The URL can be used to link to this page

Permit 7CITY OF TIGARD MASTER PERMIT ''": COMMUNITY DEVELOPMENT Permit#: MST2019-00109 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2019 Parcel: 2S112BD11500 Jurisdiction: Tigard Site address: 7754 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 11 Project: Elderberry Ridge, Lot 11 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $332,033.90 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: 5 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2626 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $32,271.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and - of -r 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 wo is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a c y ffhejules or direct questions to OUNC by calling 503.232.198 i o .800 332.2344. Issued By: Permittee Signature: 3.639.4175 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. City of Tigard II.1111 ■ COMMUNITY DEVELOPMENT DEPARTMENT T G I, Building Permit Review — Residential Building Permit #: /, c lam//9 - 00/0c( Site Address: 7757) -1/tJ {flans¢ ) Lh Project Name: k Jdc4t P 'c Lot #: / J(New dwe g=su ivisic name;Aition or Alteration=last name of owner) / Planning Review Proposal: .)Gly s71Z Verify address/suite#active in Accela. ❑ In River Terrace: IXNo ❑ Yes, River Terrace Review Addendum Site Plan Elements: ,OE'rosion Control 23 copies of site plan on 8-1/2"x 11"or 11 x 17"paper • trees with drip line and tree protection measures S2lrawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE ,Ii-North arrow .2ility locations&easements(required for new and additions) mite address,project or subdivision name and lot number [Sidewalk/driveway approach —El—Applicant information(name and phone number) ..Plocation of wells/septic systems Lot dimen • and building setback dimensions eet tree size,type and location quare footage of buildings to be demolished /treet names �g structures on site ..2korner elevations(2'contours if more than 4'differential)� area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?-CJ res ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes 2 o t5� Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 12'"No Received: ❑ Yes ❑ No —Public Facilities Improvement (PH) Permit: Required: yes,applicant was notified ❑ No Applied For: 4a-Yes ❑ No,stop intake .1; Land Use Case#: TPR�O -c)00 9 J Zoning: g-7 .Required Setbacks: Front: J j Rear: 16 Side: 5 Street Side: Garage: 2 .a Building Height: Max. Height: Actual Height: 'Landscape Area: •O % Lot Coverage Max: ''O Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Vila ow ❑ Minimum 12%of area of all street-facing facades Garage • . :; ..or is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door exten. : ...re than 5'from wall and there is a covered porch exte ..• .-'.n. garage. ❑ Door extends no more than .all and there is . :. .window above garage on 2nd floor. P.0 CI Garage door width is ❑ 12'or less .. _■ :'o or es . : .- ❑ 60%or less and includes 7 of following: ❑ Covered porch • ' - essed entrance ❑ Wall offset El - : - ve ❑ Roof offset ❑ F - . .1 g es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo ormer • Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Z. Visual Clearance JJ-Urban Forestry Plan 2Sensitive Lands: , Yes ❑ No Type: ( giiJ R.-r-k".- -Ei Conditions met/prior to i sua ce of buil.• g permit Notes: ZmiA �i'I-10flS `1p. 0e 01 %r;n,- Ito /SS c,4�G-�' Approved By Planning: i/ / Date: 3 __:_i chly0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_022819.docx Building Permit Submittal Original Submittal Date: (57 Site Plans: # Building Plans: # Building Permit#: P' =nter building permit#above. Workflow Routing: lanningEngineeringPermit Coordinator Building Workflow Sign-off: .-7E Sign-off for m P amng(include no es from 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: „Aire, .j Date: y/0,4122 Enfineering Review ,_,.,/Slope at building pad: .2-2 LV 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: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes E No LIDA Facility on lot: 0 Yes 0 No E Final Plat Recorded: 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: 4��/y 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 O Conditions "Met"prior to issuance of building permit O 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: C Fees Entered: Wash Co Trans Dev Tax: Galcs 0 N/A Tigard Trans SDC: DY 0 N/A Parks SDC: [ Yes ❑ I LIDA 0 Yes r N/A OK to Issue Permit Approved by Permit Coordinator: Date: dIA l I:\Building\Fonns\BldgPennitRvw RES_022819.docx Building Permit Application Residential ED FOR OFFICE USE ONLY Cityof Tigard Received g r /'�j g Date/BY 3 L�G / � r��/Ci`+�6 ��/0IN " 'a hone S50 Hall Blvd.,Tigard,OR 97223 MAR 2 8 2019 Plan Review el 1 9 �„%„_cC11 /-— ,, Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J�aV'lR" /�� (�(�f l I G A h D Inspection Line: 503.639.4175 /�i "� ( t(�j� Date Read/B : runs: ® See Pae 2 for Internet: www.tigard-or.gov CITY i •�F t a^� ` D NA[4fied Metho /(06/1 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. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead and the profit for the 0 CATEGORY OF CONSTRUCT 1( work indicated on this application. -53p.033, 1 Valuation: $ ❑✓ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ElMulti-familyNumber of bedrooms: 4 0 Master builder ❑Other: Number of bathrooms: 3 7$Z/ JOB SITE INFORMATION AND LOCATION Total number of floors: 2 00 S---- Job Job site address: 7e554P SW Hansen Ln New dwelling area: 2626 square feet (1-1 IE") City/State/ZIP: Tigard, OR 97224 Garage/carport area: 379 square feet 1 1/1 Suite/bldg./apt.no.: Project name: Elderberry Ridge Covered porch area:�q,�' square feet Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Deck area: /z 7(i, square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Elderberry Ridge — 0b24.0 Ig a Lot no.: 011 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 �_. equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Construction of SFR Valuation: $ Existing building area: square feet New building area: square feet ❑✓ PROPERTY OWNER 0 TENANT Number of stories: Name: Riverside Homes, LLC Type of construction: Address: 17933 NW Evergreen Pl., Ste 370 Occupancy groups: City/State/ZIP: Beaverton, OR 97007 Existing: Phone:( 503)645-0986 Fax:( ) New: 0 APPLICANT ❑✓ CONTACT PERSON BUILDING PERMIT FEES* Business name: Riverside Homes, LLC (Please rejertofee schedule) - Structural plan review fee(or deposit): Contact name: Nikki Pruett FLS plan review fee(if applicable): Address: 17933 NW Evergreen Pl., Ste 370 —- Total fees due upon application: City/State/ZIP: Beaverton, OR 97007 Amount received: Phone:(503)645-0986 Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: npruett@riversidehome.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Riverside Homes, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 17933 NW Evergreen Pl., Ste 370 Solar Installation Specialty Code checklist. City/State/ZIP: Beaverton, OR 97007 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 503)645-0986 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Tic.: 189148 Total fee due upon application: $201.60 Authorized signature:, tiThis permit application expires if a permit is not obtained , 6 within 180 days after it has been accepted as complete. Print name: Nikki Pruett Date: 3/12/19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Building Permit Application Checklist One- and Two-Family Dwelling ILLLIVED FOR OFFICE USE ONLY Cityof Tigard p o Received g MAR $ 2019 Assoc : Permit No.. 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: C Phone: 503.718.2439 Fax: 503.598.1960 CITY O-TIG ARO24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T'IGARD Internet: www.tigard-or.gov BUILDING DIVISION ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l es No ^/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: • El El 0 5 Septic system permit or authorization for remodel. Existing system capacity El El ❑ 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ El El 8 Soils report. Must carry original applicable stamp and signature on file or with application. El ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 El El building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if El ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ El ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- El El El floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ El Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- El ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ El El locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El El El systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ El ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ El ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ El El architect licensed in Ore•on and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". El ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. El El ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ El ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard El El El Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ El El and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, El El ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatill IVl FOR OFFICE ESE()Nix City of Tigard Received Permit No.: Date/By: '11 13125 SW Hall Blvd.,Tigard,OR 97223 ��,��AR 2 Q O 2019 plan Review Phone: 503.718.2439 Fax: 503.598.1960 ?VI DateBy: Other Permit: Inspection Line: 503.639.4175TIGARD Jurs. ® See Page 2 for Internet: www.tigard-or.govCITY O1 y IGAHD Notified/MyeBhod: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ✓❑New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 9 1-and 2-family dwelling ❑Commercial/industrial El Accessory building For special information use checklist. ❑Multi-family ❑Master builder El Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 7554 SW Hansen Ln Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat_p_ump 61.06 Suite/bldg./apt.no.: Project name: Elderberry Ridge Duct work 23.32 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Elderberry Ridge Lot no.: 011 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 . 33.39 Flue vent for water heater or gas Construction of SFR 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 ❑✓ PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen equipment 1 33.39 33.39 Address: 17933 NW Evergreen PI., Ste 370 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97007 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:(503 )645-0986 Fax:( ) Attic/crawlspace fans 23.32 '0 APPLICANT 9 CONTACT PERSON Other: 23.32 Business name: Riverside Homes, LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Nikki Pruett Fumace,etc. 1 14.15 Address: 17933 NW Evergreen Pl., Ste 370 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Beaverton, OR 97007 Water heater 1 14.15 Phone:(503 645-0986 Fax::( ) Fireplace 1 14.15 Range 1 14.15 E-mail: npruett@riversidehome.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Pro Heating & Cooling Other: MECHANICAL PERMIT FEES* Address: 2095 NW Alocleck Rd.#1103 Subtotal City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee($90.00) Phone: Plan review(25%of permit fee) ( 971)205-4989 Fax:( ) State surcharge(12%of permit fee) CCB tic.: 209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 r days after it has been accepted as complete. Authorized signature: J(,,,, i " * Fee methodology set by Tri-County Building Industry Service Board Print name: Nikki Pruett Date: 3/12/19 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/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 Applicatiol( C I VFOR OFFICE USE ONLY Received _ City of Tigard Date/13 : Permit#: 11 13125 SW Hall Blvd.,Tigard,OR 97223 p Plan Review Phone: 503.718.2439 Fax: 503.598.1960MAR 2 8 2019 Date/I3 : Related Permit#: T 1 G A R L) Inspection Line: 503.639.4175 Ready Date/By: tuns: 0 See Page 2 for Internet: www.tigard-or.gov CITY OF I IGARO Notified Method: Supplemental Information TYPE OF .' i`' .i " PLAN REVIEW ❑✓ New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 1=1 Demolition ID Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. EI-and 2-family dwelling ❑CommerciaUindustrial ElAccessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived #: Job site address: ❑Addition of new motor load of system. Job 7554 SW Hansen Ln 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. rytate g ' 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elderberry Ridge 0 Hazardous locations. 0 Supply voltage for more than g ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Bonita Rd &SW 76th Ave FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Elderberry Ridge Lot#: 011 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Construction of SFR (with above sq.ft.) 75.00 2 _ Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ❑✓ PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Riverside Homes, LLC 200 amps or less 100.70 2 Address: 17933 NW Evergreen PI., Ste 370 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.342 City/State/ZIP: Beaverton, OR 97007 601 amps to 1,000 amps 301.04 - 2 Phone:(503)645-0986 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: 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 0 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Riverside Homes, LLC above service or feeder fee, each branch circuit 7.42 2 Contact name: Nikki Pruett B.Fee for branch circuits without Address: 17933 NW Evergreen PI., Ste 370 service or feeder fee,first 56.18 2 g branch circuit City/State/ZIP: Beaverton, OR 97007 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)645-0986 Fax::( ) Each manufactured or modular -- dwelling,service and/or feeder 67.84 2 Email: npruett@riversidehome.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sunlight Electric Inc Sign or outline lighting 67.84 2 Address: 2804 NE 65th Ave. St. D Signal of esti n or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(360) 518-7589 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: l7 Inspections for which no fee is 90.00/hr CCB Lie.: 172549 Electrical Lie.: C230 Suprv.Lic.:(rtsg specifically listed('h hr min) Suprv.Electrician signature,required: 7,,1 . ELECTRICAL PERMIT FEES � q Subtotal: Print name: Chester Garrett Date: 3/12/19 0 Plan Review Required(25%of permit fee): - State surcharge(12%of permit fee): Authorized signature:jae . 12,,,, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Nikki Pruett Date: 3/12/19 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Pemrits\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 SCHEDULE Wes Fee for all residential systems combined: $75.00 RenewablePenn Q�. Eaen Total nelectrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n 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 n Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ 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 %hr min) COMMERCIAL WORK ONLY: -} `, rRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures RECEIVE I FOR OFFICE USE ONLY City of Tigard Received AR Q 2 O 1 n J Date /By: No.: 14 il M 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 4 U J C Plan Review Phone: 503.718.2439 Fax: 503.598.196 Other Permit No.: Date/By: Inspection Line: 503.639.4175 CITY Ulf- i 1UAHDDate Read B Juris: ® See Page 2 for 1 IGARD l^ �w �ry`/ /� Ready/By: S Internet: www.ttgard-or.gov 3UILDING #,/l lsi l ified/Method: Supplemental Information may.., �, TYPE OF WORK FEE* SCHEDULE 0 New construction ❑Demolition I For special information use checklist Description I Qty. I Ea. I Total El Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1E1 1-and 2-family dwelling l=1Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 1 500.32 ❑Multi-family Each additional bath/kitchen 25.02 El Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7554 SW Hansen Ln Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Elderberry Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Bonita Rd &SW 76th Ave Manholes 18.76 Rain drain connector 1 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Elderberry Ridge 1 Lot no.: 011 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Construction of SFR Clothes washer 1 25.02 Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Q PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 17933 NW Evergreen Pl., Ste 370 Garbage disposal 1 25.02 City/State/ZIP: Beaverton, OR 97007 Hose bib 2 25.02 Phone:(503)645-0986 Fax:( ) Ice maker 1 12.51 ❑ APPLICANT ❑✓ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Riverside Homes, LLC Primer 12.51 Contact name: Nikki Pruett Roof drain(commercial) 12.51 Address: 17933 NW Evergreen Pl., Ste 370 Sink/basin/lavatory 6 25.02 City/State/ZIP: Beaverton, OR 97007 Solar units(potable water) 62.54 Phone:(503)645-0986 Fax::( ) Tub/shower/shower pan 4 12.51 Urinal 25.02 E-mail: npruett@riversidehome.com Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: H & H Mechanical Water piping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/State/ZIP: Milwaukie, OR 97267 Subtotal Phone:( 503 975-9787 Fax:( ) Minimum permit fee: $72.50 • CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: // /� TOTAL PERMIT FEE signature.,3/ Print name: Nikki Pruett Date: 3/12/19 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty Fee(ea) Total Square Footage: Permit Feed Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type Plan Review for Plumbing Installations FixturerkType for Relocate Plan review is required for anyof the following. Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4„ Isometric or Riser`Diagram Car Wash Drain Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\npruett\Downloads\PLMF_PermitApp.doc 2 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 11„,, ,. Transmittal Letter T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ////:•,5a,-) DATE RA�V �� DEPT: BUILDING DIVISION OCT 1 b 2019 FROM: NIKKI PRUETT CITY OF TIGARD BUILDING ENVISION COMPANY: RIVERSIDE HOMES PHONE: 503-645-0986 By: /. RE: 7754 SW HANSEN LN MST2019-00109 (Site Address) (Permit Number) ELDERBERRY RIDGE LOT 11 (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. 2 Engineer's calculations. 3 Other(explain): A4 Main Floor Plan, Deck S Sheet REMARKS: Changing the deck size from a 12'x 10'to 20' x 12'. Included is a revision to A4 Main Floor plan showing the correct deck size, Deck S Sheet and Engineering. FOOFF CE USE ONLY Routed to Permechnician: Date: ‘"b Z2 t I Initials: 07- Fees Due: Yes ❑No Fee Desc ption: Amount Due. $...,, --c--.4:43 e .,..,\ , ,/,,, $ I, ,,,,,„, , $ Special -1 p S � � Instructions: - Reprint Permit(per PE): Yes ❑ No �r; lone Applicant Notified: !./r/6/q Date: i d v`� /9. Initials. I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT III 2 COMMUNITY DEVELOPMENTPermit#: MST2019-00109 j0 '2-ci / '" TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2019 Parcel: 2S112BD11500 Jurisdiction: Tigard Site address: 7754 SW HANSEN LN Subdivision: ELDERBERRY RIDGE Lot: 11 Project: Elderberry Ridge, Lot 11 Project Description: New SF. 10/24/2019: REPRINT permit to increase deck size from 10x12 to 20x12. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1179 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 1447 sf Garage: 379 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2626 sf Value: $334,901.90 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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!500 sf: 5 201-400 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 2626 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PL STE 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 370 BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $32,374.40 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes .an• all other applicapip 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�o' if work is su •',4•ed for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent:,. Those r I: :re set fo y' .in OAR 952-001-0010 throu OAR 9 —101-0090. You may obtain a copy of the rules or direct questions to OUNC by calling •3.232.19• ./1. 332 c••. e. Issued By: Permittee Signature: k Call 503.639.4175 by 7:00 a.m.for the next available inspection 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. City of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT I Building Permit Review — Residential TIGARD Building Permit #: 7/./ STl /q - ootdc, Site Address: 7751 j .iiti ilansa Li-. Project Name: Lot #: // i ��'s' m ;A .(New dQ(10/1 g=su visi name;A tton or Alteration=last name of owner) /O/IS/I4 � A,,„-j,...4 se)''-' Planning Review -{w tarry.' o`'e``< .,..ros ii, S %, ''--` -'' %.- erify address/suite# active in Accela. In River Te ce: IXNo D Yes,River Terrace Review Addendum pte Plan Elements: rosion Control - L copies of site plan on 8-1/2"x 11"or 11 x 17"paper IDIZincd trees with drip line and tree protection measures IP Prawn to scale(standard architect or engineer scale) Footprint of new structure(including decks)and FFE /PE—North arrow ty locations&easements(required for new and additions) ,,/ tte address,project or subdivision name and lot number Sidewalk/driveway approach '-'.ESApplicant information(name and phone number) I'vication of wells/septic systems y treet tree type and location '✓�'I,ot limen ' sus and building setback dimensions '� size, quare footage of buildings to be demolished i Street names ' structures on site „121forner elevations(2'contours if more than 4'differential) of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced?-E Yes ❑No impervious area(applicable if R-7 yes,is a storm water quality facility shown? ❑Yes l �lo t 5 )--- R-12 R-25&R-40) If L/iErClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified [2'No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: LI Yeses,applicant was notified ❑ No Applied For: -13—Yes ❑ No,stop intake '-.1; Land Use Case#: 71 OI �()00 6y Zoning: g�7 Required Setbacks: ront: 15 Rear: 15 •Kide: S Street Side: Garage: k'Building Height: Max.Height: Actual Height: ✓ 'Landscape Area: O % Lot Coverage Max: 70 Entrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less "in• .• ❑ Minimum 12%of area of all street-facing facades Garage • .1.-. a oor is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met: ❑ Door exten. ...re than 5'from wall and there is a covered porch exte.•.•: .-'.n. garage. ❑ Door extends no more than •• .all and there is . •• .window above garage on 2nd floor. Y L7 ❑ Garage door width is ❑ 12'or less ■ :'o or ess . : •- ❑ 60%or less and includes 7 of following: ❑ Covered porch • ' - essed entrance ❑ Wall offset ❑ ' .: - ve ❑ Roof offset ❑ F. - : is g es ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roo ormer ■ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance � ` ;1-Urban Forestry Plan w � a� --a-Sensitive Lands: ' J2'Yes ❑ No Type: Conditions me `prior to i sua ce of buil.' g permit Notes: Lar r'iijiils o 0• ,Me r;n ',- /S5v?r .-j2 Approved By Planning: �/:,,,,._ Date: 3 2,470 Revisions (after Bing Submittal only) iii. `Reviewer Date Revision 1: LJ Approved ❑ Not Approved L/jA- ie. I� 11 Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 022819.docx Building Permit Submittal Original Submittal Date: _ (57 Site Plans: # Building Plans: # Building Permit#: P' =nter building permit#above. Workflow Routing: PI ' lanningEngineering } Permit Coordinator ,B��g Workflow Sign-off: ) Sign-off for P anning(include no/es from planning review) /` Route Application Documents: Cngineering: (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: Am. By Permit Technician: / j./A /.>♦..'1�� %//i. Date: Enineering Review LJ Slope at building pad: .2../: Lel 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: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No [ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ` Date: 4��' Revisions (after B ' +ing Submittal only) _ Reviewer Date Revision 1: P Approved ❑ Not Approved /49/ 2//, 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: C Fees Entered: Wash Co Trans Dev Tax: y� ❑ N/A Tigard Trans SDC: IP* Y ❑ N/A Parks SDC: ❑ es LIDA ❑ Yes I�/A �� OK to Issue Permit /o/7/1 Approved by Permit Coordinator: /,�i Date: d`' f I:TuildingTorms\BldgPermitRvw RES 022819.docx