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Permit (64) �� CITYII OF TIGARD 10/7�7 _ MASTER PERMIT s COMMUNITY DEVELOPMENT Permit#: MST2016-00319 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC03300 Jurisdiction: Tigard Site address: 13735 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 33 Project: Polygon at West River Terrace, Lot 33 Project Description: New SFA. Building/unit 2.5. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose ILL) BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 0 Smoke Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Yes Total: 1625 sf Value: $201,559.16 Rear: 0 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 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: 1 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1625 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,278.16 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 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 7 Issued By: ji C V// ,'- �._ Permittee Signature: , ,./7/ / /'() "17-7e:, / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Water Meter Fixture Unit Worksheet Please complete the following information: Contractor Name: Billing Address: Phone Number: New Meter Address: Subdivision Name: Lot#: 3 '3 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 = 14- Dishwasher j x 1.5 = J, Hose bib j x 2.5 = a , Hose bib, each additional x 1 = Kitchen sink J x 1.5 = ) . 6— Laundry sink x 1.5 = Lavatory 5— x 1 = 6"-- Water closet, 1.6 GPF ii. x 2.5 Bathtub/whirlpool x 4 = Shower stall J x 2 = a Bath/shower combo x 4 = Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: 3 if ,S'"' Fixture Unit Points: Up to 30= 5/8" Over37= 1" Up to 37=3/4" Meter Size: Meter Cost: $ ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master)Permit or Plumbing Permit: ❑ Yes ❑ No n Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx CITY OF TIGARD ' MASTER PERMIT "� d "` Permit#: MST2016 00319 COMMUNITY DEVELOPMENT/1111 Z/j2 Q�f}i 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / Date Issued: 08/17/2016 t a'� f 9 Parcel: 2S106DC03300 Jurisdiction: Tigard Site address: 13735 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 33 Project: Polygon at West River Terrace, Lot 33 Project Description: New SFA. Building/unit 2.5. 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: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 0 Smoke Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Yes Total: 1625 sf Value: $201,559.16 Rear: 0 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 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: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1625 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,375.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 -001-0090. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.0. Issued By: -4 ���!/�.,�Gf��L✓1` Permittee Signature: gtfzr'' l/L 1 rod Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . . l• CF IVED .. . . 1 Me6hanica Permit'Ap _IC•' ' ' ,,•°' '-'4 ' '• • . ' • . 1011 Oil.KI t'sr.()\1 pity of Tigard ReCilimd OR 0722 / / AY I 2017 It D01y: / ife r../.. 11:1 *ILMIMIIM:1;--::.;.....1,1•25$.'W.1-12111314,,ligard, manRoiew • Phone;:503.7,18•2439 Far:503.598.19% J) . OtheF Permit • :.,. •,.... . : . :,lesisettiott Litte::503.639.4175 Jere; 61 Page 2 for . • CITY Of TIGAR paw r(eadY1By' lutente4 WWW-ligard•orgoy •4 , „., 'N.otifiedimitbod: ScpSpelfraeatal leformetion . . - • - r •• ,a,,,,n, ._ '„„,.. •-,,::',::„...„.... ,11. I.. I i r ':GLIVJ441C1X'"1."''''' ' '' . ;.".4''''''"v."..‘'. ''......'1.-...- '-'?"-stitrigrAtOttatiastk."-'q ', ..?,-:-V.4.*:,,,•VA.11:14r,:w-A,I,,?.0014.1 ,-:„.;,,,,,-.,,,,,,irelimgmatitewmaritiallg tiwmgrigilik„........,01A.U0k4....,„_...,P,. ....., ..„ , .,;.„_„.,..,,,,..__., -,;4 ••;,.-'-''' ' , „ .. '' Mealuitijr.al perMit feta!Me based iiii th.'yelue'of the Mork '10.1?" P14011.116ti011 0 Additiniialtertinion/roplareinPrit s•• Perftittned:Indicate the value(rounded tip the nearest dollar)of all aDithelitiii 0 Other: Mechanical mataials,mplipment,Itiboi.biiiriiiiid,said profit. Vali*:S t -4047:-.,T''',E.,-A,,ii;:,1•'.•::'.;.•i 4O:31:4110X4Y0,-,A. igOgiPti:A7:313 •w,,ss., -.,...,„.. .,..,-,-,.:„','„:,...,-„...„,,moilz, „retkoviLi.....,„•,-,.. ,..r. ,„.., `!"'"i'+'"4 f''.7''"•"''''''''''''''''''''''''C''''''' te....;:v,....„„.....mirmn).1..mmo.tri . J....,,,,,,......,,,...,..:4-.,- ,., . . . .. u4,.,and' rilly.:ctivelling 0 CommerciaVindusirlal 0 AeceastirY•bUilditig Per 4;erlat information us* WA%: El.wlii40,1ily: 0 Mas!ec builder b Other ,.. ... Dc:sdiptiad Oty. I Ea. 1 Total '`-:-'i"t4S.Vc.;14:•:::.'-& :';•:110110M: 016f.:*1.4:0 :0-.":$1anett:4 WO ire4""1"16141 ; -. . • .. Mrconditioning: I 46.75 Z.I.Ois;.' .323"..__sjd.LsLr_katax, Thj. .._. :Furnace 100000 BT1.7{duets/mats) 1 46.75 "- Oityiktatet/..*:Tigird,OR 97224 furnace 100,000+BTU(ductilmiets1 i 54.01 • -•• ••, Eleat'pump 1 61.06 Stfitafbldt./01.no.:7 5 Project name:Polygon.at West River Ter Duct mod; . ' 1 23.32 CroSeiiiietffiirections yojob site: Flydronic hot water Astern 1 23.32 Residential boil r(radimor or hYdronic) ' .1 23.32 1 .• ' Onithenters.(fael4P;n000440), 1 . . in-wall,in-iluct.suspeided,cm. 44,75 Plkent toranV Of aboie ::•. 1' 23.32 Other . . 1 123,32 §104104911.4.9.13'00 4t N8TV; RtiOt T6r:rrac9 Lot alo..:33 • 'Oitertiel sentience*:. - i • t.40:11i41i41".00.1104 Wei:rhea:ler. 1 2332 ... ... , .. 4gq.f.itN.t.A;e., 1;:.:ali.::':: .. :,:;: it`.4:0:40-10:At'MalatiRWIAgitgp., -Gasti ,Ince/itsert . 1 33.39: ....::.A' , . •- -,•• '7.7' "'""‘ 4.•!-•-"a Flue iierit'or:Water Mater or •gaS • *L.'.4,2 I . •. 'fireplace , 2332 ... ..... .. . 1 ..5 i i ip- 003n T.iig-ii0. 23.32 Woottinellet SiMe 1 33.39 . i. . . • " - . „.... ,IWOodlirelilieeriiscit- .. 1 2332 Chliiilneilillieivent 1 23.32 ttc,,,i1,‘,, .2.......... z;.. 4:.....4.,..e.y.,,41,timoloo.,ratititit4.4rop met --,7,,-- #--,!.-x!,-----, ,z,,,,t - ,,!, - .,:-- . *:-."?°4*";PIA'''' "I`•••..r4 Ermitilitittentil i'sb.. au.St and venti-11. doiti : .2332 14.agie.".OYX.'1'.43kl•#0d-4%-11.LLC- • Raagebopgotheir161clieu ; • . equip : --I: 3339 MdrOp,S.IfiP)EttlitttpletreeRatich Road ... .. ,C161111*.dlyei'Milli*. _Ii 33.39 City/Stale/21iSclittilitle,AZ 85258 Siegle,duct exhaust(bathrooms, 1 taileiMiinjsaiirnents,utility moms) j 23.32 • Piiiiiie:1602)694-4031. Fax:( ) Aiti: dlciaMtsimee fens 1 23.32 '91bel:. , 1 13.32 Fuel piping:. 1 :Roigtg.g,oggio;:WilliaistLyots fkineS,.1tIC; t.15 far first tout;$4.03 ter Awls additiocal COPtiditattief Angela Ciljeiligki .Fiiiiiiiee,ite,.. Addrasti:109 EaSt 24/ii Street ' Oasheat purrm / 0i0.00.10:".V41.144i;mi WA 98660 WalUsuspended/wut heater • . . i - Water.heater Phitio:(360)054700 Fax::(360)693.4442 . _Fireplace 0.91) 1 $.ange 1 - :$4ftitii:.AFIgi.,4:0r.?44.1'.041Yg.0.0r.TF's"m1•• barbecue' . . .. :.-.e.#'M.4.61/1131faa Clothes dr(gas) . .:p:usineitiiarit *Oerrii likelmaileal,Inc. ; ..•• . - .:....!!!:;:i&SIMPTAM114.4 .AntliNg Ac.OP*:;)004i0V4S!i':-/YP,.. . r:. .. ... .-•:-: . .,, ..•. ttstietki. . _,• • cityts*14.111.061,OR'97224 Minh:atm porn*fee : At) Plan review(25.%of pe*.fee) P4966'150)0924664• : Fax:(503)636,661g State surcharge(irA,or it.feo CCB lc, 68214 / • : - tititAtPtt. FEE . . . This Perniit epPlication expires if ii permit nor obMieed mishit',180 • days after it hi*bees iceepied s complete.- A0100i="3;00.40:': .: : ' ' • . . • Fee'reethiidelegy set liY Th-Ceiriti Building1641ittri geMicellteird ittartieSiitelit Oritijemsicl I+Date:812206 "t44.,1- ih. - 4-1EcHy' ..y.i;Lapp 64 oi 1 3.40 440461 71"(I voicommul CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00319 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC03300 Site address: 13735 SW SILENT FOX TER Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 33 Project: Polygon at West River Terrace, Lot 33 Project Description: New SFA. Building/unit 2.5 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left 0 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 0 Dwelling Units: 1 Smoke Third: 635 sf Right: 0 Detectors: Yes Total: 1625 sf Value: $201,559.16 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 P W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N SecurityAlarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1625 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,096.63 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: ✓'; �' Permittee Signature: 1%"1/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application LOT- RE-40_1%1'i il FOR OF FIC[ CSE O\L1 City of Tigard Received if/7/4 r� _II 13125 SW Hall Blvd.,Tigard,OR 97223 Y.tIY Dater (////4 ;� Penult No c1 /4 �1�IJ/ j Phone: 503.718.2439 Fax: 503.598.1960 ? Dat Review p <, G/ T i G A R D Inspection Line: 503.639.4175 ' Date Re / '"^�- ' Other Perm,j� ` _�0:27, Internet: Line:gazd-or.gov '�=f �a ' 0 i.,,, i Date Ready/By: ��jj 7uns: �e Pa e 2 for Notified/MethodrJ�r�j�� ��1.- I S r i ,t Supplemental Information ®New construction 0 Demolition Permit fees*are based on the value of the work performed, El Addition/alteration/replacement0O�� Indicate the value(rounded to the nearest dollar)of all • equipment,materials,labor,overhead,and the profit for the , i �" �' , € � ,,__ , , ' work indicated on this ..plication. ® 1-and 2-family dwelling 0 Commercial/mdusirial Valuation:43Mill 0 Accessory building 0 Multi family Number of bedrooms: 3 ❑Master builder ❑Other. Number of bathrooms: `3:5,-1- J =-6.---L-_5- -,r- � ,° , . '1 1 >, : tf , �. Total number of floors: 3 Job site address: 13736 SW Silent Fox Terrace New dwelling area: 1625 square feet City/State/ZIP:Tigard,OR 97224 Suite/bldg./aptno.: Garage/carport area: 327 square feet I Project name:Polygon at West River Ter Cross street/directions to job site: Covered porch area: square feet Deck area: 96 ` ik square f.- t T Other structure area• 3 s square feet 3 11(1.. Subdivision:Polygon at West River Terrace ,174 4' »i c a - I Lot no.: 33 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 s A- ;'` . , equipment,materials,labor,overhead,and the profit for the work indicated on this ...lication (�j t d U n a 0.5 Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name:ADVL Land Holdings,LLC Address:7600 E Doubletree Ranch Road Type of construction: City/State/ZIP:Scottsdale,AZ 85258 Occupancy groups: Phone:(602)694-4031 Existing: Fax ( ) �- . : " , . New: Business name:Polygon WLH,LLC '€ 1 ' t Contact name:Angela Grajewski Structural plan review fee(or deposit): ` Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: _- Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela Gra ewslci@polyg cE J onho nes.com � �� t Commercial and residential prescriptive installation of roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation S,ectal Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review Phone:(360)695-7700 I Fax:(360)693-4442 and administrative fees : $180.00 CCB lie.:207247 State surcharge(12%of permit fee): $21.60 �� Total fee due upon application: $201.60 Authorized signature: (tic, This permit application expires if a permit is not obtained I Print name:Angela Grajewski within 180 days after it has been accepted as complete. I Date:5/20/16 I *Fee methodology set by Tri-County Building Industry I:1Building�Permits\BUP-RESPermitApp.doc 02/24/2011 Service Board 440-4613 T(l l/02/COM/WEB) Mechanical Permit A ileaartM' City of Tigard s Mlk IS � . FC?R<)f 1 lC F: lS1 t)\I.1 :6 ie 13125 SW Hall Blvd.,Tigard,OR 97223 Received Phone: 503.718.2439 Fax: 5U3.59>;.196 Uate:By; MringlEIMIII tj Plan Ryt�eia i 1 ,:\i,t, Inspection Line: 503.639.4175 !�!� • -(� Date.liy: other Permit Internet: wLineTigard-ar.g41 matt Ready etio •� Notified$viethcxi_ 13 See Page 2 for t of £4. } ® Supplemental Information •' TYPE o s ' !i '17 , uaik, COMhIERCL4L'FEE* SCHEDULE ®New construction 0 Addition/alteration/replacAddition/alteration/replacement ;—USE CHECKLISTMechanical permit fres*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar}of all ❑Demolition 0 Other: mechanical materials,etIII.ment,labor,overhead,and ,rofit. CATEGORY OF CONSTRUCTION 111111111111111111111 0 1-and 2-family dwelling 0 Commercial/industrialRESIDENTIALEQUIPMENT/SYSTEMS FEES* Q -and 0 Accessary building Q Master builderFor special information use checklist t 0 Other: Description JOB SITE INFORMATION AND LOCATION Hcatin coolin.: MN Qty. Ea. Total MN Job site address: I�3yJ .S‘,0 - ail2h fi .Vpx ‘.e rr4C..(z Air Tonin City/StatelZFP;Tigard,OR 97224 Furnace 100,000 BTU{ducts vents) 46.75 Suite/bldg./apt,no.: Furnace 100.000+BTU(ductsvents) � Project name:Polygon at West River Ter Cross street/directions to job site: D uct r11111111 4' IIIII 61.06 _ H�dronic hot water system11111111MMINIIM Residential h boiler(radiator or 111dronic Unit ) he td(cpe,not electric),in- all,in-duct,susended,etc. EM Subdivision:Polygon at West River Tern-ace for any of above ® Other:er 1111111111g111111111111111111g11111111Tax map/parcel no.: Othfuel a liances: DESCRIPTION OF WORKt• ■ ®� Complete rough of HVAC Flue a cent forewater heater 33.39 _ fire lace P t Lon li brei(gas _ sl, � - Wood/. !let stove Wood fire lace/insertMINME� ,*33 39 � _ P UI'ERTY UWNER �= 0 TENANT Other:Ran_e �_ Name:ADVL Land Holdings,LLC Environmental exhaust and ventilation: Address:7600 Doubletree Ranch Road Range hood/other kitchen I 11111 e.Ui'meet City/State/'LFP:Scottsdale,AZ 85258 Clothes d er exhaust �_ Single duct exhaust(bathrooms, 1 Phone:(6fl2�9 -4031IZMMIEIIIIIIIII.mi toilet compartments,null •rooms) 11111,11111i APPLICANT 0 CONTACT P _E � ERSOr{ Other _ Business name:William Lyon Homes,Inc. Contact name;Angela Grajew•ski $14.15 for first four,$4.03 for each additional Address:109 East 13th Street amum L1 City/State/ZfP; Vancouver,WA 98660 Wali/suss ded/tmit heater __ Phone:(360)695-7700 ��� Fax::(360)693-4442 Email Angela.Grajewski ,polygonhomes.com �� I CONTRACTOR Barbecue �_� Business name:Andersen Heating,Inc Clothes d er •as ��� Other: __= Address:16285 SW 856 Ave ste 410 .c-morIcAL PERMITFEES* 11.111111 City/State/ZIP:Tigard,OR 97224 Subtotal 1111111111111111 Phone:(503)99?6664 Minimum permit fee($90.00) Fax;(503)536-661,5 Plan review(12%of permit fee) CCB lie.:168214 SPERMIT tate surcharge(1 ofpermit fee) _ FEE Authorized signalAFti This permit application expires if a permit is not obtained within ISO days after it has been aceepted as complete. * Fee methodology set by Tri County Building industry service Board ftBuitdinglPtrmits��lEQ_Perroh Date:05/23/2016 APD_040113 clot 446-4617T awuww--_ (I 1!0?rCaM14);:a) E.... cal l ___ Aaplica iaa m I i iI;(,I 1 1( 11 ssI (i\I \ City of Tigard h,y , ?1116 Received III 1312$SW Nall Blvd.,Tig d,OR 9 ' ; Phone: 503.713.2439 Fait; 50449'44 y • , m inspection Line; 503.639.4175 "0 , 51 m Ready Date/Ry: Internet www rigard.of gov 1\' Notified/Method: 0 New construction 0 Addition/alteration/replacement , ❑Demolition ❑Ott - ta�ndaoted} dick all that !y(submit 2 seas. Service or feeder 400 asps a more CI°Build;s mad dam reales. swhere the avilabk faok boatyards 252.:2-; z ,� , exceeds 1Q000 0 1-and 2-family dwelling 0 Commercial/industrialn 150 wee ex a nestingcomr ❑Multi family 0 Accessory building kora to goo,or exceeds 14,000 °Co,,,, it1.,�agricultural Master braider j�Other One PomP- °installation of 150 KVA or amps fa all other;euatiaaoas, buddings. n .Ma. ;.t:ane. .:'ta, :+�aa.b..: '"1`,N�.z.., x ...8�h'• � '�F�Q�y email- John: :' '.e�`� hyper J•. ad. w + ��` %►. °ioorp sd'newmacelets;d sePanuelY derived CityiStatetZIP:Ti ,►��,- _� l0 armore. 0-1747.1_2:1-3", Tigard,OR 97224 °Seca more residential units. Suite/bldg./apt(V: _ Project name:P 0 Health-cam&Wines. 0 Reaeatio v+eorie pads. olygon at West River Ter °hazardous fixations. °Supply voltage for far mom duce Cross streetidirections to job site: °Service or feeder boo amps or more. 600 volts nominal New r'e'sidential single-or matt;-family dwelling unit, Subdivision:Polygon at West River Terrace Lot#: 41111 tacindea attached gars Tax map/parcel n 1,000 sq.ft.a less III � 168.54 . Portion agli 33.92 i riltilliarm Limited energy,residential III 75.0o -© with about�• ft. Limited energy,multi-family ElName:AIIVI,Land Holdings,LLC as m Renewable Energy a See Page 2 —II Services or feeders installs alteration,and/or relocation Address:76tH!E Doubletree Ranch Road City/State/ZIP:Scottsdale,AZ 85258 200 amps or less III 100.70 -113 III Phone:(602)694-4031 Fax:( ) 201 amps to 400 amps Email: 133 56 II Phone: 401 amps to 600 amps 1111 II Email: Owner installation:This installation is being made on property that 1 own which is not 601 amps to 1,000 amps intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. III 301.04 13 intended Owner signatureDate: Over 1,000 amps or volts III552.26 -© _ _ ' , Temporary services or feeders installation,alteration,and/or Business name:William Lyon Homes,Inc. r eiOeips o Contact name:Angela Grajewski zoo ami nr lei III 59.36 � Address:109 East 13th Street 201 amps to 400 amps ■ 125.03 -� City/State/ZIP:Vancouver,WA 98660 401 amps to 599 amps ill 168.54 -El Phone:(360)695-7700Fax: f Branch circuits—new alteration or extension . ,.eel :(360)693-4442 A.Fee for branch circuits wide Email: ktg Angela.Graje»spolygonhomes.com above servtce or f • fee, 11 each branch circuit742 �i Business name:alameda electric . has ry ww .---::::::::".f,..: B Fservf ee a tadaafee first rcuits whots brooch circuit 56.18 I Address:3415 ne 44th Each add't branch circuit III 7 42 City/Stant l2iP: �© R' 1. - #11 ' a.7.-f Phone:(503)3192192 Fax:( ) 67.84 � Email:solarpdx@we.com Recon` only III 67.84 ®� ■ns CCB Lit.: 199188 Electrical Lic.: c923 �7 f Pump or irrigation circle 67.34 Suprv,Lie.: II Suprv.Electrician signature,requited: sign air outline lighting Print flame: K i!G O signal esrcuit(s)orlimited-mm/0' ® I Date: Z3� _ alteration,or extension. °&e'Page Z. A i Eaei additional las ;,. over allowable in an of tie above uthorized si :r Additional inspection(1 hr min) �an I Print name: � ' "�� _ -.. Dates' 2.3AE. investigation(I hr nen) III 90,00.hr vaw� eta oa* doc ern-ors � t 440-1613T{1 VOSCOMAVER I S ; charge 12'1, .2 . 3 . i �, L$2J L/ ,-/S _ Plumbing Permit Applicata � . . Building Fixtures ��pp VIf1� . i()It ()1 1 I( I 1 til ()\1.1 City of Tigard Received 13125 SW Hal!Blvd.,Tigard,OR 912+2'3 t", fr t)ate/By: Permit14°/-75 -C1/16 Ti �O�`t✓� % "' Phone: 503.718.2439 Fax: 503.5 1-'"' f 1,1,`x 4 4"-' PLm1 Review Inspection ww.:503:639.4175 �33 .ver NotNBy: Permit 14 mit No.: Internet: wtvw tlgard or grn Sl'''''''I m i ( t NDate Ready/By: tis. B See Pa 2 for 1 °b � , Supplemental Information �* _fix Sy ®New construction ❑Demolition Forec speciert information use ekerkliaL 3 ❑Addition/alteration/replacement 0 Other Qty. ( Ea i Total ri, New 1-2-family dwellings(includes 100 R.for each utilityconnection) . err, < .t' (r'; t t it SFR(i)bath 1 0 .�, �, ,. �.r- . :," .:n � 312.70 ® I-and 2-family dwelling 0 Commercial/iindustriai SFR(2)bath 437.78 I Accessory buildSFR(3)bath J m8 ❑Multi-family I 50032 00.3 0 Master builder 0 011ier. Each additional bath/kitchen I 25.02 as. 02, Fire sprinkler( s9.ft.) I page 2 ' t A t f n° t k. r :::‘,'!,:::,41, 4�."� Site utilities: i sfIAti. ' 4 Job site address: 1335 SW 5 t len-} Fox. -ci rt-aGQ, Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dryvreil,leach line,or trench drain 18.76 1 Suite/bldg./apt.no.: Footing drain(rte.linear ft.: ) Page 2 1 Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 1 Rain drain connector 18.76 i Sanitary sewer(no.linear ft.: ) P ge 2 Storm sewer(no.linear ft: _) Page 2 i Subdivision:Polygon at West River Terrrace Water service(no.linear ft: ) Page 2 1 no•: Fixture or item: Tax map/parcel no.: Backflow preventer IF.4pr 31.27 r :..., . ,,&., ° e t 1 f Backwater valve ` �7 .. t;.-. .�,,..d. ' � ;�; I 12.51 a �SClothes washer 2 JJJ 1I(l (Ah‘ Q.SjDishwasher 25.02 Drinking fountain 25.02 Ejectors/sump '', ;-,,>i .,: ata - Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.€12 City/State/ZIP:Scottsdale,AZ 85258 f' disposal 25.02 Hose bib 25.02 1 Phone (602)694-4031 Fax ( ) Ice maker ll12.51 .! � .,#...s �_.. . � v. . � � . _` - .. „ .� � •" Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) page 2 Contact name:Angela Grajewski Primer 12.51 Address:109 East 13th Street f n'(commercial) 12.51 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 j E-mail:Angela.Grajervski@poiygonhontes.com Urinal 25.02 t Water closet 25:02 .. :,--.g.-��.y.,a. _ . �. ,� ., ��...,!., ' water heater Business name:Alliance Plumbing LLC 37:52 Address:146 W Historic Columbia River Hwy Waterpipitig/DWV 25.02 Other: 25.02 . City/State/ZIP:Troutdale,OR 97060 Subtotal (Oq(.0 7 2( Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $7230 -] CCB Lic.:184601 / Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: f State surcharge(12%of permit fee) gl.ti 1.,l/ TOTAL PERMIT FEE J Print name:Robert Dishman This ��3.� Date:5/2312Qi6 � permit expires if a permit is doe obtained within in days atter k hers been accepted as complete *Fee methodology set by Tri-County Building Industry Service Board YtauildingWermits'PLMt}tYrtaitApp doe 10/01/09 440.46l6l City of Tigard illIl II COMMUNITY DEVELOPMENT DEPARTMENT T l c RD D Building Permit Review — Residential Building Permit #: /VS j/6 003/Y Site Address: / 3g,5 SW Silent Fox Terrace Project Name: Polygon at West River Terrace Lot #: j3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New single-family, attached 'Verify site address/suite#exists and active in permit stem. QiFil River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: V Vtiree(3)copies of site plan II a 4 sting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper ►G Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) 7oor elevations orth arrow IK Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot number liAkation of wells/septic systems 01, .plicant information(name and phone number) 0 Osting trees to be retained with drip line,and tree IG9/5 t dimensions and building setback dimensions otection measures [ tot area,building coverage area,percentage of coverage and t eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations (2 foot contour lines if more than 4 foot differential) lean Water Services—Service Provider Lett�(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified Lee No Received: ❑ Yes ❑ No Public Facilt Improvement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: KJ Yes ❑ No,stop intake nd Use Case#: 1" S s ,_ �oning: —OC-- etbacks: Front /Q Rear /Q Side 0 Street Sideof+Garage ta S Vi andscape Requirement: o�© Ll of Coverage Maximum: P) % ry Building Height: Maximum Height Pill Actual Height 4:; jrl isual Clearance asements • nsitive Lands: Yes ❑ No Type LOW'YW i4-i-- Urban Forestry Plan ❑ Conditions "Met" rior to issuance o bb� din permit - _ / Notes: C)/7c/, t 9 `�',�// Le /%' L pi }(-- 1T0 IR I C' Approved By Planning: C Date: e3 Al Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvwRES 060116.docx Building Permit Submittal Original Submittal Date: .372.q/a, Site Plans: # Building Plans: # Building Permit#: C�-'Enter building permit#above. Workflow Routing: [ i lanning Engineering Permit Coordinator Building Workflow Sign-off: ®'Sign-off for Planning(include notes from planning review) Route Application Documents: [�'Engineering: (1) copy oft 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: ! 4 Date: '�f//�, Engineering Review Slope at building pad: �� ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approvey gineering: Date: Notes: . ! .40.4e00/ .-4,1dour—Ate,' ,' Approved by Engineering: 4 ,P Date: �j -44 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 ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: 76 Revision Notice 3: Date Sent to Applicant: 1!t% SDC Fees Entered: Wash Co Trans Dev Tax: ►:— es El N/A 2_0 Tigard Trans SDC: P.— es ❑ N/A Parks SDC: 'Yes ❑ N/A .?_?0K to Iss:: otthnator: roved by Date: il/.6 L\Building\Forms\B ldgPermitRvw_RES_060116.docx * City of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT 11111 ■ TIG A- River Terrace Building Permit Review Addendum Building Permit #: //S ;2.0/6 CO 2/9 Site Address: /393s- SW Silent Fox Terrace Project Name: Polygon at West River Terrace Lot #: 33 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distl'ct Design Standards (18.660.070.1): Is the project subject to the plan district design standards?V 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 WallOffset a Gabled do r ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6 .wide ❑ ❑ ❑ 2. Eyes on the street: a minimum 12%of each street facing facade must include windows or entrance doors. Percentage Shown: / r J �� 3. trances:At least one entrance must meet both of the follo ' g standards: l Max. 8 ft. setback from longest street-facing wall Parallel to street,angle no more than 45° from street, or open onto porch • • = ••- s to a porch: ❑ Yes No If yes,all the following app y 1PCi q. t. min. ❑ One street facin en ax.roof above floor of porch • ep min. ❑ 30%min.porch roo c.' ;._ 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑f�overed porch min. 5 ft.wide x 5 ft. deep ecessed entry area min. 5 ft.wide x 2 ft. deep Rall offset min. 16 inches Dormer min. 4 ft.wide oof eave min. 12 inch projection 0A.00f offset min. of 2 ft. ❑ Roof shingles either tile or wood OCJ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min. 2 I/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade . •- . ,ps and Carports: May face the front or sick lot line on a corner lot. Setbacks: 0114 No closer to front or si. - line,than longest street-facing wall. ❑ Yes ❑ o (Check one): ❑ May extend up to 5 ft.if there is . - ered front porch and :.. :- .oes not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is par e -..o-story building and there is a window at the second story above the garage that faces the street wi ; . area of Width: (Check one) ❑ 12-foot- , :- garage door ❑ 40%max. of street faca. 1 "01/4 max. of street facade with 7 detailed design elements Notes: 1 ____e/g111,62_ Approved By Planning: ----,�_.— .411 R Date: I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Applicationi , Site Utilities FOR OFFICE USE ONLY City of Tigard Received / L Date/By. i' ( Permit No.: �� / `7L 13125 SW Hall Blvd.,Tigard,OR 972231 1 t c �� C Phone: 503.718.2439 Fax: 503. 98,1960 Plan Review Date/By: I 0-L ao.,, Other Permit No.: Inspection Line: 503 639 4175 ' TIGARD Date Ready/By: Juns ® See 7 /UgPa e 2 forInternet www.tigard-or.gov Notified/Method: Supplemental n o rmatlon qAa z71Ea Fl .rs ®New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ' iCATEGORY LICT'ION :, SFR(1)bath 312.70 ❑ 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building I Multi-family Each additional bath/kitchen 25.02 ❑Master builder C]Other: Fire sprinkler(1,604 sq.ft.) Page 2 AOR SE'I1fpALOCiiii ' i ,,',,ESite utilities:I , Job site address:13735 SW Silent Fox Terrace Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 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.:33 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 , "". ., OF wAttic Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1RQ X b 1t I '0 "-t EAI 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 0 T.ICA IT-. ,4 ,' b q jsTACT PIEItSCN `-' 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 � OR ,, Water closet 25.02 ,M. .< - -., 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 Lie,no.:PB732 Plan review (25%of permit fee) �-.-y/ State surcharge(12%of permit fee) Authorized signature: /y 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: .ab�..� H a� (eapo4<T,otai Sgti a e F o giRJ..,... ,� tFee: Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Pcrmttee' : Storm&Rain Drain-1st 100' 62.54 ‘Valuation $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 each additional$100.00 or fraction thereof,to Other Inspections or,Fees Q It Feea and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Qaan It by Fixture Type Ytatt Review for Plittithing 1nsta latilt ns Fixture Type for Replace Plan review is required for any of the following. Work Performed: Capped Added Rette Please check all that apply. Baptistry/Font pp Y Bath Tub/Shower 0 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 0 Medical gas and vacuum systems for health care facilities. -Domestic Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" • ioniorieor• � s �lla i m Car Wash Drain 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 *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.doc Electrical Permit Application FOR OFFICE USE ONLY City of Tigard NM! 10 Z016 Received / Z.41111 Date/B IN . l` 13125 SW Hall Blvd.,Tigard,OR 97223 Platt Review Phone: 503.7182439 Fax 503.598.1-040.r‘ (- y 9 Date/B : Related Permit*: Inspection Line: 503.639.4175 , A L A. - ,3 1 R�'i- T 1 G A R D Internet v tigard-or.gov F * Di fi, t Ready Date/B o lune: Id See Page 2 for 5 G, l-"t a i:1Notified/Methd. Supplemental Information A d ' it ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): El Demolition ❑Offer ❑Service or feeder 400 amps or more 0 Building over three stdries. __ _ where the available fault current 0 Marinas and boatyards. a.i. -� "`.,m°`. ,'-,,4,. ,,, 40- g,W 3."—i:.sig: FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Graj ewski 0 C T 17 2016 IGARD COMPANY: Polygon Northwest' '� BUILDING .EVISIO iia PHONE: 971-212-2144 Y/Iv'r RE: 13771, 13765, 13747,13743, 13735 SW Silent Fox MST2016-003J5310,3i7; 3I6, Terrace (Building 2) 3 i q (Site Address) ! (Permit Number) Polygon at West River Terrace Lots 29-33 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Spaced deck detail as requested by field inspector REMARKS: Please pay fees owed with Trust Account. 4/ cat azp/v ris7 ,,&,-403/5, s� t,x ,J4' ; , w� .� � :.*OR OFFCE US ,_\ t-1 -.L.';:-.:"-' i i ii \�� ,. ... - .,. .,a ,,fur,�. Routed to Permit Technician: Date: l o - ) 9- ) .0 Initials: Fees Due: Cit Yes ❑No Fee Description: Amount Di4e: $ $ i $ Special CeGr. --C-7-" / P/ /t-/s7- i/; -Go3/_S- Instructions: Reprint Permit(per PE): ❑ Yes 1><PNo ❑ Done Applicant Notified: el-N-6(v— Date: l////6 Initials:.A ?>7 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13735 SW SILENT FOX TER, SHERWOOD, OR, May 22, 2017 at 3:13:42 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00319 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Correction for tag of aggregate length of dryer vent not done as noted on previous failed inspection. Correction for large hole in mechanical room ceiling not done as noted on previous failed inspection. Investigative fee for re inspection applied for scheduling re inspection prior to corrections being complete. R109.3 Violation Summary: Inspector Contractor