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Permit (54) Plumbing Permit Applica__t__in__n_ Site Utilities R CEIVE.! FOR OFFICE ESE City of Tigard 1� E o�`L� ill 13125 SW Hall Blvd.,Tigard,OR 97223 Received MAY 3 1 2017 Date/By:. Permit No: ,' Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ^_ T 1 G A R D Inspection Line: 503.639.4175 CITYOF I I GARD DateBy: B — (� ? A Other Permit No.: Internet: www trgard-or gov Date Read/By BUILDING DIVISIO Notified/Method: '. h '� H See Page 2 for ": .•..� •: „ � �.�s � a T<��`���� t �� x�y��,' � 1, i%�� Supplemental Information New construction ������ �� �' � �� 0 Demolition For s ecial information use checklist ❑Addition/alteration/replacement 0 Other: Description Qty Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) ,.. . : SFR(1)bath ❑ 1-and 2-family dwelling 312.70 ❑Commercial/industrial SFR(2)bath 437.78 — Accessory building ®Multi-family SFR(3)bath _ 500.32 ❑ — Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler CUL sq.ft.) �� ,.. k1 �/�� Page 2 Job site address:13562 SW Beach Plum Terrace Catch basin or area drain City/State/ZIP:Tigard,OR 97224 18.76 Drywell,leach 18.76 line,or trench drain _ Suite/bldg./apt.no.: Project name:NW River Terrace Footing drain(no.linear ft.:_) Page 2 g Cross street/directions to job site: Manufactured home utilities _ 50.03 Manholes 18.76 Rain drain connector 1g2 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) _ Page 2 FW.atter ater — service(no.linear ft.: ) Page 2 Subdivision: — Lot no.:212 or item: _ Tax map/parcel no.:r Backflow preventer 31.27 _. ���;�� I�I� ®�aF ‘,i1;4; , r r!.A, , Backwater valve _ 12.51 Multipurpose Fire Sprinkler System Clothes washer _ 25.02 Permit#MST2017-00081 Dishwasher _ 25.02 Drinking fountain _ 25.02 — \ � �.� � Ejectors/sump 25.02 >4 , � ;5 ; c #:t. Name:Pol ,; Expansion tank — ygon Northwest 12.51 Fixture/sewer cap _ Address: 25.02 Floor drain/floor sink/hub _ 25.02 City/State/ZIP: Garbage disposal _ 25.02 Phone:( ) Hose bib 1252 502 1 — r 1 1 r ;: IMMal 12. t s ' 25.0202 Medical gas(value:$ ) Page 2 Interceptor/grease trap Business name:Alliance Plumbing,LLC —Contact name:Robert Dishman Primer _ 12.51 Roof drain(commercial) ]2. Address: 146 W Historic Columbia River Hwy 51 25.02 City/State/ZIP:Troutdale,OR 97060 Sink/basin/lavatory _ Phone:(503)492-3490 Solar units(potable water) Fax::(503)912-6438 Tub/shower/shower pan 14 62.54 E-mail:robert.dishman@all►anceplumbing.net IMEMINIMMIIIIIIIIMN 12.51 ,W Water closet _ 25.02 25.02.M , ,• . „ ,,.:'$� kT Business name:Alliance Plumbing,LLC _ 37.52 25.0022 — Water piping/DWV — Address:146 W Historic Columbia River Hwy 56. — City/State/ZIP:Troutdale,OR 97060 Other Phone:(503)492-3490 Subtotal Fax: (503)912-6438 Minimum permit fee: $72.50 CCB Lie.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: r State surcharge(12%of permit fee) Print name:Gavin Thornes TOTAL PERMIT FEE Date:5/24/17 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\permits\pLMU-permitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Residential Fire Su. s ression S stems: Fee Schedule: 4 °'''''"'; "� �� t . ,. ItliiiZ kir,,� i . -a ; '` .� .,_ Oto 2,000 $121.90 50.03 $169.69 e Footing drain- 100' 2,001 to 3,600 $233.20 37.52 3,601 to 7,200 Footing drain-each additional 100' $327.54 Sewer-1st 100' 62.54 7,201 and greater 37.52 Water-each additional 100' 62.54 Medical Gas S stems: Water Service-1st 100' M ��x NM M 37.52 o + e -* ., ai . ; ,,. '� w3,- Water Service-each additional 100' Storm&Rain Drain-1st 100' Minimum fee$72.50 62.54 $1.00 to$5,000.00 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 each additional$100.00 or fraction thereof,to •w - 4 ? and including$10,000.00. � tcr the+ti� 11inlgr` , 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 90.00/hr each additional$100.00 or fraction thereof,to (minimumwh ifee is se-1//2 hour)indicated ■ and including$25,000.00. -1/2 ■ 0.00 $379.50 for the first$25,000.00 and$1.45 for cour_e 90.00/hr - $25,001.00 to$50,00 Inspections tmin o umde ar normal business each additional$100.00 or fraction thereof,to Nouns minimum char_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*. 4, �. a ' t ua a b" )�tur+ it, ,. Fixture e'y '_,RePlm�c l Plan review is required for any of the following. for ' C `! >t �r '4iyor�Performed, Please check all that apply. Baptist /Font -== 0 My new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool -- engineer. Car Wash -Each Stall - ❑ New exterior plumbing site utilities for any complex structure -Drive or - as defined in OAR918-780-0040. Cu Di s•Dishwasher Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher - ommercial ==- ® Any multipurpose fire sprinkler system. -Domestic -_- ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain _-= Floor Drain/sink -2" Submit 2 sets of plans with any of the above. - icy Car Wash Drain --- ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food --- that meet the sualifications above. Disposal -Domestic-food related --- -Commercial-food related --- -Industrial-food related --- Ice Mach./Refrig.Drains -= Comments regarding fixture work: Oil Se orator(Gas Station) Rec. Vehicle Dum•Station --- Shower -Gang - -Stall --- Sink/Lav -Non-food related ==- -Bradley -Commercial-food related = -Service Swimmin: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 Water Extractor Closet Toilet --_ fees assessed for the sewer increase must be paid before the Water plumbing permit can be issued. Urinal Other Fixtures: -- \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.doc ipqCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00081 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017 TIGARD Parcel: 2S106DB21200 Jurisdiction: Tigard Site address: 13562 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 212 Project: River Terrace Northwest, Lot 212 Project Description: New SFA. Building/unit 13.2 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 Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes 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 RainStorm 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'I 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 Ecom_pasing: 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 through OAR 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: Permittee Signature: "12e941 17°1,4- ie.. z--77o-A/ 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. .ice ' Building Permit Application Ys-; 1--, aZ /0Z Residential FOR OFFICE LSE ONLY City of Tigard "i eived Z ,„Z.,/ /2 / 4,-4 Permit N,p 19 /7"00a�I el 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review , 54.4420/7.,66620 ' 2 " Phone: 503.7182439 Fax: 503.598.1960 Date/BY ) Other Permit Inspection Line: 503.639.4175 Date Ready/By. J s: H See Page 2 for T 1 G.4 R D Notified/Method:3/r/r7 . � Supplemental Information Internet www hgard-or aov - �" / r/� g ",- .ayx5 -_--,--4*,, ,. 6 ate •" ,4. �� ny �N" C...Fyi- E ii i. " _." o Permit fees*are based on the value of the work performed ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the sT - ..a �= work indicated on this ap p capon. . k : u s.,. : iga g) 4„ .!-„,..2.,..,„:„.,..---,----,...„,,,,_,,,,*.;,,.,„", . eic 1-and 2-family dwelling ❑Commercia/mdustrial Valuation: 6 9 -s—Mr-1-2-25,1 .11 ❑Accessory buildingMulti-family _Number of bedrooms: /[, ...53„,),.., ❑Master builder 0 Other: Numbj j �- , , - _ u� Total number of floors: �, .a1.1 1 6?7 fla olarlir* - — Job site address: 1. 5 COL S\O . N:v n ?hum Te,riod New dwelling area: . square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4 Cj3 square feet 5'[a �7 Suite/bldgJapt no.:/2 L I Project name:River Terrace Northwest Covered porch area: 31n square feet 6 " `. Cross street/directions to job site: Deck area: 7 6 square feet 9-7 Other structure area: '7 square feet Subdivision:River Terrace Northwest Lot no.:--2._\2_, 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 = 44 i� o , ,, .,E;k .: work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet -i y . -•1++ —`l.`c .5F` _Tv'.�+. �. g.r_ .._._3 .-- . =_. � Su._ .-_ 5T =2:� .` ._ r-- �— } vNumber of stores: 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: -n .:.�.=- .:-„ s,.c. , ._.... � -s.ray._.ten u :-se_k nr k _.„.-,t-._.._::: - `' BIF .:::ti ” :1€'_, tC `f may:,-' aY�'m°� ..r.�...f: : .:. .... ::.-...<f.... ,.... _..-,..�:,- .._.. ' .. * . ,:1,.5 .'oat e 7j `1Y.1 `a e� _ ___ 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::( ) € k E-mail Angela.Gralewski®polygonhomes.com v g- ��.� Commercial and residential prescriptive installation of =-' 1 — _ C-t P`vim? -— „ 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 ty and administrative fees): '` me:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 _..B lic.:207247 Total fee due upon application: $201.60 * This permit application expires if a permit is not obtained Authorized signature: 1./ei within 180 days after it has been accepted as complete. Print name:Angela Grajewski w Date: 'ill�coil° l �l r n Fee methodology set by Tri-County Building Industry Service Board. L-\BuildingWermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , City of Tigard Received Permit No.: �l A I)atefB rv`5��o o-oppbl IN13123 SW Hata Blvd.,Tigard,OR 97223 plyp Phone: 503:71.8 2439 Fax: 503.598.1960 pig,. Other Permit: t Tns ion Line: 503,6394175 3riz H Sec Page 2 for I t t;�:I:�1 �' Date RcastyBy: Internet www.tigard-or.govNotified/M+dhod: Suppe merbt Information •: Xv>App "r@"L7ti' w. a!, '3� ^"w z q,V�'� ••'(s�, .ra 4c '4 Y R s yr ., .- 7: -�? ` 1 -Fr- Y i ?;.*."3',7t'.P +c'� ,k"2i71 ��� .4s. ._� � ? :r •P4,(••:4')•,..:4-,''; ' .�._.. r3i[:b r ._ ed `? ss ak uR ,..,.�..c:.,f o_,. Gr„ .. ,.. x, s r,_ mechanical poiinit fees"are based on dre value of the work a .New construction Q Additionfal leration/replacement performed.Indicate the value(rounded ti,)the neatest dollar)of all Q Demolition ❑Other mechanical materials.equipment,labor bvcrheed,and profit. • :5♦. A .��k1 sFx,iry�r.�'•r' !C^1I.2� � u+1,,n,g k 'Yy1:1'g 1 5 1,,f - r. ' yci-e� # a )-- '^'sC's' . : v... ..n,`,`" ..Y:,'ka3,.te""'.�W;. .7":?F-ea.:f r�e4�' f_•..,.v,,.k vK .,.w,... ...-J....a..,. ,c ,54i.kx. 1 _^ i x.., ,,. ..., �...r,«� .,....?. Value r • In l:itnd 2-family dwelling Q Comtnerciallindustrial 0 Accessory building Forspedat inform ion u the 1st. ►� :Minh family 0 Master budder 0 Other Description cetY• NENI Total . ''r,. .5 , 1* Read,:,Mit . i 1 { _t _ - Air condition'. . 46.73 Job s.teaddress: ! L.- St, P7P..G�N P k i,vx i 6.y- 1.ce_ Furnace I00.(3©0 87'U(d tsrvents) 46-75 Farmer 104.000+BTU(ductstvcats) CiiylStateJZll':,Tigard,UR'J'f22A ,�,}_ 54.91 swtelbldg!apt.no.:13,2, Project name:gY.(,�/7y tt Ali ct tl $f DUcctworit t Cross street/directions to job site: Hydronie"hot water. - t 23.32 Residential boiler(radiator or hydro,iic) is 23,32 Unit heaters(fuel-type,not electric), . • in- - in-duct:. .-tied.etc. ' • Etite/ventlbr.anyot above ®_ $nbd'tylsibn:/Z,Vev j l ,Ni)Il 1inlCt+f'— Iotno.: X? Otiiei�!`aef iipplinaees: Cather r Tax.tnapfparcel no Water heater. I 23.32 ... ..w' x 3, Vig,.-�. ?~h `'�'+ia 3. 1 h ,4o a...•• s,;: Gas TC.laorlfrtselt 33.39 :t ,' An '' "i: 7L',.. r li;iF C R l S.,,i,..1;w Q7 .- -, �e 1 �d-` '`1?.'.•M1. h 1 Itis vent fol'buster heater or gas z new home construction fireplace 23.32 . •. .. :I:og.tir(t )' k 23.32 • . . - Wood/pellet:stove 33,39 'Wood 1lireplainfinscrt: 1 2332 Chininc llinerifuthrent I 23.32 c5a . - 1,31.,?�a'-Q., . .@}(k 1 1-!, ':- -7'-''','')Y4'• r„_• ' -'' �x~,,f Y--°' ,.a;ar-..*:,',14 ;s.Z° , . . - Buvlrontneatai ezhatist and vel,t3lattoih l me:.ADi11.;Land:BoIdtugs;,LLC. . _: . Rangelioo0lotherbtnhen equipment.. I 33.39 Address::7600".E Donlrleti`ee Ranch Road Clothes. ••ei'erchaust I 33.39 City/StalelZIP:Scottsdale,AZ 85258 Single iuet exhaust(bathrooms, , toilet Corn idents,MNrooms! t Phone (602 69444#t 1: Frs; ( ) Attic1crawlsoace fans. _,II I 2132 �� wax i $r :%4,.4. i. -.4''''S;:17 -...W,ru • :;''','''1'-'• �rk fi c..:rr ., . '• i'N/•'4' 3.."z c. puler: i fI Fuel piping: r :I ' . ., _SOLI brick ane ! 1 Contait7nariie.A'•' Giajrwslti ..1tiiiiacc,.eta, 111 Addriss:109 East 13th,Street Gas hear pump Watt/suspended/unit neater City/StafetilP.:Vastoweir,WA 98660 Water heater Phoai i(3611)6954700 Fax :(360)6934442 F •.lata Range. •E-mail:Angel .Grajews4gpvty3onhomes.com r ..: Iiarbeau • �,� f"a- 'S' -�a�, ,�w.a � -i,`E Ver.:Mil.4.kfr cv' : ' { Clothe$ ' _ ' iiiiiiii �� �a ��r.�.:3,.a,..a�`�.: -..te. -'3.ti ,c.dc5'.��.� �. •-•- •,.,=,��'.s-,, �i.�^..r� _ • IMOMINIM C)thei :5:. ' Subtotal City/Statt�ZU 'T1gard,OR:97224 It4mimwn permit fee� 90.00) Plan review(2.5%of permit fee) Phone:(333)992-6664 • Fax:(501)536461S .State surcharge(1294 of pe mit fee) t;,,C lir.:168214 / • TOTAL FERN T FEE . This permit application expires Ka permit not obtained within 180 days slier it has been accepted n*s complete, Autiiorlied sigi nature:• • lee methodology set by T i-County Buildi Industry Service Board Printiname.Angela Gjra ewaki Date:8122/1,6 •Ihiii'its[esii+ 6' aiiApA.M0it3.dot 4404617r(13.1021Co ) F 1 Electrical Permit AQplicatio>orFOR Ornci:USE ONLY City of TigardReceived remit ,41 S7 O(7—ocV 1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 0 Phone: 503.7182439 Fax: 503.598.1960 DauB : Milir Inspection Line: 503.639.4175 Ready Date/By: 1111111111111 r. See Page 2 for TIGARD, Internet: www.tigard-or.gov Notified/Metbod: Supplemental information 2:T'"�..: _ -x'a ryr 0.Oxy? 1. }f` A.-r0r 7: 2'a'£'".;114 k?�^�'T14T 5t....4", t' 15 4'4:d`` j•.±�a- 'r�� ,'''1si' 'k.A ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 seta of plans w/items checked): 0 Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0l farinas and boatyards. gtatir- :k�*'tzta x,'.r. Y(Fi M, ,. s r;,x r!jr"sa; y, rX F 'e,,,S . exoceds 10,000 amps at 150 volts or 0 Floating buildings. I-and 2-family dwelling 0 Cammercial/iridustrial 0 Accessory building less to ground,or exceeds 14,000 O commercial-ase agricultural amps for ail other installations. buildings.• :It Multi-family - II Master builder ❑Other: _ One pump. 0 installation of 150 KVA or Or ora. ' • -p (3- -a:,. ;.r-!-r t�? `a' y:, Emerges Y system. larger separately derived 'fr �A...�'.�� • ��,... �-],, .i.'4',;,-0.... n',i.,'Y c��IW�,�.'r��.'#r..,:T:=rA: i:::'.a', n J Id/ t7G ��(Ji M i C/l�l� Q Addition of new motor toad of system. Job#: Job site address Sv►� tooiip of mon. O"A""E "1-2^"i..3", ar OR 97224 D Six or more residential units, o panoY• City/State/ZIP:Tigard,d+ 0Heamttr.care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#:/)), 7 Project name:Avtr 1 evru t,/o N c"• aHamnions locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 voila nominal. Cross street/directions to job site: r s7. -1 xis,,• nasJ� i: 3'r 6„ � s:., , -_ Description Qty. I card I Total 1 New residential single-or multi-family dwelling unit. Subdivision:grate AZiwitt we f f— Lot#:-7,„1 7_ Includes attached garage. TeX m areal#: 1.000 sq.R oriels ' 168.54 4 Ea add'l 500 sq.ft.or portion 1 33.92 1 '1� _ +,'�- '�'-" i :t: 4lr 0 t kr{r f' t c�j'F.-;,-'o ,,x- 't",yn '`.'*: ��. _�xf ,�,�x. x r`, - �'� _�ta�ti� ;� �.�-.:w"��__ 1 v -�s -��f�s�: Limited energy,residential 75.00 2 (with above sq.R) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) �- '� r� r �- ,•s--,+ys�.�.-�-� „�, t Renewable Energy ❑ See Page,2r ; :5•cacti '-' 3i- ,b,"ate ;f+ :3' Au-, 't'a E j ?1SY�.•,�;-ter'*' , ... Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Donbletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 . 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps I 125.08 1 i 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 . , µ y ,' ,�x4 vs Branch circuits-new,alteration,or extension,per panel • , 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:Angela Grajewski B.Fee for branch circuits without servAddress:109 East 13th Street or nit fee,first 56.18 2 branch circuit r �..ti..1;11 t....d,,.Lsft 7.a:.. z City/State/ZIP:Vancouver,WA 98660 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' • ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewskf@polygonhomes,com Reconnect dwelling,servicand/or feeder only 67.84 2 c._r .. � 1._•_..:?r " a.;, ,. s ?+^'-^ `l`:h.iC i :J-1, A», ^ . 4.., . . Y , Pump or irrigation circle 67. 4 2 Business name:Garner Electric Washington,LLC Signor outline lighting 6714 2 4,.,:• Signal cirouit(s)or limited energy Address:6101 NE St Johns Rd panel,alteration,or extension, Q See Page 2 2 City/StateJZ1P;Vancouver WA 98661 Each additional Inspection over allowable in any of the above Addltlonai inspection(1 hr min) 66.25/hr Phone:(253)320-1657 ` Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdanials@gweusa.com Industrial plant(3 hr min) ' 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lie: 4496S pealisted '%.hr min 00/hr .3 , w , .-01: a /lA ,a;1tk- ala 5y,?fia Suprv.Electrician signature,required: ]j r � L- ---- .4_,4---1-‘ . Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%ofpermit fee): r" _,......---, State surcharge(12%ofpermit fee): � `_ ------ --.-- TOTAL PERMIT FEE: Authorized signature: �r- — This permit application expires if a permitis not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It bas been accepted as complete. Number of inspections allowed per pe :i.. rmit :.•4:Uiuilding1PecmitslELCPerndtApp SLR_ERS.doe Rev 06t17l2015 440.4613TOVOS/COM/WEB , plumbing Permit Application Building Fixtures • City of Tigard Received PMan miek57-0101 -ovaFt i IN__ -.. 13125 SW Hall Blvd.,Tigard,OR 97223 •• Phone: 503.7182439 Fax:.503.592.1960'..-...'J i-.' i ..1 Duie/Ety: . . CaberPennit No.: ;.) InsPection Line: 503.639.4175 . Dare Ready/By;. haul 1 0 see Page 2 for Internet www.tigard-or.gov , • ,- - Noti5ed/mdbod: Supplemental information i V.-i:•,200,!,:•,,,',.„4'?...,i -.Vit'.`'.'::;..Y•'..,...4g7A-A4r7.'4& kil: •.:,,,11,„t'..:•,,,x2.41 f.,•4i''''''',4444'`',.41._liv glialiWila,f4• 114. 414;*0)-Ttit•'-ff„'.'1,N.1.:1Prf.:.' • • . •••' 1 ”...4.... -.•,''''-,-.---.-‘,":•,.... ....•- . 4.4:"..,c,:-,..4. -4ex-i.,---...-.,---somzeepougn .,•- '4.,.,•,....,..ki .,...w....-- .,.. -. 44e.r4;i:-- -.t..1.1-..4za,..1,:,.: IW-1,1•;,-,17:ta..),:;!,.7.,,,,,,:-.^,77,^41,,,,, „, ,,,,,,,.,V...-L:::,,„•qt: : ' - Egi New construction t..J ptil'otitiin; " For spedal iolorrnatioitsise checklist • ' Description - OtY. EL Total # C]Addition/alteration/replacement 0 Other: .New 1-2-family dwellings(includes 100 tl.for each utility connection) l Wieffietr4,44„, Witipieve .•-„."- ,11:1'n''''''r'"...4'r'‘-",•--- ,,:,.',,,,'.1!...11hAl...,;_At-i-A,..,,,,:- SFR(I)bath 312.70 ,,p,. , r.. vAi...,,,...*....:ot,:n....i7 1:4,1,;.!,t,,,,,...“..,-•,,-0.1,<4. •,,',, -.2..ea',,,,44.T.-,,`,.....X.....,,,-,...M.--,,' , '. ' •and.2-camily dwelling . 0 Corrimercial/indusuial _ SFR(2)bath 431.78 -.., .„ . SFR(3)b I 500.32 0 Acce.ssory building erg Multi-family Each teditiOnal bath/kitchen 25.02 .. ,..... . 0 Master builder 0 Other: . _.. Fire Sprinkler( sq.ft.) _ Page 2 i 1 -..•'..V.4,.';_lli:-4Z.geZ::';;Y:P.'t•--; .;.•:-,-,- ....11„;-1,?, -i*,eq i;Y,•t,, ,. 1;; 'I,e,4,.177't,,,'tk-Y;- .4.141: ,-.0,1, . ..b.:.-., . Site ufillidea: )01;'aire adrkesa; , --EA/ 722eaCA P ilk/VI. 7rife2Ci ' catch basin or area drain . 18.76 Drywell,leach line,or trench drain CitY/StateltiP!Tigard,OR 97224 .....„ • Footing drain(no.linear A.: ) Page2 .SMteiblderiaP1 ncno.:/ ..;•?... [Project name:giver be erac., lvdriilwe f• - Manufactured home utilities 50.03 Civiestreet/direntiotis tO job site: . Manholes 18.76 Rain dniiit connector , 18.76 .. .. ._ ,_. • . Sanitary sewer(no.linear ft.:,..„_,J Page 2 I.- . • • Storm sewer(no:linear ft.: ) Page 2 • , Water service(no.linear ft.: ) Page.2 Subdivision: gla'Vet' 7-,e1Aaf...2. Nd014tAies '7-- 1) -Z I 3t n°"• •.? Fixture or item: . Tte map/parce no.: _ 1.1,0016*.lirCi'eitex 1 31.27 - •'..--,;--4:.:t",-i-i?-s'?-,,r•-tc*r,,,-A.4.:15-z- ;•,---..,!;:rf•'S--,---;: '- • -....,y.A.,- -,....-,,,-...,-, , .,. .-...,:.•.:-_,-.-,.'t,,,...,,,,,..H......--..„--„„,,' gaeto;vitier valve ' I 12.51 .? :...,:le,,,,,,,,-*4:::..:2.;•;•'•';',7•.-.•11.'1.0.r,":W.;•:•:';,:,4°.,,, ,,;,,,..4•1 ..„til.t.-!••,f.°-)4i".Y.14'', ..,,T;:,f.,4-1,:iflrtli:W440.5-11S14•-,:if.'-.•4`0; •• ' • • 1 • Clothes washer 25.02.'. i • ,........,,-.... . .. .. . . . _. ••. . ....- . 151Sitwetter. 25 , ... --. . . . . • .. ., OriniregIblltllain 25:02 . . . Eic%c-OWsumP . 25;02 . . *41.-,...kt-R'. 11614.; ;;•.%''-',“-, i'••,-'.4t1--:,- ,itiri;14.,-;i1,','-ik:"...eZ.i-,54t-ii.W.4--;••:;-iir--"'''‘‘' ."•-"Zw#egi\Wi'i' Expansion lank 12.51 Weine:-ADVia:atid Holdings,12..C. _ pixtutetscwer cap• 25.02 . . .. -. • -.,... .. . . , 'Me drain/floor sink/hub 2502 Addr• ess:-7600 E Doubletree Ranch Road _I • . driftage disposal 25.02 i -. s _ ... .City/Stec/PP;Scottsdale,AZ 85258 , Hos;bib- . 25.02 -1 Phone:i602)49.440.51 . Fax ..) , lee Maker, . 12.51 , • 1 =.-.fi,z;?,-7,-?!,,,.:41, ;',..:f.',,..:-f,l'st-j-!.7.:4-t:'.1:74...:;', .z,v,:•:41.:1.:-.7._-tr.:VF.-44,4iis r-Pif'iF',.. ..t..-A4-4,1t".. .1:',,...,:i:'4-4-,,, intereeptoiticase trap - 25.02 1 ,r•.„.,?-.1-,.,??-:--,...-;,--.7_,..,., -,;k :,.-4:..r..t............4.-..-...,:1„.,...-.;:r3zzi:, -',,,,ii..,..t,=----1:4Qta..::.. . .. • '. ' ' ; • Business name.William Lritaioined,Inc; ..,... .......- .. ... .... , 17:51 i Contactname;'Angela 6iijetirski ,. . Reof drain(commercial) 12.51 i Aildressr.,10 East 13tb Street .Sinkfbeinilavatory 25.02 I ,... i City/Statu/ZIP:VancOliverl WA 48660 Solar units(potable water) 62.54 1 _ . - ... 'Phone:)(360)69S.7700 • Fax::(360)O34442 Tub/shower/shower pan 12.51 ,•......„. .... ...., ,. . E-mail:Apgda•OrliewiikP013%"" iain ,.Drin'al 25.02 • ,.,.17'.J.Tr'cl:•:::?-7.R.:74Fic .SF-7.51,1•!:;..::::77V4'.7e.:14.'17:717.j7.4.7.-;;:',75iFT.7",.:•7:Viic-'ni; 4 Ni•Vater closet 25.02 •F-•1•,:•?•-..' ''-,-.,` '..:".X..•....,rz,..p'..1...;:',.m:...,, '1'.' .k.r..4'._:.,..,,L. .,'..;..:::::1...L•i•;'••.;'-•i;."-..,1;::".•4-•-•'"•••...: i'••••'.i-'-'1-.•:•,. iota heator 37.52 I s Bo:gras name Alliance Plumbing LLC .... Water pipingiDWV 56.29 A4dras:-146 W Historic Columbia River Hwy 'Other 2502 .„ __ ... City/Statc4IP:.Trinnitale,OR 97060 . Subtotal - .:... . Minimum permit fee: $72.50 Iniele(003)492-3490 Fax (503)912-6438. . CCBpc.4 1840! . Plumbing 1,1e:no,:P13732 Man review (25° of permit fee) i • I State iircharge(TA ofiennitlee), ! i Authorizeds igli attire: : il _ TOTAL PERMIT FEE 1 i . . __ Printttanie:,Rnbett Dislanuin , I Date:5/2311016i This penult applteattim expires Ira venial is not obtained veitbin tall days ' 1after it bas been accepted as complete, .._ *Fee tnetbodoloyo set by Tri-Connty Building Industry Service Board. IMadidiniffern.dtsTUALI-PaninApp.400 10/0009 440-461GTODMICOHLAVEB) City of Tigard ligr COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential TIGARD Building Permit #: ii, -- Site Address: /5 :- c 1'4. 1 1- e-e_ Project Name: t/gr 'c �m 6jLot #: 7/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: r, - i erify site address/suite#exists and active in permit stem. i2(7 River Terrace Neighborhood: ❑ No YJ Yes,See River Terrace Review Addendum Attached SityPlan Elements: Lree(3)copies of site plan la:ksting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper IP ootprint of new structure(including decks)with finished ra P awn to scale(standard architect or engineer scale) or elevations Orth arrow I]Q U ty locations(required for new,may apply for additions) PAZe address,project or subdivision name and lot number cation of wells/septic systems ( plicant information(name and phone number) ICIiJ . sting trees to be retained with drip line,and tree t • dimensions and building setback dimensions rotection measures 7. •t area,building coverage area,percentage of coverage and treet tree size,type and location jAipervious 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) Oklean Water Services—Service Provider Lett platted prior to 9/10/1995): Pequired: 1=1 Yes,applicant was notified No Received: ❑ Yes CI No ublic Facili • s Improvement(PH)Permit: 1 qapplicant Yes, was notified ❑ No Applied For: UVJ Yes ❑ No,stop intake • `\ rA and Use Case#: b/oiS—=AL 9- _s tr4 /"..c".-- A •'A : ;.::. . �—MMAI L1•I equired Setbacks: Front Rear S Side ) Street Side arage (� Landscape Requirement: .za-. ot Coverage Maximum: go cyo P1 1:uilding Height: Maximum Height O' Actual Height •: isual Clearance / asements Unsitive Lands: 4es ❑ No Type , Z/c'�2/L4 hah% 7` rban Forestry Plan ❑ Conditions "Meett prior to issuance of bding permit Notes: i"7fith?'74A p// frielL ilcl,„-- it) Ill- ir,voz1e-�. .. Approved By Planning: .01.00--� r--e- f . Date: I 1 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\BldgPernvtRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: # /2 be liG Site Plans: 11- Building Plans: ## Building Permit#: r Enter building permit#above. Workflow Routing: )"Planning (Et'Engineering ;5-Permit Coordinator Building Workflow Sign-off: CT Sign-off for Planning(include notes from planning review) Route Application Documents: p}Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 12 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technicianr. I......... L LA ,../"...LI Date , Engineering Review le Slope at building pad: _ll —,— CConditions "Met"prior to issuance of building permit of 4 / ❑ 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: 0 Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /44 D Date: � ►-1'x Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved 0 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 OK to Iss;: ornator: Permit4,r_ /1 Approved by Date: 3)1 I:\Building\Fonns\BldgPermitRvw RES 091216.docx 1 71City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 1 TIGARD River Terrace Building Permit Review Addendum Building Permit #: o4 7 7--, L%�) 7) Site Address: / Zec Stu aCh l�'/1%fjt1. 7T-e iee_ Project Name: ,, /�/ ' �cace i trrtt,ttic'S�f', Lot #: O/tQ_.. (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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. t. deep ft. d p min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer 40 CI E 111 2. Eyes on the street: a minimum�� of 12% of each street facing fa ade must include windows or entrance doors. Percentage Shown: fibs_Lr 04% /k , cro 3. ntrances:At least one entrance must meet both of the foil.' ' g standards: VA Parallel to street,angle no more than 45° from street, Max. 8 ft. setback from longe street- facing wall or o en onto porch Entrance opens to a porch: Yes ❑ No 'fits,all the following apply: � sq.ft. min. ,u,��Ane street facing entry ft. max. roof above floor of porch Viii ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five ofthe 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 y� Roof eave min. 12 inch projection��i ` ' —oof offset min. of 2 ft. I f gtcs-z-ithrr vircb-tc; s• -c. - ❑ oof pitch oriented south min. 500 sq. ft. horizontal lap siding min. 3-7 inches wide (27 0Accent siding min. 40% of street facade Window trim min. 2'/2"wide by 5/8" deep/ 2.- ❑ 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): 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 r 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: — 141111111111101rDate: , D I:\Building\Fonns\BldgPermi[Rvw_RES_RT_062216.docx Mechanical Permit Application 1.O1t OFFICE I s,:ON LI City of Tigarrda A.41 �/j i(� Lam♦ ,. P. 13125 SW Hall Blvd.,Tigard,OR 97223 r,1,D i* ;' Plan.Review ptpefpmt Phone: 503.718.2439 Pax: 503.598.1960 t Date/By: I 1 G A R DInspection Line: 503.639.4175 Date Ready/By: Auris: 91 Sec page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information ,.Jz'.',-..-4:.)n;,,,,03:4, ,.1;..i - . -,-;-::-.7-..:7: r� a , J. ;�.� ,,;-, a ., 1 tSt t . s ,m',aIlrE.,ldh _. 0,„ ,yxjt _k.� � _,.� sc - .� - k -.�s _ . , . ..,�— Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:S :-'- • ----- t} { ---_ '- '• '''a'''''`''''''''''''''''''''''s _a.. •..,.::: c' ..''"I '''''' j yR laej Ei 'Z i@ '`.I t f yJET�'ts _3 :::: El 1-and 2-family dwelling [3Commercial/industrial ❑Accessory building For spedal information use checklist. ®Multi-family 0 Master builder ❑Other: Description ( Qty. I Ea I Total � Heating/cooling: '� ^t ",_SST se F"t �C d`�t�, itj}(v �`F Fr a t �`ti� a j 4 Ys a.A ...� . ,.__,....1 ...._... ,._ ..,>.. ,, conditioning 1 46.75 46.75 Job site address: pSli ) triL ` ; ',!t+,.,_r Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bIdg./apt.no.: , 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-watt,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 ''} Other: 23.32 I Subdivision:River Terrace Northwest of no•: L Other fuel appliances: Tax map/parcel no.: Water heater 23.32 `�. Gas flreplace/insert 1 3339 I, r rIli. i dt'F`,Y.:1,0''',2•,`:. :`,"-,,,-2 ,-_?'a �. "t; s . � ._ _,,....�_�,,,-.L--”,�, .,,.,. .._._ ...�_...._ ,.... .__I - ,� Flue vent for water heater or gas Contractor Change fireplace 23.32 Log lighter(gas) 23.32 1 .►� r.�i rtr wood/polet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 , ' 1 t f ::-'''t•-:; ":-..:,24 tt 1' r is i Other 23.32 ;232'_,,:-=3,-,= F._..4..1 -, 1,' !f ' F -.-=' L, ;; -„: .),.t,,;,,_.z:-',',,, _A»_..E„�._.'.-...,._.r.-1-:- 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 moms) 4 23.32 Phone:(602)694-4031 Irir Attie%rawlspace fans 23.32 ' t ?yt. ', -: '1E N t:: af.:',CIt{t1', rd' i' other: 23.32 Fuc!piping: Business name:William Lyon Homes,Inc. $14.15 for first four;54.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 GasAddress:703 Broadway ST Suite 510 Wall/suspended/unit heat pump Wabeater City/State/LIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace —1 — Range 1 E-mail:Nieboie,Thorpe®polygonhomes.com Barbecue Clothes dryer(gas) Business name:Pro Heating and Cooling,INC Other: I i'f c N I.,i1-7_--;: k ,..;_Vo .......,_ .1�3 .f<'L� 1 3:.;:_..... .. £.:C'C-.!r>»'i Address:2095 NW AloclekDR 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 ,��►� -C/� _ days after it has been accepted as complete. Authorized signature:�? 'r'�f�+it /�/�/v...1,. ' Fee methodology set by Tri-County Building Industry Service Board Print name:Nichole Thorpe Date:9/192017 I;\Buildinere wits l .0 srmitApp 040113.doc 440.4617T(11/OI/COMN1EB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13562 SW BEACH PLUM TER, SHERWOOD, November 3, 2017 at OR, 97140 10:47:46 AM Record Type: Record ID: Residential - Master Permit MST2017-00081 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13562 SW BEACH PLUM TER, SHERWOOD, November 9, 2017 at OR, 97140 10:59:02 AM Record Type: Record ID: Residential - Master Permit MST2017-00081 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13562 SW BEACH PLUM TER, SHERWOOD, November 14, 2017 at OR, 97140 3:11 :53 PM Record Type: Record ID: Residential - Master Permit MST2017-00081 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Corrections completed Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13562 SW BEACH PLUM TER, SHERWOOD, November 13, 2017 at OR, 97140 11 :52:15 AM Record Type: Record ID: Residential - Master Permit MST2017-00081 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 70 psi Violation Summary: Inspector Contractor