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Permit CITY OF TIGARD MASTER PERMIT 111 • COMMUNITY DEVELOPMENT Permit #: MST2010 -00150 T 1 G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/17/2010 Parcel: 2S103CD01500 Jurisdiction: Tigard Site address: 13735 SW FAIRVIEW CT Subdivision: HOLLYTREE Lot: 17 Project: Webber Project Description: 351 SF addition. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 2 First: 351 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 10 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 51 Value: $88,000.00 Rear: 0 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Other Fixtures: 0 Tubs /Showers: 0 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 1 Other Units: 1 Fum <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 10 Ea add9 500 sf: 0 20 1-400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add9 Br Cir: 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) WEBER, MICHAEL J & ROBERTA K CHRIS HOLMSGREEN CONST INC 13735 SW FAIRVIEW CT 17357 SW CODY ST TIGARD, OR 97223 ALOHA, OR 97005 PHONE: PHONE: 503 -642 -1440 FAX: Total Fees: $2,645.66 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: 0;00 Building Permit Application � ' v..,) Residential �_,, :., Fou orlicl•: ( NF oNi.1 City of Tigard ) , v 1A v � ,` � � , \\ '� Received + Permit No.: � ` '1-' \:, Date/B : ! 0 iw V t q 13125 SW Hall Blvd., Tigard, OR 9.7223 9, Plan Review ' " r � p 11111 0 - , ; Other Permit: Phone: 503.639.4171 Fax: 503.598.196(���? DateB : lr�l. i i i - � G \ it l -� Inspection Line: 503.639.4175 - ..^1:' �.y , ��X Date Ready/By: ® See Page 2 for Internet: www.tigard or.gov i, �, -,, Notified/Method: A IM Supplemental Information • C ' \`AC" ' VI ' C 'N•1 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ g c c6, 1- and 2- family dwelling ❑ Commercial/industrial / ❑ Accessory building ❑ Multi - family Number of bedrooms: Acki (Z) .6424142746 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1373 5 5&^J- FelfiR IM' I C. - New dwelling area: 351 square feet City /State /ZIP: 1764,1 -cl OR, 87223 / Garage /carport area: square feet erg/CZ Suite/bldg. /apt. no.: Project name: erg/CZ i /Q.o,bLj t. 0-Q'4'& - Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 10 REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: 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. Reg C Q Valuation: $ ,Qci J- CO C r O /��l / N , `vet Existing building area: square feet [[ f New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: put, 3 R &)- €46e/- Type of construction: Address: (3735 ‘56). et//- UI-tJ' Q-? Occupancy groups: City /State /ZIP: T Ga. c , aQ ?72-3 Existing: Phone: (S63) 968 -6216 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: C /•f S t L4..• 6freey Ca.07 .rr1C, All contractors and subcontractors are required to be Contact name: 0....k ,,(� �p (i , , Gam t licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: / 73 57 SO. Co Cfj jurisdiction in which work is being performed. If the City /State/ZIP: �,(�/ Q/e /70o? -� applicant is exempt from licensing, the following reasons apply: Phone: (503 (p r ?z — /gem Fax:: (f0 3) 40/2 - 7■2- E -mail: CONTRACTOR Business name: 5 gM Ci 6 BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City /State /ZIP: Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) CCB lic.: I(t( t/8 Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. C Print name: HoLvK Date: ,4 Z7 20/0 * Fee methodology set by Tri-County Building Industry v Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02/COM/WEB) 1 , • Building Permit Application Checklist One- and Two - Family Dwelling l Olt of i ici.: Hsu: ONI.l II Iii City of Tigard Received Date/By: Permit No.: V 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: C Phone: 503.639.4171 Fax: 503.598.1960 TIG�AILD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov ❑ Other: - IL. FOLLO\VING ITEMS EMIS ARE REQUIRED FOR FLAN RFVIFNV llS No N/:1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ there is more than a 4 -11. elevation differential, plan must show contour lines at 2 41. 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, ❑ ❑ ❑ 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- ❑ ❑ ❑ 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. ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ 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 ❑ ❑ ❑ architect licensed in Ore Ion and shall be shown to be a• • licable to the r ro'ect under review. JURISDICTIONA L. SI'LE:II:ICS 23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 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. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ 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, ❑ ❑ ❑ 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. 1 : \ Building \Permits\BUP- RES- PertnitApp.doc 03 /21/06 440- 4613T(11 /02/COM/WEB) • 08.31/2010 08:56 5036283076 HEBERLE ELECTRIC INC PAGE 01 ` t k o C-- . Electrical Perri lI 1..(11 i/1 l Ii l l til ()■1,) ( • Received ., . City of Tigard 1;' X / 1/ (J On— I ,1tNo.: A� _ 13175 SW Hall Blvd.. Tigard OR, 97223,, ., , pt R e '' Phone: 503.639.4171 -Fax: 503!-5988.]960 1 t •.:i- p B OtlrorPomrit. __ In Lrnc: 503 Dam new A I: i) Rendy is `e INTie 2 i sr . Tmetrmet: www,tigmd- or.gov CITY OF T IGA `� N fiadmQathod, ! p Supplanted/it data ronchrn 0 ▪ New construct Addition/alteration/replacement Plasm cheek All that apply (wbmtr ;seta of place wrmmn9 checked botow). ❑ Service or Roder 400 amps or mare O Building aver three dories. ❑ Demolition ❑ Other: whore the available that current 0 Marinas atnd !lanyards. C.Ax'11Gi�21X C Y3 Y ' • . • exceeds l0,0f10 mina at 150 volts or Q g7onting buildings. ..". In gr a to ound, or tuuceodn 14,0(x) 0 Cnmmo[cinl•u +c agricultural ►: - and 2-family dwelling ❑ Co mercial/tndustrial I] Accessory building amps for all other installations. buildings. ■ Multi-family ❑ Master builder ❑ Other: O Fire puntP. ❑ lastellelian of 75 KVA ar !!3 SI' ► JiVln`4 1V1rATI+41N Al?t? OGA'L7 — 0 Emergency system, larger aeptratoty derived Timm . © Addition of new motor bad of ❑ "A" "f' "1.2" "1.3" • Job no.: C fob site address: l37 3 5-51,/ f/ 10011P or more. occupancy. ❑ Six or morn residential units, ❑ Recreational tektite parks. Cit�dS Wto /ZIP: `T �- ' © Health-care 6haitilim. ❑ Supply volteae few more Ham 1 ' Hazardous locations. 0(10 voila ncmioN. Suite/bidg./apt, tno.: Project name: W f_ © Service in feeder 600 !laps or morn. _ =► ..,E Cross street/directions to job site: I4 : C S r red Tom • Now realdential single or multi-rgmny dwelling watt. Includes attached garage, Subdivision: Lot no.: 1,000 [k or loss _ ., 168.54 _ Ea, add'I 500 sq. R, or portion In 33.92 11111.11111 Tat map /parcel nn.; Abele energy. residential • • a � ` $! '1Q171� . •. with above . ft. 111 G?.tk ME A � s Pei - m,�� t.,i, i e sid e ntial . with 6 4,84 � �' � re th ve •. R 2 f -` so / N r� ' Services or feeders installation a • redo and /or relocation • `/i• 200 am r amps or E 100.70 IQ7. 2 `: I!'.� ' Rcava .'y'• 0 In . C5 FEi ' .. • 201 amps to 400 •,.. MIN 133.56 _ 2 ' N ' : / iin /l 14 I= 401 amps to 600 amps 200.34 M' ( — � 4 --. 601 amps to 1,000 amps MI 301.04 2 Add .; - : _ . Over 1,000 amps or volts 552.26 r 7- City/Statc/Z1P: Temporary cervices or feeders Inspolation, alteration. ne8 /or relocation Phone: ( ) g4,g 200 amps or less 59.36 1 Owner installation; This installation is being made on property that 1 own which is not 201 arr3pa to 400 amps 125,08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Own e. �. Branch ctrs�ts .new, Aeration or extension _ TM , - AIrPI;1 /II4 f' • A. Fee for branch circuits with 1 ( CT ;P IRSON above service or sede f oe, . �. mob branch circuit 1 7.42 y, 2 Business name: ' B. Foe for branch circuits Contact name; , R without service o feeder fee • . 56.18 I 2 ---�f A . first branch circuit Address: 3� '' OV Each add'1 branch circuit INN MU ili Ciry/5tate/71p; Miscellaneous (service or !`coder not do Each manufactured or modular dwellin: service and/or feeder 67,84 Phone: ( ) • Fax: ; ( ) Reconnect only 5 E Pump or irrigation circle Illilifelnlial : • • • • CO1N11ACTOR . Sign or outline lighting NI MINIM • Business name: lJ EBRRILE ELECTRIC, INC Signal of cuit(s) or limited - Address: 29012 SW EGGER RD — energy mil don. or µ extension. Dcscxibo: Pogo 7. City/Statc/ZIP: HILLSBORO OR 97123 Each additional h . .. ..—,, aver allowable in an of the above Per Phone: (503) 628.2095 Fax: (S03) 628 -3076 inspection ' 2 _ Investi :: non per h. , (1 hr min) MI 66.25 ' CCB Lie.: 152342 T Electrical Lic,: 34 -160 C Suprv. Lie.: 3053 - Industrial plant pee i. Suprv. Electrician signature, required : •r Subtotal: ( r D Print name; JEFFREY L. HEBER a. re i O view 052 of Permit fee): ' . - Authorized signature; rgc 0 orpennit !'cc); r • TOTAL PERMIT FE t: 1 / i • ' Print name: JITFREY L. HERE' Date: TIM parade applies , ., expiresifa pensdtb not obtained within MO days . 1 e It has Lem aecepral as complete- ate^ r:tc� ra, permt..e. vbor,o9 • Numborof' .. : •. sallowed porpormn - 7 eee- !mare tasicoaenvnm Mechanical Permit Application roll oii rcl: Hsi.: ()NI.) Received City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' m Phone 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: 1 1 t A it I) Inspection Line: 503.639.4175 Date Ready/By: furls: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* jga 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: /3 s4) ( C., y r .G . Aiconditioning - (reqguires site plan showing placement) 46.75 City/State /ZIP: 776c -Q t� QQ. [ 722-3 Furnace 100,000 BTU (ducts/vents) 46.75 p (ro 10.) Furnace 100,000+ BTU ( ducts/vents) 54.91 Suite/bldg./apt. no.: Pro j ect name: (ill �Q(r Heat pump 61.06 Cross street/directions to job site: Duct work k 23.32 . 7";, - -- Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 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 ❑ PROPERTY OWNER I ❑ TENANT Ot y/liner /flue /vent 23.32 Other: 23.32 Name: b'in' 9 kes hi, p C.yt Environmental exhaust and ventilation Address: 3 '? 5 �(,J F 1/ „j" (,t.r. Range hood other kitchen equipment I 33.39 1j City /State /ZIP: 77 6th, OfQ, 9722-3 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (503) 94e 0._t{f Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: CoSr / -8 IT,rZ a,rtel ,4!K Other. 23.32 Fuel piping Contact name: eT „,T_G- ratiC[spt, $14.15 for first four; 54.03 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: (56 3) 2-$4p -- ice! Fax: : (So3) Z-8‘ 455-2- Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) l� R I a te Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal , 71 Minimum permit fee ($90.00) 33.29 Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) (b ' P C ) TOTAL PERMIT FEE j C , This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: (Lt -.JS No L yN,&eo.•t Date: ff/2 4 Q • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440.4617T(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.doc 10/01/09 2 Plumbing Permit Application Building Fixtures FOR OFFlcl.: USE: ONLY City of Tigard R eceived Permit No.: q 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: C Plan Review Other Permit No.: Ph one: 503.639.4171 Fax: 503.598.1960 Date/By: r i r; A R I� Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE b New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total e g Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 X 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi - family 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: /3 735 € k ) . / J- LI tec.tr C/-`T Catch basin or area drain 18.76 City/State /ZIP: 77 a,-d ��. q yy3] Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: �. �f/ru //�' I Gt , ^ f (..1 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 1 18.76 (gm, 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.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve ` 12.51 1'z,,51 Clothes washer 25.02 Dishwasher 1 25.02 25702 Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: fr7j Ke, /wCjbte_. t r Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: L, J6), raj'(Jtet.rJ CFT Garbage disposal 25.02 Z_ City /State /ZIP: 6Q.1 d aR, T 7 z-2-3 Hose bib 25.02 Z'5 OZ Phone: (50 94,8 -, (p 24 4 7 Fax: ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: 6� p ®� idsp £$ j /La, Medical gas (value: $ ) Page 2 Contact name: G� .av/dwvl Primer 12.51 Roof drain (commercial) 12.51 Address: Sink/basin/lavatory t 25.02 2.5, 02.,_ City /State /ZIP: Solar units (potable water) 62.54 Phone: (5c)3) (p y3 - g' (( Fax: : (5 3) 4)(43- Ot, 33 Tub /shower /shower pan 12.51 E -mail: Urinal 25.02 Water closet 25.02 CONTRACTOR �,p�� it ' '`t"� �.e04.01 Water heater 37.52 (' Business name: "r "� ,&Sc f 1.- 1---( - Water piping/DWV 56.29 Address: A(,J iii ," Other: 25.02 City/State /ZIP: Ar t Z2( Q )4--9 Subtotal (SI ,?r Minimum permit fee: $72.50 Phone: CO) 6 1 1 3 - /1 Fax: (Nj1) 6 Lt 3 - u 3) Plan review (25% of permit fee) CCB Lic.: 13 / a, � Plumbing Lic. no.: TO 7r r/ n 4e0,14.4,......._ r V State surcharge (12% of permit fee) p, 71 Authorized sign TOTAL PERMIT FEE / 474 Print name: (itvl-t � ,_ / �� n pt.(3 Date: 0...7A0 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. 1:\ Building \Permits1PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB) f 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 Fee: 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 $ I.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 ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath -Tub/Shower ❑ New exterior plumbing site utilities for any complex structure Tub /S i/Whirlpool as defined in OAR918 780 - 0040. Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive tall ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash Isometric or Riser Diagram Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings 3 that meet the qualifications above. - 4" Car Wash Drain Garbage - Domestic Disposal - Commercial - Industrial Comments regarding fixture work: Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be aid before the Washer - Clothes p Water Extractor plumbing permit can be issued. Water Closet - Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF - PermitApp.doc 2 1. 20I ;:3 4P�‘ No.0329 2 MS I — C111.s r U l� L5 11 Clean Water Service? File Number • A r 1r ' ` C AUG 2 6 2010 CleanWater Services l0' 4O 19 g2. Sehsitive Area Pre-Screening Site Assessment • • 1. Jurisdictien:, "' TiGa RECEIVED 2. Property Informat• n (ex /S2341,4901400) . 13. Owner information S ED 0 2 2)10 Tax lot 10(s): • S j U 3 CDp1 5`00 Name: _ - - ---_-_ _ _ . Company: — - - +6GARD Address: BUILDINO-DlVISION Sits Address: 1 3I • ;3 5 S TK C, City, State, Zip: City, State, Zip: __:Tiz, cl O' . 472Z- 3 Phone /Fax . Nearest Cross Street ^ _. E -Mail: _ 4. Development Activity (check all thal apply) 5. Applicant Information 0 Addition to Single Family Residence cm deck, garage) Name: CSC 1-10/-wt 6 R...e•Lset 0] Lot Line Adjustment 0 Minor Land Partition Company: • t 'S 64 C014 mac O Residential Condominium © Commercial Condominium Address ....1_?3 5 7 s C,u J sec, o Residential Subdivision [] Commercial Subdivision City, Stale, lip: L. pR, �t po7 O Single Lot Commercial d Multi Lot Commeratal Other Phone /Pax: (la /2— /INC) a (6 'Z' ?■9.2-) I E -Mail: 6. Will the project involve any of ite work? f Yes No [Q Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project • This application does NOT replace Grading and Erosion Control Permits, Connection Permits,,Buildtng Permits, Slle Development Permits, DEQ 1200 -C Permit or other permits ea issued by the Department of Environmental Quality, Department of State Lands andlor Department of the Army COE, All required permits end approvals must be obtained and completed under applicable local, state, and federal taw. Sy signing !his form, the Owner or Owner's authorized agent or representative, acknowledges end agrees that employees of Clean water SeMoes have authority to entet the project site at all reasorable times for Ire purpose of inspecting project site 'conditions and gathering intonation related to trio project sile. I certify thei I em famg!ar with the inf.rmation contained in this document, and to the best of my knowledge and belief, this information is true. complete, and accurate. Print/Type Name f a1 60 Print/Type Title O t` K g natu re e • , • A�r,�i Si ,..: Date g/2-41/0 • FOR DISTRICT USE ONLY Q Sensitive areas potentially exul on site or within tar of the site. THE APPLICANT mt1ST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A • SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 teal on adjacent properties, a Nature! Resources Assessment Report may also be required. . ❑ Sesed on review of the subr 1ted materiels end best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Prescreening Site Assessment does NOT eliminate the need lo evaluate and protect we1er quality sensitive etas 11 they are subsequently discovered. This document will serve as your Service Provider better as lequlred by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must t•e obtained and completed under applicable bcal, Slate, and federal saw. Based on review of the submitted materials and bast available information the above referenced protect will riot significantly impact the existing a potentially .ens rive areas) found near the she. This SensUne Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water cally uensitive areas If shay are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order ti7.29, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable focal, state and federal law. (_J Tula Service Provider Letter Is not valid unless CiNS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the lot was pinl;ed after 919/95 ORS 92.040(2). NO SITE A 8E • • MENT OR SERVICE PROVIDER LETTEI IS REQUIR . Reviewed by r �'' • Date • 1'550 SW Hill horn FUOTfwmy .,Hill burg Ori90 •# 0.1 Phone, {53 ) Gb4 51 f,ic 00)) GB i ?f 49¢ `wuw ci orq:;: • v u • � Clean Water Services File Number AUG 2 6 2 011? I CleanWater\ Services 1 l Selnsitive Area Pre - Screening Site Assessment a 1. Jurisdiction:` of - Gal 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Company: Address: Site Address: ! 31.3 5 Sc). F.c /K Una' C,T City, State, Zip: City, State, Zip: i Gd Oe • 7u3 Phone /Fax: Nearest Cross Street: r!'�2 U,'-tWr - E -Mail: 4. Development Activity (check all That apply) 5. Applicant Information 0 Addition to Single Family Residence rooms deck, garage) Name: .l - $ Ho Lv t(R_ El Lot Line Adjustment ® Minor Land Partition Company: c ,, o L t 9rteeK G tC. © Residential Condominium Commercial Condominium Address: 173 51 Ste, Ca J ST- 0 Residential Subdivision D Commercial Subdivision i D Single Lot Commercial © Multi Lot Commercial City, State, Zip: 1 � OR • `11G07 Other Phone /Fax: (6‘,/z— /z /'/0) a (661z- 7502) E -Mail: 6. Will the project involve any off-site work? El Yes No ❑ Unknown Location and description of off -site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the infQrmationcontained in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate. Print/Type Name ( J etflt- te".C>l2te n Print/Type Title 0 -e Signature Date 4/24fr0 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state and federal law. ❑ This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by Date 2550 SW Hillsboro Highway • Hillsboro, Oregon,97123 • Phone: (503) 681 -5100 • Fax: (503) 681 -4439 • www. clean vaterservices.org • . RHi6(i ...a 6°a.,,,,,,, MAPS ,y RHDO BI'h61MJ4 T uF aw+ ,I aT � L $ Fa C wt,� to 6 dCSC u 1� l F a,F �@ 3.:, ( OF r: 9 AiG AUG 2 7 2010 • v oNA1110E,917EGOV 4, -k- � -- GENERAL a`a . do t v.,... re., ....,.EV r OF ' � r — R.LSDfa HJ.Y¢!A, I) THESE NOTES ARE GENERAL N NATURE AND ARE INTENDED TO SET MINIMUM O EA .•rH cam ems, STANDARDS FOR ON5TRJCTIO THE DRAWINGS SHALL GOVERN OVER THE +R I GENERAL NOTE6 TO THE EXTENT 61-0.1.N. 2) CONTRACTOR ONTRACTOR SHALL vERFY ALL DIMENSIONS AND CONDITIONS ON DAY- • C N. ERENT DRAWINGS AND N THE FIELD AND NOTIFY GUY ALTMAN, ARCHITECT OF ` f ...........' \ : ... __ ANY DISCREPANCIES BEFORE PROCEEDING. • / 3) JOB SITE OBSERVATION IS NOT PROVIDED BY THE ARCHITECT, UNLESS OTHER• E \ . 4II •g , •(- ( WISE AGREED UPON WITH THE OLLNER u 3� p 'r 4) CONTRACTOR TO P 4LL NECESSARY T EMPORAR Y 6U PP01lT FOR WALLS I r T V / \ AND FLOORS PRIOR TO COMPLETION OF VERTICAL AND LATERAL LOAD SYS- Q 0T ` f TEMS (TO BE BRACED FOR WIND AND EARTHQUAKE FORCES). FIRST FLOOR O --- R• •HALL BE PERMANENTLY ATTACHED TO WALLS PRIOR TO BACKFILLINY AGAINST 1 O ..............7. THE STRICTURE. 1 .p ai 14 = 'to CODES AND STANDARDS A e E / -$ - Id v - RED' o i LaTERA PA(t G oeYL RN a I) ALL WORK SHALL BE IN STRICT COMPLIANCE WITH THE LATEST EDITION OF a 3 1) '\ THE INTERNATIONAL RESIDENTIAL CODE. ,Q • 2 m R f �36. 0..I /.., 4 S ,..oP . , Dsa'lti Da EMggpMC Y ' FOUNDATIONS V U) 3 j / \T 11 DESIGN SOIL PRESSURE ASSUMED TO BE 1,500 PSF 0 r I q P is GS Z5 d,,,--E 10 • g , -a " d,,,d,,,--E Z v 0 `' - 3�-,� d,,,,,,,,d,,,,,d,,,,,,,d,,,,,,,,,, FOOTINGS 2) ALL FOOTINGS TO BEAR ON FIRM, UNDISTURBED SOIL THAT IS A MINIM181 OF I' -0' u_ n4 lu j ,p 105' BELOW ORIGINAL AND 1•-6' BELOW FINAL GRADE. NOTIFY ARCHITECT BEFORE Z� y • $ PROCEEDING F ANY UNUSUAL CONDRIONS ARE ENCOUNTERED N THE FOOTING 0 4 J 2 ' T Y EXCAVATIONS. I y m� / � \ PTG ENA ' H •ENT'& I ' O NOT EXCAVATE CLOSER THAN 2: I SLOPE BELOW FOTS. / % - 9 ` 4) CLEAN ALL FOOTING EXCAVATI 4 aF L00E MATEAL BY / ( S / \ COCRETE � I) MNIMJM CONCTE CRESIVE STRENGTH TO BE 200 P51 (AE 3000 PSI) BOII TN (TO fr 1'61 E7i1 111N6P) / le-) \ \ j 0 AT 2B DAYS. MNIMIP7 CEMENT CONTENT TO BE 5 SACKS PER YARD, SLABS ON GRADE o O d NEW INTO 4."4 UN '( 41 OpwNS `\ TO BE 5•I!1 SACKS. a gear bMVNO A PI NS . (H'MIE^ �pPP7_ ., � 4 ' / \ \ 2) SLUMP 2 TO 4 INCHES, CHES, • V2' TO • DEVIATION N TO / P.ar Jr O \ 3 3) P LACE AND CURE ALL CONRETE PER ACI CODES AND STANDARDS. (E) °Jf4aINn WATER � / t..,. REINFORCING STEEL • 1•) A' �� OFC I,n Mk -AIN (e) / O ' er ' U ALL RE:INFORGING STEEL TO BE ABTM A615 GRADE 60. LLELDED WIRE MESH, STIRRUPS, I • / 4 /.' lbUTTeL /YB+1vD • Y AND DOWLS TO DE AIM GDE 4. / 2) PLACE ALL REFOCING PER ACI CODES AND STAARDS , / / POVIDE DOIUEL6 FROM FOOTINGS r0 MATCH ALL VERTICAL WALLS, PILASTES, AN / COLUMN RENFORICMG. > • 4) LAP ALL CCNTNUOUS BARS 30 DIAMETERS OR 2' -0', WHICHEVER IS GREATER I) Z ' K z ' WMUGTURkL G � � lit / vl ve / ore sroRY / / v i oa,�u Ar S ( �z 1 4IS54*) 2 • � ION , . / A To ReMbvy / riGVSE / 51T� IN \ - WOOD 0 m I' 1F PePARI't7 BY hvt<jfRgS[VFB 1" (U'"' 1 546 SD. pr N f QQ 4 ry' ) - / Ne'W X60 / / I) ALL LUMBER SPECI AND GRADES TO BE AS FOLLOWS: Q Ri arro,NEERINO vL9� •72 1! / SeR FT •7dWlr{S : R4.5 AV– N u (1, PO 05P OF {t \ 1 _ fteA, / / • ' YA' FMN'f' AGM A J OISTS, BEAMS A S TRINGERS: DOXaLAS FIR • 2 T R p R _ v u Y A teRkV 26 a / GK % A 2 4 ' 5 1 yII YAW 5611546K 0' NOM. DEAMS AND STRINGERS: DOUGLAS FIR • I Ja �hRTl4 aa/EK ti J e I F+6FR YkRO 1f Tr0A GM /vlrbul F3 p K (� PS. ISnNO BUCKS, BLOCKING RIDGING, MISC. DOUGLAS FIR OR HEMLOCK FIR • 3 o \ a ° '� � / ( \/ Ip a / C Z ,q7,. \ 4 J , ` Y, NevN - 351 �xp / E 3 N 911 O O I ..¢/ ... Fr WAT6K QW1jN C. �7UD9: DOUGLAS FIR STUDS o / O^ (4 ��IT��IJ � / �•I 2 X 6 MID LAMER DOUGLAS FIR • 2 p p` \ \ h0 � r / N ` / 4 D. SILLS, 6LE CONCRETE. F_PERS, PLATES. TES, cat/ \ / / /S tlik. POSTS: DLOCKO EMBEDDED IN / , e, 0414 PRESSURE TREATED I:* • 2 a � / \ \ / ECKI DO H LAS FIR OR EMLOCK FIR • I !1 / F. F DECKING—NOT EXPOSED: DOUGLAS FIR OR H!I'4 FIR • 3 AND GETTER � � A 0 _ + w\ �� ' J 2) ALL PLATES AND LEDGERS IN CONTACT WITH CONCRETE OR MASONRY SHALL BE • 1^' PRESSURE TREATED AND SEPARATED WITH 30 • ASPHALT FELT. \ /� 0 0 . $ 3) AL J OIST OR BEAMS FRAMNG INTO (NOT BEARING OW BEAMS, HEA CR GIRDERS Q \ G'�I1N9 --- \ v SHALL BE SUPPORTED WITH • U ' TYPE SIMPSON OR EQUAL Jaw OR BEAM HANGERS gip, ,. ) \ ` , (1 � \ +' (SEE DRAWINGS FOR TYPE) ALL POST. BEAM. AND POST FOOTING CONNECTIONS TO BE w Cr • & \ P 4) DOUBLE ALL JOISTS UNDER ALL PARALLEL PARTITIONS OR PROVIDE LADDER BRACING. �j7 \ /' 5) BLOCK SOLID BETWEEN JOIST AND RAFTERS AT SEARING WALLS. L (6) $ c}�WN \• ` - mk \ \ ` , / I.' S) ALL PLYWOOD TO BE CDX GRADE WITH EXRIOR GLUE. MINIMUM PLYWOOD NAILING 10d 0 on , i ' sOro r PICK UP �( - AT 0' OJC AT EDGE AND 12' 0/G AT NTERLEDIATE SUPPORTS. . ROOF AND FLOOR N a � yryj4 • CDoF P - Pr. / r, 2 ! PLYWOOD HESHEATHING WI TH FA CC GRAM PERPENDICULAR TO SUPPORTS. STAGGER END JOINTS. 0 �L- NeVNC�. _ E R �Y / ID. INDEX FOR FLOOR AND ROOF, 32/ W. U _ SH,o NE✓'H F7 T ,�, *. \ / • TI ALL NAILING TO BE PER NAILING SCHEDULE IN CODE, UNLESS OTHERWISE NOTED OJ z /l OUTrER 1.0 4.11 r , p / DRAWINGS. NAILS CALLED FOR ON THE DRAWIN ARE TO BE coMINSTALL rtaN NAILS, UNA. L I ' I � go ,9,,,,-, 4, ON N ®/ / NI \ \ / / ..--1M ..--1M B1 CUTTING AND NOTCHING OF JOISTS NOT ALLOILE I' DIAMETER HOLE MAY BE DRILLED p, CX I9f1N(/ Ei'CG. —'� ? \ THE CENTER I/3 OF THE MEMBER DEPTH. ALL OTHER HOLES TO BE APPROVED BY `Z a A • PA / \ I. ORt`/eWAY .-- ' _/ ...1>: ARCHITECT ENGINEER W 0 2X69n10 TeksrvaNB / \ ^l , ��f 91 STUD• MAT BE NOTCHED IN THE LCUUER V5 OF THE HEIGHT Cf 9ND FOR ELECTRIC AND ewx. • • PLUI PIPES, BUT NO PART OF THE NOTCH 18 TO BE DEEPER THAN 253 OF WIDTH OF S E NO P IGtV \ / / � Ay ,. STUD. HOLES OF DIAMETERS UP To 1/3 Cf THE WIDTH CF STUD MA BE DRILLED N on u W • \ \\ IC) ALL LAMINATED BEAMS TO BE DOUGLAS R WIN Fb . 24 K51 PER AITC SPEC. SPECIFY / FIR WATERPROOF GLUE. � . 4 * :�, I', . pIfA1N •irroW • , , SIf6 . ' /. • EXISTING GARAGE AREA, 430 SGL FT. o EXISTING I-401 25E LIVING AREA: 1390 50 FT. Fpwretz Nr: PLAN NORTH Z NEW LIVMKi AREA: 351 SQ. FT. y/100j All pr, � � O ��4 PLAN � 1/6` -1 -0" XREF(S): - -- N CITY OF TIGARR - SITE PLAN REVIEW BUILDING PERMIT NO.: le to — 054 St) PLANNING DIVISION: Required Setbacks: Cr Approved,. 0 Not Approved Side: 5- Street Side: t Front. --Pa Garage: Rear: ( Visual Clearan,T 2-6,nr,roved Not Approved :Maximum tii •• CWS: Secy.. • 0 No let■ilt_AAILA4 vIAL&J elf/U(0 i CENGINEEkiNG Aormai SI pe: 6 2( \ 11 , .iveti N . A pproved Si he Pia : 6- Approved 0 Not Approved Skv: Date: etre/LerVcd.— (2- ett.4444-v-3-4-44.° e. CITY a RO- SITE j, 111111111. DIN PE _Ns. /1/1) --- t. • §treet Trees: Approved D Not Approved Protecte A N Approved #0 -ha ltAtO y ("( ck perr-rk