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Permit (45) pt,„, x-,.ma CITY OF TIGARD /7 MASTER PERMIT - COMMUNITY DEVELOPMENT Permit#: MST2016-00249 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC03600 Site address: 13711 SW SILENT FOX TER Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 36 Project: Polygon at West River Terrace, Lot 36 Project Description: New SFA. Building/unit 4.3. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 249 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 8 Dwelling Units: 1 Smoke Third: 560 sf Right: 0 Detectors: Yes Total: 1371 sf Value: $170,692.71 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add'500 sf: 1 201-400 amp: 0 201-400 amp: 0 P 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: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1371 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: $22,635.47 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 0:- • 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ` �I-�__ Permittee Signature: ///i. j)t�G(— J / 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#: 3 C 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 1 x 4 = 9- Dishwasher j x 1.5 = j ..5- Hose S"Hose bib I x 2.5 = a .LS— Hose bib, each additional x 1 = Kitchen sink ) x 1.5 = 1,S- Laundry sink _ x 1.5 = Lavatory .3 x 1 = 3 Water closet, 1.6 GPF .3 x 2.5 = 7.6- Bathtub/whirlpool x 4 = Shower stall j x 2 = Bath/shower combo ix 4 = 14 Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: 6 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: n Yes ❑ No ❑ Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx CITY OF TIGARD 1 MASTER PERMIT 1,1 •, r Permit MST2016-00249 COMMUNITY DEVELOPMENT � fb �7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 T1 G f1A Parcel: 2S106DC03600 Jurisdiction: Tigard Site address: 13711 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 36 Project: Polygon at West River Terrace, Lot 36 Project Description: New SFA. Building/unit 4.3. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). 3/16/2017: REPRINT permit to add NC. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 249 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Total: 1371 sf Value: $170,692.71 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 1 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 0fi i -OShsr iotiore — -- Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1371 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: $22,732.83 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 95 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: //I/ "9",94./69770/1/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application F'()i(t)i ti 1: i is()\i 1 City of Tigard 1 • )ac By: / /? 010 Permit v1757z94,,..,_al., ,99 1 13125 SW Hall Blvd„Tigard,OR 97223 Ptan Review Phone: 503,718,2439 Fax: 503.598.1960 y a ') Da1C/Ny: QOur Permit: i h"'T. ''3 /U : inspection Line: 503.639.4175 •- nM� � Sec Page 2 for 3 i�;:t 1'.E) � i)a1C Rcadvrl3y: Internet: www.tigard-or.gov Notifted/Meihod: supplemental Information w•> n. C' '''9''' ''HCFA', 0 2 11. j i',+� 1 5 1 }�.�> M� fa§#1i it G.., V_•e �!1i ` .�.. �AY��e�3�. e...,>�1155 6A::I ^¢:,T ,'.x-, ..�,s.• _, �.�. 4 f ar� :;+4... i—,,,� -„.,�� 4,1iS'rrlr�t '%.+"".w,,,,.�,,.� y .,., ,N �.”- f ' Mechanical permit fixsr arc based on the value of the work ®New construction ❑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: .. am-{ e3` t 4�4 ` ��tIr 4w �0. Q U . � r. NM .tf ^�� 0 {tl 00-ii**r ' Lr µ. .. ' ❑ I•and 2-family dwelling 0 Commercialiindustrial 0 Accessory buiiding For special Injorntathtn use checklist XMulti family 0 Master builder 0 Other: Description I Qty. I Ea. Total 1 tar Heating/cooling: .....,:.,a.i:.1,4,...x4,.W.—, '�f... rr,.r. ..., 1,.v4.. ,..�, .. Air conditioning —1 46.75 Job site address: 1'6111 5w Si kal-- fix l Furnace 100,000 BTU idoctuvents) 6.75 City/State/ZIP:Tigard,OR 97224 furnace 100.000.t BTU(ducts/vents) 54.91 _._.T._.._. float pump 61.06 Suite/bldg./apt.no.: r Project name•1► l. : ►„ o, A, mal .a 1)tict work 23.32 Cross street/directions to job site: l3yrdronie hot water system 23.32 Residential boiler(radiator 01 hydronlc) 23.32 Unit heaters(fuel-type,not electric). in-wall,in-duct,suspended,etc. 46.75 Flue/vetit for any of above 23.32 Suhdivision.Po.� lZ.UX„r 'T Z� n Other: 23.32 I 13,,,On 0 �� O VL+ I.at no.;_r� Other fuel appliances: Tax map/parcel no.: 1 v s� Water heater 23,32. s, r�.{�` s �ha�oL �,��,a§�, 1� r�'k � �5+�� ,�'�,,'4��,� ��rsv) Gas fircplaax�Tnscrt 33.313 :/4_,h' �', .-�Y'.' 4'. Is�...."air, *i',,b ac°kfk�'aJI^.,. ,r7"�`o 4,3iCr. • y l ^ Flue vent for water heater or gas t/l'ed- lici' 23,32 NisLU 'o V(1 :Wood/pellet lighter(gas) ....._ 23.32 Woodrplctstavr , .... 33.39 ' Wood f ireplace/insert 2332 ChimncwAiner/flue/vent 23.32 *y"4;7.,.1m'n+ OD3?'v';>'r" 'V,,t . •;.k:�. lir,..;n`_.'�,,k tr�,y>.1, Oilier: 23.32 Environmental exhaust and ventilation: Name:Polygon WM,LLC Range hood/other kitchen equipment 33.39 Address:.109 East 13*Street Clothes dryer exhaust 33.39 ,_,,,, City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments•utility rooms) 23.32 Phone:(360)695-7700 Fax:( 3 Attic/craeispace fans 23.32 w..,V WW W r W w.. :w• r l.,v•r ,rptvr:,T rD -"', , R y.r': ,w, !a .> ai F rr::;t; __ :.:-- 23.32 --- ---:--- ,,..•:y,ar. c - .. -....... .h .. ,e rr r C.•.... .p, .... v , Fuel piping: 13usiness name:Polygon Will,LLC' $14.15 for first four.$4.03 for each additional Contact name:,�j1thole Thoret t/}'ie, Furnace,etc. Address:109 East 13th Street r Gas heat pump Wall/suspended/unit heater City/State/11P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail: i Die , ' 'p • PO/10/9.-..1,C1)61.... Barbecue , 1' 7+x" S a u�'r,,,t ''':44,0PAT 2r .s g n t air: ' ' '44,-'•��C�j 4,:',,41,'.. 47, ....v.;: �_A'•lx*�'r,44A..Z ,,,�..:I`, .,,n .. H� .t`dei,A4kt'3d r-,,,,,,,;in..4`, % ,,,,....e' „7":. Clothes dryer(gas) Business name:Apex Air LIC .- Other: «a Address:18004 NE 72"d Ave Subtotal City/State/Z_iP:Vancouver,WA 98686 Minimum permit tee($90.00) Plan review 125%of permit fee) Phone:(3601342-8109 Fax:.(360)326-1769 — State surcharge(12%of permit fee) CC'13 lic.:203034 TOTAL.PERMIT FEE This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. - Authorized signature: " Fee methodology set by'Uri-Courtly 13mildtnu industry Ser.ice Board Print namc."--1 i/t I Date: q.11.14.. 1 allikliq'Passii1.1dr,C_PnsmifApI+,C401S3dry 444.4617r(11frfsl'ti\i:IV1741 iCITY OF TIGARD MASTER PERMIT . 4 COMMUNITY DEVELOPMENT Permit#: MST2016 00249 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC03600 Jurisdiction: Tigard Site address: 13711 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 36 Project: Polygon at West River Terrace, Lot 36 Project Description: New SFA. Building/unit 4.3 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 249 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 8 Smoke DwellingUnits: 1 Yes Third: 560 sf Right: 0 Detectors: Total: 1371 sf Value: $170,692.71 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tem,,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: 1 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1371 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: $22,408.94 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0$ $090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ! " - ' Permittee Signature: t7 ,�/e�—/7�J/ 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----°' f 2 6' 1<- C- ' 1 R.e� nt�a FOR ouncE1SEO\Ll EIV Received City of Tigard �`, -Dy. /7 �� Permit N . 14 s 13125 SW Hall Blvd.,Tigard OR 97223 J ® 2010 DaaR °` � '' .ST.2n/6 `--ee 'l Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ///*91 j(: Other Permit. ll/.— --- - � t 1 G.,1;1, Inspection Line: 503.639.4175 �- Date ReadyBy: 11 loris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF T IGAp-'ii• ' Notified/Method: � r� Supplemental Information BUILDING DiV/SI N - /9-jc._ -9"/C-/ - --,,,, 2/- t ~, At t, , t 1 tr €, t ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrialValuation: $168,J42 �_ r J 7 '7 � 2„ ❑Accessory building 0 Multi-family Number of bedrooms: 2 0 Master builder ❑Other Number of bathrooms�3.�.. 11.1;,' ,i t ', _1 t i - a 4 Total number of floors: 3 ] l-�� Job site address: 131 1 1 SW Silent Fox Terrace New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet,‘.S-'h o Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Covered porch area: le square feetS" Cross street/directions to job site: `� C Deck area: 72 square feet Li Ci 7 Other structure area:.'2 c .vK ,square feet - S ;` - ,i , 4 Subdivision:Polygon at West River Terrace I Lot no.: 310 Permit fees*are based on the value of the work performed Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all a a equipment,materials,labor,overhead,and the profit for the t t 1 t ` work indicated on this application. 1(5 (‘ tAn I I .3 Valuation: $ Existing building area: square feet New building area: square feet .. ;—,` t �� t • � Number of stories: Name:ADVL Land Holdings,LLC i ype of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) w . New: _ Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski 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: � � Z� ' E-mail:Angela.Grajewski@polygonhomes.com 7 E x� � � , �� i a ; . �.� 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 and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: a rrr)(171 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/20/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application f OR o1Flr1. 1' L O\1.1 AL hone:y of Tigard , , Received • I3125 SW Hal!Btvd.,Tigard,OR 9 Plate13 ' Permit Noy / 0Ø Phone: 503.7 t 8.2439 Fax: 503.598.1960 Plan Review i 1(i \1.I.1 Inspection Line: 503.639.4175 BaterAy: Odder Permit: Internet: eLine:ig 03.63 gav el U N Date R adyn y. NotiFed^NetJtod: 4°o' H See Page 2 for r Supplemental Information TYPE O�i � iia'rk t ss4 !VISION COMMERCIAL FEE* SCHEDULE—USECHECKJUST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,e.0 .rent,labor,overhead,and.rofii. ,mmilinniminc 1 CATEGORY OF ColSTRUCnoN, ® I-and 2-family dwelling 0 Commereialr'industtialRERDE L EQUIPMENT/SYSTEMS FEES* 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description JOB SITE INFORMATION .AND LOCATION Qt!,. Ea. Total Heatin:coolinl: Job site address: 1'6 I �W St ��i - 0 Air conditioninh 1 sc 1 Q rrac� 46.75 CitytState'ZIP:;Tigard,OR 97224 Furnace 100,000 BTU(daces.vents) 46 75 Furnace 100,004+BTU(ductsivents) ®� Suite/bldg./apt.no.: Project name:Polygon at West River Ter 61.06 Cross street/directions to job site: Hudt work -a.�= H� ronic hot water system 111111M111111111 Residential boiler(radiator or 111111 h^dronic 23.32 Unit heaters(fuel-type,not electric), in-s 1,in-duct,sus ended,etc. Subdivision:Polygon at West River Terrrace Flue/vent for an of above 23.32 Lot no.: Other: 23.32 i Tax maP/parcelno.: Other fuel a..fiances: DESCRIPTION OF WORK Water heater Complete rough of HVAC Flue vent for water heater or gas fire.lace a�- P I Loo lighter( as (s 23.32 IIIIIIIII Wood/. flet stove 33.39 Wood fire.lace/insert 1111111162111111111 iChimney/liner/fue/vent 1111111143111 _ I Ol'I�RTY OWNER0TENANT Other:Ran,e �� 1 Name:ADVL Land Holdings,LLC Environmental exhaust and ventilation: Address:7600 l?Doubletree Ranch Road Range hood/other kitchen e lothes nt 1111 33.39 .111 Cit/State%LIP:Scottsdale,AZ 85258 Clothes d er exhaust 1 3 3.39 Single-duct exhaust(bathrooms, 1111111111= Phone:(602)694-4031 toilet com.artments,utili .rooms) Fax:( ) =Y APPLICANT 23.32 0CON , ' PERSON Other: 11111 23.3`' MI Business name:William Lyon Homes,Inc, Contact name:Angela Grajearski 514.15 for first four;54.03 for each additional Address:109 East 13th Street Furnace,etc.BEEMIT _-�_ City/State/ZIP:Vancouver,WA 98660 Wallrheatnded/unitheater Phone:(360)695-7700 Water heater �� Fax::(360)693-4442 Fire.lace E-mail:Angels Gra jewski. polygonhomes.com �� CONTRACTOR ` BarbecueE_� Business name:Andersen Heating,Inc Clothessd d er(pas) =� Other: Address: 16285 SW SS'Ave Ste 410 MECHANICAL PERMIT FEES* City/State/ZIP:Tigard,OR 97224 Subtotal11111111111111 Minimum permit fee(590.00) Phone:(,403)992-6664 Fax:(503)536-6615 Plan review(25%of permit fee) — CCB lie.:168214State surcharge(12%of permit fee) _ TOTAL PERMIT FEE 11.111.1111111 This permit application expires if a permit is not obtained within 1811 Authorized signature x days after it has been accepted as complete. 1122321 fillillillil4r7 Fee methodology set by Tri-County Building Industry Service Board Date:05/23/2016 • tiBuildingTermitsIMEe PermaApp 040113 doe 440-4617T(1 1/02,CONMES) . ' 111 RECEIVE Eieetrical Pennit AppAgation 1 ,,i.: LH 1 1( 1 I .-1 i r',.,I City of Tigard ,JUN 0 1 2016 Received Dates : Put"ef-il- VG'0002 13125 SW Hall Blvd_Tigard,OR 97223 - e A r% 24S11111111111111111111MEZZEIRIEN/In Phone: 5031182439 Fax: 503.598.196C1TY 01- I iti-An . , Inspection Line: 503.6394175 B1ILD11\10 01\PS1 I ' away: 11.11111EFEBEEN Internet www.tigard-or,gov Natinemmethed; New construction 0 Addition/alteration/replacement "else check all ikar apply(m a sets• plena wtiterns checked): °S El ervice or feeder 400 amps or more 0 Saddam over three mono Demolition CI Other where the available(auk current 0 Minns aed hcsaresh- ,:;' , , ,:2, •• . ,,, .:1,, ';.7.-;171:747:::::::1Z7:::::, exceeds 10,000 maps m130 volts ar 0 Maims hwitints, 0 I-and 2-family dwelling 0 Conunercialtindustrial 0 Accessory building hos to ground,or exceeds 14,000 0 Coaimercial-use ogricalturai amps for an other intonations buildings. 0 Multi-family Ei Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA et korner sePerelelY derived CIA boeo(newmotoclo,dof Job#: Job site address: 77)-1 Si 'flv%-y.Ttrirke Hop w . ON.%or more residential units, oecupaacy. City/State/ZIP:Tigard,OR 97224 0 Reireationd vehicle parks. 0 Haddi-care facilities. Suite/bldg./apt.t. j I Project name:Polygon at West River Ter °Hazardous locations 0 Supply volotse for more than °Service or feeder 600 iunps or more, 600 volts ecomecd• Cross street/directions to job site: '".,,f....:',.17,::;,-.777-7-4-37.: ---77;--i-4:7-71:17',',':;: 7.3•,:,:‘,' Desatitioa Qv, iidi Ishii • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:.1V) Includes attached garage. 1,000 sq.It or less Tax map/parcel It: • I 16854 I 1 lif•il 4 • ,---, ' :;,,•,;::::" -;,• .„,'7,":.,7 2. :',„.;:-,,„.",: ',",--,, •..• •:: 7••.:.7,...•:„.:17:1:-.. .. Ea.add,500 sq.ft.or portion I 33.92 tO • 9 itn li- Limited energy,residential (with above sq ft.) 75.00 2 Limited energy,muiti-famiiy ' " :' • residential(withabovesqfL) noo 2 Name:ADVL Land Holdings,LLC Renewable Entry/ 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation.alteration,and/or relocation 200 antps or less 100.70 2 City/SI re/Z1P:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 1 Fax:( ) 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 ro 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according.to ORS 447,449,670,and 701. Over 1,000 snips or volts 552.26 2 Owner signature: - , - •--.-.--—- Date:-. ----. Temporary services or feeders installation,alteration,std/or • -, . - ,'7 -:: ,'; , -.''' :71'..=''.',, '::: ::''.: '';''''.4.'','77-':''''.;..'"'..."*'-'7,,' 7'.,‘'.:1:!:7,-1:-.: relocation Business name:William Lyon Homes,Inc. 200 amps or less 59,36 I 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,per panel Phone:(360)695-7700 I Fax:'(360)6934442 A.Fee for branch circuits with above service or feeder fee, 742 2 Email:Angela.Grajewslci@polygonbomes.com each breach circuit 56.18 2 Business name:*lamed*electric branch circuit Address:3415 an 44th Each add,branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP:sun R7/-4/ t%Piz /•17 7g /3 Each numufactured or modular 61.84 2 dwelling,servtee andior feeder Phone:(503)3192192 Fax:( ) ' Reconnect only 67.84 2 Email:solerpds@lme.com Pump or irrigation circle 67.84 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: '/f7/,$ - Sign or outline lighting 6784 2 , Suprv.Electrician signature,required: Signal circuit(s)or limited-energy ge • 2 •,: Print name: ,i,,/4. /2,,,,,,,.....-C 1 Date; 5-Avii panel.alteration.or emersion. L-1 ace re 4 Eatk additional inspection over allowable in any of the above Additional inspection(1 lir min) 6625/hr _ AuThorized siptasitrei .. i Print name: ,fe........--‘ Datectsc/2-3/./_i investigation(1 hr mm) 90 Cif.V hr • . ' _ELIUSILadoc kw°corms 440-46isto uovcoNtiwEs all9t-trkt\1 --loi.1-1(p • Wit SLurftrqc -2.ii. () -1-7A-YAL -22(i.1(to ' Plumbing Permit Ap licatio Building Fixtures 1OR (ii I Ii I i til t)v1_v JUN 0 1 2016 ad �y,, �/ City of Tigard t meet y,N°11-/S7::'247/4'.41"2" to �T jl�'!rf✓ 7 13125 SW Hall Blvd.,Tigard,OR 97 n E 1 SI Phone: 503.718.2439 Fax: 503.598. € 11.1° " L' By. OthoPsmitNo.: Inspection Line: 503.639.4175 1 ` �� e/By. Internet www.ti d-ar. ReadylBy: Juris. I B See Page 2!or $ar b`� NarSedlMethod: 5nppementatInformation 11 ..�-�a ^3 -.� ? i pmt, �, j , '"v, tom, :t r. ,,` � ,..mss �.a. ,.. ... , { , � a;?'N.,-.,��,... .� ... .7°��..,z�.3... �.��,.,g�; .r..•�� '.�:' :i ®New constructionFor al information use checklist; 0 Demolition �' "1 Description 1 City. 1 Ea. 1 Total Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 IL for each utility connection) -i 3 > SFR(1)bath ! 312.70 181 I-and 2-family dwelling 0 Commercial/industrial SFR(2)Itch 437.78 ❑Accessory building 0 Multi-family SFR(3)batty ' 501133 500,32 Each additional battikitchen 25.02 7� ❑Master builder ❑Other Fire sprinkler(1.2i1(sq.ft.) Page 2 PI q V ii §� t a n " - : r Site utilities: Job site address:13-1 1 1 5W 5 i W.04 . -(C rya CC Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dryvrcil,leach line or trench drain 18.76 Suite/bldg./apt.no: , Project name:PolygonFooting drain(no.linear ft.:_) Page 2 at West River Ter Manufactured home utilities 50.03 Cross street/ditections to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear R:_) • Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at West River Terrrace { Lot no.: % Fixture or item: Tax map/parcel no.: Backflow preventer 1 3127 31.„.Q7 n 7 e,A Backwater t 1251 Joi a! tt r , ,, / i C K 25.02 KS -1eiQ 1(Anel .41•3 Disbwasler 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .g�` " VIP f Expansion tank 12.5!a ,, Name:ADPL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drainifloor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbagedisposal 25.02 City/StateIZIP:Scottsdale,AZ 85258 Hose Hose bib 25.02 Phone:(602)694-4031 Fax ( ) Ice maker 12.51 r t a lnterrptor/grease trap 25.02, Y --::4..?,. Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street 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.Grajewskejpolygonhomes.com Urinal 25.02 � i e 1 �\ Waimea cit>set 25:42 ,,.,, ., .. 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 (pi & Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 Plan review (23%ofpennt fee) CCB Lic:184601 Plumbing Lic.no.:PB732 - apv.... State surcharge(12%of permit fee) -71.e Authorized signature: TOTAL PERMIT FEED LIS,9 , Print name:Robert Diisbman Date:5/23/2016 This permit applicafion expires if a permit is not obtained within 180 days atter it has trees accepted as complete. "Fee methodology set by Tri-County Building industry Service Board. 11nw1dinePe mitsPLMU-Pamitappdoe 10/01/04 440-4616T(10/02/COM WEB) a 1 City of Tigard IIIII COMMUNITY DEVELOPMENT DEPARTMENT i T 1 c A It o Building Permit Review — Residential Building Permit #: ,f r' /4, __ 00 5/9. Site Address: 1 -71 j j Sw s ) t- x Te-re- Project Name: Po 1,9 fjc r' a+ west- (Lt yr, - --e_r,2iLiLLot #: 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: t i''VW' SC Verify site address/suite#exists and active in permits stem. /E`I River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan 1E1Existing structures on site Cite plan must be on 8-1/2"x 11"or 11 x 17"paper ,00tprint of new structure(including decks)with finished `Drawn to scale(standard architect or engineer scale) floor elevations North arrow 'Utility locations(required for new,may apply for additions) 1:2`Site address,project or subdivision name and lot number L,,.,ation of wells/septic systems 'Applicant information(name and phone number) fisting trees to be retained with drip line,and tree ,rJLot dimensions and building setback dimensions protection measures /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 names f�`Property corner elevations(2 foot contour lines if more than 4 foot differential) ,21 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes 0 N APublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: PP ❑ Yes ❑ No,stop intake jZi Land Use Case#: Fi Ill S 00001) 1 t U if 0 COO t, , SLIZ Zc)IS 00003 Z Zoning: R., 2 N Setbacks: Front eaii fear i 0 Side D Street Side 3 Garage ) �',S 4l Landscape Requirement: 2...0 0/0 X1 Lot Coverage Maximum: 0 0 % Building Height: Maximum Height 3 S Actual Height AfJA Vf Visual Clearance ,ra',Easements jXSensitive Lands: ❑ Yes HCl No Type 6 Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: CkvictThvai 'tu oe vn e.--{- pri cf. .tv i gs cc,"r C c. 0 F bui IAA✓1 c Approved Ay Planning: 410, e e,10462_0-..„-,-.... Date: C�j I/ I 0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPermitRvw REs 060116.docx • I Building Permit Submittal Original Submittal Date: y/k Site Plans: # Building Plans: # Building Permit#: Dnter building permit#above. Workflow Routing: [Planning ®'Engineering "Permit Coordinator 411/Fuilding Workflow Sign-off: —Sign-off for Planning(include notes from planning review) Route Application Documents: P--Engineering: (1) copy of permit application,(1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ... Date: /,6, Engineering Review Slope at building pad: l ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appro d Engineeri Date: Notes: e�� N'�f C'�►�Irreir Approved by Engineering: Date: 6-/746 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit tbrd'A roved NOT Released: Dater/.2'"7� pp 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: PA Yes ❑ N/A Tigard Trans SDC: 61 Yes ❑ N/A Parks SDC: Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fonns\BldgPermitRvw_RES_060116.docx • City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT II T I G A R D River Terrace Building Permit Review Addendum Iw Building Permit #: X7J20 , 00.27 9 Site Address: ) 3] t f , VV Si I n t x re_cr, Project Name: f g1 y�to orf 1 ei t- ei'v T �-�,c. Lot #: 3k (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. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ , ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. 4 Percentage Shown: 1 (0t 11,, 3. Entrances:At least one entrance must meet both of thefollowing 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: 0 Yes ❑ No If ,all the following apply: 25 sq.ft.min. One street facing entry ;2(12 ft. max.roof above floor of porch /5 ft. depth min. 730%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft.deep ;....Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide XRoof eave min. 12 inch projection Roof offset min.of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide Accent siding min.40%of street facade Window trim min.2'/21 wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) bv ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /110i1,1 /3 jib Date: ' I j / AC I:\Building\Fornu\BldgPermitRvw REs RT°31416.docx I Plumbing Permit Application. Site Utilities IllCity of Tigard Received ^ / /& , Date/By: y Permit No.: �/_��1� /1 13125 SW Hall Blvd.,Tigard,OR 97223 f 7 9. Plan Re _ Phone: 503.718.2439 Fax: 503598 1160 Date/By:view `I Q 1,-1 ��l Other Permit No.: T I c,A R D Inspection Line 503 639 4175 Date Ready/By: �lJ FII See Page 2 for '°nsInternet www.tigard-or.gov Notified/Method: a tt' Supplemental Info rma hon TXP omR ,,sx� s. Z ®New construction ❑Demolition For special information use checklist Description I Qty. Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) '16 AtEG:014O `CONST tJCiit N SFR(1)bath 312.70 0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,37 1 sq. 2 ft.) Page "1$1TE'1l` 0,MA ON1 Nfl LOCA 'IO Site utilities: Job site address: 13711 SW Silent Fox Terrace Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.:36 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ..z c� z3- Backwater valve 12.51 ...,,, ` Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 • PROPERTY Ot p� Expansion tank , - `i, ,, P 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 • ej APPLICANT T cr pER,90N , Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) 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 6N0 ,C'1'Ott Water closet 25.02 . Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) /. State surcharge(12%of permit fee) Authorized signature: / vi---7-74...._) TOTAL PERMIT FEE Print name:Gavin Thomes Date:8/24/16 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 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: SitiVtilties taw.: 4- ,(044 ,,,,Total Squat footage. Permit Fee; Footing drain 151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 R Pere: 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 : '.*teal,. taF each additional$100.00 or fraction thereof,to t�e�'1)� et*. o�"'�'e+�"� '< €�. 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 ,o, $ a;review' `t3>r 'la ,,inInstallations Fixtuft TyptforRepla f Plan review is required for any of the following. Work Performed, Capped Added 1Lelreatc Please check all that apply. Baptistry/Font Bath -Tub/Shower 0 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool 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. ,,, .', =jsomnetric ei mer Diagram 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 Washerincrease of sewer EDUs,a sewer permit will be issued and WatererExtractor 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 RIVFB V. 1 '.a ! : Electrical Permit Application FOR OFFICE USE ONLY City of Tigard N 0 V 1 0 2016 Re l l • %i Il i I ■ 13125 SW Hall Blvd.,Tigard,OR 97223 . Phone: 503.7182439 Fax: 503.598.196 y )nil i(i x 4� . Related Permit if: Inspection Line: D I 503.639.4175 ,, 1 I �/�dy Date/By kris: H See Page 2 for A TIGKI] Internet: www.tigaard-or.gov U LD l�*d .� i SI. ,�i►.d/5ethod: Supplemental Information t ,t*.- �` �:;�0 • c"` i .:s :z'==� * ^ ,.tip •-. �A�"-`N-M'^.'-':v=::': i;. ' -'?�x'�,s,'c.-xf�-';x•.., -' -''?. _.. � a��a..-v-.�`-• °�t`r �x �:.a,:u� T,+.''��'�;:�:`Y'-,.��.J.t.+,==a.,r�-.,1 :.. � �, �� (EC '�-•= -_-L, ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three striries- g where the available fault current 0 Marinas and boatyards. iliM .` F` ��-. ; " exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/iridtistrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural asnp❑Multi-family - 0 Master builder 0 OtherFire for all other installations. Intal alio _ 0Fire pump. 0 Installation of 150 KVA or _ _ -� ,��1. :SII�?f)fi1VI7E'17i`'.N'.- ";�;6�'-A'1"I:dI�G,:.,�"�::;%ate: - ❑Einer enc stem. larger ! derived ^:-�:::3.-��c;:�z;:� a;r" ��-,.:-.._��...____,.,.....�..:w�., :r..�...«...:...,..•-.�:.�.z: ="•r:•::;i''`==t�'�_-=�r;�'_ g YsyseParefcY 3� I I i �� J( Te ❑100Addition of onewre.motor load of system Job#: Job site address: vvv TeX looi•IP or mora. ❑"A",`E",`1-2","1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilifies. 0 Recreational vehicle parks. Suite/bldg./apt.#: L. ,7) Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Arglalaz -� _ Description o I Qir. I h iota]I New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:'7)(40 Includes attached garage. Y�n 1,000 sq.R or less i 168.54 4 Tax map/parcel# _ Ea.add'1500 sq.ft.or portion ( 33.92 1 ..cam Limited energy,residential 1 f}t'1/'/1 r}�,-- C\ (with above sq.R) 75.00 2 1 t 1 tAl'' tJ� Limited energy,multi-family 75.00 2 residential(with above sq.ft) y a s °i r4 - 6 3 ��- Z SRernveicebloe Enederegrys installation,alteration,aganed/2o r 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 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 30I.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 3 amvjG� ^ x - u = Q IXkC7AO - Branch circuits-new,alteration,or extension,per panel r A.Fee for branch circuits with Business name:William Lyon Jlomes,Inc. above service or feeder fee, 7.42 2 , each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without I Address:109 East 13th Street service or feeder fee,first 56.18 2 I branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' Fax::(360)693-4442 Tach manufactured or modular 6784 2 . ., servicedwelling. and/or feeder Email:Ang ela Grajewski®polygonhomes com �=- Beconect only 67.84 2 wh- 4,:g447-&:--;-•7';,,..-7:_ ra .. . ��'am � � Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signalel, ti or limited-energyxns0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above I Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min) • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lie.: 208174 I Suprv.Lic.: 4496S specifrcaii,listed(IA hr mm) StiSuprv.Electrician signature,required: —,;�� f r� .. r.: ` t�.i r 1� d' Subtotal: Print name: Joan P Albert • j Date: 4/26/2016 0 Plan Review Required(25%of permit fee): lState surcharge(12%of permit fee): Authorized signature: ` _�- 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. ' Number of inspections allowed par permit : :1ABmiding\Perm'R91F1.C_PermitApp ELR EREdoc Rev 06/1712015 4404615T(11/OS/Com/WEB . Plumbing Permit AppVEI) fL..-----':---------1'-visle) RECtEl Site Utilities FOR OFFICE l'SE ONLY City of Tigard (� 1 016 Received Date/By: Pennit No.: ()� (j 13125 SW Hall Blvd.,Tigard,�I� 7223 � �� 9.,1I Plan Review Other Permit No.: !! Phone: 503.718.2439 .. F t g .1,96 x1 E) Date/By: Inspection Line: 503.639.TIGARD Date Rea dy/By Juris El See Page 2 for www ti and or�� { ' N�TWIT+S Notified/Method: Supplemental Information rmation Y. OF WORihiFEE* SC�EDCLE ._ ®New construction 0 Demolition For special information use checklist Description I Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY"'(1P`CON TRVCUON SFR(1)bath 312.70 1=11-and 2-family dwelling SFR(2)bath 437.78 0Commercial/industrial 0 Accessory building ®Multi-family SFR(3)s _ . 500.32 .dditional bath/kitchen 25.02 0 Master builder 0 OtherF. e sprinkler(1,371 sq.ft.) Page 2 JOB Ifs" FORMATIO ''ANLOCATION 'ite utilities: Job site address: 13711 SW Silent Fox Terrace •.tch basin or area dra' 18.76 - .. ell,leac ' ,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 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: I Lot no.:36 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 13E dt1PTI41�1 Olft ac water va ve B k I 12.51 ! Clothes washer 25.02 MST2016-00249 _ Dishwasher 25.02 (..---12EVTgb Multipurpose Fire Sprinkler System Drinking fountain 25.02 -------. Ejectors/sump 25.02 ® PROPERTY OWNER ' ;?-.0 TENArr Expansion tank 12.51 �.. ... ate. Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 14 APPLI[Ctitl`1' N' Interceptor/grease tra •::,:'t _: _ .��_. .:. " 0 "C+[ T�.�' P�R �3 g P 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail: robert.dishman@allianceplumbing.net Urinal 25.02 Water closet 25.02 ONTRACTOR' 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) Authorized signature: r i....__,----7.1...__) State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes Date: I I I l 1 i/I Cco This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Q Fee * Total Site Vtilitie , z Square Footage: Permit Fee: ; Footing drain-15'100' 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 Storm&Rain Drain-1st 100' 62.54 Valil tion P 'mit ' ,i " $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 Other Inspections io or Fees . Fee(ea) total each additional$100.00 or fraction thereof,to 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 "" �.:. Plan R'ervie4*for Plumbing installations Fixture Type for Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain )111I,etrie or wiser Pagram Garbage Domestic-non-food CI Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal . plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pclmit.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 11 "cam Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: )o-y .a . DATE RECEIVED: DEPT: BUILDING DIVISION t RECEIVED FROM: (,4v1a-TNOME s NOV 1 4 2016 RD COMPANY: A1--1A..1cE �wnnl31N(� CITY OF T `` . / BUILDING DTA PHONE: (c-.(A)-.(A) ygZ-3-t9n �" " RE: t31Tl Svv Suct."r Fox T£RRAcE MS-f2dlb- 00249 (Site Address) (Permit Number) WEST RNE R- -TERRACE # ��o (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: w Additional set(s)of plans. 2- Revisions: >F 1 RE s PR►N K L.tR Cross section(s) and detail • Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Hops,G i cot-rt c/3 o �x>sr iJQ Fog I/k ,,o U.t c/L PLArJ' (CI Ec9-- Routed to Permit Technician: Date: 1- , •-D.OlL Initials: Fees Due: El Yes • No Fee Descri tion: Amount Due: 'r..�. s• 21,,AL .,,� 9,4(..1 10 h $ .C,O $ $ $ Special Instructions: Re•rint Permit ser PE : ❑ Yes ,`� No 110 one A. •licantNotified: Date: ,,),,' dy„. IIs =11 I:\Buildmg\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit App ii* >+ 'Ili.. 1 RL I S i U� Site Utilities FOR OFFICE ESE ONLY City of Tigard � � 7lJ IU Received By: fOf�l��cc -iq Date/By: Permit No.: (�Q (� 13125 SW Hall Blvd.,Tigard, 7223 Phone: 503.718.2439 F Plan Review 4 �. Date/By: Other Permit No.: Inspection Line: 503.639. pp [ g Date Read/B suns See Page 2 for TIGARD Internet: wwwttgard� �INGD ViS}5 T Notified/Method: Supplemental plementalInformation /1 New construction ❑Demolition For special information use checklist Description [ Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY- OF':CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 - SFR(3)y ltt _ 500.32 0 Accessory building ®Multi-family .dditional bath/kitchen 25.02 ❑Master builder 0 Other: F e sprinkler(1,371 sq.ft.) Page 2 JOBSTYE INFORMATION 1 ATTOi 'ite utilities: •.tch basin or area dra 18.76 Job site address:13711 SW Silent Fox Terrace ell,leac ' ,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: ( 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: Lot no.:36 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ' Backwater valve 12.51 DESCRIPTION O WORI(( , ' ° " ' Clothes washer 25.02 MST2016-00249Dishwasher 25.02, `QED Multipurpose Fire Sprinkler System Drinking fountain 25.02 Ejectors/sump 25.02 ►e PROPERTY OWNER 1 _.. ❑ TE/ii; fi: ; Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 11.1rit APPLICANT CONTACT" PE N Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 Water closet 25.02 CONTRACTOR 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 Plan review (25%of permit fee) CCB Lic.: 184601 Plumbing Lic.no.:PB732 ��/ , State surcharge of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Gavin Thomes Date: 1 l Ili I I(^, 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) PlumbinE Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Q Fee(ea) Fetal Square""Forage.;.p Permit Footing drain-1s'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 valuation: Permit Fee: 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 Other Inspections or Fees Qty. i ee(ea) Tota# each additional$100.00 or fraction thereof,to 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 Plan Review far Plumbing Installation - Fixture Type for Replace/ Work Performed: Capped AddedRelocate Plan review is required for any of the following. Please check all that apply. Baptistry/Font Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isometric or Riser.Piagra it Car Wash Drain ❑ required Isometric or riser diagramis for new buildings Garbage -Domestic-non-foodg 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 Washer-Clothes *Note: If the fixture work under this permit results in an 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 Pdmit.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: d-� c . DATE RECEIVED: DEPT: BUILDING DIVISION 6 RECEIVED FROM: ( ,!..vav I -1 o ME s NOV 4 16 COMPANY: CITY OF TIGARD PHONE: (So3) y42_-3 to y. RE: 13,11 Svv SILENT Fox T£RS-AcE MS1 lb- 00Z49 (Site Address) (Permit Number) wss7 RAVER— TERAC 3�0 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s) of plans. 2- Revisions: EIRE S PRI N KLER • Cross section(s)and detail Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Hob ►0/e.A--r/ ,J o E..x>s7`i"Ja, F4f 1-°gi,o/4 t c r2 Pi-A-14 Routed to Permit Technician: Date: (.-l -D.cAL Initials: 10 Fees Due: 4 Yes ■ No Fee Descri stion: Amount Due: S $ Cid $ $ $ Special Instructions: Re.rint Permit •er PE : ❑ Yes Vi No 0! one A• •licant Notified: Date: ,,,1;,R_1EMNI 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: 13711 SW SILENT FOX TER, SHERWOOD, OR, March 20, 2017 at 9:32:25 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00249 Inspection Type: Inspector: 699 Mechanical final David Young Result: CNCL Comments: AC not connected, not ready for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13711 SW SILENT FOX TER, SHERWOOD, OR, March 20, 2017 at 9:44:53 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00249 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor