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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016 00045 T(GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,' �r1���t Date Issued: 04/28/2016 infir#//�� Parcel: 2S1060001500 Jurisdiction: Tigard Site address: 13478 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple Project: River Terrace Northwest, Lot 203 Project Description: New SFA. Building/unit 11.3. 1/16/18 REPRINT to add NC unit. Placement of NC unit must comply with manufacturer's requirements. BUILDING Floor Areas Required Setbacks Required Stories: 3 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: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 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: 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: $22,217.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 52-001-0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: —1‘e � Permittee Signature: `Ste— '/�%�' ` Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicaticrig-, -- t'A,,l ,,:r, FOR OFFICE USE ONLY , t r."'l ' .# A .,..',".-4J"r'''' . `--- Received ../ City of Tigard Date/By: / ; 41,41 ennit No.: f.--- i/6 (!)e) v. q 13125 SW Hall Blvd.,Tigard,OR 97223 r\Ni .,1 2 2018 71 Plan Review 2 Date/By. ' Phone: 503.718.2439 Fax: 503.598.1960 )1--‘' i Other Permit: TIGARD Inspection Line: 503.639.4175 er ly 0 i: i ;tl.-i jAr,,,,,:: Date Ready/By: huts IR/See Page 2 for Internet: www.tigard-or.gov 'LA - i • '-' ; Notified/Method: Supplemental Information s irt:,-. Btil!,„irg:, rilt .-,,, ,,. TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST Mechanical permit fees*are based on the value of the work I New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION . - RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist Eg Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total • JOB Heatintr/coolin SITE INFORMATION AM) LOCATION . -, g• Air conditioning I 46.75 Job site address: i.2)ty le) ,-- 1,,,i ,,p1 , 1. I - Ier,,,,, . ), 1:2,/(1 9 ' rjr i L., i f i...=, ,r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:1/ 3 Project name:River Terrace Northwest — Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or _ ydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision:River Terrace Northwest Lot no.: 7,,,,i.::,?1. Other fuel appliances: Tax map/parcel no,: Water heater 23.32 Adding A/c DESCRIPTION OF WORK ., ,Gas fireplace/insert 33.39 Flue vent for water heater or gas .-66 / d 6) i 5 Ti"-) E.,2_,Y/7.-- fireplace 23.32 t::•3L4 0 c, a gl„A _(.0. ter ga....s.)Wood/pellet stove 23.32 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 F14 PROPERTY OWNER0 TENANT Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 3139 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duet exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 W APPLICANT ,„ 0 CONTACT PERSON. Other: 23.32 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Nichole Thorpe) Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/Z1P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Nichole.Thorpe@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:Andersen Mechanical MECHANICAL PERMIT FEES* Address:16285 SW 85th ave Suite 410 Subtotal City/State/ZIP:Tigard Or 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)992-6664 Fax:( ) State surcharge(12%of permit fee) CCB lie.:217392 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: / /, * Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:1/12/2018 1\BuilthoglPennits\MEC PormitApp_040113 doe 440-461 7T(t1/02/COMAVER) Pa CITY OF TIGARD MASTER PERMIT 11111 * COMMUNITY DEVELOPMENT Permit#: MST2016-00045 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1060001500 Jurisdiction: Tigard Site address: 13478 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple Project: River Terrace Northwest, Lot 203 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 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: 0 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 Times Air Conditioning: N Vent Fans: 3 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: 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 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. J Issued By: Permittee Signature: l�N /¢ L- Cr i�, / 7A O 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. % Buil .>« Permit Application � - mg �J GG�`` O mit No /G...-,-,,,,- c�5- City of Tigard � 11111 13125 SW Hall Blvd.,Tigard,OR 97 Q 16 tem !z4' J4F-O Jots: H See'Psgve 2Vfor � ,IA n%`0 Date Ready/By. id Seemene 2 f o rormatiou TIC, f n Inspection Line: 503.639.4175 P No ed/Method Internet: www.tigard-or gov G��O loOS` -------- __ • .---�•- - - ---- ' Permit fees*are based on the value of the work performed. �� El Indicate the value(rounded to the nearest dollar)of all ®New construction 111 Addition/alteration/replacement ❑OtherOther t labor,overhead,,and theprofit for the � - equipment, indicated on this application. __ � b � a 4, ;F ) p ^ _, �„..,,,,,,...,.„...,-L-„,„,,-,.„..,-,:„,.,,,,,,,,, Valuation: Il �1-and 2-family dwelling CI Commercial/industrial • Number of bedrooms: �0;;' ulti-family ❑Accessory building Number of bathrooms: 0 ❑Master builder • Other: r - Y,t 1 I''4 �;1:1=` ..� ,.,' �. �', ,:z.-...a Total number of floors: '5 � ”-,1� i�-�- �• �.. ��'- �,. •1'L�1 square feet ��7 e p-) �� ".`—e�-i I New dwelling area: Job site address: 13��-�j 5.)DI�CL1 Garage/carport area: q5 .0 square feet City/State/ZIP:Sherwood,OR 97140 1 uare feet S ectname: t�\ ( "le((OCR n LL Covered porch area: sq Suite/bldg./apt.no.: I Pro Deck area: '° ,) square feet Cross street/directions to job site: Other structure area: 'i square feet A Lot no.: 2,0-3D 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 work indicated on this..plication. - .. �. s Valuation: $ New ,• r, Construction Existing building area: square feet 7 Farea: square feet New building =� . g -- t ^, 1, t- . "1' � 4F f Number of stories: _may ?a;�= 4s._ . . R - -_ _ _ _ _ Type of construction: Name:Polygon WLH,LLC N. Address:109 E 13th Street Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax:(360)693.4442 a 3yBusiness name:Polygon VVI H,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): 4Address:109 E 13"Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax: :(360)693.4442 E-mail:maggie.gordon@Polygonhomes.com Commercial and residential prescriptive installation of 1 2 k € Y roof-top mounted PhotoVoltaic Solar Panel System. .., ' : c� �ii� � .. .i?.. _ :.. ... . '- . . ._.. ,. - - Submit two(2)sets of roof plan with connection details Business nam /LC/�}M L/o/(J ��3/ /NG and fire department access,along with the 2010 Oregon Address:109 E 13th.Street Solar Installation Special Code checklist Permit Fee(includes plan review $180.00 City/State/Z1P:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 I Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 -- CB lic.:207247 Total fee due upon application: —$201.60 �J`' This permit application expires if a permit is not obtained Authorized signature: t within 180 days after it has been accepted as complete_ *Fee methodology set by Tri-CountyBuilding Industry LPrint name:Maggie Gordon I Date:11/11/15 I Service Board. I:\Building\Permits\BUP RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) Mechanical Permit Application #tUl:01 ill 1 1 NI 0\l 1 City of TigardVIV Permit eta.:P r 46— ii ld125SWHaI#Blvd.,Tigard,OR 971 , y. u1./tz Pian It�i�n« ` Phone: 503.718.2439 Fax: 50 0 rlalCfBY: Other Permit: I i;, ,S: , Inspection Line: 503.639.4175 6 rpril mate Ready/By: hires' la See Payee 2 for Internet: www.tigard-or.gov1 Netifred Method Supplemental taformat on FE 1 AttSON c>ra�1C�p�VI' coltecuL >+ L>� els>r< ac�nr Mechanical permit fees*are based on the value of the work Et New construction 0 Addition/10 placement performed.Indicate the value(rounded to the nearest dtxllar)of all Q Demolition 0 Other: V`"' mechanical materials,equipment,labor,overhead.and profit Value:S CX€EGOI ':t £At iwenoAT .;,t ESOT Hilt. t I I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special informarl,>lruse c*ectt KMulti-filmily 0 Master builder 0 Other: Description Qty. Ea. I Total J( 8, R�1FO[n A'LTOIii-i ND,LocAtion ., tieating/eooling: {� �,�. Air conditioning I 46:75 Job site address: I�la'35l Lid' P\ in —.ler2 Furnace 100,000 BTU Iducts'vents) f 46.75 City/State/ZIP: b'NQl">A,3 08. 0 R q--'`4 0 Furnace 100.000+[BTU(ducts vents) 54.91 t.no.: Pm'eci name: ^ ,/ Heat pump 61.06. 1 Suite/bldg./apt,g p ,__�`L'�. ! e1 co Ce — Duct work 23.32 Cross street/directions to job site: r) W Ilydronic hot water system23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric), I in-wall.in-duet,suspended,etc. 46.75 Flue/vent for any of'above 23.32 Subdivision:River Terrace I Lot no.:ej o3 I Other: I 23.32 Other fuel appliances: 1 Tax map/parcel no.: Water heater 23.32 DEsatnitroa OF%YORK;' Gas fireplace/insert 3339 Flue vent for water heater or gas HVAC fireplace , 23.32 Log lighter leas) 23,32 Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 :. Other 23.32 i E PROPER-Tx tOi'1V1 t I ' . ©TENANT ` " .• Environmental exhaust and ventilation: 1 . Name:Polygon Range hood/other kitchen Address: 109 E 13"St.Suite 2011 equipment 33.39 Clothes dryer exhaust . 33.39 City/State/71P:Vancouver,WA 98660 Single-duet exhaust(bathrooms. toilet compartments,utility rooms) 23.32 Phone:(425$85-7700 Fax:( ) Attic%rawiapace fans rsalp !E . ' _ :-, E,0..: is r'rties _ Other. : r 23.32 v Business name:Apex Air LLC Fuel piping 514.15 4.15 for first four;34.03 for each additional Contact name:Staci Hay Furnace etc. 1 Address:2210 W.Main St.Suite 107-272 Gas heat pump Wall/suspendediunit heater , City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax::(360)326-1769 Fireplace Range E-mail:staciir apesairco.com Barbecue . 01�IL SIR;( ; - Clothes dryer(gas) Business name:Apex Air 1.1.,C7 Other <.. M tAbl LPX1111 .t Address:220 W.Main St.Suite 107-272 Subtotal City/State/7-1P:Battle Ground,WA 98604 Minimum permit fee(590.001 Plan review(25%of permit fee) Phone:(350)3424109 I Fax:(360k 325-1759 State surcharge(12%of permit fee) W CCB lie,:203034 ,,,e2/ TOTAL PERMIT F'EE- _ -This permit application aspires if a permit is ant obtained within 180 ' r f ., days after it has been accepted as complete. Authorized signator : (7,7,„,../-9---/— • f ec methodology set by Tri-County Bnitdmg Industry Service Board IPrint name:Slaci hay r ...."r Date: 1/28/2016 I'ttuildinti.Pennits:MEC Permit Am fgri l 13 dee 440-4617100Z CONONEB) 1 rleetiLeall IPeriffait ADDITiezflo p, kge0 It ter I0I ,-tit•- ,.. � �r 1 6y of rfkgarrd � NO o-, Permit 0:m fib--errs Roeen'zd' 13125 SW Hall Blvd,Tisard,07L'97 y� A ; ti0\6 Plan Revises �/� C.', • Phone:503.710.2439 Fax- 503:595.29 y % Deletliyt Rotated Permit Inspection Lino, 503.639.4175 f t) • dyDatc/Byt tuns; in aga2for TIGARI Internet wu�v.Ggard•orgov y, I1G,`�`� Tied/Meihod; Soppfemenm[infurmnfion :127‘;''''...''. _ . ,Ill'E OF F t V \v 'LAN. Rtiti J° - , ®New construction 0 Addition/al . 1, I.'.cement Please check all But apply(submit 2 sets of plans w6itms checked): ❑Service or feeder 400 amps or more. D Buiidinp over three-stories: i 0 Demolition 0 Other: � _ ,__. � whercthe available fault cumnl QMuin2S.and bpatyaidz - 4e OP COP1ST1 UCTiON - excmds 10,000 amps al 150 votes or 0 Hazing tpuildinos, • I )l-and 2-family dwelling 0 Commercial/industrial [I Accessory building less to ground,or exceeds 14,000 p Comsnereial-use agricultural amps for all otherinstollations. buildings. "Multi-family ❑Master builder ❑Otter: ()Fire pump. [Ilnsmtlfionof150KVAor 5015 STfi IiVCOR1WAtZOI}7 ATtID 1 OC�Tfd1ld 10Emcrgencysystem. largeraepuute1501:ved t 1� t/1Q er_a y, ❑Addition of now molar load of system. Job#t: Job site address: l 1 7 (� .C[[Y i 00HP or more: L7"A",'G ']2',`�1.3", I t..-, ❑5a or more residential twits. occupancy. City/StaEcjZTP:Sherwood OR 97840 ❑Health-care faeintiu, ❑Recreational vehicle parks: Suite/bldg./apt//; Project name: p/ n [I Harartlouslocalinns, OSupply voltage for morsih_an �l -+ ��t'`�� ��' 6°0volls.nominaL lll... use a• street/directions to job site; FEE sttiEPIJLE .:; 0mcimian -I'.Oh. i Eorri J -sotd. I.o- Nely residential single-or mufti-family dwelling unit. Subdivision.River Terrace I Lot 8 ,DC.)" Includes attached garage ' - ),000 sq..tt arless ) 16034 4 Tax map/parceli; Ea.add'500 sq.ft.or portion I 3397 t DESCP-JPIION OF WORtC Limited energy;residential Ices V I� 7 , {with abovesq.it.) '(5.40 Limited energy,multi-family 75.00 2 residential(with above sq.R) .,.. leneuvablel?oerpv 0 Seet'ae2 -1M vliONIRTY'OWNER 1 1] ll'ENf4NT Services or feeders installation,alteration,ant/or relocation Name:Polygon Homes 200 amps or fess 100.70 2 Address 109 Jam St 201 amps to 400 maps 133:56 3 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver WA 98660 601 amts la 1.000 amps 301.4E Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 52.26 '2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:his installation is being made on property that I own which is not 20,o atop,or less 59.36 1 intended for sale,lease,rent;or exchange,according to ORS 447,449,670,and 70L 201 amps to 400 amps 18:5.08 2 Owner-signature: Date: . dot amps to 599 amps 168,54 2 1[PLtC4J4T Q CONTACT PERSON Branch circuits-new,alteration,or:extension, erpanel. A Fee forbranrh circuits irirh Easiness name:Garner Electric Washington,LLC Acne service or fecderteee, 1 7}v eaclt blanch circuit Contact name:Bill Daniels B:Fei' nor•branch citcuits,e moor Address 6101 NE St JohnsRa servicd pFfecdq ter0isi s6 i8branch c reuitCity/State/ZIP:Vancouver WA 98661 Faclradd`1b'rznclticitci* 7A2: 12: Mrsecllanoottt'3:(een4teorfeeder aotinciuded)- Phone:(253)320-1657 Fax::( ) EaO is rWhcalled or modu)ar 67.84 2 dwelling.sorvice and/or feeder Email:hdaniels@gweusa.cem Recotlt>ectonly 67:84 2 CONTRACTOR , mom or tmgatton etrcle 67:84 22 ; Business name:Garner Electric Washington,LLC sten ocaudtne11gftt ng 67;84' '2 Signal cuchit(s)or limited-energy Address 6101 NE St Johns RdQ a`ct#'a0tc-4, 2 panel liberation,or •Mull#ddrtional inspection over allowable to spy:of the above City/State/ZIP:Vancouver WA 98661 • Aa;ttgnsliasp4ctioti(1hrmin) 6625ihr Phone;(253)320-1657 Fax:( ) Jsiv stigatiat(t hr min) 90.00/yr Jeri ail:btianieis@gtyeusa,com iadusinai plant(1 tar min) 78.18/hr Jospectionsforwitichnofee'is 90401 h rCCB Lie.: C1158 Electrical Lie.:208174 Su ry.Le;4496S spociaallylisted(14-hrmin) , ELECTRICAL PERMIT 3uPr..Electrician signature,'required; fill t jh Subtotal: Print name: Joan P Albert - • Date:,al t 1‘t , El Plan Review Rennired(25%erpermit fee): Stole surcharge(12%ofpernrit fee): Authorizedsignature; / TOTAL PERMIT FEE: Print name: Bbl)Dat11CiS �I I j T peornli appticaIlan rapine ifa permit isnot attained within 180 Date: t aaysotter ithas bumoeeopkdeswmpleta, Number of inspections allowed per permit: ij 1 I:auildiaalpowelfiLC PmnIApp ISLA ERE;ilae Rev 0•141/12015 44W6l5T(tik5/C051JWPII t` 1, ii Plumbing Permit Application Building Fixtures 'City of Tigard 0\1 Received Permit No.: Date/By: P'1STI)-0 I6 ' 'ISI 13125 SW Hall Blvd.,Tigard,OR 'Of : *C Plan Review t!r .:.t 0` Other Pana[ Io.: � Phone,. 503.718.2439 Fax: 50. ♦ Cp�. Datr!$y: Inspection tine` 503 639 4175 `V y „,,,.0,90.;..44kate Ready/By: Juri 21 See Page 2'for 1 I \1;'t-' Internet: www tigard-or gov C• '.7 Not ed'hiethod 5u ti,lemenfallnformatton _ � V:s F .6x Sfi t` 4;;I:7; t c?; ,,C # ` t, F . ti1 ti6 l;kv 4 � '' s : y�� Far special information use checklist New construction ei i , , Description I Qty. I Ea. 1 Total Addition!alteration/replacement 0 :Whet New 1-2-family dwellings(includes 100 ft.for each utility connection) i r. - ..c , e �-wv r ' t �,.• a SFR(1)bath 312.70 ,.:'"x, 4 i .4.-1 z ^., iii$k'f€ t?'' Q i'L ,. .,. s " Er:. `.'�.�, ^+ .. �-( �j SFR(2)bath J 437.78 t_I 1-and 2-family dwelling t_t Commercial/industrial SFR(3)bath 50032 D Accessory building rA Multi-family Each additional bath/kitchen 25.02 Master builder „� ❑Other: Fire sprinkler( sq.fl-) Page 2 ;b.1.sx kk 'fin���� E 21+ 'fi3Rli V16t. AIV #bl '1QAF ` e x t Site utilities: 1�\` ^ ,' \`uy �Q c. Catch basin or area drain 18.76 Job site address: "1 ��J �.1 �'i Drytveli,teach line,or trench drain 18.7E City/State/ZIP: (.h (' N')0 C)A C)R c'l1-1 H r) Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: (� t _ Manufactured home utilities 50.03 1'�LVCI_ ����� Cross street/directions to job site: ` n Manholes 18.76 - Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear ft_:. ) Page 2 Subdivision: I Lot no.:a0- Fixture or Item: Backflow preventer 31.27 Tax map/parcel no.: : � .i' ' rt t #l+ (iii-*)* ID&1, .' Backwater valve I2 51. :.._ ...= K,. �. ,..H �,,t -, .- _ _ . �. 25.02 � n \ (�' ,, 1 ,, `�\ Clothes washer t t.e 3 m1)(ll 1,1?`-tr I P 1L1..11 J 1.1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 � rFxpan on tank .. : 'i `SAir., 1 1251 _. Fbaureisewer cap 25.02 Name: Po Li q 1)-� 1 Floor drain/floor sink hub 25.02 Address: q J ' liThl J Garbage disposal 25.02 City/State/ZIP: V(y5'(( ()iJr f/ \j A �'l. U.`�st'u1 '0] Hose bib 25.02 Phone: ( p 0' "1 ` "I 9 0 Fax WO t0 c `'I9c-1 (.- Ice maker 12.51. n w ' : i x p QN ` 4 F RSOI�t'.„� Intcrcepior/a case nap 25.02 . * Medical.gas(value:$ ) Page 2 Business name: �/,t�l:-y,t�.'_ ,,.1 l]j i n L:1‘...-r Primer Primer 12.51' Contact name: ' ' I evil - v...*-1,4 :.x.„-rt tom..) Roof drain(commercial) 12.51 Address: tt> 2( .• 12.c-1, Sink/basin/lavatory 25.02 /.,}•f' i '"1A- v1 t�,,_. ..tj ) City/ State/ZIP: (, . Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:e")J ) Lp ., Fax::( ) 25.02 Urinal E-mail: 1‹..-1,-"L.4 ( 4-tYf} 0itf3c� t.Y.-0I t�e-ev 25.02 �� 1ai Water closet. �. - i;s. ti 4-C`,.t:--, "A.,....--,A.,-,:m%' i :} xi.?;.a.3, Water"heater 37.52 Business Business name: Water piping/DWV 56.29 Address: ) K„W-1-1.-4 f' `_.Y tm(.-.4,,P1 I` (ir't 11/4A)1,-\o j..) Q D• 1;2,'7 r`-� Other. 25.02 K,'j "1Gt.-tv)1' ''` i Subtotal City//State/ZIP: Minimum permit fee: $72.50 Phone:(9/1) g.'01.0 --q143-3 Fax:( ) Plan review (2510 of permit fee) CCB Lie.: 2.() 1. • / Plumbing Lic.no f State surcharge(12%of permit fee) 1 ,._. _.�. Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 188 days Print name: ma , Datq -9/}l/7 after it has been accepted as complete. dick . ' > f i 'Fen methodology set by Tri-County Building Industry Service Board. 1:\BuildingiPennits'S'LMU-PcrmitApp.duc 1001/09 440-4616TO D/02.+COM/WEII) • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A K D Building Permit Review — Residential Building Permit #: fl')Sf'ot16-- 0 Site Address: 13 4 7 6 S W d ctcA, Plc rh Per Project Name: `1spr 1'€rro (j North weir- Lot #: Z 03 (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review ��M ( Proposal: (VevV SFR. Row home Verify site address/suite# exists and active in permit system. ) River Terrace Neighborhood: ❑ No Zr Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan "BEaisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ❑Fhdtprint 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 -EiTcation of wells/septic systems ZApplicant information(name and phone number) ZErosion control(including drainage-way protection,.silt fence j2ti,ot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and ZrStreet 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 Clean 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: � Yes CI No,stop intake Land Use Case #: 1" D R201 S -owa OWc'3 ,- S L12_w/S-voce/2 Zoning: —12. Setbacks: Front i 2 Rear '2,0 Side 7 Street Side 40 3 Garage ?,p Landscape Requirement: �7 O Lot Coverage Maximum: % Building Height: Maximum Height Actual Height 51 Visual Clearance Easements LT Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan onditions "Met"prior to issuance of buildingpermit Notes: COW) d;A-11?t7s V U+-4±-ril✓) ,1Y?vj , (1-€061 to 19-e_ ( kJ- Pr;a( 1, p& Approved By Planning: 41101"-:— �j,.�.�v-+�-�- — Date: 2/ lb / IL 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\BldgPennitRvw_R ES_012116.docx Building Permit Submittal f Original Submittal Date: j`4/�� Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: KL.13 arming eering D I rmtt Coordinator ❑ Building Workflow Sign-off: C]-13# -off for Planning(include notes from planning review) Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and ori -&al plan review routing form. iiir uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: c,,t,3//p Engineering Review .Slope at building pad: 7 t5 ❑ Conditions "Met"prior to issuance of building permit E 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 ,EI" No LIDA Facility on lot: LI Yes .E No ❑ NOT Approved by Engineering: Date: Notes: GBK.�t j ld.•-g f Id071- 7r) /2M114-(Ts S Approved by Engineering: 612(l/_vc. UJ. • Date: _ 2// 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 , 5/2d' /4. / A NOT Released: ` 'A I a e: V Notes: co^ytn 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: WSDC Fees Entered: Wash Co Trans Dev Tax: ,Yes ❑ N/A Tigard Trans SDC: ,Yes ❑ N/A Parks SDC: Yes ❑ N/A Yrr:$4-01cto Issue Permit Approved by Permit Coordinator: 4/7r---- Date: 1:\Building\Fonns\B1dgPeimitRvw_RES_012116.docx A City of Tigard 71 r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D River Terrace Building Permit Review Addendum Building Permit #: -7- /(p0a0 ..._' Site Address: ( 3 iel7SW QQcic In e-)m -f e.rr' Project Name: (L./v."- Terrttu. NOH-hotel+ Lot #: 2..03 (New dwelling= subdivision name;Addition or Alteration= last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.I). 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 ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: / S 3. Entrances: At least one entrance must meet both of the followingystandards: J� 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: C25 sq.ft. min. 12.One street facing entry 12 ft. max. roof height above porch Lr 5 ft. depth min. X30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Z 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 E Dormer min. 4 ft. wide 21'lloof eave min. 12 inch projection -toof 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 pi Window trim min. 2 '/z"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 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: / NAicloser 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) 121. 12-foot-wide garage door (e“ 44)vt✓1 ❑ 40%max. of street facade Z50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: 0 P2 ie.. 6/to Date: 2-/ 1 ( / 7� I:\Building\Fonns\BldgPennitRvw_RES_RT_O12116.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 albert@tigard-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 Plumbing Permit ApplicatioltECEIVEP Building Fixtures `I,�'1�l City of Tigard N 0 3 2 016 Rte_ j c.� t 14-- fame xo. S 1N' V V � 13125 SW Hail Blvd.,Tigard,OR 97223 plat,R / // OF TIGARD OtherPermit No.: Phone: 503.7181439 Fax: 503.5 Date ay: Inspection Line: 501639.4175 Date ReadytBy: lwa. H See Page 2 for Internet: www.tigard-or.govM DING DIVISI I N N ifledJMethod Sapptenentat iafermanon New construction ❑Demolition For special information-ate checklist Description { Qty. ( Ea. I Total Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) ' 2 i ,y4t e F F s k a ( � SFR bath. 312.70 _ 1-and 2-family dwelling 0 Commercial/industriai SFR(2)bath 437.78 SFR(3)bath 1 500:32 Accessory>building 'Multi-family Each additional badAcitchen 25.02 Q Master builder 0 Other. Fire sprinkler# sq.ft.) Page 2 ; ., I $ ; ,' , „t,.'. n §,i Site utilities: C-,,�I ��,,,l,, Catch basin or area drain 18.76 Job site address: 1474+ V Y�/ � I'1 PI uvv�7ect DryweT( leach tine,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldgJapt.no. Project nam I-t4 -xraa, NJ krrthw-(t Manufactured home utilities 50.03 Cross street/directions to job site: �'/e- ,/,`'3 Manholes 18.76 Rain drain connector 18.76 �j Sanitary sewer(no.linear ft.: ) Page 2 G` .�7 Storm sewer(no.linear ft.: _) Page 2 �p Water service(no.linear ft.:_) Page 2 Subdivision b Y� �� 5k Lot no Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 q • Backwater valve I I2.51 .. , . �. ._- .t. ir:Cv14. Clothes washer 25.02 )11.0/0CI-Mr-_ .CIYV i° Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 •,'-,r x;' r a ,cr, Expansion tank 12.51 I Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 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 ., 11 a a s ` ,' Imerceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact.name:Angela GrajeRsiti 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 III Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:AngelmGrajewskigpolygonhomes-coin Urinal 25.02 , ,fati Water closes 25.02 s a kol ., Wateheate 37.52 Business name:Alliance PlumbingLLC Water pipirlg/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: $7230 CCB Lic:184601 Plumbing Lie.no.:PB732' Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Diabman Date:5/23/2016 This permit application expires if r permit is not ebtairted within ISO days after it ins been melted as complete- *Fee methodology set by Tri-County Building Industry Service Board I:CBuiidiogl ermitSPLMU-P'ennhtAppdoe lWlO1fi9 440-46 6T(IOrO2JCOMtWEB) Plumbing Permit Application Site Utilities l '1 Fly FOR OFFICE IiSE ONLY' City of Tigard 1,r`>_ •T'`ivea Date/By: q Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 r /� /'"'ST�o�(o-ct�yS`� � Plan Review Phone: 503.718.2439 Fax: 503.598.19600 G. Other Permit No. Inspection Line: 503.639.4175 I-� F Date/By: �S slight,1� T I G A R D Date Ready/By: Jams ® See Page 2 for Internet www.tigard-or.gov { 01--, a tfied/Method: Supplemental Information T P wa' %.,1<i d d FiE H)E)C L)LE Z New construction ❑De Mli *t''illritr; �T)14,77For special information use checklist Description Qty. 1 Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) tItATEGORY OF EOI$TRUCFXON SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler(1,221 sq.ft.) Page 2 JOR SITl INFORMATI �bAl t A'*ON Site utilities: Job site address:13478 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.:203 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 :. - �„� Backwater valve 12.51 pGR�ON OF:WORD: "" Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 14 PROPERTY OWNER ' t 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 Cil A? LIC N`1€` , i,C 'OONT, 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 ' CONTRA,CTO-- Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/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) g �/ ' State surcharge T(12%LofRM T fee) EE Authorized signature: TOTAL PERMIT FEE LPrint 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\PLMO-PermitApp.doe 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:: � (4 r°6'--; 'S q> ar�F}otogg; 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 �j Vahation: Q It ea: Storm&Rain Drain-1st 100' 62.54 $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 � Tptaf each additional$100.00 or fraction thereof,to Other jnspe�ans or Fee ;°;` QtY"' 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 Fn eew; 011 i'ullriilrr ,Instllaun 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. D Any new commercial building with water service 2"and Bath -Tub/Shower 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 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 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" snl r>Ec or der Diagram- car Wash Drain Garbage -Domestic-non-food 0 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 Pddmit.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: 13478 SW BEACH PLUM TER, SHERWOOD, February 22, 2018 at OR, 97140 12:52:34 PM Record Type: Record ID: Residential - Master Permit MST2016-00045 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13478 SW BEACH PLUM TER, SHERWOOD, March 1 , 2018 at 8:43:36 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00045 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: 13478 SW BEACH PLUM TER, SHERWOOD, March 7, 2018 at 2:13:09 PM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00045 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13478 SW BEACH PLUM TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00045 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: No AC at time of final inspection Collected High efficiency lighting form Moisture content acknowledgement form Moisture barrier acknowledgement form Air leakage test report was received prior Left C of 0 on the counter Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13478 SW BEACH PLUM TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00045 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: Scheduled Comments: No AC at time of final inspection Collected High efficiency lighting form Moisture content acknowledgement form Moisture barrier acknowledgement form Air leakage test report was received prior Left C of 0 on the counter Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13478 SW BEACH PLUM TER, SHERWOOD, March 12, 2018 at OR, 97140 12:39:08 PM Record Type: Record ID: Residential - Master Permit MST2016-00045 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide City required documents on site for final inspection. No ac installed at time of final inspection. Violation Summary: Inspector Contractor