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Permit (34) Plumbing Permit Application, i l(S 0/A Site Utilities RECE • FOR OFFICE USE ONLY Cityof Tigard and 1� �✓ Received ll v c/` Permit No.AA CT�UI "tiYilJ/� le 13125 SW Hall Blvd.,Tigard,OR 97223 MAI 3 :VED 2017 Date/By: / )4 �7/ Plan Review IIIPhone: 503.718.2439 Fax: 503.598.196 Other Permit No.: Date/By: 6 �jy.17 /,l(,,(i1 Inspection Line 503 639.4175 CITY OFTIGARD Date Ready/By. Juris See Page 2 forTIGARDInternet www.tigard-or.gov QING DIVISION Notified/Method ,, / SnPPtemen alInfo rms ion - t •' �� - *,Y.,1,4,', aE- '. NitaNr�. . ' ''r,--'--,. c :. * � KIK � >�rx 0 New construction 0 Demolition For special information use checklist Description Qty. Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) A,. '.R ,OF UNI'TRUCT.. SFR(1)bath 312.70 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory [El Each additional bath/kitchen , 25.02 0 Master builder 0 OtherFire sprinkler(1,382 sq.ft.) �- Page 2 JOB SiTLISt'ORMATION AMR LOCA e ; Site utilities: Job site address:13450 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.:200 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 nr DES Oro OF t i l • Backwater valve 12.51 ' ` ` . " r Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2017-00073 Drinking fountain 25.02 Ejectors/sump 25.02 i�4 + ,1PERTY OWil'N R A$4 Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 '''''.„L r APDL ANT' ke, ❑ bNrA N Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Alliance Plumbing,LLC Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy 1 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 stia Ai Water closet 25.02 ,re . ON .,a,.. r _ sy .:..t-''''.,„,,,;z• Water heater 37.52 Business name:Alliance Plumbing,LLC pin Water ip P�WV 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 fee) Authorized signature: tT �� 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_doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Ulf Tll ia % , S a Ootag. .. . Fee� 1 . Footing drain-Pt 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' 37.52i >� r 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 4y Feea `'� � . , ... 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 , "IttliViti1ittlir for Pluibg° o i°, tllons Ftxture Type for neperany Plan review is required for of the followin ed*Perl`6tmr 4i Capped Added' Relocate Please check all that apply. g• Baptistry/Font Bath Tub/Shower 0 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 0 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 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food 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 *Note: If the fixture work under this permit results in an Washer-Clothes 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 Pgmit.doe ,1111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00073 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017 Parcel: 2S106DB20000 Jurisdiction: Tigard Site address: 13450 SW BEACH PLUM TER Subdivision: RIVER TERRACE NORTHWEST Lot: 200 Project: River Terrace Northwest, Lot 200 Project Description: New SFA. Building/unit 10.6 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: 8 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 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 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 add9 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 OthPF-_ N :Other Pescriotion -- _ _ _Fmtmll croft' 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: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $23,255.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through•A -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. '/G/C'�/�Csil1 Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ' L-0 MDQ Building Permit Applicahp ll I a, ;id , 4 Residential "'"4-4 wd it '""4 " FOR OFFICE 1 SE O\Ll City of Tigard 2 r y 2/ //' Fill Permit No Wo(7-e 73 111413125 SW Hali Blvd.,Tigard,OR 97it13 ` ' L Plan Review 1 2 ' Phone: 503.718.2439 Fax: 503 59$J960 Date/By: ....,,i;): .. �� � f7 �'erPennit:t(1/4,247/2.4129 ,? T I C A R D Inspection Line: 503.639.4175 s l ," i;:.(y,A, ). Date Ready/By: /J �. 7uris: I ig See Page 2 for Internet www.tigard-or.gov �c , ,4•.:4',11.1-v; Notihed/Methed:-,tl /Z �T- Supplemental Information .,Ii^-I /t— 4A/67(6- - --4,,.0,--7,4,_- --t, .. i _ -� sf ' ._.�. :�`sr� .-- a � � s= .t':'�_.: a .__ �_ @..___._& @. ,��� ��c x+vt�;g_r�y . .4 �_.Ww-..± s �.�_ � l �r- , .. ® New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the --- -_ work indicated on this application. _._..-. _ ._. ...: ,� , n . ..:.::: ,.-:-.n..:.:-... �..,_ . _ _. Valuation: 1-and 2-family dwelling ❑Commercial/mdustrial 8a 6 / 0 Accessory building [0,Multi-family Number of bedrooms: o Master builder /0 Other: Number of bathrooms: - f 18.$ 'E 61 1- �iiii -- _ Total number of floors: ) C8 8 1 :"-= .74,.1 gyral:- _'@: .r-� �,. , -tt .�)-Y-&_0(\ ,0 n n __r 7—, Job site address: /NM— Svc �l)Y-&( + P4on Tei1(`r(j,(�Q, New dwelling area: /387 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: /49 I square feet 3 3 Suite/bldgJapt no.: /0,(p Project name:River Terrace Northwest Covered porch area: S a, / square feet y 6 Cross street/directions to job site: Deck area: 1 Q p square feet 1 o3 o44... O er structure area: I O Q square feet Subdivision:River Terrace Northwest Lot no.:2,00 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the g - "" r. i'' workindicated on this plication. --- F' .7 4,47-:444 + i#��t 1,=`# r II _ $ ., 'x- .' application. Valuation: "sp Existing building area: square feet .' New building area: square feet �'\ �-" ` r ' .W u . ... Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: � + - .a-�- r��tri-,,,t,_m'-',.''''.4'61.6..� �.n �;n, Wit.�o De .-�. a�r� a r. �„ 1 -= �, + _-$13 t33 � a€r�as :i.:"-�, � � .. p r;,-i-1-+°,. ;n s ;.."irk - -. :- �o-t#47-'-- Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received Phone:(360)695-7700 I Fax::( ) E-mail Angela.Gralewski®polygonhomes com . '� "- .. ,-, t..0_ r 1-- Commercial and residential prescriptive installation of n ::::,:_.,-.:%_,•-=- i 1-.- -- _ roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): '"---ine:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 _..B lic.:207247 Total fee due upon application: $201.60 Authorized signature: ' This permit application expires if a permit is not obtained , within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: iZ�u n , l I I l p p Fee methodology set by Tri-County Building Industry y� l _i Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • City of Tigard Dateived P�,tat ho.: N.,,___.- .. 13125 SW Hall Bivd.,Tigard,OR 97223 DauiSy: /LfSiTzG/?" 73 , Plan Review if ' •Plione: SO3.7l8.2439 Fax: 503598.1900 i :? t, ,, Dateiily: Other Permit: t tt 'r:t> Inspection Line: 503.6394175 DateteadyiBy: !uric l3 Sett Plage2 forlniemot wwwti$md-or. ov Snpplcntrllnfo Information r,, fir, 8<t e t c� - -: .r .1 F j, + '+ 3i.. "� 7+ S`c�'I?:t'. Kit i�4 4 7.'�, 54" /* t� , � 1` "5'_,�_,-;?t;_m%�'4.",'� ,m���_.`,t„a'`�5�3�3'P-,E'��1,���#�� __.�P"'�ig��xm,�,..._.�4s: ..�;='.�'._��'Ii~ ..,. ��z�S� [�. wis 1s4ceha meal permit fees'are based DTI the'value oldie work ®New construction 0 Addition/alteration/replacement performed.indicate the value(rounded lir the nearest dollar)of all 0 Demolition [.puller. mechanical materials.equipment,labor,overhead,and profit. •ifs pr t f A'1;1 t Nam X '^t k s r r.4 , . .-„ Valu¢ ❑1-and?4atnily dwelling. 0 Comtnercial/industrial 0 Accessary building For:pedal information use checklist. ®Multi-family 0 Master builder 0 Other; Description .. L4'rty, Ea, Total ' s ena >z�'n w „,. ti+{ < nrt: '�' •.•� s 1 n CAQltti�': , _ Air condtionutg + 46.75 Job:sitt address: t 3L/ SW bear-An t, 7 k U Y4 16(ra ce Furnace l00,000 BTU(d, snanu) r 46.75 . Furnace 140.006+BTU nimmeiim to . t $4,91 , CitylStaii'JZiA; Ciirtl�OR 97224 ) ... ( Heat pump f 61.06 Suitrlbldg:lapt no.: I Dili) Project name:Riy4Tetral(t...JUt irrhiAest Duccwotk - i 23.32 Cross streel/direetrons to job site; Hydronic hot water system 2332 Residential boiler(radiator or i hydron)c) t 2332 Unit heaters(fuel4ype,not electric), . in,wall,in-duct;suspended.etc. € 46.75 • 'Flue/vent for any of abode 1 2332 . Other: - 23.32 SubdivlsIon Lot no.: Fiver Tyr ,rvi�rlt ,�i--- AD : Otter Mei iipptiadces: F tax map/panxl no. Water heater. i 23.32 ' � '•.. ; tte ' <h''P SOWO .Oi:NOMEM I O t - .r,�. Gas fih:ptare/insert 33,39 .,:,•n. r.~ . �?'n.,Ta3x 3:::- `' .n,...... <1?: • r n :�=:,' --�t• grt9 Fiue vont'fat'water heater or gas new borne constructionfireplace „.,, 2332 l z►g lia)ittx(aas) . • E 23.32 . Wood/pel dstrove I 33.39 , Wood firepl nsert 23.32 Chirriney/lincrlflue/vent 1 23.32 • k cs - tx„t Oihcr 23.32 s'a'`r I e & d.k, ,n t 'p..p *::':•'-',-•*,' i`Al i'_,� . m',4.,X..:: r Environmental exhaust and venula idameI AIM;J,asid'EColdjngs;LLC Range,lhgodfottfer kitchen •Ydtlress:7401!E l)4ubtett ee Ranch Road equiptitcitt:. 1 33.39 Clothes dryer exhaust: ) 33.39 Sin e=duct:cxhaust(bathrooms. city/slate/zrg:Se:gt>`Sai)e,Ax.8525e f� toilet compaitments,utility rooms) 23.32 Phone:•.(602)694.4031 l alae:( ) = Ause/crawlspace fens. 2332 Z:0::: :;,',.T. r ..Gz 4 r.E""� •4 a a' 0",,;::,.:34 Ia , r Other 1 23:32 usiness name:.1 11tam Lyon}tames,Inc. Fuel pining:B • Contact'aamef Aigala Graiewski Furnaee,xto.. Address:i09East1.3th'Street Gas_beat pump .Wallisuspe ndediunit heater 1 ' City/State/ZIP:'Vaneouyer,WA 98660 Waterheater PM*:(360).695-7700 1 Fax :(360)693-WW2 . Mace ti Agr-E-m01:.tlxtge' 9r10Wski0Polyganhotges eortt nSe .,;t �x yy .�.� s� 8arhacua ' .-:-, "�a' x.,1�>..•�ar;S.fr,;,;:,?; ,. ✓; `aireA. :44 F'°e7, j ':;:{.•c' n>R'r '' :^f ;45fi r,ram:r:3;.. Clothes dlYer(gas) 1 1 Busnis sfeAnderseMeelanlel,Inc. )hrma . :. . . ......, �N7-_,..,.f-4.e yJQS 't � _ Y( - �".t•*•!� '*- 2.. Ailoss168SW _ j ttlttOtfkl ;;City/State/ZJP:Tt-gard,9R-97274 Minimum permit fee S90.00) Phone:(503)592.6664 Fax:(503)536-6615 Plan review(z5%ofpepnit fee) State surcharge(1.2%of p mit the) CO lie,:168114 / TOTAL PER14T FEE . ., This primit Application irpt its permit at obtained-Within 180 • days titer it iws Una accepted complete, Authorized signature: ' Aminethodolbgyset.byTri-County BuUd Tato*Senioc Board Print name:A igelaGrajewaki I Date:.8122/14 1 • i.'aiundi rniCsin stEc uy>p;asaitidec 440:4611ttri.U02401WWE ) I . Electrical Permit Application r nit 01 EWE t'SE ONLY City of Tigard dB 010 e, Permit 13125 SW Hall Blvd.,Tigard,OR 97223 Plan peN6,, a Phone: 503.718.2439 Fax: 503.598.1960 pate/B. Related Permit a: Inspection Line: 503.639.4175 Reedy Dete/By: _allirliEl See Page 2 for TT Internet: www.tigard-or.gov Notified/Method: Supplemental Information _ ,r_v _.�:.:^+o- "r'_ ;,,- mx fi 1.6.AN �?1niSat x.3sr. 5 r.7'� -a:� y-ip `' t, 'a' .. *g�,..G; -r ..., *Wk.. li r 3 e • , .71-,� i ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition 0 Other' 0 Service or feeder 400 amps or more 0 Building over throe stories. where the available fault current D 2dtarinas and boatyards. krh =, zu . Kv ti i'ily ,._E"a r0;54:011,0 ti ti Vi n_ ,,•,,,�? ; e t* " exceeds 10,000 amps at 150 volts or Q Floating buildings. 1-and 2-family dwelling ❑Cotrlmercitll/indtistrial 0 Accessory building less to ground,or exceeds 14,000 D Commercial-use agricultural ill Multi-{anvilamps for all odor installations. boildiags. Y 0 Master builder 0 Other: 0 Fire pump. D Installation of 150 KVAor r.W 1'.'- ,':,!:.,•_';- ^;'ie :t:4 M.-7—.1-0,'.1-0. o'e"^•,.,7;31,^:.'. 1 'e�9 M.'., 0 k$`;�"y:sr .'pt "�•tes D Emergency system. larger separately derived ..°.' J '"' '. .For-.C.4h7 4 - ❑Addition of new motor load of system. Job#: 1 Job site address:/341 SVS MUM 7",Gy ' Ioom,or mare. O"A•',"Y:","1-2","1-3,., City/State/ZtP:Tigard,OR 97224 0 Six or more residential units. occupancy. D Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: /0 i(/" Project name:Ay. 44 Ttie'uce Northwert ©Hazardous locations, 0 supply voltage for atom than ©Service or feeder 600 amps or more. 600 with nominal. Cross street/directions to job site: mit,;r , ' x• ?.4',A'.40,, „�", ' °: fi DesetiptIon I Qty. 1 bath Total New residential single-or multi-family dwelling unit Subdivision: T Abwitt v.e tr f Lot#: .41 Includes attached garage. TeX map/parcel#: 1,000 sq.ft.cries i I68.54 4 Ea add?500 sq.ft or portion 33.92 1 _X1 r'esWc-V t 1 , 0 °alb.-Wa',9 e-y a r ei ,, ` 3 s Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.It) ... Renewable Energy D See Pag2 _,' Fc r; ' c' s`o � : ..P.,,,,-- R ' 5�-Y ;y - • ; i�A -- ?, , ?', n l - ., x ;.,< t..,: y;- .,,- r sn Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/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 I I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 V..* , Branch circuits-new,alteration,or extension,per panel , ":::,.x„?.,,,,„..„ ' .. .-<,- —s91�x�d "r�Gt�afmfa '',as,Fre. `1 t „hi.S...., '«� ...�r,..,,,,,—.v--', ';`ti +�+'' '.+i = 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 Gra jewslcl B.Fee for branch circuits without sAddress 109 East 13th Street seance irfeeder fee,first 56.18 2 branch oirtatit City/State/ZIP:Vancouver,WA 98660 Each midi bsaucb chwit i 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' ' 1 Fax :(360)693-4442 Each manufactured or modular 67.84 2 .k ,.15' '''''--., dwelling, andlorfeakr Email:Angela.Grajewsld®polygonhomes.eom Reconnect only 6784 2 t ;.,a k Y,' `:.7P _ u >!-4- ;: .clncgA ici"sx Z'' :r7%y ;w'T,, '"j,4Y.. Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 •+r.:. Signal circuit(s)"limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. D Ste Page 2 2 City/SttlteJLl!' 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 I Fax:( ) Investigation(1 br min) 90.0W hr Email:bdaniels(wgweusa.cotn Industrial p at(I brtnin) 78.18/hr Inspections for which no fee is 9000/hr CCB Lie.: 01158 Electrical Lie.: 208174 1 Suprv.Lic:: 4496S listed '4hrmm] • f Suprv.Electrician signature,required: • . "jigr.1 Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): _ State surcharge(12%of permit fee): Authorized signature: _^ -- --"~ TOTAL PERMIT FSE: - 'rhis permit application expires Sin permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after 1t has been accepted as complete. * Number of inspections allowed per permit I:lauiidirgTermifslFS cJermiitApp 5rR ERfidot Rev 06117/IOlS 440.4615TO1/05/00MF IEB ..i Piiumbin2 Permit Application: " _' ., -i , ' Building Fixtures 1 tM 011 l( t 1. �1. 0N-1.1 City or TigardReceived PemM"c)lL 5r)0/7--06073, lisl_._ .... I3125 SW Hall Blvd.,Tigard,OR 97223 ' Plan Re*W -i„ Phone: 503.718:2439 Fax:"503.598.1960 Dale/SyOtherPermit No.: Inspection Line: 503 639.4175 .. .tw;s, a Sa Page 2 for � �- � � � r, s .$d Snpplemenut ta[ormatiod E` Internet www tigatd-or gov r »� CBtSYS'°"" ^cn': w ,i. .y i f 3` -wi. +�`..e"l.r-:N '.c i1'^ Y • y_ w,,.,...>.w�. IN_ r.?.'yiwtFri..:, z.,,,_, . •.., �«.'•-'Y"' ,Y �-.....w`mix..+�' ,.n .c:=. ..4- -- ' ;-r.+s.r'I="...r..m•. _.. . �New co structien D Demolition For special information use checklist • 1 Description 1 Qty• ) Ea. . I Total i Q Addition/alterationhrplacement 0 Okher: .Nov I-2-flintily dwellings(includes 100 ft.for each utility connection) 1 ,, .,v�^•, � m k .4 , , m:., .41,,A '', SFR{I)bath 312,70 (2)bath 437,78 ,and 2-family dwelling D Continercial/itidustriel ' . t1 Q Accessory building •►': Multi-familya Each additinnal bath/kitchen t D Master builder" D Other: • • • .Fire Sprinkler( sq,ft.) Page 2 3,,z " , 4fi`i�[:,,,,l °"b:: 14.. a r. ,.khalif .-, Side mower: ... pr . t.u.-.i.; „,`,„, � ~ . n.,.�.�� :y �� �^ Catch basin or area drain Job site address: 16 S W Gt c1 P i tkrvi le . Dtywelt,leach line,or trench drain 18.76 litjrlStateJZiP:Tigard,OR 97224 • Footing drain(no.linear ft.:—„__) Page 2 ' S4ite1b1dg/apt•n°-:, ()A Q Project name:gi Vey ' f. , ' A 4;t/ € i Manufactured home utilities 50.03 .Crsss'Stree.t/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 pnniWater service(no.linear ft.: ) Page 2 Subdivisionl : Vete 7-071,-ate NtV til ' Lot no.: Al . Fixture or item: ..._ Tax ti'tap/parce7`"no. ,.:v. -"'"::f---'4"';'''''''''''-'). 4.: BsciftovOreventer III® ` ";;,k` Iv - . 4 .,, 5 us,e„.., . „ryRaekSvatGvee .`. IsC 1 • : . ,. .r R.r }' 25.02 t ik 25.02. .. Fixturef.seWer ap 25.02. Name:"ADVI.'LsfdHolilihlg3,LI , , Floor drain/floor t Address;7600 E Doybktree Ranch Road _ ,. t 1 — 1 City/State/ZIP;Scottsdale,AZ 85258o ' 1 Phote::{6021694-4031 Fax:( ), . i Z „l. s r : I iia '.-f” `y-41 Ya-cS`: ro .� -„.a.,'--4` TTF'?",n l r _ur-. trap- i • Printer 12,51 Roof drain(commercial) 12.51 i . Address: 1” .Sink/ba'infavatory 25.02 1 Solar units(potable water) 62,54 i .Plume:1060)6954700 Fax::(360)0934442 tub/shower/shower pan 12.51 Urinal 25.02 .w +, ;,' t e e� r,,ti 4� �. . r^x * n ? . .""`-T'�i°.sn" Water closet 2s oz r'a.," Z'uv ..._a...er ::::lib "':.:,.'rt :„...Ewr:"yd,14-,. 3,'.` z..z'' -i,-;:�c.,;,-iar 5;:'.-',. 1 wider :" _IEEI Water.piping/DWV , 56.29 A� a di 25:i :. .City/State/LIP:TrOutdtt e,OR 97060 . Subtotal Mirrimum permit fee: $72.5 Phenie!(503)492-3440 Fax:(503)912.6438 i H CGB Lis::184601. Plumbing Lip:mi.:PB732 Authorized signature: �J/ l "'r' Date X12312016 This_penult application expires ira permrtis not obtained within lac days Print'11arnC:Roltert i)ishrttaa . ." ager U has been accepted ea sce►ptetz *Fee methodology set by€d-County Building tgdustiy Service Board. 1.4EUikGaglpmainSlPt.Ml!-PermNApp.loc 10101/09 440-46t6T(10/03/Y•OM ES9 City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT TIGAltl� Buil g Permit Review — Residential Building Permit #: ///1c7;2.0 /7� , O 73 Site Address: /. 's D 00 4460 , iGoyc ce _ Project Name: 'v-er 7 7,LG. iCote5f Lot #: cQ()C) (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review qq .,, �� Proposal: �l.d4,) - e�// ^ co'A/C�c'kL rgy,),011.00„0 ri erify site address/suite#exists and active in permiittstem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Siy Plan Elements: l ree(3)copies of site plan la:/sting structures on site Pr Ate plan must be on 8-1/2"x 11"or 11 x 17"paper II Footprint of new structure(including decks)with finished V rawn to scale(standard architect or engineer scale) �oor elevations +orth arrow ACJ Utility locations(required for new,may apply for additions) P�jrito address,project or subdivision name and lot number tJ ,cation of wells/septic systems rIA pplicant information(name and phone number) I'1 t' sting trees to be retained with drip line,and tree ( t dimensions and building setback dimensions , protection measures �t area,building coverage area,percentage of coverage and UJ treet tree size,type and location /impervious area(applicable if R-7,R-12,R-25&R-40) Street names Property corner elevations(2 foot contour lines if more than 4 foot differential) teftlean Water Services—Service Provider Lett r(lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified .CNo Received: ❑ Yes ❑ No Fr Public Facili�s Improvement(PFI)Permit: �/ equired: i i Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake 174/..and Use Case#: Ph."Q l .� ‘(. # - gi &air s orung: 1 '//Re _equired Setbacks: Front _ a Rear `- Side (3 c:,20Street Side 3 Garage ® ��andscape Requirement: (� ot Coverage Maximum: to0/0 td Building Height: Maximum Height op' Actual Height Pi ° isual Clearance !I asements PE ensitive Lands: ❑ Yes No Type I! Urban Forestry Plan ❑ Conditions "M�"Met"prior to issuance of building permit Notes: Ceild/heix —5/24.// be {I o!- A 7" 1 `? Approved By Planning: '4411r � Date: M`; Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: b2 /?.d//7 Site Plans: # 7 Building Plans: # 3 Building Permit#: O, nter building permit#above. Workflow Routing: dli lanning p,Engineering Permit Coordinator Building Workflow Sign-off: ,Sign-off for Planning(include notes from planning review) Route Application Documents: (ii"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: -0" --,4"(41/4421 Date: A444/0_ Engineering Review Slope at building pad: _ conditions "Met"prior to issuance of building permit .e, I O Easements (encroachments)per engineering conditions of approval and plat O Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: 0 Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: AL D Date: ...2-..„-,g1-1 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review O 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: \�'es 0 N/A Tigard Trans SDC: 'A-Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: Date:oZ 1/i ----- I:\Building\Forms\BldgPermitRvw_RES_091216.docx IIICity of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT TJGARD River Terrace Building Permit Review Addendum Building Permit #: 573w/7—C6071 Site Address: ,L/� 2/0 642c )64,11 `7:erQ Project Name: ,l°"v,�ii -7--e-,face oj Lreg Lot #: 6200 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist/ct Design Standards (18.660.0701): Is the project subject to the plan district design standards?I 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 ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled do r ❑ ❑ ❑ ❑ -F-y-e._ 2. Eyes on the street: a minimum f 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1- i ie 7 - 1 -J/0 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: ❑ overed porch min:5 ft.wi e x 5 ft. deep ecessed entry area min. 5 ft.wide x 2 ft. deep` ViiiiIall offset min. 16 inches Dormer min.4 ft.widefi_ Roof eave min. 12 inch projection" ❑ oof offset min. of 2 ft. Roof shingles either_tile or woodHo, . - - ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Iorizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade al Window trim min. 2 1/2"wide by 5/8"deepfl-- CI 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): 0(M ay 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 min. area of 12 sq.ft. Wi,the (Check one) G 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Pzge,,9 Date: ,2c"", 1:\Building\Forms\BldgPermitRvw RES RT 062216.docx Mechanical Permit Application IORour!cr. I'srO\L1 s City of Tigard Received ,���il� Permit N 'pm,.�Ji tl, 13125 SW Half Blvd.,Tigard,OR 97223Plan Review Phone: 503.7182439 Fax: 503.598.1961 , Date/By: Other Permit: 1 IL!1,R D Inspection Line: 503.639.4175 '' Date Ready/By 8f See Page 2 for Internee www.tigard-or.gov Notified/Method: IINSupplemental Information - '...T:'„,,. ,n,, e.n-�.. U&t j.�'t't i i x,v .St I a-!41,� t_V t r;:,1 a ,_ ., �s i+�e 3 r � C yc • '' �' y t t � ,� t' �t ; -.. L+„^ •..�a,,E�a__..y r-' `%�'rs.�`,t....�lrrmx�.�uax. r, ,« „t x-x,,.,:tt,_,.. _�,_..-„,,,> ._ .._.- _. ..<.` ... ...Lz,_.-...,..-2,.....,z....; ...a mechanical permit fees*are 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 0 Other: mechanical materials,equipment,labor,overhead,and profit Value S ;[ at 'A �Er�.�i' Fx 1�� R D tali f. i.Ef `f9"LE� t FT i 4 �,yQ'. - � K I '1 v c+.. e..._.�, .5 -..__w._,... v...... .�_ .,..._.�.,�...,._.,s...._.......__�,..�.,....E�.::s.w_._-�_ --z-_..W:�l..�;: _k..�.t ��exr,g � ��.ts};,”.�'�.M... ..�h''�...,tt � ._. ❑1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building .For special information use checklist ®Multi-family 0 Master builder 0 Other: Description [ Qty. I Ea. ( Total Heating/cooling: �3 af�i kJ I I 1C�k gat F1..�)i]e; , , d'SS �iiF7t n .': i_. . ._ ,> P Ar conditioning 1 46.75 46.75 Job site address: ;la ► �'/ / 2 ' A l _ 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.: 9 t / Project name:River Terrace Northwest Duct work 2332 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 Unit beaters(foci-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 2332 Subdivision:River Terrace Northwest Lot no.: % 23.32 Other fuel appliances: Tax map/parcel no.: Water beater 23.32 F :: '`.. F t�„�v e i ff'1i f t < r ,r v i t ' Y: F Gas fireplace/insert h 1 3339 �,�._s < �.. . .',. ,w..._�� ....,�_. .:- . _.... ...:. ... . . _,u ,z.,..k.._ ° Flue vent for water eater or gas Contractor Change fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 11111111.111111111111111111111111111111111111111111111111111111-`° ',-1--11:---"'. . -. ... xOtiCbimneyliner/ ue/vent 23.32 y�Ir ii - �-I v7 t, . . , Y — � ' . � ler: 2332 _ �___, ,_._._-----, a ,ma.,.z„�.�a,�s.� .,___..a._r-_,. w Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 1 33.39 Address:7600E Doubletree Ranch Road Clothes dryer exhaust I 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet comjlarunents,utility rooms) 4 23.32 Phone:(602)694-4031 Attic/crawispace fans 23.32 ''''',-"I'''4--`' ;, ( t ',4P1f � -' ii • Other: 2332 f r,.� . ,,, s ..a..T Fuel piping: 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/ZIP:Vancouver,WA 98660 Water beater Phone:(360)695-7700 Fax::(360)693-4442 kireptace -�"" _-___._._.—_ 1 __ ... Range 1 E-mail:Nichole.Thorpe®polygonhomes.com Barbecue Clothes r as) Business name:Pro Heating and Cooling,INC _. Other r Address:2095 NW Alociek 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 PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:itit'c/�jV'W`�,� , • Fee methodology set by Tri-County Building Industry Service Board Print name:Nicbole Thorpe[/„vvDate:9/19/2017 I Building\Pennii mC PernitApp_040113.doc 4404617r(11/02/COMAVEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13450 SW BEACH PLUM TER, SHERWOOD, October 16, 2017 at 11 :24:20 OR, 97140 AM Record Type: Record ID: Residential - Master Permit MST2017-00073 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13450 SW BEACH PLUM TER, SHERWOOD, October 16, 2017 at 11 :23:18 OR, 97140 AM Record Type: Record ID: Residential - Master Permit MST2017-00073 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Seal penetrations around mechanical room door jamb (inside) for approved fire separation. Riser for exterior gas line buried beyond maximum depth marking per manufacturer. Ac installed. Other mechanical appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13450 SW BEACH PLUM TER, SHERWOOD, October 18, 2017 at OR, 97140 12:13:16 PM Record Type: Record ID: Residential - Master Permit MST2017-00073 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 60 psi Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13450 SW BEACH PLUM TER, SHERWOOD, October 19, 2017 at OR, 97140 11 :34:23 AM Record Type: Record ID: Residential - Master Permit MST2017-00073 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 verified 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: 13450 SW BEACH PLUM TER, SHERWOOD, October 19, 2017 at OR, 97140 11 :24:14 AM Record Type: Record ID: Residential - Master Permit MST2017-00073 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed. Note: landscaping altered to complete correction for exterior gas line riser buried below maximum depth line per manufacturer. City not responsible for any landscape alterations after inspection. A/C installed. Violation Summary: Inspector Contractor