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Permit (11) ii i ' CITY OF TIGARD gV '' MASTER PERMIT "- 11, ;° COMMUNITY DEVELOPMENT Permit#: MST2016-00380 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2016 Parcel: 2S106DB06400 Jurisdiction: Tigard Site address: 13309 SW PUMPKIN VALLEY TER Subdivision: RIVER TERRACE NORTHWEST Lot: 64 Project: River Terrace Northwest, Lot 64 Project Description: New SF. 2/1/2017: REPRINT to add 210 sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 2504 sf Value: $306,868.71 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 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: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2504 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,117.63 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 AR -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: /--,f.-,/e 9--77Cj rk, Call 603.639.4175 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. 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 r Transmittal Letter T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT 'II' €FAV DEPT: BUILDING DIVISION JAN 19 Z017 FROM: Angela Grajewski CITY OF TIGARD BUILDING D W IO COMPANY: Polygon Northwest PHONE: 971-212-2144 RE: q 3 � � �� U 1 Lria( i MST2016-00 (Site Address) (Permit Number) Northwest River Terrace Lot'J)L. (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: s #41Copies I esc pti n 0 Additional set(s) of plans. 3 Revisions: add covered patio 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. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. per buyer selection X10 1 I� .... y � . �F©R r ; E UsE 0NM -A* Routed to Permit Technician: Date: .43 — .)7 Initials: 4) Fees Due: Yes ❑No Fee Description: Amount Due: $ ' k � Special Instructions: Reprint Permit(per PE): Yes ❑No SODone 4 'I:\ Applicant Notified: ate: 71;/97 `-////7 Initials: 447---- I:\BuildingWormsgransmittalLetter-Revisions doc Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 1. i , City of Tigard • i COMMUNITY DEVELOPMENT DEPARTMENT III T l c r.D Building Permit Review — Residential Building g ermit #. S7"o20/E y- DCS Sd'� Site Address: /soq 'k) A b I Project Name: 4r/A rifler- 7frace Lie-4 44t,e.gj Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review y� Proposal: `j' & -,e e4erify site address/suite#exists and active in permits em. ver Terrace Neighborhood: 0 No V Yes,See River Terrace Review Addendum Attached Sit Plan Elements: PrEpqree(3)copies of site plan k sting structures on site t mug be o plan muon 8-1/2"x 11"or 11 x 17"paper IA Footprint of new structure Including decks)with finished •wn to scale(standard architect or engineer scale) or elevations Kr►orth arrow Utility locations(required for new,may apply for additions) r§ita address,project or subdivision name and lot number it i cation of wells/septic systems plicant information(name and phone number) •. 'A.sting trees to be retained with drip line,and tree Ufkot dimensions and building setback dimensions ,protection measures Lot area,building coverage area,percentage of coverage and ,!CIS eet tree size,type and location t-n .t pervious area(applicable if R-7,R-12,R-25&R-40) Street names 'roperty 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): equired: ❑ Yes,applicant was notified V No Received: Public Faciliti Improvement ❑ Yes 0 No P (PFI)Permit equired: V Yes,applicant was notified 0 No Applied For: (ices 0 No,stopintake lLaild Use Case#: �� 14. - _ oning rj-�-� S'��2D P/Required Setbacks: Front _ g Rear /0 Side ` Street Side 3 Garage cQ j 1 >Landscape Requirement: 020 % __ t Coverage Maximum: Lot - {Vilding Height Maximum Height i II isual Clearance -�-=4/ Actual Height 12Easements Kldpensitive Lands: 0 Yes 1a No Type Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: / • i. . J7i-4ell _ G.7`- poOr' iine.'-At:7`' IS:s74,7L,e ________IAe, Approved By Planning: -�'' — �"` ..- /. Date: air Revisions(after Building Submittal only) Reviewer Revision 1: A rovedDate PP 0Not Approved p l- I -� 13 Revision 2: 0 Approved 0 Not Approved �` Revision 3: 0 Approved 0 Not Approved i '423 17 - excel. r to-r ea ve,t d p(Ai-6 . 1:11ituildinglFormslBldgPetmitRvw_RES_091216.docx f , 0 Building Permit Submittal / Original Submittal Date: �/3/� Site Plans: # 3 Building Plans: # — Building Permit#: CEnter building permit#above. Workflow Routing: e'Planning D.-] ngineering -P rmit Coordinator g ` Workflow Sign-off: Er-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: �`� ��` Date: 9' �-���6 N By Permit Technician: Engineering Review Slope at building pad: conditions"Met"prior to issuance of building permit 0 Easements(encroachments)per engineering conditions of approval and plat 1 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot 0 Yes 0 No Date: 0 NOT Approved by Engineers; / �,,�` Notes: �es. .11d e.)f � '� Q� IY/ j"�f •-' 6'�+' f4J Jot 'v Date: ?- '►Q"�t'j Approved by Engineering: 46 R •�,� Date Revisions(after Building Submittal only) . d� �• zy i--07.-/7 , Revision 1: /Approved 0 Not Approved k. Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved --Z rianamamommommoormarassumsr vomiasseava Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit (j 0 Approved,NOT Released: Date: p Notes: lRevisions(after Building Submittal only) Revision4 �� Notice 1: Date Se to Applissrrt:'i t 1 t Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant A . C Fees Entered: Wash Co Trans Dev Tax: pl5PYes 0 N/A Tigard Trans SDC: 1B21Yes 0 N/A Parks SDC: Yes 0 N/A I OS to Issue Permit c://91A° ,9, l�/_ �" /I"( `�='� Approved by Permit Coordinator: Date: / `/ I:\Building\Fon s\BldgPennitRvw_RES 091216.docx d City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: /4S7" -0 r6-- 04 3ed Site Address: /S3C)gl c, 14 , n W ilito Project Name: // L .0 ,=. Lot#: ��� (New dwelling=subdivision name;Addition or Alteration=last name of owner) ! ' Planning Review of River Terrace Plan Dist ' t 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. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft.deep min.2ft.,5 ft.wide rain.2 ft.,6ft wide Gabled dormer / 0 0 0 0 D1 t S'ICX e 2.Eyes on the street:a minimum of 12%of each street fying facade must include windows or entrance doors. Percentage Shown: _�--/-/ f= M C,Di •S t!5 J( 3.E. •ances:At least one entrance must meet both of the follo g standards: ';1 Max.8 ft. setback from longe street-facing wall Parallel to street,angle no more than 45°from street, Entrance opens to a porch: Yes 0 No or open onto porch If y ,all the following apply: sq.ft.nun, , urr a e street facing entry ft.max.roof above floor of porch fi ft.depth min. 30%min.porch roof coverage 4.,j/etailed Design:All buildings shall include a min.of five,o�f,�a following elements on all street-facing facades: fiovered porch min. 5 ft.wide x 5 ft. deep f% t(d Recessed entry area min.5 ft.wide x 2 ft.deep `,all offset min. 16 inches. 0 P.rmer min.4 ft.wide rA Roof eave nun. 12 inch projection /. ; ..f offset min.of 2 ft. S ❑Roof shingles either tile or wood r/ ❑Roof pitch oriented south min. 500 sq.ft. blc,hip or gambrel roof design F.. ' rizontal lap siding min.3-7 inches wide ❑Accent siding min.40%of street faccade fp-Window trim min.21/2"wide by 5/8"deep p•-• ❑Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft.deep ❑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: �(YG ser to front or side lot line,than longest street-facing wall. 0 Yes No. If No (Check one): y extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width:(Check one) Moot-wide garage door 0 40%max. of street facade 50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: �� .~—'- Date: I:1BuildrogWormalBldgPermdRvw_RES_RT_°62216.docx 1 CITY OF TIGARD MASTER PERMIT tl 91 . '" COMMUNITY DEVELOPMENTIL Permit#: MST2016 00380 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2016 Parcel: 2S 106DB06400 Jurisdiction: Tigard Site address: 13309 SW PUMPKIN VALLEY TER Subdivision: RIVER TERRACE NORTHWEST Lot: 64 Project: River Terrace Northwest, Lot 64 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2504 sf Value: $302,181.51 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 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 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 0 201-400 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: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2504 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,996.34 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0$•0. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. AV Issued By: 4)1 /, (..)-1--e Permittee Signature: ir "7-.P'7)6-.%C %+, 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. v - .:., -- Building Permit ApplicationRECFIV11). ' -a Received Permit14-9-4/-6/;'.7.:V/6 1 City of Tigard Date/By erG � �/ t r 'fi 0; '`� v FEB U 3 2016 a other PerrA.r p, 2G�� II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan By: /�. Phone: 503.718.2439 Fax: 503.598.1960 DatdBy: Y)Q" : ff CI " �) `�a� Date ReadyBy. Tuns: E3 See Page 2 for 7 t C;;F I? Internet n Line: 503.639.4175 Yr 1Ol t _ NotiSedlMethod/�/ 4' Supplemental Information Internet www.tigard-or.gov BUILDING� i b F - - te the value�__�_-- _ _.__ - --_ _ - Permit fees*are based on of the work performed,; ®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other. equipment,materials,labor,overhead,and the profit for the wo m ca .„ rk� di ted on this application. ® 1-and 2-family dwelling ❑Commercial/mdustrial , j, ...,7,,,,,„ _ti Number of bedrooms: 1-1 ❑Accessory building 0 Multi-family Number of bathrooms: 5 0 Master builder ❑Other , 7.^ Total number of floors: 2 a .8 8 9 site .. I New dwelling area: A square feet Job site address: /3301. 1 Am An ,..40/..0, /_ '//-/,.e,,,.- City/State/ZIP:Sherwood,OR 97140 " Garage/carport area: J square feet Suite/bldg./apt no.: Project name:l c m fl\) Covered porch area: \ 55 square feet j 3()b Cross street/directions to job site: Deck area: q) square feet )1 0 Other structure area: fa square feet • '',..r. :==,,::.'..1:1 ',..4.,rS- S' 3 , A Yc Subdivision: Lot no.: 6.4./ 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 "r-', -. ,� work indicated on this application_ Valuation: S New Single Family Detached Construction Existing building area square feet New building area: square feet r— n 2 a , . ,r f :; Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 13`h StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695.7700 Fax(360)693.4442 New: Csa'- 5. 0.. � ° - : ''': s. '7-7 £a£✓`_3 2 3 f1 r ---1‘,-,-3..:7,7,----,:1,13.:::-_'• r- 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/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 `F ; rix ry _ E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation f p o c; '.3 . v '' -----':=';::--= roof-top mounted PhotoVoltaic Solar Panel System. olygon WLH,LLC Submit two(2)sets of roof plan with connection details Business name:P and fire department access,along with the 2010 Oregon Address:109 E 136 Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(120/0 of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: -- $20160-- . This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as completes*Fee methodology set by Tri-County.Building Indy Print name:Maggie Gordon Date:12711/15 Service Board. I:1Building\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) -- " a 1 I { RECEIVED ',.. 1. Cityr9, ` 'agar� ��B 3 2 0 1 6 E rmtE'Hs----..,10/(ry /� f 13125 SW Hail Blvd,Tigard,cfR 972.n ?tat vthav »Q(.' phone:503718,2.439 •fax:503.$ ' t ' # Daltrey; aeratedPmttt8. Lt€pectiori Lina 503;639.75 1. s 11 j �gadYnalefaf g�ea r itaA,L Tntcnlet ' e wwtatIgard argon �Noti t 7 SgpttmEsttta Inrurmatioa �I MJ NISI 4 New colstructiois' 0 Addttiontslrerat€oas/replaceinent Akrsacs« 11 that aapty fps ie1 P_ , , 13 Servtot or Patclnr400. Q Dssoabliou [j Other` asarmora CladdiAYArWrst4tanz a-beteatea*matabletaAtitctnroor iMatiaasaalbwirards; ,,y 1 AT' 41W1 MilCit301 aamt44.to000r c at lift vont 3Ffopaaagt t gs, p31 I-and 2-family dwelling Cl Cbmnmercialfi dust ial [3 Accessory builduig 4rotwd,ar meas t4,oaa Q Coatmetrdfi_au a t dHe I D Multi family Q Waster lintitter 0 other "tops flat all edict fastallatitats but . Elstre pump, jT lmta>otior oEisoxy t or JOB SU1I E(4E8}itl4IA1ION AND LOCATION EIF.margeeeyayntem, target sdpantelpdaivad Jab#. jab Si[ettddress' [_l tortofn4wtnotertoador syskia. 13361:-‘'..-',\I�. f?i4'E t:l VS I�ti�: t 2 t : l00#Ar AIMC. 1�NR�e :fit "15� s ityl5tatejZIP:3herwoodOR97140 j °Sir et wamrestdeatiaritoira rxeneeteY- El1ieaWi-aatafaciilitiea Orteeantioaot vertiatapada. Suite/bldg/apt:l/: Project nettle: Clliarardoasluaalloat ©Supply voitAtte ratwxeoian ®Sac cewte drmrtiooairps0ramore. 6O 101W41. Cross eer/dlrectjou to job site:s 2EE t . .', 'residential single-or tootttrfaby dwelitag . 1 a N Subdivision:River Terrace I Lot#; t=1 incladesatiathcdgarage. Tax anap/pa[c01#: 1,000 sq..1R-su leas ) .1.,Se `4 t9 Yl1 11 ++ add i51fpsg h arpanEoa - 334 1 ' Limited trpy,reaidcatisl 75.00 New Single Vamely (*jib abovesq,til ited ont:rg)renin Lim-t'aatiry 75.40 2' 1 residential(with above sq.R-) s<aPlt#$Bl2fiT(OSPI FE l ft1APtC;,' ..Renewable Energy El'ScePage2 Seritces or feeders installation,alteration,ander relocation Name:Polygon homes 200 amps ortips 100,70. 2 g Addfess 009 B 15a'E# 2W ampsm4tif3amps 133,56 3 CltylStatelZlP:Vancouver WA 98660 401':amps to 600amps200.34 2 601 amps to 1,000 amps 301.01 2 Phone:(360)695-77(10 Fax:( ) Over 1A00 amps orvaes 5332.26 2 Email; Temporary services or feeders Installation,sNera@an,andfor relocation Owner installation:This installation is being made on property that s own avhiclt is not 200 amp or less 59,36, I intended for sal;lease,rent or oxehaasge,according to ORS 447,449,670 and 701. 201 craps to 40tt amps t25.t18 2 Ownersigrtatuce: Date: • 401 amps1o509;amps 1611,5,4 2 :'.� AP1'TrCeat]W1 - Brancireirtaits—new,alteration,or'extension,per oriel t 1 'Q CONTACr PERSON A.Pce,$r brartrh circuits avft7e ' Busiaeas name:Garner Electric Washington,LLC oboveservice or feedorihe. tit tach branchbranchs ttii 7-42 2 Contact name Bill Daniels B.Fee for brant)circuits trfaboat Address 6101 NE SI Johns Rd servfLx sirrecder&e,first 56,18 2 6ratmtt circuit: City/Statc/Z1l':Vancouver WA 98661 perp add?blanch circuit 7.42' 2 Phot#e(153)320-1657 Fitt::( ) Mistellsneoes(service or feeder aotlricttrdtrt) t'msnpfacwtxtlormodular 67,84: 2 Etnatii;ildaniels@gwensa.com davc4Ting s�vleeandtor feeder Reconnect only 67,84 2 i .g CONTRACTOR P{anp or irrigation circk 67.84 2 s Business name;Garner Electric Washington,LLC St r ouri'me liglt6n 67.94 '3 �or Address:6101 NE St Johns Rd Sigtaat eimtlkS)or ifmfdxf«:ergy 1 Pallet,attemtioa,arestensimr. EI 3zePaga2 3 I City/State1ZIP:Vancouver WA 98661 Each;additfanaFlaspection aver agave ble is awry of the above Addie onatinspection(•l hruiin) 46.25/k- Phone:(253)320-1557 Fax:( ) .10141t181tIon11 br:min) 90•00/11r Ewan:bdanleis®gwensa,com industrial Plant('fumlu) 78.f8fhr; • bispretums6wwhlchnefceis 90.007hr COB Lie,: CUSS Electrical Lie.:208174 - 5 tspty;Lit,:4496S � sp�r6w11v ifsteat('f,hf mw)t 7EG'l'R1Cr1L P>illl42i 1'SNS. SuprY Electrician signature,requital; � 1V t�f f-c- 1 Sitittital i PrintYtane:Joan P Albert Date: a`1 i 1 I tl p El Plan Reelew 11001111174 ps%orpeeillit teed State surr(targe 0114srperrpi gsk Authorized signature TOTAL PERMIT CES I � Tim permit applicationarplees If a paitidt s not obtained within 180 s Print name: Bill Daniels 'Date: rCt t( daicttbas bees accepted as tompJere. a Noxbet of taspenicas agowed parprn>:it. i':-----,tsiSLC.rnatApp ELR.aRtE,daa ReyCIMt713015 440.46n5T(1liUNCOStrAttiO ++I a 1 i . 3. I / Plumbing Permit Applieatiott i 9 +-E Building Fixtures City of Tigard FEB 0 3 2016 PtxtviiNo./� i , 09 g(P() Ihi s 13125,SW Hall Blvd.,Tigard,OR 97223 plan Review Ocher Permit'No.: i' Phone: 503.718.2439 Fax: 503.59 yy r` @@ DatrJBy , � t(q d Jurrs: 121 See Page 2 for inspection Line: 503.639 4175 Dare lediMethReady/BSu a.lemental Information t i L \1C D Internet:wwW.tigard-or.gov / t,,,,,; tho , ,,rte 1 V 94:;',,,,, Nod Do � ' „ i'''''''''''''''ll''''''''''''':;: a�,� ;m<ny,� �. leQ �eas sa � r _�"`�'�+"�°���,..� -��&':in�l ,.. .. �-- '�e°° " .. - i For specirr!inforntrtnir+»use cheektisL... .: New construction LiDemolition Description l Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft for each utility connection) - - • 'e.-',%‘- . -s „` -"! Z SFR(1)bath 312.70 ,, °15 s al 9 t .' - --a,.:-�.. .��- :' �:�>.� <� -... . ... ��, .,� � SFR(Z}bath 437.78 ■ t=and 2-family dwelling D Commercial/industrial SSFRR(3)bath 500.32 Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder C]Other: Fire sprinkler( sq.IL) Page 2 c17,trg,54):L415 ii „” .. ':< 'prAii:g �,-- , ' _Site utilities:�a � Catch basin or area drain 18.76 Job site address: 19-IDDOI Wf r • Drywell,leach line,or trench drain 18.76 ,..jr �� ,�- /L City/State/ZIP: '-'Dc�^�, Footing drain(no.linear ft.:_) Page 2 Suite/bldglappt.no.: Project name: RN. VIA) Manufactured home utilities 50.03. Manholes 18.76 Cross street/directions to job site: Rain drain connector 18.76 Sanitary sewer(no.linear ft,:_) Page 2 Sionn sewer(no.linear it:_) Page 2 "Water service(no.linear It:_) Page 2 Subdivision: I Lot no.: U Fixture or Item: Backflow preventer 3127 Tax map/parcel no.: Backwater valve 12.5 I .*t 1 .,....,A'14.7'4.-..1,144,'M itak., Clothes wa5ha 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 - �Expansion 1251 -«, -_t a -, 25.02 r � r=-... ' ' -,4,'V-.,. - ;., Fixture/sewer cap Name: Po\\ 25.02 ��" � �.,� y� Floor drain/floor sink/hub Address: 1 4', (�l T4, \ 25-02 Garbage disposal City/State/ZIP`: \af\LoJ1 p-Q T1 (- pO Hose 25.02 Phone:( 1.0D •q - �D Fax:( ) Ice maker 12:51 -intcrceptot/greaSc trap 25,02 ` > .,,.. :r„ . ,. ,�.._-- value:$ ) Page 2 t� Medical gas t 1 t-I-XNN 11 iii L: -!' Busive$s name:. .y.'t,-t f.�.a'Y"'}�.� Primer 12.51 °Intact name: .. t' V,j-,,V Roof drain(commercial) 12.51 Address: . l i l E=i _ Sink/basin/lavatory25.02 Ctty/Stater71P: (::>,1-ec1--1} "1\t' C) Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:Ali ) so - sl*Z-3 Fax::( ) Urinal 25:02 E-mail: 1‹..,1,--1..4 ' ., +►`f t r 4.1• !At sa ` water cloe25.02 ' M. "z Waer heater 3752 . ""� , ._ r 1/ .i'Y^.i^,i.fN P(ir W'Al . Business name: 12....t---,-4 , Wate7piping/DWV 56.29 Address: pp D‘• 13' *" Other: 25- 02 Subtotal City/State/ZIP: -}-cxsha,tv)' CAQ Cl/ O Minimum permit fee:. $72.50 Phone:(G")/) 1- - ii73 Fax:( ) Plan review (25%ofpemiitfee) CCB Lie.: 2,1)(0 Z Plumbing Lie.no i.Z t State surcharge(12%of permit fee) _ .. - Authorized signature: TOTAL PERMIT FEE This permit application expires tf a permit Is not obtained within 180 days Print name: ,1< �j { Da after it has bees accepted as complete. i C} '1' { .`j *Fee methodology set pry Tri-Gnmty$mlding Industry.Service'Board tAtraildi tozectricsTi_tnt-PamitApp.dor 1WOt?09 440-46i6T(f 0,01COn.1At'EH} . . , _, Mechanical Permit ApnlicatittECF INR1) i op,of i it I. 1 NE()N1.‘ City of Tigard .1. I- , AtA A. Received Oatenay. Permit lq°',47_S-7:020/61'-*C1/49 6P 6 .111 13125 SW Hall Blvd..Tigard,OR 97223 Ran Review no- Phone: 5033182439 Fax: 503.598_1960 FEB 03 2016 Other Perin& Inspection Line: 503.639.4175 Date itendylay: roait-- 81 See Page 2 for Internet: www.tigard-or.eovCITY ONotified/Method: Sopmernentat information F"111,.;A R. 9 ,..:-..;:.:,..!;:.,:..-. ..,.,-,-::; Mechanical permit fees*are based on the value of the work g New construction 0 Addition/alterati)n/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition 0 Other; inechankal materials_equipment labor,overhead,and profit - Value:S ..._,- .,,,,,,,,- .„, :-.,...;z.,,...-,,,-,-...z,t:',.:,--,7;.c,,, t,...-.„,,,..,:-..,,,,,,,,,,,,,,..-. --,,t-tx.10,,,,,,,,-,,,,,,,,,,,,,,,,-t,-,.,,,-.,,,,,,,,..o:,,et.a-4,,t,-.1J.,,,,-.; -,-t,,.-w-F,,,,f....-,,t....•t;45i,-'4 le:...,-,7 ; ', 'if -:.,-,.'n,.„-",.- -2,-,.,:tt.-- g I_and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far spedal iajormarion use ckeedirst. El Multi-family 0 Master builder 0 Other: Description : Qty. Ea. Total Joh site address: vi. , cot 56 ,..k.ic.k.LiN\)axt,'. " ' Air conditioning . 46.75 , 1- Furnace 100,000 BTU(dncisivents) 46.75 City/State/ZIP: Q:\I oR • • ...t Furnace 100.000+BTU(cluctsherns) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name:River Terrace n Duct work 23.32 Cross street/directions to job site: Hydronk hot water system 23.32 • Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type.not electric), • io-wall in-duct.suspended.etc. 46.75 : Flue/vent for say of above _ 23.32 Other. 23.32 Subdivision;River Terrace I Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater - 23.32 tt-:10.,:41=,-**:.`7,1.--1M444.?"08307-.M.ni:"...i7ra'11°4'.,-Itt'Ft;t;`,4:4:',..:Lf*W0041.-,t_airt.t.t*Att.:.. . Gas fireplace/insert 3339 -- " ''''" '' '''' • "'''''''''''' ' . --`''— ' .' ' ' ''''''''' Flue vent for water heater or gas HVAC fireplace 2332 Log lighter(ass) • 23.32 Wood/pellet stove: 3339 Wood fireplace/insert 2332 , Chimney/liner/flue/vent 23.32 Environal exhaust and 23.32 mentventilation: Name:Polygon Range hood/other kitchen equipment , 33.39 Address:109 E 13(3St.Suite 200 Clothes dryer exhaust 33_39 . City/State/ZIP:Vancouver,WA 98660 : Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax:'( ) Atticicrawispitee fins 2332 Other 23.32- Fuel tdoingt Business name:Apex Air LLC S14.15 for first kiwi;84.41 for each additional Contact name:Staci Hay Furnace:etc. • Gas heat pu Address:2210 W.Main St.Suite 107-272 isi Vt/suspmpended/unit heater City/State/Z1P:Rattle Ground,WA 98604 , ' Water heater Phone:(360)3424109 Fax::(360)326-1769 FitqAtec • Range E-mail:stacilt/gapeasirro.com Barbecue 'g:(:f:Jiftt.,-:r'Aiqir,'T::: .•4...Aito;p';:r,\ni. y.it;'r:;•.-'iit:..:_..,,,f-..lt-.,:.-..,..,,:.::...,,..,,,,,„„ri ,...,;,..4,:.., ,2.:.,.,,,,,t.,;,,,,<„, ,•.,..:(•.'z.- ..;,,u,-.V.----x.e*F.').",?.4,4,Ye•:5.:.,CV:74'.44i,.*-k,;.w..,:.-N.4.4.,,- 7-.'..,-',,,,,‘tiv:An:...,.0-1 ...,,.., .,,,', 410„,,....,,r.-, ,. ,,, ....,,',t,„..,.a.4„, . Clothes dryer(gas) Business name:Apex Air LW I Other. -.-i-4-44t.-t .4,,..„ 1,-.t.(..i`. 1,..•.,.':`.:;.;.t,.:•C„•..,...; .-:....•.;•',...-. i.,•,:',.....-',..;—",,,;,..'4,..,..;;,:',15::.gi. ....,:'::::-.:,.- -,,.•,.,' Address:220W.Main St.Suite 107-172 ' Subtotal City/State/ZIP:Battle Ground,WA 98604Miniintun permit fee($90.00) : . Plan review(25%of permit fee) I Phone:(360)3424109 Fax::(360)326-1769 State surcharge(12%of pennit fee) •CCB lie.:203034 • •- - - TOTAL PERMIT FEE 1 . • • This permit application expircs if a parfait isnot obtained within 180 ......... ' ft/ 410P. . , , Authorized signatitt ' .„../ 4 ,.., „.„ ,-"ft ' Fr - ' • . days after it has been accepted as complete. Pet methodology Set by Tri-County Building Indoor).Service Board _ I Print name:Strati hay • Date:1/28/2016 i . I at.ildingaParnitsWEC_PcnnitApp dent 13 disc 44046-17F(ttiortx-mmea) , City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1111a T l c A R D Building Permit Review — Residential Building Permit #: "/_S'%ap/6 — Qc2 d'c) Site Address: / 3047 'Si't) A kyyl Ville, ff&cc Project Name: efr-et- /22c-X AJerAtuE',gLot #: 61/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A}e gF-je__ iz(icerify site address/suite#exists and active in permit sem. River Terrace Neighborhood: ElNo I� Yes,See River Terrace Review Addendum Attached SityPlan Elements: Vg ree(3)copies of site plansting structures on site e plan must be on 8 1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Vlyawn to scale(standard architect or engineer scale) or elevations V orth arrow Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot number 111'%,cation of wells/septic systems Vplicant information(name and phone number) • 'A 'sting trees to be retained with drip line,and tree t dimensions and building setback dimensions yrotection measures Lot area,building coverage area,percentage of coverage and {(JS eet tree size,type and location Ppervious area(applicable if R-7,R-12,R-25&R-40) VStreet names roperty corner elevations(2 foot contour lines if more than 4 foot differential) Olean lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): 0Pequired: Yes,applicant was notified V No Received: ❑ Yes ❑ No Public CI Faciliti Improvement(PFI) Permit: equired: Yes, applicant was notified ❑ No Applied For: Yes El No,stop intake IlJ Land Use Case#: P (©% / O . IQ Zoning: - (i Required Setbacks: Front _ E3 Rear /0 Side '-'� Street Side C./ Garage ' ) Landscape Requirement: ca, of Coverage Maximum: unlding Height: Maximum Height � - Actual Height (p 'Ca if /V�i, isual Clearance V Easements KA I.ensitive Lands: ❑ Yes la No Type tra Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: C1. ant.. c)42n ,71- pnnr A / >. Approved By Planning: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved 1:\Building\Forms\B1dgPermitRvw RES 091216.docx Building Permit Submittal Original Submittal Date: e a7-5 Site Plans: # Building Plans: # —3 Building Permit#: [' Enter building permit#above. Workflow Routing: a-Planning Cr-Engineering Permit Coordinator C ci lding Workflow Sign-off: Er-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: By Permit Technician: Date: 9/;-6e//,6 Engineering Review 0 Slope at building pad: 22 2onditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approved by Engineeri _: Date: Notes: _ �c r ir✓ ry 'r I/ .40.- i "MLA - - Approved by Engineering: 44 c Date: g3Q—/A Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 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: Revision Notice 3: Date Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A (( Tigard Trans SDC: 1SztYes ❑ N/A Parks SDC: Yes ❑ N/A e,IS:)OK to Issue Permit �, Approved by Permit Coordinator: �if Date: 4//,-///‘.."' I:\Building\Forms\B1dgPermitRvw_RES 091216.docx s, 1 . City of Tigard IIa COMMUNITY DEVELOPMENT DEPARTMENT T l c Ito River Terrace Building Permit Review Addendum Building Permit #: N:Srr rte,— 0,0 J Site Address: /SSC)9 ipw Jji', 1674,, ,___.--7-,-,,,(26, Project Name: ,e/v, t' e i'Aeue Lot #: 6 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrrtct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Pre 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 t. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 7v * S'IC 2. Eyes on the street: a minimum of 12%of each street f4cing facade must include windows or entrance doors. Percentage Shown: Jy�f leye/ &'j /Q / G 3. E rances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If y ,all the following apply: sq.ft.min. V• e street facing entry iti'ft.max. roof above floor of porch 1 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: overed porch min. 5 ft wide x 5 ft. dee ( Recessed entry area min. 5 ft.wide x 2 ft. deep iirall offset min. 16 inches.F ❑ ►,,rmer min. 4 ft.wide '1. Roof cave min. 12 inch projection' S I4 ; .of offset min. of 2 ft.r g ❑ Roof shingles either tile or wood 'G a able,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. F/. ., .rizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40% of street facade 7 Window trim min. 2 1/2"wide by 5/8"deep p-- 0 ❑ 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. Setbacks: N/ ser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check 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. Width: (Check one) foot wide garage door CI40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: — "' — Date: igrav I:\Building\Forms\BldgPermitRvw RES RT 062216.docx Plumbing Permit A-pplica4f GENE Building Fixtures City of Tigard N O V 3 2016 r /// ' /G ` PetmitNo. s' (bl W-00360 74, ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (-" Phone: 503.7182439 Fax: 503.19°^•'"OF TIGARD DatefBy: Other PermitNo.: Inspection Line: 503.639.4175 Date Ready/Br Avis: B See Page 2 for Internet www.tigardor.gov §y IDnix I�IVISIGN Nntitied/Asetborl Supplemental Information :mai SGIgEdL�. :. ®New construction . 0 Demolition For special information use sfteckst Description I Qty. I EL I Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION• . SFR(I)bath 312.70 ®1-and 2-family dwelling 0 Commercial industrial SFR(2)bath 437.78 SFR(3)bath 1 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 O Master builder 0 Other. Fire sprinkler(_sq.fL) Page 2 JOB SITE INFORMATION AND LOCATION . T, Site utilities: Job site address:1 SNl YU1y1 )\e jt Vel`Ui tj 1 e'aka' Catch basin or area drain 18.76 1' Drywell,leach line or trench drain 18.76 City/State/ZIP:Tigard,OR 97214 Footing drain(no.linear R.: ) Page 2 Suite/bldgJapt no.: Project name:giJ.eY Terrane NVQ) Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it: ) Page 2 Stone sewer(no.linear ft: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: iTeily/'t p J (�� Lot no.t - FixtureFiztuor item: Tax map/parcel no.: N+f' Bael�ow preventer 31.27 . DESCRIPTION OF.WORK - : - _ Backwater valve 12.51 - Clothes washer 25.02 Ctoil1A11OG Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER - I. 0 TENHANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®..APPLICANT . 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.5I Address:109 East 13th Street Sink/basin/lavatory 25.02 City/StateJZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax:(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR• Water heater 37.52 Business name:Malmedal Enterprises Inc. Water pipingIDWV 56.29 Address:PO Box 207 Other. 1 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324.0759 I Fax:(503-)324-0580 Minimum permit fee: 572.50 Plan review (25%of permit fee) • CCB Lic.:102535 Plumbing Lic.no.:34-27618 State surcharge(12%of permit fee) Authorized signature: C! TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. `Fee methodology set by Ili-County Building Industry Service Board. LiBnitringTermitAPLMU-Pe:mitApp.doc 10/0IPo9 440-4616T(1002/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, March 31 , 2017 at 10:49:01 BEAVERTON, OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide access for inspections. R109.1 Front door and garage man door locked. 10:45 am Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, April 3, 2017 at 1 :03:27 PM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Remove all furnishings blocking outlets for inspection. No inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, April 3, 2017 at 1 :11 :44 PM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide access for inspections, furnishings from staging blocking inspection access. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, April 4, 2017 at 10:27:50 AM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Microwave vent not installed. Not ready for mechanical final inspection, work not complete. Investigative fee applied for third failed inspection. Inspections to be scheduled when work is complete and ready for inspection. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, April 4, 2017 at 10:38:27 AM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Low voltage work not complete. Not ready for final inspection, work not complete. No permit or minor label at this time if low voltage contractor different that electrical contractor of record. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, August 16, 2017 at 10:30:58 BEAVERTON, OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, August 17, 2017 at 1 :16:13 BEAVERTON, OR, 97007 PM Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Caulk and secure pedestal sink to wall at 1/2 bath. 407.2 All else appears ok. Note: plumbing finals for lawn irrigation Backflow devise and second water heater on separate plumbing permits required prior to building final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, August 23, 2017 at 10:42:18 BEAVERTON, OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13309 SW PUMPKIN VALLEY TER, August 23, 2017 at 10:44:44 BEAVERTON, OR, 97007 AM Record Type: Record ID: Residential - Master Permit MST2016-00380 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor