ADU2019-00003 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT EXPIRED
= 44 Request for Permit Action
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits tigard-or.gov
FROM: El Owner E] Applicant ❑ Contractor City Staff
AA Check(✓)one
IA' REFUND OR Name:
�I INVOICE TO: (Business orindividu4
Mailing Address:
City/State/Zip:
Phone No.:
P E TAKE ACTION FOR THE ITEM(S) CHECKED (v, ): _
[CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: ��V o q'o 000 r tt
Site Address or Parcel#: I ZZ S W �C u mss r �t Dr.
Project Name: �Jg 4DU
Subdivision Name: �—II — I Lot #:
EXPLANATION: pIitq*- (,loss ojr �'�1isyo,'" wk�L 164 Ott CA% of toa M I1-IL-I4.
r:�A an, r[. d rfwt
Signature: Date:
Print Name: salt)VA Caat(g1�
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to S s Admin: Date By ute to Records: Date ///C,,
; ' B
Refund Processed: Date f) B Invoice Processed: Date B
Permit C-mwctEB- Date//ro ?d sil I B cel Tag Added: I Date B
�' 1:\Building\Forms\RogPermitAcrion_120 8.doc
EXPIRED
VOIDED
ADU2019m
00003
NG ADU
ADU2019 - 00003
NG ADU
• Date Submitted:
o May 16", 2019
* 180 days from submittal date/ Void on:
o November 12"', 2019
APPLICANT
MATERIALS
EXPIRE? �iol2c�
RECEIVED Case#:
to City Of Tigard MAY 16 2019
COMMUNITY DEVELOPMENT DEPA6TMENT
Yo GA
Master LandA ' W!Kirplkation
LAND USE APPLICATION TYPE
13Q Accessory Dwelling Unit(AD" ❑ Modification: D Type I O Type II
❑ Adjustment ❑ Planned Development:
❑ Annexation D Consolidated Plan
❑ Comprehensive Plan Map Amendment D Concept Plan
❑ Conditional Use D Detailed Plan
❑ Downtown Design Review: ❑ Sensitive Lands Review:
D Track 1 D Track 2 0 Track 3 D Type I D Type II O Type III
O Home Occupation-Type II ❑ Site Development Review: D Type I D Type II
O Land Partition ❑ Subdivision
O Lot Line Adjustment/Lot Consolidation ❑ Temporary Use Permit
O Marijuana Facility Permit ❑ Urban Forestry Plan:
O Miscellaneous: O Modification O Discretionary Review
D Type II O Type III ❑ Zoning Map Amendment
PROJECT INFORMATION
Project name:
gnu
Brief description of project: 4^ 4 Vdvttta.l L-oa t 1"4 A
95 cuo-cc -�-61 OWL
SITE INFORMATION
Location (address if available): 0-1-51 sw SNM,,t� G kI r;�G T i q nr4 Or— t!727-3
Tax map and tax lot number(s): )S 13`(C 6 10*7°°
Site size: 6. q Z A ar as Zone: 9 4.5,
APPLICANT INFORMATION
Name: ✓th k• At)
Mailing address: f a 'gay' Z309V City/State: _ iO4 f? Zip: '12211
Phone: N-Wg- 195L Email: �e.Vie9.) Go�„
Applicant's representative:
Phone: Email:
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 1 of2
PROPERTY OWNER INFORMATION ,Same as applicant
(Attach fist for additional owners)
Name: Itle—°1%,` k, ri 5
Mailing address: po kd" Z 3 a ff 6( �"C'ity/State: Tt�°°�•°� D Zip: 0112
Phone: R0 5- �(Z�v I SQL Email: 4ih N) 111'10 6th-O.Con.
SUBMITTAL REQUIREMENTS
In addition to this application form,you must submit all required items listed in Subsection 18.710.030.0 of
Tigard's Community Development Code. If you are unsure what is required with your application,please contact
the planner on duty at 503-718-2421 or dgardplannerondutyna,tigard-or.gov.
I certify that I am the property owner or I am eligible to initiate this application,as provided in the Tigard
Community Development Code. To the best of my knowledge,all the information provided within this application
package is complete and accurate.
Applicant's signature* Print name Date
k4,m, k (u.1 ( A, Z-;1
Property owner's signature* Print name Date
Property owner's signature* Print name Date
*The owner must sign this application or submit a separate written authorization when the owner and applicant are
different people.
STAFF t�SE ONLY
Case No.: IM,4�20/9 pplication fee: Received by: �S Datc: A
Related Case(s): Determined complete by: Date:
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 oft
• Completed application form
• Proof of property ownership (for example, copy of deed)
• 2 copies of the site plan, drawn to measurable scale
• Narrative addressing all standards in Chapter 18.220 (attached)
• Application fee: $272
Geographic Information Systems-Washington County,Oregon http://gisims.co.washington.or.us/GIS/index.cf n?id=20&sid=3&IDVa...
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Geographic Information Systems
Navigation: Washington County» M» Reports: Parcel Report 1S134C1310700
General Information
interactive maps Parcel Report for Taxlot: IS134CS10700
I ----1 12940 11055 t 1104` 11095 *+°F
map gallery 17156 --I 12935 �r -- � 11085
contacts .1 12885 110!11 06711 075 1
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Property Search 12910, LILY property/taxlot `' 7288 S w GLA CjER C1R
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Survey Search
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'i:l`.V✓.IY .LAY
General Property Information
Map&Taxlot ID #: IS134CB10700
Real Property Account#: R1464953
Site Address: 12555 SW SUMMER CREST DR.TIGARD OR, 97223
City/State/Zip:
Lega 1:
Sub Reports: District Overlay Information
Assessment&Taxation Information
Scanned Tax Maps
Permits&Prgjects
EN Additional Reports: Land Development Information
sH Ownership Information: NG, KEVIN
PO BOX 25333
HONOLULU, HI,96825
ON Gel Map: 1S134CB10700
Interactive Mapping: InterMan
Other Resources: Link to External Sites:
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I of 1 5/16/2019, 1:33 PM
RECP\,1ED
EXISTING CONDITIONS MAP MAY 16 2019
—... ----CFFY-E�F TiG*B.—
PLANNINGIENGINEERING
DRIVEWAY _17,
APPROCH
N
--zzzz PROPOSED LOT LINE
7
103 -6'
123 -6
3
C--F In Grovin
poot
tz-) DRIVEWAY
-34' ------
22 -6'
DRIVEWAY
Willion 8 Jane Halvorson
12555 SW Summer Crest Dr
Tigard OR 97223
Mitt View Suk)clivis4an Lot 7
r ,
EXISTING CONDITIONS MAP
_ RECEIVED
MAY 16219
AD
PLANNING/ENGI EERM G
'.DRIVEWAY
'APPROCN �Pr��052J L]t �+�p fJe}3.5
---- . -�P`RDPQSED LOT LINE
_-_-_-- -
......___._...__.........
..,_._,.�. �.._..___...�..-.-..........._J
• 74' �
(n 9'� —
2,3e5 Sr { -
3 !
� i_s•.a
r0
C+ 1n Grourl
Pool
DRIVEWAY 515 ST.
34'
2i{1 22 6•
i DRIVEWAY
Willian 8 .lane Halvorson ]3
12555 SW Summer Crest Dr -
Tigord OR 97223
1S134CB 10700
'Nils View StAodivision Lot 7
-a. n:... ,n •,mac ^� `di Iv{il.� i/i�W 4 ., .- ._ �-. ... _.. .-.. ..
+
ADU Narrative
18.220.040 Standards RECEIVED
j. Number of units. MAY 16 2019
1. There will be one detached unit CITY OF TIGARD
PLANNING/ENGINEERING
B. Size.
1. The size of the detached accessory dwelling unit will be 515 square
feet excluding the garage.
C. Heigh
1. The size of the detached accessory dwelling unit is 14 ft and 10
inches.
3. Setbacks.
L The setback in front of the house is 22 feet and 6 inches. The setback
to the east of the property is 24 feet. The setback to the north of the
property is 74 teet.
E. Entrances,
1. There is only one entrance on the street facing facade.
F. Parking.
1. 1 off street parking space will be in the garage.
G. Home occupations.
1. N/A
H. Accessory dwelling units in accessory structures.
1. All square footage and height restrictions are within the allowable
limit as measured using the method provided in Section 18.40.130.
(Ord. 18-28 §1; Ord. 18-23 §2; Ord. 17-22 §2).
CORRESPONDENCE
ADDITIONAL
INFORMATION
Samuel Copelan
From: Samuel Copelan
Sent: Thursday, October 3, 2019 4:37 PM
To: Kevin Ng
Subject: FW:ADU2019-00003 Completeness Review
Attachments: 2019-6-27 Incomplete.pdf
Importance: High
Good afternoon Kevin,
This email is to remind you that your application is about to become void. From the date of application submittal,
the applicant has 180 days to give the planner the completeness items that were identified in the Incomplete Letter.
Please note that there is no way to stop or extend this 180 day timeline. You submitted your application for an
ADU on May 16th. 2019:therefore.your ADU application will become void on November 12`'', 2019 unless you
provide me with the missing items for completeness.
I am attaching the Incomplete Letter that was sent to you on June 27`'', 2019. If you would like to withdraw your
application,please fill out the Request for Pemut Action Form and send it back to me as soon as you can.
Please let me know as soon as possible if you have any questions.
Sincerely,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
13125 SW Hall Boulevard
Tuesday-Thursday
Phone: (503) 718-2450
Email: Samuelc(@tigard-or.gov
From: Samuel Copelan
Sent: Thursday, September 5, 2019 8:07 AM
To: Kevin Ng<kevinngl117@gmail.com>
Subject: FW: ADU2019-00003 Completeness Review
Importance: High
Good morning,
It sounds like you would like to withdraw your land use case. Please fill out the Request for Permit Action Form
and send it back to me as soon as you can.
t
If you have any questions for code enforcement,you may call David Young in Building, and Ken Ross in Planning.
Ken's email is kenrona,tiMd-or.gov and his number is (503) 718- 2581.
Thanks,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc@tigard-or.gov
From:Samuel Copelan
Sent:Tuesday,August 27,2019 8:08 AM
To: Kevin Ng<kevinnR1117@gmail.com>
Subject: FW:ADU2019-00003 Completeness Review
Importance: High
Hi Kevin,
I hope that you are doing well. Please see the information below to either close out your case or send in
completeness items.
Sincerely,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: SamuelcCa tigard-or.gov
From: Samuel Copelan
Sent: Thursday,August 1, 2019 8:53 AM
To: Kevin Ng<kevinng1117@Rmail.com>
Subject: RE: ADU2019-00003 Completeness Review
Hi Kevin,
Thanks for the phone call today. It sounds like you would like to withdraw your land use case. Please fill out the
Request for Permit,fiction Form and send it back to me as soon as you can.
2
If you have any questions for code enforcement,you may call David Young in Building, and Ken Ross in Planning.
Ken's email is kenro e.tiard-or.gov and his number is (503) 718- 2581.
Thanks,
Sam Copelan
Assistant Planner
City of Tigard; Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc&6gard-ongov
From: Samuel Copelan
Sent: Tuesday,July 30, 2019 10:22 AM
To: Kevin Ng<kevinn 1117@gmail.com>
Subject: RE: ADU2019-00003 Completeness Review
Importance: High
Hi Kevin,
Have you decided if you would like to continue with the ADU application? If you would like to withdraw your
application,please complete the Request for Permit Action form and send it to me. If you would like to continue
with the application,please send me the completeness items as soon as possible.
Thanks,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc&tigard-or.gov
From: Kevin Ng<kevinng1117@gmail.com>
Sent: Wednesday,July 17, 2019 3:15 PM
To:Samuel Copelan<samuelc@tigard-or.Rov>
Subject: Re: ADU2019-00003 Completeness Review
Caution! This message was sent from outside your organization. Allow sender Block sender
Hi Sam,
3
I have the contractor, architect, structural engineer, and David Young meeting on site on July 24th at 10:30am to discuss
the project.The decision to move forward with the project will be decided that day. Feel free to join us if you have time.
On Wed,Jul 17, 2019, 11:38 Samuel Copelan< samuelc@tigard-or.gov>wrote:
Hi Kevin,
Any updates? Please remember that your land use expires on September 13`h,2019 and we need to have the
completeness items as soon as possible.
Thanks,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc@tigard-or.gov
From: Kevin Ng<kevinng1117@gmail.com>
Sent:Tuesday,June 11, 2019 11:45 AM
To:Samuel Copelan <samuelc@tigard-or.gov>
Subject: Re: ADU2019-00003 Completeness Review
Hi Sam,
4
I have Ady from Placeship coming to take a look at the adu. She said it's pretty straight forward since it's already built.
I'll keep you posted on the progress.
On Mon,Jun 10, 2019,08:07 Samuel Copelan< samuelc@tigard-or.gov>wrote:
Hi Kevin,
We spoke on the phone a while ago and you said that you would try and get these drawings to me soon. Any updates
on the documents and drawings that I need?
Thanks,
Sam Copelan
Assistant Planner
City of Tigard; Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc&tigard-or.gov
From: Kevin Ng<kevinnk1117@amail.com>
Sent: Friday, May 31,20191:33 PM
To:Samuel Copelan<samuelc@tigard-or.gov>
Subject: Re:ADU2019-00003 Completeness Review
5
Hi Sam,
I wanted to update you on my progress. I was working on the drawings and it's not as easy as I thought it would be so
I'll be searching for someone that could draft it for me. Do you have anyone you can refer me to?
On Wed, May 22, 2019 at 3:10 PM Samuel Copelan< samuelc@tigard-or.gov>wrote:
Hi Kevin,
I am reviewing your land use application for an Accessory Dwelling Unit(ADU), and I need the following from you in
order to complete the Type 1 Decision:
• Revised narrative
o Please send me a revised narrative that includes the following:
• Location of ADU within the detached garage structure (above garage, same floor as garage,
above and same level as garage?)
Floor area for detached ADU and floor area for the garage that is inside the detached
structure
• Confirmation that the driveway for the primary unit and accessory dwelling unit are both
paved
• Detached ADU drawings
o I will need a floor plan for the detached ADU.
0 1 will need a drawing to scale that shows the height of the detached ADU
• Site Plan
0 The site plan that I received was never drawn to scale. Would you please send me a copy that is to
scale?
o The site plan includes a lot line for a partition, which has expired. Please acknowledge on the site
plan that the proposed lot lines are not going to be approved through this review
o Setback between detached ADU and SW Summer Crest Drive.
Thank you, please let me know if you have any questions.
6
Sincerely,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc e.tigar�d-oror.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-
mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are
retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention
Schedule."
7