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Permit (48) 1111 , CITY OF TIGARD >! I MASTER PERMIT COMMUNITY DEVELOPMENTPermit#: MST2017-00215 AW TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 cr` i/2 Date Issued: 08/17/2017 Parcel: 2S106DA13500 Jurisdiction: Tigard Site address: 13045 SW REDFOX TER Subdivision: RIVER TERRACE EAST Lot: 135 Project: River Terrace East, Lot 135 Project Description: New SF. Model home. 8/31/2017: REPRINT to include(4)lays on permit. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $219,408.92 Rear: 10 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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'I 500 sf: 0 201-400 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 SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $30,982.99 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 through952952 You 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: �//��:/ e'�2-70"/ 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. Plumi'in Permit CEIVFI) Building Fittures • • , f OR OH 'I( I. I 1/4,i, oNt \ City cif Tigard AUG 3 0 2017Z ,r, elvedy. ,03/ /7. ova, Pennit Noitt/57,20/74/(7. 11..._.. 13125 SW Hall latM:,Tigard,OR 97223 _ , .. .. . r ple .Rre-.oil 4 . Phone: 503.7182439 NIX; 503.30111e6 OF 116N-it) Dols 7 Other Ferillit No.: 1 -- 1., :r,r.,, Inspection Line: 503.639.4175B. 1.11L.DING.,1 DIVauk: I Et See Pap 2 tor Internet www.tigard-ormov ISION. oktegeadyY- /By: Notified/Method: ... , . .„.....z,..,,.. ..Sneeementai Information_ .. .. t?„47;.:11/47C`-re.,-.1:1'''i ", r, -.7-- - - , 174:14.1;0141.,41iriell-.i-.„1?‘ " M7•J-i...-:‘...5'.-....-,- ,',.!•..-.'; • Egl New construction 0 Demolition For special information use checklist ' Description. . I Qty. 1 Ea; I mu! ! 0 Addition/alteration/replacement 0 Other: New I-2-famlly dwell.?- (includes 100 ft.for each utility connectiond . . ,. ,. • ,.-,,e7"::Irirri'72,41:-,:it.',...f,,;704-,47: ::,.,:: SFR 0)bath •INN 312.70 •C SFR • r 437.78 ,. . 1 g I-and 2-family dwelling 0 Commercialfmdustrial (2)bath ' . SFR(3)rbath 500.32 4 . .0 Accessory building E3 Multi-family Each additional bath/kitchen 25.02 r., . / 0 Master builder 0 Other , . Fire sprinkler( ,sq.ft.) .Page 2 , , -,•rlirs,. ....,-,,,,,..-Fo„,..3,,,,,,,..:.! : ...K,v r.e.,g1,1 r :t C.::,1 E.:...Cr4 ‘,1 fe,.'Of). -7.4Y-r-7--L-..4c•IP-V--,--$1--: •Site Mille= . Job.site address: 1..7 0 ‘A) Ped.6• .)A-re_A-race 1) 45 5 Catch basin or area drain IIIIIIIMII 111111Drywell,leach line or trench drain 1 .76 . .i City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 ' : --I • Strite/bIdgiapt.no.: ProJect name: 12tver Tee -- i. . Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18,76 1 Rain drain opnriector 18.76 . Sanitary sewer(m).linear ft.: ,_} Page 2 i Storm sevrer(no.linear ft.: ) . Page 2 • • • . Water service(no.linear ft.: ) Page 2. Subdivision: r ' ' -r-c„ *\c,i. ,, Lot no.: Fixture oriterra: •. Tax map/parcel no.: ••Backflow preventer 1111 31.27 1-.., „,,,,,-.3t-e..,:i...,..r.,:0='....,--=-,,-.-te.,.ze---...••,,,,t, ,-..1,..4--, u-.4.--,,,,”ir4 r.,:....-.- .1..0,-2--.,... .-,....-,--,_. ....--- Batikwater valve _ 12.51 , ti.. .E..7;-;,12;;Z:Zir:i;.failkas-4a112.,..424• 411-fi.larg4,. . .clothes washer. 25,M ••MSTIbri .. . . r • Dishwasher 25.02 . . . • Pcrm t.-1- 13 m iSSNA3 iCtvo-tolrieS .Drinking,fountain 1111 25.02 . Ejectors/sump 25.02 • MILF:•7t7tr:5'-' 4,7-4ri.gYarl.',174,47•4'''.4.iik'ir,-J7V.7.4-T11.741W71::'7--7, EVransi°n" 111111=a1. Fixturelsewer cap , 25.02 Name:ADVL Land Holdings,LLC ' ' Floor drain/ftour sink/hub , 25.02' --I AdiirOs:7f08 t Donbktree Ranch Road . Oarbagellisposal 25.02 1 City/StaterZIP:'Scottsdale,Az 85258 Hose bib ' 25.02 1. .. Phone:(602)694-4031 _ Fax:( ) . . Ice Maker . 12.51 . .1 . -,Kfific,,,;R;ZZ1.Fi'riTrfge„,--4.10:41.17.9tirtrrAMWIT:Mntil intOrePPlorigiease trap • • . 25.02 i 1 edical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc • I ' -- Primer 12:51 1 . c°Ma'et name:. 'Chi.)k•1}101/Vt_ Roof drain(commcfcial) 11.11M11 - Address:17.1 ;I A I 411'' 4. -1,V _ .6 Sink/basin/lavatory ' 25.02. . . City/StatetZIP:Vancouver,WA 93660 . Solar units(potable water) p.54 i , Phnne:(360)695.7700 . Fax::(360)6934442 Tublshower/shower part 12.51 Urinal . 25.02 177,7,57..zr,71:::.::.!.. ..:77.,-;-Ps.f,1),...-7_,A,';--Z-..1t2-:,• v,"'N'. -,---,7.1 g.. - .i.:-.;,;.P.:.7,47 -MiM14 Water eiclet 111111 25,02 ...._Lez,:i ...:_::-,--;r:..-.1z..',:"'":,2.".VP. ::1r;?1,,,,:.,i,..tf.t4i.4;'•041,..r.t.,.`„?,.;;;;.,..,..,-sr',7,t,o-ife...c.,"7,-'n7--',.--:'-''1--'1;,•-'1,•; Waterheater 37.52 Business nante:Alia-rift Piumbing LLC , Waterpiping/DWV . _ . 5629 _I Address:146.W itistotie Columbia River Hwy Other: . . . 25.02 I City/State/ZIP:Trotitdale,OR 97060 . Subtotal I ._,_. Minirnumpennit he: $72:50 Phone:(503)492-3490 Fax:(503)912-6433 Plan review (25%of permit feel CCB Lie.:134601 Plumbing Lic.no.:P13732 State shrcharge(12%(*permit tee) i • Authorized signature: i . TOTAL PERMIT FEE 1 Print name:Robert Dishmin Date:3/23/2016 This pemsit application expire*if a permit is kl0 elitalitai within ISO days • atter it bus been accepted as cumiplete, *Fee niethodoloasel by Tri-Coinity Building Industry Service Board. Muilding‘PontiCAVSIU-PonitApp.doe 10/01/04 440-4616T(10/021COWWEB) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00215 Date Issued: 08/17/2017 T[ti A R L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA13500 Jurisdiction: Tigard Site address: 13045 SW REDFOX TER Subdivision: RIVER TERRACE EAST Lot: 135 Project: River Terrace East, Lot 135 Project Description: New SF. Model home. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: sf Left 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $219,408.92 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 0 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 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: 0 201-400 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 SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY FORSUM,MICHAEL 703 BROADWAY STREET,SUITE 510 1 1 Hour Fire Rated Eaves 7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 Ersn Cntrl 503-639-4175 STE 1 SCOTTSDALE,AZ 85258 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $30,982.99 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 -0090. You may o tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By: ����C� Permittee Signature: C* 1/ /le44 .7�✓ 1.7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Bui$ding Permit Application i 6 7--- 5-- R: tkoenual RECEIVED FOR OFFICE t SE ONLI Ci of Tigard Received J g 2017 Date/By: 7 4 Permit No.;�A�^7)i, 7_ lc-- 4 � 1,1 4 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 5 plan Review � / ,"C ��O'KJ r, 6�/ 2 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: //I/ I i/�' Other Pcrmit:( 4,)/J2_-66`01/ T I c A t D Inspection Line: 503.639.4175 CITY + '" TIGARD Date Ready/By: 4 oris_ see Page 2 for V 1 Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:i/Si77 41r, Supplemental Information 1:211e9/Z— 197(dC't , l'kr 7 r ... i .:.,1... ,..,._ V:--- $,,,:rf"?'-.6......„ ,..,"..:e _ as ..,.. ,,'' ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit fr t] v = - ,-r t , A ` ,, work indicated on this application. 1 q,, Valuation: ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building ElMulti-familyNumber of bedrooms: 111Master builder 0 Other: Number of bathrooms: '' P. .' 450-5, - _' Total number of floors: �1l :„..,,,,,..„.„,„„„.„,,,,,,,,„,„,„,,,4,,,,,. I I , , ltd til ;> 3 �aav :. . <<.a� .�. tea. ��G�� ,. ��� Job site address: /so LiS' 5 2. x ri� l�, New dwelling area:{i q`A ;quare feet 3\ City/State/ZIP , - r ` Garage/carport area:' square feet ty j3e�.ver 0 On D���p����� ___ r-�'�3 � Suite/bldg./apt.no.: Project namt (a Je i e- cz .6a,9 Covered porch area: ('quare feet Cross street/directions to job site: Deck area: � CU •Q .:quare feet Other structure area: square feet t l tt vi" ij r Subdivision:F1 rO Vrr— rc r'r t 6044E--. Lot no.:/37- Permit fees*are based on the value of the work performed. " Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the r " 1 .4 i.` ; W y =. `'', work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet i ,s p N_ ' i, 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: Business name:Polygon WLH,LLCStructural plan review fee(or deposit): Contact name:N iavid, n MQ "'► (� FLS plan review fee(if applicable): Address:109 East 13'Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) E-mail: tt 1 , L . 1 ' ' r D A uILI A ,:4=,-,:,-4,,, . • Commercial and residential prescriptive installation of 4 i_. 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. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: " / This permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. �rint name: 1" G��p 'n/1]�yl i Date 0- + O *Fee methodology set by Tri-County Building Industry `SCC t t R", r v S[2,431 i ( Service Board. ,ilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-413,(112/COM/WEB) A RECEIVED Mechanical Permit Applicau'on - . . .ttity of Tigard AUG 1 itaii-ved 4 201/ 0„.., P—ii14)4i. S.2-4,Po• /7---DaRi-s"—' -11 . . SW I-tail LOW Tigard OK 97223 Pian Review Other Permit • "125 " ' " OF T ' • ,_ Phone: 503.718.249 raa: 503_i tirry I GAR I) Daldful .• . . • ion Lint:.503.639,4175 k.i.• -- rill Ste Piegt 1 for' . daternet www.ngard-or.gov BUI LD 1 N 0 OR/1Si°t\grintd,1,12;:e; Suppremaast Information . ,-,- --„ •7...7'7,4 IN I 6 0-..''1.:f7ri'.''.''':-‘,111,'4,2 r:P,4 1,';',.,:2,.:4, },i,t j'exl iti;'::: AI ':'-'4-74'7;,.'•: 1.:`"?`"''- '):.'''' :' MeChilliCd permit keg*an bas bd ori the value of the work 1E Neconstruction 0 Addition/alteration/replacement rationed.Indicate the value(rotmded to the nearest dollar)of all occhanieel material&equipment,labor.overhead.and prord. 0 DcrtualliOn 0 Other: Wm:$ „,,,_ - -., , ••,,t.,,,.,-„,,,,.,=,„.„_..;...47.-.,...‘.,-:-. :',...:•:7.-- - ,,,, ,,-•' - '""t:".-P-I ' '''--`''1-:-.; F4 : .,TY.:A..4.a.,5'.0-7Cr0::;f: L')-:.:7-7' 9.I-and 2-family dwelling 0 Commercial/industrial 0 AccesSOry haimmg Forvedd Po:maim hit eimarat 1 Multi-famlly 0 Master builder 0 Other: Dieteriptioa I Qty. L E.a. I Twat ,, - ,.- , -1, listatintkouther '1;•••' •• •-.-'''8- -- .'.:.',-,',..-..‘--,1:,-",,,,.."r:,,,,.-1^4,::-1,4'-',',Jr:7, :.- - ---.I.,EL:'(:.f..-5NI`jg,i,...1-1 •34,.....- -:...---i ,-,-.--, - .- A4..00,0600%1, 46,75 , 3°b silelddliss: D 14 4 . X TiAYace. , ronnaeltill,1300131130heasi+ents1 % 46.75 Furrow .060*13T1.1 tdactsfereals1 54.91 City/State/ZIP:'Tigard,OR 97224 noProject Heat moon uitetbitiVapt. .: 1 Itamc: I\I eAr"---Ttiescad - 9 etILSk-. 61.06 S ,pltet wadi , 2132 Cross suceildir 0 cent to job site: tlydiorik hot vaster email 23.32 Residential boiler(radiator or Insdran la) 23.32 . One:hems(fue34otre.nol electric). • la-wall,in-duer.stornmaat ele 46.75 P1uefron1 for ant,of ohm% I. 2332 2312 StibdiViSiclE.(22V•teir 1 ek(NreVe. er-A-S1---3.- i LIA no,,1 CC — Olhor fuel apPliskeem: Tax map/parcel no.: _Winer heater 23.32 - - --: ..0- ,---?-,.....-',a,•.,,, .,-.\--%..-.4 :,)-;‘,„• Gas mapiasagassi, 1 33.39 i.2....:',2.....-`,•-•;:,---:-,__--7-:',.:•':.,.75:::"f-----,-,'-',..----`....:-;ii.lr'-'-'ir,..-!.'_,,,,r.'-"-.il l-3.9,..1.7'',17,..,''-,-'•••C"--'---- .."-''-•\-5-f-•:41-1''''''''Y'---•`',1"-'73-'''''''''..-"' ylueveui for woter heater or gas fireplace , 23.32 Lot litleer tees) 23.32 Wood/Cello stove _______222__ • „ " - Wood Ilieolatildlasear • 23,32 chimin..1111neolltielvern 23.32 2)32 Name:Palyion WLII.,'LLC Range hoodfother kifelitul - equipment 33.39 Address: ___,I C.Tothesdiyer exhaust ( .33.39 ..._.: !iingle-dina exhaust bathrooms, City/State/Zit>:Varicaurcr,WA 98660 toilet ainagaiments,wilily moms) 4 2332 Phone:(300)695-7700 Fax:( ) Attkicra.wtspaa fads 23.32 , ,, ,-..,,-- :, ., -,,--7n.,- -,..,.'.=,-,,t-,at7--",z,': :,,',=-5-'' 'Ci•-1---i.S'i,N'-"----sPil -J,1,037P;-`',.1.1. Other 23.32 -7,7-.•."-;.:,-:-.--,.•.2'-`._zz.‘.c,0,.,t4!„42.t.t.;,?..•:-,,,..,., :z.•-,,..1,-,.• :-.,. ,.-.••&•,41--,„,..,..,,.. ._.. __,,,,,. ,..,.. ,.., .• - Fuel alnlact, • Business nail=Pulygen WIZ?UC • 914.15 for Drat tour:94.83 far each addigsrlaal CoalactakanVA‘liGhOlt 1110% PUreited.etc. I • Ada resr 103 BrDaci v.)cuti ,STSkA,4-,e,St 0 Gasneat Pomo Widistrmaided/unit heater City/Slate/ZIP:Vaicoover,WA 98660 Water lontei 8 i Pboue(350)6954700 Fax::(360)693-4442 Replace 1 IWO 1 64111E/ i,1, Li)1, k ei ii ,, ,A,1 11.11 ki! - Barboeue •r.:-.,;_,- :1P-T,i, -,r,.............-,,,.....4,1:;--.i;,f,".7s."`11 f:7'.,.t..43.'F. :. :==:.:5'7, 75-3S' Clothes duer Ewe} ....,--:1--''.• •-I-_r %'.''..'':• •-•,...:.','"'-,....,,(J...!.:1'1..1;•C,..,,,,Z-,-,1;;;;..,:;,:'.•', Balms nano:Apra Air LLC ,---,;:t--,f;Tsf...LI-7..,:_4- ..0J_...-..... Address 1$004 NE/2"Ave Subtotal Minimum pent*fee(S90.00), .Oty/SladefLiP:Vancouver,WA 98686 Matt review(25%ern:unlit lee) _ Phone:(360)342-8109 Fax:(360)326,1769 Rate surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lie.:20034 Vas penal'application esaireara permit is Fut obtained within ISO days atlarit ha,‘been arccaled as eampteta. Authorized sfitratturee ' Fecsnediodaldgy sat by 76-Cooney Doiklin Indostry Sornicc Board - Ptinj netne7;—%. 1 , Date-. 4.il•11., raostwo.wimer_fttolampai I 13 dee 4411-45111(11/62X331410,171) . — 4 REGEIVErf — Electrical Permit Application I OR OFFICE I St'ONL i f City of Tigard A U fa 2011 Received Date/By: .57?/7—C�0. /.—..5' :I 13I25 SW Hail Blvd.,Tigard,OR 97223 pi Review Phone: 503.718.2439 Fax: 503.598.1 DI Ty o r" 'i .7,AA L Date/Br, Related Permit tt: Inspection Line: 503.639.4175 BUILDING � � u �y DatetBPage g IIGAP.}� it 3" 0 StePa e2foc _ Internet waw-tigard-or gov + D s • .�F.l a ; Supplemental Information ? "1,...:4,,,"5.7;',, e.',�,. Sw, 6':•r. ,�i tea 3> r —. . t . ��_ .' 4'�' O..i,"��� �:�,r � . rc$4:��5'k,..''x'E'4 sw�9 'i n•. 15�'�o-:AiC Bis 45''t Y' "��vdgiv: ®New construction Q Addition/alteration/replace teat Please check all that apply(submit 2 sets of plaits witteios checked): 0 Service or feeder 400 amps or more O Building over three stories, ❑Demolition Q OTber' `y y ...a where the available fault surreal O Marinas and boatyards. .: ft iii y ii y irv egx 622 t(a ,ii. ,,i ',; h`S : - '� exceeds 10,000 amps at 150 volts or ❑Floating buildings, ®I-and 2-family dwelling 0 Commerciai/iiidtislrial 0 Accessory building less to mound,or exceeds 14,000 O Commercial-use agricultural amps for all other installations, build 1:3 Multifamily 0 Master builder 0 Other: O Fire pump. O Installation of 150 KVA or 40etc. n '� to WitI Z .: s.)yam,", UMW OSinerPacYsystam. larger separately derived Job 0: Job site address: 130 Sj v4 d` 0 Addition ofnaw motor load of system V_ X r e `{t tq. 100HP or mora 0"A",• ';1-2•1-9,', • City/State/Z.IP:Tigard,OR 97224 13 Six or more residential units. oceupanoy. ❑Idaeifk ciao fhcilities. (3 Recreational vehicle parka. .— Suite/bldg./apt t9: Project name: 1�(P -�ft i � - {fir y LJ Hazaraone toaaaons O supply voltage for more than �`f O Servtaa or feeder 600 amps„mon. 600 voila nominal Cross street/directions to job site: g-.j r., i x 51'_ f ir , --;I ,; <. Description I Qty. Each Moral • New residential single-or multi-family dwelling unit. Subdivision: p" 44', ye,nratt. (ow 1 ' 1 Lot#:,35 Includes attached garage. 1,000 sq,R calm 1 168.54 4- Tax map/parcel N: YY F.a.add'I 500 sq,ft.or portion 'l. 3392 1 .-r F,..;' F.�. "�.., :r �:O r ! tit ty, fl ,5 '� t- . ti i 4. > r Z. i �, fi, �z ,,. fi ,;v.- Limited energy,»sukntsai (with above sq,ft.) 75.00 2 Limited energy,multi-t§mily 75.00 2 residential(with above sq.ft.) ' ;='r a .aliki_3 11111 , r?}a}1< v a+-,M1,-5';',6.4-r!: Y _ N a e ''''''''4 :1;-'4•:.. RenewabEnergy ee ane/2 xServices orle feeders Installation,alteratOSionP,and/or relocation Name:ADVL Land Holdings,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 301.04 2 Phone:(602)694.4031 ' Fax:( ) Over 1,000 amps or volts 55226 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that 1 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 I 125.08 1 2 Owner signature: Date: . 401 amps to 599 amps 168,54 2Ite N .6.5 f2,"L' .9i}4.1 ..�',:gf,,,,_,1 ,: 1171 ' � a' jr ff i V,_,. .tiA.F foribran ts—licik widrrarion,or extension,per panel Business name:William Lyon Homes,Inc. above service or feeder fee, ! each btauclt circuit 7.42 2 Contact name: ( 4t tp.'Tl, / -` B.Fee for branch circuits without Address:1n �],yD� ��f�it service or feeder fee,fust �+� 13 id , ' �c .. branch circuit 56,18 2 City/State/ZIP:Vancouver,WA 98,:l Each add')tunnel circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • • ' I Fax::(36D)693-4442 Each manufactured or modular Email: service and/or feeder 67.84 2 �,i1 a 4 it...,t 3Dit..., 8 h a a& i*e a Reconnect only 67,84 2 „. .�.. .. fr3-• ,f_ --`. ?� ',A Ni. :a' .' Pump or irrigation circle 67.84 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 4.,..,„ Signal circuit(s)or limited-energy Address:6101 NE St'ohns Rd panel,alteration,or extension, O Ste Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) J 66.25/hr Phone:(253)3204657 Fax:( ) Investigation(1 br min) 90,00/hr Email:bdaniels®gweusa.com Industrialplant(3 ) • 78,18f kr no fee CCB Lie.: C1158 Electrical Lic.: 208174 _ which ___i Suprv.Lica: 44965 speafi listeinspections for d h hr min is 90.00/hr .. . Suprv.Electrician signature,required: _ _ `•`' � ��.� � ; .. �s� �t`,3C y��� rat ti ��� • w Subtotal: -,:' Print name: Joan PAlbert • Date: 4/26/2016 ❑PlanReview Required(25%ofpermit fee): = ---=--- -:-.----- -- State surcharge(12%of permit fee): ' •• Authorized signature: ( TOTAL PERMI FEE: ;-'`•: .:Iv.:.:., This it application expires if a permit is not obtained within 180 :.4'Q',•i Print name: Bill Daniels p pcfter ;:x::!;,:,, Date: 4/26/2016 1 days ager it has been accepted as complete. �z:` ':t • Number of inspections allowed per permit .��e%`C:.:::,``1:1Building4PermitAlaz permitApp fi.it R06/1m015 44Pidl5'iC17/oSlCDhowEg VIP:', Rev '�;`iy: Plumbing Permit AnplicatiCC,F1ED Building Fixtures i()R Ori it I I til OM ..,, AUG 1 a 2011 City of Tigard p "ate/By Permit No.:/UdSi�/2'0045 IN�-u 13125 SW Hail Blvd.,Tigard,OR p W R Phone: 503.718.2439 Fax: 503.39811'900 ` ") P Other Permit No.: Inspection BUILDING_ DIVISION 17ateke bt ion Line: 503.639.4175 , t 4 lea Rudy: /Br brit iii See Page 2 for I.r Internet www.tigard-or.gov Notified/Me hod: I Supplemental lnformstion _. TIfP,E•oP:WOItlF.::. . -*•-S HEDV& a:.,:i ,::i ®New construction Q Demolition For alpecfal In ormotion use checklist Description J Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other New I-2-family dwellings(includes 100 it for each utility connection) CATEGORY OF CONSTBUCTIOPi•• SFR(1)bath 312,70 181 1-and 2-family dwelling 0 CommerciaViindtmtrial SFR(2)bath 437.78 SFR(3)bath J 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ©Master builder ❑Other: Fire sprinkler(_sq.ft) Page 2 .IOB SITE INFORMATION'AND•i3OCATION Site utilities: Job site address:IV 4S 5 W 12-ed FDA T Catch basin or area drain 18.76 Armen,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97214 Footing drain(no.linear ft.:• ) Page 2 Suite/bldg./apt.no,: Project name:p..i lit r ('C.Yfac SL,64+- 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 it: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivisiot, gi J.(,tr1 1 f e'(1c&..• I-- Lott no.:/35' Fixture or item: Tax map/parcel no.: Backflow presenter y 31,27 Backwater valve I 12.51 DESCRIPTION OF.WORK. . . •• Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Ig:I.J'ROPERTY OW(YER ' • I • 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/StaterZiP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 •®.APPLICANT . . C] CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S. ) Page 2 ^ Punier 12.51 Contact name:01 j1 c(An 6,e.--RA oyvt, -Roofdrain(commercial) 12.51 Address. fl3 gn� Su rf V Sink/basinlla<ataY 25.02 City/State/ZIP: \i(�y\ci)Late" IA- Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/Sbowerlshawer pan 12.51 E-mail: Al i 6116 le.71/1 tw s C&n Urinal 25.02 1' 1 �ft�l�t Water closet 25.02 CONTRACTOR/ • -Waterheater 37.52 _ Business name:Malmedai Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other 25.02 ^ City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 _ Minimum permit fee: $72,50 Plan review (25%of permit fee) CCB Lie.:102535 'Plumbing l Lic.no.:34-276YB State surcharge(12%ofpermit fee) Authorized signature: C..._-----, TOTAL PERMIT FEE I Date:04!25/2016 T permit application expires Ifs permit is not obtained within ISO days Print name:Carolina Malmedalafter it bas been accepted as complete. 'fee methodology set by Tri-County Building Industry Service Board. I:1B,lldinglPamiustt.MU•PamitApp.doc 10f01/09 44o-46167(I0/02fCOM/WEB) I, City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT ■ T n It n Building Permit Review — Residential Building Permit #: _/fjjs2V2/7,- a /c- Site Address: t 045 5 LO 1)R- 'S a-v. Project Name: '(,�N1-c ice C--A54 Lot #: 135 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Y1u,J ,SFS C�(\C h, rflQ/) EI/River "Verify site address/suite# exists and active in permit s stem. Terrace Neighborhood: ❑ No 5 Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan $Existing structures on site fl�Site plan must be on 8-1/2"x 11"or 11 x 17"paper [ Pootprint of new structure (including decks)with finished L'Drawn to scale(standard architect or engineer scale) floor elevations Ni/North arrow Utility locations&easements (required for new and additions) Eite address,project or subdivision name and lot number EiSidewalk/driveway approach [ pplicant information(name and phone number) 4Location of wells/septic systems Lot dimensions and building setback dimensions `Lf Existing trees to be retained with drip line,and tree quare footage of buildings to be demolished protection measures Lot area,building coverage area,percentage of coverage and Street tree size,type and location �iimpervious area(applicable if R-7,R-12,R-25&R-40) Street names [ 4 roperty corner elevations(2 foot contour lines if more than OR Storm water quality facility required if>1,000 sf of 4 foot differential) r impervious area is created or replaced. N Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified . No Received: ❑ Yes ❑ No d Public Facilities Improvement(PFI) Permit: .2416—000B9 Required: ❑ Yes,applicant was notified ❑ No Applied For: Kt Yes ❑ No,stop intake C'Land Use Case#: PDV-201(o—0000( ' PD -2c15-0000(,1 5uw2-0 (u 1�p -0ot Zoning: R-7 CPI) Ei/Required Setbacks: Front (L Rear 10 Side -3 Street Side 8 Garage 20 NI/Landscape Requirement: 'Zp 0,0 CVLot Coverage Maximum: 80 % t46 Building Height: Maximum Height \ Actual Height gr. Visual Clearance ILS Sensitive Lands: El Yes ❑ No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buildin permit �Y Notes: Cat q ci CAYI�I 1 b S r PD 2 tt t G -0000 J 2- $(A.152-O 1(o—Q*OC"f hove, j&T� WI Approved By Planning: 9 /l,e iN f Date: (4, /C / (7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw_RES_051617.docx F Building Permit Submittal Original Submittal Date: S /k Site Plans: # Building Plans: # ' Building Permit#: nter building permit#above. Workflow Routing: lanning jngineering Permit Coordinator -Building Workflow Sign-off: Sign-off for Panning(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: /04By Permit Technician: '�. .. Date: 0'('N/2 Engineering Review --Er-Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit 'i Easements (encroachments) per engineering conditions of approval and plat e Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes -No Assess Water Quantity Fee in-lieu: ❑ Yes _. No LIDA Facility on lot: ❑ Yes ,��No ❑ NOT Approved by Engineering: Date: Notes: U 6. hit v`lam( &r, / ?-i2lart ' I 5 5' fL Approved by Engineering: Date: Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved zFz Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit NOT Released: 5 Ghue/Y �,, rc{,G -- DateA /7()Approved, otes: 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: • SDC Fees Entered: Wash Co Trans Dev Tax: Yes 1:1 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: gl.Yes ❑ N/A LIDA ❑ Yes N/A OK to Issue Permit(k) / �� Approved by Permit Coordinator: Date: 04 /alri-- I:\Building\Forms\B1dgPermitRvw_RES_051617.docx City of Tigard !Pi " COMMUNITY DEVELOPMENT DEPARTMENT I T I G A R D River Terrace Building Permit Review Addendum Building Permit #: Site Address: o u5 Sw SEDT-c-;1 -TG-C4 Project Name: 'RN et 1--. ,ate goal- Lot #: 135 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District��// Design Standards (18.660.070.1.): N/Yes 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 dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 211 o� 6 3. Entrances:At least one entrance must meet both of the folloying standards: 2/Max. 8 ft. setback from longest street- facing wall LEParallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 2rYes ❑ No If yes,all the following apply: M/25 sq.ft. min. Ct/One street facing entry R712 ft.max. roof above floor of porch D/5 ft. depth min. Cil 30%min.porch roof coverage 4.petailed Design:All buildings shall include a min. of five of)he following elements on all street-facing facades: Et Covered porch min. 5 ft.wide x 5 ft. deepihEr Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide 2/Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood L9rGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade Er-Window trim min. 2'/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ 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 n-, -• ongest street-facing wall. ❑ Yes ❑ No. If No _ one): ❑ May extend up to 5 ft.if there is a covered ro- and garage do- -. extend beyond the front porch. El May extend up to 5 ft.where the garage is part of a tw.-. . and there is a window at the second story above the garage that faces the street with . •-. . area of 12 sq.ft. Width: (Check one) ❑ 12-foo - -..e garage door El 40%max. of street façade It 0%max. of street façade with 7 detailed design elements Notes: N\-elC{0,v ck e Approved By Planning: �'.e.ez r`(59 Date: 6 /‘ /(-7 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13045 SW REDFOX TER, BEAVERTON, December 20, 2017 at OR, 97007 11 :18:05 AM Record Type: Record ID: Residential - Master Permit MST2017-00215 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: 13045 SW REDFOX TER, BEAVERTON, December 20, 2017 at OR, 97007 11 :17:29 AM Record Type: Record ID: Residential - Master Permit MST2017-00215 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: 13045 SW REDFOX TER, BEAVERTON, December 20, 2017 at OR, 97007 11 :16:49 AM Record Type: Record ID: Residential - Master Permit MST2017-00215 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 35 psi Violation Summary: Inspector Contractor -'Electsical Permit Applicatio '7.. `h ° '�� 4 S � :r .F.:"4 r�: City O Tigard Received c} f 1 r� 1 O i i Y Date/B .J Permit k: �� ^L /\r 71 n 13125 SW Hall Blvd.,Tigard,OR 97223 A'I)i 1 , 7 0 o 9 Plan Review T `J�1 Phone: 503.718.2439 Fax: 503 598,1t9Q Date/By: Related Permit 4: Inspection Line: 503.639.4175 ' ' ., • Ready Date/By: Jam: I E See Page 2 for TIGARD 1 s_,z.„ .o Internet: www.tigard-ongov 31 13 t t A, ',% : Notifiedrmethod: Supplemental Information ::_-+ .r:.' •TYPO E ~ WORJt • � ,.,. .;., .i , ,.:. ..,. PLAN VIEW RE :::-.......:::::,..:....:.':-.:.:-•:. New construction ❑ Addition/alteration/replacement q„ql,, �3 Please check all that apply(submit 2 sets of plans w/items checked) ® y fie» 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑ Other ` where the available fault current 0 Marinas and boatyards. ,. CATEGORY OF:CONSTRUCTION .', ' exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling ❑ Commercial/industrial ❑Acce . .' .uilding less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. El Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or `' ;:JOB SITE INFORMATION AND LOCATION. ., • ❑Emergency system larger separately derived 1 L �� 0 Addition of new motor load of system. Job#: Job site address: 1 4 E '1( "1—s-(Z,{Z, 100HP or more. ❑"A","E,"1-2","t-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: :1. :. FEE-.SCHEDULE:...`:i_. . :' ` :• Description I Qty. i Each 1 Total i . New residential single-or multi-family dwelling unit. Subdivision:East River Terrace. Lot#: `?JS Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 . • • .• DESCRIPTION OF WORK Limited energy,residential Change contractor on MST (with above sq.ft.) 75.00 7 g7��-OD Z�5 - Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 g PROPERTY:OWNER s , . . ., 0 TENANT - Services or feeders installation,alteration,and/or relocation Name:Polygon WLR,LLC 200 amps or less 100.70 2 Address:703 Broadway St,Ste510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 • 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps _ 301.04 2 Phone:(360)695-7700 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 ® APPLICANT 1=.1 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, each branch circuit 7.42 2 Contact name:Tonj a Morris B.Fee for branch circuits without Ste.510 eanice or feeder fee,first Address:703 BroadwaySt, branch circuit 56.18. 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 Fax: :(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder. - - y . : Reconnect only 67.84 2 CONTRACTOR, Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:3415 NE 440'Ave. panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Portland, OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) • 78.18/hr - Inspections for which no fee is 90,00/hr CCB Lic.: 199188 Electrical Lic.: c923 _ 1 Suprv. Lic.: 487IXrspecifically listed(r/hr min) { .ELECTRICAL PERMIT FEES SSuprv.Electrician signature,required: / /,�� Subtotal: Print name: Kirk Rood _ _ I Date: 05/09/2019 0 Plan Review Required(25%of permit fee): /f State surcharge(12%of permit fee): Authorized signature: /C.i id. j2Ov/. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 P*Inr names• ICirlr.Rnnrl I r1,,,... ncrnnnm n I .i...,..,c....s.u.,.t......-___