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Permit 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 lig "' " Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.Qov TO: 1"1( t) S r'11 DATE RECEIVED: DEPT: BUILDING DIVISION REC I D FROM: 91evil IT 15 2022 COMPANY: CITY OF TIGAR � PHONE: mil' O � `� B O 6 — 0 3 0 S BUILDING DIVISI y EMAIL: `,� RE: :Ia s S l/l) (G,t� /V` 7 - On.>3 5 (Site Address) (Permit Number) 6-, (re5 re r (Project name or subdi$ision name and lot ber) fr ATTACHED ARE THE FOLLOWWG `" MS: Copies: Description: I 7T Copies: Description: Additional set(s) of plans. ��' X Revisions: Cross section(s) and de .rls. W Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations Engineer's calculations. Other(explain). REMARKS: F--cf 14 `A CA e )', lak- rt-yt, IrC l ,1 61 Art(2�,1.1 A FOR,OFFICE USE ONLY Routed to 'e echnician: Date: (Yf 19 2'� Initials: Fees Du,. Yes ❑No Fee Desct+jption: Amount Due: $ tif-. ti�Z ft&1;11, -11e1.wvk icAptil $ 4 C.. r J w $ Special Instructions: �� Reprint Permit(per PE): es �No J ❑ Done Applicant Notified: t de, Date: 2-7/y}- Initials: 4": \ T I:\BuildingForms\ ransmittaiLetter-Revisions_073120.doc '/ if 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 it Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED P IJEc132022 FROM: " COMPANY: Oi 4\ P r\�X���l?� l ,�Y� '�Y��C ' 1 O"Y` SIN BUILDING T RD 5 BUILDING I ISIQN PHONE: 603 _9 ! 7`5-&5 4 I By: EMAIL: d P O� I I l - x. 0 Ot'Yl RE: 'i/a5 511..) ('DA r )1 dotard AI ;` 0. a- •• _ (Site Address) V (Permit Number) GI asP r (Project name or subdivision name and lot number) 1 ATTACHED ARE THE FOLLOWING ITE 41 ' 4 Copies: Description: cr opies: Description: Additional set(s) of plans. d t Gn«.a� �1 3 Revisions: ..Gloor Su n' lc try?ea!)Cross section(s) and details. 1�f �� Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): p� REMARKS: C' 11 ` - - o r 5 is -�'t AN fi)cz}S golf . FOR OFFICE USE ONLY Routed to ' -rmit Technic* . Date: 12- (I, ZZ--_ Initials: �'�/ Fees D ' : ❑ Yes E No Fee Descri tion. Amount Due: b 6--- : (25 Special Instructions: Reprint Permit (per PE): ❑ Yes [✓No ❑ Done Applicant Notified: r - Date: ///27/j,?- Initials: /; 1> I:'Building\Fonns\TransmittalLetter-Revisions_073120.doc I • CITY OF TIGARD MASTER PERMIT �J a COMMUNITY DEVELOPMENT Permit#: MST2022-00235 Date Issued: 11/22/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AB00203 Jurisdiction: Tigard Site address: 9425 SW CENTER ST Subdivision: MARIELL Lot: 3 Project: Gillespie Project Description: Add 82sf to exst bdrm +add bath. Water Meter Upsize Required. Trade Permits to be Pulled Separately. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 82 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 15 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Total: 82 sf Value: $48,000.00 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: 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 Fum<100K 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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: ALT SF VB R-3 82 Owner: Contractor: GILLASPIE TRUST COMPREHENSIVE CONSTRUCTION Required Items and Reports(Conditions) BY GILLASPIE,DAVID&ELAINE B 20385 S SOUTH END RD TRS OREGON CITY,OR 97045 13621 SW MOUNTAIN RIDGE CT TIGARD,OR 97224 PHONE: PHONE: FAX: Total Fees: $1,493.52 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: regon law re uires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR OS9_r1M_nM n thrnnnh 011 =/_nn Inman Y i mm, *min 4j n rnm,of fhn n dem nr dirdinar.mmelinne fn of INr by rellinn Sn 9 10R7 nr 1 Ann 97111AA Nl Issued By: ✓ ,6/ 1 .e e/ ) Permittee Signature: �ti1� 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 lob site at the time of each inspection. Building Permit Application Residential RECEIVE FOR OF II,l( F USE ONLY City of Tigard n ceived g Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 JUL2022 Date/By: -7 a.j�cD. �1�ar,_ fi, a-06 �? t 2 Plan Review/a Z Phone: 503.718.2439 Fax: 503.598.1960 Date By Other Permit: I I( A R 17 Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: // 7 2 luris: El See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO Notif /Methodyv // 12 Supplemental Information TYPE OF WORK REQUIRED ATA:1-AND 2-FAMILY DWELLING ❑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 Addition/alteration/replacement 0 Other: equipment,materials,labor,ov ,and or the // CATEGORY OF CONSTRUCTION work indicated on this a ' anon. 12 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ Qlf ,_, ❑Accessory building 0 Multi-family Number of be oms: ❑Master builder ❑Other: Number of bathrooms: „(37 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 'z� Sy,/ � ST New dwelling area: ' <J2 square feet i -, e 16 City/State/ZIP: `nt r c:: .. I t22: Garage/carport area: square feet Suite/bldg./apt.no.: Project name:i`'r t CJ Covered porch area: square feet Cross street/directions to job site: SW C:1 1 Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1 4 � yt/�� �r U�5 i 2� In ate the value(rounded to the nearest dollar)of all 1/' t n't pment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK re(.10.4. work indicated on this application. S.F. EI,Vr..-ct-t A -skbE. Valuation: $ ie p 1*a lr • h It> c�".it - c - Existing building area: square feet TjJ�r'( ( � ,L y.,srAL v ti,C GHQ fyyy�p�./�htld ng area: square feet Ee PROPERTY OWNER ` ❑ TENANT `N'umberofstones: Name: bylb 4 COI I I F.517:, Type of construction: Address: 1.4.25 5y.j cp_sj-re.g., sr, Occupancy groups: City/State/ZIP: ,-T '.L4�j < o1,-'r 22 _ Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT MI CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedate ' t,,.�' ''� Structural plan review fee(or deposit): 11_5 I `5� Contact name: 1"►`s�1 Address: 'DI n 5 'J E-� zt j FL5 plan review fee(if applicable): Total fees due upon application: City/State/ZIP: C lrt+r, � 97oI Phone:( F) 4 19 . 3i l Fax: : ( ) Amount received: � L'A.,' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: µ TM�' C., 1 Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. Business name: CCt`1 (-(E Ga.,lsr z3..izzI'icyJ Li Submit two(2)sets of roof plan with connection details Address: 22jrj � and fire department access,along with the 2010 Oregon S. - Solar Installation Specialty Code checklist. City/State/ZIP: o ex-rr t C ooti. Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)cjg—( . 5B5(42 Fax ( ) State surcharge(12%of permit fee): $21.60 CCB lie.: '2:2,E;e: Qj Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 7, rrL *Fcc methodology set by Tri-County Building Industry Service Board. I:\Building\Permits1BUP-RE PcrmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling Fok OFFICE USF: ONLY City of Tigard Received Date/By: Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Associated a mi s: • Phone: 503.718.2439 Fax: 503.598.1960 P I IGARU 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard-ongov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Ye% NI) N/1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. I 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. ❑ ❑ 0 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. 0 0 ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- E 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state li 0 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. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if [j ❑ ❑ 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 fNJ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, d 0 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- 2( ❑ ❑ A floor,wall construction,roof construction. More than one cross section maybe 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 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- 0 ❑ 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 0/0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 [ZI ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. / 20 Manufactured floor/roof truss design details. 0 0 d 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 [/f ❑ 0 architect licensed in Ore•on and shall be shown to he applicable to the pro ect 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". I,' ■ El 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 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. ❑ ❑ 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 Z ❑ E 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 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. I:iBuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: Customer Name: DQ4 3 E I S2 (( 111-Sp( 4— Service Address: Street/Suite#: "I-{25 Si.l CE7 r_. 5T'• Cite: T,..,a State: [IC—. Zip: r7223 Phone Number: c'7 i •All • 32018 Email: 144i 9 el 'rinw6 . CON Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total. the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer I x 4 = 4 x 4 = Dishwasher I x 1.5 = ( ,S x 1.5 = 1"Outside Water Spigot 1 x 2.5 = -2,5 x 2.5 = Water Spigot,each add'l 1 x 1 = ( x 1 = Kitchen sink I x 1.5 = 1,e, x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory(bathroom sink) I x 1 = I I X I = I Water closet,1.6 GPF(toilet) I x 2.5 = "2., I x 2.5 = 7.„S Bathtub/whirlpool x 4 = x 4 = Shower stall x 2 = x 2 = Bath/shower combo (_ x 4 =_ t. 1 x 4 = -- 4 F Current Points: I S Proposed Increase: 7.5 Current Points+Proposed Increase= 25.5 =New Total Points =Required Meter Size Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points='/a" 37.5 and over points=1" New Meter Size Needed for New Total Points: 3 Cost: $1L4©4"V CE L • O (see page I) Current Meter Size per Utility Billing: �� Cost: $\ 12.S(e)•U (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ y`e2:3� - CSC (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ******►*********4********** ************#*************************k*****kph*********** FOR OFFICE USE ONLY 666I Current Meter Size Confirmed with UB '/1:1 /2.D 2`L Signature of UB Representative Date 1:/Building/Forms/WaterMeters_070121`gdd.doCx Page 2 City of Tigard IN _ COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Small Form Residential Supplemental (Non-RT) Building Permit #: Project Name: CeA V" Site Address: g42r SW Ce-07 Lot #: Total Existing Units: One 0 Two 0 Three New Configuration: ❑ Single Detached ❑ Duplex ❑ Triplex 0 +ADU Small Form Residential Standards Setbacks 0 Front: I '- Rear: l( Side: C Street Side: IC Garage: ' - Height 0 Max. Height: 33-- Actual Height: Landscape ❑ Landscape Area: Z� % Lot Coverage Max: rance ❑ Set back no more than 8' from street-facing wall 0 Parallel to street or offset 45 degrees or less Windows ❑ • um 12% of area of all street-facing facades Garage Garage door i -hind widest street-facing wall ❑ Yes ❑ No, and one of the • lowing is met: ❑ Door extends no mo than 5' from wall and there is a covered porch extending beyond garage. ❑ Door extends no more than rom wall and there is a 12 sq ft. window above garage on 2nd floor. Garage door width is: ,` ❑ 12' or less '',, ❑ 50% or less of facade ,` ❑ 60% or less and includes 7 of following: O Covered porch 0 Recessed entrance 0 Wall off o 1' Roof eave 0 Roof offset 0 Fire shingles ❑ Lap Siding ❑ Gable, hip, gambrel roof 0 Dormer O Roof pitch 0 Accent siding ❑ Window trim ❑ Window recess ❑ Window projection 0 Balcony — - — ::: A roved ByPlanning: Date: / /2, Z PP 1\HuildingWrnnlBldgPenmt12•7%_SFR SupplemeudI 070722 • City of Tigard 1111 C COMMUNITY DEVELOPMENT DEPARTMENT TIGARri Building Permit Review - Residential Building Permit #: Site Address: /YW CL' c TEP Sr- Project Name: Lot #: Land Use Case: Zone: s -a Required Submittal Elements L3 3 copies of site plan Syr Q Square footage of buildings to be demolished © Drawn to standard scale ❑ Footprint of new structure and FFE a North arrow 0 Retained trees, drip line / tree protection ❑'Site address, project name, lot # f" l Street trees shown / labelled la Street names b Sidewalk / driveway shown and dimensioned ❑Applicant name and phone # l� Utility locations & easements (new / additions) Lot and setback dimensions Location of wells / septic systems Existing structures on site Lot area and lot coverage percentage sj, di Erosion control Corner elevations (2' contours if > 4' differential) [ Vision clearance triangle shown Ground slope at building pad calculated / shown Planning Review Verify address / suite # active in Accela. 13'Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) Required: 0 Yes E3'No Received: 0 Yes ❑ No p Public Facilities Improvement (PFI) Permit': Required: ❑ Yes 0 No � Applied For: 0 Yes 0 No, stop intake E2 ensitive Lands: ❑ Yes I1lo Type: NA- 0 Housing Supplemental Sheets Completed ❑ Cottage Cluster C&O (1 site, 1 per unit) 0 Quad O Courtyard Units C&O (1 site, 1 per building) 0 Rowhouse ❑ Cottage Cluster Type II (1 per unit) .0`Small Form Residential / ADU ❑ Courtyard Units Type II (1 per building) 0 River Terrace Addendum ❑ Conditions-met prior to issuance_of-bu+idirrg permit- Approved By Planning: Date: Notes y Revision 1: 0 Approved ❑ Net Approved Date: Revision 2: 0 Approved 0 Not Approved Date: \Buik4ug1Fonm1134igPenmiR%m_Res_070722❑ocx Building Permit Submittal Original Submittal Date: r) /9/ / • Site Plans #: Building Plans #: Building Permit #: Er-Building permit # entered on page 1 Workflow Routing: 0-Planning El Engineering 0 Permit Coordinator D Building Workflow Sign-off: 0 Sign-off for Planning (include notes from planning review) Route Documents: Br Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ,N Building: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. l \')_.. Permit Technician: t�G NLA 1\i Date: ')1 Notes Engineering Review Ga-Scope at building pad verified Slope: 0-Conditions met prior to issuance of permit Casements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: 0 Yes a'INlo LIDA Facility on lot: ❑ Yes No Add Fee: 0 Yes 0 No ❑ Final Plat Recorded ❑ NOT Approved Date: Notes Approved By Engineering: 1�,4. Fr s,1E,e Date: -7--2-1►�'7J ' Revision 1: 0 Approved ❑ Not Approved Date: Revision 2: ❑ Approved 0 Not Approved Date: Permit Coordinator Review Nfl Conditions met prior to issuance of permit ❑ Approved, NOT Released : Date notified applicant: ❑ ENG Revisions Required: Date notified applicant: SDC Exemption: 0 Received 0 Does not apply +� SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A Tigard Trans SDC: ❑ Yes q N/A Parks SDC: 0 Yes N/A LIDA ❑ Yes I1N/A IN OK to Issue/Approved by Permit Coordinator: Av Date: -1` 1 Z Revision 1: 0 Approved 0 Not Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: la 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. lig City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: CI1l�Se-/ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: c— & f JUL 2 7 2022 CITY OF TIGARD COMPANY: BUILDING DIVISION By: PHONE: �]( — L{[�I -�q�' 1 EMAIL: btarki @ C--pki \af' re(- 1 RE: q La 5 <-st-J Caryker S� (Y1'&--,oaf--0_,Ei rl (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 3 Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FO OF 'ICE USE ONLY Routed to Permit Technic : Date: 7 '2.2 Initials: Fees Due: Yes o Fee scriptio : Amount Due: ( 60ev $ 1 Special Instructions: Reprint Permit(per PE): ❑ Yes N ❑ Do Applicant Notified: ate: cr/2 7 - Initial