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Permit (142) Plumbing Permit Application C�( /7_i Site Utilities RECEIVED FOR OFFICE LSE ONLy' City of Tigard Received 1� 1114 II 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 3 1 2017 DateBy: (5//7 � 'ermit No s��o/?`,�j�( Phone: 503.718.2439 Fax: 503.598.1960 Nan Review ��C Date/By: 6-2 -j 7 Other Permit No.: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARDDate 4^�6s Internet: www.tigard-or.gov BUILDING DIVISION eady/By Juris: I ® See Page 2for Not fd/ th Supplemental Information '1 _A lZ - ®New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacementDescription j Qty. I Ea. 1 Total 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) ,. , „ ....y -v: ! SFR(1)bath I I 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen 25.02 ❑Other Fire sprinkler(1,221 sq.ft.) J Page 2 Y �� ,� ,l ,�.. �... � ' Site utilities: Job site address: 13394 SW Beach Plum Terrace Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:NW River Terrace Footing drain(no.linear ft.: ) Page 2 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 I Lot no.: 192 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 -,4,,,,-•:, y,„„,,,,,,*;:,*,-A rn Backwater valve „,.. ., � I 011e 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Permit#MST2017-00061 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 N � � t * Expansion tank 12.51. :, r' >. Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax ( ) I •►®`��1 � � Gema maker 12 51 ,se �.vim. �;�„�� _�� �i,.;. �'1f� �` ' �` � Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units (potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 >•. Water closet 25.02 Business name:Alliance Plumbing,LLC Water heater 37.52 Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.: 184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) ��/ State surcharge(12%of permit fee) Authorized signature: (____, TOTAL PERMIT FEE I Print name:Gavin Thomes I Date:5/24/17 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IiIBuilding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su� ression Systems: � ., ., ,.� �ok0�,.,;, .�,,. . . k 0 to 2,000 $121.90 Footing drain-15'100' 50.03 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $23320 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: 37.52 .t A u, " ,,, Water Service each additional 100' ;' + •,_ � "r t•• .i, ... ;° Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for A )t e each additional$100.00 or fraction thereof,to Otlil~ill� � 1111 � � .� ... �,.. ...�.. and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Ad (minimum plan review forhrevisions each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. - - Quantity by Fixture Ty0 s. n ,fiiitociiiihinie s U i , fi rt Type fur gnaw* Plan review is required for any of the following. Work Performed: ed A' Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drivepor as defined in OAR918-780-0040. Cuspidor/Water DishwasherCoirator -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink -2" -3,, Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food that meet the qualifications above. Disposal -Domestic-food related -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Cincrease of sewer EDUs,a sewer permit will be issued and Water Extractorfees assessed for the sewer increase must be paid before the Water Cloosset-Toilet Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pdmit.doc � CITY OF TIGARD MASTER PERMIT s: COMMUNITY DEVELOPMENT Permit#: MST2017-00061 TIGA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2017 Parcel: 2S106DB19200 Site address: 13394 SW BEACH PLUM TER Jurisdiction: Tigard Subdivision: RIVER TERRACE NORTHWEST Project: River Terrace Northwest, Lot 192 Lot: 1 g2 Project Description: New SFA. Building/unit 9.3 BUILDING Floor Areas Required Setbacks Stories: 3 Bedrooms: 2 First: 97 sf Required Basement: 0 sf Left 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 453 sf Front 8 Dwelling Units: 1Smoke Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $161,691.36 Rear 5 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 Rain Storm Sewer 100 Water Li Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 D 0 Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Furn<100K: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fu rn>=100 K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O SvGFdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SFA VB R-3 1221 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 2 Geotechnical Inspection SCOTTSDALE,AZ 85258 Required before foundation PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $22,693.52 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 95,2-00001-0090. Yo .yn�'ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: L�=Cr ;i� jG ��''�" _ � � Permittee Signature: 5r� �i /��e.�ic Call 603.639.4175 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. { BRuildd><ng Permitial Ap licatio ral to col FOR OFFICE ISE ONLI esient Ir Received v` �/ //7 'Ilip Permit No.A J' U/7-( y City Tigard 1 r-C 02 1116 DateBY• / 13125 SWW Hall Blvd.,Tigard,OR 9722 Plan Review '` 1 It Other Permit 6�j,�,2 a 7,6i C Phone: 503.718.2439 Fax: 503.598.1960 DateBy. fd + H See Page 2 for rao- vl S°"' ° Date Ready/By. 7urir. I S Int Internet n Line: 503.639.4175 a , a: 3 ily( ,2�'a /i'7 7(j- Supplemental Information TIGARD Notified/Method: /ION � www tt and or.�ov /L d,e _ g e e o i/iv x1.1 IGD S IE ®New construction ❑ mow ns���.___�� '_-.- e Permit fees*are based on the value of the work performed. Demolition Indicate the value(rounded to the nearest dollar)of all 0 equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacementOther . ` 7> workindicated on thts app . �, . . _ l-and 2-family dwelling Commercra]/mdrstrral Valuation: 6 I,69 $75-617k1 ' Number of bedrooms: Z o Accessory building 0..Multi-family ❑Master builder 0 Other Number of bathrooms: Nik a. ! , 6 ,,�, , .-;iii„r Total number of floors: 714 �=-�- " ��"-� P New dwelling area:�'� square feet `� Job site address: I�t4 SVJ mean 9�um T�v��c--e— �6� Garage/carport area: 4 s- square feet :S' Tigard,OR 97224 �n square feet�j`6 a (� Covered porch area: /~ q Suite/bldgJapt no.: q�� I Project name:River Terrace Northwest /'r Deck area: 7 © square feet 9 Cross street/directions to job site: :�� Oth �� 7 fl square feet Lot no.: ill Permit fees*are based on the value of the work performed. Subdivision:River Terrace Northwest Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the � aluatiindicated on this application. N Existing building area: square feet l./ New building area: square feet . . ,, r s ,,,. W - Number of stories: 4 Type of construction: Q Name:ADVL Land Holdings,LLC V Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) � f.` New: w .x kr .s. 'rte -� ,. £ _ . ' , -� 1d _:„..4.,47„,,,,,,,, s - 7, t� t �: "e”, ?7 ,. ' m ..,7_7-4:,..::..---17:'? u " --- ; • Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13'Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax :( ) _ -- a - w E-mail Angela.Grajewskr@polygonhomes.com ,.. .....7.,..*. Commercial and residential prescriptive installation of ,_- `7 6 - ,,; - w. roof-top mounted PhotoVoltaic Solar Panel System. �� � ;` N _ '_-_- -- Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist Address: 109 East 13th Street Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 and administrative fees): ' -qne:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 _ B lic.:207247 Total fee due upon application: $201.60 • This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. `Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski I Date: /211(0204 — Service Board LABuildinglPermits\Bi3P-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ir; Ct r ,$ T, 1t° '1 s: city of Tigard and ttecolved Dale*: Pencil Wa. s //— x'064 .IN r 13125 SW Hall Blvd.,Tigard,OR 97223 L-1---q 9 -pian Review `, ,Phone: 303.718.2439 Fax:. 503.598.1960 ',-t' ' '''' Outer Permit: rig,,.r.t Ins lionUne: 503.639.4175 Bey' interact www.ligard-or.gov ,; Date RNotified/Method: lta 0 5eu lent 2t for ofiedlMethod: p ncntaltnforwation • p11 �{ . i_ :ScPz` ! k ` 'a 'Ylek ii• Pe 'QtaP � , a^� s9 . 4431Mt .. ii.. ,,,v.t.,. .e< " . sFh F .a f , z value of Mcchanteal p �;lVew sonstructiaq t rmd fees`are based on thsF the work Addie onlalterationlrepla�cetnent performed.indicate the value(rounded•t the neatest dollar)of all ❑Demolition ❑Other. mechanical materials.equipment,labor,overhead.and profit Value $lte . . N7a -SAMCA #x �n ^^-O' b.. .Ttft;; Y -0 h. tiM�,.s[.xl 7 { 0**0:#itig#00K`W''':''; 0.1-sand 2-family dwelling 0 Commerrcial/industtial 0 Accessory building For spedal Information tali checklist. ®Multi-family n 0 Master builder y0 Other: y DestxipZiotn , Ea. Total 2�q[� ,- } nti Air oondiriuniitg f 46.75 Job:site address: 1/2 J / 7 SW be.A.-t/L P ( vyt {_bAra.Ce . Furnace 100,006 BTU(dtiets.^..eas) , 46.75 CitylStnlc zii:Tigard,OR97224 Furnace 100.000+BTU(duos/Yeats) 'i 54.91 Stlite/bldg/apt no.: t Project trainer Heat pip 61,06 �9 �J` aY Tei'1r1uf,._.Ni�C�f a bicevork 23.32 Cross street/directions to job site: Hydranichot water system r 23.32. Residential boiler(radiator or t hydronic) l 23.32 Unit beaters( te1. 'pq,not electric), i' in-wall,in-dare,suspended.etc. ii 46.75 • Flitefvent for:any of above r 2132 Subdivision; 'ver T•P 1 ette„/Viv /lin) 4— Latnp::19 Z Other:. ........ jip.. IJllher flet aiices: Tax maplparcel,nci.: i 23.32 Water heater. T.�� ' . I (1tAVVI5ta 43. AltMr alT .Gas ffrepinceruisert 33.39> Flue veatfor`water heater or gas tt Ile*h ew ome eolastrstction fireplace t 23.32 .-fAa lighter(gas) 23.32 Woodipelita"stove _..� 33.39 Wood Arcplace/insert . 1 2.3:32 Chinincyilineriflur/vent _a 23.32 •„:! 1 4m so. C ,t;.`,�•'• Otho:' 23.32 Erivlt+'oaipriilai exhaust and verttilattoa�: Name.AD' 'i Land . RangeboOd/other kitchen egtifptiieitt. / 33.39 Address:7600:E;Doulaletree Rauch Road Clothes dryer exhaust 1 33.39 _ City/Slate/ZIP:Scottsdale,AZ 85258 Single duet exhaust(bathrooms, r, Phone �� toiletcotripartmcnts,utility rooms) l 23.32 ( )694.4031 • fay::( ) Attic/er vlspaee.tans. ''--L1—� 23.32 z , x "'1 1e aj Via,-'E;f''a : -_;;t`".�r�".,.r .r ."4i.§..4-. . •1,''P':., m :.g ..? .`` ' •i `i Othher: .1 123.32 • Fuel pipings , Bnaj. 0a.riaml. VinianA ...you Homes,roe. S14.15 terra*fan;54 63 faded additional Contilet'tiaate::Angela Grajeayskl Fu nace,etc: . , - • A.ddriesst109 i6atst 13tk.Shreet Gas heat pump MIN .Wal/auspended/unit heater Mill City/444MVancouver,WA 98660 Wafer heater 1 IIIIIIII Pliedb:(360)695-7760 . Fag::(360)693-4442 . . Fit rlace f, III Ram -E-m04ag G/pwskOpnyplam44m! Barbecue • t 440a ? 74NY.. t{,c `Mu ' 'u"1i , _ r '4li= ;:i CothesLo per(gas)„ 'Bitsuiessne:Andersen Mebaicl,foie.ma Other° Address 16285 8W ii,Ob Ave rn{,,yrs ”a s._'t 0:••,-.bt a r c "i ibtntal EitylState/Z1P;-Tlgard,OR 97224 Minimum permitfue�890.00) • Plan review of permit fee) Phone:(503)192-6664 Fax:($03)5364615 t Stems surcharge(1244 of permit fee) CO.lic.:16$214 TOTAL PERMIT FEE. This permitapptisidim empires ifs permit net obtained within IAO' ^^-,-..,i., drays alter it has been accepted complete, Aute cKizec]5l are ' lee Methodology set by Tri-County fiuildin, Industry Service Beard Print AligelatGrajewskl I Date:8/22/1.61• F 11148iddfn itmiielid C_ainkripp PShtl3-doe 440461ir(I/1040MVEBi t n Electrical Permit Application FOR orrice.usl_ONLY City of Tigard Ififi:` Received DateiB : Permitit:/1.5 #/7„vac, '4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review : Phone: 503.718.2439 Fax: 503 598.1,960 Datem : Inspection Line: 503.639.4175 + „. ,' Ready Date/By: EMI E7 See Page 2 for T1 C fiR D Notifed/Method; Supplemental information Ittttmet wwtiv.tigard�r.gSov vn5 y, 9 J,, [� G "•r : -.,,V `'7*.c A . '-�...' '�:%1 k,e '•? J •7'.', Zt4— •4 3"e ..Y,'.,.`�"-fi,dt ?kyr4AVA �, -.. lC""i-�'?u,`••' -•,'' 1:-''''4"-'''''''- 121 w ®New construction ❑Addition/alteration/replacement Please check all that apply(submit,sets of plans wittems checked): D Service or feeder 400 amps or more D Building over three stories. ❑Demolition d Other: where the available fault mascot 0 Marinas and boatyards. , a>Z•;'4 0, - , ' '4,i-1 .,y:_ V€..4:n1 ^� '1y2, �• i t .,' '.,� _i exceeds 10,000 amps at 150 volts or 0Floating buildings. 1-and 2-family dwelling ❑ N r Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 D Commercial-use agricultural a Multi-family - amps for ail other installations. buildings.. ❑Master builder 0 Other: D Fire pump. 0 installation of 150 KVA,or ti arY^cS�z':y�' '',§ 0 tme nc stem. larger separately derived ''''',1"P'..-.'v<�"�' � '.3;. [;,` .• Fe@B b%t :S�L �£5 & :-">.i---i''.'..�r. tom' Y SY L/ j'�,,,.,,t_ 0 Addition of new motor load of system Job#: lob site address:`3 7 S W Bear...14 pi,,,,,,,T<Ary- lo0RRP or more. ❑"A ,41-z�.�l-a 0 or more asidunits. occupancy. City/State/ZIP:Tigard,OR 97224 ❑Hiaalth-care facilities. D Recreational vehicle parks. pJ Suite/bld ./a t#: q Project name:PAW ra c \�!f1 weft D Hazardous locations. 0 Supply voltage far more than Suite/bldg./apt. / D Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: • ,41-A,-,-,F:', re.At, e t rl i '•1--,i,---4,,.'''---',5;.. ...,--n >, Desrtlptloa Qty. Rad, I Total ^,: New residential single-or multi-family dwelling unit. t Subdivision:AVA fre T24.040cA. f' (C tnie s f` Lot#:/9 Includes attached garage. 1.000 sq.ft.or less ` 168.54 4 Tax map/parcel# Ea.add?500 sq.ft.or portion I 33.92 1 "i. ei ? ' '' gA2 A. 1,at e a l' O L+ .J * iffj. Vit,aL.t-a 7 W: Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy D See Page 2 r, :Ln ; ,tt'r, :),VI r. *, x - ----.4-'1c4-11.1: &11-+ ' ,,," ` Services or feeders installation,alters tion and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/Z1P:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 . 2 Phone:(602)6944031 Fax:( ) Over 1,000 amps or volts 552.26 2 --- Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 � r 4 ,� ; ,eBranch circuits-new,alteration,or extension,per panel ,5,,.,? A v ?Ys .�v; 0 '' e', � .aw ' ? A.Fes for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 742 2 _ each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without sAddress:109 East 13th Street branch or feeder fee,first 56.18 2 blanch cfzcntit City/State/ZIP:Vancouver,WA 98660 Each midi branch circuit 7.42 2 - Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' ' Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service andior feeder Email:Angela.Grajewski®polygonhotnes.cam Reconnect only 67,84 2 ''f" '07'.."-:-.. eta? i14:S! : ac ,:a -5` „ 4 ,2•=7, , Pump or Irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 .,.,,, Signal circuit(s)or'kited-energy 0 See Page 2 2 Address:6101 NE St Johns Rd panei alteration,or extension City/State/ZIP:Vancouver WA 98661 Bach additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr -Email:bdaniels@gweusa.com Industrial plant(1 hr min) • 78.18/lir Inspections for which no fee is CCB Lic.: 01158 Electrical Lic.: 208174 I Suprv.Lic: 44965 Specifics listed A.hr tum) 9000/hr -�� o'?' e`er .. , " 4 _�;31i..C' r •a i,a,;t 1`y+dal rS.- -, �r. ;�£ti;. Suprv.Electrician signature,required: ' r I . , . r' x�k ..,. -• Subtotal: Print name: Joan P Albert I Date: 4126/2016 D Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): t --” TOTAL PERMIT FEE: Authorized signature: .• - This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per petmIt . RbildleglPermitilLC PennkApLELR SRfi doe Rev 115117/2015 44046157(11/OSFCOMlwsn , PTumbin�Permit �iC`dtiQfl Ana ' „ f�' Building Fixtures Mk �44� t. T Received Permit No..../4/57-.20f`7 City'of Tigard 1 i Datef$r 13125 SW Hall Blvd.,Tigard,OR 97223 Ptah Review Other Permit No.: Phoria: 543.71 82439 Fax:'543.59$.#9 may' A page z for tnspe@tion Line 503.639.4175 Dane Rea�1Ry sup gent for 1 Internet: www tigard•or gov Nodf ed/Md thud x a' h r k f +n r _ 1 as ��...a 't-�•^. i. f .727`.., G .: ti; � yF�rScospe information checklist FOf �d/1!!Pr9rrrrli0 � I '�'�laf g New c sinictiort fl Demolition Description l Qtv- 1 ❑Addition/alteration/replacetment 0 Other ..Nein 1-2-family dwellings(includes 100 ft.for each utility connection) ,. '" � ,,,vr m*--s SFR(t)'bath IQIQ¢¢ x 3 � - - 437.78 ., .,�� -.,,. � �SF'ft(2)bath - and 2 4arnily dwelling ComrilerciaUndustrial SFR(3)bath 504.32 � Multi-fatuity Each additional bath/kitchen 25.02 0 Accessory building Q Master builder 0 Oar: Fire sprinkler( sq.ft.) Page 2 a�s e, � Site uffl,ties •»S ( �_'. / .0,3+ r,�,� Catch basin w arca digin 18.76 Job"sire addressI. 1 ! V V 80-illi Plum�1 i`f w � Dryweli,leach line,or trench drain 48.76 City/StatelZLP:Tigard,OR 47224 Footing drain(no.linear S.:• ) Page 2 der (,grace. lfi t1•'• Manufacturedhoraeutilities 50.03 $uitelfi#dgJap3 no.: R, P�j� �{ !v WG Manholes 1&.75 Cross to job site: Rain drain connector 18.76 Sanitary sewer{no.linear ft.: ) Page 2 Storm sewer(no:linear ft.:_,_) Page 2 Water service(no.linear ft,:•_,�,,,) I 2 Subiiivisioxi;. Lot no. Fixture ar item: 31.27 �f i1eY 7�,YvtxGe N�r (t�1 WPB I j Backflow preventer R 1 Tax map/.parcel no.: � Backwater valve 12,51 Clotiies;washer. 25.02. Dishwasher. . 25'02 Waking fountain 25.02 • ' 'Ejectors/storm 25.02 y� [ .ti- 12.51 b 1° S x� ".,.., r ,.'v '.�.r '>_••`"` `^' a"•k ;fi.:;k`K• ` 1.,5.F ,,r '•�.•• � Fixturersewer ca -- p 25.02 25.02 Name:..pDV[;-1:aiid Holdings,14C Fititir drain/floor sink/hub 25.02 Address:.7600 E Doubletree Ranch Road Garbage disposal City/State/ZIP;Scottsdale,AZ 85258 .Hose blti 25.02 Fax ( ) [ce maker 12.51 Phone:'(602)694-4031 x 4 _ ; 4 �-•t �t Interceptor/grease trap 25.02 ureal gas(value.$ Page t `Business Hallie:,�i'Ulaain"'L.Y.dn"Hoares,Inc; • Pr#ttis r 12.51 .,. _.. .. 12.51 Angela Gr>oijevrslti Roof drain(commercial) 25.02 • CgntaCt�re: Sirt#:/basin/lavatory Address:109.East i3th Street 62.540 SOlar units(potable water) CitlState!ZiP:Vancouver,WA 95660 7ub/stw�+er/s9towupan 12.51 _ Fax::(360)693.1442 Pone:[3�)695y700Utittal 25.02 E-tnatl Angela drnjewaki(gPolygonbi n es com Water ctaset 25.02 .v- *'•-,' "Sf -,`)'s+ 5,�+-v� F" �cy2i" '-" '5, Src�" s '_ [" wet 5 ,p -`• t" .�u.;.`+rT„ad yip 37:52 .?a t w:v�...:.c,i",'.'.'«aiF.: asT....,ai?. titer•ii"ua4vi Buhitness name;A anee Plumbing LLC Water.piping/DWV 56.29 Other 2502 Address:146 yir.Historic C4rltutnbin River Hwy Subtotal �• .City/S- 2lP:"[rotsidak,0R 97860 _ Minimum permit fee: 572.50 Fax (503)972 S�#38 Phone.(503)492-3490 Plan review(25,of permit fee) Plumbing Luc:no::P#3732 CCB tie. 184601 State surchatrge(12%of perrritt fes) TOTAL PERMIT FEE Authorized signattirt: days Tdis perrnft p Pt p $ " ilea expires tilt ties net abt:ined.rrittdn INDate 5/23/2016 after Ulm been accepted as complete. PFlnttlartte:Robert TSlshmsia *Fee methodology set by Ili-County Building•tndustry Service Board. i.iatlihfin&1Porm[is57LMt7•Tc+vntAPP.dac 107at/e9 440-nst47(tO CCC'OWNEBB) City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 111111 I c u Building Permit Review — Residential Building Permit #: , b 7 2c/7 00O / Site Address: 13:594 SVV lec --n PI c,j) -1--- r--Project Name: tZ1N'ej' fcirota N o rl i v.k''ct Lot #: `'12- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NCNN At trAL I'zeol ¶ UVLt-{"112GVti NiYI,LS )R( Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan ph xisting structures on site $ite plan must be on 8-1/2"x 11"or 11 x 17"paper in ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations II( orth arrow JItility locations(required for new,may apply for additions) te address,project or subdivision name and lot number ir � l ocation of wells/septic systems pplicant information(name and phone number) 11A'xisting trees to be retained with drip line,and tree ]N.ot dimensions and building setback dimensions protection measures I.ot area,building coverage area,percentage of coverage and Street tree size,type and location impervious 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) ,1 ' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: El Yes,applicant was notified ,IK No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified 81 No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PD}22.,c --c os Zoning: 12.-12- CPD) Required Setbacks: Front i Rear 3 t Side GI Street Side N/k Garage 20 X Landscape Requirement: 00 jas Lot Coverage Maximum: F3 0/0 i ,,Building Height: Maximum Height tii.7"=• Actual Height NJ/A AK-Visual Clearance N/p Easements Sensitive Lands: ❑ Yes X No Type XUrban Forestry Plan -PEt Conditions "Met"prior to issuance of buildingermit Notes: MI(�'Lii t iii/1'1j ' V1ft 1 I PC mc!- % i cCi4a,vick Approved By Planning: kit..i 'L1 • Date: 62_101 O1 , 11 Revisions (after Building Submittal on II Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: 1,4440J/6. Site Plans: Building Plans: Building Permit#: Pi Enter building permit#above. Workflow Routing: /T Planning `e'Engineering Permit Coordinator 3uilding Workflow Sign-off: , 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. -Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4.4 __��� Date: Engineering Review Slope at building pad: conditions "Met"prior to issuance of building permit 7 ❑ 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 Approved by Engineering: Date: Notes: Approved by Engineering: /IC 2 Date: ��5d7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 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: OSDC Fees Entered: Wash Co Trans Dev Tax: } Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ,Yes ❑ N/A POK to Issue Permit Approved by Permit Coordinator: WW-Date:`;//c./ I:\Building\Forms\BldgPermitRvw RES_091216.docx City of Tigard i 7 e a COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum 1,1,,,,,a,,"§-,-. ,,,,,, A,,, ,-.0.,., M'..s .' '9 ^.. Building Permit #: 44 5TA012 CVO Cv Site Address: t. -/P � � SVJ IMIt1n Muni Te,r Project Name: Rve r i C-C N O1-Fe-e r� �1Vv'QS'f Lot #: 1C1?_._ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards? ki 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 of 12%f each street facing facade must include windows or entrance doors. Percentage Shown: r�/�-� (� p 3. Entrances:At least one entrance must meet both of the following standards: .�'1CIax. 8 ft. setback from longest street- facing wall Ai-Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: 25 sq.ft.min. Aek-One street facing entry 12 ft.max.roof above floor of porch 5 ft. depth min. 30%min.porch roof coverage -f 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: .Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep f �1 Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide f- cRoof cave min. 12 inch projection ❑ Roof shingles either tile or wood �( F 0 Roof offset min. of 2 ft. 0 Roof pitch oriented south min. 500 s _ ❑ Gable,hip or gambrel roof design q. ft. ''Horizontal lap siding min. 3-7 inches wide 0 Accent siding min.40%of street facade g_iF Window trim min 2 /2"wide by 5/8"deep .. X❑ Window recess min. 3 inches for all street facing 0 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 facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: ZNo closer to front or side lot line,than longest street-facing wall. 0 YesIT 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 sto above the garage that faces the street with a min. area of 12 sq.ft. ry Width: (Check one) X12-foot-wide garage door 0 40%max. of street facade 0 50%max. of street façade with 7 detailed design elements Noses: Approved By Planning: ' . ttIL Date: ,,2/1117— I:\Budding\Fornu\B]dgFermitRvµ,_RES RT_062216.docx Mechanical Permit Application roil of i 11 1. �'SL GNLa City of Tigard ReceiDate/BY: ,. GMI /ill . 4 13125 SW Hall Blvd.,Tigard,OR 97223. Plan Review , Phone: 503.7182439 Fax: 503.598.1960 r.,_a Date/By: Other Permit: T 1 G n R D Inspection Line: 503.639.4175 r•A D n; 0 t Date Ready/By: auris: Bi See page 2 for w Internet: ww.tigard-or.gov Notifed/Method: Supplemental Information r''''':''''''',7"-.:1-';'-':::,,, ::::7-'7,-,7-7:- sL ,F ,'- '; ,::?...,;,i,,,,-.1•41,....-,-„,,,,:-::: ' ',- t r , t ;*e),,,+� f d:�L b V��d. F� }cat,,-,l re �1,-, j t.r is f`;fry F �Yy' ,..1-,a:_r. S_.v.___ -_,.... ._...,. .°r �"x.,. Y„''. . ..,tsUSS:a-, ..`t,,,,,,,,".._' ,_s- _ ,.... Mechanical permit fees*are based on the value of the work ►e New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other. mechanical materials,equipment,labor,overhead,and profit. Value $ ', r 't-V }� •E ;• ,il t"F V' e44 f.1'J 1 ,V t.-4...c '- Yf,, t Ft -- ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total Heating/cooling: ,.' `'''''-f''''-:-....'-'''. i t=cr .y y -."s yam... :. , ..'., ,.... ; 'i f.Irt,)f tC ; t6 �6 u.):11 reel +. .Bre ,.{ , .c, Air conditioning 1 46.75 46.75 Job site address: Al ., ��PA .��fi.. �> ,� ��� �at, � Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.9I Suite/bldg./apt.no.: linil Project name:River Terrace Northwest Heat pump 61.06 Ductwork 2332 , Cross street/directions to job site: Hydronic hot water system 2332 Residential boiler(radiator or hydranic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 2332 Oth Subdivision:River Terrace Northwest Lot no.: 'q er' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 - 'Fa.F- x _.. .wii ....1,r_f,,.* ;-' -'-7. c ': Gas fireplace/insert 1 3339 � a_. -x. ,.--,'.-...,--P.-‘,.. .;,-.."w ? r.. i , - Flue vent for water heater or gas Contractor Change fireplace 2332 Log lighter(gas) 2332 111111111111: �� , , Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney(liner/flue/vent 2332 1.;-":”5 nFE ` t o = SRh t t3 � zn z{ s "F N. L41 G�I' 3.',•c?.;;;,,,,, 3' Other: 23.32 �_ -.. <.. --T'•-`2--'-`-z-'2:- - GLr� .r . 1- _�2s Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 4 23.32 Phone:(602)694-4031 Fax:( ) Atticfcrawlspace fans 2332 r f —,7,-7,—,,7_,,,,-,-,,-:..,,,-,• ,. � Other23.32pl iY . l et - 1 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;54.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Address:703 Broadway ST Suite 510 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water beater Phone:(360)695-7700 Fax::(360)693-4442 --'Fireplace - Range 1 E-mail:Nichole.Thorpe@poiygonbomes.com Barbecue L.«—,1. . -'4..-::,,.''...2".:_;32,s _ y�4F'I;,r ` F!1 L 4_ U ._ .,,r s 1,.-, ._ ,— Clothes dryer(gas) Business name:Pro Heating and Cooling,INC Other Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro,OR 97124 Minimum pennit fee($90.00) Plan review(25%of permit fee) Phone:(503)4435692 Fax:(503)9415075 State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ��/�� days after it has been accepted as complete. Authorized signature:���v s'{n_ze ��. �e„,,_ * Fee methodology set by Tri-County Building Indusby Service Board Print name:Nichole Thorpe �//�"�-r t� ' 11� Date:9/19/2017 I:'BvildinePermilsi6EC PermitApp„040113.doe 440-.4617r(I1/07JCOM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13394 SW BEACH PLUM TER, SHERWOOD, September 19, 2017 at OR, 97140 10:58:26 AM Record Type: Record ID: Residential - Master Permit MST2017-00061 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13394 SW BEACH PLUM TER, SHERWOOD, September 26, 2017 at OR, 97140 11 :00:13 AM Record Type: Record ID: Residential - Master Permit MST2017-00061 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 50 psi Violation Summary: Inspector Contractor