Plans 1104 Building Division
Development Code Provision Review
G R° Residential Projects
Building Permit No.: �T 1 g
Project/Subdivision Name: J-Yln t Pa an T oi .) , Lot #: 1
Site Address: t 2'N.DC ./.-0 LAD=tL i. c.cr
CWS Service Provider Letter: LLA co 2 / - 0000 g ,
Required:Yes ❑ No -
Received:Yes ❑ No Ft-
Plans Routed:
Original Plan Submittal Date: Routed By:
1" Revision Submittal Date: a>Q/5
► Site Plan Onl Routed B
2nd Revision Submittal Date: • ite P an Only Routed By:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be
revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved. 'f
Planning Review (contact �D S �C c at (503) 718-2.[2� or / 1 LI S it' @tigard-
or.gov) ���JJJ v
Land Use Cas No. - Q-a3-cOO'l
Zoning y-
E Setbacks: S S 5 I
Front 2-0 Rear ( Side _ Street Side Garage �
EF. aximum Building Height: 3) Actual Building Height N/A-(SI-k plain on I LI )
E "Tisual Clearance
EVyasements
PE'iSensitive Lands Type: Sie p CI o 5
∎ ',Street Trees
3' Protected Trees
Notes: Sett2qCtc (9r\(
Original Plan: Approved Not Approved ❑ Date: 2-11.-(e I l 4
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov)
❑ Actual Slope:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albert@tigard-or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building:
Page 2 of 2
I:\CURPI.N\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
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