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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT 0• ;r.,a1 Permit#: MST2016-00194 Date Issued: 05/17/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 jyj(! Parcel: 2S106DC11100 Jurisdiction: Tigard Site address: 13787 SW 174TH LP Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 111 Project: Polygon at West River Terrace, Lot 111 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $349,277.36 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 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: 5 201-400 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 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,403.89 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 952-001-001(0thr�h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:\`l� Permittee Signature:_ ..0(-71* 4 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. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECR .�y DReateeiBeiveyd: FArAmtimi gPermit No.:M�jr r 1 . - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: F TIGARD T I G A R D Inspection Line: 503.639.4175 A UG 2 2 2016 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information Ci► Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit . . .. ?�,�` ^�` �.��:, h* 4.. 4 �._. 1..ar . �; �x �:, .,..'4": 40,-,-.7',. ..`�.-.�'...; .t1 '.tS.u�1(z ��-sm'l�a�.�.�i�i� z<. �..� . ; ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total i4 M a0 � x Heating/cooling: . ,."..: .,.x.p,_.;. M II''IF171tMAAT1II(''? l'll<}. lTltl!1''I; F} ,_;-;- Air conditioning 1 46.75 46.75 Job site address: ' 3-16 I SCJ 17 i'l 1 f l'� Linc Furnace 100,000 BTU(ducts/vents) 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:Polygon at West River Ter 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 23.32 Subdivision:Polygon at West River Terrrace Lot no.: `i I Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ''Sr NKAORMintlyilGas fireplace/insert 33.39 Flue vent for water heater or gas Add AC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 �� , * R* � ��,. ...._ . h . . . g . . x_ Environmental exhaust and ventilation. Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:(. ) Attic/crawlspace fans 23.32 .i d@t , -' +A�` a l`"" `�� Other: 2332 am' ..- ..... Business name:William Lyon Homes,Inc. rel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue a - �� , Clothes dryer(gas) Business name:Apex Air LLC Other Address:18004 NE 72°"Ave 10.10#01 )f„ .,7.1'17:...<. '. F�:g�. ,�u� r t...��. . * .�-; Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE _ This permit application expires if a permit is not obtained within 180 I. days after it has been accepted as complete. Authorized signature: 4,41q1/17-NCA * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 I:\Building\Permits\MEC PermitApp_040113.doc 4404617T(11/02/COM/WEB) `� al CITY OF TIGARD MASTER PERMIT COMMUNITY �� `�OttA DEVELOPMENT Permit#. MST2016 00194 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016 Parcel: 2S106DC11100 Site address: 13787 SW 174TH LP Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 111 Project: Polygon at West River Terrace, Lot 111 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 Required First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Dwelling Units: 1 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $349,277.36 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: Bckflw Prevntr: 0 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N 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: 5 201-400 amp: 0 201-400 amp: 0 P W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,306.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR• 001-0.•0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 011.800.332.2344. Issued By /"�� f . Permittee Signature: &� ,L..•/ems-TZ©/✓ 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. CITY OF TIGARD MASTER PERMIT IIIIp COMMUNITY DEVELOPMENT Permit#: MST2016-00194 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016 TIGARD Parcel: 2S106DC11100 Jurisdiction: Tigard Site address: 13787 SW 174TH LP Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 111 Project: Polygon at West River Terrace, Lot 111 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $349,277.36 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 Bckfiw 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 Tvoes Air Conditioning: N 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: 5 201-400 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 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,017.91 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 952-001-0 90. 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: v� Permittee Signature: 0/l7 / (,/e (J/ / 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 11-FiCEIVV41) Received PecmitN _ City of Tigard 2 2016 Date/By: �-3f�(o 9 fS B/6 d4/'11� II 13125 SW Hall Blvd.,Tigard,OR 997822193617;1 7223 MAY 1 Plan Raview t o�et p� � �6-4©� 1� Phone: 503.718.2439 Fax: 503.598.1960 D Date/By: B/i rrJ 1� l • F T1G AR Date Rcady/BY: `��/ Jum: H See Page 2 for I"1(,`,I;I-I Inspection Line: 503.6 r.gov 5 ("'�'��O Nie /Meths �/ 6 A. Supplemental Information v DIVISION Internet: www.tigard-0r.gov �ING L or // AJe --- _�. -•-- Permit fees*are baperformed. sed on the value of the work __®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this ap• ' ation. — ., , . . _ . . ,� .. Valuation: ' \ 4 0 Commercial/industrial —7— ® 1-and 2-family dwellingNumber of bedrooms: ❑Accessory building 0 Multi-family Number of bathrooms: 1 ❑Master builder 0 Other. / �3 7 ,,; ,, r Total number of floors: 2 � °3 ' ��N��§ y��,...s. k�a1.s ��" ,.,�.�. V1464" � � �"� � New dwelling area:$$\l_. square feet Job site address: \14 , Sw ` �-�-o p - J f " v Garage/carport areat\\ - square feet City/State/ZIP:Sherwood,OR 97140 J Suite/bldg./apt no.: t \�N ( Project name:Polygon at West River Ter Covered porch area: /2_, square feet)6 6 Cross street directions to job site: Deck area: II square feet jai Other structure area: ', square feet `egg : Subdivision: I Lot no.: r \ ` 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 work indicated on this application. p"9'�t� fir.. '; X tr rrz `t':'�'°�' iiri,.u+r"�" .`..� ''�� ,°. �+ f,W� ....a.-, ,... ,.. ,, .. .. to A ham; a.,wz Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet �„ ate-*. -'- ,.w ,k' `S •- •- a _"_'"__" __._,. Number of stories: :---4,4 ...'�'.]v!.s...,......F..EL ..;_.w. �id.eke-`{-s.rc.... Name. /92SLV/.49--"/ fr/O4O//✓6S LL.C— Type of construction: Address:109 E 13th StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax(360)693.4442 New: a.F v v, �'L�..... Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13"Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 ; E-mail:maggie gordon@polygonhomes.com Commercial and residential prescriptive installation of ,'() s <4 } roof-top mounted PhotoVoltaic Solar Panel System ; �� __ — � Submit two(2)sets of roof plan with connection details Business name..,L0 m W�H,r i-.�--�•-/LLt7/`7 L/ON --M� "v and fire department access,along with the 2010 Oregon Address:109 E 13'Street Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): Fax:(360)693.4442 $21.60 Phone:(360)695.7700 State surcharge(12%of permit fee): CCB lic.:207247Total fee due upon application: $201.60 - This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as completes I *Fee methodology set by Tri-CountyBuildmg Industr [Print name:Maggie Gordon l Date:12/11/15 Service Board. 1.\Building\Permits\BUP-RESPermitApp.doc 02/242011 44o-4613T(l1/02/COM/WEB) - h '-. RECEIVEP ElectricalPe itJ plica oil, iI,i<,aitrr 1 ,i r,%1 city of Tigan R,r"' ,1 S 13i25s�raau$IYd,T .orz 1 2 ?_016 " " T�O/6 =o0/� Phone 503.7182439 fax 503.598.1960 rijillIllIlIlIllIll Related Permit:: — Inspection Line:503.639.41 rose M surono2 rod NmifiedlMemaa: Sapplaaeotni Tnformanoa DNese construction D Add rerationtreplacement Please check as Mat apply(remelt Inas°talons wmdocked): ry ID San**cc feadr�amps tumors ID Band:agovathrea stories. L1 Demolition ©Other: waste the nvatlabta fasdrs teat I]Marinas mad bestrewn t'!"'''''''„:t.. ,_,CA' ht'!'.OFFG014.4TRUCTION exceds t0,atmsmpsd 1Sovont or ❑floatmgbwldings. ®i-and 2-family dwelling 0 CommercialPmdustrial 0 Accessory building leis w grmmd Of camas 14,000 13 C»nn.Cteir-are agrieskaat amps for all other fust.aatioaa buildings. 014u15-tiamily ❑,Master builder 0 Other °Fre pump, ❑rmtallanwoflSOKVAor SOB Siff- ORP0Wit()V AND LOCATION ['Emergency system larger separately derived 1 � L I Addition of now rnotor load of nickel. Job 1: Job site address:\ 1 `1 1 l( 11 ,,( ? 100ttP or more. ❑'A"."Er,"12","1-3", I7 Six or more rcsidcotid ruin. occupancy. City/State/ZIP:Sherwood OR 97140 13ligat1k-ou0!bedlam, pnaeteaimaal vehicle pada. Suite/bldg./apt. Project name: Clllaradouabcstonx ClY� tor motorbus O Semica or feeder 600 amps or more. s"rocna2L Cross streeddirectiions to job site: FEE SCfff ULIS. ' Desoto*... 1 .,. 1 Kora' I Tsld I a i New residential single-or taints-family dwelling unit Subdivision:River Terrace Lot#:I,1 incladrs attached came- 1 i azCtl 1,000sq.ltorless J 1611.54 4 TB)( P Ea.add1500 sq.ft or portion 6 33..E 1 DESCRIPTION OP WORK Limited energy.residential 73 2 New SingleFamily (with abovesq.it.) Limited energy,sushi-family residential tail'sabove sq.it.) 75.00 2 Q.,PRO, OWNER �],i[2pgppY Renewable Energy ID See Page • • Services or feeders istsbtilationtalteratton,and/or relocation Name:Polygon Homes 200 amps Of fess 100.70 2 Addrese 109E 13th St 201 amps to 400 amps 133,56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver WA 98660 bot amps to 1.000 amps 301.04 . 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps Of{alts 552.26 2 Temporary services or feeders installation,alteration,andlor Email: relocation Owner installation:This installation is being made on property that I own which is not 200 snips or less 59.36 1 intended for sale,lease,rent;or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Pi APPLICANT . 1 `0 CONTACT'PERSON Branch circuits—new,alteration.or extppslau,Rerpanei A.Pee for brja tcb circuits with Business creme Garner Electric Washington,LLC aboveserviceorfeeder fie, 7.42 2 each breach circuit Contact name:Bill Daniels H.Fee for brand circuitswitrout serviceAddress:6101 NE Si Johns ltd branch ircuit far;tusl 56.18 2 branch dopes City/State/ZIP:Vancouver WA 98661 Each addl branch circuit 7.42 2 Miscellanea's(servile or feeder not Included) Phone:(253)320-1657 Fat::( ) Each manuthenucd or modular dwelling,sgviceatidtorfeeder 67.54 2 Email:bdanWa@gwenan.com Reconnect only 67.84 2 CON 11ACTOR Pump or imiiplioo circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or meant lighting 67.84 _ 2 Signalcircuit(s)or iunimdanargy 17 ice Ptige 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension, City/State/ZIP:Vancouver WA 98661 •Each additional Inspection over allowable in any of the above Ad:itioad inspection(i hr inin) 66.2.5/hr Phone(253)320-1657 Fax ( ) Investigation(l hr rain) 90.00/hr Email:btl2niels@gweusn,com Industrial plant(I hr min) 211.18/hr Inspections fov*istctno foe Is 90.00/hr CCB Lip.: C1158 Electrical Lie.: 208174 Suprv.Lic.: 4496S specifically listed*int min) ELBCrRicm,TEBIIfxr-nos Suprr.Electrician signature,requiredrbl ��f � Subtotal: Print name: Joan P Albert Date: p7'1 j ti, ❑Plan aaview Requited(35%ofpennit fee): State surcharge 0.2%of permit leek Authorized signature::---' TOTAL PERMIT FE& i^ T6k permit application sapless Na pemok b not obtained widens tiro Print name:Bill Daniels Date: i, as 1 W days after ft has been accepted as complete • Number of inspections slowed per push. 1:lSsldinitWmAght,C Pemdt/,pp ELR_05E.dos acv 05171201$ 4/0,1615T(11fi3COl.VWEa e L �t pp � �CEIV 4` Mechanical Permit A jltLatl !illi 01 I It I 1 Ni.()\1.1 City of Tigard ReceivedPenult No:CIST.Ze/6 00/93 1111,,-- 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 12 2016 Pfau Rtvicu r. Phone: 503.718.2439 Fax: 503 598_1960 gv. Other P unit: . ;7 Inspection Line: 503.639 4175 Date Rte„/8y: Attic 0 See Page 2 for Internet: www.tigard-or.gov ;ITY OF fiCrI qRD Notified/Method S, SII SI01� Supplemental Information t1,DING DI .. .. ,far: . - nE .f,j car L ' Mechanical permit fees"are based on the value of the works ®New construction 0 Additiontalterationtrcplacemcnt performed,Indicate the value(rounded to the nearest dollar)of alt ❑Demolition 0 Other: mechanical materials.equiptncnt,labor,overhead.and profit, Value:S ® t-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Infor to use etectes& ❑Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total ".�z 1 Heatisgkooling: conditioning .7; Job site address: -} tk � � Furnace I 100,000 BTU(duets/vents) 46.75 City/State/ZIP: c Jl \d/J-0 od, OR q-+- 0 Furnace 100.000+BTU(duetvvents) 54.91 �^,� 11 '�� Suilerbldg iapt.no.: Project name: �) L�1 (J� p� W }teat pump 61.06 Duct work 23.32 Cross streetldinections to job site: ‘34-4i r 7 CP tfydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-deet,suspended.etc. , 46.75 Flue/vent for any of above 2332 Subdivision:River Terrace ( Lot no.: It` Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ' ` k ,, , 0,t i t : t ` -,_` � Gas Cueptacctinsett 3339 , •" -. ' -'''_ Flue vent for water heater or gas HVAC fireplace 23.32 Log lighter(gas) 23.32 Woodtpelkt stove: -. 33.39 Wood fireplacefinscrt 23.32 Chimncyllinerifluc/vent 23.32 -ili i «�.P a 47,:,I '_ 6..:--. , A 0�v' +� ur + 5 ` � Other23.32 , . - _ r ' '' . Environmental exhaust and ventilation: Name:Polygon Range hood/other kitchen Address: 109 E t3' St.Suite 200equipment 33.39 Clothes dryer exhaust 33.39 City/State/21P;Vancouver,WA 98660 Singe-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax:'( ) Attieferawlspace Ws 23.32 s -,, ‘',%.',4::::..- :^'`'" *-£ e,gaa'„e?. �, Other: 23.32 _ Business name:Apex Mr LLC Fuel piping: 514.15 for first four:54.03 for each additional Contact name:Staei Hay Furnace.etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax: (360)326-1769 Fireplace Range E-mail:stacilVa apexairco.com Barbecue � ,'' 4 : � ° ° t t`'^ . >�.�,.� �,, Clothes dryer(gas) Business name:Apes Air LLC Cklrcr. Address:220 W.Main St.Suite 107-272 Subtotal CityrState/ZIP:Battle Ground,WA 98604 Minimum permit fee(S90.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:,(360)326-1769 State surcharge(12%of permit fec) CCB lie.:203034 - TOTAL PERMIT FEE This permit applicat)aa expires if a permit is not obtained within 180 4� days after it has bees accepted as eorptete. Authorized signatu ' T f✓, t ' • Fee methodology set by Tri-County Building Industry Ser.-icc Board Print name:Saadi hay Date: 1128/2016 I'Jtu:idnie,Ptrmets ifEC_ParnitApp_tMa 113 dos 440-1617T(I tr»Z'C O MAvE&) , dr • • Plumbing Permit ApplieatiloIIECEPIED Building Fixtures MAY . 2 2016 City of Tigard �, Permit 1.10,1_5 r,v20/6'190193 Ill el 13125 SW Hall Blvd.,Tigard,OR 9722.3.",‘, t r i G Nilo Pfau Renew 111 Phone: 503.718.2439 Fax: 503.598:4,91 O i Other Permit lio.: ..Date/B . 1 t c 1 1 C� inspection Linc 503.634 4175 ran/1 n N G')1VI s!0 Date_Ready/By Ian: fa See lePage ge 2 for I ororm n interneL www.tigard-or.gov ftJ IIA, r(olied Method Information For special information use checklist II Demolition Qty. I Ea. I Total New construction Description ❑Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ''s . e '''-;-,..,`"i, Mat. 4 err"€ t t , `` * SFR(I)bath 312.70 „` .,A ' ,,-t'.'"-Lf , --,*-4',..+.'&a "4.'14' ,..'"-',"-`3-' aR ,-� aa."+d:.eY,.. .s.... '' "" ' ".^ SFR(2)bath 437.78 1-and 2-family dwelling . Commercial/industrial SFR(3)bath 500.32 El Accessory building ❑Multi-family Each additional batiukitchcn 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 a ^.s` `�. a�',, „:= ;�t$ s�t^,-.s..ya'" . r,B'i��,6 `�r� Si� o-�y '��•_:. Stte I'des 1 1- 50 1-9- -k r } ` COP _Catch basin or area drain 18.76 Job site address: I \ ` Drywcli,leach line,or trench drain 18.76 q ('ice Page2 City/State/ZIP Cot i r Ai 0 0 d SLA to`-' 1l1 Footing drain(no.linear ft.: ) Suite/bldg./apt.no.: l Proj�name: Val nay-) aii ��.1e,_ . Manufactured home utilities 50.03 Cross street/directions to job site: 1;1\1./(1' 1. .01(7 ) Manholes 18.76 �_t Rain drain connector 18.76 Sanitary sewer(no.linear fL: ) Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear it:_) Page 2 Subdivision: I Lot no.: 1\ \ Fixture or item: Backflow preventer 3127 Tax maplparcel no g•aBackwater valve 12.51 ' "• , wc , -e$ Rw ,-,, *.,,,,--- ,,,,--1,,,,--,=.:,;, . -G-,...4,!",44.....,,,,,,,,, w,. az- , „f",- kclothes washer 25.02 fl-e3 - p\u._m \.1 ?1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 -,,e•-•71-9* -'i . -x -,-.0.7.--11'-''l � ? � Expansion tank 1251 } e',,P,.,,-7;''''‘,,.1- t'.` i ,"' , ', _ xv° .te,'`, -A, - - Fixturelsewa cap 25.02 Name: Pp li q T \ . \_....‘....\ Floor drain/floor sink/hub 25.02 Address: l i^i a U I�/ k(?:)-., Garbage disposal 25.02 City/State/ZIP:l� & e L . I • I (A0 0 Hose bib 25.02 Phone:(jp D U) L.0 Fax: 0 ,� `D 1 Ice maker 12.51 `fi: c' i`t ;', a ` \�: T�. . i t :; lntcreeptor/grease nap 25.02 fid ; -°1 Medical gas(value:$ ) Page 2 Business name: Klr't.�t"W... t Ylnq,.) 1 L.t XYZi v`ti at u l_ !' Primer 12.51 1 Contact name: CIvl.? k.1--1.44-. ...t y-i 1 ri'3 } Roof drain(commercial) 12.51 Address: P 13.. 1; fl C. Sink/basin/lavatory 25.02 City/State/ZIP:ity/State/ZiP: ^) ) Solar units(potable water) 62.54 � 1"i j� Tub/shower/shower pan 12.51 Phone:(l')I ) SCA, r g{g1 `Fax::( ) Urinal 25.02 E-mail: t� M r U)1 t,„(;) /O Waco closet 25.02 ""i c`4'" z x� '. x' Water heater 37.52 y • fi ter . a ' Business name: i-1.-,1/' j,[ r IMGs,f1 P( l'Y4v if tf(1 I..-1--.C.-.. Water piping/DWV 56.29 Address: pt) 127,D 1-2)7 Other. 25.02 { ,, Subtotal 1 City/State/ZIP:aKssha y1 J!t)U _ Minimum permit fee: S72.50 Phone:(9-11) i'ado ..ql/ Fax:( ) - Plan review (25%of permit fee) CCB Lic.: 2,l)Gj 42 Numbing Lic.no f ue5Z State surcharge(12%of permit fee) Authorized signature: / - TOTAL PER MIT FEE This permit applhxtion expires tr a permit is not obtained within 180 days Print name: Ma.1/K. r-i ,viiici j Datgi aC)1/i , atter k has been accepted as complete. f i *Fee methodology set by Tri-County Building Industry Service Board_ I:1BuitditieramintPLMU-Pcntiupp.aar 10/01109 440.4616TO0,02CO.MlwEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT . i T 1 G A Il D Building Permit Review — Residential Building Permit #: /if To2D/6 —OD/9y Site Address: / 7e-9 .-3/x) f f4 1 Project Name: /7 /dal/ ,�j �. Lot #: /// (New g= subdivision name;.Addition or Alteration=last name of owner) Planning Review Proposal: ) S'/-- erify site address/suite# exists and active in permit 'stem. River Terrace Neighborhood: ❑ No V Yes,See River Ten-ace Review Addendum Attached Sit Plan Elements: Vree (3)copies of site plan mu � 'sting structures on site e plan st be on 8-1/2"x 11"or 11 x 17"paper [Footprint of new structure (including decks)with finished Vyawn to scale (standard architect or engineer scale) floor elevations Vforth arrow n ,tility locations (required for new,may apply for additions) ite address,project or subdivision name and lot number V I cation of wells/septic systems iipplicant information(name and phone number) II.Erosion control(including drainage-way protection, silt fence 1 g of dimensions and building setback dimensions sign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and I1aS eet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than sting trees to be retained with drip line,and tree 4 foot differential) protection measures taPklean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): 0 Required: ❑ Yes,applicant was notified I,Q No Received: ❑ Yes ❑ No Public Facilitie Improvement(PFI) Permit: Required: Ves,applicant was notified ❑ No Applied For: ICJ .'es E No,stop intake and Use Case #: Jj ,)QO,S= 0(Ooi-71/ SW6.2C)/�%0000C oning: / .-�- 1(�,Setbacks: Front /a Rear /`j Side 5 Street Side Garage (12,0ID andscape Requirement: �('� %ot Coverage Maximum: Pck IV :uilding Height: Maximum Height /- Actual Height ar 'Visual Clearance asements f odensitive Lands: ❑ Yes 1CJ No Type Urban Forestry Plan ❑ Conditions "Me '"prior to issuance of buil 'ng permit di �/ Notes: �1C11tc6htitP _�� Le )2u9 nor /� !a� / ..C4/6246(_._ exam Approved By Planning: C-_ -___\ ,If,n Date: 5— 02 ... Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermit Rvw_R ES_O 12 1 1 6.docx E' Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # 3 Building Permit#: Ig---Enter building permit#above. Workflow Routing: Planning g--Engineering [ 15ermit Coordinator (�'$uilding Workflow Sign-off: —Sign-off for Planning(include notes from planning review) Route Application Documents: 2-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: � Date: //3,//k, Engineering Review Slope at building pad: S ❑ 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 ,a No ❑ NOT Ap roved by Engineering: Date: Notes: # i 8,V LY kT y141 S Approved by Engineering: IAA Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: E Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: , SDC Fees Entered: Wash Co Trans Dev Tax: k Yes ❑ N/A Tigard Trans SDC: (&} Yes ❑ N/A Parks SDC: , Yes ❑ N/A YOK to Issue Permit - Fc),„d a--; ,n o,,,6.0. Approved by Permit Coordinator: (' - Jti Date: "I to -t �o I:ABuilding\FormsVBIdgPermitRvw_RES_0121 16.docx .. City of Tigard IIIellCOMMUNITY DEVELOPMENT DEPARTMENT { River Terrace Building Permit Review Addendum GARoD Building Permit #: /7ST,20/& -60/9r Site Address: /3- 8 <S'yiJ /9474 2-09 Project Name: Polygon at West River Terrace Lot #: /// (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.I): Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 . deepGabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft de ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /7 5 / E trances: At least one entrance must meet both of the follo ng standards: 3. ax. 8 ft. setback from long t street- facingwall Varallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If s, all the following apply: [ sq.ft. min. 311tne street facing entryV ft. max. roof above floor of porch 5 ft. depth min. %min. porch roof coverage 4. I -tailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: I/. overed porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft. wide x 2 ft. deep Rall offset min. 16 inches ❑ I�'ormer min. 4 ft.wide oof eave min. 12 inch projection — )f offset min. of 2 ft. ❑ Roof shingles either tile or wood IIQ Gable, hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑yorizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade VWindow trim min. 2 1/2"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 E 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/loser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): Wyray extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. DVMay 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. Width: (Check one) ❑ 12-foot-wide garage door 40% max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: • Approved By Planning: ..m....-- • ,fi Date: ___51a/lle_____ l.\Building\Porms\BldgPermi[Rvw_RES_RT_031416.docx POLYGON /a NORTHWEST COMPANY April 27,2016 1i 4 APR 2 7 7016 0111)? MAO Mark VanDomelen Building Official it � '�1 , f)Rff O City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74-17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82- 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94- 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98 - 13840 SW 175th Ave Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102- 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver, Washington 986h0 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#166871 POLYGON /2 NORTHWEST COMPANY Lot 111 - 13787 SW 174th Loop A157-„,20/(v. —Do/9I Lot 112- 13853 SW 174th Ave Lot 113 - 13837 SW 174th Ave Lot 114- 17372 SW Jean Louise Road Lot 115 - 17368 SW Jean Louise Road Lot 116- 17344 SW Jean Louise Road Lot 117- 17328 SW Jean Louise Road Lot 118 - 17302 SW Jean Louise Road We greatly appreciate the City of Tigard working with us in order to get this project underway,we look forward to building this project along with many others within the city of Tigard. Sincerely, Chris Walther Project Manager 503-312-6213 109 East 13th Street,Vancouver,Washington 98660 (360)695-77(X) • (503)221-1920 • Fax(360)693-4442 www.Polvgonhomes.coin (VW/166871 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 13787 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00194 David Young Correction complete. Violation Summary: Inspector Contractor 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 13787 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00194 David Young Violation Summary: Inspector Contractor Plumbing Permit ADDlIcat'ion Building Fixtures hitt ttttic 1 1 Vit t>\t,1 gri City of Tigard 1312$SW Haff Blvd,Tigard,OR 97223 • (�� Permit No.:/7.5 7 Q Phone: 503.7182439 Fax: 503.598.1960 1�anReview Q©�7 Inspection Line: 503.639.4175 may: Other Pamir No: Internet wwvalilard-er fee Date Ready/Ely � „'.....,...,:,...,,,..1',.:,:: ,.5 �': w" N,"4�� "4�:i:,elNew oonskucilon 0DenoRtot m Ea. Total 0 Addition/alteration/replacement Q Other: ►^. on •v ;• .. ;:. :.': New 1-2-family. -:,,..(includes 100 S.forcach,..' :. . .. •. ••CATEGORY'OF CONSIRt{iCITON'- Sl R(1)bath t connection)• ®1-and 2-family dwelling 0 Commendlin 437.70 ❑Accessory building 0 �� SFR(2)C:rabath r 437.78 ❑Master builder C3 Men Multi-family Each additional bath/latchen IIIIIII 500 2 ' min25.02 :•,',iOB SITE INFORMAIIOIY NtD'WCA IQAI • Fire sPrialdel(..�"�s9"R•) � a� Job site address: Sfte Milkiest l 411 _MIIIIIIICatch basin or area drain Drywall,leach City/State/ZIP:Tigard,OR 97224 line,or trench drain 16.76 _ Suite/bldg./apt.no.: Project name:Polygon at West River Ter F �drain NO linear R -- � r mum Cross street/directions to job site: Manufactured home utilities 50.03 Manholes �1111E11111111. Rain drain connector __min Ser s S s (no.linear 3i:_,_ _) 11111111112:21111111111111 Storni sewer r(no.linear ft.:__,_) Subdivision:Polygon at West River Terr ntee MS Water errico(no.linear ft.:_� Lot no.: W ter s ry iters: Tax map/parcel iso.: or Bacirfitnv prevcnter 1111111111 n = 1 >> f#ON OF.WORK Backwater valve 12.51 y, M. / IIIIi.1 . 1 3I o /.t Ile r �r� 25.02 Drinking fountain Dishwasher 11.1 25.02 MUM �. r an 25.02 Cr TENANT tangy r � Name:ADVL Land Holdings,LLC Fixture/sewer cal, 25.02ME Address:7609 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 • City/State/L1P:Scottsdale,AZ gig H bit, 25.02 Phone:(602)694.4031 Hose bib mil 25.02 aMMEN1111111111111.1 Ice aper -�� ..,.,. ., • ®.'�y . ElCOPj1'ACT PERSONInterceptor/greaseterccwr/grease trap Business name:William Lyon Homes,Inc Medical 25.02 gas Oak=S_) 112:2311111111 Contact name;Angela Grajewskl � ��'� mimmi Address:1ps East 13th Street Roof drain(�) 2 1111111111 Address: P:Vancouver,WA 90660E:=::= 1111111125.02 Pbonc (360)695-7700 Solar units(potablewater) 62.54 Fax::(360)693-4442 Tub/shower/sho owover pan E-mail:Angda.Grajewski 1111 15.01 MIN �Yle��. am Udtsd 25.02 MIN CON 1tACTOR Mita close 111111 25.02 111111111 / Business name:Malmedaf Enterprises Inc. Water heater 11111 37.52 1111111111 V insmiiii Address:PO Bax 207 Ot p1pS/DW V _ ther City/State/Z1P:Banks,OR 97106 25.02 Phone:(503)324-U759 Subtotal1111111111 Fax:(503-)324.0580 Minimum permit fee: $72.50 11111111 CCB Lic.:102535 PlumbingLic.no.:34-276PB Plan review (25% permit fee) MI If Authorized signature: `� State surcharge(12%of pemritfee)Print name Carolina Malmeda! -..J TOTAL PERMIT FEE MEMO Date:04/25/2016 ./ This Permit application expires Na permit is not obtained within 180 days attar It bas been sompted as complete. *Fee methodology set by Tri-County Building Weary Service Board. Vteadinehn iSAPLM()-PcmitApp.doe 10/01/09 4404616r(bec,pM/wen> L' 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 13787 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00194 David Young Violation Summary: Inspector Contractor 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 13787 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00194 David Young Secure cpvc t&p overﬂow per manufacturer speciﬁcations at water heaters. Violation Summary: Inspector Contractor 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 13787 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00194 David Young Provide approved ﬁnal erosion control prior to building ﬁnal inspection. No inspection done at this time. Violation Summary: Inspector Contractor 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 13787 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00194 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Vapor barrier afﬁdavit form received. Blower door test report checked. Insulation certiﬁcation checked. C of O to be issued and delivered next day. Violation Summary: Inspector Contractor