Permit (57) Plumbing Permit Application
Site Utilities RECEIVED FOR OFFICE I SE ONLY
Cl of Tigard Received A' �D
`J g Z` /) A?"--
Plan
No.:./"G ST)U I -
11 4 13125 SW Hall Blvd.,Tigard,ORMY233 1 2017 Date/By: v ®?' O�
I, Plan Review
Phone: 503.718.2439 Fax: 503.598.19606 a.G ,_j (4 Other Pertnit No.:
Date/By: � /,�.
Inspection Line 503.639.4175
T 1 C ARD PCE ��G� D Date Ready/By: .turfs S See Page 2 for
Internet: www.tigard-or.gov ot����� enta
B11 DING DIV9SIJN NohfiedMethod: Supplem Ilnformahon
, i / dui a7'
®New construction 0 Demolition For special information use checklist
Description Qty. Ea. Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
- rkEG> # IS . f \ SFR(1)bath 312.70T # a
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
0 Accessory building ®Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler(1.384 sq.ft. Page 2
.•,,,r,-430f SS1111: Tole: i'5:'.45 v.:: !t Site utilities:
Job site address:13590 SW Beach Plum Terrace Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
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.:215 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
' 4 o1+ 1 Backwater water valve 12.51
x�`�= � � � k
. . :. Clothes washer 25.02
Multipurpose Fire Sprinkler System Dishwasher 25.02
Permit#MST2017-00084 Drinking fountain 25.02
Ejectors/sump 25.02
FR(IPIRT OWW(` `TFN TExpansion tan 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
ACAs. t te a,! 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
IUITT Water closet 25.02
,vy,... - ,,,, ,« ,, aheater
-��� � _ Water 37.52
Business name:Alliance Plumbing,LLC WaterPip i in 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
CCB Lic.:184601 Plumbing Lic.no.:PB732
Plan review (25%of permit fee)
7L-� State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Gavin Thomes 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.
1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
sppiteijtiltties
Footing drain-1"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
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
k,. tee44:
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*.
�
Quantity by Fixtut* yype 1)a1 • or _ bi sta l "1a i .
Fixture Type for Replace/ Plan review is required for any of the following.
Work Perfor ned Capped ` Added iteikeeeeee
Baptistry/Font Please check all that apply.
Bath Tub/Shower El 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 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic ® Any multipurpose fire sprinkler system.
Drinking Fountain 0 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.
;�
• � in
4" C11111C
Car Wash Drain x r" i
Garbage Domestic-non-food
0 Isometric or riser diagram is required 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 fixture work under this 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 Pgmit.doc
IIis CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2017-00084
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017
Parcel: 2S106DB21500
Site address: 13590 SW BEACH PLUM TER Jurisdiction: Tigard
Subdivision: RIVER TERRACE NORTHWEST Lot: 215
Project: River Terrace Northwest, Lot 215
Project Description: New SFR. Building/unit 13.5
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 2 First: 105 sf Basement: 0
sf Left: 0 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 646 sf Garage: 497 sf Front: 8
Dwelling Units: 1 Smoke
Third: 633 sf Right 0 Detectors: Yes
Total: 1384 sf Value: $183,847.27 Rear: 5
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 LaundryTrays: 0
Y Rain Drain: 1 Urinals: 0
Lavatories: 4 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: i Catch Basins: 0
Hose Bib: 1 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0
p W/Svc or Fdr: 0
Ea add9 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: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr.
NEW Occupancy Group: Square Feet:
SFA VB
R-3 1384
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: $23,178.84
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
14)
Issued By: 7-1-4?----, Permittee Signature: 0,17-?Iv,"L,./C' Al
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application s_ ;°. , i-1., a 1 S
Residential
FOR OFFICE USE ONLY
City of Tigard LIT 4..l 0 fll„ Received PermitNo.:
Date/Y /21 // 7 /�� •J/A�q 7r�
13125 SW Hall Blvd,Tigard,OR 97223 �A/` /� ��ryyyy,
i 1 Plan Review „}� S _ 67,60 (/W7J
Phone: 503.7182439 Fax: 503.598 1960 ` �egy: �-G- � '� "ti Other Permit „„
_,
TIG.4 RD Inspection Line: 503.639.4175 4 -,*$ Date Ready/By:Ready/By: . - JunH e See Page 2 for
Internet www.tigard-or.gov =' t- Notified/Method:) d' �/ ty j' Supplemental Information
g..-: -.7J4,--4a1-72,,,......" - -4- .,,E e3 ;yam- 4WD,+ �Ki, -: - "o, '.`-g&,;7-
i-;-/--6-37—.
• .e"c."r:.`
-- 14-1k .yx...__ '.- 4...� _9,. .. ``: t,-� .. w -7.---4,.' i �9.1 B b; F 'L i-.4;,.-,' t —,--i�N �1
®New construction - ._....:..
0Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement Other: Indicate the value(rounded to the nearest dollar)of all
_ equipment,materials,labor,overhead,and the profit for the
Win-' .—eL, g ,6 „ g tin ,r work indicated on this application.
1-and 2-family dwelling ❑CommerciaUmdushial Valuation:1833 81 7 $ ri t/
❑Accessory building [,Multi-family Number of bedrooms: 2-
o Master builder 0 other: Number of bathrooms: 3
_ €)$iraEIlN [iCj{ y --sem Total number of floors: 3 • •
Job site address: /3”0 Svc hum -re,' - New dwelling area: 1 3a14 square feet
City/State/ZIP:Tigard,OR 97224 Garage carport area: 1-4 9 i square feet 62 1
Suite/bldg./apt no.: /5,5- I Project name:River Terrace Northwest Covered porch area:6 6 ( square feet6 4.6
Cross street/directions to job site: Deck area: q 6 square feet 10€
Other structure area: Cj 6 square feet
; ,�� E t l' , : r$
Subdivision:River Terrace Northwest I Lot no.:Z f S 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.:
F y l equipment,materials labor,overhead,and the profit for the
_ } *Cli[I+3t1'i: _ �"` � 4-4-t work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
t, r ",—''"'. ..-3�-h�i.��:-. moi+ -:�.. I .'
- R—„� _. ! _� 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 ( )
. �,--_ _ In lY� .Y.�
Business name:Polygon WLH,LLC ` 7 7ti 'Z' u '*��
Structural plan review fee(or deposit):
Contact name:Angela Grajewski
Address:109 East 13 Street
FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received
E-mail:Angela.Grajewski®a polygonhomes.com � - �+°,, G �-� _ '� -�;
ar - 7,_ Commercial and residentialprescriptive installation of
.� -T, d .': :f.�r� .'v.T : taiSolar
_ ..<_ _,. m_ - _. . .. ..� _ .' rooftop mounted PhotoVoltaic 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):
^bne:(360)695-7700 I Fax:(360)693-4442 State of surcharge(12% permit fee): $21.60
I _ B lic.:207247 Total fee due upon application: $201.60
Authorized signature: / / This permit application expires if a permit is not obtained
J 4IAll/ •
_ within 180 days after it has been accepted as complete.
Print name:Angela Grajewski Date: �Z'''n'7/l Fee methodology set by Tri-County Building Industry
yi �-v 1p_I Service Board
I:\BuildingWermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Received
, City of Tigard I
_ _
Data}3y: Pandit ho.; s.7 ,0/7 coe
13125 SW Hail 121W.,Tigard,OR 97223 Plan Ret4tx �'[
' •••Phone: 503.71.82439 Fax: 503598.1960 Other Permit: is
Inspection Line: 503.639.4!75 Date/By:
1 1 J ',r,,t> - •. . Date ReadyrBy: Mc Bl See Page 2 for
Internee wwwitga or.gov Jdotifiedirvlerhod:
y� j.. Snppt=rdaental lnforrasSon
eN x..•y 'a mak,.•. 7,7 r �I.�:t.i% i fi :{•v. w �%• t4 x.. }lu:4. x 1 NFi uy, RCIAL I;�'.)S Ill Eg'�911S 42118 , ..
M..♦ `Y'F 'h •� '$V1 J +ry t f liG(- r'-'.-.._Y ... �Af'`1- H`..
-i�c�-.'�3....r°,a"`.::..�f�'�n'S,,.t*Qe,,.�Tw� a„�.�'! ,�: .�5�'^`r"+r�S�P. o:�•.� h� ���„a.a��'�.,.�..:.: .{riG4.,. .+., .?1���_ .... �. ,asz;.:
hamcal permit fees*ars based ant a value of the work
C..1,New construction 0 Addiiion/alteration/replacement perfonnrd.Indicate the value(rounded 0 the nearest dollar)of all
0 De:Molition 0 Other. mechanical materials.equipment,labor,bvcrhead,and prom_
. � 4 �� yrs Value $ 1
J 4.. , , `�aiw.,L 3 ir., 4..per. �." .7. tC - k ,3.;� WM 7 �AR• 61 k 5 ti1#0)7 �• r �+3�",�'rrl�- tae
�'�r ' �,. w.�.c� i,� ',' 'a:.�3'� x� ..�.��. .°. arta � �_.., ... ..
❑1='and.2-family dwelling 0 Commereiial/industrial ❑Accessary building For"feeler Information us ncedllst.
El Multi-faniiIy ❑Master builder ❑Othcr: Description I gay, I Ea. I Total
y .� '!^`°LQiR� 4Y ,•+St•n 'wYs/v[W ItV l +�'*L'.pl r■eAfyatnt µ�.� {� y
�.„1.;::uG... :�rc'�'�Q„+s'•ifit***:x �1 Il.�.n ,/4 Y NT'.r� %tis K? iY'`3,, lit:.a`in�C.dnl• k
2 t 4" t _ Atrcondettonmg • 46.75
Job site addiess: 1 h 5 W beach 7.t{A,Y� .e.1►rrt/t Ce . Furnace 100,000 BTU Moots/vents) 46.75
CitylState/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductst tats) 54.91
`� �^ ' Fleas pump a 6I.06
Suitelbldgfapt,no.: t�t 7 Projectnatne: y 'TiE'�'►rA.rf-._Aj1 -thai st
Diet work 2332
Cross street/dit ions to job site: Hydronis bot water system t 23.32
Residential boiler(radiator or
hydronic) 1 23.32
Unit heaters(fuel-type,not electric), c
• in-wall,in.-duct;suspended,etc, 46.75
•
hire/vent for any of above 1 23.32
Subdivision: • e_ TP act_.rNOter1414-err- Lot ni:x; .)1'S-
tit 23.32
1 -er
:Other hid iinniiad __css: I
Tax map(pan el no Water heater. _- 2332
`Ser' 4 •+'rf '� ,Y >Y:..,tai e �„„r�;;.. �nsy ri tiwt •''' hy?" �4{[ d Oas fire lace/iinsert
:t i ..•• r. :, i" t1 `�n't.. ... , P __._i 33.39
Floc vend:for v+ater heater or gas
new hence cotastr action fireplace. .. t 23.32
I ux lighter{gas) • Q 23.32
Woad/pellex stove 1 3339
a
......... . . • . . . . W6nd ftieplart./i _j nsert•. 2332
Chirrineyllincr/flue/vent 1 2332
< s w<rx,7r,e ?'.�, � ,xF v 6 r�V;a 1:-.2,,,,,•. r Cu �r • giwirOnineO • 1 2332
Name;;ADVf J,sindH4 ldingss Raitghoodioatlter chen and vent!
st la�:
equipment... /J33.39
Address:7600•E Doubletree Ranch Road Clothes duct cxbaust j 3339
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
• toilet camparttiicnts,utility rooms) 14 23.32
Phone (602)694-A0 1 Fax:( ) Attlklcrawlspace fans. 23.32
`s,i}, 06f:;-:-• ,4. .`fes. ., .7:?:. Of .: ` ,Q:4 .; ', ? 3 w 0,r .a 1 Other. '23:32 •
Fuel Pining: v
Fiiutnessnama:•lti+illiar:>Lyon fiorrtes,•fne. f
sitis forarst foutiStei foriach mal
-, ,, -_a'awc, w. . CW. FUIn$CC,.Cte. -I • v
Gas heat Pump
<Addratai•109 East.I3tItskreet
Wall/suspended/Unit heater.
Ciiy/StatelZ[P:Vancouver,WA 98660 Water heater 1
Phorate:(360)695.7700 I Fax::(360)693.4442 Fireplace • • -
- Range.
.E-mail:Angca.Gra 1.311iaPft3n1!!”° 3n! --... Barbecue
(gas)r % � s� A ,i ir.4 Pyi141S •ff N.re". z" S,4,i� w4: ti Tt Clothes dryer
ry � f•t . . tsT .
Business name Andersen Mechanical,rtae, Other.-
�S:ddress:16 $5�a'.V. 'Ave i 0,7s ?;
. �'ubt�al Mr
04y/S,tatelZiP:Tigard,OR.97224 Minimum'permit fee 90.110)
P done:(503)997x6664 • Fax:(S03)516-6615 Plan review(25%of p xnit fee)
.State surcharge(12%of Petmitfee)
GC$lie.:168214 TOTAL PERMIT FEE I
This penult application expires lfa permit 0 not obtained within 180
days atter it ban been accepted complete.
Auil•torlied signature i Pee,inethoiiotagyset by Tri-County Buildin Industry Service Board
Print nate:Augota Grajewslti Date:8/22/1.6 1 -
•
1.444d&1giPxrnriii CLPcrrnrtAPgi4Ot11.dx 444=461Tt(r1#V' Qr IWE5)
x
Electrical Permit Application "'
bort orbic. .USE ONLY
City of Tigard Received
IIESINIffeill
al II 13125 SW Hall Blvd.,Tipird,OR 97223 / // .
Plan Reviewg ' Phone: 503.7182439 Fax: 503.598.1960
Inspection Line: 503.639.4175 Readye/B :
T1GAKla $Y E!See Page2for
Intttaeeww
w .tigard orgov Not ied/hiethod: Supplemeta!Information
-?,-- er,,,.1, -'f+, a',- "Yat;1ti1. ij4- , ,91a 4•_)4 .-31,4R..0 ' 4:,x '?-- O t
®New construction 0 Addition/alteration/replacement Please check ail that apply(submit 2 sets of plans w/hems checked):
0 Demolition 0 Other ❑Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current
:'4"- 'y Iloa-g_i at:;,E cJa ji El14.0 cr ca„,, .,�,L,, . exceeds 10,000 ❑ tand boatyards.
"'� ' � `? ,�. amps at ISO votes or (�Floating buildings,
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations,
Uti-family Q Master builder 0 Oter: [�Fire pump, 0Lrstafation of 150 KVA or
Y+ a �� .��'�.•�."�Oratef ,<,s.:..' ',..,344-1V114.., ClEmerBencYsS'stem. larger separately derived
Job#: Job site address: 3 '}�S h/ l? D Addition of new motor load of system.
1'J�.m 7 ev- 1oot1P or more.
City/State/ZIP:Tigard,OR 97224 D Six or more residential unitsoccupancy.
_ °Health-care facilities. D Recreational vehicle parks.
Suite/bldg./apt.#: 1,S— Projectname:Ay Tara t. Noah twit [}I3azaridouslocations. Osupplyvoltagefor more than
�!S/Y t YL 0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: `.ter x 5t r c1 ` a IArte 3
Description I Qtr. l Rea Total
^ �''" New residential single-or multi-family dwelling unit.
Subdivision:
6'up l ! vv,ei f- Lot#: 2., J includes attached garage.
'Fax map/parcel#: 1.000 sq.ft or less f 168.54 4
r z Ea.add'l 500 sq.ft.or portion 33.92 1
!1_f. .z ~z it cs�'aa .t�atlaN Ezijf,'.''4,a'I; ,r�, -',fi `x,
.t , Limitede
energy.residential
(with above sq.ft_) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft)
5-"i g/-'1CLI-bl".K`M `a 44,° ;; -414>;,. sxr 4ts5 j s:'s �� �sSReernveiwcesabolre fEegry installation,alDteraSteonP,aagned2/o
r 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
City/State/IIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 30I.04 2
Phone:(602)694-4031 I 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 I own which is not 200 amps or less 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 I 2
Owner signature: Date: • 401 amps to 599 amps 168.54 2
a fR" yr y Se tt '."aE i„x,z-,: 4 *, .i, ... . `y�jog.iaa"t`i•tr-' g' •,'`M litage:P Branch ctrc.uitS-nt alteration,or extension,per pallet
/'�� � ,"S A•Fee for branclt circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee,
each branch circuit 7.42 2
Contact name:Angela Grajewski B.Fee for branch circuits without
Address:109 East 13th Street service or feeder fee,first 56.18 2
branch chant t
cl/fit A%.na_t.a*i..,WA)161!$ E Mee/b,a,,..l,=mod ( 7.4.e I
. — Miscellaneous(service or feeder Phone:(360)6954700 • ' ' I Fax::(360)693-4442 Each manufactured or modular n0tinclud 7 r
Email:Angela.Grajewski u®polygonhomes.coln
dwelling,serviceand/or feeder
67.84 2
Reconnect only2
r-v r : 'ma c ` F :1fi t E41....)-r, - �v ZA'Ta L-9. ..e,.?
Plumbing Permit Application.' • , ' .. . '. otiod mirminumpiiiimil. . , .
Building.Fixtures , .
. ..
City of 13125 SW Hall Blvd
1N Tigard OR 97223
Tigard ,. Date/Br Permit Nom5Thoz7 000 zef
< .. ., , L'-` '
Plan Review
• • Phone:303.718.2439 Fax:'503.598.1960 Dategy: Other Permit No.: . .
InSpection•Line: 503.639.4175 Date Readip,.. lois: 13 See Page 2 for
Internet; *ww.tigard . .-or.gov. ., , . .• •kattrteitime• hid,
. Supplemental information •
,
*.,„',--244,z,.•.:;,,,_,k-,-.14',..2scsi.7::', ••44t°."7..^kt.7'.",,,.• ,-,,T,,,",l,'4 4.,,,,4Aietft- , \K47.1.4?- .."4-A/<'/AM-F4(41/'4"'"41‘rf`''':-Iti-T.'40titilif:Igr"A'./''''';'i. ' ' . .". I
://'-.1!//t/f://"W't,',:,4,•`-.-..40,7i1W-e.---2'7''t-"-,,•L •-•'-0, `;t..='.-: 414W.:‘,./I'''i,,t„,,iy.;,...,,,;.,1§..'`.,,,,,Av.;tt ,L2.I.,k4i1.-,;-:. .4..t.g....04;80iiii.7.,;:Mi$0,•,.',3;2•10 :0'....*)., .4.-A-,,„,,,, ..-,.,',!0'.:........,,..1:!:-'. .. :-. -• ••-
.
I21 New construction 0 Oemolition For special information stse checklist .,
...
Description I Qty. 1 EA. I Total
El Addition/alteration/replacement . 0 Other: , New 1-2-family dwellings(includes 100 ft.for each utility connection) i
• I
•..„:,,-.4:', -.:,•,.:5t q.1.,..1.,;,,`*;„,..;:irti*VW:A044 ,,,-,4,-;zi,-,,,,,,-.:„...,;.:01404:4,4,4*-1- .SFR(1)bath 312.70 1
8114 2-faia4 dwelling 0 Conintercialiindustrial _ SFR(2)bath 437.78
SFR(3)bath 1 ' 50032
0 Accessory building Alvlulti-family
Each additiOnal bathikitchen 25.02
. C3 iv*riiitiidei• .
_ El Other:
- • Fire Spririklert___sq.ft.) Page 2
Lli-•-•;,1;4•-':;??. 'i•:,'"?0, 4i1,•f'n. .F4,`;-7'iT5..i'-',-.7r7;•,`:' '-'•/"•*:4;••g•ei"<r;''''1.:re;14,1,rt; 4,1•4&"47,Aittil•v--)s,P sik in-ti :
1
At.:vve•-*I."'Z'•O'•'';'.'•Z-1",' '.'''..1--44'e:,,,'-•:,;•,,,,* >w,..'••;,i,'...••,-'4 - '-...,,,'14.47'...t.--;-.14..A..iWct' ';','..;!....: • U I.es'
Catch basin or area drain
J66' e isjc!ress: / 51 D S W 8t/OLCA Pit1.44 ere:M2Ct
Drywell.leach line,or trench dram 18.76
1
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear 11.: ) Page 2
,_ ,
Sttite/b14,/apt.no./3 S- Pmject namq2,1VCK tekVac.,. ItIdAw fr- !qanufacturedhorne utilities 50.03
. -. •
Cross to job site: ,• Manholes 18.76
Rain drain connector • 18.76
• - '• • - . . . .
Sanitary sewer(no.linear ft.:_.) Page 2 0
. .
Storm sewer(no:linear ft.: ) Page 2
I
. - . • Water service(no.linear ft.: 1 Page 2
1 Subdivision; itzilti, Tryvarz Noc7l4weAt- Lot no-: 115-- Fixture aeltera: .
Tax Map/pence!to.: . Backflew Preveriter 1 31.27 I
1.•••.,..,:f4f•o,p-z;.--,...,,,v;;=.1•:-. .-.... -J• Vii•-" g.,..5"filt'rft,=,,,,,..y._,::. ,•,-,14f,•••:.,..c.•,,A;g-,.. ...>'.,:,,,..„,,,zi,,,?.1,,4„:2,,41..10.41,,,:-li...,tA,,,, Elackivater*valve 1 14/ -1
.k,;''.t',15V!t:':P.4,'i.R","'''''..YA7f:''.‘=',"-t'rr.;,'t,',VA,,,,,':',.- ,...-=Z.!,',.,P1S,' ;''''II..r4-i''';',7„'k'r ;';'-'YS'.,,T-C''''rP-It.cF,.-f'.#.X,'.i'2:4t. .• ' ' '
a01-11Z"fitgler . 25.02
I.''''----' - '" ""-: ' . ..... ..•. . •6ji.hratiFir. 25:02
• . .
Drinking thuntain .
25.02
•
. .
. EieelarVaamP 25,02
- - • •
''''''''•;;*-174r6k.1••41''''''''::'-''•:•;•"':14".i.tk44.-i•• -:•:,'"G:140,-.Vi.+;?tV3111t-,1C0'Z'•<•4-1e,t'',Ift:'6.;.'144.,"L',sx Expansion tank 12.51
Name:.ADVL:14intilltildings,L1LC fixture/sewer cap
2
., . ... . .., . 5..02
• 1
, .
• - Fleor drain/floor sink/hub 2502
Address;7600 E Daubletree Ranch R.:(1 . .
..... . .
Garbage disposal 25.02 i
CiV/5tate/EIP:,Scott.sitale,AZ 85258
-1
" •• • • - Hose Mb: 25.02 •
. .
Phone (6 )694-403j Fax:( .) . Icamaker 12.51
1,.. •••p*,,7,-F?•;:',,:itit•••"7,• :.••`,;,f4:•‘-'7,;„••1!•7•:,- .7.7.- .14r-,...7•,,,74,•41,m•':;.•.-:4.••• .7..fp.,..,-4,..1.,:„.••::_;:;.:•.rret....7.-7,*y„-,:4s.-„,-4,s.17,749,„7.7,-.F.17.kr .
..,:•?;.,,,,-.F.P.,• ;;•.,.=',?...•"••: `,,-;.,;i 4;:,_!,,,,111,..,,..,4 ti.y..fiL•Ticv,.•••. :.i.,;,,i,k• .,;;;_-:;,..•••,: ;„;-L•' •-•,,--,,,,!,„;,,,,,.0:4,4,,.,-}•1;,,,,€_;„,;,,,;y4).,14,-;t4.,.:5i.,,.t interceptor/grease trap • 25.02
* - .......10101011.6u41..1 ) . Paa..•2. .'
. • Primer • 12.51 I
•Cpntaannaute:Angela GnijeWski • •
•' • ROof drain(commercial) 12.5.1
. •A.ddrq;s:•1•09 East 13th Street
Sirik/bminnavatory 25.02
. ...., . ..
City/State/ZIP:Vancinivest WA 98660 Solar units(potable water) 62.54
0O1.1ek060).0957700. Fax :(360)6914442 •Tuldshowenthcnver pan 12.51
-B-triail:•AngeitiOntiev•raki0painaaho'nees•e•ani ,prinal . 25.02
-.7,-.731:7-,7..T.:,.-7.-,•••„1.„.•.7...7f,.:•.•tri•7;:•-•zw.N.v•- •,..-2-..714. s.:i.<7,,...-L.,...•_,,,-;.:17.-.7&•••....,:.-7..,r„:•_-7•..fwk-,7,-r.tr..wr„,-,--,,,T.„,13.,,,,,s,,,,,,,,,...5„.;,,,z • Water c.loset 25.02 1
.;Z!•:,.", ..:a:i''':'', "'Y't:.,`O''',2".. ',"::,'•:'?•g:,.'":;•'••',"-:;••';'•".••••-'7.t-v-A'•‘-'•:;,' iffiiliTt; ,. ,70-'''t'A . ...-- . 1
.Water neater 37.52
Business name:Alliance Plumbing LLC
..
Water piping/DWV r .56:29
Aildrigs:146 vOliatis4e Columbia River Hwy Otiter• . 1 2502
Cit / tate/ZIP:Troltdak,OR 97060 . Subtotal
. ••••• --- • • -
Pilot* 03)492-3490 Fax:(503)912-6438 Minimum permit fee: 572.50 I
1
(
. . , . Plan review(25'1,4 ofpermit fe )
CO Pm:184401 divv..... Plumbing Lie,no.:PB732- •
AuthMized siiptattire: .
4
. . state swelleigel i 2%apCrniit fee).
TOTALPERNIIT FEE !
1
i
Print name:Robert Dishman Date:5/23/2016 This penult application expires if a permit la am obtained*lain 150 d575
...., .•• , .
after It has been accepted as compkte,
'Fee methodology set by Id-County Building Indust's),Service Board.
BetiasuiPPeratitatt4ti•noreitApp,dec 10/01/09 440-4616700(02iCOMMEB)
City of Tigard
111111 COMMUNITY DEVELOPMENT DEPARTMENT
■
r 1 c u n Building Permit Review — Residential
Building Permit #: Lv j — _, , L
Site Address: i'S O k) ? ?Nap_ &,,___-
Project Name: _ AW- 7 jrj f R Lot #: �` /�
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: e14J _c w g / .7-404.0 j (/ L()/(212&f7)
17 erify site address/suite#exists and active in permit stem.
River Terrace Neighborhood: ❑ No LTJ Yes,See River Terrace Review Addendum Attached
SityPlan Elements:
Vree(3)copies of site plan la:f:sting structures on site
e plan must be on 8-1/2"x 11"or 11 x 17"paper FP ootprint of new structure(including decks)with finished
awn to scale(standard architect or engineer scale) I,or elevations
.rth arrow `!Utiljty locations(required for new,may apply for additions)
t e address,project or subdivision name and lot number cation of wells/septic systems
plicant information(name and phone number) gisting trees to be retained with drip line,and tree
Vi t dimensions and building setback dimensions rotection measures
7, •t area,building coverage area,percentage of coverage and treet tree size,type and location
}rupervious area(applicable if R-7,R-12,R-25&R-40) Street names
IPSProperty corner elevations(2 foot contour lines if more than
4 foot differential)
`,lean Water Services—Service Provider Lett platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
,1-'1( Public Facih�Improvement(PFI)Permit:
quired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
liZand Use Case#: bi 01C: ' -C S Gl,C 2? `o6
o •mng _ J ( C
If
equired Setbacks: Front Rear S _
C/ Side 0 Street Side Garage
VLandscape Requirement: 0
ot Coverage Maximum: 7`J(,T
I'I 1:uilding Height: Maximum Height Oh" Actual Height �'
.111'pisual Clearance
v/Easements
nsitive Lands: Yes ❑ No Type Lao t4:2/ I hh1 —
F7
Urban Forestry Plan
❑ Conditions "Met" rior to issuance of—b•diing permit /
Notes: 211eilAYN k • 1�// L /2477 iic:l,+_ j ;,im17' lSS'4404.e,(._.
Approved By Planning: s---.r Date: IzQ / /.
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: /Z/,ZoJ9
Site Plans: # 3
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning I Engineering ' Permit Coordinator Building
Workflow Sign-off: 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: J� i���L`;41 ` '� Date: 24/47
B:,' ..3.,, ::: _.v,-, , _ .,,...,,,,..Y= ,44.,6,-,,,, 1. w- .,—,._ .7Fu -. ;*:,.sf2,a'.a ,,,a..... 8.,. .,, z._. . .... -r t_,. c ,.._,_..g', ,
Engineering Review
Slope at building pad: 141
CConditions "Met"prior to issuance of building permit s p I
/err--
O Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes El No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: ji Date: 1-�,e-i7
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:
(1DC Fees Entered: Wash Co Trans Dev Tax: ,5)yes 1:1 N/A
Tigard Trans SDC: yes El N/A
Parks SDC: res CI N/A
OK to Issue Permit
//d7/
Approved by Permit Coordinator: Date: 3Niq____
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
PhI
T 1 c A R o River Terrace Building Permit Review Addendum
Building Permit #: jA it —
. ,a
Site Address: A) ,47740,1__ ��,ox
:e
Project Name: 0/-gr- rix' 0 Lot #:
(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?gli 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. ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dorm
❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance - oorrss.
s
Percentage Shown: 1g , l o -/o�
3. ntrances:At least one entrance must meet both of the foll * g standards:
Max. 8 ft. setback from ion t street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: Yes ❑ No
IfFs, all the following apply: sq.ft.min.
ne street facing entry5 ft.max.roof above floor of porch
ft. depth min. 300/ft.
0%min.porch roof coverage
g
ietailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
1Covered porch min. 5 ft.wide 3,5 ft. deep �j ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
all offset min. 16 inches ^ ❑ Dormer min. 4 ft.wide
rii Roof eave min. 12 inch projection°'% ❑ oof offset min. of 2ft.
❑ Roof shingles either tile or wood able,hip or gambrel roof design
{ --Ruuf pitdi oriented south min. 5U0 sq. ft. horizontal lap siding min. 3-7 inches wide
le—
❑ Accent siding min.40%of street facade Window trim min. 2 1/2"wide by 5/8"deep �"12-
❑ Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep
0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No c oser to front or side lot line, than longest street-facing wall. 0 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.
vfMay 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)
12-foot-wide garage door 0 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: - -t. l /��
,� Date:
I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
Mechanical Permit Application I OR OFFICE t SE ONL\
II City of Tigard " Reee I)ateBy:r �• 'emit No.' ` 0 — z
i ' 13125 SW Rall Blvd.,Tigard,OR 97223 Plat,Review,
Phone: 503.718.2439 Fax: 503.598,1p60,-)
503.598,1 gb0 "
Date/By: Other Permit:
Inspection Line: 503.639.4175 , I '
TIG>IND
Date 4c y: See Page 2 for
Internet www.tigard-or.gov TlotiSed/Mthod: Supplemental Information
r 3 • ;::_ .,,,.F�,.. ..,n d t Ui,Ye3,�� ''''f,.� 'ii �e�'l�� a,.,:•i °3 f €s''pC ' ark 6. I'fIsfl�, e�.f,,.'�r41E31: ss''. �'b-...
:.. Mechanical t fees*are based on the value of the work
►C4 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
t Value $
r .f fid n. ,,;•-•""4"-e-..".:-,r I.z ,I,'' is� %x f ,lr i ss..,--,A,:".".,1 ' 2 _ . a v "_tet ae 2:, ',,:f.,"-
0
'.
.t �-- _, ��_._.�.._._ --.-�-_..h _..? , a �G�, E a, G E&��E s t n,i"A�x n,,1 �i r�,�� ,.
❑1—and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use rheddtst.
®Multi-family 0 Master builder 0 Other: Description I Qty- 1 Ea. I Total
, 7iei CU i_. f°,,'E� -,s k]iE £.,.ct:;.t r_.Cl.tz..:3, . r wa �. .'-,.... , Healing/cooling:
Air conditioning
1 1 46.75 46.75
Job site address: 135110 S{ Vbeac 1 ptu+ 7-61/ a
Furnace 100,000 BTU(ducts/vents) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91
L— Heat
I Heat pump 61.06
Suite/bldg./aptno.: 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 I 23.32
�^- Other: 23.32
Subdivision:River Terrace Northwest I Lot na":2,' J Other fuel appliances:
Tax map/parcel no Water heater 23,32
..",',.'.7,7:::::7,1:4L7,4 Qas fereplace✓insert 1 3339
Flue vent for water heater or gas
Contractor Change fireplace 23.32
10.3'7,011-J V' Log lighter(gas) 23.32
r �J Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
'--):''"•‘:t• .... _ _:.w - - - Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
eyuJpment 1 33.39
Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39
City/State/ZIP:Scottsdale,AZ 85258 Single-dud exhaust(bathrooms,
toilet compartments,utility rooms) 4 23.32
Phone:(602)694-4031 Fax:( ) Attic/erawIspace fans 23.32
T, I i;,r t l d., -° x� f : : , ,�: Other: 2332
1 M�C
e,�t't rc Feel 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 beater
City/State/ZIP:Vancouver,WA 98660 Water heater y___
J -
Phone:(360)695-7700 Fax::(360)693-4442 Puz place I _.
Range 1
E-mail:Nichole.Thorpe®polygonhomes.com Barbecue
a ,'tli i'r, f+rC1 s'aClothesdryer(gas)
Business name:Pro Heating and Cooling,INC Other
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 lie.:209001 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
�' �,yyy��----��__ days after It bas been accepted as complete.
Authorized signature:6����� y ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Nichole Thorpe ` Date:9/192017
I:\Bui€dinglPessent dE.C_PernutApp_040113.doa 440-4617T(I t/02/COM/WES)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13590 SW BEACH PLUM TER, SHERWOOD,
OR, 97140
Record Type: Record ID:
Residential - Master Permit MST2017-00084
Inspection Type: Inspector:
699 Mechanical 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:
13590 SW BEACH PLUM TER, SHERWOOD,
OR, 97140
Record Type: Record ID:
Residential - Master Permit MST2017-00084
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:
13590 SW BEACH PLUM TER, SHERWOOD, January 10, 2018 at
OR, 97140 12:57:02 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00084
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Water pressure 55 psi.
Glue cleanout body in place and provide approved thread sealant right side. 707.3
No hot water to fixtures, no further inspection done.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13590 SW BEACH PLUM TER, SHERWOOD, January 19, 2018 at
OR, 97140 10:14:39 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00084
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Previous corrections completed.
Water pressure = 55 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13590 SW BEACH PLUM TER, SHERWOOD, January 23, 2018 at
OR, 97140 12:30:21 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00084
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - CofO
Comments:
Final erosion control passed
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 verified
C of 0 left on counter.
Violation Summary:
Inspector Contractor