Permit CITY OF TIGARD € MASTER PERMIT
IN
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._
I COMMUNITY DEVELOPMENT _ �,�/� Permit#: MST2016 00287
TtG, RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2016
Parcel: 2S106DC12200
Jurisdiction: Tigard
Site address: 17224 SW JEAN LOUISE RD
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 122
Project: Polygon at West River Terrace, Lot 122
Project Description: New SF. 9/14/16, REPRINTED to add a/c.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1858 sf Value: $231,792.79 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: 4 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: 3 201-400 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 1858
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves are
SCOTTSDALE,AZ 85258 required both sides
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,703.86
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thrall.h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : 1.2Permittee Signature: (----- e<--4--/e'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
-Mechanical Permit Application FOR OFFICE USE ONLY"
City of Tigard r.i
9 "� I$ Received Permit No.: ��/ i.....60,9..c/7
I Date/By:
` y
7 7 _
_ ' 13125 SW Hall Blvd.,Tigard,OR Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 AUG 2 2 2016 Date Ready/By: Juris: P1 See Page 2 for
Internet: www.tigard-or.gov yF6lGARD
Notified/Method: Supplemental Information
�y.� irvp
]j j\CiiYO1}�'y�,
`- - -" - Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value $
-'.,L-2,...,,,,-,1., `'' TEGORV 0FCONSflWCTIO�IT ' : ?tIrSIDIIV17 3st UIP 'lg�tAIEMS FS#
�
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
4O BITE"i*ik RII IQ1 .iA O T
Heating/cooling:
. ..F41# 474 .3 . _: :: Air conditioning 1 46.75 46.75
Job site address: , /7 22.14 Std ,`/, f LO LA,iye, tUfrl Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224
Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Polygon at West River Ter Duct work 23.32
Cross street/directions to job site: 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
Other: 23.32
Subdivision:Polygon at West River Terrrace Lot no.: i 2,
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fireplace/insert 3339
'- '""- `���� ":: •l�C"'`'' * ---' --M9 - -- * = : '6'= -" `'- Flue vent for water heater or gas
Add AC fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:
2332
'"-'4:44'+-41T4'_ ' 1(',ROPERTY fl ,. ..__ZizTi s.:'_:_._.. __ ZL1uv—',' ----_-- Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
equipment 33.39
Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(602)694-4031 Fax ( ) Attic/crawlspace fans 23.32
ZZ --&` " ... �attifi ilT l TF.RION ', Other: 2332
17i a., ,.. .,, Fuel piping:
Business name:William Lyon Homes,Inc.
$14.15 for first four;$4.03 for each additional
Contact name:Angela Grajewski Furnace,etc.
Address:109 East 13th Street Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace
Range
E-mail:Angela.Grajewski@polygonhomes.com Barbecue
_. ._. ... .. .,.._...fi. .....7V7
�a<3,.c ..$..f ' -. .. ..� ��.<..._ Clothes dryer(gas)
=+r.. :.i *> :.'�
Other:
Business name:Apex Air LLC ,
Address:18004 NE 72nd Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%ofpemut fee)
CCB lie.:203034 TOTAL PERMIT FEE
_ This permit application expires if a permit is not obtained within 180
ka days after it has been accepted as complete.
A� (.
Authorized signature: t Y * Fee methodology set by Tri-County Building Industry Service Board
Print name:Angela Grajewski Date:8/22/16 I
I:1Building\Permits\MEC PemutApp_040113.doc 440-46I7T(11/02/COM/WEB)
CITY OF TIGARDmu I MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2016-00287
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2016
Parcel: 2S106DC12200
Jurisdiction: Tigard
Site address: 17224 SW JEAN LOUISE RD
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 122
Project: Polygon at West River Terrace, Lot 122
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes
Total: 1858 sf Value: $231,792.79 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0
Bckflw Prevntr: 0 Catch Basins: 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: 4 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: 3 201-400 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 1858
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves are
SCOTTSDALE,AZ 85258 required both sides
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,505.70
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 ••- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , %></r Permittee Signature: OA/ ,9i0/' . t 0"
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 2/j
(�-
nC . FOR()FFIC:1 151_t)\Ll.
' l33rI257SW Ball B1of Avd Tigard,OR 97223 J U 2 J 2016 Pian R:',ic / /-S/ � '��rsZ��
y. � 7 / � �•, PenuitN
Phone: 503.718.2439 Fax: 503.598.1960
T 1, ,:,:i inspection Line: 503.639.4175 v t, -. y o Date 7 j I-16 other PenaitS� ,/o—1,0 25/
Internet: www tigard.639.4v Ci 1 T' 6 I A z ` ymy: Sufis PI See
� t C s x �s li +-0, Notified/method. / /t./it, V' Page 2 for
Supplemental informabos
r 'j f,af �� e ':"i7--:;;T:[:'`;::::',' s•x :'` ` Vy . tom f �
r ? 4. :ti .r ,'f,}d n h" ''fi t— . I k F r 4•L L1`, 0
@I construction y.._. 0'�
O Newtion/truction Addition/alteration/replacementY a ; v r' rk r i ,�d
�f
Demolition
Permit fees*are based on the value of the work performed,".
0Other Indicate the value(rounded to the nearest dollar)of all
fJe t.. equipment,material;
als labor,
d,and the
profit for the;-,p �' -,., _+a� rWOrkmdlcated ontllsaPPGaUori ri , "' .? .;G'a ,�.,, rS"'' U . ay ,v . valuation: $231,793 ..±.),and 2-family dwelling O Commercial/industrial
O Accessory building ❑Multi-family Number of bedrooms: 4
O Master builder 0 Other:
�-. � Number of bathrooms: 3
t 4 ,�;�l ;..`i'',:-..ti:,_ Total number of boors: 2
Job site address: F 1 1,,,1 SSW +`„„iii "e„ _ {�" New dwelling area: 1858 square feet
�e.F V�.�SI°.._ �1r.C5L..
City/Statedzlp:Tigard,OR 97224
Suite/bld tsarage/carport area: 437 square feet
Suite/bldg./apt.no.: I Project name:Polygon at West River Ter /i
Covered porch area: 164 square feet IO I 1
Cross street/directions to job site:
Deck area: square feet 8o 9
Other structure area: square feet
:.,:f---.:1`;:^:".%1; ,i 4 z'''.=.,-.:,'-1.1Z f( l l; ',. 11 .S Gl -`
Subdivision:Polygon at West River Ten-ace .I Lot no.: V I 'D.. Permit areb
Permit fees bj
based on the value of the work performed
Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all
} ti equipment,materials,labor,overhead,erhead,and the profit for the
work indicated on this application.
Valuation: $
Existing building area: square feet
New building area:
square feet
,i;.:;',:,..4.„...-' i-#- !'_ a Ir 4 F r Number of stories:
Name:ADVL Land Holdings,LLC
Address:7600E Doubletree Ranch Road Type of construction:
City/State/ZIP:Scottsdale,AZ85258 Occupancy x groups:Phone:(602)694-4031 Fax:( ) Existing:
I
New
Business name:Polygon WLH LLC
Contact name:Angela Grajewskl Structural plan review fee(or deposit):
Address:109 East 136 Street FLS plan review fee(if applicable):
City/State/Zjp:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
Email AngelaGrajewskiQpolygoahomes coin
. ,:; '_�� r,,i �_� ; y 7 � � ,- r Commercial and residential
prescriptive installation of
.`-F'°` . .= „ -f s—2 roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,4Inc Submit two(2)sets of roof plan with connection details
Address: 109 East 13th Street and fire department access,along with the 2010 Oregon
City/State/ZIP:Vancouver WA 98660 Solar installation Specialey Code checklist.
Permit Fee(includes plan review
Phone:(360)695-7700 I Fax:(360)693-4442 4 administrative fees): $180.00
CCB lic.:207247 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: tg.- d��
1' / - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name:Angela Grajewski I Date: .ie2/ 14 I *Fee methodology set by Tri-County Building Industry
Service Board,
l:\Building\Permits\B1JP_R.&SPennitApp.doc 02/24/2011 440-4613T(lI/02/COM/WEB)
Mechanical Permit Application I()R OFFICEl sF o\LI
City of Tigard R E 7,; \I r . e Pernuit N°"7-57.20/6 -790 02.P'7
13125 SW Hall Blvd.,Tigard,OR 97223
11 Phone: 503.7182439 Fax: 503.598.1960 , <n Pim Review
T G,�[;D Inspection Line: 503.639.4175 Re.� i J 2 2 6 Date/BY: Offer Permit:
DateInternet: www.tigard-or.gov �_y �83" H See Page 2 for
CITY 5 e" 9t !X Notified/Metbad: iillSupplemental
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u� ...:,....asY�m.x�,. ....._.ui._.r. � �.... ';5 ! .-'• 3 ,1 ,'-‘,"'F.:-.,--.7::::-- ... �Lt S! f 'a� 4 G,� ,s!'�.'t S' . F�ti -�r t< ttlv
i- .�-A�'.-sa ._u._tS � c..;.A�.r _„_ e. at ._,;
®New construction .- _�v "�' Mechattical permit fees*are based on the value of the work
❑Addition/alteration/replacement
❑Demolitionperformed.Indicate the value(rounded to the nearest dollar)of all
❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value $
rr''.''',.:1.;''.i-: _a !t <1 2:ti .1 :1 S; "ti,f�..0..1tt 7 ii., i � _ :' .,ih.. �u-.., e+,,..,;,-f.,...;',-7..-',7,-•,,,,'Y ,. •� F ��� '';- y_ rl. S .;
®I and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special , ,.:',-7 ,----,7r2,,,---,--,,,-------.',...-.,. `.i`.``. ”
❑Multi-family ❑Master builder information use Qty.liecklisL
0 Other: Description�-, I I Ea. I Total
... r �, ,-i:. r•
-'3.Q,..,,,,,4•2,!-•::',,-_- -•.' '',h ('fit74 c t i COOK '
- ! u ....... ,_. _.. _... -''-i''...1 CE i"�,..., ! L... ....1FICA
Job site address: i"jp,3.4 SW Jean Louise Road eonditianing. 46.75
Furnace 100,000 BTU ducts/vents) J 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) , 54.91
Suite/bldg apt.no.: f Project name:Polygon at West River Ter Heat p A 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 2332
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Polygon at West River Terrrace no,; /as Other 23.32
O
Tax map/parcel no.: other fuel appliances;
Water beater 23.32
--- .._.,. . xi -1 ;— ` i'-'..---,.: Gas fireplaoe/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/msert 23.32
Chimney/liner/flue/vent 23.32
F
<` 7) i Other:
�. i., ''' ^ ,-*J' " Environmental exhaust and ventilation: 23.32
Name:ADVL Land Holdings,LLC Range hood/other kitchen
Address:7600 E Doubletree Ranch Road equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZiP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(602)694-4031 Pax ( )
r u .1r,-..:7::;-:;;5
pace fans .
i.
crawls 23 32
.. , .: .,.. ._ ='::‘-7,-:,-
` M . Other 23.32
Business name:William Lyon Homes,Inc. Fuel piping:
S14.15 for first font;S4.03 for each additional
Contact name:Angela Grajewsld Furnace,etc.
Address:109 East 13th Street Gas heat pump
WaWsuspendcd/tutit heater
City/State,ZlP:Vancouver,WA 98660 Water heater
Phone:(360)695-770 I Fax::(360)693-4442 Fireplace
E-mail:An elmGra Range
g je'wski®polygonbomt s.com
Barbecue
_�2 Y .� .r.. ___•.•_... „ ._e'.. 4_...,e.-._,.:21......;.._..,.,_.,__._ .._._x'... -._. ,.....,..- Clothes dryer(gas)
Business name:Apex Air LLC Other.
T r
Address:18004 NE 72°d Ave _� ° `v ;.',L.,.._ ., ,1:_....,'",..
Subtotal
City/State/ZlP:Vancouver,WA 98686 Minimum permit fee($90.40)
Phone:(360)342-8109 Fax:(360)326-1769 Plan review(25%of permit fee)
State surcharge(12•/of permit fee)
CCB lie.:203034 TOTAL PERMIT FEE
IV * Fee This permit application expires if a permit is not obtained within 180
� days after ft has been accepted as complete.
Authorized signature: methodology set by Tri-County Building Industry Service Board
Print name: A !r�J t� guYS+/l Date: .4146
1BulditlPertnitslMECP o40113doc 44 co
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Electrical Permit Appli a tion.E (i ` Y` ' '''','
FOR OrFIc I>U sr ON L)
IN,..- City of J UN d 2 8 2 016 Reccivert
/3125 SW Hall Blvd.,Tigard,OR 97223
Date/By PermitR,NJ��'.2G'��.�?, ,Z
Phone: 503.718.2439 Fax 503.598.1g�p "Ree
•
TIS AF D
inspection Leve: 503.639.4175 1 of.. i ;j w ABY RelatedPemrit d.
Internet www.tigard-or.gov L U f t� !N G t 4 A Reedy oo hair 16J see PagaZ for
:; .: s:_�z � �'li!�1�r' �l'�. �`g ,r s -kip r.� Supplemental r�atfott
►.'e New construction 0 Addition/alteration/replacement " r� . y .a plass
n,. �3 � )�,
: 0 Demolition check all that apply(submit$seta ofptaas wl,kms checked):
Q Othex Qservice or feeder 400 amps or more
El 1-
(3 Building over three slides.
iijptl-8'.. .- �d .F;T-"ry '�x,~,C.*Iict)_` §.2_;�fj Cl1 _ exeere s10,000he ampsable tte0waama IFloainasamd
".,-3'1,1,-.i",,'- exceeds 10,000 amps at 150 voila or
2-family welling ❑CornmerciaUuiduistrial D Accessory building lass to ground,or exceeds 14,000 D t agy1
caltoral
0 Multi-badly 0 Master builds 0 Ofher for all other installations. trod,.
,- :"-5,47 7'°'+� c 4Y L'h` =O 7:70 r' ',7". a ft ❑Altfres pump. Qlagern°a m lad rKVA or
ived
•� ��[,.;'�"5. a�`3 ❑8mergeacyayatem. lar8armpmatdYderived
Job#• Job site address: i`7 tail '3� 1_01,14's, el ❑1001:::::.%":"'wfload of w,
tan ❑"A",° "."1-2". m-3".
City/State/ZIP:Tigard,OR 97224 Qsix ormore residantialmita. ocooPaceY.
011ealth-cate facilities.Suite/bldg./apt,#: I Project name:Polygon at West River Ter Clliamrdous locations, QSeat a flrlRonith'
❑Service orFeeda 600 'may voltage for mora tbau
Cross street/directions to job site: amps ormaa. GOO voila nominal.
r _ ,. 4L- .tASi✓ ti 1 r3l��"�.:'^k'`� � :'-' :1,
oertatloa _.v-'.."`i"i..mac. . 31
Each
New residential single-or multi-family dwelling unit.oral e
-
Subdivision:Polygon at West River Terrrace J Lot ti: / a Includes attached garage.
Tax am parCcl I.000 sq.ft.er less j 16854 4
� . , r' : Ii'�r l_r.'010 b-�1 4d.a t�,� --..1.7 .',..:,"%;4-1----- r _y. Limneda alar500 m
R.or pial 3 33 92 1
Clouted energy xesidetrtirsl
(with above sq.R) ) 75.00 2
Limited energy,maxi-family
residential(with abovesq.R.) 75 2
''-'37.;:'''''; r .� ,�,,t:"+ i._.:. w;:�.-; Renewable�ergy ❑Sea Pie Z
Name:ADVL Land Holdings,LLC Services or feeders lnstntlation,alhxa6on,and/or relocation
200 amps or less 100.70 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56
2 •
401 amps to 600 amps
City/State/ZIP:Scottsdale,AZ 85258 200.34 2
Phone:(602)694-4031 + 601 amps to 1,000 amps 30I.04 2
I Fax:( ) Over 1,000 amps or volts 55226
Email: Temporary services or feeders installation,alteration,and/or• 2
Owner installation:This installation is being made onrelocationamps o
intended for sale,lease,ret,or exchange,accordingORS
44 that I670 whichnis not 200 amps to less400 59.36 I
to QRS 447 449,b70,and 701. 201 amps to 440 amps t25.0B
Owner signaturei I 2
Date: 441 amps to 599 amps16834 2
Ij-70-7.,-,-,
y � '} ;," -&,:.‘=1',-..-Ar,,,, ta a 1,. •ABranch areens new,alteration,Or
panel✓ _w =- L.:....,'__ .a ;,. . --�� ".::. . r ..). A.pee for breechci circuits name:William Lyoa Homes,Inc.
above service or feeder
Contact name:Angela Grajewskl each branch cheat 7.42 2
a Fee fbrbranch circuits*them
Address:109 East 13th Street
service ce feeder the,first
branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98660 Bach add'1 branch circuit 7.42
Phone:(360)695-7700 Fax: (360)693-4442 Miscellaneous(service or feeder not Included) 2
Foch manufactured or modular
Entail:Angela.Gsajewalti(�poaygoahoates.com dwelling,serviexiand/orfeeder 67.84 2
,.'...,,,f...',-..__;r "fi e 1 R only 67.84 2
.t�: ,:' ;6 L. .° Pump or irriaatice circle
Business name:Garner Electric Washington,LLC 684 2
.t,.,,; Sign or outline lighting 67.84 j
Address:6101 NE St Johns Rd
Signal citclmlion ea ieasited eat 2
panel,alteration,or extensio a l7 Sea Page 2 2
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additiaasl inspection(1 hr iron) 6625/br
Phone (253)320-1657 i Fax:( ) Investigation
Email:bdanieis®gweusa.coIIr (1 hr min)
Industrial plant(1 hr min) • 78.18/hr
CCB LIC: CUSS Electrics]Lie.: 208174Inspections for which no fee is 90.00/hr `
Suprv.Lic: 4496S s listed 14 lambs
Stlprv.EICGtriCiansignattrrc required: � � t/ if wG , -..t;--&--V.t;A aE.1 e:ct .t� E qty a' 4
Print JoanPAtbtnt Subtotal:
Data: 4/26/2016 O Plan.Review Required(25%of permit fee):
,:.• • State 1
.i..,::: urge{2%afpaxmitfee
Authorir�ed signature: "'� �+�"- -- -' )
f`? <-. TOTAL PERMIT FEE:
4-%`:�::; Pthmt name:Bill Daniels Thus Permit appSmnon expires lin permit is not obtained within
;
1:4;,::::,,,
::,,, Date: 4/26t2016 days akar u bas been accepted as complete. It30
6 d�°sP_ Peeata * Number oinspections
C: dPptidaw Rev 47o.A61sT(nNSIpOM/GV,2g allowedpatparmlt
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IABuildiotkamissIPLACIPPyrokApp.doc 10/01/09 440-45161(1040VCoM/WEE0
il
I
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
I
T 1 c A R D Building Permit Review — Residential
Building Permit #: //....0 77,20/C ,.,.._ OOP 7
Site Address: {Po I.i q a VI - W R. v-e —— ,-
Project Name: �) -7 ‘).01 y s 1,u ea
n L o Lk, s t 12_d . Lot #: a01,
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: N e SFR.
Verify site address/suite# exists and active in permit system.
Dia
River Terrace Neighborhood: ❑ No A-Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan ,..�
,�i'J�xisting structures on site
I,qSite plan must be on 8-1/2"x 11"or 11 x 17"paper .Footprint of new structure(including decks)with finished
IRDrawn to scale(standard architect or engineer scale) floor elevations
IN'NOrth arrow
®Utility locations(required for new,may apply for additions)
CR5ite address,project or subdivision name and lot number
Location of wells/septic systems
}"Applicant information(name and phone number) KErosion control(including drainage-way protection,silt fence
�.�.�/Lot dimensions and building setback dimensions design,location of catch basin,etc.)
15e,ot 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
.aProperty corner elevations(2 foot contour lines if more than
sting 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,applicant was notified TR—No Received:
Public Facilities Improvement(PFI) Permit: ❑ Yes ❑ No
Required: IIrYes,applicant was notified ❑ No Applied For:
kf'Yes ❑ No,stop intake
Er Land Use Case#: P D R a O t S- b a o04-
X"Zoning: ? - -) P0
etbacks: Front la Rear 3 Side
3 Street Side — Garage
I' Landscape Requirement: 33 %
ai'Lot Coverage Maximum: ( 7 % �
.Ca'Building Height: Maximum Height g Nift" Actual Height
k-Visual Clearance i A r1 cv I o 4-
f? Easements
Sensitive Lands: ❑ Yes g No Type
Urban Forestry Plan
()Conditions "Met"prior to issuance of building
permit
Notes: N1 ZQ.f Dortd.;•{-i u - pr-�' ! l J l n
Approved By Planning: 440017 G,, 6/101e /_ a / /
Date: �✓l.� / f 1C7
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
I:\Building\Forms\B1dgPermitRvw RES 012116.docx
Building Permit Submittal p
Original Submittal Date:
0,//4"
Site Plans: # 3
Building Plans: # S
Building Permit#: a-Enter building permit#above.
Workflow Routing: ia-Planning [Engineering i ----Permit Coordinator [-Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: [a—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: d Date: /�/7//fr
By Permit Technician:
Engineering Review
Slope at building pad:
()Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
Date:
CINOT Appr m ve I by Engineering:
Notes: A, —• " r,- % AAA 40, , i �_S III t� 4.. . _ _..-____,.s
Approved by Engineering: Date: 7404,
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
otes:
Date: 9 ) j
Approved,NOT Released:01 /a
te
��
'L�`'�
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:
DC Fees Entered: Wash Co Trans Dev Tax: r.
es CI N/A
7_4; Tigard Trans SDC: es ❑ N/A
Parks SDC: Y"Yes ❑ N/A
K to Issue Permit / r�p
Approved by Permit Coordinator:
/
Date:
I:\Building\Forms\B1dgPermitRvw_RES_012116.docx
t
IllCity of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: rt.c 7-,24-2/6, -40O2 f-7
Site Address: I ")..)-4 s W -lea- Lu ,is e_ Rcl
Project Name: tom- ►ti cl 6,,, c f ki . P-1,,e.-- Me.,ria Lot #: 1301,
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? N(Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min. 2 ft., Eft.wide Gabled dormer
❑ GI El El
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: I-7
3. Entrances:At least one entrance must meet both of the following standards:
Nlax. 8 ft. setback from longest street- facing wall 'Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ® Yes ❑ No
If yes,all the following apply: C '25 sq.ft.min.
Et One street facing entry 12 ft.max.roof above floor of porch
5 ft. depth min.
W10%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
Covered porch min. 5 ft.wide x 5 ft. deep Entecessed entry area min. 5 ft.wide x 2 ft. deep
gr Wall offset min. 16 inches El Dormer min. 4 ft.wide
.®"Roof eave min. 12 inch projection Ttoof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
Cl Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street façade ®-Window trim min. 2 1/2"wide by 5/8"deep
Cl Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access El Attached garage is 35%or less of street façade
5. Garages and Carports:May face the front or side lot line on a corner lot. \ fir — A(
Setbacks: j a
No closer to front or side lot line,than longest street-facing wall. ❑ Yes Cl No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
El May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
El 12-foot-wide garage door El 40%max. of street façade
El 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: • C Date: (o 'oZ) -1 (i
I:\Building\Forms\BldgPermitRvw RES RT 062216.docx
,
•
IIIICity of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
s
T I G A R D Building Permit Review — Residential
Building Permit #: /fS i,2O/C — OOAi' 7
Site Address: , {Pc 1Y q tilW P-; v-e rey,.a
Project Name: ) 1 7.10).`1- S i,.J -Tear L 0 u..; s e 12-8 • Lot #: lam
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ll e J SFR.
l Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: 0 No IA-Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
ItiThree(3)copies of site plan
rEixisting structures on site
(Site plan must he on 8-1/2"x 11"or 11 x 17"paper ZrFootprint of new structure(including decks)with finished
IR'Drawn to scale(standard architect or engineer scale) floor elevations
®'North arrow a'CJtility locations(required for new,may apply for additions)
lri mite address,project or subdivision name and lot number /2Tfocation of wells/septic systems
Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence
Ck�tot dimensions and building setback dimensions design,location of catch basin,etc.)
t9Lot area,building coverage area,percentage of coverage and a Street names
impervious area(applicable if R-7,R-12,R-25&R-40) 2Street tree size,type and location
Property corner elevations(2 foot contour lines if more than sting trees to be retained with drip line,and tree
4 foot differential) protection measures
L-Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: 0 Yes,applicant was notified t-No Received:
❑ Yes 0 No
kr-Public Facilities Improvement(PFI) Permit:
Required: CrYes,applicant was notified ❑ No Applied For: ki-Yes 0 No,stop intake
Er Land Use Case#: PD R a O 1 S - OD 004-
Er,Zoning: 'R. - 1 P C)
Cif.etbacks: Front la Rear 3 Side 3 Street Side — Garage —
I' Landscape Requirement: cQ0 % ot/
IV Lot Coverage Maximum: TK
R-Building Height: Maximum Height tJ/(} Actual Height
D-4'Visual Clearance 1 nyeri( I,.)4--
1.? Easements
Sensitive Lands: 0 Yes 1 No Type
Urban Forestry Plan
()Conditions "Met"prior to issuance of buildingpermit 1
Notes: N tvt- co,-td 4-i urn., prf L-0"- lJ0.i I J i/ 1 cn per ii.-3,4•
Approved By Planning: 001117 i... 6/01-ea-IX- Date: é/) 3//
Revisions(after By�ilding Submittal only) Reviewe Date
5,,,r6 jOiJO Revision 1: Approved 0 Not Approved �'""---------L"---------
1
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
is 1Building\Fonns\BldgPermitRvw_RES 012116.docx
is
r
Building Permit Submittal
Original Submittal Date: /Z.(//,(e
Site Plans: # 3
Building Plans: # S
Building Permit#: { 'Enter building permit#above.
Workflow Routing: S:1- Planning El--Engineering Ei-lermit Coordinator [ wilding
Workflow Sign-off: ID-Sign-off for Planning(include notes from planning review)
Route Application Documents: al—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:
By Permit Technician: -'0 c-'. - Date: 7/'7//f
IFAINNIMICEMIZEIMIIMMUSIIr
VIIMINIIMMIBINIII
Engineering Review
Slope at building pad9'
Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes ❑ No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
❑ NOT Appr,ve) by Engineering: Date:
Notes: _. _ - s,,= -r- ' r- f 1 i r.st-Z940_%0Wec e
Appr. -e i by Engineering: AZ. 17 Date: 7-10-a,
11Re,sions (after ilding Submittal only) Reviewer Date
D dj' N Revision 1: Approved 0 Not ApprovedL j:1
_ _g__-5:14-
91Revision 2: Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
Approved,NOT Released: � Date: 9' i4.
otes: C lj-yL2l� Govs.---1
Revisions (after Building Submittal only)
0t4I JRevision Notice 1: Date Sent to Applicant:
, c
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
7
DC Fees Entered: Wash Co Trans Dev Tax: ' es ❑ N/A
Tigard Trans SDC: w.
501 - es 0 N/A
Parks SDC: M'YeS 0 N/A
I •K to Issue Permit
Approved by Permit Coordinator: te: ` 7/41 ;
1:\Building\Forms\BldgPermitRvw_RES_012116.docx /
r,
City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
111 2
•
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #: - t7S 7--,,2‘)/62, —ex,. /=-7
Site Address: 1 "2..).14 b 1,4 Tea Lu u is t_ P-d-
Project Name: Pu li i or. ck I".1 . P-1 vei- —T-f; Lot #: 1.1-01.
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1):
Is the project subject to the plan district design standards? 1 Yes 0 No
1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional
clement required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min.2 ft.,6ft.wide Gabled dormer
0 0 0 0
2. Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 11
3. Entrances:At least one entrance must meet both of the following standards:
R'Max. 8 ft. setback from longest street-facing wall ['Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: ® Yes 0 No
If yes,all the following apply: L '25 sq.ft.min.
Et One street facing entry 12 ft.max.roof above floor of porch
5 ft. depth min. l0%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
CCovered porch min. 5 ft.wide x 5 ft. deep IrRecessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide
.®"Roof eave min. 12 inch projection grRoof offset min.of 2 ft.
❑ Roof shingles either tile or wood Er Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street façade ll-Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street façade
5. Garages and Carports:May face the front or side lot line on a corner lot. U/p- -al e,��
Setbacks: 7 v �i
No loser to front or side lot line,than longest street-facing wall. 0 Yes 0 No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch.
❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min.area of 12 sq.ft.
Width: (Check one)
❑ 12-foot-wide garage door 0 40%max. of street façade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: a • e n. Date: (p -0Lol- -( 4
I;\Building\Forms\BldgPamitRvw_RES RT_062216.docx
Ter
FOR
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 • 503.718.2439 •www.tigard-or.gov
TO: 00n tC,el. DATE ' r; 4 i i
ED
DEPT: BUILDING DIVISION
AUG 15 2016
FROM: r (J2 GtrCL)-(- --usY' � \'O .
4r
COMPANY: �� s�,•� W t �� �dvY1 Hfi\\--\-crti\ B'(JIL 'ING VISION
PHONE: ia-at Liu By.
RE: eS* 2scx cc MST 1 to-oo
(Site ddress) (Permit Num er)
iDD-Lf waah1aa-
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s) of plans. 3 Revisions: k c Of
�C(h
Cross section(s) and details. Wall bracing and/or later analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
Routed to Permit Tec 'cian: Date: — / -, I I. EXEMEIM1111
Fees Due: `; es Pa No Fee Descri•tion: Amount Du-:
11111111111111.1111 $
11•11.11111111. _ $
Special
Instructions:
Re•rint Permit •er PE : E '$ tai No ❑ Done
A. 'licant Notified: �✓G/E ate: ? //o _ _ >Al.a�
A»►
IABuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17224 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type:
Residential - Master Permit
Inspection Type:
199 Electrical final
Result:
FA I L
Comments:
Tel: 503.718.2439
Inspection Date:
December 5, 2016 at 10:26:29
AM
Record ID:
MST2016-00287
Inspector:
David Young
AC breaker to 25 amp max per manufacturers listing on appliance.
Re call after correction complete.
Violation Summary:
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17224 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type:
Residential - Master Permit
Inspection Type:
699 Mechanical final
Result:
PASS
Comments:
Tel: 503.718.2439
Inspection Date:
December 5, 2016 at 10:25:34
AM
Record ID:
MST2016-00287
Inspector:
David Young
Electrician on site to change AC breaker to 25 amp max as per manufacturer
specifications.
Will check at electrical re inspection.
Violation Summary:
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17224 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
FA I L
Comments:
Provide approved electrical final inspection.
No inspection done at this time.
Violation Summary:
Tel: 503.718.2439
Inspection Date:
December 7, 2016 at 8:43:35
AM
Record ID:
MST2016-00287
Inspector:
David Young
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17130 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
FA I L
Comments:
Provide approved electrical final inspection.
No inspection done at this time.
Violation Summary:
Tel: 503.718.2439
Inspection Date:
December 7, 2016 at 8:44:46
AM
Record ID:
MST2016-00269
Inspector:
David Young
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17224 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type:
Residential - Master Permit
Inspection Type:
199 Electrical final
Result:
PASS
Comments:
A/C installed at this time
Violation Summary:
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00287
Inspector:
Chip Barnett
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17224 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS -CofO
Comments:
Final erosion control approved.
Street tree certification received.
Moisture content form received.
Vapor barrier form received.
High efficiency lighting form received.
Blower door test report received.
Insulation certification checked.
C of O left on site with contractor.
Violation Summary:
Tel: 503.718.2439
Inspection Date:
December 8, 2016 at 11:59:29
AM
Record ID:
MST2016-00287
Inspector:
David Young
Inspector Contractor