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Permit (36) IN q CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00526 -t-t ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/28/2018 Parcel: 2S 111 AA01400 Jurisdiction: Tigard Site address: 8867 SW INEZ ST Subdivision: Lot: Project: Butterfield Park, Lot 10 Project Description: New SF. APPLY DEMO CREDITS FROM BUP2017-00113 FOR TRANSPORTATION AND PARKS. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 6 First: 1347 sf Basement: 0 sf Left 0 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1634 sf Garage: 663 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: 2981 sf Value: $374,242.52 Rear: 0 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: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 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: 6 201-400 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 2981 Owner: Contractor: FOUR D CONSTRUCTION FOUR D CONSTRUCTION Required Items and Reports(Conditions) P.O.BOX 1577 PO BOX 1577 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97075 BEAVERTON,OR 97075 PHONE: 503-720-7445 PHONE: 503-720-7445 FAX: 503-590-1751 Total Fees: $9,917.59 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 issu-ice, 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 C. ter. - .se rules ar. set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a •• • ules or direct questions to OUNC by calling 503.2 . ,87 0 04 3! , 44 Issued By: - Permittee Signature: ��Alia .. .639.4176 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 "e project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential y 1 OR OF I(1: I SE 0��'1.1 City of Tigard l ,.� �._ Received 1.� 1111 A 13125 SW Hall Blvd.,Tigard,OR 97223 Date/BY: r v 0 7 Permit No.:J� 1, Plan Review i - STA017-01 Phone: 503.718.2439 Fax: 503.598.196 r x t Inspection Line: 503.639.4175DEC }� 01{ Date/By. oZ oZ j—I 1 - ' Other Perm4, r /!/ Date ReadyBy: Juris: Jo,"are Page Internet: www.tigard-or.gov Notified/Method: till/ �fg Iry .�j/l I Supplemental Information € FIGARO + ,,.i/o fall hAp?i TYPE O TENNG DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING j'New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the k< CATEGORY OF CONSTRUCTION work indicated on this application. \ �1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 3 7�.�i do 1 U': Accessory building 0 Multi-family Number of bedrooms: 1 6 0 Master builder 0 Other: Number of bathrooms: 3 it i JOB SITE INFORMATION AND LOCATION Total number of floors: `2. 3 6 C). 9 Job site address g ,-`7 Sr .l t .z - . 17- New dwelling area: C 8 j square feet 1 1 City/State/ZIP: —1-1 (,y A-Sz-[) 0 R 9 72-2.V Garage/carport area: 6 j3 square feet Suite/bldg./apt.no.: Project name: Covered porch area 9 0 square feet 631, Cross street/directions to job site: Deck area: 7 square feet )3 47 ti A U.- $LVD &ge-eNSt o Att--kb LN — 9'0 t - Pottber�stru a�i`eea: 13 04 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: -C -- �<^�� �,..o-.-',rj� 7_F* Lot no.: / Permit fees*are based on the value of the work performed. = Tax map/parcel no.: / l� Indicate the value(rounded to the nearest dollar)of all 1 6- " `` rzit. equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. /�C-L ,$/ii/6LC SAM I 17- REj>�j ./�/CG Valuation: $ Existing building area square feet New building area: square feet PROPERTY OWNER l 0 TENANT Number of stories: Name: Type of construction: I;' Address: r, M. " S tL d N./ Occupancy groups: City/State/ZIP: Existing: Fax:( ) g one:( )r ._ New: APPLICANT W 0 CONTACT PERSON BUILDING PERMIT FEES* Business Warne: F p U Iti co N,5 7-R U crib/ /�. (Please refer to fee schedule) Contact name: Structural plan review fee(or deposit): D PY 1 p 1)C H-}.RP PopsT' Address: FLS plan review fee(if applicable): ,��� 'F=0. Box 15 `7 7 - City/State/ZIP: BEA v- r fees due upon application: �' `�" Total row c)- 707 ?J . ."S Phone:(S ? a _7 9fy s Fax::(`43) .590_- 175 f Amount received: i E-mail: F 0 ci I'''mo D CGS dv.�T.-i 6 S r Co PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details Address: �� LT and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: 6Permit Fee(includes plan review $180.00 Phone: and administrative fees): ( ) Fax:( ) State (12%surchargeof CCB lic.: permit fee): $21.60 7/�3` Total fee due upon application: $201.60 /z._..e.,/te7.... Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �/ Date: *Fee methodology set by Tri-County Building Indust � A IPP°9rr" z�Z 7. 7 Service Board. Industry I:1BuildingWermits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USF. ONE) City W Tigard • w } 1 Received 13125 S W Hall Blvd.,Tigard,OR 97 Date/By: Permit No.:M d Phone: 503.718.2439 Fax 503.598: `�1 • I Plan Review Ins Date/By: Other Permit: l IGARD ection Line: 503.639.4175 p Internet: www.tigard-or.goV 2 8 Date Ready/By: Juris: ® See Page 2 for Gbit E C y ?in 1 Notified/Method: Supplemental Information !x TYPE OF f)it OF TIGyARD COMMERCIAL FEE* SCHEDULE USE CHECKLIST New construction ❑Addition/ Mechanical permit fees*are based on the value of the work I IG ISJO\ performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ 1-and 2-family dwelling ❑Commercial/industrial RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑Accessory building El ❑Master builder For special information use checklist. ❑Other: Description I Qty. I Ea. I Total • JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: b--7c ` ,r Air conditioning ' 46.75 , y~, _ ,EZ_ _ /--: Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: "r-j ly C�` 0./ 72_z 5/ Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 iR LA_ a Lv b _ &R G E Ns Gv A as ZA/ - 9'o r14 hydronic)Residential boiler(radiator or 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: ( - p b ,,"- . t I Lot no.: I 0 Other: 23.32 Tax map/parcel no.: Other fuel appliances: -jT,)Z i-/ (.L o PA rtjc Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert / 33.39 Flue vent for water heater or gas / fireplace 23.32 N&�f S 1 N 6(v C -)Al� I Ly P es) D e-JJ LE-..- Log lighter(gas) 23.32 JWood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 a PROPERTY OWNER I 0 TENANT Other: 23.32 Name: Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment / 33.39 ps 81 eq.OCA.) Clothes dryer exhaust / 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) •J 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans APPLICANT 23.32 ['� CONTACT PERSON Other: 23.32 Business name: Fou,R. D �r� anat./kr,0 iu Fuel piping: c-6 Contact name: $14.15 for first four;$4.03 for each additional IV 1 P D e 414-- >P612-1- Furnace,etc. Address: P 2 0 , oa ox 1 S-7-7 Gas heat pump City/State/ZIP: �,f Ek Q Wall/suspended/unit heater 1 7© 7 S Water heater Phone:(563) 7 p ._ --p-/Y s I Fax::(5 03 5 70 .. 17S I Fireplace E-mail: Fou. 0 co N SI-e_14/1.. A), C o AA Range Barbecue CONTRACTOR Clothes dryer(gas) Business name: e � L� A-1(. t-Du Other: Address: , Box !,3 MECHANICAL PERMIT FEES* P. 7 City/State/ZIP: Subtotal G KAM AS 1 6 `�f 7 0 l S Minimum permit fee($90.00) Phone:(�j c13) S. s_, / 90 I Fax:�) 650_3 Plan review(25%of permit fee) 9,c/ State surcharge(12%of permit fee) ff y CCB lic.: /76 (o • 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. * Fee methodology set by Tri-County Building Industry Service Board Print name: I I,, L. LL Date: _27 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application r.,�� , 1.(M t>El•,c �: 151�<<)��1.1 City of Tigard � Y f gi 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review V ES ` :IN I Phone: 503.718.2439 Fax: 503.598.1960 i r t Date/B . Related Permit 4: Inspection Line: 503.639.4175 ��r'-, s " ® See Page 2 for T I ',\k:t 1 ��I; Ready Date/By: loris: Internet: www.tigard-or.govpp Notified/Method: Supplemental Information TYPE OF WWII T7 ;raj ' PLAN REVIEW construction 0 Addition/altera' t It fill' R Please check all that apply(submit i;sets of plans w/items checked): 0 Demolition Other: 0 Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. pi,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder amps for all other installations. buildings. ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: 2(_3'� s / --e-g_ ❑Addition of new motor load of system, L.JVs r 100HP or more. ❑"A""E","I-2""1-3" City/State/ZIP: I-7 v A 12-D ®'� s 7L- 7 z / ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldgiapt.#: 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: FEE SCHEDULE 14 7 Li... 8 v D - R NS rLa /(� — pb T f� Description I Qty. I Each I Total I l New residential single-or multi-family dwelling unit. Subdivision: Lot#: 1 i% Includes attached garage. Tax map/parcel#: i'� 1,000 sq.ft.or less 168.54 4 t i R h �= T� �L Ea.add'!500 sq.ft.or portion 33.92 1 DESCRII'TION OF WORK Limited energy,residential /VEIA.) .Sirs/&L/c I=1�M i i_ J?S/D A,t (with ne gy,multi-family 75.00 2 Y Limited energy,mu8i-family 75.00 2 residential(with above sq.ft.) 0PROPERTY OWNER I © TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: AML S 3 eLo 201 amps to 400 amps 133.56 2 City/State/ZIP: dGo 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 30I.04 2 Phone:( ) 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 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits–new,alteration,or extension, er panel a.APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: F a m. D co NST-2u cm/L} above service or feeder fee, each branch circuit 7.42 2 Contact name: I)A-',0 . .NA -FTorzr B.Fee for branch circuits without sAddress: f E 0. B cox 15 7 7 branch it feederitfee,first 56.18 2 branch circuit City/State/ZIP: ,BE A>Y�g:rolu c)g..... 9.70.7 J c Each add'l branch circuit 7.42 2 Phone:(J�) Miscellaneous(service or feeder not included) Q -7�o '2 y V S Fax::(5773 ),9c) -17 5 / Each manufactured or modular Email: dwelling,service and/or feeder O 67.84 2 D L6��r AAs fu. co Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: EL tE L.EG7---/Z-1 c, G,Q ii4 P Sign or outline lighting 67.84 2 Address: (Q /S O //k, pa A/D D/Z Z{10 9/ Signalalteration, circuit(s)or limited-energy `�t / 7 panel,alteraor extension. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: po g T 144.11/4/0 012. ?727 0 Additional inspection(1 hr min) 66.25/hr Phone:(503) L-7 7 —3 788 Fax:($ ) t 9b/ ^ �9/7' Investigation(I hr min) 66.25/hr Email: -L-5"7-& Gg c r-�c-G locr to e 6,4.4/24 IL. r co An Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.:/7/2,7V Electrical Lic.:C 63 Suprv.Lic.:5 76 Z S specifically listed(h hr min) 90.00!hr Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES � i 6i _,,,,,......x, te, Subtotal: Print name: R o g E p4-0 14 64 '-ovj of .Date: 70 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:� ./ TOTAL PERMIT FEE: This permit application expires if a Print name: permit is not obtained within 180 47 .�, ,/�-�)I /'G r Date: /L_z7 j 2 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits1ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 440-46151(11/05/COM/WEB Plumbing Permit Application Building Fixtures FOR ()Hi( u: l ,,l: omLl A lig lig City of Tigard Received 13125 SW Hall Blvd.,Tigard, r 7r a e Date/By: Permit No.: n� �`, i 7_0o 5v Phone: 503.718.2439 Fax 60 $ Plan Review Inspection Line: 503.639.4175 - i "'`" .4 '4' Date/By: Other Permit No.: r 1 l`n k D Date Ready/By: runs: 1 ® See Page 2 for Internet: www.tigard-or.gov � r 8 (TiNotified/Method: TYPE OF Wlfll ( ' Supplemental Information FEE* SCHEDULE New construction c fit4rotoc`° a Description For special information use checklist '` - ❑Addition/alteration/replacement � ��r .,f„ Qty. Ea. Total 1 L.,IJ s t New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 bg'1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building CIMulti-familySFR(3)bath j 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 0.0 6--7 _, w, �ivL� Sr Catch basin or area drain 18.76 City/State/ZIP: --T.-) toA 0 R` 9 7 2_2...5/ Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: Project name: 7 Footing drain(no.linear ft.: ) Page 2 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 14 ll LL BLVD `- CJREe coA 18.76 NS n� �- - t�� rid- Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 ' Storm sewer(no.linear ft.: ) Page 2 Subdivision: _ Water service(no.linear ft.: ) Page 2 D Lot no.: 1 U Fixture or item: Tax map/parcel no.: 1a t�t- -e- ..FJ l�l-r p,,,,1„... Backflow preventer 31.27 "�� DESCRIPTION OF WORK Backwater valve 12.51 / � Clothes washer 25.02 11/ 64-) 3/M646 / 4MiLy R&S IDEA/6e- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: S /IS Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 (APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: ro f D e'pNS7-RLI ct/D/V Medical gas(value:$ ) Page 2 Contact name: 0/AVIDiPrimer 1251 � 1i"A- P PbK r Roof drain(commercial) 12.51 Address: 1, O. ,eoX 15 .,77 7 Sink/basin/lavatory 25.02 City/State/ZIP: 3g4 VRm Ai CD R 97 e:3-7.s Solar units(potable water) 62.54 Phone:Sj03 ) 7,/0 7[/'5 Fax::(5,3)5-90 1 75/ Tub/shower/shower pan 12.51 E-mail: /C'O U 12- 13 60 A1sr c iirSN 60,0 Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: -1-Ulr Mti(C,LCA/ £411-,1 PAA-1v Water piping/DWV 56.29 Address: Y/ 'f 6O/P' S. ,R 11/t✓/2 R Other: 25.02 City/State/ZIP: Mc, Di 7/23 Subtotal Phone:(S53) 6,y0- 63 J/3 i Fax:( ) Minimum permit fee: $72.50 CCB Lic.: ?_,26 g ' Plumbing Lic.no.:,:.?K-260 PP/3Plan review (25%of permit fee) / State surcharge(12%of permit fee) Authorized signature: /� ` ,w.dates TOTAL PERMIT FEE �-Date: I. Z7-I This permit application expires if a permit is not obtained within 180 days Print name: b t�,10 .j- De J _ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits1PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COMJWEB) Albert Shields From: Albert Shields Sent: Wednesday,January 10, 2018 4:39 PM To: fourdconst@msn.com Subject: MST2017-00526 David, we do not yet have a copy of the recorded plat for SUB2016-00010 so I'll put this application aside as "Approved (for plan review) but Not Released." Please let me know if yu have any questions. Albert Shields Permit Coordinator City of Tigard Albert@tigard-or.gov 503-718-2426 1 Record Condition List Page 1 of 1 Record ID: SUB2016-00010 MenuNew Reorder Delete Help ❑ Order Condition Name Status Status Date Applied By Seve ❑ 01.TREE PROTECTION MEASURES Met 05/15/2017 Gary Pagenstecher ❑ 02. BIMONTHLY ARBORIST INSP... Continuing 05/15/2017 Gary Pagenstecher ❑ 03. PROVIDE TREE ESTABLISHM... Met 02/07/2017 Gary Pagenstecher ❑ 04. PAY INVENTORY DATA COLL... Met 02/07/2017 Gary Pagenstecher ❑ 05. PFI PERMIT REQUIRED Met 05/15/2017 Al Dickman ❑ 06. EXACT LEGAL NAME ON PFI Met 02/07/2017 Ray Woolf ❑ 07. PROVIDE CONSTRUCTION VE... Met 02/07/2017 Ray Woolf ❑ 08 OFF-SITE UTILITY EASEMENTS Met 03/27/2017 Khoi Le ❑ 09. SUBMIT PRELIMINARY SIGH... Met 03/27/2017 Khoi Le ❑ 10. PROVIDE TRAFFIC DATA/SW... Met 03/27/2017 Khoi Le ❑ 11. SUBMIT CONSTRUCTION PLA... Met 03/27/2017 Khoi Le ❑ 12. SUBMIT CONSTRUCTION PLA... Met 03/27/2017 Khoi Le ❑ 13. SUBMIT CONSTRUCTION PLA... Met 03/27/2017 Khoi Le ❑ 14. PRIVATE STREET SECTIONS... Met 03/27/2017 Khoi Le ❑ 15. PRIVATE STREET,TRACT B... Met 03/27/2017 Khoi Le ❑ 16. PROVIDE SANITARY SEWER ... Met 03/27/2017 Khoi Le ❑ 17. PROVIDE STORM SEWER LAT... Met 03/27/2017 Khoi Le ❑ 1. DOCUMENT DOWNSTREAM CAPA... Met 03/27/2017 Khoi Le ❑ 19. CORRECT CAPACITY OR CONS... Met 03/27/2017 Khoi Le ❑ 20. SHOW ANY EXTENSION OF P... Met 03/27/2017 Khoi Le ❑ 21. PROVIDE TVF&R APPROVAL Met 03/27/2017 Khoi Le ❑ 22. PROVIDE ON-SITE WATER Q... Met 03/27/2017 Khoi Le ❑ 23. EROSION CONTROL PLAN Met 03/27/2017 Khoi Le ❑ 24. OBTAIN 1200-CN GENERAL... Met 03/27/2017 Khoi Le ❑ 25. SUBMIT FINAL GRADING PLAN Met 03/27/2017 Khoi Le ❑ 26. INDICATE STEEP SLOPES Met 03/27/2017 Khoi Le ❑ 27. FINAL PLAT TO CONTAIN S... Met 09/19/2017 Khoi Le ❑ 28. PAY ADDRESSING FEE Met 11/15/2017 Khoi Le ❑ 29. CONSTRUCTION ACCESS&P... Not Appli... 11/14/2017 Khoi Le ❑ 30. SUBSTANTIAL COMPLETION ... Met 11/14/2017 Khoi Le ❑ 31. PROVIDE AS-BUILTS Continuing 11/14/2017 Khoi Le ❑ 32. PROVIDE FINAL SIGHT DIS... Met 12/07/2017 Khoi Le ❑ 33. PROVIDE SIGNAGE FOR SHA... Met 12/07/2017 Khoi Le ❑ 34. MONUMENT ALL STREET CEN... Met 11/09/2017 Khoi Le ❑ 35. STREET& UTILITY IMPROV... Met 11/14/2017 Khoi Le ❑ 36. FINAL ARBORIST INSPECTION Not Met 03/27/2017 Khoi Le https://ay.accela.com/portlets/condition/capConditionList.do?module=Planning 1/8/2018 City of Tigard III " COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: Pi5Talc f-7-co5a.% Site Address: 00(p-I S\/\j Inez Stre<A'- Project Name: DA-Hcftd PAW-- Lot #: 1 i) (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1(e1/\) Sfl(2" .0 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 Existing structures on site `C Site plan must be on 8-1/2"x 11"or 11 x 17"paper , F`ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations North arrow *Utility locations&easements(required for new and additions) slytSite address,project or subdivision name and lot number Sidewalk/driveway approach 'Applicant information(name and phone number) [: 'cation of wells/septic systems Lot dimensions and building setback dimensions Ii -xisting trees to be retained with drip line,and tree °(-Square footage of buildings to be demolished protection measures fSLot area,building coverage area,percentage of coverage and e<treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? CI Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? EYes ❑No AClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified `Iirl No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant1was notified `f4 No Applied For: CI Yes CI No,stop intake ,ALand Use Case#: SV D2'°110' DW(O ASt—Zoning: Q t.(- .- Required Setbacks: Front Rear 5 Side 5 Street Side J/ Garage-2,0 Landscape Requirement: t\i/A. 0/0 Z1/4r Lot Coverage Maximum: iIJf/,- 0/0 12rBuilding Height: Maximum Height 'W Actual Height +29 Visual Clearance tJ/IN- Sensitive Lands: ❑ Yes ,1' No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: `/ti6Q., t Date: a. Is 11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved El Not Approved Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw REs 061417.docx Building Permit Submittal Original Submittal Date: i.2-1.2,k7/7 Site Plans: # Building Plans: # Building Permit#: (Enter building permit#above. Workflow Routing: Planning , Engineering hermit Coordinator uilding Workflow Sign-off: l` Sign-off for Planning(include notes from planning review) Route Application Documents: e,i1 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: /14 I , .fr.... Date: ( 3 //r Engineering Review Slope at building pad: T/A ./1 Conditions "Met"prior to issuance of building permit � /Eger Easements (encroachments)per engineering conditions of approval and plat /6 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 1:: o a YO ❑ NOT Approve by ineering: Date: Notes: ,,Y 4—iiie ----" 4f filt,e -- eP -P Approved by Engineering: �G Date: 29-77 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 El Conditions "Met"prior to issuance of building permit _NOT Released: 0, 4. --D-ate:V `/°/ Y / ZApproved, es: 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: Yes CI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: �Yes ❑ N/A LIDA ❑ Yes 'N/A OK to Issue Permit Approvedby Permit Coordinator: ate: . - 2-,teff I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard III a COMMUNITY DEVELOPMENT DEPARTMENT I T I G A R D Building Permit Review — Residential Building Permit #: It STjc 17-605,2,, Site Address: SaD1 gAi Inez Str of" Project Name: DAiic6ci J P 4V Lot #: 1 cD (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: OM c / Re Slc cictdAtic n 11SC Verify site address/suite#exists and active in permit system. .River Terrace Neighborhood: IT No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: `Three(3)copies of site plan xisting structures on site `Site plan Ealus he on 8-1/2"x 11"or 11 x 17"paper ,Rfbotprint 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) •A ite address,project or subdivision name and lot number 4idewalk/driveway approach pplicant information(name and phone number) cation of wells/septic systems , 'Lot dimensions and building setback dimensions 'xisting trees to be retained with drip line,and tree Aril-Square footage of buildings to be demolished protection measures r i of area,building coverage area,percentage of coverage and 2 treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names 'Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes ❑No 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ` 1 No Received: 0 Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified IL No Applied For: ❑ Yes 0 No,stop intake ''Land Use Case#: SO D2,1)KO' OW(o AS—Zoning: R 4,5' ►: Required Setbacks: Front 2_0 Rear IS Side 5 Street Side N/,4. Garage 2O � • Landscape Requirement: ob a Lot Coverage Maximum: I fl Building Height: Maximum Height VO Actual Height +2_9I .?St Visual Clearance tJ Sensitive Lands: 0 Yes No Type .r Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: � Date: a. Z�S ll Revisions (after Building Submittal only) Reviewer t Date / Revision 1: Approved 0 Not Approved t t'n t j 2118 Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BidgPermitRvw_RES_061417.docx Building Permit Submittal J� Original Submittal Date: (2J 8 /i Site Plans: # Building Plans: # ,' Building Permit#: Enter building permit#above. Workflow Routing: Planning ,"Engineering EirFermit Coordinator 2, uildingB Workflow Sign-off: fJ' Sign-off for Planning(include notes from planning review) Route Application Documents: e,i Engineering: (1)copy of permit application, (1) site plan, (1)building plan and original plan review routing form. CBuilding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 6,44./dg__ By Permit Technician: Date: / 73 //r Engineering Review ,TA Slope at building pad: Oil Conditions"Met"prior to issuance of building permit .neter Easements (encroachments)per engineering conditions of approval and plat /6 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 YesNNo Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes ❑ o O 0 NOT Approve by ineering: Date: Notes: ,U 4 ,4,7W,,,�C�je-4/ep"APed Approved by Engineering: 12 "0 Date: /.-8-�7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Approved,NOT Released: At,2c / ate: '/o/ otes: 67/k.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: Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: /�Yes 0 N/A LIDA 0 Yes "N/A 4/1, / 8 OK to Issue Permit Approved by Permit Coordinator: i "Pfrtate: . - 2U fi I:\BuiidingWorms\BldgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 August 10, 2018 at 9:37:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Lights at master bath missing, exposed wires not protected. All else appears ok. Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Appliance protection Ballard by furnace to be filled with concrete, install protection Ballard to protect water heater in garage. Figure M1307.1 Seal ceiling penetration between furnace and ductwork in garage. R302 Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 August 23, 2018 at 11 :01 :11 AM Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: No access for inspection, house locked. Lock box open, no key inside. No key next door. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 August 23, 2018 at 11 :03:08 AM Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No access for inspection, house locked. No key in open lockbox. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 August 23, 2018 at 10:59:48 AM Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: No access for inspection. House locked Lock box open with no key. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 August 24, 2018 at 11 :57:03 AM Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 August 24, 2018 at 11 :57:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 August 28, 2018 at 11 :02:11 AM Record Type: Record ID: Residential - Master Permit MST2017-00526 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 65 psi All other Plumbing appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8867 SW INEZ ST, TIGARD, OR, 97224 September 5, 2018 at 12:53:21 PM Record Type: Record ID: Residential - Master Permit MST2017-00526 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