07-July (6) litiwl CITY OF TIGARD MASTER PERMIT
''> COMMUNITY DEVELOPMENT Permit#: MST2017-00233
' i'��.ii.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2017
Parcel: 2S112CB18900
Jurisdiction: Tigard
Site address: 8082 SW BARNUM ST
Subdivision: CORBIN ESTATESLot: 6
Project: Corbin Estates, Lot 6
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1882 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 24 Bathrooms: 4 Second: 1355 sf Garage: 826 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes
Total: 3237 sf Value: $404,748.83 Rear: 15
PLUMBING
Sinks: 2Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 6 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
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types AirConditioning: N Vent Fans: 6 Clothes Dryers: 2
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 7 201-400 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
3237
Owner: Contractor:
JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports(Conditions)
12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 503-639-2639
FAX: 503-624-0239
Total Fees: $31,855.55
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. A ' o Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent . Those rules are set forth in OAR
952-0, -0010 through•AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1 or 1.800.332.2344.
Iss •d By: ado. d �— _/ Permittee Signature: ' ..
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.
Building Permit Application
s
Residential
City of Tigard RECEIVE Received
ateBy: to r
ie_77..... Permit No.: `� 7 d 313125 SW Hall Blvd.,Tigard,OR 97223
■ Phone: 503.718.2439 Fax: 503.598.1960 JUN yAe 2Q17 DPaanteBReyvi
:ey'a.
) -- ) *".7 �I,/ Other Permit: i_r��0 i,y
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: T I Juris: See Page 2 for fir'
Internet: www.ti and-or. ov CITY OF IGAR i , /' ---��� g
b g Notifi d/Method: � i � / ! c 'V Supplemental Information
9t-1JI DINGIVSIO
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
�j] 1-and 2-family dwelling 0 Commercial/industrialValuation: $4°L
O J 7 I p
❑Accessory building 0 Multi-family Number of bedrooms: I O
0 Master builder ❑Other: Number of bathrooms: (4..
JOB SITE INFORMATION AND LOCATION Total number of floors: 2 4 0 b/3
Job site address: yw �� 1r.t� S.- New dwelling area: ' y 1 square feet
City/State/ZIP:
7--- �-Y�1, (/k r7 -13 Garage/carport area: t)).-6 square feet
Suite/bldg./apt.no.: Project name: l tet:. ‘o-: Esk....0,,Art Covered porch area: °1 b square feet13 b e
Cross street/directions to job site: 5-km y tk
/ SW ��� �j��lr�(• square feet) $8
Ps. .o t4c. v..✓
Other structure area: 7k square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: /6 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
O +� DESCRIPTION OF WORK work indicated on this application.
,".i Si AP .1-.11A 4S
it ;/cf w_.4.i .•'\ Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: 3 v.
"NvQ`t:.a--v4 Type of construction:
Address:
_ - --__Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: "'^T Qdr-1_ �� ,t L c)� (Please refer to fee schedule)
vx tY ' 7 Structural plan review fee(or deposit):
Contact name: Li. _
/ a FLSplan review fee(if applicable)—:
Address: I at,cz S:v "i-c7123,‘, Ave , S."r(k_ #o pp ) —
City/State/ZIP: ¢�"r4 / 6p Total fees due upon application:
Phone:(c�3' ) t��L_ ',it) Fes::(e�z,-s) Amount received:
X34-(523`�
E-mail: L yi C.,„1,) y„f ci` �to�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
4 ICONTRACTOR
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 3 T 1 lj Submit two(2)sets of roof plan with connection details
�,in 4ut_T1 rJand fire department access,alongwith the 2010 Oregon
Address: ( - J,,v 'R...„))^,--.49-vv ,(t 5,11,-/...e t f p
VP. :�� Solar Installation Specialty Code checklist.
City/State/ZIP: ,rfPermit Fee(includes plan review $180.00
and administrative fees):_
Phone:(5C.,3 )(v 3 1•- ,) 31 Fax:(503)(,./. —62_ State surcharge(12°/u of permit fee): $21.60
CCB lie.: '`I k 1-66 — —
Total fee due upon application: $201.60
Authorized signature: , 7/C67( This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4Date: 5--ft- / 3 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
s Mechanical Permit Applicati ,
Cityof Tigard I Received •
g Date B Permit No.
w 13125 SW Hall Blvd.,Tigard.OR 9223 Plan Re+ietr
2' Phone: 503.718.2439 Fits: 503.59$ 1961) JUN 1 4 ?illi` Due Bp. Other Permit
TIGARD Inspection Line: 503.639.4175 Date Ready B.' loris H See Page 2 for
Internet: www.tigard-or.gos: CITY Not,tted Metuoti: Supplemental Information
3 Di,[o.. k,, Mechanical permit lees.at•based on the value of the work performed.Indic
TYPE OF§1/1/PIN 5_thc acarest dollar)or:di inchanical materials.equipment.labor.ON enccad.at
Value:S
RI New construction ❑Addition'alterationlrepiacement RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES*
❑Demolition 0 Other: 1 for special information use checklist.
CATEGORY OF CONSTRUCTION Description Qty. Ea. 1
Iieatinglcooling:
I-and 2-family dwelling 0 Commercial;industrial 0 Accessory building
Air conditioning 46.75
0 Multi-family 0 Master builder 0 Other: Furnace 100.000 BTU toilets ue:ro,i i 46.75
JOB SITE INFORMATION AND LOCATION l Furnace 100.utu1 BTU ukiets.eats) 54.91
Heat pump 61.04
Job site address: r `� T—
Ci�-^� .�.il lin(—✓\,N ��- {�� D,,,,,,wk � 23.32
City'Slate:ZIP1- c f8 ,( (-19- -a-i-1Hydronie hot seater system 73.32
IResidential boilertrtdiator or 23.32
Suitebldg.'apt.no.: Project name: Ciy\e' ..‘ , htdu ntct
Cross street directions to job site: Sk Q.....ss 11- /S�� k 6\�'� Unit heaters i fuel-type.not electric t, 46.'5
to-wall urduct,suspended.etc.
Flue sent for any of above i 2332
--- Other 23,32
Other fuel appliances:
Water heater 1 23.32
Subdivision: e.�,0 Lot no.:
Gas tlrepiaceimett k 33.39
Flue cent for +surer heater orgas t +32 I
Tax map/parcel no.: tircplaec 1 I
DESCRIPTION OF WORK Log lighter(gas) '_332
Wood pellet stove 33.39
t Wood tre lacy msett ^3 32
I himnev.liner,Clue vent 23 32
Other. 1 2_i i2
1 i
Environmental exhaust and ventilation:
Range hood other kitchen j 1 I 13 39
equipment
0 PROPERTY OWNER 0 TENANT 1 Clothe_dryer exhaust 2 /0.39
Name. 56��e C� . � Single-duct exhaust(bathrooms, 2_3.32
� �1 Csl_:ri I toilet compartments.utility rooms)
Address: Attte crawlspacc fans 23.32
Citv.State'ZIP: Other: 2332
Fuel piping:
Phone:( ) Fax:( 1 $14.15 for first four:$4.03 for each additional
0 APPLICANT 0 CONTACT PERSON I Furnace.etc.
z..,k ., Gas heat pump
Business name: �..c-�-1�tn AVallsuspcndcdunit heater
Contact name: ti Water heater
•
r' 4 I Fireplace
Address: D 0-0 s,... 1—D.4 . '�, i
Range
C ity,State'LIP: '�t (.N\ y,Z,., 3 i Barbecue
t/ /s s
Phone:(gr;j) ?-3 k.y•— 8'i t Fax: :i )1 T!/— 64 3 Clothes dryer+gust
Other
F.-mail: S w +-�I %etc__ , t- L.1,3,-.... MECHANICAL PERMIT FEES*
CONTRACTOR Subtotal
Business name:All Time Heating LLC minimum permit tee($90.00) 1
Plan res iess t25°1,of permit fee)
Address:Po Box 1341 I State surcharge 112'."c of permit fee)
City'State:ZIP:Lake Oswego,OR 97035 TOTAL PERMIT FEE I
This permit application expires it a permit is not obtained within 180 days urte,
Phone:(503)208-2276 Fax:(503)206-6912 complete.
I.e me:h.xl.deg. •xt by Ti;-County Building tndtuun Srn,i.e Board
CCB lic.: 184575
Authorized signature.
,,,,-----2..,,
Print name:Aaron Svobo -a" z V___) Date:411812017
...*:---`- C_
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
I:•H,idinp Ver.!.N111.yurtmApp040t I+.du+
_
Electrical Permit Atmlt il: ttli - FOR OFFICE USE ONLY
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I 0 Demolition 0 Other: ilic at alibi,:rati:I c.i:rcot 0 klarmasaud boa:y:1,th
I - . .• '''CATEGORY.-OF klehl$114.4(11()&f:;:::-::••••••---•;•-• •••••,•• -•••:-• a.-,s.:-.:c..is i,005 amps a:150 at:•lo a or 0 tiamitu-i ishka,
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ircoticiimeiions to job site: ,. .,,i e,53 it Deur.Ipt..m 1 v Uri. Fr,. 1. •rsua 21,-
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,_. S 6J FCLI i 61 Vel New midi:mai/I sinolc-or multi-family IN ellior,Viiit.
loch:idea Aft:101mi garage.
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Oyer 7.001;.1;tips or:M4, I 552 26
Temporary services or feeders filti W1.1011)11,alteralioa,ikoilr'cir
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' 2u1::'amps ur Ivs, i I
Plialittr 1 j . tax:( )
1 --i 123.51j:::1456 1--r -
amps lo 4i.:0:Lops
()staler installation:This instailat:on is bs:ing,made:on prop-Crty that I owo'4.-it:rit-is not- "1°1 -
451 amps to 9 .,amps ! 168.54
i '110Cd t•sr •-ic le^- runt,or exchange.according to OKS 447.449,.670.and 71/1.
, No . ...ix-,
Branch circuit.;-mcw.a Ile ration.or extension,.pp'panel
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Ad:Iress: 271 SW Mnicnridge Place . I
AcIdaiamil inspociion;I::r now: I
: 56 25:hr i I
ti.It'lt:S:laactll': Portlstrid,OR 9722$ gsmI ar i i II-rim ho 2:7-hr 1
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Phone.I.503, 519-6711. , P'ti.s:t 503)648-9723
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(...:,..11 I.c. 196776 : FIczArical ,„ss.--:,: (.-...s4s ,,,Supn,.Lie.: 4$60S ..,Ins. t,toinni..:..iiiir laNGboo:';'.:6 is ;
40.03,
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Prim name: Chris holalioney ! Date: (if
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TOTAL 'E'a-Cirlli FEE :
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, Plumbing Permit Application
, .
Building Fixtures
1-0K 0FF1( 1 t.'A
City of Tigard RECE: IVL-4.7, - '• Anise No.:
.711 13125 SW Ilall Bh-d„Tigard,.OR 97223
Plus Review
Phone: 5017182439 Fax: 503.599.1960 ,..
1UN I la 21 Tzl.BY' '-''' Other Pen/tit No.:
Inspection Line: 503.639.4175
nue Iteetlyltr keg: in See Page 2 far
' 'u \' L' Interact www.tigard-or.em-
CI - i
TY OF -1C 1#3"amth°d: Sopplamsotal baformatioa
Tm IMF imam stilLEAG rmilsioN FEE*SCHEDULE
laNew construction 0 Demolition For special iefiurstatiore use ckecklis't
Description ] Qty. I Es- I Total
0 Additionialteration!replacenwnt 0 Other_ New 1-2-faneily dwellings(includes 100 ft.for each utility connectio
CATEGOICE OE CONSTMEICTION SFR(1)bath 31/70
ill 1-and 2-Elenily duelling 0 Commercial.industrial SFR(2)bath 437.78
SFR(3)bath t 50032
0 Accessory-building 0 A4u16--family
Each additiorod. bath/kitchen 11,- 25 02
0 Master builder 0 Other:
Fire sprinkler(-,-Kt-It) Page 2
.1901 19311E 11191131111111.10MIN AND ILIC4110101/1 Site utilities:
Catch basin or area drain 18.76
Job site address: 4ES 2.... 5,,,... G.'?-sr-v‘W.u.... ----S.V
Drrivell leach line,or trench drain 18.76
City!State/M: Nkel -Ok $ CAC I 1 ?-aq
Footing drain(no.linear ft: ) Page 2
Suitebldg-'apt no.: _ Project name:44,1-1,0\r) ,C....st_.,t.. Manufactured beer,utddier 50.03
Cross streetsdirections to job site: S1/4.1s %,(2.._tss S k- Manholes 18.76
3.ki` Yre•tik .0 \t.-A, Rain drain connector I 18.76
Sanitary sewer(no_linear it: ) I Page 2
Storm sewer(no.linear It:`,7Z I Page 2
Water senice(no.linear it.: ,,) I Page 2
Subdivision: r-, ‘ixn c_54- 1,...c 1 Lot no.: '.: ,,JC) Fixture or item:
Tax mapparcel no.: 12-'M,'''' Backflow preventer 1 31.27
Backwater valve 12.51
DiSegirelkii or iworx
Clothes washer t 25.02
Dishwasher I 25.02
Drinking fountain 25.02
Ejectors.sump 25.02
0 nm ow 1 0 muinir Expansion tank 12.51
I---r
Fl Un cap 25.02
Name: Sc) k_ OLS C-'..--f(kk("'-'41•- Floor dr:intone sinkihub 2.5.02
Address:
Garbage disposal I 25.02 _
City!State:Z/P: ` '
Hose bib I 25.02
Phone:( ) Fax opiarpyf,5,,,-,f, Ice maker 2... 12.51
0 APPLICAP1T El ONNTACr PERSON IntercePtoriffease haP 25.02
1,7 I 1, /. , _ Medical gas(value:$-.......',..- ) Page 2
Business name: -7.-VT .....1,5t,"cl,k l_ iclif‘g'1•C 1/4-4.----*4 C• 1
Primer 12.51
Contact name: A,,,,& ,h,„\
Roof drain(commercial) 12.51
Address: t'2-tOo'‘:°•% c ,..1 .-4--1 v144 AV?... sc,..N...\ae. l ''''4.60 SinIchssinlavalory C.) 25.02
City SilteiZIP: ‘i°0,1- -\ k e‘- ctlai 3 Solar=its(potable water) 62.54
phone.( 63) 3_4(3 _88 zit..). Fax:-(c-6.3) (0,94_c):43 7 Tub.showershower Pan 1 12.51
Urinal 25.02
E-mail: AvS-to\c -; -b.c)-k't.‘71•••(._
Water closet 11, 25.02
Water heater 11 37.52 --
Business name: V -2.7fi e6Abti3O q Water pipingiDWV 5629
Address: )2_7.02;7 5E-- //if25.02
City/State/ZIP: . ' rol-te3 'y ,11 '' l'S:r'1‘ Subtotal ...'.
hlininsum permit fee: $72.50
Phone:( ) --,.,.! . Fax:(
Plan review (25%of permit fee) -,'
CCB Lic.:itYPit 01../4 I SAV I? Plumbing Lit_floe") $ .,7_
Authocized signature:42/41170
State surchsr7O(II:4PERMITaf Penisit FEE
I Print name: 606 t:f N
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City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
III ® .
T 1 c a R D Building Permit Review — Residential
Building Permit #: M5?20/7 00 33
Site Address: b U' 2 _r v'/ 60 r no on s.l-,
Project Name: (}3 ih ri ES trot tt.1 Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 1\1 e.Ani „s ISL
AVerify site address/suite#exists and active in permit system.
ARiver Terrace Neighborhood: 0 No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,,C]Three(3)copies of site plan ung structures on site
gi/,,,,,,______,,,,,,//////Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
....gprawn to scale(standard architect or engineer scale) floor elevations
orth arrow ,PrUtility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number ASidewalk/driveway approach
Applicant information(name and phone number) gilecation of wells/septic systems
EiLot dimensions and building setback dimensions El-Existing trees to be retained with drip line,and tree
❑Square footage of buildings to be demolished protection measures
Dinet*area,building coverage area,percentage of coverage and X.Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) 'Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced/Yes ❑No
4 foot differential) If yes,is a storm water quality facility shown jnYes ❑No `'„
Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received:
❑ Yes ❑ No
,FJ Public Facilities Improvement(PFI) Permit:
Required: CI Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: J(3 2 G 141 _CC'C Cil_ , /2 1DT k l 7 - c Cr, I C
Zoning: - r,�-
Required Setbacks: Front Rear 1 Side _C? Street Side t 7 - Garage L ,'
Landscape Requirement N j A 0/0
Z( Lot Coverage Maximum: IV/ 1
fzf Building Height: Maximum Height .3 t, Actual Height 7 3
AVisual Clearance
Sensitive Lands: ❑ Yes ❑ No Type
0-15rban Forestry Plan
cZi Conditions "Met"prior to issuance of building permit
Notes:
fi'
Approved By Planning: 1./.\----<___. Date: 6 I ).s i ( -I
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 RES 061417.docx
Building Permit Submittal
Original Submittal Date: 6411/7
Site Plans: # 3
Building Plans: # 3
Building Permit#: ,nter building��permit#above. �
Workflow Routing: anning I�tJnglneering Er<rmit Coordinator wilding
Workflow Sign-off: I�gn-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
ori al plan review routing form.
wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: :__. Date: 6j/4//2
Engineering Review
' lope at building pad: OA
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
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: "4•--3)
Date: Zj-2I/7
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:
SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes N/A
rOK to Issue Permit
Approvedby
Permit Coordinator: ate: �-//�------
I:\Building\Fonns\BldgPermitRvw_RES_061417.doex