Loading...
Permit (13) CITY OF TIGARD MASTER PERMIT :N . COMMUNITY DEVELOPMENT Permit#: MST2018-00339 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2019 TIGARD 9 Parcel: 2S111AA12800 Jurisdiction: Tigard Site address: 8799 SW INEZ ST Subdivision: IRMA DELL BUTTERFIELD Lot: 6 Project: Butterfield Park, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 1529 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 0 Second: 1827 sf Garage: 612 sf Front: 20 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 3356 sf Value: $426,771.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 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 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 3356 Owner: Contractor: LWD LLC SOLSTICE CUSTOM HOMES Required Items and Reports(Conditions) FOUR D CONSTRUCTION CO 5740 SW ARROWWOOD LN 1 Ersn Cntri 503-639-4175 5740 SW ARROWWOOD LN PORTLAND,OR 97225 PORTLAND,OR 97225 PHONE: PHONE: 503-709-2277 FAX: 503-297-0104 Total Fees: $34,222.31 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 001-0090. You,ay obtain a copy of the rules r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. � ��!"%%.> 71) Issued By: /�, (1 Permittee Signature: 'G' C 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 FOR OFFICE USE ONLY Received / A ✓j City of Tigard DateBy: / �� 4�■- Permit Nqf`%s�`1;,1 /—erg 3 g 1114 ■ 13125 SW Hall Blvd.,Tigard,OR RECEIVED Plan Review_ Phone: 503.718.2439 Fax: 503.598.1960 DateBy: , l ( coV A* Other Permlicj /e *IX/02 Inspection Line: 503.639.4175 Date ReadyBy: .turfs: See Page 2 for I G A R ll Internet: www.tigard-or.gov DEC 11 2018 Notified/Metho. /� -1/ Supplemental Information ®New construction ❑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 work indicated on this application. 11 Valuation: _® $550000 1-and 2-family dwelling ❑Commercial/industrial 2rW/ l-7 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 3 t ; . , Total number of floors: 2 Cl Job site address:8799 SW Inez New dwelling area: 3356 square feet ' City/State/ZIP:Tigard,OR 97224 Garage/carport area: 612 square feet is pcil Suite/bldg./apt.no.: Project name: or3Cl17— .'` "1tLt_ /0 J2-te.___ Covered porch area: square feet Cross street/directions to job site:Hall to Greensward Lane to 88th and Inez Deck area: X square feet Other structure area: 0 square feet a a .04,4 Subdivision:Irma Dell Butterfield Park Lot no.:6 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S111AA 12800 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the tt 1 = , work indicated on this application. • eual New detached single family residence Valuation: $ Existing building area: square feet New building area: square feet �at + Number of stories: Name:Solstice Custom Homes Type of construction: Address:5740 SW Arrow Wood Lane Occupancy groups: City/State/ZIP:Portland,OR 97225 Existing: Phone:(503)709-2277 Fax:(503)297-0104 New: Business name:Same as Property Owner Structural plan review fee(or deposit): Contact name:Alan DeHarpport FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) I Fax::( ) E-mail:adeharpport@gmail.com Commercial and residential prescriptive installation of t b ` roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:Same as Applicant and Property Owner and fire department access,along with the 2010 Oregon Address: C'c,/..97-e A-I /f'F#1 S Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:193633 y& / Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: � within 180 days after it has been accepted as complete. Print name:Alan DeHarpport Date:12-5-18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of TigardDateB d Permit No.: 411 13125 SW Hall Blvd.,Tigard,OR 972• divy Phone: 503.718.2439 Fax: 503.598.1 Date/By:Plan Review S' ., Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov n E C 1 1 2018 Notified/Method: Supplemental Information w1A -17'8ig 1 Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alt• . . . ement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total Heating/cooling: Air conditioning 1 46.75 Job site address:8799 SW Inez St Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 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:Hall Blvd to Greensward Lane to 88th 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:Irma Dell Butterfield Park Lot no.:6 Other: 23.32 Other fuel appliances: Tax map/parcel no.:1S111AA 012800 Water heater 23.32 Gas fireplace/insert 33.39 Flue vent for water heater or gas New detached single family home 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 �� a « Environmental exhaust and ventilation: Name:Solstice Custom Homes Range hood/other kitchen equipment 33.39 Address:5740 SW Arrow Wood Ln Clothes dryer exhaust 33.39 City/State/ZIP:Portland,OR 97225 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)709-2277 Fax:(503)297-0104 Attic/crawlspace fans 23.32 Other: 23.32 Fuel piping: Business name:Same as Property Owner $14.15 for first four;$4.03 for each additional Contact name:Alan DeHarpport Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail:adeharpport@gmail.com Barbecue r # ° Clothes dryer(gas) Business name:Central Air,Inc. Other: Address:PO Box 433 Subtotal City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3890 State surcharge(12%of permit fee) CCB lic.:178624 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: 4,vl� /I _ � * Fee methodology set by Tri-County Building Industry Service Board Print name:Michael Kellar Date:12/5/18 I\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) • ' Electrical Permit Application FOR OFFICE USE ONLY City of Tigard '° , Date/Be71 d - Permit#: q 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DEC1 '�°18 Date/BNIED : Related Permit#: Inspection Line: 503.639.4175 U1 Ready Date/By: Juris: H See Page 2 for T 1 G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information ®New construction 0 Addition/altera of/rep acement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards. t q'fi P exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑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 � t t � ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address:8799 SW Inez St 100HP or more. ❑"A","E",`°t-z","t-3", City/State/ZIP: ar Tigd,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: 1 Project name: ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:Hall to Greensward Lane to 88th to Inez Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision:Irma Dell Butterfield Park 1 Lot#:6 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#:2S111AA 12800 Ea.add'l 500 sq.ft.or portion 33.92 1 is ' ._ tr Limited energy,residential 75.00 2 New detached single family home (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) , Renewable Energy 0 See Page 2 >>r I z " Services or feeders installation,alteration,and/or relocation Name:Solstice Custom Homes 200 amps or less 100.70 2 Address:5740 SW Arrow Wood Lane 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97225 601 amps to 1,000 amps 301.04 2 Phone:(503)709-2277 Fax:(503)297-0104 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: amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel 401 t s Bra _ - . ------- A.Fee for branch circuits with Business name:Same as Property Owner above service or feeder fee, 7.42 2 each branch circuit Contact name:Alan DeHarpport B.Fee for branch circuits without Address: branch c rceeder fee,first 56.18 2 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:adeharpport@gmail.com Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Business name:Elite Electric Group Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address:6150 NE 92nd Drive#104 panel,alteration,or extension. City/State/ZIP:Portland,OR 97220 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)277-3788 Fax:(503)901-7914 Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:chris@eliteelectric.com Inspections for which no fee is 90.00/hr CCB Lic.: 191274 Electrical Lic.: C639 Suprv.Lic.: 57625 R_ specifically listed('A hr min) 8, Suprv.Electrician signature,required: Subtotal: Print name: Roberto Armendariz Date: 12/5/18 0 Plan Review Required(25%of permit fee): g ����� ��� �w State surcharge(12%PERMf IT it fee): Authorized si nature' TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 440-46i5T(11/O5ICOM/WEB • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Qty. Each Total Fee for all residential systems combined: $75.00 Renewable 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 to 25 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 ® Garage Door Opener* >100 kva(fee in accordance 55236 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 ® Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: 111 Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr mm) Inspections for which no fee is 90.00/hr specifically listed(%hr mm) 3 Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 00047: 1 Vii ! * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp ELR_ERE.doe Rev 06/17/2015 ' Plumbing Permit Application * Building Fixtures FOR OFFICE USE ONLY Received City of Tigard Permit No.: 14 In 131252018 DECC n Re 13125 SW Hall Blvd.,Tigard,OR 97223 (` PlDaan Review 0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 CITY OF T t ARODate ReadyBy: Juris: El See Page 2 for Internet: www.tigard-or.gov rtified/Method: Supplemental Information # " ; -:,,,,.. ..E,,,..IE,i1..TI ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) E = 0 = t p SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 i t : f ' s 1 Site utilities: Job site address:8799 SW Inez St Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 972224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site:Hall Blvd to Greensward Ln to 88th 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:Irma Dell Butterfield Park Lot no.:6 Fixture or item: Tax map/parcel no.:1SI11AA 012800 Backflow preventer 31.27 Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 b n > :k , Expansion tank 12.51 Name:Solstice Custom Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5740 SW Arrow Wood Lane Garbage disposal 25.02 City/State/ZIP:Portland,OR 97225 Hose bib 25.02 Phone:(503)709-2277 Fax:(503)297-0104 Ice maker 12.51® ! Interceptor/grease trap 25.02 Business name:Same as Property Owner Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Alan DeHarpport 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 E-mail:adeharpport@gmail.com Urinal 25.02 Water closet 25.02 --------- Water heater 37.52 Business name:The Mullen Company Water piping/DWV 56.29 Address: 1601A River Road Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:92689 Plumbing Lic.no.:34-260PB Authorized signature CState surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Jeremy Crace Date:12/5/18 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) City of Tigard ,N COMMUNITY DEVELOPMENT DEPARTMENT ■ T c A R D Building Permit Review — Residential Building Permit #: 015Tav 0j -- b° Site Address: , 1-9(i `t„I J-,\i;-. 4 Project Name: 'ta '/,trL Lot #: 6 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: JtLj S R rify site address/suite# exists and active ' permit system. iLi/ LAY River Terrace Neighborhood: Ild No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: �/ UP ee(3)copies of site plan [Existing structures on site • i - plan must be on 8-1/2"x 11"or 11 x 17"paper i2Ifootprint of new structure(including decks)with finished G G rawn to scale(standard architect or engineer scale) 3.eor elevations k,'rth arrow L!I U 'ty locations&easements(required for new and additions) eli e address,project or subdivision name and lot number lldSidewalk/driveway approach IIIVAyplicant information(name and phone number) 1►, .: ation of wells/septic systems PE' t dimensions and building setback dimensions L xisting trees to be retained with drip line,and tree Id quare footage of buildings to be demolished .rotection measures I. •t area,building coverage area,percentage of coverage and I .tt tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) []street names td Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ 4es ❑No �44ffoot differential) If yes,is a storm water quality facility shown? ❑ ❑No L'i Clean Water Services—Service Provider Lettertt (lot platted prior to 9/10/1995): �s�l ^ R�red: ElYes,applicant was notified [l No Received: El Yes El No Y D/Public Facil_it�ie�Improvement(PFI)Permit: �a ��l /Required: [Q1/Yes,applicant was notified El No Applied For: !12' Yes El No,stop intake lid and Use Case SUiLot6- 0 a 0 i o % oning: -4 s liY Required Setbacks: Front Rear IS Side S Street Side• IS Garage 2,0 (4 Landscape Requirement: Or t Coverage Maximum: 4 0,0 V uilding Height: Maximum Height 10 Actual Height 2,6.Li II Visual Clearance U( Lidnsitive Lands: ❑ Yes Cd No Type ®/Urban Forestry Plan 02 Conditions "Met"prior to issuance of bjuildingpermit Notes: Gjndi j 1-vL'L r i r r t� b,-A AL ftr,-t 4" 13Su`PIC? [Cd Approved By Planning: L i�— Date: i 2-11-1)) Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw REs 061417.docx Building Permit Submittal Original Submittal Date: /2//,/// Site Plans: # n Building Plans: # 3 Building Permit#: EY-Enter building permit#above. Workflow Routing: D-Planning '`Engineering E3--Permit Coordinator wilding Workflow Sign-off: ©/Sign-off for Planning(include notes from planning review) Route Application Documents: LI.-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 beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: / 7//01-- Engineering Review Er Slope at building pad: ° 0 Conditions"Met"prior to issuance of building permit E EE sements (encroachments)per engineering conditions of approval and plat [ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in-lieu: 0 Yes No ��- LIDA Facility on lot: 0 Yes No U7 Final Plat Recorded: JR/4/1-44-44.-- 81477CA 4. f 0 NOT Approved by Engineering: Date: Notes:� [ Approved by Engineering: ,Pt 6044• Date: /2 17-/s Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review piC 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: tEt Yes 0 N/A Tigard Trans SDC: A Yes ❑ N/A Parks SDC: sEr Yes 0 N/A LIDA 0 Yes i N/A )OK to Issue Permit Approved by Permit Coordinator: 1 CA c. Date: Vi1 n VE5 I:\Building\Fonns\BldgPermitRvw RES_010118.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 8799 SW INEZ ST, TIGARD, OR, 97224 July 31 , 2019 at 10:11 :21 AM Record Type: Record ID: Residential - Master Permit MST2018-00339 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Insulation certification verified. Duct seal test report received/verified. C of 0 left on counter. Violation Summary: Inspector Contractor