Permit CITY OF TIGARD MASTER PERMIT
11 �t Permit#: MST2014-00074
_ COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2014
TIGARD 13125 S „� Parcel: 2S104AC00700
Jurisdiction: Tigard
Site address: 12975 SW 132ND AVE
Subdivision: MORNING HILL NO.1 Lot: G
Project:
Project Description: Kitchen remodel: Remove support wall, add support beam above ceiling joists. 6/5/2014:
REPRINT for flue vent/water heater/range hood/dryer exhaust/gas piping water heater& range.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Yes
Dwelling Units: 0 Third: 0 sf Right 0
Detectors:
Total: 0 sf Value: $3,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Storm Sewer 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 1
Heat Pump. N Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 2
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 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 N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
WRIGHT,LARRY A&MAUREEN L CORNERSTONE BUILDERS INC Required Items and Reports(Conditions)
12975 SW 132ND AVE 7849 SW CIRRUS DR
TIGARD,OR 97223 BEAVERTON,OR 97008
PHONE: PHONE: 503-671-9538
FAX: 503-671-9640
Total Fees: $414.47
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 AR 7i113't.009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 7- Permittee Signature: �N // �G f( /70N
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.
III CITY OF TIGARD MASTER PERMIT
s. COMMUNITY DEVELOPMENT Permit#: MST2014-00074
Ti G AR 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2014
Parcel: 25104AC00700
Jurisdiction: Tigard
Site address: 12975 SW 132ND AVE
Subdivision: MORNING HILL NO.1 Lot: G
Project:
Project Description: Remove support wall and add support beam in place above ceiling joists for kitchen remodel.
BUILDING
Floor Areas Required Setbacks Required
Stones: 0 Bedrooms: 0 First: 0 sf Basement 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front 0 Smoke
Dwelling Units: 0 Third: 0 sf Right 0
Detectors. Yes
Total: 0 sf Value: $3,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckltw Prevntr: 0
Footing Drain: 0 Ice Maker 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning: N Vent Fans: 0 Clothes Dryers, 0
Heat Pump: N Hoods: 1 Other Units: 0
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: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 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. N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
WRIGHT,LARRY A&MAUREEN L CORNERSTONE BUILDERS INC Required Items and Reports(Conditions)
12975 SW 132ND AVE 7849 SW CIRRUS DR
TIGARD,OR 97223 BEAVERTON,OR 97008
PHONE: PHONE: 503-671-9538
FAX: 503-671-9640
Total Fees: $398.51
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. rules are set forth in OAR
952-001-0010 through••' r r :00**. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 32. 7 or 00.332.2344.
Issued By: 4 Permittee Signature: f (2---- ----***—
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.
TRANSMISSION VERIFICATION REPORT
TIME : 06/05/2014 04: 33
NAME : CITY OF TIGARD
FAX : 5035981960
TEL : 5037182449
SER.# : BROH7J690762
DATE,TIME 06/05 04:33
FAX NO./NAME 5036719640
DURATION 00:00:36
PAGE(S) 04
RESULT OK
MODE STANDARD
ECM
-CITY-OF-TIGARD • __ MASTER-PERMI---T
I R Permit*: MST2014-00074
• COMMUNITY DEVELOPMENT t Date issued: 06/03/2014
1 W II Blvd.,Tigard OR 97223 503.718.2439 t
TIGARD 13 25 S Ha 6 9 � ���� parcel_ 2S104AC00700
Jurisdiction: Tigard
s1to address: 12975 SW 132ND AVE
Subdivision: MORNING HILL NO.1 Lot: C
Project:
Project Description: Kitchen remodel: Remove support wall, add support beam above ceiling Joists.6/5/2014:
REPRINT for flue vent/water heatertrange hood/dryer exhaustlgas piping water heater&range.
BUILDING
Floor Areas &Wed Setbacks Reauirad
Stories: 0 Bedrooms: 0 First 0 sf Basement 0 sf Left 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sr Garage: 0 6f Front 0 Smoke Yes
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: 53,000,00 Rear: 0
PLUMBING
Sinks: 0 ater osets: 0 vow,ngr M d:: 0 Laundry trays: 0 Rain Drain; 0 Urinals: 0
Lavatories; 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Dlsp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins; 0
Bokflw PreYmr: e
Footing Drain; 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: a
Drywall-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 1
Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 WoodStoves: 0 Gas Outlets: 2
Furtr•m100K: 0
ELECTRICAL
Residential Unit Service Fe4der_ Tame SrveiFeeders_ Branch Circuits
1000 sf or less: 0 0.200 amp: 0 0-200 amp: 0 W'Svc or Fdr; 0
Ea add!500 St 0 201.400 amp: 0 201-400 amp: 0 W/Q Svc(Fdr. 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
801-1000 amp; 0 601+amp-1000v: 0
1000-amp/vast: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio S Stereo: N HVAC: N Security Alarm N Vaccuum System: N Garage Opener: N All N
_.. _. ---_.___._.,.- Eoompasing;
r Bui'ding Permit Application RECEIVE')
Giwmirchrt 466v774.4- FOR OFFICE USE ONLY
City of Tigard MAY 12 2014 Received u, /
Permit N �/ fi907y
17111 II
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev1e
�. Related Permit:
Phone: 503-718-2439 Fax: 503-598-196fC''OF TIGARD Date/B : J' Zp
TIGARD
Inspection Line: 503-639-4175 Date Re /B 7uris: VI See Page 2 for
Internet: www.tigard-or.gov R�J t1,ntNG ntv1S10� Notifed/Method:✓ r ��� %�� Supplemental Information
EP V,/rl_ r /)eAJ
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
2 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ao
G1a '-and 2-family dwelling ❑Commercial/industrial Valuation: $3(,
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12. 7s S M.1 i 3 2 to Ave- New dwelling area: square feet
City/State/ZIP: T 6 144,./? ea. 9'7 22 3 Garage/carport area: square feet
Suite/bldg./apt.4: 1 Project name: Gc>/e/e Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot 4: Permit fees* are based on the value of the work performed.
Tax map/parcel 4: 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.
�j,�1M.OV!!` s wAti 4- 0hStl4I) Su�vvr Valuation: $
sow. (h p c$cg OO'�1'e Cq��1,Div C nor 575 Existing building area square feet
k/%C
/�A/ i /. C L c___ • New building area: square feet
APPROPERTY OWNER ❑ TENANT/ Number of stories:
Name: *t/I�-/t�S � G 9/`/ / /14-i6iQ��j�! Type of construction:
/
Address:
�ff-,y E Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:
FI,S plan review fee(if applicable):
Address: -
City/State/ZIP: Total fees due upon application:
Amount received: 77, 5(,
Phone:( ) Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ��lit,NI G(ZjjT0 VLF (�IL 1 �, Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 71/9 5 w C(r rt US -rat, Solar Installation Specialty Code checklist.
-rat fee(includes plan review
J
City/State/ZIP: 6 l t Li 'per at, 9700 Si' $180.00
and administrative fees):
Phone:(9d ) (,1 j_ 9$-3 g ' Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: ( 7 o 4 Total fee due upon appication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�/ I�� ,�1N * Fee methodology set by Tri-County Building Industry
Print name: f'T"l( ,i -xS � Date: 5/43h)/ Service Board
I:\Building\Permits\BUP_COM_Per mitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
f
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ Accessibility: Barrier Removal Improvement Plan
• Commercial & Multi-Family - Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014
Mechanical Permit Annlicatio' jJ CEIVE') l O12('l hI( 1. 1 til ()Ni.'
City of Tigard Received
Date/By:
Permit No.:
4/ST. {1/y D// 7
13125 SW Hall Blvd.,Tigard,OR 97223
P
114 I hone: 503.718.2439 Fax: 503.598.1960 Plan Review
MAY 12 2014 Date/By: Other Permit:
I I( AR u Inspection Line: 503.639.4175 Date Ready/By: Saris. ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF WdiioLDINC DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees°are based on the value of the work
❑New construction %ddition/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*
®1-and 2-family dwelling ❑Commercial/industrial ❑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:
Air conditioning 46.75
Job site address: ('Z'7 s- S ti-' 131 '' . #1,vE Furnace 100,000 BTU(ducts/vents) , 46.75 .
City/State/ZIP: 71 A yt, CIL 9 7 st 3 Furnace 100,000+BTU(ducts/vents) _ 54.91 .
Heat pump 1.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: 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
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
• . ., * fl fireplace , 1 23.32
... ,.
_ Log lighter(gas) 23.32
L. Wood/pellet stove 33.39
(Z%Lo c/I'M (A v4,4T/ 141041X— VZ(S tVA.. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen 11
equipment ) 33.39
Address: Clothes dryer exhaust 1 . 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans _ 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional / f /S
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater (
Phone:( ) Fax::( ) Fireplace
Range 1
E-mail: Barbecue _
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Co g,�BJC+S7"6 t/1 E �t a b(ts., in C. MECHANICAL PERMIT FEES*
Address: 7 9 S v/ C jr`a-Li S 7,12• Subtotal 40 y r
City/State/ZIP: S gn K.'ir4�Y1 Ca 9700 23 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503 ) 47/ -9s3 8 Fax:( ) State surcharge(12%of permit fee) 42 .5 j
CCB lic.: i 704,5-y TOTAL PERMIT FEE /4., f 2
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete nn O
Authorized Signature: �� • Fee methodology set by Tri-County Building Industry Servi e oarrt
Print name: ///AA/ 7 M e2 _ j Date: W/3 3T 4 y t ((p
1:\Building\Permits\MEC_PermitApp_0401I3.doe 440-4617T(1 I/202ICOM/WEB) r
�.EVisi~� �/g/�y
l
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
• 'M
Building Permit Number: riSSv20/y- 000 7 V
" Building Permit Review
Residential Projects
TIGARD
Site Address: /02975 Se() /3a
k.—
r '97/E-
]Verify site address is valid.
Project Name & Lot #: 4),e/6//-7"
7
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No '7 Received: Yes ❑ No ❑
Site Plan Elements: P I P - r 0 s;4e. a l a r, vL C ell/ a-
0 Site plan must be on 8-1/2"x 11"or 11"x 17"paper ❑Three(3)copies of site plan
❑Drawn to scale(standard architect or engineer scale) ❑North arrow
❑Map and tax lot number,site address,project or subdivision El Footprint of new structure(including decks)with finished
name,lot number,and zoning floor elevations
❑Applicant information(name and phone number) ❑Lot and building setback dimensions
❑Property corner elevations(2 foot contour lines if more than ❑Lot area,building coverage area,percentage of coverage and
4 foot differential) impervious area.
❑Utility locations ❑Location of wells/septic systems.
❑Existing structures on site ❑Surface drainage
❑Street names ❑Street tree size,type and location
❑Erosion control(including drainage-way protection,silt fence ❑Existing trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Planning Review
gLand Use Case Number:
Zoning:
Setbacks:
Front Rear Side Street Side Garage
Landscape Requirement:
,Lot Coverage Maximum:
jz Building Height: Maximum Height Actual Height
Q"Visual Clearance
1 Easements
12 Sensitive Lands: ❑ Yes Type
crban Forestry Plan
onditions Satisfied
Approved by: L U -' A • e.,AZ ru.4-1 Date: 5 - 11, - 1`i
Notes: Z,n-kriar Yr rv,oad of K; t-,tn. Devtloprnei,4- e.odlc.
vel of pl, ow'0 k.
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3
Approved ❑ Not Approved ❑
I:\Building\Forms\BldgPermitRvw_RE5_123013.docx
. . ,S
Building Permit Submittal
Original Plan Submittal: Date: .5//Z / By:
Site Plans: #
Building Plans:
Create Case Record#: Q'Enter case#above for Building Permit Number.
Workflow Routing: Brflanning ❑ Engineering ❑ Permit Coordinator Eri3uilding
Workflow Sign-off: ign-off for Planning staff,including notes from planning review(page 1)
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.
Reviewed By: Date:
Notes:
Engineering Review—reviewed by:
Actual Slope:
❑ Conditions Satisfied
Notes:
Approved by: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to Applicant
Okay to Issue Permit- Date:
I:Building\Forms\BldgPermitRvw_RES_123013.docx