Permit (38) II CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT COMMUNITY MST2016-00453
Date Issued: 08/03/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 135AD03500
Jurisdiction: Tigard
Site address: 8741 SW SPRUCE ST
Subdivision: HALL POINT TOWNHOMES Lot:
Project: Hall Pointe Townhomes
Project Description: Building B-New SFA
BUILDING
Floor Areas Required Setbacks Required .
Stories: 2 Bedrooms: 2 First: 590 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 28 Bathrooms: 3 Second: 600 sf Garage: 0 sf Front: 0 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors:
Total: 1190 sf Value: $138,249.26 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 Rain0 Storm Sewer: 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types . Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: Y Hoods: 1 Other Units: 0
Furn<100K: 0 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'l 500 sf: 1 201-400 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 SFA VB R-3 1190
Owner: Contractor:
RICH DUNCAN CONSTRUCTION INC Required Items and Reports(Conditions)
2295 RURAL AVE SE 1 Ersn Cntrl 503-639-4175
SALEM,OR 97302
PHONE: PHONE: 503-390-4999
FAX:
Total Fees: $20,460.44
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 ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �
Issued By: 1r4.e� /rte Permittee Signature: l 77ee, /J(
r/v1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. G/'
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
ici 11
Residential .RECIi ,7LFOR OF l: I SI.ON1.1
it City of Tigard Received / / �� /
13125 SW Hall Blvd.,Tigard,OR 97223 OCT 1Date/By: ��/ Permit No, 7 6a�+y6j i$3
■ Phone: 503.718.2439 Fax: 503.598.1960 2016 Plan Review
Inspection ee:5 Line: 4 3.63 Fax: DateBy: 7..Z.4-)7 ' Other Perm / -�J`/S r
T I G A R D C Er v s le \q a s Date Ready/By: ou Juris: H See Page 2 for /
Internet: www.tigard-or.gov Notified/Method:C 7
t r Supplemental Information
BTYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New 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
CATEGORY OF CONSTRUCTION work indicate on this application.
►.1 1-and 2-family dwelling 0 Commercial/industrial Valuation: -$13-4-313"&)3 Lit
/ '0 C
❑Accessory building 0 Multi-family Number of bedrooms: 2 Q I du
❑Master buildero J aT
0 Other: Number of bathrooms: `r5%1
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: SW Spruce St B14 t New dwelling area: 1190 square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 6 Project name:Hall Pointe Townhomes Covered porch area: 17 square feet
C 00
Cross street/directions to job site:SW Spruce St and Hall Blvd
Deck area: 91 square feet Sq O
Other structttri ae (/D square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
•190 sq ft 2 story townhouse built to Oregon Residential Specialty Code,2014 ed Valuation: $
Existing building area: square feet
New building area: square feet
I.. PROPERTY OWNER 0 TENANT Number of stories:
Name:E&V Devlopment,LLC Type of construction:
Address: 10879 SW 89th Ave
Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing:
Phone:(503)246-5862 Fax:(N/A)
New:
�4 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Rich Duncan Construction (Please refer to fee scheduteL
Contact name:Chad Elliott 503-910-0897 Structural plan review fee(or deposit):
Address: 2295 Rural Ave SE FLS plan review fee(if applicable):
City/State/ZIP:Salem,OR 97032 Total fees due upon application:
Phone:(503)390-4999 Fax::(503)390-3633 Amount received:
E-mail:Chad@richduncanconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Rich Duncan Construction Submit two(2)sets of roof plan with connection details
Address:2295 Rural Ave SE and fire department access,along with the 2010. Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Salem,OR 97032 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(503)4 ' _4 q,R C) ... 03)399-3633
State surcharge(12%of permit fee): $21.60
•CB lic.:158330
Total fee due upon application: $201.60
Authorized signature: - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
[ Print name:CHAD ELL OTT I Date:10/13/16 1 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
'.,,. ., t 1 P-
Mechanical Permit Applicr 1 '*t A FOR 01:1:I( I. lSE:O11.1
City of Tigard Received
ate By: Permit No/ /6..,ev/53
Y
1111 N 13125 SW Hall Blvd.,Tigard,OR 97? �.7 Plan Review
Phone: 503.718.2439 Fax: 503.598. 18 2016Date,By: Other Permit:
TIGAKI) �/ r
Inspection Line: 503.639.4175 Date Ready/By: Juris: Hl See Page 2 for
�
Internet: www.tigard-or.gov s �' i ,f,'":,','.; t Notified/Method: Supplemental Information
BUILEY;Vikri DiV. ivA`y I l
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For specialInforntation use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: SW Spruce St 8-1 4` Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Hall Pointe Townhomes Duct work 23.32
Cross street/directions to job site:SW Spruce St&Hall Blvd 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
installation of 4 remote heads for a"mini-split"system,misc sheet metal vents fireplace . 23.32
or microwave unit,dryer,and bath exhausts Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER C. TENANT Environmental exhaust and ventilation:
Name:E&V Development<LLC Range hood/other kitchen
equipment 33.39
Address:10879 SW 89u'Ave Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utilityLooms) 23.32
Phone:(503)246-5862 Fax:(N/A) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Rich Duncan Construction,LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Chad Elliott 503-910-0897 Furnace,etc.
Address:2295 Rural Ave SE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Salem,OR Water heater
Phone:(503)390-4999 Fax::(503)390-3633 Fireplace
Range
E-mail:chad@richduncanconstruction.comRich Barbecue
CONTRACTOR Clothes dryer(gas)
Busine Other:
Advanced Mechanical Services MECHANICAL PERMIT FEES*
Addre PO Box 1699 Subtotal
City/S McMinnville, OR 97128 Phone: 503-434-8544 Minimum permit fee($90.00)
— Plan review(25%of permit fee)
one CCB: 194814 _ State surcharge(12%of permit fee)
CCB LTOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: I ID * Fee methodology set by Tri-County Building Industry Service Board
Print name:CHAD E 01 ' Date:10/13/16
I1Building\permits\MEC_PermitApp_040113.doe 44046171(11/02/COM/WEB)
RE CEI •
Electrical Permit Application ► ()I: (I l f l( I I " (V\I 1
City of Tigard AUG G 2, "a17 peig ,:� alik.
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Penult#:
= Phone: 503.718 2439 Fax: 50 'TI AR9 Da =
Inspection Line: 503.639.4175 t, Ready Date/By: Jura. B See Page 2 for
l
i ge i,',1) Internet. wvw.tigard-or.govvibg .oiTiTCNotifed Method:
Supplemental l
nfermatioa
..W.,. LamRION
r "• S! W-.W . .J%xos.ro �"'� Zc _erMONI%*MU"ta=S
1
Please check all that apply(submit j sets of plans w/items checked):
New construction 0 Addition/alteration/replacement 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available faultcurrent Marinas and boatyards.
_ w .x �ell, €" 000 am at150volts or 0 Floating buildings,r
,�,y rj-:,. :<�,: :�,.� - v■�*' s� [���prr{�ag�{ ��m�' �,%u. �" �"...�, txceeds 10, Pa
'rye'�?3,%�a� .'.�"^ ��-kY� a%G'1�� ��7♦d�N\?.�#::.A91.:;P`,h`:'i;+��.���s•:l-�i�^�'`4��.'/-�r.%L':�>�','t�-."C
w.:..r r,r .^ less to ground.or exceeds 14.000 (7 Commercial-use agricultural131-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. building:
Multi-family 0 Master builder 0 Other: 4 0 Fire pump. 13 Installation of 150 KVA or
r .� �y _ iritO �y/a�'�`'---a . :S -' ❑Emergency system. larger separately derived
�"Ef 3' ''"`f. '`£. `4<'.+7Ro1!!: +7.,?F,![I_35:�~:G.�a`.a::3ir:?E '�^.'iYr
s'-.rr .�xy �.s=�� _ �`•. � '^' ❑Addition of new motor load of system.
Job#: Job site address:' 4i SW Spruce St 100HP or more.
0 Six or more residential units. occupancy.
OR 47223
City/State/ZIP:Tigard, 0 Health-care facilities. 0 Recreational vehicle parks.
0 Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: Project name: Hall Pointe Townhomes 0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: Hall Blvd&SW Spruce St `
iMON
naude. I otr- I gad. 1 Mal I " ,
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ftor less f 168.54 NL'j(,S'If 4
Tax map/parcel#: 1SI35AD03S00 Ea add?500 sq.ft.or portion I 33.92 3S•`i L I
Z>xra `.Ng ?:> Er - 1AYC RZESheik u
T Limited energy.residential
75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.) _
i!:nn>�� ��:-� � >: ......,,,,,..,,,(..„...„..:„..„....0„...,..„ Renewable Energy 0 See Page 2
�%�"r%S:Y` are �3',-i rr. re-' yAi= e_. and/or relocation
;�,��.:,�„ .._,., K4<,,a.y.-,=�.;�;�;_.� � I!T; '-- Services or feeders installation,alteration,
Name: 200 amps or less ! 100.70 f pp,ri 2
201 amps to 400 amps 133.56 2
Address: 401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property, that I own which is not 200 amps or less 59.36 I
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
fly: — do .or extension,perpanel
■
,.:,;:� :.,�.,,.:�-�Y -�,pp��.-,�,�.X.;, �:� ,,,, .... ll�'�# 3� ..-..: ,. .. A Fee hfar branch einem is wirh�
Business name: E&V Development above service or feeder fee, 7A2 2
each branch circuit
Contact name: Dr.Gene Davis B.Fee for branch circuits without
service or feeder fee,first .
56.18 2
Address: 10875 SW 89th Ave branch circuit
City/State/ZIP: Tigard,OR 97223 Each add'i branch circuit 7.42 2
•
•
Miscellaneous(service or feeder not included)
Phone:(503)887-9966 Fax::( ) Each manufactured or modular 6784 2
dwelling,service and/or feeder •
•
Email: fmf India@yahoo.comReconnect only 67.84 2
•
ItORrI ; - - _ tY� < -
m
or irrigation n circle
67.84 2
Business name: Pro
Tech Power Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 see Page 2 •
2
Address: 17937 McEwen Rd#200 panel.alteration,or extension.
Each additional inapecdon over allowable in any of the above < •
City/State/ZIP: Portland,OR 97224 Additional inspection(l hr min) 66.25/hr
Phone:( 503)780-6207 Fax:( ) Investigation(1 hr nun) 90.00/hr
industrial plant(I hr min) 78.18/hr
Email: Inspections for which no fee is 90,00/hr
6125S specifically listed(h hr min
CCB Lic.: 198878 Electrical L ' C916 pition <.
Suprv.Electrician signature,required: Subtotal: 303..4)<L.
Print name: Andrew Anderson Da : 8/2/2017 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized Signature: This permit application expires ifs permit is not obtained within 181)
Date: days after it has been accepted as complete.
Print name: Date:
Number of inspections allowed per permit.
I.tamlding\Permts'sLc_PermitApp ELR_ERE.doc Revo6/17/2015 440.4615TilI/O5MOM/WEB .
•
Plumbing Permit Application
Building Fixtures il 1,71fir- it7 ik ,;
4 ,A, . vetk FOR O1.FR'[ ISE ()NIA
City of Tigard -- Received
13125III SW Hall Blvd.,Tigard,OR 9 Date/By: Permit No
rr7 - t,-.0,9 953
■ Phone: 503.718.2439 Fax: 503.59 601 Plan Review
Inspection Line: 503.639.4175 �S Date/By: Other Permit No.:
T 1 G A IZ I) p t,. Date Ready/By: Juris: I ® See Page 2 for
• Internet: www.ti ardor. ov # "
g g "t at-:'c' I p' ;: Notified/Method:
+1f,,�� Supplemental Information
TYPE ("RAW riTr'n ty
1"3
" W "3 Uf VI ') r FEE* SCHEDULE
®New construction ❑Demolition h 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)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
►ZI 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: _ Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION-
Site utilities:
Job site address: SW Spruce St 6-14F-- Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: - Footing drain(no.linear ft.: ) Page 2
Project name:Hall Point Townhomes
Manufactured home utilities 50.03
Cross street/directions to job site:SW Spruce St and Hall Blvd Manholes
_ 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_i) Page 2
Subdivision: - Water service(no.linear ft.: ) Page 2
Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
ough and finish plumbing for 1190 sf 2 steory townhome with 2 and 1/2 bath, Clothes washer 25.02
Dishwasher 25.02
laundry,kitchen.Water and sewer on site
Drinking fountain 25.02
Ejectors/sump 25.02
►Z� PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:E&V Development,LLC Fixture/sewer cap 25.02
Address:10879 89th Ave Floor drain/floor sink/hub 25.02
City/State/ZIP:Tigard,OR 97223 Garbage disposal 25.02
Hose bib 25.02
Phone:(503)246-5862 Fax:(N/A) Ice maker
12.51
0 APPLICANT ej CONTACT PERSON Interceptor/grease trap 25.02
Business name:Rich Duncan construction Medical gas(value:$ ) Page 2
Contact name:Chad Elliott 503-910-0897 Primer 12.51
Address:2295 Rural Ave SE Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Salem,OR 97032 Solar units
(potable water) 62.54
Phone:(503)399-4999 Fax::(503)390-3633 Tub/shower/shower pan 12.51
E-mail:chad@richduncanconstruction.com Urinal 25.02
CONTRACTOR Water closet 25.02
Bi - Water heater 37.52
A York Custom Mechanical Waterpiping/DWV 56.29
C
PO Box 21474 Other: 25.02
Keizer, OR 97307 Phone: 503-584-1771 Subtotal
P1
CCB: 203341 Plumbing: PB 1481 Minimum permit fee: $72.50
Plan review (25%of permit fee)
,�� ,��� State surcharge(12%of permit fee)
Authorized signature:
_ TOTAL PERMIT FEE
Print name:CHAD 1 " 4.11111M41111/ Date:10/13/16 I 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-PermitApp.doc 10/01/09 440-4616T(10/02/COM/wEB)
City of Tigard
Ili ■ v COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R n Building Permit Review — Residential
Building Permit
Site Address: q q
Project Name: � � s �> -iG �
• i • o ik... Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: l
/ Verify site address/suite#exists and actio in permit system.
4iver Terrace Neighborhood: V No ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
IVAree(3)copies of site plan
ting structures on site
tte plan must be on 8-1/2"x 11"or 11 x 17"paper
, of new structure
Drawn to scale(standard architect or engineer scale ' ` .. ,4, '- )with finished ,
P tility locations (required for new,mayapply for additions)
1,- Orth arrow
Site address,project or subdivision name and lot numberfr
( q Pp y
pplicant information(name and phone number) cation of wells/septic systems
Lot dimensions and sg trees to be retained with dripline,
building setback dimensions and tree
.rotection measures
'` b eet tree size
etype and location., #,--',..-44t. 4,—#4- 1.44-1! .,. „; ,f ' t iA Street names
�71:- Cr txtm ( fi to f rc ; ''�`N t44)i1 e��
n/
J lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): ' S-�'1.
'equired: ❑ Yes,applicant was notified
I
No Received: 0 Yes 0 No
PI Public Facilitie Improvement(PFI) Permit:
Required: lyes,applicant was notified 0 No /Yes Applied For: ❑ No,stop intake
I"Land Use Case#: cAset2CYS7610&
Zoning:
Cal Required Setbacks: Front ' r
4 Rear 0' Side: 0 Street Side - Garage 1 '
F;,Lands cape Requirement: L �/o - g `�
Side.
,�'ot Coverage Maximum: �� % & co Lrlc?s'� „s'��-,�,L
5 eC1 Building Height: Maximum Height eight Actual Height 623
f'Nisual Clearance
A asements
'ensitive Lands: 0 Yes �No
in Urban Forestry Plan Type
0 Conditions "Met"prior to issuance of building permit
Notes: �7f1 '/ _ ,,
/
Approved By Planning:
_,-.... _ Date: /0 / --�6
Revisions (after Building Submittal only) _
Revision 1: 0 A rovedReviewer Date
pp 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw RES_091216.docx
Building Permit Submittal
Original Submittal Date: /0 /6
3
Site Plans:
Building Plans: # r3
Building Permit#: ❑-Enter building permit#above. E------Permit Coordinator utla g
Workflow Routing: 2-Planning Er-Engineering
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
9riginal plan review routing form.
ilE 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
lope at building pad: .,w*
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: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0No
LIDA Facility on lot: 0 Yes
o
Date:
0 NOT A. .roved ay _ineeting:
ir
Notes:
_��, Date: ' �` �.
Approved by Engineering: Date
Revisions (after Building Submittal only)
Reviewer
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permitiliPi /91/
pproved,NOT Released: id 1 Date: l)
e
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: es 0 N/A
?-ta>
Tigard Trans SDC: Yes 0 N/A
Parks SDC: Yes 0 N/A
426:i
to Issue Permit
ki Date -912-______4__
pproved by Permit Coordinator:
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8741 SW SPRUCE ST, TIGARD, OR, 97223 September 21 , 2018 at
9:55:44 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00453
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8741 SW SPRUCE ST, TIGARD, OR, 97223 September 27, 2018 at
10:59:25 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00453
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:
8741 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at
11 :44:58 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00453
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
High efficiency lighting form received
C of 0 left on counter.
Violation Summary:
Inspector Contractor