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Permit (57) IN CITY OF TIGARD MASTER PERMIT xii '- COMMUNITY DEVELOPMENT Permit#: MST2016-00386 Date Issued: 10/17/2016 TIG AR_D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB06800 Jurisdiction: Tigard Site address: 13377 SW PUMPKIN VALLEY TER Subdivision: RIVER TERRACE NORTHWEST Lot: 68 Project: River Terrace Northwest, Lot 68 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2229 sf Value: $270,834.42 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: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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: 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 Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2229 Owner: Contractor: WILLIAM LYON HOMES INC VNLLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves Required PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,318.61 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 throu• ,)AR•52-00-0090. 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: v- Permittee Signature: eiitr 1774,4 feeiz-77t, 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. z_ or 6P Building Permit Application FW`�'ia � 1 VE� _ rolaorrlcrlsl_ool \ ki ?5 Receivedr470//6 ,i1, PermitNo sei ,e .nU �PCity of Tigard _ �g q Date/By: ey71 13125 SW Hall Blvd.,Tigrd,OR 97223 FEB 0 3 2016 Plan Revie11O_S_ )6 Other Per ie /6 d0... 0'1 o7-- Phone: 501718.2439 Fax: 501598.1960 Date/By: 1 Juris: H bee Page 2 for Inspection Line: 503.6394175 t F .,1 Date Ready/BY: /6 CITY OF a �, +�:.+ Notified/Method"©� / 40954-' I Supple Page - --;{ i) f , ,� /L_f Internet: www.tigazd-0r.gov Bi�'l t, i law R� �)•t',,�,?��:� 0-M+ 4-t c-• - .._ :.. - �- _... ..., .... . - - . a: _....�._.....L—x� ed. v --2::::::::21:r-::''' _ _c,._.,_- .._ Permit fees*are based on the value of the work perform ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. i� sc-�' 1 -�1® t ..'���-,_, 7".'"177;"-" .�� 5:.- .7.54.-'''''''' z� ��'m'' Valuation: .3 L-`�► ✓, � --)i ® 1-and 2-family dwelling ❑Commercial industrial Number of bedr ms: LA ❑Accessory building ❑Multi-family Number of bathrooms1"--4...5.3 j ❑Master builder. 0 Other C} A - w - Total number of floors: 2 S:0 0 7 +� ,� – x K� square feet _ I New dwelling area: q Job site address:/33 77 44) �N VA/�� //�`g` `"` j /i►�p Garage/carport area: square feet City/State/ZIP:Sherwood,OR 97140 � square feet Project name:. ' Covered porch area: % 3 q j a�j Suite bldg_/apt no.: J Cross street/directions to job site: Deck area: 0 square feet 9 7 8 Other structure area: ', square feet Lot no.:4� Permit fees*are based on the value of the work performed Subdivision Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the - � E �2 h -t :_,:c.7.2.17,1-15.-- work indicated on this application. Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet ' � � '° , �" ; r . Number of stories: Type of construction: Name:Polygon WLH,LLC Address:109 E 13th StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax(360)693.4442 New 3 -r-' t - '- , si" a Fs N s ' °-'ty- - �'."- p.`�.,. �`�•°--����r:�_'-''---`-"."-.7`-';''''-'17:t3"-''''f 'i.., _. � .�....x.r.<...,,,.a..:� 1: ��.".-f-7. .,.-,-,...—;.C4s« _.,.,...< ,ay . .,. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 ::: ~,,,. E-mail:maggie.gordon@polygonhomes.comCommercial and residential prescriptive installation of ` ,.t -- .v,, .ry roof-top mounted PhotoVoltaic Solar Panel System. . . - ��`~ Submit two(2)sets of roof plan with connection details Business name:"lR�_c�'r'r ��/'L /4It'f LyO� M63 /A/C., 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(12%of permit fee): $21.60 Total fee due upon application _$201.60- CCB lie.:207247 _ This permit application expires if a permit is not obtained Authorized signature: /`V within 180 days after it has been accepted as complete -' I *Fee methodology set by Tri-County..Builamg hidustr LPrint name:Maggie Gordon I Date`.1T/11/15 Service Board. 440-4613T 11/02/COM/WEB) 1:\Building\Peumits\BUP 1tESPermitApp.doc 02/24/20]1 ( c 1 i . Ci Cid eti 'aga FEB ?01 „� IIr- 13125SWilaIIBlvd. Tigard,OR 972223g�q " Penn#cf!�!¢Zl9/ j yZr s = Phone:503 71$.2434 Fax 503. t t 1 Fi 5 s e s ;;' rim:,g°.`t`tr RsiatodP t,: 7 t F D hupebtton Lhsc 303:639.4175 qg {�1 `! m Inkrnet wa'!Y meal or gov 4*'i iu i- i l'@ +. '''.,a a�4thfolaa mac S S3aaaanbl Ino ;• '''''"m- . - hfiedtA're0mdt Se�gtm�enlvi Information .11 p®INIew'construction 0 Additiontaiteratit)n/rep]at:elneut masa_ cloak 4 thalspidyimbmn 2 ofplemtwmems checkrd, QI?emalitoat []Other . uscrrkn«reeder400mops orroma a tioDdingovattaoatasles: 7 1 - is4n:rc thr ao ilabte unit ci¢mm 13 Nnisai sus towalwds: :; e,"tki UYY-OFCORSIt1CUOh arwa:ia„tF t wtsn.nh:or (JFIQatingtEmwiag, y.1..,',N1-and 2 family dwelling 0 Conimerc MUin lush al ©Accessory building lets in ,orcr pis 14,000 ❑Qonimac al- agituaurai naps far agathwinstohetions Mbit(-family El master builder 0 cheer. �` (Q [J Fu � apa . L71asrvt6ition ofISO KYA or JOB SITS'li t) ATusN AND LOCATlit4 Elianeraeacyay�n• tugcrs p .lydsth d 1 Job#: 'address.‘'-25-371-19j t Johsite �J sarnofrurx�nntorloxd,1 aysisia . t'ili'ltc)1'_1y. .1, \Pi1., it?; laoi#Pormmc. El A "e;•13;11 1', City/State/ZIP:ShervioodOR970* J CiSixotmaramsidcatiaiwuts W y, rallnanh•exo facilities, C7T#cctsarianat vehideparks. Suitelbldg./apt.Q; Projectname L7Na£+aowiocetions, 1 Supptyuoliagaforrnm2iDan ti$nireorfcader440awpaoram 600WItsnomnaX g Cross sireeddirections to Job site: g;cs�aacsna a €,: riiataa )ori. Pam k ire I='+ '' New residential single-or multi-family dwelling,,relit. Subdivision:Elver Tet'race i tot#:lie e includes attached goroge, Tax map/parcel 4: I,OOC}sq.-fi or less 158.53 •i Ea add.',500 sn.fi or portion 3392 ! Limited e�rgl residential 1 New Single Family (with ahoresq:RJ 7 00 Limited energy,Multi-fmnib. 1 residential(with above au.ft75.00) 2 F, Renewable Eaton, ®.PROMtR7Y"t? P4Ett: £3 TENANT ❑SceRa>{e2 Services orfeeders instaitaSontot#crndoo,aatiJor-retticaiion Name:Polygon Homes 200 amps or less: 100.70 2 Address:10.9E 1341St 201 Dines to 400 ems 13355 401 amps 10600 amps 200.34 ' City(State/Ete:Vancouver WA 93660 2 Phone(360)635-7700601 antes usiii06 301.04 2 j. Fax:( ) over 1,000 amps&volts 55226 2 :' Email: Temporary servkes or feeders instal/alien,alteration,andier relocation i Owner installation;This installation is being made on property that I own which is not 200 antes or less 59,561 intended for sale,lease,tar,(,or exchange,according to OP 3 447,449,670,and 701. 201 amps to 400 amps 125.08 V 2 Ownersigttattite. Date: 401arnpsto399amps 168.5.4 2 ihYI tr 1NT j Cl3NTAGf FBRSOII Branch rircnits-new,alteration,or extension, r pane! Business name:Garner Electric Washington,'LW ab4 rserviceor feeder tree each barrel circuit 7.42 3 ; Contact name Bill Daniela B.Pea for(,reach circuits,vtrtwor 1 Address:6101 NE St Johns Rtl service crTeala fen fast 5618 brand)circuit City/Stine/ZIP:Vancouver WA 98661 Each add'1 branch circus 7A2 2 Photic;(253)320-1657 Fax::( ) Nfisteltaneoai(service or feeder notineinded) Each manufactured or ttrodutar 6784 2 Email:bdanlels(agweusa.com dti4riling ivicaamVorfoeder 6 {O1V 171Af 1 t t{r fume:meet only 67.84 2 1 Prune of longetior circle 67.84 2 1 Business name.Gamier Elettric Washington,LW Signer mallet lighting 67:84_, 2 Address:6101 NE St Johns Rd Signet c rruit(s)or limited energy U SeePage22 2 I p&oel,alto-Aim,o extension, City/State/ZIP:Vancouver WA 98661 •Each aArtraiansi Inspection ever sltotl able in spy of he above Additional ttapectio11(Thr min)' 66.25'1W 1 Phone(253)320.1657 Fax:( ) Lrvcstigation(1 bruin) 90401hr Ealail bdanie1s(atgwensa nom industrialplant(1iamin) 781&Ihr Inspections for told:) ea fee is CCB Lia: CI158 Elcetrical Mc.: 208174 Suprv.Lie.:4496S sPcd&caitP flared( +b(ntiu) 90.001hr °, Suprv.Electrician signature,required: I =. f 1�/ L E G1 .;PERi1ii3 FES. I I Snbtalai: Print time:Joan'PAlbert Date: ra]‘ilko0Plan Review Reguirm(25Yeofpemtit,(s): / Elate esarbente()246 ort Amit fee); I. Authorized signature: f TOTAL PER1rI1TI'E i This permitapptiagonupirulin permitb�r4UtWntawithin#80t Print name:Bill Daniels Date: a ck kid rtppsetterhuosboasarm:plo asceaplete. 1 3 • 2tnmberofiaspectioasArmed i 112444•1AP444141714.ysoski m._ loo asr.06t17t2015 44046151t;L sICoMnotzto t t • 1 i', l' • , Plumbing Permit Application R,,,, EGt7PilF: Building Fixtures City of TigardFEB 032016 Received Date/By: Permit No.i/lirre, /6.7961.cf-to _.„, 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review other Permit No.: 111 Vir' Phone: 503.718.2439 Fax: 503.598.196e,ify OF 'Inspection Line: 503.639.4175 Ready/By: Jur ic TO See Page 2 for Internet: www.tigard-or.gov 9 t J1L FP.,, :G '-')v.-I F , itedilvfethod: Su..1emerind Information - ,•.. . ,, "=.'''''--*1'",r -- '--'t " `1."`"V7-,'":'.1.,-• ';.,r'''' ' 4."'Z' ,#. ...404-2.,,,,,,,Az.A.:3,,z4,410:e.,1 4'.4:..44-4:11 7,...,7::IN...,..,,,,,,,tt-i:1°,,,,,,,,,,Iutte,,..,,,,.'a?,.:„:'4,,711.,:::.14:,,,,,..,,..AY..„.424',,.7 .,,,,... ..,t's?''''.•,,,,A,..t,',..,b,,,, t 141,..„,,r,":4174r,:.,,,,C.11...„`"'"iabm„r`,:t'q, 1.4N,:''' ,„,,_.,-1,*:ba, 41 IIDemolition For special information use.checklist NI New construction Description I Qty. I Ea. I Total IN Addition/alteration/replacement I Other: New 1-2-family dwellings(includes 100 ft for each utility connection) SFR(1)ba312.70 2CI:01',...7„,"'7,-'4,'.."--""-Tir,:v•N'-z-Ii7:0„&“.'":'-`,: try*tr';':,&'s-.,-..G e'44,''''6 ii":441Mw'''''.: V f 101A44';ti-,t'''.7,,..t..7.7.1‘;:.izi3,,,,,t,,:**_rv....4:4,„A.`,,, bath 437.78 1111-and 2-family dwelling 0 Commercial/industrial SFR(3)bath ) 50032 0 Accessory building ElMulti-family Each additional bath/kitchen 25.02 0 Master builder El Other: Fire sprinkler( sq.ft) Page 2 °r•.'4,P,O.C`4;e-tr-481-4'i,i1"-Viri4:4T,`,4....40,174..,!,.,.:6,111, ..,'g!SH'A-,o-,,f,-.G''';-,%rvti.z'":a44'„,t,.. , *-A-, .:44„.''.,, Site"lid!' . Catch basin or area dram 18.76 Job site address: tj9j1 0 0 V--(1.1\- 0.1k01 Drywell,leach line.or trench drain 18.76 City/State/ZIP: -1"\f2j1---v.)--1is_A, 01.\ tr-}MO , Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: i Project name: R‘\)-€( --(6ritree flu) Manufactured home utilities 50,03 • Cross street/directions to job site: Manholes 18.76 Rain 6 din connector 18.7 ra Sanitary sewer(no.linear ft: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(tro,linear ft: ) Page 2 Subdivision: I Lot no.: 4.2 if Fix-tyre or item: Backflow preventer 31.27 Tax maP/Parcel no.: „ • . .,,. Backwater valve 12.51 i'L.M.LE14;::::TAATttili'04-;15,:r414.:S,:t7iit0 '','r'.--,--;;,..r'.-:;;,-Ar',I, .',. .;-,'-',',s'.7,-'7-..-'!„,,-;,...-,•,-.7,-r,r7,4?,,,,...,.,,,-.•.„,-..-r1.---,..-,,,, ,,-,-, - --- .- -,, , -,- ,„„,„ -,... aathea washer Dishwasher 25.02 Drinldng fotmtain 25.02 Ejectorssump 25M jy.4:7•20.X..?'„,-.-taV,":", :,k az.4 iniWZ43,=.4:'TTi`e75.:4'SQ,;-:fere'..:"'ttb.i.-7-V-r ,,•g,,,).r,,-,7„,-,_7,,--,,V. rx,s,:., , _ ,acwcr cap 25.02 Name: poccie\.,1-y-\ vqk.A-k- l'oome/ Floor drain/floor sink/hub 25,02 Address: 1 r e) --IN f3-- Crarbaae disposal 25.02 • City/State/ZIP: V/ _AO, .. ...I._ ,. Oa* i A '4 (-) Hose bib 111 2512.51 Ice maker Phonellill=1' /10 MMIIIIIMillp Fax:( ) - - •a-- •• -- -'4, --t;vt.e... .:4.4-.5- tr,,,fM Interceptorl.rease trap 25-02 Page 2 Business.name: 1.---1.-,t r.-V-4-yli ) 12)1 Ltiv\V‘l teN 'Lk, f Primer 12.51 Contact name: Iry v-v t4r..6„, ....g.,,,,ta,„,,, „„io Roof drain(commercia) 12.51 Address: 1::t> ty.4.. 1"').)--T Sink/basin/lavatory 25.02 CitY/Srareall): e:-,1-e,cinik-INA (War CI)CT.:, Solar units(potable water) 62.54 Phone:e11 ) sup , %-( 3 Fax::(44- ) Tub/shpanower/shower 12.51 • Urinal 25.02 E-mail: K., e...K.XY-IA t jr 041 4,,•Q 0 041. 1r-,r, Ji4Viater closet 25.02 ,-:',..:11.',.-.,,°•-••:,:•sz k-:-1,-.N,;--7.,,,,,-.1,,,,,,,-,,,,,z.,,,,..,:.1,-„,;;;,:z.,,IIIFIz'r.•'i.:i"ftli,R0,-,-,..*.tmt-z-'4';•-fg,'*:-..f-,:-.:11z.x.L.fi-711.... w heater 37.52 P.:.r.,..;,,,,,ra,,•;ezt-.•,--t---f-,,,et-,.1-;';',';',,,%:,t..=;;;;'-,,-.1.'::'.%-,,,,,,'&,,,,'47-..,t",:i-.--,,,,,,z%,--z.----, -,. .,-, ,,-.,...- -, ,,atm- Business name: 11.....1.--t.,1 r ,11 Arrt e,t," f)(te-t_I-r4e:N1 ieV3 t-L-C , Water piping/DWV 56.29 Address: PO GD--k 13 7 Otheu • 25.02 Subtotal CirY/Srareil 'Sba-,V) OR- 97(--ZOMinimum permit fee: $72.50 Phone:(911) I-01.0 -q-/q3 Fax:( ) Plan review (2.5%of pennit fee) CCB Lie.: 2,()(0 .4 2._ et._,_ Plumbing Lie.noB f 10.52- State surcharge ., ----- (12%of permit fee) Authorized signature: / - This permit arldication mon%tritorxTOnlitTAisLnPotERebt.MTiliedFEwitE Ittft 180 days Print name: M Ix k_ru ex.mkk i, D,-4 /i 1 ' `.c'l ir after It has been accepted as complete,. *Fee methodology set by Tri-County Building Industry Service Board_ 1:Vtuildintreronmetmu-Pmeickep.due I am'109 44046 t6T(i C002COMPNEB) Mechanical Permit AnEllicatiorli,n—i- t PIVFIIIIIIIIIIIIIIIIIISEMIMIMIIIIIIIPIII,' City of Tigard Datettay: Perm t Noi/47j7c20/6„..0034..6, II 13125 SW Flan Blvd.,Tigard.OR 97223 ' 1.., Phone: 503.718.2439 Fax: 503 598.1960 FEB 0 '3 20 16 '"Revie- DateiEty Other Permit: ,) Inspection Line: 503.639.4175Date Ready/Fly: tutis- ST See Page 2 for I Internet: www.tigard-or.eov CITY OF I'i(3.AR Et. NotiliedtMetimci; Supplemental Information 3Pcilli-lTq''1'13. 'Cir'PF1C) `,'" Mechanical permit fees*are based an the value of the work in New construction 0 Addition/alteration/re-placement performed.Indicate the value(rounded to the nearest dollar)exalt 0 Demolition 0 Other: mechanical materials_equipment,labor,overhead.and profit. Value:S ,:f-‘, -t..-'.z:;,:.--,:, •:..11.1-:,:‘,..:.;1.. t..„4:;.1,,.fit---viik.„:7*-6;‘z..,„•t,,it,,,-,7',5--,!-;:,.,-,.;.,,,' ,.-,ik.,,,,:,t,-;,.'y,,,,,.,,v,.,.;,-"',.,74,14.44:10,11; ,,.„,, :, 1,;4„,„,,i,,,,,,I,,,,,,,,i,,,,,,,,;,,,,,,,c.„i41,:;:...,;:,;,,75,..,,,,,,,s,ettis,. .i..,,,,,,..,:,,,,,,,,,, EI I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For sperld information use aralist. 0 M ulti-famity 0 Master builder 0 Other Description 1 Qty. Ea. Total Id eatingkooling: '.,-,:.--.....,..I;c -,'-..-:'1,,,...,„-.'.,.....-.4.,;,........,.-.,,,4,...,„,,,--,4-,,,....,„N.,' •.•-:,..4,.......,,,-° ''7,,,TV....-:,,,,,..-,,,,--,..''••,---•,,,:.,`,"'" ,,,••••:. .,"'',.. Air conditioning - i 46.75 , &,,,''''''' Job site address: - ' 5---Th IMIIIM-M1111111 Furnace 100.000 BTU(dwls/vents) i 46.75 ' IllEIZINKtiii 11 r TO ti 110 IP a . Furnace 100,0(10+BTU(duets/vents) 54.91 Heat Immo 61.06 I Suiteibidg..lapt.no.: ?reject name:River Terrace Duet work 23.32 a Cross street/directions to job site: Hydronic hot water system 23.32• Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended.etc. 46.75 Flue/vent for any of above 23-32 . Other. 2332 Subdivision:River Terrace Lot no.: f (6 Other fuel aPPlisitwg Tax map/parcel no.: Water heater 23.32 ..------.......:-...•. - ..4- "srrimfees," - -''''',''' -""''t e.;:'liMmr-R3.77":"--;.:7-Str'--:'--- %.' " Gas,4fireplacc/insert ., ... -..-.-:-iff,---'LI-,ieep:,.. :7?'"?'4•'' ' **'''' 0,.• "'"''''''r''' '''''''''''''''.-" ' ' ' - i Hue vent for water heater or gas HVAC fireplace . 21.32 Log lighter(gas) . 23.32 • Wood/pellet stove, 33.39 Wood fireplace/insert 23.32 • Chimney/liner/flue/vent 23.32 73.32 _ - - :-.FiP1';'..--711?teiti.Ht4.,;?'''4-04,- '-`-7.1„. .'"1 ,..---,"11r4A..;17.••"1. ' 'r!517174..,r"do7mo.,7''::".....41, .,..:,1---,____.''30:1e*i--l- *., ',:"., ..-ii."'-.ad En,..0.0- gmtiffid tonnot and,randialinn, Name;Polygon Range hood/other kitchen equipment 33.39 . . Address:109 E tP St.Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duet exhaust(bathrooms, mmisal.111111111111 toilet compartments,utility rooms) _ 23.32 Phone:(425)586-7700 Atticlerawlsoace faits 2332 " Fuel PiPhtg: 1 Business name:Apes Air LLC 514.15 for first foot;54.03 for each additional Contact name:Shad Hay Furnace.etc. Gas heat mato Address:2210 W.Main St.Suite 107-272 Wan/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater .. Phone:(31)32-8109 Fax::(360)326-1769 Ran izeFirtigare • E-mail:stneihtgapexairco.com Barbecue ;::,s4:,.:,.:It5Fip.,-,, ..54,,,Ata,..,a4h.*:!2e.4f(-16f,ftel7.2.-=',",t-,,,,7,1frikiiz,Netuek,z....-oz- v.v-g.-441.14.- •- - ' ' ' ,,,,,-,,, ,,,l-ti.4. •.•. ,s4i7,'",'''''",...d,'.. .r.;;g7.1,2,kit ,li. ,..-..''''", • ' ....,,- Business name:Apex Air LW ti-*;t:'''':::';Z:';',:"•;1,1-.1iii:;;:14',e17''4 '''.!ri:.r. 2"'',,$4,,'''',.11;1:f"fe•', Z,„,:!„i`' ..<:'"•'.1 Address:220W.Main St.Suite 107-272 . Subtotal Madonna permit fee(590.00) City/State/ZIP:Rattle Ground,WA 98604 , Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)3264769 State surcharge(12%.of permit fee) AMIIIIIIIIIIIIIIIIIIIIIIIIII - - - : - TOTAL PERMIT FEE -- - CCR lie.:203034 Alr This permit application expires if a permit is not obtained withM 180 jr i.A ridays a lit",it kin been accepted as complete. f ,,:. h Authorized signatur,. lir ...-- • Etc metodology set by Tri-County Building Industry Service Ilemd _ • ..name:Staci hay Date:1/2812016 t Print , t Vittittrtm$\PvtrattsVIAEC,,PcratitAppfigt I i 3 clue 440-4417T(1 irblif OMWM) 1. or City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o Building Permit Review — Residential Building Permit #: / J7 c20/6, - 0 0 i�6FG Site Address: t3vDl SW Pum*V-tri VALI-cid TrAr. Project Name: {Z.1\fer Vaiact NVJ Lot #: (p8 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1).eV\) Sw(L- x1 Verify site address/suite#exists and active in permit system. 2t, River Terrace Neighborhood: ❑ No .8- Yes,See River Terrace Review Addendum Attached Site Plan Elements: ['hree(3)copies of site plan J/Fxisting structures on site ,Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished , rawn to scale(standard architect or engineer scale) floor elevations *North arrow JUtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number WA-Location of wells/septic systems Xikpplicant information(name and phone number) Fxisting trees to be retained with drip line,and tree Mof dimensions and building setback dimensions protection measures Q Lot area,building coverage area,percentage of coverage and )STS reet 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 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified [X No Applied For: ❑ Yes ❑ No,stop intake At Land Use Case#: PDR 2D\S -OiDCAD5 Zoning: R-1C PD) ,/ ,I� Required Setbacks: Front 0.16 Rear 10 Side 3� Street Side Il'A Garage 2 ;RI Landscape Requirement: 20 0/0 A Lot Coverage Maximum: 3O ❑ Building Height: Maximum Height Actual Height NJ/A- , Visual Clearance Easements Sensitive Lands: ❑ YesgNo Type __g. Urban Forestry Plan , Conditions "Met"es prior to issuance of building permit Notes: i4 (,C ILl rhons Srei I Itoome-4 pn(r lo i ss n.0 L , Approved By Planning: cDate: i Revisions (after Building Submittal nly) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES 091216.docx r Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # --j Building Permit#: Er-Enter building permit#above. Workflow Routing: Er Planning 2rEngineering '0'Permit Coordinator [wilding 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: 4 'i1,.t ,,' Date: Engineering Review /Slope at building pad: ❑ 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 ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv• , by - ngineering: Date: Notes: , L� i_' ./ ,, r I 1 Approved by Engineering: ,42 j7 Date: /2>- Revisions 2>Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: Ilit''SDC Fees Entered: Wash Co Trans Dev Tax: tia Yes ❑ N/A Tigard Trans SDC: af- Yes ❑ N/A Parks SDC: -Pa"Yes ❑ N/A kr OK to Issue Permit QIP. -\- i sSut tcAs Lo-t' !1a Approved by Permit Coordinator: CiAzu4" Q.. Date: (6-7- 1(i) I:\Building\Forms\BldgPermitRvw_RES_091216.docx r City of Tigard 1111 q COMMUNITY DEVELOPMENT DEPARTMENT T I G A RD River Terrace Building Permit Review Addendum Building Permit #: /VS ,2 p/c, — 00 ; , Site Address: 117 &SV•1 PU.rnp -w VG a.'j 1-er. Project Name: 12-\JeY Terrace IW Lot #: cog (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 standardsYes ❑ 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. 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 ❑ ❑ � ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 15, Dio 3. Entrances:At least one entrance must meet both of the following standards: CI Max. 8 ft. setback from longest street facing wall jSrParallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes ❑ No IIf yes,all the following apply: 0.25 sq.ft.min. One street facing entry 12 ft. max.roof above floor of porch )2,5 ft. depth min. $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: Covered porch min. 5 ft.wide x 5 ft. deep >>1tecessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ti(Roof eave min. 12 inch projection Roof offset min. of 2 ft. El Roof shingles either tile or wood ,Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. XHorizontal lap siding min. 3-7 inches 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. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ 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. ❑ 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 ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: d L , Date: al 119 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit ApplicaECIVj Building Fixtures 1(,K O1 I k1 I 1 �r O.1 1 City of Tigard ��(] ltetived 11 7 /({.. Permit No.: Sl IO4\0'UStta 14 13125 SW Hall Blvd.,Tigard,OR 972`23 V 3 2016 Plan Phone: 503.7182439 Fax: 503598.1 TT r n�y pffiefgy: Other Penna No.: Inspection Line: 503.639.4175 �'i � T 1 GAR L? Date Ready/By. hula: B See Page 2 for Internet www.tigard.or.gov Notified/Metbod: Supplemental Information • ®New construction . 0 Demolition For special information use chec� i Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other- New 1-2-family dwellings(includes 100 it.for each utility connection) :,:'.1:.*:,.- ..- . . ,. CATEGORY OF CONSTRUCTION • SFR(1)bath 312.70 SFR(2)bath 437.78 ®I-and 2-family dwelling 0 Comma ciaVmdustrial SFR(3)bath i 500.32 ❑Accessory building ❑Multi-family Each additional batb/kitchen 25.02 0 Master builder 0 Other. Fire sprinkler(_sq.R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: %kNi' 1M r s0 V Ot4J'll Ttirrda' Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: I Project nam(Avtir Th/'L/ NW Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft:_J Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:. V,�4 /.� meot(d Nh tLot no.:�� Fixture or item: Baci�ow preventer 31.27 Tax map/parcel no.: i Y'-s b~ DESCRIPTION OF WORK. - Backwater valve I 1251 Clothes washer 25.02 U�•NIl//��ttb Q � Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER - I. C TENANT Expansion tank _ 12.51 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LW 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 Medical gas(value:S ) 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(a)polygonhomes.com Water closet 25.02 - CONTRACTOR .• . Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 5629 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) • CCB Lic.:102535 'Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: -c: TOTAL PERMIT FEE Carolina Malmedal Date:04125/2016 T�permit apphation expires if a permit is not obtained within 180 days Print name: after it las been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. Clgwldiag\Petmits1PL.MU•PennitApp.doe 10/01/09 440.4616T(10/02ICOM/WEa) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13377 SW PUMPKIN VALLEY TER, May 18, 2017 at 12:29:23 PM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00386 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide ventwell protection at left side grade above bottom of foundation vent. Provide missing street tree per approved site plan or city revised plan for tree locations. Provide insulation certification for final inspection. Note: no AC installed at time of final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13377 SW PUMPKIN VALLEY TER, May 26, 2017 at 7:01 :39 AM BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00386 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Note: no street tree approved by Monica in planning. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of 0 left on site at kitchen island with approved plans. Note: no AC installed at this time, permits and inspections required at time of installation. Violation Summary: Inspector Contractor