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Permit q CITY OF TIGARD MASTER PERMIT III COMMUNITY DEVELOPMENT Permit#: MST2015-00275 Date Issued: 02/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136AA14100 Jurisdiction: TIGARD Site address: 10167 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 36 Project: Oak Street Estates, Lot 36 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1508 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1384 sf Garage: 494 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2892 sf Value: $351,999.56 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 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tomo SrvclFeeders 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: 4 201-400 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: $24,311.80 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 1.800.332.2344. I Issued By: ' Permittee Signature: O 1l/ #/'/°A%C 977OA I 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. ' II Building Permit Application 'Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received ...�Q ��.614 , `J g DateB 12 �+ ��I,�!/SII ermitN'..f /` 40 � 51e v 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2 3 2015 PlaReview // f Phone: 503.718.2439 Fax: 503.598.1960 DatneB : 4J b gi' Other Permig�f ael/ ;/, /3 T I G A Rll Inspection Line: 503.639.4175 CITY O F ;riP P D Date ReadyBy: ; Juris: H See Page 2 for Internet: www.tigard-or.gov I r, ,. ,., Notified/Method: ��� Supplemental Information BUILDING �1��/�is�", 1 &y A ti-6.44,5 y j2sL}. TYPE OF WORK REQUIRED DATA:1-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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-familydwellingValuation:JJ 2J�0 $ � El5.2-1.2.271 ❑Accessory building 0 Multi-family Number of bedrooms: S ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: G Job site address: / y/ 7 .5-w 7TH,{ 4✓6 New dwelling area: 2� 8 / Z square feet g C City/State/ZIP: ?j /ARpt o�,� 4 72 2 3 Garage/carport area: 4 £ 4 square feet Suite/bldg./apt.no.: y Project name: Oc i l( jk1/ -6., Covered porch area: 2 2 2 square feet i3 g 4 Cross street/directions to job site: Deck area: square feet is-0 8 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHLCKLIST Subdivision: 29/r- SieCC'T z.._..--:c7-4 T(„7.-5 Lot no.: 3d, 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.: 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 0 TENANT Number of stories: Name:LENNAR NW,Inc. Type of construction: Address:11807 NE 99`h Street,Suite 1170 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)258-7900 Fax:(360)258-7901 New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* I Business name:Lennar NW,Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Charles Webb FLS plan review fee(if applicable): Address:11807 NE 996 Street,Suite 1170 Total fees due upon application: City/State/ZIP:Vancouver,WA 98672 Amount received: Phone:(360)258-7900 Fax::(360)258-7901 E-mail:PORPermits@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic 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.: /9 53 7 Total fee due upon application: $201.60 Authorized signature: le This permit application expires if a permit is not obtained `ir i within 180 days after it has been accepted as complete. *'?ee methodology set by Tri-County Building Industry Print name: /7ede-ry `SFL`3 v Date:12-2/._ /5" gervice Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I ' .'',,;11,, i r' r-* Electrical Permit Applicatii - t'.;—:.; '1,1 i:,..:1.,,f 1-oR OH io 1 1 ',1 0\1 1 City of Tigard Received r---C 9 PermN %-o,0 -rc,9_62/_5--40,2 7 • 13125 SW Hall Blvd..Tigard,OR 972230 L- "9 d (-) 20 i'5 Dateility:Plan Review Phone: 503.718.2439 Fax: 503.51I1..k9¢Q' : f-,,. 1 , , ,,, Date/B': Other Penn it: Inspection Line: 503.639.4175 . ' P''': ) Date Ready/By: luriv 0 See Page 2 for Internet: www.tieard-or.eov L. ,._.,.,..; :. -,,:,N NotifiedMethack Supplemental Information TYPE OF WORK I PLAN REVIEW ID New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): CI Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyard:. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. • less to ground,or exceeds 14,000 0 Commercial-use sericulture] El l-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or - . 0 Emergency system. larger separately derived system JOB SITE INFORMATION_AND LOCATION - . 0 Addition of new motor load cf 100HP or more, occupartc). Job no.: Job site address:/0/ 7 s-w 6.7 rii A,6_,- o Six or more residential units. 0 Recreational vehicle parks. 0 Health-care facilities. 0 Supply voltage for more than CityiState/ZT.: 7161,9R 11 0 R 9'7 2_2..3 ) 0 Hazardous locations. 600 volts nominal. Suite/bIdelapt.no.: Project name: El Service or feeder 600 amps or more. FEE SCHEDULE . Cross street/directions to job site: Description I Qtr. I Fee. I raw i • , New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: 0„q b. 55--:e cc_ 7Z...._.6-74--7-z;s Lot no.:,..?‘ 1,000 sq.ft.or less 1 168.54 4 Ea.add]500 sq.ft.or portion -,41" -, 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK . . . - (with above sq.ft) ) 75.00 2 75.00 Limited energy.multi-family , ., residential(with above sq.ft.] _ Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation • PROPERTY OWNER .. _ . - 0 TENANT , -.- . 200 amps or less ) 100.70 ' 201 amps to 400 amps 133.56 2 Name: iii A y-- , i, , I 401 amps to 600 amps 200.34 .1 _ . Address: ti30-1.- Nr „L..,. t.,,,___40.130 601 amps to 1.000 amps 301.04 1 - Over 1.000 amps or volts 552.26 2 City/State/ZIP: \Arai ver (A)pi- i,9-60-2 Temporary services or feeders installation,alteration,and/or Phone: 42O ) ‘—l&--* 1C100/ Fax:a0)-0,512)•-'1101 relocation . 200 amps or less 59.36 l I Owner installation:This installation is being made on property that I own which is not I .- 201 amps to 400 amps 125.08 ,- intended for sale.lease,rent,or exchange.according to ORS 447.449.670.and 701. 401 amps to 599 amps 168.54 I -, - Owner signature: Date: Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with X.A P PIPC ANT ...- - :- 0 CONTACT PERSON- -' . -- above service or feeder fee. 7.42 2 Business name: Lelbliq( N lA I1,, i' I if , each branch circuit - B.Fee for branch circuits withour VI,,If Contact name: ha yliA, vie ot, service or feeder fee,first 56.18 2 branch circuit Address: I ( (?)0-1 N °II-Li- 5b. -4 I I lo Each add]branch circuit 7.42 2 - C i ty'StateZIP: \iCIACULIVOK lAYk C193 ti'saD— Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 PhOne:-3(00 ) 9b---7(0 .- 1 Ci6,Y)) Fax: :ca) a-S1/3 —74o1 dwelling,service and.rn feeder Reconnect only 67.84 2 E-mail: PO RperMi-K el ten(Allt. . C Orrl Pump or irrigation circle 67 84 2 - CONTRACTOR Sign or outline lighting 67.84 ' Business name:?ô. \2_,;(se.." \e.cicx,c,„ --- St\c.... Signal ctrcuihs]or limited-energy See panel,alteration,or extension. Page 2 7 Address: (b)..14:y e, " Seeme..1&, 9c- Each additional inspection over allowable in any of the above Additional inspection(1 hr nun) 66.25:hr C 11)/State/ZIP: Seoc-\\Ckx(xa CR.- CV-T la) Investigation i 1 hr min) 66.25%hr N Phone:(ckrit) cjAs_TI Fax:( ) Industrial plant(I hr min) 78.18'hr , Inspections for which no fee is 90.00'hr CCB Lic.:a0s6k9(...,) Electrical Lic.: C., V3 Suprv. Lic.:5 305 5 specifically listed(',2 ht min) ELECTRICAL PERMIT FEES Supn.Electrician signature,required: . Subtotal: —— r Plan review(25%of permit fee): Print name: i c ka,6,A r e r.i " 'jr ate: • State surcharge(12%of permit fee): Authorized signaturt\A0\ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: re:.3,1n.L.,, \I 0\‘,..,-;e4I Date: days after it has been accepted as complete. Number ofiiispeelions allowed per permit. I fluilding,PerrnitPELCPennickpp_ELR_ERE Coc Rev 05121,2013 44046151111'05 CONVWEB l Mechanical Permit Appli ty 1.-- t FOR OFFICE USE ONLY Cl of Tigard o--- it Received Date/By: Permit N irc20/S'0O„7._75 iii 13125 SW Hall Blvd.,Tigard,OR 972, N a Phone: 503.718.2439 Fax: 503.598.1 C v 2015 Plan Review Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 . ix -;,y Date Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov I�" I *t 1.. Notified/Method: I 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 O Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning ) 46.75 Job site address: 70 7 6 7 S W 6 77-hi /I✓L' Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: gRef) hR 9 a 2 3 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 hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: ©pi,i �--� L / S+ Lot no.: / Other: 23.32 t J/ % C� �/�T�� �(p 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/litter/flue/vent 23.32 ® PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LENNAR NW,INC Range hood/other kitchen equipment 1 33.39 Address:11807 NW 99th 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 0 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 99th 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 1 E-mail:PORPermits@Lennar.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: ��// 0. Other WG D L(r©7,-,-- I U m a i/n; MECHANICAL PERMIT FEES* Address: l©7 5 J. j_16Ta Ric co L wig,4 /T!YLa 1-/wy Subtotal Minimum permit fee($90.00) City/State/ZIP: lRot47 D4tG OR 970(0 - i / Plan review(25%of permit fee) Phone:(563) 6 G 7../78/h.e -se/Fax:(5-03 ) t4 7— 989/ State surcharge(12%of permit fee) CCB lic.: f / 2 2 2 U G TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: I i . ,,„ * Fee methodology set by Tri-County Building Industry Service Board na Print name: l�L//,� a/Ja,,,,,j'M /�i Date: 7 ,/‘ , 15 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11632/COM/WEB) Plumbing Permit Applicatio sr ,- f'M;. _ � iBuilding Fixtures ,, FOR OFFICE ESE ONLY DEC 2 3 2015 Received City of Tigard Permit N n 13125 SW Hall Blvd.,Tigard,OR 972{23 a: t s: r7f`-:',7) DateBy: cS����(/(f��� Phone: 503.7182439 Fax: 503.5�$,19G0 ,.t,J Da ey7ew COther Permit No.: Inspection Line: 503.639.4175 - " ` ' " °'-. T i G A R D Date Re Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® m 1-and 2-family dwelling 0 Comercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /O/6 7 s w7, , AVL Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 776ARI� I 217 97223 7 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I 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 Water service(no.linear ft.: ) Page 2 Subdivision: OA e 5 L--.57,-176- _5 ry7E5 I Lot no.: . 6 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 I 0 TENANT Expansion tank 12.51 Name:LENNAR NW,Inc Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NW 99th 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 ® APPLICANT ❑ 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 99th 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 • I3 W n Water heater 1 37.52 Business name: 'Wc L 'C- /(9 T PLUm /WV Water piping,DWV 56.29 Address: /U 7�" W. [i 1570,'/C ee,Git m,3,,4 /✓LIQ r: 25.02 City/State/ZIP: '-7 p Subtotal ty /R'Du 7/7/446:-/ 1,A2 ` 7� � Minimum permit fee: $72.50 Phone:(5'63)667,, (.5-03) l067_ ii '�1!- 17�/�X>„��°L Fax:( CCB Lic.: // 2 22 00 Plumbing Lic.no.:26.-'2'1!tea Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: eleiA�J /, . ,,, TOTAL PERMIT FEE l� This permit application expires if a permit is not obtained within 180 days Print name: C�-�.-� 8Q� +�,v Date: 2,/6- `J� after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ,74 U m City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T i GR 1, Building Permit Review — Residential ABuilding Permit #: /1'S7 /3 — 00 ',7_5"- Site 75Site Address: /0/1e S (aWA /T Project Name: 00•D `c c Lot #: 3& (New dwelling=subdivision name;,Addition or;Alteration=last name of owner) Planning Review Proposal: /(Jere) . -- _ Lid' Verify site address/suite#exists and active in permit syste .. Ofttiver Terrace Neighborhood: ❑ Yes Lid' No S.ityPlan Elements: 7l ree(3)copies of site plan P isting structures on site "/e plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure (including decks)with finished 2b awn to scale (standard architect or engineer scale) ..r elevations Vrth arrow 'V Utility locations (required for new,may apply for additions) address,project or subdivision name and lot number ation of wells/septic systems ( plicant information(name and phone number) rosion control (including drainage-way protection,silt fence of dimensions and building setback dimensions d tt ,location of catch basin,etc.) OAarea,building coverage area,percentage of coverage and . reet names fpervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location roperty corner elevations(2 foot contour lines if more than Offkisting trees to be retained with drip line,and tree 4 foot differential) protection measures gklean Water Services—Service Provider Letter of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: E Yes E No Public Facilitie mprovement (PFI) Permit: ,�,� equired: Yes,applicant was notified E No Applied For: 12 l'es ❑ No,stop intake Viand Use Case #: S- ,�QG'j/4- Woo/ / D/�� (7) ,W P oning: /-2/, Setbacks: Front ,,,?C) "C) Rear / Side S Street Side /5- Garage (QO I1• k dscape Requirement: °'o of Coverage Maximum: //�Building Height: Maximum Height Actual Height // Ill"�Tisual Clearance FA'Easements �!I 6 nsitive Lands: ❑ Yes ❑ No an Forestry Plan CType / onditions "Met"prior to issuance of building permit Notes: �!0 ,. _ �/ '_ . ''7 I '..�,i V L L_ I ' ' - 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:ABuilding\Fonns\BldgPermitRvw_RES_070915.docx l Building Permit Submittal Original Submittal Date: /. 2 3// Site Plans: # Building Plans: # ? Building Permit#: Linter building permit#above. Workflow Routing: [-Planning i'fngineering E.—Permit Coordinator [9-11–uilding Workflow Sign-off: El.-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. F-..--Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Air / Date: /;,V,23/...5- Engineering 2,/3,/ 5Engineering Review Slope at building pad: J7 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 No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 42. P Date: j7244-JE Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved E 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: PSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes – N/A Parks SDC: Yes ❑ N/A )r.aOK to Issue Permit Approved by Permit Coordinator: Date: L j 1:\Building\Fonns\BIdgPennitRvw_RES_070915.docx