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Permit (46) a 111 CITY OF TIGARD ,/rlik_. MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2016-00180 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S106DC09500 Site address: 13793 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 95 Lot: 95 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1254 sf Required Basement: 0 sf Left 3 Height: 32 Bathrooms: 3 Second: 1655 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 464 sf Front 12 Third: 0 sf Smoke Right: 3 Detectors: Yes Total: 2909 sf Value: $351,093.51 Rear: 15 inks: 1 PLUMBING Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 n Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains:SF Ras: Storm Sewer: 100 0 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 Clothes Dryers: 1 Natural Gas Heat Pump: N Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 ELECTRICAL Residential Unit �-- Service Feeder --� Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 Ea add'500 sf: 5 p W/Svc or Fdr: 0 201-400 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW SF VB Type of Constr: Occupancy Group: Square Feet: R-3 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET Required 7Items and Reports(Conditions) RD,STE 1 Ersn Cntrl 503-639 4175 VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,227.11 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 throug• • '' 9 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Alre Issued By: d Permittee Signature: e7/(r Z---%ell 7()AI 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. CITY OF TIGARDII MASTER PERMIT a , COMMUNITY DEVELOPMENT Permit#: MST2016-00180 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 TIGARD Parcel: 2S106DC09500 Jurisdiction: Tigard Site address: 13793 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: 95 Project: Polygon at West River Terrace, Lot 95 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $351,093.51 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 Rain0 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 Tvoes 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: 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 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,998.25 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: Ore on 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 95 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: �� PG/ed" _ 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. „ ....,..... --r= ".'-'1^........,Pn.. # „., Building P,.. ermit Ap licatio>n�-EC ,...s — = —FOR 0111( I. l til ON1.1 City of Tigard MAY 0 2 2016 �/� PamitNo Y� Q/b Uai. e lil 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /i 1, cj j J other Permitja)”/b �t'�V02.' Phone: 503.718.2439 Fax: 503.598.9 1i OFTIGARD Date/By' `T/ Luria: H See Pale 2 for Date Ready/By f}�(L I Supplemental Information I , iz j Inspection Linc: 503.639.4175 BUILDING DIVISION _Notified/method: �1* Internet: www.tigard-or.gov , /L .771/I't .-- r.. 1 . Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all Other: equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement work indicated on this appli � _ _ Valuation: \-1--• �� _ 1 ❑Commercialfmdustnal ,./..5V ® 1 and 2-family dwelling Number of bedrooms: ❑Accessory building 0 Multi-family Number of bathrooms:4'4A 0 Master builder. ❑Other. 3 3 _ Total number of floors: 2 . -,�-`'' � am• ` � �� New dwelling area: `�� V square feet Job site address: �� C� 1- - `/ '" `�" 1 u „l� Garage/carport area: `-tut square feet City/State/Z1P:Sherwood,OR 97140 square feet Project name:Polygon at West River Ter Covered porch area: ' q . SLS Suite/bldgJapt no.: I 1 ,� square feet Deck area: Cross street directions to job site: Other structure area: ', square feet Subdivision: Indic Lot no.: (-1 -...-.) _-it fees*are based on the value of the work performed ate 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 ••plication. "1-':.....;:,:-:.... - >,,,..1.•.,. �,-..,._.,era �h ,..,,... .,.. Valuation: s New Single Family Detached Construction Existing building area: square feet New building area: square feet T71-1 ,, - Number of stones. f. k`s Pae - s .....�-_ - Type of construction: Name:Polygon WLH,LLC Address:109 E 13th Street Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695.7700 Fax:(360)693.4442 Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installa>1o°of e `c ' roof-top mounted Photovoltaic Solar Panel System- f _ ._ -_. Submit two(2)sets of roof plan with connection details Business name.�e�C /LUf1f1 (��G/11 >�/'7 /A/c_ Submit fire department access,along with the 2010 Oregon Address:109 E 136 Street Solar Installation S. tial Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : 2%of •t fee): $21.60 360 693.4442 State surcharge(1 p ) Phone:(360)695.7700 Fax:( ) g Q AuthorizeduB l207247 signs Total fee due upon application: $201.60 ��(// j This permit application expires if a permit is not obtained signature: ,�° within 180 days after it has been accepted as complete. I *Fee methodology set by Tri-County.Buildi°g Industry Print name:Maggie Gordon I Date:12/11/15 Service Board. I.\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 p - Electrical Permit A! :,lie i,I.f 11 CEIVEI) ' ,( 1 city 0/Tigard Pcmilig; y./1.--.00 ,,,„.--; 13125 Siii Flail Blvd.,Tigard,OR WA° A () ')rii R Pisa Review ' i'; ?ham 503.7142.439 Fax 5t13.5 D fr t_ti w Daleffll. grilled Permit 4: , • hupection Una 503.639.4175 Reedy aste/By: nese 0/44te.Pase.2 for • Internet niewimani-or.govPF TIGAttl) i. )totigesomeasod: . , 1nranaation 44A- 1S1 ev-giaisttimtion 0 Addi .3,1asaa, ehaoh au that aposcsahtatt zataittroata_a.,ikhtaahaahao 1:1Siiiet Of fistler400 sag*°Mar* 0 IiisildierOVOI Mite ViOlitS. i 1 ID Psmolition [3 01h • • wale.thetwiewie faun ammo a irlaneas" an4boaly.ras , 1 ,!..r.,ktArpo ;91?:.00rtoltuctiott, ,,, , , oia.t.' )0000.1..150,ol. . 1::i noftnsktitaiiit.. to 1-and 2-fasnily dwelling 0 Canueercialfindustiiiii 0 Accessory btlilding lento woond,orcoe4004s 14,000 EI comma:tot-me,,wt,,,g,r4 err fora other instaustions. bailtrettn. . Dmitirany D master builder 0 t:ither: Ofireperep. 0'weave°.of lso KvA or iop SitIk liffOilhiA'saoN A/41)LOCATION ClEmotawcx sYstwe• Won separately derived ' 1 °Addition of now motor toad of sysleat. 1013#: Job site address:172;1(1%4S..„\J 1--'2".1r' N‘ _•, 100HP or morc. City/Statel,Z.IF:Sherwood Oil 97140asks 0 ste or eons nssidends1 oserpenty. f 0 St,,1101-04re fie:Pities, 0 Itecroctlickuol vehicle;mks. Suitdblelgiapt II: Project name: Clibeeieiteintotaiieas. 0 Sapp*vollago Ibrmots,Illan iEl&sok*°rimed"!6004sr,p;armors. 600 volts nominal. Cross street/directions to job site: '' EEL so#0`IX4,'• , - I nm.dpd. 1•00., r f I Tsfd i • New residential single-or asuld-finally dwelling wit Subdivision:River Terrace Lot fl:C)çs5 Includes attached garage. i i,e00,se.A.or less 1, 1011.54 4 Tax tnap/parcei I: t Ea.add'i 900 se.ft.lir portion CL-- 3352 1 10ESIC/113TIK)18 OF WO= Limit00004/10,113410011141 New Single Family 1%0th:thew's%tt.) 75.00 Limited energy,mtdd-faraily 75.00 2 residential fidaisheivesq.It.) , • Renewal&EuelltY I:1 SeePage2 r f81,606Eittlt OWNER 1 171 TENANT services cir ream inciatiation.ntereakinontnioe relocation ' Name:Polygon Ifotnes 200 owl.ar les, 100.70 2 Add/ter t09 6 ir,St 201 suitpsto 400 stops 13336 2 401 amps so MO emPs 200.34 2 City/StetetLIP:Vancouver WA 98660 , 601 amps le 1.000 amps 301.04 ' 2 Phone:(360)695-'7700 Fax:( ) Over 1,000 amps or mks 552.26 2 ' Temporary services or feeders ins talbsiteas,altenstion,ancVer Brasil: relor.ation Owner installation:This Installation is being made on property that!own which is not 200*ems or less 59.36 I intended for sale,lease,rent or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Ower signature: Date: . 401 amps to 599 amps 168.54 2 : .' 1 VE101.74T I 'I]coNTAcif PERSON BrInch circuit:It—,lielY,r oittrodod.or extelisIdar Rer Ildilel _ r &Fee forborich tuturtswidi i , Businese name:Garner Electric Washington,LLC above tee or feeder fee. 7.42 2 each breads circuit g Contact name:Bill Daniels it.fee Rirbreedi divine wfifice,t t service drlizder fee,tint Address:610114E St Johns WI brancheireat 5615 2 City/Ststtc/Z1P:Vancouver WA 98661 Eachsiddl tsars&circuit 7.42 2 I- TAistellaficiocos(wry**or feeder not included) Phone:(253)3204657 Fax::( ) Each manaliamred Or MOthibir . , • • • d'Nfaittl„sonde.*andkrfeetier 6724 2 Email:bdanieleriggrreusa.coin Recouped only 67.84 2 CONTRACTOR . pump"or triigition circle 67.84 2 Business name Garner Electric Washington,LLC Signor outline lighting 67.84 -2 k Signal eircali(s)or Ihnited.atergy ,_, Address 6101 NE Sideline Rd Pallet eller-Ado%or exienstre. I. Li sec Page2 2 •Each additional Inspection over atonable in 113/yr the above City/State/ZIP.:Vancouver WA 98661 Additleind iespecticin 0 br min) 66.2.51 lir Phone:(1S3)3311-1657 Fac( ) Inri.stigadon(111r-tan) 90.00/tv ladanial plant(1 hr min) 711.18/hr Email:bdaniels@gwelaa.cona inspections for which no fee is 90.00/lir CCB Lie.: C1150 Electrical 1..ic.: 208174 Suprv.Lic,:44968 specifically listed(161ensisti r,..tt :"• ' -61ze6itte-M.A. ,PEPa'Iltes ' '. ... Supry.Electrician signature,required; ( .reiv p he,c_,t- subtotal: i 11 Print smote:loan P Albert • Date: all 1‘1,0 0 Plan Review Required(25%of permit fee State as go(12%of PelMit-ree 1 ,.---- , Authorized signature: ToTALPI3Rmrr FEE: ' 1 This permit application sespires ire permit Is sot obtni*ed within ISO Print name:Bill Daniels Date: \ 'act 1 Ito Serialise It Its*been steepled ss complete. .. . 14tonbet otisopeotions allowed pet pent& TA01414k0V4m0tar-C_PlanatApp ELP,EREdoo Rev 06/114015 440-ostnOtlitioamvau i 1 I 1 1 II t / 1 Plumbing Permit Application RECEIVE Building Fixtures Received City of TigardMAY O 2 2016 Date/BY: Pcrmitxo.;4/Sre7e/<v-V/eft' 114 13125 SW Hall Blvd.,Tigard,OR 97223 Pfau Review Otlur Permit No.: a "` Phone: 503318.2439 Fax: 503.598.19 Date/T3y: CITY OF it .ARD Inspection Line: 503.639.4175. Date ReadylBy; Tarn: ilif See Page 2 far i i t I l7 Internet: www.tigard-or.gov , s t A onteedIMethod: Su,lemental Information .-. � % '� t Y ` s ` , ,..' '. Sk IN,* 1" t 4.' 1.%1 t ` b ,,„ , q x � T ta For special information use checlitist New construction ® Demolition Description 1 Qty. 1 Ea. 1 Total 0 Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft for each utility connection) 1Wi ,,t'k i :Trig �'_ ' SFR(I)bath 312.70 is :. F. SFR(2)bath 437.78 III 1-and 2-family dwelling 111 Commercial/industrial SFR(3)bath 50032 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: ,, Fire sprinkler( sq.ft) Page 2 �5t. . Site utilities: ��,• ;�- `-. =' ' , � �' Catch basin or area drain 18.76 Job site address: 1 l J 1 `, (� Drywell,leach line,or trench drain 18.76 City/State/ZIP 5�it .( K10 0 t� 0� `' � tt'i-kk-AI l ) Footing drain(no.linear ft.: ) Page 2 Suite/bldg.fapt.no.: l Project name: cal O1r) Ci. vi-e.,. - Manufactured home utilities 50.03 Cross street/directions to job site: ,1 J'Z ) Manholes 18.76 Tl 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.:Ck,I'D Fixture or item: .Backflow preventer 31.27 Tax map/parcel no.: . no. itlill 7 a V Backwater valve 12.51 '° �� °� ��, ,�� + �� ,� Clothes washer 25.02 teW / P`V._(1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 : . Expansion tank 12.51 i� e r -.. ,. �'-t- , Fixture/sewer cap 25.02 Name: PDLI ( �)l/1 '��`, �; Floor drain/floor sink/hub 25.02 Address: n J r, 25.02 '�,U � � Garbage disposal J run(a4.)V Ui v) A `'1 Dom(0 25.02 1 City/5tatt/L1Y: Hose bib Phone:(ND 6 tie 0 Fax: ' ,D ko I , ‘..\ L., Ice maker 12.51 " Interceptor/grease trap 25.02 Medical gas(value:5 Page 2 i Business name: ....%,,..1-q "1.14 ,. -1 : j 1...1`.i . v`t!3t 1.,,,t-1'"- Primer 12.51 I Contact name: NI0 all k-1-1,1 .:4'Y"1'40 Roof drain(commercial) 12.51 Address: P,t .. t?,-7 C=i Sink/basin/lavatory 25.02 I City/State/ZIP: ,; C --)0s-v..) Solar units(potable water) 62.54 ' Tub/shower/shower pan 12.51 Phone: f`31 ) Fax::( ) Urinal 25.02 Email K. .- . .., e -, a At ars 1 � Urinalter loser 25.02 .1 „ " ,',; <i^a � 37.52 ,N�.,��°� ��•i` te:� Water heater Business name: K_-1-.y l r jl Arra!:l.(\ P(tit I'y'r t 1.1(a, t_,t...�. ., -Water piping/DWV 56.29 I .3 Address: po 12,D-i.. 13-iOther 25.02 Subtotal City/State173P:a xSha - Minimum permit fee: 572.50 Phone:(911) i' •• //3 Fax:( ) - Plan review (25%of permit fee) CCB Lic.: 2„C)Co Z Plumbing Lie.no } State surcharge(12%of permit fee) Authorized signature: / TOTAL PERMIT FEE p:_v____ Thispermit application expires if s permit Is not obtained within 180 days P]?i been acceptedas complete. ttPl Print name: M 14344er , rit.A Date j1 afterhas -t"" 1 ` set by Tri-Corm Building Industry Se mice Hoard_ � iI'CC methodology Tri-County _. t:tBmma:at nia=seuti.lxemttApe.ewc'waves 440-616TO0/02/COM Enl % 1 Permit _.. Mechanical Application g(� 'r j� 1 Olf ()1 I It 1 1 .1 t3\1.1 City of Tigard �LJ to !L' B Pernik No, .S /(o.00/fid 114 i 13125 SW Hall Blvd..Tigard,OR 97223 Platt Review ags Phone: 503.718.2439 Fax: 503.598.1960MAY 0 2 2 016 patrsBy other Permit:. Inspection Line: 503.639.4175 pate Ready:Sy: Acis Rt See Page 2 for Internet: www.tigard-or.gov Naifted/Method: Supplemental tatormatien CITY OF fIGARD _ov:, L GDWV1.q comic .:?m;g us::::o r Mechanical permit foes*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. x � Value:S t .. '''. ' r;.3 ;r tea,, li� ' �, ,'�r ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building �� For special Iafor marfn use&ret/ht Q Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total u �� Heating/cooling: ce s,v ..«. . -,-;,04, ,w,. .�, .,. Air conditioning46.75 Job site address: k' ---.1 -/ I -0 Furnace 100.000 BTU(d _ (duets/vents) 46.75 City/State/ZIP: QX'w'' 0 R � \ �/ ` `-I Furnace 100.000+BTU(ducNv«tta} 54.91 (� k t Heat pump 61.06 Suite/bldg./apt.no.: Project name:. l 0 t� �- u ' Duct work 23.32 Cross street/directions to job site: s_.4\t-t(J Hydronic hot water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric). in-wall.in-duct,suspended,etc. 46.75 Flue/vent for arty of above 2132 Other: 23.32 Subdivision:River Terrace Lot no.: "\� Other fuel appniaocex: Tax map/parcel no.: Water heater 23.32 ` :t" . , c t: e, s - x. fireplace/insert 3339 * .. , om., , Gas Flue vent for water heater or gas . HVAC fireplace 23.32 Log lighter(gas) 2332 Wood/pellet stove , 33.39 Wood fireplace/insert 2332 Chimneyflinertfluelvent 23.32 'i,.g ;'" ;r. tn �n .N . -4« ,,8 r `r .32 . , r — ^ _ e *1 £avlroaweatal exhaust sad ventfiatioa: Name:Polygon Range hood/other kitchen equipment 33.39 ' Address: 109 E 13th St Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. toilet compartments,utility rooms) 23.32 Phone:(425)SS6.7700 Fax:I. ) Attic#crawispace fans 23.32 Other. 2332 L��- }ter 'l� ",sn�' ':�.�m ...o,..a.3: , .,._ :^-t, ; Fut•I piping: Business name:Apes Air LLC 514.15 for fust tour,54.03 for each additional Contact name:State'Hay Furnace.etc. Gss heat pump Address:2210 W.Main St.Shite 107-272 Walllsuspendcd/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax: (360)326-1769 Fireplace Range E-mail:stacib®apesairco.com Barbecue '- ,, i*{; x7= alfl''r �'� .e ,.; ', `M Clothes dryer teas) Business name:Apes Air LLC f 'i r ,: :..S.,,:',...;'. . ." '*' I i ` Address:220 W.Main St.Suite 107-272 Subtotal Minimum permit fee(540.00) City/State/ZIP:Battle Ground,WA 98604 Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-€769 State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lie.:203034 This permit application=pins it a permit is wet obtained within i8o 3,; cce days after it has been amused as evmptete. Authorized signatur,' t't ,47 411110 -',`, 4,1----------, f 9' • Fee methodology set by Tri-County Building Industry Service Board Print name.Stasi bay Y Date: 1/28/2016 I,RRwt&nglPmniT MEC_PawiiAt,p_WO113 doe 440-4617T t t i amAraiS Ark V City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT I Building Permit Review — Residential 11c,AR D . Building Permit #: //S Z/6 -- 0 0/ef a Site Address: / 93 so :s 2 "fAp Project Name: 4 , , Lot #: / S (New , along= subdivision name;.Addition or Alteration=last name of owner) Planning Review � � Proposal: lJ `�' /` rify site address/suite# exists and active in permit sem. River Terrace Neighborhood: ❑ No pd' Yes, See River Terrace ReviewAddendum Attached StPlan Elements: ree (3)copies of site plan I1 Ct sting structures on P4e plan must be on 8-1/2"x 11"or 11 x 17"paper IF ootprint of new structure (including decks)with finished 0• awn to scale (standard architect or engineer scale) or elevations 7. .rth arrow LJ Utility locations (required for new,may apply for additions) 74 S e address,project or subdivision name and lot number X11'/cation of wells/septic systems plicant information(name and phone number) V. rosion control(including drainage-way protection, silt fence isignt dimensions and building setback dimensions/5 ,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and eet names i 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 11 sting 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: ViYes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Vand Use Case #: P C)7S_ fi66 /S ning: IC--9. Fbacks: Front Aa Rear s Side .3 Street Side 8 Garage (J �andscape Requirement: ot Coverage Maximum: Q % ig :uilding Height: Maximum Height 3S--- Actual Height o7?- 'isual Clearance cements ensitive Lands: /Yes ❑ No Type L o—Volo•_ / /')Urban Forestry Plan ❑ Condition Met"prior to issuance of building permit `rl6 Notes: � 7it*Y�4 �/�/f` h rite} rx' 7it �fi ,/ /.. Li62,ieI Approved By Planning: << Date: SM Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw REs o12116.docx Building Permit Submittal Original Submittal Date: -‘7. 2//� Site Plans: # Building Plans: # Building Permit#: ®'Enter building permit#above. �� Workflow Routing: 0-Planning Engineering ©-'ermit Coordinator LT Building Workflow Sign-off: 2.-Sign-off for Planning(include notes from planning review) Route Application Documents: Et-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: Engineering Review lope at building pad: LIU/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 E No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved b Engineerin : Date: • Notes: ��'�''�. '� Of a � 140--ftdd : Approved by Engineering: _7 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: El Yes ❑ N/A Tigard Trans SDC: . 1 Yes ❑ N/A Parks SDC: 12 Yes ❑ N/A OK to Issue Permit -Tr-z)w nda+1 v f\ o Approved by Permit Coordinator: Date: 5 - t U - 1 b I Building'Forms,BldgPennitRvw_RES_012116.docx City of Tigard IN T ■ COMMUNITY DEVELOPMENT DEPARTMENT T G n a n River Terrace Building Permit Review Addendum Building Permit #: /LfS-7;9-0r(o aQ/Fd Site Address: /33-93 S ) /. -i4 Project Name: POIV l, , '�✓-i- 76to 012 Lot #: S (New d �p=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan Distri 21 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 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 Offset a ft. deep nun. 2ft., 5 ft. wide min. 2 ft., 6f wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimu f 12%of ach street facing facade must include windows or entrance doors. Percentage Shown: - CJ o D 3.trances: At least one entrance must meet both of the foil.. ng standards: ax. 8 ft. setback from long t street- facing wall '4 Parallel to street, angle no more than 45` from street, or open onto porch Entrance opens to a porch: Yes ❑ No s, all the following apply: sq.ft. min. If s, ine street facing entry f(�1 ft. max. roof above floor of porch ft. depth min. 30%min. porch roof coverage 4. I •tailed Design: All buildings shall include a min. of five of e following elements on all street-facing facades: r 'overed porch min. 5 ft. wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep fall offset min. 16 inches ❑ rd ormer min. 4 ft. wide [ Roof eave min. 12 inchon ro�ecti ►/ P 1 oof offset min. of 2 ft. ❑ Roof shingles either tile or wood (able, hip or gambrel roof design ❑ Roof pitch oriented south nun. 500 sq. ft. horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade a/Window 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: N closer to front or side lot line, than longest street-facing wall. El Yes No. If No (Check one): J ay extend upto 5 ft. if there is a covered frontporch 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 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 1• 2-foot-wide garage door . 40% max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: — -` Date: S/27/fie IBuilding Forms BIdgPermitR'H RES RI (01416 dock 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 MST /(o 001,0 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 ('CB#166871 POLYGON /� 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 ccs#16687 I Plumbing Permit.Application Building Fixtures RECE I City d€Tigard Rccxiwd o Date/BV ' Permit No. �%®?fJI°(p �QQ�P 11111 ■ }3125 SW Hall B(vd.,Tigard,OR 97223 2 .._ Q) I Phone: 503.718.2439 Fax: 503.598.19601 U N 3 2 0 16 ('"Review D.. /3ydl: �iflgo PamirNo.:inspection Line: 503.639.4175 loris: a Stt Nge 2 torTfCARLCITY � g t C NDntt eRx� iliod Internet www tr$and orBov , Suppkmentallnfo rm tion toil,opt w DM' MSIO )r*SC ew construction ❑Demolition fors, int in rsrarion use checklisl --- _ ❑ Addition/altcn►tion/replacement Other: Description_ W2111 Ea_ Total. n New1- 2-family dwellings(includes.100 ft.for each utility connection) ;•CATEGo OO"cOS .fold SFR(1)bath 31170 1and.2-family dwelling _ 0 Commercial/industrial SFR(2)bath 457.78 Accessory building SFR(3)bath 50032 0 Multi-family Each additional bathrkitcb en 25.02 ❑Master builder 0 Other _^_ Fire sprinkler(_sq.ft.) Page 2 JOB;•STT TI!t1ci3ltMAT'1O( A1iD 1GOCA7(1(ON Site'Walk sr Job site address: /.3 f 93 _cod i-75-,..--v•-• /1-1,...g.-- Catch basin or arca drain 18.76 City/State/ZIP: P: Dxywe11,leach hoc,or trench drain 18.76 n Footing drain(no-linear ft.:_) Page 2 Suite/bldg./apt no.: Project name:/`"r7 L 6 1..?"/ �% 0,"' r / Manufactured home utilities 30.03 Cross street/directions to job site: 4)65 7-/2/l4--,.. 7-472,0`0['_C Marholrs l8-76 __— Rain drain connector 18.76 Sanitary sewr(no_linear#t_: , ) Page 2 — V�M �� e Storm sewer(no.linear ft.:_) Page 2 Water service.(no.linear fl:_} Paan 2, 1 Subdivision: Lot no.: 95 Fie or item: ax map/parcel no.: Backflow preventer 31.27 Backwater.I9�SCRIp''�1ON EDF�W�D* y� � 12.51 �9/�Gl✓ 25.02 C /pL�r,£fA16— C0A///Z1-e_�A... Dihwasher 25.02 Drinking fountain 25.02 . Ejectors/sump 25.02 ' .::.OI'ERTY.:OV!' lER T'E1VAN'i' Expansion rank 12-51 /�.d L if 7//,� //e46/A/61 4-4' Fixture/sewer cap. 2102 Address: ""'^ Floor drain/floor sink/hub 2s_02 Garbage disposal 25.02 City/State/ZIP: Y Hose bib 2102 — — Phone:( ) .-�.,,,`�" Fax: Ica maker 12.51 APPLXCAFVI` U 001ArG'�';:P1 RSQI Intetcepror/greasetrap 25,02 Business name. /od .y6 p,'-J L�� 1 L .., .. Medical gas(value:S ) ' page 2 ::nceoamr / v Pruner 1251 Q6vEk7c'/ /y / Lam. /3 '- s J Roofdin( rcial) 12.51oss: ...� Sink/basic/lavatory 25.02 City/StateZIP: �,��u��- � �� Q Solar units(potable water) 62-54 none:(360) e 9S-- 7 7e G7 .Fair:::40)6,p /3 - ggy'w1 , Tublshower/sryowrrpan 12.51 Elnall:IIAT • ,- Zj -/ Urinal 25A2 s O�yGP /Ve'r CO tTR QR uratr3r otoeet 25.02 l3trsi less name: At.cr j Kt,tl EE f Waterheater 37.52 Address: C-f>r!!'3L/JL7 Waterpiping/DWV 56.29 t+• .... A 8 - - W ,r i i O !C * : A -' Other: 25.02 City/smte/2IP: r'G aroe L p‘ q 17 64 _Subtotal Phone:.(50 )_14/ 3`t/0 Fax ( 33) R i 2_to 4 68 Minimum permit fee: S72.50 CCB Lie.: g(/t pl 0 Plumbing Lic.no.- Ip 8 a 5 Plan=view (25%ofp«mit fee) 7 State surcharge(12%ofperm,ir fee) Authorized signature: / // ,_ � ! f/ TOTAL PERMIT FEE Print name: d li , job t , Date: /I �Y� This pernpr ayplieat au eXI*r$if 4 f ermit(c not obtauned..tib m l fl days " .. ___ after it bas been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Bos t1. l:t.BuildingTerrnilsTf EI-PcrmirApp.doe 1M01,09 .rio..wlgr(r0,02.00?MAtryG) n..y'� .A i`?//J PSC- .1 `f vs': V 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 13793 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00180 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 13793 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00180 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Vapor barrier afﬁdavit form received. Blower door test report checked. Insulation certiﬁcation checked. Note: contractor changing handrail in garage adding ﬁnger recess. C of O left on site with contractor. Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures ()I 1 II I •••1 City of Tigard Received Datear 7//y 177 Penall14°'://-S7-4.20/6-000,i "- RN --- • •13125 SW Han Blvd.,Tigard,OR 97223 0. Phone: 503.718.2439 Fax: 503.598.1960 PlInRevkwy, Other Fatah No.: Inspection Line: 503.639.4175 pate Rcadrey: krill: I Pow Page 2 tar Internet www.tiliard-erVe Notified/Method: Supplemental wont:soon P.4f,:.r.f•- ?:• ,•,,-, •- ••• 11*-01?- - • • - • " •;j:.• "•••FEEi-S CIFSVik,';',.74• •!;•t:P•=Y1'; 0 New construction 0 Demolifion For egtecie/InfonssattUrt toe eitedifat Description Qty. t Ea. I Total 0 Addition/alteratkm/replacement 0 Other: New 1-2-fant0y dwelhngs(inchtdes 100 itfor each utility connection) : .• .cogGogy cvNentitrggiii• , • SFR(1)bath 312.70 0 and 2-family dwelling 0 Commercialimdustrial . SFR(2)bath 437.78 SFR(3)bath 50032 0 Accessory buildIng 0 Multi-family Each additimud bathficiWiten 25.02 0 Master builder 0 Other: Fire sprinkier sq.(t.) Page 2 • .• ,: 0,SITE INFORMAtION ijjvj•LOCA7fION Site utilities: Job site address: 1 3-7 c 3 $1l) 17 f)i-f) 19 ye, Catch basin or area drain 18.76 Drywell,lear.h line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: J Page 2 Sufte/bIdgJapt.no.: J Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear f1:_j Page 2 Water service(no,linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: t7 5 Fixture or I Tax roapIparcel no.: Backtiowpreventer 31.27 DESCRIPTION Backwater valve 12.51 OF WORIC • • Clothes washer 1111111 25.02 * A •tlWMPTlldAillraaErj Dishwasher 25.02 IP Drinking fountain 25.02 Ejectrus/sump 25.02 "PROPERTY await I ' ra Triton' Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor slok/bub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State2W:Scottsdale,AZ 85258 Hose bib 25.02 Phone (6(12)694-4031 Fax:( ) Ice maker 12.51 . '; APPUCANT CI CONTACT PERSON IntereePtee/glease trap 25.02 Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Prima 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7708 Fax::(360)693-4442 InhIshinverishowes pan 12.51 Urinal 25.02 E-mail:Angela.Crajewsld@polygonhomes.coni Water closet 25.02 •R CONTACTOR • ' • Water beaux 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 5629 Address:PO Box 207 Other: 25.02 City/State/BF:Banks,OR 97106 Subtotal / Phone:(503)3244759 Fax:(583-)324-8580 Minimum permit fee: 572.50 Plan review(25%of permit fee) CCB Lic.:102535 Plumbing Lic.no,:34.276PB State surcharge(12%of permit fee) Authorized signature: C__ TOTAL PERMIT FEE I Print name:Carolina Malmedal Date:04/25/2016 I The permit application expires if a permit is net obtained within NO days after it bas heat accepted as(*wiggle- *Fee anthodolosy set by Tri-County Banding Industry Service Board BetiadiampermitgotbeUt.ptereimpp ODD 10/01/09 4464616T(10An/COMMES) -- 0, S.'