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Permit (43) CITY OF TIGARD COMMUNITY TIGARD 13125 SW Hall Blvd., Tigard DEVELOPMENT OPMENTIli MASTER PERMIT 97223 503.718.2439 Permit : Site add Date Issued: MST2016-00269 address: 17130 SW JEAN 06/29/2016 Subdivision: POLYGON AT LOUISE RD Parcel: WEST RIVER T Jurisdiction; 2S106DC12700 Project: polygon at West River Terrace, Project DescriERR ACE Tigard ption: New SF Lot 127 Lot: 127 Stories: 2 BUILDING Height: 25 Bedrooms: q Floor Areas DwellingBathrooms 3 First 809 Units: 1 sf Basement: 0 Second: 1049 sf Re uired-acks sf Garage: 437 Left: 3 Re uired Third: 0 sf sf Front 12 Parking Spaces: 0 Total: 1858 sf inks: 1 Value: $232,897.96 Right:ear: 3 Smoke Lavatories: q Water losets: 3 Detectors: Yes ashingPLUMBING Rear: 0 Tubs/Showers: 3 Dishwashers: 1 Mach: 1 Footing Drain: p Garbage Disp: 1 Floor Drains: 0 Laundry Trays: 0 Ice Maker: 1 Water Heaters: 1 Sewer Lines: 100 Rain Drain: 1 p�Ywell-Trench Hose Bib: 2 Water Lines: 100 SF Rain Unnals: 0 Drain: p Backwater Value: 1 Bckflw Prevntr. 0 Storm Sewer 100 p Catch Basins: Other Fixtures: 0 0 Fuel T es MECHANICAL Other Fixture Units: Natural Gas Air Conditioning: N Furn<100K: 1 Heat Pump: N Vent Fans: q Furn>=100K: 0 Vents: p Hoods: 1 Clothes Dryers: 1 Woodstov Other Units: 0 es: 0 Residential Gas Outlets: 4 Unit ELECTRICAL 1000 sf or less: 1 Z !'i Mfd Home/Feeder/S 201-400 amp: p 401-600 W-------------/Svc or Fdr: 0 amp: 0 601-1000 amp: 0 401-600 amp: 0 W/O Svc/Fdr: p 1000+amp/volt: 0 601+arnp_1000v: 0 ELECTRICAL. RESTRICTED ENERGY Audio$Stereo: N Other: N HVAC: N Security Alarm: N SF Residential Other Description: Vaccuum System: N Garage Opener: N Class of Work:: All NEW Type of Use: BUILDING INFO Ecompasing: Y Owner: SF Type of Constr: ADLV LgNp HOLDINGS LLC Contractor: VB Occupancy Group: Square Feet: 7600 EAST DOUBLETREE RANCHWILLIAM R-3 RD,SEE LYON HOMES INC SC011SST D 109E 13TH STREET ports 1858 AZ 85258 VANCOUVER,WA 98660 Required Items and Re 1 Ersn Cntrl 503-639-4175 (Conditions) PHONE: 2 1 hour fire rated eaves are required one side only PHONE: 360-695-7700 Total Fees: $30,512.93 FAX: This permit is issued be done in accordan subject to the re days. ATT with a regulations contained in the ENTIiss to th ed gu ati This Tigard Municipal 952-001.0010 Oregon lacy permit will expireP Code, State through OAR ith952-001-0090. a p r 09ores you to follow the if work is not startedof OR. Special Issued Sy: �� You may obtain a copy of the rules orrules direct by the Oregon r within Utility days of Specialty nodi all other pplioable law. a direct questions Notification work is sus All work wip i to OU Center. Fended for more NC by calling 503.232.1987 or 1.80°0 Ehse rules are set forth the 180 Call 503.639.4175 by .332.23gq. OAR This permit card7C----- Permittee Signature: shall be kept 7:00 a.m,for the next available ins in a conspicuous place on the job • �C' ���1i Approved plans are re inspection date. required on the job site at thesiteef until completion me o f Pletion of the project each inspection. t t • JIdirt Permit A firis m Iic C:, 13125 lI Tigard Tigard,p 1,,,9EIVEE) coif of /�/�,� r t c ; ; 503.718.2439 pR 97223 Iteceisrod 1 I C t 1St ON/ 1 t iso . 5 Line: 5 ax: 503.597223 JUN 2 2 2016 23 /'(o 03.639.4175 //� Play Regi ICS' tetec j www.tig 03. rL41, Datug i Permit No / ., _ i.� 4 ,';,':-.-'''',,,i � a� �1r�� �¢gi �"'� NoLfied/dKethod: � Q+6a•*+w[. 1�'/� _C•/[�L�� ®New wow .M st-y 4 ?qr L tt- e ; O©O2 construction ��.-3 ' � � ��i � �See Page 2[o �AddrbodalterabOn/ ❑Demolition :rr '''t` � �'� 8 PPlemetat lafornuation ement c :�- '.'yZF 0 Other: p f',. ' 1 r J.i .�.i �.: } rC Tert7111tfeeg+R8F8 .�-==�''. e ''. ;u7 '^ r, f a v+ .� 1'hrr based on the v work h/F. x,.7 ®I-and 2_fandi r , b �, t r tate valuealoe of the y dwelling equipment, (rounded to the nearestwlll r °fallrned. Q C dusnial work lIId;cat this aapppl a�erhead,and dollar) rofit f�the b Accessorybuilding omtnercraUuh ❑Master builder 0 Multi-fatpily V�uation: - y ❑Other Number of bedrooms: $ h u e 4 Job site ad = �� Ci Fess: (--� r c 3c u a Number ofbathro�ns: 3 ty/State✓Z1P:Ti .t n To Suit Tigard, OR 9 — , .,y � == �nrrmber of 2 7124 •L(� 11 floors: Suite/bldg./apt.no.: Cit New dwelling . Crate street/duect;ons to job site: prgect name:Pofygoa at West River Ter C' /carport area: 1858 square feet Covered��area.� 437 square feet : wearea:' 9Uerefeet •Subvisio :l'olygon at W River T e s4uarefTaK map/Plrho ice a 1 z `f Xist II '. -y, square feet r ,, . .t try peI'mtt feeS�'are based on 1 c F r':,',T rt •J L the value of the work materials,indicate the value(rounded to the nearest dollar) ,.. :< ork indicated on this.�.Iicatiaa.overhead,and the Profit for the Valuation Name: $1;51‘,._{'1,1.,ic t 'T'' Existing building area: ADVL Land Holdings,LLC New building square feet Address:7600 E Double square feet Doubletree Ranch Road Number of storiroup . City/State/ZIP:IP:Scottsda �,AZ 85258 Type of construction: Phone:( X94-4031 OeeuPsacy groups: Business name:Polygon WLR L C� Existing: Contact name:Angela Grajewsld w "' Address:109 allilii East 23�Street City/State/ZIP:Vancouver WA Su- plan review fee Phone: 3 (or deposit): ( 60)695.7700 �plan review fee(if applicable): Isar! AIIb�a G Total fees due �iewskr eQpy�nhomes com upon application: Bus;,, r l ' ut a y, ' Amount received. name:William Lyon Homes,Inc 1. o " l f int: Address: lOpnc -. 7:471;ial r East 13th Street nubn,jt t hh]o p Vol Papkve 1 o F' City/State z/P:V Submit two(2) laic Solar paael S Vancouver WA 98660 and fire res ofroof plan with Ystenn. Phone:(360)69S-T70p Solar fire department t, QI �PaKIIherht access, erection details CCB Iic.:207247 Fax:(360)693.4442 Permit Fee Code cklist along with the OIO Oregon (Includes plan review Authorized signature: State and administrative fees): $180.00 /� • iiiigir charge due(1 %up n petm{t fee): Print name:Angela Gra jews Total fee $21.60 P. This penult e applicationupon appli I:1Buildingtpermitela G Date: set bexpires if a S201.60 d ®� w within 180 days after it has been accepted permit' PermitApP.doe 02/ Is not obteiaed 22021 Fee methodology set by Tri-Co as `>40 46I3T{]I/02/Cp S�1CC Board utrtY B coAtPlete B) g Industry t 11I•ethanicai Permit A, J ilea ' . Clay a„Tigard �. a 13125SWHapBlvd,?i ard, I or,.OFFICE Phone: 503.7182439 FS OR 97223 IVEDReceived E�� O\I.� II T r ci;i F L) 503.598.1960 natesy` 1 P hoeetion Line: 503.639.4175 N N 2 2 2016 P>aa Reyrew othi h't www ttSara-orgov r� c1�t--�s �sy: ~ ' I CITY i' i t i) IMENEr2 Ready/Dr Peimir: I wcr..� „. :�v ;.a z u�r rry �,5 10 New construction .,. c , ___ S f pptem&I see Page i%ta+mation I 0 Demolitio ❑Addition/alteration/replacement u,. �' n ” r". �`� Demolition placement .,,< ��r 4� t -�--�--� x y" a i 0 Other: M�hanece?pormrt fees*are b i r,:rs f ..� ;:; Performed.Indicateaced on the value the value of the work la I and 2- = r r r,r4 n ;: cat materials i,,, (rounded to the nearest dollar)of all family dwelling •• f,t.„ a ,a labor overhead,and roll.. ❑Multifamily Commercial/industrial L j Ac s Q Master builder °O building },f,,, e F� ,,,..yr..--i- 1.,: , t, Other ,k Job site address: W b1,-,,,h r 'q'#�' r i. , 44� caption City/State/ZIP:Tigard, , S lean Louise Road � .`Y , z,� Vie$i�-poli�_ �'• 3; T� anttaimmis d.OR 97224 conditionin_ Suite/bldg./apt.no.: Ful 100 000 BTU jjjjjjtoiobe _ Project name:Polygon at WestFurnace 1: River Ter Heatduet54.91 NINO Duct work 61 06 Mill li is hot wares tem _ . ni Residential boiler(radiator or ��� h � ,nic .�� Chit heaters(fuel-type not el Subdivision.Polygon at West River Terrrace in-wag he/ " P aided, c), .� Tax map/pl Flue/vent for , of above ��� Other hela. C'. Water heater naaccs: Gas 5r-,unseat Fluevent� �� -,lace water heater or gas .� Wog let stove � � Wood —.'w..1111.11111111111.1111 eri a 33.39 MIR _ 111111111 � tr_ a _J ue/v 11111.1110211111111/ Name:ADVL Land Holdings,LLC Ot er /ham/. �_ 7600 __ E Doubletree Environmental exhaust and v tree Bch Roadventilation: City Address:/ZIP:Scottsdale,A Z 85 Range hood/other. exhaust kitchen _111111111111. 11111 Phone (602)694-403I clothes wf """�� 258 SinS1e•duct exhaust�(ba�ooms, —�� <; .■ .� !;211111, - sir•"'`.ntilro0n13 MMIN .011111 Business name:William Lyon Homes,Inc ' >: Other aw-. - fans �® Contact name:Angela Grajewski �, Address:109 East 13th Street SI4.15 for first four,54.03 �_■� Furnace etc far additional City/State/ZIP:Vancouver,WA 98660 � '�m_"at� Phone:(360)695-'7700 waw ,�. �.... �� ais it heater �_ E-mail:An Fax::(360)693-4442 Water heater gels Graypolygonhomes corn � _ Bltsutess name:Apel Air j j'±'1,.., _' s c}` ' _." mill �� C Clothes. _�m Address:18004 nd (:as amilums � Air L Oilier City/State/Zlp:Vancouver,WA g�� Phone:{360)342-8109 Fax:(360 326- Subtotal CCB lie.:203034 ) 1769 Minimum(permit fee($90.00) mixiiiiiin Plan review 25%of permit fee) 111111.11111 State surcharge(12%of Authorized signature: .../( „ "" '' TOTAL PE t t is ThisFepermit Print name: sarMexpires if s permit is not . it ! _MIN * Fee days after It has been accepted as obtained withiFEE n i"' tamitdieePenntest � � Rafe: �,lL'�' methodology set by Tri Co complete. `ApP_oao123.doc aaty�w 1dia8lndusyry service Boatel i7Tt /o'.OMJ Electrical Permit__x icati ► ``::';°' Cita'of Tigard ° Received 13125 SW Flag Blvd.,Tigard,OR 97223,U N 2 2 2 010 P1 RR .eaerilfgainEEMI • Phone: 503.7182439 Fax: 503.598.1960 Ties t D InspectionLine 503.639.4175 ,n. Dm. hillIMEEMERS . httetnek wtifly agard-or gov l.r i! Y OF €3 GAt � Y Date*: t _ ! 6 e , t NofiTKd/Medlod .ql f f h 1 ®Hew co Lam' YA d t-?,q s.A:a,.� .���a.... y,& '`�,. ..., construction ❑Addition/aiteration/replaccemeat 3 4 ' � " _❑Demolition Please check all dam appy(submit1 sets w e`ked • _0Dther °Service orfeeda4 mom R�-•�.G �-; .,.1��:��ia.�•!)i�1�: a �Fk��s ti 1 � .0 -.-Y.- where the available ��M ra Building over three stades. El �:€'J G-;1'�(drt `�,.:2�' rl -tet 3 `%s fault mama 1�T 1as and I1 and 2-family dwelling - - � 10,000 maps at Iso volts or 0boatyards. g 0 CotrtmerciaUisiclustria( 0 Accessorybuildingkw �+aabe;ldiass. buildings.- D Multi famliy > or exceeds ta000 0 co, e, Q Master builderOther: agrae{wre} � � "'.�e. :z Cj atapa for a!1 other iosta0atioas, dn,i � �3'�� a}+ {: ❑FGapump, 1Yal OG,Wiz` 0 InandlarRcrlation of ISO rKVA or ived Job#. Job site address: �� �� CJ&aageney aysfem. 1erEe.eep�ly derived Job it: Tigard, 31.0 1 141-0 a>.;: ❑romp or moxa.of new motor load of syr d,dR97224 ❑Six ormore residmcialunits. �,A:'an":�I-z","I-3 SmiteJlildg/apt : 011m -ewe fheilities. may Project name:Polygon at West River Ter Map* `'f rmo n • Cross street/directions to job site: ©Ffa:mdocn locations. Map*voltage more than 0 Service or feeder 6o amps or mote 600 votq nominal -e__4.777t i ."„,.ynyrs-�^r�'^s�--ate • 4.>ara'7Mr w Subdivision:Polygon at West River Tern-ace Newresidential single-or multi-faculty dwelling unit. Lot#: Mil Includes attached Tax map/parcel#: � garage. 1.000 aa+FE J r o l.lp qT�€�)`a 3�,i r c �T-. Ea.Mtn 500 sq.R.or portion �� Im,i-ahmalff 11 with above ,ft. 111 75.00 11 Limited mum c rl o j - t2 — i aboveabvely R. im T5.tki ?Jame.ADVL _ _.. Ren -� s_F.: - as ..__ cwabie , �, � " Land Holdings,LLC Scram or(ceders lnstal►atioa.atterati , 200 amps or las and/or relocation Address:7600 E Doubletree Ranch Road �� 201 amps to 400 atryas City/Smte/71p:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 _8 Phone:(602)694.4031 601 a i, to 1.000 amps = 30 impEmail: Over I,000 amps a volts ani 55226 • Temporary services or feeders installation,alteration, Owner installation:This installation is being made on own relocation intended for sale,lease,rent,or exchange,according to DORS 44,449,670,and 701.not• �atm criers400 -� �Q Owner signature: � 201 amps to amps ll 125.48 _ Date • Br los amps =Q Business name:-...,..._-.,,......s..,_::K � `..`�`_""��: � ���-;�."1€y s' : ,i>.�t�:. C- Y^:3 Branch circuits-new alteration or a, William Lyon Homes,Inc, A.above� with and Contact name:Angela Grajewsld or feeder tbe, each branch txmnit ��i Address:I09 East 13th Street B.Foe for brat t without branch or feeder ,first insiiii_ City/State/ZIP:Vancouver,WA 98660 branfH bran t Each add•1 breach halt �© Phone:(360)69S-7700 Fax :(360)693-4442Each Miscellaneous service or feeder not inclu, betel!AngelaGrajewatd®polygonhotnes.comservicean8eauod°rawdular wall%: d/orfbeda 1111021.13 r --'7:-.:r <} r Reoonwa wit/ 1111113311.111.8 Business name:Garner Electric Washington,LLC Pump or lmgaboa Circle masciamas Address:6101 AiE St Johns Rd SIP or tw8im lighting _© Signal circa t(s)or energy : ,-altered,,, ore>ttmsi�, C]See Page 2 -© Each additional ins.ection over allowable m an of the above Chy/Slate/ZdP:Vancouver WA 98661 Phone:(253)3204657Additional inspection(I in min) l m 66,25/h>• �r Email:bdauiei Investigation(1 hr r mikt) 9o. aims ftweusa.com indusalal OW(1 hr min) MI 7x.l8fli8/la IN1111r Electrical Lic.: 208174Lica 4 Inspections which no fen is IIII Snpry Electrician signature, - 4 00/hrIII gn 1,, e>regtnred, � 9 i1� �� ' '.,',.:4-..1-44!a j� yy Suprv. • 4965 ;. Print name: Joao P Albert I '`_, .. , t yi� • Dale: 4!26/2016 0 Plana Review ...Mote). - t 1 . S/N of t: Authorized signature: 1111.111111 •� r __n State surcharge(f ya ofp }• Print name: Bill Daniels TOTAL PBRMI?FEE: ^'r''`' Date: 4/26/2016 'Ms permit adze:9en arpires 9f a perm#k Dot obhieed within 180 t'"' +`+±:1Bapd adze: been accepted at complete it: It,. OD O �'ohAPP�CRIt 6�t6doo Rev 08/17/201S Number oinspections ��};: 44a4615'!Tl]PoSJGUh{/WyB s allowadPBrpermit. 3 7 IlIPlunibin-gE'ennit.A_pplieu.t*, i::.:,r,if- '.:-"r., . .._. • ..... • ' 4-''''?' V ''''''' A'' Building Fixtures vok oif' - - i 1 _.. . i: City cot Tikaril . 1 r • . JUN 29 20,0 ReceiVe4:-''' - --. ---- - - ----- - ,- . . , ., . Penni!140.: IN , 131:25 Sthlii11131Vri.•Tigard.OR 972 • •Datalt••-iff - : •• • - --4., ._. _ .-,•• _ i .•- _ '-k -'•. .--',.• t--:'-..'t‘":)'if, Mee Review; • LI 11-1•the:103.7182439 Fare 503 501,0150, i. f.',..,',-,,! .. —- • :other Peonit No.: In ' •; --'' • - • r-r"! ' 1-134e)BY; - ••• ' • • ., 1 1.•,,.,, i, spection Lane. 503.631417j F'',.q.nj 1 L,01.!,-..c.:., 1-',,':.1,,'.•:-• I.. Dalovaidosir - Mw i.13 SerPsigel for .- ".. lantamet aAatthiai4•-arrY,., _ Notiriedthiethlid: . • - .Sais-Plemiorat•Inforwanee. ..- -4;::•..?,-•',-,-•- •„-:7-4.,--i-;01:47.•„4,.:,1„•,..,.-41 ---. 10747-.. , i''..."-7"-:<'',-- __,-i";;Atl-4=7.-‘..,---.'...,,,- :-,.,-.4*--a5-,-'1--74.1r,,,i-e-W-rii...:,F: -- --tsilit*Nt.---a-tt,,.r. .,,_...._t,,•- •.%y-..,....._-_1•Ai.i-•,-... -,A4-'•#,.-TiaS.:-..--,.z.--- -.., -A-07----.,--,,,,....,,,......„,.,--A., ", ...-_.-tiii.v.:.- -7.'"'-t-t,-,4;',...::. .?....-_ ,-:.,.`,-;-.•,4 . 7.--i1W-11,:i.a..t.i-,--. ----,ii,.. ,•••'r94...-.A, .....• _--.-..t07- 0*"."vgi.4:-•••"-: -...:' I 'New-consitucs„, : LI Dthno- tiSion - -- : - - For..:':41"Ofiliado#Pse itheralig .. , •,I Additionfaiterationfrephibeineti! .-El Man' •Neiv c•2-family (hichatha100•11.for each'utility cooneothi0. _ . w-2.7-::,-;$-I-C---------tim- -•••z--'9.T-Z"."---i-aa.--- - '.. 'F''''• --"",..i",•;-.........--" .-,..J0'.7•••A•-o".. ''*:.•••• ••:',...,, 4/",7,-17.--A7-...-• .. sgRf.1 _'-'-.7 -*•f--- ----1-taN,-.a,•.:,--r'-'''.:4- . *' -f"f) '''.-". 52-'44,-w"5:41.&7,1,1A .:;,17 ,, ... )bath ..:=, _-. • . 12.70 " -• - ----- ..,. . iy41-and 2-family•dwelfilig - cl•Cammercialfiaduthial ' SFR(2)bath _ ... 111111=1 • 500.32', I.:1 Accessory building trj Muiti,fainux -SFR - - .•- . _ . __.__ :.: ..:::• _..-.._:. - _--, - -.. . _ !. • ..._ Eath addition&bath/hi-Ache(' 2502 1:1Mastetbuilder 'ft Oditi: '.• • •Fbikkij4.'- -• - ' - •-' "-'•'• . '''-'-'` i ..77/4•ws ‘•rj---- •'`•--q•-',--1- -- t- '77:4r--45-k'7'7-A, N''.---'-ilti•-V--1""•;Viv; ---': A.•oliter r• . _thrU , . , . , ,.I, ,,,,, t ,.....,'.. .. n,-.: .- •cS, ...,.... • dab Site adthite 0 Catch"basin or area drain. : 18.76 . - .k '- L.QA ',, ? - ' - - . ..- . .-.. 111111.1kEtt . , Drywren,ten!!Itheror trench drain C iqt/ tatelpt: .- il.• 6s it - ' .- '-' •- -- - Footing drain(no.linear ft:: _) - Page 2 • 1 uite/bIdg,•,/api.no.;• _ tfrOject narne: . „.Waldbaum'home atilities, 50,03 i .:-.... - Cross streetidireedonsto job site: -.blanhoies 18.70. . . .. . Rain drain coda:attar _ .. .. &thou sow#Op:linear ft.:_,_;i 10:70 . Page 2'. Strain sent r(no..11i.i.iiir ft:: ). .. .,. , .. • .... , ._ • .. _ . . .. Water:se:mkt(noAftithe#,1118-1.) •111111112:21 SuPaillAkni'• ift,r - 04 ./ .• . 14 nat:' 1 -- Fiiture or aria:: .- -•• .' .. " - I : . . • . . ._ .- . Taxtrg/Oriel ROA: - -— Bielif)ovtigiventer .... ,. , 3121'• IIIII Back:we:et...vain, Z5 r .,.:',. Ntilk-);•COkli4VVIA&i plifehltt' — .._.. .. — Clothes lusher .. Dishwasher 11111 40. NNE 25112,11111111 ..._ .• . _. - ..., _•. ._ . , PlinkingTothriain . 25:02 . _ . _ . _ _. . , ._ . - - • g-003!aisonP- 2502 III LIIII II --- ,:-_z4-,-------A,,. ,:f-i'--.7, ,,_ , : - -,--.,,,r.,--, - -- , __,•,_,--... Expansion1ant 12.51 'irit- --4;;`-;:'•', ------ -..-....,-.7:-"i :- •-"-_ •--1-'Attval-la,;.. .-,-..--_ ,-4,3- •-z.--,•..k•...,_,,,,„4-_, -, . _ - . , . 4 , fi,....thewercep: . . _I201...m... .. .„..r V 1.- 1 le,A, 1 is . FlOot drain/floor-S*4mb ,Ma 25:02 MOM ../_k•dd!..'ss'._ I.-i 11 1 i : 12' IL -1 t..„. .11 A ra... A Garbage di. d= 11111111.. 25.02 tiiy/Stateraill . I ' • — .. .... 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A'. - -- -—-- 111,1 YnraIIIIIIIb - 2712rill 9- Thii'Penili ispitheithea- explivaitaperadris het obtabied ,,In 18111105: MigabiligillVirirti!ki.1.I 4 .. '7'4°1 __ _l_ '. ' iftirikit bas been accepted is cbmpiet ' - e.7 . '- *Fee ibesbbdologysel by Tri-Gouri513,011ding Inchisffy Servico Wad i. lASuildingWermitsTLAIMPermitApp.doc 10/01/09 440,46164104:12/C0hAVEM t i' t,,, e 111111 City of a COMMLTNITigardTI'DEVELOPMENT DEPARTMENT Building Permit Review — Residential ental T I G A R D Building Permit #: Site Address: � /� ~ C)0. 2-6, 30 w Project Name: ecth l-�� e �{ . WeS River Terrctc- (New dwelling=subdivision name;Addition or Alteration= I.Ot #: 12:7 Planning Review last name of owner) Proposal: .eW ' 0 Verify site address/suite#exists and active inermit s River Terrace Neighborhood: p ystem. ❑ NO Yes,See River Terrace Review Site Plan Elements:2 Three(3)copies of site plan -Site plan must be on 8- tect 1 2" or ���' xisting structures on site .Dre to scale e on 8-ar x 11"or 11 x 17"paper Footprint new structure(including decks)with finished orth arrow engineer scale) floor elevations AlAp-A)Site address,project or subdivision name and lot number IMUttlny locations(required eptic systems for new,may apply for additions) pplicant information(name and phone number) 'capon of wells/septic dimensions in or and building( asetback k Erosion control(including drainage-way of area,building g percentage design,location of catch basin,etc.) protection,silt fence din coverage area, ercentage of coverage and Street names Impervious area(applicable if R-7,R-12 impervious e R-12,R-25&R-40) p sty corner elevations(2 foot contour lines if more than Street tree size,type and location 4 foot differential Existing trees to be retained with drip 45 Clean Water Services—Service Provider Letter got platted prior to measures line,and tree Required: ❑ Yes,applicant9/10/1995): was notified 121., No M Public Facilities ImprovementReceived: Required: p (PFI) Permit: D Yes 0 No 0Yes,applicant was notified Land Use Case#: K No Applied For: Zoning: PD R z.os-poo ❑ Yes 0 No,stop intake V Setbacks: ZS Front (Z Rear 2 Landscape Requirement: 0 o -�� Side 3 Street Side N 21 Lot Coverage Maximum: o o Garage N Building _� /o Height: Maximum Height 3S Visual Clearance — /A Actual HeightZ y Heig El Easements ' Sensitive Lands: Urban Forestry ❑ Yes ❑ No Type IQ A- Plan 1 Conditions "Met"prior to issuance of buildin Notes: P��th�tiy�, gpermtt Approved By Planning: Iii I�/L.A I►� , Revisions (after Building Submi al only) Date: Revision 1: ❑ Approved ❑ Not A Reviewer Revision 2: 0 Approved pproved Date Revision 3: 0 Approved ❑ Not Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw RES_012116.docx t e Building Permit Submittal 2 --/./Original Submittal Date: # Site Plans: # Building Plans: ©'En re b ding permit#above. -- lg Workflo Permit �EngineeYing �ermtt Coordinator a Planning planningreview) Workflow Routinn g: Sign-off for Planning(include notes from (1)building plan and Workflow Sign-off: (1) copy of permit application,(1) site plan, Route Application Documents: �Engineering original plan review routing formlans,engineer and [.Building: original permit application,site plans,building p beam calculations and trust details,if applicable,etc. Notes: By Permit rmttTechm.Technician: � Date: 2_3 46 Engineering Review Slope at building pad: 0 Conditions"Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: 0 No Quality Fee in-lieu: 0 Yes Assess Water Q �' 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 YesDate: 0 NOT Approve 1 b Engineering: r > Id����> Ji/<< Jr Notes: __�- _40, � i' � / i Date: Engineering: Date Approved by Eng Reviewer Revisions (after Building Submittal❑onN) t Approved Revision 1: 0 Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 App roved 0 Not Approved Permit Coordinator Review permit 0 Conditions"Met"prior to issuance of building p Date: 0 Approved,NOT Released: Notes: Revisions (after Building Submittal ootnly) o Applicant: Revision Notice 1: DatDate Sent to Applicant: Revision Notice 2: Revision Notice 3: Date Sent to Applicant: 0 N/A es SDC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: OK to Issue Permit ApprovedI Date: byPermit Coordinator: 1:\Building\Forms\B1dgPermitRvw_RES 012116.docx A C City of Tigard e li COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: C-/S /6, ,. 06,2 9 Site Address: 1-1130 sv.) ,T-h 1—c &-c Project Name: y\/,e-1 RlV€Y Te fr t.CC.., Lot #: 12-7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standardsYes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer El ❑ ❑ El 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 17 10 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall 'arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: , Yes El No If yes,all the following apply: ) (25 sq.ft.min. One street facing entry $12 ft.max.roof above floor of porch 3r-5 ft. depth min. R30%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 Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood X Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade JR Window trim min. 2 1/2"wide by 5/8"deep El 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. N I Setbacks: I - m�Z 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. ❑ 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) ,x02-foot-wide garage door ❑ 40%max. of street facade —NI l A- ❑ 50%max. of street facade with 7 detailed design elements —01A Notes: Approved By Planning: ___MDate: .42,_1/&(_) I:\Building\Forms\BldgPermitRvw_RBS_RT_062216.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17130 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 5, 2016 at 9:47:34 AM Record ID: MST2016-00269 Inspector: David Young Breaker for AC to be 25 max per listing of unit. 30 installed in panel. Outlet back of garage shows open neutral. Outlet left side by water heater shows open neutral. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17130 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Tel: 503.718.2439 Inspection Date: December 5, 2016 at 9:50:13 AM Record ID: MST2016-00269 Inspector: David Young Note: breaker for AC to be changed to 25 amp max as per listing on unit and electrical final inspection. Will check at electrical final reinspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17130 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: A/C installed at this time Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00269 Inspector: Chip Barnett Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 Location: City of Tigard 17130 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Tel: 503.718.2439 Inspection Date: December 13, 2016 at 1:40:14 PM Record ID: MST2016-00269 Inspector: David Young Drainage swale installed per correction on previous inspection. AC removed from house prior to building final inspection, permit and inspections required at time of installation. Final erosion control approved. Street tree certification received Moisture content form received. High efficiency lighting form received. Vapor barrier form received. Insulation certification checked. Blower door test report received. C of O left on site with contractor. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17130 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 8, 2016 at 11:20:31 AM Record ID: MST2016-00269 Inspector: David Young Provide slope away from house 6" in 10' or approved drainage swale. R401.3 Violation Summary: Inspector Contractor