Loading...
Permit CITY OF TIGARD r � �� fi COMMUNITY DEVELOPMENT MASTER PERMIT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718. ] Permit#: 2439 MST2016-00382 Date Issued: 10/10/2016 Parcel: 2S106DB06600 Site address: 13331 SW PUMPKIN VALLEY TER Subdivision: Jurisdiction: Tigard RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 66 Lot: 66 Project Description: New SF. 2/1/2017: REPRINT to add 121 sf atio cover. BUILDING Stories: 2 Bedrooms: 3 Floor Areas Height: 26 First 948 sf Require` Dwelling Units: 1 Third: 0 sf Bathrooms: 3 Basement: 0 sf — Rea_ ulr` Second: 1130 sf Left: 3 Parking Spaces: 0 Garage: 380 sf Front: 12 Total: 2078 sf Right 3 Detectors: Smoke Value: $256,286 62 Yes Rear: 10 inks: 1 -ter losets: 3 PLUMBING Lavatories: 4 Washing Mach: 1 Dishwashers: 1 Floor Drains: 0 Laundry Trays: p Tubs/Showers: 3 Sewer Lines: 100 Rain Drain: 1 Garbage Disp: 1 Water Heaters: 1 Urinals: 0 Footing Drain: 0 Water Lines: 100 SF Rain Ice Maker: 1 Storm Sewer 100 Hose Bib: 2 Drains: 0 Drywell-Trench Drain: p Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Other Fixtures: 0 Other Fixture Units: Fuel TvoMECHANICAL es —�_ Air Conditioning: y Natural Gas Vent Fans: 4 Clothes Dryers: 1 Heat Pump: N Furn<100K: 1 Hoods: 1 Other Units: 0 Furn>- Vents: 0 Woodstoves: 0 0 Gas Outlets: 4 Reside ELECTRICAL 1000 sf a 1 Servicer Tem Srvc/Feeders Ea add.'or less:sf: 3 0-200 amp: 0 Branch Circuits 201-400 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 W/O Svc/Fdr: 0 601-1000 amp: 0 401-600 amp: p 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY Audio&Stereo: N SF Residential HVAC: N Security Alarm: N Other: N Other Description: Vaccuum System: N Garage Opener: N All Ecompasing: '' Class of Work: BUILDING INFO NEW Type of Use: SF Type of Constr: Group: Occupancy G Owner: VB Square Feet; WILLIAM LYON HOMES INC Contractor: R-3 WILLIAM LYON HOMES INC 2078 109 E 13TH ST 109 E 13TH STREET VANCOUVER,WA 98660 Required Items and Reports(Conditions) VANCOUVER,WA 98660 1 Ersn Cntrl 503-639-4175 2 One Hour Fire Rated Eaves Required PHONE: PHONE: 360-695-7700 Total Fees: FAX: $31,056.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, done ini accordancesuedwitapproved plans.utiThis permite willnexpire work not started Statetin 180 days beys. ATTENTION: Oregon law requires a you ifwh of Specialty Codes andrif all other applicable days ATTE TION. O e-on law1-r to follow the rules adoY of tion Center. Those rules, relaw.tAll work will 90. You may obtain a copy adopted by the Oregon Utility or work is suspended for more the 180 of the rules or direct questions to OUNC by callingf503.232.1987 or 1.800.332.2344. are set forth in OAR Issued By: .rI/,fir Permittee Call 503.639.4175 by 7:00 a.m.for the next vaiillab e inspection atte project.. G r This permit card shall be kept in a conspicuous place on the job site until completion of the ��t� Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting iniiiimmingai Please complete this form when submitting information for plan review responses and revisions. This form and the information it s rovides hel.s the review .rocess and res'wise to ouro e information. visions. City of Tigard • .ro'ect. III ,� g COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter ��Gs'+R1:� 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiard-or.gov TO: Tom H. DEPT: BUILDING DIVISION DATE RECEIVED: FROM: Angela Grajewski JAN 19 2017 COMPANY: Polygon BUILDING DIVISION Northwest PHONE: 971-212-2144 RE: - r~ Cral (Site Address) L MST2016-00 JZ, Northwest River Terrace (Permit Number) (Project name or subdivision name and lot number)Lot ATTACHED ARE THE FOLLOWING ITEMS• Co+ � beam,�>h+�n�,:, .. 3N. d # k £ # 0 Additional °°` Co E ieg: eSeri i gip= :' set(s) of plans. t° ' 0 Cross section(s)and details. 3Revisions: add covered patio Floor/roof framing. ----0 Wall bracing and/or lateral analysis. 0 Beam calculations. -- 0 Basement and retaining walls. Other(explain): 0Engineer's calculations. REMARKS: Please pay fees owed with Trust Account. per buyer selection rte , y Routed to Permit Technician: Date: Fo of :H E,?Ni k / Fees Due: 1;] Yes - 0 No Fee Description: -..A „...,,,m., ,,.kXX tion. ,XA▪eX ^ ' , x ,%‹. •� Amount Due: . $ ,,{A 8dY 3i X,-,-/Xb. X�. k.,lX.^Ym'€k;5{ „�\ #▪ ,,, 4, A� , #Ab *XA : ., ,-.11:- .-Y`,:-,': ',!:1 %---, -,.:x $ Special $ Instructions: Reprint Permit(per PE): Iv Applicant Notified: f#t c Date: £-j I,L 22111111111111 111 No '� Done Initials: ---- I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 1 Y IN City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review _ Residential Building Permit #; Site Address: �"7S7�o/6 �" �JG ( ,�-- Project Name: Vv m9 (New dwelling-[' r �' Planning -subdivision name;Addition or Alteration= Lot #: D 0 Review last name of owner) Proposal: CW g ,?<Verify site address/suite#exists and active in At River Terrace Neighborhood: permit system. r�Site Plan Elements: ❑ No '71, Yes, See Giver Terrace Review�lddendyirn Attached I'hree(3)copies of site plan ,, Site plan cop on 8-1/2" 11" x or 11 x 17" sh°g structures on site , raven tscale(standard architect or engineerpaper -� scale) �°otplev ofnewstructure (including orth arrow floor elevations decks)with finished .-AlSite address,project or subdivision Utility locations re ��Ate address, information name and lot number t (required c s for new,mayapply f (name and phone number) �� 'cation of wells/se ti PP y or additions) �P •t dimensions and buildingnP c systems setback dimensions t�>~otec tiees measures be retained with drip fine,and tree ,'"' .ot aar�obuilding coverage area,percentage of coverage and 'reef treen P area (applicable if R-7,R-12,R-25&R-40) treet size,type and location Property corner elevations (2 foot contour lines 4 foot differential .J�Street names if more than Clean Water Services- Clean Service Provider Letter(lot platted prior to 9 0ReqYes,applicant was notified -k No /10/1995): -Public Facilities ImprovementReceived: (PFI) pernut: 0 Yes 0 No . Required: 0 Yes,applicant was notified No A Land Use Case#: P D 2 Applied For: ❑ Yes 0 No,stop intake JgC Zoning: S�R. jSc Required Setbacks: Landscape Re Front ] Rear P Requirement: �' • Side Street Side Lot Coverage Maximum: -'�20 o" N Garage -�f , .'Building Height: � .,X Visual Clearance Maur"Height 271 Easements Actual Height 1VA.Sensitive Lands: Urban Fores 0 Yes No try Plan Type Conditions"Met"prior to issuance of building permitotes: "t 11.4' in S i Approved By Planriin � `' 1 its --% -=r Ai'1 C;E, , Revisions (after Building A LA Ii."g Submittal only) Al Date: q 131 W Revision 1: .Approved ❑ Not A Reviewer Revision 2: 0 Approved Approved Date Revision 3: 0 Approved 0 Not Approved - � -a3 __17 I -43--17 re vi s', u.,, ,y, ❑ Not Approved O Add rret e o ye KC I:\BuildingWorms1B1dgPermitRvw RES_09121 6.docx ' --4 > Building Permit Submittal 3 ( Original Submittal Date: Site Plans: # �_ uilding building Plans: &}/Enter building permit#above. ermit Coordinator Building Permit#: engineering eniew) ,(''Planning Tanning plan and Workflow Routing: of£for Planning(include notes from p (1) site plan, (1)building Sign-off: ['Sign (1) copyof permit application, Workflow Sign- Bering: Route Application Documents: Er/Engineering: plan review routing form. plans,engineer and application,site plans,building ]Building: original permit app licable,etc. beam calculations and trust details,if app -� Date: Notes: iiii ' ____91A02-----,. By Permit Technician: fEngineering Review ,,,,z., Slope at building pad: Conditions "Met"prior to issuance of building permit• roval and plat Easements (encroachments)per engineering conditions of app ❑ Water Quality/Quantity Facility:in-lieu: ❑ Yes No Assess Water Quality Fee ❑ Yes No Assess Water Quantity Fee -lieu: No �` in-lieu: Facility on lot: 0 Yes h ❑ NOT Approves by E :ineeting: Date:".4010 /f �� �,� r _ Notes: --. dor � Date: Date Approved by Engineering:_ eviewex .. ns after Building Submittal only) roved Revisio ( Approved 0 Not App Revision 1: 0 Not Approved Revision 2: ❑ Approvedroved Revision 3: ❑ Approved ❑ Not App Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: 'g Notes: 1 Revisions (after Building S bmival only) t: v J Revision Notice 1: Date Sent to Applicant: Jig" .?//7;9-- Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Yes 0 N/A Tigard Trans SDC: Wash Co Trans Dev Tax: Yes 0 N/A C Fees Entered: Yes 0 N/A Parks SDC: K to Issue Permit 1di Date: Approved by Permit Coordinator: 1:\Building\FormS\BldgPermitRvw RES 091216.docx } City of Tigard 11111 a COMMUNITY DEVELOPMENT DEP • River Terrace Buil �TTIENT Building T I G A R D g Permit Review Building Permit ,ys� Addendum Site Address: • /6 ~an. �� Project Name: 3 ` • AA ) \ier err/ N J fit,' r i Planning (New dwelling=subdivision name;Review Addition or Alteration= Lot #: River Terrace last name of owner) Is the project Ree the plan Plan District subject toDesign Standards district design standards?,,�yeS 0 No (18.660.070.1); 1.Articulation: a minimum of 1 element per each street-facing façade element required for lots with over 60 ft. of street fronta e sh ll bprovidedthat has 30-603ft. of frontage. Porch min, 5 ft. deep Balconyg eve g An additional w/access 2 Window Projection every ft. ft. deep Vertical Wall Offset a 0 min. 2ft., 5 ft. wide ^, 0 min.2 ft., Eft, wide Gabled dormer 2/Eyes on the street: a 0 0 Percentageyes Shown: minimum of 12%of each street facing facade must include windows or entrance doors. 3. Entrances:At least one entrance must meet both of the an followinglongest standards: street- facing wall �arallel to street, le no Emore than 45 from street, Entrance opens to a porch: g Yes 0 No or open onto porch If yes, all the following apply .rOne street facing entry ,1 ,25 sq.ft. min, 5 ft. depth min a 12 ft.max. roof above floor of porch 4• Detailed Design: ,30% •porch roof coverage g All buildings shall include a Covered porch min. 5 buildings min. of fiv of wide x 5 ft. deep �e following elements on all street facing façades: ❑ all offset min. 16 inches ecessed entry area min 5 ft. Roof rave min, 12 inch wide x 2 ft. deep ❑Roofs projection �❑,yDormer min. 4 ft. wide shingles either the or wood -•�Koof offset ❑ Roof pitch oriented south of 2 ft. min. 500 sq. -Gable,hip or gambrel roof design ❑ Accent siding 40% ft. g min. of street façade �� ° ontal lap sidin ❑ Window recess min. 3 inches for all street facing �� siding 3- inches wide indow trim min. 2 '/z"wide by5 g„ ❑ Balcony min. 5 ft wide x 3 ft. deep / deep with inside access ❑ Bay window min. 5 ft. wide by 0 Attached less of2 ft.sdeep 5. Garages and Carp May face the front or side lot line on garage is 35%or street façade Setbacks: Carports: No closer to front or side lot line, a corner lot. ❑ May extend up to 5 ft. thereis aan longest front street-facing wall. 0 Yes�No. If No ❑May 5 ft. the porchand garage does not extend beyond the front above the extendeup that to faces the wheresthe garage is part of a two-stn porch. Width: with a building and there is a window at the second story (Check one) �• area of 12 sq.ft. ❑ 12-foot-wide garage door ❑ 50%max. of street facade with 7 detailed des' elements Notes:0 %max. of street façade Approved By Planning: I 111 din81Forms\BIdBPetwitRvw_RgS_RT 0622I6.docx Date: 1 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT 11 Permit#: MST2016 00382 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2016 Parcel: 2S 106DB06600 Jurisdiction: Tigard Site address: 13331 SW PUMPKIN VALLEY TER Subdivision: RIVER TERRACE NORTHWEST Lot: 66 Project: River Terrace Northwest, Lot 66 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 948 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2078 sf Value: $253,585.90 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: 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 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: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2078 Owner: Contractor: WILLIAM LYON HOMES INC VVILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves Required PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,943.26 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 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: � / / fie_ Y ��fE/F'���"�1Permittee Signature: /b'* ."1-7,474:-/e--/- 7 7Usej 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 C-.. " ,ol lam( (G ,� E � FORot�lcr 1_�l ool 1 - ---,..--,-,,,5"---,-;.-'4.,. itECReceived r.,S1/4 41— PermitN tlib—/�'0 III City of Tigard C Date/By: / K ��l v 13125 SW Hall Blvd.,Tigard,OR 9722 p B 4 3 2 011 Plan Review® �{ _ (' Other Pezm �f�f "®(� / Phone: 503.718.2439 .Fax: 503.598.19 Date/By. �l b -7uris: I H See Page 2 for ef Date Ready/By: „..,h,,.._ /j Ea See Page 2l Information T'Ci:;—. Intpection Zine: 503.639.4175 ,.,,,,/. J a`t i G 3% l Notifed/Method /�FP azd-0r ov Internet www.tig g �-/y,¢jL � Ina jilt nfNi; C f �•f. M.` 2 t..�3 � te....O`Lro"��".3�'�'��..',, a_ .:. . ®New construction Permit fees*are based on the value of the work perform 0 Demolition Indicate the value(rounded to the nearest dollar)of all Ci Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the 757 work indicated on this application. Yl '‘..-b,_4,'.`P O-r .TI -,,h : 1, ` w ",r, fin`• s-.; g- (�S "' Valuation-' 1 "✓ 0 Commercial/industrial Number of bed ms: ® 1 and 2-family dwelling 0 Accessory building 0 Multi-family 0 Other: Number of bathrooms: 2 ❑Master builder {� x rCi 4 i,_, i� ' e, `' # � -; Total number of floors: 2 r 1-F\J —. ,-4. ,' t vin-., .n _ Job a „,,,,„,..,_1„,,,z.-1-,-,=„---171.---„,,,,,, ,..--.-.2.., -.4 _,_ 3 , .W ��/ I New dwelling area: ca square feet Job site address: /333/ �� Ad,„/„4„ ��'”�'�/� '�' '9-).Z-0 v Garage/carport area: square feet City/State/ZIP:Sherwood,OR 97140 Suite/bldg./apt no.: Project nam e: (4 .)e �� Covered porch area: 1 Osquaree feet I 13 O - Cross street/directions to job site: Deck area: QD square feet q Li g Other structure area: 'a square feet ,-;-::,-.''*--.-.;p:',...'1-=',;',--",,,,v $ f I I5t " _,..,4,,,,,,,,:i.--1, e4 - t 4 '''''''"?'"k. ,.r` Lot no.: ‘0.4 Permit fees*are based on the value of the work performed Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the T� work indicated on this application K a Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet , t ,, c r4 Number of stories: -~•`" ` .�" � � Type of construction: Name:Polygon WLH,LLC Address:109 E 13th StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing' Phone:(360)695 7700 Fax:(360)693.4442 New: � -',.-•-„--,' _"' ' D �L.. Y r,.; " 4“1 '-� •"-.`---,- - � . _.�_.„ Ia s Fk' Y fi r• c. .� .. ,ate x.�-a.�re,,,�,�....a,uF:..,.>--b,_,-y- ,'77:;:,-,.-,.-te Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Phone:(360)695.7700 I Fax::(360)693.4442 Amount received �r tom";?€ 77 , E-mail:maggie-gordon@polygonhomes.com Commercial and residential prescriptive installation of ''::1Z7:7-7-;;;---'':- - �`�� :�} e ' U :711-1-7= ,i:1'.. , s >.�. .;. roof-top mounted PhotoVoltaic Solar Panel System. �� __ ,._ ._. . -_ Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 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 applications $201.60-- J This permit application expires if a permit is not obtained ithin 180 days after it has been accepted as complete- -' I *Fee methodology set by Tri-Countyd $> mg�dustry I Print name:Maggie Gordon Date`.12/11/15 Service Board. I:\BuildingTermrts\BUP-RESPermttApp.doc 02/24/2011 44011 6132(11l02/COM/WEB) e lief '€rte . itt � ° 1� ffllifrz ST TIN�a CIO TigardofFB 3 2_:116 Pcrmito'. s dr/E, e�c►3e f I3(25SWHell Blvd.,Tigard,OR PL�n , Pittttie 503.71&2439 Fax: 503 545.1; 0.• + s`' Date(fry ncrated Pemwit g; Tt 1t li>spectionLinC 5{3.639.4175 ' j 9 p Rsadynatesny: suits: I tat Sst'age2roa Interior t4tYtY h - ' gaP ,ry , i I ',� 4' + td!od PP � �tfurmaiiae 1 �J 1 yt ofi i:�New construction ❑Addition/eheratiottiieplacernent Ptaax ct ati that`apptx(submit ascet orproiir,ahtcros t Aed}: El El Qservioeasfesdt{400*asps ortaore- 118yiW1ngtvarihteesrotts. W l'crnotit on El°tiler, wheys Uccavuitabia fault tesent Q Mvlaas and bottyacdr .fi; ....,.,;, 'L EX.{*„OE'CONS I s ON s ese,seds 10,o09 scups or 15O snits Or Ei Fioating headings... , ""4 1-and 2-famny dwelling 0 ComulterciaYPindustsial 0 Accessory bultdbtglets to Pound,ei”.e4eds 14,0!1° p i immett zot•use*cultural saps fssraltotherfastattatiotts. bw`tdatgs. Et Mulli!amity ❑ivfasterbuilder 0 Other: Elfbe°map. glastsibtiaaof130KVAor Son snit lt�fltowitATToN A100 1,0611'11014C}€mer m genagsysrcm. - !asps sepuatelyderlvad '. [3,q,dditan of aew motor toad of syottta, ..- lob8: jJob site address:k`2y \,ts fi„tit,j1;` ',.\ tci1r, : 10011Pormors. ❑A"''” ;k12 1-3", C tyfStateizTP.Sltatwoee OR S7l4e .." Cl six or roomresiaeatiat upiis Y: Gllkabltetxatset7ittrx 13Ressessouatwhi,siepatla, Suite/bldg./apt.it; Project name: l?t ,tour towtioes. ❑swpiy wIla416 far mere Blair t vise a foeder 600 amps ormolu. 600 volts aomu,at. Cross streettdirections to job site: lfesa,alB,a t Q4. rSorb I TonA l' g�,t,�� New residential single.or trusitt-Fhmily"dwelling emit ` Subdivision:River Terrace Lot ft:v) attecbcdgriroge- , Tax lira°/parcel# 1.000 sq.6.or fess 15854 4 EL 04,3 500 sq.tL orpmttan 33.22 t DESCRY/TION OP WORIC Littlitmi energy,residi375O>eiaboesa .}New Single Family Limited energy rriutti-fattiit} 75.00 2 residential(Milt above si,0.1 .PROPERTY€?mre , n S CtVAN C' Renessable EllerEl Sec.Pane2 Sas-vitas or feeders installation,Microdots,Isitittor relocation Name:Polygerr Homes 200,mops or less 100.70 3 Address:(119 E lam St 20t amps ill 400 ataps 133.56; 2 401 atnpsto60 amps 20034` 2 , City/State/ZIP:Vancouver.WA 95660 601 aatps to 1400 amps, 301.0 - 2 Phone (360)695-7700 Fax:( ) OV&l;ttoo amps of Yotts 552.26 3 Email: Temporary servues or feeders installation,alteration,andtar relatstion Owner installation:This installation is being made on property that I own which is not 200 amps or les., 59.36 1 intended for sale,lease,rent;,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 12548 2 Owner signature: Date: 401 amps to 599 amps 168,554 22 < AI,,rucANT I -o CONTACT PERSON Branchcircuits—ue 'niteratton,or ezigttslon,Per panel p ' A,Fel:forbFsnch cirwits lzith a Business name:Garner Electric Washington,LLC aboveservitx orfeeder fez. 7. r each branch circuitt Contact name:11111 Daniels S.Fee rbranch circuitsw#heut service drfeukr fen.first Address:6141 NE Si Jahns Rd 56.18 2 , CityfState/Zip:Vancouver WA 96661' Eaclsaddtbrartchcircu2 1 it 7A2` Misictlaiicone(sntvice er feeder not inclttded .., Phone:(253)320-1657 Fax::(' ) Eacb manuTcabutid ar mvdaim 67-84 2 t Email:bifanlel#(a ger+use t om Reconnect segs ici atuVoxeder I Reconnectoniy 67.84 2 s,' a.. CON'111AC1 O U' . 1,ump or irrigattotrcirck 67.64 Business name;Garner Electric Washington,LLC Sign or outline lighting61.84 a Address:6141 NEStJobnsRd Sim citcuit(s)orlimited-cnwgy ,DSaePaget 2 parrot,aitot-ahon,;or extension. City/Slate/ZIP:Vancouver WA 95661 Each additional'inspection over allowable in spy tifthe above Additional inspection(I lir min) 66.25/hr Phone:(253)3204657 Fax:( } Ltvc:,t getlon(t hr min) 90.00/lw Email:bdaniels@gweasa,cain inthtstralptadt(l tam) 7LIEhr Inspections forirhjchtwfeeis 1 CCit Lie: C1156 Electrical Lie,: 208174 Suprv.Lie.:44968 s�ificaliy listed t 4 hrmm 90.Otphr �l � . (,� .E>•✓E+L'!f�10,4 i,PEI11ttT1` lS t / L 3� Sunt t Suprv,Electrician signature,rcquirtc r 1 Prirttname:.IoanPAlbert pato: 9�k�a� dPianRtn+ictY7tequirat(25}6ofperritiEfee� 4, Slate sorclrarge(1256 ofpe mit fee); Autborized sigrtattrre: i • .- ~ TOTA1 FEltldt3 FEE {tA This permitnpplieaffon emire.rra'serum if not obtaihied within t80 1 Print name: Bill Daniels Date: k 'al 1§W dsysAfter ithos beta accepted'ascotaplete. . 1,/,,,,b,of rc t.-ususersowrosisustejnm3tli+,,an EnFdoc mer O&h7.'2o15 ,14046tSTtrthlWCo'N11WSti 1 l j 3 • i i i , 1 Plumbing Permit ApplicatioE F il..4 1 Building Fixtures FEB ,,. Reedyea City of Tigard 3 2016Datc/By: PclinitNoiAtS7p0/6--.0 3e.2--- /hi __it mg 13125 SW liall Blvd.,Tigard,OR 97223 i-, 1 litt Phone: 503.718/439 Fax 503.598.1960k,i la ii 1,P,': i),J1:`,,..''qliehigy: Other Permit No.: Inspection Line: 503.6394175 0t....,Ielta,P,,„i,eR.,cadY/BY: Iu,r Se1,ePage 2 for Internet: www.tigard-or.gov il% FLT5 Nilled/MeihadSu'' mit'Tnr, .."atif. 1...<41,,,,,,,,,,s,44trart.:*,-%_-_,,-,srl -Avaratt*t...-4w-a: 1'.,*t.:,;:v.>...-A-s..P-a - Jt,---.., .t.. -5m----,,,- - • - - ''--- Far special information use checkrest. New construction 1_1 Demolition Description I Qty. 1 Ea. 1 Total 1111 Addition/alteration/replacement II Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) - , ,,,... -,....,....,,-,k400ws.,--.-,...,...-1--.-,,a•ile'"..p"raji..:;;Vni-Vr-'7:4' '-'f.. .-r '3r'''''-‘-=" '''''.-_I.**, ,; SFR(I)bath 31270 .,--,,,,..r„421,-,.-0,,,, ,,,.,..rxoe.--rtaa...te a..4e-0 , 0 N, ,,,„ ,,,,,., ,,,,..4, ,,.:4•.• .,-.42::. ,..i-,;,.,,, .4,7"..., -, .., SFR(2)bath 437.78 I-and 2-family dwelling El Commercial/industrial SFR(3)bath ) 50032 D Accessory building 0 Multi-family Each additional bath/kitchen 25.02 DMaster builder El Other: Fire sprinkler( sq.ft.) Page 2 W4414 Site utilities: OFLI'V.14'-w-r-4.1'i'c•-• ''''''"'e-- 4--'t 4.-7.-''''4-'4' '"' '-\a Catch basin or area drain 18.76 Job site address: \Q')2 )\ IL 111,-YA II Drywell,leach line,or trench drain 18.76 t 0 ft', ar-tl -Itt_>) City/State/ZIP: ,C1R_Qjak,r-DC-r-t, --.\ Footing drain(no.linear ft.: ) Page 2 • Suite/bldg./apt.no.: alP • Project name: N -1'1 f . 0' n1/4,19 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 tt.: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: 1 Lot no.: ...()LO Fixture or Item: Ilackflow preventer 31.27 Tax inap/parcel no.: Backwater valve 12.51 ,„`-^,"CA-itf Z.Z.t.t.-.47....,,,'IV.,,,''"Z:Z.",,,,,"1:"Ife, -.-rt-ift, .- •'.1.A1,,,-'4241t%,..eA ,....,,,,,,s-,..w..--;,,, -,,,,, Dishwasher 25.02 Drinking fountain 25.02 Ejectats/sump 25.02 Expansion tank 12.51 F, sewer cap 25.02 Name: po\ ,, or Floor drain/floor sink/hub 25.02 Address: \ ' i l2-IA-IN f9-Thr Garbage disposal 25.02 City/State/11P: j g ii a , b ', . A It• /0 Hose bib 25.02 - Phone:( 61 ,(-4, - <1J) Fax:( ) Ice maker 12.51 F.:jiwl-_,,,,,T.,..1.74ik, ?FP ZT-P-'.r.4-'7rj:=W4-VC,7r.'7F4qiA.V.:#312 1..IMPiirtIVA4,,kakC,A cP ' 2.5.02 medical gas(value:s ) Page 2 Business name: .-V---1-4 r.V.-rsc'yte)- ,) 1;2)1 Lk-1'4Ni r% Lk..-I' Primer 12.51 Contact name: 1\1.ei int/ ti..-4-1,14-Y-XvIrt3 Roof drain(commercial) 1251 Address: tr) D../.. 12.)-7 C,, Sink/basin/lavatory 25.02 City/State/ZIP: _ch_A-1,..\ ()al_CI-.)0,.. "0 Solar units(potable water) 62.54 Phone:(::1-)1 ) SOD . cg'f 4‘3 Fax::( ) Tub/shower/shower pan 1231 Urinal 25.02 _ k E-mail: KA„-L4 , jr4P arl• 'Oa' OA . ,, water deset 25.02 ft'-....•-:.-=,.,..'.......-.,,5...7."--_, ----z!'1,-"--4.--0...,,,:„,7-.4r---f.',7,'-`,-:-., ,,,,,,f'...12,:,..V.Z.:,::::,4;-.-.,:%'..7%,-5-c„,' ,..t.:441F, r.,':-.'ev,,,A-=',4‘..A-e-Ar, ''":)....'..,,,,,z,°:•2'3..,1,LAY Z.qc.,r.:t..',:,,%;;•;,;',,i,K,:•512:!:WP,,,,,,,ft*AQ'''It'7e1.'"V*1114'n'71 Water heater 37.52 Business mule: Vi.,,...1---1A r V rt-s E-4,4"\ P(LA.11,41 levo t -1--,e ... Water piping/DWV 56.29 Address: po 121 D,..f. 13--2 other 25.02 72.50 Subtotal City/State/ZIP:a lt,.51,1414v) C)R_ 974...ZO inimum permit fee: S Phone:(9)1) 1.01-0 -q/13 FaX:( ) • MPlan reView (25%of permit fee) CCB Lic.: zip& A- i._ (t„,,_ Plumbing Lie.noFb f 10,52_ • State surcharge(12%of permit fee) - - • TOTAL PERMIT FEE Authorized signature: / • - 1 .‘,..t I This permit application expires ifs permit is not obtahted within 188 days I Print •name: Ma 11‹, k.„4--uct'llAkt E, 1 D',"li a.9/ 'i, I after it has been accepted as complete. *F•cc methodology set by Tri-County gunding Industry Service board. lABeitilinitrennirs\PLMU-Pcenickpo.rlor 1001/09 440-46161V 0,132.COM/WEB) IUCF INIV 1) 111111111111111MEMITE.111111111 Mechanical Permit AppIieat City of Tigard.1h FEB '' 1 c mit tli /4, U �3- 13125 SW Hall Blvd.,Tigard OR 97223 t �p 7 Q I ll Plan Review :. Phone: 503.718 2439 Fac: 503.598.1960 egy: Ott Permit: Inspection Line: 503.639.4175 ig' r 't -I 1",i II '` tate ReadyiBy: Vii' 17[ See Page 2 for Internet: wwtv.tFPa[d-0t.goV Notifred iethod: Sappkmentat Information BUIL EN G DIVISION -- -, v oil: r4 t.,:i.0 ,mcmow - gF %i,;: ; ,:. uV ! �& a.a 0 44,. Mechanical permit f are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition Q Other: mechanical materials,equipment,labor.overhead.and profit P 4'alue S , °tE"+ It' ' t .ter "`o , ; ..s' ,q ems a �t e ea;r. s ;.;:;.i.1,„:,---. :.40&.,n•...::: a.F W _.:x.sis °.e,+x+ rte, e�?.m-wa .y.ra El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forspedat in ford t is t use the dilst 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total � x A conditioning/tuoliai: ���:.�. f� ""`; Air .. � 46.75 ..W^lR ,>e "i>�R' "C�".,.55'.H,""k�id.�;.��`'�tiN..n ..aa,.a .tr--e � K .......e. � • . 1 \ UCL 4 t tofltng lob siteaddress: Furnace 100.000 BTU tductsfvcnts) / 46.75 CityfState/ZIP: eMIXIATtpQA1 O Q Furnace 100,0004-BTU(doers/vents) . _54.91 Beat pump 61,06 Suite/bldg./apt.no.: Project name:River Terrace Dud work 23.32 I Cross street/directions to job site: illy dronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(Ertel-type.not electric), in-wall.in-duct,suspended.etc. 46.75 Flue/vent For any of above 23.32 Other_ 23.32 Subdivision:River Terrace ,. I Lot no.: (0' n `i' iytbrr fuel appliances: Tax map/parcel no.:.,, p ..� . � r. :r alp * e t t . r- aGas replacciinsert 3339 _ Flue water heater or gas HVAC t fireplace 2332 • Log lighter(gas) 23.32 Wood/pellet stove! 33.39 . Wood frepinee/insed _ 2132 Chimney/liner/flue/vent 2332 Ocher. 2332 ., # �g> .r'`41 �. r ". �`��. ,., : ��,_. .. �' Eevhwnme>;taleshaastatrdwenttlatiue: ' Name:Polygon Range hood/ether kitchen equipment 3339 Address:109 E IP St.Suite 200Clothes dryer exhaust 33.39 CityfStateIZWP:Vancouver,WA 98660 Single duct exhaust(bathrooms, • toilet compartments,utility rooms) 23.32 I Phone:(425)56-7700 Fax:,( ) Attic/crawlspace fates .23.32 ,. .� .a-x: ' .w �.: a3 32 ' 1"7�, e t Y e r r! a 4 ': M - -�� , Y . w w �� . � CRs ., Fuel) 1i = Business name:Apex Air LLC .., 814.15 for_first four$4.03 for each additional Contact name:Staci Hay Furnace.etc. Gas heat pump _ Address:2210 W.Main St.Suite 107-272 Wail/suspended/unit heater City/State/ZIP:Batik Ground,WA 98604 Witter heater Phone:(360)342-8109 Fax :(360)326.1769 Fireplace ltattste E-mail:stacibigapexairres.cam Barbecue _�l,moRw" rx,. oe ^� f ., 4 .,:.:�:^ Clothes dryer gas)' , Other Business name:Apex Air LLC rd4 c •1 . a,. '' "`,,47....ani ,l4,..,"!",;-;!-,';.:1 ;4. .k.a`,.:. :4,-;— u, m,;:::: ., Address:220W.Main St.Suite 107 472 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) , '' Plan review(25%of permit fee) Phone:(360)3424109 1 Fax'(360)326-1769 Stag surcharge(12%of permit fee) I Cal Iie.:203034 f t TOTAL PERMIT FEE This permit appf�tion mpirxs if a permit is not obtained within 180 days after it has been accepted as complete. ,!� Fee methodology tel by'tri-CCounny Sullding industry Service Board Authorized signaller , a �% Print name:Staci bay Date:1/28/21)16 I E',t'tuile5rte NantittsdtEf Pemsthpp13401t3 doe 4413-46€71-(I lifFIC?fi£+t4E8T t c- , City of Tigard 11114 'I COMMUNITY DEVELOPMENT DEPARTMENT II • TIGARD Building Permit Review — Residential Building Permit #: 1`7Sj 2-c/6 .T- eV 31-. - ...,_ cf — Site Address: t . ' ( SvJ 1m` k-In \) lI eq \--c12- Project Name: R1k 1r T'rrace NA Lot #: (p (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NCV) Sl Verify site address/suite# exists and active in permit system. NRiver Terrace Neighborhood: ❑ No yi,Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,Three(3)copies of site plan 4isting structures on site rkcSite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished )rawn to scale(standard architect or engineer scale) floor elevations North arrow *Utility locations(required for new,may apply for additions) Al Site address,project or subdivision name and lot number ktikocation of wells/septic systems PI Applicant information(name and phone number) Existing trees to be retained with drip line,and tree of dimensions and building setback dimensions Existing measures .Kot area,building coverage area,percentage of coverage and treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) .„>ftreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) ..f Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified J No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified *No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PDP 20.-)-Ctt X Zoning: 12-1 (PD) c Required Setbacks: Front '-2p Rear IC, Side .3 Street Side N/A Garage 2C) „E" Landscape Requirement: so % ` Lot Coverage Maximum: j) ,Building Height: Maximum Height ----"Ll Ll Actual Height j& T .. Visual Clearance AEasements V Sensitive Lands: ❑ Yes No Type . Urban Forestry Plan Conditions "Met"prior to issuance of building permit 1/4 otes: A-I I CurvtMons SIrYii l l vy of a 1.. .4(A n u_ . Approved By Planning: Date: el (q 1p Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx i Building Permit Submittal Original Submittal Date: .2,3 1f0 Site Plans: # Building Plans: # __.3 Building Permit#: g"-Enter building permit#above. Workflow Routing: .1Planning ©engineering C Permit Coordinator O Building Workflow Sign-off: Er-Sign-off for Planning(include notes from planning review) Route Application Documents: E rEngineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal 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: w'� / -<::Q;( 1-1771"1"----- a Engineering Review Slope at building pad: z,6 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: E Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: E Yes No ❑ NOT Approve, by Engineering: Date: Notes: 4C w_ ' ..�W' AllAr ,/air ...+ IF_. 111,,-it Approved by Engineering:_ 4z I) Date: ?-07-5z3 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: 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: pC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A ?eil$ Tigard Trans SDC: Yes ❑ N/A Parks SDC: ieYes ❑ N/A K to Issue Permit Approved by Permit Coordinator: Date: 01//iP I:\Building\Forms\B1dgPermitRvw_RES 091216.docx . • City of Tigard !Pid COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /7S7;247/6 ---003cF,/- Site Address: RIYnpV-Iv1 Project Name: -\�e( Terrace NvJ Lot #: (2U7 (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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer 2/Eyes on the street: a minimum oJf 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 19j I YO 3. Entrances:At least one entrance must meet both of the following standards: facing wallParallel to street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street- or open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: '5 sq.ft. min. . One street facing entry )2,12 ft.max. roof above floor of porch X5 ft. depth min. 0%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five�oof/tthe following elements on all street-facing facades: tr'Covered porch min. 5 ft.wide x 5 ft. deep .. ecessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide *Roof eave min. 12 inch projectionoof 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. tm. 'orizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street façade indow 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 story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door X-0%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: :a1 '(k Date: 6 c1 Le I:\Building\Forms\BldgPenni[Rvw_RES_RT_062216.docx Plumbing Permit AuplicaticitECEIVED Building Fixtures �` City of Tigard N O U 2016 may: i f `ifi1 4,..L Pe mit No. Sf t,•065e2. a 13125 SW Hall Blvd.,Tigard,OR 97223IN pew • Phone: 503.718.2439 Fax: 503.59010y OF TIGARD Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: Julie: ® See Page 2 for g BUILDING ISKIN Internet www.n -or. ov lV Notified/Metbod: Supplemental .Tl'-PE`s xv ^ .. ... ...:." pEE ®New construction ' 9 Demolition For spedal information use diet st Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 8.for each utility connection) CATEGORY'OF CONSIBUCTION" SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercialumdustrial SFR(2)bath 437.78 • SFR(3)bath ' 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.R) Page 2 JOB SITE INFORMATION AND'LOCATION . T, Site utilities: I 3�' `►" ` 1J P A V 0 1 t &�- D�basin or area drain r 18.76 Job site address: S ,(,(,( 1 ei leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft,: ) Page 2 Suite/bldgJapt.no.: Project name:uNivej, • rus- 13,4 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear 8.: ) Page 2 Storm sewer(no.linear It: ) Page 2 Water service(no.linear It: ) Page 2 Subdivisior.PA SkiiTtrirki., jf(N I V t, r- Lot not"(C/) Fixture or item: Tax map/parcel no.: Backflow preventer ' 31.27 . Backwater valve r 1231 ' DESCRIPTION OF.WORK - • C'1' `r(�` p Clothes washer 25.02 On l^C,'`^ Li y�1�` Dishwasher 25.02 Drinkingnain 25.02 Ejectors/sump 25.02 .®.PROPERTY OWNER I D TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC 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 ®.APPIiCANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewski Roof chain(commercial) I2.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)6934442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski®polygoohomes.com Water closet 25.02 .. CONTRACTOR - Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) " CCB Lie.:102535 Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: G -c . TOTAL PERMIT FEE Carolina Malmedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days Print name: after it las been accepted as complete- 'fee methodology set by Tri-County Building Industry Service Board. L16uId1agPennits%PLMU•PennitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13331 SW PUMPKIN VALLEY TER, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00382 Inspection Type: Inspector: 615 Mechanical rough-in David Young Result: FA I L Comments: AC pad not 3" above grade. M1403.2 All else ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13331 SW PUMPKIN VALLEY TER, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00382 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor