Permit (10) CITY OF TIGARD MASTER PERMIT
`� 1 *' COMMUNITY DEVELOPMENT Permit#: MST2023-00205
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/18/2023
T H{' 1 ftP g Parcel: 2S115AA04200
Jurisdiction: Tigard
Site address: 10531 SW KENT ST
Subdivision: DOVER LANDING NO.2 Lot: 81
Project: Leggett
Project Description: 380 sq. ft. patio cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 15 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $11,476.00 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
Heal 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 SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 WI 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 0
Owner: Contractor:
LEGGETT,ADAM ROY&TIFFANY JO GIBB CONSTRUCTION&REMODELING INC Required Items and Reports(Conditions)
10531 SW KENT ST 15755 SW SERENA WAY
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: PHONE; 503-407-9686
FAX: 503-549-8986
Total Fees: $597.51
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit ' `pire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to folio the "les adopted by the Oregon Utility Notification Center. Those bs-�are set forth in OAR
oc9-nnl-nn+n film 1 AR o69-nM-noon vni,ma n'rnnv of PC nr rlirnrt ni iaefinne in rll INr 1-ai • � OA7 nr 1 A 19 914
Issued By. Perrrtittee ' ure:
3.639.4175 by 7:00 a.m.for the next available inspection dot .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard
UPI1:
' COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
1117
Building Permit #: P\`JT • ba 3^- 0-a06
Site Address: 1055 1 S( Lem- cr-• erified in Accela
Project Name: LeCx-r-V-- Lot/Unit #:
Proposal: AIM,CHet) f ' C,011142- OI-) Zone: Q(2$
ex. Oecr—
Housing Type: FR( ingle Detached ❑ Duplex❑Triplex❑ADU)❑ Rowhouse ❑Cottage Cluster❑CYU OQuad ❑Other
Required Site Plan Elements:
Elements:
0(cdpies of site plan on max 11x17"
g D n to standard scale
h arrow Sjt _ _Gt_-- - _-_ sho / labeled
e address, project name, lot #
et names (N/A for SFR)
‘3,Tplicant name and phone # slotted (if applicable)
10 L x. nd setback dimensions T'='^'"'•eti yl
g structures &square footage Uk 1 ty,locations &easements
ootprint of new structure and FFE Property corner elevations
r.n ,- 11II -6f-l' } h 1
i
, Lot area and lot coverage percentage 19 Erosion control
Requ Elevation Plan Elements:
(For SFR: needed only on street-facing) Summary table with calcula ' or:
❑ Drawn to s and scale ❑ Total facade are
❑ Building height nsioned ❑ Total win and door area
❑ Facade dimensioned
❑ Windows and doors dimensi d
❑ Garage doors dimensioned
Required Floor Plan Ele ts:
(Not required for SF ❑ ary table that includes
❑ Each sto imensioned ❑ Total o rea
Ea ory floor area calculated - ❑ Floor area pe tory
Planning Review
The following standards have been met:
Setbacks ❑ Front: II--
Rear: 1.5-
Side: S �Min/Max Street Side: / / Garage:
Hei t ❑ Max. Height: 30 Proposed Height: S
I
Yes ❑ Landscape
❑ Yes creening (Quad only)
❑ Yes la"N % Window Coverage
0 Yes P P Garage (SFR Only) Parking (Other Res)
❑ Yes Entrance (SFR, Rowhouse, Quad only)
❑ Yes Other building design standards (Rowhouse only)
❑ Yes A Accessory Structure Standards
❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only)
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses,and Quads:
❑Yes I N/A Unit Count:
❑ Yes N/A Lot Width and Size
❑ Yes N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑Yes ❑ N/A Unit Area:
❑ Yes ❑ N/A Floor Area (per story)
0 Yes d N/A Courtyard
0 Yes 0 N/A Fence
es l N/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
❑ Yes No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑Yes ❑ No
Applied For: ❑ Yes ❑^ No,_stop p intake
ensitive Lands: ❑ Yes frN
❑ Main Land Use Case #s: ❑ Conditions met
LI Applicant notified of land use expiration
Approved By Planning: -r - Date: 54s�3
Notes (pgrI C.�VF2 LLO P_7t b OQGIG,
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved ❑ Not Approved Date:
Building Permit Submittal /
Original Submittal Date: . Vs/a 3
Site Plans #:
Building Plans #:
Building Permit #: cf2 wilding permit # entered on page 1
Workflow Routing: Et-Planning 1ngineering a-Permit Coordinator (ding
Workflow Sign-off: Er—Sign-off for Planning (include notes from planning review)
Route Documents: Er 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.
Permit Technician: 4 .31 t\ Date: 5 C�.D
Notes:
Engineering Review
121*I Permit:
Ef Slope at building pad: 4%
E(Conditions met prior to issuance of permit n
IYEasements (encroachments) per engineering conditions of approval and plat
'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes C'No
Assess Water Quantity Fee in-lieu: 0 Yes 'R No
LIDA Facility on lot: ❑ Yes It(No Add Fee: ❑ Yes 0 No
Final Plat Recorded nib.
❑ NOT Approved: Date:
Notes:
Approved By Engineering: Them& an Gam'"} Date: 5 I30 I20Z3
Revision 1: ❑ Approved ❑ Not Approved Date:
Revision 2: 0 Approved 0 Not Approved Date:
Permit Coordinator Review
onditions met prior to permit issuance
❑ Approved, NOT Released: Date notified applicant:
❑ ENG Revisions Required: Date notified applicant:
C�'SDC Exemption: CI ,Applied for ❑ Received Does not apply
/ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes VN/A
Tigard Trans SDC: ❑ Yes ,N/A ❑ Deferred
Parks SDC: 0 Yes f/N/A ❑ Deferred
LIDA ❑ Yes IN/A
1'OK to Issue/Approved by Permit Coordinator: Date: 3 ilin3
/ Revision 1: ❑ Approved ❑ Not Approved U _ Date:
Revision 2: 0 Approved ❑ Not Approved Date: