Permit (91) CITY OF TIGARD MASTER PERMIT
' 11. '.,INPermit#: MST2017-00282
COMMUNITY DEVELOPMENT Date Issued: 08/29/2017
T[GA Et.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 8/29/2 A00600
Jurisdiction: Tigard
Site address: 14275 SW 125TH AVE
Subdivision: None Lot: None
Project: Gerhard
Project Description: Expand existing dormer. Electrical work under separate permit.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height 0 Bathrooms: 0 Second: 268 sf Garage: 0 sf Front: 0 Smoke Yes
Dwelling Units: 0
Third: 0 sf Right: 0 Detectors:
Total: 268 sf Value: $6,759.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: Catch Basins: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 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 N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF 268
Owner: Contractor:
GERHARD,JOHN C& GARZA CONSTRUCTION INC Required Items and Reports(Conditions)
GERHARD,AMY L 2110 NW ALOCLEK DR SUITE 608
HILLSBORO,OR 97124
PHONE: PHONE: 503-360-5522
FAX:
Total Fees: $783.04
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 R 952-001-0090 ou may obtain a co.y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. X
Issued By: -,/ /cif 'L'� 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 Application
Residential RECEIVE])
ro►i orr►ch: IoN►.1
City of Tigard Received oo2-B,�-°
Date/By: ��f / Permit No.:ti: �I 7-
13125 SW Hall Blvd.,Tigard,OR 97223 _ 1.✓
_ Plan Review
Phone: 503.718.2439 Fax: 503.5980 1 8 201/ Date/By: 1 t21 1/7 Other Permit:
1 1 G A K U Inspection Line: 503.639.4175 Date Ready/B : Iuris: See Page 2 for
Internet: www.tigazd-or.gov CITY OF'fIGAR Notified/Method: ��� I Supplemental Information
TYP U j 1 SIaliG ID IG
ISION
REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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,i3nd tpfit for the
CATEGORY OF CONSTRUCTION work indicated on this application. (QI /5
1-and 2-family dwellingValuation:
❑Commercial/industrial
o Accessory building 0 Multi-family Number of bedrooms: ,Q r S• )
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /y Z7 5' sq,„. , Z C-i-i— i,..4 .J-- New dwelling area: square feet
City/State/ZIP: -�� „.1t�/ 62'1 Z 2 i•-( Garage/carport area: a� square feet
name:
Suite/bldg./apt.no.: ) Project /�-
I 2 L?it�S ke-Ccl. Covered porch area: square feet
Cross street/directions to job site: F..-2✓Vt.C6te.t Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: 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.
Valuation: $
t'j\ 4-.� s C-t e.g.- \ ,f)(_,..•_\6\.: rbc,tvAr, { Existing building area: square feet
(g-/-4-e--711;-‘ti h 6 _.1,...i... I'Ae , ) New building area: square feet
&PROPERTY OWNER 0 TENANT Number of stories:
Name: j.Dvt,1A. (')�. '\ u.ItL Type of construction:
Address: H ..1 c cJ ),
\A_ As.-A— Occupancy groups:
City/State/ZIP: "'T� t tt'A. 032. q1. ,7-(_` Existing:
Phone:( ) Fax:( )
New:
64(APPLICANT fry'zct. .CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
��6,� t v1� �v c o� Structural plan review fee(or deposit):
Contact name: (,\G cf.t..)\vt:9 hL- Z C _
FLS plan review fee(if applicable):
Address: 7,.\\0 t3\kj � _b L\4-`4- 6 Vs S V t — 6 v
�i`,\� j 6 P__ c1,.j l'2_,* Total fees due upon application:
City/State/ZIP: it{. r
Amount received: / //
Phone:011}22) �-lj 1 Gl c 6 Fax::( ) !!/7'
E-mail: an G.,Vcz 1 t til n 6L et r Z e‘-- C--i-0/14'1W-td i-*\a" , .vL� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR - Commer ial and residential prescriptive installation of
roof-top m:unted Photo Voltaic Solar Panel System.
Business name: Submit two sets of roof plan with conn• ion details
and fire departm • access,along wi •- 2010 Oregon
Address: Solar Installation Sp ..•lty •. checklist.
City/State/ZIP: ��.:;.� \ '� Permit Fee(incl �' an review
an• .• inistrati.;,fees): $180.00
Phone:( ) Fax:( ) State sur- urge(12%of permit fe $21.60
CCB lic.:
otal fee due upon application: $201.60
Authorized signature: f/ „--/C4...._ Thisi nut application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /''l,'V/` *?_q7,e Date: ! c�/ *Fee methodology set by Tri-County Building Industry
/ / ) P Service Board.
I:\Building\Pemlits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OF �cl: ��SF: 011.1
City of Tigard ReceivDate/Bed Permit No.:
■ 13125 SW Hall Blvd.,Tigard,OR 97223 y
g Associated permits:
_ Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
T I G A R D Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es 10 1'^
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. • •
il
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. —17-7:1--17-r
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: • 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity .
0 0 0
6 Sewer permit. 0 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevgtions with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0
architect licensed in Ore on and shall be shown to be a licable to theproject under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Bailding\Pennits\BUP-RESPeimitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
11,1 COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c a RD Building Permit Review — Residential
(Fi
Building Permit #:
Site Address: 1r/a75 ,SW �a5,� ' Ape
Project Name: e,2, Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: r5 F1 aid p r,
YJ Verify site address/suite#exists and active in permit system.
[River Terrace Neighborhood: er No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,,�Three(3)copies of site plan ZExisting structures on site
4JSite plan must be on 8-1/2"x 11"or 11 x 17"paper .Footprint of new structure(including decks)with finished
,12r1Drawn to scale(standard architect or engineer scale) floor elevations
2<orth arrow Xtility locations&easements(required for new and additions)
1251te address,project or subdivision name and lot number ❑Sidewalk/driveway approach
Applicant information(name and phone number) J2wrOcation of wells/septic systems
, Lot dimensions and building setback dimensions R idst3iig"trees to be retained with drip line,and tree
2S uare footage of buildings to be demolished protection measures
opt area,building coverage area,percentage of coverage and Street tree size,type and location /1/4
impervious area(applicable if R-7,R-12,R-25&R-40) treet names
�CJProperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes ❑No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified j2.-No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified .2"-"No Applied For: ❑ Yes ❑ No,stop intake
P'Land Use Case#:
Zoning: -11
.R' Required Setbacks: front po Rear 1 , Side S Street Side Garage a,C
Landscape Requirement:
Lot Coverage Maximum:
Building Height: Maximum Height 3 C) Actual Height
2 Visual Clearance
. Sensitive Lands: El Yes Type
'Urban Forestry Plan
2--"Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: ` Date: 7 . /7
Revisions (after Building Submittal o Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
I:\Building\Forms\BldgPermitRvw_RES_061417.docx
Building Permit Submittal
Original Submittal Date: 7/1g /7
Site Plans: # 5
Building Plans: # 3
Building Permit#: 11--"Enter building permit above.
Workflow Routing: [Planning Engineering 2'1 rmit Coordinator Id'"Building
Workflow Sign-off: ( 1-Sign-off for Planning(include notes from planning review)
Route Application Documents: 2'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: C.,t‘ek,„„e L,, #—
By Permit Technician: k . Cle_D Date: 7o/S
Engineering Review 7/
El Slope at building pad:
El Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering cgtaons of approval and plat
❑ Water Quality/Quantity Facility: ,.»-- ,,,.
Assess Water Quali ,e-iri° : ❑ Yes ❑ No
Assess Wate 0 antity Fee in-lieu: ❑ Yes ❑ No
LID' acility on lot: ❑ Yes ❑ No
❑ T Approved by Engineering: ., Date:
tes: [.:--/p5-4- y4G „P- 2,77?-21 ,,,---,7. G``;,/41-- /, r-17- . .,.,--_,,,...-e..
Approved by Engineering: i42 j) ,.,—,
Date: 7- '__"( `
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:
gitSDC Fees Entered: Wash Co Trans Dev Tax: CI Yes N/A
Tigard Trans SDC:
CI Yes N/A
Parks SDC: ❑ Yes N/A
LIDA ❑ Yes N/A
t4OK to Issue Permit y
PPby
8t / 7-----
AI roved Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw RES_061417.docx
i
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1111
TI
G A R n Building Permit Review — Residential
Building Permit#: 1-16T�ot'7 - 6.094-a•--
Site Address: jt[a?S $w 1 a5 44 Ake
Project Name: G P.2, 1.141.,2r - Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review l „'/,,y/7 7',..57./7S70/1)
.
Proposal: S FT a Jc iTi 0 r, / of 01 ct ibo n o G-- 224 S'.r po r t
1
1CJ Verify site address/suite#exists and active in permit system.
❑''River Terrace Neighborhood: ,EI" No El Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,,..
Three(3)copies of site plan ,P.rExisting structures on site
e1�ite plan must I&on 8-1/2"x 11"or 11 x 17"paper 21lootprint of new structure(including decks)with finished
brawn to scale(standard architect or engineer scale) floor elevations
orth arrow
Xtility locations&easements(required for new and additions)
to address,project or subdivision name and lot number ❑Sidewalk/driveway approach
#IApplicant information(name and phone number) Oncation of wells/septic systems
otot dimensions and building setback dimensions 'trees to be retained with drip line,and tree
2'S uare footage of buildings to be demolished protection measures
t area,building coverage area,percentage of coverage and $STreef u size,type and location /4
impervious area(applicable if R-7,R-12,R-25&R-40) , Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes 'No
4 foot differential) If yes,is a storm water quality facility shown? ❑Yes/EiNo
2"Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 12'1Cio Received: 0 Yes 0 No
Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified 0-No Applied For. 0 Yes 0 No,stop intake j
PYland Use Case#: ti
Zoning: 12-16
,1:e Required Setbacks: f nt Rear l c Side 5 Street Side Garage P.O '
frt
andscape Requirement: %
12r—Lot Coverage Maximum:
12"Building Height Maximum Height 3() Actual Height
.2 Visual Clearance
.2'Sensitive Lands: 0 Yes .ErNo Type
fd'Urban Forestry Plan
P"'"Conditions"Met"prior to issuance of building permit
Notes:
Approved By Planning: _.....00- Date: 7 0 /7
Revisions(after Building Submittal o'1 Reviewer Date
Revision 1: 1 Approved 0 Not Approved 61.-\-- vN__ _ 11/(2)/1 ] ,
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:TuildmgTormsiBldgpamitRvw RES_061417.docx
i
1
1
1
Building Permit Submittal
Original Submittal Date: 7! (g ((7
Site Plans: # 3
Building Plans: # 3
Building Permit#: 1:12nter building permit#above. �fd /
Workflow Routing E Planning ngineering ermit Coordinator 'Building
Workflow Sign-off: P-Sign-off for Planning(include notes from planning review)
Route Application Documents: B'Engineering: (1)copy of permit application,(1)site plan,(1)building plan and
plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: C,ha,k,A,,,re �,_. L
By Permit Techrdcian':
kCIO Date: 7/
Engineering Review
❑ Slope at building pad:
❑ Conditions"Met"prior to issuance of building permit
❑ Easements(encroachments)per engineering c ' ons of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Q,ali ' -- eu: 0 Yes 0 No
Assess Wat- e tity Fee in-lieu: 0 Yes 0 No
LID' ' cility on lot 0 Yes 0 No
i
1 0 ► •T Approved by Engineering: Date:
_
otes: c,s� 15-E- 4t fee- ,` /! '. 27;7eft./C :are4. li�,�
Approved by �`E eering: 42 jj Date: 7-.1‘.3.3_(7
1 Revisions(after c 'Wing Submittal only)
Revision 1: LI Approved 0 Not Approved Revs Date
a--13 / 7
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
I 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
I
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A
74
Tigard Trans SDC: 0 Yes N/A
Parks SDC: 0 Yes N/A
LIDA 0 Yes N/A //`i 3//�'`
YtovedWPenrntCoOrdjnator:
/C� Date:
I:\Building\Fonns\BldgPennitRvw_RES 061417.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
11111 i Transmittal Letter
i c;,,E< n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE ithraiVED
DEPT: BUILDING DIVISION
NOV i�:8 2017
FROM: "Iv/ g-e.('��3 CI 'Oi Al 0
COMPANY: ( 0 vZh Cvt�gyve�i�i7vc
BUILDING DIVISION
PHONE: 107'(7 751 I By'
RE: 11/(2-7 S ,;vl/ /�Ste' AV�-
(Site �5���7— avzss2
Address) (Permit Number)
6'7.e ry 2 (
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: I Description: I Copies: I Description: I
Additional set(s)of plans. 3 Revisions: Po yd". co\ -c V
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 2 Engineer's calculations.
Other(explain):
REMARKS: Ms o \/t.e., voULA i h Ate, .c5;vu2-tf(i C 1t-5 61 ri-L
"ILO- C'41141 t .
FOR OFFICE USE ONLY
Routed to Permit Technician: Date:
Fees Due: Initials:
❑Yes ❑No Fee Description: Amount Due:
$
$
$
Special $
Instructions: I
Reprint Permit(per PE): ❑ Yes I ❑No I ❑Done
Applicant Notified: I Date: Initials:
MBuildingTormsUransmittalLetter-Revisions_061316.doc
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.
III City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
1 i c,A n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
''
TO: /Ol''N DATE itt# :" E.
DEPT: BUILDING DIVISION NOV 8 2017
FROM: YIA./io t tQ3 I., ' DIVISION
COMPANY: ( &i v It (oktyh'V 41-7(0(4
PHONE: 10 7417 751 3 By
ZIM
RE: /1112:7 sj R9,' /,e_ 1 f 5T Z-t217— 007 7
(Site Address) \ (Permit Number)
p "
Project name or subdivision name and lot number) 1\
ATTACHED ARE THE FOLLOWING ITEM •,
Copies: Description: opies: Description:
Additional set(s) of plans. X) 3 Revisions: Yo vc(A (-w.z V'
Cross section(s) and deta` . I . ! Wall bracing and/or lateral analysis.
Floor/roof framing. \ Basement and retaining walls.
Beam calculations. y Engineer's calculations.
Other(explain):
REMARKS: Me—)0 tvt 6v r ' ‘w -- t v z$V\-e-c_i ri C Gr(L 5 Gt r--(--
-4“- GM. I C l4 l762"1 74v 1-Ae �a�'d- t 4 i ibe 5 Li 4— D 4
7(-0-- ch1v1/1w7 22.1 \
FOR OFFICE USE ONLY
Routed o Permit T- 'cian: Date: J )-..J C� j'`i Initials:
Fees Due: ,� Y-: ❑No Fee Description: Amount ue:
J 1-kr p) --v\ fe.v,,e.r $ 90
$
$
$
Spe ..
Ins ctions:
Reprint Permit(per PE): A Yes ❑No ❑ Done
Applicant Notified: r,,y Date: if794/7 Initials:
eTh
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14275 SW 125TH AVE, TIGARD, OR, 97224 February 15, 2018 at
11 :54:57 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00282
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor