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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00355 IN I Date Issued: 10/11/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243•• . t Parcel: 2S111 D606800 Wj/ / i• t Jurisdiction: Tigard Site address: 15400 SW ALDERBROOK DR Subdivision: SUMMERFIELD NO.7 Lot: 393 Project: Snyder Project Description: 400 sf addition to expand kitchen and add nook and den. Trade permits to be obtained separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 400 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 11.5 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 400 sf Value: $52,232.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0 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: ADD SF VB R-3 400 Owner: Contractor: SNYDER,OWEN R CAREY SERVICES LLC Required Items and Reports(Conditions) SNYDER,GAIL V 10175 SW BEAVERTON HILLSDALE 1 Ersn Cntrl 503-639-4175 15400 SW ALDERBROOK DR HWY TIGARD,OR 97224 BEAVERTON,OR 97005 PHONE: PHONE: 503-644-9663 FAX: Total Fees: $3,195.58 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 oc9_M1_M1n fhrnnnh rIAR QF9_nnLMQn Vnu may nhtain a nnrni 11.ni irart niiactinnc to(11 a/cr hu nailinn cnZ 9Z9 1 nr 1 Ann Z 91dd Issued By: Signature: C .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 Residential (� �� � FOR OFFICE USE ONLY City of Tigard ',�.1 DateB : 1 02 Date/B : l 1►� 13125 SW Hall Blvd.,Tigard,OR 97223 4 1 1 7 Plan Review ��� II Phone: 503.718.2439 Fax: 503.598.1960,l p Date/B : 11=11Other Permit: T I G A K D Inspection Line: 503.639.4175 U�-(1G��QM Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CA-C DVISk Notified/Method: Supplemental Information Bt!Is_t)IN� TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING D 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 0 Other t equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTR I pp 0 1-and 2-family dwelling ❑Corn •4a•rct. • t` Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: f`5#4.74f ;1� A�p �xe.,� fj New dwelling area: square feet City/State/ZIP: 71p > �f 1 z 4 f Garage/carport area: square feet Suite/bldg./apt.no.: Project name: _/,r 4. 4//�"��G' a? �� Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ?"-" . .‘.. APA1p, ,+1 2} Valuation: $ t� �sn ‹- , ,„4 y22 G� --- Existing building area: square feet ``� New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZiP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: "PI"W ,ej7y� L_7 Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: l .A. -If Gj �J. � �/ P6 . T��" Total fees due upon application: City/State/ZiP: i Amount received: Phone:( 1,y-Afga ..., ar.4.Q Fax::( ) E-mail: q `, '� � r- q PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* _Ad*- 4 ` j Commercial and residential prescriptive installation of �}L-.l� ' lANTRACTORr roof-top mounted PhotoVoltaic Solar Panel System. !•'Business name "uQ%/ f r,AY W I124 Submit two(2)sets of roof plan with connection details 7 and fire department access,along with the 2010 Oregon Address: /d 175 M } �,_ f p f� ,7/ Solar Installation Specialty Code checklist. City/State/ZIP: f./G a !r,7.0° / Permit Fee(includes plan review $l80.00 d and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: tit/ `/ Total fee due upon application: $201.60 Authorized signatu/ This permit application expires if a permit is not obtained '/f / within 180 days after it has been accepted as complete. Print name: bilAa .Xs jy� 62 Date: 7 /// *Fee methodology set by Tri-County Building industry 6`7 ! !/ Service Board. 1:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440 3T(i 1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Date/Bed Associated Er 13125 SW Hall Blvd.,Tig ard,OR 97223 a ted permits: Receiv Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ PlumbingPermit No.: 0 Mechanical TIGARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: ` ❑ CI CI 5 Septic system permit or authorization for remodel. Existing systei('i gitty . ❑ ❑ CIv 6 Sewer permit. / ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ 0 building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ 0 ❑ 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 ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ ❑ architect licensed in Ore.on and shall be shown to be a'i licable 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. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ 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, ❑ ❑ ❑ 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-RESPernutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT IIII I1 COMMUNITY DEVELOPMENT Permit#: MST2021-00355 13125 SW Hall Blvd.,Ti Date Issued: 10/11/2021 T[t;AR.D and OR 97223 503.718.2439 9 Parcel: 2S111 D606800 Jurisdiction: Tigard Site address: 15400 SW ALDERBROOK DR Subdivision: SUMMERFIELD NO.7 Lot: 393 Project: Snyder Project Description: 400 sf addition to expand kitchen and add nook and den. Trade permits to be obtained separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 400 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 11.5 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 400 sf Value: $52,232.00 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 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'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 400 Owner: Contractor: ,„ SNYDER,OWEN R NW CONTRACTING Required Items and Reports(Conditions) SNYDER,GAIL V 28555 SOUTH HIGHWAY 213 1 Ersn Cntrl 503-639-4175 15400 SW ALDERBROOK DR MOLALLA,OR 97038 TIGARD,OR 97224 PHONE: PHONE: 503-756-5219 FAX: Total Fees: $3,150.58 ""-- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law r ires you to follow the rules adopted by the Oregon Utility Notification Center.CCenter. Those rules are set forth in OAR oc9_nn1_nnln thrnif R QF9- -nnon ni may nhtain of th I I a c nr dirt nucctinnc to nu me:by Tallinn Fn'3'7 I R7 nr 1 Ann 119 724d Issued By: rmittee Signature: C . � �_GL Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. A Building Permit Applicatio1 EC ` ED 'r$I to rz Residential AUG FOR OFFICE LSE ON Y 2021 Cityof Tigard TIG^R� Receivedy1 „ ) /j Permit N�l.�5`�`�h t— �1 O 5c5 g f1 Date/By: S 2' f�/ (1 ' ` (il (/ 13125 SW Hall Blvd.,Tigard,OR 97223(,at �� Plan Review 0 It Phone: 503.718.2439 Fax: 503.598.t491LO1NG DIVISION Date/By: 1 a' 46 Other Permit: T I Ci A R D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov N..,u-, ethod: I I Supplementallnformation TYPE OF WORK REQUIRED DA A:I-AND 2-FAMILY DWELLING 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest d •Addition/alteration/replacement 0 Other: equipment,materials,labor ead, the pr fit o CATEGORY OF CONSTRUCTION work indicated on this ication. 2/ 7Z. I-and 2-familyValuation: $ dwelling g 0 Commercial/industrial * ❑Accessory building 0 Multi-family Number of bedrooms: kJvZ ❑Master builder ❑Other: Number of bathrooms: " JOB SITE INFORMATION AND LOCATION lopece Total number of floors: j Job site address: 15*W S W 1oerb r"OO Dy. New dwelling area: iirfa square feet City/State/ZIP:'1'14kar4, 6 \2I /j .j - 7 " Garage/carport area: square feet Suite/bldg./apt.no.: U Project name: Si,/a.e `/" Covered porch area: square feet Cross street/directions to job site: 1/ �G�I v� ' Deck area: square feet 4 Se try t r_ tGE _tavK V l J Other structure area: square feet [ rr W�&�L 6T� '�1 `SR �1'6 -'�REQUIRED DATA:COMMERCIAL-USE CHECKLIST ` sW`�''re t Ui/ r7'p/4///4� Of//*no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: ,C... . .,,y'‘.1.A. 15- • equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK .{., work indicated on this application. Valuation: $ iqo 000• C cz YLrr�ov,e, eaN-eriu►r off- 141�E�h�,h �, �►r► rvo 4 kni-e 1 or, e.,n d ;11 r „ h 4 i Existing building area: square feet 21 0"', '�� A ` r t ov to TU�\V.:t L \'n. , New building area: square feet L tM [i PROPERTY OWNER ❑ TENfANNTT �(? b * Number of stories: Name: (4C0 t .t \bv d 6n.. c)-e r Type of construction: a 'i4\ On Address: \6400 SSW lark dverb rot*. >V Occupancy groups: Sort64, FrAfi 11 City/State/ZIP: T'Z ok CAJr"d1 o C\122A Existing: Phone:( )" 5/110 I Fax:( ) (...4 1 f‘ New: )25 } APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* J (Please refer to fee schedule) Business name: N,w Cnn�irrAtii IV� �,,, JS;y, Structural plan review fee(or deposit): '' (77 Contact name: 5�lDu,n �Y'16+0 2.51255 ��5 S e `�( )..... �,� FLS plan review fee(if applicable): Address: 4 J ` � � Total fees due upon application: City/State/ZIP: tok \1C(, , p ci i V 2 Amount received: Phone:(en!) 2.0I • es iSi / ,� Fax::( r )+ t�/t /� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: Sv�sa+h1`..1 VV 0)0 Ci4.Cki n. L4,4+ bra ' Commercial and residential prescriptive installation of CONTRACTOR ✓✓✓ roof-top mounted PhotoVoltaic Solar Panel System. Business name: 1%4A C,or-k1'�:i L L. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 23 5 55 S City/State/ZIP: h • �,CC e7 Q Z` Solar Installation Specialty Code checklist. O` u,�� ��O 2 Cl Permit Fee(includes plan review $180.00 and administrative fees): Phone:(c ,)/D i -2.4.1'6 Fax:( ) IV !p State surcharge(12%of permit fee): $21.60 CCB lie.: Zb CI3f 2l`ti£L_2_.__ Total fee due upon application: $201.60 1 '' Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: '�y�L � } 6`� Date: g I1 r Service Board. L:\Building\Pe` `rmi`t' � s\BBUP-RESPe` nn niitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) ( City of Tigard 'I COMMUNITY DEVELOPMENT DEPARTMENT ` a 1 1 G A R D" Building Permit Review — Residential V" Ift 42 Jt tlu+'Y;i{'c43:uanjf P WEiF 3i 76:name,.e *',.c yi*..,,. v.,>? .L.3;.,4 :i :Rif°m Building Permit #: 11 5T`20 2i ., 00 3s Site Address: I S-y0° SW A Qom\ • Project Name: S/J ypt f2 Lot #: Planning Review Pro�sal: A`p011 p 11/4) .11° • v E IVI D Verify address/suite#active in Accela. di In River Terrace: iHo ❑ Yes,River Terrace Review Addendum Sit lam Elements: o I Erosion Control 3�opies of site plan on 8-1/2"x 11"or 11 x 17"paper [1Re ed trees with drip line and tree protection measures �n+� wn to scale(standard architect or engineer scale) W'Fo tprint of new structure(including decks)and FFE ly'North arrow E� ty locations&easements (required for new and additions) to ddress,project or subdivision name and lot number kd5idewalk/driveway approach C plicant information(name and phone number) 1 pr Location of wells/septic systems of dimensions and building setback dimensions I S et tree size,type and location 1~ 111)S4uare footage of buildings to be demolished [ Street names NJE 'sting structures on site tiP VCorner elevations(2'contours if more than 4'differential) Qtot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes u ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes [? o �1 Clean Water S ices—Service Provider Letter(lotplattedprior to 9/10/1995 : ) quired: Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Water Meter Fittire Unit Worksheet—Additions,Remodels and ADUs quired: Yes,applicant was notified ❑ No �� Received: ❑ Yes ❑ No C Exemption for ADU applied for: CI Yes Ll No Received: ❑ Yes ❑ No Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake ti" ib Land Use Case#: l ''-'2-oning: (Q.--4- aired Setbacks: Front: I.- Rear: I. Side: S Street Side: /0 Garage: 20 rr,eilding Height: Max.Height: z. Actual Height: 11 •r 6401DITiOn tiClfoi rT Xi Landscape rea: ' % Lot Coverage Max - Ov Entrance Landscape back no more than 8'from street-facing wall IQ Parallel to street or offset 45 degrees or less Windows [Minimum 12%of area of all street-facing facades Garage e door is behind widest street-facing wall ❑ Yes ❑ No,one of the folio ' g is met: ❑ Door ex ore than 5'from wall and there is a covered porch . g eyond garage. ❑ Door extends no more than and there is .window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or less ❑ 5 ° ess ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Rece ntrance ❑ Wall offset ve ❑ Roof offset ❑ Fire shingles Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel ro Dormer nt siding indow trim ❑ Window recess ❑ Window projection ❑ _ri ual Clearance �J Urban Forestry PlanP Z�S nsitive Lands: ❑ Yes Id'No Type: L�J Conditions met prior to issuance of building pe Not A Zpproved By Planning: Date: it 30 2/ Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_122419.docx Adoimmomminsiorir Building Permit Submittal Original Submittal Date: k/4/2 Site Plans: # 3 Building Plans: # 3 Building Permit#: ' Enter building permit#above. Workflow Routing: C-1PIanning gi'Engineering knit Coordinator `—Building 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 on al 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: �2 Date: ___ Engineering Review C-Slope at building pad: 2 0 Conditions "Met"prior to issuance of building permit 14`o-- 12 F�asements (encroachments)per engineering conditions of approval and plat 14its- ©/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ,L�No Assess Water Quantity Fee in-lieu: ❑ Yes L7 No LIDA Facility on lot: ❑ Yes R RI/Final Plat Recorded: /c. ❑ NOT Approved by Engineering: Date: Notes: GYApproved by Engineering: 7 1- 61-12 7Date: gd7/?oz, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: JDC Exemption: ❑ Received Does not app l�! SDC Fees Entered: Wash Co Trans Dev Tax: El Yes Fr N/A Tigard Trans SDC: ❑ Yes VI/N/A Parks SDC: ❑ Yes Al/N/A LIDA ❑ Yes VJ N/A /OK to Issue Permit Approved by Permit Coordinator: Date: 9/9/Z'1 I:\Building\Fonns\BldgPermitRvw_RES_122419.docx RECEIVED OCT 7 2021 CITY OF TIGARL ��� BUILDING DIVISIOI' CleanWater Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 1. Jurisdiction: Tigard 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(S): Name: Gail&Bud Snyder Company: Address: 1500 SW Alderbrook Dr. OR Site Address: 1500 SW Alderbrook Dr. City,State,Zip: Tigard,OR,97224 City,State,Zip: Tigard,OR, 97224 Phone/fax: 503-757-7701 Nearest cross street: Summerfield Ln. Email: 4. Development Activity(check all that apply) 4. Applicant Information ® Addition to single family residence(rooms,deck,garage) Name: Susan Bristow ❑ Lot line adjustment ❑ Minor land partition Company: NW Contracting LLC ❑ Residential condominium ❑ Commercial condominium Address: 28555 S Hwy 213 ❑ Residential subdivision ❑ Commercial subdivision City,State,Zip: Molalla,OR,97038 ❑ Single lot commercial ElMulti lot commercial Phone/fax: 971-201-2680 Other Email: susan@nwcontractingllc.org 6. Will the project involve any off-site work? ❑Yes ❑ No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: Adding on to the existing home to expand kitchen/dining area. No new water meter needed.Total added space is 391 sf. 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 Susan Bristow Print/type title CEO Signature ONLINE SUBMITTAL Date 8/31/2021 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. ❑ 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 PROVIDER LETTER IS REQUIRED. Reviewed by Date 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 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681.3600 f: 503.681.3603 • cleanwaterservices.org II Clean Water Services-Service Provider Letter Submission Date: 10/7/2021 Confirmation#: 653 Applicant Name: Susan Bristow Review Type: Partner City Plan Review Contact Email: susan@nwcontractingllc.org Ground Disturbance: 391 Sq.Ft. Contact Phone: 971-201-2680 New Impervious Area: 391 Sq.Ft. Primary Address: 15700 SW ALDERBROOK DR Mod.Impervious Area: 0 Sq.Ft. Primary Jurisdiction: Tigard Development Activity: Single-Family Dwelling Addition Affected Tax Lots: 25111DC03900 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 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 Julie Drinkwater From: Dianna Ornelas Sent: Monday, October 11, 2021 11:36 AM To: Julie Drinkwater Subject: FW: MST2021-00355 - 15400 SW Alderbrook Dr - Snyder Hi Julie, This one did not require the water meter worksheet, fees have been paid, so it can be issued and please notify the applicant when ready to pick up. Thanks and have a great day! Dianna From:#Building Permit Technicians Sent: Monday, October 11, 2021 11:35 AM To: Susan Bristow<Susan@nwcontractingllc.org> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: MST2021-00355 - 15400 SW Alderbrook Dr-Snyder Hello Susan, If no added plumbing fixtures are being added, then the water meter worksheet is not required. Thank you for providing this information and the permit technicians will contact you when the permit is issued and ready to pick up. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Susan Bristow<Susan@nwcontractingllc.org> Sent: Monday, October 11, 2021 10:29 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: MST2021-00355 - 15400 SW Alderbrook Dr-Snyder Warning!This message was sent from outside your organization and we are unable to verify the sender. They are not adding any addition water fixtures everything is staying the same. So I need this signed off utility billing division? Is that who they get their water through? From: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent:Thursday, October 7, 2021 3:57 PM To: Susan Bristow<Susan(u)nwcontractingllc.org> 1 Cc:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov>; UB Online<UBOnlinepay@tgard-or.gov> Subject: FW: MST2021-00355-15400 SW Alderbrook Dr-Snyder Hello Susan, Thank you for the CWS service provider letter. I see that Julie Drinkwater informed you that the permit was ready to issue and with instructions to pay the permit fees online. I also see that she requested the water meter worksheet be completed and approved by our Utility Billing division. The approval needs to be submitted to the permit technicians at TigardBuildingPermits@tigard-or.gov before we can issue the permit. If you have any questions, please contact the permit technicians. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Susan Bristow<Susan@nwcontractingllc.org> Sent:Thursday,October 7, 2021 3:13 PM To:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Subject: RE: MST2021-00355- 15400 SW Alderbrook Dr-Snyder Hi Dianna, Here is the clean water services letter.Attached above. Can I call in with payment for the balance for permits or would it be best to try it online? Sincerely, Susan From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent:Sunday, September 5, 2021 8:38 AM To:Susan Bristow<Susan@nwcontractingllc.org> Subject: MST2021-00355 - 15400 SW Alderbrook Dr-Snyder Hello Susan, This permit has been approved by planning and the plan review submittal fee due is$875.91 (see attached invoice). The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2021-00355 under the Building tab. Once the fees are paid,the plans will be routed for plan review. Please allow 4-8 weeks for processing. The permit technicians will contact you when the permit is ready to issue and with instructions to pay the remaining permit fees due. Thank you. Dianna L. Ornelas Building Division Services Supervisor 2 City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 3 Dianna Ornelas From: #Building Permit Technicians Sent: Sunday, September 5, 2021 8:38 AM To: susan@nwcontractingllc.org Subject: MST2021-00355 - 15400 SW Alderbrook Dr - Snyder Attachments: MST2021-00355.pdf Hello Susan, This permit has been approved by planning and the plan review submittal fee due is$875.91 (see attached invoice). The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2021-00355 under the Building tab. Once the fees are paid, the plans will be routed for plan review. Please allow 4-8 weeks for processing. The permit technicians will contact you when the permit is ready to issue and with instructions to pay the remaining permit fees due. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits 1