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Permit
41 CITY OF TIGARD BUILDING PERMIT t r COMMUNITY DEVELOPMENT Permit#: BUP2015-00167 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/23/2015 Parcel: 2S102DCO2200 Jurisdiction: Tigard Site address: 9295 SW MCDONALD ST Project: Crow Properties LLC Subdivision: EDGEWOOD Lot: 15 Project Description: Demolition of 920 sf house,200 sf carport&650 sf cottage,on septic. Demo credits for future SDC fees available upon final inspection. Contractor: OWNER Owner: CROW PROPERTIES LLC CROW PROPERTIES LLC 26 BECKET ST 26 BECKET ST LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503-348-8614 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM T Permit Fee-Additions,Alterations, 06/23/2015 $149.75 ype of Const: Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 06/23/2015 $0.50 Dwelling Units: 0 11x17) Stories: 0 Height: 0 ft Erosion Control w/Development-Eng 06/23/2015 $80.70 Bedrooms: 0 Bathrooms: 0 Value: $4,500 Floor Areas: Total Area 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $230.95 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty •••-s 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 is- e, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati• enter. Those rules a e set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co• • the rules or direct questions to OUNC by calling 50 2.1987 or 1.800.332 344. Issued By: Permittee Signature: s— al .639.4175 by 7:00 a.m.for the next available insp= L ate. This permit card shall be kept in a conspicuous place on the job site until c• pletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOIt 01.1.l( 1. l I.O\1.1 City of Tigard RECEIVED Date/By: (o lb /t Permit No.: /3„6941.6---0,,f) 47 Y: ilq • 13125 SW Hall Blvd.,Tigard,OR 972 ��N y 1 c 2015 Plan Review Phone: 503.718.2439 Fax: 503.598.1,94N V DateBy: Other Permit: RI) Inspection Line: 503.639.4175 Date ReadyBy: /,, luris: 63 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Noti�� ethod:/r,/W�� 9 5 Supplemental Information D ► I t t ti , • V'� IA) TYPE OF WORK - REQ DATA.I-AND 2-FAMILY DWELLING ❑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 CATEGORY OF CONSTRUCTION work indicated on this mplication. ❑ I-and 2-family dwelling Valuation: $ jr00,p� ❑Commercial/industrial ❑Accessory building El Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 5 Z ci s Su, 11- J o4 aid Si• New dwelling area: square feet City/State/ZIP: 77.5Ar`d Ore oki �t/i 722- Garage/carport area: square feet Suite/bldg./apt.no.: ,J Projec name: Croce ro per//'es 1.L C Covered porch area square feet Cross street/directions to job site: q3 rd me 0 04(Lid S f Deck area: square feet 0 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rotnded 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. cus f �� Valuation: $ !7 tM c 0 i✓ 9�� ) '6F 0�eke� 50�, ev/��9t2E. — Pe(:P f _r-y 1 y a,. PT L, Existing building area. square feet New building area: square feet ❑ PROPERTY OWNER 1 ❑ TENANT Number of stories: Name: Ge rq4 0. Crow .Jr-,/Cr o cJ Pro r f ies L.i,C Type of construction: Address: 2,6 gec S4` 1 Occupancy groups: City/State/ZIP: 4akc aswe30 Or'eO.i c703S' Existing: Phone:(3 ),31g-86 id/ Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* " (Please refer to fee schMek) Business name: `��,t' Q S G.t,` 'lJz... Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: - City/State/ZIP: Total fees due upon application: Amount received. Phone:( ) Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: t`ro t J Proper-ties C Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Z(o Qecket s4 • Solar Installation Specialty Code checklist. City/State/ZIP: !, (�/'C ON Permit Fec(includes plan review $180.00 a r� 05,c,,4 9 and administrative fees): Phone:(503 ) 3�8 861 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon appication: $201.60 Authorized signature: e'/,‘ 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 Print name:Ge raj (A) Crow "S r• Date: 6,//51/5-- Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Received City of Tigard Receive Permit No IIIII . 13125 SW Hall Blvd.,Tigard,OR 97223 Associated 503.718.2439 Fax: 503.598.1960 permits: T 1 G A R D 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 12 Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN RI:\'IEW ti'es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if [Q ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore Ion and shall be shown to be :.�licable to the .ro'ect under review. .11 RISUICTIO\ \I. SI'I:( III( ti 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 6 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ ❑ ❑ 26 "Reversed"buildingplans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. _ 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 44046131(11/02/COM/WEB) City of Tigard / COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential I I \ RI) Building Permit #: Rju.P c9o! S'Qo 1 6 7 Site Address: 9 2c1 S SW M L Do r1 cJ cL Project Name: CRciw Pa2cPf-2-ri e5 L-1 c__ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review f Proposal: Yr'(Y1d P{,(1m 1-V- - No I C' ncl. cJJ e ❑ Verify site address/suite#exists and active in permit system. --P-River Terrace Plan District: ❑ Yes No Site Plan Elements: zEiThree(3)copies of site plan ,xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper '$Footprint of new structure(including decks)with finished ,. Drawn to scale(standard architect or engineer scale) floor elevations iryl u L Slorth arrow Utility locations(required for new,may apply for additions) /Site address,project or subdivision name and lot number riafocation of wells/septic systems 7pplicant information(name and phone number) ❑Erosion control(including drainage-way ,silt fence �.ot dimensions and building setback dimensions design,location of catch basin,etc.) /TLot area,building coverage area,percentage of coverage and ❑Street names impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location --e'Prttperty corner elevations(2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree n//Pr 4 foot differential) protection measures ---$clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No $Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: I/Pr re zoning: 12 4 . s Setbacks: Front 2� Rear IS Side 5 j Street Side Garage -2 D /Landscape Requirement:/E: Lot Coverage Maximum: - `$Building Height: Maximum Height Actual Height . Visual Clearance ()Qi 'D <-1Q—Easements -$Sensitive Lands: ❑ Yes ❑ No Type -G3—Urban Forestry Plan '$Conditions "Met"prior to issuance of building permit p /)� Notes: r� \ Approved By Planning: frl O"7 - -- 6/.10 CL CA Date: (// b / LI Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Zevision 3: ❑ Approved ❑ Not Approved q\Forms\BldgPermitRvw_RES_031015.docx Building Permit Submittal Original Submittal Date: I 14) 11'5-- Site Plans: # .5 Building Plans: # .. — Building Permit#: R nter building permit#above. Workflow Routing: 0 Tlanning akEngineering .0--"Permit Coordinator ❑ B ' g Workflow Sign-off: 2---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. ll uilding: original permit application,site plans,building plans,engineer and L beam calculations and trust details,if applicable,etc. Notes: 1 l� t.—..,_ . L. ,j140 _ _'e l By Permit Technician: 1. _., , , . Date: 6/o/5 Engineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes F6 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /Lt K Date: A 7 ,yi c 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 ❑ Approved,NOT Released: Date: Notes: 3 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 Permit Coordinator: CA * CjuwUiy Date: 6 - I 1 - 15 I:\Building\Forms\BldgPermitRvw_RES_031015.docx RECEIVED JUN 162015 CITY OF TIGARD BUILDING DIVISION I< l 2.4- SITE COPY ° a o° • ary OP TIGARD FCS Gs-0 O0 REVIEWED FOR CODE COMPLY OR OTC: 1 pandas uP3oi5-Gai.47 y Addrestt 9c- ) 6miasu a s T -� C Suite#t aorsom..rirn11 .cam d c. e v C(...r Port- �FFF_ 7,00 S o� l COP • IIt- ! !, sifl /►16.;4 Flour FE 4P.0 • u 0 : fnac\e kree5 `./ - s's O : Fir- feces ,,,- d 55 :. ,Sah'i1„.,�. le 5077 e-- P ■ i . 3 0 rnoop zs 0.DC-OZaoo 0 Lebc4.1 Oescri pi'oil O I Edgewood, Lo'+ PT IS, &i.cre-s . 9s © 4 O 1) Sub 9,K, tie,,, by : Ge rw(ct Croce Q z6 (3cccef S4 Y . LaKe 05,4)10..) D v cl01 97o3s CRot PRoPERTIES LL.L 503-3H8-$61t 92-`/s S w ( c Oona(c{ Street- 7-►gaY'd Ovsebo n c1 7 zz4 RECEIVED OCT 122015 City of Tigard CITY OF TIGARD 13125 SW Hall Blvd. BUILDING DIVISION Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9295 SW MCDONALD ST, TIGARD, OR 97223 Record Type: Record ID: Residential - Building BUP2015-00167 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: FAIL Comments: Provide written documentation for pump and fill of septic tank Oregon Plumbing Specialty Code 722.2 Violation Summary: Inspector Contra( Job fs CO✓/ /e /e- • Focio5ed ;sLille uJi � Ph I oc v�'!'!l'vt a� 90✓j. CtroGi) SO3- 3 -- / CrocA3 Prop« Payment Receipt RECEIVED OCT 12 2015 A-Affordable Septic Service CITY OF TIGARD BUILDING OIVISION PO BOX 818 Canby,OR 97013 Received From: Jerry Crow Jerry Crow 26 Becket Rd Lake Oswego OR 97035 Date Received I0/07/2015 Payment Amount $684.35 Payment Method Visa Check/Ref.No. 08091G Invoices Paid Date Number Amount Applied 10/07/2015 3631 /14438 -$684.35 Page I RECEIVED 3087 l<2-71 fli,, 'Al.4-%10:417.1 "-':,4- ' PO 8ox 818,Canby,OR 97o13 OCT 1 2 2015 ) ; ; : ''''',f,',-':Septic vice Phone:503-682-1929 Fax:S03-570.0779 aaffordablesepticservicepgmailcom CITY OF TIGARD 1,,, i --:?,)--4,------ --- ,i9-- 4 I—' 503 www.affordablesepticsvc.com CO#158246 MOP 37918 BUILDING DIVISION - c"41//-4- ... . Customer PO# Contact Phone . Date A-AFFORDABLE SEP LW SE 10985 St'. COTTER RD Tom SHERWOOD: OR 97140 .,...t e■g kit CR 6 e,i TERICIAL ID.I 10025941 Address tERCHAIIT #1 NH94/00104011 92 3: - et)i nk d%4341 ee6/..SA uispt ummtmo157 Exp:wo kEY illif,REf) --......< .0 eve, otl)rf N4E000551 1 HU: 00000:1 Technician Mark Payment Check(Write#) Cash Credit Card Bill Account Other Oct 08, 15 0706 ...;" Type: RRII: 528114859613 AU I H: 080910 ck:,:ce Aton 0 l'Y Ito A Urit Pr:c IctAl Hsi Z I RAH SECI ft: 001292 ST. ._ - ,,,e, -779.A.VC,... C1)-- 19/ 66 TRAIIS4CI1011 ID: 385281507631421 21P Hatch iiiiti _':74.0;:w:::',%:::''Tilitlit{-1 ie 0 Ai At 4-eri do A) THANK VOW ■ .. ..._,......._ ,, 1 ................V. N11101 COPY - — ...., — elSw Invoice Total Recommendations(if any): tr Pr A ----.-— • ..-, of ir if -. .. .,) it is the purchaser's obligation to clearly mark underground utilities and underground irrigation systems. A-Affordable Septic Service is NOT responsible for unmarked utilities and/or Irrigation systems. Signature Date All Claims MUST be accompanied by this bill , • RECEIVED OCT 1 2 2015 s A-AFFORDABLE SEPTIC 8 L CITY OF TIG,t. .;:. , p,,,,c, - , PO BOA 818,Canby,OR 97013 10985 Si,) CLUTTER RU b I IN DI lb , , ib, _ Phone:S03-682-1929 Fax:503-570-0779 SHERWOU0 r. OR 97149 )eptic .e.f vtce aaffordablesepticservice@gmaii.corn i Ill, -7c..,ct............4‘4'..., c:57.-. www.affordablesepticsvc.com TEMA!. ID.: 10025941 4,... ,--- . 503-6824020 CCB 8 158246 DRIP 37918 HERCHA111 NI 000394200104011 ' 1-4._- , customer pot Contact Phone Date , o 3 —34 e) — e 7/...r- Uitign042)7 EXPralik KEY E 1 II1ERE0 ' Name 5fiL E SW: 000551 111U: 000001 Oct 08, 15 07:06 RRII: 528114859633AUTH: 080916 Address 604,4-14, TRAH SEO H: 001792 INVISAC1100 I0! 385281507631421 —_I—...- - .0.40/ s- ,Z _ t Zip Hitch Technic'.n Mark Payment Check(Write A) Cash Credit Card Bill Account Other Type: itifil.ANSISMEPPN .464.0- [testa.tion DPI Unit Lint Price TOM ..---"' ew,e.e. 6-0.#4.4.3.- gse, . • ...,-.7 2 limorimp...... THANK YOU! -ie-4404.5 e g vie o. 6.. 16444 ) kr 12'; v/2 131- CUSTOMER COPY _...... cu 1 ... doc,r0 w ci e,arviaii.com 4000511° Invoice Total e---, --.a Recommendations(if any): 564 Y64) it, 4,t ,e,ot Do ritc 49 ki,r ce eA. ,..,/ 7..,4, . La/4,i: It is the purchaser's obligation to clearly mark underground utilities and underground Irrigation systems. A-Affordable Septic Service is NOT responsible for unmarked utilities and/or irrigation systems. Signature j Date All Claims MUST be accompanied by this bill . ‘ c RECEIVED Invoice A—Affordable Septic Service PO Box 818 OCT 1 2 2015 i Date invoicfl Canby,OR 97013 TIGARD DIVISION (10/7/2015 3631/14438 TY BUCIILDIONGF \-- cBill To _ - job Address Of different) Jerry Crow 9295 SW McDonald St 26 Becket Rd Tigard,OR 97223 Lake Oswego OR 97035 \.._ ... .2 P.O.Number Terms Ship _. __ Due on receipt 10/7/2015 A.. ..■ ( Description + Quantity -Jr Amount Septic Pump 1000 Gallons 365.00 Extra Gallons Pumped-250 gallons 87.50 Jet Outgoing Line/Lines 165.00 Decommission-2 tanks-191 gallons 66.85 i 414400% 4 i ( 4'. We appleate uour bustiittss1 —Tim:114,1e tiou! Total $684.35 Payments/Credits -$684.35 _,. ( Balance Due $0 00..)I ' Phone# Fax# E-mail ... Web Site E 503---1-32-1929 503-570-0779 aaffordablesepticservice@gmail.com www.aaffordabiesepticsvc.com ... O O 0 r -• D o z o 0 0 S m C) o 6 S C. I tD O f n - o r co al c) CA 11.1 JOHN D. HAGG 20340 S.W. Cipole Rd. TUALATIN, OREGON 97062 c=i Phone 692-1001 co soup eY DALE m Q NAME (CL ADDRESS G "� —._ _- � -i- --- - 7� a J `7 lu�� rl�J G 0`' /"LwZ CASH C.O.D. CHARGE ON ACCT. 5 In G) FD D F 0p (�f CRUSHED ROCK T` 15C SANDY LOAM R r5 i FILL SAND 51:5-PT i(= �r(/g_ c, cu GARDEN SAND 3A-C k__S-- ) Co TOP SOIL FILL DIRT MASON SAND Our dnvyrs will make every effort to place material where Customer designates, but company assumes no responsibility for damages inside of Curb or nrorrrty line RECEIVED BY 2473 ,1;4':,_. All claims and returned goods MUST be accompanied by this bitl. (_ CC) X o V n�°, co Ill w Z <� o m C' G C 0 z O 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 9295 SW MCDONALD ST, TIGARD, OR, 97223 Residential - Building 299 Final inspection PASS - No C of O BUP2015-00167 Jeff Grove Violation Summary: Inspector Contractor