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Permit (26) CITY OF TIGARD *- :.,11' ., •4 MASTER PERMIT r ,. 12 COMMUNITY DEVELOPMENT /r/0 ,o144 Permit#: MST2016-00295 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2016 Parcel: 2S106DC12400 Jurisdiction: Tigard Site address: 17186 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 124 Project: Polygon at West River Terrace, Lot 124 Project Description: New SF. 11/17/2016: 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: 10 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $230,254.22 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 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: 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'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 Ecompasing: Y Other: N Other Description: 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 2 Fire Rated Eaves Required SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,893.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1 -55:-I2-276,-/-‘------ Permittee Signature: j/f/ /,-/7/L /e4=770 Ai 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 Applies EVE'" rt>lt(,, l �t 1_ [ '.1 ().1., I City of Tigard R ://1/�/(� 0111 '„‘ No.U z 1 ,- - I 'd(' --- 13125 SW Hall Blvd.,Tigard,OR 97223 m rt V V 7 u 1 uPlay E Phone: 303.7182439 Fax: 503.598.1960 li Other Permit x 1)ateBy: 1 t t, Inspection Line:303.639.4175 �'p�� Intent= www.tigard-or.gov ' sy � l Ai 14 Date r S ppl teatat Informs01 See Page 2 for i on II r Z.:cO�CCIAL TEE*. D:11LE , ti ns ' Mechanical permit fees are based on the value of the work New construction 0 Addition/alteration/replacement I performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other I mechanical materials,equipment,..labor.Overhead,and profit: X5. i : . ' mss , .40SI1 tt,~I row 4ENTANS.0,:.}400241X-4 ❑I-and 2-family dwelling 0 CommercialPmdustrial 0 Accessory building For specialinformation use ch lief ®Multi-family 0 Master builder 0 Other: Description City. Ea. Total , ,i - '1,!a1; AT ? ; #TQAAiconditioning 1. i 46:75Job site addres1 1.1 )3(..p Cv\' Tao wc p. vd. Furnace 100.000 BTU(duel/vents 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTt1(ducisNeats) s 54.91 Heat purnp i 61.06 Suite/bldg./apt.,no_: Project name:Polygon at West River TerDuct wail: i 2332 Cross street/directions to job site: Hydronic hot water system Residential boiler(radiator or hydropic) r23.32 Unit heaters(fuel-type,not electric), i in-wall,in-duct,suspended,etc. Flue/vent for any of above 4 23.32 Subdivision Polygon • Other: i 2332 ygon at West River Tertrace Lot no.:,2(...` Other fuel app[ianm; Tax map/place!no.: Water hater23 32 itR3Y CiC1I\ O 1VU12Is as fireplaceiinsert 33,39 G £ Flue vent for water heater or:sas J'DU AIC, 6 ,,1ace i 2332 Log lighter igas) 1 2332 Wood/pellet stove ! 3339 Wood fireplace/insert - i 23.32 Ch'. Ainerlflue/vcnt k 2332 i 2332 V. n® F,, s*3% ,.^- ' Environmental nmental exhaust andventilation*., Name:ADVL Land Holdings,LLC Range hood/other kitchen i Address:7600 E Doubletree Ranch Road n ,--i, 33.39 a Clothes d 'er exhaust t 33.39 IIIIIIII City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, = toilet compartments,utility rooms) 2332 Phone:(602)694.4034 1 Fax:( ) Attielcrawispace fans 2332 jt C , , . <i> . D44cO ACr';•?*41444.-::: Other, , 2332 Business name:William Lyon Homes,int. Foci piping: 513.15 for first four;$4.03 for each additional Contact name:Angela Gra jewski Furnace.etc. Gas heat pump i Address:109 East 13th Street Wall/sus a- unit heater # City/State/ZIP:Vancouver,WA 98660 Water heat er I Phone:(360)695.7700 l Fax::(360)693-4442 Fireplace I � Range E-mail: i Angela-Grajewsktoiygonhomes.com Barbecue Clothes dryer(ass): ., r ' .xco ` � i. y » Business a..a. Andersen Mechanical,Inc. /9-/06.--/ / Ott' 'c2/0 Address:162115'W 85"' , A /`l'f./�"3.j'T .; � : ..5 t �71 13. ! .5-7-e-- 4,9�-,27nbtotal City/State/ZIP:r,, ,,, OR 97224 89 7j-G a6;zdrzr,c/,C ,,, 9�4;,ey Minimum permit feel($90.00) Phone:(503)99.,,- J /':_3 ,,„,,Z�i!? Fax:(503)536-6615 Pian rcvicv(25°10 ofpe mit fee) w State surcharge(12%of permit fee) CCB lie.:1,:,14 i _9!>J'41..i/ TOTAL.PERM*TFEE This permit application expires ifs permit tt not obtained within 180 Authorizedsignature: days after It has been accepted a complete. Fee Methodology set by Tri-Corney liuildinn Industry Service Board Print namm Angela Grajewaki Date:8/22/16 IABuildrePer its C_PerndvApp_040€134oe 4,40-4613T(1 t.cJcowwaa) I CITY OF TIGARD s COM MASTER PERMIT COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: MST2016-00295 Date Issued: 07/26/2016 Site address: 17186 SW JEAN LOUISE RD Parcel: 2S106DC12400 Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 124 Lot' 124 Project Description: New SF BUILDING 10 Smoke Floor Areas Stories: 2 Bedrooms: 4 First: 809 sf Require dicks _ Height 25 Bathrooms: 3 Basement: 0 sf Re_ irk Dwelling Units: 1 Second: 1049 sf Left: 3 Parking Spaces: 0 Garage: 437 sf Front: Third: 0 sf Total: 1858 sf Right: 3 Detectors: Yes Value: $230,254.22 Rear: 10 inks: 1 Water losets: 3 PLUMBING Washing Mach: 1 Laundry Trays: 0 Lavatories: 5 Dishwashers: 1 Rain Drain: 1 Tubs/Showers: 3 Floor Drains: 0 Sewer Lines: 100 Urinals: 0 Garbage Disp: 1 Water Heaters: 1 SF Rain Footing Drain: 0 Water Lines: 100 Drains: 0 Storm Sewer: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: Fuel _ Tvoes MECHANICAL — Air Conditioning: N Natural Gas Vent Fans: 4 Clothes Dryers: 1 Heat Pump: N Furn<100K: 1 Hoods: 1 Other Units: 0 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 Residential ELECTRICAL Service Feeder 1sid sf al less: 1 —� —Temo Srvc/Feeders 0-200 amp: p Branch Circuits Ea 0 sf r l sf: 3 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 Other: N Other Description: Vaccuum System: N Garage Opener: N All Ecompasing: Y Class of Work: BUILDING INFO Type of Use: Type of Constr: Occupancy Group: Owner: Square Feet: NEW SF VB Contractor: R-3 1888 ADLV LAND HOLDINGS LLC ADL EAST DOUBLETREE RANCH WILLIAM LYON HOMES INC Required Items and Reports(Conditions) RD,STE 109E 13TH STREET 1 Ersn Cntrl 503-639-4175 SCOTTSDALE,AZ 85258 VANCOUVER,WA 98660 2 Fire Rated Eaves Required PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,493.97 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is sus days. ATTENTION: Oregon law requires you to follow the rules adopted byPP cable law. All work will 952-001-0010 through ••- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.ended for more the 180 )J the Oregon Utility Notification Center. Those rules are set Forth in OAR Issued By: � �, / /� iftee Call 503.639.4175 by 7:00 a.m.for he next available inspection dre: ate. iV t rc' .:j-�� /,V This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , . , Lai /. y Building Permit Applications ' `, is I , g L! / ' !t ,. i ,i 1 OR OFFI( 1 t Sl;O\1.1 of Tigard �'.` zta va >.. City ga e7 /9 /4 0. 'emit Na.:/` j r.?v/4, —et) .rc i 13125 SW Hail Blvd.,Tigard,OR 97223 Plan Rey ew Phone: 503.7182439 Fax: 503.59$.1960 e/By 7 0-� Other Per o it jt,/�1�2/f j (�� "�i T 1 C;:I.i) Inspection Line: 503.639.4175 -Date Resdy/By: / reds. 0 See Page 2 for Internet: www_tigard-or.gov Notified/Method. /(D Supplemental information 9 ' G / :''r,i y �.. 1 t ""s :it xf ytz,:lEr ° i 3W a^ •-r- '- a 7 i`- ," :- t- ,.,'i. i�_>4_. .,_._ F.,t..._...,.. ,,...x.,-''l'R�.,l�_�...-,,!t"4.d.i. ;r,..'�`.i :.'...V.:',..::z .....,..�ti�,,.,. .`r7.t.__�.:..._ t, ..e ,,,,. �'�s e tr.�.fns F. S}F{•I ', n" f965,,t �: F..(.�. fig f it ®New construction ❑Demolition Permit fees*are based on the value of the work performed.' ❑Addition/alteration/replacement 0 Other Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the .,. .„‘.2.,,;:::::,'.e.:.,-'1..'-4,..:y.:!,-L-'-',..M.'`� ,te.._r'a,. .w� i 0z, ;t? ,. wr I r - work indicated on this apphcatton. ` .._:. _-}. .om, fn Y:If 4. .... ,.1-‘,. - valuation: $3290$ 3 I'M ® 1-and 2-family dwelling ❑CommerciaUutdust ial ,)! ❑Accessory building ❑Multi-family Number of bedrooms: 4 ❑Master builder 0 Other: Number of bathrooms: 3 . -,..,:l-, . M1 ;r7.--1:,-4,-;R:',--.7 � F..6� ° r Total number of floos �aJ�!r ?i �r „1---,}. r ttEir t_ t Job site address: f r tD 51 N1 ` f A s...tX.t.l Se. L1 New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 437 square feet Suite/bldg./apt.no.: Project name:Polygon at West River Ter Covered porch area: q3-. Y.square feet I O U.q. Cross street/directions to job site: Deck area: square feet 8 0 9 Other structure area: square feet Subdivision:Polygon at West River Terrace Lot no.: 4 Permit fees*are based lon 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 5 , 4 F ` '''r work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ," t r ,..r.' 1f 1.'''1,'....,..1.-t Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 B Doubletree RanchRoad Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Exist: Phone:(602)694-4031 EZINE.11111111111111111111111111111 New: r s f F F..:--;:-T---'::::::‘;•"7:;*;: ', F} .,-rsl.: + ' , Business name:Polygon WLR,LLC _,._..w.. Structural plan review fee(or deposit): Contact name:Angela Grajewski Address:109 East 136 Street FLS plan review fee(if applicable): City/Stt /Z1P:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-77110 'motet E-mail:Angela.Grajewski .polygonhomes.com r ,5 ' Commercial and residential prescriptive installation of �..,,..t_. ... ___W' _._ , J. _-�t� ... ..�.,,. _ j,._ ,.,,.. roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire 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)6934442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature: L/C/7 i4 U- ��' 4 /21%t/i/cJY4+ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: *Fee methodology set by Tri-County Building Industry �laft/i6 Service Board. I:1Buiiding\Perniits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 t Mechanical Permit Application} 11111111111111111111111111111111111111111111111 74 City of Tigard ReceivedPermit Nf6 y0-0°4,21513125 SW Hall Blvd.,Tigard OR 97223 Play Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 r ter, • Date/By: Imine El See page 2 for ,,i Inspection Line: 503.639.4175 1 y/ST El Pen 2 Information Internet: www.tigard-or.gov Notified/Metbod: r f $ S t 1 -�-P,.F �'rE' ,:.'ii.---f:'... ._„_�..,..ii..s.... _ a 1;A,1.4 # ' ' 1 t J fl r slue of the work ..A. ;'. ..a .'': - a-,. .,J.. '' . �Mechanical permit fees*are based onthe v performed.Indicate the value(rounded to the nearest dollar)of all ®Demo it o construction 0 Other n/alterationlreplat:ement echanical materials,equipment,labor,overhead,and profit ❑Demolition ❑Other Value S ..,♦ 7 r i• n..'„."'-F",, 7f -,'T'`�1- r., € .-v-ilk• _. v. ,_:d:t.. ._— __. .,, .__ . �. ... 3 a x FSE r iIE .. :,.,.. :).::::''..„1,-4..",t7,,,,.',-,1,2r-L,-2'• ,.,. .. .. _.E1`- Yr._ 2 . ® � 1-and 2-family dwelling ` 0 Commercial/industrial special information use checklistindustrial ❑Accessory building Description ( Qty. 11 Ea.. I Total o Multifamily 0 Master builder 0 Other: FY Heatipp/cooli o `' ,,t . .,.,Nt{i.' "iKKa.,,-.1-;','-.,k:_,.�• .Ni.t E:„fir r4.,,.,.;,�.,�z.,1' '7::'-',....,:•,T„. Air conditionin 46.75 _ _. � 11(86 SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) ) 46.75 Job site address: 54.91 Furnace 100,000+BTU(ducts/vents) City/State/ZIY: Tigard,OR 97224 Heat pump 61.06 Suite/bldg./apt no.: I Project name:Polygon at West River Ter Ductwork23.32 Hydronic hot water system 23.32 Cross street/directions to job site: 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 I ?/"/ � Other 23.32 Subdivision:Polygon at West River Terrrace I Lot 1' Other fuel appliances: ap/ Water heater 23.32 Tax In:-"7- :cel no.: i t E, 1 Gas f replace/insert 33.39 �.:._._. _ Fl fireplace en water heater or gas 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplacemsert 2332 Chimney/liner/flue/vent 23.32 Other 23.32 , 9} :24:1- 'R r ` _;,-_`' ...,. >,._ Environmental exhaust and ventilation: Range hood/other kitchen Name:ADVL Land Holdings,LLC equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP:Scottsdale,AZ 85258 toilet compartments,utility rooms) 23.32 Attic/rawlspace fans 23.32 Phone:(602)694-4031 Fax:( ) Other: 2332 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/StatefZ1P:Vancouver,WA 98660 Water heater I Fax::(360)6934442 Fireplace Phone:(360)695-7700 Range E-mail:Angela,Grajewskilgpolygonhomes.t om Barbecue Clothes dryer(gas) Oth Business name:Apex Air LLC ,.,n.. .. ., _... �.I. ,..!' ::-_f _ S E(iz t ins T. ,,1 ... ,.,r't,,. Subtotal Address:18004 NE 72nd Ave Minimum permit fee($90.00)btota City/State/ZIP:'Vanconver,WA 98686 Minimum review(25%of permit fee) Phone:(360)342-8109 i Fax:(360)3264769 State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lie.:203034 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: I ��'64- ` Fee methodology set by Tri-County Building Industry Service Board I Print name: A ROA. (1rn AR)SYi( I Date: 4141 b I:tHuilding\1'amilsudEC PA_ 040113.doc 44 177(1 /02/OOMPiEB) i ,1 � 6'('!l2 UI'EICI'_list,a\L1` Electrical Permit Applin;anion ',omity�ST � iG, 0/a,....5'O ` Received City (Tigard unions 13125 SW Hall Blvd.,Tigard,OR 972 3 Date/ftPlan Review .' Phone; 503.718.2439 Fax: 503.598.1960 Beady Date/By: ®sae 14age 2 for Inspection Line: 503.639.4175 DaMOM Supplemental Page Ioformatloa T]G r,lD Tutamen wtvw tlgard-or gpv a�a:t >>_: ti—• a� 'al, zw=exr �-: - 2 x 'n ?;.`. -! c<=c:;-":;.ti o-. i^ r.�l a� a.�vir c a ..-9'---,5i..."'is El New construction 0 Addition/alteration/replacement tion/teplacemPat Please chock all that apply(submit 2 acts of plass W/toKs checked): - D Service or feeder 400 amps or more CI BaOd+ng over tares deities ❑Demolition 0 Other: where the available faboatyards. Y exceeds 10,000 amps at 1 s volts ex Q Plotting buildings. ' u H: '+el/ ✓��,.i�>,�al4�f�74�'u � .�C+l�(�5 ....; s �' ,.f ,� �A�" � � .... s�Lr '"� 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building lean to ground„or exceeds 14,000 ❑Commercial-use egrlcaaltnrat amps For allotter installations. • 14'54. ❑Mrdli fmily El Master builder ❑Other: El Fire Da of 150 cvs OT ck 'k�eta" fi{; 8-1.6:b' ta.e.? � `y r }e tire� ir ,a " smerywm geperatctyderived 0Addition ofnerumor load of system- !ob#: Job site address: /QJ o n LO 10011P or mom. C "A",`E"," 1.2-," 1'3". 0 Six or more residential unite m;cl'pe'cy. City/State/ZIP:Tigard,OR 97224 D licaUlfroarefacies. DReatsonal vehicle parks. than SultclbldgJapL#' 1 Project name:Polygon at West River Ter Hazardous locations 0 Supply volahaMOTS 0 Service atdea 600 amps or more. 600 normal Cross street/directions to job site: e z irdan - • Qty. ]tach Taal Neww residential single-or multi-family dwelling unit. -1 Lot 0: /t,i/ Iadndesattachedgarage. Subdivision:Polygon at West River Terrrace / "� 1.000 sq.ft.or less I 168.54 4 Tax cel#: Ea.add'l 500 sq.ft.or portion 3 33.92 12 Limited energy,sir 75.00 Lbnited energy,multi It miry 75.00 2 residential(with above sq.ttt) Renewable Energy See Page 2 . '.- 1 e ` mak, -., { - `;-. 0.4 `3= _=._;_. ...c" Services or feeders installation,alteration,and/or relocation _u;...�-Vii._. ._.-: - L__.�. -._.._:.�. _��,.,...._..r, ., ...._< a__ - 200atnpSOTIf� 100.70 2 Name:ADVL Land Holdings,LLC 201 amps to 400 an 133.56 2 • Address:7600 E Doubletree Ranch Road 401 amps to 600 amps _ , 20034 2 601 amps to 100 Damps 301.04 2 City/StatefrIP:Scottsdale,AZ 85258 Over 1,000 amps or volts 55226 2 Phone (602)694-4031Fax:( ) Temporary services or feeders installadon,alteration,and/or relocation Email: .. 200 at»�or Zeas 59.36 1 Owner installation:This installation is being made on property that!own which is not159.36 2 for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701, 201 ampsto 400 amps 128.08 ( 2 intended sDale: 401 amps to 599 amps Owner signature. :....-,-,-•., i '' 'i y V2''''' : w:�''`''..: :_.'- -r y"" '--'� ,.T,'`-` -_ A. broach alteration, tl`Orl,OreYleUaiPry Panel t :' �'''''"'-'4'.'?' above service or feeder far, 7.42 2 Business name:WilliamLyoa Sones,inc each bawls circuit E B.Pee for branch circuits without Contact anile Angela Grajewski service or feeder lbs,fast 56.18 2 Address:109 East 13th Street branch climb . City/State/ZIP:Vancouver,WA 98660 Each add']branch circuit 7.42 2Miscellaneous(service or feeder not Included) 1 Fax::(360)693-4442 Each clued or modular 67.84 2 Phone:(360)695 7700 dwelling,service and/or finder ahomes.cona Reconnect only 67.84 2 Email:Angels.Grajerraki(dpalygo circle 67.84 2 "- A. cc -1 c,Ye r ., a ,-r pump orirri8ation _ pry' �,;'. ) .... -. i'...".-:‘,"�'- �- ,. �„ $ignorotnlinel'rghtiog 67.84 2 Business name:Garner Electric Washington,LLC Sei chalks)or limited-enem panel,alteration,or extension. 0 See Page 2 2 ,..: Address:6101 NE St Johns Rd Each additional inspection over allowable in any of the above City/State/72P:Vancouver WA 98661 Additional inspection(1 hr min) 66.2.5/hr Phone:(253) 1 Fax:( ) Investigation(1 hr min) 90.00/br 328->b57 Industrial plant(1 hr min) 78.I8/la Entail:hdaaie)s@gweusa.eom Inspections for which no fee is 90.00/iv instal 41'7'14 CCB tic.: C1158 EIectt lent Lic.: 208174 Stiprv.Lica: 4496S .5 a., •te; rr,^a ,°y'.0�Nrr ;Z:'---?:::-' .._.? Subtotal: Snprv.Electrician signature,required:Italy—7— &A±'... , • 0 Plan Review Required(25%of permit subtotal: Albert Date: 4/26l2016 State surcharge(12%of permit fee): "" Print name: Joan P ' _..-- TOTAL PERMIT FEE: i.lp '; -- pais permit application expires if a parental not obtained within 180 •.. Authorized signature: i ted IS eon anG• •::,.::,..;s Date: 4/26/2016 i days after a has been aceep P1 Print name: Bill Daniels • Number of iaapeotions allowed Per pe e�-`.;.,,,1:CI Rey 06017/2015 440oisTuvost ',tL':5='�L:�aOdieglYermttslHr,C AamihAPP_1R.R •d00 ega at , * ;.,-"'"•*•''' - -), ;.,,, 4'., .t ...ir - ... ._ - . _._ .. . ... •-•--- _ .. Building Fixtures _ _ NJP, .2 9 2016 _..__ - -• .• - •• - .:. ..., .. • _ _ _ • „ c•ity9rTikarza:. itpeoival, • afili P'I9 14°/IS/ ._ iy fitssoxitatiorvd:,Tigard OR.F22.1ifitiTy kj -, ' .t:-,4:-...... : rip, 51,,,,,,, 'C4 • )1 • -••••• : gr . - ISIOite:103.11$2430 Fat 503.59g....1 , ,.,,,,,,,,-,.. 1:::•:,„.,r. c-J,„p•rvidergy: - .., .. - . :°lir lyclPlitIL,,,Nt.,7,7,zz • Inspection Line”: 503,1530.4171 3.:),,.. ,:.Li-3',;3.3"" : !----,-.,":,1,-3.1144.4idi,-14,:. , Joric 1 SS Set Niel for . .• 1 1'.."--!'1` hornet weictigard-angaY - rioririoghteiliiid: .. ..... • , :•Sonpiernitoret Information. ... „.,„__*,... .,.... .,..„.° •`--•'' ' ----"'"*''''''''';'"';''''..tare..'it.. .-4V_WViP7*-4X-7''--1 -.4 •W.gffl-n:W01^C:Atr`5,i ,t:0;1:1 i•-,It*, .1,4143_12'....*-;-*•-•.;- .7.7 ....-..:! 41.7„,,A7.i._n,•,...,*-F,..,:em.A., i,..:1--.........:.,1.,. ..#4 ......,72,7 ,, ,...i.c...,a-..-..t.. , ::-....,--...f.-,v: t.1-7.,.,-,_ ,s,...._:.7...-....,....f,....-.., ...F..--._yr,__,.,.•••_,-..,r, • —--- • -.••••. -• - 1 ..t..1 WV CO6Stra41 On' .., ,..... ! 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' . . . . - : Pywell,leackfineror trench drain , 18_76 = MN . .. .. . tooting drain(no.linear IL:. .J , Page 2 r ... . uiteibldg.tatil.so..: ... ... Project name • : Mentifeetured home Olities, 50.03 • 113,'M • . .Cross street/directions-4o lob site: • ..;. „Manholes . 4 • r . . . . ... .-. . Rain drain connector „ ._. . .. ... Sanitary owe!(po.littear ft.: •. . • • —i • Page 2 _ --- -- ,. • -- -' • • •- Storni”sciver-(n .finear.tt:_,..). . Pate 2., .... .,. _ - : 'WateCtervice(no.4ineat - _ i . Sttbdiv:isio,.nt lite - . . . I*J-0t no,:„ ,_ . - Fixture Or facia:.; . r • . • .', . • - tzg- Baeldlo-- %pre yenteT ., -, .. 1111*-- —- : • Tinf dirpipardet not ” 12.51. '''"--3-37-1 ,_,.._,-_,(..,„.-..._ :r.. 7.-rr.4,.. % - Beekasier.-aalve- y* ,,,,,,,,-_,„...1„, ..„,_.,,,,,.. .,,, ,i,_._.,„„4 , ,,,..... .-,,,,,... —.„...„,...-.; ,_, dig*kitsji„, _ . 25:02 .- : • -• • • - • . . _ _ ,_. _ .... — .. : -- .-...• .• . , 3- ChM :. :'. 01.. til phi.. 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S Ink/b: :bavatory_ , , . , . 25.02 .. . i • -,.., CitylStiterZIP: I i i _zti ...„ A tle . is,.i kg . ._. _ r'Solar.riniti(piitable water)_ ., _ -_. ._ . PhOtte: _ -1 11 — 4 i 1 /CI_ - Fax :(. ) . _ _...._r10_9 .3—Li/Ai? . ... Twaisbower/sh-owcpan . _-6122,35 50i41,.; ,. . I . . .. .. _ . . _ .. . . . . . _. f, t1,, -,k.-,--T,„-!.....,,i...-44,:414,..ituiln: ----: It . wstetd°5* - 25.02. . iaititigPi011ifipWv•_ .. , . . 235:602.52921::..,.. '• . • ;::-.4Vt..';';'-';';141 ..'::?..:.-....al..---A°...A..„.4.,,,,..",!...:.,t.!-..,;•-s*_;`,...,_,..1., r.-%•.;,..••Q-.4,7...4,r•,...,. ..„..,,,•-•_Ut....-;„,.,7-...., .,...,,,,,..., wino.heater , Business patiledri:1 c ... . . . 'a _ A 6;0.04 010i, LLC... _ .. _ _ tl Address I. if . '. " " e :.1.' '1, ' Cit4er; t- . _ .. . -i 11• :-: : • 1 . ..-,. ,A, / ''JI. , _ 3/04. 1 i •- - .-. • - , - . . ' • .Subtnial - C=311---ifliFif- - , . — — - - -- _ _Mittimiffn mut-.It-fPe:' 112.50 -Fal1t*.i$18:..4 ra :, ' • fs-- '. • .• ... . .... . • _.. Plea reifiew-125%Of Permit Ibe) , eCilLic, f % ' . -.,1),.: :Pluntbillg"Lle,no4 !i.1 I... , — .. . . -.. ... _,._ ......_ ,.. ..... - .,Sialciaia.chaigesill*orper_mit'fee) __ _, _'. l''' Ainiterizerl'-• gdat rite. - irr.Ptr.. ,,raf$4„1/a19',..4'1‘i-1 1•.' . ,...,.. ' _ __illiTOimTiAtiyL;iPwiEt RbbMthliinefdf Print _ i DgeTii:pertiftpwthi.n iftdays.,. .iitthiqt bo Won accepted*ownplete.. i . ._ _ . _ *Tee thethixiologysei by Tri-Coontyliiiiiding Induthy'Scrvia Bow lAnuildinglrennitiVIMIITomitApp.diic 10/01/0 440.4616T(181.07/COMIWEB) 1: i , City of Tigard ill I N COMMUNITY DEVELOPMENT DEPARTMENT i T I G A R D Building Permit Review — Residential Building Permit #: ./L/S770/6 oe 9 Site Address: /-?/ (a -S)zo ,�7 Lain' /d Project Name: �,� ,-,27I �JP� �/l�l" Lot #: /Q(Ne�dng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: A)ek) 8 Verify site address/suite#exists and active in permit stem. Wil River Terrace Neighborhood: CI No LJ Yes,See River Terrace Review Addendum Attached S i Plan Elements: liThree(3)copies of site plan U '°"sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper !G Footprint of new structure(includingdecks)with finished awn to scale(standard architect or engineer scale) poor elevations orth arrow ( tility locations (required for new,may,apply l y for additions) to address,project or subdivision name and lot number taication of wells/septic systems pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions plesign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and eet names [12iynpervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location roperty corner elevations(2 foot contour lines if more than tJisting trees to be retained with drip line,and tree 4 foot differential) protection measures oi''c:lean Water❑Servicespp-iliService Provider Lev(lot platted priorRecetoe 9/10/1995)ved : equired: yes,acant was notifiedNo i : CI Yes ❑ No Public Faciliti Improvement(PFI) Permit: Jequired: IC1 Yes,applicant was notified ❑ No Applied For: W 1'es ElNo,stop intake anUse Case#: A,(�, as oning: E- , P_ ULl Setbacks: Front f, Rear 3'( " SideStreet Side Garage / // 3 0/0 � L/Landscape Requirement: 7() fel . of Coverage Maximum: ei ) OA 10 wilding Height: Maximum Height g OA' Actual Height IrA/Visual Clearance Pi Easements ensitive Lands:AS ❑ Yes V(No Type Urban Forestry Plan ❑ Conditions "Met" nor to issuance of(building permit / Notes: C.1i2�'i i)i�P S'%2// 6e ' ;?D ISSiC Approved By Planning: ,- -s � Date: 9/.6 Revisions (after Building Submittal only) Reviewer D / Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1.•\Building\Forms\B1dgPennitRvw RES 012116.docx of *► Building Permit Submittal Original Submittal Date: //��(A' Site Plans: # 3 Building Plans: # 1 Building Permit#: ®''Enter building permit#above. Workflow Routing: [-"Planning Errngineering C 1 e trait Coordinator 2 Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ['Engineering: (1) copy of permit application, (1) site plan, (1)building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: d___eg'e4etail /_" _ , Engineering Review XSlop++++�� e at building pad: .... ❑ Conditions "Met"prior to issuance of building permit Cl 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 Cl No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approver by ngineering:� _ Date: Notes: - _,..„i�'' �.: r"�' 4i ...111 .„-- a s�_I1I' Approved by Engineering: tie4 Date: '��•�, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: oYes ❑ N/A K to Issue Permit Approved byPermit Coordinator: / ' / Date: /!& PP 1:\Building\Fonns\BldgPeimitRvw_RES_012116.docx t City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT II T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /i.c ,o6 60.2 9-5 Site Address: %9le(e; -S) s 1 u, /erk, Project Name: Pc: n /, ' 1s-er- 7--rfe2Lot #: /0"72 (New d g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrt6`t 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. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a y ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6f.wide Gabled dormer GI CI 17(14f6ie" 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: ,26 �/v 7 /Q E'7d •mo i 3. trances:At least one entrance must meet both of the fog standards: Max. 8 ft. setback from longe t street- facing wall Peel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If yds, all the following apply: sq.ft.min. 1i0ne street facing entry ft.max.roof above floor of porch 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: ❑fGovered porch min. 5 ft.wide x 5 ft. deep ❑ t -cessed entry area min. 5 ft.wide x 2 ft. deep )11Vall offset min . 16 inches f S 1� ormer min. 4 ft.wide"r l in Roof eave m . 12 inch projection:p-S' V.of offset min. of 2 ft.fS ❑ Roof shingles either tile or wood f/. Gable,hip or gambrel roof designf ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Ioorizontal lap siding min. 3-7 inches wide CIAccent siding min. 40%of street facade Window trim min. 2 '/2"wide by 5/8" deep f ❑ 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 •• • .es and Carports:May face the front or side l t line on a corner lot. Setbacks: No closer to front or si.e . 'I e than longest street-facing wall. ❑ - ill No. If No (Check one): ❑ May extend up to 5 ft.if there is a c.• - -4 front pore . . garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is ... o . - s-story building and there is a window at the second story above the garage that faces the stre- a min. area of 12 sq. . Width: (Check one) ❑ 12-fo• ....e garage door ❑ 40%max. of street facade 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: �- Date: in/ ,, I:\Building\Forms\B1dgPermitRvw RES RT 062216.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17186 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: No A/C installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: November 17, 2016 at 9:28:18 AM Record ID: MST2016-00295 Inspector: Mark VanDomelen Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17186 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: November 22, 2016 at 1:33:22 PM Record ID: MST2016-00295 Inspector: Don Sylvester Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17186 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00295 Inspector: Herb Stabenow Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17186 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Final erosion control approved. 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 builder. Violation Summary: Tel: 503.718.2439 Inspection Date: November 22, 2016 at 2:42:15 PM Record ID: MST2016-00295 Inspector: David Young Inspector Contractor