Permit FOR OFFICE USE ONLY-SITE ADDRESS: q M Sh1 4 Q'l1(J sia q -
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
! _ il
Transmittal Letter
i I c A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
L
DEPT: BUILDING DIVISION
JAW 12 2022
FROM: ;� I
COMPANY:C JItC�j� 4)I L- �1 MQ,5 LW ' CITY OF i IUHHu
(� a BUILDING DIVISION A
PHONE: vl (( ?)2S-' G1 U LAO BY
EMAIL: VraSM 11>J $p6j-eO1 L--r4f M a)1 - 1 J 1 - ( C�fl
RE: q�1 3 J Q O 1 q 3q�J q �E7 J C� p457-zoz --woe (1-67- (7
(Sire Address) p (Permit Number) M 5i 202 2— q Cif I
( rY oject�naame or name and lot ) �� ( OT 202-2-ooS:2- !ot 14)
AI 5'TZoz2-vOS2.l oar !f, Z,
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:Additional set(s) of plans. x Revisions:SI1 (q
C-iliS
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�f OFFICE USE ONLY
Routed to Perm' Technician: Date: ,3/f c /2 Z Initials:
Fees Due: Yes ❑ No Fee Desc{lptioji Amount Due:
id6 L $
Pr
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: ./ Date: A t m viols Initials:1\1) •Nth
I:\Building\Forms\Tran smittalLetter-Revisions_073120.doc
71 ,t CITY OF TIGARD MASTER PERMIT
It , - COMMUNITY DEVELOPMENT Permit#: MST2022-00520
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2023
Parcel: 1S135AC15200
Jurisdiction: Tigard
Site address: 9398 SW LONGSTAFF ST
Subdivision: ASHBROOK VILLAS Lot: 19
Project: Ashbrook Villas, Lot 19
Project Description: New attached dwelling.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 671 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second: 983 sf Garage: 219 sf Front: 15 Smoke
Yes
Dwelling Units: I Third: 479 sf Right: 0 Detectors:
Total: 2133 si Value: $336,270.60 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 1
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 1
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mid Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt 0
ELECTRICAL•RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VR R-3 2133
Owner: Contractor:
ABVOZBP21 LLC SAGE BUILT HOMES Required Items and Reports(Conditions)
1815 NW 169TH PL STE 1040 1815 NW 169TH PLACE,SUITE 1040 1 Ersn Cntrl 503-639-4175
BEAVERTON,OR 97006 BEAVERTON,OR 97006
PHONE: PHONE: 971-221-4597
FAX: 503-533-5164
Total Fees: $31,080.63
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
o59-nn1-nnin rhred Ink AP g59-nMltttgn Yni0e,maw nhtain a rnnw of the ndea nr dirert n,melinne to CH INCVA,h Tallinn crA 9n9 1oA7 nr 1 Ann'IT,93dd
Issued By: ,2-1/ Q^ ,p Permittee Signature: VAirrA
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.
• Electrical Permit Application FOR OFFICE: (Si: O\LV
. City of Tigard � t Ned Permit#: I i • I.i
° 13125 SW)salt Blvd.,'I igard,OR 972P3► 1\1 .. Rvww Pla n e
Phone: 503.718.2439 Fax: 503.598.1960 Da,, t . Related Permit#:
Ti G A R D Inspection Line: 503.639.4175 DEC 2 1 2022 Ready Daie/By: (uric ® See Page 2 for
Internet: www.tigardor.gov Notified/Method. Supplemental information
TYPE OF WO' .` 1 PLAN REVIEW
to New construction ❑Additian/alteratidkINialIWTLQ WI WI.'I UI`' Please check all that apply(submit 2 sets of plans wfacros checked):
0 Service or feeder 400 amps or more ❑Building over three stone
❑Demolition 0 Other: where where the available fault mum 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
2)1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building lea to ground,or exceeds 14,000 0 Commercial-use agriculturist
Fires for ellother installations. buildings.
0 Multi-family ❑Master builder 0 Other: El Fire pump. ❑[mtalltioa of I50I4VA or
JOB SITE INFORMATION AND LOCATION 0Emergeocy system. larger separately derived
Job#: 1 Job site address:q�9 g$W La 1 eisT p-F C`•r ❑Addition more.f new
motor load of system.
' 1111.1 t� t06fil'or more. ❑"A...•@••."t_2,•`I_3•
❑six
City/State/ZIP:Tigard, OR 97223 «come residential units. occupancy.
❑Healthcare facilities. 0 Recreational vehicle parka.
Suite/bldgJapt#: Project nine:ASh Brook Villas 0 Hazardous locations. 0 Supply voltage for tore than
❑Service or feeder 600 amps or tore. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Deiniadoa I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:Ashbrook Villa's Lot#: iq_ includes attached garage.
1.000 sq.It or less 16834 4
Tax map/partcl#: Ea,add'I 500 oq.R.or portion 33.92 I
DESCRIPTION OF WORK limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Ea PROPERTY OWNER ❑ TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:ABVOZBP21 LLC 200ampsorless 1 100.70 100.70 2
Address:1815 NW 169TH PLACE, SUITE 1040 201 amps to 400 amps 133.56 2
401 amps to 600
City/State/ZIP:Beaverton, OR 970060 301.04 2
in
601 amps to 1,000 s situps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 _2
Temporary services or feeders installation,alteration,and/or
Email:katie@sagebuilthomeslic.com 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 539 amps 168.54 2
® APPLICANT ❑ CONTACT PARSON Branch circuits-new,alteration or extension,per panel
A.Fee for branch circuits with
Business name:ABVOZBP21 LLC above service or feeder fee, 7A2 2
each branch circuit
Contact name:Katie Patterson B.Fee for branch circuits without
Address:Sarre as above service Or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'i branch circuit 7.42 2
MisPhone:N93-5026623 Fax::( ) Each manufactured
ed or m(service odular
feeder not included)dwelling,service and/or feeder 67.84 2
Email:katie@sagebuilthomeslic.com •
Reconnect only 6784 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Grizzly Electric Inc !� ) Sign or outline lighting 67.84 2
Address: T mom tit t & Ste-- l G' — 117 Signalnel,circuit(s)io orlixtenson. 0 See2 2
mom pond,alteration,or extension. Page
City/State/Z1P:Vancouver, WA 98660 Each additional Inspection m a allowable in any°f the above
p Additionalinspection(1 hr min) 66.25f hr
Phone:( !7/-576- Q/0/ Fax:( ) Investigation(1 hr min) 90.00/hr
Email:grizzlyelectric@msn.com lndastrial plant(thrmin) 78.18/hr
Inspections for which no fee is 90.00/hr
ccB L;e.:186218 Electrical Lie.:31-g�rv.Lie.:49' 3 specifically bland E hr min)
ELECTRICAL PERMIT FEES
Suprv_Electrician signature,requited: j Subtotal:Print name: x�/ j3)e /•,fe--7 ^'t _-_'/wry ,72..` ❑PlatReviewRequired(25%ofpermitfee):
f State surcharge(12%of permit fee): •
Authorized signature: �eitd. Pp r ,BSL TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name:Katie Patterson Date:12/1/22 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:UariIAagWP so itL_P°m5App_ELR ERRdoe Ray 06672015 4464615Tt 11/05/COM/WEB
lk - _—
• / Plumbing Permit Applie g-, -
Building Fixtures " � �A � �� FOR OFFICE USE ONI.1
City of Tigard DEC 2120U Received MS�2 ZZ'�5 I.�
g PermitNo.
11111 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By- Q
-. Phone: 503.7182439 Fax 503.0131N6O F TIGAI-iu Plan Review
Date/By: Other Permit No
Inspection Line. 503 639 4175 p II n D VISION y y ¢
11'' s 11 I) Internet: www tl rd-or v RU11�11\- Date Read/B Jura ® See Page for
'.� -� Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑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)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
El Accessory buildingSFR(3)bath 1 50032 500.32
0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder CI Other Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 9398 SW Longstaff Street Catch basin or area drain 18,76
Drywell,leach line,or trench drain 18.76
CitylState/ZIP:Tigard, OR 97223 Footing drain(no.linear 0 _) Page 2
Suite/bldg./apt.no.: I Project name:Ashbrook Villa's 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:Ashbrook Villa's I Lot no.:19 Fixture or item:
Tax map/parcel no.: Backtlow preventer 1 31.27 31.27
-,. �� . k z-2,,,ea: r i s1 ;s Backwater valve 12.51
-. . t i, ,vti{ si4 a, ii.. ii..zx: :-•-iiAi. U,ic
Clothes washer 1 25.02 25.02
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 0 TENANT Expansion tank 1251
Name:ABVOZBP21 LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:1815 NW 169TH PLACE, SUITE 1040 Garbage disposal 1 25.02 25.02
City/State/ZIP:Beaverton, OR 97006 Hose bib 2 25.02 50.04
Phone:(503- 02F�73 Fax: ( I Ice maker 1 12.51 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:ABVOZBP21 LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Katie Patterson Roof drain(commercial) 12.51
Address:Same as above Sink/basin/lavatory 5 25.02 125.10
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) I as: :I ) Tub/shower/shower pan 3 12.51 37.53
E-mail:katie@sagebuilthomesllc.com Urinal 25.02
Water closet 3 25.02 75.06
CONTRACTOR
Water heater 1 37.52 37.52
Business name:Ed Mullen Plumbing Water piping/DWV 56.29
Address:1601A SE River Road Other: 25.02
City/State/ZIP:Hillsboro, OR 97123 Subtotal
Phone:(503 )572-4586 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:92689 Plumbing Lic.no.: 3i.114 Q Plan review (25%of permit fee)
State surcharge(12%of permit tee)
Authorized signature: /' (lfi3O, ifia,t!Lteitete, TOTAL PERMIT FEE
Print name:Katie Patterson Date: 12/1/22 Thu 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.
1-\Budding\Perm,s\PLMU-PermdApp.doe 10/01/09 440-4616T110/02/COM/WEB)
Plumbing Permit Application - City of Tigard ' • •
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(eat Total Square Footage: Permit Fee:
Footing drain- I`100 5003 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $16469
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service- 1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100- 3752
Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54
$1.00 to$5,000.00 Minimum tee$72.50
Storm&Rain Drain-each additional I nU 3757- $5,001.00 to$10,000 00 $72.50 for the first$5,000.00 and$1 52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge—1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge—1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font D Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
-Drive Thu as defined in OAR9 I 8-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
Isometric or Riser Diagram
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice MachlRefrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Iav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
plumbing permit can be issued.
Water Closet-Toilet P g P
Urinal
Other Fixtures:
I:\Building\Permits\PLMFPelmitApp.doc 08/04/2011 2
1cl
N . "
,, 1 ,----,# Y Dwelling
Building Division
M 5�ZZ—C�3s
ne & Two-Family
g
Fees Checklist (
q y a 1p sty' Lc 139 g ,Srs, Lbv. 51---
PERMIT INFORMATION:�y� Application Date -FEE VERSION Jv I.y z.OLZ_-
Permit#: i Y�✓IZn22 — 0 d� 0 Plan #: Floors: 3(
Valuation: S-341270 , 1p Covered Porch: 4,e6 Basement
Bedrooms: 3 Deck: 1"Floor le'7
WC (toilets) 3 Deck Cover: 2"d Floor 3
Lavatories LI Patio Cover 3rd Floor
Tub/shower. 'L Accessory Struct. R-3 Total 1 33
Laundry Tray Water Heater l Garage 2
Exhaust Vents Li Gas Flue Vents Total for Elec. 7-3
Backflow Prey. \I cCurnace Heat Pump /(AC,) # for Electrical 3
BBQ Gas Fireplace #Fuel Lines
FEES: Description: Fee Applies: Fee Entered:
DC Prov Revw: Planning
Info Proc/Arch: Lg$2.00 (over 11x17) J 5
Info Proc/Arch: Sm$.50 (up to 11x17) 3c
Metro CET: Residential Use
School CET: District:
Tigard CET: Admire
Tigard CET: ODHCS
Tigard CET: AN
Electrical Permit: Permit Fee:
Limited Energy:
12%State Surcharge
Mech. Permit: Permit Fee:
12% State Surcharge
Plumbing Permit: Permit Fee:
12% State Surcharge
Erosion Control: w/Permit-Ping
Notes:
I:\Building\Forms\ResPlanCheckFees.doc 12/13/22 Page 1
City of Tigard
:114 : " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review - Residential
TIGARD
®
Building Permit #: f.4 II, �DU j 1°
Site Address: 6( 3 g N 5 tof 1.-0,1 i J Si. Verified in Accela
Project Name: kshiOfdaLK- V,ItFS Lo' 1 L�/Unit #: I-I
Proposal (include housing type): NQltit Roui \4 5-t Zone: 0tS- D
Required Site Plan Elements: KZ ✓t54'wt 1--: 4evi zwe 61/1-1-`J'lgi�
4 c9pies of site plan on max 11x17"
'Drawn to standard scale ,
91porth arrow et and site trees shown._/ labQLed
cite address, project name, lot # calculating tree canopy at matuTrt-y)
treet names ( for S)
.Per
name and phone # le)
,FeLot and setback dimensions Vision clearance triangle
❑ Cxistirxrstructuros-&squ=i-ofootage gUtility locations & easements
"Sl� ootprint of new structure and FFE I�'roperty corner elevations
idewalk/driveway dimensioned �_ ." 190 sf disturbance)
IrLot area and lot coverage percentage a�•, rosion control
Required levation Plan Elements:
(For ''. calcs needed only on street-facing) Garage doors dimensioned
vre rirawn to standard scale Su[nmary table with calculations for:
r. :uil.ing eig t dimensione• Fe/Total facade area
racau I iOneu Total garage area
Required Floor Plan Elements: giSummary table that includes
Each story dimensioned q/Total floor area
Each story floor area calculated VFloor area per story
Planning Review
The followin standards have been met:
A ' ?J
Setbacks Front: i 5 Rear: _ L5 Si .N/'/f� N Min/Max Street Side: /,/� Garage:
r I e r.lr
Height ❑ Max. Height: 3 r\roposed Height: e' -'/:\
it
d Yes 0 N/A Landscape - )J'!o w<;It
IC'
Vi.es E N/A % Window Coverage r 1 paft<4 r 5 '
ov'Y 0 N/A CSER Ool x ,.r,di► 1
rkinq (Other Resl
Les 0 N/A Entrance (SFR, Rowhouse, Quad only)
Yes ❑)l/A Other building design standards (Rowhouse only)
❑ Yes N/A Accessory Structure Standards
Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads:
reyes ❑ N/A Unit Count:
L YYes ❑ N/A Lot Width and Size
❑ Yes f i N/A Pathway
itional standards for Courtyard Units and Co ers only:
❑ Yes Unit Area:
❑ Yes ❑ N/A Floo
❑ Yes ❑ N/A r
❑ Ye Fence
Dyes ❑ No MIV/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995)
Yes ❑ No ❑N/A Public Facili ies Improvement (PFI) Permit:
Required: g Yes ❑ No
// Applied For: 'Yes ❑ No, stop intake
Pl,Sensitive Lands: l3Yes ❑ No
'Land Use Case #: Pa.2301D - ooee C�Conditions met prior permit issuance
Approved By Planning: Date: / /ii/e•L
Notes
Revision 1: Approved ❑ Not Approved Date: 7 Z Z
Revision 2: 0 Approved 0 Not Approved Date: 'L
Building Permit Submittal { ,
Original Submittal Date: t' f I ` ed—
Site Plans #: 11
Building Plans #:
Building Permit #: X Building permit # entered on page 1
Workflow Routing: ,k Planning V Engineering `Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning (include notes from planning review)
Route 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.
Permit Technician: 1 Date: 1 / a----
Notes:
Engineering Review 1
2'Slope at building pad: A`
8-Conditions met prior to issuance of permit
jsements (encroachments) per engineering conditions of approval and plat
ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes F to
Assess Water Quantity Fee in-lieu: ❑ Yes o
� LIDA Facility on lot: 0 Yes go Add Fee: 0 Yes 0 No
C3'Final Plat Recorded
B OT Approved: Y ,-'i°fl4 Date: 1-c•Zsy3
Notes: eA.l 1 o„r G" 5 real. /rrrt4ic 1 ! ! v'r 14 .Pt,2. P64.L.c, i t.'- l a-rs /9 t .1.0
4-$5IM 4 4--Le- cA( 6" Adprers.4( I.
Approved By Engineering: Date:
Revision 1: ,C}-improved ❑ Not Approved K. ��S)-3 i Date: ( - l 'l -yo'L"-11
Revision 2: 2-Approved ❑ Not Approved 14. r!if8.2 Date: ;.- (3 •Zo Z3
Permit Coordinator Review
fd'Conditions met prior to permit issuance
0 Approved, NOT Released: Date notified applicant:
7 ENG Revisions Required: NQUA\cpx6 Date notified applicant: 1 -CA -2Q7iZ.
\I SDC Exemption: 0 Applied for ❑ Received 0 Does not apply
ASDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A
Tigard Trans SDC: Yes 0 N/A 0 Deferred
Parks SDC: Yes 0 N/A 0 Deferred
LIDA ❑ Yes v�71 N/A
yf OK to Issue/Approved by Permit Coordinator: Date: I (g 62.v2
Revision 1: .e(Approved ❑ Not Approved QQ Date:
Revision 2: /Approved 0 Not Approved 71 /� Date: �113'2(!)Z"z,
Hope Pollard
From: Hope Pollard
Sent: Monday,January 9, 2023 12:19 PM
To: katie@sagebuilthomesllc.com
Cc: Kenny Fisher; Agnes Lindor
Subject: MST2022-00518--MST2022-00521
Hello,
Revisions are required for the following permits for Ashbrook Villa rowhomes. Please submit a transmittal sheet and
three new site plans for each permit with the necessary revisions and contact Kenny, copied here, with any questions:
MST2022-00518: show 6" storm lateral installed per plan. Is lot 17 lateral also used for lot 18?
MST2022-00519: show call out storm lateral for lot 18
MST2022-00520: show correct sanitary lateral. Call out storm lateral.
MST2022-00521: Call out 6" storm lateral for lot 19 per plan. Are lots 19 and 20 using the same 6" lateral?
Thank you!
Hope Pollard
Associate Planner
City of Tigard I COMMUNITY DEVELOPMENT
13125 SW Hall Boulevard
Tigard, Oregon 97223
www.tigard-or.gov
Email I HopeP@tgard-or.gov
I� .filth
1