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Permit CITY OF TIGARD MASTER PERMIT Ili • COMMUNITY DEVELOPMENT Permit#: MST2018-00162 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2018 T I(;A It.ng Parcel: 2S111AA12600 Jurisdiction: Tigard Site address: 8790 SW INEZ ST Subdivision: IRMA DELL BUTTERFIELD PARK Lot: 4 Project: Butterfield Park, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 6 First: 1841 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28.5 Bathrooms: 3 Second: 1659 sf Garage: 599 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3500 sf Value: $425,483.91 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 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>=10OK: 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: 7 201-400 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 3500 Owner: Contractor: LWD LLC FOUR D CONSTRUCTION Required Items and Reports(Conditions) FOUR D CONSTRUCTION CO PO BOX 1577 1 Ersn Cntrl 503-639-4175 5740 SW ARROWWOOD LN BEAVERTON,OR 97075 PORTLAND,OR 97225 PHONE: PHONE: 503-720-7445 FAX: 503-590-1751 Total Fees: $33,506.14 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 952-001J-0090. You may obbt�aiinn�a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234, Issued By: /®0,i7" 0sId t Permittee Signature: 7 `I _ . 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. Building Permit Application .*Residential rout omit is Isl.0y1,1 } Received City of Tigard �4 i±: igPhone5037182439Fax503598196D 81m . �� Juris: 0 S Page 2 for Internet www.ti ardor.gov .. 'fied/Method: r ( I - --.0 Supplemental Information TYPE OF 1 I] g Ac DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit fo e CATEGORY OF CONSTRUCTION work indicated on this application. Liir 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ LiW/ Lit 3 ❑Accessory building 0 Multi-family Number of bedrooms: 'I} ❑Master builder 0 Other: Number of bathrooms: ) �+' JOB SITE INFORMATION AND LOCATION Total number of floors: Z, 1-(9 Job site address: B79 0 5,1k/, rive.-z- .ST: New dwelling area: 350 0 square feet I City/State/ZIP: 7 f tr A-V.ID CI '(Z„ 97229 Garage/carport area: 599 square feet r$y Suite/bldg./apt.no.: Project name: 84,14.1e,f-icad ig i tik L' Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 14 A Lc- 8 of D - Ca 'E „/1VSEil AItb Lis' — 90 -t-1f- Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: i �} I Lot no.: U Permit fees*are based on the value of the work performed. Tax map/parcel no.: - ` 1 Indicate the value(rounded to the nearest dollar)of all .t = ?t- L{., f /Zir„._ equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 4/660 5,11/e,4,6- Fp$YI i 9, 265/D65/ice Valuation: $ Existing building area square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: E As ,? `LCA 7 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: XAPPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: F0L( iv D Co/4.5 TRU CT/I3 h� v refer(or depose it): Structural plan review fee(or deposit}: Contact name: D PY 19 DE- 14 -gyp p 6 g-j— FLS plan review fee(if applicable): P• Address: 'i <0, BOX t S 7 7 �} b Total fees due upon application: 1� ) `"`' City/State/ZIP: E ei YE g rQ 1\,3 CD C7 7 -7 Amount received: Phone:($'c -7 yZ 0 -7 y y S Fax:: _59/D-- /75 E-mail: Fa t f 12-D Co W 5-r E' m S ,,ccc i o PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR - Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details �'J�.?' and fire department access,along with the 2010 Oregon Address: ,�,�/� s,5 t' Solar Installation Specialty Code checklist. City/State/ZIP: 5 t"'' /"" Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 7/03 7 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: te: ,((��� *Fee methodology set by Tri-County Building Industry Al)Q vl S D�!t p I_PPp, r- Service Board I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) Mechanical Perm, A i 1 lication mut 01,u R : l SI 0\1.1 Received City of Ti,,ars Ra - ► tersy: PermitNo.: 13125 SWHall►ivd. 1igardOR 97223 E „ Reviewrk. ' Other Permit: IYate/By: Inspection Line. 5 e .63 .4175 T I G A R t) p Date Ready/By: Juris: Bt See Page 2 for Internet: ww'w.tig. -.nov € IV T ')fl 3 Notified/Method: Supplemental Information TYPE OF WORKK1�-.1 OF'TIGARD COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Il 1l IIt Mechanical permit fees*are based on the value of the work tirNew construction ❑Addition/alterati r r .1. ING DIMS ION performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: `i TIMmechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* pf1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: p `,/ Air conditioning / 46.75 Job site address: ® 7! 1'�I �N�Z �%�' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 'r"'Lift-P-0 j Ci '7 2-Z(V Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or /4 1-1-- BLvb - &Re.En/sc \rLr) tN -- 7o rfrt 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: 6 0 U- :- .p b szy - Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: ll" rz. ;,�j (L 1 17A 1&ir___ Water heater . 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 A/&CO S Ito fit"( PP. I L/ f26'S I Dell]cti- Wood/pelletstove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 aPROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: $1 c L 3.S B I et 0(A) Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 g APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: i t)tL L) CC 03 aneaC r1 p kJ $14.15 for first four;$4.03 for each additional Contact name: `b t V.' P 1)E )414-12--ppbr.r" Furnace,etc. Address: p. 0 f ' -7 -7 Gas heat pump X Wall/suspended/unit heater City/State/ZIP: 13€a\\/t. i-- ' 9.7 07 S Water heater Phone: t '7) O '7`1`i 5 Fax::(5o3 S 70 .. i-7s 1 Fireplace Range E-mail: For.(.12-0 CO 10 S-7- c: ` ), /). CO AA Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: e&1 l.: A. le_ 1-4.1 L- MECHANICAL PERMIT FEES* Address: P.d t 13 >c ,/33 Subtotal City/State/ZIP: e L a C.g-R!yl >' Gig- �- -70I S Minimum permit fee($90.00) ? Plan review(25%of permit fee) Phone:(5c33) 65 6- / 9®S` Fax:( ) 656-6.,3 v 9.? State surcharge(12%of permit fee) CCB lic.: /7 c./ TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 � days after it has been accepted as complete. Authorized signature: /,i�=,�/ �` * Fee methodology set by Tri-County Building Industry Service Board Print name: b AU 1✓ 3 DE eeon r Date: ,,....ie I:1Building\Pcnnits\ME.C_PermitApp 040113.doc 440-4617T(I I/02/COM/WEB) Electrical Permit Application 1O1Z O l iA a 1: 1 ',1 U y l.1 City of Tigard +•ved:y. ��� 3 , '� Permit#: - 1111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit 4: Inspection Line: 503.639.4175 i U N 11 2 018 Ready Date/By: Inns: HI See Page 2 for [I ,,\t', Internet: www.ti and-or. ov • Notified/Method: Su g g pplemental Information TYPE OF WORK . fl' OF TIGARD PLAN REVIEW New construction 0 AdditionlatteratiO 1� , 1 Please check all that apply(submit I sets of plans w/items checked): i+ d1 ISIO ❑Service or feeder 400 amps or more ❑Building over three stones. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. I'I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 0.7 7O 5,v/, J/ � � ❑Addition of new motor load of system. ..l� Z ST IOOHP or more. ❑«A'>,"E","1-2"«1-3" City/State/ZIP: �� `� 7 V ❑Six or more residential units. ❑Health-care facilities. occancy- 0 Recreational vehicle parks. Suite/bldgJapt.#: Project name: ❑Ha ardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross stredt/directions to job site: FEE SCHEDULE Description 1 Qty. 1 Each 1 Total N IA LL BLVD - G R E tE Nom'%A1243 1. A/ - ?b T/4 New residential single-or multi-family dwelling unit. Subdivision: '$`°'k-"fri. Lot#: Includes attached garage. y 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: `�'t 1.Z,v f �'LK., Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential _ (with above sq.ft.) s, 75.00 2 y tI i iV t-L (`A r Ly �ES,ASCI Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 i PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: ,.SAM(.:5- S 13 EL-Ow 201 amps to 400 amps 133.56 2 401 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 t 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 ok APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for breach circuits with Business name: Fou v2, "X/j 7(`u(ATO ki above service or feeder fee, 7A2 2 each branch circuit Contact name: i'y/i o t7)4 R-E'r012T'• B.Fee for branch circuits without O service or feeder fee,first Address: Box I J,7 7 branch circuit 56.18 2 City/State/ZIP: BE.Avi✓*fit Oi3 e Z t'j 70`7 S Each add'l branch circuit 7.42 1 2 Miscellaneous(service or feeder not included) Phone:663)-2,20 7 y LI S Fax::(6-d3 )j"o --t 7 j / Each manufactured or modular 67.84 2 Email: 0 LIelling,service and/or feeder , L 5�7'�'- DIM S A.D.� % CoCol-s'! Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: #i,p p Sign or outline lighting 67.84 2 Address: 0y k . L 0 Ole. Ie IC) V Signalnl,alteration,circnh )or limited-energy s . 0 See Page 2 2 �� j� � ��/v panel, or extension. City/State/ZIP: Each additional inspection over allowable in any of the above CJ L iN� �JZ Additional inspection(1 hr min) 66.25/hr Phone:(503) 1-7 7 -3 789 Fax: .3 ) c/o/- �/y Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Email: -L-67-� Le C-r/2->(,-6.Recipe 6l{//A l r GO Ael Inspections for which no fee is t C` specifically listed(14 hr min) 90.00/hr CCB Lic.: i j 27V Electrical Lic.:C 6,�l Suprv.Lic.:5 7l,2. Suprv.Electrician signature,required: 7 ELECTRICAL PERMIT FEES Subtotal: Print name: k 6 13 e-) TD 4.R.64 e aix1 Z-„Date: 6/l /17 0 Plan Review Required(25%of permit fee): 42d4.00e___. State surcharge(12%of permit fee): Authorized signature: Print name: 1)V t. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ��-_Date: t4(1 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building nnits\ELC PermitApp_ELR ERE.doc Rev 04/21/2014 440.4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures r()R (1111( 1. I ONi.1 eceived City of Tigard l �-/ sate/By. �" Permit No.: ;IN m 13125 SW Hall Blvd.,Tigard,OR 972 4 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: i`t t; r is t 1 Inspection Line: 503.639.4175 Internet: www.tigard-or.gov . -N i i 2018 �eNMetho1: funs: Page 2Inr Supplemental Information TYPE OF WORK CII`OF TIGARD FEE* SCHEDULE iSr New construction ■PI q j DIVISION For special information use checklist ��LLi"C� Description Qty. Ea. Total ❑Addition/alteration/replacement ❑ 1 ,er: New 1-2-family dwellings(includes 100 ft.for each utility connection`, CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 gf 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler L. _sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: < S' Catch basin or area drain 18.76 ��e� Si 6 City/State/ZIP: '-rl C A1z.J c(2_ q`7 Z`Z./ FootinDryweg 1,leach line, ear r ft.: drain Page18. 2 Footing drain(no.linear ft.: ) 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 j4 i Li- B�V� C9RtrGNSt:vR�) 1,v. _ 90 ,i„ Rain drain connector 18.76 T 7 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_j Page 2 Water service(no.linear ft.:__) Page 2 Subdivision: C , Lot no.: Fixture or item: Tax map/parcel no.: Crr. C- E 1 G.") pA1ci ___ Backflow preventer 31.51 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 SIN 6 G E 'F4,%+,/9/ R C-5ID&71 t!C= Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: SA 0E AS B L.fj Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 at'APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: ('0 it y?, D , y-�u G7..I ky r Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: 014 VI D D ---- .114.4 p pu r Roof drain(commercial) 12.51 Address: T, 0. - X I S " 7 Sink/basin/lavatory 25.02 City/State/ZIP: 3 1 EA Veg-TO,kiems° R 77 p 7S Solar units(potable water) 62.54 Phone:0113 ) 7' 0 7 c/ /5 Fax::(3'03)S'90'9O..1 75/ Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: ,C 0 U k 66 A/ c Ms < C 0A/7 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: -r-if JS/!'l.4 C Z 6.Al +%43M P A tiY Water piping/DW V 56.29 Address: /166/I4 .5-C. P- 11/&-i2 R e . Other: 25.02 City/State/ZIP: /4,,452040 c) 9 7/23 Subtotal Phone:(s�, ) 6y0.., C f/.� I Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 6 g 9 Plumbing Lic.no.:,3V-26e 1113 Plan review (25%of permit fee) /. State surcharge(12%of permit fee) Authorized signature: / '/-/ TOTAL PERMIT FEE Print name: �/j��� ,44.„,40,..c. Date: (��(_ This permit application expires if a permit is not obtained within 180 da Printafter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:mudding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ill T I G A R D Building Permit Review — Residential Building Permit #: / (7'--ac)//2 Site Address: 77'j0 3.-61., Inez Project Name: Irr D(,1 tCr (Ld Lot #: l (New dwe ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: pc K ST " Verify site address/suite# exists and active in permit system. n---'River Terrace Neighborhood: L -N o ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: QThree(3)copies of site plan 'sting structures on site site plan must be on 8-1/2"x 11"or 11 x 17"paper Q��ootprint of new structure(including decks)with finished -d,�/rawn to scale(standard architect or engineer scale) floor elevations I�North arrow , Jtility locations&easements(required for new and additions) ,'Site address,project or subdivision name and lot number dewalk/driveway approach .2>plicant information(name and phone number) 1C1 cation of wells/septic systems iril Lot dimensions and building setback dimensions ❑ j ng trees to be retained with drip line,and tree BSquare footage of buildings to be demolished protection measures ....DL-vfea,building coverage area,percentage of coverage and ,reet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,2 eet names Pi.P5,-;Perty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced?fa-Ytss CI No 4 foot differential) • If yes,is a storm water quality facility shown? EYes E'No Clean Water Se es—Service Provider Lette of platted prior to 9/10/1995): Required: es,applicant was notified •LTJ No Received: ❑ Yes ❑26—Fublic Facilities jmprovement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: Ics ❑ No,stop intake Land Use Case#: 5-0B a( l(rj —1(5d60 err-Zoning: R—L'll 5 Required Setbacks: Front po Rear 6Side 6 Street Side Garage ) rE -a cZ ape Requirement: 0/0 -g—harecrirerage Maximum: 0/0 .."Building Height: Maximum Height 3 5-- Actual Height "L Visual Clearance ensitive Lands: ❑ Yes ❑ No Type .--Er.;--Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: �� Date: Cy,1//F. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_061417.docx Building Permit Submittal Original Submittal Date: ((i ! I Site Plans: # 3 Building Plans: # Building Permit#: 110- nter building permit#above. Workflow Routing: i'PlanningEngineeringermit Coordinator )Building Workflow Sign-off: Pr Sign-off for lanning(include notes from planning review) Route Application Documents: [-(2'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 bea calculations// and trust details,if applicable,etc. Notes: GjGz"o� '�S�c /OK- /71-- By By Permit Technician: .A/j` !; Date: __Ceja_L-- Engineering Review Slope at building pad: Xr Conditions "Met"prior to issuance of building permit XI Easements (encroachments)per engineering conditions of approval and plat A 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 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: ,t Date: Z•/4 /.5=3 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 I (Conditions "Met" •prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes X N/A irOK to Issue Permit Approved by Permit Coordinator: Date: (.Q O�\kb l I:\Building\Fonns\BldgPemiitRvw RES_061417.docx FOR OFFICE USE ONLY—SITE ADDRESS: 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 Transmittal Letter r't_;A Ez n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: i-LLYSoA1ZMSTpe3N DATE RERWEIVED DEPT: BUILDING DIVISION SEP 26 Zi i CITY 0 IGARD FROM: 6UI ! G DIVISION COMPANY: 1'L ( )c1 Uct/ 1U PHONE: S� j � �� v -,7 Y RE: S.77a W- E Z7 6i DaCvok / (Site = es ) / f'�t✓J, (Permit Number) (Project name or subdivision name and lot number) f�JJ2 ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: opies: Description: Additional set(s) of plans. Revisions: Cross section(s) and detail: Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. �Pr- Engineer's calculations. Other(explain): REMARKS: cc-El Ni Cbb E ✓r'Gf oi'►8f711/I54 . c.,z7 FO OF CE USE ONLY Routed to P- /,--..ician: Date: .1 Z(e (8 Initials: A' " Fees Due: lei j s E No Fee Desc 'ptio : Amount Due: $ lIZ ?tiV1L _:._._. Special Instructions: Reprint Permit •er PEA • Done A. .licant Notified: 4, „,__-. 7031111111111111111." AMMINEEMEIV4 711f7A dot 7i• 'fc I:\Building\Forms\TransmittalLetter-Revisions_061316.doc FOR OFFICE USE ONLY-SITE ADDRESS: 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 111 _ 4 Transmittal Letter T I i,A E.D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: .-L,L y.S c, A-}'-N71 5T lza G DATE RECEIVED: DEPT: BUILDING DIVISION 'RECEIVED Ort, FROM: DAV r D E P4a9-fP_i-' Al;( �'2u ) COMPANY: Fc -, - `(2 ) Ca)(V S'T k2-4).C1-10 i --) ( A RD PHONE: g- 3 - 7 0 ^-2 Li Y S By. /` RE: 8 7 70 S. W , 1.. Iv Z Sr- O,elir`C>C)l&a. (Site Address) it Number) )(/11-1 a2oi --' volbZ— (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: , Copies: Description: C, es: Description: Additional set(s) of plans. Revisions: REA R DEC_K- Cross section(s) and details. if Wall bracing and/or lateral analysis. Floor/roof framing. �- Basement and retaining walls. Beam calculations. 6' Engineer's calculations. (explain): Other ex lain): REMARKS: z R D rc, REQ LAC-E Cot.J Cre �d�Tro Dui'' o N s I -re. 12._�a ) to CO, Arca ...r.= 41,977- ./ 71._. i 7 Se--(/) . ( .14(97----- FOR OFFICE USE ONLY Routed to Permit Tec.. 'cian: Date: Initials: Fees Due: ❑Yes ❑No Fee Description: Amount Due: $ $ $ $ Spec'. Ins ructions: Reprint Permit(per PE): ❑Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard . ■ III COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARDD Building Permit #: , 7y 7--©d/6 2, Site Address: 77g0 . t/1 l n ez Project Name: r. L DPI I �j t r& (,i Lot #: L-} (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review !`/ .f/i:e Proposal: NtW Tt 1`." k''ri(S/CA/ /2(7''i- CE /?977f ,-,.' c. (7�.. /Pc. cr= /Verify site address/suite#exists and active in permit system. ,' River Terrace Neighborhood i-No ❑ Yes,See River Terrace Review Addendum Attached Si lan Elements: Three(3)copies of site plan E: ..�:.sting structures on site •:ire plan gty lc on 8-1/2"x 11"or]1 x 17"paper ,IF: ootprint of new structure(including decks)with finished P rawn to scale(standard architect or engineer scale) /floor elevations orth arrow 'Utility locations&easements(required for new and RSite address,project or subdivision name and lot number idewalk/driveway approach plicant information(name and phone number) ( tion of wells/septic systems VI t dimensions and building setback dimensions l[J ,-.ii: trees to be retained with drip line,and tree , Square footage of buildings to be demolished rotection measures f'1Eea,building coverage area,percentage of coverage and i treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) , treet names perty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced?J es ❑No 4 foot differential) • If es,is a storm water •uali 'fadli shown? ❑Yes ©No Clean Water S es—Service Provider Le of platted prior to 9/10/1995): / Required: applicant was notified aid- No Received: ❑ Yes 0 No veErPublic Facilities provement(PFI)Permit � Required: Yes,applicant was notified 0 No Applied For: l es 0 No,stop intake (/ L.andUseCase#: s'('B as/(p —6d6►) ✓Zoning: R-4ll 5 VprRequired Setbacks: Front po Rear (S Side 5 Street Side — Garage "<231-&-c pe Requirement: age Maximum: % / wilding Height Maximum Height 3 S Actual Height 0.5 i/CJ Visual Clearance c/ensitive Lands: 0 Yes LJ No Type 5 I rban Forestry Plan M Conditions"Met"prior to issuance of building permit Notes: Approved By Planning: le. ` Date: (p' 1///5— Revisions (after Btfi ing Submittal only) Reviewer i3 Date Revision 1: LEApproved 0 Not Approved J`,- b i Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BIdgPcxmitRvw_RES_061417.docx P Building Permit Submittal Original Submittal Date: [!((/' /(r Site Plans: # Building Plans: # Building Permit#: r' nter building permit#above. Workflow Routing: PJPlanning engineering >Perinit Coordinator _Building Workflow Sign-off: L' Sign-off for Planning(include notes from planning review) Route Application Documents: (z Engineering: (1)copy of permit application, (1)site plan,(I)building plan and original plan review routing form. (Building original permit application,site plans,building plans,engineer and bcalculattioons and trust details,if applicable,etc. Notes: �G�,G . k,,$7.---- , /7 4 L By Permit Technician: c 41;. :. �, l&i .� Date: 6 7L /(d- Engineering Review Slope at building pad: !/_ rXia Conditions "Met"prior to issuance of building permit effi Easements (encroachments)per engineering conditions of approval and plat %I Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes No 0 NOT Approved by Engineering: — Date: Notes: Approved by Engineering: 47 Date: k • ,� Revisions(after Building Submittal only) / Reviewer Date Revision 1: Approved 0 Not Approved 1,, r l St-tt2 Q-L$ ,' 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 0 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 lir SDC Fees Entered: Wash Co Trans Dev Tax: AYes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue =oratot •&& rni'ce: '$ i l:\Building\Forms\BldgPemtitRvwRES 061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8790 SW INEZ ST, TIGARD, OR, 97224 December 24, 2018 at 10:00:32 AM Record Type: Record ID: Residential - Master Permit MST2018-00162 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8790 SW INEZ ST, TIGARD, OR, 97224 December 28, 2018 at 9:49:09 AM Record Type: Record ID: Residential - Master Permit MST2018-00162 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification received Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor FOR OFFICE USE ONLY-SITE ADDRESS: 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 1111 _ ' Transmittal Letter -,,,,R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • w.tigard-or.gov TO: jOt 1 \y a tJ Ah9A'\502o►kiCI • TE RECEIVED: DEPT: BUILDING DIVISION NO SIAKi zNI(-J 11111 ClV'EH.A --10 ).1 fl FROM: ��P0 1 /- D& B�oZ t Jnr COMPANY: I 1,"`r2_ 1 (<-N S'i-7 PHONE: `j o3—.7 .0 --?V Li. _ By: i RE: 9 7 9 Cx W, , .Z1 . r mOr vl g -00/6-z, (Site Address) (Permit Number) (Project name or subdivisio e F d toy„�fiber) 4 \i ATTACHED ARE THE FOLLOW'G IT IA, ' Copies: Description: • Copies: Description: Additional set(s) of pl. s. 3 Revisions: e i C, aka L(- alic - Cross section(s) and i etails. Wall bracing and/or lateral analysis. Floor/roof framin_ Basement and retaining walls. Beam calculatio .. Engineer's calculations. Other(explain) REMARKS: W .,, (n‘N to (}3 is L-L- (7 e-J2 i 1 Cc .oU N O14 T1/oh) I:Y LA) roc_-L TO s� FO OF CE USE ONLY Routed to Pe it Technici •� ate: 7 43 G4, Initials: f }- Fees Due: Yes [�'No// Fee Descriptio : Amount Due: $ (2<1 $h. l/ bY\X $ $ Special Instructions: Reprint Permit(per PE): ❑Yeso !/ ❑ Done Applicant Notified: p _ Date: 7 f f /?l f Initials: y7t- i:\Building\Forms\TransmittalLetter-Revisions_061316.doc FOUR D CONSTRUCTION CO POST OFFICE BOX 1577 • BEAVETON OREGON 97075 • PHONE (503)641-0935 (6 7 SoW, ING 2 sr- Lori. sr zo vto - 00160-2— rItKIH • U L 1 7 2018 Cirr ot- aU11.011\1P !)1\1s't-'0' CESAR Ise tuLAPposAi46 *4 • le' Oe.. CONT.WO • .4.%„SO SACKFiLl. WALL ;rft.0;•-t W/FREE-PRAIN1NG ••-••.•• •• -414004-t4t;•-1 A GRANULAR MAT. = RILL WIPT14 CC WEL 414/`;Itrit.,i7 •••••;.•;•••., DIM' •-•• ..---,..1:1_,%.111ITICAL • 1040::, - • • • •4 -- 0 44 PERK PIPE tur FILTER 0 . FABRIC ••.7t4;.•• •"•‘-i 24' MIN. st- • •;'41.;,• ;047' LEVEL GR. smit so. a iv/ s; f 140111Z IL 44 a -4 'a) 0440RIZOVAL)4" it•:."to "ENIMI .71* 3' CLR a* A Plc * 3000 PSI Fy • 60000 P61 IS * 1,500 PIP PW EQUIVALENT FLUID PRESSURE PETAINING WALL. DESIGN 14 A C ISAR 141Art °NI A1 'O' Wt o se. V 1'..44 414 • 161 , *4 • W 0.C. *4* W 0.C. 12' 6 -V 8' 2'-18' 4'-2' 44 • 0.C. 04• 18' 0.C. 414 • 18' S-c' w 110410 44• ' 0.C. 44 • Ws' 0.C. 46 • Oa 12' Z. -9' 12' 110-14' 1'-2' 811I • S'0.C. 04 • IV OZ. leo V 0.C. 12' THE OILNERASULDER KIST CONFIRM TI4AT THE SITE SPECIFIC CONDITIONS MD 11616111T6 MEET THE DESIGN PARAMETERS OP THIS RETAINING WALL. PLEASE DIRECT ALL MUMS TO THE CONTACT INFORMATION PROVIDED ON THE ArrAcwo RETAINING WALL. DESIGN CALCULATIC246 1ZETAINING WALL I SCALE $ 1/3' is 1`-‘61 RWNSV