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Permit (49) II U CITY OF TIGARD MASTER PERMIT Io>I COMMUNITY DEVELOPMENT Permit#: MST2016-00179 TIGARD tkj 12 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 � � Date Issued: 05/11/2016 Parcel: 2S106DC09400 Jurisdiction: Tigard Site address: 13765 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: 94 Project: Polygon at West River Terrace, Lot 94 Project Description: New SF. 8/4/2016: REPRINT permit to ADD 2nd water heater. 8/16/2016: REPRINT permit to add 152 sq ft patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Detectors: Yes Right: 3 Total: 2917 sf Value: $352,909.15 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 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: NEWp y Square Feet: SF VB R-3 2917 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: $33,248.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 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. Z4' ' 2/ZeZe2Lkg...._...„________ Issued By: Permittee Signature: 0� ,e -1°/°Z.-/e,11-770'"" 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. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T i GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE. I • 11.1 . DEPT: BUILDING DIVISION AUG 152010 FROM: Angela Grajewski CITY ° ,,G _f) COMPANY: Polygon Northwest BUILDiNG D"VA ._( N PHONE: 971-212-2144 By5_6(/ RE: 13765 SW 175th Ave MST2016-00179 (Site Address) (Permit Number) Polygon at West River Terrace 94 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ,pies I escription�g . F 7 e.rte ►, . Pb . � �,..1€ �.. .0 � 0 Additional set(s) of plans. 3 Revisions: add cover to patio 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: t. R jCE USEbNlYONLY x Routed to Permit Technician: Date: gS - 15 — ) Initials: Fees Due: Yes ❑No Fee Description: Amount Due: qq �7 Hy' � c ' C<v $' ; .ir~ 1 7 "692441/ $ /3. 6; 1nix $ • � / /2Z Z �k441$ /` Special "f/f c' 4.25/7/A/ G%5;cry Instructions: q /.S—d', VP Reprint Permit(per PE): 1Yes [I]No El Done Applicant Notified: 44-/V6/c" a e: //4,//k "`"i j,✓a-i c-- Initials: ,,4C I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 c 14 4 ' City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T i C;A It D Building Permit Review — Residential Building Permit #: /XS TfLO/c 00/? , Site Address: / 9(e' --- glv /9C4 AV CS Project Name: c 4 G etwe- � c. Lot #: /L / (New nn g=subdivision name;;Addition or.Alteration=last name of owner) Planning Review Proposal: v 1 4) ` j 1 rify site address/suite#exists and active in permit sem. River Terrace Neighborhood: ❑ No fIG Yes,See River Terace Review Addendum Attached Si/Plan Elements: • liliyIiree(3)copies of site plan tij i<.sting structures on site lei to plan must bs on 8-1/2"x 11"or 11 x 17"paper If ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations i' rth arrow LTJ Utility locations(required for new,may apply for additions) S e address,project or subdivision name and lot number 'Ii fi cation of wells/septic systems plicant information(name and phone number) 7 rosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) IQ Lot area,building coverage area,percentage of coverage and eet names pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location roperty corner elevations(2 foot contour lines if more than Olsting trees to be retained with drip line,and tree 4 foot differential) protection measures OfClean Water Services-Service Provider Lette (lot platted prior to 9/10/1995): yuired: ❑ Yes,applicant was notified ( No Received: Cl Yes ❑ No ublic Facilitie mprovement (PFI)Permit: equired: Yes,applicant was notified ❑ No Applied For: l Yes ❑ No,stop intake nd Use Case#: Prilieawl C--- S,11/6I S(' ) /Soning: ,�f�etbacks: Front /Q Rear 16— Side 3 Street Side Opt- Garage Q00 Ildandscape Requirement: vi, of Coverage Maximum: 10) °V° Building Height: Maximum Height 3S Actual Height e29- 111 ► isual Clearance 1, Easements ensitive Lands: Yes ❑ No Type 2-15W Va ,ZQ , 7L Urban Forestry Plan ❑ Condition "Met"prior to issuance of building permit Notes: )/7CZ L'913 --SAW 4 l'YI..P taut 74bCZ,621K't Approved By Planning: �� Date: Soq Revisions (after Building Submittal only) Reviewer Dat _/9417 0 exakRevision 1: .Approved ❑ Not Approved /'Vr L Art/ Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Bu i Id ing\Fonns\B IdgPenni t R vw_R ES_o 121 16.doc x T ar b Building Permit Submittal Original Submittal Date: /,G Site Plans: # Building Plans: # Building Permit#: EfrEnter building permit#above. Workflow Routing: [Manning atngineering 3-11- ermit Coordinator rig---Kuilding 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 original plan review routing form. Er-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: ,..5:/y/A Engineering Review LTA lope at building pad: , , 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 1 LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approve-by$ngineerin : Date: Notes: 7'Oy %i,,,� _.4----W-�Gf Approved by Engine ng: &___.-17 Date: 5_ '_// Revisions (after i ing Submittal only) Review Date 1' (tLRevision 1: Approved CI Not Approved N�• 7] R.15-46 PikRevision 2: Approved ❑ Not Approved tj� I Revision 3: ❑ Approved Cl Not Approved VIIINIIIMIIMIIIIMIIIIIIMMIOMMIIIIMMINIMMIIIMMINIIMIIMMIIIIII Permit Coordinator Review • ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) ' 'evision Notice 1: Date Sent to Applicant: PO' Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ®' SDC Fees Entered: \Y'ash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: a] Yes 0 N/A Parks SDC: Yes 0 N/A -to Issue Permit - Fbul.vxd a-k0 n. 0 r.kAt • 7pproved by Permit Coordinator: au*, C ,,.. te: 5 -16 - 1(0 I:'\Building\Fonns\\BldgPermitRvw_RES_012116.docx 481/ //4' 4 • IICity of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum GnRI7 -...-'.:.w:.rw. >..... ...... ...0-efr s:s pan•�.--r,c---��'s=..;c*x.c��r.F.ry-.. we:.. r.. -. n-,v,,,,;,,.,-.-. . ...,:«-..n-^..Y - ,�w.-r ,�T. Building Permit #: /t�,s'7020/(o 00/ 7? • Site Address: /3 g- —Sit.) /3:c me Project Name: Pe � �l ��t��, errocr Lot #: 9I/ . (New d+trr!l subdivision name;Addition or Alteration=last name of owner) li Planning Review River Terrace Plan Distr. Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? Cid Yes 0 No 1.Articulation:a minimum of l 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 fset a Porch min. 5 deep ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6f wide Gabled dormer ti 0 ❑ ❑ 2. Eyes on the street: a minimumo 12%o each street facing facade must include windows or entrance doors. Percentage Shown: / l 0 3. F�ntrances: At least one entrance must meet both of the folio ng standards: Ili(/Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45` from street, or open onto porch Entrance opens to a porch: Yes 0 No ff s,all the following apply: rc5 sq.ft.min. l/21ne street facing entry ft.max. roof above floor of porch 56ft. depth min. 30%min.porch roof coverage 4.. etailed Design:All buildings shall include a min.of five ofe following elements on all street-facing facades: {Q IP.vered porch min. 5 ft.wide x 5 ft.deep LvJ Recessed entry area min.5 ft. wide x 2 ft.deep 1tall offset min. 16 inches ❑ ormer min.4 ft.wide QRoof eave min. 12 inch projection ioof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design O Roof pitch oriented south min. 500 sq. ft. �❑ rizontal lap siding nun.3-7 ft.wide El Accent siding min. 40%of street facade I/d'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 0 Attached garage is 35%or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No oser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No(Check one): ay extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. vir May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ILJ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: ______i44___ Approved By Planning: `��e. Date: 1-Building Forms BIdgVe,mnR v.. RLS RT 031415 doc. n CITY OF TIGARD446 MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00179 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S 106DC09400 Site address: 13765 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 94 Lot: 94 Project Description: New SF. 8/4/2016: REPRINT permit to ADD 2nd water heater. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1259 sf Required Basement: 0 sf Left: 3 Height: 32 Bathrooms: 3 Second: 1658 sf Parking Spaces: 0 Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right 3 Detectors: Yes Total: 2917 sf Value: $349,615.31 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 0 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Natural Gas Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 p 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: Square Feet: SF VB R-3 2917 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET RD,STE 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,090.44 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 R -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: f14 /y`P,G-fe''7 7C-'V Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. a CITY OF TIGARD MASTER PERMIT 11111 a ; COMMUNITY DEVELOPMENT Permit#: MST2016-00179 TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S106DC09400 Jurisdiction: Tigard Site address: 13765 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: 94 Project: Polygon at West River Terrace, Lot 94 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2917 sf Value: $349,615.31 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel 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 addl 500 sf: 5 201-400 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 2917 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: $33,003.42 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: Permittee Signature: OA/ /)G/C`f—/�Q ' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. a 7-- 9/ Building permit Application ,tt Ls 14 FOR t)rr►cl_ 1 �► tl�l.� MAY 0 2 2 016 D y '(I Penni'N°ofd i6-f0,,. //f9 14 City of50 Tigard Plan Review other Penn;k. /o2F//6 -/e/9/ 13125 SW Hall Blvd.,Tigard.OR 972 , �� !f�`�� DateB . / �,u;s: B Sec Page 1 for Phone: on Line: 9.41 503.5981 L Date ReadyBy: �/O �� 81 SecPag 2 for .on jnspection'Line: 503.639.4175 4y 11 t LIni r I .> O Notifed/Method: v I .c' .:.' Internet www.tigard-or.gov R,..,f r LL /G— i%1/G/rC.. . _ . ,_.. - Permit fees*are based on the value of the work oimed. __ 0 Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction equipment,materials,labor,overhead,and the profit for the lacemtmt Other work indicated on this application. 0 Addition/alteration/replacement , _ '. -.-�: ". „_ ,_ ..- . Valuation: ® 0 Commercial/industrial 1-and 2-family dwelling Number of be. ooms: 0 Multi-family Number of bathrooms: ,3 ❑Accessory building ^ 0 Other }v� ❑Master builder m ,--,-----77----r; Total number of floors: 2 r,.1----- - •-- y { <7.;q ;:t 7 z s e,6. u S it _._ -t- _-. .3._.._....•''. square feet r . ,_ - I New dwelling area:) Job site address. i Garage/carport area: ��(� square feet City/State/ZIP:Sherwood,OR 97140 orch rea: Z square feet � overed � a= Suite/bldgJapt no.: Project name:Polygon at West River Ter C1A1 square feet Cross street/directions to job site: Deck area: square feet Other structure area: '� q Lot no.: di 11111Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this .•'licatiaa � Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet r §,,, P', of stories: r Number Type of construction: Name:Polygon WLH,LLC Occupancy groups: Address:109 E 13"Street Existing: City/State/Z1P:Vancouver,WA 98660 Fax.(360)6934442 New: Phone:(36095 7700 R , Business name Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13"Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Fax::(360)693.4442 ' } _ Phone:(360)695.7700 E-mail:maggie.gordon@polygonhomes corn Commercialand residential prescriptive of installation rooftop mounted Photovoltaic Solar Panel System /— Submit two(2)sets of roof plan with connection details Business name: ''40/1..L/f L �N /V A and fire department access,along with the 2010 Oregon Solar Installation S.•cial Code checklist. Address:109E 13'a Street permit Fee(includes plan review $180.00 and administrative fees : City/State/ZIP:Vancouver,WA 98660 $21.60 Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): B lir.:207247 Total fee due upon application: $201.60 This permit application expires if a pe is not obtained within 180 days after it has been accreted as complete Authorized signature: f�� *Fee methodology set by Tri-County.$uildmg Industry '� Date:12/11/15 Service Board. nt name:Maggie Gordon _ +ing\Permits\B1JP RESPermitApp.doc 02/242011 440�613T(11/OIJCOM/WEB) 3 `. 1 1 Electrical Perisait Aellic.a.14io •r. 0 2 7 r1 16 ,i.1;,, 11'1 i •,t ,. ClitYofTa retrdl . P«on°. fir, #r .. 13125 SW Hell Bird.,Tigard,OR 97 t n c("_s 'I 1,to , te Phone:503,710.2439 Fax: 503.19;1:96m .., ., Related Pomo-10; 1n pcation t1ne: 503.639.4173 -3 '1'11 04,04, a,,,iz la see s Cot t � I c FT w1.1 x '�-! 1' ��' �&!. [e btie!'tter lYwlvtigatd�Or.QOY k;�J��y� � ..� ` NM`ttodlMetLo3: fnEoemation cts !1. .- a ..moi.." ®) w oonslruotion ❑Md1tion7aiteratioti replacrnunt ileac dwelt ell that apply(aru.a l mg.althea itnw a.wtea): ❑sameo of reeder400 mays or more DB.ild.gwattaee modes. ❑Danolstio4 (]l er I .,� , r .. .d,ere the fault raareal []Kfasauit,.dbOatY+r : !,41',"--.7;2:;:' ...�,� ,,,,�,��C��' �t$�`I��rJ�'��Of�S'11CtJ1GUUN, ,, e*cCeda ioaoomaps a ISO wars m 1]Fbetata}i� p. �' 1-and 2-family dwelling [j Commerciallinduahial 0 Accessory building teal to around,a-r mmed:14,000 ❑toMmemixl•use'gan'a°ca ❑Mill-family ❑Master builder ❑Other. Reap°ratlN6viast.a.tioas. uaUutsa ❑Fimop ❑is shUitiou arise KYA or %4 304 Sri%itt4i0104ATIONST AND LOCAT1oN CEEmergeaoysystem. Ina sepeMtetyderi ai t Job t9: Job site address ^�'} { y j-3r l"r ❑Addition of now looter load or m te,a. tJ +.l?5 i...`J 4 1"3 t{,i; 10014P or tome. Cl'A,"0•;'R?","ia", City/State(ZlP.Sherwood Olt 97148 Cl etc or more residential tools. oaopa,oy. ❑litokh-eaea1rus. El ,: rai SuitcJbldg./apt,it: ProJectname: Clttara<dousiocatomr. []aupplyrotbgeformore flout Ctossstteetldirectionstojobsite -,l�Senior orhaler 600mpsormom �wlunam ai. As sdiaa l , �y� New dential sib or multi-famltydwellingoak. 1 ' Subdivision:River Terrace Lot d: .�i.A Unlade,attached gam Tax.map/parcel 8: 1,000 sq.tt or less 168.54 4 ELadd`l500sq.ft.orpmliaa ,c'''' 33.92J i ,, ." ." DESC 171110N Of'WORT{ Limited energy,residential ) 75.00 2 New Stogie Fatality (with above sq.it,) Limbed enemy,inuld-6mib• 75110 2 reser(Will strove sq.L) Renewtiblellowrov Cl Saltage2 t 19 F.F,OI 'li O 1 [3 TENANT • Setvicesorieederainstailationtalienation,anal/orrelocation ` Name,:Polygon Homes 200 amps or las 100.70 2 Address:I09 g 13th 5t 201 amps m 440 amps13356 3 01 amps to 640 amps 200.34 2 i City/State/ZIP:Vancouver WA 98660 601 aalps to 1.000 maps 291.04 2, Phony(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary servias or.feeders Installation,alteration,and/or relocation t Owner installation;This installation is being made on property that I own which is not 200 amps cr less 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ampx to 400 amps 125.08 2 Owner signature; Date: 401 nmjn to 599 amps 168.54 2 APr rcANT 1 .0 CQN'(ALT PERSON grouch circuits A.Fee for blanch citcuitsbith Easiness name:Garner Electric Washington,LLC above-serviceor feedertee. each blanch circuit 7.42 2 Contact name:Bill Daniels D.Fee for branch circuits without Addrevs:6101 NE St Janna Rd branch circuit fee,first 56.18 2 lrmtdl,rrarit City/StateIZip:Vancouver WA 98661 Each add?brooch clean,[ 7.42 2 t MisFcli*neaai(service or feeder not included) Phone:{253)320-$57 Fax::( ) Eacb mmtufacbued ormodt dttzR Reconning ect rtcearuVorfeaiec"y 678 6724 2 t Email:bdanieis@gweusa.com 4 2 :,„ , ,,, " CO v RAmit • ?mop or irrigation circle 67.84 2 Business name;Garner Electric Washington,LW Sign or outline lighting 67.84 2 Address:61011E St Johns Fad Signa, terod(s)orSiO..neared-energy ❑Seeiige2 2 t+attal,>dttaa6on ore><twstal. City/State/ZIP:Vancouver WA 98.661 • Fath additional inspection over annq ab a is spy of ibe above Additional inspection{7 hr min) ' 66,25/hr P Plione(233)320-1657 Fax:( ) Jnsetigatbxi(l brmkt) eat/Win 1 Email:bdaniels®gweusa.cont Jadustrialplant(I tuts) 7Rlarkr i Inspections or rhtoh ao eco is 90.0(Y hr CCB Lie.: CI 158 Electrical Lic.:208174 Supri.Lie.:44965 specifically lined(54hrmat) tE4 04--PE „ EIS.: Supty.Electrician signature,required; pt Le Subiota: Print nettle:Joan P Albert Date:a J t 1\l0 ❑Plan Review Required(2571.of penoi tack ter' State sung:arga OA of permit feet Authorized signattufe: TOTAL I'ERM1T F8 j e � ^ Thea permit Spplicatoa Crpispt ifs pennita oat obtained within 180 t Print name:Bill Daniels Date: V^ p 'W u 1_ dap,*[tern itu bees accepted as eamplete. • Number of iaspeetioas*sowed per permit. L'BedtAalPamitsl6LClnnutrtgo EL1t_E5E.doo Rev 06/170015 440-161S1r1thsCON/waa t • i 1 t I. 1 I 'a 5 4 i • Plumbing Permit Application: 's c/it. L' `> _ Building Fixtures Received City of Tigard �n ' Batey Permit W/7 13125 SW Hall Blvd.,Tigard,OR 97223 ,'�V Plan Review C Phone: 503318.2439 Fax: 503.598.1$6Qr 1 Date/13y: Other Permit No.: inspection Line: 503.639.41754 a Date Ready/By: auris: M See Page 2 for I I c \I DInternet: www tigard-0r gov i? 1 r f '.1' ' ' Notified/Method: Su;lemental Information t ,er- F 4. ,'66.4,...4::`6' a. y- ', t ' 'err° p .y 1.,w a n -'"";-*4114;4' ''e' `" ,. ',: .r` g g g -:,``::'!':41-.:::4,.'i1 �w��" For special information use checklist ❑New construction III Demolition Description I Qty. I Ea. ( Total ❑Addition/alteration/replacement El Other New 1-2-family dwellings(includes 100 ft.for each utility connection) „, $ " 1, n w' L •,,-.:‘ SFR t bath 312.70 _.. _ rax, �. e r1 � � " , .ma. 5FR(2)bath 437.78 U 1-and 2-family dwelling U Commercial/industrial SFR(3)bath I 50032 El Accessory building ❑Multi-family Each additional bathtkitchen 25.02 El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 r i4 a w a d f; '1)-7%1=1'4 Bt' l .ki ;4 X-`ser: Site'Whiff": Job site address: ( 4 1'3: / A Catch basin or area drain 18.76 ] \ , /l� Drywell,leach line,or trench drain 18.76 jh A� City/State/ZIP. GQ T /1-1`1 Footing drain(no.linear ft.: ) Page 2 Suite/bldg/apt.no.: I Project name: V(:)\1 5V (Lt Manufactured home utilities 50.03 Cross street/directions to job site: .1 1(7I 1f _Manholes 18.76 '� ."`"C Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Y Fixture or item: Tax map/pareel no.: Backflow preventer 31.27 .r. :.,.. i . _ � ... ..� � . , 12.51 F • Backwater valve tea �., , '� - ��rt � .�. � - �.r � ^ s 1- Clothes washer 75.02 n-e_LJP1u,_r \..1Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 -r,�...�_rh�'.. __ -i2 �.� a w �.° `. ,',"*-1::: 47.:6'-`6 r pa- Expansion tank 12.51 .,,,,,,,r,„..,...,,,,,,,,,,,,*.. s d .s - _ , ss * Name: Pp l i () lr c\�^L�1 - Fixture/sewer cap 25.02 `" \ Floor drain/floor sink/hub 25.02 Address: i a J1 ' e-)k Crarbaee disposal 25.02 City/Statc/Zl):: V 1 DCV`f A q f514.0 0 Hose bib 25.02 Phone:(N of q `]. t+0 Fax: • ,[ k0 I . `'1 Q� ice maker 12.51 r :: r a . - il " `� ‘ lnicrc mr/ cast trap25.02 [�� Medical gas(value: ) Page 2 Business name: K1,,..y,t t'.L'-r,r ,,,,,.� �j j 1..11_, \f'si y,}be\ L r Primer 12.51 Contact name: t ei viz IL r1,4 .-Y,,p,-(t.) Roof drain(commercial) 12.51 Address: P t Y4-. 1-Tt Sink/basin/lavatory 25.02 City/State/ZIP: ��I..e ihAr1\ '1 042,.....C 7(5D Solar units(potable water) 62.54 � Phone:A-)1 ) sup� " r g f$3 Fax::( ) _ Tub/shower/shower pan 12.51 E-mail: I� Urinal 25.02 ' ' • Millis • r oo a► e,•,r ... . , • x:`., of a , ..: . 'rte ` z ,..-:,...'.1'. . ..�. T "t.,r,.. Wath closet 25.02 ":.;'�:. . a i . - L;a:�..:,__'s's..2.,x....'al '. ' i %r.x 1,` Water heater 37.52 Business name: i_..yl t T k .tom,r.t.,A )(LA YY 1� i t t , Water pipirtg/DWV 56.29 Address: Po C�DI_ 1:2)"7 c } Other. 25.02 i City/StaterLIP:C,)-C..shet.-M Cri C( - Subtotal Phone:(971) C>1..0 .t /13 Fax:( ) Minimum permit fee S72.50 Pian review (25%of permit fee) CCB Lic.: Z()(, 4 2- Plumbing Lic.noFe f u( 2- State surcharge(12%of permit fee) Authorized signature: / TOTAL PERMIT FEE ��/ ,„ This permit application expires tf a permit is not obtained within 180 days Print name: ma y �/ . C u c e itA1 7 t Date .a9 (/ if, after It has been accepted as complete. 1 *Fee methodology set by Tri-County Building Industry Service Board. I:1&rildiD 'Snnita\PLMU-POmitApp.dc 10i01:49 44O-46t6T(10A1'COM/WEB) ,.., Mechanical Permit Applicafitht— , City of Tigard ,ri r , • 13125 SW Hall Blvd.,Tigand.OR 97223‘01-,' ", - Phone: 503.718.2439 Fax: 503.598.1960 „ , , Date, Inspection Line: 503.639.4175 Internet: www.tigard-or.gov '„i 1 ' •' Date Readyitty; • -, , • 1 , Notified/Method piDotRece:rIBLdyy Pennit No _c7-Ae/6-e9,9/7 Other Permit: Joris la See Page 2 for Supplemental Information .,' Mechanical permit fees*are basal on the value of the work (20 Neu construction U Addition/alteration/a:placement performed,Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value S - • •'.,'2. :- •-'-'-'7'..t°7t,*EE;01117t!*:tti-ttetiltittl-64.:;;;:';;;;::i:it';-- 1'::.'-lit :'`.1-:;:::•,..i.':,--3:-:- -,'A-1,,,q-, .A.,+. ii'-'..;' : '7,---;i' ..: 1 t*'.;-i - ','; 7.:, '''',.-:•„:.^.--..,:‘':, Ei I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special lajormatioa use cigarillo. 0 Multi-family 0 Master builder 0 Other. Description Qty. Ea. I Total Heating/cooling: JNFR''-#4)4titA,TIOt'- *40'- '140164,-.,.,,,,,, : -,i .';'-..; ,= — ' " •"'"'""• '''' 4'''' '-' A ,,' ''' ' ' ' Air conditioning 46.75 Joh site address: tq't (O,,- \-- -p __, \-u-k Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: r\SL/cs‘A,1-0 OCI. OR k-i-3--\\-10 1 Furnace 100,000+BTU iduaVvents) 54.91 lint pump 61.06 Suitelbldgiapt.no.: Project name:..pe 1\ Cty-fl cd- Lk), -L-1.7.- Duct work 23.32 Cross street/directions to job site: OiLtivilc_to Ilydranit 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:River Terrace Lot no.: e?y Other fuel appliances: Tax map/parcel no.: Witter heater 23.32 ,7 ,,, ,,i,,.,,,-attr,‘,#Y-Lti:,'A t:,....Z.';':r,-:;.'-:-;°r'' -'§ 4::'-7: .'''•.-tat::°"0-',,-4X*4—, .„.„,"'-',,;ri.-1,..r•ox.,,,,,„,,,kr,41., Gas fireplace/instal 33_39 ' --:''` —-" -""- ' ''''''''''''*•-•"---r.- ' ''"' '''''''-`" -"'"- --- "''''' - ' — '`'-• Flue vent for water heater or gas • HVAC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 _ Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 23.32 ',.- '• '"•*''`•' - .r.—"-'11',1"-S"+1,.'4(,--,:-Atmg,pilitiakir,dx,:tz.,--, ,-,..$.:,,,o1 --,,, ....-.iigt.:;-',!• :,,''''''6,,V,.•;_:: ',.„:',1',.''''.^.-2,4*,,fki, -....".. ,.,--;,..4,-. ., --:,---,-* ,-,--t^ ..:-"",•',-. Environmental exhaust and ventilation: Name:Polygon Range hood/other kitchen equipment 33.39 Address: 109 E (36 St.Suite 200 Clothes dryer exhaust , 33.39 Single-duct exhaust(bathrooms. City/State/ZIP:Vancouver,WA 98660 toilet compartments,utility moms) 23.32 Phone:(425)586-7700 Fax:( ) Attiderawlspace fans , 23.32 °ther: 2332 ' ''•'',.1.,1.'-"'L's•-''.'4 ',Irl''Z's-';:1::°,'°;-.X:;::.'':',,I.,:.;,°::-:;1:'-i'ltr.''''''‘.."-o,44.:'**.',.•.r.'..e.:',;‘,..'; •'',2 i,-,,M'',.i::•*;;„,,t, ,,,*,1,:4„,:,,',,,,,.,,'•',„,,,,,',ZY.,':.:'...7'-Iff,,,,Y,..<••,,,,,-„ Fuel piping: Business name:Apex Air LLC 514.15 for first four;Sa.03 for each additional Contact name:Staci Hay Furnace.etc. Gas heat pump Address:2210 W.Main St.Suite 107-272 Wall/suspended/unit heater City/State/Z1P:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace . . Range E-mail:stacihrajapesairto.com Barbecue , .,;4,-14,,,,,,, othes d el, fas ,-t-,"',:t:' I.,:-,'":„4.0f•'—.'"/V4;:t........;'.4>i,t."1?•,:•: •;.t,":,4.11%V, ';,:"..,‘,,'''',,,,4;`,*,,,,git .,,-,:',^',V,z.,,,e,..-.4.4:-,ve;l' a rY ( ) Business name:Apex Air LLC tk41--1° ' •'''. ins*thwittliodtkitrenthistromr,,,AA-,-, Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Batik Ground,WA 98604 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)342-0109 Fax:(360)326-1769 State surcharge(12%of permit fee) - CCB lie.:203034 . - - • TOTAL PERMIT FEE This permit application'expires ifs permit is not obtained'Otitis 180 . AINIP Agri' days alter it has been accepted as complete. Authorized signatur .'. • Fee methodologymethodologyset by Tri-County Building Industry Service Board F' Print name:Staci bay Date: 1/28/2016 I'414.1cfmg;PcrmersIVIEC_PernsitA.pp.,040 I I 1 dcc 440-4617T I I LtePCOMACIEB) 14 City of Tigard I!PIill COMMUNITY DEVELOPMENT DEPARTMENT T 1 C;n R D Building Permit Review — Residential - ,M1111111111111111111111• Building Permit #: /XS 7-.2-0/L 00/-2 Site Address: / 96A--- gk) /9c,4 /9jV Project Name: it n ca 74 /-6/0771ever i Lot #: c.--/y ng= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /1 1 `/ , _ rify site address/suite#exists and active in permit s em. 721,6 River Terrace Neighborhood: ❑ No Ild Yes,See River Terrace ReviewAddendum Attached Sit lan Elements: 4ree (3)copies of site plan pi FA sting structures on site iito plan must be on 8-1/2"x 11"or 11 x 17"paper IT ootprint of new structure (including decks)with finished 0• awn to scale (standard architect or engineer scale) or elevations '.i'.rth arrow LJ Utility locations (required for new,may apply for additions) 'o7A S. e address,project or subdivision name and lot number R11'r cation of wells/septic systems plicant information (name and phone number) 7, rosion control(including drainage-way protection, silt fence isignf dimensions and building setback dimensions ,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and eet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location VPt roperty corner elevations(2 foot contour lines if more than jsti lng 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: ElYes,applicant was notified No Received: El Yes El No Public Facilitie mprovement (PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake nd Use Case#: aC..)7 S — .��i��6/S C ) E�IeaC� / /Soning: 1 A , etbacks: Front /� Rear l6— Side 3 Street Side Dv TI n Garage c O Ild andscape Requirement: 2'B!1L of Coverage Maximum: Z/LJ uilding Height: Maximum Height 3c... Actual Height o2-9-- 111 isual Clearance fGasements ensitive Lands: E Yes ❑ No Type LOW— gdf,CQ jd2:1- Urban Forestry Plan ❑ Condition `Met"prior to issuance of building permit Notes: Q.11764/$6'913. ----S/24// a�/ii/ 4 Ine:71 `"r .It „re,--/fi7t / tic.?ACI Approved By Planning: • Date: 5:� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:ABuilding\FonnsvBldgPermitRvw_RES_0121 16.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: Enter building permit# above. Workflow Routing: ®'Planning ©'engineering EI-15- ermit Coordinator �I wilding Workflow Sign-off: 8 -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. Er-Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: yr/y`//, Engineering Review LTJ Slope at building pad: Conditions "Met"prior to issuance of building permit El 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: El Yes El No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approve -byFngineerin : Date: Notes: . / Approved by Engineering: 1 -F Date: 5 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: WI Yes ❑ N/A Parks SDC: Yes ❑ N/A Mr OK to Issue Permit - "Ft.axd a-k n 0 nU,t • Approved by Permit Coordinator: C� C ,� Date: S -t V - 140 1: Building vFonnsBldgPennitRvw_RES_0121 16.docx 0 * 4 • City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT a River Terrace Building Permit Review Addendum Building Permit #: /7,57"020/&. 00/ 7 Site Address: /3 —WO /75 Project Name: 144 4 / ,��✓�.- 7J -E .P Lot #: 59— (New dodu`! subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan Distrist'Design Standards (18.660.070.1): Is the project subject to the plan district design standards? r Yes ❑ No 1. Articulation: a minimum of l element per each street-facing facade that has 30-60 ft. of frontage. An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 deep Balcony w/ access 2 Window Projection Vertical Wall fset a ft. deep min. 2ft., 5 ft. wide nun. 2 ft.,6f wide Gabled dormer O 0 ❑ 2. Eyes on the street: a minimum o 12%o each street facing facade must include windows or entrance doors. Percentage Shown: 0 3. F�ntrances: At least one entrance must meet both of the folio ng standards: tiv Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45` from street, or open onto porch Entrance opens to a porch: Yes ❑ No If s,all the following apply: 011(25 sq.ft. min. ne street facing entry ft. max. roof above floor ofP orch 5 ft. depth min. 30%min. porch roof coverage 4. etailed Design: All buildings shall include a min. of five of 1 ie following elements on all street-facing facades: Stovered porch min. 5 ft. wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep /} all offset min. 16 inches Li ormer min. 4 ft. wide I Roof eave min. 12 inch projection IBJ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable, hip or gambrel roof design Roof pitch rtented th sn. OOft. [i ' prizontal lap siding min. 3-7 ft. wide ❑ Acsidingmin 40%of treetfacadeindow 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 facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No oser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): ay extend up to 5 ft. if there is a covered frontd and garage does not extend P 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 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door /YJ 40% max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: l �. ..../<— Date: c/447 F.Building Forms Bldp VermitRvss SOS RT_031416 clock POLYGON /2 NORTHWEST COMPANY April 27, 2016 Mark VanDomelen Building Official City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. IY 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 /i ST /to — p p 7 1 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.Polvgonhomes.com CCB#16687 I POLYGON 1I 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 C'CB#166871 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 13765 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O October 31, 2016 at 10:28:12 AM MST2016-00179 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. Vapor barrier acknowledgement form received. High efﬁciency lighting form received. Blower door test report checked. Insulation certiﬁcation checked. C of O left on site with contractor. Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures .4..... ,,,-,,-( .1---.1 ,, ,.. i,_ Mk 0111( 1 1 1 0\1 \ 13125 SW Hall Blvd.,Tigard,OR 97223 City of Tigard Received Pem»t No.: MS112.0 I(2'.60 I 4. . „....• ,)C. IIIII P 1 b Zglb Date/By. (0/(6)/(Cc p Plan Review : . Phone: 503.718.2439 Fax: 503,598.1960 , , , t t , Date/By Other Permit No Inspection Line: 503.639.4175 CICV (Ti"';''' '''• .' -'''... :Date Ready/By. i, Jura I RI See Page 2 for Internet: www.tigard-or.gov ::.;•i .i.1. ,:,'''...•',7.'',.',"7-' '''' '•'-.'.'''''' '', ''''Notified/Method Supplemental Information flFE OF _ ORK FW SCHEDULE rt New construction 0 Demolition For special information use checklist Description [ Qty. 1 Ea. 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) • •• -. _,...... • -'• ...... .- . ' CATEGOItY OF c61'.: •t4 I i SFR(1)bath 1 312.70 -7-7 PI' 1-and 2-family dwelling I 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 .;"-".! 4-:, ,-. .-• -,,-.-..,,t• s st.- s: '5' AND :.f .,'' `:..,',# ' ; Site utilities: ....- Job site address: % j ) (p SL O 1-750,1 pev-e_ Catch basin or area drain . , 18.76 Drywell,leach line,or trench drain 18,76 City/State/ZIP:Tigard,OR 97224 : - Footing drain(no.linear ft.: ) Page 2 . Suitethldg./apt.no.: Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 1 Rain drain connector 18.76 Sanitary sewer(no.linear ft,: ) Page 2 Storm sewer(no.linear ft.: ) _ Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrraee Lot no.: el 1.4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 . ..... •.,_. „ . „ . OF ., . Clothes washer 25.02 CO n+IUtrif cuti-&1/V2-6C-- Dishwasher 25.02 ----d Drinking fountain 25.02 Ejectors/sump 25.02 Ila.s. : '1:It' I CI'tENANT Expansion tank 1251 Fixture/sewer cap 25.02 Name:ADPL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25 02 City/State/Z1P:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 t,-- . CI,- i'.. ::, 0*,. ' Interceptor/grease trap 25.02 ` Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski - - -H Roof drain(commercial) 12.51 Address: 109 East 13th Street . ________. Sink/basin/lavatory 25.02 ' I City/State/ZiP:Vancouver,WA 98660 Solar units(potable water) 62 54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 ---i Urinal 25.02 E-mail:Angela.Grajewski*polygonhomes.com s-":";;"7,' Water closet 25.02 -,` Water heater 37.52 ! Business name:Alliance Plumbing LLC . Water piping/DWV 56.29 1 Address: 146 W Historic Columbia River Hwy Other: 25,02 City/State/ZIP:Troutdale,OR 97060 Subtotal -1 Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 184601 Plumbing Lie.no.:PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE , Print name:Robert Dishman Date:5/23/2016 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board I lBuildingTermits\PDC-Pet/nit App doe 10/01/09 440-4616T(IMICOMAVEB) 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 13765 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00179 Herb Stabenow 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 13765 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 17, 2016 at 12:51:37 PM MST2016-00179 David Young Dryer duct to have equivalent length identiﬁed on permanent label or tag. M1502.4.5 Dryer duct to be capped and labeled " for future use" if equipment not installed at time of occupancy. M1502.4.6 Will check at building ﬁnal inspection. Note: no AC installed at time of ﬁnal inspection, permits and inspection required at time of installation. Violation Summary: Inspector Contractor