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Permit Support Document Of Tigard � COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED City g FEB 0 3 202 ReIII quest for Permit1 q o e Action CITY OF IIGARD i l c i AR J) 13125 S\V Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tigard-oi --DING DIVISION TO: CITY OF TIGARD ' ' - P ri Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 -21 3 /2/ Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@ ' r ov � d-or.g FROM: ❑ Owner Yam` Applicant E Contractor ❑ City Staff Check(J)one REFUND OR Name: ^� INVOICE TO: (Business or Individual) 10 3+v/oo/J 1+0- 1s ` 1.---G Mailing Address: 12�DO Nu) n VAi/( g� City/State/Zip: poi--/J 6(477d ©r--- e72...2-1 Phone No.: L'j,0�7— -7/ --"42 g1.1 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): CANCEL/VOID PERMIT APPLICATION. REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). E INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit #: ili S7-Z2I 7 - 00 j/) Site Address or Parcel#: 1 01 S 4J � if7/'1 -' Project Name: 6(Jy--5 )-2-j Subdivision Name: Lot#: EXPLANATION: c1/19m)(, ',pj it-PAo G 67Gn i v1y . Signature: �� Date: 2/ ✓/ 2� Print Name: 11460 l Mai JJJ Refund Policy 1. The ciq's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date 7 /;F- ^Z / By .. Refund Processed: Date Al'/A- By.0e Invoice Processed: Date By Permit Canceled: Date Z/3/2f By/A+J Parcel Tag Added: Date By _ I:\Building\Fom s\RegPermitAction_12l51 .doc / avL/"Cr- ,261/'—T f D Ai-S.- Building Permit Application Residential V o City of Tigard c Received /C b /��y or � �7,( Date/By: / , //�/�[/ /"' y7; Ui —L/orm, 13125 SW Hall Blvd.,Tigard,OR 97223 t +r Plan Review 4 i ,r Phone: 503.718.2439 Fax: 503.598.1960 ')J�Gf��� Tjl�fva Date/By: Inspection Line: 503.639.4175 " '-`" l l G A R D p l}a': Date Ready/By: huffs: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Z New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 51$1 of J 0 Accessory building ❑Multi-family Number of bedrooms: 5 0 Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3✓ L Job site address: // K/' S tit/ P-e n n r1_ie. New dwelling area:2'7 28 square feet t 40 U Z City/State/ZIP: rA CV- 172 2 3 Garage/carport area: (Q )(Q square feet 1 Z9 Suite/bldg./apt.no.: Project name: 6/r4"5 L_%I1 dAr �/) Covered porch area: square feet Cross street/directions to job site: J Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: l ' 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. New SFR Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Same as applicant Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Westwood Homes LLC (Please refer to fee schedule) A C use r� Structural plan review fee(or deposit): Contact name: - FLS plan review fee(if applicable): Address: 12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR,97229 Phone:50 --7 13-021 g Fax: :( ) Amount received: E-mail: l41 4 ScMei/ve 4lOV C411( A3 Li C, C 0YV! PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: VVeS41A/0T1 1.-tOrk s L. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 12?0 0 I/(/J CU✓P1_L( ( ed Solar Installation Specialty Code checklist. ty po rf l t4n o4 ®� ' 7 2-2- G] Permit Fee(includes plan review $180.00 City/State/ZIP: J and administrative fees): Phone:693) 7f-3—(Q 2 el(a Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 195597 Total fee due upon application: $201.60 Authorized signature: a__C ------- _lrThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 4/,U On ` �'���( Date: *Fee methodology set by Tri-County Building Industry Service Board. nn I:\Building\Permits\BUP-RESPertApp 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicati 1.01(0111t I. t SI Oyl.l FiEr Q City of Tigard f 1 Received Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 3. Phone: 503.718.2439 Fax: 503.598.1960 J U L 2 9 2019 Date/By: Other Permit: T I('A R D Inspection Line: 503.639.4175 y Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov C Tl OF :;/ 3"ifl Notified/Method: Supplemental Information B l IN ' � ^R:9 TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �( j I,�/ nD Air conditioning 1 46.75 46.75 Job site address: 1/O ! / S'l�V l`enn, t i „� Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: ! /°11 a r� ©,l_ / ZZ'3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: tf Project name - n/ L k„ yl QI Heat pump 61.06 tv� �'�"` t `�� Duct work I 23.32 23.32 Cross street/directions to job site: 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 1 23.32 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ElPROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen Address: 12700 NW Cornell Road equipment 1 33.39 33.39 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Portland Oregon 97229 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 93.28 Phone:(503)713-6294 Fax:( ) Attic/crawlspace fans 23.32 ►P APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name:Westwood Homes LLC $14.15 for first four;$4.03 for each additional Contact name:Allison May Furnace,etc. 1 14.15 Address: 12700 NW Cornell Road Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland Oregon 97229 Water heater 1 4.03 Phone:(503)713-6294 Fax::( ) Fireplace 1 4.03 Range 1 4.03 E-mail:allison@westwoodhomeslle.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other: MECHANICAL PERMIT FEES* _ Address: 12700 sw hall blvd Subtotal 326.44 City/State/ZIP:Tigard Oregon 97223 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)598-8001 Fax:(503)598-8002 State surcharge(12%of permit fee) CCB lic.: 199448 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: (-/ * Fee methodology set by Tri-County Building Industry Service Board Print name:Allison May Date: f7/3/2(7!/ I:\Building\Permits\MEC_PermitApp_0401 13.doc 440-4617T(l 1/02/COM/WEB) Electrical Permit Application _ FOR OFFICE USE ONLY City of Tigard ,u r _ g,„ ,:_ Received o � Permit#: v 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B g �kAL Date/B : Related Permit#: Phone: 503.718.2439 Fax: 503.598.1 lY 2019Date/B Inspection Line: 503.639.4175 Ready Date/By: Juris: H See Page 2 for T i G A R D Internet: www.ti ard-or. ov 'n ti=0 Notified/Method: Supplemental Information g g � 'e, ., TYPE OF'WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition CI Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: � 0 Addition of new motor load of system. 11 g 1I SVt/ join J (,.,y,,„ 100HP or more. ❑"A" "E" "1-2""1-3" City/State/ZIP: /Q� r-O( n j� �J �{ ❑Six or more residential units. occupancy. J� v t"— / ��-/ El Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:& -4—S rAi n9 0 Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description i Qty. I Each I Total 1 * New residential single-or multi-family dwelling unit. Subdivision: Lot#: O Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 New SFR Limited energ y,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Westwood Homes LLC 200 amps or less 100.70 2 Address: 12700 NW Cornell Rd 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97229 601 amps to 1,000 amps 301.04 2 Phone:(971)678-5018 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 El APPLICANT El CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc Sign or outline lighting 67.84 2 Address: 2870 SE 75th Ave#203 Signalnel, lern or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Email:RossElectric@comcast.net Industrial plant(i hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic.: 42325 specifically listed(/hr min) 90.00/hr ELECTRICAL PERMIT FEES ���JJJ Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): i.1 State surcharge(12%of permit fee): Authorized signature: /l�fn TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: 41 �A lam' I Date: / /2.c)� days after it has been accepted as complete. / JJJ * Number of inspections allowed per permit. 1.\Building\Permits\ELC_Permitpp_ELR_ERE.doc Rev 06/ /2015 440-4615T(I1/05/COM/WEB Plumbing Permit Application RECF IV Building Fixtures F JUL 2 20 FOR OFFIC LSE ONLY Cityof Tigard 'ecei ganved IIII - Date/B Permit No.: 11 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF J IGA ]1hn Review Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVISI g'By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE Z New construction ❑Demolition For special information use checklist Description Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El1-and 2-family dwelling LiCommercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /r gI I spy pin nti Lic,ue. Catch basin or area drain 18.76 City/State/ZIP:Tigard OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: 6,4_5 i__.ha/n, Manufactured home utilities 50.03 Cross street/directions to job site: 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: Lot no.: F Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer J 25.02 new SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 12700 NW Cornell Road Garbage disposal I 25.02 City/State/ZIP:Portland OR 97229 Hose bib ' 25.02 Phone: Fax:(503)342-2403 Ice maker r 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: (Vas-f wo-0a HvYJI s LLC. Medical gas(value:$ ) Page 2 n Primer 12.51 Contact name: M l 1,1Scr? Irtax Roof drain(commercial) 12.51 Address: /2106 MA/ CQV, { / I y�r at_ Sink/basin/lavatory q 25.02 City/State/ZIP: a�D r4L&A'L/` 00 17 Z 2 q Solar units(potable water) 62.54 Phone:57;1✓_.7/ --ta q Fax: :( ) Tub/shower/shower pan 12.51 E-mail 21/U snig wesi-wroot hQY{ esz_z-e,Car/ Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: 178122 Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: ! ,1- TOTAL PERMIT FEE �� -` / Print name:Dusti ague Date:4 3 20l 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 ,I14q COMMUNITY DEVELOPMENT DEPARTMENT T I c A R D Building Permit Review — Residential Building Permit #: 7j/ S 77 9L 5-0 Site Address: 11511 SW Pe�hny tZtli e.. Project Name: B y-}c, Lelhattlal Lot #: 8 (New dwelling=subdivision e;Addition or Alteration=last name of owner) Planning Review Proposal: New s FR- Verify address/suite# active in Accela. gi In River Terr : X No ❑ Yes,River Terrace Review Addendum drlan Elements: rosion Control pies of site plan on 8-1/2"x 11"or 11 x 17"paper /: ?- ained trees with drip line and tree protection measures rawn to scale(standard architect or engineer scale) (9 ..tprint of new structure(including decks)and FFE XNorth arrow J tility locations&easements(required for new and additions) IStite address,project or subdivision name and lot number ›idewalk/driveway approach Applicant information(name and phone number) i %cation of wells/septic systems OLot dimensions and building setback dimensions C; •t tree size,type and location NNSquare footage of buildings to be demolished at eet names N(•Existing structures on site let orner elevations(2'contours if more than 4'differential) 1.J Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? EYes ONO 1K Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Sr No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ) t No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: SxA 132O' to;0000 2- g Zoning: P"i-1•S Required Setbacks: Front: Rear: Is Side: 5 Street Side: %S Garage: 2C X.Building Height: Max. Height: 30 Actual Height: ± 2-5 Landscape Area: % N-Lot Coverage Max: Entrance X Set back no more than 8'from street-facing wall N Parallel to street or offset 45 degrees or less Windows um 12%of area of all street-facing facades Garage VGarage door is behind widest street-facing wall ❑ Yes .1 No,one of the following is met: 0 Door extends no more thatorom wall and there is a covered porch extending beyond garage. �r�*/Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. XGarage door width is ❑ 12'or less ❑ 50%or less of facade W 60%or less and includes 7 of following X Covered porch ,Recessed entrance ? ❑ Wall offset X 1'Roof eave 7 ❑ Roof offset ❑ Fire shingles g Lap Siding ❑ Roof pitch ,lam Gable,hip,or gambrel roof ❑ Dormer lK Accent siding X.Window trim ❑ Window recess ❑ Window projection ❑KJAVisual Clearance ©Urban Forestry Plan X.Sensitive Lands: ❑ Yes NC No Type: Conditions met prior to issuance of building permit o s: _ Approved By Planning: .�in1 ( pL._ Date: Z f ! Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BIdgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: 27A- Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning C Engineering mit Coordinator 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. [ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: 7,•2-,cj Z' Engineering Review D-S-iope at building pad: 02 Z ('Conditions "Met"prior to issuance of building permit e616iA,Ttwt 10' d 4 8f me, 2 Easements (encroachments)per engineering conditions of approval and plat 1-10 ,P/rtr rtT (?Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: 2"Yes ❑ No l2--Final Plat Recorded: A.IO CYNOT Approved by Engineering: a* 65 1'V -- Date: 8 - S/A Notes: � .,,rPft I Ai., �aEi�f �Drt/o4Js G ID A P/ourrtA ticnT GD/Z . c S q,.J 4vt.t. F tt,r ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisi s (after Building Submittal only) evision Notice 1: Date Sent to Applicant: T S 14 /1 /let 2(44 Gt r'! vision Notice 2: Date Sent to Applicant: / /I t rheru Hp .-cr+*,t.v G Rev. ton Notice 3: Date Sent to Applicant: cc SDC Fees Entered: Wash Co Trans Dev Tax: lires ❑ N/A Tigard Trans SDC: �'es ❑ N/A Parks SDC: 4-21s ❑ N/A LIDA i Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B ldgPermitRvw_RES_022819.docx ,a e 77.11' - 15beA A swipvt4ep-I-La 1 n&fel 111.d opicie P — — 'torn SA-1'v C-i-i 0)tit-C4-e4 T,.), -41 i ‘'' ' IP 4 in,,, ,.,, mii) ,s. i b[1,- yovt,e v \ prot-e-c4- , ...0..4".c,i"1.1 15, r_ _ _ ___ ___ .. . -I- r tAr ' 111111V ii\.0eq .e-ek..., ) —I ,,-;-', .. c• 'D 5' 1 • I _, /Is Z: ,, ':\,'•,,PATI 0 \ 1\a• 4 ..:\27., \ x \ \ \ \---- .\( 0- Z/21:' 7 LOT 8 /1's - '\' ' . 1 , ' , i .,, , 1 ' - 2S\"C°* __,..::, € ", /,;, 6), '" 41=NErg.°70 . ;264i3t2:;T T \ \ 'n'ii:,, • , , \- Ye oTAL - 2928 5Q.FT ' No,Z-- "4- 1# ' (3) .lik , , ', /,,/.4./COM cACeeOil4d rV-k C-1-4.#„KtKo 0 e A-i-e-(K n WeC1-0i 4)i r vP0i4 iI4;4,er-54v01u---P-F%Cr--"i,4.f3, I 7O-..r'°.°---••.'.-;..,."I,:','°. G:•:,•AR.'i A...' GE i'v p',•c•,',S',,/-, --- .---,-) \ 1RWAY 440\0S ce_ 17 9 r2;941-4AAJ 'fare/raw-toil' C61/&./. 4.14.1-6#1C14) i 1 ti .,.. - . ' 1 ' \ R ECEIVED SETBACKS: FRONT 20' I . 1 STREET SIDE=15' I ,.,,„;,- ..fir L(;)J "' 'i? ' I -(0 . - • 1 JUL 2 9 2019 CITY OF TIGA.RD BUILDING DIVISION SIDE . 5' REAR . 15' I ' i' " -1 ) 0 SITEPLAN 11( '- i. . -c° . SCALE : 1 ,,, 4 ‘.. '' ''• l"j- fii CR 15 0 '. . to a -- 11 '.. .. M ..z___ * elpe i frvt,ipte,* 5TO.FT.AL FRolMvPDEREpVIOUS = 31T1 S.F. X .06 0 4 - 0 5,4,p'14k4411 - . = NO S.F. REQ. FOR LIDA BOX. 1c10 <2., 0 441,--ir &lie. CO= > LOT AREA c1,231 5F = Di,' N 5 '''' ' BUILDING COVERAGE 1,c1c1-1 5F co 4 viii-, 41*is % OF COVERAGE 21.6% 41/17 % P4 -/ DRIVEWAY AREA 1180 5F PLAN NAME: BUSTS LANDING Westwood Homes LLC 2c12f3 Portland OR 97229 11 g ii Skt) Penrn t--Pk"--t 12118 NW Blackhawk Drive RAWNLE-DRAFTING PLOT: 1/16/19 LOT 8 phone 503-352-5363 fax 503-352-5914 SCALE:1"=201-0" �a 77.11' c Am 4(.), `n ,,,,2,:111 \ I '6., -' \ 71tiW �- v v v 'V/�' I D:PAT! )' \ N ..,o j LOT 8 V Af. • i ,e //' g,23�S 0, mm S\ W i-MAIN FLOOR- 12465Q.FT 28 \ \ . f��.p //'Z ,i,,� �, JPPER FLOOR- 16525Q FT \ �, // i TOTAL- 29255Q.FT \' / ,.,ARAGE- 6065Q FT /� - -,I- Tilk!",','',';'/2,' ,:/''' /,',;',\\i '''ji' ' . .i9.4..p.://///yr,--- -3'N \ N f i'/ GARAGE ; ,; ��i _,I, \ DRIVEWAY '• . ,p,c; 1180 SF ./ / 92��� ill . • " Jr ,� SETBACKS: it '/ - FRONT = 20' lee `� STREET SIDE=15' js` Q"' SIDE = 5' 0 ,-,,, . .. /1 REAR = 15' I io ' ;� ° cn .i 'i vt •.' s...,...1. 1'24. .) SITEPLAN ,��4i . N N SCALE . 1"=2O' f Pi ';' p '` TOTAL IMPERVIOUS = 3171 5.F. X .06 �#fri ' = 190 S.F. REG. FOR LIDA BOX. 190 • A S.F. PROVIDED 4 ig LOT AREA q 23� 5F .A411*,/p BUILDING COVERAGE .�'��Y 1,q�1"I 5F A % OF COVERAGE 21.6% ��4' 1 DRIVEYVAY AREA 1180 5F PLAN NAME: SORTS LANDING Westwood Homes LLC 2928 12118 NW Blackhawk Drive DRAU.N: E-DRAFTING Portland OR 97229 PLOT: 1/16/19 LOT 8 phone 503-352-5363 fax 503-352-5914 SCALE:1„=20,_0„