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Permit CITY OF TIGARD MASTER PERMIT , 1 4.- COMMUNITY DEVELOPMENT Permit#: MST2020-00243 Date Issued: 09/03/2020 Tk,;AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 BBO3000 Jurisdiction: Tigard Site address: 10144 SW COPPERLEAF LN Subdivision: ERIKA SUBDIVISION Lot: 3 Project: Erika Court, Lot 3 Project Description: New detached residential dwelling. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1472 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 4 Second: 2032 sf Garage: 665 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3504 sf Value: $461,505.29 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 0 Storm Sewer: 100 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bcktlw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 3 Backwater Value: 1 Other Fixtures: 1 Drywell-Trench Drain: 0 Other Fixture Units: Utility sink in garage MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 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 I 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: 7 201-400 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 Onener: 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 3504 Owner: Contractor: DAVID WEEKLEY HOMES WEEKLEY HOMES Required Items and Reports(Conditions) 1905 NW 169TH PLACE SUITE 102 1905 NW 169TH PLACE SUITE 102 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-213-4415 PHONE: 503-213-4415 FAX: Total Fees: $41,224.14 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 ft f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: / 9g.,;;If-'es.Z.L.1- all 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 n ?Ali. is RECEId' ` Residential FOR OFFICE USE ONLY Received O� � ��� �©���� City of TigardJUL 2 2 20[u Date/By: /r! Permit Nell• 13125 S W Hall Blvd..Tigard,OR 97223 Plan Review �, -/ p �^ Phone: 503.718.2439 Fax: 503.598.19 CITY OF TiGARD patesy.; /�/`�fl b i Other Permit. kjF� 'I9V r y0 IGARD Inspection Line: 503.639.4175 DUILDING DIVISION Date Ready/By: // mns: ® See Page2for Internet: www.tigard-or.gov Notified/Method: ,F/L. `1 ,(w Supplemental Information `7411t, ',ZLfCi/6----z. e TYPE OF WORK REQUIRED DATA:I-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 ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION ,, yy work indicated on this application. cG El1-and 2-family dwellingValuation: 4 to 11 S 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 5 ❑ Master builder 0 Other: Number of bathrooms: 4 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 4 j (E'9 Job site address: 10144 SW COPPERLEAF LANE New dwelling area: 3504 square feet 2.032. City/State/ZIP:Tigard/OR/97224 Garage/carport area: 665 square feet 'Li a Suite/bldg./apt.no.: Project name: RIDGECREST Covered porch area: square feet Cross street/directions to job site:SW 103'AVE AND COPPERLEAF LANE Deck area: ` square feet Other structure area: q1` square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST <` Subdivision:ERIKA COURT Lot no.:3 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S111BB00600 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. New Single Family Home to be built-3504 SQFT 5 Bedroom,4 bath with 665 SQ Valuation: $ FT 4 car garage with a 144 SQFT covered rear porch Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:David Weekley Homes Type of construction: Address:1905 NW 169fh Place Suite 102 Occupancy groups: City/State/ZIP:Beaverton,OR 97006 Existing: Phone:(503)213-4415 Fax:( ) New: ❑ APPLICANT ® CONTACT PERSON BUELDING PERMIT FEES* (Please refer to fee schedule) Business name:David Weekley Homes Structural plan review fee(or deposit): 7 5 , . 3 'y Contact name:Michele Schiedler Address: 1905 NW 169th Place,Suite 102 FLS plan review fee(if applicable): Total fees due upon application: City/State/ZIP:Beaverton/OR/97006 Amount received: Phone:(503)213-4415 Fax: :( ) E-mail:mschiedler@dwhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*I Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:David Weekley Homes Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1905 NW 169'Place,Suite 102 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton/OR/97006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:213653 / Total fee due upon application: $201.60 Authorized signature: / / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Michele S..ied' Date:7/21l20 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application EC ElVE 1 FOR OFFICE USE ONLY Received t C1 Of Tigard Permit No g JUL Date 1'H57202©--oovi ' 13125 S W Hall Blvd.,Tigard,OR 97223 2 2 2020 Plan Review Phone: 503.7 5 39 Fax: 503.598.1960 CITY OF TIGARD Date By other Permit. TIGARD Inspection Line: 503.1i39.4175 p I Data Randy By: Awls- ® See Page 2 fur Internet: www.tigard-or.gov BUILDING DIVISION Notified Supplemental Information TYPE OF WORK - COMNIERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work El New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ►C/ I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building Far special inferu,ution use checklist. ❑Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total -.W: li eating/cooling: �,,,; JOB SITE INFORMATION AND LOCATION Air conditioning 46.75 Job site address: 10144 SW COPPERLEAF LANE Furnace 100.000 BTU(duets,'vents) 1 46.75 City/State/ZIP:Tigard/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgiapt.no.: Project name:RIDGECREST Duct work 23.32 Cross street/directions to job site:SW 103RD AVE and SW COPPERLEAF LANE Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not ekxt ic), in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above 23.32 Subdivision: ERIKA COURT Lot no.:3 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2S1 I 1BB00600 Water heater I 23.32 DESCRIPTION OF WORK Gas fireplace'insert I 33.39 Flue vent for water heater or gas New single family home to be built-3504 sqft,5 bedroom 4 bath home with fireplace 23.32 665 sqft 4 car garage and a 144 sq ft covered rear porch Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/inset 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:David Weekley Homes Range hood otherkitchen equipment I 33.39 Address: 1905 NW 169'h Place,Suite 102 Clothes dryer exhaust 1 33.39 City/State/ZIP: Beaverton/OR/97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 23.32 Phone:(503)213-4415 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ® CONTACT PERSON Other: 23.32 Business name:David Weekley HomesFuel piping: %I4.I5 for first four:$4.03 for each additional Contact name:Michele Schiedler Furnace,etc. Address: 1905 NW 169'h Place,Suite 102 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton/OR/97006 Water heater Phone:(503)213-4415 Fax::( ) Fireplace Range E-mail:mschiedler@chvhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:David Weekley Homes Other: ,. ;.. MECHANICAL PERMIT FEES* Address: 1905 NW 169'h Place Suite 102 Subtotal City/State/ZIP:Beaverton/OR/97006 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)213-4415 Fax:( ) State surcharge(12%of permit fee) CCB lic.:213653 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 188 days after it has been accepted as complete. Authorized signature: �� * Fee methodology set by Tri-County Building Industry Service Board Print name:Ken Put an •••fff��� Date:7/21120 .un.aa err e 1 1-no:rrnn:wcRI RECEIVED Electrical Permit Application FOR orrIC1'USE ONLYJUL 2 2 2020 City of Tigard Received Pla ITY OF TIGARD Daa nR Permits:/1S 26:c Ly.' 13125 SW Hall Blvd.,Tigard,OR 9 eview Related Permit if: ' e' Phone: 503.718.2439 Fax: 503.598 7'•1 LDING DIVISION Date/13 Inspection Line: 503.639A 175 Ready Date/By: (aria El See Page 2 for TIGARD Internet: www.tigard-or.gov Nolifted/Method: Supplemental Life relation TYPE''OP WORK PLAN'REVJW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 seta of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. - CATEGORY-'or CONSTRUCTION:": .. exceeds 10,000 amps al 150 volts or ❑Floating buildings. ® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 C]Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: ❑Fire pump, 0 h,stallalion of 150 KVA or JOB SITE 1N1=URNLA1•ION AND LOCATION _ Emergency system. larger separately derived ❑Addition of new motor load of system. Job if:68130003 Job site address:10144 SW COPPERLEAF LANE tooHP or more. ❑"n"."E".'9-2","1-3"• City/State/ZIP:Ti ard/OR/97224 ❑six or morn residential units. occupancy. ty g ❑Health-care facilities, ❑Recreational vehicle parks. I Suite/bldg./apt.#: Project name:RIDGECREAST ❑Hazardous locations. Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW 103"AVE AND COPPERLEAF LANE ; FEE°;SCHEDULE ;r... DesMptioa I Q4'• I tub I Total I ' New residential single-or multi-family dwelling unit. Subdivision:ERIKA COURT Lodi:3 Includes attached garage. Tax map/parcel#:2S 1 T IBB00600 1,000 sq.R.or less 1 168.54 168.54 4 Ea.add'1500 sq.R.or portion 5 33.92 169.50 1 DESCRIPTION OF:.WORK Limited energy,residential above sq.ft.) 75.00 2 New single fancily home to be build-3504 sqft,5 bedroom 4 bath home with (withd h energy,multi-family 665 sgft 4 car garage with a 144 sq ft covered rear porch residential(with above sq.FL) 75.00 2 Renewable Energy CS PROPERTY iU\i'NLR I: TENANT _Services or feeders installati 0 See Page 2 on alteration,and/or relocation Name:David Weekley Homes 200 amps or less 100.70 2 Address:1905 NW 169th Place Suite 102 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Beaverton/OR/97006 601 amps to 1,000 amps 301.04 2 Phone:(503)213-4415 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 .EI APPLICANT =o ':CONTACT°PERSON : BranchAFcefor dbrancreuits—new,h alteration,with or extension,per panel circuits Business name:David Weekley Homes above service or feeder fee, 7,42 2 each branch circuit Contact name:Michele Schiedler B.Fee for branch circuits without serAddress:1905 NW 169t'Place Suite 102 branch circuitt feeder fee, haI 56.18 2 branch City/State/ZIP:Beaverton/OR/97006 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder riot included) Phone:(503)213-4415 Fax: :( ) Each manufactured or modular 67.84 2 Email:mschiedl dwhomes.com dwelling,serviceand/orfeeder Reconnect only 67.84 2 - ::CONTRACTOR.-` Pump or irrigationcircic 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 2 M p 36 Br cNowood Ave, panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: 'f'S!`t tl t&.'K�t c D 01 ci-)(z-3 Each additional inspection over allowable in any of the above r� Additional inspection(1 sir min) 66.25/hr Phone::503--(P c/g-4S5-2- Fax:(9i.3)19 42 i 2 Investigation(l hr min) 90.00/hr Industnalplant{lhrmin) 781R/hr Email: f'f�11'f' .l��i;lG(,i'-,e%1i'. ;�...•L"✓1�i Inspections for which no fee is CCB Lie.: (2.1/Gr-ei Electrical Li 30 j Suprv.Lie.:370 5 specifically listed(h hr min) 90.00/hr ELECTRICAL'PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: (nets l e s (1. ( n : 7-22-2.021) ❑Plan Review Required(25%of pemtit fee): State surcharge(12%of permit fee): Authorized signature: L,,-t,_--•-•--- TOTAL PERMIT FEE: This permit application expires If a permit is not obtained within 180 Print name: Or/'th(yi�f /5ikr`Cti'V Date:'-z-2-2.b2-6 days after it has been accepted as complete, J e Number of inspections allowed per permit. I:19uildingWrrmitsaELC PermiuApp ELR ERF_dnc Ric OM7/20I5 440-4617T(I I/05/Cob1/WEB Plumbing Permit ApplicatiociECEIV E • Building Fixtures l� FOR OFFICE I SE: ONLY JUL 2 2 2020 Received City of Tigard Permit i vM e-�� t 13125 SW Hall Blvd.,Tigard,OR 9722CITY OF TIGARD Date/By: dp2 y I� Plan Review 5 . Phone: 503.718.2439 Fax: 503.5918IuiLDING DIVISION DatelBy': Other Permit No.: T1GA R D Inspection Line: 503.639.4175 Date Ready/By: Jars H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®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 ® 1-and 2-funnily dwelling 0 Commercial/industrial SFR(2)bath ' 437.78 0 Accessory buildingMulti-family SFR(3)bath I 500.32 500.32 0 Each additional bath/kitchen 1 25.02 25.02 E Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 10144 SW COPPERLEAF 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.:nil Page 2 87.55 Suite/bldg./apt.no.: I Project name: RIDGECREST Manufactured home utilities 50.03 Cross street/directions to job site:SW 103RD AVE AND COPPERLEAF LANE Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear if:_) Page 2 Water service(no,linear ft.:_) Page 2 Subdivision: ERIKA COURT I Lot no.:3 Fixture or item: Tax map/parcel no.:2SI IIBB00600 Backflowpreventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 25.02 New Single Family Home 3504 sqft 5 bedroom,4 bath with 665 sqft 4 car Dishwasher I 25.02 25.02 garage and with a 144 sq ft covered rear porch. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ; ❑ TENANT Expansion tank 12.51 Name:David Weekley Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1905 NW 169th Place Suite 102 Garbage disposal 1 25 02 25.02 City/State/ZIP:Beaverton,OR 97006 Hose bib 2 25.02 50.04 Phone,:(503)213-4415 Fax:( ) Ice maker 1 12.51 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:David Weekley Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Michele Schiedler • - Roof drain(commercial) 12.51 Address: 1905 NW 1696 Place,Suite 102 Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP:Beaverton/OR/97006 Solar units(potable water) 62.54 Phone:(503)213-4415 Fax: :( ) Tub/shower/shower pan 4 12.51 50.04 E-mail:mschiedler/.-dwhomes.com Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR Water heater 1 37.52 37.52 Business name: i\Ialmedal Plumbing Water piping/DWV 5629 Address: PO Box 207 Other. 25.02 City/State/ZIP: Banks/OR/97106 Subtotal Phone:(503)324-0759 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Ciplulry spend quwu.4 Maim.. Authorized signature: Carolina Malmedal = ; """':""'""""°"°" TOTAL PERMIT FEE a,., Print name: Date:7 21/20 This permit application expires if a permit is not obtained within 180 days Carolina Malmedal after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry.Service Board. I.l Kul Id!ngiPenmis\PLMU-PermitAppdoc l0/0109 410-46161110,'02/COM:WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT II 1PilC ; TIGARD Building Permit Review — Residential Building Permit #: h S T 20 -o — 00 2N 3 Site Address: 101 t{4 SA) Copper 1 Project Name: Er i kn cam- Lot #: 3 Planning Review Proposal: jeAA/ 4-0lc[, la Verify address/suite#active in Accela. iSf In River Terrace: N. No ❑ Yes,River Terrace Reviea'Addendum Site Plan Elements: F'rosion Control 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures raven to scale(standard architect or engineer scale) gFootprint of new structure (including decks) and FFE 'North arrow Utility locations&easements(required for new and additions) t .ite address,project or subdivision name and lot number Sidewalk/driveway approach CP pplicant information(name and phone number) ` .cation of wells/septic systems `1 of dimensions and building setback dimensions Q`' .treet tree size,type and location rt.uare footage of buildings to be demolished c!i•t'.treet names xisting structures on site 7-Corner elevations(2'contours if more than 4'differential) ,nP ®t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?XYes No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑YesVo )5.Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified .g,No Received: ❑ Yes ❑ No .IS Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: ❑ Yes,applicant was notified 'No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI)Permit: Required: ❑ Yes,applicant was notified X-No Applied For: ❑ Yes ❑ No,stop intake li(Land Use Case#: SUb2D 1^-oOCO3 , Zoning: Q" 3. !-t) Required Setbacks: Front: Rear: (5WA- Side: ?5 Street Side: Nf Pt- Garage: 4 '2-0 Building Height: Max. Height: �J� Actual Height: Landscape Area: % },ot Coverage Max: Entrance X Set back no more than 8' from street-facing wall >rParallel to street or offset 45 degrees or less Windows X Minimum 12%of area of all street-facing facades t Gf Garage a Garage door is behind widest street-facing wall ❑ Yes ,ta'No,one of the following is met: Door extends no more than 5'from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. X,Garage door width is ❑ 12'or less Rt 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance Urban Forestry Plan 0.Sensitive Lands: Yes , No Type: ,Conditions met prior to issuance of building permit Notes: tgl Approved By Planning: Date: e 3 W Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building Worms\B1dgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 7/Z 2-/Zp Site Plans: # 3/ Building Plans: # `3 Building Permit#: a-Enter building permit#above. Workflow Routing: ❑Planning engineering —P'unit Coordinator i uilding Workflow Sign-off: C'Sign-off for Planning(include notes from planning review) Route Application Documents: Q_Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 11-11-uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: * By Permit Technician: p J, 4-%-el Date: P--`/y/ En",r,"veering Review 43. Slope at building pad: j �/ e LK fonditions "Met"prior to issuance of building permit ®/Easements (encroachments)per engineering conditions of approval and plat It/Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes lNo Assess Water Quantity Fee in-lieu: ❑ Yes 'No / LIDA Facility on lot: ❑ Yes rt4lo la Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: Q1/Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved 11 Permit Coordinator Review Igr 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: SDC Exemption: ❑ Received Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: 7, Yes ❑ N/A Tigard Trans SDC: X Yes ❑ N/A Parks SDC: 35 Yes ❑ N/A LIDA ❑ Yes N/A ,i(OK to Issue Permit Approved by Permit Coordinator: ictr' A Date: 0 I ll 11)I2 I:\B ui ldingForms\B IdgPermitRv w_RE S_122419.doc x