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Permit ill 11: .r CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2Q13-00127 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 01/21/2014 Parcel: 1S 136CA08600 Jurisdiction: TIGARD Site address: 11060 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot 7 Project: White Oak Village, Lot 7 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms 3 First 596 sf Basement 0 sf Left 3 Parking Spaces 0 Height: 27 Bathrooms. 3 Second. 884 sf Garage 162 s1 Front. 10 Smoke Dwelling Units: 1 Third 538 sf Right 3 Detectors: Yes Total: 2018 sf Value $223.784 93 Rear 15 PLUMBING Sinks: 1 Water Closets 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain 1 Urinals. C Lavatories. 4 Dishwashers: I Floor Drains: 0 Sewer Lines. 100 SF Rain Storm Sewer 100 Tubs/Showers 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains 0 Catch Basins 0 Bckflw Prevntr. 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures 0 Drywell-Trench Drain: 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning: N Vent Fans 4 Clothes Dryers 1 Natural Gas Heat Pump: N Hoods 1 Other Units: 0 Furn<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 WI Svc or Fdr 0 Ea add!500 sf 3 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF V8 R-3 20'8 Owner: Contractor: ANDERSON HOMES&CONSULTING LL(WESTLAND INDUSTRIES Required Items and Reports(Conditions) 5357 LAKEVIEW BLVD 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO.OR 97035 TIGARD.OR 97223 PHONE: 503-572-0746 PHONE. 503-245-9715 FAX 503-598-9081 Total Fees: $17,894 47 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 wilt 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 . e n les are set forth in OAR 952-001-001010 through OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 5 ;04-800 33- 2344 Issued B -ermittee Signature: 4iy4�. cgi.5 },~1175 by 7:00 a.m.for the next available inspection,•a •. This permit card shall be kept in a conspicuous place on the job site until corn. •tion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD SEWER CONNECTION PERMIT 11.• - COMMUNITY DEVELOPMENT Permit#: SWR201 3-001 1 5 T I c AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/21/2014 Parcel: 1 S 136CA08600 Jurisdiction: TIGARD Site address: 11060 SW LEGACY OAK WAY Project: White Oak Village,Lot 7 Subdivision: WHITE OAK VILLAGE Lot: 7 Project Description: Sewer connection for new SF Contractor: Owner: ANDERSON HOMES&CONSULTING LLC 5357 LAKEVIEW BLVD LAKE OSWEGO, OR 97035 PHONE: PHONE 503-572-0746 FAX: FEES Description Date Amount • Specifics: Sewer Connection Fee 01/21/2014 $4,665.00 Sewer Inspection-Residential 01/21/2014 $35.00 Type of Use: SF Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $4.700 00 Required Items and Reports(Conditions) 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 952-001-0010 throu� _*AR 952-001-0090. You may obtain a cop •• 'e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332. ` Issued By: ` _ Permittee Signature: v;��� Call 503.• 5 by 7:00 a.m.for the next available Inspectio• •ate. 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. Building Permit Application Residential FOR OFFICE USE ONLY Date/By:y: S Permit No.: ra(JI3-��/,22 City of Tigard MAY 2 9 2013 Dateive ��! /� . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi �}( (� 1 J r Phone: 503.718.2439 Fax: 503.598.1 OF Date/Be; (` Other Perm't. A[3!3 Inspection Line: 503.639.4175 Or����� Jam_ El See Page 2 for Date Ready):y. TIGARD Internet: ww tigard-or.gov BUILDING DIVISION Notified/Method:9//' /3 Supplemental Information k1f2a6 va TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®' Tew construction ❑Demolition • � , r)_) Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other {t` �(^ •r equipment,materials,labor,overhead,and the profit for the • 5`�t.�� t work indicated on this application. CATEGORY OF CONSTRUCTION r. 6 N�;' Valuation: S 2_2-3 ,`�3 d1-and 2-family dwelling ❑Commercial/industria� r \\ 1 ) L Number of bedrooms: ❑Accessory building ❑Multi-family �c � ❑Master builder ❑Other: Number of bathrooms: r-9 ,5 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /46 6 I f y 0,4 d New dwelling a -)(e square feet City/State/ZIP: -7 M- r D .- f 7 -9 3 - t3arage/carport area: lb y square feet 530 Suite/bldgJapt no.{yr7 Project name: li/1i7( I% M-o-f Covered porch area: S c square feet ReAc- Cross street/directions to job site: Deck area: square feet 51fiti Other structure area: 2 square feet 2:7 REQUIRED DATA:COM11ERCIAL-USE CHECKLIST Subdivision: /:(J-t Ire, . /. at I Lot no.: 7 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: 5 7G C� Q equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. it —- � l g_1,97$1/1/./ Ate, Valuation: $ Jr/�c� Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) / Fax:( ) New: QJ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer rn fee schedule) Business name: /r/ 7�( //� 0 7 /f //1L Structural plan review fee(or deposit): Contact name: ,Zo/3 ,I,,�l� ,,t,/ , 1J2e%e(� FLS plan review fee(if applicable): Address: /0./6 7 L 50 08 .:, Total fees due upon application: ri `! / eD f2, g? `�0•Ci /State/ZIP: Z 2� Amount received: �� Phone:(''.-j3 )57�-c 7L f�j Fax::Q��Q3 ) 5-92.7--90e1' f jl (�g� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail ` ;� j r� � ,?�s �}' /L rL��j Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ( r Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: ?0 C 9t6 Solar Installation Specialty Code checklist. City/State/ZIP('t U )i` b 72 Permit Fee(includes plan review 51 80.00 �i and administrative fees): Phone: ) /. Fax:(99 CV-q6 I State surcharge(12%of permit fee): $21.60 416 CCB tic.: y Total fee due upon application: $201.60 Authoriz-• 'y'ir'r. __.- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. � Fee methodology set by Tn-County Building Industry �I'nnt ran ► i1..1 r �+ r Date: 1 Service Board . `1 1-1Building\Penni,.1BUP-RESPennitApp.doc 02/24/2011 440-4613T(1 UO2iCOMiWEB) Plumbing Permit Applid E \JED , Building Fixtures FOR OFFICE USE ONLY MAY 2 9 2013 City of Tigard Received j D �y e.9 /3 (A Permit No.: pe/'- rr`�0l5' 7 + 13125 SW Hall Blvd.,Tigard,O' tl, I TIGARD Plan Review other Permit No,: 44))2.ege4 g-ob//5' ■. Phone: 503.718.2439 Fax: 51. I Date/By: Inspection Line: 503.639.4175BU DIVISION Date Ready/By: Juba: I 0 See Page 2 for i' Internet: www.tigard-or.gov Notified/Method: L Supplemental lnformation • TYPE OF WORK FEE* SCHEDULE construction ❑Demolition For special information use checklist Description I Qty- [ Ea. I Total ❑Addition/alterttion/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSFRUCTION SFR(1)bath 312.70 td 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath it 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(__sq.ft.) Page 2 • JOB SIT' INFORMATION AND LOCATION Site utilities: Job site address: Ili ,4 f ~` �'illtati•�I.� " Catch basin or area drain 18.76 il ,y Drywall,leach line,or trench drain 18.76 City/State/ZIP: 17 ; i ♦ / 0 , Footing drain(no.linear fl:_) Page 2 7 Suite/bldgJapt.no.: Project name: (Vt, iAleibc-Manufactured home utilities 50.03 Cross street/directions to job site: 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 It.:_ Page 2 Subdivision: e/' , 4:"& 1 Lot no.: ? Fi=tnre or item: Backflow preventer 31.27 Tax map/parcel no.: J f 3b G / 1)--6 Backwater valve 12.51 DESCRIPTION OF WORK - �/],�,�{ }� �f Clothes washer 1 25.02 eo.A5 r ke x) AKi2C 19094/ , Dishwasher 11 25.02 // Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER f ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal i 25.02 City/State/ZIP: Hose bib 7.-- 25.02 Phone:( ) Fax:( ) Ice maker ( 12.51 lid' PLICANT } ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Matiott 47 CS 7 rA Medical gas(value:$ ) Page 2 6Y Primer 12.51 Contact name: Eereyj i ece7;. [; Roof drain(commercial) 12.51 Address: ( 96 (a f by 'jai 4Y `t Sink/basin/lavatory c 25.02 City/State/ZIP: 1) f) � 2-2,- � �Clv Solar units(potable water) 62.54 Phone:(S/53 "7 / _( 2.4 Fax::( }/ 3_912 / Tub/shower/shower pan ;� 12.51 " ( E-mail: f /f � . Urinal 25.02 _ Water closet 25.02 CONTRACTOR r Water heater i 37.52 Business name: i- P"ti0� N y f t Water piping/DWV 56.29 Address: ii g) . e.1 Other: 25.02 City/State/ZIP: i I1 / l db 7 j(-b , - Subtotal ( ) Fax:( ) / Minimum permit fee: $72.50 Phone: Plan review (25%of permit fee) CCB Lic_: q 3 ;, Plumbing Lic.no.:3 if-24,S State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE ,,tftL This permit application expires if a permit is not obtained within 180 days Pent nam fV'� y` Date>�. A. ./ after it has been accepted as complete. �6~ 'Fee methodology set by Tri-County Building Industry Service Board. t:\Building1Pennits\rLMU-PermitApp.doc 10/01/09 440.4616T(I0/O21COMM'FB) Mechanical Permit Applicatione. FOR OFFICE USE ONLY City of Tigard 1 I_( ° "i i Received Dol."�J 11111 Y: 5 9,I .- `!," c .) Permit No.: a , Date,By: / ).-b57-,90/3- 13125 SW Hall Blvd.,1-igard,OR 97223 ''u• Plan Review 1s Other Permit: �i 3_ Phone: 503.718.2439 Fax: 503.5 Date,By: � et)//5--� Inspection Line: 503.639.4175,I �� Date Ready/By: Juris. 0 See Page 2 for TIGAIL) y y g Internet: www.tigard-or.gov Notified/Method: Supplemental Information GP fFTIGARD Bblibi..E OF WORj ON 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 Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* (a1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air 11666 (requires Job site address: 1 (requires site plan showing placement) 46.75 r6/ Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: OK" 6177'71" Furnace 100,000+0,000+BTU(ducts/vents) 54.91 Suite/bldgJapt-note' Project name: } ii i t t' " Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: 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: Wtte 0it/� ill tisittv I Lot no.: '7 Flue/vent for any of above 23.32 Other. 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater f 23.32 Gas fireplace/insert 1 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: Environmental exhaust and ventilation: Address: Range hood/othcr kitchen equipment ti 33.39 City/State/ZIP: Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, '1 Phone:( V Fax:( ) toilet compartments,utility rooms) £1 23.32 CANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name: 11 cyst e, Other: 23.32 _ �?' /~ �f ' Fuel piping: Contact name: r i� �Q,a � 514.15 for first four;S4.03 for each additional Address: l •,V �r `j Furnace,etc. 2- 7O `J 6 # Gas heat pump City/State/ZIP: 1 l L 7 a Q, Q-J�?j9j Wall/suspended/unit heater Phone:(Q /5 0 b 7!F'� Fax::(( •) 1rzQ,4o 1( Water heater I !�� *' 'v Fireplace E-mail: 1 Range CONTRACTOR Barbecue Business name: 3 e. a-r t L. 0 14 Clothes dryer(gas) 7 1 r Other: Address: ' q g_ W� & MECHANICAL PERMIT FEES* City/State/ZIP: 1)y O /,.-D ' 7 CC Subtotal Phone:( ) / Fax:(LJ ) Minimum permit fee($90.00) Plan review(25%of permit fee) CCB lic.: I q7 State surcharge(12%of permit fee) TOTAL PERMIT FEE l This permit application expires if a permit Is not obtained within 180 Authorized signature: W days after it has been accepted as complete. •Print name: r� t Alt Date:.743• ( Fee methodology set by Tri�ounty Building Industry Service Board 3 I:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-46171(11/02/COM/WEB) / Electrical Permit Application FOR OFFICE USE ONLI' Ci of Tigard W eteiBy: Ai r © j Pem»t No.:Ngi o/3— 40/27 14 �r BECE\\LIE v " a 13125 SW Hall Blvd.,Tigard,OR 97223 i Plan Review Other Permit: ��'W Q./ 13_1' ) f/j Phone: 503.718.2439 Fax: 503.598.1960 MAY 2 9 26 J Date/By: T I OAR 1) Inspection Line: 503.639.4175 Date Ready/By: kids. lil See Page 2 for Internet: www.tigard-or.gov co of or T GAR , Notified/Method: _Suppkmental Information TYPE OF Wt) 1 1 OAG ONISIU PLAN REVIEW Mew New construction 1:1 Addition/alteratioNrepplacement Please check all that apply(submit j 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 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 LOCATION ❑Addition of new motor load of ❑"A","E',"1-2",°1-3", a 100HP or more. occupancy. Job no.: Job site address:I V ,Le-o- t . 4 A ❑Six or more residential units. ❑Recreational vehicle parks. Cl /StateJZIP: / f� C+7� 7 ! ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: / ! ❑Hazardous locations. 600 volts nominal. Suite/bidgiapt.no.: Project name: iditi O /4-4-111{, ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 140'. I Pee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: W /TC a,4 YE/A-4 64-- Lot no.: 7 _ 1,000 sq.ft.or less I 168.54 4 / Ea.add'I 500 sq.ft.or portion ' 33.92 1 Tax map/parcel no.: • . Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.tt.) } ,/ Limited energy,multi-family 75.00 2 / ;Ai,. ,rG.r/t/ 5c4 kl.f residential(with above sq.ft.) _ (�FJ 7!�*� L !W Services or feeders installation,alteration,and/or relocation_ 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone:( ) Fax:( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: g M7 'J ',,/Dy57-4-/E_S B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: gob ilNQE 1J/Tjfvt c7?fie,O/ei.rte branch circuit Each add'l branch circuit 7.42 2 Address: Id.610 S10, 619e- ,t'� 5,7--e-y-e- 4D Miscellaneous(service or feeder not included) _ Each manufactured or modular 67.84 2 City/State/ZIP: •-77 / Oee— 6112-3]3 dwelling,service and/or feeder )5-7). I (5-03)5 9-ti g/ Reconnect only 67.84 2 Phone: Fax:: / Pump or irrigation circle 67,84 2 E-mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s)or limited-energy Business name: panel,alteration,or extension. Page 2 2 EL g c-R t 7. --,4 n � Each additional inspection over allowable in any of the above Address: A ,"3 5 6_ 3 — : Additional inspection(1 hr min) 66.251 hr Investigation(I hr min) 66.25/hr City/State/ZIP: 4/Amer„..��5 :, L 9 Will' Industrial plant(I hr min) 78.18/hr Phone:(CQ)) 3673 - ro eg I Fax:(0j 7"I)-71e,-01.80 Inspections for which no fee is 90.00/hr specifically listed('h hr min) CCB Lic.: 49( Electrical Lic.: k qt S .Lic. � ELECTRICAL PERMIT FEES Subtotal: Suprv.Electrician signature,required: Plan review(25%of permit fee): Print name: .--7-tagil .--I-i'17r�n1 Date: State surcharge(12%of permit fee): �1 �t ttvv�i�n� TOTAL PERMIT FEE: Authorized signatur n 4 1 This permit application expires if a permit is not obtained within 180 ✓e j days after it has been accepted as complete_ Print name: Date: �• . 1 • Number of inspections allowed per permit. I.\Building\PermitsIELC-?mmitApp.doe 07/01/10 440-46151(11/051COM/wEB . • 11111 ■ " Building Division Development Code Provision Review I. G"A R D Residential Projects Building Permit No.: H 5r 36 I'5- no 0.7 Project/Subdivision Name: Li D+i T€. 04-14,._\J(« .../4-&E , Lot #: 7 Site Address: I . 0 620 $ Itie_a R C y CA /4, 1,,, i f- CWS Service Provider Letter: Required:Yes ❑ No pl. Received:Yes ❑ No ,- Plans Routed: Original Plan Submittal Date: 5— 84 /13 Routed By:C.-- 145 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: 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 (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 AIM 04(4- at(503) 718- 41-1 or NIL'S V-- @tigard- or.gov) Land Use Case No. SUP?2_6040-0001 Ol P PR 2 ar,— c)Oc0 1 Zoning R- 12 ( PD) Err-Setbacks: Front 10 Rear I S Side Street Side tJ/A Garae 2D ❑ Maximum Building Height: 35 Actual Building Height i 2. Er Visual Clearance N gr.-Easements Q,.,,��ensitive Lands Type: NO nv L3 Street Trees ❑ Protected Trees Notes: Original Plan: Approve Not Approved ❑ Date: 5 13()I I Revision 1: Approved LI Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov) ,12--Actual Slope: ,5**- Notes: Original Plan: Approved Not Approved ❑ Date: / 9/I 3 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 Applic Revision 2: Date Sent to A ant Okay to Issue Permit: Ye No ❑ bate Routed to Building. >I) y Page 2 of 2 1::\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11060 SW LEGACY OAK WAY, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS May 30, 2014 at 9:00:10 AM MST2013-00127 Jeff Grove Violation Summary: Inspector Contractor