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Permit
CITY OF TIGARD MASTER PERMIT m COMMUNITY DEVELOPMENT Permit #: MST2012 -00263 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/20/2012 Parcel: 2S109AB17200 Jurisdiction: TIGARD Site address: 13198 SW WILMINGTON LN Subdivision: HIGHLAND HILLS ESTATES Lot: 1 Project: Highland Hills, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 991 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1322 sf Garage: 413 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2313 sf Value: $260,126.40 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 2 Lavatories: 5 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. 0 Footing Drain: 0 Ice Maker. 1 Hose Bib: 0 Backwater Value: 1 Drywell -Trench Drain: 0 Other Fixtures: 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 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 4 201 -400 amp: 0 201400 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 8 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 2313 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 639 - 4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503- 381 -3753 PHONE: 503 - 381 -3753 FAX: 503 - 214 -8524 Total Fees: $19,017.71 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 5 1.800.332.2344. g5 l f, Issued By: Permittee Signature: V p • 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 Residential R �j��/� FOR OFFICE USE ONLY 1J1 1 �/ Received ���+ 3 . Date City of Tigard By /, Permit No.: Sf ✓ �� .111 q 13125 SW Hall Blvd., Tigard, OR 97223 r� q Plan Review C Phone: 503.718.2439 Fax: 503.598.191 1r T 1 / 202 Date/B : iee 0 Other Permit i -6 _ I' I Li A R D RD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov CrrY OF wpm Noti d/Method: " �r b ���`_ �_ Supplemental Information A IV TYPE OF WORK EQ ABED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I - and 2- family dwelling ❑ Commercial /industrial Valuation th¢ 30%00 174, .4 ❑ Accessory building El Multi-family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13198 SW WILMINGTON LANE New dwelling area: 2313 square feet City /State /ZIP: TIGARD /OR/97224 Garage /carport area: 413 square feet Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Covered porch area: i "}� square feet i 37_,.. Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134 Deck area: square feet 91 Other structure area: "772;6 square feet 2C REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: HIGHLAND HILLS I Lot no.: 1 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 DESCRIPTION OF WORK work indicated on this application. NEW SINGLE FAMILY Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: MISSOIN HOMES NW Type of construction: Address: PO BOX 1689 Occupancy groups: City/State /ZIP: LAKE OSWEGO /OR/97035 Existing: Phone: (503)381 -3753 Fax: (503)214 -8524 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: MISSION HOMES NW (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: JOSH KELSO FLS plan review fee (if applicable): Address: PO BOX 1689 Total fees due upon application: City /State /ZIP: LAKE OSWEGO /OR/97035 Amount received: 750 '^1 ' -p Phone: (503) 381 -3753 Fax: : (503) 214-8524 E -mail: JOSHKELSO3 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM Co . -rci. ..- • residential prescriptive in : ation of CONTRACTOR roof -top mounted . • .toVoltaic Solar ' . el System. Business name: MISSION HOMES NW Submit two (2) sets o .of plan 't connection details and fire department acces , , • ng with the 2010 Oregon Address: PO BOX 1689 Solar Installation Speci. Co. : hecklist. City /State /ZIP: LAKE OSWEGO/OR/97035 Permit Fee (i des plan rev' $180.00 a • administrative fees): Phone: (503) 381 -3753 Fax: (503) 214 -8524 State sure , 1 rge (12% of permit fee): , - .0 CCB lie.: 186849 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained ___ 111111110 / /•9- /Z within 180 days after it has been accepted as complete. Print name: JOSH KELSO Da * Fee methodology set by Tri - County Building Industry Service Board. I:\Building\Permits\BUP- RESPermitApp.doc 02/24/2011 440 -4613T(1 1/02 /COM/WEB) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY Received City of Tigard � / A Permit No.: 0 13125 SW Hall Blvd., Tigard, OR 97 Date/By: r r „ , QQ Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No. ..061 Inspection Line: 503.639.4175 lGAliD OCT. O 1 7 q C0�2 B Date Read Juris: ® See Page 2 for Internet: www.tigard- or.gov 1 7 Notified/Method: Supplemental Information TYPE OF WOI AD FEE* SCHEDULE ® New construction EGISI For special information use checklist V1� Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ 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 ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath I 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (2313 sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13198 SW WILMINGTON LANE Catch basin or area drain 18.76 City /State /ZIP: TIGARD /OR/97224 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: _) Page 2 Suite/bldg. /apt. no.: I Project name: HIGHLAND HILLS Manufactured home utilities 50.03 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH 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 ft.: _) Page 2 Subdivision: HIGHLAND HILLS I Lot no.: 1 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NEW SINGLE FAMILY Dishwasher I 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: MISSION HOMES NW Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: PO BOX 1689 Garbage disposal I 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Hose bib 2 25.02 Phone: (503)381 -3753 Fax: (503)214 -8524 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: MISSION HOMES NW Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: JOSH KELSO Roof drain (commercial) 12.51 Address: PO BOX 1689 Sink/basin/lavatory 6 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Solar units (potable water) 62.54 Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Tub /shower /shower pan 4 12.51 E -mail: JOSHKELSO3 @GMAIL.COA9 Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: S & B PLUMBING Water piping/DWV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City /State /ZIP: VANCOUVER/WA /98664 Subtotal Phone: (503) 545 -3601 Fax: (360) 695 -5031 Minimum permit fee: $72.50 CCB Lic.: 168129 Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signa -,.a „doi row110 01 111111. /4 , e e Z TOTAL PERMIT FEE I Print name: JOSH KE Da„� 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. 1:\Building\Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard E D Date/By: Received ( �, Permit No.: f � g /� / f , 3 il ° 13125 SW Hall Blvd., Tigard, OR 9722 RECEIVE 1 v �'I Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:Aog.00/ T I G A R D Inspection Line: 503.639 ( 17 2012 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information CITYOFTIGARD TYPE OFw[IJDfING DIVISION 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* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 13198 SW WILMINGTON LANE (requires site plan showing placement) 1 46.75 Fumace 100,000 BTU (ducts/vents) I 46.75 City /State /ZIP: TIGARD /OR/97224 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH Duct work 23.32 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 Subdivision: HIGHLAND HILLS Lot no.: 1 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 NEW SINGLE FAMILY Gas fireplace I 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 0 PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 _ Name: MISSION HOMES NW Environmental exhaust and ventilation: Address: PO BOX 1689 Range hood/other kitchen equipment I 33.39 City /State /ZIP: LAKE OSWEGO /OR/97035 Clothes dryer exhaust 1 33.39 Fax: (503)214-8524 Single -duct exhaust (bathrooms, Phone: (503)381-3753 toilet compartments, utility rooms) 4 5 ° ' 23.32 0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 1 23.32 Business name: MISSION HOMES NW Other: 23.32 Fuel piping: Contact name: JOSH KELSO $14.15 for first four; $4.03 for each additional Address: PO BOX 1689 Furnace, etc. 1 Gas heat pump City /State /ZIP: LAKE OSWEGO/ OR/97035 Wall /suspended/unit heater Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Water heater I Fireplace 1 E -mail: JOSHKELSO3 @GMAIL.COM Range I CONTRACTOR Barbecue 1 Business name: ADVATNAGE HEATING & AIR CONDITIONING, LLC Clothes dryer (gas) Other: Address: 2355 HYACINTH MECHANICAL PERMIT FEES* City /State /ZIP: SALEM /OR/97301 Subtotal Minimum permit fee ($90.00) Phone: (503) 393 -5315 Fax: ( ) Plan review (25% of permit fee) CCB lic.: 111494 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature This p ermit application expires if a permit is not obtained within 180 / days after it has been accepted as complete. Print name: JOSH KELSO Date: , 2-_ • Fee methodology set by Tri- County Building Industry Service Board 1:\ Building'Permits\NEC- PermitApp.doc 09/09/10 441 •617T(tt /02/COM/WEB) 03/1.7/2011 13:12 5034636863 CONNECTIONS ELECTRIC :2190 P.002/002 •I Ill &VII Iv•74IIO1 MI. !ITV •. L , Electrical Permit Apolicatio E D 1 ok (,►, I. 1; li, t)Ni.\ City of Tigard I1 ` ' c if A PawI1 No.' s; aoi. �a P43 y 13125 SW hOW, , Tigard, OR 97223 ••�. :. -.. (I Phone: 503.718.2439 Ns: S43.s9t19� r T 1 2012 , , - sherd►: (o O/ 9- ov,Ai , , Inspection Um 503.639,4115 tari i Internet: w er tigard-0 � r.go, y OF TK; ARD _ _ _ — TYPE aB n iG n W 1S10N .. . .. ... - :. • .. .:4. t..: R ►1� ii&vo�w . . . Now construction 0 Addilionlalteradonh+eptaccment P as llial oppIg (WOW l 11e erplau wfileoss checked Below): &Moe kaki. 400 arops Demolition Other, emu, ,'..: O . rt ow: wow O ndb t boatyards. OA 4t 3.. " _ 1' 4 . weeds 10,000 amps al ISO wits or Cl Roland bell4tadr. w 7�s ,, •� leas good, or wadi 14.000 O (kaunanhl4se egricalwtl ;T1- and 2- family dwelling © Commercial/Industrial 0 Accessory building amp teh•all Gam I atalWhleei. buildings. Q Multi - family ❑ Master builder ['Other: 1:1Fila pump. CI taaaaauoa or7S KVA or .• 500 lire 1NFORb1A710N AND LOCATION O Addition rnhtaa4 larger r,"1 wooly aatvea p a►asn C1Addtlfnofaaw atotorload of Q "4" 1$","i-i", (� 1 go s.•� 10011P aoeae. aaa7- lob Ito.: Job aita address: (,U,7 ,1, ,►/1047 L • Oshewmoosresidential cubs. C7Recrcrlaael sebielepetite. Clty/State/ZiP: (� p R 9} y z y d CI ClHealth-eara f ia«dow I khans. p v et aon auto then Suite/bldg./apt. no.: I Project name: (, it .a E. ik O service or made►600 aim er woo. ° .F. •st BE 11LS ' . ' Cross streot/dimelions to Job stle: • h>rrrmi Imam= • New ra:idcnttal single - or multi- tamtly dwelling unit. Avl1 ev11 . l 133 "- . Includes attacked )sage. - Subdivision: J Lot nem I tA00114. Modem 1 k _68,54 4 Tax map/parcol no.: Ea. edd'1 S00 s4 n. or ponien 39.92 1 tAadted anew, cnildentlal ' DESCRIPTION loN of *t ' . • -. 1 , - • , em. rn ► 7xan 2 L � aa ituitedenergy,mutdWmUy 75.00 2 NEW SINGLE FAMILY rosidoalial (with above 14. --- Services or feeders Instatlalion and/ot reloealton 200 amps orb= . 100.70 2 ® PROPERTY OWNER r O 7'ENAIITP ' 20t an>pe to 400 amps 1 33.56 2 Name: MISSroN Fromm NW 401 amps to 600 amps 200 .34 2 601 amps to 1,000 amps 3 y 2 Address: PO aOX 1689 Over 1,000 amps err yaks 502.26 2 City /S1ate/ZIP: LAKE OSWEGO/O1t197035 � fees or balers imialtadon, alteration, sable Phone: (503)3814753 1 Roc: (503)214-8524 • 200 amps or leas 54.36 I Owner installation: This htstallelion is being mode on property that 1 Own which is not 201 amps to 400 amps 163.34 2 Intended for sale, lease, ront, or exchange, according to ORS 447, 449, 670, and 701. 401 gu Branch cult lps &eult amps t68 4 2 s -new, dleration, or extension, nor panel Owner algoature: _ _ Date: A. Poe for branch circuits ir/rb - • 2 APrUCANT I - __ Q CONTACF mum abov be draft feeder 7.42 2 Business name: MISSION norm N'N+' B. taco tar broach alewfts Wilma • sawing or feeder: a, rasa 36.18 2 Contact nemo: JOSH KELSO be drab - Ranh sdd'I branch circvn 7.42 2 Address: PC) BOX 1689 h1I34ellapeouslsonin or feeder not Included) modular C ity/State/ZIP: LAKE OSWEGO/OR/97035 Q 1'�acc}bh oxmh �Itinll, and/or thoder 6184 2 Phone: (301) 3613753 I 503) 214 534 UMW only 6 8 ,►OSKREILSO3@GMMA►Y+ICOM _ if u n oprola 6784 3 'Sign Or otldllha Ugihtirt8 67.84 2 � & mail : CONTRACTOR Signal ckrcuii(e) or Ilmitehl4eetgy Business name: CONNECTIONS ELECTRIC °t,altezatlon. Oreoueaaioa. Page 2_ 2 Sash additional inspection o v e r AlainNo in any of the above Addmsr PORTLAND RD NE 1p It Addiiiione mm) tiaspectloa(t 6625/ hr City/Slate/ZIP: SALEM /OR/97305 4wcs plant a fur min) 662S/hr /hr ��� 0�� Industrial ptgpt (1 Armin) � 7t1.18 Phone: (503)350.7914 I Fax: (51 ) Y43- ao8la3 aa st,oct ore r no teo-O 90.00rlar saaafteall __, hrmia) , CCE Lk.: 65444 LElaeaieal Lie.: 24,24$C j Suprv. Lie.: 3lolls y ELECTRICAL PERMIT' PEW Suprv. Electrician signature, required: �Q Subtotal: . .•.�0 --- Plan rcvtew r 544 of , !be . Sta eutebarae (12 fee): ------ Print lteme: axe w� •_- _ 7oTAL na14IT FM: Authorized sign W b 12 applitatton viplros Ira Pintail is sot o lobed w(hla 180 days after It boa been snood es complete. Print name: •) e _./.-, f o Date: hp // / Z • Number of inspoottaat allowed per Pane 1.'tee ustagivrre erincr'armhApPdoo Wroulo 44O WIIP • I N e ° Building Division Development Code Provision Review r i c n iz Residential Projects Building Permit No.: J'1 5TAO/ g - Go4(P 3 Site Address: / I/ 91 8to tot /r+, .JQ&re .) l� Project Name & Lot No.: P/ •241- L G-r j /.i i U.5 / Leer / CWS Service Provider Letter Required: Yes ❑ No Received: Yes ❑ No Routed Plans: � Original Plan Submittal Date: /o/ 7 // 9— 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact at 503 -718- or @tigard- or.gov) La 'Use Case No. U �? ODi rOW/2 • Zoning k — 7 Cl3' Setbacks: ,. r Front r 7 Rear / Side 1-;-- Street Side / Garage Z O Igi Maximum Building Height g S Actual Building Height a" Er Visual Clearance E ▪ Easements Er Type:// �� S '/ 2 -40 a41-- �U ' Sensitive Lands Type. e ti Notes: / Original Plan: Approved Er Not Approved ❑ Date: i O'/ -7 ' / 2 - Revision 1: Approved . ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @ tigard - or.gov) ,0' Actual Slope: S.-- cy. Notes: Original Plan: Approved "- Not Approved ❑ Date: / 0 i 7 I Z Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City rborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov) Street Trees ❑ Protected Trees Notes: 'l4 ' helAAJi Original Plan: Approved Er Not Approved ❑ • Date: /12 i7' Revision 1: Approved ❑ Not Approved .0 Date:. , Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : • Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to App�lic t Okay to Issue Permit: Yes (ICJ No ❑ Date Routed to Building: ,1 _ // • • 1 1, Page 2 of 2 , D OCT 17 . 2012 BU�v ARD S.W. W II N G1N1 • ANE DIVISION E b CURB --f — _ 1 ii i--__ li s� - -- - -- . COVERED • ENTRY 1 ,DRIVEWAY / I v1 ( r ( i 4 1 / ‚ Co ca L` , 1 / ARA / / / I 4- .ki.ipiy_ u J; //• I SEWS' : R. ENT / / - grsizt , /•' • I / ••: 1 i , -. I COVERED I 1 PATIO J I I � 1 LOT 1 I 5,157 SF. 07 1 L L _ 50._ °��• ^ SETBACKS: S (� � 1 GARAGE = 20 BUILDING =15' PORCH = 12' SIDE YARD : 5' STREET SIDE YARD = 10' �% STREET TREE w // S itep fan 0 SCALE : 1 " =20' PLAN NAME: CONIACI: Phone-503-381-3753 2313 A F 03.214.85 DRAWN: BIKE .7 Ian `Z 6 ii PLOT: 9/ S/ O I mission HOMES NW , LLC. YffY■ . Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 06/05/2013 00:00 MST2012-00263 FAIL *Carbon monoxide Detector checked. 1. *Garage Vehicle Barrier Installed. Need moved to protect water heater 2. Provide plumbing final approval. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 06/06/2013 MST2012-00263 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 06/05/2013 00:00 MST2012-00263 FAIL 1. Hookup left front, right rear rain drain risers or hard cap. 1110.0 All else ok Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 04/03/2013 00:00 MST2012-00263 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 06/06/2013 MST2012-00263 PASS - C of O *Erosion Control approval Passed *Approach to Sidewalk Approval. Passed *Street Tree Certification, checked for trees. Received *High-Efficiency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certification checked. Need will e-mail report *Carbon monoxide Detector checked. Checked *Garage Vehicle Barrier Installed. Checked *Lawn Irrigation final with Backflow test results. Passed/received report. *Duct air leakage test documentation, (if ducts installed in crawl) in accordance with ODOE Stds. and Sec. M1601.4.1. Received georgeh@tigard-or.gov Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final 06/04/2013 00:00 MST2012-00263 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 03/27/2013 00:00 MST2012-00263 FAIL 4x10 headers needed at yellow circled areas on plan Fire block above alcove next to fireplace Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13198 SW WILMINGTON LN, TIGARD, OR, 97224 Residential - Master Permit 275 Framing 04/02/2013 00:00 MST2012-00263 FAIL Electrical service approval needed. Ok to insulate Violation Summary: Inspector Contractor