Permit (4) € s
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00460
T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2023
Parcel: 2S114AB13400
Jurisdiction: Tigard
Site address: 16225 SW 93RD AVE
Subdivision: KNEELAND ESTATES NO.2 Lot: 113
Project: Kirch
Project Description: Addition and relocation of kitchen and dining room. Mechanical and Electrical permits to be pulled
separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 480 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 16 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 480 sf Value: $190,000.00 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 0 Urinals: 0
Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0
Tubs/Showers: 1 Garbage Disp: 1 Water Heaters: 1 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: 3
Other Fixture Units: Fixture cap
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add]500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 480
Owner: Contractor:
KIRCH FAMILY TRUST SLS CUSTOM HOMES INC Required Items and Reports(Conditions)
BY KIRCH,RALPH E III& PO BOX 1093
KIRCH,NATALIE L TRS TUALATIN,OR 97062
16225 SW 93RD AVE
TIGARD,OR 97224
PHONE: PHONE: 503-691-9878
FAX: 503-692-7983
Total Fees: $6,503.17
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
QA9-f fl1-nn1n fhrn,mh nna oc9-nQ1_nnon vni,mow nhrain a rnnv of the rnIpc nr rlirarf miaefinne fn ni INC Kw rail' cn 10A7 nr 1 Ann'3'39 91.1.1
Issued By: i Permittee Signature: /\—
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit and 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 RECEIVED Received FOR OFFICE USE ONLY
.� City of Tigard Date/By: q I t 1 'I,Q 1 • tap Permit No.: 11/t�J Q•O04 60
13125 SW Hall Blvd.,Tigard,OR 97223cc Plan Review 2 W U J 1 V
a Phone: 503.718.2439 Fax: 503.598.196ACP 1 1 2023 Date/By: 1/J Other Permit:
I I I.A P D Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 4 for
Internet: www.tigard-or.govp Notified/Method: ����'�OF��(„�^I� � 10 3��1j • ta Supplemental Information
1'4{ .all [i
. _ v s. . : . 6 ,. .mi, .,. yAa.t'eT .d.a ,.h a '.: `-- �� 'W, J#b
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other:
� 1 � equipment,materials,labor,overhead,and the profit for the
Iv, 'axon, 11 41r1:" ` work indicated on this application.
,\ ■❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation:
/� Accessory building 0 Multi-familyNumber of bedrooms: 3
❑
El Master builder El Other:
Number of bathrooms: 2
Total number of floors: 3
Job site address:1 6225 SW 93rd Ave New dwelling area: 480 square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Ki rch Addition Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Off of Durham and 92nd •itickttf nirttr c.1 x'\11r0 Other structure area: square feet
n \ Agt810 VP 1 nYnvi rl u a O n Oi k1v 11/0 •AV
Subdivision: Lot no.: 1 3400 Permit fees*are based on the value of the work performed.
2S 7 14AB Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.
equipment,materials,labor,overhead,and the profit for the
y , �� DFSc JP ON Of y work indicated on this application.
Extending back wa I to make kitchen and Valuation: $
dining room larger ' i I Gr r i t s b b-thus , Existing building area: square feet
e.(,r{.t G.-I > New building area: square feet
0 I {' * Number of stories:
Name:Natialie & Kirby Kirch Type of construction:
Address: 16225 SW 93rd Ave. Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:(503-806-0550 Fax:( ) New:
Alrlr ; v ".I N G ,
.Business name:SLS Custom Homes & Remodeling� � � ,e - i .,
Sonya Perales Structural plan review fee(or deposit):
Contact name:Address:
15575 SW 74th Ave., Suite #2 FLS plan review fee(if applicable):
City/State/ZIP:T i q a rd, OR 97224 Total fees due upon application:
Phone:603-691-9878 Fax: :( ) Amount received:
E-mail:office a►.slshomes.com VOLTS SOLAR P
COI.•1l7tAGTOH Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SLS custom Homes & Remodeling Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15575 SW 74th Ave., Suite #2 , Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard, OR 97224 Permit Fee(includes plan review $180.00
c503-691-9878 ( ) and administrative fees):
Phone: Fax: State surcharge(12%of permit fee): $21.60
CCB lie.:91577
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Sonya Perales Date:8/22/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPerrnitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Plumbing Permit Application RECEIVE
Building Fixtures
Cityof Tigard SEP 1 1 2023 Received MS1��S OO4lo0
ll Date/By: Permit No.:
0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
illIllc Phone: 503.718.2439 Fax: 503.598.196�ITY OF TIGARDOther Permit No.:
Date/By:
Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris:
1 1 G A R D Internet: www.ti and-or. ov y y' See Page 2 for
g g Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
/�- CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
py,
�❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: Lo22.. to 7Y�1 ^I? Catch basin or area drain 18.76
City/State/ZIP: `'''�j� G� �,,( � Drywell,leach line,or trench drain 18.76
` J Q 1Projecte ` O12Footing drain(no.linear ft.: ) Pag e 2
Suite/bldg/apt.no.: name: ••• 1 i\r � Manufactured home utilities 50.03
Cross street/directions to job site: (( t ��`S,,+-- Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
•
DESCRIPTION.OF WORK Backwater valve 12.51
1 ` Clothes washer 25.02
FXrIn�ir inn �t'�t C Dishwasher 3.- 25.02
V0 OC..c"1 � c 'r`a6 GS SA.-- Drinking fountain 25.02
`\�N c.2._�‘ Ejectors/sump 25.02
-PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51
'3
Name: (Gack i c 4. l�4 v /�`'i Y C_� Fixture/sewer cap 25.02
C .42..1 1 ^_ ' Floor drain/floor sink/hub 25.02(Co '2
Address: (Co J( �3'''� t,
Garbage disposal 25.02
City/State/ZIP: T(nC 44 Op_ ' 7`2 2 c\_ Hose bib 25.02
Phone: ) I2C112--CycS- Fax:( ) Ice maker 12.51
*APPLICANT ( CONTACT PERSON - Interceptor/grease trap 25.02
:. . L 5 C �' Y � v_ Medical gas(value:$ ) Page 2
Business name: g
Primer 12.51
Contact name: � t tx ' e .CLt
^ Roof drain(commercial) 12.51
Address: 1 J-is • 3"mill Are i*2 Sink/basin/lavatory 25.02
City/State/ZIP: -T'i ,0s,,Y,4 C Je' Solar units(potable water) 62.54
Phone:(Ca) Lo 1-el n Fax: :( ) Tub/shower/shower pan 12.51
. a. Urinal 25.02 i" ),(L`ick, r t5 L & '
Water closet t 25.02
CONTRACTORWater heater�
�' 37.52
J
Business name: -s- -p1,1/4...uky ` �� Water piping/DWV 56.29
Address: \- Z �dc, C1 \--- Other: 25.02
City/State/ZIP: ,C i‘f\y‘k1Y V I012, 91 1' Subtotal
Phone: 1 23'-7_i.0 2c Fax:( ) Minimum permit fee: $72.50
l Plan review (25%of permit fee)
CCB Lic.: '�44 7_ ` t3 Plumbing Lic.no.: f n�
11 Vv State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name. n1 `�ti ?e,Y- k � Date:�'•-11-2 3 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.
1:\Building'J'ermits''LMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
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-1st 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: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Qty,, Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees 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 review is required for any of the following.
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 greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/WaterCpirator al ❑ Any multipurpose fire sprinkler system.
Dishwasher:
Domestic ❑ 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
4" 0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
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: -LavBar 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 fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
to
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: AI WA "
004{100
�a
Site Address: _L �" s`'f I ts-v' .___ id Verified in Accela
Project Name: K;Pc�1��`an Lot/Unit #:
Proposal: 5FP< Ad(1.'}'pr Zone: S' I3"
Housing Type: FIL SFR Mr Single Detached 0 Duplex 0 Triplex 0 ADU)0 Rowhouse ❑Cottage Cluster 0 CYU OQuad 0 Other
Required Site Plan Elements:
X.„3 co s of site plan on max 11x17"
Drawn to standard scale*"
®,Nort arrow ❑-Ste
IX S. address, project name, lot # •
St - - .names' :Wok M a
'k -''N^ ST (N/A-fu1 SFR)
• .. is -nt name and phone #I.-'rob 5►-�4(i? (- ) r
r, and setback dimensions i p t3'
cx•itting structure&square footage]JR tility locations &easements* C tt""L ;129
Footprint of new structure and FFE Ar JO Property corner elevations
)5 walk/driveway dimensioned �u,v) n i rnn (>1,(4Q sf dicturbanee)
Lot area and lot coverage percentage f!c.lct
Required Elevation Plan Elements: M S - j S S
(For SFR: calcs needed only on street-facing) Summary table with calculations for: Cl4,1
Drawn to standard scale io c+l(S� to(ktK g Total facade area 6./3 0/.0'"3
ECBuilding height dimensioned Or g Total window and door area
Facade dimensioned*
,g_Windows and doors dimensioned*-
Require Elements:
(Not required for SFR) '--- - 0 Summary table that includes
❑ Each story dimensioned oor area
❑ Each stor fl e ❑ er story
Planning Review
The following standards have been met: ,
Setbacks %Front: [ 51 Rear: 15 Side: 5 Min/Max Street Side: 15 / Garage: .. "-c)
Height I Max. Height: ?id Proposed Height: i ' t 1— •t �. ``o�S
€oy� ce.U.I i AllaWt0^ Rf (W..Sl-F. 0/4.1 `
1Yes 0 N/A Landscape it - yoy, Wtso ,,ram M •g4a si. gte 1'°'� At( S 4(
❑ Yest�[N/A Screening (Quad only) �' �s�,,10,`w11 sittes,04;n, c45— S rZejt w.i to w:/,dciJS
[ I Yes 0 N/A % Window Coverage* - I�
❑Yes 1=3.N/A Garage (SFR Only) Parking (Other Res)
❑Yes N/A Entrance (SFR, Rowhouse, Quad only)
❑Yes gLNIA Other building design standards (Rowhouse only)
❑Yesig..N/A Accessory Structure Standards
❑Yes 03,No Qualifying pre-existing unit exempt from standards (Cottage unit only)
ditional standards fo _Levrtyard Units, Cottage Clusters, Rowhouses, and Quads:
❑Yes a Tit — ount:
❑ Yes A Lot Wi Size
es 0 N/A Pathway
itional standards for Courtyard Units and Cottage Clusters only:
❑ Yes Unit A _ ,c ob SN')Nii
❑Yes 0 N/ Area (per story) f l ef C?" `"V*1
❑ Ye /A Courtya
es ❑ N/A Fence le ad_d,
(sc3 )71 8 - aye.)
Yes ❑ No ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) '
O Yes ❑ No,AI/A Public Facilities Improvement (PFI) Permit:
Required: 0 Yes ❑ No
Applied For: 0 Yes 0 No, stop intake
YrSensitive Lands: ❑ Yes J&,No
U Main.L -+ 4se-eers #6 0 Conditions met
•
Approved By Planning: Date: '/1/Z3
Notes Aki.ii )arN CeAr 40 tdU_s . C(At, Set, wecre rL To Foy-tut.
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
Building Permit Submittal Original Submittal Date: t 1111 U VI/S
Site Plans #:
Building Plans #:
Building Permit #: �J Building permit # entered on page 1
Workflow Routing: NI/Planning E(Engineering 13ePermit Coordinator 'Building
Workflow Sign-off: L'Sign-off for Planning (include notes from planning review)
Route Documents: 6/Engineering: (1) copy of permit application, (1) site plan, (1) building plan
ansl original plan review routing form.
Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc. ))
Permit Technician: i\ V\./Y,/ Date: `�1 tstk'"J
Notes:
Engineering Review
J�'PFI Permit: ki A
Spe at building pad: a o
conditions met prior to issuance of permit
-Easements (encroachments) per engineering conditions of approval and plat
-ter Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes l 1'No
Assess Water Quantity Fee in-lieu: 0 Yes Imo
LIDA Facility on lot: 0 Yes 2I-No Add Fee: ❑ Yes ❑ No
.,2-final Plat Recorded
❑ NOT Approved: Date:
Notes:
Approved By Engineering: VI. Date: v'2a 23
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
conditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
rDC Exemption: 0 Applied for 0 Received El.Does not apply
V ❑ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A
Tigard Trans SDC: ❑ Yes N/A 0 Deferred
Parks SDC: 0 Yes N/A 0 Deferred
LIDA 0 Yes N/A •
OK to Issue/Approved by Permit Coordinator: t C Date:•
y
Revision 1: 0 Approved 0 Not Approved Date:
Revision 2: ❑ Approved 0 Not Approved Date:
FOR OFFICE USE ONLY—SITE ADDRESS: ib145 '14 4' rd ituL
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
as
Transmittal Letter
r l;A Ft n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov
TO: Al LL j'0I , AMASAVAr DATE RECEIVED:
DEPT: BUILDING DIVISION J RECEIVED
FROM: 45DrNNAa r-OP-rcsil-e S SEP 2 1 2023
COMPANY: SLS CU-SA-D. N kI S CITY OF TIGA D
PHONE: SC -Lag 1- c g BUILDING DiVi i P
EMAIL: `7j‘e‘t•-\G e S i1D Cam$ .Clem
RE: I tQ225 Sw g31rdAve. M`5T2O 23-do Atli n
(Site Address) (Permit Number)
'or ...fin KYkee1and stilts` 2. I Lb%1' it
roject name subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: [ DesoHtifilse
1 COON: [A0$0110 i0i
Additional set(s)of plans. X Revisions: lkan pays 1/3 i,4
Cross section(s)and details. Wall bracing an or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: rev'6rcy-‘ ii> 'p.lanS/ PS t .3 a
FOR. FFI `FUSE ONLY
Routed to Permit Technic' : Date: 1i�j Initials:
Fees Due: El Yes No Fee Descrip ion: Amount Due:
pi
:\.JoJCi
1'3 $
Special
Instructions:
Reprint Permit(per Pp: ❑ Yes Ej No ElDone
Applicant Noted: Date: 1 Q 13 I SO'J • tinli j Lai n . Initials: AP
From:Allyson Armstrong<AllysonA(a@tigard-or.gov> rn ...c.
Sent: Monday, September 18, 2023 10:06 AM
To:Office<office@slshomes.com>
Subject: Plan Check- 16225 SW 93rd Ave/MST2023-00460
Please see the attached plan review letter and respond to each item. Revisions can be
submitted Monday-Thursday 8am-6pm. We are closed on Friday. When submitting revisions
provide THREE copies and attach a completed TRANSMITTAL LETTER. If you have questions I
can be reached at 503-718-8137.
Thank you,
Allyson Armstrong
Allyson Armstrong
a City Of Tigard
.t.J�'.h,L`
i5031 7165-2612'Work
i5D31 718-8137 Mobile
AllysonAtigard-orgo,^
13125 SW ball 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."
3
Allyson Armstrong
From: Sonya Perales <sonya@slshomes.com>
Sent: Tuesday, September 19, 2023 10:58 AM
To: Allyson Armstrong
Subject: RE: Plan Check - 16225 SW 93rd Ave/MST2023-00460
Attachments: Water Meter Fixture Sheet TIGARD.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Good morning Allyson,
I have forwarded the review letter to the Architect/Engineer here is his notes and
corrections to questions 1-4 (see below). I have inserted the information for questions 5-7:
#1 marked number 2
#2 made detail 2 x 6 stud
#3 added a 4 x 12 df#2 hdr over the sliding glass door
#4 added the HDU2 hold downs to sheet 3 &4.
5. Where is the washer and dryer being relocated to? See below: on page 4 "main floor
plan". Relocated from the garage to the existing "removed" powder bathroom, coming
in from the garage they will be to the left. I highlighted it in yellow. That area is
convoluted with information, it's kind of hard to see, I hope this helps.
6. Are any bedrooms being created where the kitchen used to be? NO
7. I need the approved Water Meter Fixture sheet. Submitted (attached)
I will submit the Revision Plans and Transmittal Letter in the office this afternoon.
i
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Thank you,
Sonya Perales
Project/Design Coordinator
sonya@slshomes.com
SLS Custom Homes & Remodeling
Phone: 503-691-9878
Cell: 503-985-9262
CCB# 91577
i 4.1y1 ;if;
— '
4 fi
p• •WM t9#S• ,r..'
—
www.slshomes.com
From:Office<office@slshomes.com>
Sent: Monday,September 18, 2023 10:36 AM
To:Sonya Perales<sonya@slshomes.com>
Subject: Fw: Plan Check- 16225 SW 93rd Ave/MST2023-00460
2
RECEIVED
SEP Caea2nWater ' Services
SENSITIVE AREA PRE-SCREENING SITE ASSESSMEN��� LNG DIVISION
Clean Water Services File Number 23-002372
1. Jurisdiction: Washington County
2. Property Information(example: 1S234AB01400) 3. Owner Information
Tax lot ID(s): Name: Natalie&Kirby Kirch
2S114AB13400 Company:
Address: 16225 SW 93rd Ave.
OR Site Address: 16225 SW 93rd Ave. City,State,Zip: Tigard,OR,97224
City,State,Zip: Tigard,OR,97224 Phone/fax: 503-806-0550
Nearest cross street: Email: office@sishomes.com
4. Development Activity(check all that apply) 4. Applicant Information
D Addition to single family residence(rooms,deck,garage) Name: Sonya Perales
❑ Lot line adjustment ❑ Minor land partition Company: SLS Custom Homes
❑ Residential condominium ❑ Commercial condominium Address: 15575 SW 74TH AVE,#2
❑ Residential subdivision 0 Commercial subdivision City,State,Zip: Tigard,OR,97224
❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 503-691-9878
Other Email: ofce@slshomes.com
6. Will the project involve any off-site work? ['Yes 0 No ❑Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
extending back wall to make kitchen and dining room larger.
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 Sonya Perales Print/type title Protect Coordinator/Design Coordinator
Signature ONLINE SUBMITTAL Date 8/22/2023
FOR DISTRICT USE ONLY
0 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.
IN 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 /64 24Pdt. Date 8/23/2023
Onc omplete,email to:SPLReviewecleanwaterservices.org • Fax: (503)681-4439
OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway,Hillsboro,Oregon 97123
Main Office 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p 503 681.3600 f 503.681 3603 • cleanwaterservices.org