Loading...
Permit CITY OF TIGARD MASTER PERMIT 11, 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00148 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2017 T[ Parcel: 2S111AA11700 Jurisdiction: Tigard Site address: 14466 SW 90TH AVE Subdivision: GREENSWARD SOUTH Lot: 11 Project: Greensward South, Lot 11 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1487 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1578 sf Garage: 622 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors. Total: 3065 sf Value: $379,862.03 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 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'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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3065 Owner: Contractor: FOUR D CONSTRUCTION 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: $31,289.84 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 rk is suspend-d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification •-nter. hose r les - e set forth in OAR 952-001-0010 through OAR 2-001-0090. Y• may obtain a opy of the r or direct questions to OUNC by calling 503 2. 987• 1.80 4'. f Permittee Signature: —� , „.."-- Issued By: .., ..., ._.d j � ../411,. .... Call 503.639.4175 by 7:00 a.m.for the next available inspe ion date. This permit card shall be kept in a conspicuous place on the job site until completion o e project. Approved plans are required on the job site at the time of each inspection. ilding rm Pe wit Application LS .2 o i • Residential 1.0ROFrlci: l ,l: Oy1,1 City of Tigard Received i/ fl? _ P�C E \J Date/By: �'l / ,p Permit No.: /r2O/'7 13125 SW Hall Blvd.,Tigard,0 'fid/_��' E'��d � A 1. 1 Date/By: Review a-_ 9- J,' -7T. Other Permit:'`t'��(1,,20 j 2— y i )*� ihone: 503.718.2439 Fax: 503. 9 . / J J `�Y�= N` / r i G:,K I) Inspection Line:g503.639..4175 �p17 Date ReadyBy: /, �Juris: E► See Page 2 for Internet: www.ti acct-or. ov pp Notified/Method: // //7 • �` ^ Supplemental Information TYPE o i l .f" ',G DMS1ON 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 A ddition/alterdion/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 $ 8 6 . .!t 0Commercial/industrial 37 9� J ❑Accessory building 0 Multi-family Number of bedrooms: y ❑Master builder 0 Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 687 Job site address: 1 y LI b 6 S 90'1° AVE New dwelling area: 3O 5 square feet City/State/ZIP: -r---1 (,7 i D 0 R. 972-1 9 Garage/carport area: b 2-L. square feet Suite/bldg./apt.no.: Project name: Covered porch area: 6 G square feet 16-7 D Cross street/directions to job site: Deck area: ,(90 square feet 14 in 11-A. U- a Lif D ` 6'g t_e/y,SC�r�I j LN - 9 0 1-i/- Ofliei structure area: 90 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: ( E/v'5-643,t4 Rte 1-44- Lot no.: 1 , Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ A//L= 5./N6 4 d Pgsavt i ly E,56'DeNC6 Existing building area square feet New building area: square feet cit.PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: S-74I16 ii-,5' R61-0').<7 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 03;APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule} Business name: Fou IA_ D co 14,5 Tfz-ti CtIt7l,3 Contact name: Structural plan review fee(or deposit): Dl'v' S7 D 14) i P Pca,NzT- FLS plan review fee(if applicable): Address: F.( . Box is 7 7 Total fees due upon application: City/State/ZIP: BEA ye -ro/,J cj v. c 7o7 S -) .7.� �7 Y Y (� S9 /7 Amount received: Phone: Q Fax:: d-- E-mail: p /"�- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* D G i�5 7' S �%' ` C () Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details f1 v'0 1. and fire department access,along with the 2010 Oregon �� Address: Solar Installation Specialty Code checklist. City/State/ZIP: U i V Permit Fee(includes planreview $180.00 Phone:( ) Fax: and administrative fees): ( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 7/0Total fee due upon application: $201.60 Thispermit application expires if a permit is not obtained Authorized signature: z,,,-10. - pp p° within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: .D A y)J) .S> lie pp p_PQo—Date: t-/./9 - 17 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application Foi()Hi(i( I: l si ON 1.1 City of Tigard 10 Received g DffieB Permit No.: , 13125 SW Hall Blvd.,Tigard,OR 97223 Y �+ � 7 - '��� Phone: 503.718.2439 Fax: 503.598.196 C ® PlanReview Other Permit: DateBy: 1 I ;A RI) Inspection Line: 503.639.4175 ' p `4V I Sate Ready/By: Juris: WI See Page 2 for Internet: www.tigard-or.gov PQM �i `��• ,l n ed/Method: Supplemental Information il* !^ of ii *S COMMERCIAL FEE* SCHEDULE — USE CHECKLIST TYPE OF WORK G`'. w, Q `�G Mechanical permit fees*are based on the value of the work tiirNew construction 0 Addition/alteration/r&I nt performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* Fix I-and 2-family dwelling 0 Comnferciallindustrial 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: / `t/ Air conditioning J 46.75 Job site address: 4 LI co v Ss ry• 90 T h AY Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 't"'")l�A-ILO 0 7 9 7 212-,-/ 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 1-1-fIL i-i_ 0 Lyb 6,REENstvrvLia 1,J►/ — 9'o t i 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 rOther: 23.32 Subdivision: C�R rr E/VS 1.0 1.1�r) -j-- - Lot no.: 1 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 Log lighter(gas) 23.32 /S/C-t-J .S /10(a L.-C PP,m 1 (.-y g GS i ,p ex.;UL Wood/pellet stove 33.39 Wood fireplace/insert 23.32 •[ etill! n n 41a /�p,�,� �1 - _ �, Chimney/liner/flue/vent 23.32 a PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: 5 KC p.s 81 ow Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 15(APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: Fou„1(2, l] CU 43 CjTJ 4_L�.1-i 0 kii $14.15 for first four;$4.03 for each additional Contact name: I)Po// P 1)E A- P a bp-r Furnace,etc. Gas heat pump Address: Pi ( , UX t S.7.7 Wall/suspended/unit heater City/State/ZIP: /Ay ef2-1--0!' c. 9 7 0 7 S Water heater Phone:(j 03) 7AO •- 7`1 y s Fax::(5 S 70 .. )-7s 1 Fireplace Range E-mail: Fa cl ILO 03 Jo Si- <:.-) jv.a! ti, Lb iij Barbecue CONTRACTOR Clothes dryer(gas) Business name: �+ Other: `` ' I�L. 14 1 C.- r- .I L— MECHANICAL PERMIT FEES* Address: T`® , 80>C (/33 Subtotal City/State/ZIP: ( � f 7 a I SMinimum permit fee($90.00) 1 P Plan review(25%of permit fee) Phone:(5.3) 5 6— / 7O - Fax: ) 65 a 3 S 994' State surcharge(12%of permit fee) CCB lic.: /76 Z VTOTAL PERMIT FEE permit application expires if a permit is not obtained h days after it has been accepted as complete. Authorized signature: *This Fee methodology set by Tri-County Building Industry SeryicewitBoarind180 Print name: DA,,i, ,S.. D� 13RP r-� Date: y_ / q—/ 'l I:\Building\Permits\MEC_PermitApp_040113.doc 4404617T(11/02/COM/WEB) Electrical Permit Application Mk k 01 I I( I lF_(1\1.A City of Tigard Received Permit a: • �� " Datr�By: cu Iiii 13125 SW Hall Blvd.,Tigard,OR 97223 .00`s Plan Review 7~ !�� _ ' Phone: 503.718.2439 Fax: 503.59 O\� Date/By: Related Permit ii: Inspection Line: 503.639.4175 q Ready Date/By: Juan: ® See Page 2 for '' Internet: www.tigard-or.gay ��}R N P� otified/Method: Supplemental TYPE OF WORK �F�,r S\0 PLAN REVIEW KNew construction 0 Addition/alteratio ' 1 _ ,,,0 Please check all that apply(submit 1 sets of plans w/items checked): 0 Demolition 0 Other: 8�\`; 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. pi I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 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 ��/ G� y y� �. 0 Addition of new motor load of system. Job#: Job site address: 1 q�t 4(, 5, r r• / 0 p#/3Ik I OOHP or more, ❑<A>,"E, 1_Z„ «1.3„ City/State/ZIP: 'r1 V ARD C) 9"7 ZZ"Y 0 Six or more residential units. occupancy. ❑Healtfi care facilities. 0 Recreational vehicle parks. Suite/bldgiapt,II: Project name: 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more, 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each j Toad I . -14 II/-L pj[...V c -. Co RE L-NS i f4 12-0 I-Al -- 91b 714 New residential single-or multi-family dwelling unit. Subdivision: to 12-1:.L NS40 ik.itc, Sou t/f Lot if: ji Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Nel...5 Sin/£ L i= (=1 h fy9/L/ 1 �Si D/Vc-t Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 jiti PROPERTY OWNER 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 M6- ils g E L-O t i 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 1 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 APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: 'F pLt, !l C A•/S 7'rzu c-r--io j above service or feeder fee, 7.42 2 each branch circuit Contact name: b N•y'I U t)e.7...-41,412.??otz ' B.Fee for branch circuits without service or feeder fee,first Address: P.D, B O X /5'77 branch circuit 56.18 2 City/State/ZIP: ,•U -AYE�' tri ®g.. ci 7o-7 S Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:6-03) '72 o ?y'Y 5 Fax::(5.;:•3 ).Scgo =t 7 5- / Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: FO LA ft C) (.aZklST& &LSA -). COI Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: EL 7-6- ,EGe 1-"fit.:. 6 'up Sign or outline lighting 67.84 2 �• , / Signal circuit(s)or limited-energy Address: 4 /4/. /S 0 `G, 5 A/0 I,V Et lb 7/ panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: J o a I�JVD© C)Ic 9'722. 0 Additional inspection(1 hr min) 66.251 hr Phone:(,j 4 3) Z.77 3 7� Fax:(j,,3 ) .90 I/ 79y y Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Email: -y6.Te L e~crlp./t-6 gear 6'_G mA/a.,, , CO Ail Inspections for which no fee is //2,7 e1! 6,31 p 5 7t' L ir, specifically listed(%2 hr min) 90.001 hr CCB Lie.: ! Electrical Lic.:C Su rv.Lic.: ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: wyy.- Subtotal: Print name: pV ij e-12.7T A R 0 eiva gi Z.Date: 5e../q,./7 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: of D3. DE/)/ i%dam' Date: 4)/-/9_. days after it has been accepted as complete. • Number of inspections allowed per permit. 1:1BuildinglPernuts\ELC PmnitApp_ELR_ERE.doc Rev 04/21/2014 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures ct.. 1(1k Oi [I( c 1 i ()NI l City of Tigard UGo.4 DaReceivete/By:d Permit No.:/75 vV!I7_00/q v II • 13125 SW Hall Blvd.,Tigard,OR ' • Phone: 503.718.2439 Fax: 503.5' . ' t 2��� P Reviewlan Other Permit No.: i i c 't i i a Inspection Line: 503.639.4175 apR 4 Date Ready/By: _oris: ® see rage 2 for Internet: www.tigard or.gov L �rC1� 0. otified/Method: Supplemental Information TYPE OF WORK``�i Owl�N�.,TO FEE*SCHEDULE IN New construction ❑ For special information use checklist Description 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 312.70 141-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 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 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address ILi 9(e) ( S. v' et(° -r N Ave" Catch basin or area drain 18.76 r� Drywell,leach line,or trench drain 18.76 City/State/ZIP: -1 (r OR 17 1 2-41/ 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 14 LL B Lv D .- r_t�R E GAS e...A-ND 2,Ai - 90 i Rain drain connector 18.76 if Sanitary sewer(no.linear ft.:___) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:,_) Page 2 Subdivision: �r�R ,,,r A.g.D Sex/j- Lot no.: 11 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 iVE64-) 3//V 6 G E F-m4 M/Ly R G5/D EA/60 Dishwasher 25.02 / Drinking fountain 25.02 Ejectors/sump 25.02 XPROPERTY OWNER 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: 514-0E AS 13 ELOlr(/ Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 Ca/APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Doci)2, 17 NS�"RUt t/D,/l+ Primer 12.51 Contact name: DAVID D. b p p ia.. Roof drain(commercial) 12.51 Address: T, O, abx f S - 2 Sink/basin/lavatory 25.02 City/State/ZIP: 94,, g7-,„,,,. c R 9 7 C)-75 Solar units(potable water) 62.54 Phone:,6.)3 ) 7 O.-7 9y 5 Fax::(51,3)5-9'0..j 75/ Tub/shower/shower pan 12.51 � Urinal 25.02 E-mail: ,'O U j-„ I}60 A/5!& �+j„c,V C.CA I Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: - U L M to C C 6 A/ )I P f4 A-3 J Water piping/DWV 56.29 Address: /f 66/f} 5 ( ' P 1►/6 R g d. Other: 25.02 City/State/ZIP: Mc.e,,5/30i2.0 TDR_ 7/2 Subtotal ) j/ / Minimum permit fee: $72.50 ( Phone: L (y.. [ Fax:( ) Plan review (25%of permit fee) CCB Lic.: 7:2 6 Plumbing Lic.no.:,3V-26ef d State surcharge(12%of permit fee) Authorized signature:_ / �� TOTAL PERMIT FEE Print name' ,py� Date: 4-/-/Q ^7 This permit application expires if a permit is not obtained within 180 days �/a�//D �� /4 f i d IL(! 7 / after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1Buildineennits\PLMU-PennitApp.doc 10/01/09 440-46I6T(10/O2/COM/WEB) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A RD Building Permit Review — Residential Building Permit #: irks-j,70/7—00,Ltr Site Address: /24271(0 cXof A /j -e , Project Name: c7rWAS/c. 4_,_ ,Ou { Lot #: // (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: j4 ,) SF� ITA Verify site address/suite#exists and activ to permit system. i) r1ver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached S4t Plan Elements: Vdi ree(3)copies of site plan A sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper 1 F otprint of new structure(including decks)with finished 7di i rawn to scale(standard architect or engineer scale) oor elevations !i orth arrow Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot number "<�. ation of wells/septic systems pplicant information(name and phone number) VA Existing trees to be retained with drip line,and tree Lot dimensions and building setback dimensions g�otection measures Isarea,building coverage area,percentage of coverage and reet tree size,type and location /ripervious area(applicable if R-7,R-12,R-25&R-40) treet names PgJProperty corner elevations (2 foot contour lines if more than 4 foot differential) 1J can Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Y s,applicant was notified Lid No Received: ❑ Yes ❑ No Public Faciliti s Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake �IV/Land Use Case#: <Cil j` a:)i 0 Roning: tp_ L1 equired Setbacks: Front �t) Rear /c Side Street Side wJt Garage talkRequirement: 0/0 II ri of Coverage Maximum: 11 Building Height: Maximum Height (7 r Actual Height Q, y 1 i m 'f isual Clearance FA Easements Ail 111 °,e sitive Lands: ❑ Yes ❑ No Type FA rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: _4/. _, Approved By Planning: y Date: j 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: Vl 7 Site Plans: # ) ��G' Building Plans: # Building Permit#: n�t r building permit#above. Workflow Routing: [Ylslanning ra-engineering D—leeit Coordinator ceding Workflow Sign-off: S I,� $ -off for Planning(include notes from planning review) Route Application Documents: LE-"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ceding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: tyf�,,,_,,.�' _A - Date: Lf Engineering Review [I' Lope at building pad: LIZ LE Sonditions "Met"prior to issuance of building permit A/ asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: giZj2_____ Date: — 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: ilk 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:,zgo �� C Fees Entered: Wash Co Trans Dev Tax: L(J Yes ❑ N/A Tigard Trans SDC: tif es ❑ N/A Parks SDC: Yes CI N/A K to Issue Permit Approved by Permit Coordinator: /1*-Date: "---/9/1 .--- I:\Building\Fomis\BldgPermitRvw_RES 091216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14466 SW 90TH AVE, TIGARD, OR, 97224 March 9, 2018 at 10:27:02 AM Record Type: Record ID: Residential - Master Permit MST2017-00148 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide hard cap on un used stand pipe left side. Provide approved thread sealant in exterior cleanout caps. 707.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14466 SW 90TH AVE, TIGARD, OR, 97224 March 9, 2018 at 10:28:56 AM Record Type: Record ID: Residential - Master Permit MST2017-00148 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Fill protection Ballard with concrete per ORSC figure M1307.1 Fireplace not done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14466 SW 90TH AVE, TIGARD, OR, 97224 March 9, 2018 at 10:27:02 AM Record Type: Record ID: Residential - Master Permit MST2017-00148 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide hard cap on un used stand pipe left side. Provide approved thread sealant in exterior cleanout caps. 707.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14466 SW 90TH AVE, TIGARD, OR, 97224 March 9, 2018 at 10:29:46 AM Record Type: Record ID: Residential - Master Permit MST2017-00148 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14466 SW 90TH AVE, TIGARD, OR, 97224 March 14, 2018 at 4:09:30 PM Record Type: Record ID: Residential - Master Permit MST2017-00148 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction 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: 14466 SW 90TH AVE, TIGARD, OR, 97224 March 15, 2018 at 10:17:26 AM Record Type: Record ID: Residential - Master Permit MST2017-00148 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14466 SW 90TH AVE, TIGARD, OR, 97224 March 14, 2018 at 4:07:41 PM Record Type: Record ID: Residential - Master Permit MST2017-00148 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections complete. Violation Summary: Inspector Contractor