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Permit p CITY OF TIGARD MASTER PERMIT :F'1 ii COMMUNITY DEVELOPMENT Permit#: MST2014-00043 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2014 Parcel: 2S109BA03100 Jurisdiction: Tigard Site address: 13975 SW HIGH TOR DR Subdivision: HILLSHIRE SUMMIT Lot: 16 Project: Stotts Project Description: Bedroom and bathroom addition BUILDING Floor Areas Reauired Setbacks Reauired Stories: 1 Bedrooms: 1 First: 581 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 20 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Yes Total: 581 sf Value $64,078.49 Rear: 15 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tema Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr 3 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 N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 581 Owner: Contractor: STOTTS,LAWRENCE J& CRAFTSMAN CONSTRUCTION&HOMES LL1 Required Items and Reports(Conditions) CECILE A 9850 SW DENNEY RD 1 Ersn Cntrl 503-639-4175 13975 SW HIGH TOR DR BEAVERTON,OR 97008 TIGARD,OR 97224 PHONE PHONE: 503-998-8027 FAX: Total Fees: $2,426.89 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-eEcordance 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. ENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0 -0010 through OA 2-0 1- 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 2.1987 or_1.800.332.2344-Al.,,d,c Issu d By: _ (e_44(..444 Permittee Signature: X 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 RECEIVED I "'_ "' l It 11 ,I "" City of Tigard Received DateB : 5 �4/ IP j Permit No.: y(€y' --WV ?j III • 13125 SW Hall Blvd.,Tigard,OR 97223 p� . s Phone: 503.718.2439 Fax: 503.0.R760 3 2014 oats,g'`I/ I 0 4 Other Permit: r i �;t� Inspection Line: 503.639.4175 Date R7-Y. :y: J�r,5_ ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: IV/V/1/1 Supplemental Information *,VC IA.) [lnr, DIVISION REQUIRED DATA:I-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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: 07i �` 01_and 2-family dwelling 0 Commercial/industrial , I ❑Accessory building ❑Multi-family Number of edrooms: ❑Master builder ❑Other: Number of bathrooms: J438 SITE INFORMATION AND LOCATION Total number of floors: lob site address:Toni and Larry Stotts New dwelling area: ✓6( square feet City/State/ZIP: 13975 SW High Tor DR Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet '16.) REQUIRED DATA:CO CHECKLIST I Lot no.: 1V Permit fees*are based on the value of the work performed. 2A �`0-C) Indicate the value(rounded to the nearest dollar)of all ZS Tax map/parcel no.: ` 7` equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Bedroom and Bathroom addition Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories: Name:Toni and Larry Stotts Type of construction: Address: 13975 SW High Tor Dr Occupancy groups: City/State/ZIP:Portland Or 97334 Existing: Phone:( ) Fax:( ) New: El APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Craftsman Construction filimse - Structural plan review fee(or deposit): Contact name:Chris Pete FLS plan review fee(if applicable): Address:9850 SW Denney RD Total fees due upon application: City/State/ZIP:Beaverton Or 97008 ,f Phone:(503)998-8027 Fax::( ) Amount received: 11"(3g . 33 E-mail:cp.craftsmsn @gmail.com PHOTOVOLTAIC SOLAR PANIEL»1EM FEES* Comm - ial and residential prescriptive installation of CONTRACTOR roof-top mow -d PhotoVoltaic Solar Panel Syst- Business name: �a,� Submit two(2)se.. of roof plan with connec•: details Grd"�f s�a.� � �/` * '"�"'t+ and fire department ac along with • 010 Oregon Address: Q(35'0 S c_j ikv� � Solar Installation Specialty ...• . ist. City/State/ZIP: Av - j 9�a�/ Permit Fee(includes w $180.00 1 and •• istrative fees): Phone:(5'63) 7) Fax:( ) State sure• . :e(12%of permit fee): 11111L. $21.60 CCB lic.:163586 As ` / Total fee due upon application: $ : 60 Authorized signature: L This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Chris Pete Date:4/2/14 *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building1Pernits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) `i• r . From: Traian Andresi iandresiplumbing@gmail.com Subject: Re:Invoice(No.64)-from Traian Andresi.craftsmaman Date: April 2,2014 at 9:26 AM To: Chris Pete p.craftsman@ fa maiL�EIVED '�it A 3 2014 BuUdia Fixtures FnK nritcF 1•r_ irnl.1 d TIGARD r 3 �� !�T' i�a.. a��r/-,r•Tiprd City r t °• '1 L�tNe*DIVISION ,= �` -� _� t poolrr+Llarc: 'as. l rbk.b a wm+la.t.. ■. 1 T•, —e ,.wraisaa±4w .—. •g(11ix1t1A 1 TIM 4141,WOOL y„ 1r..� 17 stair aaaran.olien ❑nanaiOsl 1 Tar! '0 *in.!-ir.1b i■a4(w'iad SOD It.In dab rrlity o +t ® - WA(I)WO 3u 7a1, _ CA'1COIRr OF outer wT1C nun $FR P►+1rk u7:� � ®L_ 2-fi•rih dw 1ae OCcagns +durns>t1 vR(31 Mb t7 ! Lob oldie...01 bolatiielko h Wide plldaa r a.'.as.t _,_+s�1 _ , � r -•a— x111lRrt l rt[ki VW UN'Anan 7Pie.�llr� COO bobs w air ir: tiTi' rIto' ..c.iklr.�1]llifw IW�Tar pr,.aa tlsl,wwe,a gala Tat it I6 cryxl.al>trn-i►rYr.O Or-VMS— rwrneA W.Iii a -.�1 .. rss` —�-- t..tlr.w�en 90A1"cut�ar1►illaddiaritiilln r tub a0e: vaatnid tf 7h Rai.ril•aaaaiaa••* IL%f .— . - yrrarrocaor Ise.1000 lt.,„J 4 raw 2 ' _. - Sages___t.0.Dore e- ,.l 2 1 - ww..la..uc ter..Nom Y.._,,,.1 Paw 7. _ nadkilm.pe+'emaa 31.. 110.0:1112 rat►. 1 S l .- D1�iixt,Tn(1K Ili'wUlttt ~ 23 tl' - • Maus were _ Ham A/iMliaal iledrw_ 2,.02 Cork or bewail 30.02 Flo arerr.mp 23.02 `""" 0 remarry mown i 0 71t111AlRi' 1:410aaiia__ I ail T -- l"ialsltfe.ae cap [ 25102 +.e.c T.wi An10 tarry Maio .. - 'lox braio4leof mkt.*__ -2, � AN aAwr Goias d selol zs.02 crewmen': 1ie`m idt 2/07 I IMI( l rare( 1 Ix.rice _ 1251 ■ AMA!WI- 0 I01itA4 MOON ! !r<llsac 1 ► S.1" dial so traC.S 1 _ Page _______t Is.CY s ami eliln Primo 15 1.----7 C01000 aP 110 ..Chia h1. 1 - K «7i 0 it.alad/ 7 tI iddrt.�1 SSW iaae�Si Y � Si iibrkany' W 2 tely,91aar7 W 11aR.wSss Co.'ma i Solo sob ipmeib r 1.0.1) 62 Sa now( 3).1<IR7 1 err•t+1sR► weri.1wa pit L , 12 ti 1 _ - - • 1'„wi 23.02 - f-w1ri1 dime ime / ta= m - - W CIO CERAR"r[1R _ waw..rein 37.5: "inn a aoaRC 1 A11t/�/ "/1/AdAQ 7 .. 12.'+0 i plawo v .. - 5620 MI row ,.s, oSF A3 - Pci _ Iri _. i . _ ' -City: ter/ir- fi.. •ca. Q a..aari 11't<-03l 34,/ - _) l .. u n....1 pima kie:m.30 /�46)63,.r 1s s P 1�.1 • .of pea=60 C[llLre 1+c.0 i sews wear.i12%.of,omit60 so Ausinrilesd 7 !Y TOTAL PLOW rrx ••..•..a..d1k n as V ...Cr.",R.11.0 Wray Scrwe 11n.d I I.,Vrerfea+1.1.:fi...L w rntn... ..r.,i.:ri tiasn*amts. On Apr 2, 2014, at 7:39 AM, Chris Pete <cp.craftsman @gmail.com> wrote: See if this will work On Wed, Mar 26, 2014 at 8:15 PM, <tandresiplumbing @gmail.com> wrote: Dear craftsmaman, Your invoice is attached and includes payment-due information. Please let us know if you have any questions. Thank you for your business. Sincerely, Andresi Plumbing Chris Pete Craftsman Construction Phone: 503-998-8027 Web Site: www.craftsmanconstruction.us Oregon Certified Master Builder Members of: BBB,ORA,NARI CCB#163586 tACCREDITED BBB Rating: A+ BUSINESS As of 04/02/14 BB$. Click for Review <Stott Plumbing Permit.pdf> • Mechanical Permit Applicatio>IECEIVED FOR OFFICF. l'SF.011.1 11‘ City of Tigard Date/By: / 9//y ( `� ) Permit No.:M171—ekt —OC:t. y J I. . 13125 SW Hall Blvd.,Tigard,OR 97223 n Pp 3 2014 Plan Review Phone: 503.718.2439 Fax: 503.598.19 I� Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Julia: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK CO1rAlI11:RCML FEE* USE CHECKLIST 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 RESIDLrN'ML 1PQunimeNr/SYSTEMS FEFS" ® 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 SUE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:13975 SW High Tor Dr Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 1 23.32 Cross street/directions to job site: Hydronic hot water system 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Bedroom And Bath fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Toni and Larry Stotts Range hood/other kitchen equipment 33.39 Address:13975 SW High Tor Clothes dryer exhaust 33.39 City/State/ZIP:Portland Or.97334 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) l 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Craftsman Construction Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Chris Pete Furnace,etc. Address:9850 SW Denney RI) Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton Or 97008 Water heater Phone:(503)998-8027 Fax::( ) Fireplace Range E-mail:cp.craftsman @gmaiLcom Barbecue CONTRACTOR Clothes dryer(gas) Other:name: LS°..:- ctjA)S MECHANICAL PERMIT PEES" Address: ell-Sc 3� J P,s-I' Q_ Subtotal City/State/ZIP: OR ./(30 S Minimum permit fee($90.00) I Plan review(25%of permit fee) Phone:(,03)'N%,i-c)a....7 Fax:( ) State surcharge(12%of permit fee) CCB lic.: /63Sft, TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Chris Pete Date:4/2/14 1:\Building\Penmits\MEC_PermitApp_040I I3.doc 440-4617T(I I/02/COM/W EB) Electrical Permit Applica4 I CEIVEI) _ < <,,: City of Tigard ;-'__ Erin ' iiiM I Permit No. `) ,/t,/-'co 3 13125 SVr Hall Blvd,Tigard,OR ' ,•4s 3 2014 Plan Review a Phone: 503.718.2439 Fax 503.5' h :pig. Other Permit: Inspection Line: 503.639.4I75 Date Itsmi By: fair H Sw Page 2 far «wt: www tigard goy CITY OF T1GARP Notffledeldmhod: Seppka estel Intbanstion ❑New construction ®Addition/alterationkeplacement• Please cheek all that apply(submit 2 seta of plans wrxems chocked below): ❑Service or feeder 400 amps or more 0 Building ova three stories ❑Demolition ❑Other ahem the availsbh.fauk emir r t Q Marinas and boatyards. exceeds 10,000 amps n 150 volts or 0 Floating buildings i less to mod,or exceeds 14,000 0 Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other netallations. buildings. ❑Multi-family ❑Master builder ❑Otltt t 0 Fire Pomp. 0 Installation of 150 KVA or 0 Emergency larger separately derived system. m ' ( S I 7 �C A ❑Addition of new motor load of ❑"A'."E"."1-T. "1-3". Job no.: Job site address:13975 SW High Tohr DR 100HP or mare. Q Six a more residential units. ❑Recreational vehicle parts City/State/ZIP:Portland Oregon 97334 ❑Health-care facilities. 0 Supply voltage for more than Q Hazardous low. 600 volts nominal. Suite/bldg./apt.no.: Project name: 0 Service or feeder 600 amps or more. Cross street/directions to job site: oasraM+r. ) . 1 Tee. ( Taal I New resiamsdal single-or sated-family dwelling taut. Includes attached fie. Subdivision: Lot no.: 1,000 sq.R or less 168.54 4 Ea.add'!500 sq.ft.or portion 33.92 1 energy, i fat{Irtap/pal no.: T10N O$ iY 1 L (orith above s4 ft-reaad)eanai 75.00 2 Limited menu,fly 75.00 I 2 Add bedroom and bathroom hmideatia)(rte above sq.R) Services or feeders hastalladoss,akeradon,and/or relocation []-'PROPERTY Owr - f 0-11I IA&NT 1 - 200 amps or less 100.70 2 201 mops to 400 amps 133.56 2 Name:Toni and Larry Stotts 441 amps to 800neaps 20034 2 Address:Same as above ' 601 amps to 1,900 amps _ 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: ', Temporary services or feeders hestallation,alteration,and/or Phone:( ) Fax:( ) relocation • 200 amps or leas 59.36 1 Owner installation: This installation is being made on piope r ty that I own Which is not 201 amps to 400 amps 125-08 2 intended for sale,lease,lent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: _ Branch circalts—new,alteration,or extension,per panel _ F A-Fee for branch cuts with la 1t,1Pil A T Ei' 4 P above service or fender fee, Business name:Craftsman Construction each branch circuit 7.42 ' B.Fee for branch circuits without Contact name:Chris Petit service or feeds fee,fiat branch circuit 56.18 2 Address:9850 SW Denney Rd Each adds bands circuit 7.42 2 City/State/ZIP:/Sffitel7lP:Beaverton OR 37008 M�°ns(service or feeder net iaduded) i tY Each manufactured or modular dwelling,service and/or feeder 67.84 2 Phone:(503)990-8027 Fax::( ) Reconnect only 67.84 2 F.-mail:cp.craibman(lgmailcom , Pomp or irrigation circle 67.84 2 r�,.. OR 1 i .. . Signor outline lighting 67.84 2 Business n a m e Et et C. -t-s Signal circuit(s)a limited-energy See passel alteration,a extension. Page 2 2 Address: 4 jiCo Carf,me. G(al 5T 5E_ 205 Bach additional inspection over allowable ht any of the above City/State/ZIP: S Q�-+P�ry� O g 9 7,.�0 a Additional inspection t�hr min) 66.zsi� �--- Investi two 1 terse 66.25/lr 1 Phone:(503)D 56, --qdd C) Fax:( ) industrial plant(1 lr min) 78.18/lir �� lmpectims for which no fee is 90.00/br CCB Lic.: ) Electrical Lic.:e."3 7 Ste-Lic-: 2 755 S zlr•�(LA 1r min) 7 1 lore//ti 'lCAL> `PEES Suprv,Electrician 1 e,rregttinea:f Subtotal: Print name:/r�,c:/<- '�/'�J Icy DaI: 4/Z//i Plan review(25%of permit fee): _ L State age(Iris of permit fee): Authorized signature:- TOTAL PERMIT FEE: \ 4 This permit application expires ire permit is nut ebtaissed'within ISO S Print name: ! i �t� days after it has beat accepted as complete. I { • Number of inspections allowed per permit L1flnuMnng1Permi6UELC_ _Elst ERR.doe Rev 05/21/2013 440-4615rt11/OSrCOM'WEB NV Z6:01.:6 vIOZ/Z/t►:ales ZR :a6ed 66CZ96Z£0S:ol :ovoid DECEIVED Building Permit Number: H Sao I LI— 660 43 APR 32014 UPI CITY OE TIGARD g Buildin Permit Review I-i G,A R 1) BUILDING DIVISION Residential Projects Site Address: (3915 Svc 141911 Tor_ f Verify site address is valid. Project Name & Lot #: SAT) Acc-#r(l-f-ioYt '169 Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995) Required: Yes X No ❑ Received: Yes ❑ No ❑ ..c 1,, •m•, : r !te plan must be on 8-1/2"x 11"or 11"x 17"paper /Three(3)copies of site plan I, i rawn to scale(standard architect or engineer scale) PINorth arrow 11•Map and tax lot number,site address,project or subdivision JFootprint of new structure (including decks)with finished name,lot number,and zoning floor elevations [ applicant information(name and phone number) 'Lot and building setback dimensions N.froperty corner elevations(2 foot contour lines if more than -E of area,building coverage area,percentage of coverage and 4 oot differential) impervious area. LPUr tility locations ocation of wells/septic systems. fisting structures on site OSurface drainage L�'St�r et names E'S`treet tree size,type and location L`erosion control(including drainage-way protection,silt fence CExisting trees to be retained with drip line,and tree design,location of catch basin,etc.) protection measures Planning Review EV(and Use Case Number: 1J I A t ning: R--1 (PC) Ud'Setbacks: _ Front (S Rear t 5 t Side 1 N A Garage �l cJ Street Side / Gara e 51-'Landscape Requirement: 20 Ly'Lot Coverage Maximum: 80 % i CI .} �� Building Height: Maximum Height 3b Actual Height =L1) 51--"Visual Clearance 'asements [ensitive Lands: ❑ Yes Type G7/Urban Forestry Plan Londitions Satisfied Approved by: -A-01.0 ia/4- Date: 4. S.2.04 Notes: Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved Cl Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ l:\Building\Fonns\BldgPermitRvw_RES_123013.docx . , Building Permit Submittal Original Plan Submittal: Date: U/3l/4 By: 6 1 , Site Plans: # -3 Building Plans: # 3 Create Case Record#: 0 Enter case#above for Building Permit Number. Workflow Routing: f: Planning Engineering --Kr Permit Coordinator Building Workflow Sign-off: iff. Sign-off for Planning staff,including notes from planning review(page 1) Route Application Documents: 'Fr 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. Reviewed By: Date: ��/V ll Notes: Engineering Review–reviewed by: -._ r,-,-,/ Actual Slope: ❑ Conditions Satisfied Notes: iV o -rep l✓i 1 s J s-Al t7 &-9 S ct; 4'4 C-n/T 5 • ro S f r r'L.a , 11 roRQ�Lc. r O /f 4A z S-) Approved by: 7......_ 4 >` Date: , , j Revisions(after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ cerconditions Coordinator Review onditions Met-Prior to Issuance of Building Permit Notes: Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to A,; cant ■Okay to Issue Permit- e �� Date: 1 I:\BuildineForms\BIdgPermitRvw_RES_123013.docx 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 13975 SW HIGH TOR DR, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS July 11, 2014 at 10:19:03 AM MST2014-00043 Jeff Grove 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 13975 SW HIGH TOR DR, TIGARD, OR, 97224 299 Final inspection PASS - No C of O July 11, 2014 at 10:19:51 AM MST2014-00043 Jeff Grove Violation Summary: Inspector Contractor