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Permit (111) CITY OF TIGARD MASTER PERMIT t COMMUNITY DEVELOPMENT Permit#: MST2017-00472 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 Parcel: 2S 106DA00800 Jurisdiction: Tigard Site address: 13303 SW 169TH AVE Subdivision: RIVER TERRACE EAST Lot: 8 Project: River Terrace East, Lot 8 Project Description: New SFA. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 321 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 646 sf Garage: 326 sf Front: 12 Smoke Dwelling Units: 1 Third: 637 sf Right: 0 Detectors: Yes I Total: 1604 sf Value: $201,914.94 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1604 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 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: $24,755.34 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug a•R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,, / Issued By: Jr Permittee Signature: vv �L- 61- 7271 " 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. • DoT 8 Building Permit Application y N.., "+ J F a FOR OFFICE 1 SE ONLY F;. Resdniaa City of Tigard AUG 2 2 2017 DateB� L` /7 /1 APermit NoA��jZ �� /,,[�� '� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /` wl�//Y/ 'L(� I Phone: 503.718.2439 Fax 503.598.196CC `d`OF. 9 f a ,n DateBy: I "4.1 1 ', e ') Other Permit�s`/��/� (or I).../'y,� TIC ARI) Inspection Line: 503.639.4175 BUS LC r:'SCa �i�;,'IGInN Notified/Method:: / 4, / 4 Duns•. See Page 2 or/ "l/ Internet: www.tigard-or.gov / / Supplemental Information m 4 3Sd k 8 ' 14*: 9 6 1t & t i"Y Z New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the "' „:„.1A work indicated on this application. 1-and 2-family dwelling 0 Commercial/industrial Valuation: $.1—81/ ❑Accessory building Multi-family Number of bedrooms: 2 ❑Master builder 0 Other: Number of bathroom 'Z� ' t ! t els F,:-:A.;....F' '` Total number of floors: " a Job site address: i 33 b`7) SW i t Y A C fNew dwelling area. 1 6 0 fJ- square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 2a,6, square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: j square feet 646 Cross street/directions to job site: Deck area: 6 square feet.3.a.1 Other structure area: 6 square feet @' i i tY E g +5' � Subdivision:River Terrace East Lot no.: B Permit fees*are based on the value of the work performed.A Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.. equipment,materials,labor,overhead,and the profit for the t 1Z iW Z �' s C�! � e §, -41 : r work indicated on this application. s „ rte„ `�?�,,,,. ,, ,'�?�0�.. . ,�.�--; ",.. ,., „ . .. , .b„a„ 5i. P Valuation: $ Existing building area: square feet New building area: square feet . �» t § , t � ,,�. '' � 4� • t� 02� r� Number of stories: �; .. -, .. as. � ,.o., � tVeth.- ; „,,, , 4 „'*wm 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: It Business name:Polygon WLH,LLC r '° � '' Se' .. i" •*`� -,-:04':'a. Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address: '7 0 3 Oa�(- S r SUL+e. s s/� " Total fees due upon application: City/State/ZIP:Vancouver WA 9866 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Nichole Thorpe t i t t ¢ 7 gi ,. , ? ,. ;. .__-. .k.... ,, ., , .,._. £;I Commercial and residential prescriptive installation of _ t t > t" ,. ,,r "e_ -, roof-top mounted PhotoVoltaic Solar Panel System. Business name: p019i I Submit two(2)sets of roof plan with connection details q + and fire department access,along with the 2010 Oregon Address: 10-3 13aWS�- 1SU�I{, �(b Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 4866 —� Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: / - / -/ This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. Print name:Nichole Thorpe Date:06/16/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • ,i' Mechanical Permit Application ‘-' ' 9 - L'-'' IIIIIIIIIIIEIIIIZEZMIIIIIIIIIIM City sReceived of Tigard. ....‘, .( . ,', ; ,• -.- ,,..afEy. PermitNo.: II 13125 SW Hall Blvd.,Tigard,OR 97223 11 i) ,;; :•'.. ,,'.- -,-•."; ''• '.11;i-liev,..„,z - - ' - Phone: 503.718.2439 Fax 503.598.1960 ti.tigy.:-.. OtherPermit Inspection Line: 503.639.4175 . - Date Ready/By: Anis: 1 IR See Page 2 for TIGARD . Internet www.tigard-or.gov Notified/Method: Supplemental Information AUANAMPWWWWWIN*040041gigUarileMbERIN ..-:'1 .1X*-40*-4001.4A44140t444101104,4.---*"° °5-:: Mechanical permit fees*are based on the value of the work El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:$ 4-X,WITIME-A7V4Vkati-drilikait'-edggikU-41'''bir-rjr-437#3-ir4:54K1"-, - • ------,— -•••,--‘.---—-----------•-'-,-.'—----- • - .. __,. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal Information use checklist liZ.MUlti-f a mily 0 Master builder 0 Other: Description Qty. Ea_ Total 0.5.§PMIX.R.401:jr..4tkW*1:-#:*•Pit-0-• :.:fiStit aSi1/47.4.-r•R--e.:AV B e a ti n giewling: - ' Air conditioning 1 46.75 46.75 Job site address: /33b5 sv,) \UGith Nei 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/bldg./apt no.: Project name:River Terrace East 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 Other. Subdivision:River Terrace East Lot no.: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 .-:;•:00,•k-Win0-`:.11;V:P;--:VV. t:5,i.j*TiO10.1?..-*000,,'L.W51:t.gr.*::.i.::cli-IghtiN Ow BtePlacermaerr 33.39 • Flue vent for water heater or gas 1 fireplace 23.32 — Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplacermsert 2332 Chimney/liner/flue/vent 23.32 -30:76'aliesiiitiitii17,6-avddiv,:67:,:z.p7ip4::,1....iiz:krytaAN—Ifg.4„ttp.i:,.:4/4:,-; Other: 2332 ' •-• • - Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment I 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust t 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 14i 23.32 Phone:(602)694-4031 Fax( ) Altickrawlspace fans 2332 ;..:§z)''•;!ittP.Niz4V:'-'4***0.i•i:?- 173;;: =:;;iist:Z.-7''4.:4'4.s:t• ;a:e0.*-rt:EOPfi:4•V,sli Other 2332 . piping: Business name:William Lyon Homes,Inc. Fuel S14.15 for first four;54.03 for each additional • Contact name:I k C,V10k,11AVVe Furnace,etc. 1 Addiess:1 trb 1 ( DL A )&1 3\- &LAC'. S10 . Gas heat pump Wall/suspendedhmit heater City/Stem/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Pam:(360)693-4442 Fireplace 1 - • — Range . _ E-mail:AN 1 CAA Dte, :Tvt,! 1;,Ti@,pb*Irylhornts .(1,1_)(Y) Barbecue 1 , F.N::*2: :::74.1*ct,.. :;?:.:""ti4VZ:7-.7".:(:!.6."...._ .-0:410.:,44•E.:K:'!;:it:;,;:**1.?4,:31:d1WY.-74;.;! Cl°thes drYer(gas) Business name:pn V1.01,106, Otiyyt1 tied t v-t,.. --r•,,,r, Other: :',IN411,14:-4.44***0*OtTWIS*.l.t17,:a . ii ji 114-'1 in Address: P-LOCtc t\V,i .pc\ ..)I.R , r Soulk f. k W1 Subtotal , City/StatefZIP: IA-ASWO ‘ c).- \\ U.\ Minimum permit fee($90.00) . . Plan review(25%of permit foe) Phme:5b-6)14'43- cliA1,---, F2132 6 t. ) °k l' 1...' Sin 7' State surcharge(12%of permit fee) CCB lie.:2_061 CO) TOTAL PERMITE YE This permit application expires if a permit is not obtained witbin 180 days after it has been accepted as complete. Authorized signature: MC,a/e-tt—rar..10--*-- * Fee methodology set by TroyBuilding Industry Service Board Print name:W/44 I)/€:11 type__ Date: • .... • ' ,- , 3 .. 201,' - ...., ...,..........,, • _ _ _ Electrical Permit Application FOR OFFICE USE ONLY City of Tigard ., Permit fi: 1111.011 13125 SW Hall Blvd.,Tigard,oR rgiy,i,;° Pbm Review kil Phone: 5033182439 Fax 503.598.1960 Date/13 . Related Permit it: Inspection Line: 503.639.4175. Ready Date/Ply: Mc 10 SeePage2 for TIG Altp Internet:.www.tiwird.or.gov Notinedilvlethod; • Supplemental Information --,t,,,•:.:1- V,,t'A;13!'.i--;3-1=f-2-17'-'1- -/-..f:: 17-'41):- ..-a1.-W-I'r------.' ';''..43.1.1"--L'-'9.-=--7-'17,,---,-_- .';t1.7-4:1' '''':6,1-1,' "f'.--. -4;.; ..:11'gki=i",tklIV47'.--t'L.- --.-- 74.-5*V-;-..,:4j- El New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of planswfitems checked): 0 Service.or feeder 400 amps or morc 0 Bultritng over three stiries. 0 Demolition 0 Other: . where the available fault currant 0 laminas and boatyards. ',.1`4: -.. ;'-f-z,4'''. ':='-1------4-,V.a%;,7-0'9 1. --W!-L,T211:#t Cale'aa'----;'• :' - exceeds 10.000 miss at 150 volts or 0 Flowing beildiells• ,,-and 2-family dwelling 0 Commercialthichistrial 0 Accessory building less to ground,or exceeds 14,000 0 Co 4-use agricultural amps for all other installations. . buildings.• Multi-family -•• 0 Master builder 0 Other: CI Fire pump. 0 Installation of 150 ICVA.of Mi.INFONM44,ViiSio'P' -e-,-croz:7.rri-4 <:..-,.-1-1.50- 4.:4,77:40._. 0 EmetleccY sYsle- larger separately derived 0 Addition of nevi motor f system. Job#: Job site addreq 5303 W. kkertAri patoad o 1-2 t, 100or more. 0"A", ,"I-r,"1-3", 0 Six or more residential tutus' . occupancy. City/State/ZIP:Tigard,OR 97224 1:11:lealth-oare facilities. 0 P.mmational vehicle parks. Suite/bldg./apt#: I Project name:givek-reAnn2_6e ack.cri- °Hazard=locations. 0 Supply voltage for more than 0 Service cs feeder 600 amps or more. 600 volts Mainal. Cross street/directions to job site: Description I ft. 1 Eecb 1 Toth 1*_ • New residential single-or multi-family dwelling unit, Subdivision: lz,cd.er Torrte. -Ea...3+- 1 Lot* 8 — Includes attached garage. ' 1.000 sq.ft or less I 168.54 4 Tax map/parccl#: , - Ea add'1500 sq.ft.or portion i 33.92. 1 i-ill -,t, .-.:,‘Yi,kZ.T.,, f• -Lbnited mew,itsidenita - _ 75.00 2 (with above sq.ft.) — Limited energy,multi-family 75.00 2 residential(with above sq.ft) Renewable Energy 0 See Page 2 ff,,::::'''-;f17:--:43•:?.'q-a...-I'PO' -91...bi-PIT'et-c-7-'2- 13,CA''''XL?lc-•_2`12:,•--'1:11.. .-It--- ---'-'?-4 -; Services or feeders installatioutalteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 , 201 amps to 400 amps 133.56 2 Address:7600 B Doubletree Ranch Road 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 I Floc( ) Over 1,000 amps or volts , 55226 2 Temporary services or feeders installation,alteration,and/or p.mail• -. relocation Owner installation:This installation is being m*on property that 1 owa which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 70L ' 201 amps to 400 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 -i--,--='_-:"--.-- .., 7,1,14,-- Ii•O'r.,70'..',•`&r.,-4,1:,:,--,,,,-AfiL-7,:,•.-:a..,"--a!--;,,.':^j74'.:tZN.'l‘.C7}7:1,7'&:-WiP*--,,, ,,,-Zi"2"-. 11311:11 at::7 nert:alteration, or extension, per panel Business name:William Lyon Homes,Inc. above service or feeder fee, 742 2 each branch,circuit contact name: hli eh ole,--Th 0117t B.Fee for branch circuits without service or feeder fee,first Address: 103 2)-y-on_thoaAn St Su.',Lk. ., S VD branch cimnit 56.18 2 City/State/LP:Vancouver,WA 98660 "I Bach add'l branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(360)695.7700 • ' . Fax::(360)693-4442 Each manufactured or modular 67 dwelling,service and/or feeder .84 2 Ellisni 1 II 6. 4 o ats,, , a ,Ai!I a 4 OrrIP _Ai Reconnect only 67.84 2 -,..-7Z;.'-;4-17 ::' --fe'''Z--1.4:.'"Li•-'3.;.:-:;f7:1 ,"7:.7-010-';'- ---',. ..;:f&-5- .._q-•:4----7.7:- r-'"7;-',A,-;f:4T; Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor Ma=lighting 67.84 2 Sigcal citcuit(s)or limited-energy Address:,40-2___ \ia.X.‘k.i.k .\-Nte...,‘s.slis.)v u'..k.\-P, \tip panel,alteration,or extension. El See Page 2 2 Each additional inspection over allowable hs any of the above City/State/22P: p Lk k(0.11)4 pit ilar 961-1 1 Additional inspection(I hr rain) 6625/hr Phone:(253)320-1657 1 Fax:( ) Investigation(1 br min) 90.00/hr . Indust:dal plant(1 hrmin) ' 78.18/hr Prnsil*bdaniels®„awensa,com Inspections for which=fw is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lk.: 4496S s.eel& listed '4 hr min "-..Suprv.Electrician signature,required:lb:11V /1-1°A.± ' Subtotal: Print name: Joan P Albert •• ' Date: 4/26/2016 0 Plan Review Required(25%of permit fee): . . _ State surcharge(12%of permit ke): Authorized signature: .71 .--------- TOTAL PERMIT FEE: ...;:•.• 4—.— This permit impale=expires Ifs permit's not obtained witbia 20_ %-: Print name: Bill Daniels Date: 4/26/2016 days after lt has been accepted as complete. * Number of inspections allowed par muck. taltAhrdlding1PermiuM.0 l'exadapp ELK BMW;Rev 0611712015 440-461VBIV05/COMIWBB • --;•••-! _-:•'_;, ,,r-.i. % °•,:• r . Plumbing Permit Application CL iv G2 2017 Building Fixtures ;._,f 'r ' ', , •"" •' ' s 111111111MEMICIONIMP City of Tigard Penult No.: Daieli3y: 14..,,-- • 13125 SW Hail Blvd.,Tigard,OR 97223 Plan Revievr • Phone: 503.718.2439 Fax: 503.598.1960 Dateiny: OtherPermit No.: ..__ Inspection Line: 503.639.4175 TICailtD Data Readyiny: ' roan Id See Page 2 far Internee www.tigard-orgov Notified/method: Sappiementat information .i.:4:3-.,-.: fi:tit40iig•..-.7,!,y::ji;-:.:r=f::•z,.::.:--,4:::-•'..,7:::-F.::: -!4,,.:,:ti. ,:,,-;1.,:;t.ikei....f.stiifibut:..,- co New construction 0 Demolition For spedal ireormation.are checklist •Description 1 Qty. 1 Ea. 1 Total 1:3 Additiontidterationtreplacement , 0 Other: New 1-2-famfty dwellings(includes 100&for each utility connection) • .i.:;':::.4'1'''WE:. 7..31.1:eitteitikWritAiiiiieitte:71i7'1.i: ' '..7' SFlt(1)bath 312.70 _1-and 2-family idsveiling 0 Commerciallindustrial . SFR(2)bath • . 437.78: . . ' • , 0 Accessory building. -RMulti-family : . Each addtional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler{_sq.It). Page 2 4,47:30•4404102104117044,N,WW.Ip.,,Nir7 4, 2:- ..• '•:• 7,..;-.'i Site utilhdes: lob site address: /350 iis , Catch basin or area drain . 18.76 . Drywell,leach line,or trench drain . 18.76 City/State/ZIP:Tigard,OR 97224 • • • Footing drain(no.lin .,ear R.: .1 Page 2 Suite/bldg./apt.no.: I Project name: RiVr Ter pa re_ex -1- 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: 12,,i\j.eAr -c-fAx-cire._ Eps---iLot no.:.6 -7 Fixture or Kenn Tax map/parcel no.: Baddlow preventer • I 31.27 1 i.....::iiiitianif;i6froc-wijiiit..: .:. ; •.!;'• :.:- • ,..-- ,1 Bo:Water valve 12.51 Clothes washer 25.02 Dishwasher j 25.02 \ Drinking fountain 25.02 1 Epectorslsump 25.02 , '1.-1'7,:-t-''-!-,:littlitOttO0****, -.!;--,...,I.L'•••;;•5 q.:CIttleAlvti: ....-;:. •:: Exp a n sio n tank 12.51 f Fixture/sewer cap 25.02 Name:AD'VL Land Holdings;LLC Floor dub/floor sink/hub L 25.02 : Address:7600 E Doubletree Ruth Road Garbage disposal . 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 F Phone:(602)694-4031 Fax:( ) ice maker 12.51 '''i.....r.- i ...1•*. t'"M2;12444titer ....._ :_..-,;:t roltgl1SO14: latercePtaltrease trap , 25.02 Business name:William Lyon Homes,lite Medical gas(value:$ ) Page 2 Primer .. 12.51 , Contact name: kof drain(commercial) 12.51 Address:1 3 25r00&A)c-il'SA-SJ,ii-i-c-- SVO - .. Sidibasinflavatoty 25.02 ' City/StateIZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 - Phu=(360)695-7700 ' Fax:(360)693-4442 Tob/shower/shower pan ' 12.51 : . Urinal 25.02 E-mail:: I.1%.- •-•?:!......',.-L.,0---.1. -. 41"--.1 :‘: •.....,--- s!tilm.-1-...3. -7.4.1:. ; -•-• 4.-:, ..." t. ',...-• Water alaset , 25.02 grt,-il-?:-.ttat:4;4-. . 1'.': • !: ..,*"! :•• ., ::. . :...?.':F" -- Waterheater • 37.52 Business name:Alliance Plumbing LLC Water piping/DWV 56.29 Address:146w Historic Columbia River Hwy Caber 25.02- City/StatefZIP:Troutdale,OR 97060 Subtotal ' Phone:(5113)492-3490 Far(503)912-6438 Minimum permit fez $7230 CCB Lie.:184601 if"!fr1/,.... Plumbing Lis.no.:PB732 Plan review (25%of prank fee) Statesurcharge(12%of pew&fee) , Authorized signally= TOTAL PERMIT FEE Print name:Robert Dishtnan Date:5/232016 This iteradtapplicatisa expires if aperndt is nut ebtained within 180 days after Tabu bees accepted as mousplets. *Fee methodology set*Tri-Coutity Building ltebenry Service Boat 1.1BuildiopermialPLIALPPennitAppdoe 10/01/09 440-46111X1W02/00WWEB) City of Tigard 111 ■ q COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: A4,5 ,Q/7-, '/ 77 Site Address: / C &k) /OA Ai-e-, Project Name: ' 've- 7-e/rval -�g --- Lot #: ___e__ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A -S /-2 // a' G,bO/ ii/V erify site address/suite# exists and active in permit stem. v{(7 River Terrace Neighborhood: ❑ No LJ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: [Vree(3)copies of site plan "c3:,;*sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper <•Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations rep arrow I 'ty locations&easements(required for new and additions) e address,project or subdivision name and lot number FA Sidewalk/driveway approach pplicant information(name and phone number) '�i 0 cation of wells/septic systems Y o dimensions and building setback dimensions sting trees to be retained with drip line,and tree 0 are footage of buildings to be demolishedrotection measures LT 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) CJ Street names t I roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? LJ Yes El 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes C1dNo Il lean Water Services-Service Provider Lette- (lot platted prior to 9/10/1995): ii3ve '' _ , '/ G(2 equired: E Yes,applicant was notified N No Received: ❑ Yes ❑ /No / Public Faciliti s Improvement (PFI) Permit: 7 t :3 -.1,2 Q )1 L2_ �C Required: Yes,applicant was notified E No Applied For: Yes ❑ No,stop intake td/rand Use Case#: P,IV �� - VJ Zoning: f---2c- b. '� equired Setbacks: Front �C Rear 5 Side 0 Street Side 1,311--Garage cQ landscape Requirement: c G 0/0 VB�ot Coverage Maximum: uilding Height: Maximum Height t•-*- Actual Height Akisual Clearance • +ensitive Lands: ❑ Yes ❑ No Type • Urban Forestry Plan ❑ Conditions "Met"pric4 to issuance ofuilding ermit Notes: r���ra'I73e745 -`- , // Ib,'_ A ,0 -.. ‘ ,.•.S'� 1 Approved By Planning: Date: 7I/ -/9-. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: E Approved LI Not Approved I:\Building\Forms\BldgPennitRvw RES_0614 17.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning gl'Engineering ermit 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: / �I�«% ___ Date: /l/A'217 Engineering Review Slope at building pad: [Z ` 6 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat D.-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes "Er No Assess Water Quantity Fee in-lieu: ❑ Yes ,Er No LIDA Facility on lot: ❑ Yes �No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: 1 ( Vic Date: J i4o(17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved Cl Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review A-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: SDC Fees Entered: Wash Co Trans Dev Tax: N/A Tigard Trans SDC: iEr Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: 44 - Date: I 2.-(41/1-7 I:\Building\Fonns\B1dgPennitRvw RES_061417.docx r City of Tigard 'Pir COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: /'j , t li %44 I Project Name: ,AV r -7--eiro ce E� - Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Disitifi6 Design Standards (18.660.0701): 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. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dorm ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide 0 ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%f each street facing facade must include windows or entrance doors. Percentage Shown: /74. / a 3. ntrances:At least one entrance must meet both of the follo • g standards: 1L�1 Max. 8 ft. setback from longest street acing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes No If yes,all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ ecessed entry area min. 5 ft.wide x 2 ft. deep ❑ all offset min. 16 inches V4,�J Dormer min. 4 ft.wide oof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood ICI Gable,hip or gambrel roof design 0/Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide Vt Accent siding min.40%of street facade 1Z1 Window trim min. 21/2"wide by 5/8"deep ❑ 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): ❑ Iay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. V May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. W9th: (Check one) V12-foot-wide garage door 0 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: 7C- Date: /l f I:\Building\Forms\BldgPermitRvw_RES_RT_o62216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13303 SW 169TH AVE, BEAVERTON, OR, 97007 October 24, 2018 at 2:37:19 PM Record Type: Record ID: Residential - Master Permit MST2017-00472 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13303 SW 169TH AVE, BEAVERTON, OR, 97007 October 24, 2018 at 2:37:23 PM Record Type: Record ID: Residential - Master Permit MST2017-00472 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows 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: 13303 SW 169TH AVE, BEAVERTON, OR, 97007 October 25, 2018 at 11 :41 :30 AM Record Type: Record ID: Residential - Master Permit MST2017-00472 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows 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 received C of 0 left on counter. Violation Summary: Inspector Contractor /0% Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/B : 4 . 'I [3125 SW Hall Blvd,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/ TIGARD Inspection Line: 503.639.4175 Ready Date/By: kris: IZ See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information Mt+n �,tiz In:/i:'�:,P.::g.=iu�i"Y�:.'t�aC_L31..t a :x. :kt:i i. ,,::,z,-5,._;;z�«a::.�t.p ®New construction ❑Addition/alteration/replacement Please check all that apply(submit/sets of plans w/items checked): 0 Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition CI Other: where the available fault current 0 Marinas and boatyards. `°c gifa ire ' amai._: t +„ r< i' T e 44,'' `i', I''r`" ll exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family y ❑Master builder 0 Other: 0 Fire pump. ❑Installation of ISO KVA or .' '` r r 2 v 0 f`ry 4 y1TJI j PO A1.1710 '' W.4700 tna : 0 Emergency system. larger separately derived JQ 0 Addition of new motor toad of system. Job#: Job site address: 3305 5 W\t0-\ ? � 100HP or more. ❑ A, E","1.2""t_3 City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: 6.FIST 1 t> f. T7,gcj ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site ,xa gtr- rr t"y 1. k- IZ, Deet-Pilon I Qty. 1 Ear), I Total J New residential single-or multi-family dwelling unit. Subdivision: EST 11s.1JEt2 'Te7Q,R: Lot#: 8 Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 r F 4:- ?b' . a • r Limited energy,residential S75.00 2 , (with abovesq.R)C„1� IE L U\\,VACTo� .. i /Q__/ Limited energy,multi-family 75.00 2 1Y1. --r 261'1 00'4 Z residential(with above sq.ft.) rte: i ,may Renewable Energy ❑ See Page 2 �R-��� ' - 0:41.W� ->_ ,- °y `' Services or feeders installation,alteration,and/or relocation _ v >x�..,�- �...r,� � �” s,5th:x�-rs Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 L 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 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 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 , Qa� � FM�2j s O w m Branch circuits—new,alteration,or extension,per panel i �nr� �" -_ '. „ ' . w+�;^r� e•,w tc.. A.Fix for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name: io\'eeln 5m17�-4 B.Fee for branch circuits without Address'' 03 A-oae\ V1 Su&Ck 51� k 510 branch circuit service or feeder fee,fust 156.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 Fax::(360)693-4442 Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service and/or feeder 67'84 2 I Emaile.r(Yt l-Nsu,byv ,} 1 S off. -vok 4 ,or,\Aogles•C.OYv\ Reconnect only 67.84 2 tTg��1 .pz�� ;'ff•PA �.."w.nr�urWa�r�.i;�k4...'4tbI..tig Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 -r_ Signal circuit(s)or limited-energy I Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See Page 2 2 i City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above E Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr 3 Email:bdaniels@gweusa.corn Industrial plant(1 hr vin) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: C115S Electrical Lie.: 208174 I Suprv.Lica: 44965 specifically listed(h hr mm) Suprv.Electrician signature,required: 2 / pi j1P�c,� "` Subtotal: Print name: Joan P Albert • Date: it)(til( \i 0 Plan Review Required(25%of permit fee): I (-771----- --47:::1_,...—..---------:'--------:::::::::::::: ` _ State surcharge(12%of permit fee): J _ ..��` TOTAL PERMIT FEE: q Authorized signature: __ _� ^-` '—_ This permit application expires if a permit is not obtained within 180 i Print name: Bill Daniels Date: 0k t$t a� days after It has been accepted as complete. 1 * Number of inspections allowed per permit. ��1 { I:1Building'PermitsWELC PermitApp ELK ER6.doc Rev 06/17/2015 410-4615T(11/05/COM/WEB ^ ' Electrical Permit AupIicati+olh i OR 01114 I: I ',1 t)y i.> City o f Tigard i(f g I 018 t ei,na C ca.VA - 57G�-11 74,- 13125 SW Hall Blvd,Tigard,OR 972Plan RDaterS Permit : 8 Phone: 503.718 2439 Fax: 503.5986'r Ur ' " ':,.4-:`, Flan r-:Review Related Permit=• a pate F 1 ;,:; motion Line: 503,6394175 1 i t 1 i Itt Z "":`�- Ready Date/BY. El See Paget for intemet www.ttgard-or,gov No a iuri sod3M�igod: ��� mu ttpplerrtemtaltnformat `i'e-, " ,n7is`.....;;':-;47.,:::.7,,,:',1';:: 4.�, ;34: ' "s..l^; 'c.. t .:tom ►: New construction 0 - - . .w `� _',� �mY �, ; 1 Addition/alteration/replacement - - On 'tease Check all that apply(submit 2 sets of plans w/items checked): 1 ❑Demolition ❑Other :ase ice or feeder 400 ampsor more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. ��,e ,€' ,s 'll-c-'11.114- 0:" El Floating buildings. .'�. exceeds 10,400 ampsat 150 volts or Q 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building teas to ground,or exceeds 14,000 0 Commercial-use agriculturai Multi-family ❑Master builderamps for all other installations. buildings. Other: ■Fire pump. ❑Installation of 150 KVA or orf t v pts ,t" -.e s`t r :Je of rgency system. larger separately derived Job#: lob site address: 13303 5W I 1 9T�kv' ■Addidan mere. motor load of system. V . t44HP or oleic. ©"A..,<E,.„t 2,.•`13.. City/State/ZIP: 100 r 1 ■#: Health-cart facilities. ❑Recreational vehicle parks. SUl $• PProject name: ■hazardous locations, 0 Supply voltage for more than T ` �r a Service or feeder 600 amps or more. 600 vols caminal. Cross street/directions to job site: 2.0t3 _ n ®l0 RoarD �' ,�eh n New residential single-or multi-family dwelling unit. Subdivision: p M A Y EZ 'rt,„4.041/4e.E 1 Lot#: 8 Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less 168.54 4 � � a e c t t e � ff a � Es.ail 500 0.or - . / ate,, �� y, portionIII 33.92 l �.�-�.�., :i Limited energy,residential 111 eol-iivt ,rpt A(I^ with above IL7so0 .111101V limited energy,multi-tamil} residential(with above sq.0.) 75-00 2 r,,:;-:::—.:5-7,77-FPx�,�,�, i �� fat; RenewahleEnvy i SeePa:e2 `l � a�, � Services or feeders installation,alteration,antltar relocation Name: ADvL 1-ftfut I-bids it 4s i 1.Le., 200 amps orTess 100.70 1 2 Address: '7-119 OO f... DeLtft.E 'rQ-e 1 r - 201ampsto400amps — 133.56 Mil 2 Cyty/SLate/ZLP: Sr-oil S 401 amps to 600 amps11111 200.34 2 orkE ) .�'� 2 B 6 60 601 amps to 1.000 amps 301.04 2 Phone:(602) (e9 o.4.-X4031 ] Fax:( ) Over 1,000 amps or volts 552.261 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 5936 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 ',-E , S t 1....'.0i,,,'-'..7,--;.. r L "s e y ', . Brattctr circuits—new.alieratioa.or extentaon , r• net �� ` �"��� A.Fcc for branch circuits with Business name: .,L�#j �µ,�s r to 4, l 1 1 � above service or feeder fee, ���� Contact name:-TO y`,�J 13 IC- � // L+1r+ each be an circuit 1 � B.Fee for branch circuits withmrt Address: i service or feeder fee,first branch circuit 56.18 all City/State/ZIP:VAu a oV reit 4996(.00 Each add•i branch circuit 7.42 Phone: �.; �y 1 O ( lax:-:( ) Eac manufactured service or feeder not included '1 J Each manufactured or modular 0 Email: . A I AA ♦ dwellin service framer ■ 67.84III . - o + l" It.. se,. .C.0l 1 Reconnect oni u ,,T) ty 67.84 1111111111111 • '� � ��• - Pump or irrigation circle 67,$4 2 Business name:Three Phase Electric Sign or outline lighting 67.84 2 Address:11490 SE Jennifer St Signal circuits)or limited—energy 0 See P o 2 panel,alteration,or extension. a8 2 City/State/21P:Clackamas,OR 97015 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(503)908-8058 l Fax:(503)762-1823 Investigation(1 hr min) 90.00/hr Email:permits(Jthreephaseelectric.comInspectionfor Industrial plant(i hr min} 78.18/hr h no fee CCB tic.: 162368 Electrical Lie.: 3-332C Supiv.Lie.: 3398S stxcsfrcalls listed(ti hr min is 90.00/hr �� *r �- Suprv.Electrician signature,required: ,e+' al: Subtotal: i Print name: Dennis Welch Date CI Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): I Authorized signatu TOTAL PERMIT FEE: , Print name: Gail Evans This permit application ezpires If s pe rmii is trot obtained within 180 Date: days after it has been accepted as complete. * Number of inspections allowed per permit. EllaihrinsTensilahlkftraczApp,ELR_ERtidec Rev Oh 17.2015 44945157'111'0t-C:f3MAVga Plumbing Permit Applicati ECEIVED Building Fixtures FOR OFFICE USE ONLY City of Tigard 6 2018 Received 7 11,1 . Ill 13125 SW Hall Blvd.,Tigard,OR 97223 FEBt- Date/By: J 7'. ,i0f:-7: /_- Permit N9e7:5 77_00 47 Phone: 503.718.2439 Fax: 503.59 OF TIGARD Plan Review / e / - 61 T I G A R D Inspection Line: 503.639.4175 Date/By: �� !i Other Permit No.: Internet: www.tigard-or.govLD �DIVISION Uate Ready/By. Juris ® See Page 2 for Notified/Method. Supplemental Information TYPE O1' W K • FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist. [:=1Addition/alteration/replacement ❑Other: Description Qty. Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ® I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler p t.11-sq.ft. Page 2 JOB SITE INFORMATION AND: LOCATION" Site utilities: (6 a L� Job site address: 13303 SW 169T"Ave Catch basin or area drain 18.76 City/State/ZIP: Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:River Terrace East Footing drain(no.linear ft.: ) Page 2 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: I Lot no.:8 Fixture or item: Tax map/parcel no.: Backflow preventer 31 27 DESCRIPTION OF'',WORK Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit# MS?2017.- 00472 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ►:i PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Polygon Northwest Fixture/sewer cap 25.02 Address:703 Broadway St.Suite 510 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 02 APPLICANT15.01 ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Gavin Thomes Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 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:Gavin@AlliancePlumbing.net Urinal 25.02 CONTRACTOR. Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) ��/ State surcharge(12%of permit fee) Authorized signature: [ TOTAL PERMIT FEE Print name:Gavin Thomes I Date:2/5/2018 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Pe r;methodology set by Tri-County Building Industry Service Board. I\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee( ` Total Squlaltye: 'nota e: , 'Permit Pee: Footing drain 151 100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 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 rl`Cgitt'+ 1': Valuation: 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 Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections orFees . Qty 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Other Fixtures: I I I I 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 Fixture Type Fixture Type for Replace Plan Review for Plumbing Installations Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ 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 Cuspidor/Water Aspirator ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. Dishwasher -CommercialD -Domestic 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain ® Any multipurpose fire sprinkler system. Eye Wash 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" -3" Submit 2 sets of plans with any of the above. -4" Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related -Commercial-food related that meet the qualifications above. -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet Urinal fees assessed for the sewer increase must be paid before the https://allianceplumbing-my.sharepoint.com/personal/gavin_allianceplumt52i'ng_net/Documents/Documents/Fire Sprinklers/RT/City of Tigard Permit.doc