Permit (4) TER PERMIT
CITY OF TIGARD MASTER
E COMMUNITY DEVELOPMENT Permit#: MST2015-00270
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016
Parcel: 1 S136AA13800
Jurisdiction: TIGARD
Site address: 10235 SW 67TH AVE
Subdivision: OAK STREET ESTATES Lot: 33
Project: Oak Street Estates, Lot 33
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 1001 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1302 sf Garage: 437 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2303 sf Value: $280,751.86 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
0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y 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 Tema Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp. 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2303
Owner: Contractor:
LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports(Conditions)
11870 NE 99TH ST,STE 1170 11807 NE 99TH STREET SUITE 1170 1 Ersn Cntrl 503-639-4175
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE: PHONE: 360-216-6423
FAX 360-258-7901
Total Fees: $22,838.54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may a copy of the rules or direct questions to OUNC by calling 503.232.1 . 00.332.2344.
Issued By: Permittee Signature:
Call 5 by 7:00 a.m.for the next available in:specti n date.
This permit card shall be kept in a conspicuous place on the job site until c pletio of the project.
Approved plans are required on the job site at the time of each i ec' n.
r �
BuildinLy Permit Application u
Residential �� ��,� O R OO
City of Tigard DateBea �Z PermitN . S o2p/S—�0��0
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 D t C 2 12015 DateB '6 Other Percq ���/S
Inspection Line: 503.639.4175ry�r _ Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY OF�TIGARD, Notified/Method: Supplemental Information
BUILDIN(3 D'IVISI
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMELY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuati a 0-7,'1$
El Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms: -3
JOB SITE INFORMATION AND LOCATION Total number of floors: 7
Job site address: /UZ.3 Jr Sw (o Ira #yz: New dwelling area: 2 303 square feet
City/State/ZIP: `(� /Q� U/� 7 r7Z 2 Garage/carport area: 4--37 square feet
Suite/bldg./apt.no.: Project name: S 3 Covered porch area: < !� square feet
2Q,
Cross street/directions to job site: Deck area: square feet 10'0
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: S _ 7- �� T_ 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.
NSFR Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:LENNAR NW,Inc. Type of construction:
Address:11807 NE 99th Street,Suite 1170 Occupancy groups:
City/State/ZIP:Vancouver,WA 98682 Existing:
Phone:(360)258-7900 Fax:(360)258-7901 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Lennar NW,Inc. Please refer to feeschedule
Structural plan review fee(or deposit):
Contact name:Charles Webb
Address:11807 NE 99th Street,Suite 1170 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver,WA 98672 Total fees due upon application:
Amount received:
Phone:(360)258-7900 Fax::(360)258-7901
E-mail:PORPermits@lennar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:same as above Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 19.53o7
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.
*Fee methodology set by Tri-County Building Industry
Print name: lir U3 Date: �Z 7' �S Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
`Electrical Permit Applicatili 111111.11111ZIM
City of Tigard D 1E C 2 1 20115 Received Permit
Datellyi o
13125 SW Hall Blvd..Tigard,OR 97223 Plan Review
Other Permit;Phone: 503.718.2439 Fax: 503.5 Dat y7
Inspection Line: 503.639.4175 1 s,l Date ReadyfBy: funs' 0 Ste Paget for
Internet: %-%%w.tigard-or.gov Notifiedi-Method: Supplemental Information
TYPE OF WORK P1. N REVIEW,
0 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wtilons checked below)
13 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boaryarils.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ I-and 2-family dwelling [I Commercial/industrial FD Accesson,building amps for all other installations. buildings
❑Multi-family El Master builder ❑Other: [I Fire pump. 0 Installation of 150 KVA or
0 Emergency system, larger separately derived system.
JOB SITE INFORNUTION AND LOCATIONW,-E-,-1-2".-'1-3-,
0 Addition of new motor load of El
Job no.: Job site address: /6)22 y S-W 6 7;V &C 100HPormore. occupancy.
0 Recreational vehicle parks.
0 Six or more residential units.
City/Slate/zl?: 0 Health-care facilities. 0 Supply voltage for more than
-7-16292-b i OR 7 72--3 0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: E3 Service or feeder 600 amps or more.
FEU-SCHEDULE -
Cross street/directions to.ob site:
J Fez _1 Tog—AT--
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq,ft.or less 168.54 4
O,qf-,- 522,E)CELL Z174-rc Ea.add'i 500 sq.ft.or portion 33.92
Tax map!parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.110 75-00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy I- r3 See Page 2
Services or feeders installation,alteration,and/or relocation
PROPERTY OWNER TENANT. amps or less 100.70
201 amps to 400 amps 133.56 2
Name:
'da NW 401 amps to 600 amps 200-34 2
Address: 601 amps to 1.000 amps 301,04
Over 1.000 amps or volts 55126 2
City,,'5tatei'Z1P: ja il 0 1 k IXA 419 �3 Temporary services or feeders installation,alteration.and/or
Phone: 00 )ge-`�j— I Fax: relocation
200 amps or less 59.36 1
Owner installation: I'latinoinstallation is being made on property that I own which is not 201 amps to 400 amps
intended for sale,lease,rent.or exchange,according to ORS 447,449.670,and 701. 401 amps to 599 amps 168.54 i 2
Owner signature: —Date: Branch circuits-new,alteration,or extension,p r panel
)<'APPLICANT P.FI'WN,,: A.Fee for branch circuits with
above service or feeder fee. 7.42 1
Business name: UA06 r NIAL JX, each branch circuit --4
Contact name: (?.1)0 rVA B.Fee for branch circuits irithow
AJ service or feeder fee,first 56.18 2
branch circuit
Address: 1 1,M1 Nt� qq, -U- i I Each add'i branch circuit 7.42 2
%liscellaneous(service or feeder not included)
Cit\./State.'ZIP: \v a ficu i-j yeA� I I Yk Ot(A LJ'95-��— Each manufactured or modular 6714 2
0 1'.1 2c-7 dwellingsenic and.urfeeder
Phone: a_X: :(,
'�>W Reconnect only 67.84 2
E-mail: rm des�V, en ca r - c o rn Pump or irrigation circle 6784 2
I I CONTRACTOR Sign or outline lighting 67.84
Business nameA>ob,,Ae< AxSignal circuit(s)or limited-energy See
panel,alteration,or extension. Pane 2 2
Address: 16L\o3 'y Each additional inspection over allon bit in any of the above
ChN.'Statet'ZIP: Additional inspection(I hr min) 66.25,'hr
Ot Imestigalion 11 hr min) 66.25,'hr
I'lione: FIndustrial plant(I by min) 79.18'hr
Or! Fax: Inspections for which no fee is
CCB Uc.:WSoflb Electrical Lie.: C_ \0qCj Su p rv;,L ic.: specificallY listed('12 hr min) 90.00'hr
Supra.Electrician signature,required: ELECTRICAL PERMIT FEES..
Print name: Crri4 f. l�7K qate: Plan review(250%of permit fee):
-I State surcharge(12%of pen-nit fce):
Authorized signatur TOTAL PERMIT FEE:
Date: This permit application expires if a permit is not obtained--within 180
Print name:
days after it has be"accepted as complet.
Number of inspections allowed per permit-
I B.ildint'Tcrnmil LC Per iLApp_ELR_ERE dm Re, 440-16151'111 U5'CONIMEB
Mechanical Permit Applicati FOR OFFICE USE ONLN' 7
City of Tigard `V U Received Permit No. &,�_
Date ",2-70
13125 SW Hall Blvd.,Tigard,OR 97223 Revi
Phone: 503.718.2439 Fax: 503.598.1960 C!EC 2 12 015 Plan y:ew Other Permit:
Date/B
Inspection Line: 503.639.4175• Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov MY Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
E]Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES-
I-and 2-family dwelling El Commercial/industrial El Accessory building For special information use checklist.
El Multi-family E]Master builder El Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 10235 5 v\/ 677-H 14 V&- Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 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.: Other fuel appliances: E�
Tax map/parcel no.: Water heater 1 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
NSFR fireplace 23.32
Log lighter(gas) 23.32
Wood/pellct stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER El TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:LENNAR NW,INC Range hood/other kitchen
equipment 1 33.39
Address:11807 NW 99'Street,Suite 1170
Clothes dryer exhaust 1 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 5 23.32
Phone:(360)258-7900 F (360)258-7901 Attic/crawlspace fans 23.32
ED APPLICANT [I CONTACT PERSON Other: 23.32
Business name:LENNAR NW,Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Charles Webb Furnace,etc.
Address: 11807 NW 99'Street,Suite 1170 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)258-7900 Fax: (360)258-7901 Fireplace
Range
E-mail:POR-Permits@Lennar.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: . .0 .
Wo 6 1-C O.1
.1-7- t L4 M a J/J 0) MECHANICAL PERMIT FEES*
Address: 1075 W, &I-56081C e01-ON&IN YWY Subtotal
City/State/ZIP: MQ 147— 1 (0.0 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(501 6 6 7- Fax: State surcharge(12%ofpermit fee)
CCB lic.: ZZ 222 06 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: n zci� I Date: ?,16
1ABui1ding\Pcrmits\N1EC PemitApp_040113.doc 440-461 TF(I 1/02/COMAVEB)
"Plumbing Permit Application
Building Fixtures
ODE-C 2 1 2015 FOR OFFICE USE ONLY
City of Tigard Received Permit
Date/By: Y-1-f 7_-_;_40X-_5�-Xa'70
13125 SW Hall Blvd.,Tigard,OR 91291Y i- Plan Review
DIV jC't,'J Date/By: Other Permit No.:
Phone: 503.718.2439 Fax: 503L0!4P_&W',.;"
Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: I Supplemental Information
TYPE OF WORK FEE* SCHEDULE
New construction El Demolition For special information use checklist.
Description I Qty. I Ea. Total
❑Addition/alteration/replacement El Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78
El Accessory building El Multi-family (3)bath 1 500.32
Each additional bath/kitchen 25.02
❑Master builder El Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 10,a3,5 57W 6 7,-,q A46 Catch basin or area drain 18.76
City/State/ZIP: 2 Z3 Drywell,leach line,or trench drain 18.76
I Footing drain(no.linear ft.: Page 2
1
Suite/bldg./apt.no.: Project name: 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
Subdivision: 0 Water service(no.linear ft.: Page 2
E�T Z_
Lot 93 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 25.02
NSFR Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:LENNAR NW,Inc Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:11807 NW 99'Street,Suite 1170 Garbage disposal 1 25.02
City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02
Phone:(360)258-7900 Fax:(360)258-7901 Ice maker 1 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:LENNAR NW,Inc Medical gas(value:$ Page 2
Primer 12.51
Contact name:Charles Webb Roof drain(commercial) 12.51
Address:11807 NW 99'Street,Suite 1170 Sink/basin/lavatory 5 25.02
City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54
Phone:(360)258-7900 Fax::(360)258=7901 Tub/shower/shower pan 3 12.51
E-mail:PROPermits$Lennar.com Urinal 25.02
Water closet 3 25.02
CONTRACTOR Water heater 1 37.52
Business name: WO I C 0 77 PL U,41 13/A/('
Water piping/DVTV 56.29
Address: 1075 s 70Ic ev6u'M1_4111 10 r: 25.02
City/State/ZIP: 7Aeom 7_,2W1_&- Subtotal
Phone:(yrs j)66 7,/
F.:(5o 7- Ve5�,/ Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
1122200 821 P4J State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: 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\Permits\PLW-PermitApp.doc 10/01/09 440-4616T(10/02/COWWEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Residential
Building Permit '70
Site Address: X03 s-Su) IqLvQ
Project Name: Ei' 7#9 Lot #: �
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: A19k) St:k
(kerify site address/suite#exists and active in permit syste
ver Terrace Neighborhood: ❑ YesNo
Sit Plan Elements:
Sit
�ree (3)copies of site plan xisting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
awn to scale (standard architect or engineer scale) /Ultility
or elevations
orth arrow locations (required for new,may apply for additions)
V
te address,project or subdivision name and lot number 4L. cation of wells/septic systems
pplicant information(name and phone number) 0��/Erosion control(including drainage-way protection,silt fence
Lot dimensions and building setback dimensions sign,location of catch basin,etc.)
of area,building coverage area,percentage of coverage andlIreet names
perVrious area (applicable if R-7,R-12,R-25&R-40) (street tree size,type and location
Property comer elevations (2 foot contour lines if more than Oisting trees to be retained with drip line,and tree
4 foot differential _protection measures
lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified 1Z No Received: ❑ Yes ❑ No
Public Facility's Improvement(PFI) Permit:
Required: 1Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake
Land Use Case #:
oning:
Setbacks: FrontC el Ll Rear �`� Side Street Side Garage5
Landscape Requirement: %
of Coverage Maximum;
Building Height: Maximum Height �3� Actual Height t,?y 1/
Visual Clearance
Easements
�ensitive Lands: El Yes No Type
�rban Forestry Plan
IV Conditions "Met" prior to issuance of building permit
Notes:
ZZ
Approved By Planning: Date: ZR
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Fonns\B1dgPennitRvw_RES_070915.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: # `
Building Plans: #
Building Permit#: [9-Enter building permit#above.
Workflow Routing: 14-Planning Engineering [I- 'ermit Coordinator Z;�-�uilding
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:
By Permit Technician: Date:
Engineering Review
Slope at building pad: 9
Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes f�No
Assess Water Quantity Fee in-lieu: El Yes /�,,@��No/
LIDA Facility on lot: ❑ Yes ,.I� No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Date:
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:
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:
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes tom' N/A
Parks SDC: P:.Yes ❑ N/A
OK to Issue Permit
/Approved by Permit Coordinator: Date:/ 3 / S
1:\Building\Forms\BldgPennitRvw_RES_070915.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10235 SW 67TH AVE, TIGARD, OR, 97223
Residential - Master Permit
399 Plumbing final
PASS
MST2015-00270
Chip Barnett
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
10235 SW 67TH AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2015-00270
Chip Barnett
Violation Summary:
Inspector Contractor