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Permit v CITY OF TIGARD MASTER PERMIT 1111 ' COMMUNITY DEVELOPMENT Permit#: MST2014-00163 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/26/2014 Parcel: 1 S 135AD01900 Jurisdiction: Tigard Site address: 8826 SW SPRUCE ST Subdivision: GRAHAM ACRES Lot: 2 Project: Spruce Village-Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 838 sf Basement: 0 sf Left: 4 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1133 sf Garage: 343 sf Front: 15 Smoke Dwelling Units: 1 Third: 681 sf Right: 4 Detectors: Yes Total: 2652 sf Value: $311,137.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O SVGFdr: 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 2652 Owner: Contractor: WESTLAND INDUSTRIES INC WESTLAND INDUSTRIES Required Items and Reports(Conditions) 12670 SW 68TH AVE#400 12670 SW 68TH AVE STE#400 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: 503-572-0746 PHONE: 503-245-9715 FAX: 503-598-9081 Total Fees: $21,545.20 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 i • •- ce 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. . TENTION: 0 -ron law requires you to follow the rules adopted by the Oregon Utility Notification C-iter. Th•-- es are set forth in OAR 952-4)1-0010 through OAR . -•:1-0','. You may obtain a copy of the rules or direct questions to OUNC by calling 50 r ',It 32.234 . / • A F _If Iss =d By: �.� ' Permittee Signature: /∎∎•∎:.Wilk Call 503.639.4175 by 7:00 a.m.for the next available inspection da This permit card shall be kept in a conspicuous place on the job site until compl n of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE LSE 01L1 Received 1�, Pennit N City of Tigard Date/B : Q / ..��V� °��y�� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi �, , Other P�7YJf//eo4(/� _eQ// Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �/� ��� Inspection Line: 503.639.4175 Date Ready/B : Juris: ia See Page 2 for I I C'AR D Internet: www.tigard-or.gov Notified Method: Supplemental Information 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 1I1 11S7,e5Q 01-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family Number of bathrooms: r El Master builder ❑Other: 5 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ML-b c.o..) 4otte f New dwelling area: -Z6 square feet City/State/ZIP: ']6..,i Dg g7 233 Garage/carport area: square feet C.6 ' Suite/bldg./apt.no.: Project name: ' �(CZA671'� Covered porch area: ( �2 square feet t Cross street/directions to job site: x - l'T Deck area: square feet 843 Other structure area: 2/04. ---square feet 2.(44. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: .I Fes' .( '. V j(�j Lot no.: 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. Zf Q A‘7: Cr Algid Titi"E-ciillv �J�'I^,' Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) / Fax:( ) New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: e 5`TG4>,D 7,--,,, (.47-44 5 i & r Structural plan review fee(or deposit): Contact name: go, f¢,oi.e,$p tJ 7 li" De/,/- FLS plan review fee(if applicable): Address: ���'l $� �$ �/� U Total fees due upon application: City/State/ZIP: -7-7- },€,3 t ',e 9? 22-3 Phone:(S3 ) s7'.-d7i( Fax: :6;0 ) 5V--.9QJ Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: J rg 64 ao 0 /t,Cojyf� Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: L,0- 11 7k L l-f `t-• Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: ?0 �tti �,e'j-,A4 Ora Solar Installation Specialty Code checklist. City/State/ZIP. 1 1`� n C j '72 Permit Fee(includes plan review $180.00 t A t� �7i and administrative fees): Phone:0,�) •� Fax:(52 j ��'-otOc C State surcharge(12%of permit fee): $21.60 CCB lic.: , , ?,14-,,,....c-l ' Total fee due upon application: $201.60 Authorizes '•roc This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. f_,./�' � { *Fee methodology set by Tri-County Building Industry -Print non : ► "� c1.4-041 iKt.r Date •(*�, Service Board.Iker, t•\Rni1dina\Pennni \Rl1P-RESPermitAnn.doc 02/24/201 I 440-4613T(I1i02/COM/WEB) • RECEIVEh Electrical IPeri nit Application r _ CEP 3 0 20 4 Received • Permit No /$' j/1.1.—GO/ 3 City of Tigard SEP .-' • ° 13125 SW Hall Blvd.,Tigard,OR 97223 ` Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.190ITY OF1'IGARD DateB 7uris: 8 SeePage2for Inspection Line: 503.639.4175 pate Ready/By: Supplemental Information TIGARD Internet: www.tigard-or.gov BUILDING DIVISIONNotified/Method: PLAN REVIEW TYPE OF WORK Please check all that apply(submit 2 sets of plans w/items checked below): . New construction ❑Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. exceeds 10,000 amps at 150 volts or 0 Floating buildings. CATEGORY OF CONSTRUCTION less to ground,or exceeds 14,000 ❑Commercial-use agricultural Accessory buildin amps for all other installations. buildings. and 2-family dwelling ❑Commercial/industrial ❑ �' g ❑Multi-family ❑ ❑Fire pump. ❑Installation of 75 KVA or Master builder ❑Other: larger separately derived system. ❑Emergency system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A"•" r• 100HP or more. occupancy. / �r / ❑Recreational vehicle parks.• Job no.: I Job site addres _ e ( ❑Six or more residential units. ❑Supply voltage for more than 7, _ 7 ❑Health-care facilities. 600 volts nominal. City/State/ZIP: �C (� `� �/% ❑Hazardous locations. n,, ` f ❑Service or feeder 600 amps or more. Suite/bldg./apt no.: Project name: `r f �� I FEE SCHEDULE * Cross street/directions to job site: Neei tens e . Fee- Total .j New w residential single-ormulti-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less � 168.54 C n i ! I Lot no.: " 33.92 —Q Subdivision: )P�GGc% - It i e L ( -- Ea.add']500 sq.ft.or portion © Tax map/parcel nol: Limited energy,residential 75.00 with above s•.ft) 1111 r DESCRIPTION OF WORK Limited energy,multi-family 75.00 f /` ., / [� / residential(with above s•.ft.) ( 1'/ 5. L� �V Cwt/ 5Cie /t��'�L Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 11111 133.56 401 amps to 600 amps 1111 200.34 —©III 601 amps to 1,000 amps 301.04 — Name: 2 rii Over 1,000 amps or volts 552.26 Address: Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation 1 ( , Fax:( ) 200 amps or less 54.36 125.08 2 Phone: ) 201 amps to 400 amps 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 Date: A.Fee for branch circuits with Owner Signature: above service or feeder fee, 7A2 2 ZA—PPLICANT I ❑ CONTACT PERSON each branch circuit B.Fee ice branch f dcircuits without . -© Business name: �J(�S�L��117 �/Q��57 l S service or feeder fee,first 56.18 f branch circuit El Contact name: go{j A,DE-Jscv/]7 f1 v 77�9�Q/�'c'6"J Each add'I branch circuit 7.42 El Miscellaneous service or feeder not included Address: / Q 5a) Cj - �U>✓ 54,r y f C/ Each manufactured or modular 67 84 City/State/ZIP: �&)/ l�� Vn /2 ) 7 dwelling,service and/or feeder Reconnect only 67.84 Phone:(c-05 )57)- i7 7 '(, I Fax: :(�03) L lo Pump or irrigation circle 67.84 E-mail: Sign or outline lighting 67.84 CONTRACTOR Signal circuit(s)or limited-energy Page 2 ,� i, panel,alteration,or extension. Business name: EL C'"—,e/61- h./ ,) ,'A-r70V 5 Each additional ins section over allowable in an of the above ■ � Additional inspection(1 hr min) 66.25/hr — Address: Z G-! '��'1 (J2 66.25/hr _MI ��- -. J 6- Li— Investigation(1 hr min) - ty ��� - 9 709/99 Industrial plant(1 hr min) 78.18/hr I City/State/ZIP: 3 51 . "9' ' r•�' ' /y j -7 L, n Inspections for which no fee is 90.00/hr Phone:(��) 7s G> 7r, Fax:( F .) l l V � '�1 specifically listed(V2 hr min) n� Suprv.Lic.: ELECTRICAL PERMIT FEES CCB Lic.: ( '�— I Electrical Lic.: - r� (9L p �1 Subtotal: Suprv.Electrician signature,require �� � %-al/d Plan review(25%of permit fee): State surcharge(12%of permit fee): Print name:� tl Date: TOTAL PERMIT FEE: Authorized signature: I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I Date: * Number of inspections allowed per permit. Ac,crn 1/nc,COM/WEB MechaniMechanical" CEIVEI�leer II it Apphnca .� . . FOR OFFICE. 1 �l ;O\ l'1, 1,•., Dateivy. -- PermitNofis/ !iii '00/4s . CIty of Tigard 2014 Received ° 13125 SW Hall Blvd.,Tigard,OR 9722EP Plan Review Other Z' s; Phone: 503.718.2439 Fax: 503.598.1960 DatelBy: Inspection Line: 503.639.4175 CITY OF T IG ARD Date Ready/By: Jails: 0 See Page 2 for L Co G1�RI-. Internet www.tigard-or.gov ��1 1 OF Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK - COMMERCIAL FEE* SCHEDULE—USE CIIECIQ,IST Mechanical permit fees*are based onthe value of toe work L ew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit 1:1 Demolition ❑Other: Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL.EQUIPMENT/SYSTEMS FEES* 10J 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 Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning r , .� (requires site plan showing placement) 46.75 Job site address: Z(� �;` 1�i �� (� ''"( , Furnace 100,000 BTU(ducts/vents) 46.75 City/State/Z1P: �� I L1�7� Furnace 100,000+BTU(ducts/vents) 54.91 �- `f ._ Heat pump Suite/bldgJapt no.: Pmiect name: (�( ;G. (requires site plan showing placement) 61.06- Cross street/directions to job site: y- ` l". Duct work 3.32 r 't - Hydronic hot water system 23.32 Residential boiler(radiator or _hydronic) 23.32 Unit beaters(fuel-type,not electric), 46 75 in-wall,in-duct,suspended,etc. e/vent for any of above Ot 23.32 Subdivision: ' / �r Lot no.: Other. 23.32 Tax map/parcel no.: "`JJJ Other fuel appliances: Water heater f 23.32 DESCRIPTION OF WORK 33.39 Gas fireplace ;4 [ P' . 'N O/l G Flue vent for water heater or gas g"' fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER. I ❑ TENET Other. 23.32 Name: Environmental exhaust and ventilation: Range hood/other kitchen 1 33.39 Address: equipment City/State/EP: Clothes dryer exhaust f 33.39 Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) Attic/crawlspace fans 23.32 APPLICANT ❑ CONTACT PERSON 23.32 _ n Other. Business name: { ] .tg���� j V��• Fuel piping: !� /� �4r- s/ $14.15 for first four;$4.03 for each additional Contact name �� � �Or_ �in- �(�,- �%d c f. 1"_ ��, Furnace,eta Address: f' -7 �j *et, Gas heat pump City/State/ZZIP: 1 CD Wall/suspended/unit heater Phone:Q�� )�7�-0! t��J27 i L ( set`9r,) Fireplace r 1 E-mail: s�"`: %�) I.' ii L .( .' {i'l''f''ta\+ lo l�E Range ; CONTRACTOR Barbecue Clothes dryer(gas) Business name: ®y � � lr Other. Address: l�•r� tT .— ' _ MECHANICAL PERMIT FEES*�1 U. l -7 t;9 City/State/ZIP:%_../J., / ✓ r ) .�¢„ -/ t ( i Minimum permit fee($90.00 Phone:( `'>O I r 74� ... Fax:( ) Plan review(25%of permit fee) CCB lic.: ; `�`'' State surcharge(12%of permit fee) r �3 $ 7�IQ l .� `r TOTAL PERMIT FEE /1, 3a This permit application expires if a permit is not obtained within 1 80 Authorized signature: (Jl`�� days after it has been accepted as complete. - - r"i 1) i - ''''"--- 1 n'to. I • Fee methodology set by Tri-County Building Industry Service Board• F ?lull,binE Permit A,1�Iicatio ECEIVEIl Building Yixtures oll'61; 11-'--.Chi ,Y ixn S E P 3 0 2014 Received Permit No S �/['---00/473 City a$"�➢g�ll'Q� DateBy: r.•: 'v 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review Other Permit No.: t Phone: 503.718.2439 Fax: 503.5 UFTIGARD Date/By: Inspection Line: 503.639.4175 Date Read By: runs: H See Page 2 for �,�,�� pl1ILDING DIVISION y Supplemental information Internet: www.tigard-or.gov Notified/Method: ---. TYPE OF WORK • • . - FEE`:SCHEDULE For special information use checklist. New construction 0 Demolition Description 1 Qty. 1. Ea. 1 Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath r 312.70 CATEGORY OF CONSTRUCTION - 437.78 SFR(2)bath nd 2-family dwelling ❑Commercial/industrial SFR(3)bath li 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION . Site utilities: p c Catch basin or area drain 18.76 Job site address: � ,Vj i��Li/C�{' i • - , Diywell,leach line,or trench drain 18.76 City/State/ZIP: L�) - 1.Jte ±� `, 2 / ✓ ^ y Footi Footing drain(no.linear ar ft.:_ Page 2 Suite./bldg/apt no.: 1 Project 50.03 Cr { L � utilities t Manholes 18.76 Cross street/directions to job site: {t.ii' 18.76 Rain drain connector Sanitary sewer(no.linear ft.:_) ( Page 2 Storm sewer(no.linear ft.:_) / Page 2 / Water service(no.linear It:_) 1 Page 2 Subdivision: 6 -f 5 11/+ ,, 6,,,_-E� I Lot no.: _ Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve 12.51 DESCRIPTION OF WORK 25.02 Clothes washer �q�� t� 25.02 /16/65 / 6��7,6 l'- 1..C...-7_4_,==- _._---?/ /G yO)i 1 Dishwasher Drinking fountain 25.02 . Ejectors/sump 25.02 Expansion tank CI PROPERTY PROPERTY OWNER ❑ TENANT 25.02 Fixture/sewer cap Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal / 25.02 City/State/ZIP: Hose bib 7,-. 25.02 f 12.51 Phone:( ) Fax:( ) Ice maker 25.02 ['APPLICANT ❑ CONTACT PERSON Interceptor/grease trap Medical gas(value:$ ) Page 2 Business name: /1/0/24i.. °F!`L 0 �� (At� Primer 12.51 Contact name: 66rO o C/-7° AR/(/ .- Roof drain(commercial) 12.51 r- t_'7i) ( 64 �7,, (/ Sink/basin/lavatory c 25.02 Address: yc� CJ _r/ /- ` � /I Solar units(potable water) 62.54 City/State/ZIP: (�l� �dL� ���i� ( 12.51 Fax:•( �-q�l ! Tub/shower/shower pan °� Phone:(L -06_2_,r6 J � Urinal 25.02 E-mail: ."----1---- r_ i _.1/ /rI L_ I 25.02 Water closet CONTRACTOR Water heater i 37.52 Business name: ,6j'0 e j L-40/ej(N ( �-5 Water piping/DWV 5629 �,i Other: 25.02 Address: /72_-'1 14:-;--D1).../ ,e� Subtotal City/StatelZIP: ►cam (( i).7/ t- Minimum permit fee: $72.50 Phone:( ) Fax:( ) Plan review (25%of permit fee) CCB Lic.: q‘3)L( Plumbing Lic.no.:j -76,S-1'W- State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: �� 71 � „ t This permit application expires if a permit is not obtained within 180 days Print nam-. ( Date: after it has been accepted as complete. �l �LLt��1j11r' "Fee methodology set by Tri-County Building Industry Service Board. City of Tigard IIIRI COMMUNITY DEVELOPMENT DEPARTMENT r r c n It Building Permit Review — Residential Building Permit #: /`ISrl'20/y-e6/(o3 Site Address: SS2d0 SSW Spruc.Q S"tYeet Project Name: Spruce. v■lv 9 Lot #: 2. (New dwelling=subdivision n me;Addition or Alteration=last name of owner) Planning Review Proposal: Nalki Sf12 XVerify site address/suite #exists and active in permit system. Site Plan Elements: - Three(3) copies of site plan ,xisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper J2Footprint of new structure(including decks)with finished 'Drawn to scale(standard architect or engineer scale) floor elevations fi-North arrow .Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number Jfocation of wells/septic systems JZ Applicant information(name and phone number) JErosion control(including drainage-way protection,silt fence of dimensions and building setback dimensions design,location of catch basin,etc) J'Lot area,building coverage area,percentage of coverage and j21Street names impervious area(applicable if R-7,R-12,R-25&R-40) S2Street tree size,type and location Property corner elevations (2 foot contour lines if more than f2ifxisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes / No Received: ❑ Yes ❑ No Land Use Case#: 12, Q J 3- oc -I Zi Zoning: R-1 2_ se Setbacks: Front 15 Rear I S Side Li. Street Side MA_ Garage 2,p Z Landscape Requirement: 2.0 % -Er Lot Coverage Maximum: so % Zr Building Height: Maximum Height 3s Actual Height ± el ..0"Visual Clearance .Easements J`r Sensitive Lands: 14 Yes ❑ No Type VAN \(j lut f1011 91 I Z1t ..2 Urban Forestry Plan %Conditions Met Notes: Approved By Planning: Date: q 30 (( '-i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved .rilding\Forms\BldgPermitRvw_RES_042914.doex Building Permit Submittal Original Submittal Date: y/..//y Site Plans: # Building Plans: # 3 Building Permit#: 0-Enter building permit#above. Workflow Routing: 0-Planning 2--Engineering Permit Coordinator $Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: _/9/0/04 PT�i✓-zs//✓Q r/ L€ tZ 57 Pe-f nv,AJG ,ter/-6//✓6 t Vic-fAlE�i--' - Ls1L' i /l/ .4 I a -'7 , 4- s_.. ea/7-, By Permit Technician: d',. -r / pate: p/SO//, ///101V,ptst-e_e0i4 -4. t-i-i-' 113.- cd.44_2,/ -/- 1,4, ,_ ; ' C _4„Li3 Engineering Review ❑ Actual Slope: ❑ Conditions Met Notes: >`i,yr�//!.° �� Approved by Engineering: 4G1,Lt Date: // 1-o Y2/ Revisions (after Building Submittal only) Reviewer Date Revision 1: Cl Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit Approved by Permit Coordinator: / Date: "/ACV/ 1:\Building\Forms\BI dgPermitRvw_RES_042914.docx CITY 0:= T:GAIZL. Approved by Planning Date: 9 nitials: Ale- .107 _Ls --)- JS' Ms '07 119 Pining WACO ail NIUMI Gal a 340h ail HUM ail 111v »w Iffrid glo Nem Mil to3 MIAMI MIK 14111A p ON io011 A*VW Si/ Wald - d1SOdW1 AS £ L ' � Z N 01 ; 1 10- � 044, — loa a nJ -141 .0ereZ a,9Z.G0Ci6SN r NoIsrnio 9NI01111e _ QAV9I1 40 AID VIOL 0 E d3S u3nl3a3}11 fto —A/cj sw e L 00101 '3'44 Hl'v`9 S Z ▪ 'W6C19 fi - '.14 'CS 1-991Z Ofir N u z 0 0 6 m w 'CD cD .9,Zt oi --- nc=1 .13 �w N011b' 1a34 -WM ao 11i91a1 ,3t -wm3AINC "ONO )rn1ds Ms 4 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8826 SW SPRUCE ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2014-00163 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Street tree certification received. Moisture content form received, High efficiency lighting form received. Insulation certification checked. C of 0 left on site. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8826 SW SPRUCE ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2014-00163 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections done. 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 8826 SW SPRUCE ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final FAIL MST2014-00163 David Young cleanout plug needs approved thread sealant at: 316.1.1l Attach hard cap to unused rain drain stand pipe. All else ok. 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 8826 SW SPRUCE ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final PASS MST2014-00163 David Young Note: cap and label dryer vent for future use, will check at final. M1502.4.6 Violation Summary: Inspector Contractor