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Permit (40)
CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2017-00528 T F G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/22/2018 Parcel: 2S111AA01400 Jurisdiction: Tigard Site address: 8824 SW INEZ ST Subdivision: Lot: Project: Butterfield Park, Lot 3 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1588 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1582 sf Garage: 666 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors. Yes Total: 3170 sf Value: $399,909.34 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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!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 3170 Owner: Contractor: DAVID DEHARPPORT FOUR D CONSTRUCTION Required Items and Reports(Conditions) PO 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: $32,717.23 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987/ or 1.800.332.2344. Issued By: /6 /� Permittee Signature: . ! �L� ./1 � Call 503.639.4175 by 7:00 a.m.for the next available inspection date. r. 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. Electrical Permit Applicatio _ FOR 01.-1.1( h: 1 sl_Oy 1.1 City of Tigard , Received Permit#: Date/By: 13125 SW Hall Blvd.,Tigard,OR 972230 E c 2 8 21,i 1` Plan Review Related Permit#: N . Phone: 503.718.2439 Fax: 503.598.1960 Date.By: Inspection Line: 503.639.4175 Cr f' Of '-' ° Ready Date/By: Suns B1 See Page 2 for i-I c ,1 i,_i) Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW aNew construction 0 Addition/alteration/replacement Please check all that apply(submit/sets of plans w/items checked): 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. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural 1-and 2-family dwelling ❑Commerciallindustriat ❑Accessory building amps for all other installations. buildings. El Multi-family ®Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived _ ®Addition of new motor load of system. Job#: Job site address: 8,(5'G f 5 W 1N-6 Z S 1' 100HP or more. o Six or more residential units. occupancy. City/State/ZIP: i&fl RD 0 12, �7 12 V 0 Health-care facilities. 0 Recreational vehicle parks. ©Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt,#; Project name: ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I r't PtL.L. P[..V D -- Ci..)RC:,Z;,I,j.jj a,,,Pr t243 i...A/ -- C e) r/4 New residential single-or multi-family dwelling unit. Subdivision: -C-_-_12,,,e-E-A, — Lot#: Includes attached garage. z t� 1,000 sq.ft.or less 168.54 I 4 Tax map/parcel#: 'G,,1--1 1j / L.I.) f`)i 1L$ Ea.add'!500 sq,ft.or portion 33.92 I 1 DESCRIPTION OF WORK Limited energy,residential 7500 2 _ (with above sq,ft.) No- /IV Ls L I=A I'M Ly P( SI£) /t✓C:LI Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy { 0 See Page 2 0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: �AML i-s B tv LOW 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) 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,pr panel APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: Foie.It_ D co 1c151 lZU C rio ti above service or feeder fee, 7.42 2 i each branch circuit Contact name: bv to L1)F 1-'t)4 TZ.E't(I2T" B.Fee for branch circuits without y?� service or feeder fee,first 56.18 2 Address: ! •0,. 'j x /S-7'7 branch circuit City/State/ZIP: ,B roi3 c-,Z„ 9 707 Each add'l branch circuit 742 2 Y t�1%t-)Z- Miscellaneous(service or feeder not included) Phone: Fax: ;(! ) � (a -i Each manufactured or modular 67.84 2 tt' ). y�! _ dwelling,service and/or feeder Email: t"CIO 11), D t:-.25 5 7"C' 1 i,4 S A.)• Cc Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67,84 2 Business name: &•� &i:".r--/z-1 L. ry 'a,fl Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 /_ C� C,Y /v !�lb Y panel,alteration,or extension. Address: � , <� L.� a�h. fCr r Each additional inspection over allowable in any of the above City/State/ZIP: Po 1'2 I&lir dl/Q 012- ?722.Ca Additional inspection(1 hr min) 66.25/hr Phone:(.53) G-7-7 3 7 � Fax:(5-,L3 ) cit/ - -7 51,,,Y Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Email: .--;‘..6-7- ---6,-;.--.Z e c.t-RJ(..-6 i+f'.e t.t e cC: ,A11/ 16.. , ez 4.4 Inspections for which no fee is 90.00/hr p 5.7 ,� S specifically listed(F4 hr min) CCB Lie.: Cf J ' Electrical Lic.: y j Suprv.Lie.: of ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:;•,, Subtotal: Print name: k b 0 e-)-LTD it4 e M L.vase,7 Date: 7�_-2.7.17 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: _ ,....2,1 ,4.0? , Authorized signature: 2This permit application expires if a permit is not obtained within 180 Date: L Zdays after it has been accepted as complete. Print name:' t�✓1/7j j ✓�rL� — / Number of inspections allowed per permit. I:1Building\Permits\ELC PermitApp_ELR ERE.doe Rev 04/21/2014 440-4615T(11/05/COM/WEB Plumbing Permit Application xy Building Fixtures � C' FOR OI H ( H, ISH: Ow1.1 City of Tigard Received Date/By: Permit No.: .1h • 13125 SW Hall Blvd.,Tigard,OR 97223 �. 2017Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: �.l�. \t`i) Inspection Line: 503.639.4175 ; " mate R /B : rur s: H See Page 2 for Internet: www.tigard-or.gov ITg Notified/method: Supplemental Information ,,: TYPE OF WORD- r• s',i , r FEE* SCHEDULE IN New construction ❑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 g 1-and 2-family dwelling ' 0 Commercial/industrial SFR(2)bath 437.78 1 13Accessory building 0 Multi-family SFR(3)bath 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: A r_ Catch basin or area drain 18.76 r � r Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1 6,14 F....) c R . e`-7 Z z Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 14 a u- 0 LA/33 sviZESNS%uP tt.c. .11/r, - 90 r,09.- Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) l Page 2 1 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: `3 Fixture or item: Tax map/parcel no.: 0 t i.. C-.- _l ) t°144 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 n / Clothes washer 25.02 /Y ieLC 3//1/t t-6 e-R MI Ly I?C-,5/1)47,11/6:7 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 Floor drain/floor sir>k/hub 25.02 Address: 514 OE / S 13 EZ-C)kV 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: Cac4 Z Medical gas(value:$ ) Page 2 Az5 R Ll C t/ ,/ti Primer 12.51 Contact name: 0 la I/iD E- .p P 7+ Roof drain(commercial) 12.51 Address: T, 0, dL =x I S '7 7 Sink/basin/lavatory 25.02 City/State/ZIP: r &,4 ve gm,J C R 9 7 o JS Solar units(potable water) 62.54 Phone:i5it.3 ) -.7„/(..).-7 Ili y'S Fax::(3 3)„5-90 l 75/ Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: ,()UP-- P 6.0 A/51-f�� .°/.5 1 , Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: "--U LE M(Ac L .r t/ , ..(3 AA pfd v Water 1 in WV 56.29 Address: /66/t-} S,C. P i v[y-/2 g e . Other: 25.02 City/State/ZIP: i &) & o/ DR G�" 723 Subtotal Phone:(S;t j') 6 5/�a,� L)J/3 Fax:( ) Minimum permit fee: $72.50 r' Plan review (25%of permit fee) CCB Lic.: 7 6 9 Plumbing Lic.no.:j3/26o fid State surcharge(12%of permit fee) Authorized signature: j,-------N. )./ �� TOTAL PERMIT FEE Print name: This permit application expires if a permit is not obtained within 180 days H /� ,T- i (/2�„ - Date. /2 z�r. "� after it has been accepted as complete. v` *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8824 SW INEZ ST, TIGARD, OR, 97224 November 13, 2018 at 1 :21 :59 PM Record Type: Record ID: Residential - Master Permit MST2017-00528 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Note: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8824 SW INEZ ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00528 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8824 SW INEZ ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00528 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