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Permit CITY OF TIGARD MASTER PERMIT 11' COMMUNITY DEVELOPMENT . . Permit#: MST2013-00112• TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 r ` '' Date Issued: 06/06/2013 Parcel: 2S102DC06300 Jurisdiction: TIGARD Site address: 13882 SW 90TH AVE Subdivision: GERTZ HOMES AT EDGEWOOD NO.2 Lot: 12 Project: Edgewood No. 2, Lot 12 Project Description: New SF. 11/12/13: Reprinted permit to include A/C unit. Placement of A/C unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 1139 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24.5 Bathrooms: 3 Second: 1431 sf Garage: 520 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2570 sf Value: $299,973.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0• Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 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: 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'l 500 sf: 5 201-400 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 2570 Owner: Contractor: GERTZ CONSTRUCTION CO INC GERTZ CONSTRUCTION CO INC Required Items and Reports(Conditions) 19200 SW 46TH AVE 19200 SW 46TH AVE 1 Ersn Cntrl 503-639-4175 TUALATIN,OR 97062 TUALATIN,OR 97062 PHONE: 503-692-3390 PHONE: 503-692-3390 FAX: 503-692-5433 Total Fees: $19,631.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �0Q 1 Issued By: - Permittee Signature: 0.,.n7 jasEEK_Ji....... gee: __ .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. eclianical Permit Application RECEIVE], - . FOR 01'I•IC t t. l_ON 1.1 City of Tigard • Received S� � 3 cr Date/By: Permit No i,lsTaol 3-00/0--• • 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 0 2 2013 Plan Review a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: - Other Permit: li l� Inspection Line: 503.639.4175 �. OF i 1G D� Date Ready/By. ® See Page 2 for Internet: www.tigard-or.gov niW Noufied/Method: Supplementalloformadou BUILDING DIVISION �"• . :.,,: '" ^ ,F-r•_ ,+ :OF-*0 ,.. ::,,I..... . . COMMERCIAL FEE!'3G. IDULE:T,> c r, .?j . Mechanical permit fees*are based on the value of the work New construction ❑Addition/alteration/replacement „,... Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: ; `'� ' mechanical materials,equipment,labor,overhead,and profit. ,�,. .. ► . • i Value: 4-e.': ?� 3 , e:S 4-:::.:.'-'2J.1r-r Cn'.,-....:•.'....-,'•‘!.:,ir ,=•• iiiioitfl� ._ U, `id'`1 . ,i- •�i,,,; ~ ci'm `r -,k.: : �,,�_ � i . I�f3SIDE1V179L.E '1 , tip GSM i ..',,;.: 1-and 2-family dwelling [�Commercial/industrial ❑A 'D•? ding Forspedd Infinnmfon use cha�st T Multi-family ❑Master builder ❑01' Description , • I Qty f EL -Total ” c-3r..,,r' �,,�� rr r k ra.,.:' Heating/cooling: ir�`7✓ t 1 +3 IR'7 '.... „•. _.. ;sf Air conditioning - • site address: l 3 v r su, c (requires site pion showing placement) / 46.75 T ^ (9� 9 2 Z Z� Furnace 100,000 BTU(ductalventa) / 46.75 //5 �' J[ ' Furnace 100,000+BTU(duets/vents) 54.91 te/bldgJapt.no.: Project name: Heat pump• • (requires site plan showing placement) - 61.06 ss street/directions to job site: Duct work 23.32 Hydronic hot water system . 23.32 - - - Residential boiler(radiator or - hydronie) -- • . -•: - . 23.32 I Unit heaters(fuel-type,not electric), i in-wall,in-duct,suspended,etc. 46.75 _ . _. . division: ' .r.T�� L Lot no.: l 2-- Flue/vent for any of above 23.32 Other: 23.32 :map/parcel no.: : Other fuel appliances: - :'' ,:_•.:r4;.' ; .i .''.DEScBI8tCION:rOF WORkL p:.:1. :i:..; Water heater I l 23.32 ,�/� � i Gas fireplace/inset 1 1 33.39 /Y Flue vent for water heater or gas _ IL( -/ (3 (w et)1A JP Ci/C_i;ler- Gre,v Q:7-: fireplace 27.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert • 23.32 t•=, -' ' •-•'' ''set':.:•1..�`:;' ne e9tiC'-. if itr V �r,, elrr`.C,.'i= .i",'...1•.::,„:.; t • Chimney/liner/flue/ven 23.32 .,',rA^g, a.iLL•v.:::. .s�a U xi � i: �� .' - -•',;', -,,;,•+ _ , ,-Other. 23.32• sic: G'e4-6...n Al sl- da, 4.4_, Environmental exhaust and ventilation: dress: , '. . YG f(. Range hood/other kitchen- -- I -.•7 equipment 33.39 • ...y/State/ZIP: 7 ad&Zee,j D2 5, 7 Q 4 L Clothes dryer exhaust 1 33.39 11 ` Fax:(svj)t; Z— �/�,3 Single-duct exhaust(bathrooms, - - d/►me:(J ) ?'Z-33 - a Q toilet compartments,utility rooms) 23.32 Vo t •.• y i ; .:.:.y i y. ,•, :f t! ?tiar•rr'.!:•rC•Or'n lt9 � � ;•.°i .,+;a'!• Attic/crawls ace fans 23.32 siness name: / co di„ f� � �4, Other - 23.32 _ Fuel piping: erect name: xr,,,,j G:,r"(_ S14.15 for first four,54.03 for each additional — ^thi ss: L7 2.� sce Get"c) ,Furnace,etc. I 1° Gas heat pump ?y/StateIZlp: k,.�q,.Fr,J ©A f�704 Wall/suspended/unit heater ..,...., ae:(fjp3)(�Z 3 3 g 0 Fax::(cSb3)GQ� 5 ce33 Water healer_ 1 nail: 4:e N (�410,-6-c ez, t�ia-r Fireplace Range . .`•� n�u �>{f:wn:iie�wiYib�:v.'�.a:-=:�'�in•.-.r•- .• ; -• -.,•"i�.:':tro Bar17eCUe airless name: Ô. 66 c:)/(( ab,,,v, -f 'i.e..,-6,', Clothes dryer(gas) - Other: dress: t 0 a ti?iN(° tS r, P �oa� 8ZlY84� -•ta ? iiivil7.::is,:',,76;: /State/ZIP: V4 Subtotal y 1ra�I�oac>,e.� GJ gSGSZ- ugp.-7T Minimum permit fee($90.00) one:(S03 )L Ts- bite,( I Fax:( ) G go- Z1Y3 Plan review(25%of permit fee) :B lic.: YZ 57 12%of 9 State surcharge( permit fee) x•(91 L� / TOTAL PERMIT FEE 5-,�,36 "f U - C ithorized signature: / • This permit applleatloo aepiree if a permit is not obtained within I80 — days after it hes been moved as complete. ------ at name: i Date: 5r4 0 - ' Fee methodology set by Id-County Building industry Service Board 7,//M 3 I....1Y....6e0ArPr-o im w..•.n win.ma , ....Ai 7rrl ism/mum/ma. I �•/ li CI TY OF TIGARD MASTER PERMIT •. c COM MUNITY DEVELOPMENT Pe r mit #: MST2013 00112 Date Issued: 06/06/2013 T IGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S102DC06300 Jurisdiction: TIGARD Site address: 13882 SW 90TH AVE Subdivision: GERTZ HOMES AT EDGEWOOD NO.2 Lot: 12 Project: Edgewood No. 2, Lot 12 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stones 2 Bedrooms* 3 First 1139 sf Basement 0 sf Left 5 Parking Spaces 0 Height 24 5 Bathrooms 3 Second. 1431 sf Garage. 520 sf Front' 20 Smoke Dwelling Units: 1 Third 0 sf Right 5 Detectors Yes Total 2570 sf Value: $299,973 80 Rear 15 PLUMBING Sinks 1 Water Closets' 3 Washing Mach 1 Laundry Trays. 1 Rain Drain' 1 Unnals 0 Lavatories' 4 Dishwashers: 1 Floor Drains 0 Sewer Lines. 100 SF Rain Storm Sewer 100 Tubs /Showers 3 Garbage Disp: 1 Water Heaters. 1 Water Lines. 100 Drains 0 Catch Basins 0 Bckflw Prevntr: 0 Footing Drain 0 Ice Maker 1 Hose Bib. 2 Backwater Value 1 Drywell -Trench Drain' 0 Other Fixtures 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning N 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: 5 201 -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 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 2570 Owner: Contractor: GERTZ CONSTRUCTION CO INC GERTZ CONSTRUCTION CO INC Required Items and Reports (Conditions) 19200 SW 46TH AVE 19200 SW 46TH AVE 1 Ersn Cntrl 503 - 639 - 4175 TUALATIN, OR 97062 TUALATIN, OR 97062 PHONE 503 -692 -3390 PHONE 503 -692 -3390 FAX 503- 692 -5433 Total Fees: $19,631.53 This permit 'ssued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be d in accordance- ith approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 d s. ATTENTION Orego law equires you to follow the rules adopted by the Oregon Utility Notification enter Those rules are set forth in OAR 2- 001 -0010 through OAR 9 001-0 • :. You may obtain a copy of the rules or direct questions to OUNC by calling 503. . 987 or 1 800 332 2344 I ued By: K. V / / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available Inspection te. This permit card shall be kept in a conspicuous place on the Job site until co lotion of the project Approved plans are required on the job site at the time of each Inspection. 'Building Permit Application RECEIVED Residential IoR of filch USE o\I.1 MAY 0 2 2013 1111 • City of Tigard RDate ed C a- / SC Permit No G -(S7�a 3 , pb 13125 SW Hall Blvd., Tigard, OR 97h3 CITY OFTIGARD Plan Revie —7 ":4 0 , 4 9211 C Phone: 503.718.2439 Fax: 5031598.19 3 Other Permidk) !, • 3 .0 j J.. ` B UILDING D IVISIO Date Read . ® See Pa e 2 for - T I G A R D Inspection Line: 503.639.4175 e r g , / = ' g Internet: www.tigard- or.gov Notified/Method. . /3 :• I V l Supplemental rma tion S ALE 14/011 I- cFi'• .�`'� ,;; ' -:' •- ' T TE OF' Vltf)RiFf REQUIRED DATA: 1 dF1�D 2= IrTA1VIIL1" DR4!DLGINC� `'�'`• v r ,r New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the k , ,� ' • •., `.; "4' : •; " 0 Wsr- •' �. : w _= work indicated on this application. ..4�n tI ` .. �'r':$. . t a%� ..i -• ,iG_ . •. ..ia' ' , ,e,.� i ':' .•. : . , . - - 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 3e r � ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: -3 i , v` ... ` _ , Total number of floors: Z L . a ; ,r `, ` : i .sla t;K t .. ° k- TIt 71> -: _ • , Job site address: / 3 8 8 2._ 3'w ? C9 1C& New dwelling area: 2S) 0 square feet City/State/ZIP: Tigard OR 97224 Garage/carport area :.J— o square feet Suite/bldgJapt. no.: Project name: Covered porch area: 00 square feet 111 3( Cross street/directions to job site: / y4 D hex/4,10 Deck area: square feet (1 r- Other structure area: D square feet 7_4,.-- REQUW DM'Ai: ER ) € Subdivision: �,4 L Lot no.: / 2— Permit fees' are based on the value of the work performed. Tax ax map ap /parcel no.: Z S /O ,Z �, O �e 3 D d Indicate the value (rounded to the nearest dollar) of all ; n _ equipment, materials, labor, overhead, and the profit for the i' �' 71:..r ;} map/parcel ? _:.i, t: t: . �; '' f : fD 1 i0/Y. 1 ^s; 4 +' r = :::;. - � . .. ..: �, work indicated on this application. i Valuation: $ Existing building area: square feet New building area: square feet Va r •.: ai >•- , . ; Fnr, Number of stories: Name: 6.71h 1" 2— to ev 4 4- G Type of construction: Address: l fi 2...CD .c/a) c( Occupancy groups: City/ State/ZIP: ` t.�wG.t fii � 91 62.— Existing: 7 Phone: (J ) 61 —J3 ' U Fax: (`1a 3 ) 6 ?Z.- ,5 'i 3 3 New: • ij t,: pa , i " •r.F:(r . .. �• : : 1 ,;,";- .'-.,•`r:, ;,:. - . . - , CGI AWP At�`!r "I Ic. :.`,.;; �•y Business name: 7 ,,a:Lez /: r bv{ qj F�fmb { • :,::..::;• e .v ‘.e.44.142...._- Structural plan review fee (or deposit): Contact name: Address: /a Zap -s4) `a FIS plan review fee (if applicable): City/State/ZIP: ' a 9 2 04 L Total fees due upon application: Lc.a. t a. fr •e• 2 Phone: ( ?) 6/2 `33 I Fax: : (5c 3)Cf 2_-3- y3 Amount received: E -mail: K -cr a ass't_cO,C.vsy .. • , - y , .,. :;� •;,� s • , -7 t, • ; .; ;:- • _ - : - •,:• Commercial and residential prescriptive installation of ;'./ •.''•'_, , ' ` 54 a; ` . :;' =i- `` .".414 ; 4 ' °il} • Li. I ii'' ` . , 4 �; •,� - :•-:-., roof -top mounted Photo Voltaic Solar Panel System. Business name: s' e4 - ,.� .10%-€3( Submit two (2) sets of roof plan with connection details / y ?�� and fire department access, along with the 2010 Oregon Address: s Cc) YC Solar Installation Specialty Code checklist. - City/State/ZIP: -6 on___ y - .7 ©G Z_ - Permit Fee (includes plan revi $180.00 and administrative fees): Phone: ( 'S3) I ''Z - .7 r) 91S Fax: (.37,3) 6 ? 2 - 5 ' 3 -• State surcharge (12% of permit fee): $21.60 CCB lic.: c Total fee due upon application: $201.60 Authorized signature: /4� / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. � ,> � �— D J 1 * Fee methodology set by Tri- County Building Industry Print name: �i��o l 6 l3 Service Board. I: SBuil dingWermits SBUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02/COM/WEB) Plumbing Permit ApplicationCED Building Fixtures FOR OFFICE USE ONLY MAY 0 2 2013 R eceived 2 City of Tigard �/ a. 3 �1 Permit NoL i ?-19 l J - 15e)l! -.- 13125 SW Hall Blvd., Tigard, OR 972 Plan Re • Plan Review C Phone: 503.718.2439 Fax: 503.598. OFTIGARD ply Other Permit No.: l' I G n It D Inspection Line: 503.639 BUILDING DIVISION Date Ready/By is y ID See Page 2 for Internet: www.tigard - or.gov Notified/Method: l ( Supplemental Information TYPE OF WORK' ' FEE* SCHEDULE' a "New construction ❑ Demolition For special information use checklist. 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 - x] 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 El Accessory building SFR (3) bath / 500.32 ry g ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 . • 'JOB SITE INFORMATION. AND LOCATION - . • Site utilities: Job site address: l '3 r e Z (,,,_} ? a+ L Catch basin or area drain 18.76 City/State/ZIP: T' 0,- 9 2 2 2 - Footing drain line, lior near trench drain Page 2 t Footing drain (no. linear R: _) Page 2 Suite/bldg./apt. no.: v I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: 6 .. az ,, : e Z I Lot no.: / Z Fixture or item: Tax map /parcel no.: / 2 s/ D Z ,0G Q 6 1 O`t..) Backflow preventer 31.27 • . • •' DESCRIPTION OF WORK; Backwater valve 12.51 Clothes washer 25.02 J� "e (4.1 /4~ Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 a rh - - _al PROPERTY` 0)VNi$R, , , ' +. I, • - .;❑; TiNANO; - Expansion tank 12.51 N ,,,r.„._ a-f- �+ 4.4., Fixture /sewer ca 25.02 Name: Address: 1 Z 0 a .'w ! 1i Floor ge disposa l 25.02 _ sink/hub 25.02 / Garbage disposal City/State/ZIP: 4,61 j a2 .72e L 2- Hose bib 25.02 Phone: (SO 3 ) 612 - 33 91) Fax: ($&J) G ?2 5 Y 3 3 Ice maker 12.51 * , • (,.� Interceptor/grease 25.02 • ' .., ( A` ET:L A0N`I'r•-; , 1 U AC1 "PERSON ., �P Medical gas (value: $ ) Page 2 Business name: G , e4 c Z ( i r ,'d.6- d fk-c- Contact name: l Primer 12.51 �"x �'J 6 e ..-• Roof drain (commercial) 12.51 Address: i9 Z Z CJ gG 4.J7 Sink/basin/lavatory I 25.02 _ City/ State/ZIP: 4. (Q� ,t. Q 6G L Solar units (potable water) 62.54 Phone: 6 63) 4 e - 3 3 4O Fax: : ( 503) 4, ? Z - 5'4Y3 3 Tub /shower /shower pan 12.51 n Urinal 25.02 1 E -mail: /C9K l� G C1-2 r d , Ga+ Water closet 25.02 Water heater 37.52 • Business name: --IL .6, l `t, I , 1y 6 '1 Water piping/DWV 56.29 Address: P, 13 o n 2 7Y Other: 25.02 City/State/ZIP: (,v es .f i i A, 6/z ` e7 7 C' /3 Subtotal Phone: (563 )5'5'7.. 7 5-i. S Fax: (543 )456 821 Z Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lic.: ! 63 7 9 Z Plumbing Lic. no.: 3.271 p,8 State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: /r6.4..... g � j Date: 5 /2/, j7 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:i Building \Permas\PLMU- PennitApp.doc 10/01/09 440- 4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities ,Qty ' Fee (ea) Total Square Footage: ' Permit_Feei ' ' ' , ' • . Footing drain - 1 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 . 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: 1 Water Service - each additional 100' 37.52 Storm & Rain Drain - 1st 100' 62.54 Valuation:. _ ' Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Other Inspections or Fees' Qty.. Fee (ea) Total each additional $100.00 or fraction thereof, to P and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge - 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Quantity by Fixture Type Plan Review for Plumbing Installations . Fixture Type for Replace/ Plan review is any required for of the following. Performed: Capped Added • Relocate q y ow g Baptistry/Font Please check all that apply. Bath - Tub /Shower ❑ Any new commercial building with water service 2" and Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed Car Wash -Each Stall engineer. Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918- 780 -0040. Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities. - Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918- 780 -0040. Eye Wash Floor Drain/sink - 2" Submit 2 sets of plans with any of the above. Isometric or Riser Diagram - . Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage - Domestic -non -food _ ser gT am s re q g Disposal - Domestic-food related that meet the qualifications above. 1 - Commercial -food related - Industrial -food related Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink/Lav - Non -food related 1 - Bradley - Commercial -food related -Service, Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer - Clothes Water Extractor increase of sewer EDUs, a sewer permit will be issued and Water Closet - Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: http: / /www. tigard -or. gov /city_hal I /departments/cd/docs/PLMF -Perm itAPp2doc [ecfianical Permit Application RECENED FOR OFFICE USE ONLY City of Tigard Received - • Date/By: 5/a-1 f'- cc Permit Novcraol ._6,5)//_. • 13125 SW Hall Blvd., Tigard, OR 97223 MAY 0 2 2013 Plan Review II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 MI 63 See Page 2 for Internet: www.tigard CITY OF TIGARD D No at t e R ifie e d/V d e o Supplemental Information BUILDING DIVISION tittit;:oti*Oakr. - ' - , -:. ' ' - .,.. .. COMMERCIAL FEEi:kiIEBOLE'..41#1 Mechanical permit fees' are based on the value of the work New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded'to the nearest dollar) of all ] Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ REsmENraroiote:41* ?Ill- and 2-family dwelling 0 Commercial/industrial 0 Accessory building . For spedal infonnation use checklist. ] Multi-family 0 Master builder 0 Other: Description , . I Qty I Ea. I - -- . : Heating/cooling: - - _, , ,„.„._,,,- - -.11 , ,'*- - :.• ,, ..:,-. --- - ..''',.- ...•,.....,, - .-: , - - ....,- - - n'-' '--. -'" c;''''. ' : Air conditioning _ : )b site address: / 3 fre 5,,, 1 .o.-1- , -- (requires site plan showing placement) 46.75 ! Furnace 100,000 BTU (ducts/vents) -- / 46.75 Ity/State/ZIP: "Ti est,t_012 t6)- 9 2 2- 23 ' Furnace 100,000+ BTU (ducts/vents) 54.91 i uite/bIdgJapt. no.: Project name: Heat pump . , (requires site plan showing placement) - 61.06 :ross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 1 . Residential boiler (radiator or - hydronid) ' • - - ' ----' - ' 23.32 ; Unit heaters (fuel-type, not electric), 1 in-wall, in-duct, suspended, etc. 46.75 _ _ _. _ Flue/vent for any of above 23.32 ' iubdivision: Cc( c...retsze. 2- Lot no.: 1 2-- Other: 23.32 :Ix map/parcel no.: ,_ - : Other fuel appliances: - - , • , ,. ...,,,.;:? f ,- ; , t DE4(i:rtjprEtoN.ar,.W(00C-' -:,.:-. - .': .....-.;;.;i:.:. ,-,.. I ,:-_,.;-: : Water heater I 2332 , Gas fireplace/insert 1 33.39 Aie 41.) Ala �1.d- ; 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 . .1 ' .;;4: . . / ..M•i . :' . iiikIM:istaAi4..iiifilenal= • .!;:,?■ 51 .1'k [1 ; 1 ' '''''.: 1 , 2 • ,.,:•'1 . ,. Other: 23.32' Name: M s-f del 10 Environmental exhaust and ventilation: - C --44 Address: /? get 5 cs_T y 1 • . • Range hood/other kitchen- -- equipment I 33.39 City/State/ZIP: -1: a f j Cit. ) 2-- Clothes dryer exhaust 1 33.39 Single-duct exhaust (bathrooms, - Phone: (leg ) go -3 3 - 6 Fax: (S4)9 z- ry 3 3 ! toilet compartments, utility rooms) A 23.32 . Attic/crawlspace fans 23.32 i : ir3:2...1-:-. -..;; , ,'-- :-e:41,-•:::, ' , --•,:.: . :-.:;:‘,.;.".'c '..."2A ..),'..R144; . :-.,. - , • . :, ,, . - - . - ., .. -.:''.--`--"" '-'..:, ' Other: -- - 23.32 Business name: / . 6 . b .1.- d 4 -r . Fuel piping: • Contact name: itep..,,J ‘e,o-1 $14.15 for first four; $4.03 for each addldonal Address: e7,7-471, S'e-c..T tit "c) , Furnace, etc. 1 Gas heat pump : City/State/ZIP: 17,,,,,i,4,,) OA f 7 Z..._ . ' Wall/suspended/unit heater Phone: (507 ) ‘oq 2,..- 3 3 11 6 Fax: : (P3 )61'2-, 5 ie,?_ ' Water heater.. i Fireplace - 1 E-mail: .<.e Aa e41 a , cf$00-. Range .!: -.,-) .f.. :T. - - .,;' , .:;::. 1 '!,.-.j.-, .-.,,.: B ar b ecue . 1. 4 t 0 :. -, ..: " ..:1"..k _ " -01 '• it " • , ' ' ' • - ' • - • • • ..7,- - ` 1 ‘ Business name: e11111(6 6 om Ca," 4,1 / 4 6e-actce • Clothes dryer (gas) - Other ' Address: p 0 . 4,, 8 Z / 'CY : • • - measto*******7. T.A City/State/ZIP: V4 Af c ems (Au. t.J 'T ai 4.8 2- Subtotal Minimum permit fee ($90.00) Phone: ($03 ) 4 s.s. . � 2i4 rFax: (5:13 ) 4 so - 2173 Plan review (25% of permit fee) CCB lic.: VI 57 / State surcharge (12% of permit fee) Authorized signature: / 6-N/eti ' . TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it hu been accepted as complete. Print name: / 4e.. m.0 J- 6, 4 r o d - 7 2...... „. Date: 3/21( . Fee methodology set by Tn-County Building Industry Service Board tars..:1.1:...11,......;•A wror.o...drAno doe 03/07/12 440.46171 (1 1/07.1COMMEB) Mechanical Permit Application - City of Tigard . - • Page 2 - Supplemental Information • Commercial & Multi- Family Fee Schedule: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. t ' 1:\BuildingWermits MEC- PermitApp.doc 03/07/12 2 Electrical Permit Application RECEIVED FOR OFFICE USE ONI.1' City Tigard MAY 0 2 2013 Received Ci of Date /B a-' / 3 �'' Permit N. i .. - X13 — (Z'I/ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598. Date/B Other Permit Inspection Line: 503.639.4175 OF TIGARD Date Ready /By .41 , 162 See Page 2 for T' c' "L ° Internet: www.tigard-or gov g g BUILDING DIVISION Notified/Method. Supplemental Information ' TYPE OF WORK PLAN REVIEW . . : . N ew construction ❑ Addition/alteration/replacement Please check all that apply (submit a sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural RI 1 - and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building amps for all other installations buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A "E "I - "l - ", Job no.: Job site address: / 3 g e 2 $' f. Q 100HP or more. occupancy ❑ Six or more residential units ❑ Recreational vehicle parks. City/State/ZIP: l ` d .i`,s,..tv 6 A - - g 7 2 2 41 ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE. Cross street/directions to job site: Dominion I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft or less / 168.54 4 Subdivision: �� -2., Lot no.: f Z_ Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: S / 62 dC 4f)6 sob Limited energy, residential C 75.00 2 DESCRIPTION OF WORK ' ; , (with above sq. ft.) / Limited energy, multi - family 75.00 2 / t -e G residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ' ig PROPERTY OWNER • I ❑ TENANT 201 amps to 400 amps 133.56 2 Name: G tr -eZ et L t- e ( 401 amps to 600 amps 200 34 2 Z FOP 601 amps to 1,000 amps 301.04 2 Address: / cf Zarb g (,41 �b fit; Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State/ZIP: T 4i ,(,4... , ,p 02 q Q ? to Z relocation S� / 7 t `4 �L -5-f33 Phone: ( ) (O LZ `? � Fax: ( ) 6 �/ 200 amps or less 59.36 1 201 amps to 400 amps 125 08 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with [� APPLICANT I ❑ CONTACT, , PERSON • above service or feeder fee, 7.42 2 each branch circuit Business name: G t ,______C b _,,.,..(- e (.._e_ B. Fee for branch circuits wirhoiu service or feeder fee, first 56.18 2 Contact name: j< G r•t L branch circuit �G ,(` / � Each add'I branch circuit 7.42 2 Address: /q L� � 5 c,) l Miscellaneous (service or feeder not included) q Each manufactured or modular 67.84 2 City/State/ZIP: ie ��� 012— ! 06. Z dwelling, service and/or feeder ` r Phone: ( 5 6 3 )2, 3 Fax :: (Sd3) CI 2. 51 / 3. Reconnect only 67.84 2 3 Pump or irrigation circle 67.84 2 E -mail: i t P4iJ CP 6 t eig.'�LO , 4.0 , Sign or outline lighting 67.84 2 ' tegtitiThiliTOR . • • " Signal circuit(s) or limited -energy Business name: panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: Additional inspection (1 hr min) 66.25/ hr City/State/ZIP: Investigation (I hr min) 66 25/ hr lndustnal plant (I hr min) 78.18/ hr Phone: ( ) Fax: ( ) Inspections for which no fee is 90 00/ hr specifically listed (% hr man) CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL. PERMIT FEES - Subtotal: Suprv. Electrician signature, required: o Plan review (25% of permit fee): Print name: Date: State surcharge (12% of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 � days after it has been accepted as complete. _ / � Print name: ,t ) G Date: 6 - 7 • Number of inspections allowed per permit I :\ Building \Permits\ELC- PermitApp.doc 07/01/10 440.46t5T(I1/05/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: 'Audio and Stereo Systems* Burglar Alarm Garage Door Opener* E r Heating, Ventilation and Air Conditioning System* Vacuum Systems* ❑ Other: COMMERCIAL.WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ -HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations 1 \BuildingWermm\ELC- PermitApp.doc 07/01/10 IPII Building Division . Development Code Provision Review TG t\ t� ° Residential Projects Building Permit No.: - il4 1 (3 - 00 I 1 ,-' Project /Subdivision Name: 0 DGCu) D a. , Lot #: ( k Site Address: (38 • SO QD CWS Service Provider Letter: Required: Yes ❑ No ❑ Received: Yes ❑ No ❑ Plans Routed: Original Plan Submittal Date: 5�a-113 Routed By: 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2n Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: . _ t 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. ,,D Planning Review (contact at (503) 718- `� �� 7V or % @tigard- or.gov) Land Use se N0.50 b2107' a'61, Zoning if , 5 E Setback,s: n Front 2lp Rear I C Side 5 Street Side Gara e °� D (oMaximum Building Height: 3 O Actual Building Height . 7 , 5 _ / Visual Clearance VE Easements ❑ Sensitive Lands Type: Street Trees /.� o Br Protected Trees / No 5 J `d / t es: '�/'lGf i4h yld /' S/ ni !/ - 5 ��QG / i t ' � ed/ Vie-01ml . riez /x«75;00 by f2 XVj �roe GS / ./ Air - /re c'41- m- Or,' ceI ) r Original Plan: Approved ❑ rvot Approved Date: 4-4-- --/ 3 Revision 1: Approved g Not Approved ❑ Date: al f Iii." , Revision 2: Approved ❑ Not Approved ❑ Date: / (Review Continues on Page 2) Page 1 of 2 I: \CURPLN\ Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) .0 Actual Slope: 8 Notes: 'STfl -fit I c. S u!tWrzfL- Asv t 1k,u'si vimf (Wb1 t4-11-rt. e If-- 1.- 1TP1 a Original Plan: Approved ❑ Not Approved a Date: f f Revision 1: Approved Not Approved ❑ Date: J" I IG 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 Appli t Okay to Issue Permit: Yes No ❑ Date Routed to Building: t Page 2 of 2 1: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13 t 1 . „, . 1 1 ul . -1 c7 i yams e o \ \ / I 1 I R ECEIVED N ; \ , f ' 0 9 2013 I ,) CITY OF TIGARD ; % lev. 28 BUILDING DIVISION Z '' Elev 2�� 2 ` •s TREE Z65 TO BE � a \ ' — • • REMOVED AS PER 11 11\ S lier" 4:11So tt� ce All 5 Wens o� DEVELOPMENT once • Gravel Drive - TREE PLAN for Erosion Paveed • Driveway- •; 1 11rA l Cp Baal' I� �; \\ ita' Elev. 205 • 7,50 L - - - -JI Elev. 204.5 I II / ri vaa• __ law / to Z1 MOOV]w / / gat Elev. 205 1 I / / %ice / 1 0 , . ., ; 1 Elev. 4 1 efj , ___ /II I 1 » I ' I "ct N. /Q N M r' N • : RI 1V I 14-f i • e , -0s I, 0 ' / r . 1 p iy O �' ; O O ' -- ' ,,J V) - �' i / Elev. 186 - -- M ' -/ �' ° K � ZY'' - -- / _ CJ1 y 1 r1 / � CD -- +� -- i - -- z i ...) , (f) D-- � / - ,-- I/ 2 • ' Elev. . r 1 Q ' / .' ; / J V V / , ' i / / / O 1 / J i /,/ ' , i / G ER Tz C CONSTRUCTION IN HOME SQUARE FOOTAGE L BUILDING MAIN FLOOR = 1139 SO.FT. UPPER FLOOR =1431 so. FT. CUSTOM HOMES SINCE 1977 , N/ (503) 692 -3390 Ameranana TOTAL = 2570 SQ. FT. 13882 SW 90th � ..l GARAGE = 421 SG.FT. Lot 12 EDGEWOOD EAST N SCALE r = 2o. GERTZ CONSTRUCTION COMPANY INC. PLOT PLAN 4/25/13 I 1411 STREET TREE TIGARD CERTIFICATION I I, .64, 0 , owner/agent for C v-T "es, (PLEASE PRINT) (PERMIT HOLDER) do hereby certify that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: AIST oZoL3 -- pD I l HIE ADDRESS: 13 n w 5p 714c 14-4/e- - SUBDIVISION: 5 , -41d LOT#: f 2.- SIGNATURE: DA1 is // /03 (OWNER/AGENT) RECEIVED & f VERIFIED BY / /��� DA"1 E: 1,/'a//3 ( OF TI ❑ Tree location ven: ed per approved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: 415 20/3 --ec/� 2 Jurisdiction: 7)A& f Site Address: /..?(s1,2_ S6 7-1-4 , Q,1iV Subdivision/Lot#: i /Z- / and/or Map and Tax Lot#: By my signature below, I certify that a minimum of fifty(50)percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2)1 Signature: Date: if/10._.3 0 ner/General Contractor/Authorized Agent Print Name: 5g/LAO 'ORSC Section N1107.2.High-efficiency interior lighting systems. A minimum of fifty(50)percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent,or a minimum efficacy of 40 lumens per input watt. I:\Building\FonnsU2ES-HighEtricicncyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, akieop 1 u ( , am the general contractor or the owner-builder at the following address: Site Address: /3 J ge) 77/ City: .4-16D / a( , Permit#: /NS .2,0/3 — Dd // Z Subdivision/Lot#: V/ /Z and/or Map and Tax Lot#: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture-sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: e° Date: /> /Z/J 3 General Contractor or Owner-Builder I:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13882 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2013-11-08 00:00:00 MST2013-00112 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 13882 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 505 Sanitary sewer 06/07/2013 00:00 MST2013-00112 CNCL 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 13882 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 505 Sanitary sewer 06/10/2013 00:00 MST2013-00112 PASS Sanitary sewer rough/test with water, Pass. NOTE Provide cleanout at lower end of sanitary sewer at property line location. 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 13882 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 340 Storm drain 06/10/2013 09:25 MST2013-00112 PASS Located on right when viewing from at street. 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 13882 SW 90TH AVE, TIGARD, OR, 97223 Residential - Master Permit 505 Sanitary sewer 06/10/2013 00:00 MST2013-00112 PASS Sanitary sewer rough/test with water, Pass. NOTE Provide cleanout at lower end of sanitary sewer at property line location. Violation Summary: Inspector Contractor