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Permit (39) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00498 ' 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2017 T is f F..0 9 Parcel: 2S111DA19800 Jurisdiction: Tigard Site address: 8525 SW SCHMIDT LP Subdivision: HERITAGE CROSSING Lot: 17 Project: Heritage Crossing, Lot 17 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 711 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1109 sf Garage: 342 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 4 Detectors: Total: 1820 sf Value: $222,496.14 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 01 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 05 Clothes Dryers: 01 Natural Gas Heat Pump: N Hoods: 01 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 04 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 01 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 03 201-400 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: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1820 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE SUITE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 100 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: 503-222-4151 PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $27,965.02 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 952-001-0090. 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: /44. ,..42,1,. �GGJ7 -� �( Permittee Signature: , 1C '+ /eA h lJ Call 503.639.4176 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. 4 37/c, 4e Building Permit Application LS' 0 / . ResidentialN ,. . lOR'0171 11-1. 1 T t INI ‘'' - . ,,.. . City of Tigard oa % k,B3Permit No. iv 1 ......., ., • 5.., othe-pen 13125 SW Hall Blvd..Tigard,OR 9 223 Plan Ike\104 Phone; 503 718 2439 Fax. 503 598 1960c)C, 1c-c-,k0 0,1,13,, . IN Inspection Line,503.639 41/5 ,, ,„c rck(u1"c,10114.Date R;ad,Hs , - 4aos fa See Par 2 for Internet: wv.w.tigard-or got, ...c sJ L.)/ .g.,„\\I\—I Notified Meth:M ,e '.../(1 , AF6(4-ta....„6.,--- Supplamtnedi In(ormation „ ._0,... ,176 6--7-7t.E7z-91. TYPL OF .ils. REQUIRED DATA:I-AND 2-FAMILY DVS ELLING I ES New construction 0 Demolition Permit fees*are based on the aide of the work performed.—I Indicate the value(rounded to the nearest dollar)of all I 0 Addition/alteration/replacement 0 Other: equipment,materials, labor,oxerhead,and the profit for the ,, ... work indicated on this application. AN CATEGORY OF CONSTRUCTION aaa--41-tGAu. II: fe I-and 2-family dwelling 0 Commercial'industria Valuation: $l via Number of bedrooms: tf 0 Accessory building 0 Multi-family ------1 , 0 Master builder 0 Other: Number of bathroold ._. JOB SITE INFORM ATION AND LOCATION iotal number of floors, 02 Job site address: Srccokr C/1/1-' "ewe New dxxelling area: 1 8-,t2 square feet --1 CitylState/ZIP:Tigard, OR 97223 Garage carport area: I/ square square feet ., Suite'bldg./apt.no.: Project name 1-iitieivi i-cip,„„e„ CA.,-0. .).‘IA 6\ Cusered porch area: ilq square feet))0 Cti ' Cross r-- streetidirections to Job site: Deck area, square feet i Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHE('KLIS i I ,., Subdivision: Lot no: /7 Permit fees*are based on the value of the work performed I Indicate the t aloe(rounded to the nearest dollar)of all Tax map/parcel no.; equipment. materials,labor,oserhead„and the profit for the DESCRIPTION OF WORE. work indicated on this application, Valuation: $ New SFR Existing building area: square feet New building area: square feet ti PROPERTY OWNER j0 TENANT Number of stories' Name: DR Horton Inc. Type of construction, I Address: 4380 SW Macadam Ave Suite 100 Occupancy groups: -I City;StateiZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) Neu' 0 APPLICANT a CONTA(''T PERSON BUILDING PERMIT FEES' (Please rffer&Vic 3..chedulv Business name: DR Horton Inc. Structural plan reviess fee tor deposit): Contact name:Emerald Weeks FL S plan reties.% fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 , Total fees due upon application: City/State'ZIP: Portland, OR 97239 Amount received: Phone:t503 >222-4151 x1107 Fax ,( ) pticrrovoL rAic SOLAR PANEL S '.TEM FEES' E-mail: esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan N.8 ith connection details , and fire department access.along with the 20 Ii)Oregon Address:4380 SW Macadam Ave Suite 100 ' Solar Installation.Specralt1 Code checklist. Pemn t Fee(includes plan res iev, C1IPSIaleiZIP: Portland, OR 97239 c180.00 and administrative fees): Phone:(503 )222-4151 . Fax ( ) State surcharge(12%of permit fee): S21.60 CCB lie.: 130859 Total fee due upon application: Authorized signature' ,. ' ; 4 This permit application expires if a permit is not obtained %Rhin 180 days after it has been accepted as complete. - -, Print name- 5 I Date2016 mhod. Fee etology .et by Tri-County Building inclusit), . ..,, , ) ., ' Servicc Board. I Building Remtits BUP-RESPermitApp,doc (1224 2011 440-4613Tt 11,02 COM WEB1 Nieehattieiti Permit A. •Iic cr rItt d,i ir if. 't E I.3NA.'1) (jilt ct_ " ' I., � /. .SL..i i ext•- N� t _,-., ,.�...�.,.,,..4«.. ., R .. :. 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SW [�,MM6iy a $4 Suite L_p Zr} ro s . - . n Portlattd,()R w ti 3 F axe t � , _,, �, ,� F( c n In '/A84Bat,a,srrgt-r "..s.aamao-rtr;..1,44,t.°,1 14..i(,;,1v,1 hnnrn $ille 41$111 4i.4.:k`b i 'istia ,' , ''j'-'4.'.' 41St)SW Nto m Aveuite 11 t, S'p's 'e= Portland. ,. N r, r"x Ott 122.. II 51 Ott C ,.. ii, 1tF s. .„,,,,,,,,i, „, -.1.,ri, ii,.; 24„,, ,,,,,.. „,,,,,,,f- ,,, ,- .,,, -,,,,, , „...,,,....„„,,.., ,,,,,,,, ,_, , „, , ; , ,.„,, „,, .„ , ,,,,,..„, , ,__„ _ _ —,„:„.!-, ...-12",. , ''''' , , t x b f q s 4 r , ° r 4 W ,,, 0-#1, 3 Tegid. �Vii.1$ P@tit Ill a e Electrical Permit Application P , OR(ll .,( t ( 1 O!1 1 City of Tigard 0,3 Received ' 13125 SW Hall Blvd,,Tigard,OR 9', 1 ` \� Datally Permit No.:irn 57;30G r)(.)LL`�4 Phone: 503.718-2439 Fax: '503.59 .1• 2 Plan Review „., p Inspection Line: 503.639.4175 3 .<e/By: Omer Permit: Internet: w'w.tigard-or.gov ZC �, `,.r te;may' ;win f fig See Page 2 for I. 3 r""..ethod: OS( n\� gPPkn,eatal tnforootian TYPE OF.Wt \��. ` PLAN REVIEW ®New constructionAddition/alterati., I t Please check all that apply(submit 2 sets of plans w/items checked below): 0 00 eMeIltiell Other: 3 D Service or feeder 400 amps or more D Badding Over three storios. where the available fault current D Maas and boatyards. CATEGORY OF CONs*ucI'ION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0 Commercial/industrial' 0 Accessory building l ss,to round,or exceeds 14,000, 0 Commercial use agricultural ❑Multi-family ❑Master builder amps for all other installations. buildings, Other: (]Fre pump. 0 Installation of 75 KVA or syrte larger separately derived syuem JOB SITE INFORMATION AND LOCATION ©Addition of new motor load of Job no.: lob site address: � �� cSW ,(r`''�/, f .1- I00HP or more occupancy. t 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: rip,,,,,?., 0Health-care facilities. GI2 7aa 3 LI Supply voltage for more than ©HaraMous locations 600 volts nominal. Suite/bldg./apt.no.: Project name: t 0 service or feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE DescRefioa i Qty. I Fee. I Total I New residential single-or multi-family dwelling unit. • Includes attached garage. Subdivision: l-Lot no.: 17 1,000 sq.ftor less I8.54 a Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion f 33.92 I DESCRIPTION OF WORK • Limited energy,residential / (with shove sq:R) ' 75,00 2 — Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER I i 0 TENANT 201 amps to 400 amps 133,56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZlP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) f Pam:( ) 200 amps or less 59,36 1 Owner installation:This installation is being made on pIope,yy that I own which is not201 amps 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 nit amps 168.54 2 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: ____40________ A.Fee for branch circuits with 0 APPLICANT I I 0 CONTACT PERSON above service or feeder fee, DR Horton Inc each branch circuit 7.42 2 Business name: B,Fee for branch circuits without Contact name: Emera Wee S service or feeder fee,first branch circuit 56.18 2 Address: 4380 SW macadam Ave Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 Each manufactured or modular 222 4151 dwelling,service and/or feeder 67.84 2 Phone:( 503) I Fax:.•( ) i Reconnect only 67.84 E-mail: Pump or irrigation circle 67.84 i22 CONTRACTOR Sign or outline lighting 67.84 2 Business name: j Signal circuit(s)or limited-energy �,(/t(4I t(,1J.(/J4- g( (�- (., a .��<G panel,alteration,or extension; Page 2 l 2 Address: 2 go Ll/ 6',5"-,7"t // Il Each additional inspection over allowable is any of the above ,,,t/E. . ", Additional inspection(1 hr min) 6625/hr City/State/ZIP: Va.-it7 C©IX 1,-P. W-74 ©�C C/ Investigation(1 hr min) 66.25/hr Phone: ff� 5/ — 5 9 f 66'a) SSC-- Inspection plant(1 whrhich min) 78.18/hr (�W/ � J Fax: b � �/j�j © Inspections for which no fee is ' CCB Lic.: C-�j Electrical Lic. a specifically listed(h hr min) 90.00/hr 1�7�2 `7 J CZ30 ` Suprv.Lic.; /775 S ELECTRICAL PERMIT FEES Suprv.Electrician signature,recuired: /1 t ISubtotal: Print name:C4 L S la /��E'-]'f � Date: Plan review(25%of permit ee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within NO • Print name: I Date: _ • days after it bas been accepted as complete CU3mWm Number of inspections allowed per permit. 64PenaiulELC-P rmilApp 440-4615T(1 I/05/COM/WEB iv\S rack, — o 1-11 Electrical Permit Application—City of Tigard Pate 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE S(HEDULE lkicri'Nan ; Qts. i.cloot Fee for all residential systems combined: $75.00 Renessable electrical energy systems Eh , 5 k,) I - Check Type of Work Involved: Audio and Stereo Systems* r7ni Wind generation systems in excess of 25 kvat I I Burglar Alarm 25.0! t,,50 ksJ ! 301,01 '.41 I t,‘100 k‘a 552 20 ; I X' Garage Door Opener* 5 14A0441.4ncc 917ii-v19-00.4u) 5-c Heating, Ventilation and ,11.ir Conditioning Solar generation systems in excess of 25 kx a: System* I itch additionak\.44\.r 2.5 Vacuum Systems* k, -Lk)additional ell“r4A 0 t Each additional ins ieclion over allowable in any of tlic above: I Other: Lich addition.11 iniTection hr 1.2.:harged non houtly(I hr win) 41 -1 inspectionI r which nr, ti.is 1)() )11 )),-)eciricall) 11),ted -hr mu)) ELECTRIC1L PERMIT FEES COMMERCIAL WORK ONLY: Fee for each commercial system: $75.00 Subtotal I Enter on Page 1) Number4kmspecAnis all.),A per pernin (SEF, OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems I I Boiler Controls I I Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC Instrumentation I I Intercom and Paging Systems Landscape Irrigation Control* I Medical I I Nurse Calls Outdoor Landscape Lighting* Protective Signaling fl Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I B.A.; IL( PC`IlIlLLR [RI d,, lit i • •• r Plumbing Permit Application Building Fixtures ,.-, "'\\Jt:,:. . FOR 01-1:1CL ISr: (1\L Ci of Tiars C Received a 13125 SW Hall Blvd.,Tigard,OR 97i'A .:-k.)17: 3 j�1u ��� Permit No.:/v 71()/(:_Ui 1tci ' I Phone: 503.718.2439 Fax: 503.598.1960 (")�, , �° ;y n Review Other Permit No.; Inspection Line: 503,639.4175 f�C� r I G A R p ,.1,1 .'� ' /By: Asir: RI See Page Z for Internet: www.tigard-or _.rN 1,)r V�5 cubo± Supplementallofaramtioa TYPE OF WORK -�� 'lk•3 V . AEEe SCREDL1Ll1;:-, ' •'1, ,```io For add inormetion use checklist0 New construction ©l Olition P f Description I Qty, I Ea. I Total 0 Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath + 500.32 _ Each additional bathlkitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB'SITE rFORbfA ON:AND LOCATION Site utilities: Job site address: IS f , -V Bit/ i,'If'X i,„"1') Catch basin or area drain 18.76 •� J Drywall,leach line,or trench drain 18.76 City/State2lP: 7lspio„{e/ 0R., 177�3 Footing drain(no.lInear ft.: ) Page 2 Suite/bldgJapt.no.: v I Project name: 1 ,' `i `It Manufactured home utilities 50.03 Cross street/directions to job site: ` Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no linear ft.: ) Page 2 Storm sewer(no.linear ft.:,,_) Page 2 Water service(no.linear IL_) Page 2 Subdivision: Lot no.: 1 7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION'OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 'V Drinking fountain 25.02 Ejectors/sump 25.02 -I 0 PgOPER'1y OWNER ' l 0 TENANT Expansion tank 12.51 i Name: �- '� -u 1 Fixture/sewer cap 25.02 �� r t �,^ \ n ,' O p "� } Floor drge soor sink/hub i 25.02 Address: �j�j EJ"u \Y` Via` -j�1Jl/ ,�j � Garbage disposal , 25.02 City/State/LIP: (J` De__ C i - Hose bib 25.02 Phone:l( P) A:)._,..),--`• .,1=j, Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: ]Z \ Ila{1 Medical gas(value:S_) Page 2 j Primer 12.51 Contact name: \- t) 1 01 , / --- Roof drain(commercial) 12.51 Address: _ Sink/basin/lavatory 25.02 City/StatcJLIP: Solar units(potable water) 62.54 Phone:( ) 1nFax::( ) Tub/shower/shower pan 12.51 E-mail: 1ATe/l(j)(. r ,VVI �i Urinal 25.02 �Water closet 25.02 -CONTRACTOR Water heater 37.52 Business name:EDWARD MULLEN PLUMBING ^Water piping/DWV 56.29 Address:1601 SE RIVER ROAD Other: _ 25.02 City/StatefZlP:HILLSBORO,OREGON 97123 Subtotal Phone:(503)640-0113 Fax:(503)640-4483 Minimum permit fes 572.50 CCB Lie.:94689 Plumbing Lie.no.:34-260PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: Al, tie: _-.111111, TOTAL PERMIT FEE Print name:RAY M(ILLEN l Dart: Tata permit application mit tion empires if a permit is sobtained within ISO.days after it has been accepted as complete, 'Fee methodology set by Tri-County Building industry Service Board. 1:leo dineentilstPLMiJ•PnwitApp.don 10/01X79 440.4616TO 0/02ICOMtwEBI IIICity of Tigard 4 COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: 1757—Z/0" --(,-rifa Site Address: 8�a5' gt ) 9th Lk. Project Name: Pen' ,._ On1SS ' , Lot . (New dwe6'_=subdivision name;Aden ar Alteration=last name of owner) Planning Review Proposal: /J. ) \? VVerify site address/suite#exists and actio in permit system. /Oliver Terrace Neighborhood: i/No ❑ Yes,See River Terrace Review Addendum Attached Sine Plan Elements: Three(3)copies of site plan t iv 'sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper I/ ootprint of new structure(including decks)with finished Fraven to scale(standard architect or engineer scale) or elevations Forth arrow IIQUtility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number I!i,�cation of wells/septic systems pplicant information(name and phone number) ' sting trees to be retained with drip line,and treeof dimensions and building setback dimensions otection measures Lot area,building coverage area,percentage of coverage andreet tree size,type and location 1?mpervious area(applicable if R-7,R-12,R-25&R-40) Street names L Property corner elevations(2 foot contour lines if more than 4 foot differential) iiI' lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Pequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No ublic Faciliti Improvementcant (PFI) Permit: equired: yes,appliwas notified ❑ No90 Applied For: Yes ❑ No,stopintake and Use Case#: Ris QJS-7 C1X /5-- i Zoning: L_I/J('Required Setbacks: Front /fir'—' Rear /� Side 1../ Street Side Garage EliLandscape Requirement: .,20 % / J 1 Vof Coverage Maximum: lP Building Height: Maximum Height // _,( $ � Actual Height o (P J isual Clearance 11/ Easements 51%►ensitive Lands: ❑ Yes VINo Type IN Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buildin permit �p Notes: L:c /1� t S'/kQ gph 071- /)/7 l� * �im t" ISSh4?1/C& Approved By Planning: —.� _ - C.....„r Date: � �'� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved E Not Approved I:\Building\Forms\B1dgPermitRvw—RES—091216.docx 1 Building Permit Submittal / Original Submittal Date: le'J// /c�" � Site Plans: j Building Plans: Ir-rnter Building Permit#: building,_,p,_,ermit--#above. Workflow Routing: fanning El -Engtneeringermit Coordinator111.-- ding Workflow Sign-off: � �Si '°ff for Planning(include notes from planning review) Route Application Documents: ( Engineering: (1) copy of permit application, (1) site plan, (1) building plan and origyl plan review routing form. uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: � .A....77,,,„‘._..--- -25-5,e) �, Date: /1I SA, Engineering Review Er Slope at building pad: 3 d ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat j-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes - No Assess Water Quantity Fee in-lieu: ❑ Yes -a No LIDA Facility on lot: ❑ Yes -2—No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: A t K Date: I I ei a 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 ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ir Yes ❑ N/A r::•K to Issue Permit - Approved by Permit Coordinator: Date: u//3//T 1:\Building\Forms\B1dgPermitRvw_RES 091216.docx