Permit (2) y CITY OF TIGARD MASTER PERMIT
1/11
a
., COMMUNITY DEVELOPMENT Permit#: MST2019 00350
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2019
Parcel: 2S 111 CC 11800
Jurisdiction: Tigard
Site address: 10445 SW HIGHLAND DR
Subdivision: SUMMERFIELD NO.4 Lot: 169
Project: Steele Living Trust
Project Description: 315 sq. ft. accessory structure.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 11 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 0 sf Value: $15,349.95 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 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 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+a m p/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:
ACS SF 0
Owner: Contractor:
STEELE LIVING TRUST TUFF SHED I Required Items and Reports(Conditions)
BY STEELE, ROBERT L&JOAN M 2950 SE 73RD AVE
TRS HILLBORO,OR 97123
10445 SW HIGHLAND DR
TIGARD,OR 97224
PHONE: PHONE: 503-848-6088
FAX:
Total Fees: $674.20
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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-009 obtai . .. of the rules or direct questions to OUNC by calling 5•.."-1987 or 1.800.337.2,344.
7
e
Issued By: —. Permittee Signature: dA t1 A tea,., L
" fall 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
Residential FOR OFFICE USE ONLY' '
City of Tigard RECEIVED Received
5 g DateB : Permit No. e .L:26/99
13125 SW Hall Blvd.,Tigard,OR 97223Alli 'r `° 6
'lam'eview / '
Phone: 503.718.2439 Fax: 503.598.1960 3 2019 Date/By: 1 Other Permit:
TIGARD
Inspection Line: 503.639.4175 SEP L Date Ready/By: q / rods: See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD 'tified/Method:� 1� i/ irjr� Supplemental Information
BUILDING DIVISION ��»��'� 4.1 pp
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ /37 31-/9
►1
Accessory buildingNumber of bedrooms: 0
0 Multi-family
❑Master builder ❑Other: Number of bathrooms: 0
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address:10445 SW Highland Drive New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site:Durham Road to SW Summerfield Dr Deck area: square feet
SW Summerfield to SW Highland Dr. 5 r(✓€ -�-
/ � lG(JL(iil'�i.e.*/ Other structure area: 315 square feet
IS rel., t reG� i r iti fr/ /,1``$S ke& REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Summerfield No.4 Lot no.:169 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S111CC11800 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install a 15 foot by 21 foot accessory building(Tuff Shed)in side/back yard. Valuation: $
Expand existing 11 ft.by 14 ft.4-inch thick concrete slab to 15 ft.by 21ft. Existing building area: square feet
About 80%of footprint is already impervious patio/pavers.East drain channel. New building area: square feet
® PROPERTY OWNER El TENANT Number of stories:
Name:Steele Living Trust,dated October 26,2009 Type of construction:
Address:10445 SW Highland Drive Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)849-1768 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Robert L.Steele
FLS plan review fee(if applicable):
Address:10445 SW Highland Drive
Total fees due upon application a�S— �/
City/State/ZIP:Tigard,OR 97224 A
Phone:(503)849-1768 Fax: :( )
Amount received:
E-mail:Steele 652@msn.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Tuff Shed Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6500 NE Halsey Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97213 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)288-8833 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:105914 4,),'2/0, 1 Total fee due upon application: $201.60
Authorized signatur: I .i This permit application expires if a permit is not obtained
_
II within 180 days after it has been accepted as complete.
Print name:Robert L.St•• e Date:09/03/201916 "Fee methodology set by TriCounty Building Industry
Service Board.
I:\Building\Permits\BUP-RESPemutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
111111
T 1 G A R D Building Permit Review — Residential
Building Permit #: /►i5 21 1 it— (2J3 5
Site Address: 1014...c Sw t-h9itcl v c..• ( r -
Project Name: ,c+.2.4.,Ice Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: WA)) l5 S`7/. "- aCUSCO') 1 UIJCb\ ,, - P-g- d' __.C,
XVerify address/suite#active in Accela. 7 In River Terrace: Z No ❑ Yes,River Terrace Review Addendum
Site Plan Elements: LiEiosion Control
/Zi3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper Dlteraitied trees with drip line and tree protection measures
/Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FEE
orth arrow ihiy locations&easements(required for new and additions)
Site address,project or subdivision name and lot number ❑Sidewalk/driveway approach
Applicant information(name and phone number) al-cosotion of wells/septic systems
jt1Lot dimensions and building setback dimensions .0 Street'tree size,type and location
ZSgiiare footage of buildings to be demolished /Street names
Existing structures on site L?'�orner elevations(2'contours if more than 4'differential)
,Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes�No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? --El•Yes-B-NeN/he
AClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ill Yes,applicant was notified ❑ No Received: es ❑ No
..L:I--Public Facilities Improvement(PFI) Permit: 1062i/i '
Required: ❑ Yes,applicant was notified / No Applied For: ❑ Yes ❑ No,stop intake
0 Land Use Case#: ❑ Zoning: 12- i
Required Setbacks: Front: I S Rear. I S Side: S Street Side: X Garage: 2'0
71Building Height: Max. Height: i Actual H ight: I
Landscape Area: 2C-:› % � Lot Coverage Max: 0
Entrance ❑ - back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows ❑ Minim %of area of all street-facing facades
Garage ❑ Garage door is .e :.•. widest street-facing w. ❑ Yes ❑ No,one of the following is met:
❑ Door extends no mo : an 5' . wall and there is a covered porch extending beyond garage.
1 V .
r� ❑ Door extends no mor- . n from wall and there is a 12 sq ft.window above garage on 2nd floor.
❑ Garage door width- • 12'or less ■ 50%or less of facade ❑ 60%or less and includes 7 of following:
❑ Cove porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset
• -ire shingles ❑ Lap Siding ❑ Roo .• h ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ Accent siding ❑ Window trim ❑ Windo•, -cess ❑ Window projection ❑ Balcony
❑ • ual Clearance ❑ Urban Forestry Plan
Sensitive Lands: ❑ Yes ❑ No Type:
-conditions met prior to issuance of building permit
Notes: /
7up-
C�Approved By Planning: _ -- - ,✓- Date: 1' ' /
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPemutRvw_RES 022819.docx
Building Permit Submittal
Original Submittal Date: G3 /e0//7Site Plans: #
Building Plans: # 3
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: Cil nn g Bering L.12rrm o dinator Drriklirig
Workflow Sign-off: Q.-Sign-offfor Planning(include notes from planning review)
Route Application Documents: Ef gineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori 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: Date: OA
Engineering Review
D'Slope at building pad: 2
❑ Conditions "Met"prior to issuance of building permit
E Easements (encroachments)per engineering conditions of approval and plat
:1'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes l3 No
Assess Water Quantity Fee in-lieu: ❑ Yes LNo
LIDA Facility on lot: ❑ Yes Ei-No
[ 'Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
ErIpproved by Engineering: _ Date: g/ole i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
N SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes VN/A
Tigard Trans SDC: 0 Yes ' N/A
Parks SDC: 0 Yes
�� LIDA 0 Yes N/A
LJ OK to Issue Permit /10k t d i d
Approvedby Permit Coordinator: Date:
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