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Permit (39) CITY OF TIGARD �� "�� MASTER PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MST2016-00195 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 t G�1 ° ' g Parcel: 2S106DC07900 Jurisdiction: Tigard Site address: 17375 SW ANNA GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 79 Project: Polygon at West River Terrace, Lot 79 Project Description: New SF. 9/14/16, REPRINTED to add a/c. 1/20/2017: REPRINT to correct address from Anne Grace to Anna Grace. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $215,678.66 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 1 hour fire rated eaves are RD,STE VANCOUVER,WA 98660 required at Fire Place SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,609.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , Permittee Signature: � (/L//�{+y�`t ca � Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I Y This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARDMASTER PERMIT 1111 I '''' COMMUNITY DEVELOPMENTar*;" ,.:2% ', .,,. Permit#: MST201600195 TtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S 106 DC07900 Jurisdiction: Tigard Site address: 17375 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 79 Project: Polygon at West River Terrace, Lot 79 Project Description: New SF. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $215,678.66 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves are SCOTTSDALE,AZ 85258 required at Fire Place PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,365.62 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued ByC1/�J Permittee Signature: Xi< ` 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 Application FOR OFFICE CSE ONLY City of Tigard H G E I EE.ew2 = "y /0,., , P Phone: 503.718.2439 Fax: 503.598MB 2 2 2016 Date/By: Other Permit: T[G A R D Inspection Line: 503.639.4175 Date Read/B Juris: Internet: www.tigard-or.gov Ready/By: 0 See Page 2 for gCITY OF ,..i" TI G916AYgR�S ViDt' Notified/Method: Supplemental Information M, 41M '04rttiiN OAM- aggE ' s0 � Y , AiAC E f 1 x'''' '24''2.—A''''''' ' u 0 g , "t Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. $irieValue A � it i61: - � � b qa ,—,.. E3� t: ,._ a-�, I„ re " - T:1 ' '''" .'"''' '' 3 _ 4' 17,,,,,, q AJ nF ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total ; A ' '"4r`' H'� Q " o �r Heating/cooling: ,n � " _ Air conditioning 1 46.75 46.75 Job site address: I yis S v �f � Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Polygon at West River Ter Duct work 23,32 Cross street/directions to job site: Hydronic hot water system 23.32 • Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace Lot no.: ---i��' Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 . ..: C l o OE ?RK V x Gas fireplace/insert 33.39. -• : ''bu''' 44*4• I'' Flue vent for water heater or gas Add AC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 SANT r Other: 23.32 .� R.f . _ _. _ ° <. Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax ( ) Attic/crawlspace fans 23.32 ,4710.V-It,44;` �,. : .F. flltI+l � Other: 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue .,.. ; . 5,..... � , :Want .,4,44#,,,E> Clothes dryer(gas) Business name:Apex Air LLC Other: +tom Address:18004 NE 72°d Ave t .- Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Abl / �' i days after it has been accepted as complete. Authorized signature: t/iCb * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 IABuilding\Permits\MEC PerniitApp_040113.doc 440-4617T(II/02/COM/WEB) CITY OF TIGARD MASTER PERMIT � ! II/ COMMUNITY DEVELOPMENT Permit#: MST2016 00195 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 TIGARD Parcel: 2S 106DC07900 Jurisdiction: Tigard Site address: 17375 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 79 Project: Polygon at West River Terrace, Lot 79 Project Description: New SF BUILDING Floor Areas Required SetbacksRequired Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $215,678.66 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 11 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves are SCOTTSDALE,AZ 85258 required at Fire Place PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,223.26 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 9 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. !J ` � /� L//' �jO Issued By: � Permittee Signature: Com'/V �i-� (--- 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. % �^+ 7ci lit 4 Building Permit Applicata ECEild)-/- f� C'/a 11 Y z,//� City of Tigard MAY 12 2016 Ro s-3 /4. PermitNo,/ys7�j/6—4O/'� :li- 13125 SW Hail Bivd_,Tigard.ORt;�OF TIGARD �Rrnow f` ° ' o/6 phone: 503 ane: 5 39 Fax: 503. V TIGARD Date v 9/�6 0 See Page 2 for--004‹...C/- , rnetInspection Line: 503-or.gov BUILDING DIN vu t'IO1�T ` (� kilil: Supplemental Information Internet www.tigerd-or.gov DU1L i1�iV Ijl 1JIVlry Notified/Method:--V � _ -;-(..,7':,--..,,-,,r- rt , Ali 1117 .� F • t¢I ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alterationheplac ement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. t r • , Valuation: 5215,679 ®1-and 2-family dwelling 0 Commercialfmdustrial 0 Accessory ceding 0 Multi-family Number of bedrooms: 3 0 Master builder 0 Other: Number of bathrooms: 3 ' e, ` i - __ -__ Total number of floors: 2 a f b 7 I Job site address New dwelling area: 1744 square feet , City/State/ZIP:Tigard,OR 97224 - '(4J .}7(/ 6/1,9 L./vP Garage/carport area: 423 square feet Suite/bldg./apt.no.: I Project name Polron at West River Ter Covered porch area: 41 square feet 9 31 Cross street/directions to job site: Deck area: square feet 8W Other structure area: square feet 1 4 Subdivision:Polygon at West River Terrace I Lot no.: •'1ct Permit fees*are based on the value of the work pe►formed. 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 application. Valuation: S Existing building area: square feet New building area: square feet . ... _ ....___ _ -- Number of atonies: ,' Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewskl FLS plan review fee(if applicable): Address:109 East 136 Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) f E-mail:Augela.Grajewski@polygonhomeacon i _ _ Commercial and residential prescriptive installation o, ,,_.. _._ --- - • roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Ci /State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review 8180.00 tY and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 ,t(61Q/'CCB lir:207247 Total fee due upon application: $201.60 ..----CCB v Authorized signature: LAI�iC• This permit application expires if a permit Is not obtained within 180 days after it bas been accepted as complete. Print name:Angela Grajewsld Date: *Fee methodology set by Tri-County Building Industry 'y'z f•�� Service Board 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r Mechanical Permit Application ` rO R c)r I" C L 1 1_u 1 N .1 x223 City of Tigard �I,CEWEI) Lemi e: Permit No.://5-7--..2.0v6-DO/9—S a 13125 SW Hall Blvd.,Tigard,OR 9plan Review - Phone: 503.7182439 Fax: 503-598.1960 DateA3y: Other Permit: i , ElInspection Line: 503.639.4175 2 2 016 DateReady/By: Hair ® See Page 2 for t: v/ww.tigard-or.gov MAY 1 Notified/Method: Supplemental Information A , F ':p R t {C ,l I f •'I. t t4��w��. '--1,'1R11 '-: --- , Mcchsnicaipennitfees'�arebasedonthevalueofthew�k ®New construction 0 Addition/al• I performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value: 6 ,{ � tt ® 1-and 2-family dwelling Cl Commercial/industrial 0 Accessory building For special Information use c ieckllst ❑Multi-family 0 Master builder 0 Other: Description 1 Qty. 1 Sc. I Total y - Heatiag/cooling: Air conditioning 46.75 Job site address: / Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 /'73 2.j 5Ai. 1./1/n/�C tj7E L.IV Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: I Project name:Polygon at West River Ter , uct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for ane of above 23.32 Other; 23.32 Subdivision Polygon at West River Terrace I Lot no.: 1Oyler fuel appliances: Tax map/parcel no.: Water heater 23.32 } 33.39 .`. Crac fireplacelittsert .=w._.. _ Flue vent for water heater or gas fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 , Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 23.32 N_ _._ __ Environmental mhanstand ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 / Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawispace fans , 23.32 23.32 i Qthcr _.. ,.. - ' fire)piplug: Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. , Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water beater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewsid@polygonhomes.com Barbecue Clothes dryer(gas) Other: Business name:Ape:Air LLC ' it Address:18004 NE 72sd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 /lici iii TOTAL PERMIT FEE Rif/ft/016 �(�� ` ( � This permit application has if a permit is not pleteed within 180 �1(//! days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: A. Ar i s/i Date: I-( �'I`p I:\Bailing\Petmite\MECJemtitApp_04011 44 6175(11/09/COM/WEB) • Electrical Permit Applicatio#oECE1V la.,rz of Fick t:a,a\I.) City of Tigardillew111.1111M1 permit ii://5- 0/6''00/4S 11111.- 13125 SW Hall Blvd.,Tipid,OR 972 i a i AY 1 2 2016 Plant Review Phone: 503.7182439 Fax 503.598.1'r 1 DIWB. Related Permit ik inspection Line: 503.639.4175 { i(� �j�`� Ready Aata/ey: NMI H Bee Page 2 for i I'';.I.l' Inleenet www.tigard-or.gOv CITY�U� I V i�I�I! NMilled/Who Supplemental laforaa8oa `_, Y r:, 76.'.!_-'7(-,)_7- _..; 7 i - ' 4t :r? ~ .a ---,•''.'&74- ",',.; d74",'c3 b L 43 el % - '_7xti," L ®New construction 0 Addition/ 'fir 'rep acemeat Plesechel that apply(admit j apes Wilsons awaked): 0 Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building ova three shirks. ,chem the available holt current 0 Marinas and boatyards. t SS) )'..1',-',...:4_!:' tt',�:`f 'g;i it t 7 exceeds 10,000 amps at 150 volts or ❑Bootleg buildings. ~i._� 1-and 2-family dwelling 0 Commer ialfindtistrial 0 Accessory building tea tor r oar r inn 14,000 0�,7dutse ctal-nee agricultural snaps0 Multi-family - 0 Master builder 0 Other: ORB pump. 0Instillation of 150 KV A.or -qw` - .;-'6:011.:0 V,. L xi. ' ,;,. i iIK s.! Z�;_,`,..r../.01 l.- .. ,:'- " IJ Emergaaey system• larger aeparisly derived caF 0 Addition of new motor load of system. Job#: Job site address: 4 Fr 1 • 1oo11p or more. 0"A",X71","I-2","1-3", City/State/ZIP:Tigard,OR 97224 /73 7 Su ,c'! , /E 6711C•E z..Af El snit--residwtPal units. p yar vehicle parks. Suite/bldg./apt#: I Project name:Polygon at West River Ter 0 Reunions locations. A Supply vole for more than ['Service orfeeder 600 amps or more. 600 vela nominal. Cross street/directions to job site tl.r:tt n+ , 11irL:_' _,.-Tr, Daedpan; Qty, lack Tear . New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace I Lot#: 77 Includes attached garage. Tax map/parcel#. 1,000 sq.R.or less J 168.54 4 Ea.add'1500 sq.R or portion 2 33.92 1 ,l r 1 +ti.i a i.r i n,,kid i,,',..t,1.';_ , Limiseb energy,residential ) 75.00 2 (with above sq.R.) Limited energy.multi-fmnily 75.00 2 residential(with above sq.ft.) Renewable Energy El See Page 2 I'1.;- _,_ 1-, L(` ,- =' = 4,* ' Services or feeders Installation,alteration,aml/or reiocatlon Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 cps m 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: •. relocation Owner installation;This installation 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 I 2 Owner signature: Date. . 401 amps to 599 amps 1 168.54 2 t - t I ; , 7 Branch eirradts-ora,alteration,or extension, panel _._ ,� A.Fee Pnrbnach�w/ah Business name:William Lyon Homes,Inc above twice or feeder lbe, 7.42 2 each bunch circuit Contact name:Angela Grajewskl B.Fee for branch circuits without Address:109 East 13th Street service or feoda flan,Brae 56.18 2 branch circuit City/Stat/ZIP:Vancouver,WA 98660 Each add branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 . ' I Fax::(360)693-4442 Each mamBacwred or modtiar dwelling,service and/or beds- Email: eds- 67.84 2 Email:Angda.Grajewsld@polygonhomea.com gacomeet only 67.84 2 ; .__ _._ .. ___. F9.`''-`_ ..)_`-,_-. .._....__1-..__�_.':. .. ',_-_ . Pump or litigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johne Rd a Signal on.or .limited-ene0 See Page 2 2 1State/IIP:Vancouver WA 98661 Each additional inspection over allowable In any of the above CityAdditional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.0W br Email:bdaniels@gweusa.com Industrial plant(1 hrmin) • 78.18/hr loapections for which no fee is 90.00/br CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 44965 ;Mo ne..: lim d 1.ilir min .' __-_„- .. .� ./ ,-',''-J-22,1'.--.1'_1:1 (c t^,.L.-_:;_,;:241`,,,, Suprv.Electrician signature,required: [ 1" / 1"-c / . r••, . Subtotal. Print name: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fix): _ State surcharge(12%of permit flee: it`ti, - - TOTAL PERMIT FEE' :`!.'••. Authorized si , :• ) e. This permit application expires if a permit is not obtained within 180 ` '" Print name: Bill Daniels ii:,ti ; Date: 4/26/2016 days after It has been accepted as complete. •4 .1.:t; * Number ofinspoctiomallowed per permit ts*e,.2.,.EntaaditnlPernallia.0 PsrmitAppiiiai+IS doe Rev 06r17/200 440-4615 l lAS/COMIWEB Plumbing Permit APDliclCE """ Building Fixtures t(1N tit ' i/ i 1 I "" City of Tigard MAY 12 2016 > eNo.;�ys id-G�/9-5" Is 13125 SW Hall Blvd.,Tigard,OhR�j� ``. t i n"anate/Bv. MPhone: 503.718.2439 Fac 5C4=. F 11kt�tx v Review: Other Permit No.: Inspection Line: 503.639.4175 T �^DIVISION Ona Reedy/By: !ii See Parse 2 for Internet: www.tigard-or.gov'R>1iLDING N� ■pp Sr�plenxoal anon i s . •. , s 4P j f: .4'.{tFit8.. ,',:.:,' `�F:'<e:•• ® :..uc i _. . ©Demolition .:, Fer special i*mtnisa arae deecklbt NewDescription I Qty. I EL I Total ❑Addition/aiteration/repleeement 0 Otlur New 1-2-family dwellings(includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION' .. SFR(1)bath 312.70 ®1-and 2-family dweDing 0 Commercial/mdustiial SFR(2)bath437.78 SFR(3)bath ( 50032 5OO.52 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 I:1 Master builder ❑Other: . Fire sprinkler(__sq SL) Page 2 • JOB srTE INF0RM0CN.AND)LOCATION . , Site mintier . Catch basin or area drain 18.76 Job site address: 1,leach line,o trench drain _ 18.76 City/StateiZiP:Tigard,OR 97224 �f 37$ .5'00 /g�/✓>� - c!u ng drain(m.linear R.:____) Page 2 Suite/bldgJapt,no.: I Project name:Polygon at West River Ter Manufactured hone utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 ' Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.:_ j Page 2 Water service(no.linear it: ) Page 2 Subdivision:Polygram at West River Terrrace ' Lot no.: let Fixture or item: Badd�vr prevent= 1 31.27 31.21 Tax map/parcel no: Backwater valve 1 I2.51 t 2.6 1 . DS OF WORK. . • • Clothes washer 25.02 Dishwasher 25.02 Drinking fotapain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER • . • I 0 TE1iNANF Expansion tank 12.51 Fixnuelsewcr cap 25.02 Name:ADVL God Hokiisgs,11.0 Floor drain/Boar sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/StatelZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phoma(602)694-4031 I Fax:( ) Ice maker 12.51 • • APPLICANT ❑ CONTACT PERSON• Interceptor/grease trap 25.02 Rusin' name:William Lyon Homes,Inc Medical gas(value:S_) Page 2 Primer 12.51 Contact name:Angela Grejewski 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 Tab/shower/shower pan 12.51 Urinal 25.02 E-mail:Angeht.Grajewski@polygonhenna.com Water closet 25.02 CONTRACTOR• Water heater 37.52 Business name:Malmedel Enterprises Inc. Water piping/DWV 5629 Addy:PO Box 207 Other. 25.02 City/StatelZiP:Banks,OR 97106 Subtotal Phone:(503)3240759 Fax (503-)3244580 Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lic:102535 PbmnbingLia no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C....... .. TOTAL PERMIT FEE Date:04/25/2016 Tbs permit application aspires It■permit is sot obtained within 180 days Print name:Carolina iHathaedal after it fin bees eetepted as complete. *Fee methodology net by Tri-County Building industry Service Board. - 1:1BvieranAPeruits‘PLINU-Pe mitApp.dm, t0/01/09 440./616r(I0g7/COMM B) City of Tigard ■ r COMMUNITY DEVELOPMENT DEPARTMENT IN T 1 n R I) Building Permit Review — Residential Building Permit #: /`isr,7D'/6 ea/9_5- Site Address: 7 .-3 W 7' r1" ee L Project Name: A� 77 L GfJ 4✓ems ��ra c� C Lot #: 7 (New ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A ve, / erify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ No [Yes,See River Terrace Review Addendum Attached Sits Plan Elements: 0/Three(3)copies of site plan to isting structures on site MAXto plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished Erawn to scale (standard architect or engineer scale) or elevations Forth arrow Utility locations(required for new,may apply for additions) I2 1 t e address,project or subdivision name and lot number +cation oflocation wells/secatcptic systems pplicant information (name and phone number) 1/.Erosion control(including drainage-way protection,silt fence of dimensions and building setback dimensionsesign, of h basin,etc.) Lot area,building coverage area,percentage of coverage and �freet names jimpervious 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 3 I I tine trees to be retained with drip line,and tree 4 foot differential) protection measures O4Clean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Di Public Facili�ti Improvement(PFI) Permit: -quired: I Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake land Use Case#: P c/s etO" // SY(,...2QjS /-190:* Zoning: , T :etback : Front / Rear 0Side ,3Street Side Garagee / // andscape Requirement: of Coverage Maximum: .:=2( 0/0 00 0/0 /- / // Building Height: Maximum Height /\J//9- Actual Height Q(_,0 �2 (L�1 isual Clearance asements nsitivee Lands: l/J Yes ❑ No Type LL — j,_G7.LP A3.? I Urban Forestry Plan VS ❑ Conditions�"Met/";prior to issuance of building permit G9/7e /4)NR SA�� /1'147 s, Til /at.-2,-A4/3z 12J1 E_e_ •Approved By Planning: Date: S./AZ e Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Fonns\B IdgPennit Rvw_RES_012116.docx +► ,. Building Permit Submittal Original Submittal Date: ��/ZAfo Site Plans: # Building Plans: # J Building Permit#: Enter building permit#above. Workflow Routing: Planning engineering (-Permit Coordinator E Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ' / - Date 9.2 Engineering Review Slope at building pad: ? ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved byngpeering: Date: Notes: ,�ar �� 7v Approved by Engineering: iii V - Date: _ 7/4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: 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: LSDC Fees Entered: Wash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: © Yes ❑ N/A Parks SDC: 125 Yes ❑ N/A 0 OK to Issue Permit - j-v LA.- a 0.4-1 o r.l,v • Approved by Permit Coordinator: C)Awl., ea,i,,,,.b, Date: 5 -it -(Co I:ABuilding\Forms\BldgPennitRvw_RES_0121 I6.docx w, v City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 114 , °= River Terrace Building Permit Review Addendum Building Permit #: 4l 577020/6 — DO/9_5- Site 9_5-Site Address: h-39-5— - -C1/01f7�,i�j-�P cia,Ce L.-i1t Project Name: Polygon at West River Terrace Lot #: -9-7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ❑ Yes ❑ No 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch mint. deep Gabled dormer ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide CI ❑ CI ❑ 2. Eyes on the street: a minimum/ of 12°0 of each street facing facade must include windows or entrance doors. Percentage Shown: /�. ' oI 3. Entrances:At least one entrance must meetvboth of the folio g standards: ax. 8 ft. setback from longest street- facing wall Parallel to street, angle no more than 45° from street, or open onto porch Entrance porch:opens to 14 Yes CINo Ifyes, all the following apply: sq.ft.min. V5ne street facing entry 12 ft.max. roof above floor of porch ft. depth min. ❑ 30%min. porch roof coverage 4. tailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: o /Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Rall offset m . 16 inches ❑ ormer min. 4 ft. wide oinof eave min. 12 inch projection VIoof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade 'Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep Cl Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade • a:es and Carports: May face the front or,side lot line on a corner lot. Setbacks: P h No closer to front or s.• - •t line, than longest street-facing wall. ❑ ,- a No. If No (Check one): ❑ May extend up to 5 ft. if there is . •vered front porc • -• garage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is .•, -61 a two-story building and there is a window at the second story above the garage that faces the stree ••• a min. area o ' • ft. Width: (Check one) ❑ 12-foo - •.s e garage door ❑ 40%max. of street a ., I% max. of street facade with 7 detailed design elements Notes: Approved By Planning: ~ c________>� :iDate: SA /j�, I.\Building\Forms\BIdgPermitRvw_RES RT 031416 docx POLYGON 1a NORTHWEST COMPANY April 27,2016 APR 27 2016 11 Mark VanDomelen � 0 (1`1 R I Building Official 1,31E ,u►$N(R f)JVISft) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74-17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop A& -64..9-cc Gn/ /` .57247/b—OO/9_ Lot 79- /7375' -55 ) �'✓ 5 Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82 - 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94- 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98 - 13840 SW 175th Ave Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102- 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street, Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygon homes.com CC'Bkl66871 POLYGON /a NORTHWEST COMPANY Lot 111 - 13787 SW 174th Loop Lot 112- 13 853 SW 174th Ave Lot 113 - 13837 SW 174th Ave Lot 114- 17372 SW Jean Louise Road Lot 115 - 17368 SW Jean Louise Road Lot 116- 17344 SW Jean Louise Road Lot 117- 17328 SW Jean Louise Road Lot 118 - 17302 SW Jean Louise Road We greatly appreciate the City of Tigard working with us in order to get this project underway,we look forward to building this project along with many others within the city of Tigard. Sincerely, Chris Walther Project Manager 503-312-6213 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polvgonhomes coin C'CB#16687 I Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17375 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00195 David Young Provide approved erosion control ﬁnal inspection prior to building ﬁnal inspection. Provide approved plumbing, mechanical and electrical ﬁnal inspections prior to building ﬁnal inspection. Not ready for building ﬁnal inspection. Investigative fee applied for scheduling 3 ﬁnal inspections prior to work being complete and ready for inspection. R109.3 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17375 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL October 28, 2016 at 10:17:42 AM MST2016-00195 David Young Interior mechanical Corrections from previous failed inspection not complete. Violation Summary: Inspector Contractor Plumbing-Permit Application Building Fixtures I OR 01 ! 1( t I til t1\1.1 City of Tigard �,._� -^:^,; Red-6a--tt•Y: /0f0 f f(e al Part uyy t 5T olt,, II — 13125 SW Hall Blvd.,Tigard,OR 97223 Phone:_503.718.2439 Fax: 503, 98,1960" Plan Review Date1B}: ,,,h pe Permit No.: i Inspection Line: 503.639.4175 Date Read/By:... rte;:. I 0 See P. 2 for Tir.,\rl-, x se Internet: www,tigard-or,gov - ' Notited/4tethod: Supplemental Information ' TYPE OF WORK 1 " ELLE )o.New construction 0 Demolition Far special infarmatirtn use checklist Description i Qty: I Ea. j Total ' 0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility rnnnectartn) : CATEGORY.OF fa?"'S1RUCt79til SFR{t)bath a 312,70 . ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.7&. . buildingSFR(3)bath I 500.32 Q Accessory 0 Multi-family ! Each additional bath/kitchen 25.02 Master builder Q Other: Fire sprinkler( sq.ft.) Page 2 .:.1-iii aiti'li''FOR TT01 t AMIE'LOC/VIT Site utilities, Job site address: ,,��S SW C-e G,A,e. \C - Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 *^� ` Drvwc11,leach line,or trench drain 18.76 j Footing drain(no linear ft.:_) Page 2 i Suite/bldg.apL no.: 1:Project name:Polygon at West River Ter Manufactured home utilities 50.03 T.. Cross street/directions to job site: Manholes 12.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear fl.: 1 Page 2 Water service(no.linear ft.: ) Page 2 Subdivision;Polygon at West River Terrrace Lot no.:''%O1 Fixture or item: Tax map//parcel no.: Backflow preventer 31.27 Backwater valvei 12.51' DESaIWIION OF WORK .` . _ Clothes washer 25.02 P , (Idol! Ytli. Dishwasher 25.02 Drinking fountain 25:02 Ejectors/sump 25.02 ®' t� I .TENANT Expansion 1251 Name:ADVL Land Holdings,LLC Fixturr/sewer cap 25:42 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 25:02 Hose bib Phone:(602)694-4031 Fax:( ) ice maker 12.51 rv. ` lntcrctttorlgrcase trap 25.02 II, r Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page<2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12,51 Address:109 East 13th Street. Sinklbasirt/lavat y 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 E-mail:An ela.Grnjew i o mes.com; Urinal 25.€32 8 skt@po y8onh Wates closet 25:02 . Water heater 37.52 Business note:Alliance Plumbing LLC WaterpipirtgJDWV 56/9 Address:146 V►'Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)4923490 Fax:(503)912-6438 Minimum permit fee: 572.50 , Plan review (25%ofpermit fee) • CCB Lie.:184601 Plumbing Lie:no.:PB732 State surcharge{12°lo of permit fee) Attthoriied:sigr►ature: I TOTAL PERMIT FEE Print name:Robert Dishlnan: Date:5t2312016 This permit application erpites if It permit is not obtained within 180 days -... after A bas been accepted as mnapktc *Fee methodology set by Tri-County Building Industry Service Board. l"'BuildingTennitau'LA4t#-PennitAppdoe 10/01/09 444.4at6T(10/021CAWWTe6) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17375 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal CNCL October 28, 2016 at 10:01:38 AM MST2016-00195 David Young This inspection passed previously, see inspection dated 10/26/16. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17375 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00195 David Young Provide correct length on dryer vent duct. 1.5 ft does not get out of laundry room. Dryer duct to be capped and labeled " for future use" if equipment not installed at time of occupancy. M1502.4.6 AC pad to be 3" clear of grade. M1305.1.4.1 Violation Summary: Inspector Contractor