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Permit „ CITY OF TIGARD MASTER PERMIT ' s - COMMUNITY DEVELOPMENT Permit#: MST2014 00061 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2014 Parcel: 1 S 126DC 11200 Jurisdiction: TIGARD Site address: 9837 SW TAYLOR CT Subdivision: GRECO ESTATES Lot: 7 Project: Greco Estates, Lot 7 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 819 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1107 sf Garage: 440 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1926 sf Value: $233,975.38 Rear 15 PLUMBING Sinks: 1 Water Closets 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins 0 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 Tvpes 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!500 sf: 3 201-400 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 1926 Owner: Contractor: LF 8 LLC JTSC LLC Required Items and Reports(Conditions) 5285 MEADOWS RD,STE 171 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $17,233.60 This permit '< i<< . subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be do in accordance ' th 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 da . ATTENTION: Oregon I= _•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 -001-0010 through OAR 9001-r0•r You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 . 0.332.2344. Ili I ued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. building Permit Application ' Residential FOR OFFICE USE ONL1 12 5 of Ti Sid Received �� Permit No.: `J g O Date/B LY�l��y I. a ' • Phone:SW Hs1 Blvd.,Tigard,OR 98.19 Plan i evi ' •�� a Eri Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : 4100 �v Other Permit: 0 ' ` __AI _ T I G A R D Inspection Line: 503.639.4175 044 Date Ready:y: See Page 2 for Internet: www.tigard-or.gov Notified/Method: ii: EIM Supplemental Information ' TYPE ' 11' I RK P PO ' I UIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑DenVh ition .(\ ��` Permit fees'are based on the value of the work performed. pF pWN Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other,:.w *p equipment,materials,labor,overhead,and the profit for the CATEGORY OF CO I. ,� + work indicated on this application. ® 1-and 2-family dwelling ❑ immercial/industrial Valuation: $`233��7�cj� ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: ay 2, JOB SITE INFORMATION AND LOCATION Total number of floors: 2. Job site address:9837 SW Taylor Ct New dwelling area: 1926 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 44 0 square feet Suite/bldg./apt.no.: Project name:Greco Estates Covered porch area: Ct ` square feet (10i Cross street/directions to job site:Greenburg Road Deck area: square feet 8 I ct Other structure area: 2.-3 45,6 square feet Z'� REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision; , no.:7 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 Residence Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER I ❑ TENANT • Number of stories: Name:LF 8 Type of construction: Address:5285 Meadows Suite 171 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New: I�.APPLIICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JT Smith Companies (Pleasertfatof�icr*adak� Structural plan review fee(or deposit): Contact name:Wayne Pykonen Address: FLS plan review fee(if applicable): ddress:5285 Meadows Road Suite 171 City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application: Phone:(503)657-3402 Fax::( ) Amount received: E-mail:waynep@jtsmithco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of _ roof-top mounted Photo Voltaic Solar Panel System. Business name:JTSC,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5285 Meadows Road Suite 171 Solar Installation Specialty Code checklist. City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes plan review $180.00 — and administrative fees): Phone:(503)657-3402 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:200237 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Wayne Pykonen aG t' ISred.1 Date: q/yy h,¢ *Fee methodology set by Tri-County Building Industry Q` Service Board. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 Plumbing Permit Application • Building Fixtures City of"Tigard � y Permit No.-./9,15-7-02a/y Ka)t o i , NI 13125 SW Hall Blvd.,Tigard,O 414 Plan Review Phone: 503.718.2439 Fax: 50 . 98.1960 q !� Date/By: Other Permit No.: Inspection Line: 503.639.4175 PQ� f� tat Read/B tutu• f 0 See Page 2 for 1 SL,1KD aQ y y' 6 Internet: www.tigard-or.gov �,1�n,�,�n /Mq) � SrppkareatalImformahoa _`, 7'WE'OF WORK C,� GI 1Grr ` `" -*_- EstrIs lu !" ®New construction C� �`� For seecia/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) .1'4, .. -CATEGORY OF CONSTRUtTION $, F -: SFR(I)bath 312.70 ® 1-and 2-family dwelling I=1 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ( 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB.SI TE'INI?ORMAfO$'ANOILLOCATION );, a Site utilities: Job site address:9837 SW Taylor Ct Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 - Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: I Project name:Greco Estates Manufactured home utilities 50.03 - Cross street/directions to job site:Greenburg Road 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.:7 _Fixture or item: Tax map/parcel no.: BacRflow preventer 31.27 ' DESCRIPTION OF WORK . '''' 'r` Backwater valve 12.51 Clothes washer 25.02 Plumbing for new single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® R'UPI&R't'Y OVNNEIi'!' ` 14' ❑ TENANT ; _ Expansion tank 12.51 Name:LF 8 Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Road Suite 171 Garbage disposal 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)657-3402 Fax:( ) Ice maker 12.51 .q • ® IPI jC _ . • _ 0 ,QNrACT PERSON 1„.._. Interceptor/grease trap 25.02 Business name:JT Smith Companies Medical gas(value:S ) Page 2 Contact name:Wayne Pykonen Primer 12.51 - Roof drain(commercial) 12.51 Address:5285 Meadows Road Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)657-3402 Fax::( ) Tub/shower/shower pan 12.51 E-mail:waynep®jtsmithco.com Urinal 25.02 i .C.NTRACTOR Water closet 25.02 ,T ` Water heater 37.52 Business name: fPlvt,,,:i 0 K/k27 ihLCtsc.i .� / 4.Y 'uj a. Water piping/DWY 56.29 Address: /&� /X �c �.. .. y, Other: 25.02 City/State/ZIP: 1115 be,re)r a� '2./ Ejam Subtotal Phone:( / //Q_O` t., Fax:(�O3) / -y4/ Minimum permit fee: $72.50 (�`7 ! rrJ Plan review (25%of permit fee) CCB Lic.: �/� Plumbing Lic.no.:�,,Z�� ' State surcharge(12%of permit fee) Authorized signature: L� /' _ _ TOTAL PERMIT FEE Print name: • Gi Date: as- I Is permit application expires if a permit is not obtained within 180 days �/ it after it has been accepted as complete- `Fee methodology set by Tri-County Building Industry Service Board. I1Buitding\PenaitsWLMU-PermitAppdoc 10/01/09 440-4616T(10/02VCOM/WEB) • .Mechanical Permit Application FOR OFFICE I tiC O\I 1 City of Tigard �vel,. ° Permit No.: ` 6 11, 13125 SW Hall Blvd.,Tigard,OR G� r' �.III.r �o I. Phone: 503.718.2439 Fax: 503.59 Date/By: w Other Permit: T I G A R D inspection Line: 503.639.4175 q 01 Date Ready/By: Ions: 61 See Page 2 for Internet: www.tigard-or.gov Pik f� Notified/Method: Supplemental Information t� AP/ TYPE OF WORK G..(Y OF NG�RN`EEA1�G COMMERCIAL FEE* SCHEDULE- USE CHECKLIST GIE Mechanical permit fees'are based on the value of the work ®New construction ❑Addition/alter/VOA performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:9837 SW Taylor Ct Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:Greco Estates Heat pump 61.06 Duct work 23.32 Cross street/directions to job site:Greenburg Road 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: Lot no.:7 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater II 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert lI 33.39 Flue vent for water heater or gas Mechanical for New Single Family Residence fireplace 23.32 __...2 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chitnney/liner/flue/vent 23.32 0 PROPERTY OWNER I ❑ TENANT Other: _ 23.32 Environmental exhaust and ventilation: Name:LF 8 Range hood/other kitchen equipment 1 33.39 33.39 Address:5285 Meadows Road Suite 171 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 1 16.60 Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: _ 23.32 Business name:JT Smith Companies Fuel piping: 514.15 for first four;54.03 for each additional Contact name:Wayne Pykonen Furnace,etc. 1 14.15 14.15 Address:5285 Meadows Road Suite 171 Gas heat pump Wall/suspended/unit heater _ City/State/ZIP:Lake Oswego,OR 97035 Water heater l Phone:(503)657-3402 Fax::( ) Fireplace 1 Range 1 E-mail:waynep@Jtsmithco.com Barbecue CONTRACTOR Clothes dryer(gas) _ Business name:Muehe Quality Heating,Inc. Other: MECHANICAL PERMIT FEES Address:7301 SW Kable Lane,Suite 500 Subtotal I City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)598-0966 Fax:(503)598-8498 State surcharge(12%of permit fee) CCB lie.:50096 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 e days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board IPrint name:Kyle Birman Date:2/19/14 1:\Building\Permits\MEC_PennitApp_040113.doc 440-4617T(I I/02/COM/WEB) , Electrical Permit Application City of Tigard �� Received Permit No. h' Date/By: ii5.7.44.014/....6.09(4.i w 13125 SW Hall Blvd.,Tigard, P' � Plan Review -- ' C' Phone: 503.718.2439 Fax: 517 Other Permit Date/13y: _ TIGARD Inspection Line: 503.639.4175 q 6 11.1 \6( Date Ready:/By: — — Saris a Sec Page 2 for Interact: www.tigard-or gov Pk? P O Notified/Method: Supplemental Information TYPE OF WORK ` ' ��?\� p� PLAN REVIEW — ®New construction ❑Addition/alterations h • tOl• Please check all that apply(submit 2 sets of plans w/items checked below) A`w`` vI ❑Service or feeder 400 amps or store ❑Building over three stories ❑Demolition ❑Other: ` �\e`v 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 1.1,000 ❑Commercial-use agricultural ® I-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 0 Addition of new motor load of ❑"A""E' "I �" "I-3" Job no.: Job site address:9837 SW Taylor Ct 100 110 or morn. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks City/State/ZIP:Tigard,OR 97223 ❑lle:lth-care facilities ❑Supply voltage lot more than ❑Harudous locations. 600 volts nominal. Suite/bldg./apt,no.: Project name:Creco Estates ❑Service or feeder G00 amps or more. FEE SCHEDULE Cross street/directions to job site:Greenburg Road Description I Qtr. I Fee. I That New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.:7 1,000 sq.Ii.or less I 168.54 4 Ea.add'I 500 sq.ft.or portion 3 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq it.) 1 - 75 00 2 Limited energy.multi-family 75.00 J-- 2 Electrical for New single family residence residential(with above sq.11.1 Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation M.PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:LF 8 401 amps to 600 amps 200.34 2 Address:5285 Meadows Road Suite 171 601 amps to 1,000 amps 301,04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)657-3402 Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease,rent,or exchange,according to ORS 447,449.670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel .� E APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fcc, Business name:JT Smith Companies each branch circuit 7.42 2 B.Fee for branch circuits without Contact name:Wayne Pykonen service or feeder fee,first 56.18 2 branch circuit Address:5285 Meadows Road Each add'I branch circuit 7.42 2 City/State/111': Lake Oswego,OR 97035 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(503)657-3402 Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:waynep @jtsmithco.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 �:,rt�y l ft f rii(+ Signal circuit(s)or limited-energy See Business name: � Y IK.y' panel,alteration,or extension. Page 2 2 Address: ,,el AO a- , vootatio f t) Sh,4 Each additional inspection over allowable in any of the above I 1st)0f 0 OR iii ,3 Additional inspection(I hr min) 66.25/hr City/State/ZIP:' 11 P/U (�/ Investigation(I hr min) 66.25/hr Phone:( `f . s,,, Fax: t44 0 &V. Industrial plant(1 hr min) 78.181 hr __ __ Inspections for which no fee is hr CCB Lic.: a� 11 Sc/ {Electrical Lic.: / 14Qprv{: ''7(?7s specifically listed('/�hr min) ELECTRICAL-PERMIT 90.00/ PEES Suprv. Electrician signature,required: - ` Print name: C` •{ i� /1 `' " -I `G ___ Plan review(25%of permit fee): _-- 1 State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE. Print name: . f1 r — Date: 7�4_//f l'his 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'Auitding\PermasSELC Permit App,ELR ERE doe Rc.0921120!] 440-4015Tt I I t05;COMUWES Is 1 Building Permit Number: /+75 i:4n/44 cy[J) Cl 74 i Building Permit Review Residential Projects TIGARI) Site Address: 9 °03 7 5 In) TA 74 r L4-- Project Name: C;re.c.0 Es 4- S Lot #: 7 (New dwelling= subdivision name;Addition or Alteration = last name of owner) Planning Review Proposal: tiLI..J F (R4.1;oLe,uu C t E Verify site address and suite # exists or is not disabled. Site Plan Elements: 1 Three(3)copies of site plan ❑Existing structures on site VA' fEiteite plan must he on 8-1/2"x 11"or 11 x 17"paper O Footprint of new structure(including decks)with finished brawn to scale(standard architect or engineer scale) floor elevations Borth arrow 21i lity locations(required for new,may apply for additions) l� �to address,project or subdivision name and lot number �❑ ation of wells/septic systems Al A- 1i pplicant information(name and phone number) OA Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) l area,building coverage area,percentage of coverage and l 3S names impervious area(applicable if R-7,R-12,R-25&R-40) Bity.eet tree size,type and location In— QP perty corner elevations(2 foot contour lines if more than Oatxisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services–Service Provider Letter: (lot platted prior to 9/10/1995): Required: Yes ❑ No X Received: Yes El No ❑ ErLand Use Case Number: Stn$ Z 00 7 - 00004 2-Zoning: IZ -i2 ` W51g. L 6.rruMKMiT'7 P1a1A L'Setbacks: ('R.4'4) Front is- Rear 15" Side 5 Street Side /o Garage z o D-ndscape Requirement: Z, 0 E 1-Lot Coverage Maximum: B 0 % 7Building Height: Maximum Height 3S Actual Height lei Visual Clearance C-, CI- Easements $ r,, $c Sensitive Lands: Yes Type N W D Urban Forestry Plan t Conditions Satisfied Approved by Planning: CjAL4_, Q 6ei■-mot-.- Date: tp t(// y Notes: -b6",5A K e.,, t{/.13/14 t r, --14 I t: &J&. (-e. Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ I:\B u it d in g\Forms\B I dgPerm i tRvw_RES_040314.docx y Building Permit Su bmittal_ Original Plan Submittal: Date: _14 /57 ' Site Plans: # Building Plans: # Create Case Record#: C r case#�aboovv for Building Permit N ber. Workflow Routing: [[ Pining L4'Engineering ermit Coordinator Su lding Workflow Sign-off: ILYSi ff for Planning staff,including notes from planning review(page 1) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ersiziOlal plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. By Building Permit Technician: T Date: Lj/ 1J//y Notes: Engineering Review Actual Slope: "i ❑ Conditions Satisfied Notes: Approved by Engineering: Aie llat J, Revisions (after Building Submittal only) Review Date ,. Revision 1 Approved % Not Approved ❑ jr,e Revision 2 Approved ❑ Not Approved ❑ "'�` Revision 3 Approved ❑ Not Approved ❑ Pe it Coordinator Review onditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ OK to Issue Permit Approved By: � Date: mil` / 1:\B u i I d ing\Forms\B I dgPerm it Rvw_RES_040314.docx 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 9837 SW TAYLOR CT, TIGARD, OR, 97223 Residential - Master Permit 610 Gas Line PASS June 20, 2014 at 8:17:06 AM MST2014-00061 Jeff Grove 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 9837 SW TAYLOR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00061 George Heimos 1. Correction #1 previous inspection not complete. (Lawn irrigation inspection), need to call it in for inspection to receive approval for Plumbing Final on this permit. 2. Re-inspection fee will be assessed if previous correction is not approved on next inspection 103.5.6 All else ok 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 9837 SW TAYLOR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00061 George Heimos *Erosion Control approval. Received *Street Tree Certiﬁcation, checked for trees. Received. signed/dated *High-Efﬁciency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement Form. Received *Insulation Certiﬁcation checked. Checked *Approach to Sidewalk Approval (if required). Not required *Carbon monoxide Detector. Checked. *Garage Vehicle Barrier Installed. Yes *Provide: Final Plumbing, Mechanical, Electrical approval, prior to Structural approval. Yes *Lawn Irrigation ﬁnal with Backﬂow test results. (if required), received. 1" Wilkins model 350. Serial no. A395206 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 9837 SW TAYLOR CT, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00061 George Heimos 1. CSST sleeve needs to be installed at sharp metal edge at ﬁreplace gas pipe. Alleles ok, recall inspection. 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 9837 SW TAYLOR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2014-00061 George Heimos 1. Call for lawn irrigation backﬂow device ﬁnal approval. 2. Exposure outside sewer cleanout. 103.5.1.4/103.5.1.3/315.3 3. No hot water, stopped inspecting, recall inspecting 4. No inspection made? Violation Summary: Inspector Contractor