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Permit • CITY OF TIGARD , MASTER PERMIT 11 .'.. COMMUNITY DEVELOPMENT 9 , r Permit#: MST2016-00196 T1GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /{o Date Issued: 05/25/2016 Parcel: 2S 106 DC07800 Jurisdiction: Tigard Site address: 17391 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 78 Project: Polygon at West River Terrace, Lot 78 Project Description: New SF. 9/14/16, REPRINTED to add a/c. A BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $233,223.01 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y 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: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All p Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,755.37 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 952-001-00' \ 952-001-0010 through� OAR 9552'-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 131( CeZ Permittee Signature: Gt.* '- 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. -Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received � �� 1111 w DateBy: / Permit No.: STI,...00H'f j 13125 SW Hall Blvd.,Tigard o' - 'I� p Phone: 503.718.2439 Fax: 51:- it al pP Plan Review Date/By: Other Permit: T t G A R D Inspection Line: 503.639.4175 Date Read B Internet: www.tigard-or.gov y y: rnrs: a See Page 2 for AUG 2 2 2016 Notified/Method: Supplemental Information _ T ®New construction iTta� t t - Mechanical permit fees*are based on the value of the work ❑Addi o J rep acemen performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value: ; > - -oz* VR o : v7 _ --- _ x LirV illt l � .� _ _® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other Description Qty. Ea. I Total iwgi w- f1B s r`pgM pl .{11ID�-7 11 Heating/cooling -. -.- .. i Job site address: t I�, r Air conditioning 1 46.75 46.75 i 3 l S v" Anne (3( e Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:PolygonHeat pump 61.06 ] at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 • Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: 1 Other: 23.32 Other fuel appliances: Tax map/parcel no.: #_ Water heater 23.32 '� ` L G �h t e r. O7H`�8 - fireplace/insert 3233:3392 Add AC 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 3a _. . PIR 23.32 Other: Environmental exhaust and ventilation: Name:AD VL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 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/crawlspace fans 23.32 r." F:t ,'ms° ,e.t_i..., '' ' g -"` 7 t 7'--;=', Other 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:An ela.Gra'ewski Range J g @polygonhomes corn '". x� a .. Barbecue - ',- e, R e.¢ ,,;,.i.:, ' f_ z Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72nd Ave — Ii i C �-y-�� . Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE ,..74:11i1 " r �� This permit applicationrexpiressif a permit is co obtained within 180 days after it has been accepted as complete. Authorized signature: W * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8122/16 I BaliildinglPermii.swEC PermitApp 040113.doc 440-4617T(11/02/COM/WEB) p CITY OF TIGARD MASTER PERMIT 14 S COMMUNITY DEVELOPMENT Permit#: MST2016-00196 Date Issued: 05/25/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC07800 Jurisdiction: Tigard Site address: 17391 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 78 Project: Polygon at West River Terrace, Lot 78 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $233,223.01 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 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 1 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,512.21 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 Y 9 952-001-0010 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: DA/ ��'G/e 1---77 UV 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. s ff Building Permit ApplicationRECh , �S S�2//(i y v /k t,, 0h; `7`-.1- I JR 01 1 1( 1 1 'A 0\1.) L City of Tigard MAY 1 2 2016 S�3 / PenntN91-fr-�/6'�/94 13125 SW Hall Blvd.,Tigard,OR 97223 Pirov t /_ 1- Phone: 503.718.2439 Fax: 503.598.1960g� DateBy v 1 J� I cOthiS�,2��6'cO�-�W i . 1, Inspection Line: 503.639.4175 11d OF 1 U ARD DauReady/By; / twin: RJ Seep 2for Internet: www.tigard-or.gov NotifedM1et od.•J/2V fl, I Supplammml Wormatioa BUILDING DR'IWION •/1_ ' P '' .t + 7 I 1 e'I f—, t, Pf 4 2A let\---;.-,e +t 't� X31 1,f 4 ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the profit for the work indicated on this application. .. aluation 3 ®1-and 2-family dwelling ❑Commereial/mdustrial V 3 f oZ 3 ❑Accessory building 0 Multi-fatm.iy Number of bedrooms: 4 ❑Master builder ❑Other. Number of bathrooms: 3 Total number of floors: � _ T 1 b 2 . .).96" lob site address: 1 L•W �W « New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 / 73 9/ sit/ ,Q-Nnl� 6 ' ' ' L// Garage/carport area: ,437 square feet Suite/bldgJapt no.: I Project name:Polygon at West River Ter Covered porch area:%.11---144..... square feet,0 4 9 Cross street/directions to job site: Deck area: O3 O square feet 8 09 Other structure area: square feet ice' y Subdivision:Polygon at West River Terrace I Lot no.: 7$ Permit fees*are based on the value of the work performed. Tax tore 1 no.: Indicate the value(rounded to the nearest dollar)of all P equipment,materials,labor,overhead,and the profit for the work indicated on this application. Vahtali Existing building area: square feet New building area: square feet Number of stories: ,/ Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax ( ) New: Business name:Polygon Will,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13u Street Total fees due upon application: City/State/7P:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski polygonhomes.com • _ installation and residential prescriptive' en of - _1 ' ... roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP:Vancouver WA 98660 $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Aedsigoatu re: `dillyi,d,„../3,1,,,,,,opt ' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: s'f f0 ]/p/// ` *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) I I RECEIVED Mechanical Permit Application r(1p OrI I(-1. t l:O\1.1 Ci of Tigard DatiB Received Permit No.;/2/57;20/4,...60/96 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 2 2016 Dateray. Phone: 503.7182439 Fax: 503.598.1960 Plan Review Datt<By, Otbcr Permit: I , ,E I Inspection Line: 503.639.4175 CI'I'y OF 1'IGARD Date Ready/By: : 63 See Paget for Internet: www.tigard-or.gov BUILDING DI�IsIU Notified/Method: Supplemental Information Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value$ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal Information use ohediiist ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total E i ` I E i , AuU oliag: 46.75 Job site address: fl.../:21,,„. SW 1249.Loop-- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 /73 9/ seo ,9_V,/e 6/ince- LA/ Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or _hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: 7 48 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 E r, Gas fireplace/insert 33.39 , ._.. :._.. . ,. ..::.- _ -_ _ ...:�..._ ,... . ---_- . . - Flue vett for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pelkt stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/van 23.32 Other 23.32 _ —� _ ::_.- ---- --_-__ ::-. _. Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 . Phone:(602)694-4031 Fax:( ) AtCre%rawispace fans 23.32 • , : -- Other: 2332 Business name:William Lyon Homes,Inc. Fuel piping: S14.15 for first four,54.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski®polygonhomes.com Barbecue �" Fig Clothes dryer(gas) Business name:Apex Air LLC - Other Address:18004 NE 72id Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90,00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) _ CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: ' . Fee methodology set by Tri-County Building Industry Service Board Print name: A.4r � Date: /� 1/6 1:1Bullding\PernutsV�C PemuApp_04011� ` 617T(111-/o2/COM/WEB) RECEIVED ....:::::,.,....,.:-.-4...:,i.:,..,.:, Electrical Permit Application FUR Olt ic L 1 51 O\1.1 Ci o Tigard MA ; 'l_ _ ,, lilt 13125SW of Blvd.,Tigard,OR 97223 Y 12 2 016 related Permit IIIIMMil 6 Phone: 503.718.2439 Per 503.59$.19¢9 �t � y3 W... iospaction Lin 503.639.4175 t i j,y tJ it Ready Date/By: EMI 13 Sea Page 2 for F 1 t 1'.D Internet: www.tigerd-ocgov r. Supplemental Information New construction 0 Addition/alteration/replacement Piave all Lb apply(submitl sets ofpt s"nem"checked): ❑Demolition Q Othtx D Sa viae or Soder 400 amps or more 0 Building over throe strides. whore the available halt cement p Marines and boatyards. --TZ..-T,...-----1,-.77,7 ... _r.'_.--.i f-Z J t s[ 'ti---13-_..}S.'-'1":--. -creeds 1000 imps at ISO volts or ❑Boating buildings. ®1-and 2-family dwelling ❑Comae rcia1/b dlistr ial ❑Accessory building bees to ground,or exceeds 14,000 D Commercial-use aaricutturel amps for all other inhibitions. buildings.• ❑Multi-family 0 Master builder 0 Other: O rue prop. O Installation of/SO KVA or .. z*:"..,•� . ;E ,7(s[..2,1_4:;"1.k.•,:!:r;0„aii_�fat'Terz''..1.ti.-fort-.::.ii.-.51. C` ,;?'max 4i-24txc.4' 0Bmerguwysystem. f �gerseparately derived Job#: Job site address: =-11--+:`,":11111 vF"'""... - p 100Add11 o n craw maser o "Amar • 100HP w meas. ©"A".B".`1-2'."13". City/Statc/ZIP:Tigard,OR 97224 /'73 9/ S� 4! p Six or-carorasidties. porta. o°ene�y. 7,v�E ��/�/� �pHalthouof�ifities. pRecreational vehicle parks. Suite/bldg./apt 4: l Project name:Polygon at West River Ter O Hamrdoes locations, p supply voltage for more than ❑Service or*odor 600 amps or mom. 600 voles nominal. Cross street/directions to job site: _ _ dr't.- i sic a;,; .� a="r ---e....--.,: 7. Y�OeRerroNae' Ory I Seth; zbea!- _ New r esidendal stogie-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace 1 Lot#: .fig Includes attached garage. Tax mep/parcel#: 1,000 sq.ft.or less / 168.54 4 Ea.add'l 500 sq.R.or portion Js 33.92 1 ;i_ r Limbed energy.residential (with above so.R) ' 75.00 2 Limited energy.multi-thmily 75.00 2 residential(with above sq.ft.) a_�_ A`-9-'1-..c t c r Renewable Enact p See Page 2 .r.--i'- `t- - .., Services or feeders insudiattou,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amiss to 400 carte 133.56 2� 401 amps to 600 amps 200.34 2 City/Stete/Z1P:Scottsdale,AZ 85258 601 amps to 1,000 turps 301.04 2 Phone:(602)694-4031 Fax( ) Over 1,000 amps or volts 55226 2 Temporary cervices or feeders installation,alteiadon,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 1 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 16854 2 i < Branch desats—nen,alteration,or eXtemtion.Per Panel Business name:William Lyon Homes,Inc. above savIce or feeder the, 7.42 2 mut branch circuit Contact name:Angela Graf await B.Fee for branch chsadts without service or feeder fee.fust 56.18 2 Address:109 East 13th Street branch circuit City/Stab:M1P:Vancouver,WA 98660 Hach add.'branch circuit 7.42 2 1►Slae:dlaa (service Phone:(360)695-7700 - . . I Fax (360)693-4442 F.,Jmodisrfeeder per included) x: dwelling.service andlor lbeder 67.84 2 Email:AngeIe.Grajewski®polygonhomes.corn Itonly 67.84 2 Ct ri :i .. � .._.;._...,_ 2- - .. _ , _ ...,.::::7"--_-::::::::-7-77:7;.--71:7-77.7.:172.72-_ Pump wlrrigationcircle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 4.... Signal eitcuh(s)or limitzd.energy Adm 6101 NE St Johns Rd penal,alteration,ration,or todeaaion. p see P 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 I Fax:( ) beveatigatioo(1 br min) 90.0W hr Email:bdanieltt�gwettsa conn Industrial plant(1 humin) • 78.18/In Inspections for which no 1be is 90.00/hr CCB Lic.: C1158 I Electrical Lie.: 208174 I Supiv.Lie.: 4496S ;.,e} ,.,,, i m hr m S is f' 1 Kh:.` Suprv.Electrician signature,required: ti,_ - _ Subtotal. Print name: Joan P Albert • Date: 4/2.6/2016 El Plein Review Required(25%of pemtit fee): r State surcharge(12%of pens*fee): imit• --�"'.• TOTAL PERMIT FEE: ztt1, • Authorized signature: ��_-- s f.i, ,; This permit application expires if a permit is not obtained within ISO Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. •i ,`. • Number of inspections allowed per penult .; +4i18u5diesipenotaLCPnndtApp_OLRR-EltsdoeRev06re7noe5 4e046IST(11m5icoWWEB . lien EP Plumbing Permit Apr tib I� Building Fixtures '"" OI 1 R ' I `l ( \L \ MAY 12 7.016 Daedved Palmallo.//ys7 2/6-q�19b City of Tigard natanar: III:.- 13125 SW Hall Blvd.,Tigard.OR 97223 ��(� G i plan Roview ■ Phone: 503.7182439 Fax: 503 o Ali Dam1By: Other No.: Inspection Line: 503.639.4175 ��p/�,T(11! ReadiWByy »I.: 0 See Ams 2 for Internet: www.tigard-or.gov t ,t t v l ll'1` Su ' .. _ W Iaforru1on • • :ar,.i,i ':,ey.:.:.... .•. .TIME'OF Wv 'K-"`:_«.. . .._ •.a:.:: :T'.;•,' . .• •••••. b.g : ... :..i. r::.4!s-;. :y: ®New construction I fl Demolition For 3Peaa1 Mfornaaitx eseele kliaL Description 1 Qty. l Fa 1 Total Q Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 it For each utility connection) : CATEGORY'OF QON6T1ltUCllOP1 • SFR(1)bath 312.70 SFR(2)bath 437.78 ®1-and 2-family dwelling 0 Co nmerciad/industrial SFR(3)bath I 50032 500.32. Q Accessary building Q Muhi-family Each additional bathAdtchen 25.02 Q Master builder 0 Other: Fire sprinkler(_sq.IL) Page 2 JOB Slit INFORMATION AND LOCATION Site*glides: Catch basin or area drain 18.76 Job site address: Ihywell,leach line,m trench drain 18.76 City/State/UP:T,Rard,OR 97224 /139/Ski ��Nr� Footing drain(no.linear ft.: ) Page 2 Sulte/bldgJapt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 CMS street/direcdans to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Sturm sewer(no.linear ft.: Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: i g Fblture or item BacIdlow preventes I 3127 31.21 Tax map/parcel no.: Backwater valve I 121 3 2.g I DE 10N OF WOIItK Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 gieetots/stanp 25.02 [] TENANT Expansion tank 12.51 ®• ROPSICI Y OWNER ' - sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Raid Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694,4031I Fax:( ) Ice maker 12.51 Q COfITACF PER80t�T Iaurcep>od trap 25.02 ® APl'I:1CAIVT Medical gas(value:S._) Page 2_ Business acme WilliamLyon Homes,Inc Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 115I Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 986611 Saha units(potable water) 62.54 Fax::(360)6934442 T /moo'' 7 1 12.51 Phare (360)695-7700 Urinal 25.02 E-mail:Angela.Gralesysldgpolygoehonaes.eom Water closet 25.02 _ CONTRACTOR Water heater 37.52 Business tame:Mabnedai Enterprises Inc. wawa piping/DWV 56.29 • Address:PO Box 207 Other: 25.02 Subtotal City/State/ZIP:Banks,OR 97106 Minimum permit : 572.5 l Phone:(503)324-0759 I Fax (503-)324-0580 Plan review (25%of permit fee) CCB Lie.:102535 P11at1binglac no.:34-2761'B State surcharge(12%of permit foe) Authorized signature: G,..- t TOTAL PERMIT FEE I Date:044125/2016 I This permit appScedoe expires If a permit it not obtained within 180 days Print name:Carolina Matmedal atter k has been accepted asodete. •Fra methodology set by TA-Comity Balding Industry nIndustry Service Board. I:1BuMdiiseenniti PLMU PemdtAPp.doc 10!01109 440-46167(10/02itOIOWEs) S al City of Tigard i IN ■ COMMUNITY DEVELOPMENT DEPARTMENT T l c n n Building Permit Review — Residential Building Permit #: A/5-7-.2o/6 00/� , Site Address: /7-39i S/tj /92j,te. (rzo ce Laite Project Name: Pp/ i) ZL,2 j� ALO-- 7" � Lot #: � (New ng= subdivision name;.Addition or.Alteration=last name of owner) Planning Review Proposal: /veit) erify site address/suite# exists and active in permit s ,tem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Reviezv_9ddendum Attached Siy Plan Elements: 7hree (3)copies of site plan ta 'sting structures on site o plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished Brawn to scale (standard architect or engineer scale) or elevations orth arrow Utility locations (required for new,may apply for additions) 01 ite address,project or subdivision name and lot number • .cation of wells/septic systems pplicant information(name and phone number) IFA Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions esign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and 'reet names pervious area(applicable if R-7,R-12,R-25&R-40) St eet tree size,type and location Cllii Property corner elevations (2 foot contour lines if more than J-sting trees to be retained with drip line,and tree 4 foot differential) protection measures PClean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): Acquired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Di Public Facilit(Improvement(PFI) Permit: •quired: ® Yes,applicant was notified ❑ No Applied For: LVJ Yes ❑ No,stop intake lG and Use Case #: PAce2o/ ebO" 7Z o/c= ,erseble U<1 Zoning: E---3- �,Setbacks: Front /a Rear Q Side 3 Street Side 0 Garage 3'&// IV/Landscape Requirement: °'o of Coverage Maximum: 80 Building Height: Maximum Height f04- Actual Height cQS J Id isual Clearance t asements4j Azi ensitive Lands: /Yes ❑ No Type LOv—1,,/%,,, /i. Ir Urban Forestry Plan I ❑ Conditions "Met/";prior to issuance of buildingLpermit Notes: eel/ 1hpN C' --S1432//4C y v Yl��r- ' nkt/'V /ci,F2�► GC_ Approved By Planning: -� �sJ�, 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\BldgPennitRvw_R ES_O 12116.docx • Building Permit Submittal Original Submittal Date: /2 , Site Plans: # 3 Building Plans: # _3 Building Permit#: I-rl---Enter building permit#above. Workflow Routing: Ig-Planning Engineering —Permit Coordinator —Bciilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: B'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. (:ErBuildin : original permit application,site plans,building plansengineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: //?//k Engineering Review ) Slope at building pad: /Z ❑ 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 Engineering: Date: Notes: �'� ! 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: • SDC Fees Entered: Wash Co Trans Dev Tax: El Yes ❑ N/A Tigard Trans SDC: g Yes ❑ N/A Parks SDC: ] Yes ❑ N/A ZI OK to Issue Permit - Approved by Permit Coordinator: CII ('.cwv Date: S - I -l40 I:\Building\Fonns'\B1dgPennitRvw_RES_0121 16.docx b. of Tigard Ii COMMUNITCity.IN Y DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: /1S7-,2--0/ —QQ/' (o Site Address: / 9/ _SA) n.e E5 f Project Name: Polygon at West River Terrace Lot #: --- -.e (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 t. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormer El 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /9 a 3. trances:At least one entrance must meet both of the follo ng standards: Max. 8 ft. setback from longe t street- facing wall Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If es, all the following apply: 4 sq.ft. min. VpIne street facing entry Vy ft. max. roof above floor of porch 5 ft. depth min. 30%min. porch roof coverage 4. petalled Design: All buildings shall include a min. of five of following elements on all street-facing facades: V/overed porch min. 5 ft.wide x 5 ft. deepRecessed entry area min. 5 ft.wide x 2 ft. deep 'Rall offset min. 16 inches ❑ ormer min. 4 ft.wide oof eave min. 12 inch projection Vkof 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. ❑ filorizontal 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 mm. 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 a r es and Carports: May face the front or,side lot line on a corner lot. Setbacks: P No closer to front or si• • line, than longest street-facing wall. ❑ - ill 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 • -4 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 . 112 I%max. of street facade with 7 detailed design elements Notes: Approved By Planning: --;;7-'#. -_ Date: S—Ni v 1:\Bui Id ing\Forms\B I dgPerm itRvw_RE S_RT_031416.docx • •• •• •• • • • • •• ••• • • ••• ••• • • • • •• • • • ••• •• • • • • • • ••• • • •• • • • • POLYGON /� NORTHWEST;COMPAN'Y +'' • ••• • • • •• • • • •• • I •• • • • •• • • •• • • •• ••• • April 27,2016 ' ' •' • " ' • •• • • • • • • • ••• •• ••• • ••• ••• • • •• •• • • • • • • Mark VanDomelen • • "' "' •• ' • Building Official "' ' City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74 -17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77 - 17387 SW Jean Louise Road Lot 78 - /13 9/ .$ ) -/v/t/6-- 0.2251-C—E LAl /I TA47 —COO/9/o Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82- 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94- 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98- 13840 SW 175th Ave Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102- 13754 SW 175th Ave Lot 109 - 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#166871 S. • • • • •• •• •• • • . . • • •• • • •• •• •• •• • • • . • •• •• • •.• ••. •• • • • • . •. • • ••• SI: • OUGbI`cJ VAI NORTHWEST COMPANY Lot 111 - 13/87 4W 17.4 i Lgop Ldt 1 t2-.13833 3W 7 lt11 gvp vt - 114375 i 174,1k AA Lot 114- 17372 S W Jean Louise Road Lot 115 - 17368 SW Jean Louise Road Lot:1 t •7 4 S e �Jean� ei•ise Road Lot.1 V.%132g 5►1 Jekn Lfiuse Road Lot 1.18. 1710/Sw Jean Louise Road We greatly appreciate the City of Tigard working with us in order to get this project underway,we look forward to building this project along with many others within the city of Tigard. Sincerely, Chris Walther Project Manager 503-312-6213 • 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com 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 17391 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00196 David Young Provide approved erosion control ﬁnal inspection prior to building ﬁnal inspection. Provide approved plumbing, mechanical and electrical ﬁnal inspections prior to building ﬁnal inspection. Not ready for building 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 17391 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00196 David Young Pad for AC to be 3" above grade. M1305.1.4.1 Seal duct work and line set penetration in mechanical room. R302.5.2 Dryer duct to be capped and labeled " for future use" if equipment not installed at time of occupancy. M1502.4.6 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 17391 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00196 David Young Provide approved electrical, plumbing and mechanical ﬁnal inspections prior to building ﬁnal inspection. Not ready for ﬁnal inspection as noted on previous failed ﬁnal inspection. Investigative fee applied for scheduling inspection prior to work being complete and ready for 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 17391 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal CNCL October 28, 2016 at 10:04:34 AM MST2016-00196 David Young This inspection passed previously, see inspection dated 10/26/16. 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 17391 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS November 2, 2016 at 12:40:35 PM MST2016-00196 David Young Corrections from previous inspection complete. Violation Summary: Inspector Contractor .. .............._.. Plumbing Permit Application - - Building lORz ()111( f 1 ',l ()\l., Received Ci of Tigard ) /� 131 SW Hags a1vd.,Ti Da els /0/(U L fG Ae'- i' it►a0� & / 71 Bard,OR 37,2.23 .... Iteviex • -1 ' Phone: 503.718.2439 Fax: 503.598.1960 Other Permit NO.: Date1E3 ! Inspection Line: 503.639.4175 T f .,l P.D Date Ready/By: loris. I H See Page 2 for Internet: www.tigard-or.gov: NOtifi et : Supplemental information MIPE OF WORK FEE*`SCHEDULE I1 New construction 0 Demolition Far special information use checklist Description P i Qty. I Ea. I 3'olal 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) I CATEGORY OF CONS-FR— 1)Clto: SFR(1)bath ? 312.70 ®1-and 2=family dwelling 0 Commercial/industrial SFR(2)bath 437.78. Accessory building 0 Multi-family SFR(3)bath 1 50032 Each additional bath/kitchen . 25.02 • 0 Master builder 0 Other Fire sprinkter( sq.ft.) Page 2 ' JOR�`INFORIMMATIOTI AND LOCATION. '` Site utilities: Job site address: 1 �OI 1 5 W f P cocaCe L 1^ Catch basin or area drain 18.76 . 11 1 Dili,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 --.. Footing drain(no.linear ft.:_) Page 2 Suite/bldg apt.no.: 1 Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 1&76 Rain drain connector 18.76 1 1 Sanitary sewer(no.linear it.: ) Page 2 Storm sewer(no.linear ft:__) Page 2 -. Water service(no.linear ft: ) Page 2 1 Subdivision:Polygon at West River Terrrace 1 Lot no.:1 Q..) Fixture or item: j Tax map/parcel no.: Backflow preventer 31.27 •YV Dll 5CR1P7I[I1V OF TORIC Backivatervalve 1 12.51 a. < .. - . , _. (3_ <._: Clothes washer 25.02 .... g� ` n. .� Dishwasher • 25:92 . Drinking fountain 25.62 , Ejectors/sump 25.02 ElMitatrli 0 TEIVtIINT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixtare/sewercap 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 94-4031 Fax2. )6 { ) Ice maker 12.51 ajj n, Interceptor/grease trap 25:02 Business name:William Lyon Homes,Inc Medical gas{value:$ ) Page:2 Primer 12.51 Contact name:Angela Grajewski ;�-i 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 Tttbtshowerlshowerp.n 12.51 1 Urinal E-mail:Angeln.Grajewski@polygonhomes.com 25.02 : . .. Water closet 25.02 --: Water heater 37.52 Business name:AIluate Plumbing LLC WaterPi iPSDWV 56.29 Address:146 FV Historic Columbia River Hwy . Other: 25:02.: CitytStatetZlF:Troutdale,OR 97060 Subtotal . Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.54 CCB Lie.:184601 Plumbing Lie.no.:PB732" Plan review (25%ofpemiit fee) " State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I' Print name:Robert DiSbtnao I Date:5/23/2016 This Penult application expuss if a permit is not obtained within l$O days after it has been accepted Its complete *Fee methodology ser;by Tri-County Building Industry Service Board rinaildiag7ermitilrLA4tu•i°amitAypdoc 10/01109 440.4616T(10/02ICOMfWES) 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 17391 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL October 28, 2016 at 10:11:16 AM MST2016-00196 David Young Corrections for grading around AC pad and dryer vent not done as noted on previous failed inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17391 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O November 2, 2016 at 12:59:10 PM MST2016-00196 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report checked. Insulation certiﬁcation checked. C of O left on site with contractor. Violation Summary: Inspector Contractor