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Permit (152) Plumbing Permit Application RECEIVE Site Utilities FOR OFFICE I;SE ONL\' City Tigard MAY 31 2017 DReacteeBiveyd: ���/� /es_ Permit No. CT`�0 J ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 CITY OF T R3 RD Date/By: 6 1 II -2 -i 7 4 c.,6*. Other Permit No.: T I G A R D Inspection Line: 503.639.4175 BUILDING D I Vl E ,.)l,a Date Ready/By; ./'. Jnris: 0 See Page 2 for Internet: www.tigard-or.gov Nottfied/Method[.0 � 4/ Supplemental al Info�m anon ° • y �" "' Et` .ii?,,fman. , 4 � ®New construction ❑Demolition For special information use checklist Description Qty. I Ea. [ Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) A y Off` 1 g 'U I ` f SFR(1)bath 312.70 El1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler 3ft.) 2 ,- t s t r '1014 tax. ' `0Site utilities:( sq. g 1 82 Page Job site address:13552 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 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:NW River Terrace 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: Lot no.:210 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 i tip, .. Backwater valve 12.51 ,,''1 t t OF, W a� ,,, a.... �:a . .. " • Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 _Permit#MST2017-00079 Drinking fountain 25.02 Ejectors/sump 25.02 '§ Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 -- City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 Interceptor/grease 25.02 ICI":, �� , ' - CL, t�N1'A�" PIu�pN trap Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/Z1P: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 r Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC WaterPip 1 m 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 �� State surcharge(12%of permit fee) Authorized signature: -------"----7/__---.) State TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thornes Date:5/24/17 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB? Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression S stems: Footing drain- 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 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 Storm&Rain Drain-1st 100' 62.54 I il4Snt '' •�; $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 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. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. 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 Type Fixture Type for itepbeei Capped- Add1 R�Iaeate Plan review is required for any of the following. W°rur """" `' Please check all that apply. Baptistry/Font Bath Tub/Shower I=1 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -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 Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3,, Car Wash Drain %v .. etrllG or TIS ,.,, ,•am Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -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 Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pqmit.doc CITY OF TIGARD IMASTER PERMIT : Permit#: MST2017-00079 COMMUNITY DEVELOPMENT Date Issued: 02/23/2017 -(-4 G D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB21000 Jurisdiction: Tigard Site address: 13552 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 210 Project: River Terrace Northwest, Lot 210 Project Description: New SFA. Building/unit 12.5 BUILDING Floor Areas Required Setbacks Required First 103 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Stories: 3 Bedrooms: 2 Front: 12 Smoke Second: 646 sf Garage: 499 sf Detectors: Yes Dwelling Units: 1 Third: 633 sf Height 34 Bathrooms: 3 Right. 0 Total: 1382 sf Value: $182,684.51 Rear: 5 PLUMBING Urinals: 0 Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 SF Rain Storm Sewer 100 Floor Drains: 0 Sewer Lines: 1000 Lavatories: 4 Dishwashers: 1 Drains: Catch Basins: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Bckflw Drains: 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 Service Feeder Temp Srvc/Feeders Branch Circuits Residential Unit 0 0-200 amp: 0 W/Svc or Fdr: 0 0-200 amp: 1000 sf or less: 1 W/O SvGFdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 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 All Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N Ecompasin l: Y Other: N Other Description: BUILDING INFO Occupancy Group: Square Feet: Type of Use: Type of Constr: 1382 Class of Work: yp R-3 NEW SFA VB Owner: Contractor: Required Items and Reports(Conditions) ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Eave BY FORSUM,MICHAEL 109 E 13TH STREET 1 2 Fire FireErsRated 503 e 4175 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,167.09 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 it work is ed 0 work more 180 be done in ATTENTION: Orwith egon lawro requires syouThis topfollowwill the expire rruleslfadopted bynot theh Oregonwithin Utilitydays NotificationaCenter. if Those rulesaresuspended setfor forth ineOAR days. AT0ENTIO 9 952-001-0010 through OAR 952-001-0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.L987 or 1.800.332.23 44.Issued By: �. Permittee Signature: 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. City of Tigard Received ... 13125 SW Hai)Blvd.,Tigard,OR 97223 aR Permit P:a 7 j2 s+y�7 ' Phone:503.7)8.2439 Fax: 503.598.1960 man Review `G(/ inspection Line: 503439.4173 Date Rea cher Perini:: r www dgard-or goti Rate ead3P8y Notified/Method: kris: @T Sail Page 2 for hnernc Supplemental Information 76:'! "•7t.:: 7",u. h.K..r 'iP.,LI�.Y.>e�,. �i`i'- - K tom! a i{T.R.l'i+ Fy+�`��IYf'� `"aC".,44'd'zl'} "R`4:Fly �'x -X i �+` y ��., -. ,...._ra>.. a.,�..,'lti I ,.,r,.'V.z-"F.+'?-5-*V x.` ,,.,"Bx....X:: R r 4'Siy�..& E tWI 4114 140-, ... ::i-it1Wa yam; $;New eonstnlettanMechaltical pet fees"arc based ovalue of the workµ ; 0 Addiuon/alteruttonfreplacemcnf ortned.Indicate the value rounded the nearest dollar)of all CI Uctttolttton 0 . Other: mechanical materials. . 'm ein,i c rlcad,and ft. ' Value;$ -�-�� , ti� { r' "� jff/j yw V-OVyyt3Mi ^k �F � � i -rir f `r`s, @h. . � ;. .� .- K � ,x � � ,�;;, r.,,.,„,„...,,,,,.,Z� Q fl3r °;❑i»and 2-family dwelling 0 Commerce Jjndustrial ❑Accessory building Per special ainformation fatnly 0 Master builder 0 Other 181 t _��+ besctiptitin .. ��ry. Ea. Total ', -'*- i;"FM._,.Y F 41'* ��✓,.,^t' x�..�.�,.aSSigii t. . .e'i .: _ � . -ti�.;� "�3�g may. Itestla(icaolity;: G 4#de „r2 Sob slte'sddtt ss: � S,.VV 1 Pn Air conditioning 46.75 7eack Pt u ry -c_A v j'' Furnace 106000 BTUtdh+ctsnents 46,75 Citi/StateL ilk:.Tigard,OR 97223 Furnace 100,000+BTU(dtusrvears) 54.91 Sober .tldg:lapt,no.:/2 6 ( Project mine:giy TTr-q(rHeat pump ,' 63.46 Crass sin:al/di=60ns to job site: 1 y lit r►Ul s baccarat* 23.32 Hydronichot water tern 1 23.32 Residential boiler(radiator or k 15111111 1Jait.beaters{fueitype,not electric) 1 in-wail,in.-duct suspended.etc. , a 46.75 -� flee/vent for any of above l 2332 • Subdivo 121V-gr av*t .�UV"Ij4iAk'.rt Other ... -.. I.ot.na.. 23 32 Tax tnaplpatsJ.no :Other fii4 dppliences: 1 _ t Water heater. "��3`.b�:`�T`�`"�r {� � '�``w Efi;'�� �� � .f�r r�-s r � 23.32 . s.. r , . �, y3 j 4� 3 €`: teas rr epinccltnscrt 1 33.39 t'icfr home,cojictrpetlon Flue vent for-Water heater or gas fire•lace. 23.32 lighta~i'{ j • 23.32 IIIII WbacU.•Ilrtstove • 33.39 'Wood fiiijilacir/insert . • I c�, v`•. Chini ircr/tiurlvam1 23, 2 rt fs .se Yi;: s�;a. /4-77. ..441.1.4',. 'x.7' , ,. 2 ,@ :,' .1 y, Name.ADYi,Lan�;Kold'e L Envirbninental exhaust and ventltatiol _. .�Ssi [C.. • Rangahoodeodla~ri:itrhett •flddress:76.00`E;Doubletree Ranch Road egiiiptitcitt'.. 33,39 CitylStaic/2IP..:Scottsdale,AZ 8525$ Clashes+ •et haus ( 1. 33.39 Single dtuY exhaust{bathntnnts, Phone (60294-4p31• � { ) toilet corn .'. cats,utility rooms 23.32 r h rue:�. o `sem, Mlicierawis.. fans, '- � i adv .�s t xt i Y q ..r,, :x.' 11171* y .,; &i (P6 �''�. w. c,4'',:- a ?t 011ier Dllstness naive Willlant Lyon RIotnes;Inc. Fuc!Ardor • x �r l C aC.718 �r jgya1d S 4.1 Baur 54.83 O maritime! •1'iirraec;eta: ' Adcirass:'I09 East 13t :Street Gas heat pump V City/SWAMP;Vaactitrver,WA 98660 Wall/sus. .,—unit heater Warta heater Phone:(360)695-7700 I Fax::(360)6934442 Fireplace Reuge 4' ISmaiis ngcaGajtnslapnyoPTtonm Barbecue $uk f �: zc @ i,. 1. yr , �0s ' •s Clot esd,yer{gas$tstesSname:Aatiet`elMecbanlCa1!Yoe, • a " _. rrq! w, 1111 �a -,Adss:162$ W8SAve City/Statcl27i?;Tigard,OR 97224 O'ubtotal Minimum permit feci(S90.001 none:(503)X92-6664 I Fax:(503)534,661.5Plan review(25%afptsimit the) lie:168 14 f .State surcharge(12%of pernit fee) TOTAL PER TFEE • • This permPkapplication externs its permit AlC net obtained within LSO Aut itirizcd signature: days atter it has been aeeeptedets complete. ' Fee theihodelogy set by'iii-County Build4 Industry Service-Board I Fri&Battle:*Oa Grajewsk_l 1 Date:8122/1.0 . the ser l PFl1SDt 13 8x k 44040 no 1162/coltrq,E:ay t r Electrical Permit Application" FOR 01 r ICE USE ONLY City of Tigard ReceivedPermit Sk/7.S''j 0%7-,1)00.7 e' I,- 13125 SW Hall Blvd.,Tigard,OR 97223 1 L Plan Review Phone: 503.7182439 Fax 503.598.1960 ".. DaWs : Related Permit Ii: Inspection Line: 503.639.4175 Ready Date/By: ;uric: See Page 2 for T i G n 1,E?, interact: www.tigard-or.goY Notified/Methtxl c El llnformation f 'i011144:-V,1'4, .. __ ,. .�..e .'`. �f� � t ��;t n��� 1w +�3� --?1=1-,;;IL?-‘,,,0-;:-4' r :'c>-; ' -"' � •gra ., �•i}: �,.,, '"av"'r ..4�'',� .. ®New construction Q Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition 0 Other: El Service or feeder 400 amps or more 0 Building over three strides. where the available fault current 0 Marinas and boatyards. r4;;e -, ` r w•agya ,i .tk t s : exceeds 10,000 amps at 150 volts or (1 Floating buildings. 1-and 2-family dwelling 0 Commercial/isidustrial 0 Accessory building less to ground,or exceeds 14,000 0 commercial-use agricultural Multi-familyamps for all other installations. buildings.• ., 0 Master builder 0 Other: °Firs pump. 0Installation of Iso KVA or 1,. .''' :„.,s e.,,1 a ' ". tip i'S w`�"Y A u,,.�'iON 0 Emergoacy system. larger separately derived Job#: Job site address: Beach ��((�� ( ^� ©Aaaifiom of new motor load of system. r�SW Be 4 PJi1i vI ,yir 100HPormore. ❑"A".'B",`1-2","1-3", City/State/Z1P:Tigard,OR 97224 o Six or more residential units. 0ompartcy. QHealth-care facilities. ❑Recreational vehicle parks. SuiteIbldgJapt,# � : ' , Projectname:120X eArrac Woo-hlvect 0Hmaso ausloeatioms. C7srrpplywltagefor more than ❑Savice m Seeder 600 amps or more. 600 veils nominal. cross street/directions to job site: ; tea cif' `3 n '" �� �� a tea. ss�i�r�;p t�i � �.;�•z �,�•� �};�. Aeaoiptioa Qty. 1 Bath I Total I. * New residential single-or multi-family dwelling unit Subdivisionaye (nl',e s f-- Lot#:j[ Includes attached garage. Tax map/parcel#; 1,000 sq.ft.or less j I68.54 4 on 1 x�>''2;`;, n ,f,r�, 4' 4' ::t, ^ v .ir F -14D:-.61C-6.,�, '.-,!Ce.1.•* . ^;'.--..-3 -.01*''-'rzs'rra, v- ', 'r Limited energy,residential 7500 33 92 2 (with above sq.ft.) Limited energy,multi-family 7500 2 residential(with above sq.ft.) +.r b r a� x ,r �'>4 ar ,,'"'t"'„, „ Renewable Energy 0 See Page 2 �°: i s41'1 : '` ^ D ,:„. , 7 - �`'• '`N• q-l' . .5 ''`- - Services or feeders installation,alteration,and/or relocation Name:ADPL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 40I 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 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or • 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 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 ' yg yf a,. Branch circuits-new,alteration,or extension,per panel i * � �7s1is „;�, ; ih.y ,�? - : 10 A,Fee for breach 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 Address:109 East 13th Street service or fee,first branatt circuit56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch eireuh 7.42 , 2 • Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' l Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:Angela.Grajewski@polygonhomes.com Reconnect only 67.84 2 s : I,L y, E. _... �. l?t! °3 t .5:-V.;',,St'42: r~' F ,...,,...,'a s.r ',Y. Pump or irrigation chic 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 .t.•.: Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension,. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr rain) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr lain) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr aria) • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 01158 Electrical Lic,: 208174 ,J Suprv.Lica: 4496S s. listed 4 hr min) Suprv.Electrician signature,required: [Mit/ ,' -•”. Subtotal: Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): e- ` __m_ State surcharge(12%of permit fee): - Authorized signature: TOTAL PERMIT FEE: — This permit application expires ifs permftis 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 permit '�•ttlieidlassPemminIELC PernetApp_ELit FRS.doc Rev 06117l2015 440.4615TOI/OS/COM/WEB Plumbing Permit Applicatio ., Building Fixtures i O l: tat t R I 1 .l ()\L' C'of Tigard ReceivedPenni!No. 1 i7 13125 SW Hall Blvd.;Tigard,OR 97223 tate•/By: i -Ok�7 Plan Renew Phone.503.7t$2439 Fax: 5D3 X481960 Din Other Permit Na.: inspection Line: 503.639.4175 1 i, r.t> Bate R y' r�u Z Internet: www tigard-or.govNotifiedB °i xu,'n' rTM ;: #° *„„:...,,_,V., , 1, , K- � izTiat w,, .a ii£i,w R''.17.- Sa a tat l.'',7- Qel mea stun d. ,k�+.,.. ,,-:-.A.' 4.4:-.4-....1*,,,,,,,��'v'c:w'.w.'t ..?.4":'.•ed..,, :sem i F, kr._�.x r, �,;. 41 `�i ,I,� - 7. .. lil Nesv. L:QnstruC(tan 3 0 Demolition. Forspeciufiejarmattarruserlreckllat []Addrttort/alteration/replacement Other: Description Qty. Total Nciv 1-2-fstn y dwellings(includes 100ft for each utility connection) j - t tee. r 3'' •. d rax, r 3 ''';;;.1==';' ' " SFR•{1)baih 312.70 et'd is in ag - e,. , re w.r> .. .. and ,r. ., 2-datnily.dwelling 0 Corturiercial/n dustrial SFR(2)bath 437.78 Ar [) a SFR(3)bath 50032 ssory build'i g AtMulti-family [ Miast- builder Each aaldKioiial bath/kitchen 25,02 ❑Ohm': Firesprinkler sq. 1 x n r ''4.'."d 51;: F i e"t-' iQ'it'fi'c`e? .a''i sl 'Y,te t _s•N" ''f? , p'. Site uliies:{ ft.) Paget t 4551-- S,n! l a. Py►,. i, a� C�ieh basin or area drain I 3obsttt address: Soi- f't� /fes: 18.76 i City/5tate/2<1P•Tigard,OR 97224 Dryweti,leach tine,or trench drain 18.76 f Siiite/ttldg/apG no.: 2. Project name: e yi�-. Footing drain(no.linear ft.: ) Page 2 • I‘Weit e lUde wer,ti Manufactured home utilities 50.03 1• , Cross'atreet/directions to job site: Manholes 18.76 1 Rain drain connector 18.76 Sanitary sewer(no.liinear It: ) _ Page 2 • Storm sewer(no:linear ft.: ) Page 2 ;Subdivision: p� ' ` Water service(no.linear ft.:__...) P,�2 /"I i/ Y �� a� !p/v v we,it.: Lot no-fit() 1 Fixture or Item: ITax8ackflowpreveriter 31.27 map/parcel no " � -•,:; • ` H 'Ba* ater valve t�WiN ?ir`z" .�` � a ` r 12.51 C2othes:washer 25.02 ... ' .Dis3twxshrx 25.02 • Drinkin fountain 8 25:02 Ejeetars mP 25.02 i :.4.,,;, ,-,-.,,,,4.-4,AtJ� �s�4,1,,,,,v,-3," � i i R` x :-,-,:c.,&:,' Expansion lank 12.51 1 . . . Fixture sewer Name .ADVL'Land Holdings,LLC .... . _ . cap 25.02 Address:7600 E Dnnbtetrec Ranch Road Floor drain/floor sink/hub 25.02 • Garbage d City/State/PP:Scottsdale,AZ 85258 ., isPosal 25.02 I ... ._ .. .. .. .. Rose bib' 25.02 Phort'{602)694-403,1 Fax:-( :.) Ice Maker• . . ..gf '-'-'.4.11.4-'''''''''''''''''''''"'3'''''''"'''''''''- dtk 15.02.5 F ,:,.;u t ,,' „`s- t i Jr` s i.. ..,,r„:x.., h9.4,t`z A.P t f�?• f .., ' , ...-s •lni�'r tor/ trap a� ,_ � ,:-x: -��,_ ?� �! 6► p 25.02 Rte nail{:;."WltUtiai Lytiti'Holm,Inc; 1 gas(value$ ) Page 2. Frit» Contact.uturse:Angelo Grajetivski 12.51 : Roof drain(commercial) 12.51 I . Address:.,l09'East 13tHd Stie3 •Sink/basinflavatory 25.02 City/StateZlP:Vancouver,WA 98660 Solar units{potable water) 62.54 ..1348e1,1368)05=./700.: • Fax::(360)69341442 Ttiblshowerlsftawerpsn 12.51 •E-rtrail:kngelo,GraJewadig.l olygonhoinesr. oni urinal .. 25.02 . rti --,•,,------,,--,,,,-,--•ax rk'Gr.. '• wrx t3'cur`a +"'- xfi -."-s�..a' Water closet 25.02"* fi . ✓ .yeaa:.S.•. • s•.-vw '" li^' "* w.'.it:..4;:-:iiG -a. ` water heater 3752 r Business usrrte;Affiance Plumbing.LLC Water i 1»P 56.29 Addieir.146 W Hiatdric Columbia River Hwy Other 25.02 City/SiatefZlP:Troutdale,OR 97860 . Subtotal J• 1'Narie (5D3)442 3490 i Fax (503)912-6430 • Minimum permit fee: $72.50 1 CCH L ic<:784601. !1 Plan review (25%'ofpermit fop) . : .... Plumbing Lie:no::P8732' • • State strrcheige(12%ofperniit•fee), .{i Authorized signature: TOTAL PERMIT FEE f Punt name Robert Dlshman Date:5/23/2016Tb $t tendert expires ifs permit is not abtaisred.within-180 days after it tsss been accepted as complete. *Fee tnetliodoloey set by Tri-County Building industry Service Board. 1{BuittruVerrolLa?PLMV.vemritA p,dac 14/01.e9 44o-4616Too0i02KOMAvEDi City of Tigard cifr COMMUNITY DEVELOPMENT DEPARTMENT f ■ Building Permit Review Residential TIGARD Building Permit #: 5 r)-012-O 0 • Site Address: g & 1€) IP.' ?, Phrit_ /- �C_ ,Project Name: OnLot #: cam',0 '�t,�,� ���.C� (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: i/ J �e7_ �� ��� �1,0 / � erify site address/suite#exists and active in permit stem. R River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached SityPlan Elements: ree(3)copies of site plan :i.i sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper W. ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations orth arrow Util}ty locations(required for new,may apply for additions) e address,project or subdivision name and lot number cation of wells/septic systems UtrXplicant information(name and phone number) psting trees to be retained with drip line,and tree L,t dimensions and building setback dimensions rotection measures 1 •t area,building coverage area,percentage of coverage and treet tree size,type and location jalipervious 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) tC.Arklean Water Services—Service Provider Lett (lot platted priorto 9/10/1995): 1:1 Yes CI No /Required: ❑ Yes,applicant was notified No hJJ( Public Facili • s Improvement(PFI)Permit: : -quired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake ;rand Use Case#: PbdC a_ is 6 ")S- V S cf'6 J(` (9'�L j /oiling: , _ �/.2 ` Pb Street Side 08-Garage e �` equired Setbacks: Front � Rear Side g v� Uandscape Requirement: �--�w 0 Lot Coverage Maximum: 0/0 iyo P1 3uilding Height: Maximum Height 1/� + Actual Height Or isIual Clearance asements •: nsitive Lands: 4es CI No Type Lau1/"� 4,a12/ -- V'eUrban Forestry Plan ❑ Conditions"Met" rior to issuance of b ding permit Notes: /1g4>S.?YI.F .4Z// Le ibir— ,/ /SS lt e..c -- _ Approved By Planning: immo— f---, IIIIIIII,PK Date:--_.-w-. Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /,43G l/) # Site Plans: 3 Building Plans: # 7 Building Permit#: nter building permit#above. Workflow Routing: PlanningEn eerin Workflow Sign-off: � �' g *Permit Coordinator ,>;1:.Building 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: ____________A41/ �L► Date: 2 2 Engineering Review lope at building pad: Conditions "Met"prior to issuan e of building permit"'" - /�/ //7 ---7* ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes El No Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /./...... Date: __2:—.77417 Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date 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: 75SDC Fees Entered: Wash Co Trans Dev Tax: es Cl N/A Tigard Trans SDC: < es CI N/A Parks SDC: Yes ❑ N/A [(OK to Issue Permit Approved by Permit Coordinator: y Date: .2--fi EBuildizig\Forms\BldgpermitRvw RES 091216.docx Y City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT :111 III T l c R D River Terrace Building Permit Review Addendum '" is,,—..-vrf Y9,r., s.,,,z A'h.4 W.. view.v ..... 'x9'4.A2�,'xCsdi:v.,4,04g' -,'#-`=`Xnteie.4'ar^S GF:=3....i •�.' 7 $ ✓J&HN.6,;F:. Building Permit #: At 59.0/7-'OCf 9 Site Address: /3cZe Project Name: Xiar " i t A)Or`�j 11, 47L Lot #: 2/(j (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled do r ft. deep min.2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ 0 2. Eyes on the street: a minimum of 12%of each streetfacin facade ust include windows or entrance oors. . Percentage Shown: ;/7. f /o 14 di 6 C 3. trances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from longest street acing wall 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. ❑ One street facing entry ❑ 12 ft. max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: ❑ vered porch min. 5 ft.wide x 5 ft. deep cessed entry area min. 5 ft. de x 2 ft. deep` VI/all offset min. 16 inchesi2.... I Dormer mm. 4 ft.wide f' US-Roof eave min. 12 inch projection' ' ❑ ; .of offset min. of 2 ft. ❑ Roof shingles either tile or wood r Gable,hip or gambrel roof design R- ❑ Roof pitch oriented south min. 500 sq. ft. ❑ rizontal lap siding min. 3-7 inchese ❑ Accent siding min. 40%of street facade tmdow dtrim min.2 1/2"wide by 5/8"deep fill- ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes No. If No (Check one): ❑May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 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. W. if (Check one) uu{12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: `-�--_� . Date: c / 1 I:\Building\Forms\B1dgPermitRvw_RES_RT_o62216.docx Mechanical Permit Application i oft of Etch I sr O\I.\ Ci of Tigard. /��r/r'7 .erm;tNo. ► City g , Received /Gromra :AL 12 1111 t 13125 SW Hall Blvd.,Tigard,OR 97223 C•-AD ` 4 J r Plan Review Other Permit: Phone: 503.7182439 Fax: 503.598.1960, -- DateBy: T }t r? Inspection Line: 503.639.4175 Date Ready/By; 1uri:: 0 See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information P '7;7.. T"; - • 7,7'-j.:70:., a""s ,r o i ar-(� j-, t r 31: ra, a Z ': , 1 P r s 4 {`._ .g.',7 J',,„,4,__,2_,,.._1,,,,,.-te :"t-_,, . T J}`.., , �'- ,.-''' _.,.LJ,._. ,..Y a--' ':.n„fi.-- ,�m. . '^' ...'."'i".,.�,.. ai..a._3.�.,�.. .', 5 .,rw_ _,e.._�,.�. Mechanical permit fees are based on the value of the work is 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. j � r _ r 'r"il is( r7 7 z S Value:$ �, 1 r._.,...__':,.. ..,�,. .. _...''':" ...,. ..,.mss,.,.. ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For speefal iii fonnatlon use checklist ®Multi family 0 Master builder 0 Other: Description I QV. I Ea. I Total - Heating/cooling; c r CZ , � GT : � I"ic '4i� tL✓L � ,G,kc M1 r.vtaw .. 7'I � .. ...._c>* ..,.}.., , pair conditioning 1 46.75 46.75 Job site address: rjS2, ' �-�Pic .0. .A P' 11 t ' A a 0 ► Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 2. Project name:River Terrace Northwest Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 ^� Other: 23.32 Subdivision:River Terrace Northwest Lot no.:21 , Other fuel appliances: Tax map/parcel no.: Water heater 23.32 e , T' cr 1 Gas fjreplac nsert 1 33.39 F y I , ; ,3i 3t,' {rel ,1',�`�,....r?'`�d_.lft-:.?. _".;.1.,.,..._1:1, ...,...:.:';`_.v�_ �.�. �...,.. _..�a.,....�,_�. - . ,.. -. .. - y Flue vent for water heater or gas Contractor Change fireplace 23.32 rllMllirIIIIIIIIMIIIIII Log lighter(gas) 23.32 l A, t . • r Wood/pellet stove 3339 Wood f replace/insert 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 t 5 f' 'P d1 r hA, !) -r '.i ','..T.',' ' t Ro t°t°f:-'.-'1:',"-f- t: _.�. �_4.._.,�.... �� 1 >.. .....>sr�,�_ ��:.,._-.1 Envlronmental 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)694-403111:31 Attic/crawlspace fans 23.32 q. f > 7` n,r GYr 4+' t, ' 3 E t Other 23.32 __.._,. _.. . ..... ..,. _,...,,r.._. ,._.__. ........ . r€ I lying: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Niebole Thorpe Furnace,etc. 1 Gas heat pump Address:703 Broadway ST Suite 510 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax:(360)693-4442 �ueptace `-`--1I Range 1 E-mail:Nichole.Thorpe®polygonbomes.com i^ Barbecue /, t rt i l ..'__ ; C`1'tithes drys�.lbas) Other Business name:Pro Heating and Cooling,INC ?, 1 7 i, , z S * 7.. . Address:2095 NW Aloclek DR Suite#1103 Subtotal City/State/ZIP:Hillsboro,OR 97124 Minimum permit 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 PERMTIC FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: �� � • Fee methodology set by Tri-County Building Industry Service Board Print name:Nichoie ThorpeDate:9/19/2017 r:VBuitding\YermitslMBC PemitApp o4or13.doc 440-4617T(r1/02lcOM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13552 SW BEACH PLUM TER, SHERWOOD, November 22, 2017 at OR, 97140 12:58:19 PM Record Type: Record ID: Residential - Master Permit MST2017-00079 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13552 SW BEACH PLUM TER, SHERWOOD, November 27, 2017 at OR, 97140 2:11 :17 PM Record Type: Record ID: Residential - Master Permit MST2017-00079 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13552 SW BEACH PLUM TER, SHERWOOD, November 27, 2017 at OR, 97140 2:09:22 PM Record Type: Record ID: Residential - Master Permit MST2017-00079 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. No A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13552 SW BEACH PLUM TER, SHERWOOD, November 29, 2017 at OR, 97140 2:20:47 PM Record Type: Record ID: Residential - Master Permit MST2017-00079 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