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Permit (12) CITY OF TIGARD i -9.�--4/// MASTER PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: MST2016-00189 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016 Parcel: 2S106DC11400 Jurisdiction: Tigard Site address: 17372 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 114 Project: Polygon at West River Terrace, Lot 114 Project Description: New SF. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $215,852.02 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 0 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: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,605.27 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 thr 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: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applic ," FOR OFFICE CSE ONLY City of Tigard Date/By:Received 9 �y it, ( Permit No.: �17��1�,�tgq .IN II 13125 SW Hall Blvd.,Tigard,OR 972W3 r Plan Review Phone: 503.718.2439 Fax: 503.598.1 G 2 2016 DateBy: Other Permit: TI GARD Inspection Line: 503.639.4175 CI `�,ry Date Ready/By: Juris: H See Page 2 for Internet: 1:3 www.tigard-or.gov t 'S q1{MJF IiG Notified/Method: Supplemental Information ��}�asl'a� y�� }g sk ,4 �! & �} a 0 r 5 2 1 4 ' "k{ t k1(+w*' t P d _.�. ._.v. '^"/ t <1510114," :1 WCItR ''''- h' k - -- �£ex z...-. _e)'�`_ .s....m. e. .. .,.:.. n ... vwork �" �'"" �� 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 0 Other: mechanical materials,equipment,labor,overhead,and profit. .*,a.,. +. z. a �_Te' ams � . � "2 , . . _. ,. �, 0` Tt � m�-'�� _[I9�1E�13�1h��+� _ ��i�.�f.�b�`' 4� , `��...�;i>�.3Nce we.. v4:de. �,.. .�.,,�_ s� ...., e a:_-z'9 ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total to "" II ItIVTA ISI 1 OIt Heating/cooling: .r .-: "` 1fi- -hilo:' conditioning1 46 75 46.75 Job site address: \1?) Z ¶ \ J Rain LOu,Se 12,a 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 j Other: 23.32 ` Subdivision:Polygon at West River Terrrace Lot no.: 1` -' Other fuel appliances: Tax map/parcel no.: Water heater 23.32 4 , r "'" Gas fireplace/insert 33.39 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 4 ._40....,.,,,..v.,.4,,,,,.-- r 0 Other: 2332 _ � � _ � . _ . g_ tx 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 ,r 4 Other: 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $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 „,....,..7,...,.•_ � ,. ...., .. ? t) _' °, '.<. t ;, Clothes dryer(gas) Business name:Apex Air LLC • Other t Address:18004 NE 72nd Ave 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 lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ql/IINCA days after it has been accepted as complete. Authorized signature: A,... * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT a Permit#: MST2016-00189 2 COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016 Parcel: 2S106DC11400 Jurisdiction: Tigard Site address: 17372 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 114 Project: Polygon at West River Terrace, Lot 114 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $215,852.02 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 0 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 Tvpes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders - Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,209.47 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: ,•V eP,P4/e d,l` Call 603.639.4176 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. , t • T T /j / Building Permit ApplicationREj CEI L2 .S/3/? y 2///(ea si;t ct City of Tigard MAY 0 3 2016 at= 5 // /{o 4W N9.1J9/6-�/d? 4 13125 SW Hall Blvd.,Tigard,OR 97223Plan Phone: 503.718.2439 Fax 503.598MY Date/8 �/a7I I 'We-�i6-�0/Sa N i ,,, r i, Inspection Line: 503.639.4175 �•I s [[ l�I TIGARD D :7,:z_ su ss ®See Page 2 for Internet: www.t,gard-angor BUILDING DIVISION •r S, ent,Ftnformatioa ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ,, r ' „ ' `1 • wrk indicated on this application' n. _ •. _ _ c_ ,_ , , „ . , W_ Valuation: 5215,852 ®1-and 2-family dwelling 0 Commerciallmdustrial ❑Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder ❑Other Numberof throoms: 3 Total number of floors Job site address: k7S'7 Z W aeon I•-oul5e_ New dwelling area: 1744 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 423 square feet Suite/bldg./apt no.: I Project name:Polygon at West River Ter Covered porch area: 49 square feet 93 Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: I`y Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the i -), work indicated on this application. Valuation: $ Esdsting building area: square feet New building area: square feet -, �; Number of stories: s> Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy groups: City/StatellIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 136 Street Total fees due upon application: City/State/L1P:Vancouver WA 98660 Amount received. Phone:(360)695-7700 ( Fax::( ) E-mail Angela.Grajewski®polygonbomes.com = f .. ._ Commercial and residential prescriptive installation o e • roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. ee(includes plan review City/State/ZIP:Vancouver WA 98660 Permit and administrative fees $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CB lic.:207247 . Total fee due upon application: $201.60 f Authorized signature: ��. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewki Date: � , / /1, *Fee methodology set by Tri-County Building Industry Service Board. E:1BuildingiPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 Mechanical Permit APPJ CJ xLCEIV Eft Ft)i(C)i 1 1( E t1/4E tl�Ll Cita'O#Tigard Received permit Nse/57.--,„204—poi, 79 13125 S W Hall Blvd.,Tigard,OR 9n AY 0 3 2 0 1 6 may: Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 DagelBy. t 1, i Inspection Line: 503.639.4175 CITY OF TI GA R D Date Ready/By: Jwiv 1$See Page 2 for Internet: www.tigard-or_gov Notified/Method: SupplementalIofermstion BUIL1)ING DIVISIM Utz • Mec - ,. " *am} _onthe value of the ._ _�.. _ .. echanical peen feesbased work ®New construction 0 Addition/alteration/replacement perforated.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit I VJ c � - �slue ?':: I r. ®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other. Description I Qty. ( E • I Total `. -.'. ..,' _r :-_ .,..:..- ,. _,. ._ -s' - --- - • Heatinfiennlinit• _ , , + I rr r1 if rf , b Air conditioning 46.75 Job site address: 11312..SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vests) 54.91 Heat pump 61.06 Suite/bldg/apt.no.: I Project name:Polygon at West River Ter lit 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 Subdivision:Polygon at West River Terrrace I Lot no.: 1 (L.j Other: 23 32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 - - Gas flreplacelinseit 3339 J. 'S _..._ water heater gas Flue vent for or fireplace 23.32 Log lighter(gas) 2332 Wood/pellet stove 33.39 wood Sreplacefmsert 23.32 Chimney/liner/flue/vent 2332 Other 23.32 -- _ .- _- .__ -. _ Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600E Doubletree Ranch Road Clothes dryer exhaust 3339 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fars( ) Attic/%rawlspace fans _ 23.32 2332 F relpiping: Business name:William Lyon Homes,Inc. 514.15 for first four;$4.03 for each additional Contact name:Angela Grajewskl Furnace,etc. Address:109 East 13th Street t led tip — Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 J Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewslrii®a polygonbomes.com Barbecue - Clothes dryer(gas) Other Business name:Apex Air LLC Address:18004 NE 72"d Ave Subtotal City/StatefZIP: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 penult application expires if a permit is not obtained within 180 days after it bas been accepted as complete. Authorized signature: �� * Fee methodology set by Tri-County Building Industry Service Board Print name: /. _ P eiYitebt)sl1-1 Date: b 1:\BuddingWermitiA EC _M0113.doc 17T(1 7/Co M'wEB) 1 1 ical Permit A lit E t r �'-` :.:.,...„..•. ...: ~.:,;;; Electr Ap rrlli of 1 ici:I;�l:ON1,1 C13125rSSW Hall Blvd,,Tigard,of 0 3 2016 pt.n 'd Received ' /`�-S7 ' .—DO/P evime Phone: 503.7182439 Fax 503. 8.1960 q y g i Dmteftt Related Permit Y: interact www.tigard-o.g v7Sy'1 I l U I I 1 i t 1 11 Nat�ifed Math d vr "'vvv 0 New construction ❑Addition/alteration/replacement "Flees'ob.de au that apply(subunit i sets ed'pfans v,dueme-checked): ❑Demolition ❑Other 0 Seiviee or feeder 400 amps or moss 0 Building ova throe stories- where the available halt merest 0 bitarints and boatyards. ,::<c 5 ._ti.) ; L ,1,0iti i.',1•!_,,,,1-24. 1 "_ monde 10,000 amps et 150 volts or 0 Flouting buiidInga. 0 I-and 2 family dwelling 0 Commereialiridtistrial ❑Accessory building to grouod,or exceeds 14,000 D Commercial-use aviculture! traps for all other installations_ buildings.• ❑Multi-•thmily ❑Master builder 0 Other:- D Fur pump. ❑Luull.tion of 150 KVA or `tom Y , 'a.-.lol := epi; .i;0",, e, ..26,;:4! ',tr. 99 1 c'E< <..,.:.ti :''1'.�'; °�cysystem. ismer aware*derived 173 7 3 j J„a,n Lo I"Se 0 looAddition of rimy motor load of Job#: _. Job site address: r.,l looliP or more. 0'A"."B","1-2"."i-s", City/State/ZIP:Tigard,OR 97224 0 six or more residential nils. occupancy. vehicle Ellieeith-oars facilities. 0 a perks. Suite,/bldg./apt 1: I Project name:Polygon at West River Ter OHazerdoos location. 0 Ply+ i oe wore dm Service or heeler 600 amps or mora. 600 volts nomital. Cross street/directions to job site: "''.:',,jr.,--'`<. ,.-.4;"_?d_ ' �I .11.160': { • .= .--: Deraiatlea Qts. !rads Toth • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: l 1 y Includes attached garage. Tax map/parcel#: 1.000 sq,!L or lase 1 168.54 4 Et add'!500 sq_tit or portion )., 33.92 1 .0 A''o ifvS,t',! A.,. .-_) a,_ c----,:i Limited ,residential _-a._:-:_ _ .__ �__ _., _. _ _.. __. _.,.. .. - -- ._.�,- emergy (with above sq.R) j 75.00 2 Limited energy,multi-family 7500 2 residential(with above sq,it) .7 Renewable Energy D See Paget . . -'.....2 _ .._ _ _ 1 ! _ - _ _ ? . __ }s ; . � Services or feeders Installation,alteration,and/or relocation Name:ADVL Lead Holdings,LLC 200 amps or leas 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 - 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85758 601 amps to 1,000 snaps 301.04 2 Phone:(602)694-4031 Pax:ax:( ) Over 1.000 amps or vola 552.26 2 Temporary services or feeders Installation,alteration,and/or i Email: • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 1 I 125.08 I 2 Owner signature: Dale 401 amps to 599 amps 168.54 2 '.i ( �,. .+ 1 ( I:_.,F1 i_,a, ) , a $rand)elreults-new,alteration,or extension,per panel , _ ._.� _ .. „:� __ -�....,i..�_.. A,1�a forbranch ChAllfi M7r/r Business name:William Lyon Homes,Inc. above service or feeder fun, 7.42 2 each branch circuit Contact name:Angela Grajewaki B.Fee for branch circuits without service fierier Address:109 East 13th Street brands circuitfee,flint 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'i branch cheek 7.42 2 • Misedianeous(service or'feeder not include!) Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactwed or modular 67.84 2 dwe-... e.dand/or feeder onder Email:Angda.Grajewsk@polygonhomes.com Roomed oniy 67.84 2 ,'' :: --s r F.n'1 .r_: � <_ .. _ V ' pump or irri8arim Girdc 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 ,: Signal circuits)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable is any of the above City/State/5P:Vancouver WA 98661 Additional inspection(1 hr min) 66.25/1r Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.0W hr Email:bdanieltaggweusa.com loduatriaJplant(1 hr min) • 76.18/hr Inspections for which no fee is 90.00/hr • CCB Lie.: C1158 I Electrical Lie.: 208174 Suprv.Lica: 44965 erev+ t I :, l.�._w ,„ r l;.1(c JC ori Ll'moi,; : Suprv.Electrician signature,required: Subtotld: �- 1,• Print name: Joan PAlbert Date: 4/26/2016 0Plan Review Required(25%ofpermit flee): ::::• ,-..7 ._. State surcharge(12%of permit fax): :, Authorized signature: - _ ^~�� TOTAL FERMI'FEE V,:.•;:: This t o ca ton expires if a permit is not obtained within 180 a;';:: Print name: Bill Daniels Date: 4/26/2016 days after It los been accepted as complete. ../..,,;^;:;c:: • Number of inspections allowed per permit 5 l',: ,�;„r• . rl8ulldig}rermaslEr,C�emieApy_t?tl;„Easd.e Rev 06/17/2015 41W61s'l+(1lMS/CAM/wPa �'S:F.;ri 1�,�rt;.::, RECEIVE! Plumbing Permit Application Building Fixtures MAY 0 3 2016 1 oh: 0111, 1 1 .i ()NI , IC31 wHs11ty gB d,reetd,o1 91OReceived F IleGARD Permit No.:/7S 6//-9049 Plan Review Phone: 503.7182439 Fent: gQ#o$if�ri'na�,i,,ii(),a+, Idgy: Other Permit No.: Inspection Line 503.639.417 �J Ls 11 i 1 V 1 Ready/By: -: RI Sea Paye 2 for Internet: www.tigard-or.gov Nobt{oa/Medrod: _ _ Supplemental Information +®New conshvction� " D Demolition For spacial informliiex use checklist Description I Qty. I Ea. I Total D Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 10011 for each utility connection) > .'; • CATEGORY OF CONSTBUCfOIN . SFR(1)bath 312.70 01-and 2-family dwelling 0 ctanmercial mdustrial SFR(2)bath 437.78 D Accessory building D Multi-fmnily SFR(3)bath 50032 SOO. , Each additional bath/kitchen 25.02 ❑Martex builder ❑Other: 'Fire sprinkler(._____sq.fl.) Page 2 '' .,ton SITE INFORMATION MID LOCATION s. Site utilities: Job site addmss: 11372, SW prd.n LoLOSe. T Catch basin or ams drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trend]drain 18.76 Footing drain(no.linear ft.:,___,) Page 2 SuitetbldgJapt.no.: ( Project name:Polygon at West River Ter Mtmufacture d home utilities 50.03 Cross street/directions to job site: Manholes 18.76 • Rain drain connector 18.76 Sanitary sewer(no.linear it.:_) Page 2 Storm sewer(nes liner 8:___) Page 2 Water service(no.linear ft.:___) Page 2 Subdivision:Polygon at West River Tcrrraee I Lot no.: y i l4 Fixture or item Tax map/pamel no.: Reddlow primula ( 31.27 31.1:7 G • nl TEON or.wl u. •• Backwater varve ( 12.51 (Z•VI . Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .®.)PROPERTY OWNER • . 1. Q TENANT Expulsion tank 12.51 Fixbue/sewer cap 25.02 Name:ADVL God Holdings,LLC Floor drain/floor sink/bub 25.02 Address:7600 E Doubletree Ranch Rood - Garbage disposal 25.02 City/State/DP:Scottsdale,AZ 85258 (lose bib _ 25.02_ ne Pho (602)694-4031 I Fax:( ) Ice maker 12.51 • ' ,;•. 0:APPIACANT . 0 CONTACT PERSON in �/�trap 25.02 Business name William Lyon Homes,Inc Medical gas(voles S_) _ Page 2_ Primer 12.51 Contact mune:Angela Grajeweki Roof drain(conunercial) .. 12.51 Address:109 East 13th Street Sinklbasin/lavatory 25.02 City/State/DP: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: aail:Angela.Grajewaklpolygonbomes.com Urinal 25.02 Water closet 25.02 CONRACPDR Water heater 37.52 Business name:Mahuedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(50.3-)324-0580 Minimum permit fee: 572.50 CCB Lic.:102535 Plumbing Lie.no.:34-276PB P]an review (25%of permit 11x) State surcharge(12%of permit toe) Authorized signature: C, ---c-: ' TOTAL PERMIT FEE Print name:Carolina Malmedal Date:0425/2016 Ibis permit application expires U a permit U not obtained w•itldn 180 days after it bas been accepted as complete •Fee methodology set by Tri-County Buliding Industry Service Board. - t:lauildinapunatOPLMU-Pa ttAppdos 10101/09 440.4616T(1ab2/COM1WEB) 4 .....-` City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1(1; ;1, Building Permit Review — Residential Building Permit #: /yS77o/6 — bD/.� Site Address: /.75Q cJCjn 1--CV&e ie_ e Project Name: 1-3� n c<174G� e- 7?C � Lot #: j/17?(New ng=subdivision name;/\ddition or Alteration =last name of owner) Planning Review Proposal: G7 ` ---g- rift'site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ NoII eYes,See River Telma Review Addendum Attached StPlan Elements: �ree (3)copies of site plan id Ct sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper IF ootprint of new structure (including decks)with finished Uu• awn to scale(standard architect or engineer scale) or elevations p •rth arrow LJ Utility,locations(required for new,may apply for additions) 74 S. a address,project or subdivision name and lot numberu. •�]I%cation of wells/septic systemsplicant information(name and phone number) V. rosion control (including drainage-way protection, silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) ]Lot area,building coverage area,percentage of coverage and eet names . pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location IVroperty corner elevations(2 foot contour lines if more than filsting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie rovement P m (PFI) Permit: kqe ui red: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake zand Use Case#: 112. � _ �kk�f ��61 , �r,/s--�0 /Soning: —. etbacks: Front /e' Rear V Side `' Street Side Garage S I6 if IIA andscape Requirement: % • of Coverage Maximum: e LJ St:uilding Height: Maximum Height . Actual Height o7 " Musual Clearance )asements ensitive Lands: ❑ Yes ❑ No Type / -- l k./ h /1.1-1-Jv Urban Forestry Plan ❑ Condition "Met"prior to issuance omc-1 permit / Notes: /174!756* ---SAV/ he c-1 rw. 74b /7` 1 .C2.A.24c,t Approved By Planning: Date: �-- << S0 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:43uilding',Forms BldgPennitRvw RES 0121 16.docx Building Permit Submittal Original Submittal Date: -l/3`/,& Site Plans: # 3 Building Plans: # Building Permit#: Er-Enter building permit# above. Workflow Routing: ®'Planning -Er Engineering Permit Coordinator building Workflow Sign-off: IR-Sign-off for Planning(include notes from planning review) Route Application Documents: O'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: 47erpZ_ Date: _`//��o Engineering Review 0 Slope at building pad: 1110 0Conditions "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 Appro� ed by Engineering:/ Date: Notes: �p ,0'/403A/r Id) J i ii 'e elle Approved by Engineering: 442)) Date: 5-/f-IL 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: SDC Fees Entered: Wash Co Trans Dev Tax: 114 Yes ❑ N/A Tigard Trans SDC: 5r1 Yes ❑ N/A Parks SDC: Yes ❑ N/A .i'OK to Issue Permit _ �=-ou„g 0.1;0,., O r(i• Approved by Permit Coordinator: e.,.......,,.. Date: 5 — la—/4.. 1:',BuildingForms ForrnsBldgPerniitRvwRES_O121 16.doex 4 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT i 71 ■ T I G ARD River Terrace Building Permit Review Addendum Building Permit #: /VS'7-020/6 -- 6 D if 2 Site Address: >9-3 2 tic 1�o11Ed Project Name: Polygon at West River Terrace Lot #: / (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?VgYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft.of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of sa h street facing facade must include windows or entrance doors. Percentage Shown: /Q . e l' i) 3. trances:At least one entrance must meet both of the follo 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 es,all the following apply: /ft. sq.ft. min. ne street facing entry ft. max. roof above floor of porch depth min. 30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep CI Recessed entry area min. 5 ft.wide x 2 ft. deep Rall offset min. 16 inches ❑ ormer min. 4 ft.wide oof eave min. 12 inch projection offset min.of 2 ft. ❑ Roof shingles either tile or wood A Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.wide 0 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 frontgrsi e lot line on a corner lot. Setbacks: I) No closer to front or side lot ti : than Ion st street-facing w. .. • Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a . -red front por • .nd garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is .:r • a two-story building and there is a window at the second story above the garage that faces the street with a . ar-. • 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40% • . of street facade ❑ 50%max. of street faca.e with 7 detailed design elements Notes: Approved By Plannin Date: 7/3/4 c 1:\Building\Forms\B ldgPermitRvw_RES_RT_031416.docx POLYGON FILI NORTHWEST COMPANY April 27,2016 APR 2 7 ?016 Mark VanDomelen Building Official BUILDING DIVISIM 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)695-770(1 • (503)221-1920 • Fax(360)693-4442 www.Polvgonhomes.com cca#16687( POLYGON /� 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 /1ST-se to — �J 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 9866(1 (360)695-77110 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.corn 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00189 David Young Note: no AC installed at time of ﬁnal inspection, permits and inspection required at time of installation. 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00189 David Young No power at sink disposal. All else appears ok. 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00189 David Young See inspection results 9/20/16. No building ﬁnal inspection 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00189 David Young See previous failed inspection results. Contractor informed subdivision not approved for ﬁnal inspection and C of O's and not to schedule inspections prior to release of conditions. Investigative fee for re inspect applied for third failed inspection without correction. 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00189 David Young Correction complete. 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00189 David Young AC added to permit not done at this time. Add electrical for AC connect to permit as electrical ﬁnal inspection completed 9/15/16. No ﬁnal inspections and C of O's to be issued prior to planning and engineering release of subdivision 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00189 David Young Provide approved thread sealant on cleanout caps. 316.1 Disposal at kitchen sink not working. 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00189 Mark VanDomelen 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 17372 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00189 David Young Correction complete, breaker was tripped. No re inspect fee added. Violation Summary: Inspector Contractor