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Permit (115) N, CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: _ MST2017 00057 T I i;A Iz.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2017 Parcel: 2S104AD07700 Site address: 12882 SW PARKDALE AVE Jurisdiction: Tigard Subdivision: OLSON WOODS Lot: 13 Project: Olson Woods, Lot 13 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1632 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 2008 sf Garage: 610 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Yes Right 5 Detectors: Total: 3640 sf Value: $444,725.18 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 LaundryTrays: 1 Y Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 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: 7 201-400 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: VB R-3 3640 Owner: NEW ContractoSFr: WINDWOOD CONSTRUCTION INC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) 12655 SW NORTH DAKOTA ST 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 TIGARD,OR 97223 2 Geotechnical Inspection Required before foundation PHONE: PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $32,715.08 This .- - ' is i .;.. subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be .one 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 d s. ATTENTION: Oregon law -quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR •-52-001-0010 t rough OAR 952-! Building Permit Application Residential FOR OFFICE USE ONLY City Of Tigard Received II ° 13125 SW Hall Blvd.,Tigard,OR 97 ^ Date/By: 1./ i' l7 Permit No.: 3Tt 7 -7q �L,? t�l Plan Revie ,2" 6 / t�11< �55 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: "d..is .. ) Other Permit :564g I GARD Inspection Line: 503.639.4175 / g Date Ready/By: j 1 II Juris: p See' )'ag�2 for Internet: www.tigard-or.gov ,c Notified/Method:/-� (0 �� � �/ /�,� , Supplemental Information AN OVA I" a TYPE OF WO 1 !�i Gk. �• REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction Permit fees*are based on the value of the work performed. El Addition/alteration/replacement 0 Other: 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 Valuation: $ '1'j. 1, "� ❑Commercial/industrial fr 1I / OC ❑Accessory building ❑Multi-family Number •of bedrooms: ' & 0 Master builder 0 Other: Number of bathrooms: - 4 t' JOB SITE INFORMATION AND LOCATION Total number of floors: I a( O Job site address: j 6-b4,2_ �7 f;t,/'a g 1 !"` ,C...4/1/4"-- New dwelling area: 3 4, square feet City/State/ZIP: T Al/,:,72., , ')r;,> ~ r*' �w:� L"/` `i' i i•)_ ,,� Garage/carport area: 40/© square feet Suite/bldg./apt.no.: Project name: ('15/50/,./ GA-1G S Covered porch area:/5-r) square feet a 8 Cross street/directions to job site: Zr..2,f' `:,/%4 T Deck areyC0lle square feet'6 34a.Other structure area: i- square square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: , .La /II „/ f Lot no.:/3fees* �� �` Permit 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. A 4%P.ie. Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER, . ❑ TENANT Number of stories: Name: Gv-P1170 wOd>0 f a 1 S 7 „// Type of construction: Address: /fj4. ,s,"3 S /1/614,7 1ji •i, , 5. F=^ ` Occupancy groups: City/State/ZIP: ` ' — ^'� �'q - .4 Existing: Phone:(`;r.�. r 3- ��G�' r��' Fax (y•1.5 ) i._ F f_fr:.. New: 'APPLICANT . E3"CbNTACT PERSON BUILDING PERMIT FEES* Business name: �' �q^ (Please refer to fee schedule) Contact name: Structural plan review fee(or deposit): Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Fj Phone: �)� _ - Fax::(� n ) Amount received: E-mail: ,_,;, _-4,4..,,.(:,9 u„f�h�l X. ,,..,1,,,:',..-1,,, j PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: kj `/ i (Ai CJ(,D /t1,r`-f. 7 ,f2.,/ Submit two(2)sets of roof plan with connection details Address: s. i and fire department access,along with the 2010 Oregon f` Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review Phone:( ) Fax:( ) and administrative fees): $180.00 State surcharge(12%of permit fee): $21.60 CCB lic.: .4.4.).-,..),/ cj G Total fee due upon application: $201.60 u orized signature: p l " �"'-""'� This permit application expires if a permit is not(Please rAwithin 180 days after it has been accepted as complete. Print name: j!'),/,...,-)/717,....1 -- Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 Mechanical Permit ApplicationVII) FOR OFFICE USE ONLY City of Tigard Received q q � / DateBy: Permit No.: 5 no/ 7 5 7 13125 SW Hall Blvd.,Tigard,OR 97 . Plan Review Phone: 503.718.2439 Fax: 503.598.1960 �'-;\ Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 �- GV• & Date Ready/By: Juris: a See Page 2 for Internet: www.tigard-or.gov r YNotified/Method: Supplemental Information \ TYPE OF'WOI ill COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ��;;ll"�t�, Mechanical permit fees*are based on the value of the work w construction 0 Addition/alterallJl bplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF. CONSTRUCTION . _" RESIDENTIAL EQUIPMENT/SYSTEMS FEES* /12-1.7--and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOS SITE INFORMi.TION.AND LOCATION Heating/cooling: Air conditioning y 46.75 l . Job site address: � 9�2/04-1--E���,� ��/�� Furnace 100,000 BTU(ducts/vents) ifr••••-- 46.75 City/State/ZIP: /�/l,6 Qi - 7_2 '? % Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name 7-71;._ , - (, i Em)`- Heat pump 61.06 �- Duct work 23.32 Cross street/directions to job site: (/./ ,.L„.1,' /,',,, "7'' 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: /' , , /, =-t::_ cL /3 Other: 23.32 Lot no.: r�(---)/"., ✓fir l "j!;R Other fuel appliances: Tax map/parcel no.: Water heater / / 23.32 DESCRIPTION OF WORK Gas fireplace/insert ✓' 33.39 `j 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 OPERTY OWNER ' '❑ TENANT Other: 23.32 j i .r Environmental exhaust and ventilation: Name: f,1 , , �,L/r .J : .. _ µ Range hood/other kitchen Address: I � equipment PV 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: - - c Single-duct exhaust(bathrooms, Phone:(', ";) Fax:(� l^r� ,� toilet compartments,utility rooms) 23.32 5-,' J ) J %(J—�7 Attic/crawlspace fans 23.32 j�APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: �' Fuel piping: ".4t' $14.15 for first four;$4.03 for each additional Contact name: �) pr.:- , ,%f, .-,/`YJ'Z,L)5 Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: (A..J:A(ic✓oc/C A-::3/t i,-` 1✓-- c j /1-,) tri,,/,;.1P11: � Barbecue CONTRACTOR. `" Clothes dryer(gas) Business name: 'y !fa . Other: MECHANICAL.PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) _ State surcharge(12%of permit fee) CCB lic.: _<----7)/9/6 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 _, days after it has been accepted as complete. Authorized sign * Fee methodology set by Tri-County Building Industry•Service Board Print name: `/ /g/e-je Date:3/�`�j4 I:\Building\Permitts\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB) - Electrical Permit Application FOR OFFICE USE ONLY City of Tigard r.,' Received Permit No.: /4.57-3b1 - vIJS-� • 13125 SW Hall Blvd.,Tigard,•, T. _ AN1S11, Plan Re 2 Plan Review Phone: 503.718.2439 Fax: 50`.,•' :'.1960DateBy: Other Permit: 1 if TI_GARD Inspection Line: 503.639.4175 T� '��� Date Ready/By: Jun, ® See Page 2for Internet: www.tigard-or.gov �C' Notified/Method: Supplemental information t i3ti,i44....-,,:74® r a r .. b .Igti c.�t fi'*yo4 y_.. 4 i. p . , lew construction ❑Addition/altl ra'' re g..rle1 Please check all that apply(submit 2 sets of plans w/items checked beloe 1 ' \4 `4 0Other ❑Service or feeder 400 amps or more 0 Building over three stories 0 Demolition , 111 where the available fault current 0 Marinas and boatyards ."f." ''I fi40 • r „%171400 t . "• g exceeds 10,000 amps at 150 volts or ❑Floating buildings. and 2-familydwellingless to ground,or exceeds 14,000 ❑Commercial-use agricultural 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 K VA or dD1 z ❑Emergency system. lar ger se aratel derived system a F rW S Q 0 ! 1: ' r l(3 a,„'` r -Fr ri b P Y s tr, v.- ❑Addition of new motor load of 0"A",••E^ •l-2^••I-;^ Job no.: Job site address:42,02, f //°t Jam. A- IOOHP occupancy. �^� ❑Six or moreormoreresidential units. ❑Recreational vehicle parks. City/State/ZIP: 7-777,_ . "--i tf . 9'7‘,2...., CIHealth-carefacilities. ❑Supply voltage for more than C G..1.,-- r ❑Hazardous locations. 600 volts nominal. Suite/bldg,/apt.no.: Project name: ,:,`''').<'_--,:;c:2441'.,1 tt„,1C,C241.X 0 Service or feeder 600 amps or more. Cross street/directions to job site: Z.04/..-44,,, T!, 4!'EE,'ScHEAuiZ Description I Qty. I Fee. I Total I New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: ®/7-,5o//,..4 &f� , Lot no.:/3 1,000 sq.ft.or less / 168.54 4 Tax map/parcel no.: Ea.addLimited sq.ft.orde portion 33.92 mited energy,residential 'r`) ; - �` �Fi.,$,CIiiO' 'I,QN`'flE WOR.K...:t ,' � s 4 r ` -ra L1(with above sq.ti.) /.....,./ 75.00 2 � Limited energy,multi-family AL---3,-7g residential(with above sq.I).) 75.00 - Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 ..An400.R 'Q.V , . ..."::.s 6 c...:: 4- .y "', ...', ... .t::• 201 amps to 400 amps 133.56 401 amps to 600 amps '200.34 Name: Gv- .r^�1,1A2 51 CO/-T, . 601 amps to 1,000 amps 301.04 f - , Address: ��yy . �G?C �a/ - 4.5 ex) Nai liy .61,i'446,76e,,,,:7 Over 1,000 amps or volts 552.26 2 City/State/ZIP: ¢_ Temporary services or feeders installation,alteration,and/or 'er/' L a:� relocation Phone:(5 73) '2 ..4/3;,w:,-- .4,• ` S"" Fax: ,F^. --,76200 amps or less 59.36 I Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits will, '.( x p o s.r �, •Kdr 7-7•a -'° 40 izr( " ivTw�-.., eabove brsaenrvchiceiorcr ufeeder fee. 7.42 2 Business name: -5rr/ c-- B.Fee for branch circuits without service or feeder fee,first Contact name: /� // „„S branch circuit 56.18 c !7 Each add'I branch circuit7.42 , Address: Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling,service and/or feeder 67.84 - Phone:( ) Fax::( ) Reconnect only 67.84 Pump or irrigation circle 67.84 E-mail' +s r-1..11.:.).'.:. 2 'f t. m .4/ Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Business name: Dream House Electric,LLC panel,alteration,or extension. Page 2 Each additional inspection over allowable in any of the above Address: 221 SW Moonridge Place Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Portland,OR 97225 i Investigation(1 hr min) 66.25/hr Phone:(503) 519-6711 Fax:(503)648-9723 I Industrial plant(1 hr min) 78.18/hr CCB Lic.: 196726 Electrical Lic.: C-848 Suprv.Lic.: 4560S Inspections for which no fee is specifically listed(Y,hr min) 90.00/hr Suprv.Electrician signature,required: . .:ELE LRICIL� ERMI3`":FEES' Print name: Chris Mahon Date: Subtotal: / Plan review(25%of permit fee): / Authorized signature: State surcharge(12%of permit fee): Print name:C/043/043 7,(//��jj /a4U,.,/-+'-w/ Date: 3//1/ `lle`m TOTAL PERMIT FEE: I\.BuildinglPermits\ELC•PennhtApp doe 07/01/10 07 440-$615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total f Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 n G• arage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ri H• eating, Ventilation and Air Conditioning * Solar generation systems in excess of 25 kva: System Each additional kva over 25 7.42 3 Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is specifically listed(V2 hr min) 90.00/hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation [ HVAC n Instrumentation F, Intercom and Paging Systems n Landscape Irrigation Control* Medical ❑ Nurse Calls [ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\PermitaLC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard IIEC EI •<' _ O. Date/By: Permit No.: is ro.vr 5 qIII 13125 SW Hall Blvd.,Tigard,OR 97223 pis i �(� Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ���/By Other Permit No.: T I GARD Inspection Line: 503.639.4175 }-EB 9 2 Date Ready/By: Internet: www.tigard-or.gov )oris B See Page 2 for g� i oti ethod: Supplemental Information TYPE OF WORK CITY OF 1 k FEE* SCHEDULE ZNew construction 0 Demoliti kisDING S�tTa � For special information use checklist OIN 1� Description Qty. 1 Ea. Total 0 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 . AO-and 2-family dwelling ❑Commercial/industrial SFR(2)bath / 437.78 ❑Accessory building 0 Multi-family SFR(3)bath ry 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE,INFORMATION AND LOCATION Site utilities: Job site address: ,2 b2 f 4 �' ;f `/ r Catch basin or area drain 18.76 City/State/ZIP: f' Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: Project name: -. -fu._ �'�'.� �-_'--' 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: // ,/ `) Lot no.: r3�` � --� j3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 5�-� Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 7. ROPERTY OWNER12.51 0 TENANT Expansion tank Name: f / , w,. Fixture/sewer cap 25.02 GY / r.:�- :.;c�.JL) i' , ! . . ,''-, .. Floor drain/floor sink/hub Address: / - S--Cc.....) f%, "j/� � ,, 25.02 Garbage disposal 25.02 City/State/ZIP: / ' :17'2;1 2 _ Hose bib 25.02 Phone 1-, (�-,%) .�:i✓ ��� Fax.(, " _ )-5',:,,":.) ro�a`-}' Ice maker 12.51 PPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 ' Roof 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 �,r Urinal 25.02 CONTRACTOR Water closet 25.02 Business -" Water heater 37.52 name: J /1""` '"`' ,,i 6: Water piping/DWV 56.29 Address: ,-:/''') ' :-. -'- ' ' - l'-': Other: 25.02 b City/State/ZIP: ,,,,,,,,),t / , ' r r Subtotal Phone:( ...) „F, , ,- Fax:( ) Minimum permit fee: $72.50 CCB Lic.: /3 `pi G s,i, Plumbing Lic.no.: %�Y Plan review (25%of permit fee) Authorized signature: State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name: t 'j Date: 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 10/01/09 440-4616T(10/02/COM/WEB) 11111 City of Tigard ■ r COMMUNITY DEVELOPMENT DEPARTMENT T l G a R D Building Permit Review — Residential Building Permit #: /r)457-,,?0,/ 7-Jc)s. 7 Site Address: I Z b 2_ DI y' {(e L —_- Project Name: DIDiv Noods 5 Lot #: 17j (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nieof S-112- 28* 912— Verify site address/suite#exists and active in permit system. tRiver Terrace Neighborhood: K No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: II'hree(3)copies of site plan WIrxisting structures on site ®;Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations ''North arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number IA-ocation of wells/septic systems pplicant information(name and phone number) Existing trees to be retained with drip line,and tree of dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and AgStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) TY--Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No 0 Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified N' No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: SV 12-e)IL( `00097> Zoning: `1214'(-; Required Setbacks: Front 2.0 Rear 15— Side 5 Street Side tZ. Garage 2C) Landscape Requirement: Lot Coverage Maximum: I % 1?{ Building Height: Maximum Height Visual Clearance 4/A,: '2/0 Actual Height J� Easements Sensitive Lands: j2k Yes ❑ No Type l Ot Ai VIOL/14—Va tut., Urban Forestry Plan .Conditions "Met"prior t�v. Vo;iissuance of building permit Notes: f 1 1. awly .cV pr - -t 1.S`gl -tdi,(-f Approved By Planning: iirmi A_I P ' -4 Date: 2-(6---I (v -3 Revisions (after Building Submittal o 1111 Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: a271l;7 Site Plans: # Building Plans: # Building Permit#: nter building permit# ove. Workflow Routing: 13-VIanning ngineering 'Permit Coordinator dig Workflow Sign-off: C - ign-off for Planning(include notes from planning review) Route Application Documents: B-V n-gineering: (1) copy of permit application, (1) site plan, (1) building plan and ori al plan review routing form. Etfi uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 2A4 7 e� ..ur Engineering Review re.Slope at building pad: /f Conditions"Met"prior to issuance of building permit z7e Easements (encroachments)per engineering conditions of approval and plat Water 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: A roved byEngineering: _ (t PP Date: _Z--/L)/ 7 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: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: es ❑ N/A OK to Issue Permit o.Z l3 el Approved by Permit Coordinator: Date: T I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12882 SW PARKDALE AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00057 Inspection Type: Inspector: 120 Electrical rough-in Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12882 SW PARKDALE AVE, TIGARD, OR, 97223 September 21 , 2017 at 10:35:43 AM Record Type: Record ID: Residential - Master Permit MST2017-00057 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Exposed wires at light not installed main master bath. Outlet not installed in box at upper level right bedroom closet. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12882 SW PARKDALE AVE, TIGARD, OR, 97223 September 21 , 2017 at 10:35:08 AM Record Type: Record ID: Residential - Master Permit MST2017-00057 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Seal laundry tray counter top to wall. 407.2 Seal back splash in lower level powder bath. 407.2 Seal backsplash at lower level master bath. 407.2 All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12882 SW PARKDALE AVE, TIGARD, OR, 97223 September 26, 2017 at 12:14:11 PM Record Type: Record ID: Residential - Master Permit MST2017-00057 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12882 SW PARKDALE AVE, TIGARD, OR, 97223 September 26, 2017 at 11 :59:18 AM Record Type: Record ID: Residential - Master Permit MST2017-00057 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12882 SW PARKDALE AVE, TIGARD, OR, 97223 September 26, 2017 at 12:17:40 PM Record Type: Record ID: Residential - Master Permit MST2017-00057 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12882 SW PARKDALE AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00057 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor