Permit jp' CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00238
13125 SW 2510
Parcel: S10Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2015
4DCO2500
Jurisdiction: Tigard
Site address: 13369 SW CLEARVIEW WAY
Subdivision: BENCHVIEW ESTATES Lot: 25
Project: MORIMATSU
Project Description: Building an office in an existing crawl space.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: sf Basement: 171.5 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: No
Total: 171.5 sf Value: $15,640.00 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 DrainsCatch 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
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 For: 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+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-3 171.5
Owner: Contractor:
MORIMATSU,JUNE A REV LIVING TRU REVIVE LLC Required Items and Reports(Conditions)
1646 HAUIKI ST 11640 SW PREAKNESS
HONOLULU,HI 96819 WILSONVILLE,OR 97070
PHONE PHONE: 971-285-0770
FAX:
Total Fees: $562.20
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 952-001-0090. ����tPerm:itteeSig�nature:
o OUNC by calling 503 987 or 1.800.332.2344.
Issued By: gnature:
9.4175 by 7:00 a.m.for the next available inspec�iprr te.
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.
Buildinp_ Permit Application
Residential FOR OFFICE USE ONLN
Received /7
City of TigardRKYJ1 Dale/B : /� J� / Permit No..Ms _
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
i Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 19 jn Other Permit:
Inspection Line: 503.639.4175 rr et 2p15 Date Ready' y: Jur ® See Page 2 for
Internet: www.tigard-or.gov �CC Notified/Method: I Supplemental Information
V r
TYPE OF WORD,, I VVN REQUIRED DATA: 1-AND 2-FAMILY DWELLING
❑New construction ❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
l 9 I-and 2-family dwelling ❑Commercial/industrial Valuation: $ /5 b U
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 153 0 5 W 6le-4 r VI eiv i✓u- New dwelling area: square feet 1A Q
City/State/ZIP: �; v( p2 Q7ZZ3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: prt tvth�y t/ VIy-t a Covered porch area: square feet
Cross street/directions to job site: 5&V 9t_klc t/1 1/ ;6r1 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: ;L S Indicate the value(rounded to the nearest dollar)of all
b 7 C Q' Ob equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF NNORK work indicated on this application.
Ark-
Valuation: $
` 1 'a
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: j 3 5(,t f C(tarq Li„x Occupancy groups:
City/State/ZIP: i o R 1 7 23 Existing:
Phone:( ) Fax:( ) New:
19 APPLICANT ❑ COS"I A("1 PERSON BUILDING PERMIT FEES*
Business name: l0e V1✓� Please refer ee schedule
1 Structural plan review fee(orm deposit):
Contact name: O i
�s a Cso
1
Address: 116110 SW rrt-(KnC SS
FLS plan review fee(if applicable):
Total fees due upon application: -ac
City/State/ZIP: w,iSonv�i(e DR 9af0O
Phone:(771 ) -296-07 70 Fax::( ) Amount received:
E-mail: ;tnf�@ rCVIYe rt'Naa(It uGvt PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONAACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: RtVIYe oo�s 1 r Submit two(2)sets of roof plan with connection details
Address: (oYQ Sit/ pr
and fire department access,along with the 2010 Oregon
a
Ch e + Solar Installation S)ecialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
�J ISon��l l o �o o $180.00
and administrative fees):
Phone:(3 7 /) D 7 7 V Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: I b w 65
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
Q within 180 days after it has been accepted as complete.
Print name: Date: *Fee methodology set by Tri-County Building Industry
iZService Board.
121
I:\Building\Penults\BUP-RESPennitApp.doc 02/24'2011 440-4613T(II/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLV
Cl of Ti and Received Permit No
g Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175
me
❑ Electrical El Plumbing [3 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED , a PLAN REVIEW
I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of a roved lattlot. El EJ ❑
4 Fire district approval required. Name of district: El El ❑
5 Septic system permit or authorization for remodel. Existingsystem capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 1 ❑ 1 ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
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.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑
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 El ❑ ❑
and location.
13 Floor 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- ❑ ❑ ❑
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 height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑
systems.see item 22,-Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the project under review.
23 Three 3 site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or l l"x 17". ❑ 1 ❑ 1 ❑
24 Two 2 sets each are required for Items 16, 19,20 and 22 above. ❑ I ❑ I ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ I ❑ I ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ I ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ I ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include 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, ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
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