Permit (46) CITY OF TIGARD MASTER PERMIT
71 .,
II: COMMUNITY DEVELOPMENT Permit#: MST2016-00465
13125 SW Hall Blvd.,Ti Date Issued: 08/03/2017
TE �1 and OR 97223 503.718.2439 9
Parcel: 1 S 135AD03500
Jurisdiction: Tigard
Site address: 8715 SW SPRUCE ST
Subdivision: 1990-053 PARTITION PLAT Lot: 3
Project: Hall Pointe Townhomes
Project Description: Building C-New SFA
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 2 First: 590 sf Basement: sf Left Parking Spaces:
Height: 28 Bathrooms: 3 Second: 600 sf Garage: sf Front: Smoke
Dwelling Units: 1 Third: sf Right: Detectors:
Yes
Total: 1190 sf Value: $138,249.26 Rear:
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
Catch Basins: 0
Bckflw Prevntr: 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: 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!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:
DAVIS,EUGENE REVOCABLE LIVING T RICH DUNCAN CONSTRUCTION INC Required Items and Reports(Conditions)
BY DAVIS,EUGENE LOREN TR 2295 RURAL AVE SE 1 Engineered Soils
10875 SW 89TH ST SALEM,OR 97302
TIGARD,OR 97223
PHONE: 503-246-5862 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 95 01-0090. You m-. obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B #4 �� � �, �
Y: Permittee Signature: ice" C27)�!/?G :/7
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.
Building Permit Application
ResidentialLC,:.' _'` FOR i tiSI;0N1.1
City of Tigard RecDaeived 11 ,0llo Pewit No:H5r a 6_65 , S
III '� 13125 SW Hall Blvd.,Tigard,OR 9722a Plan Review.�..� Other Permit: o�'r}QI6p--(,0 3o
Phone: 503.718.2439 Fax: 503 598.1960 Da.eBy:
Inspection Line: 503.639.4175 -0`"f • r'g' Dare Ready/By: ^� � June I EI see Page 2 for
p
Ff GAFD o G Vie IIF 1 Notified/Method d-Py/ it 1 Supplemental Information
Internet: www.tigard-or.gov
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
ht 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
It1' OF CONSTRUCTION work indicated on this application.
�_Y
CATEGO r ,tr
Valuation: S t34,-owo j
2 1-and 2-family dwelling 0 Commercial/industrial WO/r-
Number of bedrooms: 2 13 Q` {�, 1
❑Accessory building ❑Multi family V latv
Master builder 0 Other: Number of bathrooms: 2.5
SOB SITE'INFORMATION AND LOCATION Total number of floors: 2
Job site address: SW Spruce St gi'\s 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
OQ
Cross street/directions to job site:SW Spruce St and Hall Blvd Deck area: 91 square feet cs` I 0
Otherseture area: 4/0 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no,: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment.materials.labor,overhead,and the profit for the
DESC#tIPTION OB WORK work indicated on this application.
190 sq ft 2 story townhouse built to Oregon Residential Specialty Code,2014 ed Valuation: S
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 89"'Ave Occupancy groups:
City/State:ZP:Tigard,OR 97223 Existing:
_
Phone:(5031246-5862 Fax:(N/A) New:
01 APPLICANT ►st CONTACT PERSON BUILDING PERMIT FEES*
(Pease r er to fee schedu leej
Business name:Rich Duncan Construction
Structural plan review fee(or deposit):
Contact name:Chad Elliott 503-910-0897
FLS plan review fee(if applicable):
Address: 2295 Rural Ave SE r—
Total fees due upon application:
City/State/ZIP:Salem,OR 97032 _/
Amount received: 3:•`�$
Phone:(503)390-4999 Fax::(503)390.3633
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:shad@ riehduncanconstruction.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-t••mounted PhotoVoltaic Solar Panel System.
Business name:Rich Duncan Construction Submit tw* ; sets of roof plan with connection•-•• s
and fire departin . access,along with • i 1 Oregon
Address:2295 Rural Ave SE Solar Installation Spe -•:tv C., recklist.
City/StateZlP:Salem,OR 97032 Permit Fee •+es review $180.00
_ and administrative
Phone:(503)4499 3010- ikcq 9' Fax:(503)399-3633 State surcharge(12%of permit fee): • $21.60
CB lie.:158330 Total fee due upon application: 201.60
Authorized signature:
6\•\4Q `J X, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
CHAD ELLIOTT Date: 10/13/16 *Fee methodology set by Tri County Building Industry
Print name:
Service Board.
I:\Building\Permits\BLP-RESPermitApp doc 02/24/2011 440-4613T(I I/02/COM/WEB)
s t P1 ) t tit '1 '.
Mechanical Permit Application y� 10k O F►( r 1'51.Oyl,v
City of Tigard OCT is2016 DDate,By Permit No/75.re7/6�Ot,'>%G S
IIIII ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
i Phone: 503.718.2439 Fax 503.598 960. , %z, 'w Date/By: Other Permit:
-r t(i A R l) Inspection Line: 503.639 4175 Date Ready/By: Juris: B► See Page 2 for
Internet: www.tigard-or.gov 4;�_ ,:j , `') T, Notified/Method: Supplemental Information
tJtTYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information 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 6'115 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
Other:
Subdivision: Lot no.: 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
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
►4 PROPERTY OWNER ►.A 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 rooms) 23.32
Phone:(503)246-5862 Fax:(N/A) Attic/crawlspace fans 23.32
IS APPLICANT li CONTACT PERSON Other: 23.32 —
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.
Address:2295 Rural Ave SE Gas heat pump
WaWsuspended/unit heater
City/StateiZIP:Salem,OR Water heater
Phone:(503)390-4999 Fax::(503)390-3633 Fireplace
Range
E-mail:chad@richduncanconstruction.comRich Barbecue
CONTRACTOR Clothes dryer(gas)
Businf Other:
Advanced Mechanical Services —.. MECHANICAL PERMIT FEES*
Addre PO Box 1699Subtotal
City/S McMinnville, OR 97128 Phone: 503-434-8544 -- Minimum permit fee($90.00)
Plan review(25%of permit fee)
one CCB: 194814 State surcharge(12%of permit fee)
CCB 1. TOTAL PERMIT FEE
N This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: \ • * Fee methodology set by Tri-County Building Industry Service Board
Print name:CHAD ELLOTT Date:10/13/16
(:\Building\permits\MEC_PermitApp_040113.doc 440.4617T(11/02/COM/WEB)
•
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Electrical Permit Apnlicatio I (JR()I J.1( l I ti t (I\I \
Received Permit d5/ /W -QO%L J
City of Tigard =�i l(i 2, ?(i' Date
III 13125 SW Ha11 Blvd.,Tigard,OR 97223 Platt Review
R Phone: 503.718.2439 Fax 503.598;1 % i � pa ; Related Permit It:
Inspection Line: 503.639.4175 y,s i t .,AF ) Ready Date/By: faro: 21 See Page 2 for
l 1(. A k.1:) Internet. www.tigard-or.gov Notified'Method. Supplemental Information
a+,,r_' w.r- 4.r tit z '-&--- ^ ,,,--. .. r3- '3,G•x,"�#�.,
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s,.r.+,��W�F.�- z'����'.! .:;%i� t �.-. :z'�<.:-�::. `'�ar..��::x,.=l.��c'°� .,3`Kt. ?rte-�ir,°toa ���•"':��. .�.r„s:�k..,,�.•,.,�,�� � ���.T.'.s
construction Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked):
0 Service or feeder 400 amps or more 13 Building over three stories.
oDem011tl)n where the available fault current 0 Marinas and boatyards
<. _ _.W n::> :•. - x 3`M snatai exceeds 10,000 amps at 150 volts or Q Floating buildings.
0 i•and 2-family dwelling 0 Commercial/industrial 0 Accessory building lass to ground or exceeds t4 000 CI Comsnercia use agrica urs
l
amps for all other installations. buildings.Multi-family 0 Muter builder 0 Other: 0 Fire pump. 0Installation of 150 KVA or
(r; FcS >4.•>;w xT . . 3 �#). "..,..g by ]Emergency system. larger separately derived
Addition of new torloadof 0
system.
mo
Job s: Job site address:$i'IS SW Spruce St 100HP or more.
O Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97223
0 Health-can;facilities, Q Recreational vehicle parks.
�� ❑Hazardous locations. 0 Supply vohage for more than
Suite/bldg./apt.#: l . 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 :' _` -'"'""���^''Y�
Deseriofw x: 1 Qty.-.7. rah 1 Total I "
New residential single-or multi-firmly dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ftor less J 168.54 /141.9( 4
Tax map/parcel#: 1SI35AD03500 Ea.add't 500 sq.ft.or portion 3 33.92 ST,`z., 1
::��=-"".=`�- ?F .,�-xf,,'-rt'�,-�'3=�:-:-^Fr. ...,h.w 17,,l..y✓;l%. '%%3:%:.-Y "::Fr`%%E'=7:�,:`f. •a1
==%�u:;z�:��--�=.�;�=:���t-�>�r:��x..��il'��0�: 1�'� •K:��'w�.rM�.;,.c�':k:�>�:.:r::s3--<..,.,,.�.;__. Limited energy,resident 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
,: • ry,�- ;yt�yF'y Renewabe Energy :1 See Page
': "sr• u yb4 -7-100101:—^1.1zJSilxl� _.�-k<�;; ,
, Yl'-'44# -:. GNTServices or feeders Installation,alteratson and/orreiocatIon
Name: 200 amps or less 1 100.70 jpp,70 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 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
circuits alteration,or extension, rpanel
. . .- n .�- ,M= ..MM �: .; .. A.Fefor brooch circuits h
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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)887-9966 Fax::( ) Each manufactured or modular .
67.84 2
dwelling.service and/or feeder
Email: fmfindisCir)yahoo.comReconnect only 67.84 2
.•,...4 -.•.....x�:• °a•s: �,r� ._....._:<•.�._.* p:�•, ,, - 67.84 2
•
:;c`' s^ °icy_,, , .,-:T,:..,r<a..:.,-z�RA� M•-,... <, ,,. zs�... ,.k .. :4.. Pump or irrigation circle
Business name: ProTech Power Signor 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 inspection over allowable in any of the above •
City/State/ZIP: Portland,OR 97224 , Additional inspection(1 hr min) 66.25/hr
Phone:( 503)780-6207 Fax:( ) Investigation(1 hr ruin) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: Inspections for which no fee is
CCB Lic.: 198878 Electrical L• .: Pry Li : 6125S specifically listed('h hr mint 00/ r
Suprv.Electrician signature,required: Subtotal: 30,f t4,
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 if a permit isnot obtained within 180
Print name: Date: days after it has beam accepted as complete.
• Number of inspections allowed per permit.
I.l5mldineennes\ELC PerrmiApp_ELR EtE.doc Rev 06/17/2015 440.46)5Tt11/05/COMnvEB
D' iR G + i f �t .-iv
Plumbing Permit Applic ti , e
Building Fixtures Fooiz (qui( : t Si: Oy1.1
0 ' T v 3 1 Received
City of Tigard
Date/By: Perrtt;t No S�aZlt6 Cb e
ou 13125 SW Hall Blvd.,Tigard,; 1U p72 •
IN = Phone: 503.7182439 Fax:'30'3. 98.`f60 `- ' 'fr r Plan Review Date/By: Other Permit No.:
T 1 G A R D Inspection Line: 503.639.41 i (i q 11 y/ q,-s Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov "` ` Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
-
®New construction 0 Demolition For special information use checklist
Description Qty. I Ea. 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
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 43'7.78
❑Accessory building 0 Multi-family SFR.(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: SW Spruce St 8115 Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 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
E PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name:E&V Development,LLC - Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:10879 89th Ave ---
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)246-5862 Fax:(N/A) Ice maker 12.51
-
® APPLICANT El CONTACT PERSON Interceptor/grease trap 25.02
Business name:Rich Duncan construction - Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Chad Elliott 503-910-0897
- Roof drain(commercial) 12.51
Address:2295 Rural Ave SE - 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
Water heater 37.52
Bus' Water i m DWV 56.29
York Custom Mechanical - p p -. 1
-Adc PO Box 21474 _ Other: 25.02
Cita Keizer, OR 97307 Phone: 503-584-1771 _ Subtotal
Minimum permit fee: $72.50
Pho CCB: 203341 Plumbing: PB 1481 _
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: tM\ ...,b54.1/))) TOTAL PERMIT FEE
Print name:CHAD ELLIOTT Date:10/13/16 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:lBuildinglPermits\PLMU-PermitApp.doe 10/01/09 440-4616T(l0/02/COM/WEB)
City of Tigard
w COMMUNITY DEVELOPMENT DEPARTMENT
Ph
T I c A R D Building Permit Review — Residential
Building Permit #: /i.S j /6 e()V6.3--
Site Address: 5 -7 l S a ) `' ems gi.r. d--
Project Name: Pa// PO/h/ ' nhotil.PS Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: 4,40 EPA
RiVerify site address/suite# exists and act,�iof in permit system.
fiver Terrace Neighborhood: IIS No ❑ Yes,See River Terrace Review Addendum Attached
Sit Plan Elements:
I
ree(3) copies of site plan led il. ting structures on site
e plan must bg on 8-1/2"x 11"or 11 x 17"paper l; .;,,,.=.,,t Onei structate(*Whig decks)With finished ;
Drawn to scale(standard architect or engineer scale) )i-- �' .;.1--,;''''''«f4«
.. Arth 2ltrtTW V‘Al�t
PA tility locations (required for new,may apply for additions)
ri ite address,project or subdivision name and lot number f cation of wells/septic systems
VIZ/epplicant information(name and phone number) t listing trees to be retained with drip line,and tree
Lot dimensions and building setback dimensions irotection measures
Pegg r blul Co ` f 9 . • 414 r -t .• l'.b eet tree size,type and location
• • 6 ( e4 )• , «. R t i.,
" 1'A Street names n, o... 'L \'ttI/Q-- �
i ie>r:el atiods(2 toot tozdoux +es more alai' t,-+W 1ve,ta, e- w
fu a.e4-•"-, ^^QA-P-
1,A
;,..1' v ,, ' tS Ste, I &ek e..Q,n-...- �o..qr S-0.'t.\
J jl lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): ` U
equired: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No
!F Public Facilitie 'Improvement(PFI)Permit:
/Required: Yes,applicant was notified CI No Applied For: Yes ❑ No,stop intake
QQ Land Use Case#: Rhet2O1c a,a)
Zoning: /NW -a
VRequired Setbacks: Front AiVii9 Rear 0 Side: 0 Street Side AM Garage AO
VI/,Landscape Requirement: % Side: i ' ,r �J
ViLot Coverage Maximum: 4?". % �n /S"C C
Ii Building Height: Maximum Height Actual Height Q3
0 Rrisual Clearance
A asements
'ensitive Lands: El Yes %No Type
1 Urban Forestry Plan
❑ Conditions "Met"1prior to issuance/of building permit
Notes: CG7IvI I75nai.S k/i •// e } l)� 9c 7'L C�,7/1Of(%fh.f .S'I IThioni/ i'Lt�'6i
7 /7l7Or- per/ i�..Se e J
Approved By Planning: Date: /0 _ /8-74
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
Building Permit Submittal
Original Submittal Date: /Oil,///,e
Site Plans: # 3
Building Plans: # _ -3
Building Permit#: 0L-Enter building permit#above.
Workflow Routing: 0-Planning ❑ Engineering ermit Coordinator lal--Btilding
Workflow Sign-off: L'Sign-off for Planning(include notes from planning review)
Route Application Documents: Cg-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
riginal plan review routing form.
Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
f) ,R7/
By Permit Technician: �1-�—.....- Date: (4:A.
Engineering Review
Slope at building pad: ,4X
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: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT A. .rov-,; by i ngineering: Date:
Notes: :✓ .i 40_,,,,„. l' /t _ 4;,..4, 1,"?'
Approved by Engineering: Date:
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
roved NOT Released: e: ii /7//fr
PP /fri(ks
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:
'SDC Fees Entered: Wash Co Trans Dev Tax: '"Yes ❑ N/A
Tigard Trans SDC: No es ❑ N/A
Parks SDC: Yes ❑ N/A
to Issue Permit
Approved by Permit Coordinator: Date: 0 A„
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8715 SW SPRUCE ST, TIGARD, OR, 97223 September 21 , 2018 at
9:04:34 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00465
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:
8715 SW SPRUCE ST, TIGARD, OR, 97223 September 27, 2018 at
10:58:47 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00465
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:
8715 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at
11 :38:31 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00465
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