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Permit (214)
CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2018-00163 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2018 TIG; 1<.[� 9 Parcel: 2S111AA12700 Jurisdiction: Tigard Site address: 8744 SW INEZ ST Subdivision: IRMA DELL BUTTERFIELD PARK Lot: 5 Project: Butterfield Park, Lot 5 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1658 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 4 Second: 1618 sf Garage: 626 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3276 sf Value: $406,610.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 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: 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>=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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3276 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: $33,027.12 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th• e rules are set •rth in OAR 952-001-0010 through OAR 952-001-0090. Yo may obt in a cop of the rules or direct questions to OUNC by calling 503.232,.: or :r%.332.234. „A%- , , Issued By: Permittee Signature: Xim. %r Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application ,Residential RtCEIVEDFOR OH-R I 1 SI,ON 1.1 ` Received permit No.: City of Tigard q{� / 1 Q' /-T /x,57 i if�J g1 I ZO 1 fJ Date/$y: �� 0 " / / �' < h ne SW Hall Blvd.,Tigard,OR 97223 JUN Pate/By e t 'r6 , ��,7�t�rti)/-c, � Phone: 503.718.2439 Fax: 503.598.1960 -p DateBy: Other Perm ►-,ca/� _�!/ S 6 1 I L; \12 t, Inspection Line: 503.639.4175 CITYOf TIGAF�RU Date ReadyBy: auris: H See Page 2 for Internet www.tigard-or.gov r DIVISIO o' ed/Method: ( a (1 /I Supplemental Information UP MIN 4. TYPE OF WORK 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 profiJ'%F CATEGORY OF CONSTRUCTION work indicated on this application. rill Valuation: $ y06/ la(0 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 4/ ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: -Z..-.. .1: Q Job site address: g-7y st w, -gt/o Z 5>: New dwelling area: 3 Z76 square feet ((1 g City/State/ZIP: fl (,AV-0 0 R 9 7119 Garage/carport area: 6Z.. ..2 square feet I U Suite/bldg./apt.no.: Project name: licv- ilia 1 .5 Covered porch area square feet Cross street/directions to job site: Deck area: /2 0 square feet tt A U- 13 L..V D - 6,g eeIVs{o Alto L ..- 9 0 -/'-H-- Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 6 - ---' D 4114- Lot no.: 5 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: ct.t -i t`. Lo pAtzg._ equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: S A/6-ci) 5,A/64-6 P-1 i L), l E5 j 1 Afc Existing building area square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: S.14 All AS R 6L 0v(/ Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: OAPPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedul) Business name: FOU 0,.. D cc,N,5 i'Ru C C/ /,„ Structural plan review fee(or deposit): Contact name: D F.Yv p D E A.12.Q p0y21— FLS plan review fee(if applicable): Address: 1 0. Bo x 1 S `7 Total fees due upon application: City/State/ZIP: BEA vt L ro t3 C . 7©'7 S Amount received: Phone:(5'03) 7 A.0 .....7 v y S Fax::( .5%'0" j 75 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: F6 Li Y-DC.oW5r ®5rij • co/4'x- Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details L" and fire department access,along with the 2010 Oregon Address: ,. �a6 Solar Installation Specialty Code checklist. t,,f) 6 Permit Fee(includes plan review $180.0 City/State/ZIP: d-" and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.6 CCB lie.: 7/03 7 Total fee due upon appication: $201.6 Authorized signaturThis permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. ]^1 D� *Fee methodology set by Tri-County Building Industry Print name: �) �", p�P�69ZC�Date: / 000 Service Board I:lBuilding\PermitABUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A Mechanical Perm A I i lication I,OR OFFI( l: l tiE 0y 1.1 City of Ti;ar UPIReceived Permit No.: Date/By:13125 SW Hall i Ivd.,1 igard,OR 97223 Plan Review ' = Phone: 503.718.2 39 .ax: 503.598.1960 Date/By: Other Permit: I i c;A R 1 Inspection Line: 5 t .63(.4175 Date Ready/By: Juris: H See Page 2 for Internet: . -----..gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work `New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* pit 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: -�7 Air conditioning / 46.75 Job site address: g 7 v41 ,5",x/ z-- sr Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: r,(,fit.(LO 0 Cy 7 2_Z(I Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 t Residential boiler(radiator or /4-$4 Z.-L B Lvb &RE Ems c, tlt2CJ LA/ — 9'O 1`/4 hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: b ,,,gl P'P Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: at ll'e):z „) (.L ID PA lc Water heater . 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 _ _ Log lighter(gas) 23.32 N&W S / 6,1--C PP.Mi Ly Res i D l`ou LAE- Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: n,>A tA-t- p$ 21 -'t.---1.N..) 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 lit APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: I C)t.t R- C) co STiztl.(11 c iL) $14.15 for first four;$4.03 for each additional Contact name: T)tom\/•1 P . e 1`t��-pphd.T" Furnace,etc. Address: - Gas heat pump �c ? I7 Wall/suspended/unit heater City/State/ZIP: AN/ -GRA-6!V ) C�l q 7 0 7 S Water heater Phone:(563) -1)O ._ 7 y`'s Fax::(503 5 r C) .. I-is + Fireplace Range E-mail: 'FOt g-et CO 1.3 S-T- ,l A), CO/tn Barbecue CONTRACTOR Clothes dryer(gas) ,r� Other: Business name: eNu �-: t'f Iv_ i L' MECHANICAL PERMIT FEES* Address: P.0 t 4cx X133 Subtotal City/State/ZIP: e:L Q cg-A6,4 F75 C)1 . 9-2 0 l cMinimum permit fee($90.00) 7 Plan review(25%of permit fee) Phone:(5;..3) &s. 6_ / qa Fax: ) 'j 0-3 c >2i'° State surcharge(12%of permit fee) CCB lic.: /763 6 2, V 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 TriCounty Building Industry Service Board Print name: 01:w i 0 r )De A 11 ,0: Date: (;.-./I_Lk' I:\Building\Permits\MEC_PermitApp 040113.doc 440-4617T(I1/02/COM/WEB) Electrical Permit Application 1 <)1t O l l 1( 11 51.0.1 \ City of Tigard DReceived Permit#: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit 4: Inspection Line: 503.639.4175 Ready Date/By: mss. VI See Page 2 for t I t'\i'.t) Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW '.New construction 0 Addition/alteration/replacement Please check all that apply(submit ii sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stones. 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. A§,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 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 `" / 0 Addition of new motor load of syr. Job#: Job site address: i 7�y .5 yv. 2G Z sr I OOHP or more. 0"A","E","1-2","1-3", Ci /State/ZIP: y— /� 12 Z ❑Six or more residential units. occupancy_ City1 i A+ -� f ❑Health care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 13 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 Description I (ty. i Each I Total I N F l..l. .2)[..VD - ( f t trW,S %Al2-0 L.A! -- c/6 r/4 New residential single-or multi-family dwelling unit. Subdivision: '' Sarrpki Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: '` '--1- . ?„-''i LI) PA.1z..K., Ea.add'1500 sq.ft or portion 33.92 t DESCRIPTION OF WORK Limited energy,residential 75.00 2 P (with above sq.ft.) G.) `>i N4$i- l=A i i t Ly J�ES,Db--A/ e.„&" Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 jg PROPERTY OWNER I 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: ML t 5 a t-LOt 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 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 igAPPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for brach circuits with Business name: Fou.t2 ) co ms ria(j ale,j above service or feeder fee, 742 2 each branch circuit Contact name: 7,-)l I 0 D G HA RP1elz_1" B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: P,0, 8.cx 15"7 7 branch circuit City/State/ZIP: BE Arc-2_1-01 t i=_ 9 70-7 S Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: 663)-220.,.7 y t./5 Fax::(5'03 )j'90 l 7 5 / Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: FOt..+1 ft. D c...6&,/s-7°' MseO. Cot-4 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: .Z re- z,e.c.7-/Z-f C... 6 p{tr:..ep Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: (, /50 � %'L L . 2,vD Q/ e/C3 V panel,alteration,or extension. Each additional inspection over allowable in any of the above City/StateJZIP: Vic}g I cid/0 t,iz 7 722L (:) Additional inspection(1 hr min) 66.25/hr Phone:(55.3) L"7 7 3789 Fax:(503 ) fel/— 79/y 79/y Investigation(1 hr min) 6625/hr Industrial plant(1 hr min) 78.18/hr Email: L67" .--G=G6 c.rgI C.-6 g,yC1 to e C ivikl t d..- , GO //7 Inspections for which no fee is CCB Lic.:/C//Z7 V Electrical Lic.:C 3c/ Suprv.Lic.:5 74,L j specifically listed('h hr mire) 90.00/hr Y4 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: R 03 e A R.y7 /fl)/ i Z_Date: G l/_ f f 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signatu:_ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 t/ Print name: A V i 0 7-_-. ,i )fi�'t jO(2 /"j . Date: 6--I i ,e days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC PermitApp_ELR ERE.doc Rev 04/21/2014 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures rO►R tllr►( I ► ti►; Oy► City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Ry: Phone: 503.718.2439 Fax: 503.598.1960 Plan Review DateBy: Other Permit No.: t I�,:1.t:t Inspection Line: 503.639.4175 Date Ready/By: loris: ril See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE VNew construction Demolition For special information use checklist Description Qty. Ea. Total El Addition/alteration/replacement 0 • New i-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 gi 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 7 q, / s ,v�Z S Catch basin or area drain 18.76 Job site address: 7 7vv, Drywell,leach line,or trench drain 18.76 City/State/ZIP: 'Ti to pi F,D o R c!`7 2..2.5, Footingdrain Suite/bldg./apt.no.: I Project name: Maimfactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 14 r4L- B LVt 6Rtrt<NS4vl rt-D t.11/. - 90 ro. Rain Sanitary sewer(no.linear ft.:____) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: ° n D -4c#44- Lot no.: Fixture or item: Tax map/parcel no.: B y/ C< i_.1) i lq� Backflow preventer 3127 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer t ,1/ S/N e.,4 6 r'1 M I Ly/ R S/1D&/vim= Dishwasher 25.02 Drinking fountain t t PROPERTY OWNER 0 TENANT Expansion tank Fixture/sewer cap t Name: drain/floorFloor t Address: .S//fr7t As 2 c-L.o K f Garbage disposal 25.42 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 N: APPLICANT 0 CONTACT PERSON ' ' t Business name: r c,(.1,>z, D coA/6TR,A, t(t I t,AlPage '12.51 Contact name: 0 FA v i i D1*t 4.g.p pog.T. Roof drain(cotnmercial) 12.51 Address: T. 0. 3X / 5 -7 7 ,, ; , t City/State/ZIP: % . v .,gam. ` C 9 7 b—)S 62.54 Phone:L503 ) 7 O.-7%y.5 Fax::(5-0,3)5-96..i 75 l Tub/shower/shower pan Urinal E-mail: POu1`= Dc2 it/5rC / .1$i < Go t closett CONTRACTOR Water heater 3732 Business name: .-r-If t� M t l L t&-A/ M PA g Water piping/DWV 56.29 Address: J 60 fq Si C. )i C. I► el • t City/State/ZIP: /G Gam" 97/2.3 7/ / Minimum permit fee: t Phone:(57:3) 6 yo- 65//3 Fax:( ) Plan review (25%of pennit fee) CCB Lic.: 7.. 6 g 9 Plumbing Lic.no.:,3V-26e P13 State surcharge(12%of permit fee) Authorized signature: 1,< c TOTAL (� Date: (y •—{ —� This permit application expires if a permit is not obtained within 180 days Print name: DAL,C(� :�, �t�" (' after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\BuadingTumits\'LMU-PermltApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 1111 City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: ,//451,2_0/?"-- (03 Site Address: 7'."7i1-/ 5 ) [hem 5-1-- Project Name: Tr mci DP(l 5u. p„-.f ld Lot #: 5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: �ew - .ATerify site address/suite# exists and active in permit system. River Terrace Neighborhood: E to ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,J1-Three(3)copies of site plan --M 'fisting structures on site .lite plan must be on 8-1/2"x 11"or 11 x 17"paper 7211rastrftrit of new structure(including decks)with finished -121 rawn to scale(standard architect or engineer scale) floorloelevations rth arrow Utility locations&easements (required for new and additions) ate address,project or subdivision name and lot number idewalk/driveway approach .plicant information(name and phone number) ells/septic systems .BTot dimensions and building setback dimensions 'fisting trees to be retained with drip line,and tree '77776-2i re footage of buildings to be demolished protection measures coverage area,percentage of coverage and ,8'3'treet tree size,type and location im 'ous area(applicable if R-7,R-12,R-25&R-40) —BStreet names roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? EYes E No 4 foot differential) • If yes,is a storm water quality facility shown? EYes Cio ,2 Clean Water Services–Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified -ff.-No Received: E Yes E No 8'Public Facilities Improvement(PFI) Permit: Required: 2"Yes,applicant was notified ❑ No Applied For: e Yes ❑ No,stop intake 2 Land Use Case#: SI)3 c)r(j 6 00/O ,12' Zoning: R — E-L6 Required Setbacks: Front `D (2 Rear 15 Side 5 Street Side -- Garage a,,) "EHL-atidscape Requirement: o`t Coverage Maximum: ,Q Building Height: Maximum Height 35 r Actual Height 375 `� ial Clearance sfE/Scnsitive Lands: CI Yes CI No Type E �f-ban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: f _":--...L-- Date: 6 ti Revisions (after Building Submitta only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: 7ll/fir Site Plans: # Building Plans: # Building Permit#: I:' titer building permit#above. Workflow Routing: L' Planning Engineering Zr Permit Coordinator ______ Building Workflow Sign-off: G 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 ^� 1/1,51" beam calculations andptrust details,if applicable,etc. Notes: 1 Q &I' /V1 . By Permit Technician: / Date: 772-kr Engineering Review Slope at building pad: 16 Conditions "Met"prior to issuance of building permit ik, asements (encroachments)per engineering conditions of approval and plat 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: 14.4_412Date: feg•/ cile Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review *Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: N,Yes - ❑ N/A Parks SDC: L Yes ❑ N/A LIDA ❑ Yes 14 N/A Y—OK to Issue Permit Approved by Permit Coordinator: Al/rNikAti-u Date: if H \�v I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8744 SW INEZ ST, TIGARD, OR, 97224 January 24, 2019 at 9:18:54 AM Record Type: Record ID: Residential - Master Permit MST2018-00163 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: 8744 SW INEZ ST, TIGARD, OR, 97224 January 24, 2019 at 9:28:28 AM Record Type: Record ID: Residential - Master Permit MST2018-00163 Inspection Type: Inspector: 699 Mechanical 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: 8744 SW INEZ ST, TIGARD, OR, 97224 January 24, 2019 at 9:32:14 AM Record Type: Record ID: Residential - Master Permit MST2018-00163 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8744 SW INEZ ST, TIGARD, OR, 97224 January 24, 2019 at 9:26:37 AM Record Type: Record ID: Residential - Master Permit MST2018-00163 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 75 psi Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: g`7`/'( SGA) _Th c /.., This form is recognized by most building departments in the Tri-County area for transmitting info . ion. 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 DEPARTMEN ' _ Transmittal Letter I ; ,A it n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.243' • www.tigard-or.gov TO: A l l ,so N 11{ems-W\-S1126 A--C9 IA I., -e EIt D, DEPT: BUILDING DIVISION JUL 1 8 2018 FROM: T)/ J ) IZ--rfl')V\- : uL. s yl COMPANY: .(L D c ).aS /, PHONE: SO-3 "-2c) .-.7L''-iC Er2A RE: Ll S t W. J_ 2 sr— /LL 57Ef -tel X03 (Site Address) (Permit Number) i (Project name or subdivisN;,40, it, ber) ATTACHED ARE THE FOLLOW G IT 'rV : Copies: Description: Copies: Description: Additional set(s)of plaii . ,.- Revisions: i N j (I.) Q Cross section(s) and details. Wall bracing and/or feral analysis. Floor/roof framing. , Basement and retaining walls. Beam calculations. ' Engineer's calculations. Other(explain): REMARKS: ' t-\\.‘(\yA-L.4_ -kI , t Z b l .1---1<.. K.) 6<..Y (.--c- Q-1X-C-.e-c_AN 6 4-71 ---F-T1,--7 LA-) 14,(-7 FORFFICE USE ONLY Routed to P CLcian: Date: '7 �� (0v Initials: Air Fees Due: e ❑No Fee Desc ptio . Amount Due: y t,, ,,ML,„ $ v q s..� $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes No" 0 Done Applicant Notified: Date: 7/11(4- Initials. I:\Building\Forms\TransmittalL.etter-Revisions_061316.doc A* FOUR D CONSTRUCTION CO POST OFFICE BOX 1577 ■ BEAVERTON, OREGON, 97075 ■ PHONE (503)641 0935 e 7yy 'sir" `' ' , d . L(DT MST' 2.0 t ()olio `Y'uw. JUL 18201 OFFICE COPY i: ter--- r ' LAP 46 DiA. Li/ PIEBAR -511— •. •. •r •• •• • 44 • 10' O.G '' '� BACKFILL WALL 0`;;t; W/FREE-DRAWING •• • • ••••s; GRANULAR MAT . ----;'•,••f.r' •'••'•• • BULL iINDTN Cil !#EL . . ifv «i " ~ j t BAR 'M' ';: