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Permit IS CITY OF TIGARD MASTER PERMIT "� COMMUNITYd'1'/ i:u' DEVELOPMENT Permit#: MST2016-00121 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 251060003000 Site address: 13742 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 103 Lot: Multiple Project Description: New SF. 8/4/2016: REPRINT ermit to add 2nd water heater. BUILDING Stories: 2 Floor Areas Repaired Setbacks Bedrooms: 4 First 1108 sf Basement: 0 Repaired Height: 32 Bathrooms: 3 sf Left: 3 Parking Spaces: 0 Second: 1396 sf Garage: 385 sf Dwelling Units: 1 Front: 15 Smoke Third: 0 sf Yes Right: 3 Detectors: Total: 2504 sf Value: $302,181.51 Rear: 15 Sinks: 1 PLUMBING Water losets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 SF Rain: Storm Sewer: 100 Footing Drain: 0 Ice Maker: i Water Lines: 100 Drains: 0 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder ------_ Tem Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 Ea add'I 500 sf: 4 0-200 amp: 0 W/Svc or Fdr: 0 201-400 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: Owner: R-3 2504 Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET Required3 -47Items and Reports(Conditions) #150 1 Ersn Cntrl 503-639 4175 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,141.24 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•A-95 -.. -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: ll / , Permittee Signature: ei/,/ 79,6/(`6i~7eA/ 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 -IICOMMUNITY DEVELOPMENT Permit#: MST2016 00121 Date Issued: 06/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 6/22/2 003000 Jurisdiction: Tigard Site address: 13742 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 103 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2504 sf Value: $302,181.51 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: 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 2504 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: $32,054.22 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 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.80 Issued B Y �— Permittee Signature: l' ' 1"2":PI-./r C1 e 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 ' -- RECEIVED OFFICEFOR � Lt SE()NEN ®y C l Reee;ved .3/2S7/6, '6Y// W' fl`9/021. Permit N �� � -- City of Tigard MAR 2 3 2016Y ,f' liAli 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �{ 21 J I( pther Perm 1 /, --e(�09^ eITY OF TI GAR D DatemY: may{- b J + Jwis: H See Page 2 for Phone: Lin 8.2439 Fax: 503.598.196 Date ReadY/BY- , Supplemental Information Inspectionwww.: 503.639.4175 BUILDING OIVISIO NotsfietViviethod TI Cr.fill Internet: www.tigard-or.gov g^ ``^r'o^ a? d .,. tS ,` i 9`'�Ei..__w ..,...... ..'+.._.._..... Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the �—� a f� work indicated on this application_ t4s73412Ls.. t___ s r� . to :c�-, -.7.--.'.4 F -.,� _`_._ .:,;1---14,4,-;,,,:-,-,,,,,i.,,-..,-., Valuaho �t k E L sn: ,0a,i . $ ,,„,1;-E ,_ i. - ° _ ❑Commerciallmdustrial Number of bedrooms: 1..-\ ® 1 and 2-family dwelling El Accessory Multi-family Accessory building Number of bathrooms: 2.5 ❑Master builder ❑Other �$g 3�, t - Total number of floors: 2 ` Ss�, :: 1 74 ate ' ~ . 2 cG, s`` address: =, S te-/ I New dwelling area: square feet Job site address: 3��Z !/ '" `'' square feet J Garage/carport area: , q City/State/ZIP:Sherwood,OR 97140 porch area: t square feet 13`7 C. Suite/bldg./apt no.: I Project name:Polygon at West River Ter Covered � square feet I I 0 Cross sireetldirections to job site: Deck area: •J square feet Other structure area 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 work indicated on this application. 7;i2- a .6.fa,` ? 'a:" �, ,--,',..--_,---,,,e,----;,:,-,.-L,, ,„,,,T„ S � Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet � ,_.s � i�� = gW Number of stories- , r aves `i,�f ' , 7_'f' '- <,: , N � Type of construction: Name: i� � /� � , 1(gULU/ if' -1 i* ittt�!/ Occupancy groups: Address- �]City/State/ZIP: zk It&7-7_ •S' ' 1 Existing Phone: I 07,_(> 0� Fax(360)693 4442 5_`7� '� � d � en � -� T �.,r ..- ,_ � Y: r.,.s tl 1;; �.. E�.,. -.... ,-A.-.... 1cz.d ��� f .-7-7-,--1-7,-,� ,�.x. . �, �„ v ",r .� ., �aF 'C=:. - - < . .r ,. . Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442j a I i,-'-,-..!_ -_-_•:.,,-:-,,14--_-`,=-,te1,--_:"•.-'-'z-..., 2 „,.. : E mail maggie Bordon@polygonhomes coin Commercial and residential presc.'riptrve installation of „; g � i � .2: ` '_ n h* j , , - roof-top mounted PhotoVoltaic Solar Panel System. ?� _�- y_;�� �� ="' - -- Submit two(2)sets of roof plan with connection details K � n :P_ . Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:109 E 13`x.Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: ------$201.60—— This permit application expires if a permit is not Obtained Authorized signature: f�V within 180 days after it has been accepted as complete. - *Fee methodology set by Tri-County Building Industry Print name:Maggie Gordon '� Date:1Z/11/15 Service Board. I:\Building\Permits\BUP-RESPermitApp. doe 02/24/2011 440 4613T(11/02JCOM/WEB) j Mechanical Permit AnnlicalfECEIVED , ,),,,,().„ „ . „:,,,,,.•, City of Tigard Received thaeftly ... Permit Neyyjz-224.7/6„„12t9/.024, "II 13125 SW Hall Blvd..Tigard,OR 97223 MAR 2 3 2016 Pl3t1 Rtvicw .' Phone: 503.7181439 Fax: 503.598.1960 oateray; Other Pennit Inspection Line: 503.639.4175 CITY OF TIGARD pate ReadY/11y; Aviv ra See Page 2 tor I Internet; www.tigard-or.zov NolifiediMethed; ' Suppletnental information / BUILDING'DIVISION Mechanical permit fees*are based on the value of the work f Neu construction 0 AdditiOnialterationirrplacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials.equipment,labor,overhead,and profit Value:S ,,.;:,':';.,`,.'.1,',,,,f;!:‘;;,,:?-..14Zt-V:if..::.,fekit*OgiliggiglitglOglat,,jAzttiVir,C)A-ReeV>elktniaik ..„, .—.., i.... •,....•,..... ,....:.,,-„, ,,,•. .-...•.-„.„ , •, . . ,-,. .-- ,,, .-.,;-t,v4.-^-:,',:,-0-„,,,,,,,,,,,,:,..,,..,,444.44F.,. '4;,4,4 , •.4-- .4—N4N4 ,r:4,-.4ike--,k•1,-;:,-AP-'-'-',5:-<-44-nO, *s.-4:0), ""..:4 ',.,i ,i j•N'i fet lr'',,j'i,4 n t N. .,• ‘'.."4,' .4,',L,,,. .-„ir,,:,,.' ',' '.•,::,1-,.:-':,,,;'''' Egi 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far speck!htforwearioff sae(*calls& 0 Multi-family 0 Master builder 0 Other Description , Qty. Ea. Total '''::-i'-•:-.'''''' '''''?:':"":4;;::•,:,;.e.,:41a.,T,E414:4.--4;7****14*.l# F.4*,,.1:04:#*,:•;,4*,', ,,..'",:',: ;::I;.1i.:2.::•0:.k-,:.,-ri'.':., tleatialitmlliar: Job site address]31 1.42 SW 17¶71') /Illy_ , i„......„ Air conditioning 46.75 Furnace 100.000 BTU(ductsiveins) j 46.75 City/State/ZIP: -\51_zrkik)--0 oct OR (-4-3-\"-1 C) Furnace 100,000+BTU t.clinatilvents) 54-91 Suite/bldg./apt.no.: Project name: po k tji---1 cd-- 0 j‘ccL74- Heat pump Duct work 61.06 23.32 Cross street/directions to job site: L(..1 ,k3 3_4\4 cp ilydronie hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wan.in-duet,suspended.etc, 46.75 I Flue/vent for any of above 23_32 23.32 Subdivision:River Terrace Lot no./0-3 , ather: Other fuel appliances: Tax map/parcel no,: , Water heater 23.32 heater or gas 3339 , - Flue vent for watts HVAC fireplace ! 23.32 • Log lighter('as) 23.32 • Wood/pellet stove : 3339 Wood fireplace/insert 23.32 Chintrievilinerilluelvent 2332 .,::,.::: -?,,,',,,,,Or."'":',Ci--:"•-,-;•:-,tri,'It.:.'f-„,0`41f/A14:1?.*:;'Arf74p-',',4.11'''' `-'''''-'4"-tit -iir•:•ngi' Other: 23.32 :". ..•-:-ti...........g..-..-:---....-4-4,o2,i:"•-,,,c„,,...t.....',at.it,:ii-c-4,14.::;`,",i".,,Ai.i›..ziii,--,ii,...•:.....4.,...,;..,;,,,,„ ,..' :,„,...„4,*,,,i11"..,:.:.4.,......:4-ts' Environmental exhaust and ventilation: Name; A • Range hood/other kitchen a . . A ' III-).., ', ' 4 ' ' - ' - equipnient 33,39 -. Address: , / AIt', 4 la 4!i (...1,A'' 11' C r)il O' ' ' Clothes dtyer exhaust 33.39 „ - ' City/State/ZIP; 'LSI 0 I Sittgle-duct exhaust(bathrooms. toilet compartments,utility rooms) 23.32. Phone idOZ,— / _ , Atficierawlspace fans 23.32 ,f#::;. ."-',i',..,5:r'41".!:Xiiti--'Aliitli 444-0::;;;;;:•:;c4F.:0',.:,, ,T)."Atil„:".,..,:iinIfi,i,iiliTIX,:ii..,::1 other 2332 „ .. Fuel piping: Business name:Apex Air LLC S14.15 for first four;S4,03 for tack additional Contact name:Staci Hay Furnace.etc. Gas heat pump , Address:2210 W.Main St.Suite 107-272 Wallisuspentledfunit heater City/State/ZIP:Battle Ground,WA 98604 Water heater , . Phone:(360)342-8109 Fax::(360)326-1769 Fireplate Range E-mail:staciht®apexaireo.com Barbecue . ',.;:". '‘,.:';',,i4:4'.4:7•41$4'..;;1,2"..,!-:-*.:•:1;?.'i,":::4it!t .:tn,';11;2444?.W4 ,•7i,A1 ,:t,. clothes dryer(ass) Other Btisinass name:Apex Air L1,C Address:220 W.Main St.Suite 107-272Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax'(360)326,-17691 State surcharge(12%of permit fee) -- Thts permit application expires if a person is not obtained within iSO r' , . „- .,;-; ttitys„after it has been accepted as tampion 7-------., Authorized signatur‹...,i -' ' ,/,,,.1 , • Pee Inciheditiogy set by Tri-County Building industry Service Board Print name:SLIM'hay k-..../. Date:1/28/2016 i 1 'ittatitee,,Peetticemsefeeetopti_ptinto doe 440-46-in tt IgiVCCOXWER) � � C EivE . ii t„ " 6got� ihirm" t'crm.'!. �. 13125SW,J1allB1y+d�, ard;QR 97' 2 2016 > .nNr ` " rl a PTione<0,:718*9-• fax.3 "59" tB h,,,,*4. -PC3' ' aiPe ioz ena X03 639 1 5 1t e7By rw, Y3 S ti-00 Cee 1 i' nv Iv:10-*' rd-atgor ' CITY OF T IGt�R® tf[t{ori»eCre» q�� 1 �t `iid ,,MW6titli Q A ilt4an 1reca t rep)acenient �sulint rmtr tuna 5 se;snr T<,u rrrtem a rckeei USetytueor:fdetJr90:amprnr.morh t J,et re o .b doff . noi ou ',-,,r31'1,4,. w7iera d ataitsbla Cauit tmtept Ci Msnnss as oatyaraa " w ,"�a'"''` c ,, a r a exp 0 d00-r smi 750'tilts it aiiiingbus€dingi. ®l'a ,favi'''1` , ling "Q Commerciat ;rifdit ' 0 Aecrssorybiigdir?g tt#iPPXQ++ r stli t. L t sa a,'ate aartalTiu j amp for7--- .erisieTlatnias Taittdmgs. i,t7ili ATn]J3r 0,asterbUii& -0Ot ❑E a Ump, Et*''11458.-25'--.05'4'1'/'''' rallalc nfb,dai�1or 1 � I(� ir �E�ltirtb „-,,,,,,,-14--,---[ . C�ESaefIF��Ysr�«an Iugereaparetelydrai+aa Li �y I ❑i}dd••t ofirrow motor load or a}'ste*A Job lab s�tc address137142. W .9PP ❑.A.,:t... � T-3" t ctty1state sbe wotrdOR97ll4t) <xxtrar twits, ❑�iLa$n oilafa�alttW. iitot7aalwait t�etudcpaaa: i 2�attrlb�dg apG Project name: ❑4lal...... Olde nits. ❑$>?ppty4roltagarermor Ibaa ❑ ernceorfixdarGQbaa�sortawrt "0 1. dross.sfiee/dttectmnttojob s tT; .a F ni t 1i z � atninndse i arrrh t =rws9. !; Nick rrs. enha1 SinOe.it me th-rimlt,:f.sleTt',.,i;:-.,!:".` i n1t. Subdlvlstort yet Tt rt ghe: 1 LOt#:/03 incidtlei mtfaelted aro' v�/ t AOb sq 3L 9F-1.ess 168 a A :4.'''''':7-iT1.2*';',.:..11:15'.' k� ,Ea 0e11 9,0 h or ru sq bio ot? �•}" 939,1. Ro'`:.. <.•p"SCRE,..T.1,04,„ ,!O7r; tki;TC,_ Limited energy resrdenba1 t e $ingid: amity lxow..�ovessi,I. 75.02 � - Laaaedea nil u'" ''''Will* < erpYsIIl iibi c 7500 2 „,teside�uaf�a9l0i�abnytsq_ltl , ,, i o- _:° _ ttertetvslsk fetlrre3 ❑"Seo Pa n ,..,,,,,,rilr°.-;, ',7, nl�iGNfi(dT Sararorrcc8usiosbiltafiopznitcraiion aust7:'urrslocani y�/'^� ,1,:). 2dp a»ps brie IOQ70 2 , 1:1 Il�! I,maps ta+€Dtlnmps t 3 5� 3. W f �t1i1rE f g r..._+� ((� / I /' t nps W f**PS. 2003 " _ 1K1Y�./j t;� i At saiilal 006n ns 30104 2 ti�LT 1,L j _ If Far{ ) Otgr f IbampsorF9hs 3326; 2 x^" ! TtzmguYsryserysccs'orxeedirsinstallation fifers#on,and/or E8041: rrlocafian [}w,t ins#allation"1ltis installation is being made propel y ttrat 1 otl n 4YJtrC11`is mot 200 snips ar . 59.36 I int�irkd raai,. ka rentor iaz c, cbang�acc0rc�ing to QliS 9,449,b74,end 7tii, 201>r: m4061e:$41880' : 12s os; 4 IJSYRCr g,7tehtrt D 40i amps to 399 amps 7£S 54 2 �;: � t tT„ d.C#37y7.A P.ERSO ii. Stanch tercu+ts new,aitcrafna,oreitgps1on,perpanel „ d Feefor6raach ..,.;•" r carcurtsx ith Business name ar'' ,Ele rlC:Wa&bangtone LW aboec setvtat or fgaierlee, A iltTlattrxr circuit. ?.¢ 2 Centacttame.Brit Thiels Fee7c bt tetrcircuftsxrtrtmxt ' surioe,or orxicrl'ee,first, Address 61f1 753€s l.,To1 ns Rd t+tmrch:arcatt 5611 City/Sta VancouverWA98661 Eecbadd txanchcirwit 7,4'2 2 Muceiiiirieoas{tsr+te:sr teeda aotinrladeil} pbc0e( 328}4 Fax ` ( ) ma at.ta wn vem duTar 67.84 2' ,. daT.18 .ssrartecsadler-foxier it a�l bdatr•€el weusu.c�om Remnacctntiiy 6714 2 :,,�r. i" a ..x, c,N-,' OM1t+SLiltit TemparirngaUoncircle' 67.41 2 Basi•ess natnu Garner EtectI-ZC W stliruglorl:.J LC Sign or wtdmelightmg 6134` 2 ,:u Attitxi ssgaat earcfpt{s}br tr, cod Y g - 1V 8 Jol!t�rs Bre pang attaaton;or eslc»zioa ❑Set:?i • 2 (:ityt IZlp`duaeouVer,WA..9866 Sech 2dd 1IOnal iasp;sc1I0B 9V.erteltO*abic is,stry I1Tht above +,ttl `io,¢t tla9 i4001ln) 6b Jitr 1400 c'25 326-157` Fax:( ) (!brmin�, 900W1tt mail bdatiiel lnd+a4haiPleat, hrgtFna 7$°18?hr " s. -. „.a.ewtt 3uspEcgadsrocar ichsn4xk 90tiNbr Lte Ci.10, EitctacidLje:208174; ' Supry Lie.: 4496S t a6catfylluedthluttitn) St► SV TiTecnctan pig!iBR tiJtcdea 4. �xtfltrrt>zs r tr 5nblvlai: ' Print nate loan P A,ibctt i7at a k';I tit o ❑'Flan Review Requirsd((359r tifptn1It ): tatesari.§rge: ZWofpejmtk ee}.' iAuth _ ... TpT I ? _ • ar3zesigrdture ' ' iYiti isitttobey€aelwfhmt80 7spenntaptto id t drpttta.dysahelt6asbetaax iYiaPfmnee: il antes$ Dale: 1� ximbstohtprrtions atDWtd pipeamt. • � & sgtaew. Cc_horm spp= k e 40.ncv oariimil 44a 40151CilhjsrcQa+rtvms 1111111111111111.11111111111.111111 , Plumbing' Permit Application Building Fixtures RECENED City of Tigard Received P rrio .i°7aZ4/6 -? vo2/ iti . 13125 SW Flail Blvd.,Tigard OR 97223 kA NR 2 3 2vacd$y:016 Plan Review a ` Phone: 503.718.2439 Fax: 503.598.1960v"r` DatdBy: other Permit No.: inspection Line: 503 639.4175 p� (��C"t'f GAR® Date Ready/11y: Juris 10 See Page 2 for l i t Nit D Internet. www.ngard-or.gov C1 "r (� oritred:Method Su u•lemnentai Information '� a ; li al to , civ, , <i 9 ice - Fur special information use checklist. New construction . Demolition Description ( Qty. ( Ea. ( Total 0 Description Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 it for each utility connection) a`a;& a ,sf. t i h- . SFR(1)bath 3 . 312 47 . _ T �..s� 5FR(2)bath 37.78 Ill 1-and 2-family dwelling Commercial/industrial SFR(3)bath 50032 El Accessory building E3 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.I1.) Page 2 . o z t` 0 t o t * :Site utilities: � r C' `-/ Catch basin or area drain 18.76 Job site address:/n'T� SW / 000 �j t ` /� Drywell,leach line,or trench drain 18.76 City/State/ZIP C3h 1Z I 0 R "l� l`'1 l J Footing drain(no.linear LI: ) Page 2 Suite/bldg./apt.no.: , Project name: 90\1 3.(Inv) Uk Manufactured home utilities 50.03 Cross street/directions to job site: U is Ji "Cepa() Manholes 18.76 1 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_ ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear it: ) Page 2 Subdivision: Lot no.:/£3 ' Fixture or item: "'�� Backflow preventer 31.27 Tax map/parcel no.: Backwater valve 12 51 € f - ,-. ,a Clothes washer 25.02 r)-e_1,0 -t p lu .!1�lJ�' Dishwasher 25.02 1 Drinking fountain 25.02 Ejectors/sump 25.02 „ - i 1 V 4 Expansion tank: 12.51 / , ,. /;`, Fioo rclscwar cap Name i 7 [.L Floor drain/floor sink/hub 25.02 25.02 Address: . Garbage disposal 25.E City/State/ZIP: ._ ) 4 • , _I ` to lel Hose bib 25.02 Phone: /112_- /'l 116, Fax ' ,D V;14 , 1A u[Z Ice maker 12.51 w m, 4,--Ilk - �;3,-79.p': ercep {case traP 25.02 ffi .Int > . � , sit _.. :� ;� � ta Medical value:S ) Page 2 Business name: ,r-i-,i z-:--4"i" $^, \1 Lt.-Ur\lL i r G L k;- _ Primer 12.51 Contact name: 0 v',, -y,i,,;x„4-y-i } Roof drain(commercial) 12.51 Address: ( .., 1 )'} Sinklbasin/lavatory 25.02 City/State/ZIP: ,c1.-)A'i " (N2,.._ )£. i-U Solar units(potable water) 62.54 Tub/shower/ho' t pan 12.51 Phone:( � ) Fax::( ) x Urinal 25.02 E-mat[: K.,1''1,1 .rr-s a►YL t'_ 1x.04* .r 1i. ''')r,r"' Water closet 25.02 s :,_six.' Waterheatcr 37.52 Business name: 1-x-11 f°k k ',6i.-r\ P1($l°4°'1(rS€t i.J ., Water piping/DWV 56.29 Address: Other. 25.02 1 l?l 7 Subtotal City/State/ZIP: .-y"C,"' "?L+t.N•l' i_Zi - Minimum permit fee: 572.50 Phone:((`) ) 7a ` Fax:( ) Plan review (25%of permit fee) CCB l ic.: ,( Plumbing Lia,no State surcharge(12%of permit fee) Authorized signature: /.\ TOTAL PERMIT FEE j This,permit application expires if a permit is not obtained within 188 days Print name: .i' C iii`j. ,im i, Dat4 a,9/j/ after it has been accepted as completes [ ( *Fee methodology set by Tri-County Building Industry Seivice'Board. rAnwidriiKirmias n_Nr'-PeaiitApp.doc 10/01149 440-4616700:'02!COM/WEB) 1- City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A R D Building Permit Review — Residential Building Permit #: /`/,7 ,20/, -- 00/2/ Site Address: I ? 7' 1 Sw l 1/ 1-to Gi V'e . Project Name: f o I j 5 o n a I-- IN&e J i-- (6vter- I erCbt Lc Lot #: 1 03 (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N e nt SG R g' Verify site address/suite# exists and active in permit system. t River Terrace Neighborhood: ❑ No gr Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan -existing structures on site ,Site plan must be on 8-1/2"x 11"or 11 x 17"paper f4Footprint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations North arrow Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number /Location of wells/septic systems /Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence g,�/Lot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and /1 Street names impervious area(applicable if R-7,R-12,R-25&R-40) jZStreet 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 gClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: ❑ Yes E No 0 Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: pO2 2-0)S - 0000y , Sv(3 2OIS - OOQO6 _ S 02Lois--doo03 Zoning: 2-1 , 2-2 S Setbacks: Front 1 2 Rear I S Side 3 Street Side g Garage Zo Landscape Requirement: Z 0 0/0 gLot Coverage Maximum: g 0 % gi Building Height: Maximum Height 3S Actual Height 2- ,Z1 Visual Clearance 0 Easements ZZi Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan CConditions "Met"prior to issuance of building permit Notes: Cflnd.;hoAc {--. .loe (11e4- era 3,r h'° issvar)ce— uI- bv1lob tc1V / -e./.011-6 Approved By Planning: 44,9-1-^-,:- /, Date: / 2 3 /1 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_o 12116.docx Building Permit Submittal Original Submittal Date: /ZS//r, Site Plans: # 3 Building Plans: # Building Permit#: LST tJnter building permit#above. Workflow Routing: ,11'Planning 'Engineering Er-Permit Coordinator liuilding Workflow Sign-off: a Sign-off for Planning(include notes from planning review) Route Application Documents: O'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: 4jr _j 4, Jou- ... Date: .3725//,6 Engineering Review Slope at building pad: Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appro d 4 Engineer' g: 1 Date: Notes: ..- --as✓_ . ,..i a '� �/ Approved by Engineering: #g Date: i �� 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 l CIS Approved,NOT Released: Date: 3/3 J/k Notes: Com'"46Ge..2.- -"S 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: 1:\Building\Fonns\BldgPennitRvw_RES 012116.docx City of Tigard IIq COMMUNITY DEVELOPMENT DEPARTMENT ■ T G n a n River Terrace Building Permit Review Addendum Building Permit #: ,'ff7 -e"/6 - 00/..2-/ Site Address: ( 311-1 S w 115 c vrc Project Name: Poi y 5014 u+- West- (ZNrer i-err. ce.. Lot #: 103 (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.14: 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 P ❑ ❑ 4 ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: .-7. 1 1. 3. Entrances:At least one entrance must meet both of the following standards: C�'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:gYes E No If yes, all the following apply: 0-25 sq.ft.min. gOne street facing entry 712 ft. max. roof height above porch Q 5 ft. depth min. 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: Covered porch min. 5 ft.wide x 5 ft. deep 'Recessed entry area min. 5 ft.wide x 2 ft. deep JZI Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection tEl Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood flZ1 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. Z Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade grWindow trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes '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. yi 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 facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 44b vl P-vt. &,1 t cLeX/V`i"` Date: 3 /Z 3 / I L• 1:\Building\Forms\BldgPermitRvw_RES_RT_012116.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 13742 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final FAIL November 15, 2016 at 1:09:15 PM MST2016-00121 David Young Seal floor penetrations to crawl in mechanical room. Remove line set from below grade. Dryer duct to be capped and labeled " for future use" if equipment not installed at time of occupancy. M1502.4.6 Finish installing range. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13742 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final PASS November 15, 2016 at 1:18:33 PM MST2016-00121 David Young Violation Summary: Inspector Contractor P> 7,7/I _ten ( . Thumbm Permit Auubc taivi Building Fixtures FOR oVi'tcl, UST. ONi . Cit of Tigard Received {IN .-� 133125� W at ,Tgard,opt 5)7'2237/�/W Tr' r r«�ttN°' " —©O/ / Ir+' Phew 503.71&2439 fan'5015981960 A;xtc a T r , ,r n Tnspectioa Lime "16'59'417' _ , Das R y Peccoillto; Wen*: www tigard.or gqi• llD��a'isfeitAfyteta: Avis j 8w Sac c z rar ,x191 J•M r�):� •. ..�\ll....'.f �. y1 � }�QWGtt1Qd: 1 ,: ;;;§:i:%.:v~,-.:' ;'Ji; iF RJi`.!iiiii i `s•1: •? F-Z. 1 q.;.n{,.•r.�r:•t.� .y-r..Ar.»s.•..._ +. ,..?,_ �CIDICdL;.f.A1 Dl'ISh08 �...:. ..•. k . V ,.1•.. '• «i.A. .j�:..>.n -•3'• .0 '; c Y.r..�".i'y�'4.S ""��•,.' tT` T.�•:.....�'� S�J fll# �rotstrltcddrl � .. .. .Ai i•� •.r\. . � i.•5.:.. •'r• '.S �I ❑Demolition For .-Ed` oramtiou use rti rag% ❑,A,ddi6onlelteration/replacemar ent 0 m: °a ' Qty 1sac o Y, New t-2•famity . (iacludes.100 it for each•. ' • caaucetion);,;s , _:gs.: n'lti;: u ',:#1." g iliF4.'�; :•<'~.: ::: SFt(!)bath 111111312.70 111.11. SFR(2)bath 1111111111Effill PAW'-.sal.2-fa+oily Cwei •Q AcCtssoty Wilding 0 alta- (y SPA(3) 50032 IIIIIIIIN n;a,YEach additional badvn 25.02 1111111111 0 Mastr builder 0 00= rid r C._aq.1tl �IIIIIIIII v..y. `::i; 4i � M?maw;�4,, { 4fin: 1 i � Job site sddtess: 137'a c S l4; : T 'r1 a V t Catch basis,or arca drain 18.76 . City/State/2: Drywall,laaob litm,or hunch drain 1111 18.76 • StsztaibldgJapt :aa: IProject name/4�L�/G o/� '9 7 Footing draft(no.linear R.:_ _) Page 2 lrlaattfaatureat Name utilities INNSO,R3 MN Crass street/directions-in-job site: 41 'T~,e,//EIC reo 1 ;.» 'b'fathales 111111111113311111NIN Raio drain connector 18.76 Inn Sanitary sewer(no.linear ft.: ,) ME Page 2 Stora sewer(no,linear ft.:. ) Pite 2 Subdivision: Wlurrtutvice:,(au.•lbatarfar). ' 1+/1861: Lot Io.: 0 3 I utrere ae items 1111 Ta, map/pareel no,: BacE lmt�pDe pm/eater :r.w•.::t:4,-.1'-•,.V4.: . 31.27 "'`'=!i' , -a` '?zs"4'`„3� ' +(�I+I_ F•:, "" % ':'r.C.;r`n.: ,`,.1..,,....kr, • Bats oVaurvaive 12III .S1 C1othci w isb - 6f 1,'/6-'" /4142 ./` 13.1/c./J» C`1N77e.Pte-7 & DishWaster 1aw, Drinking . 2'442 MEM viasfter 25.0 Main 25.07 nectars/sump 25.02 `` r}- Y s '":2i' i ..` . 1L'zi.!'" : • 'iph6laXtea',...:11%;,.....,--i--,,....„...,,,,,,,....A.,;.. .,..„, :M' 1,:,Vt. _•VI : P,, � • . ~= ,.n,Si, Name /9.21 G v° 4,97v6 /Y0A6/74/6-s 44-C.. Inzerm/seweror• 1111112-5.172 11111 Addreas Floordrain/Boor sink/hub 1111111125.02 ' • a Gity/statrJT3P: disposal 25.02 Pie;( ) nose bib 25.02 Fax:( ) Ica*or 11111111182111111 Wr : n:a�X.1t14:tivJ,•-.:;„`%p'lh::'..f:.,::. ..:!10:4W kP N.i :'_F' t tolgteasef:p fan. 2502 Businessmm -oG y64hf lelL/ GL Maim/gas( ahua S ) Primer IINNIIEEL111111111111 • C:12==311111111. 1111111111231111111111111 City/State/ZIP: 051-ii/et f!/ 4.21- /$4 o solar a,aita{mAge.,,ter) 62-54 . :(26o) 4 95— '7`l'o a .Fa:rr:410 X 93 `+Vya...> Tubislsowers swexpan lligiregliENN '.' aa' — IN.. NNE E,n 111111 203tou;Av Lio-, y ws e..Pokyeev/ ���r ,con" , .- ,Chit+ i ,f.,,,,$:!.-le.. r•"-ta.ce ? %.• a ...;,,,,::-„,...;.•..•..".,rY .01 11111111 i•i,'•1..r. ••;1117,YJ'.,.M.f•:.•+tih. .i•_�y !:1914A •,'i:.1.1,..1:: 4..••.�„e.��Y,:: ::?, J(�'r4ir.4'a):,-'; 4Qta,N3ter$tsUJeBS ta6a // ! t. P #.�, • Waterpiping1DWv .Address: -0 • ,I S 1 , I& t, _ ,- Otr 7512 MIME C1ty/Sata/Z P: ,� /4t / ~ Stlbtfgld 11111111 P1161":4P1161":45:00)' ) q©e...5fc,© Fx;(5563) 47/2-646 Mininmpettaitfee 572.50 NM QIaW Rrnicty(2$55 ofpesalit fee) MI COB Ma.: i egepo Plumbing Lia no.: fa a s V State setar30394 vfpernuit fee)Authorized signature: 4%r TOTAL PERMIT FEE Print oat= Af=Arm Date: /� � P av +eort exPiras if-4raer n Woolf#x r+ol WS:Axed Fisht.,MO d �' atter it has beco a • *Fee methodology set byTri-aua iblin8 Industry tYService$ascd. IABunda�gtPermi,OPL4M-PmnfrApyrdne tattal9 4044e19R10/02.COMA F:O — f C ti • 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13742 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Corrections from previous inspection complete. Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00121 Inspector: David Young Note: no AC installed at time of final inspection, permit required at time of installation. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13742 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Insulation certification checked. Blower door test report checked. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: November 21, 2016 at 3:38:22 PM Record ID: MST2016-00121 Inspector: David Young Inspector Contractor