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Permit mol F2,. roN HCITY OF TIGARD f , o'7 MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00200 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 25106DC 10100 Site address: 13776 SW 175TH AVE Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 101 Project: Polygon at West River Terrace, Lot 101 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $349,277.36 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays:Y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,098.43 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 503.232.1987 or 1.800.332.2344. Issued By: ._. Permittee Signature: i��i��i7� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT p COMMUNITY DEVELOPMENT Permit#: MST2016 00200 Date Issued: 05/25/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DC10100 Jurisdiction: Tigard Site address: 13776 SW 175TH AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 101 Project: Polygon at West River Terrace, Lot 101 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2914 sf Value: $349,277.36 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF RainStorm Sewer: 100 0 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add l 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE PHONE: 360-695-7700 FAX: Total Fees: $33,011.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 9 09 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: '/flJ "9- 1,11-../6#-97.7 , Call 603.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. -,7---1 . 1 Building Permit Application '`'CD RE VG b ROFFI( ElS1. Ool \ 10 112016 Received //2//6 el/I PennitN /6 G/ey City of Tigard Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 MAY Plan Review / Other P ��/6-00/6 0 IIIII Phone: 503.718.2439 Fax: 503.598.1960 TIGARD Rp Dom• `Y: luny B See Page 2 for Inspection Line: 503.639.4175 G'I OF I t Date Notified/Method: I( :`.F I DIVISION -No��Me�Od Supplemental Information Internet. www.ttgard-or.gov BUILDING __-'_. _._--.--.._•_ . .;1 - ' ` — -` '' Permit fees*are based on the value of the work performed. �_ ®New construction CIDemolition Indicate the value(rounded to the nearest dollar) l equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement ❑�� work indicated on this application. 6 � -4 ' Valuation: ® 1-and 2-family dwelling ❑CommerciaUmdustrial Number of bedrooms: ❑Accessory building 0 Multi-family Number of bathrooms:✓2-1' 0 Master builder. 0 Other •] } --7 4 ,� Total number of floors: 2 J J / i• P:11` .' i f$ n r-,i j a r x..i."..,.1.'2:_ y si...,ac !u i 4 » i �- f T,, ?��`� ' _ . ,�.i- -�...,.u ., . .___�I New dwelling area:�"1 1 l� square feet -1 Job site address: �� a/ v Garage/carport area: City/State/ZiP:Sherwood,OR 97140 ll..\ square feet ''area: -t`` square feet * rim ' Suite/bldg./apt.no.: 1 Project name:Polygon at West River Ter Coveredporch ` Cross street/directions to job site: Deck area: QD square feet 1" 4 Other structure area: 'ri square feet -- Lot no.: 10 ' Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the work indicated on this.•.lication. Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet `. , ; , �� ' • • Number of stories: Name:Polygon A T.i.0 �/Qa L / , .-/,"/D , L Lis/96S I- �� Type of construction: Wi Address:109 E 136 StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax(360)693 4442 New• Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13*Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: I Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of - r r,? roof-top mounted PhotoVoltaie Solar Panel System- _ .�___._ , b (2)setsof roof plan with connection details /L Submit two Business name:P __ J 4i)/!�/efli Liviv r7o� �N�' and fire department access,along with the 2010 Oregon Address:109 E 13'h Street Solar Installation S.•cial Code checklist. Permit Fee(includes plan review $180.00 City/State/Z1P:Vancouver,WA 98660 and administrative fees : ( ) I Fax:(360)693.4442 State surcharge(12%ofpermit fee): $21.60 Phone: 360 695.7700 g ,r(rjiCCB lic.:207247 Total fee due upon application S201.60- ti -) This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete( *Fee methodology set by Tri-County._Building Industry Print name:Maggie Gordon I Date:12/11/15 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) sk r El/get:tit:1El Permit CEIVED [tE irrt,,+Ittt:£ t,l r:.,, u125 swthii>iYa„rieard,01 97M AY 1 1 2016 City r/f Tigard 'p�;; ^�' 7-02(1!6-5..2' iew ra Phone 5037182439 Fax 50.593.1960 , 124 IPenal:: CITY OF TIGARD i j Lt aoZjpa tbt�X03 639,4175 Seedy Date/sv ra,IK 0 saaPag43,for Internet w+vsvtigard-w.gav 11eh6alibinbed 8oppterentellnformatiw 3 a,x _ n '{I �I � ®fli, Z On ❑1 (htion/a1tt:netiUtthup1acemeiit Pkaseectek an dui appiy'rakisho iris onsinti4ontlant checked)- D Service of raadg400ampa or nano D1Mtlnmgovertheta.;lorics. ❑DgnO).jho4 El Piller: -. ,vheaetheavaiWdalankmina ❑twta,irustsa bioirods, '°` :1., " .,t !' b,0$431lil l-. „, =toads 100300�impsat150whsor 13 Floating headings. i ®1-and 2.teni y dwelling "p CoiiuiNcciavinthisnial 0 A...wry building kxx g!cmfd,ofcxosak 14,000 ❑c.„.„„.„,,,......,,.,„, OMatif ml alpaca-aY.uHerlmtaltolioas. bial0ings. ly ❑Master builder ❑other �F1nlxucp. L1LatallaoFlsoitvAor I 3011 SITE-'1 @fd.'MYON AND 1,000—TiOh1 ❑v mergmey syatwu, lamer separately derived lob 9 Iok ate addre8S:V3-1-1 -1 V"1C0(r. C) f otnow motor bad of slalom. 1 � 1 1 I"� 'j'+l�• 100HTora>ac: C7"A;"1;;"12;"5-3", l: City/Stain/DP:Sherwood 0E897140 O sec or mors reexke tial occupancy.❑'He tars facitltiea. CIllamadoost vehicle parka. Su telbldglapt 9: Project name: 1:10e€edons locetiom. Ci Supply vnhaga tor mnea ikon 0 Sonice a fearkr600 amps or more. 600 volts nominal. Cross street/directions to job site: •; i bakafteSaa_ i 9Iy.I tem i Tow 1 t New reaideattd single-or mind-family dwelling unit. Subdivision:River Terrace Lot#_kt)1 iaciades attached garag ; Tax map/parcel 9: 1,009 sq.11.or less J 168:54 4 Es.WIN/0n It*portion c• 33.92 1 r BESCRIPTUOII OF WORIL Lunt ede+wergyr*dentin] 75.rm 2 twviababor�asq IL) t New SingEe rawly Limitede0ergy,arolii-ganily 73/3D 2 residential(gith Above sq.2) .-> 'k..bP +,u !eriitr+ia i .a rAtwr Stet ►ab>eEtn r p series t • Services or feeders inalailarl.n,alteration,and/or relocation Native Polygon Home! 200 amps or lass 10&70 2 Address:109 EL i3t6 St 201 amps to 400 imps 133.56 2 City/State/ZIP:Vancouver WA 98660 401 amps to 00 anips .200.04 2 6601 amps to 1,OpD onrps 301.04 2 i Phone:(360)695.7700 Pax:( ) Over i,00ampsorvolts 55226 2 Ernail: Temporary*vices or feeders inetaaatioa,alteration,and/or ti relocation Owner itsstafntioa:This installation is being made on property that I own whish is not 200 amps Or lets 59.36 ) intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 i�APTLICANT Branch shutting-new,alteradon,or:extension,perpanel I � 1 01)111ACr l'E.RSON A.Ere forbonch cirwils with Business name Garner Electric Washington,LW above service or/cedar fee. 7,42 2 t eacb bratrdr cjrook , Contact name:Bili Daniels B.Fee lar branch cera ooNu� service cifetdsr kc,fiat Addles:4101 TiE St.1ohns EW branch circuit 56.18 2 , r. City/State/ZIP;Vancouver WA 98661 Each addi breath circuit 7.42 2 1►ilateNaneons(service or feeder not included) Phone:(253)320-1657 Fax::( ) Eadtnwuted:or awdniar g dorellit .aerviceandIn feeder 6784 2 E Etrail:bdanieiteggweusa.com Rermnneetcobj,; 67.84 2 i t."gym" > ,v �CONTRACfOR Pwnpalnigationcircle 67.84 2 Business name Garner Elect)•ic Washington,LLC Sign or outline lighting 67.84 2 i Addie 6101 NE St Johns Rd Hanel.cheeks)or CJ SecPaga 2 R pend.dktatioa,or extension. City/State/ZJP•Vancouver WA 98661 •Each additional inspection over allowable in any of tie above Addition&itxpeedit(1 hrtnin) 66.25/br Phone:(253)320-1457 Fax:( ) brvertigatlon(I brtn6t) 90.00/1r Email:bdaniels@gweusa.com Industrialplant(I brmin) 78.18ilr Inspections farwhlchno fee is 94.001 br CCB Lie.: C1E58 Electrical Suprv.Lic.: 44968 apcctscaityltstedtAhrmwl Su .B1ecartihl ;Olt-171_1ct{iT',PEJR10.-i;F.668 pry ajar signature,required: , Subtotal, Print name:loan P Albert Date; p"1 l 1 f UO 0 Plan Review Requited(25%of permit fee): Stale surcharge(12%of turnit fee): Authorizers aig+tature:� TO'3'ALPER 417-pm f This permit application apices if a penal*b not obtained within ISO Print name:Bill Daniels pate: ` ck Itp days n8artt*lee been accepted as eoaspfete• • Number ofisapeetionsatbwedper postal. LiftaitNMParah,lIIAJ00.App_t7.R_H*E.doe Rae0w11,20l5 C4o-r6rsilltis*0WWEm I I i I 1 t4 I r I Mechanical Permit Application 1 1314(tt i It 1 1 .1.O'a1 1 City of Tigard EGEIVED aye Permit t3a.• �/b—Ooo2o0 11„1....„ . 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review Ku Phone: 503.718.2439 Fax: 503.598.1960 1 20 16 IYetdBy. Other Permit. ` Inspection Line: 503.639.4175 MAY + tate Ready,113y. funs. Ri See Page 2 for _, tntemct. Nww.ttgard or.gov C� TIGARD NaifiediMcttx3: 5nppeaeatat information CNpNIS10N t� Mechanical permit fees*are based on the value of the work El New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other. , mechanical materials.equipment,labor.overhead and profit. s ..„„_VI,lue 5 ^ ® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spratarlajerssettetstseetedtt, O Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total *,...r *IrdkiN. lleatiag/cooling: n Air conditionine 46.75 Job site address: � ` Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP: ("'\.(brurlf)061 OR q�' 0 Furnace I00.000+BTU(duets/vents) 54.9! 61.06 �� 0,,,,,,A-Suiteibl t.no.: Project name:_ tDupump Ductd wane 23.32 Cross street/directions to job site: )X517 Ilydronis hot water system 23.32 Residential boiler(radiator or hydrmtic) 23.32 Unit heaters(fuel-type.not electric). in-wall,in-duet,suspended.etc. 46.75 Flue/vent for any of above 2332 Subdivision:River Terrace Lot no.: 10 t Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ', ., d � i , ,r a � : ' gs --4,4,,, *.. �,; Gas ftreplaaaiinseft 3339 , Flue vent for water heater or gas HVAC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 �" :.''"7:71.4-3--,'---;" -{ r sOher: 2332 .-.- - , i Environmental exhaust and ventilation: Name:Polygon Range hood/other kitchen equipment 33.39 Address: 109 E 13*St.Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duet exhaust(bathrrroms. toilet compartments,utility rooms) 23.32 Phone:(42.5)586-7700 Fax:( ) Attic/crawlspace fans 23.32 „„ _: 4 °l" "as ..r �. ... -Y;;71-,:i . : ' .,,.t'1{ Other 2332 Business name:Apex Air LLC Fad piping: , 514.15 for Oram four,$4.03 for each additional Contact name:Stated Hay Furnace.etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump WailIsuspendedlunit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax: (360)326-1769 Fireplace Ranee _ E-mail:stacibat apexairco.com Barbecue _ ��zzFF ''''''1.,..,,,:',5:::2t74-."" `'.,,'"';';!"..:,t,: v 3 a .?'s 5 i I "'� �.. , .war C}Other dryer(PSS). Busir»s name:Apex Air L1.0 Other Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-$109 Fax:;(360)326-1769 State surcharge(I2S of permit fee) CCB lie.:203034 i - - TO AL PERMIT FEE This permit application expires if a permit is ant obtained within ISO ' days atter it has been accepted as complete. Authorized signatur 1 .. lj • Fee methodology set by Tri-County Building Industry Service Board t Print name:Suri hay Date: 1/28/2016 1'lluitang%PcmritnMEC PermitApp143113 doe 430-i6l7T II I.Y3VCOM/Wt.8) 1 s Plumbing Permit Application �CCE,vE� Building Fixtures RGG City of Tigard MAY 11 2016 Date/BReceivd PrnnitNo.tf 2O/6"O0a40 0 lki 41 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review ,p Phone: 503.718.2439 Pax: 503.598.jQ �c TIGARO DardBy Onc�Pennir?3o.: :D Inspection Line: 503.639 4175 (j Date Ready/By Ions: iii See Page 2 for Internet: www.tigard-or.gov 'b l G DIVISIONNoaned/Method Su 4,laments!Information .t ";,„,,, m,�, . R:IE;'' S. a z `T..�� axt'_ _:. .R. s For special information use checklist II New construction 0 Demolition Description I Qty. I En. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) s� eta'''.`,1 's sa, t . a`. ,,e SFR(t)bath 312.70 ter. * qua > SFR(2)bath 437.78 1-and 2-family dwelling I Commercial/industrial 500.32 SFR(3)bath D Accessory building El Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.fl.) Page 2 ;: s � + ) 1. ,. r e m V'-i t4�wd Y, �'� ; -Site utilities: Catch basin or area drain 18.76 Job site address 1/?::1-11"(.0L / . , Drywell,leach line,or trench drain 18.76 City /ZIP /State : h a r ��0 C)U If t}-1`"► n -Footing drain(no.linear fl: ) Page 2 Suite/bldg./apt.no.: 1 Project name: Q01 i I t J(� Manufactured home utilities 50.03 Manholes � 18.76 Cross street/directions to job site: c \kits rc _ Rain drain connector 18.76 Sanitary sewer(no.linear IL:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear IL:_) Page 2 Subdivision: I Lot no.: t ' Fixture or item: Backflow preventer 31.27 Tax map/parcel no ' i 1 a p x ' ` Backwater valve 12.51 �, >Na�� 3�f . 4'-S9 : ° , � - I . Clothes washer 25.02 r i-e-W 51-7 p\u .fl Ol.4 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ' ,','r L' -11,--0- 4,,,4-4,,,.:,1-4.4.,.. a a .ti' ..,a t-,,,,-:47,"...> ° €' t. " Expansiontank 75 02 12.51 n,. l __x . Fixture/sewercap Name: Y N Q IVY -1' Floor drain/floor sinklbub 25.02 Address: i t^�all J I{'A�, �'C Garbage disposal 25.02 City/Statc/ZIP: JAft ' ✓ L a # ..1 U Hose bib 25.02 Phone:(ND U +0 Fax: ' 1D kD i \ Ice maker 12.51 - `` . .e ' !z3E ,,. s g'1 ' Intercepor/ar ease trap 25.02 mvii--- y:r<1 s . -ltr ,; Medical gas(value:S ) Page 2 Business name: /1✓-t,3 f i„/1 l Li 1,4Ni v,,\elk ( )� ,C Primer 1251 Contact name: 1\,/t Cl iLv...vL• 3Y i � .1c,...to Roof drain(commercial) 12.51 Address: ( ., 1'})'-7 C7 Sink/basin/lavatory 25.02 City/State/ZIP: rSolar units(potable water) 62.54 te'}��.�� ( _et�C�l�. Tub/shower/shower pan 12.51 Phone:elI ) p g g - (rFax::( ) 25.02 Urinal E-mail: K., �=- 25.02 r .� Water close a ". � aea� ,,,Z,`,,,,,,,,, 4'4,4::...1.:,:=°6-,7;.....46'„,,,,,,„ `_. ti awater hotter 37.52 Business name: i'r._i✓'L4 r V :yra-1-\ P(i-t yyli, )y�n 1 , Water piping/DWV 56.29 Address: pp G tD I_ 13? `' ) Other. 25.02 City/State/ZIP: .K.s}rld,, DR_ 't,fil� _ Subtotal 1 •C$t`g3 ( ) Minimum permit fee: $72.50 Phone:(9 )I) Fes' Plan review (25%ofpemdt fee) CCB Lic.: 2,ID to ' Z... - Plumbing Lic.noFB f too-2_ State surcharge(12%o of permit fee) Authorized signature: �/� TOTAL PERMIT FEE JJj `This permit application expires if a permit is not obtained within 188 days Print name: Ma X k-ru cx MM(, Date a_c) )/rr after it has been accepted u complete. t( 'Fee methodology set by Tri-County Building Industry Service Board. I\Buitding\Pamirs`,LMU-PaatitApp.due 10•i71109 440-4615Tti0412 COMNIEu) is City of Tigard .111/ a COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n l:n Building Permit Review — Residential Building Permit #: /".1C7";20/6 — OO o d Site Address: Mn -77 �l,(j /-9-T514 , Project Name: Yd� - AJPg72- 47/vex- 7-P- j Lot #: /0/ (Nc ling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A ) Verify site address/suite# exists and active in permit s em. Tr River Terrace Neighborhood: CI No Yes,See River Terrace Review Addendum Attached Si/Plan Elements: iti ree (3)copies of site plan ` ,sting structures on site Vite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) 0r elevations [(Forth arrow VJUtility locations(required for new,may apply for additions) Liaite address,project or subdivision name and lot numbercation of wells/septic systems pr'Applicant information(name and phone number) n rosion control(including drainage-way protection, silt fence ViGot dimensions and building setback dimensions sign,location of catch basin,etc.) II 1Lot area,building coverage area,percentage of coverage and (feet names tiipervious 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 itiOisting trees to be retained with drip line,and tree 4 foot differential) protection measures l'OrClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): : -quired: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes El No IR Public FacilitImprovement (PFI) Permit: Required: Of Yes,applicant was notified El No Applied For: 1,, Yes El No,stop intake " and Use Case#: ?bleo?G/S (9D6071. —i(JeSQD/S O( d 7 ning: k---7- 4 backs: Front /(R Rear 15 Side ,_ Street Side 1j9 cc Garage ' andscape Requirement: c Q % f t Coverage Maximum: 00 V Building Height: Maximum Height 0 Actual Height aR 0 I'isual Clearance Y Easements 0141. -nsitive Lands: ❑ Yes ENo Type 15 Urban Forestry Plan ❑ Conditions 7"Met"prior to issuance of building permit � Notes: l�)/423/y/ e -ski 2e rku4 pD- t ' ./ l.<gLja24 c1 Approved By Planning: 7Y,, Date: S____h/de_____ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved L\Building\Forms\B IdgPennitRvw_RES_0 12116.docx eI Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # --3 Building Permit#: [ Enter building permit#above. Workflow Routing: ErEngineering {i ermit Coordinator L7 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: Date: --5-7,;3//,‘ Engineering Review Slope at building pad: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved .y Engineeri g: Date: 104 tr Notes: �i?/� . �, ..ri� o-'� _400I i.. /I i if:5.4i 1e►� Approved by Engineering: __ _ 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: C�l SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: IX Yes ❑ N/A Parks SDC: El Yes ❑ N/A X OK to Issue Permit--.� d a-1-i on o r. Approved by Permit Coordinator: Date: S 1:\Bui Iding\Fonns\BIdgPennitRvw_RES_0121 16.docx City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT III TI ARD. River Terrace Building Permit Review Addendum Building Permit #: f f 7 2 ,/gyp --$002 O Site Address: 899 S tO % S l nye_ Project Name: Polygon at West River Terrace Lot #: /67 (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 f. deep ft. deep mm. 2ft., 5 ft.wide mm. 2 ft., 6ft. wide Gabled dormer ❑ CI CI ❑ 2. Eyes on the street: a minimum 9f-,4%of ee h street facing facade must include windows or entrance doors. Percentage Shown: ., 5-4.70 3. trances: At least one entrance must meet both of the follo . g standards: Max. 8 ft. setback from longe 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: sq.ft. min. ne street facing entry I 11 ft.max. roof above floor of porch vp5 ft. depth min. 30%min. porch roof coverage 4. f tailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: rii7overed porch min. 5 ft.wide x 5 ft. deep CI Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches El Dormer min. 4 ft.wide Roof cave min. 12 inch projection ❑, of offset min. of 2 ft. ❑ Roof shingles either tile or wood LIYGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑yorizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade V4Window 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: Noloser to front or side lot line, than longest street-facing wall. CI Yes No. If No (Check one): L�/ ay extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: _ -...0•°' J,I Date: l/c--/Me 1:\B u i 1 d i ng\F or m s\B I d gP erm i tRvw_RE S_R T_031416.docx POLYGON 1I NORTHWEST COMPANY April 27,2016 " "' '* [[At APR 27 ?01h i Mark VanDomelen Building Official BUILDING f1f %N();\ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74-17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82 - 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94 - 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave 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 /44.c7--;,2v 00 ZOO Lot 102- 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver,Washington 986(10 (360)695-7700 • (503)221-1920 • Fax(360)643-4442 www.Polvgonhomes.com CCB#166871 POLYGON n 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.Polvgonhomes.com ('CB#16687 I 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 13776 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00200 David Young Fireplace not set up and working at this time. Re schedule when mechanical is complete. All else appears ok. No AC on this permit. 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 13776 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 28, 2016 at 7:24:08 AM MST2016-00200 David Young Corrections complete from previous 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 13776 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS November 1, 2016 at 12:11:25 PM MST2016-00200 Don Sylvester Corrections complete Violation Summary: Inspector Contractor Plumbing Permit Application , ,„,...„. ,, ..,, :vr,--7,-f-„ Building Fixtures 1 oR 01,I R i 1 si 0\1 1 N . Received City of Tigard III 13125 SW Hall Blvd.,Tigard,OR 97223 yi---..P 1 'a 2016 Date/By /0 /( ,Id Permit o_ .r ,) ,_ Plan Review. Phone: 503.718.2439 Fax: 503 598.1960 .,-,,••--,v•-•,. Other Permit No: I ' „,•„--( .,,, .,:-. - Date/By Inspection Line: 503.639,4175 ,..,..,t 4 ‘,..4, , 1 h.. ,..,,,,, „...,.., ,.,..,... ,,..•„.i .,••;.,-,.,,,', ,, Date Ready/By Juns 121 See Page 2 for Internet: www.tigard-or.gov ,.,-,4....',"(,;„_, " :-..7 , ,, . `- -'' Notified/Method Supplemental Information ! TEDH Of : I'".= FEE* SCHEDULE ...... . . il New construction 0 Demolition For special information use checklist. Description 1 QtyL Ea. 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATWORY OF 11= .4,:- '':CETON SFR(1)bath 312.70 k.S 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437 78 . SFR(3)bath 500,32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other Fire sprinkler( sq.ft.) Page 2 ......_ ':...•ii:71:: ::;•1':.::.'!•••:::::::'• . ..-•;4..'t-'): •40.':Stok.::ii••••: I :: •,1Lia....THDU. Site utilities: _....._ Job site address: I it) i - Catch basin or area drain 18.76 4 al — Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 -- Footing drain(no.linear ft.:_) Page 2 • Suite/bldg./apt.no.: 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 Lot no.: i Fixture or item: _ Tax map/parcel no.: Backflow preventer _ 31.27 ::."'"•1••*;'',••, ':'''..1.4i:::"'..1.;1::-.:* :'1,-:-....,_ ; ....-. .,..4,-,-.1...,-•-',"-.. . . .: Backwater valve 12.51 ,... ,•,!•:--".4.:".,'''."':•••E!•!:: :„ .:: ....•'''1.1'.*,.* 7:1- '.0 . AAP'' °- .. .. : , Clothes washer ofrpirw,. / Liotnes wasner 25.02 IIIIPMril IMIYIllifaill-...tiLir. Dishwasher 25,02 .. Drinking fountain 25.02 Ejectors/sump 25.02 :,...4...t....i:V4:,..!,:....7„..„,....,"1• ':::a,;.-!....i x•. . . :. a 1404ANT. . Expansion tank 12.51 = • Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 I Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Ice maker 11111111111111111111111111 12.51 1 .., '".:%•.F.--7.....-..(F., .:.•. ',..t- 42 r-,:::. :i• ..,. : - : 13-,:ii ,',...•- ....,. ,.•,, .....p, .: Interceptor/grease trap 25.02 , . Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 1 Primer ' 12.51 , Contact name:Angela Grajewski - --i Roof drain(commercial) 12,51 Address: 109 East 13th Street Sink/basin/lavatory 25.02 7: 1 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski@polygonhotries.com Water closet 25.02 '''''''''',::'-',..!•••',;:',":"Q:lil:,,,-•;.•••!• ;',...J.'...*4'"11. '.w,.1.• •'...,..; . .. : .:. . ... Water heater 37.52 Business name:Alliance Plumbing LLC Water piping/DWV 56,29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.: 184601 / /MI Plumbing Lie,no.:PB732 Plan review (25%of permit fee) 1 r- State surcharge(12%of permit fee) Authorized signature: PrA TOTAL PERMIT FEE 4 4 r AI Print name:Robert Dishman Date:5/23/2016 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 1\BuildingTennits WLMU-PetmitApp doe 10/01/09 440-4616T(10/02/COMIWEB) 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 13776 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O November 7, 2016 at 10:30:36 AM MST2016-00200 David Young Corrections from previous inspection complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. Vapor barrier form received. High efﬁciency lighting form received. Blower door test report checked. Insulation certiﬁcation checked. C of O left on site with builder. 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 13776 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL November 4, 2016 at 8:57:22 AM MST2016-00200 David Young Correct exterior grade right side of house. Grade to slope away 6" in 10' or provide approved drainage swale. Gas meter riser buried beyond permitted depth per manufacturer. Violation Summary: Inspector Contractor