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Permit CITY OF TIGARD MASTER PERMIT IA 3'y COMMUNITY DEVELOPMENT Permit#: MST2020-00213 T E GAR J) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/01/2020 Parcel: 2S112BD12100 Jurisdiction: Tigard Site address: 7594 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 17 Project: Elderberry Ridge, Lot 17 Project Description: New detached dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $343,167.99 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 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: 5 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2626 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 2 Geo Tech Required Prior To BEAVERTON,OR 97006 Pour-Engineered Fill PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $37,567.48 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. Th' ermit 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 yo t 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. Yo obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: U/i f'/7W Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Thi 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-ECEIVED Residential FOR OFFICE USE ONLY J U N 2 4 2020 Received 7/ City of Tigard y 7/ / Permit Nil DateB : �1 'SI/vSTI���QZJ3 .1111 • 13125 SW Hall Blvd.,Tigard,OR 972�9 OF TIGARD Plan Revie �J '^ t >I 4 Phone: 503.718.2439 Fax: 503.59 DateBy: 7�U Z W A'" Other Pernn�lg 2e24_O0137- Inspection Line: 503.639.4175 DING DIVISION DateReady/By: ( Ions: 0 See Pa e2for :i ri Internet: Line: 03.63 .41 DaLeNotified/Method: I Supplemental Information QV 1,-vti..'IAA. 7L. TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Q New construction ❑Demolition 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. ' Valuation: $ 3y 3) \ W 1 ❑✓ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building El Multi-familyNumber of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 ‘306'S Job site address: 7594 SW Hansen Lane New dwelling area: 2626 square feet I,Lett-7 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 379 square feet ( 17CC Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area: square feet � Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Deck area: Ik S square feet Other structure area: square feet I REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge I Lot no.: 017 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Construction of SFR valuation: $ Existing building area: square feet New building area: square feet ❑✓ PROPERTY OWNER ❑ TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen Pl., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:( 503)645-0986 Fax:( ) New: ❑ APPLICANT ❑✓ CONTACT PERSON BUILDING PERMIT FEES* Business name: Riverside Homes, LLC (Please rejerto fee schedafeJ Structural plan review fee(or deposit): -2.5 1 a .3 ci Contact name: Keith Richards FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Amount received: Phone:(503)645-0986 Fax: :( ) mail: krichards@riversidehome.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen Pl., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189148 Total fee due upon application: $201.60 Authorized signature: / ct_-� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jennifer Doty Date: 5/26/20 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • ' Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard DECEIVED Da«;B Permit N�`15 rZd 20ova/3 IN • 13125 SW Hall Blvd.,Tigard,OR 97 e Phone: 503.718.2439 Fax: 503.598.1960 J U N 2 4 2020 Dan Review DateBy: Other Permit r 1,,A n n Inspection Line: 503.639.4175 Date Ready/By: hI*Is Fa See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information } a¢ _BUILDING DIVISION t y ,- =~TYPE OF ORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST �' `" " ` Mechanical permit fees*are based on the value of the work ✓❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family D Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 7594 SW Hansen Lane Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 __ Heat pump 61.06 Suite/bldg./apt.no.: Project name: Elderberry Ridge Duct work 23.32 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave 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: Elderberry Ridge Lot no.: 017 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 Flue vent for water heater or gas Construction of SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen PI., Ste 370 Clothes dryer exhaust 1 33.39 33.39 _ City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(503 )645-0986 Fax:( ) Attic/crawispace fans 23.32 0 APPLICANT CONTACT PERSON Other: 23.32 Fuel piping: Business name: Riverside Homes, LLC $14.15 for first four;$4.03 for each additional Contact name: Keith Richards Furnace,etc. 1 14.15 Gas heat pump Ste 370 Address: 17933 NW Evergreen PI., Wall/suspended/unit heater City/State/ZIP: Beaverton, OR 97007 Water heater 1 14.15 Phone:(503 )645-0986 Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail. krichards@riversidehome.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Pro Heating & Cooling Other: MECHANICAL PERMIT FEES* Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) Phone: Plan review(25%of permit fee) ( 971)205 4989 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Jennifer Doty Date: 5/26/20 I/Building\Permits 1MEC_PermitApp 040113.do,. 440-461TI(I1/02/COM/WEB1 . A • • Electrical Permit ApplicatiRECElVED FOR OFFICE USE ONLY City of Tigard ,JI I^, y0g0 Received - V IV 2 4 L L PlanlR : �/ ✓ / EM IN • 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review Phone: 503.718.2439 Fax: 503.598.�q6µ,. DatcB : Related Permit#: pe lalll OF TIGARD y ® See Page 2 for TIGARD Inspection 503.639.4175 ReadyDate/By: la*ts� Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ElNew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/hems checked): O Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑r I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 7594 SW Hansen Lane 100HP or more. ❑"A",°E","1-r',"1-3", City/State/ZIP: Tigard, OR 97224 ' ❑Six or more residential units. occupancy. tytate 9 + ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge ID Hazardous locations. ❑Supply voltage for more than •Elderberry ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Bonita Rd &SW 76th Ave FEE SCHEDULE Dearrlption I Qtv. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 017 Includes attached garage. 1,000 sq.ft.or less i 168.54 4 Tax map/parcel#: Fa.add'1500 sq.ft.or portion - 33.92 1 DESCRIPTION OF WORK Limited energy,residential Construction of SFR (with above sq.ft.) 75.00 2 . Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ❑ PROPERTY OWNER Renewable Energy ❑ See Page 2 ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen Pl., Ste 370 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton, OR 97007 _ 601 amps to 1,000 amps 301.04 2 Phone:(503)645-0986 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 0 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, 7.42 2 --- each branch circuit Contact name: Keith Richards B.Fee for branch circuits without service or feeder fee,first Address: 17933 NW Evergreen Pl., Ste 370 branch circuit 56.18 2 City/State/ZIP: Beaverton, OR 97007 Each add'I branch circuit 7.42 2 Miscellaneous st.. rvice or feeder not included) Phone:(503)645-0986 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: krichards@riversidehome.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 2804 NE 65th Ave. St. D panel,alteration,or extension. g City/State/ZIP: WA 98661 Each additional inspection over allowable in any of the above Vancouver, Additional inspection(1 hr min) 66.25/hr Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 172549 Electrical Lic.: C230 Suprv.Lie.: /']/t)5 specifically listed(;'i hr min) r ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: _ Subtotal: Print name: Chester Garrett Date: 5/26/20 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: y< -- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jennifer Doty Date: 5/26/20 days after it has been accepted as complete. • Number of inspections allowed per permit. C\Building\Penile\ELC_PermitApp_ELR_ERE_doc Rev 06/1712015 440-4615T(11/05/CAMMER Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: • RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qtv, I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.2E 2 with OAR 918-309-0040) © Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 bra-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 - charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) Namber of inspections allowed per Permit Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation El HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* El Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I?Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 • '• • ' Plumbing Permit Application BuildingFixtures FOR OFFICE USE ONLY RECEIVED City of Tigard I f Received ' ;� 13125SW Hall Blvd.,Tigard,OR 97223JUN 2 4 2020 Date/By: Permit No.M S 1 �0 Z�3 _ Phone: 503.718.2439 Fax: 503.598. Plan Review Other Permit No.: u Y OF TIGARD Date/By: i iGARD Inspection Line: 503.639.4175 BUILDING DIVISION Dale Reeady/By: luris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction ❑Demolition 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 E 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 1 500.32 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder D Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7594 SW Hansen Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: Elderberry Ridge I Lot no.: 017 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Construction of SFR Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 a PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewereap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Pl., Ste 370 Garbage disposal 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 0 APPLICANT Q CONTACT PERSON Interceptor/grease trap 25.02 Business name: Riverside Homes, LLC Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 Keith Richards Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax::( ) Tub/shower/shower pan 4 12.51 E-mail: krichards@riversidehome.com Urinal I5.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: H & H Mechanical Water Pg/ tp m DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:( 503 975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ,y,-_.. s , TOTAL PERMIT FEE Print name: Jennifer Doty Date: 5/26/20 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. IUtuildiog\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0102/COM/WEB) City of Tigard 6/ IIICOMMUNITY DEVELOPMENT DEPARTMENT 21 T 1 G A RD Building Permit Review — Residential Building Permit #: 14.1 5(2-6 24 - 00 a21 3 Site Address: '7 1/ skj 'n Lj Project Name: ef7de,4,7_ P/' p Lot #: /7 Planning Review Pro al: 44,200 Verify address/suite#active in Accela. n River Tene: No ❑ Yes,River Terrace Review Addendum Sit Ian Elements: r sion Control opies of site plan on 8-1/2"x 11"or 11 x 17"paper rtained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) ••tprint of new structure(including decks) and FFE 01)16rrth arrow p `:1 Ty locations&easements(required for new and additions) S e address,project or subdivision name and lot number I Side.alk/driveway approach VS' information(name and phone number) 1 cation of wells/septic systems Lot dimensions and building setback dimensions �Y SSet tree size,type and location Ill mare footage of buildings to be demolished IdSy et names IV t 'sting structures on site Corner elevations(2'contours if more than 4'diffeenntial) 7 of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? Yes EN impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown Yes IiGNo lean Water Services—Service Provider Lettee of platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified M No Received: Yes ❑ No ❑eater Meter Fixture Unit Worksheet—Addi • ns,Remodels and ADUs R uired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No I1 .0 Exemption for ADU applied for: ❑ Yes No Received: ❑ Yes ❑ No ►4 Public Facilit Improvement(PH) Permit: quired: t Yes,applicant was notified ❑ No ,lied For: pYes ❑ No,stop intake „Ler17/7 nd Use Case#: Ab42- 410 — r od 0 YJ Zoning: /�3--� }} quired Setbacks: Front: Rear: A� Side: Street Side:, Y.4`Garage: 2 0 /Gilding Height: Max. Height: 3 Actual Hei ht: o2 Landscape Area: c -® % Lot Coverage Max: Entrance back no more than 8'from street-facing wall ❑ Parallel to str r offset 45 degrees or less Windows ❑ Minimum ° of area of all street-facing facades ^� Garage ❑ Garage door is behtn ' est street-facing wall �', ' Yes ❑ No,one of the following is met: ❑ Door extends no more tha ' om wall ere is a covered porch extending beyond garage. ❑ Door extends no more than 5'f w there is a 12 sq ft.window above garage on 2"d floor. ❑ Garage door width is ❑ ' r less El 50%or les cade ❑ 60%or less and includes 7 of following. O Covered po Recessed entrance ❑ Wall offset 1'Roof eave ❑ Roof offset ❑ F. les ❑ ap Siding ❑ Roof pitch ❑ Gable,hip,o brel roof 0 Dormer Accent sidingWindow trim - ❑ Window recess ❑ Window prole ' ❑ Balcony 1l. 0 Visual Clearance NJ roan Forestry Plan •A Sensitive Lands: IIQ Yes ❑ No Type: <5ker SI4,.S El C• did m nor to issuance f uilding pe t Ns, s: �s 17 / dl!3 ll?LC 4� '� d 729 P 21-" ct' n l • Approved By Planning: �— Date /: /2-6 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.doc x Building Permit Submittal Original Submittal Date: ( /2A1/Z49 Site Plans: # Building Plans: # 3 Building Permit#: 0'Enter building permit#above. Workflow Routing: 5-Planning B—Engineering '❑Permit Coordinator L uilding Workflow Sign-off: Er-Sign-off for Planning(include notes from planning review) Route Application Documents: ErEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Q.-Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: )96' �ji a4-- Date: '�Zv Engineering Review Slope at building pad: /5,4 Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat '4ater Quality/Quantity Facility: /,� Assess Water Quality Fee in-lieu: ❑ Yes t/G No Assess Water Quantity Fee in-lieu: ❑ Yes Er No LIDA Facility on lot: ElYes tr No 'inal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: I Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ 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: SDC Exemption: ❑ Received 'VI Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ?Yes El N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 'Yes ❑ N/A , LIDA ❑ Yes X N/A OK to Issue Permit Approved by Permit Coordinator: T Date: 1110 JX I:\Building\F orms\BldgP ermit Rvw_RES_122419.docx Branden Taggart From: Branden Taggart Sent: Thursday,August 13, 2020 6:56 PM To: krichards@riversidehome.com Subject: Elderberry Ridge, Lot 17 Permits: MST2020-00213 & SWR2020-00132 - 7594 SW Hansen Ln. Attachments: Invoices.pdf Hi Keith, The permits for lot 17 of Elderberry Ridge are ready to issue. I have attached invoices above for you to reference, and the fees due are as follows: Elderberry Ridge Lot# Permit# Fees Due 17 MST2020-00213 $ 36,816.14 17 SWR2020-00132 $ 5,835.00 $ 42,651.14 The above permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits(catigard-or.gov, and we will place these permits and plans in the open conference room adjacent to the outer Permit Center lobby for pickup between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart .1 City of Tigard 4 ai Senior Permit Technician :u Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 b randent c7 tigard-or,gov 1 t CITY OF TIGARD MASTER PERMIT 3 COMMUNITY DEVELOPMENT Permit#: MST2020-00213 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/01/2020 Parcel: 2S112BD12100 Jurisdiction: Tigard Site address: 7594 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 17 Project: Elderberry Ridge, Lot 17 Project Description: New detached dwelling. 10/22/2020: REPRINT permit to revised deck to 160 sq ft. BUILDING Floor Areas Required Setbacks Reauired Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $343,947.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bcktlw 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 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: 5 201-400 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 V B R-3 2626 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 2 Geo Tech Required Prior To BEAVERTON,OR 97006 Pour-Engineered Fill PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $37,621.21 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. You may obtain a copy of the rules or direct questions to OUNC by calling y5003.232.1987 or 1.800.332.2344. Issued By: X V Permittee Signature: l 1. 1 C c 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. 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 IN _ ~ Transmittal Letter 1 I G A R n 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 - www.ti gard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION }, l``°'�� € V FROM: KEITH RICHARDS 0 C i 1 2020 COMPANY: RIVERSIDE HOMES CITY `� F!(" ` 1D bU+LDE' : t.Jr' ,<'' PHONE: 971-470-1153 By: RE: 7594 SW HANSEN LN MST2020-00213 (Site Address) (Permit Number) ELDERBERRY RIDGE LOT 17 (Project 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. 2 Engineer's calculations. 3 Other(explain): A4 Main Floor Plan,Deck S Sheet REMARKS: art- -jai^. po:' to a 20'x 8'deck. Included is a revision to A4 Main Floor plan showing the deck,Deck S Sheet and Engineering, and site plan. FO OF CE USE ONLY bCtS' Routed to•Pe it Technician: Date: Io ( ZO'f-O Initials: 411- Fees Due: Yes ❑No Fee Descrpti V Amount Due: $ 7� �� ,��v.,, e�-� $ L/6 z P Special J y,r ,rt „u Ali- ),iJo'- C-fy G u ir- ,*;,�.k" �-r_rs.".S;* s Xir4k' Instructions: ,o - U v4,,,tre< -- pl, z„rl do kiii4,rrtl&4) /VOYars AL-7. Reprint Permit(per PE): ;24 Yes n No ❑Done Applicant Notified: 7 4-i t_ 6 ate: /1/2 2./y,) Initials: ,�� 0 ..Tcj I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012 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 lig _a Transmittal Letter i i r n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION R E.C.1 it/ED FROM: KEITH RICHARDS OCT i_ 2020 COMPANY: RIVERSIDE HOMES CITY T1iAts BUILDING MIS tO\ PHONE: 971-470-1153 By::� RE: 7594 SW HANSEN LN MST2020-00213 (Site Address) (Permit Number) ELDERBERRY RIDGE LOT 17 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: a- :f w L'S,. �t r Cbp1�l3au, 41i1► >.'.. ^rs Copix espriptions , 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. 2 Engineer's calculations. 3 Other(explain): A4 Main Floor Plan, Deck S Sheet REMARKS: Changing the patio to a 20'x 8'deck. Included is a revision to A4 Main Floor plan showing the deck,Deck S Sheet and Engineering, and site plan. 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: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Building Permit ApplicatioiNECEIVED y v. Residential FOR OFFICI:I St (1v1 1 JUN 24 2020 Cityof Tigard Daie' °� - $ Penn l N III • 13125 SW Hall Blvd.,Tigard.OR 972 DataBv: � �YY �'yl ��� �ST��'©0 Z 13 Phone: 503.7181439 Fax: 503.59�OF TIGAR D Plan'Levit / zz I,I Other PennSiOg 7•CI Ze, 00 j3Z DING DIVISION DatdBy: rJ T I(i A R D Inspection line: 503.639.4175 Due ReadyBy: �� / kris: El See Page 2 for Internet: www.tigard-or.gov NsiititiediMethod: I i Supplemental information • TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑" New construction ❑Demolition Permit fees*are based on the value of the work performed- - Indicate the value(rounded to the nearest dollar)of all ❑Additionialteration'replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application.Valuation: S 3LI 3` I!+.9 i,�( a1-and 2-family dwelling ❑Commercial/industrial Accessory buildin Number of bedrooms: 0 g ❑Multi-family 4 ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 -)ObS Job site address: 7594 SW Hansen Lane New dwelling area: 2626 square feet ,,LI iti City/State/zIP: Tigard, OR 97224 Garage/carport area: 379 square feet [1 '7 Suite/ldg./apt.no.: I Project name: Elderberry Ridge Covered porch area: square feet Cross street/directions to job site: SW Bonita Rd&SW 76th Ave Deck area: l{ square feet ! Other structure area: square feet 1 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge Lot no.: 017 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map%parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Construction of SFR Valuation: s Existing building area: square feet New building area: square feet ❑r PROPERTY OWNER ❑ TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen PI.,Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:( 503)645-0986 Fax:( ) New: P ❑ APPLICANT Q CONTACT PERSON BUILDING PERMIT FEES* Business name: Riverside Homes, LLC "re* ~ "`a - Structural plan review fee(or deposit): "75 I . 3 q Contact name: Keith Richards FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl.,Ste 370 Total fees due uponapplication: City/State'ZIP: Beaverton, OR 97007 Amount received: Phone:(503)645-0986 Fax::( ) E-mail: krichardS@riVersidehome.trom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen PI.,Ste 370 Solar Installation Specially Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan rev ew s180.00 and administrative tees): Phone:( 503)645-0986 Fax:( ) - State surcharge(12%of permit fee): $21.60 CCB tic.: 189148 Total fee due upon application: $201.60 Authorized signature: .-'.y. -_ �._: � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 5/26/20 *Fee methodology set by Tri-County Building Industry Jennifer Doty Date: Service Board. UJ3uildingJ'emtit'B UP-RhSPemtitApp.doc 02/24/201I 4104613T(1 V02/COM/WEB) • TREE PLANTING NOTES III 1.NEW TREES THAT ARE PLANTED TO MEET THE EFFECTIVE CANOPY REQUIREMENTS SHALL CONFORM TO THE APPLICABLE STANDARDS IN THE TIGARD URBAN FORESTRY MANUAL.THEY 1111119 SHALL BE PLANTED IN ACCORDANCE WITH THE AMERICAN NATIONAL STANDARDS INSTITUTE(ANSI)STANDARDS FOR TREE PLANTING(A300,PART 6)AND ADDMONAL STANDARDS ADOPTED BY THE OREGON LANDSCAPE CONTRACTORS BOARD.NURSERY STOCK SHALL MEET THE REQUIREMENTS OF THE AMERICAN ASSOCIATION OF NURSERYMEN FOR NURSERY STOCK (ANSI 260.1)FOR GRADE NO.1 OR BETTER.DOUBLE STAKE TREES IF NEEDED FOR STABILITY DURING THE ESTABLISHMENT PERIOD. 2.ROOT BARRIERS SHALL BE INSTALLED ACCORDING TO THE MANUFACTURER'S SPECIFICATIONS WHEN A STREET TREE IS PLANTED WITHIN 5'OF ANY HARD SURFACE,PAVING,OR UTILITY BOX. 3.IF NEEDED,IRRIGATION TO BE DESIGN/BUILD BY THE LANDSCAPE CONTRACTOR. 4.IF NEEDED,SPECIES SUBSITUTIONS SHALL BE COORDINATED WITH THE PROJECT ARBORIST TO ENSURE EQUIVALENT CANOPY COVER IN ORDER TO AVOID MODIFICATION OF THE 0 1 2 PREVIOUSLY APPROVED URBAN FORESTRY PLAN. I S.STREET TREES SHALL BE PLANTED WITHIN 6-FEET OF THE RIGHT-OF-WAY. �� The project arborist has reviewed this plan and certifies that the trees and tree protection are accurately represented In accordance with the previously approved Urban Forestry Plan. SCALE: 1 =20' Megan Nolen,ISA Board Certified Master Arborist(PN-6145B),ISA Tree Risk Assessor Qualified Date:September 4,2020 I Phone Number:971.409.9354 Sp 461...... ft 11/1T LA i12p, i 10' PRIVATE WALL _ _ — — — — I136 EASEMENT 140 •u t y '} . f` 15' ♦1C 50.00' — 12020 • �N _`I ' ,1 ,,L _. c;,-....,,, ••\--•-—'::-'• , •• • ♦I•• ♦ • [' SS - 146 r _ ♦t- a UTIlTY • 156FFE _., ,EMEINT I-- LOT 18 . � • I • - o 146 LOT 16 '�'j I - --1--.1 ' 150 F R (��� 154GFE �I �` 1r ® ) RATSURA/CEROSCHTLWS JAPORCtai - AI° 9 ft I, ` ) (IAAMETER STRAW w') E ► , ♦ 6ft 1 O Water Service Drainage —� 1 j f I' Erosion I11 I. ,''I • Grade -- .-- — 4 IV li Lot Area: 4512 SF —I �\ I �1" "—I 1_a_!_ 1i� ,, Bldg Coverages n 2685 SF I, o j,i ' I �� • Total Impe�i.nua �6 p,.A8 _.. ,^ WWW 1 5' �6 g - - — � �� - 2 , 153 `� Coverage.: 38% / 43% Total ( i 1.- 8 l p F 154 �� ApprovedPlanningSW HANS /77 cl _. o �y i ‘ 1') I r ,N LANE • ! Initials: A_ g DATE 08i15i2018 ELDERBERRY RIDGE lii WESTLAKE REVISION DRAWN BY 1 TIGARD, OREGON CONSULTANTS INC. DAB 7594 SW HANSEN LN ENGINEERING • SURVEYING • PLANNING .I CHECKED BY JAB LOT SETBACKS PACIFIC CORPORATE CENTER z 15115 S.B. SEQUOIA PARKWAY, SUITE 150 0031 884-0852 < JOB NO. LOT 17. 4512 SF TIGARD, OREGON 97224 FAX `50S) 824-0157 E 1306-006 City of Tigard �/2�, .IIIa COMMUNITY DEVELOPMENT DEPARTMENT II T I G A 11 ll Building Permit Review — Residential Building Permit #: t'i S T 2-6 24 - 00.2 i 3 Site Address: ?- i/ (O 202 , , Project Name: 7deF 7___ i7l'� _ Lot#: /9-- Planning Review " /f AP/�20 y,i, fir-oil�f Prop�al: A) ii) `. ^me,00i..)atiaf s feft-ionam 7+rAde, Verify address/suite#active in Accela. n River Terr e: No ❑ Yes,River Terrace Review Addendum Shy/Plan Elements: I Sion Control TV opies of site plan on 8-1/2"x 11"or 11 x 17"paper rained trees with drip line and tree protection measures ion to scale(standard architect or engineer scale) . tprint of new structure(including decks)and FFE rth arrow PP ' ty locations&easements(required for new and additions) Vife address,project or subdivision name and lot number G Sid alk/driveway approach Il plicant information(name and phone number) 1 ation of wells/septic systems gri Lot dimensions and building setback dimensions �S�et tree size,type and location 111 I:uare footage of buildings to be demolished LG)s et names %li .'sting structures on site Comer elevations(2'contours if more than 4'diffe tial) ►. .ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or repla Yes ❑N, impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown. Yes�� o can Water Services-Service Provider Lette of platted prior to 9/10/1995): ddd _Rgquired: ❑ Yes,applicant was notified M No Received: ❑ Yes ❑ No ater Meter Fixture Unit Worksheet-Addi " ns,Remodels and ADUs R uired: ❑ Yes,applicant was notified No / Received: ❑ Yes ❑ No -11)) II C Exemption for ADU applied for: ❑ Yes ,tu'( No Received: 0 Yes ❑ No "A Public Facili Improvement (PFI)Permit: le tinned: Yes,applicant was (/ 12 notified ❑ No lied For: ' Yes ❑ No,stop intake nd Use Case#: �/e.32- 1 — ( )C WI Zoning: /L 1 i equired Setbacks: Front: Rear: 1c— Side: S."--- Street Side: A)41 Garage: .2 0 ilding Height: Max.Height: Actual Hei ht: tt 171 Fr Landscape Area:c -0 % --- Lot Coverage Max: % Entrance back no more than 8'from street-facing wall ❑ Parallel to st r offset 45 degrees or less Windows 0 Minimum °' of area of all street-facing facades Garage ❑ Garage door is befall . est street-facing wall ��1 ' Yes ❑ No,one of the following is met: ❑ Door extends no more tha m wall tete is a covered porch extending beyond garage. IDDoor extends no more than 5'f w there is a 12 sq ft.window above garage on 2"a floor. i 0 Garage door width is ❑ ' )r less ❑ 50%or les Cade 0 60%or less and includes 7 of following: ❑ Covered po Recessed entrance ❑ Wall offset 1'Roof eave ❑ Roof offset ❑ F' gles ❑ ap Siding 0 Roof pitch ❑ Gable,hip,o �brelroof 0 Dormer Accent siding Window trim ❑ Window recess ❑ Window prolettiett 0 Balcony II I isual Clearance rban Forestry Plan to Sensitive Lands: Yes ❑ No 'Type: p S1 {& ❑ C did s m rior to issuance f uilding pe t ` ,y N s:_ ' .S 1Jyie.47 i /70," )ri — /W(/3/1 C°il' J Approved By Planning: _- Date: �/421-.) Revisions (after Building Submittal only) Reviewer liate Revision 1: 0Approved 0 Not Approved AL-- I L SI?P Revision 2: ❑ Approved ❑ Not Approved I:,Building\Forms\BldgPennitRvw_RES_122419.doc x Building Permit Submittal Original Submittal Date: (e/l-4126 Site Plans: # ,3 Building Plans: # 3 Building Permit#: E-Enter building permit#above. Workflow Routing: B-Planning 8—Engineering Permit Coordinator ' ' uilding Workflow Sign-off ErSign-off for Planning(include notes from planning review) Route Application Documents: El—Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. IQ-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /�Q$-- Date: 7/j y/e-ei Enneering Review e Slope at building pad: /S . (�/Conditions"Met"prior to issuance of building permit Ir0 Easements (encroachments)per engineering conditions of approval and Dk<Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes IrNo Assess Water Quantity Fee in-lieu: ❑ Yes e No LIDA Facility on lot: 0 Yes trNo 'inal Plat Recorded ❑ NOT Approved by Engineering: Date: Notes: CVApproved by Engineering: Date: Revisions(after Building Submittal only) eviewer Date Revision 1: V Approved ❑ Not Approved /ep Revision 2: ❑ 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) M Revision Notice 1: Date Sent to Applicant: [01 12 �/l! Revision Notice 2: Date Sent to Applicant: SD(:Exemption: ❑ Received VI Does not apply SDC Fees Entered: Wash Co Trans Dec Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 'Pr Yes ❑ N/A LIDA 0 Yes X N/A yis,OK to Issue Permit Approved by Permit Coordinator: r Date: J , 13 1 I Building\Fonns\BldgPermilRvw_RES_I22419.docx