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Permit CITY OF TIGARD MASTER PERMIT 111 1COMMUNITY DEVELOPMENT Permit*: MST2016-00181 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 TIGARD Parcel: 2S106DC11500 Jurisdiction: Tigard Site address: 17368 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 115 Project: Polygon at West River Terrace, Lot 115 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: $231,792.79 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 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: 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: 1 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: $30,521.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198787oror1.800.332.2344.44 Q`✓ ` / Issued By: /ism Permittee Signature: �G �`2.�T 7UN Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. .,--- //s Building Permit Applicata �l. LS S, y/,,/, I14: ,..Cp$ t :,1 l OR oFFI( C t SL(1y1-1 City of Tigard lo AY 2 2016Receivedq/,t �itNoA 7 2 /6_400/c/ Date/ilh -- 13125 SW Hall Blvd.,Tigard,OR i772%,. p�g t Phone: 503.718.2439 Fax: 503.598OF t 1GA ley: 4/01.9 R)16 4)- r Pe amu/, v/6-00/Y_.? ,-i t, t t., Inspection Line: 503.639.4175 Data Ready/By: Juris. B See Page 2 for Internet www.tigard-or.gov 3I:II,DING DIVISION Notifed/method:.7/a�/� 40 Supplemental Information : "/ ' 6/ " t' k 1, r,� :"• i D tL''''' � •'r_ CFI k ,E E1` 1 ' f ?t k ®New construction 0 Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. `' ®1-and 2-family dwelling ❑Commercial/mdustrtal Valuation $231,793 ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 3 ' • .k Total number of floors: 2 a_9 S Job site address: 113(1)%( SW c'eziocl Lou i S G ' w New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 437 square feet Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: 164 square feet 101 Cross street/directions to job site: Deck area: square feet U,9 Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: 115 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labar,overhead,and the profit for the work indicated on this application. .-_._. ...._ . .,. , . .. ..... ... _, r . .�. _ ._.. .., ... ... ...... .. ... Valuation: S Existing building area: square feet New building area: square feet s Number of stories: Name:ADVL Laud 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: , • t -- Business name:Polygon WLR,LLC Structural plan review fee(or deposit):`J Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received E-mail:Angela.Grajewski@polygonhomes.com installation f and residential prescriptive on o ...,:, . ., . ,,: .,� _:_.:... . —,::: _ ... .. •,. •�:_...._ :--- -.__: roof-top mounted PhotoVoltaic Solar Panel System. .. . .. ....:... . Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes pian review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 4/CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: �- ( . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: /—f IO J/P ii/ ` *Fee methodology set by Tri-Coemty Building Industry Service Board. 1.1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Appli • : " FOR OFFIc I 1.1 O\I.\ City of Tigard ?O Permit No.:/yS7o2O/ 00�f/ 11, _ 'a 13125 SW Hall Blvd.,Tigard,OR 9722 Q� � - ' Plan Review tf Phone: 503.718.2439 Fax: 503398.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 car et Date Rea lyBy: Anis' la See Page 2 for 7 i i;,\;?1 Internet www.tigard-or.gov O ! 111119"14 Notified/Method: pp Su eatallntormatian ,. cr _ -- — .. _ - •Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit , Value:$ ' -_ err c1 4- -r ®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building Far spedciinformation use checklist ❑Multi-family 0 Master builder 0 Other: Description 1 Qty. I Ea I Total s r • , r ( CIL „, . . .,•_, . Heathig/cooling: .. Air conditioning 46.75 Job site address: 113 b8 SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) - 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgfapt no.: I 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.: U 5 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplaaemsert 33.39 Flue vast for err gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood Bre lace/insert 23.32 (hftmney/liner/flue/vent 23.32 Other 23.32 -+ ventilation ��- _ Envitronmental a=6aast and 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:( ) Atticicrawlspace fans 23.32 E• Otllar 2332 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 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 heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue Clothes dryer(gas) ._ ..._ - '. <,... ..-. __—,......5-_' ..._ r._-_. ...... Other: Business name:Apex Air LLC Address:18004NE 72*a Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax (360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE ' This permit application expires if a permit is not obtained within 180 _ days after it has been accepted as complete. Authorized signature: ' Fee methodology set by Tri-County Building Industry Service Board Print name: n UyjeLDate: t 'b [:\BuiidingPermiulbECP 40113.doc 4402/CO M/WEB) , RECEIVE' Electrical Permit Application 11)11 O1-1-1CL.t Si ON ' City ofTigardMAY 0 2 2016 114,wa 13126 SW Heli Blvd,Tlg rd,0%97223l�; ((�� Pitons 503.7182499 Fars 5098.19T;ITY\JF AGAR 1: ,..:. ,. Related Permit N Inspection Line: 503.639.4175 • DatelB . him See P. 2 for 1 i G ,li L) interact wtvw.ti�. t ' ►UILDING DIVISI a�!. r... .:,•r. Sepplemasttal roformatloa - - a_i:r ,.�l 1'.;a� _ , -0. - ?• 1 t` •. _s�rr x,1.1 ;:,1:1:-::1,-.2-'`..r;.2.„ � ;a r ®New construction 0 Addition/alteration/replacement Pleas*chock all tint apply(aubraita sets of plias w/kems checked): ❑Des tooli. ❑Other: ['Service or feeds 400 amps or more ❑Building war three stories. • where the available!halt current [Damian and boatyards. ;._ ', ' t :,;,`1 H r,0;t,..--14) :6al_ac 1_;I r 1 , L ; 'F. exceeds 10.000 amps at ISO volts or GI Ftoatiag buildings. ►_4 1-and 2-family dwelling 0 Commercial industrial 0 Accessory building less to pound,or exceeds 14.000 ❑Commercial-use swiculurral amps for sil other iosbliatioos. • ❑Multi-family -- CI Master builder 0 Other. ❑Fire pump. ❑Installation of 150 KVA or 1 it �e >r derived ax�,'y-"'- ,_ -� .. .:'1� _:: .�.Y, l�11C�-tZ��s:�l 3��.':°�:�.�; , •�'f5-_---77-''''.P.1:,'x nrs.�;'`-, ❑ m. ��? r ,c,n,,n�' ❑Addition of new motor load of system. Job#: Job site address: 173 be, •3w ,n Lou.7C.s(. 1001•P or mom. ❑"A".'7=","1-2","1-3", /StateIZIP:Tigard,OR 97224 0 Six or more residential units. oeeupsnoy. 01611th-one faoilitiw. ❑Recreatiend vehicle parks. SulterbldgJapt if: I Project name:Polygon at West River Ter ❑tea locations. 0 Supply voltage Ser:more than ❑Savior or feeder 600 amps or more. 600 voltr nominal. Cross street/directions to job site: z a a,f a 1 ,,1 ri� DarefittlasM Qty. sack Tsai New residential single-or mold-family dwelling unit. Subdivision:Polygon at West River Terrrace f Lot#: 115 Includes attached garage. 1ax map/parcel#: 1,000 sq.R or leu 168.54 4 Ea.aek'1500 sq.It or portion ,� 33.92 1 •', - _._._ _.. A t Ziff! .i. 3(.q c1 i1AV' ! .. . ,..,. w ,,.:,..:17..,..,: ._.. Limited emrgy,residential (with above sq.IL) _) -, 75.00 2 LI tilted energy,multi-linty 75.00 2 residential(with above sq.ft) Reaewabk Energy Q See Page 2 _.._,__-- _.. •,,,_.1-i.2,._._ - _. _ . ._ ._.. .:......4., .. _.:_, .__..;- Services or feeders installation,alteration,salvor relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 ' Address:7600 E Donbietree Ranch Road 201 amps to 400 amps 133 56 2 401 amps to 6011 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders Installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps w lessI 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.082Owner signature: Date: 401 amps to 599 mss 16834 2 ,r i i ^_ I �<< -i •3 _ 7. Branch circadts-.Tr',aiteratlo or e:teasion,per panel . A.Fee fbr shines trt8► Business name:William Lyon Homes,Inc. above service or feeder he, each branch mit 7.42 2 Contact name:Angela Grajewski B.Pee for branch circuits without Address:109 East 13th Steet savior or feeder fee fust t 56.18 2 branch chock City/Stat/ZIP:Vancouver,WA 98660 Each add'1 branch arch 7.42 2 Miscellaneous not included/ Phone:(360)695-7700 • . ' , Fax::(360)693-4442 Eachmanufactured 67.ed or modulerc . 84 2 dwelling,smviceand/ortader Email:Angela.Grajewski@polygonhomes.com Reconnectonly 67.84 2 5;7: ' .. _.J _—.'— .--_ crl ..r. ,S:'Li. _._ . __.___. .___...._. .,...,..._ Pump orimplion cache 67.84 2 Business name:Garner Electric Washington,LLC • Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd penal,stento n°i extension.agy 0 See Page 2 2 parcel,alteration,m extension. City/StefeCLIP'Vancouver WA 98661 Each additional Inspection over allowable hi arty of the above Additional inspection(1 br mesa) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(I immix') 90.001br Email:btlatrielg@gvousa.com Industrial plant(1 hr min) • 78.18/hr Inspections far which no fee is CCB Lic.: C1158 Electrical Lia: 208174 Suprv.Lica: 4496S s, „ lilted :4br ' 90• hr Suprv.Electrician signature,required:jldlL p, idhe . .• _ Subtotal. Print name: Ioan P Albert Date: 4126/2016 Q Plan Review Required(25%of permit fee): State surcbarge(12%of permit fee): ,=. Authorized signature: "��' TOTAL PERMIT FEE: il.VZ.' —^� This permit application expires if a perndt is not obtained within 180 eii!' r.:.l;;;•, Print name: Bill Daniels Date: 4f26/2016 days after it has sem uoaptad as complete. .z j ',, • Number of inspections allowed per pent - :a,z :;L'msOdkoPwask aII.0 Pe mitApp_Btk SRE.doe Rev 06117/2015 440-4tl51t1INS/CDa4/VVEB - a :tall;,., Plumbing Permit AnuliciaCE1 ` "'P Building Fixtures I(1R O I l I( 1 I "I w.i City of Tigard MAY 0 2 2016 Received PermaN6.;�sTe3viG �ofe7 i IN, 13125 SW Hall Blvd.,Tigard,01/7460G r [� PIReDate/Byview ■ Phone: 503.718.2439 Fax: 5( r VA`_U Mac/By: Other Permit Na: Inspection Line: 503.639.417R[IILDi ("�N A SI01` Date rwiK In See Page 2 for Internet: wtivw.dgard-er.gov Notified/Method: BuppkarentalInformation .;', ..ii-:�Y: r u..- ..i. •;WG k ..• e*:012 -A:: - .... . .....:. .- .w.-`.......?,. ' • 'ffiswc'' y��1 � 1' .•.2.r .:.Jl 4,. ;n�: New construction El Demolition For speedd Worasaden use dreckHet Description I Qty. I Ea. ( Total ❑Addition/alterationhoplacement 0 Other: New 1-2-family dwellings(includes 100 B.for each utility connection) •CATEGORYOP CQN tRtie IONI. : SFR(1)bath 312.70 ®1-aad 2-family dwelling 0 CommerciaYmdustrlal SFR(2)bath 437.78 ❑Accessary building 0 Multi-family SFR(3)bath 50032 500.. Each additional bathAkibdron 25.02 ❑Master builder 0 Otho: Fire sprinkler(_sq.R.) Page 2 ',TODD)MTE INIFORMA'JION AND LOCATION Site utilities Job site address: II$(p S S.&3 J n 1-0L lye.. Catch basin or area drain 18.76 Aryaell,leach line,or trench dram 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:___.) Page 2 Suite1bldgJapt.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 It:_1 Page 2 Water service(no.linear it:___) Page 2 Subdivision:Polygon at West River Terrraee ( Lot no.:,I S Fixture or item: Tax map/plural no.: Backflow prove rater ( 31.27 31.2.'f . • DF3CRiP:1`IoN OF.WORK. • Back-view valuer I 1251 (2.6 Clothes washer 25.02 Dishwasher 25.02 Drinldng fountain 25.02 Ejectors/sump 25.02 ' ®.rtorERry OWNER • . I 0 TENANT Expansion tank 12.51 cap Name:ADVL Land Holdings,LLC Fixture/sewer25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Owbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 P (602)694.4031 Fax:( ) Ice maker 12.51 • • • •-• [a.APPUCANT . ❑ C0P TACT PERSON: Interceptor/gdeasetrap 25.02 Business name:William Lyon Homes,Inc Medical gas(value;$ ) Page 2 Primer 12.51 Contact nam Ani Gra1n'ski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basndhdvatoy 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693.4442 7 nblsbowerlshower pan 12.51 E-mail:Angela.Grajewsld®polygonbommesCOUrinal 25.02 Water closet 25.02 CONTRACTOR' , Water beater 37.52 Business name:Maheedal Enterprises Inc. Waterpiping/DWV 5629 Address:PO Box 207 Other: 25.02 City/State/LHP:Banks,OR 97106 Snbtotd Photo~(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:102535 YlaunbhlgLia no.:34-276PB State sur (12%ofpermit fee) Authorized signature: G �: TOTAL PERMIT FEE Print name:Carolina Maimedal Date:0425/2016 nqe pp1e application tins e s if s nett is ot obtaincomplete.ed within dao days after it*tee methodology set by Tri-County Building Industry Service Board. - 1:16uddinglPervdutPLMUPamhApp.doe 10/01/09 440-e6167(10/02/COM/WEB) POLYGON /a 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#166871 POLYGON /r'1 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 -may Lot 115 - 17368 SW Jean Louise Road as%,72e/b eeke/ 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 C'CB#166871 s. City of Tigard RECEIVED , .II r COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential MAY 0 2 2016 TIC;ARD Building Permit #: X7772 p/C — /90/6P/ BUILDING DIVISION Site Address: /.-?-3(pg < 2() c,7 ,ed. Project Name: A� n c.,„74 Gti "sever �� Lot #: �/S (New ng=subdivision name;Addition or Alteration= last name of owner) Planning Revi Proposal: ,J /_ / , rify site address/suite# exists and active in permit sem. ciyyf River Terrace Neighborhood: ❑ No IId Yes,See River Terrace Review.Addendum Attached Sit lan Elements: ree (3)copies of site plan i1 4t.sting structures on site eliA)Site plan must be on 8-1/2"x 11"or 11 x 17"paper IP ootprint of new structure(including decks)with finished 0 I awn to scale(standard architect or engineer scale) or elevations p .rth arrow LJ Utility locations (required for new,may apply for additions) 74 S e address,project or subdivision name and lot number IJ 1'%cation of wells/septic systems plicant information (name and phone number) V. rosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) i t 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 operty corner elevations(2 foot contour lines if more than Misting 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: equired: VYes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case #: 412 01 c-- ,(6.2eJs= VJ oning: P--9— Setbacks: Front Rear 0 Side 3 Street Side Garage 3 i&i/ A. P 9 andsca e Requirement: � o{ IV of Coverage Maximum: Z/L/ Building Height: Maximum Height NIA Actual Height s tsual Clearance uipasements 1 ensitive Lands: rtZes ❑ No Type Loo -i, 40,142,71-- Urban Forestry Plan ❑ Condition "Met"prior to issuance ofbuildingpermit Notes: ))l6I/ic*r4 / Ze /71..Pj pn rI' it J�CZA:24C,� _____4 /14 Approved By Planning: .,d Date: 7/Q Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved :\Building\Forms\BldgPennitRvw_RES_0121 16.docx Building Permit Submittal Original Submittal Date: -C //c. Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building permit#above. ,- E Workflow Routing: er Planning Engineering Permit Coordinator building Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: .LEngineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: 4 '41741 '/' By Permit Technician: ' 0Tc.77E— Date: 70,err, Engineering Review Slope at building pad: /4Y /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 Approves' Engineering: Date: Notes: o�'ge S.� 6 ` j"Yr ' 0- r o< Approved by Engineering: di ,--2! 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: 16 SDC Fees Entered: Wash Co Trans Dev Tax: rz3' Yes ❑ N/A Tigard Trans SDC: L1 Yes ❑ N/A Parks SDC: 11 Yes ❑ N/A 12f OK to Issue Permit - 1/4.kr 4 c � . Approved by Permit Coordinator: C ..w Date: 5 — 10 — (to I: Building'Fonns,BldgPennitRvw_RES_o12116.docx l City of Tigard II111COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /11-57-c,2--19/& — DO lee Site Address: /?-gb e S'(,{) '.-R)n L&i,S. et', Project Name: Polygon at West River Terrace Lot #: J/S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?ei Yes 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 f�. deep Gabled dormer lYft.deep min. 2ft., 5 ft.wide min. 2 ft.,Eft.wide ❑ ❑ ❑ ❑ 2. Eyes on the e street: a minimum 9f %q�each street facing facade must include windows or entrance doors. Percentage Shown: / ' ntrances:At least one entrance must meet both of the foll.. ' g standards: 3. ax. 8 ft. setback from ist street-facing wall tV Parallel to street,angle no more than 45° from street, Mon or open onto porch Entrance opens to a porch: Yes ❑ No y s,all the following apply: i sq.ft. min. Ifne street facing entry ft. max.roof above floor of porch /ft. depth min. 30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five ofIhe following elements on all street-facing facades: it overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep 14 . all offset min. 16 inches ❑ m orer min. 4 ft.wide V A Roof eave min. 12 inch projection l' of 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. ❑ orizontal lap siding min. 3-7 ft.wide ❑lAccent 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 closer to front or side lot line,than longest street-facing wall. EP Yes Eji No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story Sj(a')ove the garage that faces the street with a min. area of 12 sq.ft. V `Width: (Check one) W ❑ 12-foot-wide garage door IT 40%max. of street facade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: =- , �s� Date: �� , I:\Building\Fortes\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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00181 David Young Provide approved blower door test for whole house tightness. FP not working, electrical issue per electrical contractor. Seal all penetrations in mechanical room. Not ready for inspection. Note: no AC installed at ﬁnal inspection, permits and inspection required at time of installation. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL September 13, 2016 at 9:15:33 AM MST2016-00181 David Young Work not complete, entry way tripping and FP not working. Not ready for inspection. Inspections to be scheduled when work is complete and ready for inspection. Provide correct address on site for inspections. R319.1 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00181 David Young This inspection passed previously, see inspection dated 9/13/16. 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00181 David Young See previous inspection dated 9/20/16. No building ﬁnal inspections 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00181 David Young See 2 previous failed ﬁnal inspection results. Subdivision conditions not approved for C of O release. Re inspect fee to be applied for three failed inspection without correction. Contractor was informed at previous inspections to not schedule ﬁnal inspections prior to conditions released. 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00181 David Young Provide city required documents and approved plans on site for ﬁnal inspection. Nothing left out on kitchen counters for inspection. Note: no AC installed at time of ﬁnal inspection. 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL September 15, 2016 at 11:10:03 AM MST2016-00181 David Young Fireplace not working as noted on previous inspection. Penetrations in mechanical room not sealed as noted on previous inspection. Correction from previous inspection not done. 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00181 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00181 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00181 David Young Corrections 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 17368 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00181 David Young Note: no AC installed at time of ﬁnal inspection, permit and inspection required at time of installation. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report checked. Insulation certiﬁcation checked. C of O left on site with approved plans. Violation Summary: Inspector Contractor