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Permit (33)
CITY OF TIGARD "' MASTER PERMIT IN COMMUNITY DEVELOPMENT er?"7111Permit#: MST2019 00095 T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2019 Parcel: 2S 115AB08400 Jurisdiction: Tigard Site address: 11109 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 29 Project: Willow Brook, Lot 29 Project Description: New SF. 7/30/19: REPRINT to add backflow preventer. 7/31/19: REPRINT to add 34 sf deck. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1205 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1714 sf Garage: 507 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2919 sf Value: $370,818.73 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Bckflw Prevntr: 1 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'I 500 sf: 5 201-400 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 2919 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11815 NE 99TH ST STE 1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $33,212.63 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 5 .232.1987 or By: 1.800.332.2344 Issued � .e.--77---<---...,.e.--77---<-.e.--77---<---..., Permittee Signature: l.- i 4i 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. 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 li Transmittal Letter T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /}( I i SVIA, DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: (L(In �' 2 9 2019 CITY OF TIGARD ^�a(144 y LIIs /� o�,�� PLANNING/ENGINEERING COMPANY: �/ �j PHONE: Q,0 � g.5. ��) c �T� RE: I ( 1 llq >U" abri t-( 6 cT2O)9 - wog s---- (Site (Site Address) _ (Permit Number) //0 ) I -vco/ 2--C, (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: [Copies: Description: Additional set(s) of plans. Revisions: lanta/loi (110 T1.) ICti9 144 Cross section(s) and details. Wall bracing and/or literal analysis. of j Floor/roof framing. Basement and retaining walls. v1,O , Beam calculations. Engineer's calculations. Other(explain): i� ` REMARKS: ��. /..,� a . ii "4 44-2.k.�IL FOR OFFICE USE ONLY Routed to Permit Technician: Date: ii,5-0j1 1 j Initials: /-1'j;, e_ Fees Due: ❑ Yes ❑ No Fee Description Amount Due: 11-z- $ Lic / P $ $ i Special __c- ,?� ,F.--) Instructions: Reprint Permit (per PE): ❑ No ❑ Done Applicant Date: ppcant Notified: �_ 7�,�1Z/'i Initlals:AX-- I:\Building\Forms\TransmittalLetter-Revisions 061316.doc CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENTe, 4r: t.t� Permit#: MST2019-00095 Date Issued: 04/17/2019 TtAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 115AB08400 Jurisdiction: Tigard Site address: 11109 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 29 Project: Willow Brook, Lot 29 Project Description: New SF. 7/30/19: REPRINT to add backflow preventer. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1205 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1714 sf Garage: 507 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2919 sf Value: $369,990.15 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 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'I 500 sf: 5 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2919 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11815 NE 89TH ST STE 4200 11815 NE 98Th-ST#12013 1 Ersn Cntrl 503.639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $33,158.82 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: �..�r <A�� 1 �Y�Permittee Signature: 'uC--tacTV.-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. Plumbing Permit Application Building Fixtures ` FOR OFFICE USE ONIX City of Tigard a Received --I i i Permit No.: C � q III13125 SW Hall Blvd.,Tigard,OR 97223` - - '- Plan Revie--t1.-54.-,1 ` `tCt S�T Other Permit��>T �� Phone:1 II 503.718,2439 Fax: 503.598.1960 i�ate/By. No.: Inspection Line: 503 639 4175 baro Read/B ieris: 8I See Page 2 for T I G A R D Internet: www.tigard-or.gov .,. Notified/Method:�\' �1 .\,..„X- Supplemental Information -,;-<-1''''''41T1 44: >w*y. n :7;7,q7271 7 11111 1 ( `"?, ,m-- w .. iOAt , ^gym, , �".�f`� . .Aw�6 1,. �� �m, a , �m ;yn � '..�. � a s $,' ° � .� _ .:.� B _. .. . _ ®New construction 0 Demolition For special information use checklist, Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility,connection) - ;z rs m I IlP� Gt�.i�°�' rg '7 '� 7 ,'i, 'i ' SFR 1 bath 312,70 cA' Yi e tCflON ® 1-and 2-family dwelling ❑Commercial/ind a't < SFR(2)bath 437.78 ❑Accessorybuilding " G�. SFR(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 1,' , JOB S* a .. . �11.ON,,,. D Q.QATi7777 � 7 77,,7 .00-3'24 utilities: Job site address: 11109 SW Gabriel St Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg,/apt.no.: ( Project name:Willow Brook 29 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18,76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no,linear ft.:�) Page 2 Water service(no.linear II.: ) Page 2 Subdivision:Willow Brook I Lot no.:29 Fixture or item: Tax map/parcel no.:2S115AB08400 Backflow preventer I 31.27 - ��r.W ' : Backwater valve 12,51 viii„ ,' - i1 ' CRIPTICI l, WO ; Lt:. alts 4 -.' �P ;. 10� Clothes washer 25.02 Back flow device added to permit Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PR£t ItTY 0 toItla TEN ,; Expansion tank 12.51 � ti -, t .,,� „. ,,� flet- itdu„zry ii i- Name:Pacific Lifestyle Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:11815 NE 99th ST Suite 1200 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98682 Hose bib 25.02 Phone:(360)573-8081 I,Fax:( ) Ice maker 12.51 °'''," 141/ ICA1�l hl��p� _ '�°tr 0.1-, iONTA. , PERSONc�� Interceptor/grease trap 25.02 Business name:Pacific Lifestyle Homes Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Permit Coordinator Roof drain(commercial) 12.51 Address: 11815 NE 99th Street,Suite 1200 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98682 Solar units(potable water) 62.54 -Phone:(308)373- Tr (369) 1`$! E-mail:permits@buildplh.com buiidplh,cont Urinal 25.02 ii'u -' iz '° °"m "fir 4 0 ,. �.-1,k;''' .XII ��i Water closet 25.02 iii ` 0� > ..,.CO T , C'1�12 y j4� ..,0,0',1 ,11-0I `m' h ,. 4,, .,.t ion - 070257 ,,,, `-2 Water heater 37.52 Business name:Lippold plumbing and heating inc. Water piping/DWV 56.29 Address:PO Box'895 Other: 25.02 City/State/ZIP:Boring,OR Subtotal Phone:(971)404-7012 Fax:( ) Minimum permit fee: $72.50 CCB Lie.:201597 Plumbing Lie.no.:PB1416 Plan review (25%of permit fee) State surcharge(12%of permit fe )' Authorized signa , 46(/7149 7 (. . f' (_ (�..1•�f y l TOTAL PERMIT FEE Print name } t / t { Date:7/30/19 This permit application expires if a permit is not obtained within!lig days °Lt/tet-,,it .t 431 ter(/-'t. after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\nuildinglPermftsU't;MU-PermitApp,doc/0101/09 440-46I 6T110102/COM/WEI3) Plumbing Permit Application - City of Tigard Page 2- Supplemental Information Fee Schedule: Residential Fire SuppressionVtems: "Total Site U.*M les _ r r . ;;g Q : a este l aq �t Dotage: �(r .,, diuiiF jT.: uare ('ir >. Footing drain- 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 ,. ' A��� N rill ,: er 4, ,"'` 111;&1 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- each additional$100.00 or fraction thereof,to lather Ins atatr�xs or��es ; '=�� �����,� ���� Total pti and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $14$.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 550,001,00 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*. Qu pti bIXtUre TYPO a Fixture Type for RepJacel Work Performed: Capped ,. Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Showa 0 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 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 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" Car Wash Drain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic•-food related that meet the qualifications above. -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)1Lot 29\Peeirrits and Inspections\Backflow added to pernit.doc CITY OF TIGARD MASTER PERMIT 111 -II . COMMUNITY DEVELOPMENT Permit#: MST2019-00095 T f(;A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2019 Parcel: 2S115AB08400 Jurisdiction: Tigard Site address: 11109 SW GABRIEL ST Subdivision: WILLOW BROOK SUBDIVISION Lot: 29 Project: Willow Brook, Lot 29 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1205 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1714 sf Garage: 507 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2919 sf Value: $369,990.15 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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'I 500 sf: 5 201-400 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 2919 Owner: Contractor: PACIFIC LIFESTYLE HOMES INC PACIFIC LIFESTYLE HOMES Required Items and Reports(Conditions) 11815 NE 99TH ST STE 1200 11815 NE 99TH ST#1200 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98682 VANCOUVER,WA 98682 • PHONE: 360-573-8081 PHONE: 360-213-0813 FAX: 360-574-6401 Total Fees: $33,023.00 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 95 -001-009 You , obtain a co- of the rules or•irect questions to OUNC by callin 503.232.1987 or 1.800.332.yi44 'v — Issued By: i1/Pt 4/ / I' - Permittee Signatur _ 'e-0'e-0 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 orrlcc 1 S oL1 City of Tigard RECEIVED Received ` ic. S,�Date/By: I. � Cf Permit No � 14 Ill 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 5 2019 Plan Review UI)/ I Other Perini ,C.k_ Aft_ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 ' , acAft T I l A R t) Inspection Line: 503.639.4175 Date Read /B / Jure ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGRRDtified/Method:`/(/ �� � SupplementalIoformation BUILDING DIVISION ,17/4 _r, • le k a rz a tl ;sem x i New constructionISP ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the PO"F w '4,,,,,,',,,„1,4— ,f,701.,* , work indicated on this application. ,� ;ae t y'�t t .. t ,r4 ' ` ., ® 1-and 2-familydwellingValuation: $ �/ �� ❑Commercial/industrial -�lX l i 0 Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: 2.5 �� .. r. �"-7 �r 4.,,4004.2-20,202-02,� ,,,;,..,7 F' Total number of floors: 2 311 211) # � <t t �.* i s 1) {#s4;4,,'.F • � 1.°:`,40;2,f/0,201:070`00 -'°22.00.0-0•,.: w:��,F,. ... �� ,�, ,.�.,rf.< / � ,7!i f�1 square feet j'� Job site address:11109 SW Gabriel St New dwelling area: 19 City/State/ZIP:Tigard,OR Garage/carport area: 507 square feet l.p.,0 Suite/bldg./apt.no.: Project name:Willow Brook 29 Covered porch area: X square feet Cross street/directions to job site: Deck area: square feet Other structure area: 0 square feet t t 10" "'4.,- . 8 ilk Yr ;=j`7 PCI, !i .4 4421,4bwiteita.61"egortmek ., Subdivision:willow brook 1 Lot no.:29 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S115AB08400 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 40.06 �� dy "� � `" t;f, '7s ' Y;` � '''''';')>,' s^`, �;, work indicated on this application. , il SFR 4 bedroom 2.5 bath with a 2 car garage. Valuation: $ Existing building area: square feet New building area: square feet r , ,, e -,y F#4, ,.;','V .":''''S'O.,F f,, 5,p' '.5,,,,,1,,,,',: r r•-P4 Number of stories: 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: Business name:Pacific Lifestyle Homes "� 4. 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 I Fax: :(360)574-6401 Amount received: r r4 E-mail:permits@buildplh.com �� o t i la %` ' ,, � ` �� Commercial and residential prescriptive installation of •, w'�. ' '' ',�: , ;, ` .�� ; ,1f._' roof-top mounted Photovoltaic 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: + Y} y 7 I ." l This permit application expires if a permit is not obtained �./�! • L�-� I, l'2�� �' ��� within 180 days after it has been accepted as complete. Print name:Summer Dowell Date:3/13/19 *Fee methodology set by Tri-County Building Industry Service Board. 440-4613T(11/02/COM/WEB) I:\Building\Permits\BTJP-RESPermitApp.doc 02/24/2011 Building Permit Application Checklist 4. One- and Two-Family Dwelling FOR OFFICE USE OyLV City g of Tigard Received Date/By: Permit No.: w 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24-Hour Inspection Line: 503.639.4175 El Electrical El Plumbing El Mechanical Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 El El 3 Verification of approved plat/lot. El El 0 4 Fire district approval required. Name of district: El El 0 5 Septic system permit or authorization for remodel. Existing system capacityElEl ❑ 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ El El 8 Soils report. Must carry original applicable stamp and signature on file or with application. El 0 El 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- El El ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state El El El 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 ❑ El ❑ 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 El ❑ El and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, El ❑ El 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- El El El 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. El El ❑ 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- ❑ El ❑ 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 El El El locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El El El 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 ❑ ❑ El over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 --1Vlanufactured floor/rooffruss design details. El ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El ❑ El 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 ❑ El El architect licensed in Ore:on 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". ❑ ❑ El 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El ❑ El 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. El El El 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. El ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. El ❑ El 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard El El El Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, El ❑ El 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, El El El 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 1-01t 01 I K I. I S I. ()NI l City of Tigard RE C E I V E D Received �, kg' �� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Permit No.: — ov II Phone: 503.718.2439 Fax: 503.598.19610ARalig 2 5 2019Date/By: 1 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 121 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. „ :;..,,,'„ii, .. , Value:$ti� 'r, , , t ; Pt ,` ;�1 ' � ' . : v� of t t : 4 i,sg: I1 l r - � 1 A` " ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total % 1` ti) t t;ia Heating/cooling: tie f 4W..%,;;;;,..•"-/-' , `'14 `t�,), ., a / 's 4 fs 49 Air conditioning 1 46.75 Job site address:11109 SW Gabriel St Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Willow Brook Heat pump 61.06 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.:29 Other: 23.32 Other fuel appliances: Tax map/parcel no.:2S115AB08400 Water heater 1 23.32 rs ''tv,,� r.? /;,- s.ts-,f, ,.y � �0 'r%` j.: A s 4,r Gas fireplace/insert 1 33.39 Flue vent for water heater or gas SFR 4 bedroom 2.5 baths with a 2 car garage.Covered entryway and no deck/patio 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 " t 4 Other: 23.32 %''` . aiii , , �', -r 4, f " Environmental exhaust and ventilation: Name:Same as applicant. Range hood/other kitchen Address: equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 6 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 'x, ,z r: et _ 4`,444-114'w4, -0., ' , , ,/'4'''n' ; 23.32 .7 :� 7;;;;1a��sysstaWC � s � �,' v' t , ,..m7Other: Business name:Pacific Lifestyle Homes Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Permit Coordinator Furnace,etc. 1 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 I Fax: :(360)574-6401 Fireplace 1 Range 1 E-mail:permits@buildplh.com Barbecue 1 ti .,, t � 'rClothes dryer(gas)�04 : g�. �4rl , r� �-� s, c; },rte. r x ,rF:e :ZC �rMiAV��ah, Business name:Area Heating+Cooling Other: '.: 4.41;4 Address:2721 NE 65th Ave Subtotal City/State/ZIP:Vancouver,WA Minimum permit fee($90.00) Phone:(360)737-0811 Fax:(360)737-6946 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:64801 TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 180 I days after it has been accepted as complete. Authorized signature.."C.�, l ul,� (�,__ (/ &/ \ry_ �_ * Fee methodology set by Tri-County Building Industry Service Board Print name:Summer Dowell Date:3/13/19 (:\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: $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_PennitApp_040113.doc 2 Electrical Permit A lication colt OFFICE USE ONLY City of I'i �I[d ECEIVED Received � c Date/By: Permit 4:f�C {tx"�_, { .{,) `I 13125 SW Hall Blvd.,Tigard,OR 9722P Plan Review - Phone: 503.718.2439 Fax: 503.598.1 (AR 2 5 2019 Date/By: Related Permit 6. Inspection Line: 503.639.4175 Ready Dale/By: turfs EI See Page 2 for I IGARD' g g CITY OF TIGARD Notified/Method: I Supplemental Information Internet: nvvty tt and-or. ov J `-- _ TYPE OF WING DIVISION • PLAN:REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(subnit 2 sets of plans w/items checked): ❑ Demolition ❑ Other: ❑Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards_ CATEGORYOF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 O Commercial-use agricultural ® I-and 2-fancily dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of ISO K VA or JOB SITE INFORMATION AND LOCATION - -- 0 Emergency system. larger separately derived Job 4: lob site address 4 moi.� C L� 0 Addition of new motor load of system. address: � � (a'61 C,' <� �[ I �'� ��� IQOM'or more. ❑.:r�, :.f.„ .:l-2,.:,1 �„ -- �'di ) ❑Six otmmeresidential araits. occupancy. Cliy/Shale/I_IP: I I Cyt 1 'V--' 0 Health-care facilities 0 Recietnionat vehicle parks. 5llll4,/bldg,/apt, 4: v Project name: l rt....; �L• )-(- 0 Hazardous locations. 0 Supply voltage for more than -- -- ( I--� — 0 Service or feeder 600 sings or more. 600 volts nominal. Cross street/directions 10 job site: FEE SCHEDULE --- --- Description _I Qty I Each I Total 1 " New residential single-or multi-family dwelling unit. � CIncludes attachedgarage. Suhtln Subdivision: t Lot 4: 1,000 sq.R.or less - i 168-54 4 Tax reap/parcel# S iI �'r�}4 .`7 j —— ��_l (c1---b L� c ( l Ea.add'l 500 sq.it or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 �' [ r (with above sq.It.) t L.) C - C�7 t 1.- Lt.:/ 2- ( GZ�i' Limited energy,_ y (ry,multi-farniiy 75.00 2 - a (_ residential(with above sq.It.) Renewable Energy 0 See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/o•relocation Name: 7> ---- 200 amps or less 100.70 2 Address: COC67/1'14. 201 amps to 400 amps ( 133.56 2 401 amps to 600 amps 200.34 2 City/State//.1Y: 'I/_ail i fi f' C 2._._ 601 amps to 1,000 ams 301.04 2 Phone: ) -? co Fax: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: -�t�r ill 1 (Ci,:',' i3 L c,I J C.7{ )I. 11:( ,U"1 _ ) 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 ® APPLICANT E1 CONTACT PERSON - • Branch circuits-new,alteration,or extension,per panel A.Fee for 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 trithoru service or feeder fee,first Address: 11815 NE 99th Street,Suite 1200 branch circuit 56.18 2 — City/State/ZIP:Vancouver,WA 98682 Each add')branch circuit 7.42 [ 2 Miscellaneous(service or feeder not ineluded) Phone:(360)573-8081 Fax: : (360)574-6401 Each manufactured or modular 67.84 2 Email:permits@buildplh.eom dwellinf,serviceand/orfeeder 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 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(I hr min) 66,25/hr Phone:(503)648-4552 Fax:(503)642-7925 Investigation(I hr Iain) _ 90.00/hr Email:mmorato�i�garnerelectric.cottt Industrialplant(1 hr min) �' 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 121159 1 Electrical L'.•,: '-305( Suprv.,Lie.:3-7 Di S specifically listed CA hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature, require. Subtotal: Print name: Chuck Garner9 ' 5 J ('Date: � t 0 Plan Review Required(25%of permit fee): l�'., s• , „6;410.00....... /`(r Stale surcharge(12%of permit fee): Authorized signature: .1/ L fO l'Al,PERMIT FEE: This permit application expires if a permit is not obtained within 180 [Print name: t • / Amt, "`i(..r Date: 1 0 -(q-1 days after it has been accepted as complete, * Number of inspections allowed per permit. I`43uilding'YermiIs\Fi.0 t'ermii.'pp UR.trio:due Rev 06II17/2015 440-46t5T(I Ii05/CUh4iWED p " Electrical Permit Application--City of Tigard Page 2---Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE ser-tE>!w_L�, gcscriplion IIIME Each Total 1- Fee for all residential systems combined: $75.00 Renewable electrical energy systems: _ Check Type of Work Involved: s 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 1cva; --- n Burglar Alarm 25.01 to.50 kva301.04 50.01 to 100 kva 552.26 2 Garage Door Opener" >100 kva(tee in accordance 5>2,26 2 with OAR 918-309-0040) — f 1 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System" Each additional kva over 25 7.42 3 Vacuum Systems" >10okva-noadditional charge mm�0.0 3 Each additional inspection over allowable in any ot'the above: Other: 66.25/additional inspection is 66.25/hr -------- charged at an hourly(1 hr min) __._.- Inspections Inc which no 1'ee 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 1): — ' Number or inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls 1 I Clock Systems I I Data Telecommunication Installation Fire Alarm Installation I I HVAC [ I Instrumentation n Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* E Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I'.noildiag\Permits'.LLC'_Permit App_ELR_EREdue Ree 05/17)'2015 Plumbing Permit Application Building Fixtures FOR •OFFICE ESE ONE) RECEIVED Received Cityof Tigard Permit No.: g c Ilhi w 13125 SW Hall Blvd.,Tigard,OR 97223MAR 2 5 2019 Date/By: ��, 1��'C -, = Phone: 503.718.2439 Fax: 503.598.19,d�f Plan Review Date/By: Other Permit No.: TI G A R D Inspection Line: 503.639.4175 CITY OF T I GAR D Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov , . a, Notified/Method: Supplemental Information ..» ,. 1 -«. ..,, . ... ,, 0flJ�?l;+ri effiSXb,E" .�fv.'�w.aa '..Y,8.:3Fdhi.'.+:`2�v ❑New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total O Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) rr��, �, ;r y1 t' 1 -'st i# ,VK SFR(1)bath 312.70 6'�,r�f�"?�.."'^,„v,',Ar.''.,.SG, �.. „+i I. .�,3.� :` .. , r .::fir ,4.,�.r. r.n� �,+6?:t,�r�'r ..�:f s"�` ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 1 437.78 SFR(3)bath 500.32 ❑Accessory building El Multi-family Each additional bath/kitchen ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 rrrt a„•1.0.5 „ i` ., i ; b s�'t i ' f 4 Site utilities: Job site address:11109 SW Gabriel St Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Willow Brook 29 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 I Lot no.:29 Fixture or item: Tax map/parcel no.:2S115AB08400 Backflow preventer 31.27 sf�r a ', / , rte raw, , Backwater valve 12.51 „r 4 .Jr , r i'3 s 1 ;:: , ,�� .s sn ", :1..� a.r, f� .; A°'; ,F 1J` ,. ,"^�,5 ";'t�f'� /„f!'a..�s✓,,r�`✓`.<7,�,;..rz Clothes washer 1 25.02 SFR 4 bedroom 2.5 bath with a 2 car garage.Covered entryway but no patio. Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 t ; t, r ',, EiExpansion tank 12.51 g44, ,, ,.:.,,2 � v„ oa � �r .�. .;i4,,,,,,,:;,,,„,-4, �'i,,.,, , ,rx0k,T, ,.,ref Name:Same as applicant Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 1 25.02 City/State/ZIP: Hose bib 2 25.02 Phone:( ) Fax:( ) Ice maker 12.51 47' M "%� ► 'r I ( err '4g ;! :.,", ti ✓€ Interceptor/grease trap 25.02�ifii hx4.4 ,.•,' ..t.)1;,,<,,L,,P; ..O.;; ,' Y41 :dt:4�,,, ,,,,,;., 1 ,i 7 i , 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 99th 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 3 12.51 E-mail:permits@buildplh.com Urinal 25.02 Fr . a, r ff rt ��` f t i / , � wt ` r Water closet 3 25.02 r ,F .04 , ,i,.i..;.,., X41,ii041 444x580 r Water heater 1 37.52 Business name:Lippold Plumbing and Heating Water piping/DWV 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 7 CCB Lic.:201597 Plumbing Lic.no.:PB141(f Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: e---(7_` TOTAL PERMIT FEE Print name:Summer Dowell Date:3/13/19 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) i Plumbing Permit Application - City of Tigard ` A Page 2 - Supplemental Information Fee Schedule: Residential Fire Su. s ression S stems: t si �a�`" .._ "3 x�» '�' �.«�•��` X3;3 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 $327.5454 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 ys 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 0 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 cha :e-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 cha :e-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 char:e 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*. 4:40: Pf43 ‘'g% < qtr 1 VII *Z4 Plan review is required for any of the following. wok t` Please check all that apply. Baptistry/Font Bath Tub/Shower 1=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 Tliru CI 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 ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ 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. -4„ le voyforofr ,i Car Wash Drain -`- Garbage Domestic-non-food CI Isometric or riser diagram is required for new buildings 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:Uob Folders\Oregon\Subdivisions\Willow Brook(113th Ave)\Lot 29\Pemits and Inspections\PLB_PermitApp.doc grw 1 / A city of Tigard 14 Il COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c R D Building Permit Review — Residential Building Permit #: Mss \C , Ci(: :, -c, Site Address: NO . j q n. )•7L- Project Name: / • f-,- _ Lot #: C, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Pr osal: N-60 k_ U Verify address/suite#active in Accela. WI River Terr . No ❑ Yes,River Terrace Review Addendum Silk Plan Elements: y,rosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper [ld' tained trees with drip line and tree protection measures ViiFp rawn to scale(standard architect or engineer scale) 7 ootprint of new structure(including decks)and FFh IV/North arrow . 'ty locations&easements(required for new and additions) ' to address,project or subdivision name and lot number 14 Si.ewalk/driveway approach pplicant information(name and phone number) 1 'cation of wells/septic systems 7i Lot dimensions and building setback dimensions !S eet tree size,type and location \- ..uare footage of buildings to be demolished S}reet names !I sting structures on site Horner elevations(2'contours if more than 4'diffe tial) YA Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replace ? m Yes ❑ impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes o Clean Water Services—Service Provider Lett(lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No SCJ Public Faciliti9t Improvement(PFI) Permit: ,,,� quired: t Yes,applicant was notified 1=1 No Applie For: ),d Yes ❑ No,stop intake u Land Use Case#: -gipOJ(e� cX'O/i 1CJ Zoning: P7-' • Required Setbacks: Front: i� Rear: 15— Side: '---- Street Side: tJft Garage:—z �br ❑ uilding Height: Max. Height: Actual He ht: fd Landscape a: AGn O % Lot Coverage Max: Entrance vSet back no more than 8'from street-facingwall ❑ Parallel to street r offset 45 degrees or less � Windowsum 12%of area of all street-facing facades Garage <.r�e door is behind widest street-facing wall —Yes No,one of the following is met: ❑ or extends no more than 5'from wall and there is a covered porch extending beyond garage. Door extends no more than 5'from w and there is a 12 sq ft.window above garage on 2' floor. Garage door width is ❑ 12'or less 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony isual Clearance Urban Forestry Plan Znsitive Lands: /Yes ❑ No Type: LOA.) i ineditt#1 /7 / onditions met prior to issuance of building permit Notes: ,�� �� u� 3a5 `, l' Approved By Planning: / Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 022819.docx k Building Permit Submittal Original Submittal Date: 11 \C` Site Plans: # Building Plans: # Building Permit#: [Enter building permit#above. Workflow Routing: [Planning [/Engineering [Permit Coordinator Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: NA A,..,L,,..„ Date: [I CC-- kpl Engineering Review Slope at building pad: 3 21"-Conditions "Met"prior to issuance of building permit 0 Easements (encroachments) per engineering conditions of approval and plat a-Tater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Eri\io Assess Water Quantity Fee in-lieu: El Yes 13":3 LIDA Facility on lot: ❑ Yes Z No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: Er-Approved by Engineering: 14) G4 Date: 2,--y g Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑-Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: VA 'DC Fees Entered: Wash Co Trans Dev Tax: , yes ❑ N/A Tigard Trans SDC: [,.y_,, es ❑ N/A Parks SDC: LJ Yes ❑ �N/A to Issue PermitLIDA CI [N/A OK Approved by Permit Coordinator: Date: 491/1 I:\Building\Forms\BldgPermitRvw_RES_022819.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 i 111 IIPII Transmittal Letter e I i t,n Ei n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Atirti,ry DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED APR 9 2019 FROM: S � � -1 CITY OF TIGARD DIVISION acx�/� 1,,, u ii3MJ'g--4 BUILDING DIVISION COMPANY: PHONE: ' o.D , CIDIf'K By: —Pi RE: I I l pq jvv 6/A-Lha J / 5�' 2c1T—0069 (Site Address)w !{//�/�J(//J►y (Permit Number) Wi 1 t V� �4J'- o /L.: (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: 5 --- 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: 7 c. L2rabotZ5 A a ye. Z-eit_ re vst'c/ ec /YID.wZ z'4.. 111i/liinM1r, Aar«(77, 7:v Mire 0-€ regad-em&/vv6. A?i sec/o2 x<a"ug.L . ,«E '+.,`.wcc4--,..a ,1, m ;:;, '...:...^ �.a.. ,. M 4 ,' 9' ""9 -4144,044,-.-,- Ovate..,'. nu'a-. ..-2K' 7W—",+r,.aw Routed to P- •it Technician: Date: t{ C( l Initials: /4/1 Fees Due: n Yes ❑No Fee Descripti.n: Amount Due: �Y YS- $ b O r-A)J ,c-v--1,c-v--1 $ K S---`:'`' r $ $ Special Instructions: Reprint Permit(per PE): _ ❑ Yes Q o ID Done Applicant Notified: Date: 4/// c--/ Initials: /07-- I:\BuildingTormsgransmittalLetter-Revisions_061316.doc • 1 / A t,ity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: MS � �_. ( � Site Address: #10S k) (ain' - Project Name: / ,_ r + _ Lot #: / 1 (Ncw dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review �- Pr sal: A)-0.0A)-0.0c S}r" /<-6.17,S- Z� R ..A LA-�rs t.V E S7:a9-.r._s-7// IJ Verify address/suite#active in Accela. .�)►, River T. 1TA No 0 Yes,RiverTermce Review Addendum SiX Plan Elements: 1,5 y, sion Control V copies of site plan on 8-1/27 x 11"or 11 x 17"paper I< tained trees with drip line and tree protection measures yawn to scale(standard architect or engineer scale) ()000tprint of new structure(including decks)and FEE . North arrow V:'ty locations&easements(required for new and additions) ' to address,project or subdivision name and lot number V, '.ewalk/driveway approach VIJ pplicant information(name and phone number) c 0, ation of wells/septic systems 1 YA Lot dimensions and building setback dimensions Y yeet tree size,type and location Vif;•uare footage of buildings to be demolished VSyeet names -'.i' :sting structures on site Comer elevations(2'contours if more than 4'difftial) TA Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replac ? L1aYes ❑ impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown13 Yes[9No i OClean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): 1 /Required: 0 Yes,applicant was notified Lett, Received: ❑ Yes 0 No iit Public Facilitiit Improvement(PFI)Permit: "Yes Tired: V Yes,applicant was notified ❑ No Appli For: ❑ No,stop intake d Use Case#: -0/4S6201(0- C900// YJ Zoning. P--7 Required Setbacks: Front: ic— Rear: i S Side: Street Side: &J/i73--Garage: -D ❑ :uilding Height•. Max.Height: Actual Height: A Landscape �d % Lot Coverage Max: ) % Entrancet back no more than 8'from street-facing wall 0 Parallel to street offset 45 degrees or less 1 Windows i um 12%of area of all street-facing facades ` Garage ..J door is behind widest street-facing wall Yes No,one of the following is met: 7❑ or extends no more than 5'from wall and there is a covered porch extending beyond garage. Door extends no more than 5'from and there is a 12 sq ft.window above garage on 2°d floor. Garage door width is 0 12'or less V 50%or less of facade ❑ 60%or less and includes 7 of following ❑ Covered porch 0 Recessed entrance 0 Wall offset ❑ 1'Roof eave 0 Roof offset 0 Fire shingles 0 Lap Siding 0 Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer ❑ Accent sidingWindow trim 0 Window recess 0 Window projection 0 Balcony isual Clearance Urban Forestry Plan 'nsitive Lands: 0/Urban 0 No Type: IL at) sf frteilliti1 I'tezb/*o?fe& Ad Conditions met prior to issuance of building permit Notes:„__. �� C�Approved By Planning: / Date: 3 m/' Revisions(after B9Nding Submittal only) Reto Revision 1: Approved 0 Not Approved --- --.:=46—`- �”Q_q�l Revision 2: 0 Approved 0 Not Approved 1 Revision 3: 0 Approved 0 Not Approved lABuilding\FormslBIdgPennitRvw RES 022819.docx i Building Permit Submittal � - Original Submittal Date: N x`31 kCI 1/-•ii 4/ i`i/ Site Plans: # Building Plans: # �-� Building Permit#: L Enter building permit#above. Workflow Routing. (/Pig ( "Engineering 121/Permit Coordinator 2/Building Workflow Sign-off: 12r Sign-off for Planning(include notes from planning review) Route Application Documents: 2'Engineering (1) copy of permit application,(1)site plan,(1)building plan and original plan review routing form. L//Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,+fit ,._ Date: 3 ' kol i Engineering Review Slope at building pad: 3X 2 onditions`Viet"prior to issuance of building permit @"Easements(encroachments)per engineering conditions of approval and plat reVater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 2Sio Assess Water Quantity Fee in-lieu: 0 Yes C3io LIDA Facility on lot 0 Yes Z No Final Plat Recorded: F0 NOT Approved by Engineering: Date: Notes: [a/Approved by Engineering: di,,,,, FS Date: .1--Z--1 g Revisions(after�B sJ ng Submittal only) Reviewer Date Revision 1: I� Approved 0 Not Approved �✓ S - 7- 30-4 S 1 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Bubmitral oily) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant ODC Fees Entered: Wash Co Trans Dev Tax: %'Yes 0 N/A Tigard Trans SDC: eyes 0 N/A Parks SDC: ge OK LIDA ❑ Yes 12/N/A OK to Issue Permit Approved by Permit Coordinator: Date:././1j 1 I:\Building\Forms\BIdgPennitRvw RES_022819.docx Al/c./ 1/30) 1 g Electrical Permit 'VIt'�lli UI I ICE 15r ()Nl.l' Received Pannit l' City ofTigard A''i' Bats/Liv , 77.2e/9-cbo `i 4 ..,•`e 13125 SW hall Blvd.,Tigard,OR 97223 LOTS Plan Review -" I Phone: 503.718.2439 Fax: 503,598.1,960,..,.‘, Date/On Permit ermit a 1 i t.A Inspection Line: 503.639.4175 -i£Ir 5 ;i! ,t s r -Ri,ply Dats/1ty• tints' ® See Page 2 for It Internet: www.ir and-or. ov P. 'tt Nit", 1 ., Notified/Method Supplemental Information IfitY 41 t k s # " a "m ➢ f+e ::: a,s..;�.,1 Please check all thatd (submit' sets of lens w/items checked): r•� 1apply p ►� New construction ❑Addition/atteratton/replacement. 0 Service or feeder 400 amps or more 0I31811dlilg over three stories 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards f T'I 1-and 21:4; dwellingCommercial/industrialret �� o� f 'i'ii r exceeds 10,000 amiss at 150 volts or 0 Floating buildings y 0 0Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations buildings El Multi-family ❑Master builder ❑Other: 0 Fire pump, 0 Installation of 150 KVA or r� r I _' ❑Emergency system, larger separately derived `„ ... Jai$.d `""„ t # a 1+1. #l . 11 ` ^ �' � s stem. ❑Addition of new motor load of Y Job 4:90-18-0028 Job site address: 11109 SW Gabriel Street I00HP or more Si:or more residential otitis ix:etiplancy. City/State/ZIP: Tigard,OR 97224 Si:oh-Care facilities 0 Recreational vehicle parks Suite/bld r/a t 4. Project name: O Hazardous locations. 0 Supply voltage for more than l pJ600 volts nominal ��,",,,.. __.._ .� .°.>.„�„. �..__...:..._..._� _...���-,--_ ".*-„-° ©Service or feeder G00 amps or more. \a� .. �y"*, , ,. i is GN Cross street/directions to job site: SW Durham Road,south on SW 113th Ave 1 1�� �' � 1�i 7';',':', '".:,::',' -.__. _ -_ -w } ,,thlainthia ._ ,...,f..,.t:,I.!,Yr„.,ii,,,,,kE401 _.1._w dpca#.._ " , _w_.. New residential single-or multi-family dwelling unit. Subdivision: Willow Brook lot 4: 29 Includes attached garage. . . .,., . ,.�.,, '' _.._ m -' 1,000 sq fl L or less 1 168.544 _. ._ Tax map/parcel 4: 2S115AB08400/R2209689 "� - Ea.add'I 500 sq fl or portion 33.92 I ;117A:1,111,‘,"':110„1 .'.t 14 # a ° o t W ! Limned energy,residential,W 75.00 2 Ce /��_ (ith nervylid L.,�.,.�l� �...._ Limited energy, multi family residential(with above sq ft i 1 t CP 7§00 { - - 1 _Renewable Jner y g ©.See Parc 2 a 1 `'y. '` ' �•'=l . .,-. �,,,,,,t:‘,.:. P' -... til ,Services or feeders installation alteration and/or relocation p Nance Pacific Lifestyle Homes,Inc. 1 1 200 amps orless r I t�70 2 t """ r 201 amps to 400 arnps Address 11815 NE 99th Street,#1200 401 amps to 600 amps t 2003 34 1 Vancouver,WA 98682 _n. ..00,_ C icy Statelf IP: 601 amps to 1000 amps 3t)i (W� Over t 000 amps or volts 552,26 1 I. Phone( 360 )213-0813 '11 Fax ( ) _ ,__� _ mss_ Temporary services or feeders installation,alteration and/or Email: permits@buildplh.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 11 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 Mfg n tture Daps 401 amps to 599 amps 168 54 2 �s Branch circuit pew alteration,nr extension ler Panel 3,:'040,4,,':',1,,'" "1.67,4;1r#3541-1:" ,„ . .v +�p#_'.orit iii t 'B ...._ n - with ..». 1.°l .,_..... _ 3 A Fee for branch circuits with Business name: Pacific Lifestyle Homes above service or feeder fix, ii 4'Li 7 4 each branch circuit ,. Contact name:Permit Coordinator tt Fee is r branch circuits ivirl+aut . F ,�.�. .,,...._. ..,. service or feeder fee t rst 56 18 Address: 11815 NE 99th Street,Suite 1200 branch circuit ' ' City/State/ZIP: Each Vancouver,WA 98682 .. ch add(branch circuit 7 42 p_ — Miscell neousservice or feeder not itieltitle41t _._ . Phone:(360)573-8081 Fax: :(360)574-6401 l Each manufactured or modular r 7 84 1 },_ -, °° _ _. dwelling,service and/or feeder i Email:permits@buddplhcom Reconnectonly r 67,84 - ;. cc ,u T a ,:,:i':: # ,1?' _. 7 i`iti;i" v Pump or irrlfauon circle µ - ---677"8:-I _ _.,.... "/ Sign or outiinr lighting67.84 , J f Address:402 Valley Ave NW Ste 106 panel alteration or extension See Faget i (`icy/state/71P Puyallup WA 98371 bash additional m ectian over allowable in any of the above Phone:(253)872-6051 Fax:(253)872-1801 Investigation(t hr rain) 9000/hr I Industrial giant(1 hr min) 78.18/hr Email: cgentele@gweusa.com Inspections for which no fee is 90 00/hr • s, rficanv listed t%:hr min) CCB Lie.: 208174 Electrical Li .: CI 158 Supry Lhc, r�� S - 14 .„----"-Suprv.Electrician signature,required: r .. Subtotal: Print name: Russell Magnuson -,....w-. -� Date: L CJ PI to Review Required(25%of permit fee) i - -- _ _ State surcharge(12%of permit fee) J'.' ( tOtAL PLRMIt IEE Authorized signature: X 7 -i'-:- • --.=: nos permit application expires If a permit is not obtained iwithin 180 Print name: Bill Daniels Date days after it has been accepted as complete. --<. _ •., -- m___�_,., �.. _ .. �-,._. _, Number of inspections allowed per permit, 1\Auitding\Pectins ELC PermitApp_ELR_ERC dos Rev 06/I7/2015 440.4615'14 I I/O5/COM,/WEB City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11109 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00095 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11109 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00095 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Ac installed. Seal penetrations in garage. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11109 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00095 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Seal wall penetration at hood vent location. Will check at building final. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 11109 SW GABRIEL ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00095 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Insulation certification checked. Duct seal test report checked. C of 0 left on site with approved plans. Backflow devise 1 " febco model 850, serial number HE81895 located left of driveway. Violation Summary: Inspector Contractor