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Permit (49) CITY OF TIGARD MASTER PERMIT 1111 . COMMUNITY DEVELOPMENT Permit#: MST2016-00097 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2016 Parcel: 2S1060003000 Jurisdiction: Tigard Site address: 17135 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 44 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 23 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: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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-4 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 A Geotechnical report is RD,STE VANCOUVER,WA 98660 required before the footing SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,219.26 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 through OAR 952-881-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. din • Issued By: fir1'' Permittee Signature: Zi/t/- Ye:---/G`-17C7iV' 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 .S 3 7 / r� FOR OFF"( 1: 1 SE O\1.1 iA° �.,.r Received " \,,�1 City of Tigard / /�p ��! Permit No � Date/By: IN 13125 SW Hall Blvd.,Tigard,OR 97223 r +, Plan Revie �� iffior /6"R'�QQ 77 Phone: 503.718.2439 Fax: 503.598.1960 MIK V 9 2016 DateBy: jL or>terPermII. Inspection Line: 503.639.4175 Date Ready/By: iris: H See page 2 for f 1<<:h g g Cr"(W TIGARC� F.;/;,/, ���P ��, �r/� Internet: www.tiand or. OV {{ss��1 p{l( Notified/Method / ' Supplemental Information -.T. .� ,.,A.... ,vf>..,._tea..>..„..,. ..:.. ,,.� ❑Demolition Permit fees*are based on the value of the work performed. ®New construction Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Otherequipment,materials,labor,overhead,and the profit for the ,' -, work indicated on this application. „v „ , _ , . Mro � Valuation: $ I Q "J "1 ® 1-and 2-family dwelling 0 Commercial/industrial --i Number of bedrooms: l 0 Accessory building 0 Multi-family NS ❑Master builder 0 Other: Number of bathrooms: ,- , y. r k.�u� x„ , �°* , '- ToW number of floors: 2 o add e`s r I New dwelling area: square feet Job site address: 111-b�J ) jec n outer City/State/ZIP:Sherwood,OR 97140 Garage/carport area: _.12� square feet Suite/bldg./apt no.: Project name:Polygon at West River Ter Covered porch area: U \ square feet 3 1 Cross street/directions to job site: Deck area: 0 square feet$o' Other structure area: ', square feet Subdivision: 1 Lot no.: L\ 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 Ea r s .�� � work indicated on this application. Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet .n s a '.:-:..1,.:,,, � 7: Number of stories: Name: /9-2L-i/ L147( 4) /14C'S" C. ( l Type of construction: Address: 4treer 444-7- Occupancy groups: City/State/ er, Existing: Phone: Fax:(360)693.4442 New .meg ` - a ` `"-.ce ,•Ar` 'aII1`,, -.,-7,-;•91P-'' ''':`'.1:. ux ",-;.77,-17._.,,7717:67771:,f'"" ,,� cs , - ir+ t t¢ 3N` � Vi d f' � �"E Er -�.. a � � 'cc. .".,,� Business name.l?:ol3r$"..-WC i ,4Fs " Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13"Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 J Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes com � * Commercial and residential prescriptive installation of 47 F •;;7,'-----.!F�•.•A: ;,' - roof-top mounted PhotoVoltaic Solar Panel System- Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:109 E 13'"Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver,WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60- Authorized signature: V This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Date:12/11/15 LPrint name:Maggie GordonService Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/O2JCOM/WEB) El i i Permit ' lice ' cc 4ard �/ J clir,1,, 1 f r r [ i ria <-- 1312s SW Bali City-of Blvd,Tigard,OR 97223 }r� Phone 503.718:2439 Fax: 003.595. R y� IIll q�+ PkaTReview ��~ / levecn0PUric: 503.639.4175 � it92 U I l! i7we1�. Rrlat«lPemotA: i `�i[��1 R z [ F @ e•s lnteftat Y WtviE d 1 � r VW' *�' 1.�� c , N�limliMetbort rods S`+SY2PakaaFacfil t dtlfortaa8ou �Newconstntcton ]titlditi,=;? s- �1,01l '1 1� 7 masse 411:41,:a8 dca< CI dhmolttion applysabeaik ads�t+laa:xems cbeeked C{Qtl1� Elsivicewfeader400 arorore' Clt3ur7d:,novo( ees(oaies ' ,O E 'T >< ' - ,, -rravwiabtat tiNmWrt 3 . , ,` N .�• +.,ten`t0 0 wine)is and baaberds- . 1 aitd 4 fauaily dwells.18 El CotnmerctaU�dcis9nal swaps w ISO tions or I7 now ttuilduigs Q M lid 2ntily D Accessory building ice:to b swat or is t1,, [I Commerriat•so agiaehurat ®Master bulkier Q Other atop await Diller inoonations. bousanas. son;S1T8 {3Fuepamp, l_lloataaananoF}SBKUftw ot±ta�al�nlu talo iocajlTli Q ^ C=o4rs4+tam. doh . f Job site address Clhaeii>on oraow roams toad or ,imam Piety seer+ 1, ! 51 '1 s)(IV.;k it 1 ? '� MOW or tome, r City/State/2lr.Sherwood OR 97140 -A",'0"..-1-2',-14'',. ElSix or mom residential nab. oeattaney, Suitrlbldg./opt#: Frame t7tieaan-oareriiirs C7liwaationstlebicicpada. C7Fiaedoab iceienr, El splp voltage for MOM DIM Cross sit eetldirecticros to job site: Q S«z4ee nr feeder coo amps ormoreo rotes nonwpt N D +ndo; 1 Ori, I t Tata r Subdivision:River TerraceNew'residential sleet.or carpi-fam}ly dweelling amts. Lt}! :% 6neledesattached gnrnge• Tan nra#rtpafccl4- 1,000n R,or less 168,54 4 BESCItJPT#�O'WORE )a add 1500m.6 orpoitlrm ) 3735:9200 3 92 1 l imtt�airgrgj msidential ;: Nevi Single Fatally T5.0t1 2 k twills abovesq,RI 1lmttod txiiey trsaiti tamily 75.00 leeidcnfral+with above sq.fl) 2 i' pRt)e "Q#L tt I ENkN C Renewable Reno El SeePnge 2 Name:Polygon Homes Seeviers or Feeders 1tmYaitation,alteration,and/or retaeation 200 amps or lass 1019.70 2 Address:109 B136 St 201 amps to 488100P0 133-56 City/State/ZIP:Vancouver WA 98660 2 40)amps la 600 amps 200.34 2 605 clops to i pi>D n ans 301.04" Phone:(360$95 7789 Far:'f } 2 Urer1,00D>mrpsoraoNs 552.25" Z. i.: Email: Temporary servitors or feeders installation,alteration,andlor' Owner instaltafkont This installation isrelocation r intended for sat tmade on property that I ownr which is not 2t)t1 owns arias 50 e, rent or exchange,according to QRS 44,449,671),and 741, t O nee signainte 201 m 4 sit 72598 2 I -Date:_ 4°1alnP11o599anrps 168,54 2 l.< APPLtCAh1T ■ +CONTACT PERSON Branch ruwdts-new,alteration, eztena}s, Business name:Garner Electric Washington,LLC ,r«.Peo forbrmtdr einatics,slth r. rtel - ,- _____I above sctyire or fceaier fee. Contact name;gi1!Daniels Vaca taaach cir it Address:6101 NE St lobos Rd B.Fre forbrooch rJheeIcircuits te.ifrvrrhoru service orfeeder ice,first City/StatefZ[P:1�ancouver WA 98661 ranch circuit 56.ts; MI Bach sdd7uuur armee �r Phone:(253)320-1657 A44sceNaticaoa servtceartacdern eitt �Q r Fax:;( Email:bdanleJatadgne#z9acom Both' t+doa(usedorrrtQdulai III= dwelling. seandlorleeder 11111. ON1TlAG')f31t Reconnect only 675# Q Bustaess name,Grittier r Electne Washington,LLC sump eeurinelig t g N 6724 �Q Slgagr+wdineHghtiog NE 6I0J NE St Johns Rd signal cuaast(s)or tel imited.enmgy .. 8}tela .,, iner s l0n. H SIIk l esu �® C;tyrslatrrziP; taaconver WA 98661 pdditiiddt8onalias•-coon over allowable is Each An of the above Phone(253)3204457 F ( rmalinspection0 hrmin, '66.3St1tr 'Q s btvrsligatdon(1 hrialn) Email:bdanie gjyeusa cam Sit 00/hr 111111110 , �® lndustrialPlaAt(I hrudu) 711.18/1r +x'13 Lie.;CI ISS Eloctricat Lie,:208174 Inspections for'Aloha*fee is ME Suprv.Lie,:4496S 0.' listed Kbenunl 9d40/hr � supry li qurn.ciansignature,required; �j%- / A,. visa »ElEellsICA1'-PERh11Ctal; hint name:Joan P Albert - Date: gtrbtav) tai 113 Ci Plan Review ttegnilcd(ZSY erne,"foe/ IIIIIIIMIIIII pEe Authorized signature r_am_ Stateauritti3rBTt3TALP MITtf Print name:8111 Daniels } � f'11/ Tinspeimoapplication=PimIra peendttsant obtai obtained Date: 1 lrj y days abet Rhos beta accepted adc9mptete. #Niaberofioxpaatlottaaowed perpenpA.i-�wi YPoaaELCJ mhalze b ertEdc Por 0402/1015 9rfH6i3rti!laStC(Myrg 0 1 1 l o o Mechanical Permit ApDlicatit City of Tigard EIVED t!"Ct � ,HE,t q fF'(,,„,,`, `Q,,©% f1312$SW halt Blvd.,Tigard,OR 97223' Phone: 503.7 t8.2439 Fax: 503.598.1460 M A R 0 9 2016 , PIDaeBReview v Permit 1i ?c, t7insP ion Line: 503.639.4175 ; Date Ready/By: Arts Ia Ser Pagel for ttnternct: , .lig rd o gov CITY OFTIGARD Notified/method; Sapp BU ll DING OMSi()�9 Supplemental Information New constructionr 0 Additi ttt< Mechanical permit fees*are based on the value of the work alteration/replacement Demolition0 performed,Indicate the value(rounded to the nearest dollar)of all mechanical materials.equipment.labor overhead and profit. Value S k 1-.:::',!:4.:41,- ,,,,„ ,.E S` iax ,---4-`* ',"=",‘2",' ,` � . ._. p _0 I—and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special tijarararl:rr use checklist. Q Multi family ❑Master builder 0 Other Description Ea. 1 y Total �' . :ri::"„-0:::',1 s`:e _ featiatt!ictwling; �., , .� ,, spa � ,n. , ..,r .. „�� �� 1 . lob site address: •Air conditioning 1 46.73 tSe' ! Furnace 100,000 BTU(ehs:rstvents3 46.75 City/Statei tp: � QA^u.r—�Oct. 0 R q-3--1\-10 Furnace 10!1.000+BTU fduct*entsl 54.91 Suite/bldg./apt.no,: Project name:. Pok 1-i-1 �/� [ heat pump 61,06 l i l� Duet work 23.32 I Cross str eet/directiotts to job site: n.Q4)LC c Hydronic hot water system 23.32 r Residential boiler(radiator or hydropic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 233.32 Subdivision:River Terrace Lot no.: (.1k__k Other 23.32 Other fuel appliances: Tax amp/parcel no , Water er . 23.32 t , �t r V, ..„.;�. ,...:E .%."°” 'i":71.1\t � t � , . z � ��'�.t. %,,,,,,,,,.., n'� ���$��= Gas firepl tBCiCffttSYSf 33.39 HVAC Flue vent for aster heater ors as fireplace 2132 Log linhter(gas) 2332 Wood/pellet stove 33.39 Wood fireplace/Insert 2332 Chimnevi'lincrlflue/vent 23.32 , , ar ” X0,4 _o 23.32« m fit. � ... . ,-_._. „,„ o: , , Eaviroummtal exhaust*ad ventnat ' Polygon Range hood/other kitchen Address:109 E 134 St Suite 200 equipment 33.34 Clothes dryer exhaust 33.39 CityfState/ZlP:Vancouver,WA 98660 Single-duet exhaust(balbm0ms, toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax ( ) Attic! rawl”-4afans 23.32 e,• at .€ Other 2332• a,. ' 4� Business name:Apex Mr LLC Fuel piping: 514.15 for fast four;54.03 for etch additional Contact name:Stasi Flay Furnace.etc.. i Address:2210 Y.Main St.Suite 107-272 heat pump 'alllsuspendedlunit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342.8104 i Fax: (360)326-176 Fireplace Ranee E-mail staeih®a apexairco com Barbecue ,r .. .: �.. v'-.44:iE Clothes dryer(gas) Business name:Apex Air LLC Other: Address;220 W.Main St.Suite 107.272 "`.r; x°a G,.4 °:.a. . r Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(590.001 Phone:(360)312-8104 Fax:(360)326-1769 Pian review(25%of permit fee) State surcharge(12%of permit fee) t CCB lie.:203034 _ .- TOTAL PERMIT FEE r ` This permit application expires if a permit is not obtained within 180 days after it has been accepted as tem ple*. Authorized signator. . Foe inettiodoingy set by Tui-Caen!!'Building inditany Service Board 1 Print name:Stec'hay Date:3/28/2016 t'3iitadirteerrsats EC_PcrnstA boli!0 doe 440-46ii iT{t t(4w`C A3c3.'VEa) Plumbing Permit Application,. Building Fixtures I VED MAR p ee Received / y� City of Tigard lJt it 07 O U Date/By: Permit No.A/S7' /6'000 97 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review a Z! Phone: 503.718.2439 Fax: 503-59 Other Permit 130.: ° OF i�Lg� �° DatrlAy: Inspection Line: 503.639.4175 Date Ready/By: Jaris: to See Page 2 far I ((;lit') Internet: www.tgarcl-cir.gov S U I L N n m s t' Notified/Method: Su 4,laments)Information y, 00 LJ New construction (-J Demolition Description special information,use checklist. Description I Qty. I Ea. I Total I Addition/alteration/replacement I Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) r f a-' T;.. l i 1 .. , , SFR([) bath 312.70 < ' . , . . SFR(2)bath 437.78 1111 1-and 2-family dwelling ' Commercial/industrial SFR.(3)bath. 500.32 D Accesso buildinlipg Multi-family r?' S Each additional bath/kitchen 25.02 D Master builder 0 Other: Fire sprinkler( sq.ft) Page 2 ",„:14.1). ..:-4, i M x ,l §:I14.5 i '0 " "' 4, Site utilldes: C ' ^ ^�jr.., N " ` I Catch basin or area drain 18.76 Job site address: •, U 5 5 c` out( Drywell,teach tine,or trench drain ' 18.76 City/State/ZIP:' \Q r)00 D A, Q ` Qi-1 H Footing drain(no.linear It: ) Page 2 Suite/bldgjapt.no.: Project name: 9Q \ \ at \k Manufactured home utilities 50.03 Cross street/directions to job site: Li 1✓ t�. 18:76 Rain drain connector 18.76 Sanitary sewer(no.linear ft..:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear ft.: ) Page 2 Subdivision: Lot no.:4 Lk Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve n t at a e 12.51 tclotheswasier 25.0 y 1-e i P k`Lr \-/N-41- -.i Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 W m ,„,„..„.,,t-----.v.,-,, ,e' Expansion tank 12.5 ,,.:T; - ` s r . »� -,_ _.n. 1 L Fixture/sewer tag ® 25.02 Name: YO I � \)�� Floor drain/floor sink/hub 25.02'/ Address: i 1a l/ '✓ Jk. Garbage disposal ® 25.02 City/State/LIP: J L \ ' A. , 1 Hose bib 25.02 Phone:( Da 00 Fax: • rD ko f; l l Ice maker 12.51 ... 1. s Inicrcep (value: trap 02 Business name: Medical value:$ ) Page 2 ,e'i 't `) t 1 LA.X1rZ\C'41 v-kel 1,- Primer 12.51 Contact name: 1\10 11/ k..4-te.t�',�, y,tv-ii .1,3 .,.3 Roof drain(commercial) 12.5I Address: p 04. 1').)--7C,1 Sink/basin/lavatory 25.02 City/State/ZIP: �- ,,,c1.-1 AiNA ( of Solar units(potable water) 62.54 1 Phone:l�j�ll ) SOLp r %"Ig3 Fax::( ) Tub/shower/shower pan 12.5 - Urinal 25 02 E-mail:: t 25 02 n...,, . . • '.:..#* �E ' . "''"'? ,° :.... .! . ''''RF�b.& .E K heater - Water close c� , Water h t 37.52 Business name: 1-.✓I�' V7 t'Y`,r'�3« I" (14.1.1e4 1 s Water piping/DWV 56.29 Address: p) D 1 3 7 Other. ® 25.02 Subtotal City/State/ZIP: '3-c,,,jha /.1 Cn Minimum permit fee: $72.50 Phone:(911). i' „q/13 Fax:( ) Plan review (25%of permit fee) CCB I ie.: ( Plumbing Lie.no State surcharge(12%ofperaiit fee) Authorized signature: h...._ Fe)f u62_, ...„., TOTAL PERbiT1'FEE This permit application expires if a permit is not obtained within 180 days Print name: M k cxt t l f f iii Date y" j I fir, atter It has been accepted as complete. *Fee methodology set by Tri-County Building Industry..Service Board. J:ttAldinetPenaita nAtu-PennnApp.dacr IO l:if9 44o46167(10?02:'COMfWEB) 0 111 City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: Site Address: /9/3.S— ,S'lv -em741 k Alli. icy Project Name: AY }) „2„..- C' eLot #: 2l (New ag= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 63 ) ,S)PIP P//,erify site address/suite# exists and active inermit p s tem. 7 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: pf;Tee (3)copies of site plan J CA sting structures on site gdVi e plan must be on 8-1/2"x 11"or 11 x 17"paper E■,'ootprint of new structureincludin ( g decks)with finished ifi D awn to scale(standard architect or engineer scale) 1 F fl or elevations jr! ':rth arrow tility locations (required for new,may apply for additions) fi S to address,project or subdivision name and lot number '�cation of wells/septic systems pplicant information(name and phone number) 7 rosion control(including drainage wayP rotection silt fence dimensions and building setback dimensions stgn,location of catch basin,etc.) of area,building coverage area,percentage of coverage and reet names iyapervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location roperty corner elevations (2 foot contour lines if more than ill{ A ting trees to be retained with drip line,and tree 4 foot differential) protection measures tilliklean Water Services-Service Provider Lette (lot platted prior to 9/10/1995): 'equired: ❑ Yes,applicant was notified t No Received: ❑ Yes ❑ No rV4 Public Facilitiy Improvement (PFI) Permit: Required: V Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake 1.tf/and Use Case #: Pi)Oac-2045•7- t.')1:1;01-/ oning: K-gS"-- VSetbacks: Front /c Rear a Side .3 Street Side vvyl9' Garage \3 ie,0 4' andscape Requirement: cQ, /o V Lot Coverage Maximum: tr', io/wilding Height: Maximum Height g Actual Height co isual Clearance III Easements /11 ensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buil 'ng permit Notes: and,'`-Gfnd,'75'0.1_1, jYimiL /7tQL ✓7 ) 7 i Aif/C '/ 0._ ,e4,717/i-- Approved By Planning: €____€_______ _ .. —^a-.�_� ��� Date: `i/V/l� . c Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw_RES_0121 I 6.docx d Building Permit Submittal Original Submittal Date: .3 9 /' Site Plans: # Building Plans: # Building Permit#: C Enter building permit#above. Workflow Routing: [}Planning 2 Engineering E 1 ermit Coordinator �u`ilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: EEngineering: (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. otes: G1`�`'I By Permit Technician: ... Date:/ % Engineering Review Slope at building pad: �� E7 Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat W 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 Approv d Engineering: Date: Notes: � -.d» � pr-3-,0w— Approved 1" � - 1� ,� fry Approved by Engineering: 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 pproved,NOT Released: Date: i So 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:bC Fees Entered: Wash Co Trans Dev Tax: ►. es ❑ N/A / Tigard Trans SDC: ► es ❑ N/A Parks SDC: �� es ❑ N/A K to Issue Permit Approvedby Permit Coordinator: 1:\Building\Forms\B1dgPennitRvw_RES_0l 2116.docx City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT T I G n R D River Terrace Building Permit Review Addendum Building Permit #: /S7 v 6 -' 000 7 Site Address: /?/,- 1— S'O c,-7. j Leuf e /4erle Project Name: Ad ,;,, `,u ,- --7,74,-h,oa, Lot #: 17/171 (N w ing= subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 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. Porch min5 t. deeP Balcony w/ access 2 Window Projection Vertical Wall Offset a . ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer 2. Eyes on the street: a minimum of 12% of eac street facing facade must include windows or entrance doors. Percentage Shown: 1.71..e2 Max.ances:At least one entrance must meet both of the folio ng standards: ME 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: t Yes ❑ No If y ,all the following apply: sq.ft. min. V4914-ie street facing entry ft. max. roof height above porch 5 ft. depth min. V30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing façades: overed porch min. 5 ft.wide x 5 ft. deep of entry area min. 5 ft.wide x 2 ft. deep tzt ❑ all offset min. 16 inches ormer min. 4 ft.wide ►LI Roof eave min. 12 inch projection Yd oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade 1Q 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 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: closer to front or side lot line,than longest street-facing wall..t Ifres�►� o. If No (Check one): ( y extend up to 5 ft.if there is a covered front porch and gra lge does not extend beyond the front porch. 011,4y extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) Oh2-foot-wide garage door IQ i t Vo max. of street façade to 100/0 max. of street façade with 7 detailed design elements Notes: Approved By Planning: =`"'� d� Date: --744--`3 I:\Building\Forms\BldgPermitRvwRES RT 012116.docx Albert Shields From: Albert Shields Sent: Tuesday, March 15, 2016 6:21 PM To: Maggie Gordon (Maggie.Gordon@polygonhomes.com) Cc: Tom Hochstatter Subject: MST2016-00097, -00098, &-00099, West RT Maggie, FYI, because many conditions of approval are Not Met for Polygon at West River Terrace I have put these 3 applications on hold as Approved but Not Released. Albert. 1 Plumbing Permit Application Building Fixtures 4 I OR ()I I R F. 1 til: (Ivl_1 City of Tigard 4 r� W: L C!l Received / Date/By, i v(LI /G ,k.9 Permit No.:�I�, ^ ■ 13125 SW Hall Blvd.,Tigard OR 97223" Y' /"t J1 o�C/��i„,00(57 ■ Plan Review Phone: 503.7182439 Fax: 503 59819bQ DatelBy: Other Permit No.: Inspection Line: 503.639.4175 TILDate Ready/By: kris: I 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information T?t` =fl1?•WaRFFr ...:........:... ®New construction 0 Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF" CONSTRUCTION"" SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 �' Fire sprinkler C_sq.ft) Page 2 JOB SITEORMATION AND LOCATION _ Site utilities: Job site address•17 3c 5Mjean t o t,st t (XCA Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 I Drywetl,Leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft: ) Page 2 Storm sewer(no.linear ft: ) - Page 2 Water service(no.linear ft: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: 1.41/ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION ION OF.WORK Backwater valve 12.51 f fj Clothes washer 25.02 t/ "° "f ( k e Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®")PROPERTY OWNER 1. 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-10M Fax:( ) Ice maker 12.51 @"APPLICANT 0 CONTACT PERSON- Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.GrajewskigpoJygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR - Water heater 37.52 Business name:Malmedal Enterprises Inc. WaterWV i m P p b/D 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lie.:102535 Plumbing Lic.no.:34-276FB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Carolina Malmedal I Date:04/25/2016 I This permit application expires if s permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildiegtPumits1PLMU•PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17135 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 15, 2016 at 10:37:01 AM Record ID: MST2016-00097 Inspector: David Young Note: no AC installed at this time, permit required at time of installation. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17135 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 16, 2016 at 10:19:38 AM Record ID: MST2016-00097 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17135 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 with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 22, 2016 at 1:45:04 PM Record ID: MST2016-00097 Inspector: David Young Inspector Contractor