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Permit (65) CITY OF TIGARD MASTER PERMIT II �, I = COMMUNITY DEVELOPMENT Permit#: MST2o16-00140 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 2S1060002900 Jurisdiction: Tigard Site address: 13711 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 106 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/21/2016: REPRINT to add 220 sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $356,003.91 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 5 201-400 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 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,266.38 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 thro •h OAR 952-'01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r� Permittee Signature: �✓ ���"/e'� e" � 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. 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 I - Transmittal a Letter T z G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION a ; .:; FROM: Angela Graj ewski S E F 1 b 2016 COMPANY: Polygon Northwest€t • ',41 PHONE: 971-212-2144 Bs:•" "etle HO RE: 13711 SW 174th Loop MST2016-0024.9._ (Site Address) (Permit Number) Polygon at West River Terrace lot 106 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 3 Revisions: Add Covered patio 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. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. j r"k% Routed to Permit Technician: Date: 4 -ao - ) C Initials: Fees Due: Yes ❑No Fee Description: Amount Du-: ,4,/ /71,Al /-----&-- -. $ s_ p�/v it; $ ih%3,, Special -6 �T - o`o�. 0 0' `Z e _ ,v. Instructions: rz TSL q1 /7 , // Reprint Permit(per PE): gYes ❑No FT Done Applicant Notified: ,.9-4/6-.7 ,-- Date: ..;z/j7/(a Initials: 46 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1111111 ■ I [Gis Building Permit Review — Residential Building Permit #: /V.5-7--;26,/6 De/ro Site Address: /SW/ Sim /-9z-M Lear Project Name: At-oil a�71 lt,P,2/ ta� /er- "�-P� c2 Lot #: JU/e (Ne a ing=subdivision name;Addition or Alteration— ast name of owner) Planning Review Proposal: 4 ie erify site address/suite#exists and active in permit stem. R River Terrace Neighborhood: 0 No ICJ Yes,See River Terrace Review Addendum Attached Sitelan Elements: ' free(3)copies of site plan 0 11'.sting structures on site Mite plan must Ile on 8-1/2"x 11"or 11 x 17"paper !Footprint of new structure(including decks)with finished Wraven to scale(standard architect or engineer scale) floor elevations orth arrow 7Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot numbercation of wells/septic systems plicant information(name and phone number) Erosion control(including drainage-way protection,silt fence 1 •t dimensions and building setback dimensions sign,location of catch basin,etc.) r. it area,building coverage area,percentage of coverage and eet names pervious area(applicable if R-7,R-12,R-25&R-40) V eet tree size,type and location Ige Property corner elevations(2 foot contour lines if more than 'sting trees to be retained with drip line,and tree 4 foot differential) protection measures Pl4 lean Water Services—Service Provider Le�ot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: 0 Yes 0 No thif Public Faciliti,( mprovement(PM)Permit: •/ equired: lB Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake tiAnd Use Case#: AA .407 - SA L -su,6 t�)LS e9Opo( Wig^ A_4 e lU etbacks: Front ,e, Rear 1 Side 3 Street Side 1=3Garage c-2?(!)Frjandscape Requirement: eQ0 % 0'n 1-- t _�°t Coverage Maximum: 0/0 I V ` G}�� `�`�n .. C 1" �(� L!L wilding Height Maximum Height / JJ/p Actual Height V2 5 /Visual Clearance v.fUasements Sensitive Lands: 'Yes 0 No Type tat).-vy4tz J ❑ Urban Forestry Plan 0 Conditio "Metz""prior to issuan c of building permit j Notes: —C�74 .754 -- / ) t lav!' 7 /laSlfiaric2 Approved By Planning: 41 'i't t E d o Date: q/4/ 1 (., Revisions (after Building Submittal only) Reviewer Date Revision 1: -Approved 0 Not Approved 115/ i(P Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Forms\BldgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: /V/iA> Site Plans: # 3 Building Plans: # ,,3 Building Permit#: Enter building permit#above. Workflow Routing: Er Planning C'tngineering Ci--Permit Coordinator EL-Building Workflow Sign-off: ©"Sign-off for Planning(include notes from planning review) Route Application Documents: Er Engineering: (1) copy of permit application,(1)site plan, (1)building plan and original plan review routing form. er Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 412e,976.30_f_e _. Date: ,,s6///0. 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: 0 Yes p No Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot: 0 Yes No O NOT AApp�rroyed)y Engineering: / / Date: Notes: C.�ia��+ 0/ C7—4 o&rvilf- Approved by Engineering: 42 .0 Date: 4/.7,_/, > Revisions(after Building Submittal only) IIpps� Reviewer ate Revision 1: „El"Approved 0 Not Approved to t K w .ek I 'l (b Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O Conditions"Met"prior to issuance of building permit O 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: O SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A Tigard Trans SDC: 0 Yes 0 N/A Parks SDC: 0 Yes 0 N/A I OK to Issue Permit Approved by Permit Coordinator: (` ��t t,(,),,,E;,,1 Date: `Ti ") u b • 1:\BuildingWorms\BldgPermitRvw_RES_012116.docx CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT COMMUNITY MST2016 00140 IN 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 T1CiARt3 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13711 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 106 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 27 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $351,093.51 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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 Tvoes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add]500 sf: 5 201-400 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 1 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 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,092.27 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 OA-952-001-0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /' API � Issued By: iC , e -- Permittee Signature: 0/1/ />LPVe-,ci--7 °,\/ 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. IL CITY OF TIGARD MASTER PERMIT Permit#: MST2016-00140 `' COMMUNITY DEVELOPMENT Date Issued: 06/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13711 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace,Lot 106 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 o Height: 27 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Yes Detectors: Dwelling Units: 1 Third: 0 sf Right: 3 Total: 2909 sf Value: $351,093.51 Rear: 15 PLUMBING Laund Trays0 Rain Drain: 1 Urinals: 0 Sinks: 1 Water Closets: 3 Washing Mach: 1 ry y � SF Rain Storm Sewer 100 0 Lavatories: Sewer Lines: 100 5 Dishwashers: 1 Floor Drains: 0 Drains: Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 gckflw 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 N Garage Opener: N All Ystem: Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: Ecompasing: Other: N Other Description: BUILDING INFO Type of Constr: Occupancy Group: Square Feet: Class of Work: Type of Use: Yp 2909 NEW SF VB R-3 Owner: Contractor: Required Items and Reports(Conditions) ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,005.25 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug AR 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 Y Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Buildi �Permit APPlication ;uFOR OFFICE_1 SFO>I-4 161-6. 1§1 jet) D ved 4. / �E PermitNty it, �C x/ � City of Tigard other P ���/�vL�/6d'� err OR 97223 Plan Review 1 - 13125 SW Hall Blvd.,Tigard,503.598.1960 AP 4 2016 Date : J hair. H See Page 2 for Phone: 503.718.2439 Fax: Date Ready/By. Supplemental Information Iection'Line: 503.639 4175 1 Notified/Method:Tic,;3:I) Internetspwww ngard-or gov CfrY 11, r _.__ •.. u �.,s -1 permit fees are based on the value of the work performed- " — Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction equipment,materials,labor,overhead,and the profit for the ❑Other: work indicated on this application. �, -: ,� ❑Addition/alteration/replacement ,�, ,,-_ . -. . ,.. ,.,.. Valuation: . ,:..,.1- ,, .. , - . ❑Co mmerciallmdustria] ® 1-and 2-family dwelling Number of bedrooms: 0 Multi-family Number of bathrooms: 1:1Accessory building �'2 `7 0 Other Total number of floors: 2 J CI Master builder -- . -1;4 . -aFasi. ""; , square feet E- P_,_-,.-.4,,,,,,,,-„_,,_4,....----6,- � , e` : � I New dwelling area Garage/carport area f n Job site address: I VG square feet City/State/ZIP:Sherwood,OR 97140 Covered porch area: l square feet • S` Project name:Polygon at West River Ter square feet a " Suite/bldg./apt.no.: _ Deck area: Cross street/directions to job site: Other structure area: 1, square feet --- Lof no. /In. ''Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Tax map/parcel no -. :`` ' " work indicated on this .••neation. �� , Valuation:' � f . ,.�,� r- gt.. . .--,.;... > >, — square feet New Single Family Detached Construction Existing building area: New building area: square feet . -� w ,_ s; Number of stories: - �12, g �r : � '=1.4...27- �= Type of construction: // �� Occupancy groups: Address: , / /Ng t►_ .ifil_reg, 4,47. /A �_ .. 11011‘,� l , Z. �nr Existing: City/State/ZIP l LTJ �1I. ,. . New Fax(360)693.4442 -: • r ,L -7 S £�i 9 1,! -!,"•'.,,,.••_=i-,i•� ,,f `54 . ,if:t- --- Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Business yg livable Contact name:Maggie Gordon FLS plan review fee(if app ): Address:109E 136'Street Total fees due upon application: Amount received City/State/ZIP:Vancouver,WA 98660 ��� Fax::(360)693.4442 -. �-• ` ,i ,� i 1 ., Phone:(360)695.7700 _ ,r Commercial and residential press np ive installation of --- E-mail:maggre.gordon@polygonhomes corn d Photovoltaic Solar Panel System z`': roof-top mounte details ' �` 1 ^� ` '�'� Submit two(2)sets of roof plan with connection s .-17`..-- the 2010 Oregon _� �— alon with and fire department access, g Business name:Polygon Street LLC Solar Installation S••via/ Code checklist Address:109E 13"°. Permit Fee(includes plan review $180.00 and administrative fees : City/State/ZIP:Vancouver,WA 98660 $21.60 Fax:(360)693.4442 State surcharge(12%of permit fee): - Phone:(360)695.7700 $201.60 Total fee due upon application: CCB lis.:207247 t-mitis not obtained This permit application expires if a pe ted as complete_ tiro , within 180 days after it has been accep Industry Authorized signature: This methodology set by Tri-County�B'���g -_- __,. Date:1Z/11/15 Service Board_ Print name:Maggie Gordon - 2/242011 440 4613T(11/02/COM/WEB) _ 1:\Building\PermitskBUP-RESPermitApp.dos 0 ,- Mechanical Permit Application I(yl.()lit( I. I .I-:()!}.1 ` 1 ,' Recetvcd F'r'uit t'. city of Tigard Iti , elate R v 13125 Stir'11a11 Blvd„Tigard,OR 9712—') C Plats Review Phone: 503.718.2439 Fax: 503.598.196(} C) )fl\ rxate/a4. Other Permit �a.. 147tH" to See Page 2 fur E €C,4 et 17 Inspection Line: so3.639.417s IVR Y�Reath. . Internet: www.tigard-ot_e©v y�e ��, Ndi «ihtethnd: Supplemental Information LAI „f f 4 )11....,1!! t( ...,a._i y• ¢�` *'**"' #• < I- Mechanical just 8 C based on valueof the work (l a til New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)ofall. 0 Other mechanical materials,equipment,labor,overheat and prstit. 0 Demolition Value:$ n s _ w IZ I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forweird information use checklist. Multi-fatuity 0 Master builder 0 Other: Description 1 Cly. Ea, 1 Total ' lta .. �,..;. �� tea, c - Job site address=r 1(1 SUS Il(t 1 D ' Air Furnace 100 000 HTU tdrtctslvetsts} 4646.3755 City/State/ZIP: �r`, )0d. O /--‘\' \-I 0 Furnace 100,000+13TH(duets'vents) 54.91 l }feat pump 61.06 3 Suite/hldglapt.no.: Project name: 9O k L'� cd- 0,.0)7}- Duet work 23.32 I Cross streetidirections to job site: 3 t-C`Y try dron is hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 , Unit heaters(fuel-type.not electric), in-wall.in-duct,suspended,etc, , 46.75 I Flue/vent for any of above 2312 Other: 23.32 Subdivision:River Trrrazx I of no.: Otbttr fuel appliances Tax map/parcel no.: Water heater 23:32 ° - Gas fireplace/insert 3339 =. Flue vent for water heater or gas HVAC fireplace . 23.32 Log lighter(gas) 2332 Wood/pellet stove i 33.39 Wood fireplace/insert 23.32 , Chimney/liner/flue/vent 23.32 rt1 ' offt � �� 2: � ° ' 7her _ 23.32 - rY .s » % a. .. ,,,. , EaYirc+umcu l exhaust and vraBlatioa: Name: i.....vRange hood/utter kitchen t equipment ' 33.39 Address: / ' Mtit tf .►O i'/C ® :.a A L t . /. Cloths dryer exhaust 33.39 lSingle-duct exhaust(bathrooms, City/State/ZIP: r To 1 , AS52 toilet compartments,utility rooms) 23.32_ Phone:.r:, . . O7"' /# 3 Fa >...,# ., , . Atticc arlspare fans _._. 23.32 s " s t 6� 3 - iue ` uers„ r•;x � kler 23 2 Fuel piping: Business name:Apex Mr LLC I 514,15 for first four:$4.03 for each xdditioual Contact name:Staci HayFurnace.etc. —: Gas heat pump Address:2210 W.Main St.Suite 107-272 Wallisuspended/ttnit Dater City/State/ZZ IP:date Ground,WA 98604 Water heater 1 Fax:':(360)326-1769 Fireplace . Phone:(368)342-81U9 Range E-mail stacth apexatreo.com Barbecue .4- ',,,,,!.....--:!--.,:!1.!` tt 1 :1 �tii is i. Clothes dryer(eas)I �� alt ” 44 --,,WP:',;:',1!:',:M.4 .` ��,r,e .�. m'" _ ., .w.s , N -..': _ e.° Other' Business name:Apex Air LI C' r Ift '€z a a z! ` c) , ri Address:220 W.Main St.Suite 107-272 - Subtotal WA Minimum permit fee(590.00)Cit} City/State/ZIP:Rattle Ground, 986t14 Plan review(25%ofpe€mit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12°l0 of permit fee) _ _ . TOTAL PERMIT FEE . _ I CCB lie.:203834 This permit application expires if a permit is not obtained within 15O days alter it has been accepted as complete. Authorized sign s '' 'U / rte- ,,,. • Fed methodology set by-Ori-County Building Industry Service Board I t' t I Date:1128/2016 I Print name:Stac1 hap ]] t:riurtdstrFct i4441tejtmxirAppfig E 13 dc>c 440.46t74T 11 t.'Cs_r ot.vwEBF ' ` ' Ati-11 hick tia u zrz is r L. r r �x .fit 0fTig r t„. . 7 F» >°., 0,.. 13125 SW i?el!B#i+d, 7y4ard:t t s' f!'--' t ” ; )1511 sw o PI(o2ie 503y18.2439 Fate 563,591.1964 1>atNSY •ttdatcdPandit -a bas, 175 ADR 4 2016 �y ,w,i Pszera�z�4 TIC; RL. TriT a 71(ti rd-0,43* 34 od tkiji, ement4,(Pifo 2Okittrnn 0 ice . , i �-,' .,zop z,� ip �. • Aq' ' l S'feaYtt utkilxm t z7sapmAZsrbsxfOfe!cnwlFlrmsd ul } "`tee .'„ 5'� �# _ • • d' ❑8 fx�iedcA00a„q>a�maf'b (�>�vltd,niso� fbv stones; .00,#.9g4,6*, .a. 1111:.: a� wl4,re'd*cisrlu"fsidcfaukwnrnt C Miu�nts�m,41#1 ardor , :°� ��1 ! i�t tlYa ,� F,� exccdt 0 0�- nt 150 Wft3 or El J.mSYbusiding . 'i'a I ori - ya-'Hing '07-e 3uiercla i dustnIl '[]AcclSsoryb liliii $''Q1Y1�nr s,,- © uuala�se agicultw l LQlfulfl-famt3;+ [i asterbHiider .0 Other LJ�p0:4P, li 1 ltr of150KVA tstoU titi s -7.';''Z' ?'.t., ..tit :4<1MU L A. e:., _ EmttBeyap tai r.,1ieiyder. Q or '„z d � 21.:';'':.'1..t. �,3tig �k°t. ::�� r+ \� ❑J�1 +orn niotnrioidof `\( 1 D - C �, 73, J`b lob site address; ma or ir101E ©Si%ermoieit4dentiai units; oe0,:ir¢y CJl ialtli-saratiatus, C�rtyJ�Statc�ZTP Sherwood did 97140 [ilteTeatwnai Yeiudcpa,l6. 0 Suiptivjoitigefo.rmmeilign Sl9t1p : . Pco, nacHe: ❑(�taCfYkrf {tDrimrpGa� Damppr}tnmC. bba v.x�1,0, 4{. , Coss&tret! iestrnstojob sit; i. i 1,"1 �a„��. •r.. . e . hlzxi.„-idaa t 41in I. a ik F"..`.'114=9". 1'i Ne4Wrepdenb 15h gIo ar,utaan1161'4 lelltrfg,*It* S tlxitviston;Rlver T he: 1 7:4tV: h lnclnde;atiaebedgarag 1 -WY' iA064.it,ar less • 16L54 4 7'ax*P4 f1ggfipt9 RFS€R1YfIt)Td O1 [Yiit F imged a fgy residential 7300` r f 1,4ihabovesq il') §lagl >4arhlly Lamited energy,meiti tam41y 75,00' 3 1 ,.. .. les`t4efit�F(iyittiabvvesq_R:1 Iienearab7eEuery El 2ePtike2 •:�o.°.'''',....;:1:':."i S C3t.6R`3t .. . .. :1.'.1171-414:r.."` -,' Serir46*(siiideks`liislalatioptattrxaiion,antkar relocadoli ,az"nlfl or ltks ,,.,f 00"70 3 X40 . 9 -V / . N , 11 1 amps_tndoo�mp. l3'-, ' / ® _ •.,111 ilj WSJ :� • 401 ajr4pStn6Wm3>s, 7A034 Z �w y s / Z ��AY 1 r -..0,::„„)%. t oob P 10104 ' 1)2-- U i Far..{ }, . .4rnpSo Vohs 5$2.26,, 2 Tempo�ga-Y strvtce3 •arteedas Tirstai[aGoa,alte<9•a6oiy andloi • - Emait:t rrloeafiun • Owaehn's'taIb twn Itis itistal.lation is being made on property that I own ivhicli js not 200 anlFa or'Iess Ii 5936. ,1 itltonded yar i,.1.11,‘,...Icase;.rout or cacebang .aocorrdmg to OPS 447,44%0-70,,440701, • 2-0-1i4, ,,...40.0,to snips i 125.02 2. QwnEtkrgtli j} 401 atm.t0:$99traps li 168.5_4 Ifl) 2. . ' •COTiTA C.'--RSOf4 BranchArcal& saw n1tehation,or-extt$lsion, erpanei x. :� ,t . � a<, .,.� t . ,< A F£e�7r=61artc3t>;xrnwlavrrth Bustltess crams Garliier�:iet r ft 13'a!hingfan, ,LC alxncse,lace ortecdertece. 7_43': 2 :eadilxarrott.c,asfat 1) Costar hiaatC.BIH Daniels It FEE b .fr811eit,Circq$L4ifidipt+l Actr ess;6101„1' Sr-TO-bar.Rd branchaire rit • airihivoitcsii4ci•fee,Ora 56 l8 2 Citiy/Statc/ZIP Y ncourerWA,98601 Eachaddd.biaachsrr .ar 7A2 2 Iftscettaneous,{eerrite or'fecder got incltidei1} Phoii (3,53)330-41 .Fax::C ) 1 ma4iiillicuuz dkoe is<odui s1�# .2' .. •�twt1411S.'sctviee.00/oriccder tt,ai! bdarileis(atrertsn coin •Recantiatantp 67:84. 2 <. n. .ax.< X.. �a .....< 0AN ?Li{ .. • ... , rtunporikfgationtictc, 6724 2! `Bustoess Hattie-Garts+tr Eteetrtc VVushingten,TALC ,9rga or outikCjiglitaxg 67 14' 2 Signalcnclut(s)Or;80�d<eoetgY 3ctPa•gt-a 2 6161 WESUohns73t1 0264,therr5on.reekta,istwt. . .• . Fadi earttlroaxl3wiucllvn irri-alltt;Yahlc7n arty ofthe aboie Cty/ IP,Vancouver Vir.I,98667. .., tlrld_.ttonbl lbspacHott,l ju4nit4 0** Phore.(253)330-1657 Fax.( ) Inw4bgaucn(1 brisk) 99;0.q..:*. _ . I Email bdoriieis+rr�gwtusa.com hide i autli lir islh) 781.$/13r : 6MtMOTatU'hl�aol' is CGB L-ic. 01158 1 Eleetricai,i ilia 208174 I Supra:Lr 4496S j j�J �eaaiiiiiY hued t .lif Supry BlectticrarraiguQhirc,required, Sublvtni Print nei> .1oan'P Alb*, Data III tai .D PlgiilZerinY ltetjutred(25Y. tp;+nnit0t:.)i `i . ..:$4*'44itrgc<(2*,if4u nd 1k)': , Authorized sigtrature t"O'f .FBRi iT1A6. t Tani mttir 11.,.q,r epff011fla'pnrmitlasato11P0ed-Aviihin um PrialHatHe I i1tD sit 1s 1i d ys a ed u s>i ',xrs a<sioai,,kte 4 : Ringitiarri4Oreircitisatla.,edpvpsrinit r. ,u iroi,e ie 0..sratixpy_MA +too itotortrmi$ 44434arsrfiVirieojuwaa t , 1 Plumbing Permit Application Building Fixtures 1. 9 / .-. ,,r6 k—F V Pcrmii Na jlf�s7�1/k 0/i 0City of Tigard .. I1u 13125SW Nall Blvd.,Tigard,OR 97223 Ocher permit No.: 111 ` Phone: 503.718.2439 Fax: 503.598.1960 APR 4 n o 6 s Julia: M See rage 2 for inspection Line. 503 639.4175 Sit.•lemenfal information 1 i C: .1'.,1.) Internet. www.tigard-or.gov v c I i ° ` x Far special sttforxeatton srsc checklist ;e. s � 1. l Qty: ( Ea f Total IIII New construction 1111 Demolition Description ■ Addition/alteration/replacement U Other: New 1-2-family dwellings(includes 100 R.for each utility connection) , ,44:44. '' SFR(1)bath ' ,.. ��, .-; �.. ter.. t A #' 4 „.. ;., ° .� SFR(2)bath 31270 437.78 U 1-and 2-family dwelling ■ Commercial/industrial SFR(3)bath 4 500.32 D Accessory.building 0•• Multi-family Each additional bathikitchen t ❑Master builder 0 Other: Fire sprinkler( sq.FL) Page 2 ,. site utilities: s ; a � s,' ias� ��, 18.76 DF Catch basin or area drain Job site address:/ S i Drywell,leach line,or trench drain ' 18:76 City/State/ZIP: J R r )0 0 0 .1-k k•A r) Footing drain(no.linear It: ) Page 2 Suite/bldg./apt.no.: Project name: 9. •. j. Manufactured home utilities 50.03 ' +� , ("fegA /) Manholes Cross street/directions to job site: t' V ► t'n> 18.76 Rain drain connector Sanitary sewer(no.linear ft: ) Page 2 Storm sewer(no.linear it: ) Page 2 Water service(no,linear ft...: ) Page 2 Subdivision: I Lot no.:/Ott) Fixture or Item: Backflow preventer 3'127 Tax map/parcel no.: Backwater valva 12,5 i ► Yui a t ``tet 4 . ,..,,,,,,..4^., .,' ` Backwclotheater washer 22.502 1 F -e_U3 p 1 1 ull ej— Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 2.5.02 a Y Expans � P. � ion tank. 12.51 , s ..,.#4,%.‘.4.W./i,",,• „ . .:�. ' 1 , a. Fixture/sewer cap 25.02 I- Name: fla Floor drain/floor sink/hub 22:02 ' Address. I �/� y� /2. J, Garbage disposal t 4 lYW _�j�`/�"�'✓, `,'� Hose bib t City/State/ZIP: 4 ,486-24;74 ) ��j Fax Interceptor/greaseer 12.51 KTUffr Phone (; / 1 Loci(.�- +1 �t�l r'1 ti L 25.02 trap .t tet`a �. a--........- -$.F _, s : page2 %..,,�,,d _.�,.�,.. ,.�� i•�_, t�_ .. 1 F. •, Medical gas(value:$ ) Business name: ,V„}^"1-t r'” ,`.-.r„1,4-�,,. t•)f 1.k..t Y.'i1 r /at _V C Primer 12.51 Contact name: 0yle , -,t, �3 Roof drain(commercial) 12.51 Sink/basin/lavatory t Address: pc) €�t 34., €���s Ci /State/ZIP: r �h o-)0s-0 Solar units(potable water) 62.54 tY `' �`� Tub/shower/showerpan 12.51 Phone:ell I3Fax::( ) Urinal 25.02 E-mail: 1,(t-'Li. ., t it; a 0 0 4 i Water closet NM 25.02 a r s1 „ �° - Wafer`heater 37.52 Business name: 1... ,�('} „-.,C.a.�t'! , (i :�✓" '1i t , Water piping 29 Address: PO )t i + -.r" Outer Subtotal City/StaterEP: ,y-.c•..61-, CO 436Minimum permit fee: $72.50 Phone:(9 1)1) g- _e87433 Fax:( ) P Pian review (25%of permit fee) CCB Lie.: - Plumbing Lie.no t j State surcharge(12%of permit fee) Authorized signature: TOTAL PERT 41 t FEE r , This permit applimetion expires if a permit Is not obt9ined within 100 days Print name: 1 f {f:isf F E 1 I Da ,a,-.9 /( after it y hasbeacceptedIndus complete. *Fee methodology set by Tri-County Building Industry Service Beard :islBuiidiugiFamiisunme8cnutApe.aue 10511/09 440-4616T(051VCOMMEH) City of Tigard ■ qUPI COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: /f7--;20/6 -- D /VC) Site Address: /SW/ StO /9 L Or Project Name: A�Z -c ii �e--7/ f''rfei- -Terrace Lot #: J6)(, (Ne c ing=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: , i.4 if/J erify site address/suite# exists and active in permit stem. R ver Terrace Neighborhood: E No 1CJ Yes,See River Terrace Review Addendum Attached SityPlan Elements: ree(3) copies of site planJ sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper FA Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations Peyorth arrow Utility locations (required for new,may apply for additions) e address,project or subdivision name and lot number10 cation of wells/septic systems plicant information(name and phone number) Erosion control(including drainage-way protection,silt fence Iv .t dimensions and building setback dimensions sign,location of catch basin,etc.) I.Lot area,building coverage area,percentage of coverage and )eet names pervious area(applicable if R-7,R-12,R-25&R-40) fiRf eet tree size,type and location Property corner elevations(2 foot contour lines if more than 0 sting trees to be retained with drip line,and tree 4foot differential) protection measures plry Alean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): uired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Fac ImprovementImprovement (PFI) Permit: equired: ® Yes,applicant was notified ❑ No Applied For: El Yes ❑ No,stop intake nd Use Case#: /61) Q0r C� /J Lt..6 o�'�J� (-56o0( , Eoning: P J - etbacks: Front /'a Rear IS` Side .3 Street Side r Garage c© F'/Landscape Requirement: cQO wof Coverage Maximum: ,�r-� ilding Height: Maximum Height 1U/A Actual Height / isual Clearance yasements Sensitive Lands: 'Yes ❑ No Type 2 — w4 i ‘1 ❑ Urban Forestry Plan ❑ Condition"Met��J>"prior o issuance building permit Notes: 7hc t 4 C ) 7/ pi--, c-- 7A /c2_ .r1'. / g1 1CJZ Approved By Planning: 41 l (JvIn - 6 iI 0 Date: q/cl/ lc, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B1dgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: /V//fry Site Plans: # 3 Building Plans: # `3 Building Permit#: Er-Enter building permit#above. Workflow Routing: ©"Planning g"-Engineering 11-Permit Coordinator a-Building Workflow Sign-off: /2" 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. Er Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 41110 f Date: `/k Engineering Review /Slope at building pad: ,J Conditions "Met"prior to i•uance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appro ed 'y Engineering: Date: Notes: - moi- .h. ..G y_ ,. Approved by Engineering: 42 17 Date: 4 _ 7--/,‘ 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw RES 012116.docx City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT i 7 ■ T t G A R D River Terrace Building Permit Review Addendum Building Permit #: /if s 7;2 0/60 r 00/r-0 Site Address: /39// al ) /91/4 /t Project Name: , Q Lot #: _/ (New • g= 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 façade 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 deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft. de ❑ 111 ❑ 2. Eyes on the street: a minimum o/c 1 % eavc street facing facade must include windows or entrance doors. Percentage Shown: / �_ 3. trances:At least one entranceeee must meet both of the follo ng standards: Max. 8 ft. setback from longe t 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 s,all the following apply: 5 sq.ft. m . V9111ne street facing entry inft.max. roof height above porch 5 ft. depth min. 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of ie following elements on all street-facing façades: �/ vered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ormer min. 4 ft.wide Roof eave min. 12 inch projection oof offset min. of 2 ft. ❑ Roof shingles either tile or wood able,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 1/2"wide by 5/8" deep ❑ Window recess mm. 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 façade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No loser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): `"ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. I 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) ❑ 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: 1�=' j 6....--- Date: '70 1:\Building\Fonns\B1dgPennitRvw_RES_RT_012116.docx Minting Permit ApplicAtion L __j: • Building Fixtures FOR 01•11C'E us ; OM_\ : it City of Tigard Ditcateclear,- 7 /y - xtffir- Fftiolvt97-; -be/ye r .., 13125 SW Rai Blvd.,'As.*OR 97223 111-- Fhoow 503.718.2439 fax: 503.59&1960 2-424---Elm.jew: 01b4Ituni 1 i'10.: - .1 1i i.r, Inspection Met 501639.4175 . • DiftR„dyn:ty, Mr I &I Sgehi,e2fer . rutenret www.tkqud-or.gov %Aced/449d: 1 Seppknental relbrusurea •.*:;1',..414:':.;14:4%•'7v.:Ziir:',Zrs".7..**.r.:.**44:-.4:W:• ::';'.):-7i?. . * ': :i •I:r1. . : '2:.' . . .; _,. ;!:.,:.2:2!-:.'.:-•;:::::';•. ew construction 0 Demolitionvccb.x.1 bgenttarram rise cbearcte--*'. Dascription Qb,.. 1 ..Egg. i Total. 0 Aderstionialtcration/replacernent 0 CA= Flew 2-2-tiunii . 1, .: includes.100 it for arch,• • connection - • i'S 81:1t(1)bath 3123011.1111 KO-atid.2-fettelydWeiiitig Pri,11".1111741,1,10.. ',.., „, .11111111111111 SFR(2)bath IIIIIBICEIMIIIIIIIIIIII SFR 111 50032 III . 0 AeCoestnY building 0 Mniti-ttentlY &lob additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(___sq.ft) Page 2 A 'i'v0****P.--*P)*WK:g*:.:log4.. ' ' ..,,i;g1` sit.'mama C.atch basin amen drain MI job sit"ddrws: J 37j/ i IV i7qm LDo 18.76f? • , Drytveg,leacb litre.or trend drain 18.76 City/StateIZEP ,n „. Food*driin(ne.Liam it. _) Page 2 SnitathadigJape.fao.t. I Project num/•%-io Zy a 0^/ ff-r" .r "4rT.. - ,. .avallillaill "45 Crow streetkiirectionsitijob site: WES',--/2/4-4 7-argeec .m.,,h, IN. 18.36 Inii Fade drain connector 1&76 Sanitatyausher(uo.blear it.t.,.,,_) an Faii2 1111111 SEoem sewer(no.linear ft.: ) um . . .. , subdivisioni ; I Lor no.: /0( iume or item Backflew preventer 3127 Tax map/parcel no.: z;:ix,.:;;.M.:casie.e,:iivLE0*0.01***-30. .:,:: ;:f ..;,::: ::.,ni..., • Backwarervahre IIMIIM111.111 Clothes svasborr .25-02 MIN ctv,t/v6-6- /04.e....,7,6/4/c- cew77-0-e7-0,e, Disiniasher IIIMIIIIII Drina*&main 25.02 all .14ectorefsurnp 25.02 i4:114:64:\."7?.;.• t,-.:::,:i.L.::.#07,Wi:;•!:i:.',,i,..?...'i.;:;'.4.r.,ef...i'...M-::..iri,:f*tiistiwi?i::rit'-;:y.,, . Bay:twine Leek 11111111 1251 MIN NA= /9-il L 1,1 4.47'1/6 //10‘.-46/A/6s Le-C- Fixture/severely. iliall 25x2 Itioordrain/floor sink/hub 1111111 25.02 Address: Oattsge disposal 1.111 Z5.02 . 'City/State/al>: Rose bib all 25.02 1231111111111111111111111=11111111.1111 C1=11111.1111.1ammi....111111111522111111.11 •75;;I:•:11..?.:,:yitti.4."' .,;:'Ati7:0:444fl'f:;...';;,..4.e.n:4.,..i,,,••••••:41).!::,4140.14,7:0-.***r::...2.4!"::.•.4V ittaseeptorigreaselren NEW 25.02, MIR BUSIINSS nap= 't /../ y6p/a 444 4.4.C.... Mackd Sas Odom$-) all Page 2 UM Coobnot mar: i Aire -e1-- Gie.11-0-6-_ S/4. P ri lit a' sIionkroamsina(mtorie:rcil) NMMI I m111EMmi =AcdleS /3 2 .02IIIIM City/StaterZIP: VecYleerattE74 Ail- e6 4.0 atganugo(potoblawatft) allit 6154 MN EU=a669 4 q5- .7700 Fax:40)49.5 -9 ,a, ti,..IEE:=Z=r:2..m.....IIIIIIIIIIIIIEESMIIIII 25,02 E-mail:ht•if 60-441-•6.049trate.T4,64 iln-yee#V/A),1 f's #co,/ watwdoe,11111111 .11.11 f,";i::.•*•:•!:1A:i7...:4:11:::.",g.p,'Nki,.>:;•' ',,'::,-,'"::aitiii0.,::•:;;5:..14.?;:oi;;•J,'etc,;..,,,./:;••k,-;'::,1.:c, NMI 2542 1111111111 • Waterbearer 11.1111/101111111111 OttsiSeSS xnuum 444 I 0 44 je. , .. 4. _. ' Water pipity/l)WV ...11111111MININNII...m..... Addres51 "0 ,..; 1 f3 - W , i fa le, é, _ ." . MIME 25-02 11.11111111 eCity/StaterZe: f La ii# / '4' -4° Subterld Ellill nr4 e.4Parrsit1=71 0 Fax:(5-9 ) qi 2-11468 . Minimum permit ke.5 7'2.5 0 al= Plau review(21%oepeunk AO CCS/.1o.: i eq4Pltambing Lie,no.: A,s , State snrcbarge(12%ofperatit fee) Authorkeri signature: bi,/ TOTAL PEWIT FEE hint tuuno: Amririmmin Date:em pm i ThIs awn*enema**expires if a sem*is trot obbiatta teilidn me dm v 4._.. _.,, ,014 .! atter k tuts btcn neeepred as selapieee. • . . . .. . *Fee mettmelobly set by pi-county Belldlag Industry Service Rasta - ktRuBdingTazokOPIMMPennirAppaine JtvaLt9 .140-46161110/02.COMAVER) - --- City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13711 SW 174TH LP, SHERWOOD, OR, 97140 March 2, 2017 at 11 :16:29 AM Record Type: Record ID: Residential - Master Permit MST2016-00140 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor