The URL can be used to link to this page

Permit CITY OF TIGARD MASTER PERMIT „om COMMUNITY DEVELOPMENT Permit#: MST2016-00191 T FGAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S106DC07300 S Jurisdiction: Tigard Site address: 17307 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE . Project: Polygon at West River Terrace, Lot 73 Project Description: New SF. 9/14/16, REPRINTED to add a/c. ti 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 Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $232,941.30 Rear: 15 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 3 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: 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 asin Y Other: N Other Description: Ecom p g 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,610.34 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 hrou h OAR /�C 9(5522--001-0090. You may obtain a copy of the rules or direct questions to OU NC by calling 503.232.1987 or 1.800.332.2344. Issued B : C" Permittee Signature: e-b l e.ar.o Call 503.639.4175 by 7:00 a.m.for the next available inspection date. (I This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. -Mechanical Permit Application FOR OFFICE LSE ONL1 '� •g Received Permit No.: I31 of Tigard I Date/By: - /s//�o �� Hi,7---„,616,....66 /?l 13125 SW Hall Blvd.,Tigard,O Plan Review t ' 2 Phone: 503.718.2439 Fax: 503.598.1960Other Permit: 2 ZIA Date/By: T I G A R D Inspection Line: 503.639.4175 AUG 2 Date Ready/By: Anis: ®See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information E 1A q mF Tar Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ _. _ GQRU > TIt_�l __�: y «G-± C ._" __. _._.- Iwmpjiavrc _® 1-and 2-family dwelling ❑Commercial/industrial Uindustrial ❑Accessory building For special information use checklist 0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total 4 E -�_ lOB 5 Heating/cooling: j `� r Air conditioning 1 46.75 46.75 Job site address: ll3 01 \J J Lo , St. ea Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 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 Other: 23.32 Subdivision:Polygon at West River Terrrace 1 Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 4. ZOw qE w fireplace/insert lace/insert 33.39 *' _=, . , _.. _..; Imo P heater ' ��` ' " `• �� Flue vent for water or gas Add AC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ��- � f?P"'"..'"`t<? I TENNTA,N " Other: ven n. 2332 ._ � ...... .�.., _�.�.L__,.__._.-. �;.___ =�.k.._ __.._.__..__ ___, �< _'_...__. _. —.:ate: Environmental exhaust and tilafio Name:AD VL 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 ( ) Attic/crawlspace fans 23.32 ., - p E ter' it > ` -t� .., _ . � ISLr— ` Other: 2332 Fuel piping: Business name:William Lyon Homes,Inc. 514.15 for first four;$4.03 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 4W1. - '-1 $ , : t e * - <: Clothes dryer(gas) Business name:Apex Air LLC Other: TI ERl1 + Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%ofpemut fee) CCB lit.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ,>4(j61�f r * days after it has been accepted as complete. Authorized signature: Y c v Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 I I:\Building\Permits\MECPermitApp 040113.doc 440-4617T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT II 1E,® COMMUNITY DEVELOPMENT Permit#: MST2016-00191 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S106DC07300 Jurisdiction: Tigard Site address: 17307 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 73 Project: Polygon at West River Terrace, Lot 73 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 Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $232,941.30 Rear: 15 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 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 Tvpes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 3 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: 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,512.98 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 OAR 952-001-0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i 4P41 Issued Permittee Signature: t Al /24/P , RC2 ,, 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. ( . L % 73 Building Permit Application je 1 :: -o t RECEIVED I OR 011 1( 1 1 ()\1 1 City of Tigard S// /0 Permit N°/`IS /G d O/9/ ;;{ 13125 SW Hall Blvd.,Tigard,OR 9 0 4 2016 Plan Review Other pa� w�.211�6,�p/Sa2 r— : it Phone: 503.718.2439 Fax: 503.598.!700 Date/BY �// J/�r Inspection Line: 503.639.4175 r� i [� Date Ready/By: iun, 0 See Page 2 for 1 ,(' " CiTY OPTICA Notifed/Method: /Z9 /6 J Supplemental htformation Internet www.tigard-or.gov a t 1 ► 4 '/L-:u _ .1�_ .r �' ,.L._-.:..:._._.__. ;._,...�,.;�....�.�_.�. .__..._:.: , moi _—... .._.._�....:......,..�'''712._,._._w� _ __ .."1:7L1_ ., ':,__Ii"....,,' �._.2.—z„,;-_:—..,L_.,_. r ' • Permit fees`arc based on the value of the work performed. ®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 r work indicated on this application. 1-and 2-family dwelling [3Commerciallindustrial valuation: S , 3.�/ / 1 ❑Accessory building 0 Multi-family Number of bedrooms: 4 1 ❑Master builder 0 tea, Number of bathrooms: 3 l ,.i Total numberQ ‘ T 1 of floors: 2 oL� ! lob site address: 17 301 5V.) Je.1e) Lou 1 S� •� New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 437 square feet Suite/bldg./apt no.: I Project name:Polygon at West River Ter Covered porch area: "1664 square feet 1 0 fr9 Cross street/directions to job site: Deck area: a.)'7 square feet 8 Qei Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: 7 3 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the .-, - � � ein this application. < work indr Valuation: S 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 Eidstiap Phone:(602)694-4031 Fax:( ) New: - Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewsld FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 ! Fa :( ) x: E-mail:Angela.Grajewski@polygonhonies.com _ - .., :... Commercial prescriptiveinstallation of ' 7 � roof-top mounted PhotoVoltaic lar Pans Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): .,e:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: A- g(. This permit application expires if a permit is not obtained 1 / within 180 days atter it has been accepted as complete Print name:Angela Grajewski Date: /.7/e�i//6t *Feeee methodology set by Tri-County Building Industry I:1Building\Permits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) EliallEll=1111121111.1111111 Mechanical Permit AppIicatioiRECEI.v City of TigardReceived y: PermitNo./(57;20/6'Gb/9'/ 5111 'a 13125 SW Hall Blvd,Tigard,OR 97223 MAY 0 4 2016 Pun Review Phone: 503.718.2439 Fax: 503.598.1960 may. oma PO1mit r I , t Inspection Line 503.639.4175 f T r j Date Reedy/By: Turk P! See Page 2 for Internet www.tigard-or.gov ,1T I Of I4UAR 1),„.....d, Supplemental Information ::: , . _ ._ _._ _, _. _ . Mechanical permit fees*-are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit. Vahse:$ ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For spedai information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total 1 I e , Heatrag/C001h1pt :.. .:. Air conditioaing 46.75 Job site address: M301 SW Jean Louise Road Furnace 100,000 BTU(duwrveats) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets) ) 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 2332 OtherSubdivision:Polygon at West River Terrrace ( Lot no.: -73 _ 23.32 Otherlhel appliances: Tax map/parcel no.: Water heater 23.32 r - 3339 - Gas firephrcxllrtsert ....:... .. ... . . _ _ -- 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 ( y/liner/flue/vent 23.32 Other 23.32 -- Environmental exhaust and ventilation: Name:ADVL Land Holdings,LW Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Singltoilet��,utilityrooms) 2332 Phone:(602)694.4031 Fax:( ) Attielcrawlspacc fans 23.32 Ot}rcr 2332 Business name:Williami Lyon Homes,Inc. 814.15 for first four;54.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas Address:109 East 13th Street beat mune 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 Clothes dryer(gas) Business name:Apex Air LW Other: Address:18004 NE 72°d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE ,- _ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: r./ 1riPgi • Fee methodology set by Tri-County Building Industry Service Board Print name: f'1Pdp ( j.4A S Date: .41 b 1:1Buildi�PermitslMEC_ _040113.doc 44 /02/COM/WEB) Elva__......_____ .. . REC .. ......;.;.„.,. „....;T:$.:-:::, Electrical Permit Application ��^Y 0 4 2016 roR 01,FI i 1;SL ONI.V City of Tigard r 4: ,.....,/,.....40 9 13124 SW Hall Blvd.,Tigard,OR 97223CITY , ' �-i6� == Phone: 503.71&2439 Feet: 503.598.19601 . ,.". - Reared Permit g' tnspoctloltLfrue: 503.639A175 BUILDING DIV1'n .. : Tares m See Page 2for 1, .D Internet www.tigard.or.gov Supplemental Isfornaages `7i. `. Q.E.,..ai 4 f i, n ,rite r ..rn 6 ai,,,,,N ^ 7 ®New construction 0 Addition/alteration/replacement Please Obeok all that apply(submit ants of plans w/ltems checked): 0 Demolition El Other: 0 Service or feeder 400 amps or more 0 Building over throe stories. where the available fault current Ot farinas and bostyards. _`k.'ai '1[-+,(,) F exceeds 1 000 at 130 volts or FI �. � 0. �w O °sane buildings. CI 1-and 2-family dwelling .❑Commercial/uidtistrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commerc al-use agricultural ❑Multi-family 0 Master builder 0 Other. �for en other installations. In buildings. . ❑The pump. ❑Instillation of 150 KVA or 7 .* <rj'&.rx3-•?�4ie-Is <`a ;.4rkft.8^ Z.!'`a_0o- �+ t` Ye iii fix'.'..i-k^' ,'N ❑Hmergeaeysystem' larger separately derived `:13 07 sw tan �%S []looAdditionpr m new meta load of system. Job#: Job site address: � `nolle or mnro. ❑~A",^>r"~I.2^~2.3>. City/Stste/71P:Tigard,OR 97224 ['Six or more residential units. p y ❑Health-oars facilities. 0 Reoreationd vehicle parks. SuiteJbldg./apt.#: I Project name:Polygon at West River Ter 0 Hazard=locations. 0 Supply voltage fix more than ❑Service or feeder 600 amps or`note. 600 volts nominal. Cross street/dirc tions to job site: C t , ;+,-, !)r a1.3 i.-70-'7111..4P2':.2-C:,,„;;::": a Description Q4/. �Lath7gtat r• s • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: '-7 3 Includes attached garage. Tax map/parcel#: _1,000 sq.ft.or less _ 168.54 4 Fa.add'l 500 sq.ft.or portion 33.92 1 -, ` t) c;c; i n,reX..R t:1;;t - :_ Limited energy,residential (with stove so.R) ) 75.00 2 Limited anew,multi-`family 75.00 2 residential(with above sq.ft.) Reaeewable Energy 0 See Page 2 ,, to,),,L,i2.1...,,„„),,,, us:.,--,......, .s_-„,.. - _ -,u4_,-,..2_,,-,)-'",- r , •..--,r. Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 • 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 j Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,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 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 snips 125.08 2 Owner signature: Date: 401 amps to 599 amps 16854 2 , y i Branch w,alterndon,or extension,per panel , ,..,•.„-.;-__.... - .._ ....• -._ . A.Fee foretrcuits-nebtmldr edreoits wtUr Business name:William Lyon Homes,Inc. above service or feeder the, each branch circuit 9.42 2 Contact name:Angela Grajewsld B.Fee for branch circuits withore servAddress:109 East 13th Street ranceOfur the,fiatbh elrcnii 56.18 2 branch City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 " ` I Fax::(360)693-4442 Each manufactured or modular dwelling,service and/or keder 67.84 2 Email:Angela.Grajewski®polygonhomes.com Reconnect only 67.84 2 3°:. ` . __f...__. >.—�___.__.-3, ,Fs5.1�sl`"_-..'L.._____._..._.. _ ..... ..-11,r.. .. Pun*orirrigationchrde 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signaliterationcuit(s)or or limited-energyoensi 0 See Page 2 2 panel,alteration, oadatsion. City/StattrlZlP:Vancouver WA 98661 Each additional inspection over allowable la any of the above Additional inspection(1 hr min) 66.25/br Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdanielsgtgweusa.com Industrial plant(1 hr min) 78.181 hr Inspections for which no fee is 90.001 hr COB Lic.: C11S8 Electrical Lic.: 208174 Suprv.Lie:: 44965 s' c Listed $4htmin ri`'*,i;`' � `_fir __ Suprv,Electrician signature,required: ,r , .. Subtotal: Print name: Joan P Albert • JDDate: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcbarge(12%of permit fox): ` Authorized signature: ^ -. TOTAL PERMIT FEE: �=`5': This permit application expires If a permit is sot obtained within 180 `,..c :., Print name: Bill Daniels Date: 4/26/2016 days after 1t has bean accepted ns complete. ti ':c'+- • Number of inspections allowed per permit 0E-.'?1:Mrdl d'xglrekearnlII.c itek,atutpp_sut tOts.a«Rev 06/17/2015 aw-•eelrrtllros✓orn.vtvsa RECEIVE Plumbing Permit Application Building Fixtures , I..;\I 0 4 7 016 I t ti{ 01 1 It I I •I 1 n%t 3ity of Tigard vd nail( 1i itAKU .' S7'�Q/6 Q�/`4 13125 SW Hall Blvd.,Tigard,OR 9Phone: 503.718.2439 72 ' Review Peema " Inspectionune 503 639.4175 03.5`ti 4 71ING W ' Date Permit U l tr li r her B See Page 2 for Internet www.tigcdor.gov Supplemeatat laformatioa 4 �: fyr �,: r® nden New construction ' 0 Demolition For special inform sae checklist y Description I Qty. I Ea. I Total _ ❑Addition/alte ration/replacement 0 Other New 1-2-family dwellings(includes 100 ii for each utility connection) . --CATEGORY of GOmratiCnOh1. SFR(l)bath 312.70 ®1-and 2 family dwolling ❑Commercialfaodustdal SFR(2)bath 437.78 62. 0 Amy building ❑Multi-family SFR(3)both 1 50032 �t7. Each additional InalthvtdKn 25.02 ❑Master builder 0 Olhrr: rue sprinkler sq.IL) Page 2 .: '` JOB SITE JNFORM410'AND LOCATION • • •• • Site utilities: rob site addiass: 1q301 SW y p y1 Loose. I4A Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 SuIte/bldgdapt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It:_} Page 2 Storm sewer(no.linear it: ) Page 2 Wrier service(no.linear'R: ) Papp 2 Subdivision:Polygon at West River Terrraee I Lot no.: 75 Mare or item: Tax map/parcel no.: Backflow preventer ( 31.27 31.2:r D fON OF.WOR1L Backwater valve 1 12.51 12,6t " Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®11ROPERTY oW I Q TENANT 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/StatrlZJP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 1;.. ® ArPT,IICANr ❑ CONTACT PERSON: Interaeptorigrease tap 25.02 Business name::WiWam Lyon Homes,Inc Medical gas(value:5 ) Page 2 Primer 12.51 Contact name:Angels Gtajewski 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) 6234 , Phone:(360)695-7700 Fax::(360)693.4442 Tubisixnverishcover Pan 1231 E-mail:Angela.GrejeweW@polygonhomes.con Urinal 25.02 Water closet 25.02 GON7RACPOR ' • • • Water heater 37.52 Business name:Melasedal Enterprises Inc. Water piping/DWV 5629 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lic.:102535 Plumbing Lic.no.:34-2761111Plan review (25%of permit fix) State surcharge(12%of permit fee) Authorized signature: a..------- c TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 Tae permit application«phos If a permit is not obtained within 180 days atter it has bees accepted as complete. *Fee meehodolo y set by Tri-Comity Building Industry Service Board. - 1:113utdiaglrermks1PLbru-Pe milApp.doe narot,ov 440,1616r(1C,e2/COWtWEB) POLYGON PIA, NORTHWEST COMPANY April 27,2016 APR 2 7 ?n16 Mark VanDomelen t 1 '1 1j 4' ;(`':1 ii! Building Official 1311101M;DIVNON 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 /7S7`(90 Oo/9/ 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 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.Polvgonhomes.com CCB#166871 POLYGON Ire, NORTHWEST COMPANY Lot 111 - 13787 SW 174th Loop Lot 112- 13853 SW 174th Ave Lot 113 - 13837 SW 174th Ave Lot 114- 17372 SW Jean Louise Road Lot 115 - 17368 SW Jean Louise Road Lot 116- 17344 SW Jean Louise Road Lot 117- 17328 SW Jean Louise Road Lot 118 - 17302 SW Jean Louise Road We greatly appreciate the City of Tigard working with us in order to get this project underway,we look forward to building this project along with many others within the city of Tigard. Sincerely, Chris Walther Project Manager 503-312-6213 109 East 13th Street,Vancouver,Washington 98660 (360)695-77(x1 • (503)221-1920 • Fax(360)693-4442 www.Polvgonhomes corn CCB#166871 a ► City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT • I . Ti G A};n Building Permit Review — Residential Building Permit #: ,t/S7,7t r/, — 6O/?/ Site Address: /?SO U j,,7 Lout ,&e Project Name: Air!n c GsL i 40w,, -7cce Lot #: —9-S (New ng=subdivision name;Addition or Alteration =last name of owner) Planning Review Proposal: AMA) `t1 rify site address/suite# exists and active in permit sem. River Terrace Neighborhood: ❑ No P Yes,See River Team?Review 4ddendum Attached Sit lan Elements: • ree (3)copies of site plan L*.sting structures on site 4rto plan must be on 8-1/2"x 11"or 11 x 17"paper IIP ootprint of new structure (including decks)with finished 0. awn to scale(standard architect or engineer scale) or elevations .rth arrow Utility locations(required for new,may apply for additions) ) PPY '��S' e address,project or subdivision name and lot number �IC I ifr nisheof wells/septic systems lican p t information(name and phone number) 7, rosion control (including drainage-way protection, silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and eet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Vfroperty corner elevations (2 foot contour lines if more than I,�lsting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services —Service Provider Lett r(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified l No Received: ❑ Yes ❑ No Public Facilitie mprovement(PFI) Permit: equired: Yes,applicant was notified ❑ No Applied For: l Yes El No,stop intake nd Use Case#: 412x07 S kind P---?- l& 1& ,Setbacks: Front / e2 Rear 0 Side , Street Side 8 Garage 3161/ "andscape Requirement: ...96) ) % / of Coverage Maximum: 00 % Iuilding Height: Maximum Height OR Actual Height a3 I& isual Clearance Ila Easements I ,,•nsitive Lands: ❑ Yes No Type IP Urban Forestry Plan El Condition Met"prior to issuance of building permit [, Notes: j7647'ldl'�Y ---S42// Ze ine.4 rN 7 o ri/ti /• KZ,e?AC:� Approved By Planning: ,< Date: ___Iy7/11.4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:v Building\FonnsvBldgPennitRvw RES t)12116.docx r 1 Building Permit Submittal Original Submittal Date: -51VA6 Site Plans: Building Plans: # 3 Building Permit#: P--Enter building permit#above. Workflow Routing: Planning El Engineering IP-Permit Coordinator �l�uilding Workflow Sign-off: G'Sign-off for Planning(include notes from planning review) Route Application Documents: U-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: r C41 �� i Date: ////� Engineering Review Slope at building pad: 37 ❑ 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 Appro d Engineering: Date: Notes: "e2,4/ �%� �' "r� /tife±1./. ?� Approved by Engineering: ,s(G Date: ,T 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: -2 Yes ❑ N/A Tigard Trans SDC: - Yes ❑ N/A Parks SDC: ["Yes ❑ N/A {kr OK to Issue Permit - Fv�, ,,dam Vel . Approved by Permit Coordinator: -� ,..`„� Date: 5 - I' I. Building Forms BldgPennitRvw RES_012116.docx City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT ' IG RD River Terrace Building Permit Review Addendum Building Permit #: /7..f'7'',2p76 --aQ/9/ �, Site Address: /� SGS .on 2-rju e '=C,e Project Name: Polygon at West River Terrace Lot #: 5 (Ncw dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dis '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 façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft. wide Gabled dormer El 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: /.. re 3. E rances: At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from longer street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No I�, all the following apply: sq.ft. min. j�ne street facing entry ft. max. roof above floor of porch Y5 ft. depth min. 30%min. porch roof coverage 4. tailed Design: All buildings shall include a min. of five of e following elements on all street-facing facades: [vered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep OF Rall offset min. 16 inches ❑ D,rmer min. 4 ft.wide oof eave min. 12 inch projection V/ t •of offset min. of 2 ft. ❑ Roof shingles either tile or wood % Gable, 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 indow 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 façade 5. Garages and Carports: May face the front or side ot line on a corner lot. Setbacks: No closer to front or side lot I - than longest street- acing wall. ❑ -s ❑ No. If No (Check one): ❑ May extend up to 5 ft. if there is a . -red front porch and :,.rage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is p. of a . .-story building and there is a window at the second story above the garage that faces the street with a min. . a . 2 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40% ma:. •f street facade ❑ 50%max. of street façade 7 detailed design elements Notes: ApprovedBy Planning: Date: S-17/(i, docx T Il 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 17307 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00191 David Young 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 17307 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00191 David Young Water heater breaker off, no hot water for inspection. No inspection done at this time. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17307 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00191 David Young Gas ﬁreplace not done, unable to test. 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 17307 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00191 David Young Sink from upper level main bath in upper level bedroom closet. Exterior grading not per code, provide slope away from house 6" in 10' or approved drainage swale. Provide missing vent well left side, bark dust in vent well. Not ready for 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 17307 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00191 David Young Correction complete. Violation Summary: Inspector Contractor .. _............._. Plumbing Permit Application-- ', ', ' Building Fixtures I t)tt tit l 1( r 1 ,s1 t>\1_\ City of Tigard Received try: 1 01 S,� i' P.rrrnit N IS7 OK ti�rlf 1 13325 SW Hall Blvd.,Tigard,Oft 9;tz2 - Plan Rev,eu l ' Phone: 503.718.2439 Fax: 50359811969 hPiN Date>B.;----: Other Permit o.: t Inspection Line: 503.639.4175 T!(e t F'.I) Date itcadpiBy: lur s I Si See Page 2 for Internet www,tigard-or,gov Notified/Method: Supplemental Information TYPE,OF WORK ' FEE.`3CHUR/LE El New construction 0 Demolition , For special information use checklist Description t Qty, 1 Ea, J Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 R.for each utility connection). CATEGORY OF CONSTRUCTION TIO SFR(2)bath 437.7SER II)bath 8 ® I and 2-family dwelling 0 Commercial/industrial Accessory buildingSFR(3)bath i 50032 0 Multi-family Each additional bathfkitchen 25.02 Q Master builder ❑Othe ._; Other: Fire sprinkler( sq.ft.) Page 2 .1(!R lam:INFiiR THITION AND LOCATION , Site utilities: - - -- - Job site address:113b7 5\1\I -3 p A Y\ V (a►i`� Catch basin or area drain 1836 `.. Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldgfapt.no.: i Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 • Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear IL:_) Page 2 Water service(no.linear IL:._�) �- Page 2 �1 Subdivision:Polygon at West River Terrrace Lot no.:75 Fixture or item: , Tax map/par+eel no.: Backflow presenter 31.27 D1�FN f�F' Backwater valve 1 12.51 .: _. _ Clothes washer 25.02 eaa CI d ..: .... Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 t� . 1. 1ENANT Expansion tank 12,51 Name:ADVLLand Holdings,LIC Fixfrtre/sewercap 25:#12 Floor drain/floor sink/hub 25,02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 i City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone (602)69..4031 Fax ( ) lee maker 12.51 ; . ' �`• . - ` Interceptor/grease trap 25:02 llrt Business name:William Lyon Homes,Inc Medical gas(value: ) Page 2 Primer 12,51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street: I Sink/basin/lavatory 25.02 Y Cit /StatePLiP:Vancouver,WA 98669 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442: Tub/shower/shower pan 12.51 E-mail:AngelaGrajewski@polygonho.mes.com: Urinal 25.02 -,.s+ t s: t Syater closet 25 02 Water:heater - 37.52 Business name:Alliance Numbing LLC :Yater{lipirtglDW1? 56.29 Address:146 W Historic Columbia River Hwy Other:. 25:02 City/State/ZIP:Troutdale,OR 970611: . Subtotal = Phone:(503)493-3490 Fax:(503)912-6438 Minimum permit fee: $7250 ; Plan review (25%ofperanit fee) ' CCB Lic.:184601 Plumbing Lic.no.:P13731 State surcharge(12%of pemtit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Disbbmgn: Date:5/2312016 This permit application expires if permit is mot ubtaimcd within tSP days after kites beeti accepted as complete. *Fee methodology set by Tri-County Building Industry service Board. 1.lBuildia,J'cmipkPLMtU.Pan itAppdoc 1O/01M9 44D-4rldfi(r4I&2ICOM1WEB) 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 17307 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00191 David Young Remove debris from crawl, toilet wax ring box, WC supply line and any other debris. R408. Provide missing city required documents. 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 17307 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00191 David Young Previous corrections complete. Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report received. Insulation certiﬁcation checked. C of O left on site at kitchen island. Violation Summary: Inspector Contractor