Permit CITY OF TIGARD MASTER PERMIT
II
COMMUNITY DEVELOPMENT Permit#: MST2022 00189
- Date Issued: 07/14/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 134CD00700
Jurisdiction: Tigard
Site address: 11825 SW KATHERINE ST
Subdivision: LERON HEIGHTS NO.3 Lot: 77
Project: Killian
Project Description: Patio cover 448 sf.
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: 20 Smoke
Yes
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $11,486.72 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 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
Bckflw 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 N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
KILLION,RANDALL L CROWN PATIO COVERS Required Items and Reports(Conditions)
KILLION,JUI-MEI H 20400 SW COMANCHE TER
11825 SW KATHERINE ST TUALATIN,OR 97062
PORTLAND,OR 97223
PHONE: PHONE: 503-348-4396
FAX:
Total Fees: $622.16
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 foil w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
o -n c9nn 1- nn l thrill inh CIA c2nn1-nnon Ynii i nhtaln a of ',lac nr riirarf niiactinnc to hI'for by Tallinn 29 10R7 nr 1 WWI229 V 44 `
�jt
Issued By: ��'2 Permittee Signature: el / /
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.
2
Building Permit Application F EC k1_r
Residential JUN FOR OFFICE USE ONLY
City of Tigard CITY OF TI' AR ,Received
/ i crmit No.: {
' 13125 SW Hall Blvd.,Tigard,OR 97223 ate/By: !�/u y /�� 1(`�1 S1' �c1a
s ra g BUILDING I \lr nReview
Phone: 503.718.2439 Fax: 503.598.1960 1�11re/By: A7/2 , 7, erPermit:
T I GARI) Ready/By:Line: 503.639.4175 Date ' jurist
� r 0 See Page 2 for
Internet: www.tigard-or.gov N.titicd/Me hod: •�` Supplemental Information
/
TYPE OF WORK
,. " I F:D DATA:I-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Perini( I:es arc based on the value(tithe work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement I Other: ,Deck_ 1h°V equipment,materials,labor,overhead,and the profit for the 7el_
C,4TIa;ORY Ol ('ONS"IRU(1'lON work indicated on this application. ( Qf
Ell-and 2-family dwelling 0 Commercial/industrial Valuation: $ l (�I•
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder [/other: Deck czvev Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1/$a 5 sW Kk e r t„e s±reed, New dwelling area: square feet
City/State/ZIP: `[ j p��peQ/ d 97 2 a — Garage/carport area: square feet
�`YY Suite/bldg./apt.no.: (UJ Project name: k //(o„. Pock ye r Covered porch area:3 -PI square feet 44er
Cross street/directions to job site: W 4-I N 4_ t 4- /02 1 S i' Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Le. V GVk t e14 S Lot no.: 77 1'umit Ices'are based on the value of the work performed.
C Indicate the value(rounded to the nearest dollar)of all
Fax map/parcel no.:F- '3 � '�" —_—__ equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
A6 — Cv kit,r &lift t 4, fO`4-1 Fit la 0 4240' Q�1 Valuation: $
w 4-1r r Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: RGt VI.A 1 �L /p-Q^ f/J��� Type of construction:
Address: Iles 5 t,J k/4,41 e f r U1. Sir
Occupancy groups:
City/State/ZIP: `i'i/ _41 J Q� t 4'g. 42 q Existing:
LPhone:(tom ) VL a /"/�_" 1 6 17 v‹
_.... _� �� �v� Fax (� lP) .� � New:
❑ APPLICANT
CONTACT PERSON "BUILDING PERMIT FEES*
1 Bus name: IVVL _-- (t'�a referaojee'schedute)
arm C..J i�< -
Contact name: Structural plan review fee(or deposit):
L— FLS plan review fee(if applicable):
I Address:
l Total fees due upon application:P PP �.`�1 CityiState/ZIP: �)y
Phone: Amount received:
( ) Fax: :( ?
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
-----------
�, Commercial and residential prescriptive installation u
('
13usinc s name: CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
C.Y uW ✓l q t:. ty✓�'HJ Submit two(2)sets of roof plan with connection details
Address: a0( sbf Co rn QKG�e Tz rl (Q and fire department access,along with the 2010 Oregon
et, - Solar Installation Specialty Code checklist.
City/State/ZIP: ru.( (,5 •j N I Q q 704. 2 Permit Fee(includes plan review
and administrative fees): $180.00
Phone: 03) alas_ Ct37 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB he.: 311Oc.2 ��-I, lL3
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.
L Print name:—GA C (I L. Kt i GyN Date: t/•f is- /g 2- *Fee methodology set by Tri-County Building Industry
6 �O Service Board.
.:t., I`Building\Permits\BUP-RESPcrmitApp.doe 02/24/2011 440-4(113T(l l/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T1caRD Building Permit Review — Residential
Building Permit #: cc ) TY9
Site Address: ' I Cjz5 $'&1 KA ,&e.
Project Name: V,l ( lbu Pali?) Cov'-ev- Lot #:
Planning Review
Proposal: (A,7-Cttd4t4 Pei(, d� (J3
Verify address/suite # active in Accela. ❑ In River Terrace: 4,No ❑ Yes, River Terrace Review Addendum
Site Plan Elements:
3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper 4 ' tr h rlri i e and tree rn cg -,
rawn to scale (standard architect or engineer scale) Footprint of new structure(including decks)and FFE
orth arrow new an a
Nkite address,project or subdivision name and lot number 151-Stirmalli-41fivoway appr,,
tApplicant information(name and phone number) ❑T.ocation ofwellc/` sy tesus
VOLot dimensions and building setback dimensions r]..4treet tree size,type and location
iSt5treet names
•
elZiExisting structures on site evattons (2'contours if more t an •
covera e and >1,000 sf of impervious area created or replaced? ❑Yes �Jo
, -40 I es ism strnti�rroatrrq�.altt�-€aei� '�e n? I—Iv node
® Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified ® No Received: ❑ Yes ❑ No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
�] ST�I t~ r�Hlpglie�- n Y s n T\7� Received: ❑ Yes ❑ No
..B--Prtblic Facilities Improvement-(PH) ermii: '
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
[ia' Zoning: `4.5
Required Setbacks: Front: 70 Rear: t 5 Side: Street Side: i S Garage:
p Building Height: Max. Height: Actual Height: ✓)a C 1.1.ifrite
.ape Area: % utf;weraguttax:
et back no more t an rom less
mum o o area - acing aca es
Garage a • ehind widest street-facing wall ❑ Yes ❑ No,one owing is met:
❑ Door extends no more ' om wall and there is a coy c extending beyond garage.
❑ Door extends no more than 5'from w a e is a 12 sq ft.window above garage on 2"floor.
❑ Garage door width is ❑ 12'or less 50%or less of ac ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ essed entrance ❑ Wall offset ❑ 1 ve ❑ Roof offset
❑ Fire shingle Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel ro Dormer
❑ siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony
❑ Visual Clearance ❑ Urban Forestry Plan
fp Sensitive Lands: p Yes ❑ No Type: f LW P 6vv.
❑ Conditions met prior to issuance of building permit � ' I,
Notes: (✓cy�..�r em-e r e Kt �+�� tz'1-IZ' oU . .e.. , -2{/1S(7 i v`e (c( .S
it)Approved By Planning: Date: 6./1&7Za 2 2-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPerniitRvw RES 122419.docx
Building Permit Submittal
Original Submittal Date: (p/A,
Site Plans: #
Building Plans: # 3
Building Permit#: I--Enter building permit#above.
Workflow Routing: W'-Planning ®`Engineering L$ Permit Coordinator e Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: I Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[ - Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: ��""
By Permit Technician: __�F� t-2 Q 1 Date: 61/
Engineering Review
�
Slope ad at building pad:
.2 l.onditions "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 2No
Assess Water Quantity Fee in-lieu: ❑ Yes 0'No
LIDA Facility on lot: El Yes 21"-No Add Fee: ❑ Yes ❑ No
[2"-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
E7 Approved by Engineering: '4, (,5 14E2 Date: 4 -23-Zo?-L
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El 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: El Yes 7N/A
Tigard Trans SDC: ❑ Yes ,Z(N/A
Parks SDC: El Yes X N/A
LIDA ❑ Yes N/A
7f.OK to Issue Permit
Approved by Permit Coordinator: ,`O, , Date: (Q'
I:\Building\Forms\B1dgPermitRvw_RES_1208021.docx
W
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
Date/B Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Y
s a" Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW v e, Ni) N/st
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0
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 0
6 Sewer permit. 0 ❑ 0
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0
_ basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 ❑ ❑ ❑
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 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 0
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
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 ❑
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.
16 Wall
a bracing(prescriptive path)and/or
lateral analysis plans. Must indicate details and locations;for non- ❑ 0 ❑
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 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 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 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ ❑
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 0 ❑ 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 II"x 17". 0 0 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ 0
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. 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 0 ❑ 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 ❑
and protection measures must be drawn to scale and must include theproject arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 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.
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