Permit CITY OF TIGARD MASTER PERMIT
I-r. COMMUNITY DEVELOPMENT Permit#: MST2021-00235
T F G A R n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2021
Parcel: 2S110DD08200
Jurisdiction: Tigard
Site address: 15760 SW HIGHLAND CT
Subdivision: SUMMERFIELD NO.6 Lot: 298
Project: Hendrickson
Project Description: Replace beam, move/replace windows and convert approximately 105 sf of garage into added
master bdrm closet space. Electrical permit to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 0 First: 105 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: 105 sf Value: $12,858.30 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 Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0
Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bcktlw Prevntr: 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 N
Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF VB R-3 105
Owner: Contractor:
HENDRICKSON,BRAD&CHANTELA LOVELL CONSTRUCTION Required Items and Reports(Conditions)
15760 SW HIGHLAND CT 33830 CHURCH RD
TIGARD,OR 97224 WARREN,OR 97053
PHONE: PHONE: 503-366-1413
FAX:
Total Fees: $804.89
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 require you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: ...#0 --r-5... 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.
C-ODC F0/2- 7r-
Building Permit Application 3 - 4, 2 L
Residentiallisi RECEIVED _
F City of Tigard 2 2 2021 ° � /� O Permallo S-i— OD7�35
13125 SW hall Blvd.,Tigard,OR 972233' Review /,3/94goer Penult:
I Phone: 503.718.2439 Fax 503.59&1960 Date/By: in See Page 1 ter
T t i i n 4 t n
Internet
Inspection Line: 503.639.4175 CAM" 0 T I G ARD Date ttr.ar/Br / Al& Supplemental larInformally*t: www.tigard�'.gav BUILDING DIVISION N
TYPE OF WORK '�"�" REQUIRED DATA:1-AND2-PAMILYDWELLING
❑Demolition Permit fees'are based on the value of the work performed.
❑New construction Indicate the value(rounded to the nearest dollar)of all
lddition/aiteration/replacement 0 Other: equipment,materials,labor,overhead,and the roH for Maxi)
work indicated on this application. la) � �e
CATEGORY OF CONSTRUCTIONiau Valuation $
rlits2a* i
Cammercial/inclustrial
I-and 2-family dwelling ❑ Number of bedrooms:
ElAccessory building -- 0 Multi-family
Number of bathrooms:
❑Master bw7der ❑Other
JOB SITE INFORMATION AND LOCATION
Total number of floors:
_ /S' ` _ r� New dwelling area: 1�squa<e feet
job site address: (�'J J ,644,144,7 r
rn �r��� 11 Garagetarp square feet
City/State/ZIP: 4/e-/V C./ot c� ort area:
Suite/bldgJapt.no.: f Projbct name: Covered porch area: square feet
Cross street/directions to job site: �� ./ c2 J 7�� 7GF c4\ Deck area: square feet
C...c.)(412 Zr re ( j-/ /! I ,/1 �Y,1 Other structure area: square feet
a ei- I>y �c '. not C �g✓ILS[--�9 c REQUIRED DATA:COMMERCIAL.USE CHECKLIST
Permit fees'are based on the vatic of the work performed
Subdivision: Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: r• - equipment,materials,labor,overhead,and the profit for the 1
/ DESCRIPTIO F WORK work indicated on this application.
cc"' &Z/.e 1SJr S,(/` 44,0 Valuation $
� Existing building area: square feet
ebiir Pt- / New building area: square feet
PROPERTY OWNER T Number of stories:
Name: ‘2,4-/ Type of construction:
Address: 1 71'0c' Su.,1 / / ) C! / Occupancy groups:
City/State/ZIP:y -7 j G. V
`
00 7c9 2 Existing:Existing:Phone:(CW) 3/C —,c")..?,S Fax:(rrt,„ ?66 —f t'O New:
A APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES`
(Plums tykr,lofts .
Business name: Structural plan review fee(or deposit):
Contact name: FES plan review fee(if applicable):
Address: Total fees due upon application:
City/State/Z1P: Amount received:
Plume:( ) Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
E-mail: '30".!� --b V2 dC 2 \e4 r l'. (C ' Commercial and residential prescriptive installation of
1. Av c tLTOR roof-top mounted PhotoVoltaic Solar Panel System.
NL/ !l ()d tT — f Submit two(2)sets of roof plan with connection details
Business name: C.+zo 77Y!G and fire department access,along with the 201U Oregon
Address: 33� ,e jf' S Solar Installation Specialty Code checklist_
Permit Fee(includes plan review $180.00
City/State/ZIP: and administrative fees): _
Phone:) ,?5lp - e 1 1 F :( ) State surcharge(12%of permit fee): $21.60
CCH lie.: 70 L�Q `I j/I/ Total fee due upon application: $201.60
Authorized sigaatnne:�� Thy permit application expires if a permit is sot obtained
�' within 180 days after it has been accepted as complete.
'Fee methodology set by Tri.County Building Industry
LPrimtrame: . , � -.(ev I .� S,.r.�.enard. 1 �J
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Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Receive:
Date/By: No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
RI
Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical Plumbing
TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: 0 ❑ 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0
6 Sewer permit. 0 0 Et
7 Water district approval. 0 0 El
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 El
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ El 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state Q 0 0
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 El ❑ Q
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 ❑ ❑ M
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 El,
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- ❑ ❑ ❑
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.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 El
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums shoving foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ 0 M
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 Xr
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 .l
systems,see item 22,"Engineer's calculations."
l9 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists El 0 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 CSI
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 12f ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or RI 0 ❑
architect licensed in Ore:on 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. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 El
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ 0
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.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
6/22/2021 Parcel Condition Edit
Parcel#:2S110DD08200
v1sr.€, Submit Reset Cancel Help
Type • Condition Name • Status Severity
Prcl Bldg v Building Dept Actic Not Met(App v Lock v
Applied by Dept* Current Department Applied by User• Current User Action by Dept Current Department Action by User Current User
Building v Brandon Taggt v Building v —Select— v
Applied Dale .�.�, Il Effective Date Expiration Date
06/02/2021 13 _ _.. V.
Short Comments ff.Standard Comment
Per David,"Please place a parcel hold and add a investigative fee for structural work without permits.Additional house sq footage has been added in the $'..
garage and new window and door headers added at moved locations as well as the addition of a glue lam beam to support the upper floor next to the
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Long Comments 11Standard Comment _._
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Resolution Action
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Include in Condition Notice Display Notice Public Display Message
Accela Automation
❑Condition Name ACA
❑Short Comments
0 ACA Fee Estimate Page
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