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Permit
CITY OF TIGARD MASTER PERMIT 8 COMMUNITY DEVELOPMENT Permit#: MST2015-00283 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2016 Parcel: 2S 11X800600 Jurisdiction: Tigard Site address: 8210 SW ROSS ST Subdivision: HOGGAN'S PARK Lot: 2 Project: Hoggans Park, Lot 2 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1059 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1567 sf Garage: 676 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2626 sf Value: $330,570.82 Rear: 15 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: 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: 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: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 0 201-400 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2626 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 A geotechnical report is PORTLAND,OR 97229 PORTLAND,OR 97229 required before the footing 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $23,782.08 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 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 By: 1 ` �Q T1t_4 Permittee Signature: 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 Z 7-- < Residential ��; �. LC t2 40- / FOR OFFICE 1 Si;0\1_1 City of Tigard Received . II 13125 S W Hall Blvd.,Tigard,OR 97223 Date/B : a.? . 5� .6„4a, Permit N9�f�To��,S`�, s] _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review A TI c A R D Inspection Line: 503.639.4175 Date/B : y. Other Permit.a/ 045`L©� �� Internet: Line:www.tigard-or.gov ,.: to Ready/By: _ Awn: la See Page 2 for 'Notified/Method: 7 �l ,fir- _• 4/I Supplemental Information TYPE OF WORK lrvtt 411C ®New construction REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement 0� Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industria: l Valuation:.4 ()_ "-2 $ L A, ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑OtherNumber of bathrooms: "' JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ;% < `"' t F' � { . e' ?� �;- New dwellingarea: City/State/ZIP. 7,F e._4"- ._ square feet 17 -.,./7 yl. C{' t4,. C" ~�`s:� Garage/carport area: �*.4 square feet Suite/bldg./apt.no.:f I Project name: - ! .1 q Cross street/directions to job site: ✓F'esai st/�f L1 .�7 Covered porch area: square feet -_ I Deck area: --" a..5 _ square feet/,0 C • .. Other structure area: square feet Subdivision: /7 „ REQUIRED DATA:COMMERCIAL-USE CHECKLIST' '7 .'` o i K I Lot no.: e:' Permit fees*are based on the value of the work performed. Taz map/parcel nd Indicate the value(rounded to the nearest dollar)of all DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the work indicated on this a..lication. New Single Family Construction Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER I 0 TENANT Number of stories: Name:Westwood Homes LLC Address:12700 NW Cornell Rd Type of construction: City/State/ZIP:Portland,OR 97229 Occupancy groups: Phone:(971)678-5018 Existing: Fax:( ) la APPLICANT New: ] CONTACT PERSON . BUILDING PERMIT FEES* Business name:Westwood Homes LLC e re er to ee schedule Contact name:Matt Fricke Structural plan review fee(or deposit): Address: 12700 NW Cornell Rd FLS plan review fee(if applicable): City/State/ZIP:Portland,OR 97229 Total fees due upon application: Phone:(971)678-5018 I Fax::( ) Amount received: E-mail:Matt@Westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM'FEES* CONTRACTOR Commercial and residential prescriptive installation of Business name:Westwood Homes LLC roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Address:12700 NE Cornell Rd and fire department access,along with the 2010 Oregon Solar Installation S,ecial Code checklist. City/State/ZIP:Portland,OR 97229 Permit Fee(includes plan review Fax:( ) and administrative fees): $180.00 Phone:(971)678-5018 I CCB lic.:195597 State surcharge(12%ofpermit fee): $21.60 Authorized signature: Total fee due upon application: $201.60 This permit application expires if a permit is not obtained I Print name:Matt Fricke I Date: ce Board. within 180 days after it has been accepted as complete. I *Fee methodology set by Tri-County Building Industry I:\Building\Permits\BUP-RESPermitApp doc 02/24/2011 Servi 440-4613 T(11/02/COM/WEB) a , Electrical Permit Application FOR OFFICE USF ONI.\ City of Tigard Received Permit#:rff./.;20/_r-see,„? /r ee,„?,P,3 13125 SW Hall Blvd.,Tigard,OR 97223 _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 T I G A R D Ready Date/By: 7uris: 63 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived r 0 Addition of new motor load of system. Job#: Job site address: t 1 r' c i,?f ,,:e c /` 1001IP or more. ❑«A»«E»«l 2»«l 3>, City/State/ZIP: r�, ,i r, , ' `- 0 Six or more residential units. occupancy. / ` r r' ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: ' Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description .:.I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: /-0.H.,,,,- ,t ,, '`. + Includes attached garage. Tax map/parcel#1.' 1,000 sq.ft.or less M Y 168.54 4 Ea.add'l 500 sq.ft.or portion 3 - 33.92 1 DESCRIPTION OF WORK Limited energy,residential New SFR (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name:Westwood Homes LLC 200 amps or less 100.70 2 Address: 12700 NW Cornell Rd 201 amps to 400 amps j 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland,OR 97229 601 amps to 1,000 amps 301.04 2 Phone:(971)678-5018 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less E 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 0 APPLICANT Cl CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Same as Owner above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc Sign or outline lighting 67.84 2 Address:2870 SE 75th Ave#203 Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Email:RossElectric@comcast.net Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic.: 42325 specifically listed(/2 hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Stephen Ross Date: 0 Plan Review Required(25%of permit fee): ;r' State surcharge(12%of permit fee): Authorized signature:2� 1� 4. TOTAL PERMIT FEE: J Thispermit application expires if a ;;' (,/ PP p' permit is not obtained within 180 Print name: ./ Date: U-- J0`G.- ,,.(5 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_Pe,mitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB -------- .m ''m'mm''mm'mmmmlImImlmm.mMl...lMl.lMlM.MM.MM.: Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received - DateBy: Permit �� '/ 0,04,?? � IN v 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 DatePlan BRevi y:ew TI G A R D Inspection Line: 503.639.4175 Other Permit: Internet. www.tigazd-or.gov Date Ready/By: Juris: See Page 2 for NNotified/Method: S Supplemental Informafiou TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ®New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 0 % : / ^� Air conditioning ( 46.75 v i ' �' ` Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard OR 7'.i..o.c- Furnace 100,000+BTU(ducts/vents) 54.91 t Suite/bldg./apt.no.: Project name: Heat pump 61.06 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 Subdivision: ,,--,4.-?n, r l rr F�jj Lot no: Other: 23.32 jr,. Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 new SFR Flue vent for water heater or gas 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 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen r Address: 12700 NW Cornell Road equipment 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, [".�/ a�y toilet compartments,utility rooms) 7 23. 32 Phone: fY"Ci 1112f——6y'O/g7 Fax:(503)342-2403 Attic/crawlspace fans 23.32 El APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Westwood Homes LLC Fuel piping: - F� Z� $14.15 for first four;$4.03 for each additional Contact name:. +� t Furnace,etc. Address: 12700 NW Cornell Road Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland OR 97229 Water heater Phone: IP-6 -61574 Fax::(503-)342-2403 Fireplace E-mail:l'1tt*westwoodhomesllc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other: Address:PO Box 433 MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Phone:(503)656-1908 Fax:(503)650-3898 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 178624 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: irN ; * Fee methodology set by Tri-County Building Industry Service Board Print name:Jon Montgo Date: I\Building\Permits\MEC_PermitApp_04o113.doc 440-46171'(I 1/02/COM/WEB) 5 , ' Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY . City of Tigard Received 13 Permit No//j /5 (A 3 + 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:Plan Review Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: BI See Page 2 for Internet: www.tigard-or.gov `," Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 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 -2:' I�A1 C'�r(, r /--,''4 c-1- • Catch basin or area drain 18.76 City/State/ZIP:Tigard OR �-7;1~ Drywell,leach line,or trench drain 18.76 f ,C;; Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: ( Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: 1 !`-1 �'° '',t (,'i'r I Lot no.:"i Fixture or item: Tax map/parcel no.i Backflow preventer ( 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer t 25.02 new SFR Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:12700 NW Cornell Road Garbage disposal ( 25.02 City/State/ZIP:Portland OR 97229 Hose bib 25.02 Phone: ¶?'t^ 67.1-coiV Fax:(503)342-2403 Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: itt1 I ft(741 F, `4( Medical gas(value:$ ) Page 2 r Primer 12.51 Contact name: 1q t# Ft`t c Roof drain(commercial) 12.51 Address: 5,a _0i r Sink/basin/lavatory 11 25.02 City/State/ZIP: Solar units(potable water) 62.54 e/ Phone:('C ( )e-K 5 /5 Fax::( ) Tub/shower/shower pan A 12.51 E-mail jlMwestwoodhomesllc.com Urinal 25.02 CONTRACTOR Water closet 325.02 Water heater 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:178122 Plumbing Lic.no.: 12811 f 4 State surcharge(12%of permit fee) Authorized signature: / i....1.7-/:.. ' �' // TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Dusti ague Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I 0/02/COM/WEB) IICity of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /7,5-7745 .--- 00 ,2J3 Site Address: 60/e '...5 tO i U Project Name: ` �s s Lot #: `.- (New dwit " subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New , fl Verify site address/suite#exists and active in permit sy�st . ever Terrace Neighborhood: ❑ Yes YJ No Si Plan Elements: ree (3)copies of site plan .sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper 114 i ►g ootprint of new structure(including decks)with finished F/ I rawn to scale(standard architect or engineer scale) fl..r elevations Pr rth arrow rg. tility locations (required for new,may apply l y for additions) yt'e address,project or subdivision name and lot number j 0%.cation of wells/septic systems V .plicant information (name and phone number) 7 Erosion control(including drainage-way protection,silt fence I1 •t dimensions and building setback dimensions d tgn,location of catch basin,etc.) W Lot area,building coverage area,percentage of coverage and fS eet names ipervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location ropert5 corner elevations (2 foot contour lines if more than listing trees to be retained with drip line,and tree 4��foot differential) protection measures tOklean Water Services—Service Provider Lettee lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified LIG No Received: Cl Yes ❑ No Public Faci itiy'Improvement(PFI) Permit: 'equired: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Vand Use Case#: —�"�`-'if/ OA/- onin C.:0004'/ + C'�l - C')GJi:7c'.% ySetbacks: Front /5— Rear /s' Side �"� ' Street Side JJ Garage ) C� ,L/ andscape Requirement: 6) i of Coverage Maximum: ") % I. Building Height: Maximum Height � Actual Height 4 i 5l Aisual Clearance P. Easements 1 Vensitive Lands: ❑ Yes 2 No Type Urban Forestry Plan Cl Conditions "Met"prior to issuance of building permit Notes: l.- .'n1,j7'76;1 c ) 7 (g L-. '? ,Z.ie/iG 's1f/7t' Approved By Planning: -.� � --.--=% -----,,Aeric —="� -�==--..��._. Date: /Q ,Q3 //5� Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgpennitRvw RES 070915.docx Building Permit Submittal Original Submittal Date: /..//2 3//-5 Site Plans: # Building Plans: # -3 Building Permit#: ['Enter building permit#above. Workflow Routing: [Planning t J Engineering Cermit Coordinator P--Suilding Workflow Sign-off: Er 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: By Permit Technician: '"r r/k.�' = Date: 72/2 OS" Engineering Review Slope at building pad:6 7, Conditions"Met"prior to issuance of building permit ,21 Easements (encroachments)per engineering conditions of approval and plat AWater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4/j #i 27 Date: x 1,1 f5 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 ❑ 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: 'es ❑ N/A Tigard Trans SDC: ❑ Yes 7n N/A Parks SDC: 'Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date: / Y 31- J 1:\Building\Forms\B1dgPennnitRvw_RES 070915.docx Albert Shields From: Albert Shields Sent: Wednesday, February 03, 2016 1:55 PM To: 'Matt Fricke' Subject: MST201-5-00284 &-00283 Matt, because infrastructure is not yet complete and we have not received a copy of a recorded final plat we are marking these permits on Hold and "Approved but Not Released." Albert. 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 8210 SW ROSS ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Seal mechanical penetrations in foundation vent. 703.1 Contractor on site making corrections. Note: no AC installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 22, 2016 at 8:55:10 AM Record ID: MST2015-00283 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 8210 SW ROSS ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Tel: 503.718.2439 Inspection Date: December 22, 2016 at 9:00:39 AM Record ID: MST2015-00283 Inspector: David Young Provide approved plumbing final inspection for lawn irrigation Backflow devise to close permit. PLM 2016-00586 Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of O left on site with contractor. No AC installed at this time. Violation Summary: Inspector Contractor