Permit INCITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00507
13125 SW Hall Blvd.,Ti Date Issued: 04/16/2018
T f t;tl jd. and OR 97223 503.718.2439 9
Parcel: 2S104AB00100
Jurisdiction: Tigard
Site address: 12044 SW REDBERRY CT
Subdivision: PROGRESS LANDING Lot:
Project: Progress Landing, Lot 6
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1659 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 4 Second: 1723 sf Garage: 532 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 3382 sf Value: $409,028.58 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 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
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: 6 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: 6 201-400 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 3382
Owner: Contractor:
RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions)
17933 NW EVERGREEN PKWY STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175
370 BEAVERTON,OR 97006
BEAVERTON,OR 97006
PHONE: 503-645-0986 PHONE: 503-645-0986
FAX: 503-690-2942
Total Fees: $33,193.05
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 copor direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
oftg7-
Issued By: ‘g ` ! Permittee Signature: ,A
. 39.4175 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.
._,., ..1.,:i , -- 0T
3IN. 1-41)
uildini Permit A I slicationV' .opC11
FOR OFFICE GSE ONLI'
ential DEC 13 •_X11 �' �'
Received r PermitNo.��,
City of Tigard t; � Date/B : ! 7-c&
1m Other Permit:
13125 SW Hall Blvd.,Tigard,OR 97223 Y' ` 1 ti s EMS: Sal ee Page 2 for
Phone: 503 X 03. Fax: 503.598.196 g 1, s.. 1:).3.1I i'sate Ready/By: /� Supplemental Information
Inspection Line: 503.639.4175 1.} - A� Notified/Method: hG L�
T i�'`SRC Internet: www.tigard-or.gov
414
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e „ j,,,,-,,,,,,:,-! :7 . a s; kr" F : m ff "4 ' �
Permit fees*are based on the value of the work performed.® 0 DemolitionNew construction Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacementAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
. ac ''# " r work indicated on this application. _
•w a .
: r: Valuation: $ ii .9 •
® 1-and 2-family dwelling
Commercial/industrial Number of bedrooms: 5
❑Accessory building 0 Multi-family Number of
0 Other: bathrooms:
•-'34, IIIIIIIIIIII
❑Master builder - � � �; Total number of floors: 2
2•
JO�;if*nv>I�RlafitoN���L 1� n :;rx:��..� ��l.�. 3382 square feet
s to a ss 1
ii
� x . � ., New dwelling area:
Job site address:12044 SW REDBERRY CT. Garage/carport area: 532 square feet
City/State/ZIP:TIGAI3D.OR Covered porch area: '-� • square fee ,z3Suite/bldg./apt.no.:97223 Project name:PROGRESS LANDING 0 square feet
•
Cross street/directions to job site:SW WALNUT ST.&SW 135TH AVE Deck area:Other structure area: 0 square feet
;)7 t i it [A" toknkt.c.* 1'i A a. IC ?Is'I
Lot no.:06 Permit fees*are based on the value of the work performed.
Subdivision:PROGRESS LANDING Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Tax map/parcel no.: , A ,q k *§ work indicated on this as elication.
Valuation:
Biome �115Q * � a . .� � $
� �t - u
Construction of SFR Home Existing building area: square feet
New building area: square feet
'; ..t: ..:, Number of stories:
".-�_ . Type of construction:
Name:Riverside Homes,LLC Occupancy groups:
Address:17933 NW Evergreen Parkway,Suite 370
City/State/ZIP:Beaverton,OR 97006
Phone:(503)645-0986111 r a t. Y ! t ,:1L I. "" 1 x 5
Business name:Same as Above Structural plan review fee(or deposit):
Contact name:Brett Groves
FLS plan review fee(if applicable):
Total fees due upon application:
Address:
Amount received:
p (i CA
S'{Ltkit 1<'A gi:iyoriir Eta'` ',,
Phone:( ) 1:1111111
E-mail:bgroves@riversidehome.com ,.: Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
�• COCT{}I Submit two(2)sets of roof plan with connection details
Business name:Riverside Homes,LLC and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
Address:17933 NW Evergreen Parkway,Suite 370 Permit Fee(includes plan review $180.00
and administrative fees):
City/State/ZIP:Beaverton,OR 97006
01111111 State surcharge(12%of permit fee): $21.60
Phone:(503)645-0986
Total fee due upon application: $201.60
CCB lic.:189148 This permit application expires if a permit is not obtained
' Y within 180 days after it has been accepted as complete.
Authorized signature: i *Fee methodology set by Tri-County Building Industry
Date:11/30/2017 Service Board.
Print name:Brett Groves
I:\Building\Permits\BUP-RESPermitApp•
doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
'Ming Permit Application Checklist
- nd Two-Family Dwelling
FOR OFF ICE LSE oN►.1
Received Permit No.:
City of Tigard Date/By:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
gra'
2 Phone: 503.718.2439 Fax: 503.598.19600 Electrical 0 Plumbing 0 Mechanical
24-Hour Inspection Line: 503.639.4175 ❑ Other:
TIC ARD Internet: www.tigard-or.gov
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No 1/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 00 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
0
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. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application.
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. ❑ 0 0
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state
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;propertycorner elevations(if 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. ❑ 0 0
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. ❑ 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. sub- 0 0 0
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,
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 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 elevations with cross references are acceptable. 0 0 0
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
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
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 joists0 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load. 0 0 0
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0
for four or more appliances. ❑ 0 0
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Ore:on and shall be shown to be as.licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS 0 0 0
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above.
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 ❑
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List. ❑ 0 0
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines,
and protection measures must be drawn to scale and must include the project arborist's signature of approval. 0 0 0
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions,
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:\Building\Petmits\BUP-RESPermitApp.doc 02/24/2011
440-4613T(11/02/COM/W EB)
(1 ITV_Iii4'
L4 A
hanical Permit Applicatia . a,
Received Permit No.:A s5�j�'i �0 ,
City of Tigard i Date/By: ✓tl ' tiv
01 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 E C I. a all' -Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 ( ;7 J'*1, s c 514-7 Date Ready/By: Anis: H See Page 2 for
l I G,l R D P � >" Supplemental Information
Internet: www.tigard-or.gov
No fied/Method. PP
t,
B. , LJr 1117:0-:. T 'ra' *.. 4, ltss :Y I3< .�t . `'.'.
,.. 11
, -' .x..,.' _ *- �` " ." "' `"` ' 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:$
r=. �• t s Ut s or ) a . .�, �r, t 11 .- � i:, * <- z,'-. . ..
® 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
;, *L Heating/cooling:
�. t ® ,w. , Air conditioning I. 46.75 Nip•75
Job site address: 12044 SW REDBERRY CT. Furnace 100,000 BTU(ducts/vents) ( 46.75 '-U.a.1S
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: PROGRESS LANDING Duct work 23.32 V-?jZ
Cross street/directions to job site: SW WALNUT ST. &SW 135 AVE 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 73•
Other: _ 23.32
Subdivision: PROGRESS LANDING Lot no.: 06
Other fuel appliances:
Tax map/parcel no.: Water heater 1 23.32
` � ', ' Gas fireplace/insert k 33.39 33.31
�, Flue vent for water heater or gas
Construction of SFR fireplace 23.32 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
Chimney/liner/flue/vent 23.32
Other: _ 23.32
1 • .. e - ti .t illr .• Environmental exhaust and ventilation:
Name: Riverside Homes, LLC Range hood/other kitchen
equipment \ 33.39 trot
Address: 17933 NW Evergreen Parkway, Suite 370 Clothes dryer exhaust ( 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
iC
ty Beaverton, OR 97006 toilet compartments,utility rooms) 1G, 23.32 131.12
Phone:( 503) 645-0986 Fax ( ) c/crawlspace 23 32
Atti fans 23.32
,,,4.i.4-
t t i s ... t. i N ' .. Other:
_ _ _:, • ,z ,z Fuel piping:
Business name: Same as above $14.15 for first four;$4.03 for each additional
Contact name: BRETT GROVES Furnace,etc. 1 1,4.16
Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater i 14.03
Fireplace I 14•o3
Phone:( ) Fax::( ) Range 1 t{'.03
E-mail: bgroves@riversidehome.com _Barbecue
'I' .: r4 `I`(TRA
Clothes dryer(gas)
� n
Other:
Business name: Pro Heating&Cooling rw
Address: 2095 NW Alocleck Rd.#1103 subtotal
Minimum permit fee($90.00)
City/State/ZIP: Hillsboro, OR 97124 Plan review(25%of permit fee)
Phone:(971 )205-4989 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 209001 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: p-"(j * Fee methodology set by Tri-County Building Industry Service Board
Print name: Brett Groves Date: 11/30/2017
1:\Building\Permits\MEC_PermitAPP_040113.doc 440-4617T(I 1/02/COM/WEB)
plihanical Permit Application - City of Tigard
2 -Supplemental Information
Commercial&Multi-Famil Fee Schedule:
r4— ' 6,0 :,t •_,;, { t .tea•„ .`:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC PermitApp_040113.doc 2
ri cJ fe y.. „
L'I
Electrical Permit Application Ll"'" FOR OFF ICl, l SE O\1.\
Cl ofTigard OFC 1 Received ��'-��^
`J g D F l 3 2017 Date/By: Permit#14 S / Oc tJ 7
14 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• I Phone: 503.718.2439 Fax: 503.598.19604,- Related Permit 4:
,4,,,T-.4,7. ? s j k" 1 eBy:
Inspection Line: 503.639.4175 / 1 1 a.r i i d. % dy Date/By: orris: ® See Page 2 for
1 i( A It I) Internet: www.ti and or. ov , ,- i ethod:$ �� t y v � t iSupplemental Information
x=i 'R'#"
®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
9'1 '':•d` : CATE41 F 0 ..1 9.N �‘ 7:1-";r� "��� exceeds 10,000 at 150 volts or
0Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations, buildings.
❑Multi family 0 Master builder 0 Other: El Fire pump. 0Installation of 150 KVA
or
0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 12044 SW REDBERRY CT. I00HP or more. ❑"A","E","I-z","l-3",
0 Six or more residential units. occupancy.
City/State/ZIP: Tigard, OR 972230Recreational vehicle parks.Health-care facilities.
Suite/bldg./apt.#: Project name: PROGRESS LANDING 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SW WALNUT ST. &SW 135 AVE "`
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: PROGRESS LANDING Lot#: 06 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
y Ea.add'I 500 sq.ft.or portion 33.92 1
:, / .: .- , ) ..`s�: ,', s :,3'" *!4?RI ,. ., -> '`' x` I."r,: Limited energy,residential
Construction of SFR
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
t x 3`" Services or feeders installation,alteration,and/or relocation
Name: Riverside Homes, LLC 200 amps or less 100.70 2
Address: 17933 NW Evergreen Parkway, Suite 370 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( 503) 645-0986 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: bgroves@riversidehome.com 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 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
T r , -; " Branch circuits—new alteration
or extension, er panel
' A.Fee for branch circuits with
Business name: Same as above above service or feeder fee,
7.42 2
each branch circuit
Contact name: Brett Groves B.Fee for branch circuits without
service or feeder fee,first
Address: branch circuit 56.18 2
City/State/ZIP: Each add'I branch circuit 7.42 2
Phone: Miscellaneous(service or feeder not included)
( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder bgroves@riversidehome.com Reconnect onl
67.84 2, • , • ;�,•, tv-` r F k'
.. ','41,„ "'snr , Pump or irrigation circle 67.84 2
Business name: Garner Electric Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 2920 SE Brookwood Ave#1 panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 503) 648-4552 Fax:( 503)642-7925 Investigation(1 hr min) 90.00/hr
Email: ge@gamerelectric.com '1,471-)/ r 77/72_1) Industrial plant(1 hr min) 78.18/hr
Jt.c•-�1 lj" Inspections for which no fee is 90.00/hr
CCB Lic.: 121159 Electrical Lic.: Suprv.Lie.:3 707 _,specifically listed(A hr min)
Suprv.Electrician signature,required: (":44..
/�l:f�!��/ EI �1Rl( AL FERMI:A
Subtotal:
Print name: Chuck Garner n Date: 11/30/2017 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
t:ii., .,/,,
Authorized signature:
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Brett Groves Date: 11/30/2017 days after It has been accepted as complete.
` Number of inspections allowed per permit.
1:1BuildingWermits.ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 4404615T(I i/05/COM/WEB
Plumbing Permit Application n ,-, '
Building Fixtures '` ,� . raiz OIII( I. rsi: Oyi.l
City of Tigard Received �r�,p--�
>; Permit No.;/JA /2" VW V
IN w 13125 SW Hall Blvd.,Tigard,OR 97223 �J -C 1 3 2 01 t Plan R view �� ���*
e Phone: 503.718.2439 Fax: 503.598 1960 Other Permit No.:
Inspection Line: 503.639.4175 , Date/By:
( I(;ARI) �.,i 1 s� ° '' 4. to Ready/By: km: 0 See Pae 2 for
Internet: www.tigard-or.gov P 'It tified//Mete{thod: Supplemental Information
®New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
.,.. .. ciiptiON '. . ',$N 7 .�.. - " : SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 0 500.32
Each additional bath/kitchen t 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
, 3 m ` 4.634-'' '' .t. ON< Site utilities:
Job site address: 12044 SW REDBERRY CT Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: TIGARD, OR 97223
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: PROGRESS LANDING Manufactured home utilities 50.03
Cross street/directions to job site: SW WALNUT ST. &SW 135TH AVE. Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: PROGRESS LANDING 1 Lot no.: 06 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
` r p, It. s Backwater valve 12.51
Clothes washer 25.02
Construction of SFR Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
'-t aiat o .9 ' n ,. 4Expansion tank 12.51
Name: Riverside Homes, LLC Fixture/sewer cap 25.02
Address: 17933 NW Evergreen Parkway, Suite 370 Floor gedrdisposaloor sink/hub 25.02
Garbage 25.02
City/State/ZIP: Beaverton, OR 97006 Hose bib 25.02
Phone:(503) 645-0986 Fax ( ) Ice maker 12.51
I IN A .k®j Interceptor/grease trap 25.02
Business name: Same as above Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: BRETT GROVES
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: bgroves@riversidehome.com Urinal 25.02
' 3 Water closet 25.02
4,. , ri QNi : °z Water heater 37.52
Business name: H&H Mechanical Water piping/DWV 56.29
Address: 5757 SE Willow Ln Other: 25.02
City/State/ZIP: Milwaukie, OR 97267 Subtotal
Phone:(503) 975-9787 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: 178122 Plumbing Lic.no.: PB414 -
/ State surcharge(12%of permit fee)
Authorized signature: , TOTAL PERMIT FEE
Print name: Brett Groves Date: 11/30/2017 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.
laBuilding\Permits1PLMU-PermitApp.dot 10/01/09 440-4616r(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 •
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37,52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
} hp..''i irk 01' ' Qtyi : �t� ` T each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
,,,,QOantto,by Fixture a g s
Fixture Type for �. �;' ., : >,. �ReplaceJ . �: �:., .:�
Work Performed:.. capped Added *decide , Plan review is required for any of the following.
Please check all that apply.
Baptistry/Font PP Y
Bath -Tub/Shower 0 Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
Car Wash Drain . ., `aritilet.-' ra 4 ..
Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\npruett\Downloads\PLMF_PermitApp(1).doc 2
City of Tigard
II
III COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: '15Ta2-0 2-00- 2
Site Address: 12-094 S W f iA(wy-r C1.
Project Name: praJrtb.S LAN11-1 Lot #: C
(New dwelling=subdidlsion name;Addition or Alteration=last name of owner)
Planning Review pp
Proposal: Cpjr✓(iI _ a't At,/ S h Z
ER(/Verify site address/suite# exists and activ permit system.
II River Terrace Neighborhood: L' No ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
0
ree(3)copies of site plan f��'� 'sting structures on site
to plan must be on 8-1/2"x 11"or 11 x 17"paper L '1 ootprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) oor elevations
rth arrow kt� s 'ty locations&easements(required for new and additions)
to address,project or subdivision name and lot number IG idewalk/driveway approach
gxistplicant information(name and phone number) cation of wells/septic systems
t dimensions and building setback dimensions
ing trees to be retained with drip line,and tree
uare footage of buildings to be demolished otection measures
Lot area,building coverage area,percentage of coverage andeet tree size,type and location
i'fipervious area(applicable if R-7,R-12,R-25&R-40) L✓JStreet names
Wroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? C 'es ❑No
.40
foot differential) If yes,is a storm water quality facility shown? ❑YNo
of Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): L4 (> '',i,
/Required: R" Received: ❑ Yes ❑ No Pi
q ❑ Yes,applicant was notified L�' No tas-A Ute
Lld Public Faciliti Improvement(PFI) Permit:
/Required: EYes,applicant wascnotifiedn �ryC No ( Applied For: ❑ Yes ❑ No,stop intake
Wand Use Case#: S U G 2016-00 00 l? L PFI.Lo 17-60039
//,Zoning: K'1.•S
Di Required Setbacks: Front Rear 15 Side 5 Street Side I/¢ Garage Zo
D' Landscape Requirement: NA
of Coverage Maximum: Uq
Building Height: Maximum Height 'I U Actual Height 21
/Visual Clearance
— /
nsitive Lands: ❑ Yes D No Type
R' rban Forestry Plan
D Conditions "Met"prior to issuance of building permit
/i/�7L s'h// 4
Notes: CoAz ct ty/ "4 Oro 1� trmi�' i3t� aelit , l��
7, Peer �� 7 9 e/M1/. / 4 i 1 Ce
/' Date: L� /i
—�-_
Approved By Planning: — Act:.
Revisions (after Byilding Submittal only) Reviewr Date
Revision 1: I Approved ❑ Not Approved �r�n �, yi ��� —11 lir
\1 Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES 061417.docx
Building Permit Submittal
Original Submittal Date: `th1/1)
Site Plans: #
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: Planning p--Engineering piPermit Coordinator Building
Workflow Sign-off: 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.
19- Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / /-
By Permit Technician: , v j, Date:
Engineering Review
IN/ G
Slope at building pad: 0 1
donditions "Met"prior to issuance of building permit
asements (encroachments) per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes El No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
4LIDA Facility on lot: ❑ Yes ❑ No
17.1-ial Plat Recorded:
L7 NOT Approved by Engineering: Date: 4240/7
Notes: (514CLJ Cdtk17)17)~. L,Itesj /i(a.//,�r� CS- u►.r+�e T� Pid hB� feed LeK
j #
Approved by Engineering: Date:
Revisions (after Bu' ing Submittal only) ewer Date
Revision 1: Approved ❑ Not Approved 3//3A4
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: <<�1`' 4-'44 /e
trikce-Visions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant 17- 2 t ) Y
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Taxes El N/A
(V .- Tigard Trans SDC: —Yes CI N/A
Parks SDC: YgPf,lEP ❑ N/A
LIDA ❑ Yes ,tSt /A
OK to Issue Permit (J
lei----
Approved by Permit Coordinator: Date: 3 / 4 1
I:\Building\Forms\B1dgPermitRvw_RES_111617.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
N i Transmittal Letter
FIG A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: \ K.-, .V--{.,\Ac.;::4; DATE
DEPT: BUILDING DIVISION ri. 1.
MAR 7 2.018
FROM: D ,4"c-' (9 \ .,-t--'. CITY O TIGARD
\� x�i1t��
COMPANY: i v L u t, I,�\-C., \- cT)Nt-\, () .BUILDING DIVISION
PHONE: -) Lk) \ -e) vz)l, BY:IT
RE: \72_'Q a S , \7--eaLk vyv� c ,tion e -a v 1'-y - i)��S a l
Site Address) (Permit Number)
(``() �� ve i,47 (__ ,-,, 5 Lam;
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
- Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: J- j_).„- ) g Initials: 4
Fees Due: ❑Yes 1 Fee Description: Amount Du •
$ Q
Special $
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: S/,ZG(( r Initials: /1()`----
1:\Building\Forms\TransmittalLetter-Revisions
1()`----I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
Albert Shields
From: Albert Shields
Sent: Thursday,January 25, 2018 10:49 AM
To: 'Brett Groves'
Subject: RE: Progress Landing revised site plans
Brett, we're still waiting on the recorded plat. But we still need revised plot plans for lots 1&3 re contour lines.
Albert.
From: Brett Groves [mailto:BGroves@riversidehome.comj
Sent:Thursday,January 18, 2018 12:25 PM
To:Albert Shields<albert@tigard-or.gov>
Subject: Progress Landing revised site plans
Importance: High
Albert,
Here are the revised site plans with continuous topo lines across the lots as you requested. Let me know if you need
anything else.
Thanks,
Brett Groves
Production Manager
503-481-3138
tI Riverside Homes
17933 NW Evergreen Parkway,Suite 370
Beaverton, OR 97006
503-645-0986 office 1 503-690-2942 fax
c
1
Albert Shields
From: Albert Shields
Sent: Thursday, December 21, 2017 5:44 PM
To: 'Brett Groves'
Subject: Progress Landing, MST2017-00503, -00504, -00505, -00506, -00507, -00508, -00509,
-00510,
Brett, all 8 of these applications need revision to show contour lines. Further,various conditions of approval under
SUB2016-00006 need to be met and the plat recorded before we can issue these permits. Accordingly, they will all be
on hold as Revisions Needed. Plan Review will continue.-Please let me know if you have any questions.
Albert Shields
Permit Coordinator
City of Tigard
Albert(a,tigard-or.gov
503-718-2426
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12044 SW REDBERRY CT, TIGARD, OR, 97223 August 28, 2018 at
1 :07:35 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00507
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Fireplace correction complete.
No ac installed.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12044 SW REDBERRY CT, TIGARD, OR, 97223 August 31 , 2018 at
10:14:01 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00507
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
Street tree certificate received
Moisture content form received
Moisture barrier acknowledgement form received
High efficiency lighting form received
Insulation certification verified
Blower door and/or duct seal test certificate received
C of 0 left on counter.
Violation Summary:
Inspector Contractor
S
FOR OFFICE USE ONLY–SITE ADDRESS: /2.0t1t S/( �?2'2(4e/i/ –
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
II - Transmittal s ttal Letter
r7 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: TOM HOCHSTATTER DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVE
FROM: WES BOISVERT MAY 2 2 8
COMPANY: RIVERSIDE HOMES �3UIL' G iJIVISCITY U DIV1SI�O
N
PHONE: 503-488-9602 —BY:fr
RE: 12044 SW Redberry Court ST2017-00507
(Site Address) (Permit Number)
Progress Landing Lot 06
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
0 Additional set(s)of plans. yl Revisions:
Cross section(s) and details. ,• �4 3 Wall bracing and/or lateral analysis.
Floor/roof framing. �� \/ Basement and retaining walls.
Beam calculations. V (� Engineer's calculations.
0 Other(explain): CI
REMARKS:
This "S"page is the same detai as the original submission,but with the garage on the correct side.
Routed to Permit Tec• rcian: Date: Initials: JFA
Fees Due: ►"; Y: ■ No Fee Description: Amount Due:
-, ♦ f�wti�¢.W $ L(� v
Special
Instruc ' ns:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: C/).,:cyft Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
III i
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #: friAtS7?-00—00 c-0 2
Site Address: 12.09(1 S W (( Ci.
Project Name: Pod Lot #: g
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review pp ,/�
`
Proposal: Cy'lt�f✓i� at �✓ S M 1 ', 1///.4e,./2 .---///_s-672s. S, ,'k:..9-iv
IL
site address/suite#exists and activeiin permit system. l nN =s fT� /6)447••/s
ISY River Terrace Neighborhood: R' No ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ee(3)copies of site plan rsting structures on site
'te plan must be on 8-1/2"x 11"or 11 x 17"paper Lt'Footprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) 1 oor elevations
rth arrow �
►� . "ty locations&easements(required for new and additions)
to address,project or subdivision name and lot number 1►, idewalk/driveway approach
plicant information(name and phone number) cation of wells/septic systems
t dimensions and building setback dimensions xisting trees to be retained with drip line,and tree
uare footage of buildings to be demolished cation
measures
Lot area,building coverage area,percentage of coverage and eet tree size,type and location
IV
fi.pervious area(applicable if R-7,R-12,R-25&R-40) [ 'Street names 7'Ye—/
xoperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Lts/❑JNo
4 foot differential) If yes,is a storm water quality facility shown? ❑Y&7No
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
/Required: ❑ Yes,applicant was notified Li" No Received: ❑ Yes CI No
�P�
Ltd Public Faciliti Improvement(PFI)'Permit: 16,4( (JO
Required: Yes,applicant was notified ' �-7�1\fo Applied For:
,�,,/ p 1.,�� Pp El Yes ❑ No,stop intake
L1Y and Use Case#: S U U 1016-00 0 0 7 i—, eF 12,o p-OOo39
OW/Zoning: a.- l•S
a Required Setbacks: Front J Rear I S Side 5 Street Side ,/ Garage N g Za
0/Landscape Requirement: J
[ Jot Coverage Maximum: LA
f9/Building Height: Maximum Height 3Q Actual Height Z Lf
/Visual Clearance p _/
ensitive Lands: 0 Yes Lid No Type
rban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes: ( 1 j '1 J
c 6t R fil +t r^tI a 'yr 1� r term r + lovgt' s Amp,'"_ / /
��L,J
Approved By Planning:
-- .-1111111 '
Date: 021/Er
Revisions (after Ryilding Submittal only) Reviewer Date
Revision 1: Approved ❑ Not Approved 1-0-/J
Revision 2: Approved ❑ Not Approved In F'- �� 2
3 ,
Revision 3: 0 Approved El Not Approved
IABuilding\Forms\BldgPern itRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: La/di)
Site Plans: ## 3
Building Plans:
Building Permit#: Enter building permit#above.
Workflow Routing: Planning Ip-Engineering piper nit Coordinator Building
Workflow Sign-off: 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.
IS-Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / /
By Permit Technician: //7' ow I' Date: IA
Engineering Review
IN/AG
lope at building pad: O/e
Conditions "Met"prior to issuance of building permit
(encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
/ LIDA Facility on lot: 0 Yes 0 No
al Plat Recorderoved d:
L7 NOT Appby Engineering: �/ Date: f.24 0 7
Notes: 5e.J Cat djwv Ls, 21i /4jOle (_0A* N ikAve �ii PI0.1 hd# 1 e co.v4,1
Approved by Engineering: Date:
Revisions (after Bu' mg Submittal only) ewer Date
Revision 1: izpproved 0 Not Approved / // Vi
Revision 2: Ltd Approved ❑ Not Approved .. I g
Revision 3: 0 Approved 0 Not Approved /
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit
0 Approved,NOT Released: Date:
/
Notes: <�� GeriC a cwl/------
sions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant: / 7-- #2-1 I Y /4f,k.'''''y
"`� Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: YPr
es 0 N/A
Tigard Trans SDC: (151—Yes ❑ N/A
Parks SDC: ,Yes 0 N/A
LIDA 0 Yes 121=&/A
OK to Issue Permit (/
Approved byPermit Coordinator: 6i�i0 Date: 3/,4 1
PP o �j�
I: :.. ..i_\Forms\B1dgPermitRvw_RES_111617.docx 741/1/%40
�VG�✓`�/ `� 11118
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
II N
Transmittal Letter
1;c;n u n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: id/k) .17
DATE L r r
DEPT: BUILDING DIVISION
APR 2 3 2018
FROM: 'Bobv4/4 ( ice 1
COMPANY: `��V '�d2 } /,'-,Se
BLII,DIN ! 'SIOµ
PHONE: Th' -441.6-74,o. I By:/9-
RE: l -1( 1 SW I'Sech fYy (T -i--0)"--)-co 30-7
(Site Address) (Permit Number)
Vmoire5 WI Al L n
(ProjectVame or subdivision/lane and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: 1 Description: 1 Copies: I Description: l
Additional set(s)of plans. Revisions: 5 V29(o�
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): ` _, 1
REMARKS: J4ou .2-.2- ,Shy-Q� 6 4)2
-I-o (s2 On Lai--
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑Yes ❑No Fee Description: Amount Due:
$
$
$
$
Special
Instructions: I
Reprint Permit(per PE): I ❑ Yes I ❑No ❑Done
Applicant Notified: Date: I Initials:
L•\Building\Forms\TransmittalLetter-Revisions 061316.doc
FOR OFFICE USE ONLY—SITE ADDRESS: `,„) '� l/ tel6r11X.
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
_ ~
Transmittal Letter
etter
F!ci n li D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /0M DATE1D L CUVEO:
DEPT: BUILDING DIVISION
i}
FROM: US 3O€)V 4 g'
COMPANY: rku,4/ ,SQ
PHONE: 5-r3r1
RE: 04)4q \C echvy C As-440)--)- 00
(Site Address) (Permit Number)
ff�S Wan
` Lo
(Project or subdivision e and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions: 5iVe Cove
Cross section(s) and details. Wall bracing and/or ateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): ,,��,,I� " " 4)2
nREMARKS: JVSQ- Sb fkc � 1 -� ��cr on Lot-
FO FFICE USE ONLY
Routed to P- •'t Tec ian: Date: 1 ,r 0,2 Initials: /4-i9--
Fees Due: 'A Yes ❑No Fee Des 'p ion: Amount Due:
\/•,0\t( tCn r-A-v t u.) $
$
Special
Instructions: /
Reprint Permit(per PE): ❑Yes J NL- ❑ Done
Applicant Notified: Date: 6-13 Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc