Permit 1111 _ til CITY OF TIGARD MASTER PERMIT
-II` '� COMMUNITY DEVELOPMENT Permit#: MST2014-00164
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2015
Parcel: 1 S135AD01900
Jurisdiction: Tigard
Site address: 8820 SW SPRUCE ST
Subdivision: GRAHAM ACRES Lot: 2
Project: Spruce Village- Lot 3
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 3 First: 838 sf Basement: 0 sf Left: 4 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 1133 sf Garage: 343 sf Front: 15 Smoke
Dwelling Units: 1 Third: 681 sf Right: 4
Detectors: Yes
Total: 2652 sf Value: $311,137.80 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 Types 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
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 addl 500 sf: 4 201-400 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
asin Y
Other: N Other Description: Ecom P 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2652
Owner: Contractor:
ANDERSON HOMES&CONSULTING LL(WESTLAND INDUSTRIES Required Items and Reports(Conditions)
5357 LAKEVIEW BLVD 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175
LAKE OSWEGO,OR 97035 TIGARD,OR 97223
PHONE: PHONE. 503-245-9715
FAX: 503-598-9081
Total Fees: $21,549.70
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 -nter. Those rules are set forth in OAR
952-001-,' • roug ••R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50
8 �I•
.2344.
Issue, By: i / I. �/__� _ Permittee //��.r � .
Call 503.639.4175 by 7:00 a.m.for the next available inspection d 1
This permit card shall be kept in a conspicuous place on the job site until compl> ion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED rOlz OI 1lc-I: I S1:0\1.1
Cl of Tigard Received ��� permit No 5 OA , 4
71 - `l g Date/B : / �.rl
13125 SW Hall Blvd.,Tigard,OR 9723[p Plan Revi `���/��
Phone: 503.718.2439 Fax: 503.598.lpj O 2014 Datei e: f 7 OtherPennitca) . o/ i"of i
I i G A N.D Inspection Line: 503-639.4175 Date 'ea. By: Juns: 0 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
8I1117BC DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
12'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
work indicated on this application.
CATEGORY OF CONSTRUCTION ,
Valuation: $ '1( I.
id 1-and 2-family dwelling ❑Commercial/industrial .i
Number of bedrooms:
❑Accessory building ❑Multi-family
r
❑Master builder 0 Other: Number of bathrooms: ,$
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: et) & to ( New dwelling area: ZL square feet
City/State/ZIP: ---/761W 0/2. 9'7 Z3 �- Garage/carport area: '13.44(: square feet
Suite/bldg./apt.no.: Project name: 5t h.LLB (�,f`i( 4- Covered porch area: 1/"�. square feet
Cross street/directions to job site: 4-1- �'T . Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:_reAj. ! V'JL I Lot no.: Permit fees*are based on the value of the work performed.
— Indicate the value(rounded to the nearest dollar)of all
( Tax map/parcel no.: ' - equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
T Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
i
Name: Type of construction:
Address: Occupancy groups:
' City/State/ZIP: Existing:
k Phone:( ) / Fax:( ) New:
[X APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
AA � /✓ TvDi/yr, /F A (Please refer to fee schedule)
Business name: '✓ L C.
Structural plan review fee(or deposit):
Contact name: /206 n,V •esp,.,1 7//y 0t/Q,QI//�-
�f /Q }�^U FLS plan review fee(if applicable):
Address: /�6 7, 60 0. "
ty 17 �' ej� 9 7 ZZ Total fees due upon application:
City/State/ZIP: 2 Z/ Amount received:
Phone:(05 ) 572_-071/ Fax: :93 ) 6.-9 fpJ---9Dgf PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: ,f 0 o20 e /L r eon� Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: j fj� ( `ti Submit two(2)sets of roof plan with connection details
�1� "i rL �—�1� 7 `�- and fire department access,along with the 2010 Oregon
Address: t 7 d SL;V �, qn6 Solar Installation Specialty Code checklist.
City/State/ZIP. L � 7� • Permit Fee(includes plan review $180.00
t �( L� P" l �7i and administrative fees):
Phone: )2,) •�i (U Fax:(9 j m-ov9 I State surcharge(12%of permit fee): $21.60
CCB lie.:
a,?- .. g19 �1 Total fee due upon application: $201.60
Authorizes *•Jr.•- -. — ��, "`CCC This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
��!! *Fee methodology set by Tri-County Building Industry
�t not nan 11 1 - • �1 e r Date:Cy. Tr. i Service Board.
1 J i
I•\B,ildino\Penni \RI 1P-RESPennitAnn.doc 02/24/2011 440-4613T(Il/0 /COM/WEB)
RECEIVE!) .—
Mechanicall 1'er4.1 it Application — - o
F cE�U _t � ,,}, , • .
r City ®f�'Il and SEP 3 Received Permit N STZ(f/l''�/ /6 y .
t, ° 13125 Hall Blvd.,Tigard,OR 97223 U 2014 Plan Review /
_ Other Permit
Phone: 503.718.2439 Fax: 503.598.1960 DateBy:
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: runs: 0 See Page 2 for
R'1�GAFD. p
L.. Internet www.tigard-or.gov BUILDING DIVISIOI ° ed/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
r ew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning
n0 �,r (requires site plan showing placement) 46.75
Job site address: QjB 46.75
`�(•' `Wit ( Furnace 100,000 BTU(ducts/vents)
City/State/ZIP: i 1(_ 6-1 '1���� ' Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldgJapt no.: Pmieat name:C T V A./.—,r..----
./. G Heat pump 61.06
I 1 w (requires site plan showing placement)
Cross street/directions to job site: ` .� Duct work . f 23.32
trL� C 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: �T�i v f �t��i Lot no.: 9...
j Other. 23.32
Tax map/parcel no.: ' Other fuel appliances:
Water heater ( 23.32
DESCRIPTION OF WORK 33.39
Gas fireplace
e y),tW Qa/_t, f fi owl.G Flue vent for water heater or gas 23.32
�'^ fireplace
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER. I ❑ TENET Other. 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 1 33.39
City/State/ZIP: Clothes dryer exhaust ( 33.39
Single-duct exhaust(bathrooms, ,,t
Phone:( ) Fax:( ) toilet compartments,utility moms) -T 23.32
Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON
Other. 23.32
r.
Business name: (�}j��� v� yk j�• Fuel piping:
Contact name .05,...\--06r-..\..,. SA- /(e+ S14.15 for first four;$4.03 for each" additional
'^ Furnace,etc. I
Address: �D v�j ��! Gas heat pump
City/State/ZIP: e} Wall/suspended/unit heater
Water heater 1
Phone: )j?� (,st-4
i/�l L '( 56-8,91) Fireplace 1
E-mail:"Jq � Ll`--�j� lL (N. �
1 �t t1rtf, v�( ( 1 Range E
CONTRACTOR ( Barbecue
Business name:py 4 , Clothes dryer(gas)ic"i"t �` t � p- '/) Other.
Address: i 1 )`'-1 �'Qt tJ e 5 A" MECHANICAL PERMIT FEES*
r Q p� Subtotal
City/State/ZIP: t�01 ow-1,ut d lL �/{�' [7Q�bq�0 Minimum permit fee($90.00)
Phone:( `)1L),7 r. 7 I 4 3�6. 0(6 I b Plan review(25%of permit fee)
CCB lie.: `,.,`-1' tl ' 1 (g (Q State surcharge(12%of permit fee)
low ` � D �t TOTAL PERMIT FEE
Authorized signature: ���(I This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I _ . �Th /) I r....... I * Fee methodology set by Tri-County Building Industry Service Board
RECEIVED_ ►OR �5' b
Electrical Permit Application,
--
SEP 3 0 2014 Received Permit No.' " ///-
(Cnttg' of Tigard Date/13 :
° 13125 SW Hall Blvd.,Tigard,OR 97223 `l Plan Review Other Permit:
1 Phone: 503.718.2439 Fax: 503.598.1 Ty OF 1(.ARD Date/B : huffs- 0 SeePage2for
Inspection Line: 503.639.4175 i t�`A� ni iC Date Ready/By: Supplemageal Information
iIG1�RU Internet: www.tigard-or.gov 6IJIL )1N1 UIVISIO' 'Notified/Method:
PLAN REVIEW
TYPE OF WORK submit l sets of plans w/items checked below):
Please check all that apply New construction ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Other: where the available fault current ❑Marinas and boatyards.
Demolition exceeds 10,000 amps at 150 volts or ❑Floating buildings.
CATEGORY OF CONSTRUCTION less to ground,or exceeds 14,000 ❑Commercial-use agricultural
and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. ❑buildings.
of 75 KVA or
❑Fire pump' larger separately derived system.
❑Multi-family ❑Master builder ❑Other: ❑Emergency system.
• A°,"E","1-2","1-3°,
JOB SITE INFORMATION AND LOCATION El Addition of new motor load of ❑occupancy.
.....• ,.........„0,-, 100HP or more.
Job site address !, ❑Recreational vehicle parks.
Job no.: 1! til /-�(f lt.. ❑Six or residential units. ❑Supply voltage for more than
�� ❑Health-care facilities. 600 volts nominal.
City/State/ZIP: /lr� (� U C j f/ ❑Hazardous locations.
( ❑Service or feeder 600 amps or more.
Suite/bldg./apt no.: I Project name: V i e rr FEE SCHEDULE
1 M. Fee. Total
•
Cross street/directions to job site: Desert lion residential single-or multi-family dwelling unit.
Includes attached garage. 4
I� 1,000 sq.ft or less 168.54 -
n / / I Lot no.: J ft or portion 33.92 1
Subdivision: l( 'Z — Ea.add'1500 sq. Po
iG1.�:L. .fir
Tax map/parcel no.: Limited energy,residential 75.00 2
with above s•.ft
DESCRIPTION OF WORK Limited energy,multi-family 75.00 1111111 2
/j � residential with above •.ft
(.1/JSWG to 5r,e 14/4" Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 — 2
I 133.56 2
❑ TENANT 201 amps to 400 amps 133. 2
❑ PROPERTY OWNER 401 amps to 600 amps 200.34 —
301.04 2
Name: 601 amps to 1,000 amps 301.
Over 1,000 amps or volts 552.26 —
2
Address: Temporary services or feeders installation,alteration,and/or
City/State/ZIP: relocation 5936 l
200 amps or less
Phone:( ) I Fax:( ) .
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54
2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits-new alteration or extension er anel
Date: A.Fee for branch circuits with
Owner Signature: _ above service or feeder fee, 7.42 2
APPLICANT I ❑ CONTACT PERSON each branch circuit
_ B.Fee for branch circuits without
Business name: /1/ 972.470.6 ,A4/0v6-7-4_1/E_S service or feeder fee,first 56.18 2
branch circuit 2
Contact name: gob A,,,Da✓/ o.r)/ c/fxf&�'t'� Each add'/branch circuit 7.42
/ k /� Miscellaneous service or feeder not included
Address: Q $j,(f qq /y"� 7vd 67.84
j�-� (�U— �f>� Each manufactured or modular 2
City/State/ZIP: 0,e_ q-72-33 dwelin service and/or feeder
/
Reconnect only 67.84 2
r2 67.84 — 2
Fax: :(503) ('l'—go�J/ Pump or irrigation circle 67.84 2
Phone: D )5-7.)...0-2q6
E-mail: Signor outline lighting
CONTRACTOR Signal circuit(s) _s)orlimited-energy 2
•anel,alteration,or extension.
Business name: �Le Cf"9Q jrp,-� �/./A49(//47-70v5 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
/64/4-3 C6, 131e_ 66.25/hr
Address: � , J 17- ✓ Investigation(1 hr min)
,..- 41, Industrial plant(1 hr min) 78.18/hr
City/State/ZIP: n C-'C', ' �E r- it Industrial anew-5C?%,�. � 9o.oa to
t = n Inspections for which no fee is
(�-� S r Fax:(071)1!�-ji`3� 4y s• 'frcall listed %hr min
Phone: 6' ) 3 73 -- 7e�
�l Su rv.Lic.:,'7 , ELECTRICAL PERMIT FEES
CCB Lic.: �,Y('� Electrical Lic.: 4- t r(� P s Subtotal:
Suprv.Electrician signature,requir•-' Plan review(25%of permit fee):
Date: State surcharge(12%of permit fee):
Print name: { I TOTAL PERMIT FEE:
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as comp
Print name:
I Date: • Number of inspections allowed per permit.
•°.Fl crn MS/COW/EH
l
Plumbing Permit Alppllnc a GENE _
1i:uildlnng Fixtures res I O-1.OfFJ C F, US,1. ON I ,1;
` z City of Tigard S E P 3 0 2014 Received Permit NoNS rZo i y Do/&7,-
Date/By:
II
_ n 13125 SW Hall Blvd.,Tigard,OR 97223 Plea Review Other Permit No.:
Phone: 503.718.2439 Fax:
503 1 riGA�� Date./By:Inspection Line: 503.639.4175 L Date Rea
dyBy: 7uris. I n See Page 2 for
TIGARD
OF WORK Supplemental Information
Internet: www.tigaz TYPd-or.gov HIJi1E' ,pIN(: DIVISION Notified/Method: .
FEEk.SCHEDULE
..
For special information use checklist.
M New construction ❑Demolition Description I Qty. 1 EL ( Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath f 312.70 332.70
al,--6-E12-family dwelling ❑Commercial/industrial (2)bath dustrial SFR(3)bath I( 500.32
❑Accessory building ❑Multi-family Each additional bath/Idtchen 25.02
❑Master builder ❑Other: Fire sprinider(__sq.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
r
�` Catch basin or area drain 18.76
Job site address:�o l! # e�_ / • - i Drywell,leach line,or trench drain 18.76
City/State/ZIP: t [472 3 Footing drain(no.linear ft.:J Page 2
t �' r y 50.03
Suite/bldgJapt no.: Project name: Y� t C iC� �'+� Manufactured home utilities
,!
Cross street/directions to job site: LV Manholes 18.76
Rain drain connector
Sanitary sewer(no.linear ft.:_) ( Page 2
Stomp sewer(no.linear ft.:__) r Page 2
Water service(no.linear ft.:__) i I Page 2
Subdivision: 67 rikr-e..- Y l L{,, -C Lot no.: _ Fixture or item: 31.27
Backflow preventer
Tax map/parcel no.: Backwater valve 12.51
DESCRIPTION OF WORK r 25.02
�/ Clothes washer tr
/1 A 5 ,1- 6V -[,(e• - [6 ` Dishwasher ( 25.02
(�(J Fes""' Drinking fountain 25.02
Ejectors/sump 25.02
•
Expansion tank 12.51
❑ PROPERTY OWNER ❑ TENANT Exp 25.51
Fixture/sewer cap
Name: Floor drain/floor sink/hub 25.02
Address: _ Garbage disposal / 25.02
City/State/ZIP: Hose bib 2/ 25.02
Ice maker
l 12.51
Phone:( ) Fax:( ) 25.02
[PLICANT ❑ CONTACT PERSON Interceptor/grease trap
/ Medical gas(value:$ )
Page 2
Business name: ��i. Primer 12.51
Contact name: I✓ ,, �. .�-/ 12.51
/ �[ C/ �+ Roof drain(commercial)
Address: ( ) 9O „c-z,t j ) 79/✓ f Sink/basin/lavatory C 25.02
O/� q7 Solar units(potable water) 62.54
City/State/ZIP: /761-11-2.b o`-� � 12.51
Fax:•( l / Tub/shower/shower pan
_Phone:( � -D��,p I � 25.02
Urinal
E-mail: �� � (� l .I3){\ Water closet 25.02
CONTRACTOR Water heater i 37.52
Business name: AM r vL j, N I FY Water piping/DWV 56.29
Other. 25.02
Address: f'�e� hi III ` Subtotal
City/State/ZIP(: (� 7l Minimum permit fee: $72.50
Phone:( ff}}) Fax:( ) ;r Plan review (25%of permit fee)
CCB Lic.: C f(D 3 1-( 7 Plumbing Lic.no.:3 -A Sl s , State surcharge(12%of permit fee)
rt TOTAL PERMIT'FEE
Authorized signature
,� This permit application expires if a permit is not obtained within 180 days
Print namel /�i (,CluA 8 v-:. . l Date: after it has been accepted as complete
l� �� "Fee methodology set by Tri-County Building Industry Service Board.
City of Tigard
114 p COMMUNITY DEVELOPMENT DEPARTMENT
•
T r c n li D Building Permit Review — Residential
Building Permit #: lis—.2e/`71-()D/6 y
Site Address: Of320 &v J S p r u c es S i r e., -
Project Name: Spr Ace v t t��ta.Q, Lot #: 3
(New'dwelling=subdivision ame;Addition or Alteration=last name of owner)
Planning Review
Proposal: W-e\ f I
XVerify site address/suite #exists and active in permit system.
Site Plan Elements:
❑Three(3)copies of site plan ,'Existing structures on site
(Site plan must b on 8-1/2"x 11"or 11 x 17"paper .ZFootprint of new structure(including decks)with finished
CJDrawn 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 ,ZLocation of wells/septic systems
Applicant information(name and phone number) .Erosion control(including drainage-way protection,silt fence
ILot dimensions and building setback dimensions design,location of catch basin,etc.)
2 Lot area,building coverage area,percentage of coverage and /Street names
impervious area(applicable if R-7,R-12,R-25&R-40) , Street tree size,type and location
Property 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 17C No Received: ❑ Yes El No
,e Land Use Case#: &u{2j Q — D0O014
le Zoning: R--t J-
.fdrSetbacks: Front 15 Rear 15 Side 4. Street Side N/A Garage 20
.0'Landscape Requirement:
..Lot Coverage Maximum:
-0' Building Height: Maximum Height 35 Actual Height t21
j2r Visual Clearance
.2'Easements 4,,
Z Sensitive Lands: .,�d'Yes 1=1 No Type 'tt14 v IT\u Y t A
Urban Forestry Plan
Conditions Met
Notes: IArti ktk ek th bIL(4- lC 't'D SColLe
Approved By Planning: _A?pk6__ .Q144— Date: 1 ' l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1 _ Revision 3: ❑ Approved ❑ Not Approved
(:\Building\Forms\BldgPermitRvw_RES_042914.docx
Building Permit Submittal
Original Submittal Date: 9/.3d//Y
Site Plans: # 3
Building Plans: # yj
Building Permit#: Enter building permit# above.
Workflow Routing: Planning ❑1ngineering Er-Permit Coordinator ft."3uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: /9/40/0/L01 o/A4 7 6 y f�Gi9-�I/r✓"NG ��✓J ln/6
tgli',A/&_7--/24"/6 ,41/90 6F //f//Gier9-ST cCi'7t/LE `?EC2-ci//2c24.1E /%
By Permit Technician: Date: 9 /
/love/ -4V-e-et-a-e.g.1010
CZ-1;604, Xe-4-4-1) 41Iter
Engineering Review
❑ Actual Slope:
❑ Conditions Met M
Notes: �' J 6,f)-c-r
Approved by Engineering: !'1 ��. . A4 Date: ///•;:e6(
Revisions (after Building Submittal 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:
egq)K to Issue Permit
Approved by Permit Coordinator: Date: 1//3-41)7 .-
L\Building\Forms\BldgPermitRvw_RE5_0429 t 4.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
• City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal
Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiQard-or.gov
TO: AV NE L o,/ DAT '�
DEPT: BUILDING DIVISION E1.'
JAN '8 2015
FROM: /Y50 tJ 0/C EL
CITY OF TIGARD
COMPANY: fowL (Ile HON t h Fs'10/ BUILDING DIVISION
PHONE: c05 1S5 'oTS By:
RE:
5P��« V/LL,4GF lr�fRD 45F2. 4-0c /6LL
(Site Address) (Permit Number)
STd.r)jL— c)C)(65
(Project name or subdivision name and lot number) /1SaO1't—001(0 CO
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICF USE ONLY
Routed to Permit Technician: Date: 3 2 l� Initials_
Fees Due: ❑ Yes Q 1 o Fee Description: Amount Due:
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Buil ding\Forms\TransmittalLetter-Revisions.doc 05/25/2012
January 12, 2015
RE: NEW RESIDENTIAL
Project Information
Building Permit: MST2014-00165 Class of Work: NSFD
Address: 8816 SW Spruce St. Lot Number: 1
Area: 2652 Sq. Ft. Stories: 3
Builders Name: Westland Industries Subdivision: Spruce Village
The plan review was performed under the State of Oregon Residential Specialty Code
(ORSC) 2011 edition. Please respond to conditions below.
1) Site plan is shows right garage. Elevation plans, floor plans and roof plan
pages show left garage.
2) Truss details do not depict actual layout. There are two lengths of half
trusses.
3) Roof plan does not depict actual layout.
When responding, provide an itemized letter stating in what way each numbered
issue has been addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City
of Tigard in tracking and processing the documents.
Respectfully,
Dan Nelson
Senior Plans Examiner
(503) 718-2436
dann @tigard-or.gov
November 24, 2014
RE: NEW RESIDENTIAL
Project Information
Building Permit: MST2014-00162 Class of Work: NSFD
Address: 8830 SW Spruce St. Lot Number: 1
Area: 2652 Sq. Ft. Stories: 3
Builders Name: Westland Industries Subdivision: Spruce Village
The plan review was performed under the State of Oregon Residential Specialty Code
(ORSC) 2011 edition. Please respond to conditions below.
1) Please provide size of all beams and calculations.
2) Please show all bearing loads and beams from roof to foundation.
When responding, provide an itemized letter stating in what way each numbered
issue has been addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City
of Tigard in tracking and processing the documents.
Respectfully,
Dan Nelson
Senior Plans Examiner
(503) 718-2436
dann @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
8820 SW SPRUCE ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2014-00164
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
8820 SW SPRUCE ST, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
FAIL
MST2014-00164
David Young
Hot and cold reversed at main bath tub/shower.
All else ok.
Recall after corrections 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
8820 SW SPRUCE ST, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
PASS
MST2014-00164
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
8820 SW SPRUCE ST, TIGARD, OR, 97223
Residential - Master Permit
699 Mechanical final
PASS
MST2014-00164
David Young
See previous passed mechanical final inspection scheduled for same day.
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
8820 SW SPRUCE ST, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - C of O
MST2014-00164
Chip Barnett
Violation Summary:
Inspector Contractor