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Permit
n 1111 CITY OF TIGARD \ MASTER PERMIT I • COMMUNITY DEVELOPMENT • ' .� Permit#: MST2013-00231 T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2013 Parcel: 2S110BA08600 Jurisdiction: Tigard Site address: 14260 SW 116TH TER Subdivision: EVERGREEN SPRINGS Lot: 11 Project: Schumock Project Description: Construct 520 sq ft accessory structure,finish off unfinished basement and repair existing basement wall. 1/13/15: Reprinted permit to include 35 ft. of sanitary sewer replacement. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First 0 sf Basement: 708 sf Left: 5 Parking Spaces: 0 Height: 11 Bathrooms: 0 Second: 0 sf Garage: 520 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 708 sf Value: $35,000.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 35 SF Rain Storm Sewer: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 1 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 2 0-200 amp: 0 WI Svc or Fdr: 0 Ea add/500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 10 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 708 Owner: Contractor: SCHUMOCK,RANDY C OWNER Required Items and Reports(Conditions) 14260 SW 116TH TER SCHUMOCK,RANDY 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 14260 SW 116TH TERRACE TIGARD,OR 97224 PHONE: 503-781-9409 PHONE: 503-781-9409 FAX: 4 Total Fees: $2,618.50 7 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cod . d all •ther . . law. All w• will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issua •r if •rk is d for more 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio ,. er. /hos. - •- set forth OAR 952-001-0010 through OAR 952-001-0090. You may obtain-_- = -- ules or direct questions to OUNC by calling 503.� .•/, //, Issued By: _i -__ _ •erm •• ignature: AP'11111 . . 4I Li w •:.4175 by 7:00 a.m.for the next available inspection•/,te. f.f r This permit card shall be kept in a conspicuous place on the job site until corn•etion •f the projo t. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT ilill * n ilia' Permit#: MST2013-00231 COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2013 T[�'A R D Parcel: 2S110BA08600 Jurisdiction: Tigard Site address: 14260 SW 116TH TER Subdivision: EVERGREEN SPRINGS Lot: 11 Project: Schumock Project Description: Construct 520 sq ft accessory structure,finish off unfinished basement and repair existing basement wall. 1/13/15: Reprinted permit to include 35 ft.of sanitary sewer replacement. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement: 708 sf Left: 5 Parking Spaces: 0 Height: 11 Bathrooms: 0 Second: 0 sf Garage: 520 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 708 sf Value: $35,000.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 35 SF Rain Storm Sewer: 0 Drains. 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Heat Pump: N Hoods 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add?500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 3 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 708 Owner: Contractor: SCHUMOCK,RANDY C OWNER Required Items and Reports(Conditions) 14260 SW 116TH TER SCHUMOCK,RANDY 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 14260 SW 116TH TERRACE TIGARD,OR 97224 PHONE: 503-781-9409 PHONE: 503-781-9409 FAX: Total Fees: $2,353.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a.• =II other appli . law./ I work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance or work is cusp= . fo`ore the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C nter. Thos/rules a- forth in OA- 952-001-0010 through OAR 952-001-0090. You may obta lea or direct questions to OUNC by calling 503.2 .19: or 1.800'.3..234. % Issued By: a nature: I ♦../ AL, i / . 39.4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completio of the project. Approved plans are required on the job site at the time of each inspect on. , CITY OF TIGARD MASTER PERMIT 111 s.: COMMUNITY DEVELOPMENT Permit#: MST2013-00231 Date Issued: 11/20/2013 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BA08600 Jurisdiction: Tigard Site address: 14260 SW 116TH TER Subdivision: EVERGREEN SPRINGS Lot: 11 Project: Schumock Project Description: Construct 520 sq ft accessory structure,finish off unfinished basement and repair existing basement wall. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 0 sf Basement: 708 sf Left: 5 Parking Spaces: 0 Height: 11 Bathrooms: 0 Second: 0 sf Garage: 520 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 708 sf Value: $35,000.00 Rear: 15 PLUMBING Sinks: 1 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fumes=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 3 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ACS SF VB R-3 708 Owner: Contractor: SCHUMOCK,RANDY C OWNER Required Items and Reports(Conditions) 14260 SW 116TH TER SCHUMOCK,RANDY 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97224 14260 SW 116TH TERRACE TIGARD,OR 97224 PHONE: 503-781-9409 PHONE: 503-781-9409 FAX: Total Fees: $2,283.59 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cod-s a • all •the ar•icable law. All •rk will be done in accordance with approved plans. This permit will expire if work is not started within 180 days o,ssu- ce, •r if or is pended for m j the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Not);t• Ce- er. ose les are set h in OAR 952-001-0010 through OAR 952_001-0090. You ma • -.•, rue • •• - t questions to OUNC by call' ,..r . 32 •8 .8.0. 2.2344. Issued By: ��..�� ��- - Permittee Signature: / .+L , �/ ' id Call •0 . .. 75-'-'. b•7:00 a.m.for the next available Inspec •'n date. This permit card shall be kept in a conspicuous place on the job site until ompletio' of the project. Approved plans are required on the job site at the time of each inspec on. r _ . Building Permit.Application Residential r i of (WI u 1-: 1'51:ONI.1 City of Tigard .:-. R . 'ved Da : . a 3o /3 (3442 Permit do. lig tST . --LXV-3 S W L L Man Review % l mQ� Phone: 503.7182439 Fax: 503.598.1960 p8 : • A • ,Other Permit: for .1-i';A i s 1 i inspection Line: 503.639.4175 L Da a Ready Jcro. El See Page 2 Information www.ligard-orgov Notified/Method:l) .+V/27 / e=(./ ! " ,41:';'S. ,r,. r- T-. ` , �';j4 Y.t 4f v . , :7:'''ii' .}' w T �-: 0 -'s:1 �y i � eu' r:`r i ±St .., . ;:il. �,.1c„.41 .Tt7.r li.§ :14-:4k 3. -t L. M1 .', ., ami , a., ❑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 X Other:ce,e A\2 equipment,materials,labor,overhead,and the profit for the z., 1s � � rc 7 tw t t3 .j E_ "� :? r, a- y i work iadi :red on this application. i: «and-2-family dwelling z Cornntencia)r'odustnal .. Valuation. $ iri r (VIA Accessory building ❑Multi-family Number of ins: ( tj f 1 lt(1 ❑Master builder ❑Other . Number of bathrooms: I‘ • .sew h' v'y,e;w , .z 1_,0, /r,u-$ I sO ti t t s ";1 '.t *- o j a -, fr. Total number of floors a A- .. —.. ; ... Job site address: 142Oa J w ti o -r ell:( Ac � New dwelling area: .� square uare feet 70-5?City/State/ZIP: T t 4(Z-.3 02 ' 1 W( Garage/carport area: square feet 5 Suite/bldg./apt.no.: I Project name: /.{ k t+-1 eje/ Covered porch area: square feet Cross street/directions to job site l�W eon Ls Deck area: �� square feet Other structure area: - square feet V. die,.. "',-„,,', ,;;® !: �_ . Subdivision: Lot no.: Permit fees*are based on the value of the work perfo , ' . Tax map/parcel indicate the value(rounded to the nearest dollar)of-. P equipment,materials,labor,overhead,and the t for the, - a to ., p a 4:,4-- ,'w'� 'x”`r- ,; - work indicated on this application. -E/�Pr 1 R ip—1 b-- ( t_ 6,y6. J. Valuation; $ ( '+T 6.464 NE62 (AJP L L , f.�S""T- u C/ Existing building area: square feet �D T.,, ow. 2.1 tra 2t_. ri r.).t s 1t PO*t5 V-ef Acir- New building area: square feet �. �! ® L"`Ya r r; 'sf 4 Number of stories: Name: 1,6-0 Y 4111V LI,-M b(I Type of contra---..n: - Address: Occupan- groups: City/State/ZIP: :, 'sang: — Phone:(50,._ 7g I-- 440 9 Fax:( ) 7 New: ; ,. C tea. ` ,.' <.•s„, 1 %. ,-ON 74..:'.,. e-* .. m,.„1.4Y. , 1 t o •03 Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) I Fax::( ) Amount received: / 1/,),7'cc' E-mail: �,+P3WC PAMEC ICES" 7 a;•: �- i„�, i i�. �x�.�=y xrr a 4 3 x !i. .>_ Commercial and residential prescriptive installation of ` ial:-r"-': —?: ; gIi406 ,� VV.r- *-` aVr4;'"-., roof-top mounted PhotoVoltaic Solar Panel System. Business name:, A p,� �, / , Submit two(2)sets of roof plan with connection details J 'L . d F l�Ier G JJ 1'" and-fire department access,along with the 2010 Oregon Address: ! ` 0, 3�,, \1t) ( (30i Solar Installation Specialty Code checklist. City/State/ZIP: E/ .." & 0 Q at- 4d-tQ Permit Fee(includes plan review $180.00 acid administrative fees): Phone:691 ) by i 3 a` li I F: -1'I) c Ogg- i{qi i State surcharge(l2%of permit fee): $21.60 CCB tic:: / Total fee due upon application: $201,60 4.1 Authorized signature I / This permit application expires Ua permit Is not obtained d f, within 180 days after h has been accepted as complete. �i ��/� p •Fee ice Bo ology set by Tri-County Building industry IMI/-!�. 1 � Date: J Service Board. l:\Building\PennitsBBUP-RESPemitApp:ioc 02/24201I 440-4613T(11102/COM/WEB) 'Plum'bing Permit Application,2�,,. IicS . to tt A-'.11 i {`,� Building Fixtures h� -� _. l'Olt 01.1.1C_1. USE. ONI,i City of Tigard (iN 0 2Q�3 Received � ��' /� q 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /D//3d!, 3 \,L.Y/ Permit No.: jT�j/3- oat 3f Plan Review Other Permit No.: 114 0 Phone: 5n Line: Fax: 503.598:1960 Date/By: ��U Inspection Line: 503.639A 1L75,j'/ur 11� `m Date Read/B Lurie. 0 See Page 2 for T I G A It a Internet: www.ti ard-or. ovl t{t nt�1G�r� 7 1 Ready/By. g B B t i� Notified/Method: Supplemental Information TYPEWOF WORK • FEE* SCHEDULE ' ❑New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) 'CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑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: J'-/ .40 r f 6�c,,e2 , Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: l Project name: ftLt..J-lbC_L Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 dtr /-ef wq Sanitary sewer(no.linear ft.::) I Page 2 G a..5-Li / / Storm sewer(no.linear ft.: ) Page 2 i Water service(no.linear It.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 /' Clothes washer 25.02 -f Pit r(2_ a-yi�5-1-7 fo 1 J1 ,3%&lm 4--• enx.,,rEL r Dishwasher 25.02 5g0 i�( ACC. 6-1V../.4 CT Lc2 E- . Y/ /5�f /dYy`,�Cr /iA-) Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER • 1 ❑ TENANT Expansion tank 12.51 Name: d� ac�-P���c Q Fixture/sewer cap 25.02 Address: ` J/ '7 Floor drain/floor sink/hub 25.02 �� `N� ���O ta( (efizee Garbage disposal 25.02 City/State/ZIP: /:f(J'/Y'� O•� q ZZ1/ Hose bib 25.02 Phone:(10 3) -2 /_...90?CS Fax:( ) Ice maker 12.51 ❑ APPLICANT / ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State21P: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan / 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 • _ ` Water heater 37.52 Business name: (96.12.-)p3 Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 6,4,5-7 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 4 PI mbing Lic.no.: Plan review (25%of permit fee) 'f�I�/� State surcharge(12%of permit fee) 50 Authorized signature TOTAL PERMIT FEE It<✓i� / �• �... ,Ott EMEZ 1 Date: 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\Buildin5Permits'PLMU-PamitApp.doc 10/01/09 440-4616T(10/02/COMAVEB) 'Plumbing Permit Application..,;. e fl Building Fixtures ,, _ , `,i_ FOR OFFICE USE ONLY City of Tigard r1 Qj3 Received / / t1' g n r T © Date/By: /O f /3 �J 416 Permit No.: T„,9(jI3•- c(fo(v III a 13125 SW Hall Blvd.,Tigard,OR'97223 Phone: 503.718.2439 Fax 503 598:1960 Plan Review 0 Other Permit No.: ,... IIIT�� Date/By: Inspection Line: 503.639.41175,1 Y pul!l�*DIN r ` Date Ready/By: Jana: El See Pa e 2 for TIGnRD 1lit 'lN9\1Lnp e"^`VI. Y o g Internet: www.tigard-or.goV ���7 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 ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑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: /C1.eo •,,-, 1 '�� Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: H-L.s -1'c)Lt L 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 _ Clothes washer 25.02 - Pa-112- nflt/5,T<,,3G% 4146-0-1 A.)7-4)6/�• �1`6reaCr Dishwasher 25.02 5go.F fk.0• c3I k_ s e7/42E • Y/ rJ,54 495f/74-) Drinking fountain 25.02 Ejectors/sump 25.02 II PROPERTY OWNER I ❑ TENANT Expansion tank _ 12.51 1 / Fixture/sewer cap 25.02 Name: `.�'i�'� ` 'i' O Floor drain/floor 25.02 Address: /L ( 0 .P(.0 /t"(0/4 �� izee Garbage disposal 25.02 City/State/ZIP: taro/ 6-1Q q 2217 Hose bib 25.02 Phone:( 63) - _• / Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 / Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax: :( ) Tub/shower/shower pan / 12.51 E-mail: Urinal 25.02 Water closet / 25.02 CONTRACTOR ' Water heater 37.52 Business name: Ott)Is.) t Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 4 P1 tubing Lic.no.: Plan review (25%of permit fee) 'ff�;T/�� State surcharge T(12%L PERMIT fee) Authorized signature O TOTAL PERMIT FEE Print name: �fr� 1,11 %9%/1 �_ Date: This permit application expires if a permit is not obtained within 180 days . _ i i L. am 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) P . 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 Fee: Footing drain-1 n 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: Water Service-each additional 100' 37.52 Storm&Rain Drain-I st 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 h 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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator vT ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal i Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 - _ _ ra Mechanical Permit Application FOIZ OFFICE USE ONLY City of Tigard g r3(f7 p��`! �1y �,...+0 Date/By:e �Q� �� Permit No.: i' �/Q�3 j• 1114 v 13125 SW Hall Blvd.,Tigard, 97223 k_r L,, ' 1-, -- Plan Review C Phone: 503.718.2439 Fax: 503.598 1960 Other Permit: Date/By: I G A It D Inspection Line: 503.639.4175 OCT 3 0 2013 Date Ready/By: lids. El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information r -v C* I IGARD . TYPE OF AORK,hr TY;'iiii;:%■11fl)yi • .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 ❑Commercial/industrial ❑Accessory building For special information use check list. ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: • Air conditioning 46.75 Job site address: f�a(06 4_,,o 1 1 .-----7-1:,e/2__ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name: fig(„( WD 64, „/IT,Duct work 23.32 'J/ Cross street/directions to job site: � Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 P__, G ,l /� Flue vent for water heater or gas SPA I IC_, L k/Sl//J co Paii- g_ii`"/`e t)7 £{ILL. fireplace 23.32 Cr0 n->•S%6u C ' 5.?-0_7' �LC. �T,_ucTu/LE_- Log lighter(gas) 23.32 Wood/pellet stove 33.39 i / 3(SH Q0. 611-5i)1's,vrn Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 . OWNER I 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: yCPROPERTY ly ��C�YI.0 ct Range hood/other kitchen �TJ equipment 33.39 Address: /((Z 0 s-to ti 6,c14 766/AC/2_, Clothes dryer exhaust 33.39 City/State/ZIP: ` T 7 / Single-duct exhaust(bathrooms, toilet compartments,utility rooms) / 23.32 Phone:( -03) 7 -/ _We e y Fax:( ) Attic/crawlspace fans 23.32 . ' ' • ❑ APPLICANT • ❑ CONTACT PERSON Other: . 23.32 Fuel piping: Business name: givinkl $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: Barbecue ' . . ' ' CONTRACTOR . Clothes dryer(gas) Business name: v�� y Y� Other: r ' ,MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) I Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE iW This permit application expires if a permit is not obtained within 180 /�■�/ days after y has been accepted as complete. Authorized signature: 9, ����' " Fee methodology set by Tri-County Building Industry Service Board Print name:�''•�1,A `_ - ////1 CJ- Date: I:\Building\Permits\MEC_P itApp_040113.doc 440-4617T(I I/02/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit,Fee: . $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 $10,000.01 to$50,000.00 $347.71 for the firsts 10,000.00 and $2.54 foreach additional$100.00 or fraction thereof,,to and inc luding • $50,000.00, .: $50,000.01 to$100,000:0.0 $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. • • • is a 1:Y BuildingY Pennits\MEC_PednitApp_040113.doc 2 /r . ., it Electri . 1 Permit A t t lication FOR OFFICE USE'01,1' City of Tigard IL li ,►L r + Date/By: /4) .�XJ 13 � r--/ 7.--69.643—pap 3/ Permit No.: ° 13125 SW Hall Blvd.,Tigard,OR_97223 ". l--,Leh Plan Review `� 12 ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: I'I G 1 R u Inspection Line: 503.639.4175 OCT 3 0 2013 Date Ready/By: Sufis: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 'TYPE COF WORKa II.Ittri6•'' - PLAN REVIEW -�.r,a . xt rU I ry' I. pI'5'l'Ik rr,: Please check all that apply(submit 2 sets of plans w/items checked below): ❑New construction ❑Addition/alteratton/replacement ❑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 ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB'SITE.INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","I-2","I-3", Job no.: Job site address: // r���� \ /- �� IOOHP or more. occupancy. le 4 CGS 1 (...A—.) r /1.0 -/C�� ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: 60_9. LA lH6 `-r�r/, ❑Service or feeder 600 amps or more. l ' FEE SCHEDULE . Cross street/directions to job site: Description I Qty. I Fee. I Total I *_ New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential ' DESCRIPTION,OF WORK (with above sq.ft.) 75.00 2 //1� C \� /I- Limited energy,multi-family rU'49 IQ_ C1 /STI MO f N f,0T 10r�}"�' �- Jr -T .5o9oi( residential(with above sq.ft.) 75.00 2 " / Pali Renewable Energy ❑ See Page 2 A-ac. 6T2et e.7.eIZ r Y,rJt '.,/1- / r79 6 ft-0 AiT Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWN R e 'TENANT - 200 amps or less 100.70 2 [ �� / 201 amps to 400 amps 1 00.34 2 Name: 09A�/ ,,vr l 401 amps to 600 amps 200.34 2 Address: ( (1Z. (e ©.L (J // 1 �Ce 601 amps to 1,000 amps 301.04 2 / UM 111��� Over 1,000 amps or volts 552.26 2 City/State/ZIP: • K. q,7 Temporary services or feeders installation,alteration,and/or Phone:(C ) II:pad _op D q Fax:( ) relocation I ( t 200 amps or less 59.36 1 Owner installation: stallatio t in mad- on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,le.:•, t or;x ; I accordi-g to ORS 447,449,670,'an 70 401 amps to 599 amps 168.54 2 Owner signature: d j L�j/AA/ ,./,/ - Date: �Q ,- 0 � Branch circuits-new,alteration,or extension,per panel '❑ APP ICANT II ❑ CONTACT'PE ON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first 1 56.18 2 branch circuit Address: Each add'I branch circuit 2 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:( ) Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR ' Sign or outline lighting 67.84 2 - Business name: 006.DA 1 Eat Signal circuit(s)or limited-energy See `v panel,alteration,or extension. Page 2 2 Address: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Investigation(1 hr min) 66.25/hr Phone:( ) Fax:( ) Industrial plant(I hr min) 78.18/hr - Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lic.: Suprv.Lie.: specifically listed(A hr min) - . - -ELECTRICAL'PERMIT FEES ` .. Suprv.Electrician signature,required: Subtotal: Print name: Date: Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: • TOTAL PERMIT FEE: Print name: • Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permi ts\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-46151(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 • El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ElAlarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 El Heating,Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: El Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%:hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ElAudio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. El Boiler Controls El Clock Systems El Data Telecommunication Installation El Fire Alarm Installation El HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling • ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 • . .• Building Division s . Development Code Provision Review T1AR° Residential Projects Building Permit No.: 1-5r-,901 9D -00 13 Project/Subdivision Name: 60+/AHD CK, , Lot #: Site Address: lL1 a Le O `ate I I(nom-1 F CWS Service Provider Letter: Required:Yes ❑ No n Received:Yes ❑ No rZI Plans Routed: Original Plan Submittal Date: 4Y:0._ 3 Routed By: ` ,/, 1St Revision Submittal Date: it /1i Site Plan Only Routed By: CffiLt. 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: 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. vv Planning Review(contact to-o�(2 at(503) 718- 42l or AIM F-- @tigard- or.gov) - Land Use Case No. Zoning 12.14 o S I - Setbacks:' 1 � Front Rear IS Side Street Side �� � 2 L. Garage Gad Maximum Building Height: -a + Actual Building Height (1 C, sual Clearance NI-Pr Uf Easements Sensitive Lands Type: fO Ptreet Trees /A. rotected Trees N Pr VW Notes: PI 6W6 U1,1-0 G S1'1't°. poll() Scea (,tod "elker.rIts G I ch-► r re 'r- o ro pvq Original Plan: Approved ❑ Not Approved.8( Date: 0 &P Revision 1: Approved' Not Approved ❑ Date: II (D 3 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 _.___—I:\CURPLN\Masters\Development Code Provision Review\13CPR RES.doc_Rev.01/16/13___. Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov) Z Actual Slope: Notes: Original Plan: Approved,er Not Approved ❑ Date: /d I�3 d f~ Revision 1: Approved Not Approved ❑ 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 Applicant Okay to Issue Permit: Yes No ❑ Date Routed to Building: Page 2 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325(2)) This statement is required for residential building, electrical,mechanical,and plumbing per mits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7),need not submit this statement.This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that a II subcontractors who work on the structure must be licensed with the Construction Contractors Board. or e performing work on property I own, a residence that I reside in, or a residence that I w ill reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print e of P itA•• '_� lip . applicant Da Permit#: aT` •l 3-C2�3 Address: 142.140 0 ((L c ---6-co A(L'r3 02 91 0-94 .irigoi-„ • / 1 Fr- Issued by: g•�- Date: / �D` This Copy for Permit Offices ��1'0�13-��3/ HIV memo gran•,1m wire .do-.b®.ou► o© , r N� 6 2013 080.6602 a i F_, ., i6 �1�j' c�r��r�G� ,o7 — — eU�LD�IGDIVISRG g a I i 1 .01z ® I 1319071-11101 4 Po� /1 0 � � ®� 1; I \ 'Wire / , � CAI ��'Z eI di c , / N . IP" CO / m ow ei i \ _ __ IW.]gym A ' i 1110 W LfOC, al O I I ® _ �o , . 60 0 fa V Pi ••• i ma 1 I l ]17l1]3 / I ■ _C lg. j <Lx ®� »�Ilro 1ptoN 1�c _ — .o-� — — — Bram . 4,z� / am" �001i r` i'lQ 10 ii154 /* /Me '5' . k ;fix case rhgtrr- ,fitglEtti > O.a re.yij \ce4- A• C'k r/ :4? 1 61 / 7 Go 6.v/ 1I(p- ev a TIGARD Thursday, October 31, 2013 City of Tigard Mr. Randy Schumock 14260 SW Terrace Tigard, OR 97223 RE Application for building permit MST2013-00231 Dear Randy: Upon reviewing your application packet and site plan, Planning had the following comment: Please provide a site plan to scale and show easements along the rear of the property. Please submit a new site plan, to scale, with any easements shown. FYI, I'm sending you a letter on this because there is no phone number shown for you on the application form, no email for you or a contractor, and the contractor information has been crossed off with "owner"written in. Plus, there is no signature on the application form. I've enclosed a copy of it. Please fill in the missing owner contact information and return it with your revised site plan. Thanks for your cooperation. A ir ./ Albert Shields Permits Coordinator 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14260 SW 116TH TER, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL MST2013-00231 David Young Provide approved electrical rough in inspection for garage only, house electrical not done at this time. Provide approved framing inspection for garage only as house framing not done at this time. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14260 SW 116TH TER, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final PASS October 27, 2016 at 11:39:21 AM MST2013-00231 David Young This inspection passed previously, see inspection dated 6/1/16 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14260 SW 116TH TER, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final PASS October 27, 2016 at 11:46:21 AM MST2013-00231 David Young Corrections from previous inspection complete. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14260 SW 116TH TER, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final FAIL October 27, 2016 at 11:32:31 AM MST2013-00231 David Young Gfci not working left side of bar sink. Bathroom outlet next to gfci not working, tripping gfci. Required rooms per ORSC not arc fault protected. See previous correction list. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14260 SW 116TH TER, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection FAIL October 27, 2016 at 11:50:20 AM MST2013-00231 David Young Provide approved electrical final inspection. Correction for arc faults done, corrections for gfci' s to follow. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14260 SW 116TH TER, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2013-00231 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14260 SW 116TH TER, TIGARD, OR, 97224 April 14, 2017 at 7:55:12 AM Record Type: Record ID: Residential - Master Permit MST2013-00231 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor