Permit CITY OF TIGARD MASTER PERMIT
.1.: • COMMUNITY DEVELOPMENT Permit#: MST2020-00349
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2021
TF.Ca 41$L� Parcel: 2S109AD11900
Jurisdiction: Tigard
Site address: 14988 SW LOOKOUT DR
Subdivision: ARBOR SUMMIT Lot: 17
Project: Nathman
Project Description: New window on lower level for fifth bedroom.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 1 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: Yes
Total: 0 sf Value: $1,500.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 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 601vamp-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:
NATHMAN,BRIAN D BRYCE KURTZ CONSTRUCTION LLC Required Items and Reports(Conditions)
HAYDEN,WENDY L 2020 HERITAGE WAY
14988 SW LOOKOUT DR NEWBERG,OR 97132
TIGARD,OR 97224
PHONE: PHONE: 503-550-4815
FAX:
Total Fees: $160.79
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 952-001-0090.t� ', (You mayor obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4,6(0.) ?hat at)(,lR' g On aw ca-r a,
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 •_
Residential Iilit]rlt t l: l .F:t]NI
RECEIVE II City of Tigard ;,._-' e2o• tall Pamit No MST2020-Cn3L/9
13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2 8 Z020 Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Dig - 2.., , , AP OWrs Permit:
T 1 G n Cc i 1 Inspection Line: 503.639.4175 Dare Ready/By: - .• H See 2 for
Internet: www.tigardor.gov t✓it�f tVt 1 it Notified/Met od: i iy ;,1 �� , SupPlemeMe Information
BUItye elm,,, !/.'r CaV yV
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction I ❑Demolition Permit fees*are based on the value of the work performed.
-Additionlaiterationlrep]acement -{I ❑per: Indicate the value(rounded to the nearest dollar)of all
Wequipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1-and 2-family dwelling ❑CommerciaVmdustrial Valuation: $ I *.+[/��
❑Ace Number of bedrooms:
assory building ❑Multi-family
2 Number of bathrooms:
0 Master builder ❑Other.
�j JOB SITE INFORMATION AND LOCATION Total number of floors:
✓ Job site address: I Li i 6 O 5 L.et> ', New dwelling area: square feet
City/State/ZIP: '-'1 t 9 1 oR 97 7-2/..' Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: IW A l r'u M. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
An ' REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 40.4S` /A , , .__ .T Lot no.: i 7 Permit fees*are based on the value of the work performed
"�� �J J Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.✓ Valuation: $
�K7S/LIrD'L LtJ1/42:W f7N 561 r7 �-+t:7A,R..
t echtp 5774 Existing building area: square feet
New building area: square feet
Of PROPERTY OWNER 0 TENANT Number of stories:
Name: -62-100 "' tA)6.0.1 oxThipt,i40 Type of construction:
Address: i L 9 1--Clek-ogr. I Q Occupancy groups:
City/State/ZIP: -74,1114r.,)�t/ 57zy�j Existing:Existing:Phone:($ 33 ✓e(p ^[7 , - .. _. Fax:(_ )r _
New:
($( APPLICANT [CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
{ .y�\j Structural plan review fee(or deposit): 54 4
contort name: ! f� Im7,I m V,
,v G I�r rt r1 FLS plan review fee(if applicable):
Address: ((.tr'6n .Mr 4-Cdet.Vr
Total fees due upon application:
City/State/ZIP: '—i4,4.0/ c �l .
Phone:(55) .../3j4/4 Fax::( ) Amount received:
a 4-7- r � '6. 0- ,,4_�-S /O f. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: I"'Tf/f tl t't
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 'Br y Ce ku rt-Z Cfr t r ,,," a1 "C Submit two(2)sets of roof plan with connection details
��' 1 and fire department access,along with the 2010 Oregon
Address: '2,WU) Lim lr Solar Installation Specialty Code checklist.
City/State/ZIP: i32 Permit Fee(includes plan review $180 00
Phone:( LSt and administrative fees)
Fax:( ) State surcharge(12%of permit fee): $21.60
CCB IIC.: (q'J 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: Date: ,p ry *Fee methodology set by Tri-County Building Industry
(��j�l A(^' m�7 l '-t3/Z�a-V Service Board.
L1Building\Pennits\BUP-RESPenuitApp.doc 02/24/201] 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling —_-_- - r;>zt . i l_ - .: :71 `
City of Tigard
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
S Phone: 503.7182439 Fax: 503.598.1960 0 Electrical 0 Plumbing 0 Mechanical
- 24-Flour Inspection Line: 503.639.4175
:i t1 Internet www.tigard-or.gov ❑ Other:
TIIF )1-T_O1\ l(, ITE\IS kRI REQUIRED FOR P1_.\ti RF\ El \\ — Ti-,“ •1, •
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
!,
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 (
...
3 Verifitadon of approved plat/lot. I��JJJ
4 Fire district approval required. —Name of district - ❑-_ 0 :11'
0 0 li"
5 Septic system permit or authorization for remodel. Existing system capacity 0 0
6 Sewer permit. 0 0 Et gir
Water district approval. 0 ❑ Et
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑
Eir
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state !G 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. ,�r
11 Site/plot plan drawn to scale.. L'7
The plan must show lot and building setback dimensions;property corner elevations(if 0 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
and location !'/ ❑ 0
13 Roar plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
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- le- 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 heighi,siding material,footings
and foundation,stairs,fueplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0
cir
F' 'r.or ele.l4ti"e... .r.re eY.the aetear ae if the cbmge in grade;n greater than four foot at building envelope.
Full-size sheet addeardums showing foundation elevations with cross references are acceptable. 0 0
16 Wall bracing(prescrip/ve path)and/or Intend analysis plans. Must indicate details and locations;for non-
jgt prescriptive path analysis provide specifications and calculations to engineering standards. -�-^ ❑ ❑
17 Floorlro_CC....:. . rr....-a .4_,fir nil fhor..ti.....s_,..,...,r,r..,_ a-,....:..g a.- c,.=r----t _--_
-. ..G .aura .v_..0:rt_:s____
ait
locations. Show attic ventilation
18 Basement and retaining wails. Provide cross sections and details showing placement of rebar. For engineered 0 0 l'
systems,see item 22,"Engineer's calculations."
In 1........ _-e-..l---z.� T -J I.-.-.-:.-
_ _ f -/_..1...: .. :..--.m- a J J y. _ all
� may+:���....... �:::�c:»-.:....�-,v:a..:::...:..:::::.::.�:.:::�am-cat wa.a.u.aJ�a values for b2li"eS and multiple joists La' ID ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured Boor/roof truss design details. 0 ❑ V
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ lW
for four ur uw...,,..::—.....1._
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof�truss)�.y shall be stamped by an engiuua or RI ❑ u
architect licensed in s .,n and shall be shown to be a y,licable to the I feet under review. —
it Rltii)i( lit)\ 11. �h1 C1111 t
_. t', a .-- __ __ 1, -__ ..-.y�o, '.',:.;.wcS-112"x II"or11"x17". 0 ❑
24 Two(2)sets each are required for Itetrs 16 19,20 and 22 above. E D 0
25 Building plans shall not contain red lines or tape-ors. "Mirrored"building plans will not be accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. car n n
27 "Drawn to scale"indicates standard -.-. --`-- 'b. .
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard _ _0 ❑ 4
Street Tree List.
19 Site nano to mrfi,rip trarc nnrl five pmteritinn mw.Ianres no rvmrirr d'y rnrllitinnc of approval Turn lnratinnc,rlriplinew, rl r-i
Eit
a---.-.v tr.- :.,^:'yaiig i:clu..de 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 0 '
including deelca,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
1 on a 1nt of r{rnrrl err oV nrinr to STtr' " 9 1995. I L._ 1 1
1:\Building\Pemvis\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Branden Taggart
From: Branden Taggart
Sent: Thursday,January 14, 2021 6:12 PM
To: 'bdnathman@comcast.net
Subject: Building Permit: MST2020-00349 - 14988 SW Lookout Dr.
Attachments: Owner Responsibility Form.pdf
Hi Brian,
Your Building permit is ready to issue now. The balance due is$104.13, and I have attached an invoice above for you to
reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From
there, click on the Building tab, enter the permit number(MST2020-00349) in the Record Number field, and click
Search. Once paid, please notify us at TigardBuildingPermits(a tigard-or.gov, and we will place this permit and the
approved site copy set of plans in our open Permit Center conference room for you to pick up between the hours of 8:00
a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. No appointment is necessary to pick up.
Please note that we will need to know who is completing the work prior to issuing this permit. If you will be completing
the work as the homeowner, we will need you to fill out and return the attached Owner Responsibility Form. If you are
hiring a contractor, we will need your contractor's CCB license number prior to issuing this permit.
Thank you,
Branden Taggart
mg City of Tigard
8 Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
bra ndentOtigard-or.gov
1