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Permit -1-0 Scri---rvn)2J 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 Ilii se Transmittal Letter T 1 ti A P.D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Ail ySOfI �� v • DEPT: BUILDING DIVISION / G- a 7 5 YDZ2 FROM: W Q ea--j J,h,t a w n ` CITY OF TIGARD COMPANY: ,(�je.- 01 nil nl ''""i 3&J LDlraG DMS10M By: PHONE: EMAIL: RE: t 0?7 0 S,/ -t`r Inave-r1 MS-12b2( -- oa 39 o (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: 1 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. Engineer's calculations. y< Other(explain): �.2(Y��, ' r--- � Y'k -e_r- (A u c\( y erg REMARKS: Ri...tvw./�.... T-1[ it Se r ln.l l-t c- 'rel c>I4- —^—'1r- r rt J\rt)c A- -1 p4—rm idr e LLD '(= 1/4.S L l `n — r-e y\`� c FOR OFF CE USE ONLY Routed to Permit Technici eV;5 Date: � 22- Initials: elli— Fees Due: ❑Yes No Fee Descnptioik Amount Due: $ $ 7")" )\--) II $ Special Instructions: Reprint Permit(per PE): Yes 1 ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revi sions_073120.doc • •• •• • • • • • • • • • • • • • • • •• •• • • Allyson Armstrong • • ' ' • From: Wendy Sahyoun <chalethomes15@gmail.com> • • •• ••• • • • ••• •• ••• . • • Sent: Monday, August 15, 2022 10:03 AM : •• To: Allyson Armstrong \..// •VV i14'. ••' Subject: Fwd: 10770 SW Fairhaven 'An 15 On LITS'.�F.t : You don't often get email from chalethomes15@gmail.com. Learn why this is imoortant 4iiithira DIMON. Per the CCB Bulletin issued in March, 2022, adult foster and residential training homes within detached dwellings no longer require fire sprinkler systems. Due to this bulletin, please remove this requirement from our building permit for 10770 SW Fairhaven St. Please let me know if there is anything else that is needed. Sincerely, Wendy Sahyoun Peace of Mind Property Management LLC Chalet Homes LLC 8733 SE Division St. Ste 201 Portland, OR 97266 503-257-6674 FAX 503-257-6675 chalethomes15@gmail.com 1 BCD BuildingDivision BCD TECHNICAL Ell I Cudes Department of Consumer - March 2022 and Business Services • • • • - • • •• • • • • • - • •• • ADULT FOSTER AND RESIDENTIAL TRAINING 1-IbM •S•• WITHIN DETACHED DWELLINGS• • ••• ;• ;` • • •+• ••• •• • OREGON STRUCTURAL SPECIALTY CODE&r;. • • • . . .. OREGON RESIDENTIAL SPECIALTY CODE OVERVIEW Residential automatic fire sprinkler exception from Senate Bill 1548 Senate Bill 1548 from the Oregon Legislative Assembly's 2022 Regular Session created an exception to a state building code requirement.This law removes the code requirement for the installation of domestic residential fire sprinkler system protection for small adult foster homes and residential training homes(e.g.,group homes)located within detached one-family dwellings. This exception became effective upon its passage,and applies to facilities licensed before July 1, 2024. In accordance with Senate Bill 1548 and under application of the state building code, an automatic fire sprinkler system may not be required by a building department for the following: • Adult foster homes as defined in ORS 443.705 for five or fewer individuals,licensed before July 1, 2024 • Residential training homes as defined in ORS 443.400 for five or fewer individuals, licensed before July 1,2024 The new law also requires operators of these licensed facilities to meet "...all other fire, life and safety requirements established by the Department of Human Services [DHSJ or the Oregon Health Authority[OHAJ by rule" to qualify for the exception. Local building officials may require confirmation from the appropriate licensing authority that such licensure requirements have been met,prior to issuing a certificate of occupancy for these facilities. Confirmation of licensure approval is deemed to represent compliance with all applicable licensure requirements. CITE-IT PATH Oregon Residential Specialty Code & Oregon Structural Specialty Code Senate Bill 1548 supersedes the construction standards of the state building code, which are adopted by Oregon Administrative Rule. The 2021 Oregon Residential Specialty Code(ORSC)Chapter 1, Section R101.2.1,requires compliance with the Oregon Structural Specialty Code(OSSC)for adult foster homes,which were previously governed by the ORSC. Group homes and other similar facilities located within dwellings and subject to licensure by DHS or OHA that do not meet the definition of adult foster home in ORS 443.705 have been governed by the body of the OSSC since the removal of Appendix SR in 2013.As of April 1,2021,the OSSC has been established as the appropriate specialty code for all licensed residential facilities. These licensed facilities uses are beyond the original intent and purpose of the ORSC, also known as the "low-rise residential dwelling code," and are more clearly included in the scope of the OSSC. 1535 Ed•ewater St. NW, Salem, OR 97304 503-378-4133 ore•on.gov/bcd S. • ♦ • .e Si •f .. c ti . • '+• 'At the ztptoniin .Z0223terUiotiY4f the OSSC, the advisory board approved provisions proposed by the division to llow small licensed facilities(for five or fewer individuals)to be constructed in accordance with the standards of the ORSC, provided that an NFPA 13D automatic fire sprinkler system is installed, and accessible design is addfesred as`ippticable fof Anse. The following language will appear in Chapter 3 of the 2022 edition of the -QSS :;but,ui!l remain lupeisied by the exception created in SB 1548: ••• •.• • • • • I CHAPTER 3 — INSTITUTIONAL GROUP I • .308.2.4 FAT A$feller persons receiving custodial care. A facility with five or fewer persons •i e• lr$i4 erstaelal vare located within a dwelling shall be classified as Group R-3 and shall 'cdmpl' wth'thh Residential Code provided an automatic sprinkler system is installed in accordance with Section 903.3.1.3. Accessibility shall be designed in accordance with the applicable provisions of Chapter I 1 for the function served. 308.5.3 Five or fewer persons receiving care.A facility having five or fewer persons receiving custodial care shall be classified as part of the primary occupancy. 308.5.4 Five or fewer persons receiving adult day care in a dwelling unit. A facility such as the above within a dwelling and having five or fewer persons receiving custodial care shall be classified as a Group R-3 occupancy and shall be permitted to be constructed in accordance with the Residential Code provided an automatic sprinkler system is installed in accordance with Section 903.3.1.3. Accessibility shall be designed in accordance with the applicable provisions of Chapter 11 for the function served. CHAPTER 3 — RESIDENTIAL GROUP R 310.4.3 Licensed adult foster care within a dwelling. Adult foster homes, as defined in ORS 443.705, located within a dwelling shall be classified as Group R-3 and shall be permitted to be constructed in accordance with the Residential Code provided an automatic sprinkler system is installed in accordance with Section 903.3.1.3. Accessibility shall be designed in accordance with the applicable provisions of Chapter 11 for the function served. The following text box will be published in Chapter 3 of the 2022 OSSC: Adult foster homes and residential training homes within detached one-family dwellings. Adult foster homes as defined in ORS 443.705 and residential training homes as defined in ORS 443.400 licensed for five or fewer individuals prior to July 1, 2024, shall not require the installation of an automatic fire sprinkler system under application of the state building code. See enrolled Senate Bill 1548 120221 for more details. SUMMARY In summary and in accordance with the new law, an automatic fire sprinkler system may not be required for the facilities described in this bulletin under application of the current 2019 OSSC, upcoming 2022 OSSC or any other state building code provisions prior to July 1, 2024. Page 2 of 2 4,etati,a > 'es4Nfdaf4 Wf4.e1441LLHifaetiNiitatiYlllMii44tfgiftNH . rftt...... ..m.4x ttsuit46.4*oftsarafMNHtiaiiH>“.441.1.1 K iirw,xaf.x, , ...:..,:,.Mot o a6ii. f 14Kiffift4444001444NtNttitisfiltlfiii.till WiW4i3OtAti ltakNs®4444a.....tetwti i 4ffiitf, p CITY OF TIGARD MASTER PERMIT `' s COMMUNITY DEVELOPMENT Permit#: MST2021 00390 T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2021 Parcel: 2S103DD00415 Jurisdiction: Tigard Site address: 10770 SW FAIRHAVEN ST Subdivision: FAIRHAVEN COURT Lot: 3 Project: AAV One LLC Project Description: Adult care home: ADA ramp and convert garage to(3)bedrooms&(1)bathroom, remodel existing dwelling to create(2)new bedrooms for a total of(8)bedrooms and(3)bathrooms. Trade permits to BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 5 First: 495 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front 20 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 495 sf Value: $64,637.10 Rear: 15 PLUMBING Sinks: 0 Water Closets' 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains. 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves. 0 Gas Outlets: 0 Furn>=100K 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 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 N Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 495 Owner: Contractor: AVA ESTATES IV LLC CHALET HOMES Required Items and Reports(Conditions) 10770 SW FAIRHAVEN ST 8733 SE DIVISION ST 201 1 Fire Sprinklers Required TIGARD,OR 97223 PORTLAND,OR 97266 PHONE: PHONE: 503-257-6674 FAX: Total Fees: $2,951.87 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 Qc7-nn1-nnin thrnl inh()AA 0S9-MN-noon Vni i rnnu nhtnin n rnnsi of that ndatc nr rlir.rt nnatctinnc to rl11Nr`hu rollinn cn'n 919 1027 nr 1 enn nnn 9Qdd Issued By: F-I° W' VciA,De-Wege Permittee Signature: Qw A 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. Building Permit Application Residential RECEIVED RE1Y' 1OR OFFIC L USE ONLY gar 7,/ �C) PermitN .STDz l Q4A_ 111 � 13SWHall Blvd.,Tigard,OR 97223 SEP 0 7q S Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 1 3Dhi Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Iu ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION N lied/Method: / / z Supplemental Information LJ I. TYPE OF WORKREQUIRED i', A.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 C. Addition/ teration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. X❑ I-and 2-family dwelling ❑Commercial/industrial Valuation: $ �� �3-7,f O 5 ❑Accessory building ❑Multi-family Number of bedrooms: - 5 l ❑Master builder ❑Other: Number of bathrooms: 4_ 1 / JOB SITE INFORMATION AND LOCATION Total number of floors: 1 l Job site address: 10770 SW FAIRHAVEN ST. New dwelling area:495 (GARAGE square feet t.fq5� City/State/Z1P: TIGARD OR. 97223 Garage/carport area CONVERSION) square feet uite/bldg./a .no.: Project name: Covered porch area: square feet Cross s et/directions to job site: / Deck area: square feet 1Li 7�j2. /`96"7"�-72 GJ Bl2/G1 J� a �j Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdiv' 'on: _67,1 4 1,,,e_s-zi07Enc . is Arcs 6 ht/ -, 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.: 2S111BAOO8O2 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. .CONVERT EXISTING GARAGE TO LIVING SPACE BY ADD THREE BEDROOMS AND BATHROOM Valuation: $ .REMODEL EXISTING SPACE-CREATE 2 BEDROOMS.,i 67O4724Yr E P r xisting building area: square feet e Imo.j Si i Av.!. A e 5 ��^ � (/71f 1 9� New building area: square feet ® PROPERTY OWNER" d ❑ TEN 7 Number of stories: Name: AAV ONE LLC Type of construction: Address: 8733 SE DIVISION ST. Occupancy groups: City/State/ZIP: PORTLAND OR.97266 Existing: Phone:( (503)805 -5985 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT'FEES* (Please refer dofee sehedetel Business name: SWEET HOME DESIGN LLC. y�y I,� Structural plan review fee(or deposit): Contact name: CUONG NGUYEN FLS plan review fee(if applicable): Address: 16125 SE HAWTHORNE CT Total fees due upon application: City/State/ZIP: PORTLAND OR. 97233 Amount received: Phone:( 503 ) 442 - 7535 Fax: :( ) E-mail: PDXSWEETHOMEDESIGN@GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: CHALET HOME LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 8733 SE DIVISION ST. Solar Installation Specialty Code checklist. City/State/ZIP: PORTLAND OR.97266 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503 )805-5985 Fax:( ) 3�!`� � — State surcharge(12%of permit fee): $21.60 CCB lic.: 196324 Total fee due upon application: $201.60 Authorized signature j t' This permit application expires if a permit is not obtained / /„' __ within 180 days after it has been accepted as complete. Print name: CUONG NGUYEN(',// Date: 08/26/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received - g Date/By: Permit No.: q 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 6 ■ EA 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. ❑ ❑ El 4 Fire district approval required. Name of district: . 0 ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 6 Sewer permit. 0 ❑ ❑X 7 Water district approval. 0 ❑ ❑X 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control ❑plan ❑ permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator; lot area;building coverage area; percentage of coverage; impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ ❑ furnace, ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑X prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies, indicating member sizing,spacing,and bearing X❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 X❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ E 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ X❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ architect licensed in Ore:on and shall be shown to be al slicable to the .roject under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. ® ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1 I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(ll/02/COM/WEB) City of Tigard ,74a COMMUNITY DEVELOPMENT DEPARTMENT C T l c u D Building Permit Review — Residential Building Permit #: l`1 5'f 20 21 D0 3 R G Site Address: 10 S(At Fa,(r fria,c',vt S{, Project Name: 11 (,LC Lot #: 3 1 - e�,�-- 'rl Q l�VIQ. Q��i n Planning Review . , I _ Proposal: ]�+(1 v` - o r- A L't t' 1 o 4-(,c (curl. x Verify address/suite#active in Accela. ❑ In River Terrace: g No ❑ Yes, River Terrace Review Addendum Site Plan Elements: ❑Erosion Control-- [X3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree protection measures— NDrawn to scale(standard architect or engineer scale) [Footprint of new structure(including decks)and FFE E +North arrow ❑Utility locations&easements (required for new and additions) p/Site address,project or subdivision name and lot number TISidewalk/driveway approach KApplicant information(name and phone number) ❑Location of wells/septic systems ' Lot dimensions and building setback dimensions ❑Street tree size,type and location ❑Square footage of buildings to be demolished^ [Street names [Existing structures on site ❑Corner elevations(2'contours if more than 4'differential) ❑Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes P.1 No impervious area(applicable if R-7,R-12,R-25&R-40) — If yes,is a storm water quality facility shown? ❑Yes ❑No rid Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No gel Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 40 Yes,applicant was notified ❑ No Received: ❑ Yes ll No © SDC Exemption for ADU applied for: ❑ Yes QI No Received: ❑ Yes ❑ No ® Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified Vii No Applied For: ❑ Yes ❑ No,stop intake © Land Use Case#: — ® Zoning: R' 3 5 Required Setbacks: Front: 0 Rear...if r Side:_' Street Side: 00 i Garage: 2,4, EZ Building Height: ' / Max. Height: a Actual Height: ixJU Landscape Area: la` % 0-Lot Coverage Max: /V/AS Entrance ® Set back no more than 8'from street-facing wall [V Parallel to street or offset 45 degrees or less Windows y Minimum 12%of area of all street-facing facades Ga Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the followin is ❑ Door ex more than 5'from wall and there is a covered porch exten ' garage. ❑ Door extends no more ' om wall and there is a 12 s ft w above garage on 2nd floor. ❑ Garage door width is ❑ 12'or less acade ❑ 60%or less and includes 7 of following: I, ❑ Covered porch ❑ entrance ❑ Wa ❑ 1'Roof eave ❑ Roof offset ❑ Fir • s ❑ Lap Siding ❑ Roof pitch ❑ Gab e, ' ambrel roof ❑ Dormer 1 Accent siding ❑ Window trim CIWindow recess ❑ Window pro• 'eu. 0 Balcony E Visual Clearance II Urban Forestry Plan [ia Sensitive Lands: ❑ Yes Z No Type: ❑ Conditions met prior to issuance of building permit Notes: [S7. Approved By Planning: Date: a Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BIdgPermitRvw_RES_122419.doex Building Permit Submittal Original Submittal Date: 51j7/9-/ 3 Site Plans: # Building Plans: # Building Permit#: 133-"Enter building perms #above. Workflow Routing: trl Planning Engineering 'ermit Coordinator ding Workflow Sign-off: ...E-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. ,Lttilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: j„.,.. - 12-7. e...1_,---. Date: y/Z-i/Z j Engineering Review [ 'Slope at building pad: 2,"'io CC 'Conditions"Met"prior to issuance of building permit n Jr�t, i�f Easements (encroachments)per engineering conditions of approval and plat Y11o.. Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 2No Assess Water Quantity Fee in-lieu: ❑ Yes ErNo LIDA Facility on lot: ❑ Yes C�No 1 ‘....-Final �Final Plat Recorded: $ I I- ❑ NOT Approved by Engineering: Date: Notes: Mr Approved by Engineering: 1-y4.4„ --21- -lesei Date: 4 f Zill?ov Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review NConditions "Met"prior to issuance of building permit (if ❑ 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 7Does not appl /K SDC Fees Entered: Wash Co Trans Dev Tax: Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A 1 LIDA ❑ Yes 7 N/A )ZrOK to Issue Permit Approved by Permit Coordinator: yiryADate: ()I (23 (/11 I:\Building\Forms\BidgPennitRvw_RES_122419.docx