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Permit
,� CITY OF TIGARD � , MASTER PERMIT 4 .11 II ' COMMUNITY DEVELOPMENT Permit*: MST2016-00246 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S106DC01400 Jurisdiction: Tigard Site address: 13736 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 14 Project: Polygon at West River Terrace, Lot 14 Project Description: New SFA. Building/unit 3.5. 1/3/2017: REPRINT permit to correct plumbing fixture count(1 hose bib). BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 115 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 646 sf Garage: 543 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Total: 1394 sf Value: $184,419.55 Rear: 10 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 Other Fixtures: 0 Drywell-Trench Drain: 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'l 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1394 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: $22,790.07 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 0 52-001-0090. 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: /cy `' ., Permittee Signature: a/ll 1fj 1°° /`r'1.770'\i" 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. Water Meter Fixture Unit Worksheet Please complete the following information: Contractor Name: Billing Address: Phone Number: New Meter Address: Subdivision Name: Lot#: ) I--- Please 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 = 4 ,SHosDishwasher j x 1.5 = LS-- Hose e bib I x 2.5 = ca.6,46- H o s e bib, each additional x 1 = Kitchen sink j x 1.5 = 1 ,S Laundry sink x 1.5 = Lavatory 3 x 1 = LL Water closet, 1.6 GPF x 2.5 = 7 o 6— Bathtub/whirlpool x 4 Shower stall x 2 = Bath/shower combo 1 x 4 = U. Irrigation(#of heads in largest zone) x 1 = Total Fixture Unit Points: a'] Fixture Unit Points: Up to 30= 5/8" Over 37= 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 n No ❑ Other: Meter#: Receipt#: Employee Name: I:\Building\Forms\WaterMeters 070116.docx CITY OF TIGARD MASTER PERMIT '1 1 • COMMUNITY DEVELOPMENT Permit#: MST2016-00246 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 2S 106DC01400 Jurisdiction: Tigard Site address: 13736 SW SILENT FOX TER Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 14 Project: Polygon at West River Terrace, Lot 14 Project Description: New SFA. Building/unit 3.5 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 115 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 35 Bathrooms: 3 Second: 646 sf Garage: 543 sf Front: 8 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1394 sf Value: $184,419.55 Rear: 10 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 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 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 Fum>=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: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1394 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: $22,563.54 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. 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: /A.„0 'I •� Signature: e 4/ /�L~, t e'.f 776�� Permittee 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. a Building Permit Application La 7,_ / VE _ bl 1 R i At*, 1012011-1(F ISE O\L1 City of Tigard n7 ' Penult NN4S 7-0W6 _ V :� 13125 SW Hall Blvd.,Tigard,OR 97223 D� �� d��/ _ Plan Revie a Phone: 503.718.2439 Fax: 503.598.1960 pp�� Date/By: O-D.- 1.0 --H— other Penni.;�•)20/ ,DO/?8' T t G :In) Inspection Line: 503.639.4175 JUNV 2016 Date Ready/By: / jun' : H See Page 2 for (/ Internet: www.tigard-or.gov Notified/Method:OV/4 /b A'-',4 Supplemental Information � r,r, b /L /� ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the " work indicated on this application. ® 1_and 2-family dwelling 0 Commercial/mdustrial Valuation: L{ l ❑Accessory building 0 Multi-family Number of bedrooms: 2 I 0 Master builder 0 Other: Number of bathrooms:'2:5., ,,� r �3 3 7 t= t ° a t Total number of floors: 3 Job site address: 1373t, SW Silent Fox Terrace New dwelling area: 1394 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 543 square feet 6 3 CS Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: square feet C 9. 6 Cross straet/directions to job site: Deck area: 96 square feet 1Le) Other structure area: square feet iEc • -4:-.,....ihid -_ _ IA ,ra ,E�a Subdivision:Polygon at West River Terrace J Lot no.: I I Permit fees*are based on the value of the work performed. Tax map/parcel no.: I Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the �E, : €` E t ` ' E :>' work indicated on this application. E6 BI 4 A k n .. / 3 6 Valuation: $ �J Existing building area: square feet New building area: square feet i ` N' � �. 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 )' City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: N rs � E-mail:Angela-Grajewski@polygonhomes.com ,� �� -� _ , i I Commercial and residential prescriptive installation of '`'` ° . - 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 /J/� Total fee due upon application: $201.60 Authorized signature: s. Y/ YC G� This permit application expires if a permit is not obtained •/rte within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:520/16 *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 Application I OR OFFICE,L ! SE 011.) City of Tigard ( _ l'$9 Received s 13125 SW Hall Blvd..Tigard,OR 9 _ RECEIVED!! FL 666���" PlateBy: Permit No. J7 /6�0 �6 Phone: 503.718.2439 Fax: 503598.1960'7111 Plan Review 1 1 t,,,1.1, Inspection Line: 503.639.4175 JUN 0 1 2016 dateiliy Other Permit: Internet: wtirw.tigard-or.gov Bate Ready By. Jens Et See Page 2 for CITY Noti6ed'Metlux1 Supplemental Information I TYPE O13ORlft1`g OIVIS! COMMERCLAL 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 ►Z� 1-and 2-family dwelling 0 C:ommercial/industlia! 0 AccessorybuildingRESIDENTIAL lin information use SYSTEMS FEES* Fos special information use checklist. ❑Multi-family 0 Master builder 0 Other. Description I Qty. I Ea. I Total i JOB SITE INFORMATION AND LOCATION €IcatinR/cooting: Job site address: I',,15G Sw �l erg S ,sr -oK , e rra.e� Air conditioning, 46.75 Furnacee 1000,000 BTU(ducts:vents) I 1 46.75 City/State'ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: J 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 ' 1 1 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 fbr any of above 23.32 Subdivision:Polygon at West River Terrrace 3 Lot no.: I L.1 Other: 23.32 Other fuel appliances: Tax map/parcel.no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Complete rough of HVAC Flue vent for water heater or gas fireplace I 23.32 glt ii n A-: 3.5 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ' Chimney/liner/Iluc/vent23.32 1 PROPERTY OWNER ) 0 TENANT Other:Range I 123.32 Name:ADPL Land Holdings,LLC Environmental exhaust and ventilation: Range hood/other kitchen Address:7600 k Doubletree Ranch Road equipment 1 33.39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, Phone:(502)69 -1031 Fax: toilet compartments,utility rooms) 3 23.32 ( ) Attic/crawlspace fans 23.32 APPUCAN'I 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/Z1P:Vancouver,WA 98660 Wall/suspended/unit heater Water heater Phone:(360)695-7700 I Fax::(360)693-4442 ' Fireplace Range E-mail:Angela.Grajevvski@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 1 This permit application expires if a permit is not obtained within 180 Authorized signatur : days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Date:05/23/2016 I tBuitdingTetmits,MEC PetmatApp_040113 doe 440-4,17(I 1fuicoM WEST -[ectrkkai Permit AppiiCRti 1 t, : i I1 1 Ir t I ,I t s.1 ti HECEIVED City of Tigard Fav: hal"'/jsra0/6 eta V 13125 SW Hall Bh&Tigard,OR 97223 .�, Phone: 503.718,2439 Far 503398.1940U N 01 Z016 i 11111 " inspection Line: 503,639.4175y p gy: inland: www.tigard'er'gal' crry OFit ,rs, riot od: EEEEMEll ....,.. 0.- New Construction 0 Addition/alteration(reptacecnent dredk ads that apply(submit sets or pans wry ebacke4 ❑Demolition 01 Other O Service or feeder 400 amps er mote CI B iding over three*ones where me available thug current O sloe ni amid boatyards. _._,...1,. . ., „ .- :',.---,-;,..t„,„,..,, �.• : � exceeds 10,000 amps at 150 volts or ❑Mama%saadist• 0 I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building leen to lend,or exceeds 14.000 O Commescial,me agricultural amps for all oma installations buildings. Multi-family 0 Master builder 0 Other: 0 Fire pump i3 Installation n o(1$0KVA or __ € 'k • €bs bd. a2: 7:77 ceDEmergency*Meer larger serval*flawed - (� I Si r T�y��� l OOft oo of new motor toad of "Y • Job N: lab site dress; 10o11P or more. O"A-,-g","1-r,-1-3: City/State/ZIP:Tigard,OR 97224 J Six or mare residential units. occupancy. O ne ttb-care facilities. 0 Recreational vehicle prim Suite/bldg./apt il' J Project name:Polygon at West River Ter _ O ltarnmms laxations. D supply voltage for more than D Service or feeder 600 amps or more, 600 volts nomioil. Cross street/directions to job site: L - DeaeriONea Qe7. Lao Tal • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terence Lot#: /el Includes attached garage. Tax map/parcel#: 1,000 sq.ft.arless I 16834 I 111?)54 4 7, . ' ..'.-a, ,r _ £ . f ,... La.midi 500 sq.ft.or portion 33.92 33 cli, 1 I/ - (I fl If Limited energy,residential 75,00 n 2 (with above sq.ft.) Limited energy.multi-family 7500 2 ., ..- - z- tesidenitial(wit above sq.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 amps or less 100.70 2 City/State/ZIP:Scottsdale,AZ 85258 Phone:(602)694-4031 I Fax:( ) 201 amps to 400 amps 13336 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 1,000 amps 301.04 2 intended for safe,lease,rent,or exchange,according.to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: e , � Temporary services or feeders installation,alteration,and/or , .f a... ..,,:� - x .,1.,.� ID' '' , ,.. ,:�.a^, „ —,:t....:-„,,,,„,..: relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 l Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East 13th Street 401 angas to 599 amps 168.54 2 City/State./ZIP:Vancouver,WA 98660 Branch circuits—new,alteration,or extension,per panel Phone:(360)695-7700 I Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, 7,42 2 Email:Angela.Gralew'ski®polygonbomes.wm each branch circuit 7'7 B.Fee for branch circuits wirlrom _ ``_ . `-” ...:-.-,...7;.,-;;77-.: : --. f service or feeder fee,first Business name:Warned*electric branch circus 56.t 8 . 2 Address:3415 ne 44th Each add'lbranch circuit 7,42 2 / Miscellaneous(service or feeder sot included) _ City/State/ZIP:/01/818iijr-ej/a4r.j?1,/Z /47 7 02—/3 Each manufactured or modular6_ 7.84 2 dwelling:service a ndior feeder Phone:(503)3192192 Fax:( ) Reconnect only 67.84 2 Email:solarpds@ate.com Pump or irrigation circle 67.84 ' 2. CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: y f7/S , Sign or outline lighting 67.84 2 - Suprv.Electrician signature,required: j Signal eirauit(s)or limited-energy `Prim name: /L,�G / ,/� c/ 3//�+1 panel,altenu4on4 or extension. D Page 2 2 �a Date: Z l" Each additional inspection over allowable 1a say of the above Authorized SignehtFC� Additional inspection(1 hr min) ' 66251 1r , PrlDi.tame: e,�s:--' -./ Datc / 3/j-i Investigation(1 hr min) 90.00:•tr tom- [LR„EAlidoe ter 0N173201 S .--)I Jj i J i/j 1_ ... - C - -I.1 Nw61S7(1 tfOSfiOM�iVf:$ ��---��IWWNiii/ lJ 1`'`\ 11 �ll�, �1!/ &r tqc 4Za i ;�b -17)1191, r Plumbing Permit - APPlicatillhei'' E1VED Building Fixtures I np, ()I I I, I ,I (1\I 1 City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7182439 Fax: Inspection Line: 50 .... II JUN 0 1 2016 Re-i-d Dwasy: Plan Review 3.639.41755°3-59nroy OF TIGARD Dateay: 1 nwp niVISION Dale Ready/By: Internet www.tigard-or.gov ;II t..1 1....-.-,i. --,, - , '''. Notifiedimethod: Permit No.:/9s7-.20,6,...6,„4,1„, OtherPermit No.: Juris RI See Page 2 for Supplemental Information 'I'ses. ::!:,..;41!z'- :,;T::::ili'''':::lz'tk.;::;'kt:tag.tja:tt;%:54t'i C. New construction 0 Demolition For spedal information Jae checklist. -4. Description I Qty. I Ea. I Total 0 Addition/alterationfreplacement 0 Other New l-2-family dwellings(includes 10011 for each utility connection) SFR(1)bath 312.70 1 1$1 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 300.32 500, 9,,..., 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other Fire sprinkler(lIfili sq.ft.) ‘ Page 2 ,,i0,1A.Weett.R)71 "‘- ;•',',r:41‘1774'',74::,'r'.,:i„::,'4:';':'.,7'-i;tt,'-'---,::,.,,,,f;,,-..;:t4,,,,11,,:.,_,,,..1,,,,i,-;,;::::41:11 site utth-ttes: /i/4-6-2 -C'fi0-/ '044E7_ t 18.76 lob site address: 1'51'56 5VJ 5 i‘e_o-} Fog. -Tirra OZ. Drywell,leach line,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 Manufaczured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear it: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) 1 Page 2 Subdivision:Polygon at West River Terrrace Lot no.: 11,1 Fixture or item: Tax map/parcel no.: Backflow preventer 49717"--: ....}."'" 3127 4,I.V7 -'1''''.,•-t,;71"'"''.'':°,414„,,v'''.!:,::..."'Ittj'''3';',47,1'7'fit f'w:1'7r, -?'t''''tt;''.Y6': '-';:''.A1''•::%t;'f:=lft,•-?;'Z;gsfe.7'..'''I';';. Backwater valve 1 12.51 la.61 25.02 fiCe) -JAICI (An‘k. 1 -6• , Dishwasher 25.02 Drinking fountain . 25.02 Ejectors/sump 25.02 :1;`,1.4.W.;`,.-..We .7,'''''..-',.:•:'.;I;''''':,;'.1771i .±,-"t4f-ZignZ;S:i.',4,111tateirilitt'.- fAtridr0 Expansion tank 1151 cap Name:ADVL Laud Holdings,LLC Fixture/sewer 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 :'.. ,",21$1 Interceptor/prase trap_ 25,02 Business name:William Lyon Homes,lac Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basinibrvatory 25.02 , City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) ' 62.54 Phone:(360)695-7700 Fax::(360)693-4442 'Rib/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygoultomes.com Urinal 25.02 - -- - •.,-y,..,---,:a.----4.0,'-' Water dose 25.02 14"1-ii;,:, •""'s,;;°„,:e4,,,-kr.?;4;;;.,; ,,t,7"..,&,/.-. Yft_:.,4:',,',3,,,,,,,,',,,,,,,,,A ,,'....`.;',,'",,...;."':: 1;,. ,,%,00,,,,,,,z,-,;.-,*,,,o, 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 te(et/. Phone:(503)492-3490Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601no.: atet,.... Plumbing Lic. PB732 Plan review (25%.ofpenne fee) i., , State surcharge(12%of permit fee) -11.-1 Zi Authorized signature: TOTAL PERMIT FEE 145.1x Print name:Robert Dishman Date:5/23/2016 This permit application expires if a permit is not obtained within 180 days after it bus been accepted as complete- *Fee methodology set by Tri-County Building Industry Service Board IABuildingfferatits;PLMU-PermitApp doe 10/01/09 440-4616T(10/02/COMPIVER) 4. City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT III1 T I G A R D Building Permit Review — Residential Building Permit #: /17f7-2(7/6 — 00..)y6 Site Address: 1 313 k Sw s+1 en t- u x Ti r - Project Name: Po 1,9 Jcr, U i- WtlJtr g4 -r r,2,t.;i_. Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N e' sr l_ 71Verify site address/suite#exists and active in permits stem. River Terrace Neighborhood: ❑ No Yes,See River Ten-ace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan 'existing structures on site Zite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations (required for new,may apply for additions) /Site address,project or subdivision name and lot number { tA,�ation of wells/septic systems ,Applicant information(name and phone number) ggAtisting trees to be retained with drip line,and tree ,fLot dimensions and building setback dimensions protection measures /Lot area,building coverage area,percentage of coverage and OStreet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) %Street names /Property corner elevations(2 foot contour lines if more than 4 foot differential) 7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake X Land Use Case#: ?9 gio S --- 00004 ! f u W U C10006 , SLS Zcls" 00003 Z Zoning: r'( _-„ 2 / Setbacks: Front ea0/0 /i sear 10 Side 0 Street Side 3 Garage ) g,S XJLandscape Requirement: L.0 X. Lot Coverage Maximum: 0 0 % ABuilding Height: Maximum Height 3 S Actual Height IJI Vf Visual Clearance 7 Easements Sensitive Lands: ❑ Yes JCI No Type 6 Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: Len r,�'1"1 U fl.! i i:% be yr e+ pritr tv f SS v'c:i le)t 0 f- b moi )ct t el �� ►,i-. ,� Approved Ay Planning: M p4, (,to dig C•w - Date: I / I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl Not Approved I:\Building\Forms\BldgPermitRvw RES 060116.docx r 1 Building Permit Submittal Original Submittal Date: 4a/f//.' Site Plans: # 3 Building Plans: # —3 Building Permit#: -g—"Enter building permit#above. Workflow Routing: Er Planning engineering O'Permit Coordinator uilding Workflow Sign-off: [ Sign-off for Planning(include notes from planning review) Route Application Documents: a-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: .9 flk' ' Date: 0/2,2A:6; Engineering Review Slope at building pad: ❑ 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: El Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approve by ngineeri • Date: ' Notes: // Approved by Engineering: VDate: k". Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved Cl Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review Cl Conditions "Met"prior to issuance of building permit Approved,NOT Released: if(/ Date: 6/74V/le Notes: ��'es c,v`--, 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: ►:` es ❑ N/A Tigard Trans SDC: la Yes ❑ N/A Parks SDC: 7,13Yes ❑ N/A ("1 -1:3K to Issue Permit Approved by Permit Coordinator: % ,/ Date: F(//b/i(/ I:\Building\Forms\BldgPermitRvw_RES 060116.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT C . TIGARD River Terrace Building Permit Review Addendum Building Permit #: /1-I r02-0/0, 00,-y4 Site Address: r 3.7 3 to c Vv' s;ierit ro X re..cr. Project Name: f'fl1 90 ei cit Weil- ,Zt'v r' T rrn ti Lot #: GI (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards?OYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled doVr(mer /41 2. Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: f 7 , S 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45°from street, or open onto porch Entrance opens to a porch:,Z Yes ❑ No If yes, all the following apply: A7 25 sq.ft. min. ,�One street facing entry 12 ft.max.roof above floor of porch /u 5 ft. depth min. J2'30%min. porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: VCovered porch min. 5 ft.wide x 5 ft. deep 10:1 Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inchesormer min. 4 ft.wide , 1 Roof eave min. 12 inch projection �oof offset min.of 2 ft. ❑ Roof shingles either tile or wood ?Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. /❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min.40%of street facade /Er Window 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 0 Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes,ZNo. If No (Check one): 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. V'May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) rZr 12-foot-wide garage door ❑ 40%max. of street facade '50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ill 0 r1 7)--1—._ 6>J Date: 6 // / /6 I:\Building\Porms\BldgPermitRvw REs RT 031416.docx Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: r O tt'�tilitie _ Q . Fee(ea :; Total(' Sq re Ffntage: emit Fep , Footing drain-P1 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52. Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 • iluation: Permit Fee,.:, 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 Other Fr -- . Fee � Tp�: each additional$100.00 or fraction thereof,to and including$10,000.00. !i Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. 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*. Quantity by FixtureType. �e 'iCW . YPixblng l Installations Fixture Tfor Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 0 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ 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" Car Wash Drain etrte of mer Daglm Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings 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 Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet 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 Peilmit.doc RECEIVED , . . .. Electrical Permit Application FOR OFFICE USE ONLY Iii City of Tigard N O V 1 0 2016 i Permit Received / y � 13125 SW Hall Blvd.,Tigard,OR 97223e�y r/[ t/ ` �l� + L"`��W u�v O �"� Plan Review Phone: 503.7182439 Fax: 503.598.tifil F T:G 4 J Date/By: Related Permit k: Ready DateBy: kris: Fd See e Page 2 forTIGARD Inspection Line: 503.639.4175 Internetwwwtigard-or.gov BUILDING D VLSONN /MehodSupplemental Information* 0.. - w © kws "m -4` kt cyu --x. 3- ;-c+-`-^a ki .rte-. i'n. ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demollhon Offer 0 Service or feeder 400 amps or more 0 Building over three stories. ;mss i g y ._ where the available fault current Marinas and boatyards. }rte, Other: I a sz 7 ;, exceeds 10,000 amps at ISO volts or ❑Floating buildings. ®I-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural amps for al other i nstallations. buildings.❑Multi-family ❑Master builder0er' ❑Fire Prp• CI installation of ISO KVA A or , icn - < V . vO ItN XD> _ :z-� i ,cancY sYstem separately derived ❑Addi o of naw motor Load of system_Job#: Job site address: �.3`n \ Sip1^1 � ar 100HP or more. [!••A••,••8,•,"1.2","1 3". City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. 0Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#:; - Project name:Polygon at West River Ter 0 Hazardous locations. 0 supply voltage for more than Cross street/directions 0 Service or feeder 600 amps or more. 600 volts nominal. to job site: : .71 _ `.u;,' - .= A 1 Description 9 I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: I q Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less t 168.54 4 _ Ea.adel 500 sq.ft.or portion ` 33.92 1 ,. €g- 1 _?IrE3 ,� a ' „- - Limited energy,residential k ntra ibe t J✓ L J/l ch (fir (with above sq.R) 75.00 2 IJP Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ;a Renewable Energy El See Page 2 �""` -_. "'`: . fit q4 . � r`:- Servicrs or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E 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 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 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 • "' Branch circuits—new alteration or extensionper anel _ � �� � "�' 1PGl rT15(if��`�� i P A.Fee for brandy circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7'42 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/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 . ' Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:AngelaGrajewsla®polygonhomes.com Reconnect only 67.84 2 `5's %7 -� a.b. Q. ; :,,T1 :-f`"x7 t* i? ==` Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or denergy Et See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above t Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels(ggweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is hr CCB Lie.: C1158 Electrical Lie.: 208174 Suprv.Lic.: 4496S specifically listed CA.hr min) 90 �._..._ Suprv.Electrician signature,required: - /- 1 ' i Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): l State surcharge(12%of permit fee): Authorized signature: ;� -- TOTAL PERMIT I,eh: 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 '`'`"1:ABw7dinglpermits\ElC PeuaitApp_ELR ER_doc Rev 06/17/2015 440.46l5T(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 RtFtV,pi 7 DEPT: BUILDING DIVISION tap OCTED 17 2016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By:� ----- ✓✓ ' RE: 13690, 13704, 13716,13724, 13736 SW Silent Fox MST201 00242 1 ? ; 44, Terrace (Building 3) ^Q-t-f r'7 L Co vv (Site Address) (Permit Number) Polygon at West River Terrace Lots 10-14 (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. / cs r L.LE- . 0i! 4 Routed to Permit Technician: Date: /O- ) 9 - / Initials: Fees Due: gYes No Fee Description: Amount I3ue: y $ Special (!c S OA; /`1ST / —00,2 Lz, Instructions: Reprint Permit(per PE): ❑ Yes lig No ❑ Done Applicant Notified: /6/C Date: %////00. Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 i4 vs r v 1 v $ ,I, 7 r • • , . .. . . . . z Electrical Permit Application 10k OFFICE liSL ONLY • City'of Tigard. 14 2 1)1 i i:,--u , s. , - 41111g/RPAiffirY/1111=TATIMPI .11. • 13125 SW Rail Blvd..Tigard,OR 97223 , ,„* • Plae.Review • P: Phone: 503,718.2439 Fax: 503.59844k lt Ifi.'1'1("Li,'A Iti.ri Datedi . =111111 inspection Lino: 503.639.4175 t_l i. '.'.. ',-;''' '''' .' ,_, ,RearlyDate/Br 11.. 61 Sea Pagel for • i I G A R I.., Internet: www.tigand-or.gov 4.7 rkisfI 77 cl..1*,-'brotifiedihdrideid: Supplemental Inforination. T n.1001,z . 'e..,..-..-..7•'-:::-:i:'4,..:- ,,:1,1 . . LEI New construction 0 AdditiOnialtrantioniteplactinent : Please cheek an tbai apply(submit leas of plans ventenia chocke): • 0 Seivioe or.hveder 400 amps orsoore 1:41auildingover three stories. 0 Demolition 0 Other: wittily the available huh current i3 Mortara and boatards. ritiVt.1MV-Wt,W0,(0#0244:1:: ',WO* 4t exceedsexceeds 1000 amps at i 50 VAS or 0 Float*beadless. . . tr and 2-family dwelling ij Commercial/industrial Li Accessory building less to ground,or exceeds 14,000 CI Commercial-use agricultural anniake all otheriestallations. buildings. • i'slr,Multi-family 0 Master builder 0 Other. El Fire pump. 1:1 Installation of 150 1(V.4 or 11 r.:•Ii,7-.,4 ii'.-!-0123i:t.,.'.4 IP'. ,iiWslc'....*04:*-:',Ij.}t El BInc4racY sYste' large!separately derived CI Addition.of new rade*load of system Job#: Job site address:13i 10011P or axon. ;10 SW Si fri-Mk kaat • ' • " City/State/ZiP:Tigard,Ott 97224 0 Six orrnose residential nate. occupancy: OFTealth-eare faeilitku. 0 Recreational vehicle parks. Suitekidglept.#: 3.s-- Project name:Polygon'at West River Ter ollatutiottiocations. C3 Seinily voltage Ibr niOit.than CIService or feeder 600 amps or more. 6°°volts 1B3rninat Cross street/directions to job site: ..3.+. ; 4:-...:-;?.: . —PesCripdan Qty. 1 Sods Tata • New residential single-or nuilfetandly dwelling unit. • Subdivision:POlygon at West River Terrrace • Lot#: /9 Includes. attached garage. . . 1,000 or lets • 16854 . 4 ' TaX Opp/Parcel#: ' Ea.arld'1:500 sq.ft,or portio 3392 1 :il:latr- •;;;E*11.'•?-fn.'.--N OM kift,(10 MelfOgike-M107141WIRMSig Limited energy,residential ', 7100 2 (wthiabove sq,It.) . . iWI I/ Ilia .1 .1 ,6 .- Limitixienerpy,roulti-faittly 7100 2 f. esidential(with above sq.ft) • .,- Renewable Energy C3 See Page 2 ::;ririginlaf**WkgfF"--Ar'A....- .. 1/4,..r.fi-VP'. ,-401926.*31/7701.474:3. 4.0104k.... — :,..;....':0-..'ZignA.tei..*.±‘ serig • • • „ tea or feeders lustallation,-alterution,and/or relocation , . Name:ADVIii,and litildinga,LLC 200 amps orless 100.70 2 • Address:7600 E Doubletree Ranch Road 201 amps to 400 amps. 13156 2 • 401 aims to 600 amps . 200.34 2 City/State/Z17:Scottsdale,AZ 85258 • 001 amps to 1,000 amps - 301.04 2 Phone:(602)694-4031 ••' Fax:( ) 1 OVer 1,000 strips or volts 552.26 2 TemPorarkiervices or feeders installation;alteration,and/or- Email: - robes-don :'. ()water installation:This installation is being made on property that!own.which is not 290 0.14ts or less. 5936. 1 .... • intended for sale,lease;rent,or exchange,according to ORE 447,•449,670,and 701. 201 amps to =Ft . 125,08 2 . . • Ownersignature; . . . Date:. 40tamps to 599 amps . 168.54 2 ._, . .. .. ., ITISASC- ...;.,,,s,AARROOKIII4Ita..4011,10.44Larkta;rX4.0iViticatfio.Kiwimx Branch eireelbi.--new,alteration,or extension,per panel ' ----'-.,7,2--,7 -• , -:.,I. A.:Feelbr branclt circuits with Pitabiest name::Wiilinto Lyoo flornes,Inc. • above serdee or feeder fee, 742 2 . each breath circuit Contact name:Angela Grajewski B.Fee for branditircuits without service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/Z1P „Vancouver,WA 98660 • Each aidd'i branth:eireint 7.42 2 Miscellaneous(senile*or feeder notlueluded) rittine:(36.0) 95.-7700 Fax::(360)693.-4442 . Each Immufastmed or modular 67.84 2 dwellingrservire and/or feeder Email:,Angeta:Grajewsld®polygonhomes.com 67:84 2 Reconnect only ,•= 3,;.1;p,,t ...;,'4.1‘10 ,..,4,1'•-i-'*.;,.". ..e:'' ":Vt'3',7`..*4' r;r--471,--fr..Y. ',-,-- *-7,,?igi Pump or irrigation circle 67,84 2 Business maple;Simply Electric LLC . Sip or outline lighting 67.84 2 .. . Sivail eirceigs)Or litnited700ernY -- Address:PO Box 822408 E3 See Page 2 2 • Minel,.altentrion,.or extension, Each additicsailinspection over allowable in any of the above • City,'SM10/Z1P:Vancouver,WA 98682 . .Additifsual inspeclion.(1hr min) . 66.25/hr Phone:(503)1494202 • Fax::(360)314-4945 . • XnvesOitetion(1 hrmin) 50:00/to . . gyeleetrixInthistfial plant(11u min) , . 78.18/hr epd Email:simI@gotail:com inapections.fin Width no fte is CCB Lie.: 204615 Ectrical tic. 1067 kr le ; s.—" . 1:listed(16hr.min) Suprv:Lie.: 4394S L,P.i1 „..";,‘,* tir.N i';-.. .41/i;90.00/t r .t.:* Suprv.Electrician signature,required: cy • 0 • . "I Subtotal: Print name: Vidor Zarzhitslcy I Date: /8/2017 0 Plan Review Required(25%ofpennit fee): Side surcharge(12%of permit fee): Authorized'signature: C----7 , ,..•-"%--,-.-- ....., • TOTAL PERMIT FEE: This permit application expires if a permit ie not obteinedscitbie 1110 Print twine! Dititrly MisiittitIk. Date: 2/8/2017 days after it bas been accepted as complete. _ • Number of kept:Mims altowed-per permit iseadiesweeictenc_panataas.at&ERE.doe Rev 061171201t 440.4675TO I/OS/COMM . . . . . City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13736 SW SILENT FOX TER, SHERWOOD, OR, March 28, 2017 at 5:39:55 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00246 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal all penetrations in mechanical room. Register for jumper gust not installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13736 SW SILENT FOX TER, SHERWOOD, OR, March 28, 2017 at 5:41 :16 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00246 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor