Permit CITY OF TIGARD MASTER PERMIT
1111
• G rt• COMMUNITY DEVELOPMENT Permit#: MST2020-00241
Date Issued: Aug 25 2020 12:00AM
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S103DC00820
Jurisdiction: Tigard
Site address: 11270 SW FAIRHAVEN CT
Subdivision: VIRGINIA ACRES NO.2 Lot: 13
Project: Grant
Project Description: New 24 x 22 detached garage/shop. Trade permits to be obtained separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 14 Bathrooms: 0 Second: 0 sf Garage: 528 sf Front: Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 528 sf Value: $25,729.44 Rear: 5
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 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: D Water Lines: 0 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 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
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 WI 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: Square Feet:
NEW ACS VB R-3 528
Owner: Contractor:
GRANT,JOHN III&KRISTEN PARKER BUILDINGS INC Required Items and Reports(Conditions)
11270 SW FAIRHAVEN ST 3540 2ND ST 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 HUBBARD,OR 97032
PHONE: PHONE: 503-981-0890
FAX:
Total Fees: $822.70
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 throug AR 952-0 •'90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�j�
Issued By: A" "Permittee Signature:
/// 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,
Building Permit Application / ; /7,,47,
Residential RECEIVED FOR OFFICE USE ONLY
Received Permit No -to—Dori City of Tigard Da<e,By: � /y .��� l`tST 20
111 • 13125 SW Hall Blvd.,Tigard,OR 97223 UN 30 2020 Plan Review 1
Phone: 503.718.2439 Fax: 503.598.196Y Date/By: Other Permit:
TIGARD Inspection Line. 503.639.4175 OF TIGARD Date Ready/By: luris: ® See Paget for
Internet: www.tigard-oegov -' O Notified/Method�Gnu/� ,e i Supplemental h,fa,manon
ni ,.,,Rn r�lVll,^10(\I
097
TYPE OF WORK ��j )- :71 , 'AND 2-FAMILYDWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
�l ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for e
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 25, 729 .44 or-
❑ I-and 2-family dwelling ❑Commercial/industrial
IN Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑ Other Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11270 SW FAIRHAVEN CT New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: 528 square feet
Suite/bldg./apt.no.: Project name: 24X22 §I.fig,Q/ SHOP Covered porch area: square feet
Cross street/directions to job site: _ Deck area: square feet
SW FAIRHAVEN STREET AND SW FAIRHAVEN CT Other structure area: square feet
REQUIRED DATA:COMMERCIAL ' .4
Subdivision: VIRGINIA ACRES NO. 2 Lot no.: 13 Permit fees*are based on the value of the work performed.
Tax map/parcel no: R4 7 7 7 5 4 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.
Install new 24x22 detached 10/2u Jshop Valuation: $
no water or electrical serviicedpaft this time . Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: JOHN GRANT III Type of construction:
Address: 11270 SW FAIRHAVEN CT Occupancy groups:
City/State/ZIP: TIGARD, OR 97223 Existing:
Phone:(503) 539-6749 Fax:( ) New
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES'
(Please refer to fee schedule I _
' Business name.
Structural plan review fee(or deposit): „1,10 , .3 S''
Contact name: JOHN GRANT I I I
Address: 11270 SW FAIRHAVEN CT FLS plan review fee(if applicable):
City/State/ZIP:T I GARD, OR 97223 Total fees due upon application:
Phone:(503) 539-6749 Fax::( ) Amount received:
E-mail: JG@HARTWAGNER.COM IlI01O\OLTAIC SOLAR PANEL SYSTEM FEES* ��i1i
Commercial and residential prescriptive installation of
CONTRACTOR raa roof-top mounted PhotoVoltaic Solar Panel System.
Business name: PARKER BUILDINGS INC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: PO BOX 407 Solar Installation Specially Code checklist.
City/State/ZIP: HUBBARD, OR 97032 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 503j 981-0890 Fax:( 503 982-2515
State surcharge(12%of permit fee): $21.60
CCB lie.: OR 04 , /
�`7�/// Total fee due upon application: $201.60
Authorized signatur
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: JOH l RANT Date: 0 6/2 9/2 0 2 0 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
'PIl:
T I G A RD Building Permit Review — Residential
Building Permit #: 1''1- $T 2-0 Zo - 00 2 t1 f
Site Address: //7 RO /r u-Q/lp74.'
Project Name: () )j'r2 ACe.SSO �c -1n jr--e Lot #:
Planning Review 0
Pro osa1: c28 7 ,a,"rt,3S6 S
Verify address/suite# active inin Accela. ��� �I �Ctver Terrace:` 1Ll No ❑ Yes,River Terrace Review Addendum
Sit/Plan Elements: rosion Control
opies of site plan on 8-1/2"x 11"or 11 x 17"paper tained trees with drip line and tree protection measures
fawn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE
El k .rth arrow ty locations&easements(required for new and additions)
T4 a address,project or subdivision name and lot number Sidewalk/driveway approach
plicant information(name and phone number) tMi ocation of wells/septic systems
Lot dimensions and building setback dimensions t11 t feet tree size,type and location
uare footage of buildings to be demolished 7 eet names
ting structures on site Corner elevations(2'contours if more than 4'differential)
t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes IKNo
'ipervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No
Clean Water$kn ices—Service Provider Letter(lot platted prior to 9/10/1995): / tiN
Re uired: Yes,applicant was notified ❑ No Received: Yes ❑ No 7
Water Meter Fixture Unit Worksheet—Addi ' ns,Remodels and ADUs
Required: ❑ Yes,applicant was notified ( No Received: ❑ Yes ❑ No
DC Exemption for ADU applied for: ❑ Yes lid" No Received: ❑ Yes ❑ No
Ok `r`
xblic Facilities Improvement(PFI) Permit:
R-quired: ❑ Yes,applicant was notified No pplied For: (J❑ Yes ❑ No,stop intake
" and Use Case#: Zoning. i —3 c—
equired Setbacks: Front: Rear S. Side: S Street Si e: ✓ - ---Garage: IA3/ -
Tr Building Height: Max. Height: C Actual Height:ndscape Area:4n % of Coverage Max: 0/
t1 anee t back no more than 8'from street-facing wall ❑ Parallel eet or offset 45 degrees or less
Windows ❑ Minim °o of area of all street-facing facades
Garage ❑ Garage door is be 'dest street-facing wall Yes ❑ No,one of the following is met:
❑ Door extends no more 'from wa there is a covered porch extending beyond garage.
O Door extends no more than 5' and there is a 12 sq ft.window above garage on 2"d floor.
❑ Garage door width is ❑ ' r less ❑ 50%or f facade ❑ 60%or less and includes 7 of following:
❑ Covered por Recessed entrance ❑ Wall o s ❑ 1'Roof eave ❑ Roof offset
❑ Fire ' g es ❑ Lap Siding ❑ Roof pitch ❑ Gable, , mbrel roof ❑ Dormer
ccent siding ❑ Window trim ❑ Window recess ❑ Window tion ❑ Balcony
isual Clearance ( Jrban Forestrry, ,an
ensitive Lands: El Yes AQ No Type:
('Conditions met prior to issuance of building permit
Notes:
Approved By Planning: Date: S'I J 3'2,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
l:\Building\Forms\B IdgPermitRvw_RES_1224I 9.docx
Building Permit Submittal
Original Submittal Date: ./3 d/ Z a
Site Plans: #
Building Plans:
Building Permit#: 'CVEnter building permit# above.
Workflow Routing: ^-Planning a-Engineering ❑'-Perf it Coordinator Lam) wilding
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
on anal plan review routing form.
g"- utlding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 7/y/20
Engineering Review
'�Slope at building pad: 7 y
LZConditions "Met"prior to issuance of building permit A At
Idr Easements (encroachments)per engineering conditions of approval and plat h
2"-Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Q"'No
Assess Water Quantity Fee in-lieu: ❑ Yes 'No
LIDA Facility on lot: ❑ Yes E No
Final Plat Recorded: K(�-
❑ NOT Approved by Engineering: Date:
Notes:
Z�Approved by Engineering: rne4.,2 Date: 0/1/7 3020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
El Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes _K N/A
LIDA El Yes JK N/A
XOK to Issue Permit
Approved by Permit Coordinator: V `\J Date: t taz
:\Building\Forms\BldgPermitRvw_RES 122419.docx
r`G1i '�,`, I � // Clean Water Services File Number
C C1eanWater Services iR— Z
•
Sensitive Area Pre-Screening Site Assessment
1. Jurisdiction: 1t RaId3 RECFIVL ,,,1
Submission Date: Aug 08,2019 Confirmation#: 254 JUN 3 0 2020
Applicant Name: GRANT,JOHN III& CWS File If: 19-002521 CITY OF TIGARD
Contact Email: Review Type: Partner City PIar1�i { ING DIVISION
Contact Phone: Ground Disturbance: 528
Primary Address: 11270 SW Fairhaven ST New Impervious Area: 528
Tigard,OR 97223
Primary Jurisdiction: Tigard Mod.Impervious Area: 0
Affected Tax Lots: 2S103DC00820 Development Activity: SFR Addition
Project Description: adding a 528sf outbuilding;;Sfd Addition
6. Will the project involve any off-site work? d Yes 'f10 Dl Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
This application does NOT replace Grading and Erosion Control Permits,Connection Permits, Building Permits,Site Development Permits,
DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of
the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law.
By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter
the project site at all reasonable times for the purpose of Inspecting project site conditions and gathering information related to the project site. I certify that I am
familiar with the Information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate.
Print/Type Name Print/Type Title
Signature Date
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site, THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also
e required.
Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive
Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered.This
document will serve as your Service Provider letter as required by Resolution and Order 19-05, Section 3.02.1. All required permits and approvals must be
obtained and completed under applicable local,State,and federal law.
❑ Based on review of the submitted materials and best available Information the above referenced project will not significantly impact the existing or potentially
sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality
sensitive areas If they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 19-05,Section
3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law.
❑ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached.
❑ The proposed activity does meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE
PROVIDER LETTER REQ I D. �}
Reviewed by Date r/3 I u `
Once complete, email to: SPLReview@cleanwaterservices.org • Fax: (503) 681-4439
OR mail to: SPL Review, Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro, Oregon 97123
Revised 6/2017
John Grant
From: #Building Permit Technicians <TigardBuildingPermits@tigard-or.gov>
Sent: Tuesday, June 23, 2020 5:41 PM
To: John Grant; #Building Permit Technicians
Subject: RE: building permit application question -fee calculation
Follow Up Flag: Follow up
Flag Status: Flagged
Hello John,
I have estimated the permit fees for this project as shown below. The 2017 Oregon Residential Specialty Code and the
ICC Building Valuation Data Table are attached as reference for the method used to determine permit fees.
The permit fee used from the fees and charges schedule is for 'New Single Family'valuation rate of$330.29/first
$25,000 and $8.75 each additional $1,000 or fraction thereof,for a total of$339.04. The state surcharge is 12%of the
permit fee, and the building plan review is 65%of the permit fee, and there is a planning development code review fee
of$102.00. In addition to the fees listed below, there is a fee of$0.50 per page for pages up to 11x17, and $2.00 per
page for pages over 11x17 in size for one complete plan set, including engineering/calculations.
The building plan review fee of$220.38 will be collected prior to completing plan review. The permit technicians will
contact you when the fee is ready to be paid.
528 sf x$48.73 per sf= $25,729.44 project valuation.
ValueiCatcutatot425,729.44 vi Fey Total S702 10
Fee item Quentiht
4e Provision Review.SF•PIN 1 Each 5102.00
12%StateaviChahle BOOM 1 Each $40.88
Pan Review 1 Eath $220.38
Beiktar„a Permit New Conetructon i Each 5330.04
Thank you and please let me know if you have further questions.
Dianna L. Ornelas(Howse)
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From:John Grant<JG@hartwagner.com>
Sent:Tuesday, June 23, 2020 3:25 PM
To:#Building Permit Technicians <TigardBuildingPermits@tigard-or.gov>
Subject: RE: building permit application question -fee calculation
Max size - 528 SF
1