Loading...
Permit (26) CITY OF TIGARD MASTER PERMIT Rris • COMMUNITY DEVELOPMENT Permit#: MST2017-00042 T[cry D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 Parcel: 2S106DB12200 Jurisdiction: Tigard Site address: 17497 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 122 Project: River Terrace Northwest, Lot 122 Project Description: New SF. 4/13/17: REPRINT to add patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $254,572.66 Rear: 10 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 Disc: 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 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: 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 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 One Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Required STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,890.90 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 a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �[ Issued By: ,S/Ce Permittee Signature: Srt Gt'I�jO,L G' �/6(.�/I Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /1Q 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. 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 - :G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 3 2017 FROM: Angela Grajewski :E± L)r f►GARD 3UILDING DIVISION COMPANY: Polygon Northwest PHONE: 971-212-2144 By. RE: 17497 SW Shadow Trails ST MST2017-00042 (Site Address) (Permit Number) River Terrace Northwest Lot 122 (Project name or subdivision name and lot number) t ACHED ARE THE FOIA OWING ITEMS: , fl es71: • 11 0 Additional set(s) of plans. 3 Revisions: sleek /I 7 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. add ek due to terrain pe&-fi`v Cvvz� OR � <.. \\ .. Routed to Pe Technician: Date: ' 17 Initials: Ak- Fees Due: Yes ❑No Fee Des ti : Amopt D e:Ad � j Ad /V f l rt,v $ co Aie-- Ors---;%.46• $ • Special Instructions: Reprint Permit(per PE): xl Yes I I No .N Done Applicant Notified: ,„ Date: L /( Initials: I:\Building\Fomes\TransmittalLetter-Revisions.doc 05/25/2012 r. City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT • a TIGARD Building Permit Review — Residential • L=M.Et-udz.:.a,:p+. s:..:.t;f:F:Av- 1..:...;.:...._.�:.uit�+?e SYst.$'gtr"atpvLAW:4.tYsA:l4ii3.,.rL...'�.�:"4"..)...w.'+,�+5.:�_:w.�.•:F.inF..H,.t:w::slNemk.W.tii:=: Building Permit #: its r2.0 7 000 4A)- Site - Site Address: 1? :/49 - S) .1L -77 // g Project Name: Piller. ' r-A7f 6 wes.f. Lot #: J (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 99 Proposal: f'V .71' '.. .. •-_ Ler. . 14 . site address/suite#exists and active in permit s tem. �Y fill- River Terrace Neighborhood ❑ No Yes,See River Terrace Review Addendum Attached Si Plan Elements: (3)copies of site plan . ting structures on site e plan must Jg on 8-1/2"x 11"or 11 x 17"paper I 'ootprint of new structure(including decks)with finished raven to scale(standard architect or engineer scale) •or elevations Orth arrow TA Utility locations(required for new,may apply for additions) • address,project or subdivision name and lot number ; t1 r, ,tion of wells/septic systems 12 .•licant information(name and phone number) ■ °.sting trees to be retained with drip line,and tree r .t dimensions and building setback dimensions protection measures r4 Lot area,building coverage area,percentage of coverage and street tree size,type and location • pervious area(applicable if R-7,R-12,R-25&R-40) ',rV,°/Street names roperty corner elevations(2 foot contour lines if more than .410 4 foot differential) O\ lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: 0 Yes,applicant was notified No Received: 0 Yes 0 No Public Facil�ity Improvement(PFI)Permit: quired: f2 Yes,applicant was notified 0 No Applied For Yes 0 No,stop intake Od Use Case#: ,� - ,S - 'u •t 7. -r c cL o'tung: 3J (+ uired Setbacks: Front Rear l0 Side 3 Street Side ) Garage c,„20dscape Requirement 2 0 % Bof Coverage Maximum: % ���g Height Maximum Height M Actual Height cQ , PE Eisual Clearance asements sitive Lands: 0 Yes lG No Type T. Urban Forestry Plan 0 Conditions"Me"prior,o issuance of b ' .' : permit Notes: 71 I s;l i • - s, .'d i 'i / f 1 �J//T /<:c/42�1'f:�_ S I---•i • . i ra7�f�r , Approved By Plashing: - i"II _�£,,% Date: /Q/& j '(AQA/Vicoy Revisions (afterBi'ding Submittal only) Review r D to Revision 1: 14 Approved 0 Not Approved —.—„Z'' 4//4"1/ Revision 2:. 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPamitRvw RES_091216.docx n 4 Building Permit Submittal Original Submittal Date: /A/ Tito Site Plans: # 3 Building Plans: # Building Permit#: [ rEnter building permit#above. Workflow Routing: [Planning a-Engineering 9-Permit Coordinator Q.&ilding Workflow Sign-off Q-Sign-off for Planning(include notes from planning review) Route Application Documents: Ea-Engineering: (1)copy of permit application, (1)site plan, (1)building plan and ,, original plan review routing form. Lr Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: , ),,Szipiej.i.r. Date: �,, 7 7 ......,...._._ ++.p.<T;$ "-"'i:.i9lty, '+'••"nim.,, .'.<.-.'w ;"fc..•4e. --, .:5•.... ,...o-:. -....,•: .,.:..... r ,,.... J :. x.t.. .,._ _.. Engineering Review /21'Slope at building pad: / 77, /— Conditions"Met"prior to issuance of uilding permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes 0 No 0 NOT Approved by Engineering: Date: Notes: Approved by Engineering: Date: l..- "-f7 r Revisions(after ilding Submittal only) Review ��//Date Revision 1: Approved 0 Not Approved Y"4./ 7 Revision 2: 0 Approved 0 Not Approved ` Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit proved,NOT Released: Date: / /A-9— Notes: >-9—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: ►� Yes ❑ N/A r/ Tigard Trans SDC: 1 S. o City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT a TI<,Art) Building Permit Review — Residential i 62tier,,,,iC:Ja¢+ra-iSrd'J►+I.wlsli+. s• ...4.,sin:„.................M..4YI.;::Cti,rJ6n:?ii.+«tiKciEi'�4{AY,,:L:i:.+a9V, Building Permit#: _ MS rad/7 -- ODO 7'..2.... Site Address: /91.71q3- % ) J ) 7moi/ . ' Project Name: P%lier "77. e es* Lot#: / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 7 .71”. _ /1 " /fterify site address/suite#exists and active in permit ern. 1 River Terrace Neighborhood 0 No Yes,See RiverTemace Review Addendum Attached Siy�Plaa Elements: ere (3)copies of site plan structures on site yte plan umiak on 8-1/2"x 11"or 11 a 17"paper ootprint of new structure(including decks)with finished wn to scale(standard architect or engineer scale) '••r elevations Words arrow r Utility locations(required for new,may apply for additions) forth address,project or subdivision name and lot number s� w, tion of wells/septic systems . n . .•licant information(name and phone number) •'''. ting trees to be retained with drip line,and tree Ir ,.t dimensions and building setback dimensions •tection measures 1 i Lot area,building coverage area,percentage of coverage and Y?reel tree size,type and location r� pervious area(applicable if R-7,R-12,R-25&R-40) treet names I p corner elevations(2 foot contour lines if more than Ili 4 foot differattial) Agflean Water Services—Service Provider Lettl(lot platted prior to 9/10/1995): : 0 Yes,applicant was notified No Received: 0 Yes ❑ No W Public Faciliti Improvement(PFI)Permit: V Yea,applicant was notified 0 No Applied For: Yes 0 No,stop intake cpuired: er:anmMg: d Use Case#: /6.b p -.. *as; Stj1' .exs-- A ' dSetbacks: Front ro Rear to Side 3 Street Side 0 Garage ) IlifiLandscape Requirement +20 % t Coverage Maximum 0p uildiag Height: Maximum Height NO Actual Height Q , mull Clearance Easements . =-.sitive Lands: 0 Yes 12<lo Type V., Urban Forestry Plan 0 Conditions"Me 'prior o issuance of. ...iv! permit Notes: • - ,,. - ' ., 4 dL!i//1 t 1 Approved By Planning: . sn � Date: ja?/ f(a Revisions(after BAling Submittal only) Review D to t Revision 1: F Approved 0 Not Approved - ^'—"= � Ar04- Revision 2:. 0 Approved 0 Not Approved /2/1 glti-, v�—=� i .7 Revision 3: 0 Approved 0 Not Approved ' l:1BuildingWarms\BldgPetmitRvw RES 091216.docx i e y Building Permit Submittal Original Submittal Date: /o?I.24/Ro Site Plans: # 3 • Building Plans: # -3 B1uldi•g Permit#: L 1 Enter building permit#above. Workflow Routing. iErPlanning gineering Efireimit Coordinator dding Workflow Sign off 0'Sign-off for Planning(include notes from planning review) Route Application Documents: &I.-Engineering: (1)copy of permit application,(1)site plan,(1)building plan and ,,original plan review routing form. [ i Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Techniciansc„ • • Date: f p/I7 ' Engineering Review I Slope at building pad: / Conditions"Met"prior to issuance of71 ding permit ❑ Easements(encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: ' Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No I i ❑ NOT Approved by Engineering: Date: ' Notes: Approved by Engineering: Date: f-.73,4-17 P • Revisions(after wilding Submittal only) Dae Revision 1: Approved 0 Not Approved P p e4t/ 7 Revision 2: 0 Approved 0 Not Approved 1 Revision 3: 0 Approved 0 Not Approved , Permit Coordinator Review 0 Conditions`Met"prior to issuance of building permit rapproved,NOT Released: 611.41.--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 0, N/A Tigard Trans SDC: es°.. 0N%A Parks SDC: � 0 N/A •r:1 OR to Issue Permit (Yes proved by Permit Coordinator: Da ANN' •"(61)/ I:\BuildineForms\BldgPatmitRvw__RES 091216.docx STI 7 -YO`�L. 1-7 1,-/ 2 5 co s� ut/ r! I. L? '— I-- — - LEGEND: \ I;\ I ss SANITARY SEWER �'�Cjfic @I-291-293. � Community 8 22.0' 23 0 I 291 SD STORM DRAIN la �r ,;_, _ _ _ � X11 6 �. ��:.; w Des Lu , 1 I WATER LINE 12564SW MainStreet \ 13.13' 1 Q • MANHOLE TIgard,OR 97223 Z \ a / —� [Tj 503-941-9484 w X8.00'--'h -21.06'—__t_ 1 I _ r,-- CATCH BASIN DATE: DB ,5�2D,7 Q 0'29� PUE : FP --., 1 — — I ' STREET LIGHT / k I I r -I I REVISIONS _ �J 11 I 1 I STRAW WATTLE PERIMETER NO DATE DESCRIPTION ll \.', i 11 I 1 1L I EROSION CONTROL `-- BUILDING: 3410AR ii l 1 i -i 1 Q �, I STREET SECTION, SEE N 290 461 �1 �� FFF=285.3 i j 1 1 HR FIRE I I I I 1.1 " r': 122 11 i RATED EAVES 1 I 1 CONSTRUCTION DOCUMENTS t 1 3.00' PLANT(2) STREET $ 00 4,008 SF �I 1 i 124 SETBACK SUMMARY TREE: 2"CAL. I - 123 1 ' GOLDENRAIN TREE/, 1 •. ; ; FRONT SETBACK: 12' KOELREUTERIA ' _ �� 1 •i ' I ' SIDE SETBACK: 5' PANICULATA -- -''"`�?a��\. 1 i GARAGE 1 i ' I i N STREET SIDE SETBACK: 10' /1 -� .�: ' I I 1 I REAR SETBACK: 15' i II ' I I ' PORCH SETBACK: 8' ' I I 1 h- GARAGE SETBACK: 20' E } - . PORCH, I _ ----J 1 I Q :v. P I M "� 1 SIDEWALK __ ° ' �►•N 26.61' �" 22.69_ — =6.00' --- N �$y ��. �� 11 PUE -4 _— _ _- _�f 11 �lipilva ' — — , LOT COVERAGE: S VISION 8.0' 23.0' !Ilik1111111r8 ALOT AREA: I 4,008 SF N CLEARANCE Nin vRIVER _ TRIANGLEaA;„ , _� �, $` 285.6 ^c ;' BUILDING FOOTPRINT: 1643 r TERRACE 3 I' SS 5 SS SS �r 1 ISS COVERED F 4 H= 50 SF cc:,, 4.41 Q B NORTHWEST WATER METER _ o / SANITARY LATERAL /� � SD 5D CANTILEVER LIVING SPACE:' v ;� tis, STORM LATERAL—/ so 8.00' D 1 SW SHADOW TRAIL STREET N 5D / lal ,,� �� W' COVERED PATIO: 114 SF M ° / W `\ .— . � � ,�i �---'-'"""'� DECK AREA: 0 SF (V LOT 122 LL /I 41° radadillir ma - OI TOTAL COVERAGE:, 11.111111111111111 r 1,607 SF PLOT PLAN S,' _ . _ i` 40.1 % c N / ,�'� f — 74--.:_ I -- -o IMPERVIOUS AREA: 2,175 SF 6 EL- _ 1 I _ I . 1-5. W44.4.4114111-4107 ZE dftaillmil illFw 151- ` I r --U I � I _- L --r 1�\ CITY OF TIGARD 2 RIVER TERRACE NORTHWEST (503) 221 -1920 , Planning 2S1 W6 Approved by PROJECT NO.: 395-037 TYPE: CONSTRUCTION h1 122 (R-7, MEDIUM) Date: 1 nS1ADLE 'o REVIEWED BY: PRE 0 0 RIVER TERRACE NORTHWEST 1,II_calx. - v1/7 17497 SW SHADOW TRAIL STREET 1INCH=20 FEET Z ` IA l - — LEGEND: f I A2 294 y\ I 291.6 —ss SANITARY SEWER Community in ii it 293.sA -i 2z 0' 23.o I -- ` " � —SD STORM DRAIN ry - Design - -G " w WATER LINE 12564 SW Main Street \ n, 13.13' 1 MANHOLE Tigard,OR 9223 _ [Tj 503-941-9484 Z \'8.00.-- 4 1 _ I _ CATCH BASIN W f. ` _- 21.D6' ro DATE: 08/15/2017 Q -0 i PUE ) 1-°-- --- i I — — _ I STREET LIGHT REVISIONS ;:-' ` J °I L II i° °i I - STRAW WATTLE PERIMETER No. DATE DESCRIPTION N r /1 I I 1 I EROSION CONTROL BUILDING: 3410AR 1 , J L-1 1 Q FF=286.6 I STREET SECTION, SEE 0 `o l 1 BFF=285.3 1 1 HR FIRE 1 I ; © CONSTRUCTION DOCUMENTS '190 I 1 1 I RATED EAVES 1 1 I `�' �, �. I 122 / I 3.00' 1 I PLANT(2) STREET 8 �� 4,008 SF �IOi \ R 97SETBACK SUMMARY TREE: 2"CAL. I 1 1 - 123 1 GOLDENRAIN TREE/ , I I 1 _'. ; ; \ FRONT SETBACK: 12' KOELREUTERIA r / 1 1 I , SIDE SETBACK: 5' PANICULATA ?as ,. ` 1)'t'" i GARAGE► I I ; 1 I N STREET SIDE SETBACK: 10' . I 1 1 \ REAR SETBACK: 15' ami f I I� 11 I i PORCH SETBACK: 8' 3 ;PORCH ,- ---- -- 1 I I ; h GARAGE SETBACK: 20' E w ��=' �, I j I . - ---= ' '� - 1 T-- - I 1 r'tI d au 1 SIDEWALK I L—_- °1 3 �� 22.69' 26'61' 1 .-6.00' N L,i6�1 �!► — II PUE_ _ -- — ji - i----\ Rik g,- --- - LOT COVERAGE: ill v VISION iii`` 8.0' NOM Al LOT AREA: 4,008 SF CLEARANCE `o --- RIVER TRIANGLE 285.6 %"--... .) 284.8 _ =' BUILDING FOOTPRINT: 1,443 SF -..... _ TERRACE 1111 N Q SS SSFer,.. `� 18 ISS I I B y COVERED ru° H 50 SF NORTHWEST A SANITARY LATERAL WATER METER O SD _ SD CANTILEVER LIVING SPACE:I u . o � tiaa� STORM LATERAL 28.00' N sD SD SW SHADOW TRAIL STREET `�% \ COVERED PATIO: 114 SF� W �.�• M N 5�6��A�f�( ;/ .. Cg M �� W �-"��� DECK AREA: 0 SF ��n!a[�71`n------- /' o LOT 122 `� 1)". --.7:- / l ,� TOTAL COVERAGE: 1,607 SF PLOT PLAN m o o \ `4 t — . j, 40.1 % o7 1-- o © 7 `_� - 1 / 1 - o IMPERVIOUS AREA: 2,175 SF a r II 1� v \- 1~r __--II I —I _ h— o I I A e _. 11 1 / ED RIVER TERRACE NORTHWEST (503) 221-1920 CITY OF TIGARD 2S1W6 Approves A)y Planning PROJECT NO.: 395-037 .� ) ' TYPE: CONSTRUCTION / I SCALE REVIEWED BY: p� LO LOT 122 (R-7, MEDIUM) Date:0 ,0 COG' RIVER TERRACE NORTHWEST Initials: �M� 17497 SW SHADOW TRAIL STREET 1INCH=20 FEET Z 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 :IN " Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED Iy AUG 1 C 2017 FROM: Angela Grajewski CITY OF T:CARD ARD COMPANY: Polygon Northwest EUILDiNG DIViSION PHONE: 971-212-2144 ByA RE: 17497 SW Shadow Trail ST MST2017-00042 (Site Address) (Permit Number) River Terrace Northwest Lot 122 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 1 lai'4- ,.70tiane... .. , t a Copies: , �_„,riptio . 0 . 0 Additional set(s) of plans. 3 Revisions: plot plan- Tree update 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. 44--, 4 ,; 444„, 1* . ,, 11I DOFF Cttiro ,kms Y k Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: asp 4-' \ $ \\ \ \� a • / i $ k Special Instructions: Reprint Permit(per PE): n Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17497 SW SHADOW TRAIL ST, BEAVERTON, August 17, 2017 at 11 :40:16 OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2017-00042 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17497 SW SHADOW TRAIL ST, BEAVERTON, August 17, 2017 at 11 :50:15 OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2017-00042 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal line set penetration at foundation vent. R408.2 FP not set up and working at this time. Not ready for final inspection. Seal penetration at electrical supply in mechanical room. R302.5.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17497 SW SHADOW TRAIL ST, BEAVERTON, August 18, 2017 at 9:09:01 OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2017-00042 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: 17497 SW SHADOW TRAIL ST, BEAVERTON, August 23, 2017 at 12:50:48 OR, 97007 PM Record Type: Record ID: Residential - Master Permit MST2017-00042 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Water pressure = 50 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17497 SW SHADOW TRAIL ST, BEAVERTON, August 24, 2017 at 10:42:22 OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2017-00042 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Note: Retaining wall left side of house engineered and approved at site development construction. Violation Summary: Inspector Contractor