Permit CITY OF TIGARD MASTER PERMIT
N---i--- , COMMUNITY DEVELOPMENT Permit#: MST2020-00170
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2020
Tli;:�I? f) g Parcel: 1S134CD01000
Jurisdiction: Tigard
Site address: 11735 SW KATHERINE ST
Subdivision: LERON HEIGHTS NO.3 Lot: 80
Project: Finkle
Project Description: Remodel to remove(2)interior walls,convert(1)sliding door with a window and(1)hinged door to
a window.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 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: 0 sf Value: $2,000.00 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 Storm Sewer: 0
Drains: 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 Tvoes Air Conditioning. N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
FurnelOOK: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K. 0
ELECTRICAL
Residential Unit Service Feeder Temo SrvclFeeders Branch Circuits
1000 sf or less. 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 st: 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 6011-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 Other Description. Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
FINKLE,BENJAMIN STEPHEN 8 BRITT ROLLING HILLS REMODELING Required Items and Reports(Conditions)
11735 SW KATHERINE ST 7108 SE MITCHELL ST
TIGARD,OR 97223 PORTLAND,OR 97206
PHONE: PHONE: 971-207-4416
FAX:
Total Fees: $187.79
This permit is issued subject to the regulations co..fined in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance wi -.proved plans. Thi- permit will ,re if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: O.-!• w - quires you 'o follow . rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through• - - 2-e r r 090 Y.0 ,l=y 0-�/ •.y of the rules or direct questions to OUNC by calling 503.232.1987 . .332.2344.
Issued By: / _. e:41, ' Permittee Signature: LG77:;;,...
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.
Building Permit Application r,, ,,,
Residential �1 ��n� �t/t 7/�
ECEIVED Received/.,//,, J HS/dVi0,00i /!f
City of Tigard G V GBy Permit r
;IN • 13125 SW Hall Blvd.,Tigard,OR 97 2 I Plan Rev ew
3 Phone: 503.718.2439 Fax: 503.598.19610AY 1 Da n Rey: / M1 ,_ Other Permit:
TIGARD Inspection Line: 503.639.4175 MM 1 V LULU Date Ready/B tam: I H Sec Page 2 for
Internet: www.tiganl-or.gov fied/Meth.,� 4 / Supplementallnformation
CITY OF TIGARD
�c�i�
V`iLf19V„ t.jdl,)i{,)iµ
TYPE OF WORK I REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition I Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Z Additigallalteratip;Jreplacement 0 Other: I equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
91*1-and 2-family dwelling ElCommercial/industrial Valuation: $ L i 000
❑Accessory building ❑Multi-family I Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
' .JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 I-755 Si o ).e.,,,_04 9,..., yi9., ...c\-- New dwelling area: square feet
�
City/State/ZIP: ligcu11-1:2.:5- OZ. 17- I Garage/carport area: square feet
�t
Suite/bldg./apt.no.: Project name: '— A _ il IP ' Covered porch area: square feet
Cross street/directions to job site: .5 l/J I T-1. QVC Deck area: square feet
Other structure area: square feet
I I REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: I Permit fees*are based on the value of the work performed.
n Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: Lit 1 S c.-L-714-(,'/LE c 6.-0
LA.() (x- LtTT7 1?_. !'-G(Ja I equipment,materials,labor,overhead,and the profit for the
y ` DESCRIPTION OF WORK 41D , ,I work indicated on this application
resptova l Oc- 7l ,erk- lAj&..y 1. . Comte(- - Valuation: $
8�/1 Q \
5 ) !Yl7
A 1/1 1 A�n I.v . (1 h� I Existing building area: square feet
t/1 l rtf cd. LA.);8 to- y‘..cLo W t t New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: I Existing:
Phone:( ) Fax: ( ) I New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit): iO k
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) I Fax: :( )
Amount received:
E-mail: '1rtk&ei d o--yll. 20111 i 1.t S ANA, 1 til. CON 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CO RACTOOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 24,-1(t t tl1 SI1�`. : 1 CA,YV10 del. J 1 vt. I Submit two(2)sets ofroof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 110(o se-) ;6 tt ST- I Solar Installation Specially Code checklist.
City/State/ZIP: I Permit Fee(includes plan review $180.00
y • • 7 and administrative fees):
Phone:(• +) 11 _ till t(0 / Fax:( ) State surcharge(12%of permit fee): $21.60 1
CCB lie.: 201 x-(3( //1,,,://1_2 I Total fee due upon application: $201.60
Authorized signature: T� L
I Print name: 'ghis permit application expires if a permit is not obtained
� T / + within 180 days after it has been accepted as complete.
'ground 01,1 i_Ar.--6>h I Date: SiS gl 2_0I Fee methodology set by TriCounty Building Industry
Service Board.
I t
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
ai III C COMMUNITY DEVELOPMENT DEPARTMENT
T I G A RD Building Permit Review — Residential
'MaLLAY, .,.Y.
Building Permit #: Cl S Td-0 g,O " 00 1 7 0 •
Site Address: 11135 SW kottvrrinL stye&
Project Name: LinlL)e- Lot #:
Planning Review
Proposal: FlQJ rernoAe,l
tk'Verify address/suite# active in Accela. D In River Terrace: •[]( No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: •Erosio Coontr I
A 3 copies o site plan n 8-1/2"x 11"or 11 x 17"paper ■I Retain:. trees with drip line and tree protection measures
i
- prawn to.cale(sta dard architect or engineer scale) II' ootp t of ew st cture (including decks)and FFE
0 orth arr.w II tility ocati ns&e:.ements (required for new and additions)
❑Sit. addr:.s,proje t or i division name and lot number IN Si. w, /d veway ...roach
❑App can inform tion( and phone number) 11 Loc..i in o wells! ... systems
ELot ., e,sions nd b • g .etback dimensions •Street re size, •A e an. location
❑Square •otage f buil., gs to be demolished ■Street na es
r❑Existing strut res on ite ❑Comex e evations(2'contours if more than 4' . er. )
❑Lot area,buil g coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? I*1 I- EA.
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ s A i.
XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): 6,7(42.0
Required: X-Yes,applicant was notified ❑ No Received: rg,Yes ❑ No
10 Later Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified No Received: El Yes ❑ No
AgAEDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permit:
Required: El Yes,applicant was notified .K—No Applied For: El Yes ❑ No,stop intake
Nat-Land Use Case#: Zoning: 12.4...&"
NARequired Setbacks: Front: Rear: Side: Street Side: Garage:
WAIBuilding Height: Max. Height:_ Actual Height:
/Sandscape Area: % (QLot Coverage Max: %
Entrance NSet back no more than 8'from street-facing wall ElParallel to street or offset 45 degrees or less
1 Windows t Minimum 12%of area of all street-facing facades 555'1 pYw.a4.A. ay- %Leto
Garage Gara e do is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met:
❑ Doo extends no more than 5'from wall and there is a covered porch extending beyond garage.
❑ Do exten•s no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ G e or wi. s ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following:
C vexed .• . 2 Recessed entrance ❑ Wall offset El 1'Roof eave ❑ Roof offset
❑ re shin les ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ ccent siding El Window trim ❑ Window recess ❑ Window projection El Balcony
Visual Clearance 1/ •rban Forestry Plan ? 04441 Arltt4CAYI+WGFtk 1
j:S Sensitive Lands: A, es ❑ No Type: VII. Corno4urJ yl tl H wave beth fit f-
onditions met prior to issuance of building permit J
o es:
Approved By Planning: Date: 512V I 20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I:\Building\Fonns\B IdgPennitRvw_RE S_1224 I 9.docx
Building Permit Submittal
Original Submittal Date: ..57/7/.
Site Plans: # 3
Building Plans: # 3'
Building Permit#: []/Enter building permit#above.
Workflow Routing: EYPIanning ❑ Engineering ❑ Permit Coordinatording
Workflow Sign-off: [Sign-off for Planning(include notes from pla ing review)
Route Application Documents: Engineering: (1) copy of permit applicatio (1) site plan, (1) building plan and
original plan review routing form.
cuilding: original permit application, s' plans,building plans, engineer and
beam calculations and trust details,if pplicable,etc.
Notes:
By Permit Technician: i Date: S/?�/zei
iii u u ei iui iuJaa dlu II!I [4LIJUJu Ld[e„ii [[ui Iae!.eul Y ie4IY a,WJ.,!J i , I u i , i [I. I II I ![ i„u II Ji. I! I Ili. II LIII i .IJ [I!N I [II III
Engineering Review
❑ Slope at building pad:
❑ Conditions "Met”prior to issuance of building permit
❑ Easements (encroachments) per engineering conditio s of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: V Y-: ❑ No
Assess Water Quantity Fee in-I-u: es ❑ No
LIDA Facility on lot: '■ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Engi eeri Date:
Notes:
❑ Approved by Engineering: Date:
Revisions (after Building Submi r al only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
I I I iI 1[ [I II n.I!I J [IIII[ tl[[II i lu uil[ . Illi i i III II1Iiu I [ III II ! II I I!III i IIII I , , . iii
Permit Coordinator eview
❑ Conditions "Met”pri to issuance of building permit
❑ Approved,NOT eleased: Date:
Notes:
Revisions (after B tiding Submittal only)
Revision Notic 1: Date Sent to Applicant:
Revision No ' e 2: Date Sent to Applicant:
❑ SDC Exem tion: ❑ Received ❑ Does not apply
❑ SDC Fees ntered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
LIDA ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
C 1Bui Iding\Forms\BldgPermitRvw_RES_122419.docx
RE::: D
JU2020
Cry3ARDCleanWater\`Services
?.,lLUMSloN
SENSITIVE AREA PRE-SCREENING SITE ASSESSME
Clean Water Services File Number 120_001358
1. Jurisdiction: shirtgtea-Qauaty City of Tigard
Vh
2. Property Information(example: 15234A801400) 3. Owner Information
Tax lot ID(s): 1S134DC01000 Name Brittany Finkle
Company
Address' 11735 sw katherine st
OR Site Address: 11735 sw katherine st City, State,Zip: Tigard, OR, 97223
City, State,Zip:Tigard, Oregon, 97223 Phone/fax: 631-365-1420
Nearest cross street: Sw 116th Email: Brittfinkle@gmail.com
4. Applicant Information
4. Development Activity(check all that apply)
❑ Addition to single family residence(rooms,deck, garage)
Name: Brandon Fenton
El Lot line adjustment 0 Minor land partition Company: Rolling Hills Remodeling
0 Residential condominium ❑ Commercial condominium Address: 7106 SE Mitchell Street
❑ Residential subdivision 0 Commercial subdivision City, State,Zip: Portland, OR, 97206
❑ Single lot commercial 0 Multi lot commercial Phone/fax: 9712074416
Other Reframing 2 doors into windows Email: brandon@rollinghillsremodeling.com
6. Will the project involve any off-site work? 0 Yes IX) No 0 Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
Tigard BDS told me to fill this out. No landscaping or changes to the wall locations or layout are being made.
This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site
Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,
Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and
completed under applicable local,state,and federal law.
By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water
Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering
information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my
knowledge and belief,this information is true,complete,and accurate.
Print/type name Brandon Fenton Print/type title Owner
Signature ONLINE SUBMITTAL Date 5/20/2020
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO
ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural
Resources Assessment Report may also be required.
❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the
site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if
they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5, Section
3.02.1, as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable
local, State and federal law.
❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the
existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to
evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service
Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and
approvals must be obtained and completed under applicable local,state and federal law.
O THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED.
R The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2), NO SITE ASSESSMENT
OR SERVICE PROVIDER�_99LETTER IS REQUIRED.
Reviewed by � 11x : ,y7.� Date 06/01/2020
nce complete,email to:SPLReview•cleanwaterservices.org • Fax: (503)681-4439
OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway, Hillsboro,Oregon 97123
Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p- 503 681 3600 f.503 681 3603 • cleanwaterservices org