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Permit (43) CITY OF TIGARD MASTER PERMIT 1111 ow- q 2 COMMUNITY DEVELOPMENT Permit#: MST2016 00464 Date Issued: 08/03/2017 Tt AR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AD03500 Jurisdiction: Tigard Site address: 8709 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 Yes Dwelling Units: 1 Third: sf Right: Detectors: 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: 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 Y Other: N Other Description: Ecompasing: 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 Ersn Cntrl 503-639-4175 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 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / 0J"GbGilJl� Issued By: �� Permittee Signature: i �/Y�" 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 Residential ,' r c i �t FOR okFICE: 1E otiLt City of Tigard Date/By:Received / 2 TT Permit No.: ,�Q f / �0y�� i f 3 1'. r. P l�7!�/`,--6Y-� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _1 Phone: 503.718.2439 Fax: 503.598.1960�� 01 Date/By: /'e� '17 -� Other Permit: Sh4 Pp4_-co 3f3 TI GARI) Inspection Line: 503.639.4175 q s"1 Dare Ready/By: Jutis: 0 See Page 2 for Internet: www.tigard-or.gov CITY I.IGA 9 Notified/Method:Vv/7 V" Supplemental Information ,,„,:,-,,i r TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING k 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 indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrialValuation. `} $I34;t353>OQ L�/ j� ' T ID Accessory building 0 Multi-family Number of bedrooms: 2 i 3 Q J -% 4 9 ❑Master builder 0 Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: SW Spruce St S 0 ct 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 r o o Cross street/directions to job site:SW Spruce St and Hall Blvd Deck area: 91 square feet q O Other structure area: `7e 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 ►5 PROPERTY OWNER 0 TENANT Number of stories: Name:E&V Devlopment,LLC Type of construction: Address: 10879 SW 89th Ave Occupancy groups: City/StateiZIP:Tigard,OR 97223 Existing: Phone:(503)246-5862 Fax:(N/A) New: ei APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:Rich Duncan Construction (Please refer to fee scheduleL 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 Phone:(503)390-4999 Fax::(503)390-3633 Amount received: 3a 2S E-mail:Chad@richduncanconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of� CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System Business name:Rich Duncan Construction Submit two(2 ets of roof plan with conne-". details and fire departmpt access,along w • e 2010 Oregon Address:2295 Rural Ave SE Solar Installation a;cialt •••checklist. City/State/ZIP:Salem,OR 97032 Permit Fee .des plan review $180.00 and adminis-• ive fees): Phone:(503)41/21 S 90-4-ici 9 Fax:(503)399-3633 State surcharge arge(12%of permittee_ $21.60 .CB lie.:158330 Total fee due upon application: ', 01.60 V Authorized signature: ‘Nik 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:CHAD ELLIOTT Date:10113/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingtPermits\BUP-RES'PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 ' 1VIe!hanical Permit Applicatkop FOR OM(l( I. I SI.O11.I 0-I ,7- N ` r `'1 3 Received 1111 City of Tigard l 1"a k PermitNo. 7T 13125 SW Hall Blvd.,Tigard,OR 97223 h Plan Re: �`?S/ /( �(,y(, _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit: Date/By: r I G n ti to Inspection Line: 503.639.4175 i�1,1 1 8 2 t�1 C; Date Ready/By: Sufis: 0 See Page a for Internet: www.tigard-or.gov $$ Notified/Method: Supplemental information �..d n ,. Q Y i ne'l-1+ � TYPE gi�l "7 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST rr? t d -- 1 r? Mechanical permit fees*are based on the value of the work New construction ❑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 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 8'CD1 Furnace 100,000 BTU(ducts/vents) 46.75 City/StateiZIP: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 jydronic 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 unit,dryer,and bath exhausts Log lighter(gas) 23.32 tri—nicrowave Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent - 23.32 14 PROPERTY OWNER ® TENANT Other: 23.32 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 w APPLICANT e 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 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) Busine Advanced Mechanical Services Other: — MECHANICAL PERMIT FEES* Addres PO Box 1699 Subtotal City/sl McMinnville, OR 97128 Phone: 503-434-8544 — Minimum permit fee($90.00) one: CCB: 194814 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB 1k ______ TOTAL PERMIT FEE 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 IaBuilding\Permits\MEC_PermitApp_040113.doc 440-4617T(11102/COM/WEB) , .ESE . ': Electrical Permit Application i ()I:(H I.1( 1 1 SI t O i 1 Cityo Tigard s Received 12118211°21181"1M- 2f g 1,.1 C [l 1_� DatcB III131z5 SW Hall Blvd.,Tigard,OR 97223 Plan Review I Phone: 503.718 2439 Fax: 503.598 e , Da : : Related Permit 0: - Inspection Line: 503.639.4175 1,1 S[ k..J 1 11.511 NJ Ready Date/13y: Tuns: Si See Page 2 for 1 c Kit• Internet wwwtigard-or.gov r ,y , Notified.Rvtethod. Supplemental information :r/' �^'w.-.�_.^.>"';r'ay r: :;.3:z .= am.. , ^'s,?r rr'c+ ' i_"�s" ; -'K`:— �.�X'r�; r eW rs"n �'.F-1 '-''�."'r•�u="'�%",,,,�=="'-�.':-�.fG'?'.x" ....� .r�t� t.�.<:,'.��,r�:����:Y� Y,:�;C,�.�r..��.z��, .,..-s.-.�^ �':..a�%;� -� .....�.�.��.L't.����r��'� �s.�%„'�'.�,.^,� -. ,,,-?'.:;s,.;,.r,<.w..=a�.r.' -r�3 ky� � ._ .r„ :MFi.' d`^`y „”-.r.'-•t.� :c. r..�-.' Ws' New construction 0 Addition/alteration/replacement Please check all that apply(submit2 sets of plans whiten*checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. '. F= .f. ;- F' 1X.,; V i' O t, } =i`�=?a i ,, , ' exceeds 10.000 amps at 150 volts or 0 Floating buildings' ==..- yr.---:s:�'t :r 4�-re ..r4 mss.: �.., ,..,`_,`,..._4V9.R. >., ,..,::;✓:t,,...::��� �.".v"` .�;, .•x: ; Ell •and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. Multi-family 0 Master builder 0 Other: O Fire pump. 0 installation of 150 KVA or c �;;. - .�n^-tr �afW�?: a a =: N I ❑Emergencysystem. larger separately derived '.".,.G..,,-, 5`'"~.-.„}.�'^ G=s- k=kiss:'� `3.Ila... �: �:*?V.4..S'=A>:x`;`r' `.a:�?.g3 ''z�;�';"s Q Addition of new motor load of system. Job#: Job site address:i'Vj SW Spruce St IOOHP or more. ❑"A `'E","1.2""1-3 0 Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97223 C7 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#; C. Project name: Hall Pointe Townhomes 0 Hazardous locations. 0 Supply vohage for more than j 600 volts nominal. ©Service or feeder 600 amps or more. Cross street/directions to job site: Hall Blvd&SW Spruce St met "" ... 4„ 'f9 ` "" ""' Deseripdea I Oh. Bath I Tatal I . New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ftor less 1 168.54 / ',S1f 4 Tax map/parcel#: 1S135AD03500 Ea.add'i 500 sq.ft.or portion i 33.92 ST,9 Z I 'Will!.En }t c-:� �:cr; . =M'`J= °r'.<,;u,'c-.'``.` e'Y; '1 s tial .�: �•r Y- „r<: ,.,�, _ Limited energy.resider r.�= -„"r:��::�-�=:�c�-��:�.<���r=;�.:x�.�ti+?fi}��:t:,� -,..,_:ri��k.-. .�.t ._,�*�- ,,. .,.�>...y. g9• 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) s €=r'T;z- ---,,r .,_,r;vr:= Renewable Energy CI Set Page 2 : s : �, C ?3 11TP .,,::�. ?=s.-.=m4:.,-N; .�: =,n;3X - _ ^==tel- gi Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 1 100.70 141,7p 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 A City/State/ZIP: bot 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: to 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel ��ey.;> � 111r = : n. . �. ** -thw ��. AFeon branch circuits wit 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 67.84 2 • dwelling,service and/or feeder Email: fmf iadia@yahoo.comReconnect only 67.84 2 — ` Plumbing Permit Applica 4,a.,4 ,�'4 1 - Building Fixtures Q Foli 0111(111 SF ()MI ��CT �) �' Received >���� City of Tigard Date/By: Permit NoS1 /6 III ■ 13125 SW Hall Blvd.,Tigard,OR-97-,24,3 1 -s a ;v.5 Plan Review Z Phone: 503.718.2439 Fax: 501.598.1960 €/.'a ', Other Permit No.: Date/By: • T 1 It i� Inspection Line: 503.639.417 r M i , f 1 i Date Ready/By: Juris: ® See Page 2 for r i?t4 �y.., z � ✓ g 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. 1 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 ®1-and 2-family dwelling 0 Commercial/industrial - SFR.(2)bath 437.78 ❑Accessory building ElMulti-family SFR(3)bath 500.3- 2 - 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 8-Km - 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 1l 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 ® 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 Water closet 25.02 CONTRACTOR - -- Water heater 37.52 Br - York Custom Mechanical _ Water piping/DWV 56.29 AA PO Box 21474 ^ Other: 25.02 Ci- Keizer, OR 97307 Phone: 503-584-1771 _ Subtotal PI CCB: 203341 Plumbing: PB 1481 Minimum permit fee: $72.50 4 II lk-1 Plan review (25%of permit fee) pp �� State surcharge(12%of permit fee) Authorized signature: '��s'w i_ TOTAL PERMIT FEE Print name:CHAD ELLIOTT Dale: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-Courtly Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.eoc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 1111 q COMMUNITY DEVELOPMENT DEPARTMENT ■ T1cnRn Building Permit Review — Residential . ..-.par,,,-, C 4,„ 1,.,, ._ . Building Permit #: /1,7-6 ,0/C., - o'. /6 V Site Address: 8 707 SOS ` ' e. . %ed Project Name: /jai/ PDjn°71 '7a..)/rho c Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A,zav EF/4 Verify site address/suite#exists and activin permit system. f` ,iver Terrace Neighborhood: IV No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: I ree(3)copies of site plan ting structures on site ite plan must be on 8-1/2”x 11"or 11 x 17" a Per y P . x -, 14 a w swam*swam* � decks)with finished - , 00-' Drawn to scale(standard architect or engineer scale) ' *.t +a a P. + a arJtow SAO PA tility locations(required for new,may apply for additions) tU tte address,project or subdivision name and lot number 0 cation of wells/septic systems pplicant information(name and phone number) sting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures a ptarea, , ape aii,4,; • al . p ,••y-,> < .*`" r" �. eet tree size,type and location • s ASR �f , a 1 I`4 Street names ' G,Q Q /n-t-1-14- 7„. ., -�T 7 iiiniookiaii►ns(2 fit cz ntot : if.mpg ,11,,12,unn t,�.i)11.4*-2-aA A^. a"yl 'Y ." A . I �c>&bk e'�,a,�.. ` r S-D.1.\ J `i lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): u iRequired: ❑ Yes,applicant was notifiedFr No Received: El Yes ❑ No I Public Facilitiy Improvement(PFI) Permit: Required: Tr Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Land Use Case#: S'Aet.0 i—OA 'Ac---- IP/Zoning: mui2't VRequired Setbacks: Front /¼J Rear 0 Side:: C, Street Side AM Garage andscape Requirement: Is_ % Sick /&`/Gin we -Vick of Coverage Maximum: IIa Building Height: Maximum Height zAs— Actual Height Q3 0 Aisual Clearance 41 asements Al`ensitive Lands: ❑ Yes RNo Type P Urban Forestry Plan El 4.Conditions "Met"prior to issuance of building permit > Notes: C:di?G/ A_ ' is ' /` , odorodor �,237/Aof( w ..T1 1)111!?ai/�c' 6ai / /7n -7 ,fir / J .. a2dfCf \ i / Approved By Planning: v If.• _ Date: /0 _ / -'/6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved 1:\Building\Forms\BldgPennitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /// // Site Plans: # 3 Building Plans: # 3 Building Permit#: [ Enter building permit#above. Workflow Routing: i2-"Planning 11--Engineering [ ermit Coordinator 'wilding Workflow Sign-off: ©--Sign-off for Planning(include notes from planning review) Route Application Documents: U.—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: By Permit Technician: / / -- Date: /// ,4 Engineering Review fit Slope at building pad: 1: Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Cl 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 Approved E ineering: Date:'� Notes: / least j..5 .! .i /1-4. 74"- Approved by Engineering: ie_c:P_____ Date: ft--41--/t4 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Date: //f 1‘, 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: 1 SDC Fees Entered: Wash Co Trans Dev Tax: !\/ es ❑ N/A Tigard Trans SDC: P •Yes ❑ N/A Parks SDC: Er es ❑ N/A K to Issue Permit APPby roved Permit Coordinator: 4/if-Date: 3/ `�- I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8709 SW SPRUCE ST, TIGARD, OR, 97223 September 21 , 2018 at 8:56:40 AM Record Type: Record ID: Residential - Master Permit MST2016-00464 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: 8709 SW SPRUCE ST, TIGARD, OR, 97223 September 27, 2018 at 10:58:40 AM Record Type: Record ID: Residential - Master Permit MST2016-00464 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: 8709 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at 11 :37:53 AM Record Type: Record ID: Residential - Master Permit MST2016-00464 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