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Permit (27) CITY OF TIGARD MASTER PERMIT IF COMMUNITY DEVELOPMENTqii i E/Era Permit#: MST2016-00296 Date Issued: 07/26/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC12800 Jurisdiction: Tigard Site address: 17112 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 128 Project: Polygon at West River Terrace, Lot 128 Project Description: New SF. 11/17/2016: Add NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 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: $215,852.02 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100Catch 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 Fum<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: 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: $30,318.83 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling��5rtf03.232.1987 or 1.800.332.2344. Issued By: a Permittee Signature: !1/✓ 1-1',V€/e49-77o4/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Appli . � Mechanical Permit r r 1()lt Oil IC li I SI,ON! 1 i City of Tigard C `B //s' / /7 / r r�Q: 1 13123SW Hall Blvd.,Tigard,OR 97223N 0 V 0 2016 Plan Review Da Phone: 303.718.2439 Far 303398.1964ate Other Permut: 1. Inspection Lint 503.639.4175 T ft i 1 U) �e J a:: 0 se F: 2 for Internee www.tigard-or.gov g led/Met h: z Notified/Method: Sappinmentai Information BUILDING DIVISION i. ;w "> ; `"' "t3 OF WORrt :+Cf3il�in3ERt Oaf;FEE*B flL' =-:"OSE l iFCts;L R`: = ��New h r ,_�, Mechanical permit fees*arc based on the value of the work construction 0 Addition/alteration/rcplacemcnt performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other, mechanical materials,equipment.labor,overhead,and profit. Value:$ ❑1-and 2-family dwelling 0 Commercialrindustrial 0 Accessory building For special inforntalion use cheat's, 0 Multi-family 0 Master builder 0 Other: Dcscriptioa ( C.t. ( Es. ( Total ;, ,, Qli)*." 1' It GtR11Si 3'143 13 TI61$ Heatlaaleooirro Air conditioning 4675 Job Site address: 11 ((L J S VJ ArN LOWce, I Furnace 100.000 BTU Od,wa./vents) t 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(duetsfveou) $, 54,91 Heat pump 61.06 Suite/bldg./apt no_: Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydranic hot water system 23.32 Residential boiler(radiator or hydronic) I. 23.32 Unit heaters(foci-type not electric), in-wall,in-duct,suspended,etc. , 46.75 Flue/vent for any of above1 23.32 (Subdivision:Polygon at West River Terrrace no.: Other: Other fuel appliances; s 23.32 Tax map/parcel no.: Water heater . 23.32 g r DO1�:OE)1'Oiti Gas fteplartiittsert 3339 „ .. "' ,_""`` Flue vent for water heater or gas J-D U n I C s fireplace 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove i 33.39 Wood flieplace inscrt - 23.32 Chimnev/liner/flue/vtnt 23.32 .,. . 0{her: a 23326s. % p401X . iEbt la r ' ,,. „ ',-, , $ A' 6. k'e yx � �F .., ,._- _ . • Environmental exhaust and ventitatioa» Name AMYL Land Holdings,LLC Range hood/other kitchen equip 3339 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33,39 City/State/ZIP:Scottsdale,AZ 85258 I Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)04-4031 Fa.'t:( ) Anie'crawlspace farts 23.32 _ A .', .,. ..W.. `;f01,?3' I : ,�,1l, , Odra 3332name•Willia � ;i1 Business m Lyon Qortu ,Inc, g:514.15 for(first four,54.03 for ach additional Contact name:Angela Gra jewskiFurnaceFuel ,pipinetc. Address:109 East 13th Sweet Gas heat pump Walt/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angets.Grajewskpolygonhomesm iarbecue A° : . ..l , '1 - t` clothes dryer(a) 1 Other: 1 Business :Anderse echanical,Inc. /1--/Of.--;?0 "9.../.0e__ Address 16, SW AveZ 7,, /f� �i /`1.9/h!' 57" sT� il3.� " •abfntal City/State./ZIP: OR 97224 679-J7C-6'67,, 7t/v,6, 4/9 96e6CV Minimum permit fee4S90.010) Phone:(503),'2-6664 / / - " .,7S' Fax:(503)536.6615 Flan review(2595 of p snrit Sec) t ,. State surcharge(12%of permit fee) CCB tic,: 68214 f x203—U,3" Tt3TAI PERiV T FEE This permit application expires if a permit 3s not obtained within 180 days after it has bees accepted-Ws complete. Authorized signature: • Fee methodology set by Tri-County SutldieI Industry Service Board Print name:Angela Grajewaki Date:8/22/16 is _Pun uwp_aa0n t3.dos 4404617r<t 1102=WWEn} r' r CITY OF TIGARD MASTER PERMIT " - COMMUNITY DEVELOPMENT Permit#: MST2016-00296 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2016 Parcel: 2S 106DC 12800 Jurisdiction: Tigard Site address: 17112 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 128 Project: Polygon at West River Terrace, Lot 128 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Reauired Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1744 sf Value: $215,852.02 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits_ 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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: 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: $30,221.47 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 952-o, 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: '<-� Permittee Signature: �� �C? "/ 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. he/i Building Permit Application (-e / 6 LS' � y 2/ /4e, •° FOR of Hei. LSFOA1_) City of Tigard DaReceite //I fortr r« No t(„Sj /6-lil Ci i' 13125 SW Hall Blvd.,Tigard,OR 97223' 1 s • 0 Phone: 503.718.2439 Fax: 503.598.1960 Dmc/B Plea Reviewy: 7'ZL4 1 OtherP"m /l020/6 ©Qv Inspection Line: 503.639.4175 Date.ReadyfBy: �/)iuis: H See Page 2 for Internet: www_tigard-or.gov NotiSaVMefhod:/6 /(7 / Supplemental Information i,9,v 416/iE xr s b �� � -�� r � ' 1i t7 .. _ � �; . 'f . „ `."- ..-'!� z'ft-`xk�,iz , t• issJ� � �# ` :, aFr,y�.�-`�- New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the 2 V1'7-11-2 work indicated on this application. '� t Cil ��t �� f �d + � Valuation: $215,852 ®1-and 2-family dwelling ElCommercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder 0 Other: Number of bathrooms: 3 '. r, ' - Y r - Total number of f'loor's: 2 m, .� N ak..•:E t t r�s��. r; c}EF t '�'�„ ;.'l4 �_.,. 1 7 Job site address: II i}2 61k) .jeain D f,('S e /i~ New dwelling area: 1744 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 423 square feet Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: 49 square feet(3,3(j Cross street/directions to job site: Deck area: square feet Q Other structure area: square feet r,y� s yet Subdivision:Polygon at West River Terrace Lot no.: ' 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 ` '�'' ' ' J ` .... ..s_.>_..�. work indicated on this application. Valuation: 5 Existing building area: square feet New building area: square feet c f ,� r i i i q 4. 3 i Number of stories: 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: ,.._ .... ,..�.f.�... .. ,...e.a�..1_ ...� ..;._..._...�.,.-..x....sc_.�.... ................. � ..-. -b,._ ,_.. .-. .�.`.�.0.....-- . ,s ,...-�,.f.-...c ._,........ �. ..ir.....,_........�....t _ >,..w.v ..k .. >.... .. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewskl FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 j Fax:( ) Amount received: Email Angela.Grajewski®polygonhomes.com _ _ Commercial and residential prescriptive installation of f _ " - }'`) �„ =.r.�' _, 1:7_ ' roof-top mounted Photo Voltaic 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/Z P:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(I2%of permit fee): $21.60 CCB lic.:207247 • Total fee due upon application: $201.60 Authorized signature: Apv �4 1/.. . This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name:Angela Grajewki Date: ! pI /I *Fee methodology set by Tri-County Building Industry I Service Board 1\BuildingPPermits\BUP-RESPermitApp.dce 02/24/2011 440-4613T(11/02/COM/WEB) , t Mechanical Permit Application FOR OF1"It O\1_'1 City of Tigard ed Date/By: '`7.57 /E'""60,a ._ `, LhtelBy: Permit N .. • 13125 SW Hall Blvd.,Tigard,OR 97223 ' Plan Review Phone: 503.718.2439 Fax: 503.598.1960e/By, OtherPemtit: T G A K D Inspection Line: 503.639.4175 Date Ready/By: buns: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information � Cay 9 41 l., xy . .7`r�x 5�E ✓'-.�f �E.. ®New construction Mechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials.equipment,labor,overhead,and profit. 1 and 2-familydwelling Commercial/industrialAccessory buildingValue:$ �, 6"-77,N �a FC��+cs ,del "1 )g 1 "The— F 5 SY i 7 �� r t.�. _ ❑ 0 ry ForspedaJ tnjormmion use checklist 0 Multi-family 0 Master builder 0 Other: Description Qty. I Ea. I Total • kFa E k'et,.t i fi_ r `Heating/cooling: Air conditioning 46.75 Job site address: -4.11 2. 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 Suite/bldg,/apt Heat pump 61.06 no.: Project name:Polygon at West River Ter Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: r a.S Other' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 sz v Gasfireplace/insert 33.39 _. ... �. :. Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipAddress:7600 E Doubletree Ranch Road Clothes i 33.39 Cess ddryer exhaust 33.39 City/State/LIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) A�t�tic/rawispace fans 23.32 [ 1 3 Y Other x - i 23.32 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/LIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 ( Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski®polygonhomes.com Barbecue — . ti,.., Clothes dryer(gas) G E t e s , Business name:Apex Air LLCM Address:18004 NE 72*e Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE .- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Signature: y * Fee methodology set by Tri-County Building Industry Service Board Print name: A�� ( le ��if Date: 414 b I:\BuiidinePermitsiMEC tAPp_040113.doe �`-Ji �6 442/COMIWEB) , 'a 0 Electrical Permit Application FOR OFFICE F til'.ONI,1 City of Tigard wed PermitR`./7.S7:2el/G)— o„,294 13125 SW Hall Blvd.,Tigard,OR,97223 pw,Review Phone; 503.718.2439 Fax: 503.598.1960 Date/S . 1=11111111111111111111111 T?G..ii i> Inspection Line: 503.639.4175 Reedy Date/Sy: Wallet www.tipnrd-or.gov Natisedl►earrhod: 111111.1111LEEERIII ;_,.,- -r' „ ..-• I-,-;---. '''''711.1-/Y.-:l'f3.5 0 a�it.ti 7.s; -.N-1 ,• `' �? ;-w.`.,:': " :..4if,-` T,:?tib '"` :r t 3.,;1". .,;:::_:::;-;.%,,,,\-..--,-. .� 2'... C New construction D Addition/atteration/replacement Picas*cheat all that apply(submit2 sots apiece write= hecked): ❑Other: D Service.or feeder 400 amps or more 0 Building over three stdries. : D Demolitionwhere the available melt current 'Marinas sad ' +a- "i ^=..4 ..;;'',.. va wC:S,r_4 J`ta4.si)is _tx .i i(r,Y{J).`...7't-,..,?..7]..-5---;.3.e.,,,-,,,,;,,..,--....:4.'"2-.." 0.0 exceeds1008aipsal150valtsor OFJoabagbuldin boatyards. ®1-and 2-family dwelling 0 ColnmerciaUnidtist ial 0 Accessory building lase to ground,or exceeds 14,000 O Commercial-sae agricultural. buildings.• D Multi-family - D Master builder 0 Other: �err ecu other matslladioae. ❑Fire pwop, ❑Instailafkn of 1501CVA or w�...;S:.:4:- ' �, i e'y. e s `t1'e^a.,,FI't�;A..:1,:,J !r".i r' ---(9`11,0:4.-c.., �v)'„Fhb ©Smergeocy system larger separately derived t / 1/ _ •3{N J,n Low's, O10011Po atrwwmotorloadof totem - Job#: Job site address: `' L 100i1P orator*. O"A","11","l-2"."1-3", City/State/ZIP:Tigard,OR 97224 D Six or more residential Waits. tvaaoY• jjn.althwmefacilities. DRecreational vehicleparks. Suite/bldg./apt.#: Project name:Polygon at West River Ter CJ Hazardous locations. D Supply voltage for more than O Some°or feeder 600 amps orators. 600 vola nominal Cross street/directions to job site: -, �,�-;;ia�<r �: ..n'�r:�j i`4�t_.F�arlf? ��- � '".��a, Deserlodoa I Qtr. I Foch ~4 Total ) . New residential single-or multi.'fatuity dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: /3,0 Includes attached garage. 1. eq. orleas 16654 4 Tax map/parcel# Ea add'1500 sq.ft.or portion ;Z, 33.92 1 - ., .•. .. --s ,.... . ,. , . .— ;,-z'f,-5 Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,maid-family 75.00 2 residential(with above sq.ft.) y -11 £_a�s is _ b! L• i-.... tK �H'� a.�°>'. ,,f Renewable Energy 0 Ste Page 2 - Services or feeders installationtalteration,and/or relocation Name:ADPL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 to 400 133.56 z • 401 atnps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 J Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125,08 2 Owner signature: Date: • 401 amps to 599 amps 16854 2 F :a i i y I j , r .;: ,i :a to riF2 ,;.4..1.. .)",;,. —?;' Branch elreuits—solo,alteration,or extension, panel . A Fee far braacJt ci>eoit$wadi Business name:William Lyon Homes,Inc. eachbranchoservice r feeder fee. 7.42 2 it Contact name:Angela Grajewskt B.Fee for branch cimuits without service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add•i branch circuit 7.42 2 Miscellaneous(service or•ceder not included) _ Phone:(360)695-7700 ' J Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewsld@polygonbomes.com Reconnect only 67.84 2 -,',1-;-.-- , .-, ,,' ") S t'-/!•':2 ,_:•0_._'.��� ._1 ...- :: . ., - Pump or irrigation chute 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 J.-v. Signal chruit(s)or limited'energY Address:6101 NE St Johns Rd panel,alteration,or extension. E]See Page 2 2panel, City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr rain) 6625/br Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/lar Email:bdaniels(g�gweusa.colxt Indushia1plant(1 In min) 78.18/hr Inspections for which no the is 9D.00/hr CGB Lie: C11.58 Electrical Lic.: 208174 Sum,.Lic: 4496S s'- i~ listed hr ) a Suprv.Electrician signature, r' •�ry y► L l 1 3 k" ' r 1 a t t_t s a f e i.ra ti 3 r� e<' regtt.ed Subtotal. Print name: Joan P Albert I Date: 4/26/2016 D Plan Review Required(25%of permit fee): `w �` ' E =M, Slate surcharge(L2%ofpamitfec): :.=`:',• Authorized signature: �-� TOTAL PERMIT PBE: pmt ply expires permit 1s not obtained within 180 4;:.i::,:•: This application ex if a Print name: Bill Daniels Date: 4/26/2016 days.0er It hes been accepted as complete. ''s•� — Number of inspections allowed R �;•. * RWp per permit •',i'bulBAdinglpermitikELC••Rervatr _SLA ERE-doe Ray 06/17/201S 44Dg6157 11iO5/t 1M/WEB Lia,,,,,,,,...„.....„...... Pilinitaf .iPetn......j1L4k,OL41tion t, f • •.- - . , ^ _. i' ,s.: -Bulkling Foxtures, Prit--( „ .(,_•,,t v .4,,,,,.ti., f-OR Of I IC. .. .,,,,44 _, „ • • f. PO'Pf. Tikare4 It,1 N 2 9 zu;0 • tx:fir.-::-.- -- '- - - - -- pc,„,i,-N'.-.-i.: - - • : ..- 0, --w;29 Iji,....,,t, 13125 Sic1-10.431vdli Tigard,OR 97223 "'''' „' 1,1ite Revies'ic J1 "- fIllenle:103.110439 FM 503.59/1.19(4 , , i: t .t 1„'..1^ft-t Thatefii 'Other Poona No.: • "Inspection Line i 503.§39,1117.5 k,I I\' "--P'', "'-••••. , . -•-•-: •.• :,' - • - - -• ' .... ,.- . . .. 1 i,..r.,!,D! , ,.-, ,r--..,.,;t(.,',, '' ReadrIar hair i 121 SeePigel'for Internet www www'iiiartharla,Y r*-0 111.....03,1",6.7A "•-1, ' '''''1 -1466fiediMedilid: .. . , ' ,•.Sia!iientineatior-erakanea• . . _ $4.•-**4 -'4...-4I;;;"'-f....,•'..74.7)."1....-77(fr.-"Aiipk'C•E.:"ir:t• .17.' .!"-417:3,...-v_-,- -'41. ,-il:C --;:,,, ,,,,21. -itl:;:iiet,,t;;,--ZIVA-41-47,--,-erat .,._ -t,,t.7.5!",-,Pal.__,.-k_i--:.1--.-.7. "R.f<;• ••,';i':•:4,• ?.. L.I.Y.....-*-..-•:".-r7:;?-47.4.-,[_.1...44, •'^:•:',%;•' &._.,'?-;•.•, ,-7'..77.,••; t7-" _,..n;•-•.--.:.- 1;-1..-Wi":1-74 -:.1,17-rik,,A;Xe.r,if.,tre•A.-. ...,:r0•2*.:. ! .-„, i:!. Neiv coniirgctiO a; ' CI Debi:140°n - - _ -Fori,-Witt orbiellooisse clies4hIst .- , • ' • __, -- • '' -- . . ''. • Descd,tion 11E211 Eat _ Total II Additionfakenitiontrephitettierit - ,U Other ..New 2-2-family (ineloel et 1001.For eachenitity coanectien) _ , . , .. .. _ .. ... mi-_-_-,,m__i. ..-::.5,-,..-:-.;...F-p--,--4;3-7,,,:srittr-Itowriirlaily-F.,---z-4.- --,-lir•-i;t&v: , SFR,(1)bath 33270 - ..,..: ... .,. . •• 1 .a;)d a-hit4i ii wel Wig, - -.ti.Commer cialtinduStrial SFR(2)bath - Cl Accessory building'. .Iti Multi:faint!): 25,02:* • o Master Wirer '0 Onie-f: . _ .. _. ...:. •-,Fan 4airimer.(4,__.so..it.) Page 2 -." ",,--""=. .1:4--,..--7-A.r,-,.--,,-,"'"'-'4"-i-;...---:-•-7.---;; ---- . •,;-• 7: "--:" . ,:r- t.:-::..-..Li..-1,-4,-,A.,,;r4..-..'--g-rAvz.,-• ' 1(.!,t'-'1' V '.4 tii A :i 'rt.. 'g 0 '...,- --,,fes,,,, ,ris-,• site&odes. • ••."-_,-_,,-J.,,•r.:...'",;........,.. ,-..-40:11,,'-'..4.--..- ... -4'4. - -.,.....-•k•---•-'.__. :....i.,,' '5 ••-•-1,,Jr:a•;14-.C.'4‘,...,• -La42A,ST: • .= _ • . ' . Jab the warble: ' •1.1- 5 ',.. - • -.. .. - . catellbasiti Omen drain- 2- . k. A# i Wit • T ' 10.76 ._ - . - . ' DryWell,leacb line,or titncli drain , 11176;• City-/State/ZIP: .' ayki x - f ._ _ ...,._ „ : . footing drain(nn.linear ft.:___) .. • Page 2 Suiteibldgdapt.mo;:. . :Project.iiiinie! • ., tylannfiletured home utilities, 50,03 _ Cross street/dire:dims:to job site: •.Manholes 1836 ' .. . . _ • • . . .„... - - - • ' . *kik'drains:on**. • 10,70 . • " ... . . ... • _. , timber),sewer Mo:lin'ear ft.:_;.) . ?age;, * , • • ' "" ,...Stiartit'seWor(no.IMear ft.:„) . •Petc2„ . . . . • 'Water gamic* no-linear it.?— • -- -- '. ...':.' .'' •-• - "" - . 1. -'1213 '' . • - ' -----Aak) Subdivisioni4140:"..ktreilik_ ._ - Lot no.1i ' F1xture or Resit. . . .• ... . - -. . Peat2 • . . _ ...r ... ., .. Tat freapiPardel no BacliPow.iiiitter 1231 Wi,,,2,-.1--54--.-1'1-i1A-T4;;;.4.e•-1..14-...1,4i-i.•te.'-'t-'•-_,5- '1--*'ty,-,k1,,,,,..ii47,,,i,-. 11. ,,,,,,,,..4'2.:1 .,.I,- V--_--. K'/T;,.-. 6. ' Elack-water.-valye: .__ ..,,,,,,,.....,„_...„_•_,.„.__4...,-... ,.,..,41•..t.,!_-_....4. : :-.;..A.:.,it ._t......1 - . -,__-...!..?%;.•,__•J.----7.„..,.. ....:41.w.:.-- eibtha„.....L..... . . Ino2 . ..• . ... ,. Dishwasher • _ , coni .,. abel phirki - -,. _ . _ .. . . , .. 21.0i. j • ." • ' ' '• ... " Dim-- king' fountaHn 25:02' . , ._ . _ _ . :, .. .. . _ -- ' -- - -• •' - • Ejeet,Ms/sump. _ 25:02 . • -• „,,...:, '--'..:91-•-:•4-k,-,- -•;•---1, -.7,;,..--- -.-T--,-.`-.6_...;•. .4'.:. i.,„„4...--,t4,,,_-,0-...74-c7 i-A.:,-,_-p--. .--'f.4:- : Expansion tank En 12.51, ..;;.,--.0- -,!-... 4-hia-,..1-..,, ,,*___,::- g2.,,,re=4,1g-1„.. :-7,:,,. ::.:.,--k4„.4.:0-,.,;;,,*,..4,-,,,,,,--, •.7 - _ rv..L La toommi Fattarti. sewer. 7eak... . . 'Mill .25,02_11111111111 Itilarne:•A ' . SF I • & • Floor dram/fMorstnkibub 25:02 • i ' a ' I 'i ! A i Addfts-. s: a e wik _ .A. , _ __,_. Pik__ cratbiedi4,4-01, _ -inin . 25.0. . • '13=M191141MIMIWIPOW.C1111111M Hose bib- * . - 111111 - 25AW- _ . ._ _ _ . _ _ . -I.:caulker .P_Ii0e;( in) 9 -11161M. .: . ... .. . ..._. . . .. ._ , !Iv' IIIIII. ..,,,,,h., ..":,.,,.,--,....._9-;',-.;A,-,4'-.7.-- -------,--•c!... .44,-;...,::•.,t4 - .ir•—•••5 .-,-- . .. . -i--.:', • IiitareeMaikoraialiaFi 25.02: --4 ',--.114.4 % • • ' • ''.' - - • ' ..- -- ft) 14, _ _ Dili e ..,/s t.i.c... 61. Medical gasfyigue:S.- ) III Page2 111111 .Primer ., . ,... , _ _ . _ . - -• - --. .• &OUP*teMatIleMial/. . . 123.1 MI 1 .. -la: 61* _ ? St/. _ . Address /(1'? ff_-_ 3 ._ '4 .. __ _ _ _ __. 1.5 . •. 1nlabesianavatoty-. *.. • ••;54:11 1 . . CilOtate&IP: I a 1 94 / ,• . .. $ ., ,-.A. ,.1(. .444,1.water).. , - 62.54 ...r '' • • „pkIliet.,( , .) /ct _7-No ,_ . par:.VAI' ..3.....././2/21Z ! ., 'NW sbower]ahowerman ...,...,... 1231_. • ess na _ 2PP-2...Mii. : ..7.--- -fl. A-4 --',..----.•- .,,,,-;.,P,A•=-. 7.e..to,,,,, ,4.9.--_410'..0 tr..7.-.-g:,-. -.&:- -.r: . Water closet. ** *1111111:. ...... ,I: • ,. -, - - -'2 '--4::'41. - Water heater . usinrp.e0.d t,YIP 0' i ft,* ,j. ... _ „ _ „... . . *ger Pipilig,DWV. ---. - -'--'--'111VITtr -- - .. ' ' - • all 37.521111111111 B _ 1 m ,_ , - , . fr 4. --... _ .,... -,_.__ ur- / . • • Other - - - •..._,.,, - : _:.•,,' .. .....••...'' 2-•5_..,.•0,2 city/StaleZP / ; _ Subtotal 91 Mpermfee57250. .-..., .•_-. .• - . 11rIf .Plan ram:yr-125%&Omit Pe) p. !ecri,Liv; i '- Plurabing:Lic.no:-,P7 • 32. it ' • • __ , .-„. _. _ ... . — . -,Slateini,ebaige-(1.1%orptrrnit;fee) 1 • . . _ ,.. • . ., Mali-Orli-et)Op*tare' • f ' '..•./ •tr‘ . ''' 41 , TOTAL PERMIT . . . - - •' i../Li i.40 • A./..14...., _ . . ..._ _ _„. -_._ ,-_•-. - ilil. ' ' ,i....TO Tbh.:pergivitaipVibt#onv-iyika if ii Oeriniti.tfiot obtained wain ISO days: rant hania:I 79111,74!. -_ ... I : -Rate: . IN -ittleilt hal beer secepted as complete.. r i . • . . . ._ .„, - _, • .. (4)_ ' - - ...Fee inaltdologylei by Tri-CotuiVliiniding if oduaty tcrvict liflulidia/AParniuTIMMPcm0lApp.doc 10/01/09 440461611110/02/COMMEM 1 ','', City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT 11111 ■ T l c n a o Building Permit Review — Residential Building Permit#: /47?-57::,1-0/6 -- 00,E 9 Co Site Address: /?//a S/.(> a() c uu -P ,pJ Project Name: Of c )h ,2-71 4je "../v — —1- rrcczc Lot #: / (Neing=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: i& .) 5 ,€ 12.' Verify site address/suite#exists and active in permit stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached S ij,'Plan Elements: ree(3)copies of site plan , 'sting structures on site e plan must be on 8-1/2"x 11"or 11 x 17"paper 0t III Footprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) oor elevations orth arrow tility locations (required for new,may apply for additions) o address,project or subdivision name and lot number � cation of wells/septic systems piplicant information(name and phone number) Erosion control(including drainage-way protection,silt fence dimensions andatibuilding setbackhodimensions esign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and eet names yipervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Ilti roperty corner elevations (2 foot contour lines if more than Oltkisting trees to be retained with drip line,and tree 4 foot differential) protection measures (lean Water Services—Service Provider Lettey(lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified V No Received: ❑ Yes ❑ No Di ublic Facilitit Improvement (PFI) Permit: equired: 01 Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake rz/rand Use Case#: 76,6E 0/S 006016 Sum ce)/ GOC90(P oning: 1i ' IlQ Setbacks: Front ,a Rear S/62# Side Street Side E3 Garage 3/(e2)/ andscape Requirement: „20,kot Coverage Maximum: rruilding Height: Maximum Height OA- Actual Height isual Clearance l Easements 0ensitive Lands: ❑ Yes iNo Type utPS Urban Forestry Plan ❑ Conditions "7Met"l'n or to issuance of building permit / Notes: L CLaVi i,)v>_Q �'%��/ F J �7i' ?'D ,�.p,rhi/21 1 of ew—� v Approved By Planning: ,_ ,G Date: 9 / Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1::\Building\Fonns\BldgPennitRvw_RES_012116.docx e Building Permit Submittal Original Submittal Date: 7//f/fic> Site Plans: # 3 Building Plans: # Building Permit#: O.-Enter building permit# above. Workflow Routing: (--Planning [-Engineering [ AC mit Coordinator - iilding Workflow Sign-off: J-Sign-off for Planning(include notes from planning review) Route Application Documents: ET-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal 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: *� Date: 7//V/4 Engineering Review Slope at building pad: 2`a ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved ,y gineering: _ Date: Notes: - I ..- _ .441,411 I/ ls��i . �. - 1/.....Irf ir Approved by Engineering: III .L7 Date: ]'..?,e,.►`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: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit pproved by Permit Coordinator: Date: 1:\Building\Forms\B1dgPennitRvw_RES_012116.docx k "PiCity of Tigard COMMUNITY DEVELOPMENT DEPARTMENT I T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: A- c 7---c2.0/& — 610,2 ,7 Site Address: /91Ag ,j) t.rervit.. ju Project Name: 47 " R.it ca" ICac,sSii.6e- /ace. Lot #: ,Q P ew,w Jr g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist ' t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?Vg 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 deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep El min. 2ft., 5 ft.wide ❑ min. 2 ft., 6f.wide CI .61,fr 5 I 2. Eyes on the street: a minimum of 12%of each street facing fa ade must include windows or entrance doors. Percentage Shown: l c , �cIC4.. 3. ntrances:At least one entrance must meet both of the foll ' g standards: Max. 8 ft. setback from long street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes El No Ifs,all the following apply: l4sq.ft. min. q�� �i ne street facing entry ft.max. roof above floor of porch y 5 ft. depth min. 30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: *overed porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep [Rall offset min. 16 inches f 3 ❑ ormer min. 4 ft.wide �'I oof eave min. 12 inch projectionfSoof offset min.of 2 ft.f J ❑ Roof shingles either tile or wood TrGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of street facade111 Window trim min. 2 1/2"wide by 5/8" deep' ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade . . , .es and Carports:May face the front or si 4„lot line on a corner lot. Setbacks: 1i'- No closer to front or si.e . 'i e than longest s eet-facing wall. ❑ Yes • '•.. If No (Check one): ❑ May extend up to 5 ft.if there is a c.,; -. front porch an. •: ge does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is par •- .-story building and there is a window at the second story above the garage that faces the street . min. area of 12 sq. . Width: (Check one) ❑ 12-foo - •e garage door ❑ 40%max. of street facade S 1%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: -9/7/—.ee I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17112 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: December 6, 2016 at 2:58:19 PM Record ID: MST2016-00296 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17112 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: December 6, 2016 at 2:59:05 PM Record ID: MST2016-00296 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17112 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: December 7, 2016 at 11:09:29 AM Record ID: MST2016-00296 Inspector: Aaron Cillo-Gobel Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17112 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 8, 2016 at 11:10:56 AM Record ID: MST2016-00296 Inspector: David Young Provide grade away from house 6" in 10' all sides or approved drainage swale. R401.3 All else ok. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17112 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Correction for grading ok, drainage swale installed. 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 received. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 13, 2016 at 1:47:45 PM Record ID: MST2016-00296 Inspector: David Young Inspector Contractor