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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 IN Transmittal Letter r;c;i k n 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Daniel Seinwerth JAN 2 5 Zen COMPANY: CITY OF TIGNKV PHONE: 503-577-7383 lUILDING DIVISIOry By: EMAIL: d.seinwerth@frontier.com RE: 13035 SW Watkins Ave.Tigard,OR 97223 MST2021-00418 (Site Address) (Permit Number) Addition with Attached Garage (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: Description: Copies: Description: 3 Additional set(s)of plans. 3 Revisions: Revised side setback from 7'7"to 6'5.5" 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: This revision sheet is to revise the site plans to reflect the accurate as built side setback change from 7'7"to 6'5.5" FOR OFFICE USE ONLY Routed to Permit Technici . Date: i/-7 /a a-- Initials: Aft Fees Due: ❑ Yes IffNo Fee Descriptioth Amount Due: $ R''. 11' B j .-3 $ Special Instructions: Reprint Permit(per PE : ❑ Yes ❑No ❑ Done Applicant Notified: _ Date: ...2[ � Initials:/ G City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT L l G A ,D Building Permit Review — Residential Building Permit #: I45UO2/-00141, Site Address: 13035 SW Watkins Ave Project Name: Seinwerth Lot #: Planning Review t2 11• I - .NKP s� ST VI„AN1 IDSAncv-y uAA Rfclutodsic K tV a- Proposal: Addition to existing residence Ma is``4 a.7• now to thew cow„el. .e4 n+. r-,'�4'4 P g+W 3_ - izev Se t> s t 1e,?LAN tb LH/A Nc T gACGS 0 Verify address/suite # active in Accela. 0 In River Terrace: 0 No 0 Yes,Rim-Terrace Review Addendum Site Plan Elements: ' rosion Control Ot copies of site plan on 8-1/2"x 11"or 11 x 17"paper ' .etained trees with drip line and tree protection measures 0 rawn to scale(standard architect or engineer scale) �'/--footprint of new structure(including decks)and FFE faorth arrow '' itility locations&easements(required for new and additions) Fite address,project or subdivision name and lot number 1 iidewalk/driveway approach 0 pplicant information(name and phone number) ,,__Location of wells/septic systems GAt dimensions and building setback dimensions Street tree size,type and location III quare footage of buildings to be demolished ,itreet names 12 3xisting structures on site Lomer elevations(2'contours if more than 4'diff rential 111 xis area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ' 'es o impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ' 'es o 0 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: El Yes,applicant was notified ❑No Received: ❑Yes ❑ No 0 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs _ Required: ❑Yes,applicant was notified 8 No Received: Yes Id No ow QSDC Exemption for ADU applied for: Yes 0 No Received: Yes No 0 Public Facilities Improvement(PFI) Permit: Required: ❑Yes,applicant was notified El No Applied For: ❑Yes 0 No,stop intake 0 Land Use Case#: NA El Zoning: R-4.5 0 Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20 0 Building Height: Max. Height: 30 Actual Height: 20 ULandscape Area: NA ❑ Lot Coverage Max: NA Entrance r, Set back no more than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows — Minimum 12"r0 of area of all street-facing facades Garage _ G a door is behind widest street-facing wall 0 Yes 0 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 n32re than 5'from all and there is a 12 sq ft. ' dow above garage on 2"d floor. 0 Ga a e door width is — 12'or less U 50/o ess of facade 60%or less and includes 7 of following: -Covered porch — Recessed entran e " � Wall offset 1'Roof cave ,,, Roof offset ,..., Fire shingles Lap Siding U Ro itch El Gable, i ,or gambrel roof ormer ,_ Accent siding Window trim u Window recess U Window projection LJ Balcony 0 Visual Clearance 0 Urban ForestaPlan ❑ Sensitive Lands: ❑ Yes LI No Type: 0 Conditions met prior to issuance of bull "n permit Notes: ❑ Approved By P1a ing: Date: 9/21/21 Revisions(after B ding Submittal only Reviewer Date Revision 1: Approved 0 Not Approved Or (4 Z Revision 2: Z Ap ved ❑ Not Approved /h„ I t "g 2 V-6 g'. ttee .7 M'APfli � v.r _11/11j2_ I Building\Forms\BIdgPcrmitRm_RES_122419.docx - Building Permit Submittal Original Submittal Date: a1r//2/202/ Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building} ermit#above. n Workflow Routing: Planning CI Engineering Li Permit 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 original plan review routing form. -. . . El/Building: original permit application,site plans,building plans,engineer and ` beam calculations an, a 5,t details,if applicable,etc. Notes: By Permit Technician: _ �Ae,/:r",1' Date: e9�6f OZ! Engineering Review Slope at building pad: Ai,/ ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes 0 No O Final Plat Recorded: [YNOT Approved by Engineering Tre, d /3y bt 1 Date: q/ '24fZ 1 Notes: mw Cdnftru.C1lOn a XGea13 10110- i1• , need ib shell M1 ODA 121g4S+t Shiva ovef7e/mw AP ice rn 41.0 ❑ Approved by Engineering: Date: Revisions (after Building Submittal onni Reviewer Date Revision 1: ❑ Approved L'1 Not Approved 7701,- ,y /0/21104 Revision 2: Approved ❑ Not Approved j �f k�,� "I 2 ZJ 3�20 Permit Coordinator Review 1Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Nee64 .,,,,Oft- PrL ID 1412021 Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Q&A hti-MNittrA Q991 CO>r nt - 101262(Zbzi Revision Notice 2: Date Sent to Applicant: SDC Exemption: 0 Received Does not a••1 ,'SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 5 N/A Tigard Trans SDC: ❑ Yes % N/A Parks SDC: ❑ Yes grN/A LIDA Yes ❑ N/A ;� s ,ErOK to Issue Permit Approved by Permit Coordinator: Date: 2 -111- 4211 il 12Zo?iZ 1 /(\r'\A- 1:1Building\Fonns\BldgPermitRvw_RES_I 22419.doex 1 Daniel Seinwerth From: Allyson Armstrong <AllysonA@tigard-or.gov> Sent: Monday, January 24, 2022 11:18 AM To: Daniel Seinwerth EEI V ED Subject: Inspector note from footing inspection Attachments: Allyson Armstrong.vcf JAN 2 5 2022 Follow Up Flag: Follow up I Y OF I I(.AHL Flag Status: Flagged ;IJILDING DIVISION Approved site plan lists side setback as 7'7", yet footings are roughly 6 ft to side fence as built. Please either provide approved revision showing setbacks as built, provide hub and tack or string line to verify setback to actual property line, or revise footings to be as per approved 7'7" setback. R106 Note: footing depth and size appear to be as per approved plans Allyson Armstrong ' City Of Tigard 2 Work. (503)713-8137 Mobile 4ItySoro „Tigard-ar,gov 13125 SW Halt Boulevard Tigard,Oregon 97223 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 IIIill CITY OF TIGARD MASTER PERMIT _ COMMUNITY DEVELOPMENT Permit#: MST2021-00418 Date Issued: 01/05/2022 T r G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1026C03300 Jurisdiction: Tigard Site address: 13035 SW WATKINS AVE Subdivision: ROSE TERRACE Lot: 7 Project: Seinwerth Project Description: New 35'x48'pole building and 24'x20'heated storage pole building wing attached to rear of existing dwelling.Trade Permits pulled separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 480 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 20 Bathrooms: 0 Second: 0 sf Garage: 1680 sf Front: 20 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 480 sf Value: $148,828.80 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 1 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 ACS VB R-3 480 Owner: Contractor: SEINWERTH,DANIEL TODD&THERESPMINER POLE BUILDINGS Required Items and Reports(Conditions) 13035 SW WATKINS AVE 17825 PAINTER LOOP NE TIGARD,OR 97223 HUBBARD,or 97032 PHONE: PHONE: 888-453-5964 FAX: Total Fees: $5,514.46 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 faquires yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QS9-nM-nn'In rhrniinh rlA nnt- n v ii may n air, nnw of rho ndoc nr riirarr nilnctinnc rn ni INIC by Tallinn rim 9'19 R7 nr 1 Rnn 119 91dd t Issued By: �` Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. if/ 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. Bu. ' l n� Permit Application Z iz i Residential RECEIVED FOR OFFICE ('SE ONLY City111114 of Tigard V FOR og zg �jn2/ permitNo.: s' �' ` g g Date/By: ` if "✓ 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1 t2 2021 plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: l 7jl Other Permit. Inspection Line: 503.639.4175 CITY OF-TIGARD Date Ready/By. /� Juris_ ® See Page 2 for 1 1 ''A R t) Notified Method: /�/� �� /r r Supplemental Information Internet: www.tigard-or.gov BUILDING DIVISION TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. ❑New construction ❑Demolition - Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Q Valuation: $.$ '0e-- I `[$'CJZ8 ❑ 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms:0 ®Accessory building El Multi-family ❑Master builder 0 Other: Number of bathrooms:0 //,,,, JOB SITE INFORMATION AND LOCATION Total number of floors: 1 2'(go Job site address:13035 SW WATKINS AVE New dwelling area: square feet 4$� City/State/ZIP:TIGARD OR 97223 Garage/carport area:' square feet Suite/bldg./apt.no.: Project name:SEINWERTH ADDITION Covered porch area: 0 square feet Cross street/directions to job site: SW DERRY DELL CT Deck area: 0 square feet iok`Kb- 6VelY1 LGti L l- 4ita�U� Other structure area: 0 square feet I rvi f'-4'. 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.:251 O2BCO33OO equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF_WO�h 0.41e.' work indicated on this application. 35'x48' POLE BUILDING AND 24'x20' OLE BUILDING WING ADDED Valuation: $ TO REAR OF EXISTING RESIDENCE Existing building area: square feet ItZ_ l— I-N1.1/4- bil-- ` V(I-J ,7 New building area: square feet 10 PROPERTY OWNER v` ❑ TENAN Number of stories: Name:DANIEL SEINWERTH Type of construction: Address:13035 SW WATKINS AVE Occupancy groups: City/State/ZIP:TIGARD OR 97223 Existing: Phone:( 503)577-7383 Fax:( ) New: ca APPLICANT 0 CONTACT PERSON BUII[.DING PERMIT FEES* Business name:DON R TITUS RESIDENTIAL DESIGNER (Please refer to fee schedule) Structural plan review fee(or deposit): , 5 Contact name:ROBERT FRY FLS plan review fee(if applicable): Address:1015 NE 118TH AVE Total fees due upon application: City/State/ZIP:PORTLAND OR 97220 Amount received: Phone:(434)466-6647 Fax: :( ) E-mail:R F RYARC H @G MAI L.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:MINER POLE BUILDINGS Submit two(2)sets ofroofplan with connection details and fire department access,along with the 2010 Oregon Address:17825 PAINTER LOOP RD NE Solar Installation Specialty Code checklist. City/State/ZIP:HUBBARD OR 97032 Permit Fee(includes plan review $180.00 y and administrative fees): Phone:( 503)706-0987 Fax:(503 )564-0753 State surcharge(12%of permit fee): $21.60 CCB lie.:OR#205558 Total fee due upon application: $201.60 Authorized signature: /6 .6eA This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:ROBERT FRY Date:08/11/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/(:OM/WEB) `4 DECEIVED Plumbing Permit Applicati n Building Fixtures DEC 13 2021 ►OR (miry I S1: ()Ni.) City of Tigard Received ate/By: Permit No.: II • 13125 SW Hall Blvd.,Tigard,OR 9722 I OF I1GAHII DPlan Review Phone: 503.718.2439 Fax: 503.59U¢LDING DIVISION Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: _J r+� ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: l 1 Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ®Accessory building ❑Multi-family - . Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB snit INFORMATION AND LOCATION Site utilities: Job site address:13035 SW WATKINS AVE Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:SEINWERTH ADDITION Manufactured home utilities 50.03 Cross street/directions to job site: SW DERRY DELL CT Manholes 18.76 Rain drain connector 1 18.76 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: Tax map/parcel no.:2S102BC03300 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 ONE RAIN DRAIN LOCATION FOR PROJECT Dishwasher 25.02 VS172.021-- 004 Drinking fountain 25.02 Ejectors/sump 25.02 Ig PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:DANIEL SEINWERTH Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:13035 SW WATKINS AVE Garbage disposal 25.02 City/State/ZIP:TIGARD OR 97223 Hose bib 25.02 Phone:( 503)577-7383 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:DON R TITUS RESIDENTIAL DESIGNER Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:ROBERT FRY Roof drain(commercial) 12.51 Address:1015 NE 118TH AVE Sink/basin/lavatory 25.02 City/State/ZIP:PORTLAND OR 97220 Solar units(potable water) 62.54 Phone:( 434)466-6647 Fax: :( ) Tub/shower/shower pan 12.51 E-mail:RFRYARCH@GMAIL.COM Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 18.76 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic--7,_ .no.: Plan review (25%of permit fee) �� State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:ROBERT FRY Date:12/13/2021 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 Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) • i Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain- I" 100 50 03 0 to 2.000 $121 90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7.201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: V Permit Fee: Storm&Rain Drain-1st 100Y 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional Ion' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge—1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge—1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to _ accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan res less is required for any of the follow iug. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font Bath Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. ElCar Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. Commercial El Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" -3" Isometric or Riser Diagram 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard !PiCOMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 c; z o Building Permit Review — Residential Building Permit #: TZO2/—®0/-1!F Site Address: 13035 SW Watkins Ave Project Name: Seinwerth Lot #: Planning Review Pail - -'Sp y V'� TOSAnS ti U1>A �EQUIrirt-h01 Proposal: Addition to existing residence K Lv.t- K�✓ls ad stars Pit 'to 3h ew eanvepplieL "AI.F04- 0 Verify address/suite#active in Accela. El In River Terrace: El No ❑ Yes,River Terrace Review Addendum Site Plan Elements: erosion Control Os copies of site plan on 8-1/2"x 11"or 11 x 17"paper Detained trees with drip line and tree protection measures 126 rawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 0 orth arrow ::,:Jtility locations&easements(required for new and additions) 12.ite address,project or subdivision name and lot number ;jidewalk/driveway approach 12•pplicant information(name and phone number) _Location of wells/septic systems 0 of dimensions and building setback dimensions _Street tree size,type and location 111.quare footage of buildings to be demolished ,Street names 12 xisting structures on site _°2orner elevations(2'contours if more than 4'differential_ 0 .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ° es o 0 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified ❑No Received: 0 Yes 0 No 0 Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs ✓ Required: ❑Yes,applicant was notified ❑� No o Received: ❑Yes H No SDC Exemption for ADU applied for: ❑Yes ❑ No Received: ❑Yes No 0 Public Facilities Improvement(PFI) Permit: Required: ❑Yes,applicant was notified 0 No Applied For: ❑Yes ❑ No,stop intake ElLand Use Case#: NA El Zoning: R-4.5 0 Required Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: 15 Garage: 20 0 Building Height: Max.Height: 30 Actual Height: 20 0 Landsca e Area: NA % 0 Lot Coverage Max: NA Entrance Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows Minimum 12%of area of all street-facing facades Garage Gara e door is behind widest street-facing wall IDYes ElNo,one of the following is met: ❑gDoor extends no more than 5'from wall and there is a covered porch extending beyond garage. uuDoor extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2°d floor. ❑ Gara e door width is 12'or less ❑ 50%or less of facade 60%or less and includes 7 of following: Covered porch Recessed entrance o ❑Wall offset 1'Roof cave Roof offset Fire shingles Lap Siding ❑ Roof itch ❑ Gable,hi ,or gambrel roof Dormer Accent siding Window trim Window recess Window projection 0 Balcony ElVisual Clearance 0 Urban Forest ,Plan ElSensitive Lands: El Yes L'"I No Type: ElConditions met prior to issuance of buil 'rig permit Notes: 0 Approved By Pla 'ng: Date: 9/21/21 Revisions(after B ding Submittal only Reviewer Date Revision 1: Approved El Not Approved tor 14 Zi Revision 2: Approved ❑ Not Approved At l I i' 2,r�2j I:\Building\Forms\BldgPermitRvw RES_122419.docx Building Permit Submittal Original Submittal Date: 00,2/202/ Site Plans: # Building Plans: #Er-Enter ,3 Building Permit#: buildin permit#above. �y Workflow Routing: Planning Engineering u Permit Coordinator 1$uilding Workflow Sign-off: ®/Sign-off for Planning(include notes from planning review) Route Application Documents: a ngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. • ' : BID/ uilding: original permit application, site plans,building plans,engineer and beam calculations an. a st details,if applicable,etc. Notes: By Permit Technician: _ i //r;Mr Date: D9/$/0Z! Engineering Review ,lope at building pad: y•4 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ Final Plat Recorded: KNOT Approved by Engineering: 7iNeMi Date: 9i3p1202 Notes: /lkw CerS1114.6p11 eY-Ct*di need i0 She .J 0) ODA /°h4Se (Shall Odd 74/oh1 747 Can veyavtGe arm 611,I9 ❑ Approved by Engineering: Date: Revisions (after Building Submittal onl ) Reviewer Date Revision 1: ❑ Approved L`7 Not Approved /0/25702f Revision 2: Approved ❑ Not Approved �,.,� f 6`,-; je P� r I/Z 3/2z 2/ Permit Coordinator Review conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: W €4S Upp- At. tD lH I2p2i Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Q Acl hele 0(1 l[f/( G1c 1 Ca ltit - 1012 w f z6'lj Revision Notice 2: Date Sent to Applicant: /'SDC Exemption: ❑ Received Does not a..1 ,/ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes I N/A Tigard Trans SDC: ❑ Yes % N/A Parks SDC: ❑ Yes gN/A LIDA HYes ❑ N/A 2IPOK to Issue Permit Approved by Permit Coordinator: AllOVN ?(- Date: I:\Building\Forms\BldgPermitRvw_RES_122419.docx _ M _......w• auwau.xex.+» , <:: LM.M4UUNtl �aMg. Mi iMMY»N Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement.This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. IV( or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. point ( I S€ihL.t,e r- tti Print Name of Permit Applicant 'Z)4 ,,.,W/ j_,0‘,/,,,- 1 a. / 3 c Signature of Permit Applicant Date / Permit#: Address: � . �. 01 \piIssued by: Date: This Copy for Permit Offices ,�,,. t, Information Notice to Owners About (,,,,,„ Construction Responsibilities 2t �J�.1 ,r_i-i: (ORS 701.325 (3)) Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure,can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer,you must comply with the following: • Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. • Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. • Oregon's Business Identification Number(BIN): is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, go online to the Oregon Business Registry. For questions, call 503-945-8091. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number. go online to www.irs.gov. Other Responsibilities of Homeowners: • Code Compliance:As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. • Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem,OR 97309-5052 Telephone 503-378-4621—Fax:503-373-2007 Website Address:www.oregon.goviccb f/property_owner adopted 9-2016 This Copy for Permit CleanWat %Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 21-002345 1. Jurisdiction: Tigard 2. Property Information(example: 1 S234AB01400) 3. Owner Information Tax lot ID(s): Name: Daniel Seinwerth 2S102BC03300 Company: Address: 5138 SE 115th Ave OR Site Address: 13035 SW Watkins Ave City,State,Zip: Portland, OR, 97266 City, State,Zip: Tigard, OR, 97223 Phone/fax: 503 577 7383 Nearest cross street: SW Watkins PI Email: d.seinwerth@frontier.com 4. Development Activity(check all that apply) 4. Applicant Information ❑x Addition to single family residence(rooms,deck,garage) Name: Don Titus ❑ Lot line adjustment ❑ Minor land partition Company: Don R Titus, Residential Designer LLC ❑ Residential condominium ❑ Commercial condominium Address: 5138 SE 115th Ave ❑ Residential subdivision 0 Commercial subdivision City, State,Zip: Portland, OR, 97266 ElSingle lot commercial 0 Multi lot commercial Phone/fax: 503 621 6085 Other Email: don@donrtitus.com 6. Will the project involve any off-site work? ❑Yes ❑ No ❑ Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete, and accurate. Print/type name Don Titus Print/type title Owner Signature ONLINE SUBMITTAL Date 8/4/2021 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 PROVIDERVI LETTER IS REQUIRED. Reviewed by ��"'-.,vr� Date 9/14/21 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 Revised 2/2020 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org Nikki Tuason From: Nikki Tuason Sent: Monday, December 6, 2021 1:23 PM To: 'd.seinwerth@frontier.com' Cc: Allyson Armstrong Subject: 13035 SW Watkins Hi Daniel, I'm reaching out regarding your addition to the existing home at this address. Your proposal includes a 24 x 20 attached structure and a larger 35 x 48 pole building attached to it. Could you please write up a description of how the 24 x 20 wing will be made into 'habitable space'?This description could be written up on a separate word document and sent over to us directly as an attached file. The smaller 24 x 20 wing will need to be made into habitable space to consider both the 24 x 20 space and the larger 35 x 48 pole building as an addition rather than an accessory structure. I can then print out this file and include it in your permit application packet. Thank you, Nikki Nikki Tuason Assistant Planner City of Tigard Planning Division I Community Development 13125 SW Hall Blvd. Tigard, OR 97223 Phone: (503) 718-2450 E-mail: nikkit@tigard-or.gov 1 Agnes Lindor From: Agnes Lindor Sent: Tuesday, October 26, 2021 1:56 PM To: Rob Fry Cc: #Building Permit Technicians; Trent Brickey; Nikki Tuason; Sean Vermilya Subject: MST2021-00418 Good afternoon- A site plan revision is required. Please show overflow to conveyance on LIDA. Please direct any questions about the revision to Trent Brickey, copied on this email. Along with the 3 copies of the revised site plans, please also complete this transmittal sheet.Thanks, Agnes Lindor Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard,Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tgard-or.gov 1 Agnes Lindor From: Agnes Lindor Sent: Monday, October 4, 2021 9:29 AM To: rfryarch@gmail.com Cc: #Building Permit Technicians;Trent Brickey Subject: MST2021-00418 Good morning- Your site plan required revision. Because the construction exceeds 1,000 SF, LIDA is required. Please direct all LIDA related questions to Trent Brickey(copied on this email). Once you have revised the site plan, please submit the revisions along with this transmittal sheet.Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tgard-or.gov 1 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 71 Transmittal Letter T I c,A I:n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: AGNES LINDOR DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: ROBERT FRY NOV A 2021 COMPANY: DON R TITUS DESIGNER CITY OF TIGARG 3UILDING DIVI$IONA PHONE: 434-466-6647 EMAIL: RFRYARCH@GMAIL.COM RE: LIDA SITE PLAN REQUIREMENTS MST2021-0041 8 (Site Address) (Permit Number) SEINWERTH ADDITION (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 1 Additional set(s)of plans. 1 Revisions: OVERFLOW TO CONVEYANCE 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: SHOW OVERFLOW TO CONVEYANCE TO DAYLIGHT AT PUBLIC RIGHT OF WAY FOR OFFI E USE ONLY Routed to Permit Technici Da Z�i3 2i Initials: MA-- Fees Due: ❑ Yes No e�ri tton: Amount Due: ) b C $ e------- $ xfo ..._____ Special Instructions: Reprint Permit(per PE): ❑ Yes Y<D7 ❑ Done 4 Applicant Notified: 7 2 Date: 2,2. /2/ 12 ( Initials: 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 iiPiii 1 a Transmittal Letter T i c,A k D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: AGNES LINDOR DATE RECEIVED:DEPT: BUILDING DIVISION RECEIVED FROM: ROBERT FRY OCT i 1 2921 COMPANY: DON R TITUS DESIGNER CITY OF T mi., ,q_,— PHONE: 434-466-6647 BUILDING DI /I U It1 1�- EMAIL: RFRYARCH@GMAIL.COM RE: LIDA SITE PLAN REQUIREMENTS MST2021-00418 (Site Address) (Permit Number) SEINWERTH ADDITION (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 1 Additional set(s) of plans. 1 Revisions: NEW PLANTER ADDED TO 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: NEW PLANTER AND PLANTINGS ADDED TO SITE TO SATISFY LIDA REQUIREMEN- FOR OF CE USE ONLY Routed to Permit Technicii 2 "— Date: k-Z l3 1 Initials: Fees Due: ❑ 5V Yes No Fee Descriftio . Amount Due: /Q 6 P (-_ $ $ ,25' Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: ye-4_ Date: 1212/ .24 Initials: � 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 'PI Transmittal Letter r i t;A k r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Daniel Seinwerth SEP 15 2021 COMPANY: CITY OF TIGARD PLANNING/ENGINF lNG PHONE: 503-577-7383 By: EMAIL: d.seinwerth@frontier.com RE: 13035 SW Watkins Ave.Tigard,OR 97223 number has not been assigned yet. (Site Address) (Permit Number) Addition with Attached Garage (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 3 Additional set(s)of plans. 3 Revisions: for Heated Storage Space&LIDA 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: This revision sheet is to explain how the Heated Storage Space will be habitable. Revised Site Plans to include a Non-Structural Infiltration Planter_Rain Garden(LIDA). FOR OFF E USE ONLY Routed to Permit Technici Date: ( 4 3 ZJ Initials: Fees Due: ❑ Yes No Fee Descri tton. Amount Due: E $ / ) b. ,j -) $ .P)/ Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: Date: /02 /2.//2/ Initials: