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Permit
• 1 W CITY OF TIGARD t 0-J8311MASTER PERMIT 11111 " : COMMUNITY DEVELOPMENT Permit#: MST2014-00215 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2014 Parcel: 2S 104DC00400 Jurisdiction: Tigard Site address: 13376 SW BENCHVIEW TER Subdivision: BENCHVIEW ESTATES Lot: 4 Project: New Century Holdings, Lot 4 Project Description: New SF. 8/4/15: REPRINTED to add add'I aundry room&(1)gas fireplace&gas outlet. 8/12/14: 6 —}— I REPRINTED to remove laundry room fiixttu;r s(p&k)�hpose� lbs./18/13/15, REPRINTED to add 1etwae Age 44- �[l�N.tgIP rkt Qq� lcj g .wJtt'o co7 BUILDING r-__ .tom �a 4r6.i.E Cxt 1u c- t0 }, V Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 962 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 2226 sf Garage: 687 sf Front: 20 Smoke Dwelling Units: 1 Third: 656 sf Right: 5 Detectors: Yes Total: 3844 sf Value: $468,856.12 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 8 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3844 Owner: Contractor: NEW CENTURY HOLDINGS LLC VP CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions) 13815 SW CAROLINA CT 8613 NE 97TH CT 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97224 VANCOUVER,WA 98662 2 Geo tech report required prior to footing inspection PHONE: 503-481-6781 PHONE: 360-521-6494 FAX: Total Fees: $26,527.02 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. ATTEN •..' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-e s 0 through••R •-.-001-0090. You may obtain a copy of the rules or direct questions to_• k b calling 5' .232.1987 or 1.800.332.2344. Issued :y: Permittee Signat%ue '_-__121,/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 4 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. r III CITY OF TIGARD g MASTER PERMIT _ • COMMUNITY DEVELOPMENT ( Permit#: MST2014-00215 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243•lUAV� Date Issued: 12/24/2014 Parcel: 2S 104DC00400 Jurisdiction: Tigard Site address: 13376 SW BENCHVIEW TER Subdivision: BENCHVIEW ESTATES Lot: 4 Project: New Century Holdings, Lot 4 Project Description: New SF. 8/4/15: REPRINTED to add additional laundry room and(1)gas fireplace&gas outlet. 8/12/14: REPRINTED to remove additional laundry room fixtures&(2)hose bibs. 8/13/15, f4DDE B 16 Y1icig¢�j BUILDING 5,4-di /1\J• Floor Areas Required Setbacks Require Stories: 3 Bedrooms: 4 First: 962 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 2226 sf Garage: 687 sf Front: 20 Smoke Dwelling Units: 1 Third: 656 sf Right: 5 Detectors: Yes Total: 3844 sf Value: $468,856.12 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans' 8 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add/500 sf: 8 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3844 Owner: Contractor: NEW CENTURY HOLDINGS LLC VP CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions) 13815 SW CAROLINA CT 8613 NE 97TH CT 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97224 VANCOUVER,WA 98662 2 Geo tech report required prior to footing inspection PHONE: 503-481-6781 PHONE: 360-521-6494 FAX: Total Fees: $26,349.64 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 i . - ce 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. ENTION: • -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0.1-0010 through OA' 9 -1.1-0090. You may obtain a copy of the rules or direct questions to OUNC by c n ig 50 .232.1987,or 1.800.332.2344. e '-"' •' Issu d By: ' " " Permittee Signature:C Cif(1-111 e(.. 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. IN CITY OF TIGARD r s -• COMMUNITY DEVELOPMENT MASTER PERMIT Permit#: MST2014-00215 �j � T T G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2014 A!' Parcel: 2S104DC00400 Jurisdiction: Tigard , Site address: 13376 SW BENCHVIEW TER `^1 "I J\•90 Subdivision: BENCHVIEW ESTATES Lot: 4 `�' `� Project: New Century Holdings, Lot 4 1C '10 e Project Description: New SF. 8/4/15, reprinted to add additional laundry room: (1)clothes washer, (1)vent fan&(1) c. 1 \ dryer exhaust also adding (1)gas fireplace&gas outlet. 8/12/14, reprinted to remove(1)clothes>,ICa 1� BUILDING 1. Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 962 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 2226 sf Garage: 687 sf Front: 20 Smoke Dwelling Units: 1 Third: 656 sf Right: 5 Detectors: Yes Total: 3844 sf Value: $468,856.12 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 ins: Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1 Drywell-Trench Drain 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning. N Vent Fans: 8 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Fum>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3844 Owner: Contractor: NEW CENTURY HOLDINGS LLC VP CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions) 13815 SW CAROLINA CT 8613 NE 97TH CT 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97224 VANCOUVER,WA 98662 2 Geo tech report required prior to footing inspection PHONE: 503-481-6781 PHONE: 360-521-6494 FAX: Total Fees: $26,349.64 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 i. - • •- - ith 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. • TENTION: Orego law • ires you to follow the rules adopted by the Oregon Utility Notif = •n Inter. Those rules are set forth in OAR 952 *01-0010 through OAR 95 r. -0094. 'ou may obtain a copy of the rules or direct questions to OUN • ca • 32.1987 or 1.800.332.2344. I- ued By: G\ ,t Permittee Signe re: r r it d' C- Call 503.639.4175 by 7:00 a.m.for the next available insp: • . _ f This permit card shall be kept in a conspicuous place on the job site until coin. • ion of the project. Approved plans are required on the job site at the time of each inspection. I CITY OF TIGARD MASTER PERMIT _ „ 1 3 COMMUNITY DEVELOPMENT Permit#: MST2014-00215 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2014 Parcel: 2S104DC00400 Jurisdiction: Tigard Site address: 13376 SW BENCHVIEW TER Subdivision: BENCHVIEW ESTATES Lot: 4 Project: New Century Holdings, Lot 4 Project Description: New SF. 8/4/15, reprinted to add additional laundry room: (1)clothes washer,(1)vent fan&(1) dryer exhaust also adding(1)gas fireplace&gas outlet. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 962 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 2226 sf Garage: 687 sf Front: 20 Smoke Dwelling Units: 1 Third: 656 sf Right: 5 Detectors: Yes Total: 3844 sf Value: $468,856.12 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 8 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 8 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3844 Owner: Contractor: NEW CENTURY HOLDINGS LLC VP CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions) 13815 SW CAROLINA CT 8613 NE 97TH CT 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97224 VANCOUVER,WA 98662 2 Geo tech report required prior to footing inspection PHONE: 503-481-6781 PHONE: 360-521-6494 FAX: Total Fees: $26,304.64 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. ATT ' • : •r-•• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-•.10 through OAR 9 '-001-•••0 You may obtain a copy of the rules or direct questions to OUNC by calling-&e3.232.1987 or 1.800.3321.2344. Issued :y: I .0°,4 –%—'/ Permittee Signa -1. ti i/ Call 503.639.4175 by 7:00 a.m.for the next available inspection dat, / This permit card shall be kept in a conspicuous place on the job site until c• •etion of the projec Approved plans are required on the job site at the time o :ach inspection. CITY OF TIGARD MASTER PERMIT IIIII ill Permit*: MST2014-00215 � - COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2014 TIGARD Parcel: 2S104DC00400 Jurisdiction: Tigard Site address: 13376 SW BENCHVIEW TER Subdivision: BENCHVIEW ESTATES Lot: 4 Project: New Century Holdings, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stones: 3 Bedrooms: 4 First 962 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 2226 sf Garage: 687 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 656 sf Right: 5 Detectors: Total: 3844 sf Value: $468,856.12 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays- 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 7 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5 F u rn>=100 K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 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 Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3844 Owner: Contractor: NEW CENTURY HOLDINGS LLC VP CUSTOM CONSTRUCTION LLC Required Items and Reports(Conditions) 13815 SW CAROLINA CT 8613 NE 97TH CT 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97224 VANCOUVER,WA 98662 2 Geo tech report required prior to footing inspection PHONE: 503-481-6781 PHONE: 360-521-6494 FAX: Total Fees: $26,171.20 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 f%rt in OAR 952-001-0010 through AR 95 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.33,,3, / . Issued By: :- E ------ Permittee Signature: - 11"--1��' ir 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 �N�V FOR OFFICE USE ONE) City of Tigard Received 11111 II 13125 SW Hall Blvd.,Tigard,!����9 Ills Plaan Re �/ N %.I a Permit No.:y N:.! —ea S _ Phone: 501718.2439 Fax: 503.598.1960 410 Date/B : itill Other Permit: •. ,�a` — '�. T I G A R D Inspection Line: 503.639.4175 tG Q� Date Ready/By: luris: B See Page 2 for Internet: www.tigard-or.gov ����1�" Notified/Method:�,2 07,2 /y,/ '7G Supplemental Information �� �O 'd , "ate " -S!tC/ r '. :X Ant 1 hN S:1,7! i t �A � :I I '.1,1 1 x1 �INew construction i.,�i olition 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 •x Y O � work indicated on this application. 42/1-and 2-family dwelling ❑CommerciaUndustrial Valuation: S ? s(2.- ID Accessory building 1:1 Multi-family Number of bedrooms: / ❑Master builder 0 Other: Number of bathrooms: ADBI' +RMATION°AND LOCATIO N, Total number of floors: 3 Job site address: 13.37 6 S (A) ( el U c_ F{y/e-Q..J 't c_lZ New dwelling area: 3 8 ye(./ square feet City/State/ZIP: -4. t a°- d Q IZ `Z 7 22.3 Garage/carport area: 6 s) 7 square feet Suite/bldg./apt.no.: Project name: Covered porch area 3'r 0 square feet Cross street/directions to job site: New (. f t w y 1l, J „3 s'�AMS Deck area: C) square feet CI(eZ Other structure area:45'3 ( square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: jelj 1(.4- )(€IJ 6JJl )f' f Lot no.: 4j Permit fees'are based on the value of the work performed. Tax map/parcel no.: + Indicate the value(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: id c id c eou to y y No Le 1I Al ,g 44 (- Type of construction: Address: ( 3 y I S LI C Q ro L r Al Q S� Occupancy groups: City/State/ZIP: ()0 p--LQ A jd 0 g a `! '-Z y Existing: Phone:(5,2)3 p/ & 7 p I Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business mine: V/' 1a C-tJ Si- o It( to,V_c i-R U C f I O, I L L `- (Please refer to fee deposit): schedule) � Structural plan review fee(or deposit): Contact name: P ell (i Z L FLS plan review fee(if applicable): Address: 13 8/S S w -o ro L ( M O �'F City/State/ZIP: P 0 R 4—L Cl/t1 @' r,Q 17 2.2- Total fees due upon application: Phone:(3o) 6-2/ 6 y q y Fax::( ) Amount received: E-mail: PL 6 Y 6 7 () y A OD C d P� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEW CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: ?9-M L Submit two(2)sets of roof plan with connection details and fire dept tment access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Phone:( ) Fax:( ) Permit Fee(includes plan review $180.00 and administrative fees): o State surcharge(12%of permit fee): $21.60 CCB lie.: /q 335 Total fee due upon appication: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: p A (1.e L I Date: / 2 Y / y •Fee methodology set by Tri-County Building Industry Service Board I:1Building�PetmitslBUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLI Received 111111 City of Tigard Permit N� ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By. • Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T IGA R D 24-Hour Inspection Line: 9)3.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other THE FOLLOWING ITF:NIS ARE REQUIRED FOR PLAN REVIEW 1 e NO N/,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. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 Ore•on and shall be shown to be a.plicable to the Iro'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". ❑ ❑ ❑ 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"buildingj,lans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 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, ❑ ❑ ❑ 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. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) RECEIVE') • Electrical Permit Application DEC 2 4 2014 cola 01:1:1(.1; i si• o.t 1 City of Tigard Received Date/Br 42/2 K i - /l e.0/V ooe2 Plan Review g ' Phone:S5031718.224 9 TFax 503.598.� '� TY OF T1GAItU Other Permit Inspection Line: 503.639.4175 BUILDING DIVISI .Dare Ready/By: kris: 0 See Pie 2 for Internet: www.tigard-or.gov Not;6ed/Method Supplemental Information TYPE OF WORK REVIEW it4ii construction ❑Additwn/aheration/replacement Please check all that apply(submit 2 sets of plans wrtems checked below): ❑Demolition ❑ �; ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault entreat ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings and 2-family dwelling ❑Commercial/industrial Accesso bruldin less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ ry g amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A„,"E,"1 2 "1-3” Job no.: Job site address_ v./ E In 1„t . long or mole. occupancy. 3 3 �(, .S � �t'r�/ Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: (` " G i{/ J7 ( OR_. ❑Health-care facilities. ❑Hazardous locations_ ❑Supply voltage for more than 600 volts nominal. Sute/bldg./apt no.: f 1of eel name: ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross slreet/dlrections to job site: ae.rrlab.a I Qty. l Fee I Thiel • ` New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: - Lot no.: 1,000 sq.R or less 1, 168.54 4 — Fa.add'l 500 sq.ft.or portion ,A.-' 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft) f 75.00 2 Limited energy,mutt-family 75.00 2 /1/e--t'/ ireA t d i C'.2, i residential(with above sq.ft) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone:( ) Fax:( ) 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 imps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 to 599 amps 168.54 2 • Branch circuits—new,alteration,or extension, panel Owner signature: Date: ___ A.Fee for branch circuits with ❑ APPLICANT I f ❑ CONTACT PERSON above service or feeder fee, 7.42 2 1 each branch circuit Business name: V'p c 1 o r_ ( '.Nj�( -j Oi -B.Fee for branch circuits without V ^t 1 service or feeder fee,first 56.18 2 Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:( ) I Fax::( ) ., Reconnect only 67.84_ 2 Pump or irrigation circle 67.84 2 E-mail: - Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s)or limited-energy Business name: c Afar t7.1- g j�� v G �/ t panel,alteration,or extension. Paget 2 '(/r'� '2G A /t Each additional inspection over allowable is any of the above Address: 2 Re y WE 6[— 27 • Additional inspection(1 hr min) 6625/hr City/State/ZIP: /m-i i C o&(V-2 ,-. 1/1/711 OF6/ / Investigation(1 lv min) 66.25/hr Phone: (360 ,s/f- 7:7.9 Fax era) 3 ✓ 96o6/p Industrial s plant r w(1 is hr no 78.18!hr Fax: Inspections for which no fee is 90.001 hr 172,`!9 CZ 3 o P /7 9S s specifically listed('r4 hr mm) PERMIT FEES CCB Lic.: Electrical Lic.: Suprv.Lic.: .ELECIRICa Suprv.Electrician signature,required:e</ � -J Subtotal: J J Plan review(25%of permit fe0 Print name:CA`s4. 9 a,r Date: 1Z72 3//c( State surcharge(12%of permit fax, Authorized signature: tJ// l TOTAL PERMIT FEE: _� This permit application expires if a permit in not obtained within 180 Print name: - Date: L `f 1 2/�/;//4 days after it has been accepted as complete. • Number of inspections allowed per permit. U1BuildingWermits\EI-C-PernitApp 440.4615T(11/05/COM/WEB Mechanical Permit Application FOR OFFICE l SI. O\I.1 City of Tigard ,,��yy VAN�{ Received Permit No.: , 13125 SW Hall Blvd.,Tigard,OR 97 ]�F Date/By: =,Z" Phone: 503.718.2439 Fax: 503.598. Plan Review Other Permit: LA I I c i A I:I) Inspection Line: 503.639.4175 n+A Date Ready/By: furi• ® See Page 2 for Q Internet: www.tigard-or.gov C, 41°4 Notified/Method: Supplemental Information TYPE OF WORK A1 v, * 1. COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1-1 1 Mechanical permit fees*are based on the value of the work [yl New construction ❑Addition/alteraatti ti d t" performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: QD1.3L mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: X 33 7 6 S w i3N C H t I Air conditioning 46.75 Job site address: e Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /- / e. a Y R A I1 ,,DR 9 7 2. Z 3 Furnace 100,000+BTU(ducts/vents) . i 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: JVf w Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 2_ 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ❑ TENANT Other: 23.32 A' Environmental exhaust and ventilation: Name: /�f e co c e /('f .r y I'1 Q L eihuS S L I_ a- Range hood/other kitchen Address:/_; g f j ! (,Z 0 L I (1 J equipment 33.39 /V Clothes dryer exhaust ( 33.39 City/State/ZIP: p 0 i i et- t,O N(51 C' R. 9 7 Z 1.- y Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT �c ❑ CONTACT PERSON Other: 23.32 V p ( © s f d e ~ y-t¢r L e Fuel piping: Business name: f�/?- L $14.15 for first four;$4.03 for each additional Contact name: l.1 > /S- �` a YO L I Ad et S 4 Furnace,etc. Address: p D a L CI Ai c o 9 7 a Z `I Gas heat pump Wall/suspended/unit heater City/State/ZIP: a V L Water heater : . Phone: Gd S 2 / G (r qt.( Fax: ( ) Fireplace bi . _Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) �gM Other: Business name: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fes: Plan review(25%of permit fee) ( ) State surcharge(12%of permit fee) CCB lie.: /99 335 / TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: •J • Fee methodology set by Tri-County Building Industry Service Board Print name: & L I v •e. 2_ Date: / 2 ( / C1/ I:\Building\PermitsV MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC_PermitApp_040I 13.doc 2 Plumbing Permit Application . Building Fixtures netINTED Received FOR OFFICE USE ONI.1 III . City of Tigard Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/13y: �sy--}d�Ll`/1Qr}�5 Plan Review Phone: 503.718.2439 Fax: 503.598.196Date/By:r 4 mitt. Other Permit No.: Inspection Line: 503.639.4175 U'.- Date/By: T I G A R D p Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov ` v[�VT1(`A1� Notified/Method: Supplemental Information TYPE OF WORK al 1 - lTllnl13p�ClON FEE* SCHEDULE IN New construction ❑•a �v�1 7 For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 [ig 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen I 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / 3 3 7g S W i e, f e /4 V I A t Q R Catch basin or area drain 18.76 City/State/ZIP: � ( C. a R d 0R_ g 7 Z 2-j Footing 1,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Neu) Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 - Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ( ❑ TENANT Expansion tank 12.51 Name: /t e w C,e N i.k- 9 I-(0£ ('it l(,Jg s Li_ Fixture/sewer cap 25.02 Address:"(3 g/6-- S w en V o L(N Q S'.f Floor ge disposal sink/hub 25.02 / n l,, Garbage disposal 25.02 - City/State/ZIP: P o A t L G A) v' 0 l'- er 7 2- / 7 Hose bib 25.02 Phone:(903) T 91 1,7 g f Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: V p (° o s f Q m e D/U Sle L L Q Medical gas(value:$ ) Page 2 Contact name: p(� V e. ii Primer 12.51 3 l ` 0 L ` N + Roof drain(commercial) 12.51 Address: ( f.j' s.-4-- Sink/basin/lavatory 25.02 City/State/ZIP: p0 Q I- L p N I Ca 77 2 z Cf Solar units(potable water) 62.54 Phone:(3 60) ,S-- Z 1 c 4 y Fax: :( ) Tub/shower/shower pan 12.51 E-mail: p L 6 z/ o7 de yahoo. tD( Urinal 25.02 CONTRACTOR Water closet 25.02 L���� ater heater 37.52 Business name: ■ys- 'a.. .. Water P €/D i p m WV 56.29 Address: Zoe y S/�l y i/.-ET Other: 25.02 City/State/ZIP: 7y J7 /�f J /-79 Of=/[3z/�E,14.7-77j/ 9..0D 7 Subtotal Phone:(Yea ) 6, yy'- Pay' y Fax:( ) Minimum permit fee: $72.50 / 1 7 p // y-9 3$ �°� Plan review (25%of permit fee) CCB Lic.: Cj / Plumbing Lie.n / State surcharge(12%ofpermit fee) (( 7�� 7 Authorized signature: /" ', / TOTAL PERMIT FEE Print name: J v r Y Date:/2, 1-( / y 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 Service Board. 1:\Building\Permits\PLMU-pernitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) M • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-I"100 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service 1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Stone&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspections and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive The, as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram El Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related lee Mach✓Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor p Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 . 1111111 City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT TI It l� Building Permit Review — Residential GA Building Permit #: M 57-64:51q— __ a...1,S Site Address: 12 1 t SW die nc by i ea j Ter race Project Name: /1/6" (e/ h//d 1N s Lot #: / (New dwelling=subdivis on name;Additio r Alteration=last name of owner) Planning Review Prop sal: new SF Verify site address/suite #exists and active in permit system. Silk Plan Elements: Mqhree(3)copies of site plan ElExisting structures on site I to plan must b c on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finisl gd �(prawn to scale(standard architect or engineer scale) floor elevations orth arrow s(required for new,may apply for additions) I k' a address,project or subdivision name and lot number $L'ocation of wells/septic systems pplicant information(name and phone number) 1(including drainage-way protection,silt fence lLot dimensions and building setback dimensions design,location of catch basin,etc.) -Ettot area,building coverage area,percentage of coverage and *Street names impervious area(applicable if R-7,R-12,R-25&R-40) -Street tree size,type and location ons (2 foot contour lines if more than $Existing trees to be retained with drip line,and tree 4 foot differential) 1 protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: I< Yes,applicant was notified Received: ❑ Yes ❑ No i� CI No Ill Land Use Case#: 5eY1Cif V"P e t"-) 1=s4-6.--R--5 IJ Zoning: R- 14.5 (P D' -E—Setbac-Ir.s: Front 20(23)tear I (1210)Side 5 (5') Street Side — Garage 20 (jg) $ Landscape Requirement: of Coverage Maximum: Building Height: Maximum Height 301 Actual Height WI $Visual Clearance kig Sensitive Lands: Yes ❑ No Type S`n�S 7 2-S $Urban Forestry Plan -g—Conditions Met Notes: Approved By Planning: 6911-4-it a— (' Date: / - f-- /‘.7(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_100114.docx Building Permit Submittal Original Submittal Date: /i-b//I' Site Plans: # 1_ Building Plans: # Building Permit#: ter buildingper��mit#above. Workflow Routing: n �� i ning �YEnt#�gtneering t Coordinator ding Workflow Sign-off: -off for Planning(include notes from planning review) Route Application Documents: eering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. g: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 0/t��,1 Li 7o Engineering Review 45C. �. LJ n Actual Slope: ?j 6 1%; 1 ❑ Conditions Met ❑ Easements (encroachments) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes ❑ No Assess Water Quantity Fee: ❑ Yes ❑ No Notes: /, eoTiecs, .z,6•_,7 2. SIB... r rt.aN rvic 57.-0,...»4 Dawn,Arse . T Approved by Engineering: Date: ) y . 9 • ti Li Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved XNot Approved 1&n/ jZ .Q• iq Revision 2: Approved ❑ Not Approved &61, I Z• /s•!y Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) C�/ Revision Notice 1: Date Sent to Applicant: /2/11)4, /2 1�d Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit li Approved by Permit Coordinator: l 2 Date: / d// I:1Building\Forms\B IdgPermitRvw_RES_100114.docx 1 FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 ■ Transmittal Letter l i , ,,\i; i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: `c IA LL C 2-r— DATE latriGEWEP DEPT: BUILDING DIVISION DEC 15 2014 FROM: k 0 _.e._ CITY OF fIGAKD \ BUILDING DIVISION COMPANY: - P I ) 13 -112_u_ __-r-1 O►V PHONE: 05a/ - r oY9( By: �`,n-� �1e0 ` RE: ! 3i(Q c-N C H J i 4t,a 1 i2e- I-fS i X 15/-60 al 5 (Site Address) (Permit Number) L.) C— nsi�k_a k) 4)Z-1>I 0 C.)c roject name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: (11)—(521-1 g A )ti P2-A 'v FOR OJ'FIcE USE ONLY Routed to Permit Techn / ician Date: I Z (-7 1 I 4 Initials: Fees Due: ❑ Yes 10 Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 t Albert Shields From: Albert Shields Sent: Thursday, December 11, 2014 3:27 PM To: 'Slavik Storozhko' Subject: RE: 13386 SW BENCHVIEW TERR. Slavik, is this a re-submittal on a pending permit? If so, 2 hardcopies of the revised site plan need to be submitted. And it would help if you could identify what the permit number is because I have nothing in our computer system for 13386 SW Benchview Terr. Thanks, Albert Shields From: Slavik Storozhko [mailto:slavik.ssdrafting@gmail.com] Sent: Thursday, December 11, 2014 2:32 PM To: Albert Shields Subject: 13386 SW BENCHVIEW TERR. Please see the attached site plan 1 ST it 14 I 1 J. kla LANDSCAPE / ' ---1 — — 11 RE T. WALL ��4� / g •� / I I _.----Z4.-— j / U� -_ON CONTROL - -/ T -ILT PENCE / IP AP / s'-• ,/ `z-`� I PROPOSED •,��•' • I vi DECfG �' _ �3'-11II (COVERED) -�� �� �, 'I ,ii��� z. , �'� ENT 1 T 1 I AIL C4 RAM Iii r ��GI DRAIN 1 'CS) . 1.=,.... - 1 . I/, . I GARAGE. r _ _ I 0.- J � ■i.--,,.. •___g____•e-Ilia= 17;-.1= i - - - 1 . r I it....1„ it,vipar gosw ,I ►�.:: . � u►• sir ,.- ,-..=20--0,_oa.„,,,.. -,/ E rk ,...• 4 SITE PLAN f,q) , , - ' I 1".20.-0" / / LO • ' .',.• .- 1 t,4 1 / /, , . •••• SS.mm' tO'/ /: / VP Custom Const. 0),, .: '. - y RAVEL K.(360)1,2I-6494 I. / a 13316 SW BENCNVIEW TERRANCE // / \ a Tigard,Oregon .'• •+ / CONTRACTOR TO VERIFY / ALL DIMENSIONS 4 CONDITIONS / ,. /. 4 NOTIFY ENGINEER IF DIFFERENT /i <s. • / Y /. -% �/ / / e 4,1'/,', : .. '; / V ,o / , g;q ': : '' J., —SW 8EtSIC1 I !a m VIEW TERR- RECEIVED T I. �J• ��/i5 F."A4i DEC 15 2014 ^ 1.: 00' CITY Y ,q r / BUILDIN���PE J / �0I/ U � � — � 11 ���� g� / _ - _ - -a �' / I I 1 / 1n bW / 0 -LT PI NCE- V.v. '� PROPOSED �•. _,•�� • • ,�„ • DECK _ �_ k3I-Ilill (COVERED) }�I-10V � fir=�� l� I I �` t � , I LJE, 1 • +-. ! wdl'15RwN � G • MAN I • GARAC E. 1 AIF.g.F.rtl r- .., ..."1 It 1 PROPOSED / w"Ail: `, I I I:vral 1(le .1 i _� 5' 4 ' .,.. - : '..a1=1".. ,- ...-.: 7" :‘'.--4 ---„mailMar.•4 lf---- it I SITE PLAN 0„,) �' rr s`. • . .'. ; to 1 1 •fir �-� rr• • ^, • ■ 1"a20'-0" / /.: • }.3D •..1:. :..a•"• ;= ' / olewa apt- 1° • .1.--...:;: -:,:-*:-4• .. •..: J 4 ry'r I� r •. I_ / / 55.00' to / /-�.''r.=. - VP Custom Const. 0), �.' -' _ , 1 rams.K.(31)0.1621-64.4 I / °' I331 ' SW BENCI4vIEW TERRANCE ///./ / 2.- -. 2\ Tigard,Oregon ' - CONTRACTOR To vERIFY /vi ::•:- : /m� ALL DIMI!NSIONS 1 CONDITIONS ' 4 NOTIFY ENGINEER F DIFFERENT / 4 / .Z : ; 4. ' 0, ��C /s.: �!i Y���/ a` / -SW e,„,,, VIEW TERR.- Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 115 Electrical service PASS MST2014-00215 Herb Stabenow Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 115 Electrical service PASS July 23, 2015 at 9:18:12 AM MST2014-00215 Herb Stabenow Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 120 Electrical rough-in PASS MST2014-00215 Herb Stabenow Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 115 Electrical service PASS July 23, 2015 at 9:18:12 AM MST2014-00215 Herb Stabenow Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 322 Shower pan PASS October 1, 2015 at 9:28:25 AM MST2014-00215 Don Sylvester 1. Shower pan inspection in two locations - ok with test. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final PASS MST2014-00215 Jeff Grove A C not on permit at this time No building final till complete Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final PASS MST2014-00215 Jeff Grove Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS MST2014-00215 Jeff Grove Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2014-00215 David Young Provide lateral bracing on deck per approved plans. Provide permit for sauna. Provide approved thread sealant at plumbing clean out caps. All else ok. Violation Summary: Inspector Contractor i FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT l _ Transmittal Letter e T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: e0.44/ DATE WOWED ED DEPT: BUILDING DIVISION DEC 17 2014 FROM: po v-e___ WV OFTIGARD ) o S ,�(u( C o/U S t L BUILDING DIVISION COMPANY: V PHONE: 3‘ 6 2 I if (i (( By:M-7> . RE: ! 3 3 7c1Li c H ki f e w QST /Y--��ar s— (Site Address)ss/ / (Permit umber) 4/roj�aCme or sub•i ion name nd to tuber) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. A Other(explain): idlAic- -F(00,- /�4„/ REMARKS: /" FOR O ICIE: USE ONLY Routed to Permit Technician: ate: J (- (C Initial1 tfr Fees Due: ❑ Yes o Fee Description: _ Amoun 6)ue: $ $ Special Instructions: Reprint Permit (per PE): _E] Yes ElNo ElDone Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 / L Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13376 SW BENCHVIEW TER, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00215 David Young Final erosion control approved. No street tree required per approved plans. Moisture content form received. High efficiency lighting form received. Duct seal test report received. Insulation certification checked. C of O left on site with builder. Note: builder to finish changing x brace on decks to correct material. Violation Summary: Inspector Contractor