Permit CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2020-00165
I i;:',I I/ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2020
Parcel: 1S135AD07800
Jurisdiction: Tigard
Site address: 8797 SW THORN ST
Subdivision: GRAHAM ACRES Lot: 6
Project: Thornwood, Lot 6
Project Description: New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 436 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 33 Bathrooms: 4 Second: 653 sf Garage: 240 sf Front: 15 Smoke
Dwelling Units: 1 Third: 699 sf Right: 5
Detectors: Yes
Total: 1788 sf Value: $230,653.68 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Dist): 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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 Floods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SFA VB R-3 1788
Owner: Contractor:
THORNWOOD HOLDING CO LLC SCHMIDT EXCAVATING INC Required Items and Reports(Conditions)
16615 SW MAPLE CIR 514 DAYTON AVE 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97034 NEWBERG,OR 97132
PHONE: PHONE: 503-538-3587
FAX:
Total Fees: $25,585.17
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 001-00 . You obtai copy of the rules or direct questions to OUNC by calling 503.232.1`19�_( C'G/
503.232.1987 or 1.800.332.2344.f�
Issued By: Permittee Signature: (, -
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.
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APR 3 0 2020 w.��
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_ ._ �.. REQUIRED DAM t I,MME3tc1_u-LSE CHECKLIST
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Building Permit Application Checklist
One- Ind Two-Family Dwellingi
City of Tigard
i si"i SWBatt Elise Isaar3,Op.97223 Ur '
se Mane: Spa-7l`2439 rue. 30159a logo ace s,^a rcrnMa_.
t a,{ ogee Imams tars UN ails 4,493175 0 monad 0 i°lua.bita [3 ",tr;§eis.at �.
Ir,.nrizcc man tsC,zut3vezn 1 D Maas
: THE FOLLOWING ITEMSAWE IIII2 'FOR" ' a
I Land use actions completed. See tormillmon mocha lin eorturtent reams=_ " t 1 .
2 Zemin . Flood tiro,soles balance ins,serssnre soils kg s ma,batting dulness,vie
3 Verificatlon o9 upturns ed platdluf.
4 Fire district approved required. Nance of district; 13'.
3 Septic system permit or andlorizaaosi for remodel Eris ngsystem capacity 1
6 Sea cr permit,.
7 53 ater district apprmiL l .,1
8 Soils ratuart. Must mom on Vial a hatable stair and atunaum on fie or stet on lacrct on.
9 Erosion control la plan 0 pecan required. Ind vele drainage-war proteehaa,sift fence design and ion of emelt-
bsosrn prorecaiou,ctc
10 3 Complete sets of legible plans. Must be ire vn to scale,sI svvEng corfoemoiner to applimble Semi l and sir 0
wilding and Latest tfesirn tkaaias anti connections iriaa5t be incorporated m.o the pleas or NI e 3,41.3raW tint-Sin
s a.at a laChad co the plus with cross references between plan foamless and Mauls. Plan wilts earmmo be completed V-
eoptrig3ri z,autctaieaars ezwa.
11 Siteiplot plan drawn to state, ilia plan must show lot and building Keiback dnreastora,property comer elevations ` t I 0 0
there a more than a ih#'i_ales goon dtfferma,plan most show contour lentts id 2.-ft.amenals7,lucattm ofea e Hems
and drivessay,,footprint ofstructure fincludingdecks);location oi'wells/serum systems;uterii lutattona,daemon
indicator,lot area buitdalL co-scrape area,parcentage of cos crape,insrvisitno scan cxcstingstrvctures an suet and
malice d,:,inAgC.
Id foundation plan. Shuts dimension,ttnchorbolus and hold-dt ns and ton(*areal pads.ctinne.tieva details.,gem sue .11 a I
and locomen
13 Floor plans. Sttarvm all dimensions.moon wiennlicution,*Endow size.I�k mien of maga detectors.water maser, 0 0
!'urns,• vrnutanon fans.plumb ma tvvurse,taalco ilea mid deeps 30 inches utsorae grade,rat.
14 Cross s section(s)and details. Show all amtingren re bar sires and cabana cuth as 32cor:talus,hcade s,Jot [ sub- `� 0 0
tit,wall construction.roof construction. Mora than one cress section ease be requited to clearly puma)
mash-atom Show det.:rla ptall wall and eavfsheathing,rooting,roof stone,ceiling height.meting materiel,footings
andon,Mote.
ileac constniction,thermal insulanon,
?a tion elevations Mot
Yt s da lemtons fo new
co thel is natu a
ea
15 Elevation views. Pros tdc cl�aattoms for Hate ums:tciciiou,ln;axtnum of two tlevutvrr�for additions and remodels F'« 0 0
Iguanaggrade is greater than tour tom en Mulcting antelope
t atli'aze sheer a+dendonts madame leuntlatton elevations with cross references are acceptable
Id Wall bracing(prescriptive path)anti/oriateral an alit*sia plans. Most indicate tlttads md locations_Ira non- 0 j
prescripnve path nne tin pros We specifications said calculations to enateaettag standards
17 floor/roof lramiat• Provide plans for all#leers roof a semldaes,indicating n nthcr siring,spacing,and CommaRS 0 „
lr'oceniuns shose attic ventiletien
IS ttasemeat and retaining walla Prosaic:cross-as.to s and details s1snanng placement of tebar km engtn&red [ 0 0
as gems,sect.item 22,"Pact mer's calculations."
19 Beam calculatiam, provide two sets of calculations using cumin code dmhps values ide all tiecans and multiple pugs ►r 1 [i
river in feet long trenr can bear'aisr carrying a nernamiMat load.
try Manufactured floor/roof truss design drteat,
21 Energy Code compliance. Identify the ncso tptisc path or preside uiculations„ A gas-p mg schemata is requtrod
liar hur or more appliances
22 l:npioeer's tslrutattoay. VWhen required nr proclJed,(t c,shetu visit trxrCinaasl shall it stamped Ev an rn m:cr err � :—"t_
retries t 1senneee#en°eee an and dt,dl be Chown to be a.ioiacablc to Oar reelecttandar armor
;5,,. ,i4... ivy rc iaita J !or Oen l 000i. 'me 1 e unx>i br a•12 ,, 1 I cr .;"s t' 1 c
2# fvso Celt ads each rr•tegtaired tee Reties 16. lib 20 end 22 above t
23 Batldingplaris shall not ccrntam red hues et tape-tries Mirrored"budding piens satit not be arc+..tad ^
26 "tRcsee ed"building plans mast neat entreat outlined en rice Permit deassetcm Descl.atim at T'eeya document.nt. 't'
27 "Drown to aisle"indicates striae architect orengi seer scale. t w`:_,.1_...
2£t Site plan to include tree arse,type and location par approved protect street tree plan i 1I at.pii,cablc),end City of 1 rgard 0
�
Sweet Tree tau
29 Situ plan to include trees and tree protectione drs�*wn to stale nleasuerca as required by conditions of approval. 'tt locations,d,iplmet,
and protection me-acorns mast ha mail ine od4 l the pn%feet ttsa tcf'si dare o3` atavat.
3d) A i lean Water Seri ice'SentIut'e Ares 1'seJcrcentng.Sa disarmers/form is required fur all building additions, `
--0—
awl utittg de des-putty stearnr(Mee non-angers tons aface}ainil dccoss tea stru tales as massing residential duel-Mies
on alai rat errand approved prim to Seaptambee 9,1995
6 building.derattl ttlIp,i;liallermitage,Ur ts024:201l 14t046134 11 is¢t:37+i:1,vtt;
reRE E VEDD
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t Tax, ei m. 3� 1 W Wsxrr hrs� 24 32
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i Wood'pOica:owe 3319 j
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Plumbing Permit Application
2.cli6
Building Fixtures ..') i 01{ 01 t IT 1st ONI 4
City of Tigard i itoorri N""N.,475 7-..241. -c-aa/b5
Noogo
IS * 13525 SW 11z6.Rid,Tigard,OR 572 75 5 NA Rrogre
' I Pliant $03 71$2539 Fas $2.1 598 1,)60 00vg Pomo No
Posolio
Uousetion Line 503 635,5155. les Ef See Pas?tar 1
TIGARD r Sat 0sorgoVO
Intend aeoro)itgold-go gor i Oroofood-rhohog Sredondool toireiramor.
,
TYPE OF WORK PEP SCHEDULE
—
rg New caristriedlon 0 Ourriclitu io for sparer reformat/an ode ehotilst
Draciption i ON 1 Ea I Thi'F
a AddiiionSalterimehirepisceiriset 0 Other Nor 1.2ofonsily4mtlintorrnololes loci ii.for red utility oreseedaterd
CATEGORY OP CONSTRUCTION spa coblo, ).12.to
.0 1 and 24anitls dwelling 1 a Corivrierciatiodustria1 SFR(50 NU: 437 78
SFR 13)bath 5140 12
. 0 Accessory beildois 4 RI 7515110-fernil)
1 rech sdidualisl bothAuslien 2$O.
0 higgtef butider Doh T .. Pogg 2
FOR SITE INFORMATION AND LOCATION Sits eiihriez
lob site address 27q1 SW -ri.lotz,144, s-r catch bcs,or tres&sue 16 56
- -
1)150,41 teach(me.as toirsiodellu 1516
City/Start 21P -1V544/L0 on. '1 .,„, Fiolmg dram{no;moot it. ___,i Page 2
StritetbDRYs no Project room 50 05
..0...t.,,a. 4.111' _ Mencresdured home utilities
Cross streetrdirectiona lei job sits Mucholes
)44 Uer 43lisi V Raw:Irmo cOnortctos 1676
Seistery sewer(rei I oottag A _} Pas 2
Stern&ordure hnut ft „.22_,) Pose:
woke orretort Are Poor A ) Pogo 2
Subditheion ThiatielLAXXieD vel1.E9Arj,1495 Lee no
TO map/parcel no 15135 Aboi Soo pa,-2.0 Ci 0 IN /toddler,provister tl 2.7
Bookwater valst 53 4
DESCRIPTION OF WORE. 12
Clotho)evoke 2102
)4E1A) 140,7* DrobveAsho 25 CT , '
a a
Dorking toonsan 25 Ca
Tratterodurep 2S 02
IN PROPERTY OWNER 0 TENANT Espenoon GA 12 51
Na/nt FrPolOgro4 W1100 49111114 ErCrL 410/14415 C$451"""A Fillige,SeWee eap 25 02
Floor doerAnor soloYes 25 02 1
M`kc" •• -.,..Cl C Garbage thopesol II 2102
CItY/Stmq1P LAKE L50)Ekto egit. 7O3 Hoe lob 25 02
(503/ -*/ i 9551 Fax ( 5 leo"hot 12 51
APPLICANT lig CONTACT PERSON terearrindsorde trap 25 02
Howle11 fume Scitellral EXCAVATIti 6 IA)Coll 00-21col sae/thloo$ ) IIII Pop 2 1
Varner 115/
• Canso dame $4.6.,4105.1 ClOffitkeDridlItt. PTO nom broonmardart) 12.51
Add.5 lq D -1-0A1 4ve „ SefollumnIthestoeo 2102
—
CliyialP/11Stale6(4,4t el4 i#0 T7 I3Z, Solos silo(poIrtaNt uotal 62.54
Phone (50) 6,69 FAN ( ) Tubelhorardshoreer pon 1111 12 51 .1111
at , Itrirod 25 02
•
E-mail / r"10:0 ARrar e ORF"41 5 Larl. Virdeu okroti 25 512
CONTRACTOR*--""
%ow haw 2112
00,010)/punt'Edward MullertPlumbing Woo piping/WV
Adsisse 1601 SE River Rd 011thr l 2565 0292 — ,
eityrS1ier2.1P Hillsboro,OR 97123 s.bieliii
mope(503-640-0113 Fax(503-6404483 Lemon=porno fee S12°II
GCB Lee 92689 4::14C, Plidebio6 Lie on 34-260PB Plan rotor-{2555 of pomo feel.
Seer oaceogge 0 HA of Forma He)
Authorized*similar TOTAL PERAIII FPI
Peon woe Jeremy Croce 1 DAW Tio)peruse applwaban axpm)it a p.00141 6 no)oOgoolop It Am.ilia day.
litter It MI been wooed re ism;404.
-roe nrdhestos ot hy Torrerts&Moro rribtor Seder Weed
3'4..61,4 kooroort.000 P.m org Ono)00).to, ,W.T{41:CO&Vot 10
, ,
Plumbing Permit Application -City of Tigard
Page 2-Supplemental information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qs2• Fee(a) Toot Square Footage: Permit Fee:
roping drain-I'100' 500) 06,2000 512190
Freeing dram-each addduuul llt0° 37.52 Freeing 300 S!SN 69
i. - - 3.601b7nXO -527)20 ,
Sewer-In 100' 62.54 7201 slat Ammer 5727 54
- -Sewer-.ctadditional I00' 1752
Water Sersme-les lit) 6154 Medical Gas Systems.
Water yen ice-earn a3dxn,n.1100' 3752 Valuation: Permit Fee:
Sipe d R ie Orin=Ise 100' 62 54 31.i)0 to 55,tri)00 Momum fee 372.50
Storm f Rain Drain•each additional 100' 57 52 35,031 CO to 510.000.CO 37250 to the first S5,1300 CO and SI.52 for
f a(eaJ Total
each addinp',a1310000 or franvn thereof,to
Other Inspections or Fees Qtr. • and urcluomg3104)3000
Inspocoan of cutting plumbing air:or 3100)1 CO so 323020.f10 3145.30 for the fin)510.000,1.nd$7.54 for
,shrohno We is spatfx.liy indicate 40.00Iv each.ddeirnal 510000 or fraction thereof to
tminimum charge-iC hour) and inchdrng325,0x10o
Inspections wade of normal tratlne5t 90 009rr 523.00I 00 to$50 D00.00 S379.30 for the firm$25,000 00 and 31 45 for 1
hour(mrmmum charge-1 hen) via acid,ne.nW SIN)00 or fraction thereof,to
Reinspeciron Feca 90.Wfir and indud rag 550.000 03
Addrtioral plan mine to revisions , 900dsr - $50.02)CO and up 374200 far the feuS$0,000 W Tina S1:20 for
lmmrmsen charge-1/2 hauls t each additional 510001 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*. Plan Review for Plumbing Installations
(Annie by flames Type Plan review is required For any of the Following.
Furore Type for f aes+rar Pleswe check all that apply.
Wort Pn)oe ee: Case. Auer Relwse
0 Any new commercial building with water service 2'and
Baptistoi Foe i greater,except systems designed and stamped by licensed ..
Rath. -Tub/Shower l engineer.
-txcutnn hirlpool 0 New exterior plumbing sire utilities for any complex structure
Car Wash •Each Stall _ aS defined in OAR918-7g0-0C 0.
-Rine Tltru
Cuspidor/Wary Asrautp 0 Neatest gar and vacuum systems I)c '.health care facilitiuS.
earshwas2'e -Conunorc cl CI Any eon.pluryaie fire sprinkler system,
-[konwK 0 Any complex Structure u defined in DA R918.784o0aR
Drinking Twrsm o 8ubmil 31rH of plans whirr of the abort.
Fie Wash
Floor Orate/sink ^_'
Isometric or Riser Diagram
- 0 Isometric or riser diagram is required for new buildings
-Car Wash Orrin that mem the qualifications above.
Gweoge -ComesM rton oN
•
Disposal. -Domestic fond nests
-Commercial food relate
-1 rdumtal food related
ice Mach/3erng Drains Comments regarding fixture work:
01 sewnatoe(Gat sorts')
Roe.Vducle Dump Slag
Shower -Gang
.Stall -
Slyde ,La reaat rto+Froad related
.,Qm+Scn/Lhd tixxf reline
.Ser..= *Note: If the nature work under this permit mulls in an
Swimming Pool Fr11n increase of sewer EDUs,a sewer permit will be issued and
W"a:nee'[Man — fees assessed for the sewer increase must be paid before the
water Extractor WatefCbad-Toilet plumbing permit can be issued.
Urinal
Odle Ftxsures 1
I;iBuildineermitsTLMF PermitApp.dec 02/0112011 2
City of Tigard
11 I' COMMUNITY DEVELOPMENT DEPARTMENT
TIGAI2D Building Permit Review — Residential
Building Permit #: t t ST.P-p.P-p — 00/ (
Site Address: n9-7 sw -(ylDry S-r,ree-+
Project Name: Thornwovd Mt°GAMS Lot #: (p
Planning Review
Proposal: A H-Ache4 cm l-I- $P'I
IRL Verify address/suite# active in Accela. 'I In River Terrace: No ❑ Yes,River'Thrace Review Addendum
Site Plan Elements: 'ZZErosion Control
V..3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper XRetained trees with drip line and tree protection measures
drawn to scale(standard architect or engineer scale) .Footprint of new structure(including decks) and FFE
R North arrow 5 .itility locations&easements (required for new and additions)
44Site address,project or subdivision name and lot number Sidewalk/driveway approach
Applicant information (name and phone number) IV4Location of wells/septic systems
I C,ot dimensions and building setback dimensions N�ajStreet tree size,type and location
A quare footage of buildings to be demolished -Street names
%Existing structures on site '$Comer 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? Yes ❑No
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? 'ramYes ❑No
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
' Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
?SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No
ski Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified g No Applied For: ❑ Yes ❑ No,stop intake
131 Land Use Case#: PD1220llO— OCO\O 131 Zoning: Q- 1 Z
'0 Required Setbacks: Front: t 5 Rear: 15 Side: S Street Side: NJoe- Garage:20
Building Height: Max. Height: 35 Actual Height 1 4
Landscape Area: 20 0/0 ❑ Lot Coverage Max: C
Entrance I1 Set ba k no ore than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less
Windows II Minim m 12 0 of are of all street-facing facades
Garage II ara•.: doo is behin 'dest street-facing wall C 1fp VP ❑ No,one of the following is met:
• i oor xtends ore than 5'from wall ea a cove ed porch extending beyond garage.
• ,oo extends o m re than 5' r3 and th a l !window above garage on 2"d floor.
11
II Garage d r width s 2'flyless 1' or las o facade ❑ 60%or less and includes 7 of following:
❑ Co red por ❑ ecessed a nce ❑ Wall offset ❑ 1'Roof eave 0 Roof offset
❑ Fir shingle ❑ p Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer
❑ A ent si ' g ❑ dow trim 0 Window recess ❑ Window projection ❑ Balcony
4 Visual Clearance Urban Forestry Plan
Sensitive Lands: ❑ Yes .-No Type:
►' Conditions met prior to issuance of building permit -
Notes:MU* CGI L X 11 ri0I I plAv1 W1 I fl _C/JMV, 1 ( lAvoshc6i 1)ft ixvf lb Oil. -f j -
Approved By Planning: Vim- Date: 51 51 W
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
1:1Building\FormslaldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 9/mod/�s�
Site Plans: # 3
Building Plans: # ,3
Building Permit#: D.—Enter building permit#above.
Workflow Routing: +Engineering 8-T ermit Coordinator 2—Building
Workflow Sign-off: El--Sign-off for Planning(include notes from planning review)
Route Application Documents: ["Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
o al plan review routing form.
R.building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: <1)4 �r:' Date: s/6 /240
En 1neering Review
Slope at building pad:
2onditions "Met"prior to issuance of building permit
Frasements (encroachments)per engineering conditions of approval and plat
tr/Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: D.,Ur/Yes Yes
❑ No
LIDA Facility on lot: Ur Yes ❑ No
Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
® Approved by Engineering: Date: /eg Z-a
Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Permit Coordinator Review
11 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:
SDC Exemption: ❑ Received ^ Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: uE�' Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: All Yes ❑ N/A
LIDA Cgi. Yes 0 N/A
OK to Issue Permit
Approved by Permit Coordinator: -yl,,, Date: 51 Vt 2O
I:\Building\Forms\BldgPenuitRvw_RES_122419.docx