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Permit - q CITY OF TIGARD vizes �; MASTER PERMIT '- COMMUNITY DEVELOPMENT Permit#: MST2016-00099 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2016 Parcel: 2S1060003000 Jurisdiction: Tigard Site address: 17171 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 46 Project Description: New SF. 12/20/2016: REPRINT to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 137 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $232,139.51 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 Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC VNLLIAM 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: $30,652.38 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 5003.232.19887/orr 1.800.332.2344. // Issued By: /v� '� G� !� f Permittee Signature: GA 'l�`��✓(� ��oN Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Appica+tCity of Tigard Dewily: Plan Permit ta.: fS /Gj�aJ- 13125 SW Hall Blvd.,Tigard,OR 97223 y Q �nReviewrt Phone: 503.7182439 Fat: 503.598.19600R Y t B Other Permit: r ;>,i r Inspection Line: 503.639,4)75 n. Date ReadetB 0 See Page 3 far Interact www.lgard or.gov0.rrl (IF . (.i}R Y Ani. toG ( l�si °; N Nruified/Mkfhod, Sappkaeanliaforwuioa s. 4. :::t ltt41t _ .::.'i!',4A '.; $ em`}-d :„a rite. Sere `i .., 1m ia• m8 a i" ;� i.rte 4s s;;14a� s �+aa� . �w,i,..: >� +. ,....�>� � d?;"+�x��:��' u u°"`�a�c* ,r�.>,a�.e� : ter �w <�: iF El New construction 0 Addition/alteration/replacement Mechanical permit 1cesa are based on the value of the work - e performed. i ernearestrfivf ail 0 Demolition .m0 Other . . ..ma' Indicate materials,equipment. overhead.and Value:S':::451,14-?.41.6.-e:=4. + ta,:t' ), Y a � t , ,).aah £ " , 11 g,a x..e. � _,,, ...,_•,,,,..„,,,,,,„:,..1.,,,...,:,,,.. m.,,,,,,,;,.+16, ),,,,, y o vs' " .;;tea,. „r,,` 0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For speda/Grjt►amtioa such ❑Multi family 0 Master builder 0 Other: Description I Q1Y, 1 En- 1 total ^.ora .,.c4V-V.ft _ '-4'q, ael F •A 53�r�j- v 5f k s ° 8 Ai 9 °�w, - +` �g �F }iCati1[�'/CE101tng: Air ooadi Job site address: tiopipg ! I 46.75 ,r c1-3--1\--1©��kC JL Funwce 100,001)BTU t kisevahs) 46.75 y� City/Statet2tP: W1,, V,,t- Qd, O R 0 Furnace 100.000+BTU Oasts/vents) 54.91 Suite/bldg./apt no.: Project name:^ pump 61.06 p L� `�`" `^� - Ductwork 23.32 Cross street/directions to job site: lir ` ,j 40 CO Hydropic hot water system 2332 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 23.32 Subdivision:River Terrace Luno.: q Other 23.32 Ocher fuel appllsirees: Tax map/parr-el no.: Water heater 23.32 1 �? . +�,"�-`f�a?�,�as,��''�� #q;;.^�� '.., "1.ill"-•:•; '1 ,° {"iris fitCplapG/itrscrt 33.39 HVAC bi ' c flfiit for water hearer or gas 23.32 Log lighter(gas) 23.32 Wood/pellet stove': 33.39 Wood fireplace/insert 23.32 Chimney/finer/flue/vent 23.32 dKiUthr.r:. .. y3.32"^ s :4,,; '4. T • 3�I 4 . tn ' ,-,, " ` -; ' _.... Eaviroamratal exhaust and ventilation: Name:Polygon Rangehood/other):itches ..Address:109 E 13th St.Snipe 200. equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP;Vancouver,WA 98660 Singh,duet exhaust(bathrooms. " toilet comps nments,utility rooms) 23.32 Phone:(425)586..7700 Fax:.( ) Attickrawlspaea fins 2332 . r.W ,?.?4,.....1 .;:::211,1..1' `�..s ' k7 ' �, `: ��„,1 " R"2d'p t����`�.4s.s � a .n; ' `�. :s `.�.� Other 2332_ Business name:Apex Mr LLC Fut triPlagr- $14.15 for first Snort 54.03 for etch additional Contact name:Stat.(Kay Furnace.etc., Address:2210 W.Main St.Suite 107-272 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 [-Fax:':(360)326-1769 Fireplace E-mail:stacirh%apexaireo.com Range Barbecue . s - « , ...:. ',Iv ; ysam.T} C." . a=ss . Y. 0-; .it3 ass hyer(Ry . x g Business name:Apex Air LLCOther Address:220 W.Main St.Sake 107-2/2 � ',177-75.74-,,,,,..7-7.7:',--1'..'"' ; :', .'-'*✓51 &shtotat City/State/ZIP:Battle Ground,WA 98604 'Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)3524109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 ' - - - TOTAL PERMIT FEE _____.--__ / ' This pe nak spots:mien=pins if a penult is rat*Wised within Ian e days after it len been accepted as tuatptetn Authorized signatur:, f,` Apr * Fee methodology set by 7r;-Comrcy Building Waspy Sery Board - Prim name:Steel hay Date:1/28/2016 I.;Rhaksosw.orr ntMEC_PsnrotApp.ada 113 dec 44e-4617r t 1 to''vcomd e.% CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT Permit#: MST2016-00099 Date Issued: 08/03/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 8/03/2 003000 Jurisdiction: Tigard Site address: 17171 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 46 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: 23 Bathrooms: 3 Second: 1049 sf Garage: 137 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $232,139.51 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 Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 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: $30,510.02 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19877o-or 1.800.332.2344. Issued By: '�� 71-C__-- Permittee Signature: ,A/ ,7 �2. /e`�77d�' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. BuildingPermit Application ZS S o Jte.,., ., FOR OF[ICI I til:001.E IReceived / �l�}�. Permit No/11±.7,:,,,,�Z.x4°06 51 City of Tigard . Date/By: Y,1� /cu`�r 111 13125 SW Hall Blvd.,Tigard,OR 97223 201- Plan ReviewOther Permit 29) Phone: 503.718.2439 Fax: 503.598.1960 WI AM Date/By: .3,� lc "' " �&/.,f,'a/�-100 Date Ready/By: t :`fY�C/ tuns. ® See Page 2 for t. <<; 1� Inspection Line: 503.639.4175 1 Notified/Meth Supplemental Information Internet: www trgard or gov CITY F 1..��e,It/AC ./,-/4,t.... 1�I 111 IN 1 e— ed. _.�_._ _construction _�. -, _— .-._ .._,�_. :t __x z Permit fees*are based on the value of the work perform ®New cnstru ❑Demolition Indicate the value(rounded to the nearest dollar)of all CI Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the work indicated on this application. r ti.:::,::: :,:, Cep , f7 r 7 ® ,--,,,f,:;'-:-'-..-1,,' L ,� t f_ i':,:'ti F G-. z.:§u€, ',I'`. I,A,„, i` _`fir . .,-..:, ,.., ... . , Valuation: ' 19$ �,, ® 1-and 2-family dwelling ❑Commercial/industrial / u --' Number of bedrooms: ❑Accessory building 0 Multi-family y LA ❑Master builder 0 Other: Number of bathrooms: Total number of floors: 2 S , ---Y\# ���p • , I New dwelling area: square feet Job site address: '1-�-` Di� _ CJ,- ,/ v ,..," City/State/ZIP:Sherwood,OR 97140 Garagelcarport area: square feet Suite/bldg./apt no.: Project name:Polygon at West River Ter Covered porch area: 'SO square feet Jl Q'9 Cross street/directions to job site: Deck area: 0 square feet$Q C4 Other structure area. fa square feet Subdivision: 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 s ; t,."`t �, . work indicated on this application. Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet >a s s A . ,7 r 7 :: Number of stories: Nam .o s /9-46 ti,/ �/ �LA/SGS t'L-�` Type of construction: Address:109 E le Street -'" Occupancy groups: City/Stat Existing: Phone: Fax.,,„,k,,,,, ",,,.,:.. ( 360)693.4442 New Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136'Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received. Phone:(360)695.7700 ( Fax::(360)693.4442 E mail:maggie.gordon@polygonhomes com ,r Commercial and residential prescriptive installation of 6:::: :::s-n' � � ���� 'c''''''' L � ,.� � � y .�uo,, �d; roof-top mounted PhotoVoltaie Solar Panel S stem. Busness 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 136 Street Solar Installation Specialty Code checklist Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 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: $201.60 Authorized signature: V This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County,Building Industry Print name:Maggie Gordon Date:12/11/15 Service Board. 1:\Building\Pennits\BUP-RESPernitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) w Ott of .41.,,,,„5.703.01.11, iia d t a - - R 10 2.016 Pa �sys'r �6 tri. 9 rtsett� v 82439 Fax 503.34°-1464 ¢ t7atr18y RctatrdPcmic«"; Mt-11'66(0g Late -06394173 r a tames: .ugaxd. tNi t V tib i .�C,7 1.. Roe 6441g18y: Wt. RI$«.4 for , J �iC,i N°brcedar4t140d ' eA rSO,M.nenan 1 P w Nett'twstotion t Pit td > )sh0alte3J , QtldirtalatlmetxLaiinent AtcaseGed etsrharr tsabm,eiawot am Iz,it«rioin � m C7ssr+sba'1xs3der4Ots 0f a,7daaovertkcredones. wfine6.'"a;tabkfani sunent Cjhl fsmdboatyard% ....,., a` �' ` Lt�.OF Ns1u4 I.-_ r ds10,00n swtstrwltsor 0F1$116s natngx. t14 I emir 2 Tamil dwei ... . Icss to an y tmg 0 Gotrtutorctalliitdustrial (]AcrssotyhulIding worker td00e E]tbm�ereid-useagrkuunrat ❑lutd-.8I5i,}, OY(Sf;CC?Fltlt tn' ( ice; ffi"Pf°Caftottrctiasfattatirxis. t +. Q Dlkepump. [ IataSlali�nuf1501tYA+i€- `ion S�ittc tt �r5t4 Allllh,i•[?(:alibi- DEaai caiysyntungpprateb dui d '6 I ClAMaioaoropennetortoadar aystsm. Joh 0, Sob site address ci lift }l jf" L tooHc�ar mmz: D";i '1-2".'i-3* 7SI 5 ,ncn resiacatfal Halts: ttcWt°niY. 1' G'ity/Statef,2JP;Sherwood oft 47140 1 DHeanhcamiimIlties, lTttpe.6.4atvelticl°p.4. suite/bldg/apt#: Project name: Eitletanioustacdtonz. El Supply%nesse for mow tkan L7Sa" ofader600amspar=re 680vnitshommst. a. Cross streetldireetions to job site ` t 1 14/ gay es tlentiol elagto.or multi-family dwelling Subdivision Inver Terrace Lot F:l 8 e,lerlcs attached garage- Tax ma #' --1';9019:4,R 9rlew ) 168.. 4 r &a. ,4d't- ; .IL orpanion 3 119-2 t IllE3C3DYIttirld OF WORfi. , Lsmjleil energy, estcntlsl 75 New Slagle Fatally .E)0 t+lith a4ovesg.it t , t ituitod a rg,180164561y7100 2 residential(tsdihnbnvesq.it t F PliClpSfET7f:t2Vfritliat niviNT Reeewabk Energy 0 See l?'age2 3crvieesorfccdtrsiastalladen.attention,;Saettarreloratian Nape!'Polygon Homes . 204amp sorts 104.70 _ 2 Addrr;§s,469 E 13!e St 201*Pi:14460amP 13i.,30. 3 441 amps to 6mps 2004.3 2 Cily/Stale/ ZtP:Vancouver WA 98660 64l carps so 7 maps 30t.ikt ?' Phone: 360 95-7700 Fat: over t n� - � ( ( ) snips 53226 2 Temporary services or feeders instasalioa,atteration,'andfor Email• relocation Owner installation:This installation is being made on property that i own which is net 200 amps or less 59.36 1 E' intended for said,teasr,rcoi;or exchange,according to ORS 447,449,670,and 701. 201 amps to dOd areas 723.48 2 Owner signature: Date. 01 amps 168,54 2F. ,.. APPL11CA1dT „'';, I . [Q.00rrACT mason ltrauchetrwits—new,alteration,or eirtepslnn,jtetperm ' A.Fee tot'#t�ch auctti�rrbh Business Hanna:Garner Electrric VYashington,T 74' above servieeorfeedertee. 742• 2 each brooch ci t , Contact mune Bill Daniels Ft.Fee for breach*emits rwirt our Address 6101 NE St Johns ltd service arreeder vee,oat ssa8 2 r brand)ximgitt . Cit 'State Z1P:Vancouver WA 98661 Each ada'I btan'h;arr.ult 7.42 2 ". 'rtisiettantrius fservias or feeder not included) Phone:(253)320-1657 .Fax::( ) Eaeh.manutecttuedormodular dirctliWssettcc"endtat frxder 67.84 2 r Email:btiatttei Csgweusa,com tteeonaectonty 6784 2 C V"1't'tACICE - 'x Pnttryroixtntgrcirck 67.81 2 Sunni s nage'Garner Electric Washington,LLC , sign or rtum lieltica 67.84 2 t Ed slgitals3ttt(s),orliritit64eocray I Adds gsx 6101 fY€,9t Johns, eand„alteratio or aztensimt.: ElSee.t'agt2 2 f CityfStatai?.LPi nine. WA 98661 'Each alditlonal irtaptetien overa20wabte rn any of the above Addit i t pectr41i(t hrtuia) 66.231Br' Phone(253)320=1657 Fax:( ) Jnvestt atton(1 b n 1n) 90,00/lir l E,nsii«brlarrtelsgtyettsa som tmtushlal ptant(1 to acini 78.t8f hr foriwiiiiiirt 9t{aDfhr CCB 1,14: 01858 Etcericst!Lica 208174 Supra+,Lie.:44968 sac tFualiy listed Q hrnuni SUprr:Elctr[1aA igt}alut e,rtqu7Y to.t Subtittsl t'rint Heine:Tont P A b rt Ltato p^1 D.P•lan Review Re tied(.2206 ofperelltreei: j ) 5tata surga{L6 arputt ke} j I ,r 7'(13'AFElthdil FEt? Autharazd;,'tgnature: t_ '" -� fi g Th6pctmitrppltcattota niiiiiIvftlsnutobtainedti,'ithi,"*80 ! PXinttpame:BittDaniels Date: 1 '} . a><yzanerlkliasbite ac eaaiomptct - ' Num bet ofidakcljoos a4atval prtPennit. raullawutireanale.snaitanent tf enum Rn esn7 acs adoaatsgttai wwea 1. I f l i t 1 t I Plumbing Permit Application riocrl .. . ... ... .. Building Fixtures „ Y City of Tigard 4 R 10 201 Permit xo.Si jS7;247/67(7> s 13125 SW Hall Blvd.,Tigard,ORlre Pian Review ' Phone: 503.718.2439 Fax: 503 5 .. " ®i,� .- Datdliy 11111 OthaPennit*Fo.: g g try F, Inspection Line: 503.6.39.4175. �� „ � „o d i",� Dace Ready/By: auris: 8l See Page Zfar I (('.13 D internd;t. wwW is ardor ov t 1:1.,','`A 1/4 Notttrcdr'Method. Su:..lemental Information .tea •-43#1.-",,,..-=:,;„.v.,,,' -&4;...- ^w3.'-i 3•m`,,,r ` ,' a v '.:, i„A t e e* ..: ` ' , .• •, t ..`i++5:•,w A. -,..-4,,,,,,,,-,.,.; a`,;4 a' ate` ,„ s:< . .,,, ..c- L1 New construction i_1 Demolition For special information use check Fist Description 1 Qty. I Ea. 1 Total ■Addition/alteration/replacement I Other: New 1-2-family dwellings(includes 100 R.for each utility connection) , .- s :. - � f $ SFR 1 bath 312.70 .. x.t �t '14.14: 'kms, , ( } ,... ;: -,,r, SFR(2)bath 437.78 al 1 and 2-family dwelling Li Commercial/industrial SFR(3)bath 500.32 D Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.II.) Page 2 >« : e- r, ' €,o Site utilities: V � �lrn 111. Catch basin or area dram I8.76 Job site address: 1 'T1 \ t � l3rywell,leach fine,or trench drain 18.76 City/State/ZIP:' (3\ ( 0 0 0 di 0 liCk Ct. f't'--t Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: V 0 E' ( Manufactured home utilities 50.03 Cross street/directions to job site: .'I7( ) _Manholes 18.76 _` i Rain drain connector 18.76 Sanitary sewer(no.linear fL: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: L' Fixture or item Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 ` »- � "� Clothes washer 25.02 t -e n'u./1 Dishwasher 25.02 1' Drinking fountain 25.02 Ejectors/sump 25:02 y A ". 4g eikoA Expansionntank 12.51 Fixture/sewer cap 25.02 Name: Po sry, 1'� ._. Floor draits/floar sink/hub 25.02 Address: n �,U ,/ , J� , Garbage disposal 25.02 City/State/ZIP: V a $ 9 1 U 0 Hose bib 25.02 Phone: / i.0 Fax: . ID `),itg,\...\ _Ice maker 12:51 1': c p ..'; eptor grease trap �: <> ..;,. 1,r �... . a �� 2$.02 _Medical gas(value:$ ) Page 2 - Business name: Kl'�-t i !-2r w) t Ito--'r'Z1 a t I.„ k, L . Primer 12.51 Contact name: 1\1. ii,ei';4,,...vt .-3" t Roof drain(commercial) L2.51 Address: It) i 1 Sink/basin/lavatory 25.02 City/State/ZIP: e-.-_-,,,....e ch. .t\'t i q--)-(..)s-0 Solar units(potable water) 62.54 Phone:(:111 ) sup .• c‘(I-3 Fax::( ) . Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: K. 0, so,p. ail G e� `s ' taster closet 25.02 Pr , ` 1 ' _. Water"heater 37.52 Business 1--.j►r i rr r.. P(l iv ; npc) a�me;: �r `t t<� L _„ Water piping/DW'V 56.29 Address: 1'l) L.3 dD' ' 13 7 Other: 25.02 City/State/7.IP:G. .sha-M {560 Subtotal *� Minimum permit fee: $72.50 Phone:(9-)1} `b 3 Fax:( ) - Plan review (25%of permit tee) CCB Lie.: C;(0 .- - Plumbing Lie.no / State surcharge(12%of permit fee) Authorized signature: TOTAL PERIviT'FEE C jK t`r- :{cx/vim J Datil/ #l s This permit application expires II a pennit not obtained within IN days Print name: after It has been a as complete. *Fee methodology set by Tri-County Building Industry Service Board. :INIxildutgtPsnnitaePLMUS-PmnitApp.dor 10,009 40-46i:6T(iOO2/CoM/WEB) Mechanical Permit Applica , . v t City of Tigard ` BPermit 140.=rts'7- 0/G,'�)U 9 13125 SW Hall 13lsd.,Tigard,OR 97223 Ran :v Revc ,. Phone: 503.7 l8.2439 Fax: 503.598.1960 AR, i V u rraaciay- OtherPertuit.; t,,\ €) Inspection Line: 503.639.4175 t '! that Resdg'13y: vols' &T Ste Page 2 far Internet: www.tigard-or.gov (1-)F-- t e(;.4g t 1"`° $ it'IOVMeihOd: ` .q as Supplemental tnformatiau ISI New construction 0 r�ddiiion alferatiun='rc lace ttteni Mechanical Apermit.fees*are based on the value of the work F performed.Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: , mechanical materials,equipttent,labor,overhead.and profit. tvv �gUtr6 ' �.- $lei. , �� Value:S ..' tx�ato ,ate �a r v t' Eig I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far spedaltaferau#rvn use ekeeklist. 0 Multi-family 0 Master builder 0 Other: C7escription Qty. [ Ea. Total : :. Heating/cooling: Job site address: 11 \ J �,pp a. Airmditioning 46.75 �' ��--� �©�.l�C.t- 1 Furnace lo0,txw BTU tdncts{vents) 46.75 City/State/ZIP: LA:7D Od. C)R q- -'\-10 1 Furnace 100.000+BTU( vents) 54.91 LHeat pump 61.06 I Suite/bldgiapt.no.: Project name:. Pp k t, l cd-- 3,0-5-- Duct work :3.32 ICross street/directions to job site: ‘33_41\r(4(1 HHydronic hot water system 23.32 l Residential holler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended.etc. _ 46,75 Flue/vent for any of above 23.32 i , I 7 Other: , 23.32 Subdivision:Aver Terrace Lot no.: `'I Vl Other fuel appliances: , Tax map/parcel no.: Water heater 23.32 ; R - x -.;:';Y:?'.':::-;737:7.-T!')::" e4. .r '' W a ,,100' Gas freptacriinscrt 33.34 I Flue vent for water heater or gas HVAC fireplace 23.32 Log livahter(gas) 23.32 i Woodipellet stove 33.39 Wood fireplace/insert 23.32 Chimncy/Tinertflue/vent 23.32 a * t ��4 i � n �. f A f7ther 23.32 -,, .'. "' , ' -'- - , , ., ','•-- -"''''"'""''•-• Environmental exhaust and ventilation: Name:Polygon Ranee hood/other kitchen i ! Address: 109E 13th St.Suite 200 equipment 33.39 Clothes dryer exhaust 33.39 City/State/Z!P:Vancouver,WA 98660 Single-duct exhaust(bathrooms. toilet compartments,utdiiy rooms) 23.32 I Phone:(425)586-7700 Fax:( ) Atticfcraw pa32 is ct fans 23 -. a . , ..'o't?,fit .,, ..., ` ,. Y. t4,. „, *� 1t'� Other- 2332 Business name:Apes Air',IC Fuel piping:_ , 514.15 for first four,84.03 for cacti additional j Contact name:Stab flay Furnace,etc, t Address:2210 W.Main St.Suite 107-272 Gas heat wino Wall/suspended/unit heater City/State/ZIP:Rattle Ground,WA 98604 Water heater Phone:(3611)3424109 Fax::(360)326-1769 Fireplace W E-mail:stacihlijapesairco.com Range Barbecue ,4 . ' .. s , ;�� v Clothes dryer teas) Business name:Apex Air L1-C Other Address:220 W.Main St.Suite 107 272 r 4'4' r Subtotal . Cit}State/ZIP:Rattle Ground,WA 98604 iv€iniin int permit fee(590.00) / Plan Phone:(360)3424109 Fax:1360)326-1769 review(25%1ofpermit fee) ? r State surcharge{l2%off permit fee) CCB lie.:203034 ° - ._ _ TOTAL PERMIT EEE , - This permit application expires its permit is not obtained within 180 , days after it has been accepted as complete. I Authorized signator°: T i „--. ,g,-' ` fee methodology an by Tri-Canty Building tnduury Sere Board t Print name:Staci bay f Date:1/28/2016 l t<.nztidfmOctin€ts.MEC_sn.ttAg eo4ntt3*.c 440-36€:T 41L T,COti/wE8}t w IIIICity of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /7.57;2e/6, - 000,9 Site Address: /?J.J 1) N• 2- /Sp ied, Project Name: ,�y�, �7 ,,,z�`' �zx , AY fle;vii.✓- 7rJ Lot #: 27/(K, (New dirg= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Aiget.) , )Pie erify site address/suite# exists and active in permits tem. River Terrace Neighborhood: ❑ No Yes, See DiverTelTace Review Addendum Attached Site Plan Elements: Vee(3)copies of site plan 1J■1'. sting structures on site i e plan must be on 8-1/2"x 11"or 11 x 17"paper 1 �.'ootprint of new structure(including decks)with finished U. I awn to scale(standard architect or engineer scale) fl or elevations ,I. ':rth arrow ' Jtility locations (required for new,may apply for additions) Z S.te address,project or subdivision name and lot number cation of wells/septic systems dpplicant information(name and phone number) 1 erosion control (including drainage way protection,silt fence Viedimensions and building setback dimensions sign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and � greet names pervious area (applicable if R-7,R-12,R-25&R-40) I J Street tree size,type and location 'roperty corner elevations(2 foot contour lines if more than i 3 fisting trees to be retained with drip line,and tree 4 foot differential) j protection measures iA' lean.Water Services—Service Provider Lette (lot platted prior to 9/10/1995): equired: ❑ yes,applicant was notified To Received: ❑ Yes ❑ No 1/I Public FacilitiImprovement (PFI) Permit: S EV:Required: ' Yes,applicant was notified El No Applied For: Yes ❑ No,stop intake land Use Case #: Pte{Q( -_ e.,VW J oning: 9 / E—Qc Setbacks: Front Jo? Rear Side Street Side jygGara e // i/ te V/Eandscape Requirement: cQ67 EZ? Lot Coverage Maximum: , 0/0 O 1 'wilding Height: Maximum Height Actual Height ICA isual Clearance Evp\T Easements 01 ensitive Lands: ❑ Yes /No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buil 'ng permit Notes: 4`�l ., l'It `i77c�2 IYILA / ✓)Gl/ ,/�L9i�C / �- j Approved By Planning: ��_... � � Date: 37 /0/�41 Revisions (after BuildingSubmittal only)Y) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved • 1:\Building\Fonns\BldgPennitRvw RES 012116.docx 0 Building Permit Submittal Original Submittal Date: /VIC, Site Plans: # 5 Building Plans: # `, Building Permit#: Enter building permit#above. Workflow Routing: ©'Planning d'Engineering [hermit Coordinator [ iiilding Workflow Sign-off: E 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 �riginal plan review routing form. Building: original permit application,site plans, building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: B Permit Technician: I � r ' pate: ;�� Y Engineering Review Slope at building pad: y� 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 by Engineering: �J/ rr2 Date: Notes: � ,�t�.v>,9 ,+j ,s�1� 4 peC00W- Approved by Engineering: & r 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 Date: 5 /CA' Approved,NOT Released: / 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: 2SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A or.K to Issue Permit ��jj�� Approved byPermit Coordinator: G�% �'t/( Date: /2 /1 pp I:\Building\Fonns\B1dgPennitRvw_RES_012116.docx City of Tigard NIII COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R n River Terrace Building Permit Review Addendum Building Permit #: /7ST, i/6 - fie© ?9 Site Address: /9/9/ i/ `, V4 2__Ctitt. kci, Project Name: J/ .. -ei/ L-es2 - v4e1" <7-.,�/2G'� Lot #: Z--0) (NcW ling=subdivision name;Addition or Alteration=last name of owner) Planning Review River YY 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.,5 ft eep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormer . 2. Eyes on the street: a minimum of 12%of,each street facing facade must include windows or entrance doors. Percentage Shown: J/, " 70 3. E trances:At least one entrance must meet both of the folio 'ng standards: Max. 8 ft. setback from longe street- facingwall 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: t73.8 sq.ft. min. ne street facing entry V _ ft. max. roof height above porch rdr 5 ft. depth min. 30%min. porch roof coverage g 4. l)�etailed Design:All buildings shall include a min. of five o,f e following elements on all street-facing facades: I / •vered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep 1/ tall offset min. 16 inches ❑ Dormer min. 4 ft.wide y Roof eave min. 12 inch projection Gable, 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 Vindow trim min. 2 i/"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing E 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: No closer to front or side lot line, than longest street-facing wall. pes Ott. If No (Check one): Okay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. N i f ay 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) 15)1A-foot-wide garage door T40% max. of street facade 0 %max. of street facade with 7 detailed design elements Notes: ,r.---..�. _ , Approved By Planning: ....-.- ,, Date: ,S//Oke 1:\Building\Forms\BldgpennitRvw RES 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 City ofTigard ;' W l nay lO/C/ i6, Permit No.:/LIS77OIG- 72 71 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review U Phone: 503.7182439 Fax: 503.5981960; DatelB Other Permit No.: T I \h[� Inspection Line: 503.639 4175 •.-' Dam R y/By; Inds' ®See Page 2 for Internet: www.tigard-or.gov - - Notified/Method: Supplemental Information T3TE.flT.WORIE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-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 SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.R) Page 2 'JOB SITE 1NFORMATION'AND LOCATION Site utilities: �,� Catch basin or area drain 18.76 Job site address: 11 11 ) 5 jean 10'‘1,6,4. 1 0,(1 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bidgJapt.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 It:_) Page 2 Storm sewer(no.linear it: ) Page 2 Water service(no.linear It: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: 4 tp Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF.WORK - i Backwater valve 12.51 Clothes washer 25.02 ( r eihailoi Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Igl.PROPERTY OWNER I ❑ 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 i Fax:( ) Ice maker 12.51 ®..APPLICANT " . 0 CO1yTAC1'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@polygonhomes.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/Z1P:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lie.no.:34-276PB 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 haexpiresbeen if a permit isa not obtained within 180 days as ted as complete. *Fee methodology set by Tri-County Building Industry Service Board. Iinuilding\Pumits1Pt.MU•PumitApp.doc 10/01/09 440-4616T(/0/02/COM/WEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17171 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: FA I L Comments: Provide permit for AC installed without permit. No inspection done at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 15, 2016 at 10:28:48 AM Record ID: MST2016-00099 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17171 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 15, 2016 at 10:46:47 AM Record ID: MST2016-00099 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17171 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 21, 2016 at 2:33:44 PM Record ID: MST2016-00099 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17171 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 16, 2016 at 7:00:35 AM Record ID: MST2016-00099 Inspector: David Young Provide permit for AC as noted on previous failed electrical and mechanical final inspections. Provide approved mechanical and electrical final inspections prior to building final inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17171 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 2:13:50 PM Record ID: MST2016-00099 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17171 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: Provide permit for AC installed without permit. No inspection done at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 15, 2016 at 10:30:32 AM Record ID: MST2016-00099 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17171 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 21, 2016 at 2:35:17 PM Record ID: MST2016-00099 Inspector: David Young Contractor