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Permit (10) IN CITY OF TIGARD �/ /6 MASTERMST2016-0019PERMIT s COMMUNITY DEVELOPMENT Permit#: 3 TIGARD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016 Parcel: 2S 106DC 10000 Site address: 13790 SW 175TH AVE Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 100 Project: Polygon at West River Terrace, Lot 100 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1105 Required sf Basement: 0 sf Left: 3 Height: 23 Bathrooms: 3 Second: 1427 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 385 sf Front: 12 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2532 sf Value: $302,756.98 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 WashingMach: 1 Lavatories: 5 Laundry Trays: 0 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SF Rain Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 0 Storm Sewer: 100 Footing Drain: 0 Ice Maker: 1 Water Lines: 100 Drains: Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Natural Gas Clothes Dryers: 1 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 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add]500 sf: 4 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2532 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET RD,STE 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,166.53 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00�1-0090. 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 , / Permittee Signature: d/j, /l'G/�°ff�C�� 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 CITY OF TIGARD MASTER PERMIT 111111 11 COMMUNITY DEVELOPMENT Permit#: MST2016-00193 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016 Parcel: 2S106DC10000 Jurisdiction: Tigard Site address: 13790 SW 175TH AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 100 Project: Polygon at West River Terrace, Lot 100 Project Description: New SF BUILDING Floor Areas Required Setbacks _ Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2532 sf Value: $302,756.98 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 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: 4 201-400 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 asin Other: N Other Description: Ecom p g: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2532 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: $32,079.51 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 ort 1.800.332.2344. / Issued By: Permittee Signature: L5/✓ '/—G/e (�" Call 503.639.4176 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. Building Permit Application RE,Ct 1 Ls .:. City of Tigard . tllh is 11 'Z.313 Dear �i3//(0 Per tNo/ttiS .. 8/6 rt}d/93 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review � ����� 111 Phone: 503.718.2439 Fax: 503.598.19a�dITy pFTIGARD DatcBY: /�// C Other Permgs��Juris: B see Page 2 for lsInv bate ReadyBy: //�j�� 5 ,()/-1 TV 0 See Page 2 for f I c'a E;I InspectionLine: 503.639.4175 BUILDING DIV Notified/Method: "7 i Internet: www.tigard�cgov m _AAT „___ . '. -4'- Permit fees are based-on the valueof the work performed. . ®New on ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ID Otherequipment,materials,labor,overhead,and the profit for the _ work indicated on this application. ;: - `:. :. -rt Valuahon3�� � ,S • - � � ® 1 and 2-family dwelling 0 Commercial/industrial Number of bedrooms: ❑Accessory building 0 Multi-family Number of bathrooms: ❑Master builder. _ ❑Other r Total number of floors: 2 a•:a : New dwelling area: a square feet Job site address: 1� I-\ - ./ —5-' Garage/carport a 'j��f,C1 square feet City/State/ZIP:Sherwood,OR 97140 �/�.J sq rare feet ' ect name:Polygon at West River Ter Covered porch area: Suite bldg_/apt no.: I Pro1 Deck area: ,I square feet or Cross street directions to job site: Other structure area: 0 square feet Subdivision: I Lot no.: IC)O 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 work indicated on this .••lication. S New Single Family Detached Construction Existing building area: square feet New building area: square feet ,, F 7, Number of stories: .-- Type of construction: Name: /9--4.L/14---"/. #GA///6 5 E-1- Address:109 E 13"StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 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 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com • Commercial and residential prescriptive installation of t ,, � rooftop mounted PhotoVoltaic Solar Panel System. �" Submit two(2)sets of roof plan with connection details Business name: W/ L ect ri 4y OA)thw c, /NC- and fire department access,along with the 2010 Oregon Address:109 E 13"Street Solar Installation S.•tial Code checklist Permit Fee(includes plan review X180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): 521.60 "tl CCB lic.:207247Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature ,`° within 180 days after it has been accepted as complete. '- I *Fee methodology set by Tri-County..Building Industry IPrint name:Maggie Gordon I Date:12/11/15 Service Board. 440-4613T(11/02/COM/WEB) x 1:\BuildinglPetinits\BUP-RESPermitppp.doc 02/24!2011 RECEIVED 0 Electrical Periinit • t 1 lic ton �� Ltellit i:E ,I trkt5 City o TagaM MAY 11 2016 > t Perrot . 7" >/6- /• l t 1 2Tigard,OR 97223 1tuRbvN Phone:5$ 718439x: 03solo 1.111VFTIGARI) YRelated Permit If; lnspcctioine 303,639.4175 Raadytfereibt rode Si SoR2forInternee www.tigard-or.gov orifed : Supplemental infe tmatlao xa� � N( i CoRh % : 1, ei eonstntetion D Addtldoniaheesdonlreplat ni ?Wittic aU tb t apply( 't ion erotic,.mom eyed): ❑Bernal— ©Uth«° LI Service ecl'bedo:Io0 amps sr more I0 esatrmj;ova.nett acmes: wisest theava0 lafauhmascot ❑Marinas andissulyds. . :,,, ...:.;...e aoapT i-, ..wtY41 ops1130.4.mi a � � s (�F1wd!»$�fdn6is ®!-and 2-6umlty dwelling (]Co aieicisUiuidtishtial 0 Accessory building le"totroana,ora k t.coo ❑Comoonoist-itteiwrkultural ❑Multi-family 0 Master builder ❑Other asap at oa a;ennNtom- retch,. ci pip• ❑IastalleNwof 150 KVA or JOB S1T6 INP AND L[)CA7'r614 ❑Emmergency system. carper aepantelr derived Job B: 1 Job site address � C yt, IlAd101toa now,noMrloador ayskm. , '...\J 1 1� l i`� 11V.., tOOHNormore. ❑a','2rw^12`,"1-3", City/StatejLTP:Sherwood OR 97140 I (750 otam,amdtet•otoa7ts occ;,pmy, ❑thrat auo ladittiat ❑A iosot which pada. Suitelbldgiapt.#: Projeetnatnm C713a,�ttloarboautms Clasp*voltage for momtban l (+'tosssh er/dittctlonstojobsife: ❑&rvicnorfetatr400an or mora 6600wetanamlest. t £ : tea. 1 oft. I ata I tete 1 • 1 New iesideatial single-or asulti-family dwelling Gait: Subdivision:River Terrace Lot J:1 tacladet attached garage. Tax i #: 1,000 R a lose J 16854 4 —,--FA tidd'150dag,Et orponion 4 33.93, 1 DESCRIPTION OP:WORK l ,64011 rosrdca f 75.00 s New Single Family tenth aboveaq.J+) l.hnita)cs rEY,iaidtlandty 75.00 2 resdential(vY MshaftN.it.) t 67i(t1�RFif 1DA'N£t2 Aeneaable8aaat' El SeePa c2 I [I TENANT Servsteaorfhedecatnstalittion„dtea6on,sad/or relocation i' Name:L'olygon Homes 200 anon or less 100.70 2 Adores:109)a 13th St 201 amps to 400 amps 133.56 2 I, 401 amps M600amps 200.34 2 City/State/ZIP Vancouver WA 98660 601 amps to 1,000 amps30104 ' 2 Phone:(360)695-7700 Fax:( ) Owr 1000amps orvolts 552.26 2 ( Etncil Temporaryaervkes or feeders installation,alteration,andfor relocation Owner installation:This installation is being made on property that I ovm which is not _200 amps or less 5936 1 intended for sale,lease,root;or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.34 2 03 4PPIdfr4NT I -C3 c NIACr PERSON Branchel:utile-new,alteration.orWellston,ter panel ' A.Foe foriyands c musts tetra Business name:Garner Electric Washington,LLC abovaserviceorfeeder fe7 t, 2 each touch outwit Contact calor~Bill Daniels B.Fee for brands eimo its vdthout Address:6101 NE St Johns Rd > circa tkrfix first 56.10 2 tuandt circ City/State/MP:Vancouver WA 98661 Each add'1 branchcilcair 7.42 I 2 320 26571isceIaneoes(service or feeder not Included) ['holm ) Fax::( ) Eachmsnallichned ocmodular Email:bdaniels�gweusa corn dxv;>tieg,-rexvift endlor*elm- , 6784 2 Reconnect only 67.84 2 t CONTRAe11-01{ Pwap or hrip6on circle 67.84 2 i Business name:Garaer<Electric Washington,LLC Sign line lighting 67.84 '2 Address:6101 NE St Johns Rd Sigatd cchottit(s)or limimd.ewgy ❑See Page2 Si2 alteration,or extension. City/State/ZIP:Vancouver WA 98661 •Each adttitfonai inspection over allowable in any or the above • Additional inspeaion(1 hr min) 66.25/1rr Phone;(253)320-1657 Pax:( ) Iry t gat{t a(1 hrMin) 90,001k Email:bdanleIslgweasa,com Ioittstralplant l7 hr min) 78.18/hr lnspectiens forxbleh no feel 96.00/k CCB Lie.; 01158 ElectticalLie.: 208174 Suprv.Lie.:44965 meciticalivlisted flihrmm) CTR(CAl;,_PERAI7F; ---;-1I ticatio I 11)it O1 1 It 1. 1 .t-()NI 1 MechanicalPermit Mecha pts �Ell..��.�� City of Tigard Received tee/B 20/ —oc) Permit ka. 1��`F//(p {�r//9 ipii 13125 SW Hall Blvd.,Tigard.OR 97223 112n 6 Man Review Ir. MAY. Phone: 503.718.2439 Fax: 503.598.1960 Man Rev (her Permit: ,,,, Inspection Line: 503.639.4175 Date Rem, y: Juni: id See Page 2 for Internet: www.tigard-or,gov CITY OFTIGARD NdiredT.leth«L Supplemental tnlormatioa ILD1 �DIS �I colt a4k- am- fi '" Mechanica€permit fees*are based on the value of the work ®New construction Q Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all Q Demolition 0 Other: mechanical materials.equipment,labor,overhead.and profit. v.� � - Value S F . _ :a= ..r,.--. � � 'ffi ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special laferanutarrrserkettitst. O Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heatinpfcoot€mg: ww,..�. . .,x. <_ Aircxtttditioning16.75 lob site address: I� 10 ...- 1�'� T \�C Furnace 100.000 BTU(ducts/vents) , 46.75 City/State/ZIP: ✓r'u. O od. O F2. q1-1\--I 0 Furnace 100,000+BTU 0ductseveis) 54.91 Heat p� �� (�l eat pomp 61.06 Suite/bldg./apt.no.: Project name: ,� Duct work 23.32 Cross street/directions to job site: A-4'1�,,�/,?�-P liydronic 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 2332 Subdivision:River Terrace Lot no.:IOC) at 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 "' .<-,'",;1.-;,,a., , $." $ ,...:t e 11 "x ;� + ''';'..4740/#.,,,,,i Gas fireplaceiinsert 3339 • , ,,, '"'° `","'`'`" Flue vent for water heater or gas HVAC fireplace 23.32 Log liehter(gas) 23.32 Wood/pellet stove , 33.39 Wood fueplarxlinsert 23.32 Chimneyilineriftuelvent 23.32 -', A -,4;.,:Z='.., $ r ir. 23.32 - .- t ' -•°� ' v ' v° N EnOtvironmental exhaust and ventilation: Name: Potygon Range gee hood/other kitchen 33.39 ' equ pment Address: 109 E 13n St.Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax::( ) Atii//crawlspace fans 23.32 .S . � )," W � nom, a '1 t r;i ., ,.-,:-,i-,-- ,. t Other. 2332 Fuel piping: Business name:Apex Mr LLC S14.15 for fist taar,S4.03 for each additional Contact name:Staci Hay Furnace.etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump Wail/suspended/unit heater City/State/ZIP:Batik Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326.1769 Fireplace Range E-mail:stacil®apexairco.com Barbecue . .„ ., m t ;3;. t74, 1,,x ,141,,t+1c .,;.,,.,, , ...:.,r,,4,...;:,..z, ., Clothes dryer(gas) Business name:Apex Air LI.0 Other Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034TOTAL PERMIT FEE -- This permit application empires if a permit is not obtained within 180 + days after it has beta accepted as compute. Authorized signatur . » .-,-,.. .,,,./' • Pee methodology set by Tri-County Building Industry Service Board Print name:Staci bay Date: 1/28/2016 I:nuitdimt`.'...4tosstEc Pcrmittpp,940 1 13 doe ;»d t7T II I. ..?CQrafwES) Plumbing Permit ApplicatjvCIV1) Building Fixtures City of Tigard �,AA pp 1 r PamiiNo: � 6 (93 Received 111 13125 SW Hall Blvd.,Tigard,OR 97BItA' ZO�6 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/Ry: Others Permit No.: Inspection Lina (,(TY 503.634.4175 F TIG ARD Dare ReadylBy: Jura: SISee Page 2 for 1 I( i s l) Internet: www tigard-0r gov NoattediMethod. Su a.lemental Information W :Y s s1 i 1 3 ', , ti i ,L, , tomr <. :- ..;-";,, ',N11-4i.; Yac i � L 4 s s For speciel information use checklist m New construction ■ Demolition Description I Qty. ( Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ;,31- yt *i� et t (a7 i 4 *" ;` SFR(1)bath 312.70 . rte, r.a� :..z...:...r.< K ...�.. .,.,,--`.---,-......=,.. 437.78 SFR(2)bath U t,and 2-family dwelling ■ Commercial/industrial SFR(3)bath 50032 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 - - . .,` .., 't„.-1.4 „...4.,,..4,41,_;..1.,, ; Site utilities: - xl �, v _ r . re�g Catch basin or ares drain 18.76 Job site address: t01� �j `" Catch b,leach line,or trench drain 18.76 City/State/ZIP �hIt r v c 0 O ` l k� o Footing drain(no.linear EL ) Page 2 Suite/bldgfapt.no.: Project name: QoH l `kManufactured home utilities 50.03 Cross street/directions to job site: 0 Ar-' f)(7L Manholes 18.76 �'l 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: I Lot no.:`00 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: ' t,,,,,:,,. < Backwater valve 12.51 a;�,-` -.,-7; tet ....‹g, t s -4 .4"' ,,,-134.t... .-w clotheswasher 25.02 I i t-e_W - PIt.kf Dishwasher 25.02 r Drinking fountain 25.02 Ejectors/sump 25.02 a, �� Expansion tank 12.51 ' .�„ . i a .- a __.. Fbtuudsewer cap 25.02 Name: PDQ !� Floor drain/floor sink/hub 25.02 Address: iov t% ' ?) ;� Garbage disposal 25.02 City/State/ZIP: 'J(,(n 6 r)h) V . 1 0 A q D lla 0 Hose bib 25.02 Phone:iNOj (D ' •0 Fax: ' ,D k0' L Ice maker 12.51 .m.- 'f,-,.-„:„$'!..4' " . .� a4 *' interceptor/gram trap 25.02 4 ."i $ ° wr = P,6a z Medical gas(value:S ) Page 2 Business name: /l-t !"!/.-rYl41t.s3 V)1 t 1_x�1-i in L C Primer 12.51 Contact name: i\il O ;r1.4 - may',) j Roof drain(commercial) 1.2.51 Address: (".4.. l 7?G'] Sink/basin/lavatory 25.02 _ City/State/ZIP: l".7,1"e ch ja,... A ().(2,„Cl) ) Solar units(potable water) 62.54 Phone:Ali ) $QtP ' t g Fax :( ) Tub/sh ower/shower pan 12.51 . Urinal 25.02 j,E mmail: t� ' M r"oJ- .-:4°41., t > � � _Water closes 25.02 ! t we -. ' ,, x.sy.' redg � � ei. . ->� ,�"i i=m ..� ..iO i water heater 37.52 Business name: Kti t-vt r u X 1^t 61..-i'N P(1.4.11r4A1 it f>< t-tr Water piping/D W V 56.29 Address: Po G0 1 7 `3 -x,. Other. 25.02 City/State/ZIP:a ) _ Subtotal K.�l�u' 1 Minimum permit fee: 572.50 Phone:( }0 VIP -'12113 Fit'( ) - Plan review (25%of permit fee) CCB Lie.: 2 C)( .12,:.. . Plumbing Lic.noFES I 2 Authorized signature: State surcharge(12%of permit/ J TOTAL PERMiT FEE This permit application expires If a permit is not obtained within 188 days Print name: Ma A 1./.,,_ntry tom,i, Date al 1 f it after it has been accepted as complete. (( *Fee methodology set by Tri-County Building Industry Service Bond. 1:\Suildiileramits\PLMU-PeaticApp.du 10,01109 440-4616T OO2,COMM'EB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: /f C7 2p/( —QQ/93 Site Address: /3?9v ,S'yJ /9C-74 4 nve Project Name: Pa - AJP vex- � j-zvi:e Lot #: /(3O (Ne ling= subdivision name;.Addition or.Alteration= last name of owner) Planning Review Proposal: A)ev &7 ,e Verify site address/suite# exists and active in permit s em. Eli River Terrace Neighborhood: ❑ No Yes,See River Teraie Review Addendum Attached SitPlan Elements: 1 � re (3) copies of site plan ` : sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper �'1''ootprint of new structure (including decks)with finished �rawn to scale(standard architect or engineer scale) or elevations orth arrowI7 Utility locations(required for new,may apply for additions) LIV to address,project or subdivision name and lot number ri cation of wells/septic systems ( pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence Q*ot dimensions and building setback dimensions sign,location of catch basin,etc.) IVJLot area,building coverage area,percentage of coverage and feet names tiipervious 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 pisting trees to be retained with drip line,and tree 4 foot differential) protection measures 10r-clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): t •quired: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 1R Public Faciiti 'Improvement (PFI) Permit: Required: �� Yes,applicant was notified ElL(J No Applied For: Yes ❑ No,stop intake V and Use Case #: ibPo2O/ 7- 0z/1 5(,U' Qo/ -- O67 K — oning: —7- V'Setbacks: Front /� Rear /S Side 3 Street Side ef Garage ca) andscape Requirement: �p °'° [124°t Coverage Maximum: 00 0/0 Lfilding Height: Maximum Height OA Actual Height cQ IGisual Clearance asements ed, 11/431 nsitive Lands: ❑ Yes [12t/No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building pe t Notes: �C-)/147Svr 4 /l Ze mg /2,79,b,--- 7L fp,typtoz / LTo2/1 cC Approved By Planning: • ze,,/ Date: JI Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonn s\B I dg Per n i t R vw_R E S_012116.doc x Building Permit Submittal Original Submittal Date: ��///�o Site Plans: # 3 Building Plans: # 3 Building Permit#: Er-Enter building permit# above. Workflow Routing: ffrPlanning -Engineering E P rmit Coordinator Huilding Workflow Sign-off: .B'Sign-off for Planning(include notes from planning review) Route Application Documents: 8'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: P&--- Date: -/./3/7/k Engineering Review 5 7 lope at building pad: O ❑ 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 Assess Water Quantity Fee in-lieu: ❑ Yes in--No LIDA Facility on lot: ❑ Yes .EI-1No ❑ NOT Approved by Engineering: Date: Notes: ll ra1>14-4-1102.. ejUL`-r ', Approved by Engineering: Ai/ / /L 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: 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: CO Yes ❑ N/A OK to Issue Permit — i7-70u.,--,,r1 et-ii-uv, o w(-1 Approved by Permit Coordinator: Date: S -i(9 -t So I:\Building\Fonns\BldgPennitRvw_RES_0121 16.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT I TGARD� River Terrace Building Permit Review Addendum Building Permit #: /VS 77,,20/C - on/9 Site Address: /3996 'i() /?-s---/-it i Project Name: Polygon at West River Terrace Lot #: /00 ' (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? 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 deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimumqf_%of each street facing facade must include windows or entrance doors. Percentage Shown: / b 3. E trances: At least one entrance must meet both of the folio . g standards: I] Max. 8 ft. setback from longes street- facing wall arallel 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: 1�5 sq.ft. min. One street facing entry ft.max. roof above floor of porch rI 5 ft. depth min. 30%min.porch roof coverage 4. tailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: 0 overed porch min. 5 ft.wide x 5 ft. deep 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 :oof offset min. of 2 ft. ❑ Roof shingles either tile or wood 'ig Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Ijsrizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facadetndow 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: • loser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): ay extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. 12,4 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) ❑ -foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: � Date: A/ S- Approved By Planning: �� 1:\B u i I d i n g\Forms\B I dgP e r m i tRvw_RE S_RT_031416.docx POLYGON 1� NORTHWEST COMPANY ri April 27,2016 APR 2 7 2016 Mark VanDomelen ``(`'I ` Building Official qUiLiiiNGDIV/. 1()," 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 --3 Lot 100- 13790 SW 175th Ave /7.5 7-,2-0/6 -00/93 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.Polvgonhomes.com CCB#166871 POLYGON /a 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 9866( (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polvgonhomes.com ('CB#166x7 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 13790 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final PASS MST2016-00193 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 13790 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final PASS MST2016-00193 David Young Violation Summary: Inspector Contractor Plumbin2 Permit Application Building Fixtures City of Tigard Received / Sc-"P I b 2016 DateBy /0/(0/tee /4-- Perm"°- Nicribib-00ii. -- 13125 SW Hall Blvd.,Tigard,OR 97223 , L- Plan Review Phone: 503.718.2439 Fax:IN 503.598.199 6 - • . • i-r-, D t/fly ,---6,- .4 f, - Other Permit No.: 1 ,, Inspection Line: 503.639.4175 kJ)i ‘i. , ,. , , , ti,, Date Ready/By: Jam 0 See Page 2 for Internet: www.tigard-or.gov CjiI •,!;20',7:..', 3 .-:,',) ;.',",,''...,•.','''' Notified/Method: • Supplemental Information IE OF WORK FEES SCHU)IJLE el New construction 0 Demolition Far special information use checklist. Description I Qty. I Ea. 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OP'.63114'- ititOfil SFR(1)bath 1 312.70 14 •1-and 2-family dwelling SFR(2)bath 437.78 0 Commercial/industrial . .. SFR(3)bath 500.32 0 Accessory building 0 Multi-family . Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 , ,i:T:iii...)),;,,,i:,,:ii- : i:• :,:i--,,,-2.9'' .' '. '' : t -"AttILLOCA, .10.`- . . Site utilities: Catch basin or area drain 18.76 Job site address: 131010 ,c GO 1 i Si+1 .prtre, ' Drywell,leach line,or trench drain 18.76 ' City/State/ZIP:Tigard,OR 97224 , Footing drain(no.linear ft.: ) Page 2 ; Suite/bldg./apt.no.: Project name: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 Lot no.: 100 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 - as::,:,i,..,. ,. ...' 7. - :-- ,,. Backwater valve 12.51 Clothes washer 25.02 C0111-CO.0 hrif -ClaMt-- Dishwasher 25.02 J Drinking fountain 25.02 Ejectors/sump 25,02 ',..7.::!!*--•7:i-'''.'f.'''..,... ,'',:'''''1::!';-::,';':l''':''' ' I :.kit - : Expansion tank 12.51 ) Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC - 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 i.. i,":„:- : ,,:.;; ,., :: Interceptor/grease trap . 25.02 gas(value:$ Business name:William Lyon Homes,Inc Medical ) Page 2 _i Primer - 12.51 Contact name:Angela Grajewski -21 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 Urinal 25.02 E-mail:Angela.Grajewski*polygonhomes.com a.s .)e. ,.. .. . ) . ,,, ) ' Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing LLC Water piping/DWV 56.29 _____ Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal - 22 Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 184601 / Plumbing Lie,no.:PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman Date:5/23/2016 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board I tBuittlinglPermits NPLMU-PennitApp doc 10/01,04 44O-416T(i0/02/COMAVE ) 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 13790 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00193 David Young Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Vapor barrier affidavit received. Blower door test report received. Insulation certification checked. C of O left on site with contractor. Violation Summary: Inspector Contractor