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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 Transmittal Letter T I G n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: I-2 Vw1t+ T-&L ''2� fiY2 vv�' 13Yi 'S Utt s DATE RECEIVED: DEPT: BUILDING DIVISION iECEI V ED FROM: <i Arl R7tV1 w di- - / Ov* LI 064 DEC 15 2021 CITY OF TIGARD COMPANY: M b�� rit 1 r4J 0 0 a( �D Vuti-eS BUILDING DIVISION PHONE: eh alg S?�3 50� �oc gCl 0 (j By: k Ve ti,v1 c,o 4-- l,‘"0 vvvv' r.wV o o of k p w•-e c.c o v►^ EMAIL: YpwU0r�- ►'�ow�-tzc��nuloodkov- --ec. RE: 12. o G( S W I /� MST-2.02I - 00 21S (Site Address) (Permit Number) SaVe5/t16sk l tk ) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 2.. Revisions: Y &v) plain-err c 12Q- 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: \JJ Lt4ivt5-1-.(A, the SIu t t e' fowl 3y Ho 16%s, 4 'keC W - ± r (A,6wi f S1kp 160,1 th t c avi .e. N-e-eds `r° a -j x o � Iry ��V v .k{- -t e Lh 5 O P f- C&v‘ �4 Ye v`1�Sfc{ crick Y"u►&-4-ed -f-DY ce V c-e -M ouK I - o '- 1. FOR OFFI E USE ONLY Routed to Permit Technici n: 1 Date: ��?� 7-'� �I Initials:Fees Due: ❑ Yes IU No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: Date: Initials: City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1 L 1 c,n lz D Building Permit Review — Residential Building Permit #: M3T20..I-DO2 I c Site Address: 1201 saps SW 74th Ave Project Name: Hayashi Lot #: Planning Review er m l I " Wl4 G .Q? Proposal: New house ® Verify address/suite#active in Accela. tJ In River Terrace: Ei No ❑ Yes,River lilniee Review_Addendum Site Plan Elements: ®Erosion Control ®3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 11 Retained trees with drip line and tree protection measures ®Drawn to scale(standard architect or engineer scale) F,' -.tprint of new structure(including decks)and FIE ®North arrow I locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number To. idewalk/driveway approach ®Applicant information(name and phone number) ('®Location of wells/septic systems l JL,ot dimensions and building setback dimensions t ]Street tree size,type and location (@Square footage of buildings to be demolished El Street names 11A1Existing structures on site ®Comer elevations(2'contours if more than 4'differential) aLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? impervious area (applicable if R 7,R 12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No l<l Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ® Yes,applicant was notified 0 No Received: ❑ Yes No © Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 0 Yes,applicant was notified IE No Received: ❑ Yes 0 No SDC Exemption for ADU applied for. ❑ Yes 0 No Received: ❑ Yes 0 No tp Public Facilities Improvement (PFl) Permit: Required: ❑ Yes,applicant was notified 1i No Applied For ❑ Yes 0 No,stop intake a Land Use Case#: ® Zoning: R-4.5 )❑ Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side:NIA Garage: 20 ® Building Height: Max. Height: 30 Actual Height: 27 3 Landscape Area: tii Lot Coverage Max: Entrance 1E1 Set back no more than 8' from street-facing wall lE Parallel to street or offset 45 degrees or less Windows In Minimum 12%of area of all street-facing facades 16% Garage ® Garage door is behind widest street-facing wall fez Yes ❑ No,one of the following is met: ❑ Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2" floor. ® Garage door width is 0 12'or less I i 5013.V0 or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave 0 Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer ❑ Accent siding ❑ Window trim ❑ Window recess 0 Window projection ❑ Balcony Visual Clearance la Urban Forestry Plan E Sensitive Lands: ] Yes ❑ No Type: Sig.rvin Conditions met prior to issuance of building permit /Approved By Planning: -- Date: ( 'I1 ..2/ Revisions (after Building Submittal only) } eviewer. Irate Revision 1: Approved ❑ Not Approved t2I 2.1 So 2 k Revision 2: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_R1 S_1 224 19.docx Building Permit Submittal Original Submittal Date: ©/Q/2192/ Site Plans: # ..,,3 Building Plans: # 3 Building Permit#: FEnter building permit# above. Workflow Routing: (Planning E Engineering [ Permit Coordinator CI- uilding Workflow Sign-off: a 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 original plan review routing form. tEf'Building: original permit application,site plans,building plans,engineer and beam calculations and tru t details,if applicable,etc. Notes:By Permit Technician: / L'/�.f Date: ,r, ././.2/,20.24 Engineering Review Er-Slope at building pad: (D [ 'Conditions "Met"prior to issuance of building permit #+Iw C Easements (encroachments)per engineering conditions of approval and plat O/` . Qr Water Quality/Quantity Facility. Assess Water Quality Fee in-lieu: E Yes a...No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot B'Yes 0 No [if'Final Plat Recorded:0*. ❑ NOT Approved by Engineering: Date: Notes: G'Approved by Engineering: /re-4Jc&,--4 4—e...7 Date: 6 /2 Zf 2o2 I Revisions (after Building Submittal only) Reviewer Date Revision 1: R'Approved 0 Not Approved 7 ye.yli- eri.geei r 2.1L1 I2D I Revision 2: ❑ Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit \DIt Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: frl, 12423 12021 R vision Notice 2: Date Sent to Applicant•. 0 DC Exemption: 0 Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: Qi Yes ❑ N/A Tigard Trans SDC: Yes L N/A Parks SDC: es ❑ N/A LIDA b(J Yes ❑ N/A dOK to Issue Permit Approved by Permit Coordinator: Date: '/l / `_ tri-4ZA I:\Building\Forms\Bld5PermitRvw_RES_122419.docx CITY OF TIGARD MASTER PERMIT It n COMMUNITY DEVELOPMENT Permit#: MST2021-00215 Date Issued: 08/25/2021 T I i]A R fl 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 125CA03400 Jurisdiction: Tigard Site address: 9209 SW 74TH AVE Subdivision: BOULEVARD HEIGHTS Lot: 10 Project: Steeves/Hayashi Project Description: New detached dwelling with 602sf patio cover. NO FINAL INSP UNTIL WATER METER UPSIZED. SDC credits from BUP2021-00123 for transportation, parks and sanitary sewer apply towards this BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2452 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 721 sf Garage: 963 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3173 sf Value: $450,582.78 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 1 Drywell-Trench Drain: 0 Other Fixture Units: Outdoor patio sink MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 7 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3173 Owner: Contractor: HAYASHI,SHARON MOUNTAINWOOD HOMES INC Required Items and Reports(Conditions) STEEVES,RICHARD H PO BOX 2257 1 Ersn Cntrl 503-639-4175 7408 SW CEDARCREST ST BEAVERTON,OR 97075-2257 TIGARD,OR 97223 PHONE: PHONE: 503-746-7338 FAX: Total Fees: $25,487.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oce_nn1-nnln fhrn,,„nnh .tvAAP Q99-nn1-nnon Vnu mau nhfain a nnn.,of fha'lilac nr rlirar*nuinclinna}n flu MC by rallinn Ana 0'S9 10R7�n1r 11�Ann ale O'!dd issued By: }{oUy VcDe Ve� w14ppLe Permittee Signature: O f ca tt'o-n Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the lob site at the time of each inspection. Building Permit Application �- (n�lt �Z_d �` �� l r - Residential I e FOR OFFICE USE NIX JUN 1V 0 2021 Received /�t/�7 / i/ Permit No.:�TGOZ1 W ZI 5 1114 City of Tigard RoatelBy: 00 2( • 13125 SW Hall Blvd.,Tigard,OR 9 ' '" v,._.f c 1 1p'7n2'�_�1C7 • S ',r OF Y IUH�IiJ Plan Revie IAti •her Permit6 W R20 I J) Phone: 503.718.2439 Fax: 503.5 p� rt Dale By: InspectionLine: 503.639.4175 -U�NGDIVL�.ON toReady/By: /, • Ed See Page 2 for Internet: www.tigard-or.gov [� otified/M _ I I/ supplemental Information TYPE OF WORK REQUIRED$ATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION 45D CCU' 43 Valuation: $ 1 ® I-and 2-family dwelling ❑Commercial/industrial 1 ❑Accessory building El Multi-family Number of bedrooms:4 El Master builder El Other: Number of bathrooms:3 WC- lb JOB SITE INFORMATION AND LOCATION Total number of floors:2 3173 '445.5 Job site address' - "�4r Q/ New dwelling area: .!7�quare feet 1.� 9206 74t#,4vc 20 SV�j `. •; ��} �l City/State/ZIP:Portland OR 97223 Garage/carport area:Nq{�at 3 square feet 1 45 .. Suite/bldg./apt.no.: Project name:Steeves/Hayashi New Home Covered pporr h area:��',��I . square feet Cross street/ 'ons to job site: -] eek-nrea: 00 a square feet 6" PiintflOeg tet t2, F Other structure area: square feet VtoMi,4C41, 0 TO G $ei✓el-s REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: .. ✓ 17 0 e:, f,c,//�- 2_ /L/ - .-ot r>ikiij-r � performed.-''2r tt fees*are based on the value of the work performed. r✓ Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: kti/4$-(Zc /2 7`-1) 7)7L. / wL'�) equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Build new 3036 sq ft home. 'WO 1=iA/e7 _ jNsf !ti%✓nc- Valuation: S (4)1¢i fitCn 141457 Z475 .23 6 e 4E:417— Existing building area: square feet -e J ,4Lt j 7.-/ - d(L12. 5 .-lGZ'�- ri ��l'n/=i= 7„,/, New building area: square feet l PROPERTY OWNER /2'9 2 I 5 c S ZV aJENANT 41767P[JEZ) Number of stories: Name:Richard Steeves &Sharon Hayashi Type of construction: Address:9205 SW 74th Ave. Occupancy groups: City/State/ZIP:Portland OR 97223 Existing: Phone:(503 )522-5265 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Mountainwood Homes Structural plan review fee(or deposit): Contact name:Kim Hancock FLS plan review fee(if applicable): Address:8324 SW Nimbus Ave Total fees due upon application: City/State/ZIP: Beaverton OR 97008 Amount received: Phone:(503)746-7338 Fax: :( ) E-mail:khancock@mountainwoodhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Mountainwood Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:8324 SW Nimbus Ave Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton OR 97008 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503)746-7338 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 184317 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. *F Print lame: (� n Date:5/19/21 Fee methodology set by Tri-County Building Industry Service Board. C\Building\Permits\BUP-IESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Pr Received City of Tigard Date/By: Permit No.: ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits. Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical TIGARD Internet. www.tigard-or_gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ El 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state X 0 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if IN ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ® 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- [R 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. lit ❑ ❑ 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- KI ❑ ❑ 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 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 Cit systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ® ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or KJ ❑ ❑ architect licensed in Ore_on and shall be shown to be applicable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ 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"building plans will not be accepted. gf 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. J El 27 "Drawn to scale"indicates standard architect or engineer scale. 0 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 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, /4 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ® 0 ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) l RECEIVED JUN 1 0 2021 CITY OF TIGARD 3U1LDING DIVISION Mechanical Permit Application ,, 1 I sEONLY rCity®t Tigard Mee* Pals+ I Az sw Ilab Nh&Feedld ilk9FIri y„Stott il *OM ,cr(izL24 Fan::rRiiBS1960 ,,,yt, ul,r Rant T It.*ari It{uans l.ir: :Cii..(i$iall: tat kYalx:let Iva 1 RI t•ealt.lie Intent twertgardertne ♦I_..I SMItel atepetinweitti Iodides. .___.._--._ -- --._._. _____ TIIIR CI* .. ._..._� i1LdA.PEE`9CNEdA.fi- L C7CHECKLIST.,.... ' ��NNechhneratperns lees•.re teed on dr ante DI me ace. 0 Net cnmrucion 0Addi!auntie I teat ienneplscemerl' pat rned.lodcaede'WIN(s.AdrdmmemoatMlle1,-0.1ii 0 Denied LKin ❑Oiler: media ear al materials at=am lam u.nEeld sad yaii. tatter _... _. CATRGOAT Of CONSTRUCTION RB®BYiiAL RQIAPIISNT it minim IRRem 01.and 2•!anti Idwellia3 ❑Csnnmerciel'incline rnl ❑Accesrenhuildilly for apt.iMi{eraedes ear fAnaete ❑Mu Pi-Limit y ❑Myer h in kler ❑Other: .Roca;sle Q)- I EA I Taal 1CIR SITE 1NFOEMATid4 AND LOCATI ( 1YatYDtseRaP r,�,x,_�,.I Y'.`n {-, c(�� /� }, ArmsdelumA 1 4(:7s 46.75 kb yle admire-. --A 0.1•2b1 p V a 1 -t t3 A� Brut 1d7..KA1 Hr1l(dhmvcnut I. 46.7i 46.75 cirolaa12JP-Portland OR 97223 1 lima tw.mo.B9L(alauva11si 1l91 limponp .lseldl6..wl_en p Propci male:SteevesiHayashi New Home nim 6 s1 312 l]nss sin'disked n}06 sr: Nydrrc kg want system 'Tl'{! Revalued Gcdi tradaa ce 11m1 Atari(barn*eu deaaCy. 'ir.wau-ndn,slaga4ld,or- 46.75 F bennere fora ay of aou.e �312 StAtdlllyal: lb n: Oder TLI1'Y Other led applda cep I '-"`- s Lax ep.plrcd op... Meet trim 1112 ORSLnP110t(OP Wilk Ca Ixaplra'ceed li_1 The 1<n 1,e-.am bean.,.1 ..1:. 1 23.32 Mechanical for new home ,tea ms_ Weed emplace seta a a et Ott heat IOce•tele wr[ _..-- f:t_S2 (Mier. .l Lid PROlRR?Y O'IdNEE i InBaiireemmd admen and vmd Wier Nour Richard Steeves and Sharon Hayashi 1 . Haw hn d'.Aa ex.-hen TITS Adi<.s:9205 SW 74th Ave date:dsroceatme I Tl'ei 33.3g o +leas'21PSetae dens►essrkadneeAla 116.60 7• Portland OR 97223 Wilke:amps err re...tote'amens} 5 za.n leum:(503 1522-5265 Pax:( I Anrxerrhpia lass 2i12 ®APPLY—ANT I 0:T9MOrACt Plasm pier 2331 nal Pled l)alam brae Mounta Inwood Homes ,.. Iia_lS is rite Yllr,I/JJ W re\eYhYml Lamer name:Kim Hancock wma..c 1 14.15 (ialtreat Adder:8324 SW Nimbus Ave feaieco N4dtar� ntinie tram CiyfaArLlP:Beaverton,OR97008 Warertevm 1 FapLn' I teat ( 971 1 269-57c3 lux::( I ease 1 &-Wed:ld1ancockemountainwood1tomes.com li,t<rYur 1 4.03 -- CONTRACTOR i Jab,dier(,,,a.I .. <tenet t ay�olme:Absolute Heating and Cooling Soiutbus 1NECRAMICAL P1RY1rmar Adtss: 614 NE 105th St ... -'-- 5.4+.eal j 318.38 Ug.SeJN tN LIP: VancOer WA98685 - Manmeat pe[n itfee 0-e'00f 360 52153539 Map{WWI.C:/1/2of prop la el I:. Nara } Pas:( } SYaee aathlye(12te M pe-ns eel UCH lira: 200568 rel'rAL Pk.Red I t FL I. 'I is.pad#fuhi m ware'e.d a pew i a pYamd ems,Rs N..aeri Y.bm aied a....♦ir_ Arbon:ad you " lw 1n4.0..4..a In iuI-uwl'.IILuLip i,,IIa.'e....a..met Pnnwme: Franc ci RINdeL ', Claw: D512 812 02 1 :'n.iieehrieseldic 71na,Agw_llll Leap. YtaLTI I 1 UILC11M14III a . _re RECEIVED Electrical Permit Aoolicatio5UN 1 0 2021 i''ok olFUl: t'si:O`.I ) City ofTigard Received Penult#: f,A Lj-S02(5 • 13125 SW Hap Blvd.,Tigard,OR Y OF-TIGARD Date/B : Plan Review. , Phone: 503.718.2439 Fax: 503t3§1Y9 NG D!VISION Date/B Related Permit#: t[OAR]) Inspection Line: 503.639.4175 Ready Date/By: 5,01, 0 See Page 2 for • Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK , PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submitl sets of plans wiitems checked): ❑Demolition 0 Oth r: 0 Service or feeder 400 amps or more ❑Building over three stories, where the available fault current 0 Merinos and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings. El 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE.INFORMATION AND LOCATION 9 2 a/ SW/ ['Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address. I91) 100HP or more. ❑"A","E","1-2","1-3", City/State/zIP:Portland, OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parka. Suiteibldg./apt.#: Project name:Steeves/Hayashi New Home ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I otv. I Each I Total I - New residential single-or multi-family dwelling unit. Subdivision: __ Lot#: Includes attached garage. Tax map/parcel 4: 1,000 sq.8.or less ` 168.54 C4,Ysy4 Ea.add'l 500 sq.tt.or portion 6 33.92 2,,,4.47 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Electrical for new home (with above eq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ® PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name:Richard Steeves and Sharon Hayashi 200 amps or less 100.70 2 Address:9205 SW 74th Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(504 )522.5265 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: shayashil@hotmail.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature:_ Date: 401 amps to 599 amps 168.54 2 APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension, ,, panel A.Fee for branch circuits with Business name:Mountainwood Homes above service or feeder fee, 7.42 2 each branch circuit Contact name:Kim Hancock B.Fee for branch circuits without Address: service or feeder fee,first 8324 SW Nimbus Ave branch circuit 56.18 2 City/State/ZIP:Beaverton OR 97008 Bach add'l brands circuit 7.42 2 Phone:(971 )269-5253 Fax. : Miscellaneous(service or feeder not included) ( ) Each manufactured or modular 67.84 2 • • Email:khancock a@ R meuntainwoodhomes.com welling,service and/or feeder econutect only 67.84 2 I CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Whiskey Hill Electric Sign or outline lighting 67.84 2 SignaAddress: 100 /3 d+X 20(. panel,alcteration, or limited-energy 0 See Page 2 2 on,or extension. City/State/ZIP: G/ bq err © e, t 7�3 �, Each additional inspection over allowable in any of the above ?iv- L/ Additional inspection(1 hr rein) 66.25/br Phone:(5p3) ?ei_1' j`o Fax:(Scr3) " �, t` 3 Investigation(1 br min) 90.00/hr Email: )J 'J(eat (S Industrial plans(1 hr min) 78.18/ter ��YL(�J1 (,t.7 ,+(H e .Co b!� �! ��J Inspections for which no fee is CCBLie.:/c Zof S Electrical Lic.:C3 Suprv.Lie.: '? 2 Si specifically listed(m/,term&) 90.00/In c�btn- y ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: 3 J2 ,1 Y Print name: gv i2 loci N to 55"Y-i Date: 5-2,5'- 2,j ❑Plan Review Required(25%of permit fee):/� /) State surcharge(12%of permit fee): /4/,70 Authorized signature: sC� �,'' I/�„_-,--' L TOTAL PERMIT FEE: 1/J�, * This per mk application expires if a permit Is not obtained within 180 Print name: iiii.,yL 4Lih 2$5 t,.1 Date: 5.2,,s' ,,, days after it has been accepted as complete. * Number of inspections allowed per permit. I:\BWdin ermitatELC_Pe,.nitApp EI.R_ERE.doc Rev 06/17/2015 445-46152(t 1/05/COM/WEB ♦.y Plumbing Permit Annlicati RECEIVED Site Utilities JUN 1 0 2021 FOR OFFI( I I sI , City of Tigard CITY OF " IGAR� Received g Permit No: ■ 1�q IIIII • 13125 SW Hall Blvd.,Tigard,OR 93CI 1Y(OF 7-?GARDr1 Date/By: t"{s�0�1-00115 6 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Perm No -- Inspection Line: 503.639.4175 -- ------ T 1 GA RD Date Ready By - lttn, :! See Page 2 for Internet: www.tigard-or.gos N ell lied;Method: Sup plc meautl hdormatfon TYPE OF WORK FEE" SCHELSULE 0 Soc amnructiort ❑ Dcnwtitiun For.special infOrmarionlusr rheekliif --- Description Qty. I ha. I Total ❑Addition/alteratiun'replaccmcnt ❑Other. New I-2-family dwellings(includes IOC ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® I-and 2-family dwelling ❑Commerciabindustrial SFR(2)bath 437 78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25,02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 s JOB SITE INFORMATION AND LOCATION Site utilities: Job site addres 2°°I �y^i l i k lb A� 18.76 9 u � Catch basin or area drain Drywell,leach line,or trench drain 18.76 City/State/ZIP:Portland OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Steeves/Hayashi New Home Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R.:_) Page 2 -_-- Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: -y Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 1 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT _ Expansion tank _ 12.51 Name:Richard Steeves and Sharon Hayashi Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:9205 SW 74th Ave Garbage disposal 25.02 City/State/ZIP:Portland OR 97223 Hose bib 25.02 Phone:( 503) 522-5265 i Fax:( ) Ice maker 12.51 .APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 j --� - Medical gas(value:$_) Page 2 Business name:Mountainwood Homes Primer 12.51 Contact name:Kim Hancock Roof drain(commercial) 12.51 Address:8324 SW Nimbus Ave Sink/basin/lavatory .\- Jp...- 25.02 City/State/ZIP:Beaverton OR 97008 Solar units(potable water) 62.54 Phone:(971 )269-5253 Fax: :( ) Tub'showerishower pan 12.51 Urinal 25.02 E-mail. Water closet 25.02 CONTRACTOR Water heater 37.52 Business name Craftwork Plumbing __�� _ Waterpiping/DWV : 56.29 Address: .5J Cl f dl+S 1✓ Other: 25.02 City/State/ZIP: .fir ck-i QQ ee Subtotal - 72.50 Phone.( 5133✓✓Co4t i g�ot g Fax(�3 !pi, � Minimum permit fee: $ tfee) J 1Y �1 v+ Plan review 05%of permit fee) CCB Lic.: lei 6(Q co Plumbing Lic , -IL(113?g I State surcharge(12%of permit fee) Authorized signs : LI /elf [ 11i_�:( TOTAL PERMIT FEE Print nail j �.M do�J� r. ya a D_ate__:S 1 "I This permit application expires if a permits not obtained within 180 days l V •����c���' {{p / after it has been accepte as complete. *Fee methodology set by Tri•County Bui ing Industry Service Board. I:,Duilding\Pertin'BLMU-PennisAppdoe )0,01109 440-4616T(I a02'COM.WER) Plumbing Permit Application Building Fixtures JUN 1 0 2021 I,OR OFFICE t 'sI tt.1 1 City of Tigard CITY()F i IGARD Received IN 13125 SW Hall Blvd.,Tigard,OR 97 VILI3INI fll�/(QI0N Dat�gy; Pemlit No.: rVi,� �����,t Phone: 503.718.2439 Fax: 503.598.1960 Plan Review - DateiBy: Other Permit No.: 1 i.I Inspection Line: 503.639.4175 Date Ready/By t,,,,,; - Intemet' www-lieard-or.goo 1 See Page 2 for Inf Nol i ti d•Method'. Supplemental information TYPE OF WORK FEE* SCHEDULE 1 0 New eonstructton ❑ Demolition Fur speeial injurnration use checklist. F-- Description I- ❑Addtoon'allerauon replacement ❑Other: P i �tY I I Total New1-2-family dwellings(includes 100 it.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercialiindustrial SFR(2)bath 437.78 SFR(3)bath ❑Accessory building El Multi-familyI 500.32 Each additional bath/kitchen 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB•SITE INFORMATION AND LOCATION Site utilities: lob site address.020✓SiAl 7401 A. C j ,t) d, �o Catch basin or area drain 18.76 - city/state ZIP:Portland OR 97223Drywell,leach line,or trench drain 18,76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Steeves/Hayashi New Home Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 -- Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft. ) Page 2 Subdivision: Lot no. Fixture or item: lax map,parccl no.: Backflowpreventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 _-_ Clothes washer T 25.02 ----------__ --- ---__-.......------------- __ Dishwasher 25.02 --------.-. ._---_- --.------- Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Richard Steeves and Sharon Hayashi Fixture/sewer cap 25.02 - --- -_-- Floor drain/floor sink/hub 25.02 Address:9205 SW 74th Ave ----- Garbage disposal A 25.02 City/State/ZIP:Portland OR 97223 Hose bib 7 25.02 Phone:( 503) 522-5265 Fax:( ) 1 Ice maker 12.51 CI] APPLICANT ❑ CONTACT PERSON 1 Interceptor/grease trap 25.02 Business name:Mountalnwood Homes Medical gas(value:S_) Page 2 -._. _-----_--__--_---._--- - Primer 12.51 Contact name: Kim Hancock -- --------- Roof drain(commercial) 12.51 Address:8324 SW Nimbus Ave Sink/basin/lavatory 25.02 City/State/ZIP:Beaverton OR 97008 Solar units(potable water) 62.54 Phone:(971 )269-5253 I Fax::( ) Tub/shower/shower pan 12.51 E-mail:khancock@mountainwoodhomes.com Urinal 25.02 --- Water closet 25.02 CONTRACTORA. - -. Water heater 37.52 Business name:Craftwork Plumbing Water piping/DWV 56.29 Address: , y 3 9 5 f� C. c rots �r Other: ---- - 25.02 City/State/ZIP: 'ee...tsa-l4,,,y„, Q ,_ 'j o) $ Subtotal Phone:(5 ` lI 8 CA S Fax:(�a b1/4 ii Minimum pchnit fee: fee) Plan review (25 A of permit fee) CCH Lic.: 7 4 6 t 6 Plumbing Lic.not 0 it.�0.�i �O iJ State surcharge(12;6 of permit feel Authorized sight .. A 'mil/ TOTA_PERMIT FETE ----- Print ham � K s ` Dates"j�r ,^f, This permit application expires if a permit s not obtained within 180 days O J O after It has been accepted as complete. *Fee methodology set by Tri-County Buil ing Industry Service Board. i IdBmlding'Permils'PLMU-Permi,App doe I0_01/09 440-4616T110/02/CUMIWiB1 I City we Tigard ■ 11 COMMUNITY DEVELOPMENT DEPARTMENT 11111 Building Permit Review — Residential T l G A 1,n Building Permit #: Pt3T2O2I-0'02 i Site Address: 1201 SW 74th Ave Project Name: Hayashi Lot #: Planning Review Proposal: New house ® Verify address/suite# active in Accela. C In River Terrace: Eel No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ®Erosion Control M3 copies of site plan on 8-1/2"x 11" or 11 x 17"paper giRetained trees with drip line and tree protection measures ®Drawn to scale (standard architect or engineer scale) F.' ,.tprint of new structure(including decks)and FFE ®North arrow 9 locations&easements(required for new and additions) ®Site address,project or subdivision name and lot number i rdewalk/driveway approach ®Applicant information(name and phone number) rid Location of wells/septic systems E]Lot dimensions and building setback dimensions nig Street tree size,type and location INISquare footage of buildings to be demolished El Street names I1Existing structures on site ®Corner elevations(2'contours if more than 4'differential) IfilLot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No) El Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): . Required: ® Yes,applicant was notified ❑ No Received: ❑ Yes M No © Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified ® No Received: ❑ Yes ❑ No MA SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No CI Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified fxl No Applied For: ❑ Yes ❑ No, stop intake Iil Land Use Case#: © Zoning: R-4.5 'El Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side:N!A Garage: 20 ® Building Height Max. Height: 30 Actual Height: 27 t Landscape Area: % ii Lot Coverage Max: Entrance IL Set back no more than 8' from street-facing wall NI Parallel to street or offset 45 degrees or less Windows ® Minimum 12%of area of all street-facing facades 16% Garage N Garage door is behind widest street-facing wall FLl Yes ❑ No,one of the following is met: El Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2°d floor. X Garage door width is ❑ 12'or less ® 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset 0 1'Roof cave ❑ Roof offset El Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof El Dormer ❑ Accent siding ❑ Window trim ❑ Window recess El Window projection ❑ Balcony In Visual Clearance rE1 Urban Forestry Plan ] Sensitive Lands: ] Yes ❑ No Type: Sig. Habitat n® Conditions met prior to issuance of building permit N es:_ Date:Approved By Planning: �..�,•,•-= .,�� ,� Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:1Bui(ding\Form s\BldgPermitRvw_RES_122419.docx A Building Permit Submittal Original Submittal Date: ,!oA 02/ Site Plans: # 3 Building Plans: #� 5 Er- Building Permit#: Enter building permit#above. Workflow Routing: IfiPlanning El---"Engineering Kk-Permit Coordinator [tYl wilding Workflow Sign-off: [' 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 original plan review routing form. Cr-Building: original permit application,site plans,building plans,engineer and beam calculations and tru t details,if applicable,etc. Notes: By Permit Technician: l Date: p0/,�2.( Engineering Review Rrglope at building pad: (, ,_,/Conditions "Met"prior to issuance of building permit M/w R Easements (encroachments) per engineering conditions of approval and plat O/- 2"Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes arNo Assess Water Quantity Fee in-lieu: ❑ Yes 1`3'No LIDA Facility on lot ®'Yes ❑ No Final Plat Recorded: tk- ❑ NOT Approved by Engineering: Date: Notes: Q'Approved by Engineering: '7;-o4,71C41-.?.k-e.4.., Date: G/1 Z/202 i 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 \Itt Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: R ision Notice 2: Date Sent to Applicant 0 DC Exemption: D Received hoes not apply SDC Fees Entered: Wash Co Trans Dev Tax: ACl Yes ❑ N/A Tigard Trans SDC: ®,Yes ❑ N/A / Parks SDC: /Ies ❑ N/A LIDA !� Yes ❑ N/A 4 OK to Issue Permit Approved by Permit Coordinator: �=" " Date: LP1 /./ I:1Build ing\Forms\BI dgPerm itRvw_RE S_122419.docx h "V I Water Meter Fixture Unit Worksheet For New Buildings t � '6' Please complete the following information: pi 1 CI' .l Contractor Name: Mountainwood Homes 5 ti a Y V`3' Billing Address: Street/Suite #: 8324 SW Nimbus Ave City: Beaverton State: OR Zip: 97008 Phone Number: 971-269-5253 Email: khancock@mountainwoodhomes.com New Meter Address: 405 SW 74th Ave Portland OR 97223 Subdivision Name: e17-b1 Lot#: Building Permit#: Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink 1 x 1 = 1 Bidet 0 x 1 = 0 Clothes washer 1 x 4 = 4 Dishwasher 1 x 1.5 = 1.5 Hose bib, 1st one 1 x 2.5 = 2.5 Hose bib, each additional 1 x 1 = 1 Kitchen sink 3 one outside x 1.5 = 4.5 Laundry sink 1 x 1.5 = 1.5 Lavatory 4 x 1 = 4 Water closet, 1.6 GPF 3 x 2.5 = 7.5 Bathtub/whirlpool 0 x 4 = 0 Shower stall 1 x 2 = 2 Bath/shower combo 2 x 4 = 8 Total Fixture Unit Points: 37.5 Fixture Unit Points: 1 to30 = 5/8" 37.5to89= 1" 30.5 to 37 = 3/4" Meter Size: 37.5 Meter Cost: $ 24,886 ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building (Master)Permit or Plumbing ❑Yes ❑ No ❑ Other: Meter#: Sale Date: Receipt#: Meter Cost: Employee Name: 1:/Building/Forms/WaterMeters_010121_New.CIOCX Page 2 q�0 I -5 -] :h 1cr- Clean Water Services-Service Provider Letter RECEIVED JU oa 2021 Submission Date: 7/7/2021 Confirmation#: 603 CITY Q=T'7L1Fld Applicant Name: Kim Hancock Review Type: Partner City Plan Review �/SION Contact Email: khancock@mountainwoodhomes.com Ground Disturbance: 5689 Sq.Ft. Contact Phone: 971-269-5253 New Impervious Area: 5689 Sq.Ft. Primary Address: . SW 74TH AVE Mod.Impervious Area: 0 Sq. Ft. 4'1' - Primary Jurisdiction: Tigard Development Activity: Lateral New or Repair Single-Family Dwelling New Affected Tax Lots: 15125CA03400 INSTRUCTIONS:This pre-screening report is the Service Provider Letter(SPL)as required by Resolution and Order 19-5, Section 3.02.1,as amended by Resolution and Order 19-22.PROVIDE A COPY OF THIS SPL TO THE JURISDICTION RESPONSIBLE FOR LAND USE REVIEW AND PERMIT ISSUANCE.This pre-screening review does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered and this review does NOT eliminate the need to obtain additional CWS permits or reviews if project changes in scope or location.All required permits and approvals must be obtained and completed under applicable local,State and federal law. Permit or Review Required ,Next Steps Environmental Site Assessment No Review Water Quality Treatment Review TBD Contact city(primary jurisdiction)responsible for land use review and permit and Stormwater Inspection issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Erosion Control Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit with Site Plan issuance. !Line Tap Inspection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Disconnection Permit TBD Contact city(primary (p ry jurisdiction)responsible for land use review and permit issuance. Connection Permit TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. Connection Permit with Plumbing TBD Contact city(primary jurisdiction)responsible for land use review and permit Plan issuance. Easement Review TBD Contact city(primary jurisdiction)responsible for land use review and permit issuance. The CWS Development Services group is here to review your project in the most effective and efficient way,while protecting the Tualatin River Watershed.Our partners include municipalities,environmental organizations,and developers large and small. Contact Us*2550 SW Hillsboro Highway*Hillsboro,Oregon 97123 phone:503-681-5100*email:splreview@cleanwaterservices.org*website:www.cleanwaterservices.org/permits-development ot4irE tow:, RECEIVED Clean Water Services LIDA Sizing Form JUN 10 2021 y CITY OF'FIGARO BUILDING DIVISION! Project Title: Steeves/Hayashi New Home - replacement Project Location: 9209 SW 74th Ave Portland OR 97223 Contact Name/Title/Company: Robert Wood/Pres/Mountainwood Homes Phone/e-mail: 503-805-8908/rwood@mountainwoodhomes.com STEP 1: Determine Impervious Area Requiring Treatment Total Site Area (acres): .509 Total Existing Impervious Area (sq.ft.): 1973 - existing home Proposed New Impervious Area (sq.ft.): 5689 Impervious Area Requiring Treatment (sq.ft.) 5689 (Refer to Design &Construction Standards Chapter 4 for instructions to calculate this area,which will be less than or equal to the new plus existing site impervious area.) STEP 2: Deduct Impervious Area LIDA Credits Porous Pavement (sq. ft.): Green Roof (sq. ft.): Other Credits as approved (sq. ft.): Total Credits (sq. ft.): Remaining Impervious area (sq. ft.) (Total from Step 1 — Total Credits): 5689 STEP 3: Size LIDA Facilities for Remaining Impervious Area IA: Impervious SF, Sizing LIDA facility size area treated Factor (sq.ft.) (IA x SF) (sq.ft.) Infiltration Planters/Rain 0.06 Garden Flow-through Planter 5689 0.06 341.34 LIDA Swale 0.06 Vegetated Filter Strip 0.06 Total Impervious 5689 (*Must equal total from Step 2 or additional LIDA Area treated (sq.ft.) facilities or Water Quality Facilities must be added.) ctcanWite services Low Impact Development Approaches Handbook 19