Permit •
�S• a ,R
of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Ilk B
Req est Permit Action 6FA Ti�G'n i�D? 13125 S Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: CITY OF TIGARD
gIECEIVED
Building Division Services Supervisor AUG 2 3 2012
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gcerNOF TD
FROM: n Owner ® Applicant ❑ Contractor Sta
(check one)
REFUND OR Name: Legend Homes
INVOICE TO: (Business or Individual)
Mailing Address: 12755 SW 69t Avenue #100
City /State /Zip: Portland, OR 97223
Phone No.: 503- 620 -8080
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
® CANCEL /VOID PERMIT APPLICATION.
REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
® INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
• REMOVE /REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit #: MST2010 -00108
Site Address or Parcel #: 13942 SW Walnut Creek Way
Project Name: Walnut Creek
Subdivision Name: Walnut Creek Lot #: 34
EXPLANATION: This Permit Application is over two years old, was reviewed under
previous Building Code cycle, and Legend Homes plans to re -tool all plans in Walnut Creek.
Signature: — - Date: August 23, 2012
Steve ucas
Print Name:
Refund Policy
1 The Director or Building Official may authorize the refund of.
a) any fee which was erroneously paid or collected
b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended
c) not more than 80% of the land use application fee for issued permits
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended
e) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2 Refunds will be retumed to the original Payer in the same method in which payment was received Please allow 2 -4 weeks for processing refunds.
FOR OFFICE USE .ONLY, F :: t,
Rte to S s Admin: IFEMILWIME Rte to B1d l Admin: Date affiragl B ;M.
Refund Processed: B Invoice Processed: Date ez� B 4 4
Permit Canceled: Date e5921.1 B 4 .112I Parcel Ta_! Added. Date B
Remit # Date Method Amount $
1. \Building \Forms \ RegPerrrutAetion doe Rev 05/25/2012
CITY OF TIGARD
Building Division
TIGARD 13125 SW Hall Blvd.,Tigard, OR 97223 503 718.2439
INVOICE
TO: Legend Homes Customer ID: 55151
Attn: Steve Lucas Invoice No.: INV2012 -00011
12755 SW 69 Ave., #100 Invoice Date: 8/27/2012
Portland, OR 97223 Date Due: Upon Receipt
Case No. Site Address Subdivision - Lot # or Project Name Amount Due
MST2010 -00108 13942 SW Walnut Creek Way Walnut Creek, Lot 34 $131.54
Invoice Total: $131.54
® Please see attached fee schedule for description of fees due.
•
(Detach and return this portion with payment.)
Case No.: MST2010 -00108 Customer ID: 55151
Site Address: 13942 SW Walnut Creek Way Invoice No.: INV2012 -00011
Project: Walnut Creek Invoice Date: 8/27/2012
Date Due: Upon Receipt
Invoice Total: $131.54
Amount Paid: $
Office Note: Route copy of receipt to Dianna Howse when payment received.
Please mail payment to:
City of Tigard, Building Division
Attn: Dianna Howse
13125 SW Hall Blvd.
Tigard, OR 97223
I. \Building \Accounting \Invoice doc 01 /14/2011
CITY OF TIGARD FEE AND PAYMENT HISTORY
rn4r11 ;'_ 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
.TIGARD
MST2010 -00108 - 13942 SW WALNUT CREEK WAY, TIGARD, OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due
Plan Review 2300000 -43106 $751.34 $751.34 $750.00 6/17/10 Check 178366 $1.34
CDC Plan Review, RES 1003100 -43112 $64.00 $64.00
$64.00
CDC Plan Review, RES - LRP 1003100 -43117 $9.00 $9.00 $9.00
Erosion Plan Review CWS 1003100 -22003 $28.60 $28.60 $28.60
Erosion Plan Review COT 2300000 -43107 $28.60 $28.60 $28.60
Totals for Fees $881.54 $881.54 $750.00 $131.54
Receipt # Payment Method Check # Payor: Receipt Date Receipt Amount
178366 Check 2037 Estate of Matrix 06/17/2010 $750.00
Development Corp
Total Payments: $750.00
Balance Due: $131.54
Building Permit Applicati t . 0 0742 ,g_
Residential 7 FOR OFFICE USE ONLY
City of Tigard JUN (� l!, Date/By Received /7 /■ Permit No kbr2,10 °NNo
° .13125 SW Hall Blvd , Tigard, O; Pl an Reviei
C -t V TIGARD si Other Permit )
Phone: 503 639 4171 Fax • 50 Date/B , �® c w
. 41 7BUIL I 9 DIVISION T:y `rPa
Inspection Line: 503 639
TIGARD Date Ready :y ®SeePage2for
Internet. www tigard-or gov Notified/Method Iv I 1 IM Supplemental Information
Cftl c Siltole.t LJti. •
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
❑ Addition /alteration/replacement ❑ Other: dollar) of all equipment, materials, labor, overhead, and
CATEGORY OF CONSTRUCTION the profit for the work indicated on this application
Valuation:201 5 S-243-77468730
® I- and 2- family dwelling ❑ Commercial /industrial )
❑ Accessory building ❑ Multi- family Number of bedrooms: 3
® Master builder ❑ Other Number of bathrooms. 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address 13942 S.W. Walnut Creek Way New dwelling area: 1,967 square feet
City /State /ZIP: Tigard, OR 97223 1 Garage /carport area: 395 square feet
q/8/ Suite/bldg /apt. no.: Project name: Walnut Creek �8 / Covered porch area: Z square feet (1
Cross street/directions to job site: Barrows & Walnut .J`' S ■ Deck area 4
J m square feet CJ`1�
S.
r'-Of t
. - L IA Other structure area: z3(c2 , square feet
REQUIRED DATA: COMMERCIAL USE CHECKLIST
Subdivision: Walnut Creek v M ( Lot no.. 034 Permit fees* are based on the value of the work
I ax map /parcel no.: 2S104BB 11700 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.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ 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 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)
Total fees due upon application:
CCB lic.: 55151 #750 Amount received:
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: 6/17/2010 * Fee methodology set by Tri- County Building Industry
Service Board.
`tat 5GR • 15
Electrica,! Permit Application ®1 FOR OFFICE USE ONLY
I City of Tigard ��99
Date/By Permit No {�1S 1� __co IU
13125 SW Hall Blvd., Tigard, OR 97223 y T
g Plan Review
Phone. 503 639.4171 Fax. 503.598 1960 Date/By Other Permit
TIGARD Inspection Line. 503 639.4175 Date Ready /By tuns El See Page 2 for
Internet www tigard- or.gov Notified/Method Supplemental Information
TYPE OF WORK PLAN REVIEW
® New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans whtems 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
® I - 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
❑ Emergency system larger separately derived system
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
100HP or more occupancy
Job no.: Job site address: 13942 S.W. Walnut Creek Way El vehicle parks
❑ Six or more residential units P
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 Descnpuon I Qtv. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Walnut Creek Lot no.:034 1,000 sq ft. or less I I 168 54 168 54 14
Ea. add'I 500 sq ft or portion ? 33.92 f -O( , 1
Tax map /parcel no.: 2S104BB 11700 Limited ener gy, residential
� Jy �
DESCRIPTION OF WORK (with above sq ft ) I a 75 2
Limited energy, multi - family 67 84 2
residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
200 amps or less 100 70 2
0 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133 56 2
Name: Legend Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301 40 2
Address: 12755 SW 69 Avenue, Suite #100 Over 1,000 amps or volts 552 26 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 59 36 1
Owner installation: This installation is being made on property that I own which is 201 amps to 400 amps 125 08 2
not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 401 amps to 599 amps 168 54 2
701. Branch circuits – new, alteration, or extension, per panel
A. Fee for branch circuits with
Owner signature: Date: above service or feeder fee, 7 42 2
® APPLICANT I ❑ CONTACT PERSON each branch circuit
B Fee for branch circuits
Business name: Legend Homes without service or feeder fee, 56 18 2
first branch circuit
Contact name: Steve Lucas Each add'l branch circuit 7 42 2
Address: 12755 SW 69 Avenue, Suite #100 Miscellaneous (service or feeder not included)
Each manufactured or modular 67 84 2
City /State /ZIP. Portland, OR 97223 dwelling, service and /or feeder
Reconnect only 67 84 2
Phone: (503) 620 -8080 Fax: : (503) 598 -8900
Pump or irrigation circle 67 84 2
E -mail: slucas @legendhomes.com Sign or outline lighting 67 84 2
CONTRACTOR Signal circuit(s) or limited -
Business name: Garner Electric energy panel, alteration, or Page 2 2
extension
Address: 2920 SE Brookwood Avenue #A Each additional inspection over allowable in any of the above
Additional Inspection (I hr min) 66 25/ hr
City /State /ZIP: Hillsboro, OR 97123 Investigation (I hr min) 66.25/ hr
Phone: (503) 648 - 4552 Fax: (503) 642 - 7925 Industrial plant (I hr min) 78 l8/ hr
Inspections for which no fee is 90 00/ hr
CCB Lic.: 121159 Electrical • • z . -305C Supry Lic.: 3707 -S specifically listed (1/2 hr min)
/ ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requir : Subtotal 1+5% )
i
Print name: Chuck Garner / / ' . . • I . 7/2010 Plan review (25% of permit fee)
State surcharge (12% of permit fee) 4 .
Authorized signature: TOTAL PERMIT FEE. 33 86 ,7 A- +
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit
Mechanical Permit Applicatio ' FOR OFFICE USE ONLY
City of Tigard Date/By Permit No ( iiV— co ta t y
- u 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639 4171 Fax 503 598 1960 Date/By Other Permit
TI GARD Inspection Line. 503.639.4175 Date Ready/By inns ® See Page 2 for
Internet: www tigard- or.gov Notified/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® 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:
Description Qty I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 13942 S.W. Walnut Creek Way Air conditioning
(requires site plan showing placement) 46 75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) I 46 75 46 75
Suite/bldg. /apt. no.: Project name: Walnut Creek Furnace 100,000+ BTU (ducts /vents) 54 91
Gas heat pump 61 06
Cross street/directions to job site: Barrows & Walnut Duct work 23 32
Hydronic hot water system 23 32
Residential boiler (radiator or
hydronic) 23 32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc - 46 75
Subdivision: Walnut Creek Lot no.: 034 Flue /vent for any of above :3 32 I
Other. 23 32
Tax map /parcel no.: 2S104BB 11700 Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23 32 23 32
Gas fireplace 1 33 39 33 39
Flue vent for water heater or gas
fireplace 23 32
Log lighter (gas) 23 32
Wood/pellet stove 33 39
Wood fireplace /insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23 32
Other: 23 32
Name: Legend Homes Environmental exhaust and ventilation
Address: 12755 SW 69 Avenue, Suite #100 Range hood /other kitchen
equipment 1 33.39 33 39
City /State /ZIP: Portland, OR 97223 Clothes dryer exhaust 1 33 39 33 39
Single -duct exhaust (bathrooms,
Phone: (503)620 -8080 Fax: (503)589 -8900 toilet compartments, utility rooms) 5 23 32 116 60
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23 32
Business name: Legend Homes Other 23 32
Fuel piping
Contact name: Steve Lucas $14.15 for first four; $4.03 for each additional
. Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc 1
Gas heat pump
City /State /ZIP: Portland, OR 97223 Wall /suspended/unit heater
Phone. (503) 620 -8080 Fax: : (503) 598 -8900 Water heater 1
Fireplace 1
E -mail: slucas @legendhomes.com Range I 14.15
CONTRACTOR Barbecue
Business name: Tri County Temp Control Clothe Othher er dryer (gas)
Address: 13150 Clackamas River Drive MECHANICAL PERMIT FEES*
City /State /ZIP: Oregon City, OR 97045 Subtotal .`0r`
Minimum permit fee ($72 50)
Phone: (503) 557 -2200 Fax: (503) 557 -0919 Plan review (25% of permit fee)
State surcharge (12% of permit fee) '36.7 (
CCB lie.: 72623 TOTAL PERMIT FEE 3.37, k(
Authorized signature: ,d /% 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: 6/17/2010 * Fee methodology set by Tn-County Building Industry Service Board
Plumbing Permit Appheating
Building Fixtures /1
\1 ;/ I 0 FOR OFFICE USE ONLY
City of Tigard Received Permit No
2
n 13125 SW Hall Blvd , Tigard, OR 97223 DDate/By C1'GC�If�
Phone: 503 639 4171 Fax. 503 598 1960 D an Review
.
Dan Other Permit No
TIGARD Inspection Line' 503.639.4175 Date Ready/By lures ® See Page 2 for
Internet: www ttgard-or. gov Notified/Method Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use check list
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 312 70
Z I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437 78
SFR (3) bath I 500 32 500 32
❑ Accessory building ❑ Multi - family
Each additional bath/kitchen 25 02
® Master builder ❑ Other: Fire sprinkler ( sq ft ) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 13942 S.W. Walnut Creek Way 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.: Project name: Walnut Creek Manufactured home utilities 50 03
Cross street/directions to job site: Barrows & Walnut 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: Walnut Creek Lot no.: 034
Fixture or item
Tax map /parcel no.: 2S104BB 11700 Backflow preventer 31 27
DESCRIPTION OF WORK Backwater valve 12 51
Clothes washer 25 02
Dishwasher 25 02
Drinking fountain 25 02
Ejectors /sump 25.02
0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Legend Homes Fixture /sewer cap 25.02
Address: 12755 SW 69 Avenue, Suite #100 Floor drain floor sink/hub 25 02
Garbage disposal 25 02
City /State /ZIP: Portland, OR 97223
Hose bib 25 02
Phone: (503)620 -8080 Fax: (503)598 -8900 Ice maker 12 51
® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25 02
Business name: Legend Homes Medical gas (value $ ) Page 2
Contact name: Steve Lucas Primer 12 51
Roof drain (commercial) 12 51
Address: 12755 SW 69 Avenue, Suite #100
Sink/basin/lavatory 25 02
City /State /ZIP: Portland, OR 97223 Solar units (potable water) 62 54
Phone: (503) 620 -8080 Fax: : (503) 598 -8900 Tub /shower /shower pan 12 51
E -mail: slucas @legendhomes.com Urinal 25 02
CONTRACTOR Water closet 25 02
Water heater 37,52
Business name: Wolcott Plumbing
Water piping 56 29
Address: 1075 W. Historic Columbia River Hwy Other. 25 02
City /State /ZIP: Troutdale, OR 97060 Subtotal 500 32
Phone: (503) 667 -1781 Fax: (503) 667 -9891 Minimum permit fee' $72 50
CCB Lie.: 112220 Plumbing Lic. no.: 26 -824PB Plan review (25% of permit fee)
State surcharge (12% of permit fee) 60.04
Authorized signature TOTAL PERMIT FEE
Print name: Gloria Hawes Date: 6/17/2010 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
PLOT PLAN 6/14/10
LOT V34 WALNUT CREEK RECEIVED
ii
1342 SW WALNUT CREEK WAY V 0 1 DUN 17 2010
NE i SECTION 4, T. 25, R IW, W. M. 1-. 20r-ar
CITY OF TIGARD I/ 5ftg(//eITY OF TIGARD
WASI-IINGTON COUNTY, OREGON [7 , ; i f - - . . -- i .,) .13111LPING DIVISION
vir" LEGEND '
._ am.A..).1 io e . I
___ . _ , __ _ . , — — . -
. A AA TIM t)
n. ( HOMES
0, vi A
-4,,11.1111 12755 51( 69th AVE. OFFICE (503) 625-9090 , ' t I ' •
am „,, - .1.1.1 . ,' , 1 11 1t SUITS 100 FAX (503) 593-8900 ^ • ,rf•-,
s.... -". POR7LAND, OS. 97223 OW 55151 r' -.
, 01
IA'
W WATER LINE
SS SANITARY SEWER
1 J
SD STORM DRAIN l i
° ° EROSION FENCE C ,
q ¢ OF STREET
69 WATER METER
0 MANHOLE '''''<i4 A , >:,
ID CATCH BASIN 4.
PROPOSED rr ..<14 k ./ i ,
STREET TREES c9A !
03 STREET LIGHT = '\
<-' 4/ .' \
, i '
FIRE HYDRANT , 1 ,
6IIIS 43
ry -....
. 41 ' 0
PROVIDE EROSION :. .,, 4 ..1: , / 4 )
CONTROL FENCE k 1. ,i1Mrir: - k .. , .
1
A t .. L r CO . ,--„,
PER COMMUNITY 239.9' „rrim * 44 - ( r
i i ! ,
EROSION PLAN ,,_,_—____ - • 2.,,,
/ ___—-- \ \ \ ,, . , / ______ 5TREET TREE:
.4 k .„, .'"- - Ci-IANTICLEER PEAR
LO T -,____-- . 7.-....., 2" Caliper
S i
- -
° ------- ---------------::"----
,...„
‘ ' l e ..'' - - - -- --- ?.-_ - 1..OT :34
:.--:-.>"-!- 3,1155CF1' --; ";-- - 5- - - 1 -"
239.9'
• - --: -- " - - . ?: - WILLOW 13 41
s / --_-.---%_::: FIN. FLR Cv
• *itp --_. GAR. FLR a ) t o
a ,
l■
Cr
1 r\'
8/1)"44. ?:,..a)::11, ....................17.2i: _ :::--:7- ,.%.- ---------;.;—:::: 044 1 :1 , ..r_i /7.______ 1 :7:: LOT
/
Ce / 4 ' - - '
_ • - .' , ,:f i t. p .,., ,,.
81 -
■ 14/
, •
k.i.,
SETBACKS :
FRONT YARD • 15 FEET 1,3
l 0
GARAGE • 20 FEET CA _
REAR YARD • 15 FEET
SIDE YARD • 4 FEET
STREET BIDE YARD • 10 FEET
I
CITY OF TIGARp SITE PLAN REVIEW
.-
'ING PERMIT NO.: a iv, •r lc. ar-
' A ING DIVISION:
Required SetImks: El' Approved 0 Ni' ,Anr-c.. 0:
Side: V H Street Side:
Front. 16 Garage: ..10_ , ,
Visual Clearance: 1:3' Apprpved : , Nt,i , '..i,H ojtk•
Maximum Building Height .11... tek:t
_ r CWS Service Provider Lettcr RiNuired: r: Y r :Vt.
I3. : kkaj Oatt. (e Ird/O
ENGI:
Actual S )ope: % lApproved 0 Not Approved
Site PI : Approved El ot7Sproved
By: Date: k 1 7 (0
tro ,e
iifirc let PLAN REVIEW
DWLDUITG 140: /A5 k) 0 — ct)i dr .o--. AST
Street Trees: el/ Approved 0 Not Approved
Protected Try% Approved 0 ypproved
BY: - 7 5 61. fmti Date: C/J7 /70
Notes: