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Permit (43) CITY OF TIGARD ' s `` MASTER PERMIT IN 1 COMMUNITY DEVELOPMENT Permit#: MST2016 00160 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016 Parcel: 2S106DC11200 Jurisdiction: Tigard Site address: 13837 SW 174TH AVE Subdivision: WEST RIVER TERRACE Lot: 112 Project: Polygon at West River Terrace, Lot 112 Project Description: New SF 7/14/2016: REPRINT permit to add 123 sq ft covered patio. 9/16/2016: REPRINT permit to correct address from 13853 to 13837. BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2229 sf Value: $273,499.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 Tvpes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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 2229 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: $31,597.55 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' 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: / - Permittee Signature: ©A/ r97°F4./6}-T7i'" Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD (r'T. MASTER PERMIT Iii ' COMMUNITY DEVELOPMENT Permit#: MST2016-00160 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016 Parcel: 2S 106DC 11200 Jurisdiction: Tigard Site address: 13853 SW 174TH AVE Subdivision: WEST RIVER TERRACE Lot: 112 Project: Polygon at West River Terrace, Lot 112 Project Description: New SF 7/14/2016: REPRINT permit to add 123 sq ft covered patio. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2229 sf Value: $273,499.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 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.'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 2229 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: $31,500.71 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 throu•h•'- • 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i Issued By: If ' r_/ /6,71C-- Permittee Signature: ex/ .97)04/C 09-770 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. a etc FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 71 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Ill Transmittal Letter T I GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DAT, C DEPT: BUILDING DIVISION I� . JUL 6 2016 FROM: Angela Grajewski ppC.�CITY . {vi G A `wz IL b'{ XG efVt^ ,"Ot,O COMPANY: Polygon Northwest PHONE: 971-212-2144 1 By: T RE: 13% 3 3 W f i-ta(h A v t_ (\AST&0 I (a— 00 t(o v (Site Address) (Permit Number) Polygon at West River Terrace ID-I- 112, (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: CoP�' e 4 * , *. i : v Copies : Descriptio>: * , .. 0 Additional set(s) of plans. 3 Revisions: add roof over patio 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: home owner selected optional covered patio � � itv 1 \ � 7. Routed to Permit Technician: Date: --) '' 1 a - ) c Initials: t Fees Due: Yes ❑No Fee Description: Amount Due:_ J \ $ G7 . C Special Instructions: Reprint Permit(per PE): )Yes ❑Nobone, + , Applicant Notified: r cfc-- Date: - //s /fç E- ,�,.1� (Imtials:17 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 r• Cof T .111 4 COMMUNITYity igard DEVELOPMENT DEPARTMENT ■ r l c lz D Building Permit Review — Residential Building Permit #: ' ST—gip/6: — 7"ic:,a Site Address: A35c- ,> /91iN -e Project Name: 17o2, - /( 3' P/14,0-r- .. .e-a-,2 GP Lot #: //c; (Ne ling=subdivision name;Addition or Alteration=last name of owner) Planning Review ' ,n- A Proposal: �C� , ci. hli 0 c 4 4,; ,Ae-r-e .c. P h' [�erify site address/suite#exists and active in permits tem. FoR ver Terrace Neighborhood: Cl No [ Yes,See River Terrace Review Addendum Attached Si 'Plan Elements: �( r ree(3)copies of site plan ; sting structures on site t►•:ite plan must be on 8-1/2"x 11"or 11 x 17"paper IP ootprint of new structure(including decks)with finished FA yrawn to scale(standard architect or engineer scale) 9sor elevations • north arrow gUtility locations(required for new,may apply for additions) iY, ,_j�to address,project or subdivision name and lot number Ni ,kation of wells/septic systems [Vi pplicant information(name and phone number) :siteroeesitonnamcoenstrol(including drainage-wa} protection,silt fencet dimensions and building setback dimensionssign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and /impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location Vroperty corner elevations(2 foot contour lines if more than r#fsting trees to be retained with drip line,and tree 4 foot differential) protection measures I a11lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified No Received: ❑ Yes 0 No Public Facilities mprovement(PFI) Permit: 04 equired: Yes,applicant was notified 0 No Applied For: es ❑ No,stop intake and Use Case#: /62)Eo2oi6---V/ZQ J ',)l�i SU 2 / 60100& 0 oning: ie-. - �/ IyJ Setbacks: Front /a Rear Side _ .3Street Side 0 Garage w ____andscape Requirement: gs of Coverage Maximum: _ 'Ouilding Height: Maximum Height Actual Height Visual Clearance asements 11 sensitive Lands: ❑ Yes Ild No Type WA Urban Forestry Plan ❑ Conditions" et"prior to issuance of building permit Notes: 4a071>y1 K c ?,&;// L.e 1YtvJ /j72r)r ,7 /P17Rt/ 15SLc1cL Approved By Planning: y Date: "7//026/ice Revisions (after Building Submittal only) Reviewer Date Revision 1: At,°Approved ❑ Not Approved /� -t� t 4-4 -? ,I 0 cL' G ..r 71 1 / IL., Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved 1:\Building\Fonns\BldgPenn itRvw_RES_012I 16.docx V • ... Building Permit Submittal Original Submittal Date: �y24 f fc, Site Plans: # 3 Building Plans: # _3 Building Permit#: Er Enter building permit#above. Workflow Routing: 12--Planning Engineering ''Permit Coordinator E ilding Workflow Sign-off: ELL-Sign-off for Planning(include notes from planning review) 1 Route Application Documents: [Engineering: (1)copy of permit application, (1) site plan, (1) building plan and ��original plan review routing form. d� Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: K"' Date: y��o,//,6 Engineering Review Slope at building pad: .� 1 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: El Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved ,y E'gineering: Date: Notes: ..... . , r- .....,..• ac. r ff //_ .r — dr' i!� i Approved by Engineering: „LiL p Date: 7' /Z Revisions (after Building Submittal only) Revie veer . Date „...77, Revision 1: Approved Not Approved f/ , 7`�a"`A Revision 2: LJ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 'DC Fees Entered: Wash Co Trans Dev Tax: Yes?ZiS ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: l;SP Yes ❑ N/A q/� -Y ice„, OK to Issue Permit � � i '�/ Date:1/ / Ap ed by Permit Coordinator: R d /- �_ :\Building\Forms\B1dgPennitRvw_RES_0121 16.docx ! I�'� .-C-4,- 1 f J t.ti-A`, la-e/L t�; IQ_ �V ��fd �� ea-w..i- 5 - 9 -/ k, -1--M II City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Ii 7 TIG River Terrace Building Permit Review Addendum Building Permit #: /757--;--0/6 r UQ/6, a Site Address: /3e5"3 S / 17/,4 ,9 Project Name: 7bl A - ! _ ,- ' ,,,ce Lot #: f1 (Ne mg=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? VYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft eep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min.2ft.,5 ft.wide min.2 ft.,Eft de ❑ ❑ ( ❑ 2. Eyes on the street: a minimum of 12%of e h street facing facade must include windows or entrance doors. Percentage Shown: S j e e 3.E trances:At least one entrance must meet both of the folio ' g standards: Max. 8 ft. setback from longe 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 s,all the following apply: If Ysq.ft.min. e street facing entry ft.max. roof above floor of porch aft. depth min. 30%min.porch roof coverage 4.lietailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: �6vered porch min.5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft.deep }7d/ all offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection V of offset mm.of 2 ft. ❑ Roof shingles either tile or woodL'Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq.ft. ❑j lorizontal lap siding min. 3-7 ft.wide i ❑ Accent siding min. 40%of street facade V Window trim min. 2 Ys"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: ,�.� N,,_,o/�oser to front or side lot line,than longest street-facing wall. ❑ Yes 1/d No. If No(Check one): IJG ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 0}2-foot wide garage door El 40%max. of street facade V50%max.of street facade with 7 detailed design elements Notes: Approved By Planning: __.......or „ -- j Date: Mr i 1'.BuildingForms.BldgPermi,Rv _RES_RT_031416.docx CT ENGINEERING INC 180 Nickerson St. Suite 302 Seattle,WA 98109 (206)285-4512(V) (206)285-0618(F) asolomon@ctengineering.com BULLETIN Date: April 6,2016 Number:CT-02 Project#: 15238 Project Name: River Terrace SF Attached: None Subject: Lots 18 &23—Patio Roof Truss Connection Drawings Affected: Description/Action: This bulletin provides response to RFI, design clarifications and/or variation requests for the `River Terrace Single-Family' project located in Tigard, Oregon. The patio roof trusses shall be attached to the home using a 2x6 ledger with (3) 0.131"x3" nails to each wall stud. This application applies to all of the plan types in the River Terrace single-family development. PR CD ��REG0iN1A ' 22,1 �c,�� 'zFS T. GV 04/06/2016 CALL WITH ANY QUESTIONS Issued by: Arnold R. Solomon Date: April 6,2016 Distribution: Contact Information: Chris Walther Polygon Northwest Company Maggie Gordon Polygon Northwest Company Rick Tolleshauq Milbrandt Architects Alexia Fukui Milbrandt Architects R:\15238 River Terrace\Bulletins\15238_2016.04.06_CT02_Lots 18&23(Patio Roof Truss Connection).doc Structural Engineers t a CITY OF TIGARD MASTER PERMIT ':r'! I. COMMUNITY DEVELOPMENT Permit#: MST2016-00160 T t G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016 Parcel: 2S106DC11200 Jurisdiction: Tigard Site address: 13853 SW 174TH AVE Subdivision: WEST RIVER TERRACE Lot: 112 Project: Polygon at West River Terrace, Lot 112 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 978 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1251 sf Garage: 380 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2229 sf Value: $270,834.42 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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 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'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: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2229 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: $31,342.24 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. 4:11WIssued By: Permittee Signature: . f/V `i //G' /C'49—TIDA/ 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. GoT //,.2_. Ls licadon — Buildi>n¢Permit A�Q_ �' DECEIVED FOR OFFICE I sl (1\I.\ -' a € APR 2 6 2016Received ,i_ LL tN o �—BDA` ;o v� City of Tigard DatdRY: yup (oi OR 97223 Plan R eatl i /i 4 I otha Pami YQ oZQv6 c7 /o 1111 13125 SW Hall Blvd.,Tigard Datc/B : rte: H See Page 2 for Phone: 503.7182439 Fax: 503.598.1968 i-i Y (n F �'t\, [+RDt�' DateRcal(}BY Supplemental Information InIterne on Line:tigard or go503.639.4175 BUILDING L®�i y 1 s f 4 0 I NOti cd/Method TIG'.f I 1 ' .. -- Permit fees*are based on the value of the w ork performed. ®New construction v -" —"" 0 Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Otherequipment,materials,labor,overhead,and the profit for the .7 , work indicated on this appli•-•.. , .' _Ill® 1-and 2-family dwelling 0 Commercial/industrialNumber of. •. ••-. : IA 0 Accessory building 0 Multi-family Number of bathrooms: 0 builder Other0 Total number of floors: 2 e2C.a I �, -Master ,:fh F 1. ,l,k�_ 3,z,...i�ra 4,,,,s „sem,# -.g , e i, feet Garage/carport areC�, }.e I New dwelling area: ,quare Job site address: am ,�� '`t a square feet �3 City/State/ZIP:Sherwood,OR 97140 Covered porch area \5._ square feet as- Cross Project name:Polygon at West River Ter Suite/bldg./apt_no.: Deck area: ,� square feet • *:Cross stacxt/directions to job site: Other structure area: ', square feet Lot no.: ' 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 .u•lication. Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet -> k Number of stories: �_; . ._w _ '__. — L Type of construction Name:P AO LY LA-Ni D 14-0 1-41 .-, Occupancy groups: Address:19�r Existing: City/State/ZIP: Phone:(360)695.7700 Fax(360)693.4442 New. - ' 1„=- -, r , _ LH Structural plan review fee(or deposit): Business name:Polygon WLH,LLC Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13"Street Total fees due upon application : IIIIIIIIIIII City/State/ZIP:Vancouver,WA 98660 Amount received: IIIIIIIIMII Phone:(360)695.7700 Fax::(360)693.4442 f -' E-mail:maggie.gordon@polygonhomes.com m Commercial and residential prescriptive stall anon o roof-top mounted Photovoltaic Solar Panel System- - - w "=- '—"'- Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Solar Installation S. cial Code checklist. Address:109E 13"Street Permit Fee(includes plan review $180.00 and administrative fees : City/State/ZIP:Vancouver,WA 98660 .60 Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): app lication: 5201.60 CCB lic.:207247 Total fee due upon This permit application expires if a permit is not obtained — within 180 days after it has been accepted as complete_ Authorized signature: 110wilding Industry _ 'Fee'methodology set by Tri-County.B Print name:Maggie Gordon Date:11/11/15 Service Board 440-11613T(11/02/COM/WEB) 1:\Building\Petmits\Bl1P-RESPermitApp.doc 02/24/2011 _ 1 RECE \J t Electrical Pe mi Ai ,licationAPR 2 6 2016 1�1i;r.rilt'F t�t r 'fl I. cit of T1 rd *7<<ST�a/• —0,/6,40 Prnnd i 13125 S50 Fiat)Blvd.,9 Tigard,03.9111 I I 1- � �. Phone:503.7182439 fax 503.59511@@�6�1 1 ` 1,4 Related Permit G: htspection Liam 503,639.4175 r r i( -g`N/(C:', .,..=Dieotgy sore td BsePoge2 for .... Internet v riga d-or gov tJ t L•-• NeQfesUme bad: Supplemental Watton k 0 Naw euli~st action 0 Addidon/alr rationheplacement piece ebMc all that apply{sabnb 2 ads of pleas wide nr ddtedj: ❑Service or boader400 amps or more 0 Bdtdiog over flute stories. Demolition 0 Other: where the avalabie fault cancel ❑Mbmas sad b9sbra,ds- f'r ' CAT( ptYYOF,C+3NST>;IJCT exceeds lD,00O amps at ISO voila Of 13FloTtiag1;u11d5Es. N 1-and 2-famjly dwelling 0 Comtnercial uuiustriai 0 Accessory building ten to gonad,oraameis 14,000 El Commercial-me apiculture' amps for sit other iastanaltons. Imitdings. ❑Mai(i-unity ❑Master buildcr ❑Othes 0Ere puma. 01asbWtion of 150 KVA or JO6 SITE IN OAtMA7YON 434D LOCATION DEmergnncyayatem, brim sepuarel),derived (� CIAddiuon or sow motor load or system. lob fi: Job site address:13 53 a) '-t r° `y e, IOOltP or mom. ❑"A", Er;-1-2",-1-3", 17 Six or more residential unite otcupaney. '. City/State/ZIP:Sherwood OR 97140 Qitwh<.rc facilities, ❑RasaatiaoatWick parks. 1 Suite/bldg./apt.#: ProOa oae sardlocations. 0 Supply%oboes toentorel 400 jw name: El Service or feede-600 amps armors. 600 volts nominal Cross streeddirections to job site: FEE S lE 1OJLE, newh,We I oar.1 cam 1 '!acre I • New residential single.or mull!-family dwelling unit u Subdivision:Rives-Terrace ( Lot//:\1 Includes attached gacnge - 1.000 sq.ft or less ) 16854 4 Tax map/parcel Ea add'I 500 sq.ft.orportlon '3 3392 E DESCRT3'TION OF'WOE Limited energy,residential New Single Family (with abovesq.ft.) 75.00 2 3 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable ds SeoPa(e2 1il PROPERTY=0WNIER I El TEPtANT Services or feeders installation, alteration.aud'ltlrrclotAlion Name:Polygon Homes 200 wrens or las 100.70 2 Address:109 B 13"St 201 amps to 400 amps 133.56 2 t 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver WA 98660 601 snips to 1,000 amps 301.04 1 Phone:(360)695-7700 Fax:( ) Over 1.000 amps or volts 552.26 2 Temporaryservices or feeders installation,alteration,and/or' tion 1 Owner initallatient This installation is being made on property that I own which is not 200 amps or less 5936 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: 40iamps to599amps 168.54 2 ®APPLICANT + '0 CONTACT'PERSON Branch tirades—new,attention,or extension,per panel A.Fee for branch chi uiis with Businessname:Garner Electric above service or feeder fee.ctric Washington,LLC 7.42 2 each branch circuit Contact name:Bill Daniels B.Fee for branch wtrkont ' service or feeder fee.first 56,t a 2 Address:6101 NE Si Jahns Rd branch circuit Clty/State/ZiP:Vancouver WA 98661 Each udd•i branch circuit 7.42 2 Mlstelianeous(am3ec or feeder not included) Phone:(Z53)320-1657 Fax::( ) Each manufaetwed or modeler67.84 2 dEmail:bdanlels(gweose.com Becor ec`onlaeand/orfceder 67.84 2 Y CONTRACTOR Pump or irrigation circle 67.84 2 Business name,Garner Electric Washington,LLC Sign or andiaellghting 67.84 2 Signal circuit(s)or ii ll ed-energy ❑gee Paget 2 Address:610I NE St Johns Rd panel.alteration,or extension City/Stetc/ZIP:Vancouver WA 98661 -Etch additional inspection over allowable in any of the above Additional iaspection(1 hr min) 6625/In Phone:(253)320-1657 Fax:( ) mvaa&igedon(t hr min) 90.00/kr Email:bdaniela@gweo� Industrial plant(1 min) 78.18/br Inspections for which no fee is 90.00/fir CCB Lie.: C1158 Electrical Lia: 208I74 Suprv.Lic.: 4496$ specifically listed(S hrmin) � J p .EI. G}nticAri:EEA1► 1-- yst s Suprv.Electrician signature,required: f l/ i heir Subtotal: Print name: Joan P Albert (ikto ❑Plan Review Requited(2$%of permit kr.): State surcharge(l2%ofpermit fee): Authorized signature: TOTAL PERMIT FPS Tbis permit appliranoa expires if a permit Is oat obtained within ian Print name:Bill Daniels Date: ‘ acl_ i j days after khas been accepted ascomplete. • Number of iaspeetions allowed per penmit. t:laalda MernnUELCJmdtMp FLR_1?EEidso ata 061172015 440.46157111N9C0M!NFa Mechanical Permit ApplicatiREC lVE 1 „R.. . . i. t ,I c»1.1 City of Tigard Received Permit f3o.: Comity: /717-c20/(o-fl0/(o l 13125 SW Hatt Blvd.,Tigard,OR 97223 ADR 2 6 Z016 Plan Rcvieuf exl>tr Permit:503.718.2439 Fax: 503.598.1960 r}aiuBy Inspection Linc: 503.639.4175 C!T�f e ' j; A`R L, Date Rrady/Sy: s. Id See Page 2 for Internet: www.tigard-or.gov E ! ti c.t0Nt Notified/Method, Supplemental Information ' ' "f � ,. at � µ e -fi ; R' s m, . t-.'F . " . _. , � - Mechanical permit keg are based on the value ofthe work 1,21 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ©Other: mechanical materials_equipment.labor.overhead.and profit. Q Demolitionvalue:S F ti s'i,. F' Rr`-,A, A 31-- l: #�<'-{.�- 4 5' " •:esti =y•a a:t i i Plumbing Permit Application Building Fixtures RECE E " Received PrnmtNo._�sT�`"V/lo 00/6 o City of Hallagard APR 2 5 2 016 Data/BY: 13125 SW Blvd.,Tigard OR 97223 Plan ReviewIII Otho=Permit No: Phone: 503.718.2439 Fax; 503.598.1960, ,. _ ,r DatrlBy. inspection Line: 503.639:4175 Ci i OF t a-"A't') Dse /' rum. VI. ti > ce , See Page ftt ,a L internee www.ttgard�.gov !� 11 , sfo t +'�I a i'10N/stifled/Method: � e tl Information � , tea � , �� ' � ` zT � Far special information use checklist 1111 New construction ® Demolition Description I Qty: I Ea. I Total Q Addition/alteration/replacement Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 4 SFR(1)bath 312.70 t� ..� ,.. ,..,,i),..;,� c4,. o . =rc g a s'�- ',......4"''''' SFR(2)bath 437.78 �h 1-and 2-family dwelling -Gommereiaifindtisttia) SFR(3)bath 500.32 ❑Accessory building Q Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 aS• " 7 � ' x' w 11V. 7f .r 11', f'- rPc �f . 7-Site utilities' 0 Slteutilities'0 Catch basin o r area drain 18.76 Job Site address: 1?? t , \ r � Drywell,leach line,or trench drain 18.76 City/State/ZIP. J�t I 1\�0 0 a O R qi-",`►1 Footing drain(no.linear ft: ) Page 2 Fyn name: �) 96Y-.1 a- `)j Manufactured home utilities 50.03 Suitt/bldg./apt.no.: J , Cross street/directions to job site: Manholes 18.76 1. Rain drain connector 18.76 Sanitary sewer(no.linear ft:!) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear it: ) Page 2 Subdivision: I Lot no.: t 12, Feature or item: Backflow pre-venter 31.27 Tax map/parcel no - - � °` � B adcwater'valve 12.51 r '. .�,w: sVgmsa � .21 "° _Clothes 25.02 washer tr1 n 3 i t 9\U-i D\i Dishwasher 25.02 1 t Drinking fountain 25.02 Ejectors/sump 25.02 „mow �� .�,� �, .�„ � ,� ,� Ezpansiont�k: 1251 e71 _ ii' s `t a ✓ is"_. - 25.02 ,`" y3'`^-`° � a«,T�i e .,,tia",f ""-'+�i`n e _..�: Fixture/sewer cap ' .:,.-..rm .. �-�° - H� PD\, 1 1• , / .... Floor drain/floor sink/hub 25.02 Address: a/� 1� '�`,-4` ' 0'). ., Garbage disposal 25.02 Da lei City/State/ZIP: l ` 9 I lQ C) Bose bib 25.02 Photo Fax i � ! C� to fir�-1 Ll Ice maker � � � `� lz:s 1 m. ('lA l( �' '� V " ' ..." , crceptor grease p 25.02 ..t ^� `-^. x�q € 'P� b. -1 -.,, -,,....-4,,,,- Via, a.. �vG ,r.z a. -- Page 2 e2 / c, . 1,...._.`„%!.,..'- u a M. , w Medical gas(value: ) Business name: V-,:1:.Z,,,,tC.V_-t•ir' }- r I l..t.1 \r i nt .L Primer 12.51 Contact name: (?? YV. y 1.4 ri‘.j Roof drain(commercial) 12.51 Sink/basin/lavatcay 25.02 Adder: PO DI- t;�"7� - Solar units(potable water) 62.54 City/State/ZIP: 4-,,,,e,s -1 -NA c °-)0...i-0 - Tub/shown/shower pan 12.51 Phone: )i ) co-g-3 g Fac:( ) Urinal 25.02 E-mail: t< r r i o G� �/ 1• ® Waster closet 25.02 a ' y peat - "'� � Wats heater 37.52 Business name: K,,.p Waterpipin WV 56.29 1-v1(' V.XYt(.t,.� P(L4.}'v'1(r`ia _.1--C AddressT'C6 D 13`1 >t 25.02 - Subtotal City/State/ZIP �'C.S}�Q /y�: i Minimum permit,fee: $72.50 Phone:(911) '01.0 -i j K3 Fax:( ) Plan review (25%aofpertnitfccj CCB lie.: Z, . Plumbing Lie,no Staten review_(25%a of permit fee) 2,D(0 ' TOTAL rERn�IT FEE Authorized signature: ... This permit appliezeHon esptra it a permit a not obtained within 188 days ( '{ / yk( astern has been accepted as complain Print name: i t X � J"`')' D �l *Fee methodology set by Tai-County Building Industry Service Board_ I:lBiriadinieFcanits`,PLMUXaadtApp"dor IWOl/09 440-46I6TIa 0tV21COM/WEB) r r City of Tigard q 1140 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /7'S 7-,7-0/6; —QQ'(,O Site Address: gg - S'jv /92 ./3(/.. Project Name: ,�ro,417 02 4tFS7,L leo✓Pa- -e�rcV ee Lot #: // (Ne ding"= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: At) SFR �erify site address/suite# exists and active in permit s tem. �y-�� River Terrace Neighborhood: ❑ No Yes,See RiverTeriace Review Addendum Attached Si 'Plan Elements: 7141 r ree (3)copies of site plan 111 7 sting structures on site It:ite plan must be on 8-1/2"x 11"or 11 x 17"paper 7 ootprint of new structure(including decks)with finished 'A Prawn to scale(standard architect or engineer scale) for elevations I14 y orth arrow IJ9Utility locations(required for new,may apply for additions) f tte address,project or subdivision name and lot number \i ••6 ation of wells/septic systems pplicant information (name and phone number) I! rosion control(including drainage-way protection,silt fence t dimensions and building setback dimensionssign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and IJ S eet names impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location I 'roperty corner elevations (2 foot contour lines if more than Ousting trees to be retained with drip line,and tree 4 foot differential) protection measures (a1lean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified No Received: E Yes E No Public Facilities mprovement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: ,A,beo20/s Q0a) j 'Z(.6020/S- Cit 0& oning: - - Setbacks: Front /,,:> Rear /5 Side Street Side E3 Garage ,,,„„96) eAandscape Requirement: 020 igi of Coverage Maximum: 2$ .uilding Height: Maximum 44)-Hei htActual Hei htgg V1►, visual Clearance Easements 11 I..ensitive Lands: ❑ Yes [/lo Type II Urban Forestry Plan ❑ Conditions�" et"prior to issuance of building permit Notes: U17.5f7ifYi c( c_SA74 L 71-to ojni-b-- 7) 12-erlfripl- JSSZ.�i7CPO Approved By Planning: �•,_ ,1-! 2 — Date: oZ , 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\BIdgPennitRvw_RES_0121 16.docx 1 r , , Building Permit Submittal Original Submittal Date: 0cAC, Site Plans: # 3 Building Plans: # `3 Building Permit#: 0'Enter building permit#above. Workflow Routing: Planning ©'1✓ngineering .-EfrPermit Coordinator LJ tsuilding Workflow Sign-off: I -"Sign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: .<79;; (7"(-)-1-C--- Date: V/2-6/,,�, Engineering Review Slope at building pad: -V/4; 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 Approved D y E,gineering: Date: Notes: it_-Aro it r /�1ti i i dr o �!,!r// Approved by Engineering: HL 2 Date: L.f'�� 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: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: ' Yes ❑ N/A Parks SDC: IG' Yes ❑ N/A 7147OK to Issue Permit �/ Approvedby Permit Coordinator: Date:1/)4/-* 1:ABuilding\Fo��ns\B1dgPennitRvw RES 0121 16.docx i d J(�� RSV e-i- p- e/t— M ICC a{�04,1-44 CI /I -- ea-4-,.L.� 5 - 9 -/ ,6 ..t_ r. City of Tigard 44 COMMUNITY DEVELOPMENT DEPARTMENT T 1 C;n R D River Terrace Building Permit Review Addendum Building Permit #: /-757— 6 OO/(o a Site Address: /3e53 j 27/ -e Project Name: ILJ ,e_,jU,,,_ pe, ce Lot #: (New4i mg=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan Distric I.) Design Standards (18.660.070. . Is the project subject to the plan district design standards? 'Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft ee Balcony w/ access 2 Window Projection Vertical Wall Offset a P ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft. de Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 5 3. E trances:At least one entrance must meet both of the follo 'ng standards: Max. 8 ft. setback from longe 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 s,all the following apply: sq.ft. min. e street facing entry lirpft. max. roof above floor ofP orch 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: vered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep [ tall offset min. 16 inches ormer min. 4 ft.wide I? Roof eave min. 12 inch projection o of 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. Eilorizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade E 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 corner lot. Setbacks: No oser to front or side lot line, than longest street-facing wall. ❑ Yes Ud No. If No (Check one): V rulay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑J2 foot wide garage door ❑ 40%max. of street facade 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: --- !tel Date: `` Ir.Building•Forms•BldgPermitRm RES RT 031416.docx Cheryl Caines From: Dianna Howse Sent: Monday, May 09, 2016 7:29 AM To: Albert Shields; Cheryl Caines Cc: #Building Permit Technicians Subject: FW: Polygon at West River Terrace (Foundation only permits) Attachments: Mike White.vcf Please see Mike White's notes below. From: Mike White Sent: Monday, May 09, 2016 6:40 AM To: Kim McMillan; Tom Hochstatter Cc: Dianna Howse; Debbie Adamski; Mark VanDomelen Subject: Polygon at West River Terrace (Foundation only permits) Kim, Po|yBonandNE| havecornp|etedthenequirementsforthethirty(3O)foundatinnon|yforthewestsideof"VVes1". Tom has a map and the geotech report for those lots. He knows that only those may be permitted at this time. Thanks, Mike White Mike White City of Tigard i Senior Engineering Technician TIGARD (503)639-4171 ext2464 13125 SW Hall Blvd Tigard,OR 97223 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws If requested, email 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 Retention Schedule 1 POLYGON /2 NORTHWEST COMPANY April 27,2016 APR 2 7 2016 Mark VanDomelen Building Official BUILDING DIVISION 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 Lot 99- 13850 SW 175th Ave 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)22]-1920 • Fax(360)693-4442 www.Polygonhomes.corn 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.Polygonhomes corn C'CB#166871 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 13837 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00160 David Young Corrections complete. Contractor change submitted. 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 13853 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00160 David Young Seal ﬂoor penetrations in mechanical room. No power in master to check fan timer. Note: no AC installed at time of ﬁnal inspection Violation Summary: Inspector Contractor Plumbing Permit ApplicationPC' _ Building Fixtures RECEIVED CityReceivof Tigard SEP 1 b 2016 Date/B : y Irl s-rtot b..mgeo g Date/By:�� PetmitNo.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi • Phone: 503.718.2439 Fax: 503.598.19�.p. - o^r` _ Other Permit No.: Inspection Line: 503.639.4175 L!i N( OF f i ;t,r ti5 Date/By I I t., ,RD 1°t r i'� r°,i'�tt$°°"" Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard oGgov ! ,,9.l ° Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE • ®New construction 0 Demolition For special information use checklist Description Qty, I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 s g 2 7 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Y l SvJ 1-1 y A N Catch basin or area drain 18.76 e_ City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: /'Q„ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK CetiL / C'� Clothes washer 25.02 "r/'^d u 1' c1-14,efr. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ( 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) 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 Water closet 25.02 CONTRACTOR / Water heater 37.52 / Business name:Malmedal Enterprises Inc. Water t m WV 56.29 111/// PP f� 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: TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-Pers itApp.doc 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 13837 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00160 David Young Note: ﬁx grading in back yard to slope away from house 6" in 10' or provide drainage swale. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test checked. Insulation certiﬁcation checked. Note: no AC installed at time of ﬁnal inspection, permit and inspection required at time of installation. C of O left on site with contractor. Violation Summary: Inspector Contractor