Permit Support Document (2) 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
11111
s . Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: frgd 0G3 DATE REECEIV`ED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Pop (--4`-rib") APR 2 5 2023
CITY OF TIGARD
COMPANY: BUILDING DIVSION -�
PHONE: °105 Sb $-6 3 3 5-
EMAIL: d, lpht h / i /0 / m/ C.Cc51/1"
RE: 77 '..-Y J /11151- 20 22-- 60 38Y
(Site Address) (Permit Number)
3r20 sro j.orr- 3
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: . Description: Copies: Description:
Additional set(s) of plans. y Revisions: ROeAD 5/
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: 122sm D 6 !ar fi r" to DP f-AJJS z On L C--r/2c7-
I 7A0 n) D1 Fri For- /ADA IN Ricwr 07 t 2 Sc
FOR OEH'ICE USE ONLY
Routed to Perm' chnician: Date: Y 2."3 Initials''"
Fees Due: E Yes No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified:' Date: ii -`7/ Initials: A,jr'
City of Tigard FeAA,Sioiv ' (_fie(1141 attokd1 s by )
COMMUNITY DEVELOPMENT DEPARTMENT 0 �w s �"a �f
Building Permit Review Residential
TIGARD
Building Permit #: I4 91 Ur? Obi
Site Address: - - I1 2 S1 0 Verified in Accela
Project Name: OY'S Lot/Unit #: 3
Proposal: soenAJ ¶ i P-emove side- yard prvervort. Zone: i S-
Housing Type:NFR(CkSingle Detached 0 Duplex 0 Triplex 0 ADU)0 Rowhouse❑Cottage Cluster❑CYU❑Quad 0 Other
Required Site Plan Elements: Y/45/?-3 i, Jj. fc vut.
E. copies of site plan on max 11x17" , 1/M• •rawn to standard scale 0 Retained trees, drip line/tree protection''
❑ No - •rrow 0 Street and site trees shown / labeled
❑ Site addr- project name, lot # 0 Table calculating tree canopy at maturity
❑ Street names (N/A for SFR)
❑ Applicant name an. = one # 0 Courtyard rec - - • e dimensioned (if applicable)
❑ Lot and setback dimensi• 0 Vision cl-. ance triangle
❑ Existing structures &square •• •.e 0 Uti" • locations &easements
❑ Footprint of new structure and FFE • •roperty corner elevations
❑ Sidewalk/driveway dimensioned 0 LIDA (>1,000 sf disturbance)
❑ Lot area and lot coverage percenta. - • rosion control
Required Elevation Plan Eleme• s:
(For SFR: talcs needed only • street-facing) Summary table 'th calculations for:
❑ Drawn to standard -le 0 Total facade area
❑ Building height . ensioned 0 Total window and doo - ea
❑ Fagade dim: sioned
❑ Windo - and doors dimensioned
❑Gar-.e doors dimensioned
R- ired Floor Plan Elements:
Not required for SFR) 0 Summary table that includes
❑ Each story dimensioned ❑ Total floor area
❑ Each story floor area calculated ❑ Floor area per story
Planning Review
The foil•wing standards have been met:
Setbacks • Front: Rear: Side: Min/Max Street Side: / Garage:
Height 0 . Height: Proposed Height:
❑Yes 0 N/A Landsca.-
❑Yes 0 N/A Screening (Qu.: •nly)
0 Yes 0 N/A % Window Coverage
0 Yes 0 N/A Garage (SFR Only) Parkin. .► er Res)
❑ Yes 0 N/A Entrance (SFR, Rowh• Qua. •• )
❑ Yes ❑ N/A Other building .=-'gn standards (Row' • e only)
❑Yes 0 N/A Accessor - ucture Standards
❑ Yes 0 No Qua " ng pre-existing unit exempt from standar. Cottage unit only)
Additional st - •ards for Courtyard Units, Cottage Clusters, Ro •uses,and Quads:
❑Yes 0 ► • Unit Count:
❑Y-: • N/A Lot Width and Size
rig Yes 0 N/A Pathway
Additional standards for Courtyard Units and Cottage Clusters only:
❑Yes 0 N/A Unit Area:
❑Yes 0 N/A Floor Area (per story)
❑ Yes 0 N/A Courtyard
0 Yes 0 N/A Fence
❑Yes ❑ No ❑N/A Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995)
❑Yes 0 No ON/A Public Facilities Improvement (PFI) Permit:
Required: ❑Yes ❑ No
Applied For: 0 Yes ❑ No, stop intake
❑Sensitive Lands: 0 Yes 0 No
❑ Main Land Use Case #s: ___ 0 Conditions met
❑Applicant notified of land use expiration date: = �__
Approved By Planning: -
Date:
Notes _ _=
Revision 1: ❑Approved ❑ Not Approved Date:
Revision'I; �A proved 0 Not Approved Date: £l f 25'rZJv
Building Permit Submittal
Original Submittal Date: rs,.1_ _ -
Site Plans#:
Building Plans #:
Building Permit #: G9-Bailding permit#entered on page 1
Workflow Routing: ®-Finning ngineering rmit Coordinator i -Baitd(ng
Workflow Sign-off: i 'S`ign-off for Planning (include notes from planning review)
Route Documents: Ei-E-ngineering: (1)copy of permit application, (1)site plan,(1)building plan
and o ginai plan review routing form.
uiiding: original permit application, site plans, building plans,engineer and
beam calculations and trust details, if applicable, etc.
Permit Technician: 1.- �'• v Date:� , __
Notes: !`/�,t� 1 �pp/ es, .t.,:/
Engineering Review
❑ PFI Permit: _,__
❑ Slope at building pad: _._.._ %
❑Conditions met prior to Issuance of permit
❑ Easements(encroachments) per engineering conditions of approval and plat
❑Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes ❑ No Add Fee: 0 Yes 0 No
❑ Final Plat Recorded
❑ NOT Approved: __TM, m..__ Date: .-a
Notes: .. _:
Approved By Engineering: Date:
Revision 1: 0 Approved 0 Not Approved Date: ._.
Revision 2: pproved ❑ Not Approved Date:
P44074; DA
-' ,Gt u P+ A O (fhr-Z §- 1 L\ OA* `• y 124/2023
Permit Coordinator Review
❑Conditions met prior to permit issuance
❑Approved, NOT Released: �:., _,g, Date notified applicant:
0 ENG Revisions Required: Date notified applicant:
❑SDC Exemption: 0 Applied for ❑ Received 0 Does not apply
❑SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes ❑ N/A
Tigard Trans SDC: 0 Yes 0 N/A 0 Deferred
Parks SDC: 0 Yes 0 N/A 0 Deferred
LIDA ❑Yes ❑ N/A
❑OK to Issue/Approved by Permit Coordinator: Date:
Revision 1: 0 Approved ❑ Not Approved _ ._. . Date:
Revision 2: 0 Approved 0 Not Approved _,_,,. _. _ Date:
Fbri:s./.u*43i grliPpet,,rcJ D OM AppOn"a - ---.- D 4-27-2023 __._,