Permit (39) .. E fir.
CITY OF TIGARD a '2 // 4(` MASTER PERMIT
11111 .f.,� COMMUNITY DEVELOPMENT Permit#: MST2017-00182
Date Issued: 09/21/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DB07200
Jurisdiction: Tigard
Site address: 17384 SW CLEMENTINE ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 72
Project: River Terrace Northwest, Lot 72
Project Description: New SF. 2/7/2018: REPRINT permit to include 147 sf deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke
Yes
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors:
Total: 2229 sf Value: $274,451.26 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 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 add9 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
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2229
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Fire Rated Eave
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,343.85
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 thr gh'OAR 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
- 4.441111P
Issued By: . %t" �'` --`- �'l� Permittee Signature: `� - /6/1.q77C""
�/ Call 603.639.4175 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.
FOR OFFICE USE ONLY–SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11114
Transmittal Letter
T I G AyR D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE t 14i
)16
DEPT: BUILDING DIVISION
FROM: Nichole Thorpe ,V l F' 4 i 'GA'
COMPANY: Polygon Northwest
PHONE: 360-989-4204 By:
RE: 17384 SW Clementine St MST2017-00182
(Site Address) (Permit Number)
River Terrace Northwest Lot 72
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: ° Copies. Description.
0 Additional set(s) of plans. 3 Revisions: Deck Revision
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
_ 0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Please pay fees owed with Trust Account.
Deck Revision — 779 /r9-,✓A/'9
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: ) Initials:
l
Fees Due: K1 Yes ❑No Fee Description: _ Amount Due:
Special
Instructions:
Reprint Permit(per PE): KI Yes ❑No El Done
Applicant Notified: I ate: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
e
City of Tigard
'PI ~ COMMUNITY DEVELOPMENT DEPARTMENT
i
T I G A R D Building Permit Review - Residential
Building Permit #: M 5,D...0o- 6?/ 72__
Site Address: I13 B L{ so/ a e m€ t-►Y\Q c,.i-
Project Name: 1..tv- r Te rr-ot Lk. (Vo r--tn vce s i- Lot #: -7 Z
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review 9//Q//7 /2-67/iSi vn.!S
Proposal: New S F (Z sire /QL9-"/ 4)/4-ZE"L/ T7O%v.S
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ No g] Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
?Three(3)copies of site plan DExictings.tructures on site
Ste plan must k on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
01IDrawn to scale(standard architect or engineer scale) floor elevations
North arrow !Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number ..Z idewalk/driveway approach
Applicant information(name and phone number) nr - ells/septic systems
/tot dimensions and building setback dimensions be retained with drip line,and tree
are eotage of buildings to be demolished protection measures
Lot area,building coverage area,percentage of coverage and ,1Street tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) „IaStreet names
/Property corner elevations(2 foot contour lines if more than �uality facility required if>1,000 sf of
4 foot differential) impervious area is created or replaced.
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: 0 Yes,applicant was notified ,,2( No Received: 0 Yes ❑ No
Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake
Land Use Case#: P D R 2-0(S. cc ooS
1 Zoning: a.- 7 Pp
,"Required Setbacks: Front 1 2 Rear I.0 Side 3 Street Side 3 Garage •74D
`❑ L4L .hcape Requirement:
Lot Coverage Maximum: %
B- Height: Maximum Height Actual Height
prance
ds: 0 Yes 0 No Type
/ Urban Forestry Plan
Conditions"Met"prior to issuance of building permit
Notes:
Approved By Planning: '1' CO U--VA__. Date: �S/ I t3 /{l
Revisions(after Building Submittal only) 41,....N.
�viewer Date
Revision 1: Approved 0 Not Approved (/N-4_ l 11 ("l
L�fi Revision 2: Approved 0 Not Approved j ,t�aori, (Q { Z
Revision 3: 0 Approved 0 Not Approved (�
1:\Building\Fonns\BldgPennitRvw_RES_051617.docx
f
f
Building Permit Submittal
Original Submittal Date: al
�d q
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning
Engineeringrmit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning rev'
Route Application Documents: 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: , llrit. ,AI,I, i�,i�i � Date: _ -�-) /7
Engineering Review ��
❑ Slope at building pad: 7 -
❑ Conditions"Met"prio o issuance of building permit
❑ Easements(encroachments)per engineering conditions of approval and plat
21 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes X No
Assess Water Quantity Fee in-lieu: ❑ Yes 20 No
LIDA Facility on lot: ❑ Yes gNolir 7'IDNOT Approved b Engineering: Z Date: a ��
Notes: //'i�✓ d/1_. '1141-7' ! ./ ' "�
Approved by Engineering: • Date:
Revisions(after Building Submittal only) Revi e. Date
Revision 1: Approved ❑ Not Approved ! / 9--17 '
CtLRevision 2: Approved ❑ Not Approved iA W.A. vi
•
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
r.Approved,NOT Released: /y,
< (€ Date: �/�' //'1-- -
Notes:
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:
7aSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes N/A !, 1°i i _
rAIL K to Issue Permit
pproved by Permit Coordinator: /Date: -I" d
O 1
1:\Building\Forins\BIdgPennitRvw_RES_051611.docx
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00182
Date Issued: 09/21/2017
T[ sola D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB07200
Jurisdiction: Tigard
Site address: 17384 SW CLEMENTINE ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 72
Project: River Terrace Northwest, Lot 72
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke Yes
Dwelling Units: 1
Third: 0 sf Right: 3 Detectors:
Total: 2229 sf Value: $271,136.41 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain
0 Catch Basins: 0 Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0
Drywell-Trench Drain: 0 Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 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 Y
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2229
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Fire Rated Eave
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $32,133.54
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. f`�
Issued By: `ykeZ, ak
Permittee Signature: //
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.
I
Building Permit Applica "f `�c i4 N',� :i,1 . 0 7 r
47.7eiiiiif
na FOR OFFICE L SE ONE}
City of Tigard ';1 I; I! 0 2 t Received / Permit No. c
1,1 I 13125 SW Hall Blvd.,Tigard OR 97223 Plan Datem Review �1 �5 �2"'U(J//L
Phone: 503.718.2439 Fax: 503 c� D 3 a gra a �
Inspection Line: 4 503.639.41755 '1�5,' Y a Date/By: ti 1 1 t 1 er Permit.,y,(40-0/7-061 641
T I G 1 A I7r.� ,r ,„ v Date Ready/By: Juris: S ff
Internet: www.tigard-or.gov ; ,.!...J')„, Notified/Method:7 � Supplemental Information
40.
p 1. ✓' a�„ '. , 'a ? $ atv , ' Z- a'-
®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
, � work indicated on this application.
m
® 1-and 2-family dwelling 0 ComerciaUmdustrial i ,Valuation:
❑Accessory building 0 Multi-family Number of bedrooms: 1
o Master builder 0 Other: Number of bathrooms: 3
efilW 7 E7 4 iRa ;Z"' i Total number of floors: 2_ 631
41114 Job site address. � � I
7 ' 1 W �' �p New dwelling area: 2221squarefeet LZ5`
City/State/ZIP:Tigard,OR 97224 -Garage/carport area: Aw square feet -i i
Suite/bldg./apt.no.: Project name:I!2 ,e,r'—"f, . NM Covered porch area: ;quare feet
Cross street/directions to job site: Deck area: /3i. Arir square feet
Other structure area: square feet
Subdivision: \.),..) ;, ,..1:".:,,r,-!!&!� ��, �F.<:,� .;
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
; a work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
�E.�-« s 1 2 Number of stories:
Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road
Occupancy p y groups:
City/State/ZIP:Scottsdale,AZ 85258
Existing:
Phone:(602)694-4031 Fax:( )
New:
, t B 1 7j1
Business name:Polygon WLH,LLC £ F
Contact name:Angela Grajewski
Structural plan review fee(or deposit):
Address:109 East 13th Street FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 Fax::( ) Amount received:
Email:Angela.Grajewski@polygonbomes.com Com
mmercial and residential prescriptive installation of, 1 � roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
Address: 109 East 13th Street and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees):
Phone:(360)695-7700 Fax:(360)693-4442
State surcharge(12%of permit fee):
CCB lic.:207247
Total fee due upon application:
Authorized signature: VI'�C m It This permit application expires if a permit is not obtained
J within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: _ Date:
Service Board. '
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i. r
Mechanical Permit App ' FOR OFFICE rS E ONLY
;City of Tigard
Pcnriit n
'� ')3125 SW Hall 13tvd„Tigard.OR 9 ' ` I .r • natty` `°�� /7�D1�/f __,
Phone: 503.718.2439 Pax: 503.598.1960 Plan Review
Other Permit:
a%:' a i"t, Date/By...
T i G 1.0 Inspection Line: 503.639.4171 F t z" I a�e, Date Ready/By: Jori; B!ties Page 2 for
inlernet: Wtvri'.tilturci er.gav ry i y Notified/Method: Supplemental Intbrmatien
13Ul, 0t.bra a{ yit(e: ..._ _
'�-'4 ,r''„y, �v r•iy, ¢s } ' 1 ay.,. rs t°8 "'�' sti'':c `>2�, �t ._.,''„A�:. :s'Jr- '.,� 'ts.S. .i0I C7`! 'Li y +� yy l�+ ,'i
q '",R•°Y"S tea:��-....''P:'�i3'`° jY �w}. � $ � +._ rx:�. 3 issx• ,2i,•,s >� �ns+ ..r w� �t�3i3�`:GS��'-`. '�y4,.
•. .., t,... .,. . � � �� ��»xu MecbanieaiPc .emit ries*are based Mi the value of the work
®New construction 0 Additionualte utionfreplacoment performed.ludic-ate the value hounded to the nearest dollar)of all
0 Demolition 0 Other: tneelumicnl materials,equipment,tabor,overhead,and profit.
a�� �y� �fi '2''
•".Y,.- '��'. ��� .e.t -��,r,-�utx'a'.:v?��,�xk7F:.�.�e x?.v.�,kaew..� »�n. .,.�' l.,P rx��ra_•ass. - a.a.� �s:+..., _ _
i...w,'�;-'^r"r{xt+^.' : -.'F.av�,.e.0 x' a= •Stil 1x'�F X01.;FS•_ " :' ,.. }"'fit 1 p ,.ys x... }�y t-+v x a
xh•n# .a "'� 3'r�•.. {'h�.a,-re�,sr�;5�-x.::��a :;';> \��., .�'".�-•,-��^>” � � I •�. �� �a.ax -.�..,f�', xt�'.i V
2:0-and 2-family dwelling 0(olnmercial/industrial 0 Accessory building For special inforiiiatforrres chethILit.
Multi-family 0 Master builder 0 Other: Description Qty. ea, Total
,,,,,,,31;t:41.24-4,,,,,-..„ v..a taw. taxxai a•'•,rx zar• >Fu. t-a !),,...,%.,;•.+ .
i,.,� � m � :- ,s Heating/tuellap
Joh site addrtws \ Air conditioning_
5N s„,i rtCi '(1 1 1 fl•(,, ' Furnace 100.000 I3TU frk ctthcntsi ��
City/State/ZIP:Tigard,OR 97224 w Flannel:100.000+BTU tdilrtsrvenis) 54,91
heat pump 6.1..06
Suite/bld�.f� t,n .: Por3ecnme: 1p � Duct work 23.32
.
Cross street/directions to1'ob site: tivdronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32 ,
Unit heaters(fuel-type not electric),
in-wa)1,induct:suspended.etc. 46.75
Flue/rent for 313V or above 23.32
bdis'ision: Lot no.: ^� Other:
Su
�.v ��lra�� N pr tYt tN s11.___ 'Other lire)appliances:
Tax map/parcel no.: Water heater 23.32
V • ' s 4 „- ram-'74: ty l 'Ile. fid: 6"11'1' "abuser X3.39
FICC vent for water heater or gas
n -'' 2 Am gaze 23.32
i.og lighter t as)
Woadipellctstove 33.39
_ -Wood fireialace/insert 2332
Chiinneyftiher/ftuefvem 2332
4 s! -+y.'3 CS ..f �,.. ( a"5.....C:..,y.:+rt-`4 WL l�Y. '-.: :,�,-•'yn '�. {fG 7 xii .� tJAl.0-fY �-1 1,1ih�ry 23.32
&tx..40 t^..^ m f tf 4 .0.4-5,41. ti ..r 4 .�-,- r m i `,.raj-wryi"S' a..tt
xr`, '� x ate' Ear ironrrtenisttexbaust and+entitatinnt
Name: ADV L r y..` Range hood/other kitchen
Address: i �.,, _ __ equipment 33,39
(DOD D -}�
41.D.�,�e{ r.-�p- ���� �-blAGif Clothes dryer exhaust � c .......:__....
C tty/Stale/7iP: -+ -fid�� S.ingle-duct exhaust(bathr0000
” ' IA 2.-- 8� 2 toilet compartments,.utility'rooms) 23.32
s Phone: , .:, .. 1 Fax:( ) JJJ
-�•� QZ 1 1A3t19citttttv)spttee fens 23.32
- :• ,, a.i.�-'� '1• '.i.'':::-.'!,.',.;,,0;r:.,7471,16 n 4' t, x -_ Uthvr., 23.3
2
Fuel piping:. .
13usincss name 1 £a Lk Ili AI' . S14.15 for first faun.$4.03 for each additional:
Contact name: mt df Ok.-Tin 1 c Furnace,ate. 1
Address: 1 6 broc)1,0^ 3t c 'tp sit) „Gas heat pump
1 a11fsuspendedfunitheater
City/State/21P;Vancouver,WA 98660 Water heater
Phone:(360)695-7700 J Fax:;(360)693-4442 Fireplace I ,
C rn8il: � f 'yn ^ C.
; Range � I
'� . �1 d s "7 D . YtY 1 Y . ;4 C Barbecue
� +' sati y.r,:ty.. 41. 3�:. .!tat::,*:•£l.s�„. . -Clothes dryer(gas) .
Business name:Apex Air LLC Other:
Address:18004 NE 72°4 Ave - Subtotal
.. `^- ..
Citylatnte/ZlP:Vancouver,WA 98686 Minimum permit fee($90.00) t
Plan review(25%of permit-fee)
Phone:(3611)342-8109 Fax;(360)326-1769 State surcharge(12%of permit fee)
•
CCB tic.:203034 TOTAL PERMIT FEE
This permit application expirxx leu permit is not obtained within 181)
days alter it has been accepted as complete. -
Authorized signature: > Fee methodology set by Tri.Couttty building Industry Service Board
IPrint name;- 1 i ork, Art/ Date: 4.11•it.... I
1,0.44-. a'«rwirMtr..f'rrnriiApp.,044tt3ekee 4404617111 11tt.^le OMAVell)
Electrical Permit Applicatio ' 1 -ii,-- 0`, FOR OFFICEUSE ONLY
ik, ! i , Received Parrdk:�S�2rt!
..Vv!,,A.-
II City of Tigard
Date/By:
R 13125 SW Hall Blvd.,Tigard,OR 97223
Man an Review
Phone: 503.718.2439 Fax: 503.598.190 t•p A
41 ,.I Related Permit ii:
DatdBy
Inspection Line: 503.639.4175 C Read Date/By: lurk:
T;(.rARD Y Y� !�SeePage2for
Internet: wwsv.tigard-or.gov ` Notified/Method: Supplemental Information
xr 6`,''Ali,‘-';rt';'.-1
.sary_sem'-`g.' .z °� ' o d '�'-n c1=^3'z� V-
" --i - Y -�"`a ,. ,F.• - �..- ,.,.: x;N
®New construction 0 Additlon/:+�,'#t,,),.` s ,1 its i "�` Please check all that apply(submit 2 sets of plans whims checked). e
0 Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stdries.
• u '1111,0-'1
where the available fault current ❑Marinas and boatyards.
a a.:- ;', •t.-,,,,,,;,:g„W` .4)''c•11,0-'htt t`<,� „ ,'. ��? Ste_ exceeds 10,000 amps at 150 volts or ❑Floatingbuild'
, - buildings.
1-and 2-family dwelling 0 Commercial/iridiistrial 0 Accessory building less to ground or exceeds 14,000 ❑commercial-ase agricultural
amps for all other installations, buildings.•
inti-family 0 Master builder Other:
•� a• Q Firc pump. Q Installation of 150 K VA or
!"uSf..,Ni
€< ' ir..,,.' , . '.:.;,•Y i - 1'ATff.,•.f,.f3, nr tfigt r4 ttte,Wa ❑Emergency system. larger separately derived
Job# Job site address ^� +� t A �1 1 �p n n ❑Addition of new motor toad of system.
1 i `moo t�V\� aril Mein cin A")' e,St I001iP or more. 0"A","E","1-2",'1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
D health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:12•01>4rT2 ❑llazardons locations. D supply voltage Ear more than
l'Y 4e iv QV i Vltil�S�- ❑Service or feeder 600600 volts nominal.
Cross street/directions to ampo or more.
job site: RiSWALWATOSO.•', .: i1 .111:"..-.44 ' ;
Description Qty. I Bock Total
New residential single-or multi-family dwelling unit.
Subdivision: iV,ir Tt,mate, Nariica.Ps'i- Lot#:1^I V Includes attached garage.
Tax map/parcel#: l 1.000 sq.R or less ( 168.54 4
"map/parcel
l Ea.add'I 500 sq.ft.or portion 1.4 33.92 1
1 ,� 1 \ ��- rk�,.V t i'$ Limited energy,residential
W kl"M( ') a (with above sq.ft) 75.00 2
5^ Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
rr " Renewable Energy 0Seo Page 21 pk tt g o iii? 1 , "',' dtif .A itl�1: . ,r,;,.
Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 B Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
•
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 s 2
Owner signature: Date: • 401 amps to 599 amps 168.54 2
'' W-6 01?r`f'...,-1.• , , ,, ','Ff i q Branch circuits-newv,alteration,or extension,per panel
� � � � c4 A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee,
742 2
r�� each branch circuit
Contact name: I LV!o ory.Q- B.Fee for branch circuits without
Address:'U?� �Y� 1 tau service or feeder fee,fust
Sug, branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • . ' I Fax::(360)693-4442 Each manufactured or modular
Email:4 dwelling,service and/or feeder 67.84 2
E t..!_..�._.,, I t I l , r �.!i 1 ilk.' + „1 i Reconnect only 67.84
� .a.. a - , � v g_3 w ter: Pump or irrigation circle 67.84
_ 2
Business name:Garner`tElectric WaIRAQ,
shhiinngtoin,,LLC Sign or outline lighting 67.84 2
�f at1.f I i VL 1V W S i --Signal-cirtatft(s�or l uaited-energy_
Address: ���• (Xp 0 See Page 2 2
panel,alteration,or exkensitm.
Cityr/gtateJZjp: l l ,• l 1 ti its.• c�t0.�"} 1 Each additional inspection over allowable in any of the above -
�5� 06C t 1 �.: ` I Additional inspectionhr
hrmitt) 6625/hr
Phone: - .. Fax:( ) Investigation(1 hr min) 90.00/hr
Email:hdaniels@gwensa.com Industrial plant(1 hr min) 78.I8/hr
CCB Lie.: C1158inspections for which no fee is
Electrical Lie.: 208174 J Suprv.fLie.: 44968 specifically listed eh}utak
90.Oor hr
Suprv.Electrician signature,required: ::� :fLe , .. .' x �r '` a"ic t S a ,s
r - :•�3
Subtotal:
Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
_ State surcharge(12%of permit fee):
Authorized signature: r. "—~ -� TOTAL PERMIT FEE:
This permit application expires If a permitis not obtained within 180
Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete.
'•'i; 111 C Number of inspections allowed per permit.
a>'t,\suildinggPerrnit..,0 PermitApp SLA ERE.doc Rev 06/17/2015 440.4615T(11/OS/COM/wEB
. .
. , pEtr-„iEIVE
' "Itf ,,,t,,r,
,
Plumbing Permit Applicatio '-'-- - ' -
. . . • . • -
BPiidtag fixturg SEP 20 ?,(117 • . - • . - ' •-• - --. • • - • ..
' City of Tigard lettivoc4
Permit No/-75 nlogie 7—00/ce2
1 •13125 S*1•Ball Blyd TiR d,OR 919'ill (p i4 i I f ' 8 ic(I) Dide/BY:
. . " -ar - -.. -, - ‘.3.1" RevieW.
Phone: 503.7182439 Fax: 503.598.1.2fQ0 rt i i- DI
i.,.;c 1,o,NDatetaY:
III
°Mar i'ermil.'No::
InspectionLine:.503.639.4175 B t))1 Jill,k,‘.-,,,, 1,,v!,,,,,,.$1 pate Reisynar.,,
ales: 111.See'page 2 tor
TIGAR.' D
Intentet: wafw.tigard-of.gnie, Npified/Methoth Supplemental information
7, .,,,4,::,4.;.:,'AI."i.' ,,;',..".,4-,s..+S!--'.".',4Ar7,4.0- 7.7i.,5196,70111,10,..;,-4,4.4#-'4i.,4:".6:i.i..' '1',,,'''',42,t;')^0..kfi'V,•.:4 ''..iiirre‘::Di P.fi '''''''f.-«.1,:', l''''''Falir,rti,WV.
gr,
For:ipecial informatioii;the.kiteckli.st. .
F.63;New•,co„struciion: 40 Demolition
Description I 91Y. 1 Ea: 1 Total
0 Addition/altenttiOn/repleeetnent: 0 Other: NeW ll-Zfainlly dwellings(includes 100 ft,fOr-eaclinti1ity connectiqn)
..*:''.e.VA,44,-;:ar'••,:::rir‘;'.6..v.°2!''')*3';'1'4,:.)•'*'''WIrti4"..""'"7.ceit$0,,t744,''t.7;:--4-.Kii::•,i,:,:':a:•: : SFR(1)bath 312.70
; SFR(2).bath 437.78
41,and 2-family dwelling 0 Commercial/industrial.
SPR.(3)bath• t 500.32
El Accessory'building 1:"1••Mtilti-family
. Each additional bath/kitchen 25.02
0 Iviagtr tiuilder CI Other: . , , pireSprinIder( sq.1t) l Page 2 I .
4.'"kr,PwitA,V41:4‹.,ii'-titj*:'-VA:li',•'-r;-.7'.4 c.'".''''','',.'.'•.','i.:;',"rAiNi.s,'?':,'''7,4741,*51 Site iitillties:
MIMI
.„ tr,...,.......,,,,,,,... ,,,,.-.„„--,..,,,,,,f,,,,i,„... .: ,a•-.. ;',-.•.i>- A... .,,:ar,4 4
• Catch basin qr area drain NUM
kb site addi.ess: net..t s,,,i C,1-ery)e ht,0,e.3-f-- Pryweli,leach line,or trench drain 18,76
City/StsteiZiPt Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
SuitOkig./apt.no.: I Project name:Northwest River Terrace . Manufactured borne'utilities 50,03
Cross street/directions to job site: • Manholes 18,76
Rain drain onnector 18.76
. . .
Sanitary sewer(ne.linear ft.: ) Page-2
Storm sewer(no.linear ft: ) Page 2
. Water serviCe.(no.linear It:,,_J, Page 2
Subdivision::Northwest River Terrrace. I Lot non L Fixture or item:
Tax map/pareeino.: . BackEow.preyenter 1.' 31,27
C...f,t,q,iftz ,,,,;*•,"... pr.;ip,,v:.-,',',..,- ,r-..- ,,,%?vak",,,,,,,fizstitt4t...a..,,,.,-,,,1:4,•:.5,,,,,,..,,,..,w,,.,.:#;,-A1,,,,r.,,,,,a, Baekamter Valve I 12:51
I,Ar4i5i:VOA1"7!V`.`lir:.-4i,-;''71., -4-44.4-41a5WW.4 .-,,,,,,,k;It.4.•..ilif,''a,ff.,".14.....1...,..fr=;.= clothes washer
25.02
MKT?-4) i) '''c)ote-L, . .... . . Dishwasher
Dritiltingfoinitain .2525:0022
•
Ejectore/surtip 25.02
_
i t..i:',....V,l,"14%kg..,'.%-:-:::,,,,,t4..-•-,,,,4-.'n.zir.41. rziatatn't:-,E:1,-',7v.*Ir!#.:**1,15 Ex*sion.ein* 12.51
:,....,..„..,,v-q,:x.:,. •wi..,•,,,- ... ....4.4.-.... ..._,...,,,,, ---. •-•&•.r„A0A;.,,, ,,:r,.,:,..,....--::,..,„,•:,•..•,• ,i•,,:• •;•••:.•=5:s"...,-.- ,.
... •• - - ---• • - ,-
i . - : •• . ' • • Fixture/sewer cap ,25,62:Name:AtVILand PddngsilIC
Floor drain/floor sink/hub 25.02
Address:7600 ttoUbletree:Reneh Road
.: , • • . • - ...• - . . Garbage disposal 25:02
City/State../ZIP:Scottsdale,AZ 8525.8 Hose bib 25.02
. . . . . „
PhOncl.(6112)69474631, Fax;( ) jeemaker 12.51
.- ..,:-.4:Wol-,•-4.4-...-•4-,......k.,J A.'.'e,..,: i,..y,.,':.,..k..,,,,-,„se.,,„.,,,, .:z.,,,,,,.. ..-,....:ttl.,.: '.4-...', ..!,,.,,,.,,,,,,-,"4,,,,,,, Int.ieiceptor/grease trap
•
25.92
, fnhatIgma(value:S ) Pep 2::Dustesstame:W)Illam:Lyon " Primer
12.51
COntaetnatne:Ange14.dralawskI:
Roof drain(commercial) 12;51
, .
.AddresS::.1.09'Estat.13th.Stireet I
Wt./basin/lavatory 25.02
City/State/ZIP:ilanconVer,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax:::(360)693-4442 Tub/shower/shower pan 12.51
titititd• 25.02
P.:-mail:Angele,Grajewslthglitilygonbonies.Com
•.- ,-:. -- ,,..,,,- :Water e1q.set 25.02
§',0•e:--„,„„""'..",.",'-,,,,...%-i;'4,'„.;',,:147,1011,'44r:blifilafireM.W.7 ,iii ,•;it, ,.?=.04 . ., ..
3-74—':..4,..-;As:,..,,.1"4-irp,•-'.-.'1,f,.. 3:A.9.„,za,A,,,,4ir,e4F.,a74-Erzig...f.zr...,- .5i.,:igi•Ngo.,,,,•:"U ....,,.. •.,. :,•,...„., ..•. :Wu*, Water heater 37.52.
.
Business name:. 4--...:D• IAAAA)..vc ,e.6-iovNv 7:144,- Water piisipg/DWV 5029
•4.:14e0a .p..0 664 cliA ,
... Other:: 25.02 . . .
.City/State/ZIP; 5,r, e.Giiv‘ art. ifirt:t3i . Subtotal.
Phone:($63.-e•-$11tt..-4. -1(41,1 Fax:(II t.4 la144',11/0 . tvlininitirn permit tee: $72,50
• Pian review Q5%.0permit:fee)
CCB Lie:.: 181/310._, Plumbing L .Oft WC/
State surcharge(12%of permit lee)
Authorized signature: 51113cpt, " 7,014'11.Ad3/4"'''---•• TOTAL pEltIvIIT FEE
Print itatne,icif-4.,41, Wilc,..e.........„ Date: —;, 1)-,11.). This permit application expires If a perreit is aar.abtained within ISO days _
after it bai been Accepted as templet&
*Pee methodology sct by Tri-County Building Industry Service Board.
IABuilding1PcrsiimPLW:PismitApp4ies 1e/01/09 440.461.6T(I0/02CONI/WEB)
a
City of Tigard
q
COMMUNITY DEVELOPMENT DEPARTMENT
ill ■
T 1 c A ri n Building Permit Review — Residential
Building Permit #: 44 ST)-0/?-- 63 / 7L
Site Address: 113J Z( c vv CI .e( EX'1-R'L.Q. -i-
Project Name: a-%\e r fe irr Lk.. No rtin we S A- Lot #: -7 Z_
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review 9//9//7 /AC:Vrs i oAJ 5
Proposal: Nem/ F R. ..-- Si "61,N/ 4)/4G6"C 9-77PAJ_S
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: .
❑ No A Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
?Three(3)copies of site plan ' TIPArioit1g structures on site
DSite plan must be on 8-1/2"x 11"or 11 x 17"paper 7/Footprint of new structure(including decks)with finished
rawn to scale(standard architect or engineer scale) floor elevations
North arrow Utility locations&easements(required for new and additions)
Site address,project or subdivision name and lot number ,ZSidewalk/driveway approach
Applicant information(name and phone number) ❑Leextiefi-ef.wells/septic systems
tot dimensions and building setback dimensions ❑Existing tee-to be retained with drip line,and tree
• uare ootage of buildings to be demolished protection measures
7Lot 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) Street names
AII Property corner elevations(2 foot contour lines if more than stem-quality facility required if>1,000 sf of
4 foot differential) impervious area is created or replaced.
Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ,Zi No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
7 Land Use Case#: P D R Zoic 'd cio.S
Zoning: a..- 7 P D
Required Setbacks: Front 2- Rear I.o Side .3 Street Side ce Garage -7,c)
❑ Landscape Requirement:
— Lot Coverage Maximum:
E- g Height: Maximum Height Actual Height
G—Tvristmtetrarance
D-gerrsitt ids: ❑ Yes ❑ No Type
Urban Forestry Plan
sice Conditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: , 71/1 0 'Lti.._1,"\-- - Date: S/ / Fi /17
Revisions (after Building Submittal only) � Reviewer Date
/� 6
Revision 1: A Approved ❑ Not Approved ! tfri."- (P‘.._� 01/ iDJ , (i
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_RES_051617.docx
r
Building Permit Submittal
Original Submittal Date: ],Z,(2Zo/17
Site Plans: # y
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning Engineering rmit Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from planning rev.
Route Application Documents: 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: ,u Date: 51240
Engineering Review ��
❑ Slope at building pad:
❑ Conditions "Met"prio o 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 Approved b Engineering: LDate: . . — 7
Notes: r- . - f �� �l� �fl -41 _�-'
Approved by Engineering: Date:
Revisions (after Building Submittal only) jF..
Rev er,� Date
Revision 1: Approved ❑ Not Approved / 4 ' ‘ 17.
-
Revision 2: X Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
r. Approved,NOT Released: '� Date: 5/2— .//
Notes:
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:
2
DC Fees Entered: Wash Co Trans Dev Tax: )531 Yes CI N/A
Tigard Trans SDC: Yes CI N/A
Parks SDC: Yes ❑ N/A
LIDA ❑ Yes N/A s // i q-----
NM K to Issue Permit
pproved by Permit Coordinator: , Date: -�'
I:\Building\Forms\BldgPermitRvw_RES_051617.docx
4
• City of Tigard
11/ a COMMUNITY DEVELOPMENT DEPARTMENT
I
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #:
Site Address: I -135y Svv Cie rh-E fir , S-h.
Project Name: 12kve-r 1 err 2l(L. No r. We C t-- Lot #: ---7 2_
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.0701):
Is the project subject to the plan district design standards? El Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6fx.wide Gabled dormer
El 111 Gabled
El
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 13.
\�3. Entrances:At least one entrance must meet both of the following standards:
7 Max. : setback from longest street- facing wall )2"'Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porc A� '_ems No
Ifes,all the following apply: -" — 5 sq.ft.min.
TZfOne street facing entry 12 ft.max. roof above floor of porch
5 ft. depth min. o
r 30%min. porch roof coverage
4. Detailed Design:All buildings shall,include a min. of five of the following elements on all street-facing facades:
Covered porch min. 5 ft.wide x 5 ft. deep ,,Recessed entry area min. 5 ft.wide x 2 ft. deep
521 Wall offset min. 16 inches El Dormer min. 4 ft.wide
Roof eave min. 12 inch projection 12Ktoof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
El Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide
El Accent siding min. 40%of street facade7rziWindow trim min. 2 1/2"wide by 5/8"deep
Cl Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
El Balcony min. 5 ft.wide x 3 ft. deep with inside access El Attached garage is 35% or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line, than longest street-facing wall. El Yes "No. If No (Check one):
/ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
� May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
El 12-foot-wide garage door El 40%max. of street facade
50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: M 0.-- - = Date: J 17 J 11
IABuilding docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17384 SW CLEMENTINE ST, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00182
Inspection Type: Inspector:
399 Plumbing final Allyson Armstrong
Result:
PASS
Comments:
Water pressure =70psi.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17384 SW CLEMENTINE ST, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Master Permit MST2017-00182
Inspection Type: Inspector:
299 Final inspection Allyson Armstrong
Result:
PASS - CofO
Comments:
Collected
Moisture content acknowledgement form
Moisture barrier acknowledgement form
High efficiency lighting form
ETO site inspection certification
Left C of 0 on the counter
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17384 SW CLEMENTINE ST, BEAVERTON, March 29, 2018 at
OR, 97007 11 :44:25 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00182
Inspection Type: Inspector:
699 Mechanical 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:
17384 SW CLEMENTINE ST, BEAVERTON, March 29, 2018 at
OR, 97007 11 :44:35 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00182
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor