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Permit (35) ca-777,-.VI,:t,,i .t.i,Dr,7 Plumbing Permit ApplicationzS//� j• Site Utilities RECEIVED FOR OFFICE LSE ONLY Cl of Tigard M Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9722, 31 2017 Date/By: S�/� ��?o�' /l'lSTotU/7 C�'x>7/ Phone: 503.718.2439 Fax: 503.598. Plan Review, 7 a „ �f Other Permit No.: Inspection Line: 503.639.4175 'OF TIGARD Date By: 6 Jy I/ .�GGo T I G A Ru Internet: www.tigard-or.gov BUILDING DIVISION Date Ready/By: Juns ® See Page 2 for Notified/Method: r� ) Supplemental Information d 4 Q WO12 ii i €a c 1 a ZA Z New construction ❑Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) L �� Ii`flII]t OF CONTICI~N % SFR(1)bath 312.70 1=11-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ®Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(1,2_0./ sq. Page 2 1foI ) LOQ*ION S •lt :t JOB SIS t Aiiieuiiies Job site address: 13436 SW Beach Plum Terrace Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:NW River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.:198 Fixture or item: fax map/parcel no.: Backflow preventer 31.27 I 1 Backwater valve 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00071 Drinking fountain 25.02 Ejectors/sump 25.02 y,- ERT r 3n TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ate® '.APPLICAT iiif g ` ❑ rt< •PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 ., : o Water closet 25.02 ' Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lie.no.:PB732 State surcharge(12%of permit fee) Authorized signature: _�/ ) TOTAL PERMIT FEE Print name:Gavin Thornes Date:5/24/17 This permit application expires if a permit is not obtained within 180 days Iafter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WE3) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems it Q* Fee(e Footing drain-151 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 � yp47, Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for t ' Fie 0 (e each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantrtyh°f#ture `ype xtur'eTypeft�r` ' 'e .. l � rerfurt Plan review is required for anyof the following. �- Capped.0 added Rel to i 9 Baptistry/Font Please check all that apply. Bath Tub/Shower D Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Car Wash Drain i tetri or r ❑ Isometric or riser diagram is required Garbage -Domestic-non-food g q d for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixtureworkunderthis permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pddmit.doc CITY OF TIGARD fwilmni MASTER PERMIT ii ' COMMUNITY DEVELOPMENT Permit#: MST2017-00071 T t 4-,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017 Parcel: 2S106DB19800 Jurisdiction: Tigard Site address: 13436 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 198 Project: River Terrace Northwest, Lot 198 Project Description: New SFA, Building/unit 10.4 4/26/17, REPRINTED to add(1)sink that was not listed on permit. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 85 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1209 sf Value: $160,160.97 Rear: 5 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1209 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: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $22,671.92 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. ATTF • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 010 through•-' 952-t• -0090. You may obtain a copy of the rules or direct questions to OUNC by callin 232.1987 or 1.800.332.2344 Issu d By: L do1.800.332.j2344-L ,' Permittee Signat fl/ /2 ^ . Call 603.639.4175 by 7:00 a.m.for the next available inspection dM . This permit card shall be kept in a conspicuous place on the job site until comp etion of the project. Approved plans are required on the job site at the time of each inspection. IN CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00071 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017 Parcel: 2S 106DB 19800 Jurisdiction: Tigard Site address: 13436 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 198 Project: River Terrace Northwest, Lot 198 Project Description: New SFA. Building/unit 10.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 85 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 8 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1209 sf Value: $160,160.97 Rear: 5 PLUMBING Sinks: 0 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 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: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other._ N naz:Apser-ifttio"„ Esu� Ampas - Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1209 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: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $22,671.92 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 throug R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i.. Issued By: // Permittee Signature: GW' `/?914)/°Z./('�//f7A11 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 D ,q,�r , 1w 4-11-1 -2 7 6 a Residen la FOR OFFICE LSE ON'LV City of Tigard l',:..-1' 01D Received A ffrll7,%s Permit No fcj 0/7. o4 7/ , 13125 SW Hall Blvd-,Tigard,OR 97223 P ReV1Cv, . -' .,,, ,�# ' il Phone: 503.718.2439 Fax: 503.598.1960 F , , '.0; ,z Date/By. aa.-' 1 7 OtherPe m G iic j�7 er 11111 T 1 G.4 R D Inspection Line: 503.639.4175 a ` 'I; i '4''.4,. y ti'') Date Ready/By. / i huis: 0 See Page 2 for Noticed/Method: 3/ / Internet www.tigard-or.gov ( �',, ` 'r,-..-1-,,,,, d� Supplemental Information .�� 5° _ fit* ,;i� /. 1 x'.- ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the . if -6� - j M` work indicated on this application. J ,. ze , 1-and 2-family dwelling ❑Commercial industrial Valuatton� 60, 160 $...±� --# Accessorybuilding [ Multi-famil Number of bedrooms: ❑ T y ❑Master builder 0 Other. Number of bathrooms: �.�� - �.a "i..`_'" i `' _" Wiz— - t,s." Total number of floors: ..'��111 1 Job site address: / 3 / �/ /1 SJ '1'11�1� o„- p\km) M1 K( J__ New dwelling area: t 61 square feet City/State/ZIP:Tigard,OR/972244!/ Garage/carport area: LI( square feet s co), SuitelbldgJapt no.: /V / Project name:River Terrace Northwest Covered porch area: 1 Z square feet 6 1.1 Cross street/directions to job site: Deck area: '�S square feet S"} cc �✓ v Other structure area: 7r square feet Subdivision:River Terrace Northwest Lot no.:Iqcep Permit fees*are based on the value of the work performed. r Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all x overhead,and theprofit for the 14 - - t t0� , y} work indicated t on this lapplication. Valuation: $ Existing building area: square feet New building area: square feet �7.. ' .-Y�u�_^�' f l}\\�) ,- - -,•-.g- ',-..*' -�" .A--43 A -"�--�- Number of stories: !� a ��:_v �e:J' 5 Ti.. -zea_=vvTTv3.u,_..k..:: -k.,..,,,. .iti2' �v�e_: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: -- � — fi s9'-_ J + m -7- -fffF -.... N. _, . A _.._. ,,_'- „..._. _ ^°".. a_ __,-, Business name:Polygon WLH,LLC `` _-- Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 Fax::( ) Amount reserved E-mail Angela.Gralewskr@polygonhomes courr _. - ,- .--_ „ -- .W-4-,-"."If-7:::-..77€ - 4 Commercial and residential prescriptive installation of .. - � �-..1 .: , zt -__----,--...7.;,- -- __.�_,� roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): ^`Ine:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 _.,B lic.:207247 Total fee due upon app hcation: $201.60 ' This permit application expires if a permit is not obtained Authorized signature: _• within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: '1Z411/lf.Ol1 n Fee methodology set by Tri-County Building Industry yy�� l�J Service Board. L-1Building\Permits\BUP-RESPemritApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard Rami ed �$ 1 a DatetBy: Perm i'D'AiSrotO t?-600 7/ 13125 S1 Hall Blvd.,Tigard,OR 97223 FEB 2 ?n 1'iaa Rniew Phone:.503:718.2439 Fax: 503.598.1960 Other Permit: f. Itis inn Line: 503.639.4175 Ili t?atetBy: 1 t i t i l)atc Rta3yi$y bar 21 Stir Pare 2 for Internet www.tigard-or.gov NotifiedlMcrlo3: Supp! nseot t Information • tgaii R _ i it..F ^ a `-r • ig ., ��i*,AWE__ p- C yEf . ..,„.„-144,, .,,,..., _tad.. ,„ -1Re,,,;V„..Ltv.r.4Y+ £..3..,.., f . � N$ ,.9,,, .ki,&4,,:, .,zti. 4 mechanical.peartt fees.are based on vloftewar{®.New construction 0 Addttion/alleratinnfreplacemeni -7•-- performed. p . e the value(rounded ar the nearest dollar)of all ❑Demolition 0,Otbex: mechanical materials.equipment,labor,Overhead,and profit f. :P^? "� 'S. £!i�( 4^C i '."ty,M'E 4- M £ v- sG" .W- C ,{ Value:9 r hi, a,;�Yrr",-i, -...trffi`�'�Q .. �,.,. *kgiii.f?,.,'Tr�, ,,,�.5�`,.�',rpg ❑.1-and 2-family dwelling 0 Commercial/industrial 0 Accessary building Pixalms em, j rest•checklist. ®Multi-family 0 Master builder 0 Other De i'ription l,g'y. Ea. Total s,:x e «k wB�+1' r� { A + (llCt)1 s5� } HesdaPJronlia ; . j 'J y'" Air conditioning # 46.75 Job site"addz+es !3 L/3, S(AJ beack 7 k v . t{() ace . Furnace 100,006 BTU(doetsnvem) ' 45.75 City/StaiieiZH?:Tigard,OR 97224 Furnace 100.000+BTU(ducis+vents) t 54.91 Heat pump Suitcfbldg./apt.no.: Projname: 61,06 A Project i lY Tet'1'L,?Pt•...�/ i JtAj�st Dnet'work 23.32 Cross streeUditections to job site: Hydronic bot water system 23.32 Residential holler(radiator or s hydropic) i 23.32 tinit.heateis(fuel-type,not electric), in-wall,in.-duct,suspended,eta. 1 46.75 Fluelvent fex.anyor abcsve j 23.32 Subdivisii°/2 V•er T tri ar-r ft- Lot no:: I q Other 23.32 Other'idea appiiai ees: tax uiap/,parce1 no Waver beater. " 23.32 i xmrr rva« -:w;. '., .rte• �sz: Fr .... pr ? ? �i� � , ti1; Gasfircplanserl • i 33.39 Clua vent for water heater or gas new home eopstritction fireplace @ 23.32 i 1,*lighter(bras) • i 23.32 Wood/pelietslove , 33.39 ... Woad 1rCplaoefitrsext. ; j 23.32 Chirrincyllincrfflue/vent 1 23.32 . Othct.• f 23.32- ra sF" d ` . 4n x +; P rT Envlrnairrntaezratstand veplsrio Natnc *DVItadoldngsi LC , _ Range los otiurkitchen cgtiipment.. I 3339Addrss:766Eoabletree Ranch Road Ciotiies dryer exhaust j 33.39 City/Slate/ZIP:Scottsdale,AZ 85258 ' Single duct exhaust(bathrooms, toilet campaniles*,utility rooms) 1 23.32 Ph4ne:{502)69 4Q3I, !ax:( ) . Waft < Attie1riavispac e fns. I 23.32 rtye i.. r6 �: .�;'u78. � -...- tA0 ... � z - , Ot ct: .. 1 23:32 Busrus 3tatLtt -.Willis*.Lyon i3grrtes;Inr. l uel pt .. I Ping: 1 . Contactitatne;Angela Gi l: evil/1 i .Fuinace, f -. . Address:109 East.113th°Stireet Gasheat pump 1 • .Wall/suspended/unit header • City/5tate(ZIP:Vancouver,WA 98650b Wafer heater Pittini;:(360)69.51.100 Fax::(360)693-4442 Fireplace 11. ' Range: .•E-mail;Angela.Grajewsl.'u�apoiygoa6amescom - Barbecue y�" nf . . aaYf:'42f1'� $'1 +� -F'yuy �ak"•: ;ti�. v �kiki''•.4 k4 Cothes d'Yer (gas) / . Business name:•Andersen Mechanical,Inc.;(��,�rr,�,�� .gyp (1,, /Aa Arep:162$5 S; $5"`Ave ^x..,4,.0, "'.`. T • . .�;3 Yi(' 1 v rA l'fir., t fir'i. x:.`?=; city/$4a4/Z0'regard,OR 9722.4 Minimum permit feei(590.110) Plan review(25%of pepnit fee) Phone:(503)99216664 Fax:(503)536-5615 ...State surcharge(12%ofpe rnit•fee) ' / i CSB lie.:,t682I4 f TOTAL P1 RM T FEE. . This pernnit:applics6on expires if a permit not obtained within ZOO days after ithas been accepted 'complete. titdlfot77sd 5 biro: Fxc indlrodology set by Til Ccivaty Buiidia Industry Service Board S PritatnaRte:Aar,14 Orajoys4 . Date:t/22(1.6. • r.i8nireitislpeeitri vfEC PermkRpp 040133.344 440465/'011621COMWEB) • h Electrical lPermi AuAlication FOR OFFICE USE ONLY Ci o 1'i and `t- : � r Received ., 13125 SW Hall Blvd.,Tigard,OR 97223 pinDatRevrow IG Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : Inspection line: 503.639.4175 Ready Date/By: INIIIIII r, See Page 2 for iT1GARDInternet www.tigard-otgov rotifed/fethod: Supplemental Information h `, 1=, 5§) ,l '� -,z1 ,4:Zt4_�� %_...:+F.- #,;. 4�'.y ',', ;ft,in�'�1 � .�+"��5%L..,g i` _ :r ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems checked) 0 Service or feeder 400 amps or more 0 Building over throe stdries. 0 Demolition ID Other: where the available fault current 01JJarinas and boatyards. ' Mwr,j •:', "r:P-e' Sra 'k>3 .3 Y' ' (015h ; ;2 ; ''. a exceeds 10,000 amps at 150 volts or 0 Floating buildings. r 'I-and 2-f roily dwelling IDCommercial/iridustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural slaps for all other installations. braidings.• a multi-family ❑Master builder D Other: ❑Fire pump. DInstallation of150KVAor 3*3; - , « I' kye, 0 Emergencytem, largers derived ,� � ; 2"It"..- ' r :..'.Q�,.._a; -..'Mr.'xTe''.:':s separately Job#• Job site address: 13t /� ��1 borAl<Ml PJ�1•M !c,yY ❑Additioo morwmotorlaadof t • • 7 S vv 100HP or more. 0••A","B",`"1-2","1_3••, City/State/Z1P"Tigard,OR 97224 ❑Six or morn residential units. occupancy. ❑Health-cam facilities. ❑Recreational vehicle parks. Suite/bldg./apt#: r t/ Project name:FV,o/ race / (o' ru cl Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts roman/. Cross street/directions to job site: PAA,-147.;•-;•;!,w,,-:-A-.-:a 1sT✓' "Wil► 91' ;�' �' ,sem ,ww•*�"f'r Deacrtption I�Qty. I Rad Total New residential single-or multi-family dwelling unit. •Subdtvisitan r-, weLok#: Includes attached garage. Tex msplparl# 1,000 sq.R or less II 168.54 4 Ea.add?500 sq,ft or portion 33.92 1 eg '•a'7?":`. . i-; r b14 fa 9.[;c F' ,,t 6s fi, 5s ,,v,,,,,,T*y,2,-;,-,.. U •—energy residential 1111 (with above sq.8.) 75.00 Limited energy,multi-family 75.00 residential(with above sq,ft.) wable 11, SeeF :e2 ' ; ''; ':y Y a �,. '• F Pitt'. 0' j ' 4Wr' ..51 ""a y' r Seervlces or feeders installs#on,al�ad'on,and/or retoes tioo Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 60l amps to 1,000 amps 301.04 . 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts - 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that!own which is not 200 amps or less I 59,36 1 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 1 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 a �� ., P tom Branch circuits-new alteration or extension ,er •anti A.Fee for branch circuits with Business name:William Lyon homes,Inc. above service or feeder fee, 742 each branch circuit Contact name:Angela Grajewski B,Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 branch circuit City/State/ZTP:Vancouver,WA 98660 Each tidal branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 • . I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feederEmail:Angela.Grajewsid@polygonhomes.com Reconnect tonly 67.84 2 -7 1'- ,t ` 3�` F:1.U.�i.t E': '•Tei '''f?O^_, 7 ,7 .'[. E•-1µ,'+.v - _ � a?.. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LW Signor outline lighting 67.84 2 •rr.: Signal cireuit(s)or liraited-energy Address:6101 NE St Johns Rd panel,alteration,orextension. ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional Inspection(1 hr min) 66.251 hr Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.0W hr Email:bdanieis®gweusa.cotn Industrial plant(1/rennin) 78,I8/1r Inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 J Suprv.Lic: 4496S s' ctfi • 4 listed 'S hr rain) �u.,.,:' TS ...b:rr.>a2i a�,. .i .t �y4g'' a Suprv.Electrician signature,required: ' ':pc 1 rtt y_'._.. ,• • Subtotal: ill Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): e"— - State surcharge(12%of permit fee): .,r. -- --:: TOTAL PERMIT FEE: Authorized signature: .- - This permit application expires if a permttis not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days atter it has been accepted as complete. * Number of inspections allowed per permit >'•1:1Bmilding`PermitsE LC Pe mitApp ELR ERE.dot Rev 0.917/2x15 440-4515f(11/05/COM/WEa f_. . ' . : ...„ Pittinbine.Perrnit Aprolieati60:::;:, ,..- ' -',, ,-, .:.,j '1 ''' - ituilding'Fithires 101,1 01 ll( 1 t •sl. U\1. !IffiDateiBy: Penult?4°;%t/i 57-A017-ood7 : , ,. 13125 SW'Hall Blvd.,Tigatd,OR 97223-- Plan ReVieat ' . Phone: 503.7182439 Fax: 503398,1960 ' .•- - • -. • ' 1 Bate/By: °that Permit No..: 1 L . InSpection tine: 503.639.4175 1 ' • •• ,: ' !,. • - D,,,,Itiadyiar. Jur ' RI See Page 2 tor Internet: Www.tigard,or.gov , .,.,.., - :- , ""',, 7:•,2-,. : Netifiejfivicshod: Supplemental listemation • 1-44 °' gkt• ;;__ VT • rgi 4RWStRiStrtt CtiOn :0 Demolition For spedie 1410r:tuition use therktist ...... ' Der.cription i Oty. i Ea. 1 Total 0.i,tddition/Siterationtreplacentent 0 Other: , • .Neiv.1-2-family dwellings(includes 100 ft,for each utility connection) t'.i..,:„..:_-_:,--,''''iit.2.7;.1/4.4,;-,:‘, ;-,z."rekft44yftt rof-,16WAOATizq 4..•:,.,4,igt,twfrrigiw; SFR(I)bath 312.70 •',, ..11.-,-....L4r-f-..-.4,',•-.1"1.1.....5.A.,...,-„,,...,,,...,,,...,,,- g‘c,,,,,R.:2.4.,,,-..,4,,,,, ,,...-•. .,..--''., '',.....'*.A•,,,....-5,,:.v.,„sAy.,:.,71-,,,,..%,1.44.1, .and 2-fandly dwelling„ ' 0 Conintercialibidustrial . SFR(2)bath .SFR(3)bath I : 437.78 50032 0 Accessory Wilding XMulti-family Etch additicinal bath/kitchen 25.02 0 lvIttster 0.nilder' 0 Other: . • • Fitt Sprinkler( ,sq.ft.) Page 2 . •I'-';',4:4", 00.-1Aiii,Z-V1.1.1.YY7,.',L7Flia .***117„,74,1rtrirf.. j,.'il!'::',4';`,34.Wzi,i.;,'-': Site utiiidest. 30'site ad4ress: /3 1/3 le S VV 122eCtC11/ P 1(4.m Mr1/72.Ct catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 . City/State/Z1P:Tigard,OR 97234 . Footing drain(no.linear ft.: ) _ Page 2 --, Siiitelblxigiapt.no.: /O,11 project name'A vet' terr-ace Aktfhwert- Manufactured home utilities 50.03 Croat'Street/direetions to job site: ,• Manholes 18.76 . • Rain drain connector 18.76 . , Sanitary sewer(no.linear ft.: ) Page 2 . • Storm sewer Mo.linear ft.:____) Page 2 . . . - • .- Water service(no.linear ft.:_____) Page 2 °50ii'isi4?'1; /21 Vi"if iefl(-6/(.2 /Voiniwe4 t- .. : 1-°'t n°•:/q8 Fixture(*item: --I 11) liolP/Parcal 99-: , pic*ifolifiirtsvtsitpr . ,1 31.27 '.'"Tlic3t .??:. . .„:•,.i,..:V , ,-,47i:', ;ii :.? Criii ..'i . •-5C't i'i'q:40-X. .:41Z'z.. 't.',.--- ,:$. • Baekvaler valve i 12,51 1,, ,....."..-.,,,,..z.,"&-: „,,-.-7s:',,-,..- ,,, •,- .&,,,•;',-1,'',,.,''„4.. :e""' 4",•;',4!.4,•••,t•Lt.i'...AsTs.,7,1.7? -i&.q.,,,.....A dot/jam:ism-3. 25.02, , •'-- -''''' . • -•• ' "'"• •- tiis.hwoliCr. . . . 25A)2• . Drinking fountain , 25.02 ... ' ..- • . " _ . ,--• Elee4tWselmP 2502 •:,.,:;;:::,4i; .i,-A.:, ••:••rr',. ..-,,,'":-...x",--4,-.-1:,-,,, .:..r,.i,.:",, ,,,"•,„.„,..,:tg,,,,..:.1 ;,..-4"i.',1!;470.-,,,...t rd t•-•-,e,t-k,"...--xcl•:.;,,T,,,..,..,,;,•;:iq Egorision link 12.51 . '41,1v4"•%-},="4,'''T."-," •.;•••''.• -.1 ',",-,.,•.,,,. ..,A "t"--•:•.", et'-',"'-',4,ak, .4%,•,--%::. 1,,, ..,.,., .0,.1'..v„6,-4,••:-.,v• -:...„.47,-.. . , . .,. tlime:-ADVL:tand Holdings,LIX •: Fixture/sewer cap 25.02 • ' FlOor draitt/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road _ Garbage disposal 25.02 1 • " City/atatelZ".iP:Scottsdale, . . . . ..AZ 85258 -1-losa b10'.. , . ' 25.02 .. ... . . .. , .. .... • PliOne:1602)69.4-4031Fax:( _ .) Oil:slier 12.51 - 1 , , • , . , • . ,,:t..ty;:f.-4.,..5:,,, ,,.....,-,1:,..,.•.-.-:-•:.,;:-..-,:.:4;''Z.,;,;,;i1:;,,,,,t,-.!....,:,, ,s7,.i.::,Pn..t..3, .!:',if,,,,;::61;.;-..'4q14,`A';',ilte...t.',..ftil-q-:.:,Ii.,.e(Z: intereeritorigrease trap 2502 ,___ _ _ ;",,,-",,, ifi.:-.;•fi:."-....,-.:.;:w;:-.,,,;:,',..t.;.,YZilto. "7-.:,'',z!_:•V•iatb' iil .•.,..iellVt'?-1`,=:.-t&±..:::*.:•*,1„÷":"."-•-•,-"zV,,,i1111,t'''''',"."L'.1 ,_,________• •• - ' Rusin*name William Lyon Bonsai,lac: '- f" 4a.-'3.- 3 • .- Page-2:-,- i .I ----- .... -.. . ...-. . 12.51 C9ntactstarna:Angela braiciiilci . . . • Roof drain(commercial) . . 12.51 . . . • AddreSa:)0;9'.East 13th Street : SinizibaSinilavatory 25.02 ....,. . City/State/PP:Vancouver,WA 98660 Solar units(potable water) . 62.54 • . %Phasic:1364 6954700 . Fax;:4360)6934442 Tub/shower/shower pan 12.51 ,...„..... ..... .., .. . . urinal ,25.02 -Mail:Angeti,Vnijewidcl@polygonhirinesCOm . . ... . .. 1 '.P.7.'''..77.5 ",i'Ki'. .",,;75'.17.1'..,VM':"',P.' 7.7,7i.Ti'''fiFiViT,IllnAff.:477-R,77-71E,7!-`.4r•Z•3:Wq.";'Fi;:. ''11ater cl°set 25.02 t 37.52 'Werheatcr Builiets*IC Alliance Plumbing LLC .. - Watar.piping/DWV • 56.29 Addreis:146 Vy-11:11StOtittoltniiiiiti River Hwy . Other: 25.02 '.1. eity/Syd4IPi Troutdale,tiR 9700 . . . Subtotal 1 ...... . . Phone!(Atip)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 , ... CCB Ciel 784601 Plumbing tic,no.:14032 • , Plan review (25%of permit fee) ." ..-• " - ' - -" - . . State sincharge(t2%ofpannitlea) , 1 Authorized signature: • i 113TAL-PE041T FEE 1 t - • Printtante:Robert Dishutatia Date:5/2312016 'This permit epplicatien expires iTa penal*is net obtained.trithin.180 days .... . .: . atter Wats been accepted as coitipleite. - *Pee method:door set by Tri Building-Washy Service Board. lIttilidinglikitabs‘PLMV•Petssittsppdoe 10101/09 440-46161X10/02ICOWWER) City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T i c a R n Building Permit Review — Residential lo Building Permit #: o f STo2.Q/7—, C,64 71 Site Address: / 1/3(7 00i&-x1' ? JboJerrevc Project Name: 'v r- rfioc:e dr uesd- Lot #: l9 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: &2&, 4//v.� c rh-od ic riDoitz- Y erify site address/suite# exists and active in permit,s�tem. River Terrace Neighborhood: CI No 1G Yes,See River Terrace Review Addendum Attached Sine Plan Elements: 01ree(3)copies of site plan la 'sting structures on site lite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(Including tP ( g de cks)with finished 1 orth arrow rawn to scale(standard architect or engineer scale) Utility elevations Utility locations(required for new,may apply for additions) to address,project or subdivision name and lot numberci %d to cation of wells/septic systems pplicant information(name and phone number) S; a•'sting trees to be retained with drip line,and tree iit dimensions and building setback dimensions rotection measures Lot area,building coverage area,percentage of coverage and treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Vii Property corner elevations(2 foot contour lines if more than 4 foot differential) OPtlean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): /Required: CIYes,applicant was notified .t No Received: ❑ Yes ❑ No ICJ Public Faci1i�' Improvement(PFI)Permit: 'equired: LVJ Yes,applicant was notified ❑ No Applied For: I/es El No,stop intake 17/ and Use Case#: P & 2 i C'9(2' St,� ,equired Setbacks: Front /Q `Rear ' Side (3 Street Side _IAGarage Q a �andscape Requirement: � sggi °A Y"ot Coverage Maximum: VBuilding Height: Maximum Height ` Actual Height isual Clearance n asements /No Pl �.'ensitive Lands: ❑ Yes Type tr. Urban Forestry Plan ❑ Conditions "�M�"Met"prior to issuance of building permit Notes: CPC)Y1a/titin ' —544// be mi o;- J / - i t ce Approved By Planning: ° irk Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx Building Permit Submittal ` Original Submittal Date: f,( b�//7 Site Plans: # 3 Building Plans: # J Building Permit#: Enter building permit#above. Workflow Routing: Planning "-JR' Engineering li'`Permit Coordinator =Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: it. 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: L Date 7 Engineering Review XI'Slope at building pad: Conditions "Met"prior to issuance of building permit 4.7"-- t i l El Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: xi", 0 Date: ,'-„Z,(-/ 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved 0 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: .��ik C Fees Entered: Wash Co Trans Dev Tax: a.- 'es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A to Issue Permit /�/'� pproved by Permit Coordinator: Date:7--'72-// I:\Building\Forms\BldgPemvtRvw_RES 091216.docx City of Tigard III " COMMUNITY DEVELOPMENT DEPARTMENT r 1 c A Ro River Terrace Building Permit Review Addendum Building Permit #: M5l -/2 07/ Site Address: 1 � ( S')/0 :W 7/t,'p7 7 ,a Project Name: //i 4r ac' A ' — Lot #: Re. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrjt Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?V Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dorm r El El El ❑ . 4g- 2. Eyes on the street: a minimum of 12%,12%of each street fac' g facade must include windows or entrance doors. Percentage Shown: ''b, / l- (7 e 3. ntrances:At least one entrance must meet both of the foll wing standards: Max. 8 ft. setback from longest stree facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: El Yes No If yes,all the following apply: El 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft. max.roof above floor of porch ❑ 5 ft. depth min. El 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: 0/Covered porch min. 5 ft.wi ,..x 5 ft. deep ❑ ecessed entry area min. 5 ft.wide x 2 ft. deep Pe/Wall offset min. 16 inches /�!' Dormer min. 4 ft.widef4'2 Roof eave min. 12 inch projectiot4� ❑ oof offset min. of 2 ft. -- - f Rr i ch-imigjr-s-cit$r r or wood - aft,lip or gstmbi l roof dwikri'rr `g._ ❑ Roof pitch oriented south min. 500 sq. ft. orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade VJ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing El 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): ❑ 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. Wi• : (Check one) Frd 12-foot-wide garage door El 40%max. of street facade El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: - ,4 Date: e. I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx Mechanical Permit Application FOR OFFICE 1 •,L t)\l l City of Tigard nor• �ih ; . , e!� _ s�l f��illl�/� m a 13125 SW Hall Blvd.,Tigard,OR 9727,3 Pian Review / ether Permit. Phone: 503.7182439 Fax: 503.598.1060 DatelBy: -1-1< n,:t7 Inspection Line: 503.639.4175 Date Ready/By Anis See Page 2 for Internet: www.tigard-or.gov C'"2 ;.v n i.. Nodded/Method: Supplemental Information t�;�z fi a r ; ':,*.;-'''',2 a;Zt{ z rcty Rx.r1'; -ry' ,'", tE3 s. ;?ar:i.Z,�-:.. >E«..0 . . . -, ,..� . " �" Mechanical permit fres"are based on the value of the work 4 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Valu $ Y e +, zFik a. r '.._2•1!.-171':'..-,`-s. �% 6� 1t ! ( F $ t t -- `^ [ ?l. x ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ►1'4 Multi-family 0 Master builder 0 Other: Description I Qty. 1 Ea. I Total z Heating/cooling: 1 ',r duly -t� 61 cp. !!It .'t�ttf �E�CYV'�G,)t,t y 1, 2:1",, , ..-t,. 46.75 46.75 � . .� .... _...5 �,.. .., y .�F, ,� �� l Air Cnild3ti0nln$ 1 Job site address: i34.3‘4, 5 ejoion p k,A,m,T tt,e ,Q-- Furnace 100,000 BTU(ducts/vcnts) 1 46.75 City/State/ZIP:Tigard,OR 97224` Furnace 100,000+BTU(ducts/vents) 54.91 - Heat pump 61.06 Suite/bldg./apt.no.: 10 lq-1 I Project name:River Terrace Northwest Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 2332 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 1 23.32 ii Other 23.32 Subdivision:River Terrace Northwest °o"iq Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ;Y r J-; c. e Gas frreplaee/insert 1 33.39 -�.,•,> :•..., ;. • ter' ,e,'"'- : - �- Flue vent for water heater or gas Contractor Change fireplace 23.32 (�/� +'� Log lighter(gas) 23.32 I- 1 % r` �a� Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent . 23.32 Other: 23.32 t t.J S I 6 a i,C e k- )� L ,; �r'+ S S}'.3 s r , t.= .. _ Y� _s - - .x. Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 2332 Phone;(602)694-4031 Fax;( ) Atticicrawlspac a fans 23.32 f .t J _r ,�,� i :7,,,--7.-ffa F t ti� ' fir zr-+'ee ra7 Tt .x. Other 23.32 , -.. 7 ,. Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Gas heat pump Address:703 Broadway ST Suite 510 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 i Fax::(360)693-4442 'FlTeplace Range III E-mail:Nicbole.Thorpe®polygonhomes.com Barbecue r ii-5:-11:",7,':::3, h 1r t t y�. , ,.. ..1 Clothes dryer(gas) Other: :.. ..,E � .,z._ht. ` .. � Business name:Pro Heating and Cooling,INC F�{H ^l Fla 2 js��l t'1X r x _ . Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZlP:Hillsboro,OR 97124 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT PEE This permit application expires it a permit is not obtained within 180 Q days after it has been accepted as complete. Authorized signature: t. 1=-7t ` lee methodology` ology set by Tri-Cotmty Building Industry Service Board Print name:Nicbole Thorpe Date:9/19/2017 I:uuiiding\Peamits\lECPenatApp 040113.doe 440-4617T(I1/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13436 SW BEACH PLUM TER, SHERWOOD, October 9, 2017 at 1 :33:43 OR, 97140 PM Record Type: Record ID: Residential - Master Permit MST2017-00071 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13436 SW BEACH PLUM TER, SHERWOOD, October 9, 2017 at 1 :32:49 OR, 97140 PM Record Type: Record ID: Residential - Master Permit MST2017-00071 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13436 SW BEACH PLUM TER, SHERWOOD, October 9, 2017 at 1 :35:08 OR, 97140 PM Record Type: Record ID: Residential - Master Permit MST2017-00071 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Water pressure 60 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13436 SW BEACH PLUM TER, SHERWOOD, October 16, 2017 at 11 :26:42 OR, 97140 AM Record Type: Record ID: Residential - Master Permit MST2017-00071 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. 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. Violation Summary: Inspector Contractor