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Permit
CITY OF TIGARD MASTER PERMIT ' 7I ' COMMUNITY DEVELOPMENT Permit#: MST2020-00032 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2020 Parcel: 1 S 135AA00805 Jurisdiction: Tigard Site address: 10179 SW JEFFERSON ST Subdivision: METZGER, TOWN OF Lot: 8 Project: VO Project Description: A new 786 sq.ft. detached ADU. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 2 First: 786 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 12 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 786 sf Value: $96,253.56 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 1 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 1 Electricity Heat Pump: Y Hoods: 1 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: 1 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW ADU VB R-3 786 Owner: Contractor: VO,TRUNGTUYEN TUALATIN VALLEY CONCRETE CORP Required Items and Reports(Conditions) 10181 SW JEFFERSON ST 8950 SW LOCUST STREET 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-891-0955 FAX: Total Fees: $12,699.01 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 folio - - - -dopted by the Oregon Utility Notification Cen - Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo ' a •o • - rules o :irect questions to OUNC by calling 503. . 987 or .800.332.2344. ..._...__ Issued By:� G-- Permittee Signature: C " 0 .• 9.4175 by 7:00 a.m.for the next available insp i •' date. This permit card shall be kept in a conspicuous place on the job site unti co pletion of the project. Approved plans are required on the job site at the time of each inspection. 'i 314i'-tling Permit Application Re*idential FOR OFFICE USE ONLY 1. City of Tigard !Eiew 3 , - '! PermitNo13125 SW Hall Blvd. Tigard,OR 9722RECEIVED `,^ — �! v 1 - Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I lw I Air Other Permit: 7 I G n K D Inspection Line: 503.639.4175 JAN 13 2020 Date Ready/B ,r /26" Juns: S See Page 2 for Internet: www.tigard-or.gov otified Mett ( Supplemental Information GiTY OF TIGARD O Tvii OF•w tILDING DIVISION1 REQUIRED DATA:I-AND 2-FAMILY DWELLING ®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 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application.4. ® l-and 2-family dwelling 0 Commercial/industrial Valuation: /t /, , 3•s-.(� ElAccessory building Z Multi-family Number of bedrooms: 2 ❑Master builder 0 Other: Number of bathrooms: 1 Total number of floors: 1 I � �cATlol g LP Job site address:10179 Sw Jefferson St New dwelling area: 785.6 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Vo ADU Covered porch area: square feet Cross street/directions to job site:SW Locust St Deck area: square feet Other structure area: square feet REQUIRED DATA:COt1 1ERCIAL-USECIIECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1 S135AA00805 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the D �RIPTION OF WORK work indicated on this application. Adding a dettached adu(785.8 sqft)to existing lot 10181 Sw Jefferson St Valuation: $ Existing building area: square feet New building area: square feet PROPERTY"OWN I2 -x-« Number of stones: Name:Trung Vo Type of construction: Address: 10181 Sw Jefferson ST Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)913-0205 Fax:( ) New: It APPLICANT„ �S CONTACT PERSON , , BUILDING PERMIT FEES* (Please refer to fee ssireduk) Business name: Structural plan review fee(or deposit): Contact name:Trung Vo FLS plan review fee(if applicable): Address:10181 Sw Jefferson St Total fees due upon application: City/State/ZIP:Tigard,OR 97223 Phone:(503) 913-0205 Fax: :( ) Amount received: - E-mail:tpvo503@gmail.com PIlIOTOVOLTAIC SOLAR PANEL SYSTEM FEES* r Commercial and residential prescriptive installation of CONTRACTOR <�, roof-top mounted PhotoVoltaic Solar Panel System. Business name: fli i�'�y l��`/1,.� .��w�. Submit two(2)sets of roof plan with connection details ` and fire department access,along with the 2010 Oregon Address: /� S /I,,�� Ge it St Solar Installation Specialty Code checklist. y �iD 772 j� Permit Fee(includes plan review $180.00 Cit /State/ZIP: vK— / .7 and administrative fees):Phone:(574 lire,ir ,. 0l�S3—' Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 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. //�/� *Fee methodology set by Tri-County Building Industry Print name:Trung Vo Date: �,2 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(i 1/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONE) City of Tigard RDaeed te/Ba 13125 SW Hall Blvd.,Tigard,OR 97223 y ' ` ,111 _ R E C E I E i Plan Review Phone: 503.718.2439 Fax: 503.598.19 V Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Read B lurs. 0 See Page 2 for Internet: www.tigard-or.gov JAN 13 2020 Notified/Method. Supplemental Information TYPE OF WOR E[1(Y OF 1 IGARD COMMERCIAL FEE*SCHEDULE- USE CHECKLIST ❑['Newconstruction x Addition/alteration/replacement©acemen IVI$1O1` Mechanical permit fees*are based on the value of the work ❑ p performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY ( "CO11C1TIOlY RESIDENTIAL EQUIPMENT/SYSTEMS FEES* x❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total MT ION AND LOCATION Heating/cooling: "`` "`"" Air conditioning 46.75 Job site address: 10179 Sw Jefferson St. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 61.06 Suite/bldg./apt.no.: Project name: Vo ADU Duct work 23.32 Cross street/directions to job site: Sw Locust St Hydronic hot water system 23.32 __ Residential boiler(radiator or hydronic) 23.32 _ Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 _ Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: 1 S135AA00805 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 � " Flue vent for water heater or gas Building a dettached ADU with 785.8 sgft to 10181 Sw Jefferson St. fireplace 23.32 New address of dettached ADU is 10179 Sw Jefferson St.Tigard,OR 97223 Log lighter(gas) 23.32 Wood/pellet stove _ 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 1 PROPERT WNER Other: 23.32 !TENANT Environmental exhaust and ventilation: Name: Trung Vo Range hood/other kitchen equipment 1 33.39 33.39 Address: 10181 Sw Jefferson St. Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 23.32 Phone:(503 ) 913-0205 Fax:( ) Attic/crawlspace fans 23.32 �i APPLICANT' Y�, ., �"T'1�Itt�T... Other: 23.32 �� � Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Trung Vo Furnace,etc. Address: 10181 Sw Jefferson St. Gas heat pump Wall/suspended/unit heater City/State/ZIP: Tigard,OR 97223 Water heater Phone:(503 ) 913-0205 Fax::( ) Fireplace Range E-mail: tpvo503@gmail.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Owner Other: .MECHANICAL PERMIT FEES* Address: 10181 Sw Jefferson St. Subtotal 152.00 City/State/ZIP: Tigard,OR 97223 Minimum permit fee($90.00) Plan review(25%of permit fee) 38.00 Phone:(503 ) 913-0205 Fax:( ) State surcharge(12%of permit fee) 18.25 CCB lic.: TOTAL PERMIT FEE 208.25 s.. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Trung Vo Date: /43/2 0 g,e) I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) r K Electrical Permit Application FOR OFFICE USE ONLY ' City of Tigard RECEIVE i Received jt INIMENiffli 111 -,'a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Plan R Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B . Related Permit#: Inspection Line: 503.639.4175 BAN 13 2020 Ready inns: T1t^rARf) p Date/By: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. Supplemental Information �.-tip �, TYPE OF.... _ S, ii NG DtVISION PLArlI.,PE 'W::. Please check all that apply(submit 2 sets of plans w/items checked): ID New construction ❑x Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. ami. ,. CATEG F eO , l0fir IiON exceeds 10,000 amps at 150 volts or ❑Floating buildings. x❑ 1-and 2-familydwellingless to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Commercial/industrial ill building amps for all other installations. buildings. x❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or 'MR SITE INFORMATIONAN,LOCATION Add❑Emergency system. larger separately derived Job#: Job site address: 10179 Sw Jefferson St ❑100Hoo of new motor load of system. 00HP or more. ❑"A" "E" "1-2" "1-3", City/State/ZIP: Tigard,OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Vo ADU ❑Hazardous locations. El Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Sw Locust St ' PEE'SCHERULE Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 1 S135AA00805 1,000 sq.ft.or less 1 168.54 168.54 4 Ea.add']500 sq.ft.or portion 33.92 1 r i i cRtivTION.f ,.. Ckti W Limited energy,residential New detached ADU on existing lot (with above sq.ft.) i 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 a=PROPERTY` OWNER, TENANT Services or feeders installation,alteration,and/or relocation Name: Trung Vo 200 amps or less 1 100.70 /0,10 2 201 amps to 400 amps 133.56 2 Address: 10181 Sw Jefferson St 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( 503 )913-0205 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: tpvo503@gmail.com relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 f*^#1 Branch circuits—new,alteration,or extension,per panel ,, 1.ICAN I ` . ' I i CAST PI11 101 M0 A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name: ffnot, V L B.Fee for branch circuits without Address: 81 'id 3• t 1 [r service or feeder fee,first 56.18 2 I 0 n TJ branch circuit City/State/ZIP: 71 t'c'16ot / 0 2 ?.Z2.� Each add'l branch circuit 7.42 2 Fax::( ) Miscellaneous(service or feeder not included) Phone:( �03 ) Cl`c 14 ,0 Each manufactured or modular 67.84 2 Email: tf Vt7 5-0 3 ??�CVI�.�° �,/� dwelling,service and or feeder ev r' Reconnect only 67.84 2 Pump,or irrigation circle 67.84 2 Business name: '/rL r /�jF r/..,% Sign or outline lighting 67.84 2 Address: j 1 c !'!� / z e. p/ Signal circuit(s)or limited-energy ❑ See Page 2 2 / .? /�� panel,alteration or extension. City/State/ZIP: C/s'- �4,9/i O�er Cl_ 9 7 Each additional s inspection1rm over allowable in2 any of the above ll... / i� Additional inspection(1 hr min) 66.25/hr Phone:(���') 77;,j '7 f Fax:( ) Investigation(1 hr min) 90.00/hr ,�,�C ` Industrial plant(1 hr min) 78.18/hr Email: /i of 9 �-)/#.e y f• �7I1!/° C nJ li Inspections for which no fee is 90.00/hr CCB Lic.: ,7 53{ Electrical w2 Suprv.Lic.: L3S specifically listed(''/hr min) 111 ?/ ELECTRICAL PERMIT Su ecffician signature,required: /��,y �� Subtotal: Print name: / 1//'!1 4,A r�r� � __`rate:�te: --- e7- . 0 Plan Review Required(25%of permit fee): c State surcharge(12%of permit fee): Authorized signature: L,. 1 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Trung ! /) /9 Date: /�f'��1, days after it has been accepted as complete. (" I * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR .doc Rev 06/17/2015 440-4615T(1 l/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ..YE SCHEDULE n #ENTIAt,Wt��ONLY:" " ' ;� �.�..1:1.,.dov. Description I Qty. l Each f Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n V• acuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: Fl O• ther: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr Inspections for which no fee is 90.00/hr specifically listed( hr min) C(?MMERAt.*ORIIC F >>Paglx % ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I) * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n C• lock Systems n D• ata Telecommunication Installation Li Fire Alarm Installation n H• VAC ❑ Instrumentation ❑ Intercom and Paging Systems n L• andscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures RECEIVE E7ceived FOR OFFICE ESE ONL.l" City of Tigard Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223JAN h Date/By: ,,,,,,Plan v ecJ-°au.3,A ? Phone: 503.718.2439 Fax: 503.598.1960 J Z02Q Plan Review Other Permit No.: Date/By: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Ions: H See Page 2 for Internet: www.tigard-or gov Notified Meth d Supplemental Information DUILDIN ,DJV+6 " ' 'L 11PE 0 Wg� - "_,. IrEE* EI}ITLE ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total I]Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF coxsTfluc#6 pm ... .,... . SFR(1)bath 312.70 1-and 2-familydwellingSFR(2)bath 437.78 ❑ ❑Commercial/industrial ❑Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ' ' JOB SITE INFORMATION AND AT " " Site utilities: Job site address: 10179 Sw Jefferson St Catch basin or area drain 18.76 City/State/ZIP: Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: 120) Page 2 87.55 Suite/bldg./apt.no.: I Project name: Vo ADU Manufactured home utilities 50.03 Cross street/directions to job site: Sw Locust st Manholes 18.76 Rain drain connector ` 18.76 75.04 Sanitary sewer(no.linear ft.: 100) Page 2 62.54 Storm sewer(no.linear ft.: 100) ( Page 2 62.54 Water service(no.linear ft.:100) Page 2 62.54 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: 1 S135AA00805 Backflow preventer 31.27 31.27 DESCRIPTION OF WORK''. Backwater valve 1 12.51 12.51 Clothes washer 1 25.02 25.02 Building a dettached ADU with 785.8 sqft on existing lot Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 1 25.02 25.02 R.-pRoPEj ff OWN" ,❑ TENANT Expansion tank 12.51 Fixture/sewer cap 1 25.02 25.02 Name: Trung Vo Floor drain/floor sink/hub 25.02 Address: 10181 Sw Jefferson St Garbage disposal 1 25.02 25.02 City/State/ZIP: Tigard,OR 97223 Hose bib 1 25.02 25.02 Phone:( 503) 913-0205 Fax:( ) Ice maker 12.51 "APPLICANT "' ® ON1r "PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Trung Vo Roof drain(commercial) 12.51 Address: 10181 Sw Jefferson St Sink/basin/lavatory 2 25.02 50.04 City/State/ZIP: Tigard,OR 97223 Solar units(potable water) 62.54 Phone:(503 )913-0205 Fax::( ) Tub/shower/shower pan 1 12.51 12.51 t vo503 Urinal 25.02 E-mail: P @9mail.com /� CONTRACTOR ' Water closet 1 25.02 25.02 a Water heater 1 37.52 37.52 Business name: 1.1,e., kin E ('d wt�yj 4 Water piping/DWV �f/ 56.29 Address: ,t-l'G U S hi TW' ar''kr_ Other: `1 25.02 90.00 City/State/ZIP: "f'7` ��_ 23 Subtotal 736.18 Phone:( ) l �� Fax:( ) Minimum permit fee: $72.50 et..? Plan review (25%of permit fee) 199.06 CCB Lie.: ,2 ��tttttfiing Lie.no3 G�.Z�p/3 State surcharge(12%of permit fee) 95.55 Authorized signature: TOTAL PERMIT FEE 1098.57 Print name: ?)'/174-,. V� Date: }//3//2��0 This permit application expires if a permit is not obtained within 180 days r r��Cl ' ! ` / after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-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,. ' `,... . 1 Sq .., cr Permit Fee: Footing drain-1st 100' 1 50.03 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 1 37.52 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Permit Fee: Storm&Rain Drain-1st 100' 1 62.54 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 Other I[ispe � �) � ',. # each additional$100.00 or fraction thereof,to 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 1 90.00/hr 90.00 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 byFixture Type Plan review is required for any of the following. Fixture Type for Repine/ Please check all that apply. Work Performed: - Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. IIICar Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive Thn as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. IDDishwasher: 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" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. 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: -Lay/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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III ■ m TIGARD Building Permit Review — Residential Building Permit #: )-i 39i Site Address: Icy f q Sv\! j e-W'r&i,vi Srf-, Project Name: \J p It-Dut Defeo( Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner)/lZ,/� , e I fri Planning Review slit,/%4vrikisolai, .(_2-t-11 i, Proposal: \e Ot ik-Dl/t. Ca SF l�^ -r r l�2U c , St a.Verify address/suite#active in Accela. -In River Terrace: ,..No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ci3ittrosion Control rI 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper A&etained trees with drip line and tree protection measures E')rawn to scale(standard architect or engineer scale) AFootprint of new structure(including decks)and FFE ,, orth arrow 'Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number) itWocation of wells/septic systems t dimensions and building setback dimensions NAIStreet tree size,type and location XIA.S'quare footage of buildings to be demolished C treet names ."0 'fisting structures on site lE _orner elevations(2'contours if more than 4'differential) ►-," .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? . Yes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? layes ❑No 14 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ' ,Yes,applicant was notified ❑ No 1'e cc-. .'/a f.toReceived: RYes ❑ No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake at Land Use Case#: A 20 lq b000.8 tia, Zoning. t2" '.S.- Required Setbacks: Front: 2.0 Rear: IS— Side: S 20 g, Building Height: Max. Height: 2J4 Street Side: �i/� Garage: Actual Height:*- 17' Landscape Area: 2z) % ,Lot Coverage Max: l) °A) 'Entrance Se ba k no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows %of area of all street-facing facades Garage g do 's behind widest street-fac' g wall ❑ Yes ❑ No,one of the following is met: N(Pc oor extends 'o m: - .•,n 'fr wall and there is a covered porch extending beyond garage. l ❑ Door extends o - 5 f o wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garag, • width i ❑ or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Co - -d porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony L'iVisual Clearance )Urban Forestry Plan M Sensitive Lands: d Yes Xi.. No Type: ►_: Conditions met prior to issuance of building permit Notes: ❑ Approved By Planning: Date: 2 z Revisions (after Su' ing Submittal only) jrjoi Re iewer Date Revision 1: Approved ❑ Not ApprovedI—21--Lela Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Fonns\BldgPennitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: CJ� Building Permit#: nter building permit#above. Workflow Routing. LI fanning ©4ngineering Ei^'I'ermit Coordinator ding Workflow Sign-off: 'ign-off for Planning(include notes from planning review) Route Application Documents: [ ,ngineering: (1) copy of permit application, (1) site plan, (1) building plan and on al plan review routing form. L`_i tuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: l Date: 1 f41).1) Engineering Review R Slope at building pad: 2.'% El Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [l No Assess Water Quantity Fee in-lieu: ❑ Yes [3'No LIDA Facility on lot: Er Yes 0 No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 12-"Approved by Engineering: / -d. Date: r/Ito/2o Ld Revisions (after Building Submittal only) eviewer Date Revision 1: El/Approved ❑ Not Approved 7 '/21/202• Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit El Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Frigion Notice 3: Date Sent to Applicant: se SDC Fees Entered: Wash Co Trans Dev Tax: E Yes ❑ N/A Tigard Trans SDC: 0 Yes CI'N//A tyeAhte 1 Parks SDC: ❑ Yes LYN/A LIDA ❑ Yes C 1---&/A OK to Issue rotor: ///2€77/ PY• roved b Per Air/liff-Date: _______L____/7 it° '2C". -I:\Building\Fonns\B1dgPennitRvw_RES_022819.docx 71/Q2e220 DOd32- /0779' s II-ri 'E2dbi✓ s lapp City of Tigard - FINANCE DEPARTMENT L A Systems Development Charge (SDC) Exemption Application REQUEST FOR ACCESSORY DWELLING UNIT SDC EXEMPTION (Allowed under TMC 3.24.100.E) Note:Refer to TMC 3.24.180 and the Systems Development Charge(SDC)Exemptions for Accessory Dwelling Units Guideline for eligibility requirements before completing application.City Transportation and Park SDCs exemption only. REQUIRED SUBMITTAL PROPERTY INFORMATION ELEMENTS •Name of property owner: Trung Vo Recorded Deed Restriction: Legal Description of Property Estimate of Exempt SDCs Location(address if available): 10181 Sw Jefferson St. Tigard,OR 97223 Proof of Ownership/ Authorized Representative Tax map and tax lot numbers: 1S135AA00805 Type,of Unit Total Units I Square footage of each unit 4 Attached AD —.__. 1_—.- r 976 Detached A DU J 1- 758.8 APPLICANT INFORMATION Name,as appears on tide of property: Thing Tuyen Vo Mailing address: 10181 Sw Jefferson St City/State: Tigard,OR Zip: 97223 Phone: (503)913-0205 Email• tpvo503@gmail.com Applicant's representative: Phone: (503)913-0205 Email: tpvo503�gmail.com THE PROPERTY OWNER ACKNOWLEDGES AND AGREES TO THE FOLLOWING: 1. I understand that acceptance of this application and documents by the City does not constitute an approval of an exemption.Exemptions are not granted until after all documentation is received and city staff have reviewed and approved my request. 2. I understand that if at any time during a period of 10 years from the time my final inspection is approved the City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of2 • accessory dwelling unit for which an exemption is granted is rented or listed as a short-term rental (Airlinb, VRBO,etc.),the owner of the property at that time will be required to pay to the city the amount of the exempted system development charges,plus interest. I also understand that an advertisement of the accessory dwelling unit as a short-term rental is sufficient evidence for the city to assess the amount of the exempted SDCs. I understand that this restriction will bind the property even through transfers of ownership. 3. I understand that the City may verify any of the information contained in this application at any time. 4. I understand that the City,its agents,successors and assigns will rely on the information contained in this application and the information represented herein;if any information should change prior to obtaining a certificate of occupancy,I will notify the City. I certify that to the best of my knowledge,all the information provided in this application is true and accurate as of the date provided opposite my signatures below. Trung Vo 0‘/ZieLe) o erty o er signature Print Name Date Trung Vo /(�/b/Z a erty owner signature Print Name Date APPLICANTS It is the responsibility of the applicant to ensure that the application for the SDC exemption is submitted and approved before the payment of all SDCs are due to the City. SDCs are calculated and due and payable pursuant to Tigard Municipal Code 3.24.080. In accordance with TMC 3.24.080.B,the City may not issue a building permit or allow connection to the City's systems until either all SDCs have been paid in full or an exemption has been granted. It is the applicant's sole responsibility to ensure an exemption application is submitted to the City in a timely manner in order to meet the timelines in TMC 3.24.080. SUBMIT COMPLETED APPLICATION TO:SDC Administrator,Finance and Information Services,City of Tigard, 13125 SW Hall Blvd.,Tigard,OR 97223. If dropping the application off in person,drop off at the Utility Billing(UB) front counter located within Tigard City Hall. Questions can be directed to the SDC Administrator at SDC@Tgard-or.gov or 503-718-2460. Received by: 2.0 V 1 40' / Approved by; Dat I Z Amount of SDCs Exempt: Park*31 1 X o2 Try a i•on 415 '? to ' ?G o2 p c(Jr- ; -� � 18 T'SD C t 3)3Slo City ofTigatd • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of f. Washington County,Oregon 2020-004589 01/16/2020 01:20:46 PM O-IRUL Cnt=1 Stn=31 RECORDS' $35.00$5.00$11.00$60.00•Total=$111.00 City RNTd. 1111 Community Development 02557957202000045890070075 13125 SW Hall Blvd. i,Richard Mobemicht,Director of Assessment and Tigard OR 97223 Taxation and Ex-Officio County Clerk for Washington r' County,Oregon,do hereby certify that the within Instrument of writing was recelveda dreSSordedlnthe+, x` book of records of said coupg yt L ' tl.,,XXX C{wwvuUtA \,'•`.�,s RichardMobernieht,Director ofAsseeemarttand ti"4.7.uirr Taxation,EX-0fticto County Clerk SPACE ABOVE FOR RECORDER'S USE CITY OF TIGARD COMPLIANCE AGREEMENT,DECLARATION OF RESTRICTIVE COVENANTS AND EQUITABLE SERVITUDE SDC EXEMPTION FOR ACCESSORY DWELLING UNIT THIS COMPLIANCE AGREEMENT, DECLARATION OF RESTRICTIVE COVENANTS AND EQUITABT.F SERVITUDE (the "Agreement") is made and entered into this Mkt day of 3-c7/ 20_,Aa by and between [Trung Tuyen Vo] (the"Grantor") and the City of Tigard(the"City"). PURPOSE The City desires to exempt the construction of an accessorydwelling unit ("ADU") located at [10179 sw Jefferson st)]Tigard,Oregon,and approved through case File No.F. l.1"—the"Project"),from payment of City of Tigard parks and transportation system development charges ("SDC—ems')purspursuant to Tigard Municipal Code. The legal property description of said Project is set forth in Exhibit A,which also is attached hereto and incorporated herein by reference. The SDCs exempted for eligible Project units are shown on Exhibit B. Grantor desires to receive the exemption, to satisfy the conditions thereof, and to execute and record this Agreement for the purpose,in part,of creating restrictive covenants and an equitable servitude that shall run with the Project land and bind any and all subsequent owners of the Project for the term of this Agreement. AGREEMENT SECTION 1. REPRESENTATIONS,COVENANTS AND WARRANTIES OF THE GRANTOR CONCERNING USE OF THE ACCESSORY DWELLING UNIT. Grantor hereby represents, covenants, warrants, and agrees that Grantor will not use the ADU on the Property as a short-term rental, as defined in Tigard Municipal Code 3.24 (as amended July 9, 2019), for a period of 10 years (the"Exemption Period") from the date of final approval of final inspection of the building permit ("Exemption Date"). For the purposes of this Agreement, posting a listing of the ADU on the Property on a short-term rental website is prima fade evidence that the property owner has violated this requirement. SECTION 2. COVENANTS TO RUN WITH THE LAND; EQUITABLE SERVITUDE. The Grantor represents,covenants,warrants and agrees that: a. The City is granting the exemption to the Grantor as an inducement to the Grantor to construct and operate the Project in accordance with the terms of this Agreement. In consideration of the receipt of the exemption, the Grantor has entered into this Agreement with the City and has agreed to restrict the use of the Project during the Exemption Period as set forth in this Agreement. SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 1 of 7 • b. The representations, covenants,and restrictions granted by Grantor therein with respect to the Project shall be deemed restrictive covenants running with the Project land and also shall be deemed an equitable servitude running with the Project land in favor of and enforceable by City. These restrictive covenants and equitable servitude shall pass to and be binding upon the Grantor's successors in title including any purchaser,grantee, or lessee of any portion of the Project, shall pass to and be binding upon the respective heirs, executors, administrators, devisees, successors, and assigns of the Grantor or any purchaser, grantee, or lessee of any portion of the Project and shall pass to and be binding upon any other person or entity having any right,title, or interest in the Project. Each and every contract,deed,or other instrument hereafter executed covering or conveying the Project or any portion thereof or interest therein shall contain an express provision making such conveyance subject to the covenants,restrictions,and charges contained herein;provided,however,that any such contract, deed, or instrument shall conclusively be held to have been executed, delivered, and accepted subject to such covenants, restrictions and charges regardless of whether or not such covenants, restrictions and charges are set forth or incorporated by reference in such contract, deed,or instrument. SECTION 3. BURDEN AND BENEFIT. The parties hereby declare their understanding and intent that the burdens of the covenants,restrictions, and charges set forth herein touch and concern the Project land and that the Grantor's legal interest in the Project may be rendered less valuable thereby. The parties further declare their understanding and intent that the benefits of such covenants,restrictions,and charges touch and concern the Project land by enhancing and increasing the enjoyment and use of the owners and tenants of the development,the intended • beneficiaries of such covenants, restrictions, and charges and by furthering the public purposes for which the exemption is granted. SECTION 4. COMPLIANCE. The Parties hereby agree that Grantor, if requested by the City, will provide certification,in a format approved by the City in its sole discretion,that the Grantor is fulfilling its obligations under this Agreement. SECTION 5. TERM OF AGREEMENT. The parties agree that this Agreement and the restrictive covenants and equitable servitude created hereunder become effective upon execution of this Agreement and will remain in full force and effect for a 10-year Exemption Period. Notwithstanding any other provision of this Agreement,this Agreement will terminate and be of no further force and effect in the event of a completed foreclosure by the primary financing lender or by a lender to whom the City has subordinated this Agreement,or their successors or assigns,or in the event of a delivery by the Grantor of a deed for the Project to the primary financing lender in lieu of foreclosure,or to a lender to whom the City has subordinated this Agreement,or their successors or assigns. SECTION 6. TERMINATION. The City may terminate this Agreement,without further liability,upon 30 days'notice and opportunity to cure. Notwithstanding termination, City may pursue any remedy provided for in Section 7. If the Grantor fails to perform or breaches any of the terms of this Agreement;or immediately and without notice and opportunity to cure if the City loses the authority to grant the exemption,as determined by its counsel or otherwise as lacking the authority to administer the exemption, or fails to receive or loses necessary funding, appropriations, limitations, or other expenditure or position authority sufficient to carry out the terms of this Agreement. SECTION 7. REMEDIES. If the Grantor defaults in the performance or observance of any covenant, agreement,or obligation set forth in this Agreement and if such default remains uncured for a period of 30 days after the notice thereof shall have been given by the City to the Grantor,then the City, at its option,may take any one or • more of the following steps: a. Terminate the exemption of the Project or a portion thereof,in which case the SDC's exempted herein shall be immediately due and payable to City in the amounts shown on Exhibit B,along with interest accruing from the Exemption Date at the rate shown on the City's Master Fees and Charges Schedule for"SDC Financing" calculated semi-annually.City may,in addition to an action to collect SDC's due,withhold issuance of building or development permits until paid in full; SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 2 of 7 b. Take such other action under this Agreement,at law,or in equity as may appear necessary or desirable to the City to enforce the covenants,agreements,warranties,and obligations of the Grantor hereunder. No waiver or delay in enforcing the provisions hereof as to any breach or violation shall impair, damage,or waive the right of any person entitled to enforce the same to obtain relief against or recover for the continuation or repetition of such breach or violation or any similar breach or violation thereof at any later time or times. SECTION 8. RECORDING AND FILING. The Grantor shall cause this Agreement and all amendments and supplements hereto to be recorded and filed in the real property records of Washington County and in such, other places as the City may reasonably request. The Grantor shall pay all fees and charges incurred in connection with any recording. The Grantor shall provide either the original recorded document or a certified copy of the recorded document within ten days of the date of this Agreement. SECTION 9. GOVERNING LAW; VENUE. This Agreement shall be governed by the laws of the State of Oregon. The courts of the State of Oregon,or to the degree necessary,the U.S.District Court for the District of Oregon,shall have exclusive jurisdiction over any action brought by or against the City under this Agreement. The Grantor hereby consents to such exclusive jurisdiction and waives any and all objections it might have thereto. SECTION 10. AUTHORITY. Grantor hereby represents,warrants,and certifies that: a. It possesses legal authority to apply for and accept the terms and conditions of the exemption and to carry out the proposed Project; b. Its governing body,if any,has duly authorized the filing of the application,including all understandings and assurances contained therein; c. The person identified as the official representative of the Grantor in the application is duly authorized to act in connection therewith and to provide such additional information as may be required. The Grantor's official representative has sufficient authority to make all certifications on its behalf; d. This Agreement does not and will not violate any provision of any applicable law,rule,regulation, or order of any court, regulatory commission, board, or administrative agency applicable to the Grantor or any provision of the Grantor's organic laws or documents; e. This Agreement has been duly executed by an official representative of Grantor, delivered by Grantor, and will constitute the legal,valid,and binding obligations of the Grantor, enforceable in accordance with their terms. SECTION 11. AMENDMENTS. This Agreement may be amended only by a written instrument executed by the parties hereto or by their successors and duly recorded in the real property records of Washington County. SECTION 12. SEVERABILITY. If any provision of this Agreement shall be invalid, illegal, or unenforceable,the validity,legality,and enforceability of the remaining portions hereof shall not in any way be affected or impaired thereby. SECTION 13. CONSTRUCTION. The parties to this Agreement acknowledge that each party and its counsel have participated in the drafting and revision of this Agreement. Accordingly,the parties agree that any rule of construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the interpretation of this Agreement or any amendment,modification, supplement,or restatement of the foregoing or of any exhibit to this Agreement. SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 3 of 7 SECTION 14. NO LIMITATIONS ON ACTIONS OF CITY IN EXERCISE OF ITS GOVERNMENTAL POWERS. Nothing in this Agreement is intended, nor shall it be construed, to in any way limit the actions of the City in the exercise of its governmental powers.4 is the express intention of the parties hereto that the City shall retain the full right and ability to exercise its governmental powers with respect to the Grantor, the Project,the land,and the transactions contemplated by this Agreement to the same extent as if it were not a party to this Agreement or the transactions contemplated thereby,and in no event shall the City have any liability in contract arising under this Agreement by virtue of any exercise of its governmental powers. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives as of the day and year first above written. GRANTORS: FULL NAME By:,Trung Tuyen Nguyen Vo r' STATE OF OREGON ) • ) ss: County of Washington ) The foregoing instrument was/ acknowledged before me this /y day of C� , 20 __, by LrH Toy 7 4<gtArii Vo Notary Public ,r the State of Oregon OFFICIAL STAMP EDGARDQ N3ALOQMADO My commission expires: /Q/O//2O23 NOTARY PUBLIC OREGON COMMISSION NO.991417 MY COMMISSION EXPIRES OCTOBER 01.2023 SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 4 of 7 i• CITY: CITY OF TIGARD, in Ore municipal corporation By: Kenny m munity Development Director STA 1'F OF OREGON J 1/i/A5h4/4/67- RJ ) ss: County of ) The forego' tmenntt was acknowledged before me this I7' day of f2 ,2020 by Notary Public file the State of Afeellakil • ,� OFFICIAL STAMP I My commission expires: �'O-0�,Iaz 3 �" EDGARQO MALCONABt7 NOTARY PUBLIC OREGON COMMISSION NO.991417 MY COMMISSION EXPIRES OCTOBER 01,2023 SDC EXEMPTION FOR ACCESSORY DWELLING i3NIT Page 5 of 7 I. ,. EXHIBIT A I.FGAL DESCRIPTION OF THE PROJECT Real property in the Situated in the Northeast Quarter of Section 35,Township 1 South,Range 1 West of the Willamette Meridian,In the City of Tigard,County of Washington and State of Oregon,and being a portion of Block 3,recorded plat of TOWN OF METZGER,and being described as follows:Beginning at a point in the West right of way line of SW Jefferson Street,said point being South 0'30'00'East,150.00 feet from the Northeast corner of said Block 3:thence South O'30'00 East on said West right of way line, 50.00 feet;thence South 89'30'00 West 115.00 feet;thence South 0'30'00 East 29.:.: feet:thence South 89'30'00 West 110.00 feet to a point on the center line of vacated SW Madison Street;thence North 0'30'00 WEst on said center line.94.00 feet;thence North 89'30'00 East 95.00 feet;thence South 0'30 East 15.00 feet;thence North 89'30'00 East 130.00 to the point of beginning County of,State of Oregon, described as follows: Tax Parcel Number: SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 6 of 7 * eiEV ZED EXHIBIT B �-- SCHEDULE OF SDCs EXEMPTED System Exemption Amount City Transportation $ i 7!I0.0 Parks $ /4#4=at;ti Ci p � 7u Py._ Water NOT ELIGIBLE Sanitary Sewer NOT ELIGIBLE Stormwater NOT ELIGIBLE County Transportation Development Tax NOT ELIGIBLE Total Exemption $ifri-OL—CLO j 0, 5 g This SDC exemption is granted to the units located at the propertyaddress(es)listed below: FULL ADDRESS t Ol ? S k1 ZsQ-F 4-a fS FY\ 1ioard © ( SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 7 of 7 RENJ S-ED EXHIBIT B SCHEDULE OF SDCs EXEMPTED System Exemption Amount City Transportation $ 7$O.#D 3 i Parks $# '• (a fi - Water NOT ELIGIBT.F Sanitary Sewer NOT Fr.IGIBLE Stormwater NOT ELIGIBLE County Transportation Development Tax NOT RT.TGIBLE Total Exemption $j ( pl 567 This SDC exemption is granted to the units located at the property address(es)listed below: FULL ADDRESS t o! ?i S •'efs fe f le1 5i , 0A 13--ZZ3 metA To-i-TJ2 s r. -- SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 7 of 7 Washington County,Oregon 2020-00459+ 01/16/2020 01:20:46 PM D-IRUL Cnt=i 5tn=31 RECORDS1 $35.00$5.00$11.00$60,00-Total=$111.00 RETURN TO: City of Tigard 111111111111111111111111111111111111 Community Development 13125 SW Hall Blvd. 02557959202000045900070072 I,Richard Hobernicht,Director of Assessment and ,y:,nau Tigard,OR 97223 Taxation and Ex.Ofncic County Clark for Washington . County,Oregon,do hereby certify that the within Instrument of writing was racslvad a d re9 bed In the book of records of said cou �y `A y ` Richard Hobamicht,Director of Assessment and Taxation,Ex.Officlo County Clerk SPACE ABOVE FOR RECORDER'S USE CITY OF TIGARD • COMPLIANCE AGREEMENT,DECLARATION OF RESTRICTIVE COVENANTS AND EQUITABLE SERVITUDE SDC EXEMPTION FOR ACCESSORY DWELLING UNIT THIS COMPLIANCE AGREEMENT, DECLARATION OF RESTRICTIVE COVENANTS AND EQUITABLE SERVITUDE (the"Agreement")is made and entered into this f4/ day of 20 2.0 ,by and between CI`rung Tuyen Nguyen V o] (the"Grantor") and the City of Tigard(the"City"). PURPOSE The City desires to exempt the construction of an accessQry dwelling unit ("ADU") located at [10183 sw Jefferson st)]Tigard,Oregon,and approved through case File No.iice ia Te"Project"),from payment-of City of Tigard parks and transportation system development charges ("SDCs") pursuant to Tigard Municipal Code. The legal property description of said Project is set forth in Exhibit A, which alto is attached hereto and incorporated herein by reference. The SDCs exempted for eligible Project units are shown on Exhibit B. Grantor desires to receive the exemption, to satisfy the conditions thereof, and to execute and record this Agreement for the purpose,in part,of creating restrictive covenants and an equitable servitude that shall run with the Project land and bind any and all subsequent owners of the Project for the term of this Agreement. AGREEMENT SECTION 1. REPRESENTATIONS,COVENANTS AND WARRANTIES OF THE GRANTOR CONCERNING USE OF THE ACCESSORY DWELLING UNIT. Grantor hereby represents, covenants, warrants, and agrees that Grantor will not use the ADU on the Property as a short-term rental,as defined in Tigard Municipal Code 3.24(as amended July 9, 2019), for a period of 10 years (the "Exemption Period") from the date of final approval of final inspection of the building permit("Exemption Date"). For the purposes of this Agreement, posting a listing of the ADU on the Property on a short-term rental website is prima facie evidence that the property owner has violated this requirement. SECTION 2. COVENANTS TO RUN WITH THE LAND; EQUITABLE SERVITUDE. The Grantor represents,covenants,warrants and agrees that: a. The City is granting the exemption to the Grantor as an inducement to the Grantor to construct and operate the Project in accordance with the terms of this Agreement. In consideration of the receipt of the exemption, the Grantor has entered into this Agreement with the City and has agreed to restrict the use of the Project during the Exemption Period as set forth in this Agreement. SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page I of 7 b. The representations,covenants,and restrictions granted by Grantor therein with respect to the Project shall be deemed restrictive covenants running with the Project land and also shall be deemed an equitable servitude running with the Project land in favor of and enforceable by City.These restrictive covenants and equitable servitude shall pass to and be binding upon the Grantor's successors in title including any purchaser,grantee, or lessee of any portion of the Project, shall pass to and be binding upon the respective heirs, executors, administrators, devisees, successors, and assigns of the Grantor or any purchaser, grantee, or lessee of any portion of the Project and shall pass to and be binding upon any other person or entity having any right,title, • or interest in the Project. Each and every contract,deed,or other instrument hereafter executed covering or conveying the Project or any portion thereof or interest therein shall contain an express provision making such conveyance subject to the covenants,restrictions,and charges contained herein;provided,however,that any such contract, deed, or instrument shall conclusively be held to have been executed, delivered, and accepted subject to such covenants, restrictions and charges regardless of whether or not such covenants, restrictions and charges are set forth or incorporated by reference in such contract,deed,or instrument. SECTION 3. BURDEN AND BENEFIT. The parties hereby declare their understanding and intent that the burdens of the covenants,restrictions,and charges set forth herein touch and concern the Project land and that the Grantor's legal interest in the Project may be rendered less valuable thereby. The parties further declare their understanding and intent that the benefits of such covenants,restrictions,and charges touch and concern the Project land by enhancing and increasing the enjoyment and use of the owners and tenants of the development,the intended beneficiaries of such covenants, restrictions, and charges and by furthering the public purposes for which the exemption is granted. SECTION 4. COMPLIANCE. The Parties hereby agree that Grantor, if requested by the City, will provide certification,in a format approved by the City in its sole discretion,that the Grantor is fulfilling its obligations under this Agreement. SECTION 5. TERM OF AGREEMENT. The parties agree that this Agreement and the restrictive covenants and equitable servitude created hereunder become effective upon execution of this Agreement and will remain in full force and effect for a 10-year Exemption Period. Notwithstanding any other provision of this Agreement,this Agreement will terminate and be of no further force and effect in the event of a completed foreclosure by the primary financing lender or by a lender to whom the City has subordinated this Agreement,or their successors or assigns,or in the event of a delivery by the Grantor of a deed for the Project to the primary financing lender in lieu of foreclosure,or to a lender to whom the City has subordinated this Agreement,or their successors or assigns. SECTION 6. TERMINATION. The City may terminate this Agreement,without further liability,upon 30 days' notice and opportunity to cure. Notwithstanding termination, City may pursue any remedy provided for in Section 7. If the Grantor fails to perform or breaches any of the teams of this Agreement;or immediately and without notice and opportunity to cure if the City loses the authority to grant the exemption,as determined by its counsel or otherwise as lacking the authority to administer the exemption, or fails to receive or loses necessary funding, appropriations, limitations, or other expenditure or position authority sufficient to carry out the terms of this Agreement. SECTION 7. REMEDIES. If the Grantor defaults in the performance or observance of any covenant, agreement,or obligation set forth in this Agreement and if such default remains uncured for a period of 30 days after the notice thereof shall have been given by the City to the Grantor,then the City, at its option,may take arty one or more of the following steps: a. Terminate the exemption of the Project or a portion thereof,in which case the SDC's exempted herein shall be immediately due and payable to City in the amounts shown on Exhibit B,along with interest accruing from the Exemption Date at the rate shown on the City's Master Fees and Charges Schedule for"SDC Financing" calculated semi-annually.City may,in addition to an action to collect SDC's due,withhold issuance of building or development permits until paid in full; SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 2 of 7 • b. Take such other action under this Agreement,at law,or in equity as may appear necessary or desirable to the City to enforce the covenants,agreements,warranties,and obligations of the Grantor hereunder. No waiver or delay in enforcing the provisions hereof as to any breach or violation shall impair, damage, or waive the right of any person entitled to enforce the same to obtain relief against or recover for the continuation or repetition of such breach or violation or any similar breach or violation thereof at any later time or times. SECTION S. RECORDING AND FILING. The Grantor shall cause this Agreement and all amendments and supplements hereto to be recorded and filed in the real property records of Washington County and in such other places as the City may reasonably request. The Grantor shall pay all fees and charges incurred in connection with any recording.The Grantor shall provide either the original recorded document or a certified copy of the recorded document within ten days of the date of this Agreement. SECTION 9. GOVERNING LAW; VENUE. This Agreement shall be governed by the laws of the State of Oregon. The courts of the State of Oregon,or to the degree necessary,the U.S.District Court for the District of Oregon,shall have exclusive jurisdiction over any action brought by or against the City under this Agreement. The Grantor hereby consents to such exclusive jurisdiction and waives any and all objections it might have thereto. SECTION 10. AUTHORITY. Grantor hereby represents,warrants,and certifies that: a. It possesses legal authority to apply for and accept the terms and conditions of the exemption and to carry out the proposed Project; b. Its governing body,if any,has duly authorized the filing of the application,including all understandings and assurances contained therein; • c. The person identified as the official representative of the Grantor in the application is duly authorized to act in connection therewith and to provide such additional information as may be required. The Grantor's official representative has sufficient authority to make all certifications on its behalf; d. This Agreement does not and will not violate any provision of any applicable law,rule,regulation, or order of any court, regulatory commission, board, or administrative agency applicable to the Grantor or any provision of the Grantor's organic laws or documents; e. This Agreement has been duly executed by an official representative of Grantor, delivered by Grantor,and will constitute the legal,valid, and binding obligations of the Grantor, enforceable in accordance with their terms. SECTION 11. AMENDMENTS. This Agreement may be amended only by a written instrument executed by the parties hereto or by their successors and duly recorded in the real property records of Washington County. SECTION 12. SEVERABILITY. If any provision of this Agreement shall be invalid, illegal, or unenforceable,the validity,legality,and enforceability of the remaining portions hereof shall not in any way be affected or impaired thereby. SECTION 13. CONSTRUCTION. The parties to this Agreement acknowledge that each party and its counsel have participated in the drafting and revision of this Agreement.Accordingly, the parties agree that any rule of construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the interpretation of this Agreement or any amendment,modification, supplement,or restatement of the foregoing or of any exhibit to this Agreement. SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 3 of 7 SECTION 14. NO LIMITATIONS ON ACTIONS OF CITY IN EXERCISE OF ITS GOVERNMENTAL POWERS. Nothing in this Agreement is intended, nor shall it be construed, to in any way limit the actions of the City in the exercise of its governmental powers.It is the express intention of the patties hereto that the City shall retain the full right and ability to exercise its governmental powers with respect to the Grantor,the Project, the land,and the transactions contemplated by this Agreement to the same extent as if it were not a party to this Agreement or the transactions contemplated thereby,and in no event shall the City have any liability in contract arising under this Agreement by virtue of any exercise of its governmental powers. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives as of the day and year first above written. GRANTORS: FULL NAME ---- By:Trung Tuyen Nguyen Vo STALE OF OREGON ) ) ss: County of Washington ) The foregoing instrutpent was aknowledged before me this /V day of etn , 202C) , by r c Notary Public fy r the State of Oregon • OFFICIAL STAMP /jJ/'Q,,/�02 EDGARDO ARAtDOtdADO My commission expires: ! f l NOTARY PUBUC OREGON COMMISSION NO.991417 MY COMMISSION EXPIRES OCTOBER 01,2023 SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 4 of 7 CITY: CITY OF TIG , egon municipal corporation By: Ket ny Asher, Community Development Director STA1'bOFOR�E/GO/N,t ) GIN ) ss: W County of � ) The foregoing instrume waacknowledged before me this 1gf day of / % jz' ,tp }, by fT f Notary Public `Jr the State of G iR ,4 1'l OFFICIAL STAMP Ei ARUO MALDONA0O My commission expires: /O`�t-2023_ NOTARY PUBLIC OREGON s ` COMMISSION NO.991417 MY COMMISSION EXPIRES OCTOBER 01,2023 SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 5 of 7 EXHIBIT A LEGAL DESCRIPTION OF THE PROJECT MNNW Real property in the Situated in the Northeast Quarter of Section 35,Township 1 South,Range 1 West of the Willamette Meridian,in the City of Tigard,County of Washington and State of Oregon,and being a portion of Block 3,recorded plat of TOWN OF MERGER,and being described as follows:Beginning at a point in the West right of way line of SW Jefferson Street,said point being South 0'30'00'East,150.00 feet from the Northeast corner of said Block 3:thence South O'30'00 East on said West right of way line, 50.00 feet;thence South 89'30'00 West 115.00 feet;thence South 030'00 East 29. feet:thence South 89'30'00 West 110.00 feet to a point on the center line of vacated SW Madison Street;thence North 0'30'00 WEst on said center line.94.00 feet;thence North 89'30'00 East 95.00 feet;thence South 0'30 East 15.00 feet;thence North 89'30'00 East 130.00 to the point of beginning County of,State of Oregon, described as follows: Tax Parcel Number: SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 6 of 7 r Rvmo EXHIBIT B SCHEDULE OF SDCs EXEMPTED System Exemption Amount City Transportation $15104313 Pk 40C) Parks $ Water NOT ELIGIBLE Sanitary Sewer NOT ELIGIBLE Stormwater NOT ELIGIBLE County Transportation Development Tax NOT ELIGIBLE Total Exemption $. . t D) S g...� t r� This SDC exemption is granted to the units located at the property address(es)listed below: FULL ADDRESS 10 t$ 3 S W Ze%c 4 eCc,YI St 1 ;ere) , 0g- I7 'z3 4(1 e-t) c-"1-4. c)/ ir n 41-11 FIN) t s 6-0 , SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 7 of 7 WMhlnptan coueay Oregon opn3/2ow 10:3945 AM 2004-110504 MAO$11.00 H1.00•Total II gam CK . THIS SPACE R� MhhlhiiLiijlfijijiWihiiLijiljlllllll0�"i iMan /y / ` at N4ORIe1e C�uny GrrtfKMMMnpr�uy,r,. q': .-','`; V ^�' �iIr herftw gait*the 111e"RI1t�tMtryl"MrN.. Wring WIN l7cahN Mf �rM�tn 61"T neirrM M etl� M1MY tom. M Y'_I w�. }a7 R*man,prodw +, INOMiWo County Os* "41""' After recording return to: DuyenTrung 10181RECEIVED 10181 SE Jefferson Street Tigard,OR 97223 AUG 2 2 2019 Until a charge is requested at tax statements CITY OF TIGARD shall be sent to the following address: PLANNING/ENGINEERING Trung Duyen Vo 10181 SE Jefferson Street Tigard,OR 97223 File No.:7014-455560(jim) Date: September 20,2004 STATUTORY BARGAIN AND SALE DEED Vien T Vo and Cam Van Nguyen,husband and wife,Grantor,conveys to Trungtuyen Vo,Grantee, the following described real property: See Attached Exhibit"A" THIS INSTRUMENT WILL NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING s THIS INSTRUMENT,THE PERSON ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY APPROVED USES AND TO C DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES AS DEFINED IN ORS 30.930. The true consideration for this conveyance Is$0,00. (Here comply with requirements of ORS 43.030) Dated this 2e9 day of ,20 Vien T Vo Cam Van Nguyen Page 1 of 2 1 APN:STATE OF Oregon Bargain and Sale Deed Pile Na.:7014.455560 Olm) •wntlnued Date:09/20/2004 ) )ss. ) County of Multnomah {- This instrument was acknowledged before me on this day of Jam? ,ZO by Vien T Vo and Cam Van Nguyen as of,on behalf of the. Y °FROM.SEAL Notary Public for 0 -. „ ;= JILL t M1!t.ER Mycommission . 29/06 NOTARY P'U8i1C-0REGON ' ;;~/ COMMISSION NO.393995 MY COMMISSION EXPIRES AUG.29,2008 Page 2et2 �i1I,;i��VI)11111��11 • Exhibit"A" Real property in the Situated in the Northeast Quarter of Section 35,Township 1 South,Range 1 West of the Willamette Meridian,in the City of Tigard,County of Washington and State of Oregon,and being a portion of Block 3,recorded plat of TOWN OF METZGER,and being described as follows:Beginning at a point in the West right of way line of SW Jefferson Street,said point being South 0'30'00'East, 150.00 feet from the Northeast corner of said Block 3:thence South 0'30'00 East on said West right of way line, 50.00 feet;thence South 89'30'00 West 115.00 feet;thence South 0'30'00 East 29.88 feet:thence South 89'30'00 West 110.00 feet to a point on the center line of vacated SW Madison Street;thence North 0'30'00 WEst on said center line.94.00 feet;thence North 89'30'00 East 95.00 feet;thence South 0'30 East 15.00 feet;thence North 89'30'00 East 130.00 to the point of beginning County of,State of Oregon, described as follows: Tax Parcel Number; 111111111111111111111111 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 : . Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti rd-or ov_ TO: Werth/4 -e-(2-du DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JAN 21 2020 FROM: Tn4yi el-- V 0 CITY OF TIGARD COMPANY: BUILDING DIVISION PHONE: i) 113- 6405 By. [T RE: I®i 7-9 $P e1&erci7v1 S6. .1145T 2/219- D0032. (Site Address) (Permit Number) VQ ,AbtA ' CI (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: _I 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. y.:_. Other(explain): REMARKS: Add res. Velma reuin- ,re ed/ cy fh 3, gvi}i (-aired h l 7t j:S {n k'Crm/hr��. one 6'it i"nsc,t/a/irmi U d/e- c beq/rkr r,P ch, s #i 4r 741} kJ awe odd .ci16' Zdei ors -rec.- de elr,G,. ,I 0r-� FOR OF ICE USE ONLY Routed to Perm ec an: Date: 1 ?.b?� Initials: Fees Due: Ye Fee Des 'ptio : Amount Due: $ db �. ree.J k e-- $ LI S � P $ $ Special Instructions: Reprint Permit(per PE): [' Yes 0/No ❑ Done Applicant Notified: ` _Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc 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. 74 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ii Transmittal Letter T t G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: zi/l 4l DATE RECEIVED: DEPT: BUILING DIVISION RECEIVED FROM: I nio FEB 6 2020 CITY OF TIGARD COMPANY: BUILDING DIVISION PHONE: CS(930 6f - 4940S By: '' RE: (O/71 t(Q r5 t,J 3 e�-1erc 'S�f �;e)--MO c3 (Site Addre s) (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. 6 Engineer's calculations. Other(explain): REMARKS: 1,124 418 f/ ,C9� &d/j t -D Us' S e-9 Y10.4✓ itevti 511ea r GI(c/.4,1 h.c7),) ,22 e/;6ie,4 FOI2 FFICE USE ONLY `. Routed to Permit Te Date: ' (o ioD l Initials: Fees Due: 0 Yei' N o Fee Descript on: Amount Due: $ D tir/— 1#44/ ri/Vir,t,i" $ (-\ . z---- $ Special Instructions: Reprint Permit(per PE): ❑ Yes Nov ❑ Done po _ Applicant Notified: 7, 2. —Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc