Permit „ CITY OF TIGARD MASTER PERMIT
1/11 r Permit#: MST2015-00091
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2015
Parcel: 2S105DD02400
Jurisdiction: Tigard
Site address: 14625 SW SUNRISE LN
Subdivision: 2001-038 PARTITION PLAT Lot: 2
Project: UNDERWOOD
Project Description: Covered porch addition.
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
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $12,871.98 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
Bckflw 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: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'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 COM VB R-3 0
Owner: Contractor:
UNDERWOOD,JEFFREY D&KRISTIN E RIVER CITY CONTRACTING Required Items and Reports(Conditions)
14625 SW SUNRISE LN 4843 SW GREENSBORO WAY#25
TIGARD,OR 97224 BEAVERTON,OR 97007
PHONE PHONE: 503-828-6600
FAX:
Total Fees: $506.43
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes an. - of - -pplicable 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, o or suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cente Th• rules are set forth in OAR
952-001-0010 through R 9 - 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 , 1.811..332.2344.
Issued By: Permittee Signature: A
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.
t a
Building Permit Application
Residential
Inspection RECEIV
City of Tigard
�
Permit No.:
o
/ .�0-ocl• 13125 SW Hall Blvd.,Tigard,OR d,OR 97223 Plan Review ` r 't Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7 ( l�Other Permit:
JUN — 3 2 0 1G
i i` \E`l Line: 503.639.4175
Date ReadyBy: _ , / Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: i J I 877 Supplemental Information
1iYOlF 11 JARP
TYPE OF WORKRIIILDING DIVISION REQUI D 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.
3—, Valuation:4W $ �-e'' ° 12 E 7( "
5- and 2-family dwelling ❑Commercial/industrial e o `-r`
❑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: f%/I 5- _s-i.e.; 5u4 d• e G.r. New dwelling area: square feet
City/State/ZIP: /r,4.Z c5tee 97,07 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area square feet
Cross street/diredions to job site: Deck area: square feet
B- e eta-€- 44 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
eoe/ehe
, 4' Valuation: $
� Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 3—e/7 K*fete/e, yi Type of construction:
Address: 5401c 145 4 �e Occupancy groups:
City/State/ZIP: �7 Existing:
Phone:(S I ) 7a y .2y66 Fax:( ) New:
❑ APPLICANT ' ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: �,`Ie2 ��.� Gcv,./e�/,K (rkaarrejarojteacktdtvfs)
fStructural plan review fee(or deposit): )4 36,tyg
Contact name: D,4. D""Y
FLS plan review fee(if applicable):
Address: ft,P+7 Rio iam
y8`�3�`" s.� 45---- Total fees due upon application:
City/State/ZIP: aka Or1 d 4 rro,7
Phone: rj Fax: ( ) Amount received:
(`� ) f}'iZQj 6db PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: eys[....0”-A7 , CON't
CO R Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: SP Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 131 pp S" Total fee due upon appication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: DOS p Ord/ Date:6— 5 15 *$eNmethBoodardOgy set by Tri-County Building Industry
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02//COM/WEB)
a t
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLI
City of Tigard Received
III • 13125 SW Hall Blvd.,Tigard,OR 97223 Date By:
• Phone: 503.718.2439 Fax: 503.598.1960 Associated permit.
11GARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es No `/.A
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-ft.elevation differential,plan must show contour lines at 2-ft.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 ID ❑ ❑
architect licensed in Ore.on and shall be shown to be :us licable to the s ro'ect under review.
.II RISI)I( I ION, I. SPECIFICS
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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
I
A r
City of Tigard
/ COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Residential
I1tI.\ Rl)
Building Permit #: /I/LW-AO/5-- a ci
Site Address: 1 -4(0 a S s co , ,t ly.i.e_ L .
Project Name: u VAd e r d, Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Nev.:, p ccA-;u C.2,C-r
CR-Verify site address/suite#exists and active in permit system.
`River Terrace Plan District: ❑ Yes No
Site Plan Elements:
1'Three(3)copies of site plan [&Existing structures on site
(rite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) floor elevations
I?North arrow .2ttility locations(required for new,may apply for additions)
Site address,project or subdivision name and lot number ,lrLocation of wells/septic systems
[ Applicant information(name and phone number) Xgrosion control(including drainage-way protection,silt fence
[ itot dimensions and building setback dimensions design,location of catch basin,etc.)
tot area,building coverage area,percentage of coverage and l 'treet names
impervious area(applicable if R-7,R-12,R-25&R-40) .r-�� eet tree size,type and location
1dProperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree
4 foot differential) protection measures
Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995):
Required: JYes,applicant was notified ❑ No Received: ❑ Yes C No
Pr-Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified 'ler No Applied For: ❑ Yes ❑ No,stop intake
R`Land Use Case#: iNi/A-
kr Zoning: R- 7
kl- Setbacks: Front — Rear (S Side S Street Side — Garage
g$Landscape Requirement: a0 exo % p.vrts 5 o cb 7
( Lot Coverage Maximum: $O cYo
"Building Height: Maximum Height 35 Actual Height 1 S
(.,i ft )2"Visual Clearance
0 Easements
Sensitive Lands: Cl Yes ,-No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: A,( / ( .-■ Date: Cfri • 3 -I S
Revisions (after uilding Submittal only) Reviewer /,, Date
- ' Revision 1: , Approved ❑ Not Approved 44 0 h j�_ /Qi I oI_e c ..L 7/3/Is
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_031015.docx
. )
Building Permit Submittal
Original Submittal Date: 61Ail ij
Site Plans: # _ 3 _
Building Plans: # -3
Building Permit#: (. r building permit#above.
Workflow Routing: [a�p ing [{�E gineering B ruit Coordinator l—Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Oneering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , Date: 0/s--
Engineering Review �j
,Z Slope at building pad: 4 die)
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No 11 S
Assess Water Quantity Fee in-lieu: CI Yes No
LIDA Facility on lot: El Yes I No
❑ NOT Approved by Engineering: Date:
Notes: H611 SE_ FJ c? 0--R-3 5 21L. misty ' C i. i c. i 44_5/
5C,TI c 5 T1t,,-t . Re via t- 5d%E_ M-4,/ d g.r ;Lvc/76-i11
Approved by Engineering: 71441 ✓g.-- L‘.9• Date: L,f /6c
Revisions (after Building Submittal only) Reviewer Dat
Revision 1 Approved ❑ Not Approved �I� �A /y� 7- i I
Revision 2: ❑ Approved ❑ Not Approved / '
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only) e
Revision Notice 1: Date Sent to Applicant: 6/9//5- €44(.cd ar,,,,. [,- -4-0ftf.
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
fr7:43K to Issue Permit
Approved by Permit Coordinator: / 7 ...' - )ate: ? dj/i .5
I:1 Building\Forms\BldgPermitRvw_RES_031015.docx
. J
Jun. 9. 1015 9 : 09AM No. I /40 I. I 11
L______UN d 9 2Q15
U Clean Water Services File Number
CleanWater� Services 15 —a0 7 70
1 Sensitive Area Pre-Screening Site Assessment dECEIVEP
1. Jurisdtion: i "l 0 - 1 l Q a r0
2. Property Information (example 1S234AB01400) 3. Owner Information J lj NN 1 1 2015
Tax lotID(s): j _1. 05.. Di) 07 '1oo _ Name; l2ff f/nderwobe
Company: Cii'V(lt ti1, `1)
Address: 11'4 b2- 5t,,r. e;.� fts;
Site Address: j Pi(62,.5 pel(Z5 City, State,Zip: 1 1' Qtd/ D( ZL
City, State, Zip: -"'�a Gi�' � 0 f V ZZ'1 Phone/Fax: 5Q - 2- 4- a'/to. (p
Nearest Cross Street: /`�O E-Mail:
4. Development Activity (check all that apply) S. Applicant Information
0 Addition to Single Family Residence(rooms,deck,garage) Name: j7v� -01-€._)❑ 'Lot Line Adjustment ❑ Minor Land Partition Company: Rr4Ir ( A c.4'r-j
❑ Residential Condominium. ❑ Commercial Condominium Address: qiq" 5W ..7r.2-4/05. lit. 4Z5
❑ Residential Subdivision ❑ Commercial Subdivision p�
❑ Single Lot Commercial ❑ Multi Lot Commercial City,State,Zip: PItYelfnrl Q J
Other Pa--1- o Phone/Fax: 503- g.24-- (Q 600
E-Mail: Vv-2 y 5 (CP rn�yl, Gzz.✓v`
6. Will the project involve any offsite work? ❑Yes "'No LI Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project Pour-ed folic r242_.
P K/54-9 r1 q VP�✓Tcj ,.
This application does NOT replace Grading and Erosion ontrol Permits,Connection Permits,Building Permits,Site Development Permits,DEO
1200-C Permit or other permits as issued b the Depart ent of Environmental Quality,Department of State Lands and/or Department of the Army
COE. All required permits and approval. Oust be o.,tined and completed under applicable local,state,and federal law.
By signing this form,the Owner or Owne• =uthorize• -tent or representative,acknowledges and agrees that employees of Clean Water Services have authority
to enter the project site at all reasonab: es for -purpose of inspecting project site conditions and gathering information related to the project site. I certify
that I am familiar with the information,r ained in s document,and to the best of my knowledge and belief,this information Is true,complete,and accurate.
Print/Type Name r N,, - ' Or e=e PrintiType Title _ 0wn-e-r' /� --
Signature K� _Date (�--C'—IS
r
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 documentwlll 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.
w 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 SensitiveArea 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(c)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 'i4 0 e!
Date •
2550 SW Hillsboro Highway r Hillsboro,Oregon 97123 • Phone:(503)t7R1-5100 - Fax:(503)GB1-4439 • v1VAv cleanwulcrservicpr,.nrct
FOR OFFICE USE ONLY–SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: cuK__)(21,0,"-
ILDING DIVISION RECEIVED
` JUL 8 2015
FROM:
r v�� CITY OF TIGARD
COMPANY: G r y � ,/4c BUILDING DID/
X PHONE: D QX Y
RE: 1/16 C k. I1 7-c9.b1s- 6001l
(Site Address) _ - n (Permit Number)
d _0,4 Lcvd
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: pdnA_-t1-� 0"z_ t r o-
i , ' - ..YII' /L nL,J L f`-'t��. r� P <�.
ipr Routed to Permit Technicians Date: 7 (3 (5 Initials:ar%
Fees Due: ❑ Yes o Fee Description: Amount ue:
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III Transmittal Letter
T I c ;n i I ) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: w DATE RECEIVED:■
DEPT: BUILDING DIVISION Ktkiri1 v t,o `
FROM: e G-e% JUN 11 2015
C1'1'Y OF 'KARL)
COMPANY: �dve.2 G*A.&v �a'77' / BUILDING DIVIS 01`
PHONE: •. -- 5 r ode - 6‘dD By:
RE: /t/6,25—,w ,Sr✓,'? PNt /r- )`J
(Site Address)
(Project name or ame and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: Copies: Description:
Additional set(s)of plans. 1 Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): n.1/4211 �y /�
REMARKS:
FOR OFFI USE ONLY
Initials: 1' t�
Routed to Permit Technicians "Date.: ®
Fees Due: ❑ Yes Ls'o Fee Description: Amount P ue:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes I ❑No ❑ Done
Applicant Notified: Date: Initials:
(:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
,11 Transmittal Letter
, ,is i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: aW DATE RFCEI�E E0,
DEPT: BUILDING DIVISION itN
� 1'!'.I -° 8 ?015
'
FROM: (I&j ' `fe
� t;17'Y()MAW)
COMPANY: 4),)rte-- 64-6, ��i'dc-ci.i
BUILDING 9IV1SIO1
PHONE: 5-65 ev?g 66 By: e%`
RE: /4/(001.51 5 /r/e L/1/_ r-75- gV--C) ° `1/
(Site Address) (Permit `her
(Pr j Ct name of su6dr stun name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: 1 Description: Copies: Description:
Additional set(s) of plans. J Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. q Engineer's calculations.
Other(explain):
REMARKS:
FOR O FIC USE ONLY
Routed to Permit Technician: Date: .7 I t',-7 lV5 Initials:r
Fees Due: ❑ Yes o Fee Description: Amount Due:
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes I ❑No T ❑ Done
Applicant Notified: Date: Initials:
I:1Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14625 SW SUNRISE LN, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00091
David Young
Violation Summary:
Inspector Contractor