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Permit p CITY OF TIGARD MASTER PERMIT 114l ' COMMUNITY DEVELOPMENT Permit#: MST2014-00150 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2015 a Parcel: 2S109DD12500 WJurisdiction: TIGARD Site address: 12686 SW REMBRANDT LN � Subdivision: 2011-041 PARTITION PLAT Lot: 2 Project: Cross Partition, Parcel 2 Project Description: New SF. 9/24/15, REPRINTED to remove(2)lays&(1)tub from permit. 2/8/16: Reprinted permit to include A/C unit. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 792 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 4 Second: 970 sf Garage: 424 sf Front: 15 Smoke Dwelling Units: 1 Third: 1335 sf Right: 5 Detectors: Yes Total: 3097 sf Value: $363,827.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 6 201-400 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 VB R-3 3097 Owner: Contractor: CROSS,DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 1 Ersn Cntrl 503-639-4175 18160 COTTONWOOD RD GRESHAM,OR 97030 2 Geo tech report prior to BEND,OR 97707 footing inspection PHONE: PHONE: 503-348-5602 FAX: Total Fees: $22,888.92 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 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1. 0.332.2344. Issued By: . . _ _ / Permittee Signature: Call Sri' . 5 by 7:00 a.m.for the next available inspection da e. This permit card shall be kept in a conspicuous place on the job site until completion of the pro jct. Approved plans are required on the job site at the time of each inspection. I rt CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2014-00150 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2015 Parcel: 2S109DD12500 Jurisdiction: TIGARD Site address: 12686 SW REMBRANDT LN Subdivision: 2011-041 PARTITION PLAT Lot: 2 Project: Cross Partition, Parcel 2 Project Description: New SF. 9/24/15, REPRINTED to remove(2)lays&(1)tub from permit.2/8/16: Reprinted permit to include A/C unit.2/18/16. REPRINTED to add (2)decks. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 792 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 4 Second: 970 sf Garage: 424 sf Front: 15 Smoke Dwelling Units: 1 Third: 1335 sf Right: 5 Detectors: Yes Total: 3097 sf Value: $363,827.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Fum-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'I 500 sf: 6 201-400 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 Ecompasin Y Other: N Other Description: 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3097 Owner: Contractor: CROSS,DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 1 Ersn Cntrl 503-639-4175 18160 COTTONWOOD RD GRESHAM,OR 97030 2 Geo tech report prior to BEND,OR 97707 footing inspection PHONE PHONE: 503-348-5602 FAX Total Fees: $22,978.92 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. ATTENT egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 hrough OA 952- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: L,�y 71�LL�A Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Y� 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. .•. i . CITY OF TIGARD Fromm MASTER PERMIT 11 g Permit#: MST2014-00150 I. COMMUNITY DEVELOPMENT Date Issued: 04/20/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DD12500 Jurisdiction: TIGARD Site address: 12686 SW REMBRANDT LN Subdivision: 2011-041 PARTITION PLAT Lot: 2 Project: Cross Partition, Parcel 2 Project Description: New SF. 9/24/15, REPRINTED to remove(2)lays&(1)tub from permit. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 792 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 4 Second: 970 sf Garage: 424 sf Front: 15 Smoke Dwelling Units: 1 Third: 1335 sf Right: 5 Detectors: Yes Total: 3097 sf Value: $363,827.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents 0 Woodstoves: 0 Gas Outlets: 5 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'l 500 sf: 6 201-400 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 VB R-3 3097 Owner: Contractor: CROSS,DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 1 Geo tech report prior to 18160 COTTONWOOD RD GRESHAM,OR 97030 footing inspection BEND,OR 97707 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-348-5602 FAX: Total Fees: $22,791.56 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 through 0 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232..1987 or 1.800.332.2344. Issued By: '" e3� -7- L•<(' _- Permittee Signature: CN /)/nz-/C 7-70"../ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. 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 Ili Transmittal Letter r I(;A It I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 1/ _ L . DATE'�tECEIV'ED: DEPT: BUILDING DIVISION srp 2 2015 CU OF fiGAKU FROM: Of\a—e_____. BUILDING DIVISION COMPANY: gL2Q_vim 1 :tL 'A-14.A../2_0 PHONE: 27-0 3 — 2) U q ` c-4 d"/ B RE: 9-6 cs 4 H'do/ `f-oG,5O (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: I Copies: I 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): A REMARKS: ei- € ( ) ,� j"1) JuD 610i):-2- _,Pzi,_- /ei- / -r-44zi. 4_-",4i--z.._,- -/--- /...t.)e,-1 tler."...)) FOR OFFICE USE ON 'Y Routed to Permit Tec lcian: Date: Initials: Fees Due: ❑ Yes No Fee Description: Amount Due: $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes $io ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25t2012 CITY OF TIGARD ,, "'' MASTER PERMIT IIIPII t , COMMUNITY DEVELOPMENT L Permit#: MST2014-00150 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2015 Parcel: 2S109DD12500 Jurisdiction: TIGARD Site address: 12686 SW REMBRANDT LN Subdivision: 2011-041 PARTITION PLAT Lot: 2 Project: Cross Partition, Parcel 2 Project Description: New SF. 9/24/15, REPRINTED to remove(2)lays&(1)tub from permit. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 792 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 4 Second: 970 sf Garage: 424 sf Front: 15 Smoke Dwelling Units: 1 Third: 1335 sf Right: 5 Detectors: Yes Total: 3097 sf Value: $363,827.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 6 201-400 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: Ecompasin 9 Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3097 Owner: Contractor: CROSS,DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 1 Geo tech report prior to 18160 COTTONWOOD RD GRESHAM,OR 97030 footing inspection BEND,OR 97707 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-348-5602 FAX: Total Fees: $22,791.56 This perm.t 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 oughb�R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r� `"" Permittee Signature: 47r Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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 MASTER PERMIT ;'� i ' COMMUNITY DEVELOPMENT Permit#: MST2014-00150 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2015 Parcel: 2S109DD12500 Jurisdiction: TIGARD Site address: 12686 SW REMBRANDT LN Subdivision: 2011-041 PARTITION PLAT Lot: 2 Project: Cross Partition, Parcel 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 792 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 4 Second: 970 sf Garage: 424 sf Front: 15 Smoke Dwelling Units: 1 Third: 1335 sf Right: 5 Detectors: Yes Total: 3097 sf Value: $363,827.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 6 201-400 amp: 0 201-400 amp: 0 W/O SvcJFdr: 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 VB R-3 3097 Owner: Contractor: CROSS,DONALD L&DEBORA LEE EVEN BETTER HOMES Required Items and Reports(Conditions) PMB 725 PO BOX 2021 • 1 Ersn Cntrl 503-639-4175 18160 COTTONWOOD RD GRESHAM,OR 97030 ' 2 Geo tech report prior to BEND,OR 97707 footing inspection PHONE: PHONE: 503-348-5602 FAX: Total Fees: $22,701.56 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 952-00 10 through R 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. lssu d By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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 Applica i I 1 GEl VEI) Residential SEP 9 201 City of Tigard d,_ 13125 SW Hal l Blvd..Tigard.ORGIN fiGAR) D limit No.: �l Phone: 503.718.2439 Fax: vv��tt�t{J p� ptg�p � � ��,��y n DadBI, ,, , Inspection Lines 503.639.4175 7[9 t ist rk r Dale RkriE I B Sec Pate 2 fir Inte net: evww.tigand-0r.gov Notifed/Megnd: I sappla ,tai taforsatior :7 .4n A New construction ❑Demolition Permit fees*are based on the value of the work performed. Other: Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑O . .-_ --,- -. -__ equipment,materials,labor,overhead,and the profit for the . - , work indicated on this .•• ',.••on. ❑1-and 2-family dwelling ❑Commercialindustrial Valuation •�r �, �.� ❑Accessory building ❑Multi-fiunily Number of•-, .. . : (j ❑Master builder ❑Other Number of bathrooms: 3 t frz... Total number of floors: 7 Job site address: ' Z(¢x(O S) Vx c c New dwelling area: 30.97 square fe eiy/StateJZIP: lq ew, Garage/carport tea: 4'20c—square feet (3 '" Suite/bldg./apt.no.: 1 , Project name: square feet a 7o_, Covered porch area: Cross streeUdirections to job site: Z S l ()C r3 C) / I Z )U Deck area: square r oars fa Q e_t4 B t R •3 f N to�ti a tw&v..,*14;aka Other structure area: 5 Z square feet 2 Subdi sion: C r ins I 0.1/ �}■�o�n ' Lot no.: 1 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all __--_-- equipment,materials,labor,overhead,and the profit for the work indicated on this application. 514 Valuation: S Existing building area: square feet New building area: square feet Number of stories: Name: Type of construction: Address: Occupancy City/State/ZIP: Bro+Ps: Existinx Phone:( ) Fax:( ) New: • Business name: Eva ■e 4 tt N d w,lS -._ .: Structural plat review fee(or deposit): Contact name pi‘,,,., E.rsb. Address: It O Q e )_d 1■ FLS plan review fee(if applicable): Ctty/State/ZIP: (rt sIN is 1„, 0 6\10.5a Total fees due upon application Phone:(SO)) 3 Lt$ g 60'l.. I Fax::( ) Amount received: '757).�r E-mail: V ; he , __-_ Corn .. and residential prescriptive installation of roof-top •• •PhotoVoltaic Solar Pane)S,•• • Business name: 5 1nr► Submit • )sets of roof plan with •.• - •on details Address and access,alo,• 1,the 2010 Oregon Solar Installation s, - ._ ,•e checklist. City/State/ZIP: Permit Fee -• •' p : 'ew $130.00 administrative f . Phone:( ) I Fax:( ) Sta (12%of e . ( permit fee): S21.60 CCB tic.: ‘11.1 Vi. 5:1301 fit Total fee due upon application: ],60 Authorized signature: This permit appGation expires U a permit is not obta within 180 days after it has been accepted as complete. I Print name: /11,4.` E vt " I Date: I *Service Board, t:\BuildingWermitABUP-RESPermitApp.doc 02/24/2011 440-4613T(I In)2/C;OM/WEB) Plumbing. Permit Applicatio ECE au E SEP 9 2U 4 Site Utilities ' " ' t`' 0.1.\ City of Tigard CITY0HilikkHU FRIPTAgli (2402 PenoitNo.: (y1)-rg" -COJ5p t , 13125 SW 1140 Blvd.,Tigard,OR '- Phone: 503.718 2439 Fax: 503-Z 't•,, 1IJIII^;r .• Wirt Paola at.,2.90/4-et.1473 I ,_. \I•[, Inspection Line: 503.639.4175 'BY ha 1 la Sae Page 2 far Intemet: www.liganl-or.gov Bellied'icthod: , S.ypkmaatal lafana.MM Ci1E1n11.w ❑New construction T❑Demolition I r- For special information oast chrrkQsr. - - -. Desenphnn Qlt Fa I Total ❑Addition,alterationtreplacernent I ❑Other: I New I-2-faadly dwellings(inchdw 100 R.for each utility connection) CATEGORY OF fiONSTRUCTION SFR(I)bath 312.70 - -- SFR(2)bath 437.78 ❑ I-and 2-family dwelling ❑Commercialiindustrai - SFR(3)bath 500.32 ❑Accessory building ❑Multi-family _ Each additional bathl itchen 25.02 L❑Masts -builder ❑Other: Fire sprinkler l so R_) Page 2 S O Sfl£DWOR ATION AND.LOCAXIW Site utilities: Job site address: \2.te O(p S,..t) �( �xpCa C\ \ h Catch bolo or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: T\G C Footing drain(no.linear ft.:__) Page 2 Suite:bldg./apt.no.: 1 Project woe: C c rlssP3 - vCit`} Manufactured home tnilitica - 50.03 Cross sereet/directIona to job site: \7 e'� \3c 6� Q.A� \-e) i----Manholes 18.76 - 6 e e�` \ e (- (7 V 0 Rain drain connector 18.76 \ - C- 44-- `\ Sanitary sewer(no.linear ft.:_) Page 2 St P ��`� s " ' Storm sewer(no.linear R:_) Page 2 . Water service(no.linear R.: ) Page 2 Subdivision: I lot tic.: Fixture or Han: - Tax rnaptparcel no.: '2 S (�a 7 L� in Bacltflow p"°'`a - 31.27• Backwater valve 12.51 �._ DESCRIMION OF WORE Clothes washer 25.02 Dishwasher 25,02 Drinking fountain r 25.02 i. Fjalorsisump 25.02 Expansion tank 12.51 - titiMITPOIMAINIMIK Fixture'sewer cap 25.02 Name. Floor drain/floor sink/hub 25.02 Address: tar rbage disposal 23.02 City/StateZIP: Hose bib 25.02 Phone:( ) Felt:( ) lee maker 12.51 A , C� 1 AC1 mire t -'1 Interceptor/gRasc trap 25.02 L 1N - (-- �1U e c 1 Medical gas(value:S ) Page 2 Business name: \--_-__- -- Prima r- 12.51 Contact name: MCtC 0e ( ' . Roof drain(commercial) 12.51 Address: Po co X 2021 situ nlavalnry 25.02 City/Stale/ZIP:6 .(--c 5`Na N\ 019 G 7 0 (L Solar units(potable water) 62.54 Phone:( )3Lk --5 QQ I Fax::( ) Tub//showerishowet pan 12.51 Umul 25.02 -mail: (L( i n 'c \oP} Water closet 25.02 a• CONTRA( colt WaICI heater 37.52 Business name:--f.(,/C 45.1R A. Pjof i /,U( L L C._ - WarapipingDWV 5629 Address: �; 6 4/C Other 25.02 City/State/ZIP: (2 i 44 N 0 e 9 7.2 Subtotal Phi:6o ) 59')-5-000 Fax:( ) Minimum permit fee: 572.50 ^6 g Plan review (25%of permit fee) CCB Lie: S Plumbing tie.no.: ?6 3 7o ,��, Q State slacker(12%of permit fee) Authorized signature: �`7`^A^S TOTAL PERMIT FEE Print name: t2.OQ NG L ee til2 6 A' Date:0I-22_/� This permit opplleadoo•:pre.U e err of*Ward wuMta iN days alter h►u bee.acct complete. . *het methodology set by TnCeurty MM..),Irdutry Service Boned 1 Bu PermitrtMI,PerwlApp doe 1001 09 i i.io l[IL 9:COM M7b! . . Mechanical Permit AD WEB City of Tigard SEP 9 2054 9� f�etalilNo.: gray! �i t. 13125 SW Hall Blvd.,Tigard, r/ ��] Plan Review Phone: 503.7182439 Fax: � �1� 1f7D Dniciiiy' Other Permit: �[[�e�ljlL �[Y/��,� Inspection line: 503.639.4] elL ^ Dak:Ready/By: Ivy l�l se Pale 2 far Internet www.tigald-or.go�V ., hI �O Naifx d'Me11x�d: Sippleateaul lafaratatioa Me n3aaicdl pnxndd .e based on the value of the work ❑New construction ❑Addit(on/alteratiort/reQlacelna+t perfbmled.indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other me Inman remetials,equipment,labor,avestread,and profit .. ❑I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Far special lyaranatir t ase checklist ❑Multi-family ❑Master builder ❑Other Description I Qty. I- Ea. I Total Headagicooitna: Air corlditionmg 46.75 Job she address: . s 5�J ( •c w ~Furnace 100,000 BTU(dacu'vaals) t 46.75 Fueruce 100,000*BTU(A1cwvanu) 54.91 Heat trump 61.06 Suite/bldg./apt.no.: Project name: Duct work 2332 Cross street/directions to job site: \ _ \ \ • v Hldronic hot water system 23.32 Resideruiat boiler(radiator or hydronic) 23.32 Unkheaters(fuel-type,not electric). ,in-wall.in-ducy shaded,etc. 46.75 Flaeivatt for any of above 23.32 [ �: Other. 23.32 Subdivision( s G C� Other Pod appliances: Tax map/parcel no.: Z 5 e \" ( Water heats 23.32 Gm G ffireplace/insert 3339 Fite vent for water hater or gas fireplace 23.32 I.og fishier teas) 23.32 Wood/pellet stove , 33.39 Wood lireplsca/iasat 23.32 Chimney/Iinednuelvent 2332 - Other 2332 • . Environmental exbaest and v n sUan: Name: Range hood/other kitchen 33.39 Address: Clothes doer exhaust _ 33.39 Sing duct exhaust(bathrooms, Ciry/StatelZlP: toilet compartments,utility roans) k , 23.32 Phone:( ) Fax:( ) Anic/crawlspacefans 23.32 . - Other. 2332 _ Fu I pIpinig name:me: - - - (s., , •• \ e $14.15 for flat roar;$4.13 for each additional Furnace,etc. I Gas heat pump Address: O L 2 WdVauspendedwnit hater City/State FZIP ) C \ 10Q— Qn Water heater Phone:(V) )34S- 5-(e0 Fax::( ) Fireplace , Rase Barbecue Clothes dryer( ) , fEl fi t1 a Ober • ` s o Subtotal / Minimum permit fee(:90.00) �- 1 Plan review(73%of permit fee) Phone: 3)23 q_ Fax:6 03 2314_ , State surcharge(12%of pent fee) CCB lic.: l� r ^ a 5.- TOTAL PERMIT FEE This permit application expires N a permit 4 sot obtained wleblo as 1 days after it has bee*accepted as camplete. Authorized signature: ,. .,` • Fee methodology xl by Tri-County Building Industry Service Band Tntname: �{t'r�/.�ej�J �L Date: [2//U 1.Iiaat 'Pat a MEC-Pe.UApp 040113-dnc 44046171"41142 COM NVESI Electrical Permit AmlifincEiv 1 Recelwd City of Tigard �a,�By: C.? � Pa srtilro.: T / /See 1312$SW Bail Blvd.,Tigard,OR S i 9 [1 Plan Remy, e ,/ R Phone: 503.718.2439 Fax: 503.598.1960 Data/By: Oliver��l'ode)Q i>�/ Una Inspection Line: 503.639.4175f1 /i A Date Ready/By: fa See Per 2 far Internet: www.tigard-oe 1v Vs I Ill!W l� Nc4ifwdIMcibud: Supplemental 1sferaation • New construction t Addition/alteration/replacement , Please et eek all don apply(mbadt2,sets ofpleas wAinue checked below): ❑Service or Bader 400 amps or more ❑Building over twee stories. ❑Demolition ❑Other where the evailabk fault current ❑Marinas and boatyards. - - -- - - - I exceeds 10.000 amps at 150 yaks or ❑Madan bindings. _ _ ] less to pond.or exceeds 14,000 ❑Commercial-nee agricultural ❑1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other iatanalion,. bottdiegs. ❑Multi-family ❑Master builder ❑Other ❑Fire pump. ❑installation of 150 KVA or 7 ❑Emergency system. larger separately derived system. ❑Addition of new wan load or ❑"A"."E""1-2"."1-3". Job no Job site address ! 1001W or more. occupancy. a P S l.0 I IA,#� ( Cl Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: T ` ❑Healh-cam feciIities 0 Supply voltam for more than ❑Hazardous locations. 600 yoke medial. Suite/bldg./apt.no.: Project name: C(- S \ . e \ ❑Service or theder 600 amps or more. Cross street/directions to job site Gc -• - K\ Q IIIMMEll a erhohe e]lr. seas • \ New residential legit or mull-fondly dwelling unit INERIMM g l� G \e RUC-c• [nebula attached Ange. Subdivision: Lot no.: 1.000 ay.f.or less J 168.54 4 13a.addl 500 sq.9.or portico b 33.92 1 Tax map/parcel no.: Z �' Limited energy,residential 75.00 2 I (with above sq.A) Limited energy,multi-feerib- 75.00 residential(with above q.R.) , RR table Encrpv . ZUSeefatte 2 Services or feeders IastuWtioaialteratioe,andhr relocation - 200 maps or less 100.70 2 ' 201 amps to 400 amps 133.56 2 Name: 401 soaps to 600 gaps 200.34 2 Address: 601 Pampa to 1,000.mpa 301.04 2 Over 1,000 amps or voles 552.26 2 City/State/ZIP: Temporary services or feeders Installation,alteration,sadhr Phone:( ) Fax:( ) reloesds% 200 amps or less 59.36 l Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 13508 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 daps to 599 snips 16x.54 2 Owner signature: Date: Brandi circuits-55w,Marsden,or estenalon.per panel _. _ . A.Fee for lamb eireuits wkh _.. above service or feeder fee. 7.42 2 Business name: U e A• - 4 e e eadr brodt circuit B.Fee Bar brads circuits without Contact name: , F- — service or Order fee,first 56.18 2 hawk circuit Address: ' V U x 202_ Each add'l breach circuit 7.42 - 2- Misc meows(service or feeder sot Winded) City/State/ZIP:6 ce Sat;j,Y' •'- ck—t 0 Back attaaSersadormodular service tteedfor feeder 67.84 2 Phone.( )3 8 • Fax: ( ) Recoem et only 67.84 2 111 E-mail: V • • ld • . t!- of Poop or brigades circle 67.84 2 c i 5ipt or outline fighting 67.84 2 Business name: �__i► • Signal edreatl(a)orliaiadr.ggy See Mel rtiteratloa,or extension. Pate 2 2 Address: t S-w / MIIMIIIIIIII loch additional[Tweediest over allowable in any of the above Additional iEspeetioa(I hr min) 66.25/hr City/State/ZIP: 7o g1 ■ , a - Invewipioa(1 brain) 66.25/hr Phone: 3)-2-3y_ , i t I Fax: )23 _0 / Industrial plant(1 brain) 78.18/hr inepeaims for which no seen 90.00/hr CCB Lic.: 1Q l cogs- Electrical Lic.:C Suprv.Lie.: 41 1 listed Items Suprv.Electrician signature,required: •r Subtotal: Print name: Date: ' 2,2, Plan review(25%of permit fee): Slate melange(12%of permit fee): Authorized signature: ,' TOTAL PERMIT FEE: � n1 This Perak ttppaoa•n expiro If a penult k not obtained within 1 SO l Car c L Dater Z f ' days atter h bra been accepted as complete. • Number of inspection allowed per permit l.aurldasale,u,wEl.0 PgraltApp_E[.,t_EPF Mc Sc'.OS 21 h313 440-4o15rttl'OseoM- Ia . . III City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T l c n ll n Building Permit Review — Residential Building Permit #: M45 i a0 l`/—UD/ 0 Site Address: \16 gb SW Rexci lar + Ln. Project Name: CroSS Lot #: 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: new SF LI Verify site address/suite #exists and active in permit system. Sit Plan Elements: Three(3)copies of site plan sting structures on site ES e plan must bba on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) or elevations d orth arrow Utility locations(required for new,may apply for additions) )I �te address,project or subdivision name and lot number ation of wells/septic systems pplicant information(name and phone number) [ Erosion control(including drainage way protection,silt fence t dimensions and building setback dimensions esign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and freer names '• pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location it 'roperty corner elevations(2 foot contour lines if more than -l-$xisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Sice Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes It No Received: ❑ Yes ❑ No E Land Use Case#: A L P 2O001 `0 Q0oz i oning. R-7 ,Setbacks: Front I 51(IS)Rear %'(15') Side 51 (S I)treet Side -- Garage 201 (26) M Landscape Requirement: 2 0 % DC/Lot Coverage Maximum: `d Ig uilding Height: Maximum Height S Actual Height Z 27 a Visual Clearance—adv-ise Substi+Iic#Q, trek, s es +0 p(ev fey* -uf AYe c orr6 h j ct s _/Easements NJ Sensitive Lands: ❑ Yes No Type 7Conditions rban Forestry Plan Met Notes: er ommv subs'uh • -st re,et -Free_ from a prow• 1 i stS in U PIA III,, Of CD I, 1 Q.r , . ■ • d at 1 A w ! a,• n `u. .• is • • . 1 . _If -,:a ..0 Sdwjk Approved PP By Planning: i 11 IYl l-e- Yica crl Date: I Iq` ill Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I::\Building\F orms\B I dgPerm itRvw_RES_042914.docx r a . Building Permit Submittal 'L Original Submittal Date: 97c Site Plans: # 3 Building Plans: # 'J Building Permit#: fiEK5nter building permit#above. Workflow Routing: Planning ,Engineering .iermit Coordinator ��Building Workflow Sign-off: .1jign-off for Planning(include notes from planning review) Route Application Documents: Al Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. lJ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �c Q- Date: 47/47 Engineering Review L7 Actual Slope: 1 'y */ /7A.0 v t p co v ti 0grr/n Mr o /roxtt ti/G Ia ?° c e.•V-6 r"d ❑ Conditions Met Notes: Approved by Engineering: Date: cj '11, 19- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: K to Issue Permit Approved by Permit Coordinator: / �/ Date: 9/,/,/, I:\Building\Forms\BldgPermitRvw_RES_042914.docx 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 • Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: TOM DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVE) FROM: (91/4 DWoAN , &AAC t/PA SEP 16 2015 COMPANY: J/ f j tAEG CITY OF TIGMHD BUILDING DM:� PHONE: (lig -21G-22106 /603 -3`T"6 -5101: RE: (L Address 'a ' r(4s-c-- t4— oo I ' it umber O (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 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: C` r'OSS , �. , C(An p 116 v-LN/ /45r -r., e=e ve."-, ter fc�u.� FOR OFFICE USE ONL Routed to Permit Technician: Date: q - ) _ ) Initials: Fees Due: Yes • No Fee Description: pj„ r--, ;�, �r4' Amount Due: $ c10°y $ Special r � . . Instructions: Reprint Permit(per PE): Yes ❑ No Done Applicant Notified: Date: (64/t S °Z,zs) Lc/ Initials: C\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00150 David Young Not ready for inspection, downspouts not complete. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00150 David Young Not ready for inspection, no power at lower level bath. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal Scheduled MST2014-00150 Jeff Grove Ac added to permit to be inspected at building ﬁnal Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00150 Jeff Grove Ac added to permit to be inspected at building ﬁnal Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00150 David Young Install missing register covers in lower level. Seal wall penetrations to crawl space in mechanical room. AC not installed at this time. Dryer duct to have equivalent length identiﬁed on permanent label or tag. M1502.4.5 Dryer duct to be capped and labeled " for future use" if equipment not installed at time of occupancy. M1502.4.6 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00150 David Young No AC installed at this time. Permit and inspection required at time of installation. Label dryer duct aggregate length as noted on previous inspection. Finish draft stopping ceiling and back wall in mechanical room. Will check at ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00150 David Young Seal counter top at main bath sink 310.4, 407.2 will check at ﬁnal inspection. Other corrections complete. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2014-00150 David Young Not ready for ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12686 SW REMBRANDT LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00150 David Young Corrections complete. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Duct seal test report received. Insulation certiﬁcation checked. C of O left on site with contractor. Note: ﬁnishing installing street trees in back yard per approved plot plan. Violation Summary: Inspector Contractor 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. ISCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT - Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti arg d-or.gov TO: l Url DATE RECEIVED: DEPT: BUILDING DIVISIONle Vim FROM: FEB 17 2016 �,�(�1,�,�{-� "ft OF FIGARD COMPANY: Efil BUILDING D A vilkNUIN PHONE: C�-7 ( - 2 9 - 2X�n !A By: i' -� (sit�adress �I rnut Number) 6,3 Ss /« 1-ra! , A 1, ? roject name or subdivision name andliot number)^� ATTACHED ARE THE FOLLOWING ITEMS: Copies, Description: Copie 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. .)0 Other(explain): CgA_),Q -e"A0 P1� ��ATip� REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: Z / 6' ) Initials: -7 Fees Due: Yes No Fee Description: Amount Due: �h Ye V' $ go $ $ $ Special Instructions: Reprint Permit(per PE): I ❑ Yes I ❑No ❑ Done Applicant Notified: I Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doe 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 111 ■ Transmittal Letter T k;,\I: I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: LUco -fibu,c) DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAY 6 2015 (FROM: M AL V�� BUILDING OF TIGARD tI LDING D1VIS;ON COMPANY: \l e v, b z'IT-br 0 h,e5 Cyj.)-"' ONE: So.) `3 W?)- 5 b ow RE: .'1 • .� . M /4 -CO/5-C (Site Address) (Permit Number) oj6-4-6 t. ect name or subdivision name and lot, umber) ATTACHED ARE THE FOLLO . i. !IT S: Copies: Description: I Co: es: I Description: Additional set : of plans. Revisions: Cross sectio s) and details. Wall bracing and/or lateral analysis. ,_2--- Floor/roofs ram..I. Basement and retaining walls. Beam calculation . p--- Engineer's calculations. Other(e.plain): REMARKS: _ _ v0-LW/ .-. • 61 V ) -444- AIM FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012