Permit Support Document (3) •
City of Tigard
*1 COMMUNITY DEVELOPMENT DEPARTMENT
'PI
Building Permit Review — Residential
TIGARD
. .
Building Permit #: 1\1 i" a\Ct-
Site Address: /'1941 sU) /
63.144,4fr '
Project Name: F:ve,,_
`7CfrHc> `P".k511' c2s Lot #: f)(New dweg=subdivision name;Addition or Alteration=last name of owner)
1k . a
Planning Review L1 t. : t' s . ..
Proposal: �.7/_7, , .' r -.1., ?-6
' .. : s x.- _ .
S;i'Verify address/suite# active in Accela. In River Terrace: 0 No .2 Yes,River Terrace Review Addendum
Site Plan Elements: 1rosion Control
,. opies of site plan on 8-1/2"x 11"or 11 x 17"paper ,l;}RrrilifCttYi`Ees with drip line and tree protection measures
wn to scale(standard architect or engineer scale) otprint of new structure(including decks)and FFE
.�lI�?orth arrow ty locations&easements(required for new and additions)
sue address,project or subdivision name and lot number walk/driveway approach
„j;14plicant information (name and phone number) .oc~ �l i Wills/septic systems
of dimensions and building setback dimensions oP5'aeet tree size,type and location
•aSquasa-fersrtage of buildings to be demolished S eet names
•,..aExlsmtg stmtenres on sire _- i Z iicr elevations(2'contours if more than 4'differential)
Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?1❑No
impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes-allo`' T'
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
equired: ❑ Yes,applicant was notified o Received: ❑ Yes ❑ NoPublic Facili' s Improvement (PFI) Permit:
PfeR
Required: Yes,applicant was notified ❑ No Applied For. Le/Yes ❑ No,stop intake
Ll/'Land Use Case#: i7p" 'DO 6 --t-Y7 7 .2-Zoning: i-'10
,�Required Setbacks: Front: /. Rear 6 Side: 3 Street Side: Garage: 20
4 Building Height: Max. Height: 3() Actual Height: ,gyp, 4 3
Ail Landscape Area: r CT) % ❑ Lot Coverage Max: 70 %
Entrance 0 Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows" _O ;Stnimum 12%of area of all street-facing facades �y--
Garage ❑ Garage o id widest street-facing wall ❑ Yes ❑ No,o ,afttCe following is met:
❑ Door extends no moil 5'from wall and there is a covered extending beyond garage.
El Door extends no more than 5'from o�"1tr aat�thheeteaaal sq ft.window above garage on 2"floor.
El Garage door width is 0 12'or less -5O%or less of 0 60%or less and includes 7 of following:
❑ Covered porch ❑ sed entrance ❑ Wall offset f cave ❑ Roof offset
❑ Fire j_Wngl ❑ Lap Siding El Roof pitch ❑ Gable,hip,or gam re tte� 1[�Dormer
ccent siding 0 Window trim 0 Window recess El Window projection El Balcony
sual Clearance C"Urban Forestry Plan
Sensitive Lands: ❑' Yes ❑ No Type:
w Conditio's ymet lior to iss an of building permit
Notes: {.pn LCt,vN ' .- ./55t.It3Elj,
❑ Approved By Planning: _�. Date:___�_
Revisions (after Building Submittal only) 03= f Reviewer Da e
Revision 1: . Approved El Not Approved r/t�" 1-2
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
t:\Bui Wing\Forms\BldgPennitltvw_RES_022819.does
Building Permit Submittal
Original Submittal Date: S 1 11 1 Q
Site Plans: #
Building Plans: #
Building Permit#: El/Enter building permit#above.
Workflow Routing: [`Planning QVEngineering CS/Permit Coordinator Building
Workflow Sign-off: E Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application,(1) site plan, (1) building plan and
original plan review routing form.
['Building. original permit application,site plans, building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: �� Date: 5'laa tq
INIMEMIL
Engineering Review/0 Slope at building pad: r Z 7 0
H' Conditions"Met"prior to issuance of building permit
Q' Easements (encroachments)per engineering conditions of approval and plat
ET Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0- No
Assess Water Quantity Fee in-lieu: 0 Yes -0 No
LIDA Facility on lot: 0 Yes J2-No
T2-Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 4 1 lG 4 t / Date• IV
1 CJ
Revisions (after Building Submittal only) Reviewer to
Revision I: fd pproved ❑ Not Approved n, ? - S Q Z 7J
Revision 2: 1CI Approved ❑ Not Approved �� 0
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
A. Conditions "Met"prior to issuance of building permit
0 Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant: fit- `6 f`f
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A
Parks SDC: cR. Yes 0 N/A
LIDA 0 Yes N/A
OK to Issue Permit ,yyr S' 1 Z I
Approved by Permit Coordinator: Cie ( Date: l 5 I GI
!: Building`Forms\BldgPermitRvw_RES_022819.docx
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
Transmittal Letter
r I c A It t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUL 2 0 20?ri
FROM: I D�l o v t S CITY OF TIGARD
BUILDING DIVISION
COMPANY: am 1,111'Y lh-Y7$67-7
PHONE: G!"'/ 1 4D 9 59 3/ By:
RE: SW tArriN "�' 'JO!`1--00� �7
(Site Address) Permit Number)
�K��1QR�eYiR7�G2 eCtZk" 2 AYC 230
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 1i Revisions: mg �(j �fL , 67r%
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculatio J_� �� Engineer's calculations.
3 Other(explain):IPIt4 ?If.0 1
REMARKS: SCA_ 01741,i5. 0 6:v,1st:-.-h s r,s
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑Yes ❑ No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: / Initials:
trsSt.0 s— /11&.aL1 S /�i-r c� �s" �`L ?r ✓
I.Butldmg\Forms\TransmittalLetter-Revisions_061316.doc
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
ErCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
I iGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JUL 20 2O?f1
FROM: ovv't 5 CITY OFTIGARD
j-- � y/�, �� BUILDING DIVISION
COMPANY: I,0 r / / /c r i t s6Y7
PHONE: 614 l 00(1 S9 31 By:
RE: I'Vqi-i W I r/f$T 1,0l9-00/ g7
(Site Addre�ss) (Permit Number)
^
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. fi Revisions: ml -r j(JL,< , CT 0B
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculatio Plail Engineer's calculations.
3 Other(explain): ]-�
REMARKS: aCi - e lan sx.S `-a �j t Ice. Q d-, ice 4
NA di dLck 330 7
FOR FFI,CE USE ONLY ��/y
Routed to Permit chnician: Date: Yj (i 2.02..c, Initials: i7"/7
Fees Due: es ❑No Fee Descri ion. Amount Due:
1/
$ 9 1%
Sil--e\
,4-z &t i._ f $
Specialt3 in/I/D i P
Instructions:
Reprint Permit(per PE): Yes ❑ No ❑ Done
Applicant Notified: 77,n/7--A— Date: er:7?/yrj / Initials: 4/9
I:\Bui(ding\Forms\Transmitta]Letter-Revisions_061316.doc