Permit (2) _ CITY OF TIGARD MASTER PERMIT IN ' COMMUNITY DEVELOPMENT Permit#: MST2023-00308
Date Issued: 07/25/2023
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 CC16000
Jurisdiction: Tigard
Site address: 10000 SW HIGHLAND DR
Subdivision: SUMMERFIELD NO.4 Lot: 211
Project: Warren
Project Description: Adding second story deck over existing covered patio.Within existing footprint.
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: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $3,722.88 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
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
Fum<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 add9 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:
OTR SF VB R-3 0
Owner: Contractor:
WARREN,STUART&RONDA K BUTLERCOLIMA CONSTRUCTION LLC Required Items and Reports(Conditions)
HOUSE TRUST PO BOX 180
16200 SW PACIFIC HWY STE H#268 CANBY,OR 97013
TIGARD,OR 97224
PHONE: PHONE: 503-754-0757
FAX:
Total Fees: $355.63
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 issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you I. • • - • _-. adopted by the Oregon Utility Notifi lion Center. hose rules are set forth in OAR
ec9_nnl..nnln thrn„nh()AR oc9-riot-noon vn, ... .. •, rlir<r}n„ocnnne 1n nl'MC by roninn 4 949 1p57 nr 914,1
Issued By: / Perms _= ignature:
Ca1le*4175 by 7:00 a.m.for the next available inspection dat0 '
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 iob site at the time of each Inspection.
Building Permit ApplicatimtlECEIVE
Residential FOR OFFICE USE ONLY
, City of Tigard JUL 5 2023 RecDate/By:d
7 J / 7),
J 2 ? /✓I?, L
II 13125 SW Hall Blvd.,Tigard,OR 97223 Dan R / UrX]
Date/By:
an Review 7 / 76i
Phone: 503.718.2439 Fax: 503.598.19 Date B Other Permit:
CITY OF TIGARD r
T I G n R D Inspection Line: 503.639.4175 BUILDING
I ' I ry 1 1>, t, Date Ready/By: I u ]uru: ® See Page 2 for
Internet www.tigard-or.gov BUILDIING D° 'ON Notified/Method: 7ri1 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
I�, Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement I Other: pet, /) equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. Q
1-and 2-familydwelling
Valuation: $ JP 72a
g El Accessory building 0 Multi-family Number of bedrooms:
• 0 Master builder ix Other: 1,24,,c4. .....
e'- l 42 T ' Number of bathrooms: ^��
/ A JOB SITE INFORMATION AND LOCATION Total number of floors: �,y-
/ Job site address: `�b b65 6i it -Lj 14.4 ,� Dive New dwelling area tq�g�
City/State/ZIP: !I5 M 72Z4/ ! n Q 17 f�Y Garage/carport area: square feet
Suite/bldg./apt.no.: Project na e: tjavYedl Dea,. Covered porch area: square feet
Cross street/directions to job site: 5V'VVIIYxe f c-182-U Deck area: t iZ Fr square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ili {vQ(& I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
A � DESCRIPTION OF WORK work indicated on this application.
/6 21V4) S LL°f-IC eve- r e+CiS.)-Viol Valuation: $
c�j Vetr pt..
Existing building area: square feet
New building area: square feet
IgLPROPERTY OWNER ❑ TENANT Number of stories:
Nance: -J&f'�- 4 >F41'II' ,rLf�•B, Type of construction:
Address: 1 v 000 �'r tti t �t0,�b�G�6„c, Uu2, - Occupancy groups:
City/State/ZIP: "herd-CD, e J/ r }
tJExisting:
Phone:( ) w Fax:( ) New:
APPLICANT ,CONTACT PERSON BUILDING PERMIT FEES*
Business name:`/�'It-
nie, ir-ii 5 41,1e'_t�,.� (Please refer to fee schedule)
Contact name: t�,� (�.�I • 1 Structural plan review fee(or deposit):
Address: 7y1i E, a f i 1' rv.'V.fe etas FLS plan review fee(if applicable):
City/State Ar CAI2-Z. -
Total fees due upon application:
t
Phone:(6, ) •I p3 y� ,53C'' ax: :( ) Amount received:
E-mail: Cabro-th,USlnC@ victir m PHOTOVOLT_AICSOLAR PANEL SYSTEM FEES*
Ni
NTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Cg, l t ink L.;!,--V I S 42 10G(1,, Submit two(2)sets of roof plan with connection details
' r and fire department access,along with the 2010 Oregon
C'x
Address: 12A,) S E y Y•11 , (. --1(p C Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
�n,r Rom 0 o r 6-til R•722�-- $180.00
Phone:( 1 '7t9 a265: F ( ) and administrative fees):
p State surcharge(12%of permit fee): $21.60
CCB tic.: I g 7 t 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.
Print name: Dale. fa,
*Fee methodology set by Tri-County Building Industry
/�i! �'' Cr Y/j�/��/ Service Board.
I:\Building\Permits'BUP-RESPermitApp. oc 02/24/2011 440-49/13T(II/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard ed
Permit No.:
DRecate/By.
. la 13125 SW Hall Blvd., gard,OR97 Associated permis:
•I Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical
TIGAAD Internet: www.tigard-or.gov ❑ Ocher:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. _ ❑ 0 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
6 Sewer permit. 0 ❑ 0
7 Water district approval. 0 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 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 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 ❑ 0 ❑
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 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 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 bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 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 0 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 ❑ ❑ ❑
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 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 ❑ 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 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 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ ❑
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:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
114 !I COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
Building Permit #: 030/ /
Site Address: 10000 s W Ii`.5 t�J\ Df. I 1 1 Verified in Accela
Project Name: Warre/1 SecrnL- S ny Dew lea k- Lot/Unit #: I��
Proposal: AAA, s�,,coi -�'T'✓�f - ah'o'f Ca`si�r\ Cou�eR,ytp Zone: I\fS- C—
Housing Type: , SFR,(Single Detached 0 Duplex❑ Triplex❑ADU) ❑ Rowhouse OCottage Cluster❑ CYU EQuad ❑Other
Required Site Plan Elements:
J213 copies of site plan on max 11x17"
AJ Drawn to standard scale s, rip ine tree pro
. ( North arrow r1 Street and city 1-1-Pa
JzJ Site address, project name, lot #
--A Street names (N/A for SFR)
•
Rf Applicant name and phone #
)21Lot and setback dimensions d s l`t ❑ Vision cfedrance tTizrrrcgie
,e1 Existing structures & square footage - 1 ' -❑ Utility locations &ceseincnt,
cicvations
r,1o,ik,al.Crlr di 'nnad ,
f] Cru.iuii control
riiq V��� rl^hs ot5, no\--c3
Required Elevation Plan Elements:
(For SFR: talcs needed only on street-facing) r table wit os for:
I Drawn o a andard cal ❑ Total f a
,EBuilding height dimensioned al window and o a
-8 r-agade dimensioned
n windews and doers dl er�siertiri-
Required Floor Plan Elements:
( ❑ Summar le-that-irr[tucTes
❑ Each story dimensioned Total floor area
0 Each stor f cu ated a per story
Planning Review ,,�k4bades non con e.rwkn� aJ ruff 1 040,vi u'/ '1'4\011
The following standards have been met:
Setbacks Front: t S Rear: � S Side: S Min/Max Street Side: \ S / Garage: c)--O
Height ZMax. Height: ° Proposed Height: a 1
❑ Yes, N/A Landscape - AS [On a S 4r 04-AC:o Ate}
❑ Yes N/A Screening (Quad only)
❑ Yes,O N/A % Window Coverage
O Yes/E1N/A Garage (SFR Only) Parking (Other Res)
❑ Yes 1N/A Entrance (SFR, Rowhouse, Quad only)
❑ Yes ON/A Other building design standards (Rowhouse only)
❑ Yes,Z N/A Accessory Structure Standards
O Yes/1No Qualifying pre-existing unit exempt from standards (Cottage unit only)
itional standards for Cour Units, Cottage Clusters, Rowhouses, and Quads:
❑ Yes Unit
C Yes ❑ N of nd Size
N/A Pathway
Addition andards for Courtyard Units and Cottage Clusters only:
❑ Yes 0 N/A rea:
n Yes ❑ N/A Floor er story)
❑ Yes ❑ N ourtyard
❑ N/A Fence
❑ Yes ❑ No ❑N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes ❑ No,P1N/A Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes ,'No
Applied For: ❑ Yes El No, stop intake
;2-Sensitive Lands: ❑ Yes ,'No
❑ Conditions met
Approved By Pla ning: , Date: 7 / 5/ -o%.3
Notes_'De•tiopyw4 i S .,?nm„ "iiI3fa 504b+d-d. k"*- M4- 41114t/<n144‘3;Ms MlflUhftNwwlfe Co k a1lowtB-
Revision 1: 0 Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal ////
Original Submittal Date: 717._3
Site Plans #:
Building Plans #:
Building Permit #: rBuilding permit # entered on page 1
Workflow Routing: '6Planning�neeringmit Coordinator"—❑ Building
Workflow Sign-off: - Sign-off for Planning (include notes from planning review)
Route Documents: engineering: (1) copy of permit application, (1) site plan, (1) building plan
and original plan review routing form.
building: originaLoermit application, site plans, building plans, engineer and
beam Icul • ns and tr tails, if applicable, etc.
Permit Technician: Date: 7`_ . /LI
Notes:
-- Engineering Review
PFI Permit:
❑ at building pad: cyo
ti(e ❑ Conditio et prior to issuance of permit
.i.- 0 Easements (enc ments) per engineering conditions of approval and plat
_a 0 Water Quality/Quantity • •ty:
Assess Water Quality ' -lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in- • ❑ Yes ❑ No
LIDA'Facility on lot: ❑ ❑ No Add Fee: ❑ Yes ❑ No
Final Plat Recorded
t 2. ❑ NOT Approved: Date:
3 43 Notes:
Approved By Engineering: ._ te: '//z ,
Revision 1: 0 Approved 0 Not Approved Date.
Revision 2: ❑ Approved ❑ Not Approved Date:
Permit Coordinator Review
• Conditions met prior to permit issuance
ii Approved, NOT Released: Date notified applicant:
n ENG Revisions Required: Date notified applicant:
s SDC Exemption: 0 Applied for ❑ Received b-Does not apply
■ DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A ❑ Deferred
Parks SDC: 0 Yes N/A ❑ Deferred
LIDA ❑ Yes N(/AA\ I
Issue/Approved by Permit Coordinator: \`U\\ Date: 1 \\- 1 �
P OK to Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date: