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Permit (135) Plumbing Permit ApplicationRECEIVED Site Utilities FOR OFFICE I.SE ONLI City of Tigard Received g MAY 3 1 2017 (e(r/� PermitNo.;/i51-�i2 OLr)7tf IIIIq 13125 SW Hall Blvd.,Tigard,OR 97223 Plan : ��L Plan Review S Phone: 503.718.2439 Fax: 503.598.196JTY Gi- T GAR Date/By: Inspection Line: 503.639.4175 oI a `? 4Ic%O �TIGARD - ?6_/-> � Other Permit No.: Date Rd/By /_/ (��, funs See Page 2 for Internet www.tigard-or.gov Notified/Method c-e Supplemental Information 6 TM ,,, 4:.:•,0.,0,--<::,,,,,,,,, SCHEDULE ®New construction 0 Demolition For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) '';'3#‘32'''Q`? ` I ORY $ i kO SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ®Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler1 3 sq.ft.) Page g 2 4 .30 .MOB `i I ` # A" IO i � Site utilities: Job site address:13518 SW Beach Plum Terrace Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 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.:206 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DITt1O Backwater valve 12.51 washer Clothes25 02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00074 Drinking fountain 25.02 Ejectors/sump 25.02 C4 I' ERT' 1,,._ ,ii„, e, . ❑ TENANT *--NFA 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 ,y ® PUNT ; # Poi f -''r Interceptor/grease trap 25.02 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/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 ,„u .-v-- Water closet 25.02 � • .*Ct - - , ' s g Water heater 37.52 Business name:Alliance Plumbing,LLC 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: t----7-----7-7‘..._-) TOTAL PERMIT FEE LPrint 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. 1:\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 FireS Suppression Systems: that i ,v00 t 1 f Footing drain-1 S`100' 50.03 Oto 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 e II ''Perm `+ 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 (*eSgHlla) till Qty (eat Intal 7' each additional$100.00 or fraction thereof,to s 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*. , �i) ilP �ll g'' �Itton Quant byFixture TypePlan review isrequiredfor anyoffollowing. Fixture Type f,En' Re"pTocrf Work Perfot Cd -tapped Added, Relocate. g. Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ 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 0 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" Roeyir 4" Car Wash Drain ''. 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 MASTER PERMIT Ilitm COMMUNITY DEVELOPMENT Permit#: MST2017-00074 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2017 F t�a�ete 9 Parcel: 2S106DB20600 Jurisdiction: Tigard Site address: 13518 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 206 Project: River Terrace Northwest, Lot 206 Project Description: New SFA. Building/unit 12.1 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 103 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 646 sf Garage: 499 sf Front: 12 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1382 sf Value: $182,684.51 Rear: 5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 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 Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1382 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 SCOTTSDALE,AZ 85258 PHONE: 502-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,363.59 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 -001-0090. Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1,800.332.2344. Issued By: � �' Permittee Signature: t.f L' //GG �Jj� //, �fi 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 Rpcomi ' DalerBy: Perron tic./t7St /7- Ivo-7v 13125 SW.flit11131i,d.,Tigard,OR 97223 ,, Mao Review ! •;- . '' #liOnC„503:718..2439 Fax: 503398.1966-1.i.H.:. •:'.••; 2."-; :`... Other Permit: Inspection Line: 503.639.4175 Date Ready/By: JOTIC Fa Se i Pege2 for • Internet: www.tigard-or.gov I ' : --, ' • .' Notified/Method: Supplfontaral Information . ). • , t ' - . • tittl-May,,%",:gataVONAROieto,filiiik—*4,1A404,,impoa-2.4tv, Wattti.40.4014*.VO*1000*.Olig 13 New construction 0 Addition/alteration/replacement • performed.Indicate the value(rounded t the nearest dollar)of all 121 Demolition 0 Other: mechanical materiaL' 5.equipment,labor,Overhead,and profit Value:S i .-2•P .:04.6„4„:-•7,-)20,245:42-AttisW,tifi*.11-151kWgglottl7aXoNcl.T. P.A04.0t0t.",:"%4:gi ,m,,,,,,,,,,,,; -,,,,,,,„,ivv.;•;,•,,,-.,,,,„.......,------=v.`„„ 4,-•giaptitigit ".4*' ,-t•-,,,-,-,„..i:„•..,-,n-ita--.Ltr.wistA4-aygz.,•,. ..-.;w:..,,,, i.,,,,,,,,,.....--,,,- „,,,,t..tt...,,wt-.•:m.4,...;,rivt,•=-.%,4xr,••* ; .i.-!* t.Ati74•.,,tv;,p.-tssEmagy,p:AQ, ,gts.-apsaygio:..,,.,,„.4„,,,--rm-14:,;-g 0.1-and 2-flintily dwelling 0 CommerCia.1/induatrial 0 AcceSsoty building For:pedal Information usechecklist. 14:MORI-fatally 0 Master builder 0 Other; DeStription igny. Ea. Total f.t•j'•;t444;;::'-*tiiakt$4:fOjs-tSitO''''',abCOWX:-..W*41;61"4W0porigetivis,-.Ait-4 itesidnetooling: t Au.cendatotung -11 46.75 teaddEe$s: /3c-18 SW .P")ear-14. Pk Urn TOArate Furnace I N1,006 BTU rdactsr.anto i 46.75 . "•-- ...,.. Citiv'State/ZEP:Tigard,0457224 Furnace 100.00D+BTU(duotsiveors) I 54.91 t • Heat pump t 61.06 . ... ..„, ,....% --•-. Sultebldg,:tfapt.no.:/4 41 Pmjectname424—W7brart Aftviivie-5-i- . Diet work ' i 23.32 Cross sip:x:4/01;0os to job site: Hydronic hot water system : 23.32 Residential boiler(radiator or i hydronic) I. 23_32 " Unit heaters(fuel-type,not electric), in-wall.inAluct;suspended.etc. i 46.75 Atie/vent roi.any Of abotie .f 23.32 • bitter: i 2332 st0)diYikr,... ./21.1/tr. Ttrigt,NoeilAwert— Loinc,;1L0 *iiiiii,ink ripplianiest 0 Tax map/parceltio:: Water+ heater. N 2332 , :4014117;'•'?'";-•;,,I't'''•I'..".;•!sr•11.if,..;.E:14 7Cf*Atifiark,f4W4RIANWIANrkti. ItRATRI. .6aS ikePtilcelinscit ___/ 33.39 new 4014COrstrieriOn &enlace ... ..•• . ... •tiOk.lialtleir(stat) • - i 2332 3 . ' . Woodtpelleistoye . . . • 'WOod firePliteitiasert - 1 23.32 ......._ i • Chimney/liner/flue/vent i 23.32. „...,..:. ... .. . • • . . .. . Other: i. •23.32 '.*::i-1,-ii. ,',',',1•-•'•!Vi3:•;*• •-'e.•'41-`ili,'''ZQ ii';‘'..", -•e1;4r41,9•6 7'; ,- - :,,-;,:it.,ivii; r -.:, ,.-iio..i.,...,T....ww . : . ,,..-..„,,.,:„.,..,-„,„.-...„4-,....,,,.. ,.....,,ci-_,,,,..A.t... . 4. --!,,........ .:,,t va,.: ..,-.,---,,-. ,-,-. --- '.•• -4, .,,5-,. .-,-- taivironntentil etchausiand rendlatioti —la tistrpc;;Altfq 40:4010NM.13.k- . . ... , , R,Ingehoddlothertitchett . .: , . .. . :eiliiiptiteit. I 33.39 *.C14r.q.sl:7.0).9APOObletree Ranch Road CiodLei diycr exhaust g 33.39 City/Slate/Zi?:Scottsdale,AZ 85258 Sin .duct exhaust(bathrooms, 11 - , toile:t compartments,utility rooms) 7 23.32 Pharte (602)654'74tpl • Fax:( ) AttinterlivIsMice tam. t• 1 2332 iping: 'Pt'`..•T!,"0;,1§'=f;qt-42,",A.V./.. 4:i1.6-fit''', ...,IPIWigs'jt.?4,''' ...4,1',W11"ktili..7:11L'i''''''.447Mgi .°d. _le!: ' I 2332 p : . I ;.13nsktcSs,nattie:,W-illiahrt:1..yon kinnita.,Inc. ' .Fuei S1415 for rust four;$4.03 for Ala additional Contiteruarik4Aittela Geklaisici ..kiiiiitee,eti-- •: . ',_1 . :`. • . ..o Gas heat pump Acklresi:109 East.130tBtreet Wall/suspended/unit heater . ___J— City/4040r:Vancouver,WA 986.60 , Water lieater o Hanle:(360)69577700 Fax::(360)693-4442 Fireplace i • . . Range: E.0411:4ni0440iOrklikr170"1rincom• . •- • ... Barbecue ,.'45444,4t..-Argni,..%;Y*VA7A.:#1tAit'i-Y-AfOrtriggfitrOrigi60111c$*Ye((ges) Business time.Andersen.Meeboniest,Inc.. . . .......... :.!. _..... .... ''Other- 41f..4,7.$.7-7.*; :C.1.?r;„;l,•;:t: :,,, :i.;:ilk;:74-_-=,ik.).,g';'$,OKT-fii.,..77: .44drPs'F 1:04S.t.4/00 Ave Metal ,-,17p.a!do on 97224 Minimum permit fee;90.00) Plan review(2.5%ofpe.irMt fee) Phorie:(503)992-6664 ' Fax:(503)536-6613 .State surcharge(12%of pcimdt fee) cc:..ii 16#14 . - TOTAL PER*FEE .. • This Pernik application eapires it 0 pariahpariahnot obtained within 180 • . ' -......;;... flays after it hes beea ateepted stumpiest, ,A*4*ited . .. . . .. . * FeeMethodology set by I'd-Colony ikcildiof'Industry Sertico Board Rrnine:Ang*Grajmski . . I Dare:042/14 .. .... 1 toiratt‘notioniattejeronto op.co I ts.aog 4.ao:46rir(11102/COMAVEBy t .•... • . Electrical Permit Application l-olt OFFICE USE ONLY City of Tigard / Received : pera:/`f zo f ©O'7`-7 13125 SW Heti Bivd.,Tigard,OR 97223 Plan Review g Phone: 503.7182439 Fax: 503.598.1900 taten3 : Related Permit 8: Inspection Line: 503.639.4175 Ready Date/By: 1111.1 SIT See Page 2 for i'1GARD_ Internet: www.tigard-ox.gov Noticed/Method: SupplesnentalInformation _..�`;:; ,_�. ,- Vt .,'7.v :r'41 'll .9 'd r$. a 1':.0g5 q° XV ..-' ;r., .,.:cr1i• aha�• 'iNao ,h ...4-1---,-:-6.,,g ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of 0211$w/iterns checked): D Service or feeder 400 amps or more 0 Building over three stories. 0` Demoltttio�Wlv,V`��n ❑Other: where the avan7abre fault current D Marines end boatyards. _:Inc,- . &:; rr `.t:.Wil.'`La.'* 41, Q 9 3 i Q E t a a, - Ai-t *" .r.'".••-•:•S?' exceeds 10,000 amps at 150 volts or [i Floating buildings. 1-4 and 2-family dwelling 0 Commercial/iridustrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings.• ,Multi-family 0 Master builder ❑Other: 0 Fire pump. D Installation of 150 KVA or °, t�'',�y`n'. '`I D Bmergancy system. larger separately derived •. .=� ��''•�,' 3� '¢�� �+•s.'a,ewi:•.;gad.4•�;, ;>az 1351 B t pl�rn 7 D100UPoofnew motor load af Job#: • 1Job site address• SI(1t'� 1oo1lP or more, City/State/ZIP:Tigard,OR 97224 ©Six or more residential units, o ocy a ©Health-care facilities. 0 R nal vehicle parks. Suite/bldg./apt.#: I�./ Project name: V, i ra(� Nor t 1 we d- ©Hazmdons locations. El Supply voltage for more than a D Service or feeder 600 amps or more. 640 volts nominal, Cross street/directions to job site• . ATAMV' }:;;V s"M- 1 _, a- Description Q4'. Each Total 1 New residential single-or multi-family dwelling unit. Subdivision' lti ! /.g f f 7 .,r--.tk iAL N -- Lot#: Includes attached garage. 1.000 sq.R or less 1 168.54 4 Tax map/parcel 0 Ea.add'l 500 sq.ft.or portion 1 33.92 1 .. ;,, ' x f. z - i� ates :fi. irOlvtV "' y - r 12.A --- ' : Limited energy,&Y.residential ft 75.00 2 (with above sq. .) Limited energy,multi.-family 75.00 2 residential(with above sq,ft.) Renewable Energy 0 See Page 2 *".4.,,,1,,f, :-..,,,_� Z s; ie�� z rne-mo�`?` � 'y ws- n ` Services or feeders installation,alteration,and/or relocation Name:ADVT..Land Moldings,LLC 200 amps or less 100.70 2 Address:7600 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 30I.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 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 """''''''''-5-v•••-'1;.;' .. R ,,fir Branch circuits-new,alteration,or extension,per panel - ;.�-x ,}- d ._ -- k, .4:--.� r-ti` 4`i,--1,*`� 7X .. {1-•,,4E. s(-o r+':x''-: ; A.Pee 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 service or feeder fee,first 56.18 2 Address:109 East 13th Street branch circuit City/State/ZIP:Vancouver,WA 98660 Each sdd'l bnamboircult 7,42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' • I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeler Email:AngedaGrajewsld®polygonhotnes.com Reconnect only 67.84 2 F f:,r a._ t 47. :.2f -i '1, 1-x4>; v`�1).1 g(1)-ta ,z-:. ate,;i.'''"," ,, .:*' ,.._ `.!. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sip or outline lighting 67.84 2 .,,,•„ Signal clrc ult(s)or limited-energy 0 See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) -Investigation(1 brmin) 90.00/br Email:bdaniels@gweusa.com Industrial plant(1 hr min) • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: C115S Electrical Lie.: 208174 Suprv.Lie.: 44963 listed 4'h hr min Suprv.Electrician signature,required: ' ;it.j . . ! 1 •' Subtotal: Print name: Joan P Albert Date: 4/26/2016 El Plan Review Required(25%of permit fee): e- ' ---",-,. State surcharge(12%of permit fee): "��-� TOTAL PERMIT FEE: Authorized signature: Ms 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 es complete. Number of inspections allowed per permit. 1:i nuildleglPermitt LCJsmr7tApp t3.R ERRE.dec Rev Odin/2015 440M615T(1 WS/COM/WEB Plumbing Permit Applicationlr Building'Fixtures I()1: ()) I )( 1 1 ‘,1 t,Ni.) Received Permit N°11.57-e20/7'0007 City of Tigard ed t s 13125 SW Ball Blvd.,Tigard,OR 97223 Pian Review Other Permit Ho.: Phone: 503.718.2439 Fax: 503.590.1969 DatelBy: • inspection Line 503 639 4175 Dane Ready/By Jurir RI See Cage 2!or e�rtat lalormadoa t , I',> ititernet: www itgatd-or gov r Nai1'iedlMa .,, � � i��, � �'�!" t i. a..aim .`k, •�., 1 r••t t '' ''''4'1411-',4,#'4 ,""'z'a'' ,3.J pf +,,•fid'� "e k r l sy . .(:; ,�s - te, a'ejri 4 l.. r • . .. y. .n, ''ti t x .�'. * ^t.r.. Yf .4x m .sa i;..-.:..,. Demolition For special information arse checklist 151 New construction • Description i V.ty. 1 Ea. ! Total {0 Addition/alteration/replacement 0 Other: .New 1-2-flunity dwellings(includes 100 ft,for each utility connection) j r: s.�u s�y�,. . ., w .- `.-fi • 'z.° .> SFR(I)'bath 312.70 'yy W-.; 1 .,,:4 , f .,P•5....„,1.0,-p..:, ._,„, .. t :»:4 .B.,—.....,,'-..-. 437.78 • SFR(2)bath I •.Rad yfamilydwelling 0 Cotnnteneiayiitidttstriai SFR(3)bath i 50032 i []Accessory building jaMu1ti•familyEach additional bath/kitchen 25.02 1 Q Master builder 0 Other Fire sprinkler(___sq,ft.) Page 2 iiSty'.-'. i*�'v':Aii. f{:,, .1�•e t`I"'4,i.,ti ti`Oc o,,t,;i" E', „ e,�;t;r,`l .'' t:'41 a —Site utilities: ti 18.76 I ��/ f�} Catch liasin or area drain 1 1ab'site address: .�7)51 e S V V earn P t wn4 -r''ace Drywell,leach line or trench drain 18.76 City/StatelZlP:Tigard,OR 97224 • Footing drain(no.linear ft.:*) Page 2 .Sult&bldgiapt,no.: /Z ,/ Project name:14t'veY l ew-ace. mertzwert Manufactured home utilities 50.03 it Cr pss'stieet/directions to job site: holes 18.76 Rain drain connector . 18.76 ' . ' Sanitary sewer(no.linear ft.:_,_-,) ' Page 2 3 Storm.sewer(no.linear ft.:,___,) Page 2 .I Water service(no.linear g.:*) Page 2 ,.:Subdivision: '1,i/ p' % aez /Vd✓%'Gwest- , L tJO•:� Fixture or item: J Backlovprevealer j 31.27r i Tax map/parcel x :. QyhOd w <bt? . z CBlot cs,w8511elr M, T.ar• `LaG � fs , rtnF , KT "x � s .Fu kw . J 25.02- .Dtstlwather . 25.02 Drinking foi►ntatn 25,02 Ejectors/soatp 25:02 8a -,t'�s • :° .K., t`^,t'^'`: ,--a f i 1„ ,,i' . Ul" 1,t)tt d„•i ;1' *'' :Expansidn.tank 12.51 j t A< :f t .,,,i{ x6,w i• ,.n •.a '�LLt"•`.•it's i7 .k;l e�•.; . .. r. 25.02 • Fixture/sewer cap Alairie:•ADVL'aLatrd Holdings,LLC Floor.drain/floor sink/hub 25.02 Address-,76114 E Doubletree Rauch Road --1 Garbage disposal 25.02 City/glate/ZJP:Scottsdale AZ 85258 Hose bib'.. 25.02 I Plit ne(682)494-4031 Fax ( ) Ice Braker . 12.51 , . 1" 0... " Z: .v75t •aF if• v i y l' gt , FE lnte1ton case 1 P 25:02 ,ri;,nxa ,t :.i .. ,u:w...%fx.., a, --•-a..?..-a: gas(value $ ) P2ge? Business name.WAlitirit Lyou Holman,Inc. • Fritrtct 12.51 t onract;t}acge Angela turajeivski • Roof drain(commercial) 12.51 4ddregs:,10 East 13th Street Sink/basin/lavatory 25.02 •City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 6254 . f'lr9tie;P68}6957740 Fax::(360)6934442 Tub/shower/shower pan 12.51 Urinal 25.02 Eamon Angete.CraMwsk polygenhomec ram . Water closet 25.02 .1 r n;:r.' ... : a KTi {a,.Y F,'7 S£ i", '-....a fiK ,....n,.Fm sem.> /,,.,..• >';',d. w_u.,4..!.. .,...; : . :,r. ; Water heater 3752 Business nate.Alliance Plumbing LLC Water.piping/DWV 56.29 Address:•146 W.Historic Columbia River Hwy .Other: 25: •!~it•'/Stat4)P:Troutdale,OR 97464 Subtotal Y. Minimum permit fee: $72.50 Phone:(S83j 492-3494 Fax:(SO)912-6438 Plan raview. (25%ofpamit fee) CCE Lic.: Pltimising 1,ic.no::P11732 State stirchaige112%af-perniitfee) Authorized signature: TOTAL PERMIT FEE •. Date:a123T2016 This permit application expires eta permit is not atutsiated within inky days Print name:l tobeit Disband after Blurs beta accepted as complete._� *Pee methodology set by Tri-County Building industry Service Board. !Buddiaeennitentai•PamtrApp,dec ierovo4 44o.46torood2MOWWEa) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT • T 1 A R o Building Permit Review — Residential Building Permit #: IA r 0 r 0 AO q Site Address: ZS7e Lt) s' CAim '7:J7-46e_ Project Name: setvgr- -77/7AlOtit r ' — Lot #: C-Y, (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ,J€& --C — -24241/1,_ ca-744,60e (fA ) 71A 14;erify site address/suite#exists and active in permitstem. rig River Terrace Neighborhood: ❑ No Li] Yes,See River Terrace Review Addendum Attached SityPlan Elements: ree(3)copies of site plan ` ta lr:sting structures on site j • e plan must be on 8-1/2"x 11"or 11 x 17"paper !G ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) i.or elevations rth arrow !I U U. *ty locations(required for new,may apply for additions) . e address,project or subdivision name and lot number It cation of wells/septic systems plicant information(name and phone number) pi: sting trees to be retained with drip line,and tree t dimensions and building setback dimensions rotection measures tot area,building coverage area,percentage of coverage and treet tree size,type and location pervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) O (`,lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): Pequired: ❑ Yes,applicant was notified No Received: El Yes ❑ No ublic Facili •. s Improvement(PFI)Permit: 1 quired: Yes,applicant was notified CINo Applied For: ® Yes ❑ No,stop intake band Use Case#: PA/ea-0iS--:� f. ')s� - Gl,C3�/�= 6 �oning. / (r ! `� equired Setbacks: Front ' Rear Side 0 Street Side ✓ Garage �6 Requirement:Lot Coverage Maximum: LtVi,Iandscape I11uilding Height: Maximum Height Actual Height! tsual Clearance t(Easements nsitive Lands: Yes ❑ No Type k) l42/ / /2:1Urban Forestry Plan ❑ Conditions "Met" rior to issuance of b/•ding permitotes: 4k .Sale// nrxech j ii / '/tfpproved By Planning: �--� t_ Date:evisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved \Building\Forms\BldgPermitRvw RES_091216.docx Building Permit Submittal Original Submittal Date: /,? //C Site Plans: # Building Plans: ## Building Permit#: nter building permit#above. Workflow Routing: Tanning ) Engineering P (-ermit Coordinator uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: /.2 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. y Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / '4, By Permit Technician: / / Date: _2,..A. ih7 Engineering Review Slope at building pad: 74 conditions "Met"prior to issuance of building permit ®� / ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: Cl Yes 0 No LIDA Facility on lot: ❑ Yes ❑ No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: , L 2) Date: .2-21--I 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved 0 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: CDC Fees Entered: Wash Co Trans Dev Tax: i es ❑ N/A Tigard Trans SDC: s�' es El N/A Parks SDC: Yes ❑ N/A OK to Issue Permit pproved by Permit Coordinator: Date: Vi //9--- I:\Building\Fonns\BldgPermitRvw_RES_091216.docx ,r City of Tigard 111 " COMMUNITY DEVELOPMENT DEPARTMENT T 1 A R D River Terrace Building Permit Review Addendum Building Permit #: /A5 7d-0/2 000 7 V Site Address: /15770 ,94' jpt_ ` 7 rra Project Name: /t .t?r ` ,x ,)O tv c7L— Lot #: (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. 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 do r ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%t of each street facin facade ust include windows or entrance oors. Percentage Shown: ;/7-/o1 £. I_ '7'e 3. trances:At least one entrance must meet both of the folio / gstandards: 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: ❑9. L1 Dvered porch min. 5 ft.wide x 5 ft. deep cessed entry area min. 5.4f.; �de x 2 ft. deepf" lryVall offset min. 16 inches i'� 1ormer min. 4 ft.wide Roof eave min. 12 inch projection f ❑ 1 .of offset min. of 2 ft. 0 Roof shingles either tile or wood Ira Gable,hip or gambrel roof design f.4-R- ❑ Roof pitch oriented south min. 500 sq. ft. ❑,Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade indow trim min. 2 1/2"wide by 5/8"deep fH12 — ❑ 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): Day extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a mm. area of 12 sq.ft. W. h: (Check one) W. garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: c —r�-� " : � Date: C>9 /47 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Mechanical Permit Application ����r�roR til PIC E t sl:ON ry City of Tigard Received �[fAr. A/J,// Permit % lam. — .4P rA 711:/■ 13125 SW Hall Blvd.,Tigard OR 97223 r� / ...I Plan Review Phone: 503.718.2439 Fax: 503.598.196 ? i_; . .` Date/By: Other Permit, i.1 G 1t I, Inspection Line: 503.639.4175 Date Ready/By: ' FE See Page 2 for Internet: www.tigard-or.gov Notided/Method: Supplementallnforniaton " ,, - T^ , n ., . ,,. r.,..:,..4,,, 3, r,. #„-<,77z.. J r. �w�. iSl,1 P,� l i 3t✓`. .. �E l 1 3r�. t�S I 3 3..a ¢ 6;C..., t -7 '. y#-.,V d f'a{. ' r. c u - r 2 t r-'mechanical . _r c, r: ".... �s ,s . Mec ical permit fees*aro based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit Value $ ar r rrs T"Ty i - t k, f2-..'''',":' ( } ti\k •;-4 4.:::."2.-ica:2 .... -2::',5..4: .12- ,r.,t 2F ! rt rrrEBttr%" 1q:1: � � ;� 'c ,,d ; A.: ❑1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal information use checklfs:t ®Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total a rconditioning Heating/cooling: p P„ ti C; lC t7 ,Tj `K�ttf f 3 6t Ek`Ff� ' tt i i ti -,, f�x� , � � 46.75 46.75 Job site address: .1).4 ri A1 .d . i A . i 'A i LG Furnace 100,000 BTU(ducts/vents) 1 , 46.75 City/State/ZIP:Tigard, Furnace 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: r, 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 IIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII hydronic) 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 n0" 0 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 . -77',3:,- s Gas firepia�nsert 1 3339 a x t r: :- fy, ti''':;:1-47.;;;:1-5.,' rES �_.._?.,.:'''',�.:''--'-a .. , .:__..._�...�.� �,i� ._..._ .,_���_:�.� . _.,.._.,._....ss._tiy. Flue vent for water heater or gas Contractor Change fireplace 23.32 Log lighter(gas) 2332 `► �� ia. i j Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 Other: 2332 _ ,, - _ -1� ." :...,.__._4 k�:VC, . _.v.=.u_..., _-.._r..:=-'1.1:----'1'1".''4.''''' '4."'"' .. __- .._..4-='-t , 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. Attic/crawlspaee fans 23.32 i 2332 F e1 ipirrg: Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 for each additional Contact name:Nichole Thorpe Furnace,etc. 1 Gas Address:703 Broadway ST Suite 510 heat pump Wall/suspended/unit heater City/State/ZPP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 "—Firepiace _______I _. _ - Range 1 E-mail:Nichole.Thorpe®polygonhomes.com Barbecue iCi'x r #t ,:n 5.,.� �.. r z...�.. .. ';'!'--J.:;7:._ Clothes�U(gas) .r.. .� _.�,x..�..,__.,� , �. ..,: ,4.>... ....4._ ark,.._..__.,..... ,. �r'-.�. . x a.-_- - Business name:Pro Heating and Cooling,INC ,-,e:,-r:- —� ---;47-.--..---..:-.4,-., _ -ECT F11--5Zt < 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)4435635 92 Fax:(503)9415075 State surcharge(12%of permit fee) CCB lie.:209001 TOTAL PERMIT PEE This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. Authorized signature:`?��"'[`lii 7: r✓1,,�y.�.�, • Fee methodology set by T, County Building Industry Service Board Print name:Nichole Thorpe Date:9/19/2017 1;\Buitding\Permits\MF.C_PennitApp_040113.doe 440-46I7T(I1/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13518 SW BEACH PLUM TER, SHERWOOD, November 21 , 2017 at OR, 97140 11 :58:34 AM Record Type: Record ID: Residential - Master Permit MST2017-00074 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13518 SW BEACH PLUM TER, SHERWOOD, November 21 , 2017 at OR, 97140 11 :59:23 AM Record Type: Record ID: Residential - Master Permit MST2017-00074 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13518 SW BEACH PLUM TER, SHERWOOD, November 22, 2017 at OR, 97140 12:40:23 PM Record Type: Record ID: Residential - Master Permit MST2017-00074 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Water pressure = 70 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13518 SW BEACH PLUM TER, SHERWOOD, November 22, 2017 at OR, 97140 12:41 :08 PM Record Type: Record ID: Residential - Master Permit MST2017-00074 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13518 SW BEACH PLUM TER, SHERWOOD, November 21 , 2017 at OR, 97140 11 :59:23 AM Record Type: Record ID: Residential - Master Permit MST2017-00074 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: A/C installed Violation Summary: Inspector Contractor