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Permit
CITY OF TIGARD MASTER PERMIT 11111 11 , COMMUNITY DEVELOPMENT Permit#: MST2021-00020 Date Issued: 09/09/2021 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104BC10700 Jurisdiction: Tigard Site address: 14044 SW WALNUT LN Subdivision: FERN STREET SUBDIVISION Lot: 4 Project: Fern Ridge, Lot 4 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1455 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1981 sf Garage: 601 sf Front: 15 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 5 Detectors: Total: 3436 at Value: $450,059.29 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker. 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes 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: 5 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'l 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 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 3436 Owner: Contractor: K5 URBAN PROPERTIES&MANAGEMEIBELLATERRA HOMES Required Items and Reports(Conditions) PO BOX 25571 PO BOX 25571 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97298 2 Fire Sprinklers Required PHONE: PHONE: 503-2929344 FAX: 503-297-7524 Total Fees: $41,313.22 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 requi you to follow e rules adopt by the Oregon Utility Notification Center. Those rules are set forth in OAR QF9_nni..nni n thrn„nh nap znnl- 1 n Vni 1 nht in a Ana n mlac f nuce}inne to IN Mir.Mi nallinn Fr14 9Z9 1OR7 nr 1 Ann 4'29 9ZAA Issued By: /I/ rmittee Signature: f i/Pau/ , 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 iob site at the time of each inspection. • 1 Building Permit Application 0- 12- I2- 12 Residential RECEIVE I FOR OFFICE USEONLY City of Tigard 2 2 I \ \A J Permit No.:h,61-2,0.2\-Cbp2b • Dace/By:Received 13125 SW Hall Blvd..Tigard,OR 97223 DEC 2 9 Z020 Plan Review a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I P V Other Permit.S1.02.QZ)-oota T'I G A li D Inspection Line: 503.639.4175 CITY Da a Ready By: f J` , mj'` ® See Page 2 for Internet: www.tigard-or.gov OFTIGARD Notif•.Mfethod� / / ,�, Y�i� Supplemental Information BUILDING DIVNION M 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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhea Id the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. j KI-and 2-famil dwellin Valuation: S g ❑Commercial/industrial t y G 0 Accessory building 0 Multi-family Number of bedrooms: cep,d s 7. 0 Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 0'3 Job site address: `IAO—ly ejLI1/4) 1 .,by fi LC'IN-C. New dwelling area: 346149square feet 1 (Qj 1 City/State/ZIP: Garage/carport area: `J square feet 5 Suite/bldg./apt.no.: �J Project name: Fe -y-1 c).-\dGe Covered porch area: r►pia square feet Cross street/directions to job site:'Li.) Fi✓rh S - . j S\...L� Deck area: ' ` square feet \/.D‘\'- c,v c CA-- *o SW \V1 Wlne, Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Fer',--N 'C2 Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: `L.j \O Lk��A O�jj 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. rfe\X) t Y,.1 i..� Valuation: $ Y✓ Existing building area: square feet New building area: square feet ]PROPERTY OWNER 0 TENANT Number of stories: Name: 14.- Y- r\ W-o\7 t(.\-1 W Type of construction: Address: ,c ).`� '5 A) c j Th ve 0- ) Occupancy groups: City/State/ZIP: l`\O\rtC, c 2_ 9 122'\ Existing: Phone: ) C C 5L 2)(A Dc3 Fax:( ) New: Id. APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: V� AT-eX yC;\ bry (Please refer(or ee sched le) 1 r t`� Structural plan review fee(or deposit): . /,t 6J.t L Contact name: C\(1�S kc,5 fq ,_� '1 Address: ,cj',i W �'k'Yl J'1"\� `J�,k- 2�� FLS plan review fee(if applicable): City/State/ZIP: ( - a O - O`-1��` Total fees due upon application: -'J)� 5y Phone:(SI..) ) �i�jL .4 J�J Fax: :( ) Amount received: E-mail:C(rcj� \,� ` e J ''ne - PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: \l lev1('0, vko Submit two(2)sets of roof plan with connection details �w f and fire dep utiueut access,along with the 2010 Oregon Address: `gj_ � ) j f'\/e \� 71 Solar Installation Specialty Code checklist. City/State/ZIP: V=1(•k`(xV \ QA2- 1-1--)12- l Permit Fee(includes plan review $180.00 1 and administrative fees): Phone:( .)21)c="CJ '6I,J('5 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: \Gf l'. A Total fee due upon application: $201.60 Authorized signature: 1 1\ '• This permit application expires if a permit is not obtained \( - within 180 days after it has been accepted as complete. Print name: r Date: *Fee methodology set by Tri-County Building Industry;g ��[ �elt1�P _ iL(yl Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(/�11/02/COM/WEB) I . - 1 Mechanical Permit Applic fnhz MEWL l?s(,u.) v- City of Tigard ` CEIVED 2 ��z� „�. MSTZo2,- .. 13125 SW Hall Blvd Tigard,OR 97223 p aerien Phone: 503.nS.2439 DEC 2 9 2020 IMaelhy: Other Permit: " : Inspection Line: 503.679.4175 Darr RcadyAty, Min ' ®See Paget for Internet rt�rw.tigard-or.gov Ywif lnhod: soppknmad lefarmatton CITY OF TIGARD TYPE OF I4UIWING DIVISION COMMERCIAL FEE*SCHEDULE USE CHECKLIST New construction ❑Addilionalteralionireplacetnetx Mechanical permitfees°are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profs. CATEGORY OP CONSTRUCTION Value:$ X 1-and 2-famil y dwellin ccessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES* g ❑Carmen iaVinduslnal ❑A Fprssaelel information rase cAerkAst. ❑Muhi-family ❑Master builder 0 Other. Descri(xh n I Qty. Ea. i Tome JOBSrra INFORMATION AND LOCATION Ileatingkoolrg: Job site address: 'LAb'���l1 LA S,,.v loot.\\n v 1 L,a he Au conditioning , I_46.75 ti\0• Furnace 100,000 BTU(duca+vems) 46.75 City/State/ZIP •�, �a U c O 2") Furnace 100,000+BTU(rInctsrverns) 54.91 Suite/bldg.apt.no.: Project name: li 1 -t d pump Pp 61.06 Cross streeUdirections to job site: a 1v�. Sk � Duct 1rort 2332 Stu t l Hydronic hot water system 2332 t ' ,1,n h SC C I`.y () [^f , \ 1 r n 1� bowie, Residential baler(radiator or W '1 ,ti` `�J1 li\ t lJ �W V"�-w lJrl hydmnk) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 2332 Subdivision: \ C. G1 ` v..; �c A7.... Lot no.: LiOther 2332Taxmap/parcelrat.: 2 iOL.1r)C0150 Other fnel appliances: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 `n e 1 ` (n/`s S 1+�y, 7'\`4 Flue vent for wafer heater or gas 1 \l �/� Y blJ��J l.� V✓v fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 3339 Wood fireplace/insert 23.32 H Chimneylmsr/fuelveut 2332 qp PROPERTY OWNER I 0 TENANT Other. 23.32 Name: 146 UOcao PTOver i e Environmental exhaust and ventilation: ,�.1r(� Range]Hood/other b udarn Address: 1.ep 90 "✓� r �e SVL j 7Lp equipment 3339 V (]m� l vv_ � Clothes dryer whorl 33_39 City/Stale/ZIP }.-4a(d O 2_ -I l v�l single-duct exhaust(baduoorns, Phone:(C())) CIC Z L4 Fat:( ) Wile/connpar ,utility rooms) 23_32 Anickrawlspace ace fans 23.32 t IAPPPLICANT ❑ CONTACT PERSON Other. 23.32 Business name: I.rye,kAc �'ercG k�c„j Fuel piping: Contact name: �Vn�/� `.'� /�p SI4.15 for r�sttom;S4.03 far oath additional C Y 1 Y \� �L I Furnace,etc. Address: `QL,1 Sj � 3{,'f'C. � Gas heat tromp City/Stale/ZIP: k\c r i\ D- �,1 v2 ' Wall susp ended/unit beater Water heater Phone:(5)3) c.1 1'' 2)1...k. Fax:::( ) Finplace E-mail: Q � JwV)eAkq\-eFaxa oyt\ r 1^` Range Bailm ne CONTRACTOR Clothes dryer(gas) Business name: CV' ai a(A, /11C, . Other: Address: PO 80X 1 3 MECHANICAL PERFITT FEES" Sobtatai L)t/.1 city/state/Z1P Gac.KO.lrh a 5 0 R c 7 b l (ram p Q G Minimum permit tee(S90.00) la•t50 Plane:so,) pS(p( 1 C Fax:603)6 0' 315 -I Pita nviery(25%of peexmil mil fee) 1 0 P State surcharge(12%of pn fee) CCB lie.: .7 oJ1Li. n TOTAL PERMIT FEE 1 /� /� This peraW application ra-pira if a permit is not sloshed villain ISO Authorized signature: 1 L) i`Jl(1)lr,14--- days after in has Men nerepted as eompkne. -� 12,4120 a Fee met odology srt by Tri-Carry'Buhline tneheary Serrice Boned Print name:Dail yl, •( I, � ',0( I '15 I Date.(Z IZ4 202a tueirAa$serawui`EC_PPeno app_�-'s+_adoe sat-attlrflnisuanlnrrs) Electrical Permit Am)lica CEIVED " "" , "`1 City of Tigard Pentns:MFjCZOZ�-CbU7A 1312SSWAaral.a,rigamd,OR C 2 9 MDRakedPaa.aa: I: Phone: 503.7182439 Fix: 503.59a.1 - Impeetim Line: 503.639.4175 Amrnr�na . ..ut err. CITY OF TIGARD WrIEMNI TYPE 018 W tNG DIVISION PLAN REVIEW New construction 0 Addition iiIc eailnhcpiacem t Pam check all der w'1y(Malta ma ofpion whims ahec►ed): ❑Service a feeder 40D maps or more 0 Biddies over dace Pane.a. ❑Demolition 0 Other. *bus die mailable bah arcs ❑M ape ood dowry& CATEGORY OF CONSTRUCTION arced&10,000 amps m I50 was or 0 Elmira bm70ians. Xri 1-and 2-familydwelling 0 Commercial/Industrial 0 Accessory building lea mam md,a exaadt 14,000 ❑CamcsotLl-rm.y;cadnn.l sap Dr all otla iwailtllao. beidi p. ❑Mufti-family ❑Mesterbuilder ❑Other. ❑Foe poop. 0lasidniesof150EVAo JOB SITE INFORMATION AND LOCATION 0 E0°'a'cy`mint &aja woody doffed (I: Job site address: SL ❑Addicim avow molar load of saws h ljl-l�l JV" 1M'tilv '. Lea mom a wore, a•A•,•£,-1-7',-1-3", CilaralladnP: -1-1 +ra O'¢- mil"1 L. J 0 Six anon traidestial raw ❑FksHrawbdHde.. tempury. 0 Rearaoiceo1wkidepeat. Suite/bldgiapt.#: Projeol name: ~ay% • l Q 0 Umnedom loatioas. 0 Supply voltaic sr mote than ❑Service a racer boo laps at goose. 602 rolls aotjd. Cross street/directions to job site:ea j cY' t ••\- -0 Sw FEE SCHEDULE mead l a I oar. I Leaf 'raid 1 V)1Y1AQOrA�,�^ Ceke 1-e, CLL.) U'AXM k- l-C�rtie & toad sit TfY,[ ` -t ate 1 Lot#: 4 Includes Beaded garage. map/parcel l#; 100084 ft.arias 16a.54 4 Tax m �$1V4 p U l 00 Fa.add'1502In t or portion 33.92 1 }q DESCRIPTION OF WORK Limited axsgy,raidanld 1 J .u. �i Y�J A/C3t (frith above sot it) 75.00 2 Limaedaim,mald-rim makkatisl(with above p ft) 75.110 2 r RmewaHe Essi%' , ❑ See Pate 2 ❑ PROPERTY OWNER (�/� I y� e 0 TENANT Services err ren/era faa40afloa,aYvatlw,ad/or relocation Name: kirMinr�C.}1lyl�y�/y}�°V.\S eS '(.� Soo ,, 200 amps alaa< 100.70 2 Address: \��y 7yr1' /TVIr ►TL L��W 40 amps 0�at fi amps 64Oar .56 400 2 City/StaelZIP:p�"1rk(xt/lt:+ 09- Gfl27A 601 amp tol,000amps 301.04 2 Phone:(i)0' ) Sy 72`N -.5 Floc:( .r ) Ova I,000amraavolts 55226 2 C Y1 kgekr` •wO 1( U,t•Y ii-A T�enry aerates or sera buuaatba aitemtitior,sacra& Email: rdaeaafoa Owner installation:This installation is being made on property that I own which is not 200 amps at Its 5936 1 intended for sale,t or exchange,according to ORS 447,449,67144and 1. 201 amp to 400 amps 125.08 2 �f 401 amp as 599 amps168.34 2 01ma signature: Ili Date: 1 (ry Breach Osaka-sew,dtaatIoi or aiknrba,per peed ❑ APPLICANT vot ❑p currrACr reRso Y A.Pee fa bleb cimils with Buss ass name: It c 'o meS above&sake a Polder Tee, 7.t2 2 / p aids brush emetic Contact name:L` 1110A , le �1 y� B.Fee for band,amain widow Addr*IL\C 'c L\ SUS Tit`_' �. cV1T ed `1. AP scorialloah chart fix,ant 5618 2 City/State/ZIP: i' t� �.. onviA �hadd7bucbMcoil _ 7.42 2 �J ` Mktxk aeous(stroke or Po not Inca ed) Phone:(5197)) lir-j �9, yy(�FiLy :((yam,J)� Each r�faeeued or modular 67.84 2 Flail: ChhS© 5'�A 1a e !1J13 `C1\&W • RRe m an only ardlafbo8a 67.84 - 2 �f-'1y,�,,.r� tCON TRACTOR Pump or icrigatioo dale 67.84 2 &sinew name: 1 Ne_A,A enk OOSeh,a�t7 'e,C1,) C.0 W� Sign or mnlme hexing _ 67.a4 2 221"\\SWr CCjltl� AIc� \CIGt- Signal (norened orgy ❑siPitel 2 address: ,anal,aatasilm,a aarneim City/State/LIP: t r otn 091'12; -� EachtionalIuapeedoa over affowsblelasoyof the:bore impaction(I hr min) 66.25/hr Pine:(9y3)S\-\ kil l \ Fax:( ) investigation(I Is ruin) 90.00'hr Email' ( tV arM\9Y 'e�C t t chi 1. (jam{\ ltadmacti plant(l hr min) 76.1 N hr l' 41 hum:haa for which re fee is 9RIXY hr CC13 Lis.: VI1017.11J / • !:' 17prv.Lie.: �(S�j S spadfically hsed(ss b dim) ELECTRICAL PERMIT YENS Supra.Electrician signature,requited: Subtotal: [/h /S /ell, Date: JZ- der 0 Plan Review Required(25%of permit foe): Print mew t . , /y! '9/ Statesurc arge(12%ofpemdtfoay. Authorized signature ` TOTAL PERMIT FEE: f A This permit application opine a s pact Is eat obtained whole Ise m nam e: f ` Dec: L/ 0j f{ r dpr alter m 1w accepted w m bees aed as mpl ` �` MaNIND��..��JJ� ` N®ba ofimpodmm allowed Per Permit. I lauii/Piss MEtC P., sApp-EIR_ERE der Rev CN172015 445.4615T(11VWSW:014AM 1212 )2,0 City of Tigard ql 7 COMMUNITY DEVELOPMENT DEPARTMENT a Building Permit Review — Residential TIGARD Building Permit #: MST'LOLA-0002O Site Address: 14044 SW Walnut Ln Project Name: Fern Ridge Lot #: 4 Planning Review Proposal: New single detached house 0 Verify address/suite # active in Accela. ElIn River Terrace: ❑r No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ,,rosion Control S. copies of site plan on 8-1/2"x 11"or 11 x 17"paper •.etained trees with drip line and tree protection measures CI Drawnto scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE 0 orth arrow L.Jtility locations&easements(required for new and additions) Il:ite address,project or subdivision name and lot number ° 'i alk/driveway approach 1111\pplicant information(name and phone number) cation of wells/septic systems Q of dimensions and building setback dimensions ?street tree size,type and location dtquare footage of buildings to be demolished ?street names IIxisting structures on site . orner elevations(2'contours if more than 4'differential Ill .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ° es o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es ° o Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes applicant was notified 0 No Received: 11 Yes ❑s No N, ��� Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs Required: El Yes,applicant was notified ��j No Received: ❑Yes ❑ No SDC Exemption for ADU applied for: lJ Yes CINo Received: ❑Yes ❑° No ❑° Public Facilities Improvement (PFI)Permit: Required: ❑r Yes,applicant was notified ❑ No Applied For: ❑o Yes ❑ No,stop intake ❑r Land Use Case#: SUB2015-00016, UFR2019-00002 Q Zoning: R-7 ❑e Required Setbacks: Front: 15 Rear: 15 Side: 5 Street Sid5: 10 , Garage: 20 ❑r Building Height: Max. Height: 35 Actual Height: <-�ti; ❑o Landscape Area: 20 % El Lot Coverage Max: 80 % Entrance et back no more than 8'from street-facing wall ❑° Parallel to street or offset 45 degrees or less Windows k Minimum 12%of area of all street-facing facades Garage ! Gaffe door is behind widest street-facing wall ❑r Yes ❑ 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. ElGara e door width is 12'or less ❑s 50%or less of facade 60%or less and includes 7 of following: Covered porch Recessed entrance ❑ Wall offset 1'Roof cave ❑ Roof offset Fire shingles Lap Siding ❑ Roof itch ❑ Gable,hi ,or gambrel roof Dormer Accent siding Window trim U Window recess U Window projection ❑ Balcony ❑r V ual Clearance ❑'' Urban Forestry Plan IS en •' ve Lands: El Yes ❑ No Type: Low value habitat areas nditions met prior to issuance of building permit N tes: Approved By Planning: — L.—_ Date: 2� 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Appioved L. Revision 2: ElApproved El Not Approved I:\Building\Fonns\BldgPermitRvw_RES_I22419.docx Building Permit Submittal Original Submittal Date: \2A2420 Site Plans: # Building Plans: # 3 Building Permit#: [1 Enter buildingRe/ by'rmit# above. n Workflow Routing: 'Planning Lvd Engineering Permit Coordinator [f Building Workflow Sign-off: I21 Sign-off for Planning(include notes from planning review) Route Application Documents: 0 Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. 2 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �b\\-.^ \)G ape.wccy Date: "LA '\Z\ Engineering Review Slope at building pad: 30 Conditions"Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat EEr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNIT-No Assess Water Quantity Fee in-lieu: El YesITNo LIDA Facility on lot: ❑ N Yes u o �y Ip Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:te bQ Approved by Engineering: V, 64,piY,iz___ Date: ol.oT. ,..1.0 3 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review j,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: -���7l...SDC Exemption: ❑ Received 1��77 Does not a-n�ly IJ�SDC Fees Entered: Wash Co Trans Dev Tax: LEI yes J N/A Tigard Trans SDC: blii Yes ❑ N/A Parks SDC: 'Yes El N/A LIDA ElLA Yes N/A aOK to Issue Permit Approved by Permit Coordinator: tv.6 Date: 212It02I 1:1Building\Forms\B1dgPermitRvw_RES_122419.docx