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Permit (7) CITY OF TIGARD MASTER PERMIT 1111 1 p COMMUNITY DEVELOPMENT Permit#: MST2016-00046 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1060001500 Jurisdiction: Tigard Site address: 13486 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple Project: River Terrace Northwest, Lot 204 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $148,268.29 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 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: N Vent Fans: 3 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'l 500 sf: 1 201-400 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 SFA VB R-2 1221 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $21,932.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-0.1-009a You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i Issued By: f i Permittee Signature: D,i) •'/70/9G/e7�0/✓ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the Job site at the time of each inspection. BuiidlingPermi__Application �� FOR OFFICE 1 4t Ool ). y .-fit [F A /,...._ �y �/'y /,, Received /l I // '} PermitNo._ n 0 01 coD14Y9 !S! :Ts0 III ' `tf ' u- 1498.1 11p ��16 Date/By Zl - lJ�+"" Date Ready/By: H.See Page 2 for Inspection Line: 503.639.4175 `�� IXC; , tilotifi10 % I Supplemental Information TIC E 1-) In t: www.tigard-or.gov ` ' 1 \S‘ efNi ,------------L--:----2---------- =e- `--- Permit fees*are based on the value of the work performed_ ®New construction ❑De". tion Indicate the value(rounded to the nearest dollar)of all Iii Addition/alteration/replacement ID Other: equipment,materials,labor,overhead,and the profit for the -.-_-_-_-;;:--,:---,-75,,-,'-',74_. work indicated on this application. t � - -j-,--'_'.1,1.,,s r`".-5 -"-,., �r,- , ,. :( ° .,..._r. _r .... ,v,�=-Mn-�,.�-.:s Valuation:11.4 1c$ s"-7--q45....„5 .) 4111°-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: Q 111 �, r ulti-family Accessory building Number of bathrooms: a 9 Master builder /2 Other: ';'-',-----,'-o z-' s = Total number of floors: v m �Q�, I New dwelling area: 12Z \ square feet I 6 71 Job site address: k 3l� (� �1`N ` - Garage/carport area: \....‘,5L0 square feet City/State/ZIP:Sherwood,OR 97140 feet Suite/bldg./apt.no.: 1 Project name: Rk� -ref(G C (1 � Covered porch area square ,g b Cross street/directions to job site: Deck area: sii.G (ID 71 square feet£C Other structure area: square feet I • 1 Lot no.: ) d Permit fees*are based on the value of the work performed_ Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the -4 work indicated on this application_ Valuation: $ New, --;-----.---,41--- ♦ Construction Existing building area: square feet New building area: square feet '2."7;1742 .7`7M-.n"r oo f�v '`" `.- r ,. "'"`� Number of stories: Type of construction: Name:Polygon WLH,LLC Address:109 E 13th Street Occupancy groups: � / City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax:(360)693 4442 New: ae Li Business name:Polygon WLH,LLC Structural plan review fee(or deposit): � Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: f) City/State/Z1P:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 ., ergo s7,,.!..-.-`,:;-•,-;,:- t i c . E-mail:maggie.gordon®polygonhomes.com Commercial and residential prescriptive installation of + T F'SA,41 c� j; _.- ,, „-7±,'•#;,,,:'17' roof-top mounted PhotoVoltaic Solar Panel System- Business '- /71-e,"/6-5� .. Submit two(2)sets of roof plan with connection details Business ie./Al./flit//y t o'J / ��� and fire department access,along with the 2010 Oregon Address:109 E 13th Street -Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): Phone:(360)695.7700 I Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 _ _ -- -- ,/,�CCB lic_:207247 Total fee due upon application: $201.60 jfv' This permit application expires if a permit is not obtained Authorized signature: t.° within 180 days after it has been accepted as complete. _ _ print name:Maggie Gordon I Date:1S/11/15 *Fee methodology set by Tri-CountyBulding Industry Service Board 440-4613T 11/02/COM/WEB) I:\Building�Permits\BUP-RESPermitApp.doc 02/24/2011 ( Mechanical lanica Permit Application FtlR 0121-1( L I SE-OMI.1 Receiv.-d ; City of Tigard G PiF �.: mF '�1p��P-G�c�i►�?t�t��.'� t3t?5 S4V!tall litvd.-Ti ard-C)R 9?��' osiii .:0 Platt Reyrecr .- : * Phone: 503.713.2439 Fax: 50 0 Other Permit: Date.I#y: Inspection Line: 503.639.4175 1F} r T I i :�R D '(� rl� Date rReadv liy: him' SI See Page`for itt Internet: taww.tigard-or.gov A.v Notified Method Supplemental Information {{f PP E 01F: OF k \ieS . COMMERCIAL- E UN \IA�� • hfechanical permit fees"are based on the value of the work Nev construction 0 Additio€ilu tplacetnent I performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials_equipment.labor.overhead.and profit. ( CATEGORY"OF CONSTRCrCTIOl9ere S • -s RESIDENTIAL Et ErIMENF!`,f SYSTEMS FEES' ' I 1-and 2-family dwelling 0 Cammercialfindustrial 0 Aceessor), building 1 For special infornr:rflan use ehechiist i I Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total r©$ SITE IN601,.... IQ14-+5?�D.LOCATION . Heating cooling: Air conditioning I 1 46.73 1 Job site address: L UJ) Furnace lOt3,Ot16 BTI:tduasvcnrss ( 46.75 1 1� $ 5. ��� �1�m -�er2 City/Statei71P: 4' J'cd. 0 Cr -'\--I0 ! Furnace 100.000 BTLtductvvents} I 54.91 heat pump 6106 I Suite bldglapt.no.: 1 Project name: ,t. ! e cro ce I ✓ workDuwork ..3 32 1 Cross street/directions to job site: 0 — _I t }fvdronic hot water system 23.32 [ Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type.not electric). 1 ; in-wall.in-duct_suspended_etc. i 1 46.75 t( . Flue:vent for any of above i 1 23.32 = Subdivision_River Terrace Lot no.:cD 03 ' Other 73.32 I Other fuel appliances: Tax ma ,' arcel no.: 2 p it Water heater I `3.3.. � '. DESCRIPTION OF WORK :- -= fireplace/insert 3330 Gas Flue vent for water heater or gas F EIt':tC I 2_ fireplace 23.x232 i 1 I Log lighter teas) I 233.32 I Wood pellet stove ` 3339 I Wood fireplace/insert 23.32 1 I Chimney liner.%Ruefyenr 23.32 121- PROPERTY! OWNER 1 Q TENANT Other I 23.32 - .. 1 Environmental exhaust and ventilation: Name:Polygon ( I Range hoodiother kitchen t is f equipment 33.3'3 1 Address: 109 E I3 St.Suite 200 1 Clothes dreer exhaust 33.39 I I City/State/ZIP;Vancouver,WA 98660 i Single-duet exhaust(bathrooms. toilet compartments.utility,rooms) 123.32 ` l Phone:(125)586-7700 I Fax:( ) Attie/erawispace fans 1 23.32 •: APPLICANT;' E CONTACT PERSON - -- Other. I 233.32 I Business name: apex Air LLC F 1 Fuel piping= I 1 514.15 for first four:54.03 for each additional t t i Contact name:Staci Bay t ! Furnace.etc. I I I Gas heat pump E I Address:2210 W.Main St.Suite 107-272 t 1 t 1 I Wall:!suspcndediunit heater I ; CitylState/7_IP:Battle Ground,WA 98604 F I Water heater i 1 Phone:(360)342-8109 i Fax::(360)326-1769 Fireplace IRanee E-mail:staeth a apessireo cntn Barbecue CONTRACTOR I'OR-_ - Clothes dryer(;las)' Other: I Business name:Apex Air LLC #i '' ` '. -MECHANICAL-PERMITFEES!:.=::',' ' I Address:220 W.Main St.Suite 107-272 1 Subtotal t Minimum permit fee(590.00) Cit )State/ZIP:Battle Ground,WA 98604 1 Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%of permit fee) if f CCB 1ic::203034 ) / - - TOTAL PER%IIT FEE- ----- — -.`r ( This permit application aspires if a permit is not obtained xithin ISO V .' days after it has been accepted ss complete. :Suthnri7ed signature- r' / f ', ' / / I• / ` Fee meth foto^:set by Tr-County Buitdini Industry Sersn.c Board d I Print name:Slid hay F =,` Date: 1/28/2016 I,nutlkimpPorrnits'fEC Pcmv.a;p Jri I 13 dew- 440-4o1'T(l t-':CO<FdttE8} ,ledtili bull Per.mat ADDIlicaltio ; a a P P xrr ,sgQ r : • a Tigard City of �`�� D te/8y: ._.. Permit .ley)5Ilf( ""`r /!_'. t 1hone S 0 Hall Blvd.,TF Fax: {Q . 4 Plan Review ' I Phone:503.718.2439 Fax:S ryt�gy; RctarcdPemtil.: i� - e • Inspection Lino: 503.639,4175 r1 o1U Ready Date/Ay: orris: I.IE See Paget Car TIGAAD Internet wftw.tigerd-orgov lb !• Notified/Method: I Sopplementat Information Y ,vpE QF WO__f �0‘ov >'w ittit!its'Irtr i ®New construction 0 Additionlalterat line �`o • These cheek all that apply(submit 2 sets of pleas w1 teens checked): : CI-Other: �\ ` ['Servicevice or feeder-400 amps or more [3 Building overlbiee stories. } ❑Demolition G where the available fault current El Marina,and boatyards. '.;CATCECOktY OF ora _ axecds 10,000 amps al 150 volts or ❑Rolling buildings. I fess to ground,or exceeds 14,000 []Commercial-use agricultural ' I 1 1-and 2-family dwelling 0 Commercial/induslrial ❑Accessory building �' 1 amps for alt other tieitoUtions. buildinyy. ,Multi-family Master builder ❑Other: pFiepump. pl�muanaaotl5ox]+A or .1013"SITE li FORRi&TL00N AND L.f}GATt'0P1 0Emergeocysystem. larger separately derived i JDb#: Job site.address:�3� lJ��' �-�- 1 ❑Addi{ion Dinar malarloadaf system. OtlHP or more. ❑ A G' "1-2", 7-3", l ❑S6tormom residential mats. occupancy. City/State/ZIP:Sherwood D12 97840 . QHeatal-core facilities, 7Rectea6onal vehicle packs. 0 Supply voltagefor more lllan '.. SuitrJbldg./apt#; Project name:�1e ((1,['{� n ❑Ha>a,doustowGmu, v_ - Service or feeder 600 amps or more: 600 valts.nominai. Cross St;eet/directionsto job site: FEE SCDEDDLE eesvindee 1.:ob. I snob I late- i n New residential single-or multi-family dwelling unit. Subdivision:River Terrace I Lot fl: J incicdes attached garage 1,000 sq,ft.or less , 108.554 4 Tax map/parcel#: Ea.add')500 sq.ft.or portion 1 33.9 1 EDESC-1.Ti''TTOYtl OF WORIC Limited energy;residential I lew MJ 1 J 1-h \ (with above sq,ilti f 1 75.00 Limited energy,-multi-familyresidential(with above sq.it) 7S'00 2 ® Pit01'pwrY(OWNSft i Cl TEIttiNT iienelvabteEnergy Q SeePnge2• Services or feeders installation,alteration,ant/or relocation Name:Polygon Homes 200 amps or less 100.70 2 Address:10913ib St 201 amps to 400 amps 1133.56 2 401 amps to 600 amps 200.34 2 . City/State/ZIP:Vancouver'WA 98660 601 maxis)1,000 amps 301.04 . . 2 Phone:(360)695-7700 Fax:.{ ) Over I,000ampsorvofts 552.26' 2 Email: • Temporary services or feeders installation,alteration,and/or .retorlfon Owner'installation:This installatiolt is being made on property that I own which is not. 200 amps or less 59.36 1 intended for sale,lease,rent;or exchange,according to ORS 447,449,670,and 701, 201 amps to 400 amps: 125,08 2 OWner-signature: Date; slot amps to 599 amps 168.5.4: 2 181rrhre i,tr 1 .0 C10NTACC PERSON —8ch elnuits nett,alteration,or extension,i erpanel . A Fee;for6ranncciteui#s+rich Business name:Garner Electric Washington,LLC aboveservice or feeder fee. 7.4:2 2 name: ContactBill Daniels ca=ll brartntt circuit ... ..._ B.Feefor'othijch:eireuils seisho,tt Addresst 6101 NE St&ilins Rd sera ica of factia tee• first 56.18. .. • branch:t etllt:.,.. ti a City/State/ZIP:Vancouver WA 98661 lt cedbraric ed hoitcui. 7.42 Miisccliantaitte{serviccar;feeder notinciaded)- Phone:(253)320-1657 Fax::( ) eltaiptinfeenued 6c modular 6a 84 2 - dw iftng.service and/orfeeder Email:hdaidels®gweusa.com Recarji ectun)y+ 6784, 2 ' CONTRACTOR . )'amp or trTigeliQncircle 57.84 2, Business name:Garner Electric Washington,LLC Sign of lluu tlghfing 677,84': ,2 Atldtzss 610[NE St rotas RdSignal citcLit(s)or thrttted-eherey Q ..' .'', 2 ia87.:al dation,or=tension, G O/State/Z1P:Vancouver WA 98661. •Each iddUlonal iaspecfron over allowable in airy of the above 1 . di oral Inspection(1hr min 66,251 hr Pllotie:(253)320-1657 Fax:( ) Invesdgntim(l brmin) 90.00/Lr Ercall bdanie15Qag1Ye0sa lndusinatplant('brtnin) 78.18/hr IMPeetioirsforwhichnofeeis 9000/hr CC$Lie.; C1158 Electrical Lie.:208174 ' SSulptty.Lie.: 4496S' speeiticaltylisted(tfihrmia) 1 l! � 3'\y tbe 1✓L1 CTRiCAL PEIi11i bt imps". Suprv.Electrician signature,reyuittd: t . Subtotal: + Print name: Joan P Albeit .. Date: a j t i,� 0 Plan Rorie*RetailM4(Alga of peertpit fee)[ Stale surcharge 02%ofpermit fee); Autitorizedsignature• f TOTAL PERMIT FEE: ,. This penult application aspires ire permit is not-obtained within 180 PAM-name: Bill Daniels' Date: li ,ao daysatterithas been accepted ascomplete. L'Bm'td oenpitnELC PmretApp_E13 808.doc itey04117.3o1$ 44e4613I(7ihif/c0.�tittnvee • Numtierofluspectionsa0oivedperpermit: r` Plumbing Permit Application Building Fixtures Gp Ci of Ti and ` Re`e;By: / � y.�A! t �•/tY � DateBy: PctmitNo.: It lSl4'V`� tJ{/O'4��IN 13125 SW Nall Blvd.,Tigard,� ,A Plan Ri viewOtlur Pennit*Io.: C Phone: 503.718.2439 Fax: 50 5f,pN 1p ` \1 Date/By: Inspection Ione: 503.639A175 FEe 1 Q� Date Ready/By: Jut is: 81 See Page 2 for I k'A.+'t) -Internet. www ngard-or gov C` C� Notified/Method: Supplemental information u. '"-- ,,' ,+;tom 1 ,-.4^o ,, _6 .. , , , v 1 w' ,... „ _. . ..u..-,.1 4 t- ` .-. -,-A .... ... 4 x.- For special information use checklist i New construction .„,,t i on Description ( Qty. I Ea. I Total I]Addition/alteration/replacement k Other New 1-2-family dwellings(includes 100 tt.for eachutility connection) n, t v x x , SFR(t)bath 312.70 SFR(2)bath 1 437.78 1-and 2-family dwelling Commercialfindustrial SFR(3)bath 50032 ®Accessory building ►l Multi-family --{{ Each additional bath/kitchen 25.02 EJ Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 :i s e x? -1 w * ` tO.(4UQl ,.fi nm �: s Site utilities: f,_' Orn Ttp� Catch basin or area dtain 18.76 Job site address: `�/`J1 1 �/ 1 - ty `3h 2 r)k)0 0 A 0 R q1-1'1.' r ' Foow�'railean(n .l ne trft: dra) 1ge 2 Ci (5tate/ZIP:' . Food drain(ao.liaear tl.: Pa e.2 Suite/bldg./apt.no.: Project name: Q L .( -ref- ( 'e Manufactured home utilities 50.03 Cross street/directions to job site: l n l Manholes 18.76 ' - Rain drain connector 18.76 Sanitary sewer(no.linear ft:_) Page 2 Storm sewer(no..linear ft.: ) Page 2 Water service(to,linear ft: ) Page 2 Subdivision: 1 Lot no.:aOL\ Fixture or Item: Backflow preventer 31.27 Tax map/parcel no.: Backwater vaivb 12.51 _<a ClotheSwasher 25.02 n-e_U3 ml th {(tJl-I 1 n l (1 bk-i Dishwasher 25.02 1✓ Drinking fountain 25.02 Ejectors/sump 25.02 - on tank, ;A Ex 12.51 t,: Fixture/sewer cap 25.02 Name: Po Li q ) Floor drain/floor sink/hub 25.02 Address. 1 l"�a t/ (✓� ,4 ` t., q �j , /� Garbage disposal 25.02 City/State/'ZIP: lJ (LIR ( 00 ) ,i j'e. ( N A q U A L�/ Hose bib 25.02 Phone oleo \.1 "1 n t U / Ice Fax �� `1�� Z I maker 12.51. ¢ �s�7 iInterceptor/gcase trap 25.02 sz � 'a "+s-# � 7f"._-- [ T at�','C,r_., i', >r _. Si'+S Xr:4 1 Spy �. - Medical gas( )value:$ Page 2 Business name: /1""t-.4 f t_-4^Y..vo t 1(,,,i AY1\t`"', Gt t,. .r Primer 12.51 Contact name: M ) /.1,...,,,i4_,. ) Roof drain(commercial) 12.51 Address: . tJ[)4. 1--)...„--t , Sink/basin/lavatory 25.02 City/State/ZIP: r-f:'c , f £. 1? Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:f:31`)1 ) Fax::( ) Urinal 25.02 25.02 E-mail: mail 1(4'1'4 y 1iCC-4-r r)WY� °5111 Ce' w- Water closet r ,:-,mow. . .. Water er 37.52 Business name: 141--z.,,1 :1-•C , Water pipingfDWV 56.29 i-'z,W✓t f� .t'�-v is-i'1 �"(tr't 4`Y"�r�)t; Address: )j)' i�-i. 1.3 7 - Other. 25.02 Subtotal City/State/ZIP:a y..c,510-)adv) 5,g. 9-7 C.-.‘W Minimumperrtiit fee: $72.50 Phone:(9-31) 1-0.1„0 "- 113 Fait:( ) Plan review (25°fo of perrnit fee) CCB Lie.: Dip .,_ Plumbing Lie.no f State surcharge(12%0 ofpermit fee) i. Authorized signature: j __ TOTAL PERMTT FEE 1 This permit application expires tf a permit is not obtained within 180 days Print name: Ma j/< i SC J'iiiFjM�, Da4 9 i I/li, after it has been accepted as complete. t *Fee methodology set by Tri-County Building Indushy Service Board. 1:43tiutdingPciniitstPLA411-PamitApp.riue 15/01109 :4404616T(iD.5 JCOMMTD) 1- Mechanical Permit Application 1 OR 011 H 1 1 ',1 0\l N City of Tigard Received Perrna No - rnsrAo/U-W0ii& „: 13125 SW Hall Bld.v Phone: 503.7181439.TigardOR 97223 Fax: 5*03 598.1%0 111 Datciar Mao ReWCW oarerty other Permit: Inspection Line: 503.639.4175 Dam Ready/By. nun- 0 Set Page 2 for Internet: www.tigard-or.gov Notified-Moho& Supplemental Information ( 'TV*1 OF.WORK CIMISERCIAL PIPVIS—C11004-,1/SEFRECKLIVE Mechanical permit fees*are based on the value of the work Ea New construction 0 Addition/alteration/replacement performed.indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials,equipment,labor,overhea&and profit_ Value:$ • • '4""' * ''' - ' " ' ' ''-'11114° 41. 1.,4*-6.1,Mi._-,ti4TES.f. - ''' I. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Information are dualist. KM ulti-farnily 0 Master builder 0 Other: Description Qty. EL 1 Total 408 41TE INMR4WA•nON-4190 LOCATION Ile"ingic°eling: Air conditionine I t 46.75 Job site address: I ,\SV.0 5j0 beadTh ki\\AVYN -1.--e,r- Furnace 100,000 BTU(ductslvents) 1 46.75 , City/State/ZIP: /f"-Vtzr\L,r-r)Oa 0 R C1-11 --1 0 Furnace 100.000+13111(duets/teats) 54.91 Heat pump 61.06 Suiteibidgiapt.no.: Project name: ,\,"\_,,ei-- -r-,(r-oce _ Duct work 1 23.32 Cross sire-et/directions to job site: (..) j Hydronic hot water system 23.32 — Residential bailer(radiator or hydronic) . 23.32 Unit heaters((ld-type,not electric). in-wall.in-duct,suspended.etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace Lot no.: alOILA Other I 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 1)ESCRIPtiON,(W WORK''-- , ' ' - ,':.' --,,--,--..• ' - :- Gas Fireplace/insert 3339 Flue vent for water heater or gas HVAC fireplace 23.32 . Log lighter leas) 2332 1 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 . - ' M .k4ER ' '- ' - DITUN ' Other: 2332 -, PROPTY- I "T ' Environmental exhaust and ventiletion: Name:Polygon Range hood/other kitchen equipment 33.39 1 Address: 109 E 1.3g`Si.Suite 200 . Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duet exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(415)586-7700 I Fax:( ) Attidemwispace fans 23.32 .1-1'4.;-f'-,. Ea2cottrektrpwoN . - Other 2332 . . „ Fuel piping: Business name:Apex Air LLC 514.15 for first four:$4,03 for each additional, Contact name:Stasi iiay Furnace,etc. , IAddress:2210 W.Main St.Suite 107-272 Gas heat pomp Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater , I Phone:(360)342-8109 Fax::(360)326-1769 Fireplace Ranee I . E-mail:stacib*apexaireo.com Barbecue .. - %-• ." ' :`t,-"'--.' roilfritWOR:t-, ,, - " . . . , Clothes dryer(gas) Business name:Apes Air LEC Other: • 'MICHARICALMUGIrr,P101 .-',2--.-1, - Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 , Slate surcharge(12%of permit fee) CCB lie.:203034 )/ - - - TOTAL PERMIT FEE -- - - --- ft Aggigh,. This permit application expires if a permit is sat obtained within t80 ' 7 -mar• ,...04-0. •.. .7 .....,,, Authorized signatur,: •'' " / - 7....7 , days after it has been acreplad as tonspitte. • t ec rnethodotogy set by Tn-Courtry Budding Industry Servis:e Board , 4,-i •L...-• , - I Print name:Stud hay ' '...../ Date: 1/28/2016 I i'IllaldinittPerreters.MEC_PcnttikApp.940 I ttdew, 440-41 7T(I 1:177.CONVWER . City of Tigard 111 r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: r7S7►-a p/(o.- _b li 4 Site Address: 13456SW t3agc,1i rturti %e m Project Name: R. Hy Te rr-olce, North wei 1- Lot #: 2aq (New dwelling=subdivision name;Addition or Alteration=last name of owner) c/` (67 Planning Review"I -7- 6 Proposal: � W SFR ROW h 0 rn,e �— yi Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No ,ie Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan sting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ❑Footprint of new structure(including decks)with finished Drawn to scale (standard architect or engineer scale) floor elevations /North arrow ?Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number cation of wells/septic systems ,'Applicant information (name and phone number) .Erosion control(including drainage-way protection,silt fence Aot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R-25&R-40) `Street tree size,type and location /Property corner elevations (2 foot contour lines if more than gExisting trees to be retained with drip line,and tree 4 foot differential) protection measures ZClean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: pP PP / Yes ❑ No,stop intake Z Land Use Case #: P 0 k2-01 S -OWO S, Slil3 2-7 f s - OvQc'5 ;. S Liz 20/S-vocok, V Zoning: P.,- -2- jzi Setbacks: Front f 2, Rear 0 Side 0 Street Side 4 g Garage ?AD Landscape Requirement: ?) cyo I Lot Coverage Maximum: 9 V 0,0 le Building Height: Maximum Height WA Actual Height j 1 —Visual Clearance -9' Easements _ 5 9-Sensitive Lands: ❑ Yes ❑ No Type C Urban Forestry Plan (/• onditions "Met"prior to issuance of building permit I Notes: CO n t 'j1v(1S D U4—d—�"Gl h ,i�l) ii? L to k (YtC_f (2.1i peel--)1 Approved By Planning: F v t 0'k4- 171 D 61.-LeAt. Date: '21 1 b/ I (e 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennit Rvw_R ES_O 121 l 6.docx 4 Building Permit Submittal Original Submittal Date: ay /6 Site Plans: # Building Plans: # 3 Building Permit#: L er building permit#above. Workflow Routing: nning ering ©-Permit-Coordinator ci—Buikliug, Workflow Sign-off: . gir-off for Planning(include notes from planning review) Route Application Documents: EI—E'i.',.�neering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Wig: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: __! - _ Date: fIllit AO Engineering Review Slope at building pad: 7 ?o El 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 .ANo LIDA Facility on lot: ❑ Yes ,12-"No ❑ NOT Approved by Engineering: Date: Notes: C .1>t 11011-4 u I tr-yz.- --fo A2414-IS Approved by Engineering: A. I ✓.iZ, l[,, Date: ?j Z/ 1,4.Revisions (after Building Submittal only) Reviewer ((f ( Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit • 4 13//(24,;(/ / �� Released: i,iJ 'ate: 5 117/ —+ + J / Notes: /f 1 /it, 442 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: 7SDC Fees Entered: Wash Co Trans Dev Tax: Yes Cl N/A Tigard Trans SDC: ` Yes ❑ N/A 4.----... iti, Parks SDC: / /Yes ❑ N/A 4) S.-2-)),� OK to Issue Permit Approved by Permit Coordinator: id, j : . - k 1:\Building\Fonns\BldgPennitRvw_RES_O 12116.docx City of Tigard 'PI ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: PISVO *-G,0ZI0 Site Address: I 34 06, Svc geaoh Pi v m 1 e.-r- Project Name: ks Ter rnUL. NOr Nres•1- Lot #: 2-0 el (New dwelling=subdivision name;Addition or:Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide Gabled dormer ❑ ❑ I ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: / 0 3. Entrances: At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall /Parallel to street, angle no more than 45` from street, or open onto porch Entrance opens to a porch: /Yes ❑ No If yes, all the following apply: [725 sq.ft. min. JZ One street facing entry X12 ft. max. roof height above porch Z5 ft. depth min. /30%min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft. wide x 5 ft. deep /Recessed entry area min. 5 ft. wide x 2 ft. deep ,'Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide Roof eave min. 12 inch projectionoof offset min. of 2 ft. ❑ Roof shingles either tile or wood )Z Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide Accent siding min. 40% of street facade /Window trim min. 2 '/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft. wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 350/0 or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: f AiN7closer to front or side lot line, than longest street-facing wall. ❑ Yes R No. If No (Check one): May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. %May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 7 12-foot-wide garage door I t'S. - (4,n ❑ 40%max. of street facade .2(5O% max. of street facade with 7 detailed design elements Notes: Approved By Planning: /11 l f l7-. ‘ 6 f/o Date: -1) 1 (A / / I:\Building\Fonns\BldgPennitRvw RES RT 012116.docx Albert Shields From: Albert Shields Sent: Monday, March 07, 2016 2:37 PM To: Debbie Adamski; 'Maggie Gordon' Cc: #Building Permit Technicians Subject: RE: River Terrace Northwest Rowhomes Hi, Maggie,Thanks, Debbie. Right, I have these five permit applications in front of me right now and was about to send you a note, Maggie,that because there are multiple conditions that have not been met I will put these applications on Hold as "Approved but Not Released" until the conditions are met. Please let me know if you have any questions about this. Albert Shields. From: Debbie Adamski Sent: Monday, March 07, 2016 2:33 PM To: 'Maggie Gordon' Cc: #Building Permit Technicians; Albert Shields Subject: River Terrace Northwest Rowhomes Hi Maggie, I was just starting to email you on these. You are correct, I don't think we notified you with the permit numbers and fee amounts. Sorry about that. Below are the permit numbers and the amounts. The permits are being forwarded through the review process. It looks like engineering has finished their review and they are on to Albert Shields, our Permit Coordinator. We are proceeding with the reviews but it appears that there some conditions on the land use case that will need to be met before Albert will allow issuance of these permits. You may want to check with him to see what they are, so you can work on those while we are doing the building review. Albert's contact information is albertPtigard-or.gov or 503-7182426. MST2016-00043 Lot 201 13464 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00044 Lot 202 13470 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00045 Lot 203 13478 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00046 Lot 204 13486 SW Beach Plum $751.34(online)/$750.00(check) MST2016-00047 Lot 205 13494 SW Beach Plum $751.34(online)/$750.00(check) Debbie Adamski Senior Building Permit Technician City of Tigard I Community Development 13125 SW Hall Blvd.,Tigard, OR 97223 503-718-2450 From: Maggie Gordon [mailto:Maggie.Gordon(apolygonhomes.com] Sent: Monday, March 07, 2016 2:13 PM To: Debbie Adamski; #Building Permit Technicians Subject: FW: Rowhome Debbie—I don't think we've seen plan review fees to get this going in Building? Thanks 1 FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: -Don DATE ' r E DEPT: BUILDING DIVISION NOV 1 2016 FROM: ��� nrIGARD COMPANY: IA)I ila vyl Lov BUILDINGDIVISION PHONE: qi •n1Z - �"u�,,� By: �� RE: 134`fib &A) c Ptu trn TX.v✓` t �C' VO" Dodo (S dre s (Pernut Num er Writ) tk Project name or subdivision name and lot number) ,__ iv 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 c culatiions. 3 Other(explain): fieverse ate) ccu b i'•tt Ra5pk. REMARKS: Conotna.i j ‘I r"DVQJ pkecAQ. cyano 4tus1- Routed to Permit Technician: Date: • 1 t-et--)._Q16 EMEIMII.11 Fees Due: 'P.r.1 Yes ■ No Fee Descri.tion: Amount Due: • / $ Special Instructions: Re•rint Permit •er PE : ❑ Yes Done A. •licant Notified: giv E Date: / ® _____ "AMI I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Applica , CEIVEI)t 1 CEIVE1) Building Fixtures 1 t't. (,i i II i ' ' t1v4 1 Nov 3 2016gl Receivedr lI 1 • /� M5fi20(t-d ODL/(D1 City of Tigard , Pa""t N° 13125 SW Han Blvd.,Tigard Oft-A,54 �d'3F TIGAR.D "Rte" Phone: 503.7182439 Fax: 50 DatetBv: Other Permit No.: Inspection Luce: 503.639.4175 BUILDING IN G DIVISION pate Ready/By: rods. H See Page 2 for Internet: www.tigard-or.gov 111 5� Notified/Method: Supplemental information _.,x.«.p.:..e.`-, :_ '�-,7x8 s a ., ,. „� ,,fig, ,',. .'�i. _ { 1 New constniction 0 Demolition For special irnfornration use checklist Description l Qty. I Ea. I Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) � � a�•P � t kms ' ' SFR(I)bath 312.70 1-and 2-family dwelling 0 Commercial/industrial SFR )b ' 437.78 SFR(3)bath 1 500.32 0 Accessory building Multi-family Each additional bativtitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 t 7,7!:,7:!;,-;,:i-:: *T ` a �� site utilities: lob site address: r b1484/D b Y V i i li'.I'1 Pi,u iT c t Catch basin or area drain 18.76 Drywell,leach line,or trench drain , 18.76 CityfState/ZIP:Tigard,OR 97224 Footing drain(no,linear ft.: ) Page 2 , Suite/bldg./apt.no: L( Project nam T:0(rO CL N ort):hies r Manufactured home utilities 50.03 Cross'street/directions to job site: ,f /1, / Manholes 18.76 / Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 ;t Storm sewer(no.linear ft.:_) Page 2 c C) / Water service(no.linear ft.:____) Page 2 Subdivision\U{ 1-f,V1fGGe.- ,4 '- Lot no.: -,saKi: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve , 12.51 .. }t.� .._.... . .'. Y'' ' �.:.-_. - ' r ,_.. Clothes washer 25.02 l' (V acjr_ Chr e- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 _' F - v ;, i , r' - Expansion tank 12.51 Name:ADVL LanHoldings,LLC Fixture/sewer cap 25.02 Land-Holdings, Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 4 '' Interceptor/grease trap 25.02 • Business name:William Lyon Homes,inc Medical gas(value:S ) Page 2 Primer 12:51 ------1Contact name:Angela Grajewslti Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZiP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Aogela.Grajewskkpolygonhomes.com e ;.'', tr Water closet 25.02 Watex cheater 37:52 Business name:Alliance Plumbing LLC Waterpiping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other. 25.02 City/State/ZiP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 37250 CCB Lie.:184601 Plumbing Lie.no.:PB732iiii,,,,.. ' Plan review (25%of permit fee) State surcharge(12%0 of permit fee) Authorized signature: TOTAL PERMIT FEE 1 Print name:Robert Disbmat7 Date:5/23/2016 This permit application spires if.permit is not obtained within 180 days after it has been accepted as complete *Fee methodology set by Tri-County Building Industry Service Board t:tBlia tP«miasPt;Ml-Pe imtAppdoe 10101m9 440-461tT(10/02/COM/WBa) Plumbing Permit Application Site Utilities �F" FOR OFFICE USE ONLY Cl of Tigard aC(I 1 "Received ill li - t g Date/By: q l ' Permit No.: /Y1(7 ; Y/ g 13125 SW Hall Blvd.,Tigard,OR 97223 d L3/ Plan Revie (,18 l0 Phone: 503.718.2439 Fax: 503.598.1960 ;r• Other Permit No.: j n Date/By: Inspection Line: 503.639.4175 �1.j II � ����`° T I G A R D Date Ready/By Juris ® See Page 2 for Internet: www.tigard-or.gov No Supplemental ,,, Method J pp E OF W� menta " 1x., FEE* IIEI3IJLE Information a e ®New constructionyj�gy c, •"t For special information use checklist" Description Qty. Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) f CATEGORY OF : NSTRUrriSFR(1)bath 312.70 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 IDAccessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(1,221 sq.ft.) Page 2 JOB SITE:1NFO IATION W LOCATION Site utilities: Job site address:13486 SW Beach Plum Terrace Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:NW River Terrace 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 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.:204 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DE�tIPTION F WORT Backwater valve 12.51 " Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►4 PilOPilk:iv OWNER "❑"TENANT• ;, Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ►e® AP1 UCANT " ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 Water closet 25.02 `� - CONTRACTOR a '- Water heater 37.52 Business name:Alliance Plumbing,LLC WaterPp t m DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) i ` State surcharge of permit fee) Authorized signature: , y TOTAL PERMIT FEE Print name:Gavin Thomes Date:8/9/16 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. I:\Building\Permits'PLMU-PermitApp.doc 10/01/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ,iiP • ` . 1» leaf care e• Permit Fee . Sit+ �€ altaies .a, g Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Storm&Rain Drain-1st 100' 62.54 Mem �� --, $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to Other Inspections or `„ FeeT°taf" and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type `lan Rie i ;.far Pl c ll in Installations Fixture Type for Replace! Plan review is required for any of the following. Work Performed: Capped Added - Relocate Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3„ 4" R• is r Isoor mer Dia ram Car Wash Drain Garbage Domestic-non-food CI Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECE DEPT: BUILDING DIVISION RECEIVED CCT172016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212.2.1.44 RE: LIc - 13464, 13470, 13478, 13486, 13494 SW Beach MST2016-00043 LIU ir'�, Ltd L1 Plum Terrace (Building 11) '" ,/ ✓ s/ (Site Address) (Permit Number) orthwest River Terrace Lots 201-205 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Spaced deck detail as requested by feld inspector REMARKS: Please pay fees owed with Trust Account. 17Co 0^/ r;:zo J6,-00010 oak- �, O .kFCE USEO*V ':;'7 45 Routed to Permit Technician: Date: )0- j 9 - ) Initials: Fees Due: pYes ❑No Fee Description: Amountue: I9A IL Pe•v ,ea $ 94 , cam) '� y $ G' Special 1--(--&-6 i 5 OA/ i'YS-��tj b -_000 V.�3 Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified:,471fc 1r-- Date: /V//t:. Initials I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13486 SW BEACH PLUM TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00046 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: This inspection passed at previous mechanical final inspection. AC on separate mechanical permit. Coil and line set not connected to furnace at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13486 SW BEACH PLUM TER, SHERWOOD, May 24, 2017 at 1 :21 :00 PM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00046 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Seal gap around outlet boxes. AC not part of this permit. Electrical passed at prior electrical final inspection. Violation Summary: Inspector Contractor