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Permit (135) CITY OF TIGARD PLUMBING PERMIT ' COMMUNITY DEVELOPMENT t Permit#: MST2018-00319 Date Issued: 12/19/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • Parcel: 2S115AB01400 ®6/" Jurisdiction: Tigard Site address: 11344 SW GABRIEL ST Project: Willow Brook, Lot 3 Subdivision: WILLOW BROOK SUBDIVISION Lot: Project Description: New SF. APPLIED DEMO CREDITS FOR TRANSPORTATION AND PARKS FROM BUP2017-00283. 4/23/19: REPRINTED permit to include backflow preventer. Contractor: PACIFIC LIFESTYLE HOMES Owner: PACIFIC LIFESTYLE HOMES 11815 NE 99TH ST#1200 11815 NE 99TH STREET SUITE 1200 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-573-8081 360-213-0813 FAX: 360-574-6401 FEES Quantity Description Date Amount 1 ea Building Permit-New 12/19/2018 $1,716.18 Specifics: Construction 1 Plan Review 11/29/2018 $751.34 Type of Use: SF 1 ea 12%State Surcharge- 12/19/2018 $205.94 Class of Work: NEW Building 1 ea DCC Provision Review,SF- 12/19/2018 $98.00 Type of Const: VB Ping Occupancy Grp: R-3 18 ea Info Process/Archiving-Lg 12/19/2018 $36.00 Stories: 1 $2.00(over 11x17) 123 ea Info Process/Archiving-Sm 12/19/2018 $61.50 $0.50(up to 11x17) 1 ea Metro Const. Excise Tax 12/19/2018 $350.29 1 ea Tig-Tual School CET- 12/19/2018 $2,934.10 Residential 1 ea Air Conditioning 12/19/2018 $46.75 1 ea Furnaces< 100K BTU 12/19/2018 $46.75 1 ea Water Heater 12/19/2018 $23.32 1 ea Gas Fireplace 12/19/2018 $33.39 1 ea Range Hood/Other Kitchen 12/19/2018 $33.39 Total $8,170.37 Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 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 503.2 •; or 1.800 Issued By: r7.4,7_0.‘_ PermitteeiS grT Lure: Cal 03.639.4175 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. Plumbing Permit Application Building Fixtures City of Tigard Received Permit No.: 4 13125 SW Hall Blvd.,Tigar, a ey Date/By: ! /� Z /t'15/phi "t'J3`lf Plan Review 11111 ■ Phone: 503.718.2439 l !+ Other Permit No.: ` Date/By: Inspection Line: 503.63 4 tl Date Read/B loris: See Page 2 for TI GARI) r?01J Ready/By: B Internet www trgard-or.gov R $% 4 Notified/Method: 7 oo Supplemental Information T1TPE OF tWoRic I1EE* sCiffoing ❑New co truction C,, 144, 1214 For special information use checklist Description Qty. I Ea. Total dition/alteration/replacement SUlit, ■ Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRtICTION SFR(1)bath 312.70 -and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB;SITE-INFORM 1TTON AND LOCATION ' Site utilities: Catch basin or area drain 18.76 Job site address: //3k/y S;�, /; d2 `� 3 d ' Drywell,leach line,or trench drain 18.76 City/State/ZIP: 4� 1 �� �7isi.�3 n Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: �/,//,,L,l J✓LF Al 3 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 _ Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer ( 31.27 3 0,7 7 UEStC ON OF WORK Backwater valve 12.51 Clothes washer 25.02 -044l,1r9 6e1C 4..J /v /v)c1 ' lr-! I V Dishwasher 25.02 l Drinking fountain 25.02 Ejectors/sump 25.02 Dr... ERTY OWNER: , ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 ���' � `5 J "" Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax ( ) Ice maker 12.51 ),� APPLICANT h [Q CONTACT PERSON Interceptor/grease trap 25.02 Business name: i�A( i L, j;�,1(,6 t Medical gas(value:$ ) Page 2 Contact name: 1-61„),-..e 51. ' jvt/ Primer 12.51 Roof drain(commercial) 12.51 Address: i/O r Ail- q`l- J � -'/ )Lt Sink/basin/lavatory 25.02 City/State/ZIP: Uri/j(-004.A2 '.\) Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 < G (.t�" Urinal 25.02 E-mail: 'r>r�J � bJ;ia cI - d CO'TRR Water closet 25.02 .. Water heater 37.52 Business name: � it" j-< e5 - Water piping/DWV 56.29 Address: /9`/ i94< e247/G Other: 25.02 City/State/ZIP: a-7rnr 47 vie `y 7ddG Subtotal _.3').; -7 v Minimum permit fee: $72.50 Phone:(.5-c,3) G /- 2 113 Fax:( ) y J Plan review (25%of permit fee) CCB Lic.: 0 7e.7 Plumbing Lic.no.: State surcharge(12%of permit fee) ,).-7 Authorized signature:Cli TOTAL PERMIT FE5,17 _ 6 ls67 1 This permit application expires if a permit is not obtained within 180 days Print name:�(> Date:U l after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities`' QtY• Fee total Square Footage: Permit Fee: Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit'F�: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspectioi s nor Fees ' F� ) , Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to * Plmhhrin iiiaccuratel report fixtures could result in increased sewer fees . fw.!..�. Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped' Added Relocate I 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3„ -4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall _- Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT : •• - COMMUNITY DEVELOPMENT Permit#: MST2018-00319 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2018 T I i k.n g Parcel: 2S115AB01400 Jurisdiction: Tigard Site address: 11344 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: Project: Willow Brook, Lot 3 Project Description: New SF. APPLIED DEMO CREDITS FOR TRANSPORTATION AND PARKS FROM BUP2017-00283. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2257 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 35 Bathrooms: 2 Second: 0 sf Garage: 514 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2257 sf Value: $291,910.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckfiw 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: 4 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: 4 201-400 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 2257 Owner: Contractor: PACIFIC LIFESTYLE HOMES PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11815 NE 99TH STREET SUITE 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 1200 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $8,135.35 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. Y may obtain a opy of the rules or direct questions to OUNC by calling 5 3.232.1987 or 1.800.332.2344. j Issued By: 4,,r� Permittee Signature: a ��?/ +�" --- L/u U/� l-12 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 y� FOR OFFICE USE ONL\ '., Received / ) �) �� City of Tigard - Date/B l 6. / �I Otl/ (/ 111 li 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 ( x 101 y (7 (� �'.�' r it: )r-..-64)2i:1_ ���lS � Date/By: T t GA K D Inspection Line: 503.639.4175 Date Ready/By: Jori: See Pager Internet: www.tigard-or.gov , 1,; t..r Notified/Method: Supplemental Information tiiS"t x i .., r;f s ,X' �,^.� s n It , . rj t , l ITF`!`sgp `�r�f,. r ,�.. ,� ."`"g.,� ,I '.,,4,,y. l ,! �f ri µ„?'i i'i',Y !,,E',,*- �- fr',,..,f ,,,, :r3e f ir, J ...tnS*Jl, .a`x„51.:'� fr,'.;i' ,'' . i,{ b.,, e r.,',.,%xs..,M.. ':;,;i ,v,,.';5.�= 't5, r l6;,:;,..,,,t,s ii ,e3 3 � t "�. 419 y k f 31 a,�* � .., ,.,,, .,,r vim.. ,;c.,, m. .,, e ,,8:�1: . ,,...., r.{�rr',,f Urlf?,, ,.'-.� >.,r., ,f„mss„ ,�'.�e.,�` ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the i 4, ! rr l4e , i f dNfi , work indicated on this application., , rAfA:% , ,r ; ,, w,,te , dwelling Valuation: $ 0 s26)// 9 f o ® 1-and 2-family ❑Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: 2 ' ” f! 1 e s ` Total number of floors: 1 77 I Job site address:11344 SW Gabriel St New dwelling area: 2257 square feet zz,.5`7 City/State/ZIP:Tigard,OR Garage/carport area: 514 square feet Suite/bldg./apt.no.: Project name:Willow Brook lot 3 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet t °ldl4. r', l'b`[31i E iM 4,r l.as 1 `r ,: Subdivision:willow brook Lot no.:3 Permit fees*are based on the value of the work performed. Tax map/parcel no.:tbd Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 9. - r .,„ ,: lk �r s , ar ,� work indicated on this application...:% r , . , r4 � irrtd9 t . .. , .. ; SFR 3 bedroom 2 bathroom with 2 car garage,covered patio and entryway. Valuation: $ Existing building area: square feet New building area: square feet '# e ” Number of stories:v r ; Name:Pacific Lifestyle Homes Type of construction: Address: 11815 NE 99th Street,Suite 1200 Occupancy groups: City/State/ZIP:Vancouver,WA 98682 Existing: Phone:(360)573-8081 Fax:(360)574-6401 New: x a C ,... 4 "'n. r 'r/r .; 3 6 F'1,,,,,e,, p' r. . . . ti r`I'. f f.�i, tert 4 ' �, ," �� 1J # Business name:Pacific Lifestyle Homes Structural plan review fee(or deposit): Contact name:Permit Coordinator FLS plan review fee(if applicable): Address: 11815 NE 99th Street,Suite 1200 Total fees due upon application: City/State/ZIP:Vancouver,WA 98682 Phone:(360)573-8081 Fax::(360)574-6401 Amount received: y r< tt 0 s E-mail:permits@buildplh.com , � r 'lCommercial and residential prescriptivetive installation of s :. A % . , t : , r,, _ �. ,, r , roof-top mounted Photo Voltaic Solar Panel System. Business name:Same Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:Same Solar Installation Specialty Code checklist. City/State/ZIP:Same Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:173524 Total fee due upon application: $201.60 Authorized signature: // , / )17)/tie..-e-e_, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Summer Dowell Date: 11/20/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE I_SE ONLY' City of Tigard ReceivedRv r Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 y g Associated permits: S Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T IC.0.P.D Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No N/,1 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 0 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan El permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ 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 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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ 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- ❑ ❑ ❑ 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. ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 0 ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. _ ❑ - ❑ - 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore•on and shall be shown to be a..licable to the .roect 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". ❑ 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 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 ❑ 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 FOR OFFICE t.SE ONLY City of Tigard Received Date/By: Permit No.: ihi13125 SW Hall Blvd.,Tigard,OR 9722p,,j Fir M 1 ■ '. i , t ( t E, Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: e: 503.639.4175TIGARD Date Ready/By: Juris: 2 '- See Page t for www.tigard-or.gov N 0 V 2 1 201! Notified/Method: Supplemental Information t4 ` ' *,-x or" anF :aif , t 1 ., ;„, r '„" /n %iFS* 1 " -4-''''yb' ' sts " t '11r y . ,a- v,r , vii t,iin' r os:',”r",Fr4tf l' ,r ,,. „"•ns;, d'' '.'' , ,✓ "' ''.,;: ,-r „ ,,'. 1, „ • Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ r�,rrmq ",.s=";„.;;£9G�`".'"'✓; :�,,, 1 til) lam iW 4'; r ,%r ;,;, rt'i7, ry, r r :vs > z�q rp1 �,7:, r .� ,::,r , .i, .,.... f,.,F,.'" ;�f<r„< ,a„�,Vea F $3, li ,,:;; tl a i�lay v „m f,?�,F;r, ,�. ?,�rte:-, ,. ,.; „,•,... ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessorybuilding g For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. I Ea. I Total 1”I'g 1 r n Heating/cooling: j.. .�. :, �. r, ,..� ,, ,,,. Air conditioning 1 46.75 Job site address:11344 SW Gabriel St Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name:Willow Brook 3 Duct work 1 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Willow Brook Lot no.:3 Other: 23.32 Other fuel appliances: Tax mrc ap/pael no.:tbd Water heater 1 23.32 . ,„ ., . ,.-'P'., 0 . ?: s.! '-. o � ��, „ . r h ; : rGas fieplace/insert 1 33.39 Flue vent for water heater or gas SFR 3 bedroom 2 bathroom with a 2 car garage,covered patio and entryway. fireplace 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 x -`--7,,-'5k'''',•,Z4 b ' ' Other: 23.32 r •.,,.t„ ;;. ' .. ,, fl'T' ” -x r ' ”" Environmental exhaust and ventilation: Name:Pacific Lifestyle Homes Range hood/other kitchen equipment 1 33.39 Address:11815 NE 99th ST Suite 1200 Clothes dryer exhaust 1 33.39 City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(360)573-8081 Fax:( ) Attic/crawispace fans 23.32 r s ," �y ;4 : . . . t .``' . ' t ,.. f *0, - i:': a , <r Other: 23.32 Business name:Pacific Lifestyle Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator Furnace,etc. Address:11815 NE 99th Street,Suite 1200 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98682 Water heater Phone:(360)573-8081 Fax::(360)574-6401 Fireplace Range E-mail:permits@buildplh.com Barbecue i't r r, ,�,. N. , 0 I,, It a rC z, " i y/ ; Clothes dryer(gas) Business name:Area Heating+Cooling Other: P*Vi', „�r •,ls,R,;� t ,�.1 i, , ,1+4: .w''#,,.Y.r,1,�1't5, s„',.:af` Address:2721 NE 65th Ave ,.,. Subtotal City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)737-0811 Fax:(360)737-6946 State surcharge(12%of permit fee) CCB lic.:64801 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ,' days after it has been accepted as complete. ����' `--- awcet.„...Authorized signature t * Fee methodology set by Tri-County Building Industry Service Board Print name:Summer Dowell Date: 11/22/18 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: ;&41.1 ga '9 i 444;*"., ; W s- $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_0401 I3.doc 2 .: . . . , . - \ I-. Electrical Permit A�)�l]<csitl0!>E FOR OFFICE USE ONLY Tigard Received Cityof 1ermit ii Date/13y .r 13125 SW Hall Blvd„Tigard,OR 91,,4�3 ,...t Pian Review Prill Phone: 503.718.2439 Pax: 503.59 .19 ,,4 ' ' ` Date/By: Related Permit 5, TIGARD Inspection Line: 503.639.4175 t� Ready Date/13y: Jails. b See Page 2 for 1, Internet: www tigard-or.gov Ni) 2 1 ?_015 Notified/Method Supplemental Information VJ TYPE OF ��Q I .1,0L PLAN REVIEW i t Please check all that apply(submit 2 gels of plans w/helms checked): ®New construction ❑Addition/altcl 11La�1a�4�;ellle4t( x. w\,;,7,. x. ❑Service orfeeder 400 amps or more ❑Building over lltree stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 9 Floating buildings. T less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® I-and 2-lankly dwelling ❑ Commercial/industrial ❑Accessory building amps fix all other installations, buildings El Multi-It-tinily ❑ Master builder ❑Other; 0 Fire pump. ❑Installation of 150 IC VA or JOB SITE iNFORMA'I'ION AND LOCATION • 0 Emergency system_ larger separately derived / _ ( ❑Addition of new motor load of system. Job N: lob site address: t' .21.,4- &CIYJYi.j 51- 1001-1P or more. ❑"A" 'F" "I-z I.3 City/State/ZIP: I occupancy. (� ❑Sia or more residential moils. 1' }' 1 1-I ZZ 3_ _ 0 Ileakh-care freilities, 0 Recreational\Thiele parks. Project ❑Hazardous locations. ❑Supply voltage for more Man Suite/bid /a t.ti: name: l' - ---------_---_, --___,-- �,--,-- 600 volts nominal. 9 Service or feeder 600 amps or more. Cross street/directions In job site: FEE SCHEDULE Description i Qty I Each l Total r _ New residential single-or multi-family dwelling unit. Subdlvision;9 3t\\„A)by-o)� Lot#: 3 Includes attached garage. — -- 1,000 sq.It or less ! 16854 I(C8.5`1- 4 map/parcel Tax #: _..-----� _ ( �'1) Ea.add'l 500 sq.tt.or portion 3,S"--- 33.92 -1 Sid-. i - DESCRIPTION OF WORK Limited energy,residential (with above sq.It.) 75.00 2 — SSI IA 1 Limited energy,multi-family 75.00 2 ei,e. Gt ©"4 ' R6residential(with above sq.0.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: ,t c_--C--i ,L,'1L e . ■"1 11 L , 200 amps or less 100.70 2 Address: f /� , Nei - / 201 amps to 400 amps I. 133.56 j 2j3•�2 L( I'- " '� r ,q_ �IJt / 401 amps to 600 amps 200.34 2 City/State%/.lY; G{j ✓ I 'i X 601 amps to 1,000 amps 301.04 2 Phone:( ©)t%� N 6 J Fax:( ) Over 1,000 amps or volts 552.26 2 (J Temporary services or feeders installation,alteration,and/or Email: L-I CI, (�t td Z ( 6)1/1 relocation .. _ Owner installation:This installation is being Made on properly that I own which is not 200 amps or less 59.36 1 intended li>r sale, lease,rent,or exchange, according to ORS 447,449,670,and 701. 20l amps to 400 amps 125.08 2 Owner signature:__ Date: - 401 amps to 599 amps 168.54 2 ® APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.fee I'or branch circuits with Business name: Pacific Lifestyle Homes above service or feeder fee, 7 42 2 — each branch circuit Contact name: Permit Coordinator B Fee for branch circuits without service or feeder fee,first Address: 11815 NE 990'Street,Suite 1200 brancorcirfeeder 56.18 2 City/State/ZIP:Vancouver,WA 98682 Each Atli branch circuit - 7 42 2 Miscellaneous(service or feeder not ineluded) Phone:(360)573-8081 Fax: :(360)574-6401 Each manuhtetured or modular 67.84 2 Email:permitsgbuihipllr.cotn dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ Sec Page 2 2 Address: 2920 SE Brookwood Ave,Suite A _panel,alteration,or extension. City/State/ZIP: Beaverton,OR 97006 Each additional inspection over allowable in any of the above —.-_ Additional inspection(1 hr min) 66 25/hr Phone:(503)648-4552 Fax:(503)642-7925 Investigation(i hr mill) 90.00/hr Lmail: mrnorato@garnerelectric,corn _ Industrial plant(t hr rain) 78.18/hr — _ inspections for which no fee is 90.00/hr CCB l,ic.: 121159 J Electric. L' -305C' Supfv. Lie,:'31 D~) 5 specifically listed(%hr min) . : - ELECTRICAL PERMIT FEES Suprv. Electrician signature, require ® Subtotal: Print name: Chuck Garner /14V- f$' Date: 0 Plan Review Required(25%of permit fee): ir> '. State surcharge(12%of permit fee): Authorized signature: j, i J -ram],PERMIT FEE: ( This permit application expires if a permit is not obtained within 180 I Print name: �jj B„1 s�7 A ' / `�j di Date: (0 `I q-/ y clays after it has been accepted as complete. 111 r+lY * Number of inspections allowed per permit. I`nuilding'PermiislFt.C_PerrnitApp LEL.R GRIT doe Rev 06117/2015 440-4615Tt 1 IIOSiCOt4€INGi Electrical Permit Application --City of"Tigard Page 2---Supplemental Information • Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE.SCHEDULE -- _Dcscri tion QIY. Each 1 'Total (_ Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or I«5 --� — 100.70 2 5.01 to 15 kva 133.56 2 Audio and Stereo Systems* 15.01 to 25 kva 20034 2 25 kva: Wind generation systems in excess of - ---- — _ �....--------------- --— Burglar Alarm 25_01 to 50 kva 301-04 2 50.01 to IOU kva 552.26 2 Garage Door Opener* — — Y ___._...._-.. >100 kva(lee in accordance with OAR 918-309-0040) 552.26 ---..._—....---------- Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 Vacuum Systems* >100kva-noadditional charge 0.0 :3 Each additional inspection over allowable in any of the above: 11 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(%hr min) COMMERCIAL WORK ONLY: —.. ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): (SEE OAR 918-309-0000) ' Number of inspections allowcd per permit, Check Type of Work Involved: Audio and Stereo Systems Boiler Controls L Clock Systems Data Telecommunication Installation I Fire Alarm Installation HVAC Instrumentation Intercom and Paging Systems n Landscape irrigation Control* I Medical I I Nurse Calls Outdoor Landscape Lighting* Protective Signaling Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 tnuitding\t'ermitsdiL(',I'ermilApp-ELR_ERE due Rev 06/171201S Plumbing Permit Application Building Fixtures FOR OFFICE USF ONE) Cl of Tigard .a >eceived City g Permit No.: 11111 q 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ll Phone: 503.718.2439 Fax: 503.598.1960 !N O V 2 �fi I1� PlanDate/By:Review Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: kris: &I See Page 2 for Internet: www.tigard-or.gov C I ` z a(: ¢K Notified/Method: Supplemental Information ` �9 fet 1 1 ,r � q t6 fta l Kfa ''.;:71;:i'41 .;':-4Ii �l r uYl' l � 4 r .�� � r .1�4,z, oa�ur2 rRr+,., �' ,fxy .,�.�,�� .. Sf*Gr`�lf� .w ✓ , �I ,%14"I' a ,�.,r » ,n*!d.t �t �, ,(<4te ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ,, 4r l" ,4I ( ,; t I .^ .!wr J ,%'y dt ' l 3 f l '" * 4o ate eg ,t e'• ,; SFR(1)bath 312.70 / 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 2 437.78 0 Accessory building 111Multi-familySFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 6 ''t I t e e a O Site utilities: Job site address:11344 SW Gabriel St Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:Willow Brook 3 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:<100) 1 Page 2 Storm sewer(no.linear ft.:<100) 1 Page 2 Water service(no.linear ft.:<100) 1 Page 2 Subdivision:Willow Brook 1 Lot no.:3 Fixture or item: Tax map/parcel no.:tbd Backflow preventer 31.27 7'. !: Backwater valve 12.51 4,.°�„�Mf5v, rf•, vw1,4, ,,i ,c��19 r>>li}1d V,Vl r� x,<,�f ,4„ - Clothes washer 1 25.02 SFR 3 bedroom 2 bath with 2 car garage,covered patio and entryway. Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e , ei, o& ,,,A,;,..--,;,,,,,,,,,,„� `'?� .. .� ., Expansion tank 12.51Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11815 NE 99d'ST Suite 1200 Garbage disposal 1 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 2 25.02 Phone:(360)573-8081 Fax:( ) Ice maker 12.51 " ,.. x' .,, 25.02' >9 t2Interceptor/grease trap Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator Roof drain(commercial) 12.51 Address: 11815 NE 99'Street,Suite 1200 Sink/basin/lavatory 5 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 Phone:(360)573-8081 Fax::(360)574-6401 Tub/shower/shower pan 2 12.51 E-mail:permits@buildplh.com Urinal 25.02 .., . ,.. 2 25.024iea e i Water closet , , �� , � . . .. , �f..3 :,'., � Waterheater 1 37.52 Business name:Lippold Plumbing and Heating INC Water piping/DWV 1 56.29 Address:PO Box 895 Other: 25.02 City/State/ZIP:Boring,OR 97009 Subtotal Phone:(971)404-7012 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:201597 Plumbing Lic.no.:PB1416 07)-2/1.) 62.--e / State surcharge(12%of permit fee) Authorized signature: ®C i.-��,% 2 (f` TOTAL PERMIT FEE Print name:Summer Dowell Date:11/20/18 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information • Fee Schedule: Residential Fire Sus •ression S stems: vr,' r €,w.., itViM ;."�.,'r''.' 3+ s:�, ,iii-,;"�%,� a k 4 T,^ rr���,f y ,rF/`ice � ..,, rte x -, .,m,.,u,�x, �.aa."',e�a�rr� �','� ���� ,�.�2✓-Y�.✓wf �'��w%amu�r;n .�'- � . ,f,.�r .�5 _.�. _e. _. ,.._ Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 :cc.r r n = , fr' r ter r ti k� r ,db�'•S 1 t r A # 3 $ f z. Storm&Rain Drain-1st 100' 62.54 "� "' $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for o m,, Py each additional$100.00 or fraction thereof,to :4°,9 ....,t ;44.4.44. = x,'4"'1 r r. ?: f,7 4 t„ and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. 'ia(rtre'I' floc Work Pea f it d. erste Plan review is required for any of the following. Baptistiy/Font Please check all that apply. Bath Tub/Shower I=1 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3„ 4„ r 4 f F 9E �r.. � u,4:` 1ft Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: P:\Job Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 3\Periits and Inspections\PLB_PermitApp.doc Building Permit Submittal Original Submittal Date: _ (f/2 ii1'1 _ Site Plans: # --j% Building Plans: Building Permit#: 5. ter building permit#above. eere it Coordinator�Butlding Workflow Routing: ��- Tanning Engineering Workflow Sign-off: el Sign-off fo Tanning(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. PWilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: -e Date: ) By Permit Technician: SAARI,/ �' i rrS Engineering Review ��// ErSlope at building pad: �,l!; O'Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of anproval and plat Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 114O Assess Water Quantity Fee in-lieu: 0 Yes 1-.EI-No � LIDA Facility on lot 0 Yes �No El t'inal Plat Recorded: Date: 0 NOT Approved by Engineering: Notes: 21—Approved by Engineering: K.64t Ai S'►+k2 Date: /L-ig -18 Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit NOT Released: Al— �2`1'C6 Date: �Approved, _ MOM- � A-1--- ��- '�11,� Notes: 4€� ( I(Z�V1Sti IAA{ reGCAY t 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: 1 Yes 0 N/A Tigard Trans SDC: igc Yes 0 N/A Parks SDC: g Yes 0 N/A LIDA 0 Yes N/A tkOR to Issue Permit C�� � - 12,1 (� � � O Approved by Permit Coordinator: A-131M° & L- Date: I:\Building\Forms\BldgPermitRvw_RES 010118.doex City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11344 SW GABRIEL ST, TIGARD, OR, 97224 April 25, 2019 at 12:54:41 PM Record Type: Record ID: Residential - Master Permit MST2018-00319 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control approved. High efficiency lighting form received Moisture content form received Moisture barrier acknowledgement form received. Note: sink in garage approved as rough in only. Backflow device installed for landscape irrigation. C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11344 SW GABRIEL ST, TIGARD, OR, 97224 April 25, 2019 at 12:52:49 PM Record Type: Record ID: Residential - Master Permit MST2018-00319 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Corrections completed. Violation Summary: Inspector Contractor