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Permit (23) � a CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2017-00497 I' Date Issued: 03/01/2018 T[GA Pr) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243. 4 / /i, tot Parcel: 28112C600700 Jurisdiction: Tigard Site address: 15114 SW CHANDLER LN Subdivision: MANGOLD SUBDIVISION Lot: Project: Mangold, Lot 2 Project Description: New SF. 6/1/2018: REPRINT permit to add(1)gas piping for barbecue. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1196 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1586 sf Garage: 490 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2782 sf Value: $344,191.70 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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'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 Ecompasing: Y Other: N Other Description: p g 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: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $31,628.59 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu h OAR 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B Permittee Signature: a-Ai /9-/87Pe-i 0") 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. Mechanical Permit Applicatiom� FOR OFFICE: LSF ONLY City of Tigard ,z,I ) Received Q/G ^,iv M Datem r7 -� Permit No.: �-•0 q, 13125 SW Hall Blvd.,Tigard,OR 97223 A t y' iZt� Il Phone: 503.718.2439 Fax: 503.598.1960 MAY 3 02018 DPiate/san Reviewy: Other Permit: 1.i G n It n Inspection Line: 503.639.4175 �I Date Ready/By; tuns: Internet: www.tigard-or.gov CITY° /, 60 See Page 2 for F riGARt )JotiSed/Method: j/�d / Supplemental Information a til Ofli D(1/I§10 TYPE OF wORTC :_' COMMERCIAL FEEL ScxEliULE ;t 5E CRECKLIST,; T®New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials, uipmen labor,overhead,� and profit. CATEGORX OF CONSTRUCTION Y,,!!.1.,!:,,... alue $ RESIDENTIAL EQUIPMENT ISYSrEMS,FEESa ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family QMaster builder 0 Other: Description Qty Ea. Total JOB SITE INFORMATION AND;,LOCATION > Doling: Ileating/c IS-II I gsla! C/„ate`,I D L.4.-L. Av conditioning 46.75 Job site address: ►V N t f/t Lf Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1-1 tarot 04. 1 /22.-j Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt,no.: J I Project name: r 4 J 6)d Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit beaters(fuel-type,not electric), :in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: /) e 23.32 L- Other fuel appliances: Tax map/parcel no.: Water heater l 23.32 DESCRIPTION OI? WORK ;: Gas fireplace/insert 33.39 Flue vent for water heater or gas New SFR fireplace 23.32 !°7/�44 7a 3cts-r/k)6 fi ?z r i,/•�"'_ Log lighter{gas) 23.32. Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 s I'RO,PERTX OWNER fQ TLNANr 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, toilet compartments,utility rooms) 23.32 Phone:( ) Fax ( ) craw p ce fans Attic/ is a 18 APPLICANT 3 3 2 ,,.w. .�.,,..... ,. r �,.a .M. , CON'I'AC'If'PERSON 2332 Business name:Westwood Homes LLC Fuel Piping: 514,15 for first four;$4.03 for each additional Contact name:Matt Fricke Furnace,etc. Address:12700 NW Cornell Rd Gas heat pump Wall/suspended/rmit heater City/State/ZIP:Portland,OR 97229 Water heater Phone:(503)406-2442 Fax::( ) Fireplace Range E-mail:Matt©westwoodhomesllc.com Barbecue I 44175 �+Ve0' ; CONT`RACrOR' 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) 0 Phone:(503)656-1908 I Fax:( ) Plan review(25/o o£permit fee) State surcharge(12%of permit fee) r CCB lie.:178624 TOTAL PERMIT FEE c/, / i This permit application expires if a permit is not obtained within 180 Authoriz e: days after It has been accepted as complete. C / * Fee methodology set by Tri-County Building Industry Service Board Print n , // ., w ,../f �t Date6/ J 2/r I:1Buildiag' suv1EC PermitApp_040t13.doe `� 440.4617T(111/02/COM/WE.S) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15114 SW CHANDLER LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00497 Inspection Type: Inspector: 610 Gas Line Allyson Armstrong Result: PART Comments: Witnessed at 30Ibs for 15min. Green tagged. Test ok. Contact permit office to a bbq to permit. Branches = fire place, range, furnace, water heater and bbq. = 5 Violation Summary: Inspector Contractor IN CITY OF TIGARD MASTER PERMIT • COMMUNITY DEVELOPMENT Permit#: MST2017-00497 TWARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/01/2018 Parcel: 2S112CB00700 Jurisdiction: Tigard Site address: 15114 SW CHANDLER LN Subdivision: MANGOLD SUBDIVISION Lot: Project: Mangold, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1196 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1586 sf Garage: 490 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2782 sf Value: $344,191.70 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 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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'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: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $31,624.08 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 sus.- - - • more the 180 days, ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ru-s are set in OAR 952-001-0010 thro 952-001-0090. You ma .. .'• . _ - - •r/lirect questions to OUNC by calling . .3 . s87•1.800.32.'344. Issued B Permittee Signature: Call 5 .r by 7:00 a.m.for the next available inspecti 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 I OR Ol l l('l: l'SI ()NI l' City of Tigard 5 eee;v� 4 13125 SW Hall Blvd.,Tigard,OR 97223 ii�-LA 1.. l" ����- ���� Permit No.; •�� e Phone: 503.718.2439 Fax: 503.598.1960 Plan Review141.,,,,,7_,,e, Date Ins Inspection Line: 503.639.4175 B : )- Other Permi �/7�, y� r1GARD p c I: R :.•/B•, 0 Internet: www.tigard-or.gov �� (�1? l� 1,u�: See Page 2 for t Notifi . ethod: ' t� rr Y OF ����r7 �� EIT Supplemental Information TYPE OF WO RF inIGAii iREQD DATA:1-AND 2 FAMILY DWELLING ®New construction 0 r:t‘R N s DIVISION Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONS''RUG'T;ON work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: ❑Accessory building ❑Multi-family Number of bedrooms: ' 0 Master builder � ��� 0 Other: Number of bathrooms: 349- )9 i JOB SITE INFORMATION AND LOCATION Total number of floors:i,,. •�e--" / Job site address: ` ! j ( i V %1, / tin Pelt E}o I al, New dwelling area:7uare feet City/State/ZIP:-r,„,,,,, � 1�.- ( fZ. !t f 'z—`11 Garage/carport area: /7(3 square feet Suite/bldg./apt.no.: / I Project name: / _ Covered porch area: ; b 3 square feet J6- O • Cross street/directions to job site: Deck area: .ii j 7 6— square feet w n Other structure area: /1 , square feet Subdivision:474 /Gpt : t 1°,_,,, ° ° -C t :t. !Ac ; t Lot no.: IIST" I 2> Pet fees*are based on the value of the work performed. Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 'O .t ° ° work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet •,_:;k A `' Number of stories: Name:Same as applicant Address: Type of construction: City/State/ZIP: Occupancy groups: Phone:( ) Existing: a Fax ( ) m �1PP �1 VTC Fr �� . New: Business name:Westwood Homes LLC ,- Bs Contact name:Matt Fricke Structural plan review fee(or deposit): Address:12700 NW Cornell Rd FLS plan review fee(if applicable): City/State/ZIP:Portland,OR,97229 Total fees due upon application: Phone:(503)406-2442 I Fax::( ) Amount received: E-mail:Matt@westwoodhomesllc.com )irALTAkto.ARPANELm PEES* GUNIRAt TOIL Commercial and residential prescriptive installation of Business name:Same as applicant roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation S'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%ofpemnt fee): $21.60 .p Total fee due upon application: Authorized signature: $201.60 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Matt Fricke IDate: /27i//f;I- I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitslBUP-RESPermitApp.doc 02/24/2011 440-4613 T(l 1/02/COM/W EB) Mechanical Permit Application City of Tigard • Y '� � ... y eived 1111 'I 13125 S W Hall Blvd.,Tigard,OR 97223 �? -'` 4' '/ ``'`Plan Rev Permit No 7,y���.y2�©.-j ■ Phone: 503.718.2439 Fax: 503.598.1960 Review o'� fiL Inspection Line: 503.639.4175 r Date/By: Other Permit: TIGARD p 1f� ( 1 tttt}}1/ Date Rea /B Internet: www.tigard-or.gov i l[.l4 1. <_tl Ready/By: Juris: la See Page 2 for Notified/Method: Supplemental Information COMMERCIAL FEE* SCHEDULE own Ia. New construction TYPE OF WO !!DTh 0.° � R Mechanical permit fees*are based on the value of the work ❑Addition/alterat' replacement ❑Demolition Other: performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. CATEGORY OPNSTRRCTION Value:$ ® I-and 2-family dwelling ❑Commercial/industrialRESIDENTIAL EQ ' IEIVTISI' 1VISFES*. 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: ( Air conditioning I 46.75 ; , i�Z '" ` '� Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: -rl y.,,r d/ (' 4_ i ' Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.:® I 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 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: a1,��, �! I Lot no.:�2, Other: 23.32 Tax map/parcel no.: l Other fuel appliances: Water heater 1 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 New SFR Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 tt RPrRr- a„ - !, ` Other: 23.32 - Environmental exhaust and ventilation: Name:Same as applicant Range hood/other kitchen Address: equipment I 33.39 Clothes dryer exhaust I 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, 3 Phone:( ) toilet compartments,utility rooms) 23.32 �, Fax ( ) Attic/crawlspace fans 23.32 ., ...AppuGAN _.:M �1 AG- ` 0 Other: - 23.32 Business name:Westwood Homes LLC Fuel piping: Contact name:Matt Fricke $14.15 for first four;$4.03 for each additional Furnace,etc. Address:12700 NW Cornell Rd Gas heat pump City/State/ZIP:Portland,OR 97229 Wall/suspended/unitheerter Water heater Phone:(503)406-2442 I 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 I Fax:( ) Plan review(25%of permit fee) CCB lic.:178624 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: i7 / days after it has been accepted as complete. -� +� ,..-2.-1.- / * Fee methodology set by Tri-County Building Industry Service Board I Print name.)41„, l Ic.•�n:.F-�j f>*4'tiaU��'J/CJ / I Date: ('3 /?.. I:\Building\Permits\MEC_permitApp_040113.docJ J 17 // 440-4617T(11/02/COM/WEB) Electrical Permit Application " C�- I . �� � FUit UFFII F t �E U\i l' City of Tigard . d a_ Received eitn:/ / — fDt N-- • 13125 SW Hall Blvd.,Tigard,OR 97223 Da' Alai Phone: 503.718.2439 Fax: 503.598.1960 i C-( ,,) ,?!;1:' PunReview"1C1N Related Permit e: 7 4 , Inspection Line: 503.639.4175 ®See Page2 for wallet: www tigard-or gov s Ready Date/By: h"`: TV i ):i i Plumbing Permit Application F Building FixturesFOR OFFICE USE ONLY City of Tigard , wyed Permit Nnits /7y97 111 a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review S Phone: 503.718.2439 Fax: 503.598.1960Other Permit No.: 2 1l,.., Date/By: Inspection Line: 503.639.4175 .i E(, X. 3 (.4)1, Date Ready/By: mas: ® See Page 2 for TIGARDg Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK CITY Off° IGACt FEE* SCHEDULE ®New construction El EiiMiciiIMI ITVISKIN For special information use checklist Description I Qty. I Ea. I Total El Addition/alteration/replacement ❑Other: 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 El Commercial/industrial SFR(2)bath 437.78 SFR(3)bath I 500.32 ❑Accessory building El Multi-family - Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1 5(, (el- `, ,ti (. l,v yt[;' ( ., C611'L(7 Catch basin or area drain 18.76 City/State/ZIP:Tigard OR Drywell,leach line,or trench drain 18.76 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 ,7 Water service(no.linear ft.:_) Page 2 Subdivision: ['7tIi, (: J 1'I Lot no.: Fixture or item: Tax map/parcel no.: / Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 125.02 new SFR Dishwasher I 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 12700 NW Cornell Road Garbage disposal 1 25.02 City/State/ZIP:Portland OR 97229 Hose bib `a„ 25.02 Phone: t II^ 6}e{ e1t5. Fax:(503)342-2403 Ice maker 12.51 kJ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 1J4 f (f rfti€€ LCC Medical gas(value:$ ) Page 2 ,J Primer 12.51 Contact name:P/0# Ft%c ke. Roof drain(commercial) 12.51 Address: 5 a(E.te " OwtLer Sink/basin/lavatory 5 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:tT t )67-t•- 5It5 Fax::( ) Tub/shower/shower pan 3 12.51 E-mailMgh aJwestwoodhomesllc.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater i 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:(503)659-2979 7///21) Minimum permit fee: $72.50 CCB Lic.:178122 Plumbing Lic.no.:eyb(II LI Plan review (25%of permit fee) _ !! ` State surcharge(12%of permit fee) Authorized signature. / �!r-• .�1L/��%f / TOTAL PERMIT FEE Print name:Dusti ague ✓F Date: 1-'� ( � f,i. . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT IN ■ T I G A R D Building Permit Review — Residential Building Permit #: /yS77 E�`-7 - el)119 2 Site Address: /L/ Q O%- tile / 7r-- 2-c2-sk-(___Project Name: X Jc Lot #: (New dwe '4 subdivision name;Addition or Alteration=last name of owner) Planning Review Pro I osal: NO0 2 ►1 Verify site address/suite#exists and actio in permit system. • l'''ver Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ler ree(3)copies of site plan `�:sting structures on site to plan must bon 8-1/2"x 11"or 11 x 17"paper IP ootprinof new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) or elevations MicT orth arrow ''ty locations&easements(required for new and additions) o address,project or subdivision name and lot number dj'.1iri ewalk/driveway approach plicant information(name and phone number) it V I.• ation of wells/septic systems of dimensions and building setback dimensions 11 Existing trees to be retained with drip line,and tree 117?,uare footage of buildings to be demolished otection measures 11 1/:. area,building coverage area,percentage of coverage and LIS eet tree size,type and location 4 pervious area(applicable if R-7,R-12,R-25&R-40) treet names Y4 Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? [ Yes EN7� 4 foot differential) If es,is a storm water I uali facili shown? ❑Y-5 E Jo klean Water Services—Service Provider Lette of platted prior to 9/10/1995): �i'irU-Pi►/ / a equired: E Yes,applicant was notified VNo Received: ❑ Yes ❑ No (� Public Faciliti s Improvement (PFI) Permit: equtred: M Yes,applicant was notified El No Applied For: Y FAQ dr ��` ' es ❑ No,ssttop intake Ve/L4,nd Use Case#: Zoning: ,2 - 4 Required Setbacks: Front 0 Rear / Side S Street Side /c— Gara e OPta••scape Requirement: % g ) .1.t Coverage Maximum: It BuildingHeight: r 1 i (` g Maximum Height SO Actual Height-2 (p k P t'Nisual Clearance W ,,ensitive Lands: ❑ Yes ❑ No Type YA Urban Forestry Plan ❑ Conditions "Met'prior to issuance f b ding permit Notes: —J��2 �C // a l`, .�"-/,fit , r.' " 4� l2 1,C, i 0 peri '-�C Approved By Planning: ..--1- ----- Date: .2 A Revisions (after Building Submittal only) Reviewer Revision 1: El Approved CI Not Approved Date Revision 2: 0 Approved 0 Not Approved Revision 3: El Approved 0 Not Approved I:\BuildingTorms\B1dgPermitRvw RES 061417.docx Building Permit Submittal Original Submittal Date: /2-p `/ 7 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. Workflow Routing: [Planning Engineering -Permit Coordinator [ - uilcing Workflow Sign-off: S.-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 9xiginal 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: -�-ZE7'k--- Date: /2//��//7 Engineering Review Z Slope at building pad: 21; &Conditions "Met"prior to issuance of building permit /db. �� gEasements (encroachments)per engineering conditions of approval and plat An 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 ❑ Final Plat Recorded: ❑ NOT Approve' b Engineerin:: Date: Notes: � _ _ ..i ��� .0 f -' 4ice/ . . Approved by Engineering: jLVG Date: / 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 r �� �� Approved,NOT Released: n i 1 4.(.L P�Gec a, otes: Date: )�I 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: JP SDC Fees Entered: Wash Co Trans Dev Tax: w es ❑ N/A Tigard Trans SDC: r. Yes ❑ N/A i Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator:7/ `t-'4aa21{ e/ ate: -2 /d S(8/V / I:\Building\Forms\B1dgPermitRvw_RES_111617.docx RECEIVED Electrical Permit Application1-0It 01 1 1('E 1 S()NE.l. MAY 11201 0 City of Tigard �/� per,,,,,,,.., rnJ/ZOl7—tJ INg 13125 SW Halt Blvd Tigard,OR 9122�i 'TICA e,{• I Mone: 503.639.4 171 Fax: 503.59%,196a s -: Other Permit: Inspection Line: 503.639.4l75 15 LDI111G ®I��� �' gIIIIIIIIIIIIIII few 0 seePageifar !'1 G,1121) , Supplemental faformadon Interna: www.tigard-or.gov s:.tyi pp ..0 �vs., unR,4� 1�\. n g, t• , � dtta`'"i1 k ,t ,.. `t , . 4 i ,'-`. .• ,: ` ...aU:ae ❑New construction 0 Addition/alteration/replacement °` tett atipply( titIsetsofplao"'r''amschecltedbelow); 0 Service or feeder 400 amps or mora 0 Building over throe stories. ❑Demolition 0 Other, where the available fault current 0 Meriaas and boatyards. �k a,s a fi s � °t'�;1 . t e" ; ,�°f Ili'T t 4 �4 ,,F?,'„ `l,, s -`�,,,A, excads l tt,000 amps at 150 volts or 0 Floating buildings. lessto ground,o mtrots 14,000 0 Commercial-use agiicufuial 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory budding amps for as other installations.. buildings. 0Multifamily 0 Master builder 0 Other: OPint pump. OInstallation of7SKVAor ,.. to ,� a 41.,",, k , to M ❑EmetgeicY system. larger separately derived system. ill'' .,.• a,(,l {, „ (a.,;y b ," -,t,".,` aN � A,' Q Addition of new aster load of 0"A","E","1-2","I.3, , Job no.: Job site address: / 0-gW Chuend/-e 'h.A, 100!12ormora. oecolloneY. O Six or marc residential units, 0 Recreations!vehicle parka. Ci /State/ZlP: /,v�f h 1 0llarar-caro facilities. 0 Supply voltage for more than ��y �t �✓ / 7 2 Qlisardous lotgtia� 6100 volts aomisuil Suitc/bldg./apt.no.: U Project name: nrbovriloI A_ 0Service orfo ao roampsornsore. (_1 ! itt,I`t, ' ' ,,rot Cross street/directions to job site: t> +es oi,.. Fes. natal - New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: fl1 itel/d at Lot no.: Z 1,000 sq.ft.or lcss 168.54 4 Tax map/parcel no.: "� Ea.*WI 500 sq.ft.or portion 33.92 1 Limited anergy,residential a a"t.m , ` i) � (s+.,:t,''l tt t e I ti ` ti i t (with obese lot ft) 67.84 2 , e�/ �^_, Limited energy,multi-family ll ioll7(7- - I✓// e r-& residential(with above sq.h.) 67.84 2 U Services or feeders installation,alteration,and/or relocation tt, 200 amps or less 100.70 2 , ' 'ds`-ilk-1 1g� Aa r�l� t IsIthrew . . ,',' 201"Vs 10400 amps 133.56 2 �ram.atS��m..,�,a se. .„sry� .�t �,,1.',,,,,q`n .. :S, .. ._ .. Name: V ii J CO! es.u...0, 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: r2-10ffp7, /of �a Over 1,000 amps or volts 552.26 2 City/State/ZIP: r a 1 Or Temporary services or feeders installation,alteration,and/or relocation Phone: 031 7/�j--401,24-4-f F ) 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with ' F ,,k4 nn'''',r'',::'4� w, �- „, 1 F il ,-�. abtu ` u�6t�4 fi ted w u aboveservice�fdeeerfee, �iy' aa , a a at , . 7A2 2 Business name: ��/�-7t �( �^ each branch circuit �1 s4 vvU)4 1-/t�S t 2-'x- ' B.Fee for branch circuits [ , without service or feeder fee„ Contact name: I/Ct- fust branch circuit 56.18 2 Address: i 2_766' -c 1� /I�I 1y/ 49. Each add'l branch circuit 7.42 2 Po(11/A V ��� Miscellaneous(service or feeder not included) City/State/ZIP: h Each manufbenned or modular dwelling.service and/or feeder 67.84 2 Phone:003) `7/3 --40'..2414 Fax::( ) Reconnect only 67.84 4 2 E-mail: a I ♦ / 4), ” 141i i r / /5'1.1—C CO Pump or irrigation circle 67.84 2 &S,..F.�tYJ�','�h9'm '§ 1Sia, Y"4L1: 4t ':XP i;,., ,,... ,\..,,A 1,1,, ..,:.aF.`. . ,!`ie.. Signoronthnelighting 67.84 2 Signal circuit(s)or limited. Business name:Ross Electric,Inc energy panel,alteration,or Address:2870 SE 75a Ave,#203 extension.Describe: Page 2 2 City/State/ZIP:Hillsboro,Or 97123 Each additional Inspection over allowable In an of the above Per inspection66.25 Phone:(503)642-2800 Fax:(503)642-5815 o investigation per hour(1 hr min) 66.25 CCB Lie.: 157891 Electrical Lic.: 34.4360 Suprv.Lie,: 4232S Industrial plant per hour y 78.18 _,....„ ;',4.-- . �3,i s� �, ,�,,,.t.,a�M, Wer,,d ,.,,'f',• 7x1.`l rdub y ?.:4`',',.'t'.F,,+ 4r,.ri's�VL Suprv.Electrician signature,required: !/„/"ter C/L'J Subtotal: Print name: Stephen Ross Date: 21812018Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature , r 'V' TOTAL PER vIIT FEE: Print name: !!-G ,sm V� /Date: 5// /1/A This peaaitappliattioa expires if a permit b not obtained within!S4 days atter It las been accepted as complete. * Number Ofinapoeti0aa allowed per permit.1 tauildiagWnrmitslELC'PcrmitApp doe 10/01M9 './ 440-4613111 U05/COMAVE8 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15114 SW CHANDLER LN, TIGARD, OR, 97224 July 27, 2018 at 10:46:27 AM Record Type: Record ID: Residential - Master Permit MST2017-00497 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: 15114 SW CHANDLER LN, TIGARD, OR, 97224 August 7, 2018 at 10:05:43 AM Record Type: Record ID: Residential - Master Permit MST2017-00497 Inspection Type: Inspector: 699 Mechanical 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: 15114 SW CHANDLER LN, TIGARD, OR, 97224 August 7, 2018 at 10:13:14 AM Record Type: Record ID: Residential - Master Permit MST2017-00497 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide hand rail for 4 steps or more at rear patio slider. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15114 SW CHANDLER LN, TIGARD, OR, 97224 August 8, 2018 at 9:48:53 AM Record Type: Record ID: Residential - Master Permit MST2017-00497 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor