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Permit (39) 71 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00457 T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017 Parcel: 1 S 135AD03400 Site address: 8771 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: Height: 28 sf Left: Parking Spaces: 9 Bathrooms: 3 Second: 600 sf Garage:9 sf Front: Smoke Dwelling Units. 1 Third: sf Yes Right: Detectors: Total: 1190 sf Value: $138,249.26 Rear: PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y 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 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 1 Bckflw Prevntr: 0 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 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 P 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: NEW TYPe of Constr: Occupancy Group: 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 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: Permittee Signature: St• / ` Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �� �Q �y 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 Residential , 4 f irf RE(er1,!1 IOft UI11(1: lSl: 0\1.1 City of Tigard Received 13125 S W Hall Blvd.,Tigard,OR 972 11 © m�' Permit No.: . _t6 ir T 1 8 2.01 Ph • ( 111Phone: 503.718.2439 Fax: 503.598. Plan DateBReview ac-i Other Permit:.Lne a pa 0037c 1 it, \E n Inspection Line: 503.639.4175 Date Ready/By: Doris: C r.- � a,�y,,„,,..,1”� , y. l � H See Page 2 for Internet www.tigard-or.gov ; 1 G 5.', I( ,, 1-q Notified/MethodLP///7 Supplemental Information IIrl ') 'i G D v 3OIN E 1'9"iL .C7--&—",/71'1-'(// --- TYPE- 0 REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. CPC ®1-and 2-familydwellingValuation: S134, J 3 ��(4. L f � 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ,...j.- 1.,. (� - a(�,415 4 ❑Master builder 0 Other: Number of bathrooms 2 L. O 1 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: SW Spruce St _'7 7 / New dwelling area: 1190 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: A Project name:Hall Pointe Townhomes Covered porch area: 17 square feet 6 0 O Cross street/directions to job site:SW Spruce St and Hall Blvd Deck area: 91 square feet S 9 0 Other structure a square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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. ( 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 ® PROPERTY OWNER 0 TENANT Number of stories: Name:E&V Devlopment,LLC Type of construction: Address:10879 SW 89th Ave Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)246-5862 Fax:(N/A) New: M APPLICANT Igi CONTACT PERSON BUILDING PERMIT FEES* Business name:Rich Duncan Construction (Please refer toleeschedu/r) Structural plan review fee(or deposit): Contact name:Chad Elliott 503-910-0897 ' Address: 2295 Rural Ave SE FLS plan review fee(if applicable): City/State/ZIP:Salem,OR 97032 Total fees due upon application: f Phone:(503)390-4999 Fax::(503)390-3633 Amount received: '(o?,a•`f E-mail:chad@richduncanconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top ma ted Photo Voltaic Solar Panel System. Business name:Rich Duncan Construction Submit two( sets of roof plan with connection• falls and fire depart.m` .access,along with th- I Oregon Address:2295 Rural Ave SE Solar Installation Spe''.-i Code - list. City/State/ZIP:Salem,OR 97032 Permit Fee(includ-- • -view $180.00 and..:. inistrative ea - Phone:(503)4999 39.D_ MCt Ct. Fax:(503)399-3633 States •arge(12%of permit fee): $21.60 i� CB lic.:158330411111k Total fee due upon application: $ 01.60 Authorized signature: �- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:CHAD.EL TT C-"‘Q Date:10/13/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildinglPermits\BUP-RESPerrnitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 p i1 1) Mechanical Permit A pl`� rolz()Frlc�l: 1�sE:()NIA 9 +....,4 „.,A.' _ 141 a J Received City of Tigard Date/By: Permit N r1 0 , _al 1 57 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review > ! R Phone: 503.711+.2439 Fax: 503.59����0 2016 Date,By: Other Permit: t I c A P DInspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov ;f"„, '07 I 1',t 2 x ra Notified/Method: Supplemental Information 't,.... 1 .A t :.r.1,ty . TY Di ' . {�( COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical pennit fees*are based on the value of the work ►. New construction ❑Addition/alteration/replacement 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* ►Z� 1-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: 8lAir conditioning 46.75 Job site address: SW Spruce St Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Hall Pointe Townhomes Duct work 23.32 Cross street/directions to job site:SW Spruce St&Hall Blvd 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: 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 installation of 4 remote heads for a"mini-split”system,misc sheet metal vents fireplace 23.32 •r 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 Other: 23.32 F+ PROPERTY OWNER 2TENANT Environmental exhaust and ventilation: Name:E&V Development<LLC Range hood/other kitchen equipment 33.39 Address:10879 SW 89'"Ave Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)246-5862 Fax:(N/A) Attic/crawlspace fans 23.32 i.'2 APPLICANT ® CONTACT PERSON Other: 23.32 Business name:Rich Duncan Construction,LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Chad Elliott 503-910-0897 Furnace,etc. Address:2295 Rural Ave SE Gas heat pump Wall/suspended/unit heater City/State/ZIP:Salem,OR Water heater _ 1 Phone:(503)390-4999 Fax::(503)390-3633 Fireplace Range _ E-mail:chad@richduncaneonstruction.comRich Barbecue CONTRACTOR Clothes dryer(gas) Business Other: Advanced Mechanical Services — MECHANICAL PERMIT FEES* Address: Subtotal _ PO Box 1699 Minimum permit fee($90.00) City/Stat McMinnville, OR 97128 Phone: 503-434-8544 (' Plan review(25%of permit fee) one: . CCB: 194814 — State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE .e--------- - This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board _ _ Print name:CHAD ELL OTT Date:10/13/16 I:\Building\Permits\MEC_PermitApp_040113.doc 440-46171(11/02/COM/WEB) . RECEIVED N Electrical Permit Application A uG 2 201 ►O k 111 I I( 1 ISI ()NI 1 City of Tigard e• Dat/BReceived e a 13125 SW Hall Blvd.,Tigard,OR 9 f2 3 i OF 1 1GAR1) Plan Review g5zmprilkla ' g Phone: 503.718.2439 Fax: 503.598. Da Related Permit t: inspection Line: 503.639.4175 BUY, 1NG D /ISION Ready Date/By: lune: 0 See Page 2 for 1 I c_,n is I i Internet: www.tigard-or.gov Notified/Method: Supplemental Information �-^•. syC'" ''':ri:.-"itw,i�s'w '.',mac.j �:✓.,:x�'re.,�.iX.=+.' -�.6�na.`^-'fr yam. �%.rs' _ ' < ..�_ .:.�''x�z,�.-ar S.�>.,�?C.,.�`�'x>Y• :eS�� 1 ,-_�:f.�:.trx;�;��?-;;^.:���..r�� .:s a%?�s,,;�2Sr,''tt`'-4';:�'g ��►.�1..�,,: �="�'s:,:�,,.2+ra.1 E]New construction 0 Addition/alteration/replacement Please check all that apply(submit g sets of plans w/items checked): 0 Demolition Other: ©Service or feeder 400 amps or more [3 Building over three stories. where the available fault current ❑Marinas and boatyards. _....,,:�...,<., .;.,,�..-, .�.�;,-��'� ���:s'=_ — "' exceeds 10,000 ampsat 150 volts or Q Floatingbub[ .x,c',-. ,��,�.Y:��'."':,. s�c..�:e� � �': ��9�u .v�G�,f '�`>.�: `G'��f�. din8s• o I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building leas to ground,or exceeds 14,000 p Commercial-use agricultural amps far all otter installations. buildings. 9 Multi-family 0 Master builder 0 Other: CI Fire pump. D Installation of 150 KVA or ae. rorkoa' li pT':'.' ! -.vohtiosoiatesx.4r 0 Etnergency system' larger separately derived f Job#: Job site address:1p•t-r I SW Spruce St ❑100H Addition mare.motor load of system. D p IOOHP or more. ❑"A""E""1.2""1-3'. City/State/ZIP:Tigard,OR 97223 O Six or more residential units. Recreational vehicle parks. ❑Health-care facilities. Pa Suite/bldg./apt.#: ft Project name: Hall Pointe Townhomes 0 Hazardous locations. C3 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Hall Blvd&SVt'Spruce Str �" =-'s= i"'"�--~ =°' =`- `3' = Dererigiten I Qtr" I Sato '1 Tend l • New residential single-or multi-family dwelling unit Subdivision: Lot#: Includes attached garage. Tax map/parcel#: IS135AD03500 1,000 sq.ft.or less ( 168.54 1jcs(E 4 ��, �c w _ Ea.add'I 500 sq.ft.or portion i 33.92 SI-T2.. I ':-4.10- �^'T"'%�fl^tar:-ate. li:h`rd:f l'. f �t ,7• r'i''%ti; �"r: .. _ x' .x - _",......:'� =:- r � .;.,.��<. ���. ,�<..,,.<. .�.x-`:xrs. w:r•�;,:,,; Limitedettergy,residential (with above sq.ft.) 74.00 2 Limited energy,muni-family 75.00 2 residential(with above sq.ft.) , .T :a :..-..y_ -_....-,.:.`......,.....,.:t -; _, ,,.. ,, % r �„, - Renewable Energy See Page 2 »•, R = yr ry " <y' Services or feeders installation,aheradon,and/or relocation Name: 200 amps or less j 100.70 (pp,•m 2 Address: 201 amps to 400 amps 133.56 2 401 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,sad/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 , ,--g<;-<-; — on,or extent( panel,. �<^�;;;rn-� - G,.«;,;r� rape a rent sew, ra on,per :r...�-1v:.__rc.e:.'e'.�.'.Sa-'Gr.'> Y ,..r.�..'..,�•r. �iry`.s'».emnxar,,.✓_fii.:.+,yo-.%".". .,�i�. ........ G':',T�?:T.•.3T...a...%"4�^�X{:,',�J.."t:Y'.+Yi^ A Fee for branch circuits wish Business name: E&V Development above service or feeder fee, 7A2 2 each branch circuit • Contact name: Dr.Gene Davis B.Fee for branch circuits without servAddress: 10875 SW 89th Ave branch circuitt fueder fee,first 56.18 2 • • bra • City/State/ZIP: Tigard,OR 97223 Each add'b branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(503)887-9966 Fax::( ) Each manufactured or modular 67.84 2 Email: fmfitldia@yahoo.eam dwelling,service and/or feeder • Reconnect only 67.84 2 ee- a, sr - �'r'.==ars" $F i�:�•. .::+:.•..� ter:.++ .- ..,...........,..-a�.,,, .'r�5rl��... �.... .. ,...... . ..... ... . .... . . .<..... .. Pump or irriation circle 67.84 2 Business name: ProTech Power Sign or outline lighting 67.84 2 Address: 17937 McEwen Rd#200 Signal circuit(s)or limited-energy C] See Page 2 2 turret,alteration,or extension. Each additional inspection over allowable in any of the shove City/State/ZIP: Portland,OR 97224 Additional inspection(I hr min) 66.25/hr Phone:( 503)780-6207 Fax:( ) Investigation t i hr min) 90.00/hr • Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90,001 hr CCB Lic.: 198878 Electrical L" .: C916 Pry,Li : 6126S st iftcallr listed(h In mint Yigrys: . ... . i1Y f: = ^ . Suprv.Electrician signature, required: Subtotal: 303./4 Print name: Andrew Anderson Dat : 8/2/2017 0 Plan Review Required(25%of permit fee): ' State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: - This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as compkte, • Number of inspections allowed per permit. • I.uasiIding\PermneELC_PermitApp_ELR ERE.doc Rev 06/17(2015 440.46151(1t/OSICOMIWEB • . Plumbing Permit Applien Building Fixtures ., x._:A _�ii LI ] r FOR OFIICG t 51: OM.) City of Tigard REEiew Permit No.: I . 1.3125 SW Hall Blvd.,Tigard,OR 97 T 1 8 )nn r fy Z� SJ i lJ [! P Phone: 503 718 2439 Fax: 503.598.1960 , • Other Permit No.: TICAKDInspection Line: 503.639.4175 ' ���� °1a�� ri Date Ready/By: Juris: H See Page 2 forInternet: www.tgard-or.gov -'i1 f^ 4"':'.111:-/I Notified/Method: Supplemental Information TYPE OBillifilkINGDIVISiON FEE* SCHEDULE New construction 0 Demolition For special information use checklist Descrption Qty. I Ea. I 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 ►,1 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR.(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: SW Spruce St 5'-11 I Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 •ough and finish plumbing for 1190 sf 2 steory townhome with 2 and 1/2 bath, Dishwasher 25.02 laundry,kitchen.Water and sewer on site Drinking fountain 25.02 Ejectors/sump 25.02 ►s PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name:E&V Development,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:10879 89th Ave Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 _ Hose bib 25.02 Phone:(503)246-5862 Fax:(N/A) Ice maker 12.51 et APPLICANT E CONTACT PERSON Interceptor/grease trap 25.02 Business name:Rich Duncan construction Medical gas(value:$_�) Page 2 Primer 12.51 Contact name:Chad Elliott 503-910-0897 Roof drain(commercial) 12.51 Address:2295 Rural Ave SE Sink/basin/lavatory 25.02 City/StateiZIP:Salem,OR 97032 Solar units(potable water) 62.54 Phone:(503)399-4999 Fax::(503)390-3633 Tub./shower/shower pan 12.51 E-mail:chad@richduncanconstruction.com Urinal 25.02 - Water closet 25.02 CONTRACTOR Water heater 37.52 A York Custom Mechanical Water piping/DWV 56.29 - PO Box 21474 Other: 25.02 _ C Keizer, OR 97307 Phone: 503-584-1771 _ Subtotal P Minimum permit fee: $72.50 inkCCB: 203341 Plumbing: PB 1481 Plan review (25%of permit fee) - - State surcharge(12%of permit fee) Authorized signature: / f� i TOTAL PERMIT FEE 111 ��lll � . Print name:CHAD EL OTT Date:10/13/16 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board, I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(l0/02/COM/WEB) City of Tigard 1,1 . ■ COMMUNITY DEVELOPMENT DEPAR'T'MENT T1cARn Building Permit Review — Residential Building Permit #: /"XS°j— /6 60 /c7 Site Address: q77/ SA) -alb. Project Name: i // PDvn77t ' ionho s Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /UAL) SQA QZ(Verify site address/suite# exists and actio in permit system. /,fiver Terrace Neighborhood: oNo ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan ting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper. 'i t o ngirstructure(inducting dem)with finished Drawn to scale(standard architect or engineer scale)C, - ' :< r :b'.' *, ' k"' PI utility locations (required for new,may apply for additions) ri ite address,project or subdivision name and lot number tication of wells/septic systems Vpplicant information(name and phone number) f sting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions .rotection measures pent bt e 'b ���, �,,.P ',��, �r;1�,� �� ���< �l�.y� � eet tree size,type and location -�. are ppbc b e*f' t.' l -ZS r 1/ • r ) ' Street names Q{� _ ,. Mier vabOn$ 4 a 'ofitou# �11111°1t °�" 5,.,.41/4-.1), I 'P Qek e9,4,.... �O.�tt. S"O.1. 44lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): �` UU 'equired: ❑ Yes,applicant was notified V No Received: ❑ Yes El No f ri Public Faciliti Improvement(PFI) Permit: V/Required: CYes,applicant was notified CI No Applied For: P Yes CI No,stop intake Land Use Case#: S)Aler20j It/Zoning: 4402—cq . I1 Required Setbacks: Frontl Rear 0 Sides /0 Street Side � Garage andscape Requirement: L V" Sie' 47/ Tot Coverage Maximum: • % / �� � ic�r� 2 Building Height: Maximum Height l-/S-- Actual Height 673 Ansual Clearance 0 )1 asements 'ensitive Lands: ❑ Yes /No Type r. Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: C17 y+ /.2 ..•' /Af Ambi -4 0-)0,,,,on;/ , .$'i/- llbl) -✓.e ipte,f, Approved By Planning: ' f Date: /0 — /8-44 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\FormslBldgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: ft) locx, Site Plans: # Building Plans: # Building Permit#: c"Enter building permit#above. Workflow Routing: KV-Planning ErEngineering D P rmit Coordinator Building Workflow Sign-off: B' Sign-off for Planning(include notes from planning review) Route Application Documents: Et—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ET/Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 07cinz7-C Date: //�//, Engineering Review "Slope at building pad: (7, Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes El No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT AA `rove byEngineering: i Date: Notes: ‘...P.. i '( '!'.. ' f Jo Approved by Engineering: L ZDate: Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved E Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit )ZOAroved NOT Released: /P/6ate: /�5/ PP 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: .X' Yes Cl N/A Tigard Trans SDC: ji Yes ❑ N/A Parks SDC: Yes El N/A OK to Issue Permit Approved by Permit Coordinator: Date: r?"/°2 4/7 I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8771 SW SPRUCE ST, TIGARD, OR, 97223 September 21 , 2018 at 11 :13:22 AM Record Type: Record ID: Residential - Master Permit MST2016-00457 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8771 SW SPRUCE ST, TIGARD, OR, 97223 September 27, 2018 at 11 :00:06 AM Record Type: Record ID: Residential - Master Permit MST2016-00457 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: 8771 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at 11 :46:18 AM Record Type: Record ID: Residential - Master Permit MST2016-00457 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