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Permit (33) Nl '4 CITY OF TIGARDlg �''4 �.� MASTER PERMIT '- COMMUNITY DEVELOPMENT �� f� Permit#: MST2016 00055 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 251060003000 Jurisdiction: Tigard Site address: 13840 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 99 Project Description: New SF. 7/18/2016: REPRINT permit to add 114 sf patio cover. 9/14/16, REPRINTED to add a/c. 9/16/2016: REPRINT to correct address from 13850 to 13840. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 948 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2078 sf Value: $256,056.28 Rear: 15 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 3 201-400 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 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,237.69 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through� OAR 952-001-0090. Youmayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. '/ Issued By: "L/ f✓ d'`-� Permittee Signature: C "V ��'G/ eN 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 TIGARDr'1=Eire ,., MASTER PERMIT f COMMUNITY DEVELOPMENT '//��-��= -� Permit#: MST2016-00055 T IIGA.R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 9 /y' Date Issued: 04/28/2016 Parcel: 251060003000 Jurisdiction: Tigard Site address: 13850 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 99 Project Description: New SF. 7/18/2016: REPRINT permit to add 114 sf patio cover. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 948 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2078 sf Value: $256,056.28 Rear: 15 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 3 201-400 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 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,237.69 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. 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: , „4.4...e....a.-- Permittee Signature: Gr...A 4.2 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. -Mechanical Permit App -".GENE FOR OFFICE ISE ONLY !Eew g/ Iy IlQ ( Permit No.:• C13125 SW Hall Blvd,Tigard,OR 92 22016 f� J J Phone: 503.718.2439 Fax: 503.5987] Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 CITY OF T I G .l AR Date Ready/By: Juris: E+7 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING DIVISION 7p Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. �f!#niva�8a Value: i � � ' , �� ....4:4V±-4.54'.4- 01-.1 S} . ,, , i fff �FA , � ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea_ Total 120 the . tom'#4 Heatin coolie : ".t *5.14 It b'RM , AI4131 �+[111T g/ g �� Air conditioning 1 46.75 46.75 Job site address: I 1 i Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 • Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision:Polygon at West River Terrrace Lot no.: '-1 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 4ii i 7 LM i: lQ Gas fire lace/insert 33.39" .r ? .i.� .:;-::1,,,,,-..„ -t-:sa � , zt t a ti. ma5. E:94* Flue vent for water heater or gas Add AC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 - Chimney/liner/flue/vent 23.32 F r ' `❑°11 1T : Other: 23.32 41;400� _<._. '.__ �. > __.... �._ Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:(. ) Attic/crawlspace fans 23.32 .-_ .i .V 4" ,.h.: ... ::.#15. . .#34.,,,,,,i;-,:.-4. ,...,;IIIJ�, i'g T 23.32 Other �. ... �,_ ` � _ice.� Fuelrn r Business name:William Lyon Homes,Inc. p p g' $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue :.. �. ,. ,:4 ..- ... ,, , , .s",m 4� �*t .:a Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave `.._,,._ "' c°'~ s a ._ ,.'. g Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 A days after it has been accepted as complete. Authorized signature: qv',AL/4 * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 I:'Building\Permits'MEC_PemmtApp_040113.doc 440-4617T(11/02/COM/WEB) 4 1 i CITY OF TIGARD � `��011 MASTER PERMIT ili :. - COMMUNITY DEVELOPMENT Permit#: MST2016-00055 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S1060003000 Jurisdiction: Tigard Site address: 13850 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 99 Project Description: New SF. 7/18/2016: REPRINT permit to add 114 sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 948 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2078 sf Value: $256,056.28 Rear: 15 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: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 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'l 500 sf: 3 201-400 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:Y Square Feet: NEW SF VB R-3 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,140.33 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 throug R 95 - 01-0090. 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: GW- lr/ 6-i(y e/'i 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. i t .Illllll.-'" i 1 14 4 ,._ ' City of Tigard II DEVELOPMENT DEPARTMENT IIIII �i lz Building Permit Review — Residential Building Permit # -s'T '; ' D.;s Site Address: (3g 5 0 5 ,, k - , Project Name: POfy3Ov GA- Wei-1- ia r Tent-ALL. (New dwelling subdivision name;,lddition or Alteration=last!name of�oowner) Lot #: Planning Review Proposal: r/Verify site address/suite#exists and active in permit system. 10 River Terrace Neighborhood: ❑ No / Yes,See RiverTeirace Review Addendum Attached Site Plan Elements: iThree(3)copies of site plan /Site plan S ke on 8 � :i: -- res on site r -1 2"x 11"or 11 x 17"paper %Footprint of new structure(including decks)with finished %Drawn to scale(standard architect or engineer scale) floor elevations North arrow Y A•te address,project or subdivision name and lot number ra_Utility locations(regpircd for new,ma a 1 for additions) _ _ appy Applicant information(name and phone number) r � �� =• /septic systems Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions /Lot area,building coverage area,percentage of coverage and 4Street namestion of catch basin,etc.) impervious area(applicable if R-7,R-12,R-25&R-40) e /Property corner elevations(2 foot contour lines if more than Street tree size,type and location 4 folr,differential o be retained with drip line,and tree 4 foo .rotection measures 7 Cl 'IM Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Public Facilities Improvement(PFI) Permit: Received: 1] Yes 0 No Required: 0 Yes,applicant was notified 0 No Applied For: 0 Yes 0 No,stop intake Land Use Case#: ' Dg i S — 00001 Zoning: — -7 Q IS —' 00 00C, Setbacks: Front Rear K �`_— Side 3 Street Side Garage.ZO Landscape Requirement: 4 Lot Coverage Maximum: A_ /`J Building Height: Maximum Height 3(f Clearance Actual Height .VisualEasements ,� Sensitive Lands: ❑ Yes 0 No Urban Forestry Plan Type 4 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: /'70/7/2--CA. e 0 'I ' - Date: Zr 2-S / / (v Revisions (after Building Submittal only) Revision 1: Approved ,1 Reviewer Date PP 0 Not Approved r''i C +71`Le, I t7/ / 1 f Revision 2: 0 A roved �' -�'�' PP ❑ Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Bui lding\Fonns\BldgPennitRvw_RES_o 121 16.docx F , Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: Center building permitrm #above.Plannin L`�'>✓ngineering L�i'ert Coordinator ��uilg Workflow Routing: g Workflow Sign-off: E Sign-off for Planning(include notes from planning review) Route Application Documents: EEngineering: (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: Date: By Permit Technician: / �.dI%/!- A►• Engineering Review Slope at building pad: CJ 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 0 No ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes Not Condition remain unmet that are required prior to issuance of bldg. permits. Date: Approved by Engineering: Re`. er Date Revisions (after Building Submittal Revision 1: Approved ❑ Not Approved Revision 2: CI Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Date: 3 8� Approved,NOT Released: Notes: i 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: Wash Co Trans Dev Tax: Yes ❑ N/A SDC Fees Entered: ❑ N/A ( Tigard Trans SDC: Yes Parks SDC: Yes ❑ N/A �' OK to Issue Permit Date: � a / Approved by Permit Coordinator: :7, 1 4 l I:\Building\Forms\BidgpennitRvw_RES_0121 l6.docx \-� i. . City of Tigard ivIN ■ COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Nj.s7'„2_r/a -0005_5- Site Address: 13$5 0 SW V 75+h Ave, Project Name: Pnlcan a-- wQ J- R►ver -Terface, Lot #: 99 (Nevielling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): 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.,6f. 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: /3J /, 3.Entrances:At least one entrance must meet both of the follow ing standards: Max. 8 ft. setback from longest street facing wall to street,angle no more than 45° from street,oropen onto porch Entrance opens to a porch:/Yes ❑ No If)yes,all the following apply: � ��5 sq.ft.min. One street facing entry /12 ft.max.roof height above porch depth min. /30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: 7 Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep /Wall offset min. 16 inches ❑ Dormer min.4 ft. wide /Roof eave min. 12 inch projection );:(Roof offset min.of 2 ft. ❑ Roof shingles either tile or wood /Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq.ft. ,Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade "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 line, than longest street-facing wall. ❑ Yes ZNo. If No(Check one): "May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 4 May extend up to 5 ft.where the garage is part of a two-storybuilding and there is a window at the second story above the garage that faces the street with a min.area of 12 sq.ft. Width:(Check one) /�� j ❑ 12-foot-wide garage door IAfI%max. of street facade �I 7`/ ./`'' 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 4/1 i 0 K'C-41 61 JO 41lliivt-/k- Date: L/zs / lc :\Building\Fonns\B IdgPennitRvw_RES_RT_0121 16.docx Albert Shields To: TO FILE Subject: FW: MST2016-00055 NOTE: Routing sheet missing. Assume revision is to add patio and cover. Albert. From:Al Dickman Sent:Wednesday,July 13, 2016 10:02 AM To:Albert Shields<albert@tigard-or.gov> Subject: RE: MST2016-00055 I don't believe it had a routing slip, which I thought was odd but I completed it anyway.. From:Albert Shields Sent:Tuesday,July 12, 2016 5:50 PM To:Al Dickman <AL@tigard-or.gov> Subject: MST2016-00055 Al, one of the red folders you gave me today was for MST2016-00055, but there was no routing sheet in the folder. Do you still have it? I see you signed off in Accela. Thanks,Albert. DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retentio chedule." J 17". tIAS `YU FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-Coup ty area for transmitting information. Please complete this form when submitting information for plan review responses and re This form and the information it provides hel.s the review .rocess and .ro revisions. res.onse to our t. 111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter Tlc,,�l�t-a 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •_hard °may TO: Tom H. DEPT: DATEI•.+4i4f i t '",. BUILDING DIVISION JUL 6 2016 G FROM: Angela Grajewski GR /OF TiCi D COMPANY: I DiN ENVISION Polygon Northwest PHONE: 971-212-2144 13�5c� acv ., By. RE: l 5 n • ,r-C- 1-- —71fZ (Site Address) lel f_ �� Polygon at Westrrace (Permit Number) ---—__ (Project name or subdivision name and lot number) * �� ATTACHED ARE THE FOLLOWING ITEMS �� Ei�h f,"r"'r+s0�;O��'�'y�k'. 3iFY -� xi -Y's �Mk a# �r ... 0 Additional set(s) of lans. �rE `h ! i" mak« � Cross section(s)and details. 3 Revisions: add roof over patio 0 Floor/roof framing. � Wall bracing and/or lateral analysis. _____ _ Beam calculations. 0 Basement and retaining walls. _0 Other(explain): 0 Engineer's calculations. REMARKS: home owner selected o stional covered patio ,f . a - a a k . k a k-� nalawfwitn k k,.. ! m-� ,�*� -k, K,Route to Permit Technician: Date. _2- iFees D e� Yes ❑No Fee Description: Amount Due:x,,,..,.„4x,-„,,,,,,,,,,,.--,,—,,., ,,,k � laWBEIMensiiimi $ 90 ---- 11, "4z , 'l" r' /I-611"i , / $xxkxa,•,,. 1�- ' kk ,' $k uY x & , $x Special Instructions: •; Reprint Permit(per PE): ` _ Applicant Notified: r7 Date: 7 /d / - ❑No [14one 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT I '!INII a COMMUNITY DEVELOPMENT Permit#: MST2016-00055 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 TIGARD Parcel: 251060003000 Jurisdiction: Tigard Site address: 13850 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 99 Project Description: New SF BUILDING Floor Areas Reauired Setbacks qu Reired Stories: 2 Bedrooms: 4 First: 948 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1130 sf Garage: 380 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2078 of Value: $253,585.90 Rear: 15 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 Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 5 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 TIMID 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: 3 201-400 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 2078 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,981.86 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 0 R 952- 09 . 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: lX Permittee Signature: e� ,"4"/0770,v 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. • Building Permit Application -- FOla OI FICF, l `F. (101 \.(1-1), RECEIVED 0 ,., �`� �02.9 �� :��• PermitNq��"�-wpLU�h��V�� City of Tigard ��y��/�qq�/ h 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review)�,c other p" ` W/«W f7_��QO Phone: on Line: 5 39 9.41 503.598.) 2 2016 Da m' Iuris: I 'B See Page 2 for Date ed/Met o Supplemental Information Inspeetion'Line: 503.639.4175 Notified/Method:T c F: Internet: www.tigard-or.gov gov CITY OF TIGARD to , Permit fees*are based on the value of the work performed. ®New ction ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 111 Other:0 Other: work indicated on this application. __ 4 i'2_ ` /I Va171atlOII:' O e, 0 CommercialTmdustrial ® 1 and 2-family dwelling - Number of bedrooms: kii "1 Multi-family ❑Accessory building Number of bathrooms: ",3 ❑Master builder 0 Other. F Total number of floors: 2 M r „-F .1` -1:':2.Z1.511-i74)1'":rr''-5". ' 31a " -- '- . � s .um square feet - I New dwelling area q _ : Job site address: 'f Garage/carport area: 0 square feet q�' City/State/Z1P:Sherwood,OR 97140 feet Project name:Polygon at West River Ter Covered porch area: ' osquare1 Suite/bldg./apt no.: I pro JI Cross street/directions to job site: Deck area: ,, square feet � :Other structure area 'I square feet Lot no.: q d. Permit fees*are based on the value of the work performed Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: ,.., ,_ _ equipment,materials,labor,overhead,and the profit for the !� work indicated on this ••.lication. �� Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet :':��c.�_,y�-��?_s___�.�a.��.rx`��,-��9.��,�.�__ �.��--.....•�..a�`.:..._�r<i -..__�...-_ '......-.p...�" Number of stories: a , Nam ppV 13-.ILC //IS L,..v IBA//o/loLo/ J L4-1.04Type of construction:n• Address1ft9 1fvet- Occupancy groups: City/Stat Existing: Phone:(360)695 7700 Fax:(360)693.4442 New Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13"Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: -_ Phone:(360)695.7700 [ Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of 31 w roof-top mounted PhotoVoltaic Solar Panel System- _ -_- = - - " -� - ��/��_ -�� =�� Submit two(2)sets of roof plan with connection details Business name:Potyguu WLHr C �I �/�/`7 LyG/� /7v� //VC Submit fire department access,along with the 2010 Oregon Address:109 E 13*Street Solar Installation Special Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 I Fax:(360)693.4442 $21.60 State surcharge(12%of permit fee): �/1 CCB lic.:207247 Total fee due upon application: ..$201.60__ o� 1This permit application expires if a permit is not obtained Authorized signature: i* within 180 days after it has been accepted as complete I *Fee methodology set by Tri-County Building Ind!isfi LPrint name:Maggie Gordon 1 Date:12/11/15 Service Board. doc 02/24/2011 I:\Building\Permits\BUP RESPermitApp. 440-4613T(11/02/COM/WEB) y,ir ,' lleteta ical PSI A 1" IG D 1` . ,% , r.�i 5 rig Pp City 9/Tigard " � 9 a 2 5 Zoos ter. : v. f t;� � // . , Z Phone:503.7152439 Fax 503.598[960 Rdakd Patna C: — Inspeclfonl 503.63914113 "I'd" $Y xmm Tif 8aaPapalfor barna:: vt �, CITY OF 7 IGAIC? iIntormatloa ®2 weoruction QAddidtonfidterition/rsplactinent Plata*:ebxkdihsapply tabrolea;wbrplw.dacn+arekear CIsavtwafeedar4boamp,ormoo 0arrMmaaterteacalories. []Der c hhon Q Odtsx' ulnar tbo aveilal b fwhaeral CI Marinas ad batyardr. '+ ,. Ks. r,;,', !r'crkba.1" �, . . rearms lops)a l aiso volts or I FIas 11 E I and 2.famity dwelling 0 Commercial/industrial 0 Accessory building lees to sr0er+d.or a cards id ono El ea a,,eeteid use a icunant Q Multi-family Q blaster Q°thee amppfliaiusmiNioar. be,iidi , ❑�pweursp.r• ❑Jastdf.ba.o£lsoxvn a - aOR'Sill/ i+� lMh ICON.M D LOCATION DErnecpaaey:yuan, Israel saes.sty derived Job i1 Yob site address: 1 Vit, 0 Addition of now motor load or :Tatem. r w 1 ' �5,1I " Ne 100I(Pormaa. a-A:"E;^l:r; 13, City/State/ZIP:Sherwood OFC97140 OSix aafore residential war occupancy. Clikalt-eves ltellairs. 0ilacreatiettalcelpdepasha, Suite/bldg lapt#: Prajoct name: r iknodaus loca6oar. i3 Supply celmae ter ave»rlwn 0 Service arLaerhr 600 amps at maze. 600 Yak,aomwL Cross streeddirections to job site; ,°", "° Fr"Etot nesahak. i w,. r F1..ar 1 sae l• New residettial single.or malt Subdivision:River Terrace Lot i.'019 includes attacbi:d Zatage, i 1.0004 ft.or less 16854 4 Tax map/parcel/l: Ea.odd!500aq.R or parties 13.92 1 _, BESCR1P1TON Or WORK 1.rmitedalrergy rerideMild • New Single Pamily (With*bossier:.LI ! 7500 2 Limited energy,titniti.fitmity 75.40 2 lull:1 titIsl(isiitrabovasq.R) Renewable Energy El Barrage 2 53 fitotaltrif ORrpIER i.' 1:3;TENANT 9ervlteethefeeders fastaltrtionriteraGoa,aatYorretacalien llama:Polygon aroma 2200amps or leas 100.70 2 Address:109813*St 201satpalo600atops 13356 2 /St te/ZIP Vancouver WA 98660 601 to 1.0 amps: 200.34 2 Ci ty 601>tmps a 1 71011 amps 30iJ31 2 Phone:(360)695-7708 Fax:( ) Over 1,000 amps or volts 5.52.26 2 Temporary services or feeders installation,alteration,aniVor Emaih relocation Owner 0utailation:This installation is being made on property that I own which is not 200 snips or less 59.26 1 intended for sale lease,rent or exchange,according to ORS 447,449,670,and 701. 201 amps to 440 targe 12508 2 I Owner signature. Date: 401 amps to 599 amps 168,54 2 APPL[CANT : CONTACT PERSONBranch efrenits—neve eiteradna.or extension,per panel il A F Corb)ant3t circuits.srUh' if Business nate;Garner Electric Washington,LLC above service or feeder fee. Contact name:Bill Daniels B.xeRic-branch circuits,rrararr 7.43 2 : 6101 servrce irfrseda fee first 56.18 2 branch circuit City/Statc IP:Vancouver WA 98661 Each add'I branchcirusit 7A2 2 Miscellaneous(sender or feeder not included/ Phon=(253)320-1657 Fax:;( ) Each manuteelered or moOslar 6rrtai7:brianiel • dvee111rsg,sro4ceandtor feeler 67:89 2 a®gwetua coin Re eennect only 67.84 2 4 a: CONTRACTOR, • Pump or Irapnon circle 67.84 2 Business name:Garner Electric Washington,LLC Sign oroudinelighting 67.24 2 Address:6I0INEStJohns Rd panel, lteationertimiasden°rgy OSeeJti 3 2 paad•.altaatloe,rr adeasion. 1� -Each addItional iapeclon over allowable in any of the above City/State/ZIP;Ysnwttver WA 98661 AddkteualiaspeeNein{ltrsein) b62S/hr' Phone:(253)310-1657 Fax:( ) Inveulgattoa(1 brain) 90.00/lr Salad:btlaniets@giyeusaa Lsdusioelplasa(i hrono1 78.I8/iir lnspectionsferwhietknefezis 900Wbr CCB Lie.: C1158 Electrical Lie.:2088174 Suprv.Lie:4496S apociftea(N listed(librain) Suprv.Electrician signature,required i / V p, g! Sobiota170teS:p_. Prost name:Joan P Albert • Date;ail i 1k1 L7 Plan ftevkvr Required(2S%ofpun*lee j State surcnrge O2%pfpeemlt far}: I Authorized Signature. 7 • TOTAL FS[tM1TFPE Tbbprnoitapplication etpicairapermit bsot obtaiaedwithin Ise nine:ine:Bill Daniels Date: \ {� ,� nail after kbaabestreeptedarcomplete.: 1 . Tbtraber of iespesti a allowed per Penh tiau tiogiNa LCymritacp ALILL�E.dat go,0912001$ 440-t615T(tL44VOM,Wes i ig Plumbing Permit Application R EC E I ' Building Fixtures City of Tigard r 1tCC3°`d Pamit NoRST"'0/6- �� c tyFEB 2 2016Date/$y: 114.�,t 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Ocher permit No: Phone: 503.718.2439 Fax: 503-598.1 CITY Y T I L) Date/By inspection Line: 503.639 4175 vv le 11 RBy Jur is: 63 See Page 2 for I.C) Internet: „tigard or gov B U I LD I l'G D IV I S I O ocrtied/Metho4 Se lemental information a' z r y;, r 4 ,y. `. �.,r,.;` ,p. . r"1, ";....-;,,,, .4.,„,c � k'�e ''-'7'',:r ^'& 1.#t�r Y V `� ,a. -,,- �&-�-7,- !at*T'•t-g w g";:i '3;2 'f r� :^1t,.• Af«rrsr c i ��:s ' For special info matins use checklist 1. ® Demolition 1 Qty. I Ea. I Total New construction Description 0 Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) ,,,,,,,..„,...g--.--,A,. ;i k.', $ 1 ,10 , to t, . ,ter' SFR(I)bath 312.70 - _< �r :5 ,,*>-. :.. . 4. • -: .' SFR t2)bath 437.78 U 1-and 2-family dwelling U Commercial/industrial SFR(3)bath 500.32 D Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.11-) Page 2 2 r as Site utilities: .,„ _ n 18.76 • 1,3 t i � Catch basin or area drain Job site address: ,1,� , J l �j , :Drywcll,leach line,or trench drain 18.76 City/State/ZIP: ��A r �)0 0 d �' t/1-'`"1 Footing drain(no.linear EL:_) Page 2 Suite/bldg./apt.no.: ' Project name: anti nay-, i. \)i-€3 Manufactured home utilities 50.03 Cross street/directions to job site: ( X-''e' �ter t�•f(t -e -Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no-linear ft_:_) Page 2 Storm sewer(no.linear ft:_) Page 2 �1 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.:C a Fixture or item: Backflow preventcr 3127 1251Tax map/parcel no.: S i`Yy Backwater valve t �:� 5 ,.::&-;:i < '.�' s 'zi�4� :isx8� '�A` G�rVa $ . clothes washer 25.02 fl-e3 i plwn ,viDishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 k� , d ,# g R ri i #,4 ' i ', � .... . r.R'`''. c°' `'':./,'''r,' ''Via. - Ftxturdsewer cap 25.02 Name: PD ('�\ 1 )\--kA(},1 Floor drain/floor sink/hub 25.02 Address: t 0 Q `j t •\--y� ? JCC Garbage disposal 25.02 City/State/ZIP: V 1 h V ci \Jj A Q.ll`c�C Hose bib 25.02 • Fax: g t� vD-� --tr� Ice maker 12 51 Phone (� ( v 25.02 s �, Interceptor/grease trap -> fir'3s Y.�-' t,,-.kc a 1_ s # , ... � �� • „x - � fi - Medical gas(value-S ) Page 2 Business name: KY'u i,.� " v)1 -, v`,i►r L l.\ u t„r Primer 12.51 Contact name: NI ei bil V/;y--1,i -)/- y-ir _) Roof drain(commercial) 12.51 Address: . x?..)--k.... Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 City/State/ZIP: ��,.-e ch1A•1 A ")(3-So - t Tub/shower/shower pan 12.51 Phone:011 ) p ' g I Taj Fax::( ) U tinal 25.02 E-mail: f !!r ♦ •Ai ..f ••a Water closet 25.02 ,.m ens 3 �^t ,�w r,s ,' 7. ,i 4a `' _ *� - y - ,r F , g w�A L ` 3732 li � ,.'........U.....,2-:. _,,,.. .�t.��. .0 1 a Water heater Business name: t--,A r Myr,r,ct, T (kA 4'Y�rif t,t..�. Water piprngfDWV 56.29 Address: Pt C�D-F 13-2 -Other 25.02 Subtotal City/State/ZIP: y S ¢„N1 tZMinimum permit fee: S72.50 Phone:(910 i. -43-/13 Fax:( ) Plan review (25%of petmit fee) CCB Lie.: C) 4 2-- Plumbing Lie.noF f 1 32 State surcharge(12%of permit fee) 2 TOTAL PERMIT FEE Authorized signature: / This permk application expires if a permit b not obtained within 180 days I Print name: Q � {( .r `, I Date Q �!� ` after t has been accepted ae complete. ( *Fee methodology set by Tri-County Building Industry Service Board. 4404616TU ON2/COMPB) t:\BuildinerermU? irstPLMamitApp.dor 101111/09 Mechanical Permit Applica it*: i f s lit 1 1 .I t-)N1.1 City of Tigard V � DalcReceived ,rte 13125 SW Hall Blvd..Tigard,OR 97223PlanReview /�T Q�v y gi. Phone: 503.71 81439 Fax: 503.548_t960 f E B 2 5 2016 Other Permit: Inspection Line: 503.639.4175 Date ReadyiBy; : fII See Page 2 for [nterrset: wwsa.tigard or.gov CITYT GARD N�i red"l fcthod: Supplemental Iatormatioa tJIL�OInr /DIVISION ., w CQ:1BR� ; lit _.. g New constructionc . �, ...,.. .a. _ ,.._ htcchanical permit fees*are based on the value of the work 0Addition/alteratit)n/n-placetiren€ performed,Indicate the value(rounded to the nearest dollar)of all Q Demolition 0 Other: mechanical materials.equipment,labor,overhead.and profit. Value:S . a ,. �,.,,, .Vie,s .,-Z z"',i . p:1„ _..* tEtIrtt , ® I-and 2-family dwelling 0 Comtnercial/industriai 0 Accessory building For special/*formation use drrr*Ilst Q Multi-family 0 Master builder 0 Other. Description Qty, Ea. Total Heating,/cooling: ,, �' " .,. Ail conditioning 46.75 Job site a Q¢-ss: .r V \1-5 Furnace 100.000 BTU(duets vents) r 46.75 City/State/zip: .0../c Z,1}08, C)R q1--\ I Furnace 100.000+13111(duets/vans) 54.91 k1.7„.0 � Heat pump 61,(#i Suite/bldg./apt.no,: Project name: Duct work work _ 23.32 Cross street/directions to job site: nA4iI7 - Hydronic hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 Unit heaters(fuel-type,not electric). in-wall,in-duct,suspended.etc. 46,75 ., Flue/vent for any of above 23.32 Subdivision:River Terrace Lot no.:CI"\ Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 �;' s .ti, .,`` e ' ';'-‘,47,17;-,'''' 4r Gas Crreplactimscrt 33.39 , Ma _ .. ,, _ , --4a° . " ' ,, ,****--- - .''. ,.. :1 Fine vent for water heater or gas • HVAC fireplace 23.32 ... ........ Log liehter(gas) 2332 Wood/pellet stove 3339 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 e --,.=7;';.-.,i,4„,:,,;;,7t $,- x14 t=e t'�"'° a '-` E amental exhaust and ventrilation: Name:Polygon Range hood/other kitchen equipment 33.39 Address:109 E t3o`St.Suite 200 Clothes dryer exhaust 3339 City/State/ZIP:Vancouver,WA 98660 Single duct exhaust(bathrooms. toilet compartments,utility rooms) 23.32 I Phone:(425)586-7700 Fax:( ) Atticlerawlspace Fans 23.32 ,w rOther2332 , a Feel piping: Business name:Apex Air LLC 514.15 for first hour,54.033 for each additional Contact name:Stats Hay Furnace,etc, Address:2210 W.Main St.Suite 107-272 Gas heat pump Wallisuspendcd/unit heater ' City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax::(360)326-1769 Fireplace Range E-mail:sIscih 'apesairto.eom Barbecue '" -,i,;,:,.;:`..;.,-‘,..,4i,..0 i . � �� Clothes s3 4 . &, � ,, ,�, � . � . (gas) Other Business name:Apex Air LLC ',a"mi, r ,, ', fro` `: • Address:220 W.Main St.Suite 107-272 Subtotal ._ w City/State/ZIP:Battle Ground,WA98604 Minimum permit fee(S90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE.f This permit application expires if*permit is net obtalaed within 180 Ifleft ..r days after it has beta accepted as complete. Authorised signator,: T • Fee inetbadology set by 76-County Building industry Service Board Adir' Print name:Staci hayDate: 1128/2016 I Pendets°44EC_Pern itApp.6€rt!11 doc 440-40 7T(I i MA to) 4. City of Tigard ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T,c. R n Building Permit Review — Residential Building Permit #: /1-C77,7,20/6 00 0_5:5- Site Address: I SS 50 SW P&\-h live Project Name: P0l j9ovi Gt-1- West- 1aNtr 1 eMHLc, Lot #: 9oi (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N'e W S F R /Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No / Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three (3) copies of site plan Xfizcistingsetures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper %Footprint of new structure (including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations %North arrow Utility locations(required for new,may apply for additions) 4 .te address,project or subdivision name and lot number /septic systems VJApplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and /Street names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than o be retained with drip line,and tree 4 foot differential) protection measures 7 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: E Yes,applicant was notified ❑ No Received: E Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was�notified E No Applied For: ❑ Yes ❑ No,stop intake /Land Use Case#: Pi* 2-01S — 00 001 , sue to vs — 0000G �` Zoning: R—1 / Setbacks: Front Rear 1 S Side 3 Street Side 9 Garage 20 Landscape Requirement: .� 0/0 Lot Coverage Maximum: sD ./0 BuildingHeight: Maximum Height e ght 30 Actual Height Visual Clearance Z(Easements ASensitive Lands: ❑ Yes ❑ No Type Zr Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: MO ii /7,1,4_ 6 of o aft Date: —7----S / I (o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B 1dgPennit Rvw_RES_O 121 16.docx Building Permit Submittal Original Submittal Date: o2/25P(0 Site Plans: # ,� Building Plans: Building Permit#: LJ Enter building permit#above. Workflow Routing: 42rPlanning �ngineering 'ermit Coordinator Building Workflow Sign-off: 2"-Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: �JG� Date: c,2-1.2. Engineering Review Slope at building pad: ❑ 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: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ ] Not, Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: Cf� / / Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved, NOT Released: Date: Notes: 441411 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 ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit 4140--Date: Approved by Permit Coordinator: "91- oZ / ________ :\Building\Fonns\BldgPennitRvw_RES 012116.docx • • ' INCity of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT T G n o River Terrace Building Permit Review Addendum Building Permit #: /`f 57 /a '6100,1 Site Address: 1 3$5 0 SVS r75-1-11 5-I-11 Ave,, Project Name: Polgon c c.�We-5* River -Tex Lot #: c9 (Nevielling= subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f. wide 7 ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /, J /. 3. Entrances: At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: /Yes ❑'No If yes, all the following apply: i , 25 sq.ft. min. One street facing entry /12 ft. max. roof height above porch /y5 ft. depth min. X30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep /Recessed entry area min. 5 ft.wide x 2 ft. deep /Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide /Roof eave min. 12 inch projection 7 oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. yrHorizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade /Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ 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 comer lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes 121/No. If No (Check one): , 'May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 7 May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) j E 12-foot-wide garage door 74'.I%max. of street facade 4 7' / 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 41 L O i c, 6 i)0 u1_, Date: 2/2S/ /Jo I:\Building\Forms\BldgPennitRvw_RES_RT_012116.docx Albert Shields From: Albert Shields Sent: Monday, March 07, 2016 4:44 PM To: Maggie Gordon (Maggie.Gordon@polygonhomes.com) Cc: Tom Hochstatter Subject: River Terrace Northwest, Multiple permits Maggie, here are eleven more that are going on Hold as"Approved but Not Released" pending completion of required conditions of approval. Albert. MST2016-00051, -00053, -00054, -00055, -00056, -00057, -00059, -00060, -00063, -00064, & -00065. 1 POLYGON NORTHWEST COMPANY April 27,2016 `°) ` APR 2 7 2016 Mark VanDomelen t° ()!. 11i',AR Building Official UIL1)JN1 IVNOi City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in,foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74-17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82- 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94- 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98- 13840 SW 175th Ave i/"Lot 99- 13850 SW 175th Ave N-977:220/(o— eva..C.S" Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102- 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#166871 POLYGON /I NORTHWEST COMPANY Lot 111 - 13787 SW 174th Loop Lot 112- 13853 SW 174th Ave Lot 113 - 13837 SW 174th Ave Lot 114- 17372 SW Jean Louise Road Lot 115 - 17368 SW Jean Louise Road Lot 116- 17344 SW Jean Louise Road Lot 117- 17328 SW Jean Louise Road Lot 118 - 17302 SW Jean Louise Road We greatly appreciate the City of Tigard working with us in order to get this project underway,we look forward to building this project along with many others within the city of Tigard. Sincerely, Chris Walther Project Manager 503-312-6213 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polvgonhomes.com CCB#16687 I Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13850 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL September 14, 2016 at 12:29:14 PM MST2016-00055 David Young Clean out plugs need approved thread sealant. 316.1 Tub shower base at upper level main bath not sealed to ﬂoor. 310 Seal tub/ shower trim to wall. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13840 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL September 22, 2016 at 7:22:42 AM MST2016-00055 David Young See previous failed ﬁnal inspection dated 9/20/16. No building ﬁnals prior to planning and engineering release of conditions. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13840 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00055 David Young Correction complete. Contractor change applications submitted to ofﬁce. Violation Summary: Inspector Contractor Plumbing Permit Application 6 Building Fixtures , g:�.,!�I E -" City of Tigard q Received �t 1 2�i6 DateB '/l/f Permit No.: ( 2b16'000SS i 13125 SW Hall Blvd.,Tigard,OR 97221 C- y Plan Review Inspection Line: 503.639.4175 3.718.2439 Fax: 503.598�1i y r i a 1 ,,',z Date/By: Other Permit No.: 1 i .n RD Internet: www.tigard-or.gov r�:.Zg ; 1 "')g t,, , ;�,,�d c 101,1 Date Ready/By. cors: El See Page 2 for z�6>.t i i... ..g N Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory buildingMulti-family SFR(3)bath 500.32 0 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 f 3 / ) JOB SITE INFORMATION AND LOCATION _ Site utilities: .., Catch basin or area drain 18.76 Job site address: �3(s lr '15`1 .1 yew, City/State/ZIP:Tigard,OR 97224 v"� Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_I Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter 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:Polygon at West River Terrrace I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 0n_ �� /CI Z/_ r Clothes washer 25.02 ,0o uy Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER l 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/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater PP P�to 37.52 Business name:Malmedal Enterprises Inc. Water t WV 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 Lic.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: t : TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Carolina Malmedal Date:04/25/2016 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU•PernitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13850 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00055 David Young Note: breaker lock to be changed from disposal to dishwasher. Disposal is plug and cord connected. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13850 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00055 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13840 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00055 David Young No building ﬁnal inspections and C of O's issued prior to engineering and planning approval. Change of street location or absence of trees to be approved by planning prior to ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13840 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00055 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test results checked. Insulation certiﬁcation checked. C of O left on kitchen island with permit. Violation Summary: Inspector Contractor