Permit (63) 1114
CITY OF TIGARD MASTER PERMIT
:"- COMMUNITY DEVELOPMENT Permit#: MST2017-00341
1[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/27/2017
Parcel: 2S 104C D05400
Jurisdiction: Tigard
Site address: 13975 SW BENCHVIEW TER
Subdivision: HILLSHIRE ESTATES Lot: 54
Project: Jost
Project Description: New patio cover(448 SF)with stairs in rear yard
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: $10,102.40 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
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+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:
JOST,ANDREW M&MINH THU LY NATUREWORKS LLC Required Items and Reports(Conditions)
13975 SW BENCHVIEW TER PO BOX 541
TIGARD,OR 97223 WEST LINN,OR 97068
PHONE: PHONE: 503-582-0510
FAX:
Total Fees: $491.43
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 • •. le rules adopted by the Oregon Utility Notification Center. Those rul-: are set forth in OAR
952-001-0010 thro OAR 952-001-0090. You may o:ain a copy o -rules or direct questions to OUNC by calling 503.232.1987 or 1.80 .332.2.
Issued By. 97 PLie .F-- Permittee Signature:
...0.•
a' : .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 t project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicata 1.1, EGI
VED
Residential
City of Tigard SEP 0 6 2017 Received y 3'//
13125 SW Hall Blvd.,Tigard,OR 9)23
Date/By: I� Permit No.: ��(j�7
■ fig; Plan Revieti
Phone: 503.718.2439 Fax: 503.5 NMI OF Y17, Date/By: "�'�"1
Inspection Line: 503.639.4175 BUILDING Other Permit:
f1GAK1� �� 4�t DateReady/By: Juris:
d S• p �r See Page 2 for
Internet: www.tigard-or.gov Nonfied/MethodQ� �/?j 41Supplemental Information
.rteif'7,r;:1,5114MtrangaRtatitti Permit fees*are .ased on the value of the work performed.Indicate thf
-j �� � � nearest dollar)of all equipment,materials,labor,overhead,and the pro
LJ New construction 0 Demolition on this application.
a Addition/alteration/replacement 0 Other:
1 7' :4? s :i. ct Valuation: $ do
._ y � , .s. • •-- 10, 1 o a.
ID 1-and 2-family dwelling n Commercial/industrial Number of bedrooms: vci5 r1 JUC. • V llG �1(.
EtAccessory building 0 Multi-family Number of bathrooms: W(.(yyi IV(„ • vN t y-p,.N�0-1)
0 Master builder ❑Other: Total number of floors: 2
444.4.4400040400000006004000000024.... New dwelling area: 0 square feet
Job site address: 1 o:R..5 SIN s sJ t Garage/carport tag
.-• g arport area: V��04,1 square feet
City/State/ZIP: 11 t ) . 012- o1 2.'i. Covered porch area: 144 s square feet
Suite/bldg./apt.no.: --- l Project name;J QS'( itLCF rnoNN, Deck area: "1051- 211
Fa(Lzquare feet
Cross street/directions to job site:
Other structure area: SU< square feet
4Pi7 0Xt. 1000 - 1.1ea..--14 tit= Sv i t u.kkc.p �' - *
sw V-ra.10AV 1 1 `CTa-12. • Permit fees*are based on the value of the work performed.Indicate the
nearest dollar)of all equipment,materials,labor,overhead,and the pro
Subdivision: I Lot no.:
on this application.
Tax map/parcel no.:
Valuation: $
no ;, rC `;' Existing building area: square feet
pP.Cek P 0 . New building area: square feet
4 '5TM , TO (p)(AT I Kt(. 1 lr7-0 - •
Number of stories:
, ,,. . f . Type of construction:
Name: S� �� �� Occupancy groups:
Address: Existing:
City/State/ZIP: New:
Phone:( ) H M1 Fax ( ) �
Structural plan review fee(or deposit):
Business name: �T €iZT701.1 �+
SliZ-PA Al.E, wreci- pc FLS plan review fee(if applicable):
Contact name: '5' j AIL// s•-CQ•A V S Total fees due upon application:
Address: 121000 SSW C l--e x tsJf-1 S JtTE
- 1.00 Amount received:
City/State/ZIP: Okip�.0
Phone: , OWN • .48o B Fax:: � ... �� .. ���'`
Commercial and residential prescriptive installation of
Email rz .
-c S L'l71•A roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
41 1,1 i 411 ki4 ,. i i ,., ,:„ialei• and fire department access,along with the 2010 Oregon
Business name: N (v(Low
Solar Installation Specialty Code checklist.
2C2, 5W Wl�q`-+(ip<i Permit Fee(includes plan review
Address: � , and administrative fees):
City/State/ZIP: •("l�i f -Wi71917, CV— O r'1A 40 State surcharge(12%of permit fee):
Phone:(4 p 2,1 e• vitcsFax:(EUq'
Z.- 1 0 Total fee due upon application: �/1
„, ,-60
CCB lic.: L.xxs This permit applicaexpires if a permit is not obtained
within 180 days after it has been accepted as complete.
Authorized signature:X *Fee methodology set by Tri-County Building Industry
Service Board.
Print name: Date:
A li f *7*t; ::::;
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling
City of Tigard Received PertnitNo.:
Date/By:SW Hall Blvd.,Tigard,OR 97223 Associated permits:
II• Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical
I G A P.1) Internet: www.tigard-or.gov ❑
Other:
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑
a 3 Verification of approved plat/lot. A E 0
* r
'4• Fire district approval required. Name of district:
5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ 0
6 Sewer permit.
7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of 0
catch-basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 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.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 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. ❑ ❑ 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 0 0
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. 0 0 0
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. . ❑ 0 0
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. 0 0 0
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 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
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 ❑ 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load. A
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 0 0 0
architect licensed in Ore.on and shall be shown to be a..licable to the .ro&ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
III III II
24 Two(2)sets each are required for Items 16,19,20 and 22 above. I El 11
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. U
IN II
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 1111 U U
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 El U
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 0
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 ❑ ❑
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
:11111 0
T 1 G A R D Building Permit Review — Residential
Building Permit #: M',rani 7 -00 3 4/
Site Address: / c— ndviej)
Project Name: v -, 9- Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: AJ-lit,' Cav?ced f2,..7.1-7 /t 3 X <271/2-1C- kt re,a(---dorv_rit_____
Verify site address/suite# exists and active permit system.
Iver Terrace Neighborhood: 7 No ❑ Yes,See River Terrace Review Addendum Attached
Sit an Elements:
ree(3)copies of site plan V . 'sting structures on site
Vte plan must be on 8-1/2"x 11"or 11 x 17"paper �h Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) floor elevations
VA rth arrow \^"r i .ty locations&easements(required for new and g)Sife address,project or subdivision name and lot number V Sidewalk/driveway approach
Vi. splicant information(name and phone number) II 4.cation of wells/septic systems
rA of dimensions and building setback dimensions .l'.sting trees to be retained with drip line,and tree
1'1:� are footage of buildings to be demolished 1 protection measures
Ir! et area,building coverage area,percentage of coverage and 111`1 -et tree size,type and location
ijrfipervious area(applicable if R-7,R-12,R-25&R-40) iG Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes No
4 foot differential) If yes,is a storm water quality facility shown?0 Yes ❑No
iPeanWater Services—Service Provider Lett lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified V No Applied For: ❑ Yes ❑ No,stop intake
I0\ nd Use Case#:
I Reiitig: p---4 ( P 1�)> �y
gnired Setbacks: Front Ok Rear /S— Side S Street Side jfr-Garage
Vandscape Requirement: %
Bof Coverage Maximum:
' ding Height: Maximum Height SS— Actual Height cZ
t isual Clearance
III Olbensitive Lands: ❑ Yes No Type
II PCrban Forestry Plan
conditions "Met"prior to issuance of building permit
s:
Approved By Planning: _
Date: •M
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: 9/(p 4/7
Site Plans: # 3
Building Plans: # 3
Building Permit#: C-Enter building permit#above.
Workflow Routing: 0-Planning 'En��gineering ermit Coordinator uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: E Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
_Oginal plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
1
By Permit Technician: may_ Date: 9 6:, /
Engineering Review
,B'Slope at building pad: C 70
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes /No
Assess Water Quantity Fee in-lieu: ElYes )zr� No
LIDA Facility on lot: ElGf
Yes �/J No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: /44 !Ut, kJ . Date: / / 3 / 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ 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:
NIF.DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Itl N/A
Tigard Trans SDC: ❑ Yes Q N/A
Parks SDC: ❑ Yes ❑ N/A
LIDA ❑ Yes It] N/A
7S2 OK to Issue Permit
Approved by Permit Coordinator: Date: q Hi l
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13975 SW BENCHVIEW TER, TIGARD, February 27, 2018 at
OR, 97223 7:30:07 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00341
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved trade final inspections prior to building final inspection. R109.1 .6
No inspection done at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13975 SW BENCHVIEW TER, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2017-00341
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved trade final inspections prior to building final inspection. R109.1 .6
No inspection done at this time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13975 SW BENCHVIEW TER, TIGARD, April 26, 2018 at 2:58:41 PM
OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2017-00341
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - CofO
Comments:
Final ok per approved plans for stairs to second level and covered patio.
Violation Summary:
Inspector Contractor