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Permit (45) CITY OF TIGARD MASTER PERMIT 11111 qCOMMUNITY DEVELOPMENT Permit#: MST2016-00185 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 Parcel: 2S106DC07400 Jurisdiction: Tigard Site address: 17331 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 74 Project: Polygon at West River Terrace, Lot 74 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 625 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1642 sf Value: $203,603.32 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''500 sf: 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 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 1642 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: $29,979.64 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 OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling A503.232.19987or 1.800.332.2344. Issued By: V' — Permittee Signature: f//v 19-,,z-/e,9---770,1 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. t 0 .-/ 7 V Building Permit Application RECEIVE!) 1 UK 11FFll L 1 51:t \I.1 City of TigardIN x -s7-5- /(P ii'� • PamitNo s /(p /�j� i 13125 SW Hall Bivd.,Tigard,OR 97223 MAY 0 4 2016 ».a Review / j Phone: 503.718 2439 Fax: 503.598.1960 1)ate/By. S q 11 aa P ai.e.2o/6--t/)/9 7 sl- Li Inspection Line: 503.639.4175CITY OF TIGARD Date ReadyBKt1°"' ® See Page 2 for S C. I:V Internet: www.tigard-or.gov BUILDING DIVISION NotiBedRddhod. � �0/�4, . Supplemental Information A/6/ ®New construction �.__.H. 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 1 ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the z r�, work indicated on this application. .....)...), Valuation: $203,603 ®1-and 2-family dwelling ❑CommerciaUmdustrial ❑Accessory building 0 Multi-family Number of bedrooms: 4 E Master builder 0 Other„ Number of bathrooms: 3 ' F Totalnumber of floors: 2 6Q oZQ Job site address: 1, 331 5 W �byx Louise_ 1 M New dwelling area: 1642 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 418 square feet Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: 24 square feet j d I7 Cross street/directions to job site: Deck area: square feet has Other structure area: square feet Subdivision:Polygon at West River Terrace 1 Lot no.: 7 Li Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: S Existing building area: square feet New building area: square feet umber of stories: N Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewsid - FLS plan review fee(if applicable): Address:109 East 13*Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail Angela.Grajewski a®polygonbomes con • .... Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review S180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 tip Authorized signature: ivry/,0 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: f�I *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-RESPennitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) t Mechanical Permit AnPlicatifiEjI� 1 I Oil orf I( L 1 SI. c)\t.\ City of TigardReceived Permit No s „„,„(o O,, eP II13125 SW Hall Blvd.,Tigard,OR 97223 Pim Revue Phone: 503.7182439 Fax: 503.598.1960 MAY 0 4 2016 DatdBy: Other PEiID1t' j.I v I Inspection Line: 503.639.4175 Date Ready/$y: 7uris B See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Motiledd/Method: Supplemental Information •� it *are b value of the work - •Mecham perms fees used on the ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit Value:$ ®1-and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building For special infbrmetlon use check/t. ❑Multi-family 0 Master builder ❑Other. Description I Qty. I Ea I Total Heatioglcooliog: _.. -._. ,..., _.-.. . . . . ...,... Air conditioning 46.75 rob site address: %133 1 SW Jean Louise Road Furnace 100,000 BTU(doets/veata) >l 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 6I.06 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic bot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit beaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Fluelvent for any of above 23.32 Other: 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: 7 Other fuel appliances: Tax map/paivcl no.: Water beater 23.32 Gas fi lace/msert 33.39 heater o gas fireplace 2332 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood 5replace/tnsett 2332 Chimney/liner/Hue/vent 23.32 --- Otlxa 23.32 •- _ - , . -' . . . --- -1_ __._. .. -... Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 3339 , City/StateIZlP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attidcrawlspace fans 23.32 t....._. . .., I ., 2332 Other 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 put Address:109 East 13th Street Wall/suspended/unit beater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range B-mail:Ange1a.Grajewski@polygonhomes.com Bather= Clothes dryer(gas) Other Business name:Apex Air LLC ,.. ._ _ -.. ..... Address:18004 NE 7rd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)3264769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires N a permit is not obtained within ISO _ :�• 1pG ✓/ /,{ _t1 days safter yhas beunyaccepted gscomplete. Authorized signature: t�� �`t'/QY►] Fee methodology set by Tri-County Building Industry Service Board Print name: A n & Islra e OS(L( Date: 14,6 r:\Belding\PennitiV�C_�_040113.doc M 602/COM/WEB) Electrical Permit Apnlitatrdh}% +V 'fc,it Gr►-IC:1_I sl_U\I.1 City of Tigard Receed nates Peru":":/y• 2,f —,f 0 i f 13125 sup nail Blvd.,Tigard,OB.97% U 4 2016 Pian Ravla v • '_ke Phone: 503.7182439 Fax 503.598IhtelB . Rdated Perone t: Inspection Line: , Reedy halo 10 See Pagel for l _;11cll internee wcvw.tlgsrd-or•$�7S ,Ix OF II(,ARu No /bfe o� mplemo talinfOnnatioo ►.1 New construction ❑Addition/alteration/replacement mane chock all that apply(submit.seta apnea wre.=s checked): : ❑Demolition El Other: 0 Unice or Reeder 400 amps cc taws ❑Bur7ding over three aeries. ":- where the available shalt cameral O Merin s tad boatyards. i " z Cizi ,) T_ ! 4 i. R)�1 ,f'3(J} ', _ mooed,10,000 amps at 150 volts or °Flowing buildings. ®1-and 2-family dwelling ❑Cornmerciabi idustrial ❑Accessory building nee to greased,or exceed'14,000 D Coaom.rcial-see agricultural amps for all other installations. bellhop' - ❑Multi-family - El Master builder 0 Other. Orate pump- ❑illation of 150 KVA or ' n n:--4-1- ,K,--F:lue .. s`,k7-`'' ;` ,,r:>G.(R ;Qad a 41:74:r _ , , ; e t =y 0 asereency mem Inger seporairy derived elD for load of Job#: Job site address: 11331 3w t,n Loc�is � 100HP Or MOM. ❑,•A»»3"."i-z^X13" f City/State/ZIP:Tigard,cat 97224 D sur or more residential units- oomicooY. OHaek4-wee facilities. °Reerestional vehicle poke. Suite/bldg./apt#: I Project name:Polygon at West River Ter Olrarxadcne locations. D supply voltage tot mom thou l]Service or feeder 600 amps or mors. 600 volts stormed. Cross street/directions to job site: -'.-.,- '',,.--.„7.7,-/4::.,13,a.r1.4.,::,!,i, i 1 t;, t Dmcdp oe Qty. lath Total • t New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace I Lot#: 7q _Includes attached garage. Tax map/parcel#: 1.000 sq.ft.or less 1 168.54 4 Es.add'1500 ss it or portion 33.92 1 ,-11 ,,1?.a a'051.,;.;,J 5A''..' '' Limited enemy,raidesnial (with above sq.ft) i 75.00 2 Limited energy,multi-fendly 75.00 2 residential(with above sq.R.) r Renewable 13 Set Page 2 I r- , I:a:v"-1-1'.! •..r.' I_3< "• .+ '. , -' swims or feeR edte insW}ation,alteration,and/or relocation Name:ARYL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 - 401 s to 600 am .34 emu City/State/ZIP:Scottsdale,AZ 85258 601 nape to 1,000 sumps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps et-volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner histailetion:This installation is being made on property that I own which is nest 200 snips 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 H125.08 I E 2 Owner signature: Date: 401 amps to 599 corps 168.54 f 2 ., i --. — :1-:',7-77- -1 cl Branch circuits—new,alteration,or tion, panel •_ .. ,.. ., _--` .. A,Fee ibr bnnteh cbcaits trfBi Business name:William Lyon Homes,Inc. above s0e or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewaki B.Fee for branch circuits Unhand service erfeeder fee, 56.18 2 Address:109 East 13th Street blanch circuit City/State/ZIP:Vancouver,WA 98660 Eachadd'l branch circuit 7.42 2 Miscellaneous(service or•fteder not included) Phone:(360)695-7700 - ' ' I Fax::(360)693-4442 Each mored or modular 67.84 2 'awake and/or feeds Email:Angela.Grajewsld®polygonhomes.com Reconnect only 67.84 2 r f r1; w<it .0.. _ �.:. ,' ; - Pump or irrigatiou circle 67.84 2 Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 4.,„„ &Pal circliks)or limited-energy Address:6101 NE St Johns Rd ,alteration.coextension. ° Set Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr mitt) 66 25/hr T Phone:(253)320-1657 Fax:( ) Investigation(1 br min) P0.00/hr Entail:bdagielltt�gwensa core Industrial plant hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lir.: C1158 Electrical Lk.: 208174 Suprv.Lica: 44965 .8;4,,...,1 laced 4lermm • _ ,84.1.. -_, = 1 lkSos.}i e,tt t- % Snptw.Electrician - signature,required: j , ✓ � , ' Submetal Print none: Joan P Albert • 1DDate: 4/26/2016 O Plan Review Required(25%of ptamsit fee): :. State surcharge(12%of permit 5x): �3 Authorized signature: . TOTAL PERMIT FEB: ,:,.t..;;' - This permit application expires if a penult is sot obtained within 180 1:::*".',:.a Print name; Bill Daniels I Date: 4/26/2016 I days after Mims been accepted as complete. • Number of inspections allowed per permit i,1:�: `*a."7:::� dau'emitAILCiamitApp EI.R•IRErke Rev 06/27/2015 440.4615T(11/05/COMM/R8 Plumbing Permit Application RECEIVE Building Fixtures �+ 1 t>1: O 1 1 1( 1 1 ti l O\1.1 City of Tigard Received Paned No.:/1Sr.2-0/6.(9o/fc 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 0 4 2016 nuriaPNa ly Photo: 503.7182439 Fax: 503.598.1960 Date/gy: Other Penult No.: Inspection Line 503 b39.4175 ., _Rcegy/gy AWLS: la See Pate t for Internet www.dgard-or.gov CITY OF TIGA'; , r�.��a�p! ��fied/Medlod: Supplemental Iatotmatton :.,: 7.?:::.';:;,,bra::' -7.,:::C?;.•... .417(04:11i.-• .''W,w:: `; lJDINGIIVISfON'..:t. - :: • • : :,;F.':*:441. 1 �:{ ®New construction Demolition For spedel*formation aseeheciae. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 10011,for each utility connection) ..::, :- : -•CATEGORY•OF VoNsiEUCTiort•. . . SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commmercialfindustrial SFR(2)bath 437.78 0 Accessory building ❑Multi-familySFR(3)bath ( 50032 SOO.6.2.. Each additional bathfidtchen 25.02 0 Master builder 0 Other: Fire sprinlder(__sq.R.) Page 2 '. . • JOB SITE INFORMAL ION.AND LOCATION : ,. Site utilities: lob site address: 115'2)1 S W ota.rt Louise. V.431 Catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Food drain(no.linear it.:_ j Page 2 SuibdbldgJapt.no.: I Project name:Polygon at West River Ter Manutacdned 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 ft: ) Page 2 Waier service(no.linear ft: 1 Page 2 Subdivision:Polygon at West River Terrrace 1 Lot no.: ---11.4Fixture or Item: - Tax map/parcel no.: Bacldiow preventer ( 31.27 31.21 • . • - DESCRIPTION OF WORK. : .• .• • Backwsrar varve ( 12.51 12.61 .•. • • Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .®.rROPEFITY o I. [a UNM!1T Expansion tank 12.51 - Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/Boor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/StatelLIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) • Ice maker 12.51 - •. - • :. .,: ®APT);cAN'1 Ii CONTACT PERSON I !grease trap _ 25.02_ Medicid gas Page Business name:William Lyon Homes,Inc (`fie'S ) 2 Primer 12.51 Contact name:Angela Grajewaki Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basinllavatory 25.02 City/State/Z1P:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewsld@polygonhomes.com U 25.02 Wats closet 25.02 • •• - CorrtRACTOR Water beats 37.52 Business name:Mabaedal Enterprises Inc. Water piprngiDWV 56.29 Address:PO Box 207 Othar: 25.02 City/StateZIP:Banks,OR 97106 Subtotal Pty(503)3240759 Fax:(503-)324-0580 Minimum permit fee: 572.50 CCB Lic.:102535 Plumbing Lic.no.:34-270Plan review (25%of permit See) State surcharge(12%of permit fee) Authorized.signature: G -1c1 TOTAL PERMIT FEE Print name:Carolina Malmedat Date:04/25/2016 This pe application expires If a permit Is cot obtained within 180 days after it bas ben incepted as complete •rue methodology set by Tri-County Binding Industry Savicc Board. - Mad inlPavinstPLMU.PeahApp.doe 1041/09 440-4616T(1002/COMnW.8) N City of Tigard 74 S ' COMMUNITY DEVELOPMENT DEPARTMENT T I G A RD Building Permit Review — Residential Building Permit #: /VS 7'o2p/6 - Oa/ori Site Address: / 3g / L3k0 0? Ltti lee Project Name: i:- � .n c h ''ver �'� j Lot #: -� (New ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ) Srle (17 rify site address/suite# exists and active in permit sem. River Terrace Neighborhood: Cl No P Yes, See River Tema Review Addendum Attached Sit lan Elements: 4free (3)copies of site plan F;sting structures on site w�1 to plan must be on 8-1/2"x 11"or 11 x 17"paper I► ootprint of new structure(including decks)with finished 0( awn to scale(standard architect or engineer scale) or elevations nth arrow 1 Utility locations (required for new,may apply for additions) S e address,project or subdivision name and lot number !. l cation of wells/septic systems f plicant information(name and phone number) V. rosion control(including drainage-way protection, silt fence of dimensions and building setback dimensions sign,location of catch basin,etc.) I�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 listing trees to be retained with drip line,and tree 4 foot differential) protection measures thiklean Water Services-Service Provider Lette (lot platted prior to 9/10/1995): -quired: ❑ Yes,applicant was notified [ 1 No Received: ❑ Yes ❑ No I/. Public Facilitie mprovement (PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: Yes El No,stop intake /nd Use Case #: 4/2 a��S_ oning: / ,� etbacks: Front /c:;; Rear d Side 3 Street Side .Garage i& // IId �,andscape Requirement: % IlQ of Coverage Maximum: z/LJ 0/0 Building Height: Maximum N/Height , 1 jj Actualg Height g II isual Clearance MG Easements til► n-nsitive Lands: ❑ Yes No Type IG Urban Forestry Plan ❑ Condition `Met"prior to issuance� of building permit Notes: 1./76 $6))1_1. -.SAW/ Ze Plii. ,}2>w. A -. -� A. .ct,t2TC'e Approved By Planning: c:=:::: ______ 77,,—te ✓ 4771Date: SW, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # 7 Building Permit#: Enter building permit#above. Workflow Routing: [Planning l ngineering Permit Coordinator L9�fSuilding Workflow Sign-off: l 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: Date: �7//1.; Engineering Review lope at building pad: Z 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 El No ❑ NOT Approved • Engineering: Date: Notes: �-- .� � r i r_ .� Approved by Engineering: •t z j1 Date: •— j 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: csi Yes ❑ N/A Tigard"Trans SDC: K1 Yes ❑ N/A Parks SDC: cel Yes ❑ N/A OK to Issue Permit - 1=-0„ d o.--1.; o n o t-( . Approved by Permit Coordinator: C e cwv\-CA- Date: 5 --(0 - i I: BuildingForms.B1dgPennitRvw_RES_0121 16.docx e City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT i • River Terrace Building Permit Review Addendum TIGARD Building Permit #: /Y$ ,2 y7( •-QO/da Site Address: /- 33 / ..Set) `7. -! 1 uie. ,e_ _ e Project Name: Polygon at West River Terrace Lot #: -Ll (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? I 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 in ft. deep min. 2ft., 5 ft.wide m . 2 ft., 6f/wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: Ag-9 00 3. E trances:At least one entrance must meet both of the follg standards: Max. 8 ft. setback from long t street- facing wall arallel 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: Vin sq.ft. m . ne street facing entry j ft.max. roof above floor of porch 5 ft. depth min. 30%min. porch roof coverage 4. etailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: 1overed 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 ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑y6of offset min. of 2 ft. ❑ Roof shingles either tile or wood lig Gable, hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal 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 lot line on a corner lot. Setbacks: Pr No closer to front or side lot line, • longest street-face g wall. ❑ Yes ❑ No. •'o (Check one): ❑ May extend up to 5 ft. if there is a cov• •. front porch and gara!• •:- not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is par - a . • ory building and there is a window at the second story above the garage that faces the street with a i..-. . ea o sq.ft. Width: (Check one) ❑ 12-foot-wide ,. .•e door ❑ 40%ma.. • street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: _"%z Aft Date: Sl/., \ \B I:\BuildingFormsldgPermitRvw_RES_RT_031416.docx '{� POLYGON /2 NORTHWEST COMPANY April 27,2016 CHV ) '� APR 2 7 2016 Mark VanDomelen Building Official BUILDING DIIINM 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 /`?S7 o/6 "OO id- Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82 - 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94- 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96 - 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98 - 13840 SW 175th Ave Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102- 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221.1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#166871 POLYGON /I 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 W ww.Polvgonhomes.corn ('CH#16687 I Plumbing Permit Application Building Fixtures RECEIVE___________________________________ City of Tigard lrcccivad JUN 2 3 2 016 4' Z�// �y ____trmit ZS-7 o/G;--©©I� 1111/1 II e 13125 SW.Halt Alva,Tigard,OR 97223 Date/B .-- -_ 'u'LY phone- 501718'2439 Fax: 503-59$.196 P °"` Otltar Permit No.! M^ • inspection Lime: 503.639,4175 �i� T f G A T:F1 r React lBy: loris: to Ser nage z for Dntemwww et- tigard-or.gav BUILDING DIVISI Sappicsnental TYP@OP WORK . JF 1E1r*'5CAEA*E Information ew construction ❑Demolition : for vadat information use checklist 0 Addition/alteration/replacement [ Other Description ! Q F,n- J Totals: CITbathilydwe dwellings(includes.100 ft.for each utility connection) CeiT O$ O C© ZRIIb�[ SFR(1) 31270 and.2-;(atony dwelling 0 Commercial/industrial SFR(2)bath 437.78 Ll Accessory building t "'""'" SFR(3)bath 50032 0 Mui t_Tau:u 1Y Each additional bath/kitchen 25.02 ❑Master builder 0 Other - Fire sprinkler( sq.ft.) Page 2 JOB;-SITE,> ORISI;i4 lON ASID D QCA 0 w.., 772 Site utilities: Job site address: /9. (?3/ sit) _7"--A---/)"/Let-e/s C /2 — Catch basin or arca drain 18.76 City/State/7T1': DTyweil,leach fine,or trench drain 18.76 _.,N Footing dtdin(no-linear ft.:_) Page 2 Suite/bldg./apt no.: i Project name:/20 Ly G c / / /9-7- Manufactured home utilities 50.03 Cross atrcetlduect ions to job Site: !it/6s /2/i/c% 7v'9l'ts vraolao44 1, _76 Rain drain connector 18.76 - w Sanitary sewer(uo_lineal ft.:_,,,___) Page 2 Storm sewer(no.linear ft.: ) Page 2 Muter service:(no.linear ft:- 1. Page 2 Subdivision; Lot no.: 79 Fixture oritem Tax map/parcel no.: Backflow preventer 31.27 . Backwaterval-ve ;, •. liESC3�'11ON OF WOR1( ' Tv 12.51 >���G� 25.42 T-.�.._.�... C "4-44-P1 A/I 16- �'ew776-tc v( Dishwasher ]5;02 Drinking fountain 25.02 Ejectors/sump 25.02 ' OP RTY OlVtt}E7(1 *TEIVM T Eupsasioze rank 12.51 Tartu: /'4 h G-GL' 441-I'i/6 J4,6%/✓CTS 1.,z-c_.ry Fixture/sewer cap 25.02 Address; - — Floor drain/floor sinWhub 25.0,2 CitylStato/ZIP: — Garbage disposal 25.02 _ Nuc bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 pAPPLLCAt!d'1 i�-' �p /"' �''COl�1�'.�j;�":P`iEkS�N. :otteneeptodgreage trap 25.02 Business name/ d L ty6o A/ !(}}LI/ ZL- Medical gas(value:S ) Page 2 V� Contact traute /9-A/6-67......f _...,,...... Primer 12.51 wfy 6 Grf Gr',./91z2---E E L(,)S/--f Roof drain(commercial) 12.51 Address: /O 9E- /3 ' i' u . Surlt/basinllatatory 25.02 City/State/ZIP: 1 f--(,/ u i/ 4(1%9- ?�6.o Solar Units(potable water) ' 62-54 Pktoue:(36o) 6 99S 7 7o Lel' .Far,: (�'vo )6q3 - 17/zfy/�, Tub/shower/shower pan 12.51 l mall /SIill L�r t:e y'T�Zc9,� 0Nf/v/y ce/7 UUrinal25 0� CDD p E3 , K'ater closet 2 m`J /� - Watecheater 37.52 BusineSSnatUe: 44.14,DA e_g L.ve_Ut 6z/(j[7 Address: '0 Waterp"tping/DWV 5629 ✓ :a1 g - - w a / 10 !G . �CI.orie Other: 25.02 City/Stater2 : 7' O uiD,e oKSubtotal phone:( ) �rl e -- ..-.�,..�.,.� '50 _Aeg Z-3 et/o Fax:(563) g,2—le 466 Minimum permit fee: 5722.50 CCR Llc_: B'tpo/ Plumbing Lac.no,: /O S a Plan review (259;ofparmit fee) Spate surcharge(12%of permit fee) Authorized signature: Air! ./ TOTAL PERMIT FEE Print nttztte: v ! ex + 0 �,A.ri Dam: p31 Thic permit application expires if u Permit lc not obtained,sitbin t 80 dn3F Ct t r I I(G� !�� atter it has been accepted as compktc. *Fee methodology set by Tri-county Building Industry Service Boad. 1:SuildingTermi4sTf-htf:_PermirApp.doe la1n2:09 .40-4.0526(10,02;CCM/W i3) ht-AS M/Ai pG -' trO ,/ 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 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final FAIL MST2016-00185 David Young Electrical not done, not ready for inspection. New Wire stubbed out for service receptacle on right rear, for future AC not installed at this time. Work not complete, not ready for final inspection. Investigative fee for 3rd failed electrical inspection applied. 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 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final FAIL MST2016-00185 David Young Electrical finish not done at fireplace, work being done for recessed tv. Not ready for inspection, work not done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final FAIL MST2016-00185 David Young Correction for sealing penetrations in mechanical room chase not done at line set. R302.5.8 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 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final FAIL MST2016-00185 David Young Provide breaker lock for dishwasher not plug and cord connected. 422.31 Breaker lock in panel is on cord and plug disposal. All else ok. 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 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL October 13, 2016 at 11:36:31 AM MST2016-00185 David Young Provide access for inspection, front door locked. R 109.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00185 David Young Subdivision approved for 13 C of O's only. 13 have been issued at this time. Provide approved release of additional C of O's. 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 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final FAIL MST2016-00185 David Young Fireplace not done. Seal ceiling penetrations in mechanical chase. Not ready for inspection, work not complete. Note: no AC installed at time of final inspection, permits and inspections required at time of installation. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00185 David Young Provide slope away from house 6" in 10' or approved drainage swale. R401.3 front and left side yard. Provide approved mechanical final inspection. Provide approved electrical final inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00185 David Young Corrections complete from previous inspection. 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. Note: no AC installed at time of final inspection, permit and inspections required at time of installation. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17331 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final PASS MST2016-00185 Herb Stabenow Violation Summary: Inspector Contractor