Permit (102) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00491
TIGAR.LD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2018
Parcel: 2S112CB00700
Jurisdiction: Tigard
Site address: 15174 SW CHANDLER LN
Subdivision: MANGOLD SUBDIVISION Lot:
Project: Mangold, Lot 7
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1221 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1663 sf Garage: 606 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 2884 sf Value: $359,050.44 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: 4 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: 0
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: Square Feet:
NEW SF VB R-3 2884
Owner: Contractor:
WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions)
12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175
PORTLAND,OR 97229 PORTLAND,OR 97229
PHONE: 503-406-2442 PHONE: 503-330-2215
FAX: 503-342-2403
Total Fees: $31,920.90
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 throu.- •AR 952-001-0090. Y. u- -• : -cop . .e rules or direct questions to OUNC by calling 503.232.1987/=, 1.800..1 344.
Issued By Are. - ..,.,g Permittee Signature:
!mall 503.639.4175 by 7:00 a.m.for the next available inspect': 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.
Building Permit Application
Residential
1 oR cm ic i I i 0\1 1
f**1
City of Tigard Received
Day: bz,j ,,,,//7 Permit Noi,tt... 7- (..„?/12
111 ... 13125 SW Hall Blvd.,Tigard,OR 97223i.lt--f „ 7 f,i-,, Plan Review t,
' 1 Phone: 503.718.2439 Fax: 503.598.19601-' ' "°' Date/By: j.1--a.„,I- 7 t1 Other Permit:
1 CARD
Inspection Line: 503.639.4175
Da)tc Reeadyetod:
ifJurs: ISee Page 2 forIntenet: www.tigard-or.gov A ,.)- GARD I Supplemental Information rmation
'^-31.,11L))!NC-::.. 0111.11S. oN
TYPE OF WORK REQUIRED DATA:1-AND 2-FAIMIX DWELLING
(El New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
7
El 1-and 2-family dwelling 0 Commercial/industrial
Valuation:
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms: .3
JOB SITE INFORMATION AND LOCATION Total number of floors: 7....,Q.884/34,44 p
Job site address: (5( ir- / (ilatyhe' .... /(4,,,y._ New dwelling area:"-77'(5 ' square feet
...r.
City/State/ZIP:
Garage/cmport area.. t weizejccaquare feet
Suite/bldg./apt.no.: Project name:
Covered porch area: Z-77,........C.:Udsquare feet)663
Cross street/directions to job site:
4-431e2V :1100War--CS---- square feet'ak 1
E
Other s cture area: ---- square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:11/ ,/ ci c i Lot no.:
" "
Permit fees*are based on the value of the work performed.
t/ I/
Tax map/parcel no.:
Indicate the value(rounded to the nearest dollar)of all
i
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New SFR
Valuation: $
Existing building area: square feet
New building area: square feet
,
CI1 PROPERTY OWNER I 0 TENANF Number of stories:
Name:Same as applicant
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
0 CONTACT PERSON BUILDING PERMIT FEES*
Yeeserefertoicoseisedule
Business name:Westwood Homes LLC
Structural plan review fee(or deposit):
Contact name:Matt Fricke
FLS plan review fee(if applicable):
Address:12700 NW Cornell Rd
Total fees due upon application:
City/State/ZIP:Portland,OR,97229
Amount received:
Phone:(503)406-2442 I Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:Matt@westwoodhomesllc.com
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Same as applicant Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:
Solar Installation Specialty Code checklist.
City/State/ZIP:
and administrative fees):
Permit Fee(includes plan review
$180.00
Phone:( ) I Fax:( )
State surcharge(12%of permit fee): I $21.60
CCB lic.:195597
Total fee due upon application: $201 '
Authorized signature: 1 This permit application expires if a permit is not
within 180 days after it has been accepted P.
( Date: / -.7 *Fsee mettle Bodology set by Tri-County Buildint.
I Print name:Matt Fricke
oard.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application
FOR OI 1-1( s1:0\1.1
City of Tigard Received
13125 S W Hall Blvd.,Tigard,OR 97223; Date,,,,,:. Permit NoL, �, /
' II_ Phone: 503.718.2439 Fax: 503.598.19 y,; ,e r—..„
a t Plan Revew '�
T I c;n It n Inspection Line: 503.639.4175 1""' '' ��By: Other Permit:
Internet: www.tigard-or.gov Date Ready/By: Jm;s: H See Page 2 for
11 -l_ ll 2017 q Notified/Method: Supplemental Information
TYPE OF WO M Y"OF' IIGARU COMMERCIAL FEE* SCHEDULE USE CHECKLIST
®New constructionl I N G p! J tr Mechanical permit fees*are based on the value of the work
0 Addition/alter h efep acemen
❑Demolition performed.indicate the value(rounded to the nearest dollar)of all
Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION' Value:$
® 1-and 2-family dwelling 0 Commercial/industrialRESIDENTLAL EQUIPMENT/SYSTEMS FEES*
0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description I Qty. I Fa. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: t r' ( ' Air conditioning 1 46.75
f,C� (11‘1.d�r1I f., f0,
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: Heat p 61.06
Duct work 1 23.32
Cross street/directions to job site:
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:J/174.Old I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.:
Water heater t4 23.32
DESCRIPTION OF WORK Gas fireplace/insert 1 33.39
New SFR Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER Other:
`TENANT 23.32
Name:Same as applicant Environmental exhaust and ventilation:
Range hood/other kitchen /
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( ) toilet compartments,utility rooms) 23.32
Fax:( )
' 121""APPLICANT C CONTACTAttic/crawlspace fans 23.32
PERSON Other: 23.32
Business name:Westwood Homes LLC Fuel piping:
Contact name:Matt Fricke
$14.15 for first four;$4.03 for each additional
Furnace,etc. E
Address:12700 NW Cornell Rd Gas heat pump
City/State/ZIP:Portland,OR 97229 Wall/suspended/unit heater
Water heater ii
Phone:(503)406-2442 I Fax::( ) Fireplace
E-mail:Matt@westwoodhomesllc.com Range
Barbecue i
CONTRACTOR Clothes dryer(gas)
Business name:Central Air Inc. Other:
Address:PO Box 433 MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00)
Phone:(503)656-1908 I Fax:( ) Plan review(25%of permit fee)
CCB lic.:178624
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
— This permit application expires if a permit is not obtained within 180
Authorized signatures days after it has been accepted as complete.
` .�//tie,/•* * Fee methodology set by Tri-County Building Industry Service Board
Print name:;' j t oit/�ceire i Date: !j
'ts\J ` ��
IABuildingTermits\MEC_PamitApp_040113.doc/ 440-4617T(11/02/COM/wEB)
Electrical Permit Application FOR OFFICE ESE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 .. / "'�;
C Phone: 503.7182439 Fax: 503.598.1960 ',t ,E f
Related Permit#:
T.1�,n I(l) Inspection Line: 503.639.4175 r--, Ready Date/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:
4. b� ', MM`M, I t f` Z y, € ,, I SupplementalInformation
New constructionF,.._, ���IM;;','
,.�. �;�u �� � ��
® 0 Addition/alteration/replacement ep curry (��*" (p g Please check all that apply(submit 2 sets ofplans w/items checked):
❑Demolition ❑Other. f." r�tCA i
0 Service or feeder 400 amps or more 0 Building over three stories.
-- )
where the available fault current 0 Marinas and boatyards.
:." ` `::1,,, ":„44400:0.01,0* $` m r, B } 01'. VIS exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial ■ Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural '
oMulti family ❑Master builder ❑Otheramps for all other installations. buildings.
❑
- ",. 0 Fire pump. 0 Installation of 150 KVA or
` `" ;'`' "- 41 ';',,i
t`11:1I t at 1i ;y- ❑Emergency system. larger separately derived
Job#: I Job site address: r7 i ({p 4,r7iffr,
` 4,1e
l1 ,❑Additionor ofmore.new motor load of system.
i00HP ❑«A„ "E„ "1-2"
City/State/ZIP: ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: 0 Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site:
❑Service or feeder 600 amps or more. 600 volts nominal.
V )-- .fix i t L."lx ,;,4
Description IQty. I Each I Total I *
New residential single-or
r multi-family dwelling unit.Subdivision:file:a1,,cf(y) (4;1.7-d,?J I Lot#: �.. Includes attachedgarage.
Tax map/parcel#: / 1,000 sq.ft.or less �j 168.54 4
�T �. _ ,. v Ea.add'1500 sq.ft.or portion 33.92 1
�' � �j �� ,� Limited energy,residential
tr . 75.00 2
V : -4" (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
7 t` l Renewable
1 •, y j ry. Energy ❑ See Page 2
J Services or feeders installation,alt ration,and/or relocation
Name. i y 0.C) r:)i' Ati
i' �� �' ��j t' �i`� 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
City/State/ZIP: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 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
:, , a t 1 , t it'd Branch circuits—new,alteration,or extension,per panel
8 A.Fee for branch circuits with
Business name:Westwood Homes LLC above service or feeder fee,
Contact name:Matt Fricke
each branch circuit 7.42 2
B.Fee for branch circuits without
Address: 12700 NW Cornell Rd service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP:Portland,OR 97229 Each add'l branch circuit 7.42 2
Phone:(503)406-2442 Fax::( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email:Matt@westwoodhomsllc.com dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
„*s : I,' ..._ ,s_,i Pump or irrigation circle 67.84 2
Business name:Pyramid Electric LLC Sign or outline lighting 67.84 2
Address:12700 NW Cornell Rd Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:Portland,OR 97229 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)406-2442 I Fax:( ) Investigation(I hr min) 90.00/hr
Email:office@pyramidelectricllc.com
100/ c� Industrial plant(1 hr min) 78.18/hr
l [r Inspections for which no fee is
90.00/hr
CCB Lic.: 217347 I Electrical Lic.: C1320 I Suprv.Lic.:L G - S specifically listed('/*hr min)
Suprv.Electrician signature,required: ' w,«' I
Subtotal:
Print name:i ,,e..„,—„a `-J /47 Date: O r74 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: f i.. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: I 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 FOR orrlcl: t SI: 011.1
City of Tigard Received
.111
• 13125 SW Hall Blvd.,Tigard,OR 97223 '' !'Y Permit No•y
Phone: 503.718.2439 Fax 503.598.1960 I. eview /`�‘ ��/7-(0 yl
r,7' Other Permit No.:
1 1 I.n Inspection Line: 503.639.4175 ! << `Y'
IV
Internet: www.tigard-or.gov Date Ready/By: loris: I See Page 2 for
Notified/Method: Supplemental Information
TYPE OF WORK DEC 5 2O1 FEE* SCHEDULE
®New construction ❑Demolitio i OF Forspecial information use checklist
D Addition/alteration/replacement �ARD Description f I Qty. Ea. I Total
0 Other: LOIN IN New 1-2-familydwellings includes 100 ft.for each utility
CATEGORY OF CONSTRUC LO �" g
connection)
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 500.32
❑Master builderEach additional bath/kitchen i 25.02
0Other: Fire sprinkler( sq.ft.) Pae 2
JOB SITE INFORMATION AND LOCATION g
Site utilities:
Job site address: /5/72,9 llfr i f'l 4�.„, /itt,- fjat,e. Catch basin or area drain 18.76
[ 2
City/State/ZIP: 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: Manholes
18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
f Water service(no.linear ft.: ) Page 2
Subdivision://70?4r il ( I Lot no.:- ^
! Fixture or item:
Co. e�,_
Tax map/parcel no.:/ Backflow preventer J 31.27
DESCRIPTION OF WORK Backwater valve 12.51
New SFR Clothes washer I 25.02
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY:.OWNER 7 0 TENANT Expansion tank 12.51
Name:Same as applicant Fixture/sewer cap 25 02
Address: Floor drain/floor sink/hub 25.02
City/State/ZIP: Garbage disposal
/ 25.02
Hose bib 7> 25.02
Phone:( ) Fax:( ) Ice maker
12.51
APPLICANT
❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Westwood Homes LLC Medical gas(value:$ ) Page 2
Contact name:Matt Fricke Primer 12.51
Address:12700 NW Cornell Rd Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Portland,OR 97229 Solar units
(potable water) 62.54
Phone:(503)406-2442 Fax::( ) Tub/shower/shower pan 3 12.51
E-mail:Matt@westwoodhomesllc.com Urinal 25.02
CONTRACTOR ' Water closet T 25.02
Business name:H&H Mechanical Water heater 37.52
Water piping/DWV 56.29
Address:5757 SE Willow Lane
Other: 25.02
City/State/ZIP:Milwaukie,OR 97267
Subtotal
Phone:(503)975-9787 I Fax:( ) 7 ti(/26 Minimum permit fee: $72.50
ii/3U/ Plan review (25%of permit fee)
CCB Lic.:178122 Plumbing Lie.no.:
Authorized signature: , State surcharge(12%of permit fee)
p1,5,...A ��L TOTAL PERMIT FEE
IPrint name:Dustin Hague I Date: l�//yj/f 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.
L•\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
i
T I G A R D Building Permit Review — Residential
Building Permit #: 4j(- /7 'l j/
I
Site Address: 15 I Sk,/ Ota.Af r, taiNt
Project Name: k (Jkk Lot #: 7_
(New chVelling=subdivision name;Addition or Alteration=last name of owner)
Planning Reviews
Proposal: CoNd "c,"',,
A rl LL/ S FI
erify site address/suite#exists and actio system.
s stem.
River Terrace Neighborhood: 17 No 0 Yes,See River Terrace Review Addendum Attached
Sit- lan Elements:
L' . ee(3)copies of site plan !d xisting structures on site
ii..te plan must be on 8-1/2"x 11"or 11 x 17"paper
la.ootprint of new structure(including decks)with finished
I! P rawn to scale(standard architect or engineer scale) oor elevation
V I)6rth arrow
tility locations&easements (required for new and additions)
Mite address,project or subdivision name and lot number �dewalk/driveway approach
[U`/ plicant information(name and phone number) ation of wells/septic systems
LV tot dimensions and building setback dimensions Vxisting trees to be retained with drip line,and tree
r.•uare footage of buildings to be demolished p tection measures
■� +t• area,building coverage area,percentage of coverage and eet tree size,type and location
C _ pervious 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? L+�'Yes ❑No
4 fo. differential) If es,is a storm water •uali facili shown? ❑Yes ❑No
C' Clean Wat Q ervices—Service Provider Letter t platted prior to 9/10/1995):
/Required: .0. Yes,applicant was notifiedNo Received: 0 Yes 0 No
I4 Public Facilities Improvement(PFI) Permit: �A
quired: 0 Yes,applicant was notified 0 No Applied For: £ Yes 0 No,stop intake
,�� Leand Use Case#: ,SU li LSO)/S—d 44th 3 j fFZzO�S I Ot )r
// l+.? T J
Ltd oning: Q
[ Required Setbacks: Front Rear `
T/ � �S Side S' Street Side 1 s Garage eo
El Andscape Requirement:
Lot Coverage Maximum: —4 %
■ uilding Height: Maximum Height 351 1
Actual Height LI
0) isual Clearance
V(� ensitive Lands: 0 Yes }?(No Type
LIQ' rban Forestry Plan
LW' Conditions "Met"prior to issuance of building permit
Notes: UJ i N issuance
r43- PM," 44 4..11014L, 7
Approved By Planning:
2•411-- C4',1"----- Date: It-S—1 7-
Revisions
17--
Revisions (after Building Submittal only) Reviewer D to
Revision 1: Approved ❑ Not Approved 2-
Revision
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\FormsadgPermitRvw RES 061417.docx
Building Permit Submittal
Original Submittal Date: ,_ t/ I
Site Plans: #
Building Plans: #
Building Permit#: ►glo nter building permit#above.
Workflow Routing: ':. lanning Engineering ?Er'Permit Coordinator -'Building
Workflow Sign-off: T-,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.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .*:(31)/(11441'
a���,�t/j a Date: l6)l/�n)
2ope
ineering Review
at building pad: /1::, A�
El Conditions "Met"prior to issuance of building permit JVc// /14.7-
asements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
,r.
Assess Water Quality Fee in-lieu: ❑ Yes I No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ Final Plat Recorded:
X NOT Approved by Engin- -ring: Date:
�
Notes: lel! _,..if I fife"" /,i_•/i. 'C'! I- -
APO darilliiii. ii-A- Zile:kiir .101MT
Approved by Engineering: IM', Date: a--1/--./ 7
Revisions (after Building Submittal only) Revi 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
Released: Date: ��t�
Approved,NOT lataliploilhrii,e4a
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 Entere s•- Wash Co Trans Dev Tax: es ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: (' Yes ❑ N/A
LIDA ❑ Yes FiN/A
OK to Issue Permit /f
�� � e ml C /r,— l� °, ate: 2 1/. //
Permit Coordinator: /
Approved by /�`" j
I:\Building\Forms\BldgPermitRvw_RES_111617.docx
Albert Shields
From: Albert Shields
Sent: Monday, December 11, 2017 5:51 PM
To: 'Matt Fricke'
Cc: Kim McMillan; Khoi Le;Al Dickman;Agnes Lindor
Subject: Mangold Subdivision, MST2017-00483 & -00491
Matt, on reviewing your applications for the above permits we note that we still have not received a copy of the
recorded plat. The hold harmless agreement recently signed covered only the first 3 permit applications and those
permits have now been issued. Accordingly, I will place these two permits on hold as "Approved (for Plan Review) but
Not Released" until we receive a copy of the recorded plat. Please let me know if you have any questions.
Albert Shields
Permit Coordinator
City of Tigard
Al bert(tigard-or.goy
503-718-2426
1
FOR OFFICE USE ONLY-SITE ADDRESS: / S7 7 t( 31/ 6 v` i(/(, l rc
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . Transmittal Letter
r c ,\E:i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: tlrn -1+ DAT :IC ,ter 6E 11 "
DEPT: BUILDING DIVISION
MAY 2018
FROM: /L"Jafr /-' Lke CITY •G TIGARD
WoMesRUI •ING DIVION
COMPANY: aS 7ivCect' 1 ((
PHONE: - 631 -- of l i By: 877
RE: Madd l � 1 Z-C/ 1 ` Q0 7(
(Site Address) (Permit Number)
Ski alanJ(ty /aVt(
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I -• Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. ` ! Wall bracingand/or lateral analysis.
Y
Floor/roof framing. , Basement and retaining walls.
Beam calculations. � Engineer's calculations.
Other(explain):
REMARKS: 60Y/ec.-J' of 1)etnf a ►�G� Run,' of s /cr CI Li-{
Priv ol, s apf7YOV( ( i i(aY �r-(- or , 7/- k
FOR OFFICE USE ONLY
Route Permit T clan: s ate: S_ _ 1 Initials:
Fees Due: S 6s No Fee Description: Amount Due:
rev: $
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes FINov ❑ Done
Applicant Notified: Date: cT3 Initials:
•S t �v�y kiGtS S r h ( /1 s "�r� ,v, 711).s
irkI rtr wt(( Pte- /«r_
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15174 SW CHANDLER LN, TIGARD, OR, 97224 September 6, 2018 at
10:42:58 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00491
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 65 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15174 SW CHANDLER LN, TIGARD, OR, 97224 September 6, 2018 at
10:42:21 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00491
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
No A/C installed
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15174 SW CHANDLER LN, TIGARD, OR, 97224 September 18, 2018 at
8:53:54 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00491
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15174 SW CHANDLER LN, TIGARD, OR, 97224 September 19, 2018 at
8:31 :41 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00491
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