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Permit (57) t. CITY OF TIGARD } FINS= -- MASTER PERMIT f III , COMMUNITY DEVELOPMENT Permit#: MST2016-00105 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2016 Parcel: 2S1060002900 Jurisdiction: Tigard Site address: 13748 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 50 Project Description: New SF. 12/20/2016: REPRINT to add NC BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 633 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1650 sf Value: $204,417.84 Rear: 15 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: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 1 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'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-3 1650 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,139.47 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. 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: � Lig—'--. Permittee Signature: L'A/ r;1-7" 6// 977`;A/ 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 ApplicationRECEIVEIIMMBIEIIIIIIEIIEIIIIIIIIIIIIII City of Tigard MAR 1 4 2016 Oatersy. Penn°NvY-1-7Pe746-eie/o-5- 11........ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review tw Phone: 503.718.2439 Fax: 503.598.1900Other Permit: Inspection Line: 503.639A175 cadvirly: Mnin See rise 2 for Internet: www.tigard-or-110* CITY OF TIGARD:t"elBRY BUILDING DIVISIOL,,,ies, Supplemental laformadon ' '''''..;:'•''4!'2.,.:.';'4,1=,;A.,":-',i,i-4,,,,'Iln!'.. '41, /1:;;;'4';!..,s '3.7;ito**140.1,14'tj.,':$4,;,;4WIV.Ptil ....,' Mechanical permit fees*are based on the value oldie work , 1214114 New construction U Additionralteration/frplacement performed.Indicate the value(rounded to the nearest dotter)of all 0 Demolition 0 Other: mechanical materials.equipment,labor.overhead.and profit. Value:S -'1,44,x6"-'4."4-I"s..---,..`44A4:4,4:.*"i'V s 4.(.4.f'...-,-;-.1)„4. 5,,,,.,' ..:-.v.'ft Y '.,,a ,e,W.',4 Att.," `,` , 4e/oPt,'.'tf.' ,....,e,-.,,„ ,„ , -, . ,,, ,..,,.„-,,,r4...•'''':.1 1 ,'. ..•....,."...,,,,,,,,,, ' “''-' '3-.' ' '''.. ''':"'"''''''-li- ' '''"""''.."'-'-'*".." ' ' - t''.-'' .." ' ' .- " ' . ' `,...:^iiid.V.74T:i.A!&,."),`14.. "....:,,,. .44;', ..1.1-V.-01A41,1142'....`::,,,i." .tAte*•,.,,.^..,,•7 El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For sport.'htforasothw sue rimed& 0 multi-family 0 Master builder0 Other: Description ) OtY4 I EE& I Total iNalmr,' liekaiagie00114R: ,43.i-iizitlr Q.-4....!.v,:,,°,„1.,-....4-1"4'.1.t, .,,:,-4' ' -2t." ''''''''?41- ;''''''''''' " Air conditioning j 46.75 . pp ‘ A 0 Job site address t'D )-q • - m-kj„) 1 Furnace 100.000 BTU thiseisiveato ) 46.75 City/State/ZIP: -\(14\A1-008. 0°P CI-3-i\-4 0 Furnace 100.000+8Th(ducts/vents) 54.91 Heat maim 6 I.06 Suite/bldg./apt.no.: P-Foject roune:_POK17,,n 0,....4__ 004- Duct work 23.32 Cross street/directions to job site: x01-4\((CO Hydronic hot water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type4 not electric), in-wall,in-duct,suspended.etc. 46.75 Floe/vent for any of above 23.32 Other: 23.32 Subdivision:River Terrace Lot no.: Other-tad appliances: Tax map/parcel no.: Water heater 2332 tt•-"N":..e`t4-,""%.AS,-..e*-, j...-,*--'..'.• ' ,..'7'-',..,..-f':i., ip.,-.',-,:','...,,r:',7, ,i,',,..;:y.,f..°,, i..:,;:`,.;:i.4:5.,,...', !,11! Gas fireplace/insert 3339 „,,,,,;„;,:43„,:,:.,-1.1,,,,,,so.4.-4...(...4-,,.."-s--.,...fe 4„,.,-,-...--,--:'.i...-„v,..4.4--.41.4..- ....--4..., - ',- '',.,--1....,, - -v.- ,. a• ' .- mu,,„,„t tot wider kedter of gas HVAC 4-A.6. i9-/e. fireplace 23.32 Log liff,hter(Ras) 2332 Wood/pellet stave 3339 Wood firmlaceinsert 23.32 1 Chimney/liner/flue/vent 23.32 2332 ., ,, -,,,,,„. „.,- , ..---4,4..4 -- --,.,s-4.1....ktkri.,'""-,:'rL61:44,1!LI i*i*5,, 1**1-,, ,:;i4.1.4;,&,'«'.C.;', • '-''':iti,r46";,*1*!'4'Vli:1;'41'''`.1T:S•41i'•,.':'41.1...I.Z.1,47:'!' `M'Z',1"'44,4,'/'}" '.'''.' ' .*“** 'i*''' 4'***' * EnVirOanbelital exhaust asd veatilahan: Name:Polygon Range hood/other kitchen equipment .. 3339 Address:109 E 13°St.Suite 200 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms. City/State/ZIP:Vancouver,WA 98660 toilet compartments.utility moms) 23.32 . ' Phone:(425)586-7700 Fax:( ) Attioicrawispace isms 23.32 s,,-_,„,,,,-.,... 444 , --:-J -,-4 --,,-2.,-, ..„;',.4.-1..,•:44.,...4"..:-.44..e,A. t'si-'- ' ',---Ai;('.4-4‘4.e.,444":11,=4s-'1:ittiq".14': Other 23.32 1":*..-sral:„,,,A..4.41,:e-,..„„:1 ,:,..1.14:---:,7?...414'!"1!....t..id.IN,-,...:SL.„(f.1.t•i:.,,...14..../...=,442.440-4,414...4.4vh„.444,1,i's...e..-.L.4.„-.......0,.....i.V, Fed ovum: Business name:Apex Air LLC : S14.15 Sw first to 54.03 for each additional Contact name:Sleet Hay Furnace.etc, GIN heat PUMP Address:2210 W.Main St.Suite 107-272 WallhuvendmVunit heater City/StatefZIP:Batik Ground,WA 98604 Water heater i Phone:(360)3424109 I Fax;:(360)326-1769 Fireplace Ranee E-mail:stacilagapexaireo.com Ba ....... - -4-:,,iily,',;....'-:V 4i;,".e:-.;.$7107''s,;...',;,,,:te4'',41- 1'1"'S(41; '4.'''..,:;','.;l'ir--, ,i,-,` ,"'-.13'71;:;_.4.,-$"•,;:ii:';',,,f.:',.,,:rif-'',,,,, Clothes dryer(gas) , Business name:Apes Air LLC itILAitilditn.f,,A,64, 1,:.-,, ,,, ,,4=4,4,-.,.4.•.,.i.-,4.,,,NiakaAid, Address:220W.Main St.Suite 107-272 Subtotal I City/State/ZIP:Batik Ground,WA 98604 'Minimum permit he($90.00) , Plan review(25%of permit kc) Phone:(360)3424109 ' Fax:(340)326-1769 State surcharge(12%of permit fee) ' CCR lie.:203034 - - - `, TOTAL PERMIT PEE This permit application expires it a permit is not obtained within 180 i I (40,1*4 iloor, days alter it has been accepted ft complete. / A ' Authorized signal . Foe methodology set by Tri-Courny Building Industry Service Bourd Print name:Staci hay Date:1/28/2016 I‘nemsessememassefesmAte...601 I)4°e 440-46177 It LATVC0M.V86) ! CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT1111 Permit#: MST2016-00105 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2016 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13748 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 50 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 633 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1650 sf Value: $204,417.84 Rear: 15 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: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1650 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $29,997.11 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 throug AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5003.232.1998�� 7or 1.800.332.2344. Issued By: Permittee Signature: (1��T/,17(1. ..;7Cs,f/ 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. .. __,,„1,93,0,-1„. ----,-- L_oT 5e9 Building Permit Application -.: RECEIVED City of Tigard 2016 Received ed / /, , air' Permit N` 1?" d/'b"'�J�+/Q IN 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 4 Plan Review/1 / other p� iei/ /+ 0 (� Phone: 503.718.2439 Fax: 503.598.1960 DateBy= -1[��1 "'� Daze ReadyBy: p� 40i----is. Page 2 for 7ICP F I� Ins rnet: Line:' 503.639.4175 CITY OF TIC A dD Notified/Method / r ,�;,0 Supplemental Information lntemet: www.tigard-{r.gov BUILDING DIVISION a--/yy-!e_ 4.--,,A/6-/-6-- n ructio _,_,_,_.,,L, _ o ion=,-z w Permit fees*are based on the value of the work performed. '0—New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the u work indicated on this application. T - '� �tr..,7,-;,.41,-,::-:: �0 ._. � � � � .. .. :a �.�Z' ,� Valuation�����`7 $ _� � 0 CommercialTndustrial i ® 1-and 2-family dwelling- Number of bedrooms: LA 0 Accessory building 0 Multi-family Number of bathrooms:.-2-A3 E l Master builder 0 Other p r- - t-� r -,,r�"� t c Total number of floors: 2c o R �, (� / 1 New dwelling area: square feet T. Job site address: i.. IP �J \ -/ - , ` Garage/carport area �1` g square feet City/State/ZIP:Sherwood,OR 97140 Suite/bldg./apt no.: 1 Project name:Polygon at West River Ter Covered porch area: a Q square feet '0 17 Cross street/directions to job site: Deck area: square feet Other structure area: ', square feet Subdivision: I Lot no.: 50 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 . i, �: .F = a �� $ work indicated on this application Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet Number of stories: I,..,.ie,_4,.iyt,.....w,_ft..L_L_e___..,'''4's--r"-- ,� -z..-1„,(-4_„71,„.,4_,, L m t.,�//J6 L'� Type of construction: Address:409-Eildi'SZFEEr— Occupancy groups: City/State/ZIP:Vancouver,WA 98660- Existing: Phone:( Fax(360)693 4442 New _ g F` "�-�`a " - °zi ror � �� �� :-11::: 11 r l'-'''' [ �... `- - ' 1' = n ---- ��'���� " '' �.: �^�^x :,�.. W,.. ". �.�e , �3`<'m�; �P��.-„M--�ry ;.`o w..,�.rL+.,r.':. „sw,., 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 coin '` Commercial and resident al prescriptive installation of t. '., ' c �' --':::'*'.4:: , .=u . x- .ii Submit mounted Photovoltaic Solar Panel System. 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 13”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 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-County Building Industry Print name:Maggie Gordon I Date`.12/11/15 I Service Board. I:\Building\Petmits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , , ; ; BEC,EIVED , , ..........,„ , , Elottrical PerEttlit A!221i_ : ,„.. _ ,,, , , ! ,.. , city of iFigard re4 1R 14 2 0: 016 --,'6.04-:' '''''''''''''' '' ' pc,p4 ./it -, -J.,. 13125 89;i11 11)31od Tioo' rd Olt .... .2.10dItevilio , . . -0 0i mv6(0) Itelak0trotoro e: ' 4 Pi'l*e:Sa‘I'71112439 Flat:56.' 1 F T1CARD ''''te'B'. , ' '.14eietionLitie:5t)3.639:417 . ftearlyDatelBy: -*iv, tar aL..opoo.ra coo / 'Pr',=. y,itL , lostifitoirect,o,e0o.0 ,Soppl*ootil/aroma= 1 ti\IG DIVISION ',:°,,''''1 40,7000°,/t400°'000.07NE0,0;''0'0.0-.140°'°0!°t-00'.:40:'0?0r°;'-0,,,°0,.0,000MPOOK00-,.,,f•:-‘- •' - '•'• :••":1', :;-:::,1,--:,,i,,,5,'••'''„;11.4Z::,';':7:111$7,4N7iV—Itijir-;:ffl-v•";:',,-,!",--i•-7i,!1-',,-• ' '- ,4311 i f • &,;•-istili,",.,:,tori.10-4it,rj, -- " ID Aditifi"di-1/-ar.-erair613/repiacerileat protrborimt.....2...tirtforcitilters!,.!,,,,,!*.''65. I:I Dcmblirilau CI Orttitrr,, ...-- . . , , , ' wttFro tiro a'.-.1otrio torrtft:or,00t 0 morloo-o4rrorityo,,h. I "0-Ar„f,r15rtttDIv/S-11(14,00N,'rr.:::',',, .,-,"..r."-." ', erc-000a.to oairoor tstt wra$or 0 Prtitotrialltrit4tio, I 1arid 2 .,:.- ''- —=- .---"--. tas rtr giiiund,oroltooids 14,00s (3'cli,orolelotoi-otelunteutiora,1 ill - -trio:lily tiwelliiii; 0,4,,tlititeierawiliditstrial Ei,A6tsor),building 0 , !info 1*A othe.iitistofiotions, 11411!0'330 1 E).*Ift-family 0,01ater Wilder EJ°flier': ono putojr,. Elliisi011itionerrISO KVA or 0 . % -'r ' " 1:170roeigtooy 410121.WtSt-w0 01/i,110i,i Al4D-1,6C11011 1-- , "' , largeratatily&dyad 1 Job.# Joh site address: '- ,, - ‘'3711\<i2).SIkv,1\---71;,)r6 t\t.CiC LI ,rivi,Qti.:4yinotoriodor Mo140010 1604 or irkii/O. 0"A",V".'1-2",.`103" 0 , , -,_.,..- p sak or.room Rg-taoottor orttor. otooporroy, city/State/ZIP:Sherwood Liss.971140 Ottootaroortiracriltim [riltmotniittbot ool!iolo parks, 0 liza,00100103 looa6ous.„ 1:151,9iply VOit3Vilar11101*ikan Sliiteibidgiopt It. Project natrie: ti st,v1,..r - 00 . 600 Yoltititosolool .4111P4-44 6610110 , Crossstreeddirectii/ita t/i job site: 1 i:iii: f ei.o 1 Tote4 1. i New residential sle=or inutd=foililIy dwelling omit, Suhrlivn:River Territee Lot 8:,C,---..„b liseindi;s Ott/Ached garage, . , ,,...„ 1 l,000,.itft.or toss I 160.54 4 . i Tax map/parcel-8: Ea.odd'i 500sq,1/.-orport!ou -2, 33;92 PE$CRIO:t'ON )37 tf -*VORIC - , LiioiW1,44140$9-ii14101i0o641 ''j 7500 .2 1 , , ,(tYillisthaviiii:,ft.) i ' Neu+Slitgle Family ; ,- • Litti1184,ine-nis),:kalit-.6rnity .. „„ i , r_i....„,..,..,,,,, R,eiliiteabi:11iiXO,lige:arre El ste,pnif'-ew2 2 06'014,1.1464404 1 ''' ' 6.14- , - SoniteiOrliedErt 10'1642110,04Jan,oitii0otioli-,and/or relocation , , .. .. Name:Polygon Hoaxes 200=Fier tess , 100.70 2 , i t tito'" - 133 56 1 ti, 200 amps o ,,amps . - AddieSs199 E 13 St , , 401 ainpito,600'autos 200,34 2 , City/State/ZIP':Vittleotiver WA 98660 elm ontps tat,*eines 301.434 , - , 55226 2 Phone:(360)695=1700 Fax:( ) , Over i.000, autos or-;*,,,,Its Tentp,oistry'servicits or feeders Itistollatiriii,alteration,and/or i Email; reloaistitin E , ... Owner installation;rids installation is being made on Property that I own IYhieli ts not 2080/182s°r-le'.15 59.36 I I intended for sale,lease,rent or exchange,according to ORS 447,449,670,and 701. 201 amp to 400amps 12.5.0a 2 5 Ova61'siglatIlre: Date; ., 401 amps to599 maps 1654 2. 1 , It ronoti eirettles—oott,,ottani:Ion,or extension,tter pastel , 00,CL4)/:.K I ., 'LI CQITI'llt7r ri314"5°14 A.Foe forbsiodi v4=0451,006 ' 1 iluSlitess ttat*.Garijet•EjOttic' le 80asliingtnn,LW abeveserviee,oi6tedur fee, - - - -, eaci,b.nthqrcuit . Corttrtet ntrite:1;111 1:11tiliela B.Fee.cot-broiltdt Circuits)144,1014r , , service orici4O0'ke,6041 A0,10,11t$S0 6101 NE St,,Tc.ltniltd .-.. , 56,78 0 0 , tirsteh-elituit _.2 i' cityistataip:1r0.0„4.0pver.WA 98661 Each Val 6i.pa,tire* 7.42 2.: ' " htitteilarii0113(service or reader tiotitiettidert) Phonic.:(253)3204657 Falt::( ) Bich nituttitifoolied°ciao/tutor 82 84 2 8 , -°- Ot),°4111008..400.01010o800011100fceder ' crtail:bilartids@gitretteit.ceiri 1 , Reconnect only 67.84 2 , l'uli)iirtirviiPikoncircit 67-84 2 r' , . , 0 B1.1511306§ttaiitc;Garner iCiaetric Washington,LW sirotOr 00_ e listIting 6784 2 1 - , , , - , 1 S64014.14,0O,161(4)-6r 604,1W-4n04E10 0 s.,,,r8 2 2 Address:6101'Nig Sklohits•Rd linnet,alteration,or e)ttousioit. Fe , •Eteti addltional'innieettnit Ovei-eltenrak4c in 11,11Y of Or 01-bove City/State/ZIP:Viiiitisiver WA 98661 • AdditIonalleiniectitin(lin niri) 66.2.5/hi i Pltixtv.(253)320407 Fax ( ) Investigo.deri(1 hrmht) 90.013/10. 1 , , . -.. r, . ludlattiot plant(1 hr.tile) 28-18111r ,E0111110 hdanlets C,wesiso.toztt . . . i Inst*Ft1.0,13',86i_.tv4),,lob,i1O resit 00,00,1,,, 1 COB ' i158• (Electiical Lie.* 208174 - Suprv.Lk.:4496S so"Glficf17,'7".„.i.br,"..',11,'„'), , :-.. "„ ,„ .., ,,, '" ' r) j - . . . , r Suprv.Electitelan signature,required* L / 1,--, tr ,,<„. ,L. ' Mit si.utotat. i, , , , _ .. I 'Plitt' t'rtat-te:Joan P Alhert' - . ' Date;alt 1 ktio 0 moo Rooloiotkoo4ori,4 t.4$7.4 of'901111.1t kelt . ' - 1$0**.teltaego'tizItrAi'Petirfit..frair .....- , , ,,-.. ......._ _ Autb°r174,d 8180. tlitl,le' ( ,- '- - , TOTALPERMIT FEE ' , -' Two pooniti:ap-aricor,ton,erafrosiro neraitt boat obtained tvlitlin ISO I Flint nnate:Bill.1)ttniels )2talc k act.)Ita /Iasi°twit!I:0i been oicsited as oot,,otetc. 1 ,,. * 11003nber oftitspiatioos ollcnitd poi°ponil i i 1,1390,41100,404o0.C...to04001,po.„031.00,.60.604,4 Ow 0001712014 440.4405T(01.000,0ACOMIOIF2 1 g 1 t. , 1 f it t I :-, • ,, k r r 0 > z Y V CD 4 FMT CD rMT a r re C -T) 0 > z 9 Y V CD 4 FMT CD rMT r m C -T) . . . . . . . . . . . . . . . . 9 V CD 4 FMT CD rMT r m C -T) Plumbing Permit Application Building Fixtures MAR 142016 City of Tigard ReceivedPermit No/t f' 4 /0_5- 13125 SW Hall Blvd.,Tigard,OR 97223 ' "r OF T#G ARD I Review iiiihi Other PemitNo.:p Phone. 503.718.2439 Fax: 503.598 - InspectionLine: 503.639.4175 Li °6`°°rDate Ready/By: Anis. BSee Page 2for 1tis1itDInternet: www.tigard-or.govNotified/Met/lock. d lO� So. kniental Information i : .se IA A y' sf - 0.a`Ya. yet 4.:: ^�. R 'v•.:''� _ W._- "ss� ,„q a - oaz ssir amu '<._ t. M +,.. 3 �, ,_ .�3a-,�..� ter=,�.: ,� , EN New construction Demolition For special information use checklist Description I Qty. I Ea. I Total El Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) a fie tilt as SFR(1)bath 312.70 x � .. � v,.. -,,,,,...-o--,.,,,,,,t -, ,,� � , a. SFR(2)bath 437.78 1-11111 and 2-family dwelling I Commercialfindustrial SFR(3)bath 50ti. 2 78 D Accessory building El Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2 r ' ( i � ;ai�er s' I'e, Site utilities: t cam n - ► Catch basin or area drain 18.76 Job site address: / _1 2A -18 Drywell,leach line,or trench drain 1836 City/State/71P: (3�It I �')0 0 a O k QI- ' I Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no,: 1 Project name: Val eity-) Cd- \,t Manufactured home utilities 50.03 Cross street/directions to job site: `' .1 (\7j ) 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: Lot no.:OtD Fixture or item: Tax maptparcel no.: Backflow preventer 31.27 - m Backwater valve 12.51 \\ �.a _. Clothes washer 25.02 tJ 1 r '�/1 -1 J1.l' Dishwasher 25.02 f Drinking fountain 25.02 Ejectors/sump 25.02 rid ,I' Expansion tank 12.51 - Fixture/sewer cap 25.02 Name: pp q , 1A (}� Floor dntia/fiaor sink htib 25.02 Address: I f'1 J �/ I,✓ l� Garbage disposal 25.02 City/State/LIP: J$ 1 $ ' ` f . (..0(..0 0 Hose bib 25.02 Phone:( j() 6 to 0 Fax:' ,[ `p tip_\ It Ice maker 12.51 '; - ' Interceptor;grease trap 25.02 Business name: i Medical gas(value:S ) Page'2 ,Kl" --i e v_,,,...,41_4„) 12>I t...t tvN\C'\2�r L.L..-C Primer 12.51 Contact name: t Vi.. t ,� } Roof drain(commercial) 12.51 Address: lb' 2 i .- tom-? Sink/basin/lavatory 25.02 City/State/ZIP: =>r-C'ch ( Cl t l Solar units(potable water) 62.54 Fax: ( ) Tub/shower/shower pan 12.51 Phone:(5:111 ) (r2 g Fc25.02 E-mail: IC : 00 o Oil ft 0 0. s.i -Urinal - 14, . water closet 2s.oi . ,-, its ` water heater 37.52 Business name: ) K„.F-vl/' 11..XY"t r":i..;'1 P(lit 1"Y"1(r'>'i � GD,f. cz" t -t..-�.., Water piping/DWV 56.23 Address: p 3 1" Other. 25.02 Ci ty/State/ZIP:&fib'j t� 9-7Z0 Subtotal Minimum permit fee: 572.50 Phone:(q')(). I. ..�3..'/13 Fax:( ) Plan review (25%ofpetmit fee) CCB Lie.: z D .4- 2 Plumbing Lie.no ( o State surcharge(12/0 of pemut fee) Authorized signature: / • TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: �a r i *( f Datq �lit, after it has been accepted as complete. L # t f *Fee methodology set by Id-County Building Industry Service Board. :I:1Building,PmnistPLMD-Pmnisipp.dee 10/01/09 4404616T(i Di i/CONI/WEB) City of Tigard me II COMMUNITY DEVELOPMENT DEPARTMENT II T I G A R D Building Permit Review — Residential Building Permit #: /7_S 77,2t,/6 — 0070S- Site 0/OS- Site Address: ( 3'74S e.1/4j OD, A /c-1, Project Name: Po 11 el L el o{ Wes.-- RI ter- Terv-eLc)t-- Lot #: SO (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Me tA1 S a- kr Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: krhree (3)copies of site plan XExisting structures on site ,VISite plan must be on 8-1/2"x 11"or 11 x 17"paper Le-Footprint of new structure(including decks)with finished tDrawn to scale (standard architect or engineer scale) floor elevations ®North arrow eUtility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number , ocation of wells/septic systems Applicant information(name and phone number) •rrErosion control(including drainage-way protection, silt fence atLot dimensions and building setback dimensions design,location of catch basin,etc.) kLot area,building coverage area,percentage of coverage and street names impervious area(applicable if R-7,R-12,R-25&R-40) I4D reet tree size,type and location AI Property corner elevations(2 foot contour lines if more than M Existing trees to be retained with drip line,and tree 4 foot differential) protection measures X Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified X[ No Received: ❑ Yes ❑ No Ni Public Facilities Improvement(PFI) Permit: Required: K Yes,applicant was notified ❑ No Applied For: X Yes ❑ No,stop intake XLand Use Case #: Pb cot ca={ S((� �i�c . �,.;...0e,Pbo2 ie Zoning: R— 7 E' Setbacks: Front C Rear Nf[ Side 3 Street Side Garage 3-(, Landscape Requirement: e:9.o %12.... N. Lot Coverage Maximum: S C.) % - ac-1-u_a( SS•`s,, Building Height: Maximum Height J/A Actual Height k" Visual Clearance t1 u 1- pe ri-Y,e ,11r Easements 2'-Sensitive Lands: ❑ Yes . No Type eg, rban Forestry Plan 0 Conditions "Met"prior to issuance of building permit- v,.)1--e}' Notes: ll AA'`„cs4 SCu nd--tthJ.ekS Pr-N"" -1-11 ISJi.ca.,tx c;4- 6u;1cl,15 pe,-.-1',-' . Approved By Planning: CA&LA4 & ✓ Date: 3-1 t-(-(lp Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw RES 012116.docx / , Building Permit Submittal Original Submittal Date: 3/f V/ Site Plans: # 3 Building Plans: # .- Building Permit#: ©''Enter building permit# above. Workflow Routing: [Planning 8'Tngineering `C —Permit Coordinator Q-$tiilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: [-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. otes: By Permit Technician: _ Date r , � Engineering Review Slope at building pad: ��o 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 Approv b Engineeri Date: Notes: Ceofrre4:74,—/prs• C .��7�d%�/ / 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 f� 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: SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: ` Yes ❑ N/A • Parks SDC: Yes ❑ N/A ►_fid K to Issue Permit �j� i Coordinator: i���G Date: .7/).67/ -, 1: Approved by Permit I:\Building\Fonns\BldgPermitRvw_RES_O 121 16.docx , 14 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /`2"S 72- /6 — 00/0-5-- Site Address: 13'74-6 614.1 I7),d 4L.-, Project Name: roti ie ri cc„{ P i ;,,e- 'mer Lot #: <5' (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes ❑ No Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional e ement required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Q Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormer ek CI CI El 111 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: q:3 `)/. 3. Entrances:At least one entrance must meet both of the following standards: j'Max. 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: Ll'Yes ❑ No If yes,all the following apply: ..k'25 sq.ft. min. aOne street facing entry ®"12 ft. max. roof above floor of porch ❑ 5 ft. depth min. .f 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches, ❑ Dormer min. 4 ft.wide .®"Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood u' Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade ,i Window trim min. 2 '/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 .Nl 4arages and Carports: May face the front or side lot line on a corner lot. Setbacks: �k,e4 No closer to front or side lot line,than longest street-facing wall. 111 Yes CI No. 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. ❑ May 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) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: etv,4, Date: 3. /4 It. 1:\Building\Forms,BldgPermitRmRES RT 031416.docx Plumbing Permit Application Building Fixtures 1OR (Irl It r 1 til ()'I.1 INCi of Tigard Q r> 2 .r, 2 nn,r Received g ae i !U!u' Date/By: io/ LI/ll/ 14/ Permit N s)0/6,..0/0 S' ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / • Phone: 503.718.2439 Fax: 503.598;196p DateiBy Other Permit No.: 1 l; ,1:n Inspection Line: 503.639.4175 D R�y/By; Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OP WORIF... .. ..... FEB*..SCI EDU1, -®New construction 0 Demolition For special information use checklist • 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 CONSTRUCTION' SFR(1)bath 312.70 01-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 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: Job site address: l'31 U'e) 5-v\j 'lira tilt_ Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: l 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 1 Lot no.: c--1) Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 e c j r c,hatige Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El PROPERTY OWNER l 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) 12.5I 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/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 _ Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: -� TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 1 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 Service Board. 1:1Builditg\PermitslPLMU•PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13748 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Correction completed Violation Summary: Tel: 503.718.2439 Inspection Date: January 17, 2017 at 10:04:40 AM Record ID: MST2016-00105 Inspector: Aaron Cillo-Gobel Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13748 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Corrections from 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: Tel: 503.718.2439 Inspection Date: January 23, 2017 at 1:25:33 PM Record ID: MST2016-00105 Inspector: David Young Inspector Contractor