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Permit (26)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2019-00041 T i .;A R f 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019 Parcel: 1 S135AA03800 Jurisdiction: Tigard Site address: 8933 SW ELENA LN Subdivision: OAK STREET CONDOMINIUMS Lot: Project: Oak Street Condominiums, Lot 12 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 571 sf Basement: 295 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 550 sf Garage: 275 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 1416 sf Value: $181,515.50 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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: Y 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: 3 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: 2 201-400 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 SFA VB R-3 1416 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions) 11807 NE 99TH ST STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 2 1 -Hour Fire Proofing 3 2 Hour Fire Rated Assembly PHONE: 360-258-7900 PHONE: 360-949-9128 FAX: 360-258-7901 Total Fees: $23,047.83 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. Y•u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: iti .1vAG4 Later Permittee Signature: ST1 _ /Plea. Call 503.639.4176 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 Building Permit Application ResidentialA % r..» FOR OFFICE USE ONLY City of Tigard Re Received / i dv I� 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2019 Plan Review al Phone: 503.718.2439 Fax: 503.598.1960�+ Date/B : ay, r'`/'', ' _ �� T t G A K D Inspection Line: 503.639.4175 CITY OF V I GA et"..,D Date Ready/By: rugs: 64 See Page 2 for Internet: www.tigard-or.gov BUILDING DVS `ON Notified/Method:�� �O /9 Lw Supplemental Information t _ ; ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and thg profit for the `. ' ! 1,.Q S ON t i ivtajm work indicated on this application. / $p/75 f ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ❑Accessory building ®Multi-family Number of bedrooms:2 0 Master builder 0 Other: Number of bathrooms ] k " `"*' i. ' Total number of floors:3 1(, 9 W-: , T o YY a aRMATIO a .=f1G;'41Vp Job site address:8933 SW Elena Lane New dwelling area: 1416 square feet 5-5 o City/State/ZIP:Tigard, OR 97223 C_-) k- S / Garage/carport area: 275 square feet S"7Lr Suite/bldg./apt.no.: Project name:Tettehetene Condominiums Covered porch area: square feet a,IS Cross street/directions to job site: Deck area: 27 square feet Other structure area: square feet a a` t. a rk`kI R ,a Subdivision:• Lot no.:12 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all q labor,overhead, the equipment,materials, ande profit for the ;. t I., l ® ' a work indicated on this application. NSFR attached Valuation: $ Existing building area: square feet New building area: square feet -•'°v ! ' > '' ` ., y . .. ..` Number of stories: Name:Lennar NW Inc. Type of construction: Address:11807 NE 99th St. #1170, Occupancy groups: City/State/ZIP:Vancouver, WA 98682 Existing: Phone:( 360)258-7900 Fax:( ) New: s ; I 'i,.�:';. Ai Yom- .,. 9i ..,. , e. 7e.:; . Business name: Lennar NW Inc. Structural plan review fee(or deposit): Contact name: Juts Call Address: 11807 NE 99th St.#1170 FLS plan review fee(if applicable): — Total fees due upon application: City/State/ZIP:Vancouver, WA 98682 Amount received: Phone:(360)258-7906 Fax::( ) il Juls call@lunar com Ho Bio • ® t..p. Y _ E-mail: i :. - t ® Commercial and residential prescriptive installation of s .�._ ,�.,.. -- i -; , _ _ � ;; roof-top mounted Photovoltaic Solar Panel System. Business name:Lennar NW Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:SAME AS ABOVE Solar Installation Specialty Code checklist. CitylState/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): __ Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Iic.:195307Total fee due upon application: $201.60 Authorized signature: 0 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Juts Call Date:1/28/19 "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I Mechanical Permit Applicationr()It(>1 1 1( 1 I sl:()Nil Cl of Tigard E C E I V E D Received . g Date/By: Permit No.M` `, CA_ ` t 14 . 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 5 2019 Plan Review Date/By: " Phone: 503.718.2439 Fax: 503.598.1960Other Permit-. -1 t_A tt 1, Inspection Line: 503.639.4175 CITY O F TIGARD Date ReadyBy: Jur s: ® See Page 2 for Internet: www.tigard-or.gov NotiSed/Method: Supplemental Information BUILDING DIVISION f '440'111C „n.. 1', d, s t. ¢ ;v Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 8933 SW Elena Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project names t c, ,. Heat pump 61.06 '(vivtLll°(1x, Duct work 23.32 Cross street/directions to job site: 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:Cornerstone Condominiums Lot no.:12 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas NSFR attached fireplace 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 Environmental exhaust and ventilation: Name:Lennar NW Inc. Range hood/other kitchen equipment 33.39 Address:11807 NE 99th St. #1170 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver, WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 Phone:(360 )258-7900 Fax:( ) Attic/crawlspace fans 23.32 .Y+ 23.32 Other Fuel piping: Business name:Same as above $14.15 for first four;$4.03 for each additional Contact name:Juls Call Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(360)258-7906 Fax::( ) Fireplace Range E-mail: juls.callalennar.com Barbecue ' itAC I Clothes dryer(gas) Business name:HeatGuy, Lic. Other: MECHANICAL PERMIT FEES* Address:5215 NE 282nd Ave Subtotal City/State/ZIP:Camas, WA 98607 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360 253 4822 Fax:( ) State surcharge(12%of permit fee) CCB lic.:187461 �cN,`�I � rG TOTAL PERMIT FEE I 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:Corinna Fri Date:04/15/2019 I:\Building\Permits\MEC_PermitApp_040113.doe 440-46171'(I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation; . Permit Fee . , $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 Electrical Permit AppllcatiO ECEIVED Fo►Z OH-1( I. I SII O\I.\ City Cl ofTigard V Received � j 13125 SW Hall Blvd.,Tigard,OR 97223A P R 1 5 2019 Date/B Plan Review 11:212 IMMI Q Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: H See Page 2 for TIGARD Internet: www.tigard-or.govBUILDING DIVISION Notified/Method: Supplemental Information ,. TYP OF WORN. _, ,. ., .PLAN BAYWW. , .:_,- , , ®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. 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 ❑Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 8933 SW Elena Lane ❑Addition of new motor load of system. 100HP or more. ❑"A","E","l-2","1-3", City/State/ZIP: 0 Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ,;,,,, , ,�Q 0 Hazardous locations. 0 Supply voltage for more than `� _•, �" 1t`�``U' ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I_. New residential single-or multi-family dwelling unit. Subdivision:Cornerstone Condominiums Lot#:12 Includes attached garage. 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 1 33.92 1 DESCRIPTION OF WORK Limited energy,residential NSFR (with above sq.ft.) 1 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER 1 ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Lennar NW Inc. 200 amps or less 100.70 2 Address:11807 NE 99th St. #1170 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver, WA 98682 601 amps to 1,000 amps 301.04 2 Phone:(360)258-7900 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: 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 ra APPLICANTi ,FAC,PERSON Branch circuits-new,alteration,or extension,per panel 1 A.Fee for branch circuits with Business name:Same as above above service or feeder fee, 7.42 2 each branch circuit Contact name: Juls Call B.Fee for branch circuitswithout service or feeder fee,first Address:Same as above 56.18 2 branch circuit City/State/ZIP: Each add'►branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360 )258-7906 Fax: :( ) Each manufactured or modular 67.84 2 i dwelling,service and/or feeder Email:juls.call@lennar.com Reconnect only 67.84 2 67.84 2 Business name: Three Phase Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 11490 SE Jennifer St panel,alteration,or extension. City/State/ZIP: Clackamas, OR 97015 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503 ) 908-8058 Fax:(503 ) 762-1823 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: permits@ThreePhaseElectric.com Inspections for which no fee is 90.00/hr CCB Lic.: 162368 Electrical Lic.: 3-332C Suprv.Lic.: 6379S specifically listed(%2 hr min) Suprv.Electrician signature,required: '1 K e,}'t �-s2_ Subtotal: Print name: Robert Lane Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE scnut>E DescrFee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 El Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ 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(V2 hr min) GR:CIAL WORK ONLY; CAL r . . FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitAppELR_ERE.doc Rev 06/17/2015 ., • •, 1 .. . Plumbing Permit Applicala, R 1 !r-,---R, n cF,, ,, ,,_: IIIIIIIIIIIIIMEIMIIMMIIIIIMM Building Fixtures i "I '' '-' ) I City of Tigard _ Received II ot 13125 SW Hall Blvd.,Tigard,OR 9-2g3 7 2019 DatefBy: Permit No4,45 Plan Review 1 : Phone: 503.718.2439 Fax: 503.08,169... DatefEly: Other Permit No.: „, Inspection Line: 503.6394175 1/4 •i i -.,' .: tuns. VI See Page 2 for r`G AR'' Internet www.tigard-or,gov bt..1;LDIi 'f'":; 1:-i v,.,, ,...:i.j ,),IaoltfiRceialittiBL: Supplemental Information , . ;,:;.:1;::;,`':''',. .. ; ' . ;;• : ':TYPE OF WORK ' . : . - . :.FEE* SCHEDULE l..,:.1::.. ,. .•..; : g';:.,:':.: 121 New construction D Demolition For special information use checklist. Description I Qty. I Ea- I Total 1 0 Addition/alteration/replacement El Other: New I-2-family dwellings(includes 100 ft.for each utilityconnection) I CATEGORY OF CONSTRUCTION •: ' SFR(1)bath 312.70 1 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath .1 50032 0 Accessory building Wil Multi-family Each additional bath/kitchen 25,02 1:1 MaSter builder 0 Other: Fire sprinkler( sq.ft.) Page 2_ JOB SITE INFORMATION AND LOCATION ' . Site utilities: Job site address: 8933 SW Elena Lane Catch basin or area drain 18.76 Drywall,leach tine,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suitabldgfapt.no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job site: 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: Lot no.: 12 Fixture or item: - Tax map/parcel no.: Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51' Clothes washer 25.02 ........_ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 'r: • ' . •21:PROPPTY'OWNER ' ' .1 . 0 TENANT '' . Expansion lank 12.51 Name:Lennar NW Inc. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11807 NE 99th St.#1170 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)258-7906 Fax:( ) lee maker 12.51 , : '' • ,' •i'g1 APPLICANT • : :- • 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Lennar NW Inc. Medical gas(value:$ ) Page 2 Primer 12,51 Contact name:Jule Call Roof drain(commercial) 12.51 Address:SAME AS ABOVE Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail:juls.call©Iennarcom Urinal 25.02 Water closet 25.02 CONTRACTOR s Water heater 37.52 ,.„a,V , Business name: 1,...j 0 k 6 04- $e,‘ Nt C-c-- -__? Water piping/DWV 56.29 Address: 1 0'7 c- kit"'51- [W>ier;C.. ea ir-ro 171'n 2;yet' tliv1/ Other: 25.02 1 City/State/ZIP: Tax,. -.act to C) a. 0 70 6 0 Subtotal . I Phone:(,50,5) G ,„'-7 HI / I Fax:(50 3) g 6 7._4'045 minimum permit fee: $72.50 : I Plan review(25%of permit fee) 1 CCB Lie.: (1 2.22_0 Plumbing Lie,no.:2.6-S zq r, State surcharge(12%of permit fee) Authorized signature: S TOTAL PERMIT FEE- I Print name: tA.-4/1. / e b-er bate: 11Z5-11 This permit application expires Ira permit is not obtained within 180 days after it has been accepted as complete. ; , *Fee methodology set by Tn.-County Building Industry Service Board. lUttoilding‘PermitsTiMU-PermitApp doe 10/0I80 440-46161110/02/CONIAVEM I 1 7 11111 City of Tigard F' COMMUNITY DEVELOPMENT DEPARTMENT I ¢ Building Permit Review — Residential Building Permit #: r'` Ul�_ 1� / "` Gl( Site Address: �, a) leLeam-C Project Name: ,n2i L Col /OK C) Lot #: (New dwelling=subdivision name;Addition or Alterationname of owner) Planning Review Proposal: R1� , Tom' ' _ l5 Verify site address/suite#exists and activ ' permit system. ►1!°River Terrace Neighborhood: No 0 Yes,See River Terrace Review Addendum Attached Sit lan Elements: ee(3)copies of site plan Existing structures on site She plan must hc on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished INOttr awn to scale(standard architect or engineer scale) floor elevations arrow \r` Utility locations&easements(required for new and additions) Si address,project or subdivision name and lot number Sidewalk/driveway approach plicant information(name and phone number) Location of wells/septic systems PE-Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree ❑Square footage of buildings to be demolished protection measures \i (❑Lot area,building coverage area,percentage of coverage and eet tree size,type and location lft' impervious area(applicable if R-7,R-12,R-25&R-40) Street names ❑Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? I )Yes OV ` 1 4/oot differential) ,„ ' If yes,is a storm water duality facility shown? Yes o \ Clean WaterSSrvices-Service Provider Lett of platted prior to 9/10/1995): 1` \\ quired: Yes,applicant was notified Vo Received: ublic Facilities Improvement(PFI)Permit: Yes 0 No Required: 0 Yes,applicant was notified M'No Applied For: 0 Yes 0 No,stop intake ��d Use Case#: M ,2 / r/966... 'R oning. M Ur,— fri",:equired Setbacks: Front 0 14,Rear Side 3,, � Street Side ) Garage dscape Requirement: eCoverage Maximum: % V Bilding Height Maximum Height Visual Clearance Actual Height ‘\ Sensitive Lands: 0 Yes 0 No Type ban Forestry Plan icalc Conditions` ; et" .rior . iss ce of buil.a • per.. Notes: __ 1 Approved B � 2j7J yP ,, :4 .: �. Date: Revisions (after Bu' nig Submittal only) Reviewer Revision 1: Approved 0 Not Approved21------:-...- ate Revision 2: 0 Approved 0 /� ���� pPNot Approved Revision 3: 0 Approved 0 Not Approved I:\BuildineForms\BldgPermitRvw_RES 061417.docx r Building Permit Submittal // Original Submittal Date: , /7 f l 9 Site Plans: # -' Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: lanning ! Engineeringermit Coordinator .,.Building Workflow Sign-off: (from Sign-off for Planning(include notes planning review) Route Application Documents: [ Engineering: (1) copy of permit application, (1)site plan, (1)building plan and original plan review routing form. `Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ��` ��/ Date 1 /if?//, Engineering Review v Slope at building pad: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes in No Assess Water Quantity Fee in-lieu: 0 Yes D No LIDA Facility on lot 0 Yes .0' No ❑ Final Plat Recorded: Date: ❑ NOT Approved by Engineering: Notes: c� tDate: Z �' / Approved by Engineering: D e Revisions (after Building Submittal only) o (.// 1 (c� Revision 1: 'Er-Approved 0 Not Approved [�Reviewer Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: -mate: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant: y\DC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: ❑ N/A Parks SDC: E4eess ❑ LIDA ❑ Yes 13 N/A 4(4 f L'f OK to Issue Permit 1 1 Approved by Permit Coordinator: Date: 1 sT I:\Building\Forms\BldgPermitRvw_RES 010118.docx , City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT UPII TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: , 57 ? /7- t f 1 Site Address: g � _ _ Fle17o L. Suite/Bldg#: Project Name: l 4. -,c-7,71-,0,4- o ,- �/� ,, # 3 (Name of commercial business occupying the space. If vacant,enter Spec ac .) Planning Review 5/bel Slit- Flew ravixib4a Proposal: 4 ae.771Alnii1117 la MA elgea 1014,1,41 /r/a ca.!, G Ve 'fy site address/suite# exists and active in permit syste II ':ver Terrace Neighborhood: ❑ Yes No ill nd Use Case#: MM ZQ O 10 -—000,2-e) Plans atch Approved Land Use: i Si - Plan 0 ndscape Plan Cher: 443 ° rban Forestry Plan [p1 Elevation Plan kF,uilding Height: Ma ' um Height --9-CActual Height / )1 ', iel Conditions Met: Prior to Submittal ❑ Prior to Permit Issuance OKusiness License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license ' 'k ublic Facilities Improvement(PFI) Permit: Required: CIYes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: — "11111Date: �� Revisions (after But ding Submittal only) k___.4: viewer Date Revision 1: Approved CI Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal s Original Submittal Date: -1/, //'`r (P'-.24//1-am) /RN/9 Co,r19,tnler.PJ Site Plans: # J Building Plans: ## Building Permit#: nter building�permit# bove. Workflow Routing: ning ngineering ermit Coordinator E--Irt---.1 -ilding Workflow Sign-off: C -. in-off for Planning(include notes from planning review) Route Application Documents: —u ding. original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: s I i . 1, i y ,r f C By Permit Technician: .„01101.7 P ate: or I:\Building\Forms\BldgPennitRvwCOM WithLandUse 060116.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No LI NOT Approved by Engineering: Date Notes: AApproved by Engineering: Date: Revisions (after Building Submittal only) rver--) D to cy Revision 1: El Not Approved -. i* I Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: c i \tt c Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A 2 OK to Issue Permit Approvedby Permit Coordinator: All\j''9 Date: 51\1A 1 I:\BuildingTonns\BIdgPermitRvw_COM_WithLandUse_070915.docx