Permit I� CITY OF TIGARD MASTER PERMIT
►1 • ' COMMUNITY DEVELOPMENT Permit#: MST2020-00274
T 16 A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/28/2020
Parcel: 2S104DC01100
Jurisdiction: Tigard
Site address: 13798 SW BENCHVIEW PL
Subdivision: BENCHVIEW ESTATES Lot: 11
Project: Lloyd
Project Description: Add header in wall to create door opening
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Lek: 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: $8,554.00 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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 WI Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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
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:
LLOYD,LEYENDA CHAMPION WINDOW COMPANY OF PORTL/ Required Items and Reports(Conditions)
13798 SW BENCHVIEW PL 13009 NE DAVID CIRCLE
TIGARD,OR 97223 PORTLAND,OR 97230
PHONE: PHONE: 503-624-2678
FAX: 971-634-2678
Total Fees: $375.24
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. is 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 to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090�y obtai a copy of the rules or direct questions to OUNC by calling 503.232.11 j98�7 or 1.800.332.2344. 1
J ,0Issued By: • 4 Permittee Signature:
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 :-,N--,-', : " J4,
Residential 3 FOR OFFICE USE OV1,,Y ,t
Cityof Tigard �;E P 3 c� Received ,) /�
a g DateBy: !0 D5 02 6/ Permit No.:Al r�ZO.o .27
III .1 13125 SW Hall Blvd.,Tigard,OR 97223 1` )
Phone: 503.718.2439 Fax 503 598 1960 Plan Review y� I
a ;,. Date/By: i] j{/ , Other Permit:
T I GA K D Inspection Line: 503.639.4175 1 l"Tat ' Date Ready/By: Jy'�'15„� (3 See Page 2 for
Internet: www.tigard-or.gov - Notified/Method:f /Z7 V) / `i Supplemental Information
pf
T°5' att^x`% 3a.t. ,y`-r ,',3; r ",`'t i{ilia � k*-' xi%, y ..-
❑New construction ❑Demolition Permit fees*are based on the value of the work performed. <
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
..'4 fi4Ks'. ...
:./'....-111.11.v141i.T.I:41. work indicated on this application.
® I-and 2-familyValuation: 'J
dwelling $❑Commercial/industrial �5 _]. 69(J J
0 Accessory building El Multi-familyNumber of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
I
JOB SITE INFORMATION AND LOCATION Total number of floors: j
Job site address: 1 3 7 c7 g. - r , New dwelling area: square feet
City/State/ZIP: Per+/awr1 f ,!,R. 9 7 a a 3 Garage/carport area: square feet
i'
Suite/bldg./apt.no.: Project name: L /0 x oJ Covered porch area: square feet �"
Cross street/directions to job site: (j`K 4 it,V t et../ T eg/qC t Deck area: square feet j
Other structure area: square feet
Subdivision: &e•tn e N✓rec.... 6 5-�.(,-c5 Lot no.: f( Permit fees*are based on the value of the work performed
Tax nnp pa eel no.: z a� Indicate the value(rounded to the nearest dollar)of all I
1 f)t1 Q G G 1 i tI equipment,materials,labor,overhead,and the profit for the
7 - DESCRIPTION OF WORK work indicated on this application.
Valuation: $
_ App 14 6'6,06R. 1/l/ tn1At 1. TO EAT .1)t5OR —•---i
Existing building area: square feet 1
New building area: square feet
@ . ' OPERTV (1,%NER L TENANT Number of stories:
Name: ` L,n eYda ` (UY� Type of construction: 1
Address: ' f 3 1-7s S G.1 II enG h V t e t.t) P/• " Occupancy groups:
City/State/ZIP: 'T•1 G A,R D r : ._ Existing: i
I
Phone:(SO ) .3 2£"e, 3 7 Fax: ( ) New:
s fit. ia.
7' ro , , ,� -CONTACT PERSON .......r.,—, a ;T:
Business name: GG,. r o ti W t w CIA Ca.) �"
Structural plan review fee(or deposit): �3[t7'pe?
Contact name: 3 d,e_ ?v r N e, f+
17 Address: FLS plan review fee(if applicable):
13 o o R DR v t.r, ��,�e L 6- Total fees due upon application: i
I City/State/ZIP: per f I atn.d I o le of 7.p 3 p
I Phone:(3`b ) 90 _2 Fax: :( ) Amount received:
3 Y j Commercial and residential prescriptive nsta tion of sd
�i1 ( O roof-to mounted PhotoVoltaic Solar Panel System.JoC , +?�Pnr �} c7 e C an,llr
CONTRACTOR
P . � � 1
p y
s name: Submit two(2)sets of roof plan with connection details 1
13usmes
G In n M}/J t )Lw p and fire department access,along with the 2010 Oregon
Address: (3 er)9 N F D a. i 4r Li (se
1.6, Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $I80-00 !
P 0f f-(a�..j t el R 17 ,o and administrative fees):
Phone alp 60) �3" a y 1 Fax:( ) State surcharge(12%of permit fee): $21.60 i
CCB lie.: 1 S 03 Y ; 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: 3-0 r_ g v(,,e Date: q /, ��0_� Fee methodology set by Tr-County Building Industry
f .�. Service Board.
I:1Building\Permits\BUP-RESPermitApp_doc 02/24/2011 440-4613T(11/02/COM/WEB)