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Permit — .1 i ICITY OF TIGARD MASTER PERMIT I . COMMUNITY DEVELOPMENT Permit#: MST2015-00047 T[(J AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2015 Parcel: 2S102CA00600 Jurisdiction: Tigard Site address: 13515 SW ASH AVE Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project: Ashwood, Lot 4 Project Description: New SF. 5/28/15, Demo credits from BUP2015-00035 applied to TDT& Park fees. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1043 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23.5 Bathrooms: 3 Second: 1470 sf Garage: 399 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2513 sf Value: $294,867.21 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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!500 sf: 4 201-400 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 2513 Owner: Contractor: LF 4 LLC JTSC LLC Required Items and Reports(Conditions) 9700 SW FREWING ST 5285 MEADOWS RD,SUITE 171 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 LAKE OSWEGO,OR 97035 PHONE PHONE: 503-308-7324 FAX: 503-684-0102 Total Fees: $8,114.76 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 th6 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob-' a copy of the rules or direct questions to OUNC by calling 503.232.1987 .33 2344. / ,-------- Issued By• 'i`r,-_,„____ Permittee Signature: ��1 503.639.4175 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 completroffof the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY Received City of Tigard �G�v Dat = : / Permit No.. �/ /�� Phone:SW Hall Blvd.,Tigard,503. G Plan Review�� tan Other Permit: '/2-gel 0 Phone: 503.718.2439 Fax: 503. Date/B : �f�sti TI G A R n Inspection Line: 503.639.4175 4 1 56 Date Ready B : Juris 0 See Page 2 for Internet: www.tigard-or.gov ��R 3 RD Notified/Method: Supplemental Information TYPE OF 10'P REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑ 10 ttion 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. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: 39,a-Tern Number of bedrooms: ❑Accessory building ❑Multi-family 5 h of bathrooms:oatrooms: ❑Master builder 0 Other: Number 1,5 JOB SITE INFORMATION AND LOCATION Total number of floors: z Job site address: \3 t,t�{`. A Ave New dwelling area 25(ware feetc b 3 City/State/ZIP:TIGARD,OR 97223 Garage/carport area:34q square feet Suite/bldg./apt.no.: Project name:ASHWOOD Covered porch area: a square feet Cross street/directions to job site: SW FREWING STREET AND SW ASH AVE Deck area: b_ square feet Other structure area 2t9 square feet 2`3 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: AS 4W00 D Lot no.:y 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 work indicated on this application. NEW SINGLE FAMILY RESIDENCE Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: LF 4,LLC Type of construction: Address:5285 MEADOWS RD STE 171 Occupancy groups: City/State/ZIP:LAKE OSWEGO,OR 97035 Existing: Phone:(503)657-3402 Fax:( ) New ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:JT SMITH COMPANIES (Please refer to fee sc6edute) Structural plan review fee(or deposit): Contact name:JOHN WYLAND FLS plan review fee(if applicable): Address:5285 MEADOWS RD STE 171 Total fees due upon application: City/State/ZIP:LAKE OSWEGO,OR 97035 Phone:(503)209-7555 Fax::( ) Amount received: E-mail:JWYLAND@JTSMITHCO.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:JTSC,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5285 MEADOWS RD STE 171 Solar Installation Specialty Code checklist. City/State/ZIP:LAKE OSWEGO,OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)657-3402 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:200237 I /`�/ 7 Total fee due upon application: $201.60 Authorized signature: ((( 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 Print name:JOHN WYLAND Date:3 �� Service Board. I:\Building\Permits\BUP-RESPermi p.doc 02/24/2011 440-4613T(I1/02/COM/WEB) Electrical Permit Applic ICEIVEP FUIL(1FF1( 1: l tiF O\Ll City of Tigard Received Permit No.: C �Y Dale/B : tl/LL�1 �lp�/5--�'� �.` 13125 SW Flail Blvd.,Tigard,OR MA 3 1 2015 Plan Review A : Phone: 503.718.2439 Fax: 503.598.1960 Daft/B Other Permit: �d[r yL2C4/S—ar I I G A R 15 Interne on Line: 503.63.4175 i v ITY OF Ti�'A�[>t Date Ready/By. turn El See Page 2 for Interact: www.tigard-or. ov t 7 Notified/Method: Supplemental Information T 3 z)I I, l i - PLAN; ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 100 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 150 KVA or ❑Emergency system. larger separately derived system. JOB.SITE.INFORMATION e1411p:,I;OCATION .~ ❑Addition of new motor load of ❑ Job no.: Job site address: ' IOOHP or more. occupancy. 135 1 rj j�L� >�J N �U e 1 ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: A S'\w 0 t 0 ❑Service or feeder 600 amps or store. FEE SCHEDULE Cross street/directions to job site: : ' n W 1 NI(. ' ) Description I Qty. I Fee. I Total 1 • A New residential single-or multi-family dwelling unit. as K A V e Includes attached garage. Subdivision: As g ww D Lot no.: LA 1,000 sq.ft.or less I I. 168.54 I D'.54 4 Tax ma ! arcel Ea.add'I 500 sq.ft.or portion 33.92 1 P P Limited energy,residential DESCRIPTION OF WORK sq. ) k 75.00 2 (with above ft. Limited energy,multi-family 75.00 2 Electrical for new single family residence residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ® PROPERTY OWNER 0 TENANT 200 amps or less I 100.70 2 201 amps to 400 amps 133.56 2 Name: L ' y t i_ - , 401 amps to 600 amps 200.34 2 Address:5285 Meadows Road Suite 171 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)657-3402 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 ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7 42 Business name:JTSC,LLC each branch circuit B.Fee for branch circuits without Contact name. service or feeder fee,first 70NN W /LAND 56.18 2 branch circuit Address:5285 Meadows Road Suite 171 Each add')branch circuit 7.42 2 City/State/ZIP: Lake Oswego,OR 97035 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 Phone:(503)358-8955 Fax: :( ) dwelling,service and/or feeder //�� " Reconnect only 67.84 2 E-mail:t i wy I Qnd t� ,{'SIY■(- C±). CO 111 Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: 4i ',r---( Signal circuits)or limited-energy See _ pp I_j panel,alteration,or extension. Page 2 2 Address: ,J 210 J31/boewUOCt'/L ` S 1'eJ Each additional inspection over allowable in any of the above " > Additional inspection(I hr min) 66.25/hr City/State/ZIP: �1,1sh0-ye) ON /3,,,,..,! )3 ^y L Investigation I I hr min) 66.25/hr Phone:(g03) � � � Pax: rr (pl�oc 7��5' Industrial plant(I hr min) 78.18/hr s Inspections for which no fee is UO 001 hr CCB Lie.: �//5c1 Electrical Lit.: / f pr_, 'c: 3170'5 specifically listed(%hr min) e--r <'' ELECTRICAL PERMIT FEES Suprv. Electrician signature,required: 74 `4 Subtotal: 31 I • 00 F ' � Plan review(25%ofpermit fee): Print name: I il; l A Date: 3 1 31 I1 J / State surcharge(12%of permit fee): y (4 .5 a Authorized signature: { TOTAL PERMIT FEE: l_1 5. 5 Print name: (, `f /` (I Date: 3 7 1J 1 'S This permit application expires if a permit is not obtained within 180 �'Y days after it has been accepted as complete. — t -T . Number of inspections allowed per permit. I'nuilding'..Permits-ELC PermitApp_ELR_ERE doe Rev 55121/2011 • 440-W 5TtI I/O5/COM/WEI Mechanical Permit Applic do FOR OH I( I' I sF ON1.1 11111 City of Tigard litEIVEP Date/By:e �� Permit No.: ) ( � iii 13125 SW Hall Blvd.,Tigard,OR 97223 ®�� S g Plan Review `_ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: 5(Ai-9j/s—C'j)349 I I t;,�I:I., Inspection Line: 503.639.4175 MAR 3 1 2015 015 Date Ready/By: runs. MI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TI6ARI) TYP MMO •DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees'are based on the value of the work New construction ID Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all VaketoOSNK ❑Demolition *AC; ❑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 Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:97_0U C1i `ve ng k N5 i rj SW AS N A V ) I 46.75 4(a.15 Furnace 100,000 BTU(ducts/vents City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Ashwood Duct work 23.32 Cross street/directions to job site:SW Frewing and SW Ash Ave 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:Ashwood Lot no.:4 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater I 23.32 .2 3.3,2, DESCRIPTION OF WORK Gas fireplace/insert ) 33.39 .33-3Q Flue vent for water heater or gas Mechanical for new single family residence 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 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:LF 4,LLC Range hood/other kitchen equipment 1 33.39 33,39 Address:5285 Meadows Rd Ste 171. Clothes dryer exhaust 1 33.39 33.3q City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 C)3,aV Phone:(503)675-3402 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT Q CONTACT PERSON Other: 23.32 Fuel piping: Business name:JTSC,LLC $14.15 for first four;$4.03 for each additional Contact name:John Wyland Furnace,etc. a I 1 -15 Address:5285 Meadows Rd Ste 17. Gas heat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego,OR 97035 Water heater i Phone:(503)209-7555 Fax::( ) Fireplace I Range I _• E-mail:jywlyand @jtsmithco.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Integrity Air Other: MECHANICAL PERMIT FEES* Address: 12042 SE Sunnyside Rd Ste 693 Subtotal 3,:g.1.4,3i City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Phone:(503)572-3594 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lit.:203869 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:John Wyland Date: 3_131((5 r.\Building\Permits\MEC_PermitApp_0401 I3" 440 6171(I I/02/COM/WEB) Plumbing Permit ApplR iCEIV fl Building Fixtures FOR OFFICE USE ONLI City of Tigard MAR 3 1 2015 Received iIFQ/ IC Permit ,900/45--a6 7 • 13125 SW Hall Blvd.,Tigard,OR 97223 f Date/By: if J 22 Phone: 503.718.2439 F V AD Plan Review Other Permit No.: S- Z rJ� Inspection Line: 503.63 4 Date/By: I I GARD _;n NC DIVISION' Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or ,I�I,�'T Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. Description Qty. I Ea. 1 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 ® l-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 Accessory building SFR(3)bath I 500.32 50032 El ry g ❑Multi-family Each additional bath kitchen 25.02 a ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site addre 1135‘vi S W Ns 4\ Q Catch basin or area drain 18.76 V Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:ASHWOOD Manufactured home utilities 50.03 Cross street/directions to job site:SW FREWING STREET AND SW ASH AVE Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft 1 r Page 2 J Storm sewer(no.linear ft. 9 1 Page 2 Water service(no.linear tt Page 2 Subdivision:ASHWOOD I Lot no.:4 Fixture or item: Tax map/parcel Backflow preventer - 31.27 DESCRIPTION OF WORK Backwater valve 12.51 I Clothes washer 25.02 _ Plumbing for new single family residence Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:LF 4,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:5285 MEADOWS RD STE 171 Garbage disposal 25.02 City/State/ZIP:5285 MEADOWS RD STE 171 Hose bib 25.02 Phone:(503) 657-3402 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:JT SMITH COMPANIES Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:JOHN WYLAND Roof drain(commercial) 12.51 Address:5285 MEADOWS RD STE 171 Sink/basin/lavatory 25.02 City/State/ZIP:LAKE OSWEGO,OR 97035 Solar units(potable water) 62.541 Phone:(503)657-3402 Fax::( ) Tub/shower/shower pan 12.51 E-mail:JWYLAND@JTSMITHCO.COM Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: "'r he Hulk% CO .Aba ttiwan)Kaki, PI%W1hl ■y Water piping/DWV 56.29 Address: 14 01 A SE Await ?..0A0 J Other: 25.02 City/State/ZIP: t)%Ll sb0 it0 t O R 91123 Subtotal .rVS) CIL � 0113 Minimum permit fee: $72.50 Phone:( ax:( ) Plan review (25%of permit fee) CCB Lic.: Ci k trot Plumbing Lic.no.:b{,f.1•0 i>t b r State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I t This permit application expires if a permit is not obtained within 180 days Print name:John Wyland Date: J M!!� after it has been accepted as complete. """777 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(I0/02/COM/WEB) . . City of Tigard Ilq _ , COMMUNITY DEVELOPMENT DEPARTMENT x 1-11-0 hrn T I G CR D Building Permit Review — Residential Building Permit #: Hirc96/ 3 do2Y 7 Site Address: a G i ∎. - 11 ' • , /Z5-75 ao 4eail y4OL Project Name: A5hyJo Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: nevi SF on ex s-� n� q \o- prloc to subd\vl�on FI fecoidlno' 1hoi,ne, will be mrldW,l Ildme. durl su,b-VW cons �rucr l JJ I/Verify site address/suite# exists and active in permit syst . m River Terrace Plan District: ❑ Yes No Site Plan Elements: Vree(3)copies of site plan gi: sting structures on site V ►�fe plan must be on 8-1/2"x 11"or 11 x 17"paper "o otprint of new structure (including decks)with finished IYJrawn to scale(standard architect or engineer scale) oor elevations t North arrow LYJ Utility locations(required for new,may apply for additions) 1e address,project or subdivision name and lot number ocation of wells/septic systems pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions sign,location of catch basin,etc.) $Lot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) ®/Street tree size,type and location VProperty corner elevations (2 foot contour lines if more than '$Lxisting trees to be retained with drip line,and tree 4-„foot differential) protection measures Le Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): /equired: ❑ Yes,applicant was notified C No Received: ❑ Yes ❑ No LI Public Facilitti Improvement(PFI) Permit: �� Required: V Yes,applicant was notified ❑ No Applied For: Lid Yes ❑ No,stop intake { f'Land Use Case#: Sy B2_0114- 1-1 N Zoning: R- I-1 .CJ 0Setbacks: recv j f,J ( j) Front Rear `c (2g') Sides ( )Street Side (j(z�')Garage42d (27' $ Landscape Requirement: % zo N s'+de 1 } 'CI Lot Coverage Maximum: % q.5,on 3W .`de' LP�n 1 r9 `r'ecoide ❑ uilding Height: Maximum Height 30 Actual Height-s/23 J isual Clearance I Easements L11 ensitive Lands: ❑ Yes LJ(No Type Urban Forestry Plan '$-Conditions i`Met"prior to issuance of building permit Notes: t-,€ SF on E Ins 1, PCYfhI r 6) ri3iii- Approved By Planning: I ji • re Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_031015.docx Building Permit Submittal / Original Submittal Date: ,g/ / Site Plans: # Building Plans: # 4 Building Permit#: Enter building permit#above. Workflow Routing: D.—Planning p"-Engineering D'Permit Coordinator Building Workflow Sign-off: D—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. D.—Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: 1 _, e)-71-1 Atic9°1 5----("° By Permit Technician: `�-04 Date( / Engineering Review [!(Slope at building pad: 5 V ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat 7N/S J 5 rasZttC•1 844 • ❑ Water Quality/Quantity Facility: TO A.J Y Day. 'or - Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No CO 44 TC LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: /%1 o / N /=-0444_s:7-a , c-Ti! c r_40e rTs2 N!c 17--- 17 Y' .y. Approved by Engineering: �/ Date: 1.1 . i /5- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit rA pproved, NOT Released: I , Date: / Se Notes: E iC G27-2 t.�6 C- `+1--- —jeleP 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: y, I:\Building\Forms\BldgPermitRvw_RES_031015.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 13515 SW ASH AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00047 Chip Barnett 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 13515 SW ASH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00047 Chip Barnett No A/C installed at this time 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 13515 SW ASH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2015-00047 David Young Provide city required documents for ﬁnal inspection. Street tree certiﬁcation, moisture content form, high efﬁciency lighting form, duct seal test report and insulation certiﬁcate. Upper level bedroom by stairs smoke detector not interconnected to others. Finish grade to slope away from house 6" in 10' or have approved drainage swale. R401.3 Seal ceiling penetration around duct work in garage. Dining area window by patio door to be tempered within 24" of hinged side of door. R308.4.2 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 13515 SW ASH AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS January 15, 2016 at 11:20:53 AM MST2015-00047 David Young Mechanical passed at previous inspection dated 12/21/15. 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 13515 SW ASH AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00047 David Young Note: contractor installing protection Ballard in garage for gas line protection. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Duct seal test report checked Final erosion control approved. C of O left with contractor. Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.243y/www.tigard-or.gov TO: ( i qR D DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 1 7 2015 FROM: J A N zz LLC. GUI AO CITY OF TIGARD COMPANY: ST j' M I TN Col 4 PA^) r BUILDING DIVISION PHONE: 50 ) ` (D 57 - 3 L4 Oa By: RE: 13 SVJ AS !-\ AV" M S-rr1O 15- 000 y -. (Site Address) (Permit Number) A u CsT - ' Cs (. 4T4 (Project name or subdivision name ; d o number) ATTACHED ARE THE F 1 OW G I MS: Copies: Description: ,Lc.oi>ui:,.:,,_flscriptiion: Additional .et(s) of pl. s. 3 Revisions: i CO K- A IJ 0 P,PC,- PATIO Cross sec ion( ) and •-tails. Wall bracing and/or lateral analysis. Floor/r.•f fr. 'ng. Basement and retaining walls. Beam 'alculatio Engineer's calculations. Other(explain): REMARKS: FOR OFACLOE Routed to Permit T chnician: Date: Initialsa Fees Due: es ❑No Fee Description: Amount w y:, O\DID n 1E vtt $ ' D . $ J $ ;d Special Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified:Jai,v, f Date: riat if s— Initials: iQ L.fr, I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012