Correspondence \ .
FOR OFFICE USE ONLY - SITE ADDRESS: / /e6 /S Z- 9 c y ch94 Gxb 7'
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
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: Gary Pa.gen5kec . DA �LK Fa i .s E : ,�_
DEPT: RT tir rlraT(� r LVI I ga ff - 1 LY l S ._. r .. . f �'
Y` DEC 0 3 2012
FROM: MOV\< S-1 e,,va(.4 CITY OF TIGARD
PLANNING/ENGINEERING
COMPANY: Mark 5 -kvANo v 4 \Orrte, Des ig h
PHONE: 503 - $$ 5 - V-17 By V/..../
RE: (site / Su) Z9 4C/ D �,c. tve9 -y / /� — &0 / S-3
ite dress ) (Permit Number
W614. 00.k V; ila e. L* 9 d_M J 4,6 it Y
(Project name or subdivision nietand lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: [opies: Description: .
Additional set(s) of plans. 3 Revisions: .6 L / 5, S /7 -
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. 3 Engineer's calculations.
Other (explain):
REMARKS: /Z/ S £ /d Ge C7C.[ e E` S772,c4 c7 �—
/2V U 77 L i 77 h+-- �- N� � �� � /Y
FOR OFFICJ USE ONLY
Routed to Permit hnician: Date: ( (-2 Initial : M
Fees Due: es ❑ No Fee Description: Amount ue:
•.i: $ i fAli , EX)
$ c�
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: &Ike,- Date: i &-1 10 ( ()-' Initials: c /7/2---
I \BuddmgTonns \TransmivalLetter- Revisions doc 05/25/2012
11 a Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No.: / - eV 1
Site Address: / /06 / -S L667 (9f9' - edit/ i
Project Name & Lot No.: Le# /Ta" Q 6' V/ /LL 9.6- Lo T 9
CWS Service Provider Letter
Required: Yes ❑ No ❑
Received: Yes ❑ No ❑
Routed Plans: S /�� € , G �¢,I
. i
4 " 2 / 2 7 4 0 2 - Original Plan Submittal Dat 4 " 2 / 2 7 4 0 2 - AraT�„ 77 a. 774./ T Y E S F���
1st Revision Submittal Date: ❑ Site Plan Only / ' —
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked ( ✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if a pr ved.
Planning Review (contact ._ _, s+. at 503 -718- 13 or ' @tigard- or.gov)
Land Use Case No. At lay - °060
Zoning 2- 4 _
❑ Setbacks:
I
Front 1/ 5 Rear /3 Side Street Side Garage zo
❑ Maximum Building Height: 3S Actual Building Height 3 Z.
Er Visual Clearance
,0 Easements
. Sensitive Lands Type: /1/P)
.12r Street Trees
.P" Protected Trees / ,/p'
Notes: % //Z / s .5' S/ j l Ll
f lyitee 4••.• tcc t k R '4.1 je a.. ``i/� O 5 '�
Original Plan: Approved ❑ Not Approved Er Date: /2 —"/ / Z
Revision 1: Approved Not Approved ❑ Date: /L - ..6 2
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
.Actual Slope:
Notes:
Original Plan: Approved,,0 Not Approved ❑ Date: I2 `2-
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @ tigard- or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
f /
Okay to Issue Permit: Yes No Itd 17i1`I f V v/
Date Routed to Building:
!2. ,�r�
s 17/��'I'l
• •
Ft .. • • -
•
Page 2 of 2
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❖ ❖ ❖ ❖ ❖ ❖• PLAN UJH I T K
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' n Interior Design
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LOT INOR1"1ATION _ ' I1"IPPVIOUS AREA'S: a
LOT AREA 2,166 SQ. FT. CO w 159 SQ. FT. DRIVEWAY L 0 T ?fl9
IMPERVIOUS COVERAGE 1,439 SQ. FT. 32 SQ. FT. PORCH
BUILDING COVERAGE 66% 14 SQ. FT. WALK Please
BUILDING HEIGHT APPROX - 30' -5' 0_ 16 SQ. FT. PATIO bf. °�
9�4 SQ. FT. BUILDING COVERAGE SCALE 1/8 " = 1 ' — 0 " °`�`
oas r+.,....
no edeper Mirk M1.L �
rt 1= W1 swede.
1,439 TOTAL SQ. FT. IMPERVIOUS AREAS a a
mwnay w w
ny.q or a.
WOODEN CURB RAMP awlSIhv oe gUlf:
STREET TREE �ry w
- `� ��p
2 PYRUS CALLERYANA CAMBRIDGE
= CATCH BASIN PROTECTION w�e�••a•
= WORK STAGING/ MATERIAL STORAGE WESTLAND HOMES
/ = CONSTRUCTION ENTRANCE
: ** *. = COVERED STOCKPILES " ' N ��9 ''g VILLAGE
SEDIMENT FENCE ��� °A'B
2012 NOV. 2012
J ULY 2012 DEC. 2012
I V . L5 . = COVER ALL AREAS OF BARE SOIL UNTIL '"O
PERMANENT LANDSCAPE IS IN PLACE 5'ITE'
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