Review [ /-Slope at building pad: 2,V 2( Conditions "Met"prior to issuance of building permit Ob.-- /Easements (encroachments) per engineering conditions of approval and plat AA"' 12/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes CRrNo Assess Water Quantity Fee in-lieu: ❑ Yes lb No LIDA Facility on lot: ❑ Yes All WI Final Plat Recorded: f k`-' ❑ NOT Approved by Engineering: Date: Notes:ot if Approved by Engineering: 1"y k Alageott Date: 7/1$120Z1 Revisions (after BuildingSubmittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Vionditions "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: XSDC Exemption: ❑ Received se Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes V N/A Tigard Trans SDC: ❑ Yes )zr N/A Parks SDC: ❑ Yes 7 N/A LIDA ❑ Yes / N/A fit OK to Issue Permit n� Approved by Permit Coordinator: 1Yr Date: 1 26 I:\Building\Fonns\BldgPennitRvw_RES_122419.docx Building Permit Application 13_l/l Z 2,1 Residential RECEIVED E 1 i)11 ()1 1 1( 1 t "s1 ()NI 1 City of Tigard Received / 2021 h'/ T S2b b0 Date/By: �� Permit No.: �' z Z 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 12 2021 Plan Review (�.� , /6�, Phone: 503.718.2439 Fax: 503.598.1960 Date/By: L .� Other Permit: 1 i c }h El Inspection Line: 503.639.4175 CITY OF i IGARD Date Ready/By: ��, t r See Page 2 for Internet. www.tigard-or.gov Notified/Method: / BUILDING DIVISION ,� Suppleeieatal Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING C ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. tit)X I-and 2-family dwelling Valuation: $- 1 0 CommerciaUindustrial / 1 . \kk ❑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: 1 2.14 V W) ?A li-t> n br. New dwelling area: square feet City/State/ZIP: Ti i'o1 Dv_ 0'1�� r4;ar:orlrtteore:,:,.sa.e, square feet Suite/bldg./apt.no.: Project name:: '�i" square feetDG� 32,y Cross street/directions to job site: Deck area: square feet Q 4S i : SW ' v J((C PI . Other structure area: square feet Mk': l] y i I► e U?\, Vr. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. IC r�� > 1_0 5 ty� Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: �, i j YJ Y! equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. back-\krd cRilo cov r Valuation: $ Existing building area: square feet New building area: square feet , � PROPERTY OWNERR 0 TENANT Number of stories: Name: 1 /�`1\4 �(,F- Type of construction: Address: l��1 �(� ��11�� r► Occupancy groups: City/State/ZIP:T� aY'6 , 1�-, Ql"i.!��►�.1- Existing: Phone:(5 )6 by- W iyo" Fax:( ) New: APPLICANT W� �/► y�/�❑PCONTpACT PERSON BUILDING PERMIT FEES* (PkaBusiness name: RiC1�S GVStDm ?1 1c11Vt E bQCV-.IYI review rererrdo eeosit):schedule) J Structural plan fee(or deposit): /2Z5.e& Contact name: S�vf RAAIfi/�('i e,r C•°"�"°'� FLS plan review fee(if applicable): Address: �rJ4 .sG- -r t I►Wu `�,; �`„� 1 (y►7 Total fees due upon application: City/State/ZIP: I'll {� Yd D� Phone: (M 2_ Vi--(� ) Amount received: ( ) Fax:: E-mail: Sttjf., ri,.i-le av o� ri find nc)+tom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 11 y� t Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: , k US'�DYll Y1W1 Submit two(2)sets of roof plan with connection details rR G S G t De��-�n and fire department access,along with the 2010 Oregon Address: L ►1 LAO) SE.Ici A 1 A Solar Installation Specialty Code checklist. City/State/ZIP: I1SlsQDY D Dv- Ct 1'2-1j Permit Fee(includes plan review $180.00 and administrative fees): Phone:(6b° ) �09,_...' � �- �t Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: �O®g 11 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S'Y,y Q Y kithCie, Date: -4.., •1t "Fee methodology set by Tri-County Building Industry ` Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) '],L') 27 RECEIVED /IS .2 AZ -- AUG 052021 C►TY OF TIGARD Clean Water\�Services SENSITIVE AREA PRE-SCREENING SITE ASSESSM EGN1TsIGN Clean Water Services File Number 1 21-001800 1. Jurisdiction: + icfaj 2. Property Information(example: 1S23AB0140 ) 3. Owner Information (_ Tax lot ID(s): IS 1 3.3 0 C. lvi k t ip' Name: -- �5+0 k Company: 7� /� Address: /3 Z' 5 W °I'�13Y 1 e�,► Or". • Site Address: /3. I�/v S(A1 67•i1 v% W, City, State,Zip: r:�w,v�{ aY. ?5,ZZ.) City, State,Zip: 7';`g4,,,�-f C?-' 47 2,2. Phone/fax: J303— $2 4— 4.24 7 Nearest cross street: Email: 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck, garage) Name: cs+-Cen- c_ ❑ Lot line adjustment 0 Minor land partition Company: j 'ck, F Residential condominiumAddress: ❑ 0 Commercial condominium 1.15'43 ..1gjyr• r- El Residential subdivision ❑ Commercial subdivision City, State,Zip: �t u510 t Uy.. ?7-1Z3 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: _co.;-�9z—�1S?±9 Other FENCE, STAIRS AND PATIO COVER Email: 0-t<.ve., RK4t•.1 @ R� +rG17 . t 6. Will the project involve any off-site work? ❑yes ONoo 0 Unknown Location and description of off-site work: 6*c4c, f'Y ee.- S1- b L"ci tJ G✓ 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 ii,c,T'"� I uu�t.4�d e. Print/type title CYt,4J An)th.•r- t 1 11411 Signature fair Date tS"3'-•Z FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site. This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22. All required permits and approvals must be obtained and completed under applicable local,State and federal law. 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. ❑ 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 p�LE1T R IS REQUIRED. Reviewed by__ •-^-- Date 7/16/21 Once complete,email to:SPLReviewecleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway, Hillsboro,Oregon 97123 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p 503.681 3600 f:503.'681 360-3 • cleanwaterservices org i'' Scale 1/� „ _ 2 f . k1\' � 139...q p sw 6rifio►n b r. '-4 - / / % Tax Lo f # . .... .c.\ I 1s 133 pcta500 1 lik kX6 . i. . i 13230 II, Nk .., si, „„ itk I ‘ 1 32 4 i ,,,,e-11 J. / s ‘;‘1 a ti illikt °2oJt i ' V / -.9 ‘e/ \tt 4§ ...... ... 1p se- .... 1 rx's; dor •: ti ill i ..4.47* *iii. `1 4.1 IMP VA rrIl g. Rl CK'S Name __ 0 6 __ CUSTOM FENCING & DECKING It �# Phone No. k ‘ 4, _ www.RicksFencing.com I/N ICc3) 5 Z u -Email_ t { 14' I v I I I 1 t).' I I 1 i 1 1 7' 1 (1 � I � � 1 lLBea N) It)41 I I I 8i I ; i I I I I ! 1 1 i I ' 1 1 i- a'-I 1 ,� ‘ I i I I 1 a — I$' II I Pi 1 I 1 i � r I 1 ( i i I t\ > ,-4- ,, "'- . 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'1 Branden Taggart From: #Building Permit Technicians Sent: Wednesday, August 4, 2021 2:33 PM To: 'steve.rutledge@ ricksfencing.com' Subject: Patio Cover Permit for Rick Stock: MST2021-00282 - 13240 SW Brittany Dr. Attachments: Invoice.pdf Hello Steve, The patio cover Building permit for Mike Stock is ready to issue now. The balance due is$229.97, and I have attached an invoice above for you to reference. These fees can be paid online now at https://aca- prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2021-00282 under the Building tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee. Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this permit and make the site copy set of plans available for pick up. Thank you, Branden Taggart q City of Tigard R a." Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,, OR 97223 (503)718-2449 brandent@tigard-or,gov 1