Report (30) •
WM!,
Clean Water Services LIDA Sizing Form
Project Title: 4 ves
Project Location: vno 5 VL....) c ,vvyx 54- ttik-vd.
Contact Name/Title/Company: Ict t4,49-eV
Phone/e-mail: Occj .42:3 / dosi CGO 'IrryrAi .c:c4.1
STEP 1: Determine a Area R a Treabwent
Total Site Area (acres):
Total Existklg lmpeMo Area(sq.ft.):
Proposed New Impervious Area(sq.ft.):
impervious Area Requiring Treatment(sq.ft.) mom
(Refer to Design&Con.struction Standards Chapter 4 for
instructions to calculate this area,which will be less than or
equal to the new plus existing site impervious area)
STEP 2: Deduct impervious Area LIDA Credits
Porous Pavenient(sq.ft.):
Green Roof(sq. ft.):
Other Credits as Approved(sq. ft.):
Total Credits(sq. ft.):
Remaining Impervious area (sq. ft.)
(Total from Step 1 -Total Credits):
STEP 3: Size LIDA Fealties for Remaining Irian Area
IA: Impervious SF, Sizing LIDA facility size
area treated F. " (sq.ft.)(IA x SF)
ut.
Infiltration Planterz/Rain
Garden 15t 0 0.06 to 0
Flow-th h Planter _______ 0.06 1111111111ms
LIDA Swale inu- azim 0.06 EMU.
'V- -tatted Filter Stri• 11111111 0.06 1111111111111111
Total Impervious te equalr taottearli&Traniit;traglict)ier sadmdittlisotnal LIDA
Area treated(sq.ft.)
added.)
CleanWaterc Services to.,/111)32( DevelopmL-nt Appioaciles Hand;Jock
19
Clean Water Services File Number
CleanVVater Services 117-002544
Sensitive Area Pre-Screening Site Assessment �
1. Jurisdiction: Tigard
AUG 7
2. Property Information (example 1S234AB01400) 3. Owner Information 2017
U®O
Tax lot ID(s): 2S103BD03700 Name: Geneva Huber OF Company: 4cto
Address: 11905 SW Fonner
Site Address. 11905 SW Fonner St. City, State,Zip: Tigard,Oregon,97223
City, State,Zip: Tigard,Oregon,97223 Phone/Fax: 5039691231
Nearest Cross Street: 121st E-Mail: don11660@gmail.com
4. Development Activity(check all that apply) 5. Applicant Information
Di Addition to Single Family Residence(rooms,deck,garage) Name: Geneva Huber
❑ Lot Line Adjustment U Minor Land Partition
Company:
U Residential Condominium U Commercial Condominium
U Residential Subdivision Address: 11905 SW Fonner St.
❑ Commercial Subdivision
U Single Lot Commercial U Multi Lot Commercial City, State,Zip: Tigard,OR,97223
Other Phone/Fax: 503-9694231
E-Mail: don11660@gmail.com
6. Will the project involve any off-site work? ❑Yes IM No U 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 Geneva Huber Print/Type Title
ONLINE SUBMITTAL Date 8/3/2017
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 07-20, Section 3.02.1. All required permits and
approvals must be obtained and completed under applicable local,State,and federal law.
XBased 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 SiteAssessment 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
07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law.
U 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 C Date 8/3/17
2550 SW Hillsboro Highway • Hillsboro.Oregon 97123 • Phone: (503)681-5100 • Fax. (503)681-4439 • www.cleanwaterservices.org
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
1,1 .
, . Transmittal Letter
1 cj n Et 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO:
[41J .0), ., DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: „i SCJ J JUN 2 9 2017
COMPANY: CITY OF TIGARD
1 BUILDING DIVI I
PHONE: (-- :3 , _--9,c c r- 1 2 3 J y 7
RE: /190 S , ca / ,
(Site Address) 5�� ( 7- 0g,52---
2-
ermit Number)
Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: 1 Copies: 1 Description:
Additional set(s) of plans. Revisions:
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: 0 '\(i • ♦% 6030.12.A____ IT ,.i)A41 - nn
•
(ke-ea:—.,1246.- ‘,1 • .-
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: 7- jam'' 17 Initials:
-ri
Fees Due: ❑Yes A No Fee Description: Amount Due:
$ Or
$
$
$
Special
Instructions: I
Reprint Permit(per PE : I [] Yes I No 0 Done
Applicant Notified: Date: "7�a Z / + Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc