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Permit (56)
q CITY OF TIGARD MASTER PERMIT 8 COMMUNITY DEVELOPMENT Permit#: MST2017-00196 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/07/2017 Parcel: 2S 111 DA22700 Jurisdiction: Tigard Site address: 15505 SW APPLEWOOD LN Subdivision: HERITAGE CROSSING Lot: 46 Project: Heritage Crossing, Lot 46 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 701 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 991 sf Garage: 340 sf Front: 0 Smoke Dwelling Units: 1 Third: 327 sf Right: 0 Detectors: Yes Total: 2019 sf Value: $244,690.31 Rear: 0 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 9Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'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 2019 Owner: Contractor: DR HORTON INC-PORTLAND DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE STE 100 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 PHONE: PHONE: 503-222-4151 FAX: 503-222-1304 Total Fees: $28,442.20 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: JAIIA:triffeliaPermittee Signature: .cC CC/''� / '-cD /z z)1-1 Call 503.639.4176 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. Building Permit Application " iffilalitifiii ` FOR OFFICE USE ONL} City of Tigard Receivedr''4 13125 SW Hall Blvd.,Tigard,OR 9 . l> Eiv Date/B : j y �f Permit No.: ?-�„�I 0/ _� Plan Review 7a 0 t'/,.- - II Phone: 503.718.2439 Fax: 503.598.196 Inspection Line: 503.639.4175 „ Date/B : Other Permit:St: 0 r 7_ l Itu ltt� p Date Read Ready/ By:www.tigard-or.gov W Y y' VI See Page 2 for Notified/Method: MI Supplemental Information a . ". i to t%is 1 1 § • 0 New construction rt1 41 '; on 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 :*.7,. 14 t a ► 4 04444 1 work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ;(j -I 1 l!t `(�G�}� '' 11 1 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms:....,,, _3 ' I S # p It t ; Total number of floors: 3 Job site address: \� G , _ ?W i /n New dwelling area: 26 19 square feet 754/ City/State/ZIP: qei 1 I y4� i Garage/carport area:3�,O square feet Suite/bldg./apt.no.: VJ Project name: � /� C/�/ l Covered porch area: square feet '16 ` Cross street/directions to job site: vJ( Deck area: square feet Other structure area: square feet Subdivision: — Lot no.: 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 ': t t „ work indicated on this application. N,S _ Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name: I l l� \ Type of construction: Address: .,i'2., C�ti o �l�"Q� - �p Occupancy groups: City/State/ZIP: y l.>._.. l') ' Existing: Phone:( ) Fax:( ) New: Business name: y Contact name: �� 11 f /� Structural plan review fee(or deposit): Address: 1 f,�)C'— s ` t - Q Iaiv�l FLS plan review fee(if applicable): City/State/ZIP: v vx,/l 1 Total fees due upon application: Phone:( ) i ( I Fax: Fax::( ) Amount received: E-mail: , , , Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: � Business S � � and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review Phone:( ) I and administrative fees): $180.00 Fax:( ) CCB lie.: _ State surcharge(12%of permit fee): $21.60 3 /t� Total fee due upon application: $201.60 Authorized signat e IJV�J" ((//ll I ` \ This permit application expires if a permit is not obtained ` J within 180 days after it has been accepted as complete. c, V� ite V L.,,rDate: Stv.. % .� I I *Fee methodology set by Tri-County Building Industry �—' 1� Service Board. .tg\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Perinit Application ,t s it:s i t u { t 333i t B`33 t Cep of Tigard ENiri pi SW Blvd,, Ti „OR 97223 1 Permit sox 7i .2439 fax 5tt3i9$.t t €atins: Other Petatrii: lospection t,h 503,639,4 t 75 lincreec wwwitigarti-ergovAY2 3 0 1 � : a at a . the thole ips _ .� , A v-:: :.. fir$ feces QMi the value el,New a astoter 0Addition/ahem1 SIA/1 ' t a beticate the tam trainated to the rearm&Kw)Glatt Detnolitice 0 Other ':.: ataoy"1a t l 1,Newmark' labor,overhead.and profit, Value:S I«sod 2-fentily dwelling 0 Commereiabinclustritit 0 Access building Feat*trio' ilforitatian use therlikt ltulliatutttly 0 114aSter buil Q r "it1 Y. Total c ter _aa%ai..a. ..tA-. - i- � � . Ay � tis � to itstiaa 4x6,7 teat site a 1t�, \ S � J \A/ . ..._ Furnace 100000 WM;d a• ) 4 75 cityf Tltatn Foram/100,0004-BTU t x,11 Bea moth 61,06 SthT� `t,Q 9722 �" i 1 J rte.: },^ p 1 rca2 t \ \a/`6\�cr 0A113 5 kr1 111 Eluct tvorli 23.32 "ra a site; s t svater ate, 23.32 tles i oil6r t. air y #,t i 23 bee } -.-. iat x.76 flit-Neat for ea of shove23.32 Sabel Lot tux„L4.Lc 2132 Other fuel Tay thapitatreel Wawa heater 23,32 ►: Mks : lac SFR 33« New gait ter r i` tlrer23,32 ti (Ps) . 23'32 llet stove Woodthe 3339 ` Wood fire.1thelinasso23.32 1ti ;`titan ;aft 23.32 a Other 23.32 Hare= DR Horton Inc. dente 33.39 AdlIP-144380 SW Macadant Ave suite 100 Clothes drier e t .1 €'ityx° tat ,6 tt, � A CSR 239 Sig texhaust unto ettrepartmesew totwaY) 2132 (au t 222.4151 Fax.:( ) Atttt lsr • #..-e fens 2303.2 .,, r� •�: Other 2332 Business Mite. DR o rton Inc. 1 ttel:A•Nsiegat°« St4.1$ter.aril 60141 S4.63 for iamb additional Contact riarrith311 rdlel Weeks c . Address:4 Ave Suite 100t t Walltheruistodethiatit hewer cPortland,OR7239ty;4ol %tor beater (5O3 )222-4151 0 Fa A;( ) ttrtroce Range, --nu(t ee tat°tort 3tl.cE1 $ Betitewie Bus name:Apery r, Moir1 6 111)7 4-0'17.- % Subtotal ,tty/ ate1211P& .; . » blittirmare pemlit fee(S90.00) t"ltc Fix: 5,24 Levi (25 fp 'rtatit St TOTALe(IPS of of 1 penult feel Cf-13 1i .; FEE opiosWO pooh etaointiii eat ebtainea*Ohio 11** AuliriitiZOdor has bon soitok34 as vioolite, I b o. -Co taa�tt t a� Jr �( k raata nae c, as t3. sat.4ssir - t% Electrical Permit Application l ()R u is i I( l t ,i ()\i i ' City of Tigard Received , 14.1 : ; te/B • Permit No.lig 11 :SW Hall Blvd.,Ti azdO , ;vl ADae Ryv:iewII Phone: 503.7182439 Fax: 503 a .sJDate/By: Other Permit:• t: i 1(, \1,UInspection Line: 503.639.4175 : Date Ready/By: runs: I H Ses Page 2 for Internet: www.tigard-or.gov �y: Notified/Method: Supplemental Information TYPE OFWi1 ii, ofL01 " ®New construction 0 Addition/a PLAN REVIEW >:t/ ieh;l y J Please check all that apply(submit:=sets of plans w/items checked below): ❑Demolition 0 Other: '`t a Service or feeder 400 amps or more Building over three stories. where the available fault cuirent 0 Marinas and CATEGORY:O f' t, ' A 1�. . D/ISI.Zboatyards. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ID1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps to ground,or exceeds 14,000 0 Commercial-use agricultural amps form all other installations. buildings. o Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. Addition of new motor load of Q"A","E","1-2","1-3", Job no.: Job site address: I 5D S SW MCI c1 D C.1l 00l1P or more. occupancy. V 1 ❑Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: LL r V,vW ❑/1 / ❑Health-caremss facilities. 0 Supply voltage for more than Jlocations 600 volts nominal. Suite/bldg./apt.no.: I Project name: 1 1f V' .\-yl ,C 0 Service or feeder 600 amps or more. Cross street/directions to job site: ✓5�Yt n«rlpnea FEE SCHEDULE � 1 04• 1 Fm I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 49 1,000 sq.ft.or less 1 168.54 4 Tax map/parcel no.: Ea.add'1500 sq.ft.or portion - 33.92 l Limited energy,residential DESCRIPTION OF WORK.. _ . . (with above sq.It.) 75.00 2 Limited energy,multi-family residential(with above sq.it) 75.00 I 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 0 PROPERTY OWNER I I 0 TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) I rax:( ) 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 _ 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Branch circuits.-new,alteration,or extension,per panel Date: tn„, A.Fee for branch circuits with 0 APPLICANT I ( 0 CONTACT PERSON above service or feeder fee, 7.42 each branch circuit 2 Business name: DR Horton Inc B.Fee for branch circuits without Contact name: Emerald Weeks service or feeder fee,fret branch circuit 56.18 2 Address: 4380 SW macadam Ave Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland OR 97239 , Each manufactured or modular r dwelling,service and/or feeder 67.84 2 Phone:(503) 222-4151 I Fax::( ) a Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR . Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Business name: (r! I/24-- r2 -- / t panel,alteration, i 2 �/f'/1 -✓!7 ( Coq orextension. Page 2 Address: 2 gQ Ll/ �/ �f/�1�� ' 1! Additional I!_ Each additional inspection over allowable in any of the above 6c .� .1, inspection(1 hr min) 66.251 hr 1i". 1V City/State/ZIP: V aGlh C t�t V€. /J/ e p Investigation(1 hr min) 66.25/hr V�/)"J ✓Qc C/ Industrial plant(1 hr min) 78.18/hr Phone:(3 5/f—_ ;s� Q I Fax: 3' p) 32C— 966't� Inspections for which no fee is CCB Lic.: -2 /n� ElectricalO /Lia:• specifically listed(%i hr min) 90.00/hr 2 6 2 9 ICZ 3 0 I Suprv.Lic.: /?9,..c $ ELEC IRICAL PERMIT FEES Suprv.Electrician signature,required: ✓��'�" DSubtotal: 41 Plan review(25%of permit fee): Print name:CA.6_,.11,,...4. ,l iz e_r f • I Date: State surcharge(12%of permit fee): Authorized signature: k✓ 7‘ ' TOTAL PERMIT FEE: Thi his permit application expires if a permit is notcomplobtainedete. within 180 Print name: I Date: days after it has been accepted as complete. K ` Number of inspections allowed per permit. I:\Buildinglpermits1Ei.C-PamitApp 440 4675T(l 1105/COM/WEB Plumbing Permit Application Building Fixtures 11 City of Tigard ,V,It...,,k)it De.ty, Pennii No.: 13125 SW Hall Blvd.,Tigard,OR 97223 * ' Phone: 503.718.2439 Fax. 503,598.1960 11114 ''' 1)401By: Other Pennit No.: Inspection Line: 503.639.4175 i 1 riARD Date Ready/By, Ju ris El see Page 2 for Internet: www.tigard-or.gov l'-'' 11" erhod: 1TV,or,fUlgt)4 ,, __ , Supplemental Information A •,-:-...„' ;•..::, :;:,,.„- '- :;,/ii:',' ii•Iti- ajr-urtiilit- • - • .:12,---,--z..... .-„,,, ;;,4'-'-'- . -'-'-; -;'',-•- tftri."sClipaiffx • ''''' •-''''''''1; ''.?;1;.; ''''''J ''''',"-- •:,„ -:'''' ",-' •.' "'''' " 0 New construction 0 Demolition' For special information use eheek1181. Description Qty. I Ea. I Total 0 Additiontaiterationtreptacement 0 Other: New 1-2-family dwellings(includes 1006.for each utility connection) •,." "`•''' ',i;l1,.....-';',,''-'''''..',' ,,--,cli1'EGO1ttf,;,0*.CC1Stift11.0101 '''-'-' .•i4, - -,..--='•;:a`.:.,:...-- SFR 11>bath 312.70 0 1-and 2-family dwelling SFR(2)bath 0 Commercial/industrial 437.78 SFR(3)bath / 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.II) Page 2 ?Srtt"-INFOR114.111011,AN:b441111teitii* ,-';',4"' ...--;:r, -.. .." Site utilities: Job site address: \ .-5.--- tj.)N\J ky V kik)t 0 Ut.li- - Catch basin.or area drain 18.76 , Drywell,leach Iine,or troteli drain 18.76 City/State/ZIP: Footing dram(no,linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: \,.\60 -V , Manufactured home utilities 50.03 Cross street/directions to job site: U C),1,-(2,St 1(l. Manholes 18.76 Rain drain connector 18.76 . . Sanitary sewer(no,linear ft: ) Page 2 Storm sewer(no.linear ft,: ) Page 2 Subdivision: , Water service(no.linear ft.: ) Lot Ito.. V Fixture or item: kii Page 2 Tax map/parcel no,: Back flow preventer 31.27 ''.,.„.• ' • ' :,:11- 1,:-:4., r ':61*iii*k- ,,,ii; : ,,,‘,. ' ,,,,,::54 ,-..,7',-cs, Backwater valve 12.51 .4--- . ,',....E•,:..: ,..,1:.zt-'-',.s- .;:-./4 •-,-• . :•-• . ' -'," ' ,--;, • '' -' ' ' - Clothes sher 25.02 Dishwasher 25.02 Drinking fountain 25.02 ,, 17jectors/surim 25.02 r4„iitIfftEgli.,-,:yilOtiiii,.,-•‘ ••,...,,, ,::., ii!" , • b iti, to,A , ,,,!..,/, ,,,,, Expansion tank 12.51 ... Jixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Crarbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 -•; -.,:... --t;r4*-i -VtIl ' i;.• '''''i', „. ' ''.1-4;1 ArrilikvrtrEitsok,k., ,0 Interceptor/grease trap 25.02 • ' - Medical gas(value:$ ) Page 2 Business name: 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 Urinal 25.02 E-mail: ,,.. - ,;; ,,, '',,,- ,,,,k --- - --ii„oit--,2•- • v... IF!.:-;,, , Water closet 25,02 water heater 37.52 Business name:Wolcott Plumbing Water pipitig/DWV 56.29 . . Address: 1075 W.Historic Columbia River Bevy Other: 25.02 City/State/Zit':Troutdale Or,9060 Subtotal Phone:(503)667-1781 Fax:(503)667-9891Minimum permit fee: $72.50 - - . Plan review (25%of permit fee) CCI3 Lie.: 112220 Plumbing Lie.no.:26-824P11 State surcharge(12%of permit fee) Authorized ri -- signat r• Tr)TAI.PERMIT FEE Pririt name:Mark Baleme 12ate:2/17/17 This permit application expires if a permit is not obtained within Ian days atter it has been accepted as complete. *Fee methodology et by'Fri-County Budding Industry S'erviee Board. I maihrintoreitaromi.stu-rerrnirApp do, irvolio9 44o-16 kb-1(f0/021COMIWF11) City of Tigard ■ w COMMUNITY DEVELOPMENT DEPARTMENT III r l c A n Building Permit Review — Residential Building Permit #: /YISTobi 7— l4(1 Site Address: 155 05 `► l )009 1 .10) Project Name: =(`'Atte, G;�Ssi Lot #: L (New dwelling bdivision name;Adjition or Alteration=last name of owner) Planning Review Proposal: Yl�,�v 5 . 2(Verify site address/suite# exists and active in permit system. rei River Terrace Neighborhood: ici No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: 3'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 Of ootprint of new structure(including decks)with finished 12/prawn to scale(standard architect or engineer scale) floor elevations [�/'North arrow Utility locations&easements(required for new and additions) IJSite address,project or subdivision name and lot number !Sidewalk/driveway approach KI Applicant information(name and phone number) l/ ocation of wells/septic systems dLot dimensions and building setback dimensions 11:. xisting trees to be retained with drip line,and tree 00,..,,_..,,!!quare footage of buildings to be demolished ,protection measures [ of area,building coverage area,percentage of coverage and OiStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) C+i�Jtreet names 24 roperty corner elevations (2 foot contour lines if more than !i'storm water quality facility required if>1,000 sf of n` 4 foot differential) impervious area is created or replaced. Iv Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): required: 1=1 Yes,applicant was notified TA No Received: CI Yes ❑ No Public Facilities Improvement(PFI) Permit: ,QF t6 C)(o Z Required: ❑ Yes,applic o ❑ Napplied For: Yes ❑ No,stop intake I�Land Use Case#: .7)11-t.17!) ��UUB F.1 `5 -- 00cI9i AO320IE-c0005 \).A-r. 15-OC Xo-3 Zoning: R-- 2 P Required Setbacks: Front IS Rear (5 Side t4 Street Side I© Garage 2o Lr Landscape Requirement: "Lot Coverage Maximum: 8© 0,0 Et'Building Height: Maximum Height 35 Actual Height NIX Visual Clearance VYes Er Sensitive Lands: Lam" Yes ❑ No Type C45 PC71-e14\CA I Iyil rid Urban Forestry Plan 'Conditions "Met"prior to issuance of building permit Notes: LChckti-toii ( -:nark 'r ; ' ty' vti - Civ. SuB7o.5 -00° 6)) ' 1� J c��' rL5+ 7RA Approved By Planning: �.€,l Date: Sl z3I 17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_051617.docx Building Permit Submittal Original Submittal Date: 5423/`7 Site Plans: # Building Plans: # 3 Building Permit#: nt building permit#above. Workflow Routing: fanning veering 0--1' t Coordinatorwilding Workflow Sign-off: a'Sgn-off for Planning(include notes from planning review) Route Application Documents: [l"Sngineering: (1) copy of permit application, (1) site plan, (1) building plan and ori 'nal plan review routing form. wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: - Date: ,c-1,,L4 / 7 f Engineering Review fr.Slope at building pad: al' 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: i_z_ci Approved by Engineering: Date: 5::Z6-17 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: 7 DC Fees Entered: Wash Co Trans Dev Tax: ` ' es ❑ N/A Tigard Trans SDC: k7-•Yes ❑ N/A Parks SDC: 0-Yes ❑ N/A aim/ LIDA __ /A OK to Issue Permit rpproved by Permit Coordinator: Date: >1A1/1 I:\Building\Forms\BldgPermitRvw_RES_051617.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15505 SW APPLEWOOD LN, TIGARD, December 15, 2017 at OR, 97224 12:11 :53 PM Record Type: Record ID: Residential - Master Permit MST2017-00196 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15505 SW APPLEWOOD LN, TIGARD, January 19, 2018 at OR, 97224 9:43:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00196 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. Corrections from previous inspection complete. C of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15505 SW APPLEWOOD LN, TIGARD, January 17, 2018 at OR, 97224 10:35:24 AM Record Type: Record ID: Residential - Master Permit MST2017-00196 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous inspection corrections completed Violation Summary: Inspector Contractor