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Permit (61) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00332 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S 106DC 13700 Jurisdiction: Tigard Site address: 17004 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 137 Project: Polygon at West River Terrace, Lot 137 Project Description: New SFA. Building/Unit 9.1 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 12 Smoke Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Yes Total: 1625 sf Value: $203,364.18 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1625 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 2 Geotechnical Inspection SCOTTSDALE,AZ 85258 Required before foundation PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,736.97 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: Permittee Signature: 6/1/ }'� '/' /(e7 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. 1 • Building Permit Application Z 0 T /37 E t1,, k40,,•,-,.474---,.04,1 FOR OFFICE I SE O\Ll City of Tigard RECEIVED Reeei°� DateB : cf. /6 4 Permit Nos s�6 d�3� � 13125 SW Hall Blvd.,'l iaard,OR 97223II Plan Revie II ' Phone: 503.718.2439 Fax: 503.598.1960'U 1 2 7 2 O 16 D an Re a ) c - Other pecmitfea/e.2N/6—ZW�� T 1 C;1 R 0 Inspection Line: 503.639.4175 Date ReadyBy: ,(j Iwis: H See Page 2 for Internet www.tigard-or.gov ^I TY OF��r a�n Notified/Method: � 7-0/4" A-We/ Supplemental Information tE: • :• leer; ,t 1 -1 R -F 3 -�a; 36 s 'its ; b e $ �l moi; ®New construction Permit fees*are based on the value of the work performed.❑Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the � �`` - work indicated on this application. E: wd � t � t:#� ,.U. � .. � 0 1 and 2 family dwelling ❑Cotnmercialfmdustrial Valuation: -3-1-99, 05...„ Q,�) -3 6 ❑Accessory building Multi-fey Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: ''5 4- b it 1,l , , .,••±J,1,,,,-,4, t< Total number of floors: 3 `I vet t Job site address: 110011 SW Jean Louise Road New dwelling area: 1625 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 327 square feet 63:s Suite/bldglapt.no.: I Project name:Polygon at West River Ter Covered porch area: r square feet LI. Cross street/directions to job site: Deck area:�� 96 square feet y- J her`sfruclure ea: 1 h square feet 1 - :4-,---772----;•-„N-;,' '' yam ` Subdivision:Polygon at West River Terrace I Lot no.: 131 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 l 1 - work indicated on this application. ES 3 IA : 9 . 1 Valuation: $ .!J Existing building area: square feet New building area: square feet � ' � a 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 „ € 1 Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street aPp )" Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewsld@polygonhomes.com ., � � ; ,E• p Commercial and residential prescriptive installation of ' j .. ' :�:. 7,''' -',44'7. 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: jig;?5,chs This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dater/20/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application i n tel 1 it l= I -l_( \ll 1 Ci of Tigard Received ��,,AA City sg Pelt No.:IAS llt 37 13 SW Halt Blvd.,Tigard,OR 97223 �i Plan t)atc"B 718.2439 Fax: 503.598.1961) Revtev• v sy Other Permit: ., ,, lnspcctionLine: 503.639.4175 a t; ' ,A R L k a v9:�A Ready By:' auris: til Sed Page 2 for Internet www tigard-or,gov gg Ty. t BU 'LD )� DIV SII fiedlMtttiod: Sappf enW Information , t , ke .. t T', E ;ET:*QRK " i t; MMERCIAL FEE sc DL-1 :,,ts 4 us ® cw construction 0 AddidOtila}tetatiOII/teplttCCRlCtit p Mechanical permit fees*are based on the value of the work ❑ New tiaperformed.Indicate the value(rounded to the nearest Misr)of all 0 Other mechanical materials,equipment,labor,6erhead,and profit Value:S� F � T � JCON _ F 4lT7P . ,. .RDE11. 1 Q .._ .. lYB4..W � 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For xprdaf information test dtectf#.®Melfi-fanily 0 Master builder 0 Other: Description City. Ex. Total 3, � l)� FOR11d+33i>I*411 15 f (riT N xditiag/soulit►p: I lob site addtrss; /7 not./ .J � �n,n Air eandiciamiri� � &6.73 W-)civ t ��e. 1410 Furnace 100,000 BTU{duc ve s) i 46:75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductsivento 34.91 Suite/bldg./apt.no.:61 i 1 Project name:Polygon at West River Ter Heat pump 61.06 Duct work i 23.32 Cross streetidirections to job site: Hydronic hot water system I 2332 Residential boiler(radiator or hydronic) ! 23.32 Unit heaters(fuel-type,not electric), in-wan,in-duct,suspended,etc. 46,75 Flue/vent for any of above i 2332 Subdivision:Polygon at West River Terrrace I Lot no.: 131 Other2332 Other fuel appliances; Tarr mapdparcei no.: Water heater i 123.32 :r1.. TIE PTJ'ON=OF'WORK Gas fireplaceiinsert f 3339 (1 ire, t Flue vent for water heater or eas I 1' fireplace ;x 33.32 Log lighter(gas) 1. 2332 Wood/pellet stave 1 3339 Wood fireplacedinsert j 2332 Chimney/lbw/flue/vent I 23.32 '..e a d e C . rOlg . .z.�111,ti; W ae Other: 1 2332 �� „~°„ Environmental exhaust and ventfta1loa Nam=ADVL Land Holdings,LLC: Range hood/other kitchen Address:7600 E Botibletree Ranch Road equipment 33,39 Clothes dryer exhaust 33,39 City/State/ZIP:Scottsdale,AZ 85258 1 Single-duct exhaust(bathrooms, toilet compartments,utility' oms) “ MOMS) 23,32 Phone:(602)694-4031 Fax;( ) Anicicraulspace fans 23.32 x t i k 1'(:A�" ,.. .._ , f . .. 0 ACX1pj$o CON , r,:,.v� Pther: 2332 Busines'sname:William Lyon Homes,.Ina i ng S14.15 for firm four;54,03 for loch additional Contact name:Angela Gra jewski F[ Furnace,etc. Address:109 East 13th Streets Dmnp Wall/suspended/unit heater ' City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplam I E-mail:Angela.Grajewsk1CCpolygonhomes.com Range Barbecue , �' » ciVClothes drvcr Business name:Andersen Mechanical,Inc. Other Address:16285 SW$5d'Ave N741V ' .� .„� M, Subtotal City/State/VP:Tigard,OR 97224 Miniinum permit fee(590.00) Phone:{503)992-6664Fax;( )536-6615 Plan review(25%of ptimit fee) * State surcharge(12%of unit fee) GCB lie.:160214 X–'''' '—'-- -----.. I TOTAL PERA1T FEE This permit application expires if a permit k not obtained within 180 days after it has been accepted complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8122/16 1 g t ._tertdtapp_c4Qi 13.doc 3 • 4.rp.45i?Ttt 11Ls2fY�ht'IVES) h Electrical Permit Application o FOR rrIC ( sE o 1_1 City d RECEIVE'•` Received 3 25 SWofTigarHall Blvd,Tigard,OR 97273 hDateffi Permit# STa6/6 0033 Phone: 503.7182439. Fane 503.598.1960 J U L 2 1 2016 may.ew Related Permit ft: Inspection Line: 503.639.4175Date/By:ReadyH See Page 2 for T1r;;;1tD Internet www.tigard-or.gov CITY OFTIGARD Notified/Method: Jug - � Supplemental Information v ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlitems checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other usea? where the available fault current 0 Marinas and boatyards. , - � i °- � '%a .5 _ rr"�� y , x exceeds 10,000 amps at 150 volts or 0 Floating buildings. C3 1-and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural RI Multi-family amps for all other installations- braidings. Y 0 Master builder 0 Other ❑Fne pump. ❑Installation of 150 KVA or .,x : y e 5 t ;w ` 4; Pi:�.P,.E t 1 T,-- , ,i ❑Emergency system• larger separately derived Job Al: j Job site address:II 001-I cS /V � _(4,; 4 ['Addition 100of new motor load of system - Job � s Six or omore. ❑A;Ec"I-2^,"1-3", City/Stete/LIP:Tigard,OR 97224 0 Six or more residential units. cy- ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: I Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more. 600 volts nominal- Dems Qh. Earl Total • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace I Lot#: ,3--i Includes attached garage. Tax map/parcel#: 1,000 sq.R or less I 168.54 108.5g 4 C1� ` _ w r� �,� n Ea.add'I 500 sq.ft or portion 2 33.92 (ft.$// I � Limited energy,residential IA a R) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 1-4 Z a{ as x} t ` T SReernile"wabioer feed installation,al0ra on,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 City/State/ZIP:Scottsdale,AZ 85258 401 amps to tion amps 20034 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 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 1 168.54 2 .= ..1,4; ,—n, .c- .4,�c- ;'To 114 .- -- Branch circuits-new,alteration,or extension,per panel • s A.Fee for branch 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'1 branch circuit 7.42 2 Phone: 360 695-7700Miscellaneous(service or feeder not included) ( ) I Fax::(360)693-4442 Each manufactured or modular Email Angela.Grajewslu@polygonhomescora dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 w Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Portland OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr mm) 90.00/hr Email:solarpda@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 199188 Electrical Lic.: c923 I Suprv.Lic.: 48715 m lasted hr 90.00/hr Suprv.Electrician signature,required: ' .r -v `7 -`��; i '1 � Print nameR i e R Q I Date 05-24-16 Subtotal. ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: l� TOTAL PERMIT FEE: + This permit application expires if a permit is not obtained within 180 Print name: 7) ari rew5, Date: 7 2 D /p days after it has been accepted as complete. !�( ` ( * Number of inspections allowed per permit Ll T tsPapp ELR ERE. Rev 06/17/2015 615T(1/05/COM/WEB Plumbing Permit Application Building Fixtures RECEIVED {,i; t,i i ,, , 1 �i ,,.i } City of Tigard111 Received Perm;r x'.:/`��T /6 •00 '* 1312 5 SW Hail Blvd., OR 972 6) ���� Plan Review !r Phone: 503.718.2439 Fax: 503.598.1960" Dale/ByOther Permit No.: Inspection Line 503 639 4175 CITY 0 F T I GAR D Date Ready/Br. tud3 B See Page 2 for Internet www•tigard-0r gov Nottfied/Mdhod. Sapplemeatat Information to ���i� t e.q,, r `. E Y' ..- .� ;�. For spedal information use rkerkiist ®New construction 0 Demolition j Description I Qty. ( Ea i Total Q Add.tiotttattetmion(tep!eminent 0 Other New 1-2-family dwellings(includes 100 ft.for each utility coma:tion) -c-; -- ' ' s ''''::,.' h a ,fle SFR(1)bath 312.70 ❑Commercial/industrial SFR(2)bath 437.78 1-and 2-family dwelling SFR(3)bath I ' 50032 400,32! ❑Accessory buildingMulti-family Each additional bath/kitchen i 25.02 ].o21, Q Master builder 0 Other Fire sprinkler alb.sq.ft.) I I Page 2 I. 1.q p' e . i i a Site utilities: 1-.:47%/<-, Job site address: 17 00"1 V1 Stan Lo(,(Se Load Catch basin or area dram 18.76 Drywell,leach tine,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 Storni sewer(no.linear ft.: 1 Page 2 Water service(no.linear ft.:_) Page 2 j Subdivision:Polygon at West River Terrrace Lot no.: I'3, Fixture or item: ,:1-41,7,4-,' Backflow preventer A/ 3127 3)'Taxmap/parcdno: valve I 12 51 la S Z,-- t �, i x < te� . ' a . '` Clothes washer35.02 qq U : ' :III _,_.I Dishwasher 25.02 Dnelting fountain 25.02 Ejeerors/sump 25.02 ' < _ - Expansion tank 12.51 Name•ADVL Land Holdings,LLC Fixture/sewer cap 25:02 Floor drain/floor sink/hub 25.02 Address:7600E Doubletree Ranch Road i Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)6.94-4031 Fax:( ) IIx maker• 12.51 . ' T. ,s ' Interceptor/grease trap 35.02 t,',4,-!.,,,:--,., � ' -:er .. . - ''--'' . Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Pruner 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basinflavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone.4360)695-1700 Fax (360)693-4442 Tub/showerfshower pan 12.51 - Urinal E-mail:Angela.Gralewaki@polygonhontes.com Water cloet 25.02 25.02-- ,' a ,L1,---'''"--`'''''),4 , . � ., . i : .. . . F: Water heater 37.52 Business t Alliance Plumbing LLC Water pipingfDWV , 56.29 Address:146 W Historic Columbia River Hwy Other. 25.02 City/State/ZIP:Troutilale,OR:97060 Subtotal Minimum permit fee:$72.50 Phone:(503)492-3390 Fax:(503)912.6438 CCB Lic.:184601 Plumbing Lie.no.:PB732 Plan review (25%of mit fee) Staff surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishfnan Date:S123/20I6 This.permit appllcsnon expires if a permit is not obtained within 180 days after tt bas been acceptedas complete. *Fee methodology set by Tri-County Building Industry Service Board. ti8uiltrmgWenni 7-RdmitApp:doc IOMIA9 440-4616 OIQZicOMtWEa) City of Tigard ill ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ T l c n a n Building Permit Review — Residential Building Permit #: //s 77;D /6 ,- 0O33.2. Site Address: l 7 OO'{ so/ J'-e0,t L0,„y.c. ' . Project Name: eoI Vic,v, cat- Wei4- giver Z-e,n, Lot #: 131 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N ettzW hvnot,-- CSOrlI frvc WO Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Y Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,Three (3)copies of site plan `Existing structures on site Site 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) Cite address,project or subdivision name and lot number D ocation of wells/septic systems Z-lpplicant information (name and phone number) Erosion control(including drainage-way protection,silt fence /1Lot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and XiStreet names impervious area (applicable if R-7,R-12,R &R-40) 'Street tree size,type and location Property corner elevations (2 foot contour lines if more than Existing trees to be retained with drip line,and tree /en Property foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No ,1 Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake �Land Use Case #: 'POP.2,01_(- ODCkJ , S UG SIJ - 0,,,,,,,,..„ , S L PZ -2.c. 13 —00 c� 3 Zoning: (C. 2 O Setbacks: Front 11. Rear LC Side 0 Street Side `au Garage I g. s ,e Landscape Requirement: "ZO % O Lot Coverage Maximum: Building Height: Maximum Height t✓/A Actual Height NSA Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan tZ Conditions "Met"prior to issuance of building permit Notes: riocu.( t)nnl 1') be- met- p('ibc j-D i&.s vG,int. O( Lj v)ta14I?C? ee�rnt4. Approved By Planning: /Vl 9't— _ Date: 7✓/ 2-i / t b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw RES 012116.docx ir s j Building Permit Submittal Original Submittal Date: 7/7 7/'< Site Plans: # 3 Building Plans: # ,3 Building Permit#: ( 'Enter building permit# above. Workflow Routing: ['Planning Er-Engineering EPermit Coordinator Building Workflow Sign-off: D. Sign-off for Planning(include notes from planning review) Route Application Documents: 7r Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: -� ''. ��—. Date: oPMA., Engineering Review Slope at building pad: 2S ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Zroved y ngineering: Date: Notes: } .0. .i : tl"7g''V`" !"Nf Approved by Engineering: _ WI— Date: 8— Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: / /' Date: 03/16" Notes: C_� Zv „( 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: lv'9: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A � Tigard Trans SDC: Yes ❑ N/A Parks SDC: es ❑ N/A Approved by Permit Coordinator:/X) 41/----Date: 4:7 / I:\Building\Fonns\BldgPennitRvw_RES_012116.docx City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT T l c lz o River Terrace Building Permit Review Addendum Building Permit #: /'7573-0 it, o e)t)3. -- Site Address: ( 7opcj ivy /-ec►n -ouil - 2c, Project Name: h 0 1 y 00 cc 4- we.I-- I,Nte-i- Tei rn Lot #: 13 7 (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?,Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ /21 l2i/ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 16, 0 3. Entrances:At least one entrance must meet both of the following standards: facing wall %Parallel to street,angle no more than 45° from street, �l Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: PI Yes 0 No If es, all the following apply: 025 sq.ft. min. One street facing entry V12 ft.max.roof above floor of porch ,e55 ft. depth min. 730%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: 7 Covered porch min. 5 ft.wide x 5 ft. deep `Recessed entry area min. 5 ft.wide x 2 ft. deep 7 Wall offset min. 16 inches Dormer min. 4 ft.wide %Roof eave min. 12 inch projection %Roof 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. /I Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40% of street facade Window trim min. 2'/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall./Yes o. If No (Check one): IIIMay extend up to 5 ft.if there is a covered front porch and garage odes not extend porch. beyond thefront ❑ 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) Vii 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: (\1.,(9-`-"--:. 1,-\,-`, Date: 7/ --► / I Co 1:\Building\Fmms\BldgPermitRvw RES RT 062216.docx Albert Shields From: Albert Shields Sent: Tuesday,August 23, 2016 12:10 PM To: Angela Grajewski (Angela.Grajewski@polygonhomes.com) Cc: Kim McMillan; Mike White; Dianna Howse Subject: Polygon at West River Terrace, MST2016-00332, -00333, -00334, -00335, -00336, -00337, -00338, -00339, & -00340, Lots 24-28 & 134 - 137. Attachments: Conditions - 08-23-2016.pdf Angela, re the above building permit applications, there are still multiple conditions of approval under PDR2015-00004 that are Not Met. Accordingly, I have noted these applications as Approved but Not Released. Plan review will proceed but the apps will be on hold until the conditions are resolved. Please let me know if there are any questions. Albert Shields 1 Electrical Permit Application f`-.i `w FOR OFFICE USE ONLY Ci o I and R�ia'� 1„,113125 SW hall Blvd.,Tigard,OR 97223 N(j\I 1 ° 2 01 �Plan R mew I Permit 1/11/1 , 1362.3� . Phone: 503.7182439 Fax 503.598.1960Da�By Related Permit ik T I GARD inspection Line: 503.639.4175 4,,;.e. i� `ids' Ready Date/By: hair 10 See Page 2 for Internet www.tigard-or.gov t$,,i t hfied/Method: Supplemental Da w7 n r Information ✓` + � '..-,!,:)...,..,.:11.,...7_A,4 S., -a" -a � ',-•., , _y .-yq:,, .E ' n r #��',, -'s`-z�``r_.4 -- . ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):$ ❑Demolition 0 Other ❑Service or feeder 400 amps or more 0 Building over three stories. _ where the available fault current 0 Marinas and boatyards. >'�',�^' .,• G 2.40—, 1 Jr r=?� exceeds 10,000 amps at 150 volts or El Floating buildings. ®1-and 2-family dwelling 0 Commercial/iridlistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other. 0 Fire pump. ❑installation of 150 KVA or :. =4- a -. J .B .Ol k1ON?ll � �hTI� � - - - ❑EmerBYtem. larger state( derived lrn � ❑Addition of new motor load of system. Jab#: Job site adores W 3` Lo RD- 1001IP or more. ❑"A E","1-2", i-3^, City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. /� ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: `I 1 Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage far more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: , r?-- i= -- - _ 1:�- te. z Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:/ )1 Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less % 168.54 4 -� _ —� _ Ea.add'l 500 sq.ft.or portion '� 33.92 1 rte-. .. - ,.,41 r:1' �R?( '' :_..M. '` _ Limited energy,residential 75.00 2 U`J\\(�' W(1 �/\/rt (with above sq.ft) 1 ` V�J'v, `�Y �lJ��• Limited energy,multi-family residential(with above sq.ft) 75.00 2 Renewable Energy ❑ SPage dPc—„ '_��QE.1 >� -`yz ,,,, ,..0 ...� ._ �� -. ti.. _,._� �� ��e.,�_�t_ Services or feedersinstallation,alteration,and/oror relocation Name:ADVL Land Holdings,LLC 20D 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 552.26 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 �=- ' s t� -m. -r- <_ x Branch circuits—new,alteration,or extension,per panel o .-e .-. `;r- ‘.. -..,t,...-... ..,... `' 5,, .t watt^Q t QN Gt Cf IS-L' - .a ,x' A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,fust 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewski@polygonhomescorn Reconnect only Tv .- : ._ ;,. . 47- Ct.-ID,.4o- ,:i: i- 1.: . -�^.- i,a''_'�” 1/ ` =� Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC • Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal alcteration, tion(s)or limited-energyxns 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(i hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(I hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min) • 78.I8/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lic.: 4496S specifically listed(:5 hr mm) 9000/hr Suprv.Electrician signature,required: v I i/ t"'.t 1 Subtotal: Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): e-----------`� _ State surcharge(12%of permit fee): Authorized signature: r � ' J 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 ':,::1:lauilding\Permits1ELC PermitApp ELR ERE.doe Rev 06/172015 440.4615T()1/O5/COM/WEa Electrical Permit Application a '--, ' FOR OFFICE USE ONLY I ' City of"Tigard Received ' 1 I v I 13125 SW Hall Blvd.,Tigard,OR 97223 1\,/ �t 0 ?\ I Thil,Re�� �� Permit LL 7 , 3 ,2 Phone: 503.7182439 Fax: 503.598.1960 Da�By Related Permit It: Inspection Line: 503.639.4175 ,r e; , (, 1 i t - Read Date/13y: Juris: T I GA R D Internet s of a I, z Y Y 69 See Page Z for www.tigard-or.gov or gov 1 a € 1 trfied/Method: Supplemental Information I / ormatioa } ..ti%�..�...s<�.rfz_>,�:+..,L,t:-.`s_` T�LA�:.�:::r�t<?^S�'iu��w',..,�Y.,'✓::rt: "^d: �".<. a. _ ..g ®New construction 0 Addition/alterati0n/replacement Please check all that apply(submit 2 sets of plans w/items checked):$ ': ❑Demolition 0 Other. ❑Service or feeder 400 amps or moremEl Building over three stories. x oyrwhere the available fault current ❑Matins and boatyards. a klit �` C� D.,-.: -...:-.:,: -,7...!=,,;:,-.:-.,'.:::-.,:. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®I-and 2-family dwelling ❑Commercial/iridtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-familyother installations. ❑Master builder 0 Other: r all i buildings. . £;�_V _ � ❑Fite pump. ❑Installation of 150 KVA or .. �1;n.,M._ .O}� �'1�°IAF - Einer system. ��• ��t.�-:--,=nom .-. . ,_.. >�� Q �iV�D �'-�fz1'£EO1�T'' - - Dlargerseparatelyderived F.,.-j=::§;.,.��>-a:'i�,,::>'S;w; Emergency G- , ❑Addition of new motor load of system. Job#: Job site addresfil 00(4 J1)%l Sec ( U 0 IAe.`Q). 10014P or more. ❑<n <> ul_z^ 1_a" City/State/TIP:Tigard,OR 97224 1 w 0 Six or more residential units. occupancy. /� ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: `1 1 Project name:Polygon at West River Ter ()Hazardous locations. 0 Supply voltage for more than Cross street/directions to 0 Service or feeder 600 amps or more. 600 volts nominal. job site: zDeseription I Qtr. I Each I Total 1 " New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:1))'l Includes attached garage. Tax map/parcel#: 1.000 sq.ft.or less % 168,54 4 4 Ea add'l 500 sq.ft or portion 1- 33.92 1 F, - w ":/t� rc ^[�` -" .e Limited energy,residential b`/\�-y t 1 r �1/\/tt N'1 n e, (with above sq.R) 75.00 2 l \ �Jv�J Y 11J�1 .(�Jl Limited energy,multi-family 75.00 2 residential(with above sq.ft.) -��� Cr ; t-tli7-EI ;_f10*-0 19ZI 14RSernveiwcrasbloer le ade r s installation,alteration,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 552.26 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 a x, `'* Branch circuits-new alteration or extensionper panel i 7 ' � W 2 `.6 415-- ` N O 4. A.Pee for branch circuits with ' Business name:William Lyon Homes,Inc. x above service or feeder fee, 7.42 2 each branch circuit 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'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewski@polygonhomes.com dwelling service and/or feeder Reconnect only 67.84 2 rump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd El See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min} • 78.18/hr Inspections for which no fee is 9 CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lica: 4496S specifically listed(;4 o. 00/hr Suprv.Electrician signature,required: `fit., `' =�:r,- s;R u�� L -e Subtotal: Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): lam. _ State surcharge(12%of permit fee): Authorized sip�xrrxre: - 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 :: IABeildiaglPermitslELC PermitApp EUl.ERF-doe Rev 06/17/2015 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 III I Transmittal Letter T I GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISIONRECEIVED FROM: Angela Graj ewski d l 1 6 CITY OF TIGAR ► COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: RE: 17004, 17018, 17034, 17048 SW Jean Louise RD MST2016-003321 "2)33, 330 3S (Building 9) (Site Address) (Permit Number) Polygon at West River Terrace Lots 134-137 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ';Copies criptio. , 11,,'/X-%/.. , Copies:, , Description:% ,... 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. Vi -s-5 etc c. . e., 0,1 frtc-r;20/6 _0033_2 -w� \\ t ��\,, � �., * ' � ��,/ '� -���:.. "sr� . ' s FO Vii: ,/ r„ Routed to Permit Technician: Date: f 0 _ j 9— 1 6 Initials: Fees Due: Yes ❑No Fee Description: Amount Due: 'U M�� 4A6 iL- , 1.W rat/4c) $ 0' O t \ ; k4 $ ' \\ y \� \ti ; $ j / $ Special Gi- — cr F- C?A1 /tfs.77,20/(0 -©©23.2_ Instructions: Reprint Permit(per PE): n Yes ii=NQ Done Applicant Notified: ,q-i/G/L� Date: i//i`/c jo Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 / Plumbing Permit Application ,f t .;,' : ',.. ,, , -, ' - k Site Utilities Cl of Tigard I '° _ Received r� N94-7:57,016, �Jg �[:.i: t�° q ( Date/By: 0."`���/7 Permit ���j3 L� q 13125 SW Hall Blvd.,Tigard,OR 97223• /// = Plan Review, Phone: 503.718.2439 Fax: 503.598.1960 Date/By: j/%7/7 S Other Permit No.: Inspection Line: 503 639.4175 T I G A R D Date Ready/By tuns Fd See Page 2 for Internet: www.tigard-or.gov Nottfied/Metho3.`, / �/? -4.: Supplemental Information ff <TY' t ,-. ." : :-: 11 4 * SCHEDULE ®New construction El Demolition For special information use checklist Description Qty. Ea. Total ElAddition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OE"CON RU 2 Ti .4 SFR(1)bath 312.70 ❑ 1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 500.32 ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other Fire sprinkler(LS69 q.ft.) I r , Page 2 •JOB ORI I ION 8 LOCATION ,A-,' Site utilities: t Job site address:17004 SW Jean Louise Road 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.: 1 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.: 137 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 ,(.:i �, DEStM')f�1P'lCI±�l"I� �' O°� :;,11:7;:f-'' Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00332 Drinking fountain 25.02 Ejectors/sump 25.02 6;",PROPERTY OWNER '. Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 _ ci APPLogo [a C 'At > Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Alliance Plumbing,LLC Primer 12.51 Contact name:Robert Dishman 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 JCIl1ll14,914. Water closet 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 Plan review (25%of permit fee) CCB Lic.:184601 / Plumbinglu ' Lic.no.:PB732 State surcharge(12%of permit fee) �- Authorized signature: / �� 7TOTAL PERMIT FEE Print name:Gavin Thomes Date:2/22/17 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. I.\Building\Permits\PLMU-PermitApp.doc 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: 11 s es Q i -tree• + a Footing drain-Is'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 w ` Storm&Rain Drain-1st 100' 62.54 a atioI1: 1" �k " $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Fee 444144', each additional$100.00 or fraction thereof,to .. treesand including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (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 Fixture Type or _ £ ns 2 Fixture Type for Replacef Work Performed apps : A4 x� Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 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 s o av s "'Diagram' Garbage Domestic-non-food 111 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 *Note: If the fixture work under this permit results in an Washer-Clothes 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 Pgmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17004 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00332 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17004 SW JEAN LOUISE RD, SHERWOOD, OR, June 20, 2017 at 8:03:04 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00332 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved plumbing final inspection prior to building final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17004 SW JEAN LOUISE RD, SHERWOOD, OR, June 20, 2017 at 8:05:31 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00332 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved approach and sidewalk final and plumbing final prior to building final inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17004 SW JEAN LOUISE RD, SHERWOOD, OR, June 20, 2017 at 3:26:07 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00332 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Contractor to add missing street tree per approved site plan. Moisture content form received. High efficiency lighting form received. Insulation certification checked. C of 0 left on site with contractor. All other corrections complete. Note: investigative fee for re inspection applied for additional inspection added to schedule and done after regular work schedule, ok per Sam Scott. Violation Summary: Inspector Contractor