Loading...
Permit (179) 111 CITY OF TIGARD MASTER PERMIT s COMMUNITY DEVELOPMENT Permit#: MST2018-00097 T I(;A Ix.f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2018 Parcel: 2S110AC04300 Site address: 11058 SW ANNAND HILL CT Jurisdiction: Tigard Subdivision: ANNAND HEIGHTS Lot: 20 Project: Annand Heights, Lot 20 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 897 sf Basement 0 sf Left 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1296 sf Garage: 351 sf Front 15 Dwelling Units: 1Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2193 sf Value: $265,499.64 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 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'500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 2193 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $30,009.61 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 OA 52-001-0090. Y u may obainnaacopy e r ac ��/�� �/� "ons to OUNC by calling 503.232.1987 v (6 l"4-7/C.,/ 232.1987 or 1.800.332.2344. Issued By: ` " Permittee Signature: CDi/ //� 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 ' a :' FOR OFFICE USE ONLY Cityof Tigard Received g Date/By: ) y p l' Permit No.:p,. .- ig...,t�'_.{I� `7 INq 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviews Phone: 503.718.2439 Fax: 503.598.1960 s ' "J,ka 1, DateBy: I 1 11) Other Permit: 4X) y /'h` tP7 TIGARD Inspection Line: 503.639.4175 Date ReadyBy L 0 Juris: See Page for Internet: www.tigard-or.gov + =' TNotifie./Method: `!'(/( r." r� Supplemental Information TYPE OF WO t t;g � ,i;.--;''---4': k''''''''° t, 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,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. e_and 2-family dwelling El Commercial/industrial Valuation: $ 5(L' l \ Number of bedrooms: / ❑Accessory building 1=1 Multi-family ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATIONAND LOCATIONt Total number of floors: )S-47141 Job site address: // e) ((t) Aitanci /I/// (Oki-14 New dwelling area: 1/ 9 . square feet (a..R 6 City/State/ZIP: 7 /.�-fl/) Q, 972-a-3 Garage/carport area: sWare feet gc7 Suite/bldg./apt.no.: Project name: /Q./i n4 Ad Bet,. 4'is Covered porch area: •'• square feet Cross street/directions to job site: /a 9 f-1l Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:-4 A Au Ad i-�-Cc A is I Lot no.: Q Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTIONnOF`WORK work indicated on this application. �� P/` Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: D 4 fc90 O CC1/LS r T QJr(1 J Type of construction: Address: / �G�.) /VO4„1-11jOa j(o /' 6V-r-r / Occupancy groups: City/State/ZIP: 7/ a t Q')22-3 t^ / Existing: Phone:‘5e,3 79 /376" Fax:(523) V yo-�Y )t New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: ./yi e Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) ��om $,u ®r t Acct./ Coen PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: N1/!1 yvftd Ct7 G i Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: J/itci( ed 4,f_.s/„1,01..C_ Submit two(2)sets of roof plan with connection details �+ and fire department access,along with the 2010 Oregon Address: A-6,5-5-1051.13 /Vetvc-h )04 /�L V kel Solar Installation Specialty Code checklist. City/State/ZIP: 7l r ( >1" X223 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 3) /i d _ 7s Fax:( trlJ3 -Zapd‘ State surcharge(12%of permit fee): $21.60 CCB lic.: 6-0/96ow Total fee due upon application: $201.60 Authorized signature - — �; --- - This permit application expires if a permit is not obtained ��� =� within 180 days after it has been accepted as complete. Print name: Q S Date: *Fee methodology set by Tri-County Building Industry _ Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatio• FL )FFICE USE ONLY �" . .Received City of Tigard Date/By: PermitNo.:�/1` �� �� —c ..... Other Permit: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 i;� Date/By: I GA R D Inspection Line: 503.639.4175 Date ReadyBy: Juris: H See Page 2 for Internet: www.tigard-or.govNptified/Method: Supplemental Information '1 r l ' n COMMERCIAL FEE* SCHEDULE — USE CDWCKLIST Mechanical permit fees*are based on the value of the work )205few construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ -CATEGORY-DE CO, --'-CONSTRUCTION RESIDENTIAL EQU PMENT/.SASTEMSFEES' 1_and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total 46B-SITE INFORMATION AND LOCATION Heating/cooling: n > � 1 Air conditioning 46.75 Job site address: !/Ote,5� �An a / 6l kali f-I Furnace 100,000 BTU(ducts/vents) .--'''''. 46.75 City/State/ZIP: '—j �/ 23 Furnace 100,000+BTU(ducts/vents) 54.91 are,/ �� �� Heat pump 61.06 Suite/bldg./apt.no.: Project name:/4n /G a- Duct work 23.32 Cross street/directions to job site: t..--.4t 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 / Other 23.32 Subdivision: �nnit II-/Jy h7/-5 Lot no.: Other fuel appliances: Tax map/parcel no.: i� C/ Water heater .O 23.32 ASCRiPW-bF W-QR Gas fireplace/insert 33.39 Flue vent for water heater or gas I SP. fireplace 23.32 V Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 OPERTY' OWNER;1 - 0 TENANT Environmental exhaust and ventilation: Name: / ��iO 51 ,:pc Range hood/other kitchen 33.39 1�Cequipment Address: ia6S--5-- 5,, AIQI'T�'J1 Oe & 56,—S Clothes dryer exhaust 33.39 City/State/ZIP: 7/`-G c:,,rte �,23 Single-duct exhaust(bathrooms, t�y toilet compartments,utility rooms) "6 23.32 Phone:( 6'5 .2.61 -1/37c- Fax:SG 3) q-7Q -7G"06 Attic/crawlspace fans 23.32 1---APPLICANT :0 CONTACT PERSON Other: 23.32 Fuel piping: 5'C[m� Business name: . $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: tt. /7 d1 e /kOmrSNw®,4,ia-I/, CUM Barbecue ` CONTRACTORS Clothes dryer(gas) ®/ Other: Business name: .F,„--5/ k �`� MECHANICAL PERMIT FEES* Address: /3/5t) t(/ay L t{$ gic ,- /)"• Subtotal City/State/ZIP: elk 6r[� �' yzs Minimum permit fee($90.00) uPlan review(25/a of permit fee) Phone:( ) 70v-1 ax:( ) State surcharge(12%of permit fee) CCB lic.: '7260)3 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: * Fee methodology set by Tri-County Building Industry Service Board Print name: r l�j dto Date: �,�t i e I\Ruildine\Permits\MEC PermitAno 0407713 doc 440-4617T(11/02/COM/WEB) , Electrical Permit Application, ' i Fl )FFICE USE ONLY City of Tigard Date/By:Received n 13125 SW Hall Blvd.,Tigard,OR 97223 Tigard, Plan Review Related Permit#: IIIPhone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 -Ready DateBy: tris: 0 See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE.OF WORK f'If„” ;,.N.i'" '',,., :' a .art f,4 PLAN REVIEW J211New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. IDI-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived � 0Addition of new motor load of system Job#: Job site address://b51) Al 11401c,444/� r�X4-/4/ I OOHP or more. ❑ I/ 0 Six or more residential units. occupancy. City/State/ZIP: '� (9'n�3 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: `f Project name: `,,1f ❑Hazardous locations. 0 Supply voltage for more than /l /1 ,(y /_ 600 volts nominal. v ❑Service or feeder 600 amps or snore. , Cross street/directions to job site: /AO 0 FEE,SCHEDULE Description I Qty, I Each I Total New residential single-or multi-family dwelling unit. Subdivision: AAA 4AI //{f.),15 Lot#:..2..e,�t1 Includes attached garage. ��J 1,000 sq.ft.or less i 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential A �+ (with above sq.ft) r 75.00 2 �/45 cJ�� Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 _a-PROPERTY OWNER` ,[ 0 TENANT Services or feeders installation,alteration,and/or relocation Name: tolls tvedCA/ 6,5 inithat' 'c- 200 amps or less 100.70 2 Address: p45-S' 6-co NA4,- pc„,,k / 6'!t w f 201 amps to 400 amps 133.56 2 ^�, TT 401 amps to 600 amps 200.34 2 City/State/ZIP: d 5 turd 6-t- g72.2.3 601 amps to 1,000 amps 301.04 2 Phone:(3 • 700__/../3 7 Fax:(6zi3 )50 -71 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: hptJIVf tS MA-1 6/l64 / tcaol 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 ICANT ❑CONTACT PERSON Branch circuits–new,alteration,or extension,per panel A.Fee for branch circuits with Business name: ,�(j � above service or feeder fee, 7.42 2 l!-' each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) 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: Orca/1)40(.4.5( Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: .0�lit-7-,,,,,,,,„,, /0/ panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: ^,� t, j GJ`'��-� Each additional inspection over allowable in any of the above �J k �. Additional inspection(1 hr min) 66.25/hr Phone:(.---c.)3) srrr7f / ti Fax:45-- ) ‘rb—97)-3 Investigation(1 hr min) 90.00/hr Z� l Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr , CCB Lic.:/q.7 Electrical Lic.:L—efft Suprv.Lic.:1f50s specifically listed(/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print names !V 5 ih 40 Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): I/ _______ __ TOTAL PERMIT FEE: Authorized signature: - i This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. G T tQ * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/1 5 440-4615T(11/05/COM/WEB Electrical Permit Application—City ofTigard • Page 2‘—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qty. Each Total * 3' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) n H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: C Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%I hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems n D• ata Telecommunication Installation ❑ F• ire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n M• edical n Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 Plumbing Permit Application III i Building Fixtures FOR OFFICE USE ONLY City of Tigard Received DateBy: Permit No.:y`,t 7-.AC./.1---OLIO 41'7 - a 13125 SW Hall Blvd.,Tigard,OR 97223 ,ipan v Phone: 503.718.2439 Fax: 503.598.1960 /' "' (-1 i-'Dat By:1eW Other Permit No.: T I GARD Inspection Line: 503.639.4175 Ready/By: Juris: l See Page 2 for Internet: www.tigard-or.gov �., Notified/Method: Supplemental Information TYPE OF WORK Ri s 3 n.1". "' r,; FEE* SCHEDULE r • =a. :4I ew construction ❑Demolition _ For special information use checklist Description Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION = SFR(1)bath 312.70 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND-LOCATION Site utilities: Job site address:// 5'e3 Li' ({f //b NA' /1(a Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 7 /L --- ? ,-.2-.3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:/9_4114,1a, J/e, kb Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 /®9 f-Ib 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: /tip/oAl //jj /,,/5 I Lot no. Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Illit,,..) $,--=i Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER ] ❑ TENANT Expansion tank 12.51 ,�, R �` Fixture/sewer cap 25.02 Name: l/t✓�7IViC G/�ff� e' Name: C. Floor drain/floor sink/hub 25.02 Address: /c9.,4 5-5-54D$&D /(/eir-I--h J9 /Z 5',4-1.6.-./ Garbage disposal 25.02 City/State/ZIP: 77 t2i ,0-z, � -3 Hose bib 25.02 Phone:( 71-4/10 7' Fax:(ser3 S -7ó2 Ice maker 12.51 El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 5-0 Ai .e. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: 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 ® Urinal 25.02 E-mail: �iSJi �0Plt i lit /n''tS/V(e, eV cili�ts4ecdl Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: i0or-/---Adtd P6 M .6/Vpy �� Water piping/DWV 56.29 Address: / ,//I6,3 5 / f 11 17Other: 25.02 City/State/ZIP: 12�/0/1 ci !-i f7O/ Subtotal Phone:(�3) 70_'3 ^9-5' Fax:623) 7,..abiei/ Minimum permit fee: $72.50 ,,, ,,.2 /3 9 Plumbing Lic.no.:3s / Plan review (25%of permit fee) CCB Lic.: �lllzo State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: �J n k.� Date: '1 after it has been accepted as complete. V *Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 1 City of Tigard 111111 III q COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: ()- - p i'-J-<3009 7 Site Address: 1103/. S;ti An ia411'l 4 Project Name: h�r<c ; h4.' Lot #: ,,t 0 (New dwelling=subdivision nam/;Addition or Alteration=last name of owner) Planning Review Proposal: V g /Verify site address/suite#exists and active in permit system. .. River Terrace Neighborhood: I id'o ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan +fig structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper otprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations , hlorth arrow ,�t tility locations&easements(required for new and additions) ❑Site address,project or subdivision name and lot number ..2' lewalk/driveway approach Applicant information(name and phone number) ' ❑it,,,aticrrr5f wells/septic systems .,O'Lot dimensions and building setback dimensions ees to be retained with drip line,and tree r � e-footage of buildings to be demolished protection measures of area,building coverage area,percentage of coverage and ltreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) altreet names fleroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑- ❑No - T 4 foot differential) If yes,is a storm water quality facility shown? El Yes„B•No .2"--Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ®''f o Received: ❑ Yes ❑ No ITPublic Facilities Improvement(PFI) Permit: p f 1 Q o i v-t',", O5 Required: 2"--Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ,Land Use Case#: PL-21, a615-066 0 r g—'Zoning: R-/ . (/? B'Required Setbacks: Front 1 r Rear i S Side 3 Street Side g` Garage j 0' Landscape Requirement: )Q % --) 11- Lot Coverage Maximum: To % la.Building Height: Maximum Height 26 Actual Height 2J ©'Visual Clearance -121""Sensitive Lands: ❑ Yes fa No Type rban Forestry Plan ❑ Conditions "Met"prioroto issuance of/building permit /�`i' Notes: ez,AC yi3 j �iP Aiei- /0r i` .,- .4 .75— e,C.-1 c' ❑ Approved By Planning: ,--------- - Date: 7 a ,r Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 3I y Site Plans: # "3� Building Plans: # 3 Building Permit#: me building permit#above. Workflow Routing: Srl5lanning ngineering iermit Coordinator [ —Bti1lding Workflow Sign-off: C Si -off for Planning(include notes from planning review) Route Application Documents: ['`Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ori al 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: r� '""e'r — Date: -3,r V ,.� ci Engineering Review / ,Slope at building pad: ( (I4 ❑ Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat ,Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes -tfr No Assess Water Quantity Fee in-lieu: ❑ Yes .� No LIDA Facility on lot: El Yes 'No ..Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Z App� roved by Engineering: Wt( 1(; /g Date: f P-' Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review El 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: rr��Revision Notice 3: Date Sent to Applicant: {�,�/5DC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A tJ Tigard Trans SDC: Yes ❑ N/A Parks SDC: 'Yes ❑ N/A LIDA El Yes M N/A K to Issue Permit j� pproved by Permit Coordinator: �� ate: 9��`" I:\Building\Forms\B1dgPermitRvw_RES_010118.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11058 SW ANNAND HILL CT, TIGARD, April 3, 2019 at 10:59:51 AM OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00097 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Note: no A/C installed at this time Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11058 SW ANNAND HILL CT, TIGARD, April 3, 2019 at 10:59:44 AM OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00097 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: no A/C installed at this time Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11058 SW ANNAND HILL CT, TIGARD, April 11 , 2019 at 9:11 :12 AM OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00097 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11058 SW ANNAND HILL CT, TIGARD, April 23, 2019 at 9:10:46 AM OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00097 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Corrections completed. Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency interior lighting form received. Insulation certificate verified. C of 0 left on kitchen counter. Violation Summary: Inspector Contractor