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Permit V - I I 9 ?3 ' -/ 4''d - — a. AttIVAtt* t • m • �, ',M °;�;r'3'.. lx.e e.-0a ^°^ia6'..�4uRmi�:1<t I � :\11i, l`. x" kk.d:\ F C.,k kk t. .l Ra l e"t« i s Rkr II i" : a•a • ,..h. : ,. • y a , � III II llll I IIIIIII III • 1 ^max •„ e ie* n w '. w G( M P fee-7-7- 0 f9-41 4A`-t- cnY2-- f 6-V [Ai s ' FCY AD U Building Permit Application i gif/� _ 4 / l j Residential / FOR OF I.I( F. 1 SE O\I.1 Received City of Tigard or E E V E C� Date/By: S /0/24 Pemnit No.:MS1 I r nO l$I 11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C'.` s' Phone: 503.718.2439 Fax: 503.598.19t 0 Date/By: Other Permit:�74 Qa,1-00►11 T I G A R D Inspection Line: 503.639.4175 {RAY 3 2021 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARL TYPE 0 :41 'i ING DIVISION 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 ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 15,000 ❑Accessory building ❑Multi-family Number of bedrooms: 2(existing,none added) O Master builder ❑Other: Number of bathrooms: 1 (existing,none added) JOB SITE INFORMATION AND LOCATION Total number of floors: 1 -j'n;S r c e 1,'�3 old' n c,is e Job site address:12107 SW 123rd Ct New dwelling area: 550 / square feet G � �t� "4 City/State/ZIP:Tigard, Oregon 97223 Garage/carport area: square feet Y.Cyn t Pw `Suite/bldg./apt.no.: Project name:12107 SW 123rd Ct. ADU Project Covered porch area: square feet {6' Cross street/directions to job site: SW Katherine St.and SW 123rd Ct. Deck area: square feet t Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST '' Subdivision: YE-OLDE WINDMILL Lot no.: 28 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2S 103BB 10800 f\DIndicate the value(rounded to the nearest dollar)of all �, � •M �n>n equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK U1 r work indicated on this application. Adding an ADU to existing SFH.Owner Builder. 1 exterior entrance added wr h a 1 hr firewall Valuation: $ Existing building area: square feet added to walls connecting ADU to main home.ADU address is 12107,original home address is 12105 SW 123rd Ct. i, New building area: square feet ® PROPERTY OWNER i ❑ TENANT Number of stories: Name: Cimin Liang&Juan Liu Type of construction: Address: 12105 SW 123rdCt t• Occupancy groups: A. City/State/ZIP: Tigard,Oregon 97223 Existing: iPhone:(503 )928-0368 Fax:( ) New: * ® APPLICANT ❑ CONTACT PERSON BUILDINL PERMIT FEES* (Please r4er to fee schedule) Business name: N/A Contact name: Xiao Liang&Juan Liu Structural plan review fee(or deposit): FLS plan review fee(if'applicable): Address: 12105 SW 123rd CT. City/State/ZIP: Tigard,Oregon 97223 Total fees due upon application: Amount received: Phone:(503 )928-0368 Fax::( ) E-mail: suejuan2009@gmail.com;xiao5565@gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: N/A-owner builder Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 12105 SW 123rd Ct. Solar Installation Specialty Code checklist. City/State/ZIP: Tigard,Oregon 97223 Permit Fee(includes plan review and administrative fees): $180.00 Phone:( 503 )928-0368 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signature: y J1 ,1 This permit application expires if a permit is not obtained dam`^' within 180 days after it has been accepted as complete. Print name: Cimin Liang&Juan Liu Date:4/11/2021 *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Aptjk Mechanical Permit Applica FOR OFFICE LSE ONE) �ECEIVEt� Received City of Tigard Date/By: Pr SDI O/Z I Permit No.: ytAST2021-001,gi1 11,1 • 13125 SW Hall Blvd.,Tigard,OR 97223 I fi=( ©3 2OG Phone: 503.718.2439 Fax: 503.598.1960' '-y Plan ReviewDate/By: Other Permit: r ' t♦-colt • f 1 G A R D Inspection Line: 503.639.4175 OF TIGARD Date Ready/By: _finis: Internet: www.ti and-or. ov CITY y y' Supplemental See Page 2 for g g BUILDING DIVISION Notified Method: Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST — Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. — Value:$ CATEGORY OF CONSTRUCTION — RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total d� JOB SITE INFORMATION AND LOCATION Airconditioning Heating/cooling: 4`��� Air conditioning Job site address:1 SW 123rd Ct (requires site plan showing placement) 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,Oregon 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:12107 SW 123rd Ct ADU Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: SW Katherine St.and SW 123rd Ct. Duct work 23.32 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 Subdivision:YE-OLDE WINDMILL Lot no.:28 Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.:2S103BB10800 Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Building an internal ADU in existing SFH 12105 SW 123rd Ct.as owner builder Adding kitchen, Gas fireplace 33.39 Flue vent for water heater or gas Electric stove,dryer,cadet heaters in all rooms(4) fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name:Cimin Liang&Juan Liu Environmental exhaust and ventilation:Range hood/other kitchen hie Address:12105 SW 123rd Ct Remodel 1 $3339 equipment 33.39 . hck Sn1 City/State/ZIP:Tigard,Oregon 97223 Clothes dryer exhaust 1 33.39 $33.39 it Xilf" Phone: Single-duct exhaust(bathrooms, $23 32 (503 )928-0368 Fax:( ) 1 -f1�Q toilet compartments,utility rooms) 23.32 to ® APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32 b 0, fQ@1 Other: 23.32 ni a I Business name: Fuel piping: ill e Contact name:Cimin Liang&Juan Liu"Owner Builder" $14.15 for first four;$4.03 for each additional \G;l ChP n Address:12105 SW 123rd Ct Furnace,etc. Gas heat pump City/State/ZIP:Tigard,Oregon 97223 Wall/suspended/unit heater Phone:( 503 )928-0368 Fax::( ) Water heater E-mail: suejuan2009@gmail.com or xiao5565 Fireplace — 1 @g @gmail.com Range _ CONTRACTOR Barbecue Business name:Cimin Liang&Juan Liu"Owner Builder" Clothes dryer(gas) Other: Address:12105 SW 123rd Ct MECHANICAL PERMIT FEES* _ City/State/ZIP:Tigard,Oregon 97223 Subtotal q U. v .I Minimum permit fee($90.00) Phone:( 503 )928 0368 Fax:( ) Plan review(25%of permit fee) 22 53- CCB lic.: State surcharge(12%of permit fee) ,J .g`I _! TOTAL PERMIT FEE 4 2.3. This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: Cimin Liang Juan Liu Date:3/18/2021 * Fee methodology set by Tri-County Building Industry Service Board 1:\Building\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(11/02/COM/WEB) v pi-0 tA Electrical Permit Application FOR OFFICE ;SF N n c I ,ONLY City of Tigard RECEIVE !eeeived N� S /j0�21 Permit#: mST?O'L\—(��g' Date/B • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit#: �JRelt7dlt—Ubl _I 1 Phone: 503.718.2439 Fax: 503.598.1960 MAY Q 2021 Date/B Inspection Line: 503.639.4175 Ready Date/By: lures: Id See Page 2 for T I G A R D Internet: www.ti and-or. ov Notified/Method: Supplemental Information g g CC4TY OF 'i$(''P�i�ii_ PP TYPE OF woRCUILDING DIVISION PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/ilems checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder ❑Other: ampsirefor allother installations. btngs. 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address:12107 SW 123rd Ct ❑Addition of new motor load of system 100HP or more. ❑"A" "E" "1-2» "1-3" City/State/ZIP:Tigard, Oregon 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:12107 SW 123rd Ct ADU 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Katherine St.and SW 123rd Ct. FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:YE-OLDE WINDMILL Lot#: 28 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#:2S103BB10800 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Adding ADU to SFH at 12105 SW 123rd Ct as the owner builder. internal ADU to (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 have separate metering. residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Cimin Liang&Juan Liu"Owner Builder" 200 amps or less f 100.70 $100.70 2 Address: 12105 SW 123rd Ct 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,Oregon 97223 601 amps to 1,000 amps 301.04 2 Phone:( 503 )928-0368 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:suejuan2009@gmail.com or xiao5565@gmail.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exch ge,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 _ 2 Owner signature: .- Date: 3/18/2021 401 amps to 599 amps 168.54 2 ® APPLICANT El CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 8 7.42 $59.36 2 each branch circuit Contact name:Cimin Liang&Juan Liu"Owner Builder" B.Fee for branch circuits without Address:12105 SW 123rd Ct service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Tigard,Oregon 97223 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 )928-0368 Fax: :( ) Each manufactured or modular sue uan2009 mail.com or xiao5565@gmail.com dwelling,service and/or feeder 67.84 2 Email: 1 @9 @g Reconnect only I 67.84 $67 84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Cimin bang&Juan Liu"Owner Builder" Sign or outline lighting 67.84 2 Address:12105 SW 123rd Ct Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Tigard,Oregon 97223 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503 )928-0368 Fax:( ) Investigation(1 hr min) 90.00/hr Email:suejuan2009@gmail.com or xiao5565@gmail.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('/hr min) Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Subtotal: $_2" 7.90 Print name: Cimin Liang&Juan Liu Date: 3/18/2021 g Plan Review Required(25%of permit fee): $56.98 State surcharge(12%of permit fee): $27.35 Authorized signature: rJam` 4, -0_,. .--- TOTAL PERMIT FEE: S312.23 This permit application expires if a permit is not obtained within 180 Print name: Cimin Liang Juan Liu Date: 3/18/2021 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB r• fth# # pU Plumbing Permit Application Building Fixtures RECEIV FOR OFFICE USE ONLY City of Tigard Received `/ Date/By: lJT S//0/2( Permit No.: M SC7o2k-0ot2 f 14 • 13125 SW Hall Blvd.,Tigard,OR 97223 MAY I 2 ® Plan Review 0 Phone: 503.718.2439 Fax: 503.598.1960 i Da�eBy: Other Permit No.:� �A I-W((1 Inspection Line: 503.639.4175 CITY OF TIGh, T I G A R D a s �= l`� y a t t r vale kteadyBy: luris: H See Page 2 for Internet: www.tigard-or.gov 9(, i l: Noitfibd/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE O 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-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:12107 SW 123rd Ct. Catch basin or area drain 18.76 City/State/ZIP:Tigard,Oregon 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:12107 SW 123rd Ct ADU Manufactured home utilities 50.03 Cross street/directions to job site: SW Katherine St.and SW 123rd Ct. 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:YE-OLDE WINDMILL I Lot no.:28 Fixture or item: Tax map/parcel no.:2S103BB10800 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 $25.02 Building an internal ADU in the existing SFH 12105 SW 123rd Ct as the owner builder.Plumbing to be attached to Dishwasher 1 25.02 $25.02 a separate 5/8"utility water meter. Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Cimin Liang&Juan Liu Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:12105 SW 123rd Ct Garbage disposal 1 25.02 $25.02 City/State/ZIP:Tigard,Oregon 97223 Hose bib 25.02 Phone:( 503)928-0368 Fax:( ) Ice maker 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Cimin Liang &Juan Liu"Owner Builder" Roof drain(commercial) 12.51 Address:12105 SW 123rd Ct Remodel Sink/basin/lavatory 2 25.02 $50.04 City/State/ZIP:Tigard,Oregon 97223 Solar units(potable water) 62.54 Phone:( 503 )926-0368 Fax::( ) Tub/shower/shower pan I 12.51 $12.51 E-mail: suejuan2009@gmail.com or xiao5565@gmail.com Urinal 25.02 Water closet 1 25.02 $25.02 CONTRACTOR Water heater 37.52 Business name:Cimin Liang&Juan Liu"Owner Builder" Water piping/DWV 56.29 Address:12105 SW 123rd Ct Other: 25.02 City/State/ZIP:Tigard,Oregon 97223 Subtotal $162.63 Phone:( 503)928-0368 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) $40.66 CCB Lic.: Plumbing Lic.no.: $19 52 State surcharge(12%of permit fee) Authorized signatur �,. TOTAL PERMIT FEE S222.81 Print name: Cimin Liang Juan Liu Date:3/18/2021 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. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard II : I COMMUNITY DEVELOPMENT DEPARTMENT . �� �� Building Permit Review — Residential Building Permit #: MST-A Da 1- Oat g 1 Site Address: ! 2.\ 0-1 ¶ J l2' (ZO CT' Project Name: Lt PAC, -- L-i J ploy Lot #: Planning Review Proposal: Nam) A-["iPsC Re) /ji 15L4erify address/suite#active in Accela. ❑ In River Terrace: 34,No ❑ Yes, River Terrace Review Addendum Si�te'Plan Elements: Iir ❑Erosion Control ,���3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper NA Retained trees with drip line and tree protection measures Ow"ve ZJDrawn to scale(standard architect or engineer scale) to Footprint of new structure (including decks) and FFE Ilorth arrow �,�Utility locations&easements(required for new and additions) N/h I IS� address,project or subdivision name and lot numbertdewalk/driveway approach Applicant information(name and phone number) ��n Location of wells/septic systems Lot dimensions and building setback dimensions Or ,Stt tree size,type and location NIA" [lS are footage of buildings to be demolished 25treet names . Listing structures on site a'R Corner elevations(2'contours if more than 4'differentiaall),, f\i/ALot area,building coverage area,percentage of coverage and 1,000 sf of impervious area created or replaced? ❑Yes No IQ impervious area(applicable if R-7,R-12 R-25&R-40) shown? P ( PP If yes,is a storm water quality facility ❑Yes l•K'o lean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ,LEI No es o Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No SDC Exemption for ADU applied for: J "Yes ❑ No Received: ,ia'Yes ❑ No (u)/CttflSrou- 'q) .0.--Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified fd'No A lied For: ❑ Yes ❑ No,stop intake , fiLand Use Case#: pl1 a as I-000 IS- zoning: A-4- .S' Required Setbacks: Front: 201 Rear: I Side: S Street Side: I r/ Garage: 2C2/ uilding Height: ,/ Max. Height: t Actual Height: /i)0 Ch7)1 ./r r/I l�meteor; fo erviv Fr-c,y,� El] Landscape Area: t A` % Lot Coverage Max: 0/A 0/0 Entrance back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less ..I� Min Windows imum 12%of area of all street-facing facades Garage 0—G4 e door is behind widest street-facing wall ❑ Yes ❑ No,one of the followin is • ❑ Door ex ore than 5'from wall and there is a covered porc • g eyond garage. ❑ Door extends no more than wall and sq ft.window above garage on 2nd floor. ❑ Garage door width is ❑ 12'or 1 0 o f facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ecessed entrance ❑ Wall offset of eave ❑ Roof offset ❑ F. • g es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gam f ❑ Dormer Accent siding ❑ Window trim ❑ Window recess ❑ Window projection alcony Zr Visual Clearance •Urban Fors Plan I't S sitive Lands: ❑ Yes ] No Type: Conditions met prior to issuance of building permit of : IVO C44 n- M lle itntr, iiiw &e to 11/Ilo r` rl01 br�l�unh f412 ID ADv . Po cNAnve in exf tL V Approved By Planning: ..--.. Date: 5OO�2/ S'�U r Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_122419.docx Building Permit Submittal // Original Submittal Date: 5/3/2/ Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. �� �/ Workflow Routing: �Pl nning Engineering .lam Permit Coordinator JCT Building Workflow Sign-off: 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. VBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: 5- Q 2/ Engineering Review[lope at building pad: on 13.-tonditions "Met"prior to issuance of building permit n GZ Easements (encroachments) per engineering conditions of approval and plat h l' R Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ifro Assess Water Quantity Fee in-lieu: ❑ Yes ILIWNo LIDA Facility on lot: ❑ Yes C�YNo E Final Plat Recorded: t? 1 ❑ NOT Approved by Engineering: Date: N�ottees: l Approved by Engineering: 1;e4r16,friet Date: 4$lo/20z4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ,ZConditions "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: g Received ❑ Does not apply --- yot co�p�J'Cd JCJ 1. . SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A f Tigard Trans SDC: )X Yes ❑ N/A Parks SDC: „Ea'Yes ❑ N/A LIDA ❑ Yes g N/A XOK to Issue Permit Approved by Permit Coordinator: Date: 5`u(Et Vi I:\Building\Forms\BldgPermitRvw_RES_122419.docx I Related Remodel Plans r i i \ . t:\ dces y�{{ b he pasted i- A� z�?'�i^ IOI naIt;m.}fi t. 6ipitOiteti ptant: s' e I „,''t!t un iob sit ���� ; PERMIT APPLICATION FOR BUILDING_ADDITION -.' __ r l' t, ---'. 'b \� g• Final inspection apptovat is -- CIMIN LIANG 12105 sw 123,6(r r+CARn,an 91m2 (503)$24-6OIS I `" to \ve rn)cDEC required pnor to occupancy, t i db V. I~ ' ;. .; = '' Is t0-�'�; o APPLICATION FORMS 'n, x N Amasctwit APPLICATION DOCUMENTS CONTENTS&SITE PLAN.................. .. . I FRONT,BACK,LEFT&RIGHT ELEVATION ,.. . ... .•.. ... .2 I °++ awaaraoru ` " MAIN FLOOR PLAN AFTER REMODEL ................ ................... I arm ark eor a �� 3 = — twt cr st..oucc a Pp ! r�zrev SOW �1 ;I MAIN FLOOR REMODEL Ptl► t,- .... I I t S ` -_ /ff UPPER FLOOR PLAN. . <' _ --�-- 4 . ` i UPPER FLOOR&PORCH ROOF JOISTS PLAN. ...... ... ....... t ' • FOUNDATION Pt�k) 6` rt AO J is s "AIR&TYPICAL tf^AL I SE�I.(2!.S t!I . aI ' :xi i TYPIEAI 'A'AL' .1' F:O%';C21 ; x I e ti` .',`z 1 e x err u+o•rse - I ! :< „ c- t z+ass.tz3c MAIM t 972,2i .a, - > n z4ty t TABLES tc , pRrvrw�r p ' t r a a "Arz -P;k9 f.SI ea'E� i k III.-. • I. _._--CY - - �i ,k{9 � TICt.@7ER tk til'Arn af' I1 It SIZIN�i T48 ).-.. r i . • 1.6 [� - `s_ue{ a_ eeft„„ thXZ_ 1:7 +e. ___., /` ` 't' s'; ATTACHMENT', ,4' `' 7, 1.ENGINEERED CALCULATION FOR THE EXISTING FOUNDATION :',1.- ,.:1, ,.,: ; ''1 ,, :,,L, i.ENGINEERED TRUSS DESIGN DRAWNINGS 3,COPY OF THE ONE STORY EXISTING HOUSE BLUEPRINT 4 I;a City rt TIr) x r:st ats SIEC . a REQUIRED I r �, emploY � tt�fi"s.!ta& Stoics at 04, _„I..4, ,. ..-.. 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