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Permit
IIIIIIICITY OF TIGARD MASTER PERMIT 1 COMMUNITY DEVELOPMENT Permit#: MST2016 00597 T G. RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2017 Parcel: 2S111AA11200 Jurisdiction: Tigard Site address: 9060 SW INEZ ST Subdivision: GREENSWARD SOUTH Lot: 6 1 Project: Greensward South, Lot 6 Project Description: New SF. 10/30/17: REPRINT permit to add hot tub. 410 BUILDING BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2070 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 994 sf Garage: 686 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3064 sf Value: $387,739.30 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 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: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 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 3064 Owner: Contractor: GP4 LLC FOUR D CONSTRUCTION Required Items and Reports(Conditions) PO BOX 1577 PO BOX 1577 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97075 BEAVERTON,OR 97075 PHONE: PHONE: 503-720-7445 FAX: 503-590-1751 Total Fees: $31,255.24 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: Or.=• law requires y•. to follow the rules a opted by the Oregon Utility Notifi ent . Those rules are set forth in OAR 952-001-0010 througho ,i - •52-00 $090. Yo =y obtain a •py of the s or direct questions to OUNC by calling 43. • . • or 1.::I. 32. 444: Issued By: /i/ Of Permittee Signature:G' _/ /e Call 503.639.4175 by 7:00 a.m.for the next available inspection da This permit card shall be kept in a conspicuous place on the job site until comp!: ion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT 71COMMUNITY DEVELOPMENT Permit#: MST2016-00597 13125 SW Hall Blvd.,Ti Date Issued: 05/03/2017 T[4aaJ�. and QR 97223 503.718.2439 9 Parcel: 2S 111 AA 11200 Jurisdiction: Tigard Site address: 9060 SW INEZ ST Subdivision: GREENSWARD SOUTH Lot: 6 Project: Greensward South, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 2070 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 994 sf Garage: 686 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3064 sf Value: $387,739.30 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Drains: 0 gWater 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 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 3064 Owner: Contractor: GP4 LLC FOUR D CONSTRUCTION Required Items and Reports(Conditions) PO BOX 1577 PO BOX 1577 1 Ersn Cntrl 503-639-4175 BEAVERTON,OR 97075 BEAVERTON,OR 97075 PHONE: PHONE: 503-720-7445 FAX: 503-590-1751 Total Fees: $31,210.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, • if w. is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification • - r•se rules are s- for in OAR 952-001-0010 through OAR 952-001-0090. You may obtai copy of the rules or direct questions to OUNC by calling 503. ;}•/ ••• % .:00. < . <,4. ' Issued By: _ / � � 70, Permittee Signature: i�� all 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of : project. Approved plans are required on the job site at the time of each inspection. i a, Building Permit Applica 'A / �, 4� . . Residential [o it 0111( c l SI. ON 1.1 City of Tigard D F C 2 9 2016 Received p� g DateBy: / r+`/ /`p A. Permit No.:H*�(J`/-ez 597 .� 13125 SW Hall Blvd.,Tigard,O,� 3g� t` # e #,x Plan Review Phone: 503.718.2439 Fax: 5055 8U (s gib Lf. j`-) Other Permit: P.9P)r4-005fr I t,, A k D Inspection Line: 503.639.417 r 1 r" fi r , r s Date Ready/By: 7 Jeri$: Ei See Pae 2 for Internet: www.tigard-or.gov tr« x ,. Notified/Method: ( 1 i /1 Supplemental Information oel ci 1l i-.t Gil'( U TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING j'New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1-and 2-familyValuation: $ dwelling 0 Commercial/industrial 3 87, / 3 9 ❑Accessory building 0 Multi-family Number of bedrooms: Z- ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2, --.-) O Job site address: 9(5k) s 70•-/&7.— g7- New dwelling area: 3 06.yi square feet City/State/ZIP: 7-i (J A. D 0r tz. 9 7 22'7/ Garage/carport area: (,beo square feet Suite/bldg./apt.no.: Project name: c,DAe7, •6©t,41-/-- Covered porch area ZOO square feet 9 9 y., Cross street/directions to job site: (e7—(p Deas ea.p,,T.a cpvd square feet a O 7) ff A U- 1'LI/D ` C;g€ NSto Alto U') — 9'0 1-1-/- Other structure area: 3 3 [ square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 6 g E4<s,,44,,,q_124.,3 14- Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ j(//CC�i 5/A/6 4-ii. PA.M 1 ty 65 jDeNC.c Existing building area square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: .57 ME /4S REZ—C YV Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedulee Business name: Foil IA- D CoN,5 TRU C-C-)tc l'--1 Structural plan review fee(or deposit): Contact name: t PY`S� Dom- 1.4. �p p6lz-r p FLS plan review fee(if applicable): Address: P. . Box 1l S 7 Total fees due upon application: City/State/ZIP: BEA ve g_ro N C: v.. 7 0 7 57� -cc'Phone:(5-03) '7 Q ‘...7 t/ti Fax::(� c ) 59t j 75 f Amount received: 1�' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: D OA/S-C"' s.is i col CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: T Submit two(2)sets of roof plan with connection details Address: i3, and fire departmentanrevaccess,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes pliew $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: ? ,/ Total fee due upon application: $201.60 Authorized signature: j This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 'J)A y)D . De/J rzpp.sl"—Date:,f 2_ 2?�6 *Fee methodology set by Tri County Building Industry Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Plumbing Permit Application Building Fixtures City of Tigard x ,,k,' ti `" °* Received '. DatelBy: 1 61.x'1 /(o Permit No.:r1$To`blCo-00 S�17 23125 SW Hall Blvd.,Tigard,OR Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:6u3.2 2616„, ,,,5.p i i(, ,«t inspection Line: 503.639.4175 c 21111 r; Die Ready/By: runs: ® See Ps 2 for r Internet: www.tigard-or.gov 1 Notified/Method: Supplemental Information TYPE OF WONCI ,L 9 t FEE* SCHEDULE IN New construction For special information use checklist glttrt�q,. F l 4,3 i_ T �( ')21), Description Qty. Ea. Total ❑Addition/alteration/replacement Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 igi 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑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° 706,0 S,u-) , IN EZ- "7--- Catch basin or area drain 18.76 City/State/ZIP: '-J--1&A) c,R. 9 7 Z 2-5/1 Drywell,leach line,or trench drain 18.76 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 14 n - 13 Lv i, .,_ CoR E GA/s e,pt Z,,. - 90 7-1,.- Rain drain connector 18.76 7 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: (j g E&--A,/,51.:,,,A.AD SOLI rf iL Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 / i Clothes washer 25.02 A'EA) .//V64.6 F-Pt 61/9/ R G5 i1 Md Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 1 Floor drain/floor sink/hub 25.02 Address: SA-ti) A3S IS &l V/ Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 (j APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: ro Li.)2, D co A/5%R U ti,I®/�, i� Primer 12.51 Contact name: {0;a v'i D D lrt 44R p poI 4- Roof drain(commercial) 12.51 Address: ?, 0. x j 5 `2 7 Sink/basin/lavatory 25.02 City/State/ZIP: 3e / ve '-.I Z)N in R 9 7 p 7.S Solar units(potable water) 62.54 Phone: $03 ) 7 0.-7 L/ i 5 Fax::(3-03)5-qo.,i 7 5/ Tub/shower/shower pan 12.51 E-mail: ,'d U/Z. /J Co A/s�- s st; ! 6:6,0 Urine( 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: -1-H. M U L L t/L/ (O M P A/ WaterPirPmP' �W V 56.29 Address: /66//4 -S,E, i ilGs R RC/ Other: 25.02 City/State/BP: /17/i4.4,5 !0 0l Fax:( ) P?jI 9 7/2 Subtotal Minimum it fee: $72.50 Phone:(sz ) cJ/O_ 6/13 CCB Lic.: / 6 g 9 Plumbing Lic.no.: -26o p4Plan review (25%of permit fee) State surcharge(t 2%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: 1 J „,1j :''I. r s Date: /Z 2 9,/,� This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10102/COM/WEB) 4 Electrical Permit Applic c t ;°, 3 f 4_i i,()R ()! I I( I i I t\1.1 ' ` 5 ; =t s- Received City of Tigard Date/By: Permit#: M'ravtec,—00 s?7 13125 SW Hall Blvd.,Tigard,OR 97223. Plan Review S 7 1 y Related Permit#: Phone: 503.718.2439 Fax: 503. (�6� �_(�i E, Date/By: Inspection Line: 503.639.4175 Ready Date/By: Tari:: RI See Page 2 for i `' is i) Internet www.tigard-or.gov 1 i Notified/Method: Supplemental Information TYT.IT (" N;, q()rPLAN REVIEW ,New construction 0 Additiio atteratton/replact itlerlt' Please check all that apply(submit 1 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stones. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards, CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. p,1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑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 ' ❑Addition of new motor load of system. Job#: Job site address: (j Q $r l.J. ,�" looHPormore. ❑«A„"E",<`1-2""1-3", City/State/ZIP: , f (� ( , ❑Six ormare residential units. occupancy. / ❑Health care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: name: 0 Hazardous locations. 0 Supply voltage for more than Project600 volts nominal. ❑Service or feeler 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total ► N II U. P L V D Co RE EMS' kg-0 I—A/ — b r/-f New residential single-or multi-family dwelling unit. Subdivision: 6 12t6NSi.il1 .5+,t,itt+ Lot#: Includes attached garage. I;000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 i DESCRIPTION OF WORK Limited energy,residential 75.00 2 (with above sq.ft.) NeSi r./Li i,. 1=A NI/L)/ fl E.5/ /iWet' Limited energy,multi-family 75.(10 2 1 residential(with above sq.ft.) Renewable Energy 0 See Page 2 Of PROPERTY OWNER I 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: A/-A S __L L O t+-) 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension, r panel E$,APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: Foci,tZ U Ivy%EZ.0 coo Jl.) above service or feeder fee, 7.42 2 each branch circuit Contact name: I)N/10 14A f-F'retz r B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: f 2,0, 8,OX j S v7-7 branch circuit City/State/ZIP: ,3E pve12,.'reik) Chi 1-'- ct 70`7 5 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: -d )'2,20 7� - 7 C/L% Fax: :(5113 )SC/ -t 7 5 / Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: 'O LA (2, D (....61,,,,-3-7-6„) .rz1,,,l5rC MS JL). cop.4 Reconnect only 67.84 2 CONTRACTOR �° Pump or irrigation circle 67.84 2 Business name: L .to 4.,e-'.r-/24C..,. 6 pe P Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 6 /j 0 AZ k . '...;2 A/D /I 10 V panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Po as 1144,1/0 niz 9'.72z 0 Additional inspection(1 hr min) 66.25/hr Phone:(t 03) 17 7 3 7,9Fax:(5 ) .9 J M 7 c/,/T�/ Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Email: •GETS L. e:.rf2J C--6 I.oct r e 6 toll Js. , ezto Inspections for which no fee is 90.00/hr CCB Lic.:/9/z7 Electrical Lic.:C 63! Suprv.Lic.:5 76 L s' specifically listed(14 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: k b g j2:.Tl ,4yt j-Aa49/ 1 Z.Da -: /2._2 _,./6 ❑Plan Review Required(25%of permit fee): Ati.„...,___ I State surcharge(12%of permit fee): 1i 4 TOTAL PERMIT FEE: Authorized signature: `'' ,,f / ' This permit application expires if a permit is not obtained within 180 Print name: pj 1 D ._D e)-4-4 ia_pp t2— Date: J•L zq 16days after it has been accepted as complete. + Number of inspections allowed per permit. 1:\Building1Permits\ELC PermitApp_ELR ERE.doc Rev 04/21/2014 440-46151(11/05/COM/WEB • 1V chanical Permit Applic4 'io ` �;4 -` I OR 01.I It 1: 1 ".1:0y1.1 City of Tigard Received g Date/By: Permit No.: rep4,6 ' 597 13125 SW Hall Blvd.,Tigard,OR 972 ' I Phone: 503.718.2439 Fax: 503.598.1( (U 1 r Dan By: Other Permit: Date/By: T t c n R I, Inspection Line: 503.639.4175 Date Ready/By: Juris: Id See Page 2 for Internet: www.tigard-or.gov 1 : 1 s.,7*.; Notified/Method. Supplemental Information orf TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 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 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* R1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: � Air conditioning I 46.75 Job site address: 906,0 4i IV* �jv&7 a) y Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: i(.,A-(1.4) C)g--. C`y 7 Z Z ti Furnace 100,000+BTU(ducts/vents) 54.91 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 /4-44 LA- B LV b - &R E E N,S t.,1 f1ID Liv - ?n r fri 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�l'� e NS i.....1 A1-2- i-i-f- Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Fes) Log lighter(gas) 23.32 //C-L4-I S' /i 6,L"1 Pi>M i LyF e )i)e Ila c°'!.' Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 El PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: 5 14 KC p,. 8t et(')w Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utilityrooms) 23.32 l Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 pit APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: Eau.t $14.15 for first four;$4.03 for each additional Contact name: ` )AV.I P D e 4p} --p pbg t- Furnace,etc. Address: P Gas heat pump + 6 0X is--7.-7 WailJsuspended/unitheatey City/State/ZIP: I3E-A\/EL7 ,11/4..1,, ' C 9 7 Q 7 S Water heater . Phone:(5t 3) 77...O ._ `7`>`j S Fax::(503 j 7'0, .. l-]S 1 Fireplace Range E-mail: FOIL t-e/C43 10 Sy jai,A y CO Ad1 Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: e&ArriLik i..... A l 1--0.7L MECHANICAL PERMIT FEES* Address: ft 0, Llox 933 Subtotal City/State/ZIP: �� 7 0I Minimum permit fee($90.00) 7 Plan review(25%of permit fee) Phone:(5:3) 6-5 4;- / 570 d''°' Fax: ) 650 P 3 o rf ' State surcharge(12%of permit fee) CCB lic.: /763 6:,,-,e, Li TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: /�'� * Fee methodology set by Tri-County Building Industry Service Board Printname:,T1Cj J(, ,�_ .�eli g/ r9---.Date: /2 Z 9/c: I:\BuildinglPermits\MEC PermitApp_040113.doc 440-46171(11/02/CONI/WEB) 11,1 1Q City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Residential Building Permit #: f"( .1-0-01 t _cc 597 Site Address: 901,e) .S60 m .., Project Name: .fir-egns', ;2),,k_ goz,e-`yt Lot #: (0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: k ) ,J 3L----re Verify site address/suite# exists and acti in permit system. fiver Terrace Neighborhood: INo ❑ Yes,See River Terrace Review Addendum Attached Sip6 Plan Elements: ViThree(3)copies of site plan f :,,sting structures on site VLZI to plan must be on 8-1/2"x 11"or 11 x 17"paper II Footprint of new structure(including decks)with finished >awn to scale(standard architect or engineer scale) or elevations orth arrow l Utility locations (required for new,may apply for additions) e address,project or subdivision name and lot number ��' : ation of wells/septic systems plicant information(name and phone number) 7 Existing trees to be retained with drip line,and tree 1 V ot dimensions and building setback dimensions otection measures •' �i t area,building coverage area,percentage of coverage and reet tree size,type and location pervious 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) Oflean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): /71equired: ❑ Yes,applicant was notified 0 No Received: ❑ Yes ❑ No Public Facili0 Improvement(PFI) Permit: equired: 01 Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: S4! li./_ oy 0 /zoning: C-- 12 Required Setbacks: Front Q 0 Rear /6—. Side Street Side OA Garage ,20 eI.andscape Requirement: cyo liji! ot Coverage Maximum: SII Building Height: Maximum Height S 0 Actual Height /` '(p11 isual Clearance ITA Easements Ed ' ensitive Lands: ❑ Yes IJ No Type in rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: Date: , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: 2.q l t iO Site Plans: # 3 Building Plans: # 3 Building Permit#: 2 Enter building permit#above. Workflow Routing: Q.-Planning ['Engineering EV-Permit Coordinator wilding Workflow Sign-off: ❑- Sign-off for Planning(include notes from planning review) Route Application Documents: Z 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: � _ O �a`�•�� Date: /�.. A,5/i, Engineering Review Slope at building pad: , Conditions "Met"prior to issuance of building permit /— Easements (encroachments)per engineering conditions of approval and plat 77 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: Approved by Engineering: _ Date: 12:30--',Z 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: 7 SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: (es ❑ N/A Parks SDC: FDYes ❑ N/A OK to Issue Permit //311 Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9060 SW INEZ ST, TIGARD, OR, 97224 October 30, 2017 at 10:33:01 AM Record Type: Record ID: Residential - Master Permit MST2016-00597 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9060 SW INEZ ST, TIGARD, OR, 97224 November 2, 2017 at 12:36:53 PM Record Type: Record ID: Residential - Master Permit MST2016-00597 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide tempered glass at master bedroom windows less than 60" above grade within 60" horizontal of hot tub. R308.4.1 (6) First step (hardwood) not to code. Rise is 1 " different than next step up. 3/8" difference maximum allowed by code. R311 .7.4.1 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: 9060 SW INEZ ST, TIGARD, OR, 97224 November 2, 2017 at 11 :40:21 AM Record Type: Record ID: Residential - Master Permit MST2016-00597 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9060 SW INEZ ST, TIGARD, OR, 97224 November 2, 2017 at 11 :33:14 AM Record Type: Record ID: Residential - Master Permit MST2016-00597 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections complete from previous inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9060 SW INEZ ST, TIGARD, OR, 97224 November 13, 2017 at 8:59:21 AM Record Type: Record ID: Residential - Master Permit MST2016-00597 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Lower level step correction complete. Invoice for tempered windows received, to be installed upon arrival. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Duct seal test report received. Insulation certification checked. C of 0 left on site at kitchen island. Violation Summary: Inspector Contractor