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Permit (63) CITY OF TIGARD , /7 MASTER PERMIT S . COMMUNITY DEVELOPMENT Permit#: MST2016-00394 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2016 Parcel: 2S106DB08100 Jurisdiction: Tigard Site address: 13332 SW SATSUMA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 81 Project: River Terrace Northwest, Lot 81 Project Description: New SF. 2/1/2017: REPRINT to add 133 sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2229 sf Value: $273,802.98 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 Tvpes 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!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 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 One Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Required both sides STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,425.08 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 through00A131952-0111:9090. 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: " l_ }" 1 ' Permittee Signature: ..,f/- ra,4"/(7-%7C)/ti 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 7,1 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JAN 192017 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: a (5--- RE: 13332., 4 fv 3a±S UrYrt MST2016-0039L) (Site Address) (Permit Number) Northwest River Terrace Lot 5 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Ci)pies: des r><ph©n ::`'' 0 ,.,,< . .r. i s. + r pti+ ri c . 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 133 \ Routed to Permit Technician: Date: ) –30 1 Initials: 4 Fees Due: 1 Yes ❑No Fee Description: Amount Due: $ S ',,--.Mce\ $ \ gz ,.r $ Special Instructions: Reprint Permit(per PE): J] Yes ❑No jgDone Applicant Notified: mv6- / Date: g, i, yL-- 22/x//7 Initials: _/{9/217/— I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 a t City of Tigard Ill li COMMUNITY DEVELOPMENT DEPARTMENT g T,c R n Building Permit Review — Residential .:,y. __ ._ .". .� ,r::;:.� �xn.,',,,r..�J...:......,__ .,�_. -W,.ka"+..... ..._ ,..,'tu,�ea:H�g•"T: 1 _ ..h'i'Y. .8'e._. Building Permit #: /If 7,2 i /6 — Olt. .9'/ Site Address: /'5.(Q g -gc ,irz /5 /Q . Project Name: e%%/PT �rkgce /De --Ak,egi-- Lot #: oc:3/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 4)&0 '1 eIerify site address/suite# exists and active in permits tem. ver Terrace Neighborhood: 0 No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan ta 'sting structures on site e plan t be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Pmus awn to scale(standard architect or engineer scale) or elevations I. ► orth arrow Utility locations (required for new,may apply for additions) � • a address,project or subdivision name and lot number II I'%cation of wells/septic systems plicant information(name and phone number) V ' sting trees to be retained with drip line,and tree Vt dimensions and building setback dimensions ,/protection measures oLt area,building coverage area,percentage of coverage and Foil ffeet 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) `lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: 0 Yes,applicant was notified t No Received: ❑ Yes ❑ No Public Faciliti Improvement(PFI)Permit: equired: Yes,applicant was notified 0 No Applied For: Yes ❑ No,stop intake IIID Land Use Case#: Pbl (A--- • ♦I S -S 3c��2CQ '=Cl0V'k Pr/Zoning: 16- (A, 0 Required Setbacks: Front 0 'ear /0 Side ` Street Side —J=tarage Q(� (/Landscape Requirement: a20J /0 + t ' (71of Coverage Maximum: -OD-- % )� :uilding Height: Maximum Height —�'- �/ Actual Height tgl/L 'isual Clearance r:Q142 17 K9ements ta *nsitive Lands: 0 Yes No Type Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit jj al., Notes: 0.))1 144 �,,` ha" nALT'' �1✓0Or A '64i—ii >St�/7L..e Approved By Planning: ,-' '..�"2 %.►,. Date: .____%kL14' Revisions (after Building Submittal only) � Reviewer Date Revision 1: Approved 0 Not Approved C.A.l1 'd,(_ eCt.t.w�� 1 -c).3 - 17 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1 .a3-1ievis.uo -6),' Covey-LA pa4-i0 a«C,s. . i Building Permit Submittal Original Submittal Date: O27J//,4 Site Plans: # 3 Building Plans: # 3 Building Permit#: Er-Enter building permit#above. Workflow Routing. Q'Planning Engineering I-'Permit Coordinator $uilding Workflow Sign-off: La--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 opginal 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: 40 ' '" / - Date: /0/3/'/,E, P.4,,,,,,,.. .k':3dr.'cr,,,.it:Lssffi'6'Ed6t.t: or.20, ;i:_sf' -2ts. ..'Y :;B.- .—..<::t --,,,, :..:t,,.x.. .M::;- . A„,,,E aw. cx=-:. .. ,A,.,,,,,, _',.H;... i L', ., Engineering Review 6.1 Slope at building pad: _24 14 0 Conditions"Met"prior to issuance of building permit 0 Easements (encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No 0 NOT Appro ed y Engineering: Date: Notes: p) p .1� ' - & frre r-ye it' rx-144/7 `^ Approved by Engineering: Z. /7 Date:le,-S.---/A6 Revisions (after B ilding Submittal only) Reviewer Date Revision 1: Approved 0 Not Approved ,( Ase7.17 ,dis Revision . 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) �J� / Revision Notice 1: Date.gent-te-Ap£aliGa1� Fp, tia> ,,,,-I t(/ .►�/// 7----- --P, J Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant SDC Fees Entered: Wash Co Trans Dev Tax: 1 Yes 0 N/A Tigard Trans SDC: [� Yes 0 N/A Parks SDC: gil'Yes ❑ N/A ,!t -IT OK to Issue Permit Approved by Permit Coordinator: 0. . CGwn.w Date: 1 O -7- Ito UK -k-z. is.S,.t. Ioks (, 48k— Ioa.. I:\BuildingWorms\BldgPermitRvw_RES_091216.docx . City of Tigard III ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: CIST:2_0/G -- ©D 3%y Site Address: /g3 o2 , M 'np 41/e Project Name: Fiver "refcee e 1 eS7' Lot #: g (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? 102 Yes 0 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. 5 t. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide 0 0 0 0 2. Eyes on the street: a minimum o 12°o of each street facing facade must include windows or entrance doors. Percentage Shown: • 3 7o 3 . ntrances:At least one entrance must meet both of the fo wing standards: 1Max. 8 ft. setback from long 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 If/s all the following apply: 5 sq.ft. min. ne street facing entry ft. max.roof above floor of porch 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 façades: bvered 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 ❑ '�ormer min. 4 ft.wide Roof eave min. 12 inch projection `CI .of offset min. of 2 ft. ❑ Roof shingles either tile or wood 10: Gable,hip or gambrel roof design O Roof pitch oriented south min. 500 sq. ft. ❑ horizontal lap siding min. 3-7 inches wide O Accent siding min. 40% of street façade VWindow trim min. 2'/z"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35% or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setb cks: N loser to front or side lot line, than longest street-facing wall. 0 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. ay 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) O -foot-wide garage door ❑ 40%max. of street facade 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: C— ' Date: 4,2 ,. 1:\Budding\Forms\B1dgPdmitRvw_RES RT_062216.docx CITY OF TIGARD MASTER PERMIT M.-- COMMUNITY DEVELOPMENT Permit#: MST2016-00394 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2016 Parcel: 2S106DB08100 Jurisdiction: Tigard Site address: 13332 SW SATSUMA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 81 Project: River Terrace Northwest, Lot 81 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 8 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2229 sf Value: $270,834.42 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 add!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 2229 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 One Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 Required both sides STE 1 2 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,311.61 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. aaj Issued By: 'C '6�l✓� " Permittee Signature: �.le7-7L74./ 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. Build;n¢Permit Application 4�g E 1 F0180FFICEISE()NI1 ‘s::,4,-"ti` "",- Received / Permit No ti City of Tigard Dateir!O///k re°F% r W `� 1 IN q Plan Review - i' 6X /,i—00.:;"4,27 13125 S W Hall Blvd.,Tigard OR 97223 FEBQ Q I 4,� 1 mei Pte' l� Date/By: !� J 7 urs: I H See Page 2 for Phone: 303.718.2439 Fax: 503.598.1960 �� l(1 ( N DazeReadyBY: /d�/ �`! Inspection Line: 503.639.4175 NohReed/Method y Y Supplemental Information TI Ce\RI> Internet: Lin.tigard-or.gov BUILDING 1 ;VISIOlk, y x- : -vim � - � -_ -1 olit Permit fees*are based on the value of the work performed. ®New onstinction ❑Demolition . Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement ❑Other: � work indicated on this application. '``�"° ' Valuation:;),70 <8,.. . -2'-181'11 and 2-family dwelling ❑Commercial/industrial Number of bedrooms: ❑Actrscory building 0 Multi-family Number of bathrooms:'-`1'3, 0 Master builder. 0 Other Cj y �„i711y � Total number of floors: 2 � ,, _ __35::z _- �z-- � I New dwelling area: ,3_40_,) ,-, � ,1�j square feet Job site address:/3330,' S� � �"!k _ r/ " '-' Garage/carport area: square feet SSherwood,OR 47140 Suite/bldg./apt no.: Project ro ect name: ��`� n Covered porch area: t 5\ square feet i �'S J Deck area: Q) square feet q 7 8 Cross street/directions to job site: Other structure area: ', square feet • t' €i -.€ .4• I .. r, .-.. l a'-3 -1 r Lot no.: 6 Permit fees*are based on the value of the work performed. Subdivision: I / Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the -4ki � . _:17.-:-.:-----_,f-:". P- work indicated on this application = , �_ ,. �� :�� �;,,.� r Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet tr- � `, Number of stores: `VJ � :� ,,; -. i '. " - Type of construction: Name:Polygon WLH,LLC Address:109 E 13th Street Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing. Phone:(360)695 7700 Fax:(360)693.4442 New: ,�, -',.'... .. ''--sem^ '° �, .,-x Ys J�x a a�T, t k` ,,r t c. '' -t • Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 13"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:maggre.gordon(a3polygonbomes corn Commercial.and residential prescriptive installation of - roof top mounted PhotoVoltaic Solar Panel System. ' ' � �`'������ __����' �� ��' '��: �---:--'- � Submit two(2)sets of roof plan with connection details u es n_ ::ptifty'r' -x4F0 __ / Business nam �on Vb`L,II,LbC �J/LL/ !� C�t?N / D Pi r3 /A/G 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 L Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60-- J This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete. ( *Fee methodology set by Tri-County-$!'ildmg tndushy Print name:Maggie Gordon I Date:1T/11!15 Service Board. :1271113T 11/02/COM/WEB) I:�Building�PermitslBUP-RESPennitApp.doc 02/24/2011 ( ,,,,, f t � g 'pp�� � � —7. City ofTigar4 FEB 0 3 2016 r t -. Y 13J2$SW ReUBfv4 Tigard,OR 972 ' Dods- Permitat' G7 r6-. 0.� 1 IN Paaa:Ph oe 503.715,23/39 Fan: 503".11Vh tr , • Retired rcendi e:lnsceton Cane 3036394173 E+ 3 as RC lnlcmer bgard-ocgov q u 1 L I In k( i V s s 14? > thc7 rare $ sir a hof x ! „ s.} C 3�.+ k afifitdnvterhad: -,i,„- 1 i Rfornrotiap d4 T -,O P rot NewennsfntetionElMditibnlatteratton/replacernent rickit 413ad,an that apply(submit Iwoetyl omens r ; dI>eltmliGan [ other.; Clservireeorredder4GOamps ormore 08oiMimgoyertbaestories. .,'°*' .N x' - ttriare ahaakmft finitnaretrt :El trtarntat Quid ypalyarth_. trATi ,ildtlt OF 4 P1 71:11 40h' eseeads10.000amtumtSpwnsa 0 Flomiasirodiass. } L4 1-and 2-family dwelling 0 CMnmercialfi tdustrial 0 Accessory building less ro srom d yr osceads 14,0°0 0 ClUmm«°1°1-We aflikolto a1 1:314016-fatniily 1 1'fasterballdex 0Other: mpstorenonwi austwns. buildings IIFGepump, ❑Ioafn�tion of150 KVA or JOR SfTEE lift1111ViTT/N AND LeseAT101d C)Tana a 1 /Oh#: I lob site address,; 1. ,-,,,_\,,! , ["[T. -.i locum., mora rasa or 0 taig 'epara�h`iia CitylStatealP:Sherwood 0R.97140 0 Six et mons residential aunt. occapaacy. alienut-core facilities, I7 Aecmational vehicle parks. Suitelbldg./aptd: l Prniectnaltle: ElltacatdouslocaCwns. 1-7 Suiplyvoltagetormar*III, Cr83$SIIeeE/direetiorL5.1ojob sire: 05trVice orketterWO ampsorrnaia. 600 vara numimt. - 0esc,i060s t oh- 1 each t Tact I a New enstdengat siogIe•or could-family dwelling runt Subdivision:River Terrace I Lot ft:<-1 l tnclsdcstta ached garage. Tax map/parcel#: i J.0�s sq.ft.of Jess f 160.53 4 Ba.add i5 0 ft or portion �' 33.92 1 * OEM071'1040 4Dkr 1 Limited energy.reskleohal New Single Fatally {tvilb abovesq,It 1 75.00 2 United energy,anuU i-ftmtiy residential(with above sq ft.) 71 2 ® 1OW i3E#f {t �]: RIAN i` Re enable En', , C7 See',,•e 2 Name:Polygon Homes services" or s s3us tastatt3tion atreration,anrUor relocation 200 amps or less' Address 109 E 13th St 201 amps to 400 amps 13356' 2 City/State/ZIP:Vancouver WA 98660 sot amps to 600 amps 200.342 601 amps to 1,000 amps 301.04 2 i Phone(369)595-7700 I Fax_{ ) Over 1,000 amps or volts 55226 2 i Email: Temporary services or feeders installation,alteration,and/or relocation t Oo ner ittstaliation:This installation is being made on property that t owra which is not 200 amps or less 59.36 1 intended for sale,leas;root or exchange,according to,ORS 447,449,6770,told 701. 201 Ow=signature: amps to 400 amps 125.08 2 ,; Date: 401 amps to599amps 168.54 2 t JJ t =< APPXICAIllT I 10 CONTACT PERSON Stanch dr131101-nese,alteration,or extension, er panel Business name:Garner Electric Washington,LLQ A.georarbaancTorfee;is,rut; j) aboyeservice or feeder tee. ! '- Contact name Ell Daniels c h ima h circriic fl 7.d2 2 B.Fee for brand-t.ira>F#s,eitheut Address;6101 NE St Johns Rd cervica crteedtx fes fist: branch circuit 56.18 2 E City/StateflP:Vanconyyr WA 98661 Esab aild7 branch circuit 7.42 2; Phone { }32{�i657 Fax: Miscellaneous{service or feeder not included} :( £aeitmanufactarr tturmgtkdet Email:bdanlels@gweusa.ce, dA l(irrg servicenridlar`ferda 67,84 2 COP/TRACTOR Reconnect only 67.84 2 pus ot e oation circle 67,84 2 e Business/tame;Garner Electric Washington,LLC Sigh or outline lighting 67.84 Address:6101 NE St Johns Rd weeks)or limited-energy 2 panel.alteta6wr,orextension. C7See Fage2 2 CitylState,/ZIF:Vancouver WA 9866I Bach additional inspection over allowable in any orate above i Phone:{2$3}320 2657 Additional incpectidt(1 hr ani)) 66.25/at` y __ _ Fax:{' } investigation(1brmn) 90,00/hr Email:bdaniels@giysnsa cam Industrial plant('hr min) 711.18/hr' F. Inspections iur othich no fen is ` CCB Lk.: 01158 I.EiectticalLic.•208174 ' 1 Sttprv.Lic• 4496S specifically lisiedi%hernia) 90.00/hr Suprv.El cttician signature,r „al/ 1p [1 ;E.1.1 r - R.il:, i required: , f 1t1P equi 5%ofpornR i Print name: subtotal: P Albert - '�ta'i Date; � 1 LI Plan Revlaw'ft red a p). Stale retch. arge{12%,4 elPeoll i fee): 7 �V pERIviit File, Authorized signature: TcyrAL�. T p Frintrutmt�'BiliDauicl�- Dote: iUJ trail application expire%ifin cavilisaotubtaroed',uil6brt80 dd days'at fiat bus beneaccepted ax complete baatr O*P0mmussLe amabApp Minta£as Rev 06/t7t�15 44O96tST(1 liSIC'<ltwee ltambtr afiaspactiairs allowed per ptrnail ± . I , 1 r i 1 r t i„ . . Plumbing Permit Application Building Fixtures RE(-,; ,F771V, ED 114 City of Tigard Receives( Date/By: Pcnnit NVItS 7;2e/C'003 /Yr _ar II 13125 SW Hall Blvd.,Tigard,OR 97223 I:7p ^ 3 2016 Plan Review : kz Phone: 503.718.2439 Fax: 503.598.190u 6 L' Date/By: Ott=Permit No.: 'Inspection Line.: 503.639A17 , „ .r Date Ready/By: Jur is: SePage 2 for Internetwww.tigard-or.gov kaI 1 ) j Notifiediiviethod: Su.,tenants}Information * ^' ' • PARPr,,:ft* , ,"*„., si.44"-tel-..,.` • '''' '=".• -.'''''' .:v. -1=2-7-.:-....---IT.,:"-14.v.-4;,to, _>:-J- :....4.1......„,,,,, For special information use checkfisL Lhqew construction Li Demolition Description I Qty i Ea. I Total 0 Addition/alteration/replacement El Other New 1-2-family dwellings(includes 100 ft for each utility connection) :.•::e,,vil:".1 %'.4''''.4-AV..ri,;-;:e•44.4.-.44-4'tyi..'ia-rir:do r"°*s elliifTrJ:41 t'-; <A,,f-,,40,,,A-41;tra:,:.. .. SFR(1)bath 312.70 •..--;•-•;:".-7,-,1.-'...- -.!1,24;--„,,,,,ft.,-.^-11 ,--,t, .4,-- cl, --.',-.•,„.,-., ..Ev.-.---; ,,re,'..,.. ..f.141-, 01/2......,,--.._ . SFR(2)bath 437.78 III 1-and 2-family dwelling 0 Commercial/industrial SFR.(3)bath i 50032 0 Accessory building El Multi-family Each additional bath/kitchen 25.02 0 Master builder D Other: Fire sprinkler( sq.fl.) Page 2 ,-,s,.•:';4..44,4,,,47..rgv..-.-d,,V .'.7,--FA,,a,'-°- ,, Z.':,7,.: - '-'*.,4-"..° - 11 ,z-"it'4i.4.11-'":1-ti;i4 .°:"',.; ;V: Site utilities- 47k. ,.'' Catch basin or area drain 18.76 Job site address: ‘ ' . tk): , SC-C40`-trY‘ -7Ck)t) Drywell,leach line,or trench drain 1836 City/State/ZIP: CiRs1j(Vrt)c-b---A, 0 (Al\4(._.) v i_ ^-\ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no,: Project name: II°\\)-e.,(- --(1,c,xccfce u_..../ 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 it: ) Page 2 Subdivision: Lot no.: Z ‘ Fixture or item: Eackflow preventer 3L27 Tax xnap/parcel no.: ?--?, ';'.'.4.Z.'.75:ijfit<Iff:,),:;5Viit,4.-411115,if ttiv:14::W*-!=k.40,17.Ai-`Zi:,,440;;4°.4.2.13 Backwater valve 12.51 ;,,,,..-7.-,1,,!..z. ,-s...--:-,,--4......-1--,-,::,s.% -,,,.-5-----ow.›,,v.... -.-'m-,•-:..7:--:--- •,i,r--_,,'-'•'.,----''''.'"°- ''''' ' *4'2 Ciothes wa.sher 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25..02 P'4,iu.:1;.-5tizIE:.,.Wi÷!,•^.. ,2'S: ":z. 11•4";''''.4'.i.-'40,--.7-'`AAVVOittrt*- 1561 ,i147 r2eV.P.1", ExPa11631311 12.51 Name: PO eii--IN oedln f)--- Fixture/sewer cap Floor drain/floor sinlohub 25.02 25.02 Address: \ Garbage disposal 25.02 City/State/ZIP: j e ji La A It a i 0 Hose bib 11111 25123.°21 ilf) icc makert*:t7-ASf:Q't.tk:%;74N4.,'N'X';,'Attlgtfartt,t*--So.3i.41Va4i,1;j4ir:- te .t,,;AT--ilt:i-ft,..,W,Cj Interceptor/grease trap 25.02 "--'-''''''''"'`..7.-''''''','4.tg''L.:''',',''','',,'''''•.',"',,,,` •- ''''P'6,-','4',--, I. :',..P4.-t.-_V',`;'1, 4-h-"'A''C'7:., c:II'1 ____. , ' Medical gas(value:$ ) Page 2 Business u'iLue: r1--1-4.rie.-4-,-144.) t)1 u.,1-4-1 r\t I.,‘.., CPrimer 12.51 Cantact name: WI0 l(1/ t41-1,1 ,c=v-to Roofdrain(commercial) 12.51 Address: ..:1:> .... Sink/basin/lavatcay 25.02 City/State/ZIP: 6-;4-echAl\A ()19---r q-.)(-) .-0 Solar units(potable water) 62.54 Phone:PP i ) SCA, ' %-f 5C-3 Fax::( ) Tub/shower/shower pan 12-51 • • Urinal 25.02 E-nlail.: K., 0....4.1"TVA er, jr 011 f‘AP4* trij • 4.'"vv"\ Water dosd 25.02 -&,•'-..,:`,:,-,,*'.4'N.-...T1-,:tt'e.r.v....,,,,- .1:4-,Tr,r,`*,-g.S4.4.e.',-,-,1k.':,-2',"-: ,;-,m.,-. .,M::,,75:•.-'4Pt.D..'74.::;-.•:1*-.V....et., Ihratet h,...4„. 3732 Busiriess liame: k - ' VryN rA,-(\ P(LA_irliAi vv3 t ..1X .. Water piping/DWV 56.29 Address: PD G D'k 13.7., Other: 25.02 CitY/SrarerZIF:aShet..-Arl OR.- 97660 Subtotal Minimum permit fee: $72.50 Phone:PO/) g-01.0 -q/13 F.:( ) CCB Lie.: 2,t)(0 4 2_ l'hunbittg Lic.noFe}1 Ub2, Authorized signature: / t....„._ _ k\-------- . • Plan review (25%of permit fee) State surcharge(12%of permit fee) • TOTAL PERMIT FEE - - This permit application expires if a permit is not obtained within 1110 days Print name: Ma 14(.„. 1.44tuce/vim 1., Danil ..-1 ook. /I, • . ' I ((F after it has been accepted as complete.• *Fee methodology set by Tri-County building Intlusay Service Board. rmtandieg.Pccoatatmu-PamitApp.aor 10/M109 440-4616TO GILICOMAVF_H) • s Mechanical Permit Applicat � . RGCi13of Tigard oateiEty: Permit .:� S%c2t1/(�.00:2,97" 13125 SW Hail£SiVd.,Tigard OR 97223Phis Review Phone: 503.718.2439FEB 0 3 2016 Other Permit. ��: 5G3.598.196(} Datar'By- i i1, Inspection ction Line: 503.639.4175 Date Ready/Fly: Vis: id See Page 2 for t Interact: wWw.tigard or:2ov CIT \'' OF z 1 ?s NdifiaifMethrxt; Supplemental Information t BUUU5)U\ ) sr1 \t E�} € a a ,.,;s te=a,. i,:i::','�',.''-'4'::.....'''''' e.rO ..s.. , ;44 ., :,„,i .,:- . ., Y.::.... .-,. '_. • Mechanical pemtit fees"are based on the value of the work tgi New construction Addition/alteration/replacement performed.Indicate the value(rounded to the neatest dollar)of all ❑Demolition 0 Other: mechanical materials equipment,labor,overhead and profit. Value:S '-„',-.4:47,,,,,e...- -6,.. ' .. `' d...' vim*. -g- i.1, t1 , V 3 3 'Y ' .d "<... 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use c*eeetiu 0 Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total j °: Heating/eooling: s a � ' E ; t : Air condition ine _ 46.75 Job site address: JJ�J L SdLA k_t 7 .\v f Furnace 100,000 BTU(ducts/vents) 1 46.75 Citv/StaterliP: Q1\1 OR Q Furnace 100,0004-BTU(docrsi^es,ts) 54.91 Ileapump 61.06 i Suite/bldg./apt.no.: Project name:River Terrace t, J Duet work 23.32 Cross street/directions to jab site: H}dmnic hot water system _ 2332 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall ire-duct,suspended,etc. 46.75 Flue/vent for any of above 2332 Subdivision:River Terrace I Lot no.: � ' 23.32 Other furl apphisaees: _ Tax maplpa+rcel no.: Water heater . 23.32 z`fit t a at .:,-t ter` firepiacei nsert 33.39 Gas i •..-. , ._ : Fltre vent for eater heater or gats HVAC fireplace 2332 Log lighter(gas) 23,32 ' Woailpellet stove 33.39 Wool fireplace/insert 23.32 Cltimncy/tinerltlnelvent 23.32 .s .. ... 2332 -::-:'',:..,'0;1,2:--;,--: f '`..'-t;'-',',“,','-'"4-"4'.'".e 'r .:".' 1, ,,.S .' Environmental exhaust mud veurnatiuna Name:Polygon Range hoodfother kitchen equipment 3339 Address:109 E 13tt`St.Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98668Single-ductexhauct(bathrooms, toilet compartments,utility rooms) 23.32. Phone:(425)586-7700 Fax:::( ) Atttcf rawlspace fans 2332 b Other 23.32 Fuel piping Business name:Apex Air LLC 514.15 for first four,$4.03 for titch additional Contact name:Staci Hay Furnace_etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump Walttsuspendedfunit heater City/State/ZIP:Battle Ground,WA 98604 water heater Phone:(360)342-8109 Fax:::(360)326-1769 Fireplace Range E-mail:staeih(apexairco.asm Barbecue . r rClothes dye ), Other Business name:Apex Air LLC ' 1,'„t,"1,s t r :o-%t'a .;i l n i 4,Z."''''‘;4:44 .,"'''' ..,•. .:; ,' ., .'.1' #! -.wr.. . ,,,,', 4.. .flu.:„.; Address:220 W.Main St.Suite 107-212 Subtotal City/State/ZIP:Battle Ground,WA 98604 heiittitnma permit Fee(590.00) '' Plan review(25%of permit fee) Phone(360)3424109 Fax:(360)3264769 State surcharge(12%.of permit fee) - TOTAL PERMIT FEE I CCi3 lie.:2030341 This permit application expires if a permit is not obtained within 180 ' / -7 days after it haus been accepted as r»,uptct�e. t„,„,../T i it T Builth Industry Service Hoard Authorized Stgnair3rC`t .� Pee methodology set by Tri-County ttg dt�tt} I Print name:Staci bay Date.1/28/2016 I I iifseildmglPesmttsMEC PernatApp_f340113 doe 440-40 77(1 tial- Y7 iRi'ES) Net ( • IIICity of Tigard S q COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: /`1f7 /C — 002 9"f Site Address: iSSS cQ l ) -galCifrA2 /191/eProject Name: /V-er �rk2Ce / - k3e,g7-- Lot #: e/ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1ti,ea j p-ie__ 4-erify site address/suite#exists and active in pertniserern. River Terrace Neighborhood: ❑ No 1Cl Yes,See River Terrace Review Addendum Attached Sit Plan Elements:Phipth ree(3)copies of site plan e plan must be on 8-1/2"x 11"or 11 x 17"paper Foo tistructures on site of awn to scale(standard architect or engineer scale) new structure(including decks)with finished or elevations 16iorth arrow ValUtility locations (required for new,may apply for additions) Atte address,project or subdivision name and lot number iJl'%cation of wells/septic systems lig/ plicant information(name and phone number) • '4 "sting trees to be retained with drip line,and tree t dimensions and building setback dimensions protection measures L Lot area,building coverage area,percentage of coverage and Sifeet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) SVS Illt tree.t names Property corner elevations(2 foot contour lines if more than 4 foot differential) t `lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified lV No 10 Received: ❑ Yes ❑ No Public Facilities'Improvement(PFI) Permit: i equired: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Land Use Case#: Pbi?Q©/c i ; • r ,J 110i/Zoning: / - . (Ph ad/Required Setbacks: Front � 'ear / Side Landscape Requirement: c,20 %' / Street Side �arage �t wof Coverage Maximum: — ilding Height: Maximum Height )�� 1 Visual Clearance g ' �/ Actual Height _C' J Ir )ements t{132)*nsitive Lands: El Yes /'No lu Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: _ )/ i, /a/. r AP—,' /4 'A .s .0 Ar. � � ..'iii_ I _..r _i Approved By Planning: ,. �' .,,. Date: Revisions (after Building Submittal only) Revision 1: CIPP d ❑ Not Approved A roveReviewer Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPermitRvw RES_091216.docx Building Permit Submittal Original Submittal Date: 62/3/" Site Plans: # 3 Building Plans: # 3 Building Permit#: ©'Enter building permit#above. Workflow Routing: ''Planning a-Engineering [+ Permit Coordinator B—Building Workflow Sign-off: D-Sign-off for Planning(include notes from planning review) Route Application Documents: R"-Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: r+ ` By Permit Technician: �Aur-, oviDate: y/ Engineering Review XSlope at building pad: ❑ Conditions "Met"ditiprior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: ❑ Yes 0 No Date: CINOT Appro ed y Engineering: Notes: 1ep: __6" e e FM21 ,1 /�L� b Date:,fp-�C'•-�,� Approved by Engineering: Date Revisions (after Building Submittal only) Reviewer Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: CIApproved,NOT Released: 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: a-Yes ❑ N/A OK to Issue Permit C64,A_ o Date: I d --7- b Approved by Permit Coordinator: �- �Oa Q' 4 155.4 (0l 5 . I:\BuildingTorms\BldgPermitRvw_RES_091216.docx i 1 City of Tigard 1111 " COMMUNITY DEVELOPMENT DEPARTMENT r 1 c R o River Terrace Building Permit Review Addendum Building Permit #: O`7S- 0/G no 3 jX Site Address: /g-32 g „g1/19 /e Project Name: ,e/ver T- rkocQ ,4jm/Akiesi-' Lot #: g (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan DistrPct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Ir 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 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ El ❑ ❑ 2. Eyes on the street: a minimum o 12%of each street facing facade must include windows or entrance doors. Percentage Shown: ST. j740 3 . ntrances:At least one entrance must meet both of the fo wing standards: 1Max. 8 ft. setback from long 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 ❑ No If s all the following apply: 5 sq.ft. min. ne street facing entry ft.max.roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five pf e following elements on all street-facing facades: Ivered porch mm. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep V all offset min. 16 inches Elormer min. 4 ft.wide Roof eave min. 12 inch projection T. r .of offset min. of 2 ft. ❑ Roof shingles either tile or wood Ig Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑hin orizontal lap siding m . 3-7 inches wide ❑ Accent siding min. 40% of street facade IJdWindow trim min. 2'/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setb cks: 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. ay 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) ❑ L-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: --.. 7ifjji,,,, Date: n2 1:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Applica ""' , Building Fixtures NOV 3 2016 City of TigardD `e // `I /(r` Z` Permit No.:MS L t -00.339 u L3125 SW Hall Blvd.,Tigard,O (it' OF TIGARD_ Plan Review "Y • Phone: 503.718.2439 Fax: 50 •:. '.0D�By. Other Permit No.: Inspection Line: 503.639.4175BUILDINGDIVISION DateReady/By. too,: Ed See Page 2 for I ,'' ''i,h Internet: www.tiand-or. ov g g Notified/Metbod: Sappkmeaullntormation ., _. •...: 'INP -OF W ,.... •__ , :..FKEi Sf4F1DVI " , ®New construction • 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION' SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial 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 _ Site utilities: Job site address: f 397_ Ste► C...(�1 isilm {J Cabasin or area drain 18.76 �N Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: l Project name/2,6/0f Myrna, NW 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: j ✓ %/ J N v Lot no.: (� Fixture or item: Tax map/parce+=lino-:u--T Backflow preventer 31.27 DESCRIPTIION"OF�WO/RK Backwater valve 12.51 l`^ eR 1a+ Clothes washer 25.02 ON Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.'PROPERTY OWNER ( ❑ TEli1ANT 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/StateJZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 ®.APPLICANT . 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) 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.Grajewski()polygonhomes.com Urinal 25.02 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 CCB Lic.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: C..... TOTAL PERMIT FEE I Print name:Carolina Malmedal Date:04/25/2016 This permit application expires N a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitsTIMU•PermitApp.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: 13332 SW SATSUMA AVE, BEAVERTON, OR, April 19, 2017 at 1 :01 :50 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00394 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Remove cord prong from outlet at entry sitting area, unable to test. Thermostat not shutting off main bath cadet heater. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13332 SW SATSUMA AVE, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2016-00394 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13332 SW SATSUMA AVE, BEAVERTON, OR, April 20, 2017 at 2:30:17 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00394 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Breaker lock in p,ace for bathroom heater, no power to check correction. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13332 SW SATSUMA AVE, BEAVERTON, OR, April 25, 2017 at 1 :44:03 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00394 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Cleanout body not glued as noted on 2 previous failed plumbing final inspections. Re inspect fee applied for third failed inspection without correction. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13332 SW SATSUMA AVE, BEAVERTON, OR, April 26, 2017 at 11 :46:05 AM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00394 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13332 SW SATSUMA AVE, BEAVERTON, OR, April 25, 2017 at 1 :30:34 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00394 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor