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Permit q CITY OF TIGARD 5!W MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00213 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/01/2015 Parcel: 2S1060001500 Jurisdiction: Site address: 13525 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 19 Project: River Terrace Northwest, Lot 2 Project Description: New SF._2/4/2016: REPRINT permit to correct address from 13520 to 13525. BUILDING Floor Areas Reguired Setbacks Reguired Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 18.5 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $233,807.74 Rear: 5 PLUMBING Sinks: 1 WaterClosets: 3 Washing Mach: 1 Laundry Trays: 0 Rain rain: 1 nnas: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 1 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 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: 2 201400 amp: 0 201400 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 1858 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $30,509.65 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 throug 52- 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 By- Permittee Signature: Call 603.639.4176 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. CITY OF TIGARD MASTER PERMIT 111 Permit#: MST2015 00213 COMMUNITY DEVELOPMENT �y.,.. Date Issued: 12/01/2015 TwARI? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,.0-.<t :.v: Parcel: 251060001500 Jurisdiction: Site address: 13520 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 19 Project: River Terrace Northwest, Lot 2 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms 4 First: 809 sf Basement 0 sf Left: 3 Parking Spaces 0 Height 24 Bathrooms' 3 Second 1049 sf Garage 437 sf Front: 18.5 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors' Yes Total. 1858 sf Value: $233,807.74 Rear: 5 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: 1 Footing Drain: 0 Ice Maker. 1 Hose Bib. 2 Backwater Value. 1 Drywell-Trench Drain 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans. 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods' 1 Other Units 0 Furn<100K: 1 Vents 0 Woodstoves' 0 Gas Outlets. 4 Furn>=100K' 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less 1 0-200 amp: 0 0-200 amp 0 W/Svc or Fdr: 0 Ea addl 500 sf 2 201-400 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 1858 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE. 360-695-7700 FAX: 360-693-4442 Total Fees: $30,198.25 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 952-001-001 OAR 952-001-0090.-Y,ou_may_ obtain/ja copy of the rules or direct questions to OUNC by calling 503 232.1987•, .800. 2.2344 Issued B , OtOct C_44/t.,,1[_1(. 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. Building Permit Application p i) Ili 1ti ,;,,,,-m -twi . ®® r r.,,,,,,-,,.- t P a... a 4 1 r F .. @ T�W `�j® A�" ..,.�E F tY ' ,, 3 , 3 `� .. "a` k.� .it- -, " h .t a4 Res dtn1ha1 x J; h,''F FOR OFFICE CSE ONLl rwt i." ,t y ty q. C -; a:._ ,/.�c..4`' ,::t.,xQzWe;Y y;a..i w1 „. •. �a:4°._i,.11(-,f‘.41•._ti'' , :` ;:q•i".*15,iu ' -. City of Tigard �� 1�ti� Date/By: /Received i/IJ+ G5 4i Permit No.:�})S�`l/s /3 '• 11 13125 SW Hall Blvd.,Tigard,OR 97223 t,\ � � plan Review /O�CJ , ha Phone: 503.718.2439 Fax: 503.598.1960 \VO �',\U `S\Q} DateBy: I i 12.3 I 1 i Other Permit:5(,J/f],,`r��__,/tier *cT t- • hill Inspection Line: 503.639.4175 o c')\\l Date Ready/By: // Juris: H See Page 2 for rJ 1" Internet www.tigard-or.gov G\ \ Q)V Notified/Method:Ii ��/rJ �� �{ Supplemental Information r I ♦ \\\-- ' 64 , 11. t N ,,, sat J' ? , , + � ,4.4 1, '5 9 t t t 7,A;`IZ 1 � t g ter" to s... _. ..� ,�, .. - ;a =,..h. x. ._. ,-�& 'f- �,. - x m�u�7-.01,,.:;;-0. .. ,-r. _}�_ isa�r -__- .� :a.m5: ,,.�"�3d+x�� �.- .ra. �.a"�s�'-.: v'�. .I.,."44:.--,:- :--.- « 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the ",. , t ;, .a "" s work indicated on this application. 0 Commercial/industrial Valuation �/0,.,--1 $ a „t D"f�I ® 1-and 2-family dwelling -/ 0 Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other. Number of bathrooms: 7- 51 �Air t �� i t �� �����'`� " �� Total number of floors: 2 Job site address: ,.9-)5r2.2c) 553 0 kJ C New dwelling area: ' e 5 V square feet aL a q e City/State/ZIP: C st-1 \1`J C Garage/carport area: `_k square feet Suite/bldgiapt no.: Project name:River errace Are. •I Covered porch area: 1 5 square feet 101.01 Cross street/directions to job site: Deck area: square feet 8 o CJ Other structure area: square feet E t t ,Ma ! 'ice I, C 41,�' -. Subdivision:. a Lot no.: cD Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the 7 i �� t $� � tN o .�, �7 .�� �� work indicated on this application. ,....�4 ,m,.,. .,'"---.N,1,7".; ..x - en`s::; �- , ti, 4,`,4,1744/ xr Valuation: $ Existing building area: square feet New building area: square feet ,a 'fit V airy. n ► Number of stories: •�. � ,; " �_4 .. , ..� --44...4,',,-,4,,. -.cry •� �.d °�„� Name:Polygon WLH,LLC Type of construction: Address: 109 E 13t6 Street Occupancy groups: City/State/Z1P:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: .' � � - ,a . :, ' ' ° ` -mrt I . -',-4.4, - x Business name:Same Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) E-mail:maggie.gordon@polygonhomes.com ��� `4 r>. 44w *4= 4 `-; i -t P: i� , 4 Commercial and residential prescriptive installation of , r �� ! 1, „ a �,, -�F t' 14 roof-top mounted PhotoVoltaic Solar Panel System. Business name: d LY O b Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:204238 Total fee due upon application: $201.60 Authorized signature: /tom ' This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. �y '5 *Fee methodology set by Tri-County Building Industry Print name: Date: L i Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Plt binmit Ap 1p ication ,.....f.:,..:;•:-....;••••,,----.- ,... jS ..3` i. Building Fixtures „,..),...,..„,..f.,....:... 'g42 nT1CC l 4 ONI ? .,,. , .. >. ) . . H 5T 9C 5_00 ' ,Rxeivcd Puma No.: / I / " :• I; Cityof Tigard nitdsr• ....�� Plan Review Other Pnimt No.: 13175 SW Hall Blvd,2439 Tigard OR 59g.1 !?afeBY Phone: 503.7182439 Fax: 503.598.1960 Date Ready/Fry: 7ww gJ Page z for `. `:-' Inspection Line: 503.639.4175 Date Readldho� 10 Seem Page 7:l:G:i 1•,.s: Internet www.tigard-or.govN "_ "-` � ee . - `4s >wP 4s. �„• .-a.,..• � • For special inJormrrtiott use checklist • `'"' ❑Demolition j Qty• I Ea_ j Total 1i New construction Description Other New 1-2-family dwellings(includes 100 it for each utility connection) ❑Adciitimi/altrration/rcplacement J; „ SFR(1)b illi 312.70 ,. ... ar.. ?s,• ��H � 'dY� @ - : SFR(2)bath 437.78 dwelling Commercial/industrial SFR(3)bath t 50032 .50013 1-and 2-family _ ❑Commercial/industrial o Amy building ❑Multi-family Each additional bath/kitchen 25.02 Page 2 0 Other Fite sprinkler(r_sq.ft) D Master builder � ,4.z.••Q� �'�.�, �,;y'^.s..'-;, Site utilities: _. e -b:.._a.,.••- t "' 3-14: • 421 18.76 K •t . 'r It� ='v 5+� - Catch basin or arra drain 852_ D C��_ Q ' , 18.76 " Job site address: 0, - arch ba in or line,or drain drain r r O� A' � Footing drain(no.linear IL:_� Page 2 City/State/ZIP: 1 �r✓t �tf-�n� 50.03 Project name: ^ �C n1x• Manufactured home utilities SuitePoldgJapt no: J I Manholes 18.76 Cross street/directions to job site: r 18.76 Rain drain connector Sanitary=win-(no.linear It:_____) Page 2 _ Storm sews'(no.lined'It:_) • Page 2 • Water service(no.linear R:_) Page 2 Lot no.:,a Fixture or item: 3127 ��,'Ll - Taxslim Backflcnv prevent= mapJparcel no.: _ _ 4. Backwater valve 1 1251 (2..5, TaX e, �;s •��,.�-Be. a? ,If :`." etc.. .,----:_:-•z x,-. Cfothis washer i 25.02 05.00 ,�y� ^cam=��.. c*�5'! +i�- � Dishwasher 1 25.02 aF,iO 2 l V r '7t..VV/ !7I� Drinking fountain 25.02 V . Ejcctocs/sump 25.02 g ,L -^^ Expansion tank 12.51 r .4e 1 e b..1 �s � s; _ 25.02 GSr..�+i' rtN'."�.F C:'8l'�._ $-• F lc"S:V' =L'A"�a FbtiuT&SeWer esP Name: �.( Floor drain/floor sink/hub 25.02 O' f A- r Garbage disposal 1111 25.02 1f )• Address: -•-, '\--b 5 , t�} 1 I r 25.02 City/State/LIP: a),,i ' v`' ifO i, Hose bib 5.01 ,r //�� Ice maker• j 1 J Phone: �A d`• •�1 _ �� O1Falc( , ) c- '^, -e• _ - Interceptor/grease trap 25.02 'w°-ir- •*c.- k -.;''l f• ,-';b0,1-. :v' h;� "� Medical gas(value:$^�) Page 2 •.2._Z:. Business nom= ' p S MtiA �t.a- Primer 12.51 Contact nail=� �1 , r b(lbn (C t✓ Roof drain(commercial) 12.51 Address: , D 11 Sink/basin/lavatory 25.02 r Solar units(potable water) 62.54 Cily/State/Z1P: /I i.:.r apt 19 6) Solar (potable pan a 12.51 'Z (� • Phone:(�) -'3 d Fa�x7::( ) Urinal 25.02 E-mail: i) Vkr„t t , `--dam r �� Water closet 25.02 r� Jo �s•- ,its; mfr, 'Y}°„�'-� heat ( 37.52 �1-. ' n �j--7 yY45;.•t�.3"' �i.,'t 'i ` N' ..r n tF ,rix' dC f Lig• �"yu,.s �a ee tai Wa1Pr ix "r' i rb°r4:U; ° 1'tR�.-1+�.l rn.- y�JD-Je.`s� aines5 �, I I t Waterpiping/D� 5629 Business risme: L., Adi_ L(_ Adm ,: ` ` A p�4� Subtotal a 25.02 02 City/State/ZIP: .ik e PO E,l b� - Minimum permit fee: 572.50Pbonc. �) •r.'5 1 -,3903 , 90 I Fax:( ) plan review (25%of re'rtrcit Inc) CCB Lice 1 BO3 I t J(v 1 Plumbing Lie.W1.5-82_Z State surcharge(12%of permit fee) TOTAL Authorized Signature / This permit application czpires if a permit is nc obl PERMIT FEE within 180 days ,n �•� Date:! f/ii /i5" after it has bees acceput as complete. Printf une:-y/,t r�- (�-•ie.,c'--- L .Fee methodology.set by Tri-County Building Industry Service Board. %-✓A ii 440-461 ET(I<KTJCOMlwE33) , 1:lauil�ra�J'ermeslPUdU-PermiUlPP.doc IO/OIiU9 r•, ,., ,, o , 5 .. a ! Electrical Permit Application . ' ` • ' i( RiricI 11 ONts. t ,:;;Ai,.. Received Mh�2to/ ;;F '>r;.. city of Tigard Pelton Net 5-Gl0o�/3 +a:> ''..,•!.. i';"*.... (3125 SW I fall 131,d.,'Tigard,OR 97223 Mil Review a' 011ier Permit: i 'a®':j`'< Phone' 503.718.2439 Inas: 51)3.598.1960 Date,tty: :,i:?it;;, "',. Inspection Linc: 503.639 4175 !)ate Read)/Ry: lois El See Page 2 for ;1V;54't.) ) Notified/Mclhnd: Supplemental Information.;:.;j.::'.' Inlarnct: n•ww.tigard-or.gov ua a.,�c.v- rte r ..l„ �;fie; irq '�;•'• -m arwr •r,. r r� •F '.i,' ,ti1. ,� 3,. ...3 ..,.. ;. e , , .:...�. .:5... .... ......-..:,....,.,r ,i•( .;b �, r ��C .i.. r ;! ...n... t� : ... -'-'',--',,i,',...' .. .... �., ... -..i---.i,,�,-- .., .. ... " n:: �� .n,1.. tea• sit.,..�,.....�,...,....r....., ...,.:.,:,.: ...._ � - n,� < , , ®New construction ❑Addition/alteration/replacement Please check all that apply!submit 2 sets of plans writeins t belo,' ❑Serciee or fwder 4n0 ampg or pose ❑!Wilding rater three stone,, ❑Demolition ❑Other: ,'here the viable Ibult summit ❑Marina;:md boatyards ,,4r•,:7%,t;ff:ir:,,.>`;>:=:.<,`,•r:�'':>iCA(JDGURY�:,OF' ::CO27S"F �iGTi}}�,, e' •I 10.000•nip.at I St) h Floating b„i!hnr: ... ..,.,.,.,.T' : less to ground.or exceeds 1:1.000 ❑Commercial-use:+gneuhural Ej 1-and 2-family dwclline ❑Commercial/industrial ❑Accessory building amps For all other nisiaa:nions buildings ❑ Multi-family Master builder ❑Other: 0 Installation tf 75 K ' o iii ;�YYT:::ze�...,,,Iv.c ±.(y.. � ,or.. ..,..o•.,•,•,.. �,,...N...w:.;,:�........r.n.•+.,,,.... .. I'nerren system { rgosepalat<Iv item cd r:cste ,,,,a. '•,'. ,..•. ,.•,,'.,]o$'SSk 5 51.1,OR}i l>'ohf4i D,;1.Qc`,A`Tibrl, ' .. :..:i'c _ ❑Addition ofnew m ierloadof ❑"A . 1? . 1• t.:'. ,;as;'ks•�`r•.;jt',::;R:+?1=}..�,�:.e-rot.;,,.v+,.,..t,..:.,,,,..„...,..,,,,....,',.,....„-i. .,�..,. ..- `- \3555 �O.\0,bC. • : f 'um"'nr mrc. occup:uxy Job no.: Job site address: f\�Nn ////'''��� �� � q--4-mu �, �1 ❑Sis ar,ours res,denlinl mum ❑Recreational,ch,t'1�•',mks City/SI'ate/LIP: t I`I ry( A �v Oy I- -\U 0 Ileahh•eaw facilities ❑Supply,ohagr Per owls d,3” _•�� !� �`^" < �\ -t ❑Hazardous locutions 660 hills nutnn,al Suite/bldg,/apt.no.: Project name: --5e,f-If- ❑Service or feeder 600 amps or more. Cross street/directions to job site: y t rwripunn•; I 9w. I Pee. I 'anal I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: LDOU sy 0.or less 168.54 4 Fa.add'!500 sq.It.or portion 33 92 I Tax map/parcel no.: Limited energy.residential 75 01) 2 '•: Mechanical Permit.Am-Aication ?I'.....10.,;.,x,!,Tg-...14i,.%.;,K,,,.'..,::.co.0).Eultvcsk:;OSIN'4-..,c:.•,..,14'Awgv*,,v,i'N'... . : . . ..,.., i.,..0.1 . . • 'ii•,•.:',':',--,.Z... .i:.': city,iif-Tigaid. liP4eMY-.:• • PP.'it./1•°.- W‘"51.-AO/5-b49-1 3 0 if ,:....W.:*:;..q:.. i..5 s,:iii.i.ii.toie:,TieFiid;:.01 7.U:3 1flairkiieW ';- INIOrle:, 503'434.39.Ftt. •:03. 98.19.6.9. .0ther'Permi . rwys's' 6'..Sce.3-Paiele far' . ft4eetibn tine: 503 6394175 Dare.Ityifij;k. . ,,,.:. 4110-pot www.tigatd-or,gov 1,:retimeilior3J, Supplemeritsal JO rOTIIIRWA. ....,0.1r..1.' --......... .r.....,......... .......”.-... ......- ... .-........................ ..... ' .. ... PrAP.212NAttiraitM- ffEATE611-101MIL-araW,,,,NateigOgE '. •A-----,----- -. ----1 ---- ---,,,,, ..2s.rfeeltaiij eat perrnit:k.,e0..iiin lNI.ett-,4o.4ievalite•of the v:,,o.ii:- '''' IS)NiN:N;266-fiatiii aft bli .CI Additionialteiatiotirrtiiiii&iiicrif ,rterfOrrned_Indicate the:value krounded to tire nearest dollar)of 231 Itj..;PF00)-.itjc9. CI 01)1c17. .......... . . ., . . .riirstiiiiiicill..datcriirls.tqu if i a Inzit Ithor.dvOrbead.and profit .. Valiw'1 elnr&t''''4V5e;441'fF14:451reiVi-Plgit13:066•''";'-::';":;S:OVIVA141j 04.1,1iN-R-Vtri&E-ellTifti'V'N'ir'/Vi'.-skl-T.,'•"'"ViS "'''''"Zirl,z ,...- A+. •, ...k . '1, , ",...,, ••',.,',-'•-•,-.% '.` '..'''.'""':-'.."' '""."-"''''''', ''''' '''''•'''''.'",• '•" '. 1.,,p3/4,-.'.,,..., .,,,:„f.,,,,,:-,4,..,,,,...;1:A,,,,,.-6-i.-..,.:741,-..,,,,,,friZkttkdilz, l'-'•*ici 24104 Or-piling Q.Comrtte..taialin0dtrial ti Accstay bull clin g 'F:cir:vcidaf Infciryitillibri'yie,o,tekat. .. • , E1:is.'4,4ti-fainil,y 0 Master bifildex. 0 Other De4trititiari Q19, .1 a Total tieiiI;iii)en4iiing• 41.0-k..74MV.,ntilt.MkWertirvil;Witik''r,it`k2lir,Or.'"''Z`",rfli-A*,,2Z-2-:-LsrAl t .. ... . . , t . a 46.75 'Job•sitc address \ 2...ID 5.D C.D.....), ae)f-N -1:-?--r- ...._. .......... .... p,iiinii410,Pick)Wits.?thounito 1 • 46.1 - -- - .Purtinna 1.99,0o+sTli(ductsrveits) (%4Y/$01,4r41g:. • I .,y*. ...! ...-774- ..\\.7 L-7. *_,.... .r: '54:91 _ Heat iitinip 61,06 StaeiblitgiaO - L :n.P.:. Prrojert,nat= 11° , ° -1-eXfaCe, DueliWtic 23.32 wptr,entAlii:ections to.job.site: .0`0 c ii X-k.5' liN4rniiie hot wata system • 2332 . . ROfiti4ial boiler Critjixdor or hvitniiiiej• 23.32 ' ' tfl14-43'.0•1?,0.1 ete9WO. • ill4an;iiiiiief:rstitnninit4d.tic. . . 46.7$ . .Flisefis&a forizii9sOf alit;ve 2332. ........ ' ther: .,. ' 2332 tiAidikition: . Lot..pr7.TO j: ...•,....,. ,. .,...,.., - ... ............. • •• - - OffiiitnniiitinilitnCei: T.v.:0:90*Pgi#9;-1, Wo1ealer 2332 ErgrOlgrqrailMA:g'":"`Esigg:450,-erri,,W7,...;,,.:;=,'.76,11,4-TIN:-V.r....4,21; .: a-celitit4rt 3339 - P.41T1.41Pr•le,TW.,11C!iitT.Pr.P$ .firefilittin I 2332 1.in'g.liaii •(at) '23:32 •• • -' - - - - , -19-oirditrelletttrv.e.: 33.39 •Viblidrateniainftin.'ert. _2132 iiitaite0iii'vnilida.vent' 2132. ....... . . ., . ... • r: trtlintil '' 7.3:32 011atnatrieWSMiltalal'*aflePXNWLeatraAW& .vio i' am a tiil vai a o st iiid*eutitationr .1'inm ..Til!Yg°9'*'rh'vt RtrngPIRPWrruterizitrrilerl. • ... ..... . , .... ............--,......-.-... • • •eriiiiia-iiiill" 3 33.39. .,.6.4151 ;, (11.;1Z1146.S.t .. ..CItitilea-•tiryr'calumet I :3339 .., .......... .... .. . • •61j•-;-/rintez-titf:Vratinpitiir . •rt.:WA 9801 :sinkAtLciad exhaust(baffiroorriir, . ' tocompartinerrtsotility.(ocinis) .• 4 23.32. 'Antic':(30133.61.780D' Nod:(: )., • _ . •Anieferawlspara,fnits 2132 rtrAftif,ANEVAAVRIDI-Man.1=-CON.Vft"Iftgralafra t6iii. 1 2332 I . ...• •-....• .•.,.... .. .. ,.... . - Fad .011;tag:- 'atts'iTtassjiaiii. -rolygna 140 rtbwiit 1.5•fer fast faur;S4,03 for.each additional ciakeliiiiiid. . . ..EuriliOn.nic: 1 . ..,..... . .... - ..daididailpiiiitii. •„ . "" ' " : • 'WillIstratieude0Jiinif basic'.• •c443,.'41*ottve.r,NyA:9$01 „.::. . . . . • rilitiri ;(360)816,,7800 Fax :( ) Fitepitie:a i . • •• - ltailhi... . . . . • ,1 . ralinta 7"Ztifiggegkiiegffia.Pt.'-5:=O0,11.0ZOM 6th="i00..• - .,.„ tkSin'eS mane.Andersen Heating 1c fibir., AVNEWILTE. V7i-r.*:41-AKI:133-4.§..MEM .44tftlet.2.§..*i.4'i*A.-ve..g,te,410Snixtutiti .. _. . . .. ....,....,. _ ,. . • .. ........ ....-.....,......,.., .. . . . .,,,....... ......„...- cify-fStlnria7:'TitiiiT4 PR,9744Isiinimurn peasant fen 090330j • Plan iaiiilk(25%ot•pckrifit ti)- .Plnidie;;003)99146.64 Fli=003)5:36-66-1. . .. ... .;Slaie ink:Jamie(12%.Ofperni:itlfce) '6141.i•c,r1t44• , TOTAL PERMIT FEB. • T. 0,6.0 a iii1p9itioli..ei g i,.1),:mrtit is 00-.olitlii go withi a 180 days ii1teetrInti..614;a meerate.4 as tonipleir: AvalcorivA sipViturc: ' a, t't: tneti:odaieo!..t.et by Tri-6ohnty*SuildingindnstYY Service rioArd er :f):tinfnili .Airt -: r.. Date:11720/2015 r.:Nns,-4-in-steura.a _0.ai ic 44Irr(ti;i _coN,inv6a) , . • City of Tigard C .v COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential T1$G A RD Building Permit #: 7-7,57 !c=(&/3 Site Address: I ‘352o Ow Col 10) bo h •Tt rr Project Name: Ri Te LL NorillW€- r Lot #: 2- (New(New dwelling= subdivision name; Addition or Alteration =last name of owner) Planning Review Proposal: 1400W HO ffie 1142AA/ COOS CYVCtcpn Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: , Yes ❑ No Site Plan Elements: Three (3) copies of site plan extsting structures on site N/A- /Site plan must be on 8-1/2" x 11"or 11 x 17" paper ootprint of new structure(including decks) with finished ,',WDrawn to scale (standard architect or engineer scale) ,floor elevations Aorth arrow /Utility locations (required for new,may apply for additions) /ire address,project or subdivision name and lot number -'8T'ocation of wells/septic systems 1rpplicant information (name and phone number) Erosion control (including drainage-way protection, silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) •J O P)6 of area,building coverage area,pert 1ge of coverage and treet names ev eire G}- Sr, $��;nc,0 not S kdotvel C, impervious area (applicable if R-7,1�1 R-25&R-40) ,'Street tree size,type and location r/4- 62, On )Property corner elevations (2 foot contour lines if more than `Existing trees to be retained with drip line,and tree / 4 foot differential) protection measures appm frd 7 Clean Water Services —Service Provider Letter (lot platted prior to 9/10/1995): /PDie i S— 0000S 17161^s Required: ❑ Yes,applicant was notified E No Received: / Yes ❑ No C Public Facilities Improvement (PFI) Permit: 1%72.,01S---001 12- Required: ❑ Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake 7'Land Usc Case #: PDR 2 OIS 00006 g'Zoning: R— 1 2— XSetbacks: Front i a, 5 Rear Side 3 Street Side /( Garage .�' P/Landscape Requirement: % XLot Coverage Maximum: % Building Height: Maximum Height �/j A Actual Height 1-g AVisual Clearance --r=asements 'tr.—Sensitive Lands: ❑ Yes )?1No Type . f0..),_,Urban Forestry Plan conditions "Met"prior to isssuance of building permit Notes: C'xrld,i-hOfn l R&m(4iV1 ivij Approved By Planning: MO VI,Lu J 1�10J J-eA�• Date: 17 I i 7/,1- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonts\BldgPennitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: ////q /G---- Site SSite Plans: # Building Plans: # 4 Building Permit#: ntcr building permit#above. ,��- Workflow Routing: nntng C�Er i eLTering 1'erniit Coordinator wilding Workflow Sign-off: tgn off for Planning(include notes from planning review) Route Application Documents: i neering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Ceritcling: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 4 Date:Ira Il/77A-- Engineering Review ❑ Slope at building pad: ❑ 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 ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: fril) 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 proved, NOT Released: Date: ii /r1//� 1Notes: � — C.., 14, r/� t0'� ,j - ,f e- // 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: \\/ash Co'Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes 1N/A Parks SDC: PYes ❑ N/A ??5:131(to Issue Permit - Approved by Permit Coordinator: / ' I Date: /II 9/i 5 l:\Building\Forms\BldgPcnnit Rvw_R ES_0709 1 5.docx 01/26/2016 11:32 2532882156 GARNER ELECTRIC PAGE 07/08 City of Tigard • COMMUNITY DEVELOPMENT Dr P.ARTMENT 1111 01) Request for Permit Action TI cz r,1-'.1) 13125 SW H.alI Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www,,ti, rga d-ar.gov mm TO: CITY OF TIGARD RECEIVED Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 JAN 2 6 2016 Phone: 503-718-2439 Pax: 503-598-1960 Tigardl3uildingPctmi.t iftr6.,or.. r AR D FROM: Li Owner 1:1 .Appiica.n.t Contractor. 1H414, 0 tDIVI ION Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) [t'le'( \fC t ki2isc �.. . M.ailing.A.ddress: rn1.--1-65 �� (�(' City/State/Zip: \ \1 t\• R\9_,k)( � Phone No.: 12_ SUL)— PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ❑ c;ANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original.receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPIACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: Site.A.d.daess or Parcel.#: Q I\ C' [36P- Project Name: Subdivision Na.lxte: \Q(,( 7C0a.00 Lot#: !J - EXPLANATION: ' •• 1 ¶\ .' 6{ V1 un� • Signature: 114 . .1 1.11 Date: �I aU N Print Dame: 16 WWI 1. The city's Community Development:Direeror,i3u,i.ldin.g Official of City l nginect may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than AO"%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more fha.n SO"/o of the application or permit fcc fot issued permits prior In any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. [OR.OFFICE USE ONLY Route to Sys Admin; Date M' Route to Records: Date _ „ /- B_awl Refund Processed: Date By Invoice Processed: Date �Y4 By ^� Permit Canceled: Date _By Parcel Tag Added:W Date By T:\Building\Forms\RegPcrmiLAction_U)2314,doc 01/27/2016 12:15 2532882156 GARNER ELECTRIC PAGE 03/04 i';1ectri 1 malt YCA t ec 'J l P 1.(11.;f,,.l I f,'[.t . N Cbiotnyc bflr' ra w" rVG�� • )AsciII . Pu501B249TPn0t607 ;)nit--,' t,a p ,,R ,i_ lnsptxTlna Ulm So3.639 115 t Wady Dren sy: nos t c;• Intense d-a0r I1 T 151" 4 it att7^ NolOW/Meniod: \ yru:- ?-1;• y 2' 7 T�r..1..,pr��r�>ITY: i F S I:E.„-',7'7:73 ' . ">< 1r" b`'..:1t .,,. 7`�+ky ".:iilt-' a..s.' .?'v ;;� w1Gey�4F'yi li,!.�...;,.fuTl._?EilEll ,,:� _ tp� a"- kr Neese Cd4RtrltCli011 .•r[�11ddiLi., ara'.:, -1l" Rt t?kMecheek sill drollrfpryWnbmil;saeleoi'Ibgrenews tAedkedY. ❑Demolition 0 Other: ❑Serowe er t 400 nega or more in 13ed1dank erns Nacc edict. ' _ ..•�ma she evatabtofce►e+zee ❑Mean and Weyer*. err :1 7'.4: - . rl = 7f it ?_'..-,=7.7.77,' ,57-7'. rt ,, cxocblO,Odlamp at150vltiar ONaming bufldnp-y.1,.., ic._ , ti.;� .,,{,- • _ ,, �.. : . ©1-01k12-fensily d•oiling 0 Comfttcrcisl/ind113hia1 0 Accessory buildingmope �eesre grnwr�draraeerh HMO QCeywevdmM.engrldvlunol [0 MuIti-fi101i1 0 Muster Wiider 0 Other CI far an otker inaMlelden, lot000WWIpt. y� t 1 J ;c c-, a� J;o.. .,,, -r-r n _ pomp, Qtnrtn�Mlkiof 15a 1fVA er P.ri..::.-:',, ,r n),,...1'? .r.lJ'..r.1c.^ 't-4..1Z:ail Gss:`-i.6, '.L,_,-i r,K� .;<r.K 4 :1!.�0. `•'4:�+ OP.e�nllC7roy s1'ekari brtPSr separately derived )_obfi: Job site address:I SSWCalabashTer CI.Adefi100S nnos'ne'motorleaddt sys"' �• 1goFlPermore. O-A:••6••,"i-:",^p i", City/State/ZIP:S odd OR 97148 I`S .1 QSncr reeideMlsl,wrtrti > Diatom-oro flcil;k,.. ❑ltwo nUmai wieele parka. Sliitel6ldR./apt.PA: Projtxtname: 0 trernsionsInenlina. ❑Simply wlainefbrmoreMon __._ Q Session=feeder MO ern•s or mow 600 vdkr ctr soal• Craw street/dm:mien to Job site: > yI. - trot New reaJdenGel Mrglto er uutltl-Thm$y dwelling unit, Subdivision:River T, race _—Flit it 2 !animists nHnebad gsrege Tax mop/parcel 9 1,00062 It or los 168x{ 4 J.r .•: �, , r<.t y r �^r, c t"�t , -.,�.: -cam rm.Me't S00*l itt,Jor Plotkin 37.91 I -.-ars L..5 ,_ 1-. i:•�•IT O.T1 cg: fvl'at1. F,9 t,0 .. 1177:1;� Y„��:•.,.T . -.c.'.• Yr r unwed atenz r ktoiW1 /with aboVee9,0.) 75.00 2 New Single Pamc. lly .' ,VC-- �- Limited& to energy. td-Ge+ily mislead(tvM1t above At,it) 75 617 2 t rTY�;I.r lli�i:_+, 'I r;y,('•�.'!,�,'' ip' nc� . :,-4:R``:R°;1i a '""1''+• �=+^'1�!;yf t,`=� Renewable Mara ❑8eeJrafteZ a. '> •_,.:>ti fE, - �. id4 2: ,.;i ,d ».,t„y+ x, `Ser14ces or feeder lnstniln foniRlrenstior,nndfer rdocnfion Name:Polygon Hon, 200 amps or kis 10270 2 Address:109.E 13n',. sp i -201 as fo402 amps 13156 � 2 - 401 mop to 600 amps 20014 2 City/State/UP:Van. over WA 9564D 603 Brain to 1A00 eaten 301,04 2 Phone:(369)695-770 F'ax:( ) Oyer 1,000 mos or vol 55226 - 2 �” Thaporary services or Were hfstnehveon,slleritlpn,and/or Final: relocation Owner inste1latien: is installation it;being madeon property Haat I own which is not 200 props or lege 5932 - _-1 intended for sale,Ica.,• rent,of exchange,according to ORS 447,444.071),and 701. 201 amps to.ltlo nates 126,08 2 Owner trigneiure; Dpic; nm Hmpet to 599 amps 1 fiRS" z r`.r(,-= n'r -+ a' 7 r' t : � „�, ;;r >..--" 1•T- ';'z'-5:5•,a Brandi dGcdR�-Iter,elteratlon or CdapEoat.per-pMCiV . .,.._..e:_i i., ..,,�1', _4 ,,,L,.. c-,.:.:et l : ' h.pat fbr bum*amid,*tit/Ri Business namedGara• Elect*Washington,LLC above idvkenr*Ala to, 7.42 2 Oahu brand)circuit Contact name:Bill Axnicia B.Pec lbr lamlch ir#Mtour Adtlreaa:6101 St Jiihnc Road acrviec or R'altr rcc,fiat ltrere b cipClt{t 56.18 12 CityJStntV zrP:Varna aver WA 98661 Emit mart*melt*cult 7.42 r , 2 Mtmelingmps f6trvke or lender n01 fucladed Phone:(253)370-1657 Fax:•( 1 Butte mooataaured or masts lar .. � i 67,34 tiwclInp,make nrdlor feeder 2 tErnnil bdnnrelsugweusn dont Ieaeetmbilly 67,86 20+ - ; , rt x. � c , T' ' iN -~--moJ .:ps _ .2-1.'uJ.. .''2,,. • e-: Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13525 SW CALABASH TER, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final PASS MST2015-00213 Chip Barnett Provide correct address posting on structure as per ORSC R319 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13525 SW CALABASH TER, SHERWOOD, November 21 , 2017 at OR, 97140 2:12:30 PM Record Type: Record ID: Residential - Master Permit MST2015-00213 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13525 SW CALABASH TER, SHERWOOD, November 17, 2017 at OR, 97140 10:16:14 AM Record Type: Record ID: Residential - Master Permit MST2015-00213 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor