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Permit (45) it �. CITY OF TIGARD , _f: MASTER PERMIT 111 ' COMMUNITY DEVELOPMENT Permit#: MST2016-00187 T[G;4RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S106DC07700 Jurisdiction: Tigard Site address: 17387 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 77 Project: Polygon at West River Terrace, Lot 77 Project Description: New SF. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $229,539.11 Rear: 0 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: 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 add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 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: $30,572.57 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�ugh 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. 1�44G2 Issued By. • 4—, Permittee Signature: let_ 57Cq^ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V 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 Appliptipa FOR OFFICE ISE ONL1 lit . . EeW igaritNPhone: 503.718.2439 Fax: 503.598. 6jG 2 2 201C �Y8 TIGARD Inspection Line: 503.639.4175 t1 DateBy: Other Permit: Internet: www.tigard-or.gov CITY Date Ready/By: Juris: 0 See Page 2 for ' BOF TI GAR Notified/Method: Supplemental Information DIVISION :4 i.'P.R+ #li.VC1RK .._;_ 'E}`-S DU 1S1 C3--,0--TCT ®New construction Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. '_ _._ A1> RY CfINicT[oi+�T Value $ L.--_ter Y_.....�. - `�S ,..._: _ .o._,,- ..:: 31;E46N17A . (Ui W:siTl;;Ir TEMS *s# ® 1-and 2-family dwelling ❑Commercial/industrial � - ❑Accessory building For special information zzsee checklist ❑Multi family 0 Master builder ❑Other: Description I Qty. I Ea. I Total ��".,: � £;-,E -� ADB SFTE".J�1TT�p12M�1�f�lY.A'1�B LiIyC,ATi�?�l` .-Z _ Heating/cooling: Job site address: /73t37 5\J J Lou„C, �� Air conditioning 1 46.75 46.75 J 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 Pro'ect name:PolygonHeat pump 61.06 J 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 Subdivision:Polygon at West River Terrrace I Lot no.: ‘1 1 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 WIka* 2 > ..;. , .. <OWO1H'W jRK. 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 R - Other: 23.32_ �ROY OWN _ . . " m Environmental exhaust and ventilation. Name:ADVL 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 r a . . a tte:* a 1 YA *-1 °1*1 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 City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unithester Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:An ela.Gra'ewski Range g J @polygonhomes corn = n .. Barbecue -i431.,,.:..,.4...,�-<.......,,4,,,...!.. . --+-,. t.,i 3;'=.,,,, �. .zR, S.. Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave '. r g"014— —'-°.c p'!... r Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 I Fax:(360)326-1769 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE J This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 I I:\Building\PermitslIvTECPermitApp 04o113.des 440-4617T(11/02/COM/WEB) V CITY OF TIGARD MASTER PERMIT 14s COMMUNITY DEVELOPMENT Permit#: MST2016 00187 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S106DC07700 Jurisdiction: Tigard Site address: 17387 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 77 Project: Polygon at West River Terrace, Lot 77 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $229,539.11 Rear: 0 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: Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 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'l 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 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: $30,475.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.1- You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198787or 1.800.332.2344. Issued By: ,de.(��--0"l,( ''e--- Permittee Signature: e� `/� /G/e1"/�U11 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. //lit 2 Building Permit Application RECEIE3 S S , / ' u 1OR(11IR Cl ',1 ()Nil City of Tigard MAY 0 4 2016 s-/.5--/42_.#1--r e/b 40a7 R IN 13128 SW lien Blvd,Tigard,OR 97 P1eo Review —i�)j c Other Pg�t'�/��0/�--00//i f I Phone: 503.718.2439 Fax: 503.598! �i�I'Y OF Tl GA R D Date g y��ly Suds: See Page E for Inspection n Line: 503.639.4175 BUILDING DIVISION Notifies/method' ` -e/I t Sappkmenrat mforauiton Internet www.tigard-or.gov '/L 9,U6'/E" r • L ni __.__ _.,..„,..,,_,,:,,,..:,_::_c_.,...,:__±,O Demolition._— y ___ .__.� . -_ u Permit fees;are based on the value of the work performed. ®New construction Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. . ..,.. .,. _ a a Valuation: $229,539 ®1-and 2-family dwelling 0 Commercial/mdustrial , Number of bedrooms: 4 O Accessory building 0 Multi-family Number of bathrooms: 3 ❑Master builder 0 Other- Totalnumberof floors: ol` 9' iH , , Job site address: ti'6$-1 s W e. pA ! 1 5e,, - • New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 437 square feet Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Covered porch area: 60 square feet J()4 C Cross street/directions to job site: Deck area: square feet q,,,9 Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: "j 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 a i )< work indicated on this application. Valuation: S Existing building area: square feet New building area: square feet f Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP: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 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) , E-mail:Angela.GrajewsW®polygonbomes.com Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon .Address: 109 East 13th Street Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/Siete/DP:Vancouver WA 98660 and administrative fees): one:(360)695-7700 Fax (360)693-4442 State surcharge(12%of permit fee): $21.60 W CCB lic.:207247 Total fee due upon application $201.60 Authorized signature: ,/ ,i/��/, t/,/� I This permit application expires if a permit is not obtained gn �f�//� ,/ .d l u� "'" within 180 days after it has been accepted as complete (((JJl_____ -t i 10 +Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: y d Jl Service Board I:1Bu11ding\PermitsBBUP-RESPennitApp.doc 02/24/2011 440.4613T(1111/02/COM/WEB) A _._. Mechanical Permit Application • )iiiii1111.111111111111.11111111111111 RECEI City of Tigard ' eZw Permit Mit4 7�I/6-a9/6P 7 N.,...;. 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 0 4 c. Piaa a Phone: 503.718.2439 Fax: 503.598.1960 Omer Permit: 1 j(, ,Li,i, inspection Line: 503.639.4175 CITY Of Ti C� �iyy/gy: We: H See Page 2 For Intone: www.tigard-or.gov Supplemental Information BUILDING DIVII\I °d' _ ". " ..z _�._rs ...._.:..,...1 foes*are ed onthe valueofthe work _._. -•- - . .. Mechanical permit has ed New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:S ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist 0 Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total Beahag/cooling: 1�. I isrf.. r �T.. 'E t _ iii... ` 46.75 .. .. ... .. .... .. �,. �.M... ` Air conditioning Job site address: (1 381 SW Jean Louise Road Furnace 100,000 BTCJ(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Strite/bldgJapt.no.: ` Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision Polygon at West River Terrrace I Lot no.: , Other fuel appliances: Tax map/parcel no.: Water heater 2332 water heater or gas 3339 Gas fireplaceJims .. <.... _ .. .. - "--: __.._ .._..._ Floe vest for fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/msert 23.32 Chimney/liner/flue/vent 23.32 Other 2332 d dlati --- Envbronmeatal ezhaast an vea on: 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 Other: 23.32 Fut piplfg: Business name:William Lyon Homes,Inc. 514.15 for first four,54.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water beater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Richt E-mail:Angela.Grajewski@.polygonbomes.com Barbecue '.,r - ryer(gas) Clothes d Other: Business nine:Apex Air LLC Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)3264769 State surcharge(12%of permit fee) CCB lir.:203034 TOTAL PERMIT FEE r/' �+ ' j This permit application obtained tioa expires if a permst is notined within 180 �/ days after It has been accepted asbta complete Authorized Signature' �/( • Fee methodology set by Tri-County Building Industry Service Board Print name: A g'st4 Date:Owyt _Il �(: r:Buiidieglpennits\MEC 0113.doc J 44 17T( ) L . :RECEIVED _ Electrical Permit Application rolz of t it l( I L elNl_a City of Tigard MAY 0 4 ?_016 Received Permit .2t9/, -°‘... #i i. 7 III 13125 SW Bali Blvd"Tigard'OR 972 TY OF TIG`ARD Plan Review ' Phone: 503.718.2439 Fax 503.598.1 L 1)atolB. Related Permit 6 1 1,!.L; 'itternet 501639.4175 75 D(JILDINGDIVISI Supplements!Information 'I.': + Al„;) `..-'-'1,.;- -,--..',1,c, kf 1-ta t� i 7 -3 n� ,,,, fit : L-=-`-- - ----..__,_- " :.._._s-� �� cheek .4 ■ please all app submit]i sets ofpLms checked): ■ ► 11,F' ■ •Addition/alteration/replacement , ❑wee or feeder 400 amps or more ❑Building over theca maim. where the avanable fault cement ❑Maines end boatyards. S 7?, - L.',1L _'4_i -`'A): fti?;./ t _'d,((_1p(33 _ `a meccas 10,000ampsat150volts or (]Hosting buiidmgs. -/ 2-family dweiling ■ ■ Accessory building leas to ground,or exceeds 14,000 ❑Commercial-use agricultural 1-and pops for all other mstallatioos. braidings. ■ ■ Master builder ■ a 0 Fire pump. Q Lmtal[ation of 150 KVA or o a� : : F, t 23 vvA r fry 7 ,., : ,•• •', 1.e ❑ yay+tem. h�darivd ❑Addition of rbW motor food of system. Job#: Job site address: 173 1 7-3LS tan Louis, e% 10011P or mann 0"A","3i","1-2"."1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential Wile. occupancy. ❑Hazardoa locations. ❑Recrations/vehicle pairs. Suite/bldg./apt.#: I Project name:Polygon at West River Ter ()Hazardous 1o�1oce. ❑ jd i1.voltage for e than El Service or ender 600 amps or more- „ Cross street/directions to job site: , ra _ . `� " Decdatteo Qer Sad 'TOti • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace I Lot#: -77 Includes attached garage. 1,000 sq.E.or less J 168.54 4 Tax map/parcel#: Ba.edd'l 500 sq.tt or portion 3 33.92 1 r,j , a }r )'€a? a;'a ._.. ..�J Limited .residential - �. 75.00 2 (with so.R) 1 Limited energy,multi-family 7800 2 residential(with above aq.R) Renewable lyre Q See Pao 2 ' _ `'. _'.'' '_Y t� •-ji.`__ _... 1::2..2:—. .,, '_3=_1'`._ .._ services or feeders iostallatloo,alteration,and/or relocation Nome:ADVL Land Holdings,LLC 200 amp.or lass 100.70 2 • Address:7600 E Doubletree Ranch Road 201 snips to 0amps 13356 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 603 amps to 1,000 amps 303.04 2 Phone (602)694-4031 I Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,aadfor Email: relocation 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,rent,or exchange,according to ORS 447,449,670,and 701. 201 ages to 400 amp, E 125.08 2 Owner signature: Date 401 amps to 599 amps 168.54 2 r''''''., ; , - -_`i'.--.. `r�s i ", - _'1 Branch dt alts—new,alteration,or extension pane ..- - i-i A Pee for ixnnrh cirrmta trtlh Business namm William Lyon Home,Inc. above service orfeeder Re, 7.42 2 each branch circuit Contact B.Pee for branch circuits without name: service or feeder circuit fee,fast 56.18 2 Address:109 East 13th Street branch •:Vancouver,WA 98660 Each add'1 braoah circuit 7.42 2 Miscellaneous(service or'feeder not included) j Phone:(361 695-7700 1 Each manufaeneed or modular 67.84 2 dwelling,service and/or/seder r„ Reconnect only 67,84 2 e r l h e , ,a . _ ._wPump or§rtgrtioo circle 67.84 2 Business name:Garner Electric Washington,LLC • �_.. . . , Sign or outline luting 67,84 2 Signal ciraah(s)or lie d-a orgy ❑See Page 2 2 Address:6101 NE St Johns Rd panel,alHeretics,or extension Each adeRtional Inspection over allowable In any of the above City/State/2>P:Vancouver WA 98661 Additional inspection(1 hr min) 66,25/hr Phone(253)320-1657 Fax:( ) Investigation(1 hr min) 90.0W Ix Industrial plant(1 Ir min) • 78.18/hr Email:bdaniels®gweusa.com Imine,ref which no fee is listed l lumen 90.00/1n CCB Lie.: C1158 Elechical Lie.: 208174 Suprv.Lic.: 44963 _ „S1plS,p1ecinelan signature,required: _ _ [ s4L /T Subtotal:Print name: Joan P Albert Date: 4/26t2016 . ._n ❑Plan Review Required(25%of pem»t flee): ?`.. State surcharge(12%of permit the): 1 ' Authorized signature: TOTAL PERMIT FEE: • •this permit application expires He permit is not obtained within 180 r:t .••;'•° Print name: B111 Daniels Date: 4/26/2016 days alter it has been accepted as complete."i,',.1..11,:it, * Namber of iaspecper matt allowedmatt,i• ...b•11,2.; ,..� ..L•lliabravdPuwttraELCJarmtApp3LR MSc/0c0 Rev 17/2015 440-1615T(11/05/COM/WEB L_ Y , RECEIV" Plumbing Permit Application Building Fixtures MAY 0 4 2016 1(lit ')1 11( 1 1 ',1 t„i City of TigardwReceivedd Pette N°'/LI,STo?!1/6-010/,'� 13125 SW Hall Blvd.,Tigard,OR 977 Y OF 116 ARD,D'wsgr w ' Phone: 503.7182439 Fax: 503398. OtberPennitNo.: inspectionLiner. 503.639.4175 BUILDING DIVISICI'Data, y: noir RI See Page 2.for ' I' Internet ww.tigard-or.gov Notified/Me bod: swat toformation .kr •a;^i4r:zljr•;, • ,.,.. .a' • .,..:-`_,: .Filler •. ;.i. <<'Mv'J4.:4.`�C' *.;;;:'a' New construction 7'S' Q oTaCem I Ferspecial hsforraaflen use checkI& ® Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dweljags(includes 100 8.for each utility connection) - •CATEGORY'OF QONSIBIJC;ION" . LSFR(I)bath 312.70 .•::>.•�,� � SFR(2)bath 437.78 ®1-rad 2-family dwelling 0 Cwnnntaoial/mdusDial SFR(3)teed: ( 50032 5oO. . ❑Accessory building 0 Multi-family Each additional 6athlleitdua 25.02 Cl Master builder 0 Other: Fire sprinkler(_____sq.ft) Page 2 'l�OB SITE INFORMATION:AND LOCATION : :: Site utilities: Job site address: tea 11:7[7 1 SW J rayl. iso. T Catch basin or area drain 18.76 Dryvveil,leach line,or trench drain 18.76 City/StateJZlP:Tigard,OR 97224 Footing drain(no.linear It.:_j Page 2 Suite/bldg./apt.no.: 1 Project mune:Polygen 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 8:__ ) Page 2 Storm sewer(no.linear ft.:_) Page 2 _Waw service(no.linear ft.:_) Page 2 Subdivision:Polygon et West River Termite I Lot no.: 1/� Future or item: Tax map/parcel no.: Baektlow prevent= 1 31.27 31.2.": Backwater valve 1 1251 _ 12.61 . DESCRIPTION OF.WORK. . • Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 .Ig D Expansion tank 12.51_ Name:ADVL Land Holdings,LLC Fixtu de/se er cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Read Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Bose bib _ 25.02 Phone:(682)694.4031 I Fax:( ) Ice maker _ 12.51 • '•:: -,: . ®..APPJI:>[CAM .' In CONTACT PERSON• grease trap 25.02 Medical gas(value:S ) Page 2 Business name:Wiliiani Lyon Homes,Inc Prins: 12.51 Contact name:Angela Grajewaki Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/Stat ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/show=pan 12.51 Urinal 25.02 E-mail:Angtda.Grajewskl@polygenhoma.com Water tinnier 25.02 t ONUTACTOR • •• Water heater 37.52 Business name:Malmedai Enterprises Inc Water piping0W V 56.29 Address:PO Box 207 Other. _ 25.02 City/State/ DP:Banks,OR 97196 Subtotal Phi:(503)324.4759 Fax:(503-)324.9580 Minimum permit fee: 572.50 Plan;view (25%of permit ix) CCB Lie.:182535 Plumbing Lia no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C........---..- TOTAL PERMIT FEE Print name:Carolina Matmedal , Date•0425/2016 This past ep ad06 expires it a permit is not obtained within tau days after it bas been accepted es complete. `Fee methodology set by id-County Building todusry Service Bond. rABugertnePeraits1PLMU•t'ennitApp.doe IOMOINO 440.616T(t0101 t/WEa) POLYGON CP, 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 —�j Lot 77 - 17387 SW Jean Louise Road /js-7- o/(Q - Q O i? 7 Lot 78 - 13726 SW 174th Loop Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82 - 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94- 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98 - 13840 SW 175th Ave Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102 - 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#16687 I POLYGON 1a 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#166871 1 City of Tigard IIr COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 C;A R U Building Permit Review — Residential _ Building Permit #: 1IS7 ,2p/(, -OD/?7 Site Address: i- 546. Sip `mlen Louie Project Name: .21 col Aig f ri24- /-eiroa Lot #: 72 (Ne ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A)40 ` /e 1:12/v erify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ NoIV Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ` V9iree(3)copies of site plan •'Ll sting structures oned SiPtrit plan must}fie on 8-1/2"x 11"or 11 x 17"paper IF ootprint of new structure(including decks)with finished I rarawn to scale (standard architect or engineer scale) or elevations illIrth arrow IldUtility locations(required for new,may apply for additions) I e address,project or subdivision name and lot number IN .: ation of wells/septic systems plicant information (name and phone number) I► rosion control(including drainage-way protection, silt fence 1P .t dimensions and building setback dimensions sign,location of catch basin,etc.) 1' .t area,building coverage area,percentage of coverage and Greet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location roperty corner elevations (2 foot contour lines if more than FJYtating trees to be retained with drip line,and tree 4 foot differential) protection measures / lean Water Services-Service Provider Letter of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: Ell Yes Cl No [ Public Facilitie Improvement (PFI) Permit: _/Required: V Yes,applicant was notified ❑ No Applied For: "Yes ❑ No,stop intake Il /and Use Case#: 46a,°- r - . , , _ ,y S ,+ 0'i V®/ oning: 2 �- ,VJetbacks: Front /. Rear Side 3 Street Side Garage 22 '(/__ I/ andscape Requirement: O L!d of Coverage Maximum: <�! riiuilding Height: Maximum Height g 04' Actual Height a(e /isual Clearance Easements gli 4 -nsitive Lands: ❑ Yes 12 No Type !11 Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building ermit / Notes: COP aff 7�r)1( - /2,•7 /l 3111) 4 p)'�`�r f`A j-714eYL' AgGf,2.Ae-Le____ Approved By Planning: 4-/hee ,/ Date: S I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BIdgPermitRvw_RES 0121 1 6.docx - t Building Permit Submittal Original Submittal Date: -.4'7,'fv Site Plans: # . ? Building Plans: # -- --- Building Permit#: E'Enter building�per�mit#above. ' Workflow Routing: O'Planning -Engineering � L7� ermit Coordinator Building Workflow Sign-off: a-Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. )2-13uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: i'C` Date: .5" //',6, Engineering Review Slope at building pad: jg 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 Ill NOT Approved b Engineering: Date: Notes: �., %- 2 5 ,, ) yr-teJ rr r' -94" eewriiii/i Approved by Engineering: ,ii, j1 Date: .6.--,44f Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review El 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: 131 SDC Fees Entered: Wash Co Trans Dev Tax: X Yes Iiii N/A Tigard Trans SDC: ( Yes Iiiit N/A Parks SDC: (. Yes ❑ N/A A"OK to Issue Permit - T-ov,,r,d a u 0„ o,,, U Approved by Permit Coordinator: aD C u,k,,.,t-✓ Date: S -(0 - lS0 I:'Building\Fonns\B1dgPennitRvw_RES_0121 16.docx v. . City of Tigard n COMMUNITY DEVELOPMENT DEPARTMENT �� River Terrace Building Permit Review Addendum Building Permit #: /NS7 20/,, – OP/e 7 Site Address: /=93,0 -A ;,i • ' ' id— Project Name: Polygon at West River Terrace Lot #: r- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dispict Design Standards (18.660.070.1): 1 Is theP roject subject to the plan district design standards? V Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 t. deep Gabled dormer ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 1s,a /V 3 . trances:At least one entrance must meet both of the folloyiing standards: 7Max. 8 ft. setback from longes street- facing wall VParallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes E No k- Ifp4s, all the following apply: Vr .z5v sq.ft. min. Pee street facing entry Viy2 ft.max. roof above floor of porch fit. depth min. 30%min. porch roof coverage 4. D ailed Design: All buildings shall include a min. of five?f;4t following elements on all street-facing facades: vered porch min. 5 ft.wide x 5 ft. deep VRecessed entry area min. 5 ft.wide x 2 ft. deep /. J4ll offset min. 16 inches ❑ IYormer min. 4 ft.wide Roof eave min. 12 inch projection ' sof offset min. of 2 ft. ❑ Roof shingles either tile or wood '/ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Inrizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street façade PlWindow 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 façade 5. Garages and Carports: May face the front or side lot 01A. line a corner lot. Setbacks: No closer to front or side lot line, tha ingest street-facing wall. ❑ Yes ❑ ,o. If No (Check one): ❑ May extend up to 5 ft. if there is a covere. ont porch and gara:- .oes not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is part o : o-st• .uilding and there is a window at the second story above the garage that faces the street with a min. area • - ...ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. o eet façade ❑ 50% max. of street facade with detailed design elements Notes: Approved By Planning: �� A, i!S Date: 5-11 1:\Building\Forms\BldgPermitRvw_RES_RT_031416.docx 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 17387 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS November 15, 2016 at 2:39:23 PM MST2016-00187 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17387 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS November 15, 2016 at 2:40:44 PM MST2016-00187 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17387 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS November 15, 2016 at 2:58:18 PM MST2016-00187 David Young Plumber on site ﬁnishing corrections. Fixing leaking shower head in main bath and capping non used rain drain stand pipe. 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 17387 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O November 15, 2016 at 3:02:14 PM MST2016-00187 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 contractor. Violation Summary: Inspector Contractor