Permit (2) •
1 understand that this restriction will bind the property es en through transfers of ownership.
3. I understand that the City may verify any of the information contained in this application at any time.
4. l 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 intotmation should change prior to obtaining a
certificate of occupancy, I vtill 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.
GVel 'F;/eLt z- 6/
ro .rn, et s attire Print N Date
nit-
Property owner si .attre 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
't igard Municipal Code 3.24.O80, In accordance with TMC 3.24.080.11, the City wish- not issue a building permit or
allow connection to the Cits'`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 3.24.1)80.
';UBM..I:T COMPLETED APPLICATION TC): SDC Administrator,Finance and Information Services,City of
Tigard, 13125 SW Ilan Blvd.,Tigard, OR 97223. If dropping the application off in person, drop off at the Utility
13iJlin, (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: n' Date: ti ' 1 ( Approved by: - Date:
Amount of SDCs Exempt: Park: (' / (� Transportation: 3 /q d 9
City of'Tigard I312:) ;\ti i i.,ll lel t ii;ard,Oregon:i22.' R wat'st:tit.ard-or.eoy p 30.-718-2421 Page 1 u1.2
Washington County,Oregon 2019-093226
12/23/201911:06:23 AM
D-IRUL Cnt=1 Stn=31 RECORDS1
RETURN TO: $35.00$5,00$11 00$60,00-I Total=S111.00
13125City of Tigard
SW Hall Blvd.
I II�1 11111 0 II 019III 7 07 I II
Community I 02550560201900932260070073
Tigard,OR 97223 I,Richard Hobernlcht,Director of sssssamot end + 'a'7,;-
Taxation and Ex.Ofaelo County Clerk for Washington / , .
InCstrument
Ont of wrtinhereby r5 alvadaat the within I.'
Instrument of wilting was noaivatl errtl n ortlsd In the
book of records of said cou YA
r � +
Richard Hobernichq Director of ment and k-ii.i410'
Taxation,Ex-Offlclo County Clark
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 18th day of December,2019, by and
between Greg P.and Melissa M. Foley(the"Grantor")and the City of Tigard (the "City").
PURPOSE
The City desires to exempt the construction of an accessory dwelling unit("ADU") located at 11282 SW 78th
Avenue; Tigard, Oregon, and approved through case File No. ADU2019-00004. (the "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 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 Aieement,
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 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
CITY:
CITY OF TIG ,an egon municipal corporation
By:
Ken y Asher, Community Development Director
STA1'r.OF OREGON )
ss:
County of U/QJ1(YjDri )
The foregoing strument was acknowledged before me this is day f IaxR, , 2019 , by
Pfher
Notary Publi for the State of
4A OFFIC EDGAHDOIMALDONADO
AL STAMP
NOTARY PUBLIC OREGON My commission expires: 10/0I 25
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
A TRACT OF LAND IN SECTION 36,TOWNSHIP 1 SOUTH,RANGE 1 WEST OF THE
WILLAMEI'I'B,MERIDIAN, IN THE CITY OF TIGARD,COUNTY OF WASHINGTON AND
STATE OF OREGON,MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHEAST CORNER OF THAT CERTAIN TRACT OF LAND
CONVEYED TO JOSEPH SAX BY DEED RECORDED IN BOOK 66,PAGE 479,WHICH POINT
IS ON THE NORTH LINE OF THE GEORGE RICHARDSON DONATION LAND CLAIM NO.
55;THENCE SOUTH 0°17'WEST 1348.81 FEET TO AN INTERSECTION WITH THE NORTH
LINE OF PFAFFLE ROAD;THENCE EAS I'ERLY AND ON THE NORTH LINE OF PFAFFLE
ROAD,200 FEET,TO THE EAST LINE OF SW 78 /4 AVENUE;THENCE NORTH 0°17' EAST
110.72 FEET TO THE TRUE POINT OF BEGINNING;THEN SOUTH 88°58' EAST 125.60 FEET;
THENCE NORTH 0°17'EAST 80 FEET;THEN NORTH 88°58'WEST 125.60 FEET;THENCE
SOUTH 0°17'WEST 80 FEET,TO THE POINT OF BEGINNING.
APN#: R0282394
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 6 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 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:
Greg P. Foley
By� �
STATE OF OREGON )
q Thro ) ss:
County of V''c�5k1 )
The foregoing instrument was acknowledged before me this (9-3 day of OeCcrA6,l , 2C01 1, by
Pr3ic� nn
�'"��OFFICIAL —
,f^.. Notary Public for the State of Oreg n
ALEXANDRIA K CAPEK
NOTARY PUBLIC-OREGON
�,;',," COMMISSION NO,981286 My commission expires: ii I 2c.) 2-7-.
MY COMMISSION EXPIRES NOVEMBER 18,2022
Melissa M. Foley
By:
STALE OF OREGON )
ss:
County of tJashryipvl )
The foregoqing instrument was acknowledged before me this 2 day of 1e Cenral1a f', WIC( , by
)�e/r55 I.�.
OFFIOIAL STAMP Notary Public of r the Staten
' " ALEXANDRIA K CAPEK g
r`' NOTARY
SIONPUBLIC-OREGON Mycommission expires:� / COMMISSION NO.981286 p II
MY COMMISSION EXPIRES NOVEMBER 18,2022
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 4 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
EXHIBIT B
SCHEDULE OF SDCs EXEMPTED
System Exemption Amount
City Transportation $ 3,909
Parks $ 6,678
Water NOT ELIGIBLE
Sanitary Sewer NOT ELIGIBLE
Stormwater NOT ELIGIBLE
County Transportation Development Tax NOT ELIGIBLE
Total Exemption $ 10,587
This SDC exemption is granted to the units located at the property address(es) listed below:
11282 SW 78th Avenue;Tigard, Oregon 97223
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 7 of 7
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2019-00452
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2020
Parcel: 1S136CA01200
Jurisdiction: Tigard
Site address: 11282 SW 78TH AVE
Subdivision: None Lot: None
Project: FOLEY
Project Description: Converting an existing 703 sq.ft. two-story addition to an ADU. Issue C of 0 under new address
of 11282 SW 78th Ave. The addition was completed under MST2018-00201.
BUILDING
Floor Areas Required Setbacks Required
Stones: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $500.00 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr:
Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor:
FOLEY,GREG P Required Items and Reports(Conditions)
11280 SW 78TH AVE
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $5,465.29
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 503.232.1987 or 1.800.332.2344.
Issued By: i — � Permittee Signature: e < �c •T.,
all 503.639.417E by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential l/�'Ew E® FOR OFFICE USE ONLY
`ll City of Tigard v Received / '�J((. P,
Date/By: `f'�/ /3�� Permit No.:, 2 l'/—(40.1 7a(_
q 13125 SW Hall Blvd Tigard,Tigard,OR 97223 1 19 Plan Review
11
Phone: 503.718.2439 Fax: 503.598.1960�EE 6 20
Date/By: 12/( /4/ Other Pent `r--
Inspection Line: 503.639 4175 Datei'9
Ready/By: rims: ✓Page 2
TIGARD lIG1aRD OSeePag-e2for alk�
Internet: www.tigard-or.gov ,IT' vF Notified/Mcthod: �� Supplemental Information
- 11LDING DIVISIGN
TYPE OF WORK REQUIRED DATA:1-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
XI-Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application e
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ cDo,
RAccessory buildingNumber of bedrooms:
❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB.SITE.INFORMATION AND LOCATION Total number of floors:
Job site address: [1 2Ba Sw 1 E3 I(, New dwelling area: square feet
City/State/ZIP: T1 ed„r) J o 2_ "l7 223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: col EEq R OtJ Covered porch area: square feet
Cross streetldirecttjio� J J5(,�
ns to job site: --78'IL 4s PA i E S,'- - Deck area: square feet
® ,� ) 1T Y�-/to/ (. ,(,r,,. Other structure area: square feet
41 Sravt `( >di REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: — Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ce nvE✓ it) A�U Valuation: $�
Existing building area: square feet
New building area: square feet
.I PROPERTY OWNER ❑ TENANT Number of stones:
Name: Gy-e� IFo lei Type of construction:
Address. 3 011 se Rcjc.vt 14tA I .3 Occupancy groups:
City/State/LIP:Es eat` O t (�7da-3
/
Existing:
Phone:(93 )' +gyp.--e-I'37 1 Fax:( )
New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: �. G. - (Please refer to fee schedule)
f^' Structural plan review fee(or deposit):
Contact name: -
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Amount received.
Phone:( ) Fax: ;( )
_.._
E-mail 7M PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ll 1.-s77 -�� [T���'W� Commercial and residential prescriptive installation of
41
ONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets ofroofplan with connection details ,.
�> , r and fire department access,along with the 2010 Oregon
Address. Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
-- - and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%ofpermitfee): $21.60
CCB lie.:
Total fee due upon application: $201.60
Authorized signature: � This permit application expires if a permit is not obtained
�/ /r within 180 days after it has been accepted as complete.
Print name: y- l ki Date: h/ I' ( I *Fee methodology set by Tri-County Building Industry
1 Service Board.
I:1Building\Permits\BUP- SPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: pi 5 Tel/—00 y5`01
Site Address: I I 2-32- Svv -owl Ay-t.'
Project Name: F-Die }-pU Lot #:
(New dweig=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Cem Sp--,ice iv" A-Di-
Verify address/suite# active in Accela. $In River Terrace: 14 No 0 Yes,River Terrace Review Addendum
Site Plan Elements: Atirrosion Control
03 c.pie; of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with dri line and tree protection measures
111; 11 . o sc (standard architect or engineer scale) ❑Footprint of new s tune(including decks)and 1 Fh
■ . avow i ❑Utility loca••o 'ments (required for new and additions)
•site address, roj t or subdivision n. e d lumber ❑S.;eiri y approach
❑Applicantinformation(name an. Vv r) I ..r .4 .fwells/septic systems
❑Lot dimensions btt ig setb., .1.• ensions ,� r •Street tree size,type and location
❑Square footage Act
to be •-molished I\Vlrj 1 El Street names
❑Existing structures on site El Corner elevations(2'contours if more than 4'differential)
❑Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? fTo
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? sflEl.No
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: , Yes,applicant was notified 0 No Received: ', Yes ❑ No
XPublic Facilities Improvement (PFI)Permit:
Required: 0 Yes,applicant was notified KyNo Applied For: 0 Yes 0 No,stop intake
...la...laLand Use Case#: r 4�l�f X'-1 00- t Zoning. 2. -5-
V 7"equired Setbacks: Front: '20 Rear: (' Side: 5.1 Street Side: ' Garage: N/k-
Building Height: / Max. Height: 30 Actual Height: '�-(P
(U.]Ptandscape Area: 14 p`- °/n „ Lot Coverage Max: MLA"
Entrance I M Set b. k no re than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less
Windows ■ ' ,um 1 u of a ea of all street-facing facades
Garage ■ t . .I.- doo is b- 1lt.. widest street-facing wall ❑ Yes ❑ No,one of the following is met:
►I Poo exten./ ..>re than 5'from wall and there is a covered porch extending beyond garage.
• 'o exte.; no • ore than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
r Garage d or wid, is \\ 12'or less 0 50%or less of facade 0 60%or less and includes 7 of following:
❑ Co eyed p. ch ■ Recessed entrance ❑ Wall offset ❑ 1'Roof eave 0 Roof offset
❑ F- shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof 0 Dormer
❑ Accent siding ❑ Window trim 0 Window recess ❑ Window projection ❑ Balcony
'Visual Clearance Urban Forestry Plan
Sensitive Lands: ❑ Yes %No Type:
Conditions met prior to issuance of building permit
Notes: IN III 1r- ao AP / PXetyiPb'1 .Xe'r4-`'[LIA w Le""" ,rxen-ri.`aA.c �ra w
Approved By Planning: lvs , I..• Date: I - 10 9
Revisions (after Building Submitta1only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forn s\BldgPermitRvw RES 022819.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: r building p t#above.
Workflow Routing: Plyir ing T notes g [rmit Coordinator dvtg
Workflow Sign-off: Sign off for arming(include from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
o al plan review routing form.
g'"Uuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
Engineering Review
O Slope at building pad:
O Conditions "Met"prior to issuance of building permit
O Easements (encroachments)per engineering conditions of ap val and plat
O Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ es 0 No
LIDA Facility on lot: Yes ❑ No
❑ Final Plat Recorded:
O NOT Approved by Engineering: Date:
Notes:
O Approved by ngineering: Date:
Revisions (a r Building Submittal only) Reviewer Date
Revisi 1: ❑ Approved 0 Not Approved
vision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review 1► f2-F A ppl i C m+ i S t,/10 'to it.pp.14 ur 1 e Mk/arn''(
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant: ���///
I�DC Fees Entered: Wash Co Trans Dev Tax: E ,yes ❑ N/A
Tigard Trans SDC: des 0 N/A
Parks SDC: L7 Yes 0 N
LIDA 0 Yes N/A
/2 OK to Issue Permit CC
GX8— iow-4 reVe-e /• Date: 42/t 9��y`
Approved by Permit Coordinator: f/�
I:\Building\Forms\B1dgPennitRvw_RES_022819.docx
Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs
Please complete the following information:
Customer Name: C0 CT° ("2
Service Address: Street/Suite#: (1 /HZ-43a.. Sc� is" 't
City: Ti c5c,,,r3 State: 4fZ Zip:617 3
Phone Number: 2St -t om 9 Email: k..y 3 ,.. 1 ,('bwk
Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add.
Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point valge�tat IV E D
total. the proposed total. 1"l�[[�
Fixture Unit Current Point Current Proposed Point Propo!nC 1 6 2019
Quantity Value Total Addition Value 'dryOF TIGARD
BUILDING DIVISION
Bar sink x 1 = x 1 =
Bidet x 1 = x 1 =
Clothes washer x 4 = g x 4 =
Dishwasher x 1.5 = 3 x 1.5 =
Hose bib l x 2.5 = j11;2r,s x 2.5 =
Hose bib, each ( x 1 = i x 1 =
Kitchen sink '� x 1.5 = 3 x 1.5 =
Laundry sink x 1.5 = x 1.5 =
Lavatory x 1 = x 1 =
Water closet, 1.6 GPF x 2.5 = x 2.5 =
Bathtub/whirlpool __45_ x 4 = x 4 =
Shower stall x 2 = x 2 =
Bath/shower combo 3 x 4 = V 2 x 4 =
Current Points: (29 .5— Proposed Increase:
Current Points+Proposed Increase= I f, =New Total Points =Required Meter Size C115,
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1"
New Meter Size Needed for New Total Points: Cost: $ (see page 1)
Current Meter Size per Utility Billing: Cost: $ (see page 1)
New Meter Size Cost minus Current Meter Size Cost= $
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
*************************************************************************************
FOR OFFICE USE ONLY
Current Meter Size Confirmed with UB I)Q_r 1 V V V D (star-oily )2 I 1�o i�
Signature of UB Representative / Date
/Building/Forms/WaterMeters_070119_Add.dOCx .A.
I: Page 2
a
Branden Taggart
From: Branden Taggart
Sent: Wednesday,January 8, 2020 4:34 PM
To: foleygm06@gmail.com
Cc: #Building Permit Technicians
Subject: RE: 11280/11282 Notarized Deed: MST2019-00452 - 11282 SW 78th Ave.
Attachments: SDC ADU Exempt 1.2020 11282 SW 78th Ave.pdf; Branden Taggart2.vcf;
MST2019-00452 ADU Permit Invoice.pdf
Hi Greg,
Your permit for the ADU conversion is ready to issue now. The balance due is $5,425.66, and I have attached an invoice
above for you to reference. The permit fees can be paid online now at https://aca.accela.com/TIGARD/Default.aspx or
in person between the hours of 8:00 a.m. and 4:00 p.m., Monday through Thursday. We are closed on Fridays.
Also, If you would rather not come to the city to pick up this permit,we can invoice a $5.00 mailing fee for you to pay
online, and we can mail the permit and plans to you. The plans will need to be on site for the final inspection or the
inspection will fail. Please let me know how you would like to proceed.
Thank you,
Branden Taggart
0" City of Tigard
M,.w,..,_ Senior Permit Technician
Ti CAB CI Community Development
13125 SW Halt Blvd
Tigard,OR 97223
(5031 718-2449
brandent@tigard-or.gov
From: Greg-Melissa Foley<foleygm06@gmail.com>
Sent:Wednesday,January 8, 2020 8:21 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Fwd: 11280/11282 Notarized Deed
Caution!This message was sent from outside your organization.
Forwarded message
From: Mai Quach<maio@tigard-or.gov>
Date: Mon,Jan 6, 2020 at 3:10 PM
Subject: RE: 11280/11282 Notarized Deed
To: Greg-Melissa Foley<folevgm06C@gmail.com>
CC: Agnes Lindor< agnesl@tigard-or.gov>
1
Hello Greg,
As requested, attached is a copy of the application and recorded restrictive covenants and equitable servitude deed
restriction for SDC exemption for ADU at 11282 SW 78th Ave.Your exemption is approved. Please bring a copy of this to
the counter when you are ready to complete the permit process.
Let me know if you have any additional questions.
Thank you,
Mai Quach
City of Tigard
Finance & Information Services
Revenue Manager
503-718-2496
From: Greg-Melissa Foley<foleygm06@gmail.com>
Sent: Monday,January 6, 2020 2:49 PM
To: Mai Quach <maiq@tigard-or.gov>
Cc:Agnes Lindor<agnesl@tigard-or.gov>
Subject: Re: 11280/11282 Notarized Deed
Thank you Mai! A copy via email would be great!
Thank you!
Greg
503-250-4379
2
•
On Mon,Jan 6, 2020 at 2:17 PM Mai Quach < maic tigard-or.gov>wrote:
Hi Greg,
We received the recorded copy of the restrictive covenants and equitable servitude deed restriction for SDC exemption
for ADU at 11282 SW 78th Ave. Let me know if you want me to send a copy via email or you want to come by to pick up
a hard copy of the document.
This completes your SDC exemption for ADU and once you get the copy of the recorded document, you can show it
when you apply for your permit.
Thank you,
Mai Quach
City of Tigard
Finance & Information Services
Revenue Manager
503-718-2496
From: Greg-Melissa Foley<foleygm06@gmail.com>
Sent:Tuesday, December 31, 2019 11:00 AM
To: Agnes Lindor<agnesl@tigard-or.gov>
Cc: Mai Quach <maiq@tigard-or.gov>
Subject: Re: 11280/11282 Notarized Deed
Thank you! I just spoke with Washington county records and they expect the original document to get mailed out to
the city of Tigard next Monday.
3
On Tue, Dec 31, 2019 at 9:15 AM Agnes Lindor< agnesl@tigard-or.gov>wrote:
Hi Mai-
Can you please responds to Greg below?Thanks,
Agnes Lindor I Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
ii
Email:AgnesL@tigard-or.gov
From: Greg-Melissa Foley<foleygm06 r@gmail.com>
Sent:Tuesday, December 31, 2019 9:03 AM
To:Agnes Lindor<agnesl@tigard-or.gov>
Subject: Re: 11280/11282 Notarized Deed
Hello Agnes,
I dropped off the paperwork for Mai Quach to review last week she was not available and on vacation but they said
they would give it to her.
I called her yesterday and left a message to see if she received it had a chance to review yet. I know with the holidays
it might not be until next week.
Let me know if you need anything else from me.
4
Thanks again for your help!
Greg
503-250-4379
On Mon, Dec 23, 2019 at 11:53 AM Greg-Melissa Foley<foleygm06@gmail.com>wrote:
Will do.Thank you
On Mon, Dec 23, 2019 at 11:50 AM Agnes Lindor< agnesl@tigard-or.gov>wrote:
IYes,you will need a copy to bring in with the application.Thanks,
Agnes
From: Greg-Melissa Foley<foleygm06@gmail.com>
Sent: Monday, December 23, 2019 11:47 AM
To:Agnes Lindor<agnesl@tigard-or.gov>
Subject: Re: 11280/11282 Notarized Deed
Understood.Are you guys able to print the notarized document for me there or will I need to go print it elsewhere
and bring it in?They did not give me a copy to take back with me from Washington County.
On Mon, Dec 23, 2019 at 11:22 AM Agnes Lindor<agnesl@tigard-or.gov>wrote:
'' Sounds good,you need to submit the application form with all of this to Mai in Finance.Thanks,
Agnes Lindor I Associate Planner
City of Tigard I Community Development
5
•
' 13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
E I Email:AgnesL@tigard-or.gov
f
` s
l
From: Greg-Melissa Foley<foleygm06@gmail.com>
Sent: Monday, December 23, 2019 11:17 AM
To:Agnes Lindor<agnesl@tigard-or.gov>
Subject: 11280/11282 Notarized Deed
Here is a copy of the notarized deed that was recorded with Washington County today. Washington County is
mailing it to city of Tigard the original document.
}
Greg
503-250-4379
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested,
i I e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails
are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records
Retention Schedule."
6