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Permit (46) CITY OF TIGARD III i , u MASTER PERMIT T 1 A.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /y/6 Date Issued: 05/11/2016 Parcel: 2S 106 DC09300 Jurisdiction: Tigard z Site address: 13749 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: 93 Project: Polygon at West River Terrace, Lot 93 Project Description: New SF. 8/4/2016: REPRINT permit to add covered patio and 2nd water heater. 9/14/16, REPRINTED to add a/c. - BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1128 sf Basement 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $310,712.81 Rear: 0 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: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add,500 sf: 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 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 2573 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: $32,880.96 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 h 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: n `-� '� Permittee Signature: C0-/C A� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Q 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 Application FOR OFFICE USE ONLY III 10 City W TigardDateBy: VAII �1 �h,/,' , j7g - Received / Permit No.: 13125 SW Hall Blvd.,Tigard,OR t2CEt\/EDPlan Review Phone: 503.718.2439 Fax: 503.598.19 60 Date/By: Other Permit: TI GA RD Inspection Line: 503.639.4175 AUG 2 2 2016 Date Read B kris: El See Page 2 for Internet: www.tigard-or.gov Ready/By: CITYi g O g >� Notified/Method: Supplemental Information C iY6IGAR Ie _ .. _ _`: . : . TYPE ' 4 I Ofiw _ _.: , ` M ERC AL E'� SC US iI CU T Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit .CW S1 RValue $-r_ RVOF LTCfOIAttg_ _ --_.1. , __. 3F§IDIITA ��iIIPMg flSYex'cr � ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder I I ❑Other: Description Qty. Ea. Total fait-JOS W y JOB SISI I bRM$ Ol-A�TD_>v t101'�7 Heating/cooling: p -,----4------,,---'1-' '- Air conditionin Job site address: /3 7q 3 3 Vk) I f}\19 g 1 46.75 46.75 1 1 U'1� Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Heat pump 61.06 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 Subdivision:Polygon at West River Terrrace I Lot no.:q3 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 z--`7 i -1� FScBJFT. ,,-. OE 1 RK 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 ® i�RIITsR1 Y 4k 3 EllN1 Other. 23.32 �_ -- - - Environmental exhaust and ventilation: Name:AD VL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 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 F.. o- t .' ` G sl'F itil: .' 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 I Fax::(360)693-4442 Fireplace Range E-mail Angela.Grajewski@polygonhomes.com Barbecue -7',..:-.-, _,-- ---,'�,mia=x v `? 1� '1 =ga *C"s ' # i2 +- -:: . ' Clothes dryer(gam)..e "4.. ` - 3A.._;JE. . t i . . Business name:Apex Air LLC Other: Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: ,..74"6.1 * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 I I:\Building\Permits\Iv1EC PernritApp_040113.doc 440-4617T(11/02/COM/WEB) ,x1 7,.,.. ez CITY OF TIGARD ® ''' MASTER PERMIT 111 I: COMMUNITY DEVELOPMENT Permit#: MST2016-00178 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S 106DC09300 Site address: 13749 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Lot: 93 Project: Polygon at West River Terrace, Lot 93 Project Description: New SF. 8/4/2016: REPRINT permit to add covered patio and 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left 3 Height: 32 Bathrooms: 3 Parking Spaces: 0 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 3 Detectors: Total: 2573 sf Value: $310,712.81 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 Y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3 SF Rain Storm Sewer: 100 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 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: 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 Other: N Other Description: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2573 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: $32,783.60 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 R 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: 42)/ / /�,� Permittee Signature: DN '7/-"/e1Z./e/977(J� 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. r t 1 - ./ W.. i City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT ,,, ,;,, Building Permit Review -- Residential Building Permit #: ,7S7-..20/4, –00/7, Site Address: 89"Y9 SIO /ac1114° Project Name: 1j/n eayL h. eii.. . -ma c Lot #: 73 (New ng=subdivision name;Addition or.\iteration=last name of owner) Planning Review Proposal: Y 1)€k, ` E(yerify site address/suite#exists and active in permit s r em. IJd River Terrace Neighborhood: 0 No I{d'Yes,See RiverTenaee Review Addendu m Attached Si/Plan Elements: glyfiree(3)copies of sire plan ' *sting structures on site ile,bite plan must he on 8-1/2"x 11"or 11 x 17"paper IP ootprint of new structure(including decks)with finished ,G�-( awn to scale(standard architect or engineer scale) i or elevations lL Utility locations(required for new,may apply for additions) ' rrh arrow S' a address,project or subdivision name and lot number IC i4 cation of wells/septic systems plicant information(name and phone number) 7 rosion control(including drainage wapprotection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) IALot area,building coverage area,percentage of coverage and eet names 1 pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,hype and location roperty corner elevations(2 foot contour lines if more than sting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services–Service Provider Lett (lot platted prior to 9/10/1995): quired: 0 Yes,applicant was notified 0No Received: Public Facilitie mprovement(PFI)Permit: 0 Yes 0 No •I.equired: Yes,applicant was notified 0 No Applied For: Yes 0 No,stop intake Fr/Land Use Case#: 4/2aa7 S-7- * / iS%2b7 S, ,, � oning: P--- -- B',Setbacks: /Front /Q Rear IS Side '3 Street Side AM 0/0 Garage ,,,j/ /Landscape Requirement of Coverage Maximum: 00 % 1U Building Height: Maximum Height� 3S— Actual Height 11 jrisual Clearance )it asements ensitive Lands: I{/Yes 0 No Urban Forestry Plan TYT'e Lay- 1/cQ> , 0 Condition "Met"prior to issuan5e o/fh building permit Notes: ti7oe `-� 1I rnci eu 7'd pdorott>L Approved By Planning: .0111 .l."..—„ ,.,:� Date: S-c /t, Revisions (after Building Submittal only) R viewer Revision 1: Approved Date A PP 0 Not Approved MV17 IF'� /5/1 c2o�1–e,w 1/i 7/ I k, Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Bui Iding\Forts\BIdgPermitRvw_RES_012116.docx t •+ V 0 Building Permit Submittal Original Submittal Date: . e2�/� Site Plans: # f� Building Plans: # Building Permit#: erEnter building permit#above. Workflow Routing: B-Planning 12-Engineering alermit Coordinator T u ilding Workflow Sign-off: B'Sign-off for Planning(include notes from planning review) Route Application Documents: E}'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: Date: fit, Engineering Review l "Slope at building pad: _____...c,..% 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: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No ❑ NOT Approved •.ngineering: Date: Notes: y" ,-,..t. _ Approved by Engineering: • "AM Date: _ Revisions(after Building Submittal only) � �� Rev'ewer Date Revision 1: XApproved ❑ Not Approved '& ZRevision 2: ❑ Approved 0 Not Approved ..._7_;74.0._ Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit 0 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: IP SDC Fees Entered: Wash Co Trans Dev Tax: YeS 0 N/A Tigard Trans SDC: ® Yes 0 N/A Parks SDC: C$Yes 0 N/A 1BJ OK to Issue Permit — u✓1 d 0-44 or N. a n Li • Approved by Permit Coordinator: \b CA-wv�•1 A ate : 5 10 :''Building\Forms\BldgPermitRvw RES_012116.docx At ///1/ A i . 4r.+ • r a+ City of Tigard IIIICOMMUNITY DEVELOPMENT DEPARTMENT ■ i , i,,K l� River Terrace Building Permit Review Addendum Building Permit #: /75 /6 —0C)/ 7eP Site Address: /39-y9 <) i s At, Project Name: P� 17 A- 53 �i'i,cPr- `fi�n�c� Lot #: (New(NA ' '—subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan Distri Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Yess 0 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 t. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min.2ft., 5 ft.wide min.2 ft.,6f wide Gabled dormer 00 0 2.Eyes on the street: a minimum o 1 %of ch street facing facade must include windows or entrance doors. Percentage Shown: /L// 1• /.i • 3.E trances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from long street- facingwall Parallel to street,angle no more than 45` from m street, or op n onto porch 1 Entrance opens to a porch: Yes 0 No If yet,all the following apply: HrY e sq.ft.min. '.ne street facing entry ft,max. roof above floor of porch 4 5 ft. depth min. V 30%min.porch roof coverage 4.�etailed Design:All buildings shall include a min.of five o,f re following elements on all street-facing facades: �overed porch min.5 ft.wide x 5 ft.deep Recessed entry area min.5 ft. wide x 2 ft. deep all offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projectionIV f offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design 0 Roof pitch oriented south min.500 sq. ft. 0 rizontal lap siding min.3-7 ft.wide 0 Accent siding min. 40%of street facade� indow trim min.2 '/s"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min.5 ft.wide by 2 ft.deep 0 Balcony min. 5 ft. wide x 3 ft.deep with inside access 0 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�foser to front or side lot line,than longest street-facing wall. 0 Yes No. If No(Check one): pay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. say 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 50%max.of street facade with 7 detailed design elements ❑ 40%max. of street facade Notes: Approved By Planning: e��/ Date: I.BuildingFormsBldgpmmtRsM RES R1_0314,6 docx 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: i o.m DATE RECEIVED: DEPT: BUILDING DIVISION CIFI , . FROM: Anse_ Grc�e,.�Sk_:t JUL 2 7 2016 COMPANY: V\ \\\l�m I-10n -0rri:-S ►C CITY OF leufARD BUILDiNG PHONE: 'I l I CaJ i�-"c-Lt By: 1i RE: VAUn CLQ wk k i V e r te('`" k �.i7 —(- O 17 3 (Permit( NumberT )p " (Project namesubdivrs oti name an' Jot numJl r) �3 37 ''tc/ S I -15'1 j- v� ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s)of plans. 4.. Revisions. (Outt j rho Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: p1aiY alb /10f I0e/k. lite n peCtl011 0 z , Routed to Permit Technician: Date: Fees Due: ►i Yes • No Fee Descri.tion: Amount Due: IBMIMUNIMINIMillill $ 90 . - "evz/-//T $ /3, lv Romrsalimmarimu..c -* $ 459 Special ,l4}iv £-V J $ 12. 6o/ Instructions: -4P /5", 'y' , Re.rint Permit ser PE : ! .- e, - �� ❑Done A. .licant Notified: .'- _ 'Date: - ' f /Gly" I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT 111111 qCOMMUNITY DEVELOPMENT Permit#: MST2016-00178 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 TIGARD Parcel: 2S106DC09300 Jurisdiction: Tigard Site address: 13749 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: 93 Project: Polygon at West River Terrace, Lot 93 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $307,418.97 Rear: 0 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 RainStorm 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: 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 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 2573 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: $32,179.92 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 um�mayy obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: 4'74 . -- Permittee Signature: //Al �'G7� 0',_ 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. Lo7- 93 Building Permit Application I CFF L - l 1,'../ `I FO18OEFI( 1: t �E (DOI W se 's _ City of Tigard • MAY 0 2 2016 -Received � �� PermitNo. X�, i�6 /17er . 114 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /�/� 1/ pier permit ( ��6' j0 Phone: 503.718.2439 Fax: 503.598.1960 Date/e:-/y�� 4j/ L.J l; -Juris: H See Page Ifor `,p ��rr G Date Ready/B ��D// Inspection Line: 503.639.4175 LI�I AJl►.� Notifed/Method (j Supplemental Information Internet: www.tigard or.gov ILDII�I DI V b1IJl� E t9/4-- 19-A/67 .-- , _..__ on thevalueof the work5 performed. Permit fees*are based El New construction A .-- 0 Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement Other: equipment, indicated on this application. A. ° u F'' 6: . ,r. s Valuation(30 A ) t) 5 _ azi ® 1-and 2-family dwelling ❑Commercial industrial Number of ems: 0 Accessory building 0 Multi-family Number of bathrooms: 23 ❑Master builder 0 Other. . Total number of floors: 2 7"4— IF'-' -.� ) ± TI: _ --�` j •2 ,,, ^I New dwelling area: �� square feet Job site address: \�� '/ " �' square feet Garage/carport area: '' �� City/State/ZIP:Sherwood,OR 97140 Suite/bldg./apt no.: I Project � 1 square feet � ject name:Polygon at West River Ter Covered porch area: il Cross street/directions to job site: Deck area: 71 square feet Other structure area: 'i square feet Lot no.: t 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 w work indicated on this -••lication. Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet §,, )' r , . � ' Number of stories: _ -r—� r: �s.m:._.. ` Type of construction:Name:Polygon WLH,LLC Address:109 E 13th StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695.7700 Fax(360)693.4442 Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount receive& Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon®polygonhomes.com Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System _ . <_-__ _- .__ ' _' _ �`• --__ _— _ ---- - f 1 with connection detail Submit two(2)sets of roof pan s Business name. ipgee- , lG!/L!-l�/`�f L/O� 11741)1' 6S, /� - and fire department access,along with the 2010 Egon Address:109 E 136 Street Solar Installation S.•tial Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee dueapplication: $201.60 upon PP This permit application expires if a permit is not obtained Authorized signature: t19 within180daysafterithasbeen accepted as complete. I *Fee methodology set by Tri CountyBu�d'n$tea �' print name:Maggie Gordon I Date.1Z/11/15 Service Board.uilding�Permits�BUP RESPermitApp.doc 02/242011 440/11/15 11/02/COM/WEB) i r 113 L'( t IV li, l) , Elect i 7 Permit.4giaca n 1,1:i,=1 r 1I r : --.( ...1) City Of T9gard �,y Y 0 2 ?Ui 16 pawn. -0.76,0: ,�/!`/ - /'/ f, �x Phone:525 5003H71 24v3d9 fax:503 9 i? t 1960 Related Permit S. inspection Line;503.639;4175 •g y y 9,., Y a('\\Y\I) Bondi pnensp: ewe > SBF ?for T! , �,L' Werner or w.tigtad.or gov L,i Y N ;1. .� '1 Noafedit{teihed: S prt..e.tai Infonnotian ®T3efn construction W E]Addt 0 onfreplarzment Pleaeesetek a0 dial bi"it a arts era$ 1�.rileairs abedted0: ❑Sepias or fsed.r400ffinps.rawr. O naa6os6aar i ioee.E�.ies. (l.00100)-410,11 []tither _ w6ete0Kava'pbty0au(ta ElMoinrs'rod bostreds• ,: ',;.v. ,a e01,�t, 3 . >GO. U(.liOJV.-. . ` . cocsitls10000 snaps*150%a mor ElFlwlUnti>R pBs. .e1 and 2-family dwelling []CoatmercitWindustrial 0 Accessory building krs io gra ,"oresaxds 14A" O Commie al4"aOikuRarai MuUi�rmly sapsap.fur Anther Installations. bnitdinp. d ❑Master builder ©011ter: DFaepump. 131arieUstieatdisOxvAor JOB SITE);H J MA'ITON AND t0(ATUE4 D y . largersapoateydesived , El Addition of now 10010r load of arslern. Job#: Job site address;\314 S1 Mir'i' q. 10011Pbr time, 13" ,"E`;"1?,"13 City/StatejZIP:Sherwood OR 97149 El six or mony re5raeoti.l aatb occupancy. Otka9h-0ara recruits. 0 Roussationd vehicle parka 1 Suite/bldg./apt 0: Project name. 1:1Hacardods lonatiuee. (3 sxkply voltage for maret@an k i]Series wfoeder600Mipsormore. 600witseomi.al. 1 Cross street/'directions to job site FSE113E ;2:.., newton." 1 ore. � awn I row 1• New residential single-or atnitllbmily deve0h omit. ' Subdivision:River Terrace I Lots:(1laclades attached� garage. 1,0oo!q.tt or less 168.54 ' 4 Tax map/parcel*: Ea.ndd7 Sop so.rt.erpmiioe 33.22 I OESCLZITTION OF WORK Limited energy,residential ' New Single t►arnily (frith above srj.it) 75.00 2 Limited energy,wulti-faandy 75.09 2 residential(tstthwbavesg.It.) 1, �a1 BitT6'OWNER L7 18N,liVC RdaewableEnergY 0 SeeAtge2 Services or feeders instaihtiaaialteration,and/or relocation Name:Polygon Homes 200 amts or less 100.70 2 Address 119 S 13m St 201 amps to 400ainps 133.56 2 i401 City/Stale/ZIP Vancouver WA 98660 ancs to 100.(l amp 200.34 2 =. arras to 1;000 anup330104 2 Phonc:(369)695-7790 Fax:( ) Over 1,000 amps or voles 55226 2 Email: reloc'1'empurrary services or Seeders Installation,alteration,and/or ation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 intended for sale,lease,rant,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125118 2 Owner signature: Date: 401 amps to 599 amps 16654 2 ®ApPia.cr y11'" 1 -D CONTACC PSRSOpi Branch cittaits—new,alteration,or extension,Per panel , A.Fee terbium's elinins with i Business name Garner Electric Washington,LLC above service wfeeder fee. 7.42 2 each branch cam* Contact name Bill Daniels B.Fee for bwlnw cinsuns without , service erfecder tee,first Address:6101 NE SI John,Ed 56.18 2 branch eimait City/State/ZIP:Vancouver WA 98661 Each addl branch circuit 7.42 2 MiseefaaCnas(service or feeder not Included) i. Phone:(253)320.1657 Fax::( ) Each manuIbc ed ormodular 2 t dwellla&aarvlceandfor treader 67.84 Email:bdaniels@gwensn.com Reconnect only 67.84 2 . ; COVIMACfOR Pump or irrigatoa circle 67.84 2 Business name Garner Electric Wasbingtan,LLC Sign or outline lighting 67.84 2 Signal clue#(+)or timitod caergy Address:6101 NEStJobnand panel.alteration,or extension. —SecPago2 2 •Each additional insgec6on over aflawable in aye of the above City/St1drJZ1P;Vancouver W/l98661 Additional incpecthin(ibrmin) 44.25/br Piton:(253)320-1657 Fax:( ) Inviana icn(thrmi i) 90.0W Ia Entail:bdaniels@gweusa.com btdrnfriali>Jant(l hr min) 78.18/hr Inspections6rrt+klchnofieis 90.00/hr CCB Lie.; CUSS Electrical Lie.: 208174 SupraLic.:44965 soeciHcahyl[stol(14nibs) r /V J' i P :I § c ,o ns Supra Electrician sigoatttrq required; ubblali Print rtaitte:Goan P Albert • vote: all(1t0 D Plan Review Required(25%of poemk fee): Siete saucherge{72ii ofpexalit re4 Authorized signature TOTAL PERMIT This permit application expires U.parallels sot ebtainedrrithin 180 Print name:Bill Daniels Date: t ci, 4day,:otter It tea Inca secreta as ea plcte. Number ofinspection;*Nowa per permit. I LiaoP.n itak. it.ELC_P.anitA1,_ELR Bata;Revee117J015 e# rnv td35gil isico fa • 1I. Mechanical Permit Applicatio �� i1 City of Tigard 'a .:. , � Pernut N 13125 SW Hall Blvd..Tigard.o R 97223 y• /,JT�`t/��DD�70 Plan Review Phone: 503.7181439 Fax: 503.598.1960 &. 8y. other Permit: Inspection Line: 503.639.4175 r ABY 0 2 ?016 Date Ready/By: loth. fd See Page 2 for Internet: www.tigard-or.gov NaifiufMethod: Supplemental Information gg � ' U44 1„)t *, p st 4 a4, 5Rt4 ."i np t F.�'»-' CPW*V.i.....r.arm.*n 1;1 , ' 1U �� ' _ , '. Mechanical permit fees•are based on the value of the work ®New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other mechanical materials.equipment.labor.overhead.and profit. "0-'1 .4Value S 4+s *�^kS iit 2rs i. A Y .' 4 ar ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far specialbrformarioa aser*et?&st ❑Multi-family 0 Master builder ❑Other Description I Qty. Ea. Total 4 . - *14/ ! 144,t)tA� Heatioyfcooilae: t '� I -_.J ir Furnace itioning 46.75 Job site address: 'D1/4)..) \ 100.000 BTU(ductslvents) ' 46.75 City/State/ZIP: 5rNQ,r',.f. 3 Od, OR q q,N O I Furnace 100.000+BTU( ts/vents) '� 54.91 �� L`�1 Cs. ^ pump Huct work 61.06 Suittbh L no.: �je�name: l� w t Duct work 23.32 Cross street/directions to job site: xAIN z(-J/ 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 2332 Other _ Subdivision:River Terrace Luno.: L.1 ) 23.32 Other furl appliances: Tax map/parcel no.: Water heater 23.32 .4 Gas '''',/,"":0.'.41,1e: �, `,_,,,� -t4::re i t`a . 4,7.....P4'.'.. .';.,'''',96111:4;4,..:4'..:�� v. a Flue vent for water watts heater or gas insett 3334 m�< 4 HVAC fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 s ii'',.'7.: ) M i . ` `„ Other: 23.32 _ � - Eaviroameatal exhaust and ventilation: Name:PotYgon Range hood/other kitchen equipment 33.39 Address: 109 E 136 St.Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. toilet compartments,utility rooms) 2132 Phone:(425)586-7700 Fax:( ) Attic/crawlspace fans 23.32 z a i ).P1.;V1 Other. 2332 Fuel piping: Business name:Apex Air LLC 514.15 tux first soar,54-63 for each additional Contact name:Simi Hay Furnace.etc. p Address:2210 W.Main St.Suite 107-in Gas heat p nd Wail/susperidcd/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace Range E-mail:staeibfijr apexairco.com Barbecue a a _ .(^tet.., ,. .� �"x` �r 4. �. ani mss> .7 ,r 'x.-. "-,.�" � ', .Clothes duper_aas) , Business name:Apex Air LLC Other. W ... =i. ar .::a- "t... : , : ,*" Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Batik Ground,WA 98604 Minimum permit lee(S90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 - State surcharge(12%of permit fee) CCB tic.:203034 TOTAL PERNIIT FEE This permit application expires if a permit is wet obtained within Ido days after it has been accepted as maple*. Authorized signatur r ir. ' " (eve .' Fee methodology ret by Tri-County Building Industry Service Board ✓' r 1'I'"' Print name:Stec'hay Date:1/2812016 1I I Snuiidrng\Pe,*,i is MEf PermtitApp,,040113 dao 430-46177(t t. `COMA'ESS • • • Plumbing Permit Application,_ ,4-21Tt1.µ ' Building o i.a :! Fixtures City of TigardReceived: Permit No=/`757 7/6 OO/7� I d. Tigard,OR 97223° ' il 9� 7 rc'h Hall Review Ill 13125 SW gDann Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Otho Permit No.: inspection Line: 503.639.4175 1, g�. 1 , e r°r Su Set omental Information I 1. 1:D 2 Date Ready/By: in www tigard-ar goy L. � Nout,ed,'Mcthod a i � ¢VI' fZ - ret . ,t -1,1,z"'„,.. � .';.)17e:71a4t t! .a .. ''' `A'= 47.7'; , .,.. ,-.rr-a �`As-,x; '.4 s. .:'. ,.�w. 1. F :.,,,.• 4.),....._., .� t - - , ,°,,_,, s , For special informatu m use checklist. mg New construction ®Demolition Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) aa-c--»f . x 'x t v K 70 ;• 1 �* ,; SFR(t)bath 312.70 (,»r: z Ty : 1 l- ' g41. - p: �.,---•',,-.4**, �_ ." . • 5FR(2)bath 437.78 II 1 and 2-family dwelling II Commercial/industrial SFR(3)bath 50032 D Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft_) Page 2 '4,-' ices ,,.cam .tQ'•" '#`i N 1 cel ' d, V 4.1. e, a"B, " )z ' ,.:& Site utilities: . �-- s24 .cam^ 3 „ ,a . i r4-5 �� Catch basin or area drain 18.76 Job site address: 1 1 - /-� Drywell,leach line,or trench drain 18.76 City/State/ZIP: (3\.\_,t r ,, C)A o q-��i l / Footing drain(no.linear ft.:_) Page 2 Suite/bldg.apt.no.: I Project name: 9n11i55y) \)j Manufactured home utilities 50.03 Cross street/directions to job site: 9011n l 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: I Lot no.: -1' Fixture or item: Backflow preventer 3127 Tax map/parcel no.: 12.51 a ,. ,�; Backwater valve x't"�� .' ' � e �^;-�, � _ Clo4tcs washer 75.02 f -e3 - p\u.,r e Dishwasher 25.02 r Drinking fountain 25.02 Ejectors/sump 25.02 " r I , .:' ' _Expansion tank 12.51 4" ¢,�J 6 ' d E�a�nat,.k :st �" ,µrt '".``. r -', a Q FbcUue/sewa cap 25.02 Name: PDL1 {•••)---ir1 Floor drain/floor sink/hub 25.02 Address: t D U I jr\ Crasbagc disposal 25.02 City/State/ZIP: Ja jj-\ Do vtir k ji A q V`s'tsl 0 Hose bib 25.02 Phone:(ND a (• 1]0 Fax: rD `D icy, /L Ice maker 12.51 ,,,,;,,....;;'-'7,--112':-:-.,„,:-`,.,i-,..1' , ,' Z"� f " ; _intcrccptor/grease trap 25.02 >w. max.`ate_ Medical gas(value:S ) Page 2 Business name: t h r3 t L.L 1 L (' Primer 12.51 Contact name: 0 biL iL �-,jl,_,,gy.Z- i'3 Roof drain(commercial) 12.51 Address: Pp (y4- t?-`i t=j Sink/basin/lavatory 25.02 City/State/ZIP: /� CJ) C � ( (.)( lt`) . Solar units(potable water) 62.54 l tTub/shower/shower pan 12.51 Phone:(q7I ) (p r i ,3 Fax::( ) Urinal 25.02 E-mail: Vlate ♦ t a 0.41°s ..i ..a Water closet 25.02 ,-.:7,,s,.- --„r-ate a -7,,�I^ ,":47- ' le„i ::' yti �4 w3 ._ 37.52 r ,-i ;; ',, 1,,,;,,,f.,,,,,,,et,,,3 - ,a:, °' .a s °r 4 r.:,f, .. Water heater Business name: yl.h t^ i rim(#.f\ Pt t-t4'y'liril 1,- f� t ,1- Water piping/DW'V 56.29 Address: 'po �y lD 1?2-jam v } _Other. 25.02 City/State/ZIP:G X30 _ Subtotal ShQ'^n' Minimum permit fee: S72.50 Phone:(970 Vts0 113 Fax:( ) - ly Plan review (25%of permit fee) CCB Lie.: Z C)(.0 42- Plumbing Lie.no11162_, Start surcharge(12%of permit fee) Authorized signature: / 1 TOTAL PERMIT FEE This permit application expires if a permit b not obtained writhia 180 days Print name: Mr / � Dat4 9(L 1l� after It has been accepted as complete. j ( *Fee methodology set by Tri-County Building Industry Service Board. t:\Buiidialtpamits\PLMU-PamitApp.dur 10/0(109 440-46I 6T(i0+OVCOMIWEB) 7 ..ti, City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Residential Building Permit #: /t7S7-e2Q/& —DO/7d Site Address: 89419 9 cS /3.clL ,A/.� Project Name: f' � i, c74 &i .i✓2� -7,e c Lot #: 73 (New 'ng=subdivision name;Addition or.Aiteration=last name of owner) Planning Review � ,p Proposal: 4)-60 � `a' /€- I/ rify site address/suite# exists and active in permit sem. Ei,River Terrace Neighborhood: ❑ No P Yes,See River Terrace Review Addendum Attached Si/Plan Elements: �ree (3)copies of site plan I rik sting structures on site e plan must bs on 8-1/2"x 11"or 11 x 17"paper IIP ootprint of new structure (including decks)with finished Ou II awn to scale(standard architect or engineer scale) or elevations 7 '.rth arrow LJ Utility locations(required for new,may apply for additions) !11 74 S e address,project or subdivision name and lot number '%cation of wells/septic systems plicant information (name and phone number) T. rosion control(including drainage way protection,silt fence t dimensions and building setback dimensions/5 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 t'roperty corner elevations (2 foot contour lines if more than Osting 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 mprovement(PFI) Permit: Lequired: Yes,applicant was notified E No Applied For: Yes ❑ No,stop intake and Use Case#: , /2 07 S — 1,f,6.2075- ,SII4 oning. P- - Vetbacks: Front /a Rear /S-- Side '3 Street Side N/� Garage �0 andscape Requirement:of Coverage Maximum: ICJ Building Height: Maximum Height T Actual Height Q II j isual Clearance i& asements f�ensitive Lands: Ila Yes ❑ No Type Lau- vcc4 A I T [IG Urban Forestry Plan ❑ Condition "Met"prior to issuance ofbuildingpermit / /, Notes: r7 $L171...7' _� 2// mei ei pr7)ir 7' c2i 77-/TL - .CZr6?Aet Approved By Planning: �.._ — ,. ✓ Date: S k/11 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_0121 I6.docx .. VO Building Permit Submittal Original Submittal Date: _Ira, Site Plans: # Building Plans: # 3 Building Permit#: erEnter building permit#above. Workflow Routing: Er Planning Engineering 13'15-ermit Coordinator �'t3uilding Workflow Sign-off: B'Sign-off for Planning(include notes from planning review) Route Application Documents: Er Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: / /./.0 Engineering Review Slope at building pad: IT Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved l)y s.ngineering: Date: Notes: % ,••F Approved by Engineering: 45/ Date: _G.-24.—/Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: • SDC Fees Entered: Wash Co Trans Dev Tax: C$ Yes ❑ N/A Tigard Trans SDC: ® Yes ❑ N/A Parks SDC: [$ Yes ❑ N/A CZ OK to Issue Permit — �uu rt d a-i-i or\- p r' l,') • Approved by Permit Coordinator: C _"_ Cu"�,,` Date: 5 " 0 - 1�o 1:ABuilding\Fonns\BldgPennitRvw_RES_012116.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 11114 ■ T I G n R p River Terrace Building Permit Review Addendum Building Permit #: /75 Te72.0/6 —00/ 7eP Site Address: /394/9 /-?S- t. 1e Project Name: Pe n /L ,��Pi- '�- j-E Lot #: �3 (Nev.,dw� ' =subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan Distri Design Standards (18.660.070.I). Is the project subject to the plan district design standards?PYes ❑ 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 t. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6f wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum o 1 %of e ch street facing facade must include windows or entrance doors. Percentage Shown: / '/ trances:At least one entrance must meet both of the folio g standards: 3. Eax. 8 ft. setback from longe street- facing wall Parallel to street, angle no more than 45` from street, or open onto porch II Entrance opens to a porch: Ifd Yes ❑ No If y , all the following apply: 9 s .ft. min. gd ine street facing entry ft. max. roof above floor of porch ''A 5 ft. depth min. 30%min. porch roof coverage 4. etailed Design: All buildings shall include a min. of five o f t}�1f following elements on all street-facing facades: �fZovered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep (Miall offset min. 16 inches Lormer min. 4 ft.wide Roof eave min. 12 inch projection ' .of offset min. of 2 ft. ❑ Roof shingles either tile or wood '/4 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40%of street facade Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No No to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): y extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. Tay 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: ___.jz,Z/jlta_____ Approved By Planning: Date: 1:BuildingForms`BldgPermitRs-, RES RT 031416.doca L.. POLYGON /2 NORTHWEST COMPANY April 27,2016 Mark VanDomelen Building Official 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 />STa2D/ — ©O/ 7F 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)221-1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#166871 POLYGON n 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.com CCB#16687 I Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13749 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL November 8, 2016 at 2:42:34 PM MST2016-00178 David Young Breaker off at water heaters, provide hot water for ﬁnal inspection. No inspection done at this time. Violation Summary: Inspector Contractor Plumbin2 Permit Application Building Fixtures -- ---4 -- ., -,-- ' 1 ()R ()I I I( I •,1 ONI N City of Tigard Received ,,_,/ f r, r, Date/By tA/l(C)/if*€ /.9i- Permit No.,Mt1"2.01b CO Ilia, „,...- 13125 SW Hall Blvd,Tigard,OR 97223 CCD I 1-1 7n ,,, , i .1, ,,, L.-V 1 s'' Plan Review Phone: 503.7182439 Fax: 501598.1960 11111 Date/By Other Permit No.. ... Inspection Line: 503.639.4175 11,. \!'t) 1.,::Ii'\i' .i•.i., : ; ,: ..., „: Date Ready/By Juni gi Ste Page 2 for Internet: wvvv.tigard-orgov ..„.",, „p.., ,.. r,_ r''',of::,`;''' Notified/Method Supplemental Information 1;t441 of-: ;II' . - * ' * * ' PEE* SCHEDULE . . , . . . el New construction El Demolition For special information use checklist. Description „1 Qty. 1 Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) - • CATEGMY Or tt t'',•-•,:.,. I N I 312.70 1 CKI I-and 2-family dwelling j 0 Commercial/industrial SFR(2)bath 437.78 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 ri -,,,, ,;:.T k7: . ,: -tbe-Aito:•:. .. . Site utilities: Catch basin or area drain 18.76Job site address: 3-74C1 S (1!3 'ry _ A _ _C , 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.: 13 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 7,,,,t',... --f.;-:::•fil.':.f.'..'7. , A,.....-.'''. .,„„;4,4„7,1,'E.:"...', . `..' '-' ' Backwater valve 12.51 [ .., ''71-::;',T.,::".'•'':•:47.7":: '',l.,..1-...7:f. , .i1'. 11,. .'...?-''', Clothes washer 25.02 CO nira Cdtar ChrOvvg,,, Dishwasher 25,02 -------1 Drinking fountain 25.02 Ejectors/sump 25.02 -1 Expansion tank 12.51 , Fixture/sewer cap 25,02 Name:ADVL Land Holdings,LLC -1 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 --, Interceptor/grease trap 25.02 $ ) gas(value. Business name:William Lyon Homes,Inc Medical . Page 2 Primer 12.51 Contact name:Angela Grwjewski -2, Roof drain(commercial) , 1 2.5 1 Address: 109 East 13th Street -----, Sinklbasin/lavatoty 25.02 ! City/State/Z1P:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 -1 Urinal 25.02 E-mail:Angela.Grajewski@polygonhomes.com , ,-..,,,,;,',=-m,,.,,,n(4,,,.,11..1,,,';'.''..:,-,-•'.. .....,-7-,' -',4. _44.. .. . - .- 4., ''. Water closet 25.02 •d.1 ,,..;,„.: . . . 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 ---1 Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72,50 Plan review (25%of permit fee) CCB Lic.: 184601 Plumbing Lic,no.: PB732 State surcharge(12%of permit fee) --- Authorized signature: TOTAL PERMIT FEE I Print name:Robert Dishman Date:5/23/2016 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 I 1Buildineennits\PLMU-PetTnit App doe 10101/09 440-4616T(i0/02/COM/WHO) ( 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 13749 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00178 David Young Lights in 2 bathrooms hanging from wire nuts, not ready for inspection. No inspection done at this time. 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 13749 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O November 14, 2016 at 2:39:35 PM MST2016-00178 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. Vapor barrier form received. High efﬁciency lighting form received. Blower door test report received. Insulation certiﬁcation checked. C of O left on site with approved plans. 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 13749 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal CNCL November 9, 2016 at 12:45:14 PM MST2016-00178 David Young Wrong inspection scheduled, this inspection approved with corrections 11/8/16. 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 13749 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS November 8, 2016 at 2:55:16 PM MST2016-00178 David Young Back wall in mechanical room to have 1/2" drywall at water heater power cord penetration, spray foam not approved ﬁre separation from garage. Front inside of mechanical chase not drywall complete for approved ﬁre separation. Will check at building ﬁnal. Violation Summary: Inspector Contractor