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Permit (34) 1,1 CITY OF TIGARD MASTER PERMIT ."- COMMUNITY DEVELOPMENT Permit#: MST2016-00458 T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017 Parcel: 1 S 135AD03400 Site address: 8765 SW SPRUCE ST Jurisdiction: Tigard Subdivision: 1990-053 PARTITION PLAT Lot: 2 Project: Hall Pointe Townhomes Project Description: Building A-New SFA BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 590 sf Basement: sf Left: Parking Spaces: Height: 28 Bathrooms: 3 Second: 600 sf Garage: sf Front: Smoke Dwelling Units: 1 Third: sf Detectors: Yes Right Total: 1190 sf Value: $138,249.26 Rear: PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 0 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: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 0 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 0 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: Y P Hoods: 1 Other Units: 0 Furn<100K: 0 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: 1 201-400 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: NEW p y Square Feet: SFA VB R-3 1190 Owner: Contractor: DAVIS,EUGENE REVOCABLE LIVING T RICH DUNCAN CONSTRUCTION INC Required Items and Reports(Conditions) 10875 SW 89TH AVE 2295 RURAL AVE SE 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 SALEM,OR 97302 PHONE: 503-246-5862 PHONE: 503-390-4999 FAX: Total Fees: $20,460.44 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 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.119987 or 1.800.332.2344. Issued By: iLi A �I t � ,�JlG L�'Go�C, ` Permittee Signature: �174 l ` LC 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. 0 Building Permit Applicationp Residentiall V Vil � . FoRofI.I( L, 1SEONLI' .� City of Tigard �� Received 13125 SW Hall Blvd.,Tigard,OR 97223 J �� DateB : j / Permit No. 5t o ��/� Phone: 503.718.2439 Fax: 503.59 i Plan Review ■ Inspection Line: 503.639.4175 I' .+w'. a ;z,, i Date/B : LD.. 1 11i Other Permit: R aom,_cc,3 TIGARD p Internet: www.tigard-or.gov r Date Ready/By:/Meihig 2. Jars: H See Page 2l for El aiz1°i nFNotified/Method° /� ,�/ 1_r F T.911"'-'',T‘'1/1 , s Supplemental Information TYPE OF WORK 7�iL _ 7 'f vl/.��" REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1-and 2-family dwelling Valuation:—it ❑Commercial/industrial 1434011111) ❑Accessory building ❑Multi-family Number of bedrooms: 2 J 3all.C ❑Master builder 0 Other: Number of bathrooms:'�2rg,3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: SW Spruce St b-i(n New dwelling area: 1190 square feet City/State/ZIP:Tigard,OR 97223 "^� n Garage/carport area: square feet Suite/bldg./apt.no.: )41 Project name:Hall Pointe Townhomes Cross street/directions to job site:SW Spruce St and Hall Blvd Covered porch area: 17 square feet 6 00 Deck area: 91 square feet $---,0 OthetuC� y square feet Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the work indicated on this application. •190 sq ft 2 story townhouse built to Oregon Residential Specialty Code,2014 ed Valuation: $ Existing building area: square feet New building area: square feet ►:1 PROPERTY OWNER I 0 TENANT Number of stories: Name:E&V Devlopment,LLC Address:10879 SW 89th Ave Type of construction: Occupancy groups: City/State/ZIP:Tigard,OR 97223 Phone:(503)246-5862 Existing: Fax:(N/A) New: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:Rich Duncan Construction (Please refer tofee sehedute� Structural plan review fee(or deposit): Contact name:Chad Elliott 503-970-0897 – Address: 2295 Rural Ave SE FLS plan review fee(if applicable): City/State/ZIP:Salem,OR 97032 Total fees due upon application: Phone:(503)390-4999 Fax::(503)390-3633 Amount received: E-mail:Chad@richduncanconstruction.eom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:Rich Duncan Construction Address:2295 Rural Ave SE and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/StateiZIP:Salem,OR 97032 Permit Fee(includes plan review Phone:(503)4999' 3R©_ tic(q..am. Fax:(503)399-3633 and administrative fees): $180.00 •CB lic.:158330 '` State surcharge(12%of permit fee): $21.60 r."___ . Total fee due upon application: $201.60 Authorized signature: ,� This permit application expires if a permit is not obtained ( Print name:CHAD EL within 180 days after it has been accepted as complete. TTS I Date:10/13/16 *Fee methodology set by Tri-County Building Industry 1:�Building J'ermits�BUP-RESPermi I Service Board. tApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i �s 1'1echanical Permit Application �r��CM-VEIL 1.OR OP I'1('I. l SF OS 11 City of Tigard Received 111 N 13125 SW Hall Blvd.,Tigard,OR 97223 J CT I fd 2016 Date/By: Permit No � vc—w y Cp Phone: 503.718.2439 Fax: 503.598.1960 Plan Review -XJ Inspection Line: 503.639.4175 Date/By: Other Permit: 1 l G/v R[a p J 4 -' a 'L / -J ,Date Read/B Internet: www.tigard-or.gov F„ Ready/By: auri3: S See Pent 2Inr 3 0 2 1 Cl n,J A ilied/Method: Supplemental Information �,,������� iii k x��� �.v. Ai TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST ►1 Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ 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. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: SW Spruce St 87 b S Air conditioning 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Hall Pointe Townhomes Heat pump 61.06 Duct work 23.32 Cross street/directions to job site:SW Spruce St&Hall Blvd Hydropic 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: 1 Lot no.: Other 23.32 I Tax map/parcel no.: Other fuel appliances: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 installation of 4 remote heads for a"mini-split"system,misc sheet metal vents Flue vent for water heater or gas fireplace 23.32 er microwave unit,dryer,and bath exhausts Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 174 PROPERTY OWNER I ® TENANT Other: 23.32 Name:E&V Development<LLC Environmental exhaust and ventilation: Range hood/other kitchen Address:10879 SW 89th Ave equipment I 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, Phone:(503)246-5862 toilet compartments,utility rooms) 23.32 Fax:(N/A) Attic/crawlspace fans 1 23.32 ® APPLICANT i2 CONTACT PERSON Other: J 23.32 Business name:Rich Duncan Construction,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Chad Elliott 503-9104)897 Furnace,etc. Address:2295 Rural Ave SE Gas heat pump City/State/ZIP:Salem,OR Wall/suspended'unitheatet Water heater Phone:(503)390-4999 Fax::(503)390-3633 Fireplace E-mail:chad@richduncanconstruction.eomRieh Range Barbecue CONTRACTOR Clothes dryer(gas) Busines' Other: Address Advanced Mechanical Services — MECHANICAL PERMIT FEES* PO Box 1699 Subtotal City/Sta McMinnville, OR 97128 Phone: 503-434-8544 — Minimum permit fee($90.00) one:i CCB: 194814 — Plan review(25%of permit fee) CCB lic.. State surcharge(12%of permit fee) / TOTAL PERMIT FEE ~r -.am- This permit application expires if a permit is not obtained within 180 Authorized Signature: •/� _ days after it has been accepted as complete. ----_ __, * Fee methodology set by Tri-County Building Industry Service Board I Print name:CHAD ELLOTT j Date:10/13/16 I:1Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/02/COM/WEB) .:—--I —----"— .'n' . " 1 1W11.M1..IIMII1.ilWIIMMIIMII.MIIMMIMI..I.IMI.•...II.I...I.IIMI.I.11.1IIIII1IIIIII.IIIIII1IIe RECEIVED Electrical Permit Application City of Tigard �) 2017Received 13125 SW Hall Blvd.,Tigard,OR 97223 DatclB : Permit#14-451;2e76 of �3? 1111 ! Phone: 503.718.2439 Fax: 503.5-' TIG g PIsc Review Inspection Line: 503.639.4175 iY i g d l ltA Dat ' . Related Permit k: 7 i c;;�};(: Read Date/By: • Internet: www.tigard-or.gov yruns: fa See Page l f �qro� g NotilIcd;'Mctbod; K or ,��?'.-.. r ':Fe' n-.a P".� Xe d y��l j��t Supplemental lnim•uation ',g, �.fail :t y ai�Wit,F. �._.l, .y -4a�-o.::.. �9Newp > r::.. s ;,r: x = - V. u ¢, construction 0 Addition/alteration/replacementapply " ' '`= Please check aI1 that (submit,' -o•� ,� ' ❑Demolition (s I P w/items checked): 0 Other: 0 Service or feeder 400 amps or more 13 Budding over three stories. -: lit :may Y _-.•s r r-,�lt.-,.'';•m =:- _ fir. { r.. where the available fault ubmit •�.�� tl �i�l,`s�.�.,-,-�^,":�"�":>":€s�:���-:?;✓�s�;�5€ ❑Marinas and boatyards r h..r1 ::;5 g4. exceeds 10.0!10 amps at ISO volts or ❑Floating buildings. ❑ I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building teas to ground,or exceeds 14,000 p Commercial-use agricultural Multi-family other installations. :.-_ allbut Masteramps builder Other: �- _ ..���; !� ,.....:�r.- :�y�-�.�n�`---.� Fire pump. VA or ...;w�. .. .�;.,=.F s,-.?r:...�•��,..,. .r.. - .,_�.- _.... .:- ^�"�''y •��� �Installation of 150 K !!�t?� ;. T:"_cx..° ' >'y:_z s ❑Emergency system. Job#:C "i larger separately derived I Job sire address:B SSW Spruce St 13Mdinonofnewmotorloadof system. Suite/ kite/pt.Tigard,OR 97223 IWNP or more. ❑"A",'E""1-2' '!-3" [�Six or more residential units. occupancy. Suite/bldg./apt.#: ❑Neahh ca*e facilities. Recreational vehicle parks. f Project name: Hall Pointe Townhomes 0 Hazardous locations, 0 Supply voltage for more than Cross street/directions to job site: Hall Blvd&SV1'Spruce Si 13 Service or feeder 600 amps or more. 600 volts nominal. 0a I thy. I Bae6 1 Tetal L+ Subdivision: New residentialsingle-or meati-faulty dwelling unit Lot#: !rendes attached garage• Tax map1parcel#: 1S135AD0350!} 1,000 sq.ft.or less t 16854 f , 4 'Ta-x._.t tic�sr;?F;rw 13,.. A.* -' -gin- add't 5 ft.or portion q : _ rz==.rxq- pr� r?YaY -`yk r R-y. t :l sk ..,,.; Ffi. OO sq. I 33. Z 1 �._. _,.._ .: F<:s s" Limited a 33.`}Z. =f:`""�,`'`� ttergy,residential (with above sq.fl.) 75.00 2 Limited energy,multi-family residential(with above sq.fl.) 75.00 2 " ^r ': .. ble En r1M1 �,-=� s ' titivi '-Y " IR ;,- •r �> :..,.its:} . Reaewa a t] s", ,P e 2 Name; - ) "`':` = Srrvice,or readers Installation,aheration,nd/or retocatIon 200 amps or less t 100.70 2 Address: 100.7D 201 amps to 400 amps 133.56 2 City/State/Z1P: 401 amps to 600 amps 200.34 2 Phone:( ) 601 amps to 1,000 amps 301.04 2 Fax;( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade on propertys relocation 200 o less intended for sale,lease,rent,or exchange.according to ORS 447,449,670,and 701.not 20) to400 59.36 68.54 1 Owner signature: ampsI i 125.08 2 atti :-..- :> to 599 am .:.6_ L- _:'-�:.:o:..,i.,.:;�-. ..: :.vim Tf'4l *lion,..amu,.;,»�:;w,s�;�..:- '��.:<:<=:t:v .. :.- :,�:-.,. -._. ,�5��zf, E4 Breach cinnits—aew,alters on.or extension, r panel Business name: E&V Development A.Fee for branch circuits wirh above service or feeder fee, Contact name: Dr.Gene Davis each branch circuit 7.42 2 B.Fee for branch circuits without Address: 10875 SW 89tb Ave service or feeder fee,first branch circuit 56.18 Z City/State/ZIP: Tigard,OR 97223 Each add't branch circuit 7.42 2 Phone:(503)887-9966Miscellaneous(service or feeder sot Included) Fax::( } Each manufactured or modular Email: tmLindis�yaboo.eom dwelling,service and/or feeder 67.84 2 -r �;r��<,..,:��;< '- .,-.�.-,-,.,.�:;��,:,:zr,�.,,,. ��:,>.; - Reconnect only �: ,...,,,,<;r-:..::..r,.c •:'s4.. n`%z. bP 4;<>" - ;.,t?.r 1st::.%' _ 67.84 Business name: ProTeeb Power Pump or irrigation circle 67.84 2 Sign or outline lighting 67 S4 2 Address: 17937 MCEwen Rd 0200 Signal circuit(s)or limited-energy panel,alteration,or extension. Page 2 2 City/State/ZIP: Portland,OR 97224 Each additional inspection over allowable in any of the above Phone:( 503)780-6207 Additional inspection(1 hr min) 66.25/hr I Fax:( ) Investigation(1 hr min) 90 00/hr Email: Industrial plant(1 hr min) 78.18/hr CCB Lic.• 198878 Inspections for which no fee is Electrical L' . 0916 � prv.Li 6125S speciticatl liateds 90.00/hr , •. ihr min X Suprv.Electrician signature, - : = required: t11G #.... ....... o ... Print name: Subtotal: 3p3,1 Andrew Anderson Da 8/2/2017 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE' Print name: This permit application expires if a permit is not obtained within 180 1 Date: days atter it has been accepted as complete. I.iBwldimtlPennitalELC PermnApp_E[.R_ERE.doc Rev p6ri7i3uFS • Number of irrsp°crions atlowed per pensni. 44t1.4613T(t L'o5/coMJwEB Plumbing Permit Am3lica> i r ,..c�1- `� y - Building Fixtures ., � FOR OFIR'l: t'SE; ()NIA City of Tigard (�( r Received all IN1.3125 SW Hall Blvd.,Tigard,OR 9`/223 18 2016 Date/By: Permit No.7;T `/ y ¢ = Phone: 503.718.2439 Fax: 5p304196,04, Plan Review �s Q Inspection Line: 503.639.4175 (1 t 1``` Date/By: Other Permit No.: 0 Ti 6ARD e titx1 5 Internet: wWw.tigard or.govdp 1 T � Date Ready/By: Juris: l ® Page 2 for,raNotified/Method:1143 1V ION Supplemental Information TYPE OF WORK 1 FEE* SCHEDULE ®New construction ❑Demolition Fors ectal information use checklist ❑Addition/alteration/replacementDescription Ea Total 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath ® 1-and 2-family dwellingSFR 312.70 0 Commercial/industrial (2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder - Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: SW Spruce St g, ( - - Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: Footing drain(no.linear ft.: ) Page 2 Project name:Hall Point Townhomes Manufactured home utilities 50.03 Cross street/directions to job site:SW Spruce St and Hall Blvd Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: - Water service(no.linear ft.: ) Page 2 [Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 lip DESCRIPTION OF WORK Backwater valve 12.51 tough and finish plumbing for 1190 sf 2 steory townhome with 2 and 1/2 bath, Clothes washer 25.02 Dishwasher 25.02 laundry,kitchen.Water and sewer on site Drinking fountain 25.02 Ejectors/sump 25.02 t.� PROPERTY OWNER 0 TENANT Expansion tank 12.5]. Name:E&V Development,LLC Fixture/sewer cap 25.02 Address:10879 89th Ave Floor drain/floor sink/hub 25.02 City/State/ZIP:Tigard,OR 97223 Garbage disposal 25.02 Hose bib 25.02 Phone:(503)246-5862 Fax:(N/A) Ice maker 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Rich Duncan construction Medical gas(value:$ ) Page 2 Contact name:Chad Elliott 503-910-0897 Printer 12.51 Address:2295 Rural Ave SE Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Salem,OR 97032 Solar units(potable water) 62.54 Phone:(503)399-4999 I Fax::(503)390-3633 Tub/shower/shower pan 12.51 E-mail:chad@richduncanconstruction.com Urinal 25.02 CONTRACTOR Water closet 25.02 By Water heater 37.52 Ac York Custom Mechanical Waterpiping/DWV 56.29 PO Box 21474 Other: 25.02 Ci Keizer, OR 97307 Phone: 503-584-1771 Subtotal Ph CCB: 203341 Plumbing: PB 1481 Minimum permit fee: $72.50 Plan review (25%of permit fee) Authorized signature: e State surcharge(12%of permit fee) ( Print name:CHAD EL' 1 TT TOTAL PERMIT FEE Date:10/13/16 j 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. 1:\Building\Permits 1PLMU-PermitApp.doe 10/01/09 440.4616T(10/02/COM/WEB) City of Tigard .1114 q COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R D Building Permit Review — Residential Building Permit #: /V /7/( Ie�/..5`, % Site Address: 7(05 9/> �r2�e . ,c-z2_T Project Name: %1a// PD, 'L kmho ( �/ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /l Gtr Verify site address/suite#exists and actio in permit system. Pljii*iver Terrace Neighborhood: gNo ❑ Yes,See River Terrace Review Addendum Attached Sit/Plan Elements: Ukryiree(3)copies of site plan 14 ting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper ' ,.,, ,:,f€if n w stn*c ( sludialg ) aied �,y decks with fmi Drawn to scale(standard architect or engineer scale); ��' � •t � �� ��,al Ah✓ �,` moi '. orth w .' ieAH PA tthty locations(required for new,mayapply for additions) � -rite c��'"' PP Y address,project or subdivision name and lot number cation of wells/septic systems pplicant information(name and phone number) fisting trees to be retained with driline,and tree Lot dimensions and building setback dimensions •rotection measures P '" i i16 t eet tree size,type and location »moi ^`' nn� S t it l e{ , 12, 2a& .4Q) ,t=''' 1'I Street names SI C �, PiW\A jfl/t'.t�- . ilptl 1141£JC# E #f 1IC*an-;, (� , ,i�AQ 4 _'A � � , 1 C- a. �� ;r�/�p� eve nn0 1./ (4 V L� She. I Q a el.....,_ ?Any._ S-O.L. J lean Water Services—Service Provider Lettey(lot platted prior to 9/10/1995): , U 'equired: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No IG Public Faciliti Improvement(PH) Permit: Required: [eyes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Land Use Case#: ,c2,e,Qcjl,s--7_0:,LO&- - I Zoning: mur2— ti Required Setbacks: Front /\,�'t1 Rear �/ 7 fT Side: Street Side Am Garage AO I andscape Requirement: /o side: l , iot Coverage Maximum: • % Oil 1.C. -ride_I1. Building Height: Maximum Height -/cS `T Actual Height *isual Clearance 41 asements 0 ,, 'ensitive Lands: ❑ Yes �No Type P Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: C17j7. ./ �' /a ' /A__j' to lr 4 t mii �t / /0 a r Pf"!r rh p �'/Tc /ry��aih� 6 Approved By Planning: Date: /0 — /8—,/6 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: /e�+��/k. Site Plans: # Building Plans: # Building Permit#: K -Enter building permit#above. �,� Workflow Routing: [Planning [J�Engineering Permit Coordinator i Building Workflow Sign-off: t Sign-off for Planning(include notes from planning review) Route Application Documents: G-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: r ,�� y1- -� Date: /7,/,/,C, By Permit Technician: Engineering Review /Slope at building pad: /f ' ,.g /Slope "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: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved ,-, ineering: Date: Notes: 'r. _Aril .06 "Il�� il_ it Approved by Engineering: Mr, Date: mg�► 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 )1kApproved,NOT Released: Date: ,lief 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: Igi SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: iR Yes ❑ N/A Parks SDC: . g Yes ❑ N/A (1 :6K to Issue Permit Approved by Permit Coordinator: Date: 9/77---7/.. -- I: /� I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8765 SW SPRUCE ST, TIGARD, OR, 97223 September 27, 2018 at 10:59:56 AM Record Type: Record ID: Residential - Master Permit MST2016-00458 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8765 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at 9:40:56 AM Record Type: Record ID: Residential - Master Permit MST2016-00458 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received C of 0 left on counter. Violation Summary: Inspector Contractor