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Permit
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00338 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S 106DCO2600 Jurisdiction: Tigard Site address: 17075 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 26 Project: Polygon at West River Terrace, Lot 26 Project Description: New SFA. Building/Unit 8.3 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 249 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke DwellingUnits: 1 Yes Third: 560 sf Right: 0 Detectors: Total: 1371 sf Value: $172,653.33 Rear: 10 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 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 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 1371 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: $23,047.56 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:47!i' : Permittee Signature: ON 1/1/°4 e17-7G/#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. Building Permit Application L-c % 2 )<-- S _ •s t ;6 J RECEIVED IOR OFFICE t SE ONE) Received / / a / City of Tigard J U L 2 8 2016 DateB : 4) l/ /6, if/A. Permit Neff ra /6 CDo3..S, III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.196A I-,OF --I p,AR D DateBy: . 14" S j (7 4 mer P /4r /�a ' 4 1.1(. \k 1 Inspection Line:g503.639g.4175 B lu•'��a �sau S Date ed/Me y: //+ Juris: Supplementallemental Information /L ' (yIE ®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 ,,:-!z-3Z"�7 , " work indicated on this application. ��'�,,,. $ ,.,, 1-and 2-familyValuation: • li 0 dwelling 0 Commercial/industrial i / 3 ❑Accessory building Multi-family Number of bedrooms: 2 ❑Master builder 0 Other: Number of bathrooms �,-,:,, ° Total number of floors: 3I6 6.v Job site address: 11 p,GS SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet :s-c.D Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: g (,j.. square feet S b Cross street/directions to job site: Deck area: 72 I square feett*9 cov Other structure 7• square feet Subdivision:Polygon at West River Terrace I Lot no.: to 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 '''' i s . i . € work indicated on this application. 105 6 u : 0 ,3 Valuation: $ U Existing building area: square feet New building area: square feet , ,, " F . 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 Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 l Fax::( ) Amount received: �'" �``.�3 �=' N.:�,., `a a, ' �-, �=-�-., "• ;tea,.. E-mail:Angela.Grajewski@potygonhomes.com � � Commercial and residential prescriptive installation of € � a .l'2:;:t--;- - • 1:. -a roof-top mounted Photo Voltaic 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): 921.60 CCB lic.:207247 - — Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained /An within 180 days after it has been accepted as complete. �k�i C�/v P P Print name:Angela Grajewski Date:7/20/16 *Fee methodology set by Tri County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , /., Mechanical Permit Applica i J L l on O i l i f h € �tl t g v 11 d (� City of Tigard Received DDatesxAetapt ha n A�'1=�111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1"` Phone: 503x182439 Fat. 503.598.1960S EP 2 2 2016 Das may: Other Permit: , i i, lnspecliat Line:503.639.4175 Date Read/ay Avis: I 0 CI Internet: wwtiv,tigard-or.gov I + ( q T+,"3 tintifitdlMetlfod: ,*Panta1 for 7�,y Dill / Snppimveatat Information L{ L.FEE*! Drax-.I i f New construction Mechanical permit fees"are based on the value of the work Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other, mechanical materials,equipment,labor, ,and profit. s- ,X.' OF Value:$ 3 :t.;+ ;� ?, � ,,e�` �%���wN.c.. . ...F.n'ta, ttk4V ,''''''''-':''''''';';-;1341' R> IDAL#LE$ y 0 1-and 2-family dwelling 0 Commerciallindustrial 0 Accessory building For apedal information use checklist, ®Multi-family 0 Master builder 0 Other: Description City. { ER. Total ,n 4w " 13; OR #, RM i`TION AND 7 I_ „ ,:' xe*thigic°°liti2; _fin�n Airoceditiioning 46,73 Job she address: /101 S Yv en f '�'1AC: V.,yAl2 Furnace 100,000 BTU(ductsi mots) 1 46.75 City/State/ZIP:Tigard,OR 97224 V ""'�^+► t'v "t Furnace 100,000+BTCJ(ducts/vents) 54.91 {� Heat pump I 61,06 Suitelbldgfapt,no.: V 13 Project name:Polygon at West River Ter Duct work € 2132 Cross streetidites ions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronie) I 23.32 Unit heaters(find-type,not electric), in-wall,in-duct,suspended,etc. 46,75 Flue/vent for any of above j 23,32 Other: : 2332 Subdivision:Polygon at West River Terrrace Lot n°.:UpOther fuel appliances: Tax map/Parcel no.: Water heater 1 23.32 l t ,„; 73l"SCRIPTION :OF WORK Gas fireplace/insert ace/insert C t) A �J flee vent for water heater or ens •itritfiartntet ion- fireplace 1 2332 Log lighter(gas) — 2332 Wood/pellet stove i 33_39 Wood fireplace/insert - 1 23.32 Chimney/liner/flue/vent l 2332 1 3 d.°-'w.. .i 4 s x.. V,,,,''''-'1,-<",",, . ' ` 4, i 5 'I'c',' vent'ilati Other - � 2332 " Environmental exhaust andbif: Norm ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33,39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust I 33.39 Single-ductexhaust(bathrooms, aCityiStatelZiP:ScottRd$le,AZ 85258 toilet compartments,utility rooms) 1 23,32 — Phone:(602)694-4031 Fax;( ) Attic/crawlspace fans I 23.32 W iit14: -f ,.,.f E .: Oiji p . ro1� ` s Other: l 1 2332 - :;, Fad Piping: Business name:William Lyon Homes,inc. 514.15 for that four,54.03 for tach additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump ! , Wall/suspended/unit heater t City/StateiZIF:Vancouver,WA 98660 Water heater I Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I E-mail: arge gels.GrajevrskiaC,,,polygoahomes.com Barbecue. � . E-ma :Au a_.t.` ,..N,Y ._'Y,�s. ,,.,„ J„ a`` ,,li4i/ . 9 I r IItii, aoihes:drVcr(gas). 1.. Business name:Andersen Mechanical,Inc. Other z at;..,. 1i?ER5 Address:16285 SW 8546 Ave Subtotal�" City/State/ZIP:Tigard,OR 97224 Minimum permit feekS90.00) Plan review(25%of permit Fee) Phone:(503)9924664 l Fax:(503)536-6615t * State surcharge(12%of pewit fee) CO3 lie.:168214 1 TOTAL PER:► T FEE This permit application expires ifs permit is not obtained within 180 days after it has bees steepled s complete Authorized signature: ` Fee methodology set by'Di-County Building Industry SerVate Ord Print name:Angela Grajewski Dater 812211.6. I i ltiui sties posetu' jenmitApp esot 13 4oc 4404617T(11102/cOWWEu) Electrical Permit Application �r FOR Orr►c r_ t ',F 0\11 City of Tigard RECEIVED Date/13 . Permit /tM.,, 076 I r cf- 13125 SW Hall Blvd,Tigard,OR 97223 p�jreview• Phone: 503.7182439 Fax: 503.598.196 f L 2 8 2016 Date/B . Related Permit#: Inspection Line: 503.639.4175 +��' Ready Date/By: Jerk in See Page I ' Internet www.tigard-or.govNotified/Method: Supplemental Information igl New construction 0 Addition/alteration/replacement Please duct all that apply(submit 2 sets of plans wTitems r1...ed) ❑Service or feeder 400 amps or more ElBraiding over three stories. ❑Demolition ❑Other where the available fault current 0 Marinas and boatyards. n viii!"; ' : ; .J ':,f F4 !TilRff..: � exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-famliy dwelling 0 Commercial industrial 0 Accessory building Y to ground,or exceeds 14,000 0 Commercial-ase agricultural amps for an other installations. ( 'Multi-family 0 Master builder 0 Other. buildings. 0 Fire pump. 0 Installation of 150 RVA or ,... -..:----#:;--..•L %:,':1T2I,ta,-) _.e e]L i b t.2 i4 e: c .0 _,,... _ ❑Em rgencY system. larger separately derived 0 Addition of new motor load of system. Job#: I Job site address: ,, 075 S /\ `'(tfrV1 11 100HPormon. ❑A;E,`1-2",'7-3", City/State/ZIP:Tigard,OR 97224 V V Vr I r �l` 0 Six or more residential units. fey. 4 ❑Health-care fes. 0 Recreational vehicle parks. Suite/bldgJapt#: I Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 voila nominal- Cross street/directions to job site: s ' .Each_ QtTow New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: ,26 Includes attached garage. Tax map/parcel# 1,000 sq.$or less I 168.54 1(eS 54-.4 Ea add'1500 sq.ft.or portion ' 33.92 33,gZ I A 7-7-5g--L=. 1,--4.,-4.-.- -sl €11'1 t 4‘11 Cr TM 6n.r...; r r m Limited energy,residential (with above sq. 75.00 2 60: .3 ft) energy,multi-family 75.00 2 residential(with above sq.$) •, - '''.--Y-1"--"-" , ,- .,, B.eaewableEnergy ❑ SeePage2 _� _-�F � u �--= ^—E �;-m_k z.,�.•, .. �� ,'I . e °- �.--�- Services 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 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 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 i 16834 2 3 Yc`,n ; = 1r :177,477,1,3-7,0 - -�- Branch circuits-new,alteration,or extension,per panel "" ' a� A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuitContact name:Angela Grajewsld B.Fee for branch circuits without service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewslti®polygonhomes.com Reconnect only 67.84 2 : ,,r r € w-, = _ - Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Sly circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIPPortland OR 97213 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/lir Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.0W hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lia: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 ' " lishd hr mm Suprv.Electrician signature,required U w� _s_v.r- 1�ubT __ __ Print namek l le R Q I Date: 05-24-16 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ,e, TOTAL PERMIT FEE: /� , This permit application expires if a permit is not obtained within 180 Print name: /4 , G,�'✓tA ew S, Date: 7 2 D /� days after it has been accepted as complete. !AI * Number of inspections allowed per permit. L1BuildinggPermitalELC PermitApp E1R IItEda6 Rev 06/17/2015 615T(1 /05/COM/WEn Plumbing Permit Applicatiopk• n ` VED Building Fixtures i ()i< !,i II, i 1 .1 i,.1 N City of Tigardgll J + I Permit Ho. 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:ReviewPtan �� / 3 � Phone 503.1182439 Fax: 503.54$.�9Y OFCI(�1j aha Permit No.: Inspection Line: 503.639.4175 la/i! ,li tallrtux www.tigardor.g�: DUILDII�C 4 �s Ju: a See page 2for Nott6ed/Mdtw& Sappleaxntal Information h 4:;;''''':'::'41'7'44-;':'':144;14- k'"- ,,,virr a ,,:1 'fG-i-.,� r i�'"1""'x.3" .;'1 x a -Lc ` s 3. � nus.E r ®New construction Q Demolition For rprciaJ information use ckeck/nZ xt Addition/alteration/replacement p Descn-2-f I Qty. 1 I Total f New 1-2-family dwellings(includes 100 It.for each utility connection)..-. . SFR i bath '� 4 k:� �� �t"� , !;E � 1 f '���` ( ) 312.70 -and 2-famil dwellin SFR(2)'bath ❑Commermal/industriat 437.78 Y g 0 Accessory building gi Multi-family SFR(3)bath 50032 r 3 ❑Master builder Other Each additional badtlkitclten 25.02 .. q - F .; � y , g -- *i t) r l 1 e Fire sprinkleri�7� c 371 sq.ft.) J Page 2 (a�, 6 j C p Job site address: 11 0 75 S1,. Stan Lo(,ui se Loa ental basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywetl,leach line,or trench drain 18.76 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 I Storm sewer(no linear ft.:, ) Page 2 n Water service(no.linear ft.:_} Page Subdivision:Polygon at West River Terrrace Lot no.: d b x rtare or 2 t Fixture item: 1 Tax map/parcel no-: Backflow preventer < 31.27 3! a7 . = Backwater 12.51 a..51}�-, i aa ` . . a, Clothes washer 35.02 Dishwasher t 25:02 I Drinking fountain _ .. ., 25.02 Ejectors/sump 2502 12.51 t a ; Expansion tank . a Fixtutdstver cap 25.02 Name: Laud Holdings,LIG Floor drain/floor sink/hub 25.02 f Address:7600 E Doubletree Ranch Road I Garbage disposal 25.02 I City/State/ZIP:Scottsdale,AZ$5255 Hose bib 25.02 Phone:(602)694-4031 Fax ( ) !ix make 12.51 il i7.24' a Interceptor/grease tr25.02 cvx Business natne William Lyon Homes,Inc Medical gas(value:S ) p .2 Contact n :An Gra' slu Primer12 51 Roof dram(commercial) 12.51 i Address:109 East 13th Streetr Sink/I:mi t/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 _.-:.. Solar units(potable water) 62.54 i Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal E-mail: i►ngelaGraijewski@polyyonhomescom 25.02•� � . � Water closet 25.02 1 '��� �", wale heater 37.52 Business Matin.Alliance Plumbing LLC Water pipinglDWV 56.29 Address:146 W.Historic Columbia River Hwy Other 25.02 C City/State/ZIP:TrontdaIc,OR 97069 Subtotal Phone (583)492-3490 Fax:(503)912-6438 i Minimum permit fee:572.50 Ccs Lic. 184601 Plumbing Lic:no::P9732 Plan review (25%of permit fee) Authorized signature: State she(12%of permit fee) TOTAL PERMIT FEE I Print name Robert Dishman I Date:5123/2016 1 Th permit application expires if a:permit is net obtained within ISO days after Ulm been accepted ft complete. *Fee methodology set by Tri-County Building Industry Service Board. REtuildmatlsaiMP MU-Pernatapp:OC lamuos 440-4616r(10007/COMrivm) 1 City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT i T l G n RBuilding Permit Review — Residential Building Permit #: Site Address: 1-70 7 5 Sw -)to,,, Louil-e_ ad. Project Name: Po 19 90 r) ort vv ei i 1v€x T-e_rro, Lot #: 2f, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (&i e tni �W 1�o r r .e..1 yl Verify site address/suite# exists and active in permit system. ,E1 River Terrace Neighborhood: ❑ No )2'Yes,See River Terrace Review Addendum Attached Site Plan Elements: ZfThree(3)copies of site plan )txisting structures on site /15 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 ,QNorth arrow OUtility locations (required for new,may apply for additions) 1Site address,project or subdivision name and lot number [4h-cation of wells/septic systems Applicant information(name and phone number) VErosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) ,Lot area,building coverage area,percentage o coverage and Street names impervious area (applicable if R-7,R-12,R &R-40) ZfStreet tree size,type and location Property corner elevations(2 foot contour lines if more than -EISxisting trees to be retained with drip line,and tree 4 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 /IZ Public Facilities Improvement (PFI) Permit: Required: ❑ yes,applicant was notified ❑ No Applied For: El Yes ❑ No,stop intake Land Use Case #: f7 DR.201S - QOOOy Su6 2ols _ 00006, , SL12 Zois - 00002 X Zoning: 2S 7 Setbacks: Front I 2 Rear 1 0 Side 0 Street Side g Garage ie, _c Landscape Requirement: 2A) % Lot Coverage Maximum: 5 0 , ] Building Height: Maximum Height N//t Actual Height N/(F Visual Clearance J21 Easements Sensitive Lands: ❑ Yes ❑ No Type 2f Urban Forestry Plan VConditions "Met"prior to issuance of building permit Notes: CAndjfi0ni to Ioe r-laI- l'nb' f° isJv0nc.t o` 1a✓1Id405 1 -1 i4-, Approved By Planning: M fit,.,:. Vim_ Date: 71 20/1,, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: 7/2 t/ '$ Site Plans: # 3 Building Plans: # Building Permit#: [ Enter building permit#above. Workflow Routing: [Planning engineering Ehicermit Coordinator ©—Building Workflow Sign-off: C'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 � o ginal 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: Lei -- Date: ac�/e�.c Engineering Review !-•Slope at building pad: /a ❑ 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 A pro ed b Engineerin • Date: Notes: ...,g el etre ppeorsta Approved by Engineering: dz p Date: A—, ZA, 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:? i" 4 Date: 43/,/. ... /'Gkz, -- Notes: (- Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: ,,,, Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: T. ll(� VOSDC Fees Entered: Wash Co Trans Dev Tax: 5i CI N/A / Tigard Trans SDC: Yes CI ''N/A �' -- i Parks SDC: 1 Yes ❑ N/A Vj/ K to Issue Permit 1/9776/ Approved by Permit Coordinator: e Date: (/vim 1:\Bui Iding\Fonns\BldgPennitRvw_RES_012116.docx City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT 1111 I r l c A R n River Terrace Building Permit Review Addendum Building Permit #: /17S7 /‘— 00 33<P Site Address: I -7 015 S 3---ec4/1 L o i n a-e 2,(. Project Name: pc)1 90y, c wei t '2-tVer T>°rco,Le, Lot #: 2 (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 ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 2 Z . 2- 3. 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: ,'25 sq.ft.min. yff One street facing entry , 12 ft. max. roof above floor of porch 5 ft. depth min. ,"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: yi Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ja Wall offset min. 16 inches ZiDormer min. 4 ft.wide gf Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood )4Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ,"Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade 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 ❑ 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 ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second tory' / above the garage that faces the street with a min. area of 12 sq.ft. 6 0l� Width: (Check one) I• /13% ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Al. -- v\. --,___- Date: 71 .25/ /0 I:\Building\Forms\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 • 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 RE . a VED Electrical Permit Application FOR OFFICE USE ONLY ' City of Tigard NOV 2 016 Date/13 . / t,/ f. 1�. :� 13125 SW Hall Blvd.,Tigard,OR 97223 .,x - - . 5, � 'l" :Plan Review Related Permit#. Phone. 503.7182439 Fax 503.598.19CT i Inspection Line: 503.639.4175 I 11GAN Dad Date/By: kris: TIGARD ^ f'crs Y Id SeePage2for Internet: www.tigard-or.gov BUILDING Dl Vi ti6ell/Method q„ +�,p s � ��' Supplemental Information 15-' .ss—: ,rte?'^.,.-�;..,r"_ ::�l�,. . t -r �':_.n;=_r. ®New construction 6 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑DemOlItion Other: Service or feeder 400 amps or more 0 Building over three stdries_ where the available fault current 0 Marinas and boatyards. 7...97. ---44- :; - � `` 1- Q�. ''r . _ exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/iridtistrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural ❑Multi-family ❑Master builder s amps for all other installations. builr inga- ❑Fire pump. ❑Installation of 150 K VA or -x, ":bLl�:�`'?,� ��t=y': +:<IC'1''� - - Emergencystem. ..�....�:?c:,.-�;;���:::.,.-. N'"�il�'1Y=2 'E11�OIC>� _ 0larger .... ,..,_ T. � ..1 __�,_.,...._...,.».,u....,�.f__...�,_,...:��:w=.w ._ ,-,- = sYseparately derived ❑Addition of new motor load of system. Job#: Job site address'76-6-5,0 3Pnt f ( O w.RD- lOOliP or more. UUIJt 1 �-t u+ ❑«A,,,•E,•,••I-2,,,"1.3,,, City/State/Z..TP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-nate facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: $ 7—) Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than Cross street/diretions to job 0 Service or feeder 600 amps or mom.— 600 volts nominal. Site: "7� '? ..]E bl0 !� 's Description :i Qty.( Each �tal New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: ldkn Includes attached garage. Tax map/parcel#: ff�� 1,000 sq.ft.or less ( 168.54 4 Ea add'1500 sq.ft.or portion ' 3392 1 -�'� �.�-���",.ieg Limited energy,residential 75.00 2 n`/NWV\r Q Jv e' (with above sq.R) Limited energy,multi-family 75.00 2 residential(with above sq. 2 4 ft.) 't �� Renewable Energy 13 See Page 2 t , ,ti MN � E _. . ;'- Services 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 20034 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 Branch circuits-new,alteration,or extension,per panel MC► Cx '; . :0.-i 8EPIV G OL 'a: Q 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 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.Grajewsld@polygonhomes.com Reconnect ony 67.84 2 1``- - ,...�'- t Ititi 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 limited-energy CI 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(1 hr min) 90.00/hr ' Email:bdaniels@gweusa,com industrial plant(1 hr min} 78.i8/hr Inspections for which no fee is 9000/hr CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lic.: 44965 specifically listed('h hr min) _ A Suprv.Electrician signature,required: 7 " ' � _ "`. .-. ' / 1 r [1 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 : riBuildingtPermirs\ELC PermitApp Et.R EREdoe Rev 06/172015 440-461STt11/05!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. 711 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 4 Transmittal Letter T t G A R t? 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECE OCT 17 2016 FROM: Angela Grajewski CITY OF TIGA D COMPANY: Polygon Northwest BUILDING DIVISIO j PHONE: 971-212-2144 By: __ �� RE: -- 17059, 17067, 17075, 17083, 17091 SW Jean MST2 -003,6 ..,�.,.7, 3B, Louise RD (Building 8) ,�?�j U 0 (Site Address) (Permit Number) Polygon at West River Terrace Lots 24-28 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'OPIK: n � � ,ice % ' -.M: � sem, ,.,IE� :��. eIipt1Q.,* �,,�� ; 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 ✓Cu.7 REMARKS: Please pay fees owed with Trust Account. i - 0n/ /-1S72CJ/ 60334 .._ „may,` .r , .. A7 Routed to Permit Technician: Date: j o - j `9 - 1 4 Initials: Fees Due: MI es ❑No Fee Description: Amount Due: - 42- ji- //1A/ £-Vti) $ '?so , er- $y ,,, 2 ' , , by y $ §t /C e.``r+l ..a :y'`i .--- ,,r , ,/ $ Special C'cl L t-6-C i /-��---s p "45"i.� y —4033 Instructions: Reprint Permit(per PE): ❑ Yes ,No ❑ Done. Applicant Notified:.1�A/G/E" Date: //////(0 Initials:4174 " I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 V Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE USE ONLI 14 City of Tigard Received /Z41 13125 SW Hall Blvd.,Tigard,OR 972 A N 2 32��/ Date/By: / 3//7 L T Permit No' S�o0�6.--.Wy OSP Phone: 503.718.2439 Fax: 503.59$�1,9,f10 Plan Review l.��1 1i Date/By: a-`3_,),,(rt to� Other Permit No.: TI G A R D Inspection Line: 503.639.4175 OF TIGARD Date Ready/By: Juris 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information `' TXP �WOR :, r1* CIvbtL.. • L• .: 0 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) - ''CATEGOR ©F CONSiRUC' ION _ SFR(1)bath u 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler(1,371 sq.ft.) � Page 2 JOB $11Effi oR ATJYt r Aistti LOCATION' Site utilities: Job site address:17075 SW Jean Louise Road Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:West River Terrace Area 2 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 - Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.:26 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 'i• y t1�:�1PTICl!N1WAR. 4Backwater valve 12.51 A Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROP1i< 'Y# .N* ., ;;, 'TENANT Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 .. <t APPLICANT ❑ C4l(TAC °PI Rso Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) 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 a er closet (� Wt 1 25.02 t 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) State surcharge(12%of permit fee) Authorized signature: __-.7-7/..----) TOTAL PERMIT FEE Print name:Gavin Thomes Date: 1/13/2017 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. (:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-46161'(10/02/COM/WEB) 1,t Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities., gee TatalPPrlmi> Fee. . Footing drain-U 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 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 each additional$100.00 or fraction thereof,to Ut ���ttspti ql' ' 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. 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 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*. Quantity by Fixture I2+ ve f+ PIill31Z Ixallatis , Fixture Type for Rene/ Plan review is required for any of the following. Work Performed: Capped 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. -Drive Thru 0 New exterior plumbing site utilities for any complex structure 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. dile or RI,serbta.gotin 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 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.doe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17075 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:51 :13 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00338 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Panel and adjacent outlet wet from whomever pressure washed in the garage. Unsafe to test and inspect at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17075 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:19:06 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00338 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Correction from previous inspection for sewer cleanout body not complete. Provide approved thread sealant. 316.1 No further inspection done. Investigative fee for re inspection applied for corrections not complete prior to scheduling re inspection. 103.5.6 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17075 SW JEAN LOUISE RD, SHERWOOD, OR, June 9, 2017 at 9:47:01 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00338 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at time of electrical final. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17075 SW JEAN LOUISE RD, SHERWOOD, OR, June 2, 2017 at 11 :57:02 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00338 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide address on site for inspections. R319.1 No inspection done at this time, to many workers and debris for complete inspection. Violation Summary: Inspector Contractor