Permit CITY OF TIGARD MASTER PERMIT
IN I COMMUNITY DEVELOPMENT r / Permit: MST2020-00076
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /°7 `� Date Issued: 04/15/2020
T r CaAltf7 9 Parcel: 2S103DD00402
Jurisdiction: Tigard
Site address: 10603 SW FAIRHAVEN ST
Subdivision: FAIRHAVEN COURT Lot: 2
Project: WHALEN
Project Description: New 680 sf detached ADU.WATER METER UPSIZE to 3/4"REQ'D PRIOR TO FINAL.7/7/2020:
Change contractor. 8/27/2020: Add (1)320 amp panel&electrical contractor.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 680 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: 680 sf Value: $83,272.80 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 1 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0
Electricity Heat Pump: Y Hoods: 1 Other Units: 0
Fum<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: 1 201-400 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-3 680
Owner: Contractor:
WHALEN,MICHAEL W QUINBY CONSTRUCTION LLC Required Items and Reports(Conditions)
10605 SW FAIRHAVEN ST 264 EMMA LANE 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 NEWBERG,OR 97132
PHONE: PHONE: 503-899-9221
FAX:
Total Fees: $12,566.77
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 0 952 00011�690. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.3
Issued By: �✓' !ma -- Permittee Signature: w /.3`L'7 ON/
Call 503.639.4175 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.
Electrical Permit Application RECEIVE rFOR OFFICE USE ONLY
City of Tigard JUL 0 8 2020 Date/B Received /,7 kV 4) 120 14,.....
m 00O7
Permit
" I
III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960C1TY OF TIGARD Dared . Related Permit#:
Inspection Line: 503.639.4175 IiLDING DIVISIO Ready Date/By: Saris: ® See Page 2 for
TIGARD. Internet: IA,ww.tigard-or.gov Notified/Method. Supplemental Information
TYPE OF WORK PLAN REVIEW
D New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w,/items checked):
El Service or feeder 400 amps or more ❑Building over three stories.
O Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
,,;- CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® I-and 2-family dwelling 0 CommerciaUindustrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
°' - ❑Addition of new motor load of system.
Job#: Job site address:10603 Sw Fairhavent St tooHPormore. ❑"A","E","1-2","I-3",
City/State/ZIP:Tigard, OR 97223 ❑Six or more residential units. occupancy.
g ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Mike Whalen ADU ❑Hazardous locations. ❑Supply voltage for more than
El Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: It' FEE c,, IMpi_lI^,,E
r~V Description i Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
,_ DESCRIPTION OF WORK Limited energy,residential
75.00 2
master permit: MST2020-00076 -wiring for an ADU (with above sq.ft.)
Limited energy,multi-family 75.00 2
upgrade to 320amp service. 4-dd-A., p 1 ,-' j�-644 d' residential(with above sq.ft.)
TENANT. s Renewable Energy ❑ See Page 2
❑ PROPERTY OWNER 0 TEN ,,,,,,,i;.,;,y,r;, Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
201 amps to 400 amps Address: i 133.56 151,5 Y 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less ,f 00-P 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, 201 amps to 400 amps ^ " 125.08 125.08 2
Owner signature: Date: 401 amps to 599 amps ,f_ 168.54 2
Ilt ❑ APPLICANT ❑ CONTACT'PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:JRA dba Frahler Electric Co above service or feeder fee, 7.42 2
each branch circuit
Contact name:Justin Kau B.Fee for branch circuits without
Address:11860 SW Greenburg Rd bran h rcu feeder fee,first 56.18 2
City/State/ZIP:Tigard, OR 97223 Each add'I branch circuit 7.42 2
503 639 4673 Miscellaneous(service or feeder not included)
Phone:(503 )639-4627 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:justin@frahlerelectric.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.:197172 Electrical Lie.:C861 Suprv.Lie.:5110s specifically listed(1,hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Al ��Ki Subtotal: 8 j 33 5,
1
Print name:Adam Etherington Date: /08/2020 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 1 ((p 10
Authorized signature: TOTAI.PERMIT FEE: liatel-
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete. u Gr 5_f
• Number of inspections allowed per permit. ill-1
I;Building'Permits1ELC PermitApp ELR_ERE doc Rev 06/172015 440-4615TQ I/05/COM/WEB
Electrical Permit Application —City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
nescription I Qty. Each
Fee for all residential systems Re combined: S75.00 Renewable
wable electrical energy systems:
Check Type of Work Involved: 5 kva or 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90 00/hr
specifically listed('k hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 allows Subtotal(enter on Pagel)
•
*
(SEE OAR 918-309-0000) Number of inspections allowed per permit.
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
�] HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I/Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
Julie Drinkwater
From: Justin Kau <justin@frahlerelectric.com>
Sent: Wednesday, July 8, 2020 2:50 PM
To: #Building Permit Technicians
Subject: add to master permit
Attachments: master Permit_Issued_Mike-Whalen-ADU (2).pdf; mike whalen electrical permit app.pdf
Caution!This message was sent from outside your organization.
Hi, we have a customer who has pulled a master permit:#MST2020-00076. We need to add our electrical info onto his
permit. We also want to add a 320-amp service to his permit—he will be paying for it. Attached is a copy of both the
master permit and our electrical permit application. Please let me know if we need to do this differently.
Thank you,
Justin Kau
Frahler Electric
503-639-4627 ext: 103
11860 SW Greenburg Rd
Tigard, OR 97223
1
CITY OF TIGARD MASTER PERMIT
111 i1 ' COMMUNITY DEVELOPMENT Permit#: MST2020-00076
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �� P s Date Issued: 04/15/2020
Ttc \ItD 9yt �" Parcel: 25103DD00402
7 '7 1 Jurisdiction: Tigard
Site address: 10603 SW FAIRHAVEN ST
Subdivision: FAIRHAVEN COURT Lot: 2
Project: WHALEN
Project Description: A new 680 sq.ft.detached ADU. WATER METER UPSIZE TO 314"REQUIRED PRIOR TO
BUILDING FINAL. 7/7/2020: REPRINT permit to change contractor.
BUILDING
Floor Areas Reaulred Setbacks Reauired
Stories: 1 Bedrooms: 1 First: 680 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: 680 sf Value: $83,272.80 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 1 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 1 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr. 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Tvoes Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0
Electricity Heat Pump: Y Hoods: 1 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo SrvclFeeders 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 SvclFdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-800 amp: 0
601-1000 amp: 0 801+amp-1000v: 0
1000+amp/voft: 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-3 680
Owner: Contractor:
WHALEN,MICHAEL W QUINBY CONSTRUCTION LLC Required Items and Reports(Conditions)
10605 SW FAIRHAVEN ST 284 EMMA LANE 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 NEWBERG,OR 97132
PHONE: PHONE: 503-899-9221
FAX:
Total Fees: $12,417.18
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throu OAR 952-001-0090. You_may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:�;-�t��/Yr2Z.a--- PermitteeSignature: Orl/ �/ -/el770^ /
Call 603.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
--e-teanl
Buildinz Permit Application �-
I ,i r'
Residential JUN 2 s 2020 . ._ , ;110.Lfutic aiciA153 - ,4
'Ito c„ee
City of Tigard tt•�-"IV O i i ar�.Ci� oa,rrt,y 7/7/i L di( ram*N�.$l Zc`2: -t1C0 71ci
I i t 25 SW Hall Rh J,Tigard,OR 9723} p�(''� Ptan Revrw Other►omrm 1111P PMne coS:Ia2a19 Fait $03$9a 1960)[iAG Di'Jisic: .bard?,..
mutt., Inspection Line 501.619.4175 - -Mae Ready'Ry —hr. f0 see►ar a tar
N
1nlemel. i ww tigard-ty goV vn6cd7Acihod_ aypieratd lafsautba
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
Ncw construction ❑DemolitionPermit fees*arc based on the value of the work performed.
i Indicate the value(rounded to the nearest dollar)of all
1 O.Add,uo rCalterauomreplacement 0 Other: equipment.materials,labor,overhead,and the profit lot the
CATEGORY OF CONSTRUCTION work indicated on Ous application.
•dwelling Valuation: I
cj I-and 2-family B ❑Commcrciel'industriol
❑Accessory bui:ding 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION,f AND LOCATION Total number of floors:
Job site address: "0403 S4tl F/ttl11IAY6N Cr- New dwelling area: square feet
City StateiZIP: T b4 fl Garage/carportZi 3 area: square feet
SuiteUldg'apt no.: I Project name: 4 i0.4.1_6,V Alp u Covered porch area: square feet
Cress street/directionsto job site. /J r,r•V S Deck area: square feet l
�v/ Other structure area. square fay
REQUIRED DATA:COMMERCIAL-USE CAEE
Subdivision: Lot no.: Permit fees are based on the value of the work perfor,,.ed.
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.
,G2AME F( - CUt.Y6 �yvg7a✓S t L7-6,1 S.r Valuation: S
�r�2r' L r Existing building area• square feet
vr2/l��Dn,cS �o�- �Dd . Fdu�vOr9TZbN
�1Z Y doMF3.E rr. Ncw building area: square feet
(ta"PROPERTY OWNER 0 TENANT Number of stories:
Name' AI`:t4L L}� ,(/ Type of construction:
iAddress: /a4/) s-- slt) 4494✓bv cT.- Occupancy groups:
CityState•ZIP: 7 ,gr2n 194 972Z
3 Existing:
Phone:(et7( ) 298 N e) Fax:( ) New:
0 APPLICANT J 0 CONTACT PERSON BUILDING PERMIT FEES-
Business name (Ptrare refryroh.,raeg„!y
Structural plan review fee(or deposit):
Contact name: I
FLS plan review fee(if applicable):
Address:
CityState-ZIP: Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES•
‘,�,/ Commercial and residential prescnptive inaaltauon of
W CONTRACTOR
��llff /� roof-top mounted PholoVoltai:Solar Panel System
Business name: O,rNB V L'D 7-4Y���j non/, 2. G Submit two(2)sets of roof plan with cone lion details
Address ,Od�� S and fire deparonem access,long with the 2010 Oregon/JC• tpv/cs r e \ 2_s / Solo,/nmuliutinu. crinln•Cafe checklist.
Cury'StateZiP: v C,,
V 3 6e-- i 9.7/3 Z Pemul Fee(Includes plan review SI RO 00
and administrative fees):
Phone: ,)SI69
L
yS Tex:( ) State surcharge(12%of permit fee): S21 n0
Total fee due upon application- P_01 60 J
Authorized signature' v Tlib permit apphnrwn expires if•permit is me•t nMeiard
���"' j within Igo days*her it has hero accepted as complete.
Print nme' '-r 1. f ktCi.S.a1 Date G/L3 j?A •Fee ice Board methodology set by To-County Uuilding industry
1.tBuilding\Pemnits1BUP-RESPermitApp.doe 02/24.2011 440-4613T(I 1/02/COM/WEB)
1
i
Dianna Ornelas
From: Michael Whalen <michwmichw@gmail.com>
Sent: Tuesday, June 23, 2020 7:25 PM
To: #Building Permit Technicians
Subject: Whalen ADU contractor update
Attachments: Whalen_ADU_updated_permit.pdf
Caution!This message was sent from outside your organization.
Hello,
Permit# MST2020-00076
The foundation is finished on the ADU. For the framing/trusses/roofing/windows I'm going with a different
contractor. Attached is a building permit with the new contractor information. Let me know if there is additional
information required.
Thanks,
Mike
1
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00076
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2020
Parcel: 2S103DD00402
Jurisdiction: Tigard
Site address: 10603 SW FAIRHAVEN ST
Subdivision: FAIRHAVEN COURT Lot: 2
Project: WHALEN
Project Description: A new 680 sq.ft.detached ADU. WATER METER UPSIZE TO 314"REQUIRED PRIOR TO
BUILDING FINAL AND CERTIFICATE OF OCCUPANCY.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First: 680 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 12 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors:
Total: 680 sf Value: $83,272.80 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 1 Washing Mach: 0 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: 1 Hose Bib: 0 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0
Electricity Heat Pump: Y Hoods: 1 Other Units: 0
• Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
-- - - Residential Unit Service Feeder Tema Srvc/Feeders Branch Circuits
1000 of 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-3 680
Owner: Contractor:
WHALEN,MICHAEL W JOSH JONES CONSTRUCTION LLC Required Items and Reports(Conditions)
10605 SW FAIRHAVEN ST PO BOX 5777 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 ALOHA,OR 97007
PHONE: PHONE: 503-568-3937
FAX:
Total Fees: $12,417.18
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- 090. may obtain py of the s or direct questions to OUNC by calling 503.233 987 or 1.800.3322.23J444.
Issued By: iro Permittee Signature: / �� /�' _///� e't
Call 603.639.4176 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.
B iilding Permit Application
' Residential RECEIVED FOR OFFICE csl:ONLY
City of Tigard �✓ Received
. IIDate/B : , Si �, ,
11
NI 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 2020 Plan Review i
Phone: 503.7182439 Fax: 503.598.1960 Date/B : t Other Permit:
TIGARD Auk
Inspection Line: 503.639.4175g CITY OF TIGARD Date Ready/By: �� ® See Page 2 for
Internet: www.ti and-or. ov ��lut1V P I1l�tl4fZ Notified/Method: M Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
EriKew construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead and the profit for the
,� CATEGORY OF CONSTRUCTION work indicated on this application. titS,2,
Ly t-and 2-family dwelling 0 Commercial/industrial Valuation: $ Z S I 6013
0 Accessory building 0 Multi-family Number of bedrooms: /
❑Master builder ❑Other. Number of bathrooms: 1
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /j 0 51) FArtahi6v6,/ •br-; New dwelling area: 660 square feet
City/State/ZIP: r.S potfl 1 012_, c 72Z 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: um 1QL , A.p U Covered porch area: square feet
Cross street/directions to job site: 1 t 1 Ar S Deck area: square feet
Ti 15-472-.6 7 24 st/S PO IWT/9-7-7(J'A.) f P f S SbCJ Other structure area: square feet
t >.T9PT, REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 5 to '3 D,J(�t ADZ Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
6°t 'S 61O SG DESCRIPTION OF WORK work indicated on this application.
465RF AD ie kl.F a-�-t- Valuation: $
//091 EP, f�16i -&12-. t l/ec ZE, 7O //A 7g-yL. LE-at-fa-EA Existing building area: square feet
/-/4 e/4 7V ;3f,[!L A(nlI!r , ' r.9-e_ e Q,f 61 r -- New building area: square feet
NI4OPERTY OWNER 0 TENANT Number of stories:
Name: Mrc.4.71 A4E2_ U 4t.E.J(J Type of construction:
Address: 1c4,o S .Si) FA4rz-i q Vie-4/ ST'• Occupancy groups:
city/State/ZIP: 7 2. ,4/2.1) 012- 9'722-3 Existing:
Phone:q7/ ) 2.4%3 .-- 9013,41 Fax:( ) New:
NI/APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: M ,il y iiiN A ye,v
FLS plan review fee(if applicable):
Address: /0177S--- 1 PA4T 4YeV 5T• ��//
�x&i�qp 8,2 77223 Total fees due upon application:SA 4f S(
City/State/ZIP: a `r 3A• I.0
Phone:(711 ) 2- !0¢9 Fax:::( ) Amount received:
E-mail: 4 jG}1 yv r$41?-kkt/ l'4011 G •GD wi PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: • D �.S 1O(LGS COR$ f U c>! •�OA1 �' Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1 Aisy S 7 7 7 Solar Installation Specialty Code checklist.
City/State/ZIP: / ,O /� Permit Fee(includes plan review
d�a Ug �t)t7lD and administrative fees): $180.00
Phone:(573) '3 g 3 7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: aD 5$3 1 I 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.
Print name: cm L, V p•1 5+ Date: 3,_/-� *Fee methodology set by Tri County Building Industry
Service Board.
1:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
Building Permit Application Checklist r
One- and Two-Family Dwelling FOR OFFICE I '.r ONLY •
City of Tigard Received
a
Permit No.:
u 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 CI Electrical 0 Plumbing 0 Mechanical
T I Ci h li l) Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es No y/.-).
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0
3 Verification of approved plat/lot. ❑ ❑ 0
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. 0 ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ 0 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 0
architect licensed in Ore.on and shall be shown to be applicable to the rro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑. ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Application I OR (,tI I( I t "t:ONLY
CityofTigard and RECEIVE Received
= Date/B Permit#:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 MAR 2 2020 Date/B : Related Permit#:
T I G A R D Email: TigardBuildingPermits@Tigard-or.gov Ready Date/By: lu<is: P7 See Page 2 for
Inspection Line: 503.639.4175 Internet; il�°�,t' dryi'4g , Notified/Method: Supplemental Information
9 7 ;; 5 111.iY+t I,f�1
tq�/, TYPE OF wow!!DING DIVISION PLAN REVIEW
ky 1V ew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
Cifil and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fine pump.
0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: /0603 51:i F h.j¢l9J sr: 100HP or more. ❑"A","E","1-2","l-3",
City/State/ZIP: T�� � on_ J p,�Z 2 3 ❑Six or more residential units. occupancy.
'r 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: lProject name: ( ' LW A ) 0 Hazardous locations. 0 Supply voltage for more than
III��.T'��� ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ( 14YT-NS FEE SCHEDULE
Description I Qty. I Each I Total 1 •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less i 168.54 4
s�d3 bp
��o Ea add'1500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
UN MAOAMPS Fo..bm PArevt-po-Y Ti, AN/. rIgLL Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
SE2VLGy� Fi+VEL 14d llJr2E Mu, Renewable Energy 0 See Pa e 2
EL/PROPERTY OWNER El g
.n Services or feeders installation,alteration,and/or relocation
Name: it L ZL)4t4-A.-L f/) ^'t Al 200 amps or less 100.70 2
Address: to/o S 31,,..) � �v� 201 amps to 400 amps 133.56 2
(t� 401 amps to 600 amps 200.34 2
City/State/ZIP: j 1,,A26 Ole 977.2-3 601 amps to 1,000 amps 301.04 2
Phone:MI ) 24gg -90 b 4 Over 1,000 amps or volts 552.26 2
( Temporary services or feeders installation,alteration,and/or
Email: Vttl;` iA) IAA
. 1.4) g_ ma; t2.0 '1I'I relocation
Owner installation:This installation is being mad on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease sty exc ge,sac ordin to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: ,j,/x/.Zp y p 401 amps to 599 amps 168.54 2
APPLICANT El CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name: /t q4 z lap A�A/ B.Fee for branch circuits without
Address: ADS s- C ski zi-h4 v V �2.-• service or feeder fee,first
J r1`F�- branch circuit 56.18 2
City/State/ZIP: M&A nil oft_ 6r?-2 Z.3 Each add'l branch circuit 7.42 2
q Miscellaneous(service or feeder not included)
Phone:( t7/ ) z 9 —lobQ
Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: l4�I 1 G f f A)A4 j'L k 6L yjrja j 1 .GO pvi Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) investigation(I hr min) 90.00/hr
E il: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('/=hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:1Buiddingl Permits tELC_Pern6lApp_ELR_ERE.doe Rev I0/26/2017 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total I
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar 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
552.26 2
with OAR 918-309-0040)
'Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/s hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
11Boi1diug\Permits ELC PermitApp_ELR_ERE.doc Rev 10/26/2017
Mechanical Permit Application FOR OFFICE USE ONLY
City of ��C�y]e�Dat y:
Tigard C V C Receeive Permit No.:
111 II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.7182439 Fax: 503.598.1960 2 DateiBy,, Other Permit:
j i t I,j, Inspection Line: 503.639.4175 MAR 2020 Date Ready/By: Jurie: ® See Page 2 fur
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
''fre OFTIGAfil..
TYPE OF WcJIW NG DIUISIOw COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
,!! Mechanical permit fees*are based on the value of the work
a ew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 7 i d 0 6?
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
"iand 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
El Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: Mb o3 .ci j i t2 eWeAlf Sr Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7r 6..A21 l ofL ?72 2.3 Furnace 100,000+BTU(ducts/vents) 54.91
SuitePoldg./apt.no.: Project name: ^ Heat pump ( 61.06
�f ih4�F�V !fU lJ Duct work 23.32
Cross street/directions to job site: (A)kr v...rw S 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
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: i 03 DO CLjb 2 Water heater 2‹, 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
L/Srigl_I, Nt S b r i 1,d ierJL.J. 4:ri2 f &4-hi✓hioAil fireplace ?4� 23.32
Log�x4.41/4.7-- &Dr)" 4/l v6g 1 6z. .. rrt_rL.. / /4.6 Wood/pelletstoter 23.32
Fox.
stove 33.39
r C A/ki,t. Co i/ 7i [Grro AV X1D ij Wood fireplace/insert 23.32
�/ Chimney/liner/flue/vent 23.32
PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: //, 4L 1/�4 N Range hood/other kitchen
Address: ! ` / , equipment 1 33.39
�o - 6Ir/ Fl feiv�/ Sr- Clothes dryer exhaust ‹ 33.39
City/State/ZIP: 7-57:-. ittya OA- jL i3 Single-duct exhaust(bathrooms,
l toilet compartments,utility rooms) l 23.32
Phone:(771 ))�Zl�,j� - 1��1/,C, Fax:( ) Attic/crawlspace fans 23.32
Ld/4PPLECANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: 4/006 J4E4 / J,L,[ A, Furnace,etc.
Address: /0be s- ejty F (4re ,I n/V/��y�,. sr', Gas heat pump
r"'t`+Tr"r Wall/suspended/unit heater
City/State/ZIP: r=v A.,ezti 0 91 zZ3 Water heater
Phone:(TN ) 2,5g _70 6 q Fax::( ) Fireplace
/ Range
E-mail: U✓l)L-lil Uf 1411 C 14 1-0 eA 04 1 1 , L.O.0 Barbecue
CO OR Clothes dryer(gas)
Business name: Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE
This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ivzt",1_ * Fee methodology set by Tri-County Building Industry Service Board
Print name: /'/,e-MEi. W/f4LE.4/ Date:,342 fz0.20
I:\Buadmg\Permits\MEC PermitApp_040113.dot 440-4617T(1 I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Buildmg\Permits\MEC_PermitApp_040113.doc 2
Plumbing Permit Application 0
Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
114 = • Date/By: Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 2020 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 i iif OF TIGARD Date Read /B
Internet: www.tigard-or.gov ,, - - ,., s
y o' hub:: See Page Supplemental2 Information
Notified/Method:
� TYPE OF WORK FEE* SCHEDULE
I,.,_,
New construction ❑Demolition For special information use checklist.
Description Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath / 312.70
VI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: jok 43 Suf F laAVFiv Sr.
Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: '7'.C&14rt D2 91Z2 3
! Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt,no.: I Project name: LV/t.9L6 v A) Manufactured home utilities 50.03
Cross street/directions to job site: 1 t )i4r�SNC� Manholes 18.76
✓ Rain drain connector 18.76
Sanitary sewer(no.linear ft.:La)) Page 2
Storm sewer(no.linear ft.:/DO) Page 2
Water service(no.linear ft.:/DD) Page 2
Subdivision: Lot no.:
Fixture or item:
Tax map/parcel no.: 2 5 j 0 3 nO Coyly L Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
p, q� Clothes washer 25.02
RIM, 14) / Fn- /l 12Ti1/142-`c l C rV V� • gt ti."trt'� Dishwasher I 25.02
1--Ale. �atd el ig-02• /TLU 7 M/i ta,r-i /iv• 0C1 b'/V6r-r Drinking fountain 25.02
0 £X.23tr4/1 SL_,tltl. l r-'y6 - Ejectors/sump 25.02
OWNER 0 TENANT Expansion tank 12.51
Name: A/�� 6 ) /� E4/ Fixture sewer cap 25.02
/v` � 1_ (N Floor drain/floor sink/hub 25.02
Address: /dt 0c- 5w 1741/ sT` Garbage disposal I 25.02
City/State/ZIP: "r-riv 44 D4 9Z�3 Hose bib 25.02
Phone:(77/ ). /7 9) -- dO f 4 Fax:( ) Ice maker I 12.51
t,g APPLICANT L' 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) Page 2
Primer 12.51
Contact name: /yJ,re„..)441... 6r /,L eN�f' i Roof drain(commercial) 12.51
Address: l�be 5- ,5•14/ cAryeoli1,wEvsr. _ Sink/basin/lavatory 2. 25.02
City/State/ZIP: T�b►9a2.8 02 / 722 3 Solar units(potable water) 62.54
Phone:(q-71 ) Z?g _7o6? Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:
14,11c.:.4 4.1 1/ 1 r_11l4,/ _g ii4a i 1 .co i44 water closet 1 25.02
CONTRACTOR
Water heater l 37.52
Business name:
Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: li / TOTAL PERMIT FEE
O This permit application expires it a permit is not obtained within 180 days
Print name: /v/FGAgr�Lz, ljjt sl LeN Date: $/3.
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:1Buildi°gTenuits\PLMU-PetmitApp.doc 10/01/09 4404616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard •
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/1u 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Replace/ Please check all that apply.
Fixture Type for PP Y•
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator ❑ Any multipurpose fire sprinkler system.
Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
3,. Isometric or Riser Diagram
4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Iav/Bar non-food related
-Bradley
-Com/Serv/tltil food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
City of Tigard
71 N COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: /"? -,,,269.19—cal
" - 6,
Site Address: /0Ze03 Ylv IrAvven '
Project Name: )Ao len ,✓j k_ Lot #:
Planning Review A
Pro. ssal: A3?0 cXo 60 '1 14
LTA Verify address/suite#active in Accela. OI '-n River Terr ce: V No 0 Yes,River Tetrace Review Addendum
Sitre Plan Elements: Y'lErosion Control
Jcopies of site plan on 8-1/2"x 11"or 11 x 17"paper Ifl, -tained trees with drip line and tree protection measures
fxawn to scale(standard architect or engineer scale) v otprint of new structure(including decks)and FFE
orth arrow A/J .i'ty locations&easements (required for new and additions)
lA91 a address,project or subdivision name and lot number 74 Sidewalk/driveway approach
plicant information(name and phone number) •
, IIN�i.cation of wells/septic systems
ili .t dimensions and building setback dimensions 1 'U :eet tree size,type and location
P. •uare footage of buildings to be demolished u S eet names
J Existing structures on site V1Corner elevations(2'contours if more than 4'differential)
04t6t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes NJI��
n -ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes o
Clean Water rvices—Service Provider Letter(lot platted prior to 9/10/1995):
equired: s,applicant was notified 0 No Received: Yes .ZG No
Ur Water Meter tune Unit Worksheet-Additions,Remodels and ADUs
quired: 01 Yes,applicant was notified 0/No Received: `',es 4❑ No
NJ SDC Exemption for ADU applied for: IA Yes ❑ No Received: ing Yes :/❑ No
" ublic Facilities Improvement (PFI) Permit: /
4nwired: 0 Yes,applicant was notified 'J No A ed For: 0 Yes ❑ No,stop intake
ci Use Case#: ANA-2 Ci q — 600/S' Zoning: R-g.
VJ required Setbacks: Front: e00 Rear: / Side: K— Street Side: #3Y14-- Garage: 09/
all Building Height: Max. Height: S. Actual Height: /
Landscape Area: % of Coverage Max: °,
Entrance et back no more than 8'from street-facing wall 0 Parallel to eet or offset 45 degrees or less
Windows ❑ . . 12%of area of all street-facing facades
Garage 0 Garage door' •-hind widest street-facing wall �T LI Yes 0 No,one of the following is met:
O Door extends n. ore than 5'from wall an - - is a covered porch extending beyond garage.
O Door extends no more . : . 5'from w- • there is a 12 sq ft.window above garage on 2.d floor.
0 Garage door width is 0 12'or less .21 50%or less of facade ❑ 60%or less and includes 7 of following:
O Covered porch 0 Rece :-. entrance 0 Wall offset 0 1'Roof eave 0 Roof offset
O Fire shingles • ap Siding ❑ Roof p -. ❑ Gable,hip,or gambrel roof ❑ Dormer
O Accent sidin• ❑ Window trim 0 Window ; ess ❑ Window projection 0 Balcony
Visual Clearance OKUrban Forestry an
15W ensitive Lands- 0 'Yes 02 No Type:
b3V onditions met prior to issuance of building permit
7.-:--
Approved By Planning: — Date: 2—C7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:1BuildinglFonns\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: " ,/,279r)
Site Plans: #
Building Plans:
Building Permit#: nter building permit#above.
Workflow Routing: E l�a Wing I�1~;ngttteering ermit Coordinator IU—Btfi[dtng
Workflow Sign-off: h,�." i��gn-off for Planning(include notes from planning review)
Route Application Documents: ;ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
opal plan review routing form.
'. ' wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: ®/ /1-a
ij
Engineering Review
C'Slope at building pad: 2, 6Z
G2-Conditions "Met"prior to issuance of building permit rt �c-
Ga'Easements (encroachments)per engineering conditions of approval and plat "7/'
Ld Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes. 2/No
Assess Water Quantity Fee in-lieu: 0 Yes CJ/Slo
LIDA Facility on lot 0 Yes 0/No
Er Final Plat Recorded: r/�
❑ NOT Approved by Engineering: Date:
Notes:
C Approved by Engineering: � �i 6 Date: 3,17 /2zioe,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑_Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Permit Coordinator Review
'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:
.. SDC Exemption: la"Received 0 Does not apply
lEt'SDC Fees Entered: Wash Co Trans Dev Tax: 'Z1,Yes 0 N/A
Tigard Trans SDC: 0 Yes yi N/A
Parks SDC: 0 Yes . N/A
LIDA ❑ Yes .r N/A
It OK to Issue Permit
Approved by Permit Coordinator: Aj (n/. Date: 3I 101W
I:1Building\Forms\BIdgPermitRvw_RES_122419.docx
Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs
Please complete the following information:
Customer Name: /`l 1-44E� 0/42 64/
Service Address: Street/Suite #: /O , 5— .L/ F;i241/6/1/ ST•
City: %�GyfyLQ State: OR, Zip: l777ZL3
Phone Number: 9'7/ 2 is 9 Email: l�li#Jfa/ Mi�/�16v@1q i/ •f Go
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 value to arrive at
total. the proposed total.
Fixture Unit Current Point Current Proposed Point Proposed
Quantity Value Total Addition Value Total
Bar sink x 1 = x 1 =
Bidet x 1 = x 1 =
Clothes washer ( x 4 = 4 x 4 =
Dishwasher I x 1.5 = /,5— / x 1.5 = / ,S
Hose bib t x 2.5 = z, x 2.5 =
Hose bib, each 1x 1 = / x 1 =
Kitchen sink / x 1.5 = /.S' / x 1.5 = /,5-
Laundry sink x 1.5 = x 1.5 =
Lavatory 4/ x 1 = if / x I = /
Water closet, 1.6 GPF 3 x 2.5 = 7, / x 2.5 = 2. 5—
Bathtub/whirlpool x 4 = x 4 =
Shower stall ) x 2 = Z 1 x 2 = Z.
Bath/shower combo / x 4 = tt! # x 4 =
Current Points: ZU Proposed Increase: 8,S
Current Points+Proposed Increase= 36.S =New Total Points =Required Meter Size 3/41 „
Meter Sizes: I to 30 points=5/8" 30.5 to 37 points='A" 37.5 and over points= 1"
New Meter Size Needed for New Total Points: 3�y aCost: $ 131 41 25 (see page 1)
Current Meter Size per Utility Billing: CA Cost: $ q l 40 6 (see page I)
New Meter Size Cost minus Current Meter Size Cost= $ qr bf`f
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
FOR OFFICE USE ONLY
Current Meter Size Confirmed with UB
Signature of UB Representative Date
t:/Building/Forms/WaterMeters_070119_Add.doCx Page 2
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
711 . Water Meter Fixture Unit Worksheet
TIGARD For Additions /Remodels /ADUs
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
LOCATION: City of Tigard-City Hall WATER METER SALES:
Utility Billing By Appointment Only: 503-718-2460
13125 SW Hall Blvd. Monday—Thursday, 9 a.m. to Noon
Tigard, OR 97223
METER: SIZE: FEE: Pricing effective 7/1/2019
5/8" $9,406.00 Fee includes:
3/4" $13,425.00 water system development charge,
1" $24,645.00 water meter, and
1-1/2" $72,969.00 meter installation fee. DECEIVED
2" $118,163.00 �1
MAR 2 3 2020
CITY OF TIGARD
DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS BUILDING DIVISION
City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon
Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the
variety of home sizes built in the Tigard area, we count the fixture units of all homes to determine the
appropriate meter size.
Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed
increased number of fixture units, which will determine whether an increased meter size will be required.
Submit this signed worksheet with your building or plumbing permit application submittal.
DOCUMENTATION
Once you are ready to purchase the new meter,please provide the following items to the Utility Billing
counter:
• Completed water meter fixture unit worksheet for additions, remodels,ADUs, etc. (on back page).
• Copy of building or plumbing permit application date-stamped by building division.
• Copy of issued building or plumbing permit.
Your fixture count will be verified and your request will be processed upon receipt of these documents.
No exceptions.
INSTALLATION TIME
Once the upgraded meter size has been purchased, please contact Public Works for installation. Their
number is 503-718-2591. Most meters are installed within 10-14 business days.
1:/Building/Farms/WaterMeters_070119_Add.docx Page 1
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: A L L `(SD A/ )4/ ST p I/(', DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
�j/J MAR 2 3 2020
FROM: /�"`iC-1Ii L G�¢f4J„E.t/ CITY OF TIGARD
BUILDING DIVISION
COMPANY:
PHONE: 9/l - 20'0 "
RE: /060 . I Mi-i4-1 ?/ t/ l MS%R2z.c•
(Site Address) (Permit Number)
Gt1/i'AI N i4 V
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
V Other(explain):
REMARKS: El) rP.tlss PAc-v
56'-
0/ZAnniv Ga4lr4OL PiJw 4-4/ of r>< 2i=1h/ &) 149Tz 1/CA.Frilib A-4/
AAA/ &/1/Eu1 kAlr62. 44ErK2 eXr-inLc L(Wo,eY_s/, / Iovz A//,
0004s cl0QYc,e. • () ioYE- Ulli /DAYE,t. 64-7- S't?— / /
FOR OFFICE USE ONLY
Routed to Pit Technician: Date: Initials:
Fees Due: Yes ❑No Fee Description: Amount Due:
1/2- p(d•,(\ �e t- $ s.
Special
Instructions:
Reprint Permit(per PE): U Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\Forms\TransmittalLetter-Revisions 061316.doc
/o Go3-[c1 Ff1-/ x1 sr. M s T 24ZC DdO AC
• City of Tigard RECEIVED
Of
FINANCE DEPARTMENT MAR 2 2020
T1GARn Systems Development Charge (SDC) Exempdprotti• e !Dtion
BUILDING ► IDIOPI
REQUEST FOR ACCESSORY DWELLING UNIT SDC EXEMPTION
Note: Refer to TMC 3.24.180 for eligibility requirements before completing application. City Transportation
and Park SDCs exemption only.
REQUIRED SUBMITTAL
PROPERTY INFORMATION ELEMENTS
Name of property owner: 1 .1 L Recorded Deed Restriction:
Legal Description of Property
Location (address if available): /0 ivc5 3 J ) Fq- f7}beiVN Estimate of Exempt SDCs
T= 64A-a-fJ p(L c 12.3 Proof of Ownership/
Authorized Representative
Tax map and tax lot numbers:
Type of Unit Total Units Square footage of each unit
Attached ADU
Detached ADU ! 6e0
APPLICANT INFORMATION �//�� /
Name, as appears on title of property: /�/7G�/r�E'L (V/7/4/.6 nJ
Mailing address: /O ,Q S .51n/ t�ee,2A4Y61 City/State: T/� / D Zip: ?7Z2 3
Phone: 971 — 2 0— TTCYO Email: lril/l.k ✓Nichtt.) ej iklai CC2yt7
Applicant's representative:
Phone: Email:
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
accessory dwelling unit for which an exemption is granted is rented or listed as a short-term rental (AirBnb,
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
City of Tigard • 13125 Ste'Hall Blvd. • Tigard,Oregon 9'223 • wwwugard-or.gov • 503-718 2421- • Page 7 of2
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.
^
Pr petty owner signature Print Name Date
Property 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@tigard-ot.gov or 503-718-2460.
STAFF USE ONLY
L- Zr .Approved b r1'YtSL. Date: / Z l 2-0Received by: 'n'1� Date: I I � PP I•
j_ fic 3� Li
Am '"I Transportation:
�
Amount of SDCs Exempt: Park:' � i
-F'o-•�t ', �r l u,5 S
City ofTigard • 13125 SW 1 h11 131 d. • Tigard,Oregon 9722.3 • v v.tigard-orgov • 503-718-2421 • Page I oft
Washington County,Oregon 'Z114 8-�83��7
12/24/2019 1D:14:43 AM
0-IRUL Cnt-1 Stn=30 RECORDS!.
$35.00 55.00$11.00 550.00•Total=$1i1.00
City RET TigardURN t 11111111 II!IIIIIIIIfIflh!1IJI Iii 1111
IIIII hI
Community Development 0255092120L90093557007D075075
13125 SW Hall Blvd Rlcnere Hobernkht,Director of AyeymaM an0
Taxation entl 8x-0Hlelo County Clerk for Wyhlnaton ,'t
Tigard,OR 97223 county,Oregon,do hereby certify that the within
Inatru rnaI of writ na wy ncelvetl a tl re order!In the
book of ncortle of ultl cou F�
Richard Hobernleht.Director otpeRymen
t `t�i, '-
Taxation,Ex-Offlclo County Clark e•tom
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 December, 2019, by and
between Michael W.Whalen(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 10603 SW
Fairhaven Street Tigard, Oregon, and approved through case File No. ADU2019-00015. (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 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 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 fot 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 he 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 ftom
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. 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 exerdse 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:
Michael W. alen f� ��f
By: ,d.lr
STATE OF OREGON )
) ss
County of I4JQ.S1..i'.%J 1-" )
The foregoing ' strument wasafc�cnowledged before/'' ,� � �me this tgK.day of 'D.tG-en,1t•C , 200q , by
A�
ota ublic for the State of Oregon
My commission expires: IO -l/- 2O2Z
�.... OFF1CL4L STAMP
,'ter`,} JEREMY DE}IUT
t,.->� NOTARYPUBUCOREOON
V.. COMMISSION NO.979706
MY COMMISSION EXPIRES OCTOBER 11,2022
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 4 of 7
CITY:
CITY OF TI ARD,a n municipal corporation
By:
enny As er,Community Development Director
STATE OF OREGON )
rss:
County of W Q;5 hil )
The foregoing instrument was acknowledged before me this 10 day of biatfi4R/K , 1009 by
K4nwl A4114f / i
Notary Public for I e State of alto
f%!t, OFFICIAL STAMP !U/D� I
Vryw K EDGARDO MALDONADO My commission expires;
I" NOTARY PUBLIC OREGON
COMMISSION NO 991417
MY COMMISSION EXPIRES OCTOBER 01,2023
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 5 of 7
EXHIBIT A
LEGAL.DESCRIVI ION OF THE PROJECT
Lot 2,Block 1,FAIRHAVEN COURT,in the City of Tigard,County of Washington and State of Oregon.
APN#: R478414
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 6 of 7
EXHIBIT B
SCHEDULE OF SDCs EXEMPTED
System Exemption Amount
City Transportation $ 3,909.00
Parks $ 6,678.00
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:
10603 SW Fairhaven Street;Tigard, Oregon 97223
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 7 of 7
After Recording Return To:
WINDERMERE MORTGAGE SERVICES SERIES LLC
601 Union St, Suite 2100
Seattle,Washington 98101
[Space Above This Line For Recording Data]
DEED OF TRUST
MIN:100272200005284174
DEFINITIONS
Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11, 13, 18,20
and 21. Certain rules regarding the usage of words used in this document are also provided in Section 16_
(A) "Security Instrument"means this document,which is dated June 20,2012 ,together with all Riders to this
document.
(B) "Borrower"is MICHAEL W WHALEN
•
Borrower is the trustor under this Security Instrument.
(C) "Lender"is WINDERMERE MORTGAGE SERVICES SERIES LLC
Lender is a A DELAWARE SERIES LIMITED LIABILITY COMPANY organized and existing under
the laws of WASHINGTON .Lender's address is
601 Union St, Suite 2100, Seattle,Washington 98101
(D) "Trustee"is FIDELITY NATIONAL TITLE
(E) "MERS" is Mortgage Electronic Registration Systems, Inc. MERS is a separate corporation that is acting solely as a
nominee for Lender and Lender's successors and assigns.MERS is the beneficiary under this Security Instrument.MERS
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is organized and existing under the laws of Delaware, and has an address and telephone number of P.O. Box 2026, Flint,MI
4 850 1-2026,tel.(888)629-MERS.
(F) "Note"means the promissory note signed by Borrower and dated June 20,2012 .The Note states that Borrower
owes Lender Two Hundred Thirty One Thousand Forty Six and no/100
Dollars(U.S.$231,046.00 )
plus interest. Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not later than
July 01,2042 •
(G) "Property"means the property that is described below under the heading"Transfer of Rights in the Property."
(H) "Loan"means the debt evidenced by the Note,plus interest,any prepayment charges and late charges due under the Note,
and all sums due under this Security Instrument,plus interest.
(I) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following Riders are to be
executed by Borrower[check box as applicable]:
IT Adjustable Rate Rider ❑Condominium Rider ❑Second Home Rider
❑Balloon Rider n Planned Unit Development Rider ❑VA Rider
n 1-4 Family Rider n Biweekly Payment Rider n Other(s)[specify]
(J) "Applicable Law" means all controlling applicable federal, state and local statutes, regulations, ordinances and
administrative rules and orders(that have the effect of law)as well as all applicable final,non-appealable judicial opinions.
(IC) "Community Association Dues, Fees, and Assessments" means all dues, fees, assessments and other charges that are
imposed on Borrower or the Property by a condominium association,homeowners association or similar organization.
(L) "Electronic Funds Transfer"means any transfer of funds,other than a transaction originated by check,draft,or similar
paper instrument, which is initiated through an electronic terminal, telephonic instrument, computer, or magnetic tape so as
to order, instruct, or authorize a financial institution to debit or credit an account Such term includes,but is not limited to,
point-of-sale transfers, automated teller machine transactions, transfers initiated by telephone, wire transfers, and automated
clearinghouse transfers.
(M) "Escrow Items"means those items that are described in Section 3.
(N) "Miscellaneous Proceeds" means any compensation, settlement, award of damages, or proceeds paid by any third
party (other than insurance proceeds paid under the coverages described in Section 5) for: (i) damage to,or destruction of;
the Property; (ii) condemnation or other taking of all or any part of the Property; (iii)conveyance in lieu of condemnation; or
(iv)misrepresentations of,or omissions as to,the value and/or condition of the Property.
(0) "Mortgage Insurance"means insurance protecting Lender against the nonpayment of,or default on,the Loan.
(P) "Periodic Payment"means the regularly scheduled amount due for(i)principal and interest under the Note,plus(ii)any
amounts under Sect on 3 of this Security Instrument,
(Q) "RESPA"means the Real Estate Settlement Procedures Act(12 U.S.C. § 2601 et seq.)and its implementing regulation,
Regulation X(24 C.F.R. Part 3500),as they might be amended from time to time,or any additional or successor legislation or
regulation that governs the same subject matter.As used in this Security Instrument, "RESPA"refers to all requirements and
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restrictions that are imposed in regard to a"federally related mortgage loan" even if the Loan does not qualify as a"federally
related mortgage loan"under RESPA.
(R) "Successor in Interest of Borrower"means any party that has taken title to the Property,whether or not that party has
assumed Borrower's obligations under the Note and/or this Security Instrument.
TRANSFER OF RIGHTS IN THE PROPERTY
The beneficiary of this Security Instrument is MERS (solely as nominee for Lender and Lender's successors and assigns)
and the successors and assigns of MERS. This Security Instrument secures to Lender: (i)the repayment of the Loan,
and all renewals, extensions and modifications of the Note; and (ii)the performance of Borrower's covenants and
agreements under this Security Instrument and the Note. For this purpose, Borrower irrevocably grants and conveys
to Trustee, in trust, with power of sale, the following described property located in the COUNTY of
WASHINGTON [Type of Recording Jurisdiction]
[Name of Recording Jurisdiction]
LOT 2, BLOCK 1, FAIRHAVEN COURT, IN THE CITY OF TIGARD, COUNTY OF WASHINGTON
which currently has the address of 10605 SW FAIRHAVEN STREET
[Street]
TIGARD ,Oregon 97223 ("Property Address"):
[City] )[Zip Code]
TOGETHER WITH all the improvements now or hereafter erected on the property,and all easements,appurtenances,and
fixtures now or hereafter a part of the property.All replacements and additions shall also be covered by this Security Instrument.
All of the foregoing is referred to in this Security Instrument as the"Property."Borrower understands and agrees that MERS
holds only legal title to the interests granted by Borrower in this Security Instrument,but, if necessary to comply with law
or custom, MERS (as nominee for Leader and Lender's successors and assigns) has the right: to exercise any or all of those
interests, including, but not limited to, the right to foreclose and sell the Property; and to take any action required of Lender
including,but not limited to,releasing and canceling this Security Instrument.
BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to grant and
convey the Property and that the Properly is unencumbered, except for encumbrances of record. Borrower warrants and will
defend generally the title to the Property against all claims and demands,subject to any encumbrances of record.
THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniform covenants with limited
variations by jurisdiction to,constitute a uniform security instrument covering real property.
UNIFORM COVENANTS_Borrower and Lender covenant and agree as follows:
1. Payment of Principal, Interest, Escrow Items, Prepayment Charges, and Late Charges. Borrower shall pay
when due the principal of, and interest on, the debt evidenced by the Note and any prepayment charges and late charges due
under the Note.Borrower shall also pay funds for Escrow Items pursuant to Section 3.Payments due under the Note and this
Security Instrument shall be made in U.S.currency.However,if any check or other instrument received by Lender as payment
under the Note or this Security Instrument is returned to Lender unpaid,Lender may require that any or all subsequent payments
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•
due under the Note and this Security Instrument be made in one or more of the following forms,as selected by Lender: (a)cash;
(b)money order;(c)certified check,bank check,treasurer's check or cashier's check,provided any such check is drawn upon an
institution whose deposits are insured by a federal agency,instrumentality,or entity;or(d)Electronic Funds Transfer.
Payments are deemed received by Lender when received at the location designated in the Note or at such other location as
may be designated by Lender in accordance with the notice provisions in Section 15. Lender may return any payment or partial
payment if the payment or partial payments are insufficient to bring the Loan current.Lender may accept any payment or partial
payment insufficient to bring the Loan current,without waiver of any rights hereunder or prejudice to its rights to refuse such
payment or partial payments in the future,but Lender is not obligated to apply such payments at the time such payments are
accepted.If each Periodic Payment is applied as of its scheduled due date,then Lender need not pay interest on unapplied funds.
Lender may hold such unapplied funds until Borrower makes payment to bring the Loan current. If Borrower does not do so
within a reasonable period of time,Lender shall either apply such funds or return them to Borrower.If not applied earlier,such
funds will be applied to the outstanding principal balance under the Note immediately prior to foreclosure_No offset or claim
which Borrower might have now or in the future against Lender shall relieve Borrower from making payments due under the
Note and this Security Instrument or performing the covenants and agreements secured by this Security Instrument.
2. Application of Payments or Proceeds.Except as otherwise described in this Section 2,all payments accepted and
applied by Lender shall be applied in the following order of priority: (a) interest due under the Note; (b)principal due under
the Note; (c) amounts due under Section 3. Such payments shall be applied to each Periodic Payment in the order in which it
became due.Any remaining amounts shall be applied first to late charges,second to any other amounts due under this Security
Instrument,and then to reduce the principal balance of the Note.
If Lender receives a payment from Borrower for a delinquent Periodic Payment which includes a sufficient amount to
pay any late charge due,the payment may be applied to the delinquent payment and the late charge. If more than one Periodic
Payment is outstanding,Lender may apply any payment received from Borrower to the repayment of the Periodic Payments if,
and to the extent that,each payment can be paid in full.To the extent that any excess exists after the payment is applied to the
full payment of one or more Periodic Payments, such excess may be applied to any late charges due_ Voluntary prepayments
shall be applied first to any prepayment charges and then as described in the Note.
Any application of payments, insurance proceeds, or Miscellaneous Proceeds to principal due under the Note shall not
extend or postpone the due date,or change the amount,of the Periodic Payments.
3. Funds for Escrow Items. Borrower shall pay to Lender on the day Periodic Payments are due under the Note,
until the Note is paid in full, a sum (the "Funds") to provide for payment of amounts due for: (a) taxes and assessments and
other items which can attain priority over this Security Instrument as a lien or encumbrance on the Property; (b) leasehold
payments or ground rents on the Property,if any; (c)premiums for any and all insurance required by Lender under Section 5;
and(d) Mortgage Insurance premiums, if any,or any sums payable by Borrower to Lender in lieu of the payment of Mortgage
Insurance premiums in accordance with the provisions of Section 10. These items are called"Escrow Items."At origination
or at any time during the term of the Loan, Lender may require that Community Association Dues,Fees,and Assessments, if
any,be escrowed by Borrower, and such dues,fees and assessments shall be an Escrow Item. Borrower shall promptly furnish
to Lender all notices of amounts to be paid under this Section.Borrower shall pay Lender the Funds for Escrow Items unless
Lender waives Borrower's obligation to pay the Funds for any or all Escrow Items. Lender may waive Borrower's obligation
to pay to Lender Funds for any or all Escrow Items at any time. Any such waiver may only be in writing. In the event of such
waiver, Borrower shall pay directly, when and where payable,the amounts due for any Escrow Items for which payment of
Funds has been waived by Lender and,if Lender requires,shall furnish to Lender receipts evidencing such payment within such
time period as Lender may require.Borrower's obligation to make such payments and to provide receipts shall for all purposes
be deemed to be a covenant and agreement contained in this Security Instrument,as the phrase"covenant and agreement" is
used in Section 9. If Borrower is obligated to pay Escrow Items directly,pursuant to a waiver, and Borrower fails to pay the
amount due for an Escrow Item, Lender may exercise its rights under Section 9 and pay such amount and Borrower shall then
be obligated under Section 9 to repay to Lender any such amount.Lender may revoke the waiver as to any or all Escrow Items
at any time by a notice given in accordance with Section 15 and,upon such revocation,Borrower shall pay to Lender all Funds,
and in such amounts,that are then required under this Section 3.
Lender may, at any time, collect and hold Funds in an amount(a)sufficient to permit Lender to apply the Funds at the
time specified under RESPA, and (b) not to exceed the maximum amount a lender can require under RESPA. Lender shall
estimate the amount of Funds due on the basis of current data and reasonable estimates of expenditures of future Escrow Items
or otherwise in accordance with Applicable Law;
The Funds shall be held in an institution whose deposits are insured by a federal agency,instrumentality,or entity(including
Lender, if Lender is an institution whose deposits are so insured) or in any Federal Home Loan Bank. Lender shall apply the
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Funds to pay the Escrow Items no later than the time specified under RESPA. Lender shall not charge Borrower for holding
and applying the Funds,annually analyzing the escrow account,or verifying the Escrow Items, unless Lender pays Borrower
interest on the Funds and Applicable Law permits Lender to make such a charge. Unless an agreement is made in writing or
Applicable Law requires interest to be paid on the Funds,Lender shall not be required to pay Borrower any interest or earnings
on the Funds_Borrower and Lender can agree in writing,however,that interest shall be paid on the Funds.Lender shall give to
Borrower,without charge,an annual accounting of the Funds as required by RESPA.
If there is a surplus of Funds held in escrow,as defined under RESPA,Lender shall account to Borrower for the excess
funds in accordance with RESPA. If there is a shortage of Funds held in escrow,as defined under RESPA,Lender shall notify
Borrower as required by RESPA,and Borrower shall pay to Lender the amount necessary to make up the shortage in accordance
with RESPA, but in no more than 12 monthly payments. If there is a deficiency of Funds held in escrow, as defined under
RESPA,Lender shall notify Borrower as required by RESPA,and Borrower shall pay to Lender the amount necessary to make
up the deficiency in accordance with RESPA,but in no more than 12 monthly payments.
Upon payment in full of all sums secured by this Security Instrument,Lender shall promptly refund to Borrower any Funds
held by Lender.
4. Charges; Liens. Borrower shall pay all taxes, assessments, charges, fines, and impositions attributable to the
Property which can attain priority over this Security Instrument,leasehold payments or ground rents on the Property,if any,and
Community Association Dues,Fees,and Assessments, if any.To the extent that these items are Escrow Items,Borrower shall
pay them in the manner provided in Section 3.
Borrower shall promptly discharge any lien which has priority over this Security Instrument unless Borrower:(a)agrees in
writing to the payment of the obligation secured by the lien in a manner acceptable to Lender,but only so long as Borrower is
performing such agreement;(b)contests the lien in good faith by,or defends against enforcement of the lien in,legal proceedings
which in Lender's opinion operate to prevent the enforcement of the lien while those proceedings are pending,but only until
such proceedings are concluded;or(c)secures from the holder of the lien an agreement satisfactory to Lender subordinating the
lien to this Security Instrument_ If Lender determines that any part of the Property is subject to a lien which can attain priority
over this Security Instrument,Lender may give Borrower a notice identifying the lien.Within 10 days of the date on which that
notice is given,Borrower shall satisfy the lien or take one or more of the actions set forth above in this Section 4.
Lender may require Borrower to pay a one-time charge for a real estate tax verification and/or reporting service used by
Lender in connection with this Loan.
5. Property Insurance.Borrower shall keep the improvements now existing or hereafter erected on the Property insured
against loss by fire,hazards included within the term"extended coverage,"and any other hazards including,but not limited to,
earthquakes and floods, for which Lender requires insurance. This insurance shall be maintained in the amounts (including
deductible levels)and for the periods that Lender requires.What Lender requires pursuant to the preceding sentences can change
during the term of the Loan. The insurance carrier providing the insurance shall be chosen by Borrower subject to Lender's
right to disapprove Borrower's choice,which right shall not be exercised unreasonably_Lender may require Borrower to pay,
in connection with this Loan,either: (a) a one-time charge for flood zone determination,certification and tracking services; or
(b) a one-time charge for flood zone determination and certification services and subsequent charges each time remappings or
similar changes occur which reasonably might affect such determination or certification.Borrower shall also be responsible for
the payment of any fees imposed by the Federal Emergency Management Agency in connection with the review of any flood
zone determination resulting from an objection by Borrower.
If Borrower fails to maintain any of the coverages described above,Lender may obtain insurance coverage,at Lender's
option and Borrower's expense.Lender is under no obligation to purchase any particular type or amount of coverage.Therefore,
such coverage shall cover Lender,but might or might not protect Borrower,Borrower's equity in the Property,or the contents
of the Property, against any risk,hazard or liability and might provide greater or lesser coverage than was previously in effect_
Borrower acknowledges that the cost of the insurance coverage so obtained might significantly exceed the cost of insurance that
Borrower could have obtained.Any amounts disbursed by Lender under this Section 5 shall become additional debt of Borrower
secured by this Security Instrument.These amounts shall bear interest at the Note rate from the date of disbursement and shall
be payable,with such interest,upon notice from Lender to Borrower requesting payment.
All insurance policies required by Lender and renewals of such policies shall be subject to Lender's right to disapprove
such policies,shall include a standard mortgage clause,and shall name Lender as mortgagee and/or as an additional loss payee.
Lender shall have the right to hold the policies and renewal certificates. If Lender requires,Borrower shall promptly give to
Lender all receipts of paid premiums and renewal notices.If Borrower obtains any form of insurance coverage,not otherwise
required by Lender,for damage to,or destruction of,the Property,such policy shall include a standard mortgage clause and shall
name Lender as mortgagee and/or as an additional loss payee.
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In the event of loss,Borrower shall give prompt notice to the insurance carrier and Lender.Lender may make proof of loss
if not made promptly by Borrower.Unless Lender and Borrower otherwise agree in writing,any insurance proceeds,whether or
not the underlying insurance was required by Lender, shall be applied to restoration or repair of the Property,if the restoration
or repair is economically feasible and Lender's security is not lessened_ During such repair and restoration period,Lender shall
have the right to hold such insurance proceeds until Lender has had an opportunity to inspect such Property to ensure the work
has been completed to Lender's satisfaction,provided that such inspection shall be undertaken promptly.Lender may disburse
proceeds for the repairs and restoration in a single payment or in a series of progress payments as the work is completed.Unless
an agreement is made in writing or Applicable Law requires interest to be paid on such insurance proceeds,Lender shall not be
required to pay Borrower any interest or earnings on such proceeds.Fees for public adjusters,or other third parties,retained by
Borrower shall not be paid out of the insurance proceeds and shall be the sole obligation of Borrower.If the restoration or repair
is not economically feasible or Lender's security would be lessened,the insurance proceeds shall be applied to the sums secured
by this Security Instrument,whether or not then due,with the excess,if any,paid to Borrower. Such insurance proceeds shall be
applied in the order provided for in Section 1
If Borrower abandons the Property,Lender may file,negotiate and settle any available insurance claim and related matters.
If Borrower does not respond within 30 days to a notice from Lender that the insurance carrier has offered to settle a claim,
then Lender may negotiate and settle the claim. The 30-day period will begin when the notice is given. In either event, or if
Lender acquires the Property under Section 22 or otherwise, Borrower hereby assigns to Lender (a) Borrower's rights to any
insurance proceeds in an amount not to exceed the amounts unpaid under the Note or this Security Instrument,and(b)any other
of Borrower's rights (other than the right to any refund of unearned premiums paid by Borrower)under all insurance policies
covering the Property, insofar as such rights are applicable to the coverage of the Property. Lender may use the insurance
proceeds either to repair or restore the Property or to pay amounts unpaid under the Note or this Security Instrument,whether or
not then due.
6. Occupancy.Borrower shall occupy,establish,and use the Property as Borrower's principal residence within 60 days
after the execution of this Security Instrument and shall continue to occupy the Property as Borrower's principal residence for at
least one year after the date of occupancy,unless Lender otherwise agrees in writing,which consent shall not be unreasonably
withheld,or unless extenuating circumstances exist which are beyond Borrower's control.
7. Preservation, Maintenance and Protection of the Property; Inspections. Borrower shall not destroy, damage or
impair the Property,allow the Property to deteriorate or commit waste on the Property.Whether or not Borrower is residing in the
Property,Borrower shall maintain the Property in order to prevent the Property from deteriorating or decreasing in value due to
its condition.Unless it is determined pursuant to Section 5 that repair or restoration is not economically feasible,Borrower shall
promptly repair the Property if damaged to avoid further deterioration or damage.If insurance or condemnation proceeds are paid
in connection with damage to,or the taking of,the Property,Borrower shall be responsible for repairing or restoring the Property
only if Lender has released proceeds for such purposes.Lender may disburse proceeds for the repairs and restoration in a single
payment or in a series of progress payments as the work is completed.If the insurance or condemnation proceeds are not sufficient
to repair or restore the Property,Borrower is not relieved of Borrower's obligation for the completion of such repair or restoration.
Lender or its agent may make reasonable entries upon and inspections of the Property. If it has reasonable cause, Lender
may inspect the interior of the improvements on the Property.Lender shall give Borrower notice at the time of or prior to such an
interior inspection specifying such reasonable cause.
8. Borrower's Loan Application.Borrower shall be in default if,during the Loan application process,Borrower or any
persons or entities acting at the direction of Borrower or with Borrower's knowledge or consent gave materially false,misleading,
or inaccurate information or statements to Lender(or failed to provide Lender with material information)in connection with the
Loan.Material representations include,but are not limited to,representations concerning Borrower's occupancy of the Property
as Borrower's principal residence.
9. Protection of Lender's Interest in the Property and Rights Under this Security Instrument. If(a) Borrower
fails to perform the covenants and agreements contained in this Security,Instrument, (b)there is a legal proceeding that might
significantly affect Lender's interest in the Property and/or rights under this Security Instrument (such as a proceeding in
bankruptcy, probate, for condemnation or forfeiture, for enforcement of a lien which may attain priority over this Security
Instrument or to enforce laws or regulations), or (c) Borrower has abandoned the Property, then Lender may do and pay for
whatever is reasonable or appropriate to protect Lender's interest in the Property and rights under this Security Instrument,
including protecting and/or assessing the value of the Property, and securing and/or repairing the Property. Lender's actions
can include,but are not limited to: (a) paying any sums secured by a lien which has priority over this Security Instrument;
(b)appearing in court;and (c)paying reasonable attorneys' fees to protect its interest in the Property and/or rights under this
Security Instrument,including its secured position in a bankruptcy proceeding.Securing the Property includes,but is not limited
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to,entering the Property to make repairs,change locks,replace or board up doors and windows,drain water from pipes,eliminate
building or other code violations or dangerous conditions,and have utilities turned on or off.Although Lender may take action
under this Section 9, Lender does not have to do so and is not under any duty or obligation to do so. It is agreed that Lender
incurs no liability for not taking any or all actions authorized under this Section 9.
Any amounts disbursed by Lender under this Section 9 shall become additional debt of Borrower secured by this Security
Instrument. These amounts shall bear interest at the Note rate from the date of disbursement and shall be payable,with such
interest,upon notice from Lender to Borrower requesting payment.
If this Security Instrument is on a leasehold, Borrower shall comply with all the provisions of the lease. If Borrower
acquires fee title to the Property,the leasehold and the fee title shall not merge unless Lender agrees to the merger in writing.
10. Mortgage Insurance.If Lender required Mortgage Insurance as a condition of making the Loan,Borrower shall pay
the premiums required to maintain the Mortgage Insurance in effect If,for any reason,the Mortgage Insurance coverage required
by Lender ceases to be available from the mortgage insurer that previously provided such insurance and Borrower was required to
make separately designated payments toward the premiums for Mortgage Insurance,Borrower shall pay the premiums required
to obtain coverage substantially equivalent to the Mortgage Insurance previously in effect,at a cost substantially equivalent to
the cost to Borrower of the Mortgage Insurance previously in effect,from an alternate mortgage insurer selected by Lender.If
substantially equivalent Mortgage Insurance coverage is not available,Borrower shall continue to pay to Lender the amount of
the separately designated payments that were due when the insurance coverage ceased to be in effect.Lender will accept,use and
retain these payments as a non-refundable loss reserve in lieu of Mortgage Insurance. Such loss reserve shall be non-refundable,
notwithstanding the fact that the Loan is ultimately paid in full,and Lender shall not be required to pay Borrower any interest
or earnings on such loss reserve. Lender can no longer require loss reserve payments if Mortgage Insurance coverage (in the
amount and for the period that Lender requires)provided by an insurer selected by Lender again becomes available,is obtained,
and Lender requires separately designated payments toward the premiums for Mortgage Insurance.If Lender required Mortgage
Insurance as a condition of making the Loan and Borrower was required to make separately designated payments toward the
premiums for Mortgage Insurance,Borrower shall pay the premiums required to maintain Mortgage Insurance in effect, or to
provide a non-refundable loss reserve,until Lender's requirement for Mortgage Insurance ends in accordance with any written
agreement between Borrower and Lender providing for such termination or until termination is required by Applicable Law.
Nothing in this Section 10 affects Borrower's obligation to pay interest at the rate provided in the Note.
Mortgage Insurance reimburses Lender(or any entity that purchases the Note) for certain losses it may incur if Borrower
does not repay the Loan as agreed.Borrower is not a party to the Mortgage Insurance.
Mortgage insurers evaluate their total risk on all such insurance in force from time to time,and may enter into agreements
with other parties that share or modify their risk, or reduce losses. These agreements are on terms,and conditions that are
satisfactory to the mortgage insurer and the other party (or parties) to these agreements. These agreements may require the
mortgage insurer to make payments using any source of funds that the mortgage insurer may have available(which may include
funds obtained from Mortgage Insurance premiums).
As a result of these agreements,Lender,any purchaser of the Note,another insurer,any reinsurer,any other entity,or any
affiliate of any of the foregoing,may receive(directly or indirectly)amounts that derive from (or might be characterized as)a
portion of Borrower's payments for Mortgage Insurance, in exchange for sharing or modifying the mortgage insurer's risk,or
reducing losses.If such agreement provides that an affiliate of Lender takes a share of the insurer's risk in exchange for a share
of the premiums paid to the insurer,the arrangement is often termed"captive reinsurance."Further:
(a) Any such agreements will not affect the amounts that Borrower has agreed to pay for Mortgage Insurance,or
any other terms of the Loan.Such agreements will not increase the amount Borrower will owe for Mortgage Insurance,
and they will not entitle Borrower to any refund.
(b) Any such agreements will not affect the rights Borrower has—if any—with respect to the Mortgage Insurance
under the Homeowners Protection Act of 1998 or any other law.These rights may include the right to receive certain
disclosures,to request and obtain cancellation of the Mortgage Insurance, to have the Mortgage Insurance terminated
automatically, and/or to receive a refund of any Mortgage Insurance premiums that were unearned at the time of such
cancellation or termination.
11. Assignment of Miscellaneous Proceeds; Forfeiture.All Miscellaneous Proceeds are hereby assigned to and shall
be paid to Lender.
If the Property is damaged, such Miscellaneous Proceeds shall be applied to restoration or repair of the Property, if the
restoration or repair is economically feasible and Lender's security is not lessened. During such repair and restoration period,
Lender shall have the right to hold such Miscellaneous Proceeds until Lender has had an opportunity to inspect such Property to
ensure the work has been completed to Lender's satisfaction,provided that such inspection shall be undertaken promptly.Lender
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may pay for the repairs and restoration in a single disbursement or in a series of progress payments as the work is completed.
Unless an agreement is made in writing or Applicable Law requires interest to be paid on such Miscellaneous Proceeds,Lender
shall not be required to pay Borrower any interest or earnings on such Miscellaneous Proceeds.If the restoration or repair is not
economically feasible or Lender's security would be lessened,the Miscellaneous Proceeds shall be applied to the sums secured
by this Security Instrument, whether or not then due,with the excess,if any,paid to Borrower. Such Miscellaneous Proceeds
shall be applied in the order provided for in Section 2.
In the event of a total taking,destruction,or loss in value of the Property,the Miscellaneous Proceeds shall be applied to
the sums secured by this Security Instrument,whether or not then due,with the excess,if any,paid to Borrower.
In the event of a partial taking,destruction,or loss in value of the Property in which the fair market value of the Property
immediately before the partial taking, destruction, or loss in value is equal to or greater than the amount of the sums secured
by this Security Instrument immediately before the partial taking, destruction, or loss in value, unless Borrower and Lender
otherwise agree in writing, the sums secured by this Security Instrument shall be reduced by the amount of the Miscellaneous
Proceeds multiplied by the following fraction: (a)the total amount of the sums secured immediately before the partial taking,
destruction,or loss in value divided by(b)the fair market value of the Property immediately before the partial taking,destruction,
or loss in value.Any balance shall be paid to Borrower.
In the event of a partial taking,destruction,or loss in value of the Property in which the fair market value of the Property
immediately before the partial taking, destruction, or loss in value is less than the amount of the sums secured immediately
before the partial taking,destruction,or loss in value,unless Borrower and Lender otherwise agree in writing,the Miscellaneous
Proceeds shall be applied to the sums secured by this Security Instrument whether or not the sums are then due.
If the Property is abandoned by Borrower,or if,after notice by Lender to Borrower that the Opposing Party(as defined
in the next sentence)offers to make an award to settle a claim for damages,Borrower fails to respond to Lender within 30 days
after the date the notice is given,Lender is authorized to collect and apply the Miscellaneous Proceeds either to restoration or
repair of the Property or to the sums secured by this Security Instrument,whether or not then due."Opposing Party"means the
third party that owes Borrower Miscellaneous Proceeds or the party against whom Borrower has a right of action in regard to
Miscellaneous Proceeds.
Borrower shall be in default if any action or proceeding, whether civil or criminal, is begun that, in Lender's judgment,
could result in forfeiture of the Property or other material impairment of Lender's interest in the Property or rights under this
Security Instrument.Borrower can cure such a default and,if acceleration has occurred,reinstate as provided in Section 19,by
causing the action or proceeding to be dismissed with a ruling that,in Lender's judgment,precludes forfeiture of the Properly
or other material impairment of Lender's interest in the Property or rights under this Security Instrument.The proceeds of any
award or claim for damages that are attributable to the impairment of Lender's interest in the Property are hereby assigned and
shall be paid to Lender.
All Miscellaneous Proceeds that are not applied to restoration or repair of the Property shall be applied in the order provided
for in Section 2.
12. Borrower Not Released;Forbearance By Lender Not a Waiver.Extension of the time for payment or modification
of amortization of the sums secured by this Security Instrument granted by Lender to Borrower or any Successor in Interest of
Borrower shall not operate to release the liability of Borrower or any Successors in Interest of Borrower. Lender shall not be
required to commence proceedings against any Successor in Interest of Borrower or to refuse to extend time for payment or
otherwise modify amortization of the sums secured by this Security Instrument by reason of any demand made by the original
Borrower or any Successors in Interest of Borrower. Any forbearance by Lender in exercising any right or remedy including,
without limitation, Lender's acceptance of payments from third persons, entities or Successors in Interest of Borrower or in
amounts less than the amount then due,shall not be a waiver of or preclude the exercise of any right or remedy.
13. Joint and Several Liability; Co-signers; Successors and Assigns Bound. Borrower covenants and agrees that,
Borrower's obligations and liability shall be joint and several.However,any Borrower who co-signs this Security Instrument
but does not execute the Note(a"co-signer"): (a)is co-signing this Security Instrument only to mortgage,grant and convey the
co-signer's interest in the Property under the terms of this Security Instrument; (b) is not personally obligated to pay the sums
secured by this Security Instrument; and(c)agrees that Lender and any other Borrower can agree to extend,modify,forbear or
make any accommodations with regard to the terms of this Security Instrument or the Note without the co-signer's consent.
Subject to the provisions of Section 18,any Successor in Interest of Borrower who assumes Borrower's obligations under
this Security Instrument in writing, and is approved by Lender, shall obtain all of Borrower's rights and benefits under this
Security Instrument. Borrower shall not be released from Borrower's obligations and liability under this Security Instrument
unless Lender agrees to such release in writing The covenants and agreements of this Security Instrument shall bind(except as
provided in Section 20)and benefit the successors and assigns of Lender.
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14. Loan Charges.Lender may charge Borrower fees for services performed in connection with Borrower's default,for
the purpose of protecting Lender's interest in the Property and rights under this Security Instrument, including,but not limited
to, attorneys' fees,property inspection and valuation fees.In regard to any other fees, the absence of express authority in this
Security Instrument to charge a specific fee to Borrower shall not be construed as a prohibition on the charging of such fee.
Lender may not charge fees that are expressly prohibited by this Security Instrument or by Applicable Law.
If the Loan is subject to a law which sets maximum loan charges,and that law is finally interpreted so that the interest
or other loan charges collected or to be collected in connection with the Loan exceed the permitted limits,then: (a) any such
loan charge shall be reduced by the amount necessary to reduce the charge to the permitted limit; and (b) any sums already
collected from Borrower which exceeded permitted limits will be refunded to Borrower.Lender may choose to make this refund
by reducing the principal owed under the Note or by making a direct payment to Borrower. If a refund reduces principal,
the reduction will be treated as a partial prepayment without any prepayment charge(whether or not a prepayment charge is
provided for under the Note).Borrower's acceptance of any such refund made by direct payment to Borrower will constitute a
waiver of any right of action Borrower might have arising out of such overcharge.
15. Notices.All notices given by Borrower or Lender in connection with this Security Instrument must be in writing.Any
notice to Borrower in connection with this Security Instrument shall be deemed to have been given to Borrower when mailed by
first class mail or when actually delivered to Borrower's notice address if sent by other means.Notice to any one Borrower shall
constitute notice to all Borrowers unless Applicable Law expressly requires otherwise.The notice address shall be the Property
Address unless Borrower has designated a substitute notice address by notice to Lender.Borrower shall promptly notify Lender
of Borrower's change of address. If Lender specifies a procedure for reporting Borrower's change of address,then Borrower
shall only report a change of address through that specified procedure.There may be only one designated notice address under
this Security Instrument at any one time.Any notice to Lender shall be given by delivering it or by mailing it by first class mail
to Lender's address stated herein unless Lender has designated another address by notice to Borrower.Any notice in connection
with this Security Instrument shall not be deemed to have been given to Lender until actually received by Lender.If any notice
required by this Security Instrument is also required under Applicable Law, the Applicable Law requirement will satisfy the
corresponding requirement under this Security Instrument.
16. Governing Law; Severabifity; Rules of Construction.This Security Instrument shall be governed by federal law
and the law of the jurisdiction in which the Property is located.All rights and obligations contained in this Security Instrument are
subject to any requirements and limitations of Applicable Law_Applicable Law might explicitly or implicitly allow the parties to
agree by contract or it might be silent,but such silence shall not be construed as a prohibition against agreement by contract In
the event that any provision or clause of this Security Instrument or the Note conflicts with Applicable Law,such conflict shall
not affect other provisions of this Securitylnstrument or the Note which can be given effect without the conflicting provision.
As used in this Security Instrument: (a)words of the masculine gender shall mean and include corresponding neuter words
or words of the feminine gender, (b) words in the singular shall mean and include the plural and vice versa; and (c) the word
"may"gives sole discretion without any obligation to take any action.
17. Borrower's Copy.Borrower shall be given one copy of the Note and of this Security Instrument.
18. Transfer of the Property or a Beneficial Interest in Borrower.As used in this Section 18,"Interest in the Property"
means any legal or beneficial interest in the Property, including, but not limited to, those beneficial interests transferred in a
bond for deed, contract for deed, installment sales contract or escrow agreement,the intent of which is the transfer of title by
Borrower at a future date to a purchaser.
If all or any part of the Property or any Interest in the Property is sold or transferred (or if Borrower is not a natural
person and a beneficial interest in Borrower is sold or transferred)without Lender's prior written consent,Lender may require
immediate payment in full of all sums secured by this Security Instrument. However, this option shall not be exercised by
Lender if such exercise is prohibited by Applicable Law.
If Lender exercises this option, Lender shall give Borrower notice of acceleration. The notice shall provide a period of
not less than 30 days from the date the notice is given in accordance with Section 15 within which Borrower must pay all sums
secured by this Security Instrument.If Borrower fails to pay these sums prior to the expiration of this period,Lender may invoke
any remedies permitted by this Security instrument without further notice or demand on Borrower
19. Borrower's Right to Reinstate After Acceleration.If Borrower meets certain conditions, Borrower shall have the
right to have enforcement of this Security Instrument discontinued at any time prior to the earliest of: (a)five days before sale of
the Property pursuant to any power of sale contained in this Security Instrument;(b)such other period as Applicable Law might
specify for the termination of Borrower's right to reinstate;or(c) entry of a judgment enforcing this Security Instrument.Those
conditions are that Borrower: (a)pays Lender all sums which then would be due under this Security Instrument and the Note
as if no acceleration had occurred; (b) cures any default of any other covenants or agreements; (c)pays all expenses incurred in
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enforcing this Security Instrument,including,but not limited to,reasonable attorneys'fees,property inspection and valuation fees,
and other fees incurred for the purpose of protecting Lender's interest in the Property and rights under this Security Instrument;
and(d)takes such action as Lender may reasonably require to assure that Lender's interest in the Property and rights under this
Security Instrument, and Borrower's obligation to pay the sums secured by this Security Instrument, shall continue unchanged.
Lender may require that Borrower pay such reinstatement sums and expenses in one or more of the following forms,as selected by
Lender:(a)cash;(b)money order;(c)certified check,bank check,treasurer's check or cashier's check,provided any such check
is drawn upon an institution whose deposits are insured by a federal agency,instrumentality or entity; or(d)Electronic Funds
Transfer.Upon reinstatement by Borrower,this Security Instrument and obligations secured hereby shall remain fully effective as
if no acceleration had occurred.However,this right to reinstate shall not apply in the case of acceleration under Section 18.
20. Sale of Note; Change of Loan Servicer;Notice of Grievance.The Note or a partial interest in the Note(together
with this Security Instrument) can be sold one or more times without prior notice to Borrower. A sale might result in a change
in the entity (known as the"Loan Servicer") that collects Periodic Payments due under the Note and this Security Instrument
and performs other mortgage loan servicing obligations under the Note, this Security Instrument,and Applicable Law.There
also might be one or more changes of the Loan Servicer unrelated to a sale of the Note.If there is a change of the Loan Servicer,
Borrower will be given written notice of the change which will state the name and address of the new Loan Servicer, the
address to which payments should be made and any other information RESPA requires in connection with a notice of transfer
of servicing. If the Note is sold and thereafter the Loan is serviced by a Loan Servicer other than the purchaser of the Note,
the mortgage loan servicing obligations to Borrower will remain with the Loan Servicer or be transferred to a successor Loan
Servicer and are not assumed by the Note purchaser unless otherwise provided by the Note purchaser.
Neither Borrower nor Lender may commence,join,or be joined to any judicial action(as either an individual litigant or
the member of a class)that arises from the other party's actions pursuant to this Security Instrument or that alleges that the other
party has breached any provision of,or any duty owed by reason of,this Security Instrument,until such Borrower or Lender has
notified the other party(with such notice given in compliance with the requirements of Section 15)of such alleged breach and
afforded the other party hereto a reasonable period after the giving of such notice to take corrective action.If Applicable Law
provides a time period which must elapse before certain action can be taken,that time period will be deemed to be reasonable
for purposes of this paragraph.The notice of acceleration and opportunity to cure given to Borrower pursuant to Section 22 and
the notice of acceleration given to Borrower pursuant to Section 18 shall be deemed to satisfy the notice and opportunity to take
corrective action provisions of this Section 20.
21. Hazardous Substances. As used in this Section 21: (a) "Hazardous Substances" are those substances defined as
toxic or hazardous substances,pollutants,or wastes by Environmental Law and the following substances: gasoline,kerosene,
other flammable or toxic petroleum products,toxic pesticides and herbicides,volatile solvents,materials containing asbestos or
formaldehyde, and radioactive materials; (b) "Environmental Law"means federal laws and laws of the jurisdiction where the
Property is located that relate to health,safety or environmental protection;(c)"Environmental Cleanup"includes any response
action,remedial action, or removal action, as defined in Environmental Law;and (d) an"Environmental Condition"means a
condition that can cause,contribute to,or otherwise trigger an Environmental Cleanup.
Borrower shall not cause or permit the presence,use,disposal,storage,or release of any Hazardous Substances,or threaten
to release any Hazardous Substances, on or in the Property. Borrower shall not do, nor allow anyone else to do, anything
affecting the Property(a)that is in violation of any Environmental Law,(b)which creates an Environmental Condition,or(c)
which, due to the presence, use, or release of a Hazardous Substance, creates a condition that adversely affects the value of
the Property. The preceding two sentences shall not apply to the presence,use, or storage on the Property of small quantities
of Hazardous Substances that are generally recognized to be appropriate to normal residential uses and to maintenance of the
Property(including,but not limited to,hazardous substances in consumer products)_
Borrower shall promptly give Lender written notice of(a)any investigation,claim,demand,lawsuit or other action by any
governmental or regulatory agency or private party involving the Property and any Hazardous Substance or Environmental Law
of which Borrower has actual knowledge, (b)any Environmental Condition, including but not limited to,any spilling,leaking,
discharge,release or threat of release of any Hazardous Substance,and(c)any condition caused by the presence,use or release of
a Hazardous Substance which adversely affects the value of the Property.If Borrower learns,or is notified by any governmental
or regulatory authority,or any private party, that any removal or other rernediation of any Hazardous Substance affecting the
Property is necessary, Borrower shall promptly take all necessary remedial actions in accordance with Environmental Law,
Nothing herein shall create any obligation on Lender for an Environmental Cleanup.
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•
NON-UNIFORM COVENANTS.Borrower and Lender further covenant and agree as follows:
22. Acceleration; Remedies. Lender shall give notice to Borrower prior to acceleration following Borrower's
breach of any covenant or agreement in this Security Instrument(but not prior to acceleration under Section 18 unless
Applicable Law provides otherwise).The notice shall specify:(a)the default; (b)the action required to cure the default;
(c)a date, not less than 30 days from the date the notice is given to Borrower,by which the default must be cured; and
(d) that failure to cure the default on or before the date specified in the notice may result in acceleration of the sums
secured by this Security Instrument and sale of the Property.The notice shall further inform Borrower of the right to
reinstate after acceleration and the right to bring a court action to assert the non-existence of a default or any other
defense of Borrower to acceleration and sale. If the default is not cured on or before the date specified in the notice,
Lender at its option may require immediate payment in full of all sums secured by this Security Instrument without
further demand and may invoke the power of sale and any other remedies permitted by Applicable Law.Lender shall be
entitled to collect all expenses incurred in pursuing the remedies provided in this Section 22, including, but not limited
to, reasonable attorneys'fees and costs of title evidence.
If Lender invokes the power of sale,Lender shall execute or cause Trustee to execute a written notice of the occurrence
of an event of default and of Lender's election to cause the Property to be sold and shall cause such notice to be recorded
in each county in which any part of the Property is located. Lender or Trustee shall give notice of sale in the manner
prescribed by Applicable Law to Borrower and to other persons prescribed by Applicable Law. After the time required
by Applicable Law,Trustee,without demand on Borrower, shall sell the Property at public auction to the highest bidder
at the time and place and under the terms designated in the notice of sale in one or more parcels and in any order Trustee
determines.Trustee may postpone sale of all or any parcel of the Property by public announcement at the time and place of
any previously scheduled sale.Lender or its designee may purchase the Property at any sale.
Trustee shall deliver to the purchaser Trustee's deed conveying the Property without any covenant or warranty,
expressed or implied.The recitals in the Trustee's deed shall be prima facie evidence of the truth of the statements made
therein.Trustee shall apply the proceeds of the sale in the following order: (a)to all expenses of the sale,including,but not
limited to,reasonable Trustee's and attorneys'fees;(b)to all sums secured by this Security Instrument;and(c)any excess
to the person or persons legally entitled to it.
23. Reconveyance. Upon payment of all sums secured by this Security Instrument, Lender shall request Trustee
to reconvey the Property and shall surrender this Security Instrument and all notes evidencing debt secured by this Security
Instrument to Trustee.Trustee shall reconvey the Property without warranty to the person or persons legally entitled to it. Such
person or persons shall pay any recordation costs.Lender may charge such person or persons a fee for reconveying the Property,
but only if the fee is paid to a third party (such as the Trustee) for services rendered and the charging of the fee is permitted
under Applicable Law.
24. Substitute Trustee. Lender may from time to time remove Trustee and appoint a successor trustee to any Trustee
appointed hereunder.Without conveyance of the Property,the successor trustee shall succeed to all the title,power and duties
conferred upon Trustee herein and by Applicable Law.
25. Attorneys'Fees.As used in this Security Instrument and in the Note,attorneys' fees shall include those awarded by
an appellate court.
26. Protective Advances. This Security Instrument secures any advances Lender, at its discretion, may make under
Section 9 of this Security Instrument to protect Lender's interest in the Property and rights under this Security Instrument.
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27. Required Evidence of Property Insurance.
WARNING
Unless you provide us with evidence of the insurance coverage as required by our contract or loan
agreement,we may purchase insurance at your expense to protect our interest.This insurance may,but
need not,also protect your interest.If the collateral becomes damaged,the coverage we purchase may
not pay any claim you make or any claim made against you. You may later cancel this coverage by
providing evidence that you have obtained property coverage elsewhere.
You are responsible for the cost of any insurance purchased by us. The cost of this insurance
may be added to your contract or loan balance. If the cost is added to your contract or loan balance,
the interest rate on the underlying contract or loan will apply to this added amount.The effective date
of coverage may be the date your prior coverage lapsed or the date you failed to provide proof of
coverage.
The coverage we purchase may be considerably more expensive than insurance you can obtain
on your own and may not satisfy any need for property damage coverage or any mandatory liability
insurance requirements imposed by Applicable Law.
BY SIGNING BELOW,Borrower accepts and agrees to the terms and covenants contained in pages 1 through 13 of this
Security Instrument and in any Rider executed by Borrower and recorded with it.
(Seal) (Seal)
MICHAEL W. WHALEN -Borrower -Borrower
(Seal) (Seal)
-Borrower -Borrower
(Seal) (Seal)
-Borrower -Borrower
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State of
County of
This instrument was acknowledged before me on (date)by
(person[s]acknowledging).
Notary Public for Oregon
My commission expires:
REQUEST FOR RECONVEYANCE
TO TRUSTEE:
The undersigned is the holder of the note or notes secured by this Deed of Trust. Said note or notes,together
with all other indebtedness secured by the Deed of Trust, have been paid in full. You are hereby directed to cancel
said note or notes and this Deed of Trust,which are delivered hereby,and to reconvey,without warranty,all the
estate now held by you under this Deed of Trust to the person or persons legally entitled thereto.
Date:
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