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Permit (56)
CITY OF TIGARD MASTER PERMIT E 1<�-. COMMUNITY DEVELOPMENT Permit#: MST2016-00103 Date Issued: 08/03/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060003000 Jurisdiction: Tigard Site address: 17189 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 47 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: 32 Bathrooms: 3 Second: 1049 sf Garage: 417 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $229,972.51 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 RainStorm Sewer: 100 0 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 TYPOS 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: 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 Y 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 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,483.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA' •52-001-0090. 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: / Permittee Signature: C'/V /9--",04.,%/e. 2--7-7,-,/ 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. ------- ,,,-- _-,- _--- _ 97 Bulks Ing Permit Application L s g IS �---� e " Fol8 OFFICE l 1C.()NIA i City of Tigard MAR 1 b Z016 Received 3 /s//� I pecmitN ys; / O a_3 Date/By: / ry III 13125 SW Hall Blvd.,Tigard,OR 97223 _ ap� Plan Reviev���J�IL Other Prng�Gv�oCC7/k--� '� Phone: 503.718.2439 Fax 503.598.19 'tTV' t: ¢1((.7A Dom• �vl 4 �/�-�'JJ Ariz. I3 See Page 2for Iris tion Line: 503.639.4175 &� g � y S Dale ReadyBy: '�1'eL7 I Supplemental Information T I C...R i o P� R.:lUILO �''€t, iS Notificamethod: ,/1/4 Internet: www.tigard-or,gov AY- i9-/L• l-~/ . _. ?: s.._y �_ _.__. . „2.---'"'"---- "- -- Permit fees*are basedon the value of the work performed_ +IN New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the F;777.5--'''',Q57* work indicated on this application_ 4--- ..,.�,.F =_ ; , .. .� -.„ , Valuation 1 0 Commerciallmdustrial 1 ® 1 and 2-family dwellingNumber of bedrooms: `—` 0 Accessory building 0 Multi-family Number of bathrooms: ❑Master builder 0 Other a;; Total number of floors: 2-..'„c -? t9 sem . Y ,i � t�, iii 5k fQ�� �j�j square feet - _,—.:� - I New dwelling area: ‘ `9�Q Job site address: W �' - ' el !ke �' feet Grarage/carport area: ��� square City/State/ZIP:Sherwood,OR 97140 Project name:Polygon at West River Ter Covered porch area: square feet/0 9 Suite/bldgJapt_no.: J Cross street/directions to job site: Deck area: ,A. square feet S 09 Other structure area: 'i square feet Subdivision: Lot no.: `"1 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 ' -kms k work indicated on this application_ Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet ` = . A ;14-;1., `� a ,, � , ; - ,- Number er of stories: - 7 " - , w __ ..- Name: Name:P LV 7V) e--�//J s_C II— Typeof construction: Address: B9-E-tYl`StIFEETf%d Occupancy groups: City/State/Z neouver, 0 Existing. Phone:(360j645:91Oe"""-- Fax:(360)693.4442 New a ','.. k€ � .e..r .o ' "w' "`"._..:'_`' y,.f� F r� � ---,,:'-'-`-!-'7- 7-1',1!1,-,4:,,111,' , at '-_ :.� t', -,-'r-':,...�,�,..r!_L- ,..s s ,' ir' °- � � - -'€ I74-1; 6 ° - Business name:Polygon WLH,LLC 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 Fax: :(360)693.4442 _ -i- E-mail:maggie.gordon@polygonhomes.com of Commercial and residential prescriptive installation 7 4,5 21 T- €� _ a roof-top mounted PhotoVoltaic Solar Panel System- , , �' ; z „. '. , Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/State/ZlP:Vancouver,WA 98660 andadministrative fees): Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 Phone:(360)695.7700 CCB lic_:207247Total fee due upon application: $201.60 — This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete._ -1 *Fee methodology set by Tri-CountyBdingd L Print name:Maggie Gordon Date:12711/15 Service Board. 1:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02JCOM/WEB) • t iii....Li Ie t P ,.fitc bi,:,ita R 16 2016 it air ir,rrra � ' road �o iga d CeYcraatts7�oST '�t� �of . i Cr Phone.S03,1i42430 £ t •p .1 Q I s$ i Daley: Esiared Permit 0: invention Lme'�a03:63y �, ,a.. „ , i,, ,, N...1 a if i €i„s Acody sr• el Sa+ tgo;fav Iattrnet w ttg'" •or.g . naafis dl+let 0.1 a5v tterermerian ±Oeytco ttucttoia ( Addictontalreratlo/replacesncnt 'Neese sued 41 oierareliiiiiiimatattetoFeleaie,vfiaw otaety 1-ttli aSsryict a teedek400'asa4 or mors .(3•$u.trot.00tb 4 3lon•s• f sy}'ierellrearat'Ib1eraultwsap Qte€ rahfltstmdbaat}�rds. £. s :m�.; i,tAT ii ,x.01 C4 1 3TC"#7oto r , P c`rb 104waamg,a1150,,,,,,I.,,, I fbaitag4„,„„io, b r rf I-and 2 featjlydwelting 0Cotnritercialicidtisinal ❑Acreaatirybuilding lesstvFroormirl,orixse.Is14;U0a Ciammereiatwsr ®ieotiwat oltsfarattotlterininatations, bw1,140. [ IiAultt 4Qitlily QMasterbuilder ©Cliner: €ifvepatmR ElLandtolo><goo 3 YAOf I :,' $1111 5�' 1 AT1+€56i ADO toalYUbt € Emu : : rgtacy sr}lem. --lut,'rraey;rnielr derived: f. dab# Job site ai€dress: £ ClAddirftia cru w tooter or erste* t l ,3# 4 11 {2 3 100€U'ororote. l7'A,"*C'"t-� `I^3:s >ityJSt t:fZiP:Sherwood Olt91440 7 &or oiase re,itimtiet units sapmicY µ 1:10Aaalt-cera acuities. 0 tt fioaai veruelepadcs. Saitn1bldglept.fi: Projectnaine: tiliaeardoeslocafions. 1.1Stgrtliri+ohaesurmareillaa l Q t' oorfeeder600atrps4ualm*. 69°-".k311"44at, . Cr6s55h 86iiCfrcctians to jab SitC;... >... oneavaer I otr.1 'r rout I*' New resrdwrdal nisei,.or multi-tuauy dwelling e*it Subdivision:River Tamara. Lot#:I 1, tacindts ntokbOdgarage Tea 11Yd parcel 1000 sq.t or less .1 160.54 4 .., . � T14kll or W£6TCa ndd 15t€Ost#=C7 srport€a )3-92 i Grik;ed estergy.r8rddeot4a€ r New-Single Family t vidiabovesq 7100 2 Unshod oneigjr,inal6.61inity residentialtwitttabovesq.f) 75.10 2 Renelvabkgtdv Q See.Pagg2 '` * .0-11: 414V # ii:TENANT Serviets or raiders iestaiiaseri,:iteration,anther retoratiou 'Heine PaI gpii Romp Po amps or las` 100.70 :' 2 a Address JO k i3e'St tot amps to 4Poamps 133,56 2 4ion jfo 60D amps 200.34 Cityf,State0t tal /ZIP:Vancouver WA 99660 6(nanini to 1.000 amps 301.04 2 Phalle;(360)69-7700 Ear( ) Over f.000 aaMs a ,nils 552.26 ,..! foal relocation services or feedersinstallation,alteration,and/or relocation Owner Installation:Tuts installation is being made on property that I oval%vldslt is not 200 mnps or less 59,36 1 jute/tad for sa1C,Ieasc,rent or exchange,according to ORS 447,449,670,and 701, 201 amps w 400 amps its oa 2 Owner signature Dare: 401 amps to 599 amps 165,54 2 ,. o A 1 tCAI'4T 1 '0 i '1ACI'FFRSON );ranelr circuits-new,alteration or extension. r panel ;; A.fete krb brawn circuits atilt Business nalr Garner$tectrie Washington,LLC obey*service orPieder ee 7,4 Corttarxntuae l3iilDaniris - tmhbraachelrcuit R.Fee For Whet)deettits wrriord s Ad tress:6101 NE St Jahns Rd stroke trrrecda fee;first 5&15 2 branthtitcti€t t itp/StateraP:Vancouver WA 95661 Each adill branch circuit 7.42 2 ` 'Tilt flatieous(service.orfeedernotincluded) Panne:(263)320-14497 Fax::( ) Paoli manta/mooed or moabtiar € diva ing.afnieeartdloifeeiler, 67.Sd. 2, Entail:]IdSttle, giveusn.eflm Itx lrmtacd imly 67$4s 2 r �i tO GTTOR i'rnitp or itriptioti circle 67.84 2 Bltslaeasname;earner ElectricWashington,LLC Signorotnlincfightr 6784 `a Adtimsm+5101 NI;StJahns lid Signal cheeks)of limited-anew ❑Sia!a e2 2 tweet alteration.or extension, g- City/Stattt,ZIP:Vancouver WA 98661 .Ea'rli additional inspection.over auawabtetri any ofthe above . hdditionalinspsctisin(1lemin) b6r2514r' Phoria(183)3207166 Far( ) Invcat gat iv mill) P0.0,17/ mil:bdanielsi gweusa eoln indoshial p ittl iv ) ?Li Ebbs inspectionsFot nefeeis CCE Lie C 15$ .Ere ica1 i 4c.:,30851174 - '' Strprv.Lies 44965 a ilicallY lista lrrnmtl 991401 hr Supry Hloctrician elgnain regquircd, k , t , F � i t �, Subttfal: E [Pint l arae:Xtlan P Albert Dam: Di k 1 kto 0 Plan Review Remitted(25%0rpcmuit fee): Slate sur serge(I2 e ofptxnutr e): Authnnzed signature 'tfsJ11.mittut .Fee r ' tt aids permitappdcatfoa tteWeperdutbs ebtdacd thin WO. Prittt;namei Bill Daniels bate: \ f it tidys>ireuit'iea,Veto mcrepi:d c anter. 1 ' ' Ntniiberofiastieitionsatbiyedper pendi. is B031a m144EC4...P.,PM)APP._EGILEitE.roo Ore 017)2oi�. 44e46151(IIIPSDCO,,YWYEt1 i • Mechanical Permit Application 111111111111111.11=111=1.11111.111111 City of Tiga rd g (7.:E.'IV E.'D Dat-B-Y-. pe„..,ws--7—,,c,.,ex,/03 l il13 t25 SW Hall(Md.,Tigard,OR 9 ,,,..., --4 Plan Review Phone: 503.718.2439 Fax: 503.598.1%0 &wetly Other Permit 1 , .f,,.,„..,,,, Inspection Line: 503.639.4175 MAR 1 5 2016 Date Ready/Fry. Agit' fa Set Pagel for Internet: wwwtigard-or.aov ' NoridediMediod: Supplemental Information , . nilits,10.1\t'-,;,-. ...,------ 1 t.,commtRaAviret,stionfourfttstaff flt:w..11,„ y,...,::::,Wicil..01.€ ' '' ''''' .'-' '''''':'" ''2:''''-''''''-''''' '''- ''''' '''''''' ''' ' ''''''''' Mechanical pcit es are based on e value of work az New construction 0 Additionlalterationtreplaccinent : performed,Indicate the value(rounded to the nearest dollar)of all rl i.-..r Demolition 0 Other: mechanical materials,equipment.labor,overhead,and profit. Value:S IZI i-and 2-family dwelling 0 Commercial/Indus-trial 0 Accessory building Far special Information use ekeralist CI hi ulti-farn i1y 0 Master builder 0 Other: Description I Qty. Ea. I Total —', ...,..,-,t Heatingteooling: •,7:4trfal\7:10.W.,*014F43.02:';--ti,f--.1.':'72:',:__ ...‘.,.,,' ',4.`i Air conditionine 46.75 Joh site address: n-vi5c\ 5/. ,D \„,„in-lo,,,,,, A....<„,, Furnace 100.000 BTU rductsivents) 46.75 City/State/ZIP: 11-\_(),if-svAly3soct. 0 R q--+N 0 Furnace 100.000+BTU iduemtvents) 54.91 lleat pump 61.06 ' 1 1 SuiteIbldgfapt.no.; ' Project name: PC K tr.) cd-- L .)-&-- Duet work 23.32 1 1 1 I Cross street/directions to job site: ni_4„(z(Lp Hydronie hot water system 23.32 I Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type.not electric), in-wall.in-duct,suspended.etc. 46,75 ' l Fluelvent for any of above 23.32 Other 23.32 Subdivision:River Terrace Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 , ... ,-,2-„,,,:', ':-.-,-,;',,,t-4,73.0:-,,,,.."..;,,C'4"7..st'•;;;/41..t.'''',4 '7702't;,'„ri..'...''-';''''Ti'-'.-Y6'.',41'.,,Pf.,-tri;;;;.::':1..:,etri*,40-'' :Gas fireplace/insert 33.39 Flue vent for water heater or gas 1 HVAC I fireplace 23.32 I I Log lighter(gas) 23.32 , ' - Wood/pellet stove 33,39 Wood fireplace/insert 23,32 Chimney/liner/flue/vent 2332 23.32' ‘..0', •:"..«01,...,0'Or'1.4'W-i*'-': '''''''''''' ''d''';:f''''.;Cr'7:;':"."4:t'..::::;7-7:!::'I'i::i'"I!':413'114:1*-r:*:::4:1'?I'''''''"''.!'4''''''''''' '''''''4!'''' '''''' ''''''' Environmental exhaust and ventilation: Name; Polygon Range hood/other kitchen equipment 33.39 - * Address:109 E 13St.Suite 200 I Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. toilet compartments,utility rooms) 23,32 Phone:(425)586-7700 Fax:( ) Attic/crawispace fans 23.32 'pi:irs-', 41Alti,S0.:*14,17,;.7-.7` .-0,8'ff4it,-e' ' . ., -a!:I's ',4,TE!'",1.4.'0. Other 2332 -...' , -...,...:',. -M.,..44.4,:,,,-,0,-,40a,0-•s-',-,- ear -ta,,,,..,/,,,,,,,,,,,-ro••••%a0.,-,-.,, ,,, Fad song: Business name:Apex Air LLC SI4.15 for first four;S4.03 for each additional Contact name:Staci Hay Furnace,etc, Gas heat pump Address:2210 W.Main St.Suitt 107-272 Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax;:(360)326-1769 Fireplace - Ranee E-mail:stacib*apeaaireo.com .w,.., ,,.,vx Barbecue ,i.:;,.,,,..,..,...i,,,.,,,;:::-:.,,,:zilc,.„:;, ,i4„.:=51-0,:'i i.'i•::;:i';,,:::' ,. ..,....a,,;",,I.i.„1:,''..,„,T'..r::;tq!".-'r''-tt,,t,4."44h;,',,;i';X.,v>.,,„„,..:k Clothes dryer(ens) Other. Business name:Apex Air 1..1,C Address:220 W.Main St.Suite 107472 Stibtonti City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) Plan review(25%of permit fee) I Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fee) - - TOTAL PERMIT FEE i CCB lie,:203034 Alll 1 This permit application expires it a permit is ant obtained within 180 Irs' MO "*"7 ' days after it has been accepted**complete., Authorized signmur.: „ r /0 ' - --- -. . Fee methodology set by Tri-courity Building indoury Service Board f , I Print name:Staci hay Dale: 1/28/2016 I'rtiotheniPerniirAtEC„,,PentitAee,,,040113 dm -440-$617r1.1 I , Plumbing Permit Application Building Fixtures erIVCD 111111111111111111111111111111111111111111/1. City of Tigard Pe nntNo/fS717 "*CV/off' +t 13125 SW Hall Blvd.,Tigard,OR 97223 q n g Phone 503.718 2439 Fax: 503.598.19V AR 1 5 ?0 i6 DatctB • Other Permit:4o.: Y- Inspection Line: 503639 4175 Date Ready/By: net 0 See Page 2 for 1 1( A 1Z L) ,� 1 7u So =lemental Information Internet www iigatti or gov �� t. 1, r lYaunedT.iethod "tg� New construction al Demolition For special information use checklist Description I Qty- I Ea. 1 Total II Addition/alteration/replacement I Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ''' '; 4 s 4 F SFR(1)bath 312.70 fSFR(2)bath 437.78 1-and 2-family dwelling l._1 Commerciallindustrial �-{ SFR(3)bath 50032 D Accessory building 1-i Multi-family Each additional bath/kitchen 25.02 Q Master builder El Other: Fire sprinkler( sq.ft.) Page 2 Site utilities: 1--A,1 u! C ` = Ti,„,,,''''' Catch basin or area drain 18.76 Job sire address: `�1J�J � ) <J�.1 Drywell,leach line,or trench drain 18.76 City/State/ZIP: r 0 0 0 a 0 otl-V4 Footing drain(no.linear 11„: ) Page 2 Suite/bldg./apt.no.: 1 Project name: Vn 1 at V1/4..1-et Manufactured home utilities 50,03 j �/ _Manholes 18.76 Cross street/directions to job site: f: /re _e �` Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear ft.:_) Page 2 Subdivision: Lot no.:(..\ Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: "-- - Backwater valva 12.51 a i$t # g :t, a F ` �> _. G7otfies washer 25.02 fl ik) P 1w./1' J\ Dishwasher 25.02 \ Drinking fountain 25.02 Ejectors/sump 25.02 } • * Expansion tank 12.51 . -TF xtt7c/sewrr cap 25.02 Name: YU)kimr, A) Floor drain/floor sink/hub 25.02 Address: i out/ '✓ lJ-C i Garbage disposal 25.02 City/State/ZIP: V t $ t ` • (o 0 Hose bib 25.02 Phone:(ND (,_() •0 Fax: ' AD `0C \4 ( Ice maker 12.51 i - ; f s w.¢ "-- - Interceptor,'grease trap 25.02 Medical gas(value:S ) Page 2 Business name: ,,i,:l,:.'t-4 C".. '..r")t5} ., 1 t A-7CY'\t'i1 v~t Gut 1,\.---C. Primer 12.51 Contact name: l�t Y-t ;y-.� �,}�/,_.. y ) Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: tetcl..e li 1, •t\t't ()pCI-)(,-)St..) Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:( "1 : ) Fax::( ) 25.02 Urinal E-mail: Vs, ' r o "1 Yt 'd X `► s . ' Water closet 25.02 a 9 Water heater 37.52 Business name: tK� P tj ;, Waterpiping/DWV 56.29 q� ..Fk-il �.k�vrd i'l kYlr>tt Address: 5""�' 3 b-1. 13 Other: 25.02 City/State/ZIP: �7 Subtotal Q' � Minimum permit fee: S72.50 Phone:(C -ii) i- -Ci-51-/13 Far:( ) �` Plan review (25%of permit fee) CCB Lie.: i)f[7 .4j,. Plumbing Lie.noFES f) ca, - State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE " �This permit application expires if a permit is not obtained within 188 days Print name: M a it<_ kniamai,f Da i a 1 itr, after It has been accepted as complete. t i *Fee methodology set by Tri-County Building Industry'.Service Board. rAnn nut,Pcmhs'PLMU-PcnitApp.dor tw?ot:b9 446-4616700.>OYICOM/WEB) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 1111111 T 1 c n R D Building Permit Review — Residential Building Permit #: Af_t' d/( --- De /d 5 Site Address: 9/89 a) `T- j r e led. Project Name: ipe)f >r (-t svP..� -reixoce Lot #: 3' (New g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AMA) rIe 4derify site address/suite#exists and active in permits tem. pr River Terrace Neighborhood: ❑ No g Yes,See River Terrace Review Addendum Attached Site Plan Elements: Vee(3) copies of site plan f f0'.A sting structures on site VO'Si e plan must be on 8-1/2"x 11"or 11 x 17"paper IllIi.'ootprint of new structure(including decks)with finished ]P D awn to scale(standard architect or engineer scale) fl or elevations ,I. .rth arrow Pttility locations(required for new,may apply for additions) S'te address,project or subdivision name and lot number gl ,!.cation of wells/septic systems ,,/pplicant information(name and phone number) 1 rosion control(including drainage-way protection,silt fence I /dimensions and building setback dimensions sign,location of catch basin,etc.) of area,building coverage area,percentage of coverage and Vreet names i pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location pe corner elevations(2 foot contour lines if more than O'rsting trees to be retained with drip line,and tree 4 foot differential) protection measures tijklean Water Services-Service Provider Lette (lot platted prior to 9/10/1995): equired: E Yes,applicant was notified "No Received: ❑ Yes ❑ NoVKRublic Faciliti Improvement(PFI) Permit: Required: Z''es,applicant was notified ❑ No Applied For: f es ❑ No,stop intake r � L21//Land Use Case#: C)/ '.� Oa-VI/ / -SZ QJIS= %/1942 Zoning: - c Setbacks: Front Rear Side 3 Street Side a Garage g!&4 ViEandscape Requirement: 6262 IV,Lot Coverage Maximum: at) 0/'tuilding Height: Maximum Height Actual Height Nisual Clearance Easements toensitive Lands: CI Yes �No Type vijik Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buil ng permit • Notes: Con6b73Lif 1flL ,L pt€ cc&/ + ✓ zir/1 d _.v'717I71- Approved By Planning: s•- iii ¢ Date: SP,57/(p Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: ? 4.0 /,C Site Plans: # Building Plans: # Building Permit#: 0-Enter building permit#above. Workflow Routing: p—Planning c--Engineering ermit Coordinator E--Ecuilding Workflow Sign-off: D--Sign-off for Planning(include notes from planning review) Route Application Documents: O'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and priginal 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: %_s/ Engineering Review Slope at building pad: sp„ 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: El Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv b Engineering: Date: Notes: .t> �e Lyfv r'` oar .r.��5 L� r �/�-> 4 /s tztrw--/- Approved by Engineering: 3--/S'-A Date: gl, J7 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: TA Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Taxes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: a'Yes ❑ N/A g-iOK to Issue Permit Approved by Permit Coordinator: X77,','� Date: ?-7).-6/7 " _ 1:\Building\Forms\B1dgPcnmitRvw_RES_012116.docx , City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT ill ■ T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: .5 77,1-o/0 — ,C) 2 /0.3 Site Address: /.6%1 7/() Jaati Lou«-e , Project Name: / /_,,, ,n g�L i - '7,�jta� Lot #: /f--) (N;LI' = 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 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. t. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a P ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of v h street facing facade must include windows or entrance doors. Percentage Shown: ,S a M3. E trances:At least one entrance must meet both of the follo 'ng standards: ax. 8 ft. setback from longer 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: 1P' 5 sq.ft. min. kene street facing entry l2 ft. max. roof height above porch 5)ft. depth min. 30%min. porch roof coverage 4.i etailed Design:All buildings shall include a min. of five o he 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 ❑ ormer min. 4 ft.wide oof eave min. 12 inch projection offset min. of 2 ft. ❑ Roof shingles either tile or wood 'ri 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 Window trim min. 2 '/z"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: gstreet-facing I� �` ) N closer to front or side lot line, than longest wall. s i. If No (Check one): May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. Way extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story V1\ above the garage that faces the street with a min. area of 12 sq.ft. Width:dt (Check one) 0 i&-foot-wide garage doom OK of street facade p %max. of street facade with 7 detailed design elements Notes: Approved By Planning: �G Date: S— I:\Building\Fonns\BldgPennitRvw RES RT 012116.docx Plumbing Permit Application Building Fixtures City of Tigard _''' Permitxo. 1 (j n n r Receive 'c/ ■ 13125 SW Hall Blvd Tigard,OR 972 i' AJ r i Day' �v[ r�! /Lf 57G OUI D3 Plan Review IIIIIIIPhone: 503.718.2439 Fax 503:598 1960 ; Date/By: Other Permit No.: 1 1 :\i-,r) Inspection Line: 503.639.4175 Date ReadyBy: Juris: ®See Page 2 for Internet: www.tigard-or.gov ,_ , ,, , Notified/Method: Supplemental Information TYPE'OP W�IRIF,:: T+ZE�SC1�EDUI.,E ®New construction 0 Demolition For special information use checlist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other. New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCITON' SFR(1)bath 31230 ®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 1 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: � Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION`AND LOCATION _ Site utilities: � �� Catch basin or area drain 18.76 Job site address:/7 l 8 9 ,'. -lean t l `�.lSz. iG/IIG+•(:/t Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldglapt.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.: 14-1 Fixture or item: _ Tax map/parcel no.: Backflow preventer 31.27 . ' DESCRIPTION OF.WORK Backwater valve 12.51 $ / a ✓ Clothes washer 25.02 1► c 1J civer le Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.:PROPERTY OWNER I 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)694-4031 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.Grajewski@polygoahomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 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 Lie.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: C__-- TOTAL PERMIT FEE I Print name:Carolina Malmedal I Date:04/25/2016 I This permit applicaftertionit expirehassbeen if a permit is not obtained within 180 days ad as complete "Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingtPermitsIPLMU-PeretitApp.doe 10/01/09 440-4616T(10/02/COM/WEn) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17189 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: House locked, provide access for inspections. 9:22am No inspections done. Violation Summary: Tel: 503.718.2439 Inspection Date: December 15, 2016 at 9:23:12 AM Record ID: MST2016-00103 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17189 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: No AC installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 16, 2016 at 10:07:06 AM Record ID: MST2016-00103 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17189 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: FA I L Comments: House locked, provide access for inspections. 9:24 am No inspection done at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 15, 2016 at 9:24:46 AM Record ID: MST2016-00103 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17189 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 15, 2016 at 9:29:51 AM Record ID: MST2016-00103 Inspector: David Young Provide access for inspections. House locked 9:27 am. Re inspect fee applied for no access to multiple inspections 103.5.6 provide access for inspections or cancel inspections with no access. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17189 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: December 22, 2016 at 2:20:06 PM Record ID: MST2016-00103 Inspector: David Young Correction for plumbing final as noted on previous inspection complete. 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: Inspector Contractor