Permit (177) CITY OF TIGARD MASTER PERMIT
''' COMMUNITY DEVELOPMENT . ' . C Permit#: MST2018 00215
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2018
7 ZS /1 1 Parcel: 2S110AD10000
Jurisdiction: Tigard
Site address: 10909 SW ANNAND HILL CT
Subdivision: ANNAND HEIGHTS Lot: 2
Project: Annand Heights, Lot 2
Project Description: New SF. 7/24/19: REPRINT to add NC unit. Placement of NC unit must comply with
manufacturers placement requirements.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 729 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1045 sf Garage: 409 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1774 sf Value: $231,114.50 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
Drains: 0
Tubs/Showers: 2 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: 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'l 500 sf: 3 201-400 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 1774
Owner: Contractor:
ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions)
BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Geo Tech Required Prior To
12655 SW NORTH DAKOTA ST TIGARD,OR 97223 Pour
TIGARD,OR 97223 2 Ersn Cntrl 503-639-4175
PHONE: 503-780-4375 PHONE: 503-625-6526
FAX: 590-7606
Total Fees: $30,141.47
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4 is - Permittee Signature: 0'V "h'/c'4../C 9-770/moi
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application IIIIIIMIMIIEIIIMIIIMIIIII
City of Tigard iteuerinni
DataMy: hut*Nc:tri Vracri8-0002 I S.
!NI 13125 SW Hall Blvd.,Tigard,OR 97223
Plan itovlow
Phone: 503.718.2439 Fax 503.598.1960 Dantilly: Other Pernik:
1 1 4.,1 ,, inIpeCti011 Line: 503.639.4175
Data Ready/By: Auk ES See Piga 2 for
Internet: www.tigard-oLliav Notifiedadethoth Sopplemeotal Warman
' 1 cateastaacsat.nor SCRIDULE--usa -cocci-aarr '
1
. TV--211-9-1P-1W°"1C- Mechanical 't fees are bend on the value of the inch
6 New construction
0 Demolition
[ 0 Additiordaltentlion/replacement
0 Other le i
CATEGORY Of CONSTRUCTION pc:dimmed.bulicate the value inamded to the nearest dollar of all
mechanical mated-- ,Aitipmenr labor ‘r' ii =di I 11,
Value:$
_ _ RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
lEirl-and 2-fitmily dwelling 0 Commercial/industrial 0 Accessory building Per wed*,hifirritoides ate Agana
0 Multifamily 0-Master builder 0 Other: -1--(1111ry. 1 Ea. Total
JOB Jairs il.FoRmATRIN AND uwATKIN 1.1, -; ° F---2,Heatift :imu._
. Alt OM&;Lining I 46.75 tl.F...1G'
Job site address: i OCI CI St...4) 6"/AJA"-I 0 +ILL c-1- Pomace 100E00 BTU idustaoyemo 46.75
aW/StntefliP: 'ri C.7-1411.4 , 0 4.. cl'7 A 2 44 Pomace 100.000+BTU 4ibicarivental , 54.91
,likat'scale61.06
Sultwbldg./apt.no.: Project nom il-'NJ OA N 0 i+el 1 C.-1,41-5 Duct work -1 23.12
Cross rtreeddirectiona to job site: tly4rocie hot water eyment 23.32
- ' Reeidendal boiler(radiator or
ivdroeicl 23.32
Unit heaters(fuel.type,not electric),
in.wal I in-duct,Ku.peTwed.etc. 46.75
Flue/vent for antof above 23.32
Other: 23.32
Subdivision: Lot
l Other fled appusuces:
Tax nsapipatoel no.:
Water heater 23.32
Intscianox OFWOPX
-r!T..' an rirC1/111"Inged 33.39
water heater or um
A c)C1 A-10, €...or401001'111`" Cr rerplsee 23.32
LoS lighta(112*) 23.32
Woodtpellet stove 33.39
Wood firepleociiasert 23.32
Chimuryilinedfiuckent 23.32
.
1 Moo 23.32
si ntOPERTY awNi3.1-, 1 13 TENANT - -.1 Enviroamented edultut and veaffladon:
Name: w 41•4 0 t.t.3 0 ch a Lew.;sill...k.ciN.0 N) Range hood/other kitclue
- equirowa _s_ 33.39
Address. 1 2 6.5 S. %.".3 NOP:114 OA 14...c.-TA S-r- Ciothes dryet exhaset 33.39
Chy/StatetZIP: -n L,,,,,,,,o clet.. l''"?2-2-3 Single-duet Gamut(befilmoms,
toilet conmarimoss,utility rooms) 23.32
Phone:(Stt2) 78o-‘4316 Frac( ) Anickmvleows Awe 23.32
.42 arrucarcr 0 614TACT ..,,'•; '
..
Fad Filling:
Dominoes name:
$14.15 ter Ant her 14.03 der sack adtlitioad
-
Contact num: )A LE 11-LC.e4A-rt4 5 Pomace.etc. - ..
Gas heat Min,
Addmss:
Wallistopeodedlnh heater
City/State/ZEP:
Water heater
Who=( ) [ PI=:( ) • FireplaCe
Kongo I
E-mail: kome 5.^v.ii@ ner.0-,i•con., Barbecue
coaraacrort • ,_„-• -- S-1`0g-'4trr il*P-4
Other:
Business name:
MIER :-
Address:
Subtotal .
Oty/Stato#21P: Miniamm permit the($90.00)
- .
Plan review(25%ofpermft Si.)
Exam( ) Fax;( ) ' State eurcharue(12%of permit the)
CCE lic.: TOTAL PERMIT FEE
- This permit applkatlea makes If it permit is not obtained wain ille
days after ft We base accepted as complete.
Authorized , - ,i " * Fee methodology sot by ref-County Build/is Industry Service Board
Print name: fr"V 17 k 4.*" (L.IC"4"-S Date:7(2q(2-4:31 9. 1
laultdinstrennkAMECIestokARL040113.64 4404617T(I 1/02/CCOVW133)
CITY OF TIGARD MASTER PERMIT
IN"a • COMMUNITY DEVELOPMENT Permit#: MST2018-00215
Date Issued: 09/17/2018
Tit.A It D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD10000
Jurisdiction: Tigard
Site address: 10909 SW ANNAND HILL CT
Subdivision: ANNAND HEIGHTS Lot: 2
Project: Annand Heights, Lot 2
Project Description: New SF.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 729 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 27 Bathrooms: 3 Second: 1045 sf Garage: 409 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1774 sf Value: $231,114.50 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: 2 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: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 3 201-400 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 1774
Owner: Contractor:
ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions)
BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Geo Tech Required Prior To
12655 SW NORTH DAKOTA ST TIGARD,OR 97223 Pour
TIGARD,OR 97223 2 Ersn Cntrl 503-639-4175
PHONE: 503-780-4375 PHONE: 503-625-6526
FAX: 590-7606
Total Fees: $30,044.11
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 OA 2-00 0090. Y• ay obtain a •py of the r es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: .e_< ? .d AlL/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection da e
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 ""
Z FOR OFFICE USE ONLY
Cl of Tigard n Or p Received �y 7� p
`5 g AUG�a L i+J Date/By: g ` Permit .S/2Uf!/ egI
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
7li
� i Other6 it. !p ��'+2
Phone: 503.718.2439 Fax: 503.598.19% Date/By: [.O t�V
T I GARD Inspection Line: 503.639.4175 I Date Ready/By: 1 ,+oris 0 See Page 2 for
Internet: www.tigard-or.gov _ ,•otified/Metho. i // 1 Supplemental Information
t
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
XNew 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
CATEGORY OF CONSTRUCTION work indicated on this application.
and 2-family dwelling 0 Commercial/industrial Valuation: $ v 31 ( l
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: c3
JOB SITE INFORMATION AND LOCATION Total number of floors: f '3
Job site address:/a fa? �� il^nalrl[�/' ,/!// �(4 r 0�j New dwelling area: / L/ square feet t 0 HS
City/State/ZIP: 7--_,T-6/1-4...p e/LL; 9 7 •.-3 Garage/carport area:.. square feet 7 a
Suite/bldg./apt.no.: Project name: An n 4 A d CV A Covered porch area: square feet 1
Cross street/directions to job site: j yf-b Deck area: UO square feet
f/ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: /In Aa Ad hL < A /5 Lot no.: Permit fees*are based on the value of the work performed.
y x/ Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF`WORK work indicated on this application.
/V , cJ,Cr�'` Valuation: $
nExisting building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: }-p 14 ,71i— Type of construction:
Address: /01'4 S-5- (5'w Na,ier,t Da-kd f 64V-rd Occupancy groups:
City/State/ZIP: ma/ - 4.-72-.2,3 Existing:
Phone:( I3 7et1-7/3 76- Fax:(J` z ) 5-90'7t 6)4 New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to;fee schedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax: :( )
E-mail: 'o,niv all®,y At �all`�(�/.N1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�J�n& � �dsN Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: kJ/Ad/v.0(Rif 4 As 7c Submit two(2)sets of roof plan with connection details
/�� and fire department access,along with the 2010 Oregon
Address: G 5-5- t i`t° Aler �A p4-! /1z, v' el Solar Installation Specialty Code checklist.
City/State/ZIP: 7j )ia 223 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(53) agQ' _L 75" Fax:( 6V3 6-9*Gi-7aol! State surcharge(12%ofpermit fee): $21.60
CCB lic.: 5-0/96- Total fee due upon application: $201.6r
Authorized signature: �"" `— - --- - x .. This permit application expires if a permit is not obtain'
- � — - within 180 days after it has been accepted as comple'
Print name: Q s Date: �` *Fee methodology set by Tri-County Building Industry
��� 1 l/ Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
Building Permit Application Checklist 0
One- and Two-Family Dwelling A FOR OFFICE USE ONLY
City of Tigard A II "' Received Permit No.:
s
w 13125 SW Hall Blvd.,Tigazd,OR 97223 Associated Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960 0 Electrical ❑ Plumbing 0 Mechanical
T 1 GARD 24-Hour Inspection Line: 503.639.4175
Internet: www.tigard-or.gov L.".. . .;j ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. r 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 12r 0 0
3 Verification of approved plat/lot. Zr 0 0
4 Fire district approval required. Name of district: " 0 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 J'
6 Sewer permit. 21 0 0
7 Water district approval. 2' 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 17`
9 Erosion control [21131an 0 permit required. Include drainage-way protection,silt fence design and location of catch- W' 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if J 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size fzi 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- Vf 0 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. V 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- Z 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing a 0 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 IZ
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 2F 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. Z 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0' 0 0
for four or more appliances. r
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or a0 0
architect licensed in Oregon and shall be shown to be a..licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 2' 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. La 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ,Z 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0
IZI
27 "Drawn to scale"indicates standard architect or engineer scale. 12' 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard E " ❑ 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, Et 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Mechanical Permit Application•p z::: ; .°.-- FOk FICE USE ONLY
Cityof Tigard �� - .'Removed Permit No.:
g
Date/By:
IN - "I 13125 SW Hall Blvd.,Tigard,OR 97223 t ' ' 20"Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
TIGARD Inspection Line: 503.639.4175 IateReadyBy: Juris H See Page 2 for
Internet: www.tigard-or.gov .. ,- hl9tified/Method: Supplemental Information
TYPE UF:WORK ,r,...:._
COMMERCIAL FEE* SCHEDULE— IJSE CHECKLIST
Mechanical permit fees*are based on the value of the work
ew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
FR5
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
, CATEGORY OF'CONSTRI7CTIflN. RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
::, $SITE INE'sURM11 ION;AND LOCATION- ' : Air conditioning 46.75
Job site address:!/d fd? ,5(,�f , 7 fl G / `/ ,/,,,,,..../ Furnace 100,000 BTU(ducts/vents) ...0"'"....0"'". 46.75
City/State/ZIP: �i 23 Furnace 100,000+BTU(ducts/vents) 54.91
�� �� %Q� Heat pump 61.06
Suite/bldg./apt.no.: Project name: [G�n A. a- Duct work 23.32
Cross street/directions to job site: �. Hydronic hot water system 23.32
�Q� 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
Other 23.32
Subdivision: Min4 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater ✓ 23.32
Gas fireplace/insert -0""...- 33.39
Flue vent for water heater or gas
itiCALJ g/'1— fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
R�PERT �OVNLR „TENANT
.. Environmental exhaust and ventilation:
Name: iii-r/iUted571 TP. Range hood/other kitchen
�� 10 S f Cleqothes nt
dr 33.39
Address: /9,6,5-5- �'(� /fdT S Yfi Clothes dryer exhaust .� 33.39
City/State/ZIP: �--rp Single-duct exhaust(bathrooms,
tY l�'Z ��Z3 toilet compartments,utility rooms) 0 23.32
Phone:( 65 ^.6d -if-37c- Fax:cz 3) gyp 0 -76 L 2 Attic/crawlspace fans 23.32
PLICANT `.❑ CONTACT'PERSON Other: 23.32
Fuel piping:
Business name: 5o ine $14.15 for first four;S4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater
Fireplace
Phone:( ) Fax: :( ) > Range
E-mail tont dit todeilko -e5Ivt* )( ,ftc4! ®t (U Barbecue
ONTRAC.TOR' Clothes dryer(gas)
Other
Business name: r5 (4 !1 MECHANICAL PERMIT FEES*
Address: /3/5) //ay&nits glue/. 4,.. Subtotal
City/State/ZIP: lf- /_ � t?n y < J Minimum permit fee($90.00)
�/l (.� Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: "7.2.[ 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: * Fee methodology set by Tri-County Building Industry Service Board
/.3�d�/tom
Print name: Date: iXV/&'
1\Buildine\Permit.¢\MEC PermitAno 040 13.doc 440-4617T(11/02/COM/WEB)
1710,."'.7',
Electrical Permit Application ,,—'. LJ FO.. .IFFICE USE ONLY
n(y
City of Tigard Fi U a ,c;_:, 2013 ReceivedDateiv Permit#:
Date/By.
Ili
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1060'. DateBy: Related Permit#:
Inspection Line: 503.639.4175 1; Ready Date/By: furls- El See Page 2 for
TI G A R D Internet: www.tigard-or.gov `1 Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑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.
0 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 ❑Emergency system. larger separately derived
�� 1� � �/ 0 Addition of new motor load of system.
Job 4: Job site address:/0/a j4,/)q^ IOOHor more. ❑system.
/ ❑Six or more residential units. occupancy.
�J
City/State/ZIP: " 9,-)2. ,..3�3 0 Health-care facilities. 0 Recreational vehicle parks.
� k / /_ A ❑Hazardous locations. 0 Supply voltage for more than
600 volts nominal.
Suite/bldg./apt.#: Project name: (� 6 f�`[!y
❑Service or feeder 600 amps or more.
Cross street/directions to job site: jrjo th FEE SCHEDULE
V7 Description 1 Qty. I Each I Total
Lb.
New residential single-or multi-family dwelling unit.
/�
Subdivision: �An /4,i /,L1 , ( Lot#: Includes attached garage.
V 1,000 sq.ftor less / 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion j 33.92 1
DESCRIPTION OF WORK Limited energy,residential
�
+ (with above sq.ft.) ! 75.00 2
�/Llf r/� Limited energy,multi-family
j residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
)3—PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: !f/tj t Wdc/ ( OAS&(J� Pi— 200 amps or less 100.70 2
S Sc Af " O 1 /z. 6'1_ 201 amps to 400 amps 133.56 2
Address: c r Ol, �T7 f�
.1 401 amps to 600 amps 200.34 2
City/State/ZIP: 70 k.rei f."7,2.2---3 601 amps to 1,000 amps 301.04 2
Phone:(' ' 7b0,—/./3 7 Fax:(5D3 )550 7 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:litthedliatetcjitcyheS /atm ( 6 i -c 1 e(d\ 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
LICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: 5a,,,,
above service or feeder fee,
7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: 4ZQ/ Aou-s' J c_../"/f L Sign or outline lighting 67.84 2
/ Signal circuit(s)or limited-energy
7
Address: .A,. .,14.c.,.."160/1,0(}11,r—f(e' j2e panel,alteration,or extension. 0 See Page 2 2
"'v� Each additional inspection over allowable in any of the above
City/State/ZIP: A,4g �-�5Additional inspection(1 hr min) 66.25/hr
Phone:
y•••-c,3) 11�9 �-7�l Fax:(.5:-C ) y:, y`7�3 Investigation(1 hr min) 90.00/hr
'
Industrial plant(1 hr min) 78.18/hr
Email: Inspections for which no fee is
p Q�7 o.S specifically listed(%hr min) 90.00/hr
CCB Lic.: ``�T Electrical Lic. � f� Suprv.Lic.:
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name kre5 4)4Date: 1 -,yee 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
-- /� TOTAL PERMIT FEE:
Authorized Signature: This permit application expires if a permit is not obtained within 180
Print name: C A rt' Ina i40-4� c
Date: * days after it has been accepted as complete.
s"{.+f Number of inspections allowed per permit.
I.'Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/1 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
4110
!
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description
Fee for all residential systems combined: $75.00 Qty. I Each I Total I
3' Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
n Garage Door Opener*
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
0 Other: Each additional inspection is 66.25/hr ]
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%z hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
y * Number of inspections allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
n Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I.\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
* lication•
Plumbing Permit App
Building Fixtures R .. FOR OFFICE USE ONLY
City of Tigard AUG 2013 Received Permit No.:
II 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
Plan Review
Phone: 503.718.2439 Fax: 503 598-1960 Date/By: Other Permit No.:
Inspection Line: 503.639.4175 j
TIGARD Date Ready/By: runs: H See Page 2 for
l .. �1_..�
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORKFEE* SCHEDULE
ew 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
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
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND'LOCATION Site utilities:
•Job site address: A A ih i//e d4 Catch basin or area drain 18.76
/O�d� nil Drywell,leach line,or trench drain 18.76
City/State/ZIP: TO/1-- --- T.72-.2-3Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: _Anridifi11t A,/ Manufactured home utilities 50.03
Cross street/directions to job site:
Cl Manholes 18.76
/0 9 t-19 Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: /lei(fiaI Lot no.: ,2.„ Fixture or item:
15
�/ Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
Ned--) 5,,,c--4. Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER - 0 TENANT Expansion tank 12.51
Name: P j/f/(r fid io.-s�p C, Fixture/sewer cap 25.02
L $4�j Floor drain/floor sink/hub 25.02
Address: 0 s"S'-'s i(/0'l/t%/ �G 1!/�Z Garbage disposal 25.02
City/State/ZIP: r apt' €2, � 3 -7 /� Hose bib 25.02
Phone:( 7 -- 7S Fax:(�3 5`1r/-pial Ice maker 12.51
❑„APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: ';/ii i' 12.51
Primer
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
® ,` / Urinal 25.02
E-mail: �B/`-C/1' t '/t-C.JM't5N•W erci/�tat'/ee
V Water closet 25.02
CONTRACTOR
L Water heater 37.52
Business name: poi_ j , rAtA q 11 /0 Water piping/DWV 56.29
Address: il4,//62 5 It 11 ital.) 1Q44 Other: 25.02
City/State/ZIP: 3 O� !)/( �a _ Subtotal
Phone:(6.-- 3) 7g.:3`/ gc� Fax:(5 3) - oie - Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: !i� /39, Plumbing Lic.no.: 35-3 0
Ik -
/ State surcharge(12%of permit fee)
Authorized signature: 7[ Az3 TOTAL PERMIT FEE
(u Date: This permit application expires if a permit is not obtained within 180 days
Print name: n L 1/2//t. after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46161(10/02/COM/WEB)
City of Tigard
INa COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R o Building Permit Review – Residential
Building Permit #: /u ci- jig.- a,c7ais
Site Address: IMt S/ AywevAnd -Ill
Project Name: yvin f\o' Lot #: '2-
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: SFY---
':1 Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: 'No ❑ Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
) Three(3)copies of site plan *Existing structures on site
,Nk5ite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
>Prawn to scale(standard architect or engineer scale) +' floor elevations
forth arrow k;..4 tility locations&easements(required for new and additions)
,ite address,project or subdivision name and lot number 5 idewalk/driveway approach
ݢfpplicant information(name and phone number) ocation of wells/septic systems
NiLot dimensions and building setback dimensions Wrxisting trees to be retained with drip line,and tree
OW'quare footage of buildings to be demolished protection measures
Pi -ot area,building coverage area,percentage of coverage and It:treet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) ►: treet names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? � ❑No
4 foot differential) If yes,is a storm water quality facility shown? s ❑No
Glean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No
APublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ie No Applied For: ❑ Yes ❑ No,stop intake
X Land Use Case#: P D9-2-015--v
A.Zoning: V--1"2 C; ri)
Required Setbacks: Front 16 Rear rS--' Side -2-, Street Side kik, Garage -')4.91
.'t Landscape Requirement: ?- %
.X-Lot Coverage Maximum:
Building Height: Maximum Height Actual Height-t--2-1-
NUN-Visual Clearance
Sensitive Lands: ❑ Yes A No Type
-.4r,Urban Forestry Plan
XConditions "Met"prior to issuance of building permit
Notes:
Approved By Planning: A/.. j AS it t L Date: 2_116
I
Revisions (after Building Submittal o . ) 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: F /2 //t'
Site Plans: #
Building Plans: #
Building Permit#: ['Enter building permit#above.
Workflow Routing: I Planning [5:1- Engineering ,12' Permit Coordinator Building
Workflow Sign-off: In- Sign-off for Planning(include notes from planning review)
Route Application Documents: 1:1"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
r.:2' Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/(e----
By Permit Technician: Date:
Engineering Review �/
J2'Slope at building pad: Z' ) 4
gr Conditions "Met"prior to issuance of building permit
Ef"Easements (encroachments) per engineering conditions of approval and plat
JJ-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
Final Plat Recorded:
❑ NOT Approved by Engineering: � Date:
Notes: ?4 GuyQ ,,
.-Approved by Engineering: ii4 /Y, /t,, Date: e //
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: E 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:
SI(8DC Fees Entered: Wash Co Trans Dev Tax: li es ❑ N/A
Tigard Trans SDC: ( ► Yes ❑ N/A
Parks SDC: ►.- Yes ❑ N/A
LIDA ❑ Yes �//N/A
--CI OK to Issue Permit �"
Approved by Permit Coordinator:
//,'"/"Date: s /1
/
'
I:\Building\Forms\BldgPermitRvw_RES_010118.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 a smittal Letter
11111
t t n Ez n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /1\ sp!1 DATE RECEIVED:
DEPT: BUILDING DIVISION h i,,,
AUG 1 6 2018
titer Ln
FROM: - CiTY Of �
COMPANY: rAvis ,
I�O�ocj u rrr9 CCA4 A4 c lit
PHONE: 4Hi4i1 '.WAI
RE: Q tkq1 C° ' toksr" e/e^ dD,2
(Site Address) (Permit Number)
tM1119/14 tke‘Mic L311^-41"'
(Project name or subdivIsforiname and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. )C Revisions: 3ku►"t
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR FFI E USE ONLY
Routed to Permi ec 'cian: Date: FOR(
Initials: Ali—
Fees Due: ❑No Fee Descri tion: Amount Due:
Special
Instructions:
Reprint Permit(per PE : ❑Yes N_— ❑ Done
Applicant Notified: Date: �f 1 ,f �/f Initials`
I:\Building\Forms\Transn ittalLetter-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.
II
of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ill
_ Transmittal Letter
I 1 G n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
/ ,
TO: G/� DATE RECEIVED:
/¢� S � � ` t
DEPT: BUILDING DIVISION --
AUG 8 2018
FROM: &UK A 4-(ja1A4 /,--(-- 1-a-- e-a--' CITY 01- 1l UAR Dr
COMPANY: 4/l'�.l �+'( � ll l� i l ' �p �,n
PHONE: 6 /3 ^ 7C) • Q 3 2c- By:
RE: Zor7 56u iMc, / 4741/ c77 l� s7"aa` 0 '"�02-15 —
Site A ress) (Permit Number)
( 4 4 4ais -"-a
ro ect name o subdi si name and lot number
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
2 Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: (G ft{C/- / 7/i Lt. �S .-e VJ/`'P-'•fl �,
FOR FF CE USE ONLY
Routed to Permit Technici : Date: ts 7 (5Initials: Plet
Fees Due: ❑ Yes 14� Fee Descrip io . Amount Due:
$ 711,----
N)
$
Special
Instructions:
Reprint Permit(per PE : ❑ Yes t� ❑ Done
Applicant Notified: Date: c/oZiii Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Seal mechanical penetrations in garage ceiling.
Provide permit for ac installed without permit.
Fan not working in lower level bath.
Work not complete, Not ready for inspection. R109.3
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Cleanout caps to be gas and water tight.
Master shower drain plugged.
Not ready for inspection, work not complete. R109.3
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
No power to lower level light and fan.
Ac whip not installed.
Work not complete, Not ready for inspection. R109.3
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
No permit for ac.
All else appears ok.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Crawl drain termination to be screened, cut back 5' from property line and have erosion
control material installed at termination.
1101 .5.2
All else appears ok.
Landscape irrigation on separate permit.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Ac installed.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Corrections complete.
Backwater devise installed in craw for crawl drain.
Landscape irrigation on separate permit.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10909 SW ANNAND HILL CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00215
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Corrections complete.
Ac installed.
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
414
Transmittal Letter
T t G A R C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /66(‘0/-1-- DATE RECEIVED:
DEPT: BUILDING DIVISION1
JAN282019
FROM: l ✓ �` f
BUILDIP, c
COMPANY: t tl a/(q 4/0.2 XIG U1L ii,
�-rte ��
PHONE: S2) 2 By:
RE: l ,O ) / Tl c>( 7(
( ite Address / (Permit Num. )
( roject name or subdivision name and o number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: 'scription:
Additional set(s) of plans. Revisions:
C21) Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. 1441 Basement and retaining walls.
Beam calculations. \ pct Engineer's calculations.
Other(explain): 1)
REMARKS:
FO OF ICE USE ONLY
Routed to Pe P' e ician: Date: L Zg AS Initials:
Fees Due: X44 e ❑,No Fee Des
Fr
n: Amount ue:
c)(14\
)(1;
°row
t./1.7
Special
Instructi: s:
Rep ' t Permit (per PE): ❑ Yes Nom ❑ Done
Applicant Notified: Date: //27, /1 Initials:
I:\Building\Fonns\TransmittalLetter-Revisions_061316.doc
I