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Permit (74) CITY OF TIGARD MASTER PERMIT illim .,. ..'• COMMUNITY DEVELOPMENT R r ;, Permit#: MST2017-00250 ,'p S Date Issued: 11/28/2017 T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 I� - ��I� Parcel: 2S110BA12300 I Jurisdiction: Tigard Site address: 14143 SW 118TH CT Subdivision: MEDALLION MEADOWS Lot: 16 Project: Medallion Meadows, Lot 16 Project Description: New SF. 2/5/2018: REPRINT permit to remove(1) laundry tray. 7/16/18: REPRINTED to correct permit to include NC unit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1318 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1566 sf Garage: 562 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2884 sf Value: $355,477.70 Rear: 15 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: 1 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: 5 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: 5 201-400 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 2884 Owner: Contractor: JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE#200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $30,776.81 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 OAR 952-001-0090. You may obtain- •py o - • -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344, Issued By:4,-sr . — Permittee Signature: 2 :474jylA-'//n . .639.4175 by 7:00 a.m.for the next available inspection ate. 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. Mechanical Permit Application Foil conic I. i si;O\I.l City of Tigard Received E,v� Date/By: PermitNo.: ,„ 6 • 13125 SW Hall Blvd.,Tigard,OR 972 111Phone: 503.718.2439 Fax: 503.598.1 D Y van iew Other Permit: l 1'Ili A R I) Inspection Line: 503.639.4175 ',ncl Date Ready/By: Jurls: ® See Page 2 for Internet: www.tigard-or.gov `,`hl 0 (,U Notified/Method: Supplemental Information 011 ..,. . . {►N. Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alter acement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: ��y Value mechanical materials,equipment,labor,overhead,and profit. °' A `� .,,, N r s a A O �u�y*f, f,�Yl� l(l jO r :s i ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special Information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total , **�. T�ii ' Heating/cooting, Air conditioning x 46.75 Job site address:14143 SW 118th Court Furnace 100,000 BTU(duets/vents) 46.75 • t. City/State/ZIP:Tigard,OR 97224 111/ Furnace 100,000+BTU(ducts/vents) x 54.91 Heat pump 61.06` Suite/bldg./apt.no.: Project name: _ Duct work 23.32 Cross street/directions to job site:Gaarde Road to 118th Court Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Medallion Meadows Lot no.:16 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 i" ' 1D Ot , x r su Gas fireplace/insert 33.39 I.. „>, ,• -t.,t., . f, ,..' ''''; ;' E Flue vent for water heater or gas HVAC installation at new single family residence fireplace 23.32 7116/D 1 be r y i 4L/ Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 1 Chimney/liner/flue/vent 23.32 t 0T.A'.Jtwl ..,} Other: 23.32 ' r{' s r* '4 d 4*(, "' ^x ':_S wa ro 4 • , 1 =° � "* Environmental exhaust and ventilation: Name:J.T.Roth Construction Inc. Range hood/other kitchen equipment 33.39 Address:12600 SW 72nd Ave. Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)639-2639 Fax:(503)624-0239 Attic/crawlspace fans 23.32 n A'> �'; 1x",.. . : + .. 3 % J 1'E u 4 ' Other: 23.32 • Business name:J.T.Roth Construction Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:David Jensen Furnace,etc. 1 Address:12600 SW 72nd Ave Gas heat pump Wall/suspended/unit heater City/State/ZIP:Tigard,OR 97223 Water heater Phone:(503)806-0602 Fax::(503)624-0239 Fireplace Range E-mail:davidj@jtrothinc.com Barbecue (Ot '1Hr T ✓{ Clothes dryer(gas) Business name:All Time Heating LLC Other Address:PO Box 1541 Subtotal City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)208-2276 Fax:(503)208-2276 State surcharge(12%of permit fee) _ CCB lie.:184575 TOTAL PERMIT FEE./tel.36 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:Aaron Svoboda -:), Date:06/26/2017 \P \ 1:\BuildingermitsME13 C_PermitApp401440-4617T(11/02/COM/WEB) � CITY OF TIGARD � N MASTER PERMIT COMMUNITY DEVELOPMENT $ / c9 � ';,�. Permit#: MST2017-00250 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/28/2017 Parcel: 2S110BA12300 Jurisdiction: Tigard Site address: 14143 SW 118TH CT Subdivision: MEDALLION MEADOWS Lot: 16 Project: Medallion Meadows, Lot 16 Project Description: New SF. 2/5/2018: REPRINT permit to remove(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1318 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1566 sf Garage: 562 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2884 sf Value: $355,477.70 Rear: 15 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 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 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: Y Vent Fans: 5 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: 5 201-400 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:Y Square Feet: NEW SF VB R-3 2884 Owner: Contractor: JT ROTH CONSTRUCTION INC J T ROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE#200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $30,821.34 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 ••- •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. airr Issued By: At / Permittee Sinn - g ature: 0/11 !�f�/� okk) 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. INCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00250 Tr GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/28/2017 Parcel: 2S 110BA 12300 Jurisdiction: Tigard Site address: 14143 SW 118TH CT Subdivision: MEDALLION MEADOWS Lot: 16 Project: Medallion Meadows, Lot 16 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1318 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1566 sf Garage: 562 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2884 sf Value: $355,477.70 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 gWater 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: Y Vent Fans: 5 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: 5 201-400 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 2884 Owner: Contractor: JT ROTH CONSTRUCTION INC J TROTH CONSTRUCTION Required Items and Reports(Conditions) 12600 SW 72ND AVE#200 12600 SW 72ND AVE#200 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-639-2639 FAX: 503-624-0239 Total Fees: $30,821.34 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 Ce ter. Those rules are se. forth in OAR 91::::0 through OAR 9 01-00 . You ay obtain a c y ofthh les or direct questions to OUNC by calling 503.23?, 87 or 1.8 .332.2, Is '2i9��i.� Permittee Signature: / / Call 503.639.417inspectionn 5 by 7:00 a.m.for the next available 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 � roll orrItl: ltil:t>.i.� \AE-clies‘ City of TigardD Bea /� ,'tel' Permit xo.: ( — •4 13125 SW Hall Blvd.,Tigard,OR 972 `, 6 `�Q\1 Plan Review' Phone: 503.718.2439 Fax: 503.598.1960 �v � h 7 Date/By: "4`� Other Permit: `/ (7 `,2 t i'I G A is a Inspection Line: 503.639.4175c��G�RI•' ate Ready/By. Juris: "® §`ee Page 2 for ONO otified/Method:7/�, 1/?/ w�` 4 Supplemental Information Internet: www.tigard-or.gov c, �� I ., � 3 ®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 Q�Tr t.„,-,,,,,,,I,,,,,,,,,,,,,,,,,,,,,,„,,,,,,,,,-.1.,. , work indicated on 's application. , n- �= -,,--':,,%,,,,;,,,-„, -,,;‘,- .. Valuation: 50 0 .68-« S �7 7 ® 1-and 2-family dwelling 0 Commercial/industrial J ElAccessory building 0 Multi-family Number of bedr ms: 5 ❑Master builder 0 Other: Number of bathrooms 3 LO Total number of floors: 2 3 V / C. Job site address:14143 SW 118th Court New dwelling area: 2884 square feet City/State/ZIP:Tigard,OR Garage/carport area: 562 square feet Suite/bldg./apt.no.: Project name: int, Ih 7r�L °I^!�j 44-14p Covered porch area: 49 square feet ) v ' 6 Cross street/directions to job site:Gaarde Road to 118th Court Deck areea: i q 511.92N i square feet)3 O ver structure area: square feet Subdivision:Medallion Meadows Lot no.:16 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 ..r. ,.. ; s A 1M `p � ,, work indicated on this application. Construction of new single family residence Valuation: $ Existing building area: square feet New building area: square feet -4,, ,,,',.,-,,7 A�9 Y 0 ANT Number of stories: Name:J.T.Roth Construction Inc. Type of construction: Address:12600 SW 72°"Ave Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)639-2639 Fax:(503)624-0239 New: Business name:J.T.Roth ConstructionMInc. .' :�tf.., 3 a . Structural plan review fee(or deposit): Contact name:David Jensen FLS plan review fee(if applicable): Address:12600 SW 72°d Ave, City/State/ZIP:Tigard,OR 97223 Total fees due upon application: Amount received: Phone:(503)806-0602 Fax::(503)624-0239 E-mail:davidj@jtrothinc.com OTO TAl � Commercial and residential prescriptive installation of h' t r roof-top mounted Photo Voltaic Solar Panel System. Business name:J.T.Roth Construction Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:12600 SW 72w'Ave. Solar Installation Specialty Code checklist. City/State/ZIP:Tigard,OR 97223 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)639-2639 Fax:(503)624-0239 State surcharge(12%of permit fee): $21.60 CCB lie.:31700 Total fee due upon application: $201.60 Authorized signature:'' ''''''",-0------ y This permit application expires if a permit is not obtained �.—./ within 180 days after it has been accepted as complete. .--'--''' *Fee methodology set by Tri-County Building Industry Print name:David Jensen Date:06/26/2017 Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOIL Orfl( F: I Sl: Oyl,l '14 ' City of Tigard ReceivedDateBy: Permit No.: ` 13125 SW Hall Blvd.,Tigard,OR 972?, Plan Review Phone: 503.718.2439 Fax: 503.598.1i� 11a.•,� Other Permit: Inspection Line: 503.639.4175 Date/By: T I G A R ll 17 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov 30111 ZU Notified/Method: Supplemental Information TIE{ R®ea Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/altert� acement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ 1 F '8 ' ® 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 Heating/cooling: ' T' Air conditioning x 46.75 Job site address:14143 SW 118th Court Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) x 54.91 Heat pump 61.06' Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site:Gaarde Road to 118th Court Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Medallion Meadows Lot no.:16 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplace/insert 33.39 - ''` Flue vent for water heater or gas HVAC installation at new single family residence fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 Environmental exhaust and ventilation: Name:J.T.Roth Construction Inc. Range hood/other kitchen .a equipment 33.39 Address:12600 SW 72 Ave. Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)639-2639 Fax:(503)624-0239 Attic/crawlspace fans 23.32 1 * a Other: 23.32 Fuel piping: Business name:J.T.Roth Construction Inc. $14.15 for first four;$4.03 for each additional Contact name:David Jensen Furnace,etc. Address:12600 SW 720d Ave Gas heat pump Wall/suspended/unit heater City/State/ZIP:Tigard,OR 97223 Water heater Phone:(503)806-0602 Fax::(503)624-0239 Fireplace Range E-mail:davidj@jtrothinc.com Barbecue P.. . .. ' ,., O ,s Clothes dryer(gas) Other: Business name:All Time Heating LLC Address:PO Box 1541 Subtotal City/State/ZIP:Lake Oswego,OR 97035 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)208-2276 Fax:(503)208-2276 State surcharge(12%of permit fee) CCB lic.:184575 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:Aaron Svoboda Date:06/26/2017 IABuildineermitsUt•IEC_PermitApp_04011 440-4617T(I 1/02/COM/WEB) Electrical Permit Application i ll i o f,i 1: 1 SI o",►.1 City of Tigard ��0� 1 Received aeteB Permit#: 1 e 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review Phone: 503.718.2439 Fax: 503.598.19 0 Date/g Related Permit#: Inspection Line: 503.639.4175 11 N 2 6 leui. Ready Date/By: Juris: B► See Page 2 for T I G n R D Internet: www.tigard-or.gov v Notified/Method: Supplemental Information laps Please check all that apply(submitplanschecked): ®New construction 0 Addition/atterati 2 sets of w/items 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. 'AtGO 'V t4 t 1 t f a exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-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: ❑Fire pump. 0 Installation of 150 KVA or , ] jRM flQN w :L C ❑Emergency system. larger separately derived ❑ ' ' ' Addition of new motor load of system. Job#: Job site address: 14143 SW 118th Court 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupanoY. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Gaarde Road to 118th Court , Description ` I 'Qty. I Each j Total I =b. New residential single-or multi-family dwelling unit. Subdivision:Medallion Meadows Lot#: 16 Includes attached garage. 1,000 sq.ft.or less 1 168.54 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 3 33.92 101.76 1 g.. Limited energy,residential (with above sq.ft.) 1 75.00 75.00 2 Wiring of new single family residence Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable . -A-1.,-,,,,AAA• Energy See Page 2 ►a Y W E Yr •4 r QPC , . } • ` - ' .• Services or feeders installation,alteration,and/or relocation Name:J.T.Roth Construction Inc. 200 amps or less 100.70 2 Address:12600 SW 72nd Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(503)639-2639 Fax:(503)624-0239 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ' Branch circuits-new,alteration,or extension,per panel A Fee for branch circuits with Business name:J.T.Roth Construction Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:David Jensen B.Fee for branch circuits without service or feeder fee,first Address: 12600 SW 72nd Ave. branch circuit 56.18 2 City/State/ZIP:Tigard,OR 97223 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)806-0602 Fax: :(503)624-0239 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:davidj@jtrothinc.com onn Rec ect only 67.84 2 3tN t,::;: ` . <. , F: Pump or irrigation circle 67.84 2 Business name:Dreamhouse Electric LLC Sign or outline lighting 67.84 2 Address: 13075 SW Canyon Road Signal circuit(s)or limited-energy ❑ See Page 2 2 Y panel,alteration,or extension. City/State/ZIP:Beaverton,OR 97005 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)648-5144 Fax:(503)648-9723 Investigation(1 hr min) 90.00/hr Email:dreamhouseelectric@gmail.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 196726 Electrical Lic.: C-848 Suprv.Lic.:-f '( � ,0 t) specifically listed(/2 hr mm) m * Suprv.Electrician signature,required: Subtotal: Print name: Chris Mahoney Date: 06/26/2017 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 ri _�� Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures l tllz 011,1( l: 1 sl; Oyl,l City of Tigard `�e Received �� DateB Permit No.: MS , �a ks�. 13125 SW Hall Blvd.,Tigard,OR'0 ,. y' ' ■ Phone: 503.718.2439 Fax: 503. .!.. '60 1� Plan Review (� O Date/By: Other Permit No.: i IGARD Inspection503.639.4175 P Juris: Line: v ��\� �� uric H See Page'for r Internet: www tigard-or go U V Date Ready/By: � Nohfied/Method Supplemental information ®New construction ..�.. '7,rek%k$W,,, :rift?,:0,:,4'; 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) � 4Y f# SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 ., � y Site utilities: Job site address:14143 SW 118th Court Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site:Gaarde Road to 118th Court 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:Medallion Meadows I Lot no.:16 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 s l4 Q, 1 Backwater valve 12.51 Plumbing of new single family residence '"' Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 A ,,, Expansion tank 12.51 Name:J.T.Roth Construction Inc. Fixture/sewer cap 25.02 Address:12600 SW 72°d Ave. Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 25.02 Phone:(503)639-2639 Fax:(503)624-0239 Ice maker 12.51 s � . .. s �,( '",-.!:::-...,::,-,,,,,: ;-`:-4:::-;:A "i� § Interceptor/grease trap 25.02. r • . . ..er Business name:J.T.Roth Construction Inc. Medical gas(value:$ ) Page 2 Contact name:David Jensen Primer 12.51 Roof drain(commercial) 12.51 Address:12600 SW 72°d Ave Sink/basin/lavatory 25.02 City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 62.54 Phone:(503)806-0602 Fax::(503)624-0239 Tub/shower/shower pan 12.51 E-mail:davidj@jtrothinc.com Urinal 25.02 t Water closet 25.02 �. ,`� �_,�, ;. 5 ,.. ;_ �; �< �. Water heater 37.52 Business name:ALL Plumbing LLC Water piping/DWV 56.29 Address:9312 NW Skyline Blvd. Other: 25.02 City/State/ZIP:Portland,OR 97231 Subtotal Phone:(503)520-0313 Fax:(503)469-1470 Minimum permit fee: $72.50 CCB Lic.:194089 2 /� . c Plumbing Lic.no.:PB-1022 Plan review (25%of permit fee) j State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Aaron Luchs s Date:06-26-2017 This permit application expires if a permit is not obtained within 180 days Zrj' 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) Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received g Date/By: Permit No.: NI - 11 13125 SW Hall Blvd.,Tigard,OR 9 �'� � t c Plan Review Phone: 503.718.2439 Fax: 503.598.1�6Qx1 2 6 7.0 Date/By: Other Permit No.: Inspection Line: 503.639.4175 �J!6 T 1 G A K D OO Date Ready/By: `: /lam Juris: ® See Page 2 for Internet: www.tigard-or.gov Ow�.It `' 01 Notified/Method:IN ��1-�� /�/\ I Supplemental Information TYPE OF WO: L 10 �,V��' 1 FEE* SCHEDULE L►1 New construction r� Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1-and 2-familydwellin SFR(2)bath 437.78 g ❑Commercial/industrial ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / '/G//3 Sc /J�l�il Catch basin or area drain 18.76 / Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name: 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: n, I Lot no.: 1‘ Fixture or item: Tax map/parcel no.: Backflow preventer i 31.27 '' DE IO1OF WORK'` �,' Backwater valve 12.51 � �� }" Clothes washer 25.02 ) /IU 14,t/ 811,&c V'� Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTYOWNER 0 TENANT , Expansion tank 12.51 Name: 3- r /- 0.7.›.../ . Fixture/sewer cap 25.02 Address: fh�� rJ`Z Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: 7,77-'_:;/./14..e207C, Hose bib 25.02 Phone:( ) Fax ( ) Ice maker 12.51 APPLICANT ,.ONTACIPERSON rte; Interceptor/grease trap 25.02 Ate" .N F. Business name: I r��nl �! J�� Medical gas(value:$ ) Page 2 Contact name: / `,� ��,-' Primer 12.51��'� v /' Roof drain(commercial) 12.51 Address: 1�6pv �� 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 Water closet 25.02 . "' ksY '''1-4-e. 17''''' Water heater 37.52 Business name: s2 /7Af j yi'/I/I�'1/9fX�r Water piping/DWV 56.29 Address: jc, 930 ).,., /3 2 Other: 25.02 City/State/ZIP: XV,--," ,��r !'t /om -.21Z3 Subtotal Phone: )$3''J'O-zdig Fax:( ) Minimum permit fee: $72.50 I7 Plan review (25%of permit fee) Gleateit.eC3 y7R.r7 Plumbing Lic.no.: / State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT FEE Print name: /2 Date: This permit application expires if a permit is not obtained within 180 days Z��/ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Buiding\Permits\PLMU-PerntitApp.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: Site Utilities Qty Fee(ea) Total Square Footage: Permit Fee: Footing drain-1' 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 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 Other Inspections`or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to I1 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. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. 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*. - "an R for Plumbing InstallatioI '= . 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. 0 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 Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" Iso 4tric of er- 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 Ice Mach./Refrig.Drains Comments regarding fixture work: 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 Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard I' COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Residential c, Building Permit #: ,' r2o' 7-C5-6 Site Address: VA Jy3 34) 0 1 q l'k-F Cr Project Name: t MyAck0145 Lot #: 1 ,(New dweffing=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Iktvo s1 id Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: 1 No El Yes,See River Terrace Review Addendum Attached Site Plan Elements: txisting [�/Three(3)copies of site plan structures on site I ite plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished L7 Drawn to scale(standard architect or engineer scale) floor elevations L_KNorth arrow El4tility locations&easements(required for new and additions) C!Fite address,project or subdivision name and lot number .%Sidewalk/driveway approach Vi.plicant information(name and phone number) h 1 .cation of wells/septic systems Is)IP ot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree Ai Square footage of buildings to be demolished protection measures OAC, ot area,building coverage area,percentage of coverage and ®,�Str- eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Ergireet names [ �/ 'roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? NJYes ❑No 4 foot differential) If yes,is a storm water quality facility shown? ❑'des ENo (1/4)itt Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): LPI' ❑ Yes,applicant was notified No Received: CI Yes ID No M Public Facilities Improvement(PFI) Permit: VR3' d\q-000t } ,�/Required: ❑ Yes,applicant was notified CI No Applied For: EAT es CI No,stop intake VL� ,Land Use Case#: 512 � IE ,"5-0000 6 j At3`io -7, -0001 l ®/ oning: i-4.5LV 1 Required Setbacks: Front -QiiiA_ Rear )s Side 5 Street Side I 15 Garage -0 �' Landscape Requirement: % tS IF/Lot Coverage Maximum: %V/BJ uilding Height: Maximum Height Actual Height 7 Visual Clearance tJ 1 ensitive Lands: El Yes 0 No Type [Q'Urban Forestry Plan 1 Co tions "Met"prior to issuance of building permit Notes: ADS t1 .c� FA/ S -i-�)G cJ 16-N-`. come_ ou-6-6 frzci1 e_13 '? I tins " � if r a•�� CO(MO len;:.M 0 j C\ -. - • 1 Sc tie peal l Approved By Planning: „1►,- �`�� Date: 4/`- '7/7 Revisions (after Building Su.mittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved El Not Approved I:\Building\Forms\BldgpermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: L7/i 7 Site Plans: # 3 Building Plans: # 3 Building Permit#: 0-tenter building permit above. Workflow Routing: ;;ming l -engineering E Permit Coordinator wilding Workflow Sign-off: r , gn-off for Planning(include notes from planning review) Route Application Documents: [4—gineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: _ Date: /).-7/; Engineering Review XSlope at building pad: //g 'Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat �/ Water Quality/Quantity Facility: ,...",e Assess Water Quality Fee in-lieu: ❑ Yes I No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: _ /14z y Date: arafe-/ 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: El Approved El Not Approved Permit Coordinator Review El Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: SDC Fees Entered: Wash Co Trans Dev Tax: es El N/A Tigard Trans SDC: Yes CI N/A Parks SDC: yn''Yes ❑ N/A LIDA ❑ Yes IRON/A rl' OK to Issue Permit )- Approved by Permit Coordinator: //trDate: 6 I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 July 10, 2018 at 2:10:29 PM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Junction box and range wiring not secured.330.30 Left message with electrical contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 July 10, 2018 at 11 :46:18 AM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal wall penetrations at HVAC equipment. ORSC R302. Range not installed at this time. Not ready for Inspection, Work not complete. No further inspection done. No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 July 10, 2018 at 11 :43:20 AM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Down spouts and gutters not done. Work not complete, not ready for Inspection. No further inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 July 31 , 2018 at 12:16:40 PM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide approved Backflow test report and Backflow devise inspection. Backflow devise not found. Master shower not done, no strainer installed. Grouting not done. Not ready for 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: 14143 SW 118TH CT, TIGARD, OR, 97224 July 31 , 2018 at 12:17:51 PM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal foundation vent penetrations for ac. R302 Seal ceiling penetration at furnace for electrical. R302 Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 August 16, 2018 at 1 :28:06 PM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 August 16, 2018 at 1 :25:52 PM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 August 16, 2018 at 1 :30:15 PM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Duplicate inspection scheduled. Plumbing final approved at previous inspection same day. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 August 16, 2018 at 1 :25:52 PM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 August 28, 2018 at 10:35:02 AM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Lower stair handrail/guardrail on open side of stairs exceeds code maximum at lower end. Measures 38.5"-39.5". 38" maximum height per code measured vertically from a line connecting the leading edges of treads. R312.2(2) Provide duct seal test report or blower door test for ductwork in crawl. AF103 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 August 30, 2018 at 10:18:50 AM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: New hand rail not to code. See R311 .7.7.2 hand rail does not return to post at top and bottom, no safety terminal installed and interrupted and not continuous at middle attachment. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14143 SW 118TH CT, TIGARD, OR, 97224 August 31 , 2018 at 10:36:46 AM Record Type: Record ID: Residential - Master Permit MST2017-00250 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement 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. Violation Summary: Inspector Contractor . TIGARD City of Tigard March 1,2018 J T Roth Construction Attn: Austin Roth 12600 SW 72nd Ave.,Suite 200 Portland, OR 97223 Re:Permit No. MST2017-00250 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 14143 SW 118th Ct Project Name: Medallion Meadows,Lot 16 Job No.: N/A Refund: ® Check#227711 in the amount of$28.02. ❑ Credit card"return"receipt in the amount of$ ❑ Trust account"deposit"receipt in the amount of$ Notes: A change in the scope of work to remove laundry tray resulted in overpayment of permit fees;refund difference. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. I:\Building\Refun muSW 1.44 luv•rpIyi rkpegon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov 1 ,y'" wt,i $ ,';:', City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ,' r , 711Request for Permit Action `` ` • TIGARD 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBu.ildingPermits@tigard-or.gov FROM: ® Owner [(Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) ,'` Q,L (_c, u 9\-- Mailing Address: «-(,„,6e.) g,,,, 4, - A.JI. . :SILu 1i, dt) City/State/Zip: enr k--L. O& 1?')- --3 Phone No.: C 5(/ ) (p;et g PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ C.NCEb/ OID PERMIT APPLICATION. dr,4 REFUNERMIT FEES (attach copy of original receipt and provide explanation below). `'`INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: 6vkg .42,1l -- c:l>; O Site Address or Parcel#: 14 04)4) y,,,., 1 „„.k.. Project Name: v a.it tzi Subdivision Name: `` `( Lot#: C 0 EXPLANATION: Re 1µ,--.Q. (aLn ,°� -) I f' Signature: 4 ' ”- a. /gi ,Date: Print Name: 74-,(4h;-, Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. ' 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. n -5--', er—e) Route to Sys Admin: Date By Route to Records: Date c:Q ,2,71- /y By Refund Processed: Date o2/23// By Invoice Processed: Date By Permit Canceled: Date A../// By Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_092314.doc