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Permit a CITY OF TIGARD MASTER PERMIT I N tl • COMMUNITY DEVELOPMENT Permit #: MST2009 -00201 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2009 Parcel: 2S104BB12200 Jurisdiction: Tigard Site address: 13933 SW WALNUT CREEK WAY Subdivision: Lot: 0 Project: Walnut Creek Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms 4 First 1027 sf Basement: 0 sf Left 5 Parking Spaces 0 Height 25 Bathrooms 3 Second 1386 sf Garage: 413 sf Front 15 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total sf Value* $263,005.35 Rear 15 PLUMBING Sinks 1 Water Closets 3 Washing Mach: 1 Laundry Trays 1 Rain Drain. 1 Catch Basins 0 Lavatories 4 Dishwashers 1 Floor Drains. 0 Sewer Lines* 100 SF Rain Other Fixtures: 0 Tubs /Showers 3 Garbage Disp 1 Water Heaters: 1 Water Lines* 100 Drains: 0 Bckflw Prevntr. 0 MECHANICAL Fuel Types Air Conditioning N Vent Fans: 5 Clothes Dryers' 1 Natural Gas Heat Pump. N Hoods 1 Other Units 0 Fum <100K 1 Vents* 0 Woodstoves: 0 Gas Outlets' 4 Fum > =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! 500 sf 4 20 1-400 amp: 0 201 -400 amp 0 1st W/O Svc/Fdr. Limited Energy 401 -600 amp 0 401 -600 amp 0 Ea add'I Br Cir 601 -1000 amp: 0 601 +amp -1000v 0 1000 +amp /volt. 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo N HVAC N Security Alarm: N Vaccuum System N Garage Opener. N All Other N Other Description Ecompasing Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) MATRIX DEVELOPMENT CORP LEGEND HOMES CORP'SEE MATRIX 1 MST Ersn Cntrl 503 - 681 - 4444 12755 SW 69TH AVE #100 DEW TIGARD, OR 97223 12755 SW 69TH AVE #100 TIGARD, OR 97223 PHONE PHONE 503 -620 -8080 FAX 503 - 598 -8900 Total Fees: $12,428.57 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 do .n ordance 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 ATTENTIO ' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 01 -0010 through e ' R 9 - •01 -0 10 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800 332 2344. 4 /, Issu Permittee Signature: k,- 1 )1(4,1/4-;" 'X . 0....,_, B'uildif1g Permit Application i Residential RECD I \I FOR OFFICE USE ONLY City of Tigard Received . a I Date/By /9 409 Permit No Myf 9� '� a p f 13125 SW Hall Blvd , Tigard, OR 972�CT a 5 ZQ)9 D an Revtew II ' ' Phone: 503 639.4171 Fax: 503.598 1960 Date/By /0 Other Permit AJ 1040 // L TIGARD Inspection Line. 503.639.4175 CITY OF TIGARD Date ReadyBy j tuns ® See Page 2 for , g g Internet' www.ti and -or. ov BUILDING DIVISDIVISION • +£ie• [hod !0 - r t��J ' 1 ' la ; , 7, E Supplemental Information _ r TYPE OF WORK _Allp, REQUI F D DATA: 1- AND 2- AMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest ❑ Addition/alteration/replacement ❑ Other: dollar) of all equipment, materials, labor, overhead, and CATEGORY OF CONSTRUCTION the profit for the work indicated on this application. ® I- and 2- family dwelling ❑ Commercial /industrial Valuation`?��pt `5344�k54.7� 11 Accessory building ❑ Multi- family Number of be 4 ® Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13933 SW Walnut Creek Way New dwelling area: 2,413 square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: 413 square feet Suite/bldg. /apt. no.: Project name: Walnut Creek Covered porch area: 41., square feet Cross street/directions to job site: Barrows & Walnut Deck area: square feet Other structure area: r262 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Walnut Creek I Lot no.: 039 Permit fees* are based on the value of the work Tax map /parcel no.: 2S104BB 12200 performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and DESCRIPTION OF WORK the profit for the work indicated on this application. ,\J 5* Valuation: / Valuation: $ � Existing building area: square feet New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: Name: Legend Homes Type of construction: Address: 12755 SW 69 Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing: Phone: (503) 620 -8080 Fax: (503) 598 -8900 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue, Suite #100 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing,, the following reasons apply: Phone: (503) 620 -8080 I Fax: : (503) 598-8900 E -mail: slucas @legendhomes.com CONTRACTOR Business name: Legend Homes BUILDING PERMIT FEES* Address: 12755 SW 69 Avenue, Suite #100 (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Portland, OR 97223 Phone: (503) 620 -8080 Fax: (503) 598 -8900 FLS plan review fee (if applicable): CCB lic.: 60563 t Total fees due upon application: 7t17).° Amount received: ,}- 7 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 10/7/09 * Fee methodology set by Tri -County Building Industry Service Board. 1 \Butlding\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(I1/02 /COM/WEB) %Eiectrigal Permit Application Cl of Ti aril R FOR OFFICE USE ONLY Received Permit No.: /f,/ r ' 'J g ' Date/B i / i / f � iQ�� q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review M Phone: 503.639.4171 Fax: 503 598.1960 OCT u w 2009 Date/By Other Permit 444.42 09- TIGARD Inspection Line 503.639.4175 Date Ready/By Juris ® See Page 2 for Internet. www.tigard- or.gov CITY OF TIGARD Nottfied/Method Supplemental Information TYPE OF W J1LDING DIVISION PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings ❑ Multi- family ® Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ", Job no.: Job site address: 13933 SW Walnut Creek Way IOO or or more occupancy ❑ Six or more residential units. ❑ Recreational vehicle parks City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: Project name: Walnut Creek ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Barrows & Walnut Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Walnut Creek Lot no.:039 _ 1,000 sq. ft. or less I 66 4 Tax map /parcel no.: 2S104BB 12200 Ea. add'I 500 sq. ft. or portion 4 �. 1 Limited energy, residential DESCRIPTION OF WORK (with above sq. ft ) I ( �' 1 . 2 Limited energy, multi - family 75.00 2 residential (with above sq ft ) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: Legend Homes 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 454 65 2 City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)620 -8080 Fax: (503)598 -8900 200 amps or less 66.85 I Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 100 30 2 not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 133 75 2 701. Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with Owner signature: Date: above service or feeder fee, ® APPLICANT ❑ CONTACT PERSON each branch circuit 6 65 2 B. Fee for branch circuits Business name: Legend Homes without service or feeder fee, 46.85 2 first branch circuit Contact name: Steve Lucas Each add'I branch circuit 6.65 2 Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included) Each manufactured or modular 90.90 2 City/State /ZIP: Portland, OR 97223 dwelling, service and /or feeder Reconnect only 66.85 2 Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Pump or irrigation circle 53 40 2 E -mail: slucas @legendhomes.com Sign or outline lighting 53 40 2 CONTRACTOR Signal circuit(s) or limited - energy panel, alteration, or Business name: Garner Electric extension. Describe: Page 2 2 Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above City/State /ZIP: Hillsboro, OR 97123 Per inspection 62.50 Investigation per hour (I hr min) 62 50 Phone: (503) 648 -4552 Fax: (503) 642 -7925 Industrial plant per hour 73.75 CCB Lie.: 121159 Electrical ' • -305C Suprv. Lie.: 3707 -S ELECTRICAL PERMIT FEES Subtotal: oT: ZZ Suprv. Electrician signature, requir : o Plan review (25% of permit fee). Print name: Chuck Gamer tid)17.-r. .. a • : /7/09 State surcharge (12a/o of permit fee). Z LIS i TOTAL PERMIT FEE 340 .Z '3 Authorized signature: — This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. . L.Dcc, VCR l (n7.e- I \Building\Permits\ELC- PermitApp doc 03/23/06 2 5 + ° Plummibing Permit Application Building Fixtures FOR OFFICE USE ONLY � ^/ City of Tigard "• ECEVEI'.ateBy /0N09 en Permit No pgr�,/yy/ (j ...05 `6J( n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review v "v II Phone: 503.639.4171 Fax: 503 598.1960 OCT il 5 20G9 Date/By Other Permit No 2a e n n ef TIGARD Inspection Line. 503.639.4175 Date Ready/By tuns ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF WORIiiUILDING DIVISION FEE* SCHEDULE 0 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 (I) bath 249.20 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ID Accessory building ❑ Multi - family SFR (3) bath I j Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq ft ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 13933 SW Walnut Creek Way Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16 60 Suite/bldg. /apt. no.: Project name: Walnut Creek Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Barrows & Walnut Manholes 16 60 Rain drain connector 16 60 Sanitary sewer (no. linear ft.. ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Walnut Creek Lot no.: 039 Water service (no. linear ft.. ) Page 2 Fixture or item Tax map /parcel no.: 2S104BB 12200 Absorption valve 16 60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16 60 Dishwasher 16.60 ® PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16 60 City /State /ZIP: Portland, OR 97223 Floor drain/floor sink/hub 16 60 Phone: (503)620 -8080 Fax: (503)598 -8900 Garbage disposal 16.60 ® APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16 60 Business name: Legend Homes Interceptor /grease trap 16 60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69' Avenue, Suite #100 Primer 16 60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Sink /basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: slucas @legendhomes.com Urinal 16.60 CONTRACTOR Water closet 16 60 Business name: Wolcott Plumbing Water heater 16 60 Address: 1075 W. Historic Columbia River Hwy Other City /State /ZIP: Troutdale, OR 97060 Subtotal "560 :3 Minimum permit fee. $72.50 Residential backflow minimum permit fee: $36 25 CCB Lic.: 112220 Plumbing Lic. no.: 26 -824PB Plan review (25% of permit fee) �/_ State surcharge (12% of permit fee) ltd ////' l Authorized signature. Tt try/ - 1 -U-2A TOTAL PERMIT FEE S 6903k Print name: Gloria Hawes Date: 10/7/09 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 ' 4 Mec hanical Permit Applicat A - FOR OFFICE USE ONLY � , Ell/ � _ E R ece ived Ci}� of Tigard a / Permit No l D r p nc, `, g Date/By: / I 0 /T( �7 � ICJ/ ° 13125 SW Hall Blvd., Tigard, OR 97223 O ' 5 2009 Plan Review //,_ Inspection 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit ‘ 9 . 0/240:9, 1 09 T I GA R D Inspection L1ne' 503 4175 CITY O F TI Date Ready/By: Juris El See Page 2 for Internet: www.tigard -or gov GARD Notified/Method Supplemental Information — TYPE OF ttitIVNG 1-MOIN COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ® Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning ho or heat pump Job site address: 13933 SW Walnut Creek Way (requires site plan showing placement) 14 00 City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) I 41.Z� Furnace 100,000+ BTU (ducts/vents) 17 90 Suite/bldg. /apt. no.: I Project name: Walnut Creek Gas heat pump 14 00 Cross street/directions to job site: Barrows & Walnut Duct work 10 00 Hydronic hot water system 14 00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14 00 _ Subdivision: Walnut Creek l Lot no.: 039 Flue /vent for any of above _ Other: 10.00 i Tax map /parcel no.: 2S104BB 12200 Other fuel appliances _ DESCRIPTION OF WORK Water heater Gas fireplace I I =33711" Flue vent for water heater or gas fireplace Log lighter (gas) 10 00 Wood/pellet stove 10 00 Wood fireplace /insert 10.00 ® PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00 Other. 10.00 Name: Legend Homes Environmental exhaust and ventilation Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen 35-3/ j equipment I City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust I �. • Single -duct exhaust (bathrooms, �3 )++ Phone: (503)620 -8080 Fax: (503)589 -8900 toilet compartments, utility rooms) 5 , /Vet ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Legend Homes Fuel piping Contact name. Steve Lucas r first four; $1.00 for each additional Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. 1 14. 1 J s— Gas heat pump City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Water heater I Fireplace 1 — E -mail: slucas @legendhomes.com Range I CONTRACTOR Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES* ���CCCaaa City /State /ZIP: Oregon City, OR 97045 Subtotal) Minimum permit fee ($72 50) _ Phonc: (503) 557 -2200 Fax: (503) 557 -0919 Plan review (25% of permit fee) CCB lie.: 72623 State surcharge (12% of permit fee) '34, V2-. TOTAL PERMIT FEE 3 7, (, Authorized signatures This permit application expires if a permit is not obtaine within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 10/7/09 • Fee methodology set by Tn- County Building Industry Service Board I \Buddmg\Permits 'NEC- PermitApp doe 01/19/07 440 -4617T (1 1 /02/COM/WEB) CITY OF TIGAR D - = ` `' -` A` A -e-1) h` S l — Za d - o O Zd BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 .0 DATE ISSUED: Phone: (503) 639 -4171 . �mv�i� i 1 l rt Inspection Requests (24 Hrs.): (503) 639 -4175 ,_ � :_.. INSPECTION WORKSHEET FOR DATE: 3/ . a TIM PAGE: SITE ADDRESS: /3q33 Z v k CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ' OWNER: PHONE #: - 7 q3— - 2c 6 t CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Ins ection Description Confirm # Contact # Message 311 p.� L.A___S Corrections /Comments/ nstr Oions: ( g 4 l 1-x/4 C.. ) V C J J a I 5: _ , ._ . . . i . 4 . . . ... / 2.4 C ' - 6 3 - - -7" --4_,: ( .1 q All./ r A.- .-___...A --- i , ■ 0 et & 'ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 02 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED -)/ Inspector: ici Date: Z--/l O Phone #: (503) 718 - Z 2--1 PLOT PLAN 9/I,/09 LOT 39 WALNUT CREEK . , A 13933 SW WALNUT CREEK WAY ' • NE a SECTION 4, T.25, R. IW, W.M. • ' . 1•• 20 -0• CITY OF TIGARD . WASHINGTON COUNTY, OREGON LEGEND.... .•.:1 7� � HOME S • • • -.4 w ;- I 1 1 1 16766 6r n an. . 0PPICB 6 (06) 030 -0060 60777 100 FAX (606) 666 -6600 PORTLAND. 08 07666 CCM 66161 • f . • LOT e 6) LOT co LOT . 48 m 4 _ i , • J E VISED " .. ` N = N _ 46 238 241 ` - 43.00' �• 239 ' O - a 1 • c 5"8-88:-.1.22::: 53.50' _ '� - I' m 9 • 240.9' N I 24�. 2' 4.00' / \ 4 � 4.00' I TRACT 'E' ` `* LOT X39 / / M� /4,133 SOFT' RECEIVED I z i F RDAR ' al I FLR 24 z t LOT OCT 2 12009 4100' m1vf 40 CITX OF TIGARD -... 240. Z I BUILDING DIVISION . A k kw 241. ■ V ■ � 240 W — - - — WATERLINE ;� 4, 7 .33 4 / ' - • el • 240 • 55 — — — — SANITARY SEWER ' °` �� 4. 7.3.3 `.Y ui • - r , .f c --- n / SD — - - — STORM DRAIN \ l . a � r 0 -0— EROSION FENCE ' T - 1 ` '7l ,u >` • 0 WATER E EEER ¢� \ t i. 8• 0 MANHOLE - . ' % / ' el sib ® CATCH BASIN S \ 0% PROPO TREES \ ��.Q - � . / � � ---\‘11110' 4 �� �C /� 239 Fa STREET LIGHT � Dm T \ U FIRE HYDRANT C ' C j - _ I � 71 95; � � PROVIDE EROSION -4)-= CONTROL FENCE ¢ PER COMMUNITY n EROSION PLAN rl' STREET TREE: CHANTICLEER PEAR SETBACKS : 2 °Caliper ' '{ .i FRONT YARD • 15 FEET f,"'!'• GARAGE • 20 FEET REAR YARD • 15 FEET SIDE YARD • 4 FEET STREET SIDE YARD • 10 FEET ►,. .. r CITY OF TIGARD - SITE FLAN REVIEW BUILDING PERMIT N0:: rr 7CPc1.S~G20I PLANNING DIVISION: Required Setb.a •s: or r Approved A ❑ Noi an nre • t Side: Street Side: p From. [. G rage: O_,_ Rene: L . Visual Clearance: ea Appr ved ❑ Not %ppro % ►,! Maximum Building Height. feet CWS Service Provider Letter Required: ❑ Yes ❑ No ❑ Reef i. d B) : ZtAIN Date: 0/. 0 1 ENG N•EERING DEPARTMENT: - ,,-, ;( -, � -, Actual S ope: % I Approved ❑ Not Approved Site PI : Approved ❑ A proved i ' By: Date: /o 2 of . 3 a 7 Notes: 6 1 01,4___, �_,,,. CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: m gT ?o v . 8G? p I Street Trees: pproved ❑ Not Approved Protected, Tyr es• Approved ❑ Not A roved By: / °d P,. � Date: /0721 o y Notes: •