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Permit CITY OF TIGARD MASTER PERMIT 1111 q COMMUNITY DEVELOPMENT Permit*: MST2016-00199 Date Issued: 05/25/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC08200 Jurisdiction: Tigard Site address: 17315 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 82 Project: Polygon at West River Terrace, Lot 82 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1744 sf Value: $219,579.26 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 1 Lavatories: 4 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 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 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: 2 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 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: $30,247.52 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 throu p. AR 952-001- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344..8 ,- / Issued By: Permittee Signature: I �// /`"C-/�}%7VV 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. Building Permit Applicata �.S S er i y Z/ fie° ;� r E ,f E : DECEIVED 1 oat 01 t CI O > -�'/3 i, . - PcnnitNo.:/ys77/b-eoi9 9 o . City W Tigardall Tigard,OR 97 AY 12 2016 PDatelB' o 03. 1 Ot 1 L Per ,e.2t9/.6��..s9 V _ Phone: 503 ane: 5 39 9A1ax: 5 'I Y OF TIGARD hair: 0 See Page 2 for Inspection Line: 503.639.4175 �e Ready/By: `'''`'" Internet: www.tigard-or.gov BUILDING DIVISION N�sea/Me�d Sappleasentat Information t ` { It t 1 I. L ''.:'t t. 0 Demolition Permit fees*are based on the value of the work performed. ®New constructionIndicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the `,r . . - indicatedon this application. ;'. workappH tion valuation: $219,579 -1111111111111 ®1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 3 ❑Accessory building 0 Multi-family 0 Master builder 0 Other Number of bathrooms: 3 Y ' y ( �_._ Totat number of floors 2 4 - . New dwelling area: 1744 square feet Job site address: i� • • •— � City/State/ZIP:Tigard,OR 97224 1'7 3 1,5 Stk) ,4-N Af e- V-( 1.ij Garage/ area: 423 square feet Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: 221 square feet Li3 it Cross street/dii�edDeck area: square feet ions to job site: • Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: S a 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, profit for the and the ro i T l onthis .plication. Valuation: $ Existing building area: square feet New building area: square feet r Numberof stories: _.., Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy Sups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Conrad name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13"Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) E-mail Angela.Grajewski®po yg Commercial and residential prescriptive installation of - 3, rooftop mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation . tial Code checklist. Permit Fee(includes plan review S 180.00 City/State/ZIP:Vancouver WA 98660 and administrative fees Phone:(360)695-7700 I Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lac.:207247 _ b , Total fee due upon application: $201.60 This permit application aspires if a permit is not obtainedautho fixed signature: within 180 days after it has been accepted as complete. 1// ?1/1/ 2) "Fee methodology set by Tri-County Building Industry IPrint name:Angela Grajewki I Date: ,tI Service Board I:1Building\Permits\BUP-RESPermitApP.doc 02/242011 440-4613T(11/02/COM/WEB) • Mechanical Permit Applicatic ECEIVE City of Tigard may: Permit N°,/erre,/6-Oa/9 9 13125 SW Hall Blvd.,Tigard,OR 97223 MAY1 2 2016 Plan ReviewIIPhone: 503.718.2439 Fax: 503.598.1960 Date/By: Otter Permit: 1 1 L' I.I' btspection Line: .639 75 CITY 1 F �71�l,41.1 Date Reedy/By: Jul.'s: H See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information BUILDING Divigna-. ` - / _ . . L:.�- Mechanical permit fees*are based on the value of the Wor c ®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:S _ , Il ® 1-and 2-family dwelling 0 Comrnercial/industrial 0 Accessory building For spade!information use checttist ❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total Heating/cooling: Aur conditioning 46.75 Job site address: Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 173 I S _,<A) ,4-nYY/J e 1j Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg/apt.no.: } Project name:Polygon at West River Ter Duet work 23.32 Cross street/directions to job site: Hydronic hot water system 2332 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/veat for any of above 2332 Subdivision:Polygon at West River Terrrace l Lot no.: Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Cies fueplaxlmsert 3339 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 '.._'_.._. • • Environmental esbaustaud ventilation: _ Name:ADVL Land Holdings,LLC Range hood/other kitchenequipment 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%ravvispace fans 23.32 2332 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for tint four;54.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:I09 East 13th Street Wal/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail: Barbecue '', ._ .,:i;' i i; <; Clothes dryer(gas) Business name:Apex Air LLC Other `_` ` ._._ - ......_.. ,.. _. Address:18004 NE 72ad 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 /��/�� / - 1' This permit applicationysafter t baa expires if a permit is not obtained'titbit'180 4'L „/JYf�//f days after it bas bees accepted as complete. c./cArddik Authorized signature:q " Fee methodology set by Tri-County Building Industry Service Board Print name: A a Ari 0,i�1 Date: if6!1" I:1Building\PennitMEC PecmiApp_04011 �""' (l1 2/COM/WFB) Electrical Permit Applica€i ECE \IE k coil ori 1( t: F o:'i City of Tigard MAY 12 2015 Permit 0: - 0/6"—AO/- *.a t3125 SW Hall stud..Tigard OR.97223 Pion Review Phone: 503.7182439 Fax: 503.59 R ,,,•a Dada . Related PLOT 5; Inspection line: 503.639.4175 i,j1 Y OF i lIUH` Ready kt: H Sea Page TIG:. .i. Internet wwwtigard-or.Y B ILDING fl%' .; Noted d: Sapple ue*aI Information ®New construction D a Addition/alteration/replcame nt Plows drools a0 that apply(sutrnit_'seas ofpl.aa whites cloaked): ❑Demolition ❑Other. 0 Service or feeder 400 amps or mom 0 Building over thine stades. whom the available fault cermet 0 Marinas mad boatyards. s-_-r4 4 c';;-1'i :0..,`;a :..111,1,1-‘,/,-‘7,4:,(.2.7 W5,. , , exceed'10,000 amps at 150 wits or [1 Floating buildings. ®i-and 2-family dwelling 0 Commerccia]/iridtistrial 0 Accessory building leas to mead,or exceeds 14.000 0 Commercial-me agriculture amps for dt Deur installstious. buildings.• 0 Multi-family - D Mester builder D Other: 0 Pim pomp. 0laaasatian of ISO KVA or •.. `: - ''',;'.1 xc fgi; �;x ., '3,(i (7 r`,+�. L'l.-...� p a^�i.r, ; ,Fri., �yj° 0 Add.,Emergency system. balm aepmaely derived r�1r:.� ❑Addition ofaewmotorloadoP system. kb#: lob site address: citv r 1 I -�� i r�r�6 10011P or more. 0"A","B"."1-2"."1.3', City/Stale/ZIP:Tigard,OR 97224 )73 j S Nl A'N/1t Gizi 1 Ai B Six err-Dae at tidal Units. p=vehicle'end vehicle parks. Suite/Mg/apt.#: I Project name:Polygon st West River Ter Clliszardona locations. 0 supply voltage Dar mora thea 0 service orIteder 600 ,..,or more, 600 veld moms. Cross street/directions to job site: ,; Plumbing Permit AppIi EI N ED Building Fixtures MAY 12 2016 I OR (IPI 1( l I til (1\l t City of TigardePermit No.;/ f7 21/6x,10/9? 13125 SW Hall Blvd.,Tigard,Q� F TIGARD Date/By: Plan Review Phone: 503.7182439 Fax: oivlslo� thy: OdterPermit No.: Inspection Linc: 503.639.418 G Dam Ready/By: brie 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ®New construction ❑Demo1iiSon lror'pedal fnjonnaNioa use checklist Description I QtY. ( Ea. f Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY'OF CONSTRUCTION 1 SFR(I)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 • SFR(3)bath 1 500.32 500.32 ❑Accessory building ❑Multi-fatttily Each additional bath/kitchen 25.02 ❑Master builder Q Other Fire sprinkler(_____sq.R) Page 2 . 'JOB,SrTE INFORMATION AND LOCATION . Site utilities: Job site address: Catch basin or area drain 18.76 ty '73 j s s • 1 Al Doting leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 c7W Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: I 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 ft:_) Page 2 Water service(no.linear ft.:,_,_) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: 63._ Fisture or Item: Tax map/parcel no.: Backflow preventer I 31.27 31.2./ MDioN or.wow. Backwater valve 1 12.51 , i 2.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectorsfsump 25.02 181..tROPER7.Y pilvER I 0 Tn;I,,1,,.T Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixcap 25.02 Floor drain/floor sinklhub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02_ Phame:(602)6941031 Fax:( ) Ice molter 12.51 ®.APPLICANT 0 CONACT PERSON Interceptor/grease tap _ 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Angela Gnjtwski 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 Tub/shower/slower pan 12.51 Urinal 25.02 E-mail:Angela.Cnjewsid@polygonhomes.cona Water closet 25.02 CONTRACTOR • Water heater - 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other. 25.02 City/State/ZI:Banks,OR 97106 Subtotal Phone:(303)324-0759 Fax:(503-)3240560 Minimum permit fee: 572.50 CCB Lie.:102535 Plumbing Lia no.:34-276PB Plan review (25%of permit fa) State surcharge(12%of permit fee) Authorized signature: c: tr TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04125/2016 This permit appliance expires If a permit is mot obtained within 150 days atter It has been accepted as complete. _ "Fee methodology set by Tri-County Building Industry Service Board. I:1BuiltanglPemritsrPLMU.PermitAppdoe 10101/09 440.4616T(10(02/COWWEa) City of Tigard 11111 COMMUNITY DEVELOPMENT DEPARTMENT ■ T[G A R I) Building Permit Review — Residential Building Permit #: /1/577..20/6 -6Q/�� Site Address: /75/S- / iZe 67Ra L2-1U1 Project Name: PL),4 c,771G%C i- f�-/Vec �-�r,o c- Lot #: �' (New ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /(J.) erify site address/suite# exists and active in permit s tem. R ver Terrace Neighborhood: ❑ No V Yes,See River Terrace Review Addendum Attached Siy Plan Elements: ree(3)copies of site plan t3 isting structures on site Ete plan must he on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure (including decks)with finished rawn to scale (standard architect or engineer scale) or elevations •.orth arrow Utility locations(required for new,may apply for additions) VA tte address,project or subdivision name and lot number +cati on nof wells/septic systems pplicant information (name and phone number) (g Erosion control (including drainage-way protection, silt fence t dimensions and building setback dimensions esign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and reet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations(2 foot contour lines if more than 13 11' ting trees to be retained with drip line,and tree 4 foot differential) protection measures OPtlean Water Services—Service Provider Lette of platted prior to 9/10/1995): ,Required: ❑ Yes,applicant was notified No Received: . ❑ Yes ❑ No ,Di Public Facilitif Improvement (PFI) Permit: -quired: Di Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake IG and Use Case#: PU.20/s--- 004-4 S''66,2o j (0 Zoning: , Setbacks: Front /a Rear 0 Side 3 Street Side 8 Garage 31/_1/ ,Landscape Requirement: V �U of Coverage Maximum: 0/0 0 0 Ii Building Height: Maximum Height 04- Actual Height c23 ill tsual Clearance vV Easements td,,..-nsitive Lands: ❑ Yes No Type 7/. Urban Forestry Plan ❑ Conditions "Methpprior to issuance of buildingLpermit Notes: eel?el/hO n' .c 5 ��a 41.1 t 1 /C;54hr r /42_ ,,,A4/;/ /Lc .,) t Approved By Planning: ,, ; Date: S.—AR Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B Idg PennitRvw_RES_012 116.docx r Building Permit Submittal Original Submittal Date: Site Plans: # 3 Building Plans: # _7 Building Permit#: El"—Enter building permit#above. Workflow Routing: IR-Planning C—`engineering [ Isermit Coordinator 6�uilding 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. iCKBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: ,7/36 Engineering Review Slope at building pad: z.43 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by ngi ering: Date: Notes: lrOY>4 Approved by Engineering: j4A 17 Date: .5-69 /4tc 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: ® Yes ❑ N/A Parks SDC: Yes ❑ N/A igf OK to Issue Permit — kik-1 c(a +; ori U r Approved by Permit Coordinator: C� Cak-►-,.eo Date: 6 - l 8 -l(p 1:ABuilding\Forms VBldgPenmitRvw_RES_0121 16.docx , City of Tigard 44 COMMUNITY DEVELOPMENT DEPARTMENT $• r "« 1, , River Terrace Building Permit Review Addendum Building Permit #: /`-/.STS/6 - der777 Site Address: /7- 3/S--- �7?i.e/ gr,ice L_ afW_ Project Name: Polygon at West River Terrace Lot #: 0), ___ (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? VYes ❑ 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 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. 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: c i e/r7 3. ntrances: At least one entrance must meet both of the foil.. • g standards: Max. 8 ft. setback from longer street- facing wall ►A Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If/es, all the following apply: U1 ,5 sq.ft. min. VJ 'I ne street facing entry W 2 ft.max. roof above floor of porch TA 5 ft. depth min. 30% min. porch roof coverage 4.�etailed Design: All buildings shall include a min. of five of e following elements on all street-facing facades: iovered 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 ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood VGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ lorizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade VWindow 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 3. , . a.es and Carports: May face the front or,side lot line on a corner lot. Setbacks: h No closer to front or s•. - .t line, than longest street-facing wall. ❑ ,- id No. If No (Check one): ❑ May extend up to 5 ft. if there is . .vered front porc -. garage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is .,, -•j a two-story building and there is a window at the second story above the garage that faces the stree •• a min. area o ' . ft. Width: (Check one) ❑ 12-foo ..e garage door ❑ 40%max. of street a . _ C 1% max. of street facade with 7 detailed design elements Notes: Approved By Planning: ."---------�� -.--1—'..A.,„:1-__ Date: SlV/jN, I\Building\Forms\BldgPermitRvw_RES_RT_031416 docx POLYGON 12 NORTHWEST COMPANY ry I April 27,2016 "' APR 27 2016 Mark VanDomelen Building Official BUILDINGMc4;1o" 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- 17 3 iS 513 fi-A1 nl G tt A-CL^) //STAB/, -1 0/99 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, Vancau%er, Washington 98660 (360)695-7700 • (503)221.192(1 • Fax(360)693-4442 www.Polvgonhomes.corn CCBf 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)695-77(X) • (503)221-1920 • Fax(360)693-4442 www.Polvgonhomes coin CCB#166871 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17315 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL October 23, 2016 at 3:19:35 PM MST2016-00199 David Young No access for inspection, house locked. Inspection results for Friday 10/21/16 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17315 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00199 David Young Condensate/ pan drain buried under landscaping, to terminate above grade. 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 17315 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00199 David Young Provide approved plumbing, electrical and mechanical ﬁnal inspections prior to building ﬁnal inspection. Plumbing and mechanical ﬁnals not on schedule for today. 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 17315 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O November 1, 2016 at 7:58:17 AM MST2016-00199 David Young This inspection passed previously, see inspection dated 10/28/16. Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures It)!z ()[ 1 l( I 1 til 0\1.1 Receired_ City of Tigard Permit Na 13125 SW Hail Blvd.,Tigard,OR 97223 plan Revs /'L'' 4'€ ��Cl- / S .--v6,-.6)/55 plaINn xeY Phone 503.71.8.2439 Fax: 503.598 1960 Other Permit No.: € DaretB}. Inspection Line: 503.639.4175 i T I+,1 i I Date iteadytBy; Jtir3s. See Page 2 for Internet www.tigard-or.gov, Notified/Method; , Supplemental AA ; 1?E OF WORK FEE*'SCHEDULE °„< New construction . Farspecial e ormation use checklist. DemolitionI Description 1 Qty. I Ea. j Total 9 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ftfor each utility connection/ CATEGORY or Co'SNR- v uor.l - • SFR(1)bath 312.70 I SFR(2)bath , 437.78 1 I-and 2-family dwelling 0 Commereial/industrial _ ❑Accessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen . 25.02 0 Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 r. JOB FOR_ A IO1N i1V13 ATIiNN. Site utilities; ' 44Job site address: 1''515 .%\k) y u c I t40� GrarR. \ � Catch basin or area drain 1$.76 Drywell,leach line,or trench strain 18.76 City/State/ZIP:Tigard,OR 97224 Footing:drain(no.linear ft.: ,) Page 2 no.: Project name:Polygon -. Suite/bldg./apt. j at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear It:___) Page 2 Water service(no.linear ft:,�„_) Page 2 Subdivision:Polygon at West River Terrrace 1 Lot no.: Q.)2 -- vv Fixture or mems , Tax map/parcel no.: tiackflowprexen€er 31.27 Backwater valve 12.511NN(F WflRC . -- -. f t Clothes washer 25.02 ... i (On ijr- ..: ._ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 , 0 IENA111T Expansion tank 12.51 Name:ADVLLand Holdings,LLC Fixture/sewercap 23:02 Floor drain/floor sinidhub 25,02 Address:7600 E Donbletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone 5 02Phone (602)694-4031 Fax ( ) i Ice maker WI ----1 .��`.n. - Interceptor/grease a trap 25.02 (I Business name:William Lyon Homes,Inc Medical gas(value:,$) Page 2 Primer 12.51 Contact name:Angela Grajewski: Roof drain(conuuerciai) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 . 1 Phone:(360)695-7700 Fax::(360).693-4443: TubTshawer/shawerpan 12.51 E-mail:Angela.Grajewskia3polygonho mes.com. Urinal 23.42 Water closet 25;02 Water;heater 37.52 Business name:Alliance Plumbing LLC water pP i i WV 56.29 Address:146 W Historic Columbia River Hwy {)titer: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 , 25°/*uf permit fee) Plan review ( l CO3 Lie,:184601 PlumbingLie.no.:P13732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE i Print name:Robert Dishnan I Date:5/23/2016 This€ iiappllrafion expires-if apermrt Is not abhlned within 1$Q days after Ulna been accepted as complete. *Fee methedotagysm;by Tri-County_Building Industry Service Board i UJuiidingl}amiotF MU.PenuitApp.doe 1070111)3 440 461er(10i071COM,waa) 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 17315 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00199 David Young House locked, no access for inspection. 11:23 am. Provide access for inspection. Previous results submitted in error, results were for 17325 next door. 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 17315 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 28, 2016 at 10:26:55 AM MST2016-00199 David Young Correction complete. Note: 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 17315 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O October 28, 2016 at 3:32:27 PM MST2016-00199 David Young Final erosion control approved. Street tree certiﬁcation received. High efﬁciency lighting form received. Moisture content form received. Blower door test report checked. Insulation certiﬁcation checked. C of O left on site with contractor. Violation Summary: Inspector Contractor