Permit CITY OF TIGARD MASTER PERMIT
III 11.: COMMUNITY DEVELOPMENT Permit#: MST2013-00108
Tr GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013
Parcel: 2S 108AB04800
Jurisdiction: Tigard
Site address: 13943 SW 155TH TER
Subdivision: BRENTWOOD ESTATES Lot: 10
Project: Brentwood Estates, Lot 10
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 5 First: 1730 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 34.5 Bathrooms: 5 Second: 1855 sf Garage: 1110 sf Front: 15 Smoke
Dwelling Units: 1 Third: 1271 sf Right: 5
Detectors: Yes
Total: 4856 sf Value: $580,687.07 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 5 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 8 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
0
Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 8 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 8
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 10 201-400 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 4856
Owner: Contractor:
BRENTWOOD HOMES BRENTWOOD HOMES Required Items and Reports(Conditions)
17500 SW CAESAR TERRACE 15170 SW FINIS LN 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97224 TIGARD,OR 97224 2 geo tech report required prior
to footing inspection
PHONE: 503-407-1101 PHONE: 503-407-1101
FAX:
Total Fees: $25,679.24
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 0 952- 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4176 by 7:00 a.m.for the next available Ins n 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.
Fpudding Permit Application_ _ B
Residential Ec EL'E® FOR OFFICE l-sE ONE I
City of Tigard Received: 6a�EIIIIII Permit No.: 5oi'�!r-0o/O g
13125 SW Hall Blvd.,Tigard,OR 97223 MAY 0 1 2013 Plan Review' D
C Phone: 503.718.2439 Fax: 503.598.1960 Data; : - �' �i I�> Other Permit: G a0(
3,-00/0
T I G n R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: rum ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method�(v !� Supplemental Information
v
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 dollar)of all
❑Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial
Valuation: 9 5 7 _7,0 7
1
El Accessory building ❑Multi-family Number of bedrooms: 5
❑Master builder ❑Other: Number of bathrooms: 5
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 13943 SW 155th Terrace New dwelling area: 4856 square feet
City/State/ZIP:Tigard oregon,97224 Garage/carport area: 1110 square feet (Z 7 I
Suite/bldg./apt.no.: Project name:Job#477 Covered porch area: . 4fl 3 .square feet (Ss-31-3
Cross street/directions to job site:Bull Mt Road and Roshak Deck area: _24fr". 3 quare feet 730
Other structure area: 59'(dc, square feet 34,S
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Brentwood Estates I Lot no.:10 Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Construction Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Brentwood Homes Type of construction:
Address: 17500 SW Ceasar Terrace Occupancy groups:
City/State/ZIP:Tigard Oregon,97224 Existing/
Phone:(503)407-1101 Fax:( ) New: i
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Brentwood Homes
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:17500 SW Caesar Terrace
City/State/Z1P:Tigard Oregon,97224 Total fees due upon application:
Phone:(503)407-1101 Fax::( ) Amount received: 7 .75 oC
E-mail:John@brentwoodhomesoregon.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Same as above Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:( ) Fax:( ) n
State surcharge(12%of permit fee): $21.60
CCB lic.: 18115
Total fee due upon application: $201.60
Authorized signature:l/� .0/ ,." // This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: i 1 �5�y Date: 13 *Fee methodology set by Tri-County Building Industry
04,��` D O , 1ervice Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
' 'lumbing Permit Applic li,ii L \f
Building Fixtures i i..CI\4 )
City of Tigard MAY 0 1 2 013 Received 5 /�g Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy. / /3-06�Og
C Plan Review
Phone: 503.718.2439 Fax: SO T9GqR® Date/By: Other Permit No.: ,L.690/3 ea/xi
Inspection Line:
T I G A D 03.6394175BU1LO G DIVISION Date Rea B o kris: ® See Page e 2 for
Internet: www.ti ardor. ov
Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑Demolition For spedal 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(1)bath 312.70
® m
1-and 2-family dwelling ❑Comercial/industrial SFR(2)bath 437.78
❑Accessory building SFR(3)bath 1 500.32
g ❑ Multi-family
Each additional bath/kitchen Z 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:13943 SW 155th Terrace Catch basin or area drain 18.76
City/State/ZIP:Tigard Oregon,97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Job#477 Manufactured home utilities 50.03
Cross street/directions to job site:Bull Mt Road and Roshak 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:Brentwood Estates I Lot no.:10 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New construction
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:bRENTWOOD hOMES Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Brentwood Homes Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: 17500 SW Caesar Terrace Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,Or,97224 Solar units(potable water) 62.54
Phone:(503)407-1101 Fax::( ) Tub/shower/shower pan 12.51
E-mail:john @brentwoodhomesoregon.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:Craftwork Plumbing Water piping/DWV 56.29
Address:7733 SWQirrus Beaverton 97008 Other: 25.02
City/State/ZIP: Subtotal
Phone:(503) Fax:(503)644-5989 Minimum permit fee: $72.50
CCB Lic.:79666 Plumbing Lic.no.:20-148pb Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature:21 79 TOTAL PERMIT FEE
Print name:Pete Pollard Date- This permit application eapires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\PermitsWLMU-PermitApp.doc 10/01/09 440-46I6T(10/07KOM/WEB)
. . w
Mechanical Permit Appl' tip i R OFFICE E l SE ONI.\Received City of Tigard fir Date/By: 5 j� (�'�• �, y �� Permit No.: r ( i`/ -QD/O b
III
13125 SW Hall Blvd.,Tigard, R -AA 1C'j� �1 Plan Review
C Phone: 503.718.2439 Fax: 503.59I,Q60 Date/By: Other Permit:6tee
IvIHI o�ol —t)/o
-r I G A R D Inspection Line: 503.639.4175 ® Il 2 0 3 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov
CITY OF rdGAR® Notified/Method: Supplemental Information
Ty e FLA P,,j:St3R?t COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
■J i t,.el t
Mechanical permit fees'are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning ( 46.75
Job site address:13943 SW 155th Terrace Furnace 100,000 BTU(ducts/vents) Z 46.75
City/State/ZIP:Tigard Or,97224 Furnace 100,000+BTU(ducts/vents) ' 54.91
Suite/bldg./apt.no.: Project name:Job#477 Heat pump 61.06
Duct work 23.32
Cross street/directions to job site:Bull Mt rd to Roshak 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:Brentwood Estates Lot no.: 10
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 2.- 23.32
DESCRIPTION OF WORK Gas fireplace/insert 2 33.39
Flue vent for water heater or gas
New Construction fireplace 23.32
Log lighter(gas) _ 23.32
Wood/pellet stove 33.39 _
Wood fireplace/insert 23.32
Chimney/liner/flue/vent l 23.32
0 PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Brentwood Homes Range hood/other kitchen r
equipment 1 33.39
Address: Clothes dryer exhaust i 33.39
City/State/ZIP: Single-duct exhaust(bathrooms, ��
toilet compartments,utility rooms) 7"� 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Brentwood Homes Fuel piping:
$14.15 for first four,$4.03 for each additional
Contact name:John Noffz Furnace,etc. 2-.
Address:17500 SW Caesar Terrace Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard Oregon,97224 Water heater "2--
Phone:(503)407 1101 Fax::( ) Fireplace 2-
Range
E-mail: r
Barbecue l
CONTRACTOR Clothes dryer(gas)
Business name:Rumbolt Heating Other:
MECHANICAL PERMIT FEES"
Address:PO Box 397 Subtotal
City/State/ZIP:Beaver Creek Oreon, 97004 Minimum permit fee($90.00)
Phone:(503)656-0475 Fax:(503)632-8669
Plan review(25%of permit fee)
State surcharge(112/%o of permit fee)
CCB lic.:172897 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Authorized signatute;td' • Fee methodology set by Tri-County Building Industry Service Board
Print name,Jaho Kloer Date:
I:\Building\Permits\MEC_PermitApp 0401 13.doc 440-4617T(I1/02/COM/WEB)
IC
' Electrical Permit Applica FOR OFFICE USE ONLY
City of Tigard MAY 0 1 2013 Received _ / Permit No.: JySi
Date/By: •✓3 �> ;LI,3 Glofi4 F
. ° 13125 SW Hall Blvd.,Tigard,ORMi )F TIGARD Plan Review .0 _
Phone: 503.718.2439 Fax: 503. Date/By: Other Permit:«) D013_e j 1051
I 1 G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
I. TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 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 ❑CommerciaUindustrial ❑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","I-2","l-3",
Job no.: Job site address: /3 q y 3 S w /SSA" 77.--f✓ 100HP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: ,a.4) Q'k ?72 2 q ❑I lealth-care facilities. ❑Supply voltage for more than
•�7 ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: ✓ Project name: ❑Service or feeder 600 amps or more.
Cross street/directions to job site: 7, FEE SCHEDULE,
J y 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 ( 168.54 4
Ea.add'l 500 sq.ft.or portion 'C 33.92 1
Tax map/parcel no.: Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.) l
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
VI PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
Name: ( topo ✓--( 201 amps to 400 amps 133.56 2
v 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
— Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
❑ APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: each branch circuit
B.Fee for branch circuits without
Contact name: service or feeder fee,first 56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:( ) Fax: :( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR' • Sign or outline lighting 67.84 2
Business name: 6,7, '✓ -K 4"/Gctf/ - Signal lterat(s)orlimited-energy
I panel,alteration,or extension. Page 2 2
Address: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP: 5,...../c..-7-...... C2✓Z 77-2 Z y Investigation(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(/2 hr min)
'ELECTRICAL PERMIT`FEES • "
Suprv.Electrician signature,required: Subtotal:
Print name: Date: Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: .,../(i U / TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_040913.doc 440-4615T(I I/05/COM/WEB
Electrical Permit Application—City of Tigard •
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Fee I Total Fee for all residential systems combined ... $75.00 I *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener*
>100 kva(fee in accordance with
OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning
Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
Number of inspections allowed per permit.
El Boiler Controls
El Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
❑ Nurse 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
I:\Buildi ng\Perm its\ELC_PermitApp_040913.doc
_ ° Building Division
Development Code Provision Review
T i e n R Residential Projects
Building Permit No.: H .` 020 i 3—co to T
Project/Subdivision Name: P r6.3oob 157-39-TE5 , Lot #: /0
Site Address: l 3gy3 , ) /5S `—`--r-i/'t*l£-
CWS Service Provider Letter:
Required:Yes ❑ No
Received:Yes ❑ No
Plans Routed:
Original Plan Submittal Date: 5/ // 3 Routed B . /
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
211d Revision Submittal Date: ❑ Site Plan Only Routed By:
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 only iif approved. �/
Planning Review(contact �i 7� / at(503) 718,07 Y v or Alit @tigard-
or.gov) _
Land Use Case No. 0 7- ?7 1 L! - Z�y2 C. piA-4))
Zoning P--7
ig Setbacks: r / i
/Front /51 `'� Side S Street Side /d Garage 2 19
Vaximum Building Height: 3 5 Actual Building Height 3 V C-
lid isual Clearance
V Easements
❑ Sensitive Lands Type:
❑ Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved Not Approved ❑ Date: ' "/ / / 5
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1,of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
Engineering Review(contact Mike White at 503-718-2464 or MikeW @tigard-or.gov)
.Or-Actual Slope: Z5' +
Notes: �.r.Ja+<- [_ TWl--- e- ( fiet_51.. l J g &
Original Plan: Approved.0r Not Approved ❑ Date: ..5"- 1
Revision 1: Approved ❑ Not Approved ❑- Date: !!l
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albeit @ 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 Applicant
fiOkay to Issue Permit: Yes No ❑
Date Routed to Building. N .31/(,„----- ---
Page 2 of 2
1:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13
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■■ ALAN MASCORD DESIGN ASSOCIATES•WC IS NOT CITY OF TIGARD
LIABLE FOR Tiff ACCURACY OF THE TOPOGRAPHY
■ INFORMATION.IT S THE SOLE RESPONSIBILITY OF THE 13943 SW 155TH TERRACE
.. .., 4(
BUILDER TO VERFY ALL SITE CONDITIONS.INCLUDING
ANY FILL PLACED ON THE SITE AND NOTIFY THE
OWNERS OF ANY POTENTIAL FIELD MODIFICATIONS
MI Anoa
COLLECTION ALAN Eatn.uo
BY BRENTWOOD HOMES
W►MooMo D
13,802 S4. FT.)
Location:
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Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13943 SW 155TH TER, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2013-00108
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
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Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13943 SW 155TH TER, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
FAIL
MST2013-00108
Herb Stabenow
Not ready again unsafe to access garage
Violation Summary:
Inspector Contractor
Location:
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Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13943 SW 155TH TER, TIGARD, OR, 97224
Residential - Master Permit
135 Low voltage rough-in
FAIL
MST2013-00108
Herb Stabenow
See electric.final
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13943 SW 155TH TER, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
FAIL
MST2013-00108
Herb Stabenow
Not ready for a final--deck unsafe--no railings--garage installation blocked by material
etc.--please recall
Violation Summary:
Inspector Contractor