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Permit CITY OF TIGARD MASTER PERMIT 1 4 COMMUNITY DEVELOPMENT Permit #: MST2012 -00165 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2013 Parcel: 1 S 126DB04600 Jurisdiction: Tigard Site address: 9441 SW 92ND AVE Subdivision: MONTAGE Lot: 17 Project: Montage, Lot 17 Project Description: Building 3, new SFA BUILDING Floor Areas Required Setbacks Reaulred Stories: 3 Bedrooms: 3 First: 278 sf Basement 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 625 sf Garage: 330 sf Front: 0 Smoke Dwelling Units: 1 Third: 666 sf Right: 0 Detectors: Yes Total: 1569 sf Value: $179,418.08 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines. 100 SF Rain Storm Sewer 100 Drains. 1 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 0 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Drywall -Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temo Srvc/Feeders 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: 2 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd 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 Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R - 3 1569 Owner: Contractor: NW AREA INVESTMENTS LLC AAA PROPERTIES INC Required Items and Reports (Conditions) 11150 SW RIVERWOOD RD 16501 NE 65TH CIRCLE PORTLAND, OR 97219 VANCOUVER, WA 98682 PHONE: PHONE: 360 -609 -3465 FAX: 360 - 718 -9701 Total Fees: $13,621.15 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 952 - 001 - 001.. •u. OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by cal' • .3.232.1987 or 1.8.0.332.2344. Issued : _ I i .1/I� ALL ��. . Permittee Signat '_ri • Call 503.639.4175 by 7:00 a.m. for the next available inspectio • te. 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. -- 4. Bending Permit Application ' - Radios id , . City of Tigard SI 13125 SW Ball Blvd.. Tigard.OR 97223 Phone. 503.7131439 Fax: 503 5911 1960 55 rn vnew tigard-or miv . itar Min T rum* No, /�/2) a) 5 , ,-....... Ir i .3 od......c51 2_ /vp inspection Line. 03.639.417 . — 1 iii sort sr 2 or Inteet I nocasenseass. 4 ., 24 // 5 sussismessei infons_ IVPZ 011 WORK . 1 11111(011111" DATA: I.- va Zdf lue dildfir of the V 11AVULIONG 0 . ragew constniction Demolition indicate the value (rounded to the newest duilw) of ail 0 Additionnikersion/mplacernan 0 Other equipment, nintesials, labor, overhead, and the molt for the work indiceted on Otis application. CATMINT 01 CONNTRUCI1ON ' Valuation: S en. and 2-family dwelling I 0 Commercial/indostriel _ Number of bedrooms: -, 0 Accessory building La Multi-family _— — Number of bethroonuc 3_ 0 Mader builder I 0 Other: JOB sus INPONINATION AND LOCATION Job lite address 9441 SW 92 Ave ci - r ^, .-, r .,..1 . ,:, 11' 0 72.2 3 On raid number of Boors: New duelling area: agricarport arca: smiare fest square fee' Subleltlap4 no I Project name: tI ej r -%./. :ri Covered porch sires square feet .■ I Cross street/directions to job site: Deck area: square fret • — - - (0 a 5 .- _________ Other suucture ar ea: # irri,;„ spine feet 7 4 IINIQUItiO DATA: CONONISICIAL-VIIIICINICIILINT Subdivision I Lot no.: 17 Permit foss* are band on the value of the work perforated. Wieser the value (minded to the newest defter) dull Tax map/perm' no.: equipment. materials, labor. overhead and the profit for the DIESCRIFT)ON OF WOW 1 woak irldiadttd on this molicatiun. ,.....- i < ..-:• A. Valuation: S .,. .. •.... I Existing building area square feel New building area: square fees a rionurry OWN1121 I 0 irsmArn Number of stories. Wane AZ ■Ne A r et, f rwe 54 hNe wit I' 1 Type of construclion: Address. 1 1 )50 5 1,,i ve rwried Rd 1 Occumincy groups: City/State/ZIP: p e t r .1-Iciv■d OR. 9 7z i 9 i Existing: Phone: 1 5V3L3 g 7 37 1 7 Fax: (5gr3) 3 g 7 - 3 7Th' New: tgrAPIPLICANT 0 CONTACT PUMP' MAW MOM' fur Business mune: i A--A Veopec4,c " c Mx" mar e St 17 rucianal plan review fee (or depos4 C'ontact s ' 1 wine: - ol• MI " .0. ,. • k • • KS** review fee (if apPlicilb14 Addres -- E1 ' b•S G r , Total fess due upon application. t City/State/Z3P: P V V\ ephief W - : 1 . ) , h, Ammo received • ilim- 4 300 . ..Lk•t:2.5 Fax: , 4 , 4 7 c1 " MIGILTAIC WI PA S IWNEL WIM MP I" - mai': I ft h pCCIW (+( E'L , Tvk b 1 riv .3-1"‘ ROVO Commercial and tosidcnisal' prescripihor' matallition of • COMMACTON I -I roof-iop mounted PledoVoliaie Soler Panel System. Business name: A A A (p - ()eo.r.-viec. Submit Iwo (2) sets of toot plan with connectiondetails ,.. end fire depantnent mom ekes wiib die 2010 Gam Address: k 650 t ''S et R. Sok' Installation .Iptelaity Code dtailist. ,, -- - - Cit \la ikeriiVe C koki A 4t9)--6'g6( -.-1 I Permit Fee (includes plan review SIS0.00 and edministraiive Pees): rime: 1 3Vd ) t, 0 q - 34 10.5 ! Fax: (8(e0) r4.1c6 ..1 TO &Me surcharge (12% of permit fee): S21.60 B itc.: iq tt_ 4,04 - /7 __ Tend fee due upon application: S201.60 X Authorired signature: Tab permit application mines if a perlitit is sat alitansed +roc c t te.{-- whine 111i days after it bas been aceepeed es complete. print flume: --t--4 ii , Qi r q ‘61 ..., • Fee ariediesblogy set by Trt-County Budding Mammy ---- Servtee Board. tAliuddinglPetmirs1BUP-RFSPeremApp.doe 02/24/201 I 440 - 4613T■ 11/02/COWWLE)) 1/27/12 'attachnt 12480 ■3232) - 4 1 ' Plumbing Permit Application Building Fixtures 2 $ 1 1911 (II I l( 1 _IUrF Ti .-- _-_._ .... City of Tigstrd I perm„ 13125 SW Hall Blvd., T ., , ^ �� Recei �� '1 I Phone: 503.718.2439 M . 1v'1'C�N ?N e - I lnikr to mil Inspection Line: 503 .$ 1 1 � +' • ?we Resdv/R - 1 I�� T to �.. p.g. 2 for I it.Aki) Internet: www.tigard - ot. Notified/Method I I Supplemental Information 1 T1TE OF WORK 1 r FEE" SCHEDULE { 1 _ New construction I [1 nemotitinn _ _ For special information usechecklist 1 - Description I Qty. T Ea I Total ■ p Addition/alteration /replacement I ❑ Other: New l- 2 -hrilr dwefiage (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION 1 SFR (1) bath 312.70 - and _-f m arm.) dwelling 'i ❑ ComerclaPindustrial I SFR (2) bath 437.78 I SFR (3) bath 50032 II ( - Acces n bu ;tree ❑ Multi 1 Each additional bstWk al itci 25.02 I L %lame' bu, kin( ❑ Oder: I Fire sprinkler (__ sq. ft.) Page 2 10B SfTF I^JFORM.kT!ON .4.ND LOCATION Site utilities: I Job .itc address: 9441 SW 2 Ave I Catch basin or area drain j 18.76 ■ City /State/ZIP: qj I Iwe leach line or tratch drain 18.76 (� � Footing drain (no. linear ft.: __I Page 2 � �. J Suite/bldg./apt. no.: I Project name: 1 r ac Manufactured home utilities 50.03 Cross street/directions to job site: q:)..fia A ../� `l +1/211 V Vid !A.m.. • •' 18.76 ,b �•" Ruin drain connector 18.76 Sanitary sewer (no. linear ft.: 1 Page 2 Storm sera (no. linear R: _ ) Page 2 I Water service (no. linear ft.: _ ) Page 2 Subdivision: I Lot no.: 17 Fixture or least: Tax map /parcel no.. Battflow prevents 31.27 Backwater valve I I 12.51 I DESCRIPTION OF WORK not, wa.h!r f 12 n2 [ Dishwasher 25.02 Drinking fountain 25.02 Eje.iu tamp 25.02 PROPERTY (SWNF.R I ❑ TFNANT Expansion tank ` 12.51 I Name: 1 \\ W _ a - 1.30WP tine v L-L Fixture/sewercap 25.02 i Floor dratn/tloor sink/hub 25.02 Address: 1', a W Cal �� Garbage disposal 25.02 City/StatealP: I t 1 *l ud l s l a-lq Hose bib 25.02 I Phae: ( JJ SO } _y, "ii i Fax: 3 � 2 4 -37-7 t Ice maker ( 12.51 I 174 APPLICANT I u CONTACT ON interceptor/grease trap 25.02 Business name: Medical gas (value: S _) Page 2 I - -- - Primer 12.51 Contact name: w ., • - -- Roof drain (cammacial) 12.51 Address: SinkAasiiVlavatowy 25 02 City/StatefZIP: Solar units (potable water) 62.54 Phone: ( ) I Fax:: ( ) Tub/shower /shower pan 12.51 1-... -mail: Urinal I Water closet 25.02 CONTRACTOR ward heater _._ 37.52 Business name: m Aj fu i t o E,rlfekAt t r e 3 Water piping/DWV 56.29 Address: P /) a V 1r 1r 2 0 yjq t: 25.02 V AA City/State/ZIP: IC 01 Le d jar q Y . Subtotal Minimum permit foe: 572.50 Phone: ( - 7"7'2. S?/ 4',/+r Fax: (�D) � ZZ< y - / b JI I I CCB Lic.: 1 7/76/ 1 Plumbing Lie. no.: Lao Ply review (25'5 of permit fee) State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT 4))."034,....4.40, FEE ! This permit application expires if a permit is not obtained signs NO days Print name: �Qi1►t`It I !7" � � � Zt7� oderkMs been aeaptedmcompkse. `Fee aWbodnlopv set by Tri{Ywnty Building badman Sena Hoard I:iaed etPm nei .MllMawtAp' doe IWaII S 4116161110,02KOIWWF111 Electrical Permit Application . City of Tigard Pinar No.: i 3(25 S W Nail Bid, 7iprd OR y 7213 • P1ra Rev yr auc ham: 503.7112439 Fax: 503.591.1960 paam9y: I Lae: 303.639.4175 Rec Readr4dy _ - - -- -- auto. O See P 8r 2 for Ialq.st wtrw.tisador.gaw Mor6ed/Mc ,d: — Smppleaemlal IUNrasis T1TE 011r rt)'oR'It - . j PLAN REVIEW J Ncw construction 0 Midition/allimation&replaix:ne n Plan discs as that apply Mama 1 seas , , airass doodad below): ❑Demolition ❑ Other ❑ novice or Roeder 406 maps or moose 0 awe. Ogee *nee w h e r e the nubble smelt came O Monts and baat,.J . CATEGORY OF CONSTRUCTION exceed' 10.090 aim m 197 vales or 0 floating bolding* I - and 2-family dwelling p Cnmme reislPmdvet.:al p Aceemory building leas to stood. a Iowa* t4 ono ❑ caaaaewFsal yiwmol r moo tit an imrmilstloas. �6R Multi- ftunil 0 Master builder Other ❑f•+p " p la.tatWienof75kvAor JOB SITE INFORMATION AND LOCATION Cl EarerVOL, syuwr• ws issa�ely -3 . syssma.l ❑ Addition of maw moat Iced of ❑ "a 'E - . - 1-2", "1 -3". Job no.: Job etc address 9441 S 92 Ave Idblif or mote. ..y. I ❑sin or more ondmael yam, ❑ Rest moan vehicle perks. City/State/ZIP: a CI Hoollhve timbres El Sanity usage for more rem , !/ I ❑ Hradaw loatens. 600 vain sea final SvitdbldgJapt no.: Project name: + 1✓ ,/ / ❑ Sonia or louder 600 amps or .sae Cross street/directions to 'ob site G1 1 FEE SCHEDULE 1 !: ate' , $ I' 1 A t 11 " 4 " 1 . I ow. I ae. 1 -- *wed -- New reaidcstiat stain• or mattl-$m9y tlwtllhm salt fuchsia attached prase. Subdv iision: I Lot no.: 17 I .WOsq. It or le es I 166.54 4 Es dd'l 500 to R or woman 1 33.92 I I I Tax mappareel no.: limited cony, rendrntml I 75.00 1 2 ocscxirnoa OF WORE (with above sq. R.) 1 Limited minim: id cony, a eta e.) 1 75.00 1 Srviaa or feeders InstaMw. likrai ., aadro relocation 1 200 amps aleis 100.x0 ' 2 *PROPERTV OWNER I n Triton f n 201 amps a 100awls 133 56 1 2 Name: %1 . W ` A n in l Y ti'YA Qy1 j- S L-1, -C 401 am to 600 neaps I 20034 12 I • 3v 601 amps s ,� (� a 1.000 maps 301.04 2 ; Add \%.5."0 ♦ 3 t.. ' V ' ( i i a d r e t Over 1.410 nap or votes 1 552 26 2 i City/State/ZIP: 4Ia ya, t C�1 R '- �� 1 Temporary eatio axvkes err toilers iseratiaKa., aMesrd.., author I raMafiaa Phone: 604 3 8 -i. -31 `] Fax: (_ - 3 4 46'.". 20 le° 5936 I .._ ____ 1 I Owner installation: This installation is being made on ppaty that I own which is not 201 a¢t1400aps 125.01 1 2 ne intended for sale, lease, rent, or exchange, according to ORS 447, 449.670, and 701. Breath i°a° s 599 sops 16154 i ne eds - am, aNerada., or estates., der pad `a I "°a 0 APPLICANT ©carr PPERSON `. "` Ise tar Masa amen more arts broth c e i 1 742 I : I Business name: B. Fs for brat! Mesita Mass � mom et Dada las, Oat 56s is -I 2 Contact name: brooch Malt Emil add? broth Wait 7.42 2 Address: Mbeellmems thinice or leader sat Ia lideQ City/State/ZIP: apish .mat r madliar 6714 2 avoid's', - erviceaad%or feeder Phone: ( 1 1 Fax: : ( 1 a._a_ataaly 6714 2 hasp r intamem area 67 - 64 2 [ 1-mail: . ____ _ Iran rr maim signaling 1 67 a4 2 CONTRACTOR Slant Oaks) ritaisdewp� a Business name: ` 7/ pti ,lQG C.. 4:2i� [PIMA fillatiakiltwlloai et Paget , of Q / C oZ ' I ` Fad.ddllia.ai itsp«rlaa aver aMw.Me ia mops eat above Address: Addamsl a (t l r anus I 1 6625/ 1r 1 I t' ISta/dLli' /�/ y� •, v 11 1me tam (1 *min) 66 75,1w "'' ✓ G��7 -f� ��� 6rdsetrii plant (I fear) 75 15/ hr I Phone: (3,60) 90 f - it'L I Fax: ( ) Impte an wll. u.tee r o ow hr C 13 Lie.: i' 4 / g I Electrical loin.: e- 1 Supty. Lie.: — spadRcalh hand (ss 1r men S%5 �6.J >riEcraciu. ear PEZB ( subtotal: Supry Electrician signature, required: �' '' ..�id 1_ Pao Min« (25% of permit fa): Print name: 4� p!/0, f,� /! S ' Dare: Oes/Z -7 / + I Staler meals permit (12% of p fee) 1 Authorized signature: f` [DIAL PERMIT PGIS: 1 Ilia soma apfeNiw amino w e pear to men eraiaed wlWa WI Print mane: diNs arms r Ms has eeorpesd as a w .._.._- _ l__L ate i ..__...._ • Mambo of iaeuaceimw *Mowed Pa Pecans 1. /ie6 e*hr6i.CJweilp dot 07AIl1e 44046117111/CYCOI4WES Mechanical Permit Application City at Tigard o.r<e Puma No 13125 SW Hall Blvd . Tiganl,OR 97223 Ph pe ar u� „� , Thant A)3 718 2439 Fax 503 598.19M RI Downy ' Patna laspea'on Internet. ete 503 639.4175 fur Rev er ” err el seer rage 2 ter Internet. www.ligard•or gr�v flouBed+Metlwd J ` Seor� pleattl gsi m.a �--- — TYPE OP WORK COAORIRCIAL rsi• OCIIKRu Ls - cgs aiscg err Medpnteal permit fete re based on the value ate work New construction ❑ Addition/alteration/replacement _ performed Indium Ste value (rwrded to the nearest doltarlof all ❑ l)emolIlion 0 Other i mechanical m c . ' , 6, , tabor, overhead, and fw&L I — — - - - -- -- value S / CATEGORY OF CO1mTRUCFK)N �lPlwr[ / 1 ell- and 2-tinnily dwelling 0 Commercial/industrial ❑ Accessory buildtng Fat spedat at/arwrMaw aim ertirdAlr ❑ Multi- family ❑ Master. builder ❑ Other. Oriermair r Loy I Fa 1 Toad Jos $IIY I FORMATIOP1 AND LOCATION Meattag/tooaog 3uh site address 9441 SW 92 Ave ' 1 r e c gems^ show 4&75 City/State/11P: T. ; f, , 4 C ' �1 4' 1 L Furnace 100,1100 BTU (aueep�ona) 46.75 a ` - -. _ t Furnace t00�# ATU (duaalu.aY} Will Suite/b* imp.. Pia: Piojosl maw HO I+ , 0✓ J Heat pump �mqumpea .ate plea rlrowwa placement 61.1)6 Cross street/diredions to job site: 54 ;11 re' f' ye w! .. Syv .. '' r5 / ‘ - ‘ ,1 • _ Duct work 2332 FiydLone, hot weir! system 23.32 — Residential boiler (raditor cc - bydroflt) 23.32 Unn heaters (fuel type. not clean a n -wail. in-doct, saapeail0, eat 46.73 Subdivision. I (at 17 Flat bent fwae'y of alder 2132 _ I (Otter - 23. 32 Tax map/parr-el no.: II i Oilier Net appfiauces: NATION OF WORT[ Water hewa _ __ One 1uej ice' sort 3174 Floe vent for water kegler or gas - fiieslaee , 13.32 — — — _ -- — t.oa lighter (gaol 2332 Wuod/polct stave 33 Wood fireplace/insert 23 - !! Y O IMAM - C hrinnev 1tncdffucivcm - 2132 A t Other _ , 23.32 Mune: pi. W. A rea lekt/.,3/1114/lh LLC I Enviro aoeablrsbaustandventilation: Addresa: i 115 0 s w R, V e E1tJ al a d r tartan• hood/ahcr krtetwo f ( i 33.39 City /tinoe71P Per /et rt d . 0, Q C 7 z i 4 Clo hers d;,-rr =!roust 1 p 19 Single -duct exhaust (bathrooms, Mltoac- I For 4 54' 5c� 2 1 3� , 7 - 3 7 7 7 jl3$ 7. 3 77 $' 1rt :.ontotrtraems, utility rain) 2332 - ❑ APPLICANT ❑ CONTACT MUM I Anidcrawlivece fans 1 23.32 -- I Other 123 32 Business MIX' Fwe! idp Contact as se: I, it/ O for OW her; Sin for and atlttlihad .yeas: I ties ne. pomp City/State/LIP: I wall/srsperded/tmit heater Mhrtne' I( 1 [ Fret: :II ) �t___t hewer 1 [Instate } is -mail: i } }} } COM tA(7OR i Borba is ` %sinews raw s r B.t9 1 -k F� / rho.: Clo faao) 1 1 i Addrtss: a,� se ! 1 C ! INCINANICAL> ILMITft P City/Slate/AP ' to ! .�. 0 dt t(g? I wood Phase , — r s Fad ( l Minimum mom fee (590.00) • v , • Plan review (2s% of penult' fee) CCB ti ' .(� io • se — State surdtargc (12% of paw fee) • .,/ 6 n ftKd C WirdttM 1---)---• f 1 1ATAL PERMl l rEf. I -- - .. - X Authorized stpnaturr .. flu permit vodkas.. eepr.s N .lees* Is s.e .tresi.rd .IMF. lab I sere * eras w� pt. t -� drys srs :prod a err s. n � {<60 Y\ o K Ro i 1{ by r c Industry S. PnM mate r'1 Dec 17r1r: �� / - 1 1 Fee nMhodo ere Tn�ConM durlAre InduStriae Bosse ' w AenanAOp e« o),u7/t2 • iaae111 c 1 r,micommmai r 901/ A,,,) '-' III - • Building Division Development Code Provision Review ' ' `' " Residential Projects Building Permit No: )167 ( - CO «S CWS Service Provider Letter Received: Yes ❑ No ❑ N/A f Routed Plans: 4011V// Original Plan Submittal Date: 1st Revision Submittal Date: Dl/ 2 ❑ Site Plan Only L 2nd Revision Submittal Date: ` /A- /2-- ❑ Site Plan Only eA- 1,e /o )e!. �c$ r - -� VA 7 it ,rNr . 4L E ./�SXo,s ()Alt 41 To the Applicant: - 4'/y / 7 ✓}D Ai r3t'o . Ti i!-4. Dt boa td- • �-6 Each review type must be approved. f the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) 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 approved. Planning Review (contact at 503 -718 - 2 or @tigard- or.gov) Land Use Case No. 5 -- CD . Name Zoning Setbacks: Front Rear Side Street Side Garage lj Maximum Building Height Actual Building Height Er' Visual Clearance 12' Easements D' Sensitive Lands Type: -11/4' `' Notes: , ' 1 ,I ,mot Y w ' Original Plan: Approved Not Approved ❑ Date: 7 - 9 '/Z Revision 1: Approved B. Not Approved ❑ Date: - / 8 - / 2. Revision 2: Approved ,La Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov) Actual Slope: 5 Notes: Original Plan: Approved Not Approved ❑ Date:7 Revision 1: Approved ,0" Not Approved ❑ Date: " ACW Revision 2: Approved -EI Not Approved ❑ Date: 4 1 3 -- 1 5 3,..,...s.---t 4,-,..._ ,. 4 /, i i 1 -3 (--t- LA -'24....0 L-4...c. 6----- ---- Z1.-C - D 6 �_,,,3 t , o-,- - .. Lib s' /I 3 -P 4-A--- +T ft-A,' �...3 Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) Lt" / trees Trees Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: 7-- 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 Okay to Issue Permit: Yes ►:I No ❑ Date Routed to Building. _ /A • � - c7Y 'x/1.3/3/, Page 2 of 2 9s"q/ c - , € Building Division U Development Code Provision Review T I G A RD Residential Projects Building Permit No: , l 5 r i ( -Co Cos CWS Service Provider Letter Received: Yes ❑ No ❑ N/A VI Routed Plans: a // y Original Plan Submittal Date: 1st Revision Submittal Date: 7dJl z ❑ Site Plan Only 2nd Revision Submittal Date: 9 " /. //— ❑ Site Plan Only 6 7be, D /2— -n e j c 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 approved. Planning Review (contact at 503 - 718 - 2 5( i or @tigard - or.gov) Land Use Case No. .5 '�"' Z - ' `C' 3 Name Al 0 Zoning - Setbacks: Front Rear Side Street Side Garage d Maximum Building Height Actual Building Height 0 Visual Clearance Ia" Easements ❑' Sensitive Lands Type: 2117(' Notes: , /.., / Original Plan: Approved - Not Approved ❑ Date: 7 9 ` /Z._- Revision 1: Approved ®'' Not Approved ❑ Date: / - / - Revision 2: Approved ) Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) 21 Actual Slope: Jf Notes: Original Plan: Approved Not Approved ❑ Date: 7 L 0 L - Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 FOR OFFICE USE ONLY — SITE ADDRESS: — a( 4� 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 13 Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DA -, DEPT: BUILDING DIVISION tic `` y APR 18 2013 FROM: ( 69— CITY OF TIGARD COMPANY: BUILDING DIVISIG PHONE: G I ) -- 2_2 Q RE: 9z7L. a? O q 4(__) — CCfCQ/ (Site Address) (Permit Number) /Za •, Ip / 3 sect n. � : or subdivision name and to umber) • ATTACHED ARE THE FOLLOWING ITEMS: Lr1 Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: 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: L._a_eJ FOR OFF CE U E ONLY Routed to Permit echnician: Date: �'�_ Initials: 4_ %-avr Fees Due: es No Fee Description: Amount Due: ' •bk(Ti ` V - e-- REV( 60 $ 2:70 CC $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\ Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 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 II n Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: P4J DATE REC �`,)<� -'D \I r D DEPT: BUILDING DIVISION APR 11Z013 FROM: i, V/ i, CITY Of TIGARD COMPANY: /f 7jJfr drilI// /L UILa��f'I MOON PHONE: 17/ -- - 710 • q663 . RE: Au,- . -- t HT /a 0 ite . a • ess - (Permit Number) (IQ a (l% 3 (Project name or subdivision name and lot number) / ((0 5 ^ ATTACHED ARE THE FOLLOWING ITEMS: / Oce Copies: Description: Copies: Description: Additional set(s) of plans A-4-AS Revisions: 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: Lta ,�/ ' ? JF J 7 Aw_ill___,",er ; 4 4009/4e,/ A/ /I • FOR OF ICE 'USE ONLY Routed to Permit Technician: Date: i '2•4 ( - Initials: Fees Due: ❑ Yes IM 1 0 Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1 I:\Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 FOR OFFICE USE ONLY – SITE ADDRESS: ? S 3 9,, 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. Z City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Z 2 Transm Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov �� t TO: DATE ' . _ ED: 1 N DEPT: BUILDING DIVISION I , � � • E E I MAR 2 8 2013 FROM: . 9) 7V R5)111/V4/ CITY OF TIGARD 1Q / � BUILDING DIVISION COMPANY: nreilieV/1/ �/ l' ;t97 i e c: PHONE: C 7/— Z7 0 . ��i By: \ k I �I RE: U v/ t/ 1 — /1s a D /.. - a 0 `c' ite • • . ress (Permit Number) // .2 /4' (Project name or subdivision name and lot number) 9 4 1 77 Z-- S L /6 A ACHE T HE FOLLOWING ITE S: S �/j/ / /e C' opi:es: Description: Copies: Description: r2....--- Additional set(s) of plans. Revisions: \'j Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. /*ev 0'7 Other (explain): /9 f/,. • - = l,• • , /.//„„61/ 7 / ./ i _ Av- '4 d iS REMARKS: */? / / / 7//(Jp� /40 ///�9�i �7 J /Is A K . / 1-5' S�/i / —■ cl, i: k 7 xr- P 11,5 /AP- 1 .7"r--> / F • ' OFFIC .- U E ONLY Routed to Permit Technician: Date: ' z4 r , EllEggV Fees Due: ❑ Yes Li o Fee Description: Amount Due: J $ Q $ • $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9441 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 210 Foundation walls 05/08/2013 14:00 MST2012-00165 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9441 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 330 Water service 05/21/2013 00:00 MST2012-00165 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9441 SW 92ND AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2014-03-06 00:00:00 MST2012-00165 PASS Violation Summary: Inspector Contractor FOR OFFICE USE ONLY - SITE ADDRESS: c 7e7Z 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 T i G A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: .9i\/ A/EZ -Con/ DATE RECEIVED: DEPT: BUILDING DIVISION R ECEVED FROM: o%4 /1, e'/ 4 im4 JUN 19 2013 COMPANY: Ailif // iik--/7 �: ITY OF TIGARD / BUI DIVI PHONE: 0/71 ��� ge By: RE: A'ST.,2e/a - DD /lp 9 E 92• ,( (Site Address) (Permit Number) 7122 / r /6_3 9 413 3 'roject name or su. @'vision a an. of num, • 1 ( /‘ y ' , 13 /C'..S 994 ( // ATTACHED ARE THE FO WING ITEMS: ti /I /i /6 cr y Li 5 Copies: Description: Copies: Description: Additional se, s) of plan Revisions: Cross section(s) and detai . Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: '5 //U:. &16/ Ae / z - /23 7 7 7 Z / A / 0Z FOR FFI� USE ONLY - Routed to Permit chnician: Date: 7 r ( Initials: Fees Due: es ❑ No Fee Description: Amount Due: •'D ■ •L f +i.` _ ■ _ $ a ct:3 Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: _ Initials: C C a 7 /AI of I: \Building\ Forms \TransmittaiLetter- Revisions.doc 05/25/2012 pAy + "' O/