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Permit
CITY OF TIGARD ; �7 MASTER PERMIT n COMMUNITY DEVELOPMENT Permit#: MST2016-00229 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S106DC01700 Site address: 13756 SW SILENT FOX TER Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 17 Project: Polygon at West River Terrace, Lot 17 Project Description: New SFA. Building/unit 1.3. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). BUILDING Floor Areas Required Setbacks Required Stories: 03 Bedrooms: 2 First: 97 sf Basement: 0 sf Left 0 Height: 31 Bathrooms: 2 Parking Spaces: 0 Second: 562 sf Garage: 456 sf Front 12 Smoke Dwelling Units: 1 Third: 562 sf Yes Right 0 Detectors: Total: 1221 sf Value: $160,684.65 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 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'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: NEW TYpe of Constr: Occupancy Group: Square Feet: 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: $22,312.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 - 1-0090. 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: t`�� ZL' —,. Permittee Signature: � '/�L�t�'���0jy� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Water Meter Fixture Unit Worksheet Please complete the following information: Contractor Name: Billing Address: Phone Number: New Meter Address: Subdivision Name: Lot#: j -1 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 ix 4 Dishwasher J x 1.5 = I , -- Hose bib S � x 2.5 = a.S- Hose bib, each additional x 1 = Kitchen sink ) x 1.5 = ) „S" Laundry sink x 1.5 = Lavatorya, x 1 = 42, Water closet, 1.6 GPF a, x 2.5 = 5- Bathtub/whirlpool x 4 = Shower stall f x 2 = Bath/shower combo J x 4 = 14. Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: , 5-- Fixture Unit Points: Up to 30= 5/8" Over 37= 1" Up to 37 = 3/4" Meter Size: Meter Cost: $ *********************************************************************************fi4** 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 111 I COMMUNITY DEVELOPMENT Permit#: MST2016-0022 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S 106DC01700 Jurisdiction: Tigard Site address: 13756 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 17 Project: Polygon at West River Terrace, Lot 17 Project Description: New SFA. Building/unit 1.3 BUILDING Floor Areas Required Setbacks Required Stories: 03 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 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'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: $22,030.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0'i• 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: all�,�/ Permittee Signature: / ' 49 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L' / 7 I` — rfis 1a F ,a ,+ i FOR OFF1cL l S1:ON Ll City of Tigard / ""KT Permit Nq/.yf7;20/6 13125 SW Hall Blvd.,Tigard,OR 97223 A2 Date/By. �� Phone: 503.718.2439 Fax: 503.598.1980 A 1 Date/By:Plan eIC)/ j Other Per "a/, j, _GVC S T"IC,:\RD Inspection Line: 503.639.4175 " Date Ready/By ,� Juris: H See Page 2 for Internet www.tigard-or.gov 5 3 Notified/Method: ���� 4.- Supplemental Information ,9 ." p$' 42 ®New construction ❑Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the •--; � t. t work indicated on this ap' .plication. ® 1-and 2-family dwelling ❑Commercial industrial Valuation: $1.5E;864 )6 0/ L� --// ❑Accessory building 0 Multi-family Number of bedrooms: 2 ❑Master builder ❑Other: Number of bathrooms: 2 Total number of floors: 3 I .4,-7 -7 Job site address: 13-75/0 SW Silent Fox Terrace New dwelling area: 1221 square feet l City/State/ZIP:Tigard,OR 97224 Garage/carport area 456 square feet .,. Suite/bldg./apt.no.: I name:Polygon at West River Ter ProjectYg Covered porch area (Ds. square fee Cross street/directions to job site: Deck area: 72 square feet 9 1 Other structure area: 7,k square feet Subdivision:Polygon at West River Terrace I Lot no.: 11 Permit fees*are based on the value of the work performed. Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the • � > ? work indicated on this application. K6 s fn (kY\,k 1. 5 Valuation: $ Existing building area: square feet New building area: square feet # w 4, 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 FLSplan review fee(if applicable): Address:109 East 13th Street pp )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ;sem Commercial and residential prescriptive installation of � ' u r -- 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. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: ,-„A C,��/f�Q�A�V ,' This permit application expires if a permit is not obtained WWW T .J��-���UUU within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/20/16 *Fee methodology set by Tri County Building Industry Service Board. I:\Building\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A licafion. , M,. City of Tigard ' l I.OR OFFICE l'1F O\l.' rP +e<L 1�� [1!:','1.1 N � 13125 S<1'Hal!Blvd..Tigard,OR 97223 DReceivedatetBY: Permit No„z re,,,,, Phone: 503,718.2439 Fax: 503.598.1960 Plan Review I 1 t,.-t R fl Inspection Line: 503.639,4175 MAY ��; Dare'AY: Other permit: nam Renay,'By. F.,1$Nonfiea'vtethtxl- See Page 2nr Internet: www.tigard-or"gov Supplemental Information TYPE OF WQR , COMMERCIAL FEE* SCHEDULE—USE CHECKLIST ®New construction ❑Addition/alteration/replacementMechanical permit Fres*are based on the value of the work performed,Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,e•ui.ment labor,overhead,and.rofit I CATEGORY OF CONSTRUCTION ® 1-and 2-family dwelling 0 CorttmercialfindusitiafRESIDENTIAL EQUFFMENT/SY MS FEES* 0 Accessory building For specfa(information use check/tst, ❑Multi-family ❑Master builder 0 Other , INDescription Qty. Ea. Total JOB SITE FORMATION AND LOCATION Hcatin cootie Job site address: 13156 &.,kS1,er> 1 -;:::1( Air conditionin `.e (-r4CQ 46.75 City/State/ZIP::Tigard,OR 97224 Furnace 100,000 B'1•U(duccI,v rs) © 546 7i BMW 4.91 Furnace 100.000+BTlJ(dcu:lsvenut 54.9] Suite/bldg./apt"no•: Project name:Polygon at West River Ter ' MI ��_-_ 6106 Cross street/directions to job site: •dronic ronicuctk 2 H hot water system ain Residential boiler(radiator or h•dronic 23.32 Unit heaters(fuel-type,not electric), • .11111 in-wall,in-duct,sus ended,etc. Flue/vent fbr an,of above 23.32 Subdivision:Polygon at West River Ten-race Other: Lot no.: 23"32111111111 l Tax map/parcelno.: Other fuel a,'fiances: Water heater 3"39 ��" - ; �DESCRIPTIONtat~WORK '� � ��� 3 33.39 Complete rough of HVAC Flue vent for water heater or gas fire,lace Lo• lighter( as N r• t�i tl►.�;Yl! :. 23.32 Wood/. stove 33.39 Wood fire. lace/insert Chimne lliner/flue vent ia p`OPERTY ovviv R 0 TENANT Other:Rattle 11�= Name:ADVL Land Holdings,LLC Environmental exhaust and ventilation: Range hood/other kitchen e lothes nt 1 33.39 MI Address:7600 Doubletree Ranch Road City/State/'LIP:Scottsdale,AZ 85258 Clothes d er exhaust I 33.39 r Single-dart exhaust(bathrooms, Phone:(602)694-4031 Fax:( ) toilet com.artmcnts,utili •rooms) �� CI App1.YCAT1.)E, AttiGcrawls.ace fans .,7 ,, . ' 0•CONTACT PEIISON Other: 3` Business name:William Lyon Homes,Inc. Ell 23'3`' Contact name:Angela Grajewski $14.15 for first four.$4,03 for each additional Address:109 East 13th Street Furnace,etc. =�� City/State/ZIP:Vancouver,WA 98660 Wall/sus, nded/unit heater = Phone:(360)695-7700 Water heater 11111111111111111111 Fax::(360)693-4442 Fire,lace NME-mail:Angeht.Grajewski@polygonhomes.com _ 110111 CONTRACTOR arbecud � C Business name:Andersen Heating,Inc Clothes d er(gas Other: = Address: 16285 SW 85'"Ave ste 410 NIEMAN/CAL PERMIT FETES* City/State/ZIP:Tigard,OR 97224 SubtotalMIIIIII Minimum permit fee($90.00) Phone:(503)992-6664 Fax:(503)536-6615 Plan review(25%of permit fee) 1111111111111 CCB lie.:168214State surcharge(12%of permit tee) 111111111 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 188 Authorized signaturdays after it has been accepted as complete. Ali * Fee methodology set by Tri-County Building Industry Service Board Date:05/23/2016 • r‘Building Termits a 5C AermsApp_Pr0113 doe 440=4617(11J02tCOM14'E.a} lectrical Permit Applicatiol `tl . _. .. �.'-' 1 t)u 11, 1 l( 1 I ,l 4„1 , City of Tigard Received Puma 0:/757 7//—Oe P • 3 fa 13125 SW Hall Blvd.,Tigard,OR 9722 ';`' ' 5 2''(111; r i r Phone: 503.718.2439 Fax: 503.598.1960 r inspection Line: 503,639,4175 Ready WtaBy lair rr. EIM lntattet: www.tigard-or,gov .. Natfmdod: -+ New construction 0 Addition/alteration/replacement Please check all that apply(semu a sea• plans whams dtoakdj: 1:3 Demolition ❑Other O Service or fade 400 amps or more Building ora three Senior. where the available faun carat ❑Mamas sad boatyards. .. . ....„ , . } f, ,... pg ...: "s.> ' < , exceeds 10,000 amps a1150 ohs er 0 Flonun&halfwit s'...'1 I-and 2-family dwelling ¢0 Commercial/industrial 0 Accessory building ices to ground,or exceeds 14,000 0 Commercial-use agricultural amps for ❑Multi-family 0 Master builder 0 Other: ❑Fire pump.,. other iodtatlatiens. O installation ist+oe of 150 tCVA or Nim a,. ,r w + ,� e T; O Ba y q� .. forcer aars derived t)Adana of new motor load of lob 4: lob site address: !. ✓1 7 ) Sill Nt.,� �j��� mole armarc. 0"A',`E';"1-Z",'1 3", City/State/ZIP:Tigard,OR 97224 .„1Six or more residential units. may. a Health-care facilities 0 Recreational vehicle patter. Suite/bldg./apt.it Project name:Polygon at West River Ter 0 Hanidous locations. D Supply volatile for more than ❑Service or feeder 600 amps amore, 600"les eomiaat, Cross street/directions to job site: 7- � C -; Descried. ow. Laei Tad • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Termite Lot 0:'� Includes attached garage. Tax map/parcel Si: 1,000 sq,ft.orient I 168.54111;6511. 4 ' .- - ',1:,:.!°.`7 "..,7:-."' 7 v . ' b, 1", Fa add'I 500 sq.ft.or portion I 33.92 33,?, 1 to . 9 I r)11— Limited energy,residarad 75.00 2 W (with above sq.ft.) Limited energy,multi-family 75.00 2 b resideaEisl(with above sq ft) Name:ADVL Land Holdings,LLC Renewable Energy 0 Set Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/Z.IP:Scottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 I Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on pnrpcily that I own which is not 601 amps to',o00amps 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 Cervices or feeders installation,alteration,and/or ' d (k. .'. alb .:'.:ILI .,,.5..° > reloeutkin 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/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension,per panel Phone:(360)695-7700 1 Fax::(360)6934442 A.Fee for branch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewski®poiygonbomes.com each branch circuit B.Fee for branch circuits without ,�_ �° - _ � ,advice err feeder fee.first Business name:alameda electric branch circuit 56.18 2 Each add't branch circuit 7.42 2 Address:3415 ne 44th 1 Miscellaneous(service or feeder not included) City/State/ZIP:lanai R,r 1 la wA Io/z /07 7.2-l3 dEachwelling, mg,service rt red or module 41.84 2 dwelling,semaim feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 : Email:solarpdx@me.com Pump or irrigation circle 67.44 ' ` 2 ' CCB Lie.: 199188 Electrical Lic.: c923 Suprv.Lic.: tf f71 s Sign or outline lighting 67,84 2 Suprv.Electrician signature,required: Pri - / i / Signal circuits)or limited-energy CI Page 2 bin' name: K i s /Zds� .S'/ .3 a Date: //,1 Panel,alteration,or extension. Each additional inspection over allowable in any of the above Authorized signawre: Additional inspection(1 hr min) ' 66.351 ba r��cam• ;, Print mune: ,..*!.--'e"------ - "ate /&//-1 investiption(1 hr min) 90 00'Ir i I t'4lr l TineissEl.0 PtA„FAEdoc Rev 06/17;3e15 44440-4615U1i/0S+C'OM+WP$ :10/.q(.4o , c' qe .Z • Plumbing Permit Application (- ' ‘ `\` `' Building Fixtures City of TigardReceiwd • By: Para"NO.�S/ /b" 13125 SW Hall Blvd.,Tigard,OR 97223 . ' Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DatriBy, OtherPermit No.: Inspection Line: 503.639.4175 Dace Ready/By: lisris I 0 See Page 2 for Internet: www.tigard-or.gov Notified/method: Supplemental information ' ti Yiek ,„ * r l','. k g i 4414 Z _t;;; / a � „r ! 77E r 1 ®New construction 0 Demolition For special information use checklist. j Description ( tom'• 1 Ea. 1 Tina! Q Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 IL for each utility ennnecuon) a 31270 4.7:„:, �aY£� _., F„ _ i t e �...,�. .� ® SFR(2) - 437.78 451.16 I-and 2-family dwelling 0 Commerciailndustrial SFR(2) , + 500.32 ❑Accessory building 0 Multi-familyEach additional bath/kitchen ' 25.02 Master builder 0 Other: Fire sprinkler(1221 sq.ft.) 1 Page 2 121,c AO! A14 tx ; :°P'a.d :' Site utilities: !ob site address: , .: � .°.<„� ,�t9. �__ ,� �, �e y' 3-1 5o e W 5 i 1e.o-} fox- T rt'a G2 catch basin orareaarain 18.76 Drywell.leach line,or trench drain 18.76 City/StatefLIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured boat 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 1:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: 1"' Fixture or item: ' Tax map/parcel no.: Backflow firewater 1 ego k clothes l i , ^ 6 t � '����, § ..�;.� �-.. �,�,x.. �:TV''',-,-- _ �. r ' washer 23.02 I YIOlA1cl( un1i_. I •B ' Dishwasher 1 25.02 • Drinking fountain25.02 Ejectors/sump 25.02 d :':::::,:i.,.,,77:::.:',-„4.,.11 t q c :o r r,' # y' Expansion tank 12.51 ' Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ? .. a r , . 2'' interceptor/grease trap 25.02 Business names William Lyon Homes,Inc Medical gas(value:5 ) Page 2 Primer 12.51 j Contact name:Angela Grajewski Roof drain.(conunercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewskipolygonhotnes.com Vvata closex 25,02 Water heater 37:52 Business name:Alliance Plumbing LLC Water pipinglDWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdak,OR 97060 Subtotal (o ) .1.1 Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) "(2.474 Authorized signature: TOTAL PERMIT FEE ("i S.6s Print name:Robert Dishman Date:5/23/2016 This permit application expires if a permit Ia not obtained within 180 days atter it has teen accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:1auidiagkPamitairLMU•renrjtApp.doe 10101/09 440-4516'r(10/o2ICOM/WEB) City of Tigard to a COMMUNITY DEVELOPMENT DEPARTMENT T l c A rR'D Building Permit Review — Residential Building Permit #: /`7 5 7-c.,20/6 – 00.7,-9 Site Address: )3 7 5 0 S W S'i LQ,n$ Fox Te y r Project Name: P01v0 900 G+{- west- Qveif Te cc-0%u_ Lot #: V7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review I 12 n Proposal: N .AN 1'-}'121(Ala. c W h o(Yu-i VVerify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No gl Yes,See River Terrace Review Addendum Attached Site Plan Elements: (Three(3)copies of site plan ` fisting structures on site fZiSite 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,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.) Lot area,building coverage area,percentage of coverage and ,�'J Street names impervious area(applicable if R-7,R-12,R-25&R-40) Cy treet tree size,type and location Property corner elevations(2 foot contour lines if more than SE ting trees to be retained with drip line,and tree 4 foot differential) protection measures pClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ki Land Use Case#: f - 00004 Ev.3201S ' oD00(, , SL12'L01I -00003 X Zoning: �- 2.s Setbacks: Front 1 ,2.., Rear 1 0 Side 0 Street Side 3 Garage Landscape Requirement: V Q % Lot Coverage Maximum: 2.. 0 % Building Height: Maximum Height 3 c Actual Height ?j 0 Visual Clearance Easements pSensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: ep hGLiti°h, 1, be Me+ pr►or -h 03 V61111`c 0 L ✓i i oLi rico 12Utn1 i t . Approved By Planning: 7240 4.)2.€ I,'oci62-e,t4/-- Date: S 12 c ®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\BldgPermitRvw RES 012116.docx r Building Permit Submittal Original Submittal Date: --<7Z.-.//ib Site Plans: # '3 Building Plans: # 3 Building Permit#: Center building permit#above. Workflow Routing: ["Planning O''F`ngineering ©'hermit Coordinator C tiding Workflow Sign-off: Ei''Sign-off for Planning(include notes from planning review) Route Application Documents: B'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Cluilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 4�-V":6 L...v. .. . � n;. x,111;4 ... .._ 1 t5, - 1 t ; ,�� _. .P.. , , _, ,mow_1 Engineering Review ASlope at building pad: ,...12s, Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approve; e • Engineering: Date: Notes: v_ 4%. _ r,.`. d/ I ,r _ _/ Approved by Engineering: di-17— Date: Aj1,04 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit epproved,NOT Released: . ���%�// 4 vwa Date: J� otes: 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: Ni DC Fees Entered: Wash Co Trans Dev Tax: Yes CI N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: j;l#Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPemnitRvw_RES_012116.docx 4. L City of Tigard 11114 " COMMUNITY DEVELOPMENT DEPARTMENT III T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /7577,20/6 0O,).2-9 Site Address: (375 0 S W S i OPv t Pow Te re Project Name: ?Di'y y on o + west (Z`w r Te^ Lot #: ('7 (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 El El El ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: I '4 . S 3. Entrances:At least one entrance must meet both of the following standards: /Z 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 P/5 ft. depth min. 09'30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep 2/Recessed entry area min. 5 ft.wide x 2 ft.deep Wall offset min. 16 inches El Dormer min. 4 ft.wide Roof eave min. 12 inch projection /Roof offset min.of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. CIHorizontal lap siding min. 3-7 ft.wide AAccent siding min.40%of street facade ,Z Window trim min.2 '/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access El 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. CYes 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) .2112-foot-wide garage door ❑ 40%max. of street facade Z50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: fil 0 fli ')/ Date: C/ 2 C / j 10 l\Building\Forms\BldgPermitRvw REs RT 031416.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14820 SW 98TH AVE, US Building/Res/Master Permit/NA 299 Final inspection FAIL MST2006-00229 David Young Windows by tub in master within 60" of tub less than 60" off finished floor to be tempered per code. R308.4. #5 Violation Summary: Inspector Contractor Plumbing Permit Applica tip ,, '/ Site Utilities City of Tigard t` ' t i 11 f; Received �,/ '.I Date/By:: 9/ 1 t!Q Permit No..1 t ������ � 13125 SW Hall Blvd.,Tigard,OR 47223 Plan Review Phone: 503.718.2439 Fax: 03.598:1960 ; Other Permit No.: Inspection Line: 503.639.4175 Date/By: �V-6:�Gt6 T I G A R D Internet: www.ti and-or. otP, Date Ready/By: runs: ® See Page 2 for g g . f' i '' Notified/Method: Supplemental Information `)(PE OF WO .J'E * PFDIJLE ®New construction ❑Demolition For special information use checklist. Description Qty. Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 0 F'C)NST U !ON SFR(1)bath 312.70 ❑ 1-and 2-famil y dwellin SFR(2)bath 437.78 g ❑Commercial/industrial ❑Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitclyn 25.02 ❑Master builder ❑Other: Fire sprinkler(1,221 s .ft.) Page 2 JOB„Iqj Bs1FORMATIDN ,40 1 ,,,,,,,,,,,,‘,,,, ,�II€7t1 ': Site utilities: Job site address:13756 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.: Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.:17 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 S. Backwater valve 12.51,5Es R)PlaOF ONNVR Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ` le PROPirRMOwN IR . " +CUTENANT. 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 ►1 A1'PLICA�I7 . ❑ 1A RSQNN Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax: :(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 O Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: / ! �G_� TOTAL PERMIT FEE Print name:Gavin Thomes Date:8/24/16 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4610T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: n p y Ttl< tic ... .. ,a F c; ., "eril tdee: ., Footing drain-15'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 y l it �on I mliihe: $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 Qt7. Fie ) Total each additional$100.00 or fraction thereof,to Other Insp tion orFee*,; 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 includin $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) additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type- Planjtevtottor Phi Phinthing Installations Fixture Type for Replaced Plan review is required for any of the following. Work Performed: Capped Added Relocate Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 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" 4" .RiieVi .m r Car Wash Drain ol>rietro,i" Garbage -Domestic-non-food 0 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 Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Peemit.doc A . Electrical Permit Application FOR OFFICE USE ONLY illiCity of Tigard NOV 10 2016 DateB : ��I� ■ 13125 SW Hall Blvd.,Tigard,OR 97223e� ' �'�-�1�" ,� r ' Phone: 503.7182439 Fax 503.598. � Plan RC1H1° OF . � p Date/. Related Permit k: Inspection Line: 503.639-4175 a :� Ready Daten3y: loris: la See Page 2 for IIGARD Internet www.tigard-or.gov '^ otified/Method BUILDING �� I�����.t, Supplemental Information ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans waters checked): ❑Demolition Queer D Service or feeder 400 amps or more 0 Building over three slides. _ w where the available fault current 0 Marinas and boatyards. "n "r-ms --. .-. a 6K - - exceeds 10,000 amps at 150 volts or ❑Floating buildings. e 1-and 2-family dwelling 0 Commercial/iridustrial 0 Accessory building loss to ground,or exceeds 14,000 0 commercial-use agrieutterai ❑Multi-family EI Master builder amps al other installations. buildings. �><w_.Multi-family ill ,. _ Fire pump.l 0 Installation o _ 0f 150 K s:;: :,:V �::x..11* M:` tirl :. - Emergency,� ;i'h�cdi`iC+ T _ fOhL 'zµ systemde ..,... _ . ...".. ---•-... ,-...-�- ., -.-> ,..-, 0 larger separately Hued 0 Job#: Job site address:`- -.1S-1f) SM\\ % •Si!-e�n•4-4j rex IOoAddition of new motor Load of system. V V 1 l/1 100JiP or more. l]••A••,<•E•,`I.2^,"1 3". City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: 1,.b Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than D Service or feeder 600 amps or Cross street/directions to job site: more. 600 volts nominal. Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:k-1 Includes attached garage. Tax map/parcel#: 1,000 sq.R or tens i 168.54 4 A � _ Ea.add'1500 sq.ft.or portion 33.92 1 te "-` a- t� (f 1 '$ � .>^ Limited energy,residential 4 IJ 11t1-r_� �•r, (with above sq.R) 75.00 2 11J LJ/C Limited energy,multi-family 75.00 2 } residential(with above sq.ft) ba l •. �_ ENti."T' z -�,-- Renewable Energy 17 See Page 2 .- n --- 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 2 401 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 Iess 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 :-:,L,-,..-02,4,,, '^,. ia' ii'R a.:.c..r...n, e, .*v ,+r,z" �r ^�.„� -: >.,t'•el�� ("� a� µY��-• .�,������ � •� ��, Branch circuits-new,alteration,or extension,per panel . - "`t" ``�-"-" `�'l"-`V A.Fee for branch;um with Business name:William Lyon Homes,Inc. above service or feeder fee, each blanch circuit 7.42 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 Fax: (360) Miscellaneous(service or feeder not included) 693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewski@polygonhomes.com dwelling service and/or feeder z x„ .Z i p.s i,.,. 77.«rs tAi ,;, r i - a 67.84 2 Reconnect only Pump o irrigation circl 67 84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or limited-energy panel,alteration,or extension. D See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr mitt) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels(a3gweusa.com Industrial plant(1 hr min) 78,18/)u Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lica: 4496S specifically listed(h hr min) 90.00/hr amu Suprv.Electrician signature,required t :-. .. q' .- ' Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): r- State surcharge(12%of permit fee): Authorized signature: . ---:__—� TOTAL PERMIT Fib: 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. i ': I1Build••aigVPamitsVILC—PamitApp MR ER.Edoc Rev 06/17/2015 44O4615T(r1/e5/COM/wEs City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13756 SW SILENT FOX TER, SHERWOOD, OR, April 28, 2017 at 10:20:48 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00229 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No AC installed at this time. No power to dining room plugs. Patch wall at exposed Romex in master bath. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13756 SW SILENT FOX TER, SHERWOOD, OR, May 4, 2017 at 11 :27:38 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00229 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete from previous 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 le Transmittal Letter t_)A E1 c) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE ',i . , • WE DEPT: BUILDING DIVISION OCT 17 2016 FROM: Angela Grajewski CITY OFTIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By. RE: 13740, 13750, 13756,13760, 13768 SW Silent Fox MST2016 271t� aa,I 1234 Terrace (Building 1) 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: • 8 ��� 2 ... 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. >�� oL �/ �`JS i/�Do•�' ? f y'ey i*, x„ J 4 „��'ceb.,� „u�`. ,��'-:-fit..�`�%.�°, 3:�.F, ` Routed to Permit Technician: Date: t 0— I q —j Initials: Fees Due: Yes ❑No Fee Description: Amount Due: /Jv✓£ 'J $ % at 1 3y< i' ifs I kx $ _ Special COQ ECT OA) 'YST'9 /4--mo P A7 Instructions: Reprint Permit(per PE): ❑ Yes ENo ❑ Done Applicant Notified: 1 -IC-- Date: (////{c Initial-- I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012