04-April (2) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00048
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
Parcel: 1 S 136AA00400
Site address: 10173 SW 69TH AVE Jurisdiction: Tigard
Subdivision: OAK WOODS Lot:
Project: Oak Woods, Lot 3
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1100 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1366 sf Garage: 691 sf Front: 20
Dwelling Units: 1 Smoke
Third: 0 sf Right: 5 Detectors: Yes
Total: 2466 sf Value: $315,709.67 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1
Y Rain Drain: 1 Urinals: 0
Lavatories: 4 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: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Catch Basins 0
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'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: Occu anc Grou
NEW P y pi Square Feet:
SF VB R-3 2466
Owner: Contractor:
BIGGI CONSTRUCTION LLC BIGGI CONSTRUCTION LLC Required Items and Reports(Conditions)
11605 SW NORMANDY LN 11605 SW NORMANDY LANE 1 Ersn Cntrl 503-639-4175
WILSONVILLE,OR 97070 WILSONVILLE,OR 97070 2 Geo Tech required on
foundation walls>4
PHONE: 503-682-7292 PHONE: 503-682-7292
FAX:
Total Fees: $29,847.54
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 tain a co. of the rules or direct questions to OUNC by calling 5 3.2 .1987 or 1.8..
Issued By: 44;e571-- ,7„..„..'‘
Permittee Signature: vv---\
/`.A3.639.4175 by 7:00 a.m.for the next available inspecti n 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.
I
Building Permit Application t- S J 1
Residential ._G.. i := - ,
FOR OFFICE FSE O\I.1
City of Tigard q Received
. I f Date/By: 3 Permit No ��2^C�_
III
d 13125 SW Hall Blvd.,Tigard,OR 9723 �7 To 000''lF
_ Phone: Fax: 503 598l960 Date/ByPlan :
f G,1 t:t) Phone: 503.718.2439
3.63Fax: 55 y 3-at— 1 -)' Other Permit: S�K.�0l7_vvo/6
,; Date Ready/By: {'� Juns: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: j ,7 -- I Supplemental Information
fmi/%e ✓1 4 /?
TYPE OF WORK REQUIRED DATA- 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling 0 CommerctaVindustrial Valuation: ''..-314;2`k
— g 3)5✓ 7 0 9
.i)
® 1-and 2-family0 �J 7
0 Accessory building ❑Multi-family Number of bedrooms: 5
0 Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3 I S 7
Job site address:10173 sw 69th ave New dwelling area: 2466 square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: 691 square feet
Suite/bldg./apt.no.: Project name:Oak Woods Covered porch area: 217 square feet 13 c6
Cross street/directions to job site:SW Locust and 69th in Tigard Deck a J E).3 0 square feet I I 0 0 b
Other structure area: 0 square feet
REQUIRED DATA:COM1iIERCML-VSE CHECKLIST
Subdivision:Oak Woods Lot no.:3 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.
New construction Valuation: $
Existing building area: square feet
New building area: square feet
e PROPERTY OWNER Q TENANT Number of stories:
Name:Biggi Construction LLC Type of construction:
Address:11605 SW Normandy LN Occupancy groups:
City/State/ZIP:Willsonville OR 97070
Existing:
Phone:(503)682-7292 Fax:(503)682-7650
New:
:® APPLICANT ►i CONTACT PERSON BUILDING PERMIT FEES*
Business name:Biggi construction LLC (Pt +fer toSee
sclfedute)
Contact name:Vince Biggi
Structural plan review fee(or deposit):
Address:11605 SW Normandy LN FLS plan review fee(if applicable):
City/State/ZIP: Willsonville or 97070 Total fees due upon application:
Phone:(503)816-3243 Fax::(503)682-7650 Amount received:
E-mail:biggicon®gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Biggi Construction LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:11605 SW Normandy LN Solar Installation Specialty Code checklist.
City/State/ZIP:Willsonville OR 97070 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)682-7292 Fax:(503)682-7650
State surcharge(12%of permit fee): $21.60
CCB lie.:47896
Total fee due upon application: $201.60
Authorized signature: Of•-' ---- .'"-7.-- --'---
--- -- __-,__ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Vince Biggi Date:
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application FOR OFF1(F I SE()Nil
City of Tigard Received
•III DateBy: Permit N�' ^000 K J
13125 SW Hall Blvd.,Tigard,OR 97223Z .
fi Phone: 503.718.2439 Fax: 503.598.19 1 ^017 Plan Review
r•• Date/By: Other Permit:
,-I G A I2 D Inspection Line: 503.639.4175
Internet www.tigard or.gov Date Ready/By: Juns. See Page 2 for
Notified/Method: Supplemental Information
TYPE OF WORK" COMMERCIAL FEE* SCHEDULE —USE.0 ICKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
® 1-and 2-family dwelling ❑Commercial/industrialRESIDENEIALEQUIPMENTiSYSIEMSF'EES*
❑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:10173 sw 69th ave
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Oak Woods Heat pump 61.06
Duct work 23.32
Cross street/directions to job site:sw 69th and Locust Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75 •
Flue/vent for any of above 23.32
Subdivision:Oak Woods Lot no.:3 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK'_ Gas fireplace/insert 33.39
Flue vent for water heater or gas
New Construction 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 ❑ T E Other: 23.32
Environmental exhaust and ventilation:
Name:Biggi Construction LLC Range hood/other kitchen
Address:11605 SW Normandy LN equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Willsonville OR 97070 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)682-7292 Fax:(503)682-7650 Attic/crawlspace fans 23.32
APPLICANT " �< CONTACT PERSON Other: 23.32
Business name:Biggi Construction LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Vince Biggi Furnace,etc.
Address:11605 SW Normandy LN Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Willsonville OR 97070 Water heater
Phone:(503)816-3243 Fax::(503)682-7650 Fireplace
Range
E-mail:biggicon@gmail.com Barbecue
CONTRACT((R Clothes dryer(gas)
Business name:Remington Heating and Cooling Inc. Other
MECB`ANICAL PERMIT FEES*
Address:923 nw Viewpoint PL Subtotal
City/State/ZIP:Hillsboro OR 97123 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)522-7415 Fax:( )
State surcharge(12%of permit fee)
CCB lic.:183292 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
1----)4days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Mike Remington Date:
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
r , ' .
Electrical Permit Application ,pp catao>qFORtirtic t tt (11 \
E City of Tigard R«� IN i1111fffi
7
.-r
" 13125 SW Hall Blvd.,Tigard,OR 97223I- i i! Plan Review ,�
Phone: 503.718.2439 Fax: 503.59$.1960 r- Dates ; Related Permit 4:
T T G A R 17 Inspection Line: 503.639.4175 Ready Date/By: Jaris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:
Supplemlatal Information
TYPE OF WORK PLAN REVIEW
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans cvtitems checked):
? El Demolition 0 Other: 0 Service or feeder 400 amps or more ID Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 13 Floating buildings.
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building loss to ground,or exceeds 14.000 0 Commercial-use agricuhural
❑Multi-family ❑Master builder ampsfor all other instalLatio . buildings.
Other: ()Fire pump. ❑Installation of iSO KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
f Job#:3 Job site address: 10173 sw 69th ave 0 Addition of new motor load of system.
l00HP or more.
City/State/ZIP:Tigard OR 97223
0 Six or more residential units. ocenroney,
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 13 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 snips or more. 600 volts nominal.
Cross sired/directions to job site:SW Locust and 69th FEE SCHEDULE
Description I Qtr. I Each i Total i
New residential single-or multi-family dwelling unit
Subdivision:Oak Woods Lot#:3 Includes attached garage.
1,000 sq.ft or less i 168.54 4
Tax map/parcel#:
Ea.add'1500 ft.orr
DESCRIPTION OF WORK y, portionial ✓ 33.92 1
1 Limited energy,residential 75.00 2
New Construction (with above sq.ft.)
Limited energy.multi-family 75.00 : 2
residential(with above sq.ft.)
Il PROPERTY OWNER TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Biggi Construction LLC 200 amps or less 100.70 2
I Address:11605 SW Normandy LN 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Wilisonvitle OR 97070 601 amps to 1,000 amps 301.04 2
Phone:(503)682-7292 Fax:(503)682-7650 Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 4011 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT :I CONTACT PERSON
Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Biggi Construction LLC above service or feeder fee,
7A2 2
each branch circuit
Contact name:Vince Biggi B.Fee for branch circuits without
Address:11605 SW Normandy LN brannice sraor feeder fee,first ch circuit 56.18 2
i City/State/ZIP:Willsonvile OR 97070 Each add']branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)682-7292 Fax::(503)682-7650 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:A.B.Electric Sign or outline lighting 67.84 2
Address: o boa 606 Signal circuit(s) limited energy See Page 2 2
p panel,alteration,or extension.
? City/State,/ZIP:North Plains OR 97133 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)314-7174 Fax:(503)647-2554 Investigation(1 hr min) 90.001 hr
Email:ab+electricco®msn.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is90.00o hr
CCB Lie.: 955 Electrical Lie.: 34-35c Suprv.Lic.: cif/46 S specifically listed(Si hr min)
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal:
Print name: Craig Schlottmann Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%ofpermit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1 tBuitdicv;Hertnitslt:t PcrrnhApp_EIR EiRi^:.doc Rev 06/17f2015 446.4615T(I t/(15YOM/WF.B
Nlik, ,
• Plumbing Permit Annlication
Building Fixtures I tOk UI I R l I ',h (1\l .1
City of Tigard _-' -' Received Pemrit No:
Plan Ry: , �li(SLX�L?-GYXJ1-
13125 SW Hail Blvd..Tigard,OR 97223 DDan Review
Phone: 503.718.2439 Fax: 503 598,1960 Other Permit No.:
Datu�sy:
lit i•
inspection Line: 503.639.41751114
Date Ready/By. lurk: Ea 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 ase checklist _
I Description I Qty. L Ea. i Total
❑Addition/alteration/replacement 0 Other. 1 New 1-2-familtdwe0ings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath I 312.70
®
I.and 2-family dwelling I 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family __ SFR(3)bath 500.32
❑Master builder '-' Each additional bath/kitchen 25.02
❑Other Fire sprinkler(__sq.ft.) Page 2 .
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:10173 sw 69th awe Catch basin or area drain 18.76
, ; Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard OR 97223 _
Footing drain(no.linear IL: ) Page 2
Suite/bldg./apt.no.: Project name:Oak Woods Manufactured home utilities 50.03
Cross street/directions to job site:sw 691°and Locust 1 Manholes 18.76..
IRain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storni sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) 1 Page 2
Subdivision:Oak Woods Lot no.:3 --J Fixture or item,
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK I Backwater valve 12.51
Clothes washer 25.02 '
New Construction ' _Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Biggs Construction LLC Fixture/sewer cap 25.02
i
Floor drain/floor sink/hub 1 25.02
Address:11605 sw Normandy LN _
Garbage disposal + 25.02
I City/State/ZIP:Willsonvilie OR 97070 Hose bib 25.02
•
Phone:(503)682-7292 Fax:(503)682-7650 Ice maker 12.51
® APPLICANT i ® CONTACT PERSON Interceptor/grease trap 25.021
Business name:Biggi Construction LLC Medical gas(value:$ ) Page 2
Contact name:Vince Biggi Primer 12.51
Roof drain(commercial) 12.51
Address:11605 SW Normandy LN Sink/basin/lavatory 25.02
City/State/ZIP:WiUsonville OR 97070 Solar units(potable water) 62.54
1 I Phone:(503)816-3243 Fax::(503)682-7650 Tub/shower/shower pan 12.51
E-mail:biggicon®gmaii,eom Urinal 25.02
CONTRACTOR Water•
closet 25.02
Water beater 37.52
Business name:Malmedal Enterprises INC. t in DWV 56.29
Address:po box 207 Other: 25.02
City/State/ZIP:banks OR 97106 i_ Subtotal
(503)324-0759 Fax:(503)324-0580 Water AP 8/
Minimum permit fee: $72.50
CCD Lie.:102535 Plumbing Lie.no.:34.276PB Plan review (25%of permit fee)
,. l State surcharge(12%of permit fee) II
Authorized signature: 7:4 Ca
TOTAL PERMIT FEE i 1
Print name: "/fr4'{ 14edif
�, '/ Date: r /7 This permit apps cation expires if a permit is net obtained within 1S days
/ after it has been accepted as complete.
# 'Fee methodology set by'Fri-County Building Industry Service Board.
INIuitdineernutsiPLMU-PernwAip.doe I Celi IRJ9
440-06167{1 Wti2K:p?W WE8)
City of Tigard
IIh COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Residential
Building Permit #: /125r:v /7 — UOi-if
Site Address: /Q%' g,-( ) (a 9 e
Project Name: 04_ ObGlSLot #: ;
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: /U40
NJ Verify site address/suite# exists and activ in permit system.
i
ver Terrace Neighborhood: L� No ❑ Yes,See River Terrace Review Addendum Attached
g
SiPlan Elements:
ree(3)copies of site plan : i„ting structures on site
to plan must be on 8-1/2”x 11"or 11 x 17"paper IIF otprint of new structure(including decks)with finished
/11
io
awn to scale(standard architect or engineer scale)
oor elevations
rth arrow tility locations(required for new,may apply for additions)
o
It.ite address,project or subdivision name and lot number q ! . ation of wells/septic systems
II pplicant information(name and phone number) <<, ting trees to be retained with drip line,and tree
Lot dimensions and building setback dimensions .rotection measures
1rot area,building coverage area,percentage of coverage and n street tree size,type and location
pervious area(applicable if R-7,R-12,R-25&R-40)
VA Street names
perty corner elevations(2 foot contour lines if more than
4 foot differential)
i can Water Services-Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ s,applicant was notified No Received: ❑ Yes ❑ No
RA Public Facili ' s Improvement (PFI) Permit:
,equired: Yes,applicant was notified CI No Applied For: Yes ❑ No,stop intake
and Use Case#: S(� .'�p/c j1/
omng P l
Required Setbacks: Front ,20 0 Rear 1 S Side 5'"" Street Side i Garage 2(')
Pandscape Requirement: % ./.3-# . nY-- pore k cy iloazc ..
0 tot Coverage Maximum:
I, Building Height: Maximum Height Actual Height
Visual Clearance
Easements
(i sensitive Lands: ❑ Yes No Type 6 6
7 Urban Forestry Plan
❑ Conditions "Met,"prior tt issuance of building ermit
Notes: i ./iati �l)3?.S ,c4,J/� 7Yt el pr7Or J) p-(4U+ %c' 1,oR C.'
Approved By Planning: '-'-• "---------"--:----- _____41Date: a
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved s
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw RES_091216.docx
Building Permit Submittal
Original Submittal Date: a 1, /17
Site Plans: # 3
Building Plans: # 3
Building Permit#: p'Enter building permit#above.
Workflow Routing: fEr Planning i..Engineering Permit Coordinator wilding
Workflow Sign-off: , Sign-off for Planning(include notes from planning review)
Route Application Documents: in'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: xADate: f
v_3
Engineering Review
megrSlope at building pad: Bi
OConditions "Met"prior to issuance of building permit.._..+ do frig./
Easements (encroachments)per engineering conditions of approval and plat
eerWater 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: �L 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
\Faipproved,NOT Released: % I ate: 1' 9//
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: es ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
!� to Issue Permit
Approved by Permit Coordinator: Date: 3
/71-2/
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Albert Shields
From: Albert Shields
Sent: Thursday, February 09, 2017 4:13 PM
To: 'biggicon@gmail.com'
Subject: RE: MST2017-00048, -00049, -00050, & -00051
Attachments: Conditions - 02-09-2017.pdf
Ooops. Sent the list without the highlighting. Here's the correct one. Albert.
From:Albert Shields
Sent:Thursday, February 09, 2017 4:11 PM
To: 'biggicon@gmail.com' <biggicon@gmail.com>
Subject: MST2017-00048, -00049, -00050, &-00051
Vince, in reviewing the applications for these 4 building permits Engineering has noted that 6 of the Conditions of
Approval for SUB2015-00011 have not yet been met. Please see the highlighted conditions on the attached list. Plan
Review will proceed but these applications will be put on hold as "Approved but Not Released" until these conditions
have been met.
Please let me know if you have any questions.
Albert Shields
1