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Permit (78) CITY OF TIGARD MASTER PERMIT /`�/? - -f Permit MST2016_ 00230Erl COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC01800 Jurisdiction: Tigard Site address: 13760 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 18 Project: Polygon at West River Terrace, Lot 18 Project Description: New SFA. Building/unit 1.4. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $160,684.65 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 2 Dishwashers: 1 Urinals: 0 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 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 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: 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 Y 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 1221 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: $22,211.73 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 c•A•52-001-0090. 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: V� � Permittee Signature: c/✓- 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#: ) g 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 = ii. Dishwasher j x 1.5 = J , s' Hose bib 1 x 2.5 = a , s-- Hose JHose bib, each additional x 1 = Kitchen sink j x 1.5 = j .S.- Laundry sink x 1.5 = Lavatory x 1 = a. Water closet, 1.6 GPF x 2.5 = Bathtub/whirlpool x 4 = Shower stall J x 2 = a Bath/shower combo 1 x 4 = Li, Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: L;c.V , Fixture Unit Points: Up to 30= 5/8" Over 37= 1" Up to 37=3/4" Meter Size: Meter Cost: $ ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master) Permit or Plumbing Permit: ❑ Yes ❑ No ❑ Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx �' +� ��� CITY OF TIGARD ' MASTER PERMIT bRall . . COMMUNITY DEVELOPMENT Permit#: MST2016 00230 a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 T taa"�)d. Parcel: 2S106DC01800 Jurisdiction: Tigard Site address: 13760 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 18 Project: Polygon at West River Terrace, Lot 18 Project Description: New SFA. Building/unit 1.4. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). 5/2/17: REPRINTED To add A/C unit. Placement of NC unit must comply with BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Total: 1221 sf Value: $160,684.65 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 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: 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 1221 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: $22,309.09 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y u mayayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /-e4• �/ K 1 ��,/ 05,- Permittee Signature: (S ,C Ct i "�' NT� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �VJL��i" ! atter �rEEI'VIE f Nle hariiCa '+• "1 tort 0111 T. 1-sr.ON t.1 I 'city df Tigard MAY y I7 /0 i'em�it.N /f'1.S 16-0 2 • * 13'125 SW Hall Hivd,Tigiad UR 97223 Plan Review Pbote 503 718.2439 Fax;•.5.03398.1960 Other Permit: • i i t.,i.E y inipectton Line: 503.639.4175 � TIGARD Dam—y;gy;: watt: . SIZZ t for •Interact www.tigard-or.gor " `""' � Notifiedad ihod: Soppy information UILD NG DIVAS (r ., Ivioehanicmiit Cees ate brined on tht;'vxlue of'the work l�tewconst itctton 0 Additionfallcration/roplacc tient. performed.cal pIndicate the value(ioiuidedthe nearest dollar)of all Q'Y3cmolitioh ❑Other rmeehtniiealmaterials,equipment;.laboi,pveihead,and profit. `,k :tT.S "a *rm<t '.' I .e• Z r n ,fav uc N� hitt;`vs, *.u.,u.....p . D i"=and 2=fanuly,dwelling Q Comnter'ciallindnstrial 0 Aiicessory blinding Far spedal inforrnmuon usr"ahecAlls1:: I�'Multi family: 0 Master.builder j]Other .D6010066 Roy. Ca Total .. ..t.�.�;r.wMv..,wi,. ..c, awra+xrp 4. w�+a'vr< x$�i'4� t4�'tt\ti .�^F 3ari He#tttll�COl{till� #�. 4L ,,� r•e•F ill '7.'''''V''';'4'144.x r �T;. pit 1/�;,r, ,, 4 Air conditioning 4635 ;.. .10;:#7.404.01.ss:/3?bij SW Si ri`�A). 7 s u(, ..... . Furnace 100.000 BTU(auctevsnss) 46.75 CityfSta4cti,Ii':rigae a,OR 97224 .Fumace100,000+B7t7(ducis/vene) I • 54.91 Hearpump € 61.06 Suitelbidg:fapi..no::I tui Project name:Polygon at West River Ter Duct Node t 23.32 • Goss strdet/dircctions to,job site: .Hydronic hot water system + 23,32 Residential boiler(radiator or i • hydronic) 1 23.32 •Diiit.heaters,(fuel-type,net_elcctric), gt • in-wall,in-duct,suspended,rde. t 46,75 Fiui:/vent.for any of above •F 23.32 • . .Oth 23,3 .. err � � 2 Snbdivisian polygon at!rest River Terrrace Lot i io.t Other 1141 appliances: Taxmapjpae t ao.; Wainer heater. 4 ] 2332 e' ?•, N -A ` z"...4'...Fc ' . w " O 3 lifx 'aigitY Gas ii [ace/tdset 1 33.39. 't Flub tent for water heater organ ° / 23.32 __..11....•.40,4 t u ! -00fireplace L 0 tt ili (k ) Vood/pelet stove pp 333 1 ,. 3339 'Wood£raipia nsert.•,.. 1 23.32 . . Chhiiiieydiner!flue/vent I 2332 • -••• `a• ?'Va Other: .:, . ... 2332,. `f �r. • s� � '•"' "'"' �• ����'��'" e'` Rnrrliruiiraental.aithaust and verttlleEia+ At .. : , oodlother kitchen .anta,ADVI;Land Holdings,LYJC:, Rartge'h...,... eiliiiotiitiii 1 33.39 : Addresst1bO.E:P1441letlreeRanchRoad ,Ciothes'dryirexlhaust. 33.39 .City'StateeZlP'Seettlydalo,AZ'85258 :Single-ductexhaust(bat monis;• i a toilet compartments ut;llt%rooms) } 2132 Phone (602)594-4031. Fax ( ) Atticlerat4space fans Oali? ¢!¢ I ,23.32 • ,T- l- M `yt e g r xx O ; ,' Tn. :Outer .. .f 23.32 B10 $ S'wiliaiti 1Yon Homes,toe. ~uepiping: 514.15 for first roar,54413 for Ind'additional • CotItsiiii ante A:iigela'Orajewski .Pit ria'ec.eta.... - ...,...1 .f ' Address:109'East 001 Street • Oas•lheat pump . 1 Walllsuspended/unit heater 1 '' Gity/Slate/L�1i'i Vancouver,WA 98660 Water.heater . .P0016:1360).95-771)0 Paz::(360)693-4442 ..Fir lace. Range - E-xriail AngeRo rajewakiiuh,,polygomhotnescont • i3arbecue: 'X„ r ';, TiV:„4 r,.'g `'` 2.4 s` 7t - % 71 ea- .,: ,; „ 666es:drcr(mss)' •Business fiame:Andersen Mechaalcal,Inc,• t3tls .. t s Andress:X628.OSI;8.xe Ave..... r _ '. • u6Eofal Minimum permit fee $90450) .071$0.#041101.4.0W 97224 . Plan review C25.%of pi This fee) Pliotiae(503)9924664. Fax:(503)5366615 ti State surcharge(12%of gook.fee). 'C`CB tic.:'16821.4 • .. TOTAL PE. FEE . 7hii'peiicitapplication milt:sira permiti aerubtained within 180 days anerif bas beta setepted a complete. A1i160r1Rd'Sl • Foe iaUl�tiidology ser isy rrifibiaiRji$'nHdC"liirIthstry Seiiist Boai d P.rine-notice:A tigeiii Grajewslo Date:S/27.41.6 gess aseutumiroaacibera npp'64 ua.doa 44o-4e35rS h iroiicortnveat 1. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00230 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC01800 Jurisdiction: Tigard Site address: 13760 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 18 Project: Polygon at West River Terrace, Lot 18 Project Description: New SFA. Building/unit 1.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 31 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $160,684.65 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 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: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 3 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: 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 1221 Owner: Contractor: VNLLIAM 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: $22,030.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: <0Permittee Signature: eJ .'97/'i./e e) 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. 6 Building Permit Application L 0 ,` ! CP K - S/u 5 Resl�1;e:g. _a! # j) FOR OFFICE FSE O\LI T� 'Y City of Tigard Received 43 /, Permit N9`�i-Wel/Z40e.g IN = 13125 SW Hall Blvd.,Tigard,OR 97223 M 2 % Plan Review,') �s • Phone: 503.718.2439 Fax: 503.598.1960 'Y �.� ? Date/By: D// Other Perm�t:541/(.20/ .00/P t I C r \R l) Inspection Line: 503.639.4175 Date Ready/By: c/,,/ kris' H See Page 2 for Internet: www.tigard-or.gov ° a Notified/Method:do / Supplemental Information WW7t It t t 9 t�i %®New construction ❑Demolition Permit fees*are based on the value of the work performed. El Addition/alteration/replacement ❑Other; Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the -'7;t ,-T,,.'1117,7-', work indicated on this application."b4 C . .. Valuation: ® 1Saif� /' 1 /� C� 1-and 2-family dwelling 0 Commercial/mdustrial 0 ❑Accessory building 0 Multi-family Number of bedrooms: 2 ❑Master builder 0 Other: Number of bathrooms: 2 (' Total number of floors: 3 - 7 Job site address: 13(40 SW Silent Fox Terrace New dwelling area: 1221 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 456 square feet Suite/bldgJapt no.: I Project name:Polygon at West River Ter Covered porch area: a, square feet, Cross street/directions to job site: Deck area: 72 square feet q 7 Other stnlctur `area: �' square feet Subdivision:Polygon at West River Terrace I Lot no.: is Permit fees*are based on the value of the work performed. v Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: _ equipment,materials,labor,overhead,and the profit for the • ` ' yam >' 3 ,�{ .` . E� ' .: work indicated on this application. K6 ?i1� Ur 5 I . u Valuation: $Existing building area: square feet New building area: square feet Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: r.i44,77,Q7-7771.37?irk Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13'a Street pp ) Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewslu@polygonhomes.com �� ��� ' � A � Commercial and residential prescriptive installation of ~ gl '' 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: r-,�/J J� This permit application expires if a permit is not obtained ���vvv / 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Ap licati �_ i74-11;111 �� , FOK OFFl("E('SI:011.1 City of Tigard 1 ;_r' 1,.'+P. '_F Received II • 13125 SW Hall Blvd..Tigard,OR 97223 PlateBy: Permit No/ Ly/� /fn 4 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review 7J I l c;:\1.1) pe " ' i C Dare By: Other Permit: Inspection Line: 503.639.4175 MAY, -& Internet: wlvw•.tigard-or.goV Date Ready By. tuns,,. .. H See Page 2 for Notified'Method Supplemental Information TYPE OF IWORK %, ,;-' -, ' COMMERCIAL FEE* SCHEDULE --USE CHECKLIST El New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. I CATEGORY OF CONSTRUCTION Value:S RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For speda(fn/rmwion use checklist ❑Multi-family 0 Master builder 0 Other. Description Qty. I Ea. I Total JOB SITE"INFORMATION.AND LOCATION Heating/cooling: Air conditioning 146.75 lob site address: 13`1(0 b SW SI l -r i SOK 1.e f ra.c_c Furnace 100,000 BTU(ducts'vents) 1 46.75 City/StateZIP:Tigard,OR 97224 Furnace 100,000+BTU(duct vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Heat pump 61.06 Duct work 73,32 Cross street/directions to job site: Hydropic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of'above 23.32 •Subdivision:Polygon at West River Terrrace I Lot no.: i ei Other: 23.32 Other fuel appliances: Tax map/parcel:no.: Water heater 23.32 DESCRIPTION OF WORK _ Gas fireplace/insert33.39 Complete rough of HVAC Flue vent for water heater or gas fireplace 1 23.32 I )ur --. I (J Log lighter(gas) 23.32 1 1 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent ' 23.32 ;� P OPIIrRTY OWNER Other:Range R I ❑ TENANT' I 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, Phone:(602)694-4031 Fax: toilet compartments,utility rooms) 3 23.32 ( ) Attic/crawlspace fans 23.32 lEb APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four,S4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unit heater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajew•skiriepolygonhomes.com Barbecue I CONTRACTOR Clothes dryer(gas) Business name:Andersen Pleating,Inc Other: Address:16285 SW 85t''Ave ste 410 MECHANICAL PERMIT>EESa Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Phone:(503)992-6664 I Fax:(503)536-6615 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:16821i I TOTAL PERMIT FEE I This permit application expires if a permit is not obtained within 180 Authorized signal days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I Print name: Date:05/23/2016 I I%Building\eennits:MECPennaApp o.ol13 doe 4.t0.46/7(I110:F(QKWEa) 1ectrica1 Permit A lie r. 1 I i( i 1 ,, t i,i r City Df Tiger i a s: .MgErilW.a0 13125 SW Hall Blvd..Tigard,OR 97223 Phone: 503.7142439 Fax 503.5y1A5604 PI inik r.,_ Inspection Line: 503.639A175 study 1 : kris a at""T! " Internet: www.tigand-or,gov Nota ied/Method: R�T'T!t!I� - New construction 0 Addltt l ta Pkost d.dal tlt aPyiy t >t?sus. phos wruwas tea). 0 Demolition ❑Other. ❑Service or feeder 400 amps or more 0 Buiblios o+mr dace atone. where doe available fault current ❑Mama sod boatyards.. , • ' ,. , - p..7? `, S : -'° . excels!0,000 amps at 150 yoke or 0 Floating buildings. I �� 1-turd 2-family dwelling} 0 CeantmercisilitKlustriai 0 Accessory building to pound,or exceeds 14,000 0 Commercial-me sgriariant amps to all 0 Multi-family 0 Master builder 0 Other ❑ ems` Fire pump.. ❑knelled=of 150 KVA or • = " n '° ' , ; ❑tats y - lama ly derived of system. Job : Job site address: Sirt?f f ttCe, Annear new mann load 0 . i , 100i1Pormom. ©-A",-r."1-r,-1-3", City/State/ZIP:Tigard,OR 97224 J six or more residential emus. ©}leaimsynr facilities, 0 Recreational vehicle parks. Suite/bldg./apt.4. 1 Project name:Polygon at West River Ter O fbccarekits locationx O supply volume for more than O Secular:or feeder dos amps or more, 600 volts ssmiod, Cross street/directions to job site: ": 7 ,° Deaeriatia. Qty. Lath 71rtal • . New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Te rause Lot 4: le Includes attached garage. Tax map/parcel 4; 1,000 sq.R.areas I 168.54 1111b544 r— ,�. .ma,,<, _ xc ,r ., , 7.„,„-;.:.,' s £;�a . , ;,e .. ,.- Et add'(500 sq.R or portion 1 33.92 C1-) 1 f 1Lh1+ Limited energy,residential 75.00 2 t (with above sq.ft.) Limited energy,multi-family 75-00 2 Name ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 arms or less 100,70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 I Fax:( ) 201 amps w 400 amps 133.36 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: ,- - Temporary services or feeders installation,alteration,and/or -- - ..�-: t ` .b,.,~ - ' a relocation Business name:William Lyon Homes,int 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 Breach circuits–new,alteration,or extension,per panel Phone:(360)695-7700 I Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, 7.42 z Email:Angela.Grajewskic)polygonbomes.com each branch circuit ...— B.Fee for branch circuits without Business name:alameda electric branch circuit 56.18 2 Each add'I branch circuit 7,42 2 Address:3415 ne 44th 7M J 1�/Z /47 7 g/3 Each m Miscellaneous eor(service or feeder not included) 5 CityiState/Z1P:AMR Each manufactured or modular. _ dwelling,sevice aedloor feeler 67.84 2 Phone:(S03)3192192 Fax:( ) only 67.84 2 Email:solarpdx@me.com Pump or irrigation circle 67.64 ' 2' CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: tf f7/s Signor outline lighting 67.84 2 Suprv.Electrician signature,required: / J,/, / Signal circuii(s)or limited-energy Print name: K,r /24,,,,,.,(, j Date: f Z /,� > 'alteration.orextension. U See age 2 2 Each sddidonal inspection over allowable in any of the above , Authorized signature: Additional inspection(I hr min) 66., hr IPrint name:A�, �, Date yzjz,7 f.+ Inve gation(I hr mm) 9U0(ti hr ►pil sivait.C— EULERE hoc Rev 061171:QIS 4 0-4613TO 1/05't'OM'WBt ✓l11N9tti j r A 1_ -2. 0—.. } i nn \ rqe -Zi. y ,�1 ' L ZZ1d10 Plumbing Permit Application .p.,:',4 .. , Building Fixtures1 t)It ut 1 li i 1 ,.1 Ov1.1 •P V I', City of Tigard 1�y <_ , l;1 Rimy: Permit Na y`?ST //0X47230 1 13125.SW Hall Blvd.,Tigard,OR 97223 „ Phone:.503.718 2439 Fax: 503.598.1960 : siteBj OtherPermit No.: Inspection Line: 503.639.4175 ,', ,��y sy: tun. 65 See Page 2 for Internet: www.tigard-or.gov i t` 1�cafiedlMethod: Supplemental information h t ®New construction 0 Demolition For special information ase checklist. Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 10011.for each utility connection) x a itis t, 4$O - D . ` ..: , F l t SFR(1)bath 1 312.70 to I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath ( 437.78 A 5-7,-(g SFR(3)bath 50032 0 Accessory building 0 Multi-familyi Each additional badr/kitchen 25.02 0 Master builder 0 Other. Fire sprinkler(IVA sq.ft.) Page 2 ila 9 0 �` IIt i t € ot o( i o r [. i site utilities: Job site address: 1.5-1 Le 0 5 W 5 i len-} o)< -circa C2 Catch basin or arca drain 18.76 Drywell,leach line,or trench drain 18.76 1 City7State/Z1P:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 1 Suite/bldg./apt_no.: Project name:Polygon at West River Ter Manufacturul 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 1 Water service(no.linear ft.: ) Page 2 '! Subdivision:Polygon at West River Terrrace 1-01 no.: ' 8 1ialure or item: Tax map/parcel no. Backflow preventer 1 7 .7 �� ,. Backwater valve t l n#:.? ... .,, .., ...,. a Cloheswasher 25.02. 10 *BICIC U1/4nVl 1 t • Dishwasher 25:02 I Drinking fountain 25.02 I Ejectors/sump 25.02 I . , I 'R r Expansion tank 12.51 6 . . I. , . 6 V ', ,,4 Name:ADVL Land Holdings,LLC Fixttrre/sewercap 25.02 Floor drain/floor sinkihub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phare-(602)6944031 Fax ( ) Ice maker 12.51 Elf �c� t� Interceptor/grease trap 25.02 3„"� +,'tic ' �.ti ,v., ' �,.. ..v* y F...,n. i ry4. ';, {{ Business name:William Lyon Homes,Inc Medical gas(value: ) Page 2 Primer 12.51 Contact name:Angela Grajewski i Roof drain(commercial) 12.51 Address:109 East 13th Street S nklbasin/Iavatory 25.02 , City/State/ZIP:Vancouver,WA 98660 Soiar•units(potable water) 62.54 i Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 1 E-mail:Angela.Grajewski®polygonhomes-com Urinal 25.02 . r a ,wua w Water cla25:02 9 Water heater 37:52 Business name:Alliance Plumbing LLC Water pipituglDWV 56.29 Address:146 W Historic Columbia River Hwy Other. 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal �03.(4 k) Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 572.50 CCB Lica:184601 Plumbing Lic.no.:P13732 Plan review (25%of permit fee) 1 State surcharge(12% 'J of permit fee) 4.1.I2' Authorized signature: TOTAL PERMIT FEE (01 .84 Print name:Robert Dickman Date:5/23/2016 This permit application expires lin permit Is not obtained within 180 days after it bus been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board Y\BuildinePermii*WPLMU-PennitApp.doe 10101/09 440.4616T(10102FCOM/WEB) l I 11114 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT i rlcnRo Building Permit Review — Residential cu ika4sau ..,;...4.e,..i. ,,a,,,sn;r.,,,,,,,,.: ,:. ,sf0., s. -mss---a-;;; •_...-p a-aa: -.-',-Y; :,i„ „zPa�>L.,a:�a,raa: ±,.as..:La�.,-..,uars�-�E,e�E,,. Building Permit #: /'7,S!?7 /6 — 00 c2 3 C) Site Address: 137 6 0 S v\/ g'; 1,9.,n{- Fox Tie 1, r Project Name: Poi vJ 90r) c f vve,t Qvt Te crac, Lot #: I g (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review ,, Proposal: NeW -+-tu L�c�, 1n.W W h 0 MDQ_! Vr Verify site address/suite# exists and active in pen-nit system. 0 River Terrace Neighborhood: 0 No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan isting structures on site Site 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 Utility locations(required for new,mayapply for additions) Site address,project or subdivision name and lot number Pp y Location of wells/septic systems Applicant information(name and phone number) Z Erosion control(including drainage-way protection,silt fence iilLot dimensions and building setback dimensions design,location of catch basin,etc.) tot area,building coverage area,percentage of coverage and XJ Street names impervious area(applicable if R-7,R-12,R-25&R-40) Vtreet tree size,type and location gr'Property corner elevations(2 foot contour lines if more than ts`ting trees to be retained with drip line,and tree 4 foot differential) protection measures yt Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 0 Public Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake X Land Use Case#: 2®1S - 00004, S'V�2OIS - 0000(, , SLi2 `..011 -(70003 X Zoning: �(:1L_ Z c Setbacks: Front 12 Rear ' 0 Side V Street Side 3 Garage Landscape Requirement: __22S_;$ Lot Coverage Maximum: '0 % Building Height: Maximum Height 3 S Actual Height 'jI Visual Clearance Easements Sensitive Lands: 0 Yes El No Type Urban Forestry Plan ZConditions "Met"prior to issuance of building permit Notes: a0 h GLItf oris is 1,..e Me+ prfor IthiticlineJ Approved By Planning:: 410 1112 f I®ef.1--t. - Date: S/2c /1 6 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\B1dgPermitRvw RES 012116.docx r Building Permit Submittal Original Submittal Date: # .5•�3ZS/ /b Site Plans: Building Plans: # -3 Building Permit#: c2Enter building permit#above. Workflow Routing: Q Planning Engineering l ermit Coordinator Iudding Workflow Sign-off: ET Sign-off for Planning(include notes from planning review) Route Application Documents: J' 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: �/3/�,6 Engineering Review Slope building pad: 0,11 Conditions "ldMeget: t"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 Cl No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes El No ❑ NOT Appro d e Engineering: Date: Notes: i . �� i Approvedb Engineering: ,4G Date: A-16 y � �• Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved El Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: L Z'71('"--tj Date: L &A(i 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: ({es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: y Yes El N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES 012116.docx t 4 City of Tigard IIII' COMMUNITY DEVELOPMENT DEPARTMENT a T 1 c A R D River Terrace Building Permit Review Addendum Building Permit #: /7:57;20/6 -- Da-230 Site Address: 1374,0 S W s i Ient- Pv c' Ter( Project Name: Foil 9 on 01+ Wolf a Nt r Tom^ Lot #: .1 (New dwe g=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 ❑ ❑ ❑ ❑ 2. Eyes on the street:a minimum f 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 4. S 3. Entrances:At least one entrance must meet both of the following standards: ,A 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: /Yes ❑ No If yes,all the following apply: (/25 sq.ft. min. XOne street facing entry '12 ft.max.roof above floor of porch '5 ft.depth min. 9'30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: XCovered porch min. 5 ft.wide x 5 ft. deep 'Recessed entry area min. 5 ft.wide x 2 ft. deep /ZIWall 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 7Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min. 3-7 ft.wide AAccent siding min.40%of street facade X Window trim min.2 1/2"wide by 5/8"deep 0 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.p4esOftNo. 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) 2(12-foot-wide garage door ❑ 40%max. of street facade Z50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /1/01114.1/4 6)lookiAAA Date: Ci 2 c / l (o I:\Building\Fonns\BldgPermitRvw RES RT 031416.docx V Plumbing Permit Application Site Utilities ' FOR OFFICE USE ONLI - City of Tigard Received r Date/By: 9 �� My-,--„,....„/6, II II � Permit No.: �a3D 13125 SW Hall Blvd.,Tigard,OR 97223,( l_ i ,� ),r: Phone: 503.718.2439 Fax: 503.598 1960 Plan Revie Date/By: (0--(e.ow 0.4 Other Permit No.:Inspection Line: 503.639.4175 J ,FIGARD .. ..cam = '.✓.P,' ,ru.'(3F i,ffio.� .a,, ..,6-�:�• s• Date Rea dy/By: *lor$isS ee P age 2 forInternet: www.tigard-or.gov Notified/Method: SupplementalInformation rmattna Al' u 7 Q ZD }LE ' ®New construction ❑Demolition For special information use checklist Descriptionj t ❑Addition/alteration/replacement 0 Other: Q Y• Ea. Total l A' +Gyntv.Oi C New 1-2-family dwellings(includes 100 ft.for each utility connection) .#Hw =a SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kit en 25.02 0 Other: Fire sprinkler , Page 221 q,ft.) Pa e 2 � J013 SITE-INFORMATION AND LOCATION '' Site utilities: Job site address:13760 SW Silent Fox Terrace Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: 18 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwaterwater valve 12.51w] � 0 Clothes washer Multipurpose Fire Sprinkler System 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 - P...;:Pl<ROPER,'X Q FI Av TEIVAN'1'' ,, Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 APPLICANT: + I' '1,"ACP' PROIV Interceptor/grease tra � ;. P 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) 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 Water closet 25.02 ' ''' Water heater Business name:Alliance Plumbing,LLC 37.52 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) g �1 State surcharge(12%of permit 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. 1:\Building\Permits\PLMU-PermitApp.doe 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: ' '*16tagfi: 'ftrintr Vier -Sitelltibnes ',x.,.. Footing drain-151 100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100' 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 Vitt tit**to ' 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 Ilrlu p�he�rle „ each additional$100.00 or fraction thereof,to t3 x and including$10,000.00. � �p�tl+��rsc�lr � �: !�. � �� :' 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 includin $50,000.00. $50,001.00 and up 11 • e first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr 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 I;y Fixture Type an ullations licturt;Type frzzi` 'Replace'' Plan review is required for any of the following. Work Petforl*ed:. Capped Arkizt1 RdoortePlease check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash -Each Stall -Drive tallThr0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. Cuspidor/Water Aspirator Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Rtser-Diagram! :1 . Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food that meet the qualifications above. Disposal -Domestic-food related -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 increase of sewer EDUs,a sewer permit will be issued and Water Extractor 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 ECEI 14: 1 Electrical Permit Application - FOR OFFICE USE ONLY City of TigardReeei 1/ NOV 1 0 2016 Dan Re It ( I c/ 1 Permit IUIST�OtilP p OZ�j 711 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax 503.598.19 0;fl, „l rsti ,4 j Dat&3y Related Permit it: TIGARI] Inspection Line: 503.639.4175 11 A A till t 1 x, , Ready Date/By: kris: H See Page 2 for Internet www.tigard-or.govd/Method 4 4 T r Supplemental Information 4-f- .Tt(gf* .�.�.�-. :017.. -`ZI rV)+47,:6...'174Z.. �.-.-".... -c•.�:..�:.. e .,.<_1gzb AZIx-�._._`':.'j's�'--'�.�:.."��� - •t Ett�.�•�or--�'eiM � _' ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of pians w/items checked): ❑Demolition ❑Other ❑Service or feeder 400 amps or more ❑Building over three stades. _ _ where the available fault current 0 Marinas and boatyards. - - „iice� ? t-,,?C<. .- '^;� -'�,,..-F- `�.L:���;.`r�.w..����•� ai'a=s:? � - .� "-�; exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commerciallilidtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family EI Master builder 0 Other: amps for all other installations. buildings. .K Fire pump. ❑installation of 150 KVA or ".�::. -.¢�t1 :.__ 1 QMti�lD�-"��- �;ATF� _ - Be�Y system' larger2 derived ._t ��+�:��_,r"�,'s;';`'=';'”�`;"=� � Separate )51W V �SC n ❑Addition of new motor Load of system. Job#' Job site address:' C�t�'`A_f rex 10011P or more. ❑`A„, E,`1_2", 1.3, City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-Dare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: t U Project name:Polygon at West River Ter 0 Hazardous locations. ❑Supply voltage for more than Cross street/directions to Ob Site: 13 Service or feeder 600 amps or more. 600 volts nominal. J Description Qty. Each Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: j f 5 Includes attached garage. 1,000 sq.ft or less i 168.54 4 Tax map/parcel# 1 Ea.addl 500 sq.ft.or portion 1 3392 1 #0 .4?-:;n Limited energy,residential aT c•-,r- C.,V C for (with above sq.ft) 75.00 2 t t a�,! L� t w.� iJ/i Limited energy,multi-family 75.00 2 residential(with above sq.ft.) .M> l-VrO'- •.a _ ;. 0 Renewable Energy ❑ See Paget ^` =. Qh -�I1— Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I • 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 • "33: r 'tea ^"`.c` ,sem :ii ,egA, • . y G`d�N'>rA O r Branch circuits—new,alteration,or extension,r er panel ` 'c-"" -- v`'J A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 742 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,that 56.18 2 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 Each manufactured or modular 67.84 2 Email:Angela Grajewskt©,polygonhomes com dwelling service and/or feeder _ } _ _ Reconnect only 67.84 2 v, Pump ar irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal ti )or extension. 0 See Page 2 2 panel,alteration,or eldension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/11r Phone:(253)320-1657 Fax:( ) Investigation(I hr min) 90.00/hr Email:bdaniels®gweusa.com Indtrstrielplant p hr min) • 78.I8/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lie.: 208174 1 Suprv.Lica: 4496S specifically listed(r1 hr min) Suprv.Electrician signature,required: �� A. - f � .,-1 •.^ '5 ..�Mt. L '';'!7.: ; b- - . • 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 signatnte: 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 per permit. :`I1Bm7ding1Pe aita\E.0 PennitApp_ELR EREdoc Rev 06/l7/2015 440-461ST(11/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13760 SW SILENT FOX TER, SHERWOOD, OR, May 4, 2017 at 11 :36:45 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00230 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Note: range connected, not installed at this time. Return air grill on floor in master. Appliances to be installed prior to building final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13760 SW SILENT FOX TER, SHERWOOD, OR, May 8, 2017 at 12:55:36 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00230 Inspection Type: Inspector: 199 Electrical final David Young Result: CNCL Comments: Expose Ufer ground, appears to be buried. 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: 13760 SW SILENT FOX TER, SHERWOOD, OR, May 11 , 2017 at 1 :30:01 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00230 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: 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 :11 Transmittal Letter G A p t 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE fartivED DEPT: BUILDING DIVISION OCT 17 2016 FROM: Angela Grajewski CITY OFTIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: tli � RE: 13740, 13750, 13756,13760, 13768 SW Silent Fox MST2016-90 271 ``S a��I Terrace (Building 1) d 31 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: ;',,T;74,40,4.,,� 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. � CoLr.E b /A/ /`'/_1720/io Do•2a Y N+ '"� $a�"'G2 1�f F Routed to Permit Technician: Date: / 0— ) �' —� � Initials:-I Fees Due: Yes ❑No Fee Description: , w/ A+Amount Due: - ti-- /O A ,E-1/13 $ ea mowfait %r ; Special S o r /6--Co,PA 7 Instructions: Reprint Permit(per PE): ❑ Yes No ❑ Done Applicant Notified: l9v6i Date: 7W/6. Initial I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012