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Permit a CITY OF TIGARD MASTER PERMIT 111 s . COMMUNITY DEVELOPMENT Permit#: MST2016-00186 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S106DC07500 Jurisdiction: Tigard Site address: 17349 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 75 Project: Polygon at West River Terrace, Lot 75 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 20 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $229,907.50 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,475.65 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 0 952-001-0�09j. 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: vvv`rte— Permittee Signature: , T,(/ �P/e'u e/77.76"1 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. r , get, /69 Buildine Permit ApnlicatiaRECEIV •_ 1 - ,-, , .. I l)R 011 1( 1 l 5E:t)N1 \ City of Tigard AY 0 4 2016 DR s�/ 'lV- .....„„,„,_,20,,,p,.� /�� ec a 13125 SW Hall Blvd_,Tigard,OR 94 Pim Review L � Other pe / 02 /(r/6/n/y4 N Phone: 501718.2439 Fax: 503.5 �y Date/By: r8 Inspection Line: 503.639.4175 i�Or 1 jf%1 D Date Ready/By: rnrfo: to See Page 2 for t to t t interne: www.tigard-or.gov �:�//0 /6 ..., Supplemmt■t Information BUILDING DIVISION ®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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. � _ �• =• :` Vahration: $229,908 © ®1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 4 ❑Accessory building 0 Multi-family Number of bathrooms: 3 ❑Master builder ❑Other: 2 -- = t !.,.,,t."„:•;_1,,,,,c C ,6 t C \I f, f t Total number of floors: as 9 - - — • New dwelling area: square City/State/ZIP:Tigard,OR 97224 Garage/carport area: 437 square feet Suite/bldgJapt.no.: Project name:Polygon at West River Ter Covered porch area: 77 square feet i 0 49 Cross street/directions to job site: Deck area: square feet )0 1 Other structure ire area square feet Lot no.: Permit fees Subdivision:Polygon at West River Terrace •are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: S Existing building area: square feet New building area: square feet L Number of stories: Name: ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road icy groom: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC Stnictural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13t°Street fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax::( ) I onhomes com _., Email:A Ia.Grajewtsl�po yg n. � Commercial and residentialprescriptive installation of • -.-1- r 1 Ft; - - � _ -... 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. Permit Fee(includes plan review $180.00 My/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 / Total fee due upon application: $201.60 / Authorized signature: ,,,,s y"U_ t��/�/iv This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. r } lie *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: ''7 jd Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.46131(11/02/COM/WEB) DECEIVE 1 Mechanical Permit Applicatio 1 OR 01 1 1( 1 I ',I ()\L\ City of Tigard Received may` �, ' it MAY 0 4 2016 1111 II 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit I"1<;' i l> Inspection Line: 503.639.4175 ,`• Y O F f I( R pre Ready/BY; Jwic la See Pagel for Internet: www.tigard-or.gov 1„I OF I IyV Nad5edMfetbod: Supplemental Information i 1 D�VISII _ .:Mechanical peanut fees. are based on the value of the Work ®New constnsction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ® 1—and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special infornmtfon use cheddbt ❑Multi-family 0 Master builder 0 Other Description I Qty. I Ea. { Total ,, i t,,, i' I r r c Heating/cooing: _ , . _ , . .. .....,. __. .. Air conditioning 46.75 , Job site j4 addressilk' SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) J 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duals/vents -It 54.91 Heat pump 61.06 Suite/bldgiapt.no.: I Project name:Polygon at West River Ter Ductwork 1 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 ' Residential boiler(radiator or hydropic) 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 Terrraee I Lot no.: 75 Other feel appliances: Tax map/parcel no.: Water heater 2332 Gas fireplacJmseat 33.39 ., = - • ' Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 - Wood/peUet stove 33.39 Wood fueplace!msett 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 ` , d ventilation . - _. . —_-- - .. :• Environmental an Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 23.32 Other 23.32 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 Walususpended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater , Phone:(360)695-7700 I Fax::(360)693-4442 -Flreplaze Range E-man:Angela.Grajewski®polygonbomeacom Barbecue Clothes dryer(gas) Oth Business name:Apex Air LLCM Address:18004 NE 72o4 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE r/ J This permit application expires if a permit Is not obtained within I80 ��„_ _�{j/ days after it has been accepted as complete. Authorized Signature: /(j-i8`i�l ti • Fee methodology set by Tri-Camey BuBding Industry Service Board Print name: AAlf jebt)sti4 Date: 4("//f,1),[�Al/ 617r t/2COM/W'F.B) I:�Building\RenaitcV.iEC Pep_aoels.6oc � ' ' RF EIVElf)r • Electrical Permit Anplitation 1 OR UI UICL.t.sl_0y1,1 City of Tigard MAY 0 4 2016 i r � . II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review p,: Phone: 503.7182439 Fax: 503.�a1196Qr 11F �GA�D »•cars RdatedpecmitIi; Inspection Line: 503 639 4175 1 �J Ready 7Date/ey 1 I G i Lr Internet www ttgard•or gov iv! ION Notified/Method: w, • .Z L,ri;L. ,, zs ,''''''"?... .1,..,17 4c, tea '�` -...1;',17,1%_.‘.; :'_ �_,i„- q ®New construction ElAddition/alteration/replacement Please check all that apply(submit 2 sats apiece vv/items checked): 0 Demolition ❑Other O tee Service or fender 400 amps 4r more 0 Building over dune stories. where the available(salt current ©Marinas and boatyards. ',_:, ,•c;.' ,,,,,i1}2 r, riZ!.;_ alCom; "Nat :10)!` --: , ', exceeds 10,000 amps at ISO volts or QFioatingbuildings. ®I-and 2-family dwelling 0 Commercia1liadustrial 0 Accessory building Less to gam.or exceeds 24,000 ❑Commercial-use agricultural maps for en other installations. beadiest. 0 Multi-family ❑Master builder 0 Other. D Pin pump. D Installation of ISO KVA or o a tz ..1:...,t,' n r `-. i` r i. a of L, aF.S,5�c. r7,'- Dfimerpsscysystem• lagersepestelyderived 1,...,7;;:::44',.`i-t.,%- ��v�,z�� ,%-•t-..f- L�.f• ...i��.4 �i..�t.:� �� 2.?�; �?^y'la. Job#. Job site address: l7'3 / 3 tan e'�%ale lid• p Additicx,fiion ofcawmeter load of "A".” City 7_1P:Tigard,OR 97224 D six or more residential umis. p�Y DIS-care/achirias. © o'ud vehicle parks, Suite/bldg./apt#: I Project name:Polygon at West River Ter °Hazardousboas• 0 Supply voltageIbrmons than 0 Service or feeder 600 amps orates. 600 volts nominal. Cross street/directions to job site: - .,`:2-7-:'!:-.:., _, 1 -i "i, a,iEG� r nese laden Qty. Bach Thur • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: 75 Includes attached garage. 1,000 sq.R orless I I65.54 4 Tax cel#: Ea.add'1500 sq.ft or portion 3 33.92 1 _1..r, _•___._.._-,tr)•. hat z 4C21,.,( i ';' l _.._.._,r.. _.. .,•._ . .._1-1 Limited .residential (with,�so.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) I Rerrewabte Energlr El Ste Page 2 1= '{ t-).+ ';'1.,',"E)t - '.3.-,,:.---'0:-,---- • Services or feeders insbrltatiou,alteration,sad/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 1 100.70 _2 • Address:7600 E Doubletree Ranch Road 201 amps m 400 amps 133.56 2 401 amps to 600 maps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) over 1,00o amps or votes 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I I 125.0E f2 signature: Date: 401 turps to 599 rasps 16854 2 ,;.4 ter '1",,-,,,,771:1,,-„',:i 1,,.,tifil'1 1 ,) 'otic Branch circuits—new,alteradon,o'extension,per panel A Pee for blanch elrcoiffi trrdh Business name:William Lyon Homes,Inc. above service or feeder he, 7.42 2 each branch circuit Contact name:Angela Grajewaki B.Pee for branch davits without lbe Address:109 East 13th Street service or feeder ,firer 56.18 2 • branch circuit City/State../ZIP:Vancouver,WA 98660 Bach add'l branch circuit 7.42 2 j Miscellaneous(service of feeder not indaded) Phone:(360)695-7700 ' • I Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Gh ajew~s polygonhoma,ticoln dR onlywrAling,service and/or herder67.84 •2 q, -> ,-,!-„,,0,�� 7 _ - . ' Pump orirrigationarae 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 r,,,,• Signal circuit(s)or limited-ahmgyD See Page 2 2 Address:6101 NE St Johns Rd panel,alterations,or extension City/State/ZIP:'Vancouver WA 98661 Each additional Inspection over allowable hi any of the above Additions]inspection(1 hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 Ir min) 90.00/hr Bmail:bdanids�gtieusa.com In&mhrialplant(1 tem in) • 78.18/hr Inspections for which no foe is 90.00/1a CCB Lic.: C1158 Electrical Lk.: 208174 Suprv.Lic.: 44963 s. z listed '` hr min file �. ... Saprv.Electriciansignature,requited: - Subtotal. Print name: Joan P Albert • I Date: 4/26/2016 D Plan Review Required(25%of permit fee): - State surcharge(12%of permit fee): %"Authorized signature: -.7 � —rTOTAL PERMIT FEE: _ *3{: -^� This permit application expires ifs per adtie not obtained within I80 ;;1?;'; Print name: Bill Daniels Date: 4/26/2016 I days atter it bas been accepted as complete. • li f. ;'i;_ • Number of inspections allowed per permit 'p!,,V4•AsgsD {PenaiciUR.0 PenaitApp ELltiu15.dec Rev 06117/2015 440-46157X11/05/COM/WEB,:rax r ECEIVEI Plumbine Permit Applicatio> Building Fixtures MAY 0 4 7016 1 OIt ()I I I, i 1 -.1 r:\1 1 C[ty of Tigard Pamir No.: '/57:�0/(� /Cf.6 13125 SW Hall Blvd.,Tigard,OR "j {,A qA Phone: 503.7182439 Fax: 503.599 8. , •Y OF Min nil nddnPimReview Other Permit No.: Intern www tigad-0r gav75 BUILDING D1V 1 S11 Jude RI See Page 2 for Nodfied/Metbad Supplemental L6onnadon ;c:-. 4 ' -:-.,--.......-`..:-,2,1: -:•-•,,,,,---::";:7-•,•;;;.;;• ti ' X e, ,.: 0 New construction • Cl Danol-lton For'pedal btfornaalian we cher c Description ] Qty. I Ea. J Total D Addition/aiteradonhepl nt 0 Other: New 1-2-11tmiiy dwellings(includes 100 ft.for each utility connection) • •.CATEGORY OF CO14SII UCT1ON' . . SFR(1)bath 312.70 0 I-and 2-family dwelling 1 0 Commereirdrurclustrial SFR(2)bath 437.78 D Accessory building 13 Multi-family S FR(3)�o th I 50022 500.3? Each additional bath/ldtchen 25,012 D Mesta builder D Other: Fire aprinickr(_sq.It) Page 2 • 0 '` ,JOB SITE INFORMATION'AND'LOCATION' _Site*Mlles: Job site address: '"1 "i -1 sw J/itAvtx Louise_ Catch basin or area drain I 18.76 Dryweil,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 SuitelbldgJapt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/dimctioas to job site: Manholes 18.76 1 Rain drain connector 18.76 _Sanitary sewer(no.linear ft.:_-„) Page 2 Storrs sewer(no.iinear ft.:_) Page 2 Water service(no.linear It:_) Page 2 Subdivision:Polygon at West River Terrrace F Lot no.: '75 F1rhrrt or item: Tax map/parcel no.: Backflow pia ( 31.27 31.21 • DE Tfop) oF.wow '. : . Backwater valve 12.51 12.51 ' Clothes washer 25.02 D'ahwasher 25.02 Drinking fountain 25.02 -Ejectors/sump 25.02 ®.raorEttrY ER - . I 0 TEiVANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC ! Fixture/lower lap 25.02 Floor drain/floor sinldbub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)6944031 I Fax:( ) • lee maker 12.51 ®..ArPI:[CANT • Ii CONTACT PERSON- Interceptorlmease trap 25.02 Business name:William Lyon Homes,Inc Medial gas(value:S`) Page 2 Primer 12.51 Contact name:Angela Gra jews)tl - 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)695-7700 Fax::(360)693-4442 TuWshowedshower pan 12.51 E-mail:Angela.GraJewsid®polygonhomea.com U 25.02 Water closet 25.02 CONTRACTOR , . -Water beater 3752 • Business name:Malmedal Enterprises Inc. Water piping/DWV 5629 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)3241'759 Fax:(503-)324-0580 Minimum permit fee: $72,50 Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lie,no.:34-276PB State surcharge(12%of permit fee) Authorized signature: - TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 Ibis pew application expires Ifs permit is not obtained within 180 days atter it has been accepted as complete. 'Fee methodology sal by Tri-County Building induelry Service Board. - 1:IBuadiaglPamkcPLINUPUV tApp.doe 10/61N9 440.46161 ORWCOM/WEB) f r City of Tigard i II r COMMUNITY DEVELOPMENT DEPARTMENT S T I G A R D Building Permit Review — Residential Building Permit #: /t7Sl p/6 2 / i6, Site Address: / -'2,1--/9 c1,(J i'i l-nu/se ,'ot Project Name: ,{gyp/ Z-Oe8 rai�.-f- " TNc,e Lot #: S" (Ne ng=subdivision name;Addition or Alteration = last name of owner) Planning Review Proposal: il)ef,0 --SPie [12erify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Yes,See River Ten-ace Review Addendum Attached Sit Plan Elements: I ree(3)copies of site plan ■'ti sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper IP ootprint of new structure(including decks)with finished rawn to scale (standard architect or engineer scale) or elevations xrth arrow Lld Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot number L: anon of wells/septic systems.plicant information (name and phone number) 1►, rosion control(including drainage-way protection, silt fence IP .t dimensions and building setback dimensions d sign,location of catch basin,etc.) 't .t area,building coverage area,percentage of coverage and Q'reet names ervious area (applicable if R-7,R-12,R-25&R-40) Greet tree size,type and location roperty corner elevations (2 foot contour lines if more than ting trees to be retained with drip line,and tree 4 foot differential) protection measures / f�lean Water Services —Service Provider Letter of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No [ Public Facilitie Improvement(PFI) Permit: Required: "Yes,applicant was notified ❑ No Applied For: V4es E No,stop intake r/fand Use Case#: P216.2-0/S-- rX_)0L,LI 'iie>, I�r/S ZX'D*j 'oning: — — etbacks: Front ic' Rear 0 Side `, Street Side /.3 Garage 3 ie)// u andscape Requirement: U "/o L!d of Coverage Maximum: <� °'o a ��Q� QS" 1i I�-/ Building Height: Maximum Height Rt Actual Height ods clam� 0 isual Clearance Easements 161 •nsitive Lands: ❑ Yes No Type VI Urban Forestry Plan ❑ Conditions "Met"priori/to issuance hof billding ermit 1 / �^ Notes: G712 tf7�G'3t'S —SA,7 // L X10 l! j�3T f'']�) 4pia-- /g 4,3.4e- ,. Approved By Planning: �, Date: / i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:ABuilding\Fonns\BldgPennitRvw RES 0121I6.docx Building Permit Submittal Original Submittal Date: �7//fo Site Plans: # 3 Building Plans: # 3 Building Permit#: 4EJ Enter building permit#above. Workflow Routing: Planning LI 1 gineering .-'Permit Coordinator (.1 .-Building 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. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: :W4 ---, Date: �s/�,b Engineering Review Clope at building pad: T„ onditions "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 Approved!)y Engineerin : Date: Notes: Zeac7 e� �° � Je` %> ia /f7'®/— 12> ,y65/fi ' Approved by Engineering: ifiZ Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: 12 Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit - Fow,-,.d 4-{;J n 6 r H H Approved by Permit Coordinator: CSL-- Date: S 't kl - ‘Co 1:\Building.Fonns\BldgPennitRvw_RES_0121 16.docx e , -% . City of Tigard III' COMMUNITY DEVELOPMENT DEPARTMENT 'TIGRiver Terrace Building Permit Review Addendum tRD Building Permit #: /9Sr' 20/6 OQ/P6, Site Address: /7S2-/C ,uJ Z'Luie AoL Project Name: Polygon at West River Terrace Lot #: -7-6- (New(New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist 'ct Design Standards (18.660.070.1): Is the project subject to the plan district design standards? Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing 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 deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimumf 2%of each street facing facade must include windows or entrance doors. Percentage Shown: /l7. % 3. E trances: At least one entrance must meet both of the folio ng standards: Max. 8 ft. setback from lon t 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 y ,all the following apply: 6. sq.ft. min. V5ne street facing entry ft. max. roof above floor of porch ft. depth min. 0%min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep El t cessed entry area min. 5 ft.wide x 2 ft. deep L "yiall offset min. 16 inches I� ormer min. 4 ft.wide Roof eave min. 12 inch projection 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. ❑ Horizontal lap siding min. 3-7 ft. wide ❑ Accent 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 lok1ip on a corner to Setbacks: }'}11 No closer to front or side lot line, than .•test street-facing wall. 10 es ❑ No. If No (Check one): ❑ May extend up to 5 ft. if there is a covere. .nt porch an. :arage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is part o . it .-story building and there is a window at the second story above the garage that faces the street with a min. a -. of = ..ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%ma . .f street facade ❑ 50% max. of street facade with .etailed design elements Notes: Approved By Planning: /? Date: I:\Building\Forms\BldgPermitRvw_RES_RT_031416.docx POLYGON to. 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 /`1S - 00/6P0 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)221-192(1 • Fax(360)693-4442 www.Polygonhomes.com CCB#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 C'CBf 166871 Plumbing Permit Annlicatior# ECEl Building Fixtures FOR OFFICE IiSC ONL)' City of Tigard JUN 2 3 2 016 Received IIv 13135 SW)Ial!Blvd.,Tigard,OR 972�33..� Date/Bx_ /.._Z `' Permit No,/yS /��p/�f' I Phone: 503.718.2439 Fax: 503.598.19lY OFa(�!l1 71an ltavit,v et.,FcrmbNo_�w T I G ARD Inspection,Line: 503.639.4175BUILDING X11 1 aE ReadyfBY: Juris: 1a 5��p Internet: www_tigard-or.gov alga Z for >4ed/blethgd: Supplemental Information TYPE:O1 "WORK ' ft * C Ts p Taw construction ❑Demolition forspecrat ixformarion use checklist ((❑ Addition/alieration/repiacement 0 Oilier: TotaL�_, Description _ Qty- - } NOW I-Z family dwellings(includes 100 ft.for each utility connection)_ 'CATEEGoB (o C©4sTRUC1'I'OPE SPE(1)bath 312.70 pand.2-falailEy dwelling El ComSFR(2)bath 437.78 Accessary building 0SFR(3)bath 50032 ©Multi-fannilY ❑Master builder Ll Other Each additional bath,I.itehen 25.U2 _ Fire sprinkler( sq.ft.) Page 2 _ JOB;:S1fl I ii OizAti''IOl'P AI'D x,QCAUO�f, L Site mimics:: Job site address: 73 yg j ��"/ �/� - �� Catch basin or arca drain 1$.76 City/State/ZIP: Drywall,leach line,or trench drain 18.76 Footing dttin(no-linear ft:_) Page 2 Stuitelhldg_/ape no.: Project name/n.1 Ly c�/ / /9% -'.. '',".m.- _ / Manufactured home utilities 50"03 Cross street/directions'to job site: 4/ f /2/�cPi /e`. C'C� �farholcs L8.76 Rain drain connector 18.76 Sanitary sewer(uo_linear ft:_,_,,_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service.(nu-'linear Ci_:_) Page 2.. Subdivision: I Lot no.: 75 Fixture or item: Tax reap/parte!no.: Backfwv preventer 31.27 Backwater-valve IfSiON rDF AVON �V 12.51 ,25-02 66‘,5/A/6-6.•'-. / LG.4�'7 A/A/C-' Ce7N774/-C-77)A, Dish asherb� 25:02 Drinking fountain 25.02 Ejectors/sump �iP ?5_ 02 Ortl7TY OER2 TElA1£ Expasozr ra»l25 1 Fixture/sewer cap25.021am : /n7dL(/e /4�6 Laf/✓yj �i Address; "^ l loordrainJOoor sink/hub ----------2-5.02 _Garbage disposal 25.02 City/State/ZIP: fuse bib 25.02 Phone:( ) �` -- Fax: ' ) Ica maker PUkCAI�"C 12 51 AP,., • 'P''C91}CTp# 'I�i 25.02 Business Business name: /0,0 L%6d Ad % / / GL C - "- "` Medical gas(value:S ) Page 2 Contact name: &...,y.,,...6- Primer 12-51 .--4_,71-- 6/',/9---(7EcE j,(,V.S/ -/ Roof drain(Commercial) 12.51 Address: ®9 E '` S I ,._ SirtkJbasinRaeatory 25.02 CiViStateJZIP: 17,51-X✓cera AC1�" ',i ‘ - Solar units _--( �D) ,e---'-" Q (potablewalCr) 62.54 NPkuone: 6 95,. -7 7a d F'ax::(. 0 )6.73 . �L/7 Tub/shower/shower pan 12.5! E-mail;/4NlA `hT G� TLr S A t� /QC)G iC/ Urinal r : ? ` O ,/ /`1 Es Co/7 �25.fl COt�CI DI{ K'aier ciceet 25.02 /y - f Water{teeter' Business name: HGLI AM �� JH1��i �� 5(i29 Water piping/DWv 56 29 Address: c �H�i�l. Other: 25.02 City/Strue/2 P: 7"-,e6 UTDp[z" Subtotal Phone:( ) � -r� - 50 ,,..�f,$Z 3 et 10 Fax (5-03) q 12 a le 413Minimum permit fee 572.50 Plan review (25%ofpexmit fee)Tic_: j 1 �a/ Plumbing Lie,no,: icy s a 3 Authorized signature: 4 I/ State surcharge(12%of permit fee) TOTAL L PERMIT FEE Print name: v ef' Sl+ ! '• io� i F Sl.etc: / This permit anplicaiioo ext„res if u hermit is not obtained within ISO da7F t f after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service goad. 1:Tiuidding'',PermitsTr ft;_PermirA,p.dnc 10ro1.11) 440-ulslyTtttb02.ComAA'n%) / /, y//l J `. 47y , erY 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 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00186 David Young Cleanout coupler not glued. No cover for 6" access pipe front of house. No hot water for ﬁnal inspection, water heater breaker off. Not ready for ﬁnal inspection. No inspection done at this time. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00186 David Young Fireplace not done, unable to test. Fix kinked return air in mechanical room. Note: no AC installed at time of ﬁnal inspection, permits and inspection required at time of installation. Fresh air intake to be min 4' horizontal from gas meter regulator. M1804.2.6 Not ready for inspection, work not 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 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00186 David Young Provide approved plumbing ﬁnal inspection. Provide approved mechanical ﬁnal inspection. Not ready for building ﬁnal inspection, work not complete. No inspection done at this time. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00186 David Young Finish sealing around master tub left side as noted on previous failed 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 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00186 David Young Provide approved plumbing ﬁnal inspection. Provide approved mechanical ﬁnal inspection. Provide slope away from house 6" in 10' pr approved drainage swale. Front yard and side yard with standing water. R401.3 No AC installed at this time. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00186 David Young Correction from previous failed inspection for slope away from foundation in front yard not done. All other 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 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00186 David Young 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 kitchen island with approved site plan. 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 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00186 David Young Fan not working in master bath. Seal penetrations in mechanical room exterior wall. R302.5,6 No AC installed at this time. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17349 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00186 David Young Reschedule inspection after gas shutoff is moved per note on kitchen counter. May require new gas line test after work is complete. Violation Summary: Inspector Contractor