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Permit (19) CITY OF TIGARD MASTER PERMIT IN -- • COMMUNITY DEVELOPMENT Permit#: MST2018-00266 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2019 T r c. It 1� 9 Parcel: 2S110AD10500 Jurisdiction: Tigard Site address: 10947 SW ANNAND HILL CT Subdivision: ANNAND HEIGHTS Lot: 7 Project: Annand Heights, Lot 7 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 770 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1114 sf Garage: 392 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1884 sf Value: $243,092.40 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 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: 3 201-400 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 1884 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 2 Geo Tech Required Prior To TIGARD,OR 97223 Pour PHONE: 503-780-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $30,274.59 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 yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA -001-0090. You ay obtain a cop of the rules or direct questions to OUNC by calling 503.2 1987 or 1.800.332.230 / / /1. Issued By: °.7' .1(..1411rif0 -7'r- Permittee Signature: Call 503.639.4175 by 7:00 a.m. or the next available inspection d . This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. C/ Approved plans are required on the job site at the time of each inspection. R Building Permit Application• • Residential A FOR OFFICE USE ONLY Cl of Tigard Received ^y S" ( \t �J g p q DateB viy. J j Permit No.: JV l i 7� nIIN 13125 SW Hall Blvd.,Tigard,OR 97223 j t r 2 �d I \Jt - Plan Review Q Other Permi. Phone: 503.718.2439 Fax: 503.598.1960 p DateBy: l0 3 v Q+r '� T 1 GARD Inspection Line: 503.639.4175 Ty t-- I ro A gate Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.govBUILDNG + dMethod: /7 // / l. Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING /New construction ❑Demolition Permit fees*are based on the value of the work performed. o 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- Valuation: $ L j • O 1-and 2-family dwelling 0 Commercial/industrial / ❑Accessory building 0 Multi-family Number of bedrooms: y ❑Master builder 0 Other: Number of bathrooms: I "93 JOB SITE INFORMATION AND LOCATION Total number of floors: "" p'1`�(, Job site address: 1©9L f7 ckV 4AAand ,(/ ito r--"� New dwelling area: a ...2,,, ,T square feet ii r 1 City/State/ZIP: 7:.7-6 ii–it/3 0 LL q'7 3 Garage/carport area: Ey feet "j.70 Suite/bldg./apt.no.: Project name: /inn 4 A hie(' A- Covered porch area: square feet Cross street/directions to job site: /Q' -f-4 Deck area: 50 square feet / Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: fin nu,J /-/ , A 15 1 Lot no.: -7 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 �J DESCRIPTION OF WORK work indicated on this application. ���v J P/2 Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0,TENANT Number of stories: Type of construction: Name: 41QU a e[1/�5� (i ® YP Address: /024,S---S J� /V da -7 ( iOako fr., 6'(ifTG� Occupancy groups: City/State/ZIP: TA a 1 r 4,1 2_23 Existing: Phone:cc 31 7e6--4/37c Fax:(vC3) 5-901-7 4 New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule Business name: 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::( ) E-mail: �l i Qil�/U it..?, f9 t �cut•�i(o" PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* /ncom Commercial and residential prescriptive installation of CONTRACTOR` roof-top mounted Photo Voltaic Solar Panel System. Business name: kI 11,101 „..5 7cC.. Submit two(2)sets of roof plan with connection details �+ and fire department access,along with the 2010 Oregon Address: 4G 5—S vr� A/01- 0 /24_b'4_ V I-e Solar Installation Specialty Code checklist. City/State/ZIP: 7. (:,,z- 9'12_73 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(5 3) gQ' _£ 7S'" Fax:( 6 '3 6-9' -Z6dG State surcharge(12%of permit fee): $21.60 CCB lic.: 5-e3/96.• Total fee due upon application: $201.60 Authorized signature: �� '— This permit application expires if a permit is not obtained --_ — -- within 180 days after it has been accepted as complete. Print name: . / 4,�$ Date: , .' Fee methodology set by Tri-County Building Industry �G Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit Application F( )FFICE USE ONLY City of Tigard _ Received t a ateBy: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 .�^ ;• Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/13y: Other Permit: TIGARD Inspection Line: 503.639.4175 `SEP 6 2°1g Date Ready/By: lens: H See Page 2 for Internet: www.tigard-or.gov 2 Notified/Method: Supplemental Information CITY.Vii" iGAR.. TYPE VF'.VVO 1>l DIVISION. COMMERCIAL FEE*. *„ SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ew construction ❑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 CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1'and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total B SITL 'dBMATION AND LOCATION, Heating/cooling: IQ-9417 9 S Air conditioning 46.75 U Job site address: u `17 19-A /_t-a® // /a4 Furnace 100,000 BTU(ducts/vents) ..-02'''` 46.75 City/State/ZIP: 'J,'are,/ 02 Q 23 Furnace 100,000+BTU(ducts/vents) 54.91 / Heat pump 61.06 Suite/bldg./apt.no.: Project name:in A„ A A Duct work 23.32 Cross street/directions to job site: /of .. 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 Subdivision: finn4 Ad 1-1 ---conLot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater .d 23.32 _, �ESc -LION ,Of'WQRK Gas fireplace/insert .0".....- 33.39 ' ' "r' Flue vent for water heater or gas ! 1 5'/_ fireplace � 23.32 [/ Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 3Z Other: 23.32 OE14,Xt 1NER ❑ TENANT . Environmental exhaust and nd ventilation: Name: /®(l r d&)mac/ �57/ G Range hood/other kitchen equipment 33.39 Address: /945-5- 5LJ /"drocji 1aidom• S Yf1 Clothes dryer exhaust ."-. 33.39 City/State/ZIP: 7' y� �,z 47`..2. ...23 Single-duct exhaust(bathrooms, etoilet compartments,utility rooms) 23.32 Phone:( 6-713 76 d --Gf37t Fax: 3) 170 x-7606 Attic/crawlspace fans 23.32 ..',2'.'-'-',. .k,LicANT "❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: 0/n $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: to it dojo ciJkOI t 5 iv ix.)®c tj,/t a z A (am Barbecue '', CONTRACTOR-` �_ Clothes dryer(gas) Business name: -F,,,-5,/- cit,// Other. MECHANICAL PERMIT FEES* Address: /3� �ee„,,,,513/5-e) ,'/ /c. c 4,, Subtotal City/State/ZIP: / dam 6S e do 6 y' J Minimum permit fee($90.00) ��// v Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: -7.2.63TOTAL 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 (�// 0iro Print name: Date: 1\Ruildino\Permits\MEC PermitAoo 040 13 doc 440-461TT(11/02/COM/WEB) Electrical Permit Application• 5y FC )FFICE USE ONLY City of Tigard EC $ 'e'Dateived v. Permit#: a 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review Phone: 503.718.2439 Fax: 503.598.1960 �2y 'L yRelated Permit#: o n t Date/B Inspection Line: 503.639.4175 > _Ready Date/By: Juris Q See Page 2 for TI G A R D Internet: www.tigard-or.gov p o'fied/Method: Supplemental Information CITY O.. TYPE OF WORIK8(j%I NG JR � It1 PLAN REVIEW New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 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. ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family D Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION. 0 Emergency system. larger separately derived /� �� 1 �/ 0 Addition of new motor load of system. Job 4: Job site address: I1/1 JI4et 100HP or more. ❑"A", arc' 0 Six or more residential units. occupancy. City/State/ZIP: / trc 9n:23 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Mitait,d //Cc,I 745 ❑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: �/yr f� FEE SCHEDULE VT Description 1 Qty. 1 Each 1 Total 1 * New residential single-or multi-family dwelling unit. Subdivision: �//ff�Anot, /fro i/j Lot 4: Includes attached garage. (f 1,000 sq.ft.or less / 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential S (with above sq.ft.) ! 75.00 2 �!/u.f c! � Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 'PIFOPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: �(w""chitracd 6,4 200 amps or less 100.70 2 Address: 1�� ��5 s- 6 C it, pai&i�, s a 201 amps to 400 amps 133.56 2 T 401 amps to 600 amps 200.34 2 City/State/ZIP: 70*jf Q..72-2-3 601 amps to 1,000 amps 301.04 2 Phone:(3 ' 7f0_—L/3 2S Fax:( ;,3 ) D 7‘, ` Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: r od•cfcf dit(YlveS iVU- 6 %1.e4.(' / `CCIPIh 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: above service or feeder fee, 7.42 2 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 dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 0,-c a in4 _5( Pt-r ,7 L Sign or outline lighting 67.84 2 / Signal circuit(s)or limited-energy Address: ��1 C�j o®n 1-i��.d pl panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: r--��� �A 41-2,1-.25"VVVtvvJ"LEach additional inspection over allowable in any of the above . ` C .c. Additional inspection(1 hr min) 66.25/hr Phone: 3) °5-/9 ._6,"2 a Fax:451/3) 4'rb..9'7)33 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic.:/leo 7 .4. Electrical Lic.:6-a-Nee Suprv.Lic.:115O-S specifically listed(%z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name , A/0:5 /4ittoDate: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): All, -, —" TOTAL PERMIT FEE: Authorized signature:^ 7, This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. C �p � �� ` Number of inspections allowed per permit. \ \ 1:\BuildingPermitsELC_PermitApp_ELR_ERE.doc Rev 06/17 440-46)5T(11/05/COM/WEB Plumbing Permit Applicatio• Building Fixtures FOR OFFICE USE ONLY 1! City of Tigard . "1z c ed IIIIIa 13125 SW Hall Blvd.,Tigard,OR 97223Permit No.: - .By. Plan Review Phone: 503.718.2439 Fax: 503.598.1960 •�(�1ateBy: Other Permit No.: T I GARD Inspection Line: 503.639.4175 L1.tate Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov ted/Method: Supplemental Information CITY'Y'Of, 1 Ci FEE* SCHEDULE TYPE OF WORK r • 2 C+ & , few construction 0 Demolition For special information use checklist �/ Description Qty. Ea. 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 A"' 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION.AND LOCATION Site utilities: _ Job site address: /d 9 c5 4j /A/IQ Ai ii 614614Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: "T' h O/L --- ,-7 -.7...,3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:®>$�nAaAdAtl� A./5 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 i®9 til Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 -Water service(no.linear ft.:_) Page 2 Subdivision: /16/L ty4e its Lot no.: 7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Nom' 51-'/2 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 /� Inc"( Fixture/sewer cap 25.02 Name: I/9 iccf� �OrcS ,p C. Floor drain/floor sink/hub 25.02 Address: /(9.4 `S „fifer r/t h-)1,9G 7/ tjk-G� Garbage disposal 25.02 City/State/ZIP: Zr if af-el Hose bib 25.02 Phone:(6.73 7 6-Lilo 7S---. Fax:(f r,3 S ' 77 S-, --ZiOil Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: 50 Medical gas(value:$ ) 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 E-mail: tkiiildtAro erdAL'eS/V ti-7 (0,_47/1-40 isle cc01 Urinal 25.02 \/` Water closet 25.02 CONTRACTOR � Water heater 37.52 r���Business name: po /1l At-h( Water piping/DWV 56.29 Address: /6,HO 6 /741/� /2. ut) Other: 25.02 City/State/ZIP: orce.t fir/'- !/( Subtotal Phone:(5.-&3) �`L3 ' Fax:4P3) ,616/ Minimum permit fee: $72.50 _ Plan review (25%of permit fee) CCB Lia: kI4� /39 Plumbing Lic.no.: U State surcharge(12%of permit fee) Authorized signature: 7 1 ;-G TOTAL PERMIT FEE ® /C Date: 7//0///x, This permit application expires if a permit is not obtained within 180 days Print name: f t(J L / _/ after it has been accepted as complete. *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) City of Tigard 11 , COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: � ;� _ cCaiit , Site Address: _ i°/41- SW Project Name: A � � ��t I CA- Project ig l .Vli sell A Lot #: (New dwelling=subdivi •n name;Addition or Alteration=last name of owner) Planning Review Proposal: CVJ S 0 j Verify site address/suite#exists and active in permit system. lit River Terrace Neighborhood: Zit No 0 Yes,See River Terrace Review Addendum Attached Sit 'Ian Elements: ■i ee(3)copies of site plan filrltIP e plan must be on 8-1/2"x 11"or 11 x 17"paper ,lxisting structures on site L 11 rawn to scale(standard architect or engineer scale) I s1 l(or elevrintations tionew structure(including decks)with finished or elevations f! •rth arrow � tility locations&easements(required for new and additions) • ite address,project or subdivision name and lot number plicant information(name and phone number) Sidewalk/driveway approach LI •t dimensions and building setback dimensions � Nes ation of wells/septic systems PFISjcare foo of buil i� trees to be retained with drip line,and tree i � dings to be demolished plrptection measures Mt t area,building coverage area,percentage of coverage and [ pet tree size,type and location �,//impervious area(applicable if R-7,R-12,R-25&R-40) L2i roperty corner elevations(2 foot contour lines if more than >1,000 sf names impervious area created or replaced? \ , ; 4 foot differential) , ■No If es,is a storm water •uali , facili shown? • -l' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): es ❑No Required: 0 Yes,applicant was notified No Received: 1:1 Yes 0 No Public Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notified No Applied For. 0 Yes 0 No,stop intake Land Use Case#: 'P D Iz 20 I ,ta, oning: R-I2 equired Setbacks: Front \S Rear \S Side 121 3.sndscape Requirement: �o 3 Street Side Garage 2 Egq,ot Coverage Maximum: OnY Building Height: i Maximum Height 3S Actual Height Z S �isual Clearance / � �� [�/ ensitive Lands: amu(Yes 0 No rban Forestry Plan Tie ��'� � �� J DR'Conditions "Met"prior to issuance of buildingpermit Notes: ' LU A roved PP By Planning: ., � �� Date: 9-LE'ig Revisions (after F- <ig Submittal only) Reviewers Date Revision 1: J Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildingTorms\BldgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: a \ >' '1 Site Plans: # - Building Plans: # 3 Building Permit#: lsi Enter building permit#above. Building ® Engineering Er Permit Coordinator Er Workflow Routing: Er Planning ' 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. ErBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date: � 1�� ,( By Permit Technician: Engineering Review LIQ slope at building pad: 5. °b [LConditions"Met"prior to issuance of building permit gr-Easements (encroachments)per engineering conditions of approval and plat lir-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes linNo GVFina1 Plat Recorded: Date: 0 NOT Approved by Engineering: : Notes: / I /r• Date: �0•2'�8 Approved by Engineering: ,/,. • . , Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved 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 Date: ❑ Approved,NOT Released: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant ' -,'cion Notice 3: Date Sent to Applicant TA SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: E- Yes 0 N/A 1 Parks SDC: ii Yes 0 II/A LIDA VOK ❑ Yes N/A to Issue Permit Z y i A Date: Approved by Permit Coordinator: I:113uilding\Fonms\BldgPermitRvw_RES 010118.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 . r Transmittal Letter r i c \R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: � � DAT l I" :EI) DEPT: BUILDING DIVISION NOV 27 2018 FROM• ITT OF 'FIGARO m(c_L c`� — Q)A'L_c p._t� BUILDING DIVISION COMPANY: W,,D cA.) C,_z>/ s-'s T � PHONE: 503 '7 y 3 ? S By: RE: / ct L1 7 5(...-J nf AND {h L.L.- - ac)l r-() (Site Address) (Permit Number) I-c>c -7 r4rJN AY4O HL(( l r S (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: P LAS (v Si ot•-) S s P L-,r.,D G-,Avt-A- SLA-61 2 , ,r,,,.��. ak lc/ s r FORFFIC USE ONLY Routed to 'e , it Technician: Date: t '7 9 � OD Initials: 1144/ Fees Due: 4 Yes [ No Fee Descripti n: Amount Due: 10"" $ - c $ $ Special Instructions: Reprint Permit(per PE : ❑ Yes No ❑ Done Applicant Notified: " „ Date: ///9-4 / y Initials I:\Building\Forms\TransmittalLetter-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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 711 2 Transmittal Letter etter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ('.a13 it ' DATE RECEIV 1 DEPT: BUILDING DIVISION EIVED JUN -4 2019 FROM: � rUlil Ye fi(aAR� r •Di'1s1 ? COMPANY: � ) �� t 1�ti9 (c tipeACJn PHONE: (5t3) ?v3-1€i•9 By: RE: i O `7 f t\civ.K 1,( r l.t.s\- k (Site Address) (Permit Number) Nw--c; (Project name or subdivi ion name and lot numb- ATTACHED ARE THE FOLLOWING ITE► S: Copies: Description: Copies: Description: Additional set(s) of plans. \ 2 Revisions: LU Cross section(s) and detai ;fir Wall bracing and/or later analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): • REMARKS: FOR OF ICE USE ONLY Routed to Pe v echnician: Date: (,Q/ i 9 Initials: I✓°' Fees Due: M 'es ❑ No Fee Descripti : Amount Duet $ $ Speci, Instructions: Reprint Permit (per PE): ❑ Yes [ No ❑ Don Applicant Notified: T 6/ //? Initials: itials: .- I:\Building\Forms\TransmittalLetter-Revisions 061316.doc