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Permit (35) IIIICITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00573 T t G r1 R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017 Parcel: 2S112C619000 Jurisdiction: Tigard Site address: 15045 SW 81ST AVE Subdivision: CORBIN ESTATES Lot: 7 Project: Corbin Estates, Lot 7 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 2200 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 709 sf Garage: 886 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Yes Right 5 Detectors: Total: 2909 sf Value: $371,392.55 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 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: 6 201-400 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 Other: NAll Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2909 Owner: Contractor: JT ROTH CONSTRUCTION INC J TROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE,STE 200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $30,869.42 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 obtain- 'o e . •r direct questions to OUNC by calling 5•- 32.1987 or 1.800.332.- 44. Issued B . / Vii' ti r--- Permittee Signature: Call s!!xrth,5 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 comple)pihe project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential City of Tigard � � Received al <4( .. ..4 . Date/By: i1 /`t /3.7.7..„ Permit No.: �yy S 1—.0).0iid`t1)J 7 j III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ).2,-a -) Other Permit: !ij; ,_spy �i-3 s<+ARD Inspection Line: 503.639.4175 t< yy c� { G Date Ready/By: /� Juris: I Page 2 for/ i�"�a Internet: www.tigard-or.gov t I2 G U t" Notified/Method: '1/ /7 �9 Supplemental Information i ®New constructions Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the '' t t work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ;414:04371J 3 9a..--rf ❑Accessory building 0 Multi-family Number of bedrooms: �3 ❑Master builder 0 Other: Number of bathrooms5,,3 s Total number of floors: 2 3 7 9 Job site address:15045 SW 81"Ave New dwelling area: ' .Lq �uare feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 886 square fee 9 Suite/bldg./apt.no.: ( Project name: iN e^�.f i• 4 q:. 7 Covered porch area: 56 square feet __S731:1,. t� Cross street/directions to job site:Hall Blvd to Bonita to 81st Dec srt' 0 square feet a:O 0 Other structure area: 14 square feet 1 A<,.l'ii f'; lialt Subdivision:Corbin Estates I Lot no.:7 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ,f, o x 1 . ),€ t t3 ,, , 3 work indicated on this application. Construction of new single family residence Valuation: $ Existing building area: square feet New building area: square feet l ` .... ; rteMitP,, r, • ,, , .. Number of stories: Name:J.T.Roth Construction Inc. Type of construction: Address:12600 SW 72°a Ave Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)639-2639 Fax:(503)624-0239 New: `"ar Business name:J.T.Roth Construction Inc. " '"�" ��� Structural plan review fee(or deposit): Contact name:David Jensen 72nd FLS plan review fee(if applicable): Address:12600 SW 72 Ave. City/State/ZIP: fees due upon application: ity/State/ZIP:Tigard,OR 97223 Amount received: Phone:(503)806-0602 I Fax::(503)624-0239 { �YOAJ E-mail:davidj u*jtrothinc.com _ .,v x Commercial and residential prescriptive installation of • ', V1 , . x ,, t',,,tw.,,. t „ . . � ar roof-top mounted PhotoVoltaic Solar Panel System. Business name:J.T.Roth Construction Inc. Submit two(2)sets of roof plan with connection details oa and fire department access,along with the 2010 Oregon Address:12600 SW 72 Ave. Solar Installation Specialty Code checklist. City/State/ZIP:Tigard,OR 97223 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)639-2639 I Fax:(503)624-0239 State surcharge(12%of permit fee): $21.60 CCB lie.:31700 Total fee due upon application: $201.60 Authorized signature 7----- 5---- �„ This permit application expires if a permit is not obtained '� ,r �'------ within 180 days after it has been accepted as complete. Print name:David Jensen Date:12/14/2016 *Fee methodology set by TriCounty Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR 01:11( C ISI:()NEN City of Tigard ._,\ , Received 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: Permit No.: I Phone: 503.718.2439 Fax: 503.598.1960,i . 't n ' '' Dan Review rill . 0, Inspection Line: 503.639.4175 Date/By: Other Permit: l IGnI.D P Internet: www.tigard-or.gov Date Ready/By: runs: la See Page 2 for Notified/Method: Supplemental lnformation . e New construction ~, Mechanical permit fees*are based on the value of the work 0 Addition/alteration/a>rplheemen( ,,, . •" ❑Demolition performed.Indicate the value(rounded to the nearest dollar)of all Other c " mechanical materials,equipment,labor,overhead,and profit. Value:$t+ c t � ,., . :� .., .. . ,,u,. " ' . � .,,,,,::,,,,,,,„„,„:.,1„,.,,,;,- ,,, ,,,,,T ® I-and 2-family dwelling 0 Commercial/industrial0 Accessorybuilding For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total . ... r ri e Heating/cooling: Job site address:15045 SW 81"Ave Air conditioning a 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) x 54.91 Suite/bldg./apt.no.: I Project name: Heat pump 61.06 Duct work 23.32 Cross street/directions to job site:Hall Blvd to Bonita to 8l' Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,su,spended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Corbin Estates I Lot no.:7 Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 .x ,. ` . ' . $ I , ,1 �'� Gas fireplace/insert 33.39 �gfamily.. 1 4 �"` Flue vent for water heater or gas HVAC installation at new single residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ea , Other: 23.32 Environmental exhaust and ventilation: Name:J.T.Roth Construction Inc. Range hood/other kitchen Address:12600 SW 7rd Ave. equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, Phone:(503)639-2639 toilet compartments,utility rooms) 23.32 Fax (503)624-0239 Attic/crawlspace fans 23.32 , �i � l Other. 23.32 Business name:J.T.Roth Construction Inc. w Fuel piping: Contact name:David Jensen $14.15 for first four;$4.03 for each additional Furnace,etc. Address:12600 SW 72nd Ave Gas heat pump City/State/ZIP:Tigard,OR 97223 Wall/suspended/unit heater Water heater Phone:(503)806-0602 I Fax::(503)624-0239 Fireplace E-mail:davidj@jtrothinc.com Range Barbecue . , ~ ., _ ' � Clothes dryer(gas)_ , ., r . .,P, w . . , z . Business name:All Time Heating LLC Other: Address:PO Box 1541 Subtotal City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00) Phone:(503)208-2276 J Fax:(503)208-2276 Plan review(25%of permit fee) CCB 1X.:184575 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature days after it has been accepted as complete. • Fee methodology set by Tri-County Building Industry Service Board I Print name:Aaron Svoboda Date:12/14/2016 I:\Building\Permits\MEC PerniltApp_040113.doc 440-4617T(I1/02/COM/WEB) Electrical Permit Application ° �� � � rt1►z 01:1,ICE I Sl: ON City of Tigard Received Date/B : Permit#: .-`710 0 , .7.' 13125 SW Hall Blvd.,Tigard,OR 97223 C7r `1 _ Phone: 503.718.2439 Fax: 503.598.1960 �' Dan Review Related Permit 4: t n.,e/B Inspection Line: 503.639.4175 H See Page 2 for TI V A R D Date/By: Anis: Internet: www.tigard-or.gov N 'tl(Method: Supplemental Information El New construction 0 Addition/alteration/re aeirtnent Please check all that applye pl (submit 2 sets of plans w/items checked): 0 Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or 0 Floating buildings. ►1 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. Multifamily 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or ❑Emergency system. larger separately derived Job#: Job site address:15045 SW 81st Ave ❑Addition of new motor load of system. min,or more. ❑"A""E" "1-2""l-3" City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: Project name: ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Hall Blvd to Bonita to 81" Description I Qty ,�_ Each Total New residential single-or multi-family dwelling unit. Subdivision:Corbin Estates Lot#:7 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 168.54 4 Ea.addl 500ener sq.ft.or portion 3 33.92 101.76 1 Limited energy,residential Wiring of new single family residence (with above sq.ft.) 1 75.00 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name:J.T.Roth Construction Inc. 200 amps or less 100.70 2 Address: 12600 SW 72nd Ave 201 amps to 400 amps 133.56 2 City/State/ZIP:Tigard,OR 97223 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(503)639-2639 Fax:(503)624-0239 Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 " Branch circuits—new alteration or extension' xtension Per panel A.Fee for branch circuits with Business name:J.T.Roth Construction Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:David Jensen B.Fee for branch circuits without Address: 12600 SW 72nd Ave. service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Tigard,OR 97223 Each add'I branch circuit 7.42 2 Phone:(503)806-0602Miscellaneous(service or feeder not included) Fax::(503)624-0239 Each manufactured or modular Email:davidj@jtrothinc.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 .: Pump or irrigation circle 67.84 2 Business name:Dreamhouse Electric LLC Sign or outline lighting 67.84 2 Address:13075 SW Canyon Road Signal circuits)or limited energy ❑ See Pae 2 2 panel,alteration,or extension. g City/State/ZIP:Beaverton,OR 97005 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)648-5144 Fax:(503)648-9723 Investigation(1 hr min) 90.00/1u Industrial plant(1 hr min) 78.18/hr Email:dreamhouseelectric@gmail.com Inspections for which no fee is CCB Lie.: 196726 Electrical Lie.: C-848 Suprv.Lie.: (15-60/ specifically listed(/Z hr mm 9000/hr • Suprv.Electrician signature,required: Subtotal: Print name: Chris Mahoney Date: 12/14/2016 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 permit. I:�Building�PermitslELC_PernitApp ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COMIWEB Plumbing Permit Application , Building Fixtures r(m Ol.►.►( I: ISI. ()y1.1 Cityof Tigard Received 3 g 9 c3 Date/By: Permit No.:pe<-Ta04,-vas 7. RI 13125 SW Hall Blvd.,Tigard,OR 97223 r U Plan Review 1111 I Phone: 503.718.2439 Fax: 503.598.1960 \ [�, ..IS te/By: Other Permit No.: .tit, ,is D Inspection Line: 503.639.4175 DateyR adyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov , .Notified/Method: Supplemental Information ,. # �1�. ms, ...,. t .,''�s � '�` er' .... ..... ........ ., ,...'.s' ®New construction 0 Demolition For special information use checklist Description Qty. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) . x�, ' � '. 1,w tt' ,s . .. SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 � O `ON 47, Site utilities: .: . U . Job site address:15045 SW 81st Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 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:Hall Blvd to Bonita Road to 81st 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:Corbin Estates I Lot no.:7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 ... _. . , . .....t,f., ,.o. . A 0 . ,aClothes washer 25.02 Plumbing of new single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 =%. .. u. � R „ ., .,. ,>. . .,u . , . Expansion tank 12.51 Name:J.T.RothLConstruction Inc. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:12600 SW 72nd Ave. Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 25.02 Phone:(503)639-2639 Fax:(503)624-0239 Ice maker 12.51 �►� � ... . Interceptor/grease trap 25.02 Business name:J.T.Roth Construction Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:David Jensen Roof drain(commercial) 12.51 Address:12600 SW 72nd Ave Sink/basin/lavatory 25.02 City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 62.54 Phone:(503)806-0602 Fax::(503)624-0239 Tub/shower/shower pan 12.51 E-mail:davidj@jtrothinc.com Urinal 25.02 Water closet 25.02 ai ; ,,,,,,,,?,„,,,--4--,,,-;‹ Water heater 37.52 Business name:ALL Plumbing LLC Water piping/DWV 56.29 Address:9312 NW Skyline Blvd. Other: 25.02 City/State/ZIP:Portland,OR 97231 Subtotal Phone:(503)520-0313 Fax:(503)469-1470 Minimum permit fee: $72.50 CCB Lic.:194089 Plumbing Lic.no.:PB-1022 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT FEE Print name:Aaron Luchs Date:12/14/2016 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\PLMU-PennitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT TICARD Building Permit Review — Residential Building Permit #: /115r,-,201,6,a)523 Site Address: /S-04/s— ,S,c) ei S Me Project Name: �p,,- �,7 ° . Lot #: 7- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Verify site address/suite#exists and activ in permit system. 14/( lkiver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sits'Plan Elements: ClAi tee(3)copies of site plan L 4 sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper iTi Footprint of new structureg decks)structure(including with finished rawn to scale(standard architect or engineer scale) I.or elevations orth arrow 1A Utility locations(required for new,may apply for additions) veto address,project or subdivision name and lot number Rli # ation of wells/septic systems pplicant information(name and phone number) I1: 4.ting trees to be retained with drip line,and tree - Lotdimensions and building setback dimensionsprotection measures 0t area,building coverage area,percentage of coverage and O reet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Pin roperty corner elevations (2 foot contour lines if more than 4 foot differential) talfklean Water Services—Service Provider Le,�tte (lot platted prior to 9/10/1995): /Required: El Yes,applicant was notified L>1 No Received: ❑ es ❑ No VJ Public Facili 'es Improvement(PFI) Permit: equired: itYes,applicant was notified ❑ No Applied For: PP Yes El No,stop intake /Land Use Case#: a/6,20/41_ y9/ 0_e)ite__ 6 /c Romng: Li.,� equired Setbacks: Front o�© Rear lc Side Street Side y Garage 020 �andscape Requirement: rdi !,of Coverage Maximum: I�'E Building Height: Maximum Height ['. Actual Height 2s Visual Clearance Easements td Onsitive Lands: ❑ Yes L14 No vUrban T e yl� Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: ,_ Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved i:\BuildingTorms\BldgpennitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: 42 449ASite Plans: # Building Plans: # 3 Building Permit#: rater building permit#above. Workflow Routing: nningii i ineering ermit Coordinator Erfraging Workflow Sign-off: 1:1 -off for Planning(include notes from planning review) Route Application Documents: [U]-"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original an review routing form. adding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: � By Permit Technician: �?as�� Date: /1-Aj/b Engineering Review Slope at building pad: gle 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 No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: / /.2.,:„..,77-_,/,4 Approved by Engineering: #L c ii 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: " SDC Fees Entered: Wash Co Trans Dev Tax: Zr-Yes ❑ N/A Tigard Trans SDC: Er Yes ❑ N/A Parks SDC: GC Yes ❑ N/A ,- OK to Issue Permit Approved by Permit Coordinator: Date: /2--I/-( b 1:\Building\Forms\B1dgPennitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15045 SW 81ST AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2016-00573 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15045 SW 81ST AVE, TIGARD, OR, 97224 July 24, 2017 at 1 :58:56 PM Record Type: Record ID: Residential - Master Permit MST2016-00573 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved mechanical final inspection as noted on previous failed final inspection. Correction for protecting copper line set tubing from concrete contact not done. M1309.2 Seal ceiling penetration around AC line set in garage ceiling with living space above. R302.5.3 Provide approved site plan to verify street tree location. Provide duct seal test report for duct work in the crawl space. AF103.4.8 Garage smells like gas over by furnace and WH, recommend having it checked prior to re inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15045 SW 81ST AVE, TIGARD, OR, 97224 July 28, 2017 at 9:30:33 AM Record Type: Record ID: Residential - Master Permit MST2016-00573 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15045 SW 81ST AVE, TIGARD, OR, 97224 July 28, 2017 at 9:32:46 AM Record Type: Record ID: Residential - Master Permit MST2016-00573 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Duct seal test report received. Insulation certification checked. C of 0 left on site with contractor. Other corrections complete. Violation Summary: Inspector Contractor