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Permit (40) CITY OF TIGARD MASTER PERMIT 1 COMMUNITY DEVELOPMENT Permit#: MST2016 00450 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017 Parcel: 1 S 135AD03400 Jurisdiction: Tigard Site address: 8725 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 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1 Drywall-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: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 of or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 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 p 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: DAVIS,EUGENE REVOCABLE LIVING T RICH DUNCAN CONSTRUCTION INC Required Items and Reports(Conditions) 10875 SW 89TH AVE 2295 RURAL AVE SE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 SALEM,OR 97302 PHONE: PHONE: 503-390-4999 FAX: Total Fees: $20,548.94 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- 01-0090. You m obtain a cop of the rules or direct questions to OUNC by calling 503.232.11987 or 1.800.332.2344. Issued By: Permittee Signature: Sp // ghe-6 7 C/i 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. 104 Building Permit Application � " `' Residential Orl 1 2016 1OR Of 1I( t. t'SI�.ON Ll Cityof Tigard Received f Pernit No. 131SW Hal Blvd.,Ti ard,OR 9722 I `� , x " 1 DateB : i , $? / i g I to d 'I GAR!) Plan Revie Other Perm li, . . Phone: 503.718.2439 Fax: 503.598.190 1 rt '.x J `} r Date/By: -�� 4t, �� Qe, �/ • T i�;,�ltt� Inspection Line: 503.639.4175 k.M i L I. Date Read B tuns g " y y: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: 4�/� 41:72:4" Supplemental Information tC7P9?-74• f7 tel9"//€" TYPE 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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated o this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $1370 0 ❑Accessory building 0 Multi-family Number of bedroomss: 2 I 81 s3.41 a ❑Master builder 0 Other: Number of bathrooms: 2 S', 7 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: SW Spruce St 8 i 2u5 New dwelling area: 1190 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Hall Pointe Townhomes Covered porch area: 17 square feet C 0 0 Cross street/directions to job site:SW Spruce St and Hall Blvd Deck area: 91 square feet ‘q 0 Other structure area: 4Q square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 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 CI 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: ®APPLICANT CONTACT PERSON BUILDING PERMIT FEES* Business name:Rich Duncan Construction (Please refer',idea sckedrrle� Structural plan review fee(or deposit): Contact name:Chad Elliott 503-910-0897 FLS plan review fee(if applicable): Address: 2295 Rural Ave SE — Total fees due upon application: City/State/ZIP:Salem,OR 97032 Amount received: Phone:(503)390-4999 Fax::(503)390-3633 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 and fire department access,along with the 2010 Oregon Address:2295 Rural Ave SE Solar Installation Specialty Code checklist. City/State/ZIP:Salem,OR 97032 Permit Fee(includes plan review $180.00 and administrative fees): *Phone:(503)49li?9 SSD—L{019 Fax:(503)399-3633 State surcharge(12%of permit fee): $21.60 CB lic.:158330 Total fee due upon application: $201.60 r Authorized signature: ...we This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:CHAD ELL OTT Date:10/13/16 *Fee methodology set by Tri-County Building Industry . Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) il f.:CE Pii;,/^f i--,,i1 r" ' 'Mechanical Permit Application 1 olt 01,11( i. l's`.0 1.1 Rete/By: Permit No/157:726/6-.0/Vico y City of Tigard OCT 1. 8 2 016 Date,By: 1111 ''' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.196 < t" `' i 3 t ,, Date/By: a ,_i • .11 i Juris: I ® See Page 2 for TI G.�K 17 Inspection Line: 503.639.4175 I, .. x s Date Ready/By: Supplemental Information 4?r Internet: www.tigard-or.gov w.1 ;,gid . . 9 .ill..______l r Notified/Method:red/Method: COMMERCIAL FEE* SCHEDULE - USE CHECKLIST TYPE OF WORK Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition ❑Other: Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 411-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.I Qty. � Ea. � Total ❑Multi-family 0 Master builder 0 Other: Description Hearing/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning 46.75 Job site address: SW Spruce St ZI 17 s Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 City/State/ZIP:Tigard,OR 97223 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Hall Pointe Townhomes Duct work 23.32 H dromic hot water system 23.32 Cross street/directions to job site:SW Spruce St&Hall Blvd _f_ 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 Other: 23.32 Subdivision: I Lot no.: Other fuel appliances: Water heater , 23.32 Tax map/parcel no.: 33.39 Gas fireplace/insert DESCRIPTION OF WORK Flue vent for water heater or gas _ installation of 4 remote heads for a"mini-split"system,mise sheet metal vents fireplace 23.3223.32 Log lighter(gas) _ •r microwave unit,dryer,and bath exhausts Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ►� PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name:E&V Development<LLC Range hood/other kitchenequipment 33.39 Address:10879 SW 89th AveClothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP:Tigard,OR 97223 toilet compartments,utility rooms) 23.32 fans 23.32ace Phone:(503)246-5862 Fax:(N/A) Attic/crawlspace 23.32 2CONTACT PERSON Other: el APPLICANT Fuel piping: Business name:Rich Duncan Construction,LLC $14.15 for first four;$4.03 for each additional Contact name:Chad Elliott 503-910-0897 Furnace,etc. Gas heat pump — Address:2295 Rural Ave SE Wall/suspended/unit heater City/StateiZIP:Salem,OR Water heater =_ Phone:(503)390-4999 I Fax::(503)390-3633 Fireplace — Range E-mail:chad@richduncanconstruction.comRich Barbecue ■. CONTRACTOR Clothes dryer(gas Other: Busine MECHANICAL PERMIT FEES* Advanced Mechanical Services Subtotal Addie: PO Box 1699 — Minimum permit feeubto($90.00) City/Si McMinnville, OR 97128 Phone: 503-434-8544 Plan review(25%of permit fee) one: CCB: 194814 State surcharge(12%of permit fee) — TOTAL PERMIT FEE . CCB 11...______ — This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatu -./ * Fee methodology set by Tri-County Building Industry Service Board IPrint name:C f•D ELLOTT Date:10/13/16 1 I:\Building\Permits\MEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB) • 1) Electrical Permit A li . ' �� pp cation 11111 ui l'l("I_ e .til ()NI l City of Tigard ( Received Ili ti SW Hall Blvd.,Tigard,OR 97223' 1 C; t!, DaPlan n R : Permit S / 67/ 5t Review Phone: 503.718.2439 Fax: 503.598 g OF Da, Rotated Pemtit K: Inspection Line: 503.639.4175 Il Ready Date/By: rurrc: 7 Ili 1 It I) •g Page Information Internet www t d ti Mn tion -Oi OY -kir ow-190f';?dp Cd. bOd� Supplemental '�. -,.-��. � .-Ss •.�ay.,-•�'srp�g�y�,T�y� �.E{ yr�.��,�.rlf-M;E.�� _ �w�...y��,`.,�.K''' '-r::=�l;��:T,'F's� .':%x='-�"'% .�,:�� .:r-s..;-...�y:q . 100:r:..._ t44v�.+,039?'3: !.-:@k.! _r't.... �.,,'"'_,,,,,: r"s- G w.N. xs'sf° r,. :' tr • %'F�.s.NR>F. =.e.Y.s.".G,:"[S=..rte' ..:Tx�•�n ��r �� 3`r { ... ,�,.���-'�..a`'_: ,,,�-:.! iii New construction 4 0 Addition/alteration/replacement Please check all that apply(submit I sets of plans w/items checked): ©Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other: y -y = `5. }; _� y `aY ,Y "l f where the available fault current ❑Marinas and boatyards. s st.,4.<.:,tc ss,w. r. % "• , t-:? ltf t0X. .-:. �.,:' . �x'u: :_;a s�':-,IC exceeds 10.000 amps at 150 volts or Q Floating buildings. 0 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to mound,or exceeds 14,000 Q Commercial-use agricultural [�Multi-family 0 Master builder 0 Other: forallocher installations. Installation buildings. -„�,;� ,..^ .,.� _ 0 Fire pump. ❑Installation of 150 KVA or ^a• :i 'ts. `..y..;.. -:.fir:v��;x- :-^:-- s',:s'�.`_"F,.-��»'��,.^y`=:1-y”. .>�, :; „�.,.,�,�-- � ... J. �..`+�.,,� - y` L�` $ enc ,.� �.6• � �M�. pry- . E-'x, ,ft (]Emergency system larger separately derived ~" .; ,-,;:;u Q Addition of new motor load of system. Job#: lob site address:$fl( SW Spruce St 10OHP or more. ❑"A""E""t-2""I-3" City/State/ZIP:Tigard,OR 97223 O Six or more residential units- occupancy. (3 Health-care facilities. C1 Recreational vehicle paries. Suite/bldg./apt.#: 6 Project name: Hall Pointe Townhomes 0 Hazardous locations. 0 Supply'voltage for more than Cross street/directions to Ob Site: Q Service or feeder 600 amps or more. 600 volts nominal. j Hall Blvd&SW Spruce St °--� t.:-T�'W r �. y.�asi� r :z*tel- :. SSSS _K2t"-Y..'^�xr.. �nG�.d'c'_F3.�'�>•,!! Wl�VA!r,.�M�!%G^.vl`�,�r Y�fin Oearrietiaa I Qty. 1' Bath I�ietsi1 I " New residential single.or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000�"ft.or less f 168.54 Jb�,slt 4 Tax map/parcel#: 1S135AD03500 ,s=.4 .,• s; y ✓. ,. .._ x...s r-r _.h Fr}4 ,q x•V Ea.adel 500 sq.ft.or portion I 33.92 53,1 I _.,SSSS ..... r; . ...;;aatr g i p, R f;� e,.,r-r rfa`.r 4g Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ;A�;��,'K';. `"" �j�i��'Ip:� _ �,_ ,��=-�� �}�.-; K Renewable Enemy C?SeePage2 'r i,+^._:.'e.:.r SIT oiottr''�LJ![i,Rtri �S.^s"Y r.�' .: %' J'..L F :%Lie- F '%ej!�:f}..^: i5r '=` r4Gr f-r 1 Services or feeders iastafation,alteration,and/or relocation Name: 200 amps or less j 100.70 term 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 snips 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 1 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 � :(a.:H-..:iv ..-...a-,...:yt SSSS:: -�_..ati.Ks 1t�.:.: ;.K..- -;. _ - > >>^s _ 'r�-y s:Is.;s Branch ci uib-new ante ��e,,.;�., .,���.. �pp� y2`,_�,,�. :. �..��� :. � �.A;�, -' ra8on.or extension, r panel ta�'e:�-:-;::�;� =;:..... . ..........:a,...,.. '�':`-`,.. "":;`� A.Fee fol branch circuits with 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 Address: 10875 SW 89th Ave service or feeder fee,first 56.18 2 • 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 ) 67.84 dwelling,service and/or feederEmail: fmf:india@yahoo.eom Reconnect only 6784 • 2W^ gSr. ti.. #p� Ren ,t Pump or irrigation circle 67.84 2 • Business name: ProTech Power Sign or outline lighting 67.84 2 • Address: 17937 McEwen Rd#200 Signal circuit(s)or limited-energy ❑ Page 2 2 panel,alteration,or extension. Each additional inspection over allowable in anyof the above City/State/ZIP: Portland,OR 97224 • Additional inspection(I hr min) 66.25/hr Phone:( 503)780-6207 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 198878 Electrical L' .: C916 Prv'Li ' 6125S mecifrcal listed(%lu mint r SSSS,.. Suprv.Electrician signature,required: Subtotal: 303,Jg Print name: Andrew Anderson Da : 8/2/2017 D Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires ire permit is not obtained within ISO - I Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. rtBmldinglPennitelELC PermitApp_ELR ERE.doc Rev 06/11/2015 440.4615T(t1/05/COMAWEB , 4Irt 1.� t . Plumbing Permit Applica fi 1 ,Li Building Fixtures boli oro ICG l SE om.1 City of Tigard OCT 1 8 2.016 Received _ Date/By: Permit Ne5`_2,�j'fit �fsw� ill 41 13125 SW Hall Blvd.,Tigard,OR 97223 CC`` 410 = Phone: 503.718.2439 Fax: 50 " >t: x 4 a Plan Review T t G.n x n Inspection Line: 503.639.4175 t t s Date/By: Other Permit No.: r „, s Date Ready/By: Juris:-1 H See Page 2 for Internet: www.tigard-or.gov . 1 1 y,314t�a I ,p:33 y Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE 0 New construction 0 Demolition For scial information use checklist Description �e � Qty. I Ea. 1 Total 0 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 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ElMulti-familySFR.(3)bath 500.32 ❑Master builder Each additional bath/kitchen 2:5.02 0 Other' Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: SW Spruce St 87 Z 5 Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 - Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: -1 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.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 ough and finish plumbing for 1190 sf 2 steory townhome with 2 and 1/2 bath, Dishwasher 25.02 laundry,kitchen.Water and sewer on site Drinking fountain 25.02 Ejectors/sump 25.02 �4 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:E&V Development,LLC Fixture/sewer cap 25.02 Address:10879 896 Ave Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 2.5.02 Phone:(503)246-5862 Fax:(N/A) Ice maker 12.51 0 APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Rich Duncan construction Medical gas(value:$ ) Page 2 Contact name:Chad Elliott 503-910-0897 Printer 12.51 - Roof drain(commercial) 12.51 Address:2295 Rural Ave SE Sink/basin/lavatory 2:5.02 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 Water closet 2S_02 CONTRACTOR Water heater 37.52 P - ,,._�,. . - Water piping/DWV 56.29 , York Custom Mechanical Other: 25.02 PO Box 21474 Subtotal -I Keizer, OR 97307 Phone: 503-584-1771 - Minimum permit fee: $72.50 itCCB: 203341 Plumbing: PB 1481 - _ Plan review (25%of permit fee) f State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I Print name:CHAD ELLIOTT Date:10/13/16 days permit application expires if a permit is not obtained within 180 da s after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.ctoc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 1111 ■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R n Building Permit Review — Residential F, ...,,,,,, _2, ._ 2_222r-,. ?lose,..arxk24 ew. `*us 22 b5s2,3fi. #,.__.,.„'ca,2ei .wt.3- ._k>.:.2,"_z.,—,....1.1,,,L",,_s i.,a ;.:- Building Permit #: /7 ' - d/� ^c erX� O Site Address: ' 7 0-5- `S ) <j e_e. Project Name: ,i// v1-11;771 L ` tvnholi ( Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: i jgi) EPA iVerir site address/suite# exists and activ in permit system. /` fiver Terrace Neighborhood: ViNo El Yes,See River Terrace Review Addendum Attached Sit Plan Elements: IVItiree(3)copies of site plan � ' ting structures on site e plan must be on 8-1/2"x 11”or 11 x 17"paper�,,y. ' frie +struetare(mg hiding decks)with finished Drawn to scale(standard architect or engineer scale)�1� "`i° i7 4y 1�`arrow '0 a a. 3 i* Li Utility locations (required for new,may apply for additions) ' #iite address,project or subdivision name and lot number cation of wells/septic systems t`�"J p Y fritpplicant information(name and phone number) �j 'sting trees to be retained with drip line,and tree VLot dimensions and butldin setback dimensions .rotection measures $Tea' a ��- F.4 ,: 1 . F . < A. ` eet tree size,type and location $ e R-'` 1'A Street names (00t1/4,, Lilt s if mote l `IP M b.),$).A A,. t8 e-vti �nW.�/ iF Ste. I �Q °, S-0.1.\ Gvl� 'J i lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): ` U 'equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No II Public Faciliti Improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Land Use Case#: `J e 2C)i -C2 "Zoning: mui2—Q 7'Required Setbacks: Front A /4 Rear 0 Side: '' Street Side M/— i Garage Vandscape Requirement .% SIek ) CO k€ C,e e of Coverage Maximum: % / �/ IICJ Building Height: Maximum Height �� Actual Height Qj rlsual Clearance sements nsitive Lands: ❑ Yes 7 No Type F. Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: 07,1 / f ' � _ j/ �� � _, a �' /�� viii' rd; ,t__, t' A/• //'� yl —1'4 ` 1L/ Il / I Approved By Planning: :3 _ Date: /0 — /8- ,/d 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\BldgPennitRvw RES 0912I6.docx Building Permit Submittal Original Submittal Date: it�r�//k' Site Plans: # Building Plans: # Building Permit#: Q-Enter building permit#above. Workflow Routing: l'Planning Et Engineering `1ermit Coordinator ilding Workflow Sign-off: J Sign-off for Planning(include notes from planning review) Route Application Documents: L- Engineering: (1) copy of permit application,(1) site plan, (1) building plan and original plan review routing form. El/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 51 Slope at building pad: 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 A. .rov:d b, Engineeri Date: Notes: . ..e ff.. f/4' J.T moi" ,At-j r/#/ .v s..- Approved by � A Engineering: J7 Date: /f-- °�j/ 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: ii//i PP �/f�� otes: 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: rSDC Fees Entered: Wash Co Trans Dev Tax: r..0 es ❑ N/A Tigard Trans SDC: Iii' Yes ❑ N/A Parks SDC: Yes ❑ N/A 4.K to Issue Permit Approved by Permit Coordinator: "it/P.-Date. / I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8725 SW SPRUCE ST, TIGARD, OR, 97223 September 21 , 2018 at 9:32:16 AM Record Type: Record ID: Residential - Master Permit MST2016-00450 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: 8725 SW SPRUCE ST, TIGARD, OR, 97223 September 27, 2018 at 10:58:57 AM Record Type: Record ID: Residential - Master Permit MST2016-00450 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: 8725 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at 11 :42:14 AM Record Type: Record ID: Residential - Master Permit MST2016-00450 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