Permit CITY OF TIGARD MASTER PERMIT
': COMMUNITY DEVELOPMENT Permit#: MST2020-00316
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/30/2020
T I C;A It L7 g Parcel: 2S103DC00821
Jurisdiction: Tigard
Site address: 11290 SW FAIRHAVEN CT
Subdivision: VIRGINIA ACRES NO.2 Lot: 14
Project: Kirkham
Project Description: New 360 sq.ft. patio cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $8,773.20 Rear: 15
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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
/ Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
I/ 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: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
KIRKHAM,TIMOTHY MAY AWNING&PATIO CO Required Items and Reports(Conditions)
11290 SW FAIRHAVEN ST 5220 NE COLUMBIA BLVD
TIGARD,OR 97223 PORTLAND,OR 97218
PHONE: PHONE: 503-282-0140
FAX: 503-282-1426
Total Fees: $556.52
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,throu1gh 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: CCA\`1 VnD�w A Permittee Signature: oh C.Ac t 1C'(.h U'l
J 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 13_ t O
Residential fni of rl< 1 t 1. oNI.1
City of Tigard RECEIVED Received II "�
III
DateJBy: Pemvt No.: M� eaNi�
mil • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
s Phone: 503.718.2439 Fax: 503.598.1960 NOV 0 9 2020 DateBy: I I/ tab Atlither Permit:
1.1 i i \R 0 Inspection Line: 503.639.4175 Date Ready/By: /��,, J 6J See Page 2 for
Internet: www.tigard-or.gov CITY Or 1 iGAHD Notified/Method:/r 137 I IA Supplemental Information
BUILDING DIVISION ,iZe-rf , :1i;111;,%t
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Pu mit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement El Other ja-}j p Cey i ate- equipment,materials,labor,overhead,JuLth rofit for the
CATEGORY OF CONSTRUCTION work indicated on this application. 2-8
12 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ,
I
AccessorybuildingNumber of bedrooms:
3 ❑ 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11ago J iJ, -"0..,f ha,,,mtn C+ New dwelling area: square feet
City/State/ZIP: --r-1 t^41
1 biz q7 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: r i rkhatr.r...., Covered porch area: 360 square feet
Cross street/directions to job site: Deck area: square feet
'1'N
�\n14 1 ('7 Other structure area: square feet
e ^ I' REQUIRED DATA:COMMERCIAL-USE CHECKLIST
`
Subdivision: V f ost t�l a t�CPe.5 tJ0 2 I Lot no.: 1`f Permit fees*are based on the value of the work performed.
Tax map/parcel no.: S d�V W 8 I 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.
1 ' Oc7feS _ - 1 / Valuation: $
Existing building area: square feet
New building area: square feet
i PROPERTY OWNER ❑ TENANT Number of stories:
Name: i n^r 4< 1 r 1 Type of construction:
Address: 1 )ot d 5,Vs) VGn;r 1,av(Z4\ Occupancy groups:
City/State/ZIP: } i`� r J Or al'7�2�
Existing:
Phone:Q 7/) 5 3- C¢S4C) Fax:( )
New:
A APPLICANT 34 CONTACT PERSON BUILDING PERMIT FEES*
Business name: �r L� �A16 (Please refer tojeeuhedule)
M l'1 (Val
Structural plan review fee(or deposit):s 5�,�OG
Contact name:
/ FLS plan review fee(if applicable):
Address: C r .E. 'Col U r-.61 e.
City/State/ZIP:�O 0t n� 0 f-
(��, ( Q Total fees due upon application:
p G� Amount received:
Phone:(�� �O� �.�I�t'� Fax: :(�p3) 2.g 2- 1'-�2L�
E-mail: ( -�a rNj�� (�S^: :. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: M' �r d ��� Submit two(2)sets of roof plan with connection details
' M� and fire department access,along with the 2010 Oregon
Address: S19a Nr /:y+�vt I� `�"/ SofarInstallationSpecialtyCodechecklist.
City/State/ZIP: A�i���J� � aK/ �V fJ �7 Permit Fee(includes plan review
` ' ` / k. d'`O and administrative fees): $180.00
Phone:(513 ) ]. —UI Fax:( )
(/IN7.9- 'to State surcharge(12%of permit fee): $21.60
CCB lie.: ILD734
Total fee due upon application: $201.60
Authorized signature: / Thls permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: 1) , �f Date: ►O!15 'Ljj Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB)
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT '
C
T1cARD Building Permit Review — Residential
r.
Buildin Permit #: 1
g M srzo2a -o0 3 b
Site Address: Ij261D SW IIrh€&v ri C{--
Project Name: k.104-10114/ Lot #:
Planning Review
Proposal: Dt C,V-- COsi&r
.k-Verify address/suite# active in Accela. In River Terrace: I No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: I ,rosion Control
tk copies of site plan on 8-1/2"x 11"or 11 x 17"paper Detained trees with drip line and tree protection measures
rawn to scale(standard architect or engineer scale) lFootprint of new structure(including decks)and FFE
orth arrow /1 tility locations&easements (required for new and additions)
j$Site address,project or subdivision name and lot number 11,.-dewalk/driveway approach
Xpplicant information(name and phone number) hl,i_:cation of wells/septic systems
>Cot dimensions and building setback dimensions 10 treet tree size,type and location
"i 'Square footage of buildings to be demolished 'treet names
( xisting structures on site Corner elevations (2'contours if more than 4'differential)
Not area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? t No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? CIF /r�)'o
' Clean Water Services—Service Provider L;er (lot platted prior to 9/10/1995): �r VA lVN VCI '
Required: ', Yes,applicant was notified i54 No r e e o CA/VS, VS
Water Meter Fixture Unit Worksheet—A.. tions,Remodels and ADUs ` A
Required: ❑ Yes,applicant was notified Z..No Received: ❑ Yes ❑ NoPcYCw
SI SDC Exemption for ADU applied for: ❑ Yes liZ1 No Received: ❑ Yes ❑ No
'I Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified '1‹No Applied For: ❑ Yes ❑ No,stop intake
tOcLand Use Case#: ZS Zoning: 12— 3-S,- ^
;�, Required Setbacks: Front: IV/Pr Rear: Is Side: S Streett ide: 1T,r Garage:14
IK'Building Height: Max. Height: '7J0 Actual Height: 10
POrLandscape Area: % ot Coverage Max:
Entrance n Set back o more th 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows II Minimu 12%of a a of all street-facing facades
Garage II arage d.or is be . d widest st eet-facing wall ❑ Yes ❑ No,one of the following is met:
• Dolt extend no more n 5'from wall and there is a covered porch extending beyond garage.
■ Do.r exten no more , 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
11 Garag: ..or widthis ❑ 1 ' . less 1750%or less of facade ❑ 60%or less and includes 7 of following:
ElCovered p rch ❑ '- - ranee 10Wall offset ❑ 1'Roof eave El Roof offset
❑ Fire shing s ❑ rap Si. • ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent si ' g ❑ indow : ❑ Window recess ❑ Window projection ❑ Balcony
titbrisual Clearance Urban Fores Plan
Sensitive Lands: ❑ Yes .. No Type:
POreonditions met prior to issuance of building permit
Notes:
.Approved By Planning: Y ve " Date: II 6b
Revisions (after Building Submittal on Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: !/ Qp ,?(l,?d
Site Plans: # 3
Building Plans: # 3
Building Permit#: El Enter building permit#above.
Workflow Routing: 8' Planning TrEngineering LLY Permit Coordinator ®' Building
Workflow Sign-off: [l' Sign-off for Planning(include notes from planning review)
Route Application Documents: Fr Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
e-Building: origin.,rermit application, site plans,building plans,engineer and
beam calculai s and j st details,if applicable, etc.
Notes: i- ,/% 7l'/'
By Permit Technician: Date: l zzi d1O
Engineering Review
2"Slope at building pad: 7 3
CST Conditions "Met"prior to issuance of building permit n/
R Easements (encroachments)per engineering conditions of approval and plat ./t
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes I "No
Assess Water Quantity Fee in-lieu: ❑ Yes i'No
�/ LIDA Facility on lot: ❑ Yes 2 No
L� Final Plat Recorded: rt fa
❑ NOT Approved by Engineering: Date:
Notes:
"Approved by Engineering: rlete4,7 f,g,-,' ,, Date: ea it2/2020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved _ ❑ Not Approved
Revision 2: 0 Approved ❑ 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: ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes , N/A
LIDA ElYes g N/A
Ip1 OK to Issue Permit
Approved by Permit Coordinator: Atiri
/ Date: ( t [Zo
I:\Building\Forms\BldgPermitRvw_RES_122419.docx
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
III ■ Transmittal Letter
' ,ARE, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • WWw.tizard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEFT: BUILDING DIVISION RECEIVED
FROM: Bill Moore
COMPANY: May Awning DEC 16 2010
CITY OF TIGARD
PHONE: 5032820140 BUILDING DIVISIO VBy: " -
EMAIL: mayawning@msn.com
RE: 11290 SW Fairhaven Ct MST-2020-00316
(Site Address) (Penni(Number)
Kirkham
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. 3 Revisions: plans
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 18 Engineer's calculations.
Other(explain):
REMARKS: Requested engineering
FOII OF/ICE USE ONLY
Routed to Permit Technician: Date: 12 (-2 �7� Initials: j:�
Fees Due: Yes ❑No Fee Descriptio Amount Due:
$
t 7 ,Gl tbvr \ CRAJ, E,lr- $ 1---
$
$
Special
Instructions:
Reprint Permit(per PE): , ❑ Yes [] No [] Done
Applicant Notified: rp-- Date: 4?-221/ Initials: ie.7 j
41-