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Permit IpiCITY OF TIGARD MASTER PERMIT II COMMUNITY DEVELOPMENT Permit#: MST2016-00139 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 2S1060002900 Jurisdiction: Tigard Site address: 13714 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 105 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/21/2016: REPRINT to add 220 sf patio cover. 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: $354,525.71 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2917 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,264.57 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu• eAR• '01-0090. 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: � �• �`��C)'�% 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. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 711 T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION ., a ;7i FROM: Angela Graj ewski SEP 1 b 2016 COMPANY: Polygon Northwest G F i s r apo ilt k"yrr ':"3"',r5"'!(,-.44 �, # (,-.4 PHONE: 971-212-2144 1+ RE: 13714 SW 175th Ave MST2016-00139 (Site Address) (Permit Number) Polygon at West River Terrace lot 105 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: n: .: ,fes Cap Lit . , ...•. .tldlll ,,: ' ? ,, Ct,„, .. �('SG)t'I s ,� ; 0 Additional set(s) of plans. 3 Revisions: Add Covered patio 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. fht/N ,. O: *F CE USE ONLY .). --.7- �, Routed to Permit Technician: Date: 9 ._ ao _ j 4 Initials. —14 Fees Due: 'Yes ❑No Fee Description: Amount Due: ' i9-,&'vr' A $ 15,1rz) * 2�-.�4 $ ca /p I 37 Special .S Q. i'-'7- = aZ‘2,0 i6 /2-qt Instructions: T, f.c,, /3 Reprint Permit(per PE): ro#Yes ❑No Done Applicant Notified:,V62i Date: -y //,k Initials:i I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT II iliTransmittal Letter F;G A RI) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski S k P 1 5 2016 COMPANY: Polygon Northwest CITY OF T GAR PHONE: 971-212-2144 BUILDING Div'IsI �� RE: 13714 SW 175th Ave MST2016-00139 (Site Address) (Permit Number) Polygon at West River Terrace lot 105 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: nr ",rk,.. ',;' g i s Viietifiti' i 0 Additional set(s) of plans. 3 Revisions: Add Covered patio 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): n _ REMARKS: Please pay fees owed with Trust Account. ` ,A ' FOROT Cl tE ONLY , ( Routed to Permit Technician: Date: Initials: Fees Due: ErYes ❑No Fee Description: Amount Due: f - L ,°t9i\/ 2k'al $ 90, O-) g� 'y{, C4 IA, A.inth .� �d // &"P /C.---E- $ �. ' 31L C` cer : $ $ .:',' ] $ Special S 62.. ,' Instructions: Reprint Permit(per PE): /,'Yes ❑No ❑ Done Applicant Notified: Date: Initials: IABuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 ,f CITY OF TIGARD '` -: MASTER PERMIT 1 , /yA4, IIN COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit*: M6/2 2016-00139 TIGARDDate Issued: 06/22/2016 Parcel: 2S1060002900 Site address: 13714 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 105 Lot: Project Description: New SF. 8/4/2016: REPRINT ermit to add 2nd water heater. BUILDING Stories: 2 Floor Areas Required Setbacks Bedrooms. 4 First: 1259 sfRe_ pa i_ re_ d Height 23 Bathrooms: 3 Basement 0 sf Left 3 Second: 1658 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 464 sf Front: 12 Third: 0 sf Smoke Right: 3 Detectors: Yes Total: 2917 sf Value: $349,615.31 Rear: 15 PLUMBING Sinks: 1 Water losets: 3 Washing Mach: 1 Lavatories: 5 Laundry Trays: 0 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 3 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 2 0 Storm Sewer: 100 FootingDrain: 0 Water Lines: 100 Drains: Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvues Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 ELECTRICAL Residential Unit �— Service Feeder ---�—_ _ Tema Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 Ea add'I 500 sf: 5 0-200 amp: 0 W/Svc or Fdr: 0 201-400 amp: 0 201-400 am : 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 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 S stem: N Other: N Other Description: y Garage Opener: N All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: NEW SF Occupancy Group: Square Feet: VB R-3 Owner: Contractor: 2917 ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Reg39-4 7Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 #COTTSDALE,AZ 85258 VANCOUVER,WA 98660 2 A Geotechnical report is required before the footing 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 e,R 9915-0-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �7/ Issued By: ,fir/_=_ Permittee Signature: e/t7 1,6Z<fel--77€7, 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 't Permit#: MST2016-00139 . COMMUNITY DEVELOPMENT Date Issued: 06/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13714 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 105 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 Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: 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 Rain0 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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: Required Items and Reports(Conditions) ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing 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 through OAR 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 B ;�� 1 Permittee Signature: 6)/V- .." /v ,G'l C� 77� 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. w 3 kliildin¢Permit APPlieation _ FOR OFFI 1 i �e O'1 e " c G F 8 11 dived PecmitNod/ > ,4/�.4:: �� j. , � ; Daws '�r r��; City a Tigard Q 16 Plan Review , Other Permit / / t-,f/. 14 • 13125 SW Hall Blvd.,Tigard OR 97223 APR DateB : e 2 for Fax: 503.598.1960 -ions: H See Page Phone: 503.718.2439 �� �;�� DateReadyBy: Supplemental Information Inspection'Line: 503.639.4175 CIT w �y Nottfied/Method TICi;Rid Internet: www-tigard-or.gov UILDl t !NISI N i''''-'1-:t fees ed- -- �----"' *are based on the value of the work perform e&'�'� ❑Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction ` equipment,materials,labor overhead,and the profit for the 0 Other -, • .,. _7•:,__,,-.2-2,-,i-�, work indicated on this app ., ❑Addition/alteration/replacement � .► �� � Y� ��,.h_a�,x,�����F3 Valuation:3�G $ aj� v .. Commercial/industrial .» dwelling ❑ Number of bedrooms: ® 1-and 2-famiil 3 ❑Accessory building 0 Multi faintly Number of bathrooms: 0 Other Total number of floors: 2 ' ❑Master budder r - .� r- - � ,,� ;t � �,�tP i i����'. a,.'�sa�4s�t"��-� � square feet fi m -� . � -W=;- I New dwelling area . Garage/carport area , ` square feet Job site address: "% square feet �,v City/Stat gJaP:Sherwood,OR 97140 Covered porch area: , Project name:Polygon at West River Ter q3 square feet 1 a,. Suite/bldg./apt no.: Deck area: Cross street/directions to job site: Other structure area: 'I square feet Lot no.: 11 Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearestddolllar)of all for the equipment,materials,labor,overhead profit Tax map/parcel no �- �, '7'-:‘ work indicated on this -y.lication- f ",' TI '1 6 `,,,' ' z',, .,-,-,;. .-.- . » F, -. Valuation: $ , s. , New Single Family Detached Construction Existing building area: square feet New building area: square feet `,-'z-- Number of stories: ',. ' iiiL,:Y �. } ,-� : r Tye of construction: Name:ro! ` , ���'i; 4 OecupancY groups: Address: 115) r 1111 ,i //�MIV �,��imiliiiiiii lu Existing: IIIIIIIIIII City/State/ZIP: ' .ltig/, .' I Z� rf 9 i Fax(360)693.4442 -- -» 3 New gT ally . ,,.,,_, :',- - Phone: „� :•. lan review fee(or deposit): Structural p Business name:Polygon WLH,LLC applicable): FLS plan review fee(if app ): Contact name:Maggie Gordon application: Address:109 E 13”'Street Total fees due upon Amount received City/State/ZIP:Vancouver,WA 98660 r Fax::(360)693.4442 I r -- f. `,,, »� Phone:(360)695.7700 an installation of E-mail maggie.gordon(a3polygonhomes corn Commercial and residential prescriptive roof-top mounted PhotoVoltaic Solar Panel System � details F,-;.:_.77:,.7.:-?4,--,L7.6,...,,,,,4::::, '3 ,,s �, ,' ,.1,�, Submit two(2)sets of roof plan with connection ' " department access,along with the Oregon Business .. _ and fire deP Buname:Polygon WLH,LLC Solar Installation S.-cial Code checklist_ Permit Fee(includes plan review $180.00 Address:109E 13`x.Street and administrative plan ive fees City/State/ZIP:Vancouver,WA 98660 $21.60 Fax:(360)693.4442 State surcharge(12%of permit fee): Phone:(360)695.7700 lication: $201.60 Total fee due upon app CCB lit.:207247 This permit application eapires if a permit is notpbtaincd within 180 days after it has been accepted as complete �, dm Industry Authorized signature: � *Fee methodology set by Tri-CountyJ3i� g - Date:12/11!15 Service Board Print name:Maggie Gordon = 1:\Building\Permits\BUP RESPermitApp-doe 02/24(2011 4404613T(11/02/COM/WEB) `crs n 1V,Meehanical Permit Applicatj Received Permit No/75702.61/ �I Cf T1 Brt ( Ft 1E 111111.111111111MIPIIMMIll Dater3,: ir✓+'��/ 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7181439 Fax: 503.598:1960 �( 2O Ptare Review 3 9 Oilier Permit: 17atcBy' Inspection Line: 503.639.4175 tate Ready}13y. lulls ` 5d See Page 2 for € Internet: www,tigard-or goy n y rit 4 t Neti led Method: Supplemental talisman-on 1 t 1v41,,Pt , 1 1t i lest\ t „,,,,..,,,,,,,,,,..,,,,,,.„"„,,,,,,„„,,,,,,,,,,.,_ ,„41t,,.. , Y+E.RYom' l d t^ t Mechanical permit fees''are based on the value of the work ►... News construction 0 Addition/alteration/replacement perforated,Indicate the value(rounded to the neatest dollar)of all Q Demolition 0 Other mechanical materials,equipment.labor,overhead.and profit. * A ,, Value b " a 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For speck tInformation uxceate Q Multi-family 0 Master builder 0 Other, Description Qty. Ea, Total .'1•#014 W Heatingtrooling: 1371) Sw 1--) i A r tionin46.75 Sob site address: Furnace 100,000 BTU tductsivents) , 1 46.75 City/State/ZIP: 5'1.(brkA r 0 Qd. OK q- _\\ o 1 Furnace 100.000+BTU educt ents) 54.91 , Heat pump 61.06 Suite/btdgiapt,no.: Project Warne: PO L-hn cd- lJj" Duct work 23.32 Cross street/directions to job site: n„--,(..p sty dronic hot water system 23.32 [ Residential boiler(radiator or hydronie) 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:River Terrace t Lot no.:/'l)S—_ f Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23,32 4. v �1,� ,,' � 7�' i, i€ t ,, I s �� . �� Gas ftreplaetinsert 3339 - _ s < >,� , . ,. " flue vent for wax ter or Ras HVAC fireplace 23.32 Loa liehter(gas) 23.32 Wood/pellet stove 3339 Wood fireplacc/insert ' 23.32 Cbitnnev#liner/fluetyent 2332 £€ .... e Other m;, Z .._„�., ,�, � x��- "? ,,/..� ,� . : ..� ... aylron�catat cs�aast tad ventitatiun; Name: frau I LG nq(''«�F. Range hood/other kitchen i equipment 33.39 01 i at t 0 I i.� ,i. ® �i,k. 4 Clothes dryer exhaust 33.39 CityfState(ZLP: CO i / / A �i gdS2 111 Single-duct exhaust(bathrooms, toilet compartments,utility rooms)) 2332 Phone: k I —(0 3 Fax:( ) Atticierawispace tans , 23,32 : k -,P-s:'' 4� , s other 2332 t . aa > Business name:Apex Air LLC Fuel piping: for f'ttst four;SP4.03 far each additional Contact name:Stasi Hay Furnace.etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump Wall/suspended/unit hearer , City/State/ZIP:Battle Ground,WA 98604 Water heater 3 Phone:(360)3424109 Fax: (360)326-1769 Fireplace _ Ranee E-mail:staeihJapexaireo.eom Barbecue ; . ? e'. sa >i' �3; r.O« gN 1 Cic>tlttsdryer(gas) , , Other ( VBusmess name:Apex Air L1.0 z `�"�` � t,{':. r E ''' -_€ •; - -_.4•_ a . ..., --. .�., ,„•,' s .,M... . �:.,.,�. ,,. ."� I Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(S90.00) Plan review(25%o of permit fee) Phone:(360)342-811)9 • Fax:(360)326-1769 State surcharge(12%of permit fee) CC13 lie,:203034 r _ TOTAL PERMIT FEE t IfThu permit appticat oa expires if a permit is not obtained t+ithin I80 � orr •� days after it has been aeerpted as maniere.Authorized signator,: , / .i fico mcil€odoto set by 7rs bounty I3u°sttfinp Industry Smite Beuth 1 Print name:Stasi hay Date:1/28/2016 1''+rAnld,,,,s\'esa{Erm.ter_) tApp,"p4o t 13 floc 440.4ot7T f t tinzrosiiwpai • �p m E 7 t.iR 7 i`It t l':.S s'i .J y 77 7. I t zssw ta1,13ty oi;992. PR 4 201 •> ,K ' �. .. i - ©/ Thblie 5.*#iE 39 'F#c.5t359&196tk' afed?omni. y -a r - ion lona ao s,a" �a I Y F. g i ' aR ,.#'naiers4 -,r - 5z. aEc�rot �7iC RL ¢ -FI> Y'� +'f�ga'C61� i ?tldil✓itdJMth zS�spp2erauttllt ftt'armntion ''' '` t_.a";: :„ "'' -+. a s x i'it rC r'' €.kjd� �r "7-•..3i '.. /k6a l e .3M Itt}On tc 9{ij23Zreplacelnieat l'a'te rcC'uel,'ait3daa-iai unirtz'et:arp"lensw/72n�s� ::�� ti. .4, • ❑8 �otlk4 QQ3',M-7,or•a [� w'IdinZr,m4.4.4.iy oYies, Ca ! z � tl,cdY3,Libie fm,�t x,x,eni ❑'M ,2�s aad bpaty�riis; _ �� ese rtli,00p 4*-4,,i 750.000.ar 173.:,,,,...,..,foffii.4 ,4-p c,s live t atiil2 a i`lydweltl22',,,'-]'-'5E1,Q------afi/2udus1aat 1J A censor;butidin� {g wgoG d ar�ccc«1sla,bna pcomml,c,nt lees ricuiturat --- 21ttt-,At -. 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G66ampsormwc. :-,47.6,41.0404.10.4. rb§S trecild2rectioiis to Job ant w .. , , Z 5 xi > , tiamnirdn ,:„..-..,,,..-..:: ::-!.•,--- 1,,Ami.-: Yam J'. torn f.P• 11 tde2(dat shgla-or mutti-f iii)1I-dRieUlri i nit. $ubifivisioir Rtv •er Terrst;e L oto: inclrs attaatied gom , R7.--4:—**. ax tQap pats 1 )0ti£st,.ii.ar less J 168 a4: 4 .-- r v ,Ea. 0,414 �l sq'ft oS; *P. 3392 i .i �r4 ,Re.St '.FJTtO'ht,f333f.„,---_,0100-4.,:.,:1,:-.;:.: G,ptgdn yisesI(1Inbe7 J 7501) 2 g$4111 l?a1tlly (,v2thatwvesq ltt Lv,itiif ea0 ;.4.1.0-family Rrau,vable.Enetiy Q$eepage2 '' °'' i �. r 4:1 'iTsAT,Agli1 '." • iiiccs-fc'* ti$714pltdtion,,atteratinn s2ti�" kelac,aboii` Atamy�z 11„i-",'t l I 1 It �tro.�nroi`le .....;.0.99.;,41......,:. 4 � i �'1 1. `" ' ( s f % r 2ttJ arapsto'°�t66ampt 3 ■ 46l�mpstotampe 20639" 2 's S h I. / ,i �� '1. ah*tQ I of o p4[ips 30164 2 tt>ri ,/n2—� -.„ Fax { t t,ou?ampsa€ ��z2s' •x IiEiL':V'" Tempa'ra•r serx�ices oro'eeders:2nstaHFatiaii.-after*tiari,andfor rctoeat1nn Q t eringtaltattottb Iltis instaflatton is being mails cat property ifiat 1 own whist i$riot 200np.or less . 59.36 i idtcnded f+ir said,lease.Scot,or act 7at2ge acsardi7sg tt7 CiiiS$d, ,f I0, 9Cf.1. 201:"„ti:*:.to dt10 sus a8, 2 CJ Vita sag2iahli t Date; 421--arirp:tg 599:amps: 7/R34 : ?t' @ IVT 1. GUI TACC.!'lR5t?itJ> Braatbs£rcn2ts, ii. -auteitulon,p_erpanel A FedlorbXaiidr clicpits irlih' Biektness t tsar¢ec Eiecfrle Waahuigton,LLC ebaviilcservisx er fecderiee, p 43 2 Edi cir<xiu ziatn,c$d1 Dan&eln BGG Q{' 28t)elX;CfrC tilSlpl Iim t 61111 AP. Teiilns,f2l 30.18- 2 tediteh:ctit* . Ckil*trg.P Vancouver WA.9SGE2ch ad8'l blanch ciraih 7.+12: .. 2 :"Mince lsiieons,( 3ce.ar,feeder not inetudezt} hoen $3 P 320-;1653` Fix.''t ) Each niaiiufkcqua7•i inaitirar 6 8d .Ern :Ldanieta(g7+eeusa aom dxxiCtnB o l.4 rut c4r ka�atitxt:6nly 6984 2 o- • fec nreeocnitntlc)teeQ:ds6.84 apmgGn s gn oo nthtrg 1 ', '2 ,. 6$Busics ama2srf8ctrW sh ugtra,f�1,C Srgacculsbrtctg Uee;age2 26tU1H •5to6nslt 7airejiitariGon;ii:*i: on ' gitcii sdiriiiiiii znii3-iaoit AY.u.iito7Yabtc in iktiy ot't a above- • ti.4faahflLlP 2iaei272 ,.W.W.49•.31161. *$din t.►Ifrspcctioti•0*4nitt* 6r-circ' Rirons '320 i6 7 Fan,:( j •DR i�I bctgEin).. 90:00 lug: titlatl[. eRsB cg2n lnpirl.ptanG�� rtn(u) 78d81hr insp& s;C :-#''0#1ix id ;44?,tt(* CC B I.2c, £1sCh teal Ltc 2481?4: ' s.-...ipw Lis.:;4496Slly lEstei O l"a4,. $72 Biectt7clan - � � .glad.reawt [ 3�L §io6 :f ii Flintnaitte� ,FlanPAlbc t I) alt'kV) ©rim ev1 egi4 125t'.otpermitfr j g1aa1esiirr.i.!4 2%of it fee 7�t iiarizedsfgn�ture f. '1`t)TALFE4ti; ITfRE., ` - ' 'i T14iik mlt eiyplldlt4p a:Fiirei tt$ Ct iu•nbia,„. .ffuu 180 Prnztnome, $iliBan2els DatC' dayiiiratStitit100a irda;mraplete. • '' lAingieot'iii*Atiiiiii dpeipnaii. 1 YiamM,P/19gsiiul%t:Pm,i!APP doe it8bti7015 444t6221/Q31tp1tWf,[t. Plumbing Permit Application _- Building Fixtures , AV ED City of TigardReal Ptatt,it 1,10; 5.7.02076,00/ ao 4 2016 DateiBe: / si �6-i! /3 z !R 13125''SW Hall Blvd.,Tigard,OR 97223;APR Plan Review V Phone: 503.718.2439 Fax: 503..598 1960 r' Date/By: Other Permit Nae Inspection Line: 503.639.4175 C L Y. 1" t 7 l' Date pea, Iuri,: 8f Set Page 2 for 1 tl \t'f� a b 9 Yj RdfMeth int erriet: www:ttgard-Ongo4 e i tt( r1\LI 1 Nc'ttteediMetho4 ser •lementalInformaflon ial sxforrnatwun use checklist Far spec 111 New construction ■ Demolition Description I Qty. 1 Ea. I Total Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) FR 1. bath ' � e f ! �� 312.70 ers ,t a s .• 111Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 Accessory buildingEl Multi-family Each additional bath/kitchen 25.02 C:11 Master builder 0 Other: Fire sprinkler( sp.ft.) Page 2 r 3 - f ' �,_ it - is _ a a..-;gam ' Sue utilities: Job site address:I / Catch basin or area drain 18.76 y ` Drywell,leach line,or trench drain 18.76 City/State/ZIP `31\ft I f.)0 0 46 0 f art "-1 (� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no,: Project name: 91�H/�i5Yl at Vije Manufactured home utilities 50.03 Cross street/directions to job site: V -.- .e' '_""C .Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R.:__) Page 2 Storm sewer(no.linear ft.:____) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: ( Lot no.:I 1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ,: Backwater valve 12.51 i nktJ.h Dishwasher washer 25.02 r washer 25.02 T' Drinking fountain 25.02 Ejectors/sump 25.02 r ati- ,,ZAP4 Expansion tank 1251 . Lam)N ' 4;4 Fixtnr sewer cap 25.02 Name: ` r I _ Floor drain/floor sink/hub 25.02 Address. —i ,, i _ Garbage disposal 25-02 City/State/ZIP: ' 0 ! / • 1 t+ Hose bib 25.02 Phone '. I , ,l�( Fax.:t� s 1)6 .-\ �rL Ice maker 12.51 ,. Interceptor/greasetrap 25.02 �,,r _ _ ?, : ems} spa _ Business name: p Medical gas(value:$ ) Page 1 V.k^"t t l<- w) LS�e Z�C1 C% 4 Primer 12:51 Contact name: Niel k,,i,--�,,t, ,, 3`v"s t — Roof drain(commercial) 12.51 Address:. . i. "i•, t --:e= Sink/basin/lavatory 25.02 City/State/ZIP: "- i-e A'"l .s""t ( e.~)Oil _solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:ell 1 ) ' 461' Fax::( ) i � Urinal 25.02 25.02 E-mail: �Y1 C1w® _ , -water closet „ �u � 52 a- --, - Waterleer 37,, Business name: Waterpiping/BWV 56.29 Address: PC) itS D-1.. I�7 Other 25-02 €iiylStatef7�IP: j} sSlt C'73" Subtotal Phone:(9/i) £1 -q/I3 Fax:( ) Minimumpermit,fee: $72.30 Plan review (25%of permit fee) CCB lie.: ( Plumbing Lie no f `2 State surcharge(12%of permit fee) Authorized signature: _ TOTAL PERMIT FEE , ,r � Thispermit is not obtained within 12a days permit appl cation expires if a Print name: PAM i i Dat4 -9/1i{,; after it has been accepted as complete. = { t *Fee methodology set by Tel-County Building Industry Service Board. 940-46t6T(iWtI.2'GOMJWEB) :I;1Building\Paubits\PL.LII'-PemttApp.dic 10±01109 r Ili. City of Tigard 111 q COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: //1-7-,2e76, — od/3 3 Site Address: ) 3i < <I SW 11 S rn v-c. Project Name: Po l y y o n of vve..3+. Q-k` T-e rrzt UL Lot #: l OS (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N RAW SP(' Verify site address/suite# exists and active in permit system. zi River Terrace Neighborhood: ❑ No 'Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan 'BExisting structures on site ?Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations 7.North arrow / Utility locations(required for new,may apply for additions) )ZrSite address,project or subdivision name and lot number � r cation of wells/septic systems 2\pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence , Lot dimensions and building setback dimensions design,location of catch basin,etc.) ) Lot area,building coverage area,percentage of coverage and ,treet names impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location Property corner elevations (2 foot contour lines if more than $Existing trees to be retained with drip line,and tree 4 foot differential) protection measures �'Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No APublic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 'Land Use Case#: PDRZ.oIs - 00004 sue 2.01.5 (00000 0 Zoning: R —_ Setbacks: Front i Z Rear l S Side 3 Street Side Garage 2._c, yr Landscape Requirement: 2,0 jrZi Lot Coverage Maximum: 80 % 7iBuilding Height: Maximum Height N/A Actual Height 7 Visual Clearance 7 Easements 7Sensitive Lands: CIYes ❑ No Type /n Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: 00 r1 GU-h.O Y1 s 4 lo-Q. vne�fipnb �" i SS v n Lt. 19 c. h ;1 cGtVt p.ex-rrvi-n Approved By Planning: 0 n rt-ot i?rl d o(,C- - Date: 41/4 Pb Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPermitRvw_RES_012116.docx a Building Permit Submittal Original Submittal Date: yly// Site Plans: # 1/ Building Plans: # .2 Building Permit#: ['3 Inter building permit# above. Workflow Routing: [1'Planning Pngineering I P rmit Coordinator l —$Gilding Workflow Sign-off: ['Sign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: IL - Date: r/6/4:, Engineering Review Slope at building pad: !l/r 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: CI No LIDA Facility on lot: ❑ Yes o ❑ NOT Approve by Engineering: / Date: Notes: ji teL. /ft) — fierywii9 Approved by Engineering: 4z Z7 Date: 7 h Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fonns\BldgPennitRvwRES 012116.docx . R City of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT ■ River Terrace Building Permit Review Addendum TIGARD Building Permit #: iY,S-T ►/ - 00/3 7 Site Address: (31 I q S vg 17 Ii CA.r-. Project Name: Poly yon c.t-F \nre Si' (24\Per T-e' t c. ( Q. Lot #: I 0 S (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review 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 Gabled dormer Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide A ❑ X ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: I'3 1• 3. Entrances:At least one entrance must meet both of the following standards: X Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: KYes ❑ No If yes,all the following apply: '25 sq.ft.min. One street facing entry / 12 ft. max. roof above floor of porch zrs ft. depth min. 030%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ORoof offset min. of 2 ft. ❑ Roof shingles either tile or wood C 'Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. /❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street façade /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: No closer to front or side lot line,than longest street-facing wall. ❑ Yes)21/No. 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. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door /40%max. of street façade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: 41 Om 2-&t Q//a LG-7ivt,-- Date: Y/4// 0. 1:\Building\Fonns\BldgPermi1Rvw_RES_RT_031416.do cx rip whine Permit Application • Building Fixtures FOR City of Tigard. DaWer, / 4' Pandt14'xVi -7-e/6)--eV/ 13125 SW Hall Blvd.,Tigard,QR 97223 - fkoa"mew 11/11 ic flame 503.718.2439 fax: 503.598.1960 TIDatekbc Otho Pool*No.: raspection IA= 503.6394175 Readymy, Auk $8..c Pogo 2 for G'"II-1 wimp* www.tkgard-orgav NotiGedAsiedbPd: I Sappitmeatallofbrsoation e - construction 0 Demolition fors,- •intriten use chealist q6. "ton (213`: Tota Ariditiorilalteration/replacentent 0 OThen Now 1-7.-fami1 dwell/ (ittcludos.100 for each utility courted/on) SFR(I)bad' EMI 312.70 ,2191_aAt1.24amily dwelling 0 Commercia/frodusitial skit(2)bath 1111 437.78 SP1l.(3)bath. ....11111111111 50032 11.1111111 ID Accessory building MN-210y Each additional bathrldlchra 25.02 0 Master builder 0 Other: Pits sp./alder-L._sq.11.) 1111 Page2 St"militts" Job site adcircssz i 3714 c3 0,) 75 4P) Catch basin or arca drain 18.76 iviStatc/ZIP Drywall,leach Rae,or trawl/drain 18.76 • Footing' drat(no.linear ft.: ) Page 2 Sulte/laldgfain.no.t I Project name:7'1,ty6o."4 /9-7- branatetured home Willies /"3 Crow atmatidiawdzionstijob site: 4/637"./2/64X r4-xieee 8.76 .11 bio draicoaxa n l:tor 18.76 Sanitary saaref(ow&war Storm aeorer(no.linear Page 2 Maar tatroicalsavlinear P462' Subdivision; I Ea 7x0^7 /05 Fiume or 17man • Tax ingpipmel &cam messier . 124ckvmerva/vc 1111111111M1111111111111 • •••••• • clothow wisifter )4•02 1111.111111 CiAiNo.e" /04t-t..-7.6/4/G. CON 7769-e-77 Dishimslier • 25.02 Thick*tbunrain 25.02 neatoraistunp 11 25.02 III link bump, e41s L t/ i.4.517%/6 Fixers/sewer cap. 251)2 MIMI Floor drain/Boor siairthub = 15_02 .Addrasa: Oashage disposal 21°2 City/State/AP: 1-Ime bib 11111 25.02 III Phone:( ) Fax:( ) Two nw/mr 12.61 6741,';''Cifg•gg...00:44;t11#0.4it.t;':& lutex`Vter*ease'tal` 25.02. g111111111 Business no= ,e) 60 Al kiGhe 44.e_ meth.'gas(vat=S ) Page 2 Primer 1111 125) Ccotacr risme: /9-/vOs 474.. 6/via-a-easic.„, Roof-dm/a(commercial) 1111 12.51 rin Mdram 6-- /3 S 7- Slidobastomatory 2542 City/StaWZIP: lor4i-XiCeraVE72... o Solar mlim(petal*watar) ale' 62.54 11111111111 11=3*°:C-1449) 9$ '2 7.040 Fox:40) 17.1 Tubrskoweesbower pan 111111111M11111N 11111 2542 MEIN /57416e-a-,aezicrEw , /, 6"40A/01-0 eevl water ci"et INN 2542 Wareciteater 1111111111110 Business mow waterpipineDwv MINI 5629 MINN Address: •-4:;) 13 - w „ via r_ °gm MINI Cify/Snatearl La • - - ,0 &Omai =11 0 Minimum partnit fam 572.50 1111111111 Pim xrview (25%ofpotrofi tae) M CO3 Lic_t togepo Plumbing dd.: /0 6 s 5 State surcbluge(1,2%of parait fee) N Authorized signature: kfl/ iDTAL rawn-FEE Print NUM Anifilliringra Dat= „meg TIAN reptoit oppTieNthoo rtplrrs if4 bermit nof obtatoed with*180 Om it has been accepted as coomkto. nee methodology sot Tri-C-ounty Bactlig Industry Stirvice 1:180,41arPenxittalial-Pormimpp.doe trilm.lw ..t4M4iSktr(10,02COMATE) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13714 SW 175TH AVE, SHERWOOD, OR, 97140 March 6, 2017 at 11 :15:43 AM Record Type: Record ID: Residential - Master Permit MST2016-00139 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Fix approximate 1/2 " gap at left sink outlet in master by building final. 314.21 No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13714 SW 175TH AVE, SHERWOOD, OR, 97140 March 9, 2017 at 9:31 :12 AM Record Type: Record ID: Residential - Master Permit MST2016-00139 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Correction for register cover as noted on previous failed mechanical inspection not done, provide correction for AC line set and laundry vent cover as noted on mechanical final inspection. Downspout at right rear not connected. Work not complete, not ready for final inspection. R109.3 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13714 SW 175TH AVE, SHERWOOD, OR, 97140 April 21 , 2017 at 3:12:32 PM Record Type: Record ID: Residential - Master Permit MST2016-00139 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Extend rain drain stand pipe to grade left side entry. Provide slope away from foundation same area and rear by ac. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Insulation certification checked. Final erosion approved. C of 0 left at sales office. Violation Summary: Inspector Contractor