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Permit (115) CITY OF TIGARD7 ,, A IN MASTER PERMIT I COMMUNITY DEVELOPMENTWOO Permit#: MST2017-00293 13125 SW Hall Blvd.,Ti Date Issued: 08/24/2017 Tll Alc`[� and OR 97223 503.718.2439 9 Parcel: 2S110AC00200 Jurisdiction: Tigard Site address: 10974 SW ANNAND HILL CT Subdivision: ANNAND HILL SUBDIVISION Lot: Project: Annand Heights, Lot 26 Project Description: New SF. 1/30/18: REPRINT to add backflow preventer for landscape sprinkler. 3/20/18: REPRINT to change address from Annand Ct.to Annand Hill Ct. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 871 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1239 sf Garage: 412 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2110 sf Value: $261,686.98 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 2 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: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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 addl 500 sf: 3 201-400 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 2110 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 TIGARD,OR 97223 PHONE: 503-768-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $29,897.38 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: �Z(� ��� /44...4/4/..4,40&._____ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C%�2���� 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. CITY OF TIGARD � �, '" MASTER PERMIT e11111 ' '' `" 1i1 Permit#: MST2017-00293 11. COMMUNITY DEVELOPMENT ,./, x. - l Date Issued: 08/24/2017 T l CAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AC00200 ' Jurisdiction: Tigard Site address: 10974 SW ANNAND CT Subdivision: ANNAND HILL SUBDIVISION Lot: Project: Annand Heights, Lot 26 Project Description: New SF. 1/30/18: REPRINT to add backflow preventer for landscape sprinkler. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 871 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1239 sf Garage: 412 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2110 sf Value: $261,686.98 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: N 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'500 sf: 3 201-400 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 2110 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 TIGARD,OR 97223 PHONE: 503-768-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $29,897.38 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- 1-00 0. You m obtain a cosy of the rules• direct questions to OUNC by calling 503.232.1987 or 1.800/ .332.2344. Issued By: X4 Permittee Signature: ( C1/44-4--(2-- - Call 603.639.4175 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. Plumbing Permit ApplicatiQ , ., Building Fixtures �� _� FOR OFFICE ESE ONLN City of Tigard Receivedy',� Date/B x��� Permit N 672k �� li 13125 SW Hall Blvd.,Tigard,OR 97223i AN 3 �1�_) s' Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.: Inspection Line: 503.639.4175 t T I G A R D Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information = TYPE �F, 4SIWII ��ai�. FEE* SCHEb V-'''' ew construction ❑Demolition For special information use checklist gilAddition/alteration/replacement 0 Other: Description Qty. 1 Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION "' SFR(1)bath 312.70 �1-and 2-familydwelling SFR(2)bath 437.78 g 0Commercial/industrial SFR(3)bath 500.32 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JQB SITE UsIFORMATIOI(j,AND LO4 410N Site utilities: Job site address: Catch basin or area drain 18.76 �� Vti 11�}W Drywell,leach line,or trench drain 18.76 City/State/ZIP: g Footing drain(no.linear ft.:_) Pae 2 Suite/bldg./apt.no.: Project name: 4 A.)041-06 4-64-5 41 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: cn Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ' , Backwater valve 12.51 DESCRIPTION O L�„r Sp.-t--)41A, Clothes washer 25.02 73 ��"� -- � Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 '4,e** XTRopERTy OWNER ,t l'''' Expansion tank 12.51 Name: W tu, vziFixture/sewer cap 25.02 tU 10 ( drain/floor sink/hub 25.02 Address: 4 G Garbb age disposal 25.02 City/State/ZIP: .-1---ti )- an. Hose bib 25.02 Phone:( ) ! Fax:( ) Ice maker 12.51 0 APPLIC*NT 14x. []$ NT . PERSON ' _."_ Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: 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: Urinal 25.02 3, = . x v E, � V " A - Water closet 25.02 ' . 9 CONTRACTOR ' a.. Water heater 37.52 Business name: 60 NTU u it Mu fr) J e `4ilk)p C Water piping/DWV 56.29 Address: (. _ - .D 0 h 'RD' Other: 25.02 City/State/ZIP: 6 / ©p, 6i-7 i 110 Subtotal Phone: 6 a, / 3 Q c)- Fax:( ) <. -N yye Minimum permit fee: $72.50 CCB Lic.: 5 b q g --(//� Plumbing Lic.no.: Plan review (25%of permit fee) o State surcharge(12%of permit fee) Authorized signature: p_ /) .Yvv c&, ) TOTAL PERMIT FEE �s;62� Print name: C/� U�"J C�-tl J Date: /fg This permit application expires if a permit is not obtained withiiso days °jam (� V 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(l0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities 4> Qty. Fee d Total ` Sgtuare,Foptage: !prinit Fee: Footing drain-Pt 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 ValuationPermit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other InS eetions or�Fees 12 (ea) Total each additional 10,$100.00. or fraction thereof,to p „. and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the fust$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan R ew for mg Installations w, Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3> 4.1sometli a or Riser Diagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 CITY OF TIGARD MASTER PERMIT 1,,,„, . ::'-, COMMUNITY DEVELOPMENT Permit#: MST2017-00293 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017 Parcel: 2 S 110AC00200 Jurisdiction: Tigard Site address: 10974 SW ANNAND CT Subdivision: ANNAND HILL SUBDIVISION Lot: Project: Annand Heights, Lot 26 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 871 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1239 sf Garage: 412 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2110 sf Value: $261,686.98 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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: 3 201-400 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 2110 Owner: Contractor: ANNAND HILL LLC WINDWOOD CONSTRUCTION INC Required Items and Reports(Conditions) BY RICHARDS,M DALE 12655 SW NORTH DAKOTA 1 Ersn Cntrl 503-639-4175 12655 SW NORTH DAKOTA ST TIGARD,OR 97223 TIGARD,OR 97223 PHONE: 503-768-4375 PHONE: 503-625-6526 FAX: 590-7606 Total Fees: $29,817.36 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law, All work will be done in accordance with approved plans, This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu•h OAR 952-001-.• •. - .a •btain a •• •f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _ Permittee Signature: ' aII 503.639.4175 by 7:00 a.m.for the = . ailable inspection This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1, "`��e.y 7v7— � /7 Building Permit Applicata • / • Residential ;8, s/ 1_ FOR OFFICE USE ONLY' City of Tigard 7 2017 Received r JUL 2 Date/By: /�! PermitNS?)�tll�/� T 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie �I//".0 Z. INPhone: 503.718.2439 Fax: 503.598.1960j e i r r z� i DateBy: ,� Other Permit:g..4.41)07.-e,6/797 TIGARD Inspection Line: 503.639.4175 r ; z I r Date Read/B61;91), � )ur,s: Internet: www.tigard-or.gov U LDI s$'' DI V I I otified/Method: o f //.. a See Page 2 for Supplemental Information TYPE OF WORK • REQUIRED DATA:1-AND 2-FAMILY DWELLING %New construction ❑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. l�t-and 2-family dwelling 0 Commercial/industrial Valuation: $ [ `� V b ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms:3 4)%.6.9 JOB SITE INFORMATION AND LOCATION Total number of floors: _!1 V Job site address: I ,510 14n,iGntd /hill (Oa f--71 New dwelling area'? i square feet City/State/ZIP: .7_7-a fi.2/1 ei,e_� q'?��� Garage/carport area!' 1, t'1 square feet Suite/bldg./apt.no.: Project name: nn/I4nc" �CV 4 _ Covered porch area: 4s` `i square feet'^34 Cross street/directions to job site: /a!9 0 Deck area:�_� ` square feet�gC 7 P'f3t'her s�tru u "ar : .33 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: illi/la A 4/ 1.1-e<3A /5 I Lot no.: Iv Permit fees*are based on the value of the work performed. Tax map/parcel no.: [s 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. Aje-10 j P/2 Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: D &f6010 Co LSr"/_l i T t-a 172114-- Type of construction: Address: /0145--.5--- 4 J-14-) /1}d/—ril`-0a!ha / 6-94-rd Occupancy groups: City/State/ZIP: 7A a✓T� t Z.2 Existing: Phone:(.5-c,37/06— /3'7 c Fax:(V.(3) t 0-7‘e)4 New: 0 APPLICANT 0 CONTACT PERSON BUILDING,PERMTT FEES* Business name: (Please refer to fee schedule) e Structural plan review fee(or deposit): Contact name: Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) Fax: :( ) Amount received: E-mail: win do-Jaffa/Of OM eS�,47®i �`//CO y1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: ifiin/,d �iit.,511. �`J�C Submit two(2)sets of roof plan with connection details �V and fire department access,along with the 2010 Oregon Address: A-65-5- c'j,t) /tie- 7'h f24_ 4 (5' €7 Solar Installation Specialty Code checklist. City/State/ZIP: 7j5 �2 �2 Permit Fee(includes plan review ,���'JG and administrative fees): $180.00 Phone:( 3) Pd _L 7S Fax:1 6Y' 6"7d-Zaci4 State surcharge(12%of permit fee): $21.60 CCB lic.: 5 U/96, Total fee due upon application: $201.60 Authorized signature: --- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ®�„ i Q,�� Date: /"� 1 ii 4,1 �1 *Fee methodology set by Tri-County Building Industry Yz 1 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicign - . -- JR OFFICE USE ONLY Tigard City of Ti d Receiv 7 g Date/By: Permit No5 • / .—%_4 > :1,1 4 13125 SW Hall Blvd.,Tigard,OR 97223 J U L 2 7 l'. Review No, "�/J.1 Phone: 503.7182439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 , a•eadyBy: Juris El See Page 2 for TIGAADCI l Y i' T'('./ t5 -• ethod: SupplementalInformation Internet: www.tigard-or.gov BUILDING Di i� TYPE OF.R'URK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATiEQOk SOF CONS titicl tics RESIDENTIAL EQUIPMEN i/SYSTEMS FEES* l-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 B SITE'INFORIVIATION;.AND 4,OCATIa1V Heating/cooling: Air conditioning 46.75 Job site address:/ i f „4, An a a /74 `/ 4,4 Furnace 100,000 BTU(ducts/vents) ." 46.75 City/State/ZIP: J'',are" Or' 972.23 Furnace 100,000+BTU(ducts/vents) 54.91 0 v �� Ad � Heat pump 61.06 Suite/bldg./apt.no.: Project name: 4 Duct work 23.32 Cross street/directions to job site: AD/ . 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 finn4 or .. h 7j Lot no.: Other: 23.32 Subdivision: 17 `('l Other fuel appliances: Tax map/parcel no.: Water heater ./ 23.32 F,t DESCRIPTION,( 'YORK Gas fireplace/insert ...'"'-- 33.39 Flue vent for water heater or gas /J iC� ,'F� fireplace 23.32 V Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ROPER' '`QWNER • ❑.TENANT Environmental exhaust and ventilation: Name: /Ad/061d ()�57/ IA G Range hood/other kitchen 6 5..k.) 9l $'� in�F � equipment 33.39 Address: dr 1 Clothes Clothes dryer exhaust ."'"' 33.39 City/State/ZIP: T(`vy yaC,Z 41-7 23 Single-duct exhaust(bathrooms, 23.32 toilet compartments,utility rooms) Phone:( 6-03 76 Of -4%7I Fax:x,23) gyo -7104, Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: [{fit.e. $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: l,/R-v , es,ii ®f,4mil c41•�, ((//l Barbecue tum �J urocr CONTRACTOR,: ,V/ Clothes dryer(gas) Business name: - l��1� /k / Other: MECHANICAL PERMIT FEES* Address: /3/50 /aid e,,,,,,,,,,5 p.,,,),,,. j. Subtotal City/State/ZIP: &odti ar / Q" an l' Y5- Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: '7.2.0 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: pi/ ' Fee methodology set by Tri-County Building Industry Service Board Print name: `r d i Itye/� Date: '?1111 I\Building\Permits\J C_PermitApp_040 1133.d_oc 440-4617T(11/02/COM/WEB) ilk° Electrical Permit Applicat RECFNFD JR OFFICE USE ONLY City of Tigard JUL 2 7 2017 RDateBed111111F V 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review IIII - Phone: 503.718.2439 Fax: 503.598.1960 Ci=y OF 1GAkD Date/B : Related Pennit#: Inspection Line: 503.639.4175 BUy (1aN( VS�3N Ready Date/By: turisSee Page 2 for T i G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. I CI1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived fdi%II 4 0 Addition of new motor load of system. Job#: Job site address:Ai 7 AA n q� ( 1001-TY or more. ❑"A","E","l-2","1-3", �� ❑Six or more residential units. occupancy. City/State/ZIP: ( ad !, 9)2:7- 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: nAiland I# 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: /00 y� FEE SCHEDULE � v7 Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: AAA( /1L t#j Lot#: 2 Includes attached garage. v 1,000 sq.ftor less / 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION'OF WORK Limited energy,residential A �* /�, (with above sq.ft.) f 75.00 2 �/�f r/ „ Limited energy,multi-family residential(with above sq.ft.) 75,00 2 Renewable Energy 0 See Page 2 p'IUOPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: tof mad 6,ts/rue ax 200 amps or less 100.70 2 Address: ,62G,5-S 6 CO N ? P�Fvi 61 a 201 amps to 400 amps 133.56 2 Pt:tic/it amps to 600 amps 200.34 2 City/State/ZIP: 76 rued (7223 601 amps to 1,000 amps 301.04 2 Phone:( - 70-1/3 ,S" Fax:(i3 )55O 7 Over 1,000 amps or volts 552.26 2 � � y, Temporary services or feeders installation,alteration,and/or ,/ Email: tjhezio,led/ cylveS /tad-) 6i.t.f.A.4 j t fciA 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 TCANT 0 CONTACT PERSON Branch circuits-c new,alteration,or extension,per panel A.Fee for branch circuits with Business name: 5a ,e above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: /92a a.,40,4_5( klZcaq L Sign or outline lighting 67.84 2 r Signal circuit(s)or limited-energy 1:1 See Page 2 2 Address ... :10Ce-> ODA ripanel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: �- rl J' .3-5 Additional inspection(1 hr min) 66.25/hr Phone:(z3) 'S--// ....6,'7(ii Fax:Q5-(/3) f Sib--9' 3 Investigation(1 hr mm) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.://6.7724 Electrical Lic.:e,—Nb Suprv.Lic.: '5 OS specifically listed(Y2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name kre5 A4 Date: < l Lif!-) ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:^ ;o:,,=7,, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: C I r/') -6A Date: •-i !L�/lam 1 days after it has been accepted as complete. �, C ! * Number of inspections allowed per permit. I:\BuildingWermits\ELC_PermitApp_ELR_ERE.doc Rev 06/1//zcf75 440-4615T(1l/05/COM/wEB Electrical Permit Application—City f Tigard FiFrE'Vr:D 1111 Page 2—Supplemental Information JUL 2 7 2017 Limited Energy Permit Fees: j y Renewable Energy Permit Fees: BU1LDR',G LJMSIGN RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ▪ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ V• acuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ O• ther: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n A• udio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC n Instrumentation ❑ 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\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 • ' i Plumbing Permit ApplicaWn rt • Building Fixtures ' - FOR OFFICE USE ONLY City of Tigard J U L 2 7 2017 Received Permit N/` AR `� 1111 a Plan R 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review - Phone: 503.718.2439 Fax: 503.598.1960 CITY OF T1 ARU Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 BUILDING D( J( (O',DateReady/By: Jul-is: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE*,SCHEDULE ew construction 0 Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath L 500.32 ❑Accessory building 0 Multi-family 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: `cuAnQ/lFr hi/644 t"'i`/ Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: T O/-"-- T-2, --..2-,3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: nilGnciligeo i,A Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 I® 9 0 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: �.yti �i /leo A /5 Lot no.: Zig Fixture or item: Tax map/parcel n/o.>: Backflow preventer 31.27 DESCRIPTION OF>WORK: Backwater valve 12.51 5,c---Y2_ Clothes washer 25.02 �(Ji J Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: ��Imo/A,r)ofd za�sT p ! Fixture/sewer cap 25.02 vQFloor drain/floor sink/hub 25.02 Address: !(U 5-5,----54D �(/0rr/h-/2 /z $/1 -.J y 7j Q/ t Garbagesedisposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:(S 70- 7S" Fax:(f e 3 3 -7o2,4- Ice maker 12.51 0 APPLICANT 0'CONTACT PERSON Interceptor/grease trap 25.02 Business name: 5u,i1 Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: 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: tib./lit pyoerd /n-ZSNIt7 _,rrotai4iG� Urinal 25.02 Water closet 25.02 CONTRACTOR 4� �PIlI1.h/ V 76,) Water heater 56.29 Business name: pQ,-a! ( _Water piping/DWV 56.29 Address: o,J/t ) 6 Il l!1j RI Other: 25.02 City/State/ZIP: Orct a �U Subtotal Phone:(6z3) 7g.:'3 ^ 6' Fax:623) ' S�G/ Minimum permit fee: $72.50 CCB Lic.: il‘.2 /39, Plumbing Lic.no.:3 5-- ,6 Statereview (25%of permit fee) ate surcharge(12%of permit fee) Authorized signature: 7`l 2e TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: L Date: - after it has 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(10/02/COM/WEB) / City of Tigard 11111 111. 1 COMMUNITY DEVELOPMENT DEPARTMENT T I G A RD Building Permit Review — Residential q, Building Permit #: 4i 57;10/2-,04Z 7 3 Site Address: i 0 g 1' S kiv A in n o not. t-h 1 l C.t'-, Project Name: An (Ci f1 ct tie s j vrt. Lot #: 2-(e,' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (\r"e ,S(-Az v� Verify site address/suite# exists and active in permit system. W River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Si Plan Elements: PilThree(3)copies of site plan ,Existing structures on site )t Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished /prawn to scale(standard architect or engineer scale) floor elevations /North arrow Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ]Sidewalk/driveway approach Applicant information(name and phone number) -B-Euration of wells/septic systems ,Lot dimensions and building setback dimensions ❑Existing trees to be retained with drip line,and tree eSqtrdit footage of buildings to be demolished protection measures Lot area,building coverage area,percentage of coverage and Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) 21 Street names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replacedYes ❑N 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes 1=11 (} Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No A' Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant as notified ❑ No Applied For: ❑ Yes ❑ No,stop intake (VI Land Use Case#: I' DR_ 2 t c 0 000t / s uL) ' IS 0 O 1 3 Zoning: 12- 12- 0 Required Setbacks: Front 1 C Rear 1 S Side 3 Street Side Garage 7 ET Landscape Requirement: 1_0 /Lot Coverage Maximum: 8 0 % L / /21 Building Height: Maximum Height 3? Actual Height Visual Clearance ASensitive Lands: CIYes CINo Type g Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: 0---\,,,,...:_ v-\----='-- Date: 7/ 1=1 / j '1 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_061417.docx Building Permit Submittal Original Submittal Date: 7l.77/2 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning I2rEngineering ''Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: fp.. Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 9 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: i ' - 77 By Permit Technician: `�L i„ Date: 1-7/ Engineering Review ..Slope at building pad: 70 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ,E] Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes O.-No Assess Water Quantity Fee in-lieu: ❑ Yes .Er No LIDA Facility on lot: ❑ Yes „B'No ❑ NOT Approved by Engineering: Date: Notes: A-1 I „..., 1-- /2 /Z C-IX. ---- 1 Approved by Engineering: 1k (/GZ Date: Q f 2.-/ 1 Revisions (after Building Submittal only) Reviewer ( I Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: F Yes ❑ N/A LIDA ❑ Yes SN/A OK to Issue Permit el"by Permit Coordinator: Date: ��1 I:\Building\Forms\BldgPeni itRvw_RES_061417.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. • Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i _ ~ Transmittal Letter 1 ;c,;„k i) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov/ TO: ' r /QV) DAT uRE . 0 If ED DEPT: BUILDING DIVISION 9 2017 FROM: /r)/A f}' ITY OF TIGARD COMPANY: t, �1v(k0C Cc r \A4 oil BUILDING DIVISION By/ i_ PHONE: (2C-,) �►'3- X4'7 RE: Vt71.1 /_:l,J f�,ner,c C',L M 5- D� _OD z`'13 (Site Address) (Permit. um er 7. ( rP oject name or subdivi n nnaame�annlot Aumber ATTACHED ARE THE FOLLOWIN e I,R , S: Copies: Description: 1 Copies: Description: \ Additional set(s) of plans. 3 Revisions: ce,,,5;C� Cross section(s) and detai Wall bracing an&or lateral analysis. Floor/roof framing. ` Basement and retaining walls. Beam calculations. 1 Engineer's calculations. Other(explain \/ REMARKS: FOR OFFICE USE ONLY, Routed to P- tehnician: Date: J ) - q ' )7 Initials: f" Fees Due: :I, Yes 0 No Fee Description: Amount Du : .3 J4 r r c r4••=r... $ 11-6— $ U$ $ $ Sp= ial /'• tructions: 'eprint Permit(per PE : ❑Yes X No - ❑ Done Applicant Notified: Date: Iff(1//7 Initials: /0/ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10974 SW ANNAND CT, TIGARD, OR, 97224 February 22, 2018 at 9:24:24 AM Record Type: Record ID: Residential - Master Permit MST2017-00293 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10974 SW ANNAND CT, TIGARD, OR, 97224 February 22, 2018 at 9:14:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00293 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Not ready for inspection, work not complete. Provide protection Ballard for appliances in garage. Seal penetration at Line set thru foundation vent. Seal penetration at gas line, garage ceiling. No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10974 SW ANNAND CT, TIGARD, OR, 97224 February 22, 2018 at 9:26:47 AM Record Type: Record ID: Residential - Master Permit MST2017-00293 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Secure T&P drain piping per manufacturer requirements. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10974 SW ANNAND CT, TIGARD, OR, 97224 February 23, 2018 at 1 :06:46 PM Record Type: Record ID: Residential - Master Permit MST2017-00293 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: In addition to previous inspection correction, provide missing front downspout prior to final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10974 SW ANNAND CT, TIGARD, OR, 97224 March 6, 2018 at 9:33:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00293 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10974 SW ANNAND CT, TIGARD, OR, 97224 March 5, 2018 at 9:47:10 AM Record Type: Record ID: Residential - Master Permit MST2017-00293 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Previous Correction for sealing line set penetration not complete, about 1 " hole not filled above caulking. Other corrections appear complete. No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10974 SW ANNAND CT, TIGARD, OR, 97224 March 8, 2018 at 1 :28:21 PM Record Type: Record ID: Residential - Master Permit MST2017-00293 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Backflow preventer for irrigation Approved with test report. Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor