Loading...
Permit n CITY OF TIGARD MASTER PERMIT II a COMMUNITY DEVELOPMENT Permit#: MST2010 -00183 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/26/2010 TIGARD Parcel: 1 S 133CA11300 Jurisdiction: TIGARD Site address: 10961 SW SAGE TER Subdivision: VILLAGE AT SUMMER CREEK Lot: 36 Project: Village at Summer Creek, Lot 36 Project Description: Building 9. New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 38 sf Basement: 0 sf Left: 3.5 Parking Spaces: 2 Height: 33 Bathrooms: 3 Second: 573 sf Garage: 480 sf Front: 12 Smoke Dwelling Units: 1 Third: 573 sf Right: 3.5 Detectors: Yes Total: sf Value: $136,890.00 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Other Fixtures: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 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: 2 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 add'I 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr. Occupancy Group: Square Feet: Owner: Contractor: Required Items and Reports (Conditions) CENTEX HOMES CENTEX HOMES 1 MST Ersn Cntrl 503 - 681 - 4444 16520 SW UPPER BOONES FERRY 16520 SW UPPER BOONES FERRY RD STE 200 RD, STE 200 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503 -608 -3060 PHONE: 503- 608 -3060 FAX: Total Fees: $12,443.58 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law 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 -0 00. 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: E /L'J e �TO' v Building Permit Application - I Ltes><dential 0 5 1� 11 � F O R OFFIC U SE ONLY City of Tigard \ i !1 V , _ V Received I nQ / Pemin No.: Date/B Ofd e9 t ,, o..QO/8 M 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �� Phone: 503.639.4171 Fax: 503.598.1960 S EP 2010 Date/B : e� �� r/ m Other Permit: tt9Q. 9o1c 0 r q TICARDD Inspection Line: 503.639.4175 Date Ready /By: orris: El See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information 1 .� t -:: 1 0]TE r *?8,11/OgT§ 1 . ,,:; ,, .: , .f . ':' - ':;` : .,;-i; - :i:.='; i': 44UIItED **A ATIDv2- F0IL�D L ® 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 G ~ o-if eedit , 631,4- aitoi -6 w `^ work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $136,890.34 ❑ Accessory building ❑ Multi- family Number of bedrooms: 2 ❑ Master builder ❑ Other: Number of bathrooms: 3 40 S11* - 4 , * ( 444 %0D- . 14.5M .: 0 „j Total number of floors: 3 Job site address: /�j S New dwelling area: 1186 square feet City/State/ZIP: TIGARD OR, 97223 Garage/carport area: 480 square feet Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Covered porch area: 18 square feet Cross street/directions to job site: CORNER OF SW BARROWS RD, Deck area: 128 square feet SW 135 AVE, AND SW SCHOLLS FERRY RD Other structure area: i Yak, square feet ....3 2j .�� -:., . rte_- .-z-._ -.._.. __ r_�- -- - - << - -• >-_ Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 362 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 � — ._ -- • , - . - LciF wO R � _ ` — W� work indicated on this application. NEW SFR TOWNHOUSES Valuation: $ UNIT C 1186 SQ. FT. Existing building area: square feet New building area: square feet L - : _._2 ~' F© 7.8)* ®7i0ili ' , •`Ji Number of stories: Name: CENTEX HOMES Type of construction: Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Occupancy groups: City/ State/ZIP: PORTLAND OR, 97224 Existing: Phone: (503)608 -3060 Fax: (503)608 -3061 _ New: _ . T..__ - 0 El<?,:** ! : , u ®j ONc 7 ' EDRSAT F Business name: CENTEX HOMES All contractors and subcontractors are required to be Contact name: GARY CULP licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 16520 SW UPPER BOONES FERRY RD, STE 200 jurisdiction in which work is being performed. If the City /State /ZIP: PORTLAND OR, 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 608 -3060 Fax: : (503) 608 -3061 E -mail: gary.culp®pultegroup.com C01y — . W OR ;. Business name: CENTEX HOMES - 131)IhDING'P:EOW EES '°'' ' -- ."- -: "; +. Address: 16520 SW UPPER BOONES FERRY RD, STE 200 (2'lerase,rcferroijeesclredulc) Structural plan review fee (or deposit): City /State/ZIP: PORTLAND OR, 97224 FLS plan review fee (if applicable): Phone: (503) 608 -3060 Fax: (503) 608 -3061 CCB lic.: 182591 Total fees due upon application: O F Amount received: '66"?, 24 Authorized signature: This permit application expires if a permit is not obtained �, 1,k/ API within 180 days after it has been accepted as complete. Print name: GARY CULP Date: 1() * Fee methodology set by Tri- County Building Industry Service Board. l: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(1 I /02/COM/WEB) 4 , I '''' • '``, : -; '•. ' .. - . - A, , , , , , , , „. , ,..,;_,, ,,,,,,,,--, --t,i f„. ; .v Electrical Permit Applicatirt p ,N-z l City of Tigard ItilrA4 v r u Received C .., Date/By: 4tiCT P5 /d . j emritNo.: M "r9C6— 00 Pi? 3 : , -?:. i " 13125 SW Ha Blvd., Tigard, OR 97223 Plan Review A 14 g '1: Phone: 503.639A171 Fax: 503.598.18i P 23 2010 Date/By: Other Pcnnitc04..-1 raCWO ,Aft -ti.W.. Inspection Line: 503.639.4175 Dale Ready/By: Juris: Ed See Page 2 for gitGAD1 taliiftrisr~. Internet: www.tigard-or.gov OF TIGARD Notified/Method: Supplemental Information CITY TYPE 0 iNG-DvisioN ,..:. ,,i2 i __. - ,..,, •-•.,:: ,,..;:. PLAN 1. t.T N.:, Z New construction E1 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/iterns checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ...:„ C..00 .0)1Y: 01 CONSTRUCTION ', ': ''' :1.. : :,. :::,., exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Commercial-use agricultural 0 1- and 2-family dwelling E3 Commercial/industrial 0 Accessory building amps for all other installations. buildings. El Multi-family P Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or , larger separately derived system. 0 Emergency sysieni. ,Iti' 0 0 -; , :- L. : := . :1': :: L.; 0 Addition of new motor load of' Job no.: Job site address: /09§ I / leo ■•1' ' .• — 0 1001-11) or more. Six or more residential units. 0 occupancy. Recreational vehicle parks. City/State/ZIP: TIGARD OR 97223 ID Flealth facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: VILLAGE AT SUMMER CREEK 0 Service or feeder 600 amps or more. . ::::: ‘,..!".... .: :::: 1.2 ;1] ,::' ' ''.-ftt'$P Cross street/directions to job site: CORNER OF SW BARROWS RD, Description I Qty. I Fee. I Total I • New residential single- or multi-family dwelling unit. SW 135 AVE, AND SW SCHOLLS FERRY RD Includes attached garage. Subdivision: VILLAGE AT SUMMER CREEK Lot no.: 3ir 1,000 sq. ft. or less 1 168.54 168.54 4 Ea. add'I 500 sq. ft. or portion 2 33.92 67.84 I Tax map/parcel no.: Limited energy, residential 1 75.00 75.00 2 7 i . IiESCIthiTIOWtt*:.:,'W.O12.11i, - _,;; . ,:;.i : T,..R. 2 1 ; !.,... ",::::;:j:,,:':,...::.:i;p: (with above sq. II) Limited energy, multi-family NEW SFR TOWNHOUSES residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 I tabiEirtfAii*Ati -: .7 : -,:,,-•:' .,-- ',-" TENANT , 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: CENTEX HOMES 601 amps to 1,000 amps 301.04 2 Address: 16520 SW UPPER BOONES FERRY ROAD, STE 200 Over 1,000 amps or volts 552.26 2 City/State/ZIP: PORTLAND OR 97224 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)608 Fax: (503 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with .. . . above service or feeder lee, ir, =,'' ,1 1. - : . :.' 1.' - i::.; - ' -- .: ,,- - 742 2 , • _ N.-- - - -,•■ -. 4.. . ;.._...,,, each branch circuit Business name: CENTEX HOMES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: GARY CULP branch circuit Each add'l branch circuit 7.42 2 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Miscellaneous (service or feeder not included) Each manufactured or modular City/State/ZIP: PORTLAND OR, 97224 dwelling, service and/or feeder 67.84 2 Phone: (503) 608 Fax: : (503) 608 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: gary.culp@pultegroup.com ,, Sign or outline lighting 67.84 2 '.''. ' ---,,;'::--;:'-'•'•-:.':;.- '.' . .- :,,,''' T 00j2A,(TO:ti.„ ',-:-: ."' , -',' ,. ':'.' : ,-':• -::--- .',.'.''' ' .•1: Signal circuit(s) or limited-energy , Business name: GARNER ELECTRIC panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 2920 SE BROOKWOOD AVE, STE A Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/State/ZIP: HILLSBORO OR, 97123 Industrial plant (I hr min) 78.18/ hr Phone: (503) 648-4552 Fax: (503) 642-7925 Inspections for which no lee is 90.00/ hr specifically listed CA hr min) CCB Lic.: 182591 Electrical Lic.: 34-305C Suprv. Lic.: 1. . ' : :,p.,tiorkicAL tql:Es, L.: .„ . - Subtotal: -311 , 3Es Suprv. Electrician signature, require,/ ,A Plan review (25% of permit t fee): z ' • Print name: CHUCK GA ,A ER , / Date: State surcharge (12% apermit fee): 37, •37 i ,/ TOTAL PERMIT FEE: Vkie3,76"-- Authorized signature: (ffierW-J1/ This permit application expires if a permit is not obtained within ISO f" ----,. ----'"" r ..-- days after it has been accepted as complete. _ Print name: Date: f/43//0 • Number of inspections allowed per permit. I: \ Du ildingWel Inils \ ELC-PcnnitApp.dot 07/01/10 440-46157(11/05/COM/WEB R _ a Mechanical Permit Application Fol OFFICE USE ONLY City of Tigard C�„ /o �� Permit No.: �lD`h 13125 SW Hall Blvd., Tigard, OR 97223 -� !� :•Ian Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: A /D.-e6! TIGARD Inspection Line: 503.639.4175 S EP 2 3 2010 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information i._:9? 11799 j `L"FEE* SCHEDULE" US GH_EC uIS7i Mechanical permit fees* are based on the value of the work N ew construction ® ❑Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. �: � �' e °� 'r;0 COLVS $1 ... -'- _ s Value $ is • �iDS�D�NTI� EQU, I)'MEN,t�Ii%(SiYSfIkF1VIS�EES�� �. '� ® 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building " For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total i _ -__.__ � SO �S)!TE +INFO iMir►TIO T! ANDS IsOG}>: IONS w_. _ _._ ..G Heating/cooling Job site address: /�b / ` Airer uires conditioning site I (q plan showing placement) 46.75 City/State/ZIP: TIGARD OR, 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: VILLAGE AT SUMMER CREEK Heat pump 61.06 Cross street/directions to job site: CORNER OF SW BARROWS RD, Duct work 23.32 SW 135TH AVE, AND SW SCHOLLS FERRY RD 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: VILLAGE AT SUMMER CREEK Lot no.: 16• Other: 23.32 Tax map /parcel no.: Other fuel appliances ID3 C�PTI I UNi O� Y © YI C� Water heater 1 23.32 2332 Gas fireplace 33.39 NEW SFR TOWNHOUSES Flue vent for water heater or gas UNIT C 1186 SQ. FT. 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 Name: CENTEX HOMES Environmental exhaust and ventilation Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Range hood /other kitchen equipment I 33.39 33.39 City/State/ZIP: PORTLAND OR, 97224 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)608 -3060 Fax: (503)608 -3061 toilet compartments, utility rooms) 4 23.32 93.28 i ®r %APPPIICA�TT _.__t .$ ®I COI�T ;PERSUNt Attic /ctawlspacefans 23.32 Other: 23.32 Business name: CENTEX HOMES Fuel piping Contact name: GARY CULP $14.15 for first four; $4.03 for each additional Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Furnace, etc. 1 14.15 Gas heat pump City /State/ZIP: PORTLAND OR, 97224 Wall /suspended/unit heater Phone: (503) 608 -3060 Fax: : (503) 608 -3061 Water heater 1 Fireplace E -mail: gary.culp@pultegroup.com pultegroup.com Range 1 CONTRACTOR .: Barbecue Business name: MUEHE QUALITY HEATING INC. Clothes dryer (gas) Other: Address: 7301 SW KABLE LANE, STE 500 MECHANICAL EERb11T FEES* City /State/ZIP: PORTLAND OR, 97224 Subtotal Z44 Phone: (503) 598 -0966 Fax: (503) 598 -8498 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 50096 State surcharge (12% of permit fee) ZIT , 2,( / TOTAL PERMIT FEE 12..,7S13/ / This permit application expires if a permit is not obtained within 180 Authorized signature: / days after it has been accepted as complete. Print name: KYLE R • Date: / / /`o * Fee methodology set by Tri- County Building Industry Service Board 6 \ Building \Permits \MEC- PcrmitApp.doc 10/01/09 440- 4617T(11 /02 /COM! WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Rec eived 9 A 3 to t . / Permit No.: W o �Q � I 5 a 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: g SEP 2010 Plan Review G - Phone: 503.639.4171 Fax: 503.598.1960 t p Date/By: Other Permit No.: e;0 4 0 - �I f/ TIGARD inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: 0 See Page 2 for Internet: www.tigard- or.gov BUILDING Dlv + Notified/Method: Supplemental Information TYPE OF WORK tc�lV��' FEE* SCHEDULE ® New construction ❑ Demolition For special information use c /recklist. Description . 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION , , SFR (1) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 500.32 ❑ 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: VOL / ,� 5.)116E Catch basin or area drain 18.76 Job site address: (� � Drywell, leach line, or trench drain 18.76 City /State/ZIP: TIGARD OR, 97223 Footing drain (no. linear ft.: 100) 1 Page 2 Suite/bldg. /apt. no.: I Project name: VILLAGE AT SUMMER CREEK Manufactured home utilities 50.03 Cross street/directions to job site: CORNER OF SW BARROWS RD, Manholes 18.76 SW 135 AVE, AND SW SCI TOLLS FERRY RD Rain drain connector 1 18.76 Sanitary sewer (no. linear It.: 100) 1 Page 2 Storm sewer (no. linear ft.: 100) 1 Page 2 Water service (no. linear ft.: 100) 1 Page 2 Subdivision: VILLAGE AT SUMMER CREEK I Lot no.: 3(o Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ' Clothes washer 1 25.02 NEW SFR TOWNHOUSES Dishwasher 1 25.02 UNIT C 1186 SQ. FT. Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER ' I ❑ . TENANT Expansion tank 12.51 Name: CENTEX HOMES Fixture /sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Garbage disposal 1 25.02 City /State/ZIP: PORTLAND OR, 97224 Hose bib 2 25.02 Ice maker 1 12.51 ❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02 Business name: CENTEX HOMES Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: GARY CULP Roof drain (commercial) 12.51 Address: 16520 SW UPPER BOONES FERRY RD, STE 200 Sink/basin/lavatory 5 25.02 City /State /ZIP: PORTLAND OR, 97224 Solar units (potable water) 62.54 Fax: : (503) 608 -3061 Tub /shower /shower pan 2 12.51 E -mail: gary.culp @pultegroup.eom lJnnal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: CRAFTWORK PLUMBING INC. Water piping/DWV 56.29 Address: 7737 SW CIRRUS DR Other: 25.02 City/State/ZIP: BEAVERTON OR, 97008 Subtotal 6 r Minimum permit fee: $72.50 Plan review (25% of permit lee) 1 CCB Lie.: 79666 Plumbing L.ic. no.: 20 -148PB State surcharge (12% of permit fee) Authorized signature: _ TOTAL PERMIT I'I Li 4.....4 This permit application expires if a permit is not obtained within I80 days �' 7- Print name: PETER POLLARD Date: 10 after it has been accepted as complete. *lee methodology set by Tri- County Building Industry Service Board. I:( Building\ Permits 1Pt.Mtj- PcrmitApp.duc 10 /01/09 440 -4616T(I0 /02/COM /WIEB) V illage at .X y - _ , Y / — , r y __x Y X , ,_ S ummer Creek 1 15.3' I 15.1 ' 1 15.0' I I 15.0' 1 1 5.2' I RECEIVED 23.1' 23.1' 23.0' 23.0' 1 © I o- I C- CITY OF TIGARD I I BUILDING DIVISION I I I 3.5' k- ---1 3.5' - 1 I I �- I t I. -�- r , I I I I I I 1 1 Building Plan: 9 34 35 36 37 Lots 34, 35, 36 8z 37 1 FF /TOW 193.50 1 FF /TOW 194.50 FF /TOW 194.50 FF /TOW 194.50 Units A -B -C -A I G 1 GS 193.30 GS 193.80 1 GS 193.80 TOP 193.96 TOP 193.96 1 TOP 193.96 SITE PLAN 4 I I I . , I Scale: 1"-10' - -- -....` . - al� . N I I I . . • • - F ,... . 1.. 2575._ ■ 1 . lilt ■ ■ _ . 3.5'1 i I :2.T_2 .2-0-2'• , .: I�� � —^ : 1 19.2 4 - EERASSOCATESCOR UT 1E1 I — 1 — — �— — .. .. . .. • • C � .. VI : . . n ` : at,;c: . xx'°'?,x a,... use. �i. -. ^� �'. • . `'•5`Wr A$'ll +i S' + vJ. ��: ^r.... - .. —r•r. • G : L;2G"sty.xp F rt•.:,n.. :` r.t Q' , - vM fte ?MvAlfp r" 4', y if. +: ,f MI :...............:............._..:: .. . . ..., . .. . .... _ ..... . . . .. . . . :4::. 5.,+ .,,:.I r r I .axr f. 9+ .+�s �•: ' yy A d Q • lit. .p. :v :if ,.�Ai ■ • : ; ;. : :. ; S W SAGE E R R A C E 8" s s 17757 Kelok Road Lake Oswego, OR 97034 - Tel. (503) 636 -4005 Fax (503) 636 -4015 a CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: Ili / Yr 0 " t O ' f PLANNING DIVISION: F;no.l S■-k Nan 1 t /3/0 8 SUS (AAP -i000 I %•.wired Setbacks: ❑ Approved ❑ Not A. • :Roe, a.00 0 - t o 00 / 1 s' ide _„_ Street Side: F Re:,. rom . Garage: -- I :•':iia! Ctearauce: NM ❑ Approved ❑ Not A!+! i f:tx +mum Building Height ±s feet • :v's Serv:ci: Provider Letter Required: ❑ Yes X-00 ❑ Recc _ - Date: /0 - - / 0 • .NGIN FE IN DEPARTMENT: proved Site n: pP • et Slope: % Approved ❑ Not A pI Approved of A . proved B . Date: e Notes: CITY O TIGARD. PER it • t '' BUILDING Street 'rte: v Prate e . , ❑ Not B : l♦ , APPOn�d in APProvtd Noses: /O d i f