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Permit (120) CITY OF TIGARD `�'�F` MASTER PERMIT II 01,COMMUNITY DEVELOPMENT ai�� Permit#: MST2017-00259 13125 SW Hall Blvd.,Ti Date Issued: 08/24/2017 Tr(.;„\II:D and OR 97223 503.718.2439 g Parcel: 2S 110AC00200 Jurisdiction: Tigard Site address: 10964 SW ANNAND HILL CT Subdivision: None Lot: None Project: Annand Heights, Lot 27 Project Description: New SF, model home. 8/17/17: Demo credits applied from BUP2016-00201. 1/30/18: REPRINT to add backflow preventer for landscape sprinkler. 3/20/18: REPRINT to change address from BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 897 sf Basement: sf Left 3 Parking Spaces: Height: 35 Bathrooms: 3 Second: 1275 sf Garage: 351 sf Front 15 Smoke Dwelling Units: 1 Third: sf Right 3 Detectors: Yes Total: 2172 sf Value: $264,687.29 Rear: 15 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: 1 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 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'I 500 sf: 4 201-400 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 SF VB R-3 2172 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 2 GEO Tech Required before TIGARD,OR 97223 foundation inspection 3 Fire Sprinklers Required PHONE: PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $7,667.83 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503..22'32.1987 or 1.800.332.2344. • Issued By: / fr, Permittee Signature: aT� �' t-1, ,e -'75 1.iCall 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD ,$~ MASTER PERMIT �° COMMUNITY DEVELOPMENT >� = //) Permit#: MST2017-00259 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017 T tJ 9 Parcel: 2S110AC00200 Jurisdiction: Tigard Site address: 10964 SW ANNAND CT Subdivision: None Lot: None Project: Annand Heights, Lot 27 Project Description: New SF, model home. 8/17/17: Demo credits applied from BUP2016-00201. 1/30/18: REPRINT to add backflow preventer for landscape sprinkler. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 897 sf Basement: sf Left: 3 Parking Spaces: Height: 35 Bathrooms: 3 Second: 1275 sf Garage: 351 sf Front: 15 Smoke Dwelling Units: 1 Third: sf Right 3 Detectors: Yes Total: 2172 sf Value: $264,687.29 Rear: 15 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 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 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'I 500 sf: 4 201-400 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 SF VB R-3 2172 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 2 GEO Tech Required before TIGARD,OR 97223 foundation inspection 3 Fire Sprinklers Required PHONE: PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $7,667.83 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 btain a copy of the rules or direct questions to OUNC by calling 503,232.19 1.800. 2. 44. Issued By: Permittee Signature: (-Z Call 503.639.4175 by 7:00 a.m.for the next available inspection date. LV 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. Plumbing Permit Applicatic� ,t 4 Building Fixtures FOR OFFICE USE ONLY City of Tigard i A N 3 0 ?t 18 Received J V//j// Date/By: Permit No.:A �T/1j7 111 13125 SW Hall Blvd.,Tigard,OR 97223 >`ic 7isc = Phone: 503.718.2439 Fax: 503.598 1.t (.4 Plan Review x t�k Date By: Other Permit No.: T I G A R p Inspection Line: 503.639.4175 Internet: www.tigard-or.gov $ s i,f.",',,,,774',' , Date Ready/By: June: ® See Page 2 for Notified/Method: v `ir��„ Supplemental Information TYPE OF WORK FEE* SCHEDULE' r New construction 0 Demolition For special information use checklist. Description I Qty. Ea. 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 )q1-and 2-family dwelling 0 Commercial/industrial T SFR(2)bath 437.78 ❑Accesso buildin SFR(3)bath 500.32 IY g ❑Multi-family ID Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE,INFORMATION.AND LOCATION Site utilities: Job site address: /1)1 6 C j Ls-c„...) yuvrn f b < r Catch basin or area drain 18.76 City/State/ZIP: --t-�L� Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: NK.) `7)„. Manufactured home utilities � -� 50.03 Cross street/directions to job site: 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.: a 7 Fixture or item: Tax map/parcel no Backflow preventer f 31.27 Z' DESC O11;OF*Oil( 12.51 Backwater valve / q%/��. / b Clothes washer 25.02 !elf" r/ !` �fr/- ( Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02ROPERTY QWINtER '' `'- Expansion tank . . _ .. E1A+1T p 12.51 Name: Fixture/sewer cap 25.02 �M W /A( Floor drain/floor sink/hub 25.02 J (Aar " v Garbage disposal 25.02 -1--/ -44-1-v0-) 0 Hose bib 25.02 Phone:( ) Fax ( ) Ice maker APPLICANT ' 12.51 ` b [,,, CO!1'rCT ERON�;r. Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 �CON 'R ,CTOR : Water closet 25.02 Water heater 37.52 Business name: / �� ��� (' . D ff�x++ Ca Waterpiping/DWV 56.29 Address: / Q 1,.5 is w o 2--- _____I Other: 25.02 City/State/ZIP: _e_fti Subtotal Phone:(6 _5 6 S D. - 1 3 0�- Fax:( ) Minimum permit fee: $72.50 CCB Lic.: c c)Z 5 8 74,4 Plumbing Lic.no.: Plan review (25%of permit fee) U State surcharge(12%of permit fee) j� Authorized signature: / ' ` -, \"� TOTAL PERMIT FEE Print name: ?/.4,01_ lti\ 60 j lJ Do')1..) Date: L 1 3 O )) This permit application expires if a permit is not obtained within 180 days V 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) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: a Site ITties Qty. Fee(ea). Total ° Square Footage: Permit Feer Footing drain-ls`100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 valuation: - Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to OtherrInspections or Fees and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additionallan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for p each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to , accurately report fixtures could result in increased sewer fees*. , : pvan gOtelw'for Ph mbing Installations :;� Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ' ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918 780 0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: 2" ., Isometric or Riser`Diagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Comments regarding fixture work: Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -lav/Bar non-food related -Bradley -Com/Sery/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitAPp.doc 08/04/2011 2 101CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00259 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017 T(GAR` ' 9 Parcel: 2S 110AC00200 Jurisdiction: Tigard Site address: 10964 SW ANNAND CT Subdivision: None Lot: None Project: Annand Heights, Lot 27 Project Description: New SF, model home. 8/17/17: Demo credits applied from BUP2016-00201. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 897 sf Basement: sf Left: 3 Parking Spaces: Height: 35 Bathrooms: 3 Second: 1275 sf Garage: 351 sf Front: 15 Smoke Dwelling Units: 1 Third: sf Right: 3 Detectors: Yes Total: 2172 sf Value: $264,687.29 Rear: 15 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: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 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: 4 201-400 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 SF VB R-3 2172 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 2 GEO Tech Required before TIGARD,OR 97223 foundation inspection 3 Fire Sprinklers Required PHONE: PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $7,632.81 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 952-001-0090. You may o the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: -Permittee Signature: 1503.639.4175 by 7:00 a.m.for the next available inspects 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 Applicati• • a/f Residential RECEIVE!) FOR OFFICE USE ONLY -0,- / Received City of TigardPermit No.: Date/By: 7 4, /J kf5T.2D/7-ruD.?5g e 13125 SW Hall Blvd.,Tigard,OR 9722UL 6 2017 Plan Review ' = Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1/1 i 11 PCP( Other Permit: 6/4)/2,020/7—4701.2-3 Inspection Line: 503.639.4175 '�`�/ Date Ready/By: luris: El See Pae 2 for TIGARD Internet: www.tigard-or.gov �a ������ Notified/Method.2 /, /7 Supplemental Information is 1. 1 l 1 'I - ' Ii TYPE OF WORK - REQUIRED DATA:1-AND 2-FAMILY DWELLING /New construction ❑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. zl-and 2-family dwelling ❑Commercial/industrial Valuation: a(o41(c)87 ❑Accessory building 0 Multi-family Number of bedrooms: LI ❑Master builder ❑Other: Number of bathrooms: P, *1" JOB SITE INFORMATION AND LOCATION Total number of floors: y3 Job site address: / 9'6 4/ ilAAanCi /11I f ` r-1 o4New dwelling area: 2/ 2,, square feet Ivis City/State/ZIP: T_Ta I3-LO Y,LL 9'72.a-3 Garage/carport area: 1/% ei-e feet 3C1 Suite/bldg./apt.no.: Project name: 4_1)n4nd �CV ATs Covered porch area: -1 p square feet Cross street/directions to job site: sQ'f�7--1) Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: fill natid 1.-/-e<3 A is Lot no.: 2-7 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 DESCRIPTION OF WORK work indicated on this application. get() 3 P/2. Valuation: $ . f Existing building area: square feet „, n061,91. --4,---,--.5f ��G / New building area: square feet 0 PROPERTY OWNER ❑ TENANT V fedi Number of stories: Name: 61I60„0 CO/LS �i- r,�'p /'/ Trak) �� Type of construction: Address: / 4S-S• 51'‘ NO/L7-11 Da kd 9 e% 6' -r / Occupancy groups: City/State/ZIP: 7-i a? 91 22Existing: Phone:(3 70 L./3 7 6 Fax:( 28) 3 77 Lao New: 0 APPLICANT ;❑ CONTACT PERSON BUILDING:PERMIT-FEES* — Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: #7577,c Phone:( ) Fax::( ) E-mail: u/ft illiatTaagIOMGS/v L'®( a,t at A,Co" PHOTQvOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mo • ed Photo Voltaic Solar Panel System. Business name: kJ/l d,43�S 7L Submit two(2) ; s of roof plan with connec'. .etails '5S (5 `� 0 /24.- � (� [ od fire department:. cess,Cod- with • 010 Oregon Address: � �1 � Solar Installation Spec: Cod- - ecklist. City/State/ZIP: .re q72.-..7----3 Permit Fee tnclu.-: . review .0 (• .. inistrativ- -es): $180.00 Phone: /Dd _Lt6 7c Fax:( re'3 60--za0c Sta • surcharge(12%of permit fee): $211 CCB lic.: 6-0/96. Total fee due upon application: $21 Authorized signature: _ - -- This permit application expires if a permit is not ob within 180 days after it has been accepted as cor Print name: -ii S. Date: 7/`'3//7 *Fee methodology set by Tri-County Building Indus / Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I SE CEI Mechanical Permit Apphca V )R OFFICE USE ONLY City of Tigard Received Day: Permit No.:kit •17-ex) 13125 SW Hall Blvd.,Tigard,OR 97223 ,J U L $ 20'17 Plan Review 1 - Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TI GARD Inspection Line: 503.639.4175 CITY OF TIG p RD Date Ready/By: Juris: p See Page 2 for Internet: www.ttgard-or.gov CITY TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE of,WORK .COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ew 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:$ CATEGI,ORY'Ola`C()NSTIZUCt3(�N '' -. T 'RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Or' 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 Heating/cooling: :.,:;::,41:444?--C 1('3B SPTE:IlVFORMATiON AND' LOCATIi�N ': -{ � g: ,r Air conditioning 46.75 Job site address: /o9 t,' �� �^aa� /74`/(ak PI Furnace 100,000 BTU(ducts/vents) ." 46.75 City/State/ZIP: 7----,./,ara� d2 9'72.23' ` Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: �/ �/ AA- DuctHeat pump 61.06 /l/�.�/1(� dPC,<y work 23.32 Cross street/directions to job site: /of 1 1/ Hydronic hot water system 23.32 3r 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: /9-nn4„e,, /-/-€0 A Lot no.: 27 / Other fuel appliances: Tax map/parcel no.: Water heater ./ 23.32 x ,DESCIUP`rION;o w©g Gas fireplace/insert 33.39 Flue vent for water heater or gas 4/C4--1- c'P� fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 OPERTY OWNER Other: 23.32 " N� Environmental exhaust and ventilation: Name: ®4 1 I,tt/k)id 57E ,G Range hood/other kitchen �/'" equipment 33.39 Address: la6,5 6' q/dr/..h paithiz, 5iicrc,1 Clothes dryer exhaust .././. 33.39 City/State/ZIP: �j� c", ,9,--2 .2-3 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 5l?3 76 d -467 c"-- Fax: 3) trfo —76'06 Attic/crawlspace fans 23.32 ,'APPLICANT ' -- ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: 50 At $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace / � Range Email tut,/ (.PuJ'dor1114m rS/VU.:) ,,tai A (aiM Barbecue CONNIRACTOK t. Clothes dryer(gas) Business name: F I r5,4 (.,,,/// Other: MECHANICAL PERMIT FEES* i. Address: //3, /5z) zr/�e nw5 a/U / D,.. Subtotal City/State/ZIP: (5T:56k, 6w. Q' do a95--- Minimum permit fee($90.00) CJ `"U Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: '7.2.6c2,3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Pdays after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: /3cr n////`/n�i`�', / Date: I:\Building\Permits\MEC_PermitApp_040 1� 440-4617T(1 1/02/COM/WEB) i Electrical Permit Applicat VEaR OFFICE USE ONLY City of Tigard . P Received Permit#: rn_ DateB I �/7- st 5, a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960)u L $ 21ry 17 lh DateB : Related Permit#: T f G AR D Inspection Line: 503.639.4175 U Ready Date/By: loris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information I 'OFTIGAR3 TYPE OF Yy(�� ((^`'�jj�] (��1 PLAN REVIEW Neal construction 0 Addition/alBtUtfi!a�r.tt7I¢l ISIOl� Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling ❑Commercial/industrial IDAccessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address/0 L _/f,[/J (Li �/ ❑Addition of new motor load of system. 7 V �/)n gAl�l !6 mai 100HP or more. ❑"A„ "E„ ..I-2 "l-3„ City/State/ZIP: 0 ,1�� PJM - 0 Six or more residential units. occupancy. t 5 C ter`- 7 'y� 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: / Project name: f�A „d h4 1 ❑Hazardous locations. ❑Supply voltage for more than / v 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: oto/2 FEE SCHEDULE w/ Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: ill/14A/ hLtt5 i 15 Lot#: -.7 Includes attached garage. V / 1,000 sq.ft.or less if 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion a., 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 II, 5FZ (with above sq.ft.) r/ Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 -PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: to f.. 1t ddc ays � A7tC 200 amps or less 100.70 2 �`C��f cs 5 Atari-1-4'1 Pexi `�— 6 � 201 amps to 400 amps 133.56 2 Address: `! - ` , 401 amps to 600 amps 200.34 2 City/State/ZIP: 7-04,7„/ f-7223 601 amps to 1,000 amps 301.04 2 Phone:(Ifi3 • 7bO._.L/3 ,s' Fax:(5v3 )5-90 ...._74,44 Over 1,000 amps or volts 552.26 2 d' y M ,�.� Temporaryservices or feeders installation,alteration,and/or Email: �- �S N� t� � � � .CC/01relocationanon 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 ;' ICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: ,'�/� above service or feeder fee, 7 42 2 C•/"� ,e each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Orea gc /-Zci��L Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: G/4-41 00A ripi panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above aCity/State/ZIP: E.- q, .25 Additional inspection(1 hr min) 66.25/hr Phone:{J3) v.? ,_.J,.'7(a( Fax:(5zj3) ‘Yb._9723 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic.:/q6,7,7,14Electrical Lic.4,---"C Suprv.Lie.:11U5 specifically listed(/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name /,r 5 hi 4 dito Date: 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: C n ri p Ma Ito-ADate: 7f 31 days after it has been accepted as complete. Ir * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/1 5 440-4615T(11/05/COM/WEB • ectrical Permit Application—Cif Tigard • ,l � PP g Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE DescrFee for all residential systems combined: $75.00 iQty. Each Total * j n Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100 70 z 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/2 hr min) CO1VIMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 ET) , -*PI>.><mbing Permit Ap V 'Building Fixtures FOR OFFICE USE ONLY City of Tigard U 2017 DateBed Permit No.: 7�� NI - 59 a 13125 SW Hall Blvd.,Ti ((``p(� y �y Phone: 503.718.2439 �. �v11 Plan Review Date/By: Other Permit No.: TI GA R D Inspection Line: 503.,„; ' '115DFNG DIVISION Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-+t'.,. ill�� Notified/Method: Supplemental Information '' TYPE OF WORK FEE* SCHEDULE ew construction 0 Demolition For special information use checklist Description Qty. 1 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 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /2'190 i kJ ill-A ngi/64 Catch basin or area drain 18.76 �� Drywell,leach line,or trench drain 18.76 City/State/ZIP: T 9'7 �' �-2Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: I�< A,0. /1/lG/1 Manufactured home utilities 50.03 . Cross street/directions to job site: /� Manholes 18.76 if® 9 fi� 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: "la Al liz,.0 /,/5 Lot no.: Z� Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 �* Clothes washer 25.02 /Vex-) J�1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name: Ind eld ia,,-57 j ....,/ Fixture/sewer cap 25.02 7 � �� Floor drain/floor sink/hub 25.02 l /"`� Address: fel /s--5-7510 /L1 rt-h../a `Z ® r, Garbage disposal 25.02 City/State/ZIP: a- _!/E t C" Hose bib 25.02 Phone:( 7 (f--4/1)7g- Fax:(1--e'3 5`? -762,‘" Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 56 toMedical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) / Tub/shower/shower pan 12.51 E-mail: 1.4.///t-CA/a0-0 crd M,.tg Al(A-7 (Al 4 Urinal 25.02 CONTRACTOR Water closet 25.02 `` �� Water heater 37.52 Business name: poi- I 1L4 4 f i® Water piping/DWV 56.29 Address: /4,110 5 IA 11144/ Other: 25.02 City/State/ZIP: 61,..0„,, 6 !1/l t*7O' -- Subtotal Phone:(&3) 7x-3 ^gg Fax:€5Z3) 73.36 / Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.3-`s,3 0,0/3 Plan review (25%of permit fee) !t� /39 //�O State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: sDee n tu A,t 7 Date:77/3/00-7 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-PennitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 71 " COMMUNITY DEVELOPMENT DEPARTMENT T l ca x D Building Permit Review — Residential 6 Building Permit #: NI b-1--ge, 17-oa a 5'9 Site Address: W((lQ 14 SUJ Al/MA O CcU ici- Project Name: itla VId f4 fr Lot #: 'L') (New dwelling=subdivision me;Addition or Alteration=last name of owner) Planning Review Proposal: New (;FP--I moc,{ tr}pyy,,& JVerify site address/suite# exists and active in permit system. River Terrace Neighborhood: ...8. No El Yes,See River Terrace Review Addendum Attached Site Plan Elements: ZThree(3)copies of site plan xisting structures on site bsite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished NPrawn to scale(standard architect or engineer scale) floor elevations , orth arrow .motility locations&easements(required for new and additions) ' ite address,project or subdivision name and lot number dewalk/driveway approach 5 Applicant information(name and phone number) Kocation of wells/septic systems "gLot dimensions and building setback dimensions Nitkxisting trees to be retained with drip line,and tree l41ASquare footage of buildings to be demolished protection measures ` Lot area,building coverage area,percentage of coverage and ,Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) XStreet names .Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?. Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes NoJ4 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): QpQ-I CV Required: ❑ Yes,applicant was notified iN No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake 14 Land Use Case#: Pp 0IS-WOO jS1/t giol,c-- poo 13 / P 2,0 11 —0°Dc j ISC Zoning: g-12 (p D) l J Required Setbacks: Front iS Rear 15 Side 3 Street Side N f Garage 20 .Landscape Requirement: ' % Vj ro 3' �,KJ cevel�t � � P � � 8.1�.o�.I�.#3 �.�y) 1� Lot Coverage Maximum: 55i 0,0 121.Building Height: Maximum Height 3S Actual Height±2(p iSt Visual Clearance N(A ..... Sensitive Lands: ❑ Yes /a No Type jk Urban Forestry Plan tk-Conditions "Met"prior to issuance of building permit Notes: P\1\ CardrhhAS VIA,u( 10( Ma pYU 10 1 SCucc-11CP . Approved By Planning: 114 o�,�,06Date: 7401 l 1 Revisions (after BuildingSubmittal on Reviewer y) Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPemiitRvw_RES 061417.docx Building Permit Submittal Original Submittal Date: 7/11/17 r Site Plans: # Building Plans: # 3 Building Permit#: a.Enter building permit#above. �/ Workflow Routing: [r Planning Q/Engineering I.d' Permit Coordinator }2' Building Workflow Sign-off: 12r Sign-off for Planning(include notes from planning review) Route Application Documents: V Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original 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: (,J Date: 7421/ Engineering Review / 76 Slope at building pad: L • _•nrdiric "Met"prior to issuance of building permit • Easements -. roachments)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: CI Yes �"No LIDA Facility on lot: El Yes yr No /17 NOT Approved by Engineering: WPri/ fin- Date: . - / Notes: /})41T "/U Wb L 1.)770%.4- 2,r13 5'61 A ))1. Approved byEngineering: v� ll' ` `/4 11 ate: 7i/ii •- PP �� �'� �ti X10 � ,r_ Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: eL77 I�11//3/o IE &4 SE' iV- - /0-(A-( L Ar. Revision (a er Building Submittal only) -/Ci//9---- 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: F Yes El N/A Parks SDC: Pl-Yes ❑ N/A LIDA El Yes CSN/A OK to Issue Permit Approved by Permit Coordinator: / Date: 7//:///` I:\Building\Forms\BldgPermitRvw_RES 061417.docx Albert Shields From: Albert Shields Sent: Thursday,July 06, 2017 5:42 PM To: 'Dale Richards' Subject: MST2017-00259, 10964 SW Annand Hill Ct. Dale, Mike White just filled me in on the fact that documentation has just been discovered of a 50 ft. easement on your Annand Heights property. I understand that efforts are underway to have the easement voided but unless and until it is we can't approve or issue this permit. Accordingly, I have put this application on Hold pending resolution of the easement issue. Plan Review will proceed but the permit will not be issued until resolution is achieved. Please let me or Mike know if you have any questions. By the way, what is the name of that cartilage replacement thing again? I thought it was euthera but that turns out to be a destination in the Caribbean. Albert Shields 503-718-2426 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 February 22, 2018 at 9:00:05 AM Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Turn off alarm system prior to inspections. No inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 February 22, 2018 at 9:02:43 AM Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Turn off alarm system prior to inspections. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 February 22, 2018 at 9:01 :18 AM Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Turn off alarm system prior to inspections. No inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 February 27, 2018 at 10:04:04 AM Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide missing down spout at garage. Master WC not working, water shut off not on. Not ready for final inspection, work not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 February 23, 2018 at 12:55:13 PM Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 March 6, 2018 at 9:31 :17 AM Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 March 5, 2018 at 9:41 :58 AM Record Type: Record ID: Residential - Master Permit MST2017-00259 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal penetration around lineset at exterior wall. Protect copper tubing from contact with metal collar same location. Seal around gas line penetration at garage ceiling and sill plate to underfloor. Unlock house for interior inspection, no further inspection done. No access for inspection. R109 No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10964 SW ANNAND CT, TIGARD, OR, 97224 March 9, 2018 at 10:02:57 AM Record Type: Record ID: Residential - Master Permit MST2017-00259 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 Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Irrigation backflow device approved with test report. Violation Summary: Inspector Contractor