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Permit IIII CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2013-00164 T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014 Parcel: 1 S136CA10000 Jurisdiction: TIGARD Site address: 11082 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot: 21 Project: White Oak Village, Lot 21 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 690 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 950 sf Garage: 193 sf Front: 10 Smoke Dwelling Units: 1 Third: 520 sf Right: 3 Detectors: Yes Total: 2160 sf Value: $240,472.92 Rear: 13 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/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 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: NEW SF VB R-3 2160 Owner: Contractor: ANDERSON HOMES 8,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: PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $18,561.84 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 -- •r. Those - are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co ru es or direct questions to OUNC by calling 51.232 198 .;'0• 4. ........------ `I Issued By :-4-- mittee Signature: `/. �L 75 by 7:00 a.m.for the next available inspection• 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. CITY OF TIGARD SEWER CONNECTION PERMIT ' COMMUNITY DEVELOPMENT Permit#: SWR2013-00154 T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014 Parcel: 1S 136CA10000 Jurisdiction: TIGARD Site address: 11082 SW LEGACY OAK WAY Project: White Oak Village,Lot 21 Subdivision: WHITE OAK VILLAGE Lot: 21 Project Description: Sewer connection for new SF Contractor: Owner: ANDERSON HOMES&CONSULTING LLC 5357 LAKEVIEW BLVD LAKE OSWEGO, OR 97035 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 02/20/2014 $4,665.00 Sewer Inspection-Residential 02/20/2014 $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 0 -_•' Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain - •t. : rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 'I Call 50 . y 7:00 a.m.for the next available inspection di" This permit card shall be kept in a conspicuous place on the job site until comp : ion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application , Residential RECEIVE FOR OFFICE USE ONLY City of Tigard JUN ?7 2013 Received e: '® a�� PennitNo.: 1�r,n,/3-� !lo 1111 a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �� 'Imo ether Permit: 1-70/3'CO/'f A • Phone: 503.7182439 Fax: 503.598.19 Date/B : _�/�1. Inspection Line: 503.639.4175 tit OF TIGARD Date Ready = a See Page 2 for TIGARD p g g "1t�II TNT;! 'tlI O Notified/Method: ( fg^ Supplemental Information Internet: www.ti and-or. ov ti 1 70 NylK - w inn, Rab TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑Demolition Permit fees*are based on the value of the work performed. ew construction Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. • CATEGORY OF CONSTRUCTION �j�72•q.-� Valuation: $ .92. 0 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family < 0 Master builder ❑ Other. Number of bathrooms: ,c JOB SITE INFORMATION AND LOCATION Total number of floors: 7ti�ji y. / New dwelling area: /b I!) square feet Job site address: f� / � 6 City/State/ZIP: 176.71Z-a D� 9 7 23 Garage/caport area: /Q square feet 5-izo Suite/bldg./apt.no.: Project name: %J/-/7 01-e,,,,,...,4o-E_ Covered porch area: square feet 9•j0 d Cross street/directions to job site: Deck area: square feet (pa to Other structure area: %36 .quare feet Zej REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: /{J'-t/i . C4 rC Ti Lot no.:i/ 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 /3b CA 0 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. _ ,/. 41:.I -/ Valuation: $ /O�y��/G/ t �/��, � Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) / Fax:( ) New: [yJ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: A/6 S(( /,Q _1.4/12 v,,-7--,a/i .5 pkL Structural plan review fee(or deposit): Contact name: iZ0r k'/�e esc.tJ / J//')(�-7�� 1//Jib/l( _ FLS plan review fee(if applicable): Address: 4,26 74; so 6 -/f/A-__ �U(J Total fees due upon application: City/State/ZIP: 17-674 � 9? 22-3 7 Ov , Amount received: g� ' Phone:(5-()5 ) 572--671/6 Fax::�03 ) fv'�f t��l PH�ITOYOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: ;,/�abC U'G4., /L Gt3i�l� Commercial and residential prescriptive installation of CONTRACTOR roof-top mou ed Photo Voltaic Solar Panel System. Submit two(2)s of roof plan with connectio • tails•Business name: � � "�� and fire department a along with • " 1 0 Oregon Address: t 0m Cc /_6?41 4(� Solar Installation Specialty -.•• ecklist. -�G I V Permit Fee(inc plan re - $180.00 City/State/ZIP� [ jb ` q 72.2.; j •: .dministrative fees): Phone: 77) •-72.(o Fax:(9� cry° _cisOp I State '• charge(12%of permit fee): $21.60 CCB lic.: /�j< Total fee due upon application: $201.60 �LlM.r This permit application expires if a permit is not obtained Authoriz ';ur.�n within 180 days after it has been accepted as complete. *Fee methodology set by Tri County Building Industry tint nan ► i �t / r Date: �'1�S I Service Board. •l)�.�s I:\Building\Permi..\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Appli a EIVEr) - . City of Tigard ! 1 7 2013 Date/By: r r7/ 3 Permit No.: ITNQ13—e0 l(Q9 III a 13125 SW Hall Blvd.,Tigard,OR 972 t 23 TIGARD C Phone: 503.718.2439 Fax: 503.598. O Plan Review Date/By: Other Permit: h 3–Oa/59 f I c;A R D Inspection Line: 503.639.41'74 i L NG DIVISION Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply(submit 1 sets of plans w/items checked below): krNew construction ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more 0 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 AND LOCATION ❑Addition of new motor load of ❑"A","E","1-2","1-3", 11 /��j 100HP or more. occupancy. l 61/J j_ea--y C/,'r�— �r ❑Six or more residential units. ❑Recreational vehicle parks. Job no.: Job site address: t /-'! ` ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP: i/� 6 '37 7/ ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: /41 TY. OAZ &--/-4416- - ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qtr. I Pee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. /A�i if D4- VIG 5 Lot no.:y — 1,000 sq.ft.or less ( 168.54 4 Subdivision: l/� L�r 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.ft.) Limited energy,multi-family 75.00 2 6A)5777-tic-r- /l'�/) 5[/f 4 ll,�� residential(with above sq.ft.) f✓L / I�' !tv 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 ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit ��s7' 706 -Orrs� B.Fee for branch circuits without 56.18 2 Business name: 02/£ $ service or feeder fee,first Contact name: gob iiN,,/lsdl�/j-1r11 �T�f-•c0/2.i Yr— branch circuit Each add'l branch circuit 7.42 2 �O S� ` Miscellaneous(service or feeder not included) Address: ��6 G�_ � T /�Q Each manufactured or modular 67.84 2 City/State/ZIP: �t etW/ ©� q'7 2.-3'3 dwelling,service and/or feeder 6 )572_._, ! (503)- t — / Reconnect only 67.84 2 Phone: V Fax: t/ Pump or irrigation circle 67.84 2 E-mail: Signor outline lighting 67.84 2 CONTRACTOR Signal circuit(s)or limited-energy `�, panel,alteration,or extension. Page 2 2 L Business name: E g(_-ie/61- -r________f_/4 r_ati 5 Each additional inspection over allowable in any of the above Address: �� Additional inspection(1 hr min) 66.25/hr / Lis 3 5� �� /"f' p Investigation(1 hr min) 66.25/hr City/State/ZIP: r„,,,_ C'5,, ' " 97®(J Industrial plant(1 hr min) 78.18/hr Phone:(Q5) ?j5.-- -- C leg I Fax:(8 7'7)/l b-0`2 8}o Inspections for which no fee is 90.00/hr specifically listed(Y2 hr min) CCB Lic.: 6(`/(2_ 2h Electrical Lic.: - A9�� Suprv.Lic.5.2 7>1 3 ELECTRICAL PERMIT FEES /' Subtotal: Suprv.Electrician signature,required: Plan review(25%of permit fee): Print name: • C r('1 / Date: State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signs e: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 6 ver.j • Number of inspections allowed per permit. I:\Building'Permiu\EI.C-PermitApp.dac 07/01/10 440-4615T(l1/05/COM/WEB Mechanical Permit Appli hCEIVED FOR OFFICE USE ONLY City of Tigard 27 2OI� Received III Date/13y: ( I (A_A Permit )_ O/J 2_c1:61/( )( 'r 13125 SW Hall Blvd.,Tigard,OR 97223 4 a Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit: Inspection 503.639.4175 JFTIGARD Other Q�13—�(! TIGARD p �/I I I Date Ready/By: !uris, Ei See Page 2 for Internet: www.tigard-or.gov rr Ill ntAIP,P11.11PiON Notified/Method: Supplemental Information TYPE OF WORK 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:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* '1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating cooling: Air conditioning Job site address: If O g s '1 /�'�/ (requires site plan showing placement) 46.75 City/State/ZIP: wl/`' oft,`� Furnace 100,000 BTU(ducts/vents) l 46.75 �L. © (47 2 / Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: [[[ Project name: U3}}�.� D_�.y- r,I/t rE Heat pump V" 4 t 7 x� V CJC�!�+'v (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 r, ` � Flue/vent for any of above 23.32 Subdivision: W '(G 0/ 1/ _ t/I/, k l Lot no: 2� VV IiCi1 ��� Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 Gas fireplace/insert I 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/other kitchen equipment L 33.39 City/State/ZIP: Clothes dryer exhaust 1 33.39 Phone: Fax: Single-duct exhaust(bathrooms, ( ) ( ) toilet compartments,utility rooms) 23.32 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name: j j )'� 1h .t �Y Other: 23.32 /?' �v'i/!1 OX�I"/ �( ��^"'L Fuel piping: Contact name: 1 r it �g•tgu $14.15 for first four;S4.03 for each additional Address: 1V 1 y c r,l r,� C�/��} Furnace,etc. t 2��� c �/ l�/ Gas heat pump City/State/ZIP: E '-) 6 Q� Q"?�?j2j Wall/suspended/unit heater Phone:(03 IN D/„7[„�"' Fax: :`( [ �/c as [i7' Water heater V lam/ �0 v Fireplace E-mail: Range ' •CONTRACTOR Barbecue gr gip L 0 ail),•v Clothes dryer(gas) Business name: �i ► j! 1 C I t(1�57� - Address: i g OQ'( WE JJ_E �� Other: ` MECHANICAL PERMIT FEES* City/State/ZIP: 01)y' 08-6-&-D q7b CC Subtotal Phone: / Minimum permit fee($90.00) ( ) Fax:( ) Plan review(25%of permit fee) CCB lic.: I q741/ State surcharge(12%of permit fee) � � TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 5C. 3-h7 Date: b . ,,s_. 1 ' Fee methodology set by Tri-County Building Industry Service Board I',Building\ \M PermitsEC-PermitApp doe 03/07/12 440-461711((11//02/COM/WEB) - • i Plumbing Permit Applicati ECERVED Building Fixtures �. �I i ()R ()I II( I L:),1. ",',' �,�/ ,/ City of Tigard JUN 2 7 2013 Date/By tP A7 Jr -T� Permit No.: �jj�api3��Y�7` -;IN • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • t1P OF TIGARD Date/By: Other Permit No. a�13_/�I9/ Phone: 503.718.2439 Fax: 503.59 . y T I G;i�I) Inspection Line: 503.639.4175 R``�I n G DIVISION Date Ready/By: Julia: ® See Page 2 for Internet: www.tigard-or.gov `' `" Notified/Method: Supplemental Information TYPE OF WORK . FEE* SCHEDULE Demolition For special information use checklist N Demo ew construction ❑ 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(1)bath 312.70 SFR(2)bath 437.78 d 2-fancily dwelling ❑Commercial/industrial 500.32 - SFR(3)bath ❑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: / ! _ A , j Catch bash or arna drain 18.76 Job site address: /�[ /L+�, r... G�l!/y/ Drywell,leach line,or trench drain 18.76 City/State/ZIP: i r D4 � t� �' Footing drain(no.linear ft.:� Page 2 Suite/bldg./apt.no.: Project name: a). / Y'iediric Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: f Page 2 Storm sewer(no.linear ft.:_) / Page 2 Water service(no.linear ft.:_) ! Page 2 Subdivision: �fa Lot no.:�1 Fixture or item: �/ Gfi - Backflow preventer 31.27 Tax map/parcel no.: b Backwater valve 12.51 DESCRIPTION OF WORK �f Clothes washer ) 25.02 6j, sr f /1 / �j-'(- >'6 � G Dishwasher Ie 25.02 f ��"'""��'' Drinking fountain 25.02 . Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal f 25.02 City/State/ZIP: Hose bib 7/ 25.02 Phone:( ) z Fax:( ) Ice maker 1 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: 11�'��$i� �c? / 12.51 Primer Contact name: D� -�,,j'1 �/40 Sigtc: Roof drain(commercial) 12.51 Address: r �'6 , C, / 711 OWL' Sink/basin/lavatory 25.02 City/State/ZIP: f� Of-- q72-- -, Solar units(potable water) 62.54 Phone:(t -2g4 -642.4, Fax::( s (sim-gos / Tub/shower/shower pan y 12.51 E-mail: � r ',` 7� `� ( Urinal 25.02 V� tt)f.�. �,A • tCJI! t Water closet 25.02 CONTRACTOR i / � / Water heater 1 37.52 Business name: �610 l(}vt((1 �` Water piping/DWV 56.29 Address: /i2.2. -DD.../ j Other: 25.02 City/State/ZIP: AO l)-)1 -fi V Subtotal r'( Minimum permit fee: $72.50 Phone:( ) Fax:( ) qt Plan review (25%of permit fee) CCB Lic.: �j Plumbing Lic.no.: S- - State surcharge(12%of permit fee) i Authorized signature: /t TOTAL PERMIT FEE Q This permit application expires if a permit is not obtained within 180 days Print nam gr�lL c, ,LV1/1 f✓, t " Date: • • r after it has been accepted as complete. *Pee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440.46I6T(10/02/COM/WEB) III I 'I Building Division Development Code Provision Review FIGARD Residential Projects Building Permit No.: ',To%o/5-60 ( tp Li Project/Subdivision Name: L& H-i-rte 041(-- Jt LL 4-Co_ , Lot #: A/ Site Address: /f 2 w LW ,--C.v C)1 t� N,/ CWS Service Provider Letter: Required:Yes ❑ No In Received:Yes ❑ No p Plans Routed: Original Plan Submittal Date: • - Routed Bc:------- _-2 1St Revision Submittal Date: 1 a / Site Plan Only Routed By: (-- '7 2nd Revision Submittal Date: 0 Site Plan Only B :Routed Y 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 Alva rovoc 4- at(503) 7182-42-7—7 or arS @tigard- or.gov) (J Land Use Case No. S1.t82CaP'DD Ql O/Pear 7Co1..0—0000 I Zoning R-1z(PD) 0'ni Setbacks: i Mont I0 Rear I3 _ Side 3' Street Side CIA Garage 2° LY Maximum Building Height: JS' Actual Building Height —f 2 8 0/Visual Clearance Nib. Eq ements LE Sensitive Lands Type: N)0 N 3 Street Trees DV-Protected Treesf4 I A- Notes: 11 '. PIA aI WI ' Y" ru1ui 4 Original Plan: Approved ❑ Not Approved%1!S( Date: 11 Revision 1: Approved, Not Approved ❑ Date: MI 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) Zr Actual Slope: Notes: Original Plan: Approved Not Approved ❑ Date: Z 1J3 Revision 1: Approved a Not Approved ❑ Date: '? 1y 13 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 No V? L3 Date Routed to Building: /6 7/1 Page 2 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13