Permit 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 ■ i Transmittal Letter
r,c_,A R C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Holly Van De Wege DATE RECEIVED:
DEPT: BUILDING DIVISION , ' VVED
FROM: Brian and Amy Zirkelbach JUL 0 8 2.021
COMPANY: NA CITY o�p��St(��
PHONE: 503-718-1764 By' a
EMAIL: amyzirkelbach@hotmail.com BUILDING
RE: 11445 SW Fairhaven Street MST2020-00350
(Site Address) (Permit Number)
Zirkelbach Residence
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
X 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. X Engineer's calculations.
X Other(explain):Engineer Plans Requested by inspector for front porch
REMARKS:
Ate ,
FOR�DF 'ICE USE ONLY
Routed to Pe it Tec ician: Date: -7 (3 Z' Initials:
Fees Due: Yer❑ No Fee Description. Amount Due:
l lam• $ �b
$
Special
Instructions: ,/
Reprint Permit(per PE): ❑ Yes No El Done
Applicant Notified: yi.___.
Date: 7//1L4 Initials:
FOR OFFICE VSE ONLY-SITE ADDRESS:
T4s form is recognised by port building depletions in the'hi-Goutyair tar v amiukg iamtioo
' Plow complete Ibis fora Awn scrbaoit iitg iimmation for pion worm ncipooaos aad revision
,Thu fotto sod the inionaatios st PeOtitdgE.Mat&mien Dimas and utoOtec to vote mica
City of Tigard • t,Yl .I4I.M]TY DEMOMENT [WPM
Transmittal Letter
1312$SW Hall Blvd •Tiprd, Oreyoa 97223 .503.718,2439• auw.ngard-or.on
TO: A Sly Alp A t DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: ,J1.4 -4t 4 arf • Y let MAR 17 2021
CPA: Y: 66i (E f1 Cintripat c.f qpx CITY OF TIGARD ,
PHONE: Sp ",�a4-��23 BUILDING D11�S,I,PN /�
EMAIL: t Cirk si,•" i)4s,/
RE: 414 ,w .a SI. 76/1 V41, 4gaiLk..m2t2r_(2_______
Addlids1
Z4t1 ijka 440 e
'twos .r. .r elisio use mg a mikrt
ATTACHED ARE THE FOLLOWING ITEMS:
L c. aa.cgl..
Additional *cgs)of plats. Revisions.
Cross scct on(s)and details Wall bracing and/or Inert analysis
Floodrovf framing. Bast and retailing watts.
Beam aiwiatioox. Engineer's calculations
X Otter(explain) ., eti 44II J �' f 1'�sfs
REMARKS:
FOR
Routed to Permit LLTcchn ciao: Data: — /13 Z) Initials
Foci Dur. Yes i% o Feet riptaoo. Amount Due.. . _
\J t S
sp..,..
No PontReprint Permit Oa PE): Yes.�....v .,. _: _. ._ _ ._. .
Applicant Notified: Date jIriii&s
$ / - L ` *
a
Building Permit Application / , P
Residential /may FOR OFFic i ESL()NIA
R E E I VE i�eGCI VCd
City of Tigard 4i/ ��4. qiertPermit No�`7-+�„��t.�'�7�13125 SVl'Hall Blvd.,Tigard,OR 97223Plan Review U/i7G' ' Phone: 503.718.2439 Fax: 503.598.1960ate By y -+ Other Permit
DECoEC 2 2 2020
I I t r,i;l t Inspection line: 503.639.4175 Date Ready/By: "Luria H See Page 2 for
Internet: www.tigard or.gov CITY
�� r' titled tvtethod: l t M Supplemental Information
44
TYPE OF WORK'UILD/NU DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
piAddition/alterationfreplacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
gil-and 2-family dwelling Valuation: $ �y. t J3
(—dz.) `��
❑Commercialfindustrial
0 Accessory building ❑Multi-family Number of bedrooms:
t0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i i y�� 5.(, ). ra,!{A a LI-V s't, New dwelling area: //,//,4_ square feet
City/State/ZIP: 1/jet,,,/ o' q id 3 Garage/carport area: square feet
Suite/bldg.!apt.no.: /1„//,� Project name: Covered porch area: /c,q square feet
Cross street/directions to joobbb site: Deck area: P/,.9'- square feet
Other structure area: `J/ square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Fax map/parcel no.: by{�o r� �r�� ,J OIL equipment,materials,labor,overhead.and the profit for the
DESCRIPTION OF WORK work indicated on this application.
. p r / U aleot "if./ f(5441414001811ffille
Valuation: S
Existing building area: square feet
New building area: square feet
-- (400(e__ PI 1 t 6 et49/1- ',N7t C-,, ,r-
i PROPERTY OWNER 0 TENANT Number of stories:
Name: Br�,� 2.t' 4c1 cA ,.�tn-? y 'Type of construction:
Address: j/7 7 5 C t4) Q«; j„d ,1.1�7('f / 1Occupancy groups:
City/State/ZIP: 1 /504r`� Cr? 9 //61..3 C- +y tc/h4- 7 •x ,
Phone:(<'3 ) S'It •3 3 3 Fax:( ) a m/ a r k e I il q-C. Ap /v,Gx., it, cc picAPPLICANT 1i' CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: CAA. (O(d Copts+laC C i', '.1.-(/ Structural plan review fee(or deposit):
Contact name: e
4S r1r1 `� -, G " 1/41/4 /C°t/1� FLS plan review fee(if applicable):
/
Address: i[ 17'(g5— S. ti./ i(/14 v c.� a
City/State/ZIP: n. etd C� V12 q7�L 7 Total fees due upon application:
J F Amount received:
Phone:(�Q3 ) 4 Paz 3�j Fax::( ) C E--)xi -/L. iti n/ 1`'�, = (
E-mail, f )) / / `( �'" PHOTO rOLTAIC SOLAR PANEL SYSTEM FEES*
Qjlit C'�d Ctr.S frCt Cr'L L,G t ' l Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C-C x¢ ,� CA s'176( c_11/- �t_.L Submit two(2)sets of roof plan with connection details
and fire department access.along with the 2010 Oregon
Address; S. (,(/ bCt, l �, Solar Installation Specialty Code checklist.
/ d ✓ Permit Fee(includes plan review
City/State/ZIP:
1 Pot/6/cret R.. 9 700 41 and administrative fees): $I80 00
Phone:(c' ) co — 3 4,3) Fax:( ) State surcharge(12%of permit fee): S21.60
CCB lie.: otpLI 7 iiTotal fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
n r / f Date:
*Fee methodology set by Tri-County Building Industry
Print name: 4.(�rT, ''Y` t.��dt`t ` q j Service Board.
I:\Building\PermitslBt1P-RESPemtitApp.doe 02/24/2011 440-4613T(11/02ICOM/WEB)
City of TigardRI
, �'�L?�Zd
,IP/1 _ COMMUNITY DEVELOPMENT DEPARTMENT ``
T l G n u D Building Permit Review — Residential
iG
Building Permit #: J .S ,_ , 5?�
Site Address: 11445 SW Fairhaven St
Project Name: Zirkelbach Lot #:
Planning Review
Proposal: Roof replacement and add gables
ElVerify address/suite #active in Accela. Q In River Terrace: Q No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: „r,, rosion Control
1:1: copies of site plan on 8-1/2"x 11"or 11 x 17"paper \\c 4 tetained trees with drip line and tree protection measures
12 It rawn to scale(standard architect or engineer scale) `j\!i ,,..footprint of new structure(including decks)and FFE
12 orth arrow ,,,.,Jtility locations&easements(required for new and additions)
12 ite address,project or subdivision name and lot number sidewalk/driveway approach
0 pplicant information(name and phone number) r .ocation of wells/septic systems
.t dimensions and building setback dimensions ,,;street tree size,type and location
'.quare footage of buildings to be demolished ,;Street names
• Ling structures on site °tiorner elevations(2'contours if more than 4'differential
R, t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? es ' o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° o
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: 0 Yes,applicant was notified o No Received: Li Yes
0 No
Received: El Yes 'I No
Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: El Yes,applicant was notified ° No
SDC Exemption for ADU applied for: Yes ❑No Received: ❑ Yes No
Applied For: El Yes El No,stop intake
Public Facilities Improvement(PFI)Permit:
Required: ❑Yes,applicant was notified Q No
Land Use Case#: Q Zoning: R-3.5
Required Setbacks: Front 20 Rear: 15 Side: 5 Street Side: N/A Garage: 20
bill Building Height: Max.Height: -� Actual Height:_ icZ
• . dscape Area: % Lot Coverage Max: %
Entrance Set back no more than 8'from street-facing wall ❑ Parallel to stree . o fset 45 degrees or less
Windows I\ i , 12%of area of all street-facing facades '�(�
Garage Gauge door ,-hind widest street-facing wall ��4 -s ❑ No,one of the following is met
Door extends no -. e than 5' from wall and th- , ' a covered porch extending beyond garage.
_ Door extends no more 'from wa i there is a 12 sq ft.window above garage on 2"d floor.
❑Garage door width is 11 12'or les Eli 0%or less of facade 8 60%or less and includes 7 of following:
ssed entran Covered porch I g 1 Wall offset 1'Roof cave ❑Roof offset
•
Fire shinglesu Lap Siding RoAoitch I Gable, '.,or gambrel roof Dormer
_ Acce, g I Window trim U Window rece I Window projection 0 Balcony
❑ Visual Cleara, ❑ Urban Forestr,Plan
❑ Sens' ' - ands: ❑ Yes LI No Type:
P ond'dops n3et pri to issuan building permit I
Notes: C%h.Pe,C LU'7Jn .tatl !'Ibs- 74 I Sc,Aoh a ( _ Ar-e6itlf,L.1-' C
Q Approved By Planning: Date: 12/23/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
1:\I3uilding\Forms\BldgPermi tRvw_RES_1224 19.docx
Building Permit Submittal
Original Submittal Date: ///1
Site Plans: #
Building Plans: .1... .3
Building Permit#: nt uildin ermi ve. n ^
Workflow Routing: la ing nginecring ermit Coordinator -�tt>rding
Workflow Sign-off: � i- ff for Planning(include notes from planning review)
Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
on ' 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: %
Engineering Review
lope at building pad: 2 d6
EConditions "Met"prior to issuance of building permit
Easements (encroachments) per engineering conditions of approval and plat
❑k-ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes o
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: ❑ Yes Ii No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
0 Approved by Engineering: 7 - �!, , Date: r Vat kozo
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
er it Coordinator Review
a 10 nditions "Met"prior to issuance of buildin ermit ')
*� Approved, __M NOT Released: — _ DaItc to .2
•
Notes: 22)p /?071- Ask - '
'1
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
t • Iii' S C Exemption: ❑ Received Does not a '
IS DC Fees Entered: Wash Co Trans Dec Tax: ❑ Yes '/A
k 'Tigard Trans SDC: ❑ Yes '/A
r
X. . Parks SDC: 0 Yes '/A
LIDA
❑ Yes N/A
Vi/OK to Issue Permit
Approved by Permit Coordinator: I• Date: 1t121
I'_\Buil ding\Forms\BIdgPemutRv w_RES_122419.dock
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit#: MST2020-00350
T t G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2021
Parcel: 2S103DC00804
Jurisdiction: Tigard
Site address: 11445 SW FAIRHAVEN ST
Subdivision: VIRGINIA ACRES Lot: 2
Project: ZIRKELBACH
Project Description: New gables and roof replacement.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $42,500.00 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 Storm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: D Drains: Catch Basins: 0
Bckfw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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'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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
ZIRKELBACH,BRIAN&AMY L BLUE CORD CONSTRUCTION Required Items and Reports(Conditions)
11445 SW FAIRHAVEN ST 23603 S UPPER HIGHLAND RD
TIGARD,OR 97223 BEAVERCREEK,OR 97004
PHONE: PHONE: 503-504-3233
FAX:
Total Fees: $1,262.09
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 throughh tOAR 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: 16 'QCt �>,
t /.-+C t�Y\ cp
Permittee Signature: I) s t C-(-"LIN�
\v\ � Call 50 .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 / A", A
Residential _ FOR onFICE. USE oNi.l
l3lof Tigard RECEIVE i eceived
`� g ratemy: I-/ () N Permit No.: _
I3125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �� �
C Phone: 503.718.2439 Fax: 503.598.1960lik
DateBy: fj �it Other Permit:
Inspection Line: 503.639.4175 DEC 2 210T0 Date Read B u I.
l 1(A.I l i) p Y y � �^ ® See Page 2 for
Internet www.tigard-or.gov cn-y OF TIGARD
ti
otifiedethod: 61 l i . Supplemental Information
TYPE OF WORK l DlN(DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
mil-and 2-family dwelling ❑Commercial/industrial Valuation: $ �7 L fJ� =k�
efr ❑Accessory building El Multi-familyNumber of bedrooms: J
❑Master builder ❑Other: Number of bathrooms: t,
JOB SITE INFORMATION AND LOCATION Total number of floors: I
Job site address: i l l f S. .rQ.%Nat/ J • New dwelling area: fj ,/4- square feet
City/State/ZIP: t'� .I O2 q 7; L 3 Garage/carport area: ,, '" square feet
Suite/bldg./apt.no.: it,„ . Project name: Covered porch area: /yq square feet
Cross street/directions to jo site: Deck area: �/r4-, square feet
Other structure area: Vi square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
J Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: q
�o®y ( . )v1' ,x equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1,....9 Iff:61-lei::: in-G-tif a els" ,I..A it 5 wit44?-I --1,-- cill Valuation: $
firlY Existing building area: square feet
„ C/ et-tt J ��_?t New building area: square feet
Colie-
PROPERTY OWNER^'/ 0 TENANT Number of stones:
Name: f1 rrt, Z, J, CGS f" 9-M Sf Type of construction:
Address: i/L 5 c.(,) r ar k 1st IR N Pi Occupancy Occupancy groups:
City/State/ZIP:/Z )750.1a( 0/2 9 71)-7 Co-'°y -,., al v✓ /4 V Y
Phone:( rj ) S a tt .-7;._3 3 Fax.( ) a nI y zi rk e l b a e It aJ /kC1 r I r CO r-
)APPLICANT gt CONTACT PERSON _r BUILDING PERMIT FEES*
(PleaBusiness name: CA4 Co(GY (�MJT fu c h Lc. review fee e(or t deposit):
Contact schedule
Vr Structural plan fee deposit):
Contact name: V, s 4.. re eeleu.i L — 1/4.J 4
j / u� S n f ! FLS plan review fee(if applicable):
L
Address: / T /14 tr Z., s1 ,
� Total fees due upon application:
-r-f
City/State/ZIP: I 44 d Oft 9 701 3
( ) Fax::( ) �, �L wi7�/v „E — Q Amount received:
Phone: �3 5 d � 3a1�J4
E-mail: jj� ( r5 � �C C �, 1 J PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
111777r .1- ` e '. Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: (i1� 6 f f}j� Lam. t,t_� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: t3 6� .S //, g ,,,i, 4, Solar Installation Specialty Code checklist.
City/State/ZIP: "J _�j' yid Permit Fee(includes plan review
eor� t rem b'` / 7Q� and administrative fees): $180.00
Phone:( ) if' —3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: otfu 7�
/ 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.
'n� l� *Fee methodology set by Tri-County Building Industry
lfv
Print name: `CG6M.(t J el Date: I Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard 12 22{?.d
= If COMMUNITY DEVELOPMENT DEPARTMENT
T1cnRD Building Permit Review — Residential
164
Building Permit #: /))S WV--LY.):3.573
Site Address: 11445 SW Fairhaven St
Project Name: Zirkelbach Lot #:
Planning Review
Proposal: Roof replacement and add gables
❑r Verify address/suite #active in Accela. Q In River Terrace: CI No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: ,rosion Control
II: copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures
0 P rawn to scale(standard architect or engineer scale) .,1\ ootprint of new structure(including decks)and FFE
0 orth arrow \ tility locations&easements(required for new and additions)
111.ite address,project or subdivision name and lot number 'idewalk/driveway approach
IN
pplicant information(name and phone number) '� cation of wells/septic systems
II •t dimensions and building setback dimensions N treet tree size,type and location
•Ii:quare footage of buildings to be demolished ° treet names
d • frog structures on site ° orner elevations(2'contours if more than 4'differential
1`J•t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? j es o
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: El Yes,applicant was notified ElNo Received: ❑Yes ❑° No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
\(� Required: ❑ Yes,applicant was notified ❑° No Received: ❑Yes ❑° No
�(` SDC Exemption for ADU applied for: 0 Yes ElNo Received: ❑Yes El No
Public Facilities Improvement(PFI)Permit:
Required: ElYes,applicant was notified ElNo Applied For: El Yes El No,stop intake
Land Use Case#: 0 Zoning: R-3.5
&R equired Setbacks: Front: 20 Rear: 15 Side: 5 Street Side: N/A Garage: 20
Building Height: Max. Height: s5t Actual Height: - 10Z
dscape Area: % ❑ Lot Coverage Max:
Entrance 1 Set back no more than 8'from street-facing wall ❑ Parallel to see • offset 45 degrees or less
Windows I i I 12%of area of all street-facing facades
Garage Gara e door •-hind widest street-facing wall 3'\( \ -s ❑ No,one of the following is met:
Door extends no -• e than 5'from wall and the . ' a covered porch extending beyond garage.
Door extends no more .M ' fromi. . • there is a 12 sq ft.window above garage on 2nd floor.
Gara e door width is I 12'or les 50%or less of facade 60%or less and includes 7 of following:
Covered porch I :< •ssed entrance 1 Wall offset 1'Roof cave Roof offset
Fire shingles i Lap Siding Roof itch II Gable,hi.,or gambrel roof Dormer
Acce '. g Window trim Window reces Window projection ❑ Balcony
0 Visual Clean, .- ❑ Urban Forestry Plan
❑ Senn . - ands: ❑ Yes ill No Type:
P on yol s et pri to issuan building permit I ale_
/J /
Notes: Ci{2�C Lt.: �n! /1 �Ibr— /71 I�ciAat a C%Ucf� �`'br ecnten_74-- 0
CI Approved By Planning: �� Date: 12/23/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Build ing1Forms1BldgPermitRvw_RES_I 22419.docx
Building Permit Submittal
Original Submittal Date: 44/ 109d
Site Plans: #
Building Plans: # ��
Building Permit#: nt uildin ermtt ove.
Workflow Routing. laryaing ngineering ermit Coordinator aitrt>i?mg
Workflow Sign-off: �'S� ff for Planning(include notes from planning review)
Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
on d plan review routing form.
uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: ___'_ 6,
Engineering Review � `�
�
Es-lope at building pad: 2%
ErConditions "Met"prior to issuance of building permit
Er-Easements (encroachments) per engineering conditions of approval and plat
(] Vl'ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes o
Assess Water Quantity Fee in-lieu: ❑ Yes o
LIDA Facility on lot: ❑ Yes LJ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
❑ Approved by Engineering: 7 -ie...ste, Date: I Z/at iZ024
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
er it Coordinator Review
editions "Met"prior to issuance of building permit
�
— Date: / / /
Notes: , D 1?04 /�tt e Ulf 911 1 YJ.B� ,��.+
Revisions (after Building Submittal only)
l4
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
V SIC Exemption: ❑ Received Does not a
16!',.DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: El Yes /A
LIDA ❑ Yes N/A
OK to Issue Permit c.---
Approved by Permit Coordinator: ,f—e Date: j/4.21
1:\Building\Fortes\BldgPertnitRvw_RES_122419.docx
77-2 2.0 - l�02S0
Dianna Ornelas
From: David Young
Sent: Tuesday, January 12, 2021 5:41 PM
To: amyzirkelbach@hotmail.com
Cc: #Building Permit Technicians
Subject: Fwd: 11445 SW Fairhaven St, RV cover in setbacks
Brian and Amy,
The RV cover is no longer an issue as it has been removed. I do not know the scope of the permit submitted for the
covered entry and porch but if the re roof on the rest of the structure is just replacing existing roofing material and does
not include any structural work you can start that portion of work as you have complied with the stop work order
requirements and submitted your permit application.Any structural work pertaining to the permit would need to left as
is until permit issuance and inspections. Let me know if you have any questions or you may contact the city plans
examiner with any structural questions as she would know the scope of the permit application.
Thanks,
David
Sent from my iPad
Begin forwarded message:
From: David Young <DavidY@tigard-or.gov>
Date:January 7, 2021 at 10:29:53 AM PST
To: Lina Smith<LinaCS@tigard-or.gov>, #Building Permit Technicians<TigardBuildingPermits@tigard-
or.gov>, Ken Ross<kenro@tigard-or.gov>
Cc: Walter Barnett<walter@tigard-or.gov>
Subject: 11445 SW Fairhaven St, RV cover in setbacks
Good morning all,
I drove by the above address and the RV cover structure has been removed.
Let me know if you have any questions.
Thanks,
David
Sent from my iPad
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