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Permit (243) CITY OF TIGARD MASTER PERMIT sII • COMMUNITY DEVELOPMENT too Permit#: MST2017-00290 " Date Issued: 12/18/2017 T r c;A u.i7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 "' F ; / . Parcel: 2S110AC00200 ' Jurisdiction: Tigard Site address: 11000 SW ANNAND HILL CT Subdivision: ANNAND HILL SUBDIVISION Lot: Project: Annand Height, Lot 23 Project Description: New SF. 3/26/18: REPRINT to change address. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 897 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1296 sf Garage: 320 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 2193 sf Value: $265,905.85 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 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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: 3 201-400 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 2193 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 TIGARD,OR 97223 PHONE: 503-768-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $29,981.93 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 ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /0,,W4 /4-r/4 %'/ Permittee Signature: /eiZ /p ('� �, 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 c 1 CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT Permit#: MST2017-00290 T t c3A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2017 Parcel: 2S110AC00200 Jurisdiction: Tigard Site address: 11000 SW ANNAND CT Subdivision: ANNAND HILL SUBDIVISION Lot: Project: Annand Height, Lot 23 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 897 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1296 sf Garage: 320 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2193 sf Value: $265,905.85 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: 0 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'l 500 sf: 3 201-400 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 2193 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 TIGARD,OR 97223 PHONE: 503-768-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $29,981.93 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-001-0090. Y., may obtain a opy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �' r—^ �-=� • - Permittee Signature: -- �—• Call 503.639.4175 by 7:00 a.m,for the next available inspection date. ` G This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. s i Mechanical Permit Applicat' x . . 11 I— P L. D FOR utFFICE USE ONLY - City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 2 7 2017 Date/By: PermitNo,ots7,'� „�� A,U Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ��l ��d/ Inspection Line: 503.639.4175 yip) Date/By: Other Permit: TIGARD C (.. 1R ARD DateRead Ready/ By:www.tigard-or.gov r �, y y hris: I7 See Page 2 for st1i�_ i'a'.: DIViSION Notified/Method: I Supplemental Information TYPE OF.WORK ' ` ,° COMMERCIAL FEE* SCHEDULE USE CHECKLIST w construction 0 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. ""' ''' CATECttOIZY OF'C0.1ySTRUCTION :' Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special ElMulti-family 0 Master builderP information use checklist. 0 Other: Description Qty. l Ea. l Total JOB SITE INFORMATION AND LOCATION' ` Heating/cooling: Job site address: L/'�� //�A4 a j4 1//er4 Air conditioning 46.75 � ® / Furnace 100,000 BTU(ducts/vents) .--*''' 46.75 City/State/ZIP: 7----c,"G. 0,Z 97 .,�,1 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Anw jam` f� Heat pump 61.06 Cross street/directions to job site: /�( >J Duct work 23.32 /of 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: /=9-.4114"e,, L-/eI Lot no.:'>•-. � Other: 23.32 Tax map/parcel no.: �i�0 h -J Other fuel appliances: Water heater ,O 23.32 "DE$CRIPTIp1V pF,WORK Gas fireplace/insert .0"""-- 33.39 /j f �� Flue vent for water heater or gas /V fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ROI'ERTI'S OWNER°, 1Other: 23.32 Name: rit�j ),� ,5� cp� Environmental exhaust and ventilation: Address: p� / �V Range hood/other kitchen ®R 6 c.� J(fdr,,(,h pais., 5 ,�f2 equipment 33.39 V ��f Clothes dryer exhaust ,,''.* 33.39 City/State/ZIP: !� ®✓c 9-72y3 Single-duct exhaust(bathrooms, Phone:( �� / Ptoilet compartments,utility rooms) 76 d --L./37� ax:`5"3) O -7 c2�i 23.32 �� Attic/crawlspace fans 23.32 .i.::, ` PLICANT ❑ CONTACT PERSON Other: 23.32 Business name: 6rme Fuel piping: Contact name: $14.15 for first four;$4.03 for each additional Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone:( ) Water heater I Fax: :( ) Fireplace E-mail / 1 Range tum ,p dilod koir,ts/li�®,,gotai'I (air? Barbecue , CONTRACTOR.'r - dryer 1 V Clothes d rY (gas) Business name: -F1c-,, C4- // Other: Address: /'r /�1 MECHANICAL PERMIT FEES* J v �' /�,<(d/_C iu �`cr Joh. Subtotal r/ct,"� City/State/ZIP: .�„�d/t � e' �Jdo . aa- '5"-a- '5"- Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) CCB lic.: -7��d ) 2 State surcharge(12%of permit fee) vo`�� TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. je. * Fee methodology set by Tri-County Building Industry Service Board Print name: !V 13.d / Date: -7/'��i I\Buildin,,\Permits\MEC PermitAoo 040 oc 440-4617T(11/02/ OM/WEB) Electrical Permit Applicatl " FO,_OFFICE USE ONLY „ F,!1,11::-:;-.)L „ „ City of Tigard r/ �3q Date/By: a ceed - " 13125 SW Hall Blvd.,Tigard,OR 9722dUL 2 I 2017 y. N 1 Plan Review r siii i P. ' P s v., .. . I-A- ii. Phone: 503.718.2439 Fax: 503.598.1960 '`� DateB : Related Permit#: Inspection Line: 503.639.4175 CIT" i1)r Ready Date/By: Juris: EI See Page 2 for TI G AR D Internet: www.tigard-or.gov BUILDi" G :i iC.'4Notified/Method: Supplemental Information TYPE.OF WORK PLAN REVIEW New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑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 ❑Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address/ 11^AQ^d/,i,i rJ �j _4 0 AdditionHof new motor load of system. CIO v LLLL(vL�((( vµ I OOHP or more. ❑"A„ "E> `1.2„ "1.3„ Cl /State/ZIP: / 3 0 Six or more residential units. occupancy. /L�� ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name: A dvd f f /1-5 El Hazardous locations. 0 Supply voltage for more than // Y' "� ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: //lQ f� FEE SCHEDULE Description I Qty. I Each I Total tr��--� New residential single-or multi-family dwelling unit. Subdivision: Ana,t/ Hie) f (' Lot#: Includes attached garage. (J 1,000 sqft.or less i 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 11/ei.s d F� (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 1ROPERTY;OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 6(j,. atadd 6„s e/� 200 amps or less 100.70 2 S T Address: •• S 6-co AJ 0a cit. S --1 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 70 cur,/ 172 601 amps to 1,000 amps 301.04 2 Phone:(3 • 760.._2/3 ,c Fax:(5 3 )550 2 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:IA bii-itord zs /IAA> rd) 6.0.164 I tccht' 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 LICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with ,� Business name: atit e above service or feeder fee, l!`t each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 4rea m40(4_5( giruidej L Sign or outline lighting 67.84 2 J ) Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: .0�/ �(:! ({� a(�i �o4e. 2 panel,alteration,or extension. City/State/ZIP: �,_7�/ k .7-1,1_2-5 "JJEach additional inspection over allowable in any of the above / ` ,(9100/1, Additional inspection(1 hr min) 66.25/hr Phone:T3) v./ 71,/ Fax:(-(/3) ‘lb_92,23 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.:/14,2„24, Electrical Lic.:L--- ' Suprv.Lic.:LI5OS specifically listed(/z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name 4/4:5 hi 4ito Date: "7t//1 ❑Plait Review Required(25%of permit fee): ffff 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 A ri p ma -Ae• Date: 1 i 41 A( days after it has been accepted as complete. / * Number of inspections allowed per permit. L'BuildingWermitsiELC_PermitApp_ELR_ERE.doe Rev 06/1 440-4615T(11/05/COM/WEB I • Electrical Permit Application—City of Tigard ❑ ti . Page 2—Supplemental Information JUL 272017 Limited Energy Permit Fees: „,'.v7,,) Renewable Energy Permit Fees: BUIL a RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qty. Each Total I 3' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less l 00.7o 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ri B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n G• arage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: E 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(%hr min) COMMERCIAL WORK ONLY'• ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems E Data Telecommunication Installation E Fire Alarm Installation E HVAC ❑ Instrumentation ❑ Intercom and Paging Systems Landscape Irrigation Control* • Medical n Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 Plunibing Permit Application S Building Fixtures FOR OFFICE USE ONLY City of Tigard JUL 2 7 2017 Received DateDate/By: .�1 /fes Permit^,,,�_� G/0__ qcl . a 13125 SW Hall Blvd.,Tigard,OR 97223 3 e _ Plan Review Phone: 503.718.2439 Fax: 503.598.19 6 t DateBy: Other Permit No.: T I GARD Inspection Line: 503.639.4175 BU LDi..'.G D'\i '�4 Date ReadylBy: luris Q See Page 2 for Internet: www.tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK FEE* SCHEDULE ew construction ED Demolition For special information use checklist /-. Description Qty. 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 SFR(2)bath 437.78 and 2-family dwelling ❑Commercial/industrial - SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: � �Agit" // �4�"f / Catch basin or area drain 18.76 Job site address: f �ret) l [/ Drywell,leach line,or trench drain 18.76 City/State/ZIP: r O' ' V'7 -2 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:/ /1/14,/ie/ii LA. Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 /®f t�j 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: /twit/ ,fil-et 11,/5 Lot no.:23 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve 12.51 DESCRIPTION OF WORK �ry Clothes washer 25.02 Aft...) 5P/2- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51 `� ® Fixture/sewer cap 25.02 Name: 1//2(/iC("IYJf/itiF �ajL � .� SI �• Floor drain/floor sink/hub 25.02 Address: 0s4_ (/0f/ )19 6106Z 5-41..ed Garbage disposal 25.02 City/State/ZIP: /�a-� ge Hose bib 25.02 Phone:(S 76- 7S Fax:(ce,3 S-, -.7 2jt Ice maker 12.51 0`APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: 5bn1 't' 12.51 Primer 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 Urinal 25.02 E-mail: (Ai B t'd-acrelitcj t-e5/V(A-7 t9c/J-OW/ /tl Water closet 25.02 CONTRACTOR off Water heater 37.52 Business name: pot- j�� I4,6t- 4(,,., ire) Waterpiping/DWV 56.29 Address: Oho//(36 f 4 /1 !'r Other: 25.02 City/State/ZIP: Oro G/i Fdor ei4 a _ Subtotal Phone:( 3) 7g.3 ^14 Fax:45-43) .3 e/ Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: i/‘..2i/‘..2 /3 7b Plumbing Lic.no.:35-L �� State surcharge(12%of permit fee) Authorized signature: 7////'-0 TOTAL PERMIT FEE Print name: �l k '` /ir Date:- /C f//1 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:\Buildiag\Permits\PLMIJ-PermitApp.doc 10/01/09 440-46t6T(10/02/COM/WEB) City of Tigard 111 III 41 COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Residential Building Permit #: f/j Ste/ l7—D o2D Site Address: 1 1 000 S W Pr nn ci r c,L r-i 11 c - • Project Name: A n flood, He 19 h1 Lot #: Z3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N e/W SEK Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: / No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: (Three(3) copies of site plan ❑Lxi3ung structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished 'Nraven to scale(standard architect or engineer scale) floor elevations orth arrow7rUtility locations&easements(required for new and additions) /3Site address,project or subdivision name and lot numberidewalk/driveway approach Applicant information(name and phone number) CLocittion of wells/septic systems /Lot dimensions and building setback dimensions 8£ istarg trees to be retained with drip line,and tree /Square footage of buildings to be demolished protection measures Lot area,building coverage area,per -e tage of coverage and 'Street tree size,type and location impervious area(applicable if R-7 (' ►: R-25&R-40) [ Street names coo /Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? 0Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? f Yes E No / Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: ❑ Yes ❑ No /`'' Public Facilities Improvement(PFI) Permit: P F. 2,010 —0'0050 Required: ❑ Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake l/LandUse Case#: PDG�� is - 00008 -- SVr - 7�31S — 00013 Or Zoning: - t 2 Required Setbacks: Front I S Rear I S Side 3 Street Side 9 Garage Landscape Requirement: gi Lot Coverage Maximum: 8 0 % Building Height: Maximum Height 35 Actual Height X Visual Clearance Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: 6*-1,-\--:- Date: 11 2i / 1 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: Cl Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: 77)/0 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. ��_ Workflow Routing: Planning 'Engineering [k ermit Coordinator7. Building Workflow Sign-off: Sign-off for Planning(include notes(from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 1 ,-Building: original permit application, site plans,building plans,engineer and // beam calculations and trust details,if applicable, etc. Notes: / By Permit Technician: �—... /v/ A.d/e'�_.A..4. Date: Y-0 7 Engineering Review Slope at building pad: / 0 16 ❑ Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat --13`Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ..Er No Assess Water Quantity Fee in-lieu: ❑ Yes - No LIDA Facility on lot: El Yes .12'No ❑ NOT Approved by Engineering: Date: Notes: uk I I �;X— 2 GA`-3,- 1 ?-1t—T-- , / v4 Approved by Engineering: //4(1<' Lt), Date: 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ 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: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes El N/A LIDA ❑ Yes `qPN/A Ai 3 K to Issue Permit A roved byPermit Coordinator: di/1/ ��/4 / — pp Date: I:\Building\Forms\B1dgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11000 SW ANNAND HILL CT, TIGARD, July 10, 2018 at 2:05:22 PM OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00290 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11000 SW ANNAND HILL CT, TIGARD, July 16, 2018 at 12:45:04 PM OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00290 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous 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: 11000 SW ANNAND HILL CT, TIGARD, September 5, 2018 at OR, 97224 9:00:09 AM Record Type: Record ID: Residential - Master Permit MST2017-00290 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. Violation Summary: Inspector Contractor