Permit (41) CITY OF TIGARD MASTER PERMIT
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2 COMMUNITY DEVELOPMENT Permit#: MST2016-00451
-T[GARD[GAR13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017
Parcel: 1 S 135AD03400
Jurisdiction: Tigard
Site address: 8729 SW SPRUCE ST
Subdivision: 1990-053 PARTITION PLAT Lot: 2
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
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes
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 Rain Storm Sewer 100
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 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: 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: 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:Y 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 952-0 1-0090. You may obtain acopy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80064:17,1/( 711-1
.332.2344.
Issued By: 0.4"/14.414-4 Permittee Signature: z� - 1( Lc !-1
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.
gi
Building Permit Application ;
Residential r t t _'i TiF
rt
FOR MIK I, ESE O:A'Ll`
City of Tigard OCT r 1 8 Received ,�
13125 SW Hall Blvd.,Tigard,OR 97223 ‘���� Date1B : /l y 1�.� Permit NSr ►�6� y��
IN ■ Phone: 503.718.2439 Fax: 503.598 16 Pia❑Revie
Ins ection Line: 503.639.4175 1' �x t t i r i Dae R : •,"��. Other Permit�� / _lie
0 Tf�;AKU p , � DateReadB y
Internet: www.ti and-or. ov 1 .1 Ready/By: � JUris
g g 0 /„� See Page 2l for
�� err , Noti&ed/Method. Supplemental Information
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TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $134, 3 C� �/(�•Q�
❑Accessory building ❑Multi-family Number of bedrooms: j 3 CD 'N LL
❑Master builder h ` 9
0 Other: Number of bathrooms: � 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: SW Spruce St 18 1-2_.q New dwelling area: 1190 square
City/State/ZIP:Tigard,OR 97223 feet
Garage/carport area: square feet
Suite/bldg./apt.no.: `” Project name:Hall Pointe Townhomes
Cross street/directions to job site:SW Spruce St and Hall Blvd Covered porch area: 17 square feet ���
Deck area: 91 square feet 9
0
Othe`r5S rrtru�q.�y"ct>fre Berea: %4 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.
Valuation: $
0190 sq ft 2 story townhouse built to Oregon Residential Specialty Code,2014 ed
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT
Number of stories:
Name:E&V Devlopment,LLC
Address:10879 SW 89th Ave Type of construction:
Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Phone:(503)246-5862 Existing:
Fax:(N/A)
APPLICANT New:
® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Rich Duncan Construction (Please refer rofee schedu/eL
Structural plan review fee(or deposit):
Contact name:Chad Elliott 503-910-0897
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 I 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.
Submit two(2)sets of roof plan with connection details
Business name:Rich Duncan Construction
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
//Phone:(503)4 310 -4q,9 9 Fax:(503)399-3633 and administrative fees): $180.00
CB lic.:158330 / State surcharge(12%of permit fee): $21.60
y Total fee due upon application: $201.60
Authorized signature:
,.. -.> This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:CHA LLIOTT Date:10/13/16 I *Fee methodology set by Tri-County Building Industry
Service Board.
I:BuildineermitslBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
e
'." Mechanical Permit A ' fir 1, "
FOR 01.1 ICE I SL U\1.1
, '..! .,.r .; i ,LL.' Received /�
City of Tigard Date, y: Permit No.:/� � )/�--t.���%S�
w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.7182439 Fax: 503.59 910 1 8 2.016 Date/By: Other Permit:
1 1 6 A R 0 Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for
1 Internet: www.tigard-or.gov k F - , & Notified/Method: Supplemental Information
����ggY..,..t , a .—, t P
TY[>Jk 61tIQ'Di-VISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Z.3
Air conditioning 46.75
Job site address: SW Spruce St SI Z 1 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
Sr 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
e PROPERTY OWNER i2 TENANT Environmental exhaust and ventilation:
Name:E&V Development<LLC Range hood/other kitchen
equipment 33.39
Address:10879 SW 89th Ave Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:(503)246-5862 Fax:(N/A) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Rich Duncan Construction,LLC $14.15 for first four;54.03 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/StateiZlP:Salem,OR Water heater
Phone:(503)390-4999 Fax::(503)390-3633 Fireplace
Range
E-mail:chad@richduncanconstruction.comRich Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Busines
Advanced Mechanical Services — MECHANICAL PERMIT FEES*
Addres PO Box 1699 — Subtotal
City/St: 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 lit.._____ TOTAL PERMIT FEE
—1\'-- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: �� 1--- ` * Fee methodology set by Tri-County Building Industry Service Board
Print name:C ELL TT Date:10/13/16
I:\Building\Permits\MEC_PermitApp_0u40113.doc 440-4617T(t 1/02/COM/WEB)
,
RECEIVED
Electrical Permit Applicationl-l l u (II IA( i i Si (i v i „
City of Tigard Received
Denali : EMZEMEISIESE
14
I
o 13125 SW Hall Blvd.,Tigard, 1 i( AR ) Plan Review
Phone: 503.718.2439 Fax: 503a5981 4 Ds Related Permit 4:
I s( ;�t;( Inspection Line: 503.639.4117c + # ; } Ready Date/By: Jura: 0 See Page 2 for
Internet: www.tigard-or.go � ` A ' Notified/Method:
Supplemental Information
7y.3`...„r's � ✓ Ic.MmAp-� � ���� �M 01e >%:xWI�
�%'�` . ** fiW=. �.*�jo-r^
'
ENew construction
0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
D Demolition Other:
0 Service or feeder 400 amps or more 0 Building over three stories.
........ . re eavat a erne
0o
Marinasboatyards.
^iTt� ur. m .Po„�. � . .�t,- i7tasrfu �� r% exceeds IO.00Oampsat 15vha
or 0 Floating buildings,
0 1•and 2-family dwelling 0 Commercial/industrial 0 Accessory building Less to ground,or exceeds 14,000 0 Commercial-use agricultural
Multi-family Master builder 0 Other: amps for all other installations. buildings.OFire pump. ❑installation of 150 KVA or
r��mitteRAniry , o rwFN moi= f
❑Emergency system larger separately derived
D Addition of new motor load of system.
Job#: Job site address:'8T2ISW Spruce St 100HP or snore.
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Hall Pointe Townhomes 0 Hazardous locations. C]Supply voltage for more tun
Cross street/directions tojob site: Hall Blvd&SN O Service or feeder 600 amps or more. 600 volts nominal_
Spruce St ,r—nw r o a r:-� ^.: �-
'Dwriation 101Y. I Bach TWO I ”
New residential single-or multi-fattdiy dwelling unit
Subdivision: Lot#: Includes attached garage.
1,000 ft.or less
Tax map/parcel#: 1SI3SAD03500 f 168.54 3 4
Ea.add'1500 ft orportion i 33.92 5,,� 1
+_ly-.Wz_-. Wsy.,�;:;�MM— - - - fir, -:r:' +x:-::�.^:�: .F .�-xt:,;llre: Z
..... ... Y <7N :t .a t r r' "`�xzs' :. Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.) -
:x r`»'`<:%--, fir.. __� yf ..!'.,'-. .;,,.":^'+"` .'T,''• `_-.^. z%t' -. ,-....,..e:, s, Renewable Entre ❑ .See Page 2
'.x^rrti..> YF tk#0 .,rr,-.;'.„.r= +"l r,:u'tnsF:7?::. .;�'= C`, ,8=w:,ve '. :F:'M^s:-'�"
Services or feeders installation,alteration,and/or reucaHaa
Name: 200 amps or less 1 100.70
100•'7f) 2
Address: 201 amps to 400 amps 133.56 2
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 r 552.26 2
Email:
Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 I 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps i 1 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
"���:,�-. <`�: <.�'���sr: _j�.. Branch circuits Dew,
,,�. �. ;;,;.-,-�„ ,� �, �� �• ,altsrafion,orexlenaion,perpand
''''` ^"' "" "�`'`''° A.Fce for branch circuits with
Business name: E&V Development above service or feeder fee,
7,42 2
each branch circuit •
Contact name: Dr.Gene Davis B.Fee for branch circuits without
•
Address: 10875 SW 89th Ave service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Tigard,OR 97223 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)887-9966 Fax::( ) Each manufactured or modular 6784
dwEmail: fmf.india(�yahoo.ctt4m and/or feeder
..... - :ter_==.:Y <<:.-Y.;:
Reconnect
'.�.."•:a::.�::r.....x .....S.g.Mf..�.�:.j, 'e''l,.r�)�•. �:iA�. �'in. ...N
mg service
iter act only 67.84 2
•_�R �.-:::t> •:�'.n•= F:' -fir', wra_ : O' ,
);
�• � ,. �`' Pump or irrigation circle 67.84 2
Business name: ProTech Power Sign or outline lighting 67.84 2
Address: 17937 McEwen Rd#200 Signalel,circuit(s)or limited-energy
0 See Page 2 2
panel,alteration,or extension.
C' /State/ZIP: Portland,OR 97224 Each additional inspection over allowable in any of the above
•
, Additional inspection(1 hr min) 66.25/hr
Phone:( 503)780-6207 Fax:( ) investigation(1 hr min) 90.00/hr
Email: Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 198878 Electrical Li .: C916 Pall.Li : 6125S . iftcall listed %hr min `�ib/hr.
Wattsi:<.,:'.+.g'r;. .... 0.0iM.� T/,.,+AMA•.1.. ...'!!'L1SAr:.:�'::'i.;'�,;`%4.:A
Suprv.Electrician signature,required: Subtotal: 303,f(,
Print name: Andrew Anderson Da : 8/2/2017 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
it&oildinalPermrta)ELC PermitApp ELR_ERE.doc Rev 0647/2015 440-1615T(1VOSMowiwun
'' Plumbing Permit Appl
Vie`' � r >.-I
Building Fixtures X^�d V Ash
FOR OFUR'I: 1 S OVL1
City of Tigard Received
11 g 13125 SW Hall Blvd.,Tigard,t{C.9 2A3 8 2016 Date/By: Permit No/1$'020/,t-_0091.5/
Phone: 503.7182439 Fax: 503,598.1960 Plan Review
• T 1 G A It n Inspection Line: 503,639.4 " /int'' 1 Date/By: Other Permit No.:
Internet: Line:gard-or.go k_ g " RD
Date Ready/By: J1111s
Notified/Method: Supplemental Page 2 Informationfnr
TYPO 141-V441.'7W
WISIO1`
FEE* SCHEDULE
®New construction 0 Demolition For special information use checklist
❑Addition/alteration/replacementDescription Qty. Ea. Total
❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath
31:2.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath
8
- SFR. 3 bath 437. 2
❑Accessory building
❑Multi-family O 500.32
❑Master builder Each additional bath/kitchen 25.02
0 Other:
JOB SITE INFORMATION AND LOCATION Fire utisprlities:( sq.ft.) Page 2
Site utilities:
Job site address: SW Spruce St 46129' Catch basin or area drain
18.76
City/StateiZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Suite/bldg,/apt.no.: Project name:Hall Point Townhomes Footing drain(no.linear ft.: ) Page 2
Cross street/directions to job site:SW Spruce St and Hall Blvd Manufactured home utilities 50.03
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.:_) Page 2
i Lot no.: Fixture or item:
_
Tax map/parcel no.: Backflow preventer
31.27
DESCRIPTION OF WORK Backwater valve 12.51
and finish plumbing for 1190 sf2 steory townhome with 2 and 112 bath,•ough Clothes washer 25.02
laundry,kitchen.Water and sewer on site Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
►..t 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{StateiZIP:Tigard,OR 97223 Garbage disposal 25.02
Phone:(503)246-5862 Hose bib 25.02
Fax:(N/A) Ice maker
r.1 APPLICANT 12.51
018 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
City/State/ZIP:Salem,OR 97032 Sink/basin/lavatory 25.02
Solar units(potable water) 62.54
Phone:(503)399-4999 Fax::(503)390-3633 Tub/shower/shower ower pan 12.51
E-mail:chad@richduncanconstruction.com Urinal -
25.02
CONTRACTOR Water closet 25.02
Buy Water heater 37.52
Ad York Custom Mechanical _ Water piping/DWV 56.29
PO Box 21474 _ Other: 25.02
Cil Keizer, OR 97307 Phone: 503-584-1771 _ Subtotal
Minimum
Ph' CCB: 203341 Plumbing: PB 1481 permit fee: $72.50
IV
Plan review (25%of permit fee)
Authorized signature: ---\ State surcharge(12%of permit fee)
Print name:CHA: LL 1 Pi"' � TOTAL PERMIT FEE
Da /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
■ q COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Residential
Building Permit #: /8 j2/6, -- eQvs"/
Site Address: ?7 a.9 Sk> `inee_ . /7
Project Name: lf/ /n/ 1 ' tcm40 ( Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: AJ gt) EPA
Verify site address/suite#exists and activ in permit system.
fiver Terrace Neighborhood: ViNo ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
ree(3)copies f site plan ting structures on site
e plan must beoon 8 1/2"x 11"or 11 x 17"paper ., �{io'new s c (incdecks)with finis ed
,w
Drawn to scale(standard architect or engineer scale) 9� l ', ::,-;`'''-'-i-'7"-';';,g
'eioh w " �` P tYtility locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number �� cation of wells/septic systems r"':'J p Y
Vepplicant information(name and phone number) ����lll ttt! stingfitrees to be retained with drip line,and tree
Lot dimensions and building setback dimensions .rotection measures
P EI
t y'. , " ,- 8 ,.'4.,,,, y, fa:t eet tree size,type and location
A
�; ' Street names 0 (�� k cAt
V.x aC V`l�
WOs( taa ton#aut Bile If more tl _
J lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995):
'equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
T Public Faciliti Improvement(PF1) Permit:
Required: [Yes,applicant was notified ❑ No Applied For: AA(es ❑ No,stop intake
Land Use Case#: S',t�E,2C)I�= ��
CG
IP/Zoning: _Q
VRequired Setbacks: Front AO Rear 0 Side: 0Street Side � k Garage A O.
andscape Requirement: %
Side
/,'c i � -c le
IV/Lot Coverage Maximum: °/o
/ 4
ei Building Height: Maximum Height 44S— Actual Height
=�
ksual Clearance
0
i�'asements
ensitive Lands: ❑ Yes lNo Type
P Urban Forestry Plan
❑ Conditions "Met"prior to issuance of building permit
Notes: 07i/ ./ 4,,s /a j,. />7 1Y 7L �, �(rem. .Tf /ly)�3 ii/ Qs
rzi/cf.__
Approved By Planning: Date: /0 _ /8—/d
L.-
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\B1dgPermitRvw RES 091216.docx
Building Permit Submittal
Original Submittal Date: /0/4P��t
Site Plans: # ____5__
Building Plans: #
Building Permit#: [ Enter building permit#above.
Workflow Routing: EL-Planning a'Engineering ❑--- ermit Coordinator ' T uilding
Workflow Sign-off: align-off for Planning(include notes from planning review)
Route Application Documents: [3—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
yriginal plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
Date:
By Permit Technician: "-Mr / �.- — ///2/4"
Engineering Review
ASlope at building pad: rj:::
0 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: Cl Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved b E ineering: Date:
Notes: • /Gni>� l Old.
Approved by Engineering: 271Date: /
/WA/A
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
r'Approved,NOT Released: 7 ` "'ate: /i/9'/1(/
Notes: .4.�„L "Al4(>(
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 ❑ N/A
Tigard Trans SDC: es ❑ N/A
Parks SDC: Yes ❑ N/A
Approved K to Issue Permit
1400
by Permit Coordinator: I# Date: Z4-"
I:\Building\Fonns\BldgPermitRvw_RES_091216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8729 SW SPRUCE ST, TIGARD, OR, 97223 September 21 , 2018 at
9:41 :52 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00451
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:
8729 SW SPRUCE ST, TIGARD, OR, 97223 September 27, 2018 at
10:59:06 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00451
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:
8729 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at
11 :42:54 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00451
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