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Permit (58) CITY OF TIGARD 4`I MASTER PERMIT € N 4 ;2 / /7 '0 ' . COMMUNITY DEVELOPMENT Permit#: MST2016-00395 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2016 Parcel: 2S106DB08200 Jurisdiction: Tigard Site address: 13314 SW SATSUMA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 82 Project: River Terrace Northwest, Lot 82 Project Description: New SF. 2/1/2017: REPRINT to add 211 sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $312,128.49 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 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 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 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 2573 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,253.58 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR$.5?-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. tilto Issued By: - 1 `:71e....—. Permittee Signature: C74/ ,i52,"'G.i (9 7aIL/ 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. 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 II Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DNA ��.VEEI V ED DEPT: BUILDING DIVISION D JAN 19 2017 CITY OF TIGARD FROM: Angela Grajewski BUILDING DIVISION COMPANY: Polygon Northwest BytPHONE: 971-212-2144 By' RE: /3‘ / 5V) 50.,tc"uErne f/J MST2016-00 j Site ddress) (Permit Number) Northwest River Terrace Loth_ (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: , . es: �. opies Description r r©pies , Fescrl< tion: 0 Additional set(s) of plans. 3 Revisions: add covered patio 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. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. per buyer selection c), J � FO-R,OFFICE USE ONNLY 444.a IN "Mit tl Routed to Permit Technician: Date: ) - 3 p - )7 Initials: Fees Due: Yes ❑No Fee Description: Amount Due: • S' }-)r J0)Gn cv, $ t-PS $ ti $ Special Instructions: Reprint Permit(per PE): I] Yes ❑ No XDone Applicant Notified:/9-n/6i C Date::`/y, r c-._ 2////7 mtials I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 No f . ' City of Tigard 1111 ® COMMUNITY DEVELOPMENT DEPARTMENT C r,c A RD Building Permit Review — Residential Building Permit #: SS 2c / -- DO-32..5 Site Address: / g/z,I S% - U/9,14 ,9 Project Name: re/'1/-er- -re✓koCe /()e - tie,gi- Lot #: ' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Jgj g erify site address/suite# exists and active in permit sem. ff' River Terrace Neighborhood ❑ No Yes,See River Terrace Review Addendum Attached Plan Elements: Vt ree(3)copies of site plan .sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper ��Footprint of new structure(including decks)with finished Vawn to scale(standard architect or engineer scale) or elevations orth arrow futility locations(required for new,may apply for additions) /Apiate address,project or subdivision name and lot number N I'%cation of wells/septic systems plicant information(name and phone number) �''�. sting trees to be retained with drip line,and tree dimensions and building setback dimensions yrotection measures pilot area,building coverage area,percentage of coverage and Vd5ofeet tree size,type and location Prpervious area (applicable if R-7,R-12,R-25&R-40) Street names operty corner elevations(2 foot contour lines if more than 4 foot differential) Oj%r iean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): /Required: Yes,applicant was notified V No Received: ❑ Yes ❑ No C]ublic Faciliti Improvement(PFI) Permit: equired: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Ila Land Use Case#: )61 0,90 Pb) S'11C&20?c Cllr Zoning•. t-' Required Setbacks: Front 0 Rear /0 Side '' Street Side ' ."1 . Garage cg( UV/Landscape Requirement: c►�Cca:, % VBof Coverage Maximum: % ui.lding Height: Maximum Height _M Actual Height a9 I�/f t ''% sual Clearance Oro Easements rnsitive Lands: ❑ Yes No Type ban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit i Notes: (T 17h3o t S4// ,}- p//7O'- A /9,e.'712.,4i. >SS/. 4Le i Approved By Planning: ��� y Date: , Revisions (after Building Submittal only) � ,Q� Reviewer Date Revision 1: CAL÷,❑ Not Approved D etc w„.... i - 5 --(7 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved -a.3-17 1-euis do -G, cod po-{-;o 0 vti(.43. 1:\Building\Forms\B1dgPermitRvw_RES_091216.docx i' Building Permit Submittal Original Submittal Date: ,,.x/3`/6 Site Plans: # 3 Building Plans: # 3 Building Permit#: El Enter building permit#above. Workflow Routing. Er Planning —ngineering &Permit Coordinator [: iiilIding Workflow Sign-off: a-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 original plan review routing form. P-$uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: , By Permit Technician: -' <_l -- Date: C,3//,E, a: , `?^^ .kF&r Cti[C.ffii� gz.,.5'�" .t.z...",rite t.:..Y3..�'. <,_.lstaaa?3.=Amr f�': a.ad. ..b .,..x' tii e....:'kk ai'.. Engineering Review Slope at building pad: �j� ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat n ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes 0 No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv- . by nginee : Date: Notes: ��..-_ ..- ..7, ' L/ r �, ._.. :� / i/1 ft __b____3042 Date: �Approved byEngineering: ti '" Revisions (after Building Submittal only) Revi rDate Revision 1: /Approved ❑ Not Approved l+ p 1- . -/7 Revision 2: 0 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^*t Appli, at-(3-rPp,aa> .Z,//..9-- sP Revision Notice 2: Revision Notice 3: Date Sent to Applicant: Date Sent to Applicant: 1 SDC Fees Entered: Wash Co Trans Dev Tax: 87 Yes ❑ N/A S Tigard Trans SDC: ,R3 Yes ❑ N/A Parks SDC: NY Yes ❑ N/A oft N(OK to Issue Permit Approved by Permit Coordinator: a\.,(4----' (' c,.& Date: (0 - Z -1 (1K- i SS u.e_ lo-k---s- ki 4 - Lod. I:\Building\Forms\BldgPermitRvw_RES_091216.docx . City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1111 T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: /.7.577,20/e —690 3 9 Site Address: /SS/L/ 'Lt) TaJQiiyzi? -e_ Project Name: ie/ver 7-ec, ,4 it ,Si"' Lot #: __,c30 , (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distric' t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?Pt Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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. ft. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft., 5 ft. wide min.2 ft., Eft.wide Gabled dormer 0 0 0 ❑ 2. Eyes on the street: a minimumf 12% of each street facing facade must include windows or entrance doors. Percentage Shown: /L` ii%» 3. E trances:At least one entrance must meet both of the follo g standards: ax. 8 ft. setback from Ion t street-facing wall Parallel to street,angle no more than 45° from street, or o en onto porch Entrance opens to a porch: Yes 0 No Ifs,all the following apply: sq.ft. min. "5ne street facing entry ft.max. roof above floor of porch ft. depth min. 30% min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches Dormer min. 4 ft.wide Roof eave min. 12 inch projection oof offset min. of 2 ft. El Roof shingles either tile or wood !Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. piqotizontal lap siding min. 3-7 inches wide Cl Accent siding min.40%of street façade 101 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: N closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): ay 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) El 2-foot-wide garage door CI 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: , , Date: 4°. W y I:1 Building\Forms 1BldgPermitRvw_RES_RT_062216.docx 1pi CITY OF TIGARD MASTER PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MST2016-00395 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2016 Parcel: 2S106DB08200 Jurisdiction: Tigard Site address: 13314 SW SATSUMA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 82 Project: River Terrace Northwest, Lot 82 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $307,418.97 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 4 201-400 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 asin Other: N Other Description: Ecom p g: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2573 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,124.47 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ! Permittee Signature: e-47 6./e" 770^1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. G 1- Building Permit Application �� `� ,,° _1 " t FOR Ol:FIEIISEONIN t,./t.,..$ s - --- ` VE l City of Tigard . Received r. //3/'c, ` PennitNo, eo/6 eiosi '^7 11,4 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 0 .3 2 016 Plan Review r �^ �P . Phone: 503.718.2439 Fax: 503.598.1960 J U DateBy: ) " jc� ) a _ , /,.-&O/g Inspection Line: 503.639.4175 y Date Ready/13y: � / -Jibs: H See Page 2 for T'I Ci:;i I? CITY O 1 i(. • �C Notifed/Method/O// /E. 44 Supplemental Information Internet: www.tigard-or.gov fi t+ la. BUILDING `VISE �3/cv >/ f ❑Demolition Perm't-fee' t fees*are based on the value of the work performed ®New construction Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement ❑Other g ,l§ work indicated on this application. fir, ,^are` ,A ^a.�. ..4':f L�o.;»-,w.71._ w- rt ;;- 6 ,.,.,.,„ :. .. ... . .. . .. �,.�., . ... .. ...r., Valuation:307 �i � $ � . ` • - • ® 1-and 2-family dwelling ❑Commercial/industrial } Number of bedrooms: LA Multi-family ❑Accessory building ❑ ❑Master builder ❑Other. Number of bathrooms .0 „,rwq 1`ly �� ~ : %'.may -- -,=A-t� Total number of floors: 2 a� 3 Job site address: �j �/ rt) `y/D0k I New dwelling area:Q1 / ) square feet City/State/ZIP:Sherwood,OR 97140 \ Garage/carport areae square feet Suite/bldg./apt no.: Project name:: ; 1 ,( . , ) Covered porch area: `A ' square feet )y.i�,�- Cross street/directions to job site: , Deck area: ,I square feet j 1 a O Other structure area: 'i square feet • _ x Subdivision: I Lot no.: 6•. 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 of r-1 �l . cwork indicated on this application. New Single Family Detached Construction Valuation: S Existing building area: square feet New building area: square feet AF �'���s-cam e �s Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 E 13th Street Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695.7700 Fax(360)693.4442 New: i----'4----, '... h .- '➢ ,l a i€3C'h,k,'” .‘ k'_ 3 5-AlL ft ` A ' ..V1,Y , .. . x'�" ,av,,7,,,,,,,,,,,,--2;--d-i4-Sd.) '} , �` a:,�{ ' ,:--7-,-;-:;72,::472::-: 3-n....,..».- ?rS.���.��Z`.'���'a.�,......r p,...,.e-...,,--.;.. kH,,...rva_..,,. .r. --- Business ,a...Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhowes com w '' Commercial and residential prescriptiveSolaPanel Systiontem.of - �? A -4'--=l„ f ��, . ! :` roof-top mounted Photovoltaic Solar System Business name: WLH-u iC a/ ,i./' M £yo A,1 /1r/ES /A/C. Submit two(2)sets of roof plan with connection details / and fire department access,along with the 2010 Oregon Address:109 E 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 dueupo n application: $201.60- Authorized signature: fid This permit application expires if a permit is not obtained �� within 180 days after it has been accepted as comp * lete Fee methodology set by TriCounty..Buildmg Industry Print name:Maggie Gordon Date:lT/11/15 Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) - t FEB 0 i u l � Date/Br. P"rn.1'' f M. 4 13125 SW flail$ird,Tigard,OR 97 piRevmw N /� "r. ) R Phone:503.7102439 S03.39s l�I tn Y t.�F # ` 1 i AY inspactian lam:SO3 639.A175 €�t t F fig ,r'----1, ttsiaiwi Pemut e tn#t=sroh vvunY.tioard.,ot:gov s�'�.1 i L k J I, ,i i z(S z. ,,s I�:tr BY' h t S $Pain 2ran T8`Orr iiK]IR€c F to Neweotnstrua#ioif •: 'L�d .x,. 0hatrtitlop7alferatf!?nlreplace[nein IneAsecheekall&atop Y(Submit1 sats orPkosroitsmaetemked): ❑Menti jit#an OtIXeT:: °Smoft:e or feoder400 amps or goose D Ru7amg ovart ea zor es whore theaven:Atefault eramot LiMarinesminhooyerdx. ,;;;;-.„-''l - ,'r v`OI CONS loot .,, sxaeeds • ta€Sia g0Oa t sn nor 1 ,oo caaxnAa2;1 1- 2 fally dwelling g 0 CoConsele#nl/indu,stciel 0 Accessory building m"P for retar tmtaoi... ta.��tw-ainni want, t ... dyt €t- v&lh#3nity 0 Master builder ❑auori000fISaVA orQ Ogler: rFire pamp a -60 slTt''Ll ft)]9&LA.7ION AND L#1CATIt3N ❑Amsrceneysyatem. fuser separately domed 1 Job ; Job SIPS address` ^'ll �' []Aaaition afecw,norar teed of aysrcat. " c �, .4t ' 10011P ortoam• A;"B; Z" 13+ City/State/71P:Sherwood Q1197940 1:151C or more residential was, tMe,gfancy. tlHealttt-care DRoatuarkwatvehiclepaks. Suite/bldg./apt, ?rejectname: l�t9asadoasloptioas, ❑Sapptywhaeefermoratban CCaSSstrCrxldlrections.tDjob Si#e: £illcv€ce orfeeder 600sapsoreswe. _ GW Yaltsnomiaat. nsiriipikm 1 00. I r d, 1 Total I ' New residential state.or eiu t€-€am#ly dwelling writ Subdivision:River Terrace Lot(1: T Includes attached garages Tax tnajtlpec Ci I,t)00 sq.A or less, ) €68.3.4 4 DESG�Y.PTION OP WO Etc ited'€nen st{:es ue fial ►i 339? € Limited etre New Single Penally ve tesldentiai' 7500 2 (with abovesq,fta Limited one*,nultidatnit3; res€dent€at(withaboveaq.It.) 75.00 2 ; RK€pBRfY {�'iEhtANT. IleuewableRutiny El S.ePage2 Sere€ce3 or feeders curs instailatiatt,alteration,antUrn relocakiatt Name:Polygon[[Dares 200 amps or test 100.70 2 Address:109 Iv 13 St 2°iorttpstsaA00arnps €3356 2 City/State/ZIP:Vancouver WA 98660 401 amps rot amps 20034: 2- R 601 amp,to 1,000 stops 301.04 2 Phone:(360)595-770 Fat:( ) Over 1,000 atnpsursalts 55226, e Email: Temporary services or feeders inatat#atlan,alteration,andtar retbrA#€a71 Owner insta1tetion;This installation is being made on property that I own which is not 200 amps or less 59.36 1, '' intended far sale,lease,rent or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 ampo OR"IIer Si P kin= - Date: 401 amps to 599 amps 16854 2 << APi'LdG)-, . CQl'fiAGT pB yR Branch circuits—tun,alteration,or extension,per panel Business nam=Garner Electric Washington LLC Fee d trim: a. ' above service or feeder fee, each branch ci 7.42 2 Contact name:Rill Daniels rSx{tt B,Fee Ter brooch circuits uu rout s' Address:61011E Si Johns-td arxvicaairfetderke,first branch circuit 55.12 i C#ty/StatefZ#P Vancouver WA98661 Each add'lhrntcheircait 7.42 2 14iish llatuDus(serv€ecorfecderaot#tte€ttded) Phone:(253)320-,16$7 Fax::( ) Each menuntct}ueda modular 67s4 2 Email bdaniels@gweusa.eom dtlCil€ag s v€ayandtorfteder itecoateceoNy 67.54 2 " , ,+ CONTRACTOR Putop or in gatioo Ode e 67.54 2 Business name;Garner Electric Washington,LLC Sign oroutlinel€ght gj g4 2' Address:GI01 NE St Johns Rd Signal cissttit{s3 ari+rcng ittd energy rennet,alteration,or encasion Q See Pag¢2 2 E City/State/ZIP:Vancouver WA 98661 •Each additional inspection everaltotralik to airy ofthe above ; r Additional inspection(1 hr min) ¢6251 hr Phone:(253)320-1657 teas:( ) vcatigarlonllIrrwin) gate hr. Email:bdaniols(gweDsa,om lndustriatp#ant{I lir ten) 78.18fbr Inspections foreseen no fee is COB Lie.; 01158 EIcvtrica#Lie.: 248174 Suprv.Lie.:4496,4 spec€ticailylisted{'.shimin) 9"1/kr T# CI71itAI:PERil$h i &s I r Suprv.Eleetician signature,required: .� g a i • Plintoame:Joan P Albert permit is) Date; 1 (l d Plan Review aired.#2 of feeX. State surcharge(129Gsr l peeniit fee): Authorized signature. 7 TC T.Al.PEW? : 5. l { permit sppficallonmp1cerfro permit's not obtained within ts4 Print name:Bill1)atriCls Date: UU 1 AsysattarltLabees'steepled'scomplete.- ( ` tww'�.dhstoorohtlRC PamkApp ELR,t?tiE.aaa awewnnots troaslsrtruinca.tavan. ' Number of inspections slowed perp,init i i i • s Plumbing Permit Application RECRVED Building Fixtures FEB p 3 2016 Penmtrlo,/'9Sf�'/6 .�►O f a City of Tigard Date/ey: Il 13125 SW Hall Blvd.,Tigard,OR 97223 C 1T Y OF' I r A? i )Pian Review Other Permit No.: Iiii i Phone: 503.718.2439 Fax: 503.598.110M 0". I'''111,I s't; y Reis: i0 See Paget for Inspection Line: 503 639.4175 Date Ready/0y 5u LePage 2 information i (` } Internet: wwtv.tigatd-0r gov DNotified/Method: -ss ; ` - * `� e:�W t4"ri., _ VI"1A - , >; ss ri g . •-" For special information use checkbst I--I Demolition Description I Qty. { Ea. I Total LJ New construction 111 ■ Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) Addition/alteration/replacement .3 SFR(1)bath 312.70 3� ;.. , a Y a.,•.. 1'11-'1 '" �.< SFR(2}bath 437.78 III f-and 2-family dwelling U Commercial/industrial SFR(3)bath 50032 ❑—'{Accessory building Multi-family Each additional bath/kitchen t O Master builder D Other Fire sprinkler sq. Site utilities: ft.) -- - t s � sly c s ,a - xr _� 18.76 - 1"�('N ' Catch basin or area drain , G 18.76 Iob site address: 1590\q ` t- Drywell,leach line,or trench drain ,1. ,� ^ _1 O f tr4“u Footing drain(no.linear ft.: ) Page 2 City/State/ZIP: ` JI �SL.I �I.FZ�C � L/ Sa.03: Project name: I � Manufactured home utilities Suite/bldg./apt.no.: I' t��� Manholes 28.'76 Cross street/directions to job site: 1 8.76 lt'ain drain connector Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear it: ) Page 2 Water service(no.linear It:_) Page 2 FixtItem: ure or Lot no.:�Gn am 31.27 Subdivision: Backflow preventer Tax map/1%1=11m.: ,, Backwater valve 1231 W ;4�. # a�" i 0 t s clothes washer 25.02 , Dishwasher Drinking fountain 25.02 _ Ejectors/sump 25.02 § 4. �_.: .. 'on tank. . 12.51 .N $ c0`" ' <. i, <::� #�cs. , ExPare/SeWCr Cap Li l-- � 2502 Name: P�' SIJ Floor drain/floor sinkr/hub 25 02 Garbage disposal ® 25-02 Address: 1 4 ' V +� Hose.bib ® City/State/ZIP: (�J, �►y1J�_ — = IIIIIIIIIRIIIIIIIIIIIIIIIIIIIIII Ice maker 12.51 Phone: 1111 ( P. 9`'1 L — 'i v� ax: lnterceptor/g ea3c trap 25.02 ry u " m: s .1 s,+.. value $ ) ® Page 2 �:�. � zvfediz�s�t I Lt.-"'s+ F tr', ', _ Primer 12.51 Contact name: M.ei..Y'li t-€--I:t t r 1 Roof drain(commercial) 12.51 Sinklbasin/ixyatory . 4 Address: Solar units(potable water) 62.54 City/State/ZdP; ,t 'slvA ci-) 0 Tub/shower/shower pan 1251 Phone Pil j ) SCA, ' g.E .* Fax::( ) .i Urinal 25.02 E-mail: t<t°'{.I C w ¢ Y*a 0s ere s 15 •v"`+ Water closet 25.02 4 x - p ,:. �. r Water heater 3753 .,. �` _ a "'n " 56.29 ',.. 'Water Business name: 14„)---i--,1 j j y tl '.1�' l�. !' t}, Other. — 25.02 Address ` 1 7Subtobd Ci;y/State/z1P: j1 C,'Sh ...M C t t Minimum permit fee:�j. 4 Phone:(C )...i.t' .0 - ii Fax:( ) CCB Lie.: 2,0(.04, Plumbing Lic.no {p State surcharge(12%of permit tae) TOTAL PERMIT FEE Authorized signature / This permit application expires 11 a permit Is not obtained within 180 days I �.y 1 after it kis been accepted as eoinpirte. [ Print name: f j Q f rtK Da I F/f 'Fee methodology set by Tri-County Building Industry Service Board_ i t•ao-46GT(io-9I.Co. 'IDl t:�tai�s'am;�;et_sat:��L�.a� 10/01/09 ' * Mechanical Permit ApplicaV.9" ,ft-,-1, IF iiii111111111111111!=111110111 _l' -.mil) Received City of Tigard I/ 13125 SW Hall Blvd.,Tigard,OR 97223 F B 0 3 2.016 au Phone: 503.718.2439 Fax: 503.598.1960 CMan Review DateiB : Other Permit: O. Inspection Line: 503.639.4175 ..,,, Dare RearivtBv: .1.dr: 0 See Page 2 far Internet www.tigard-ougov en"( 01- I 4Z,71rAtli,-. Notified/Method: Supplemental Information =51,11t ON(11`, -,,,,,.-5,-a.4,9,..,,r,„4,,,,:,,,,tiv„vey*, .6/4e,.,;'&v,1:-.e,t.;',. ..a,,,,.--;:',.,,,,,..-,,,„::3_.t,-5. ..,..-, ,,j,F,-' -';'.,...,•;,,,,,,,,Z,-.....,:',,,,..--:.,:;,.-„,,,,z.N,,,,,,,,,,,,,,,,,,,' b..' ,,' ,, -,,t,:'...74•:.V.1,,,,?,,,,'e,-NX;,,„,5'. Mechanical permit fees*are based on the value of the work 121 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials_equipment labor,overhead,and profit_ Value:S ..:„;:,`,.--;:;'.7,5-.-'..&v.•;::::„.ti,...-..,..7s•e144,43.41.0'-' —'F'i":';`,-,i:--,"',„:470,-,7s.,;,'istritr,„1C, _,;‘,F:FIlceitilh,,.4cyi:„. _ ,,,_,,,,,,,„,,,„„,,,..„,,, ,,,_,,,..,,,,,,,,,,, „,._ ,,,„. ,,,,,...,,,,,,,._,,,,,,,_ -7',:.;:-7.;:•.?..-'.-,-.;:.,-,',,,%;Y::.3.''?....,:.•,-,.?--'.:,:„!-,,,:-„,.,..,:',.....-:,--,,,,---....,.:::'.',.,...-, ..,,,,,4,-,:,....„-„....,...4,....,..,..,... . ...,,,,e,,,,,,,,,,,,,,,,,,,,,., 4.tar1;11.$0,11,1.;,,,0,4 1,,...:;.,.., ,,,:,.,i„•. ,,;,,,,,,,..,._,,,,,.,,,,.., ,41,,,,rfo,,,,4z.v.f.Ely, ESI i-and 2-family dwelling 0 Commercial/industrial 0 Accessory buildinst For special information use eiteekilst 0 Multi-family 0 Master builder 0 Other Description . I Qty. -I Ea. I Total Healing/tooling: .mty ,...., „..„,,,..,„,,..„„,,,,,,,,,,,, ..,.„,.•,,V ",, ..,*,,, A' ;, ' ' - Air conditionine 1 46.75 ,, Job site address: m - I3'?) 5z c:3airk-n"st ---.\- -< - , , Furnace 100,000 BTU(inetsivents) ' ) 46.75 City/State/ZIP: 0-DaAi oR 41 • ' '0 eAN9-X11 Furnace 100,000+BTU ldtassh'ents1 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:River Terrace n Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 . Unit heaters(fuel-type.not electric), in-wall.in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision:River Terrace Lot no.: 52., Other fuel aPPliances= Tax map/parcel no.: Water heater Ank'n-71... It''''' r,:;;i2'74.'4,1E-ttiVe;=.74..,,,,,i,t4lgt. 44,4*;. a.tr Ga'fireplace/insert 23.32 3339 ..4''''. '''''''''''''''''''' '''. ''-d''''''''''' ""''''''' ''"-- '" - ''' ''' Flue vent fot water hearer or gas HVAC fireplace 2332 • . Log lighter(gas) 23.32 • Wood/pellet stove- ' 3339 , Wood fireplace/insert 23.32 Otinmey/liner/flue/vent 23.32 en EnVao23.32 -,i,,-,7.,,,e,:v.s..,,,,f-~ ,'.;. .1+- ,* ,-i,..•;..-. 7--; •'$i,'---,",";,''''4,?`"4;-'-'4:t0„041.:^IS-'- •'*L t i --v,,,,,,,,,e," - - -,-, ,,,- ,,A,....:7-,TE,,,::..?:,„:4,';!'.14A-1,'W44-A1.74``‘Me':':'' ' ',,; t :'°i'••'.''*-''''.-''''''-,,"-';`^1• *- '''''''''''': 5-'1.44''' °'''''' irtutattgbd exhaust au vtiltin: Name:-PolygonRange hood/other kitchen I ' - equipment 3339 Address:109 E tP St.Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660Single-duct exhaust(bathrooms- , toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax ) Attic/crawlspace fins23.37 , - Othert:0",-••,.*-,,,,ii..-3:1•:.7r:-ii!rir5iftriLto;:;%,-4trii:',:-:•::Geo-.F.AtV-v‘4va,t`Vi":`,"-'-§,A--.10,-1,.-' * 2332 Fuel ptphigBusiness name:Apex Air LLC S1d.16 for first Joan S4.03 for eitch additional Contact name:Stasi Hay Furnace.etc. Gas heat porno , Address:2210 NV.Main St.Suite 107-272 - Wall/suspatded/unit healer City/State/ZIP:Battle Ground,WA 98604 ' Water heater Phone:(360)3424109 Fax:.-',(360)326-1769 FiitPlaCe Ranee E-mail:stseihigapexaireo.com Barbecue i*.4.:1-e'''';'"--4:4.4','•'Vi.ij2t.;4:4;i'a.-,-tj*Z;::41':'-ii,r,71 .4?-..4,Ttf,,,,..0411:;,A ,-,41,i. .7.,,,.77:54*f",,; Clothes dryer(gas) ..asa: ...,...e?„,my-Ar....,..- ---1.;;;;,5,--,o4.,4„:,,,,,,,---,,,'„,,t,,„,..„,,,,, ,-,,,„,,,,,,„---,,--, ..„, ,,,,.,,,,,.,-,..,-e, ,.,_..-,,,,,,,,, , . Other BuSiness name:Apex Air LLC Address:220W.Main St.Suite 107-2/2 Subtotal Minimum permit fee(590.00) City/State/ZIP:Battle Ground,WA 98604 , Plan review(25%of permit fee) Phone:(36013424109 Fax:.(360)3263769 State surcharge(12%of permit fee) - - - - TOTAL PERMIT FEE 1-- o.ori, CCB lie.:203034 This permit application expires if a permit is net obtained within 180 / , ......- : A days after it has been accepted as complete. A Authorized signal •. , - ,/,/..-4 lir -, ' Fee methodology set by Tri-Couray Building Industry Service Board ' ' IPrint name:Staci bay , I Date:1/28/2016 V,Builefing\Prszeti&A)EffunitApp_640113 dee 440-46)7T11 LW-VOW/WM)) N. f City of Tigard 114 COMMUNITY DEVELOPMENT DEPARTMENT S T l A uD Building Permit Review — Residential Building Permit #: /--/S-70-/C.,Vi — l>D 32.5" Site Address: ,Sg` Project Name: ie/ver T n ce A)GAr-. ue&7- Lot #: g) (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4)&4) iz( erify site address/suite# exists and active in permit stem. tic. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached SityPlan Elements: ree(3)copies of site plan sting structures on sitee plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished pawn to scale(standard architect or engineer scale) or elevations Vorth arrowUtility locations(required for new,may apply for additions) pe address,project or subdivision name and lot number !1!'�cation of wells/septic systems plicant information(name and phone number) V'' 'sting trees to be retained with drip line,and tree POI jao t dimensions and building setback dimensions protection measures VeLot area,building coverage area,percentage of coverage and 01 eet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) 4 1klean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No Fr Public Faciliti Improvement(PFI) Permit: equired: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake iac Land Use Case#: )bb Q©- _ ' /illc— S71f, 0 Zoning: Pe 301/Required Setbacks: Front 0 Rear /0 Side ' Street Side �ft Garage �O [Landscape Requirement: cQQ % . \1 i of Coverage Maximum: -�— 0/0 Building Height: Maximum Height 441 Actual Height a:/67 :>,/I to6% sual Clearance I/i Easements Q)I ensitive Lands: 0 Yes No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: ' ' pe, Approved By Planning: i....c.cak..)„,e.,e ` f. Date: '� Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Forms\B1dgPermitRvw_RES_091216.docx J Building Permit Submittal Original Submittal Date: �`/ Site Plans: # 5 Building Plans: # Building Permit#: I Enter building permit#above. Workflow Routing: Er Planning —ngineering hermit Coordinator ding Workflow Sign-off: a-Sign-off for Planning(include notes from planning review) Route Application Documents: g"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ' uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 7�_3//,6 Engineering Review 7."Slope at building pad: /❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv by ngineeri Date: Notes: hilpf--"e"e"-- pf- ,_/-711. 7-P— Approved by Engineering: Date: /p ; 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: (SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ' Yes ❑ N/A WOK to Issue Permit Approved by Permit Coordinator: Date: 10 CAC -kv issue_ 1 o-4 s tect — boa. I:\Building\Forms\BldgPermitRvw_RES 091216.docx N. City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ill . 11 c A R D River Terrace Building Permit Review Addendum Building Permit #: /`I.STa c,/6, -603 y,5- Site Address: /33/L/ Sit) --ca-71Q/09 M_ Project Name: ever 7. -A2ce �� iu,,gr-- Lot #: eo (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?V 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. ft. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum Qf 12% of each street facing facade must include windows or entrance doors. Percentage Shown: /4/ L7%/n 3. E trances:At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Ifs,all the following apply: sq.ft. min. ne street facing entry ft.max.roof above floor of porch r 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: i Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep /:(7all offset min. 16 inches ❑ former min.4 ft.wide oof eave min. 12 inch projection Vh oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Window trim min. 2 I/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: N• closer to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): E 'lay extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. Ir 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) 0//2-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: fiiii.�tr'� � r Date: /,i , I:\Building\Forms\BldgPermitRvw RES RT 062216.docx ; ECEIVED Plumbing Permit Applicati o Building Fixtures NOV 3 2016 City of Tigard D_v tl 9 �6 f/ PermitNoMSNt �y.1 DJ(- 114 a 13125 SW Hall Blvd.,Tigard,OR OF TIGARD Plan Review f / Y' �� t(! • Phone: 503.718.2439 Fax: 503.5 Other Permit No.: Inspection Line: 503.639.4175 BUILDING Date/Ry. Internet www.tigard-or.gov DI I GN�Ready/By:d,MetbJuria: See Page 2 Inc Ndi6ed/Metbod: Supplemental Information .:...... TYPE.-OF-WORIrr ,.•. ...__.. ;F:EFR SCREDV •-;•,....- ®New construction ElDemolition I For special inforanadion tae checklist Description I Qty. I Ea I Total 0 Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION' SFR(I)bath 312.70 ®1-and 2-family dwelling 0 Commercial industrial SFR(2)bath 437.78 ❑Accessory building y SFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: I"1 /33 lL/7 J �� � /A Vk„„) Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dtywell,teach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name. fl y_ tep2t 1 AAA/ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivisiot 1240.--1J iv s A NaiLln,,,n/, Lot no.:&7 Fixture or item: Tax map/parcl no.: �++w �� 7 w y Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 VOOMW - Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.PROPERTY OWNER l- 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®.APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 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)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewsiri@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 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 Lic.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C,� TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016Thispermit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. L'1Buiding\Permits\PLMU•PemitApp.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: 13314 SW SATSUMA AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00395 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor