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Permit CITY OF TIGARD t t MASTER PERMIT a I/ /3/0 tfn, Permit*: MST2015-00200 s COMMUNITY DEVELOPMENT Date Issued: 12/03/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S1060001500 001500 Jurisdiction: TIGARD Site address: 13416 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 18 I Project: River Terrace Northwest, Lot 23 Project Description: New SF-Model Home 2/4/2016 REPRINT to correct address from 13415 to 13416. 4/13/16 REPRINT to add covered patio. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2914 sf Value: $355,539.99 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2914 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH STREET 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: $24,769.72 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• 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �j��,.c Issued By: pr Permittee Signature: "N/ T7� .9-770V 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. ea City of Tigard ligS COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: `1ST o20/5' - !90 c20 0 Site Address: 13,41 b 114-1-5- Sw Sabrnne. kit. Project Name: Rivet Terrace ot-A-hv P.5-- Lot #: 23 (New dwelling= subdivision name;.Addition or,AIteration=last name of owner) Planning Review 1 c Proposal: Qaa cov ,y-e d �p +0 `Jerfn -V -f - n2bJ sr- V7erify site address/suite# exists and active in permit stem. iik River Terrace Neighborhood: ❑ No q Yes, See River 7 en-aee Review_Addendum Attached Sit Plan Elements: ree (3)copies of site plan xisting structures on site iQ to plan must be on 8-1/2"x 11"or 11 x 17"paper LJ Footprint of new structure (including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations l{ 4orth arrow Jtility locations (required for new,may apply for additions) 42ite address,project or subdivision name and lot number ocation of wells/septic systems pplicant information (name and phone number) Erosion control (including drainage-way protection, silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage andreet names //impervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location Vroperty corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures — Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: El Yes,applicant was notified El No Received: ❑ Yes No Qt/PR Facilities Improvement (PFI) Permit: iequired: ❑ Yes,applicant was notified ❑ No Applied For: Wes E No,stop intake and Use Case#: P )R2O15'00005 24 Zoning: 1 Setbacks: Front 12,1 Rear 1 Si Side 3' Street Side — Garage andscape Requirement: 2.0 °'o 194 Lot Coverage Maximum: �0 °'o Cuilding Height: Maximum Height -- Actual Height 1usual Clearance asements Mi Sensitive Lands: El Yes No Typerban Forestry Plan Conditions "Met"prior to issuance of building permit-Trn 1re adM 4l 6e„, Notes: Approved By Planning: 1 i m LehrbaC,i) Date: 3131116 Revisions (after Building Submittal only) .\\ Reviewer A Date Revision 1: rApproved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_012116.docx , Building Permit Submittal Original Submittal Date: .3/-J 1/' Site Plans: # Building Plans: # L3 Building Permit#: linter building permit#above. WW'orkflo\v Routing: 7C�Planning Engineering Er1 ermit Coordinator Et'lluilding 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. ❑ Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: OA Engineering Review Slope at building pad: 44 0 Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Appro ed I Engineering: Date: .-- Notes. Notes: - � �. �. - ...Allr. ee.iiiri;: Approved by Engineering: ,liiiDate: C-f,-,y'�� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: "Revis j o,n - u a.-.1 e•.is4 c -pe....,".:4-- o,-1i--tcdGi i Js..4-tcL -- ,6 ct e( ho rnt Gufvs iv-u-c.4t'o.�. 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: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A tgr OK to Issue Permit Approved by Permit Coordinator: CJI-L44- 04`;" 1/1 Date: 4 - l.o - 1 Lo I:',Building,Forms VBldgPennitRvw_RES_0121 16.docx CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00200 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/03/2015 Parcel: 2S1060001500 Jurisdiction: TIGARD Site address: 13416 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 18 Project: River Terrace Northwest, Lot 23 Project Description: New SF-Model Home 2/4/2016: REPRINT permit to correct address from 13415 to 13416. BUILDING Floor Areas Required Setbacks Reauired Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $349,277.36 Rear: 15 PLUMBING Sinks: 1 WaterClosets: 3 WashingMach: 1 Laundry rays: 1 Rain rain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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: 4 201-400 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 2914 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH STREET 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: 360-6934442 Total Fees: $24,677.77 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 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: ®'y 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. 02/04/2016 08:39 2532882156 JCn(�GARNER ELECTRIC PAGE 01/01 CEI V ED .SEB 4 2016 T�oi -oaao 1S1�i�i14!{SRI)BFiit1 Tgard,OR 47/ Ylili3tRillety 1'liolleF 3b 71d3dd9 aft 503. $, (,0 DalefB Rafit.dP+MNIu: ltik�oNt166L4nc 50309,4175 1 `4Y or iG 13q [ttydyDaiats;y: Now ®SocJ+ngb2Eoc idlttllbY t4,tw.tiY4dt;$01' Rif `^ L1 Nol�iCtlllik11N1d: SOppiarbeHliil itt6rmniion dye pj�j ' ��yy'f6eW:iald5�tuctioit >!�rA;�di�nri/dlce�iiHrJrlhrdpleceitict4t rt��airiufilatiib6!!'Ys�zi�ar,�arwMasiFahaariad7�. L,�i1JdCt1lrfio)1 ;[��fll�:.. GiSdh�tC3�Ittliter`.d(10 .bPUJIO'n G1f4q,sdiAkeverukapEirn9ec. ake�giartAClANlaltiuknf I�MfirdanliibaAlwrae. dill. '..,.. ' ;,� ElIES+�o.4Jilt)iitlphtgbxilSOyllflsar (,I rldglingtj�h'itilnft;, I-anti 2!amlly dwelhng trolbp 4?cj laddatiiai U Adct;ysory 6111Iditig te.,a8 8driil d� A 1a,floo rj Cbnl ikrctal•uxe ngrieuuurat i,tfip)rfardFi tlrtlier lhaau,innn.. h�fldfn�. CJ Multi- (roily d lv[<tster builder [l 9OW: of 110 KVA nr ....., t - 1�5A+tlrrteda ,ern,, Nq r darimnd ifbDk�lfr`�1[�d�1►+�'q'Ift)Mt O�lb it, ariloN y ry >u�a•+�r r Cl Addit6,of newt motor Fond a !yAnln. t / Job#: Jab sitC addrtss:4 S ( 100rrp or m ,n ^t,2 ora, D"n ^, 1 C /Stgte/Zl`P:Sherwooa1OR97A40 ' Oatxormors rcxidea ntuu;rs. oce.gtAnm. 0Heaah•anrenicjt`iiVs. Anmffotmlvrhlnlepnrl(r. Suitdbldghpt.9: prof oct Demo. Cllinrudous lnoni.imta, Supply vohsgo Ibr mom lllan �^-•'^^•'---••••--•-^• Servion or faoder Goo amps or mora. 6M-0 nominal. Cross strcct/diroctiong to f 01)site: - ., udr,nef&i oh tern �u�n Neal ildAddnG51 sF g4&ot,rools4hinUy dgrlliR#,;imi4. 9ubdivisioit:,id1vlwrerrnre Dt/fwIlticldde9,atfAchedprn, Tax map/parcel 4; Pa otW`I-Mb sq,11 nr Dation 13.92 ! !?G5CIs31°T KON or_'!O tlr L ailed i itt*ey.itrsidcntial •' �^ •- 75.00 3 a ..--y C�7'z�/ € .v jh Obovesq.R_ New Sio is Raosil W� •w L� L1miGril ltifrt�y,iritdh-ti+mih• restdenthtl 1411h Ahnrc:t.,fr, 75.no a Re v►dUle)i It �(bee Ppge 2 MKOrr Sxtiiecs or Ftedero InsrnllaMon,dterat'mn,entUoo'rClecga;rot lYBfrue:ttntytton Mama 20b 6MO3 0f fm 100.70 _ z 701 t1i1 s to 400 attf s 133.5'6 3 ,4dtlrCsst i'�9�if3d'� 401 amps rn 000 n p 200.x1 3 City/Sc11f [P:Vsf�lCotivar SVA 98660 Lot amps to 1.600 811, 301.04 3 lYllotlG(361193-7700 Fete:( ) Over 1, nmDSorvolrc .52.26 3 TcmaoraryserWae9orhemlerxinrinilniion,sllteration,anchor Bttlall: reloostion (l1YnCY igAht01R1it)tl:This InSlfi1l1I70tt 1S(tel.rlR f[tadc nR prOpCf'ly th4tC I atim w11IGi1 IS ribC zab amp9 or less 5936 1 intonded far sale,to rcrm or exclomPm accarcling to QR4 X147,449,670,and 701. 201 amjx re don ramps 125.08 z Owner slgrtBtllCC: .f)atC; 401 ams to 599 amps 165,54 2 ®1ItIP�'IilC N1 CONT/lf� 1'1&1RSM W� RrapohCircttlOS-tleq oltcratlnir,Oriptta slam cr()at1e) A.pees for.F>anGt riscttfts+rlrh Business name:Crnrnax Vec4ric Waskington,i,LC nbmaerniooor(bcderlbe, 7,49 a Flinch circuit _ Coarnat name;Bill 04"[cis A,Fx IcrENEi tjMl ifswfifiour 2 nravice orfbcdGr ret%aro 56.15 Mims,Slot NESt Tahns Rdbranch el it City/5tete/Z1p:Vstncahver WA 9866; PArbfiddl btaochcimuh 7.M z - i;ar9littiaonsi seivkeorfeedarnotiMrSpdnct Phony(?,.53)320-1657 Fax::( ) Each manar imcd or modulart-7 2 d%%tn1 -sa icc and/or reedcrItecaannct only Pwnp nr irrip�,tion o(rcla 2Busiricf;,g ni ne;GArtter Electric Washington,JMC Sign orotrtfinc 1lghtrng Z Addrece;610;NE 5t.1ot(na Rd signni citr�tiKs)orlfmitcd`cna gcoP1gc2 2 T�....v� rctcl niteradon OraClo4'i0n, City/5tatrJZIP:Vanemlver WA.9$66; Aull addltlonal inApt.Hi n overallowable Ina ortbc nbovc -�� Addhiecnl inApecdon(1 hrmin) 1 1 $6 by —kms P11011c:(2,93)9104657 rax:( ) bv?s pOnn((hr min) � 90 t,' 5mall:bdanielg(glyya0sa.tom 141dutttialplult(Ihrat.i0) 78,11 1Nhr Inspection.for Which no Re io CCB i,ic.: Ci 158 13jcctrical Lic.: 208174 8upry.Uc,• 44965 �cpocMco1ly listcd Sjhemmlln ,Ruprv.&iccHoian signature, f � `Ad��!�' 1N(1'IP.F'665 rcpt iced: G e� � SubtoMl: Printnaraw JOM P Albcit bate: p1 10 0 PIM Rev1cwRequire4 %or f� Since ht dtal Z121G ofptmik 20) Antorized sipnRtalre: TOTAL PERMl1'teE: Tht,parol it apprrrnliar apfrer Un pew dt le net elflninnl ivFehln 190 Ff lRt niltnC: Ell;DalAels F. v 1)nte: '(�� `� I 4aro stlrr It 6x bem oteeyltd w cumpfetn ` - ' Numb ofi1lSpnetitlnioll0wedperpanni(. 1:16o11tllnpinemilnlEi,ty�rrmMAtmJUJI-Mdee ft rnW17!}ol9 44r- -r(ii/ILtlCo-MAven t i '-' ''.Ili ); ' CITY OF TIGARD MASTER PERMIT g COMMUNITY DEVELOPMENT Permit#: MST2015-00200 { ! Date Issued: 12/03/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 r 4. ;.,:: Parcel: 2S1060001500 Jurisdiction: TIGARD Site address: 13415 SW SABRINA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 18 I Project: River Terrace Northwest, Lot 23 Project Description: New SF-Model Home BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms 4 First 1248 sf Basement: 0 sf Left. 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second 1666 sf Garage: 464 sf Front: 20 Smoke Dwelling Units. 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2914 sf Value: $349,277.36 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories 5 Dishwashers: 1 Floor Drains. 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr. 0 Fooing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value. 1 Other Fixtures: 0 Drywell-Trench Drain 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp 0 0-200 amp 0 W/Svc or Fdr: 0 Ea add'I 500 sf 4 201-400 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 2914 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH STREET 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: $24,291.37 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate 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 ma .• .'r -co•y of es or direct questions to OUNC by calling 503.232.1987• 1.800.332.2344 % — --Issued BY 6C --�� : n ittee Signature: Cal I 3.:400 75 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. I ` 1uilding Permit Application RECEIVED ' x`":170,, }„ V ' ReSldentmi .q FOR OFFICE t SE O\L1 4 '{li 4ti NOV 2 2015 . : � `°'\ �' �� rxF , Cityof Tigard Received Permit No g Date/By: //,y�S , / S?VD/5:100,200_ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviev• ..z.1.., a 6,ITY OF TIGARD 111 OtherPermit;,s p n'/ 9 Phone: 503.718.2439 Fax: 503.598.1 6 DateBy: J f �/l- 1 �(/�1f7 4..:•ti'"<'' 4 Inspection 503.639.4175 �U�L®ING DIVISION Datei Juris: ® SeePage2for �f 1' .*.;.D p n .J1:,1 R=''`'''.'. Internet: www.tigard-or.gov �Notified/Method: I F I ,5- Supplemental Information e,zF'. 'ra ,- " t"T �' _:• 'Fi --'=, ''c itY -,:.,iz�• z3ss .sw,,,-- `t'z;""ater,.. �. -: s • �OF e 'Vii-.- -Ata,-.'. 6"t y acs a"..!' •D .'t; ="� Z> `3r t ".;, =*cA. :,�' _, �.:� .m3 t4. ..�a.�. ,._.:..:�g aat��F�� ~ ,-..+ m.r�'�.�S=t .F �. �:r�,n:�,�..•a.:�M�'�-.x�z;--��'!=��s��.�+� �;st�_ <�.�:_ , ®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 ,�' I il ,1 - t$. � ' � 1$ at work indicated on this application. (/�( 3 .,m n , ss.^.gra. J n ro»&#kt m a' " ., �..K,u .?)q '" lc 'Ig- (EI Valuation: $ 1-and 2-familydwellingCommercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ❑Other. Number of bathrooms: „2!A 3 '=},,4:7 "i 4. �l�$.��.. fix ' '' � d�TI, c� i�`" �„-�,�,v4,, Total number of floors: 2 r t.,. ;,a �If t t �� Tom* ..: WA ' :tt.d& Job site address: 1��\5 5 ` � New dwelling area: )Q i LI square feet33 7 City/State/ZIP: 5 1 n, TT)OC O Garage/carport area: LA square feet Suite/bldgJapt.no.: Project name:River Terrace Area• ` Covered porch area \2 : t square feet j ti 66 Cross street/directions to job site: Deck area: square feet]a,4 Cks Other structure area: square feet a11iitEDD TA: 410 4 l'4S's' .t e!4 Subdivision • . Lot no.: )J 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 equipment,materials,labor,overhead,and the profit for the .1-1"''''`“.A .;&:-.7"''-' �_ : aarx 'intil sA.€�,:ilfai t 4 -ar ;, n' 1 t. "2 '- .� work indicated on this application. Valuation: S Existing building area: square feet ' New building area: square feet - . ,atp.,....,r,—.,,,:wt,tv_. rs:. ..,,..4. tea,-;,- -:T*zr'-ate n7 .S'iTt'k'a,:a, .,.z- . ia:..... ,; :_k:,eawr 5 a. 11 '?�,�11 .: �1 Number of stories: Name:Polygon WLH,LLC Type of construction: Address: 109 E 13`s Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: r»� _- ie ��CT�,N ' ; ms�_ &W -4411147:137;.`:@ _ F1 • : $ GP_ • . , = ` �• " A € : ? _ -inS , :a otVia,; .'spysi� ,: J , 4e,,VA46 � , idA4 4M 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::( ) ,.. fi0f1s _ t E-mail:maggie.gordon@polygonhomes.com el . -,,.,I vi, .1 ,:•. ., e ,: : 20461.01. ±,,1, -0, : at g ,x.; Commercial and residential prescriptive installation of .,,! " "^ s i , : = 1 -4,:-..,4:40,144-7:„,„,;„,'„�tt.; :, _ roof-top mounted Photo Voltaic Solar Panel System. Business name: SA M Ci 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 lic.:204238 Total fee due upon application: $201.60 Authorized signature: /ice I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. io � ' *Fee methodology set by Tri-County Building Industry I I Print name: Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) it A t. rm P 'n e P b 7 - Plum � , 77 ��T7- Fixtures L'eS r • .,. ...t r..•;c..1 .. ,rb.,..r. •(,..:1 +,., �u1lU)Lnt� Received ... .. Permit No.:M�f r�rS`� ' �'` '•''• City of Tigard Qatdve 1.. 13125 SW Hall Blvd.,Tigard,OR 97223 • P1aa Xev ew Other Permit No.: 't Phone: 503.7182439 Fax: 503.598.1960 �� !d See Page 2 for ; , •1:,' paboRu•+dyBY Supplemental faroiviation {: • Inspection Line: 503.639.4175 _ _ .� Notified/Mellott _ Sp�P �+,, ,... +�y V.--:lilltl. InitrneC. www.ttg'ard-or.gov _ .7 .w....„,_- -,,,._, wt ., fca. '7 .`rd.I 1Qtz.s_ fi. -L i� r..-,; Tom41,14,',, _�i`� ;---4- - ?f�'"`, -F i-^r$� 'd:..'r ;M' .;,5. •r8 ,�?=�'-•__,(WW., - .F `r•� � �? rryz -„rt tea: � >� 1• For special information use checkl Total • r ❑Demolition Description I Qty. 1:;New cortsWction ❑AddtUott/elteration/rcplaceinent ❑Other. New 1-2-family dwellings(includes 100 ft_for each utility connection) 1 b 312.70 -'...4.".- 7�.��-�-, :l- -, c: •��••�.•.^�"�,�1fr�'e+'b�' SFR() ath �a•n1 _: '�6Y� '� a..hu4 Cfr'c .<St'�r () 437.78 �'¢-'' `'i:�'-•r•:s'2�'�,' z•',.-„��, :• : •,. SFR 2 bath ""-1-1-and 2-family dwelling 0 CommerciaVindustrial SFR(3)bath ` 500.32 lai 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Other. Fire sprinkler(__sq.R) Page 2 [�Masterbuilder w. rur- T. �r�- y.fY', '--Site utilities: 18.76 -.4^4:7>-.-7-41....... - -" .- � C`� nye • Ca1rh baste or area drain 18.76 ' Job site address: ,�l - Drywall,leach line,or trach drain Q�l.RrY•1 O� q�AFooting drain(no.linear R:__) Page 2 CitylSt%+1rJLIP: l/ �'w Vl.1a-y----•-(� � jrnn ■ 50 03 . namet-1W Qf l l '� Manufactured home utilities SuitelbldgJrtpLrto.: ________-__Project �r. \,1.)- -t." Manholes 18.76 Cross streeUdinxlions to job site: Rain drain connector 18.76 Sanitary sewer(no.linear ft:_-__) Page 2 Storm sewer(no.linter ft:_) Page 2 • Water service(no.linear IL:• ) Page 2 Lot no.:a Fixture or item: 31.27 `,� Subdivision: __-_-� Backflow pi-eve-Met Tax map/pared no.: �ri$9ca ; �� "� s. . 9�tJ1t' 1la Backwatr ve]ve t 1231 ‘'7....5 ice`', S s•- +� < a-.r _ -Clothes Washer I 75.02 a .c Dishwasher 25.02 l c V i .c- Drinking fountain 25.02 � • • I, `�� Ejectors/sump 25.02 K.-•.< t -z Expansion tank 12.51 a :t^ •�p:.g�- M`,� r`"•��''«', '`� :Yf l',__. v.+kS� m,eZ�:e -Fixture/sewer capr 25.02 S• Achir 1,!--, QQ �� - Floor drain/floor sink/hub 25.02 -----s: C ` Garbage disposal .- 25.02 'F� L:�i�� •• Hou bib IMII25"02 �r �� City/State/LIP: (�1C0\,Q v-�.1 M I2s1 �� O Fac( ) Ice maker 22.02 Phone:�A,110• � -- ...� a irrtcrcgrtarlgrtw+sc trap ',= '•-•,-:-.71,f,,:{ -.4 - . : "A 8,- 7 t 31, ;* N Medical gas(valuta 5 ) Page 2 Burin ss name `�A ,rll vt � Prime 1251 Contact name: s •'.I _. `Roof drain(commercial) ____ - Address: j Sink/basin/lavatory 25.02 City/StatclL[P: J -I_0 t '1 S .0)_ -Solar units(potable water) 62.54 Tub/shower/shower pan. a- 12.51 • Phone:( )35-i � �(/� Fax ( ) Urinal 25.02 E-mail: 0-, Yka:, . e,,,_ Water claret r 25.02 !Ir',, �O _ ,,..,..„.....,„/„.„.„..,- 37.52 / w '� l' 1 'te14..1.2 + •.ae i ?, s: -.. .., „- rata s�,,. � ��.:z;,:.'�s�r��,�,'r ,t i ,r an �... - water h -Burin ^w: - t,,(,� �L 56.29 Business name: D,V V✓VIJ � Winer piping/DWV - Other: 25.02 Adm: -Pt as- r�S Subtotal City/StatetLW � z) E • L Minimum permit fx: 57250 Phone 3 r 3 t -,'3 /O`v� Fax ( ) Plan review (25%of permit fee) CCB Lie.: Lic.363 not Plumbing Lic. r'.1; av,2 State surcharge(12%of permit fee) TOTAL PERMIT FEE AUdlOn7-�signature: ---• This permit applivtioa rspires if a permit Lt not obtained within 180 days . �,lDate: after it has been accepted as cotnpicta Print tretne r'-- (�+G'�` •Fee meilwdologyy set by Tri-County Building lnduslry Service Board. 1:1g,ddiaylPcmnsV'I.MU-Pv*nitAPP.doc IO/Olrtw MA-45t 6T(10,117nCOMlWFa) . : ,. . : ,y; ,iiv.. .,1TW .:.:..amo,,.:w;... R.,.:,:::.,:.,.., Electrical Permit Application -'r,fnq,,-,,,Avv.,4Nt,,,.fp,;,.,.,Y.'.,e,wontot.r.ick..usivp;%.IE.1.;:.. .i.z :;:::;,.O.•;i!,..cv.•s?,:f•.,,v' :'•,,. ...145.;:-..,46••&•..:%11•.k:•.:',.0..i?...A.;.'5::.•.•.i,..:',.i.4.0kvkeitl,,,, ,..e.--. . 5•5•:.:,!,..,::1!••••,•...,...,.4,.i.: :•,..4.1-x,i,•::!•:•.,•:,;,,?e•,,iti•;! ,v, • R.:iv.' ..`••''''.;..,::-,...,•:)i:5•.:;.. City of Tigard 1>melfly: Permit No fif rig)/5%-er,)24C20 . ''..* 13125 SW Ilall Blvd.,Tigard,OR 97223 Plan Review 1t1'•-•'• '...a.:;.• Phone: 503.718.2439 1:a8: 503.598,1960 Date/By: Other Peroth: • .. Inspection Line: 503.639.4175 Date Reidy/Uy: (lois (a Sre Page?.for - ff.A ,:,:', ,,. Internet: www,tigard-or.e.ov NthillectiMellind: Supplemental laurroution itkr1rAM'fgliia514-1.P41.041-M). :;11t.111giViil•- bp,c0fik. e.:''. .-iJ,i..t. ';' ::: ,..1? '''•';1.:.• :7717'• ; .,n4,'::',:'A'!::.:: : ',c1 ` iitAV''''iiAiWA'...l:.:l'::',.'-:::',.::..',..,." :::l'l';;'i:'-. 1 I'(raw check all(hat apply(submit 2 sets a pl.,w/itc, ,clocked helms I.New construction CI Addition/alteration/replacement D Service or(sexier 400 amps or more 0 IthIldirig[tier 1111-CV•SiOrli!: LiDemolition D Other: where the available faith current 0 Marinas and hi/illy:0th: ...'ig"-4.411t-Pni.i.';:i14..1::r4 ::6•Ydi:66.ii'ii.-.eb.ittikg'ilieisai§M'--: :' . ..-: - --;..'':..s ''::-!')'''''' eNeeellS 10,000 iliniiii III 150 volts or 0 Flomitle,borlithig.: 1.J:111:41:10-.S!..1.“;.:;:r,1:1..S1r.1%•. 1.,....-..,,d4.,.-..,-,,,--,•1.,•,,••-'•;•-t•........,,,,•••••••,,,..1.•;,...,•1-..-.:'••;-;.:::,, ...,.. •-.,, ,,. s,l.]'r', less:lo ground.or eNceeds 14.000 D commerew-rite.igrictm,,,,,t 23 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps Ito all other installation:: buildings i 0 Multi-family 0 Master builder D Other: 0 l'ire pomp 0 Install:Rio.or 75 k VA mu I larger:Np4ralely dem cc' %A-.1c,la•etlet•'..', •15-irrsdts_li,ii-bmi.ATO$4/Nr6,,,,,OA'lib)S1:'' .!....' '. .. .........',• 4,,,:4,...t-[,.::r..-.-.-,E-::,... ?,.•••,,,,,,.-•.,,,,,••••••••••-.•:•':;•:'•':•:".. --•i,••:-i,••. .:••,..!-:: 0 Aildirion rA.new totHur 10;41 of Joh no.: Job site address:\N, E7),, ' , VA/1.._, u_e IP or more, 0 SiX Or intire druid Mini: OtTlipilliey 0 Rei,Cillitilliii Salt:IL:ilitILS City/Slate/ZIP: D\ si1v212-aA CK era-\\- Ill 0;lealt11-enre rucilities 0 Hazardous locations 0 Simply,oltape for store than 61)(1,ohs.liottltual Suite/bldg./apt.no.: 1 Project name:R . --veff- -e 0 SerTice or feeder 600:imps or inure. k. . ( E:::;t__— :,,.,1t,:;,i,gi,i. j,.!.,,::•*:, :,:‘,•:.:',.•::41kC;$,...0.444:Wg14.;:;: ':i:::.-.,'.-.,i .':..`:.....'..,'... Cross strect/dircctions to job site: nonrwri thnn I ow. fur. Toth! • New residential single.-or multi-family dwelling unit. Includes attached garage. Subdivision: I,ot no.:02, i.000 sr] II.or less ___I Ott 54 4 Fa.addl 500 sq.II.or portion 33 01 l Tax map/parcel no.: Limited energy.residential ) FAIZ'''k;',711%nr:&11n.r '.00H-16f4W.Vorkki',. . ..,r;,:.-,:i,,,,,z7...::,,, (wits,:th75 00ove sq.11) ' 'i ' .' ' " ', ' limited energy.to UI).thur ly 75 00 New electrical service and wiring residential(with above sq II.) - Services or feeders installation,alteration,nndiur relocation 200 amps or less 100.70 2 ..,,,a.,y,..,:..,.:;.1„.:6,aijizckityv,4qRa .....:.r.::.;.: .,i;, .'.!:; ',4.'0..,0 .,,iiiii4:A:10;.:Y.;:-::-•,,,-...:;,::,r,•:::.: -201 amps to 40f/amps ____133.56 . 2 .__." , 4(11 amps to 6(X)amps 2(10.34 _. Name: SO OV, • 601 amps to 1,000 amps 361.04 2 Address: \ 0 Ck ' V644--\- 5-\-• Over 1.000 amps or volts 552 26 ---":7 orary services or feeders installation.alteration.and/or City/State/ZIP: \)a_n,W1- Temp \..k) Pc CA---apke r) relocation Phone:act)) 0 et.5..:3.-5-4-0D l'ax:aiD ) U2 6 (4a-__ • 200 amps or less 59 36 Tr' 20i amps to 400 amps . I 25 08 I 2 Owner installation: This installation is being made on property that I own which is not . 3 I intended for sale,lease. rent.or exchange.according to()RS 447,449.670.and 701. 401 amps In 599 stops I 68 4 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: . A.Fee for branch circuits will? 'A.C.girl'OA*Otiji;:ii# 614';':egiO.' above service or Feeder fee. _ each brunch circuit Business name: (cL:77-0,, 11.tree for branch circuits without ' service or feeder fee.first Contact name: i , •0 •. 0 branch circuit — Each udd'I branch circui56 I t4 2 In t 7 42 2 Address: \n ..... 044-, e AMiscellaneous(service or feeder not included) 1 City/State/Zip: Qa,v--1 cou • 1 \ s) ii----75607-f-ry-2. d).:.,,cchi6 M4:11siir.Unt.'ilcuereatinowion;Zd.eudlLa4 671(4 i 1 _ Phone:( ) Fax: :( ) Reconnect only 67 84 - 2 _ Pump or irrigation circle 67 R4 1 , _ 1-;-ma i I:ri\0441 Ve„. b(-(: (.)Y.\ IP l 1 IL ielt,rhOTY\_.(2Z) .CATT•• ---\• Sign or outline lighting 67 84 1 ., _ .,',g!...g:i:A1.1,-•,1:n.:1:.:11.;4ri!...; :,i) 47Titi,.,..*.•,,Or.,b_IY,•,i,,,1.,.... 11:: :;,,;;•1••:1.:.:,t ,.;1,'.''.. ,:t. .''',1'1•'1•11 Signal cireuitts)or limited-energy t - Business name:Simply Electric panelal(eration.or extension Page 2 I , 2 ' •' Each additional inspection over allowable in any of the above Address: PO Box 822408 Additional inspection(1 hr min) 6625/hr Investigation(I hr min) or,25/hr City/State/ZIP:Vancouver,WA. 98682 Industrial plant(I hr min) 75 I X/hr Phone:(503)849-8202 Fax:(360)314-4945 Inspections for which no fee is 90.00/lir 1 I specifically listed()/a hr min) CCB Lic.: 204615 HIcctrical Lie.: , 067 Suprv. Lie.: 4394S '',•. -...:'.''.".':.ii-',1'.,:-EEE011i1tAlePElk)1111-2!nt$'.: Suprv.Electrician signature. required: &rt-(4.., 1-5),.......f. . — Plan review(25%of permit lee) Print name: Victor Attrzhitsky Date: It/17/2015 Stale surcharge(12%of permit fee) TOTAL PlittMfis l'I.:1-:. Authorized signature: hit permit application expires if a permit is not obtained within I NO • *lays after it has been accepted as complete. Print name: Date: • Nomber or in:T.:tin.,allowed per pt-rind I 13tretreVI'etnlils,Ill.C-Per mit App erre 001;1 0 4411.41,1Yll I 1.0 VOMAVEB Mothaliiscai VermitAmigeation 453M.V.faskaRi;.6.ifeiiiiitii444afa:gRiagitgials ‘".4-'1.:,V'.,..,:!`,: '•• .. ,., . car of T1 gard Valeiliy:. . . r'n'Ii.'1°'. te56/elts-nooszao Ito ,.:.1-J1.2:5 scii‘iii.ii3Oi;;ii.:,Tizeld,'.6R:07.j..-0 ...: ill--•• 5...•:::::' F..401:','50=:.1.1409.! F4'. 5.6.398-100• OtberPrrunt. .. : ... .ik‘il'iliif$:.fusraintt tint:.''503:639:41'75: D*1?eiitdlik' hni,3' -.•..:••;..,::,:..,:z..:,...,,.., bretrpet www.tiggli-or,gov /4otifiCatMnilink Supplemental Jnform anon, . . . .... ,,,.. ......_.. ..... .. ......,.... ____.... .,........ ......_.... ........... ...................................... ...... •. -• ... . PA ----- Z"Ci537,W.74 31 Er W-45arkt.AMM.gatifilgiWPWIMWEESISSA.TlISIS RFM:<-d- 'H-7...,... 7 ,c,- —,.."-- 1'40*c- basedpn. di Ol?Trafecs*.Are tItf vaNclof the tE 746;.,i..eonitiudtiiiii- .0 AdditionialtiaitioilTreiga-Ceitierit :,performed.lndicain the value.(rounded to the darns/tfollar)of11 tji .mplit.i.p. 0.our , .......... . . . . . sircr.litiniCal.mMcii.ais.,tquiptnctit labor,overbuld,and prolii. .. Yalilel-S ,„ .. . .. , ‘,.,.;.,-4-sr..pvlAV••••tOZ ri,MR: ..77 Vantig7,91VALW<SIIIT-#>4.6-14Mel",a'4'.V?WVka,,A§ : Sr4agrk-VffggctdirIRKM-7,;ttr.§Vfrr$V'rra . . ,, -,...—„ < .•X:,"...,...,:;, -* ,,-,..- ' 44."....,....<,- •• ,1*_:-.. 1 •iiii.d--24,Eittilb,d.,,i,viling 0,Corpritreialiiii4tiarial n Accossbry bti1Irling For spOiil Infririvition mic,014disi. ,•• , ID Muiti",fitinily .0 h-fasi4 builder la Other Ek.:5:01i64ti I QV, -E1.1- Total i'''''''-"Weaiii• • W102.-Pili,V15:1.014fliffiiiti#641,118geti.1§41014B-WRIgn.104 Jeahn 7: 46.75 fOb•sitc•addtss: R-\sx.\\5 5\AD 5S1DRINCC) 'tditilOn'.100,0-00 11311 IduasnriUg I • 405' C451*lcYZT.i,': \X-7 ---- ..! .. IP 1-A lib . .P.taini•r:c•166,6004-.131-ti 4rasiventa ,•.64.91 'Heat 04 61.06 Silitallilt/g,JOL:ifti..!. Pet•ilaine". \, )-e/C-17C-Alria.,A •DuOi srorh 23.32 'OPsA:'01:‘?41(1.!iT-•ctliins to job site: \O( '\ \K).-e154-- lic-Cinatild hot Waled systrrn Roggen/la/110ln'(radiator or hoilloiiiny* . 23.32. - - - Uliii*2101(filt1,4yper,j11,0,1•0094'10. 6u f)'.ndlid cic, . . . .46.7 .. . . •Flailtiialtrforaii ;of aliiirt .2332. • Otheri..._ .. . • 2332: . . . •§iliz:diriaion: , Lratrio.: a'7) FD,•,tito4i.0.0.01.#9:. wili,a0,-,...iii,::..:,..,..--.-•-. .. . :.: • : :- 2132.. .... ••• . torabiomdocomkikrovolveik. t?,-tv-Tivst,-:skAlo 'CUI-ItZ*01 /Iii:5'.ar 33-19 - Porocut for•water latater.or ga.s •nrelAii " . 2332 Ilia ligitti-•(vai) '2332 • .. ...... -. , WiiiiditiCilcbitoye.: 3339 ..\3451141:firtiiltion/ilinert „ . ,, .2332 . .. ... • .. . iiiini/fItie.vent• 2332. ... . . . .. t.V.IIIMEFICIgZigiCOVE ibe.MiSM- 1*.:171 ::Valta .,t.ii,„66,i... ... . . .. 2-3:32 tri on till exhaust gad vattilatora 1:**q10131gol R9r41!st RangehoOti/othatitchen• . • . • . , •atitijiiiirSii.' ”• 1 3339 1'-/?•E'A3 6 St •••• • --''.--.•• . . •Clidheititykategutust 1 3339 ...... ........ ... .... . Cil/S.1:-.tile.Llitt•711.•illiciitivei.-,.S%!:)..513061 :Siiik/e4inet egiarla(hattroorna, •, . . loileticomparttnents,.unlity.robnis) .., 4 2332. •Pliaiie(37,08167EiK: Fad ) ::itticierawlspaceflans 23132 .. . Oth lea?1:zga-taglei Eig-.P:.-bilIMMITA:4-ta, ea.'*iC:9..Wca,l/P-S-1514MVA . ' 2332 - *- • ---- - - -.---• • . Viiitiliillaav 'Eli*st..faiiiii0/cilygaii Ni:Iftbwiiit ,$i;i,...ISfor first four:64.03 tor.racti additional Ciiieiiiiiiie ' ' .Flanian.-efo. . • • - . . Atkiivssi•.115§EljthSt . .... - :CrEt4,1aditpitthii.. „... .,. .. , , . . .... • Viallisuit:;eridedittitiflinaiar.• • • • ,_. ••(41Y.4S/4erijr-:.•!'f1-909Ver.W4 93661 .,•,•-: . .. , . 3licin-i (360)8164800 Fax::( ) Fiiiplain I . . ... Rinke... ... - . 1 . .g-1.114i: vt.-{ dut . %'gfMgiaf(:Ptait;AtPgq'atWgatantZaiVffttiteH: .r1;6: 4'.tga4. . • tius'in'esi ariine Am dersn flea tine,Inc Oilla-.. trafl,girl ar*,,--C.7: -.f.'_Vil3Witraittaii47- .W • '•--'• • " • -" ktitlin*.l.6.1.i(4-$tiiW'Ave.Ste'4 i b ubtii61. .. . . . .. ... ...., ... .. ...,..... . .. - .. • ' "" -'"-.--.."'"'" .. . . „........ . .n,. .. cifytSittgl1: -Fit#H+OR 97224 1.kniardm permit fon(39000) • .. .... . Arin iiiitO4(25%cirpeitiiit f.E). pboq$03).5.924.664. Fax:(.0.3)S ik36-661.5. -3iiit-o anti:tar&02%olpeithitTce) . 0 .P.licif.lt.044. TOTAL PaMIT.FEE. . Tbinki-u*iiilicitaii 'apuirk.tizilt is not. obtained 141811a 180 days alter ii-haa..1;a1.0ccatiitiletienniplan .1i. : A,.-*3 i,IFittiin-., . .. Fee,methodolo 4):,.em iry Tri-6ounty Burldlng indmxry Service Board , /iii itii4iitii.„,„ Date I112012015 f.Atiad'4.PCryAlV:iiZ.jrniieAp;_1541li.aee 446447I 0 1/6...COMAVES) 4 City of Tigard 114 p p COMMUNITY DEVELOPMENT DEPARTMENT TIG A Rio Building Permit Review — Residential 41 Building Permit #: /757-.2-0 /5'— 00.2-06 Site Address: 13 V 15 S1) S,4-/j2/NA- Project Name: R re, . Terrot ce. IV 0(-iin wer.+ Lot #: Z 3 (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Me Cita No m"e , N (,onSrw c-};o V) Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: 7 Yes ❑ No Site Plan Elements: /Three(3)copies of site plan ,Wrixisting structures on site NM' Xite plan must be on 8-1/2" x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished JZSrawn to scale (standard architect or engineer scale) floor elevations North arrow /6 Utility locations (required for new,may apply for additions) j`ite address,project or subdivision name and lot number --101-ocation of wells/septic systems XApplicant information (name and phone number) /Erosion control (including drainage-way protection, silt fence ZrLot dimensions and building setback dimensions design,location of catch basin,etc.) 2'Lot area,building coverage area,percentage of coverage and /Street names impervious area (applicable if R-7 2 R-25&R-40) ,treet tree size,type and location LJ Property corner elevations (2 foot contour lines if more than ZExisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): W/ Poe 2015 -OOoos Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ,r Public Facilities Improvement (PFI) Permit: P F I' Zed t S - 00 1 1 Z Required: ❑ Yes,applicant was notified ❑ No Applied For: I Yes E No,stop intake Ae Land Use Case #: P D R 21 S - 00 OOS Zoning: a_1-2._ Setbacks: Front i "2.--- Rear 2 Side '3 Street Side t1/47/A- Garage '7,c2 Landscape Requirement: % 'Lot Coverage Maximum: 0 Building Height: Maximum Height f"/� Actual Height I-a Visual Clearance -$-Tasements —Q.-Sensitive Lands: ❑ Yes ❑ No Type ,. .Urban Forestry Plan onditions "Met" prior to issuance of building permit 0 Notes: CQh i"13(1 S n0* 0\0- Approved By Planning: rn t9 r2-e /5 i 7 i -e-v,-A-- Date: 1 i / 7--// S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw RES 070915.docx Building Permit Submittal Original Submittal Date: ///20-5' Site Plans: # 3 Building Plans: # Building Permit#: CEJ Enter building p ermit# above. Workflow Routing: 0—Planning D".--:nLineering Prmit Coordinator °EBuilding Workflow Sign-off: Com]'Sign-off for Planning(include notes from planning review) Route Application Documents: .0—Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. CYY)iuilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: 1 By Permit Technician: �� i - Date: //0s 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: s��„G� z �v _ �Y�J/ Ar.>�^ ¢ ,A-.. ,Pa �r'zft' ei:,,f�e./BGG. `'. s Approved by ngineering: ®a 4 4/ cJ Date: //-9—Z5- Revisions /_lRevisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved E Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved, NOT Released: Cr ac k` 1-1-4ate: / 0/45- Notes: 1L/ /LL !C e„ G ,,,, ;o1.s, eager 47 i79/i S 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: UI Yes E N/A Tigard Trans SDC: ❑ Yes NrN/A Parks SDC: ': Yes ❑ N/A ` QK to Issue Permit _ Approved by Permit Coordinator: I' Date: if/g// 5- I:\Building\Forms\BldgPennitRvw_RES_0709I 5.docx 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 13416 SW SABRINA AVE, SHERWOOD, OR, 97140 Residential - Master Permit 610 Gas Line FAIL MST2015-00200 David Young No gas line installed at this time, not ready for inspection. Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: 43r/$ S c_5;9172/�� /517/ — This 517/ -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 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ��1�! DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAR 31 2016 FROM: CITY OF TIGARD COMPANY: ✓ BUILDING DIVISION PHONE: eP/ By:_x .t RE: V/16 SG() SCJ cn41 //('. rte ress) ermit um er Ae.t ) Aver' 7-C . /4<< (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 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): REMARKS: G 'OP Ir ( 7.9 .) ` S Routed to Permit Technician: Date: 4 MB Fees Due721 Yes • No Fee Descri.tion: Amount Due: $ /6 Lr/� Special Instructions: Re.rint Permit .er PE : • No II Done A A. •licant Notified: Date: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 13416 SW SABRINA AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00200 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: 13416 SW SABRINAAVE, SHERWOOD, February 5, 2018 at OR, 97140 10:28:07 AM Record Type: Record ID: Residential - Master Permit MST2015-00200 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 60 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13416 SW SABRINAAVE, SHERWOOD, January 26, 2018 at OR, 97140 10:13:39 AM Record Type: Record ID: Residential - Master Permit MST2015-00200 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Previous corrections completed. A/C installed Violation Summary: Inspector Contractor