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Permit n CITY OF TIGARD .. _ MASTER PERMIT ' ;, COMMUNITY DEVELOPMENT r 'ir Permit#: MST2016-00293 ci T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 y 2e., /6' """ Date Issued: 07/26/2016 Parcel: 2S 106DC 11900 Jurisdiction: Tigard Site address: 17286 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 119 Project: Polygon at West River Terrace, Lot 119 Project Description: New SF. 9/26/2016: REPRINT to add NC. 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: $231,966.15 Rear: 10 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 0 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!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 2 1 hour fire rated eaves are SCOTTSDALE,AZ 85258 required PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,601.27 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 OAR 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. lb Issued By: i I Ole----- Permittee Signature: e)/V rZ./C�r�l),,,v/ 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 AppticaWCEIVED , ,,,, , it .;.,,, , City of Tigard . p ste"4"d 7z4./,' . '1\nr)i)10 OITLaP2 13125 SW Hall Blvd.,Tigard.OR 97223 SEP 2 2 2.01. planDj'frjRitec. (7 ' e'e 411— Permgi 1.4° " —'s A a."' Phone: 501718/439 Fax: 503.598.1960 O inspection Line: 503.639A175 ITY OF TIGARD Internet: www.tigard-orDIVISIO .gov DatedBy• CDate RizlifYraY. NotiliediMethod: ther Permit bow lii See Page 2 for Supplemental Information E3UILDING t\ - -- , Mechanical permit fees*are based on the value of the work t7.. New construction 0 Additionialterationfreplacement performed.indicate the value(rounded to the nearest dollar)of all O Demolition 0 Other mechanical materials.equipment,labor,overhead,and profit. Value S \A *, olI '-;,..1-Z !,t-11.41; Z-VI „oy +-NY,".,.- ,---,‘.:;'".-',•o-`,- 7,a'7, ' '.1.'""'"'1. , . ":',,,,'"f-4.----',- ""' ";r,'Z'Aig-,01 ,44•>4'4,4:91,4;,&.:gir4,,.,.241'",,''41,14,4c4h1":/",.tn' -',-!'. O I.and 2-family dwelling 0 Cornmercialiindustrial 0 Accessory building For sperial infvrmation sae dfreckla El Multi-family 0 Master builder 0 Other Description I Qty. I Ea. I Total Air conditioning I 46/5 Job site address: nIfotp SW -3e0,,, k texiAce, 1,(z,t-)rtA Furnace 100.000 BTU(ductsisentsi 4675 City/State/ZIP:Tigard,OR 97224 Furnace 1001)00+BTU(doers/vents) 54.91 Heal numn 61.06 Suite/bldg./apt no.: Project name: poul,14 t vo_af____Ai: 124A41reia. Duct wcnt 2332 Cross street/directions to job site: ilydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-typenot electric), in-wall in-duct,suspended.etc. 46.75 Flue/vent for any of above 2332 Other 23.32 Subdivisimpolmon ea west p_ive,r T-t 1 4iyat_e_ I Lot no., 161 Other fuel appliances: lax map/parcel a: Water heater 33.32 3139 tjt1•;,1::- . 3',-;.1.s.'',:.... ..-,....=...-.1..•'h;t3„-,4%;;;:..1 :-.z.-..,-'.-,,,,,,X,,,am',;,....,.:;,:fg,GM,W44iiictnatOrt a 7 1. . , ,, - -',. Flue vent for water heater or pa fireplace 23.32 Log lighter(ass) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 0:;:i431, ' ,7- .., i: - 23.32 .. --, . ,%.,;,,,A.,4,r,a,' 'S,,pt',,' ,.. ..'"0•°''''''.''''''''''"*.'s`= :- F'- `,''''r:-• `.-'°''''''.''''''''' 7!'''''''''' Environmental exhaust and ventilation: Name:Polygon WL11,LLC Range hood/other kitchen equipment 3139 Address: 109 East LI Street Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments.,utility rooms) 2132 Phone:(360)69S-7700 Fax:( ) Atticierawlspace farts 23.32 -4;;;Y•'ilifti.E21:4°;„.,,,,,-;,,,,,,(7,..t.44.i1 ....;.f.X11?"'ill.2k,,ltr..`4.°'::':FihAi74-4.2.-1-1+1-.7',-4,..4,15Litt Other 23.32 Fuel piping: Business name:Polygon W1,11,Lie $14.i5 for Brit bur$4.03 for each additional I Contact name:Angela Grajewaki 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 I Fax::(360)693-4442 Fireplace Range E-mail:Angela-Grajewskr*polygonhomes-com Barbecue otF,;,.„ 1 ,, - ,,,,F,,,,,,-, '.' -,-,',.--...,,,-,,.,f $ ,f."'",*r' ,'...r.t,:Ni,, tig'•C..e.fairiSA-hii.4.4 4:-.; ,• ''''''' ClOthes dryer(gas) Business name;Apra Air LLC Other '1-;t'.1:.•:,"?,:-.:,7,1:It't,';it,,,,,,,;„;.2.14'.-j4,0-J.,'„-±„,:tf,w1.,,'-;'-",..--'t'-'01.4‘grie.L.iii4; 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)3424109 Fax:(360)3264769 State surcharge(12%of permit fee) CCB tic.:203034 TOTAL PERMIT FEE This permit application espies%if a permit is not obtained within 1110 days after it hes been accepted as onnplete. Authorized signature- * Fee inethodotou set*Tri-County Building Indus*Service Board Print name! 'i Date 4.11 14.. i'lt.ikins‘PorntimMEC_RerinApp_0401 0 doc 440-46i7T(1 liMCOMAVEZ) CITY OF TIGARD MASTER PERMIT ° ! , COMMUNITY DEVELOPMENT Permit#: MST2016-00293 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2016 Parcel: 2S106DC11900 Jurisdiction: Tigard Site address: 17286 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 119 Project: Polygon at West River Terrace, Lot 119 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: 10 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $231,966.15 Rear: 10 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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!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 2 1 hour fire rated eaves are SCOTTSDALE,AZ 85258 required PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,503.91 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 O(ARRJ952-001-0090. 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: y •• J Permittee Signature: C1 A/ /'��/e �r!1�i/ 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. e.0-/ //1 ? " ' Building Permit Apnlicah4*t +,, . i,a ,, ,,, �S �/��/ y iORofflC1:tsl:ONl 't City of Tigard / 17, 2 I ?i71 i, r 7/19 /4a Permit No.y��i7-v/�j.-dry A 93 III K 13125 SW ball Blvd.,Tigard,OR 97223 Plan Review'f-av / o r Pernod C'e lfe.2Q/6j -dc)t1J�I co _. Phone: 503.718.2439 Fax: 503.898.1960 i€ D�rgy: b Inspection Line: 503.639.4175 Date Ready/13y:, " noir. Eir See Page 2 for T 1 ,;',7:17 ,» Notified<Method /Z0o Supplemental Information Internet. W W W tlgaid-Or gOV s / �') ® S c 5 r Demolition .r4 Ptthe value(rounded to the nearest df the ollar)performed. New construction 0 p * Indicateall ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the r x-- - 4. N- -r, '"n`r 4,4,',...' ' work indicated on this application. ti y i }1y ' ' 4',,,,,,,-,,f,_-,-,_,,,.,-Nn'',.,i,,G, � tib- C `, c., u .__G.i . a f.., ,,,.,,,w., ..a_. iy _ _ . - ---....- Valuation: 523 ; 0,,,),-3 % (-) Pi 1-and 2-family dwelling ❑CommerciaUindustrial Number of bedrooms: 4 ❑Accessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: 3 - s Total number of floors: 2 a.9 S- `'----4 19 _=,-,-,,e, 4 '.4:,:s,.! f : 3'`. ti sEa, `�'! i'';'.:-.'', � t,1,17-' Job site address ii �(p S &. 3 ( e \ 1,,.O(j„jS� 0�I• New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 437 square feet Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area -4-ia square feet 101+ ci Cross street/directions to job site: Deck area: square feet g 09 Other structure area: square feet r c t' c igc ,e'o 1.s I Eit Subdivision:Polygon at West River Terrace I Lot at>.: t,C i Permit 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 ,. s ._..r ti ,---;--- work indicated on this application.,, as ? Valuation: $ Existing building area: square feet New building area: square feet s 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)6944031 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 131e Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 I Amount received Phone:(360)695-7700 Fax::( ) , ..4 E-mail i �. EmaiAngela.Grajewski@polygonhomes.com , o-t,erm�: avems rotif -N - L7'; Li',.,1,:::1:.' ,,tt , r roof-top mounted PhotoVoltaic Solar Panel Sstem. 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(incitules 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: $201.60 Authorized signature' 1- k( This permit application expires if a permit is not obtained 1 within 180 days after it has been accepted as complete. Print name:Angela Grajewski /// Date: /.)/2,//ko *Fee methodology set by Tri-County Building Industry Service Board. 1:BBuildinglPermits\BUP-RESPcrmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applica► On- iol:Ol IR cr_ U SE oy�.� City of Tigard Pemrit Na 13125 SW Hata Blvd.,Tigard,OR 97223 Plan Review j re-20/6 Qp_. Phone: 503.718.2439 Fax. 503.598.15 ? Dare/By: Other Permit: T 14, Inspection Line: 503.639.4175 Date Ready/By H See Page 2 for Internet: www.tigard-or.gov .x Notified/Method: Supplemental Information ` ''_'$'�': t o yi ctt 'r N4� '� sEj {3 r..w.zZrr, si+ .,` ,=C fr4p�+a e�^�k �� .`i 1.2 'r. �Ck.}.�s a�:m• �.......� Y-' .�. �.. � _.._:a � �2 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)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit +ter u.7 :w� ' t �: c , ValUe $ io .. ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special Information use checklist ❑Multi-family ❑Master builder 0 Other: Description I Qty. 1 Ea. ! Total v '�� ( T a a P s r .P ._.. E ..«� s,��. ..�.w_,s .,._,,..,, ."• Heating/cooling: Air conditioning 46.75 Job site address: 17286 SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) - 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/veots) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 2332 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 Other: 23.32 Other fuel appliances: Subdivision:Polygon at West River Terrrace I of rro: (� l Tax map/parcel no.: Water heater 23.32 r t , Gas firepla�nsert 33.39 _ fireplace 23.32 Log lighter(gas) 2332 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 Other 2332 _ �_ ., d t_.Y ?,.___ ._._ 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 Single-duct exhaust(bathrooms, City/State/ZIP:Scottsdale,AZ 8525$ toilet compartments,utility rooms) 2332 Phone:(602)694-4031 Fax:( ) Attic%aawlspace fans 2332 c z °; � ` Cr'r.•_ • 2332 ` Oilier• Business name:William Lyon Homes,Inc Fuel piping: 514.15 for first four;54.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat p Wali//suspendedhutit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail: Range Angela.Grajewskl®polygonbomes.com Barbecue p ' Y {+ - Clothes dryer(gas) Business name:Apex Air LLC Other. $t , Address:18004 NE 721 d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of penult fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB Inc.:203034 TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within 180 J /�/' days after it has been accepted as complete. Authorized signature: /��. +1�V� r * Fee methodology set by Tri County Building Industry Service Board Print name: A &t ( r . 5V. Date: J I:V3ufdiaggamitslMEC Ye�_040113.doc 17r(I l02/ OM/WEB) a Electrical Permit Application FUJI OFFICE USI:ONE 1 City of Tigard • 4. 'c Received 13125 SW Hall Blvd.,Tigard,OR 97223 Perini! /r f� '2 93 :,INI ' Phone: 503.7I8.2439 Ft= 503.598.1960 `,Date S: Inspection Line: 503.639.4175 Ready Due/By; Nil= &5 See Page 2 for T I GA Fc D lntaxtet: www.tigard-or goY (tfl hod Supplemental 7c forraalka ' -r -7 4 Jj i { -` f2 .: i^ rt"y{""Tc'} u* s liI f'.:fi •a. 1. MVr''55--'4a''� ,`'4. ' '',:'''''''';-;-.42'.':f ®New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans wfiieens checked): ❑Demolition ❑Other: I service or 1eder 400 amps or more 0 Building over three abides. where the available fault current ❑Marinas mad boatyards. x3> , ... v ,....,;4,T),-.,,:-. r tLi. ?? (. 4c =-,•1 i t.o.-_,---*-5, -.-',-:•;.-..,,1"-'1.-5,7.1. --z---7-:',"-..":-..5.4.; axaeede 10,000 SWOPS at 150 volts or 0 Floating buildings. ®I-and 2-family dwelling ❑Commercialliridtistrial ❑Accessory building less to g,rotmd,or exceeds 14,000 D Commercial-nae agricultaret amps for all other iastallatioas. buildings.- El Multi-family 0 Master builder 0 Other:• D Fite sung. D Installation of 150 KVA or ;71-.7-V•; ale•'efait 'lp:'NT'` d;•a. u.(03 c');5e E:.Q_rj3 R -';:` -.t D SAeysystem. larger separately derived / , b 3 ' , . O Addition of new 1001W osmose.motor[kind of 0«system Job#: Job site address: >n ��•t5� I' City/State/ZIP:Tigard,OR 97224 D sic or more residential units. occupancy. 011salth-aae%citifies. ❑Rs-creationat vehicle parks. Suits/bldg./apt.#: I Project name:Polygon at West River Ter El Hazardous locations. 0 Supply voltage for more than D Service or.freder 600 amps or more. 600 volts nominal Cross street/directions to job site r r 4,ryr -0,14; m r Dwelled= I Qty,J lash Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: 4/j I Includes attached garage. Tax map/parcel#: _ 1,000 sq.R or Jess 168.54 4 Ea.add'l 500 sq.R or portion 3 3392 1 `,_w �..... .... 7,-'..7.-';'-'42-'1D-- '-`iaiFSL`:.^e . '4-,7ST. ,2 v i.- :-J Limttedemu.restdcnuat l 75.00 2 (with above sq.R) Limited energy,multi-family 75 2 residential(wilt above sq.ft) �~'�,._ ..J-::---147 1:172:11.,g t P.-i.- 3.0. � ..� r',�-"7s J0y��_•yt:Y Renewable Energy El SeePane, 7. Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 • 401 amps to 600 amps 20034 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 Entail: Temporary services or feeders installation,alteration,and/or . relocation Owner installation:This installation is being made on property that I own which is not 200 tamps or less 5936 1 intended for sale,lease,reit,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 C, L' rr.. -...-/_...;-.::::-A-.2._:_..—.2.....�a „:-.1",:. .-..----1::.;,::....... :-,.::::-L---;-'..',',.....--� em , '.'.' ; "L.!s-�u,1 a?..``,_._.,.y t A.pee branch widr alteration,0r extension, paned Business name:William Lyon Homes Inc. above service orfeeder the, i ' each blanch circuit 742 2 11 Contact name:Angela Grajewsid B.Fee for branch circuits without or Address:109 East 13th Street service branch circuit cufix,fust 56.18 2 it City/State/ZIP:Vancouver,WA 98660 Each addl 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,seaviceandlorfeeder 67.84 2 Email:Angela.Grajewsld@polygonhomes.comgoconnect y 67.84 2 `5;.,5" ,-'''-'-';-:',•;:t: ,E 'r Y . �” L r. 1 '� c7 w ` o�� i _ � 5LI1 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LW} ' Sign or outline lighting 67.84 2 Signal clrcu1t(s)or liimited-energy Address:6101 NE St Johns Rd pend,alteration,or extension. D See Page 2 2 City/State/ZIPVancouver WA 98661 Each additional Inspection over allowable In any of the above Additional inspection(1 hr min) 66.25/br Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/la i Email:bdaniels@gweasa.com Industrial plant(1hrtnin) • 78.18/hr Inspections for whichno fee is 90.00/hr CCB Lic.: C1158 Electrical Lie.: 208174 Suprv.Lie.: 44965 01 br w,z:"V;cL -slim= , - ,''xA(c ..t,,� f9 ,, a ,$),r:0/ .1 4--',::-,•,-.;‘..'1:"..,Y4*" Suprv.Electrician signature,required: • _4 Aft I.,, . ..- Subtotal: Print name: Joan P Albert Date: 4/26/2016 ❑Plan Review Required(25%of permit fee): r: l State surd large(12%of permit See):.., Iviit'• - TOTAL PERMIT FEE: Authorized signature: ,11 iti; This permit application expires We permit is not obtained within 180 y'Z; ?: Print name: Bili Daniels Date: 4/26/2016 days after it has been accepted as complete •^ : * Number of inspections allowed per permit •,,,,::i4.4:; i.'Iaul.ding1PeoaitiELC PaTailApp a.aup dx Rin 05117/2015 4404615111/05/CQM'WEB PlumbinkTennit.Appikotiliii•F(-‘ •--,:• 1 r''L:p .. _• _ •. . .._ . ........_.. , . _ .. Bitilain-gpixture . [Jtg (Ji 1-1(' JUN 2 9 2016 • IN- .. 4 13125 0,kfiall•131vi-Tigard.OR 9,72a3--..,g -.... - , , ''''"`'''''s. .g.::. - t • V • • Flicite:103.10.2435 Fat*S63.34,06ii U r' ; 43ARD''' PIDaZtf-7. 'Other Patrait No.: .. ; ) ; Inspection Line: 503,639,AIZ5. BUJ! Am rYNt*T.; .:',.*:‘,,,"!,.V.I.53!01''. bat;ilidiiivv- '" .. ' - - ' : • : a SecRigel for • , .. 1 1,,:.;I: wwwttigard-caVY . S NO *Meftiod: .. :•4iiiremiaratiatormitios. .... ,p,:,'--,,•_4:1-,,,,,...•-:,,,,..,:.7.k.,4.4.2*-;,:e.,,,,,-..,,,,,....=:.._:,....-''‘,--iii-,;,.-1- ,:.., :-..:::,V74*.s.,4wIL,?4•*•.2~ WAll'ilit."4.---1*O'q'il*--''•• -,:,:—.. ,N.1.- ...,...-.,,.-i-A-,,Lq-,-;.,-,:,‘--- -.. . .0 -1-,-. .-.."AtEt'r...g') ,;''.-,,i;f '.'.:"...:..,,,',".;•,.:__,..,-,..745,4-.447,-5.f4,1.4.". " .:.21 - - fprsiticifdtirfOfiagdoltilse Citerkfig .. , cotistrsfctiom ' ":1:1 Debtititioti- • .- „ ..-_ _ - -- - --. .. •' Description . • _.. • .1.-'Qty., 'j Es./ _I Total, •:IN Additionfaitertition/replitaherit„ :.1:I Other: '.,New I:2-fitinify:dvieflings(inclMiet'100 ft.Tor eachatitity connection) -7-'7:- -7:'-:..4------ -•:,...*ftf4 ,...i' ;',.*.P. ,.-1-r-f--)--.;-, i'F.-1." --ii`M--- 4,1-:::-.,,ArWTR4f.-01- ': ,.! SFR 411 bath .,:=. ._ . ,312.70 ,,V=,1, --:-.,,F,.:.---, ---, - - ,,,,,L4.-- -- ..-....,,-1,--,_.--.f.L....-4-7417-w....7, -...,__ ,,..ti-F7,..1,:st_z-,.--2: • - • . .it1.-and....a-bayiiwelang, - .-'''0-C-MninercialtMdustrial -- 8.E1(2)bath 437 78. ., , . . . j 300.32',/ Cl Accessory building .. _0 titfulti,fainftv, , ,::: r., , .. ..- • , 2, _-..,,,, - - - additicatlbsthitatehan : 25,02-. ...._ _ / Ultiastef-buirdir ti sq Direr: :,-F..-.: ..-kkrti it. ;Page 2 ,,_.. _ . **11 --;* , e'utilities:, - - --k•-Jr•-•;.-:- - . '- " -' .--,' ''-L' '', . ::. -j- -A -• Catch'basin Matta drain . 187 .f• 1 eis /.th iiteafftir .' .111,. 1 J. • - .: l- ..-WAIWIRP1 _.:- - . . : 1-.)0*11,leach ram Ciiren141 dmili 18.766 : City/StateiZtr: 1911 1.p „ ',..... - : . footitig drain(no linear ft.:_...) Page 2. . . . ,. . .... . , uite/bIdgdapt.no::: ;Project tame: : Mamifaisurcd home utilities, 50,03 .,. . . . Cross streetiaireetionsito job site: Manholes • 18.76 - , -- Rain ihalircon*tar ..,_• . 4,76 _ . • : _ .._ • ..„ .• - - - .. • . • - • • . Sanitary savor(Ito:linear ft.:..._j . , . Page 2 • - - • , "- 1'4a.. - . -,... ., .. — , -. • ..- - -. ---. - - ' .:'Water.tervice(no.liptter fili) - .,_ Pagel StliAivjAicgirati.----revielui ' .1)-'°1 n°41 Lai - - --te--• - Fixture or a at.. • .; -, , ..._ • .. - - TBacificay.pseventei _ / . 32-27 it Tx no//: - • • ---:.i..-: ; -,.g-,-;-,,,,•-;,,,;-:,-'--:4::....t,-.:.,-,...-,__... .•..--; -,..:::--.../-:, 1. -1---.,-•:.=."--:-.-j:_r.,..-----',._, ,..-g-,e,.-1,-,-_-_,,s, "- Backwater-valve- . 12.51 . . .. 0,,,y, :,*it: '--43"..i,.•',7•;,_-_', .,-,:*.1"ii.q.._44,-.''-i_44.4.A.1-Y1g1,..0..,L!A::..-,'14 -71t•--.F:1 4--A.-'-::?. ---4. erotha..-'.--. ' . . 25;02 - • Mi. /... .Mtn:-. pluoliot' - _. _. Dishwasher , _ . . .. _ . .202,. . ' . _ .. - , Drinking fountain . 2502; • ._ . . _ . . ... ... . , . „ _ • • • ' f-ictirisumr-..- ; 25112 - ':/";• ,7,--Zg:Fi V`'''.'n':::Jr;:-g--',4177M-,74:tt'4'. ''.', r,-;: ;:&---. ;-;ii q'TT- , EkPaniimEtank12.51 : - - - . _ -- . . - ' • fltrauelsewer-cip :Narita:.i V_L-1 (3-tM IN .. _ ... . ... ..Hs*•, ' . - • ' * . 214- oor drain/floor-Sink/hub 2502 • Address i, b , r,. .0_4241-1d1 _c2paril • - City/State/Zit: Autili . _,0, ‘. t, ./,. . „ lit, ... ... Hosebib . _ _... . . .. . , _.. ... - la Fax:( ) - ' 110111111• __ _ _ : . ..1,,,,,.1.‘kgr _..... _ .. ._ . 2.. !241 . -•- -I--t3k:/...4A,MArliZ:4-1ti .,..,:qm—f--!;,,',..,-1-;=17:,.:1:*,-1,t •hitcoceptOgge10.020. 25.02 4";',,,•'-';',„-,.. .:„r-t---,•-••:`,. I --- --:-.1%.-: .....--- -t7--!.•va-i::-....'-'-_-. --..:,----,--., - .- --,.:-.-I.•--._- , , '- Page 2 0114-sltlig-- _i 11 (11D.Y1 b 'c P.C. M4c:algas'6411e:$ "---:) .• -• -- - -I- -- - - - b. -a 1 ' .: Conitg.k 110'10 e(1 ' a ? c ii?4 - - , — . - , it:6•0tdrainliminewsui): _ . . 12,51 _. .... . _ .. . . Address:/( 1''•,. . . - Aagt- ,5.1. _. __ _ , . . . Siakitrasin4avatcui • -. CitylfttateMtp: Valltowf-tv N 4 . 9titi/00_.,... _ $Olar.unfts--(piitatile water)_ - . ._02.54 Fax:: • :: ,_Tabi.shossfriihower,:pan .._ .:, _ . _ ' 12.51 : "PlIC/O'l ,I/.9_.'--1 _ 00 . . ,.Vi0)_9_ .3 •Liziz,/Z . . . - "- - . • iti .__ ,• , tiiinia . _ 29-i...._. _ • i .gq!_ta.J..1: , ,, i4.. 1,_ &. ,_.4.' . • __ i •A 'P I' /:A'4,:.14:'' ' •'kt 'W-stet !wet-- - " " - - ----,0--4. ,''.& 't If.:2,,,..-4-;,=',2!.,-.-,L,,,,:-.:;-_ -,2•:;,--,?4,;4-t,'- '5-6.7.,,v,,,,.,,,.,%,,-,;,.1..,•:!-4,-,4.6,,,,,,,,I,N.,4,,,,,,,,,.,-,4-6,'...-.,„,..ip., 1 ,-,—c _ _. -• -'.• - ". - ‘• - . ' ; _,.. , --Yr4--;i,s"---',X .13. .!)_anIel.r_I: Ran.t4:14v___. elii- J.L1-4- - -- ._ - ___ .- • wooropiAeoyv. 56.2g. ' Other -- Address. 1'141‘ ::" or itWt;•-'7; ' .. .- viitook iithiy,. : -. . ...: - .• 23:i...0L_ . . . ; . . _ , llib*:61)' ',;?‘ •-'-.4_.' . ': i'B0P19?...1-...iii2. - • 1 '-_ mkfivw _ - Minitompeppit fce. Plan reWew-(25%-0(Parialiiiim) .,.:: CCBtict: I . --., ,.' ' ,Pljnyibini.LiC,na:-; it, 2, - _ . _.., .... .. - oatc.*-4.1-sioge-o- ,or,permit.ic.) , Aitlibriii4 0006-frel:.. if it --•ff,4 A_A 4 ,,a( o tTAL,PER1A1T FEB • ... - t _ --- ',I 2. - •2v.—. Thi,...penni,:ookatio,....43,•0140,..i.k4,,..i obc,„4,vaii,180.1.0: PnarnamM .1.171717- -,._ • 45 ,D.ate .- . 0,_, .atterit has Ikea accepted as,complete.. 'Ter methodologyse4 by Tri-CountyIblildiagindusq Service Board i IABuiblitegrolio1PLATU,PouitApp.eido 10101/09 440-46161(imnicommEs) ,,1 0. III City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: /4/S-7;20/6— ew‘P 23 Site Address: / (p sSL Lefi5-QEde_ Project Name: /-'04/ =-)e),-7 r /P,L r. -i1 ei-- 721y�r-c Lot #: %9 (Nc ing=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ,Ue S - Verify site address/suite# exists and active in permit stem. River Terrace Neighborhood: ❑ NoIV Yes,See River Terrace Review Addendum Attached Si Plan Elements: ree(3) copies of site plan U :0 sting structures on site plan must be on 8-1/2"x 11"or 11 x 17"paper III Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) poor elevations orth arrow Utility locations (required for new,may apply for additions) 'te address,project or subdivision name and lot number cation of wells/septic systems pplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions esign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and eet names pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location EVProperty corner elevations (2 foot contour lines if more than O) isting trees to be retained with drip line,and tree 4 foot differential) protection measures bean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No 001 ublic FacilititImprovement (PFI) Permit: VRequired: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: ibheQC%� •00( S'j,(1' cRC)/ CO 0049 eoning: r Setbacks: Front M Rear =3'62* Side 3 Street SideF3 Garage 3'' Di/Landscape Requirement: 7() ozo of Coverage Maximum: a, 0,0 ILLI,Building Height: Maximum Height Pr Actual Height isual Clearance VVEasements 0 ensitive Lands: ❑ Yes �No Type 11Q Urban ForestryPlan ❑ Conditions "Met"Prior to issuance of building permit / Notes: �i'!_ i i�i� S%// �e /92C---/ prie),^ 74, 2.c,/-77 ,y/ xcgie., a Approved By Planning: . ---- ,ADate: 9//e/Ar Revisions (after Building Submittal only) Reviewer Date 11 Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw RES 012116.docx r h Building Permit Submittal Original Submittal Date: 7//cF/�� Site Plans: # 3 Building Plans: # 3 Building Permit#: Cf Enter building permit# above. Workflow Routing: al--Planning Com}Engineering - Permit Coordinator lEruilding Workflow Sign-off: G7—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. uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: AOPS By Permit Technician: id'Ala / Date: 0//rer_, Engineering Review Slope at building pad: It / LJConditions "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 Approve by EngineerinIt. Date: Notes: ,..4.. ,t....0_,709 --- ------Wdcd0 ► plieri4' Approved by Engineering: 412 1, Date: 'Tt ..../6 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: (VCS C Fees Entered: Wash Co Trans Dev Tax: 1Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 7b' Yes El N/A OK to Issue Permit Approved byPermit Coordinator: / // � Pp A/71---D:te: I:\Building\Fonns\BldgPennitRvw_RES_012116.docx 1 . City of Tigard .114I' COMMUNITY DEVELOPMENT DEPARTMENT 0 T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: /VS 7-0.1-,0/6 -gg 3 Site Address: ��_C�C /�96 ,--ca) �� ,Z e)a�rs-P Project Name: A./ ger; l�3#. c/ rive, �.y �' Lot #: J/ () (New. ling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distrrtct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?V 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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch mina ft. deep Gabled dormer ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6f wide 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Si 1c ;9) - /a CAJlG.Q 3. E rances:At least one entrance must meet both of the foll ' g 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 If s, all the following apply: 1 sq.ft.ilDne street facing entry ft.max.roof above floor ofp orch irdi 5 ft. depth min. Of30%min. porch roof coverage 4. r,etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: 'I(Covered porch min. 5 ft.wide x 5 ft. deep F Recessed entry area min. 5 ft.wide x 2 ft. deep 1 Rall offset min. 16 inches f nj ❑ ormer min.4 ft.wide oof eave min. 12 inch projection F S Of :oof offset min.of 2 ft. F3 ❑ Roof shingles either tile or wood 7. Gable,hip or gambrel roof design F S' ❑ Roof pitch oriented south min. 500 sq. ft. 0 yorizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade [ Window trim min. 2 1/2"wide by 5/8" deep FJ' ❑ 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 • . •s and Carports:May face the front or sicjeeot line on a corner lot. Setbacks: 0 Ij No closer to front or side lot line, . :••-st street- . 1-; ••. I. ■ Yes El No. If No (Check one): ❑ May extend up to 5 ft.if there • _ -.•ere. front po :.•. ..rage does not extend beyond the front porch. ❑ May exte.. . : . t.where the garage is part of a two-story buil. g . : .-re is a window at the second story . ..ve the garage that faces the street with a min. area of 12 sq.ft. ‘• . _ . •ne _ ❑ 12-foot-wide •ara•e do. ❑ 40%max. of street façade i 1'0 max. of street facade with 7 detailed design elements Notes: Approved **#.347PP B Y Planning: �-�'-�' � ► Date: I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 17286 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS November 8, 2016 at 9:34:26 AM MST2016-00293 David Young Fix drywall over switch in master closet. Finish entry light, will check at building ﬁnal Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17286 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: November 21, 2016 at 3:05:21 PM Record ID: MST2016-00293 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17286 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Tel: 503.718.2439 Inspection Date: November 21, 2016 at 3:15:39 PM Record ID: MST2016-00293 Inspector: David Young Note: plumbing contractor re installing WC in upper main bath due to floor replacement. Cap Backflow devise access at side yard. 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, to be emailed by contractor. Violation Summary: Inspector Contractor