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Permit (66)
t . „ CITY OF TIGARD . $ MASTER PERMIT COMMUNITY DEVELOPMENTVAVIE V %#. Permit#: MST2016 00137 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 2S1060002900 Jurisdiction: Tigard Site address: 13733 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 107 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/21/2016: REPRINT to add 220 sf patio cover. 3/15/2017: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $312,329.37 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y 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: 4 201-400 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 -__-__-_...-_ O hrr N____ __a. --.D,......":04,11. ----------------_ .__ ___--C0.....r..lJing:--Y_ -_ BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2573 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: $32,530.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through[ghjgAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 2. or 1.800.332.2344. ,/�l Issued By: '7 ‘',4/ .4W4/e970^1 Permittee Signature: 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. i fiaf('I'''IVEY- — - - - • • , ; ,• IVied,anicalPerroit Appl,ca..' ‘,- 4 -''''' ' • r'' :: 1'f;R Oil':fri: US-'1':i.)\I. ): ' " A. ' r.City of Tigard OR 97723 . " /272er/7— 4/5 7 74.----if,1.',13125 SW Hall Blvd,t Tigard. , ...., r MAR 1 4 ?n1•:' rIntea.41 i /7 Mal Review l' +boom 503.718.2439:fax: 503.598.1960 Oateitty: OilrarPettnic . .. -..._ • 1/G,..i,.I) Inspection',inn: 03.639.47 ILITY 0 f;'fIGAR't•) DIORcadYilir link ' RI See PAge'2 far . , . !Otero& www,tiprd-or.gov " hiontiodtmethod: $apatemental information 14 1,,)I J_DIN G DIV:6/1)N ••:... ..:t.q,•::•,.,,,:.i.:.Y;,,i,,',... -i.,nta:ir. :,.,.,;"..."1.•-;;;;,,:,.;i:4..i.*,.•or.::**iii ::.,•..:.,..,., •..t! ..•,.:4y;,;:::,:::.,..,..•,-.....•• ,:,,..,..-;;;-.,...,,' . ,?tymmr.t.q.c;44.4=.,:rke....$41tio.1,,r; .:`4*.c..otogis.1.-:.;. , ,,.., .. • Mecb,onical permit fees*are based on the N•alue of the work tI New eadstreetion 0 Additionfaltemtionfrepleeement preemie&indicate the value(roanded to the nearestd011ar)of all 0 Demolition 0 Other: mechanical maletials.vairloulent,bit or,overhead,and profit. .6,..,Ai.0,6j., ‘iii.,..;0:.,t..to.....ri*,,.. .ii3O.,.61.. ..0fi,,,1-1''',...,:-:',..',..',:::-.:..]''.:,::::. ,::.-..,.,;. : ' ....::.:'::::',;,..:,g• 004,41.4.. .x.000,4EAsfosy#04$-F*Eo. ,.,..,.:.,.,. . , arid 2-family dwelling 0 Commerciat/industrial 0 Aeoessory baildine For spedet 1.'0u-oration roe chailist rtuld-ratnily 0 Master builder 1:1 Other: Description j Qty. 1 ea, 1 'rmat -`'.:L.;•-..'-::'!;1'.:!.'-',::::;•::; !....;;'-!..0.08'.:•:01.10.:j*F.i40.4.4irto*Ii4i46.1.,04.10,t;,j.:.:1'.-..;::::,..;,.:.t::::,...-:.,:.-:,••:-:: ihatingkolin 1 46.75 : Job sitencidiess: if?,-t. .3 3v\I i 7%1i, LA)? 1 ruotati:J00,000Bili(ductdvaittli .. City/Staten':Tigard,OR 97224 Pantee 100001-BTU istachgvents): 54.91 lima PIMP 6106 Soileibidgfupt.no.: Projcol name fl'...,,i.,i I, ,k._, '• iiii‘ r. , za,32, , Cross sif001/41irections to job she: 1lYdrenic inn Atter sYstem2332 - Residential holler(radiator oe ' *skunk) 23.32 thlit Iteatils(fler-type.not etc . :in-wall iti-doe1;suepeodeti.etc. 46.75 FineAtent foram of nbove , .23.32 ' • ' Other: 1 32 Stlba11:ikt,tylen C17I INtSit 111-IlfraStr/X_t_ Lot no/07 ,Other rad a, 21lmilances; Tact map/parcel tio.: Water healer • . . 33,39 Plac vent frit water heater Cir.gas TiCici-Kir, istlace Weii0 We— 0011 -. :1,,og itiderkasj Woodrpeiret stove - 23,32 33.39' • Wood fin:view/insert 23.32 Chimnevrmerillnetvent 23:32 1-.4414iijtoifik4*ii .,,,i„.:. ,.,;:,...:fr ..i•:•'. -,-,,•;, ..,..:: •11..1.-t4;01T... . . 2132 ,,,....:,.. ......:zii..•:.:.•!•..,,•'-.•,..,. ., 4 -, . ,:''"'''..'..•:•••''.•., litiwirnarntatal exhaust and ventilatiom Name:Polygon Mat L1,C Range hood/other kitchen / coniontent 3139 Address:109 East tr Street Clothes Myer exhaust 3339 . . City/Slabaill1);Vancouver,WA 98660 Single-duet exhaust(bathrooms, Ill 1111 toilet com ailments.min moms) Phone:(3606934700 Fa v( ) Atticitrawlsnace nuts 111111=111111.1 IIIIIIIMMIIWIIIIIIII Fuel pipingt, Business name:Polygon W1.11,LUC • $1447S rorfast font:84.03 fortich additional . COfititei name:Astgeta.Grajewsini Furnace..VIC, I Address:109 East 1,1th Street ' .4 Oashear pump . " Wall - ,odrunit heater City/State/ZiP:%tumoral,WA 98660 Water heat* 11111.111111111 Pilot=(360)698-7700 Pas::7.(360)693-4442 Pim-Place: : . &Inge E-miti:Angela.Gratewsktfe,,pittygotthontes.cein Barbecue, '' . f!...litgffl').14:-.1$,:i',041410$.04.:::•3#0"j,'::I''';''-'''3n::•: 1:CJ'::::4.-xR'... iNe Cbtla's.dtvar 'as'' • . . Oihtn Bu:siftess name:Apex Air ELC . ,'. ..:', ......;.'", 4.40.4ii Address: DAM Ni,'-'12"Av,,e Subtotal City -VP:Vancouver,WA 98686. . _ Ik4inimato pertnittott $90,00) ' Nan.review(25%offterraltibej I Phone:(.360 342-8109 Fax:(360)320-1769 IIIIIIIIIMILMZZer" ''' • - - 91aIIIIIIII CCB lin;203034 J 'TOTAL PERNItTliVE -------- This pooh application expiras if a permit is not oblairitsi within ISO : Or after it hits hero arceptia es skirapiete. Authorized signature: * Fee methodology:xi by Trf-61trit,y/itifirttitiff inditstry Sertiiut Board - Print narne "17,•% I I Date: d ,pet /t. 1 tinunskomAobirt.enhAppitatilAttn 410.4647TiiiMiCOWWIZi ,._ • II �� . MASTER PERMIT CITY OF TIGARD 11..- COMMUNITY DEVELOPMENT 4 .2/ /G A;97'-' Permit#: MST2016-00137 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13733 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 107 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: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $312,329.37 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: 4 201-400 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 2573 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: $32,433.05 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. .06,152,,4,171._e_Issued By: Permittee Signature: G9/1/ e. 2- /-7(::/lj '77c9,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 ■ COMMUNITY DEVELOPMENT DEPARTMENT IN l l ^l;l� Building Permit Review — Residential Building Permit #: N,-% 0/6 D0/3 7 Site Address: 13 `) 3 3 SLS I`74-43" Lp. Project Name: Po i f W 40, oe 54 fit; vtr leer et csz_ Lot #: I 0 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1,1 e Ael-a ei-e d Si=e_- [ Verify site address/suite#exists and active in permit system. I f River Terrace Neighborhood: 0 No Fr Yes,See River Terrace Review Addendum Attached Site Plan Elements: ((�J!'� [Three(3)copies of site plan V xisting structures on site [ Site plan must he on 8-1/2"x 11"or 11 a 17"paper Footprint of new structure(including decks)with finished [ Drawn to scale(standard architect or engineer scale) floor elevations CNNorth arrow VUttill/ity locations(required for new,may apply for additions) Site address,project or subdivision name and lot number ri- Location of wells/septic systems Applicant information(name and phone number) P.Erosion control(including drainage-way protection,silt fence filLot dimensions and building setback dimensions design,location of catch basin,etc.) (Lot area,building coverage arca,percentage of coverage and I 'Street names impervious area(applicable if R-7,R-12,R-25&R-40) ,i Street tree size,type and location [Property comer elevations(2 foot contour.lines`if more than .Existing trees to be retained with drip line,and tree 4 foot differential) protection measures tZS Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Z No Received: 0 Yes ❑ No yl Public Facilities Improvement(PFI)Permit Required: ./ Yes,applicant was notified ❑ No Applied For. AYes 0 No,stop intake Land UseCase#: P0R x015 -- Daoo`-4 I / Su..5 a 015— 00004,0 EX Zoning: R - 7 .1?'Setbacks: Front f L Rear 1 5 Side 3 Street Side —• Garage ao 0 Landscape Requirement: H2O % [ [ Lot Coverage Maximum: 9)0 % Building Height: Maximum Height NN►4 Actual Height ,k' Visual Clearance Easements ►� Sensitive Lands: 0 Yes Ur-No Type 0 rban Forestry Plan 1 Conditions"Met"prior to issuance of building permit Notes: NIeR k" 60 n d i-1-j d n- ?r i o✓ kb 1j`"; LA..1 i per "n;4 i ss ika"c-A- • Approved By Planning: tl j 0ndl a 4/10 Date: q/4/./A. Revisions (after Building Submittal only) Reviewer Dat Revision 1: Approved 0 Not Approved ! ` /,,L'_ Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Forms\BldgPermitRvw_RES_012116.docx V Building Permit Submittal Original Submittal Date: 006 Site Plans: # ,3 Building Plans: # ..r., Building Permit#: Enter building permit#above. Workflow Routing: (a'Planning Engineering [ Permit Coordinator C4--Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: LIEngineering: (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: 47Date: yyj/k, Engineering Review dera Slope at building pad: f, 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: 0 Yes No LIDA Facility on lot: 0 Yes No O NOT Approv d b Engineering: Date: Notes: 4s y� 5 4 'rte./h.. ootyl Approved by Engineering: 4z. J7 Date: y-7-/,‘ Revisions(after Building Submittal only) Reviewer ate Revision 1: Approved 0 Not Approved AA k !(11.1 1 . � I b Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit Approved,NOT Released: C� ►''.v---," Date: L - 1 - 1 So 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: EZ SDC Fees Entered: Wash Co Trans Dev Tax: N Yes 0 N/A Tigard Trans SDC: Q] Yes 0 N/A Parks SDC: Cid Yes 0 N/A 0 OK to Issue Permit Approved by Permit Coordinator eAI\,t.<,t,,L (z f&t,,,, :L'-� Date: c1 - G - 1 6 I:\Building\Forms\B1dgPennitRvw_RES 012116.docx 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 T I G I\RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION 1. `Vy SEP 1 13 2016 FROM: Angela Grajewski COMPANY: Polygon Northwest �° •' PHONE: 971-212-2144 By: RE: 13733 SW 174th Loop MST2016-00137 (Site Address) (Permit Number) Polygon at West River Terrace lot 107 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 4 .. �§ 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. Routed to Permit Technician: Date: C - ap - J C Initials: Fees Due:\ Yes ❑No Fee Description: Amount ue: �b�7 /"/ j - $ ifs. CZ XE- ft-e.- Pis a toCom- $ Special S a2 Fr �01� / - !t► -2 L�S Instructions: -2.; /•7'r (f Reprint Permit(per PE): fes ❑No EiDone Applicant Notified:titi'/6/ Date: ?/2// Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD r MASTER PERMIT COMMUNITY DEVELOPMENT en /& (4- " Permit#: MST2016-00137 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 2S1060002900 Site address: 13733 SW 174TH LP Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 107 Lot: Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1128 sf Rep Basement: 0 sf Left: 3 Parking Spaces: ces: 0 Height: 23 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2573 sf Value: $307,418.97 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Lavatories: 5 Laundry Trays: 0 Rain Drain: 1 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 0 Water Lines: 100 Drains: Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater ValBckflw Prevntr: 0 Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Natural Gas Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<10OK: 1 Vents: 0 Woodstoves: 0 = 0 Gas Outlets: 4 Furn> ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 4 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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: NEW Type of Constr: Occupancy Group: SF VB SquareFeet: R-3 2573 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 SCOTfSDALE,AZ 85258 2 A Geotechnical report is required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,258.94 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 OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: v � �7/ / L �C" 7CJ� Permittee Signature: , 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. 116. CITY OF TIGARD MASTER PERMIT 111111-- p Permit#: MST2016-00137 COMMUNITY DEVELOPMENT Date Issued: 06/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13733 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 107 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1128 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2573 sf Value: $307,418.97 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 Drains: Catch Basins: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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: 4 201-400 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 2573 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: $32,171.92 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 By: ~ Permittee Signature: 6)41 /' r� '��� 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. Building Permit Application L- 0 "7-- /0 7 Sf/ ' FOR OFFICE ISI Ool \ ��:.,�c€�.,t� RECEIVED Aecarved y � �� Permit Ng/•i��f f� ©f�`�� City of TigardAPR qC Daz`BY_ / viher P //� j� ,, G j/�� 4 O I[D Plan Reviewer/ ,1 J� 4, tc4 13125 SW Hall Blvd.,Tigard OR 97223 f {�/ • _������ Date/By Juris: I H see Page 2 for Phone: 503.7182439. Fax: 503.598.1960Cy Y y g DateReady/BY: Inspection'Line: 503.639.4175 CITY �N Named euro& Supplemental Information TtCi;fiJ> Internet: www.tigard-or.gov BUILDING ,�� _sv ~ Permit fees*are based on the value of the work performed- `"" ��- 0 Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the 3 Y work indicated on this appli o . 1 f I t Y Y w_,iaa,;, s v4T a �p � .., �`��`"47.-'2 i ���'" , �.�. .-,.�. .,f� .. �,, ,..-. '----- Valuation:��7�" $ 1 ❑Commercial/industrial u i ® 1 and 2-family dwelling Number of bedrooms: `�\ ❑Accessory building 0 Multi-family Number of bathrooms✓' ❑Other- �y ❑Master builder r 74 Total number of floors: 2 - r z.;. w€ e> : ;os�1` ,: . I New dwelling area �� square feet Jobti : w_ ._ i.) site address: Garage/carport area square feet City/State/ZIP:Sherwood,OR 97140 scare feet �-I'� Suite/bldg./apt no.: Project name:Polygon at West River Ter Covered porch area: q • Deck area: VD square feet f 3S Cross street/directions to job site: feet Other structure area: 11 square Lot no.: . 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 - � f1= : work indicated on this application. Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet � � - Number of stones. -���1fl , a� wr�1 " � If rte•_ ��� (�� �'-_ ��� Type of construction: Name: Ill V I 111)7/. e r / I / .. ITIANI ,' •' Occupancy groups: Address: XV= - City/State/ZIP: 4iv � liA Existing: Phone: 1 1� Fax(360)693.4442 New: �� � �� ,.��°�'',�,r� �,,� - Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 134'Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 Fax::(360)693.4442 -- - . . • .a� ' _ E-mail maggie.gordon@polygonhomes cour Commercial and residential prescriptive installation of w-i 2 z i :,� roof-topmounted PhotoVoltaic Solar Panel System. �s � t � s .., t w<. details = T. � = Submit two(2)sets of roof plan with connection Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Solar Installation S.-tial Code checklist. Address:109E 13".Street Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : $21.60 Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): CCB lit.:207247 Total fee due upon application: $201_G0 This permit application expires application: a a permit is not.obtained Authorized signature: I within 180 days after it has been accepted as complete. *Fee methodology set by Tri Counts Building Industry_ print name:Maggie Gordon LI?ate:1Zl11/15 Service Board. I:\Building\Permits\BUP-}ZESPermitApp.doc 02/242440-4613T(11/02/COM/WE:B) 011 -sem ‘ r '• • Mechanical Permit AnnlicaRtitCEIVED IIIIIIIIIIIMIIMIIIIMMIIIIIMIIIIIII City of Tigard R.ectiv,Nt Dateitty: l'em'4 N°//57- --1111,-*CIO/S 7 III 13125 SW Hall Blvd.,Tigard,OR 97223 Mt*Review ' r. Phone: 503.718.2439 Fax: 503.598.1960AP R 4 2°16 °mealy? Other Permit, 1 R.,.,,,,,,., Inspection Line: 503.639.4175 , lItte Ready/By: ions.: la Ste Pagel for ' ' Internet: wwtigard-or.toy l'' Tli--' q'l NotifiediMethed• ciTy r ,iwAt L , , . Smoak/Rental Information DING DIVISION .'t4f*V. ,,* . ,...,z%.-"'e.X--; ;.,,''.... ,,.....'.., .f:(,,'-.:,-,-IfV., ., ,,1.1,.:- 1.44;.. .-**1474.14.cCIAXt--;„,- stn - "r'...,„ -. Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials.equipment,labor,overhead.arid pm& Value:S ; 61.4" 1'41,-, ti'i c:• I-and 2-family dwelling 0 Commercialnodustrial 0 Accessory building For special inforrmetiou use checklist. El Multi-family 0 Master builder 0 Other ' Description Oty, Ea. 1 Total 7-.. Beating/toolingArcondthontn : ,,,-.•HISI,',.;:I•-)I.':::',:.IIIiII -•'-':::',I;'1,iittirI•IIi"47:T'-: ''''' '14 .4011706ki*g$S--;: :',1,1?':.:(,4,E4',%ce: . ., , j°11 site address:i'3 ' . SW 111411-i 1W 46.75 Furnace 100,000 BTU(ducts/vents) ) 46.75 City/State/ZIP: l'""\.(2_,Ckiti-10 08.. 0 R ---q-i --1 0 1 1 Furnace 100,000+BTU(ctimmtvents) 54.91 Heat pump 61.06 I SuiteibldgJapt.no.: 2332 Project name:-Pok; tYn ck-J-- tA)-04- ' Duct work I Cross street/directions to job site: ,n,\(z((__p , Hydronie hot water system , 23.32 Residential boner(radiator or hydrorik) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc, 46.75 Flue/vent for any of above 2332 Other: , , 23.32 Subdivision:River Terrace [Lot no.:/07 Other fuel appliances: : Tax map/parcel no.: Water heater 23.32heater or gas , -',,,;•-!PIs''.''''''I,I'I'''I',';"1 •-•:''IY1,41:'-'74112 .11711-.1i I'''''IttIT 4 I,.','!',f.':';','I'fihl''''''''-'0;III'4':‘'-;I444.f'-Itt•elIP14'-iI.i.'','V.I.;;,..I";;lr:''I'Yl.,.fiit.H.,„,,,,gt,„AP,J Gas fireplace/insert 3339 H VAC ' fireplace . 23.32 Log linker(gas) 23.32 Wood/pellet stove i , . 33.39 Wood fireplace/insert , 23.32 Chimney/liner/flue/vent 23.32 23.32 I'-I',::::,'::'. ;Jgt—*it4*?r°J'',I'i:IFI,'I,I;I•IiT,P5iIk.:.I'-;;: 01.410„1:41a-741$fec:.§.4latiid,4:414..P;-. tH • an: , Environmental exhaust and vest titi Name: itOL\/ jai , , LL,c, , Range boodfother kitchen Address: 1 / 10 rf , I / 1/ / 0 a . ,1) Mil _' 1,,, .4 -4 .. equipment . Clothes dryer exhaust 33.39 33.39 Single-duct exhaust(bathrooms, I City/State/ZIP: .1 IN. ,/ , ili1 I • toilet compartments,utility rooms) 23.32 I Phone: (Oa-. i' — 03 Fax::( ) Atticicmwispace fans 23.32 Business name:Apex Air LLC ', S14.15 for ars*faun$4.03 for etch additional Contact name:Stud Hay i Furnace..etc. i Gas heat pump Address:2210 W.Main St.Suite 107-272 . ' ' ! Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 ! Water heater Phone:(360)3424109 , Fax::(360)326-1769i Fireplace [ I Range E-mail:staeihf4Ptpextireo.com Barbecue , . Clothes d r eas 7.„;,:!:...•;,I1,„..'.;461,i.„..50.Z.2,.., ,ItirlIP-fiWkl,?4,,,ve, ,,,: nre (_, / Other , Business name:Apex Air LLC , ' ''-';:1,.. ' .:::''..ei: ':,:. ..L.F.-':;i',?;.',".S,:7414itt..;t!'..2.1r*,/,',,,,',..'". Address:220 W.Main St.Suite 107-272 Subtotal ; City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) t Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326,-1769 Slate surcharge(12%of permit fee) 1 1 I CCB lie.:203034 i - - - : TOTAL PERMIT FEE - 1---- This permit apprimition expires if a permit is not obtained within ISO . ....1.r . days after it has been*canted as total:date. 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' -;•."1,1-':,:;"1,•;:=t7-,,Ziel#::61.:04.147:. ::!':,"j•,-..:: :,ti,:.-;:,,-1 ...,,,,,,, ...:..,,.,, •••..• - 4.,iii; e:itioe orfee4erfee. 7.42 2 ' ''''''"''''''' iiiel4iit-i;4%.4hii,gtdn,LLC ,..-:siit -4444#1-, ' . • ' Ilikiiiic*Iffain :',0,at.# ... :,.,.,., , E(fiefitl**04.,OreOti"#..ithoft -Ctitti*' *4Pkt!,F)# ,.irimovodor fee,tint AdilieSr.,"..,:-..40--0,17400:.,401*44 • s gar4. .Ei.,1.44. .. r4.,.44., .. ,.. 7$•2, ,. '. ,.,Ottglekr4rAulL;..- 44:1 - ,2 - i&iii4i1P;V. ii-r-,-Oiivet.WA 98661 •‘;ltiarara0i0.ii(iiiii44:.oileedi.istibliii•dtiii.e0)- ., Fax -( ) •.400.4i1A0401*,1'.00.,,..,O.Okr -• 614$ Phone:(253)3204657 JII •.-&l',l.rAt-r-n---:4f:aff0Z::-l:::-: :i-r"-',gi.Ii--'i.V-'4.t' P4g;'-'--,0rg-.5--O4t4-i•4g.-g.0.i•0.it;:;!.;.q. 'r -'' .•-•'-.::',•:'::7...'-:.' - ''. ' ,•, :,„::,:-.:,,::::,:.: :i.,,,,:, .,I.'... 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' Plumbing Permit Application Building FixturesRf:S.) 1- -tf: VED City of Tigard 4 2 616 DaReetZI Permit Noydiej7-,Af5y6..-00/3 7 .4 13125 SW*Hall Blvd.,Tigard,OR 97223 AP 0 R - Platt Review Other Permit NCI.: II1/41 111 • Phone: 503.718.2439 Fax: 503398.1960 ,„ctri Date/By: i ,( rInspection Line: 503.639.4175 Gay (j,t . ADac Zeady/By7: See Page 2 for Internet www.tigard-or.gov 10Nnul:fd1Ae4dSU 4,lententat Information rmation ''v'r'57-f,Z7g-ri5,.*,t,„,,f•;.i-"t.'4;"'':.• „.i:t:-tc„':',:riVira,iTf#1:fr7it7f--ti.,,,-:A.AA.,0;'_,.1 :•f*:''''..kt,4,','.-.:,'''`,.:it':::-!:'1,1-:;',,--74 Q.',i_744:7.1.1.1.1,11.24.1 -1;" al :,-L,%341,,,,>42.-;-,,,,?-4,-,-,14';',--::-;74.'' - -•---. '----' ., ' For special infornsatiurs use checklist. 1111 New •construction M Demolition Description I. Qty. I Ea. I Total 0 Addition/alteration/replacement El Other. New 1-2-family dwellings(includes 1(10 ft.for each utility connection) - - ."...- .-er",-.6.. ,44,,A.‘,",:,,, ',Z. SFR(1)bath 7,61:911. '44,ft ,:,,,iyo!.-4p.?6,- 01,f4 ,. 31270 ,';'"; ''mi.4---' -' ' - '''' '''' - " ' '-' " - SFR(2)bath 437.78 01 1-and 2-family dwelling MI Commercial/industrial SFR(3)bath 50032 D Accessory building 0 Multi-family Each additional bath/kitchen 25.02 D Master builder 0 Other: Fire sprinkler( sq.R.) Page 2 4-v:A,,,,,,t0se.0.4=74,t4,-'",ig, '-‘,,, ,,,.'4'4,:',•'4,,7.4- ,-42;• '..k.,,..#`-or.•'-' Catch basin or area drain 18.76 Job site address:j Drywell,teach line,.or trench drain 18.76 City/State/ZIP: \-\k I\,)0 C%' 0 4°' g F "- n Footing drain(no.linear IL: ) Page 2 Suite/bIdgiapt.no.: I Project name: cal,( 6Ar\ at Manutacurred home utilities Vi-ek* - 50.03 Cross street/directions to job site: U f!, 1\0).,(Ar"refirke Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(rm.linear ft.: ) Page 2 Subdivision: I Lot no.:iff Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: ,., +. > .1,,,,. Backwater valve 12.51 ritil.**A;#1 ,a"..4ilii:(4.41:-'4,44:1;IAA!!r-t., 01:14444.' 1:4•77 "111t*'''''''''-'- 'lte"7,4 cloth wash 25.02 n-e_lJ3 '-. plu _sm -b\,, • Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 '.- ' - .-•z-ve.,,,..',,,,c,4,- .›,,,--4;4,...,1);''.- ,e".#4,$.4%-.` F`p,x,,..'..a'-•..41,42,8,-ogre...4: .2,,,,,--..,-,1,70,..4, Expansion tank 12.51 .-.,:.,:- .-- --,,,---iw,.-, Fixture/sewer cap 25.02 Name: 4 / li TA Floor drain/floor sink/hub 25.02 I Address: 0 Li ' / ' f.à) railfAi r1•061..,)_ Garbage disposal 25.02 City/State/ZIP: •if ,41;40 / A • s ) Hose bib 25.02 Phone: I re 17(1,3111 n l0 i - \-\ Lk't--7 Ice maker • 12.51°- , V,Pik.t.'";,44P'31M 74 4i'ikA*,I,riti*Atl,t P'0,40.1:141:,,,t,?,75 744, '..,iiva,,,,11:-,,,N,i1,4K 41, hiterCeptOrigreaSC trap 25.02 • Medical gas(value: ) Page 2 0 I ' - Business name: 1-,. r_v_s„.,,14,. LAx,,, ,n, 1 ,,k,,t, F-4-1-1 Pruner 12.51 ContactContact name: 7.3 IV\ Y1/ iLlt--- W.-.4*Y1,g:N-0 • Roof drain(commercial) 12.51 Address: t-t.> ty4.. 1 2i--Tc Sink/basin/lavatory 25.02 °I a),‘..2' City/State/ZIP: ef...* 1.e cl.--)JA.-tv..\ ()(2....... %-x.a.'0 Solar units(potable water) 62.54 Tub/shower/showerpan 12.51 Phone:f.:111 ) 4E,c)Lp -. c&-f q3 Fax::( ) .. Urinal 25.02 E-mail: K.. • ..,- Water closet 25.02 ,,,--• -1',','„,---°,4,,,.,,,,,;^4,1,:-.1-',7‘;.1 ar* ':'''''':.:4'"''iri't.I'l.,""74tAt:4t. V0;',.%.,44,14,..„,:,4,,,k45,. .-"--- lr,41 ,,a9t,V14t4,4:`,;,'$",f,.,,,,',`,',,,I-V:+'',14",:..,,,,,,AV:.,,,`,44.1,n,zt Lzi,;•4:.S.,./!Z.',*;,:c.,z4,--et.ft.!,!..A.,:-:::: #;-,:1'..','7'#'t Wata heater 37.52 Business name: W. r k ,,,;,,,,,„ P(tA rviAH ,u,c __ Water pipingtDWV • 56.29 Address: po G 0,-./.. 13-iz Other 25.02 Subtotal City/State/ZIP:G sle.,w,evl OR_ Cti.L.1 )(,) Minimum permit fee: $72.50 Phone:(9)1) i'01.4g -q/1 Fax:( ) Plan review (25%of permit fee) CCB Lie.: 2-U(a. 44- 2- Plumbing Lie.nolPe)f tiK52,_ • Authorized signature: 1/Th________* i 11_,,,,,,,, State surcharge(12%of permit fee) TOTAL PERMIT FEE -This permit application expires if a permit is not obtained within 180 days Print name: Jat< /4-ruICX ilill) ‘1, Datgl a /fir I 9 after it has been accepted as complete. • *Fee methodology set by Tri-County Building industry Service Board. IAEtuildingTeunica:PLMIS-PctrritAPP.duc 10;01109 440-4616TO 0/02,COMAVEB) City of Tigard I' COMMUNITY DEVELOPMENT DEPARTMENT i 71 ■ T I G A R D Building Permit Review — Residential Building Permit #: /` J r,20/6 , 04/3 7 Site Address: 13 1 3 3 SO i`lt-t-ok L p Project Name: ?ok1 q 0 r1 a_.4--- W e 54 .(;t� vc. le rr a c_sz Lot #: I 0 7 (New dwe li g=subdivision name;:Addition or Alteration=last name of owner) Planning Review Proposal: N e ,,J c- e l--a C4•e.a SP IC- FIX Verify site address/suite# exists and active in permit system. Ggr River Terrace Neighborhood: ❑ No J Yes,See River Terrace Review Addendum Attached Site Plan Elements: t C�Three (3)copies of site plan P�I'.xisting structures on site L$Site plan must be on 8-1/2"x 11"or 11 x 17"paper F Footprint of new structure(including decks)with finished C$Drawn to scale(standard architect or engineer scale) floor elevations LNorth arrow '$:]Uti1iWocations (required for new,may apply for additions) ,1Z Site address,project or subdivision name and lot number ,Lolatton of wells/septic systems (Applicant information(name and phone number) [Erosion control(including drainage-way protection,silt fence NLot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and kStreet names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location 0?Property corner elevations(2 foot contourlinesif more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures tg Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified X No Received: ❑ Yes ❑ No I[ Public Facilities Improvement(PFI) Permit: Required: y Yes,applicant was notified ❑ No Applied For: Al Yes ❑ No,stop intake qi Land Use Case#: PPR aot5 -- 0000'4 / Su...t5a0(S — 0000( EX Zoning: R- 1 kr Setbacks: Front 1D,, Rear I 5 Side 3 Street Side -- Garage ao 15a Landscape Requirement: p..0 % CI Lot Coverage Maximum: S 0 Building Height: Maximum Height NIA Actual Height - Visual Clearance Easements 12 Sensitive Lands: ❑ Yes EX No Type kVrban Forestry Plan ® Conditions "Met"prior to issuance of building permit Notes: Nte1ZA Gvvld;A-1 JnS prior -rt) D� l�` ,1` per mr 4' 'i sS;A_a.,C1c Approved By Planning: 4/) Or it a 6110 cte-eA_,.-_-- Date: 4/4/ /15 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: E Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_012116.docx r Building Permit Submittal Original Submittal Date: 0/1 Site Plans: # ,3 Building Plans: # Building Permit#: [Enter building permit# above. Workflow Routing: Er Planning Engineering E-Permit Coordinator g-Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Jam_„_ Date: f�, /4-k Engineering Review Slope at building pad: J 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 Approv � Engineeering: Date: ;,/Notes: (�.„ / .t3j4 �G t+'fe /46- // )Yl Approved by Engineering: ,4L CO Date: q_7_"" 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 ER-Approved, NOT Released: aum-y(..., Date: - 1 - 1 Co 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: I 'SDC Fees Entered: Wash Co Trans Dev Tax: N Yes ❑ N/A Tigard Trans SDC: 2 Yes ❑ N/A Parks SDC: C)d Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Porins\BldgPennitRvw_RES_012116.docx City of Tigard i 7 N COMMUNITY DEVELOPMENT DEPARTMENT ■ TI G n R D River Terrace Building Permit Review Addendum Building Permit #: riS_ ?/& '' CO/.3 2 Site Address: 1 3-7 33 5 1 ''7`i-0\ L P. Project Name: Po 1 U.i oh We Si- 2 iter fie trace- Lot #: j 07 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 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. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide K ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: )4 .4 7. 3. Entrances:At least one entrance must meet both of the following standards: ® Max. 8 ft. setback from longest street facing wall ia Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: CA Yes ❑ No If yes, all the following apply: a 25 sq.ft.min. XI-One street facing entry N-12 ft. max. roof height above porch a-5 ft. depth min. Kr 30% min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: L 1 Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep iNi Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide aRoof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood in-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 facade X Window trim min. 2 1/"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 IL].No. If No (Check one): . 1 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. X.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%mmx. of street facade Q. 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: CAS+ ea.fu— Date: 3 _ g -14 1:\Building\Fonns\BldgPennitRvw_RES_RT_0121 I 6.docx ; .r 1;117,17 Plumbing Permit Applic ion BuBdiug Fixtures rah' OFFICE usi: ONLN 14_,_ "! �'Q�'rl$8Tl�� Roaoivod `�� Mt SW"f}titi til,Tgx 4 OR 97223 UatdB�.•--:� /� L' p�itivo.;I "; /�C--4'/37 ..2 ' none 503.718.2439 Far 503.$98 k960 Rau iteviclr i't t .,p Inspection the 503.l39A€?SY• oto Pcir;Vo: ons- Internet wwxr-L�gsrd-ar goo mu xeadyJBy •%*� ..{ijt':L.�C•�..jl:y%.In'4•''•�'-•i.•r�.i!�nY{ h A t tl }1�4 1• t i.� . `�N�• .s:1 A ('r=•(c:l 7} .�; ,,:':..',•: •.::;•;1 �$k ,:l aka<• : •,?''4.'il ..X;. i l., <"'gyp'`): ., .h€,M,:mltion !.d�' 6tV �,• r-�._. , .a.: 1.:.r�:.., ..i,.• ,„ ., a.rti':'... «. •1p> S., :'�•'^i�y,� :,l y„..:'..r construction! Q Demolition : �-..?"•w.?'Y': .'" .ay. .•r Q.A.ddition/alteurtian/reFlacement 0Other: for fret fbr rarm7o�r oar rk Gsz 3: J•Ye�r,i-2mit t � •Total. ;,: ''.:;.:c: 'fr}�.xr.: r,; -.r..;r, Occludes./00$foreachutdsty 'tF:;:^::^,T•:«:,. a .,.,..:�y.�•',AX c ,-^.gid .)*4 . ' :.•u. :a•; ..; r.: SFR44)� 7 connection ft►1y dwelling :., ;.,;.:. all 312.70 -, '2- dw Q Cwnmerciai/mdusttial t(2)bath 1111111M1 Q Aessory 6ttilding Q Multi-farlxy SFR(3)bath am 50032 MB �t , :._.?4.}.w•r.:.• "� 4 1'�^ r w _ 7502Q Master builder Q Y gp,fr,kietc___sq. o 11111Mmim `l:'41r:i.✓ .41:0:*+ 43SR1l004.&r ?:1 ._: .,::`4:' nttelatSLJo)Sitesoften! 1373 , tib, ' i7...n� ,i,&L%f':l Catch basin mem drain r Dtyws11,lamb lint.or trench draiti 11111 18.76 Srrite/41dg./apt no.: Project name/00 Ly 6 can/ I}-1 . F°°hng tore (na a utili ft:;_) Page 3 Ell 111111111111 Crass streeHdirecdoms'to j05 site: Meavlacwrad home utilities 34.03 471/reee 1€211111111111111013. J4u drain connecter 1111111111120111111111111 Sanitary s *.linearit:....) 11111111:221111111111111111 Storm sewer(ba linear A: ) Subdivision: Watertserviceleo.•€ineer ft:`}. Lot no.: 1�'i:ttanre or item �� Tax map/pareel no.: Rte{,yapp' 1111111111111 ttiMMIIIMBUIIIIIIIIIMI '}� ;>.v,.,M1:,,,,..z.;,„, .•``N. :44.66;4,4 ;,,,,;:".4,4i1:, 1 Ba _.pr ter' � '•l.• : ' �'r'••,...-...:...•,,, yyyy ,':t C. 1S.. _te_`L- t�r':..••.70.4/W:, xn. ry C.rf 7..:y,• '.f;y:'•4•:..''`4: :.i F: +, anSaWNle1"TaZ,T /�fj I,//''-6'' "4-€.4,715/A./c-• c^+i€4 •}�••r '♦�•S,.a� /GS/iL i� clothes%umber e9i/7769- & Dish es 25.22 N Drink au 25.02 1 r,. 111.1111111 n� 0 25.02 .• ,: . LTA''•:..• `",-0, :T39 1(k�•�. .. ._}..,, , suraP MINI 23.02 iCF e, s^t w• ,•<: i :3+ ;:.. iii.:'J:.: •,. "MTt:+ x n alv;t r �a,Tt MIK yam ,�.•. :,.. Address: ig,d L i/° L,,1-n//A ” ,Let/N ' • Cy. e/sewercap NM 25.02 nomtiorielloor sinkthub 25.02 t~iLy/8tatr/ p: Garbaged l MII25.02 1111111 Therm:( ) . Fax:( ) 7S.Q-r '�Y"yM=(:,. "�•:s sry^a.,�:1,`9 w.'`''": "•f.,j.;; .. jti' 1 7. .-,< AttSlt'4i:$man= x•0:40-d Z. 6�/V ..v '.i i•,,`:!..t. ••,'ev."y".P!�' � 1 ;N•Civ�.�.. ept/ 'tfap am 2542. 444 Z.L. Mediae[gas(valvas ) 11111111122111.. Cormotxrs.c f 4/6-6-74f- Alta-6-. S/G Ranter Addrose /0 ' 6-- /3 n S! Root drain( rciat) City/State/ZIP: f/� �tldflfL�n. ," 25.02 �"1 r�4 6 0 Solar-oaks(potable water) RIM E-mail:-Etgur ($'6,) 4 95— '7 7400 Ftp :(,3p) i --'�9ff� rp tierpan 6254 . . ..,.... .y,J�rs ; 6 : •<.. Cw7 UrinalMIMI= 2542Imo MEItlsfi.S.••'`: :i.�r_•" •;, -•♦A ••iYt..:.�� 'C�rT t•'+.•{� Y .�• �"f >tw4Yt7:•:i'•'.��••Li v':d' nr�t'Q 11111 2�.0� IEIZZIIIIIIIIII I asi# D C W rtrratie � 9 11111111 .Address: uo t; r1 $ - - . „ tit 4. _ • W r ! to !G Is _ a Other: f 5 .02 cid/t3tetet r�G uT�7�l.� , MI 25-02 MIll Phoae:.Ca 0;) Ill" `�[? Fate( O3 ,� ` Std72.Sd MN CCB,Licc:t 563) /2•—tO 4108 Minimum permit fee:572-50 Illin 4,0/ Plumbing Lia Lits.: /0 8 a$ Plan►rrzsv� uS?s,ofpe�,xt raw all Authorized signature: t% Stateavra€iatgr(�s4'a apeman fee) • Not f v L., !c yid,sr1377W 10TA1,PERMIT FEE MN or . .. :.fc.? '" aK' ! Date: Th&trero*so► e s '�e#kis Permit its not oGtaised Nirhie WO do37 after it kas beat accepted astern**. • *Fee methodology set byTnLourriylidding industry Service$eatd. kiBuadlaq.&smitepLU:-PmnrcApiminc antsy zat aarartrOe02CO.Mt i ; / - City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13733 SW 174TH LP, SHERWOOD, OR, 97140 March 22, 2017 at 11 :58:06 AM Record Type: Record ID: Residential - Master Permit MST2016-00137 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: All house power off, turn on all power and breakers for final inspection. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13733 SW 174TH LP, SHERWOOD, OR, 97140 March 23, 2017 at 10:51 :20 AM Record Type: Record ID: Residential - Master Permit MST2016-00137 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13733 SW 174TH LP, SHERWOOD, OR, 97140 March 23, 2017 at 10:50:00 AM Record Type: Record ID: Residential - Master Permit MST2016-00137 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor