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Permit 14 CITY OF TIGARD r� v s' , . MASTER PERMIT pi 1//0/ X1,2.. COMMUNITY DEVELOPMENT JJ Permit#: MST2016-00228 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S 106DC01600 Jurisdiction: Tigard Site address: 13750 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 16 Project: Polygon at West River Terrace, Lot 16 Project Description: New SFA. Building/unit 1.2. 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 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 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Bckflw Prevntr: 0 ' 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 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 R 9 -001-00 0. 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: "(it )1—€._--- Permittee Signature: C/10 ��L/ 62 77 Lj hr7 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#: 1 6 Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink x 1 = Bidet x 1 = Clothes washer I x 4 = y-- Dishwasher 1 x 1.5 = j ..-5- Hose .-5' Hose bib ) x 2.5 = a„ 5- Hose bib, each additional x 1 = Kitchen sink 1 x 1.5 = ) ,S" Laundry sink x 1.5 = Lavatory 2, x 1 = Water closet, 1.6 GPF 2, x 2.5 = ,s"' Bathtub/whirlpool x 4 = Shower stall I x 2 = a Bath/shower combo 1 x 4 = Li. Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: as.6— Fixture Unit Points: Up to 30= 5/8" Over 37= 1" Up to 37 =3/4" Meter Size: Meter Cost: $ ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master) Permit or Plumbing Permit: ❑ Yes ❑ No ❑ Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx CITY OF TIGARD MASTER PERMIT 111 9 COMMUNITY DEVELOPMENT Permit#: MST2016 00228 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016 Parcel: 2S 106DC01600 Jurisdiction: Tigard Site address: 13750 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 16 Project: Polygon at West River Terrace, Lot 16 Project Description: New SFA. Building/unit 1.2 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'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 OAR 92......i i -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. By: ' Signature: cAi .9/ /'G.fel-770^11 Issued � � Permittee 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. ti � 0 � / - ' Building Permit Application 2 . ,: 7, 5/2.3 es')< l *#:.,.. nt� FOR OFFICE I SF ON LI City of Tigard Received a� III 41 13125 SW Hall Blvd.,Tigard,OR 97223 '� y. 2 `I 7�� Received 4, Permit No s jai/�, ®��� _ Plan Review ,' Phone: 503.718.2439 Fax: 503.598.1960 y G/ski �'( Other Permit je0e�04 D /5j i Date/By: ti �l TIG`� D Inspection Line: 503.639.4175 Date Ready/By: / Juris: ® See Page 2 for Internet: www.tigard-or.gov ,p,; Notified/Method: C/fI _r. Supplemental Information QR) P.,:411!°,littrOAMIt f. �M c ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the t , t f work indicated on this application.� ® 1-and 2-familydwellingSi----W- Valuation: $1 (►4, GC�1-f -±1 ❑Commercial/industrial � �y 6 t� ElAccessory building 0 Multi-family Number of bedrooms: 2 ElMaster builder ❑Other: Number of bathrooms: 2 f.,114,71z-a..-717.-7+,,T= 1 # Total number of floors: 3airifigbrItAl*tr2 1 Job site address: `3,50 SW Silent Fox Terrace New dwelling area: 1221 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 456 square feet Suite/bldg./apt.no.: Project name:Polygon at West River Ter Covered porch area: !„ ,square feet3 Cross street/directions to job site: Deck area: i 72 square feet ci 7 covr,, j Other structure area: -7 square feet Subdivision:Polygon at West River Terrace Lot no.: ` Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ns ` ' J t "' ° a - work indicated on this application. K6 f�IFSx ?ll (Ant nt I n Valuation: $ I/I L— Existing building area: square feet New building area: square feet I 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: 0 e . x3 1 1 r ,aa.. .. f Jie �x� i r ..,.. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13thStreet City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com t ' Commercial and residential prescriptive installation of t, a 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: $201.60 Authorized signature: // J/ This permit application expires if a permit is not obtained WWW / within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/20/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) Mechanical Permit Applicata FOR OFFICI: I'SF 0\1.1 City of Tigard t.,,,...,.1:2,,.._, Received Datelly• 13125 SW Hall Blvd..Tigard,OR 97223 ritZlIZZIgfirMil Plan Review' Phone: 503.718.2439 Fax: 503.598.1960 Plan P,V 6 5 7 �,1 t Date.'By: Other Permit: I a ,,,I,t> Inspection Line: 503.639.4175 i+�li/-, Internet: wlvw.tigard-or.eov nate RCadr13y. J.", S See Page-2I for Notified"tilethnd: Supplemental Information I TYPE OF >,a -c r ,'N COMMERCIAL FEE* SCHEDULE-USE CHECKLIST New construction 0 Addition/alteration/replacement Mechanical permit fees"are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. I CATEGORY OF CONSTRUCTION Value:$ RESIDEIVTL4L EQLTPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal htfornzajjon use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. ' Ea. I Total. JOB SITE INFORMATION AND LOCATION HeatinpJcooling: lob site address: 13-1 5 Air conditioning 146.75 SW 3 ' er j' �Og ,.e (C&C.Q Furnace 100,000 Ku i 1 46.75 City/StatelZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductsvenis) 54.91 Suite/bldg./apt.no.: Project name:Polygon at West River Ter Heat pump 61.06 Duct work 23.32 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 Tern-ace Lot no.: f // Other: 23.32 ` l0 Other fuel appliances: Tax map/parcel:no.: Water heater 23.32 . DESCRIPTION OF WORK Gas fireplace/insert 33.39 Complete rough of HVAC Flue vent for water heater or gas fireplace 1 23.32 g),(1. )Uvii'-_ I .,2, t Log lighter(gas) 23.32 dWood/pellet stove 33.39 Wood fireplace/insert ! 23.32 Chimney/liner/flue/vent ' 2332 ® PROPERTY OWNER 0 TENANT Other:Range 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 I 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-dud exhaust(bathrooms, Phone:{602)694-4031 Fax toilet compartments,utility rooms) 3 23.32 ( ) Attic/crawlspace fans 23.32 :Et APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:William Lyon Homes,Inc, Fuel piping: 514.1$for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 Watt/suspendedlunitbcater Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Andersen Heating,Inc Other: Address:16285 SW 85th Ave ste 410 MECHANICAL PERMIT FEES* Subtotal I 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.:168214 1 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signaf days after it has been accepted as complete. Fee methodology set by Tri-County 8uildiag Industry Service Board I Print name: I Date:05/23/2016 riBuildingTermits,MEC Fermat APD 040113 doc 440.46177(It!02,'co.t EB) Electrical Permit Application ' .x.. . p- , ,,,r ,i i( l ,, „, , City of Tigard , r„ 1lsemved Ai,”, r /6-L/1n 39' 13123 SW Hall Blvd.,Tigard,OR 97223 ,., r : i>udBv; Pen"rr Phone: 503.7182439 Fax: 503.5981960 I r litapoction Lime: 503,639.4175 '. Internet: wtvw.tigard-or,gov 14atifiediMemod: Supplemental lefaraatiea - � (MIAMI . : New construction 0 Additionlaltetationtrcplacement ekme cheat en mat (MIA iI a rats= plow Witco;cheated): 0 Service or faSice der 400 amps or more 0 Building over dastones El Demolition ❑Other where the available fault current 0 Manna and bratyerds. --7,«, . ?A,, . d >'_ _*.a..:—:-,:i.7.`':7-''.7.::,..:s.7.,7-171:,77.:::::::::,,--'1,-77:,..: exceeds 10,000>�at 150 voles or ❑lF9odiagbeldia8s. 4 I-end 2-family dwelling0 Commercial/industril 0 Accessory building icic to ground,or exceeds 14.000 0 Contmereialatse agricultural 0 Multi-family 0 Master builder j]O amps for all other installations. bw'wia� ❑Fire pwsmµ CI lustallatioo of ISO KVA or :::;':::7:1'.:77-i3„:-,:::::,!:::7 ®L- 0 en. derived Job 8: Job site address: 1 e r j %rTjl�i 7 cp Oe ramof . motor Iola of 111 � 1.11 I V V f lJ1l.K. IDOAP or mare. ❑"A',"E",~i-r,"13". City/State/ZIP:Tigard,OR 97224 0 sin inKaor re Wither, tutus. 0 v ❑lledmrn facilities. s1°rks• Suite/bldgJapt.ii: Project name:Polygon at West River Ter 0 Hardou s ioaneea. 0 supply voltage for mote than t ' ' a0 Service or feeder 600 amps or more, 600 volts aotnilut Cross street/directions to job site: - ' r m wc...... Ow. tads Tail • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot 8: C(17 Includes attached garage. Tax map/parcel 8: 1,000 sq.R orless + 168.54 I l i��.`3`'( 4 . :D ,..,., ,�x, .` `._ b. _ :,:, .: '' Ea add,$00 sq.It or portion j 33.92 19' I I J r 9 (L fl It Limited energy,residentialL "JI (with above sq.tL) 75.00 2 Limited energy,multi-family 75.00 2 e mtdeatral{With above sq it) 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 City/State/ZIP:Scottsdale,AZ 85258 200 amps or less 100.70 2 201 amps to 400 amps 133.36 2 Phone:(602)694-4031 I Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1;000 amps or volts 552.26 2 Owner signature: Date: , - , -gg —,^ t" Temporary services or feeders installation,alteration,and/or , ". .. rTlOt'ati0u 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 I Fax::(360)693-4442 A.Fee for bnutch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewski@polygonhomes.com each branch circuit B.Fee for branch circuits wirhora Business name:Alameda electric branch circuit 56.18 2 Address:3415 ne 44th Each add'tbranch circuit 7.42 J 2 7721'')'J 1,/Z /07 7.7-/3 Eachhlismanufactured (sed price or feeder not included) C' /State/ZIP:lltlg r modular dwelling,�sa�rvtraatdim feeds 67.84 2 Phone:(S03)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpdt@me.com Pump or irrigation circle 67.84 ` 2' CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: y f7/-j Signor outline lighting 67.84 2 Supty.Electrician signature,required: Signal circuits)or limited-energy 0 See page 2 2 /c,IC,. /2va�rA -5.'-/Z3//^1 partef.alteration or extension. g Print name: Dau: Lack additional inspection over allowable in any of the above irk { ) 66.25;hr Authorized signature• Adduional inspection i broil 1 Print name:�' ..1 ^- Dg s"� 1/ lnvestigaJtion(t hr min) 90 001 hr - 14�_ EL5 EREdac navWJt3T tS 440-461ST(tt� j`�,I 1 V . Zq`f' ✓W ll� 2 fi Srge Zt1,6 , • Plumbinn_Permit Applicatic t' Building Fixtures City of TigardM r l; Recei} Permit No/75/-7,207,6 13125 SW Hall Blvd.,Tigard,OR 97223 t)atett3d© ' Phone: 503.718.2439 Fax: 503.598:1900DateBy. � • Other Permit No.: Inspection Lire: 503.639.4175 Irate kcadyiBy; la Sec Page 2 for Internet: www.tigard-or.gox ( `;, 1' Notified/Method: Supplemental Information _ TITS" O *WESCHEDULE ®New construction 0 Demolition For special information use checklist: Description ? Qty. I Ea. 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 II.for each utility connection) F`i* TI i1 `tl ' R(I)bath i ® I-and 2-family dwelling 0 Comm , .�. SF 31270 ercial/Mdustrial sFlt(z)bath 1 437.78 437.?$ SFR(3)bath 500.32 ❑Accessory building 0 Multi-family ` Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(I Mil sq.ft.) 1 Page 2 12,1.9 0 ;;,,<, �ii%,' I�AT;�* €! � a Site utilities . �� . . .,..... Job site address: %b-1 so S W 5 i 1e04 K 'Tc rt'a G2 Catch basin o<area drain , 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:)} Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace Lot no.: I, Fixture or item. Tax map/patrel no.: Backflow preventer �3EN l® y � �.- � i /� Backwater valve Clothes washer 1<(0 lA'tia ((An\-1 : 1./ Dishwasher 25.02 i Drinking fountain 25.02 ^ Ejectors/sump 25.02 i CI SANT Expansion tank 12.51 i Name:ADVL,Land Holdings,LLC Fixlurefsewer 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)644-4fl31 �Fax ( ) , ��� -. �„ Interceptor/grease trap ��.Q2 i lee maker 12.51 1:. __ Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 l Contact name:Angela Grajewski Primer 12.51 Roof drain(commercial) 12.51 ' Address:109 East 13th Street Sink/basin/lavattxy 25.02 j City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewskkijpolygonkomes.com Urinal 25.02 ,- - Water closet 25.02 Water hector 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 (003.4 Phone:(503)492-3490 Fax:(503)912.6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic.no.:PB732ift4girt " Plan review (25%of permit fee) State surcharge(12%of permit fee) "'_ _ Authorized signature: TOTAL PERMIT FEE 05.8 61 Print name:Robert Dishman Date:5/2312016 This permit application expires if a permit Is not obtained within 180 days atter it has been accepted to complete: *Fee methodology set by Tri-County,Building industry Service Board l:lnuitding4PermrceP MU-t'ennifAppdae ioi&t/u9 440.46i6T(tOn42/COMfWEB) 11111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 16 r 1 c a RD Building Permit Review — Residential Building Permit #: /7�5/°~gyp/6., .-- 0Q� 6P Site Address: 1 3 7 5 0 S v / cl lQ.nt Fox -.err. Project Name: PO i 40 90r1 cAi- we,t (Wee T-ecr'chuz , Lot #: ( fp (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NeJW Pr+"t rA("Ka. (Z.CJ w h o(YLLJ 0 Verify site address/suite#exists and active in permit system. 1 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan xisting 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 ?iUtility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number ZrLocation of wells/septic systems Applicant information(name and phone number) ,Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) .�J ( Lot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) C2treet tree size,type and location Property corner elevations(2 foot contour lines if more thanEx ting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No jil Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake gi Land Use Case#: C)Q.2O1S - 00009 , Svi20iS • OOOQ(, ! SL12ZOiI -000o3 pr Zoning: i2— LS Setbacks: Front ' 2 Rear I 0 Side 0 Street Side 3 Garage Landscape Requirement: Pj 0 Lot Coverage Maximum: ..2...0 0/0 Building Height: Maximum Height 3 S Actual Height 3 Visual Clearance /171 Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: a0 h d,i i-iYu -f-•O✓ b,e nm e+ prior -I1, 6 s, (jay,`c 0 L ✓i l Ai/1 v9 �Crrel i t' . Approved By Planning:✓ MO e 1,i o6 L - Date: S f 2S. /16 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: .5/. /"k Site Plans: # .' Building Plans: # Building Permit#: [31-"Enter building permit#above. Workflow Routing: [ i5lanning Engineering ®''Permit Coordinator Wtuilding Workflow Sign-off: 42''Sign-off for Planning(include notes from planning review) Route Application Documents: 42-"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and _original plan review routing form. `Tr Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: -1:61c( -e' Date: /,�/6 Engineering Review ,C Slope at building pad: Z!; 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: Cl Yes ❑ No LIDA Facility on lot: LI Yes ❑ No ❑ NOT Approv biy, Engineering: Date: �/� Notes: i• / S . %) •✓-•. e J,—' � 1J( `Cs Approved by Engineering: AIG Z2 Date: ‘--Zr--14 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved p..., m �. . :,,, �_ Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit(WPJ> Approved,NOT Released: e .-n of�/ /�''S Date: �o /SO 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: OAP D C Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes 0 N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_012116.docx City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT X T l c A R D River Terrace Building Permit Review Addendum Building Permit #: --fr,2{r/c, Site Address: { 37 So S try/ S 'dent t=o,( T-e r e Project Name: Fvl son (4+ (?. w.t -pew Lot #: t (a (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?,'Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min.2 ft.,6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 . S 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street-facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: /Yes ❑ No If yes, all the following apply: %25 sq.ft.min. l`f One street facing entry ?12 ft.max.roof above floor of porch l'5 ft.depth min. 930%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: Covered porch min. 5 ft.wide x 5 ft. deep VRecessed entry area min. 5 ft.wide x 2 ft.deep ,zrWall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection %Roof offset min.of 2 ft. ❑ Roof shingles either tile or wood °Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min.3-7 ft.wide Accent siding min.40%of street façade %Window trim min.2'/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. Yes !lNo. 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) Z12-foot-wide garage door ❑ 40%max. of street facade .e50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: /110 /7 I1' f )J p Date: C/ Z C / l la I:1Building\Forms\BldgPennitRvw RES RT 031416.docx Plumbing Permit An lica iir Site Utilities `' ' , FORUOFFICE USE ONLY - City of Tigard '' ;.' Received q / (, J c,l �CJr 11 13125 SW Hall Blvd.,Tigard,OR''97223 t Date/By: / /�Q Permit Nc.: /���a Phone: 503.718.2439 Fax 5D3.5,98 1,960 Plan Review ^ W TI G A R D Inspection Line: 503.639.4175: Date By: ld�(e„ (y,(o YnJ Other Permit No.: Internet: www tigard 39.41 Date Ready/By tures 0 See Page 2 for Notified/Method ��� �`E.t�„ti 1#��„ �j l 4 1 � Supplemental Information TYP OF O(K * 41 I . FEE* SCHEDULE r. For special information use checklist. ®New construction ❑Demolition Description Qty. Ea. Total 0 Addition/alteration/replacement 0 OtherNew 1-2-family dwellings(includes 100 ft.for each utility connection) c T oR' '"OF copontu c nmi SFR(1)bath 312.70 El1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory building ®Multi-family SFR(3)bath 500.32 El Master builder - Each additional bath/lin 25.02 0 Other Fire sprinkler(1,221 sq.ft.) Page 2 JOB SFT ,: 1}iR ATfl N 4tND" TON . - t Site utilities: Job site address:13750 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 Suite/bldg./apt.no.: I Project name:West River Terrace Footing drain(no.linear ft.:_) Page 2 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.: 16 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 CfW L2' Backwater valve 12.51.Vra 1 I ht} Multipurpose Fire Sprinkler System Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 > 44 T ' Q It Ejectors/sumppanse/ 25.02 �. lrl*l r. ,„ .. 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 i , M.,ctoA "T' F0N Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address:146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 I Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail: robert.dishman@allianceplumbing.net Urinal 25.02 Water closet C19N I ItiiC I OR 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) 7State surcharge(12%of permit fee) Authorized signature: C..---1___.." /..._. .) TOTAL PERMIT FEE Print name:Gavin Thomes I Date:8/24/16 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I_\Building\Permits\PLMO-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: SitsU t�atleS � , y. 8ea�Y tot*l qt����t „�• , Retifl ., Footing drain-1s`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 + , 6 . �� i f 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 1li'ee �8 fu , each additional$100.00 or fraction thereof,to � � and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type "�alaU Rf 'i w of .rinn b g iistaftatiot�S" Fixture Type for Replace! Plan review is required for any of the following. MOW Work Performed: CappedPlease 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 0 New exterior plumbing site utilities for any complex structure -Drivepra or as defined in OAR918-780-0040. Cuspidor/WaterDishwasherCoirator -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" , t t i 2'= a ltl� 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/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Cloossincrease of sewer EDUs,a sewer permit will be issued and Water C Water Extractorfees assessed for the sewer increase must be paid before the et-Toilet Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.doc RECEIVED : :: . Electrical Permit Application FOR OFFICE USE ON LY City of Tigard N O V 1 0 2016 ReceivedDatR/.1� Permit .1 N .. , ■ 13125 SW Hall Blvd.,Tigard,OR 97223e� ' /ir'f/! Phone: 503.718.2439 Fax: 503.598.1940 , g% )'ran R Related Permit k: Inspection Line: 503.639.4175 1 it � t: �0°! Date/By 3 ®See Page 2 for T I GA R D Ready Date/B )uric roril Internet: www.tigard-or.gov N-a ry s i of Notified/Method � �„_„ i 1' i Supplemental Information ._ N ®New construction -. 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): D Service or feeder 400 amps or more D Building over three stories. El Demolition 0Other. _ �, where the available fault current 0 Marinas and boatyards. ,--., ter . -. '✓mit� w i_ ,a' '6.6 -l'-',-7,'::::5;.:- ¢4.� exceeds 10,000 amps at 150 volts or Cl Floating buildings. ®1-and 2-family dwelling 0 Commerciallindtistrial 0 Accessory building loss to ground,or exceeds 14,00° D Commercial-use agricultural amps for all°tha installations. buildings. IMulti-f Y 0 Master builder Other Fire pump. eder 400 amps or more 0 iiZBuildct _ rv +SIb _ 1D"1OG :, Emergency system' larger separately derived " D Addition of new motor load of 11n S svJ Si 1-en_fax rex 10014P or more. D system. A E Job#' Job site address: ,`1.2•, 1 3. City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. El Health-care facilities. 0 Recreational vehicle parks. SuitelbldgJapt.#: t.1_, Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job Site: - 0 Service or feeder 600 amps or more. 600 volts nominal. Description I Qty I Earp I Total I •.. New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#•t( p Includes attached garage. Tax map/parcel#: Y 1,000 sq.R or fess I168.54 4 Ea.add']500 sq.ft.or portion i 33.92 1 --fi j -.I:E R I, f ,.'Ts', 7:2a ;_... '- ' yam._. 's Limited energy,residential (M ori-h)c Ch0P (withaneabove sq.R) 7500 2 �� uu�� Limited antral( mui above ily 75.00 2 residential(with above sq.&) R a • . - 4- „ Renewable Energy D See Page 2 aQ ° _" ; 1 -w' 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 55226 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 . intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 `w �. _ ' -k `'� r -]r• w Branch circuits—new,alteration or extension per panel .., - " �,��,�.�.-�-n�� �����' ��--�s�;�-" A.Fee for branch circuits with � � Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7'42 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/StateZIP: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 Email Angela Grajewslu®polygonhomes corn dwelling,service and/or feeder 67.84 2 V `cA �,t 3e ,p Reconnect only 67.84 2 � 3 .. ' ;. _rn«"a =_`" , irl? pump orirrigation circle67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 -+` Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. D See Page 2 2 City/State/ZEP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(7 hr min} • 78.18/hr • Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208174 J Suprv.Lie.: 4496S specifically listed(%hr min) J 90.00/hr Suprv.Electriciansignature,req / /'.� fes::>-'= ''-17,30:=10,44,1,1.:. .- t:.1 up si attire, uired: Print name•. Joan P Albert • i �- � n Subtotal: ! Date: 4/26/2016 0 Plan Review Required(25%of permit fee): – State surcharge(12%of permit fee): Authorized signature: " —z :`�� 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. i:`�IinwldinglPeoaitskET.C-Pea-mitApp_ELR FRE-doe Rev 06/17/2015 4404615T(11/05/COM/WEE City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13750 SW SILENT FOX TER, SHERWOOD, OR, April 28, 2017 at 10:08:17 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00228 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Missing switch plate cover at top of stairs. All else appears ok. 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 1 Transmittal Letter 74 T C,Art) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE 'i . , ` i_#rE DEPT: BUILDING DIVISION j r OCT 17 2016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By / RE: 13740, 13750, 13756,13760, 13768 SW Silent Fox MST2016-46 27, A9-ti .9D1 123q Terrace (Building 1) 14'd 3 1 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: _fs 't''-z "%. zr tii DT's ".,.. rS", r 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 .ay fees owed with Trust Account. '� o L Alt. Al /V-C720/4-400.2,27. Routed to Permit Technician: Date: 1 0— 1 - Initials: AIM Fees Due: ='Yes • No Fee Descri.tion: Amount Due: 4 $ .is lt r;':'14-)---'10$4,-w $ r• . qc t .. z $ Special rti'L7- .rxmii. D IYSToZd/ . --C.as Instructions: Re.rint Permit ser PE): ❑ Yes ►�' o ❑ Done A. slicant Notified: , /6-1 Date: (j /ilaillilliallEMESZMIIIIII I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012