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Permit (203) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00051 'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2018 Parcel: 1 S 136AA00400 Site address: 6885 SW LOCUST ST Jurisdiction: Tigard Subdivision: OAK WOODS Lot: Project: Oak Woods, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 785 sf Basement: 610 sf Left 5 Parking Spaces: 0 Height: 28 Bathrooms: 4 Second: 1158 sf Garage: 451 sf Front 20 Dwelling Units: 1Smoke Third: 0 sf Right: 5 Detectors: Yes Total: 2553 sf Value: $312,053.66 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 laundryTrays:Y 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 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 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 7 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 P W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 P 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 SecurityAlarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2553 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 Geotechnical Inspection Required before foundation PHONE: 503-682-7292 PHONE: 503-682-7292 FAX: Total Fees: $30,006.95 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 enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y•u ma obtai a copy of the vies or direct questions to OUNC by calling 43. • .1987 or 1.800.332.2344. Issued By: Permittee Signature: AI _all` _ •. .639.4176 by 7:00 a.m.for the next available inspectio/,ate. c _—"' 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 �S , Residential FOR OFJ 1cI. 1 SF ON1.N IIICity of Tigard .a Received i • PlateBy:� I? / Permit No�/� 2 U/7_r��t—/ 13125 SW Hall Blvd.,Tigard,OR 97223PlDan Revie wf �;4 V J! Phone: 503.718.2439 Fax: 503.598.1960 Date/By: `Zs 17 Other Permit:S� ny"jity719 T G } D Inspection Line: 503.639.4175 Date Ready/By: Ver_ See page 2 for u7 Internet: www.tigard-or.gov notified/method: S/V4 j,1 I Supplemental Information faiiiru Chief 1//14,9,c TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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. ® 1-and 2-family dwelling ElCommercial/industrial Valuation: .4)7201+;244.,3 j 4 I Q S3 ❑Accessory building ElMulti-familyNumber of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms Li_ � JOB SITE INFORMATION AND LOCATION Total number of floors: 3 300 Li, Job site address:6885 sw Locust st New dwelling area: 2553 square feet City/State/ZIP:Tigard OR 97223 Garage/carport area: 451 square feet Suite/bldg./apt.no.: Project name:Oak Woods Covered porch area: 50 square feet J J 5 8 Cross street/directions to job site:SW Locust and 69t°in Tigard Deck area: 144 square feet,7 8 Other structure area: 0 square feet 6 I 0 REQUIRED DATA:COM RCIAL-USE CHECIKI.IST Subdivision:Oak Woods I Lot no.:4 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 ►:4 PROPERTY OWNER ❑ TENANT- Number of stories: Name:Biggi Construction LLC Type of construction: Address:11605 SW Normandy LN Occupancy p y groups: City/State/ZIP:Willsonville OR 97070 Existing: Phone:(503)682-7292 Fax:(503)682-7650 New: ►'®+ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Biggi construction LLC Neese refer tofeoesckedute) 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 PIIOTOVOLTAIC 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 Address:11605 SW Normandy LN and fire department access,along with the 2010 Oregon 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 lic.:47896 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Vince Biggi Date: Service Board. \Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB) Mechanical Permit Application rOR()1:1:1C u I SF:ON 1.1 City of Tigard Received Date/By: Permit Nn.• 57--)(7 -U S lig13125 SW Hall Blvd.,Tigard,OR 97223 .;r' Plan Review • 0 Phone: 503.718.2439 Fax: 503.598.1960 - Other Permit: Date/By: "1'16 A R D Inspection Line: 503.639.4175 Date Ready/By: Juris_ H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK" COMMERCIAL FEE*<SCHEDULE—USE CiuirCKL1ST Mechanical permit fees*are based on the value of the work ►/ New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF C(NS1 RHi 1'I[}N RESIDENTIAL E+(UIPMENT/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:6885 sw Locust st Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Oak Woods 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) 2132 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.:4 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater , 23.32 DESCRIP I ION OF t ORK 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 2 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Biggi Construction LLC Range hood/other kitchen equipment 33.39 Address:11605 SW Normandy LN 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 CM APPLICANT 1E1 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 CONTRAC fOR Clothes dryer(gas) Business name:Remington Heating and Cooling Inc. Other: MECHANICAL 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 days after it has been accepted as complete. Authorized signature: C1 * Fee methodology set by Tri-County Building Industry Service Board Ont name:Mike Remington Date: "a\ME C_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) 'Electrical Permit Application l!)t t)li=t( i l •) E1 1\1 l E IIIICity of Tigard Received Permit#: _pU U 57nate • 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1960. Date t3v: Related Permit e: II C;A R I7 Inspection Line: 503.639.4175 Ready Date/13y: Jurb: ® See Page 2 for Internet: www.tigatd-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans atiteta checked): 0 Demolition Other: i 0 Service or feeder 400 amps or more 0 Building over three stories. 1 where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground.or exceeds 14.00(5 0 Commercial-use agricultural 1 0 Multi-family 0 Master builder 0 Other: 0 F�for all other installations. buildings. ns pttrrgs. 0 Installation of 150 KVA or JOB SITE INFORMATION ANI) LOCATION 0 Emergency system, larger separately derived Job#: ( Job site address. `aW Locust Si ❑Aow ma 1'f :6 Q l OOtlPdditiorn of monere motor load of system. .•A""E""I_2'.'i-3" City/State/ZiP:Tigard OR 97223 0 Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW Locust and 69th FEE SCHEDULE Destiiimse. I Qty. I Faeh I Total I • New residential single-or multi family dwelling unit. Subdivision:Oak Woods Lot#: 14 Includes attached garage. Tax map/parcel#: 1,000 sq.11.or less 16834 4 Ea.add'I 500 sq.II.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 7500 2 (with above sq.it.) New Construction Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 I r;4 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Biggi Construction LLC 200 amps or less 100.70 2 Address:11605 SW Normandy LN 201 amps to 4O0 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Willsonville 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 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 1 Owner signature: ___ Date; 401 amps to 599 amps 168.54 2 �� APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,Per panel A.Fee for branch circuits with Business name:Biggi Construction LLC above service or fader fee. 7.42 2 each branch circuit Contact name:Vince Biggi B.Fee for branch circuits without Address: 11605 SW Normandyservice or feeder fee,first 56.18 2 LN branch circuit City/State/ZiP:Witisonville OR 97070 Each adkl'I 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 Email: dwelling,service and/or feeder 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 box 606 Signal circuit(s)or limited-energy ,--1 see Page 2 2 ppanel,alteration,or extension. City/State/ZIP:North Plains OR 97133 Each additional inspection over allowable in any of the above Additional inspection(t hr min) 6625:hr t Phone:(503)314-7174 Fax:(503)647-2554 . Investigation(1 hr min) 90.00/ler !!f Industrial plant(1 hr min) 78.18!hr Email:abelectricco@msn.com Inspections for which no fee is specificallylisted(V2 hr min) 90.00/hr CCB Lie.: 955 Electrical Lic.: 34-35c Suprv.Lic.: l�Ol$ C ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal- Print name: Craig Schlotttnann Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: AuthPrint rued signature: This permit application expires if a permit is not obtained within 180 Print name: .,../0011111111111.- Date: days after it has been accepted as complete. a Number of inspections allowed per permit. I:.nuildingiPermitstELC P itApp_Et.lt C:RE.duc Rev 06117(2015 440-4615T(IttosicOM1wEB Plumbing Permit Application Building Fixtures I:11: (d l l I t I I 'I 4 i v i l 11111i City of Tigard Received petals , Permit No.: S , I/ -6)(..)0 13125 SW Hall Blvd.,Tigard,OR 97223. plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: aate/By: r:t i 1 inspection Linc: 503.639.4175 Tate Ready/By: kris' FS See Page 2 for Internet: www.tigard-or.guv I Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For1xciel information use checklist Description I Qty. I Ea. ] Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION I i SFR(1)bath 312.70 I 0 I-and 2-family dwelling I 0 Commercial/industrial ; SFR(2)bath 437.78 ❑Accesso SFR(3)bath 500.32 ry buitdin g t 0 Multi-family ©Master builder f Each additional bath/kitcben 25.02 Q air' Fire sprinkler(_sq.ft.) t Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site address:6885 sw Locust st Catch basin or area drain 18.76 DryweIl,leach line,or trench drain 18.76 City/State/ZIP:Tigard OR 97223 Footing drain(no.linear ft.:Ti Page 2 Suite/bldg./apt.no.: Project name:Oak Woods Manufactured home utilities 50.03 Cross street/directions to job site:sw 69'and Locust I Manholes rI 18.76 Rain drain connector J 18.76 J 1 Sanitary sewer(no.linear ft.:_) i Page 2 - Storm sewer(no.linear ft.: ) t Page 2 Subdivision:Oak Woods Lot no.:4 Water service(no.linear ft.: ) Page 2 _ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12_51 Clothes washer 25.02 New Construction I Dishwasher 25.02 11 Thinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank f 12.51 Name:Biggi Construction LLC j Fixture/sewer cap 25.02 Address:11605 sw Normandy LN Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Wilbonville OR 97070 Hose bib 25.02 Phone:(503)682-7292 Fax:(503)682-7650 Ice maker 12.51 __ i - ® APPLICANT ® CONTACT PERSON . Interceptor/grease trap 25.02 Business name:Biggi Construction LLC I Mcdicai gas(value:$ ) Page 2 Primer I 12.51 Contact name:Vince Biggi r I . Roof drain(commercial) 12.51 Address:1I605 SW Normandy LN Sink/basin/lavatory 25.02 City/State/ZIP:Watsonville OR 97070 Solar units(potable water) 62.54 Phone:(503)816-3243 y Fax::(503)682-7650 Tub/shower/shower pan 1 12.51 E-mail:biggawn@gmaiLcom Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Malmedal Enterprises INC. Water pipingfDW V y 56.29 Address:po box 207 i Other: 25.02 1 City/State/ZIP:banks OR 97106 Subtotal • Phone:(503)324-0759 Fax:(503)324-0580 Minimum permit fix: S72.50 CCB Lic.:102535 I Plumbing Lic.no.:34.276PB Plan review (25%of permit fee) State surcharge(I 2°Jo of permit fee) Authorized signature:, Ole ...," .00-....r TOTAL PERMIT FEE s. Print name: �'f his permit application expires if a permit is not rained within 180 days ,.p�„r p�,��/ Date: . /7.../71 7�? after it has been accepted as complete. `77 *Fee methodology set by Tri-County Buikling Industry Service Board. 1:113 diuuuvensdurt.MI/-PcnnitArr.doc tarot/ds 440-4tit6ri1032/COMIWEB> 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 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT Ph . T I GA R D Building Permit Review — Residential Building Permit #: 7/45-7-10 I?— 00C1 Site Address: 6,10e5 ,S7 U) Ley a&-i-. S271-' Project Name: x)00`12 Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Uel ,sljR VVerify site address/suite# exists and actio inermit system. p Y ever Terrace Neighborhood: No El Yes,See River Terrace Review Addendum Attached SiPlan Elements: ee(3)copies of site plan 1 : .sting structures on site IU`ite plan must be on 8-1/2"x 11"or 11 x 17"paper WA Footprint of new structure(including decks)with finished W► raven to scale(standard architect or engineer scale)Itg or elevations k 4orth arrow Utility locations(required for new,may apply for additions) 1P • a address,project or subdivision name and lot number cation of wells/septic systems splicant information(name and phone number) 00.sting trees to be retained with drip line,and tree II�1.t dimensions and building setback dimensions .rotection measures !l area,building coverage area,percentage of coverage and V/ treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names N Property corner elevations(2 foot contour lines if more than 4 foot differential) 1 lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Y s,applicant was notified 1+d No Received: ❑ Yes E No Public Facili ' s Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake ,and Use Case#: o/S c ))// V: Roning: -L " equired Setbacks: Front /) Rear /4 Side S— Street Side . Garage QO O landscape Requirement: % - 't"? T ? f/ lb /�� �� of Coverage Maximum: % � C N� Y� uilding Height: Maximum Height SDI Actual Height - A isual Clearance Uill asements V ensitive Lands: VYes ❑ No Type 2..-(10-- V3ft j AcaLiirk Urban Forestry Plan El Conditions "Met"prior to issuance of building permit / Notes: CekVi eit`(' LcAdi .1P-e' agt e° Lt. ✓h9/f` ySSGn7l9G-L_ Approved By Planning: ---_____:-.- -\"---- ; Date: / Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\B1dgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: - (/ /17 Site Plans: # 3 Building Plans: # Building Permit#: Enter building ermit#above. Workflow Routing: Planning Engineering Permit Coordinator Building Workflow Sign-off: Sign-off for lanning(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. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: X4.,,4 t��j<< /r„�� Date: A/_Z/7 Engineering Review / Slope at building pad: _/e#, . ��`�.� _Ir' _ a / _ -/" Ar 40Conditions "Met"prior to issuance of building permit..,.... '1'41111! Easements (encroachments)per engineering conditions of approval and plat Al 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: \ c) Approved by Engineering: I4&-• Date: -/*I 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: `�� �ate: oZ g ) �- 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: 5gges 0 N/A Tigard Trans SDC: 'es 0 N/A Parks SDC: p Yes 0 N/A K to Issue Permit (>4)71-9---- Approved by Permit Coordinator: Date: uilding\Forms\BldgPermitRvw_RES 091216.docx