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Permit
CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit#: MST2012-00265 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2013 Parcel: 1 S125CA12200 Jurisdiction: Tigard Site address: 9375 SW 74TH AVE Subdivision: 2008-001 PARTITION PLAT Lot: 3 Project: KHVILIVITZKY Project Description: New SF BUILDING • Floor Areas Required Setbacks Required Stories: 1 Bedrooms 3 First 2284 sf Basement 0 sf Left: 10 Parking Spaces 0 Height: 15 Bathrooms: 3 Second 0 sf Garage 719 sf Front: 20 Smoke Dwelling Units 1 Third 0 sf Right. 10 Detectors. Yes Total 2284 sf Value $269,260 24 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 Tubs/Showers 3 Garbage Disp 1 Water Heaters. 1 Water Lines 100 Drains 0 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: N Vent Fans. 5 Clothes Dryers: 1 Natural Gas Heat Pump. N Hoods. 1 Other Units 0 Furn<100K. 1 Vents: 0 Woodstoves. 0 Gas Outlets 4 Furn>=100K• 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less. 1 0-200 amp: 0 0-200 amp 0 W/Svc or Fdr: 0 Ea add'I 500 sf 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 Descnption Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2284 Owner: Contractor: KHVILIVITZKY,ALEXANDER&NATALY ARIOTT CONSTRUCTION Required Items and Reports(Conditions) 11750 SW TIMBERLINE DR 7327 SW BARNES RD.,#305 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97008 BEAVERTON,OR 97008 PHONE: 503-866-2308 PHONE. 503-901-6426 FAX 503-908-7565 Total Fees: $19,540.51 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 ;1 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification •en=r Those rules are set forth OAR 952-001-0010 through OA i •i-2-001-1 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503 I.1 if:7 or 1 800.332.2344 l � // / / / / / / Issued By: ,C `v r- L(1 Permittee Signature: 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. pteAs ape-Al, e III ell Building Division Development Code Provision Review I i G n Ei D Residential Projects Building Permit No.: 11{�� A-0( a-00 a--(ps". Site Address: 9 3 ?S 'ru) 74: Aug" Project Name&Lot No.: K tt 1/l L-1 l r Z iC V CWS Service Provider Letter Required: Yes ❑ No l��,/ Received: Yes ❑ No 4� Routed Plans: Original Plan Submittal Date: 10/i 81l7' 1st Revision Submittal Date: 1// i/3 5 ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left o,.ly if approved. Planning Review(contact 1���.A' at 503-7182777L�or @tigard-or.gov) La0 Use Case No. 42/214/2711V.-- /fat/o 2 Zoning /e-4,G.. Er Setbacks: ✓ v Front 2e) Rear/S Side /0 Street Side 1 S Garage 2-40 l' aximum Building Height .- --' Actual Building Height �- / " torte 5 4.-r7/ 1 Visual Clearance 11 Easements a Sensit441/lf7Ivi Lan Os ype: . s -Notes: 01.--,;21 zI - e� i i.e.d / :17Y4 /44,- 07- ! 5-, -/104A Original Plan: Approved -❑ Not Approved Date: / — -0y Revision 1: Approved roe, Not Approved ❑ Date: // /57/-3 Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review(contact Mike White at 503-718-2464 or MikeW @ tigard-or.gov) Actual Slope: e Notes: Original Plan: Approve Not Approved ❑ Date: 0 2 12_. Revision 1: Approved I Not Approved ❑ Date: / /5 t 3 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review(contact Todd Prager at 503-718-2700 or todd @tigard-or.gov) ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ . Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review(contact Albert Shields at 503-718-2426 or abert@tigard-or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applic f Okay to Issue Permit: Ye N /Q ). I Date Routed to Building: �.1 / ww&I • • Page2of2 Building Permit Application P L--.- % PC DI 1 -r-i? Residential RECEIVED Fult OFFICE LSE ONE\ Cl of Tigard Received to i Permit No.: 'I$ IN is `J g Q DateBy: I b I a'� M r���.-t)�RI 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 1 8 2012 Plan Review j 1 I�� 1 Other Permit: 2 MA-00.21y Phone: 503.718.2439 Fax: 503.598.1960 DateBy: T I Ci A R U Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready . cur+'• H See Page 2 for Internet: www.tigard-or.gov Notified/Method: i A/ ' Supplemental Information BUILDING DIVISION , t ) ..t.k -0 k, TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dolly)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on thislication. Valuation'(2Q0 11:0149erren5kiik[ 'l-and 2-family dwellin g 0 Commercial/industrial El Accessory building El Multi-family Number of bedrooms: ,3 ❑Master builder ❑Other: Number of bathrooms: J JOB SITE INFORMATION AND LOCATION Total number of floors: / Job site address: 93 7S SLR •7 y r rl kw , New dwelling area: ,�7Q1li square feet �J City/State/ZIP: //QCU 72 QE S 2 2 2 Garage/carport area: X7/.7 square feet Suite/bldg./apt.no.: Project name: Covered porch area 78.0 square feet Cross street/directions to job site: t!'P de?rej-e 71 51-red Deck area: square feetzZe,4 ■-- Other structure area: :2CIO square feet I _,, ..1 .I-, REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK J ,, work indicated on this application. CB'u,S ll efn a� �"r,tila,ry re,57- L.€x/� Valuation: $ fr,/9 ,en ff 00/1/.-e/e-- , Existing building area square feet 7 �(/_/ New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: ALEX PEe ///v/L/I//TZ( yy Type of construction: Address: /1 7.5-D SW T/Al&EE L/ UE AV. Occupancy groups: City/State/ZIP: 6 -{/&4 Rpou 0k 870oz Existing: r� J g: Phone:(J D.3 '66 '-2,300 Fax:( ) New: Er APPLICANT �❑�C�O-NTACT PERSON BUILDING PERMIT FEES* Business name: ,4/2.107T CANS 7 ( C / /)/t/ (Please refer to fee schedule Contact name: /1.44-QS HA , A K y L/�l) Structural plan review fee(or deposit): 73 27 . 1L) B NES I f', #- 3 0 FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Pte- >dito 9 722.� ,�l Phone:(,503 90/ -6�/2�; Fax::( ) Amount received: -7�`C1 C/ E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: �'f7�#C s q' /K 4,/e- .7 Submit two(2)sets of roof plan with connection details `- , / and fire department access,along with the 2010 Oregon Address: 7 7 if} 17243 ( �#3QS Solar Installation Specialty Code checklist. City/State/ZIP: / .2.f' a"? • 9 7dit f Permit Fee(includes plan review $180.00 p� and administrative fees): Phone:(i5 — E9'01- 6l�,g 6 l Fax:(,3 96 -75-xi— State surcharge(12%of permit fee): $21.60 CCB lic.: /6 70. . `1 . Total fee due upon appication: $201.60 Authorized signature: // This permit application expires if a permit is not obtained i within 180 days after it has been accepted as complete. Print name: /-71,4/3- / ,4 / e%.43 Date: /0,42 *Fee methodology set by Tri-County Building Industry Service Board �n I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) a) Building Permit Application Checklist .• •One- and Two-Family Dwelling - `'°`' r•oIZ oii ich: usi.: ()NI., City of Tigard Received permit No• Date/By: , a. 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: C Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line. 503.639 4175 0;Electrical ;'p.• ❑ Plumbing ❑ Mechanical Ti "�It D Internet: www.ti ardor. ov '• V TI-IE FOLLOWING ITEiVIS ARE REQUIRED D FOR PLAN RI vIEW ,'es No •/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ■ • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 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 ❑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 ❑ ❑ ❑ 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. II Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-fl.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 ❑ ❑ ❑ 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. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 applicable 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". ❑ ❑ ❑ 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. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ • 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ 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, ❑ ❑ ❑ 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) 03/07/2013 14:08 503 -- 375 -3988 FEDEX OFFICE 5302 PAGE 02 Electrical Permit Application E Received � City of Tigard MAR 0 7 2013 ::: Permit No.. M �� ��d 13125 SW Hall Blvd., Tigard, OR 97223 Plat Review B • Phone: 503.7182439 Fax: 503,598.1969,, A tin Date/By: Other Permit I I C- A i:. r , inspection Line: 503.639.4175 CH i ur �Gr IALP Date Ready/By: k^': See Page 2 for Internet www.tigard- or.gov BUILDINGDNISIO °(tf°d/M0d10d' Supplemental information • ' 'C'it[P» ' .. '. ,�: •. '•• ::; . �. .....:` ;)P)[aCN:1tV;;`�`,. ;:�.' �. :•�� ;!. .: ew construction ❑ Addition /alteration /replacement three Please cheek all that apply (submit sera of plans wl;tcros checked below); ❑ Service or feeder 400 amps or more ❑ Building over three stories, 0 Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ::. • • ,• � � exceeds 10,000 amps at 150 volts or ❑ Flaatin beildings •' . ', .' �. 4 � :; ': . � . � ... .. ' l to ground, or exceeds 14,000 0 Commercial-use agricultural and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for all other installations, hnildinps, Multi-family 0 Master builder El Other: ❑Fitt Pump. ❑ larg e r se at of 75 KVA or , 0%SrtE Ii'1FOIttMATIA1'1A. LOCATION O Addition of new system. larger E", "1 2 derived system, . . . , . 8 ... .. ON • CJ Addition of new motor lord of 13"A", E 1.2 «, "1-3''. Job no.: Job site address: '. 11*HP or mom. occupancy. Al Ti V Q She or morn residential units. ❑ Recreational width parks. City /State/7.IP ` - o Q r Z Z ❑ Hcalth�tre facilities. ❑ Supply voltage for more than A Hazardous locations, 600 volts nominal. g• ap J � LA V Ts v_....1 O 3ervi or feeder 600 amps or more. Suitc/bld / t no.: Project name: Cross street/dircctions to job site: r ,pc Ci , Esc' _ l an y I o tv I n os_ I tre a t � New residential tingle - or multi - family dwelling unit Includes attached garage. _ • Subdivision: Lot no.: 1,000 sq. R. or less I 168.54 4 Tax map/parcel no.: Ea. add'1500 sq, R or portion 33.92 1 p Limited energy, residential :;. 8 tit above sq. ft) 7 ,00 5 2 . 1 E, 9t�t1'�'C11�N''ti1�'..1 : '. _ , :..,., . • (� .. , n Limited energy, multi-family 4 & D r \ A e_.. ��`-i residential (with above sq. ft 75 ' 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 4— 100.70 taerr4 — ' 2 ::.: ' : 1 ,, tOPEi1'C`1t' , OWNER :, :. O'r11TNAl1V'I' • • amps t6 amps l33 56 2 201 4th 401 amps to 600 amps 200.34 2 Namc: L. $ 131-1- f4 , V I1-U ITS(1 Y _ 601 amps to 1,000 amps 301.04 2 Address: 117 -- c ) so...) Ttvvq,E.g.e l pE. over 1,000 amps or volts 552,26 2 City/State/7.1P: y b ��$ Temporary services or feeders installation, alteration, and/or , t� relocation Phone: (an ) rz tv - SS ? Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 J 2 Owner installation: This installation is being made on property that i own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. — _ Branch circuits - new, alteration, or extension, per Panel Owner signature: Date: A. Fee for branch circuits wnh ': : APPLICdAST. . . • . 's, ,COIV'I'AC'1'; •PRItaON above each b service ranch or circu feeder it fee, .e' 7.42 134465 2 - Business name: T •Te p c , t•o ' B. Fee for branch cir vita wirhorcr service or feeder fee, first 56.18 2 Contact name: -›('i...s'& branch circuit Address: r Each add' 1 branch circuit 7.42 2 OQ� ll.l., Miscellaneous (service or feeder not Included) C) City/State/ZIP: � o , , ` 9-re..,) Each msnulhclnrcd or modular dwelling, service and/or feeder 67.84 2 Phone: (g ?) 38p. �e 2 C) Fax:: (957) CZ Z , (902.,1 Reconnax only 67.84 2 E-mail: + Pee 'It a -�� Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 .. :.e9 . 113 1ACFOit' • :.:......• • y; , . . • Signal circuit(s) or limited -energy Business name: 'h P P panel, alteration, or extension. Page 2 _ 2 .�C.1 y. � �^ �^W Each additional inspectioo over allowable in any of the above Address: 1 'f �W W1 u.k.4 Additional inspection (1 hr min) 66,25/ hr City /StalearP: A 6r! 101 t 113 Investigation (1 hr min) 66,25 / hr ./ll l y �� r industrial plant (1 hr min) 78.18/hr Phone:() BO - ( s.0 3- : : ( / • - ? I (c¢ 3(/C�5 inspections for which no fee is lot L Electrical steamily listed f hr min) 90,00/ / hr CCBLie. l t es • ElicalLie.: Suprv, J ti � � ELEC CAL:PE!'C11 TIERS::,.` �� _ Subtotal: 23 Suprv. Electrician Sign: ` required: r Plan tcvicw (25 %i permit fee): _ Print ntnne: r)I 1 iLE g I✓G Date: ? 61 / 13 State surcharge (12% of permit fee): 2%. 1 . r TOTAL PERMIT FEE: 2 0,2.. ; 1 Authorized signature: This permit application expires Be permit is not obtained within 181 print name: days afotr it has been accepted as complete. Date• • Number of inspections allowed per permit hl nutldingTermlte1ELC •PcrmitApp,doc 07/01110 440.4615T(I lum Pbing Permit Application RE CEIVE1 ' P(A 6 11) LS& I T g Buildin Fixtures R OPrl('.1 I si: ON1.\ R eceived OCT 1 8 20 / City of Tigard Date/By: tolik /1 IT Permit No.:`25rga1-ak j S is 13125 SW Hall Blvd., Tigard,OR 97223 Tv oF 7� Plan Review . Phone: 503.718.2439 Fax: 503.598. ljy f D ate /B y: Other Permit No.: a 0 743 (a • ��cf r t c. n It a inspection Line: 503.639.4175 • t LDING DIVISION Date Ready/By: naffs Fa See Page 2 for Internet: www.tigard- or.gov Notified/Method: MO Supplemental Information �,/ , TYPE OF WORK FEE* SCHEDULE dp New construction ❑ Demolition For special Information use checklise Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 R. for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 VI- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 ❑ Accessory building ❑ Multi - family SFR (3) bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. fl.) Page 2 JOB SITE INFORMATION ,t AN ` D i LOCATION Site utilities: Job site address 9376 79 ' -ve. Catch basin or area drain 18.76 City/ State/ZIP: 7i - r�, ' 0E- g 7,22 3 Footing drain line, linear e bench drain ag 2 Footing drain (no. linear fl.: _) Page 2 Suite/bldgJapt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear fl.: _) Page 2 Storm sewer (no. linear fl.: _) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El OWNER I ❑ TENANT Expansion tank 12.51 Name: -LEX,4 /, Z V/L / VI TZX Y Fixture/sewer cap 25.02 / 7s � �/ YfA n t L 4J Floor drain floor sink/hub 25.02 Address: CS ty J N f OR 6. 7Q) e hose bib disposal 25.02 City/State/ZIP: /V Hose bib 25.02 Phone: (St 3) .PC 6 - 2 3 O g Fax: ( ) ice maker 12.51 'APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: 4io77 CO,Xi2.!/CT7 c/V 410- Medical gas (value: S Page 2 Contact name: MAiSH,4 R74k'f fL f IJ Primer 12.51 nn Roof drain (commercial) I I 12.51 Address: 73 27 See) SARA/E.& /AZ), -4' Sink/basin/lavatory 25.02 City/ State/ZIP: P 7 7z D 04 9722,5 Solar units (potable water) 62.54 Phone: (5b3 ) SO / -- 6 Y2 6 I Fax: : ( ) Tub/shower /shower pan 12.51 E -mail: Urinal 25.02 C t NTRACTOR // Water closet 25.02 . ' e heater 37.52 Business name: W1 /1f ,r ' u n oy 7 ater piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: 31eQi(/ Subtotal P h o n e : ( ) - 313 Y 77 Fax: ( ) Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lie.: Plumbing Lic. no.: �, / State surcharge (1 of permit fee) Authorized signature: e: TOTAL PERMIT FEE ®J7 a _d a1.PO /■YA% Date: r3 WA. Thb permit application after it has been aceept as complete. within Igo days *Fee methodology set by Tri -County Building Industry Service Board. islauilduglPm itsSPLMU -Pa tApp.doe 10101/09 440.4616T(10102JCOMnWED) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Request Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: CITY OF TIGARD Building Division Services Supervisor • 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 ax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner Applicant ❑ Contractor n City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City /State /Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ❑ CANCEL /VOID PERMIT APPLICATION. n REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE ! ' - _ _ _ DUE (attach case fee schedule and provide explanation below). REMOVI /REPLACE •ONTRACTOR ON PERMIT (do not cancel permit). / Permit #: 6 � `� )Lit 0 0 2 .- Site Address or Parcel #: 9 3 76 5 Pt/ 7� /� '` t .2//43 • Project Name: 2; h vi L . I v / d k 1 Subdivision Name: Lot #: EXPLANATION: � 7'� � � /e_t at S/i(J / ��, % — /1.4a) Crzus Pi tee4 ,1 Signature: 4 A,/ / Date: 3R/3 Print Name: 1,i 7 , l7 Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80` /o of the building plan review fee when an application is canceled before any plan review effort has been expended. c) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2 -4 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date By Rte to Bldg Admin: Date By Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By Receipt # , ((= Date 3 1(j Method Amount $ I:\ Building \Forms \RegPcrmitAction.doc Rev 05/25/2012 se c KeerD t re" -- Mech Permit ApplicatioRECEIVE 1 isolz OFrlcl: l SF O.1.1 City of Tigard Received DateBy: (0 f iff2111111 Perm" 14 ° '/USTSOIa - . 0 S 13125 SW Hall Blvd., Tigard, OR 97223 OCT 18 2012 Plan Review : R ' Phone: 503.718.2439 Fax: 503. 598.1960 D a1e B y: Other PerrVa„,Aell3 -pc) e1 f . I' I G A it D Inspection Line: 503.639.4175 CITY OF 11GAR f Date ReadyBy: - ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK tJ111't7 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees' are based on the value of the work 12 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: S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES [2( and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spedal Information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Ave. ir conditioning Job site address 93 75 - Scot) ^ 7V A ,4 (requires site plan showing placement) 46.75 City /State/ZIP: / 1 q0 vim 9 72 2 3 Furnace 100,000 BTU (ducts/vents) i 46.75 / Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: I Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 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 Subdivision: I Lot no.: Flue/vent for any of above 23.32 Other: _ 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater i 23.32 Gas fireplace/insert 1 33.39 Flue vent for water heater or gas fireplace 23.32 - Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 (PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32 n Other: 23.32 _ Name: E - (,k -a I 1 L/ VI T Zg �/ /C Environmental exhaust and ventilation: Address: . / ?,S v SG(J 7 ZL`� P � R. Range hood/other kitchen equipment I 33.39 City /State /ZIP: { j -{/EE Fax: ( ) toilet ate .70-0 8 Clothes dryer exhaust I 33.39 ingle-duct exhaust (bathrooms, c Sa3) 8 � , � �- 2 3O Phone: toilet com ompartmrunents, utility rooms) E 23.32 aAPPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name: )( j )77 cemigyglicr - / d /V Other: _ 23.32 Fuel piping: Contact name: 11144.s#74- RAckpL/4) S14.15 for first four; S4.03 for each additional Address: 73 2 7 sto 1 9 1 4.4A )Es- RD A3 Os Furnace, etc Gas heat pump City /State/ZIP: , E L.4iVD Ole 972p S' Wall/suspended/unit heater Phone: (t& -- 9o/ -6 't2,6 I Fax::( ) Water heater E -mail: Fireplace Range r CONTRACTOR // Barbecue Business name: ' 7 ro %� /�/ Gtds IR eche? 1. ice? L Clothes dryer (gas) Address: Fo51"f 2 Other: V Q rJ �G� � I ,, � �D MECHANICAL PERMIT PEEP City/State/Z1P: � a ki4a S s viz_ q70809 C � , �J� f Subtotal �9 A 6) - R 1 Minimum permit fee (590.00) /fin /Phone: �( Fax: ( ) Plan review (25% of permit fee) • q�V( CCB lie.: ( � 5 (b A I / O 15 - 6 I /�� _ / State surcharge (12% of pemtit fee) �� / / / 11. TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: r / days after it has been accepted as complete. I Print name: Pi/ f✓I G !Vf TZ /Y I Date: + /6 !/// 2, • Fee methodology set by Tri -County Building Industry Service Board 1:\ BuitdingtPermitst ,MEC•PcnnitApp.doc 03/07/12 440.46177 ( I I/02/COM/WEB) Plumbing Permit Application - City of Tigarlll,� %j 'i • ' Page 2 - Supplemental Information %� .f!) Fee Schedule: Residential,Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total , Square Footage: Permit Fee: Footing drain - 1° 100' 50 03 17 `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 Fee: 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 Inspections or Fees Qty. Fee (ea) 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 accurately report fixtures could result in increased sewer fees * . Plan Review for Plumbing Installations 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 Baptistry/Font ❑ Any new commercial building with water service 2" and greater, except systems designed and stamped by licensed Ba th: pti - Tub /Shower - JacuzzUWhirlpool engineer. • Car Wash Each Stall ❑ New exterior plumbing site utilities for any complex structure Stall as defined in 0A1018-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. - Commercial ❑ Any multipurpose fire sprinkler system. - Domestic ❑ 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 " Isometric or Riser Diagram "4,. ❑ 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/Refng. 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 p Water Closet - Toilet plumbing permit can be issued. Urinal Other Fixtures: ABuilding\PerrnitssPLMF- PermitApp.doc 08/04/2011 2 � Plumbing Permit Application RECEIVE /T . Building Fixtures City of Tigard OCT 1 g 2012 Received rr/ w / City g Date/By: folic,1Z s r, Permit No.:iagr jaa i1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I Phone: 503.718.2439 Fax: 503.598. 'Syy• T Other Permit No.: Inspection Line: 503.639.4175 • ! Date/By: e 1 e1'bQeV DivlsoN I It,1 It I) `s+t1��,7 Date Ready/By: Juris,/ I a See Page 2 for Internet: www.tigard-or.gov Notified/Method: T ,1 Supplemental Information TYPE OF WORK FEE* SCHEDULE EI/New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I_ Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 12/1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 9375- Se.) 7V ,die• Catch basin or area drain 18.76 r� Drywell,leach line,or trench drain 18.76 City/State/ZIP: T/ -A 7) g 722g Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: /-�� 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: -CEX 1 R A',74 17/L/ (/r TZK y Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: //7S o ae v,/ 7744 rn iRC/4) y � �� OR e 7�6 Garbage o a bib disposal 25.02 City/State/ZIP: ! Hose bib 25.02 Phone:(,b3).,/Q6 6 - 2 3 08 Fax:( ) Ice maker 12.51 ID APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 r44ici7,T j2 vC Medical gas(value:$ ) Page 2 Business name: C1�J OA) MkkSe/,4 R 4 j7L l J(./ Primer 12.51 Contact name: r� `7 r`) Roof drain(commercial) 12.51 3 Address: 7 27 SW B R A-kiVES , #3051 Sink/basin/lavatory 25.02 City/State/ZIP: P7t. a) Oe 97 2 2S Solar units(potable water) 62.54 Phone:( )3 ). Cl/-6 Y2 6 Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Water B�1 in WV 56.29 PiP Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: 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. 1:\Building\Pmnita\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(ea) Total , Square Footage: Permit Fee: Footing drain-1"100' 50 03 V' `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 Fee: 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 ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof;to Inspections 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*. Plan Review for Plumbing Installations 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 Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall as defined in 0A1018-780-0040. Cuspidor/Water Aspirator - ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ 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" Isometric or Riser Diagram ❑ 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./Refng.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 WaterCloset-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF-PermitApp.doc 08/04/2011 2 • • :� se: cteeI) ii'c- Mechanical Permit A licatio ECEfVE 1 rt)IZ t)FFI( I I SE ON I.1 Received City of Tigard Permit No.: tY g O Date/By: tO i , /.L /(LlS73D 1.;._60 13125 SW Hall Blvd.,Tigard,OR 97223 CT 18 2012 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Pe h atey: r"�r��11-o V e1 (f I I( \R I Inspection Line: 503.639.4175 CiTy OF TiGARD Date Ready/By: Juris. RI See Page 2 for Internet: www.tigard-or.gov BUILDING DING�rS� Notified/Method: T.� Supplemental Information TYPE OF WORK ��1�w' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees'are based on the value of the work BiNew 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:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 12/1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: X 37.-' SW �i! Air conditioning Job site address: 7�/�'L Are. (requires site plan showing placement) 46.75 �►- _n O .97 2 2 Furnace 100,000 BTU(ducts/vents) { 46.75 _ City/State/ZIP: /! G� t vl� ! L Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump (requires site plan showing placement) _ . 61.06 Cross street/directions to job site: Duct work 23.32 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 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater { 23.32 Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace _ 23.32 Log lighter(gas) _ 23.32 Wood/pellet stove 33.39 _ Wood fireplace/insert 23.32 [PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 � ` �/ Other: 23.32 Name: 1V'L E7( DUJ� 1(1/1/l L/ V I T Z✓ l" Environmental exhaust and ventilation: _ Address: // 7S-CI .Std.) 77ita 6-4L.11(1C Range hood/other kitchen equipment I 33.39 City/State/ZIP: ,�/�-�j -�t/r�7t 71 i Q� 7Q-0 Clothes dryer exhaust 1 . 33.39 4�Z..5')BiC� G J o ' ( ) toilet compartments,s(bathrooms,rooms)Phone: �' �- Fax: prtmn utilit rooms 5- 23.32 Q'APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans . 23.32 Business name: "3—E,/Orr— Ce)fc TE.IJC /O Av Other: 23.32 Fuel piping Contact name: A144571/74- RAI&1-/A $14.15 for first four;$4.03 for each additional Address: 773 2 7 SGt) -4A)&_ ' RI), #.30S" Furnace,etc. 1 ty ,E.1 � Gas/cusp nde City/State/ZIP: �7� Wall/suspended/unit heater Phone:(S — 9O/_61i#2,8 Fax: :( ) Water heater Fireplace E-mail: Range ' CONTRACTOR Barbecue Business name: Clothes dryer(gas) - Other: Address: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee($90.00) Plan review(25%of permit fee) CCB lic.: State surcharge(12%of permit fee) TOTAL PERMIT FEE // / / / , / / This permit application expires if a permit is not obtained within 180 Authorized signature:g ' / days after it has been accepted as complete. lC Print name: CT VII-/V l T Z/T Date: l�l • Fee methodology set by Tri-County Building Industry Service Board I:\Building\Pennits\MEC-PermitApp.doe 03/07/12 440-46171(11/02/COM/WEB) Mechanical Permit Application - City of Tigard e ` �.a°� '~= ' Page 2 - Supplemental Information • Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: 73 ' : t:. .L $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-Per mitApp.doc 03/07/12 2 ,lectrical Permit Application IOIt Mill I. I `I. ONI.1 RECE Received / ����_��� City of Tigard i • �-' DateBy: Permit No.: m 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review f Phone: 503.718.2439 Fax: 503.598.1960'14' \J 0 7 2013 Date/By: Other Permit: 1 I c.n R I) Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for Internet: www.tigard-or.gov CITY OFTIGAR© Notified/Method: Supplemental Information TYPE OF Val/AWING DIVISION PLAN REVIEW New construction ❑Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. '❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","l-2","l-3", Job no.: J Job site address: 1 OOHP or more. occupancy. �&76- 5'w 7 /" ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: 1y/ Quze- ❑Health-care facilities. 0 Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name: ,l v/L' ')IT / v �❑Service or feeder 600 amps or more. A��P� est ` FEE SCHEDULE Cross street/directions to job site: :,tf1�'J r` Description I Qty. I Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less lJ I 168.54 4 Ea.add'l 500 sq.ft.or portion _ 57 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sg ft.) gee-el-77660 �"'� p /�,�� / Limited energy,multi-family 75.00 2 v ttal /'6* • (4 �/ residential(with above sq.ft.) Gi r'vL re-4 'lick vv �_ � 200 Services or feeders installation,alteration,and/or relocation -� 200 amps or less 100.70 2 PROPERTY OWNER I TENANT 201 amps to 400 amps 133.56 2 pl ✓n�, 401 amps to 600 amps 200.34 2 Name: ¢Y`��[i�[vi�r t � �!!� (/L L/U//-f icic�y C/ 601 amps to 1,000 amps 301.04 2 Address: // 7 • S l eJ'�n, f Over 1,000 amps or volts 552.26 2 City/State/ZIP:! //• / Cr?? 7~ Temporary services or feeders installation,alteration,and/or v �71)o relocation Phone: ) '`3 6 - 8831 Fax:( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation:Thi i;stallation is being made o • •serty that I own which is not intended for sale,lease,,' o e ch. ge,accordin, to 0: 447,449,670,and 701. 401 amps to 599 amps 168.54 2 / . , Branch circuits-new,alteration,or extension,per panel Owner signature: ' Date: //q/K. A.Fee for branch circuits with APPLICANT • CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: 1) 1711;,/?)to (] ,c7/721e../-7 en./ ad) B.Fee for branch circuits without /� service or feeder fee,first 56.18 2 Contact name: /Ma PS' ` / a x�Gj 41 branch circuit / / � �.�,,.,/ Each ella branch circuit 7.42 2 Address: L �� /wr / u - Miscellaneous(service or feeder not included) c City/State/ZIP: '} .r-Each manufactured or modular 67.84 2 ��_ v v �7'5 3 dwelling,service and/or feeder Phone:()gD --6 ya Fax: :( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: �� -Q C /j� _ Sin or outline lighting 67.84 2 CONTRACTOR g - ' A� � A,?� Signal circuit(s)or limited-energy Business name: AL z't"IV P /`1/f//L/I/i T zKY /�/t ) panel,alteration,or extension. Page 2 _ 2 �'+� _ (�✓" Each additional inspection over allowable in any of the above Address: f/7.�b .dam/ / i#j E-awe- Additional inspection(1 hr min) 66.25/hr City/State/ZIP: /v'LlE 9 7, , Investigation(1 hr min) 6625/hr Industrial plant(1 hr min) 78.18/hr Phone:(5b3) 36 6 -2 3 Q Q Fax:( ) Inspections for which no fee is 90.00/hr specifically listed(/2 hr min) CCB Lic.: Electrical Lic.: Suprv.Lic.: LAL PERMIT FEES Suprv.Electrician signature,required: `A / Subtotal: Plan review(25%of permit fee): Print name: te: State surcharge(12%of permit fee): / r , / / W TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: KH VI L I l./(7Z f -Y ' t Dae. / 6 /` , * days after it has been accepted as complete. Number of inspections allowed per permit. 1.\Building\Permits\ELC-PermitApp.doe 07/01/10 440-4615T(11/05/COM/WEB Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: ° Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ElAudio and Stereo Systems* ❑ Burglar Alarm ElGarage Door Opener* El Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: ■ COMMERCIAL WORK ONLY: Fee for each commercial $75.00 • system (SEE OAR 918-309-0000) Check Type of Work Involved: • ElAudio and Stereo Systems ElBoiler Controls El Clock Systems ElData Telecommunication Installation El Fire Alarm Installation ❑ HVAC ❑ Instrumentation ElIntercom and Paging Systems ElLandscape Irrigation Control* El Medical ElNurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1\Bwlding\Permiu\E1.C-PermitApp doe 07/01/10 t • RECEIVED v, JAN 0 7 2013 /`'j 5 �2e-7/ -, 2-6,5" CITY OF TIGARD TREECRRELJNLLM1TED BUILDING DIVISION 9375 SW 74th Avenue TREE PROTECTION PLAN Prepared For Marsha Rakhlin 15956 SW Parker Rd. Lake Oswego, OR 97035 Residential and Commercial Spraying•Fertilizing•Pruning•Landscape Installation•Landscape Maintenance•Consultation MEMBER: Tree Care Industry Association•International Society of Arboriculture•Oregon Landscape Contractors Assoc. State Licensed Tree Service #62635•Landscape Contractor#5659•Chemical Application @000231•Insured P.O. Box 1566•Lake Oswego, OR 97035•503-635-3165•Vancouver 360-737-2646•Fax 503-635-1549 Visit our website at www,tclu.com•E-mail: info@@tclu.com TREECAREUN !\1 I JIL CONTENTS Summary 1 Tree Protection General Conditions . . . 2 Tree Protection Inventory .4 Tree Protection Site Plan .5 .x; TREECAREU I,.' , 1TLi) ARBORIST REPORT Nature of the Report: Tree Protection Plan Address of the Report: 9375 SW 74th Ave. Tigard, Oregon Date of the Report: January 2, 2013 Report Submitted To: Marsha Rakhlin 15956 SW Parker Rd. Lake Oswego, OR 97035 Summary I have visited the site and reviewed development plans. The attached outline and drawing detail the Tree Protection Plan for this site. Tree protection fencing and areas requiring direct arborist supervision have been detailed. Excavation work within the Tree Protection Zone will expect the contractor to probe for roots under the supervision of an International Society Arboriculture Certified Arborist. As roots are discovered the arborist will determine whether to cut them or work around them. All root pruning will be done to I.S.A. standards. The Builder should be prepared to modify the foundation as required to preserve significant roots. In the event that tree roots larger than 2" in diameter are found outside these areas the site arborist should be notified. The developer and general contractor are expected to notify all subcontractors of the need for tree protection and the tree protection plan for this site. Other general Tree Protection Measures are included in the attached check list. The applicant proposes to have I.S.A. Certified Arborist supervision on site only when work is being done within a tree protection zone in lieu of twice monthly inspections. Sincerely, Kay Kinyon Certified Arborist PN0409A Tree Care & Landscapes Unlimited, Inc. Residential and Commercial Spraying•Fertilizing•Pruning•Landscape Installation•Landscape Maintenance•Consultatton MEMBER: Tree Care Industry Association•International Society of Arboriculture•Oregon Landscape Contractors Assoc. State Licensed Tree Service #62635•Landscape Contractor#5659•Chemical Application @000231•Insured P.O. Box 1566•Lake Oswego, OR 97035.503-635-3165•Vancouver360-737-2646•Fax 503-635-1549 Visit our website at www.tclu.com•E-mail: infoPtclu.com Tree Protection Plan GENERAL CONDITIONS Follow the below listed instructions in order to provide the proper protection before, during and after construction. Before Construction: a. Identify and number the trees to be protected, verify by mapping and/or tagging and note their size in D.B.H. (Diameter at Breast Height), variety, health and structural conditions, review plans. b. Check with local government agencies for tree protection ordinances. c. Remove any low limbs that may be in the way of construction equipment, and prune as needed to adhere NM standards. d. Leave a protective covering on the soil, i.e., existing groundcover or mulch. e. Notify all other contractors that these trees are to be saved and protected. f. Install a temporary 5' high fence to protect the trees and their root systems. Install tree protection sign on fence. Fencing material shall be steel chain link or"No Climb" type steel wire fencing. Posts located 10' on center as a general rule. For every inch in diameter of the trunk (D.B.H.) allow up to 1 foot of radius from the trunk as the protected area. (Example: 24" D.B.H. = 24' radius of protected root system.) Ideally, we need to protect more than the drip zone. The drip zone into the trunk is the support roots that hold the tree up. The roots from that drip zone out provide nutrition, water and oxygen. Try to avoid loss of more than 30% of root on any one side. This allows some encroachment within the drip line. This should be determined on a case by case site conditions reviewed. g. Identify any insect or disease problems that may require treatment. h. Engineer and design proposed structures and construction to avoid root loss. Bridge type foundations can save major roots. i. Design landscape islands and planting areas large enough to accommodate trees at maturity. j. Plant the right tree in the right place. Avoid future conflicts with buildings and utilities. k. Have an experienced Arborist review landscape plan to assure the right tree is planted in the right place and proposed changes don't kill retained mature trees. I. Consider tree removals adjacent to trees to be saved for wind related stability concerns. m. Check for past and proposed grade and drainage changes, consider the effects. n. Check trees for stability. o. Remove all trees that would not survive the effects of change. Remove all hazardous trees. p. Minimize environmental changes. II. Durina Construction: a. Keep equipment off of the root system to avoid compaction. b. Keep equipment away from structure to prevent damage to trunk and limbs. c. Don't allow chemicals to be dumped on the ground near the tree, i.e., gasoline, diesel, paint, herbicide, cleaner, thinners, etc. d. Provide means of temporary irrigation if the project runs through the summer. e. If roots or limbs are cut or damaged, have them inspected by an ISA Certified Arborist and repaired or treated according to his/her recommendations. f. Protect the trees from excessive heat, i.e., equipment, paving and/or burning. g. Avoid trenching through the root systems, boring under them or hand digging can save roots. h. Contact the ISA Certified Arborist familiar with the site prior to and during any activity within the drip zone or tree protection fencing for consultation. III. After Construction: a. Carefully landscape the area under the tree, being careful of the roots and structure. Use plantings that will live under the same conditions as that of the tree. b. Provide insect and disease control, fertilization and pruning as needed or adhere to long term protection plan if provided. c. Avoid direct irrigation spraying onto the trunk. The amount of irrigation needed to keep new plantings alive can often be enough to kill mature trees. d. Do not cover existing root systems with more than 2" of soil. The more soil you add, the greater the chances of damaging the root system. e. Provide irrigation and/or drainage to emulate pre-construction conditions. NOTE: This tree protection plan identifies construction protection measures to prevent unwarranted tree loss. The identified measures limit the amount of earth disturbance surrounding the trees, and limit the removal of the tree's root systems. Due to the variation of every project, it is unlikely all of the above identified measures can be practicably applied to each individual tree; nor is it likely each measure is necessary to retain each tree. Prior to the beginning of construction a meeting between a certified arborist and the necessary contractors will be held to determine the appropriate level of protection for each tree, in relation to what work needs to be completed in the tree's vicinity. On site supervision by a certified arborist will be determined and supplied as necessary. . . . . 9375 SW 74th NO COMMON NAME BOTANNICAL NAME DBH CONDITION COMMENTS i 267 begdar_Cedar 1-67'1i:is deodara -1-, 25 Good , 268 Red Alder i lAfrius rubra _ _ j 20 1_ Fair ' 269 Red Alder jAlnus rubra tr- 15 1 Fair I 271 Red Alder jAlnus rubra , 11 Fair 287 IDouglas Fir 1 Pseudotsuga MenzieiTi 37 _ Good ! i ---, 288 Scarlet Oak Quercus coccinea .1_ 32 , Good 289 1Sweet Cherry [Prunus avium 1 14 L Fair J2 stems 9"&10" , . , r 98 1Sweet Cherry 'Prunus avium -1 11 Fair ! , .1 • 1 L 1 ( -1:' • 2V TPZ Radius 0'TPZ Radius RECEIVEt �- 'I''' N O"360"E _ ,� _ - �'>, -_ 9U 00 "~ 15'TPZ Radius r _ JAN 07 2013 26• C267\ 401%I ) CITY OF TIGARD d��' ; NING/ENGINEER 11'TPZ Radius '� - I-; I I • ; TREE PROTECTION FENCE 1V U' ---- I THIS TREE IS ON 1 1 PORCH 1 It , ADJACENT PROPERTY II I[ I. Ei•,xsps AND IS FURTHER FROM „ I PROPERTY LINE THAN I i °}I SHOWN. EXISTING • \ FENCE PROVIDES j ADEQUATE TREE . I= ( / , PROTECTION. 1 1' MAW FLOOR i co EL'2610' �r''e'• 0. )1('''';rnl;o 1 ' N L i - TREETOBE `� II . •• ' I �I REMOVED : �� I ?I u- _____ i• w aA•AGE I U1w E c ALL WORK WITHIN THIS II-- 15 I EL.: 60 0' ! �sss—In IMPACT AREA SHALL BE • I SUPERVISED BY AN I.S.A. TREE PROTECTION FENCE 1 - I CERTIFIED ARBORIST y'I i 1` je 11 \ 1 1 ,) s'.. . .:, I 89 • pI • TREE PROTECTION FENCE IV S u• i 14'TPZ Radius 288 .�j '\• 287 1• `'• IN s OFFICE COPY •. ,m i 32'TPZ Radius 37'TPZ Radius I ! .\ i ilffg1111 0 0/prg/Ai,i� lesi3 1 NOTE: I , 1.ALL TREE PROTECTION FENCING IS MINIMUM TALL I , CHAIN LINK OR"NO CLIMB"TYPE FENCING. I 1 1 , I INt !MING 159.-= 1 160 is 00' (vS1wC IRO \ , SW 74TH AVENUE E 4 OCT 2012 Mgr, --- I 0- CRY OF i., PA 3 SP/ MN AVE TREE PROTECTION PLAN CUSTOM (H.554 SO.!T! !!!!�!!1!s���.,M FUH. IIfE KHYI,IVIEZKY RESIDENCE - 5 tL Y .• TREE PROTECTION NOTES! CONTRACTOR SHALL PROVIDE TREE PROTECTION AND INSTRUCTION TO ALL EMPLOYEES AND SUBCONTRACTORS PROHIBITING EQUIPMENT, VEHICLES, MACHINERY, GRADING, DUMPING, STORAGE, BURIAL OF DEBRIS, OR ANY OTHER CONSTRUCTION-RELATED ACTIVITIES IN ANY TREE PROTECTION ZONE 2 ONLY THOSE TREES IDENTIFIED ON THE APPROVED TREE REMOVAL PLAN ARE AUTHORIZED FOR REMOVAL BY THESE PLANS. NOTWITHSTANDING ANY OTHER PROVISION OF THIS TITLE, ANY PARTY FOUND TO BE IN VIOLATION OF THIS CHAPTER [18.790] PURSUANT TO CHAPTER 1.18 OF THE TIGARD MUNICIPAL CODE SHALL BE SUBJECT TO A CIVIL PENALTY OF UP TO $500 AND SHALL BE REQUIRED TO REMEDY ANY DAMAGE CAUSED BY THE VIOLATION. SUCH REMEDIATION SHALL INCWDE, BUT NOT BE LIMITED TO, THE FOLLOWNG: 1) REPLACEMENT OF UNLAWFULLY REMOVED OR DAMAGED TREES IN ACCORDANCE WITH SECTION 18.790.080 (D) OF THE TIGARD DEVELOPMENT CODE; AND 2) PAYMENT OF AN ADDITIONAL CIVIL PENALTY REPRESENTING THE ESTIMATED VALUE OF ANY UNLAWFULLY REMOVED OR DAMAGED TREE, AS DETERMINED USING THE MOST CURRENT INTERNATIONAL SOCIETY OF ARBORICULTURE'S GUIDE FOR PLANT APPRAISAL. 3. IF WORK IS REQUIRED WITHIN AN ESTABUSHED TREE PROTECTION ZONE, THE PROJECT ARBORIST SHALL PREPARE A PROPOSAL DETAILING THE CONSTRUCTION TECHNIQUES TO BE EMPLOYED AND THE LIKELY IMPACTS TO THE TREES. THE PROPOSAL SHALL BE REVIEWED AND APPROVED BY THE CITY ARBORIST BEFORE PROPOSED WORK CAN PROCEED WITHIN A TREE PROTECTION 20NE. THE CITY ARBORIST MAY REQUIRE CHANGES PRIOR TO APPROVAL. THE PROJECT ARBORIST SHALL BE ON SITE WHILE WORK IS OCCURRING WITHIN THE TREE PROTECTION ZONE AND SUBMIT A SUMMARY REPORT CERTIFYING THAT THE WORK OCCURRED PER THE PROPOSAL AND SNLL NOT SIGNIFICANTLY IMPACT THE HEALTH AND/OR STABILITY OF THE TREES. 4. PRIOR TO COMMENCING ANY SITE WORK OR THE ISSUANCE OF PERMIT, THE APPUCANT SHALL ESTABUSH TREE PROTECTION FENCING AS DIRECTED BY THE PROJECT ARBORIST AND CONDITIONED BY THIS DECISION TO PROTECT THE TREES TO BE RETAINED. THE APPUCANT SHALL CALL FOR AN INSPECTION AND ALLOW ACCESS BY THE CITY ARBORIST FOR THE PURPOSE OF MONITORING THE TREE PROTECTION TO VERIFY THAT THE TREE PROTECTION MEASURES ARE PERFORMING ADEQUATELY. FAILURE TO FOLLOW THE PLAN. OR MAINTAIN TREE PROTECTION FENCING IN THE DESIGNATED LOCATIONS SHALL BE GROUNDS FOR IMMEDIATE SUSPENSION OF WORK ON THE SITE UNTIL REMEDIATION MEASURES AND/OR CIVIL CITATIONS CAN BE PROCESSED TREE PROTECTION PLAN 9255 SW 74th Avenue TREE CARE&LANDSCAPES UNLIMITED.INC. YIIB Rmct.J4 SCALE PO do 1566 ' ,, 1a1utr(I.e.,.OR 971115 1�I=20l ■03 61S316t Sheet 2/2 e - i 1 , I I 1 "- 25'TPZRadius RECEIVED `�i 20'TPZ Radius , JAN 0 7 2013 ��'36' 0 �� + 9u oo CITY OF TIGARD 15'TPZ Radius r .. 26• ' PLANNING/ENGINEERING 1 268 I c 00�\\,' 11_11. 1111— '--- it ' 2711 4 ,v 1 x xx ��rrrr �� .IN 11'TPZ Radius r- °'1' v. 1+++ TREE PROTECTION FENCE ' II X00 ---1---� — THIS TREE IS ON ADJACENT PROPERTY 1 NCH I �? AND IS FURTHER FROM 17"0° EL;=zaos I PROPERTY LINE THAN \ 1# 4 III ��__,, _ SHOWN. EXISTING �i —,I �� _ FENCE PROVIDES ' 111 ADEQUATE TREE 1 I e. J PROTECTION. 12' i • MAIN Fl OOR . \a 1A'•� `., EL.-261.0' s. ', ∎ Ni_h a!lio• 1 • -- --� If n+ 1 I I 1 TREE TO BE `\ ' i' I_- I I b° 1 REMOVED ; 5 . 598 ' I ) r.1 I • (A AGE 1 4'.CONC ALL WORK WITHIN THIS 1� ---•— 15' I •� EL.: 60.0' i 13500 PS11 DfitVE ' IMPACT AREA SHALL BE I P U.E 1 SUPERVISED BY AN I.S.A. CERTIFIED ARBORIST TREE PROTECTION FENCE 1 t/ 1 ` tai 1 .1117:: , —------"- -ft:- /Yr Air/ /� TREE PROTECTION FENCE I . !lc 0 , 4 ° :nI I OFFICE C�Radius 288 287 1 1 1(/, I • 1 13 rffmas I 1 1 32'TPZ Radius 37'TPZ Radius Cilf4 1,4 1(/:c/r3 I ---. i i\ I: 1 1 I NOTE: I 1 1.ALL TREE PROTECTION FENCING IS MINIMUM 5'TALL 1 • 1 CHAIN LINK OR"NO CLIMB"TYPE FENCING. I 1 1 • $ I iRC( rro w ,.`'! 0'36'50' Li 160 15 00' —(YISI/M;»�( IORain \/ ixicr c(RE(10 RI WM SW 74TH AVENUE 1 4 OC1 2012_MRR A L E 1 2 CITY OF TIGARD Ira="::N a wi '0,3114r""'""6":" , ", TREE PROTECTION PLAN CUSTOM PARCEL 3 •iaae.1°`.e sr W•ae xteerawan,aE 9375 SW 741 N AYE. FM Ili 11111C110 a ix Mt O 110101 n, 0MVOS a.x11 10161,W.HD Y00•IC.�x, (1�86� �� �MI�O�NM�IIMi11 FOR: THE KHVILIVITZKY RESIDFNC"!- 5 .a,......10•11 ' :11;,11,«.:+■•..■•••■ Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9375 SW 74TH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 06/27/2013 00:00 MST2012-00265 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9375 SW 74TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 06/27/2013 00:00 MST2012-00265 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9375 SW 74TH AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 06/27/2013 00:00 MST2012-00265 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9375 SW 74TH AVE, TIGARD, OR, 97223 Residential - Master Permit 610 Gas Line 03/27/2013 MST2012-00265 PASS Standard pressure verified 10 lbs for 15 min Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9375 SW 74TH AVE, TIGARD, OR, 97223 Residential - Master Permit 275 Framing 04/02/2013 00:00 MST2012-00265 PASS Truss connections to interior walls not allowed, will check at insulation Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9375 SW 74TH AVE, TIGARD, OR, 97223 Residential - Master Permit 275 Framing 04/09/2013 00:00 MST2012-00265 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9375 SW 74TH AVE, TIGARD, OR, 97223 Residential - Master Permit 280 Insulation 04/09/2013 00:00 MST2012-00265 PASS Violation Summary: Inspector Contractor