Permit (4) CITY OF TIGARD MASTER PERMIT
.114
COMMUNITY DEVELOPMENT Permit#: MST2023-00175
Date Issued: 06/05/2023
IF G A R I7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S135DB08000
Jurisdiction: Tigard
Site address: 9135 SW NORTH DAKOTA ST
Subdivision: ASHBROOK FARM Lot: 25
Project: AAV One LLC
Project Description: Converting garage to living space adding: (2)bedrooms and(1)bathroom and ramp.Trade permits
to be pulled separately.WATER METER UPSIZE TO 3/4"REQUIRED.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 2 First: 624 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 15 Smoke Yes
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $98,219.88 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'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:
ALT SF VB R-3 0
Owner: Contractor:
PRAXIS INVESTMENTS LLC CHALET HOMES Required Items and Reports(Conditions)
9855 SW HALITE CT 8733 SE DIVISION ST 201
BEAVERTON,OR 97007 PORTLAND,OR 97266
PHONE: PHONE: 503-257-6674
FAX:
Total Fees: $3,949.70
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 'h 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. ATTEN N: egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9_nn1_rim n thrni (lA 9-nnl-nnon av nhtain a rnnu of the rnlac nr riirert ra iectinnc to(ll INC.by Tallinn ring 9'29 1057 nr 1 Ann 119 921
Issued By: .iI /V/1/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard Received u
Date./By. /2 y 3 Permit No.. st2o — c ,l L
ot- L.
w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review R
Phone. 503.718,2439 Fax: 503.598.196 Other Vermin.
�ECE�O/E Date-Re
TIGARD Inspection Line: �03.63 4175 DateKeadyrTiy: i + ' ^a�� Luria: ® See Page 4for
Internet: www.ti and-or. ov Notified/vtethod b1 L •f SupplementalInformation
TYPE OF WORK vUREQI D DAT I-AND 2—FAMILY DWELLING
❑New construction ❑DemCillf OF TIGARD Permit fees*are based on the value of the work performed.
Rl ILDING DR/IS1ON Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Ot equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. �Q 24,9
[] I-and 2-family dwelling ElCommercial/industrial 9 i5
Valuation: s
❑Accessory building El Multi-familyNumber of bedrooms: ÷ Z
El Master builder ❑Other: Number of bathrooms:
.{—
' I B SIT'E INFORMATIOpl ANT!: OCATIO Total number of floors: 1 with basement
Job site address:9135 SW NORTH DAKOTA ST. New dwelling area: 624(gad square feet G 14
City:/State/ZIP:TIGARD OR. 97223 Garage/carport area: square feet
Suite bldg./apt.no.: Project name: Covered porch area: square feet
('rocs street/directions to job site: De 1<area: square feet
O her strut 1 e rea: square feet
REQUIREII DATA`cp '1MEItCIAL-lrs IXCSLIST,
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 WORD work indicated on this application.
Valuation: $
Convert existing garage to living space by: add two bedrooms and
storage. Add a bathroom at dining area. Add window wells to the existng E fisting building area: square feet
bedrooms at lower lever-Trade permits are separatly 1)q, ,,c1 w building area: square feet
fa PROPERTY OWNER-__ ., 0 TENA ST Number of stories:
Name:AAV ONE LLC Type of construction:
Address:8733 SE DIVISION ST. Occupancy groups:
City/State/LIP:PORTLAND OR. 97266 Existing:
Phone:((503))805-5985 Fax:t ) New:
IX APPLICANT Ei CONTACT PERSON BUILDING PERMIT
Business name:SWEET HOME DESIGN LLC (PtertserertaJeeschedule
Structural plan review fee(or deposit):
Contact name:CUONG NGUYEN
- F1..S plan review fee(if applicable):
Address:16125 SE HAWTHORNE CT
Total fees due upon application:
W
City/State/ZIP:16125 SE HATHORNE CT _
Phone:(503)4142-7535 Fax: :( ) Amount received:
E-mail:PDXSWEETHOMEDESIGN@GMAIL.COM P IOTOYOLT A`IC SOLAR P4Nk.I.SYS `EM E�RES* ,
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:CHALET HOME LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address.8733 SE DIVISION ST. Solar Installation Specialt3'Code checklist.
City-State/LIP:PORTLAND OR. 97266 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:((503))805-5985 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lit.:196324
Dotal fee due upon application: $201.60
Authorized signature: ' , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:CUONG NGUYEN Date:04/25/2023 *Fee methodology set by Tri-County Building Industry
._�_ Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doe 01/25/2023 440-46134(11/02/COM/WEB)
City of Tigard
IN Ill g
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: ms\--?a 3 o0 i 77 �
Site Address: /G(3S � NoIkh �l I1Gf S4 7/Verified in Accela
Project Name: /- 1f1" 00e t n Lot/Unit #:
Proposal: I/1 i111o{ PeNtoW t V"-(,o)f . Zone: 31g
Housing Type:7SFR Single Detached❑ Duplex 0 Triplex 0 ADU)0 Rowhouse❑Cottage Cluster 0 CYU ❑Quad 0 Other
Required Site Plan Elements:
copies of site plan on max 11x17"
eff'Drawn to standard scale griketained trees, drip line/ tree protection
Z'North arrow -0-Stu eel and site trees shown / labeled
Site address, project name, lot # -❑ Table cdt otar.trry free canopy at maturity
Atreet names (N/A for SFR)
pplicant name and phone # r rectangle dimensioned (if applicable)
Lot and setback dimensions ce triangle
,P(Existing structures &square footage &easements
fd'Footprint of new structure and FFE Property corner elevations
y dimensioned f disturbance)
- 0 Lot area and lot coverage percentage .5-Erosion con r�l-
Required Elevation Plan Elements:
(For SFR: calcs needed only on street-facing) Summary table with calculations for:
/Ifibrawn to standard scale Total façade area
R=lidaikellog-height dimensioned Total window and door area
,42'Fagade dimensioned .
Windows and doors dimensioned
El-Gemge dimensioned
Required Floor Plan Elements:
(Not required for SFR) 0 Summary table that includes
❑ Each story dimensioned 0 Total floor area
0 Each story floor area calculated 0 Floor area per story
Planning Review
The following standards have been met:
6
Setbacks Front: k 5 Rear: Side: 5 Min/Max Street Side: / Garage:
Height , Max. Height: 30 Proposed Height: AA r
❑ Yes 0 N/A Landscape —Str'f ftCir9 41ca°e c►ounr.
❑ Yes)Z-N/A Screening (Quad only) — VAill K, 'i,
p'fes 0 N/A % Window Coverage 0,1 1,
❑Yes N/A Garage (SFR Only) Parking (Other Res) — S O( , 1,()ivlv+Gn) Ili v (1 10rtVt`
❑ Yes N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes N/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑Yes 0 N/A Unit Count:
❑Yes 0 N/A Lot Width and Size
0 Yes 0 N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑Yes 0 N/A Unit Area:
❑Yes 0 N/A Floor Area (per story)
0 Yes 0 N/A Courtyard
0 Yes 0 N/A Fence
❑ Yes ❑ NoA Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes Ill
N/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes 0 No
Applied For: 0 Yes 0 No, stop intake
ifiSensitive Lands: 0 Yes 0 No
lain Land Use Case #s: 0 Conditions met
❑Applicant notified of land use xpiration date: /
Approved �
By Planning: Date: I jZ,SJZ3
Notes 1,hiidf.W 6441.01 Ole- (e Wiwi 9rud2
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Building Permit Submittal
Original Submittal Date: t/+A5/2
Site Plans #: 3
Building Plans #: 3
Building Permit #: <iilding permit # entered on page 1
Workflow Routing: R'Planning 0-Engineering 0-Permit Coordinator El-Building
Workflow Sign-off: l gn-off for Planning (include notes from planning review)
Route Documents: I"Engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
2/Building: original permit application, site plans, building plans, engineer and
/ beam calculations and trust details, if applicable, etc.
�
Permit Technician: /� CbtetN c` Date: 1)(7 9/�3
Notes:
Engineering Review
12 PFI Permit: 14,
Q'Slope at building pad: °to
1Conditions met prior to issuance of permit V1tau
D4asements (encroachments) per engineering conditions of approval and plat
IVWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes Et/No
Assess Water Quantity Fee in-lieu: 0 Yes l'No
LIDA Facility on lot: 0 Yes I No Add Fee: 0 Yes ❑ No
C'Final Plat Recorded n/"
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Jrevt/ if3vaZ.lCseL4 Date:
/2023
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
nonditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
7SDC Exemption: ❑ Applied for 0 Received VDoes not apply
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes pi/N/A
Tigard Trans SDC: 0 Yes 7(N/A 0 Deferred
Parks SDC: 0 Yes gN/A ❑ Deferred
LIDA 0 Yes ,d N/A
/OK to Issue/Approved by Permit Coordinator: V vL-. Date: 5 11 202
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs
Please complete the following information:
Customer Name: PRAXIS INVESTMENTS LLC
Service Address: Street/Suite#: 9135 SW NORTH DAKOTA ST.
City: TIGARD State: OR. Zip: 97223
Phone Number: (503)548 -8238 Email: LLCAPEXINVESTMENTS@GMAIL.COM
Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add.
Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at
total. the proposed total.
Fixture Unit Current Point Current Proposed Point Proposed
Quantity Value Total Addition Value Total
Bar sink 0 x 1 = 0 x 1 =
Bidet 0 x 1 = 0 x 1 =
Clothes washer 1 x 4 = 4 x 4 =
.. ..... .. ........:...
Dishwasher 1 x 1.5 = 1.5 x 1.5 =
1' Outside Water Spigot 1 x 2.5 = 2.5 x 2.5 =
Water Spigot,each add'! 1 x 1 = 1 x 1 =
Kitchen sink 2 x 1.5 = 3 x 1.5 =
Laundry sink 0 x 1.5 = 0 x 1.5 =
Lavatory(bathroom sink) 3 x 1 = 3 1 x 1 = 1
Water closet,1.6 GPF(toilet) 2 x 2.5 = 5.0 1 x 2.5 = 2.5
Bathtub/whirlpool 2 x 4 = 8 x 4 =
Shower stall 0 x 2 = 0 1 x 2 = 2.0
Bath/shower combo 0 x 4 = 0 x 4 =
Current Points: 28.0 Proposed Increase: 5.5
Current Points+Proposed Increase= 33.5 =New Total Points =Required Meter Size 3/4"
Meter Sizes: I to 30 points=5/8" 30.5 to 37 points='/a" 37.5 and over points= 1"
New Meter Size Needed for New Total Points: 33.5 Cost: $ 16,094.00 (see page 1)
Current Meter Size per Utility Billing: 28.0 Cost: $ 11,258.00 (see page 1)
4,836.00
New Meter Size Cost minus Current Meter Size Cost= $
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
*************************************************************************************
FOR OFFICE USE ONLY
D dead 5/16/2023
Current Meter Size Confirmed with UB
Signature of UB Representative Date
l:/Building/Forms/WaterMeters_070121 Add.docx Page 2
City of Tigard • COMMUNITY DEVELOPMENT DEPA111A1
# # ._
' Water Meter Fixture Unit Workshee {� ` kyF
TICARD
For Additions /Remodels /ADUs `(
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti and-or C,i 1 YDING Di!rri,
LOCATION: City of Tigard—City Hall WATER METER SALES:
Utility Billing By Email Only.Please contact
13125 SW Hall Blvd. ubonlinepay(aitigard-or.gov
Tigard, OR 97223 to discuss sending documents and payment
METER: SIZE: FEE: _ Pricing effective 07/01/2022
5/8" $11,258.00 Fee includes:
3/4" $16.094.00 water system development charge,
I" $29,588.00 - water meter,and
1-1/2" $87,787.00 meter installation fee.
2" $142,227.00 _
DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS
City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon
Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the
variety of home sizes built in the Tigard area,we count the fixture units of all homes to determine the
appropriate meter size.
Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed
increased number of fixture units,which will determine whether an increased meter size will be required.
Submit this signed worksheet with your building or plumbing permit application submittal.
DOCUMENTATION
Once you are ready to purchase the new meter, please provide the following items to the Utility Billing
counter:
• Completed water meter fixture unit worksheet for additions, remodels,ADUs,etc.(on back page).
• Copy of building or plumbing permit application date-stamped by building division.
• Copy of issued building or plumbing permit.
Your fixture count will be verified and your request will be processed upon receipt of these documents.
No exceptions.
INSTALLATION TIME
Once the upgraded meter size has been purchased, most meters are installed within 10-14 business days.
l:/Building/Forms/WaterMeters 070121_1dd.docx Page 1
FOR OFFICE USE ONLY—SITE ADDRESS: a1135 Sw IA 00\1Q/1/4/M-a St
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 c:;r�l:.I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Atlyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Cuong Nguyen MAY 1 1 2023
COMPANY: Sweet Home Design Ilc CITY OF TIGA IaQ
PHONE: (503)442-7535 BUILDING DIVIS� N
EMAIL: pdxsweethomedesign@gmail.com
RE:. 9135 SW North Dakota St.Tigard OR.97223 MST2023-00175
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS ,
3 Additional set(s) of plans. o Revisions:
3 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
3 Floor/roof framing. 3 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
Other(explain):
REMARKS:
FORONLY `n�
Routed to Permit Technici : Date: 5" ( /'z-2 Initials: �"v
Fees Due: ❑ Yes No Fee Description: Amount Due:
b ,)' - L $ ,i. _5.---
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes o El Done
Applicant Notified: Date: 5131 I tots • E Ctsl • Initials: ikp