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Permit
rp _ a i CITY OF TIGARD MASTER PERMIT 8 COMMUNITY DEVELOPMENT Permit#: MST2021-00509 Date Issued: 01/03/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S125DC00500 Jurisdiction: Tigard Site address: 9677 SW 74TH AVE Subdivision: BOULEVARD HEIGHTS Lot: 27 Project: Leet Project Description: Install 800 sq ft inground swimming pool. Erosion control charged on MST2021-00221. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 0 sf Value: $30,000.00 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: 1 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 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 7 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: OTR SF VB R-3 0 Owner: Contractor: LEET,BRIAN L&ANGELA K RUSS AARON SLOTHOWER Required Items and Reports(Conditions) 7498 SW CEDAR WAY 14543 SE WEST PARK CT PORTLAND,OR 97223 DAMASCUS,OR 97089 PHONE: PHONE: 503-927-8732 FAX: Total Fees: $1,712.86 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 oc9-nn1-nn1n fhrni inh nap oc9-nn1-nnon Vnii mnu nhfoin o rnnv of fho IN ilae nr riirorf n,ioefinne fn ill!Air hu r.11inn Fn4 9't9 10R7 nr 1 Ann ' )9'.4A Issued By: Ed9cu-do-Ma-Lola-IAA-do- Permittee Signature: See,aippLiza,ticrw 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. Building Permit Application C//',,2/ E Residential RECEIVED FOR OFFICE USE ONLY City of Tigard NO V O✓� 2021 Date/Byd �/22 G[�G/ �%, PermitNo 14�r�{/�W�Q� a 13125 SW Hall Blvd.,Tigard,OR 97223rril Plan Review Phone: 503.718.2439 Fax: 503.598.196(�i i OF TIGARD Date/By: i i 1 jT.. Other Permit. TIGARD Inspection Line: 503.639.4175 �III DING DIVISION Dale Ready/ey: Juris: 0 See Page 2 for Internet www.ttgard-or.gov /Notified/Method I� �� T Supplemental Information `C7/:C-f.141 i`�"'r"'` . 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,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 30,000 Number of bedrooms: ❑Accessory building ❑Multi-family ❑Master builder WI Other:In-ground swimming pool Number of bathrooms: 'V JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address.9677 SW 74th Ave New dwelling area: square feet City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: tee* Covered porch area: square feet Cross street/directions to job site: W Deck area: square feet Other structure area: 800 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit lees*are based on the vatuc of the work performed. Tax map/parcel no 1S125DC00500 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. Install 800 sf inground pool Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 4 Name: Brian Leet Type of construction: Address: 9655 SW 74th Ave Occupancy groups: City/State/ZIP: Portland, OR 97223 Existing: Phone:( ) Fax:( ) New: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Faster Permits LLC. Structural plan review tee(or deposit). Q i Contact name: Richard Adams FLS plan review fee(if applicable): Address: 2000 SW 1st. Ave. Suite 420 • Total fees due upon application: N+ City/State/ZIP: Portland, OR 97201 (I Phone:( )503-708-5244 Fax::( ) Amount received: `4 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: richard@fasterpermits.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Oasis Pool &Spa Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 14543 SE West Park Ct. Solar Installation Specialty Code checklist. City/State/ZIP: Damascus, OR 97089 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( )503-927-8732 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 186621 Total fee due upon application: $201.60 Authorized signature: 4.6/a/0 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 I dustry Print name: Richard Adams Date: 9/29/2021 ' (�J Service Board. t "`/` to I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 'i I/—r- Mechanical Permit ApplicatioI ECEl 'F City of Tigard �' It Received Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 02.s Date/By: p,57T��'��(7 7 a " Nov'v Y O 4 Zu t Plan Review 7 Phone: 503.718.2439 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By lads. See Page 2 for Internet: www.tigard-or.gov CITY OF DIVlSTICimel t9,N t'fied/Method. Supplemental Information BUILDING DIMS -0im1,,, .,, 'TYPE OF WORK �i iw7td�a� tr=*/1,I�Ipollwr, t`1 t,.,. �.CCt)4i1 11 e fi�,Cp I,i` 0 New construction ❑Addition/alteration/replacement Mechanical permit fees°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 profit. " CATEGORY OF CONSTRUCTION Value $ ❑ 1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES For special information use checklist ❑ Multi-family ❑Master builder ® Other In round Pool g Description Qty. Ea. Total 0 10!i yin JOB SITE.INFORMATIONT AND LOCI Tt ' f Q� .,�. Heating/cooling: Job site address: 9677 SW 74th Ave Air conditioning 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or I hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above I 23.32 Subdivision: Lot no.: Other: 23.32 Tax map/parcel no.: 1S125DC00500 Other fuel appliances: „,s4�;4 i:T!!a yao �... ... i „' .x;. Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 400,000 BTUH Boiler-venting Flue vent for water heater or gas fireplace 23.32 Update for pool only Log lighter(gas) 23.32 1"Gas line 21b Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 i o PROPERTY OWNER '. : - (3'',TENANT Other: 23.32 Name: Brian Leet Environmental exhaust and ventilation: Range hood/other kitchen Address: 9655 SW 74th Ave equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Portland, OR 97223 Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32 ��I I y Attic/crawlspace fans 23.32 r- ❑ IC APPLANT Vlli'd:l�Ild�hlAhOfl( ':CONTAC`I°PERSON.. : Other: 23.32 Business name: Faster Permits LLC. Fuel piping: Contact name: Richard Adams $14.15 for first four;$4.03 for each additional Furnace,etc. Address: 2000 SW 1st Ave Ste 420 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Portland, OR 97201 Water heater Phone:(503)708-5244 Fax::( ) Fireplace E-mail: richard@fasterpermits.com Range CONTRACTOR Barbecue Clothes dryer(gas) Business name: Danny's Heating&Cooling Other: Boiler 1 4.03 Address: 14001 NE 186th Ave MECHANICAL•PERMIT FEES*' Brush Prairie WA 98606 Subtotal City/State/ZIP: Minimum permit fee($90.00) 914-8058 Fax: Plan review(25%of permit fee) Phone:( ( ) State surcharge(12°/n of permit fee) CCB lie.: 197549 TOTAL PERMIT FEE This permit application expires a if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. 4,5t,„„vig * Fee methodology set by Tri-County Building Industry Service Board Print name: Richard Adams Date: 11/2/2021 1:1Buitding\Pemots\MEC_PermitApp 052520.doc 440-4617T(1 I/02/COM/WEB) Electrical Permit Application „„. hI11CUPhiC'h t1tib:UN1.Y City of Tigard Received I.) sizbat-00cR N 13125 SW Hall Blvd.,Tigard,OR 97223 w11''.g Datem :7/ Pe>rnitu: Phone: 503.718.2439 Fax: 503.598,1960 Plan Review —1 Date/By: Related Permit 6: TIA Inspection Line: 503.639.4175 Rcud a Internet: www.neard-o[. ov C I Y O i 1l- -11, y Date/Sy lads: S See page l for ,Netifietl/Method: Supplemental Information TYPE OF WORK PI AN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 1 sets of plans w/items checked): El or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other: CATEGORY OF CONSTRUCTION the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ElI-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use ag cultural 0 Multi-farnii amps for all other installations. buildin Y ❑Master builder g Other: gs. ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION — 0 Emergency system. larger separately derived Job 4: I Job site address: 9677 SW 74th Ave ❑Addition of new motor load of system, I00HP or more. ❑"A""E""I-2"•I-3" City/State/ZIP: Tigard, OR 97223 0 Six or snore residential unila, occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.4: I Project name: ❑Hazardous locations. 0 Supply voltage for more than Cross Street/directions to job Site: 0 Service or feeder 600 amps or mere. 600 volts nominal. FEE SCHEDULE ihserlption __ Qt1. I s:af I Trial,_i.= New residential single-or multi-family dwelling unit. Subdivision: , Lot 4: includes attached garage. Tax map/parcel 4: 1S125DC00500 1,000 sq.ft.or less 168 54 4 Es.add'I 500 sq.R.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential Pool Spa Circuits(7x)add _ (4x)20atnp (2x)50arnp (with above sq.ft.) 75.00 2 l Update for pool only Limited energy,multi-family 11 residential(with above sq.ft.) 75.00 2 — ® PROPERTY OWNER Renewable Energy ❑ See Page 2 TENANT Services or feeders installation,alteration,and/or relocation Name: Brian Leet 200 amps or less I 100 70 t 2 Address:9655 SW 74th Ave j7 001 amps to 400 amps (Vt'")�I C„ ,�,t�c'y�t+N(.t�(G„f+" P P 133.5b 2 City/State/ZIP: Portland, OR 97223 ///}}}���j,,, 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax: ( ) Irk gl i Over 1,000 amps or volts 552.26 2 Email: tt 4,)1i Temporary services or feeders installation,alteration,and/or relocation y Owner installation:This installation is being made on property that 1 own which is n 200 steps or less l 36 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: 40i amps to 599 amps 168.54 2 APPLICANT 1 ( CONTACT PERSON Branch circuits—new1alteration,or extension,per panel ' EaBusiness name: Faster Permits LLC. A.Fce for brands circuits with rt ; above service or feeder fee,7 S .ail 2 each Contact name: Richard Adams Feetarbrancircuit ir 7.42 B.Fee for branch circuits without Address: 2000 SW 1st, Ave. Ste 420 service or feeder fee,first _ branch circuit 56.18 2 City/State/ZIP: Portland, OR 97201 Each add'l branch circuit 742 2 :( ) Miscellaneous(service or feeder not Included) Phone:(503 ) 708-5244 Fax: _ Each manufactured or modular Email: richardlalPasterpermltS.COm dwellin1,serviceand/orfeeder 67.84 2 "—" —� ___ Reconnect only 67.84 2 CONTRACTOR ----- or irrigation circle 67,84 2 Business name: One West Electric,LLC, Sign or outline lighting 67.84 2 Address: 19450 SW Cipole Rd. Unit#103 Signal circuit(s)or limited energy _ panel,alteration,or extension, ❑ see Page 2 2 CitylStatefZlP: Tualatin OR 97062 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(�t):) ,_-- .c'1. 4^ .... 1 �•� Fax:( r)"" - "' Investigation(1 hr min) 90.00/hr Email: infofejcntewestelectric.corn Industrialplant(Ihentn) 78.t8/hr inspections for which no fee is CCB Lie.: 210997 I Electrical Lac.:(_! :F .(- ' .4),S specifically listed(Y,hr min) 90.00/hr Suprv.Electrician signature,required: c_ ELECTRICAL CTRIC:AL PERMIT FEES Subtotal: i „ +r r I Print name: /).Lt,. r: . i. T , T ! Y l i - Date: 10 j' .l ❑Plan Review Required(25%of permit fee): J��'77 l State surcharge(12%of permit fee): Authorized signature TOTAL PERMIT FEE:�i 7�,�,��, Date: Tids permit application expires if a permit is not n alned within 180 Print name: Richard Adams 11 9/29/2021 days after it bas been accepted as complete. * Member of inspections allowed per permit. I:,Building\Permlrs\E[.C_Perm,App fLR_rRF..doe Rev ers/17t2a15 440-4615T(I I/QSICOMMisa . r Plumbing Permit Application ///y`�!1 `s Building Fixtures RECEIVE FOR OFFICE USE ONLY City of Tigard A Received Permit No SI zo21-��y 14 .113125 SW HaII Blvd.,Tigard,OR 97223 N O V 04 2021 Date/By: : Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARDDate Ready/By. Juris ® See Page 2 for Internet www til ard-or.gov IW 0 n poufied/Method ,S,u.PPlemental Information " P FWRK mwr Ni i FESTMU m. Yr. O ( q . ,m, ; L 1 IIIII, , E*^ CHEDLE h d , {, ®New construction 0 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) cATEGoRr OF CONSTRUCTION ' " " SFR(1)bath 312.70 0 1-and 2-family dwelling IDCommercial/industrial SFR(2)bath 437.78 AccessorybuildingSFR(3)bath 500.32 0 ❑Multi-family - - Each additional bath/kitchen 25.02 0 Master builder ©Other: In round Pool N � 9 Fire sprinkler( sq.ft.) Page 2 :1i{t -iC w�° (."(JOB SITEINFORMATION�rAND LOCATION Site utilities: Job site address: 9677 SW 74th Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: 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.: Fixture or item: Tax map/parcel no.: 1 S 12 5 DC 00 5 00 Back flow preventer 1 31.27 ..i IN{ i TI 6 �_ Backwater valve 12.51 r r ,,ol .,n t°il� li VN�WORK Clothes washer 25.02 Back flow with 3/4 feed Dishwasher 25.02 Update for pool only Drinking fountain 25.02 Ejectors/sump 25.02 [fPR >ERTY OWNER� � t�i 1 i + lir .❑ TENANT Expansion tank 12.51 Name: Brian Leet Fixture/sewer cap 25.02 Floor drain/floor sink/hub 1 25.02 Address: 9655 SW 74th Ave Garbage disposal 25.02 City/State/ZIP: Portland, OR 97223 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 i Interceptor/grease tra 25.02 ® APPLICANT I�,I 1 0SON rA�GI PERSONP Business name: Faster Permits LLC. Medical gas(value:$ ) Page 2 Contact name: Richard Adams Primer 12.51 Roof drain(commercial) 12 51 Address: 2000 SW 1st. Ave Ste 420 Sink/basin/lavatory 25.02 City/State/ZIP: Portland, OR 97201 Solar units(potable water) 62.54 Phone:(503-1708-5244 Fax::( ) Tub/shower/shower pan 12.51 E-mail: rchard@fasterpermits.com Urinal 25.02 Water oloset 25.02 CQ1TRA4"TOR. . Water heater 37.52 Business name: H&H Mechanical Water piping/DWV 56.29 Address: 5757 SE Willow Ln Oth 1 25.02 City/State/ZIP: Milwaukie OR 97267 Subtotal Phone:( ) Fax:( ) Minimum permit fee. $72.50 CCB Lie.: 178122 • Plumbing Lic.no.: Plan review (25%of permit fee) 4.„/„,,,,,,„ State surcharge(12%of permit fee) Authorized signature: /// TOTAL PERMIT FEE ft Print name: Richard Adams Date: 9/29/2021 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-PermiiApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c R D Building Permit Review — Residential Building Permit #: j3TZO2i-Oo 5" 09 Site Address: 46-7 Sou '7-4wl Project Name: Lot #: Planning Review Proposal: 4lt(‘t_ I fivt Ul/L j 09 9d ` ta Verify address/suite # active in Accela. ❑ In River Terrace: No ❑ Yes, River Terrace Review Addendum Site Plan Elements: EgErosion Control pa3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper LiRetained trees with rl i hnP and trPP=YntPrr,— �e res 4Drawn to scale(standard architect or engineer scale) Footprint of new structure(including decks) and PPE r5 North arrow ❑Utility Site address,project or subdivision name and lot number OSidewalk/driveway approach %Applicant information(name and phone number) Location of we,146,4scptie 3yatcm3 JLot dimensions and building setback dimensions Street tree c,tyre and location Atreet names ,®Existing structures on site 1) area,percentage..o£se*erage-nd >1,000 sf of impervious area created or replaced? ❑Yes allo a app ca e i - , - , • o IAA—NLa tyY CPYCTICPC CPYCTICP PYn sldar T +^� ��'- -`_--' - -_ al�n�� Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No lg.Water I'vfetci Fixture—U it-- vi-k-shc t—Additirno,Rcniodela arnl ADU Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Received: ❑ Yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake -0--1-and Use Cage# - . a Zoning: g- q.S I� Required Setbacks: Front: Z01 Rear: ( 5 Side: Street Side: f 5 1 Garage: 7-0 Actual I Icight. -4d r C yo-era a ,T " - a ss 0 ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one oft g is met: extends no more than 5'from wall and there is a covered xtending beyond garage. ❑ Door extends no m 5'from wall and the sq ft.window above garage on 2nd floor. ❑ Garage door width is E 12'or less o or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ e entrance E t ❑ 1'Roof eave ❑ Roof offset ❑ Fire s Lap Siding ❑ Roof pitch ❑ Gab e, brel roof ❑ Dormer ccent siding ❑ Window trim ❑ Window recess ❑ Window projectio Balcony f-1 Visual Clearance ❑ Urban st lan EP Sensitive Lands: A Yes ❑ No Type: G041 5 [fly k V Gl Ill`s t prior tp iss ante n 1� 1 1 ermit (/ Notes: Approved By Planning: 4 %/t 'ZQ�1/t,� ��� Date: I i/Z Z./ z j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved 1::\Bui lding\Fonns\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: /I/oq/2QzJ Site Plans: # Building Plans: # 3 Building Permit#: l_l Enter building permit#above. Workflow Routing: Cr Planning LSngineering O'Permit Coordinator E'Building Workflow Sign-off: ['Sign-off for Planning(include notes from planning review) Route Application Documents: ff Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. i( Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: _ l ZBL Engineering Review [3- Slope at building pad: 13% Y-Conditions "Met"prior to issuance of building permit VEasements (encroachments)per engineering conditions of approval and plat n/L— I/ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [No Assess Water Quantity Fee in-lieu: ❑ Yes Er-No LIDA Facility on lot: [ "Yes D No C` "Final Plat Recorded: Yl ❑ NOT Approved by Engineering: Date: Notes: 2rApproved by Engineering: 7' f (c�nfdOei Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review ►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: SDC Exemption: ❑ Received V Does not appl SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes ,N/A Parks SDC: El Yes N/A LIDA Yes ❑ N/A (— OK to Issue Permit Approved by Permit Coordinator: Date: It 123 IWZA I:\Building\Forms\BIdgPennitRvw_RES_122419.docx 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 II M Transmittal Letter TIGARD 13125 SW Flail Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiEard-or.gov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Richard Adams DEC 2 2021 COMPANY: Faster Permits LLC k.;ITY OF TIGAHL 1JILnIN(; f)IUISlCj By. +E_ PHONE: 503-708-5244 1 EMAIL: richard@fasterpermits.com RE: 9677 SW 74th Ave. MST2021-00509 (Site Address) (Permit Number) Oasis: SW 74th (9677) Leet Pool (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: X Additional set(s) of plans. Revisions: X Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. X Engineer's calculations. Other (explain): REMARKS: Full Plans submitted per Alyson Armstrong FOR O FICE USE ONLY /�— Routed to Permit Technici : Date: --7 2i Initials: r,�' Fees Due: ❑ Yes 4Nia Fee Descrfpti n: Amount Due: ei______ N) D -) - $ i,i____ Special Instructions: Reprint Permit (per PE): [' Yes o I I Done Applicant Notified: Date: ����� ,�� Initials: