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Permit (137) CITY OF TIGARD MASTER PERMIT : ■ '' COMMUNITY DEVELOPMENT Permit#: MST2017-00254 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2017 T I C..�1 C7 9 k -` Parcel: 2S104AD07600 or Jurisdiction: Tigard Site address: 12920 SW PARKDALE AVE Subdivision: OLSON WOODS Lot: 12 Project: Olson Woods, Lot 12 Project Description: New SF. 6/7/18: REPRINT to add 160 sf to deck for a total of 287 sf. 6/7/18: REPRINT to add(1) sink. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 933 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 2208 sf Garage: 653 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3141 sf Value: $393,265.61 Rear: 15 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckfiw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 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 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 3141 Owner: Contractor: WINDWOOD CONSTRUCTION INC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) 12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 2 Geotechnical Inspection Required before foundation PHONE: 503-780-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $31,677.30 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 e obtain a cop oft _rules or direct questions to OUNC by calling 503 232.1987 or�,$00 332 2344 952-001-0010 through 01-0 90. You m• 9 � / / � Issued By: /41104r/ Permittee Signature: ` Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures _ FOR OFFICE USE ONLY City of Tigard l Received �$®/1 �� -- l�' Permit No.: 41 13125 SW Hall Blvd.,Tigard,OR 97223��t 7 Date/By: �;" � "��„'' IN C Phone: 503.718.2439 Fax: 503.598. 96O • -.1. Dade/By 1eW Other Permit No.: Inspection Line: 503.639.4175 / - ..� Date Read/B kris: ® See Page 2 for T I G A 1ZD Internet: www.tigard-or.gov "1 Notified Method: Supplemental Information •:TYPE OF WORK t FEE* SCHHEP ew construction ❑Demolition For special information use checklist. ,Frri Description Qty. I Ea. Total ❑Addition/alteration/replacement D Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ' r SFR(1)bath 312.70 CATEGORY OF CONSTRUC � ❑ 1-and 2-family dwelling ❑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 -19!--" JOB SITE1INF MAICION AND LOCATION,' Site utilities: Job site address: 7 p O 5 6._, �/jCatch basin or area drain 18.76 City/State/ZIP: d v' '� (.14.- Drywell,leach line,or trench drain 18.76 ` Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:e---,74:---,r& y,"c Manufactured home utilities 50.03 Cross street/directions to job site: 666 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: 1 Lot no.92 Fixture or item: Tax map/parcel no.: 66 Backflow preventer 31.27 "" ;`%; DES.er N 1? WORK S1F „ Backwater valve 12.51 . , . ..•� ., t._ .r . 11 .,:,'6N . / '` Clothes washer 25.02 C. 4/ Si 4 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 © 1E a .T.y OWNER 1 -.V'.,0 TEi1�As V Expansion tank 12.51 A Fixture/sewer cap 25.02 Name: / V,i P.- r�r�//L - .3 f- _))4 Address: V ('',.-A.3 Floor drain/floor sink/hub 25.02 Cr;Cr 6-.m J� «"'I[ �'/1 p-,1,-6,__I--, Garbage disposal 25.02 City/State/ZIP: .. 4,Z." Hose bib 25.02 Phone:( ) 6o L/3 Fax ( ) Ice maker 12.51 s CANT ! n m # °" b CONTACERs "` Interceptor/grease trap 25.02 Business name: Y �1�� Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory /r 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 C9,474, CTAR Water heater 37.52 Business name: '2 Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: / c j�e../ This permit application expires if a permit is not obtained within 180 days 6 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) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire it a Ttilit es Supression Systems: ir 4 Fee(ea) Total guar : a mt 175 , . F ry Footing drain-1"100' 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 Storm&Rain Drain-1st 100' 62.54 V RA . Permit Fee: $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 x Qty:' Fee(ea) total each additional$100.00 or fraction thereof,to 0 ° 4 4. � .�' s e81+ 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$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Rep lbw fat, r$.£inhiniatallations Quanfityy1 y Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed:. Capped Added f . Relocate Baptistry/Font El Any new commercial building with water service 2"and 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" ittt ett tot.tot tt -•s a etrii e m .Ser 14' i 1 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 CITY OF TIGARD MASTER PERMIT 3 : `= COMMUNITY DEVELOPMENT Permit#: MST2017-00254 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2017 t 4 9 Parcel: 2S104AD07600 Jurisdiction: Tigard Site address: 12920 SW PARKDALE AVE Subdivision: OLSON WOODS Lot: 12 Project: Olson Woods, Lot 12 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 933 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 2208 sf Garage: 653 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3141 sf Value: $386,793.76 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder 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: 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 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 3141 Owner: Contractor: WINDWOOD CONSTRUCTION INC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) 12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 2 Geotechnical Inspection Required before foundation PHONE: 503-780-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $31,459.52 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 c... , e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ---7Issued By: Permittee Signature: C 03.639.4175 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. Building Permit Applicatio VES Residential FOR OFFICE USE ONLY' City of Tigard JUN 2 8 2017 Received (� Date/By: � 1,1 . y: ti `6 1 Permit No.:M,57---- _,12(/.,a)Aci. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review [ ! Phone: 503.718.2439 Fax: 503.5 1 OF Ti/r,p R.) Date/By: •)2-)' Other Permit�fj,O� •i vv„0 c;,,,,s:D Inspection Line: 503.639.4175 JldIIl�R16 DateReady/By: , /,, f / loris: -21 See Page 2for Internet: www.tigard-or.gov BUILDING DIVISION. Notified/Method: ` Supplemental Information BUILDING DIVISION l4 m,„sa.. .,,,t w .� ,;t,i *,•z' a a:aa:,: '. 1, wsy $ ° ., „,,-,war+• rNew construction 0 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 ,:.. "tTM” "s''''--7-3.--''''..7,7":C7'.- '�'^f�^�, .:-'r te Ifa d*' 3a, :.;,.� y ' ;` ,�� , � �S� � � work indicated on this application. �i .., :,e.', p mak w s 4��,"�'r w :_'> iii'': $ rG/ 1-and 2-familydwellingValuation: $ e�.� 0Commercial/industrial /I ❑Accessory building 0 Multi-family Number of bedrooms: L . ❑Master builder 0 Other: Number of bathrooms: 3 1j3) J 3 79't t� �,� 1 .���s�` � f . "� °j �,,,,,,,,,,,,,,i,;1,0,-,'�� �, Total number of floors: Job site address: /I. o I k0,0 fr 32115g)✓New dwelling area: -1r�/) squar feet 7 / City/State/ZIP: ' 6 x/3 > `� 3 -/-��, 0 Garage/carport area: C 9 square feet Suite/bldg./apt.no.: Project name: porch �6 a'3 ,1 Sat/ jVQL/� 4. overed area: square feet ell,0 C Cross street/directions to job site: j ,/,,,-„,,,,A, ” Meek arearca : square feet q3 3 Other structure ca: ISS- square feet Subdivision: Aop 45).-0/1/ 4„,,,! Oa.. J Lot no.: Alp 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 talw " 7 " ' s °' work indicated on this a lication. A,',••,,•':i' A,,,,..`»:t'' k 5,.`,: ` f,r,,3n " 4' sir �,,;l „ ... ` ,s�,ry,'�Y,z?... PP 1 ,"' ,,,/ 572'g. Valuation: $ Existing building area: square feet New building area: square feet . ;,:s.:- r,:: '-, a '. ,7" ' Pi _ S C-0AN4 .,;..' Number of stories: Name: kt-li'it/j al Qa 4. e 14,.d xi C., Type of construction: Address: /j *‘., - (.4-) 4_ `,,t/ "''iota '/4 3.. , Occupancy Panc Y groups: City/State/ZIP: i44 - , ' Existing: Phone:t.." 7,l 6f f/3/ Fax:(`a J ) .(.:::;./.;:,)- ,rt 6 01(e New: Business name: �. ,`.��7 .¢_ :. , Contact name: ' ' / /< _ ' "" Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Amount received: Phone:(5.--,25) 77 a_ G_ 3 -75- Fax: :6-03 ) -5.A.)- ., `•�. • ' n,t,.t'^: a',:. t " �'"` <E-mail: � J j/I �4,f Q�,r , „ 7 <'-„�E C. . *//7)L! ' fA Flf ,� v. a'<+, •r<:k", ^:;41`. na .; S sP.ae. .1„„n •x,."•', , ) p.• ��� s � I ; "r' &� 'p r7 Commercial and residential prescriptive installation of k � ,,�'' , , :.Nr . ,.. , ,, `.' ,:: , �, roof-top mounted Photovoltaic Solar Panel System. Business name: 14.) J"/\J-/l b JQd. (0.4-'s 7 _0}(.,,, Submit two(2)sets of roof plan with connection details Address: �} and fire department access,along with the 2010 Oregon ✓. Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: ! {, Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: *Fee methodology set by Tri-County Building Industry AO/ , . /,t �.` ? Date: //09/.77„ ^ Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46I3T(I 1/02/COM/WEB) 4 ' Mechanical Permit A 5 • 1 FOR OFFICE USE ONLY Y City of Tigard 11 ReceivedDate/By: Permit No.: C"�'b 17-605--/ 11 13125 SW Hall Blvd.,Tigard,OR 97223,NIl Phone: 503.718.2439 Fax: 503.598.1960_ Plan Review T 1 G A R D Inspection Line: 503.639.4175 JUN 2 fn1 Date/By: Other Permit: Internet: www.tigard-or.gov ll Date Ready/ed/Me y: Juds: B See Page 2 for Notified/Method: Supplemental Information CITY OF T1GARD ,:,,,,,,,,i,:,:„. .. .-,,„. .,, VParisorl1 Y 1sLoN," COMMERCIAL FEE* SCHEDULE;- USE CHECKLIST #21.slew construction 0 Addition/alteration/irJeplacement[� Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. 4H Value:$xt51oz ,* GY OICONST )GTON RESIDENflAL EQUIPMENT/SYSTEMS FEES* ,1:21-rand 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total .,;fir ' A ,46,1& #3!NFORI�'�A'II{)N, :I,OCriTTON Heating/cooling: y�/ /0 LkLAz4" /' 14 Air conditioning 46.75 /fir Job site address:! Furnace 100,000 BTU(ducts/vents) / 46.75 City/State/ZIP: 7E�'4L/? 1 f14 Z-- -7-22- Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 7 Project name:Ci'l,!2j j�? r.";,,,_,/ ,- Heat pump 61.06 '." `7 t./ `" Duct work 23.32 Cross street/directions to job site: 1,/.:,-7.,' A,>'., Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: �� ' �� /f2,::,..,4),f, Lot no.:/� Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater / 23.32 .r%r ,,F '73ESQienON OF WORK Gas fireplace/insert / 33.39 Flue vent for water heater or gas „''',/,.:2_1 �:: ,/"-,,„<y fireplace / 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/ventj 23.32 ' (PETt O 'NERi` Other: SCJ / 23.32 ❑ T`ENAN3 Environmental exhaust and ventilation: Name: �i-y f ^� fir: Range hood/other kitchen / equipment / 33.39 Address: / ' Clothes dryer exhaust 33.39 City/State/ZIP: ? Single-duct exhaust(bathrooms, / toilet compartments,utility rooms) / 23.32 Phone:(7,-;,,' ';) 7, ! Fax: Attic/crawlspace fans .3 23.32 .� Jam' ,� 71 (57:--2) ,S-29o-76,/ I,x". ,.. " AP1CA0T;;>..' 0 CONTACT'PERSON Other: 23.32 Business name: Fuel piping: �_ 2 $14.15 for first four;$4.03 for each additional Contact name: ,� �j� .,E��,!//��Z,,CFurnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace E-mail: i ' Range � -"? �$J�I Barbecue -,,,,.4.41-'',:,-.,-,.,:',''''' ') CONTRACTOR.. ."" Clothes dryer(gas) /'7 i Business name: 5 Other: MECHANICAL:PERMIT'FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: ..---079/6 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Sign * Fee methodology set by Tri-County Building Industry Service Board Print name: `/7,- ,7(- Date:X/, L\BuildingTermiits1MEC_PertnitApp_040113.doc 4400-4617T(11/02/COM/WEB) Electrical Permit Applicatio FOR OFFICE ESE ONLY III City of Tigard LCEI� � R Date/By: Permit No.: kr- ,l 7....„(X).9....5—$1 13125 SW Hall Blvd..Tigard,OR 97223 = Plan Review Phone: 503.718.2439 Fax: 503.598.196q nI of t1 Date/By: Other Permit: T t G A R D Inspection Line: 503.639.4175 si I Y Le u Date Ready/By: saris: &1 See Page 2 for Internet: www.tt rd-or, ov Notifed/Method: 8a 8 M * e , Supplemental Information :n °p t) / 1 �y ,. ;-cs. c � t a ., �za s .,w,lf "y av s.a 0 3i' I "Iirsew construction ❑Addrtton/al 1�t 4'11 . {. F Please check all that apply(submit I sets of plans w/nems checked below 1 0 Service or feeder 400 amps or more 0 Building over three stories ❑Demolition 0 Other where the available fault current 0 Marinas and boatyards. 4 €4/ a:li 4 a �c' �K�.1 i j� �:.b;; ",* ;: exceeds 10,000 amps at 150 volts or 0 Floating buildings, less to ground,or exceeds 14,000 0 Commercial-use agricultural -and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other 0 Fire pump. 0 Installation of 75 KVA or .. ❑Emergency system. larger derived systemz« <a, * wt � ., #'s ' b ..1-,•-i " , f .`1',.:,::<;4:10 x,. ,t. aY.1,!:'.!.. 34&k-eiat, lto ,4R % " 0 Addition of new motor load of 0"A","E","1-",-1-3", Job no.: I Job site address�091:Z011A-Z4-- ❑Sixor m . more oesidential units. 0occupancy. Recreational vehicle parks. City/State/ZIP: --, `�1- 3 a q), .1 ❑Health-care facilities. 0 Supply voltage for more than 13 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: , Project name: ni5a..9 {c,/C,?t jar ❑Service or feeder 600 amps or more. 4Ei-$:tilFDt0 . Cross street/directions to job site: h/r T Description ) Qty, I Fee. l Total ) • New residential single-or multi-family dwelling unit. —1 Includes attached garage. Subdivision: C7!c5d>V Cc/et/4,S 1 Lotno,: i•000 sq.fi.orless /Z / 168.54 a Tax map/parcel no: a ada l Soo sq .residentialor portion i,,... 75.00 33.92 1 a .,�t't,., rr r t ■ 3 n ?. Lr(with abosq ft ? energy, ve Limited energy,multi-family 01411.1 5'1 _./12-5'1 _./12- • residential(with above sq.ft.) 7500 - Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 ` 'Iii t►t>t 'a.'i "'r `a 1 w3 ' .ia k;g u; t a a ,., ." 201 amps to 400 amps 133.56 i , 401 amps to 600 amps '200.34 Name: /it/- ACA 'c'aO CO , L7 601 amps to 1,000 amps 301.04 2 Address: /t2‘!^s•- S Cr...) iva iiii 4,1946745, Over 1,000 amps or volts 552.26 2 City/State/ZIP: f , g' L 0t1 ... f, `^"t"! �^j_1 Temporary services or feeders installation,alteration,and/or del��°'+ relocation Phone:(573) '2642 a1,'3.7S' I Fax:(S 3),,,pa..." ea6r 200 amps or less 59.36 I 201 amps to 400 amps 125,08 2 Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with .f " . r 'vd'1.�{y t ep �- ��, above service or feeder fee, 7.42 ''`z each branch circuit - Business name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: 7i i�4 4 // a branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) Each manufactured or modular City/State/ZIP: dwelling,service and/or feeder 67.84 Reconnect only 67.84 2 Phone:( ) Fax::( ) Pump or irrigation circle 67.84 E-mail: lett, ✓ J 4-14.14Y/0 ,,r ,',S", " era / 1 Sign or outline lighting 67.84 2 :;' ". ' .a e <-a y 010;'4,-1:.„1'",..,".;::, ,..>�_. "r"•, r "',. Signal circuit(s)or limited-energy Business name: DreamHouse Electric,LLC panel,alteration,or extension. Page 2 _ Each additional inspection over allowable in any of the above Address: 221 SW Moonridge Place Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Portland,OR 97225 Investigation(1 hr min) 66.25/hr Phone:(503) 519-6711 Fax:(503)648-9723 ! Industrial plant(1 hr min) 78.18/hr CCB Lic.: 196726 Electrical Lic.: C-848 Suprv.Lic.: 4560S Inspections for which no fee is 90.00/hr specifically listed(%r hr min) Suprv.Electrician signature.required: '',, .,,';',.:',,,-;:.!,.'is ,4iVilRfiL:tE1CtMLI`IEICS Subtotal: Print name: Chris Maho Date: w:o. Plan review(25%of permit fee): I Authorized signature: State surcharge(12%of permit fee): i TOTAL PERMIT FEE: Print name: y.s 740,4�/ry'f I Date: ke 1 I'tuildingWermits\ELC-PetmitAppdoe 07/01/10 V `440.46157(11/0S/COM/WEB , Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: E Set DI E Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 E Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 2 with OAR 918-309-0040) 552.26 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%2 hr min) ELECTRICAL PERMIT. + ! eif 1+'EES Subtotal(Enter on Page I): $75.00 Number of inspections allowed per permit Fee for each commercial system: (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems E Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems E Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application ' Building FixturesRECEIVED FOR OFFICE USEONLY City of TigardDateReceived Permit No.: .�!, ill 13125 SW Hall Blvd.,Tigard,OR 972� e Plan Re: ( -t�7�5 Plan Review 11111 ! Phone: 503.718.2439 Fax: 503.541 40 L+ 0 E Date/By: Other Permit No.: Inspection Line: 503.639.4175 T I G n K D $F Tiu� p Date Ready rho loris: See Pagefor Internet: www.tigard-or.gov j Notified/Method: Supplemental Information N'''..% C ? _ xis . .�s ''''''';:"L"'" .ti. 'a " ,.�.. "' .,..;* is ? '3aa 'sx{. 4tA.4. .�' ,k.. For special information use checklist �ew construction ■ Demolition P .(� Description I Qty. 1 Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) �' 4'1'7 774 z aa� SFR(1)bath 312.70 /�' '-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen IN 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 . ., , . .,'. .a.;- ' "� ; r '��r 4» �.:' t _ ' Site utilities: Job •site address: Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: f(?;:. h ,,,,':7....,,''', ::% , .„, f , ,., , Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: l Project name: ,, � / : Manufactured home utilities 50.03 Cross street/directions to job site: ' Vii,, + ;, a8', _ Manholes 18.76 " Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: r J a d/,) t y; , Lot no.: jZ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 t � `+ i . .- Backwater valve 12.51 kyyv k F "' "*.'X 3" "'fit �` 2 '' 4:. 5,,---,..2 Clothes washer 25.02 /2,,,,k7=6,.3Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r ;. , , t' Z'� >� Expansion tank 12.51 Fixture/sewer cap 25.02 Name: /f/-1 'v . aC1 K3f/n`I, //C Floor drain/floor sink/hub 25.02 Address: /,r_ ,.5-d..3 f.J7.�'-7/I 1.. 1' '' . "c"` i Garbage disposal 25.02 City/State/ZIP:Y ; ,.�/1/2 il� j9,�.�.c=-.:, ,/,2,3_2 Hose bib 25.02 Phone:(5?2,) -26a 37 Fax ("° -''( )C't'"•- Ice maker 12.51 „ .`i.''' , , ,. t: '..,�" ' R,,s..,.44:!„I''')",,' Interceptor/greasetrap 25.02 m Medical gas(value:$ ) Page 2 Business name: ‘,._...5-349/44. Contact name: 1 r_.- ,l q Primer 12.51 "� ,,�`" °`" ` '• "" " 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 ,x 'ae 25.02 25.02E-mail:P/ : z r * +x' Water closet `rx '' , ',�r , 'r "" z ,. , am Water heater 37.52 Business name: '"'/)/10e-A Water piping/DWV 56.29 Address: ' / , / '/ Other: 25.02 City/State/ZIP: ,j f�'r 7 ii/3 ,,� ;7,..,),;,,..,..,-.) '" Subtotal Phone:( ,,." ) 2/, . e 73 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: /3 706 Plumbing Lic.no.: f 4, Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: /`. TOTAL PERMIT FEE Print name: + >' This permit application expires if a permit is not obtained within 180 days f M '` Date: ,"%7 after it has been accepted as complete. T"� *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: 113'5-2t)/7 C.9c2 2:5:474 Site Address: PC) -- , 0--,/-ch ' -e____ Project Name: CTAOn A:49cdg Lot #: AQ_ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /1.)-40 `. , _... Ltd Verify site address/suite# exists and actio permit rmlt system. toner Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached i ran Elements: e(3)copies of site plan 5sting structures on site S' e plan must be on 8 1/2"x 11"or 11 x 17"paper Y.Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) or elevations Oorth arrow :tility locations&easements(required for new and additions address,project or subdivision name and lot number e 10 ) �dewalk/driveway approach plicant information(name and phone number) J ,: ation of wells/septic systems of . ensions and building setback dimensions r Existing trees to be retained with drip line,and tree .�� are footage of buildings to be demolishedta otection measures 0,t area,building coverage area,percentage of coverage and eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names if,Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? EYes ❑(o 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes L1t7No 511P4 lean Water Services—Service Provider Lett-. (lot platted prior to 9/10/1995): Mc "c';, /12 Cfi " I7 •equired: ❑ Ye ,applicant was notified I No Received: ❑ Yes ❑ No " 11 rd Public Faciliti Improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: T,/, i4/ -(140De /e _�_ZZOning: equired Setbacks: Front / Rear /sj' Side S Street Side Garage c2C) piandscape Requirement: 0 4 t Coverage Maximum: ❑ Building Height: Maximum Height / 7 t7 �. g �(_,� Actual Height �� �j 9 sual Clearance e sitive Lands: fL�1 Yes ❑ No Type ,�Oji�-- (p ) E rban Forestry Plan ��'- 'CJ �" Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: L - r Date: 0---- -77: --- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: e /, Site Plans: # Building Plans: # 3 Building Permit#: CiEnter building permit#above. Workflow Routing: 0-Planning 2 err:ngineering Permit Coordinator .-Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: Zr Engineering: (1) copy of permit application, (1) site plan, (1) building plan and /original plan review routing form. 0/Building:Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: �_ / Engineering Review Slope at building pad: (' 2-Conditions "Met"prior to issuance of building permit 2-Easements (encroachments)per engineering conditions of approval and plat 2-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes [2.-No Assess Water Quantity Fee in-lieu: ❑ Yes 1:2-"1Cio LIDA Facility on lot: ❑ Yes 12-No CiNOT Approved by Engineering: Date: Notes: 40.0 i t 'Z A " `T's it.i t S Approved by Engineering: (2.to (c 5 1-4-*/ Date: 7._tp--/7 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: 1r DC Fees Entered: Wash Co Trans Dev Tax: ' Yes ❑ N/A Tigard Trans SDC: IVYes ❑ N/A Parks SDC: Yes ❑ N/A LIDA Cl Yes ylo N/A --21111°11K to Issue Permit Approved by Permit Coordinator: Date: 03-fr----- I:\Building\Forms\BldgPermitRvw_RES_061417.docx s City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT II ■ T I G A R D Building Permit Review — Residential 10 Building Permit #: 11,E 2‘)/7 `C90 2 s--4- Site Address: fa(32e) -,S)k) Als—, l-hie Project Name: C�sl�n Av g Lot #: /a (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A.106,0 ...... - Pr e, 1/(r""/ i U Ltd Verify site address/suite# exists and activ permit system. 161.4er Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached SityPlan Elements: ee(3)copies of site planXi .fisting structures on site S e plan must�e on 8 1/2"x 11"or 11 x 17"paper .I.Footprint of new structure(including decks)with finished rr yi yawn to scale(standard architect or engineer scale) oor elevations Pt orth arrow I% •tility locations&easements(required for new and additions) 105 e address,project or subdivision name and lot number FA approach [ t • ensions and building setback dimensions plicant information(name and phone number) IA a1 ation of wells/septic systems 7 Existing trees to be retained with drip line,and tree y� are footage of buildings to be demolished otection measures 1`� k t area,building coverage area,percentage of coverage and r eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names . II Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 4L1Yes ❑ o 4 foot differential) If es,is a storm water •uali facili shown? DYes Ltd No Illi 4 lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): /ne "C t f it (j7J'/T, 'equired: ❑ ye ,applicant was notified �� No Received: ❑ Yes ❑ No c II Public Faciliti Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: ,r C,t ^(.„E3 oning. i2-z-/_ - Re aired Setbacks: Front SGC) Rear Ag— Side Street Side N -Garage 2 VVo `�`1 andscape Requirement: 1a t Coverage Maximum: % / ! it 0 Building Height: Maximum Height 5V Actual Heights S • r' ; f sual Clearance �� a sitive Lands: 10 Yes 0 No Type I O u` �f7 �f/r z ' rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: _l,.,;„,to Revisions (after Building Submittal only) Reviewer pate Revision 1: 7 . Approved 0 Not Approvedt 0/1/-\''• (""\---- ,_ 3/ZtV/ Revision 2: Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved l:\Buildine\Forms\Bld¢PermitRvw RES 061417.docx Building Permit Submittal I �i Original Submittal Date: p�e5 7 Site Plans: # Building Plans: # 3 Building Permit#: CrEnter building permit#above. Workflow Routing: [2r Planning 1d Engineering Permit Coordinator .12-Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: Z Engineering. (1) copy of permit application, (1) site plan, (1) building plan and ,_, original plan review routing form. V� Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: / Engineering� Review LJ Slope at building pad: 011 2-Conditions "Met"prior to issuance of building permit 2-Easements (encroachments)per engineering conditions of approval and plat Et-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes g•-No Assess Water Quantity Fee in-lieu: 0 Yes Ci**l-o LIDA Facility on lot: 0 Yes 121'No O NOT Approved by Engineering: Date: Notes: 4,41 rI 'z LO+-r-r ✓s Approved by Engineering: ttt 7 S l.}.*Z Date: 7..(0-17 Revisions (after Bding Submittal only) iewer Dat Revision 1: LJ Approved 0 Not Approved ?..,,40IPF glibng 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 O Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: yes ❑ N/A Tigard Trans SDC: gyillYes 0 N/A Parks SDC: "Yes 0 N/A LIDA 0 Yes / N/A !!K to Issue Permit Approved by Permit Coordinator: ; , Date: /7 / I:\Building\Forms\BldgPennitRvw_RES_061417.docx FOR OFFICE USE ONLY-SITE ADDRESS: GZ ��/-c, 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 NI Transmittal Letter e T 1 i.;;\li I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: / C)41 DATE RECEIVED: DEPT: BUILDING DIVISION NC "'' 'f k ' $lne /� StOZ 6 Z i'VW FROM: "V 1 N IA-0010 ('O/l COMPANY: c.D.... ir /2,,,c_i4,„,7A � PHONE: —U ._'°"°-2 7 "' 17/3r? By -� RE: l 9..26 S o f T .2 J - 25`x` (Site Address) Permit Number) _b1::::5/5'409/ Le--A• — .. (Project ame or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: P's ( /12--Z-I/901, i CO 7--a /a-7 02/6- ),--:--- / .0/).- FOR OFFICE USE ONLY Routed to Permit'Tec itian: Date: 11 - a- ) C Initials: -ij Fees Due: 12 Ye ❑No Fee Description: Amount Due: .S 1jr PJ c..n r'4v: cv $ 4cr----1- , $ $ $ Special Instructions: Reprint Permit(per PE): Rg Yes' f]No ❑ Done Applicant Notified: ate: L`/3 f f I Initialsi�f A I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12920 SW PARKDALE AVE, TIGARD, OR, 97223 June 29, 2018 at 9:46:14 AM Record Type: Record ID: Residential - Master Permit MST2017-00254 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12920 SW PARKDALE AVE, TIGARD, OR, 97223 June 29, 2018 at 9:48:34 AM Record Type: Record ID: Residential - Master Permit MST2017-00254 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12920 SW PARKDALE AVE, TIGARD, OR, 97223 June 29, 2018 at 9:48:27 AM Record Type: Record ID: Residential - Master Permit MST2017-00254 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Street Tree cert CWS Final High-efficiency interior lighting system Moisture content acknowledgement form Blower door test Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12920 SW PARKDALE AVE, TIGARD, OR, 97223 June 29, 2018 at 9:48:47 AM Record Type: Record ID: Residential - Master Permit MST2017-00254 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor