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Permit
CITY OF TIGARD PLUMBING PERMIT IN mi /. COMMUNITY DEVELOPMENT Permit#: PLM2019-00434 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2019 -FIG.\R ID 13125 Parcel: 1S135DC04100 Jurisdiction: Tigard Site address: 11850 SW 95TH AVE Project: Chapman Subdivision: None Lot: None Project Description: Rain garden for land partition. Contractor: DENNIS SEVEN DEES LANDSCAPING Owner: CHAPMAN, SHARON RAE 7355 SE JOHNSON CREEK BLVD CHAPMAN/MANSON FAMILY TRUST PORTLAND, OR 97206 BY CHAPMAN,WAYNE&MANSON, JANE 6324 NE 32ND PL PORTLAND, OR 97211 PHONE: 503-288-8147 503-777-7777 FAX: FEES Quantity Description Date Amount 58 If Storm Sewer 11/12/2019 $62.54 Specifics: 1 12%State Surcharge- 11/12/2019 $8.70 Plumbing Type of Use: SF 10 ea Minimum Fee Adjustment- 11/12/2019 $9.96 Class of Work: OTR Plumbing Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) 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 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 ;2.1987 . 1.8)4.332.2344. Issued By: �' �// ki Permittee Signature: c„------- Allp Call 503.639.4175 by 7:00 a.m.for the next available inspection date. . 10 This permit card shall be kept in a conspicuous place on the job site until completion o the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures ,,;, - . FOR OFFICE USE ONLY City of Tigard ^T Cp n{n ReceivedB /0I ` ���/A Permit 1)01_44 ,- ,C;; J/ IN • 13125 SW Hall Blvd.,Tigard,OR 97223 C'' U IJ Date By: (�` Pi-- t/4 S Plan Review Phone: 503.718.2439 Fax: 503.598.1960 4 f 4 Other Permit No.: Date/By: f Inspection Line: 503.639.4175 Date Ready/By: fury: ® See Page 2 for TIGARD Internet: www.ti and-or. ov ��a�� "4 L�IY°"s`' //'r.' .. „' -0"F.P Supplemental Information g g Notified/Method: ( . y TYPE OF WORK FEE* SCHEDULE iir, , New construction ❑Demolition For special information use checklist Description Qty. Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 )ii-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ASFR(3)bath 500.32 building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATIONANDLOCATION Site utilities: Job site address: ! 1 B o s W CI c 1 h Avg Catch basin or area drain 18.76 City/State/ZIP: �')6at.tv 1�'1.1�C.-3 Drywell,leach line,or trench drain 18.76 v ( Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:C.At-7A N.4PAccriri,-,-i- Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.4,58 J r Page 2 L2,51 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 AA 11 (I-Q _ /� _ Clothes washer 25.02 K, ` J' ` py) F7 /77/(.) -j Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 af PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: [vI Li )\-r7/. I Fixture/sewer cap 25.02 L Floor drain/floor sink hub 25.02 Address: 63 cm 1,4E 3L pt./3\7)E_, Garbage disposal 25.02 City/State/ZIP: w)2 r t 0 CPC_ 61721 I Hose bib 25.02 Phone:(SO)) zsg 81 ii-7 Fax:( ) Ice maker 12.51 .------ Medical ,®APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: I��N,I�)s1 ODES �A Dcf1,16 Medical gas(value:$ ) Page 2 � ` V,�_,,'' �1 `J `I , Primer 12.51 Contact name: T..JS I I Nei ^-.•et -' Roof drain(commercial) 12.51 Address: '7 3SS 5E oiimsot1/4.,k C'aC 860) Sink/basin/lavatory 25.02 City/State/ZIP: pcec., w0 c',- Oi'1'Zap Solar units(potable water) 62.54 Phone:6o3 ) 6©g (1 s Fa-x�: :( ) Tub/shower/shower pan 12.51 I E-mail: �JST�!"1 t k , I. f rS T.De S . 601-1, Urinal 25.02 CONT 'RA�ICTOR Water closet 25.02 Water heater 37.52 Business name: (.51SCri E A5 5OLI ) Water piping/DWV 56.29 Address: Other: 25.02 .0-----ttate/ZIP: Subtotal C;;./.5f Phone: Fax: Minimum permit fee: $72.50 ( ) ( ) CCB Lie.: Plumbing Lic.no.: _ State surcharge(12%of permit fee) fit' Authorized signature: cC:/ TOTAL PERMIT FEE " r- This permit application expires if a permit is not obtained with n l'Ild days Print name: AuS /,1/4/ I y Date:/D Z,4 /q after it has been accepted as complete. 1 OLCZ # : #J` QD��y *Fee methodology set by Tri-County Building Industry Service Board. B I:\ uilding\Permits\PLMU-PeermitApp.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-1'100' 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-l st 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 6.4,5- $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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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 EI New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. 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" ❑ 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: -Lav/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 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 Notice of Land Use Application (Minor Land Partition) T I G A R D Chapman Partition / MLP2019-00002 August 1,2019 OFFICE COPY Dear neighbor, You are receiving this notice because development is proposed in your neighborhood. A description of the proposed development is provided below. If you would like more information about this development,please contact the staff person listed below.You are invited to comment on the proposed development. The staff person listed below is available to help you provide effective comments. The City will consider all written comments prior to issuing a decision. Comments must be directed toward the approval criteria listed below and submitted to the staff person by the end of the comment period. Comment Period Deadline: 5PM on August 15, 2019 Staff Person: Monica Bilodeau 13125 SW Hall Blvd. Tigard,OR 97223 503-718-2427/Monicab( tigard-or.gov Applicant: Wayne Chapman 6324 NE 32"d Place Tigard/OR/97211 Contact Jeffrey Kleinman 503-248-0808/kleinmanJL@aol.com Property Owner: Wayne Chapman 6324 NE 32_`"`Place Tigard/OR/97211 Location: 11850 SW 95th Avenue Washington County Tax Map 1S135DC04100 Project Name: Chapman Partition Case Number: MLP2019-00002 Proposed Development: Partition the subject property into two parcels of 0.24 acre (Parcel 1) and 1.77 acre (Parcel 2). City of Tigard, Community Development Department• 13125 SW Hall Boulevard,Tigard,Oregon 97223 Page 1 of 4 Zone: R4.5 Approval Criteria: Community Development Code Chapters 18.110, 18.290,18.410, 18.420,18.510,18.710,18.820, 18.910,18.920, 18.930. Additional Information A copy of the materials and evidence considered by the City are part of the public record and available for review. If you would like to review these materials at no cost,please contact the staff person listed above. Hard copies of the materials are available at a reasonable cost. Next Steps After considering all the evidence,including the applicant's materials,all public comments,and the applicable approval criteria the City will approve the application,approve the applications with conditions,or deny the application. The decision will be mailed to the applicant and property owners located within 500 feet of the development site,and anyone who submitted written comments. Appeal Information Failure to raise an issue or failure to provide statements or evidence sufficient to afford the decision- maker an opportunity to respond to the issue may preclude appeal on that issue. The decision may be appealed by any party that is adversely aggrieved by this decision,who was entitled to written notice of the decision,or who provided written comments.Appeals must be made in person using the form provided by the City,include the appeal fee,and be submitted within 15 days of the notice of decision. Contact the staff person listed above for more information on how to submit an appeal Notice to Mortgagee, Lienholder,Vendor,or Seller The Tigard Development Code requires that if you receive this notice it shall be promptly forwarded to the purchaser. Zoning Map City of Tigard,Community Development Department• 13125 SW Hall Boulevard,Tigard, Oregon 9-223 Page 2 of 4 R-12 j Zoning Map r- fxv of Tgard.Oregon ( J - Generalized Zoning Categories _Subject Site Zoning-General n weal 7.1540 U..a..idanllal R-4.5 — c,,,,,,...,■MnM Use i C Trani.IOW Use R-7 mm M..d use enpban.m r.:bOMrial hrM.nd Nacmrbn 1 R-25 1 i -' .' / Y" 1x 4V!.:', h "-rt sk 9 W. Tf $f K i P it °;t"F d 07 a ya 4JC0.1411•1111.11.1.1.1111.11,n.aown AQ --;L:.' " , C.Y 01'fig's, }µ ,-- T}' , 13123 SW 1431111143 7gani.0387327 ` . 4 ,.tI/1"tr^+Z7 117., caciz+onow1s Isatl 33E-4171 rr•+y..do..go. City of Tigard,Community Development Department• 13125 SW Hall Boulevard,Tigard,Oregon 97223 Page 3 of 4 cn N N r--- .. C\ C O , e . bA sa 1 T/LT1 I '1` '' LOT • 'LOT'.2"' Q PROPERTY INFORMATION: }i LOT i LOT 2 ADDRESS 11850 6 11900 SW 95TH AVE, L I /' / e 1WAR0, OR 97223 i ../7"-- ,....•'''''''''''''''''''' !/ a~ TAX MAP: IS-1-3500 i 4'02 TA 5700 r TAX LOT:4100 F LOT 5 f--1 SW TANGELA COURT T/L 4900 ZONING: CITY OF TIGARD R-7 —��— --- LOT 4 T�55� Ar —6 LOT J 5000 SF, RESIDENTIAL 1 LOT TA 5600 r ' 1.0T 4 ,^. EXISTING USE: TWO SINGLE. FAMILY HOMES,I T ��`` O PROPOSED USE: PARTITION PLAT AND �;. T/L 5200 T/1.5100 FUTURE LAND DEVELOPMENT LOT 7 LOT 8p�ep► 1/L 5000 EXISTING UTILITIES , R ' ,uP„ ''''.0 or ,a NW 31. f,,g era lO7 5 n SANITARY SEWER, STORM SEWER, WATER -?� L. "'� I10r°,A ""Nu'£ trr LINES IN SW 95TH AVENUE. '-/'- 1O 61. �\ x� '' -� Afirl w 5/4.N. iti irr Z DRY UTIUTICS AVAILABLE VIA SW 85TH AVL. • 'IC 7 `i Q M • lidr a tilN M rt Boca, J'n '� 4. �� O T/L 410o TOTAL 511E AREA 1 O.0,•• Y 07,578 SF CS 41 2.W ACRES 10 s dD I 1 ar 4.X c., ; As, 5 •�„ I >r"' ii- I'+� W PARCEL 2 �, S� cJ ` c 77.231 m Q yi I f a.+ X !' '0'" 'M" HeP10•EE•I: 3 33Yw w RLLRI IIIA I I " IAC N,W II16 1!331' J war ea. - O IP 0Y.,434.4... VP pU AA.LL" * W1tlMw 0 IMC I0" 14 4:200 T/L 4401 * a'Ariz'.- a °>J.•"`.swle - --- TA 2200 Ii — II ': TA 4301 5 _ 1(.. fl J1 ti �, q T/L 4500 ;~ 1 C„.., -..-.._. CWS✓:RF Na 1 5 — - rGR r r A .�roved "- O I ... 1 I QIWIIWO"Serriras V FNVIROt NTAI REVIEW �y SMANI — e SII 1.1.94 ...'""""` WWI NE NMC Harris McMonagle ""�. H --- _ warN,.KW.. MAN u«. Associatest. ,Inc If mum r9LREs9CL`P19RT/T/ON tsw mrr�nrw-nnmMc.xurrc C usz�swnrra+a r,�,�pr�a�t� PARTITIONPLAT rP1(SG))4M-)4c)F rla7)ililur 3 -•