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Permit 1y " CITY OF TIGARD MASTER PERMIT 111 g ' COMMUNITY DEVELOPMENT Permit#: MST2015-00119 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2015 Parcel: 2S102CA00600 Jurisdiction: Tigard Site address: 9727 SW ASHWOOD ST Subdivision: FREWING'S ORCHARD TRACTS Lot: J< Project: Ashwood Estates, Lot 3 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1053 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26.4 Bathrooms: 3 Second: 1470 sf Garage: 399 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2523 sf Value: $304,321.72 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 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 Types 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 addi 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mid 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 8 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 2523 Owner: Contractor: LF 4 LLC JTSC LLC Required Items and Reports(Conditions) 9700 SW FREWING ST 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $22,787.39 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 A OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued 8 Permittee Signature: ��f /� _ rcr�� Call 503.639.4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIV Eh 1r FOR OFFICE USE ONLY I Received City of Tigard Date/By: i /�s, Permit No.:/ �`�foi0�5-��!9 13125 SW Hall Blvd.,Tigard,OR 9722$,IN 3 0 2015 Plan Review ll( —7 PIP Phone: 503.718.2439 Fax: 503.598.1960 DateBy: t �'J (r �j Other Permit:6/044:906--‘45)79 TI G A K p Inspection Line: 503.639.4175 Date Ready/B . __ Juris: ® See Page 2 for Internet: www.tigard-or.gov MI?F Notified/Meth .;,Jk, e 40S Supplemental Information . • • - r SION l , %/_I TYPE 0 ` ORK •1 QUIRED DATA:1-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 application. ® 1-and 2-family dwelling El Commercial/industrial Valuation: �2I 72$ � ❑Accessory building El Multi-family Number of bed'r`ooms: .5 El Master builder ❑Other: Number of bathrooms: 2..5 JOB SITE INFORMATION AND LOCATION Total number of floors: a Job site address: *A, _"'1 S vj As N woop s 1- New dwelling area: asp square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: Q square feet Suite/bldg./apt.no.: Project name:Ashwood Ti 3 •414r:s Covered porch area: ('O tt.Vsquare feet (N19 Cross street/directions to job site: Deck an . _ square feet 105'5 Other structure area: 2 _ square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: f Lot no.:3 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: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:LF 4,LLC Type of construction: Address:5285 Meadows Rd Stel 171 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JTSC,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:JohnWyland FLS plan review fee(if applicable): Address:5285 Meadows Rd Ste.171 Total fees due upon application: City/State/ZIP:Lake Oswego,OR 97035 Amount received: no Phone:(503)209-7555 Fax::( ) E-mail:jwyland @jtsmithco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:JTSC,LLC Submit two -ts of roof plan with connection details - and fire department: ess,along with the 2010 0 .:: • Address:5285 Meadows Rd.Ste 171 Solar Installation Specia Code chec • . City/State/ZIP:Lake Oswego,OR 97035 Permit Fee(includes p -, ew $180.00 and admi l•- ative :-s : Phone:(503)657-3402 Fax:( ) State surchar_ 2%of permit fee): $21.60 CCB lie.:200237 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not o. ained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:John Wyland Date: fl(o I',�p 1 Service Board. I:\Building\Permits\BUP-RESPe itApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) lectrical Permit Applica cEIVEP Reenved"^ f OR OFFIQ I I. tit O�,t a City of Tigard 1. �� . Permit No.: /`J . C —C // I DaleB 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: SD3.S��II(tl503 0 2015 Other Permit: C J G� I`` w Dalc/B �r c-i�� I 1G 1RD Inspection Line: 503.639.4175 Dale Ready/By: Juris O See Page 2 for Internet: www tigard or gov Notified/Method Supplemental Information f - 1 R Aliti1 ; . ? g �, ®New construction ❑Addit48 I . + • "1` Please check all that apply(submit 2 sets of plans w/iteins checked below): z ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. r ^; ;! CAT$o RY.Q GO,1�ISTRQUTI(� exceeds 10,000 amps at l50 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all;titer installations. buildings. ❑Multi family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system.l i:, 4OH Q v tp e�Tl O r ❑Addition of new motor load of ❑"A""E","1-2" "1-3" Job no.: I lob site address: 9'1 3:7 5 As.gu100 ST I Six or or more. R occupancy.Recreational Q 0 ar more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations 600 volts nominal Suite/bldg./apt.no.: I Project name: 14SHVJQQ.[) Z STMT es ❑Service or feeder 600 amps or ittorc Cross street/directions to job site: "`i !ition 1 CE I}. I J Description I Qty. Fee. I I Total I " New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 3 1,000 sq.ft.or less I "�Y I� I 168.54 4 Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion 33.92 I Limited energy,residential I 75.00 2 DESC({J,r1'1QN OF:w:04,, ', (with above sq.0.) Limited energy,multi-family 75.00 2 Electrical for new single family residence residential(with above sq.ft.) Renewable Energy ❑ See Page 2' Services or Feeders installation,alteration,and/or relocation *. 200 amps or less I 100.70 2 ® PR,QPExtTY pWN�R �, ❑ TE 201 amps to 400 amps 133.56 2 Name: ' U. 4 , L L C 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 552.261 2 City/State/ZIP: Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)657-3402 I Fax:( ) 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, to panel A.Fee for branch circuits with , �;°t�,P�'3-r,�QOt I ;{A �-C:�1V'�`�.C�`"�'t�iS,Ct�!R r�t ,.. ..r.: nbave service or feeder fee, Business name:JTSC,LLC each branch circuit 7.42 2 B.Fee for branch circuits wit/lour Contact nam Td 1\N 'v.VLA N.D service or feeder fee,first 56.18 2 branch circuit Address:5285 Meadows Road Suite 171 Each add'I branch circuit 7.42 2 City/State/Z1P:Lake Oswego,OR 97035 Miscellaneous(service or feeder not included) Each manufactured or modular Phone:(503)20ct -7 5 '5 5 Fax: :( ) dwelling,service and/or feeder 6784 2 Reconnect only 67.84 2 E-mail: l ,) 1,..)y tool d Go +S m►' h co . C 0 m Pump or irrigation circle 67.84 2 `r CONTRA.CTOR-: Sign or outline lighting 67.84 2 Business name: 46 , -- C Signal circuit(s)or limited-energy See `---fy�a �+ `/" panel,alteration,or extension. Page 2 2 Address: a- �0 I y'b0e ocL I'll/6 1 ,5 -c� Each additional inspection over allowable in any of the above City/State/ZIP: 1-41/./5/90Y0 Ok' '077 )3 ! Additional gat inspection(1 mi ) hr min) 66.25/hr Investigation(I hr min) 66.25/hr Phone:(603) ,,2-- Fax:rir, 61-/),An:,/ Industrial plant(I hr min) 78.181 hr Inspections for which no fee is 9"01 hr CC13 Lic.: / //5Gf I Electrical Lic.: pr .," : ��(7,7J sQecifically listed(%hr min) ��/ ELI GTRIe 1 t EES Suprv. Electrician signature,required: ' . ,- Subtotal: Print name: I' ri t 1 1 Qrr� S, r/r Date: I Plan review(25%of permit fee): ill t t t�-v\ . �7>. State surcharge(12%of permit fee): __ ... Authorized signature: .'': 2 ,r TOTAL PERMIT FEE: C r�t, 6( This permit application expires if a permit is not obtained within 180 Print name: / �{,(�� { ( G Date: �'r 1 �r days after it has been accepted as complete. • Number of inspections allowed per permit. I`Ruitding\Petmits.ELc Permit App ELR,ERE doe Rev 05/21/2013 Y -i40./6t 50 I I/os;cosvwEa Mecha 1 'cal Permit A 1 1 licati• 1 IVEP FOR OFFICE USE ONLY City of Tigard 11 1' Date/By: [�/?p /� J j Permit No.. sir/1../G�//9 71 • 13125 SW Hall Blvd.,Tigard,•t+' 23 t ��CJ J e Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permitf )47:9::)/)_ Ow 7Q Inspection Line: 503.639.4175 J U N 3 0 2 Q 5 T I G A R D Date Ready/By: Juris: 3 See Page for Internet: www.tigard-or.gov Notified/Method: Supplemental Information — TYP UYOFTHIA4�U : mnlvisioN COMMERCIAL FEE* SCHEDULE — USE CHECKLIST I Mechanical permit fees*are based on the value of the work ®New construction ❑Addition teration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use 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: Cil ai sw As NW ocQ c-I Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: I.j Q Art p ,011 R c Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Ashwood Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above _ 23.32 Other: 23.32 _ Subdivision: Lot no.:3 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Mechanical for new single family residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent _ I 23.32 ® PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LF 4,LLC Range hood/other kitchen equipment \ 33.39 Address:5285 Meadows Rd Ste 171 Clothes dryer exhaust 1 33.39 City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, r toilet compartments,utility rooms) 23.32 Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name:JTSC,LLC $14.15 for first four;$4.03 for each additional Contact name:JohnWyland Furnace,etc. 1 Address:5285 Meadows Rd Ste.171 Gas heat pump WalUsuspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater 1 Phone:(503)209-7555 Fax: :( ) Fireplace 1 Range E-mail:jwyland @jtsmithco.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Integrity Air,LLC Other: MECHANICAL PERMIT FEES* _ Address:7301 SW Kahle Ln Ste 500 Subtotal City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)572-3594 Fax:( ) State surcharge(12%of permit fee) _ CCB tic.:203869 / TOTAL PERMIT FEE This permit application expires 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:John Wyland Date: C\Building\Permits\MEC_Permit App_•,■113 doc 440-4617T(1 I/02/COM/WEB) 1 Plumbing Permit AnnlicatiltECEIVEP 2cu Building Fixtures FOR OFFICE USE ONLY City of Tigard U N 3 0 2015 Date/By: LP 3d 6 / Permit No.:�{l��y>S,6,p/19 • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review g Phone: 503.718.2439 Fax: • 5 03.5p OUTWARD Da teB y: Other Permit No ,) 5f Inspection Line: 503.639.4175 1 1(, •\1:1) Date Ready/By: Ions: BI See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist - Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: ' p s W As v1 M4)3 P sr City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:ASHWOOD Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:j,/_) 'I Page 2 Storm sewer(no.linear ft.: tT ) ) Page 2 Water service(no.linear ft.: to ‘ Page 2 Subdivision: l Lot no.: 3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 Plumbing for new single famiy residence Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LF 4,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 Meadows Rd Ste 171 Garbage disposal 1 25.02 City/State/ZIP:Lake Oswego,OR 97035 Hose bib 2 25.02 Phone:(503)657-3402 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:JTSC,LLC Medical gas(value:$ ) Page 2 Contact name:John Wyland Primer 12.51 Roof drain(commercial) 12.51 Address:5285 Meadows Rd.Ste 171 Sink/basin/lavatory G 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)209-7555 Fax::( ) Tub/shower/shower pan 3 12.51 E-mail:jwyland @jtsmithco.com Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater i 37.52 Business name:The Mullen Co.dba Edward Mullen Plumbing Water piping/DWV 56.29 Address:1601 SE River Rd Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:92689 Plumbing Lic.no.: ��QD i i.) Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:John Wyland Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\PLMU-PennitApp.doc 10/01/09 440-46I6T(10/02/COM/WEB) City of Tigard Ill COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential .F ,., h.= '".' MMiegeltvse Building Permit #: t'l f,2o(5-f O l(q 4 61,E e,go,S ppDri 9 Site Address: 99-tga- AAw ,97ts. Project Name: /`9 hkv k Q Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: �€.40 '�/Y 'h// f"S'imp!?c st Verify site address/suite# exists and active in permit Y ermit s e ' ��iver Terrace Plan District: 0 Yes �( No Sit: lan Elements: V P ree(3)copies of site plan .+ sting structures on site f%S. a plan must be on 8-1/2"x 11"or 11 x 17"paper I Footprint of new structure(including decks)with finished 1g II awn to scale(standard architect or engineer scale) or elevations 10% .rth arrow I,,!_ Utility locations(required for new,may apply for additions) II a address,project or subdivision name and lot number of wells/septic systems 70 A plicant information(name and phone number) n Erosion control(including drainage-way protection,silt fence r •t dimensions and building setback dimensions sign,location of catch basin,etc.) 11 .t area,building coverage area,percentage of coverage and 5,freet names pervious area(applicable if R-7,R-12,R-25&R-40) Syeet tree size,type and location Property corner elevations(2 foot contour lines if more than �,t xisting trees to be retained with drip line,and tree 4 foot differential) protection measures !flean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): ,kequired: ❑ Yes,applicant was notified I,d No Received: ❑ Yes ❑ No re Public Facil,i s Improvement(PFI) Permit: equired: LvJ Yes,applicant was notified El Applied For: es El No,No,sto intake )c�dnd Use Case#: •4 /I./ ( 000 L/ [V oning: L/ V, Setbacks: Front ��jc 0 Rear l5— Side c Street Side /S Garage c'0 , ,andscape Requirement: AM Vo ` 71' of Coverage Maximum: % > �� uilding Height: Maximum Height BO Actual Height o 9 'ea " [ 1 Visual Clearance ❑ Easements '.ensitive Lands: ❑ Yes iNo Type 1% Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buil. g permit / Notes: _%tll41 . I ‘I:' % r i■ ' as !" /L'-, 't i ' ..a._, ' • "111111=1110 Approved By Planning: � _.61.. Date: 0 ©/S^ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_031015.docx IlliA Building Permit Submittal 2 Original Submittal Date: Of, Site Plans: # Building Plans: # Building Permit#: O'Enter building permit#above. Workflow Routing: E' Planning EEngineering 3—Permit Coordinator Lr Building 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. Id" Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: h _ it • Date: a 030 J 5— Engineering Review Cope at building pad: e7 Conditions "Met"prior to issuance of building permit � sements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: ❑ Yes E No LIDA Facility on lot: ❑ Yes ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4Z J7 Date: 7..2 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 v 1 / 0 ✓ Approved,NOT Released: Gales K I i✓ - Date: 7�f �S 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 Permit Coordinator: Of Date: 7V ✓ S _1:\Building\Forms\BIdgPermitRvw_RES_031015.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 ,I Transmittal Letter i i , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: CITY 01: I I G,A KU DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 17 2015 FROM: 3 ■ N C LLt, G. U 1 A 0 CITY OF TIGARD BUILDING DIVISION COMPANY: 0-1- c) M VT H CO M pA 1� I E-5 PHONE: 50'6- C5-- 3yOa By:G71 RE: q—I D-, Sw As (4 G0000 ST N.IST a015- 001 I 9 (Site Address) (Permit Number) ASP 300 0 �sTA1 `j o13 (Project name or subdivision name and lot number ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: I Copies: I Descriptio Additional set(s) of plans. Revisions: R 0OF LA MOULT A N D T-T on∎ 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 OFJIC USE ONLY Routed to Permit Technician: Date: (� (� Initials D Fees Due: es ❑ No Fee Description: Amour ue: $ $ A: $ . Special Instructions: Reprint Permit(per PE): El Yes El No El Done Applicant Notified: Date: Initials: \Building\Forms\TransmivalLetter-Revisions.doc 05/25/2012 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 a e to r 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: • (.;j (O' T Q� DATE RECEIVED: � g � DEPT: BUILDING DIVISION RWEIN FRON!i J 1-\ LU. �,1 A U _ JUL 2 2 2015 CITY of fl ' COMPANY: S T S t �-} CO to PP es UILUING't V1S1GN PHONE: 5'03- C j 1 ^ ��} oa' B By RE: ' a72ZSW AS OST1tGARO1OR McT1-0.5 -- 001 (Site Address) (PermifNumber) ASNWOOD �Sci1E �T3 Project name or subdivision name and of num er 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 4 I..-E USE ONLY Routed to Permit Technician: Date: '.(l Initials: )rr Q Fees Due: ❑ Yes Io Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Formsl TransmittalLetter-Revisions.doc 05/25/2012 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 9727 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00119 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 9727 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00119 David Young No AC installed at time of ﬁnal 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 9727 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00119 David Young Rain drain not installed right side of garage. Provide slope away from house right side of entry and rear of house at foundation vents. Correction for caulking right side of lav in lower level bath not 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 9727 SW ASHWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00119 David Young Corrections complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Duct seal test report checked. C of O left on site in kitchen. Violation Summary: Inspector Contractor