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Permit (101) CITY OF TIGARD MASTER PERMIT 71B ', COMMUNITY DEVELOPMENT Permit#: MST2017-00013 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017 T[C " 9 Parcel: 2S106DB13500 Jurisdiction: Tigard Site address: 17438 SW FOREST HOLLOW ST Subdivision: RIVER TERRACE NORTHWEST Lot: 135 Project: River Terrace Northwest, Lot 135 Project Description: New SF. 5/18/17: REPRINT to add additional water heater. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1108 sf Basement: 812 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3316 sf Value: $397,470.59 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3316 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 2 Geotechnical Inspection STE 1 Required before foundation SCOTTSDALE.AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $34,829.02 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- 1-0090. You may obtain a copyyoof the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �.�1nG�%Gfii Permittee Signature: .7 // 4�7 i - 2I, 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. Plumbing Permit application Building Fixtures RECEIVED t„i{ ,,t,,,, , `1 ,,,,, City of Tigard ���p 1 7 n /6/ 7 �/./ PIrl .il�l5Z7�Q17-�JOIJ/C [3125 SW Hall Blvd.,Tigard,OR 97211 AY 2 1 pknRovuuw` Oter Permit Received Phone: 503.718.2439 Fax: 503.598.1960 lkte/By: o _ Inspection Lia: 503.639.4175 CITY OF TIGARD teteite dy/sy e1 Sea Page2for Internet www.tigerd orgov BUII DING DIVISION citified/Method: $rrpptemaaat Information ®New construction' fl Demolition Descriptio For vedal bO lar we checklistI Ea. I Total D Addi ntaltesation/repiacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) •.,... •.• CATEGORY OF CONB)(atic1IOT1•• SFR(1)bath 312.70 � .78 ®I-and 2-family dwelling 0 Commerciailsadustnial SFR(2)bath 437SFR(3)bath 500437 2 78 ©Accessory big 0 Multi family Each additional bathAdtchen 25.02 ❑Master builder 0 Other; Fire sprinkler i sq.ft.) Page 2 ' 40B 13TTE 1NFORMATION AN11'LOC'ATION • • Site*Mies: Job site address: /7438 (5UJ forest /101 °wc_ Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 111 City/State/ZIP:Tigard,OR 97224 _ Footing drain(no.linear ft.:. 1 Page 2 Suite/bldgJaptno.: l project name:gi1 giver feV7 N yiI', ,. Maufact�nedborne utilities 50.03 Cross s1ree4/dtrections to job site: {� Manholes 18.76 Rani drain color 18.76 Sanitary sewer(no.linear ft:„__ ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft:_i Page 2 Subdivision:g p/er ie rracc. !dominoes Lot no.: Fixture or item Backftowp 31.27 Tax mapipar e/no.: 12.51 Backwater valve :.. . • .' DESCRIPT1074OFWORK: . : Clothes washer 25.02 Cj/rfn / ojdLl (Mttea* lat V Dishwasher212.5d502021 11111111111�� _woe Drinidng fountain Ejector/sump I•ROpER1Y OWNER ' - !• TENANT 25.02 • Fawns/sewer cap Name:ADVL Land Holdings,LLC Floor drain/Boor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694.4031 I Fax:( ) Ice maker 12.51 {n COI TACT PERSON Interceptor/ trap25.02 ®.APpL[CANZ Medical gas(value:S ,) Page 2 Business name:William Lyon Homes,Inc Palmer 12.51 Contact narneMatik Ditheige Roof drain(commercial) 12.51 Address:109 East 136 Street 5K/basin/lavatory I 25.02 111 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax.:(360)693-4442 TuWshowelshower pan 12.51 �/ /� 25.02 E-mail: Me de.7hl e fid.70h°Ma%CO 3 Urinal closet 25.02 COSV 'RA / Water heater 37.52 Business name:Mabnedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 Subtotal City/State/ZIP:Banks,OR 97106 503- 324-0580 Minimum permit fee: $72.50 Phone:(503)324-0759 Fax:( } Plan review (25%ofpermit fee) CCB Lie.:102535 'Plumb-mglaa no.:34-276PB State surcharge(12%of permit fee) Authorized signature: .t TOTAL PERMIT FEE Date:04/25/2016 This pew application expires Ha permit is not obtained widths tea days Print name Carolina Malhudal 1 1 ( *Bee methodology set by Tri-County Building Industry Service>oard. i, App.doc 10/01109 440.46161(102/CpNt/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17438 SW FOREST HOLLOW ST, BEAVERTON, December 22, 2017 at OR, 97007 3:36:29 PM Record Type: Record ID: Residential - Master Permit MST2017-00013 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: 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: 17438 SW FOREST HOLLOW ST, BEAVERTON, December 21 , 2017 at OR, 97007 8:43:48 AM Record Type: Record ID: Residential - Master Permit MST2017-00013 Inspection Type: Inspector: 199 Electrical 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: 17438 SW FOREST HOLLOW ST, BEAVERTON, December 21 , 2017 at OR, 97007 8:53:10 AM Record Type: Record ID: Residential - Master Permit MST2017-00013 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 45 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17438 SW FOREST HOLLOW ST, BEAVERTON, December 21 , 2017 at OR, 97007 8:50:41 AM Record Type: Record ID: Residential - Master Permit MST2017-00013 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: 13297 SW AUBERGINE TER, SHERWOOD, December 15, 2017 at OR, 97140 10:18:22 AM Record Type: Record ID: Residential - Master Permit MST2017-00134 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Corrections completed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13337 SW AUBERGINE TER, SHERWOOD, December 15, 2017 at OR, 97140 10:26:37 AM Record Type: Record ID: Residential - Master Permit MST2017-00131 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 65 psi Violation Summary: Inspector Contractor