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Permit (63) ipii .1 CITY OF TIGARD _,�, ,tip -,- MASTER PERMIT II" COMMUNITY DEVELOPMENT / 2- /, Permit#: MST2016 00231 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC01900 Jurisdiction: Tigard Site address: 13768 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 19 Project: Polygon at West River Terrace, Lot 19 Project Description: New SFA. Building/unit 1.5. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 101 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 646 sf Garage: 547 sf Front: 12 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1393 sf Value: $185,217.00 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 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: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1393 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 109 E 13TH ST VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,726.60 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 A' 9„'01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232198r7�or 1.800.332.2344. Issued By: `�� ,e — Permittee Signature: -/.1,/-"(' `710./x/// 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. V Water Meter Fixture Unit Worksheet Please complete the following information: Contractor Name: Billing Address: Phone Number: New Meter Address: Subdivision Name: Lot#: j CI 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 I x 4 = t-j Dishwasher 1 x 1.5 = 1 . S Hose bib ) x 2.5 = 4).. Hose bib, each additional x 1 = Kitchen sink I x 1.5 = 1 .5-- Laundry ,5"Laundry sink x 1.5 = Lavatory L4. x 1 = y— Water closet, 1.6 GPF ,3 x 2.5 = 7.S Bathtub/whirlpool x 4 = Shower stall ) x 2 = a Bath/shower combo I x 4 = 4 Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: a.7 Fixture Unit Points: Up to 30= 5/8" Over37 = 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#: MST2016-00231 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 TIGARD Parcel: 2S106DC01900 Jurisdiction: Tigard Site address: 13768 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 19 Project: Polygon at West River Terrace, Lot 19 Project Description: New SFA. Building/unit 1.5 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 101 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 646 sf Garage: 547 sf Front: 12 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1393 sf Value: $185,217.00 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'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 1393 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 109 E 13TH ST VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,545.07 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro OA -0011)90. 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: , v Permittee Signature: �/ G ( T <<)'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. M l Building Permit Application 1 -- / S l2f r i �f�c ' °` 7 ' FOIL R OFI( LISo\LI City of Tigard Received /3//i. Permit No//S� / — Z 2/ Dann i 114 13125 SW Hall Blvd.,Tigard OR 97223 y r P1anReview (hherpenAle��' `f�- F°� ■ Phone: 503.718.2439 Fax: 503.598.1960�RY Z a /Ill b DarRe. '.chk)L 1 ! Inspection Line: 503.639.4175 Date ReadyBy: � y�,�/ iwis: H See Page 2 for TIC,\R l) Internet: www.tigard-or.gov r ' `r. :; + ,a Notified/Method-f/e0(f 'C) t I Supplemental Information bray e--? et/_ ',IT/1i 6'/ k' ,. µ, s. ..;,. �1;+# '-A' E h.s! F „ . ! "� r, ,- r.... A l > ®New construction ❑Dem — olition 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 work indicated on this application. ' Valuation: 3 /73/ ® 1-and 2-family dwelling 0 Commercial/mdustrial Number of bedrooms: 2 �; ❑Accessory building ❑Multi-family j �/ ❑Master builder ❑Other Number of bathrooms 3 [ I � , - " r a € ° " ,i = --37441,.. "� Total number of floors: 3 /s a_7, zz- Job site address: (37�g SW Silent Fox Terrace New dwelling area: - 21531407 i square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 54 .7 square feet 6 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: }-g square feet6 q.c. Cross street/directions to job site: Deck area: -710 square feet 10� i Other structure area: ,ri square feet Subdivision:Polygon at West River Terrace l Lot no.: KT Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the , e t, m work indicated on this application. E6 i i� I um i,�- + (p Valuation: $ • Y Existing building area: square feet New building area: square feet � at h Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax.( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) f s � � a 9 E-mail:Angela.Grajewski@polygonhomes.com �� � � Commercial and residential prescriptive installation of F : ' F" roof-top mounted Photo Voltaic 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. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lir.:207247 Total fee due upon application: $201.60 Authorized signature: ,../.1/04/54473 Li, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:5/20/16 *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Service Board. I:\Building\Pemnts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Avnlicati l 4 „. :,: i OR OFFICE.. USE f.)\7.1 City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Date 6y: Dermic No. s� ��Do a / Phone: 503 718.2439 Fax: 503.598.1960 M AY 2 5 %016 Plan Review II, I.i) Inspection Line: 503.639.4175 Dare B}; Other Permit: Inspection wLine: ardor. ov trate Ready/13y. loris. 8 g , I Su See Paget for t 1 Notified Method_ Supplemental infermation TYPE OF TIC COMhIERCL4L FEE* SCHEDULE-USE CHECKLIST ®New construction 0 Addition/alteration/replacement Mechanical permit fees*are based onde the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. I CATEGORY OF CONSTRUCTION Value:S ® i-and 2-family dwelling ❑Commercial/industrial RESIDENTIAL EQUiPMEN /SXSTEI►�IS FEES*❑Accessory building For special infiumariort use checklist ❑Multi-family 0 Master builder 0 Other, Description I Qty. ( Ea. I Total I JOB SITE INFORMATION AND LOCATION Heating/cooling: Q ` Air conditioning 46.75 Job site address: 131 U SW so 1 e.-r- fi - OK ITe rC&Ciz. Furnace 100,000 BTU(ducts:vents) 1 1 46,75 City/State'ZIP:Tigard,OR 97224 Furnace 100,000+BTU tductsfvents) 54.9I Suite/hldg./apt.no.; I Project name:Polygon at West River Ter Heat pump _ 61.06 Duct work 73.35 I Cross street/directions to job site: Hydronic hot water system l 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace 1 Lot no.: (9 Other. 23.32 Tax map/parcel,no.: Other fuel appliances: Water heater 23.32 1 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Complete rough of HVAC Flue vent for water heater or gas fireplace 1 23.32 g)d( )un -( I ,5 Log lighter(gas) 23.32 �IWood/pellet stove 33.39 I Wood fireplace/insert I 23.32 Chimney/liner/flue/vent23.32 ED M1 OFERTY OWNER I D TENANT Other:Range 1 23.32 Environmental exhaust and ventilation: Name:ADVI,Land Holdings,LLC , Range hood/other kitchen Address:7600 Doubletree Ranch Road equipment 1 33.39 ]ti City/State/'LIP:Scottsdale, 4L 85258 Clothes dryer exhaust I 33.39 Single-duct exhaust(bathrooms. toilet compartments,utility rooms) 3 23.32 Phone:(602)69 -4031 Fax: ( ) Attic/crawlspace fans 23.32 14,APPLICANT i0 CONTACT PERSON Other: 23.32 Business name:William Lyon Homes,Inc. Fuel piping: Contact name:Angela Grajewski $14.15 for first four:$4.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:'Vancouver,WA 98660 Wall/susl>ended'unitheater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue I CONTRACTOR Clothes dryer(gas) Business name:r#ndersen Heating,Inc Other: Address:16285 SW 85th Ave ste 410 MECHANICAL PERMIT FEES* Subtotal City/State/ZIP.Tigard,OR 97224 Minimum permit fee($90.00) Phone:(503)992-6664 1 Fax:(503)536-6615 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:168214 I f TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signatur : days after it has been accepted as complete. • Fee methodology set by Tri-County Building Industry Service Board Print name: Date:05/23/2016 ttRuildinstrerntitsNIEC PerroitApp 040113 don a40.46t7f'(Fl;'0I'CQMAVE9} a ilk t. Electrical Permit A t a licatifl -r.,.-+,,,m - r 1 ,,[r U,1 1 1t I I ,1 i,..1 City of Tigard � ; °ry wd >am�t l//1-57 /6-''C1G 3 13125 SW Hall Blvd.,Tigard,OR 97223 Mt.,'' 2 - , ' , DatdAv: Phone: 503.71$.2439 Fax: 503.598.1960 r; : inspection Lime: 503.639,4175 / Racy ho' Internet: www.tigard-or,gav F ,,, NauCmdd/M dwd: - New construction 0 Addition/alteration/replacement d.d an—dull.Wity( 2sas• plans wth ,s checked): ❑service or feeder 408 amps or more D Readies ave dice stories 0 Demolition 0 Other wfieee the available fault torrent ❑Mariaassad boatyard[. ` _..�._.. , ..",.m ..7::::L - ,.�,-,� „ �� � �� exceeds 14,000 imps at 158 vales or ❑Flosung buildings, 0 11-and 2-family dwelling 0 Ctmtmercialtindustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps0 Multi-family ❑Master builder 0 Other 14 13 Fire puoma all other ieaattitaiaas buildings. p. ❑lastustlatioe of 150 KVA Cr 7—, ` ” .'f:',7 ;..7:- 4, 7:7ff.''I °Emergency system. l y droved Job 0: Job site address: I 1 1p{� Si r 1*% l trr(AC Q rJ tiow d'oe.macs load of -yup t -'C� 100f1Pwrmwa. ©"A",-k";"1-z:"13", CirylStatelZiP:Tigard,OR 97224 J Six or more residential mets. y'- ❑Health-awe facilities ©R,scr land vehicle pester. Suite/bldg./apt.0: Project name:Polygon at West River Ter ❑Haareow low. [3 supply voltage for more that 0 Service or feeder 600 amps or more, 500 vole nomad. Cross street/directions to job site: "7;- :"` °' Demigods, QM twig Tat • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot 0:1 clIncludes attached garage. II Y�1 '� Tax map/parcel 0 1,000 sq.R or less + 168.54 I j ik5q. 4 L i. „ .,` . a a ,� - �' a add'i 500 sq.R or portion 33.92 2Z251? 1 19 ( It Limited energy,residential 75.00 s` 2 1 (with above sq.f ) Limited energy,muni-family 75.00 2 �.; residartial(with above f.) Name:ADPL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation.alteration,and/or reloeatioa 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 201 amps to 400 amps 133.36 2 Phone:(602)694-4031 I 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 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: . - , g . � < ,„..„„„---,,,,..7,-„ Temporary services or feeders instalktion,alteration,and/or . -,-:.. :',71. , ; . "-.': ,.. ... relocation Business name:William Lyon Homes,Inc. 200 amps or less 59,36 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/Zi.P:Vancouver,WA 98660 Branch circuits new,alteration,or extension,Rer panel Phone:(360)695-7700 I Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, Email:Angela.Grajewski®polygonhomes.com each branch circuit 7.42 2 B.Fee for branch circuits without o:. B =�. ".� ���� _ �-�-�,�a� � �,� servtee or feeder fee,first Business name:alameda electric branch circuit 56.18 2 Address:3415 ne 44th > Each add'ibranch circuit 7,42 2 it fbM la, 1,ii /07 7.Zr/3 EaMch manufactueousred edor(service or feeder not included} C' /State/ZtP:Ii�t Each manrrfaetrced or modular dwelling,service audios feeder 67.84 2 Phone:(503)3192192 Fax:( ) Reconnect only 67.84 3 Email:solarpdx@me.com Pump or irrigation circle 67.84 ' 2` CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: y f7/...5 Sign or outline lighting 67.84 2 Suprv.Electrician signature,required: > Signal eirauiasi or limited-eoagy Print name: k;k 1'�O,4, 1 Date: c/ZV/,f land,alteration or extension Piga_ ' Each addidond inspection over ailontbk la any of the above Authorized Si t t�:� / Additional inspection(i hr min) 66.251 br Print name:s� . �,. ^ Dates / 7 y1/ investigation(1 hr min) 90.001 hr v i I t iii../Iffaa.duc acva611712015 44.o-4615T(t11uosaCoxeswl ��-MM ✓ Vmt_ ;'2O in 1- arqe 4 ,a ` , 'TL 2,2,(v.i(0 • '4 o-_ i f, ' Plumbing Permit Applicatini 'i:2)-,,, e---,'4 Building Fixtures1 "r (H I H I I ,,I "-, , gl. City of Tigard Rr Permit N°111,5720/6,120 tt 3/1 13125.SW Hall Blvd.,Tigard,OR 97222 r s plan Review Phare:.,503.7182439 Fax: 503.5t28.i960OtherPamitNo.: 1 tAttelBy: Inspection Litre: 503.639.4175 i,1 '.....,11-':,,N Darn Ready/By: J . I a See Psge i for Internet www.tigard-or.gov 4 _ , ^ _ ` " " Noafied/det od: I Supplemental Information ; rgt;lgiao �' 13 New construction ❑Demolition Fos knforn os are checklist Description 1 Qty. I Ea. 1 Taal ;'. 0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 R.far each utility ccmnectioni I #/ ' ' ?'"4 ''''4*:$14:. SFR('1)bath 312.70 0 Commercialfmdustrial SFR(2)bath 437.78 ® 1-and 2-fatally dwelling . ; SFR(3)bath 1 . 50032 500 321 0 Accessory building 0 Multifamily • Erich additional batt/kitchen 25.02 ❑Master builder 0 Other Foe sprinkler((Mil sq.ft.) 1 . Page 2 ; l'a-'.q d' '; e o r a r ,teVii, 1 t- Site utilities: ; lob site address . ''t�'.... Catch basin or arca dram 18.7b (31 b$ S W 5O4 T ria�Q- leach line,or bench drain . 18.76 City/State/ZIP:Tigard,OR 97224 ' Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Polygon at West River Ter lured hoax utilities 50.03 Cross:street/d rection to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) - ; Page 2 Storm sewer(no.linear fl.: l Page 2 : , ' Water service(no.fin=IL:) Page 2 r Subdivision;Polygon at West River Terraee Lot no.: IgFixture or item: Tax map/parcel no.: Backflow pieventer 1 .9-11 n Backwater,an-e f 287 1Q, Bo .. -R,/vA(1rA]\. .unkl •. Ha 1 Dishwasher25.02 3 1 Dnnkmg fountain 25.02 Ejectors/sump 25.02 • '` qc7;'-'-i't :::-.04; p... s 12.51 Expansran tank. Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Meer r oa drain/floor sink/hub 25.02 Address:7600 E.Doubletree Ranch Road Garbage disposal 25.02 City/State/LIP:Scottsdale,AZ 85258 _ Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ' :.: ,._tkiiilieS,. 47 ,. e Intbroeplorigrease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value S ) Page 2 . Pruner 12.51 Contact name:Angela Grb' ski l"i Roof (contmacaal) 1151 Address:109 East 13th Street: Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solartmits(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tull/shower/shower pan 12.51 alantes coin Urinal 25.02 : E-mail:Angela.Gralewpayga 25.02 b w Wattr closet 37:52 r Watet Business name:Alliance Plumbing LLC Wale*PIpirrg/DWV 5629 Address:146 W Historic Columbia River Hwy Other: 25.02 : City/State/ZIP:Troutdale,OR 97060: Subtotal (6(0 4,. Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 572.50 Plan review (25%ofpermit fee) CCB Lice 184601 Plumbing Lie:no.:PB732 . State surcharge(12%of permit fee) 7/.9t. Authorized signature: TOTAL PERMIT FEE ny ,, Print name:Robert Desbaan ' Date:5/23/2016 This penultspp8eaaon expires Na:permit is not Ohtairted within 180 days atter it bra flees accepted s complete. *Fec methodology set by Tri-County Building Industry Service Board IAew'ld PermatIPLM l-PermitApp.6oe I0ro1l09 440-4616T(10A2/COMFWEB) s City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 11111 r 1 c A D Building Permit Review — Residential ' s.s.3;Y.:..„ri--:r._ . r. a<.s34'w9.,i,...=.xs_,x �;:io.:,k.LIL.ss.3s iPg..., t <iot7rk 9a• -• 57:Prk>. ., •4+ ,.:kAd+ _ ,_ 3. .2`ae.fas. -iitr� da*..;..,irvk f,e.._a.. Building Permit #: , 572Q/&, -- 9/j „3/ Site Address: (3 7(p e 51N S'i 1Q.n - Fox Ter r Project Name: QOitO 9pn CA+. we.$t fZtve-f Te a-0% Lot #: I4 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review n Proposal: N eM) Ali-a 'h.L , 1 Z )Vel h o d vu..! Verify site address/suite#exists and active in permit system. 0 River Terrace Neighborhood: ❑ No jLl Yes,See River Terrace Review Addendum Attached Site Plan Elements: f Three(3)copies of site plan `fisting structures on site 1Z1Site plan must be on 8-1/2”x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations /North arrow PfUtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number .Location of wells/septic systems Applicant information(name and phone number) Z Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) XJ tot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) Vtreet tree size,type and location Property corner elevations(2 foot contour lines if more thangting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 4 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake gl Land Use Case#: DQ'LO1 S - 00004, S V aZ ✓2 W OI S • opoot, 1 S LI I -0 Doo 3 X Zoning: �- 2.S )2',{ Setbacks: Front 12 Rear f 0 Side 0 Street Side 3 Garage XJ Landscape Requirement: V 0 % Lot Coverage Maximum: 2 0 % • Building Height: Maximum Height 3 S Actual Height ?j I gi Visual Clearance • Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: a✓0 h GLI ii 0114 b Q M e+ pr►o r -h, i 3, Liao(4 0 l&LinvJ t2e-/- 1t . Approved By Planning: /l1®r1•cz-ox. /,I o Date: S 12 S /1 6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw REs 012116.docx } Building Permit Submittal Original Submittal Date: 5/V'�/f Site Plans: # `j Building Plans: # Building Permit#: Er-Enter building permit#above. Workflow Routing: Er-Planning [ Engineering E Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal 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: Lr�.. Date: (,-,/,,1/46. .. . . >. .w ;_A , 4 "- . :-,,.1 ., ,L.. _ Y >.1 , -... Engineering Review Slope at building pad: 4, aConditions "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: El Yes ❑ No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approv; • by ngineering: Date: Notes: _Ki is v ✓ r2rir1 ,` Approved by Engineering: L.� Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_RES_012116.docx City of Tigard 11111 " COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD River Terrace Building Permit Review Addendum Building Permit #: /`7Sre720/6 -- of.23/ Site Address: 13769 S 11+x( S dent- Fog' T-e re Project Name: 7v1yon c + 0/Q It Q%wA^r Te Lot #: I GJ (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 ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft. wide Gabled dormer ❑ ❑ ❑ P/ ❑ 2. Eyes on the street: a minimum f 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 11. S 3.Entrances:At least one entrance must meet both of the following standards: 1 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: giYes ❑ No If yes,all the following apply: /25 sq.ft.min. )Z1 One street facing entry '12 ft.max.roof above floor of porch 15 ft.depth min. 930%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: yf 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 Roof 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 /1 Accent siding min.40%of street facade )zr Window trim min.2 1/2'wide by 5/8"deep ❑ Window recess min.3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ 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 facethe front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall./Yes XI 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) .262-foot-wide garage door ❑ 40%max. of street facade .150%max. of street facade with 7 detailed design elements Notes: Approved By Planning: MO ii r 6))0 6.1.GtAA, Date: c, 2 C / ( (4, I:\Building\Forms\BldgPermitRvw RES RT 031416.docx Plumbing Permit Applicatio , ' ? *' ', Site Utilities I "7 r 2 f Cl of Tigard F a �I(3 Received City Hall Date/By: y l� Permit No.:M h r-do � on 13125 SW Blvd.,Tigard,OR 977x3 Plan Review v- _ Phone: 503.718.2439 Fax: 503.49&f90 /� Other Permit No.: Date/By: iV--`^eZt,J(o tl�iql T I G A R D Inspection Line: 503.639.4175 R 1>.; Date Ready/By: Juris ® See Page 2 for r, Internet: www.tigard-or.gov _,, _ Notified/Method: Supplemental Information ' TYR WORK 11EEt $CIIEDIULE . ®New construction 0 Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) >. CAT*Gf3R dI CoNs vers N. f:• . . . SFR(1)bath 312.70 ❑ 1-and 2-famil y dwellin SFR(2)bath 437.78 g ❑Commercial/industrial 0 Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( ft.) -am Page 2 ;; •`3O1s SITE,INFORMATIOI' ,SID LOCATION ,• Site utilities: i 14 Ail 'Ij Job site address:13768 SW Silent Fox Terrace Catch basin or area drlin 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: J Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: 1 Lot no.: 19 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 '1 Backwater valve 12.51 ' DESCIfN EOR ,i, ? Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PIiOPI try 4 NER= J .•a TENANT": ' Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 �® APDL It ATS I ❑ I A E115QN Interceptor/grease erceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) 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 y �E Water closet 25.02 „ 'p, R- :, ', a er ea er W t t 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) �7 State surcharge fee) Authorized signature: 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. 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: F Site Utilities A mit " lF . . Footing drain-1'100' 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 ern ee: $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 then l lig or. dal fatal each additional$100.00 or fraction thereof,to a�w,.�,,,, ,2,,..1.. � �.,��..,. ��... ,..,,, ; ,.�;,. 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 l ixtnreType Plan R+ e*' r PPn ibjl�g rsta1la ions Fixture Type for Replace Plan review is required for any of the following. Worlkr*erfornsed: tappet 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 som ric of Riseragram „;,,, Garbage Domestic-non-food ❑ 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 Pqmit.doc C !LIVE!'� t E ln Electrical Permit Applicatio - . "{ FOR OFFICE USE ONLY City of Tigard Received et,,,;t . iii, . 13125 S W Hall Blvd.,Tigard,OR 97223 N Cl V 201Dateay: l l //I 5 --bow-00-0,1 • Plan Review Phone: 503.7182439 Fax 503.598.1960 _ , , Dam Related Permit is Inspection Line: 503.639.4175 f v a t 1 p j Y• I ®See Page 2 for TIGARDa l„ a .� ReadyDateB Iuric: Internet www.tigard-or.gov otifie i1 t * dO�od' Supplemental information -Tia_ - '-',,,D1 `' �„�.. � "'.0 .,_ <./.t.€+y.`�:-':'..`moi MMI",��'�y"t4 t,`P -.� � .:.'fir 911 ®New construction ❑Addition/alteration/replacement Please'check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other ❑Service or feeder 400 amps or mon: ❑Building over three stories. :MZe where the available fault current 0 Marines and boatyards. AV �_ c exceeds 10,000 amps at 150 volts or Q Floating buildings. ®1-and 2-family dwelling 0 Cofnmercial/indtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Multi-family builder Other amps for all other installations. buildings. 4 -5, `e- . __ __ ❑Fire pump. 0 Installation of 150 KVA or .-..- -5 __.. -u_ .�.`,�vy_.Q.,�D..S�EYTL�I�T`Y: - ry - -- ❑Emergancysysiem. larger.. ;,:-�:�-+:�:;_�<„�:>::'";::;;�a separately derived Job#: �; Job site address: '..)51(,06-SV ` ;T 7^'n: ❑Addition of new motor load of system. v i i\T'� l% 100Hp or more. ❑ A, ) 1_2 �1 3�, City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I S. Project name:Polygon at West River Ter ['Hazardous locations. 0 Supply voltage far more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: :: .-x:44: 17b' `s — 4 t Description I Qty. I Each I Total 1• New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: I G Includes attached garage. Tax map/parcel#: 1 I 1.000 sq.ft.or fess ' 168.54 4 ,v :v ;; - Ea.add'l 500 sq.ft.or portion 1 3392 1 '' 'i_ ..." Limited energy,residential CAntrar t - c '�` + (with.above sq.R) 75.00 2 " �` " Limited energy,mnhi-family residential(with above sq,ft) 75.00 2 18 � , ;r �r� _._„ w Renewable Energy ❑ See Page 2 _. E' e--.s., ,; -z "'" - - VI Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 - City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.3e, 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 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 2o0 amps or less 5936 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 i aT .a :1- 6."e .;a te _ a r T.,m; 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, ! 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,fust 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695 7700 • Fax::(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 ' Email:Angela.Grajewski(Qtr polygonhomes.com dwelling service and/or feeder r _ Reconnect only 67.84 2 ,:t2E- A m _ - - -3 -4�,0�c: -61'o 2-V- ..-,, " • W '5 --, .' Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or limited energy ❑ See Page 2 2 panel,alteration,or extension City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above 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 CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lick: 4496S specifically listed(h hr min) {`q� �J�� 9000/hr 1' IX...•' tT'� 1 t M mac,iL+ �•'W Suprv.Electrician signature,required: . Al( s , ;. = � � 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 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. 1::-.::,I.inuSdinglpermiMl•ZC Permit * Number of inspections allowed per permit App ET.R t.E doe Rev 06/17/2015 440-4615T(11/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13768 SW SILENT FOX TER, SHERWOOD, OR, May 8, 2017 at 12:58:48 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00231 Inspection Type: Inspector: 199 Electrical final David Young Result: CNCL Comments: Reschedule with other electrical final inspection after Ufer ground exposed. Install weather proof cover on Ufer access at exterior wall. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13768 SW SILENT FOX TER, SHERWOOD, OR, May 15, 2017 at 1 :00:50 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00231 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Power out in subdivision, no power for electrical final inspection. Violation Summary: Inspector Contractor 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 ' sTransmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE MINED DEPT: BUILDING DIVISION OCT 17 2016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By:4 RE: 13740, 13750, 13756,13760, 13768 SW Silent Fox MST2016- 2' -ti a�,�1234 Terrace (Building 1) w3 I Site Address) (Permit Number) Polygon at West River Terrace Lots 15-19 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s)and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Spaced deck detail as requested by field inspector REMARKS: Please pay fees owed with Trust Account. ' � CoL /,j ,744'7::07 Routed to Permit Technician: Date: 1 0— 19' —) - Initials: Fees Due: Yes ❑No Fee Description: Amount Due: ,1244_ /`,lJV 1e ' ) $ `�`0 •ClL f*-41307,4;ti "" Special CoL C-T— , OA) "/S77:94/6-00,9A 7 Instructions: Reprint Permit(per PE): ❑ Yes ENO ❑ Done Applicant Notified: ,fit!6 f0--- Date: /j///c, Initial I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012