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Permit CITY OF TIGARD MASTER PERMIT INs,o COMMUNITY DEVELOPMENT Permit#: MST2016-00183 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S 106DC 11700 Jurisdiction: Tigard Site address: 17328 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 117 Project: Polygon at West River Terrace, Lot 117 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $219,579.26 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 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 Times 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: 2 ELECTRICAL Residential Unit Service Feeder Temo 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: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,210.03 Thispermitisissued to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will subjectg 9 P P 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 95 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: Permittee Signature: ,e/v- /.G/C� 7 r°e,,v/ Call 603.639.4175 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. 7 . , ,72_, , , Building Permit Applicatio Cr 1V'E 7L_S 1, A City of Tigard MAY 0 2 ?.O'6 ,. Q it 44(---- Ne'/V /,6-6 ,/1 • 13125 SW Hall Blvd.,Tigard,OR 97223 Phm Review 24 9 Fax: 503.98. ARD D l8v: •) 8 )6 other 2�/6i Q0/9� 1 Ill Inspection 503 Line: y of TIG Dana Ready/By: Acis: RI See Page 2 ler :,i jnsp ion line: 503.639.4175 ILDING DIV /6//t 4!„ I Supplemental Information Internet www-tigard-or-g" 13t1 /L- i -/6r V _ ...._ `_ Permit fees"are based on the value of the work performed. :+ New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alterationhceplacentent 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation S219,579 ®1-and 2-family dwelling 0 Comtnereiallindustrial _ Number of bedrooms: 3 IDAccessory building 0 Multi-family 0 Other: Number of bathrooms: 3 ❑Master builder fr ` num of floors. 2 - Total number - — New dwelling area: 1744 square feet Job site address: Vi 328 S\j c�e.0.Yl t-0 u ISS •R& . City/State/ZIP:Tigard,OR 97224 Garage/carport area: 423 square feet Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: 221 square feet 93 oc Cross street/directions to job site: Deck area: square feet v Q Other structure area: square feet Subdivision:Polygon at West River Terrace , Lot no.: t 1 1 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 application. Valuation: $- 1 Existing building area: square feet New building area: square feet Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258Existing: Phone:(602)694-4031 Fire( ) Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewaki FLS plan review fee(if applicable): Address:109 East 13"Street Total fees due upon application: City/Stem/Elf':Vancouver WA 98660 Amount received: Phone: 0)695-7700 I Fax::( ) Frmail(36Angela.Grajewslti(4)polygonhomes.comms residential prescriptive installation of L ( 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(includdes plan review $180.00 City/State/ZIP:Vancouver WA 98660 and admishative fees): A /Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): 821.60 ��/ CCB tic.:207247 Total fee due upon application: $201.60 V Authorised signature: A 4 l� !t/� This permit application expires if a permit is not obtained ec i'V��//ii within 180 days after it has been accepted as complete. 1-//? 11 f fay r b *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewki I Date: ry/J ( I Service Board. 440-4613T(l i/02/C0M/WEB) I:1BuildingiPemutslBiJP-RESPermitApp.doc 02/24/2011 1 4 . - - - RECEIVED Mechanical Permit Application l OR 01 I l( ►_ t sr.O.l_l City of Tigard MAY 0 2 2016 No/ysr520/6-196/cf-la III13125 SW Hall Blvd.,Tigard,OR 97223 Plum Review II Phone: 503.718.2439 Fax 503.598.196(1'[[Of TIGARD Date/By: Other Permit: ,-� �,� Inspection Line: 503.639.4175 s..,_Ready/By: Janis 21 See Page 2 for Internet: www.tigard-or.gov BUILDING DNISI I olrfied/cetbod: Supplemental information .. ,....m'.. . ._. nicpermit fees*amthe value of Mechanncal based on work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials.equipment,labor,overhead,and profit. Value:$ ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal f yonnahmn use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. 1 Ea. I Total r r r Heating/cooling: ..... .., . ;' , Air conditioning 46.75 • Job site address: %1 )a$SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Duct wok 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or Vic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-dud,suspended,etc. , 46.75 Flue/vent for any of above 23.32 Other 23.32 Subdivision:Polygon at West River Terrance I Lot no.: in Other find appliances: Tax map/parcel no.: Water heater 23.32 33.39 water heater .� �_ t3as firepl nllSent fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other. 2332 .. _ ` ---- -. ._ _ — Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 inlet�partmetrts utiexhaust lity rooms) 2332 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 2332 2132 Fuel piping: Business name:William Lyon Homes,Inc. 514.15 for first four$4.03 for each additional Contact name:Angela Grajewaki Furnace,etc. Gas heat pump Address:109 East 13th Street 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®poiygonhomea.com Barbecue _ ryer( ) Chothcs d — .__ L-,._ .. ..__ Other: Business mune:Apex Air LLC Address:18004 NE 72 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lit.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 • t r///�( _�� ,/ days after has been accepted as combs te. Service signature: � Nv�i �'/� • Fee methodology set by Tri-County Building Industry Service Board Print name: arQ ��kt Date: 4 b I:Niuildinerermits\MEC_Fd8 _040)130 .doe J 44 17T( n2FCOM/WEB) Rta4vy213._... . :4 .:• :::,,.....,....,..,:; Electrical Permit Application l(.)I:01 1 1C F u SI.r)\I.1 City of Tigard MAY 0 2 2016 Received Permitq• s ego/G _004E3 li 13125 SW Hall Blvd.,Tigard,OR.97223 Plan Review PermitRelated k Phone: 503.718.2439 Fax S 1F.TIGARD Re : ,b„ 0 SeirPaga2for InspactiottLine: 503.639.4175 ReambDa '�ye Internet wwwtisard.orgov 1IIIL 1INGDi VISION Notified/Method: • Supplemental Informed= J.i ') .t i.-_ `' t,..• v..r. .�::___narti`. ;s,�7-i i�.a ,`1 \s.'1 - 'k`r_.. :iii _; 123 New r.onstrUction ■ a Please check.Il that apply(submit 1 ants of plaas vaitems olxdce 0: ❑service or finder 400 amps or more ❑Buaduig over three stales. ■ a . . �.r r ■ • .- where the wallet&fault current ❑Merit ss mad boatyards kr___,'...', -s ._._•_ ___...�i-_� r. �� , ..3t_°r'+'' 'i(;'i(')__.::i__ - �_ __ ..... "mai r0000'Ps"SO vdtsor ❑Floingbulldiogs. less b ground or exceeds 14,000 ❑Commercial-nee agricultural amps■ ■ building a ps for all other installations. buildings.• ■ •Ai,,,, ■ Master builder ■ Other:. ❑No pomp. CI installation of I50 KVAor i :1• 7 '4'-'q.,. /1):::1:.-.W_,:._m _-:. l rt`r_J,-,.(6)—.'_"s':L1Y1t aro liwd r 5 �& .y' ' ❑ mergney system baser separately derived • 1 ❑Additiwofnewmotorfoadof sY�• Job#: Job site address: 173 w L .3 t n oci '.t'• 10011p or more. O"A","S","l-2","1-3", City/State/ZIP:Tigard,OR 97224 O Sia or-sore residential unite. occupancy. ❑Health-ogre facilities. ❑Recreational vehicle paries. Suite/bldgJapt,#: Project name:Polygon at Went River Ter CIH""dO1 s locations. ❑SSu0 ri =mint'. voltage for mon then ICI Service or Seeder 600 • or more. Cross stlreet/dircctiOns to job site: '•r,3' =- c t ,_ ' 1 ti r i?....:: : `. '.,"..,1 T Ireserlotles Qty. garb Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace ! Lot#: 117 Includes attached garage. 1,000 sq.R or less J 168.54 4 Tax map/parcel#: Ba.add'l 500 eq.S.or portion a. 3392 1 _ -7mY .rig 1 0(P 0-U.0 -r mJl: ,. ,: == Limited energy,msideahtiel ' 75.00 2 L_._ (vaitbabtrnse.R) ! Limited enemy,male-family 75.00 2 residential(with above sq.it-) Renewable Energy ❑ See Paige 2 ): ',4_t +-- ' '^?ii _ . .-:. _ ,' -_'.:_ - - ' Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or gas 100.70 2 201 amps to 400 amps 133.56 2 • Address:7600 E Doubktree Ranch Road 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps F 301.04 2 Phone:(60.2)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 1 intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701. 201 amps to 400 amps 125.08 I 2 401 to 599 16834 2 Owner signature: Date: n -n ,) Brenda drafts-new,niteragoa,or extension, panel . i i+ , 4,1:1>u) - -:1i • ; � A.Fee for braoc4 dm,;aita with I,:,,---Busioess name:William Lyon Homes,Inc. above service m feeder the, 7.42 2 catch branch circuit Contact Angela Grajevvski B.Pee for branch its*them service or feeder Teo,first 56.18 2 • a• branch cheek City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or'feeder not included) • m 695-'7700 1 Each manatscdued or modular 67.84 2 &wiling.service and/or feeder • Angeht.Grajewsid@polygonhotnes.com only 67,84 2 , `-1'.L. U)< `.l. _ _M....4.,. .. • Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign menthols lighting 67.84 2 a,,.,; Signal cirruil(s)orlaoitedenerg ❑ SeePage2 2 Address;6101 NE St Johns Rd paid,alteration,ems . Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr min) 6625/la Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/br Industrial plant(I hr min) • 78.18/lir Email:bdaniels@gweusa.com Inspections for which no fee is s � hand ,��,� 90.00/hr CCB Lir.: C1158 Electrical Lir.: 208174 _j Su///prv��--Lire: 44965 r-1-"I_, i li :c= -E , , Suprv,Electrician signature,required: , i! Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): s .. - — y State surcharge(12%of permit the): ut;:`•r ► _: TOTAL PERMIT FEE: .:.'•` :• Authorized siguah)re: r- -i — Iib permit application expires If a penult is not daubed within 180 ..!,:: days after It has been accepted as complete. Print menace:Bill Daniels Date: 4/26/2016 ri * Number of impactions allowed pa permit 3.`,Er-;`i 11::t'neUdirl{We,ci'ddiLC)mmitApp 5t1�tE.doc rev 06(17/2015 Me•461510IMtXI WEB .S tic., 1,1'.`•1`•• - Plumbing Permit Auplicatio( C jV Building Fixtures gi . City of TjgardReceived Penh No.:�5��/6'C let g 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 0 2 2016 Date/13y: Phone: 503.7182439 Fax: 503598.1960 Plan Rovlaw Other Permit No.: Inspection Lire: 503.639.4175 CITY OF TIGARDDateiBrDalc ,By: lore IS See Pep 2 for Internet: www.tigard-or.gov Sed/Method: 8uppkromta1 Information :,tTp'.,.y3 ;,,-, ... . ..7 %(�F, + DINGDWISa� AI...„,,. ' , • . • •a't4$ 'a J�z ..,"mac..:,v._xi,_:' ®New constructionY ' 0 Demolition For&pedalbtfemwtiox use. beckl tt Description I Qty. i Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes I00 B.for each utility connection) .:r•::.•. •.CATEGORY'OF CONSTRUCTIOR' : SFR(i)bath 312.70 01-and 2-family dwelling 0 Ceanmerciallmdustrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3) 1 soy 2 500.32. Each additional bathncitchen 25.002 ❑Master builder 0 Other: _ Fire sprinkler L„-^sq.R) Page 2 • JOB arra iNFORMA`iON'ANu LOCATION . j j,• ' site utilities: • • Job site address: r1' SW spun Louise. t4-ei Catch basin or arca drain 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing dein(no.linear ft.: ) Page 2 SuitdbldgJapt.no.: 1 Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/dir ctions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R:_„_) Page 2 Stone sewer(no.linear R:__) Page 2 Water service(no.linear R:_ ) Page 2 Subdivision:Polygon at West River Ter Trace I Lot no.: ,t/ Fixture or item: Tax mapJpar>:e1 no.: BadcBow preventer ( 31.27 31•r7, DESCR1PTlorl OF.WORK Backwater valve I 12.51 12,6! Clothes washer 25.02 _ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®. ROP>v6Clt l`O NER 1. 17 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Flxturdsewer cap 25.02 Floor drain/floor sink/hub _ 25.02 Address:7600 E Doubletree Ranch Road Cratbage disposal 25.02 Crty/State/Z1P:Scottsdale,AZ 85258 hose bib 25.02 Phoma(602)6944031 I Fax:( ) Ice maker 12.51 . rgArra CMfl , • 0 CONTACT PERSON• Interceptor/grease trap 25.02 Business name:William Lyon Hos,lac Medical Bas(value:S_) Page 2 Home' Primer 12.51 Contact name:Angela Grajewslci Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potabk water) 62.54 Phone:(360)695-7700 Fax::(360)693.4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewskitpolygonhomeg.com U 1al 25.02 Wtuer closet 25.02 - CONTRACTOR • Water heater 37.52 Business name:Malmedal Enterprises Inc Waw pipioWOWV _ 56.29 Address:PO Box 207 Cather. 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324.0759 Fax:(503.)324-0580 Minimum permit fee: 572.50 CCB Lio.:102535 Plumbing Loc.no.:34-276PB Plan (25'6 of permit fee) State surcharge(12%of permit fee) Authorized signature: G.. _-.._,c-- TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit application apices If a permit Is rot obtaiasd withta 150 days after it has been accepted as complete 'Fee methodology set by Tri-County Bulld'oig Industry Service Board. _ 1:\B,adiineerw tAPlxu.PermhApp.doe torotai 440-4616T(Io 2lcOM/WEB) POLYGON /� 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 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 /2 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 /"ISTao/ le —49/43 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 r'• 'ti City of Tigard III ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 C,n RI) Building Permit Review — Residential Building Permit #: /1STo2 p/6 — 0 0/cF3 Site Address: /7-32 &R) —Or„ei Project Name: �" p/-� n cg74 k eiewz- ��C ee Lot #: //Z (New ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ,Ue ) -ie I/riirift'site address/suite# exists and active in permit sem. River Terrace Neighborhood: ❑ NoIrYYes,See River Ter ace Review_Addendum Attached Sit lan Elements: ree(3)copies of site plan j1 *.sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper [P-'ootprint of new structure (including decks)with finished ate`( awn to scale (standard architect or engineer scale) rth arrow f}Oor elevations WUtility locations(required for new,may apply for additions) S e address,project or subdivision name and lot number UI1%cation of wells/septic systems plicant information (name and phone number) 7, rosion control (including drainage-way protection, silt fenceli. t dimensions and building setback dimensions sign,location of catch basin,etc.) IA Lot area,building coverage area,percentage of coverage and eet names Oipervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location operty corner elevations(2 foot contour lines if more thanl*sting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Lefty(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified k No Received: ❑ Yes ❑ No Public Facilitie mprovement(PFI) Permit: 4nd quired: Yes,applicant was notified ❑ No Applied For: V Yes ❑ No,stop intake Use Case #: ,� �7 c--- Ab/2 &kpee"f ,. lf�62e/S- �k)0 ming: P-4 lla etbacks: Front Rear Side Street Side Sie, �o� U 3 )��,�Garage �V)andscape Requirement: % —_�-'-� ot Coverage Maximum: 00 Ki Building Height: Maximum Height op- Actual Height Q3 ve!Ii' - ual Clearance rr asements ensitive Lands: Ys ❑ No Type LOA)Ifilke /[124rban Forestry Plan ❑ Condition "Met"prior to issuance off building permit Notes: 1 117641$6 Y / Ze in.i. erf,te' 74b !77/-f Ag etk.24 t Approved By Planning: ✓ Date: JCI / Revisions (after Building Submittal only) Reviewer Date Revision l: Cl Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building'\FonnsBldgPennitRvw RES O12II6.docx `. Building Permit Submittal Original Submittal Date: X72/4, Site Plans: # 3 Building Plans: # Building Permit#: EEnter building permit#above.Er-Engineering Workflow Routing: �'Planning Permit Coordinator L�YBuilding Workflow Sign-off: � Sign-off for Planning(include notes from planning review) Route Application Documents: []-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and 2/Building: plan review routing form. ld Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review Slope at building pad: /in SOtonditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess WaterQry uali Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved b Engineeri g: Dat:: Notes: .- !` j o .' 7 .� Approved by Engineering: , Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: © Yes ❑ N/A Parks SDC: C$Yes ❑ N/A M OK to Issue Permit - Dov n A ol.43 . Approved by Permit Coordinator: Or\t Date: 5 -(0 - L,Building Forms BldgPennitRvw_RES_012116.docx I _ I '"' 1111 II City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /If 7;•2-07 6 --G.,0/F2 Site Address: /712 ..cNTS L 9ii ( j te. Project Name: Polygon at West River Terrace Lot #: 11 -- - (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis '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 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 ft.deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the e street: a minimum y 2% ea, h street facing façade must include windows or entrance doors. Percentage Shown: fel' v 3. trances:At least one entrance must meet both of the follo ' g standards: Max. 8 ft. setback from long t street-facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes CI No If es,all the following apply: sq.ft. min. 1W�( ne street facing entry ft. max.roof above floor of porch ft. depth min. 30%min. porch roof coverage 4.e tailed Design:All buildings shall include a min.of five o_f re following elements on all street-facing façades: i .vered porch min. 5 ft.wide x 5 ft. deep DirRecessed entry area min. 5 ft.wide x 2 ft. deep iv, all offset min. 16 inches El Dormer min. 4 ft.wide 4 Roof eave min. 12 inch projection ❑ t .of offset min.of 2 ft. ❑ Roof shingles either tile or wood 'P Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El rizontal lap siding min. 3-7 ft.wide ❑ Accent siding min.40%of street façade indow trim min. 2 '/z"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 line on a corn lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. It Yes L$l No. If No (Check one): \iv May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 0May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story a ove the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) Pc 1 12-foot-wide garage door 40%r` max. of street facade �" 50%max. of street façade with 7 detailed design elements Notes: j,� Approved By Planning: 1.4 Date: �' �b��j� \F I:\Buildingortes\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 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00183 David Young Provide access to garage plug behind dense glass to test. Drywallers to patch hole my master bath light moved, and by ﬁreplace over 1/8" gap. 314.21 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 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00183 Chip Barnett No A/C installed 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 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00183 David Young Provide approved eave ﬁre protection inspection as noted on previous failed inspection, left side of house. Provide ladder at attic access for inspection. Fire protection at left side eaves not done or approved at this time. Not ready for ﬁnal inspection. Note: no AC installed 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 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00183 Chip Barnett No A/C installed 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 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00183 Chip Barnett 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 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00183 David Young No building ﬁnal prior to planning and engineering release of conditions. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00183 David Young Correction for attic ventilation not done. Re schedule after correction complete, 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 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00183 David Young See previous failed inspection. Subdivision not approved for ﬁnal inspections and C of O's as noted previously. Re inspect fee applied for scheduling inspection prior to correction being complete. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17328 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00183 David Young Previous corrections complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report received. Insulation certiﬁcation checked. C of O at city of Tigard ofﬁce for Chris Walther to pick-up. Violation Summary: Inspector Contractor