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Permit CITY OF TIGARD ` �, l d• MASTER PERMIT v N.. ' COMMUNITY DEVELOPMENT Permit#: MST2016 00318 T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC03200 Jurisdiction: Tigard Site address: 13743 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 32 Project: Polygon at West River Terrace, Lot 32 Project Description: New SFA. Building/unit 2.4. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). 5/2/17: REPRINTED To add A/C unit. Placement of NC unit must comply with BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height 35 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 0 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1362 sf Value: $170,476.01 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 0 Drywall-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 1 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1362 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,676.77 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 2-001-0090. Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r - Permittee Signature: ce—C- /i//f-e/4/!..a Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 7 7T' :':'711te . . ��d 1 �;� E M+eclian>rca7 Perm FOR OFFICE I til.i)Nt.� ci1y Oil 1g8Ti1 • _ RaeeiVedAy: i /7 Portnit.N. .0•249/‘...6.49 3fr J� V • Y 83125 SW]all Blvd.,Tigard,Olt 4?32�IVi A l 1 2017 Plan.Rcview Phone: 503.71X24• 39 Fax: 503.59L1960 Dd1e�y; Other Permit; , ,, is t, InspectionLine:'•503.639.4175TY O t y R� :Date:Reaty,By• roe. lil tie Pareifar .. inlernet'www.dgard•or.goy 1 y ' NtmfictNMedfod: SnppliimsnUllaformation 11)11-ADII�T P1V16 ., E ,. y. n :: ....7..._:::-.:. •,•4ybi� b t x� ''k&S. alli btu°'1 e' i'll ;i �a' r `"•`"L a .•' . , n t,.w. 1,. - «>s �t dk e u..ice Mac uinicel penng'ftee lire baud on t l vatue:of the work. ®New.construction 0 Addition/allemtion/rcpiaoctncnt • performed.indicate the value(rounded to the nearest dollar)of all ❑'Dctno .huon ❑Other mechanical materials,eytiipinent;labor,overhead;and profit. ,re rae Valise:$ � `• • iN4.- ?rrv. �� 6 .. ue' •`tfi ..9 s� � .�' w �ruld.����x�t.m , 3a, nik%: Y, .r..21q 101 ; o Z,� 0f �„"f, ti. t �AXIONIStz O.I?and.2:ixmily;dwaiiing 0 Commercialfindlistrial ❑.Acccssoty building PorsprdalI,Jormarion :checklist• ri.Multifamily ❑Master.builder 0]Other: 1 ascription: ft3.,ty. Fa. Total r a k �,�fo„.a'+j iv:.'+ , ,: •HeatEtiglcatrllpttt .l. �v �a r ? �� � r•.' .-..,........ ,,.(4.1, 0%,,,,+• w 1ss5 11ir condilianin . { 4b.75 Sob site addt'css.• 13.7 4-/.3 SW Ji kat 516 7:: fir`a.ce Fumat c 100:400 BTU(durmrventsl:. i 46.75 City(euYatefLTP:Tigard,OR 97224 .Furnace 400.000+Orli'(dueu/vents) 1 54.91 . .ldeat'pump i 61.06 . Project Polygon no.: 2, name:Pol on at West River Ter bud xrod:: . i 2332 Ci' stieetidiitctions tojob site: Hydronic hot water system i 2332 Residential boiler(radiator or i hydropic) 1 23.32 tinitbi rfcrs,(fucl-type.,no(cicctric). :in-wall;in-duct suspended,etc. I 46.75 'Flue7ve0:14:anyof above 23.32• 1 :(3thei . 1 23.32 Subdivision'Ppiygon at West River Terrrace Lot no:: i ther.l'uel appliances:o ph • Tax'map/parucl1.no 1�iEaieriiesaer. ~1 23.32' f t`= t :4 Iz-: 'Vfi' t '�5 '- ,tisTr ?tr'''`t'S;r'�£'`NYO : iN -Gass Areplacelitsert i •33,39 ,_, ... . . .. ..' .. Flue went For water loafer or I 'AL ,...! '0replace 23.32 �n t � /yam { 1:oR'1EpJstrx•Chas) 23.32 /'"� 1 i� ■� Wood/pallet sue e i 3339 . .. . . • .. Woodtittplace/itisert:_.•. I 23.32 . - e/vent. ... 1 .. • ..;r:, y.wMfrW b;¢ i 4 y LLQ. t ):r 11V.:.. .. • - y� ChErriiicv/Gncr/ 2332 , �; i' °.' x r.Q 0 r it traetI .M. `f z� 4 K`'�,,' ' Other • • 23.32 Bnviioainental•calla:tit and ventilitdotti t V Land Ho dings,,LLC..,. . ,:,. Range;houd/other kkiichen :equipment. ,33.39 I►ama� ,; Pi:ldresst;'7600 B Aatibf ett ec Ranch Road ;dintliedlyer exh,rust t 3339 City/StatetZIP:-Sebttsdale,A7 85258 :Siisgle-duet eXhnust:(bathmonis,. .toilet'compariitients,utility rooms) 23,32 Phone: 94 :(602)6 -403:1' Fax:( ) Atticleraulspace fes ,. 23.32 1 s�``� r yn 01511- `. S' +::"'>iru5, •other l 2332 Business name,William Lyon Ubinea,.lnc. 1 ur!piping: ^r 514.iS for first four,S4.03 for 4lacb additional• •Coiuinac[ aiiie Angela Gtajew4kl• .Fumaee,etc:....... ' Addirss:109` 1.3th.Str t Gas heat pump i • Wan/suspended/unit heater • i • Ciiy%Stata/ZIP:Vnnp0u1er,WA.98650 Water.heater •Pltoho::(360).03-77Q0 Fax::(360)693.4442 .fireplace' 33 Ranee mail Anger ( ajewski poiygonhomes..com •• Barbecue. . _ .'" ' .J „ s 1i. R :,a X .I ^" w1 gin, nr Clothes dryer(ges)' i . Business name:Andersen'Mechanical,inn. W.00.1106 -:.,. .• . ��r y.bra : } Address:36285'$W.85!"Av+o. nlifofar , Minimum permit fie $90.110; • Citi/StgtclZ 'c''!t"tgiii,.OJi 97224 Plan resiew.(25.°6Afpt mitfee) Pliona::(503 992-6664.. Fax:(503)5364615 a"tate surcharge(t23b.of ptttiit fee). TQ at lie.:1§Pi / ,TAL`P it& i t •• • Thisyetnittapplication expires.ifapertnitlinit Obtained%thinISO days aria Hhas bon aecepted seompler • Aitiliarized'si naaue:` • 1' logy see byT . u»tYBw1dli Ind cnxcBoard iz inethpdo ii-Co' ttsity S'' ,3irint ilaiite:'Aag61a Grajcwski .Date:8/22/J6 t tiNiCONME • 4.4637r i 13) ..A18w'{EinglKermitlltdRC�c'rti�irTSKQit3:da 4 Rt CITY OF TIGARD VY/2 MASTER PERMIT ' " COMMUNITY DEVELOPMENT Permit#: MST2016-00318 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC03200 Site address: 13743 SW SILENT FOX TER Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 32 Project: Polygon at West River Terrace, Lot 32 Project Description: New SFA. Building/unit 2.4. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 2 Required First: 240 sf Basement: 0 sf Left 0 Parking Spaces:Smoke 0 Height: 35 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front 0 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1362 sf Value: $170,476.01 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Bckflw Prevntr: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 P W/Svc or Fdr: 0 Ea add!500 sf: 1 201-400 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 SecurityAlarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: NEW SFA VB P 3 SquareFeet: R-3 1362 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,579.41 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 OA l52-001-0090.,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: dfi./ .1-14/3L; /C-��f e>,"1/ 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. V Water Meter Fixture Unit Worksheet Please complete the following information: Contractor Name: Billing Address: Phone Number: New Meter Address: Subdivision Name: Lot#: 3a Please fill in the number of each fixture as detailed on the plans. Multiply the quantity by the point value to arrive at the point total. Add all point totals together for total fixture unit points. Fixture Unit Quantity Point Value Point Total Bar sink x 1 = Bidet x 1 = Clothes washer 1 x 4 = 14,. Dishwasher 1 x 1.5 = i .6' Hose bib 1 x 2.5 = a ..^ Hose bib, each additional x 1 = Kitchen sink I x 1.5 = 1 Laundry sink x 1.5 = Lavatory 1+ x 1 = Li- Water closet, 1.6 GPF 3 x 2.5 = 7.,s' Bathtub/whirlpool x 4 = Shower stall j x 2 = a. Bath/shower combo j x 4 = Li- Irrigation ..Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: ca. Fixture Unit Points: Upto30= 5/8" Over37= 1" Up to 37=3/4" Meter Size: Meter Cost: $ ************************************************************************************* FOR OFFICE USE ONLY Fixture Units Points verified with Building(Master)Permit or Plumbing Permit: ❑ Yes ❑ No ❑ Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx CITY OF TIGARD MASTER PERMIT 71 ,. 2 COMMUNITY DEVELOPMENT Permit#: MST2016-00318 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC03200 Jurisdiction: Tigard Site address: 13743 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 32 Project: Polygon at West River Terrace, Lot 32 Project Description: New SFA. Building/unit 2.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 0 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1362 sf Value: $170,476.01 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 1 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1362 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,397.88 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 throe AR 95 -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: T � �- 7-< Permittee Signature: '7,1i �f'‘.../(", --77‘) / 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. l < - 5 Building Permit Application- • '1 �. -3;2— . // , -5'726-//, ' ' FOR OFFICE I SE O\L1 City of Tigard C Received G Permit No. 13125 SW Hall Blvd.,Tigard,OR 97223 MAY `2 5 2 016 DateBy: O 9 /e �I� _ j'j 011 ,03/? • C - Plan Review ,5. ' C. -T- Other Per �rr�rA"I4"!/V �of Phone: 503.718.2439 Fax: 503.598.1�6„Q�,.F .� 4 � Date/By: T i(,,,R n Inspection Line: 503.639.4175 .,.,,,,ft t. s { y Date Ready/By: j/�z,4 c..�// Jurist H See Page 2 for Internet www.tigard-or.gov Y 1-� Notified/Method:B y INN VISION a Supplemental Information ®New construction ❑Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all work indicated on this,labolicationandthe ead, profit for the equipment, ® 1-and 2-familydwellingValuation: 1168 42' a �,,y -k 0 Commercial/mdustrial' ! 7�I ! �, ❑Accessory building ❑Multi-family Number of bedrooms: 2e ❑Master builder 0 Other Number of bathrooms: 125. -5 t t t . z ¢ Total number of floors: 3, Job site address: 1'51/..M 6.SW Silent Fox Terrace New dwelling area: 1371 square feet i ( City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Covered porch area: square feet (IV) Cross street/directions to job site: Deck area: 72 square feet .,,..r 6D, Q�,k, COV L4 Other structure area: I3 V square feet Subdivision:Polygon at West River Terrace I Lot no.: 32_ 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. K.5 alto) 1,n , 0.1-1Valuation: $ tExisting building area: square feet New building area: square feet Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street PP )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: - `E-mail:An ela.Grajewski Pof gonhomes.com , f Commercial and residential prescriptive installation of , , , ''. f .7-�" - � �^� - , , ' roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: A Cv� V This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:5/20/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A Lica --„ aa _ ' LI) I OR OFFICL FSE OyI.1 City of Tigard Received N__ . 13125 SW Hall Blvd.,7"igard,OR 9722"jj���� �y Plan Permit" -S%-'i'6 �-f/cp Phone: 503.718.2439 Fax: 503.598 1960�� 6` 5 2016 Plan Review Other Permit: t t h l ht pection Line: 503.639.4175 Date'By; ,-,I, "4 Date Ready:By. furls. I Fa See Page2 for Internet: ti�rw.tigard-or.gov �,f y; 'tt ll ttt Notified McOmd; Supplemental Information BUILDING IVIS ( TYPE OF WORK COMMERCIAL FEE*;SCHEDULE—USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. I CATEGORY OF CONSTRUCTION value:S RESIDENTIAL EQLTPMENT/SYSTEMS FEES* ►Z4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Infonnailon use checklist. 0 Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total I JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 13743 s W st l en i. .�oK 1 rt^0.C_Q tlir ca e 100,000 46.75 Furnace 100,000 BTU(ducts'vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(dueis,'vents) 54.9I Suite/bldg./apt.'no.: l Project name:Polygon at West River Ter Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydropic 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 1 Lot no.: 3a Other: 23.32 Other fuel appliances: Tax map/parcelno.: Water heater 23.32 I DESCRIPTION OF WORK Gas fireplace/insert 33.39 Complete rough of HVAC Flue vent for water heater or gas I fireplace 1 23.32 g 1 1/n Q. Log lighter(gas) 23.32 F J l/WJ� to Wood/pellet stove 33.39 Wood fireplace/insert ' 23.32 ' Chimney/liner/flue/vent I 2332 PROPERTY OWNER I 0 TENANT Other:Range I 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment I 33.39 Clothes dryer exhaust I 1 33.39 City/State/LIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, Phone:(602)694-4031 Fax: toilet compartments,utility rooms) 3 23.32 ( ) Attic/crawlspace fans 23.32 Eil,-APPLICANT, 0 CONTACT PERSON' Other: 23.32 Business name:William Lyon Homes,Inc. Fuel 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 City/State/ZIP:1 Vancouver,WA 98660 Waltlsuspended/unitheuter Water heater Phone:(360)69S-7700 ' Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue I CONTRACTOR Clothes dryer(gas) Business name:Andersen Heating,Inc Other: Address:16285 SW 85th Ave ste 410 MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Phone;(503)992-6664 I Fax:(503)536-6615 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:168214 ( TOTAL PERMIT FEE permit ceif a permit is not ained N•i1 SO Authorized sigrtat days after it has been accepted as complete. xThis Fee methodologappliy setation by Trixpires County Building Industrobty Service Boarthind I Print name: Date:05/23/2016 I i uilding'tPermits+MEC Permit App_040113 doe 440W517T(1 1 t02/COM;14'ES) ' ••-4 ' d ' ' LA,;•. _ , , _Electrical PerinttAppiiqat...jigg' 1 ,,p. (,1 I I( I I ,i )\js \ City of Tigard M AY 25 2016 Received Dateilv, Illi!!ZMgln.MUM 13125SW Hall BW-riaarti'OR 9722340'Ir'1 ' ele 4r.k '''t Mill1111111111= Phone: 503,1182439 Fax 503.5981_.....li 1 Inspection Line: 503,639A17$ i,-,urt g ir4INT,^, rt 1-1 V Ty c,il t Ducar NM -- See Pam 2 far Internet: www.tigard-or,gov i3U5.2..41,1.17013 ti..w.f Clit '11k4d• Snookered*.Information 7 ,' sl',..'. ,.: .. ._ „. :2: ..-... ,,, ,,',,::-,_„, - -.4 New construction 0 Additionlaltemtionireplaxment ile;se ifiesk1111 as*apply ba-ibMit 2_as ordain wiltans checked): 0 Service or feeder 400 amps ot more 0 Building°wordage manes 0 Demolition 0 other where the available fault caveat 0 Mffinas md boatyards. • ,f,' ' ' '. ..„ ' ' ;:--:-:... . :--::::;:,...•>-'''''''...'-'7'71-1:77;17---7- TS:'I,1‘,..:17:,.;77,a- exceeds 10.000=P1111130 volts or a Fk..44 s hoddloP C81 1-and 2-fiunily dwelling 0 Commercial/industrial 0 Accessory building kss to Mond.et exceeds 14,000 0 Conseacird-use agricultund amps far an other instillations buildings. 0 Ivlulti-family 0 Master buildtr 0 Other , 0 Fire pump. °Installation of 1$0 KVA or • ' .>7::":.7,-;:.).' --'''.. "5 ''''.' -,i,-,.=';`'7.17:::::77,2 .:171•'!, ",,' a EmergaK7'rain- Ismer scram*derived °Addition of new motor load of system. lob#: lob site address: 3 . Si ,nv rr(ACZ 100}EP or more. .3 Six or more maiden:sal units, occupancy. City/State/ZIP:Tiprd,OR 97224 ElRecreational vehide parks, 0 Health-care facilities. Suite/bIdg./apt.#: ' J Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage frx more dim °Service cr feeder 600 amps or MOM, 6°°Valit5 noniost Cross stmet/directions to job site: -!•,-,•,.':'—Z--,:.„zz:;;;;74'. ' 7 •- ::.--;',--n-,„'L., .77--•- ....... Description Dlr, Loeb Teta • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace Lot#:" .1.....„ includes attached garage. 1,000 sq.ft.or less I 168.54 I 1116514. 4 Tax map/parcel#: " 7 .. : ' 7„„; 7.,,L,, ,_ °::!:"., ,.:.---. ,',,:, ,, " ., ,..,. " , ,-;-::':':...! Es-ltd0.1 500 94-ft er Portion j 33.92 ZIPI)91 I 1 9 (in f Limited energy,residential ,... (with above sq.ft.) 75.00 0 i ....4 •(.... •• 2, Limited energy,multi-family 75.00 2 esideatsal(with ebovesq.ft.)Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 tures or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 I Fax:( ) 201 amps to 400 amps 133.36 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to i,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according.to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: 7 ':....7 ' '' '` '' '''-'-'r -'''' - .''-''`r,'-''''''''.71-'T--,, -7-- ---., 7.)- ;- ,,, Temporary services or feeders installation,alteration,and/or ,,,,- •'.. .-:-„.• ': ' ' • ..'-'4,,,,..- ...'..., -,...;2!,...•,..: ....‘„-_-,-....... ........ ,'..i...,:., ...... `,..:.;,..„4-'.....,... relocation Business nam :William Lyon Homes,Inc. 200 amps or less 59.36 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits-new,alteration,or extensioa,ter panel Phone:(360)695-7700 I Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, 742 2 Email:Angela.Grajewski@polygonhomes.com each branch circuit - — B.Fee for branch circuits without eorfeederfafi 56.18 2 Business name:slanted*electric branch circuit Address:3415 ne 44th Each midi branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP:- /77,-4 ja ,.€20/2. /.." 7.7-/3 Each manufactured or modular 67,84 2 dwelling.service tuadior feeder Phone:(503)3192192 Fax:( ) Reconnect only 67 84 2 Email:solarpd1®mecom Pump or irrigation CITCIC 67114 CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: y f7/5 Sip or outline lighting 67.84 2 " Suprv.Electrician signature,required: Signal circuit(s)or limited-energy Print name: kik /2,,, 4, t Date: 5—/4?3//./' owl.alteration,or mamma. Each additional inspection over allowable in nevi the above Authorized Additional inspection(1 hr min) 66,25/hr signature L Print name: ,I ,.,K....,....,'-'--------- f Date /23//i zcjZa/ / kvestiption(1 hr min) 9000 i hr imismapanimume ' filt_ERE-doc Rev 06/17/WIS 4404615TO 1/0SACOMAVES SLIJI9tti17.\1 2.'t))-,5t4 ip 5-0,1f Sidurcrikqe 4 Zd 2-yrL) ,. -11ATIL -22ii 1 0 Y Plumbing Permit ApplicationRE ,,__4 Building Fixtures City of Tigardi MAY Q DateaRyPermit No/15/- 'f(�-L%YJ3/ 13125 SW Hadi Blvd„Tigard,OR 97223 e plan - Phone: 503.7182439 Fax:= 503.598.1 6111 "{, r x _ ug Other Permit it No-: Inspection Lire: 503.639.4175 Ready/By: Juri. 13 See Page 2 for Internet www.tigard or.gas 5 � a j r,7 "a Pefied1Method: Supplemental Information :E New construction tion ❑Demolition For special information use checklist Description ( Qty. I Ea 1 Total Q Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 IL for each utility connection) 4;p « tit,' t 3 SFR(d)bath I 322.70 ® I-and 2-family dwelling 0 Commerciatmdustrial SFR(2)bath 437.78 SFR(3)bath f 500.32 5.cti) 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 Q Master builder 0 Other: F g _ � fFire sprinkler sq.ft.) Page 2 filx'a ; iia �" :, site utilities: S'P�%/V1K4 /'t!�r_ � - it , Job site address: I'3-1 y3 5v1/4..) 5 i Ie.1)4 c))( -circa ce catch basin or area drain 18.76 Drywall,leach lime,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_;) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 ' Sanitary sewer(no.linear ft.: ) Page 2 ` Storm sewer(no.linear R:_) Page 2 ,' Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace Lot no.: 3a Fizture or item: ✓ Tax map/parcel no.: Backflow prevenier s�1 3127 1 "2)).27 F =Y , s, € mac' t a i a : Backwater valve i 12.51 la.51 ,, M. ... . ,we ,.. Clothes washer 25.02 K51C,l1a WA% : a . Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ,P1;t i ,¢. 8t :a ti �`w1i • il' � S � + u Vi Expansion tank 12.51 �..,.. Name:ADVL Clad Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax ( ) Ice maker 12.51 1 1,' I - ,�E , ,, dnterceptorlgrease trap 25.42 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Angela Grajewski f Roof drain;(commercial) 12.51 Address:109 East 13th Stmt, Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 W Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhornes.com Urinal 25.02 Water closet 25:02 : r u Water heater 37:52 Business name:Alliance Plumbing LLC Water piping/DWV 5639 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal (0 06 Phone:(503)442-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 , CCB Lic.:184601 Plumbing Lie.no.:P137324,L, Plan review (25%of permit fee) - State surcharge(12%of permit fee) ,q,924 Authorized signature: TOTAL PERMIT FEE 745.9 Print name:Robert Dtabman' Date:5/23/2016 Thispermit application expires Ira permit is not obtained within 180 days armor tt has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 11Bu)idinggPe mita MU-Pe mitAppdoc 10/0109 440-4616T(IOW21C'O}+VWEB) City of Tigard "illS COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: /%.STS/6 -Qd /c Site Address: /3?-41 SW Silent Fox Terrace Project Name: Polygon at West River Terrace Lot #: W (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New single-family,attached 'Verify site address/suite#exists and active in permit stem. 'River Terrace Neighborhood: ❑ No t Yes,See River Terrace Review Addendum Attached Sit Plan Elements: �ree(3)copies of site plan J.sting structures on site �;e plan must be on 8-1/2"x 11"or 11 x 17"paper 1►i Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations orth arrow 11QUtility locations(required for new,may apply for additions) to address,project or subdivision name and lot number cation of wells/septic systems .plicant information(name and phone number) 0 Fisting trees to be retained with drip line,and tree It t dimensions and building setback dimensions otection measures It area,building coverage area,percentage of coverage and l eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names IF •roperty corner elevations(2 foot contour lines if more than 4 foot differential) Pilean Water Services—Service Provider Lett9(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified [ No Received: ❑ Yes ❑ No Public Faciltt Improvement(PFI)Permit: t equired: Yes,applicant was notified ❑ No Applied For: Iii Yes ❑ No,stop intake 112 wand Use Case#: T',tA�©/S G/, -se/a6.26/§7-o ')(0 �/�Int// oning: JVD ac `� etbacks: Front �cQ Rear /Q Side 0 Street Side /UM—Garage /8 ,� 1CJ "ands cape Requirement: c ) LI of Coverage Maximum: Rai :wilding Height: Maximum Height - ,rr' . Actual Height ,... (l isual Clearance 74 asements '.-nsitive Lands: Yes ❑ No Type i...0j,V" Kik/ hid- i5 Urban Forestry Plan ❑ Conditions "Met"prior to issuance of b din permit / Notes: �)77efik _`- 2i Le / >? i� .'11�!¢ /RSZs 7C Approved By Planning: "` `,✓ Date: e/70`f„ r-- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_060116.docx e Building Permit Submittal Original Submittal Date: --`2//k Site Plans: # Building Plans: # 3 Building Permit#: C-Enter building permit#above. Workflow Routing: E Planning -Engineering Et-Permit Coordinator a"'1l'uilding Workflow Sign-off: Er-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 9p.ginal plan review routing form. EV'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .. Date: e`// Engineering Review 'Slope at building pad: .0/� ❑ 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 El No LIDA Facility on lot: El Yes ❑ No ❑ NOT Ap roveby ngineering: Date: Notes: i �a �e e1., ''� / Approved by Engineering: eiL j7 Date: S--9 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: (6'' Revision Notice 3: Date Sent to Applicant: Wash Co Trans Dev Tax: �� �� SDC Fees Entered: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A 2...,0 Parks SDC: :i Yes ❑ N/A OK to Issue Permit q// '. Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_060116.docx City of Tigard 'PIS COMMUNITY DEVELOPMENT DEPARTMENT TIGA- River Terrace Building Permit Review Addendum Building Permit #: ft—/S 77,2o/6 — Q0 /? Site Address: /3-928 SW Silent Fox Terrace 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 Dis ct Design Standards (18.660.070.1): Is the project subject to the plan district design standards?" Yes El 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 ft. deep Gabled dorm ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f wide ®/ ❑ ❑ El 2. Eyes on the street: a minimuf 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /( ./ v/ll 3. E rances:At least one entrance must meet both of the folio ' g standards: Max. 8 ft. setback from longest street- facing wall arallel to street,angle no more than 45° from street, or open onto porch - _: •._- s to a porch: ❑ Yes No } If yes,all the following app y: V\ /4)(' el q. t. min. El One street facin: en. ax. roof above floor of porch T. : .ep min. ❑ 30%min.porch roo c., _ 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: 0 overed porch min. 5 ft.wide x 5 ft. deep 111 'ecessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches VIris Dormer min.4 ft.wide Roof eave min. 12 inch projection pitioof offset min. of 2 ft. ❑ Roof shingles either tile or wood rdi Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facadeWindow trim min. 2 I/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing El Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade ,.es and Carports:May face the front or sid lot line on a corner lot. Setbacks: ti 1)C No closer to front or si.- - line,than longest street-facing wall. ❑ Yes ❑ • o (Check one): ❑ May extend up to 5 ft.if there is . -red front porch and •.. .oes not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is par e .•o-story building and there is a window at the second story above the garage that faces the street wi : . area of Width: (Check one) ❑ 12-foot- ; - garage door ❑ 40%max. of street faca. 1`/o max. of street facade with 7 detailed design elements Notes: By Planning: `....________,,,----- Approved _e,A442_ _ _ —.........!i,Z Date: I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Application► Site Utilities FOR OFFICE USE ONLI City of Tigard Received / �� g 9 r Permit No.: ��//�yCy') f.,4g 13125 SW Hall Blvd.,Tigard,OR 9722 E' r ?1 s1 Date/By: \ L 4 u) / Phone: 503.718.2439 Fax: 503.598 1960 Plan Review Date/By: 10. -02016 Cul Other Permit No.: • T 1 G A R D Inspection Line: 503 639 4175 Date Read /B Internet: www.tigard-or.gov y y �(: loris S See Page l for Notified/Method: ILe..4 CI","--- Supplemental Information Tint {iF iiiiik a I 1) V ®New construction 0 Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CO� C k' C9N 1~ VKUC'I`tON SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,362 sq.ft.) Page 2 " R SITS O*MATION I A"i`IbN Site utilities: Job site address:13743 SW Silent Fox Terrace Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.:32 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 nikiti or Old er. •. .,1-'",;:i.,,,' =" Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PRQFERTY OW:1Nrt �.. r TENANT F Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® rA ' , - , '� Interceptor/grease trap' u bI2, , i 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 ,` Water closet ONT 1Acto t,' 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) Authorized signature: 771____-.) State surcharge(12%of permit fee) TOTAL PERMIT FEE Print name:Gavin Thomes Date:8/24/16 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: j�� ryy . © 9i` �R lT IIF G ,\x., 9ta h'.�+, S4�1 1C e,f 4 ria L", -Porinit e Footing drain-151 100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52n. 'Valuation: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for {ith Q dee{eait otaif each additional$100.00 or fraction thereof,to er;�fns�pec ;�xt;��u»� '� �.- and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. ri Quantity by Fixture Type: € "�`• rPluiribi Installations Fixture Type for Replace! Plan review is required for any of the following. Work Performed: Capp'' Added Relocate Please check all that apply. Baptistry/Font Bath -Tub/Shower 0 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stall engineer. 0 New exterior plumbing site utilities for any complex structure -Drive Thru Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" a" 1 An t rig sou iagr >ln , Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pqmmit.doc CE Electrical Permit Application ' FOR OFFICE USE ONLY City®f Tigard 02 01 eceived nalea it is-f ft Permit t:I AST Wml —00 18. ll 13125 SW Hall Blvd.,Tigard,OR 97223 ��■■ Plan Review Phone: 503.7182439 Fax 503.598.196g� Related Permit It: Inspection Line: 503.639.4175 f't' ly,-1 I) DatdBy: TIG i K D k. i t A d Ready Date/By: lurk: H See Page 2 for Internet www.tigard-or.gov i/ ! Notified/Method: Supplemental Information �n t � � � hem �tl� _,-`,1..2,: - " -, ` '© ,'.-x g'0- s ✓%' _-..x`"�.".:a1,V...4-1, T. t -M1V a t 7.�. s,.�t's✓ r p t ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):` ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other. __r_- _ where the available fault current ❑Marinas and boatyards. " !'`{ � � VOUlo v 4 9..s r 7'- s_ exceeds 10,000at 150 volts or FI ���� - �'-� ,� amps ❑ oaring buildings. ®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to around,or exceeds I4,000 ❑Commercial-use agricultural ❑Multi-family El Master builder 0 Other: amps for all other installations. buildings.['Fire pump. ❑Installation of 150 KVA or g..:; _ `'~ ,:; '^ jar Ce j41�C.;,�:-»M%r,::{: "cUR ❑Emer enc tem. -"__ L ���.....,...,t..._,�T„f_...r._>;�_,_.._,::ci?-,"rz:;�_.r.-:_;� Emergency system' larger separatelyderived Job#: Job site address:I 7)-A(43 S S ^ 0 100p Addition mf oew motor load of system. `�1`•I-'�7( �� 100HP or more. City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: 2 ,U Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: t•7 - -, _ -, Deaeriptton I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:32_ Includes attached garage. Tax map/parcel# 1,000 sq.R or less i 168.54 4 --�� Ea.add'1500 sq.ft.or portion 1 33.92 1 ' sZ710—xSC kw s . ? 31 Limited energy,residential 75.00 2 t) '/1 L�c Or /) ( r (with above sq.R) tAL I U� t 1. L J/L Limited energy,multi-family 75.00 2 residential(with above sq.ft.) t _ I:76- -U' -«;t -r_ r t 101T :,m SReernveiwcrbloe Efeneedregrys installation,al❑teraStieeonP,a 2/o r relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 2 Emal1: ' Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 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 16834 2 Y �d vA ,. * a- �� Branch circuits-new,alteration,or extension,per panel - ••• ••••'''''''''' .•y:���, `' ..;--4,--------',..• �x ,:< A-Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 742 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/StateJZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' Fax::(360)693-4442 Farh manufactured or modular 67.84 2 ' Email:Angela.Grajewslli®polygonhomes.com dwelling service and/or feeder •-----:-• Reconnect only 67.84 2 '''.7'.,--;'-'--- -•'-'"'-'-";- -?5 � _- :-7L Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 •Address:6101 .• St Johns Rd Signal circuit(s)or limited-energy El See Page 2 2 1 panel,alteration,or extension. • Each additional inspection over allowable in anyof the above ! City/State/ZIP:Vancouver WA 98661 p Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr aka) 90.0W hr Email:bdaniels®gweusa.com Industrial plant(7 hr min} • 78.I8/hr Inspections for which no fee is 90.00/hr CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lica: 44965 specifically listed(',4 hr min) Suprv.El s- ;-. m) w- _ -*��-. Electrician signature required: A jilt I "`=` t^�:4 :�, subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ��_ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit t:18u0dinSlPermitaUZC_PmnitApp_ELR] dor Rev06/17/201i 440-4615T(11/05/COM/WEB FOR OFFICE USE ONLY-SITE ADDRESS: 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 T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Graj ewski 0 C T 17 2016 IGARD COMPANY: Polygon Northwest' '� BUILDING .EVISIO iia PHONE: 971-212-2144 Y/Iv'r RE: 13771, 13765, 13747,13743, 13735 SW Silent Fox MST2016-003J5310,3i7; 3I6, Terrace (Building 2) 3 i q (Site Address) ! (Permit Number) Polygon at West River Terrace Lots 29-33 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Spaced deck detail as requested by field inspector REMARKS: Please pay fees owed with Trust Account. 4/ cat azp/v ris7 ,,&,-403/5, s� t,x ,J4' ; , w� .� � :.*OR OFFCE US ,_\ t-1 -.L.';:-.:"-' i i ii \�� ,. ... - .,. .,a ,,fur,�. Routed to Permit Technician: Date: l o - ) 9- ) .0 Initials: Fees Due: Cit Yes ❑No Fee Description: Amount Di4e: $ $ i $ Special CeGr. --C-7-" / P/ /t-/s7- i/; -Go3/_S- Instructions: Reprint Permit(per PE): ❑ Yes 1><PNo ❑ Done Applicant Notified: el-N-6(v— Date: l////6 Initials:.A ?>7 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13743 SW SILENT FOX TER, SHERWOOD, OR, May 22, 2017 at 3:03:04 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00318 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction complete. AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13743 SW SILENT FOX TER, SHERWOOD, OR, May 23, 2017 at 12:32:32 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00318 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified C of 0 left on counter. Violation Summary: Inspector Contractor