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Permit (68) 1111/ CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT t/e/4Permit#: MST2016-00204 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S106DC11000 Jurisdiction: Tigard Site address: 13769 SW 174TH LP Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 110 Project: Polygon at West River Terrace, Lot 110 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: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2917 sf Value: $349,615.31 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''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: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2917 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: $33,090.44 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 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.234 • / /U� Issued By: 1' 1 . Permittee Signature: ,L"� 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 II I - COMMUNITY DEVELOPMENT Permit#: MST2016-00204 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 TIGARD Parcel: 2S106DC11000 Jurisdiction: Tigard Site address: 13769 SW 174TH LP Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 110 Project: Polygon at West River Terrace, Lot 110 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2917 sf Value: $349,615.31 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 RainStorm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvnes 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 SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2917 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: $33,003.42 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 throug R 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: €1 V /51– , .i�'!–7-0A/ Ca 503.639.4176 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. �^'' it A Build><nPellion O T I/O Ls s-, / g PP -- 6 RECEIVED �(� j � Received f//A /A, Permit" f /6J! 002 City of Tigard . Dare/By: .S ( /}� /� 13125 SW Hall Blvd.,Tigard,OR 97223 6 2016 Plan Review J / other Permitdalg�`k40 /4 I>ate/By: ]oris: B See Page 2 for Illi Phone: 503.718.2439 Fax: 503.598.196�AY Daze Ready/By: / Inspection Line: 503.639.4175 CITY TIGARD N �MO��/Zy{/� l Supplemeumt Information I i c' .. ti and-0r. ov ` I I OF ��++ Internet www. g g ,IVISION 1e— '�E/� -- - Permit fees'are based on the value of the work performed. tau";-/'%1- New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement ❑�� work indicated on this application. w.l- ". Valuate �S 11 " ❑Commercial/mdustrial la ® 1-ann d 2-family dwelling Number of bedrooms: 0 Accessory building 0 Multi-family Number of bathrooms: ❑Master builder. ❑Other 3 v , Total number of floors: 2 7 a \ New dwelling area: square feet Job site address: ` � `�� '/ Garage/carport area \-•\U square feet City/State/ZIP:Sherwood,OR 97140 at West River Ter Covered porch area: n square feet j 6 s g Project name:Polygonu2 q Suite/bldg.lapt.no.: I J Deck area: ,� square feet , Sq Cross street directions to job site: , Other structure area: ' square feet • Lot no.: 1 V� 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 workindicated on this •• e indi 1 testion. r,s Valuation get.. ,. $ New Single Family Detached Construction Existing building area: square feet New building area: square feet r -r • .•. Number of stones. $:•7 x5 ��'' D ix.°Z,",...c.. - .! ... f Cti _�_a-. ..... f� C Type O construction:Name. MN LV L A //QGfl/—�7S Address:109 E 136 StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Egg' Phone:(360)695.7700 Fax(360)693 4442 New. p � � �...,. ..._�.� ._ .. _ �._-.�.._..� ,• .._.>.�, .<_ ,.,... Mme—. Business name:Polygon VVI-H,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of ,- ? LL roof-top mounted PhotoVoltaie Solar Panel System- • Submit two(2)sets of roof plan with connection details Business name:YOlyg..�.WL$EDC kr(�f�/�M L y0/✓ M65/ /�(--- and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation S•"tial Code checklist. Permit Fee(includes plan review 5180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): 521.60 �� S;CB lic.:207247 Total fee due upon application: $201.60-- U r/ This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. I *Fee methodology set by Tri-County Building Industry i. print name:Maggie Gordon VDate:12/11/15 Service Board. dot 02/24/2011 440-4613T(I 1/02/COM/WEB) I:�Building�Permits�BUP RESPermitApp. -e..,-.--,1-5,' f RECEIVES Electsicall Fermi(Aliga.ea$ I8 )1.(2 1 11 1 If t`+i ::`J s 1 r City o ie• MAY 16 2016a-. r 1312$Sw ,)i 81 Yd,Tigard,OR Da . _ dna; elle y t Pimm:503.716.2439 Fax303.994w3l OF TIp Ingetion 303.639.4175 ,p*mi >e ssrpegnr liaformailso r1'. ' : ° g BUILDING DiViSI t.,: . ppteeeamt x I Newconstruction D'AddlionMakttattonlreplacement Please;taeel:Atha!apply fsibrm1}:setsorgan:1,Vltaasebeeked} 0DWna11d01t Do* ❑Setvree aFeede 4eo amps meow* [Y Bald +overtacee swam **tog.available fautteraenr 13 Mammo sad bemoan. , �.: .� ';Z..VA its -- .i., s 04610.0ADtmps.115omii or ['floating t1011410111. i 'LgI-end 2--family dwelling ❑Cot imercietlindustrial 0 Accessory building less ID i u!rd or Ezooak 14,000 D t]arridr a se epieultw+l wont loran other bora cations. ❑,Multi-fancily ❑M ❑ w aster builder ❑Other: Firepp. 0I ddonof1SOKVAor '10E:'S11'i 11i#Y*$Th$AND LOCATION 1:1Bnergeoq.system. larger sepnielydaired ' ,tt c � ElAddhien of new motor load or Bruen. Job It: , 1 Job site address 1 1� 1 )• t180HPormoa ❑"A,V',"1.4;1.3", Ci /Stat ❑sea or mare residential twits. Y• ty ejZIP:ShexwoodOR9714p tliteaNh.ouerealitw, ❑xsewarbwatwitiateyula, l Suite/bldg./apt.#: Project name: aftmerdotte lee rtoaa L7 wets hew fir ore Ilya-- L7 service orhaft-600 aryrs«more Cross stree4direetions to job site: .. . FEEsoE: ,;' Dams. I eh. I coat I rota I • New residential stogie-or 530th-family dwelling unit Subdivision:River Terrace ( Lot H:W) Inc ettacbed garage. i Tax map/parcel J: 1.00ti sq tt or less 16134 4 Ea.add a 300 sq.ft.calamine 3392 I -"' finepilsTION Op woiuc Limited enemy,msideotiel 15.00 2 New Single Family (withabovesq.RR.. l.imitedmetgy,multi-Amity 75,00 2 . *Wangle](tvllbabove sti.'R:) _ i ®fritargirrY OWNBR Affil Renewable Enemy O See.Pagc2 t &mica,or feeders hstaliation,yiteralion,and/or relocation Name:Polygon Hopes 200a rmsor km 100.70 2 Address:t09 E 136 St tot amps to 400 amps 13336 2 401 amps to 600 amps 200.34 2 tt City/State/ZIP:Vancouver WA 98660 601 amps to 1,000 amps 301.04: 2 l Phone:(360)695-7700 Pax:( ) Over 1.100 imps or volts 55226 2 Email' Temporary services or feeders lestaibflon,alteration,and/or relocation Owner instaliation:This installation is being made on property that I own which is not 200 amps or lam 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447.449,670,and 701. 201 sup m400 amps 125.05 2 Owner signature: Date: 401 amps to399arrprs 16854 2 ®AP1 [CANT I 0 corrrACT PERSON Brancllcircdb-nex,altcradoa.orestendoa,perpanei A.re;forblmtdt circuits with Business name~Garner Electric Washington,LLC above service or feeder fee. 7 2 each brsntdr circuit Contact name:Bill Daniels B.fee for branch circuits,rrx5m r ' service wfeeder fee,first Addresx 6101 NE S1 Johns fret branch&u t' 56:15 2 Cit n'State/Z3P:Vancouver WA 98661 Each add7breach circuit 7.42 2 Mists laneoos(service or feeder not included} Phone:(253)320-1657 Fax::( ) Each tl mro — d or-modular 67.84 2 - ddyell-ar&vyviec and/or Dater Email:bdaniel,weusa nom Reconnect only 67.84 2 >.,, CONTRACTOR Nov or 114011o0 circle 67.54 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd slawtddarrt(a)or timid errtagy O Sec Pase2 2 panel,alteration,orextension. City/State/ZIP:Vancouver WA 98661 •Rich additional ivapectlon over afowable[natty of the a bore Additional iaspectian(I hr min) 66.25/hr' Phasic(25,3)320-1667 Fal:::( ) breadJFptteo(1 brmin) 90.0/br; Email:bdantela�tveusa.coau industrial plant(1 hr Wu) 7818/hr !re sctiarsfarwhiehnofeeIs 90.00/hr CCB Lit.: 01158 Electrical Lic,:208174 Suprv.Luc.:44965 apoa8ally listed pita mm) z L'> i 1ERt ;`10. Suprv.Electrician signature,required �p1V fir if Subtotal: Print name:Joan P Albert Date: D i 1(♦;10 ❑Plan Review Required(25%of permit roc): I 1 .- Stalesurcharge(12%ofp minfee) i Authorized signature:' % TOTALPERMITI _ i Print name: Bill Daniels x�ePsradtapptieeHontlasbeita permit etptebsretabtete.within 180 Date: t {. � tU dayi anaithas been a«epeed as eoarp►eta + mother otiaspeaionsallowed patoat. j 1.491610e6Pem41MWJ,n tApp_5LR-WEdec Rev 08/174016 440-4615YIe1/03/Cp3.tIW88 j i ! p a 1 4 Mechanical Permit Applicatm. �� i ()1t t)i 1 1( i t ,l 0v1-5 Receid City of Tigard ��.{a " {� 13125 SW Half Blvd.,Tigard,OR 97223 c Dateilly Flan R /��f7 gi Phone: 503.718.2439 Fax: 503.598,1960M"Y 1 2016 Date/By' Other Permit. evicw Inspection Line: 503.639.4175 tate Ry; )utis set Page 2 for Internet: 6: www.tigard or.gov CITY OFTIGARD Noon Method: Supplemental Informed** Bull DIVISION co01tlll5itctAt Fir . Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/a:placement performed.Indicate the value(mended to the nearest dollar)of all 0 Demolition 0 Other mechanical materials.equipment.labor,overhead.and profit. value 3 .>.+,iii � zw:4.e.µ..7„...a+�.'; _ ., _..�. ® 1-and 2-family dwelling 0 Commercial/Indus-trial 0 Accessory building Forspertaf talon:saftaa use ckrcttlrt ❑Multi-family 0 Master builder 0 Other. Description Qty. Ea. 1 Total x.. 4tokki ”' 010 1101 „ r Heatiogfcoo iag: Air conditioning 46.75 lob site address: ` \ ` \� Furnace 100.000 BTU(duets/vents) . 46.75 City/State/ZIP: -N� � 0,t^ J'O 08. OK q-3-\\--1Furnacet+100.000+BTU veats> 54.91 ✓ l ^ Heat pump 61.06 Suite/bldg./apt.no.: Project name: 1. � w Duct work 23.32 Cross street/directions to job site: n A-4i ) 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 Subdivision:River Terrace Lot no.: i( 0 Other 23.32 Other feet appliances: Tax map/parcel no.: Water heater 23.32 p .' : s i 'e Kr •e , � Gas frrepiace iascri 3339 .� Flue vent for water heater or gas HVAC • fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Woad ftreptacelinsert 23.32 Chimney/liner/flue/vent 23.32 . , , - v ' 2332 _ _ ,. —", '- '' Environmental exhaust and ventilation: Name:Polygon Range hood/other kitchen equipment 33.39 Address:109E 13n St Suite 200Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(Willman's, toilet compartments.utility rooms) 23.32 Phone:(425486-7700 Fax:( ) Auickrawlspace fans 23.32 '• �s r i' m s rs ." .v .;°. , , Other 2332 —� a Fuel piping: Business name:Apex Air LLC 514.15 for first four;54.03 for each additional Contact name:Stasi Hay Furnace.etc Address:2210 W.Main St.Suite 107-272 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax: (360)326-1769 Fireplace Range E-mail:stacilgi apexairco.eom Barbecue ..'., M' 7 ' ;;.1,` '`at r .. '4. 5 ,;'.K4 sni.ittl,4 i.. •F Clothes dryer(gas). . Business name:Apex Air LLC '.:,,, . 1 Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Batik Ground,WA 98604 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:4360)326-1769 State surcharge(12%of permit fess) CCB lie.:203034 TOTAL PERMIT F EE This permit appiicatinn expires if a permit is sot obtained within 180 - .. days after it has been aeetpted as Comptek Authorized signatur . ' %, .' r • Fee meilwdotogy set by Tr;Camty Building industry Ser.iec Board Print name:Stasi hay �✓' Date: 1/28/2016 ( i'Jtuilifint;PeetnitsWEC PerteatApp_6461 0 attic 440-96x7(tI 'OAR#,<K'E$) . . RECEIVED Plumbing Permit Application Building Fixtures MAY 1 6 2016 City of Tigard CITY OF TIGq Reeeived d,. PcxmitNo51/b'.��jy 1111 Ill 13125 SW Hall Blvd.,Tigard,OR 972BUI NG DIVISI l'u'Review / g Phone: 503318.2439 Fax: 503.598.1960 LDI OrherPennit23o.: Y: Inspection Line: 503.639.4175 Dace Ready/By: g I i \l i) Juris: See Page 2 for Internet: www tigard-0r goo Notified/method: Su •'mental Information Por special information list checklist_ II New construction ® Demolition Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection) °fi SFR(1)bath,' 4al w" 4 �� oe-i::Adk'}'- a ,2, g' ate*- , . '`» �.. aSFR(2)bath 31270 437.78 IIIII 1-and 2-family dwelling II Commercial/industrial SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 - , '- Y. ` a*°"a i'' a e�� is Site utilities: Job site address: 1 ; , Catch basin or area drain 18.76 /� Urywell,leach line,or trench drain 18.76 City/State/ZIP J\ Q r n�0C)A 0,/�\1� `-P14 l J Footing drain(no.linear R:_) Page 2 Suite/bldgiapt.no.: I Project name: Po ay \)j4 ' Manufactured home utilities 50.03 Cross street/directions to job site: U 1, 1\u„(1- 18.76' Manholes , Rain drain connector 18.76 Sanitary sewer(no.linear fL: ) Page 2 Storm sewer(no.linear It: ) Page 2 Water service(no.linear It:_) Page 2 Subdivision: I Lot no.: I I O Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve 12.51 gig-" r- �. "l�c� i; ��Y- ' . ` � Via- *i .a .. Clothes washer 25.02 f -e - P\�-" O1-1' Dishwasher 25.02 1 r Drinking fountain 25.02 Ejectors/sump 7.5.02 , x af` s ; Expansion tank 12.51 {� l Fixuue/sewcr cap 25.02 Name: Y N Q \ , ��I�(� Floor drain/floor sink/hub 25.02 Address: I on l/�t I 1✓�It..c-Jk A q V�'' w� Hose bibCrarbaae��l 25.02 25.02 City/State/ZIP: J l tom+\l'CA J I ,f� 1.f1 Fax: \ ` IBJ Ice maker 12.51 Phone (ND • ,C� ''1 7. [� _ 25.02 a F ,4 lntcrccptor/grease trap � J * uc c� 1,‘... Medical gas(value:$ ) Page 2 Business name: �/ -t 1! a^Yti�q l 7 k...,..,..\\,,, Primer 12.51 Contact name: i 01 tL,r,1,i -,,/,,,,ty.l. .t.} Roof drain(commercial) 12.51 Address: P' 1')-3-7 5 Sink/basin/lavatory 25.02 ( ( � Solar units(potable water) 62.54 City/State/ZIP: ��.i.e chils-tv� Tub/shower/shower pan 12.51 Phone:Ail ) ' q(g3 Fax::( ) �� Urinal 25.02 E-mail: r ♦ r 0 /1 i• Iry 1 25.02 Water closet ,Z " L v � . . Water heater 37.52 4 Business name: K,.i . t V t Ta P(kkly'-j 1- �, t..� _..,, WaterpipingtDWV 56.29 Address: Pt) GD-i• 1-2) `} Other 25.02 Subtotal City/State/ZIP:G)-=,s}-14L, t 3 9'7 o Minimum permit fee: $72.50 Phone:(910 -g/13 Fax:( ) Plan review (25%of permit fee) CCB Lie.: z( C0 4 Z-- Plumbing Lie.no ti(}2_ State surcharge(12%of permit fee) Authorized signature: - - TOTAL PERMITFEE h"--- This permit application expires if a permit Is not obtained within 180 days Print name: No Q_ ex�4M r Date as) 'Fee methodology set by Tri-County Building Industry Service Board. [: WS�YamirstPL.L(U-PatttitApp.duc 10/01/09 4a0461b7(f O1aI COb1M'EH) POLYGON /2 NORTHWEST COMPANY RFCHNFP April 27,2016 APR 27 2016 Mark VanDomelen Building Official BUILDING m%'!S O ' City of Tigard 13125 SW Ha11 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 Lot 102- 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop /ysr,204, —pp V 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com CCB#16687 I POLYGON /2 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.Polygonhomes.com CCB#16687 I Y Il City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT :11 I T 1 n ti D Building Permit Review — Residential Building Permit #: /N7--C7—.2o/6 -- 9O275/ Site Address: /394 'C 04 / h ( Loop Project Name: ,P% „ `/ Zi.871- r/142-r- - /Tevc:Q Lot #: JPO (Ne ng= subdivision name;.Addition or:alteration=last name of owner) Planning Review Proposal: / /e IJd erisite address/suite# exists and active in fy permtt s stem. River Terrace Neighborhood: ❑ No VYes,See River Thrace Review Addendum Attached Sit Plan Elements: ` U'piree(3)copies of site plan U't•sting structures on site Ase plan must be on 8-1/2"x 11"or 11 x 17"paper IF ootprint of new structure (including decks)with finished VP awn to scale(standard architect or engineer scale) Jor elevations ITA)16rth arrow LldUtility locations (required for new,may apply for additions) IW.D e address,project or subdivision name and lot number IX l.: anon of wells/septic systems plicant information(name and phone number) IV rosion control (including drainage-way protection, silt fence I! .t dimensions and building setback dimensions d sign,location of catch basin,etc.) 'I .t area,building coverage area,percentage of coverage and reet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location roperty corner elevations (2 foot contour lines if more than poPasting trees to be retained with drip line,and tree 4 foot differential) protection measures /Ilean Water Services—Service Provider Letter of platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Received: ❑ Yes ❑ No [ Public Facilitie Improvement (PFI) Permit: r/and Required: V Yes,applicant was notified 17] No Applied For: VYes ❑ No,stop intake Use Case#: P.„Ae /S- l -0d272-, 'u.C, S-_ X16(e 'oning: P":7 etbacks: Front /a Rear S Side Street Side OA- Garage Eandscape Requirement: 0 % ,..?(-)W of Coverage Maximum: Di Building Height: Maximum Height 01 Actual Height (2 P1 �� isual Clearance 1asements 11 nsitive Lands: ❑ Yes iNo Type Urban Forestry Plan El Conditions "Met"prior to issuance of building ermit / Notes: ell drektx`, —S? /1 )2 4 ka f'4p.p.„-„,{7--- /SC4,��I- Approved By Planning: � Date: S / i Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: Cl Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw REs 0121I6.docx Building Permit Submittal Original Submittal Date: �//1 /,6 Site Plans: # Building Plans: # Building Permit#: C7 Enter building permit# above. ,� � Workflow Routing: EY-PlanningO---Engineering [3-Permit Coordinator Building Workflow Sign-off: ErSign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and mo ginal plan review routing form. r Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: �i, /Ih SlEnineering Review ope at building pad: 44 ❑ Conditions "Met" rior to issuance of buildingpermit P ❑ 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: 4/ 17 Date: .5..40_2/x 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: W• Yes ❑ N/A OK to Issue Permit - ,fin d a-h.V v\ O r W Approved by Permit Coordinator: Mid4" ef.A.,;,Ake Date: S -t% -(co I:''Building,Fonns1BldgPennitRvw_RES_0121 I6.docx City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT s . River Terrace Building Permit Review Addendum GA .I Building Permit #: 45r,20/6 (}oad y Site Address: J3?-(p S&L) /74Loci) Project Name: Polygon at West River Terrace Lot #: //d (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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,ride ❑ ❑ ❑ 2. Eyes on the e street: a minimum oc I.?t%o�`�ch street facing facade must include windows or entrance doors. Percentage Shown: ige 3. E trances: At least one entrance must meet both of the foo 'ng standards: Max. 8 ft. setback from longes treet facing wall Parallel to street,angle no more than 45° from street or open onto porch Entrance opens to a porch: es ❑ No If es, all the following apply: 2f3 sq.ft. min. ne street facing entry V/12 ft. max. roof above floor of porch TA 5 ft. depth min. V 30%min. porch roof coverage 4.petailed Design: All buildings shall include a min. of five of e following elements on all street-facing facades: overed porch m . 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep V in Rall offset min. 16 inches ❑ ormer min. 4 ft.wide oof eave min. 12 inch projection V :oof offset min. of 2 ft. ❑ Roof shingles either tile or wood l5 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade V Window 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: N closer to front or side lot line, than longest street-facing wall. ❑ Yes tZo. If No (Check one): May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. ay 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: i_ - // Date: SAW I:\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 13769 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS November 15, 2016 at 1:34:32 PM MST2016-00204 David Young Violation Summary: Inspector Contractor Plumbin2 Permit Application -,,,--4.--,r-- , k 1, q::'em. Building Fixtures .,., t,,----t —t '' r F-1 I (He OH 1( i 1 "I 0\1 \ City of Tigard &'. '; 2016 Received Date/By ie-21(ofg-- Permit No.:11AST0161... 00 0 13125 SW Hall Blvd.,Tigard, 72 33 "--"I Phone: 503.718.2439 Fax:.50,3,59$J94flt::,t,.7,i---)„ lit Plan Review Date/By Other Permit Na Inspection Line: 503.639.4E7151 Y : ,,,,.,,,,,, I I It ,.. i) Date Ready/By: Juris Ea See Page 2 for Internet: wwv,,..tigard-o l Lfp':I;',, '..:-.- .',.''I','.? I:--"..',....."', - Notified/Method: - Supplemental Information fiVS.i0t:,%:-.::- vet* SCHEDULE 1. New construction 0 Demolition . For special information use checklist Description Qty. 1 EA j Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) , . . ,. , „... .•,.. . , ._ CATEGORY OF CONSTRUCTION SFR(1)bath l 312.70 -----: El 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 (:. ,' ''' .4'i':AtiO'WeA.i t.b'-L . Site utilities: Job site address: t -.. -7(,)01 5(,,1/4) I/140) Loop 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/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.: 1 io Fixture or item; ... Tax map/parcel no.: Backflow preventer 31.27 --',.r. '.,'''''- Backwater valve 12.51 h :.-t .. , t, -of::, ,.,t ...4 , 25.02 00niredYr OPilic-- Dishwasher 25.02 ....._i Drinking fountain 25.02 I . Ejectors/sump 25.02 , •- -l :.:1 .: ,. :. 1 '' I" El TENANT . . Expansion tank 12.51 4 Fixture/sewer cap 1 25,02 Name:ADVL Land Holdings,ICC __,, 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 -' ''''',':: ::::!:;Jijitt77:-:i:r':::''I,l'‘.•"!i':':'.::''':"' ' "., ' ,`',:tt'"; ‘'''.'::7 :::;/ Interceptor/grease trap 25.02 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 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 - -----, E-mail:Angela.GrajewskiUrinal @polygonhomes.com 25'02- Water closet ---1 , ..::' 25.02 .. .2.,'.i.it;''''.'',.i.',,..'j"-"'."-, , -2.-.:. ::- ", "' . - '. .:,..- . s " 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 Plan review (25%of permit fee) CCB Lie.: 184601 Plumbing Lie.no.:PB732 — State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Robert Dishman Date:5/23/2016 This permit application expires it a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 1 lBuildineennits\PLMU-PermitApp doe 10/01/09 440-46161110/02/('OMPNE11) 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 13769 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL November 15, 2016 at 1:45:06 PM MST2016-00204 David Young Not ready for ﬁnal inspection, work not complete. No ﬁnish ﬂooring on steps and upper level. 1st step 1/2" taller than next step up. 3/8" max difference in run. Steps not to code. R311.7.4.1 Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13769 SW 174TH LP, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: November 28, 2016 at 1:52:00 PM Record ID: MST2016-00204 Inspector: David Young Front yard grade to slope away from house 6" in 10' or provide approved drainage swale. Fix broken foundation vent screen at rear of house. Fix lower level bathroom light fixture hanging by wire nuts. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13769 SW 174TH LP, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: November 29, 2016 at 1:40:31 PM Record ID: MST2016-00204 Inspector: David Young Inspector Contractor