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
= Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE +CEIVED:
DEPT: BUILD&G DIVISION d V E
JUL. 2 6 2022
FROM: CITY OF TIGARD
COMPANY: BUILDING DIVISION
PHONE: ��`T ^i � ✓(�/ BY:
EMAIL:
RE: f > �T 6 6r l L kr OD
,(.Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
FEopies-7 Description: Copies: Description:
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. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFF CE USE ONLY
Routed to Permit Technici Date: 7JQ2Z Initials:
Fees Due: ❑ Yes o e Descri tion: Amount Due:
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: 1 Initials:
I:\Building\Fonns\TransmittalLetter-Revisi ons_073120.doc
' 1
J , a
STRUCTURAL NEXUS OFFICE COPY
CONSULTING ENGINEERS
' July 22, 2022
RECEIVED
John J.Vosmek Architect 'JUL 2 6 20F
1801 NW Upshur St CITY�U�LDIOF TIGARD
G DIVISION
Portland, OR 97209
RE:Whitehead Residence Patio Roof Wind Uplift 'M
"-Wo ,
Dear John,
Attached please find calculation sheets 1 through 3, dated July 22, 2022 for the Whitehead Residence
Patio Roof Wind Uplift. Design is based on the requirements of the 2018 International Building Code,as
amended by the State of Oregon.
if you have any questions or require further information,please call.
Sincerely,
eo PROF,�ss
5 INEAz.
'Q /02
57808PE
/
John T. Mayer, PE
Managing Principal OREGON oti
Structural Nexus, LLC �ATFMBER�1 2�
✓0NN T. m pcj ' ,
Attachment(s): Structural Calculations EXPIRES: 12-31-2022
Structural Nexus LLC 1 T:(503)470-6332 1 www.structuralnexus.com
Page 1 of 1
CITY OF TIGARD MASTER PERMIT
= COMMUNITY DEVELOPMENT Permit#: MST2022-00211
Date issued: 08/09/2022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 25111 CC17500
Jurisdiction: Tigard
Site address: 10310 SW HIGHLAND DR
Subdivision: SUMMERFIELD NO.4 Lot: 226
Project: WHITEHEAD
Project Description: Patio cover 277sf and additional gable to match facing golf course.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 13 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $7,102.28 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
Bckflw 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 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:
WHITEHEAD,WILLIAM E ALL BUILDING CONSTRUCTION Required Items and Reports(Conditions)
2933 MISTY ROCK COVE PO BOX 304
DACULA,GA 30019 YAMHILL,OR 97148
PHONE: PHONE: 503-550-5112
FAX:
Total Fees: $853.31
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 suspend e for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T se rules re se forth in OAR
Qri%rmi_nnln thrn mh AR Q59-nM-nn Vrn mav�ai.a.n i of tha n ilac nr Hir—t ni—in—to 01 Mr.by rallinn n 949 1QR r 1 R 4. Odd
Issued By: Permittee Signature,
Call 503.639.4175 by 7:00 a.m.for the next available Inspection ate.
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.
r
Building Permit Application
Residential
RECEIVE
E
I"l C C 1 V Received permit No.:
City of Tigard Date/B : 7 r
13125 SW Hall Blvd.,Tigard,OR 97223JUL 112022 Pian Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date(B : L QI See Page 2 for
Jons.
Inspection Line: 503.639.4175 CITY OF TIGARD otified/Meth to Ready/By:
Supplemental information
Internet: w .tigard-or.gov BUILDING DIVISION
REQUIRED DATA:I-AND 2-FAMILY DWELLING
TYPE OF WORK
❑Demolition Permit fees*are based on the value of the work performed.
arof all
❑New construction indicate the value(rounded to the nearest doll )
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION ZS
Valuation: $ • �: ''') I
® 1-and 2-familydwelling ❑Commerciallindustrial
Number of bedrooms:
E]Accessory building ❑Multi-family
Number of bathrooms:
❑Master builder ❑Other:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
New dwelling area: square feet
Job site address: 10310 SW Highland Drive
O Garage/carport area: square feet
City/State/ZIP: Ti aid,OR 97224
Project name: 12'-T'x22'-0' square fe t 277
Proj
Suite/bldg./apt.no.: Whitehead Remodel
Cross street/directions to job site:
Deck area: square feet
Summerfield Drive Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Summerfield No.04 Lot no.: 2 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
4Na,nilha
Ma ;2S111CC17500 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this a lication.
create gables and a covered area on the East end of the South
Valuation: $
a golf course),and a West end o the South or Existing building area: square feet
New building area: square feet
ERTY OWNER ❑ TENANT
Number of stories:
Type of construction:
E.and Rebecca U.Whitehead
Address: 10310 SW H' land Drive Occupancy groups:
City/State/Z1P: Ti ard,OR 97224 Existing:
Phone:(404 ) 308-6019 Fax:( ) New:
53 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Please►e er to ee sckedsrle
Business name: , Structftrev-iew (or deposit):Contact name: FLapplicable):Address: application:City/State/ZIP: nt received:
Phone:( ) ( Fax::( S� ' s7
r PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: �. Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: Cf and fire department access,along with the 2010 Oregon
Address:
Solar Installation Specialty Code checklist.
permit Fee(includes plan review $184.00
City/State/ZIP: q1 I Ll A and administrative fees
Phone:( J Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: ev, within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: W E Whitehead Date: 06/23/2022 Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
' d
s
I
Building Permit Application Checklist
One- and Two-Family Dwelling
City of Tigard rReceivedoMpermit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
■ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ mer:
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zonin . Flood lain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district:
5 Septic sstem permit or authorization for remodel. Existing system capacity i0l ❑6 Sewer ermit. El7 Water district a roval.
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch-
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑
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 2-11.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 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑
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. ❑
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 bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive
on-rescri tive 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 ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑
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 ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details.
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 El El El
architect licensed in Oregon and shall be shown to be applicable to the project under review.
"23Three 3 site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El I
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 10 ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ EJ
27 "Drawn to scale"indicates standard architect or engineer scale. ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ F1
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines,
and protection measures must be drawn to scale and must include the project arborist's signature ofapproval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions,
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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Submittal
Original Submittal Date: 711112-2
Site Plans: #
Building Plans: #
Building Permit#: ""Enter building permit#above.
Workflow Routing: Manning 'E gineering �rmit Coordinator Building
Workflow Sign-off: .E —Sign-off for Planning(include notes from planning review)
Route Application Documents: Ff 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: t W,464hv-Date:
Engineering Review
C7 `Slope at building pad: L�
L7 Conditions "Met"prior to issuance of building permit
Li? basements (encroachments)per engineering conditions of approval and plat .✓!-
V Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [?'No
Assess Water Quantity Fee in-lieu: ❑ Yes 2r No
/ LIDA Facility on lot: El Yes l 'No
Y Final Plat Recorded: Ith-
❑ NOT Approved by Engineering: Date:
Notes:
12'Approved by Engineering: �.w..- -la,.� �,,,� Date: I 1312Ott
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
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
1 SDC Exemption: ❑ Received Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: Yes XN/A
Tigard Trans SDC: ❑ Yes 1 N/A
Parks SDC: ❑ YesXJ1 N/A
LIDA 1:1 Yes ,LJ N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 7 3 2022-
1:\Bui1ding\Fonns\B1dgPennitRvw_RES_122419.docx
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
r
Building Permit Review — Residential
Building Permit #:
Site Address: �3 10 Lh�HLA NC)
Project Name: 3Q4ue - ACV\ Lot #:
Planning Review
Proposal:
2 Verify address/suite#active in Accela. ❑ In River Terrace: ❑ Yes,River Terrace Review Addendum
Site Plan Elements: Erosion Control
AN
pies of site plan on 8-1/2"x 11"or 11 x 17"paper Re ed trees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) ,��rint of new structure(including decks)and FFE
harrow 1QU lity locations&easements (required for new and additions)
7I� 1 address,project or subdivision name and lot number Sidewalk/driveway approach
cant information(name and phone number) Location of wells/septic systems
nsions and building setback dimensions St tree size,type and location
S re footage of buildings to be demolished Itreet names
xisting structures on site om.er elevations(2'contours if more than 4'differential)
ILot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes;JNo
Clean Water Services—Service Provider Letter platted prior to 9/10/1995):
quired: El Yes,applicant was notified No Received: ❑ Yes ❑ No
eCJ Water Meter Fixture Unit Worksheet—Additio emodels and ADUs
,quired: ❑ Yes,applicant was notified 7 No / Received: ❑ Yes ❑ No
LTJ S Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes ❑ No
LZ Public Facilities Improvement(PFI) Permit:
Required: ElYes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
❑ Land Use Case#: ❑ Zoning: 'r
❑ Required Setbacks: Front:0/ _ Rear: t Side: Street Side: / Garage:
❑ Building Height: '3Max. Height: f Actual Height: 17
ElLandscape Area: /J,t/�- % ❑ Lot Coverage Max:
Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Win ❑ Minimum 12%of area of all street-facing facades
Garage ❑ Garag ' behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Door extends no n5' from wall and there is a covered porch extending beyond garage.
❑ Door extends no more than 5' ro nd there is a 12 sq ft.window above garage on 2,'a floor.
❑ Garage door width is ❑ 12'or less ❑ 50%or ess de ❑ 60%or less and includes 7 of following:
❑ Covered porch ❑ Recessed entrance ❑ Wall offset of eave ❑ Roof offset
❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam r ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Window recess ❑ or
projection ony
rGl Visual Clearance Urban Forestry Plan
El Sensitive Lands: El Yes Islo Type:
❑ Conditions met prior to issuance of building permit
Notes: eH i S E7riLnNro YQq'Xty i,JL_ H
❑ Approved By Planning: ,` Date:
IP
Revisions (after Building Submittal only)/7— rJ Reviewer ��ate
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1:\Building\Forms\B 1dgPennitRvw_R E S_l 22419.docx