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Permit
CITY OF TIGARD j MASTER PERMIT ph, . 2'"� m COMMUNITY DEVELOPMENT Permit#: MST2016 00250 Date Issued: 08/15/2016 Ti GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC03700 Jurisdiction: Tigard Site address: 13705 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 37 Project: Polygon at West River Terrace, Lot 37 Project Description: New SFA. Building/unit 4.4. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). 3/16/2017: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Total: 1625 sf Value: $202,599.32 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 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 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: 1 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 _ _.._-0-1,4- Otiw - - ___ -.------ --- Ecompasinic: Y _ - BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1625 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,605.66 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• -001-'190. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �/r `• �/ C1 c� Issued By: L�<�'� Permittee Signature: Z` �G'� 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 Applicatis t.• "`r ' . /FOR O1'l ICE1'SI'.O51.9 City of Tigard } Rccci;•ed 3 /4r /( 4/ Penni VIST,, /(a v?�C� • 13125 S W Batt Beed.,Tigard.(, 97223 • 'a p, I ,) '? • v;r? than Ravicw Uthcr permit: ■ Phone: 503.718.2439 Fax: 503.598.1960 t)ate✓Hy:, i t i'.t 7 Inspection line: 503.639.4175 I)atc Rcadgti3y:- .. Tru^z 1a Ser pace 2 for Internet: wvvvv.ligard-or.gov Notiflcd/Method: r � �ppg Supplemental lnforttnnntiun '"r:� . .it,i,+5 r ,1% ' W Nr.'-3wv ,��c..t .t ,s'fy5 J C,v' w,yl'•s.n��'`(a><��cr �� lag `•a�l�.l,""„.s'?itt#'F_.�i.�,,.,, 4100 ACtitt v'4 ..t,.:r'Z N4bIlAl' ,`f,X ,.,br,V.` At' �...!' t..,,u ;. s'isr''''''''':uys,;xa,',rkv tr.''''''4, Mechanical permit fees* arc 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 0 Other: mechanical materials,equipment.labor.overhead.and profit. Value:1' . iia» ► !01p ,101 4 a1 zctf : ' g,Y iiv1r } `14Fi .giaiyW R 0 1-and 2-family dwelling 0 Conunercial/industrial 0 Accessory building For special Information use checklist ')1 Multi-family 0 Master builder 0 Other: Description Qty. I Ea I, Total yam s / u -r r+b !- llcatingkootingt s,..,. , '�• Air condilioninF 46.75 Joh site addrress:131 65- ✓ vI Stiat" 7f rvg e I urnace IQO.()t)()BTU ducts/vents) 46,75 City/State/ZIP:Tigard,OR 97224 ,Furnace 100.000.1 IvT1i idnclsivemr) 54.91 I lest pump 61.06 Suite/bldg./apt.no.:q.LI Project name .40 0 1.A 1� i r', r'1' , ' y Duct work 23.32 Cross street/directions to job site: Flvdronie 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 far any of above 23.32 Subdivision:p f r - V Otherber: 23.32 W� l.otno. / /.4 rte t�• ! ILcI appliances: _I Tax map/parcel no.. Water heater 23.32 'WWI. a, �+ * a .s `4 41 5 , , yP , gym. Gas firepl ace/insert 33.39 l'4'°'"'' '�ca�� $ ' lk ''' ''""'""t'' ..u.:t.., s'`:err-? Flue vent for beater heater or gas Q„Q d /VC fireplace 23.32 tZJsit 1 { t lI , "- Log lighter(gas) - 23.32 G4 Wood/pellet stove 33.351... .:;._.. . Wood fireplace/insert 23.32 p,. Chimney/linerlfluc/vent 23.32 • • .�x.ti � y.J v>;F, y0 .''"t. t t y�ll) '�i ,11 r i s� " .y4.?VI R,t. Other: 23.32 .g44;>,, / ,. �", *,,rt:;s�.z,1 n.;u*--•: ..&"3 <A .„r. FMa..A ?t: Environmental exhaust and ventilation: Name:Polygon WLH,LLC Range hood/other kitchen equipment 33.39 — Address: 109 East 1314 Street Clothes dryer exhaust 33.39 , City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. toilet compartments.utility roams) 23,32 Phone:(360)695-1700 Fax:( ) Attic%rawlspace fans 23.32 1..A1":..e .,e,.,a'A',, M.c.. ,nxay. ;Fa. .4t.;.:,,,,t., .,ry4.e.t-A”:';o..t..• ,.4.,. ..:.;,..!;: a,Y.a:.'4•,.t;,,. • End piping: Business name:Polygon WUI,LL(' r $14.15 for first tour.$4.03 for each additional Contact name�J� vIe type, Furnace.etc. Address:109 East 13th Street Gas heat pump Wall/suspended:unit healer City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 s ' Fax::(360)693-4442 Fireplace ce Range ,E-mail:.„f 4,`7}, 1 k � / y ' fk Barbecue tHP:°,�-17:: witt. > f .- .a<v �2xniii bel . clothes dryer(gas) Business name:Apex Air l.l.0 Ulhcr , v Address:18004 NE 72°4 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit tie($90.00) — Plan review(25%of pemtit feel Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie,:203034 TOTAL,PERMIT FEE This permit application expires if a permit is not obtained within tali days after it has been actepted as complete. - Authorixed signature: ` Fee methodology set by Trid.'ounty Budding Indusuy Service.Hoard Print flamer—177k 7. `f _Date: Cj•/?.IC..• t+nnitctimt'2'e,niu•,atIC_PremieAnpnu>t t:tee: 44r;.4.f"ri11 C,g'OSt.nvt:n, !4 :r' ,r, CITY OF TIGARD III MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2016-00250 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC03700 Jurisdiction: Tigard Site address: 13705 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 37 Project: Polygon at West River Terrace, Lot 37 Project Description: New SFA. Building/unit 4.4. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 8 Smoke DwellingUnits: 1 Detectors: Yes Third: 635 sf Right: 0 Total: 1625 sf Value: $202,599.32 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 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: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 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 SrvclFeeders 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 SFA VB R-3 1625 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,508.30 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu(ghh OQ- • -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 B ��r'l `� �i ,t By:,,,d l J Permittee Signature: !/47 /9-77/9L' /f),1-7-70'V 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. Water Meter Fixture Unit Worksheet Please complete the following information: Contractor Name: Billing Address: Phone Number: New Meter Address: Subdivision Name: Lot#: j 7 Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink x 1 = Bidet x 1 = Clothes washer ) x 4 = 4 Dishwasher J x 1.5 = ) .S- Hose bib j x 2.5 = a,4.5" Hose bib, each additional x 1 = Kitchen sink J x 1.5 = ) .s Laundry sink x 1.5 = Lavatory s" x 1 = S' Water closet, 1.6 GPF 1+ x 2.5 = 1 p Bathtub/whirlpool x 4 = Shower stall j x 2 = Bath/shower combo a , x 4 = g Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: �'3V, S' Fixture Unit Points: Up to 30= 5/8" Over 37 = 1" Up to 37= 3/4" Meter Size: Meter Cost: $ ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master) Permit or Plumbing Permit: ❑ Yes ❑ No ❑ Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx CITY OF TIGARD MASTER PERMIT : - COMMUNITY DEVELOPMENT Permit#: MST2016-00250 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC03700 Jurisdiction: Tigard Site address: 13705 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 37 Project: Polygon at West River Terrace, Lot 37 Project Description: New SFA. Building/unit 4.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 8 Smoke Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Yes Total: 1625 sf Value: $202,599.32 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 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 Tubs/Showers: 3 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: 0 Drywell-Trench Drain: 0 Other Fixtures: 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.'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 SFA VB R-3 1625 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,281.77 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19873or 1.800.332.2344. CL., , ` 411 111 Issued By: `'\- ` - g (r' ALS/�'/i�C�i V 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. , Building Permit Application z_o% 3 7 E - c L-ss j 61i ,'' 7,4, trte , EfsiOntiai RE 'a FOR OFFI( I: 1SF0\1 ' IL Clt3r Of Tigard I jr;cerved - _ ,w, /J�y s. 13125 SW Hall Blvd.,Tigard,OR 97223 P an Ravin 7 /c1 Permit Npt,��=�"Z�r6'r/G' �Q Phone: 503.7182439 Fax: 503.598.1960 JUN 01 2016 Date/By: f J ) J �t� © Other Permits /6 T i c,A,D Inspection Line: 503.639.4175 Date Re B 44/4 H See Page 2 for Internet: www.tigard-or.gov CITY O F T Art 1 otifediMMethod: Jam: Su Iemental Worm Y e!1 G.! PP ation 4 ! ,IF s l 1 l t7'!s9"fA- 6f6" , z. . r tijv,i41., to ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the ' � Y � ` 1-5. arur ' work indicated on this application. ® 1-and 2-family dwelling 0 Commercial industrial Valuation: n i S l r 0 Accessory building 0 Multi-family Number of bedrooms: 3 0 Master builder 0 Other: Number of bathrooms: 3 .Li- 4 ' F t > , :a - z-f Total number of floors: 3 ) 9 Job site address: Iyl 05 SW Silent Fox Terrace New dwelling area: 1625 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 327 square feet 6 av-- Suite/bldg./apt.no.: I Project name:Polygon at West River TerCovered porch area: 6' square feet Cross street/directions to job site: Deck area 96 square feet ,; it Other structure area: q C- �;_` square feet Subdivision:Polygon at West River Terrace r'l e on I Lot no.: 37 Permrt fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the F t t• `°< work indicated on this application ES b 1/ 1'Vl n i i- : 1 I�-1. Valuation: $ Existing building area: square feet New building area: square feet ' � •# Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy up cy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: m=° Business name:Polygon WLH,LLC ° Contact name:Angela Grajewski Structural plan fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com F� r � � � '' i Commercial and residential prescriptive installation of roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Aj/ Total fee due upon application: $201.60 Authorized signature: fr...,,tThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date:5/20/16 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A Ilea City of Tigard �� raR(yl�FrwileimmineF lsl {���1.� Phone:' 1111 3125 SW Hall blvd.,Tigard,OR 97223 Pen.No. •7,,, 1.<1, 503.718.2439 Fax: 503.598.1960 J U N 0 1 2016 Plan Review /�G��6 DQ .�(� 1 1<;;,r.1 t Inspection Line: 503.639.4175 Dare.By, Other Permit: Iritemet: www.tigard-or.g0vF i v n31e y BhYo" BU NotifiedReead'Methlxl: H see Page 2 for 1 �J��IDIv t d h t; g l eill Supplemental Information TIDE OF WORK COMMERCIAL FEE* ®New constructionSCHEDULE -USE CHECKLIST 0 Addition alterationlreplaeement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: € mechanical materials,e.ui.ment,labor,overhead,and.rofit. 1 CATEGORY OF CONSTRUCTION> Value:$ 13 I-and2-family dwelling 0 Commercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS TEMS FEES* 0 Accessory building ❑Mufti-family ❑Master builderi Fnrspedatirrjtxmatron use checklist 0 Other. Description j JOB SITE INFORMATION AND Qt) Ea. Total LOCATION Heatin:coolin_': Job site address: 137 05 Sr conditionin Si)cgll2C> -�p� 1 (C'&( 46.75 City/State/ZIP Tigard,OR 97224 Furnace 100,000 BTU idamts) � � Furnace 100.000+BTU(ducducts'vents) 1112111111111111 Suite/bldg./apt.jno.: Project name:Polygon at Nest River Ter Erre 11111111111111.111111L.....1111111111 61.06 _ Cross street/directions to job site: Duct work _ 23.32 H dronic hot water system 23.32 Residential boiler(radiator or h,dronic al Unit heaters(fuel-type, 23.32 not electric), in-wall,in-duct,sus ended,etc. Subdivision:Polygon at West River Terrrace Flue/vent for an of above ?� Other, 23.32 Lot no.: v 23.32 Tax map/parcel no.: Other fuel a.'fiances: DESCRIPTION OF WORK. ETIMIIIIIIIIIIIIINIIIIINIIIII 23.32 Complete rough of HVAC Free vent for water heater or gas 33.34 fire'lace �1111 I,l. 4 4 Lo.liabrer(ens _� Woolf.d fiNIIII MMMIOIIMMIIIMMIIIIIIMIIIMIIIIIIIIIIIIIIRMIIIIIIIIIIIlei stove _ Woore lace/insert1111111111111111111111 er, P:OPERT Y OWNER 0 TE ■_�TENANTOther:Rake _1M_ Name:ADVI Land Holdings,LLCEnvironmental exhaust and ventilation: Range hood/other kitchen e•ui.ment 1 33.39 Address:7600 E Doubletree Ranch Road111111111 City/State/LIP:Scottsdale,AZ 85258 Clothes d er exhaust Single-duct exhaust(bathrooms, 1 3 3.39 Phone:(602)694-4031 toilet com.artmcnts,will •rooms) imonni , APPLICANT ❑ CONTACT PERSON Other: ____ .3�2 Business name:William Lyon Homes,Inc. Contact name:Angela Gra jewskiS14.15 for first four;$4.03 for each additional IMMIMIAddress:109 East 13th StreetIMI _�_� City/StatelZIP: Vancouver,WA 98660 MI Wall/sus.`nded/unit heater Phone:(360)695-7700 ��� Fax::(360)693-4442 -� 11111111111 E-mail:Angela.GrajewskipolYgonhomes.eom _� 1.11.1111 CONTRACTOR Barbecue _� Business name:Andersen Heating,Inc Clothes d er Peas M� Other; _ MECHANICAL PERMIT PEES* n Address:16285 SW g5'"Ave ste 410 MIN City/State/ZIP:Tigard,OR 97224 Subtotal Phone:(503)992-6664 Minimum permit fee($90.00) IIIIIIIIII Fax:(503)536-6615 Plan review(25%of permit fee) IIIIIIIIIII CCB lie.:168214State surcharge(12%of[remit fee) _ TOTAL PERMIT FEE 11111 This permit application expires if a permit is not obtained within ISD days after it has been aerepted as complete. Authorized signafur A ,t * Fee methodologyby Tri -County set t ounry Buildiug Industry Service Board name: re Date:05n3/2016 ttauildingTermits.'MEC2_PermetApp 940113 doe 440-4517(11,V2/CQitYUE13} aaal.rwrw n lectrical Permit Applicatio ( r)(; ()( i if t ( .( fr\( ti City of Tigard % fwut r/.7if,,e/.. 'AO- 5"0 13125 SW Hail Blvd.,Tigard,OR 97223 Phone: 503 7132439 Fast: 503.598.196BI Ni () 1 2016 'E ; iillillilliillMfir inspectiontunc: Lune: 503,639.4175 w. Internet. www.tigard-or,gov i✓I IY OF i3It.,,A z, MMI .- New constniction 0 Addition/alteration/replacement Please duck an that apply(sauna z sus• plata wr, ,rid). . .. D Demolition ❑Other a Service or feeder 400 snaps or more O aaiamng over iac dace Nor . where the available fault asMarinas current ❑Mand halyards '' , . _ .r `.�. i7 ...'�� .�, ; ,r, _ � treads 10.000 amps ss 130 volts or 0 Floating buildings. MI t and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,cr exceeds 14,000 O caamrcid-arae agricultural amps for all other astatlations. buildings. D Mulct family D Master builder D Other 0Fira tutoP• a installation of ISO KVA or z<m ,- ^.e vw a `7 ❑FaDQ$mcy systeao. targe(septdy dnn'ed n�. 0 Adrbbon of new motor load of Job#: Job site address: l -1 _ t % Xit�n rn - ��l�� V�l� IODHPatnarc. ❑-A".'E"."J-T';`t 3", City/State/ZIP:Tigard,OR 97224 a Six err more residential units, occupancy. O Hedds-care facilities. 0 Reaeationd vehicle piles. Suitelbldglapt#: , Project name:Polygon at West River Ter o Hazardous basions. 0 Simply voltage ler more than O Service or feeder 600 amps or more 600 volts oanm>>• Cross street/directions to job site: Y a, nereriae*.a Q+y. Eger Torr • New residential single-or multi-family dwelling Wait Subdivision:Polygon at West River Terrace 1 Lot#: 37 Includes attacked garage. Tax map/parcel N 1,000 sq.ft.or less M 168.54 1(toJ 4 �lr ... . a , . .. 1 !2? ':, ,.s, '.- =.. . ,, Ea add"1500 sq.ft.or portion ._ 33.92 ify-Vict1 0CU\ Limited energy,residemial J (with above sq.f.) 75.00 2 Limited energy.multi-family 75.00 _` >. nsidemial(with above sq.it) 2 Name:ADPL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubktree Ranch Road Services or feeders installation,alteration,and/or relocation 200 City/State/ZIP:Scottsdale,AZ 85258 '" or100.70 2 less Phone:(602)694-4031 I Fax:( ) 201 amps to 400 amps 133.56 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: , s e -� Temporary services or feeders installation,alteration,and/or , ; , tion Business name:William Lyon Homes,Inc 200 antes or Jess 5936 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits—new,alteration,or extension,Rey panel Phone:(360)695-7700 I Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski@poiygonhomes.com each branch circuit 7.42 2 B.Fee for branch circuits without service or feeder tee„first Business name:alameda electric branch circuit 56.15 2 Address:3415 on 44th f1 Each said,branch circuit 7.42 2 MisclaneCity/State/ZIP:NM ) �/''-i Ja.�.,A/O/Z il/' 7.7../3 Each mamd'metes ed or modulars(service or feeder sot .8 dwelling,,service andior feeder 67.84 - 2 Phone:(503)3192192 Fax:( ) Email:sola Reamnect only 67.84 2: rpdx@me com Pump or irrigation circle 6714. • .. CCB Lic.: 199188 Electrical Lic.: c923 Supv.Lic.: '/f7/$ Suprv.Electrician signature.required: Sign or outline lighting 67.84 2 `, // Signal circtlias)or limite d-energy Print name: ki if„ /2,0„,..„( I Date: /i3�/,f tom.alleTtion,of extarsion. a Le 2 ' i Each additional inspection over anowabie in*sty the above Authorized signature: Additional inspection(1 hr min) 6625118 . // Print name. t' Dates' 2J 1 ,* investigation(1 hr mm) 90,011'hr 5tjj �- t B • ,. ELIL AEdee air 06,1713015 MO-46157111/0SCOWW B � � i n, a'idd'ic rgc 12'1 I 3 . i1L 2i40y 7S-- l ' Plumbing Permit Application Building Fixtures E- ()1. ()1 11i i 1 1 co,/ City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97 0 Z01 Receitxd Date/By:Pla Phone: 503.718.2439 Fax: 503.598 1960 'Review Opher Pexenit No.: Ju } Inspection Line: 503.639.4175 ,+e f d i ,, L.,.,'-' i�ersy. OF ` Datee Ready By Kiri& No77,20/6 �0c & 0 See Pa 2 for Internet www.tigard-or.gov •go► i 11` �0'^ i E A.;tV p information t _4 New construction 0 Demolition Far special information are checklist Description ) Qty. ( Ea. f Total Q Addition✓alterationfreplacement 0 Other: New 1-2-family dwellings(includes 100 IL for each utility connection) g 0 O r o- t. t eo^t ` 1 SFR(1)bath j 312.70 ® I-and 2-family dwelling 0 Commercial/ndusrrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR{3)bath 50033 tS�V Each additional bathlkitchen I 25.02 as.o ❑Master builder 0 Other: Fsprinkler t �.y...� < ,<r,:• ::.. 4t )@ * c ,. l She U lities (j1124 I ) ( O ( �( Z b .ft. Page 2 lob site address:13-7 Ds 5 W 5 i let rT T rra ce. catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dryvrell leach line,or trench drain 18.76 SubtelbldgJapt no.: ( Project name:PolygonFooting drain(no.linear ft.:_) Page 2 : at'West River Ter 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 I Storm sewer(no.linear ft.:_I Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at West River Terrrace { lot no.: 3-7 Fixture or item: Tax map/parcel no.: Backflow preventer 1 3127; clothes washer 3 �. ' ° *�: , Backwater valve ( 12 Sia5. , 7-r te 1' i&h , I 4."f Dishwasher 25.02 f' Drinking fountain 25.02 Ejectors/sump 25.02 Y '.ms '' 'e .;..€r .. 5 y�c + y Expansion tank 12.5! .. . ,, g .. A >Y _ Name:ADVL;Land Holdings,LLC Fizture/sewer cap 25.02 Floor drain/floor sink/hub 25.62 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 rf � � � � ff W 1a,. llt interceptor/Pep 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roofdrain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 . City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail Angela.Grajewsk rr polygonhonnes.com Urinal 25.02 r 'f - r i A Water closet 25:02 Water heater 37:52 Business name:Alliance Plumbing LLC Water pipirrg/DWV 56.29 Address:146 W Historic Columbia River Hwy i Other 25.02 . City/State/ZIP:Troutdale,OR 97060 Subtotal (J 1.021 Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: S72.50 , CCB Lic.:1846014fittet".... Plumbing Lic.no.:PB732 § Plan review (25%of permit fee) } State surcharge(12%of permit fee) S..9 f44 Authorized signature: TOTAL PERMIT FEE 773 Print name:Robert Dishman Date:5/23/2016 This permit application expires if a permit is not obtained within 180 days utter it bas heed accepted as complete "Fee methodtilogy set by Tri-County Building industry Service Board I\Buitdi PennitaTLMU-ramitApp doe 10/01109 440-4616T(I0/021COMJwEB) f City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 711 III TIGARD Building Permit Review — Residential Building Permit #: /7.sem- /h — 0C�.�a Site Address: 13 7()..5 j W S i I6n ,X Ie. r Project Name: P01.9 5G rr U t- weit- (Li v -r-e_rytiLL Lot #: 3 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Kt eng4 S"c / Verify site address/suite#exists and active in permits stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan 'E 'Lxisting structures on site Ptite plan must be on 8-1/2"x 11"or 11 x 17"paper ,l ootprint of new structure(including decks)with finished `Drawn to scale(standard architect or engineer scale) floor elevations North arrow ,J;d'Utility locations(required for new,mayapply for additions) `Site address,project or subdivision name and lot number 1�r pp y Ln_,v,dtiori of wells/septic systems 'Applicant information(name and phone number) existing trees to be retained with drip line,and tree ,,Lot dimensions and building setback dimensions protection measures jZ//Lot area,building coverage area,percentage of coverage and Xtreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) Street namesProperty corner elevations(2 foot contour lines if more than 4 foot differential) iClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: Pp ❑ Yes ❑ No,stop intake 7 Land Use Case#: ?D P-20U S 00®04 ! f v'�U 0 00% , SLP.ZGIs- 00003 1 Zoning: k_ 2 XSetbacks: Frontl2Rear 10 Side 0 Street Side 3 Gara e 4 Landscape Requirement: 2,0 0/0 / g i ' 41 Lot Coverage Maximum: 00 % Building Height: Maximum Height 3 S Actual Height av jc Visual Clearance 7' Easements 0 Sensitive Lands: ❑ Yes No Type Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: ,fl I D t,I fit% be m e+ I"r c r .b) (SS v'ct iit . 0 F b:,%i l AA rl c Approved lky Planning: ili 0✓l;e et ro . 2„ Date: G` 41 i 0 Revisions (after Building Submittal only) Reviewer Revision 1: 1:1 Approved El Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B1dgpennitRvwRES 0601 1 6.docx A i Building Permit Submittal Original Submittal Date: ./,'//',6# Site Plans: Building Plans: # - Building Permit#: ®'Enter building permit#above. Workflow Routing: ,Planning Ertngineering P--Permit Coordinator ®• ui1ding 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: �) __.• . Date �`7/ By Permit Technician: Engineering Review Slope at building pad: �9 ,,,,,,„5 Conditions "Met"pri r 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: 0 Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT A.pro d •y Engineering: Date: Notes: , , ��.. cc-- i AL! :���i E '_i:My,. Approved by Engineering: _ aciri /I Date: Z —1 4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Notes: Approved,NOT Released: ?i0D � " 1p/?-ate: b/J L 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: es CI 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\BldgPernvtRvw_RES 060116.docx 4 City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT 1111111 T T G A R D River Terrace Building Permit Review Addendum Building Permit #: /`/S7;20/6 -y c2C 2 Site Address: )3105 c vv' ,Si 1 e.(l.+- rux Tex-r, Project Name: folly o.1 cif Weil- eevim r--e_ra,►c , Lot #: (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. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a m ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer / ❑ ❑ ig ❑ 2. Eyes on the street: a minimu of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: I(0, I 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45°from street, or open onto porch Entrance opens to a porch: j, I Yes ❑ No If yes,all the following apply:` ,.25 sq.ft.min. One street facing entry /p 12 ft.max.roof above floor of porch A5 ft. depth min. ,Z 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: /Covered porch min. 5 ft.wide x 5 ft. deep )21 Recessed entry area min. 5 ft.wide x 2 ft. deep /Wall offset min. 16 inches 0 Dormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min.of 2 ft. 0 Roof shingles either tile or wood 0 Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min.3-7 ft.wide ie Accent siding min.40%of street façade /Window trim min.2 1/2'wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing 'LJ Bay window min. 5 ft.wide by 2 ft. deep El 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: No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): /� d/ ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. GSJIi El May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second st ry above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) El 12-foot-wide garage door ❑ 40%max. of street façade ❑ 50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: ,44 0 V1 t 29 b/)0 010 C'(A,& Date: c)// / / !p E\Building\Forms\B1dgPermitRvw REs RT 031416.docx Plumbing Permit Application Site Utilities ' ` FOR OFFICE USE ONLY City of Tigard Received QDate/By' ( / /t0 4 Permit No.: Hr "z.-oo.3.50 411 1114 2 13125 SW Hall Blvd.,Tigard,OR 97223 I,;; Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Situ t7tilitie . -QP . rei*)a) Total: $qu Foti ge ;. 4 `ermilt Fee. Footing drain-Is'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 a1uati.on: 411erl l rt;Fe :.. , 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 each additional$100.00 or fraction thereof,to tll<e to ! � , QtY`, Fee{ Dotal 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 pl ll Review or Plu in •Inst lla tla>I><s Fixture Type for Replace/ Plan review is required for any of the following. Work Performed: Capped A4ded Relocate Baptistry/Font Please check all that apply. ❑ 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 0 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" !sol etri 'l • r Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc 1--)VCF PO 1 : Electrical Permit Application FOR OFFICE USE ONLY City of Tigard NOV 1 0 2016 6 %i '�I AI Z 1111 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7182439 Fax 503.598.1 6 V' 0y1, 'I m N i .3 Dari Review Rotated Permit N. a l_s",i Date/B . TIGARD Inspection Line: 503.639.4175 s,T ri ,r1l Tr ,-eadyDate/By: kris: ®SeePage2!or Internet www.tigard-or.gov litr It 1,3�t, 40 '1:oti�d/Metho; Supplemental Information r s.:3- z " .mss, �:tt�wa reize:'..i*--o_ ®New construction n_ the' : "' ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans-wine=checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑ -,.. N f _ where the available fault current El Marinas and boatyards. .; ¢` 1, 1) y� .,.'6 ._=� exceeds 1 ,000 Ell-and 2-family0amps at ts0 volts or El Floating buildings. ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural ❑Multi-family ❑Master builderamps for all other installations. buildings. �: _.' _ 0 Other 0 Fire pump. 0 Jntatlation of 150 KVA or 1 t.:4_ f`''=7; ;, -res:::-,._::: . . ,_..��g�-s--c.:,,. H..�:��,�.._• � �'�i ?b �°.1�. '�j _�.....�. ❑Enver tem- *' Q �"�{� ....��r��`.-,'�u.�s:- :�:Fb:='=..:-.. �Y� larger match derived ' ❑Addition of new motor load of : '-1 OS sv\\ S l 1-e n,'Fox f' 100f-IP or more. ❑"sA E Job#: Job site address: City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ' I 13 Health-care facilities. 13 Recreational vehicle parks. Suite/bldg./apt.#: 4 LProject name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job Site: 0 Service or feeder 600 amps or more. 600 volts nominal. Description I Qty. I Each I Total 2 New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace Lot#: Z51 Includes attached garage. Tax map/parcel#: 1,000 sq.R or fess I 168.54 4 tl�E3 QIiVtt� r Ea add'1500 sq.ft.or portion _ s 3392 1 2 h ..-` ; :-.= = Limited en l l 11A1 CX\() T. orgy,residential 75.00 2 (with above sq.R) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) = 0 p'`.1 ! 27 K tirl`.M. . 1T° -4 s Renewable En ❑ See Page 2 = Servicxs or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 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 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 2 Owner Signature: Date; 401 amps to 599 amps 168.54 2 x.-0,:,,::.,7::f 40..,-,jot f.- s.tib 7; :. _'., ra e s 'fid - ‹R,, '; Branch circuits—new,alteration,or extension,per panel ' '�. `�`"� "" `�' A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, p each branch circuit 7.42 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Phone:(360)695-7700 Fax::(360)693-4442 360 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Email:Angela.Grajewski@polygonhomes.eom dwelling service and/or feeder Reconnect only 67.84 2 `���"` Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension ❑ See Page 2 2 1 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above • Additional inspection(I hr min) 6625/hr ' Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaaiels@gweusa.com Industrial hr min) 78,18/hr Inspections for which no fee is 9000/hr CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lic.: 44965 specifically listed(h hr mm) -� Suprv.Electrician signature,required: '�gp% 1� f."' — - - - «-� - := �•�_�a� Subtotal: � ^ ��� Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): -- State surcharge(12%of permit fee): • . Authorized sigtatrrre: �— � — TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. .riBuOd n w�. * Number of inspections allowed per permit _ S 655ELC_PernitApp_ELlt ERadoc Rev 06/17/2015 440-4615T(11/05/COM/WEB Plumbing Permit Application M ir Site Utilities FOR OFFICE USE ONLY City of Tigard Received ��� DateB Permit No.: III 13125 SW Hall Blvd.,Tigard,OR ' �I Y 5 ' Phone: 503.718.2439 Fax: 503.5':. 460 1 4Z Plan Review Date/By: Other Permit No.: TI G A K D Inspection Line: 503 639 4175 G (),/,,,'TIGA Ready/By: Juris. El See Page 2 for Internet: www.tigard or govx � Notified Method: Supplemental Information 4YP tr -, , , �. t • �' "*- H1JLE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ' , ' - CATEGORY OF CONS w ON • SFR(1)bath 312.70 ❑ 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 ElAccessory building ®Multi-family SFR(3)bath _ 500.32 El Master builder Ea Tonal bath/kitchen \ 2 .02 ❑Other: 5 ii sprinkler(1,569 sq.ft.) Page 2 JO I' I +OR14I1TI I Aro),LOCATION 'te utilities: Job site address:13705 SW Silent Fox Terrace Catch asm or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:West 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: 1 Lot no.:37 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 �- DE 4:RIPTION fit WOE Backwater valve 1 12 51 MST2016-00250 Clothes washer 25.02 Dishwasher 25.02 REVISED Multipurpose Fire Sprinkler System Drinking fountain 25.02 Ejectors/sump 25.02 ►�+ PROPERTY OWI 1ER ❑�' `EN ,Nt Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 . AI LIGAN 0 CONTACT,Al PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 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 ,'OIsT,- Water closet 25.02 r , , a .. 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) 11/4"---1___...,---7Z_---) �� �/ State surcharge(12%of permit fee) Authorized signature: t �� Lam/ TOTAL PERMIT FEE Print name:Gavin Thomes Date: 1 1 I 1 1 f i b 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. 1]\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ua �e of ttg * Q® ;{ pp « �� �'eTotal e l�a) r. , P:rrtlt,;Eee: Sett' t�ty�3tllittes ,�;. � &44 Footing drain-Pt 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 '° cation: Permit ee .,. 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 each additional$100.00 or fraction thereof,to Other inspections or Fees �Ie i Total 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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 ;. l lan a for Plumbing Installations Fixture T Replace" Type fur Plan review is required for any of the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font ElAny 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 0 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" IsoiI a ric or/ iserDiagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food 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- Extractor Clothesr Water increase of sewer EDUs,a sewer permit will be issued and Water Closetatto-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 Pcmit.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 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: 1)a--iA.. DAT INFO DEPT: BUILDING DIVISION 0 V 1 4 2016 GAN'N 'r++OM�S c I'Y OF TIGARD FROM: BUILDING DIVISION COMPANY: AL Uk^K-f- �W k INS �� PHONE: (5 Li 92 31}90 B RE: 13'Ios sv,) SitE NTT ri 1t E ' .37 4m-rZalto-- 06Z5o (Site Address) (Permit Number) v s r Rtve (Project name or subdivision name and lot numb-r) ATTACHED ARE THE FOLLOWING IT : Additional set(s)of plans. _ Z Revisions: lE s i JN K La Cross section(s)and de Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: H D`D I i i ('_ -It 013 To E x,s J'/ 1J C'- e Hee .5Pkt N ILC ALq t� c o't_tomos-�� Routed to Permit Technician: Date: I 1-18-36(L, Initials: Fees Due: a Yes ■ No Fee Descri.tion: Amount Due: S r:v.k(... 2c�:S �`G1 $ .G6 $ $ $. Special Instructions: Re•rint Permit ser PE : ❑ Yes Lam►• ❑ Done A.•licant Notified: Date: MIIIIM11.1. Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 1111 Transmittal Letter T t G;A R II) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIV FROM: Angela Grajewski OCT 7 Z016 COF TIGRD COMPANY: Polygon Northwest � �, A BUi�� t� i� PHONE: 971-212-2144 By: RE: 13731, 13725, 13711,13705 SW Silent Fox Terrace MST2016-00247 �i X19, -30 (Building 4) Site Addr- (Permit Number) Polygon at West River Terrace Lots 34-37 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: ` yr/is 1 Copies: DescriptiC Ii.` i z 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 field inspector REMARKS: Please pay fees owed with Trust Account./�c= S ds,O fris;o/�- Z2 /? ;04% ONCE`jsKt „n 4:0, Routed to Permit Technician: `�... . Date: ,o / 9-- ) Initials: Fees Due: E Yes ❑No Fee Description: Amount ue: a3V.: A6' ,o N ��1/40 $ 90 $ $ zk ,, Special CO 1-1.-E C7-- r S 0 Al t 1 S7cP-0/(c - )O, 1J 2 Instructions: Reprint Permit(per PE): ❑ Yes S3No n Done Applicant Notified:gA/ a Date: ///�1/4. 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: 13705 SW SILENT FOX TER, SHERWOOD, OR, March 21 , 2017 at 11 :52:04 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00250 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor