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Permit
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 el Transmittal Letter t i r,A u n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 4/(Wri— /yjyts'7�Y DATE RECEIVED: DEPT: BUILD G DIVISION FROM: MI(�son RECEIVEDCOMPANY: w/s ,2 i s Li-C.,, 2 9 2020 cJ CITY OF TIGARD PHONE: 7/ 3 —&2' Rl Ill DING DIVISION By. EMAIL: l/6UY] e• WQS4 WOQC,/hQ/YI.2S//C•Carj RE: /2C) /7 SW 4 S, 4d 01-(--L /721` 2�`/9- CX /3�'(Site Address) r 't t w/ (Permit Number) Ti lar al 7 DX- 77 f (Project notne or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: y. 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: OL'V VSS Cery 7/OGr 4-(4 Ci 4t `> I-y, V-re/SS nee( ke..i liirt s, prey'd.e ' a r,e -Ivpdd,/-e'( ,efrivi.�.�.-�,y F RO CE USE ONLY ermi Routed to P chnician: Date: �" Initials: Fees Due: 1111Wes ❑ No Fee Descri ion: Amount Due: 12, eie4.1 r2tAiv,x.i.o $ (is _ Special $ Instructions: Reprint Permit(per PE): 0 Yes ❑ No ❑Done Applicant Notified: Date: /f-7/4-1 Initials: Ifs, 0r"ri` t CITY OF TIGARD MASTER PERMIT "'1 i COMMUNITY DEVELOPMENT , / _ r,, Permit#: MST201 9-004 3 5 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Mar 23 2020 12:00AM TIGARD Parcel: 2S110BC12900 Jurisdiction: Tigard Site address: 12017 SW ASPEN RIDGE DR Subdivision: ESTATES AT ASPEN RIDGE Lot: 4 Project: Estates at Aspen Ridge, Lot 4 Project Description: New SF. SDC credits applied from BUP2016-00156. 8/15/2020: REPRINT permit to add laundry, tray. BUILDING Floor Areas Required Setbacks Required Stories; 3 Bedrooms: 5 First: 1953 sf Basement: 620 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 4 Second: 1183 sf Garage: 807 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3756 sf Value: $510,031.62 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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'I 500 sf: 8 201-400 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 asin Other: N Other Description: Ecom P 9: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF 3756 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 2 Geo Tech Required Prior To Pour PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $13,131.87 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 0 962-001-00 You may obtain a copy of the rules or direct questions to OUNC by calling�50'3.2/32.1987 or 1.800.332.2344. / Issued By: � 1//, Permittee Signature: (/�/ /61-.I C 770,l/ 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 jab site at the time of each inspection. PIumbingPermit Application Building Fixtures e '// 1 I� I 1i . _. �..,{y I on iit..t t( 1 1 `f. ()11.1 .I 131 W Hall Blvvdd.,Tigard,OR 977.23 AUG 0 6 2020Received ,ia,I z, � Pcmutxns•`�(cJ„lei 3S Phone: 503.718.2439 Fax: 503.598.1960 D exev ew t , 'n,'.i, Inspection Lime: 503.639A175 CITY Q1 TIGARD � . hum lafl.: Internet: www.tigard•oogov I71 DING.i�!`'.,iI•Ir. Notified/ ezLod. of SaPsga2for 611 TYPE OF WORK Sap • xereroatlon ® 0 Demolition New construction . ion Pal specfa[iitjbrmm7On use ehecidfra ❑Additiodalteratianheplacement 0 Other: Desc'iltl10R { Ql}• I Fa Total New 1-2-Emily dwellings(includes 100 it for each utility connection) CATEGORY OF CONSTRUCTION SFR(i)bath ® 1-avid 2-family dwelling ❑Commercial/industriai 12.70 SFR(2)bath 3 437.78 Accessary building [}Muhl-lbrnily SFR(3)bath 50032 0 Master builder ❑Other: Each additional bath/kitchen25.02 JOB SITE fhT ORbIAT70N AND Fire sprinkler�_sq.ft.) Page t LOCATION Site utilities: Job site address: 1'1 P l"7- 51'1i,4 5A-1,,e1-7 iz�eig•e.. l)r. ,EZIZI:rywea�leash r � 18.76 City/State/ZIP:Tigard OR O U roe,or tree drain ige 2 Suite/bldg./apt no.: Project name: S-/-�.[P J- q Footing drain(no,linear it: ) Page 2 J r Maufactured home utilities Cross street/directions to job site: , C / z • a �� 50.03111111111 .,rion MI 18.76 SeamYi sewer (no.linear Page 2r! M Page 2 Subdivision: Lotno.: Water savice(no.iinearIt: _ ) page 2 Fixture or item: Tax map/parcel no.: • Backflow preventer 31.27 - . .DESCREPTION OF WORK,.,:: 6arJtwaterValve 12.51 rw d . act 4 iA/w ctr washer 25.02 Dishwasher 25.02 Drinking fountain 25.01 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 0 PROPERTY OWNER 1 jecr�am lae 12riP .02 . .. 1�:TENANT•: •:. ,'. ,: F.xpmcion tank 12.51 Name:Westwood Homes LLC Fitttnrdsewe cap 25.02 Addmss: 12700 NW Cornell Road Floor Garbgedispo sink/hub 25.02 City/Stale/LIP:Portland OR 97229 lose bib dtsposai 25.02 Phone: Fax:(503)342 2gti3 Ice maker 25.02 ® APPLIC,/VT . ..:11 comer eras br.-: ,?. Irdexceptor/grease trap 12. Business name: r 25.02 Contact name: Prtmrr 12.51El Address: Roofdravt(commercial) a al I2Sl le Sinkfbasiaflavatory City/State/ZIP: 25.02 Solar units(potable water) 67-54 Phone: Fax::( ) Tub/showa/shower pan E-mail 12.51 Urinal 25,02 CONTRACTOR. Water closet 25.02 Business name:H`&H Mechanical Water heater 37 Wader piping/DAVV Address:5757 SE Wino*Lane Other reWri filA ._ 5629 City/State/ZIP:Milwgakie OR 97267 25.022.5- c' Subtotal MR Phone:(S03)975-9787 Fax:(503)659-2979 Minimum permit fee: S72.50 as Lic.:178122 Plumbing Lie.no.:7 J J )/11 Plan review (25%of pemtit fee) Authorized signature: yy fI urge(12%of pantie fee) 3.0 I PERMIT FEE , Print name:D ague Date tp ��js(�}} Tbis permit application e TOTAL .i r t-S J �/F /' "" stet&Inabeeaa permit tascom obtained wirMalg4days ` ea me hodoloyy au by 7 excepted b complete Di-County Building IndustryService Board I Ouiian8V'em,us1PL4II-Pmniapp.da 10/0149 44046t6Tfl truw8a) iCity of Tigard 14 COMMUNITY DEVET OPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: / 57 Zv L y' CO`7 3sT Site Address: 1 2,0 17 CV Awl 121yr pr• Project Name: Ls},. c,t ASti C t Lot #: l (New dwelling=subdivision na ;Addition or Alteration=last name of owner) Planning Review ,/1 }� `j�1 C1 - S i�. /0/G H re V r'S".1 r 7f 5 bill art h-044-t� Pro sal: JLLj c K' f L' ti- J -a i , ID G �4✓}r'S t. Ifd Verify address/suite#active in Accela. 1(d Ia River Terrace: 14 o 0 Yes,River Terrace Review Addendum Site lan Elements: �/ •.sion Control g '3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper < ed trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) E. tprint of new structure(including decks)and FFE rth arrow L�U�ilrty locations&easements(required for new and additions) Si address,project or subdivision name and lot number idewalk/driveway approach cr 4cant information(name and phone number) (ration of wells/septic systems [allot dimensions and building setback dimensions LJStreet tree size,type and location J gxare footage of buildings to be demolished Ce75tr�.et names � isting structures on site �omer elevations(2'contours if more than 4'differential) ILGt area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? [ 'S��jjs i�0No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑' /'I]No Clean Water Services—Service Provider Letterjot platted prior to 9/10/1995): Lq A., ,„ ) w aired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No , l("` Public Facilities Improvement(PFI)Permit�� t Required: CI Yes,applicant was notified P' No Applid For: 0 Yes CI No,stop intake C /and Use Case#: SuttlO1S O 1D III/Zoning: K-9.1 l '� }lequired Setbacks: Front: 2.o Rear: I S Side: .S Street Side: VA' Garage: 2o 111=f3luilding Height: Max.Height: S 0 Actual Height ZZ 1.5'Landscapee ZD % ` Lot Coverage Max:^_ I_ Entrance t back no more than 8'from street-facing wall ['Parallel to street or offset 45 degrees or less — Windows �' um 12%of area of all street-facing facades �� Garage ? Garage door is behind widest street-facing wall lid Yes ❑ No,one of the following is met: lak Door extends no more than 5'from wall and there is a covered porch extending beyond garage. oor extends no more than 5'from wand there is a 12 sq ft.window above garage on 2.d floor. eir Garage door width is 0 12'or less �i 50%or less of facade ❑ 60%or less and includes 7 of following ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim ❑ Window recess ❑ Window projection CI Balcony [��Visual Clearance lId[/rban Forestry Plan �Jensitive Lands: Yes 0 No Type: '.S k Eto Sivittf po onditrionslmet pntior to issuance of imildin,g, permit lsr. ti-t,-- jN 6- he.{' pn'N)- -1-1' �rJ i, yr;1- j il,.4-.0 ltd Approved By Planning: ! " - '- Date: 1 Z-S 1 i Revisions (after Building Submittal only) Reviewer Dçw to Revision 1: X Approved ❑ Not Approved AKCcU-V dam_ 2.l Revision 2: 0 Approved 0 Not Approved Revision 3: El Approved ❑ Not Approved I:1Bui Iding\Fonns\BldgPennitRvw_RES_022819.docx 1 ' r ;,i, City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT T[G ARD Building Permit Review — Residential Building Permit #: /''tom j L`l" CO 4/3� Site Address: [20 I- - CW Alan 2VyL pr. Project Name: at g�, nt. Lot #: Li (New dwelling= subdivision ;Addition or Alteration =last name of owner) Planning Review Pro osal: IVt scT) f6^ :5( lad Verify address/suite # active in Accela. rd In River Terrace: ig" No IIIYes,River Terrace Review Addendum Site lan Elements: �?I •sion Control Id3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper ed trees with drip line and tree protection measures wn to scale(standard architect or engineer scale) t' tprint of new structure (including decks)and FFE rth arrowL4SJylity locations&easements (required for new and additions) Siye address,project or subdivision name and lot number egidewalk/driveway approach IM,pplicant information(name and phone number) ation of wells/septic systems [ lot dimensions and building setback dimensions Street tree size,type and location 10• re footage of buildings to be demolished aiStr t names I! :sting structures on site I 'Comer elevations(2'contours if more than 4'differential) 11 •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? fs,❑, No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑I {lNo Clean Water Services-Service Provider Letter t platted prior to 9/10/1995): rrsrd �'/,) quired: ❑ Yes,applicant was notified No Received: 0 Yes 0 No I °IIr'� M Public Facilities Improvement (PFI) Permit - A�W ✓ k- Required: 0 Yes,applicant was notified I :No Applied ❑For: ❑ Yes No,stop intake 1-fYandUseCase#: Su62.01S-000WD LSYZed�oning: R-tl'S L✓J _Acquired Setbacks: Front: 20 Rear. _'S Side: _S Street Side: A- Garage: 2.0 C ding Height: Max. Height: 0 Actual Height ZZ a"Landscape '24 % [/Lot Coverage Max:- _ Entrance f� et back no more than 8'from street-facing wall [ " arallel to street or offset 45 degrees or less - Windows ' um 12%of area of all street-facing facades Garage Ef Garage door is behind widest street-facing wall 2 Yes ❑ No,one oldie following is met: 10 Door extends no more than 5'from wall and there is a covered porch extending beyond garage. Door extends no more than 5'from wand there is a 12 sq ft.window above garage on 2"floor. t! Garage door width is 0 12'or less fJ 50%or less of facade 0 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles 0 Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim 0 Window recess DI Window projection ❑ Balcony 2 \visual Clearance ',rban Forestry Plan I I NV Sensitive Lands: [ Yes ❑ No Type: lily s`drtii conditions et p or o issuance of uil ermit lrQ Approved By Planning: l Date: I Z+ `i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:1Building\Fomrs 4BldgPermitRvw_RES_022819.docx .. v i Building Permit Submittal k. Original Submittal Date: Jb/51/1 Site Plans: # Building Plans: # Building Permit#: nter-building permit#above. Workflow Routing: IV.i'ianriing ering - a t Coordinator IS-$ctitding Workflow Sign-off: -off for Planning(include notes from planning review) Route Application Documents: 13-Engineering (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 3-BIVI ng original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ;Gr Date: /IM/fir E�� veering Review e,/Slope at building pad: ©e i% IQ' onditions "Met"prior to issuance of building permit (2 Easements (encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: 1 Yes 0 No 111 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes:'te LQ Approved by Engineering: Date: /2/j2//9 Revisions(after Bui ding Submittal only) _ evxewer Date Revision 1: lApproved 0 Not Approved . 1A77,,,e9 Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved 0 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: tsion Notice 3: Date Sent to Applicant: gir SDC Fees Entered: Wash Co Trans Dev Tax: [<Yes ❑ N/A Tigard Trans SDC: [/Yes ❑ N/A Parks SDC: (� 'es ❑ N/A • LIDA 's ❑ N/A OK to Issue Permit / /r /0( Approved by Permit Coordinator: ` Date: �a! 1:'Building Worms B1dgPennitRvw_RES_022819.docx k 4t"VO CITY OF TIGARD MASTER PERMIT .° COMMUNITY DEVELOPMENT Permit#: MST2019-00435 Date Issued: 03/23/2020 T t r 1 A R:I- 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BC12900 Jurisdiction: Tigard Site address: 12017 SW ASPEN RIDGE DR Subdivision: ESTATES AT ASPEN RIDGE Lot: 4 Project: Estates at Aspen Ridge, Lot 4 Project Description: New SF. SDC credits applied from BUP2016-00156. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 5 First: 1953 sf Basement: 620 sf Left: 5 Parking Spaces: 0 Height: 22 Bathrooms: 4 Second: 1183 sf Garage: 807 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3756 sf Value: $510,031.62 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 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: Y Vent Fans: 5 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'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mid 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF 3756 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 2 Geo Tech Required Prior To Pour PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $13,058.84 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 obta' rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. v- Issued By: Perrnittee Signature: .P' 03.639.4175 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 t - Residential FOR OFFICE USE ONLY City of Tigard Received Permit No.: is s/4 - rn,57av�!-etas 13125 SW Hall Blvd.,Tigard,OR 97223 EN ED Plan Review Other Permit: 3` al Phone: 503.7182439 Fax: 503.598.1 E J v DateBy: (� Q�y r T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: / /1_ //, 7-; ® See Page 2 for Internet: www.tigard-or.gov DEC 0 5 zol9 Notified/M od:! ` `IC( �� Supplemental Information TYPE OF WORI(;;Vt'ni Q p1�lISIoN REQUIRED DATA:1-AND 2-FAMILY DWELLING El New construction ❑aribkfion G Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,an. the profit for the work indicated on this application. f 0 0-' CATEGORY OF CONSTRUCTION Valuation: $ +mi,..,- _—_@%_ ® 1-and 2-family dwelling ❑Commerciab'industrial `, ❑Accessory building 0 Multi-family Number of bedrooms: //'` e. ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION,� • Total number of floors: 3 lob site address: 12.01-7 5Pl AS/ i� I� //1 New dwelling area: 37 se square feet "Qg3 City/State/ZIP: '7 j 04,rot 0� .17 7 22 �!, Garage/carport area: 8'0 square feet l 153 Suite/bldg./apt.no.: LJ Project name:E,S kS G)�/Js �n� Covered porch area: .n' square feet 4ZQ -Cross street/directions to job site: e t aY`- Deck area: uare feet CCJJ t. vt cr% jar�k: 4�� square feet REQUIRED DAA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: q 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. Valuation: $ New SFR Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Same as applicant Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer Ia fee schedule) Business name:Westwood Homes LLC Structural plan review fee(or deposit): Contact name: Ai UStry-1 J FLS plan review fee(if applicable): Address:12700 NW Cornell Rd Total fees due upon application: City/State/ZIP:Portland,OR,97229 5t73-7 13-0 z/N Phone: :l "1 /Fax: :( ) Amount received: E-mail: 41 ti 1e o-o of ones t LCr C awlPHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. . Business name: Wes-h,voDc( J 1D yh.2s LLG Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: /27 0 0 f kVrC )r�e( (�I eet Solar Installation Specialty Code checklist. City/State/ZIP: Pori 1 t4 -L Q\ ©� ' 7 ZZ 7 Permit Fee(includes plan review $180.00 and administrative fees): Phone:603) 7/3 020li Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:195597 4.1, (Zia-I Total fee due upon application: $201.60' Authorized signature: This permit application expires if a permit is not obtained ^I within 180 days after it has been accepted as complete. Print name: ig u 5m wit)t Date: I O/ *Fee methodology set by Tri-County Building Industry(J �2 t I Service Board. I:Building\Permits1BUP-RESPerrmtApp. 02/24/2011 440-4613T(11/02/COM/WEB) I Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard C�� /E® Date/By:Received Permit No.: ' :. - • 13125 SW Hall Blvd.,Tigard,OR 972 jEC G V Plan Review Phone: 503.718.2439 Fax: 503.598.1 0 Date/By: Other Permit: T G A R D Inspection Line: 503.639.4175 0 5 2019 Date Ready/By: reds: ® See Page 2 for Internet: www.tigard-or.gov DEC Notified/Method: Supplemental Information ;TY OF TII ARD TYPE OF wain[l_DINGDIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION - - RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: ���� sit) �� J Airconditioning 1 46.75 46.75 Job site address: IV de Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP: A,r 4 0� 617 G 20 Furnace 100,000+BTU(ducts/vents) 54.91 J Heat pump 61.06 Suite/bldg./apt.no.: Project name: 6eS4eikS ei+- A Ductwork 23.32 23.32 Cross street/directions to job site: 12.4ej/lC _ Hydronic hot water system 23.32 a _ 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 23.32 Subdivision: Lot no.: y 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 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Oth ® PROPERTY OWNER ElTENANT S' 23.32 Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen equipment 1 33.39 33.39 Address:12700 NW Cornell Road Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Portland Oregon 97229 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) • 23.32 93.28 Phone:(503)713-6294 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other. 23.32 Business name:Westwood Homes LLC Fuel piping: $14.15 for first four;S4.03 for each additional Contact name:Allison May Furnace,etc. 1 14.15 Address:12700 NW Cornell Road Gas heat pump , Wall/suspended/unit heater City/State/ZIP:Portland Oregon 97229 Water heater 1 4.03 Phone:(503)713-6294 Fax: :( ) Fireplace 1 4.03 Range I 4.03 E-mail:allison@westwoodhomesllc.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other: MECHANICAL PERMIT FEES* Address:12700 sw ball blvd Subtotal 326.44 City/State/ZIP:Tigard Oregon 97223 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)598-8001 Fax:(503)598-8002 State surcharge(12%of pennit fee) CCB lie.: 199448 TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. Authorized signatur : * Fee methodology set by Tri-County Building Industry Service Board Print name:Allison May I Date: je2 S-119 I:1Building\Permits3 EC_PermilApp_0401 13.doc 440-4617T(1l/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard r C I` /E , �eived II .1 C G V Dan c : Permit#: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 DEC 0 5 2019 Ready Date/By: kris: 65 See Page 2 for T I(i A R D Internet: www.ti ardor. ov Notified/Method: $ $ Supplemental Information TYPE OF WORK- I Y v flGARCi PLAN REVIEW r71 lit DING PIVISIYIN ®New construction ElAddition/alteratiofl/repTacement 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. El Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address:I/�J� 7 5 Q-5 2®M ❑100H Addition of new motor load of system. � ( litJ� J r z'r `.' 100HP or more. ❑••A,> ••B•, ••1.2,.••1.3„ City/State/ZIP: /Jt�r 72Z4 J�y/� ❑H Six or more residential units. occrancy VI e`��Vt ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 4 3 4714 ^ 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: �dU U FEE SCHEDULE Description I Qty. I Each 1 Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: —I Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 New SFR (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Westwood Homes LLC 200 amps or less 100.70 2 Address: 12700 NW Cornell Rd 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97229 601 amps to 1,000 amps 301.04 2 Phone:(971)678-5018 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: 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 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:2870 SE 75th Ave#203 panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Hillsboro OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:RossElectric@comcast.net Inspections for which no fee is hr CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic.: 42325 specifically listed(1/2 hr min) 90.00/ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross , Date: El Plan Review Required(25%of permit fee): r/0 State surcharge(12%of permit fee): Authorized signature:C.C. /7:1:' , TOTAL PERMIT1E7 : �7 This permit application expires if a permit is not obtained within 180 Print name: `� Date: l L J /l9 j days after it has been accepted as complete. / • Number of inspections allowed per permit I1BuildrrePermtss\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I I/05/COM/WEB . ` Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.: 14 • 13125 SW Hall Blvd.,Tigard,OR 97223I EEC 0 5 2019 . Phone: 503.718.2439 Fax: 503.598.19 Plan Review Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris- El See Page 2 for Internet: www.tigard-or.gov RIJILDING F)IVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I 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 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE I LOCATIONFORMATIOAND �(/(/ Site utilities: C tch basin or area drain 18.76 Job site address: 12 -/ SW O�t J. �" t pl Darywelll,leach line,or trench drain 18.76 City/State/ZIP:Tigard OR t Footing drain(no.linear ft.: 1 Page 2 Suite/bldg./apt.no.: Project name: 4.e5 a 7 Manufactured home utilities 50.03 Cross street/directions to job site: ,4 "" `er l�� Manholes 18.76 `''�V 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 ,7 Subdivision: I Lot no.: ` Fixture or item: Tax map/parcel no.: Backflow preventer X 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 new SFR Dishwasher ( 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:12700 NW Cornell Road Garbage disposal I. 25.02 City/State/ZIP:Portland OR 97229 Hose bib 25.02 Phone: Fax:(503)342-2403 Ice maker 12.51 El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 •Business name: W WIC( S ( . Medical gas(value:$ ) Page 2 Contact na e�'27 �I �Y ,, Primer 12.51 Roof drain(commercial) 12.51 Address: (AS' l�l Sink/basin/lavatory tO 25.02 City/State/ZIP: Per-414, 117 e- 17 ZZT Solar units(potable water) 62.54 Phone:'Shh03-7/- - j'24t/ Fax::( ) Tub/shower/shower pan X 12.51 E-mail HlLA Y1 e W/57 door//io"VS U-C• corri Urinal 25.02 Water closet l} 25.02 CONTRACTOR 1 Water heater I 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal 7 f! /,^ Minimum permit fee: $72.50 Phone:(503)975 9787 Fax:(503)659-2979 !'�V Plan review (25%of permit fee) CCB Lie.:178122 Plumbing Lie.no.: y3 K(1 �✓ / I State surcharge(12%of permit fee) Authorized signature: ii... 4/ /. 1 ) ���jjj TOTAL PERMIT FEE Print name:Dusti ague Date: f�6 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:1Building\Permi sTLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) r s City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: fil,5 r L y- j i3s— Site Address: t20I " CV ndptn g.yt pr. Project Name: N4t4 al" A }Q t Lot #: Li (New dwelling=subdivision n ;Addition or Alteration=last name of owner) Planning Review ii cr P�ro�sal: JLtd g�i�) f`� PS( Ltd Verify address/suite#active in Accela. KQ In River Terrace: LLY No 0 Yes, River Terrace Review Addendum Site lan Elements: Sion Control 3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper ained trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) ;64tprint of new structure(including decks)and FFE pith arrow yhty locations&easements(required for new and additions) Si address,project or subdivision name and lot number [ tdewalk/driveway approach lll4 cant information(name and phone number) cation of wells/septic systems [Q{of dimensions and building setback dimensions L�IStreet tree size,type and location IIA5mare footage of buildings to be demolished [ 'Str et names C sting structures on site t owner elevations(2'contours if more than 4'diffferlential) Llyf of area,building coverage area,percentage of coverage and >1,000 es; of impervious area created or replaced? LId l s ElNo impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ 1 No Clean Water Services—Service Provider Letter t platted prior to 9/10/1995): Lq Arvid quired: ❑ Yes,applicant was notified No Received: ❑ Yes El No Ary M Yublic Facilities Improvement(PFI) Permit: IkJ, — /Required: ❑ Yes,applicant was notified EL No Applieded For: ❑ Yes ❑ No,stop intake E and Use Case#: SU�1SO00tD CQ/Zoning: g`1'Svjig y �� equired Setbacks: Front Rear: I S Side: .S Street Side: pr•^r Garage: 2.0 ding Height: Max. Height: 0Actual Height 2Z L9'Landsca e a: �i0 % Lot Coverage Max:_........� Entrance p2f/ t back noi more than 8'from street-facing wall LiYParallel to street or offset 45 degrees or less Windows [Q mum 12%of area of all street-facing facades Pr Garage B Garage door is behind widest street-facing wall LIB Yes ❑ No,one of the following is met: 7"i'1 Door extends no more than 5'from wall and there is a covered porch extending beyond garage. oor extends no more than 5'from wand there is a 12 sq ft.window above garage on 2"d floor. LJ Garage door width is ❑ 12'or less '51 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding 0 Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim El Window recess 0 Window projection CI Balcony LDS Visual Clearance rban Forestry Plan L5'Jensitive Lands: L7A Yes 0 No Type: Site SIT14 Fo issuancetor-1*-- Planning: of buildin permit pConditicootat=riolvr Ix. ru. )) }„ (���� . jri7)4131." "- ZAPproved By 1S '� Date: 11+ 1 i Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BIdgPennitRvw_RES_022819.docx 'ar Building Permit Submittal Original Submittal Date: f /3 Site Plans: # Building Plans: # Building Permit#: nter�building permit#above. Workflow Routing: ILJ-1'fanning ering --P r'fi Coordinator L�- tding Workflow Sign-off: -off for Planning(include notes from planning review) Route Application Documents: C" gineering. (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. E-B'fi[i 3 ng original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: . ��� � Date: /.IM/t . Etyineering Review ,l.,.,/Slope at building pad: ©i/ aa% //onditions "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: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No LIDA Facility on lot: le Yes 0 No [1? Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Ca/Approved by Engineering: Date: (Z//Z_//9 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 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: sion Notice 3: Date Sent to Applicant: �/ SDC Fees Entered: Wash Co Trans Dev Tax: I� des 0 N/A Tigard Trans SDC: ^❑//Yes ❑ N/A Parks SDC: l2 es ElN/A LIDA s ❑ N/A OK to Issue Permit /a-/Approved by Permit Coordinator: Date: a /j1. I:\Bui lding\Forms\BldgPennitRvw_RES_022819.docx 1 ' of COMMUNITYCityTigard DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: fit,5T j 1 `f- a)`73s- Site Address: 120 I- Si✓ A31i)1n 11 Pp. r—, Project Name: W-x-ki at ASflk, Lot #: l (New dwelling=subdivision n ;Addition or Alteration=last name of owner) Planning Review IIG, P�rosal: Nt,t t ,c V ^ #'34.5 P./Verify Verify address/suite# active in Accela. I In River Terrace: g. No ❑ Yes,River Ten-ace Review Addendum Site 1an Elements: lion Control gaire3 opies of site plan on 8-1/2"x 11"or 11 x 17"paper d trees with drip line and tree protection measures awn to scale(standard architect or engineer scale) sprint of new structure(including decks)and FFE rth arrow L�U ility locations&easements (required for new and additions) Siye address,project or subdivision name and lot number Rgidewalk/driveway approach Applicant information(name and phone number) cation of wells/septic systems Lkfot dimensions and building setback dimensions Street tree size,type and location 03mare footage of buildings to be demolished llhStr,pet names L fisting structures on site L(1eomer elevations(2'contours if more than 4'differential) Wei of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Cs ❑No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ No Ll/Clean Water Services-Service Provider Letter lot platted prior to 9/10/1995): 4 A_ _ . ,) .equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No �1 �` l Public Facilities Improvement (PF1)Permit. kkJ Required: ❑ Yes,applicant was notified kd"No Applied For: 0 Yes ElNo,stop intake C/ and Use Case#: SU32 S O00WD T/Zedoning: R-9 I .equired Setbacks: Front: Rear. .� S Side:_.S Street Side: tik Garage: 20 [V uilding Height: Max. Height: 0 Actual Height: ZZ C /Landscape 2 O % Lot Coverage Max: Entrance Q/�et back no more than 8'from street-facing wall 14arallel to street or offset 45 degrees or less - Windows Q Minimum 12%of area of all street-facing facades �� Garage 0( Garage door is behind widest street-facing wall IV/Yes Yes ❑ No,one of the following is met: SA Door extends no more than 5'from wall and there is a covered porch extending beyond garage. moor extends no more than 5'from wand there is a 12 sq ft.window above garage on 2.d floor. F Garage door width is 0 12'or less al 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance El Wall offset 0 1'Roof eave 0 Roof offset ❑ Fire shingles ❑ Lap Siding El Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer 0 Accent siding pla Window trim ❑ Window recess ❑ Wmdow projection ❑ Balcony EAU' Visual Clearance [ "7rban Forestry Plan al J/ensitive Lands: El Yes ❑ No Type: Sly Sifrlt1 onditions met pnior to issuance of 1Duil ' A Sermit c!,, '.`.. k-04iirfr'i il IS- Kt.\--er-ffr-+0 161,- r,_ ns,k,.... UQ Approved By Planning: Date: Z+I`1 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms 1BldgPermitRvw_RES_022819.docx T r Building Permit Submittal Original Submittal Date: /S�!q Site Plans: # Building Plans: # Building Permit#: n�ter building permit#above. Workflow Routing. 1 ng eying 8-1 it Coordinator El—B•aii'ding Workflow Sign-off: gn-off for Planning(include notes from planning review) Route Application Documents: [fgineering. (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. &111111iginal permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /2/iQ E�n ' eering Review L,.,., Slope at building pad: � �� c//onditions "Met"prior to issuance of building p t asements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: liW Yes 0 No 1l4 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ate Approved by Engineering: Date: /Z,/Z_//9 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: lion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: 'es 0 N/A Tigard Trans SDC: yes ❑ N/A Parks SDC: s ❑ N/A LIDA 4es ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPeimitRvw_RES_022819.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 N. : Transmittal Letter r I t;A R k3, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-.gov TO: DATE '� , 51 - 'VED DEPT: BUILDING DIVISION APR 17 2020 FROM: Allison May CITY OF TIGARD BUILDING DIVISION COMPANY: Westwood Homes LLC PHONE: 503-713-6294 By: RE: 12017 SW ASPEN RIDGE DR MST2019-00435 (Site Address) (Permit Number) Aspen Ridge Lot 4 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITE Copies: Description: ' Copies: Description: Additional set(s)of plans. ‘,.� Revisions: 'i7E /0 5l7v'S 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: Home was moved 1'to the west. LIDA box was moved out of turnaround. FOR O CE USE ONLY Routed to Per ' Technici : Date: 4 uw Initials: r Fees Due: Yes o Fee Descripf n: Amount Due: �1 elAin ik vkia $ /- $ Special Instructions: Reprint Permit(per PE): ❑ YesZ No ❑Done Applicant Notified: y� Date: S /17 Initials ' I:\Building\FormslTransmittalLetter-Revisions.doc 05/25/2012