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Permit (50) Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE USE ONLY City of Tigard Received 4 11 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 3 1 2017 Date/By: _/ AI le Phone: 503.718.2439 Fax: 503.598.1960 i�� Permit No _ Plan Review T I G A K D Inspection Line: 503.639.4175 CITY OF T!GARD Date/By: 6 ��'� A c,(....7, Other Permit No.: Internet: www.tigard-or.gov BUILDING DIVISION Date Read /By / oh Method � ® See Page 2 for N tied C.G 1a z x �� i/,� Supplemental Information ,�.zf� '`t,3r..,..,L.: k'N�'-A' ,zk..,.,ay,'„•Y_a n4 44k ,.r. •% ®New construction �r 0 Demolition For s r ecial information use checklist ❑Addition/alteration/replacement 0 Other: Descri tion Qty Ea. Total ,,; New 1-2-family dwellings(includes 100 ft.for each utility connection) a`.::.:":.;r ''_ i, a� x* f.' .'` 0 ®.: Plumbin¢ Permit Application - City of Tigard Page 2 - Supplemental Information Res•idential Fire Su' s ression S stems Fee Schedule a a .: Oto 2,000 $121.90 50.03 $169.69 Footing drain-15'100' 2,001 to 3,600 .20 Footing drain-each additional 100' _ 37.52 3,601 to 7,200 $233 62.54 7,201 and•.eater ii Sewer- st 100' Se 37.52 Water each- additional 100' 62.54 Medical Gas S stems: Water Service-1st 100' iii Water Service-each additional 100' 37.52 ,: ' x ,.' Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 37 52 $5,001.00 to$10,000.00 $72.50 7 ea. additional first $1 $50000.00 0.fraction thereof,to d$1.52 for Storm&Rain Drain each additional 100' .4 , and includin $10,000.00. > 4i _'i d s. p4_ i � � �� "" $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for wInhich on fee existingpes plumbing a for 90.00/hr each additional$100.00 or fraction thereof,to (minimumiisch :e-1//2 hour)indicated ■ and including$25,000.00. -1/2 ■ 000.00 $379.50 for the first$25,000.00 and$1.45 for hor (minimum 90.00/hr $25,001.00 to$50, Inspections outside of normal business each additional$100.00 or fraction thereof,to Nouns chaz_e 2 hours) 90.00/hr _ and includin• $50,000.00. Reinspection Fees $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof. (minimum char_e-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. , la R � ;c g : uarttt '<.b" I ltc l : �'- Work Type for , r I Plan review is required for any of the following. t app ! Re Please check all that apply. Bath l'erftlr'luietl. = Mil 0 Any new commercial building with water service 2"and Baptist /Font Bath Tub/Shower - greater,except systems designed and stamped by licensed -Jacuzzi/Whirl I ool -- engineer. Car Wash -Each Stall === ❑ New exterior plumbing site utilities for any complex structure -Drive or --_ as defined in OAR918-780-0040. Cuspidor/Water Aspirat-Domesticommeicial or - ❑® Medical gas and vacuum systems for health care facilities. Dishwasher - == Any multipurpose fire sprinkler system. ---_ ❑ Any complex structure as defined in OAR918-780-0040. Drinkin_Fountain -= Submit 2 sets of plans with any of the above Floor Drain/sink -2" --- Car Wash Drain -- ❑ Isometric or riser diagram is required for new buildings Daspoga -Domestic-fon-food -- MIN that meet the qualifications above. Disposal -Domestic-food related -- -Commercial-food related _-- -Industrial-food related --- Ice Mach./Refrig.Drains -== Comments regarding fixture work: Oil Se•arator(Gas Station) -_- Rec.Vehicle Dum•Station =-- Shower -Gang _-- -Stall Sink/Lav -Non-food related - -Bradley -Commercial-food related == -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes =- increase of sewer EDUs,a sewer permit will be issued and S Water Extractor _-- fees assessed for the sewer increase must be paid before the water closet-Toilet plumbing permit can be issued. Other Fixtures: -- \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc ,, CITY OF TIGARD MASTER PERMIT 1l ' COMMUNITY DEVELOPMENT Permit#: MST2017-00083 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017 Parcel: 2S106DB21400 Jurisdiction: Tigard Site address: 13582 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 214 Project: River Terrace Northwest, Lot 214 Project Description: New SFA. Building/unit 13.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 453 sf Front: 8 Smoke DwellingUnits: 1 Detectors: Yes Third: 562 sf Right: 0 Total: 1221 sf Value: $161,959.20 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes 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'l 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 OthPc- ci �#t. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1221 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 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: $22,693.84 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 throughrougOAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:/C.� / 1 27.-17....--- Permittee Signature: 'Ir(/- /5L7ai21, 7 e-°9-7-20^1 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 ' ' ' ` I F` Residential FOR OFFICE LSE ONE Ci of Tigard { _ = 0 a6 RE€ew i PermtN :��211/ Gt72a17— bt�313125 SW Hall Blvd.,Tigard,OR 97223 2 ' C Phone: 503.7182439 Fax: 503.598.1960 `' Date/By: 3' ‘ - 1 "7 _ Other Permit SCc) .,1 7-00r)24 Inspection Line: 503.639.4175Date Ready/By: L` June: EI See Page 2 for T]G A R ll Internet www.tigard or.gov a, , Notified/Method'/1//7..L / Supplemental Information •r _ ...--741:1 -3 ,K-t,... iii. uim d.„ - r -� - —40 � - _" yy _,,,W.,_ : B :t,'-'..---%10,- F Ea fiF E � tea ,�;4 �� . '� - �"-v., � 7! _Y. ` �� s�rer. r _ :mat _. .. . ®New construction ❑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 . _. ..v m .. .. .,n ) 1Q = work indicated on p on. F : it.)R J s. ;Ql .---,--,-.•-•,- - --, 1-and 2-family dwelling ❑Commercialfmdustrial Valuationib` q 6 $ j !/ Number of bedrooms: 2- 0 ❑Accessory building Multi-family ❑Master builder 0 Other. Number of bathrooms:a 3- -Y- Yflf AiO h , 3' ` Total number of floors: 7 7_ 77Job site address: /3s1:62, SW vJ4lh)' P D,m TQXr(JL New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: y 5 square feet S Suite/bldgJapt.no.: /3,(../ Project name:River Terrace Northwest Covered porch area: 3 n square feet S c,z, Cross street/directions to job site: Deck area: 7 (6 square feet q 1 Other structure area: 7 b square feet Subdivision:River Terrace Northwest Lot no.: .j/ / 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 :M1x. m .w f,- .- work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet • ,61- ppERT _ -E3 - #P,- �.t4- i Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: ; .,___L a-.r� . me r -.: v..= •-e:h -�,- s- ri i..:`-".st :,1€'...o,. s z^r mm�4 1 VII I IL W A, , e S 1."1.-::= �' ��—,.� z 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 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) L.r s— l .'tt17-7''7":.a 5r,.::-:,:tri-1 E mail:Angela.Grajewski@polygonhomes.com T _ rr -. d residential prescriptive installation f _- � i r - € � � . ..KM ._ w r p 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): "`nne:(360)695-7700 Fax(360)693-4442 State surcharge(12%of permit fee): $21.60 I _..B lic.:207247Total fee due upon application: $201.60 ' This permit application expires if a permit is not obtained Authorized signature: 4.141 within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: ((� 2-1/i Ii„,� Fee methodology set by Tri-County Building Industry Service Board, L\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard -- - - ' - - Dateloy: Penni!Ntlid Ara ..4.A 13125.SW Hall?MI,Tigard,OR 97223 Ban Review Phone:,503.718.2439 Fax: 503.598.1960 Date/By: Other Permit; [ FR;.;,,1) Inspection Line: 503.639.4175 Internet: www:tigard-or.gov Notified/Method: Supplitmental Information tk;adyt!3bt.tor -i.,91=--.6,,,i-,,,--:,,ziii,r,-,,?-..-,,,,,,,,,,•4.--,,f,,,* -tt71-M---77 : 2"egikiiVM.7 PrP3)-tolOivitiititt.4.j&f.V:.4:1-illttOtittn_ax-T-t, '''''',V't ]• Et New construction 0 Additionialtdatieni/ripIneernent performed.Indicate the value(rounded t4 the nearest dollar)of all 0 Dernolition 0 Other; mechanical materials,equipment,labor,4verhead,and profit Value:S f. kTia..7,;07:4.,121,21724:4#::4102,00.1tW401,:-.§Xeit•Snitiat4,t51.tgk Mf'"TAXE0iiitittikiEititrigietiztiiii041ffe''N ; 0 F:and 2-family dwelling 0 ComMertial/induStrial 0 Accessary building For special information ask cheditist. Multi-family 0 Master builder 0 041;r: Destription • Qty. Ea. Total --- ..-.441. 110›.7*§WilW. 07:11101i ... i ning 46.75 kb*t atid 's; /;S-62- S V4 berC11. Pk ct,vvx TeArkrace . 'Furnace 106.000 Bill(thids/verns) 1 46.75 CitY/Stitiel*:Tigs44.OR 9'7224 Furnace 100.000+/ITU(doevirverirs) i 54.91 . Neat pump 1 6146 Suiteibldgtapt.nO.V 3,y Project mine:glgererraifir,....ArjrIlliAkSt bintwork ' t 23.32 Cross streetidirections to job site: flydronic hot water system t 23.32 Residentiallmiler(radiator or t Itydronte) I 23.32 Unit heaters(filet-type,not electric), . ' in-wall,inAuct,suspended.etc. Flue/vent foi.any id'above I 23.32 Other i 23.32 SO(lii00:•/liver TiAirov..War-rkwert-- Lapp,:zit.) Other'Nei Miptinneese i • T**10/(441:954'f*i Water heater. Li 2332 "t:Ml"-..:--''.' .%:X••' .....'"'' '''' ',.'", •'''cjk.'-'•••••='-''A••-.-.'-'•<''''• ...'''''',..‘ ^-.'''''''.-"''..''''''-'1..".'-'1. 4-''.4..s'''' '''' '-'fi?...''''''''' Me vent for.water heater or ens new borne construction fireplace . I 23.32 .. „ . _. ,LOg lighter( S) • i /3_32 - " Woodtpellersiove ..,j 33,39 . -Wood:firePlaeilinstirt : I' 23:32 .„......„. Chininey/iimenliuetvent J 23.32 • i 23.32. • r:•.:.:11.li."'*' •fr.r..,*•'. .,' 7.1.7'.KI•tr..:.c.,,, •••,..t..f Iz'4''a::'.:-..E.:. !!.'.'•.' Eimranineitia abaust•sad ventaatla IkhuttmArrqtf Land:Holdingsi LLC. Itange:hoolVother kitchen 1 equip:nein... 33.39 Address-760(i E Doubletree Ranch Road . Cloting dryer exhanst I 33.39 :. . ... .-,. . ...,.:.!..... . .... . . . . city/State/Zip:Seutisd4e,AZ 85258 Singleduct eNllatist(batbr°mns, 4 toilet contpartnients.utility rooms) s. 23.32 Phone (602)0944.01.: . Fax;( ) 'Attieferawispace arts. i t 2332 '''±.5t'tifnilAt.'Alf ii:":7T.o.-11';'1,!::::-:+ire-ASEIS;46.:- -',*.:,,,:i:'silial ,ff..:.•,...,:, t 23.32 pinIng: . - . _ ._1 411•si9P.60*W14.46440)1 ftelilero'f•Ille- _............„_ 15_tor:1 t. h •_,..,i_ :, : : •:,tr,,_,, _ , _ Contact=met Angela tiraiewsitl Ftirnice,atm •• - 109 . .13kS . Cas.heat pump l ' AddreSsl- Eattreet Wiltisuspendediimit heater ! ' Eiti.Fi. t4 an.cotriti,WA 98660 Water healer Phone:(360) 95!.7700 ,1 Fat:(360)693-4442 . . Firl epIaco . i• ,• Raw: .E-Inz(i):.•Aagaht.OrajewskitipoOrmbomp!.corn 1 ,... . ,..!•;q:11Z1.1:,A,4-;.g•FaiN,',53t-iNi-41;:g.,:ffisr.s:i'':76f,I-u':iYi-T40--OIZt.trAPV;0tV,N014rVilA elethes dryer(gas) I Businessith6Andersene: Atectanical,Inc. , ........... - _.... ••• .. ••.... .. . .. . .,,.... . • rt,,A,.... liff.7;i,N-67c.,i.::;:.41*..)2.K,„,i-,7,?,:i,kkAt4,,,,, ,f. dkew 01..0 *.80 Ave .• ...utyfirial : :Oty/Statc/44)::Tigapi,OR.97224 Nfinimum permit ke090.00) Plan review(250i,of p4rnit fee) Phone:(503)0924664 • Fax:(501)5364615 .State surcharge(12%of pekmit•fee) ,;*--sir. COS jk:168214 / . . • ' • TOTAL PERIVOT FEE P . . This+permit application expires Itii permit(r not obtained within ISO drays after it has been accepted' complete, Auttioifird iiiiithre:• ' Po inditaapbey set by TO-County BtaldinrindustrY Service Board .. ..- ..... -. .. ... ..., .. .. . . ., . Prisit iiiiiim Angela Oesjewsld pate::02/46 • 1 : iiIiiiiiiditOi. Ctisiii4ik. jerraii— App.040.11moc. 440.4617TO Ii02/VOWWEBY 4 Electrical Permit Application FOR OFFICE LSE ONLY • City of TigardReceivIrligiME ri 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review . ' Phone: 503.718.2439 Fax: 503 598.1960 DateJB ; Inspection Line: 503.639.4175 Ready Date/By: •. r. See Page 2 for w TIGARl Internet: ww.tigard-or.gov M NottPcd/Method: Supplemental Information d .._ 'ri^'K M kk t:- 2n- ,:` ' "":?a1 -;`n,,€ f�V�,, e9{31: Y,;,,a `3 4;a'n} ,4;: ;�^- :-kl,?,.if. '.q 0.. 44i':-;40.4*. ;,,.: , •., '',,' ®New construction 0 Addition./alteration/replacement Please check ail that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three atones. 0 Demolition ❑Other: where the available fault current D lvlarinas and boatyards, u , > - k t r s•,-`'sti a exceeds 10,000 amps at ISO volts or i Floating buildings. 1-and 2-family dwelling 0 C,ornmercial/ind>.istrial 0 Accessory building less to ground,or exceeds 14,000 D commercial-use agricultural amps for all other installations. buildings. ill Multi-family •- 0 Master builder 0 Other D Fire pump. D lnstauation of 150 KVA or r-� "1S; fee',i=17331. orj w;`i r 6``F :"�t' ,1". ,,r r•`t;'a DEmergency system, larger separately derived .s."_'4'..`Rmx `: ..m'A ..:-6...W "'.4 .,1_ «,hSn�k•P Nom. ..4r.>'•.�.•" +s,'s'��`' �j ❑Addition of new motor toad of system. Job#: Job site address:' ?Mt._ Si t p i(r4M �,C 1o01irormore. D City/State/ZIP:Tigard,OR.97224 ❑six or more residential units. oocupaney. 0 0 Health-care facilities. Recreational vehicle parks. ./apt.#. Project name:Pk/le7:evrul n/ tweed Haurdouslocations ❑Supplyvoltagafnrmorethau Suite/bldg �r N no Servix or feeder 600 amps or mora. 600 volts nominal, Cross street/directions to job site: %•` r` r > „%rtl I ... 1 ; F '< Detain:toe Qtr. i Each 1 Total '' New residential single-or multi-family dwelling unit. Subdivision: '�` Lot#: Includes attached garage. Ir'1•{i'l/✓ t i�V4('- IV dt/l 1it,1A1e,i �-^ I.000 sq,ft or Jess I 168.54 4 Tax map/parcel# Ea.add'l 500 sq.R or portion 1 33.92 1 4„ ,.;`xq,,-N- s•tea`=-'r ai)_t.a.6'#,a;t 10. art,i'll d _ 1 ?' . § ,n,:_''..• Limited energy,residential (with above sq.ft,) 1 75.00 Limited energy,multi-family 75.00 2 residential(with above sq.R.) �- ' -, Renewable Energy 0 See Page 2 �' : l.i Ws. ? ,`s " ri9'$'airrI1 % V°L-, �'i V �A''- `' Services or feeders installation,alteration,and/or relocation 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 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 sumps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: •, relocation Owner installation:This installation is being made on property that 1 own which is not 200 snips or less 59.36 1 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 �- .4. w '," ' ,, .f ,;, y}.- r Branch circuits—new,alteration,or extension,per panel "."-4!'"'"•-•-•-'''""'""A,. , ,-- - .J 44..,-.'V'.--'car`"',"t^'' a. w -•',. '•"w•',',ka "moi' .0:Y••"•-c - ' • A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:A.ngeta Grajewski B,Fee for branch circuits without servAddress: East 13th Street branche or tuft fee,forst 56.18 2 branch circuit 'rrcutt h dds bc7;4Z Each abranch - City/State/ZIP:Vancouver,WA 98660 Eac -- NRscellaneous(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 feeder Email:Angela.Grajewski®poiygonhomes.com Reconnect only 67.84 2 e• - 'Z`' e f) 1 :°s -aG s f_-- Ai-7', `c Pump or inigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 .r,v: Signal circuits)or limited-energy 0 see Page 2 2 Address:6101 NE St Johns Rd panel,alteration,orextealsio n. City/State/ZIP:Vancouver WA 98661 • Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 TFax:( ) Investigation(1 hr min) 90.00/hr Email:bdanielsQgweusa.com Industrial plant(1 hr min) • 78.18/hr Inspections for which no fee is Op/lir Lic.: 01158 Electrical Lie.: 208174 Suprv.Lie.: 44965 listed(i4 to mm) • Suprv.Electrician signature,required: ' :•..... Subtotal: 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 � __ y' TOTAL PERMIT FEE: Authorized signature: ThisPpermit cation expires ifs permit permit is not obtained withIn 180 Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. Number of inspections allowed per permit. c 1:liiuddingtPerreiUiII.0 PenaitApp FLR ERE.do5 Rev 061€7/2015 440-4615P(I I/05/COM/WnB Plinibing.Permit Application Building Fixtures - ' ' i op, 01,I I( I 1 !-.I ! City of Tigard .. , Received IN DY Permit Ni s 7.---A.01 7.....occgt,...., .-. 13125 SW Hall Blvd.,Tigard,OR 97223 .-r% - '''' - - Plan ReVieW ' "' Phone:303.718.2439 Fax: 503.598.1960 pmegy. . Other Permit No.: ; • 1 i;;, .,i,0. •Inspection Line: 503.639.4175 . . , rme amay/Br Suris: la See Page 2 for Internet: Www.tigard-or.gov - Notifscebiethod: Supplemental Information g:,.:kl'P-:''1•A$1',s1.4i,"51**32,01,E ;r:?.1..-P.''jt.:,,7::;:,::-WPi'i:ji, ,'4(,,T--';V":!..Vil" eatIPI.V?ig*AlialgerFI:... 7i4.r.':............. .; - :- . . . . 123 New cuitStruCtiUn 0 Oemolition . For sped&information use checklist Description 1 Qty. 1 Ea. 1 Total 0/ddition/alterationfreplacernent 0 Other: New 1-2-famfly dwellings(includes 100 It for each utility connection) tr''.!•cf:',720:0*:.:„7,i-,,,,;,--,',"•,„,.."1,40.1iY,W.,_:*2... :77:Piltpkitepraf::,,..Agratroi$141#4,•'$.k• SFR(I)badt . ..,,........,.,,,gl.k.,51,.. ..t.•:•e. 312.70 1 .1'02-family dwelling .. ..,.. , 0 Commercial/industrial . SFR(2)bath 437.78 .• ' SFR(3)bath . 500.32 D Actessory Wilding iaMulti-family Each additional bath/kitchim 25.02 0 Maier i;;riliier 00ther: . • - Fire sprinkler(_____.Sq.ft.) Page 2 , o,,,..•,,-,;%s:,4-;;;;,,-4 .1,4.,i,-.44 ,;."‘•&7;•:•'•',.i.,,,."-•,"-:?,-.:, :".",."-r,-., t.:-•,,-,.-•-;,,,,I.4„,..,„_„•.---,!•.,,•'••,,,- - • ,.-•-: -.-..7,..,s ..Site utili' ties .. pr•-••••tmt,.•,.---,.:•'•if•--,,.:•rsvP,r..i. i 2-../.;_•,T.'L....„;,..., .,..,24.'',,,,.:.., '•':.'4,..‘•.r'-, "-‘;',•••,:'..•,:e....,‘,s',.••••,.-:,7,;.„."0,r.4 : . . **site"Ore": / 0 L SW 13e.ach Pi o Ierk-ac., C.4.itch hasin or area drain , 18.76 Drywell,leach line,or trench drain 18.76 •Cit4y,iStaterZIP:Tigard,OR 97224 • • Footing drain(no.linear ft: ) Page 2 ItOtribldgAlPt.110-: r • Project name:" .ye,/ : 1 4 ' l liti A 6 j' Manufactured horee utilities 50.03 Crcit‘Streetidirettions 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.;_ 1 Page 2 Subdivision: 121't/f.r Tti1/61/1. Nthlrf4 Wed f- Lot no.:' Fixture or item: . 1 '7,Tax Map/paroel no.: P4nOW Prov6iler I - 3127 Backwater valve I 12.51• . , 4144*0).''.'<0'7!j4;45'..P.A.Z70#1-IP.;i1-4 ' • , Clothes washer 25.02. • ....,.......,r...•... . ..,.... • . - . .1 t .• .... :DiShwather 2502 • . . ' • • ... ,Dibildng fountain 25.02 tie*Wstlmil 02 . . . ' 25. . , .• . - .......... .,,,,p_Fej.:.,-*,-,..•-•`;‘,--,,,--:-,-,--,-.'5. --'4',--k‘:,:t4,z':-'z-,,- ---W 0:''.4,grla.P.,.2-f,X.,,g-i-111...'s: :,;•T'''.14,--`, 1Z. ''''-;:' Ettparisien tank 12.51 W,..5.'A.ili,',ie.-9_'441iiir'z4.L,',;‘,,,',?,.',1,Lf,g,,,744.1:,,I.,•,"..4i5'z.%'F.:EESZ:- ..W,•;•-.V",z,..,x1,N;-,-z.4_,,..,t:-.4,.);3.z:/,,... 41d,et:--lik.:74-ts,.. - .• • 'Npieta ••41YYP-1410 Holdings,LiLe . Fixture/sewercap 25.02 . .. .. ... .. .. • • Mier drain/floor sinkJhub 25.02 Address;7640 E Doubletree Ranch Read • ._ , . • Garbage disposal 25.02 .Ci /SiatetZ11);S.cottsditle,AZ 85258 •tiosci;ik . 25.02 _______ .. . . .. , . . ' • Pholk.1602)094-403 . Fax:( .,..), . . . Icon aker 12.51 • 7-r -?;;"-F4:',,,7-y-7-:-7:T;'s7_q.M'Pz,zgt4.''F'M94.ctW:: i-gtr;"14rP :j;,o'74:-.*l' •5ii,',WMii I ter' tar/ trap 25.02 f--;11-:41':--'i-V--:.!-4"`•$•''-' •.V;.-".-z.),• .'''-::•it-:-:,,,ti,c•'-','.'_ti-47..4*,s1?-11a.Er,.,:",:t-s=4 4 4,,V v•!!.54.1.:,'.-':'-.1*"N'''- '=.1t:4-..:. n ceP. grease Rutin*name. T.1 1'us• yon.'um ne,. oxammannona, ,. -.... .. .. .... . - • II 12.51 • .Ccintacknatae:Angela CraiMiski .. , . -. 12 . • • Roof drain(commercial) .51 • Addreas:'10*East 13th Street • •Sinivbasinfievatory 25.02 . :-... . City/State/ZIP Vancouver,WA 98660 units(potable water) . 62.54 . . .. .. . .„.. i'lion=1360)695-7700 j Fax::(360)693-4442 . , ' Tub/shower/shower pan II 25.02 12.51 , .„. ,.... ,..: . .. . .. .. .., . E-mailApgiim.cniijewiddepIttgenhOir Urinal ti17.77-7.7 .-.7%.SZIZg` ,T,---!:.71:1:0::,Pri'.".7.'li6f•;- ,7-W-6.F;;.':i.t.7.:7P7537;1417-:»;,,f-P•74.71',F. Water closet 25.02 .),..2,1,-. "5.j:',-:,X;-:.t•I'- ..Z.:.`"4"-." ::::-. -:: 4--';',2.4YA.ritZ&a ,Ziz.iii:31 -2,'",.M'.,:;,:4.,D1k.L';; ;;••?4•1',..,PA'•41 Water heater 3732 Business*atm Alliance Plumbing LLC1 Water.pipingiDWV 56.29 Addreis:,146 WHialatletolintiiiii River Hwy Other 2502 . . .. City/Statel.ZIP:Trill/Wale"OR 97060 . . Subtotal 1 ' Pliorte!.(503) 192-340 Fax:(503)912-6438 . Minimum pervait Re: $72.50 •., i CCB Lic.i184601. • Plumbing tic,no.:P8742 .. .• Plan review (25,6 of permit fee) 'A State surcharge( ofperitit.fee) n Authorized signature: TOTAL PERMIT FEE . Ptint name Robert Dish/minrt.,.. . , .5/23/2016 This.perndt application expires tra permit h net obtained trititint80 days • ''''''' after it bas been accepted astoMplete, -- *Fee mittliodoim set by Tri-County Building Industry Service Board. 1:ViiiikliasTermitsTLMU4'ennitApp.doc 10/01109 440-46167(10,02KVAIAVEB) 1 City of Tigard 1111 r COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Residential Building Permit #: (> — , Ara • Site Address: S<,Vc c 1,0 abwr Phi, a et_ Project Name: keintele,r " '_ ' /l) '7' Lot #: OP/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review / // /f Proposal: /1.� S' - � 1/ ci �`vt (/ 1)k ) 17 erify site address/suite#exists and active in permit stem. River Terrace Neighborhood: ❑ No !) Yes,See River Terrace Review Addendum Attached Sit/Plan Elements: Vxee(3)copies of site plan lr.sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper II. ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations ► .rth arrow I]d U 9*ty locations(required for new,may apply for additions) 1 . e address,project or subdivision name and lot number ncation of wells/septic systems Vplicant information(name and phone number) ICisting trees to be retained with drip line,and tree t dimensions and building setback dimensions rotection measures of 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 fitProperty corner elevations(2 foot contour lines if more than 4 foot differential) I\CA ;lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): iRequired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facih Improvement(PFI) Permit: -quired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake FZ,and Use Case#: A)bei s- )S; -c 0:60_49/,C--- l500 equired Setbacks: Front T� ( Side 0 Street Side iu/ Gara e dscape Requirement: 0VLaont Coverage Maximum: 06 P.1 1:uilding Height: Maximum Height i' Actual Height Oft" U ► isual Clearance t7/ asements / I nsitive Lands: Yes No Type ) l42/L hal)421— l Urban Forestry Plan ❑ Conditions "Meett" 'riorto issuance of b •ding permit Notes: CL'/l,I',�/15elil k -.S'L / h I2u 79t1,+_. '7 el-M/4- 1C-C44-0/1e-C.._ Approved By Planning: Date: 07 _ /- 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 1 Building Permit Submittal Original Submittal Date: /L/24)10 Site Plans: # Building Plans: # Building Permit#: gi' nter building permit#above. Workflow Routing: ► Planning r Engineering [Permit Coordinatoruilding Workflow Sign-off: J 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: .0.�t2% � -4k Date: 1,2//j7 ItI _. lin , S:,Zu _ _:_ _ s4, nom...,,e:MI z ,.V '. n ,._ 0 x x .nom � , . A}o ;x Engineering Review je.Slope at building pad: / 4. .._______ Oeonditions "Met"prior to issuance of building permit a.• I�! J1.r I ❑ 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 ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 4, D Date: 172917 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: [ Yes ❑ N/A K to Issue Permit Approved by Permit Coordinator: Date: /// I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A R o River Terrace Building Permit Review Addendum Building Permit #: //45/#2..C)/7 — 2J193 . . Site Address: /� c7b --9/0 ,&ac%( /"/�lik._.. -aNle,., Project Name: �,,er- ifaer �� Lot #: c9/ (New dwelling subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ct 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. t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. d p min. 2ft., 5 ft. wide min. 2 ft.,6ft.wide Gabled dormer t ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing fa ade must include windows or entrance doors. Percentage Shown: ' /b, ¢• 0f% �a s-% 3. ntrances:At least one entrance must meet both of the foil ring standards: facing wall ��Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from longe street- or o en onto porch Entrance opens to a porch: Yes ❑ No If yts,all the following apply: 1.5 sq.ft.min. Ane street facing entry ft.max.roof above floor of porch 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: Covered porch min. 5 ft.wide x 5 ft. deep'/ Recessed entry area min. 5 ft.wide x 2 ft. deep/ ❑ all offset min. 16 inches ❑ ormer min.4 ft.wide ICIA Roof eave min. 12 inch projectionf4,- vx,Roof offset min. of 2 ft.e' ❑ Roof shingles either tile or wood ''able,hip or gambrel roof design ❑yoof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide 1— 01 Accent siding min. 40%of street facade Window trim min.2'/a"wide by 5/8"deepf...02— ❑ 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 façade 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): rMay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story abov the garage that faces the street with a min. area of 12 sq.ft. W. the (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: r _ Date: , 1:\Building\Forms\B1dgPermitRv. REs RT 062216.docx Mechanical Permit Application FOR Of 1 1CL t`SE ONL.l City of Tigard Received nate By ifflaTIAVA Permitwo "";40 _ / I ,111111 13125 SW Hall Blvd.,Tigard,OR 97223 r ,, �` ";' Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 t t -''" Day. Other Permit: 1(-A st I) inspection Line: 503.639.4175 Date Ready/By: 0 See Page 2 for Internet ww.tlgaad or.gov Notified/Method: liffli ..)..".9r. J _ Supplemental Information Information { b' °i".Jrt � - ' yePimr: :t s:Jt� `a�(:i_sE�4 AC {:14r�13 iiCruU F ,:-,,14'.:.---..'2P-2.- �� t_�a ,Mechanicalpermitfees*arebasedon: the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value $ r 1 4, C z.,--.1., '`c 1`l.i x��,.: .k�0,. k ti r _;...,,__..,.......-.:r ., f t .2 s I 14f ,19t'1 tr.tE sy'.A`7yf�F,fIkiF,.-,J;r)=P ',„; 1�„ ... ............. .�.. .�_.._.._.u�... ,a..._ tom.,,_..._.._.. ...,_...,.__ ....,...._._ ..... ❑1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special i4/onnaIon use checklist. ®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total r f k is t r rgM `i ( t,, jo,,C f v�©� pb' ,7 S a. Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: 1 3932 ^sw ni P`f. vh—r-ei1 ���re e Furnace 100,000 BTU(ducts/veuts) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJapt,no.: L 3,9 I Project name:River Terrace Northwest Duct work 23.32 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 1 23.32 Subdivision:River Terrace Northwest 1 Lot no.:Z!9 ,,Other~ 23.32 1 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ', ,';t•a ',rhe E'" r,',--2.-',,::.:,-; '` Gas fireplace/insert 1 33.39 Flue vent for water heater or gas Contractor Change fireplace 23.32 `��}`-I A) Log lighter(gas) 23.32 1 �� _Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 a t . , _ .,.. 23.32 ..;„,,_,!..1,,. ..,,-;;;., �1,Jst tP} iR� i c _ :Yfi:9i �ft �. ., -• 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 23.32 Phone:(602)694-4031 Fax( ) Attic/crawlspace fans 23.32 a 3 yF'� Y .2 p. ,_7-, si t, �.:i F 4 .;t Other: 23.32 . ;: ,,m , ....__.�� ,. 1,.....•x,..x.:';.Th. :..,..�•,•.•,..,..' ....,._..-_. . 7 ...t.,.,.., Fuel piping: Business name:William Lyon Homes,Inc. 514.15 for first four;54.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Address:703 Broadway ST Suite 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater , Phone:(360)695-7700 Fax::(360)693-4442 Hreplace -`—"'"' "— —1---- Range —1�—-.__.._..... Range 1 E-mail:Niehole.Thorpe@polygonhownes.com Barbecue :1?1. - . ; ... Clothes dryer(gas) Business name:Pro Heating and Cooling,INCA „_..,.. ` :L _,,.xtzi. _ per . _,-::::,',17,,,>,1;,,..;,,,,-;;:t,,,.. : Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP: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 lic.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:� ����y�j A * Fee methodology set by Id-County Building Industry Service Board Print name:Nichole Thorpe vV`�-- / Date:9/19/2017 t:\BoildiegwPe mitsuMEC Permitnpp 040113.doe 440-4617r(i1ro2JCOM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13582 SW BEACH PLUM TER, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2017-00083 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13582 SW BEACH PLUM TER, SHERWOOD, December 14, 2017 at OR, 97140 10:33:44 AM Record Type: Record ID: Residential - Master Permit MST2017-00083 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Note: escutcheon for fire sprinkler located in living room removed. To be installed by building final inspection. Water pressure = 70 psi Violation Summary: Inspector Contractor