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Permit
a CITY OF TIGARD MASTER PERMIT IN ..-g ' COMMUNITY DEVELOPMENT Permit#: MST2015-00289 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2016 Parcel: 1 S135CD09100 Jurisdiction: Tigard Site address: 11463 SW GREENBURG RD Subdivision: 1994-102 PARTITION PLAT Lot: 2 Project: European Classic Homes Project Description: New duplex, 11463& 11469 SW Greenburg Rd. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 6 First: 1644 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 6 Second: 1619 sf Garage: 468 sf Front: 20 Smoke Dwelling Units: 2 Third: 0 sf Right: 5 Detectors: Yes Total: 3263 sf Value: $442,092.49 Rear: 15 PLUMBING Sinks: 2 Water Closets: 6 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 2 Urinals: 0 Lavatories: 8 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 2 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 2 Hose Bib: 4 Backwater Value: 2 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 8 Clothes Dryers:. 2 Natural Gas Heat Pump: N Hoods: 2 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 8 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 add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3263 Owner: Contractor: EUROPEAN CLASSIC HOMES LLC SCANDINAVIAN GENERAL CONTRACTING Required Items and Reports(Conditions) 7608 SW PINE ST 7608 SW PINE ST 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 PHONE. 503-452-9457 PHONE: 503-452-9457 FAX: 503-452-9457 Total Fees: $40,204.31 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 d• - in accor•-• e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is -spended for more the 180 d- s. ATTENTION: 0 -eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T'• - r es are set forth in OAR :52-001-0010 through OAR -00 00•: You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 7• .800. ".2344. sued By: , Permittee Signature: , Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. WIVE]) Building Permit Appl ( 2 2 , ' Residential DEC 4 2 015 1 o R 01 11( I: 1 �I O\I 1 City of Tigard Received ^ Permit No.: rO241 OCA 13125 SW Hall Blvd.,Ti d g Date/By: /02 8.N//8S 1[3121) S g ' � 1 J��p��D Plan Review Phone: 503.718.2439 Fax: 't 3�'�l�(o-� Other Permit6.0496/57790C2/7 N irQP4gO T Date/Ry: i Inspection Line: 503.630K1)-o l; y 4)71�/( hl Dateoed/ eth : / lws: See Page 2 for Internet: www.tigard-or.gov ����--NQQotified/Meth ���� Supplemental Information .: TYPE OF WORK DATA:I'-ANII4AMILY 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 0 Other: equipment,materials,labor,overhead,and the profit for the - work indicated on this appl' tion. C.�Tl1tY OF CONSTRUCTION ValuatioruC.4 0c i ] and 2-family dwelling 0 Commercial/industrial / li t ❑Accessory building ❑Multi-family Number of bedrooms: (Q ❑Master builder 0 Other: Number of bathrooms: q JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: )/`f& 3 ,l /tl X6`7 S 1,4) 6✓.2.Zn to h ry New dwelling area: 3'z 63 square feet 3) City/State/ZIP: Ti 9 Q r d d re 9?2.2 1 Garage/carport area: Itz-Li, square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet )6 1 4 Cross street/directions to job site: S ... E IA Deck area: 70 " square feet )C 1 / Other structure area: square feet / REQUIRED DATA;COMMERCIAL-USE CHECKLIST -k Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: S $ CP 09/0 d 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. 4 rik.L.) odtekx Valuation: $ Existing building area: square feet r, New building area: square feet ti :; bikPROPERTY OWNER 0 TENANT Number of stories: Name: Eli,rm l�Lfj..k e...1 digs 14€ r.Ic�,5 , 1..-L C.... Type of construction: . '' Address: I t ,7�d� S tti PI Ke S Is. Occupancy groups: City/State/ZIP: Po se 1-k p( d R 4172-2-, Existing: Phone:(cc="j ) 4 S2^ 9 ti-S-7 Fax:( ) S ,L..L_ New: 0 APPLICANT ONTACT PERSON BUILDING PERMIT FEES* . - Business name: 0‘)e....‘ PC� II;Q M- Pteese refer to fee schedule ��" Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: 04 -46 Phone: ) )3 --5,5_CSC 6,!f Fax::( ) Amount received: 7� E-mail" ( T PHOTOVOLTAIC SOLAR PANELSYSTEM FEES* RACTUR Commercial and residential prescriptive installation of ' roof-top mounted PhotoVoltaic Solar Panel System. Business name: S Ceti h kJ)t..K Ge-rtk rc.1 Co vli Kett 1-(,L5 Submit two(2)sets of roof plan with connection details 1 and fire department access,along with the 2010 Oregon Address: —1 605s s V-. P t 4,k C(--- Solar Installation Specialty Code checklist. City/State/ZIP: ' .-f(qk il of-. 9-77-2-3 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(ScrS) L-(S 2--9 Li S1 Fax:( ) S k Ii...„, State surcharge(12%of permit fee): $21.60 CCB lic.: T 7c 1/44 (0,41, g,,,, Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: tj V L PL v SR-l.,\ Date: (z(Zit/(5 *Fee methodology set by Tri-County Building Industry Service Board. 1:ABuilding\Permits\BOP-RESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) T Building Permit Application Checklist ; One- and Two-Family Dwelling FOR 01.1.R I: t SI: 0yl.1 > City of Tigardg Penni[No.: 13125 SW Hall Blvd.,Tigard,OR 97223 11114 S Associa: Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 Received 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical IIt,Altl) Internet: www.tigard-or.gov 0 Other: 'I'llE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 C y0 yi1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ • • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . 0 0 U 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0 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 0 0 0 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 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 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- 0 0 0 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. 0 0 0 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- 0 0 0 .rescri.tive math anal sis srovide s.ecifications and calculations to en:ineerin:standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 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 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 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 0 0 0 architect licensed in Ore on and shall be shown to be a licable to theproject under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or II"x 17". 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"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ 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, 0 ❑ 0 and srotection measures must be drawn to scale and must include the .ro'ect arborist's si•nature of as.roval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 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:ABuilding\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB) �" Electrical Permit Applica ' ' FOR OFFICE:. CSE oNlA City of Tigard ReceivedDate /gall Permit#: 1 , At�do g• li • 13125 SW Hall Blvd.,Tigard,OR 'r23 Plan Reviewv: � 2015 Dan Related Permit#: Phone: 503.718.2439 Fax: 503.598`l'96C1 II Date/Bv: Inspection Line: 503.639.4175. . , ., Ready Date/By: Juris: 0 See Page 2 for TIG\R D Internet: www.tigard-or.gov L• gOF I iGARD Notified/Method: • Supplemental Information OC'{51a '4f. � ".1 r� � y C! xt ^""`�' �3'' '£v'Ya Trv. , '` r. ��+,a„ .��.. Axa.'.a x...:,',:r.. .. �. ,w:trra,„„i,�- ,a' �,!:.�'.x t. �Ae �,.._- "ts.,h,r .:-.,-� :�.$�'� Iffifn Please check all that apply(submit 2 sets ofplans w/items checked): New construction ❑Addition/alteration/replacemert pp Y ❑Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition 0 Other: where the available fault current 0 Marinas and boatyards. R'r„ tWar "a° " `a1tk^QR txaOval )`e`>l' l '. ra,,`£ags; exceeds 10,000 amps at 150 volts or 0 Floating buildings. ®.1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground.or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or t fat �mv & lBR) �k�F17m �€ oCT2 w � �oggs ❑Emergenc system. larger separately derived Job site address: ❑Addition of new motor load of system. Job#: I1Y63 #-1/465 St.J 6ftt �1 ico( 10OHPormore. 7" " City/State/ZIP` %)9 Avec a 9722 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SL.) E.SCt-LA, MtVg.gigaf xi a Description I Qty. I Each I Total'• I-. New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: )s/ 3 c CD oe /o o 1,000 sq.ft.or less 168.54 4 Ea.add'1 500 sq.ft.or portion ,K 33.92 1 r if _ aw Limited energy,residential n,_� JupI_ ._�C (with above sq.ft.) 1 2 C� (XLimited energy,multi-family 75.00 2 residential(with above sq.ft.) I?RU „ �J Renewab ❑ SPage 2 TM r Services or le feedersEnergy installation,alteratioeen,and/or relocation Name: E A.ro e4;1 Cl A S S i ckJ()mi._, L IoL►.L-a 200 amps or less 100.70 2 Address: 7C,O g Ste% Pi Sl, l 201 amps to 400 amps 133.56 2 r 401 amps to 600 amps 200.34 2 City/State/ZIP: r-,(-14 md 0' 9-7 z23 601 amps to 1,000 amps301.04 Phone:( 3) 4 S 2-^9 if c7 Fax:( ) SeL vi....; Over 1,000 amps or volts 552.26 2 ��f �� emporary services or feeders installation,alteration,and/or Email: COC0 t^'I relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 x Y Branch circuits—new,alteration,or extension,per panel .a,.. k ..-❑ Doth :" .r ? z.. ,: ;_Q CQNTr1C' ,1Qw* f .., A.Fee for branch circuits wirli Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 Email: dwelling,service and/or feeder Reconnect only 67.84 2 P.©'NiFFAC-riTOR *,�, 't� **-u4:1W,t'"x,,'u Pump or irrigation circle 67.84 2 Business name: f-q( 1-li E.2 dill-ri L /13 C Simi or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: �{1 9 c N---)--(4_0_K _ar. panel,alteration,or extension. City/State/ZIP: //��2 4Each additional inspection over allowable in any of the above -a-tk 1 V 1 7a5 -6,02_-2 Additional inspection(1 hr min) 66.25/hr Phone:( 0.5) 3 d —CZ-Z-0 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: $(D30 e1 Electrical Lic.:acf-aq9e_, Suprv. Lic.:A• 5165 specifically listed(Y hr min) ♦ p Suprv. Electrician signature,required: l Subtotal: Print name: ptc .,}x'vq,p(- sate: 2 /14 0 Plan Review Required(25%of permit fee): , State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per pennit. I:-Buildine'Perm its'ELC_PermitApp_ELR_ERE.doc Rev 06/172015 440-4615T(Il!05:COM;WEB Mechanical Permit Appli EI1'EP FoR OFFIch: I sh: o,l.N City TigardDate/By:of Received /14„�a PermitNo.: i co,:f ✓ :IIiii 13125 SW Hall Blvd.,Tigard,OR 9712'23 . 2 4 2015 Plan Review S Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: l I c ,\I;I Inspection Line: 503.639.4175 CI,I,V UP 11 ,AR`L Date Ready/By: furs: ® See Page 2 for Internet: www.tigard-or.gov I �j Notified/Method: Supplemental Information 3UILDING DJVISIQN, }7, ° x.10". ` - :C01►MIli3FB1 ±�4,,` x' ti .,a TYPE O>� WbRK . .�_TI$ � .,.. r ' Mechanical permit fees*are based on the value of the work Ca-New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value $ CA'i 4)itl( AF."CONSTRUCfiON ' . . »AL l r' 0 I-and 2-family dwelling 0 Commercial/industrial El Accessory building For special information use checklist. ❑ Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JO ; 4 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I: Building Permits MEC PennitApp_040113.doc 2 ECEIVEI Plumbing Permit Application Building Fixtures PEC 2 4 2 015 City of Tigard RDeactee/Bveyd: 1 9.../ 4 /c. �^_4J Permit No.:M 015noo 4281 13125 SW Hall Blvd.,Tigard, ,--lg0 '�GARj Plan Review Phone: 503.718.2439 Fax ff RR¢¢�� ii cr n Date/By: Other Permit No.: Inspection Line: 503.639.4195 1.�-+bil,lp DAVI,7!(1�� Date Ready/By:I t ;�I:I) Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information -,-,!,71,;.,;1%,,,,. 4" 'intik'.OF WORK - ,. FEE* *** ew construction 0 Demolition For special information use checklist. Description (-Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEdORY-OF'CONSTRL ' N SFR(1)bath 312.70 151 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITEPINFORMATION AND LOCATION" Site utilities: Job site address: ) / 4 G3 + /1µlog S w) 6r.etc n l el Pe( Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 Y / )y 4 v1/ Of q72 Z3 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Sw ES401 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: I s/ 3S C.17 09100 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 I�Lw Lex Clothes washer .Z25.02 Dishwasher Z 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 I>PROPERTY OWNER I,/ ❑ TENANC Expansion tank 12.51 Name: �Yo�-4 K vl C Q S S! L 14 o�S t (�L-G Fixture/sewer cap 25.02 Y Floor drain/floor sink/hub 25.02 Address: -2(o0 8 S t,,) .p, 5 F Garbage disposal 25.02 City/State/ZIP: Poo-/ /i vt4 o R X17 2.-3 Hose bib 25.02 Phone:( 0-3) L/S 2^9 y S' Fax:( ) Ice maker Z 12.51 ❑ APPILICANT CI CONTACT,PERSON" Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR ' ' '') � ���/� 0 �(AlWater heater 2 37.52 Business name: Water piping/DWV 56.29 Address: 9..g-o5 � � l0 i'"e1 $ AJ f.- Other: 25.02 City/State/ZIP: tbiAppy J,e+ y O e Subtotal Phone:(S03) c')qq-06` 3 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: I sA ge/4' Plumbing Lic.no.: Pb5(0 2 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: X LeVA\ TOTAL PERMIT FEE Print name: JE T&R-- e-Ni Date: t� This permit application expires if a permit is not obtained within 180 days l 2)�2-I J l f after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:Building Permits PLMI'-PermitApp.doe 10 01 09 440-4016T(10 02 COM WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Qty'• Fee(ea) Total $ aPe Footage. r., i Footing drain-1'1100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 n Storm&Rain Drain-1st 100' 62.54 " "' P`: '7y' hu $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for � o : ..' t.; y s Too each additional$100.00 or fraction thereof,to > g t +IIIS1t' lr�aea r and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Min Rolew for Pliuhbing,Installitioin Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an -Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Clean Water Services File Number 4 ice' C 2 4 201515-004146 �,. CleanWatere�. Services •tYOFTI, . nsitive Area Pre-Screening Site Assessment 3IIILDIKG 1. Jurisdictidr r9;3rd 2. Property Information (example 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Ove Petersen 1S135CD09200,1S135CD09100, 1S135CD09000 Company: Scandinavian General Contracting Address: 7608 SW Pine St. Site Address: City, State, Zip: Portland OR 97223 City, State,Zip: Tigard OR 97223 Phone/Fax: 503 515 9464,503 452 9457 Nearest Cross Street: SW Esau E-Mail: lop8318@aol.com 4. Development Activity (check all that apply) 5. Applicant Information Addition to Single Family Residence(rooms, deck,garage) Name: Ove Petersen Lot Line Adjustment Li Minor Land Partition Company: J Residential Condominium :1 Commercial Condominium Address: J Residential Subdivision ] Commercial Subdivision ❑ Single Lot Commercial D Multi Lot Commercial City, State,Zip: Other Phone/Fax: 503 515 9464,503 452 9457 one duplex to be built on each lot of record E-Mail: Iop8318@aol.com 6. Will the project involve any off-site work? ]Yes No ❑ Unknown Location and description of off-site work 7. Additional comments or information that may be needed to understand your project This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete.and accurate. Print/Type Name Ove Petersen Print/Type Title ONLINE SUBMITTAL Date 12/21/2015 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site,This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,State,and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law. This Service Provider Letter is not valid unless CWS approved site plan(s)are attached. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by ' •-.--40 - ' Date 12/22/15 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • Phone:(503)681-5100 • Fax:(503)681-4439 • www.cleanwaterservices.org City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: M ep cg-O 15-co �.q 9 Site Address: ( f - ( ( 9 ( LO,)r ,,s - Project Name: , � ,�,L [ ,o Lot #: (New dw lling= subdivision name;.Addition or.Alteration=last name of owner) Planning Re ' w Proposal: 4 Verify site address suite#exists and active in permit system. ARiver Terrace Neighborhood: No ❑ Yes, See River Terrace Review_<Iddendum Attached Site Plan Elements: E 'Three(3) copies of site plan Existing 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 rawn 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 _,ocation of wells/septic systems 7( -:Npplicant information(name and phone number) /Erosion control(including drainage-way protection, silt fence (6Lot dimensions and building setback dimensions design,location of catch basin,etc.) PLot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) 7Street tree size,type and location /6Property 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: h Yes,applicant was notified E No Received: [‘_2(Yes El No El Public Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: E Yes ❑ No,stop intake gLand Use Case #: Zoning: t' I 2- )21 Setbacks: Frr�ont IS Rear j S Side S Street Side 10 Garage It" Landscape Requirement: BU I,C�Lot Coverage Maximum: Q.0 °Yo Building I leight: Maximum Height 3 c Actual Height L4 Visual Clearance Easements Sensitive Lands: El Yes ❑ No Type Urban Forestry Plan j(��'•Conditions "Met"prior to issuance of buildingermit /� Notes: ,,,,,��� =s �J-` o-.-v� ._-�' / Ji.; a.e. YL Approved By Planning: /V19' el l'e"- (4 s 0/."-- --- Date: /A/9-// ----- Revisions A/9-//s Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:ABuilding\Forms\BldgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: 7.4-4-61/6- Site .4- -61/6Site Plans: # ' Building Plans: # 3 Building Permit#: 2rEnter building permit#above. Workflow Routing: Planning BVEngineering 11-11-ermit Coordinator .B'Building 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 o iginal 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: C-- .6ao Date: 7,48/15— Engineering ,4B/SEngineering Review ❑ Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: [Yr Assess Water Quality Fee in-lieu: LJ'Yes ❑ No Assess Water Quantity Fee in-lieu: T Yes ❑ No LIDA Facility on lot: ❑ Ycs ❑ No ❑ NOT Approved by Engineering: Date: • Notes: ! , a - 44,4„)44,4„) _ �,.. eei�.d ,, .f ..,_ (i .. • •. ka.6e,.ce.� �� Approve 8 by Engineering: Date: /a../3/b5— Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved r Qt_ --fi:-Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: /4/3///5 Notes: _`��yv�. , 4.2..4.), i cd e.. .. /2.¢t(.t E f o.,ri,. Revisions (after Building Submittal only) S• Revision Notice 1: Date Sent to Applicant: r,i, Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: `n ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ItiTigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A .fri .v OK to Issue Permit /Ai // Approved by Permit Coordinator: Date: 614//<0 It t I: Building'Fonns`,BldgPennitRvw_RES_0121 16.docx r City of Tigard i II ■ r COMMUNITY DEVELOPMENT DEPARTMENT 1 c n lz D Building Permit Review — Residential Building Permit #: H 1 c &/S- oO ag? Site Address: (1 q 6 3 ( 1q,69 r& h v ry I�• Project Name: cwrtle>°6 C(Glsr,C. / o-rt Lot #: "- (New dwelling= subdivision name;,Addition or Alteration=last name of owner) Planning Review Proposal: New SP (- Verify site address/suite# exists and active in permit system. --River Terrace Neighborhood: ❑ Yes $lVo Site Plan Elements: /Three (3)copies of site plan __�Existing 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 /1Drawn 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 _ tstation of wells/septic systems applicant information(name and phone number) Erosion control(including drainage-way protection, silt fence ,ot dimensions and building setback dimensions design,location of catch basin,etc.) 21"1-ot area,building coverage area,perc age of coverage and /Street names impervious area (applicable if R-7, -12j R-25&R-40) /Street tree size,type and location 2roperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures -E-Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): I S'O oa VI b Required: E Yes,applicant was notified ❑ No Received: /Yes ❑ No —P-Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: LL A20 IS - '0000-1 , NILP aq _ 0000 3 ' Zoning: 2 - 1 -2- E/Setbacks: ld Setbacks: Front W Rear ( S Side S Street Side I 5 Garage --z,D 0 Landscape Requirement: 0/0 - � Lot Coverage Maximum: 'S U 0/0 X Building Height: Maximum Height 3 s Actual Height V--3- 2 S -Er-Visual Clearance 7 Easements /No - S nsitive Lands: ❑ Yes Type -0'�ban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Re/M tY1 tog oonc o'l0n 1 VLad to p2 0-vizi-- Approved 1'l2 'Approved By Planning: /1191".:-. r\.,"\- - Date: 12-/29 / (1 Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved E Not Approved 1:\Building\Forms\B1dgPermit Rvw_RES_070915.docx Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # Building Permit#: 2'Enter building permit#above. Workflow Routing: Q' Planning [Engineering 24ermit Coordinator ❑ Building Workflow Sign-off: 17r- Sign-off for Planning(include notes from planning review) Route Application Documents: 2 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Ei Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: ajC By Permit Technician: Date: /.27/45-- Engineering .27/45Engineering Review Slope at building pad: 597 •_onditions "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 ❑ No Assess Water Quantity Fee in-lieu: Yes / ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: * y/re;6 Proved 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: 72-h/ / Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: )SDC Fees Entered: Wash Co Trans Dev Tax: )0 Yes ❑ N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: Yes ❑ N/A a OK to Issue Permit l/6,39 / P A proved by Permit Coordinator: Date: / 1:\Building\Forms\BldgPennitRvw_R ES_070915.docx Albert, This memo serves as engineering comments for MS1'2015-00289, MST2015-00290 and NISI""2015-00291. MST2015-00289, Lot 2: • Approved for review. • Requires water quantity fee in lieu X 2 and water quality fee in lieu X 2. Prior to issuance of building permit: • Since the sanitary constructed on this property as part of the system serving all three lots was not previously accepted by the city then the city is requiring the 6 inch pvc sanitary system have a mandrel pulled through, the line be pressure tested and the line be video inspected. All are required to demonstrate structural integrity. • Show how and where storm water leaves site and connects to approved city system. MST2015-00290 Lot 1: • Not approved for review. • Requires 60 foot front set back from C/L of Greenburg Rd at its ultimate width. Upon resubmittal: • Requires water quantity fee in lieu X 2 and water quality fee in lieu X 2. Prior to issuance of building permit: • Show how and where storm water leaves site and connects to approved city system. • Since the sanitary constructed on this property as part of the system serving all three lots was not previously accepted by the city then we are requiring the 6 inch pvc sanitary system have a mandrel pulled through, the line be pressure tested and the line be video inspected. All are required to demonstrate structural integrity. NIS"l'2015-00291, Lot 3: • Approved for review. • Requires water quantity fee in lieu X 2 and water quality fee in lieu X 2. Prior to issuance of building permit: • Since the sanitary constructed on this property as part of the system serving all three lots was not previously accepted by the city then the city is requiring the 6 inch pvc sanitary system have a mandrel pulled through, the line be pressure tested and the line be video inspected. All are required to demonstrate structural integrity. • Show how and where storm water leaves site and connects to approved city system. 1/1/1 fa—J c . 11' 19-Q15 - ooa�q - TIGARD City of Tigard April 28, 2016 Ove Petersen 7608 SW Pine St. Tigard, OR 97223 Re: Permit No. MST2015-00289 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 11463 & 11469 SW Greenburg Rd Project Name: European Classic Homes Job No.: Refund: ® Check #220677 &220809 in the amount of$6,520.00. ❑ Credit card"return"receipt in the amount of$ ❑ Trust account"deposit"receipt in the amount of$ Notes: Refund overpayment of Washington County transportation development tax; charged at SF detached rate in error;adjusted for duplex rate and overpayment refunded. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I:\Building\Refund1\3a41K \ ieRIA,. 1P0r7e gon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov 7 " City of Tigard 0 TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts,documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Ove Petersen DATE: 4/13/2016 7608 SW Pine St Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 402562 Case#: MST2015-00289 Date: 3/15/2016 Address/Parcel: 11463& 11469 SW Greenburg Pay Method: CreditCard Project Name: European Classic Homes EXPLANATION: Refund overpayment of Washington County TDT;charged at SF detached rate rather a y than duplex rate. .-�03,Mplpifq yyy /(yam y�0�(p1V 1 ,? z' ?4.a4 4C;;M, t`" 1 '� 4 d; 13 y1� 41:4':Y,.-44C �L - YO }4V +V .0tp:Oli 5 !• { +i., ..w1-; 01:4,t7; :4,T' 4,• , 4 (111 1 44- ' rte. yJ 6 1 1 11 1 > x l �,✓ f �, 7 �`' ^fir � " .;• es'� '� r S �i Lt7f�wa l �4 Tc�'.. Eiaxplec' d gP it'#00"4f.. "." . s 0een.a 4144-° :',.f 1.• c�" k Wash Co Trans Dev Tax-SF Detached 405-0000-43320 $270.00 TOTAL REFUND: $270.00 APPROVALS: SIGNATU ES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONL Case Refund Processed: Date: y 2f(o By: I:\Building\Refunds\RefundRequest.doc x 09/01/2010 Er! City of Tigard T I GARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Ove Petersen DATE: 3/31/2016 7608 SW Pine St Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 402562 Case#: MST2015-00289 Date: 3/15/2016 Address/Parcel: 11463 & 11469 SW Greenburg Pay Method: CreditCard Project Name: European Classic Homes EXPLANATION: Refund overpayment of Washington county TDT;charged at SF detached rate rather than duplex rate. REFUND INFORMATION: Fee Description From Receipt` Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 • $Amount Wash Co Trans Dev Tax-SF Detached 405-0000-43320 $6,250.00 TOTAL REFUND: $6,250.00 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager wry/ , If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: y/3/fr By: „EMI" I:\Building\Refunds\RefundRequest.doc x 09/01/2010 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 11463 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2015-00289 Inspector: Jeff Grove Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 11463 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Street tree Moisture content Lighting efficiency All forms received Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2015-00289 Inspector: Jeff Grove Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 11463 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 2, 2016 at 1:04:05 PM Record ID: MST2015-00289 Inspector: David Young 29 psi for 15 minutes Smoke detector to be 3' away from forced air register. R314 All else ok. Violation Summary: Inspector Contractor