Permit i.
1111 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENTPermit#:
MST2019 00333
T l G A R,ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/28/2019
Parcel: 2S109DA06200
Jurisdiction: Tigard
Site address: 15058 SW GREENFIELD DR
Subdivision: SUMMIT RIDGE Lot: 39
Project: Talbert
Project Description: Convert 570 sq ft of existing crawl space to habitable space for the primary dwelling. Convert 795
sq ft of existing basement space to create new interior ADU addressed as 15060. All trade
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 2 First: 0 sf Basement: 570 sf Left 0
Parking Spaces: 0
Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0
Smoke
Dwelling Units: 2 Third: 0 sf Right: 0 Detectors: Yes
Total: 570 sf Value: $100,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0
Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain
0 Storm Sewer 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains:
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet:
ADU SF VB
R-3 570
Owner: Contractor:
TALBERT,BRUCE&MICHELLE MCCORD CONSTRUCTION LLC Required Items and Reports(Conditions)
15058 SW GREENFIELD DR 324 SW WONDERVIEW DR.
TIGARD,OR 97224 GRESHAM,OR 97080
PHONE: PHONE: 503-348-2366
FAX:
Total Fees: $8,214.03
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: 0 -.on law requires you to allow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throug •A- X52-001-0r!., You m- ` tain a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800. 32.2344.
Issued By: /G / Permittee Signature: . -.``-a .''A
Call 503.639.4 5 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project. ..:. ''
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED MIL OFF 1 til. 0.1.,
. City of Tigard Received �y
13125 SW Hall Blvd.,Tigard,OR 97223 AU G,f2019 <f Permit N / J 2 t y y3
� Date/B � � C"• 9 t^ ,
Phone: 503.718.2439 Fax: 503.598.1960Plan Review
Date/B : a Other Permit:
TIGARD BUILDING DIVISION Notified/Method:Inspection Line: 503.639.4175 CITY OF TIGARD
Internet: www.tigard-or.gov Date Ready/By: Juris: S See Page 2 for
Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. =t
Al_and 2-family dwellingValuation:
0 Commercial/industrialC400(0 V 0 9 11
v
0 Accessory building 0 Multi-family Number of bedrooms:
- S NrNl rue Mme/ roe ApI
❑Master buibuilderiwL y _gOther: A Number of bathrooms: I �.
-
1,5 0 40 JOB SME INFORMATION AND LOCATION Total number of floors: _T76 i
Job site address:(''/t _
cS W ()ref r��i P.�r� L� rge-W°Felling area: ,e feet
City/State/ZIP: Ti G.q e D t I)e q 7224 age/ arpo lf+�31. S j
Garage/carport,atea: s are feet
�r GGs f �i`r atC4 is r IG
Suite/bldg./apt.no.: Project name: i' t I"(-,ip't i r4icu l 1
Covered porcl'i area. S uare fee
Cross street/directions to job site:/6/1 Jf L/ty L o4_/Lt .T Deck areaa71:4-545. uare feet 'vK
*/a W e'S 4(1- — / G%s� ) i5 Other structur :� ` ' 5 square feet ,,„•
v
Sac,.....? z_,eof ` `p /41 ti r- (4.73/0/2-c-c ) REQUIRED DATA:COMMERCIAL-USE CHE (�
CKLI
Subdivision: St ®t3 /2„ .S 7724C, 77 c/ Lot no.: .iy/7Fj'.� Permit fees*are based on the value of the work performed.
Tax map/parcel no.: / -e /;e.; �� e'4 id - I ndicate 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.
eEN-p anti (E) bad 1 fd iif- 6etse'ne-r1- /n¢-(/ Valuation: $
Am kt'ywi- trawl space & Convert- Porgy -f-a Existing building area: square feet
a
/ t DU, ` "M F6-E -ealttnIt 0k New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: Wu.gux midi M t'a„I k -(--
C[F (-i--,,,.,C'd ti,Ck5'F',notTYPe of construction:
Address: 150 0 S&- Ste/
teens el d Qf Occupancy groups:
City/State/ZIP:
Mr,A-K-D t OR (11 L-2..)-1 Existing:
Phone: _) 2/(. 8 0.C'7 Fax:( )
New:
/1 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: /T(u lM if'w i.e.) H FS Iv r,C Horv� �n (Please refer to fee schedule)
�
Contact name: ice'Ler
aStructural plan review fee(or deposit): ,e, r'7
aniel 1'- —
Address: q31 N W JO 11n rNo FLS plan review fee(if applicable):
City/State/ZIP: ea -Ian ®K 720�f Total fees due upon application:
Phone:( ' ) -1_4(4- SQ D v Fax::( ) Amount received:
E-mail: O o/ni el Iva tt t t� m 0;1
r Gorvl PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRAC R Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: MCLS 0rcA Q0 is ` vo v Submit two(2)sets of roof plan with connection details
Address: 153 1 i v 4 and fire department access,along with the 2010 Oregon
nor Noor ave. ,`5re i Solar Installation Specialty Code checklist. _
City/State/ZIP: /'�C c�H OR /,1 Z Permit Fee(includes plan review
�� 1 $180.00
Phone:( ) ' Fax:( ) and administrative fees):
A State surcharge(12%of permit fee): $21.60
CCB lic.: l� _ `!
/ Total fee due upon application: $201.60
Authorized signa e: This permit application expires if a permit is not obtained
�,, within 180 days after it has been accepted as complete.
Print name. Date: o��o����} *Fee methodology set by Tri-County Building Industry
G
' trek2 / Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One— and Two—Family Dwelling F-oiz OFFICE t sit o',l.l
City of Tigard
Received Permit No.:
- Date/By:
r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical 0 Plumbing 0 Mechanical
T I G A R D 24-Hour Inspection Line: 503.639.4175 ❑ Other:
Internet: www.tigard-or.gov
s
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 cNO A/.A❑ El 0
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0
6 Sewer permit. ❑ ❑ ❑
` 7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc. 0 0 0
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 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 0 0
and location. ,❑ 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
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 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. 0 0 0
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. 0 ❑ 0
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. 0 0 ❑
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
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 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load. 0 0 0
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. 0 0 0
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oreton and shall be shown to be a..licable to the .ro'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 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 0
Street Tree List. 0 ❑ ❑
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines,
and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 ❑ 0
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.
L\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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
= ~111 Transmittal Letter
T G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: A-- A r' 461 411,s a AJ C DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
OCT 9 2019
FROM: 4-9 ,tv'tCITY GARD
BU1 DINOGDIVISIONF I
COMPANY:
PHONE: C By:
RE: C ' ocl 3 3;
(Site Address) (Permit Number)
174-4
(Project name sd6ditiriSion name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. J Revisions: A
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR FF E USE ONLY Alt—
Fees
Routed to Perm' ec 'cian: Date: `b ('Z c Initials:Due: ❑No Fee Descri ion: Amount ki'bu C p vcvh $
$
Special
Instructions:
Reprint Permit(per PE): est �No ❑ Done
Applicant Notified: - ate: RC2 /l?// Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
114
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /�c, c��{ S`) "'\) DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: OCT 7 2019
COMPANY: CITY OF _ . • i.
PHONE: � ��3) S 1(c—( --- 51 7
3UILDING +41:S10 1
RE: cU 5/ S Ltizr-�-A`-"ze uw2 12 /1/4-k S 20( q -oo 2, 3 j
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 4F-- i +rte �v J 1 ?) �t �.A---J uc=r= ---
FOR FFICE USE ONLY
Routed to Permit Technic'an: Da : Initials: -'
Fees Due: 9 Yes ee Description: Amount Due:
N.) O $
Special
Instructions:
Reprint Permit(per PE): 9 Yes o 9 Don
Applicant Notified: Date: Lb/ / (9 Initials.
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
RECEIVED
OCT 32019
City ofTigard BUILDING DIVISION
, 4 FINANCE DEPARTMENT
1111
Systems Development Charge (SDC) Exemption Application
REQUEST FOR ACCESSORY DWELLING UNIT SDC EXEMPTION
(Allowed under TMC 3.24.100.E)
Note:Refer to TMC 3.24.180 and the Systems Development Charge(SDC)Exemptions for Accessory Dwelling Units
Guideline for eligibility requirements before completing application. City Transportation and Park SDCs exemption
only.
PROPERTY INFORMATIONREQUIRED SUBMITTAL
Name of property owner: Michelle and Bruce Talbert ELEMENTS
❑ Recorded Deed Restriction
Property address/location: 15060 SW Greenfield Dr.Tigard,OR ❑ Legal Description of Property
97224 ❑ Estimate of Exempt SDCs
Tax map and tax lot numbers: WCTM2S109DA and 6200 ❑ Proof of Ownership/
Authorized Representative
Anticipated construction end date: January 2020
FOR STAFF USE ONLY
Unit TTe Total Units S•uare`footage of each unit Application accepted:
Attach .�.� -..e.e._
U 1 795 By: l"[lti
Attached ADO
Detached ADU 0 Date: O
Application review completed:,
Br
APPLICANT INFORMATION Date: ,
Name(s) appearing on title of
property: Michelle Talbert and Bruce Talbert
Address: 15058 SW Greenfield DR.Tigard,OR 97224
Applicant's representative
(authorized to sign on behalf of
entity/individual):
Phone: 503-716-8057 Email: Mtalbert5@comcast.net
City ofTigard• 13125 SW Hall Blvd.•Tigard,Oregon 97223•wwwtigard-or.gov• SDC Exemption Application•Page 1 oft
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.
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.
074.41A 7 Michelle Talbert 09/29/2019
Property owner signature Print Name Date
ilP
Bruce Talbert 09/29/2019
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-or.gov or 503-718-2460.
City ofTigard• 13125 SW Hall Blvd.•Tigard,Oregon 97223•wwwtigard-or.gov• SDC Exemption Application•Page 2 of2
Washington County,Oregon 2019-067211
09/27/2019 01:21:42 PM
0-IRUL Cnt=i Stn=30 RECOROS1
$35.00$5.00$11.00$60.00-Total=$111.00
RETURN Td
City g1111111111111111111111111111111111111
Community Development 02522646201900672110070074
13125 SW Hall Blvd. I,Richard Hobsrnicht,Director of Assessment and
Taxation and Ex-0tfclo County Clerk for Washington
Tigard,OR 97223 County,Oregon,do hereby certify that the within r' n r
Instrument of writing was recVed rrdeUwhe
book of records of said cou •
Richard HobeirctrfAssessment and
Taxation,Ex DCouClnty
fficlo
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 25th day of September,2019,by and
between Michelle and Bruce Talbert(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 15060 SW
Greenfield Drive Tigard, Oregon, and approved through case File No. ADU2019-00006. (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 for which the
exemption is granted.
SECTION 4. COMPLIANCE. The Parties hereby agree that Grantor, if requested by the City, will
provide certification,in a format approved by the City in its sole discretion,that the Grantor is fulfilling its obligations
under this Agreement.
SECTION 5. TERM OF AGREEMENT. The parties agree that this Agreement and the restrictive
covenants and equitable servitude created hereunder become effective upon execution of this Agreement and will
remain in full force and effect for a 10-year Exemption Period. Notwithstanding any other provision of this
Agreement,this Agreement will terminate and be of no further force and effect in the event of a completed foreclosure
by the primary financing lender or by a lender to whom the City has subordinated this Agreement,or their successors
or assigns,or in the event of a delivery by the Grantor of a deed for the Project to the primary financing lender in lieu
of foreclosure,or to a lender to whom the City has subordinated this Agreement,or their successors or assigns.
SECTION 6. TERMINATION. The City may terminate this Agreement,without further liability,upon
30 days' notice and opportunity to cure. Notwithstanding termination, City may pursue any remedy provided for in
Section 7. If the Grantor fails to perform or breaches any of the terms of this Agreement;or immediately and without
notice and opportunity to cure if the City loses the authority to grant the exemption,as determined by its counsel or
otherwise as lacking the authority to administer the exemption, or fails to receive or loses necessary funding,
appropriations, limitations, or other expenditure or position authority sufficient to carry out the terms of this
Agreement.
SECTION 7. REMEDIES. If the Grantor defaults in the performance or observance of any covenant,
agreement,or obligation set forth in this Agreement and if such default remains uncured for a period of 30 days after
the notice thereof shall have been given by the City to the Grantor, then the City,at its option,may take any one or
more of the following steps:
a. Terminate the exemption of the Project or a portion thereof,in which case the SDC's exempted herein shall
be immediately due and payable to City in the amounts shown on Exhibit B,along with interest accruing from
the Exemption Date at the rate shown on the City's Master Fees and Charges Schedule for"SDC Financing"
calculated semi-annually.City may,in addition to an action to collect SDC's due,withhold issuance of building
or development permits until paid in full;
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 2 of 7
•
b. Take such other action under this Agreement,at law,or in equity as may appear necessary or desirable to the
City to enforce the covenants,agreements,warranties,and obligations of the Grantor hereunder.
No waiver or delay in enforcing the provisions hereof as to any breach or violation shall impair, damage, or
waive the right of any person entitled to enforce the same to obtain relief against or recover for the continuation or
repetition of such breach or violation or any similar breach or violation thereof at any later time or times.
SECTION 8. RECORDING AND FILING. The Grantor shall cause this Agreement and all
amendments and supplements hereto to be recorded and filed in the real property records of Washington County and
in such other places as the City may reasonably request. The Grantor shall pay all fees and charges incurred in
connection with any recording.The Grantor shall provide either the original recorded document or a certified copy
of the recorded document within ten days of the date of this Agreement.
SECTION 9. GOVERNING LAW;VENUE. This Agreement shall be governed by the laws of the
State of Oregon. The courts of the State of Oregon,or to the degree necessary,the U.S.District Court for the District
of Oregon,shall have exclusive jurisdiction over any action brought by or against the City under this Agreement. The
Grantor hereby consents to such exclusive jurisdiction and waives any and all objections it might have thereto.
SECTION 10. AUTHORITY. Grantor hereby represents,warrants,and certifies that:
a. It possesses legal authority to apply for and accept the terms and conditions of the exemption and to carry
out the proposed Project;
b. Its governing body,if any,has duly authorized the filing of the application,including all understandings and
assurances contained therein;
c. The person identified as the official representative of the Grantor in the application is duly authorized to act
in connection therewith and to provide such additional information as may be required. The Grantor's official
representative has sufficient authority to make all certifications on its behalf;
d. This Agreement does not and will not violate any provision of any applicable law,rule,regulation,or order
of any court, regulatory commission, board, or administrative agency applicable to the Grantor or any
provision of the Grantor's organic laws or documents;
e. This Agreement has been duly executed by an official representative of Grantor, delivered by Grantor,and
will constitute the legal,valid, and binding obligations of the Grantor,enforceable in accordance with their
terms.
SECTION 11. AMENDMENTS. This Agreement may be amended only by a written instrument
executed by the parties hereto or by their successors and duly recorded in the real property records of Washington
County.
SECTION 12. SEVERABILITY. If any provision of this Agreement shall be invalid, illegal, or
unenforceable,the validity,Iegality,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 exercise of its governmental powers.
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly
authorized representatives as of the day and year first above written.
GRANTORS:
Michelle Talbert ,By:///17 -6"4"
STATE.OF OREGON )
) ss:
County of v SX• c- )
The foregoing instrument was acknowledged before me this day of 1?--c'Sbre"-C‘1 -{L, ` AS, by
OFFICIAL STAMP
czn�. . STEPHANIE JO TOLES
NOTARY PUBLIC-OREGON
COMMISSION NO.980787 Notary Public for the State of Oregon
MY COMMISSION EXPIRES NOVEMBER 14,2022
My commission expires: NMe..M�f._ l4��10
Bruce Talbert
By:
STATE OF OREGON )
) ss:
County of c &stt.:.n�hv., )
The foregoing instrument was acknowledged before me this 2.10S,�to.., toe..r 20\4 , by day of
h--
,)� + OFFICIAL STAMP
�''�> JAVIER DE to CERDA Not.w Public for the State of Oregon
� ♦♦♦ NOTARY PUBLIC-OREGON
t y COMMISSION NO.987520 My commission expires: -.PA \9 , 23
MY COMMISSION EXPIRES MAY 19,2023
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 4 of 7
CITY:
CITY OF TI ' ' P . Oregon municipal corporation
By:
Kenny Asher,Community Development Director
STA fli OF OREGON )
) ss:
County of k)30.Sk ttNrpss N )
The foregoing instrument was acknowledged before me this a5 day of --m\c.� 2$\a1, by
rjtkcxc�tt Tc\S
OFFICIAL STAMP �.-
° =a�' STEPHANIE JO TOLES
' NOTARY PUBLIC-OREGON Notary Public for the State of C �.a. pc•N
.7%14., COMMISSION NO.980787
MY COMMISSION EXPIRES NOVEMBER 14,2022 My commission expires:c1O4 c .._tk--V
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 5 of 7
EXHIBIT A
LEGAL DESCRIPTION OF THE PROJECT
Lot 39,SUMMIT RIDGE,in the City of Tigard,County of Washington and State of Oregon.
APN#:R2132408
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 6 of 7
EXHIBIT B
SCHEDULE OF SDCs EXEMPTED
System Exemption Amount
City Transportation $ 3,909
Parks $ 6,678
Water NOT ELIGIBLE
Sanitary Sewer NOT ELIGIBLE
Stormwater NOT FT IGIBLE
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:
I,Richaryi Director of Assessment
and Taxation and Ex-Officio County Clerk for
' q 71 Washington County,do hereby certify tins to be*
ipoont true and co M copy of the original.
-1.,1P10-#;"j� r Date: 4111P "�I►., . t / 2-4:7/ 7
, B erionvictidawfwmf
CTS
•
SDC EXEMPTION FOR ACCESSORY DWELLING UNIT
Page 7 of 7
3
Dianna Howse
From: Jill Bentley � '
��
Sent: Thursday, August 22, 2019 10:44 AM
To: #Building Permit Technicians
Cc: mtalbert5@comcast.net
Subject: 15058 SW Greenfield Dr -ADU
The above-mentioned address currently has a one inch meter. With an additional ADU,there will not be any
requirement to increase meter size.
Kind Regards,
Jill
Jiii
City of Tigard-Utility Baling
• Senior Accounting 4oxt
victgo
(8@8)8J6,7211Payments
710�4-- W
^-~_' _ -_in
(503)718-2494
13125 SW Hall Blvd.
Tigard,OR 97223
D|SCLA|KXEft E-mails sent or received by City of Tigard employees are subject to public record laws. If roqueahsd, 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."
1
Albert Shields
From: Albert Shields
Sent: Thursday, August 15, 2019 3:40 PM
To: danielwadekeller@gmail.com
Cc: Allyson Armstrong; Schuyler Warren;Agnes Lindor; Mai Quach; Dianna Howse
Subject: MST2019-003333, ADU - SDC Exemption Requested
Daniel, confirming that exemption from the Tigard TSDC and Parks SDCs has been requested for this ADU. Therefore,
before we can issue MST2019-00333 the applicant must apply for and receive approval of the exemption and a copy of a
recorded deed restriction must be received. Until those requirements are met I will classify this application as
"Approved (for Plan Review) but NOT Released." Plan Review will proceed but the application will otherwise be on Hold
until the requisite documents are received.
Please let me know if you have any questions.
Albert Shields
1
City of Tigard
q
COMMUNITY DEVELOPMENT DEPARTMENT
C
Building Permit Review — Residential
TIGARD
Building Permit #: ti.S7 2 U / r -- 00 S)33
Site Address: Thlett icr &) 9.4en S)3b,
Project Name: /ry' j11 Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review Aar-Mitt"—
Pro osal: U w4 77n�I 7
IZ Verify address/suite# active in Accela. n River Terrace: [[I1'N7
o ❑ Yes,River Terrace Review Addendum
Site Plan Elements: ❑Erosion Control
■ . -s of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and -- • otection measures
❑Drawn to sc. e • ••and architect or engineer scale) ❑Footprint of new struc• including decks)and FFE
❑North arrow ❑Utility loca••• : easements(required for new and additions)
CI Site address,project or subdivision name . • number ❑ :- alk/driveway approach
❑Applicant information(name and phone number) ❑Location of wells/septic systems
❑Lot dimensions and building setback dimen •e • ee size,type and location
❑Square footage of buildings to b- , o-shed ❑Street names
❑Existing structures o• :• ❑Corner elevations(2'contour ' ••.re than 4'differential)
❑Lot area • • g coverage area,percentage of coverage and >1,000 sf of impervious area created or rep ac-•. ■Yes ❑No
•ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes I li ':
dean Water Services—Service Provider Letteof platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
IN Public Facilities Improvement(PFI)Permit
Required: ❑ Yes,applicant was notified No AppliediFor: ❑ Yes CI No,stop intake
Land Use Case#: > .201 g- aa0Dt, Gong:
■ ' -suited Setbacks: Front: Rear: Side: Street Side: Ga ,:-:
❑ Buildin: -.eight: Max. Height: Actual Height:
❑ Landscape Area. % ❑ Lot Coverage Max: 'o
Entrance ❑ Set back no : e than 8'from street-facing wall `.1 ❑ Pa . - o street or offset 45 degrees or less
Windows ❑ Minimum 12%of ar-. • all street-facing facades
Garage ❑ Garage door is behind wides . -et-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no more than 5' ••. nd there is a covered porch extending beyond garage.
❑ Door extends no more than ' om w.I . •• there is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width is ■ or less ❑ 50%or e • facade ❑ 60%or less and includes 7 of following:
❑ Covered •• - ❑ Recessed entrance ❑ Wall o s ❑ 1'Roof eave ❑ Roof offset
❑ F - gles ❑ Lap Siding ❑ Roof pitch ❑ Gab -, •••,or gambrel roof ❑ Dormer
a Accent siding ❑ Window trim ❑ Window recess ❑ .• •rojection ❑ Balcony
❑ Vi :, learance ❑ Urban Forestry Plan
i Sensitive Lands: ❑ Yes ❑ No Type: _
❑ ton. ‘:`C.;;;Met prior to issuance of building permit
Not s: A p ,, ;_' -- , i Ar— 7 , L— `gJ ,, �0 _
"' /� /P
re Approved By Planning: %lam' Date: IP
s ice%
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_RES_022819.docx
Building Permit Submittal
Original Submittal Date: f /3,9
Site Plans: # "
Building Plans: # 2
Building Permit#: 'tenter building permit#above.
Workflow Routing: Zg--Planning B--Engineering `--❑ Permit Coordinator .
Brtuilding
Workflow Sign-off: (Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
e❑—Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: < Date: cP /.3 t
Engineering Review
X Slope at building pad: 77.
XConditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
j. Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 51..ut 645:— Date: ta-(5 - (9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Co • ons "Met"prior to issuance of building permit
Approved,NOT Released:,4 Z -'447> -Of-e*N bre/is-506)d-
re,{a rW ( Date: 7/i j1//
Notes: 440x1 e0 o 'C /4),AOt/*/ ,"4/)/g oY41-4_— fee, ✓L> i 6/3)),
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
vision Notice 3: Date Sent to Applicant: r- Le- ir-E t
UK SDC Fees Entered: Wash Co Trans Dev Tax: Y S ❑ N A G x P i"°!✓
Tigard Trans SDC: ? E "Yes
Parks SDC: f I Yes*- i N/A
f LIDA 0 Yes Lei N/A
yOK to Issue Permit
Approved by Permit Coordinator: Date: /0y/. l cf
I:\Building\Forms\BldgPermitRvw RES 022819.docx