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Permit (104) 'rt CITY OF TIGARD MASTER PERMIT l' .! g COMMUNITY DEVELOPMENT Permit#: MST2015-00291 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2016 Parcel: 1 S135CD09200 Jurisdiction: Tigard Site address: 11477 SW GREENBURG RD Subdivision: 1994-102 PARTITION PLAT Lot: 3 Project: European Classic Homes Project Description: New duplex, 11477& 11481 SW Greenburg Rd. Demo credits from BUP2015-00325 applied towards 1 unit's SDC fees. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 8 First: 1660 sf Basement: 0 sf Left: 10 Parking Spaces: 0 Height: 32 Bathrooms: 6 Second: 2150 sf Garage: 448 sf Front: 11 Smoke Dwelling Units: 2 Third: 0 sf Right: 10 Detectors: Yes Total: 3810 sf Value: $453,917.49 Rear: 24 PLUMBING Sinks: 2 Water Closets: 6 Washing Mach: 2 Laundry Trays: 0 Rain Drain: 2 Urinals: 0 Lavatories: 8 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 2 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 2 Hose Bib: 4 Backwater Value: 2 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 2 Other Units: 0 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 8 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 addi 500 sf: 6 201-400 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 3810 Owner: Contractor: EUROPEAN CLASSIC HOMES LLC SCANDINAVIAN GENERAL CONTRACTING Required Items and Reports(Conditions) 7608 SW PINE ST 7608 SW PINE ST 1 Ersn Cnirl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 PHONE: 503-452-9457 PHONE: 503-452-9457 FAX: 503-452-9457 Total Fees: $23,591.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th rules are set forth in OAR 952-$' -0010 throug •AR 9 -001 10•$. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 87 .. 2.2344. Is ued By: I /`ll Permittee Signature: k /1j2 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. Electrical Permit Application f FOR OFFICE USE ONLY LJ Received `7l�0l g UPI ' City of Tigard Date/B : ,0 Femtir k:j`-e ()pa. '" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1 �} (� Date1B : a Related Permit ti: • Inspection Line: 503.639.4175 4 �� Ready Date/By: 1uris: El See Page 2 for i ICAP b Internet: www tigard of gov Notified Method Supplemental information t h`f ,' c .iv'B c i[�+,,:t. a .. t f. tw.'?t't'tit x iq,-,.• ?"' ®New construction ❑Addition/4 k;r11Fl04Riala�It1�] ' Please check all that apply(submit 2 sets of plans wlitetns checked): ❑Service or feeder 400 amps or mom 0 Building over three stories, ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. :; r ;:: CA1tEGowy,pF.CONSTRUCTION :." exceeds 10,000 amps at 150 volts or 0 Floating buildings, 1-and 2-family dwelling ElConvnercial/industrial 0 Accessory building toss w ground.or exceeds 14,000 ❑Commercial-use agricultural amps for3ll other installations. buildinl,s. 0 Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 installation of 150 KVA or• bJOB SIT PNFO.RiOriOW ANI)LOCATION ❑Emergency system. larger separately derived n� ❑Addition of new motor load of system. Job#: Job site address: )ltr 4-//1411 Sit] am bae9 Ref 100HP or more. City/State/ZI P: Ti sl 4 V ClQ 97 Z-3 / ❑Six or more residential units. occupancy, ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than • ❑Service or feeder 600 amps or more. 800 volts nominal Cross street/directions to job site: S,,t) t , iJ tFRE,S HEI)IILE . Deseriplion I Qty. I.. Each I Total I e... New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 9 168.54 4 Tax map/parcel# ) S i -SS- C..,b 0/2-0 d Ea.add'1500 sq.ft.or portion 6 33.93 1 :,;DESCRIPTION OF WORE'.- Limited energy,residential 75,00 2aeUJ d upxx (with above sq.ft.) • Limited enetv,multi-family 75.00 2 residential(with above sq.ft.) Renewable Euler See Page 2 :`PROPERflLCrWiWE.R' ; -„., ..? '.'EEM)!i.NT,' - Services or feeders installation,alteration,and/or relocation Name: EtAYOpY417 [ atSSJc oy/ �Ge 200 amps or less 100,70 2 �'/r t.t s tk, ''-01 amps to 400 amps 133.56 2 Address: -76 O g s — 401 amps to 600 amps 200.34 2 City/State/ZIP: )'G�r^‘( /4 Ile O g cp 223 601 amps to 1,000 amps 341,04 2 • Phone:(SO3) t{.5 Z-^9 q c7 Fax:( ) Set'p Over 1,000 amps or volts 552.26 2 y Temporary services or feeders installation,alteration,and/or ' /_e g Email: `• '2Jt' S s aro/, COrvl relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ' '„❑•APPIICAN'i':,'.-: ::-';•A-'.';'::'•-: : ", p.EOS'T.;^[:T 1'-f*UlvI : , Branchcircuits-new,alteration,or extension,per panel A.Fee far branch circuits x ith Business name: above service or feeder Ice, 7.42 each branch circuit ' • Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 06.18 2 City/State/ZIP: Each add'l branch circuit 7.42 1 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular Entail: dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CON I�ACTOft ., ,. ,.•y,si, , a Pump •or irrigation circle 67.84 2 B usiness name: Faf 1-1, c.2 e4-rt /t3 .. V Sign or outline lighting 67.84 ^2 _ Signal circuit(s)or limited-energy Address: .5 i C S �'� _ . 1,••• panel,alteration,or extension. i.--, See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:���� 02 of-73n -6,02-7 ) Additional inspection(1 hr min) 66.25/hr Phone:( -0'3), ' 'f30 -S.CZ Fax:( ) Investigation(I hr min) 90.00/lir Email: Industrial plant(I hnnin) 78.18/hr Inspections for which no fee is CCB Lie.: $&3U 9 Electrical Lic.:aq_ag9Lr, Suprv.Lic.:A,55-765 specthcaIly hSted( hr m90.00/hr,)) .i.FCT_R[C' PF12M1btota- :S` Suprv. Electrician signature,required: Q��p y� ,/� Subtotall 4e' Print name: (Ayin p„ }-.f O�e - . f Date: 0 Plan Review Required(25%ofpermit fee): JStale surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is tint obtained within 180 Print name: Date: days after it has been accepted as complete. l - „ Number of inspections allowed per perish. i i.,Build ing,Permits Ft.C_Pcrnri1App_ELR ERF..d°c key 06173015 *10-4615T(t I'05•COM•wE8 • 7 Mechanical Permit Application FOR OFFICE USE ONLY . City of Tigard CEIV't Received AI / PernritNa: �/ _Fy op _ b _ ' Date/By: �i O`lA l �SoZl� 13125 SW Hall Blvd.,Tigard,OR Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit Inspection Line: 503.639.4175 y; y. ® See Page_for * TIGARD pDEC1 4 Date Read B loris: 2 Internet: www.tigard-or.gov 201=) Notified.Method: Supplemental Information -i 1 1JEtI4 COMMERCIAL FEE* SCHEDULE -USE CHECKLIST TYPE k „ 1F” Mechanical permit fees*are based on the value of the work Zlew construction I] Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* (S.1-and 2-family dwelling ❑ Commercialrindustrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Airconditioning Job site address: )I Li 7? f-I I I.tt'` St 6v'tQ_r1 bl,(�.-C� 46.75 Furnaacece100.000 BTU(ducts:vents) ',/,.... 46.75 p, City/State/ZIP: ) 1 /ti y'd 0/2 97Z2-3 Furnace 100.000+BTU(ducts vents) 54.91 Suiteibldg./apt.no.: Project name: Heat pump 61.06 r Duct work 23.32 SIA Cross street/directions to job site: + C Sat t,( 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: / S i -SS C.-D 09-2_00 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace 33.39 Flue vent for water heater or gas ii-z i,3 G Le p Lt fireplace 23.32 Log lighter(gas) 23.32 Woodipellet stove 33.39 Wood fireplace/insert 23.32 Chimney,'lineriflue vent 23.32 ElPROPERTY OWNER iiTENANT Other: 23.32 Environmental exhaust and ventilation: Name: �1,(,Y'.:eCkby C-r I x s l L I-4c—t.cs („j,,,(,_. Range hood other kitchen equipment 33.39 Address: —7(0 if) c p i y, 5f:-. Clothes dryer exhaust 33.39 City/State/ZIP: Poill*I.411 cvl 0g 97 2-23 Single-duct exhaust(bathrooms, toilet compartments.utility rooms) 23.32 Phone:( C" ) k-i S Z-t- 4s-7 Fax:( ) Sec:71.‘.5:._ Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended-unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: apt in y IS f7 e / Other: ` f MECHANICAL PERMIT FEES* Address: I LI 2,03 lv1 . 3(D4:t' ,7' Subtotal City/State/ZIP: J�NCouff.2 LA 9g(Q`62. Minimum permit fee(S90.00) Phone:(�Q3) C-')I gS 1 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lit.: /97 5y 7 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-CountyBuilding IndustryService Board Print name: x b V G rte -4 Date: /1--/2 tf��� t:Building'Penults\1EC_PermitApp_040113.doe 440-4617T(I 102 COM WEB) Plumbing Permit Application E'j IVED - Building Fixtures FOR OFFICE USE ONLY . 1,1City of Tigard DEC 2 4 2015 Race"ed r a 9Y ��! Pennit No.: .5 �f�.1 S 00.91 - 'I 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: PV Plan Review Phone: 503.718.2439 Fax:44 Or!V�lL Dat Other Permit No.: Inspection Line: 503.639.4175 TIGARD Date Date/By: )oris: ® See Page 2 for Internet: www.tigard-or.gov V/>L'::Ina. Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE \lew construction ❑Demolition For special information use checklist. Description Qty. I Ea. I Total ❑Additionlalterationireplacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 CZ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑ Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: (1477 +1111- i S) 6r genw b -j Catch basin or area drain 18.76 3 Drywell.leach line.or trench drain 18.76 City/State/ZIP: Tp e"q e 0J 1 C.212.• 97z-z-9� Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: c) 6-. 60.1... Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: 1 S I Sc.- Cr, 09 i b 0 Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 -` Clothes washer 25.02 rtuW Cit titiT tsz,A Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 [:CPROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: ;1....(Yn,p<.a - v1 C.--/ rr!a ES( ,;ttiLLS („(_ Fixture/sewer cap 25.02 / Floor drain/floor sink,hub 25.02 Address: Cr,Cc 8 s L� ej KZ. (--' Garbage disposal 25.02 City/State/ZIP: ?e:5:-/-/4 +iL,6! ©(2 ei*7 2 3 Hose bib 25.02 2 Phone:( t3) C 2-9,f 7 Fax:( ) t 31&\ Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 Primer 12.51 Contact name: Root drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR �) Water heater 37.52 Business name: De_/ ti"'/u v-7 bt A.-'i Water piping'DWV 56.29 Address: i 9•g0 5 .E... 10 EC*"A t) Other: 25.02 City/State/ZIP: ('4i4PPY v'41.2_f U 0 2 Subtotal Phone:(503) C'19(6 •-Q y 3 I Fax:( ) Minimum permit fee: S72.50 Plan review (25%of permit fee) CCB Lie.: ! g�� Plumbing Lie.no.: Pg Jt6 2- State surcharge(12%of permit tee) Authorized signature: x C ` TOTAL PERMIT FEE Print name: I( ova:. j ei SC'4 Date: /2/2tl//1 S- This permit application expires if a permit is not obtained within 180 days /` after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.Building Permits PLMU-PermitApp.doc 10 0109 440-4616T(I0 02 COAL WEB) City of Tigard ""' ... 71COMMUNITY DEVELOPMENT DEPARTMENT ._ / /4, T 1 G A R D Building Permit Review — Residential Building Permit #: N( -1-7,9_&is ooa-9 f 6e,0L20/c coa/ 9 Site Address: //'17//iqii Q?6ti,6,A, Project Name: vcope4e) C ssic Lot #: 3(New dwelling/=subdivision name;Addition or Alteration= last name of owner) Planning Review n% Proposal: Nei,/ 4,/ Iv( ILVyerify site address/suite#exists and active in permit system. [ "River Terrace Neighborhood: to ❑ Yes,See River Terrace Review Addendum Attached Site/PPlan Elements: L1'1'h a(3)copies of site planExt g structures on site L�.d,�Sit�lan must lig on 8-1/2"x 11"or 11 x 17"paper LJF'ootprint of new structure(including decks)with finished RE6ra to scale(standard architect or engineer scale) floor elevations LY3<o arrow floor locations(required for new,may apply for additions) L •S'ile.4ddress,project or subdivision name and lot number - ±oc ion of wells/septic systems nplicant information(name and phone number) L rosion control(including drainage-way protection,silt fence L�7.,ot ensions and building setback dimensions dest" ,location of catch basin,etc.) L t area,building coverage area,percentage of coverage and L�Street names i)pervious area(applicable if R-7,R-12,R-25&R-40) —EaStrEET tree size,type and location Ly'Property corner elevations(2 foot contour lines if more than .Existing 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): r� / / y/yU Required: ❑ Yes,applicant was notified ❑ No Received: El Yes ❑ No $Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified 1=1No Applied For: ❑ Yes ❑ No,stop intake &Viand Use Case#: 4 ay Q/(f/-coca (/ çøj //141 P 9 -0000.S El-Zoning: F_ /2 Setbacks: Front .il,ot/ Rear .2 C'/ Side /U/ Street Side -- Garage (96/ C-Landscape Requirement: 0 % D.-Lot Coverage Maximum: Si) ['Building Height: Maximum Height 3,)/ Actual Height D. 3' ❑yisual Clearance 0 Easements E SSensitive Lands: ❑ Yes E No "1'ype "$-Urban Forestry Plan ❑ Conditions"Met"prior to issuance of building permit Notes: Approved By Planning: Date: /S Revisions (after Building Submi al only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_012116.docx Building Permit Submittal t Original Submittal Date: /04 /S of/(X4 Site Plans: # Building Plans: # 3 Building Permit#: Q—Enter building permit#above. Workflow Routing: Ei Planning LEngineering Permit Coordinator Building Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review) Route Application Documents: 121 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. B Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ( T).C _,,,,„_,Li Date: /,5.--4 En neering Review 'g- Slope at building pad: c3 le O Conditions"Met"prior to issuance of building permit O Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ,'Yes 0 No Assess Water Quantity Fee in-lieu: ..12"-Yes 0 No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: k a.'H 1 Date: 3( 17//6 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: SDC Fees Entered: Wash Co Trans Dev Tax: CI N/A Tigard Trans SDC: 0 Yes 'WN/A Parks SDC: 7( Yes ❑ N/A �K to Issue Permit Approved by Permit Coordinator: W--Date: 5/ /4:2 1:\Building\Forms\BIdgPermitRvw_RES_012116.docx -7-Ee //s Xr Demo Credits for Duplexes on Greenburg Rd European Classic Homes LLC Ove Petersen, 503-515-9464 12/29/15 Parcel #1 1S135CD09000 11451 & 11455 SW Greenburg Rd MIST2015-00290 & SWR2015-00218 Needs to apply for demo permit for existing house. Once this demo finaled demo credits can be applied. Sewer connection for existing house paid for under SWR94-00395. Parcel #2 1 S 135CD09100 11463 & 11469 SW Greenburg Rd NIST2015-00289 & SWR2015-00217 No existing structures, but sewer SDC paid for the lateral under SWR94-00395. Demo credits available for sewer SDC fee. No demo permit required. Parcel #3 1S135CD09200 11477 & 11481 SW Greenburg Rd 1\;1ST2015-00291 & SWR2015-00219 Structure and sewer connection purchased in 1996, MST96-00378 &SWR96-00361. Foundation installed, no further construction done. Permits voided 11/5/98 (should have been expired). BUP2015-00325, demo permit to remove foundation, upon approved final inspection, demo credits can be applied for all SDC fees. `o. 1 t bstc 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 III11 r Transmittal Letter T I c A It I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ( liatu, C-P.; DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAR 1 5 2016 FROM: Oat_ I of, _<:_e„,-- CITY OF TIGARD COMPANY: 31JILDING DIVISION PHONE: 5 G 3- S/ 5 - 9 4{6 q 63-y4j_10 RE: //4/774- //x/61 ✓d-✓ t 146r,9-6/ 5----6 , \ / rte ddress) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s)and details. _ Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): (1, _ 1� 1 REMARKS: 6) \�-CSz- p � ,��A.c.eyti aur►,►,_ e 0_,L)/ I L.:4 Jr- c‘— /c, Er"---) ac,, A i--D c.,,o 12-4-1 0/0-1 es--- FO OFFICE USE ONLY Routed to Permit Technician: Date:3) / ) 4. Initials: 4 Fees Due: ►:1 Yes ❑No Fee Description: ount Due: .e v".. /4 if.2. PSC Ycv:e...,r ctme. $ • D... +k &;)d ke :s od $ Prdsc. r: e-1-:‘,/,... )1 $ ) g40 . $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 11477 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2015-00291 Inspector: Chip Barnett Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 11477 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: November 23, 2016 at 10:37:01 AM Record ID: MST2015-00291 Inspector: Chip Barnett Contractor