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Permit (17) it u CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT II Permit#: MST2016 00168 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC05500 Jurisdiction: Tigard Site address: 13727 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: 55 Project: Polygon at West River Terrace, Lot 55 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $228,975.69 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: N Vent Fans: 4 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 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 1858 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: $30,476.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0Issued 010 through 1-0090. Youmay obtain a copy of the rules or direPceq questions SigOUNC nature:eby calling 2.1987 ���C2344. ���� By: 9 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application O`f / ,' FOR OFFIC E I SE O\1.! iirg City of Tigard ix u 1 3 2011 ReceivD YY: y/29//9 d4W. Permit I r /6-al, 1111 13125 SW Hall Blvd.,Tigard OR 97223 Plan Review �JJ�/f °tha Pami jet,/� // ' Phone: 503.718.2439. Fax: 503.598.1964 Date/By: r Inspection'Line: 503.639.4175 ^,t Date Ready/By: -J,ms: H See Page 2 for TIC,,I:1> , - Notifed/Method:7 //�ls' Supplemental Information Internet www.tigard-or.gov �/ l4. i / ❑Demolition Permit fees*are based on the value of the work performed. ®New construction Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the _ t g work indicated on this application. �.. . ._ ......, .._:.,. -_' Valuation: � ''$ ® 1-and 2-family dwelling ❑Commercial industrial a,-.4 ,, ---4-' Number of bedrooms: Multi-famil ❑Accessory building 0 y Other: Number of bathrooms: ❑Master builder ❑ 2 2- &C j _ r-z€` 'q t� ' " 5; = 2R2, Total number of floors: 2 J , Job site address: I.;1 21 S W I'Y L y , a\ \-C. f v v I New dwelling area: 1_111.J square feet City/StateTZIP:Sherwood,OR 97140 Garage/carport area: x`20 - square feet Suite/bldgJapt_no.: Project name:Polygon at West River Ter Covered porch area: -� square feet 1©`.9 Cross street/directions to job site: Deck area: ,I square feet R 6 9 . Other structure area: ', square feet Subdivision: 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 �-,e �, � �^ P, ''. work indicated on this application. New Single Family Detached Construction Valuation: S Existing building area: square feet New building area: square feet , " �' -_,75- ° Number of stories: Name: � 4 . fl)a/ Type of construction: Address: (Aglop! ,, M,� _ , �i_-! Occupancy groups: City/State/ZIP:' , !!�' /-- Existing. Phone: • 4 .+ Fax:(360)693 4442 New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13"Street Total fees due upon application: City/State/LIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 s-^ � r E-mail:maggie.gordon@polygonhomes corn '- L"' "'" "-" Commercial and residential prescriptive installation of s - ,-- _.�, �, roof-top mounted PhotoVoltaic Solar Panel System. Business nam . . on`. I, at I)/ /9/1 L i e7v /1/2.2 ES �/ i A Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:109 E 13"'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 CB lic.:207247 Total fee due a plication -$201.60`- rJPon PP Authorized signature: tr° This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete._ *Fee methodology set by Tri-County.Building Industry Print name:Maggie Gordon Date:12/11/15 Service Board 1:1Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) -- - e ' Mechanical Permit Application ,. . , ',, -., IIIIIIIIIIIIIIIIIZMTIIIIIIIIIIIIIIII Cityof Tigard R «a 13125 SW Hall blvd„Tigard.OR 97223 r y: '��"� fp Datena t9 M. Phone: 503.718.2439 Fax: 503.598.1960 , ,, '': e 2 J 4 u t?atrtSy Other Pumst. Inspection Line: 503.639.4175Plan Revicw rDate Ready/By: Jun Fil Set Pagr 2 for { Internet: www.tigard car.ftuv Noai ied$P+irtknd; Permit t�.: `�/Supplemental i Me chanieal permit fees'are based on the value of the work El New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all Demolition 0 Otter: mechanical materials,equipment,labor,overhead.and profit_ r Value 5 2 . .. � .% .' 4' }4'a. fla i-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forspedef htformeolan use checklist ° 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total � �� , tteatiagictwilag: ^� p Air conditioning 45,75 lob site address: ?]'�'7 G S v�' i12 i si L Furnace 100,I10€}BTU(dams/vents) 45.75 City/State/ZIP: \A.-0 0a t�A\-10 Furnace e t OA.000+BTU(duets/vents) 54.91 t Heat pump 61.06 Suite/bldg./apt.no.: Project name:. 90K L`�1 cd- u3.0-4- Heat work 23.32 �e '�� I Cross street/directions to job site: 4.(_P Hydronic hot water system 2132 [ Residential boiler(radiator or hydroa ) 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:River Terrace Lot no.:5� 23.32 Other fent appliances: Tax mapiparcel no.: Water heater 23.32 '''':''''*';':''''4':'''':47'':'5";- "s ,. et rt x� a s ^'� ' w x: i Gas fiptaceithsert 3334 ... , : ..._ '' ' � u. ,. y ''''''''4I Flue vent foe water heater or gas _ i1VAC F fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood frceplace/insert 2132 Chimney/liner/flue/vent 23.32 t, a tltlter . 23.32 �r� �� .� .,... . :• v Ile r'� � Etivlraatatal txkaasf gad vetYt €tioa: lartse: ��( (/1 Ranee hood/otherkitchen equipI• /� _ /_� Clothes 33.39 Address:11p �(- ,1 C dryerClathesexhaust 33,39 J COC- Single-duct exhaust(bathrooms, t City.Ste1L1P: W J toilet compartments,utility rooms) 23.32 I Phone Q� 1 hi -44021 � Fax t ) Atteetcrawispaee fans , 23.32 €' 2132 s � � � .� ...� � �°'�> s� �� � �z..:e�,��9�, Other r Business name:Apex Air LLC Fffet Plpi = _ 5t4.15#erAtst feat:54.03 for each additional Contact name:Stasi Hay Furnace.etc. Address:2210%V.Main St.Suite 107-272 Gas beef pomp 1 Wailtsuspendedtunit heater City/State/ZIP:Battle Ground,WA 98684 Water heater ' Phone:(360)3424109 Fax::(360)326-1769 Fireplace Range E-mail:staei apexairco.com Barbecue :R r Ab 4 tr ° ,,i" � Clches dryer(gas) .,,,:1,-,,,,`....-,7",A44.0 z 0 i .V, � ,, .. Business name: Apex Air LUC I Address:220 W,Main St.Suite 10772272 Subtotal . City/State/ZIP:Battle Ground,WA 98604 I Minimum permit fee( 1.00) Plan review(25%of permit fee) Phone:(360)3424109 I Fax:1360)326-1769 State surcharge(12%of permit fee) CCB lis.:203034 ._ • - TOTAL I'ERlk1IT FEE : €._—_ I II 'This permit application expires if a permit is not obtained within 180 _ Aer—' a / days after it has'bean accepted es complete Authorized signat I " "` - ' Fee methodology tet by Tri-County Building Industry Service Board Print name:Saari bay 1--- pate:1t28f2016 tkiluitsy e'J'rmurx<ArEC P..itApp.O4d t ti.doe 440-4oi 7 11 tinVC MANEB) tRrcr ,t ts�,1 IL,: ger i31?5$WH tL,Biyd, Tigard,[?. .7273 ,y/ or i Pt:�,.+ .� PtiaM Sp371S.439 aC S3 59°i96 ' `' U 1 km vtsly ' .. 1. v r -tea 6, !'17S' 1t,, ,i . , Ll1.il eie �,•k. v i ?�+if d or,;OY '43a8 tod C4WinliEoq Pernut� :„:c i;. q zw - ScwP.}tiameAt3lTrtfameEon o- '11,4" 6IIS�f ltpd r�� s �. :u °4 �.. a-iiir-"act��� , „ r aCeITiWI PI �eWiitu `apt g- 2setrafptarot° /gan ci"�ckr. tET'iQ�tt'i01f ;` (}. 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"" telt spiry 2IofpFiitti}tee} AO ' ` +T�ApT PI�."frzdsi8h�kc � ' , � T +i fprpiafapt�riyey,i}is pyaatudvihra t8omelaeL1tflY¥Beiaseewse5htsaipteetfPrtmEtD • £ "�' ?"" 1 i iadt3SPP i JS attE+ibn Rsv 6bY 3 +i3' '� eeieroriiiii levee iefieed¢erPe { • i; !, ' Plumbing Permit Application. Building Fixtures City of Tigard , ' . O. l.? City of Tigard :IN i ` COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n u n Building Permit Review — Residential Building Permit #: "/„.57-,2,0/6, - I90/6e Site Address: i a 7 2 1 S ' j-7z ).-Ick... C4 Ve . Project Name: 1)0 trg Oki-�eWeki-" 191/4'iv'`e.r "Te r rc;,t tie. Lot #: .S (Ncu/clling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: f '0.A,10 SP IL 7 Verify site address/suite#exists and active in permit system. ? River Terrace Neighborhood:g ❑ No 7 Yes,See Raver Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan Site plan must be on 8-1/2"x 11"or 11 x 17"paperFootprint xisting structures on site 9Drawn to scale (standard architect or engineer scale) floor 1 va elevof newations sstructure(including decks)with finished North arrow ❑Utility locations (required for new,may apply for additions) °Site address,project or subdivision name and lot number 3 pp y n o ells/septic systems /Applicant information (name and phone number) ZIErosion control(including drainage-way protection, silt fence ?Lot dimensions and building setback dimensions design,location of catch basin,etc.) tot area,building coverage area,percentage of coverage and Street names Impervious area(applicable if R-7,R-12,R-25&R-40) f 7J Street tree size,type and location „,,K Property corner elevations(2 foot contour lines if more than "fl1✓'isiing trees to be retained with drip line,and tree 4 foot differential) protection measures VClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: Public Facilities Improvement(PFI) Permit: E Yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Applied For: Land Use Case#: bp, 2 G i S 000041 \C.1)() Yes El No,stop intake A jil Zoning: —"'1 Setbacks: I Front ear Side �� R � 5 Street Side E? Garage g Landscape Requirement: 7Jj Lot Coverage Maximum: `U b % XBuilding Height: Maximum Height g Actual Height — Z Visual Clearance Easements Sensitive Lands: ❑ Yes 7 No Type AUrban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: C 0 Ind.! 110 t7 3 to bE YY1tc'_`t p roc)r tv 1 SS Lt C7 n La d c- 10 iii t cki h Approved By Planning: /1/ V) '�'i lo Date: L. 3// 6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved 1:\Building\Forms\B1dgPennitRvw_RES 012116.docx ,i y Building Permit Submittal Original Submittal Date: Y//r5,Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. ud�n Workflow Routing: B''Planning ''Engineering Permit Coordinator Lam't5 g Workflow Sign-off: l Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 44i ' Date: /2.9/46 By Permit Technician: ��ii t� Engineering Review Slope at building pad: ■ onditions "Met"prior to issuance ce of building permit Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No Date: Z.Le ❑ NOT Approve b Engineering : _ ��� Notes: ,,,,421,„r__)5 `Z /4A4 Approved by Engineering: L ,,,P_____ Date: — 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 0 onditions "Met"prior to issuance of building permit `'Approved,NOT Released: 0,11 C cc.k^^� Date: 5 - `{' —t 4o. Notes: . Nev Co ,n c�i 4-i o.►.5 -6 ,,,,c-f-. 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: .®"Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 8fr Yes ❑ N/A 70K to Issue Permit Approved by Permit Coordinator: Date: ?-12-""Yi( (`� I:\Building\Forms\B1dgPennitRvw_RES_012116.docx City of Tigard i II ■ COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: /4S77O/6 -6712/ 16P Site Address: -I 31 2 -7 ,S vv 11 2 ""( ckV Project Name: FO 1)90 fl C4 t'e)t' R per r£orri CL Lot #: 5s (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 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. I V/A Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide /cJ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 7:7., S I 3. Entrances:At least one entrance must meet both of the following standards: J� 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:1 Yes ❑ No /If es,all the following apply: 25 sq.ft.min. One street facing entry %12 ft.max. roof above floor of porch �5 ft. depth min. X30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: /`J Covered porch min. 5 ft.wide x 5 ft. deep ,1 Recessed entry area min. 5 ft.wide x 2 ft. deep Wall 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 facade Window trim min. 2 1/2"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 5. Garages and Carports:May face the front or side lot line on a corner lot. 1 Setbacks: 1O C- ? No ser to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Chec one): ❑ ay 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. Wid h: (Check one) 12-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: �� Approved By Planning: (�it)y�� 10 G�- A.L-LDate: / / j I:\Building\Forms1 BldgPermitRvw_RES_RT_031416.docx �7" Plumbing Permit Application i---int a--1. fr.-r-, Mt:tar:iki VE Building Fixtures City of Tigard SEP 1 b 2016 Received Date/B : : Permit No.: . j 11 . 13125 SW Hall Blvd.,Tigard,OR 97223 , Plan Review 11 Phone: 503.718.2439 Fax: 503.59WY OE 11 i::-],,AR L) Dategy: Other Permit No.: Inspection Line: 503.639.4175 :7-4i i I DN ' ON r,...illiQ'..rN Date Read/i3 • ' Juric fill See Page 2 for I 1(''N RI) Internet: www.tigard-or.gov L'''i'j I"LI""::.. .")'"5 cl'\ NotifiectjethYo8: Supplemental Information 11444: 7441P1151‘14,7}ria ""k'''''''"19;62412"SMINW'41rtSgrr-iVsfniteagfkNaeOgi#i:*S:?:ttP fi. ,'•:.:',411-Vii0:00413119e0 kiait'iifit,VairvikiI,,,,i.o,-,i,,,T.avii,.:"v.,,4-Cv.:04,-,- .=tVitih'aiiiiitalitifiiiiiiiAiiiiti%4S-eimWiPAViV kviiitve 7.0infitliAMira-VW*LIPV.,1^7,..,77..M.,.......,..,,,,..,,,,7,,, , New construction Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ANIMIEVRINN•41:.'ii:iltil::414V:P3'.-atV.Ve.n.11 ,:!%Migrialltrakillffilin SFR(1)bath 312.70 1-and 2-family dwelling L,.4.,., ,,!,'Commercial/industrial SFR(2)bath 437.78 AO I 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 101 ' :,, ,.1.,. ..y.7„.7,4J1 1411rtitrir),i), T.F.i :..r,i:;.,i ,f '.•otols.)ktpir..1;AsN Site utilities: Job site address: I - sCatch basin or area drain 3110.1 uk nzvelei t ve 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.: Project name:kisalrosTRiver 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 ... 0 Oil CU (tit 61 Water service(no.linear ft.: ) Page 2 Subdivision:Namailsomat ver Terrrace Lot no.: 55 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: . . 1:7...,,72,:yn, gpr..,,vw-. ....t ,-q=:y3wtoaaqitiotmgviimtnfjogww Backwater valve 12.51 ;iiiiaidlitlaaViOaft 261,11;Z,' , ''*74!!),V,i2.4:t47.:;:., 14%)7),AalatpellieeNtAniem Clothes washer 25.02 Oen k61 •fi'r harbsc. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/surnp , 25.02 laiegglite:er4 oV''s*')!)!v,,'"4rqT.,„iPr,:.'gnmitstioApjopEiigtepjrmak„:zrqE,p,„!t,...:Miiimq rzO.Ili Expansion tank 12.51 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25,02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 03:011:4444,1m z.'74 46:0„a",olgramm.w.Lutriativismgoiew wtr'qwt...fqtvi-i74:1:::::';tAngod interceptor/grease trap 25.02 ,:ialiMerobRa',tt7.11•.,-,..--,4,11-r.,,!,...i•lvelitorp•imatt.„...,,:,,tif.;:n .itlf:,:,,,,i,,-•.,,,,..!,:i1.,,),,-4...4..litum, Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski®polygonhomes.com Water closet 25.02 iiiMirlitglainalTIREMIFIAN.:N!At!,; 47,4!!!!:,,,:,.,,,72010:spfielbittattlial-4- Waterheater 37.52 Business name: 6,4-1 %s.,44 iskii'4-6.0'\I IM'- Water piping/DWV 56.29 Address: p,0. 6 os, cii42, Other: 25.02 City/State/ZIP: 5 T e4.,AA am. 411131 Subtotal ., Phone:(5t/3 0--$(its.- 1411 Fax:(11 V ..-791-0.rko Minimum permit fee: $72.50 - . Plan review (25%of permit fee) CCB Lic.: 1511311_ Plumbing Lic.no.ft (23'1 State surcharge(12%of permit fee) i Authorized signature: .0 CI ?'"Afre---......._ TOTAL PERMIT FEE Print name: ,S+f,AJ t.,. F.,wi4.,e, Date: -3b-1 10 This permit application expires Ifs permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IABuildingTermits\PLMU-PennitApp.doc 10/01/09 440-4616T(10(02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13727 SW 172ND AVE, SHERWOOD, OR, 97140 March 16, 2017 at 12:18:20 PM Record Type: Record ID: Residential - Master Permit MST2016-00168 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: No power to kitchen appliances. Turn on all power for inspections. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13727 SW 172ND AVE, SHERWOOD, OR, 97140 March 16, 2017 at 12:13:16 PM Record Type: Record ID: Residential - Master Permit MST2016-00168 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No power in kitchen. Breakers in panel off, turn on all power for electrical final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13727 SW 172ND AVE, SHERWOOD, OR, 97140 March 21 , 2017 at 12:05:30 PM Record Type: Record ID: Residential - Master Permit MST2016-00168 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor