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Permit
ipqNI CITY OF TIGARD ..,:::-:,7,7,,,r17 +. MASTER PERMIT COMMUNITY DEVELOPMENT //3 /J, Permit#: MST2016-00245 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC01300 Site address: 13724 SW SILENT FOX TER Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 13 Project: Polygon at West River Terrace, Lot 13 Project Description: New SFA. Building/unit 3.4. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose b,2.LI . BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 8 Dwelling Units: 1 Third: 562 sf Smoke Yes Right: 0 Detectors: Total: 1221 sf Value: $159,644.49 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: 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 add9 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: NEWP Y Square Feet: SFA VB R-3 1221 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,276.61 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 R 9504; 1091. 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: ; (1._._ Permittee Signature: ljr(/ "5279.7)‘-./e' 77e;'^"` • 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#: i 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 ) x 4 = LJ Dishwasher I x 1.5 = 1.4 Hose bib ! x 2.5 = c./..S Hose bib, each additional x 1 = Kitchen sink J x 1.5 = 1 .s-- Laundry s'"Laundry sink x 1.5 = Lavatory a, x 1 = a. Water closet, 1.6 GPF x 2.5 = ,s--- Bathtub/whirlpool Bathtub/whirlpool x 4 = Shower stall I x 2 = a Bath/shower combo J x 4 = 14- Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: . 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: n Yes ❑ No n Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx CITY OF TIGARD MASTER PERMIT III III .r COMMUNITY DEVELOPMENT Permit#: MST2016-00245 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC01300 Jurisdiction: Tigard Site address: 13724 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 13 Project: Polygon at West River Terrace, Lot 13 Project Description: New SFA. Building/unit 3.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right 0 Detectors: Yes Total: 1221 sf Value: $159,644.49 Rear: 10 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 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'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: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,050.08 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: 4`�`/7 .�' / Permittee Signature: 624/ /9—)4,'/e '-`JPO 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 to I 43 // RECEIVED ►OR OFF IC i sL 0\1.1 City of Tigard Re�i�ea ,-�� ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plate/By: �'/7/�' Permit No s'%" j� ,—„„,„s II ,lUN 0 1 2016 P1anReview Phone: 503.718.2439 Fax: 503.598.19 Date/By: $—�—� - rtz D Otbe:rPermemen ta/l6 00/ 9 7 ic Inspection Line: 503.639.4175 Internet: w .tigard-or.gov CI O TI 4r DoB /'b,`/ lorsSHpSpelPoormatiou BUILDING !VI ' k axe kat New construction 0 Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ® 1-and 2-family dwelling ❑Commercial industrial Valuation: $158,864 )� 7 / 9 ✓ try ❑Accessory building ElMulti-familyNumber of bedrooms: 2 0 Master builder ❑Other. Number of bathrooms: 2 rz t , F :t Total number of floors: 3 ) /y 7 Job site address: B1 2.14 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.: I Project name:Polygon at West River Ter Covered porch area: 24 square feet‘S' C Cross street/directions to job site: Deck area: 72 square feet(, Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: 3 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 B. 3.'—t 1 1 Valuation: $ 1 ' Existing building area: square feet New building area: square feet D z 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 gip" Structural plan review fee(or deposit): Contact name:Angela Grajewski 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.Grajewsld@polygonhomes.comr ;, Commercial and residential prescriptive installation of 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 oz6v--?puvjz_t-! Total fee due upon application: $201.60 Authorized signature: W This permit application expires if a permit is not obtained WWWW within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/20/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application 1 OR OFFICE I'SL 011.1 City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR Uatc By: Permit No/Lls / ,�` S li g Phone: 503.718.2439 Fax: 503.5 8. ECEI Et) Plan Review i 1(i n i<I, Inspection Line: 503.639.4175 Date'Ay; Other Permit: for- Internet: W1vw':tlgard-Ur.gUv {I I N 2016 bate Rcady13y. J.", Id See Page 2 1)J Notitied'Method. Supplemental Information i TYPE 00%4tcF ` K£.3I\ � t-y 'a j�{ R("; COMMERCLAL FEE* SCHEDULE -USE CHECKLIST ®New constructiont j 4l ! ' a ' Mechanical permit fees*are based on the value of the work 0 Addition7tli�ra�iora replacement performed.Indicate the value(rounded to the nearest ❑Demolition 0 Other: dollar)of all mechanical materials,equipment,labor,overhead,and profit i CATEGORY OF CONSTRUCTION Value:$ ►e 1-and2-famil dwe{!in RESIDENTIALEQIIIPMENT/SYSTEMS FEES* y g ❑Commercial/industrial ❑Accessory building I For speclaltnjunsutfonuse checklist ❑Multi-family 0 Master builder 0 Other. Description l Qty. I Ea. [ Total i JOB SITE INFORMATION AND LOCATIONg/cooli Hearin ng: Job site address: 13124 �1� c�l l��i- -FOK , e rt^4 Air conditioning 46.75 'T Furnace 100,000 BTU(ductsrvenrs) I 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU tductsvents) 54.91 Suite/bldg./apt.no.: ( Project name:Polygon at West River Ter Heat pump 61.06 Cross street/directions to job site: Duct work 1332 I Hydronic hot water system 23.32 Residential boiler(radiator or hydropic) 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:PolygonI at West River Terrrace Other: Lot no.: l'3 23.32 Tax map/parcel:no.: Other fuel appliances: Water heater 23.32 DESCRIPTION Or WORK Gas fireplace/insert 33.39 Complete rough of HVACFlue vent for water heater or gas fireplace 1 23.32 g, �/� t/ 3.1_4 ± Log lighter(gas) , 23.32 "W`\J l� — I Wood/pellet stove 33.39 _ II Wood fireplace/insert 1 23.32 Chimney/liner/flue/vent • 23.32 POPERTY OWNER ttOther:Range i 0 TENANT . g 1 123.32 Name:ADVL Land Holdings,LLC Rane Environmental exhaust and ventilation: Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust{bathrooms, Phone:(602)69 4031 toilet compartments,utility rooms) 3 23.32 Fax:( ) Attic/crawlspace fans2 ' APPLICANT 23.3 I4 APPLICANT CONTACT PERSON Other 23.32 Business name:William Lyon Homes,Inc. Fuel piping: - Contact name:Angela Grajewski $14,15 for first four;$4.03 for each additional Furnace,etc. Address:109 East 13th Street Gas heat pump City/State/ZIP:Vancouver,WA 98660 WalUsuspended/unitleater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.com Range Barbecue i CONTRACTOR ` Clothes dryer(gas) Business name:Andersen Heating,Inc Other: Address:16285 SW 85th Ave ste 410 MECHANICAL PERMIT ZEES*, City/State/ZIP:Tigard,OR 97224 Subtotal Minimum permit fee($90.00) Phone:(503)992-6664 I Fax:(503)536-6615 Plan review(25%of permit fee) CCB lie.:368214 - State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires If a permit is not obtained within 180 Authorized signator : days after it has been accepted as complete. * Fee methodology set by Tri County Building Industry Service Board Print name: I Date:05/23/2016 14BuildingTe mitv,MEt:'PermaApp_040113 don 440-4517T(I1/aw•COM.'w'EEn IElectricalPermit Applicati-1-1' City of ft5flL JUN 01 2016 � '_ 13125 S W Hall Blvd.,Tip)*C)R 97223JUN �.� Phone: 5(13.718.2439 Fax: 503.59IFIRMI 1GARD ■ +. inspection Lime: 503.639.4173 I 1 : Internet www.tigtud-or,gavl „ 8 �§G DA 'S'O ; c New caonstruction 0 Addition/alteration/replacement Memechw*all that apply(submit Z sets*'pans wlwl ons ): ❑Demolition ❑Other 0 Service a feeder 400 amps a snore 0 ltailding over them stones. where doe available fault current ❑Maims and boatyards. .. _, rq.M1, " .,a,.>7c-,..--.`... 1 " 2 exceeds 10.000 amps at 150 volts Of ❑Floating buildings. 0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground.or exceeds 14.000 0 commercial-me sgr;aamnt 0 Multi-family ❑Master builder ❑Other �fa all wirer nsgllat±ons, buildmEa 0 Fire pm+µ ❑las.diaipa of 150 KVA a Vi; . . ..., » o 1 "sem m <'' O Emery fie• larger reparady derived Q Addition of new motor load of '�]] Job ii: �lLi: Si; lob Site address: i1-11-1)(-TtrifIOOHPamore 0"A".'E',-1-r,-1-3", City/State/Z1P:Tigard,OR 97224 J six or more residential mots. occupancy. + 0liratth•care(anilines. 0 Recreational v paw. Suile/bldgiapt.0: Project name:Polygon at West River Ter C7 Hazardous locations. 0 Supply volare for mere thee I 1 — 0 Sepia a feeder 600 amps or more, 600 vats nominal. Cross street/directions to job site: " . z. Q9. Lad 'TOM • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot II: 1.5 iodides attached garage. Tax map/parcel tk :« .. 1,000 sq.R.or less ( 168.54 l l��.`."4 4 - , .,, a Wit- s F.,� ` :a ,. ' . ,- �a Ea add.'$00 sq.tt or Whorl 1 33.92 ? 1 to .9 itnli- Limited energy,residea6al 75.110 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 ' _ . . ° ._m Y .x residential{with above sq.ft) . Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 I Fax:( ) 201 amps to 400 amps 135.56 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: 7, M t ` . Temporary services or feeders installation,alteration,and/or raccatio Business name:William Lyon Homes,Inc. 200 amps or less 59.36 t 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 branch circuits with above service or feeder fee, 7.42 2 Email:Angela.Grajewski@polygonhomss.com each branch circuit a* Q- x a B.Fee fa branch circuits withomr Business name:*lame&electric branch circuit 2 Address:3415 tis 44th Each add'lbranch circuit 7.42 2 Miscellaneous(service or feeder not included) City/Stale/Z1P:1lil0 Rjrj J 1012 /07 7.2--/3 Each manufacturede or modular 61.84 2 dwelling,service author feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpds@me.com Pump or irrigation circle 67.84 ' 2 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: y t(7/..5 Electrician signature. Signa outline lighting 67.84 2- , Suprv. gnature,required: Signal circuit(,)Or limited-energy Print nettle: ]c,k, /24004.4., Date: /13//,d > •alteration.or extension 0 Se 2 2',:x Each additional inspection over allowable in any of tie above Authorized tagnaWe. Additional inspection(1 hr min) ' 6625/hr - Print name:d fii=--, ..„,......,....-,--------- i Date J j j n abon(I hr mm) 90.1X1'hr tom_ - @A„FAEdoeaere6/i7/301i MW615R11/Ott'OMlw� V 1 .1`%'�/'��/► 1 �7. --1°)—• �, -t-cLiit aural-A' i. ZZv�,-0 7------- mmmmmmmmmmmIII.M.M.M.M...Ml.M.M' Plumbing Permit Application_ , Building Fixtures City of Tigard Q� 2fl 16 RReceBdy: Pamir Na/`7-5 0/6-C2°" 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax 503.598.15 „. PIS Review Inspection Lira: 503.639.4175 LAIN t sI"1 ' Pei eBy J ^n No.: Internet: thr www t gard-or gov 1 J 1 LID 1 I(3 LF 1 i 51 w' p e Jam suppleEt See mental Page l2 In 4�, � � � * fKNMdhod 5upphmewtat iafermatioo %-k-11,"-„X.77,-.;3-i, > t � 7. . - i -wT \i 'f• T ,`°, ,i-.7- .1.,.,-i,,,,,,::,: 443, ,`: ,,_ 0 New construction 0 Demolition For spedat nyorr i®ease rhe+eklist 3 Description ( Qty. 1 Ea I Total Q Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for.each utility connection) a t , e �� , =� SFR i bath ! 312.70 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath bath _ 437.78 �7j'1 �� Accessory building ❑Multi-family S FR ) 50032 Master builderEach additional badvkitchen 25.02 0CI Other -_ Fire sprinkler(J sq.ft.) 1 Page 2 {'Z1 .cio t t t a p t Site utektites C P -, cs r: � 1 t � � lob site address: 13-7 a L.+ 5‘,0 5 i‘en-} T OK T era c.e. Catch basin or area stain 18.76 City/State/ZIP:Tigard,OR 97224 ` Drywett,leach line or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 I Lot no.: 1 3 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 1 3t. Backwater alve 12.5 ( ti ,. ...,�� �,;. ��., ,..���,,� ` washer � �� K -�, 1 un,- : 3.►� , © washer 25-42 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 • tank a s � u � � Ex pansign 12.5! Name:ADVL Land Holdings,LLC Fixtutrlsewcr cap i 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sinkihub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax ( ) Ice maker 12.51 P vat t xP x 3� interceptor/grease 25.02 ��?� �..a .a .. .., t,, Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Contact name:Angela Grajewski Primer 12.51 Roof drain;(commercial) 12.51 Address:109 East 13th Street Sirrltlbasin/Iavat ora' 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/showerlshower pan 12.51 : E-mail Angela.Grajewski®polygonhomes.com Urinal 25.02 V1atrr 25:02t ,� e -� . ;�, ,. .., _ heater 37:52 Business name:Alliance Plumbing LLC Watert P ping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal_(r03.4b Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 57230 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%ofpemrit fee) 44#1,„... State surcharge(12%of permit fee) 12.141f Authorized signature: TOTAL PERMIT FEE (p15. Print name:Robert Dishman Date:5/23/2016 This permit appfiattion expires if i,permit a not obtained within ISO days after has been oeeepted as complete. "Fee methodology set by Tri-County Building Industry Service Board 1'1Buitding4PesmitsT12411-PamitAppdoe 10/01A09 440.4et6T(l0)02/COM,WEB) v City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT IIIIII TIGARD Building Permit Review — Residential fj b ..-.%r . ...-t- f, 4f. ;,, ,.44-,,,,1:1.-i _alW..+xai." r'sx,s '.�._ .4a&V.V; t,.A.,W=,,, K_ '-a - Building Permit #: fl$r-,20/6 -- UOQ�/-r' Site Address: 13T21 21i S W sI.len 1- 1 ee.x T r es Project Name: Po 1, 90.1-1 ci t- vweJt- iZ. ver Dere-el( Lot #: 13 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: tJ C/A/ £TC l�. 7i Verify site address/suite# exists and active in permits stem. ARiver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Vfrhree(3)copies of site plan 'Brxisting structures on site Aite plan must be on 8-1/2"x 11"or 11 x 17"paper ,00tprint of new structure(including decks)with finished ?brawn 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 fl ation of wells/septic systems "Applicant information(name and phone number) *isting trees to be retained with drip line,and tree 4 Lot dimensions and building setback dimensions protection measures /Lot area,building coverage area,percentage of coverage and 1treet tree size,type and location impervious 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) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No D7C Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake X Land Use Case#: 2 ,61s -- 0000 ) i-ve,2oU 0000L , 5LIZ Z l.S 000o3 ZZoning: k,- 2 /3 Setbacks: Front Q) 2Rear /0 Side Q Street Side 3 Garage j F,S Landscape Requirement: Z0 4 Lot Coverage Maximum: g 0 % Building Height: Maximum Height ;S Actual Height AfPt Vic Visual Clearance 7 Easements 0 Sensitive Lands: ❑ Yes A No Type 6 Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: GOO d+'3-1�ni tv he- y i e_.-1- W-i- l a'o 1 i 1 SS l.'c 1 r1( c. O F b 1 CIA✓1 t~ p int-4-. Approved y Planning: /11 0 44-4.e, e,ic"....c_c,...--1/4- Date: G:,j y/ j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved is\Building\Forms\BldgPermitRvw REs 060116.docx Building Permit Submittal Original Submittal Date: 4///1- Site Plans: # 3 Building Plans: # —3 BuildingPermit#: ErEnter buildingpermit#above. Workflow Routing: Er Planning [ -Engineering Permit Coordinator Ei'll-uilding Workflow Sign-off: CSign-off for Planning(include notes from planning review) Route Application Documents: P.-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan revirouting form. Building: original ew permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: '-AlAt x Date: 47i��� Engineering Review 2 Slope at building pad: ...a ❑ 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 Cl No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT A A. •rov• 4 9, Engineeri ,: Date: Notes: _t _il.♦ . ` .lrj I. d/rr AV.�����' .. 1r+ f Al Approved by Engineering: Date: _ Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: otes: (4 Date: 20/7074. e-- v� Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: • ( - SDC Fees Entered: Wash Co Trans Dev Tax: er Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A ?"'OK to Issue Permit Approved by Permit Coordinator: Date: /yL,i(e I:\Building\Forms\BldgPermitRvw_RES_060116.docx F City of Tigard Ph v COMMUNITY DEVELOPMENT DEPARTMENT II TIGARD River Terrace Building Permit Review Addendum Building Permit #: /L-js /, - 00c:2 r Site Address: 1312 4 c VV Sr lt?rl - X re...cr. Project Name: f olyc90.1 Of Wei t- eevvr "F- r-rr, Lot #: 1 3 (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 ft. deep min. 2ft.,5 ft.wide min. 2 ft.,p6�ft.wide Gabled do�r{mer ❑ ❑ /- J` 2. Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 17 S 3. Entrances:At least one entrance must meet both of the following standards: Parallel to street,angle no more than 45° from street, 1Max. 8 ft. setback from longest street-facing wall or open onto porch Entrance opens to a porch:/ Yes ❑ No If yes,all the following apply: A 25 sq.ft. min. AOne street facing entry 12 ft.max.roof above floor of porch /`J 5 ft. depth min. j2'30%min porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: c/Covered porch min. 5 ft.wide x 5 ft.deep Recessed entry area min. 5 ft.wide x 2 ft.deep XWall offset min. 16 inches ormer min.4 ft.wide Roof eave min. 12 inch projection A 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. 0 Horizontal lap siding min. 3-7 ft.wide 0 Accent siding min.40%of street facade 7rWindow trim min.2 1/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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. 0 Yes)'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. I "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) 12-foot-wide garage door 0 40%max. of street facade F'S0%max. of street facrade with 7 detailed design elements Notes: Approved By Planning: '1/1 0 IA 7-2--E-- 6 e f Date: 6. // j /6 I:\Building\Forms\BldgPermitRvw REs RT 031416.docx f t . f - Plumbing Permit Applicating i , , 1 Site Utilities FOR OFFICE Ii SE ONLY r 'I?'rz City of Tigard Received G ■ 13125 SW Hall Blvd.,Tigard,OR,972,23 Date/By: ( / /gyp Permit No.:).-1/>7790/6, s�f� _ Phone: 503.718.2439 Fax 503.598.1960 1111/4 Plan Review �'� Date/By: V (�-�1(o Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date read /B y Juris See PageforInternet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE F 010 FE ®New construction 0 Demolition For special information use checklist Description Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) A,'t,G RY 8F t H IOIS SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 1 0 Master builderEach additional bath/kit�lten 25.02 0 Other: ✓ Fire sprinkler(1,221 sq.ft.) Page 2 .WB TE IFOMA,TIQN:.A* L CA`II.ON k Site utilities: t'es: Job site address:13724 SW Silent Fox Terrace Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: 13 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 �.< ,...,,.«., -,--=;;. Backwater valveve 12.51D ;�ON OF i0* Clothes washer Multipurpose Fire Sprinkler System 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►41 P B?111 1 U'l l l. t TENANT .; �• ,,,,,,,,,.;,k �s �� : � 7 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 in AP IC ' +f QNTAOT PERRoN; Interceptor/grease trap 25.02 1 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 '* Water closet 25.02 Water heater 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 Lic.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: L--..J State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes Date:8/24/16 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i\Building\Permits\PLMU-PermitApp.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: Sitei ..` .,reef*, ef* .- S tire` 'uo e:� . .. lC� .,. . Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 It� �a V1411141011.. e 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 tiO e ie tj total each additional$100.00 or fraction thereof,to Other�Ti5lCnS #oes,;;; ",.QtY ' 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 : .1 l w or plumbing-Installations` Fixture Type forRReplacef Plan review is required for any of the following. Work Performed: Capped Added Rel tate Please check all that apply. Baptistry/Font Bath -Tub/Shower ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stallengineer. ❑ New exterior plumbing site utilities for any complex structure -Drive Thru Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -4" ho e'dc ur'User Diagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food 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 increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc RECEIVED _ Electrical Permit Application FOR OFFICE USE ONLY City of Tigard !\O V 1 0 2 016 Received IN ■ 13125 SW Hall BlvdTigardTigard,OR 972 � � �� � .� < y Plan Rev.iew Phonc: 503.7182439 Fax 503.598.1 121, k � r i GAR,R,. Pegg T I G A R D Inspection Line: 503.639.4175 4 T T �S n� 9 Jurii: ®See Page 2 for Internet www.tigard-or.gov l J t Supplemental Information _ . t z._c'1 Q cfl s s , 5e.:. :,-. ..-.., -V ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or snore 0 Building over three stories. ❑Demolition ❑Other r7s y�-� where the available fault current 0 Marinas and a;. :` - ,1` '/'r-' - i ,. 1 31.1711 .47;11,--.._:7.1-...712 - u:a,., boatyards. � _�^ exceeds 10,000 amps at 150 volts or (]Floating buildings. C4 I-and 2-family dwelling ❑Commercial/uidtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family 0 Master builder ❑Other amps for all other installations. buildings. M= 1s T};., -- - ❑Fire pump. 0 Installation of 150 KVA or tic;."i � -- �'-a�.'l!' M.f� - - K1VlA'1T01 ..,,t -:�.-�. ..�.-:._.._,�,.. .. OF.t1:'£I�l�Is"`'^.'-_"�`_"�;;:::-i:=:.tom`::= _ ❑Emergency y derived ....__.�._,._,_.....,._:._ .:.:.,.� w-�.s...<......:.:.:.....�:._a�:��_;.v_,.::5€__rs,,e:_.: . >_�: tar separske] system. � lob#: Job site address: ?�1 Z ) S i n�.� Fur ❑Addition w sytem 10011P or more.of nemotor load of ❑"As",`B",`1-Z" 13, City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: 3 ,L..1 Project name:Polygon at West River Ter ()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. -z� 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 RtFtV,pi 7 DEPT: BUILDING DIVISION tap OCTED 17 2016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By:� ----- ✓✓ ' RE: 13690, 13704, 13716,13724, 13736 SW Silent Fox MST201 00242 1 ? ; 44, Terrace (Building 3) ^Q-t-f r'7 L Co vv (Site Address) (Permit Number) Polygon at West River Terrace Lots 10-14 (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. / cs r L.LE- . 0i! 4 Routed to Permit Technician: Date: /O- ) 9 - / Initials: Fees Due: gYes No Fee Description: Amount I3ue: y $ Special (!c S OA; /`1ST / —00,2 Lz, Instructions: Reprint Permit(per PE): ❑ Yes lig No ❑ Done Applicant Notified: /6/C Date: %////00. Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 yry Electrical Permit Application F., F(1)1Z OFFICE.L1.'S. (.;ti I,11• 1:,ci ?t L011 City ofTigard ''. '-'- „ , ,_.,.11. rrrpr‘medimmer.....R"vea leNsailmomisimmiimons.a........=i lirraMINIMA Ifil 13125 SW Hall Blvd.„Tigard,OR 972Z3,, .,-.,r•-,i,1 r••/1 ks$) • •' - . Phone: 503.718.2439 Fax; 503.59/0*';',‘” kI V: ',1""-•'''i''' irto... ....iimilu,-- -ai, kmu........ . •7,, , n Inspection Line: 503.639.4175 ' ,Th.,..,0 r•-,rav r;c.1,0, .•-dyDraagr gg'gee pgte2 for :'r'''.-''''•- Internet: wwwtigardot8ev ,.,1 1 Tr:IAA ill.k3•-• 'i .•1"' '••'3 ''': Notified/Method: Supplemental InforMatioe .:4.;'' .140 . .,EAV2M.' • El New construction 0 AdchtiOnialtetationfreplaternent 1108sec:he*all that apply(stibnatit 2 sets ofpla4ls wfitans checked): 13 Saliie.or feeder 400 amps or more p Budding ova dune stories. 0 De,molition. 0 Other: . where the available fault°anent 13 Matinee and boatyards. V8r1Wratlatat,',:i'`:`.'.F.H: 0104e1CSIFIS'Ita•.'.:*-' exce448 10000 amPs al 150"AO Or 0 F104.1in b4ficilm6s- ; I-and 2-family dwelling 0 Commercial/industrial' 0 Accessory blinding less to mound,or exceeds 14.000 0 eommercial-use agricultural atimafOr an Othetinstailetimis. inuldingt, Multi4amily 0 lvlaster builder 0 Other: , 13 Fire pump. El Installation of ISO KVikor ..,:Jio .ti...PT:':.,'..,:,..7,:ti,'il.;.,•:.4' ElEavngeney system- larw.separately derived ' . ''... ". ri Addition of ammeter load of 'areal*, JOb Site addreSSM Y SW S i /AV t i;4.- 100171?or more. 1 •Six omen residential units. . 00408400% CitY/Stute/ZR:Tigard,OR.97224 0 Realtb-care facilities. El Beacntional velide parks. SUitdbldg.faptli:3.4 1 Project name:Polygmiat West River Ter Elliazardous Mations. 13SLIPPIY volta!for more than 0 Service or feeder 600 amps or more. 600 volts foxiest Cross street/directions to job site: I. :34144;....:•:,.'xh.g_k.t.,c„,,g,,i:00.-:. ,i.i:-,:it5it;;;Artk.:',4itittriOr Drecriptlea Ow. Each Total New residential single-or multi-family dwelling unit. . . Subdivision;.Polygon at West River Terrrace I Lot#: 13 Includes attached garage. . . .' 1,000 sq.:it.or less t : 168 .54 4. 774x T0.414$40I#:: . . Ea,addl 500 sq.tl.or portiOn 33.92 1 ff#47,,,“ftg,tfi,. .,,v,t,ft;•' '.1-7-...:--.11s. "2*IieliALOY-4****WatiNS::,:;:-.7-Y7'....* .• . Limited energy,reeklential .,. 75.00 2 COft1t.r0oOr OVIVit " (wIth.aboVe sq.tt.) "Limitedenew roulti-feroilv 75,00 2 , residential(with abcvve sq.it.) iftWialfardBOW*0.WtLitMagirt*IngfatTagirlitigin saytee's or ream instailati*.aiteration,„&„rei tf OCIt (HI ,. • Name;ADVL Land Itildings;LLC 200 amps Or lets 100.70 . 2 201 ipa . Addres.s:7600 E Doubletree.Ranch.Road. ms tii 400nipS 13356 2 401 onto to 600 snips 20034 2 C' F:Seottsdtde4 AZ 85258 . . 69/mit to 1,00n amps 301.04 2 Phone:(602)6944031 ', 1 Fax:( ) Over 1,000 amps oniolts •: 55226 2 • TentitoraryierVices or feeders installation,alteration;and/Or • Email: . •: relkation . • Owner instaltafiomillis installation is being made on property Mai own which is not 200 antis or lest 1 5936. 1 intended for sale,lease,rent,or exchange,according to ORS 447,449r 670,and 701. 2nt aropsteognings .., ; 125.08 2 Owner signature:. . . •, Date: • ..401aups to 595 amps . ," „ 168.54 2 ,v,t,T,Lit'OlA.,..';k'groft:ONV,i'MPAtsizzliVail§11=48.VCOSSOM,404. Itechfo.crireuitS 71%*alteration, or "tension'per panel &tattle&name::William Lyon.flomes,Mc. ' above aerfiee or feeder fee; 742 2 • each brands circuit Contact name:Angela Orajewski B.peefor Oran&circuits without • seivioe or feeder fee,rust Address:109 East,13tit Street branch cimiit 5.6.18 2 City/State/Zip:Vantotiver;WA'0660 Mc'h add'!branch circuit 7.42 1 2 • • 'riffse.ellaneons(serifte or feeder not included) .. . Phone:(369)69S-7700 I Fax::(369)693-4442 . Each orenufactured or'nodular 61,84 2 .dwelling,service andi.or fender Email:Angell.Grajewski(gpotygonhomes.com • _ Reconnect only OA 2 c-fr„.o.KiV•3.:te:t4.1i.4,..4,ii:i.t*.:W*.!tfttt".::P-7 ,:;.•;t' :Pump or irrigation circle 67.84 2 BUsinesa-name::Simply P.Jectric I,LC . .. Sign or outline lighting. • 67.84 2 ' Moll eirenit(s)or lirnitedessagY ci see pag- e 2. 2 Address:PO Box 822408 cenel,ultenitioti,ore:nen:don. Each addilkinal Inspection over Atonable tut nay of the above City/State/ZIP:.Vancouver,WA 98682 , *Witte*inapection(i hr min) 66i5/hr Phone:(5O3)849$ • I Fax:.C360)314.4945 rove (1 hrmin) ' , 9001 lir Indualitaiplatg(1 ir min) . • Illi 81:hr Email:aimplyelectrIcpdx@gmaittom . hisPecticais fot Milan no fee is , ' 90 ow lir CCB:Lic.:; 204615 1 Elecnical Lie.: C1067 Suprv.Lic.: 4394S 1'''''''' 'klYie4 .i1!n: „ — „ _ *— ,,.“...„ • -tN ',• .:. .t.g*cll.n.-t4,:i:`4.-' ,',,v.,F...,.1'',:1•,'t:q4 lic„ At., ic.:44, •Supnr.Med:titiant .r.signature,required: 4 %Atm . .Subtotal:. . . . Print name: Victor Zatzhilaky 1 Date: ii 13 Plan:Review Required(25%of penult tee): .,, State surcharge(12%of permit fec):. .. .A.!4horizpd. ignature: 6• j .. _ . TOT-AL,PEMT MR, . —.... This permit application expires'tavern:it le not Obtained within 180' Print name,: Dimitri ivashchuic Date: 2/8/2017days after it bits been accepted tin complete. _. * Number of inspectioui allowed perparnit leSuitiling)Pcnnits•IELC_PtsmitApp_ELR,EREdoc'Rev 05/112015 440-46151V1/05/CaMPA738 • • City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13724 SW SILENT FOX TER, SHERWOOD, OR, March 28, 2017 at 5:37:24 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00245 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13724 SW SILENT FOX TER, SHERWOOD, OR, March 28, 2017 at 5:36:19 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00245 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13724 SW SILENT FOX TER, SHERWOOD, OR, March 29, 2017 at 11 :12:53 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00245 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Water line puncture at washer box location fixed and under working pressure test. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13724 SW SILENT FOX TER, SHERWOOD, OR, March 29, 2017 at 1 :45:09 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00245 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received, ok per planning for trees to be installed after utility work is complete. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Insulation certification checked. C of 0 left on site with approved site plan. Note: drywall repair in process for fixed water supply to washer box. Serve pro on site with de humidifiers, cosmetic repair only. Final inspection approved, no structural damage. Violation Summary: Inspector Contractor