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Permit CITY OF TIGARDillicit tiM. MASTER PERMIT '- COMMUNITY DEVELOPMENT Permit#: MST201600202 TIGARD D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S 106DC 10200 Jurisdiction: Tigard Site address: 13754 SW 175TH AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 102 Project: Polygon at West River Terrace, Lot 102 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/20/2016: REPRINT permit to add 214 sf patio cover. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $355,843.54 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 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 Fum<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 add9 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,276.70 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. *AR 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: if 6' 11'Permittee Signature: r�L7n/ 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. .4 City of Tigard :7 I • COMMUNITY DEVELOPMENT DEPARTMENT 1 1G n 1:C) Building Permit Review -- Residential Building Permit #: /757020/6 — ('p p.X._ Site Address: /q / SA) / -5------A ni/p Project Name: ,rip 1-1,2e24. ft w,- ^ .rTeac e Lot #: f6 (Ne ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Lie6t) ` /✓e IVerify site address/suite#exists and active in permit system. ver Terrace Neighborhood: 0 No [ Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ✓ ree(3)copies of site plan P 4 sting structures on site e plan must he on 8-1/2"x 11"or 11 x 17"paper 1P ootprint of new structure(including decks)with finished P awn to scale(standard architect or engineer scale) or elevations Cr. 16rtli arrow IJQUtility locations(required for new,may apply for additions) • e address,project or subdivision name and lot number g ' : ation of wells/septic systems fir plicant information(name and phone number) I/ rosion control(including drainage-way protection,silt fence i t dimensions and building setback dimensions sign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and Street names rvious area(applicable if R-7,R-12,R-25&R-40) 11 Street tree size,type and location roperty corner elevations(2 foot contour lines if more than ting trees to be retained with drip line,and tree 4 foot differential) protection measures 'Alcan Water Services—Service Provider Letter of platted prior to 9/10/1995): ift.equired: ❑ Yes,applicant was notified No Received: 0 Yes 0 No Public Facilitie Improvement(PFI)Permit: i Required: v Yes,applicant was notified 0 No Applied For: es 0 No,stop intake Land Use Case#: P _ 's- t�'�d"t, s� 2C/S pre IVetboning: t Et) acks: Front /of, Rear /---. Side Street Side �/t f1 Garage a � 'andscape Requirement: Q t1dBut Coverage Maximum: ilding Height: Maximum Height 01A Actual Height c��- tsual Clearance iziff rifasements nsitive Lands: I/34es ❑ No Type Lat>—L/ti 1-- 112 Urban Forestry Plan 0 Conditions"Met"prior to issuance of bu dinger�mit Notes: On rit iGf s, _s:4, l 77,10 4 yr--4 f-A "2 /Aia- i S re,,ac_e_ 1 Approved By Planning: , A, Date: SMy , Revisions (after Bitng Submittal only) Revi art ) D to Revision 1: vi Approved ❑ Not Approved �-- � Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Fonns\BidgPennitRvw REs OI2I I6.docx . '4 Building Permit Submittal Original Submittal Date: _//6//f, Site Plans: # ? Building Plans: # 3 Building Permit#: ff—Enter buildingpermit#above. ,. Workflow Routing: Er-Planning engineering © Vermit Coordinator I�13uilding Workflow Sign-off: 0'Sign-off for Planning(include notes from planning review) Route Application Documents: .1:1- Engineering: (1)copy of permit application,(1)site plan,(1) building plan and � original plan review routing form. Er Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: e--- Date: ..06//b EnOneering Review Slope at building pad: _V ❑ 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: 0 Yes ❑ No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No LIDA Facility on lot: 0 Yes El No O NOT Approved by E inee ' _g: (� Date: Notes: „ �jiJ �r fr7,19.A. 5-41 Approved by Engineering: 144 Date: lam' Revisions(after Building Submittal only) Revie er Date Revision Revision 1: AApproved 0 Not Approved /�[ i_ • #V' � ' Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 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: r] Yes 0 N/A Parks SDC: ® Yes 0 N/A !f OK to Issue Permit -��,,,,,da,�;,,,, �,� Approved by Permit Coordinator: �,�' I ,,� L4"...)..0' Date: - t - i S- Building.Fonns'BldgPermitRvw_RES p O12116.docx a731.1Y 1 A City of Tigard 114 u COMMUNITY DEVELOPMENT DEPARTMENT ■ T CARD River Terrace Building Permit Review Addendum k Building Permit #: /1,57;219/62 -- 00.20 cP— Site Address: /3?s- 9 g30 /7. —'7% Project Name: Polygon at West River Terrace Lot #: j(`) (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District 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. I Porch min. 5 deep Balcony w/access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min.2 ft.,Eft. de ❑ ❑ ❑ 2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: AS to i% 3. E ances:At least one entrance must meet both of the folio :, g standards: 'r Parallel to street,angle no more than 45°from street, Max. 8 ft. setback from longe street- facing wall or open onto porch Entrance opens to a porch: [Q Yes ❑ No If y ,all the following apply: sq.ft.min. 5119",ne street facing entry [7 1 ft.max.roof above floor of porch V ft. depth min. 0%min.porch roof coverage 4.0tailed Design:All buildings shall include a min.of five of a following elements on all street-facing facades: vered porch min. 5 ft.wide x 5 ft. deep.94 Recessed entry area min. 5 ft.wide x 2 ft. deep offset min. 16 inches ❑ pormer min.4 ft.wide Roof eave min. 12 inch projection . sof offset min.of 2 ft. ❑ Roof shingles either tile or wood 'G ble,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. / rizontal lap siding min. 3-7 ft.wide ,�, ❑ Accent siding min.40%of street facade indow trim min.21/2"wide by 5/8"deep j 0 Window recess min.3 inches for all street facing 0 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: No/loser to front or side lot line,than longest street-facing wall. ❑ Yes No. If No(Check one): Vay 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 14 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: Date: Site f 4 I:\Building\FormealdgPermitRvw_RES RT 031416.docx Y FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 114 li I Transmittal Letter -T;,, RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE ' CEIVED. 4: DEPT: BUILDING DIVISION FROM: Angela Grajewski COMPANY: Polygon Northwest PHONE: 971-212-2144 By. RE: 13754 SW 175th Ave MST201(o - 0 O P 0'a (Site Address) (Permit Number) Polygon at West River Terrace lot 102 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: }.Copies ,, Descriptioni:: 4,\!\ , :� Copies:, ?Description \_ 0 Additional set(s) of plans. 3 Revisions: Add patio roof 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: 07"7 y. F TSE ONLYa. : . Routed to Pa hnici. 1• Date: E InitialsA• P-,. Fees Du. : /i1 Yes I • Fee Description: Amo 4!"'J ue: $ 9e)- ,' Fir i)i !',.,-,4,, yr � A64/74 $ q Cr") ' ��' .....,. 1 ,-, , ,..„..„9„..crE.--.. $ Special . .-.- _..-. //r V 9 P./2 , Instructions: 0/• /P--- i Vie Reprint Permit(per PE): KYes ❑No ❑ Done /(6,(,, TD - Applicant Notified: 61--/V6/C Date: 9/i s/4, E,t-r.q.c_ Initials: . I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 ill ,#i CITY OF TIGARD P 7 ,,,2/J MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00202 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 TIGARD Parcel: 2S106DC10200 Jurisdiction: Tigard Site address: 13754 SW 175TH AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 102 Project: Polygon at West River Terrace, Lot 102 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: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2909 sf Value: $351,206.16 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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 Tvpes 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!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,110.41 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 0 -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: V� �. Permittee Signature: "xl ,�'/ 77n'v/ 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 p1111 111 • COMMUNITY DEVELOPMENT Permit*: MST2016-00202 Date Issued: 05/25/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 106DC 10200 Jurisdiction: Tigard Site address: 13754 SW 175TH AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 102 Project: Polygon at West River Terrace,Lot 102 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $351,206.16 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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 add9 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2909 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,023.39 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 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: Q �"P A7 ,4/64-770AI Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. r to i / 002- LS , 1 Building Permit Application � ., FOR OFF1( I l ',F OAI 1 A. t,s DECEIVED t I w Received //6, , ,ice ♦ Pennit.i.ys'-- 0/44�Q d� City of Tigard Date/sy. 13125 SW Hall Blvd.,Tigard,OR 97223^v 1 Plan Review 14 otye+Perm eD/6 DO/ , Phone: 503.718.2439 Fax: 503.598.19 H I 6 2016 Day= ;wiz B See Page 2 for Date Ready/BY: Supplemental Information I I c' s:I InspectionLine: 503.639.4175 CITY OF TIGARD No �ed/Method Internet:: www.trgard-or gov w Permit fees*are based on the value of the work performed. EH—New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application_ r -' : . . . ,,,,:•.., valuation. . O C ‘ ----4-mokrait ,0\ / ® 1-and 2-family dwelling � 0 Commercial industrial Number of• ••�: 0 Accessory building 0 Multi-family Number of bathrooms: 0 Master builder. 0 Other -----------7—i--.- Total number of floors: 2'777J 4 _ .. , e b square feet 7 _ _ - j�� I New dwelling area: xJob site address: ; �� t 1`r — T '� ` Garage/carport area 1�� square feet City/State/ZIP:Sherwood,OR 97140 feet Polygon at West River Ter Covered porch area: t f%�J--q' square .SS Suite/bldg_/apt no.: ( Pro 1ect name: t- Cross street/directions to job site: Deck area: ct square feet 1 av Other structure area: ', square feet Lot no.: 1 d2 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 .• hcation Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet <-> Y of stones. ''-- � -3 /:..,..,: Number N -- /9;64 v 1/J/S LLS/hf g-'S C Type of construction: iOccupancy groups: Address:109 E 13th Street 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 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: -� Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes coin Commercial and residential prescriptive installation of ', roof-top mounted Photovoltaic Solar Panel System. -— -- - �� _ Submit two(2)sets of roof plan with connection details Business name v 'EO/c-L.1+,7 L'�0/� �� /Ate-- and fire department access,along with the 2010 Oregon . Address:109 E 13"Street Solar Installation S.•cial Code checklist • Permit Fee(includes plan review 5180.00 City/StatelZlP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 - - . �(/ CB lic.:207247 Total fee due upon application: $201.60 11" This permit application expires if a permit is not obtained Authorized signature: '`� within 180 days after it has been accepted as complete. ie I *Fee methodology set by Tri-CountyBuildmg Industr IPrint name:Maggie Gordon I Date:12/11/15 Service Board. 1:1BuildinglPermits\BUP-RESPermitApp.doc 02242011 440-4613T(11/02/COM/WEB) � :tr 1 f A ,111 Eleetrical Permit A lie- CEIUED )r3i[rrFt iC f ,r e3f1' 13125 Eaai �rd.OR 97 Y 16 2016gard d W N , ` '7 %: #.2.0el, � ,.- Phone 503'ito:7 39 :FOC 5(1359&1 s petafed.Pang(a: r,i brsl'°h brie 'D3'6394175 R*D*1BY' limit I21 sxPagelra later utvw it rd organ CITY OF TIGiARD xanfi dr4ta& e. rerarmntioe 11,I�lW ion 0 AddttiolValcerarizintreplactident rceaso4i i.as001,11884'404°a lid*of „ a rrkad}: p[)CRlOhtirm ©iltlter: Sandaa or 400' at mora 9kl abenoMos stonier_ © C] i' ,4 . nor � .o o 0 +rbiae drip 000d a f i o rent 0 NenMs"and 11,48- ds '�'�� ^�,^�,��:�.,. � ��- : - acee4b10iMO;ia�rail5aspasor II�hpl�ltuFldinPf- ®1-find 2 farttity dwelling p Calm etdlriidt a p Accessory building less a aroma of naia d 14,000 LI rniaetei44=eniteotinra! r—r a*'ps avane/her tastattariram QMal81'atnily pMaster builder yd Other: IIinr.Pump Cil afISO KVAor '"� ' 'J4) �ift 1'lO Ay[Oi4A140 dlOCATl4Ol t7E4+siaaxysy , lar6etfseparetelyderired Job#.• Job siteAddtrss' r = A { Li littonafeswraatortu dof tea City/State/ZIP Sherwood Olt 07144 10alwar mom. [. a.worn osldencw nits. fir. Lllraplt�,v,afaeiTitks, IIR«ealiauctveluciepsz'ia. Suitribldg./apt.#i Projecitlartt4: liltacardoos>Red>4us ❑Sap*vohyefor mor.i n I nsaxcsxfcedardeo amps ormota 6ODtyksnomiral. Cross street/directions-to job site: t euiet)aase. l on.I an rata 1 . t $etq i rldentlal slpgie or aaotd-fatmlly dwelWg , 1 Subdivision:River Terrace 1 Lot#: g lnelades attadieriganige. Tax,map/p lx; 1,000ni,ftafess I /611,54 4' F.a.uftdix0sq.ft,orportioa s 3392 t_ '' 4M WO �m11 enetay,res detaial 75A0 rima Single Fatality faithta it f) 1 l im ,my femity . r 75.00 2 �. r4�1(troiaia6ove sq.R:) t Services OrfOrde II Bea e3 i1 ,.t) R fl 171/ANt Services iceders installation,aiterotSoa fadlor reloratian i Nainr.FOlygon*Oma 2Wairplikss 100:70 2 Address 1119EJ3 St 201 ampsla400arr s 133.36— 2 4 City%5fatetZtP:Vancouver WA 90660 401 emtato6npanyi 200,34 2 601 amps 10 1.006 amps 301.04 " 2` y Phone:(360)4954700 Fax:( ) Over i,liJ0morvols 552.26 2 Email: T�vm+r services or feeders iastallation,alteration,and/or relocation t Owner hisfaltnfiom This installation is being made on properly that own which is not 200 amps or less 59.36 1 '1' intended for tate,!case,rent or exchange,according to OILS 417,449,670,and 701.. 201 amps to400 gimps 125.E 2_ Owner signature: Date: 401 snips to 599 amps 168.5.4 2 a w ' ' !'. Branch circuits—new alteration or etc AfPLtCANI, 1 ❑;ICQNiAt I PSRSON este/isle tsanei l A.Peg fotlyarrdt "vetiis xlt6 Business name"Garner Electric Washington,LLC abovee serviee or ttcdcrfh& 0 - cleft bnemiroitauli 742 2' Contact name:Bill Daniels B.Fee for branch circuits without Address:6101 NE Si Johns Rd service arferxlc ted final 56.18 2 tuanctttiretinY City/Statc(ZlP:Vancouver WA 98661 Eaeltaddlbrancheheait 7.42 2 Phi(253)320-1057 `:( ) htiscc leneons(service or feeder not included) Each marivfaer il,bttrnodulx 67,84 2 Email:bdantd dNellieg,icrviceand/afecder s®gweosa.com ldeetmdy 67.84 2 00.''. CONfRACTQJ ' Pmtpar itsigstion circle 67.84 2 Business narne Garner Electric Washington,LLC Sign Or outline lighting 67,84 2 Actress:6101 NR St Jahna Rd Signal eircak(s)or bodiedsaagy II See Paget 2 pane ntteratton,or exlcesko. City/5tatc/ZIP:Vancouver WA 9$651 'Etch Olaitional iasgecfion over ailowabit to any or the above . AddidenaTtacpecttdn(1*min) 66.25/br' Phone:(253)3201657 Fax ( ) Invcatl ton(t*min) 90.00f In Entail:bdaitiels@glyepaa,eom lodnctriatptant(l brtaia) 71.1D hr 1nst*Fhau£orw4dchnOfeeis 90.00/br CCE Lie.: C1158 Electrical Lie.: 3088174 ' Suprv.Lie,: 44965 apau6canyllsied S4.brmm Suprv.Eleeiric/an'nigaature,required: k,,blit/V p f + iL>r 4�$H.. Sub.00 Ptirti Warne Joan P Albert Rate: 1 t7 plan Rswicw Required(7596 otpenriit fee): .----- Scare snrclrage(14 elan/440 i Authorized signature: ( TOTAL PFR2d2T PER T permit rtpt+ticalioe spina"lei yetadrts net*Waffled avif4ia 180 Print namt:Bill Daniels Date: ty'act l 1i r Jaye etor ROO Lean steepled as coruplet& 1.'1Buil4rdaoma,�HLe PsmJtAp9_Ee,R.:RREdsc gmeN17fbDi5 41M61sT([tO$KaMfiVEt1 Nua4xtofiaspcaHoosadoWCdpa'pmaiL E d k 1 1 r, Mechanical Permit Applicatiof(ECEI V E II 1 t,l, t,t t,t 1 t ,t. E>\l City of Tigard R eceived Perm"No/757e2,/6-00,2a,,1-_ MAY 1 ' _�., 13 i25 SW Hall Blvd.,Tigard.OR 97223 6 2016 Plan Rtvietr x+. Phone: 503.718.2439 Fax: 503.598.1960 DateiBy Other Permit-. j Inspection Linc: 503.639.4175 CITY OF TIGARU Date ReadyIRy: twit ili See Pagel ter Internet: www.tigard or.eov BUILDING O►viSIC Itti£ bedSuppe Information Mechanical permit fees'are based on the value of the work ®New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Outer. mechanical materials.equipment,labor.overhead.and profit. vaiae S .. ;r1:A'1 '!' 41 4 :vs cy,sr*;. ' ....'. 'ts ,..,,. ._„" x ,. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special iafo ist,useeitectnu ❑Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total K .,4 # � $ .xHeatiag/cooling: /�-� ` Air conditioning 46.75 Job site address: \ ,) 11-' I Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Q,ru, O Qd, OR q�1\-10 1 Furnace 100.000+BTU Out:advents) 54.91 L�1 � L 4- Heat pump 61.06 Suite/bldg./apt.no.: Project name: p Duct work 23.32 Cross street/directions to jab site: n31-4\( (CP Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.3) Unit heaters(fuel-type.not electric). in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace Lot no.: o12,..- Other. 23.32 Other feel appliances: Tax map/parcel no.: Water heater 23.32 F , t . -'` ,' Gas fireplace4rtscrt 3339 N Flue veru 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 wj� P3 " 4 14.,1 P � ' , 1 Other: 2332 �- "'~'^ Environmental exhaust and ventilation: Name:Polygon Range hoodiother kitchen equipment 33.39 Address:109 E lie St.Suite 200 Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 95660 Single-duet exhaust(bathrooms. . toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax:( ) Attic/crawlspace fans 23.32 K x ,,Y °' °i`` i f 1 ; .. 4414":? '',tiia Other 23.32 Fuel piping: Business name:Apex Air LLC 514.15 for firm four.$4.03 for each additional Contact name:Staci Hay Furnace.etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump WaWsuspended/unit heater City/State/ZIP:Batik Ground,WA 98604 Water heater Phone:(360)3124109 Fax::(360)326-1769 Fireplace Range E-mail:atacih®apexaireo.com Barbecue E ..,. . . hV " lA F.': ). '�.4k, . ws1 m iib ^ Clothes dlYer ( ) Ether: Business name:Apex Air LLC , A '. n. . ... te _ Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 / TOTAL PERMIT FEE -. . . - --- This permit application expires if a peewit is not obtained within ISO // days atter it has bees accepted as complete. Authorized signatur 67 54:y.--,, * Fee methodology tet by Tri-County Building Industry Service Board Print name:Staci bay Date:1128/216 I itiuildE `,pene.,t,MEC pcn,tt epp_04003 doe 440-46i 7T 0 i Ii0:1CO.t WE&) V r . . Plumbing Permit Application Building Fixtures RECEIVED City Of Tigard Received PemitNo.:�s'7�/6•-� ,1-''13125 SW Hall Blvd.,Tigard,OR 972}4AY 1 6 2016 Date/By: 11111 I Pian Review Otho Permit No.: Phone: 503.718.2439 Fax: 503.5 '��'q�b/0 Date/By: Inspection Line: 503.639F.43117'55(13.81'11°0F 1 T 0F r'UAf1�D1 Dara RradyBy: Tuts: B See Page 2 for I 1` \1:L) Internet_ wwwttgard-0rgov R I fl MC' fl \1141()N Noancd Method -51:-...1%:,1"7,42.11,I, a�lemental Information .�. „ *:,:t e°t, it �� '4";',+e.. .... +r ,W£�« i$fes'Sri -':1t y�..:'`� 4� er ar .%'- ' 3 ,? #` ': -.- a w*<4 `* = "�" -;.x, ax- � ..-§. �- > .A: ...,a- _'y?? oa;^ `' For sprcirrl information use chrciFtist III New construction ® Demolition Description Qty. Ea, Total New 1-2-family dwellings(includes 100 tt.for each utility connection) 0 Addition/atteration/replacemcnt ❑Otho: 31270'' SFR(1)bach • I' .. ---*,.. -.7,.rill.y cmo ;4!LI r 'I' SFR(2)bath: ,.'* ,, 4 - a 437.78 ,4t1 • 1-and 2-family dwelling Commercial/industrial SFR(3)bath 50032 D Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.R.) Page 2 Site uditties:a ,, 1 . 'i m e ,_k >7n a tCatch basin or area drain 18.76 Job site address: .0 Drywell,leach line,or trench drain 18.76 City/State/ZIP: jh g r)00 C)d 0 R ail-\' t Footing drain(no.linear 0_: ) Page 2 Suite/bldg./apt.no.: Project name: 909/O1m (, ' \� �! Manufactured home utilities 50.03 Cross street/directions to job site: V 1.. 1 f i1 A () Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear IL:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: ( Lot no.: 'fC (/ Future or item: Backflow preventer 3127 ---L',,,--,:f.,---,A... - 12.51 Tax map/parceno A, ., ,,- , Backwater valve .;-'.. ,-- 317,A `o t.e,.e' :INTN+�'. aothcs wasLer25.02C 'Y : J ! . t-e_W ` - p Iw sm 0� ?1 Dishwasher 25.02 r Drinking fountain 25.02 Ejectors/sump 25.02 " •�. ,-� Expansion tank 12.51 440! 41:1017*,i4t'I'Ni °' 1.` f,�� Fixture/scwer cap 25.02 Name: VD\\I 5 py, I W l... 1 t' Floor drain/floor sink hub 25.02 Address: i"1 Q tj l �'c ' Garbage disposal 25.02 City/State/ZIP: V��C 0l J V�-/1 uo A "i V U�% Hose bib 25.02 Phone:( •(.7, Fax • in LD \\ L /v Ice maker 12.51 �.,Y --,4 ,€ ar interceptor/grease trap 25.02 � r Medical gas(value:S ) Page 2 Business name: 1 1 f Y.s^1r 1 } -i k,)` 1‘N r,i L\.„...Lv„...r Primer 12.51 Contact name: \0 y- . k.„1--1,,.t ,, } Roof drain(commercial) 12.51 Address: .V:t.�' 2( ., 1").)--7 Sink/basin/lavatory 25.02 City/State/ZIP: -,,i..e h � Q .7 C)()J Solar units(potable water) 62.54 e Tub/shower/shower pan 12.51 Phone:Ali qf q-3 Fax::( ) Urinal 25.02 E-mail: t i , 0,. 1 • s /1 _ 25.02 Water closet r `1` . F .--4;-•':4--.444,t'- Water heater 37.52 _ '_ � Water pipingfD W V 56.29 K41 Business name: _.1.A/' !a.�f! P(1 w4,=1t ,,, n t.. Address: pp D./. 13 7. '^`� Other. 25.02 Subtotal City/State/ZIP:G - Sha__An byeZ_ Cri t.O Phone:(9-it) P `�'/�,' ( ) _ Minimum permit fee: $72.50 �i Fax: tt �{ Plan review (25%of permit fee) CCB Lie.: 2 (o �{ 2- Authorized Plumbing Lic.no f l State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE / This permit applisxtlon expires if a permit h not obtained within 189 days Print name: , pj,'��a�t I Dani �� )rr atter Tt has been accepted ae complete ( 'Fee methodology set by Tri-Cotmty Building Industry Service Board. i:\BuildingTermits\PLMU-PcantApp.duc 10,01/09 490-4616T(i0412iCOR1/1YEB) POLYGON /A NORTHWEST COMPANY April 27,2016 APR 2 7 2016 Mark VanDomelen Building Official BUILDING DIVISION City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74-17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop Lot 79 - 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82 - 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94 - 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98- 13840 SW 175th Ave Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave --�J Lot 102- 13754 SW 175th Ave /7$-repo/cc, —ppaO-- Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver, Washington 98660 (360)695-7701 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#166871 POLYGON 1� 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#166871 City of Tigard .101 S ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: //S7020/6 -- 00ap.2- Site Address: igy SA) /-- -S--z'A /' Project Name: ,{gyp` `. ,g7L �1/�- 7enz2c e Lot #: /�� (Ne ng=subdivision name;Addition or Alteration =last name of owner) Planning Review ppyy--- Proposal: A)2(.0 `Y-ie 7erify site address/suite# exists and active in permitits;stem. R ver Terrace Neighborhood: E No Val Yes,See River Terrace Review Addendum Attached Sit Plan Elements: / REViree(3)copies of site plan II't-sting structures on site Pt)te plan must be on 8-1/2"x 11"or 11 x 17"paper I► ootprint of new structure (including decks)with finished e.yawn to scale(standard architect or engineer scale) or elevations Igiirth arrow Lld Utility locations (required for new,may apply for additions) IM e address,project or subdivision name and lot number MI i ation of wells/septic systems plicant information(name and phone number) 11,Erosion control(including drainage-way protection, silt fence 11 •t dimensions and building setback dimensions d sign,location of catch basin,etc.) ', it area,building coverage area,percentage of coverage and reet names ervious 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 frnating trees to be retained with drip line,and tree 4 foot differential) protection measures 11lean Water Services-Service Provider Letterof platted prior to 9/10/1995): Required: El Yes,applicant was notified Received: CI Yes ❑ No [ Public Facilitie Improvement (PFI) Permit: Required: VYes,applicant was notified ❑ No Applied For: Vt4es Cl No,stop intake Vld and Use Case#: A,� lam- �d�l 'U jS- )'7p( Land k—-- I,�",j�etbacks: Front /Q Rear /`S- Side 3 Street Side f/ Garage c7() LIY andscape Requirement: Q VBLld of Coverage Maximum: uilding Height: Maximum Height Actual Height c7j 12,4'tsual Clearance asements nsitive Lands: I(2'Yes ❑ No Type La{>—maylize , ji :/- E Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building ermit / Notes: Cyl r,�tiiox . - _-, /1 .l 7?'t[,71" rk,,-- //".-P Actf,3.4r Approved By Planning: 4 Date: sJ i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw RES o12116.docx Building Permit Submittal Original Submittal Date: S1/C//fo Site Plans: # 3' Building Plans: # 3 Building Permit#: [TEnter building permit#above. ., uil Workflow Routing: CrPlanning ElEngineering �Isermit Coordinator IJ-tiding Workflow Sign-off: Er 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///k Enrzeering Review Slope at building pad: Xer ❑ 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 E inee ' g: Date: Notes: /".::;;;1_2‘,A) ...JeJ 5-4d �,. Approved by Engineering: 44 J7 Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: © Yes ❑ N/A Tigard Trans SDC: [] Yes ❑ N/A Parks SDC: ® Yes Cl N/A EV OK to Issue Permit -.co u.nda-k k, Approved by Permit Coordinator: C4C � Date: - l e - l S. :A Building Tonns',BldgPennitRvw_RES_(1 121 16.docx City of Tigard IIIq COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum Building Permit #: /75727/ , — 00.269, — Site 0.269,Site Address: /3?T� '0 /�- ---. Project Name: Polygon at West River Terrace Lot #: /7C) (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District 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 ,fY deep Gabled dormer Qa/ ft. deep ❑ min. 2ft., 5 ft.wide min. 2 ftride El ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: /6. c� a 3. E rances: At least one entrance must meet both of the follong standards: Max. 8 ft. setback from lone street- facing wall arallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Vne ,all the following apply: 4 sq.ft. min. street facing entry 1041 ft. max. roof above floor of porch Vft. depth min. %min. porch roof coverage 4. I .tailed Design:All buildings shall include a min. of five offie following elements on all street-facing facades: R. overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Pf ll offset min. 16 inches ❑ 9ormer min. 4 ft. wide V. Roof eave min. 12 inch projection t .of offset min. of 2 ft. ❑ Roof shingles either tile or wood 'PI 9able,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. rizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade WWindow 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: No/loser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): Vay 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: Date: -S-X le% 1\Building\Forms\BldgPermitRvw_RES_RT_031416.docx 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 13754 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 27, 2016 at 1:36:44 PM MST2016-00202 David Young Note: ﬁnish drywall in mechanical room, will check at ﬁnal inspection. No AC installed at time of ﬁnal inspection, permits and inspection 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 13754 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS October 27, 2016 at 1:39:05 PM MST2016-00202 David Young Electrician relocating outlet for microwave, will check at 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 13754 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL November 4, 2016 at 9:11:39 AM MST2016-00202 David Young Correction not complete for caulking master tub. 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 13754 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O November 7, 2016 at 10:23:45 AM MST2016-00202 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. Vapor barrier 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 13754 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS November 7, 2016 at 10:20:43 AM MST2016-00202 David Young Correction from previous inspection complete. Violation Summary: Inspector Contractor Plumbin2 Permit Application Building Fixtures il,,,,,,., ;,„;%-,`,, ','s' i•..-1 City of Tigard Received 1 'a 2.016 Permit No..'USTI/Lifer ate(g. _.-- 13125 SW Hall Blvd.,Tigard,OR 9722.E EP II ,, , ,,, DPDIaaatinele(BRBiv:ieP(C9/1& fkli- Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No Inspection Line: 503.639.4175 Crry 01- ',„:-., .-,,.. Date Re dv/Bv tuns Fd See Page 2 for " Internet: www.tigard-orgov ct,t ti i rt.(,t,,'ea. r':',. .f.`1',1'-,: Notified/Method- a , Supplemental Information .. .., . . . . . . , TEn'OE-' '0•'0. #YEE°1 SCHEDULE . . .•... I [21 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. 1 Total ., 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEOEMY OF CONFinIOCTION SFR(1)bath 312.70 i2 I-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 .1, '.:-.'t.''!i:1..0,:-. ' ':0 ::'' .Atip LOCA.,:s o' . . Site utilities: Job site address: 131 5L S LO t 1 r`i4"' *Ire- Catch basin or area drain 18,76 Drywell,leach line,or trench drain 18.76 City/State/Z1P: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.: /02 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 -1 -..,,,,,,--- - - - -, .- , Backwater valve 12.51 WI/?nl 611P r C halt- Clothes washer 25.02 Dishwasher 25,02 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25,02 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 Fax:( ) Ice maker 12.51 ,', ,...',. ,''',::;;'.'''':;0„!,,:771; ',.:'.7,:',,:t•:•. ''',,;:.,,,.''' ... ': ''. '''',2,/ti'',',C;;-" ': , : . Interceptor/grease trap j 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 11 Primer 12.51 Contact name:Angela Grajewski -1 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/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewski(appolygonhomes.com ' ‘.11-1-s•-s.q.:;!1-1-1417;n:TI. ,,-,;`,,; ;.- '-7-'10',,.:,:.-,''' :.:-.`...,,,,, . '.'i...' : : .... ,., ..„:, ., .. Water closet 25.02 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 Lie.: 184601 Plumbing Lie,no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman Date:5/23/2016 This permit application expires Ka 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\BuildingTesmitstPLMU-PettnitApp doe 10/01/09. 440.46161(10/02KOMIWE13) 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 13754 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL November 4, 2016 at 9:17:23 AM MST2016-00202 David Young Provide approved plumbing ﬁnal prior to building ﬁnal inspection. All else ok. Violation Summary: Inspector Contractor