Permit CITY OF TIGARD MASTER PERMIT
; � Permit#: MST2017-00347
'. COMMUNITY DEVELOPMENT
IN13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2017
T G'� a'� Parcel: 2S104CD03800
Jurisdiction: Tigard
Site address: 13663 SW BENCHVIEW TER
Subdivision: HILLSHIRE ESTATES Lot: 38
Project: Chau
Project Description: Repair and replace garage corner wall framing, including jambs and headers, and roof framing
(damage from automobile accident).
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: $50,000.00 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 RainStorm 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 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+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Ecompasing: N
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
CHAU,LEN& GREAT WESTERN RESTORATION Required Items and Reports(Conditions)
NGUYEN,KIEU-SUONG PO BOX 489
13663 SW BENCHVIEW TERR OREGON CITY,OR 97045
TIGARD,OR 97223
PHONE: PHONE: 503-655-4739
FAX: 503-655-5845
Total Fees: $1,295.12
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 throu• •••R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
ill111,
Issued By: � % 4, (...1 Permittee Signature: ,. .-------L\-- ---"'s--.
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 , A 1 1
A 4 1 ?a
C .m
1 of Tigard1:212017 Received
7 g Permit No 3'/
13125 SW Hall Blvd.,Tigard,OR 97223 a"-' •' Dan ReY /�y /7 if 7
wa
_ • Phone: 503.718.2439 Fax: 503.598.19 1`"1 r i j i as . Plan Revie
� Other Permit:
�L 1 9.. t� e�y4At telly: '17
1 I G h U Inspection Line: 503.639.4175 a- Date ReadyBy: t 1 Juris ® See Page 2 for
Internet: www.ti and-or ov ..tified/Metho
g g d , rl , , Supplemental Information
01,4 i/ nom
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
g Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
ail-and 2-family dwelling 111Commercial/industrial Valuation: $ SOS 000
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address: 13663 SI/ 8ENUI v,EW TEl?R�,& New dwelling area: square feet
City/State/ZIP: '7'14 pf OR, 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: CHAu RE61DfcNce Covered porch area: square feet
Cross street/directions to job site: btil 13EN1CHViRhI TERRAcg ANO sw gRiii Deck area: square feet
P1.Ace Other structure area: square feet
Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: b soy cpp$gpp Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
REPAIR AND REPL/cE GA 4GE G7REIER Wikl.4 FRAM/NG,, Valuation: $
INGLiWD/NO 1A"N8s AND HaADEAs, AND ROoFPRArhNC-77. Existing building area: square feet
New building area: square feet
Number of stories:
Name: LreNcliAL4 - Type of construction:
Address: 13643 SW $E/V01VI;W itRRAt Occupancy groups:
City/State/ZIP: rht Dt OR., 9'22 Existing:
Phone:(503) 9114 5276 Fax:( ) New:
_tea
Business name: CSE FD12Eh15,
Structural plan review fee(or deposit): y i
Contact name: P91CHASI... /kTMA•111A
FLS plan review fee(if applicable):
Address: 46136 N W'uJ1 M6 Avg
Total fees due upon application:
City/State/ZIP: h02TLANDI OR, 9?217 y�
Phone:(503) 679- iq 1 Fax: :( )
Amount received: / 74/, /f
E-mail: M atni D' -a a , e /16•GO/1?
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: GRr W rERN RESTORAT10N Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: /00i F10L1ri.IA AVE *205 Solar Installation Specialty Code checklist.
City/State/ZIP: 0 OrI CITY DIZ 970,15 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503) &j -6—3J 39 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 99it'9 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.
*Fee methodology set by Tri-County Building Industry
Print name: 1 ("IC1/4EL,&rfrv*DJA Date: 9/1N/k 7Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
`Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLI
Tigard City of Tl d Received
`� g Date Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
i<<Ea KI} 24-Hour Inspection Line: 503.639.4175
ID Electrical EI Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/:k
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 El ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0
3 Verification of approved plat/lot. 0 0 ❑
4 Fire district approval required. Name of district: El ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ El
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state VI 0 El
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 VI ❑ ❑
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, g ❑ ❑
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- [l ❑ ❑
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. A ❑ ❑
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 Q' ❑ ❑
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 El ❑ ❑
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 Ore.on and shall be shown to be a..licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
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, El ❑ ❑
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, ❑ 0 ❑
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(11/02/COM/WEB)