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Permit - CITY OF TIGARD MASTER PERMIT •II 1 ' ' COMMUNITY DEVELOPMENT Permit#: MST2018-00191 T t(;;4 Rn 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2019 Parcel: 2S110AC03800 Jurisdiction: Tigard Site address: 11041 SW ANNAND HILL CT Subdivision: ANNAND HEIGHTS Lot: 15 Project: Annand Heights, Lot 15 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1040 sf Basement: 603 sf Left: 3 Parking Spaces: 0 Height: 34 Bathrooms: 4 Second: 741 sf Garage: 418 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2384 sf Value: $292,972.02 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 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: 4 201-400 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 2384 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 2 Geo Tech Report Required TIGARD,OR 97223 Prior To Pour PHONE: 503-768-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $30,636.97 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. Y•u may obtain a/•py of the rul- or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r4 /, //II 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. / I c Building Permit Application II • Residential t "" FOR OFFICE USE ONLY 2 )��" Received /� 7/ /qZtcTit)/ �C� City of Tigard j U N R '-l)18 DateBy: �/ Permit N C IIIa 13125honSW Hall Blvd.,Tigard,OR 97223 Date/By:an Review Q ' !Z ��0� {-- Phone: 503.718.2439 Fax: 503.598.196Q (l ` s p` '6 Other Pe` ti.. U� !f' T I GA RD Inspection Line: 503.639.4175 1 j i n y ti f(" K" j;R. `--`,,Date Ready/By: I Jung El See Page 2 for Internet: www.tigard-or.gov � , Supplemental Information rmation LLL ✓d A4k. TYPE OFWORK 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 pro o 'e CATEGORY OF CONSTRUCTION work indicated on this application t, ' of_and 2-family dwelling ❑Commercial/industrial Valuation: $ ��a l a'1 . ❑Accessory building 0 Multi-family Number of bedrooms: 41 0 Master builder ❑Other: Number of bathrooms: 4 Z,sb� JOB SITE INFORMATIONAND LOCATION Total number of floors: Aa 3 Job site address: ,r/G'Li c54_) Anand ji,i/ (2k r-0 New dwelling area: .2.3i q square feet '7( City/State/ZIP: 7_,7--a 4-ftp Q g 9) ....3 Garage/carport area: Y [I(j/$ square feet k olio Suite/bldg./apt.no.: Project name: nn n4nd I/e 4 Covered porch area:. l square feet (I 03 Cross street/directions to job site: J.7 9 1--1) Deck area: % /2,,D square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: FIA RQ Ad H-to A is Lot no.: /3 Permit fees*are based on the value of the work performed. Tax map/parcel no.: �J 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. Aje j P/`nValuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: jD fu-c9 Q10 COS r T al) PLLType of construction: Address: /o2-G i's- 5 A...) fVd-r Dpi`, f 6-,1_,..,-,."City/State/ZIP: 7Occupancy groups: Existing: (�y a f 2 Phone:(. t3, 70,r-L--/_3 76 Fax:(1 23) 1/45-90-7 e)4a New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: ® E-mail: Miff! a ' (.jN\ ,4 IR all t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* ��� ��di OM l5/ Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: jfl . /r ) q ac S 74 L Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: G 5-5- (j to /veer cFA 12[Lc/f L`T'ITLei- Solar Installation Specialty Code checklist. . City/State/ZIP: 7/ � �� 47-72-2--3 Permit Fee(includes plan review $180.00 / and administrative fees): Phone:(53) //ge -V3 7s Fax:( 67/3 6`9(1-Zad State surcharge(12%of permit fee): $21.60 CCB lic.: 6--0/96- Total fee due upon application: $201.60 Authorized signature: "- ----- This permit application expires if a permit is not obtained '" within 180 days after it has been accepted as complete. Print name: �0 7i _ Date: G y 2 e *Fee methodology set by Tri-County Building Industry �/„Y� LQ s Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicatioiit, -. �, w FG_ .)FFICE USE ONLY '-w Received City of Tigard Date/By: Peimit No.: - 13125 SW Hall Blvd.,Tigard,OR 97223 t I e i,' Plan Review Phone: 503.718.2439 Fax: 503.598.1960 .1�� i 1 PlanRe Date/By: Other Permit: • T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: loris: H See Page 2 for Internet: www.tigard-or.gov Notified Method: Supplemental Information BUIP N * -1`'' X1T'liV .,, .COMMERCIAL FEE* SCHEDULE - USE CHECKLIST �.*1rl. ; n Mechanical permit fees are based on the value of the work ial‘w construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all d ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATE4QRY bF COlYS TRIJC3TON RESIDENTIAL EQUIPMENT,/SYSTEMS FEES 1'and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total jbB`SITE,,.41FORMATION AND LOCATION" Heating/cooling: Air conditioning 46.75 Job site address: 1 l/NU ,5/ J j�na� /717`/ /r pitFurnace100,000 BTU(ducts/vents) ." 46.75 City/State/ZIP: rJ//a,� ‘ 3,,, 9 3 Furnace 100,000+BTU(ducts/vents) 54.91 v Heat pump 61.06 Suite/bldg./apt.no.: Project name:�n ."4l$ Duct work 23.32 Cross street/directions to job site: iQ, 9 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 � Other: 23.32 Subdivision: ��n4/�/ CV//y h Lot no.: S Other fuel appliances: ` Tax map/parcel no.: Water heater -.7......."" 23.32 r DESCRPTION 4F; 'ogi( ,. ; Gas fireplace/insert `"-e'''...- 33.39 Flue vent for water heater or gas l CA �i� fireplace iii 23.32 /VI- 5' Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 .- ROPERTY,QWNER 7 0 TENANT '" Environmental exhaust and ventilation: Name: 6>I o 1�r &) d �5I . Range hood/other kitchen Q/°' equipment33.39 Address: / 5 , ,Vdpl..41ygetio, 5icrc.1 Clothes dryer exhaust .0'1' 33.39 City/State/ZIP: `�ji,,, C,Z .22i3 Single-duct exhaust(bathrooms, 4 toilet compartments,utility rooms) 23.32 Phone:( V3 76d -G/37C' Fax: --3) q o -74'46 Attic/crawlspace fans 23.32 PL,ICANT `.0`CONTACT PERSON Other: 23.32 Fuel piping: Business name: 0/n $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump WalUsuspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range �J E-mail /1 (J ®d� �ts/(/(��r fi.cti'/t (Oil Barbecue -CONTRA GI OR Clothes dryer(gas) Business name: -F t rr/ 6,/1 Other: MECHANICAL.PERMIT FEES* Address: lig( 4.5 p u c `, Subtotal City/State/ZIP: elk /� ®' di, a'- '5"- Minimum permit fee($90.00) "`v Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: 72 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: Fee methodology set by Tri-County Building Industry Service Board Print name: t#3,q/413.doc/ Date: �/)2�,Z 1\Building\Permits\MEC PermitAoo 040 440-4617T(11/02/COM/WEB) Electrical Permit Applicatio> . , ,- ,t. .- Ft, FFICE USE ONLY .tea,„,,,...?,...,„,,,. , a City of Tigard Received : Permit#: Iii . 13125 SW Hall Blvd.,Tigard,OR 97223 1U N 2 8 "2[1' ; Plan Review Phone: 503.718.2439 Fax: 503.598.1960' Date/B : Related Permit#: Inspection Line: 503.639.4175 t '1' y Ready Date/By: Juris D See Page 2 for TIGAR , Internet: www.tigard-or.gov E° Notified/Method: Supplemental Information 3S 1)/L It 1("i f..)!.Y .1 • TYPE-OF WORK PLAN REVIEW New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION/ 0 Emergency system. larger separately derived Job#: Job site address: 41/ �n n q„,./1.4`i(6'44 ❑100H Addition of new motor load of system. /�/ K100HP or more. ❑`•A„ "E„ "1.2„ «1.3„ Cl /State/ZIP: ija /�t '}9 ')^�'3 ❑Six or more residential units. occupancy. Ty C�/` •�f 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: AKd lie'L ❑Hazardous locations. ❑Supply voltage for more than v ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: /AO rot FEE SCHEDULE' Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: /4^nilit_® I/16115 Lot#: lc Includes attached garage. 1,000 sq.ft.or less / 168.54 4 Tax map/parcel#: • Ea.add'l 500 sq.ft.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential 75.00 2 &f 5',F (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 'FII-OPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: a/w/ural,./ 6„,s i A1C 200 amps or less 100.70 2 Address: ,a ss d CO N6,- p v1 6 .--/ 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 76 toU g7223 601 amps to 1,000 amps 301.04 : 2 Phone:(11 • 7b0.-113 ,S— Fax:(�3 )550 -, Over 1,000 amps or volts 552.26 2_ td't�� Temporary services or feeders installation,alteration,and/or Email: � �S Nu' /�M"f �,/L.�� I �((/r1'� relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 LICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: ( t✓ above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 4,..ca n e-gt' ,r7Y�T1 L Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: .,2:::. / c j 604 /2/ panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: v5),-__HA, 41"?,::)-.3-5 Additional inspection(1 hr min) 66.25/hr Phone: -z,'3) °5/9 ..._6,7 j, Fax:C.57/ ) ‘5/t6-92:23 Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email: � _ Inspections for which no fee is CCB Lic.:/q/.7 ”' . Electrical Lic.::— � Suprv.Lic.:f 5O'! specifically listed('/z hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name A, `5 4)4Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: A �, This permit application expires if a permit is not obtained within 180 Print name: C A jt'D a /0n Date: k //b days after it has been accepted as complete. +/ ! * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/1 5 �440-4615T(11/05/COM/WEB ♦ • • Electrical Permit Application—City of Pigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL.WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qty. Each I Total * Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n V• acuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(V2 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation F7 Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n N• urse Calls ❑ O• utdoor Landscape Lighting* n Protective Signaling Fl O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 11Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 f t Plumbing Permit Applicatio. (-°'° ` ° °' III re Building Fixtures ) C FOR OFFICE USE ONLY JUN 2 8 `0 18 Received - City of Tigard Permit No.: v 13125 SW Hall Blvd.,Tigard,OR 97 a Date/By: Phone: 503.718.2439 Fax: 503.SA Q £ Plan Review Date/B Other Permit No.: Inspection Line: 503.639.4175 _, I y T I G A R D Internet: www.ti ard-Or. Ov Date Ready/By: Jung: RI See Page 2 for g g Notified/Method: Supplemental Information ' ' TYPE OF WORK, FEE*'SCHEDULE r ' ew construction ❑Demolition For special information use checklist /"" Description Qty. 1 Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ,21-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ,,i ci 1( c5 Cv �A/1Q� l/�G4 Catch basin or area drain 18.76 "t f Drywell,leach line,or trench drain 18.76 City/State/ZIP: TO ii- --- 7.7- 3 Footing drain(no.linear ft.: ) Page 2 Suite bldg./apt.no.: 1.-/L-h Project name:gioaricifili Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 /®9 ' Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: M rod // 1,15Lot no.: 1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 /11t 5/72- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY;OWNER j 0 TENANT Expansion tank 12.51 Name: �c f®ndive ora' la/Ls-71-¢p c., FlFixture/sewer cap 25.02 Address: /9 / '54J A4rr/h,jea4`Z 45(4)--e--1-1/ Garbage drain/floor sflosink/hub 25.02 C� disposal 25.02 City/State/ZIP: -4 i if arm efZ, 41"7„2_,„„,_3 Hose bib 25.02 Phone:( -27b , 7S Fax:(?i3 5"`", -Z,04‘ Ice maker 12.51 ©_APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: 6,,,, Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: �Q/`-(/f a0-0 i AV .E'5 Air L.47 (49 Alta I/(cc Urinal 25.02 �jJ Water closet 25.02 '' CONTRACTOR Water heater 37.52 Business name: paw flh(t,it„6 1.,„t,, f(� Water 1 mg DWV 56.29 Pc/ P P bl Address: /, //1) 6" 6! `/i/ P/ Other: 25.02 City/State/ZIP: (�a'�.L6j0/1 l d4 f775--' Subtotal - Phone:(53) 7g3 --og Fax:(5.-3) -?3,3,6 / Minimum permit fee: $72.50 / � Plan review (25%of permit fee) CCB Lic.: /f � /-�9 Plumbing Lie.no.:3 S3 b`O6 State surcharge(12%of permit fee) Authorized signature: 7 11/2-0 TOTAL PERMIT FEE Print name: cpceil to kt k• Date:�i,7,/G This permit application expires if a permit is not obtained within 180 days `' after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(1 0/02/C01 IIIICity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /57U/ r.---0,075/ / • Site Address: I t D E-H cv\I Alit/vivid -hi!( l_4i (-+- Project Name: 1 ,MOj -(I J Lot #: 1b (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nie,,, gk- -- Verify site address/suite#exists and ac ive in permit system. River Terrace Neighborhood: ,No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: y °Three(3)copies of site plan Ili xisting structures on site lite plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations • orth arrow A-Utility locations&easements (required for new and additions) E ite address,project or subdivision name and lot number ,) idewalk/driveway approach Applicant information(name and phone number) v Location of wells/septic systems of dimensions and building setback dimensionsxisting trees to be retained with drip line,and tree 1\11R.quare footage of buildings to be demolished protection measures ii of area,building coverage area,percentage of coverage and ,Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Dtreet names roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? El No 'INT foot differential) If yes,is a storm water quality facility shown? e ❑No "D Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified ,cNo Received: ❑ Yes ❑ No 1:2(Public Facilities Improvement(PFI) Permit: Required: El Yes,applicant was notified A No Applied For: ❑ Yes ❑ No,stop intake P_ Land Use Case#: a D12- ,o 6 .-1' j :I Zoning: P--t2—( P .Required Setbacks: Front L5 Rear ( Side 2,1 Street Side 1f{-- Garage 2/1 .el, ( ) , Landscape Requirement: 4 Lot Coverage Maximum: 0/0 ;Building Height: Maximum Height 3S Actual Height 134 ='' Visual Clearance :1 Sensitive Lands: It,Yes ❑ No Type Cj elf,—) 01.2-eS Urban Forestry Plan _IRt Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: a/Am,. _ ,a, Date: r Revisions (after Building Submittal on ) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: / ,�" , Site Plans: # Building Plans: # Building Permit#: -Enter building permit#above. Workflow Routing: gr Planning ,Engineering Permit Coordinator Building Workflow Sign-off: la Sign-off forlanning(include notes from planning review) Route Application Documents: �'En Engineering: (1) copyof permit application, (1) site plan, (1) building plan and original plan review routing form. I3uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Date: __ _�� By Permit Technician: 47..",4 Or �� Engineering Review c� %Slope at building pad: 2 /0 _ ,Q Conditions "Met"prior to issuance of building permit I' Easements (encroachments) per engineering conditions of approval and plat -Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ,2r No Assess Water Quantity Fee in-lieu: ❑ Yes ,'No LIDA Facility on lot: ❑ Yes ,No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: hil l kat., /L s Date: 2 l 8 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: Yes CI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ` Yes ❑ N/A LIDA ❑ Yes p N/A Issue b Peordinator: ® ate:Z:: Y I:\Building\Forms\BldgPermitRvw_RES_061417.docx 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 1 Transmittal Letter T;i.;A 12 i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /117r41A,\ DATE RECEIVE DEPT: BUILDING DIVISION AEC L JUL 1 2 2018 FROM: ,.../D- (' 7P(ci GIP? OF FIGARO COMPANY: "Ali nClu-6tJ 445' BUILDING DIVISION PHONE: 3 ^ 7&D ^ c '7C- BY' 4 RE: /16:5 G'3 y/ n/Inao l 4 Ai/`- air,S7?-(Xi'`1,d t 7/ (Site Address) (Permit Number) Al P„ci A A (Project name or subdivision nameand 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: (U/frit/ SS ti) Routed to Permit Technici. •. s ate: 1 (to (Q Initials: Ai'j Fees Due: ❑Yes i e Fee Descri• ion. Amount Due: N)cDf\L- : /6 Special /t Instructions: Reprint Permit(per PE): ❑Yes No ❑ Done , / Applicant Notified: y� Date: H g Initials: 17 I:\Buildineorms\TransmittalLetter-Revisions 061316.doc 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. II City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Tr • IIIII ansmittal Letter T 3 c,A k n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 1\k\ on DATE RECEIVED: DEPT: BUILDING DIVISION AUG 1 6 2018 FROM: 1010C- - P4l 3sgr, 4-f$; 3c p COMPANY: l�o,,dg 9 C'c�nq 4;01x1 PHONE: n lei- iaei i litg Y RE: 40004Q tV4t C°t' 1.1 ['ao/(P' DO/9/ (Site Address (Permit Number) iN'Nivrei kAllk (, ‘s-- (Project name or subd' sion name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. )C Revisions: f1AC try, 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: FO FFI E USE ONLY Routed to Permit ec 'cian Date: ets 20 !`-b Initials: 4* Fees Due: 'eV p No Fee Desction. P Amount Due: 1Z in ctf; v..) ` — $ 's $ $ Special Instructions: Re.rint Permit .er PE : D Yes _ 0 o L"-- D Done Applicant Notified: , • Date: 4 .g /I Initials; I:\Building\Forms\TransmittatLetter-Revisions 061316.doc