Permit CITY OF TIGARD MASTER PERMIT
II el
= COMMUNITY DEVELOPMENT Permit#: MST2014-00222
Date Issued: 01/12/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1106C11600
Jurisdiction: TIGARD
Site address: 12303 SW WINTERVIEW DR
Subdivision: TROY PARK Lot: 2
Project: Troy Park, Lot 2
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1173 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1518 sf Garage: 549 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2691 sf Value: $323,319.15 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
Drains: 0
Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 Tyoes Air Conditioning: N 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 add9 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 2691
Owner: Contractor:
PRESTIGE INVESTORS LLC TIMBERLAND HOMES INC Required Items and Reports(Conditions)
12670 SW 68TH AVE#300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 503-620-8860
FAX: 503-598-9081
Total Fees: $23,467.36
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. •se rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy oft les• • ect questions to OUNC by calling 51 .232..1-87 or '1.332.2344.
Issued By: `r—e, _ .f =_ Permi •• .-.ature:
IL' 0
Call • 5 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 II,R III I II I I I I I\I.1
City of Tigard i► Received _
Date./B : ( >'/ Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Cie plan Revi � '
Phone: 503.718.2439 Fax: 503.598.t•; t �g : ',..-min Other Permit. L.A„`-
l- t, \r l Inspection Line: 8 03.63 8.4175 1 e rI.- Date Ready :v, 0 e 2 or
Internet: www.ti ard-0r. ov G 1 a l- Notified/Method: ' Supplemental Information„so TYPE OF WORK o--ç �Sh REQUIRED DATA:l-AND DWELLING
®New construction ❑Detttkallid 1�i'�1 Permit fees'are based on the value of the work performed.
�� Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Otht ot` equipment,materials,labor,overhead,and the profit for the
CATEGORY OF COIul1RUCfON work indicated on this application.
Valuation: $ / Z3 3( r
I-and 2-family dwelling ❑Commercial/industrial
�q( 1 6�
®
El Accessory building ❑Multi-family
Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.
Job site address:12303 SW Winterview Drive New dwelling area: 2_61. t square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 5 if square feet
Suite/bldg./apt.no.: Project name:Troy Park Lot 2 r�'� ( j
.J;7yi , porch area: till square feet i to
Cross street/directions to job site: Deck area: K) square feet (1
Other structure area: 3 24D square feet —
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Troy Park I Lot no.:2 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.
Single Family Residence Valuation: S
Existing building area: square feet
New building area: square feet
El PROPERTY OWNER l 0 TENANT Number of stories:
Name:Timberland Homes,Inc /T..j./- 3 y — Type of construction:
Address: 12670 SW 68th Ave.,Suite 300 �/ Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)620-8860 Fax:(503)598-9081 New:
APPLICANT 0 CONTACT PERSON BUILDING PERMTF'FEW
id
Business name:Timberland Homes,Inc. - llllaateurisfeesefoe
Structural plan review fee(or deposit):
Contact name:Laura Blake
FLS plan review fee(if applicable):
Address: 12670 SW 68th Ave.,Suite 300
City/State/ZIP:Tigard,OR 97223 Total fees due upon application:
Phone:(503)620-8860 t Fax::(503)598-9081
Amount received:
E-mail:laura@timberlandhomes.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Timberland Homes,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 12670 SW 68”'Ave.,Suite 300 Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97223 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)620-8860 Fax:(503)598-9081 State surcharge(12%of permit fee): $21.60
CCB lic.:141715 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.
Print name:Laura Blake Date: i 21/S'li 4-f *Fee methodology set by Tri-County Building Industry
l Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Electrical Permit Application 1 (Ill ()1 1 1( 1 I "1 (0,1
City of Tigard Received
DAB : Permit No.: Y 40 ,,
IN
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Date/B Other Permit:
1 Ic I) Inspection Line: 503.639.4175 Date Ready/By: Juris 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REM"
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Demolition ❑Other: where Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSmucnoN exceeds 10,000 amps at 150 volts or ❑Floating buildings.
0 1- 2-family dwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural
y g ❑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","1-2","1-3",
Job no.:TP2 Job site address: 12303 SW Winterview Drive IooHPormore. Occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Troy Park Lot 2 ❑Service or feeder 600 amps or more.
FEE SCHEDULE •
Cross street/directions to job site: neaeriptioa I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Troy Park Lot no.:2 1,000 sq.ft.or less 1 168.54 4
Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion rj 33.92 1
Limited energy,residential
DESCRIPTION OF WORK i 75.00 2(with above sq.ft.)
Limited energy,multi-family
75.00 2
Single Family Residence residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
z PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Timberland Homes,Inc. 401 amps to 600 amps 200.34 2
Address: 12670 SW 686 Ave.,Suite 300 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard,OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:(503)620-8860 Fax:(503)598-9081 relocation
200 amps or less 59.36 I
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
IE APPLICANT I 0 CONTA1CT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name:Timberland Homes,Inc. each branch circuit
B.Fee for branch circuits without
Contact name: Laura Blake service or feeder fee,first 56.18 2
branch circuit
Address: 12670 SW 68th Ave.,Suite 300 Each add'l branch circuit 7.42 2
City/State/ZIP:Tigard,OR 97223 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)620-8860 Fax: :(503)598-9081 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:laura @timberlandhomes.net Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:Dreamhouse Electric LLC Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:221 SW Moonridge PI Each additional inspection over allowable in any of the above
City/State/ZIP:Portland,OR 97225 Additional inspection(1 hr min) 66.25/hr
-
Investigation(1 hr min) 66.25/hr
Phone:(503)519-6711 Fax:(503)648-9723 Industrial plant(1 hr min) 78.18/hr
•
Inspections for which no fee is 90.00/hr
CCB Lic.: 196726 Electrical Lic.: C848 Suprv.Lic.: 45605 specifically listed(/2 hr min)
n , . ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: at(,( Subtotal:
Print name: Chris Mahoney Date: /2_//s//y Plan review(25%ofpermit fee):
State surcharge(12%of permit fee):
Authorized signature: 0144 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name: Chris Mahoney Date: /L//$/ /y days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB
Mechanical Permit Application FOR 01.11(1-; 1 SE(l M.'i
City of Tigard Permit No.: d0/4-1_0 0
14 • 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
a Phone: 503.7182439 Fax: 503598.1960 Datdsy: Other Permit:
Inspection Line: 503.639.4175
I I t.A. :D
Date Ready/By: lam: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COQ.P@!°SC11RBIlLR—BIRECRECRLIST
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 CCINSTRUCTION
issmartnAL iT/BYSTEMSPREP
®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special injornration use checklist.
❑Multi-family ❑Master builder ❑Other. Description I Qty. I Ea. l Total
JOB$CIS INFORMATION AM/LOCATION Heating/cooling:
{
Air conditioning 46.75
Job site address:12303 SW Winterview Drive
Furnace 100,000 BTU(ducts/vents) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg/apt.no.: Project name:Troy Park Lot 2 Heat pttrrtp 21 116
Duct work 2332
Cross street/directions to job site: Hydronic hot water system 2332
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 2332
Subdivision:Troy Park Lot no.:2 Other: 2332
Other fuel appliances: `
Tax map/parcel no.: Water heater 1 2332
DESCRIPTION OF WORK Gas fireplace/insert 1 3339
Flue vent for water heater or gas
Single Family Residence fireplace 2332
Log lighter(gas) 2332
Wood/pellet stove 3339
Wood fireplace/insert 2332
Chimney/liner/flue/vent 2332
21 PROPERTY OWNER I o TENANT Other: 2332 -
Environmental exhaust and ventilation:
Name:Timberland Homes,Inc. Range hood/other kitchen
equipment 3339
Address:12670 SW 68th Ave.,Suite 300 Clothes dryer exhaust 3339
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2332
Phone:(503)620-8860 Fax:(503)598-9081 Attic/crawlspace fans 2332
} APPLICANT 0 CONTACT PERSON Other: 2332 _
Business name:Timberland Homes,Inc. Fuel '
$14.15 for first four,$4.03 for each additional
Contact name:Laura Blake Furnace,etc.
Address:12670 SW 6S Ave.,Suite 300 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223 Water heater i
Phone:(503)620-8860 Fax::(503)598-9081 Fireplace I
Range
E-mail:laura @timberlandhomes.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Central Air Other.
MRCHANICIL P fl FM*
Address:PO Box 433 Subtotal
City/State/ZIP:Clackamas,OR 97015 — - Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee)
CCB lic.:178624 TOTAL PERMIT FEE
This permit application ezpires if a permit is not obtained within 180
/ days after it has been accepted as complete.
/
Authorized signature: .—, • Fee methodology set by Tri.County Building Industry Service Board
Print name:Andrew Scheidt Date: jZ 4 S /y
I:Ilkulduig WbmutsIMEC_Pe+meApp_M01 l3aoc 440-46 pl )
Plumbing Permit Application
Building Fixtures FOR OFFICE. 1SF O\L1
City f Tigard Received
Y g
+ 13125 SW Hall Blvd.,Tigard,OR 97223 PVn Review Permit No.:/957r4i-d/`f_, 17 -
Phone: 503.718.2439 Fax: 5035 Date/By:
98.1960 Date/By: Other Permit No.:
C I r 11 Inspection Line: 503.639.4175 Date Ready/By: Jung: 0 See Page 2 for
Internet www.tigard-or.gov Notified/Method: Supplemental Information
Tn'lii OP WORK rats SICHEMB
®New construction[ ❑Demolition For special igformoliow use checklist.
❑Addition/alteration/replacement
Description Q�• Ea. Total
P 0 New 1-2-family dwellings(includes 100 ft.for each utility connection)
CAy OF CONSTRUCTION SFR(1)bath 31230
®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building SFR(3)bath 1 50032
ry g ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire s r ft.) Page 2
P�� (_s9•
JON!1I INFORMATION:AND LOCATION Site utilities:
Job site address:12303 SW Wiuterview Drive Catch basin area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg/apt.no.: I Project name:Troy Park Lot 2 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:Troy Park I Lot no.:2 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
SON OF WORE Backwater valve 1251
Clothes washer 251)2
Single Family Residence
Dishwasher 251)2
Drinking fountain 25.02
Ejectors/sump 25.02
Et noisily owABi>R I 0=ma Expansion tank 1251
Name:Timberland Homes,Inc. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:12670 SW 686 Ave.,Suite 300 Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 251)2
Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 1251
0 APPUCANTP 0 comer SON Interceptor/grease trap 25.02
Business name:Timberland Homes,Inc. Medical gas(value:$ ) Page 2
Primer 1251
Contact name:Laura Blake
Roof drain(commercial) 1251
Address:12670 SW 68'a Ave.,State 300
Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 6254
Phone:(503)620-8860 I Fax::(503)598-9081 Tub/shower/shower pan 12.51
E-mail:laura @timberlandhomes.net Urinal 25.02
C Water closet 25.02
Water heater 3732
Business name:G&B Plumbing&Sons,Inc. Water piping/DWV 56.29
Address:PO Box 92 Other: 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(971)563-3268 Fax:(503)633-8378 Minimum permit fee: $7230
CCB Lic.:184372 Plumbing lit.no.:PB634 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: lelipt `CY • TOTAL PERMIT FEE
I 21/V/ / This permit application expires if a permit is not obtained within 180 dap
Print name:Steve Fowler Date: [
after k has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\emvts\PL.MU-PermitApp4oc 10/01+99 440-4616T(IOR2COM/WEB)
City of Tigard
lig ■ COMMUNITY DEVELOPMENT DEPARTMENT
T l c n li Building Permit Review — Residential
Building Permit #: .57ly_Gpj
Site Address: I.Z303 SW InYt l der u:t' ,„) a r ,
Project Name: ---r'ro`L pc�,rl� a
Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Q P u3 F R
NI Verify site address/suite#exists and active in permit system.
Site Plan Elements:
®Three(3)copies of site plan Existing structures on site
1Site plan must 12g on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
IlDrawn to scale(standard architect or engineer scale) floor elevations
®North arrow Utility locations(required for new,may apply for additions)
[Site address,project or subdivision name and lot number Location of wells/septic systems
®Applicant information(name and phone number) llErosion control(including drainage-way protection,silt fence
Blot dimensions and building setback dimensions design,location of catch basin,etc.)
Lot area,building coverage area,percentage of coverage and ERStreet names
impervious area(applicable if R-7,R-12,R-25&R-40) EiStreet tree size,type and location
C 'roperty corner elevations(2 foot contour lines if more than Existing 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,applicant was notified Received: ❑ Yes
No ❑ No
rF" Land Use Case#: S 1 .1301 0 0 7-- 60011
[X Zoning: R -7
Xi Setbacks: Front 15 Rear 15 Side 5- Street Side lb Garage o
ALandscape Requirement: 6 %
X Lot Coverage Maximum: 24(d cyo
Building Height: Maximum Height 35 Actual Height v?L1-
!'Visual Clearance
1? Easements
,,alensitive Lands: ❑ Yes Al No Type
AZi Urban Forestry Plan
Conditions Met I ( /
Notes: Ni 0 lnni-t-19 C,�'Tl (5� -1-y∎YJ�s K b(..,Cr,�d...
Approved By Planning: Uktibl.-- Q Date: J), -I`l -/(1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\Bl dgPermitRvw_RES_100114.docx
Building Permit Submittal
Original Submittal Date: /2-451/y
Site Plans: #
Building Plans: # 3
Building Permit#: 1r building permit#above.
Workflow Routing: n g [`ngineering ❑-Perin t Coordinator ErTr dtng
Workflow Sign-off tgn off for Planning(include notes from planning review)
Route Application Documents: Deering: (1) copy of permit application, (1) site plan, (1) building plan and
o ' 'nal plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc. `_
Notes: $/J J /`r," cot otts 11 � L J r ol/ iT //hG,p4 yi►'1[- i�Tyr _
^• _ .4 .. C4 r . r,4 I' 6 / `. ,, - a J 14-
By Permit Technician: : /,?/Vii
Engineering Review
❑ Actual Slope:
❑ Conditions Met
❑ Easements (encroachments)
❑ Water Quality/Quantity Facility: Assess Water Quality Fee: ❑ Yes ❑ No
Assess Water Quantity Fee: ❑ Yes ❑ No
Notes:
i
Approved by Engineering: _ jam ■ Date: I Z. /7, /il
Revisions (after Building Submitt. only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions 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
r
�/�Approved by Permit Coordinator: Date: /2 7). J
I:\Building\Forms\BIdgPermitRvw_RES_100114.docx
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KW COVER ALL AREAS OF MARE ' ' l SOIL UNTIL PERMANENT LANDSCAPE �I I I ' , I IN� �V .W ��I PLOT
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LOT AREA. 6,16 6Q PT.
B,�,O ,M,, L,6O6QPT. ,� AMP*_ ����'y'L��\ .r 11 CITY OF TIGARC� ■
CONCRETE AREA, 6M en PT. =% MB S_\� +/� •.
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tribM.IF Mir- Date: 1a -I�-1`f
Initials:
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1
CITY OF TIGARD
BUILDING DIVISION PERMIT#:hirap/4-OG,A �
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
A�
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: ¢ �}..�. TIME: PAGE:
SITE ADDRESS: /c2.503 s / 1:VLIII611"' t2 r` CLASS OF WORK:
SUBDIVISION: LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
�
Inspection Request Scheduled For: Date: F6,7 F6,7 - S Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 30 WA-re-1/2- sG,2-`'fe
Corrections/Comments/Instructions:
w £►2- r-04_ r -'Ti f v - / G o tee- _ o Cyr 4
((
5'4c ( I ti'1 L-` rZ Hooky AMp l/e✓'1 r� ��{ p8P`Tp /03-5 f$,J/o,y,5 /•44
4L.- L- - E 0u-
9
❑ PASS iriDARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:_ 14144;-- Date: fr Phone #: (503) 718-
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
12303 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00222
David Young
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
12303 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
699 Mechanical final
PASS
MST2014-00222
David Young
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
12303 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
FAIL
MST2014-00222
David Young
cleanout plug needs approved thread sealant at: 316.1.1l,,
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
12303 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
399 Plumbing final
PASS
MST2014-00222
David Young
Corrections done.
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
12303 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
FAIL
MST2014-00222
David Young
Live electrical wire at fireplace needs to be terminated at proper location.
Re install electrical recep cover at bonus room.
Provide approved drainage swale around front right corner of house.
Violation Summary:
Inspector Contractor