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Permit (138) C 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 ea MI 2 Transmittal Letter TI G A R t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 6/-a,Kivl'€/YL.1 / 9— DATE TIETEIVEf DEPT: BUILDING DIVISION SEP 2 4 2019 n c CITY OF TIGARD FROM: !' I IA U 6Y1 BUILDING DIVISION COMPANY: W i 5+M tJ dilZ.LCS PHONE: �D(� j_�J3— (p2J y BY �' • RE: t 2b 81 wt/ /- P- c24 m..6 0,-. 1 q.4—6633 w(Site Address) emt > OVA ° 124a(41 t--1 7 (Project name or subdivision name and lot numbea ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. 4,f Revisions: 4.6 P1 t'v t'I 29- 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: po-w--- vQv 9I '1� /h. SIO s /�il/f a''CO'( FOR OFFICE USE ONLY Routed to Permit Technician: Date: l D(I ( � Initials: 44A-- Fees Due: ' 'Yes ❑No Fee Descripti n: Amount Due: I/1-- tO CA" `e .1 � �� $ L .• $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes A No n Done Applicant Notified: Date: /U/,f]lt Initials: Q/� hBuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 1 City of Tigard IIICOMMUNITY DEVET OPMENT DEPARTMENT 11 T i G D Building Permit Review — Residential Building Permit #: / STd-O/ .�y�"J Site Address: A2O�j sQ) V vcr2,e'?— 01 Project Name: FljkS t�n .�d}_e Lot #: 6' (New dwelling=subdivision name;Addi' or Alteration=l ame of owner) Planning Review V RCAl1 /tsera - Pro�sal: /Wu� Jr•/_ kl7q 1Q Verify address/suite it active in Accela. isiAln River Terra e: Er/NO D Yes,River Terrace Review Addendum SitpPlan Elements: l •sion Control �'ycopies of site plan on 8-1/2"x 11"or 11 x 17"paper l•1> tamed trees with drip line and tree protection measures dawn to scale(standard architect or engineer scale) l'il..Vedotprint of new structure(including decks)and 1-F1. rth arrow VI 'lily locations&easements(required for new and additions) lQjSife address,project or subdivision name and lot number .:.-, . ./driveway approach plicant information(name and phone number) II'it.cation of wells/septic systems t dimensions and building setback dimensions fir, et tree size,type and location care footage of buildings to be demolished AGS�ieet names 'sting structures on site VComer elevations(2'contours if more than 4'diffe tial) area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? $ ❑No un•ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes ❑No ►'-w lean Water Services—Service Provider Lette,ollot platted prior to 9/10/1995): /tcquired: 7 Yes,applicant was notified No Received: ❑ Yes ❑ No W,{ Public Faciltri Improvement (PH) Permit: equired: St Yes,applicant was notified ❑ No Applied, JC- For. T Yes 0 No,stop intake Vand Use Case#: /c (i[ )01() i2 Zoning: -I I , V I,, � L0equired Setbacks: Front: 2 d Rear: /: Side: S Street Side: f Garage:c.20 Building Height Max.Height. 3'- Actual Height: SD \11 andscape�rea: % U of Coverage Max? Entrance et back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows �,�'um 12%of area of all street-facing facades Garage 4a Garage door is behind widest street-facing wall ❑ Yes I' No,one of the following is met ❑7oor extends no more than 5'from wall d there is a covered porch extending beyond garage. Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2"d floor. W Garage door width is 0 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: 0 Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof cave 0 Roof offset lai a shut __.. f7 -Slt�tt :.� Ia.�a�ie; 6r-�Bii:ehi`oof 0 Dulftier - .- . � 8 ��P�Tr--- � Sar- ❑ Accent siding Window trim 0 Window recess ❑ Window projection ❑ Balcony 16.11• isual Clearance lQ Urban Forestry Plan ►W. 1 �. sitive Lands: ❑ Yes �No Type: PI Conditions met prior to issuance of building permit Z Approved By Planning: — _ Date: I. • Revisions(after Building Submittal only) n Reviewer Date Revision 1: / ►n Approved 0 Not Approved P t \...--- 9121.1 ICI Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved I:\BuildingTFonns\BldgPermitRvw_RES_022819.docx 1 Building Permit Submittal Original Submittal Date: _ / 9 Site Plans: # Building Plans: # 3 Building Permit#: nter building permit#above. Workflow Routing: lanning gineering ermit Coordinator Building Workflow Sign-off: Sign-off forlanning(include noted from planning revi Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. >1Building: original permit application,site plans,building plans,engineer and I beam calculations and trust details,if applicable,etc. Notes: tBy Permit Technician: -c/4 Date: Engineering Review it Slope at building pad: 4�� IfiConditions"Met"prior to issuance of building permit UX/Easements (encroachments)per engineering conditions of approval and plat [VWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ o /��/ 1 / LIDA Facility on lot KYes o A� ZTZ7 G-Pik- ' dl1 ❑ Final Plat Recorded: -Pik— c-a-/. ❑ NOT Approved by Engineering: Date: Notes: (4 approved by Engineering: Date: eyZ/lp Revisions (after Bu' tng Submittal only) R vi ,er Date Revision 1: Approved ❑ Not Approved /. a� � f012f.20 f Revision 2: D 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: Date: 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. CVDC Fees Entered: Wash Co Trans Dev Tax: Oyes 0 N/A Tigard Trans SDC: g' Yes ❑ N/A Parks SDC: Yes 0 N/A LIDA Yes 0 N/A O-1 to Issue Permit �,/�� X W q Approved by Permit Coordinator: K/�Il�" ' rate: X 1:\Building\Forms'BldgPermitRvw RES_022819.docx 17'I5T 2-0/ `1 -- gi .5 4,rD5/o>ti art-fret 6 a i S 8816'20°E 4S6 , 67r�vef 51G(/W4ll' C'-i/ -- -- --- -- --11----- j 0irf p'r LQ 5 arc Covr-rr 4,0 15" PINE alik 8L9 �yl l�l�S>t-tG Gl� cr ��cc�v4�-fn, ` I; /i �� E rc ( /3 Cov-e..ej( 7 Sd-rr, sill-Ped,,e4 I ! 1, F • ----{ --1-1-454 -- 1 4Mart I 10, 248'. SF ' O w I I � ! �-- aso L F ' - t l, -.r-- --1 i I o I BUILDING HEIGHT = 3fi'-8 1/4" -- '-t—'."'44B---• — — — — ±- DEelf iI "7" I 11,X HEIGHT = 30' r in. n • �Q ^.; 10' ,�LLOWnNCE PER TITLE k --_ -_i-• -'PAf/o �q C.I- 18.410.040 FOR HIGHER TH„N i` rrs r x / 1 10' FF.OM LOWEST GP.,-,DE 'tAN F ...- 1' , FT - y BL __ .��__ -FLOOR-64"SQ.FT - .i -F TOTAL ARKaE - .2,315Q 71 w 1 I -77),' '711v- /, / .->_r P _. -� • i I s koi rY° t: 111GARD • �-' in . - :- - Approved byPlanning '.�;' .--, . :--,--- -.. —+-mil t.ft C,:_=j ` Date: c!` 2 /(/nc, ' , 0_/_.1_kkljrz, 1-_---___ t*.....,.-..r _______ i ce- _ ., jj T, SETBr,CKS: f �� " ` P-N RIDGgE-D1�IVE i•T , s FRONT PORCH - ,, FT �A�►u D4I,� I iq T 25.0 j" ` FRONT HOUSE _ FT 1 1 FRONT G R, GE = 20 FT 10+00 i; ; j I JI 1 SIDE = 5FT i-,' € r ;'i , ; 1 RE MP. 7 FT s * SETBr,CK nRE TO B CK OF a fl IS CLOSER ID OP Si /1',; VJHICHE`.'ER , SCALE : 1 "=20' 3'73c1 ESTATES AT 1 Westwood Homes LLC E,R-a,\: 5T ASPEN RIDGE 12118 NW Blackhawk Drive F- 7` 7/25/1q CITY 0 TIGARD � Portland OR 97229 ~✓^I" ''(tj'-�}° i 20 5 7 � e1"°i9`'ri2C t `phone 503-352-5363 fax 503-352-5914 .--- . CITY OF TIGARD , MASTER PERMIT III 1 COMMUNITY DEVELOPMENT %" Permit#: MST2019-00336 T i GAR.p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,� Date Issued: 09/17/2019 vi. , Parcel: 2S110BC13100 Jurisdiction: Tigard Site address: 12087 SW ASPEN RIDGE DR Subdivision: ESTATES AT ASPEN RIDGE Lot: 6 Project: Estates at Aspen Ridge, Lot 6 Project Description: New SF. 2/13/20: REPRINT to add (1)laundry sink. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 6 First: 1953 sf Basement: 620 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 1166 sf Garage: 807 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3739 sf Value: $506,049.36 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 Drains: 0 Tubs/Showers: 4 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: 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: 8 201-400 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 3739 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: 503-713-6294 PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $37,832.58 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 requir you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR may 952-001-0010 through obt 952-00 -0090 Youa copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. y Issued By: /�` Permittee Signature: LPLf 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. Plumbing Permit Application Building Fixtures FOR OFFICE LSE ONLY Received ' _ Cityof Tigard `} / ISa 131 SW Hall Blvd.,Tigard,OR 97223 Dan I J �� 7�0��`rZ C' IQ ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By.Review Other Permit No.: T I G A R I) Inspection Line: 503.639.4175 Date Ready/By: hats: '62 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special in ormation use checklist Description .1 Qty. 1 Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) _ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 el 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 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: 12 G g 7 SW /1 S'Q{'t Qijd/,tz jr- Catch basin or area drain 18.76 Q_ Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard OR -4 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: l Project name: (-i-e1 4-es Gj'+ � Manufactured home utilities 50.03 Cross street/directions to job site: male 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: I Lot no.:to Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 new SFR Dishwasher 25,02 Drinking fountain 25.02 Ejectors/sump 25.02 >'4 PROPERTY.OWNER I 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 12700 NW Cornell Road Garbage disposal 25.02 City/State/ZIP:Portland OR 97229 Hose bib 25.02 Phonc 3)-7/3��,a.1 y Fax: Ice maker 12.51 21 APPLICANT . : 0 CONTACT PERSON. . Interceptor/grease trap 25A2 r n Medical gas(value:$_ ) Page 2 Business name:w ec vvovei witek LGPC. Primer 12.51 \ Contact name: 'At U s s'r (pit, /p� Roof drain(commercial) 12.51 Address: t2'700 NW/ ( 1Y t( 12- Sink/basin/lavatory 25.02 W.i '7 City/State/ZIP: PO r4 I Ct,n a o- 17 2 z el Solar units(potable water) 62.54 Phone: C;r3. �13- �GZ`q Fax::( ) Tub/shower/shower pan 12.51 E-mail A,,( 5 tit)e 3�T-KfeVel i j(fyyi/S Li,e 'Qm Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: 572.54 Plan review (25%of permit fee) CCB Lic.:178122 Plumbing Lie.no.: State surcharge(12%of permit fee) _ Authorized signature: �� ,`I� TOTAL PERMIT FEE Print name:Dusti ague Date; f/ /ZO2 This permit application expires if a permit is not obtained within 180 days / after it bas been accepted as complete. 'Tee methodology set by Tri-Coln ty Building Industry Service Board. ttauitding\PermitAPLMU-PetmitApp.doc 10/01/09 440-4616T(10/02/COMlWEB) CITY OF TIGARD MASTER PERMIT it COMMUNITY DEVELOPMENT Permit#: MST2019-00336 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2019 Parcel: 2S110BC13100 Jurisdiction: Tigard Site address: 12087 SW ASPEN RIDGE DR Subdivision: ESTATES AT ASPEN RIDGE Lot: 6 Project: Estates at Aspen Ridge, Lot 6 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 6 First: 1953 sf Basement: 620 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 1166 sf Garage: 807 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3739 sf Value: $506,049.36 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y 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'I 500 sf: 8 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF 3739 Owner: Contractor: WESTWOOD HOMES LLCWESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 2 Fire Sprinklers Required PHONE: 503-713-6294 PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $37,741.56 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 m- •.ain a cop • - • direct questions to OUNC by calling 5•. .23. 1987 or 1.800.332.2 Issued By: —sem Permiftt'e-Signature: i S Ca.0r34175 by 7:00 a.m.for the next available inspection date. 4 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. liuilditn2 Permit Application Residential ;- i f, r >,- , I OR o 111( I_ Isis o\l.1 City of Tigard 1 u ge! 13125 SW Hall Blvd. Tigard,OR 97223 AUG 1 ' 2 01 Pl 'a P J` — ! J 5� 1 I G A Ih D Inspection Line: 503.639.4175 t ,l i 4 s 'Date Ready/B;de i � ' Jurs: See page for Internet: www.tigard-or.gov : otified/Me od 1 ` , Supplemental Information 9 1..d 4 r ®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 work indicated on this applicatioon�. _ , CATEGORY OF CONSTRUCTION ./ (�/ 04°I Valuation: $ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: 5(iceJOB SITE INFORMATION AND LOCATIONTotal number of floors: 07< Job site address: 1 (r,fri -7+l ft, New dwelling area: .5-73 -7 juare feet i i(‘Lis City/State/ZIP: Garage/carport area: o 7 square feet t -t Suite/bldg./apt.no.: Project name ` 2't ►t- ,S a Covered porch area: square feet t t Cross street/directions to job site: n fCidC' Deck area: A -j , square feet Other structure area: square feet REQUIRED HATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: i 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 DESCRIPTION OF WORK work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet "e *ursitIN owisreat « .. 1 ,-: Number of stories: Name:Same as applicant Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 ,APPLICANT £ d CONTACT PERSON BUILDING PERMIT flES* Business name:Westwood Homes LLC ` " j �� ia7 � r / Structural plan review fee(or deposit): Contact name:: N rye(;t.(/1 FLS plan review fee(if applicable): Address: 12700 NW Cornell Rd City/State/ZIP:Portland,OR,97229 Total fees due upon application: - _ -T-- _ —_ _ ._ Ammmt_receved - ___ Phone:5V'Sr�1� Fax::( .._. E-mail: 41 U satiewesl irUOV O(1'1 014,3 LLC,C Or-1 $oTo oL,TAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: wg5-hW C )YDS 1 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 127 0 0 iv tv CU Ifl_L( ( ed Solar Installation Specialty Code checklist. City/State/ZIP: Por#1 u#1 of 012- 17 22_1 Permit Fee(includes plan review $180.00 and administrative fees): Phone:603) --7(.3-02q1.1 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:195597 Total fee due upon application: $201.60 Authorized signature: aL(,(\cqci,h9/L__/rThis permit application expires if a permit is not obtaine' within 180 days after it has been accepted as comply' Print name: 41u b Date:Y/ 3/ 1 *Fee methodology set by Tri-County Building Industry q Service Board. I:\Building\Pennits\BUP-RESPermitApp. 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application. ' ,r . - FOR OFFICE ISE ONLv City of Tigard Received g Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 A ;(: it x 9 1'1; Plan Review 2 Phone: 503.718.2439 Fax: 503.598.1960 ' ' ;7 J Date/By: Other Permit: TI ,ARD Inspection Line: 503.639.4175 • Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov ...., Notified/Method: Supplemental Information _a. TYPE>'OF..WORK.. t COMMERCIAL FEE' SC]I RULE ESI CitEqiUST ®New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. tValue:$ CATEGORY OF CONSTRUCTION RESrnENTIAL EQUIPMENT/SYS"EMS FEES* Z 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 120 g/ SIN /J pe 0 a" "s d Air conditioning 1 46.75 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) _ 54.91 . f 0 ) Heat pump 61.06 Suite/bldg./apt.no.: Project name: J' Duct work 1 23.32 23.32 Cross street/directions to job site: /1 C'; )�1 Hydronic hot water system 23.32 '"f��f 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 1 23.32 23.32 A Other: 23.32 Subdivision: I Lot no.: (1 Other fuel appliances: Tax map/parcel no.: Water heater _ 23.32 DESCRl11'Ti0N OF WORK Gas fireplace/insert _ 33.39 Flue vent for water heater or gas 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 ,:-..-.J.011*),--. -, -P-----'-'~.---t:,»..t. ,'t•--'is-i''''';'' Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen Address: 12700 NW Cornell Road equipment 1 33.39 33.39 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Portland Oregon 97229 Single-duct exhaust(bathrooms, toilet compartments,utility moms) 4 23.32 93.28 Phone:(503)713-6294 Fax:( ) Attic/crawlspace fans 23.32 >< F I►]t, - qa; r :. Other: 23.32 Fuel piping: Business name:Westwood Homes LLC $14.15 for first four;$4.03 for each additional Contact name:Allison May Furnace,etc. 1 14.15 Address: 12700 NW Cornell Road Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland Oregon 97229 Water heater _ __1 . a o3_ Phone:(503)713-6294 Fax::( ) Fireplace 1 4.03 Range 1 4.03 E-mail:allison@westwoodhomesllc.com Barbecue taN CTO L Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other: MECHANICAL PERMITFEES* Address: 12700 sw hall blvd Subtotal 326.44 City/State/ZIP:Tigard Oregon 97223 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)598-8001 Fax:(503)598-8002 State surcharge(12%of permit fee) CCB lic.: 199448 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: r / ` . * Fee methodology set by Tri-County Building Industry Service Board Print name:Allison May Date: #:,�; i I:\BuildingWermits\MEC_PermitApp_0401 I3.doc 440-017T(11/02'COM/WEB) 4=.s, Electrical Permit Applicationfi _. ' i k..- I-012 OFFICE I si:011.1 Cl ofAUG I Tigard Received `JDate/B : Permit#: IA ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.191601 1 ,, , Date/B : Related Permit#: Inspection Line: 503.639.4175 ` ry i ,, Ready Date/By: Juris: 0 See Page 2 for T I G A R D Internet www.tigard-or.gov '' Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®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. ❑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 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: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE'INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: I Job site address: 120 g? CIA/ AS ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Iti /� j4 ❑Six or more residential units. occupancy. Va ❑Health-carefacilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: -4 •55 4-("1 - 0 Hazardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 1 FEE SCHEDULE (J Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: I Lot#:(e Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I - `#,DESCRIPTIO i (F. VORi r ""` '""""` '''"' Limited energy,residential (with above sq.ft.) 75.00 2 New SFR Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ❑ N T Renewable Energy 0 See Page 2 ® PROPERTY OWNER - Services or feeders installation,alteration,and/or relocation Name:Westwood Homes LLC 200 amps or less 100.70 2 Address: 12700 NW Cornell Rd 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97229 601 amps to 1,000 amps 301.04 2 Phone:(971)678-5018 I Fax:( ) Over 1,000 amps or volts 552.26 2 ^ �ry Temporary services or feeders installation,alteration,and/or Email:M t l S riP'Sflvood h c s U-C• Coin 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 Branch circuits—new,alteration,or extension,per panel a$gI API'LI CANT ''_ _ ❑`+CONTACT''PERSON A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I 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 —.$ D.. i`i lscati irn _. T_ __Sion cLcnrtline-3lalitino -.- -- .---...— _ Address:2870 SE 75th Ave#203 _ Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. 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)642-2800 I Fax:( ) Investigation(1 hr min) 90.00/hr Email:RossElectric@comcast.net Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lic.: 157891 I Electrical Lic.: 34-436C I Suprv.Lic.: 42325 specifically listed CA hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): `; + State surcharge(12%of permit fee): Authorized signature:,,,-7,,�`�4 j ` TOTAL PERMIT FEE: �I This permit application expires if a permit is not obtained within 180 Print name: Dater fi3)�t [ days after it has been accepted as complete. t1 * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Applicatielllt� li - ;Y r= 'a W ,,Building Fixtures FOR OFFICE USE ONLY 1 Z.01.3City of Tigard AUG �(` Re ceiv Date/Bey: Permit No.: 44 13125 SW Hall Blvd.,Tigard,OR 97223 y III \ Plan Review Phone: 503.718.2439 Fax: 503.59 ,At960' DateBy: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 ¢ 1 Date ReadyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 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 ® 1-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 0 Master builder ❑Other: Fire sprinkler( sq.ft.) . Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I2 0g-7 c W if4sperl pa! . Catch basin or area drain 18.76 v Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard OR a J- a Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: f Project nammS Manufactured home utilities 50.03 Cross street/directions to job site:f Z/ Manholes 18.76 1 _ 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.:UIP Fixture or item: Tax map/parcel no.: Backflow preventer 51c, 31.27 DESCRIPTION OF WORK Backwater valve 1 12.51 Clothes washer 1 25.02 new SFR Dishwasher ! 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e PROPERTY OWNER 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Westwood Homes LLC Floor drain/floor sink/hub 25.02 Address: 12700 NW Cornell Road Garbage disposal 25.02 City/State/ZIP:Portland OR 97229 Hose bib , 25.02 Phone: Fax:(503)342-2403 Ice maker ! 12.51 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Wes-1-wood flaws ti-Ce Medical gas(value:$ ) Page 2 i J jv®h Primer 12.51 Contact name: Roof drain(commercial) 12.51 2 Address: 1.-2:706 NA, (l at �+li/! • Sink/basin/lavatory 4► 25.02 City/State/ZIP: t".: P( a lizzI Solar units(potable water) 62.54 - per- r/,.°-"7ta , ' (/_ -- �__l.�_ -_�_Tukavhc meriSlu+wa-P811 _ _.:--._- _ _: 1?�1 . _--, _. E-mail 1 1 IA S �€s 114A j ho lh.Q3 L.�i..0 C _Urinal _ 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 it i40 Minimum permit fee: $72.50 ��til Plan review (25%of permit fee) CCB Lic.:178122 Plumbing Lic.no.: G/ State surcharge(12/o of permit fee) Authorized signature: -y�� . ,�_j TOTAL PERMIT FEE Print name:Dusti a ue Date 7 This permit application expires if a permit is not obtained within 180 days IA 3// after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard i 11COMMUNITY DEVELOPMENT DEPARTMENT :71 T I G A R D Building Permit Review — Residential BuildR Building /,vL �jJT i"�l� , �j (/-J S�/' ®� in Permit #: Site Address: A2c sS/0 VA"vcr — 01-- Project Name: jok-g ..--7" / pen f/l Lot #: (New dwelling=subdivision name;Addi. n or Alteration=1 ame of owner) Planning Review Proyosal: Al(J "L 14 Verify address/suite#active in Accela. iSkriRiver Terra e: ENo ❑ Yes,River Terrace Review Addendum Sit Plan Elements: r•sion Control lZI opies of site plan on 8-1/2"x 11"or 11 x 17"paper 1`I i,-tained trees with drip line and tree protection measures ( prawn to scale(standard architect or engineer scale) 4 peotprint of new structure(including decks)and FFE rth arrow 1/U: .ty locations&easements(required for new and additions) V3ife address,project or subdivision name and lot number 5 is> alk/driveway approach ,. •plicant information(name and phone number) , ll /,cation of wells/septic systems t dimensions and building setback dimensions E SS eet tree size,type and location N. uare footage of buildings to be demolished VS eet names a'':.° 'sting structures on site Corner elevations(2'contours if more than 4'diffe ntial) Ili, area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 1Q s El No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes El No •g`►� lean Water Services—Service Provider Lett of platted prior to 9/10/1995): • Pequired: ❑ Yes,applicant was notified illi No Received: ❑ Yes ❑ No ublic Facili�ti Improvement (PFI) Permit: equired: VJ Yes,applicant was notified ❑ No Applie For: p Yes ❑ No,stop intake IZ>and Use Case#: -ai, 2O1s--- 9/fl IQ Zoning: 9�= • equired Setbacks: Front: (0 Rear: / Side: Street Side: /0 Garage: 6 Ed Building Height: Max. Height: Actual Height: SD r,11► andscaperea: % of Coverage M Entrance et back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows i ' um 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall ❑ Yes 4d No,one of the following is met: 07oor extends no more than 5'from walla d there is a covered porch extending beyond garage. 12 Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2nd floor. Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset Eft a�P---- f3:atoaf it - Q �, iptlf amib el-roof- 0 Daixcor ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony \ 10 isual Clearance V Urban Forestry Plan 101V-ensitive Lands: ❑ Yes 'No Type: Conditions met prior to issuance of building permit Nott: --� yC— , Approved By Planning: /;° Date: • Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: (' Site Plans: # Building Plans: 3 # Building Permit#: nter building permit# above. Workflow Routing: ► 'lanning gineering C ermit Coordinator Building Workflow Sign-off: ►. Sign-off for anning(include note from planning revie Route Application Documents: IF. 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: / 1 4 J, Date: 7 0- Engineering Review V' Slope at building pad: /S/ 0 ,Pg_,,/Conditions "Met"prior to issuance of building permit lid'Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: KYes o,gJ) 11:0 !s +% 1 l' El Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: approved by Engineering: —me" Date: set® Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved 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: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: LDC Fees Entered: Wash Co Trans Dev Tax: C Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: "Yes Cl N/A LIDA VJ Yes ❑ N/A ❑ OK to Issue Permit 7#,(4:1ate: Approved by Permit Coordinator: 2�� I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T i G A R D Building Permit Review — Residential Building Permit #: ///1 57-M/' s Site Address: A20e9- -Q/0 VFW Cr -J-- Oi- Project Name: ks & n ' Lot #: (f' (New dwelling=subdivision name;Addi' n or Alteration=1 ame of owner) Planning Review /J Pro osal• Ale/t) F� &LizS�aC i../. i b )Y 1WIti//9 14 Verify address/suite#active in Accela. 1.11WRiver Terra e: M No ❑ Yes,River Terrace Review Addendum Sip Plan Elements: r.sion Control 114copies of site plan on 8-1/2"x 11"or 11 x 17"paper i'l -tained trees with drip line and tree protection measures (Z awn to scale(standard architect or engineer scale) Jcotprint of new structure(including decks)and FFE rth arrow V U -ty locations&easements(required for new and additions) Viife address,project or subdivision name and lot number i i., alk/driveway approach 0. .plicant information(name and phone number) 11'(.cation of wells/septic systems • it dimensions and building setback dimensionseet tree size,type and location l ei'.uare footage of buildings to be demolished Miwieet names •l' ;sting structures on site gtorner elevations(2'contours if more than 4'diffe tial) It. ` area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 10 s ❑No nn.ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes 0 N A. lean Water Services–Service Provider Lettof platted prior to 9/10/1995): �equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Facil�iti Improvement (PFI) Permit: equired: 1Q Yes,applicant was notified ❑ No Applie For: p Yes ❑ No,stop intake PP S' 4--- and Use Case#: f D/S�' 1O Zoning. 'e aired Setbacks: Front: 2 d Rear: c Side: �c Street Side: Garage:42-0 T. Building Height: Max. Height: Actual Height: 3D 1 A andscape rea: % of Coverage Entrance V et back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows ' ' um 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall El Yes l No,one of the following is met: 0 7oor extends no more than 5'from wall d there is a covered porch extending beyond garage. TV Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2nd floor. 12 Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof cave 0 Roof offset aafpttcTr--- tillS;0r river ❑ Accent siding Window trim ❑ Window recess 0 Window projection ❑ Balcony 0' isual Clearance ad Urban Forestry Plan 1,1),o- sitive Lands: 0 Yes ''No Type: O Conditions met prior to issuance of building permit Not _� Approved By Planning: . Date: rC-- Revisions(after B .Mg Submittal only) R ' /�L)att/ iRevision 1: 'i Approved 0 Not Approved —� / Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ntet building permit# above. Workflow Routing: gineering rmit Coordinatuilding Workflow Sign-off: planning gn-off for Pg(include note from planning reviRoute Application Documents: ngineering: (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: / A ,J _ Date:AI ( G� Engineering Review V Slope at building pad: `Sr lf_�J,, Conditions "Met"prior to issuance of building permit Cl/ Easements (encroachments)per engineering conditions of approval and plat 117 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 o LIDA Facility on lot: 'Yes o,4/) ❑ Final Plat Recorded: - ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 1137 Revisions (after!19ifding Submittal only) 'ewer Date Revision 1: Approved 0 Not Approved 97 //, 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: Date: 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: 170DC Fees Entered: Wash Co Trans Dev Tax: at/Yes 0 N/A Tigard Trans SDC: 12' Yes 0 N/A Parks SDC: a2/Yes 0 N/A LIDA E(Yes ❑ N/A /071.-)1)q LI OK to Issue Permit Approved by Permit Coordinator: /% �''/��2�` Late: " � � I:\Building\Forms\BldgPermitRvw_RES_022819.docx City of Tigard ■ IIII COMMUNITY DEVELOPMENT DEPARTMENT 'PI 1 ARD Building Permit Review — Residential f //4Building Permit #: � 57aw/ �J ' --r > :- p,05„i;i/iz,„ , 7z Site Address: A2j> s4&) i442v a 4- 0-i- • „v- Ac .✓-t-. Project Name: Fl scal- '4, -en 4 i Q Lot #: (New dwelling=subdivision name;Additign or Alteration=I ame of owner) Planning Review ''`/4�'1�/'�`'s``l'` /fT O fyi x G2 /TA.c '4),...--4 1-e) 'rz'�-t.t:rti,.7j v„-% ProsaL• llJ ' 1�- 04 1^,,,,..4e 10 Verify address/suite#active in Accela. RiAriRiver Terra e: ti4o 0 Yes,River Terrace Review Addendum Sit Plan Elements: r•sion Control I4copies of site plan on 8-1/2”x 11"or 11 x 17"paper INky-tained trees with drip line and tree protection measures ( awn to scale(standard architect or engineer scale) 111,06otprint of new structure(including decks)and FFE rth arrow r/U. 'ty locations&easements(required for new and additions) g3ite address,project or subdivision name and lot number .i., alk/driveway approach Val , .plicant information(name and phone number) II I,cation of wells/septic systems II .t dimensions and building setback dimensions eet tree size,type and location IV •uare footage of buildings to be demolished eet names • ;sting structures on site PECorner elevations(2'contours if more than 4'diff tial) II. ` area,buildingcoveragearea,percentage of coverage and >1,000 sf of impervious area created or replaced? 14 s ❑No g am.ervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes El No N lean Water Services—Service Provider Le,�tt of platted prior to 9/10/1995): equired: El Yes applicant was notified �Q No Received: ❑ Yes ❑ No PP Public Faciliti 'Improvement (PFI)Permit: equired: tt Yes,applicant wars'notified CI No yy�� Applie For: 1 Yes 0 No,stop intake ( S'(4 2.0/S—._'C�V/(� Zoning. /L 'eand aiUredse SCetbaseac#k:s: Front: 1.2 0 Rear: Side: s Street Side Garage:02.6 I. Building Height: Max. Height: Actual Height: SD \1► andscaperea: % of Coverage` p.," % Entrance et back no more than 8'from street-facing wall Parallel to street or offset 45 degrees or less Windows ' ' um 12%of area of all street-facing facades Garage Garage door is behind widest street-facing wall ❑ Yes Ad No,one of the following is met: O Jd�oor extends no more than 5'from wall d there is a covered porch extending beyond garage. Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2nd floor. 12 Garage door width is El12'or less 50%or less of facade El60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance El Wall offset ❑ 1'Roof eave ❑ Roof offset - - . . o. - . - _-C Gra—MAT—pm gaiitretroof_ 4 . ❑ Accent sidingWindow trim CI Window recess ❑ Window projection CIBalcony Vilb isual Clearance iUrban Forestry Plan C1)V,-nsitive Lands: ❑ Yes "No Type: O Conditions met prior to issuance of building permit No /C—Approved By Planning: /„, Date: Revisions (after Building Submittal only) Reviewer /Date Revision 1: Approved CI Not ApprovedArlki101 ' /i 9 Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved I:\Building\orms\BldgPermitRvw_RES_022819.docx Building Permit Submittal Original Submittal Date: _ f / Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: lanninggineering emit Coordinator Building 1 Workflow Sign-off: Sign-off for g(include notA from planning revie 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: / / i" / By Permit Technician: art A ,�. .L.� Date: 407/5-77. Engineering Review V Slope at building pad: 4:6-70 arig l /Conditions"Met"prior to issuance of building permit I l Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ o / l LIDA Facility on lot: leYes oSI° zTz7At 76 mtJ ❑ Final Plat Recorded: 'Pik- e ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: �� Date: I .E.-/ Revisions (after Building Submittal only) Reviewer Date Revision 1: Approved 0 Not Approved ./..--,-----.--0/-4e..----4 /p/j ichor CO Revision 2: 0 Approved 0 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: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 41/S.DC Fees Entered: Wash Co Trans Dev Tax: at/Yes 0 N/A Tigard Trans SDC: V Yes ❑ N/A Parks SDC: "Ye 0 N/A �/�� LIDA es ❑ N/A), �%/ ya//4AI � LI OK to Issue Permit Approved by Permit Coordinator: /+1 i Date: 1//>(' ) i 1 1:\Building\Forms\BldgPermitRvw_RES_022819.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 liii g . Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 4) / 11 S - 4Y ,S'I-Y OYl j DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED �f �� OCT 92019 FROM: yCITY OF TIGARD 0 COMPANY: P' Oa tiliY)f1 2-4:-CS L- 'C• BUILDING DIVISION PHONE: 5 - --7/ 3- (?2 GI By. _ RE: 12-67 S ')/v A S !26 d0--c- I9K') T ST mit 2d//I- D1733(Site (Project name or subdivision name and lot number) ATTACHED ARE THE FOLIkOWING ITEMS: Copies: Description: °t \ . Copies: Description: Additional set(s) of plans. 3 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: we ha -/-��,d 0-1- Gk---/- L/0.9 Al3d y ' -Li i G�Gr' �ivL, a('C O�'If1'l6d cl rr-e y'�t.e ` /2/L- u 1--e keepI y'h.e /00�-� d 1n,ems S;6) S O 11\_32__ir. q t)7" -g O a-rea,__ / FORFFI E USE ONLY Routed to Permit echnician: Date: 1,0 (-I ( 1 Initials: I"W Fees Due: esr ❑No Fee Description: Amount Due: / i JZ (A,Ahr\ fi e.�J v 02...i."- $ 4 V/ $ ,p‘r,/l $ $ Special Instructions: Reprint Permit(per P ): ❑ YesN- ❑ Done Applicant Notified: Date: '-. Initials: pp � ►. i I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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. IIICity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ii _ Transmittal Letter r I(,A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov ! 1 TO: 1 S6 l v A,,,,, Y i DATE RECEIVED: DEPT: BUILDIG DIVISION — ,..,m 'e "----Th FROM: 41 1)1S1 InOA oci 1 cif r .. , ..,,„-a) COMPANY: WQS0 Dd ILO/14S Z--t--� BUILDING DIV BION PHONE: J 03 — -7/3 — 0 Zq q By: RE: 120 r7 S its x'01Or. /Y1S /1- C0334 (Site Ad ress) 6c (Permit Number) 44— (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: L--1 O �'e`U'1-j i G `ta"� —" �l`��— � i�c..t..' FOR FFIfi E USE ONLY Routed to Permit Technician: Date: l ('Z ` Initials: >� � Fees Due: ❑ Yes No Fee Descri tion: Amount ue: (1"-- j $ $ $ Kel Special Instructions: Reprint Permit(per PE): ❑Yes No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012