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Permit (27) iyi CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00294 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2016 Parcel: 2S 106DC 12300 Jurisdiction: Tigard Site address: 17210 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 123 Project: Polygon at West River Terrace, Lot 123 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $215,678.66 Rear: 3.5 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 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 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: 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: 2 201-400 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 1744 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 1 hour fire rated eaves are SCOTTSDALE,AZ 85258 - required PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,221.26 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 throu :OAR 01-0 90. 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: 6.7-.1e Permittee Signature: ,!,A/ 16776y/ (""0?-Y7 e Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , Building Permit Application 6 6)/ - Y/21//b R FOR OFFICE ISL OM 1 A City of Tigard 7 o /9` /ro < . .l(T /4, etialog --. r 13125 SW Hall Blvd.,Tigard,OR 9722 a Y: 4�� Fermis No �' Plan Review /e /Fj.Q 2 Phone: 503.7182439 Fax 503.598.1960 DateBey 7 .a1 - ) C OtherPerrai rtif 1( t, Inspection Line: 503.639,4175 Iternet www.tigard-or.gov od,7'& s• fu,is: S p�emental for —ir r}lZ— Z�re."- n ,..t �'. f4� ',--s.' k ... _ 3 r � � 9 { V�ikr ,6 A,yC R F;,ec ,Yti ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ®i-and 2-family dwelling ❑Commercial/industrialValuation: $215,679 ❑Accessory building 0 Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: 3 µ _ . Total number of#Ioors: 2 i g7 Job site address: IT 210 5 W l 1-� . . .Se_ L11 . New dwelling area: 1744 square feet City/State/ZIP:Tigard,OR 97224 � .AM� � Garage/carport area: 423 square feet Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch arca: 41 square feet(1� I 3 Cross street/directions to job site: Deck area: square feet "��', c Other structure area: square feet Subdivision:Polygon at West River Terrace Lot no.: m *`a based -,Ii--2,•.A...4'.:.....:-..-_ :- Subdivision: Permit fees are based on the value of thwork performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the T,':,":::-"t b74 y., 5"7. ' . . .... work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet ,. r C ,, t • 3__.:, � Number of stones. Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 ' Existing: Phone:(602)694-4031 Fax:( ) New r Business name:Polygon WLH,LLC ... � .... u f „'.. _t ,�_. �_. r_ .. , .,.. Structural plan review fee(or deposit): Contact name:Angela Grajewski - Address:109 East 13th Street FLS plan review fee(if applicable); City/State/ZIP:Vancouver WA 98660 T fees upon application: Amount received Phone:(360)695-7700 I Fax::( ) w r. E-mail:Angela.Grajewsld®po�onhomes.con1 1 t 3 : -.' w t u c • Commercial and residential prescriptive installation of ,.,,a rooftop mounted PhotoVoltaie Solar Panel System. Business name:William Lyon Homes,Inc� �k, 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/IP: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: 4/ X't 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 ���/ �� Service Board 1:\Building\PermitstBUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) T r . ` Mechanical Permit Application City of Tigard , n By: Paimit N°.:/11,57-02.0 o.: e II " 13125 SW Hall Blvd.,Tigard,OR 97223 �" /r`'� �� Plan Review 2 Phone: 503.718.2439 Fax: 503.598.1960 oawBOther Permit: Y. 1 i ;,RI) Inspection Line: 503.639.4175 Date Ready/By: :tuns: I H See Page 2 for Internet: www.tigard-or.gov . , • Xotified/Method: Supplemental Information r "...4'.-'—',.2.:%"., :'...s1.4" r crux„.:a f'S:Z. `' vzj 4r .21v , . ; -Ee- .1..-F�.. +s't—,1,t,'-',.1,;141.1t;., ^„v -,- , fa .; ,_ ''p P ��. :F��a�'�.4 ii-..„ .i..� :','„'"2,..,:i�l". ... i �.._ .- �L ' __._. -t:3�^':C(,.�..., ., .., _�sem-. Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)dell ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit -''..'.'s, ,. ,_.”, �. ,. v ,:�Z 7 , f t F) b'-, i i " -,o"r f.. s: 1 r ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal information use checklist o Multi-family ❑Master builder 0 Other: Description [ Qty. I Ea. I Total i � t4 - J >�€'} ) .,r t.fw�r;:::',,--,:t.',..:,,S,`-c..--‘..=,-..'3,..--,f -.'ar. cooling: � e8 n �,_ 3 as_._.� _ ?� ._. ..F: _ ..1.,___. ._ ._ ��.g ..__ Air condition' g 46.75 Job site address: I /24 D SW Jean Louise Road 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.: 1 Project name:Polygon at West River Ter Duct work 2332 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 Unit heaters(fuel-type,not electric), in-wail,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace 1 Lot no.: as Other' 2332 Other fuel appliances: Tax map/parcel no.: Water heater 2332 7 Ii,- , y: � z Gaslace/ 33.39 _._t. _.. ,� _ .�..._.., , ,,4:,,,,, _W _ Flue for water heater or gas fireplace 23.32 Log lighter(gas) 2332 Wood/pellet stove 33.39 Wood fZreplacelmsert 23.32 Chimney/liner/flue/vent 2332 r «� .� 1:--f:', .ti ,s , Other: 23.32 __ ..•___ _'.. _.- ..., _.___.� —.-----1',_:�_ ', _:' __-__v__. _----`1'. __-----.-4-----:--- . Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment Address:7600 E Doubletree Ranch Road Clothes 3339 dryer yer 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%xawispace fans 23.32 Y Other': 23.32 Fuel piping: Business name:William Lyon Homes,Inc. S14.15 for first four,S4.03 for each additional Contact name:Angela Grajewsld Furnace,etc. Address:109 East 13th Street Oras hest pump Wall/suspended/unit beater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Rang E-mail:Angela.Grajewsld@polygonhomes.com Barbecue • e r ... Clothes ckyer (gam) • Business name:Apex Air LLC Other: , Address:18004E 72°°Ave Subtotal :.'1 � 1 V City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)3428109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lib.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete Authorized signature: �� 6. * Fee methodology set by Tri-County Building Industry Service Board Print name: A aha- Vi Date: 4141 b 1:1 BuiIding\?nmts\MEC P_00401r3.doc ��J 44 17r( towcom/WFB) Electrical Permit A lication City ofTigard rolz orrlc.r UST, oil �j' €ti2 ta `z._�.._•--'1,`�--=�--��---r 'l 0�0H'dPyiv-"m�ote. eceived 'Pam lt • P /6' �+. � 913125 SW Hal Blvd. Tigard OR 97223 k+ Phone: 5037182439 Fax,503.598I964 . . „ ,Inpection Lund503.639.4175ab Date/ByBI See Page 2for zC r7Internet wvm dgard or goy NottGedR sewer's/mad Iaform nimmum a7^ iillin at io s -:-.;, .:7- 5, 77- rs,i � �, a} +-�a7nN ,,, -A- .-7.1 i..t construction ( / ofplans wmrenuctuokod)�Scviee or&anal400 am ° ❑Building ow three stories. Demolition t_ Other: whore tbo a000abk fault a ❑Awisng bud boatyards. ,-,--7. -,-y ,- r- ' a i r' r k _ 5 ”"l 9 x :f exceeds toonamps 150 vos or clawing®1-and 2-family dwelling 0 Commercialatistrial ]Accessory building lass to ground,or Meed14,000 Cmamareiausagricultural for all other installations. . buildings. Multi-iY Master urine ❑Other: Q Wmp' ❑ utellationof150KVAortJGyM? - t - % 08mergenayayaem larger separately dedvenJobsiteaddress: t 7z , .v ? sLott,. ki "_e: O 1Additioof now motor toad of Oa:B;"1-z; 1-3';Job 4: City/State/ZIP:Tigard,OR 97224 O Six or mon;rtaidentia!units. 011ealtbeare facilities. OReoreamooal vehicle petits. Suite/bldg./apt.#: Project name:Polygon at West River Ter OFlazmdolu locations, 13 Supply voltage for nom thea Cross shut/directions to job site: O Service or feeder 600 amps or more. 600 vola sonrtaal ti7:+-._.,�.�d;Nit Subdivision:PolygonNew residential sia 't -"la at West River Terrrace Lot 4: a ,3 Includes attached garage.meOT i01u[tf-famtty dwelling unit Tax map/parcel 4 �� -m _ _ I.000sq.R.orlegs �El `� - .r'-= .� "'T":^F�'laZ�s S 1-s'Gf(Of",f e�}{�� ��;. ••� .i-' -a^-rr Es-a�'15� ft,or 1 _ _�:_ 1 3 �" ". sti- lwri7om 11 - Limited � � with.above ft. 75.00 Egg Limited chew, � tti 8 ly 111 7s75.013 Ma...7C7!..."".dmtialabove. � - -C' ` _ - , -- � Sarwi�-- , or #al❑ferSP and2or teta�ato�Name.ADVL Land Holdings,LLC Address:7600 E Doubletree Ranch Road 200 ! � 100.70 illim13 �© P:Scottsdale, 201 amps to400 ansa AZ 85258 401 amps to 600 •ewe Rs 20034 1111111111E1 City/State/2 an 301.04 Phone:(602)694.4031 607 amps to 1,000 amps Email: Over 1,000 amps or volts 1111111E2E11111=n111111u Temporary services or feeders installation,alteration, � Owner installation:This installation is being made on zooapon intended for sale,lease,i or exchange, property that I own which is not 200 amps or less according to ORS 447,449,670,and 701. - 201 amps to 400.„. Owner signature: _� -,:-.T _ Date 125.08 - 40I to � t.. -. -,:,- i:.: ..�._F'o,;'. Y. [ t... `1r~'YI�'`e_.'1, :,- ;y 1 A.a 1 Brandi tai _new alters'OII��_� Business name:William Lyon Homes,Inc. ! A.2?a for branch 'moults wtlh or extettdott and Contact name:Angela Grajewvsld above service or feeder fee, each branch circuit 7.42 ter© Address:109 East 13th Street B. cJrra7ite without service or feeder The,first in��n CitY/SiatdJ.ZIP:Vancouver,WA 98660 branch circuit Phone:(360)695:7700 ' ' ' FaMiscellaneous r _© Fax::(360)693-4442 service or not Melo;., in®�E : F y3 Bach manufactured modulardv servicetbeder mail Angela.Grajewslp®polygonhomes con11211111111111M ? w ?qr Ti_ C , ; ` _ pi.p°r SaCo hie aaBusmess name:Garner Electric Washington,LLC Address:6101 NE St Johns Rd � �© signal cireuksl or1>ade City/State/ZIP:Vancouver WA 98661 red, atlas'.,. or extension. Each additional ins,ecttc,over allowable In an of the above CI See Page 2 aim Phone:(233)320-1659CZMIMIIIIIIIIIIIIIN Additional inion(1 hr mint 6625/hr _r Email:bdaniels@gweusa.com 0°t p hCl7fAtl 90.00/hr -� CCB Lie.: 01158Inspections for which no fee is �� �� Electrical Lie.: 208174 Suprv,Lica: 4496S s a t listed 4hratin III 59"/ Supty,Electrician signature, aired -�: :ir^., =-, �L ,,i : ..i•t 3J-1-,.Si. -4 -' ,,ear ' k,, 1 Print name:ame: Joan P Albert • 1 E_ Date: 4/25/2016 Subtotal: 11111111. : ©Plan ReviewRoquved(25"/of tj : IMIIIIIIIIIM )Slate surcharge(12%of er . 111111.1111 .-,i TOTAL PERMIT FEEAuthorized signature:L" permit application expires ifs permit a not 11111111111 , a d rttbtu280f,;:! glint name: Bill Danielsate: 4/26/2016 says after has been ad as camupJetdi.::•, n-c, t Humber afiaspegtions allowed per permsi,„, T0 � �K+ CJaradtAPP52RfiRrdaa Rev 0(4712015 Ma4615T{I1o5lCpAUwEB;'*,. k''.40:!%: , Pluniiiiir-reitinit.A .liation, r J 0 R (1 H li f: I . _ _ , - • f cl'Or 91.Tikaral i U N 2 9 U26 •3-a . :_. .. F*741 M'' S - 49 ..- 1 1.3125 SW:llallielvdtt Tigard,.OR 97223 . ., '. tri•:'. P101-1• e:'503.14.2439 Fat 513.59$:1%0r ..,.,. .;,.,r.,rt, 't illiren)'„. Other PeArett No.: . . .:• 7,, ,, 'Inspection Line: 503.639.4tp Gt. i Y u'-.-' r-,:,,,'-.J.1 L'1: ti'ae• 'gidy-,--I ii i-- '' - ' ' - - •Sall Izt Secragerro; ••' '• intgrmt wwwItilard:ongoY . -I t 1 g I)I '..-",:,, '.'1,.r',flS ”''s Not itittyintserNad: ._ _ . ' '.Siltpiemeetst-raionnatiert. ... '• .4-W*,,,-..-w- --_.: ,• 7,:-ItNirtroa.4.4t.r. .„,,,-'r.--- t-rt:'--';:-.•...v-'-."'.--..'-.•'4-•-:-.t.:-,....- -.11:47:7-4”-.Ftt7-1 '-'*-4."- -. t-o*t- . --:ti-f-z-a .".t--.7.1..N-4-.4..as.k-- -•-tt 4-ty..":17*7 ';`,g,--.44q-MIMI_L'SZ-'-''' .-.' :'7. '"tak-7*.i'..''''''';7-:':."':.'''.44-..„,„.',;"..•ti.La,...!-- ,I,•., .1,.•,-1: i.... ,m,......__..________-„ft.4t,-„4x4g,w.,,, , ..,. ..3-.„1„,_.,f-z7,uv-,.1..,:; ,•-4,..w?m ...•,... . . .... . . ._ .. . . _. _ _. -isietit constru..eir: 'pat ... ' :El Dernrifilinti .,.... •- - ...mer=mnarwritajt-..-trarlogictria0otreekiNN//////Miallarimal - . . 5,..,),don • • .... ' ,:11FAMINIMIN Total .s._ -,Ili Acklitionfallenitionirepiribentek 'Ci Other • •;New 17.:2-farnity:dweilings(incindes70011.'kir each utility coneectien):: - - . - - - jr-r-.: '-7- 1•I'''''''.'.6V-- „'..T.419ffitfitt.41.1 'irtinetwormommm.... .____EitaMilliMaillialling .312." ME kand,2_fiiiii!iiivnigijig, ...- !.c)-Comme„ini/indnabial .._ . . inkswi&ammnimmill111112M111111 _ sFga.)ban! _ Rill 50‘1,PAININI tj,Accessory huil-dint . .0 muki,fainik •.._ _ _ ._____ ..: _,•:- ....:._., - .__--. _ • _ . .... .. .. : ..... -.:,I.F.aelz additigrid batialtchen IMO 2$40 - 0•Kasto-butriter 0S)than — - --- .' ,-Fife Orinkier.d 4_-'s9-,1t) 111111112M Site LOW . . _..,* MPOR ' # ' ? , Ottleh basin or aria drain. . Dritorell,lend)'rine,4 iteneh drain .11111111110.111111111EEN111111111. 1 OrY--/ ifite40.'•,: ; 026 di'./e.. ---. - _- , t'oeting drain(n.e.:firmer ft.: __) MIMEO I , . - ...• • • $uitetbidgiallt...not: Project.inimet . . . Manufactured home utilities alm 5003 MR ,Cross.street/directionstto jab site; ._Manhole.s amiczaummi .. . .. R . . ain doim rain cn:ter. all 1§18. , 'MI .._ . .. . _ . , t• iteatatT sP'?.0(101near it.:-... 11111111Z21111111.0 ,,._Skarn'miter(no..11t.i.ette fr.:____). .11111111M 1 .:'miatette:rvict 00.4!Pett Mai) 111111111110321 su.bitidoors 0..1,4,1 • - '.--,i-- . Lot no,:.16.. - Fixture or .. • - "k- - '-•-• ''.• ' ' . • ' Baditlow-Ptiv 111111.11M11111111111 Tat irliptiiardel trm: •- • t -• • •.-. ; ... .. - t. -:---.:: . --T.--...Vi.i&-"f.. IIIIIIIMEN111111112 -- --!„..,•-....-,;0.- 1,,,i,,.., Illekt:21711111111 2.53i2 LlitraMirtrAMili: •_:;.11 4 / a. if ,'•'4 ! -•. Pishwashor am .25,02 , Orinitinitountain . Inn 2502 allal • *okra/sump._ _ :WN 25:tth .1111111111 . IrtW'irk.-__,. ___t__,Tit.''t-erf•`. 7-;t,':-M7:•!ft;jfin gtan;,_ _:,`-',i:t•:..:.:t-4:*4 , Enindsiettladis _, _ . 111111111B11..11111111111 .------• :'•—'. .—;.-:---InT----- .. ' ------z-- - - -- -' .' - name •'cip: • 2.4.7._..... II LN..azir.,..i.. Da_ fi 0 , atM5 : .. - r.),,,,,,,,•-- - . - . •Flootdraininooi-drodhub :am 25:02 allall _i ..,1y:e/L. _ndl 1(_..1.1.4.1. Garlaige- diSOOSitit _ AMU 25.02_JINIMIIII sO t City/State/Z113.: 'ctyt / 93 2ST) _ Hose bib- . - _ 11111 . .25.0.V EN. _Phlilier(I i b. f - 1 . .. .Fax:( ) _ _ - . ..t -.Ieenlaker , _ . . ... , 12:51 111111, --4-'.W.i'4.ilirql.'=t'-?-'•'`M'''''--17.`4--0 .7::411M0 str•;''W'rt`tteLZ li:r:-.0.i •-"71 •.gire.reei*liw#0:*. ... .. , 2"2: ''....''''''.--;v-:'-',t---'1r-----'-''''".- - --• ---- --- - 111111=211111111111 Medic&psi*tie:S.- ) •'*fifslthlig.,, i is I I fait/_ J. • • .piimer _ _ __ . '__" _.• . 11111111113111111111111. 1 . ... .. c'Iniaol*".' • : . i-.. • . • • • . 11311111111111 ' _ . .. „, a. _ (,., _ -tvc.ei . .. _,.. . _ Roordmintcommerc..,0: _ t4driAslay ,51-- i Sr_ __ , -_ - _ . ._. .. gigabisifilimipri. .: . • . 1111111.. 1,5* Ms coistitetzip: LA 0 , II 94 , ,,, - .4-blar.noitstintablevOtter)_ -Milli ...P.54 _ ._ . . _phhitat:(-•- 1;il .....-7 Fax:: , /.,1 hicig_tiziaz 1 row. showeiviho!er,f!in ...._... . _ 1111Eshimi 1 ., --- - ---•A- --•-• -4- , who Min 2 .9.i..111111111111 •.f14.1)...=alhig -t ...,!..it, /1 , , 6-i -11.! IA'" -Al • ".,_ • - - " : -• . -25;02 - -. I ,,a,-ii --itPPIP. -7,,PPPP,._ ,,,,,,.<%P. ,;-p ±+LPs. PZP,PP,71p,p.m.,740..,TAP.Pss- ,-4;,,PitrywA,..:,p. ; rirfrof CrOset . .._ „..,,,,,,7,m444,11,07,.,,,!i..e-F,zz,..„.•-.7.4,..,:,-.11k;f4,,,,.. .,..:.;‘;,-, water heater - . all 37.52.,Mill .1310}Fis.1-'an-r_ a /. ft-;f . '.2 -.. .. ._ • -. - . *IiRIE:Pitiirilept`iv. 111111111021111111111 I A"sua '1.7FX 1 a?MritV741M" - (*.er: - - ' • . all. 2V2-t IMF coyatateziP / • , itk Ciki,,A , 0 - . • . ' • :subt„iiat,111111111111 It • • - - -- If h.-7 ,iiiltisor.1 412, t _ Mirtiatian permit fee 17250,-allalli . .. . t F Pian review(25%or perant.feo) P CCB LiCii I': 'tilt:r ' ''PlutlihipPLict no,p&7 • • • --- -.. -- .-- - '.• • .F. . ." . '-., --- - • ' ' -..0ate**tge iit 'OrPti."Mi(fCC) ......11111111111 IP Autifeafittl Signatilrel.• • ' ',- .; e. . ....r.' - ..... _ ., TOTAL;Ppttilly FE . LI A 4 I 6,..a : a.a..1.4..,..?. . . '. '• ••- - '—• ' h.mA--,i I- '26(0 Thik;Peixiviritpliwcalouriiirt”-oeiina 4*at Oblay;e_d ,i in 1801lays, f Prii3014mi III.-t i• * . • . - i .e 5.. _. - ------_ ' .. . ,. ,,, ..ftimt has bees accepted as cnntetote.,. . ' •-• ' • - • -• .-;•-•" - ."• - .Fee akshadeferrser by Tri-Cetnoltaildtar indesq servwb lidakl- P: lieuildineemoitstPLMIIPantitApp.d6c Immo 44o-astorNotatbrosowarn iI 1 ... i.. • 114 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /`�.,f j /6 —e) '.2 9y Site Address: / /(,) Loin. Ed Project Name: r)� 3,7 t. %)p (Ne ng=subdivision name;Addition or24 Alteration c�rt tic last n����iwn r) Lot #: /a'.� Planning Review Proposal: /&,2€k) 3 ../e. 0(;Verify site address/suite#exists and active in permit stem. River Terrace Neighborhood: ❑ No Ig Yes,See River Terrace Review Addendum Attached S it'Plan Elements: ree(3)copies of site plan C!'sting structures on site S. e plan must be on 8-1/2"x 11"or 11 x 17"paper Vi Foo rint of new stnxctu awn to scale(standard architect or engineer scale) oorelevations re (including decks)with finished 'orth arrow VJUtility locations(required for new,may apply for additions) *te address,project or subdivision name and lot number P 'i'cation of wells/septic systems } pplicant information(name and phone number) I►, rosion control(including drainage-way protection,silt fence I,bt dimensions and building setback dimensions ptesign,location of catch basin,etc.) f area,building coverage area,percentage of coverage and W,( eet names �b°v'�o :pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location L roperty-corner elevations (2 foot contour lines if more than 4 foot differential) Oisting trees to be retained with drip line,and tree 1.01K protection measures t"e:lean Water Services—Service Provider Lev(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: rdi Public Faciliti Improvement (PFI) Permit: E Yes ❑ No equired: ICI Yes,applicant was notified ❑ No Applied For: SCJ Yes ❑ No,stop intake and Use Case#: 76?,j� re` IQ onin ��1 S C��l� i �l�/ C)jc= �C)(>p g: rn<Setbacks: Front /r Rear ii Side 3 Street Side A Garage )4,b.andscape Requirement: 7() % 3 riitot Coverage Maximum: py) Ei .uilding Height: Maximum Height OA- Actual Height IG *sual Clearance Easements �/ ensitive Lands: 0 Yes VNo ILd Urban ForestryPlanType 0 Conditions "Met" .rior to issuance of building permit Notes: / ` . Approved By Planning: --- -' --...__o� Date: Ah(ta,Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved 1:\Building\Forms\B1dgPermitRvw RES 0121I6.docx Building Permit Submittal Original Submittal Date: 7//f//a Site Plans: # i Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: [g–Planning 0--Engineering Q_rmit Coordinator Li Building Workflow Sign-off: g--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. E' building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: *= -0'7e1 Date: 7/1//‘ Engineering Review Slope at building pad: d g ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat Cl 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 A.prove, b ngineering: _ Date: c Notes: i to -. !-A�l - -0' L J_ .I/s# Approved by Engineering: /e tZ 23, Date: 7..radire).•-f4 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: (:)SDC Fees Entered: Wash Co Trans Dev Tax: ❑ N/A Tigard Trans SDC: ?;17Ys ❑ N/A Parks SDC: 'Yes ❑ N/A 9OK to Issue Permit / , Approved by Permit Coordinator: Date: 7/�� 1:\Building\Forms\B1dgPennitRvw_RES_012116.docx a City of Tigard IN 111 ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G ARD River Terrace Building Permit Review Addendum Building Permit #: /'`r5 7;7---0/6 - 60.;:2 9 ,' Site Address: / ?/0 jam � Lotj d_ Project Name: A.9jwcw, "/ %eRiver/ver ex__ Lot #: /g E (New d g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distri t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? es ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 mint. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f wide _y ❑ ❑ 1nn CI 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: '?• c'/v i /7-c%�, gide_ 3. trances:At least one entrance must meet both of the folio ng standards: Max. 8 ft. setback from longe street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Vs,all the following apply: [7:65sq.ft. min. e street facing entry f2 ft. max. roof above floor of porch 5 ft. depth min. �30%min.porch roof coverage 4. tailed Design:All buildings shall include a min. of five of .le following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep'j .{2i Recessed entry area min. 5 ft.wide x 2 ft. deepf all offset min. 16 inches�� ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection�� / ' +of offset min. of 2 ft.r G Cl Roof shingles either tile or wood !E Gable,hip or gambrel roof design fG ❑ Roof pitch oriented south min. 500 sq. ft. ❑ • orizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade 'E Window trim min. 2 1/2"wide by 5/8"deep' S ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street façade a:es and Carports: May face the front or side lot line on a corner lot. Setbacks: Pr No closer to front o e lot line, than longest street-facinn ' Y- 1 o. If No (Check one): ❑ May extend up to 5 ft.if t • _ • a covered front po . •: .arage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the gara:•- . . a two-story building and there is a window at the second story above the garage that faces the stree • a min. . •. of 12 sq.ft. Width: (Check one) ❑ 12-fo• ....e garage door ❑ 40%ma-. • street façade 0%max. of street façade with 7 detailed design elements Notes: Approved By Planning: c._ - .----__ ., _ Date: e I:\Building\Fomu\BldgPermitRvw_RES_RT_062216.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17210 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: No AC installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 8, 2016 at 11:48:12 AM Record ID: MST2016-00294 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17210 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 8, 2016 at 11:50:56 AM Record ID: MST2016-00294 Inspector: David Young Fix drywall in mechanical room chase, will check at building final inspection. Note: no AC installed at this time. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17210 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 15, 2016 at 10:04:07 AM Record ID: MST2016-00294 Inspector: David Young Provide city required documents for final building inspection, not on site in kitchen at time of final inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17210 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 13, 2016 at 1:08:24 PM Record ID: MST2016-00294 Inspector: David Young Correction for Loose drywall in mechanical chase in garage not done as noted on previous mechanical final inspection. Install upper level bath light fixture hanging from wire nuts. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17210 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. Blower door test report received. Insulation certification checked. C of O left on site at kitchen island. Violation Summary: Tel: 503.718.2439 Inspection Date: December 16, 2016 at 9:55:00 AM Record ID: MST2016-00294 Inspector: David Young Inspector Contractor