Report p r OFFICE COPY
C � eft Clean Water Services File Number
C1eanWate\Services 18-003751
Sensitive Area Pre-Screening Site Assessment
1. Jurisdiction: Tigard
2. Property Information (example 1S234AB01400) 3. Owner Information
Tax lot ID(s): 2S112BB03200 Name: Jeff Donaldson
Company:
Address: 8550 SW Colony Creek Ct.
Site Address: 8550 SW Colony Creek Ct. City, State,Zip: Tigard,Oregon,97224
City,State,Zip: Tigard,Oregon,97224 Phone/Fax: 9714047220
Nearest Cross Street: Fanno Creek Drive E-Mail: Jeff@beadbullies.com
4. Development Activity(check all that apply) 5. Applicant Information
❑ Addition to Single Family Residence(rooms,deck,garage) Name: Jeff Donaldson
❑ Lot Line Adjustment Li Minor Land Partition Company:
❑ Residential Condominium ❑ Commercial Condominium Address: 8550 SW Colony Creek Ct.
❑ Residential Subdivision ❑ Commercial Subdivision
Li Single Lot Commercial ❑ Multi Lot Commercial
City,State,Zip: Tigard,Oregon,97224
Other Phone/Fax: 9714047220
Accessory Building E-Mail: Jeff@beadbullies.com
6. Will the project involve any off-site work? Li Yes J No Li 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 Jeff Donaldson Print/Type Title
ONLINE SUBMITTAL Date 12/17/2018
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 17-05, Section 3.02.1. 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
07-20,Section 3.02.1. 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 1 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 LE TER IS REQU ED.
Reviewed by c
Date 12/19/18
2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org
r
Jeff Donaldson
CLOSED COLONY CREEK CT STREET 8550 SW Colony Creek Court
Tigard Or.97224
Cell 971-404-7220
105.0' ----
183' 5'0"— 1 180' Lot=14,11411A2
Total Building Area to include accesory building
and impervious areas.
15'0' House and Garage(2811 ftn2)
� +Accessore Building(520 f1A2)
+Impervious Area(500 ftA2)
Garage exsisting grayel drive way +New Accessory Building(525 ftA2)
\ '
20'p Total Coverage=4,356
%covered=4,356/14114 X 100=30.9%
,, sewer Lot#3200/28 Zone R-7
Lot SCS FT 14,114 fih2
180' Plans:DAB 121718
Scale 1/16"=1'-0"
ww\iter line House
/�porch
124.47'
< l concrete
vas line ! _ /
\\\ / EROTION CONTROL
I
Hat(Blvd.
\1 77.6' L
over head po er line swung x
\ ,
gravel rain water control
down spout splash guardB✓aesoly u p
-i-
s 9 5'0° Z
FFE-180.5'
'; Ave Roof Height 13'0"
1 115'0" - - - ...,. ...
1, Accessory Building FIIENU
35'0" $ Q.Qs...75j...-_
'\ kormev
i Gina)Weer,vMr s
FOP,1111VIRONMENtA!REVIEW
'' try-,,. ,- , ! fe l.2 l g.l.,f£.,.
-7,p— 8'0" f— —5'0" 179' S11 ATTPmtletzt Tc
183' EROTION CONTROL
111.68'
A
RECEIVED
-
CITY OF TIGARD Clean Water Services File Number
BUILDING DIVISION CleanWater Services 18-003751
Sensitive Area Pre-Screening Site Assessment
1. Jurisdiction: Tigard
2. Property Information (example 1S234AB01400) 3. Owner Information
Tax lot ID(s): 2S112BB03200 Name: Jeff Donaldson
Company:
Address: 8550 SW Colony Creek Ct.
Site Address: 8550 SW Colony Creek Ct. City, State,Zip: Tigard,Oregon,97224
City,State,Zip: Tigard,Oregon,97224 Phone/Fax: 9714047220
Nearest Cross Street: Fanno Creek Drive E-Mail: Jeff@beadbullies.com
4. Development Activity (check all that apply) 5. Applicant Information
❑ Addition to Single Family Residence(rooms,deck,garage) Name: Jeff Donaldson
❑ Lot Line Adjustment ❑ Minor Land Partition Company:
U Residential Condominium ❑ Commercial Condominium Address: 8550 SW Colony Creek Ct.
❑ Residential Subdivision ❑ Commercial Subdivision
❑ Single Lot Commercial ❑ Multi Lot Commercial
City,State,Zip: Tigard,Oregon,97224
Other Phone/Fax: 9714047220
Accessory Building E-Mall: jeff@beadbullies.com
6. Will the project involve any off-site work? ❑Yes fly 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 andlor 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 Jeff Donaldson Print/Type Title
ONLINE SUBMITTAL Date 12/17/2018
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 17-05, Section 3.02.1. 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
07-20,Section 3.02.1. 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 1 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 LE IS REQU 'ED.
Reviewed by � _ � : .�
Date 12/19/18
2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org
4
..............__.................. — Jeff Donaldson
CLOSED COLONY CREEK CT STREET 8550 SW Colony Creek Court
Tigard Or.97224
Cell 971-404-7220
105.0' -----^�
183' 5'0". I 180' Lot=14,114 ttA2
Total Building Area to include accesory building
,\
and impervious areas.
15'0" House and Garage.(2811 ftA2)
+Accessore Building(520 ftA2)
+Impervious Area(500 ftA2)
,\
Garage exsisting grdvel drive way +New Accessory Building(525 ftA2)
20'0" Total Coverage=4,356
%covered=4.356/141 14 X 100=30.9%
8'0"
�-' sewer Lot#3200/28 Zone R-7
L91 SO FT:14,114 ftA2
- 180' Plans:DAB-121718
- Scale 1/16"=1'-0"
\w\ter line House
—P,
` porch
124.47 , ` — �conciete
,gas line I
EROTION CONTROL
I
\ aivd.
77.6' L 1
over head po er line owing S 1
gravel rain water control 9JklpesOry 5•p�� p
dawn spout splash guards Acce9 Z
FFE-180.5'
1 �t Ave Roof Height 13'0"
\\ 15'0"
Accessory Building {y PiF NO
35'0" 4.4prsverl
l
1 t aan Mss Iry c
Ni'1r1Jd'ft7RAar REOW
-7'0"—. 8'0" —.— 5'0" \—179' SPL AYYAa'1?t, F,j..,.,„„, 1
183' MOTION CONTROL
111.68' JI
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
=IIr Transmittal Letter
r k:,;\R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Nw\So( , DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
DEC 192018
FROM: J€-(r. � ..cocksok CITY OF TIGARD
COMPANY: BUILDING DIVISION
PHONE: O 'k a q 04 .�' -CO By: ,sT
RE: SO, C ca C-Z:e€ Cl- ' MI""-.4 ,\ -(,1. 1-a
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: 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.
J Other(explain): d_dlS tetkv....K
REMARKS:
FOR FFI E USE ONLY /20)__
Routed to Permit Techni ian: . I t cl CS Initials:
Fees Due: ❑Yes Fee Descri tion: Amount Due:
N) 0 i -) E_. $$7 0.,/-
$
Special
Instructions:
Reprint Permit(per PE): 0 Yes No' ❑ Done
Applicant Notified: Date: (,,t,//S A/ Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012