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Permit (61) p CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00264 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016 Parcel: 1 S 136AA13700 Jurisdiction: TIGARD Site address: 10251 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 32 Project: Oak Street Estates, Lot 32 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1384 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1508 sf Garage: 494 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2892 sf Value: $352,216.26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 DrainsCatch 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: 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'I 500 sf: 5 201-400 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 2892 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11870 NE 99TH ST,STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: PHONE: 360-216-6423 FAX: 360-258-7901 Total Fees: $24,307.38 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. are set forth in OAR 952-001-0010 through OAR 952-001-0090. You oor direct questions to OUNC by calling 503.232.1987 1.80 . 2.234 Issued By Per nature: Cal .4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until co '-tion the project. Approved plans are required on the job site at the time of each ins . Building Permit Application Residential RECEIVED Received FOR OFFICE O City of Tigard DateB : �� a� /� ermitNf a 13125 SW Hall Blvd.,Tigard,OR 97223p 212015 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateB I/f� Other Permit�����—�1 3 a Inspection Line: 503.639.4175G+lTY Date Ready/13y: Juris 0 See Page 2 for Internet: www.tigard-or.gov ! OF 1IGARD Notified/Method: Supplemental Information BUILDING Divis; � TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction ❑Demolition 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: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation $ I J? El Accessory building ElMulti-familyNumber of bedrooms: I ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 2- Job Job site address: /b ✓ New dwelling area: 19 8 of Z square feet City/State/ZIP: ! i�) Z3 Garage/carport area: 4194 square feet Suite/bldg./apt.no.: Project name: Covered porch area: 3`� square feet 1 Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: s 7- G T=5 Lot no.: 32 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 DESCRIPTION OF WORK work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: ' Name:LENNAR NW,Inc. Type of construction: Address:11807 NE 991h Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Lennar NW,Inc. Please refer to feeschedule Structural plan review fee(or deposit): Contact name:Charles Webb Address:11807 NE 991h Street,Suite 1170 FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98672 Total fees due upon application: Phone:(360)258-7900 Fax::(360)258-7901 Amount received: E-mail:PORPermits@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as above Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.. . 1953o7lie... Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: �� L Date: f Z_ �_�j Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 4404613T(11/02/COM/WEB) 4 _A Electrical Permit Applicatio — `CReiv°" ~ City of Tigard NEC 2 12015 Date B� Permit No rJ�7 20,1 DAG s 13125 SW Hall Blvd.,Tigard,OR 97223 _ Plan Review B Phone: 503.718.2439 Fax: 503.598(/ ' Y OF�'f ''`� Other Permit: Inspection Line: 503.639.4175 r t +t t t , ,s y+ Date Read+B loris 0 See Page 2 for Internet: w%sw.tigard-or.gov NotifiediMethod: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/nems checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. C_47EGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use agricultural ❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessonbuilding amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or C3Emergency system. larger separately de-rived.system. JOB SITE 1NFORUATION AND LOCATTON/ h ❑Addition of new motor load of El W,W,-E",`1-2'," -3 ormore occupancy. Job no.: Job site address: �5 S w (p Zrll 14 V& m ❑Stsixoorr more residential units. ❑Recreational vehicle parks. CitytState/ZI(i: ���+�� 2 77 Z 7 O Health-care facilities. ❑Supply voltage for more than G J ❑Hazardous locations. 600 volts nominal. Suite bldg./apt.no.: Project name: ❑service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description Fee Irout New residential single-or multi-family duelling unit. Includes attached garage. Subdivision: Oqr -5�4? __— "7,- j_ Lot no.: '.000 sq.ft.or less 168.54 4 Tax map./parcel no.: Fa add'1500 sq.ft,or portion 33.92 1 Limited energy,residential 75.00 2 DESCRIM70N;OE WORK (with above sq.ft.) Limited energy,multi-family 7500 residential with above sq.ft.) Renewable Energy O See Pa e 2 Services or feeders installation,alteration,and/or relocation PROPFA Y OWNER 0 TEX-J NT. 200 amps or less 100.70 _ 201 amps to 400 amps 133.56 Name: ada Y � 401 amps to 600 amps 200.34 Address: ��% I' 601 amps to 1,000 amps 301.04 v A Over 1,000 amps or volts 55226 2 City,'State,'ZIP: Ja Temporary services or feeders installation,alteration,and/or Phone: OC ) j �® Fax:(?JX)agg) j0j relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.0- ; z intended for sale.lease,rent.or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 416as4 E 2 Owner signature: Date: Branch circuits-new,alteration,or extension, r panel APPLICAi�13 ❑;iCQ10A1 T,PERSON A.Fee for branch circuits with - above service or feeder fee. 7.42 Business name: LfAlnd 1. each branch circuit B.Fee for branch circuits withoui Contact name: Webv) service or feeder fee,first 36.18 2 branch circuit Address: Ne: � . I Each add'I branch circuit 7.42 2 Miscellaneous service or feeder not included Cih:StateiZlP: Li Each manufactured or modular 67.84 2 Fax: rl dwelling,service andior feederPhone: — 7 Reconnect on S784 aN J E-mail: Pn R acr cowi Pump or irrigation circle 67.84 2 CONTRACTOR Signor outline lighting 67.84 Business name: 2� GC Signal circuit(s)or limited-energy See rel,alteration.or extension. Paee,_ 2 Address: �?� - Each additional inspection over allowable in any of the above CII}:'Stale/ZIP: '�IAdditional inspection(I hr min) 66.25..'hr 6 C7 x Imestigation i 1 hr min) 66.25,hr tshone:(06 ) s!3 ( Industrial plant(.I hr min) 78.18-hr Inspections for which no fee is 90.00'hr CCB Lic.: (o Electrical Lic.: L �fl Suprv. Lic.: 05 s ecificalh-listed(5:hr min) ELECTRICAL PERIVIIT FEE_S Suprv.Electrician signature,required: Subtotal: Print name: ' - � ate. Plan review(25%of permit fee): L' r --- State surcharge(12%of permit fee): Authorized signator TOTAL PERbLIT FEE: ` ' This permit application expires if a permit is not obtained within 180 Print name: �jJ� Qv�`���J Date: days after it has been accepted as complete. Number of inspections allowed per permit. 1 Building,'PermitsELC_Pennit4pp_ELR_ERE doc Re\05/7t,70B 440-16151(11i05r'0.%VWEB Mechanical Permit A lic - N City of Tigard i�_- Date/Bed Permit NI 0 13125 SW Hall Blvd.,Tigard,OR 97223 Y Phone: 503.718.2439 Fax: 503.598.19VLC 21 2015 Plan to /B :Review Other Permit Y' Inspection Line: 503.639.4175 � p e ,�.-t Date Ready/By: J❑ris: ® See Page 2 for Internet: www.tigard-or.goV �^ "�`� 1f eel (fr�~t�Ip1++ Notified/Method: Supplemental Information 6; StO 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. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 10251 S w 77,-q �V2Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: �R 2 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or h dronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 /� Flue/ventfor anof above 23.32 Subdivision: �p�iS�Tf�7-� Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 Flue vent for water heater or gas NSFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen equipment 1 33.39 Address:11807 NW 99"Street,Suite 1170 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 Phone:(360)258-7900 Fax:(360)258-7901 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:LENNAR NW,Inc Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Charles Webb Furnace,etc. Address:11807 NW 99"Street,Suite 1170 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)258-7900 Fax: :(360)258-7901 Fireplace Range E-mail:PORPermits@Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: wo L ©-1 t W J @ Other: MECHANICAL PERMIT FEES* Address: loZ.6 14/. lS TU G • a M vL w Subtotal City/State/ZIP: —�© ALG. 6 7F Q Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(3 0� 6 6 7-17 3� Fax.(f" ) �_ [fir f State surcharge(12%of permit fee) CCB lie.: 1122206 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: � � * Fee methodology set,by Tri-County Building Industry Service Board Print name: 4 L_ I Date: 9,16 , 5 I:\Building\Permits\WC_PermitApp_040113.doc 440-4617T(11/02/COWWEB) l Plumbini! Permit Avvlicado!�,_0 Building Fixtures FOR OFFICE USE ONLY Cityof Tigard nF-C 2 2015 ReceivDate/By:ed Permit Nrl 13125 SW Hall Blvd.,Tigard,OR 972�P _5 7�?�;2,6 Phone: 503.718.2439 Fax: 503 Plan Review Other Permit No.: (MV,rj Date/By: Inspection Line: 503.639.4175,-'­4't b i fi Date Ready/By: Juris: 0 See Page 2 for al Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction El Demolition For special information use checklist Description I Qty.�Ea. Total r_1 Addition/alteration/replacement El Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 I-and 2-family dwelling E]Commercial/industrial SFR(2)bath 437.78 SIR(3)bath 1 500.32 El Accessory building El Multi-family Each additional bath/kitchen 25.02 El Master builder D Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 10,25-1 -5-W 671-71 14VIZ Catch basin or area drain 18.76 City/State/ZIP: 77T�aaipj j Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: Project name: 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 T /C�;1' Water service(no.linear ft.: Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NSFR Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER EITENANT Expansion tank 12.51 Name:LENNAR NW,Inc Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 11807 NW 99"Street,Suite 1170 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)258-7900 Fax:(360)258-7901 Ice maker 1 12.51 0 APPLICANT El CONTACT PERSON Interceptor/grease trap 25.02 Business name:LENNAR NW,Inc Medical gas(value:$ Page 2 Primer 12.51 Contact name:Charles Webb Roof drain(commercial) 12.51 Address:11807 NW 99"Street,Suite 1170 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)258-7900 Fax: (360)258=7901 Tub/shower/shower pan 3 12.51 E-mail:PROPermits$Lennar.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name: We) I C C7 77 PL un" 8/-A/(-' Water pipinWDV;V 56.29 Address: 157DIC 25.02 City/State/ZIP: ')1 7_123446-r, d X 70 6�0 Subtotal Phone:(5rs3)46'7.17k7 Fax:(5o3) w Fe5p' Minimum permit fee: $72.50 � Plan review (25%of permit fee) CCBLic.: Plumbing Lie.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLNW-PermitApp.doc 10/01/09 4404616T(10/02/C0NffWEB) City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential Building Permit #: f� Tv2O/S D� Site Address: 16Q57 -SA-) 6� # Ave , Project Name: o,� , S'f S' Lot #: _ (New dwelling= subdivision name;Addition or Mteration=last name of owner) Planning Review Proposal: // VV�erify site address/suite# exists and active in permit syste ,4k-ver Terrace Neighborhood: El Yes 7No Sit Plan Elements: �Y ree (3)copies of site plan xisting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished awn to scale(standard architect or engineer scale) 4tility oor elevations orth arrow locations (required for new,may apply for additions) to address,project or subdivision name and lot numberA� cation of wells/septic systems plicant information (name and phone number) Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions sign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and ret names mpervious area (applicable if R-7,R-12,R-25&R-40) eet tree size,type and location property corner elevations (2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 foot differential —protection measures Oklean Water Services—Service Provider LetV(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 12 No Received: ❑ Yes ❑ No Public Facili ' s Improvement (PFI) Permit: Required: LYes,applicant was notified ❑ No applied For: Vyes ❑ No,stop intake Land Use Case #: oning: - , 1LJ Setbacks: Front �L') Rear �S Side Street Side Garage �( Landscape Requirement: of Coverage Maximum: Building Height: Maximum Height i+ Actual Height Visual Clearance Easements _�__//Sensitive Lands: El Yes No Type VpQ rban Forestry Plan Lld Conditions "Met"prior to issuance of building permit Notes: ZZ Approved By Planning: —� Date: ' /S' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B1dgPennitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # 3— Building Permit#: 2'-Enter building permit#above. Workflow Routing: D-Planning Cii-fngineering El-Aermit Coordinator P-tuilding Workflow Sign-off: 0-Sign-off for Planning(include notes from planning review) Route Application Documents: ©Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ET'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review Slope at building pad: Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes o Assess Water Quantity Fee in-lieu: ElYes No LIDA Facility on lot: ❑ Yes [5'No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: _ 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 ❑ Approved, NOT Released: Date: 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: SDC Fees Entered: Wash Co Trans Dev Tax: 0511'-,Yes ❑ N/A Tigard Trans SDC: ❑ Yes �N/A Parks SDC: Yes LJ N/A l�K to Issue Permit Approved by Permit Coordinator: Date: /;L /S 1:\Building\Forms\B 1dgPennit Rvw_RES_070915.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 Tr •n m' a s ittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 www.tigard-or.gov TO: /OM i ATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: l (,,ojw� N VV AUG 2 2016 COMPANY: CITY OF TIGARD �l�s �=JIBUILDING DTVI PHONE: -J 2/d U - CI 00By: RE: {/07 VV �1 �'�^. 'U� ; UOZ1Q4 (Site Address) (Permit Number) alit 6511'74* S (Project name or sub,ivision name and lot ber) ATTACHED ARE THE FOLLOW.:�!1j S: Additional set(s)of dans. Revisions: f414 Floor g S Cross section(s) 6.-tails. Wall bracing and/or lateral analysis. Floor/roof framin . Basement and retaining walls. Beam calculatio . Engineer's calculations. Other(explain): REMARKS: Routed to Permit Technician: Date: g-,1 _ ) Initials: I° Fees Due: Yes El No Fee Description: Am t D e: . S 1--)r Special Instructions: Reprint Permit(per PE): ❑ Yes IN4 o ❑Done Applicant Notified: T f,) Date: L �/� ;`q//4Q Initials: sc I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012