Permit (115) CITY OF TIGARD'' 2. '71 MASTER PERMIT
COMMUNITY DEVELOPMENT
Permit#: MST2017-00411
Date Issued: 11/16/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S114AB04500
Jurisdiction: Tigard
Site address: 9330 SW MILLEN DR
Subdivision: KNEELAND ESTATES Lot: 32
Project: FRESON
Project Description: 406 SF accessory residential unit. Trade permits pulled at a latter time.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 406 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 24 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 20 Smoke
No
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors:
Total: 406 sf Value: $46,223.10 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 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: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ACS SF VB R-3 406
Owner: Contractor:
FRESON FAMILY JOINT TRUST HUGHES CONSTRUCTION SERVICES LLC Required Items and Reports(Conditions)
BY FRANK G/MAXINE E FRESON 809 LAUREL ST
TRS LAKE OSWEGO,OR 97034
289 PENTER LN
NEWPORT,OR 97365
PHONE: PHONE: 503-807-4815
FAX:
Total Fees: $1,915.61
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 952-00 - y obt ' f the rules or direct questions to OUNC by calling 503.232.1987 or 1, 10.332.2344.
Issued By: �%/�.,-t4/1f -- Permittee Signature: ..-------
Call 503.639.4175
.-
503.639.4175 by 7:00 a.m.for the next available inspecti date.
This permit card shall be kept in a conspicuous place on the job site until completion• - project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
ResidentialR������� 1.0R�►1 ���c �: � S►�: c„1.�
Ci of Tigard i°�
g
Date/By: /0 b//2 , 4 Permit No.:��U >
1 13125 SW Hall Blvd.,Tigard,OR 9722 /
t� Plan Review
Phone: 503.718.2439 Fax: 503.598.1 C T 2 3 2017 DateBy: J I— 7— Other Permit
tic; :F:[> wInspection Line: 503.639.4175 Date Ready/By:: !/ , Jells: H s: See Page 2 for
Internet: ww.tigard-or.gov CITY OF TIGARD otified/Meth : % SZf/T 7 I Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: Zr
®Accessory building ❑Multi-family Number of bedrooms: ( 6l .),.
❑Master builder 0 Other: Number of bathrooms: �l
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9330 SW MILLEN DR New dwelling area: 140 6 square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:FRESON Covered porch area: square feet
Cross street/directions to job site:SW 93RD AVE Deck area: square feet
Other structure area: 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.:2S114AB04500 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.
406 SQ FT ACCESSORY RESIDENTIAL UNIT Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:MAXINE FRESON Type of construction:
Address:289 SE PENTER LANE Occupancy groups:
City/State/ZIP:NEWPORT OR 97365 Existing:
Phone:(503)577 7996 Fax:( ) New:
►Z� APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:HUGHES CONSTRUCTION SERVICES LLC (Please refertofee schedule)
Structural plan review fee(or deposit):
Contact name:STEVE HUGHES
FLS plan review fee(if applicable):
Address:809 LAUREL ST
Total fees due upon application:
City/State/ZIP:LAKE OSWEGO,OR 97034
Phone:(503)342 6171 Fax::( ) Amount received:
E-mail:STEHUGHES7@GMAIL.COM eveac t ,Rys PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
f by coto„! Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:HUGHES CONSTRUCTION SERVICES LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:809 LAUREL ST Solar Installation Specialty Code checklist.
City/State/ZIP:LAKE OSWEGO,OR 97034 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)342 6171 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:198910
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
r..
within 180 days after it has been accepted as complete.
Print name' �__�' �, Date: /41/to /IT *Fee methodology set by Tri-County Building Industry
ff Service Board.
I:\Build' - SPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
b
Building Permit Application Checklist
One- and Two-Family Dwelling 10R ()EPICI: I Sl:: 0yI.1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223
Permit No.:
11114
Da
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
I I
(,,,R D 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
I IIE: FOI.1,OW 1\G ITI':A1s :ARE RI(1l MEI) FOR PLAN REVIEW les "o N
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. II • III
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district: 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0
6 Sewer permit.
7 Water district approval
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16,19,20 and 22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
226 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPemtitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Assess Fee History Page 1 of 1
Record ID: MST2017-00411
Menu Help
Showing 1-18 of 18
Fee Code Fee Item Quantity Fee Record Date/Time
TCET Tig-Tual School CET-Residential 1 $511.56 11/08/2017 09:01:18 1
TCET Tig-Tual School CET- Residential 1 $0.00 11/08/2017 08:54:58/
TCET Tig-Tual School CET- Residential 1 $0.00 11/08/2017 08:54:48 1
TCET Tig-Tual School CET- Residential 1 $0.00 11/08/2017 08:54:19/
DCSP DC Provision Review, SF-Ping 1 $91.00 11/07/2017 09:46:041
TCET Tig-Tual School CET-Residential 1 $0.00 11/07/2017 09:46:04 1
IPA2 Info Process/Archiving-Sm$0.5... 20 $10.00 11/07/2017 09:46:04 1
BPRTA Building Permit-Additions,Alt... 1 $696.39 11/07/2017 09:45:23 1
SUR1 12%State Surcharge- Building 1 $83.57 11/07/2017 09:45:23 1
WTAP i)/Yash Co Trans Dev Tax-Apartment 1 $5,533.00 10/26/2017 11:47:27/
TTAPIMP / Tigard Trans SDC Improvement-A... 1 $3,206.00 10/26/2017 11:47:27 1
TTAPREM tligard Trans SDC Reimbursement-... 1 $185.00 10/26/2017 11:47:27/
PKMFIMP arks SDC Improvement-MF(apar... 1 $3,672.00 10/26/2017 11:47:271
PKMFREM gcParks SDC Reimbursement-MF(ap... 1 $864.00 10/26/2017 11:47:27 1
PKMFNIMP Parks SDC Neighborhood-MF(apa../ 1 $1,361.00 10/26/2017 11:47:271
BPRTA Building Permit-Additions,Alt... - 1 $804.75 10/23/2017 11:08:561
PLCK Plan Review 1 $523.09 10/23/2017 11:08:561
SUR1 12%State Surcharge- Building 1 $96.57 10/23/2017 11:08:56/
Page 1 of 1 n ,atV(i 440<
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https://ay.accela.com/portlets/fee/assessFeeHistory.do?module=Building 11/15/2017
Julie Drinkwater
From: Julie Drinkwater
Sent: Wednesday, November 08, 2017 11:40 AM
To: 'Steve Hughes'
Cc: #Building Permit Technicians;Albert Shields
Subject: RE: MST2017-00411, 9330 SW MILLEN, FRESON
Attachments: SKM_284e17110812390.pdf
Hello Steve
Attached please find the invoice for the permit fees and system development fees. If you have questions
about the system development fees assessed on this permit, please contact Albert Shields at, 503-218-2426.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Julie Drinkwater
Sent: Wednesday, November 08, 2017 9:28 AM
To: 'Steve Hughes' <stehughes7@gmail.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: MST2017-00411, 9330 SW MILLEN, FRESON
Hello Steve
The permit for the Freson project is ready to be issued. The balance due is $16,213.52.
You can pay the fees online, or when you pick up the permit, Monday-Thursday, 8:00 am to 4:30 pm. We are
closed on Fridays.
To pay the fees online, you can go to our website: https://aca.accela.com/tigard/. From there, click on the
Building tab, enter the permit number in the Record Number field, and click Search. Next, you will see the
Payments section. Click on the arrow on the right of Payments to select Fees. You will then see a breakdown
of the permit fees, and you can click on the Pay Fees link to complete the transaction.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
1
City of Tigard
• p COMMUNITY DEVELOPMENT DEPARTMENT
1111a
TIGARD Building Permit Review — Residential
Building Permit #: 4457-).6(7 CVIII
Site Address: I L;7) c7/0 lhl//ei 2 r
Project Name: nr.+0Tnn fi72 t>s( , Lot #:
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: ,L2 lie 6/- < J�I'_ „vs c:711/A'ii,,L '4)
e)6s /1.6
ALJ Verify site address/sii� n exists and active ' permit system.
River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached
SitIPlan Elements:
OiAree(3)copies of site plan itsting structures on site
le ite plan must be on 8-1/2"x 11"or 11 x 17"paper otprint of new structure(including decks)with finished
� awn to scale(standard architect or engineer scale) or elevations
orth arrow ytility locations&easements (required for new and additions)
to address,project or subdivision name and lot number
\ pplicant information(name and phone number) tic) t
rIli Sidewalk/driveway approach
cation of wells/septic systems
Lot dimensions and building setback dimensions 41 y 'sting trees to be retained with drip line,and tree
ritiNuare footage of buildings to be demolished protection measures
kCjI t area,building coverage area,percentage of coverage and T eet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40)
Street names
Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? ❑Yes ICJ No
4 oot differential) If yes,is a storm water quality facili• shown? ' i i Yes ❑No
kV Clean Water S rvices—Service Provider Letter(lot platted prior to 9/10/1995):
\ Required: II Yes,applicant was notified 0yReceived: u Yes CINo
Public Facilities Improvement(PFI) Permit:
iFt
equired: ❑ Yes,applicant was notified No Applied For: CI Yes CI No,stop intake
and Use Case#: fik.it-Q0/9" _ -)a)
RZoning.
equired Setbacks: Front 0 Rear Aj Side Street Side . Garage C
III°I andscape Requirement: 0/0
=-h�'
L'. of Coverage Maximum:
Building Height: Maximum Height LSO Actual Height /
isual Clearance
ensitive Lands: ❑ Yes ❑ No Type
Jrban Forestry Plan
2\ onditions "Met"prior to issuance of building permit
otes:
Approved By Planning: — __ ,/ Date: /o ,_ m
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\BldgPem1itRvw REs 061417.docx
Building Permit Submittal
Original Submittal Date: l()/.2- 2
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning Engineering -Permit Coordinator >1 Building
Workflow Sign-off: ..Sign-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.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: (0/1_2/0
Engineering Review o/
ope at building pad: Z- 0
❑ Conditions "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 .2r No
LIDA Facility on lot: ❑ Yes fa' No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: 'Pi( t61-- U • Date: /0/7_,/
(7
Revisions (after Building Submittal only) Reviewer ate
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved Cl 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:
.y5i6DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: n. Yes ❑ N/A
Parks SDC: 'ii Yes ❑ N/A
LIDA ❑ Yes `(N/A
OK to Issue Permit `��y�
Approved by Permit Coordinator: //iiiDate:
I:\Building\Forms\BldgPermitRvw RES_061417.docx
CleanWater\ Services Clean Water Services File Number
17-003353
Sensitive Area Pre-Screening Site Assessment RECEIVE®
1. Jurisdiction: Tigard
OCT 2 3 2017
O2. Property Information(example 1S234AB01400) 3. Owner Information
BUILDING DIVISION
2S114AB04500 Company:
Address: 9330 SW MILLEN DRIVE
Site Address: 9330 SW MILLEN DRIVE City,State,Zip: TIGARD,OREGON,97223
City,State,Zip: TIGARD,OREGON,97223 Phone/Fax: 5035777996
Nearest Cross Street: SW 93RD E-Mail: bmlcl@comcast.net
4. Development Activity(check all that apply) 5. Applicant Information
Addition to Single Family Residence(rooms,deck,garage) Name: STEPHEN HUGHES
❑ Lot Line Adjustment U Minor Land Partition
Company: HUGHES CONSTRUCTION SERVICES LLC
U Residential Condominium U Commercial Condominium
fa Residential Subdivision Address: 809 LAUREL ST
❑ Commercial Subdivision
U Single Lot Commercial ❑ Multi Lot Commercial City,State,Zip: LAKE OSWEGO,OREGON,97034
Other Phone/Fax: 5033426171
E-Mail: stehughes7@gmail.com
6. Will the project involve any off-site work? ❑Yes Il No ❑Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ
1200-C Permit or other permits as issued by the Department of Environmental Quality,Department of State Lands and/or Department of the Army
COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law.
By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority
to enter the project site at al reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify
that I am familar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate.
Printflype Name STEPHEN HUGHES Print/Type Title GENERAL CONTRACTOR
ONLINE SUBMITTAL Date 10/17/2017
FOR DISTRICT USE ONLY
❑ Sensitive areas potentialy exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report
may also be required.
❑ Based on review of the submitted materials and best evadable information Sensitive areas do not appear to exist on site or within 200'of the site.This
Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently
discovered.This document will serve as your Service Provider letter as required by Resolution and Order 17-05, Section 3.02.1. All required permits and
approvals must be obtained and completed under applcable local,State,and federal law.
Based on review of the submitted materials and best evadable information the above referenced project will not significantly impact the existing or potentially
sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water
quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order
07-20,Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law.
❑This Service Provider Letter is not valid unless CWS approved site plan(s)are attached.
❑The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR
SERVICE PROVIDER LETTER IS REQUIRED.
Reviewed by ., fir, Date 10/19/17
''3
RECEt'\f tJ
QCT 2 3 2017
PLUMBING AND ELECTRICAL REQUIREMENTS Cts, OF 71GA D
9330 SW MILLEN DRIVE,TIGARD BUILDING dIv151ON
PLUMBING—Sherwood Plumbing Company CCB 200851
• Kitchen—sink drain and waterlines. Refrigerator waterline
• Laundry room—washer drain
• Bathroom—toilet, shower,vanity sink and waterlines
• Tankless waterheater(electric)
ELECTRICAL—Koho Electric CCB 157169
• Kitchen—standard lighting and GFI outlets. Range
• Living room—standard lighting and outlets
• Bedroom—standard lighting and outlets
• Bathroom—standard lighting and GFI outlet
• Laundry room—Washer/dryer circuit,GFI outlet
• Exterior—exterior lighting for doorway
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9330 SW MILLEN DR, TIGARD, OR, 97224 August 21 , 2018 at
7:25:13 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00411
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide all trade finals on separate permits prior to building final. R109
ELC 2018-00095
MEC 2018-00130
PLM 2017-00486
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9330 SW MILLEN DR, TIGARD, OR, 97224 August 22, 2018 at
11 :13:58 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00411
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor