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Permit (64) CITY OF TIGARD MASTER PERMIT IN a COMMUNITY DEVELOPMENT REViSED Permit#: MST2017-00310 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 PiE/a/tx-MT I C;A R f� g Date Issued: 12/06/2017 Parcel: 2S112C600700 Jurisdiction: Tigard Site address: 15164 SW CHANDLER LN Subdivision: MANGOLD SUBDIVISION Lot: Project: Mangold, Lot 6 Project Description: New SF. 3/20/18: REPRINT to add(1)laundry tray. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1170 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1612 sf Garage: 562 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2782 sf Value: $350,234.38 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 5 201-400 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 2782 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: 503-406-2442 PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $31,732.58 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 95/.01-0090. You m y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / 4.111111r7 Issued By: /Z1/.., A`_/ .dLiu�/moi Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application 111.5T2117 3 i Building Fixtures 1OR 011-1(1" 1:SF: Oxt.1 111 City of Tigard '/Permit Ne71 V- 0/?-GO3/D r 13125 SW Hall Blvd.,Tigard,OR 97223 y 11 ' Phone: 503.718.2439 Fax: 503.598.1960 Pin Review DateBy: Other Permit No.: 7 t G n h 0, Inspection Line: 503.639.4175 Date Ready/By. rwis: M See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I. Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 it.for each utility connection) _ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 MuIti-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: /tom i 194 s ' .0741 Catch basin or area drain 18.76 City/State/ZIP:Tigard OR lei?�1�'1 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:ilbtitla Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:,-„_J Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: {t�l�t�'t1614 I Lot no.: (f/_ Water esor Item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 x6(6( t � �� b nie. . • Clothes 25.02 Dishwasher 25.02 . Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Address:12700 NW Cornell Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Portland OR 97229 Hose bib 25.02 q Phone: f 1'i- 67'1-c01f Fax:(503)342-2403 Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: ..1+.. 9�5 a( Medical gas(value:$ ) Paget Primer 12.51 name: � 1# F.cke Roof drain(commercial) 12.51 Address: 5 a f5 fc Sink/basin/lavatory 25.02 i City/State/ZIP: Solar units(potable water) 62.54 Phone:qtr )67-C- 50/x'6 Fax::( ) Tub/shower/shower pan 12.51 E-mail i( a westwoodhomesI1 .com Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:H&H Mechanical Water heater 37.52 Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 CCB Lic.:178122 Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ->-0_,4 -;,...‘ TOTAL PERMIT FEE 2 OL Print name:Dusts ague Date: This permit application expires if a permit is not obtained within 180 Jaya after it has been accepted as complete. *Fee methodology set by In-County Building Industry Service Board. I.Ituilding\Pennifst?LMU-PermitApp.doe }O/01Al9 440.4616f(10/02/COM/WEB) IN , CITY OF TIGARD MASTER PERMIT 11.; . COMMUNITY DEVELOPMENT Permit#: MST2017-00310 T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/06/2017 Parcel: 2S112CB00700 Jurisdiction: Tigard Site address: 15164 SW CHANDLER LN Subdivision: MANGOLD SUBDIVISION Lot: Project: Mangold, Lot 6 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1170 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1612 sf Garage: 562 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2782 sf Value: $350,234.38 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 5 201-400 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 2782 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 PORTLAND,OR 97229 PHONE: 503-406-2442 PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $31,659.56 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 mayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987` or 1.800.332.2344..2 Issued By: •/44 �7+JC/lli6dlri'��Cay� Permittee Signature: S ' /�/i# r.75 i, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. // This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential 1012 OfFI( 1 ( Sr oA1.1 City of Tigard R Zewt '0t"1'7 13125 lllvTigard,OR 97223 Permit NPhone: 503.7182439 Fax: 503.598.190 Pln v. mit: ��(.� //) Inspection Line: 503.639.4175 Date/B / Other Permit: 7 I C ARD t AUG 8 2017 Date Ready/By� Internet: www.tigard-or.gov l7 1 : S See Page 2 for CITY �+i pNotifie ethod:11 (7 /P Supplementallnformadon TYPE Ol?WORK �I' Y 01' 1 P 1R P 1 ®New construction i . �1 G A ❑ 9 Ot REQUIRED DATA:1-AND 2-FAMILY DWELLING De . 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. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: ---11:39,/ 947(9-* 4-') ❑Accessory building ❑Multi-family Number of bedrooms: o Master builder ❑Other: Number of bathrooms: 3 r -rill JOB SITE INFORMATION AND LOCATION Total number of floors: Z. 3 3(1 ' mm Job site address.1 (fptf- / j t � /lam b New dwelling area: R et �y ep t O� square feet City/State/ZIP:�t5 f l 0K. ZL3 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: _ Covered porch area. to square feet Cross street/directions to job site: _ Dec area: �—' �-! square feet • ad 4 `� !" �n _. i •Other structure area: St T square feet Subdivision: r t 1�► /� REQUIRED DATA:COMMERCIAL-USE CHECKLIST Lot no.:ley Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the work indicated on this a..lication. New SFR Valuation: $ Existing building area: square feet ® PROPERTY OWNER New building area: square feet I 0 TENANT Number of stories: Name:Same as applicant Type of construction: Address: City/State/ZIP: Occupancy groups: Phone:( ) Existing: Fax:( ) ED APPLICANTNew: 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Westwood Homes LLC am , wheal* Contact name:Matt Fricke Structural plan review fee(or deposit): ■ FLS plan review fee ) (if applicable): Address:12700 NW Cornell Rd City/State/ZIP:Portland,OR,97229 Total fees due upon application: Phone:(503)406-2442 I Fax::( ) Amount received: E-mail:Matt@westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted photovoltaic Solar Panel System. c Business name:Same as applicant Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation •ecial Code checklist. City/State/ZIP: Permit Fee(includes plan review Phone:( ) I Fax:( ) and administrative fees : $180.00 CCB lic.:195597 State surcharge(12%of permit fee): $21.60 7 Total fee due upon application: Authorized signature201.60 ,/- 7 $aired J This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Matt Fricke I Date* /2I *Fee mServiceBethodology set by Tri-County Building Industry � 1:1Building\Permits\BUP-RESPermitApp.doc oard, 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application roa Orli(1: 1 oyr.l City of Tigard Received Date/By: PermitNo.� ?iel 13125 SW Hall Blvd.,Tigard,OR 97223 ?i el Phoae: 503.718.2439 Fax: 503.598.19 Flan Review ECEIVEI) Date/71 Other Permit:Inspection Line: 503.639.4175TIGAKD Date Ready/By: Juris: fa See Page 2 for Internet: www.tigard-or.gov Notified/Method: 21117 Supplemental Information TYPE OF WORK COMMERCIAL COMMERCIAL FEE* ,�p�; g t �q SCHEDULE— USE CHECKLIST ®New construction ❑Addition/alterat it lalelttiGA `1" Mechanical permit fees*are based on the value of the work 0 DemolitionDIVISION performed.Indicate the value(rounded to the nearest dollar)of all ❑Other: �ppmechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CO 3TTRUCTION Value:$ Commercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercia 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty I Ea. I Total JO SITE INFORMATION AND LOCATION Heating/cooling: Job site address:1'5-1 e f� (�4 in IDI. (C (1,,e Air conditioning ( 46.75 i Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP:17 4 y 012_ t 'G' 3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 . Duct work 1 23.32 Cross street/directions to job site: 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: /1./c,'/kt, Lot no; Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 New SFR Flue vent for water heater or gas 7 fireplace 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Z PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Same as applicant Range hood/other kitchen ` Address: equipment / 33.39 Clothes dryer exhaust / 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, a 1, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 10 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Westwood Homes LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Matt Fricke Furnace,etc. i Address:12700 NW Cornell Rd Gas heat pump City/State/ZIP:Portland,OR 97229 Wall/suspended/unithxcter Water heater / Phone:(503)406-2442 Fax::( ) Fireplace E-mail:Matt@westwoodhomesllc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Inc. Other: Address:PO Box 433 MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Phone:(503)656-1908 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:178624 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: Fee methodology set by Tri-County Building Industry Service Board Print name:3;k1,1 114c0,-174614A(4')4614^(,yr Date:--"it t (., I I:\Building\Permits\MEC_PermitApp_040113.doc 440-(4617T ( 1/02/COM/WEB) Electrical Permit Application FOR o r r►ce r ‘.1'o\rti City of Tigard KI � a _ Received owDate/By: Permit#./0,1s7-#20/ 7 64). 13125 SW Hall Blvd.,Tigard,OR 9722 ; Plan ReviewPhone: 503.718.2439 Fax: 503.598.19 Related Permit#: , Date/By: Inspection Line: 503.639.4175 3 Ready DateBy: lurks: to See Page 2 for 1 1 C A It l? Internet: www.tigard-or.gov U s i .tified/Method: Supplemental upplementallnformation TYPE OF WORK 0 t g / PLAN REVIEW l, t "`"� apply(submit 2 sets of plans w/items checked): ®New construction 0 Addition/alteration/r�plbCern �. Please check all that a l - l ❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current CATEGORY OF CONSTRON exceeds 10,000 amps at 150 volts or 0 Moa❑Floating Marinas baud boatyards. buildings. ® 1-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. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION LOCATION 0 Emergency system. larger separately derived Job#: Job site address j5( 3 (IA/ C 11 j ( ❑Addition of new motor load of system. 4 l r [Q 100HP or more. ❑«A» E»«1_Z»«l_3» City/State/ZIP: t+7�� y �'� q j �� ❑Six or more residential units. occupancy. / t T ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑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 I Total I New residential single-or multi-family dwelling unit. Subdivision: o/1,17011 Lot#:6 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 3 168.54 4 Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential New SFR (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Same as applicant 200 amps or less 100.70 2 Address: 201 amps to 400 amps 1 133.56 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 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 1 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 1 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:Westwood Homes LLC above service or feeder fee, each branch circuit 7.42 2 Contact name:Matt Fricke B.Fee for branch circuits without Address: 12700 NW Cornell Rd service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Portland,OR,97229 Each add'l branch circuit 7,42 2 Miscellaneous(service or feeder not included) Phone:(503)406-2442 Fax::( ) Each manufactured or modular Email:Matt@westwoodhomesllc.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Ross Electric Inc. Sign or outline lighting 67.84 2 Address:2870 SE 75th Ave#203 Signal circuit(s)or limited energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Hillsboro,OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)642-2800 Fax:( ) Investigation(1 hr min) 90.00/hr Email:Rosselectric@comcast.net Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 157891 Electrical Lic.: 34-436C Suprv.Lic.: specifically listed(%hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 5.4 Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): — (Ii State surcharge(12%of permit fee): Authorized signature:(1/ yA-- o _ _ TOTAL PERMIT FEE: v Na This permit application expires if a permit is not obtained within 180 Print name:� ��,t tCP Date:���� �� days atter it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Pennits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application Building Fixtures FOR 011-1( 1� l sl: 0y-1.1 ' ' City of Tigard Ned Permit No, 11 13125 SW Hall Blvd.,Tigard,OR 97223 Qtiv Date/By: /v` 17 4/ � _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960rt‘ Date/By: Other Permit No.: I 1� ^�`n Inspection Line: 503.639.4175 t t3(j % ' -' Date Ready/By: hail: See Page 2 for Internet: www.tigard-or.gov ed/Method: Supplemental Information TYPE OF WORK ori® FEE* SCHEDULE �!• t � U ' ®New construction ❑Dem lj) y For s, cial in(inflation use checklist �}s l a Descri tion nil. Ea. Total ❑Addition/alteration/replacement 0 Oth '`.' New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 6 500.32 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:6.16t/5 IA" ((/t G yii y.„/ l 4 r Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/Z1P: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: 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 �V,, Water service(no.linear ft.: ) Page 2 / Subdivision: WU/ Lot no.: 6 Fixture or item: Tax map/parcel no.: % t"F Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 New SFR Clothes washer 0 25.02 Dishwasher / 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Same as applicant Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal t r 25.02 City/State/ZIP: Hose bib L. 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Westwood Homes LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Matt Fricke Roof drain(commercial) 12.51 Address:12700 NW Cornell Rd Sink/basin/lavatory 5 25.02 City/State/ZIP:Portland,OR 97229 Solar units(potable water) 62.54 Phone:(503)406-2442 Fax::( ) Tub/shower/shower pan 3 12.51 - E-mail:Matt@westwoodhomesllc.com Urinal 25.02@westwoodhomesllc.com closet 325.02 CONTRACTOR - Water heater 37.52 Business name:H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: _ 25.02 City/State/ZIP:Milwaukie,OR 97267 Subtotal Phone:(503)975-9787 Fax:( ) 77/7 Minimum permit fee: $72.50 �q,A/J l/`/ Plan review (25%of permit fee) CCB Lic.:178122 Plumbing Lic.no.: 1 L l l State surcharge(12%of permit fee) Authorized signature: 1 ' ll TOTAL PERMIT FEE f/ This permit application expires Print name:Dustin , gue Date: i 2/ ! PP p""res if a permit is not obtained within 180 days (((((( [[ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 10111 City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT S T 1 c A R D Building Permit Review — Residential Building Permit #: 4-7 5 7-TR (7- C,? ,?/a. Site Address: S t Io 4 Sof Glia r L6u' - Project Name: Vitt 111601 d Lot #: Le (New dweging=subdivision name;Addition or Alteration=last name of owner) Planning Review New ew $T-2 4//7 ,&-- sci. i/6-%'e,},.J ,64,,is TD re L7/4=3" zs / -i7a Gti/'9-v' Ge/r ' ozJ� , �✓� %Verify site address/suite# exists and active in permit system. .River Terrace Neighborhood: X No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ree(3)copies of site plan xisting structures on site - Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rae Drawn to scale(standard architect or engineer scale) floor elevations :' orth arrowUtility locations&easements(required for new and additions) Site address,project or subdivision name and lot number :-1�QSidewalk/driveway approach Applicant information(name and phone number) oca l tion of wells/septic systems ,:Stl.ot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree tirtkquare footage of buildings to be demolished protection measures ' ,Lot area,building coverage area,percentage of coverage and Street tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) treet names Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Yes 0 N 4 foot differential) �" If yes,is a storm water quality facility shown? 'es" rNo . Clean Water Services–Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified .:4SZ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified .Xt No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: 9,4Py2ab OC,0(,)32,0 �- ' ,Ni Zoning: 9-t�. � � �LU Z XRequired Setbacks: Front +20 Rear 'y ` Side S Street Side '(J/A Garage 20 Landscape Requirement: 1J/A. % �V/ -N, Lot Coverage Maximum: Npr 0,0 A Building Height: Maximum HeightActual Height2 tiv► Visual Clearance ... Lands: ❑ Yes 'No Type AUrban Forestry Plan 0. Conditions "Met"prior to issuance of buildin. permit Notes: ') '!t( gv1.e al P -en Approved By Planning: i Date: g i th 11 7 Revisions (after B tiding Submittal on ) R view r ate Revision 1: Approved ❑ Not Approved ff 1 �1 ff '1 Revision 2: ❑ Approved �� U l pp ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Buildirtfforms\BldgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: Fir0// ii Site Plans: # Building Plans: # _I Building Permit#: Enter building permit#above. Workflow Routing: Planning Engineering CIPermit Coordinator ,Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 7 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / , ,� c- / / By Permit Technician: ; ,/� A // ice Date: 6 0 Engineering Review 6 Slope at building pad: (4e; /������ Conditions"Met"prior to issuance of building permit ---� v yr Easements (encroachments)per engineering conditions of approval and plat Al Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes i No Assess Water Quantity Fee in-lieu: El Yes No LIDA Facility on lot: El Yes No ❑ NOT Approve, b Engineering: Date: Notes: �r ./ ./ - i! r Approved by Engineering: D Date: 6,--.0-/-/ 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review ClC•- • tions"Met"prior to issuance of building permit 4r------;‘,///f(Q ) a' FA* pproved,NOT Released: C'�eit,ic "" Date: 21.- 12- otes: /i f �!'dG� KGS 144,-1.,..-7-A, a & 5(SC c V� 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: El Yes '� /A Tigard Trans SDC: El Yes Tar /A Parks SDC: ❑ Yes LA N/A LIDA El Yes P°N/A • to Issue Permit - .. // 'Approved by Permit Coordinator: .,--"i •ate: 7/...A11-- I:\Building\Forms\BldgPermitRvw_RES_061417.doc 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 _ *III Transmittal Letter i (,A It 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ( Ci" ' DAT , E DEPT: BUILDING DIVISION ,s, , FROM: Gtt-t p ,. COMPANY: S (1((_._ - BUILDING DIVISION PHONE: _! 1 i 7q. - Sai /50- - �b� -li By: RE: kiteiddress) �I.P) LVit lliiltr / ?Yt€€ P itNumbe 44 ( 00'3/0 �a o1 tEs--des lot C ) ' Project me or subdivision name and lot number) J � e) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description;. v} Copies: ' Descr�pfion; Additional set(s)of plans. ,( Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMA : , �'�e� (C,,,e,,°c( 4J- o i ;n .4aC� ay"( MWece (en-ha/egg, a W izvivichvii . 57v 1'>r ,en /its,- 1,1) /J /I'1L[i' 4.,l, FOR OFFICE USE ONLY Routed to Permit Technician: /1115-ate: I1-- )3 - ) Initials: ..1_4, Fees Due: ❑ Yes .11571,Nov Fee Description: Amount Due: v ,x. v., - $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑Yes �—/ IA No _ EI Done Applicant Notified: Date: /(I (5 1 l 7 Initials: I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012 ACKNOWLEDGEMENT OF RISK AND HOLD HARMLESS AGREEMENT I. PARTIES This Acknowledgement of Risk and Hold Harmless Agreement ("Agreement") is between Westwood Homes,LLC ("Owner") and the City of Tigard(the "City"). 2. PURPOSE OF AGREEMENT The purpose of this Agreement is to identify the terms and conditions under which the City will agree to issue building permits for three proposed single family houses located at 15134, 15158,and 15164 SW Chandler Lane in Tigard (the 'Properties"), and referred to herein as the Project." Owner has requested that the City issue the following permits and conduct the following reviews (collectively, the "Permits"): A. MST201 7-00302 for 15124 SW Chandler Ln.; B. MST2017-00303 for 15158 SW Chandler Ln.; C. MST2017-00310 for 15164 SW Chandler Ln.; D. Any additional permits required by the City to construct the Project and related site improvements. Owner desires to proceed with construction associated with the Permits based on City's Land Use Decision SUB2013-00003 (the "Decision"),notwithstanding the fact that final approval of the submitted plat has not yet been received from Washington County. The City is willing to allow the Owner to perform the work associated with the Permits prior to receipt of a copy of the recorded plat as long as all work done is consistent with the approved Permits, the Decision, and pursuant to the terms of this Agreement. 3. ADDITIONAL CONDITIONS In addition to all other conditions stated in this Agreement and required by law, Owner agrees to the following: A. The Owner acknowledges that Washington County may fail to approve and may require revision of the submitted plat for the Project and that Owner shall be responsible for any and all modifications,revisions, corrections, resubmittais, or reconstruction in order to comply with the plat as approved and recorded by the County. B. The Owner acknowledges that the issuance of the Permits is based on the conditions set forth in this Agreement. The Owner shall be responsible for correcting any and all deficiencies in work conducted on the Project in reliance on the Permits or changes required by the City as part of the City's inspection process. Page 1-Hold Harm less Agreement 2613260 ADRF T7&7017 C. The Owner acknowledges that the City cannot guarantee that the plat will be approved by the County as submitted, nor can the City guarantee that any such approval will meet the construction schedule for the Project. The Owner further acknowledges that any work done pursuant to the Permits shall be subject to a stop work order posting, penalties, and any other legal remedies available to the City to enforce any stop work orders issued on the Project. D. The Owner acknowledges and agrees that no final building inspection will be performed and no Certificate of Occupancy issued for the Project until a copy of a properly recorded plat is received by the City. 4. EFFECTIVE PERIOD This Agreement will be effective upon execution by both parties and will remain in effect until the plat,as submitted or as revised,is approved and recorded by the County,all appeals have concluded, and all timelines for any future appeals have expired("Effective Period"). 5. NON-TRANSFERABILITY This Agreement is between City and Owner and is not transferable to any other party. In the event Owner sells,transfers, leases or otherwise conveys any interest (but not including a mortgage or deed of trust, including in connection with Owner's construction financing) or right of possession in Property, this Agreement shall terminate automatically. 6. ACKNOWLEDGEMENT OF RISK A. Owner understands that by allowing construction to commence on the Property pending the approval of the submitted plat by the County, the City's review and approval of the final plans may result in Owner being required to change or remove the work done during the Effective Period. B. Owner understands that construction work must be consistent with the plans submitted to the City,or any changes to the plans the City requires as the review proceeds that the City determines are necessary to bring the Project into compliance with applicable building code and zoning requirements. C. The City reserves the right during the Effective Period to stop work if: (1) Owner fails to provide sufficient information necessary for City staff to determine consistency with applicable building codes and zoning requirements to the City within five (5)business days of a request by the City; (2) if the City determines the plans are inconsistent with applicable building code or zoning requirements; or(3) if construction that takes Page 2-Hold Harm less Agreement 2615266 30RF M4017 place within the Effective Period is inconsistent with the plans submitted to the City and/or applicable building code and zoning requirements. D. Nothing in this Agreement limits the City's authority or ability to issue a stop work order if the City identifies violations of building code and/or zoning requirements involving construction on the Property. E. Owner agrees that any expenditures or construction Owner undertakes during the Effective Period are undertaken at Owner's sole risk and expense. F. Owner agrees not to assert any claims whatsoever against the City arising out of expenditures or construction Owner undertakes during the Effective Period. G. Owner agrees that failure to comply with any of the terms or conditions set forth in paragraphs A through F, above,may result in the initiation of code enforcement proceedings. 7. HOLD HARMLESS AND INDEMNIFICATION AGREEMENT A. Owner agrees to hold harmless, defend, and indemnify the City and the City's officers, agents, officials, and employees against all claims, demands, actions, and suits, including all reasonable attorneys' fees and costs, brought against any of them arising from allowing construction on the Property to proceed during the Effective Period. B. Owner hereby expressly assumes all risk of damage to Property, and loss or impairment of the use and enjoyment thereof, and including all risk of personal injury or death, and including loss of any and all expenditures in any manner arising out of or attributable to allowing construction on the Property to proceed during the Effective Period. C. Further, in the event an action is brought contrary to this Agreement and a court of law upholds this Agreement,Owner agrees to pay all reasonable costs and attorneys' fees incurred by the City including any reasonable costs and fees associated with appeals. 8. REMEDIES Owner agrees that in the event that the construction work must be removed, altered or otherwise changed,it will be removed, altered,or changed within sixty (60)days after the date permits are withdrawn or required to be revised by the City,and required permits to effect that change are approved.Further,Owner agrees that in the event the construction work is not removed, altered.or otherwise changed,it is a nuisance and may be removed by the City,and the cost of removal, including all direct and indirect costs,will become a lien against the property. In the event the costs are not paid by the Owner to the City after entry Page 3-Hold Harm less Agreement 20:20030RF u42017 of the lien,the City may foreclose against the Property at such time as it elects to do so,ifthe costs remain unpaid. 9. OREGON LAW AND FORUM This Agreement shall be construed according to the laws of the State of Oregon even if Oregon's choice of law rules otherwise would require application of the law of a different jurisdiction. Any litigation arising under or regarding this Agreement shall occur, if in the state courts, in the Washington County Court having jurisdiction thereof, and if in the federal courts,in the United States District Court for the District of Oregon, Portland Division. Any arbitration or other form of alternative dispute resolution arising out of this Agreement shall take place in an appropriate forum within Portland,Oregon. 10. SEVERABILITY Each provision of this Agreement shall be independent and severable. The invalidity or partial invalidity of any provision thereof shall not affect any of the remaining portions of that or any other provision of this Agreement. [Signature Page to Follow] In Witness Whereof, this Agreement has been duly executed on Page 4-Hold Harm less Agreement 2612766 34DRF:18/2017 // c2 ,2017. OWNER CITY Westwood Homes,LLC City of Tigard By: 2 By. Name)! ..J.I, Name: 7/0/9/ /1 46 i Ne— ,Title:/ _ ,,,,ip-Ar,_ Title: 44, G 0 Q%c e Ci-or faV Date: v . Date: ///.2,0// STATE OF OREGON ) )SS. County of WabVikvl oVn) This instrument was acknowledged before me on lv d\/ .W\7eY d 2017, by 1`1 NI(tlyy llf.1r as V ', ' A „ I\t •f Westwood Homes,LLC. 0 ' tall 0, OFFICIAL MVP '1 UNDSAY E ADAMS NOTARY PUBLIC FOR OREGON \;-,� AtoTARY PUBCIC.ORC-pOM �,COMOH NQLINIY22 MyCommissionExpires: 61 -011'aUc3 JINI,fARY2f,2020 Page 5-HoidHarmiess Agreement 2615160 3101114 PM 2011 Electrical Permit Application"-" ° l 01,1 (,1 1 1, 1 i H too City o, Bard MAR c 2013 Datdey: 3 /2- ii 4 '. *Villas/a'-v7?'0°0 13125 SW Hall Blvd.,Tigard,OR 97223 Play Seem- i P Phone: 503.718.2439 Fax: 503.5981960 DaeeBBr .1 Rented VIMit if: Inspection Line: 503.639 4175 ` . .,y : H Sea Page 2 for www.ligard-or.gov �7a galas oatioa ®New construction w0 Additionlahefation/replecement V;00" Meese check all that apply(submit a sett orgies:Wham checked): ❑Service or fader 400 amps or more 0 Baildiyy overtime stones. Demolition 0 Other W where the availeblo&ate entreat a Markus tad boatyards. . r ti exceeds 10,000 amps at 150 vas cc DP1Oatms buildings• '� :��a r ,?,.,.f.--7..„,,,,,,,.,., p° lcar'°': e��,,a s.�-;:F.,3�*�°+.A�,S'.�1'r� F „�« � . _'>� - ®1.and 2-family dwelling 0 Commercial/industrial 0 Aeoessoay building lb"m fReemoerc eiasaaandatt14'°°C.. 1:1 tb7ambua il agriw 0 Multi-farm 0ipxal Master builder 0 Other- Grim Pump. 0 IeWflsboe of 150 KVA or s: c � moi` i i7iitcr r-5 'll : "err + r © Y ham- .a:_. ... ,,....._.,..k,.�1..e„t„G, „4-. 4•i.1 a,ix .. .,, x...4.1,_y -. �. ❑mow of taw motor god of s3'st Job#: Job site address: IS j Leil .P.41/ r k 1001ir or MOM. 1:1'A","V*,`1.2",`1-3", City/StateIZlP: Ti f �(� ✓ j 7 047224/ OSbc molar. ate' y� 0 0 Notational vehicle parks. Suite/bldg./apt.#: I Project ,, ,56)V ©supoty voltage for mon Stan J ©Sense orIkeda 600 or mus. 600 volt.monad Goss street/directions to job site: ten eetDOw a.. lad, Tahl 1 New reidualai single.or moll]-fir dwelling oak. Subdivision: 1V1Ain 40 42( 1 Lot#: t Imdwlimp.imp.es attacked . 1,000 sq.ft.or less 16854 4 Tax map/paled#: Fa.add'l 500 sq.0.or polios 33.92 1 '"',-777:,..7.77,5-47, -:.,<,. , L ' a ._.._. ....' _ . _ _ 1.1mlteAgy,reskientitd 75.00 2 (with above K.tt) Ennited energy,mrhl-&ally 73.00 2 - residential(win abeyant.R) Renewable End 0 See Page 2 , .„i-,+. 57;,-..;„-i!.. . !- " ,,._ . ,___ .,. . .., . ., .. .,._.. ...,,. .. _, ,,. , Mees or feeders Instt atio allattlom,and/orrelocation Name: f l�`r'.. 200 snips trleas _ 100.70 2 _ 201 amps to400 craps 133.56 2 Address: 401 arms to 600 craps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Fax:( ) Over 1,000 amps or Yoke 552.26 2 Phone:( ) Temporary services or feeders iaatsikdon,alteration,and/or Email: relocation-Owner Installation:This installation is being made on property that I own which is nt 200 a lipser lees , 59.36 1 intended for sale,lease,rent,or=change,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner si C Date: 441 swim 599 amps - 168.54 2 S �.. > ---�-'�— ",.7 t• Yat �r x of -mew al,- ,,,, , or extends - sand • „... yr”i r -:f. °._.. . ....., ; f >. :a'r,.n•...._ _ .. .x.-._ A.Fee fur breath circuwili Business name Westwood Hermes LLC above service or Seeder lee, II 7.42 IIIII 2 each boob e:badt ' Contact name~' .41 I t B.Tee fix branch cootie widow service or feeder fee,Gist 56.18 2 Address:12700 NW Cornell Rd bomb dead* Sub add'i branch chant 7.42 2 City/StaternF:Portland,OR 97229 Misediatons(service or feeder not included) Phone:(503)406-2442 I Fax::( ) Bach manufactured or=dubs- 67.84 2 • Q 1t mail:: 4 I64Y1 , Ove,h.omeaLL�60/71 ioea>��smdtr E Recomtesteonmly -irLE31.111111 2 �J �p e �,. ., a,._,. 6.1Zpt�, �'SSE:Lt._,..x�.�J....�+....-.d.....i_a,a �.„ .,4 .. ..,.:.:E.'' awry,arar7p�iatt�fale 67.84 2 mess names Pyramid Electric LLC Slip or outline ligating 67.84 2 Staid e&wtt(a)or fuelled-energy p gee page 2 2 Address:12700 NW Cornell Rd murk eitamtioo,or emersion. Each additional Inspection over allowable In any of eke above City/State/ZIP:Penland,OR 97229 mastiaostin on(1 brmin) 66.25(br Phone:(503)406-2442 I Fax ( ) Investigation 0 hr min) 91001hr industrial e br andel:O keel pyramidell�r dllC.conat /U if /(a/ for wl>width is 90. 01br CCB Lie.: 217347 Electrical Lic.: C1320 Suprv.Lir.: (`./6'A c---f limbr mbn) Suprv.Electrician signature,required:required:9410V cl~ Subtotal: Print name: Jeff Evans Date: El Plan Review Required(25%of permit fee): ��� / � tell: Stelae 6nrr2serge(l2Xs of pezrsit teed —: Authorized si;, TOTAL PP,RMIF FEE: - This permit application ezpirei its perm is set*Weed winds 180 Date:' , X ;t dem after it has been accepted as complete. Prim nam-e: t,, avvii ....�, V • Number of iaspectloss allowed per permit rt9oafios3,ermas1136C_P�UAFP 8[A,,,ilaE.tloe RevOaR7: 13 1 ELOSCOWWlis FOR OFFICE USE ONLY—SITE ADDRESS: /51(e (1L 4,i - ®/Z„/. ' 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 Transmittal Letter 1 ,,n►t I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: l,Okl4 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: s4Grf/ Pt-, Gk/ / JAN 4 2013 COMPANY: , , Q�,,joo i ?%.1 7--c L.-L � CITY x -' k#(7:As D BUILDING DIVNON PHONE: 97/ - G77-' cD/ By: RE: /7 & `i (S'Gv �/ (Site Address) �r� 7"' // 'ermit `um I er roJ�t nam jJi subdivision name t number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: I Description: ] Copies: ( Description: Additional set(s)of plans. I Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Er .-e#7/'bi l/t77�GG��6v/7--74-- ,5 FOR OFFICE USE ONLY Routed to Permit Tec ian: Date: j --L) Fees Due: ( Yes I'D No Fee Descrip tion: Initials: Du U yp �'� �e �. �� lcul -ti at _ Du Special $ Instructions: 1-4 Reprint Permit(per PE): �1 Yes No $ Applicant Notified: 2- _____ Date: //tel//� ❑Done Initials: 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: 15164 SW CHANDLER LN, TIGARD, OR, 97224 June 4, 2018 at 11 :05:51 AM Record Type: Record ID: Residential - Master Permit MST2017-00310 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved plumbing final inspection. Provide fall prevention devices on windows with sills less than 24" to floor and grater than 72" to outside grade. R312.2.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15164 SW CHANDLER LN, TIGARD, OR, 97224 June 4, 2018 at 11 :05:00 AM Record Type: Record ID: Residential - Master Permit MST2017-00310 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide pry for water pressure exceeding 80 psi. 85-86 at hose bibs. 608.2 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15164 SW CHANDLER LN, TIGARD, OR, 97224 June 4, 2018 at 10:45:31 AM Record Type: Record ID: Residential - Master Permit MST2017-00310 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Seal penetrations at HVAC penetrations in garage. All else appears ok, will check at building final inspection. No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15164 SW CHANDLER LN, TIGARD, OR, 97224 June 6, 2018 at 9:16:00 AM Record Type: Record ID: Residential - Master Permit MST2017-00310 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Fall prevention devises installed. Final erosion control approved. Street tree certification received. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Insulation certification checked. Blower door test report received. 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: 15164 SW CHANDLER LN, TIGARD, OR, 97224 June 6, 2018 at 9:08:54 AM Record Type: Record ID: Residential - Master Permit MST2017-00310 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: This Inspection passed previously, see Inspection dated 6/4/18. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15164 SW CHANDLER LN, TIGARD, OR, 97224 June 6, 2018 at 9:10:59 AM Record Type: Record ID: Residential - Master Permit MST2017-00310 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Corrections complete from previous inspection. Violation Summary: Inspector Contractor