Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
i CITY OF TIGARD 1 / , 6/ MASTER PERMIT 1:11111 a ,q COMMUNITY DEVELOPMENT Permit#: MST2015-00198 Date Issued: 12/01/2015 TIGARD 13125 SW Hail Blvd.,Tigard OR 97223 503.718.2439 Parcel: 251060001500 Jurisdiction: TIGARD Site address: 17191 SW HOLLY RIDGE LN Subdivision: RIVER TERRACE NORTHWEST Lot: 18 Project: River Terrace Northwest, Lot 18 Project Description: New SF-Model Home 12/21/15 REPRINT to change plumbing contractor. 2/4/2016 REPRINT to change address from 17192 to 17191. 4/13/2016 REPRINT permit to add covered patio. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1239 sf Garage: 380 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2217 sf Value: $272,798.13 Rear: 15 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: 1 Water Lines: 100 Drains: 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: 5 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: 3 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2217 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH STREET 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $31,655.73 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 ••R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3,32.2.23444..�' /, Issued By: Permittee Signature: �� ���`> ° ,,/ " Call 603.639.4176 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. if City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT i II T 1 G A R D Building Permit Review — Residential Building Permit #: fiST.2O/3-0 0/9.,f- Site Address: mot, I11 alt SW Holl Ridge, Ln. Project Name: fiver Terrace,Holly Lot #: 1% (New dwelling= subdivision name;.Addition or Alteration = last name of owner) Planning Review 1 (� Proposal: actd Covered cxer'io -1'0 permit -fol. 11P.A4 SC td Terifj�site address/suite# exists and active in permit.. stem. River Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached Site Plan Elements: ✓ ree (3) copies of site plan _ -isting structures on site I� toplan must be on 8-1 2"x 11"or 1117" u _ / x paper Footprint of new structure(including decks)with finished prawn to scale(standard architect or engineer scale) poor elevations prawn arrow L/J Utility locations (required for new,may apply for additions) gir to address,project or subdivision name and lot number ocation of wells/septic systems information (name and phone number) �dErosion control(including drainage-way protection,silt fence liot dimensions and building setback dimensions sign,location of catch basin,etc.) OOLot area,building coverage area,percentage of coverage and treet names pervious area (applicable if R-7,R-12,R-25&R-40) ' eet tree size,type and location Sr-Property corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures --E-5—Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified No Received: ❑ Yes ❑ No 6Q Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: . Yes ❑ No,stop intake a(lLand Use Case #: PDR201S - gm Zoning: R..12- , etbacks: Front 2 Rear Side3 Street Side Garage NJ Landscape Requirement: 20 °�� wMaximum f Coverage Maximum: ga � ilding Height: Height Actual I leight ' isual Clearance /asements ensitive Lands: ❑ Yes INo Type o Urban Forestry Plan OConditions "Met"prior to issuance of building permit Notes ,7I.;'l .: co(kll'i'1ons me* c<<o(( ÷o cons4Tv.e4i0,i o moae.\ home. / Approved By Planning: l 'A - *.t. AA Date: 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: \pproved ❑ Not Approved (- Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:ABuilding\Fonns\BldgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: .3/S0(c, Site Plans: # Building Plans: # Building Permit#: i2"Enter building permit#above. Workflow Routing: Er-Planning 111.-1 rigineering D- &mit Coordinator .Ii—wilding 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. L�� building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: A .dr " - - Date: y///k Engineering Review 4 Slope at building pad: L , Conditions "Met"prior to issuance of building permit 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 ❑ No ❑ NOT Approved I, E _ineering: Date: Notes: - i, i�_� L�..,.�i^ .,.� i Approved by Engineering: eltlf1, P Date: 2fi.-- 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 D Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: g e u i s i o n .ro a vi 2 0 s-l-—. l -Per ms+f of t-t om. }S J'LA-L-cL -4 hnJa-cl hovvte COnS+Y 4.-C.til.,)\/ • 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: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A W OK to Issue Permit Approved by Permit Coordinator: CIA- - a ' CctA.."-1,z--- Date: t-f - to — I(01 I: Building Forms'vBldgPennitRvw_RES_0121 16.docx REV= q CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00198 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/01/2015 Parcel: 2S1060001500 Jurisdiction: TIGARD Site address: 17191 SW HOLLY RIDGE LN Subdivision: RIVER TERRACE NORTHWEST Lot: 18 Project: River Terrace Northwest, Lot 18 Project Description: New SF-Model Home 12/21/15, Reprinted to change plumbing contractor to Kruckman Plumbing. 2/4/2016: REPRINT permit to change address from 17192 to 17191. BUILDING Floor Areas ReauiredSetbacks Reauired Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1239 sf Garage: 380 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2217 sf Value: $269,482.62 Rear: 15 PLUMBING Sinks: 1 WaterClosets: 3 WashingMach: 1 Laundry Trays: 0 Rain rain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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 add1 500 sf: 3 201-400 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 2217 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH STREET 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $31,587.26 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 R 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: /JA/ Call 603.639.4176 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. � y CITY OF TIGARD MASTER PERMIT iAL COMMUNITY DEVELOPMENT Permit#: MST2015 00198 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/01/2015 TI Parcel: 2S1060001500 9 Jurisdiction: TIGARD Site address: 17192 SW HOLLY RIDGE LN Subdivision: RIVER TERRACE NORTHWEST Lot: 18 Project: River Terrace Northwest, Lot 18 Project Description: New SF-Model Home 12/21/15, Reprinted to change plumbing contractor to Kruckman Plumbing. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First978 sf Basement, 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1239 sf Garage: 380 sf Front' 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2217 sf Value: $269,482.62 Rear: 15 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters 1 Water Lines 100 Drains 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. 5 Clothes Dryers: 1 Natural Gas Heal 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']500 sf: 3 201-400 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 2217 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13-FH STREET 109 E 13TH STREET 1 Ersn Cnlrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX, 360-693-4442 Total Fees: $31,275.86 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 160 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 CLINIC by calling 503.232 1987 or 1.800 3_322.233444. Issued By: Permittee Signature: 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. Dec/1 7,120 11:31.08 Nv l AIC' 1-5,'2-322-3-2569 455 PlumbinaPermit Ar.1PAEIV J Site Utilities C,",of Tigard DEC 2 12015 W^elyw�c� '/".19/ 6- Por,nl:No.: flh�3'ol5-00 98 13125 SW Hail HIVd, '1&WJ OR 5'722: I'crf 11 It%v - _ - tl Plrrnc: 503.718.2439 -a OP 'Ys t-•�TIGAR�D D:ta/6y: C;herPerm3tNo.: ___ In;pett':on in.,: 503.63 i1 /�I1 U�{�'l� ®�1/ISfOA' UoteReu yl!3y: hnc ® Sent+nga2for Internet: V1141v.tigard-cr.r, ILDING V 1d platifrr1i14iatDnd; I burt!mm�nta:lnfornr attar. f ..'« °FvPw3. Clll11CL : r:s.'•; Ncw corslruclion U Demo!itirm _ Fors1rcdal rr�m-mrrffon lisachackrrst. P.escri!aiun qv. -.r Dial__ ❑Addition/elteratietJrepinuentent .0 Other: \ow 1.2-rnmlly dn'Cllir s ntcludos 1001?.for onch utility connection) C,:'PFt3Q�i1.`Q �ONV Ti*TIOR UR(1)bath 312.70 - - ....._._. .___� __..._._. sr•R(2)batt � a3•r,7!l ' ® I•and 2-thmily dwelling ❑C•ommereicOnd'asi iol - --- SFR(3)bath (�Atcassory building ( J Mu1:i•flunily - --- - -- _ fineri additional bnth!k3tchen 25.01 C Mester builder ❑Othorr _• p F;rc s1n'Inkicr(_�,,,scl.ft,) ngc 2 . ,)o�•si��k��x;�ediin�,r,�'itclt+r,�tire Tzo ail C Job site Address:V192 SW Holly Ridge Cncch`�nsm Or arca drain !8.76 I DrywPI!,leach Hne,or trench drain 8.76 City/State/Z',F:Tigard OR --_.-_.- _..-........_...---------._...._......_.�_.__........ ._.__- roetirg drain(no.bnear M. Page i Suiter:)Idg,lapt,rro,: ?rolect name: hlanafaohnod home uti;ities 50.03 Cross east fractions tc.job site: j pAnnlJoby i 18,7b Rain drain comrctor 18,76 i S;x,itnry xewer(no,linear 11.: ) - Pagc 2 -_ ^ Storm sewer(nu,linear 11! ) Page 2 ___....._ ...... ._ Water sorvJee(nu,i!near h.: _ 1'08e 2 5pbdlv!Stot1; Fixture or item; _ j naokflowpr Dx mnp/pnr.ol:to.: 27 L - -__ cvcraor 31. -... - -_.- - -- 3acknv to va!v 1,51 Clodros',"Itsbar i 35.02 Plumbing 'Dishwasher i 25.02 Drinking rouncum 25.09, i _-__ Gjcciors/st:nµl 25.02 I Expnnsiorun!t n NR'Humes flxmrcl5 uer Cap ?3:01. Nunu:Polygo Floor drEW11cor sink1hub 25.02 j Gnrbugu disposal � 25.02 Ci:glSta:c/Z[P: I ilose bib 25.0' Phene;( } Fnx:( ) ice II nkel - - .12.51 A}�PY TCi11 f'. L�j;C:ON CrkG!`l7i1'tyt)'Nr f intercaptorigrtcse trap 25.02 Business anmc:Kruckman Plumbing LLC 11SdICnI gas(value:$_; Page 2 -- --- --- .-...-- Primer 125! Contact nulnc:illark Kruckma!t ?'leer urain(.nmmcrcial) \ddr :PO linx 1375 aIIwbo9in11avatory 25 02 I , i'ty/Stets/7.11':C;rcuhnm OR 97030 Soku'"Initd(potable wattr)� 62.54 j Phone:!7711 806.8183 i ax:'( Tub/showedshown-Pr, -- 12.5: I(ruckinncontracIing@sma(l,rom C llr3nni a 25,02 -T� clo°ct._.-_.__.._ _ Water 7.5.0? _ COtrfikI`1)1t`, �_.. _......_..._ Wnterheater 37_52 1 1 _ Bus:dcss ruins:Pn. un N'1V 1 nes ! Wrtor P3pinpfU\W 56.'9 _-- Address:109 E 13"'St _ -_ ..._......._._.-._.__._ _ Other: I 25.02 j City/5tntc011:Vancu c 1\'A'98660 I i Snbtaild Phone:(360`695-" I rax: mmimun:pcntttt rce: $72.50 _.- 0 Plar,rovio% (25%orper;nit rca; CCH Llc.: (Q- � 1'I'urnbing Lie.no.: '�' �l L -_ i-_--- Stnu surchar8.(t204 ofporrnit fee) .I ;111t111):I CG Sl(�na'.Ur!' TAI.F13�. !7 r"EB-.1--7 Print nnn1C:31st r3<ltlIlurta!t Dote: Oil 71515 p"I ndt upplluntinu cxlrinm Ira perm!t Is not Owned with!',Jan clays I offer it No haen ucropted ms eomploto. ^Frr mrtt,odc:og/act oy Tri-C.or:rto Snil&q Indnany Survi"Barr.. !:lnvlidingdorm!:o�L�'U-P:;mitApp,acs l.:v""1100 <aG-510'I'p07;LC0\L1VBa; I Dec/17/2015 11:31:08 AM AIG 1-503-323-2569 1/5 '1 mat IS -[-.Z?-�r inC�J1'i CA �� 1 I'7-i 5 c t:up.V1 City Of Tigard 13125 SW Hall Blvd Tigard OR 97223 Re. Plumbing Permit To whom it may concern; We have been asked to provide you an updated application on plumbing projects at sites located at 17192 SW Holly Ridge and 17224 SW Holly Ridge in Tigard as we are the subcontractors on these jobs. Polygon NW Homes is the contractor on this project and wanted us to provide our Information to update these applications.They will be taking care of the fees for these applications. If further information is needed, please contact me. Thank you Mark Kruckman Kruckman Plumbing LLC 971-806-8183 1- : i CITY OF TIGARD MASTER PERMIT C COMMUNITY DEVELOPMENT Permit#: MST2015-00198 TIGA1- Date Issued: 12/01/2015 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ;L, ;.,{. Parcel: 251060001500 Jurisdiction: TIGARD Site address: 17192 SW HOLLY RIDGE LN Subdivision: RIVER TERRACE NORTHWEST Lot: 18 Project: River Terrace Northwest, Lot 18 Project Description: New SF-Model Home BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces' 0 Height: 24 Bathrooms: 3 Second: 1239 sf Garage: 380 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2217 sf Value $269,482.62 Rear: 15 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: 1 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: 5 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: 3 201-400 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 Ecompasing: Y Other: N Other Description. P 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2217 Owner: Contractor: POLYGON WLH,LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH STREET 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE. 360-695-7700 PHONE: 360-695-7700 FAX 360-693-4442 Total Fees: $31,050.86 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 acc• ce 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. AT ' 1TION: 0 .on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 1010 through OAR •5 401-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 19 r 1.800.332 234 i Issu•• By: A _/ ,A, . _4.1 1-�_ Permittee Signature: 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 FIECEI M i n sr U ''',"' k G +. 1 a f S-c`rt, E"ky,�It•, T ra .'"i. 1 t. '`- IZgs dlerit><al , .{t,..,,,,,„ ',..-'''.1-'• n -q,<�FOR OFFIC E It SEGO\It h ` f i L—' n '. :..A?;..,',-..-j•'. '.,.•..,.# •S `•., :rte c 3 ., _,�:'',-:',':'?....-,7,''..,:,:':'. .>f 'q:4 City of Tigard Received y///��V Permit No/44f 70/s�00/9p- 13125 SW Hall Blvd.,Tigard,OR 97223 Nov 2 2015 Plan Review ,1 ;+3 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Ol i i S Other Per 4),Qa0/�40j`9y * r Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/13; luri:: H See Page 2 for Internet: www.tigard-or.gov BUILDING i�IVIC�'I�� Notified/Method: j� 7 Supplemental Information tVl V ►, i L.IV �-, .i.,,,..,,-.--,,,:.%.,,,,,,--„,...--, � s. �'s "�r--,,•,,-,:••_;`-,44,]-74,,,,,,-� �; =,c,s�.et •4.,itn t�."1,,,A,rk,CV:5c�aFa.9,'"w"C� 4,,sahv.: 41i' ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement s ❑Other: equipment,materials,labor,overhead,and the profit for the „• ,„ :4,4wa,a+ g t�� i` work indicated on this application. .P144,:.. A4; .: it ., ,ri. >:t. At: i°+ ;�:; 1 _fir , .` . 1 C��l� � t t 33 Valuation: j $ `7 ® 1-and 2-family dwelling ❑Commercial/industrial I/��'. Number of bedrooms: 4 ❑Accessory building ❑Multi-family ❑Master builder 0 Other: Number of bathrooms: t a, Nn,.. r "t' ivi '�`~" ''C';'1-7111,$7, Total number of floors: 2 Job site address: I-.1-\ 02 r\3\ c\(� New dwelling area: Cl-'Isquare feet c '17 City/State/ZIP: GJ 4I� O Garage/carport area: SO square feet Suite/bldgJapt no.: Project name:River Terrace Area ' Covered porch area: 15 1 square feet i %3 9 Cross street/directions to job site: Deck area: square feet 7 z Other structure area: square feet .. ,_t, 4.pA:• tom' ,-,-- tl •Subdivision: •,v,,,/—r N \./ Lot no.: ` g Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the 4 ., ., 1° 444 �` ' ' f� iifle workindicated on this application. ,a� a : -�t�+ hi';�', S3VatN ,e„fir - +,w Valuation: $ Existing building area: square feet New building area: square feet ft 'R * ,# I�p a , e..n- Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 136 Street Occupancy groups: City/State/ZIP:Vancouver,CA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 New: : }', �; A " vi 1 � 1Y� ;., '.t.At n•.�w'..,..:1r.. . , _ ''11 . w ,��.. -„� .-. d•:�`. � r _ 7-._ ' •, ;fs t li s, '3�.it �5i �wA4 _ :40 i,4_ .1 �2',x7: g '31 . r . M�� a Business name:Same • Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/L1P: Amount received: Phone:( ) Fax::( ) . .$.t •& „,.,oL t ;`- *I -'R`f t 1 . IVT A Zs. ,, E-mail:maggie.gordon@polygonhomes.com '" -x-1-47,,,, it ' ,. ' "'"4"'` "'"'" % _ : , ,,, ;-.r� ; , q : , ` ° k* r- Commercial and residential prescriptive installation of „ , L 1,, g _ tsa�, ,�,T ,,;�E�,,,p��g4 �, +� �p,� �� ta roof-top mounted Photovoltaic Solar Panel System. Business name: SY/it/- Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:204238 /0//$//4) Total fee due upon application: $201.60 Authorized signature:- Si. I This permit application expires if a permit is not obtained J • within 180 days after it has been accepted as complete. C2 *Fee methodology set by Tri-County Building Industry I c Print name: Date: 1— Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 ' umli rt Plicati n ]iuilding Fixtures ' 1 � roK crrrcise d;t - ... . c 1 / Received ?emit No )461:� S'-DDS9 :!f _i City of TigardDate/By: ;1 ' 13125 SW Hall B1vd.,Tigard,OR 97223 Mao Review Other Permit No. i•. t:i' Phone: 503.7182439 Fax: 503.598.1960 • Datc/By'. ;•,rr `,, , :, Date Ready/By: }iris { Pi See Page 2 for :., Internet Line: 503-or.ov Notified/method: I SupplementalInformation ranatioo •,,:'T I •••••,,,:•,••.-..1:4*,:,; 'r�:I� 1: Interned www.tigard-or.gov _ .�---4,..9‘. -_-.�a, :_,_=r • --..- e "."'G��4t'ec� ��'•.` ;t3v��RL.'rd`s' :.��$:.• .. -:i-' - - - ``` -ym o z s n '�z'r £ For special information use checklist • •i ❑Demolition Description i Qty. I Ea I Total ►.i New construction ❑Addition/alteration/replacement ❑Othu'r: New I-2-family dwellings(includes 100 ft.for each utility connection) 1 bath 312.70 �, ' r�ygr+v Za 1t:..unw 4. :t s cL-...* rc nx rp,z (2) 437.78 ' ''is,....:. •_.°�'r.'.'r-r•r-" _' SFR bath • y 1-and 2-family dwelling ❑Conuncrcia1/ dustrial SFR(3)bath i 5C032 500,-D , building 0 Multi-family Each additional bath/kitchen 25.02 0 Accessory g • Masttz Uui)dcr 0 Other Fire sprinkler(,_sq.ft) Page 2 ��.t���yn a.�-. ;11, �r•F' '""}"� `' t Site u6titits: ���: -� ------- --.4''n � � Catch basin or arra drain 18.76 ver^_ //^^� ��� ` yam, Job site address: i 1-', q 2, J�'" ' i 1q 1'�a `'r Drywall,leach line,or trench drain 18.76 ty ( 1bO 7R /� 0 Page 2 Ci /StatrJZlP: U W L/ v1�' lJ 1 y, Footing drain(no.linear ft.:__-_) -cerci_'.e.00(41) Manufactured home utilities 50.03 • Suite/bldg./apt.no.: Project name:R\V 'r�4ek -Moles 18.76 Cross streeUdirvdW ions to job site: J� Rain drain connector 18.76 Sanitary sewer(no.linear ft.:-___) Page 2 • Storm sewer(no.linear ft:___ ) Page 2 Wales service(no.linear IL:__� Page 2 Lot no.: I a Fixture or item: 31.27 \t`Z Subdivision: Backflow preventer I Tax rnap/pa et:l no.: <r r„may.!.rte"- Backwater valve 1281 Z•cj x-;,;1--' i: 4 . washer I • 12.02 �.5 u f r _ .. t•2 ,� �l�ta;<..sT= -__,A.- Clothes er a : �.:.�.;."� '.;�F; _' NL &/ I 25.02 e1•75,,t7 Dishwasher NI:AJ�4: t-L•••X i b V/ C'[4,U4410 p't/. YI Diinldag folmlain 25.02 Ej ectors/sump 25.02 ' -2- •, Expansion tank 12.51 1.- , J3Y•�M a.-.4'a`,� �"'.; 1L' .N' 7 r,.7-te, 1f�'TIT FlxtilS�.wcap p 2502 Name: Pio . Floor drain/floor sink/hub 25.02 Address: i C v '1 --, 1 --b 3-\fGarbage disposal 25.02 2_ ,C'L I\R } - Hose bib ` 25.02 75,(�`L City/Stale/Z1P: ��1�t ��1 Ice maker� 1 12.51 ��..� l Pbone O Fax( ) -- �r' �Q� , mrdwor ,f 'T. Interceptor/grease trap 25.02 -r: '-_ 7 ���•-.-,"-�? 6`r: ^3'�br• ..,.- ,,,L` �,� Q•,�+. ..- a Page 2 ' sin •- v�� Median!gas(value:$ ) .- t t:_1� 12.51 Business name: ` w_]ry� b Premix contadnames ,a .bfl (1 1. 'z. � Roof drain(commercial) 12.51 r ; Sid/basin/lavatory 25.02 Address .?D i�I�Qd �. 62.54 0 f,) Solar units(potable water) City/5tate/Z1P: io"' oat.. o 1 SolarTub/ ower/showcr pan 12.51 (7 • Phtme:( 3) �� _. CO33 � Fo¢ix7::( ) Urinal 25.02 E-mail: 1 • 1/ ViotC6 - i..b - Water closet . 2.--, Business ( 2502 •14...5-q-b..,_>d-- x*.,.---m b 4 b•'.`-y„�•, i- ="ti,.:;' • waler hexa 37.52 �. Business name: i b 1A4. 14b Lit, Water piping/DWV 56.29 Addrtss: (r , •� s-- Other 572.50 25.02 City/Staler?1P: it Eq-706 Su l Pbn �) 51 -,33 03 Fax ( ) Minimm permit S72S Plan review (25%of permit fee) 'ti- CCB LLie.: LBO, Plumbing Lie. _ 1-7,11;2 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature / This permit application expires Ka permit is not obtained within 180 days /.../.- . , ' -- Date:11./V1 after it has been accepted as comptcin • IPoint name: (_i i,•G-`" *Foe methodologyset by Tri-County Building Industry Service Board. doe IN81N9 648-4616T(IWa7/COM/WED) . 1:1DuadlrrSWc,n'nN'l.MLFr'o.a1tAPP- Electrical PermitApplication At't �.Z. :,Ultiohr c:F u1' F.',oni i`v:.... 54i_(-.: �•,' ��I::„^'� : .SL�,., _r. � ,.�:,: ::,.�-�w>rt; �;- tF'?�` ., ,. � ..,�r....,..1;.: .�, ....< ;cm ., c /L...,, ••n.. ._._„ Q. ... '• ''ri`.t'.}4:1'' City 0f Tigard �Iteeeivwt Permit No VI're:90/S-6a/9 ,_ L,.,k7:;,:.: •J g u:nom;nye v °'d 13 t 25 S\\/I tall I)) d.,Tigard.OR 97223 '?' Plan Rcyiew ';gr,'...`i® %i Phone: 503,718.2439 Lax: 503.598.1960 Dale/nv: rhhcr Perron: k”' inspection Line: 503.639.4175 Dale Read /B Juts pr-See Page 2 for E3;RF;::_.'/Y/?" interneeww'tv.ligard•or.gov Notified/Method: upplemental Information t.. ^ia:2t�-:r.3.:,•:::U'x.:•-...r,,, "1,s.14��r.::-..t:-.l'�l:+..::',�.r.,:,,,,,1: - .?�- .:I.:�� ".n' :.t:. .4,', .:rjY't ,>. ,j?i {. ,:rte.•{. ..rv. .l,' ::1'� %'f'.: l ;t:: I% F yo � -y_ -;•nip ;)• • .....�- .fix- ..,r. v..t:�!-..v ''h;:..,,:.,,. , .u. . .. ®New construction ..T. ..❑Addition/alteration/replacement Please check all that apply(snbmil 2 sets sof plans se/items checked below). D Service or feeder 400 amps or more 0 nmlding mei-three smnes ❑Demolition ❑Other: . ,vhere the available Paull current 0 Marinas and Intov rde ; ,=74--i{ ' i>:• CA7FJG'.. 0 >c"'',.. Kr. U' `., :; ;'-:::',.,.i..:::',: ..-..: -:.:.c,< e„cacdc 10.000 aps at 151)rolls or ❑Horning hiil i. !;:Lia:a.+...oz:,...:.n....n•:;.a:r;:,1.1d„..;.,:,',.r;.-•,a:.-:.:-::::,- _. less n>ground.or racecds 14.000 0 Conunaroia)-use ag,ienhural ® I-and 2-family dwellino ❑Commercial/industrial ❑Accessory building soaps for all miter installations buildings ❑Multi-family ❑Master builder ❑Other: D Fire primp D hl,mnalit,n 111'75 K VA 11f i ::,,r:S>P:CYT:fix::77.o's,y,')',, ca^::,-.:'-•r,:a.,; .p:.,::..r,�'•ov:.a're..... liutergenevsydem. larger separately der,ed system "5�;a9`'.':: e PJ OK t;�TjOI!T; Lo ETtbN. Y ..*�}����da.,t..,.< pn.n;`c{� _:}� iES��:'� ;.h:., .. '!�� , . .. ., "fit-' ❑AdLlilinn of nc,4 molar Imul ul. ❑..11.. ..1,,.. ..) r 'I. ... 1'...,.r 'qi- �`�\ .-t- R I i w or nture, uccupancr Job no.: Job site address:,� Cr t] ) j�J 1� '^ /�� � L �V 1 ❑tins 0111101C restJaminl units ❑Hccrcauonal,clock park: City/Slab:/ill': > _ &f "A OR\ q.,�� ❑I lenhh-care Iaci)iires ❑Supply,nthµfor more than 4�!L4i_ ��✓✓ ❑I lam,darts locations bon,oI1S nonan:,l Suite/bldg./apt.no.. D Seraiet.1'r feeder 600 amps nr marc. , ),jccl name: � :' ; ,... ' : Cross street/directions to job silt:: W - 'nrsrripron ' ,. I Qin. I Fre. I loll I New residential single-or multi-family dwelling unit. ///��� Includes attached garage. Subdivision: Lot no.: I & Lotto sq II.or less 168.54 4 Iia.add')500 sq.Il.or portion 33 92 I Tax map/parcel no.: Limited energy.residential :llt EZIF�"a , 0wr'�UFl s.< , ."ClO :tiifriti 1',:f.,,!.:? •: :;i!':;;,.p!: .,,..:,.:y (yeti sq. i) 75.00 2 n .,rz1F� , .,4r nts,< C_r r'''',".',"'''"'''''"',,.. ,.... ::�.•;' ' .... :' t.im'led energy. mull i-handy New electrical service and wiring residential(with above sq Il.) 75 OU Services or feeders installation,alteration.and/or relocation 200 amps or Tess 100.70 ' zsn : x, PRFpp YQHE - s•: ,i'r)s".: ' rk`['pA _ - 301 amps o 400 amps 133.56 ' ^�t� 401 amps to 600 amps '(10.34 2 Name: 1'J n 1 ` 601 amps to 1,000 amps 3(11.04 Address: t `�1 Y' over 1,000 amps or volts 552 26 _ City/State/ZIP: v t ancio6 1.0 q caw-c) Temporary services or feeders installation.alteration.and/or relocation Phone: ) h "t ;WOD 1'4x: I)) la --\-1/2(4k2--- • 200 amps or less 59 36 I 201 amps to 400 amps 135 OS ' Owner installation: This installation is being made on property that 1 own which is not — 401 amps to 599 amps 168 54 2 emended for sale,lease. rent,or exchange.•according to ORS 447,449.670.and 701. Branch circuits-new,alteration,or extension,per panel Owner signature: _Date: A.Pec for branch circuits Lrirlr wy,:'acs;.r.1';• '' ..,�. 7.r :t.:ri7:, ah n'c service or locdcr lee.c 1 -E•"ISA Tsj .`•<::>;,;;i{,, sus?"rr:F'- 7 4 :1';".;.asa:;Q.,- - t.. 5. O T.ACT'J?bRSOD1' .... „s.,-.:.4,;:^ ,..:�- ., ' �'�:-<�' each branch circuit Business name: _ v tit B.Fee for branch circuits o//ima service or feeder fee.I irst 56 18 ' Contact name: J J I • # 6 .1i . branch circuit Ouch add')branch circuit 7 42 2 Address: t • J r� Miscellaneous(service or feeder not included) /�� Fuen manulaciurcd or modular 67 K4 l CCity/State/ZIP: � �t J� ' } t q/ • _ dwelling,service and/or feeder Phone:( ) Fax::( ) Reconnect only 67 84 I _ w Pump or irrigation circle 67 84 I ' I-I-mail: . t�/��,• t)rA ` e' 7•k. C• �V ' r' V!�. ;,: . Sign Of outline lighting 67 84 x =CONT CT'D t .'...., ,,..., ..,�a,:!:';'a•: ':.. ,. Signal cif-wigs) imitcd-energy � .'.:. -•' Sig •IorI erg. Business name:Simply Electric panel.pancl.uI)crtrlirun.sr extension Parc2 j , _ , Each additional inspection over atloN'ablc in any«1'the above Address: PO Box 822408 Additional inspection(I hr min) 66 25/hr Investigation(I hr min) 66.25/hr City/State/ZIP:Vancouver,WA.98682 Industrial plant(I hr min) 78 I5/hr !'hone:(503)849-8202 Fax:(360)314-4945 Inspections for which no lee is yo.UU/hr specifically listed('/:he min) '.qr:::,-'''.." ,1'.-(, .... ... . .,',t' S.. i.....; ' CCf31.ic.: 2046I5 Electrical Lie.: 067 Suprv. l.ic.: 4394S EE;ELTI'Ri:G:'F2�;PE'Ri}1l7•';FE�ES`.' -' / r/ Subtotal' Supra. Electrician signature. required: -ft-t-e_, 'r,cc o — _ Plan review(25%of permit Ice). Print name: Victor%arzhitsky • Date: 1417/2015- . . Slate surcharge(124/of permit tee). l'UTA1,PERMIT FI:N. Authorized signature: This permit nppticution expires if a permit is not obtained within 1S0 • days after it has been ucr•eptod as complete. Print name: Date: • Number urins)ectim,.:dluwed per permit I Jhuld,no'i'rtoitn.li1,C-1'unmltApp doe 117‘Iti.li 4.10-11.150.1 l l,uOK'ONIAVI!IL • • Mechaaical,Permif.A'pphcation s,, 4,;ts> ''. �yi i urt�ci L$I. ¶'V .� �.s' s.U',� 1x ��a t`-‘%....:::': City:oTigard Thia$r. r rw "67-c961/5---e0/9. /v /s Zb /Q i `` : ]3L55V HaBvd;,ticaid;:OR-972?3 • PeOthc1ti . • ` it' ' Phoner 53:718239 Fax 503598_960 iaidpY.': ' . . . ..- i,r„.4-;,, inspcWonEine:'5!)3: 39.4175. JafAeay/6y:t rw a lEZtSe ge tvi . :<..n:, .. hairnet vu .ignAor.gov NonFedhtcibod t 1lofdrmntitifl rnw - - ,. >. -tea [ �rt '-- �' - ,xi. w,0' +'.fix Cij •.... _ _... ..... :.....__ ....._......... ...... x P ;�CQ _RC1A� F ' SC?I � tLE. `_ c'rtn w:: Baia sw w�r 7s JwY�?a ri S �` �5 : k3s yx n ivlahanitAl omit.Cos*:me,biLci d,on the,�ulue of il}e xvrk P . ., MIvYcw.consuucuon (]Addition(alicrauQlvrcplricemc[it' performed.indicne•the value.(rounded to tfie neartsidollar)of 0'L .in'cdiunlcal mmcrials.tquipmc»i.labor,.overhead,end profit .. [];perltolitiRg. 0 Othcr • _ Yaluc:'S . t '% F',"' 3-sACROT\ €Ct ]2xY;lifgA ,S Itt7C'i:t >'�.i. a'tE41,1''a.:: .03 �,Dygria 1 rte,, ,,fa t �r�r g r arg r _.. ?;u:�,re'kF'�-�8-.,,^C.+T.��.k?1.ii`£,X,:�r.-.v�'.wC�w�tL::"�.�� ?a,��w� - . - For' atinfo,mktlo>r,ufe di erkltsY- ®t Yiiid 2;artiilyU}vclling CJ commCrCraUiitdllstrlal 0 Acccssbry building Di01.ti-#abiily. 'Q Master builder '0 Other D�scrilitidd I Qt`'• ] Ee. Total : • x IicatioJcnolitiR: m '�a 11 ^} _� h °1tf~.A x lu"co 46.75 � �'�'�.-r () L;SPSk��IgTJt \�'l�V;.., .,.... a�-- g c , 349! 2 M ' clifi .1ing P et700 .,nes) 1 4.75 Job'silt addrttc: l urns ` I kung ce 100 0+ attar niij I10 �y, 0 t3TU(d C1'131 4.trJ2IP ( 0 F)A :.0 .-..., -7-1..* Hint purirji. 6'1.06 TUd Soit Jtiidj;JNit.2.no. Pi'oject,nainm R\qer 'rerr0, Disci work 2332 Hydronic hot water system 2332 Cms strixtldircctions tojob.s'ttd: • aidela1.boiler(radIaior or hydroblc)' 23.32. U*1.13 1.4 0.1e1,4M:1.$5' tearic), . in;dailtiiWtiiti;'susp 11dtd.tie. . . . 46.75• •. EliteJvcat fol 0'0 of atiovc 2332 ._... Omer .. f.ot.rro.: 1 2332 ifiii.'3ud'"appliances: Taxlerta _:: r" �,,. -:..�,. �k•: ?G. ns' .. .. .39 ...... ,., .. 23 32 -s*.-M..•s�. - �, �; i`ss'fsscpliicceffrii3ac 33. '^:2 -. - ,5, : f r-FSCR r3 o ----•,,,�''` a ''-:'moi' f34-ve.nt for•v+ater l,e3icr.or$as . frrtjilaci 1 1332 • l:og.lii iter.(1 as) 23.32 . .. .. . - Wood1P'e1leLvtoyt 33.39 W,00il;firtplacc!uisat' 23.32 . tiiiamii0/11r erl/luWyent 23.32 r LiY•'y' �i^`� O •d. 2332 ' niga _R -SgE4 . �tz- . s �diiivdierital rttaosf and itndtatiior: _ .'Name;:piilvgon Northweleanhood/st ge_,faolha latrbtn eallipi4 .' ' 1 33.39 4ii3it.W,109 0:36&t •Cliithes dryer••'exhaust' 1 3339 • .... 'SiOtic chit3 exhaust(ba0rroorrn. . • City/ lritelZl.Y,:'Vatirvuvt�,W.,:h866 . 'toilei,comparttnents,ullity.rotims) . . 4 2332. ,Ptiorie{366)8167,$00`. Fir•( • kick rswlspace•fnns 2332 1AqT, , rk ANN Rt fN ..`pfiDtei: 2332 tfn _ �a : ' , %.K.1,..1:!........._:.•--,,....,,::... ! .i rFlie [;;p iz. 13uyyi*s§.14y>nc'P.olygoifNorthir esi .. 4$143.5'tar fait tour;54.03 for.eadi additional Bum leo,tic: 1 • Gits:brai,pati!¢.. ,....s:, U9 E.1 St . ... .. .... Wiilllsuspwdedlrutit hcxta-' • ., - City(SttattlLtE .'aniosrvr,WA:986b1 .,,, :Wuier:fxasri ' Fa, :( ) Fnipl� 1 'Pliori66(3-60)816-7800 3Lait ... .1 E-mail: itarixduc' xtfi ^ga „" ? " £ -aNI,O ,�-t cx11gi §V =.f-' 6obs(1rVt( )- H.•Sn ,..,,... ,. f,0'2 ' , ,4a,. ..k,� :• v^=$ . . Bvamass nam :.„ ..lercen'l1esltinpp Inc z t i'+'. "fig A rxY,..a2.40 ES'»- 42. ''` •-, cid 1 1$i. 5W$S6 Ayt.$tt;410 Subtotal. Minnuum permittee(590.00) Cit • ylSftltelLlP'17064/PR 9744 . ...... Plan revieri•(2519 of pelma fie)'- pi nei.(503)p924664. Fax {503)Si6-5615: . „. .State sui't:harie(12%ol'ptiriiit fat) ..' TOTALPERMIT FEE.. Ci✓B7ic;.? 8214 Tbis•pcimlt cp') rtioo'tilSites'jfs permit isnoi,o}itiiaed iii lhiv 180 "-- days atter it los been actepted.as tiiniplate. Antharfacd sig turn: •: i'ee mOodntol y sot by Td-Qotm y Th3ding lndosgy Service Board Print'rzaiiie;'Art,liuderacri __.. . Date:1192012145 r+aasems:e«ma;uiac maAw340rs5:aov 440'46srr(iria:.coMAyEa) City of Tigard .111 U COMMUNITY DEVELOPMENT DEPARTMENT 1 Building Permit Review — Residential TIGARD] '4 Building Permit #: 4 S a0/C DO 19 P Site Address: ' 1 7 1°12 SW *119 Odg e. Ln Project Name: 1Z i v —re/cm uL.. N o r h'- vv'es 4- Lot #: l a (New dwelling= subdivision name; Addition or Alteration= last name of owner) Planning Review Proposal: 1v10 AA 6.1 Horn nn Pr- Lo+ 16 Nem/ CnowvhOv, Verify site address/suite# exists and active in permit system. 7 River Terrace Neighborhood: Z Yes ❑ No Site Plan Elements: ,� /Three(3) copies of site plan YJ1-7xisting structures on site (J/A- XiSite plan must be on 8-1/2"x 11"or 11 x 17"paper ,X17ootprint of new structure(including decks)with finished 0f)raven to scale(standard architect or engineer scale) floor elevations a North arrow Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number ❑Ldcation of wells/septic systems/ /Applicant information (name and phone number) Erosion control (including drainage-way protection, silt fence /f,ot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percet age of coverage and XJ Street names impervious area (applicable if R-7,R R-25&R-40) XrStreet tree size,type and location ,Property corner elevations (2 foot contour lines if more than XExisting trees to be retained with drip line,and tree 4 foot differential) protection measures r Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): vv/ Pp -Zv1 S S Required: ❑ Yes,applicant was notified E No Received: 0 Yes ❑ No Public Facilities Improvement (PFI) Permit: PFT 20 Li - 00$ 1 'l Required: ❑ Yes,applicant was notified ❑ No Applied For: A Yes E No,stop intake Land Use Case#: poR. 'LOS - 00005 0 Zoning: R-- 1 2 PI Setbacks: -(C.:& I 2 Rear 22, Side i 5 Street Side 1V/A Garage . J21 Landscape Requirement: — % ,21 Lot Coverage Maximum: -- 0/0 g Building I-Leight: Maximum Height Nr/A Actual Height Visual Clearance Easements Sensitive Lands: 0 Yes 0 No Type ❑ Urban Forestry Plan Conditions "Met" prior to issuance of building permit otes: GV nCtit ,0S VI u.V� 0 Ot- 6 e-P.v�1 'Y\Q.-- Approved By Planning: rM 0 n i( c ,t 1 I., oe_t_ A&_. Date: /// V /t Revisions (after Building Submittal only) Reviewer / Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:ABuilding\Forms\BldgPennitRvw_RES_070915.docx Building Permit Submittal Original Submittal Date: //7.2A.5 Site Plans: # 3 Building Plans: # Building Permit#: ffrEnter building permit# above. �� Workflow Routing: ®Manning engineering -Ea—Permit Coordinator 'Cf fuilding Workflow Sign-off: j2"-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. ,..2--Building: original permit application, site plans,building plans,engineer and beam calculations and trust details, if applicable, etc. Notes: By Permit Technician: A" / Date: /�i�s Engineering Review ❑ Slope at building pad: ❑ Conditions "Meet"prior to issuance of building permit / / ❑ Easements (encroachments) per engineering conditions of approval and plat *fr li r i El Water Quality/Quantity Facility: ./1, Assess \Vater Quality Fee in-lieu: ❑ Yes ❑ NoAle Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by n ineering: Date: Notes: �:.1 le .�' .7, s:" L .4 Approved by Engineering: ,moi D Date: /1- Cf--� 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: rm.-1.A_ ,e/7‘.. ate: 1171.(//5 otes: a, C'lie `-‘4.r:_e., r'ee"e*hn� ZA i/ A01/S 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: 2 SDC Fccs Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ❑ Yes )0N/A Parks SDC: Yes ❑ N/A >i<OK to Issue Permit 49.AApproved by Permit Coordinator: � / Date: S I:\Building\Forms\BldgPermitRvw_RES_070915.docx 01/26/2016 11:32 2532882156 GARNER ELECTRIC PAGE 03/08 City of Tigard • COMMUNITY DEVET.,OPMENT DEPARTMENT w Request for Permit Action T (-,A a 11 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 -www.ti_ NED TO: CITY OF TIGARD JAN 2 6 2016 Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF T IG ARD Phone: 503-718-2439 Fant: 503-598-1960 Tig.ttdBtuldingPerme4MG /ISICN FROM: ❑ Owner E Applicant Contractor ❑ City Staff Chw;.lc(1)unc REFUND OR Name: INVOICE TO: (Busincc:s nr tndivickta() GIcida&L. _e `,) Mailing Address: City/State/zip: \k`Of 1r1W CtiTh2) Phone No.: 5.1It _ PLEASE TAKE ACTION FOR.THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original .receipt,and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). RE.MOVE/R.EPLACE CONTRACTOR ON PiRMIT (do not cancel.permit). ( Permit##: V\S1 DQl;5 " bb e D Site Address or Parcel #; II /7/9/ 6.0 .1001vmmit:*lVldiittuyV�- Project Name: Subdivision Name: kaLltSIX.0 Lot#: EXPLANATION: `rl il MA ' 1 • �'s'( 'It 1,.: .;1 (Qf( llf.`r619u18,• 1 Signature: ��` lDate: \ a`pl 140 Print Name: �� ;j (6 Refund Policy 1. The city'a Community Development Director,Buiidin.g Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid out collected. • Not more than 80%of the application or plan review fee when an applicntion is withdrawn or estncelcd before review effort has been expended. • Not mote than 80%of the application or permit foe for issued permits prior to any inspection tcqueats. 2. All refunds will be returned to the original payer in the form of a check via US postal service, 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date By Route to Records: Date o? fe 414" By 1724,/ Refund Processed: Date By Invoice Processed: Dote By Permit Canceled: Date - Parcel Ta. A Date 13y I:\Bui.ld ing\Forms\RcgPc rm it Ae do n^U 92314.doc 01/27/2016 12:15 2532882156 GARNER ELECTRIC PAGE 01/04 -11.1',CEP -- _.. ._.. EIectrica1Permj 1�.Cpjjgjt q ry inRart•iceI'',t.i:;�:.1 Q City ofTigard 2 I :1.'19 q mimeo: IIF 97-8.0/ `Opi 7 f 13125 SW HMI Blvd,Ilford,OR 9422N r! - 4=' Phrens: 503.7111.2439 Prat: S03 591E 1960 lt•hted Persil 9: faKpcdimtila¢ $¢3.619,0175 pp i TtG r._'',� halm=mnrtIguntorgrev �T�!�� I JA4R1) Re*,blOotrea Jnnn xt�lifRdlMrl6olt a W^ . '::.-.Z•7,•:',77:: .�6.w..n .r:. . e: :'.,...,...:,',4[:1.'s,-,..;`;;'-' �,.l�t.,v, •=tis:. 7 -�'`�`�;��,,�:?' �� . �; ,: -x, l ®New constriction IDAdditfon/ai xcpinocrtiont risme abort id ant awls t • a sats centres eiacelm )e 0 Demolition Other: Service oe Meier ADO owwows CI ih lldled owe naso umiak i. • .s-' wase donrrallllllkfailemsi ❑Matinee pod bearell. �� � .F,1 .-...,i''... 1;l{r'..�'.-.._ C..S:. i� ); z .rx1.: t'�_'i cum.('ikatln aatM at 130•eas a [JFleelnemiksh r. Q1-2nd 7ribadlydwelling 0Catnma"ciat/indtstrinl ❑AapescnryDuildidg less to masker Com umiak soessieellwel dnpafhrallotherinert%am MlNdinas [Multi-fnni y ❑Masuxbuilder Cl Other ©>r��n ❑e.eulaeerorliiKVAier 1 es,:)'• i 1 ,Y' ' 'I. fo_l..' r.1.;1(.. li !''' J . !wtiMuY:.`�J"nTA17^4P„t.f r41. ❑moon n9Mks Intim iteonftely derived Job f/. Joh site �2 SW Holly IRddgaL 1 1:1Addiion amore motor laodof aromaIDO}tl'arloare, d"A".-t-."12","r•3'; City/Stat '7JP:Stir mimed O1i97.14 /7/91 I ❑%ormare seeideshelwet% malmsey,❑lterklawaeea;liaex 0Reetesolel,lYebielopath Suite/bldg./apt il: `Project name: 1 d lresraoan loonies. ❑Simply yaw Oar,no,e thee 09eevlea or ked r 600 ow rw more. 600 sosa lioalilet Cross street/directions to job oto: I g_-K W j? r_:lm_ 1 '� ;- 1 ;=t Wd — 'till loll Nim restdenthiI tangle-or mil111f1011ydWdln Subdivision: R91er Terrace Lot#:1S j Includes sttaeked rage. Tex map/parcel 11 I - t,ago ro.n.N less IIIII068.54 —0 5 �. ,_ ti .z n a rvy, ;` Ls.adti'I500m.fl,or pontos 3392 III 1 i,'.,;" .,.i._.. ...,,0?^'�' .. ..!3!:z r,1 n>~ _, r.r. . . l Umised wow,inkki let 75.00 R New Single Family ^0, 'A/GC' 040"171-4-Cir0/2 with ohm.•.0. t ifgiled cony,multl.ftnuly 7S4IO �� resdendal with above tt. ,i T.-,,te,7.!;.:71.7.70.:,:::,;.32:::1.',)!:,77.,,,:-.'' .. 7 71"77:72137,'31.77'. f i 1'7. tirjRr�.4,+.:t.xr RtgeIrabie hll- N • ,: : .eu r . ,: . -:_ 27 _... _. _l_�z..tl Lr� . Mese:PO SOr ILCIIf!IS htraltaaoa alferalba aalYar RktFSiOq lygoe 1*onsc6 i 200 atom of lees 1.00.706 111111'J1ddress;10!X 1,11 St �. 201 amps to 400 amps 133.5 C.riy/SteWZU:Vancouver WA 940660 I m1111a1 401 steps to 1 0 amps 00.04 601 W 1,,0000mom 301.04 2 Phone:(360)69+4700 Fa=( ) I over 1,000 maps or volts 552 2 1 llentporary4�riml or fetders Ihatallntim,alteration,neerEmail: tekientbn Owner Installation This installation Is being made to property that J own which is not 200 amp or kis 5936 ` 1 intended d for sale,,Tame,mot or cxohaoges according to ORS 447,449,670,and 7011. saasap • d mope to 400 , 125.01 2 Owner siaarxure pts; l 401 amps to 59P apps 16154 2 t~:.t .r;a '�'" I l �. �'.,t: ;rv`4s_ � s;.iik"t:x;x;'wv.:� 1 ,:.T. 1fL�•1 r,'.;j 6rRnekdrelBb-am,siren nos,ara hm,. Find A_Fee for Mood s'tou'ts wok Businec rale-Garnier Electric Washington,LLC a11o.'eservice orfeeder fer, 7.42 2 esti branch chalk CantIIa name:BIO Daniels 0.rot for tonne'dllaulh aKrrmar Address:4101$t Johns Rand SCIa0 or halm foe,first 56.1$ 1111 hush citettit City/Slate/ZIP:Vancouver WA 98661 - Each add`[brooch chant 7A2 MlscCpancoRi(service or feeder sot ineludsd) Piton.(253)324-J657 Fax::( ) Each ntenelhwecd ormadnler 67.134 9 Email Ddaniebl +vaeas,eem dwelling,savlen.ti/orlocder w Reconnet t only 47.04 2 ¢' r :y ( F' :e%. 5'SM7 r7�^ �•r•-0.-4,-r:;-,L,-,-,27.-7,;,;.1 67.twt � fe:.,n�,G. s r .. , ! .sue- r,. . LL.. .,t�,.4.�...',;g-'ra•d,, -.a,:aPony or in esdan Miele Bu 1 Business name:Garner LLC Electric Wastriadgf®tn. Stan troutline ligtttmt: steel 2 Address:6101 St Johns Rd + Signal aineldt(a)ar Iimncd.eamgy 0 Ste Hage 2 2 �_ _ I peedeltrentien,aremmulat Emil nddifonal taffpeclion ow sOnortbte la tow of the above City/St1E:OP:Vancouver WA 98651 Add>tiwrl ltlsptd an 0 hr NA) 64,25.thr Thom(253)3211-16$7 Far:( ) I Investi [tion(1 kr min) 90.14 hr Indnsrtoaplena(lIKmia Mini ht Email:bdanlela atwousamoan ) Inspections tar which no hue ii" . 90.00/hr CCR Lim: 01.1.88 Elech icnl t.ic.: 208174 s. '6e-, bashed-`'y_9 rr min) 2`';t:4n•`if��l,w"f': 1n,l^.:�!I;.1".�'.Y!^4ryy.;;;^as+''u Snllrv.Rioe1Tioittai SiA3lithnry requlved: / ...21:441:41U.;,). r.,�° :` -,,F.;1 •S'_." _.�?'_`,.<,LL;", -_.. - - eek Salmdel: Print name: Joan P Albert DM= . -`1, s ❑flan ReviotvRcquked(25%ttd•pcmtil Ree): State serohnrtte(12%of permn fee-): Authorized signature: TOTAL PERIyliGl'PIM: Frlat name: Bill Daniels W_ Date:/_z I 4'1_ � Thi*moor npsnanar t see Its',meek??accepted os tidenled wltllFa 110 deft ear 14 tor been Aet!(Iled pal mnpkh. r;kaatnestl'enehr18r,C ere*Aga ar.R rstese Rev 06119s2013 ........,0,-,,,,, • rfnnlbet ar insproiatt e/knyed per meleat. VS', o- ,d vo o,c9O9£ oyap ggtunloo d90;b0 96 9Z uef FOR OFFICE USE ONLY—SITE ADDRESS: /7/ 9/ S(6G LY ��S 2N This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov LIST TO: ,4 DATE RECEIVED: 7) ? DEPT: BUILDING DIVISION RECEIVED MAR 31 2016 FROM: % �� � CITY OF TIGARD COMPANY: �/ BUILDING DIVISION GZ—i PHONE: RE: 17/ _< / / &i e, 445 v16,75— od/C1 ' Fes"`" ite Address) J �h (Permit umber) Vi! ) /2;'c' /ems/�GiG� ( o�ect name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracingand/or lateral analysis. Y Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: G�l'e7�W w i l i ,3 Routed to Permit Technician: Date: TAZMN Fees Due: ■ Yes Lei No Fee Descri.tion: Amount Due: $ 3. $ '09-/L !� $ T rfT ,9 ' a 'it' A.• $ Special Instructions: Re•rint Permit ser PE : 1155111. ■ No DIY,on- A A. •licant Notified: 5 • /AF _i!f— I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17191 SW HOLLY RIDGE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final PASS MST2015-00198 Chip Barnett Provide correct address posting on structure as per ORSC R319 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17191 SW HOLLY RIDGE LN, SHERWOOD, February 23, 2018 at OR, 97140 10:16:57 AM Record Type: Record ID: Residential - Master Permit MST2015-00198 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17191 SW HOLLY RIDGE LN, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2015-00198 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Collected ETO site inspection certification High efficiency lighting form Moisture barrier acknowledgement form Moisture content acknowledgement form Left C of 0 on the counter Violation Summary: Inspector Contractor