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Permit
CITY OF TIGARD ' t ` MASTER PERMIT IIIIICOMMUNITY DEVELOPMENT �___ �/yf!' -.1Permit#: MST2016-00265 T[GA.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016 Parcel: 2S106DC12000 Jurisdiction: Tigard Site address: 17270 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 120 Project: Polygon at West River Terrace, Lot 120 Project Description: New SF. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $229,885.83 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 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: 4 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: 3 201-400 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 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,584.98 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 t ugh R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. -0 Issued By: (�" Permittee Signature: 441< 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. -Mechanical Permit Application FOR OFFICE 1.'SE ONLY City Of Tigard Received n' / ^/' g EIVEl DateBy: 9/4„/ y / i' Permit No.: TDCJICD /'�7 13125 SW Hall Blvd.,Tigard, Plan Review ' 2 Phone: 503.718.2439 Fax: 5 3.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 AIJ G 2 2 2016 Date Ready/By: Jas: H See Page 2 for Internet: www.tigard-or.gov K Notified/Method: Supplemental Information X11° Mechanical pemut fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value $ r1 r C Gf1RiUttUC3AOl ,V2 y _ _ _ _ _ ._ •11ESiouTA7 E9...V NTI X EMS' *. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description I Qty. Ea. I Total ti_ t 't4 JO] .7111 0gli V 11T.,�} IWVOA.l1(ll�l Heating/cooling: Air conditioning 1 46.75 46.75 Job site address: /7Z 70 \ T r/� Louise, 9,c1 ,. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 �'� Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 • Residential boiler(radiator or • hydronic) 23.32 Unit heaters(fuel-type,not electric), . in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace Lot no.: Other: 23.32 l2/0 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 _ -r ;- au A _ JrON'Ot . , a Gas fireplace/insert 33.39 Flue vent for water heater or gas Add AC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r Other: 23.32 ___._ ._._ .___. _ Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax ( ) Attic/crawlspace fans 23.32 '� I a 'd ;t - - .1 i' Other: 23.32 - .4 4.:-x -: _---,.., ` '°fll P FAN , Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 J Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue t'-4-1i f *' . R:i,4:-t -" 4 r4 = Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave x u-g s ALP J � �k,��_ Subtotal City/State/ZTP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 I Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 r days after it has been accepted as complete. Iu Authorized signature: ...14/ 11 • * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 J I:\Building\Pen sitslMEC_PemdtApp_040113.doc 440-4617T(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00265 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016 T IGA R Parcel: 2S106DC12000 Jurisdiction: Tigard Site address: 17270 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 120 Project: Polygon at West River Terrace, Lot 120 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $229,885.83 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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: 4 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: 3 201-400 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 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,487.62 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••- 95. s u 41090. 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: � '- � ZsT�'� Permittee Signature:• L� '"9- /`4?--,O9-270 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 111 " COMMUNITY DEVELOPMENT DEPARTMENT II r 1 c A R D Building Permit Review — Residential Building Permit #: / LO/6 — OO - Site Address: I -7a. —2 O S17 3Qa n 1-01a.; s -e_ Rd . Project Name: Fo I ti q o,., a+ Vi . 1:Z;i,e.— -Fe rra c..e. Lot #: /Q? 0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Ke L,3 ' FR X'Verify site address/suite#exists and active in permit system. I River Terrace Neighborhood: ❑ No 'es,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan sting structures on site 2rSite plan must be on 8-1/2"x 11"or 11 x 17"paper , Footprint of new structure(including decks)with finished giDrawn to scale(standard architect or engineer scale) floor elevations North arrow .I0Jtility locations(required for new,may apply for additions) 13aSite address,project or subdivision name and lot number l ocation of wells/septic systems 'Applicant information(name and phone number) /RIErosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and Street names impervious area(applicable if R-7,R-12,R-25&R-40) .treet tree size,type and DiKoperty corner elevations (2 foot contour lines if more than sting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified . No Received: ❑ Yes ❑ No ,2rPublic Facilities Improvement (PFI)Permit: Required: Yes,applicant was notified ❑ No Applied For: . -Yes ❑ No,stop intake CFsi'Land Use Case#: -P01;kao15 - 0000 5L Zoning: (21'Setbacks: Front /,Z Rear ,.3 Side 3 Street Side Garage -- CY'Landscape Requirement: 4,01- % a I( 0 NI Lot Coverage Maximum: 5$ 0" Building Height: Maximum Height AJ/A Actual Height IR Visual Clearance Y Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan f❑ Conditions "Met"prior Ito issuance of building permit / otes: NI,(.t.-F ['Am.d�-ti WI, Pei w 4 bui:J66�4, h,„:". Approved By Planning: C'AI'`,i/C) 61 . CAS,"f-a---- Date: !o - o2a - /(o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_012116.docx P • Building Permit Submittal Original Submittal Date: 6/2 , Site Plans: # 3 Building Plans: # _`3 Building Permit#: Et-Enter building permit#above. Workflow Routing: Planning Engineering [ -Permit Coordinator EYBuilding Workflow Sign-off: 12'Sign-off for Planning(include notes from planning review) Route Application Documents: R-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. LI/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: S7g1 — Date: /ZI/ , Engineering Review Slope at building pad: _If ❑ 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 /Approov,J by ngineeriDate: Notes: G �'��iie5 C o Ze-- i•Pi.." -4J•e.ledi.'"a per-nrW Approved by Engineering: �,l�cP Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: 'es I=1 N/A Tigard Trans SDC: ;21'Yes ❑ N/A Parks SDC: / Yes ❑ N/A OK to Issue Permit - Approved by Permit Coordinator: / 1 Date: W2�` 7' I:\Building\Forms\B1dgPermitRvw_RES_012116.docx ti City of Tigard III II COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: "S 7;20/6 .-" k2 .2 Site Address: I-c)7 v S t,.J 8 i SC }Z - Project Name: 1:)o o ,rec -terra, ck. Lot #: I a u (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?-Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: )'j.7 °/o 3. Entrances:At least one entrance must meet both of the following standards: ElMax. 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: 1 Yes ❑ No If yes, all the following apply: Li 25 sq.ft.min. ❑ One street facing entry Ei 12 ft.max. roof above floor of porch 6/5 ft. depth min. X30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: K.Covered porch min. 5 ft.wide x 5 ft. deep Pnecessed 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 offset min. of 2 ft. ❑ Roof shingles either tile or wood NJ'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 ❑ Window trim min. 2'/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. /\.17A - al(e-.. ( o CA-A -ems 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. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street façade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: CAI/24 . a Date: Cv -as -I I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx G � /R0 w Building Permit Application e/ /(e, RF ` 0 City of Tigard /.23/j� - tNf s�.2o, ," 'O S 13 ne SW 0Ball 814 9 Tigard,503.598.1960 OR 97223JUN 2 2 2 016 P icvicw other Pe 6 .a711� �c/Pv2oi6d� /S r Inspection Line: 501639.4175 C ITY OF iI GARD N�otiSRe e= : t 6 e 2 for Su ectallnfe information www.tigard-or.gov BUILDING nI n ► ?�G `r' ; -r-rf ° rret `..=`; ie`rY � S i 7 b _�- t t � ?w . Y� � r,5 Y_}... 3 x, J EA ®New construction �D Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other. equipment,materials,labor,overhead,and the profit for the work indicated on this application. s �_.,.,.�5 �l l-and 2-family dwelling 0 Commercial mdustrial Valuation: $229,539 ❑Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: 3 Total number of floors: 2 Job site address: fl 210 5v ) e fir Lej u se • Now dwelling area 1858 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 437 square feet SuitelbldgJapt.no.: I Project name:Polygon at West River Ter Covered porch area: 7 it; square feet/049 Cross street/directions to job site: Deck area: square feet g foc-) Other structure area: square feet . t Subdivision:Polygon at West River Terrace ( Lot no.: j D Pennit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the F ! d s YUP 'fi '' 4 work indicated on this application. Existing building area: square feet New building area: square feet r c �� „ ts ., Ef F L r ry 1`; Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: i f - � Lmr ' w -1- a ) e '17-‘3 Tr-I:,. Business name:Polygon WLH,LLC Structural pian review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) rj 1 . � t Email Angela.Grajewslu(g,polygonhomescoin Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fore department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 ��/� Total fee due upon application: $201.60 Authorized signature: �f „,,/ 1� :(/V VA r This permit application expires if a permit is not obtained Q`„ within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date• Ai/70la *Pee methodology set by Tri-County Building Industry Service Board. 1:1Buiiding\Pemuits\BUP-RESPen nitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ED Mechanical Permit Applicati IV loll r>l rl( r_ l 5L 0\L1 City of TigardReceived JUN 2 2 2016 Datear. Permit No piST /F,-rX�.2 t 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.196 Other Permit: ,�R U Inspection Line: 503.639.4175 l F O F•1$ d '9 D!Ready/By: BI See Page 2 for Internet: www.tigard-or.gov B U t LO €�r 1 S 103 1 Not dFs7Mdbod: Iii. Suppkmeatel information r s a ?. �'."7,:, xro U �..dam tii�<�}�T-.3,�V f8 Ct �r ^9 t, i�.ki -[�s'�i „_ .,,, ,.y , � .. .,. :u.� ,r . ,vtcl.�'<).'1''''''",;.5-1`,-.'i'-':,-;.'"'-''':-'- .' k ., Mechanical permit fees;arc based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value' ` ..yr frt1,dmf Si'etr,L.: P,Ix t...--LI -....,...2,...1. f s ? k ' � fi.. w.._.._ti �..!?., <z�_� �.._..�.....� _...._,w., -,5•14',-.4.:.,..._..,..� ._._�.,,��_._>*�_...___.. a"'h. f._ret � ,,,. .,,,,,,,-1.t,_.,_,_,,,, ,,,,,,..,,,,'� v_,._...,,,,,./,,,„,,,,,I,,,,.„..,__ ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal inforntarion use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. [ Ea. I Total , r �'�':'s, R '� 1leating/eoohng: �.7�,, ._� �,c.. -r. ..�;: ,., �,. __ � > .>k.._ ... <as Air conditioning 46.75 , Job site address: 1-7 230 SW Jean Louise Road Furnace 100,000 BTU(ducts/vats) j 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: I Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or lrydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 -� Other: 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: / t1) Other fact appliances: Tax map/parcel no.: Water heater23.32 fireplaee/inset 3339 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3339 , Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other 2332 IMI:-.1 ' ''',.7.:4.'-I--: ` �. __7,=;f'',4 -;,.1_7:,.....-._ll' ' °___-:".1 z -- - '--,4 Environmental exhaust and ventilation: - Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax( ) Attiderawispace fans 23.32 P a23.32 Other: ...,, _ Fuel piping: Business name:William Lyon Homes,Inc. 514.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Oas heat Pump Address:109 East 13th Street Wal/suspended/unit heater , City/State/ZIP:Vancouver,WA 98660 Water heater , Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range _ E-mail:Angela.Grajewski@polygonhomes.com Barbecue , k ,` r z„s` ', Clothes dryer(gas) Business name:Apex Air LLC Address:18004 NE 72"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE .- This permit application expires if a permit is not obtained within 180 k-4: days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: A _ (irtu Slii Date: b rlBuiiding1Petmits\MEC040113dec462/CO M/WEB) ' _ EVE Electrical Permit Application 1 o OFFICE ti SE O\I,1 City of Tigard JUN 2 2 ?.(115 Received ?emit 1 j 13125 SW Hall Blvd.,Tigard,OR 972.)411„1„..,„ rl, Platersl7/gyp // (sr S� Phone: 503.7182439 Fate 503.59 . i 1 u r 1 11,,71An t.8 Data, 1=21111 II u .t,D insPedkni Line:Internet: www.tlgard-o gov'S B ti l..DI 'sG. MOO s,otWeDawad nd ' : _ : ,:r:..c `Ls:�.lra�U.t'1n'ril,.f.. ..7i rtx,V-,c ,;v: a �. 'h �'R+c:c� qR ;°v'. <' ,.,-Y',,, 7,,,,,7: .1 Now construction ❑Addition/alteration/replacement please check all that apply(submit i sets apt=w/items checked): Demolition D Other: l7 Service or feeder 400 amps or mora ❑Betiding over terse strides. 0whore the available faith current El Marian and boatyards. s3 '.. '-'2,',.''''C'''t .. -9,t3_l=set ' X4:,',11).1`-0:P tC3.436-) '-''.%':.`, =seeds 10,000 amps at 150 vols or 0Floating Weans. ®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to Sroana,arexceeds 14,000 0 Commerchi-uta agricultural amps for all other installations. butldiegn ❑Multi-family ❑Master bulkier 0 Other: O Fire pump. O lamallation of 150 KVA or snr.,;q , 1:k4v7je{ ` o_.Za0ck, Fri beside,,1 io. 1.51''cr:;t - `, F igy 0Emergency system. larger saparatetyderived syst Job#: I Job site address: 17270 3w pan LO W5e�A �Kp moo.0 Additive anewmotor lanai of 0 p1.r,"1-2-, a' City/State/ZIP:Tigard,OR 97224 0Six masons residential units. omusenor. n ElHeaith ere facilities. LIam:matioel vehicle parks, SuitelbldgJapt#: I Project name:Polygon at West River Ter Ofiazaraons locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 vole nominal. Cross street/directions to job site: }. ^:e x 631.- 7! ) 44' C'j s Dasalptioe Each lbni New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: /9.0 Includes attached garage. areal#: 1,000 sq.R or less j 168.54 4 Tax map/parcel Ea add'I 500 sq.it.or perdue 3 33.92 I n5, ..:3,-;1,---- ' �,tr)'�e�'zt v{?A{.-at, � _;3v.. "----,--- -,',-":5-,"'---71"--':-4-' :'' Limited energy,residential (with above sq.ftp 1 75.00 2 Limited energy,multi-family 76.00 2 residential(with above sq.ft.) 1:3 See , _ •. .0 . . ,.. r-- ., -,. ,,., Renewable P :I �1_ r_j_i '�3r }e. t r,, = -,, < ._: _„J0 * -,- s z ' Services esaorfeedersalteration,iostaltation, and/o rrelocszon Name:ADVL Land Holdings,LLC 200 amps or las 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 • 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that J own which is not 200 amps or Less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08 2 Owner signature Date 401 amps to 599 amps 168.54 2 i r !";' Sv 1 ` ,'��3 1'4,,X.9_r_.., t'-1. Branch eit'eulta 7117,nel ,.,i;:,, : . ,.. A Pee for brerldt ebeai>B wtdulteiradron,or extension,Per pan Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each bunch circuit Contact name:Angela Grajewsld B.Fee for branch maws wWioid service or feeder Address:109 East 13th Street b 1e fast 56.18 2 City/State/ZIP:Vancouver,WA 98660 Bach add'I branch circuit 7.42 2 Miscellaneous(service or'feeder not included) _ Phone:(360)695-7700 . ' I Fax::(360)693-4442 Each manufactured or modular dwelling.service and/or feeder 67.84 2 Email:Angela.Grajewski@polygonhotnes.cont Rommel67.84 2 ' `; ��` c ,)4. Y r ' :�:s. Ptm�orirtfgatiancfrnlc 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 4,,,: Signal ciratit(s)or 11mimd-energy Address:6101 NE St Johns Rd panel,alteration,or extern st. ©See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) investigation(I hr min) 90.00/hr Emaii:bdauielta�gweusa.Com Industrial plant(1 hr min) • 78.18/br Inspections for which no fee is 90.40/k CCE Lie.: C1158 Electrical Lic.: 208174 Suprv.Lit: 44965listed CA hr _ .. , `- ,. .1:'„-,i t+.b.( C,IT-7,A;a tt y -cr'+ c Supra.Electrician signature,required: ',p(.A s' iT * •• Subtotal. Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State sure barge(12%of permit fee): -: '•-'.. Authorized signature: - y TOTAL PERMIT FEE. Vs;.' This permit application expires if a permit is net obtained within 180 :'r:.., Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. alt`;""` Number of inspections eliowed per permit • snap .... . :: ::::: _;±:;..,,;:;:z.'caaaeanniatC rermttenv_stA ettsaeK Rev elarisnou 440•46157i11ro5Jalr4raBa ,rdµ ` • 5.. ;it k Plumbing Permit Anon , , , F IF 1,--v, B � � ui ding Jixtttres I O it Of I 11 I. i <F. (I\1_,5 City of Tigard I U N 2 9 L 01 set>s�irca; .: III 't 13125 SW Ha l Blvd Tigardk.(�) . ill - t'amit Nu: 4. gfl X03 �`` a 3 ..#4' nai a�;�w R Phone: 503.7182439 FaR: �� t i Qt_ Permit No.: Inspection Line 503.634 41 3 ; i i.!,' 1,..; r; a 1 e p. • t r S t?eto IuadyluY" ,w;r >a see reef for Internet www hgard-orgov Nonried/Method ser plemeatai information 4� TYPE aif. _ x !: t err + d �s., Neiyconstniction� .0 Demolition Foraipectal3itjoriirlonForiase t . _ ... . - .' Description _.... ,I.-.Qty. 'I Ea: I Total Additionlallertition ieplticernerit-. ii Other New Ir 2-family dwellings(includes)00"R'for each utility codon),i r //�yyy i � _ SFR(1)bath - 312,70 ''` _pili . •- �,..•- . I�t:I N.:'-'**q'7 ..-._ l - _. -u- - , SFR(2)bath 437.78 and•2 i'amrly:dwelling, IDCommerctaYiindustrial ._ -_ , ,_ _. y 'SFR t3)bath _ .500.32';; U Accessory building .0 Multi famil y _._. .. • :' Each • addrtinrral!rah/kitchen 25.02 ❑Master builder • ©other £ _ w r Fire sprmkier°��c—+S9•i1) ��2 �t f4 k i' Site'utilities:, Job site atlittsss:? 7 Catch basil or area drain18.76.;. City/StateILIP: - '� l 'Kell,leach line,or trench drain 18.76 Q4 Footing drain(no linear ft,: Page 2 Suite/bldg1apt.no:: jest name: . Mamitaitured home utilities. 50.03 i ,Cross streetfdirections�toManholes job site: . 18.76 • Rain drain connector 18.76 _ • - Sanitary sewer(pm linear R.:--__•) , . Page 2 • - Storitiscwa(no.linear R.: ). . .Page 2. Wateservice(no _ Subdivi r n' . ib Fixture or nein:•d -. _ . . inearlG� Page2 t Baektl w.prpventer . 31.27 : . - i INV tnaplpar l no w -4l -:� � - Backwater valve- .. • 12.51 s Clothes washy 25:02 Dishwasher 25.02, t7inkmg fo 25`02 —T : • J E 25:02 c s:'t •r4tJr;yr\ 'a t e�Y•urYr..'..,s -e E%pansioq,7ank4 I251 •. Nerite'. ,I Fitt. sewer,cap .25.02.. .. 't l •�� • Floor drain/floor-Sink/hub • 25.02 Address: 1/ b i ` �, J 1 .�, Gar. dispasah 25.02 Cily/StatelZttif ( I . l j /ST) Hose bib ... .25.02•' . ... 11.i_611457).(/ ti—. a Fax( ) Tce sinker - _ 12:51 ,1 t s g t� ,fit. ;i 9 s _'^ Inst. torl $ 25.02' x ,r, r F+r ...�P . x, �/t!�Y —.---7,edical sass{vahre:S• ) Page 2 Busbies§tram _l If a _ D.l`1_ .t s /C i.l r• .. . - 1 Primer - . ._. _. . _ . . 12.SJ: . . i' t ontagt hanke-' . .. .7a/ - Z $I . / . . - • RoPfd .(«tmmer_pial): _ 12,51 . Address:/0 g j _ 5' _ • _Sink/b' avatory. .. :25.02 . CityIStateIZ(P: a �u,�-e,/ w • 96,&•01 Q _ 5oiar unite(potable water). 62.54 : Phbtiet( 1.(/ ... --7 . 0 Fax::(,, ati_~7:�-� 4/r-/7 ! Tub/show hihower:.• __ u ,_- - 12.51 : .._ E marl r • - fetiy/il f ..!_,A,.._..,.., >, ii f I in 14' .i►e y: 2502 � Watdt cloret' 25.02. rr 4.---!:.,Z13..:,.''.>'.Pe •.„,,,::41.,.. .,..:;..,,.,..,...,_� ' : :.r ..,. :r A .'.„-.f Water hexer 3752 _ , Y�i� • • Vl �i�f L . T .. Wa) PiPiD1Yv. 56.2Q . - . Addrtsst �",� i .�+ Ocher - 23,0E __ City/State/11P : i / E ; 6 ._ _ -. •SabioUtf, Phdtie ) A +�+ Fax +a inmim permit fee .. - a Plan e;vlew(25%of perm lbe) CCB Lie:; ;; =Plumbing Lic,um;pit, :Z,, -_ ' t Sal$seri charge(12%ofpe_ fx. Auttibnred sig naturcP p $ TOTAL PERMIT FEE L..1s :A,-. ' 1.[tL:� ` ` Date'2 1- T 'P it.ap'pliiaiionriiiires# itunotobtainedntthin180days, Prigt raise:' / i i•; . �•.: .Merit has been accepted as complete.. "Fa methodoiogy'set by Ti Cowrry'8inlding Indaury.Servlet Board iABuilditnWerminssWLMU-rmaaApp.dot IOOiOi MO-46t6r(i0N2ACOM/ B) 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 17270 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final FAIL November 15, 2016 at 3:11:55 PM MST2016-00265 David Young Gas fireplace not set up. Not ready for inspection, work not complete. No inspection done at this time. 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 17270 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final FAIL November 15, 2016 at 3:14:08 PM MST2016-00265 David Young Remove all smoke detector covers for testing. Not ready for inspection at this time. Violation Summary: Inspector Contractor