Permit (149) Plumbing Permit Application 4 S
Site Utilities RECEIVED
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 9722MAY
Date/By. ^ Permit t 7 7„��-1� ���r-
Phone: 503.718.2439 Fax: 503.598.1 610 3 2017 Plan Review (�/, / / ��J/�t/ �'�'�` /
Inspection Line: 503.639.4175 Date/By: al+oi 2-`7 4c.4 Other Permit No.:
TIGARD CITY o1= tcxH D Date Read By
Internet www.tigard-or.gov y Juns
BUILDING DIVI$(Q Notified/Methodi Ffi
See Page 2 for
Supplemental Informan
®New construction � �`�` �`�` � � u .-� „ '
❑Demolition For special information use checklist
❑Addition/alteration/replacement ❑Other Description Qty. Ea. Total
f New 1-2-family dwellings(includes 100 ft.for each utility connection)
L," 6 ,:POI!*? :•4"--;;;;;;:,:::„2; SFR(1)bath
312.70
❑ ] and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building ®Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen
❑Other 25.02
Fire sprinkler 3 q g 2
,i (1 84 s .ftJ Pae
iiiiiil �:� - Site utilities:
Job site address:13370 SW Beach Plum Terrace Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: Project name:NW River Terrace Footing drain(no.linear ft.:_) Page 2
I-
Cross street/directions to job site: Manufactured home utilities 50.03
Manholes 18.76
- Rain drain connector 18.76
__. Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision: Water service(no.linear ft.:_) Page 2
Lot no.: 190 Fixture or item:
1 ax map/parcel no, Backflow preventer
" 31.27
, :v , . . .� ? • 4 .,t,;: � Backwater valve
12.51
` Clothes washer
Multipurpose Fire Sprinkler System 25.02
Permit#MST2017-00059 Dishwasher 25.02
Drinking fountain 25.02
• Ejectors/sump 25.02
, �; Expansion tank 12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
Garbage disposal
City/State/ZIP: 25 02
Phone:( ) Hose bib 25.02
Fax ( )
� Ice maker
12.51
a � , v V-V ' Interce
il !!}-7-,,--;,,Yz,".. .,:: a ' .t 7 '� N ptor/grease trap 25.02
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2
Contact name:Robert Dishman Primer
12.51
Address: 146 W Historic Columbia River Hwy Roof drain(commercial) 12.51
City/State/ZIP:Troutdale,OR 97060 Sink/basin/lavatory 25.02
Solar units(potable water) 62.54
-Phone:(503)492-3490 I 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
Address: 146 W Historic Columbia River Hwy Water piping/DWV 56.29
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)
Authorized signature: r �`��� State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name:Gavin Thomes Date:5/24/17 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.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09
440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City.of Tigard a
Page 2 - Supplemental Information
Fee Schedule: ResidentialFire Suppression pression
5 .��� ,,, -, *..,.,,fin. , $121.90�
0 to 2,000
Footing drain-151 100' 50.03 2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 1� Nel' !I IiNc „s ,,, „
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,to
r*t ,, ie 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 Fi re T7# Pan,.,.., AVi illi
ti
J'b*ure-Type kr ' Replace/ review is required for any of the following.
VYae €iuerl. maid 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 -EachDv Stall ❑ New exterior plumbing site utilities for any complex structure
Cu -Drive or as defined in OAR918-780-0040.
Dishwasher
her -Commercialoator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher ® Any multipurpose fire sprinkler system.
-Domestic
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-004 .
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink -2"
4„ ° x-ift.
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 Comments regarding fixture work:
Oil Separator(Gas Station)
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-
xtrClothes
increase of sewer EDUs,a sewer permit will be issued and
Water fees assessed for the sewer increase must be paid before the
Water Closetacto-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
\\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pdmit.doc
CITY OF TIGARD MASTER PERMIT
Permit#: MST2017-00059
COMMUNITY DEVELOPMENT Date Issued: 02/23/2017
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB19000
Jurisdiction: Tigard
Site address: 13370 SW BEACH PLUM TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 190
Project: River Terrace Northwest, Lot 190
Project Description: New SFA. Building/unit 9.1
BUILDING
Floor Areas Required Setbacks Required
First: 105 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Stories: 3 Bedrooms: 2 Smoke
Height: 32 Bathrooms: 3 Second: 646 sf Garage: 497 sf Front: 12 Detectors:
Yes
Dwelling Units: 1
Third: 633 sf Right: 0
Total: 1384 sf Value: $183,490.15 Rear: 5
PLUMBING
Rain Drain: 1 Urinals: 0
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 SF Rain
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Storm Sewer 100
0
Sewer Lines: 100 Drains: Catch Basins: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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!500 sf: 2 201-400 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
System: N Garage Opener: N All s
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum S y Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Type of Constr: Occupancy Group: Square Feet:
Class of Work: Type of Use: 1384
NEW
SFA VB R-3
Owner: Contractor:
Required Items and Reports(Conditions)
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 1 Geotechnical Inspection
BY FORSUM,MICHAEL 109 E 13TH STREET foundation
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 RRequiredCntbefore foun503-639-4dation
STE 1
SCOTTSDALE,AZ 85258
PHONE: 602-694-4031 PHONE: 360-695-7700
FAX:
Total Fees: $23,332.01
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-x000090. You may obtain
�a"copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.333322.2344. �7/-,
Issued By: .z.�L A/14,' 0 ( Permittee Signature: 3e,t at /i-(0,-,1/21,-,,,„
!�St,v
d
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
irn
Building Permit Application R_ _ ,,_ V �7 / l 0 E
7
ReSadenitia FOR OFFICE USE ONLY
City of Tigard 14 Received
II iii Date/BY: o!n3/// ` Permit No.: (mow 7
13125 SW Hall Blvd,Tigard,OR 97223 /u 5f oZ(3/
C ' Phone: 503.7182439 Fax: 503.598.1960 ; 3 21 j I� `('.FD Reviewplan ` .
Inspection Line: 503.639.4175 r I r y �' i 7 ti Other Pumt[ �QI��ab$-3
T 1 G A R D P '` tJ ;' 'P'J ' J ',te Read erho ,� J� H SeePage ment 2 for
Internet www.tigard-or.gov ti5ed/Mettod: /'�',/ 7 Supplemental Information
.- 94:',
/Y.r - 4{x .�- 4Y 'E er .
Ti-_--t, 1 F j- Z = _t:-` --_ ._-- s "- „E _ d .',....m.a e ,
IAK
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement Other: equipment
the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
t r - - ` ,, F� p p" ` '- '�--�- - work indicated on this application.
1 and 2-family dwelling 0 Commercial industrial Valuation:77;f C1 W$ I
❑Accessory building [,Multi-family Number of bedrooms: 2Z J t 23, 490
0 Master builder 0 O Number of bathrooms:
Y.—�,--_ ` . .,.- Ar
,, _.. .. . b Q�Iy ".� _5F-- " Total number of floors:
Job site address: '9. ✓ v Sv\l '5 c�V}��C`` m P� Tei�(s{-()1(�Q� New dwelling area: ' 4 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: , 4 q1 square feet 6 33
Suite/bldg./apt.no.: 9,1 I Project name:River Terrace Northwest Covered porch area: square feet 6 ii 6
Cross street/directions to job site: Deck area:
9 3 square feet f
Other structure area. 3 square feet
Subdivision:River Terrace Northwest I Lot no.: II 0 Permit fees*are based on the value of the work performed. .
Tax map/parcel no.: 1 Indicate the value(rounded to the nearest dollar)of all
, � x ' � `F equipment materialslabor,overhead,and the profit for the
,
,"X,P" _�.. .,,:..,Tim..!-r,F .,r .tom-.cry e "e_,,,,.,-
,. , _- �. _� �-��,_�,�� �titV ,�:., work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
Al.;�..t.=.._ -..n- - .-._ . Wit41 _. - s` fi — Number of stories:
‘,e1 Name:ADVL Land Holdings,LLC Type of construction:
Address:7600 E Doubletree Ranch Road
Occupancy p y groups:
City/State/ZIP:Scottsdale,AZ 85258
Existing:
it Phone:(602)694-4031 Fax:( )
Q t� - New:
-... ;_LL-&`fir- ','.:' r"m '7". .7"";N •°„�_
Business name:Polygon WLH,LLC
Contact name:Angela Grajewski Structural plan review fee(or deposit):
Address:109 East 13th Street FLS plan review fee(if applicable):
City/State/ZIP:Vancouver WA 98660 Total fees due upon application:
Phone:(360)695-7700 I Fax::( ) Amount received:
'3:a.ems -T-64-i - ----;,___::.4. ,
�k,..
E-mail:Angela.Grajewski®a polygonhomes.com w., v x
ja ' e A � - Commercial and residential prescriptiveinstallation of
__v _"�.2' -._... _.__ _._. roof-top mounted PhotoVoltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
Address: 109 East 13th Street and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist
City/StatetLip:Vancouver WA 98660 Permit Fee(includes plan review
and administrative fees): $180.00
"'-•-ine:(360)695-7700 I Fax(360)693-4442
State surcharge(12%of permit fee): $21.60
I __B lic.:207247
Total fee due upon application: $201.60
Authorized signature: '.........0/44.
This permit application expires if ap
permit is not obtained
_ within 180 days after it has been accepted as complete.
I Print name:Angela Grajewski Date: /Z f�'n'7/) Fee methodology set by Tri-County Building Industry
t r w wltp_1 Service Board
L-\Building\Per mits\BUP-RESPermitApp-doc 02/24/2011 440-4613T(11/02✓COM/WEB)
co,( Fi t- , .14,,
,
' 4 1 1 1 '
•
City of Tigard
Pcr"NVIS7420/7-000S,
. , . . Dme.sy: I
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: S03.718:2439 Fax: 503.598.1960-
Other Permit: it
Inspection Lint 503 6394175 • -
laDate Readr y ;Ink a SPagr 2 for
.1mcsnct .tigardlor.gov • ' : .
. -1-EB 2 2 2017 Dai013v:
-) 1.4'nfiedrMenot: Supplpueutal Information
''!Atl,•*,-4it:eill,t'ljafartaraggatc*:::OW 1' .1...'':t....lrIA l' 4 i4.4,._i I.,.;Alaratre il:_,,i.).49mr.x:...t.....f.,iitgrAkevovgg:'41;:,t,-„,„, ,, :•
tv1 cal pesunufees*are based on the value of the work
rjelNew construction 0 Additionfaherationfreplar.:omint performed.Indicate die value(rounded utS the nearest dollar)of all
Demolition 0 Other: mechanical materials,equipment,labor,isvitrhead,and profit.
Value:$ I
tiNfit:-,:t.7.'"L;ASIENN0latf.>17441i7:17MtleaMingerilei ARtr*"01)--brokielOmitttly-''' "--$:.' '''*:ift"--'''' :
El 1....and2-fandly dwelling 0 Commercialiindtittrial 0 Aerisisoty building Farspectsdkrormation usi,,checktist.
gl
Mufti-faniilY 0 Master builder 0 Other: DeSeripdOn • - I Qty. Ea. Total
V:"Rifi;:‘.1:1:'::Y,;?--*":"1.031141,7#7:41,410.ritiblH7OALUITO:47147014:1741,M1 Airlielcogiaitimir4.ingl t
46,75
n*: 1.- 511) SW 6eackt plum. (uy-otce. Furnace 100406 BTU(dlictstvouts) 46.75
diiiiSiiiiitilFt Tigard,OR 97224
Furnace 100.000+BTU(demoniaca) 1 54.91
t
Heat pump 6 61.06
Suilaibikiail.no.: Ci•1 Project mune:'.".y ‘i t Aforthaje4-1--
Datexwork ; 2132
Cross streetidireotions to job site: Hydropic hot water . t Inglialim
Residential boiler(radiator or i
bydroaic) t• 23.32
Unit healers(fuel-type,not electric), i
in-will in.cluct,sus.- .ed etc, ; 46.75
Fliietvent for any tif above • . 2132
Subdivision:- •
ijat nir,,1 oi r‘ Other: ' 23.32
. /- 1. . si ri--- .--'- "7".I- i U 1;460'iiiii annlianies: 0
T!**,4)Iiiiiii:Fpinci,': ' Water heater. I 2332
.4.311,1 ten "facciingeri 33.39 MI
ent fok water heater or gas i
new home coistructioi
4 . ace i 2332 all
bag Bilotti'(gas) . i 2132
Wbodipelletshave 33.39
•
: . . • . WOodtitetiltiliiiinsert , .1 23,32
„.
Chinincyflineriflueivent 23.32
';'?0 ,''AglY:R,1:',4•17Z-C4.e,P:7- . '''..&', .-:'(''s'I'Al' " '•PPfM4.4:1K -;i'll'It'4: :. *`47• Etiviromnititil cabalist and ventilatio6 .•
Marne:AriV4 tand:lialtlingsi 1.1.!C Range IsQ6d/Olher hiteheo
• -, • • ..• •-.•• •• • • "
eatiiiniteitt.. 1 33.39
**om:744001tilt1etree.Ra.- 10 Road Cloth ti dtW'exitaitst I 33-N
city/Stait/ZIk:$cotiadide,AZ 85258 Single-4ml eititaust(bathrooms,
toile/conmartincnts,utility rooms) 14
11166.e:(002**101- . 6x;( ) Attic/Crawls.ace rms.
rz.,,,F.Ati,;,,..1.:A.,.1;v4.14.67,...v..,,,,74..fi,: ..-:;7 1'4 4:0.4.41.47;76i-;;•:V:75.4 ,,gliii174:. ,,44.i .cith". ' .• i 2132 MI.
Fuel Oiling: .' • . 1
.41107;4 nitt*.:Wilhain Lyon Homes,lie.
Sid.id fatilna roar S4.03 the--additional
Contheirkiiiiief Aligila-GivOtwilti .= i . ...
Addrtk.149 0.ist 144.:Siree RM
.
.Widisus.-dal/unit healer 11111111111.1
/$*ZIP::Vattatinver,WA 9$660 Water healer IIIIIIIIIIIIIIII
Phoile (360)05470 1 Fat:(360)6934442 . . ' 4.1m. - 11111111111111111
Range
E.nlaP:.APO4G.relel!SCWIrble111.1.en' On!. .....:T.• . '•-'' garbeate. III 111111
„ , ...„,,„, eic....irs..(gas)
Iiiiiiiiiiii4i'Aidirsat' Miehanieal,fne.
••...„••- • ... .,..... . ...
'''. -i;:i3frrrlIN4...M.a/i-.„rf:_nr; 1.f:-.,?:.nal•< !4,,s k:..ni, ..4:4,...-_,,„,,:::5;.,;.„50.1, 7-,,i7,R
Address;*411g*.85 Ave . - • . Ottawa,
;P-11.Y.4i:ltqg O'rlgards,OR 91224 Minimum permit fecp94.00)
Plan review(25%of patina fee)
Biotic(503)092-6664 ; I Fax:(Se)5364615
.State surcharge(12%of pIrmit.fee)
it Ells
Ccla ne.:tatii4
. . - •TOTAL i) . T FEE.
••• - . .,
Thi$Permit application expires ra permit pet obtained orlthipt 180
dos*fair it hes bean accepted complete.
I400/tiled#0.1lIlitt: _. . . •, " Feeinethe!lokniy set.by County Bidldiug,3 Weary Service Board
.Priiiilliatio:4greht.grajewsiti Dale:.$in2:246
, -
e
'kiniliattl4rtc_i;nakitee_ettn lie,* 44o4617:0342-commaar i
vCF if. • 11
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard .:P 2 2 2"/ Received
a3 Permit#:!'757;241%7-e)O
II la 13125 SW Hail Blvd„Tigard,OR 97223 plan Review
Phone: 503.7182439 Fax: 503.598196¢ .e ,. ,z. Date/f3 .
TIGARL? Inspection Line: 5003.639..4175 .,5 ' ReadyDaWBy: el Se.Page2Oar
Internet: www -or ov i 1;s >i, Notlsed/Method: Supplemental Information
A::;!A:: -."-,f':5,';',:•";.,'".5 yrs 74:167141'1., 1 91 ' 3 Sac' ' �` 0, i a r.;. ri'2 -t
,.... fi-sx.���r,- ���,.t�.5am rr w;.. '� .a^• .r.;.�.+�..n".''S y�-_,� • 1j� �'.'4v;'''''''.:74'1 '�< 0.2a�� 7..� �"''9"�.0''K }:Y' "=rx
®New 0onst7t1etion 0 Addition/alteration/replacement Please obeck all that apply(submit1 sets of plans willems clucked):
0 Demolition 0 Other: 0 Service or feeder 400 amps or snore 0 Building over three stories.
where
fault current
and
boatyards.
'' ::;V: ,5 ng1„1_r �?l xl srtk tt, fi£-o "n ;z;s,2 t exceeds amps at 150 volts or Cl0 Ploari Marinas buildings.
I-and 2-family dwelling 0 Commercial/iidustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
iii Multi-family •- 0 Master builder 0 Other: mks pinup.
other installations. buildings..
❑Fins ❑Installation of ISO ICVA or
-.v.1!,• � Fd
r;>-,�,'`,� �,8 :�,.,�,�aw€�0 1.,t: o ►>x` �i;�- ❑Bmergency system. larger separately derived
' '. '' ak .r.. ❑Addition of new motor load of system.
Job#: Job site address:)3 I S 'J tae"h pl i/l.M T<,4,- to0HP or more.
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential amts. Recreational vehicle
❑Health-cure facilities. El parks.
Suite/bldg./apt#: qi Project name:f\fa''',. C 0014 weft °Hazardous locations, ❑Supply voltage form=than
Cross ,7 e r0 Service or feeder 600 amps or mom. 600 volts nominal.
Costreet/directions to job site: ,0:41'.. 4 a r^ '41,IV.r .. t �'r."4'-.' .+a,"� "-',"
IA:mipdos I Qty. I Bach I Total
New residential single-or multi-family dwelling unit.
Subdivision ' '—'_________Ally___ we ft_ Lot#:1411) Iududes attached garage.
Tax map/parcel#: 1,600 sq.ft.or less ! I68.54 4
4 .k4 `.' . ( '' .'S.a .'c.Fr-?+ l 2r. 3tC,.d .lAk. "� s :,,y:may ; ar 'r?`?„
Ea.add'1500 sq,ft or portion 33.92 1
r.. .r ��..� ;.��•Cs [;-9 �, 6 r 14 -el Limited energy,residential
(with above sq.It) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
.2L--- � Renewable Energy ❑ See Page 2
1 ate)` t,Yrs'"�°, " x_ •`r .,FS.'3VA.Tnn P.P V a A-* '"i :'' - Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7640 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2
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 1
intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: • 401 amps to 599 amps 168.54 2
,� ,, ,,,s i�0,,, r.,.. �y ��, ; .-;11,.: �y t 'rc Branch circuits-new,alteration,or extension,per panel
.-,e----,w.x -,1„. r' > 1:2"..."- ' • , . ,�F , • A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2
each branch circuit
Contact name:Angela Grajewski B.Fee for branch circuits without
sAddress:109 East 13th Streetbranch airouit orfeeder tee,rest
56.18 2
City/Std:Vancouver,WA 98660 Bach ate'!blanch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • ' ' Fax::(360)693-4442 Each manufactured or modular
dwelling,service and/or feeder 284
Email:Angela.Grajewski®polygonhomes.com -Reconnect only 67.84 2
tz..?_- -`'- ,✓ ' Y-" _..3"-,µ'�.y, i h ifi...,. A9 . . .,- s ,'..a ` } ..ti „4,,-.:}:''''' ' Pump or snugatton circle 67.84 2
Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2
•t-e.. Signal citsuit(s)or limited-energy
Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See Page 2 2
City/State/DP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional Inspection(1 hr min) 6625/br
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bdaniels®gweusa,com 7ndusirisl plant(3 hr min) • 78.181 hr
Inspections for which no fee is
90,001 hr
CCB Lic.: C1158 EIectrical Lic.: 208174 J Suprv.Lie.: 4496S speeafi luted i4 hr men)
:'.,-',"rs + 'f i,, ,�n,V,-- `Y,L .;s., 1- 'W i t,...r•.4.,; .;;v tick,'x-.
Suprv.Electrician signature,required: •r,'ip( ' e ....•. Subtotal:
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
,r Y!_ _ State surcharge 02%ofperrriit fee):
Authorized signature: -�r TOTAL PERMIT FEE: _
'Ms permit application expires if a permttle not obtained within 180
i Print name: Bill Daniels Date: 4/26/2016 days after kJ=been accepted as complete.
* Number of inspections allowed per permit
'muildlegWeamitslat PerinItAppfiLR MEd=Rev 06(17/2015 440.4615TO WS/COM/WO
Plumbing Permit Applicatio 1
,,ids+,
Buildin Fixtur4s __'.. -.
City of Tigard
11
13125 SW
Hall Blvd.,Tigard,
OR sz3F� n � '_ '''
Phone:503.718.2439 Fax:'503.598.1960
Inspection Line: 503.639.4175 ft
Received
7ateJSy
Plan Review c
N Internet www tigard or gov e / hod Permit No/747-
o^Y
,4
•
v�/
7—ay
x�!
Other Permit No.:
unix: (SI$ee Pagefor
Supplemental Information
i
•
.... _H N< � d a # } � $3r. � u`y "�4i � 1G � 1 b8• 4 w* ..:� J^. �r�..:.'w."•.".1...;':::41.4 ,. '' h ..,:.k,j.«w^n. u„. r '� s•' ��x. ��c .yr
;t ..
Nese construction
Q Demolition For spade Information usc.chcckifst
❑Addition/alteranon replaeernent Other DOSCription ) Qty. 1 l a, 1 Total
New 1-2-fsmii•dwellings
.� x
3 (includes 100 R,for each utility connection/
!r {,.t4 0� k+• .ii r . , 6 ,„,,,,i.,,,,.,-,,,„:4.!J.':r"` '•+..':i, _W SF bath +
rr
f , v 4 �, ; . { ) 312.70
ClConrmerxia3/3ndustrial437.78
...and 2-family dwelling SFR(2)matt,
SFR.(3 r
O Accessory bg tding jg Multi-family ( )bah • 50032
0 Master builder p Other:
Each additional hadakitchen 25.02
Fire Sprinkler
-,-, 1,:''.,' ..� it"`g,:`:�- 1:.. , g ,"� Ari ( sq.ft.) P 2
�. _a , .4r�. t..".. r 41„:1 F,,V' Q' 4t� .b ti C. : , She utilities:
J615 site address: �in 0 S w ! Catch basin or area drain 18.76
lace, �1 wnc �� ,
Cityl:;#ate/ZIP:Tigard,OR 97224 Drywetl,leach line,or trench drain 18.76 t
$tiite/bi apt no.: r J --'
• Footing drain(no.linear ft.:`) P 2
Pro' name:1(Ve✓ ICI17:41ce /Ute✓ 1we j'' Manufactured home utilities 50.03
-Cross'Street/directions ter job site: Manholes 18.76
•
•
Rain drain connector 18.76
Sanitary sewer(no..linear ft.: , } Page 2
•
Storm°sewer(no:linear ft.: ) Page 2
Water service(no.linear ft,: ) Page 2
Subdivision: �✓C' r 7^r rVat e fVci / f f we " Lot no. xture ItI
:Tex map/parcel no.:
prev "ter
31.27
r 5 • "t^ s d �C'-V"�'.� }tIdry'"F ' F` R 9aekvraterValve 12.53
Aothes washer 25.02•
25:03 •
Drinking fountain 25.132 '
Ejeetorst
,'„."r4` ,r'S �.. ' ,n ;�c 3� ,"gzrr "' r, Wiz„arm � �,4_, ai E; p
"*^,47!. ,. "._, :.. �.3� lzparisioii.tarik
,r
Fixture/sewerca (5.01
•
I�Tame:-A11Vi.';l.a'nd Holdings;LLC ._ p 252
Addrexs;"7600 E t3dnbktrec Ranch Road
'Floordrain/floor sink/hub 25,02 —
Garbage disposal 25.02 I
City/State/ZIP;Scottsdale,AZ 85258 _ I
Phone-X602)644-4031 Fax ( . '
Bose bib" 25 02
a?t . 7.', '` '1: . Fn h6r 6 ?`r',5>t' "' 5,> ? ii*j-`-s..' a.- ;77-. y-f.i lee Maker
� 1251
• Z. — "� „�` ` ` a r IPletceptortgrease1rap 25.02
''13 5 nwn e..W-illIam Lyoia-Homes,Inc.: • gas(value:$
Page
Contahx_name:Angela Criijev►'stci � 12.51
Add:vss::109'East 13th Street
• hoof drain(commercial) 12.51
Sink/basittlGzvatory 25.02 i
Ci' "/State/ZIP:Vancbaver,WA 98660 Solar units(potable water) 62.54 1
Phone (36O),695.77700. Fax::(360)03-4442 Tub/shawertshower pan
12.51
B-tna33: agt4a.Grr3cw'altl polygoaheiues coin Urinal 25.02
. i
zWater closet _
.,v,,,_ . . n .i,.:4.: iLe.g:",..r , 's• a i- w •�al,, 3 ..t,-ra11-,-'4;-,--_,,,,,,,....;.,.....,.; ,, - , 25.02
• ,.a..tcr .d1`w6..ic. .`...+.::.f'y Water heater
Buainesss name:Alliance Plumbing LW .: 37:52
. •". . , Water{�iping/OWV 56.29
Address:-116 W Hisfarrc Coluuiliia River Hwy Otfier: .1
_ 25.02
City/Slate,/,ZIP:Troutdale,41R 97860 Subtotal I.
Phone:.(503)492-3490 Fax (503)912-6438 Minimum permit fees 572.50 f
CCB Lica:1:84601 . . i. Phimising Lice no::P8732 ' Plan review•(25%ofpc-unit fee)
State sarcha ge`(12%ofpcsnilt-•fee)
Anthorizcd.skriatiii+e: - i
Print name:Robert lfishman •
this TOTAL PERMIT FEE 4
Date:*234016 Permit spldieatien expires Wa iter:mit is net obtained within WO days
after it has been accepted astomplete, -
*Fee methodology set by Tri•Counly Building industry Service Board.
r entlag' r.MU-psrmNApp.dae IOfiUOe 440-46161 iO,OLVQMlWEB)
City of Tigard
IN " COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Residential
Building Permit #: /jam 5 7--,26 /-2_ Oo U Si,
Site Address: 13510 v\ft.t:iii PI UYfl T-er
Project Name: I2.1,\je( f-f rraLe NJ U r tr"lect- Lot #: I al 0
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: Ncv'i A it/L.11 r, ``-i— trte— t 1Jv1 YI trt1'tS
XVerify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ No YI Yes,See River Terrace Review Addendum Attached
Sit;e Plan Elements:
ja!Three(3)copies of site plan 11%i xisting structures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper 01 ootprint of new structure(including decks)with finished
D rawn to scale(standard architect or engineer scale) floor elevations
11 orth arrow y, Jtility locations(required for new,may apply for additions)
.Site address,project or subdivision name and lot number R Location of wells/septic systems
Applicant information(name and phone number) WAExisting trees to be retained with drip line,and tree
-4 .t dimensions and building setback dimensions protection measures
e of 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
IWProperty corner elevations(2 foot contour lines if more than
4 foot differential)
' Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No
J Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified 45 No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: PD 12 tut __0XO
Zoning: 12'12 CP D)
Required Setbacks: Front l2�!S?.,j Rear Side 0 Street Side .` Garage :20')' Landscape Requirement: 2/� %lam
t Lot Coverage Maximum: -3LL)`-
ozo
, Building Height: Maximum Height ES
Actual Height K/Pc-
,1 Visual Clearance N/. -
ig Easements
IR Sensitive Lands: ❑ Yes X No Type
_ Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes: C/WI 111 iris j 0161E 1 i'. 'Y1/FF prlt,1C 10 ISsoC. lgUi .
Approved By Planning: �' t/) It` . Date: .r(,l ( 7
Revisions (after Building Submitta IR nly) 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: /,21). /1?
Site Plans: # 3
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: ,E1'Planning ,l Engineering 'Permit Coordinator 'Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: /IS- Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
L 'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: Azipiete
By Permit Technician: �y� Date: J/347
VIIIIIIIMEIMINIIIIIIII
Engineering Review
rer Slope at building pad: oi,11i
P
aonditions "Met"prior to issuance of building permit /i'B7
❑ 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: Date: -�
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:
DC Fees Entered: Wash Co Trans Dev Tax: n'es ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: ASAYes ❑ N/A
TOOK to Issue Permit
Approved by Permit Coordinator: Date: �'/ }
I:\Building\Forms\BldgPermitRvw_RES_091216.docx
IIIIII City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: /fi(,57;t0/7`O00 5-7
Site Address: j ' -1D OPacAri pi Li tin P y.
Project Name: 12I r rrtce NOf �I`QS
(New dwelling=subdivision name;AdditionorAl Alteration=last name of owner) Lot #: rip
Planning Review of River Terrace Plan District Design Standards (18.660.0701):
Is the project subject to the plan district design standards? IXT 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
Xe ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: -Mat , 1.1 .1 % /i4zei<ri x-k-, 1210
3. Entrances:At least one entrance must meet both of the following standards:
xMax. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street,
or open onto porch
Entrance opens to a porch: jaYes ❑ No
If yes,all the following apply:
.-.K25 sq.ft.min.
One street facing entry "R12 ft.max.roof above floor of porch
, 5 ft. depth .rrK'30%min.porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
t-..12<Covered porch min. 5 ft.wide x 5 ft. deep F: Recessed entry area min. 5 ft.wide x 2 ft. deep
X1 Wall offset min. 16 inches
-F ,Dormer min. 4 ft.wide
/iF: Joofeave min. 12 inch projection
❑ Roof shingles either tile or wood P 12:1g112:1g1Roof offset min. of 2 ft.
FHGable,hip or gambrel roof design
0 Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min.40%of street facade 2.i 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
Cl 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:
No closer to front or side lot line, than longest street-facing wall. ❑ Yes,X,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.
El 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)
354'12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: i It i. _, i ��1 (j
Date: 4 -?
I:\Building\Forms\BldgPermitRvw_RES RT 062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13370 SW BEACH PLUM TER, SHERWOOD, September 19, 2017 at
OR, 97140 10:04:16 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00059
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Corrections from previous inspection not complete.
Wires at garage outlet exposed.
Investigative fee applied for scheduling inspections prior to corrections being complete
and ready for inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13370 SW BEACH PLUM TER, SHERWOOD, September 19, 2017 at
OR, 97140 10:10:38 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00059
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Correction from previous inspection complete.
Violation Summary:
Inspector Contractor