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Permit (9) INCITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00225 Date Issued: 09/08/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC06300 Jurisdiction: Tigard Site address: 17267 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 63 Project: Polygon at West River Terrace, Lot 63 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 628 sf Basement: 0 sf Left 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1645 sf Value: $206,541.67 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'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 1645 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: $29,987.44 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 952-001-000. 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: .'"d144102147471-e,, Permittee Signature: Gl '9X1/7 A i e,. .--7-70,--1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application c "°i r ,, ' 'tariDVM. pv „ilij R�eived �!.(i' ramitNo �lW k,-4 City of Tigard E !i 111 9 7 0 1 6 By tori:: H See Page 2 for Inspection Line: 503.639.4175 Date ReadyBy: Su IementalInformation TIC' lCi\R h Al �,a ✓3 -., �y Notifed/Method W �`l'T pP IntemP' www.rigard or.gov t , xx.st= Z. 4/� ,,,,v i C" 5 'r �- 3 7 �_:, --.-_:,:._. ..�,._ _____.. _ . Permit fees*are based on the value of the work performed_ ®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 s ; work indicated on this application. w _ s Q,71 _v-7: ..'''': '.. . . f`';,,:,:;').r. ..''.._ .o.•,-,,,,,,,,,, ,,,r,.. Valuation: I l ® 1-and 2-family dwelling ❑Commercialfmdustrial k I —� Number of bedroom. ❑Accessory building 0 Multi-family Number of bathrooms: 3 0 Master builder 0 Other x5 r .A f;r i7 5, V;r ,•,,,,,„. .,4---S- tt ` rr -_ f Total number of floors: 2 ("- W-„„;:t.' ' ® � ._ sem sx>". - '- sq ware feet awe 7?(('� SUI V � I New dwelling area [ Job site address: ,.y-m Q'� : square feet City/State/ZIP:Sherwood,OR 97140 ��i(./��� Garage/carport areaU k Suite/bldg./apt no.: I Project name:Polygon at West River Ter Covered porch area: 1 L.‘L-\ square feet 10 17 Cross street/directions to job site: Deck area: 0 square feet 6 ot Other structure area: Si square feet —__ d - 6 R$" sq.A � 'a s ' fn . P75 - i , Subdivision: I Lot no.:66 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 kkx, s y2 gM iy j : i',k , work indicated on this application. Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet � 7 � � s ys 1 - Number of stories: r,s 1 is ._- I` Type of construction: - Name:. /�I s{/ �� � �xv Occupancy groups: /,L Address: i / 11) i 0 -'�' �- � , (vJ ! r City/State/ZIP: co .� ., _ Existing. Phone: or a f Fax(360)693.4442New: 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 a hcation: PP City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com Coercia"gid residential prescriptive install of P anon e m E --- y -rt,, - — -, roof-top mounted Photovoltaic Solar Panel System- Submit two(2)sets of roof plan with connection details Business name:*P lam.WITH,IiLC U.,/GG//fli -X0A+t / /-i PVC* and fire department access,along with the 2010 Oregon Address:109 E 13ei-Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review x180.00 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 v/CCB lic.:207247Total fee due upon application:` $201.60` This permit application expires if a permit is not obtained Authorized signature: Vwithin 180 days after it has been accepted as complete._ *Fee methodology set by Tri-County_Bu ling Inaustly LPrint name:Maggie Gordon Date:11/11/15 Service Board. 1:1BuildingTetmits\BUP-1tESPennitApp.doc 02/24/2011 440-46131(1 I/02/COM/WEB) Mechanical Permit Applica City of Tigard acctivcd DaleiBY" etntit NVilf0/16'.10002,02.-5 13125 SW Hall Blvd..Tigard.OR 97223 M Ay 1 9 2016 Plan Review ' it• Phone: 5033181439 Fax: 503.59111%V ' DaietBy Other Permit; i Inspection Line: 503.639.4175 , .,f,: F' --i" ;II ' Date Ready/By: Jutiv RI See Page 2 for " '.." Internet: www.ligard-orgov ,-,1 4 ' ''' " '- ' ' NO4 ifiediMetil0& Supplemental Information ' , ',;%'•',: fi-i''' ':.•',,.';',:',. :;,,I,',.i':,;;;".:,,Z,:',,,,, ,i.,•:::,;;;:;,-,.:ini?::: **4004,;:,...;;;:'.i.: ,:p-,::,. ::,-r.r,':,..,'. .',.,`,-.!-.:::."—:,,,,,:t';:l.::',-2::::,,.,::: : SPOIPIV,,,,,Wittlfir:,. Mechanical permit fees*are based on the value of the work 0 New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead.and 1110(11 Value:t "'"',:.,'.'",-"•, ._,:t-lo:lito,:-F;-I'::};ai:::,:-moa;:i:::. p,io .. ' ,;: itlx------ -zi'J.:!.----,4z1.: w-,,,,,, "4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building far speck,Wormy:14w use dietfalst El Multi-family 0 Master builder 0 Other: Description 1 Qty. Ea. Total .':;.'..;":: ,::.,;-;.:'i':*...1/4"tt: 114-PtiRMAI%04/P., 110tAt4W, "'4 t'...":,: ''''',''f.".";:.::iff%6444,A,:,:,:.•..i.v.; -..1- ' ' ...;40 Air conditioning 46.75 Job site address:/ /2.1.,--) 6 w jail ,rrr',or'''.- d Furnace 100,000 BTU tductsivents) j 46.75 City/State/ZIP: 1--\clics\.A.,r--0 08. 0.01' q----4-\\-10 Furnace 100,000+BTU iductstvents) 54.91 1 Suite/bldg./apt.no.: Project name C) ti,,,--1 0,1_ ui..c., =: Heat pump Duct work 61.06 23.32 Cross street/directions to job site: L --fr- n,Q-410cP Flydronic hot water system 23,32 _ t Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric). in-wall.in-duct,suspended.etc. 46.75 Flue/vent for any of above 2332 ". ( Other: 23.32 Subdivision:River Terrace 1 Lot no.: I 40 Other fuel appliances Tax map/parcel no.: Water heater 23.32 Flue vent Ear water heater or gas HVAC fireplace 23.32 Log liehter(gas) 23.32 Wood/pellet stove ' 3339 Wood fimplatx/insert 23.32 Chirnnevilineriflueiyent 2332 23,32 Name: koiAt tkiiryi f )1-'f tic Range hood/other kitchen equipment 33.39 Address:-1( 040 t (251,(xLvLANin V0 , - -0 ()trio Clothes dryer exhaust Single-duct exhaust(bathrooms, 33.39 City/State/LIP:Se QTictr-f Aki-fi-g..... ,-3(;7.SP') • toilet companments,utility rooms) 23.32 Phone:1.(19—. 13 I I Fax:t, 1 Aiticierawlspace fans 2332 23.32 Vfi i ' Fuel piping: Business name:Apex Mr LLC $14.15 ktr sem four $4.03 fortieth additional • Contact name:Staci Hay Furnace.etc. Gas Address:2210 W.Main St.Suite 107-272 beat pump Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 : Fax::(360)326-1769 Fireplace Range E-mail:stacil4apexairco.com Barbecue u.„,,,,,:7-. .„-,-,:,---,,,,,,-,,....-ci!..,,,,,e...'1,-..,.......:",-Mks,..::''"7"."•:',f1f,4:1';,"g,, Clothes dryer(gas) Other: Business name Apex Air LLC ..., t"6 "7.71%".'4 q'7' - ' . :::',.... .41'.'.'::3' Address:220 W.Main St.Suite 107-272 Subtotal 0) City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(S90.0 Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 Slate surcharge(12%of permit fee) • 1 - - - •, • TOTAL PERMIT FEE I CCB lie.:203034 Oil • This permit application expires if a permit is not obtained within ISO , ,..,,,,, • days after it has been accepted as eomplete. i; Authorized signatur=. 1: • ,- ,/ .,1 Apr di,se.,/ • Pee mettaidology set try Tri-County Building Industry Service Board > li • Print name:Staci bay ,:, Date:1/28/2016 Vatrildins‘PcmitsWEC P......maApp,p40€Ii skoc 440-€6€77(1LtilraWWFA Itiete-iditiketitigitAltodikgtiiit-.' ..< ,- 4 y�y r E +Ey-3 _ �e y n�r�y� ry��� -....:..1.4)-i-���f J�! L�f ls� ,�o77tiir 4 ,ib RIDetri`rd` 5 ,x ° r.' ISi25 SYA fieri Bfy$r,liSard,L)R+973 1 I i` �` v "i'tw '1 6?•`. .• 1fv l'tione S03J1S2+t39 has[ 503 59n 1964 � jg • TtclatcdYeinutk 7 1G RU nlsuia�3o r 'li `b. */#,,,Y runs; >� ^c4'nj,az"tny" A2 dy S mod _ :44.1k.00,41.0.9. 0.>•mn o )1 dtab /rjat TNalllutapty4subazarasnflSlaarumglCitctto ❑Aoatetlemen 13 tSsr4rae a f edet t00 aarysarmord' 9vildin cspaI3tioh' Q Otfiei lzei*:#Restnrces �rc#hr4C�„'13a fault umrnl 14.0:,40:::,::4-#4*- ,- : y a. `°' q�a' n 4i t"'' e fc tV9,,tt(3CLI�1 f ;� ., exacds{,p UOO lt::1'ISO t�Iis o 1]fjmrmS busWia„i C 4'i=and 2#annijy dtweliing ❑tComu end aYtndusli al Q Accessory biittdmg ku m x000 jd...�««t:14,00a tD ,'.:"=st=tom giaawra1 QTviltti iatwly sterbtiltder [I Othar �toralt'pl5erlpitidlaroas. tantdm . 3:':••,,,,',",,4._.. .,.. 3(a`$VSrr ORi no AN©"Li1C.4,T1O -7:1". CUEma tan: lu erlapaietetpdsnvai • 8eney m? i +.. n ... ❑t awnorpowatainrtoadof ays{ep d!)tt Iob site eddy�' i i, I 6191 amore. D ,, 4�, uT-3 w,-- •(.444.,•,#q,.Cty7StaejZSherwoodOR 97i4O L75caorn iendental uuhs, Efii4i11i4aaCactiiiks, .Cf*, -t!gaa lv4,k4garks-.• .SUiteihtdgJppt>: _ Pmjcct natr e: 1_114fmtons1owtront. C7S+ipptY.*.itage7fiumumthis• . "irt?&S. ftECt�l�ltCCtIDIISLOjBtYSite: d stvicenr#cedes606wPs3xWoae. oo pinu 6D0 lts a lett ,: .,, .. '@aaqubn '- t Ott i ritr 1 "•'Toil 1 e Nc a'eatdentisil Siir Ie,or mufti4i fitly d*!*ouIt. Sttbdiv"isioir Rit%er Terrace, 1 Lvt--ELA/�j I;ncirde snttactrcd,gor�r Talc ma}t7Parcc.r;" • '4'"" I,000l.sq.1t or"iess 1 •161154 4 • r ,a:add 1 40 sq fz vrpoifiort 3392 L ,�. ;,. }0,Est.'.e0"FYEl9+3„= tiVA, .g • Lim maergy"reudanh t. NeW angle Family (ivi0s attvvusg,lt:j. J 75.410' Lvuifigin4y;�meltl-family „ 75.i)0 2” irstdrnpat(svrth sbavcsgj ttl a� ai' F t2euewah7eFn u [3"SeePa e3 t zeta Ti��� r, Se,,_ i- srs.fii_,",,,fiou aftz _ -- ariti6.- —beano-- a) ..�(I •��/ /., A. r « C / 14.9.00.,,,_„,,..54„.„..:` to nm,P. I33 56 N. °1118/44 �, .1110 ' 4014iiips ci60 flirrys X0039 ,ry lilt'' t►.I i vt • a, s rr; ►�3 A Ii, 30104 MIND . Piiouc(rry l— - F ( ) t) P�+psoscnhis 55 25 BinaaL' r p+`sr servicrs'orfoNere instaffaGoit,aftatiaii,audfor reldearion Olvaer:n$taJ..400 This installation is being made ot2}rrop6rty3hat I own which is not' 200 an ar kss 59- 7 tmttntded forams,Icasz,.rent or cxci ge,according to PRS 447,449,670,.and 704. 201 sings to s>ii.Pi. 125,08 2 0Wnerstgnatr Dater detampsto599amp5 1683'4. : 1 � twit 1 :10;4 r Pl"0,5Ql'1 $tan b elii hits-tteiv,ditetatfoe,•nr: €tellsida et panel...' r j ;� ' d:.-for th$t.„,,....ir7th' Bustness:ttatnc Gar[tner#±ledtric Washington,LLC aboioservrtx o r'fecderfeee saeli la rscls citiYtir 2 cord natde,BtltDaniels it FeeTorbtaiichcircuitssritT et ser enerfeedei-fee,fist; }id S1Ui79Fs I;JoLns,Itd baanchcineu6p, •S6.I8 2 CttytSiatcIP.VancouverWA98661 Factta4d'ibiarciirwit; 7,42 : .. N isceliaaeous;(sci/ee or feeder notiiirduded} :piivnc,(253)320+,1657 Fax ;( ) 7 i iiiatsufksuurz7 cmpdtilar $mat! bdanieet gweusn com +[xeli'tng eastccaiirltor'focsior &2 �` ra ., `. tbiy7T{ACTUl Recarihec2onlY :0::: 21'ur. , ,m8a..„„ .iclr, 2Btistme§S n ame-Garper:Electra Washington,LLC sign oraud"mcilgbun5 /4ddtess 5I03111 SEJa6#s'R Srg�taf ci.•:* s)ar:titrtstodtteergy 2 .. :, pate",T,attr:raYoa,wx#aaaton. t Sl3g� ' 2 `i.:it •' .• tech aidiironal ta+pedld'n AYrrxRaR'pebic;tn tstty oFt#ne abart ZIP Ysnrouver 'Yr1986b mat>riTflsp40.0.(iltilii.iti) '''...4.4,..;* i'hone, 53)3Z0- 57 I Fax'( ) t ti ficTa,nJ 941.0..-br Bmall bdaideis�gtyettsa.egm Lsdtntnal grant{i mli) 100-/ii'; -0-44/:— L. InspEc sfntrav6[c7sn3ftx Is 90 t1-.ly .';1410.;'',,H,•,-;-tC1tS� E2ectricsl.I1�:•34f83�4 � Stllnrv.?:tc.:.4496S: apxi&celtytisted(51=firidfis)`., , Stt ry Electrician- ,>'` -m CT4i+ ,xaygBh t" l ttlra ,.` Hutt tterne:Joan P, Ibcft L3Pfri RevtcW]tequtrtd,(35t't bft etirllt } , gtalessVc (2%.ofpuint0fe4 •.Authorized•atgttatiire: ToTAI.'P.1tMIT.BE. J3ttte, j TTuspe;mftsf 4', q■�gts?ertd.pewgti7entnbeaf:ied.tvs-ttrntse Pf[ntTlaJne $t�I Datt els Al�1 d sa u#t ni as sae! "'as'i rtet s. 7d�aststars'azlKecunsaitoveilperpermit I 11ii0140LG iiit4li0018..ic_EdtE:�t6a itw 4dt17Gnoi$ :44,346n,`stilOsco,> g. , !.. I Plumbing Permit Application tm._b,,., ., ,. Building Fixtures r CI Of Tl flrd Via I ni r7 l i E Receiued w 13125'SW HallllBlvd.,Tigard,OR 97223 Datc/By: Permit No. S 77:::24/6 5 IN PEan Revie�ti 0 Phone: 503.718.2439 Fax: 503.59819601 ,...:1 Date/By: Ocher Permit o.: inspection Line: 503.639.4175 ,' r - ',.Date Ready/By: Juni: $I See Page 2 for 1(i;�1Cl? � Internet www tigard-0r goy r,i NoutiediMethod: Supplententai information Im New construction 1_1 Demolition Fur special information use checklist Description I Qty. I Ea. I Total El Addition/alteration/replacement Q Other New 1-2-family dwellings(includes 100 ft.for each utility connection) :4;04,--.7 it" '''''i.a': 11*-;,,.'' - -, SFR(1)bath 312.70 II SFR(2)bath 437.78 1-and 2-family dwelling • Commercial/industrial SFR(3)bath ; 50032 D El Accessory building ❑Multi-family Each additional bathtltitchen 25.02 a Master builder El Other: Fire sprinkler( sq_ft_) Page 2 � �:; ,,-spa ,° �� '' ,3r s,a .1 s, i i �„,i4 .1 ,.< Site utilities: Job site addres�: / '• ' , ,�, Catch basin or area drain 18.76 1 ``'`p1 SW Pi,'A- Drywell,leach line,or trench drain 18.76 City/State/ZIP: (5h Q 1\),)00 O o° ct-l-`k-I Footing drain(no.linear ft:_) Page 2 Suite/bldg./ant.no.: Project name: 90\1 oy") a U�j- Manufactured home utilities 50.03 Cross street/directions to job site: v L ' re "_L` Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fl.:_) Page 2 Storm sewer(no.linear It: ) Page 2 Water service(no,linear ft.: ) Page 2 Subdivision: Lot no.:'/n, Fixture or item: Tax map/parcel no.: a/ Backflow preventer 31.27 Backwater valve . s �:s ,"iis ,q =a0 '4 1251 a., - �'~�'�� �.�', .�- ,/-� <,_. - < ,,� �� . clothes washer 25.OZ t l`t_UJ �/t" p\ (1 ALJ " ?:1- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 u. Expansion tank 12.51 Name: i ,f� r j A P Fixttrrelsewer cap 25.02 "i" Floor drain/floor sink/hub 25.02 w L Address: ' 1 / r' .0 Y4€U1 1't l Yi- Garbage disposal 25.02 d= City/State/ZIP: i • "7< 0-2. 5 - Fax: . ' . . f-i^ mak 25.02Hose bib Phone (� toil 4_, ,D �L� L� er 12.51 �" -. -i 3 '.' ` ,�` r "' Interceptor/gr,case trap 25.02 Business name: i _ Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: t\il !.lie ,14"ir-i.::=. .riY s Roof drain(commercial) 12.51 Address: It) i 13 , Sink/basin/lavatory 25.02 City/State/ZIP: >y,e.c1.-1...A.,.1,\/,‘ ( csi') -u Solar units(potable water) 62.54 Phone:( 11 ) OU) ,.. V Fax::( ) Tub/shower/shower pan 12.51 E-mail: ' 11,41 a-h ftp• I. 4.i `5"r e-.tom Urinal ' 2502 Q, . .4 ��= •� Water closet 25.Q2 �. •• ,,,,,,,,..,,,,,.,44.,...--,-, s `...:,. _ ,,, d, Water heater 37.52 Business name: K- E t°.:(..�t°'‘ 7(i4 11,11x'11 t� 1.. . Water piping/D W V 56.29 , t Address: pp' % > /' 13 Other: 25.02 City/State/ZIP:O,}c,...si"'a,. Subtotal Phone:(9")1) - ? / Fax:( ) Minimum permit fee: $72.50 CCB Lie.: ,7, D - 2„ Plumbing Lie,no 1 2,,, Plan review (25%of permit fee) State surcharge(12%°of permit fee) Authorized signature: / TOTAL PERMI(FEE f j This permit application expires if a permit is not obtained within 150 days. Print name' � a fre q 64, tar',i • Dtq acar..4 1 / after 1t has been accepted as complete. :: 'Fee methodology set by Tri-County Building Industry Service Board- :IN3uilding'Penuite\PLMU-PemitApp.doc 10,01109 440-46I6T(1S./u,COM/WEB) 1 City of Tigard v COMMUNITY DEVELOPMENT DEPARTMENT "hi ■ T 1 G A R D Building Permit Review — Residential Building Permit #: QST-,2d/6 — e ,, ,,.2„...5- Site Address: 11 S VI SW Sec) r-i I- 0 v ifs C L Project Name: Pol!.1 90 n 0}- VY-e St- .%v c Te rrcLA_ Lot #: (0 3 (New awelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N elW SP 12 Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No ) Yes,See River Terrace Review Addendum Attached Site Plan Elements: hree(3)copies of site plan -Dhxisting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper Three of new structure (including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations /North arrow 7tility 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) Erosion control(including drainage-way protection,silt fence ISLot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and /Street names impervious area (applicable if R-7,R-12,R-25&R-40) 0Street tree size,type and location /Property corner elevations (2 foot contour lines if more than -'Et"hxisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): ry Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No p" Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: E Yes ❑ No,stop intake 7 Land Use Case#: PDP.2 015 - 0 0 ODI Sy6 -his _ 00OOC XZoning: --1 i XSetbacks: Front (Z Rear 0 Side 3 Street Side -_Garage S /Landscape Requirement: 2-0 rE(Lot Coverage Maximum: go % Building Height: Maximum Height N/A' Actual Height ,Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan eConditions "Met"prior to issuance of building permit Notes: (,Q n d..i f i o h J to b-€.. rnzi. era)r to IssooltiLL. c L bu 1! ce,tlrl5 Approved By Planning: X1/1 tg^.",-�, (3 L.,(.4_____ ___ Date: S/ I a / I b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: //V/A Site Plans: # `3 Building Plans: # Building Permit#: enter building permit#above. Workflow Routing: C-Planning [Engineering g- 1Sermit Coordinator ®building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: (2'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. Notes: it 2' ...___4_74A___ By Permit Technician: Date: Engineering Review Ar Slope at building pad: _g q' 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 Engineeri Date: Notes: A ./ L'/ 44:,.. ....)4,.. .Z.,. Approved by Engineering: _ I4L .17 Date: 04-1---f�j 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 i Xpproved,NOT Released: Com,, ef v-tA.„ /'4 Date: 0//6 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: Fees Entered: Wash Co Trans Dev Tax: N4Yes ❑ N/A ?-430 Tigard Trans SDC: f'/A4 Yes ❑ N/A Parks SDC: (0 Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: _ Date: ?-'7"11-411� 1:ABuilding\Fonns\B1dgPennitRvw_RES 012116.docx r ' City of Tigard 11 illlCOMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D River Terrace Building Permit Review Addendum Asimminsur Building Permit #: /Y-Cj 2o/6 ._ ©e)v2.2-5 Site Address: 11 2 61 cvv Seg n Lou ;L (2-ek, Project Name: P0)J50n ci- WeJt I Ter r. Lot #: <03 (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?d'Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft.cdeep nun. 2ft., 5 ft.wide min. 2 ft., Eft.wide Gabled dormer 0 0 ❑ 2. Eyes on the street: a mini um of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3. y7- 3. 7, 3. Entrances:At least one entrance must meet both of the following standards: /Q 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: s 0 No If yes, all the following apply: �25 sq.ft. min. /One street facing entry „0/12 ft. max. roof above floor of porch /0-5 ft. depth min. ,Z30%min. porch roof coverage 44.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 0 Recessed entry area min. 5 ft. wide x 2 ft. deep Wall offset min. 16 inches 0 Dormer min. 4 ft.wide Roof eave min. 12 inch projection 0 Roof offset min. of 2 ft. 0 Roof shingles either tile or wood ,ZGable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. 'Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facade ria Vindow trim min. 2 '/2"wide by 5/8"deep 0 Window recess min. 3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft. wide x 3 ft. deep with inside access 0 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. 0 Yes 0 No. If No (Check one): 0 May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front p h. 0 May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the sec nd story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 0 12-foot-wide garage door 0 40%max. of street facade 0 50%max. of street facade with 7 detailed design elements Notes: III Approved By Planning: ! QM.Z l/\-----._` `Si-- Date: � 1 °I / % I.Building\Forms,Bldg Perm it12sMy_RES_R7_031416.docx Plumbing Permit Application Building Fixtures Hr t Ilfi 0 t ,, City of Tigard Received /6,, /40' Permit No.: RST2,1/419-00 2,ZS 114 "I 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 b 2016 Plan Review : I Phone: 503.718.2439 Fax: 501598.1960 Date/By, Other Permit No.: li ‘e II Inspection Line: 503.639.4175 CITY Date Ready/By: Juris: Fa See Page 2 for ' '(''''''" Internet www.tigard-or.gov ,- ,'7, r'',:st,,` ,C';', r',,,to. Notified/Method: Su..lemental Information, tn-aU 47 ..71.7, .;:,,,74,-,,,,,,,-&-ilip..:-...!;:ialye•--ffea-,4-1,,',,,L,..4:'t 4,,,,,•-, ,,,g--,,,vo,----- ,wiiiii4:14-tia--T''''''T-'4- -,'•••-t.'1',••Fiqr,,,,,,71,6 iiimitionitht ,„Imni, titt,i,2•7,,,,,,,B7,t,..,....!1;r4,•cliatalAti,:Linierlit‘-''':::"T'....'''n*:"..''s.`71.14'-rAt.:441,41-,,,-,:4-N4itinfmiTigikortift-mail 44:431,404-N.PME-4,14v,'.4:K.• 41;','::'44,:'!rf'..‘„''..',.'!",T1.niAlrSi.r:'rttr.AIV,:,AeS:,ij:fft ,''re:4i„::gl-P4:;VA:1',tlitN4Hrf:-ir.Vtgt::::U-*'rg:gtar4:„Tqtsiy '• New construction 1.-1 Demolition For special information use checklist Description Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) !A::PUa.nillitqA'IPK°R'4AMNTM4- B.-0K24.itg-4i?4,0 ' SFR(I)bah 312.70 40 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 (al ' Vu M7; .7;:1;,,::.8014/41.512-0.4-Imclitli Site utilities: Job site address: I 12fori 1,0 "jaTalgiloilligiVemah.6...i. ..... .....,:- .--.1,..2•.!,;;s-,Wvei- Gcatch basin or area drain 18.76 e. t Luse ,e_4cp Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Welt" Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Taiesstivistest River Terrace 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 iDtMetil GCt iA.)esSk Water service(no.linear fl.: ) Page 2 Subdivision:?ie . .'.River Terrrace Lot no.: 415 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: 'igiy...REFigimaxamoimlieskilisrip,1415 .!,,,,Tr2:!7:7-7,1Aywc...x.f.,,,ar.....tiowassirirmatstiorov.„10 Backwater valve 12.51 Clothes„% washer 25.02 dol41rlab r (halt( Dishwasher 25.02 Drinking fountain 25,02 Ejectors/sump 25.02 .. . ......._ .. Expansion tank -expansion IMUJS - 12.51 4P4-04g44-01'-sl`',:-'-1,,:q! :,`,.'l'•.m,'(-e,'•'A,'!''''',iitbildbiltihra-,..1..-''ytwitbralpir,millE:-.Ji...=.:4,,,:,:.%-r.,,,,,,,ogyff,,,,,,,e.n. Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC 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 ,:..-:tg/.:AqLul:FnmVsjis=-s)f4..,--Llr-,I4.1::!:wp--iym:ffoa:::,,mi..)11.-41.4.12.1:ro riP.:1?"EPEF2.1,'§i§:-T.n4Titi:5100 Interceptor/grease trap 25.02 4.-raiiNekaig814.'-'4'...40Y•r.'..w7,..1.9,i9 AiliffilailiViett ifrififtpm,„7.,i..1 ft-4!...,,4 7,,.....,s1.....4,,..,,,-,_,,,,,,:„.....,.,,..4.,r,,,,,, . Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/LIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:Angela.Grajewskl®poiygonhomes.com Water closet 25.02 l'io,l'ENFARIF.411010iIPINVIVASITigr:'.:r17;,'.14712,iffildESIMION/Sneft..4issilegamposo. iniffikikettailrii1PIAiMiNfai ',`.:-.2a.,,,::;:,t4.:,•'.,:,:.%:Pt:rigrqt,piFo.n::Tg-muliu,m,iy,f,...,:ti„,,,t,,,,u4Niu,,e,. water heater 37.52 Business name: Gici- VieVa$1)0‘...C.ver SciVose TOL,- Water piping/DWV 56.29 Address: P. Other: 25.02 City/State/ZIP: 5..r. et,...4 , cii,3, Subtotal Minimum permit fee: $72.50 Phone:(3c)3.- $(S- 1'U1 I Fax:(11 V .0/2104 110 - Plan review (25%of permit fee) CCB Lie.: 113-12,._ Plumbing Lie.no. 4331,1 State surcharge(12%of permit fee)- t Authorized signature: #.111 • 7:X,Wi, ".......„ TOTAL PERMIT FEE Print name; S''t'VIC p.wid„,e___ DateS--36 Ito This permit application expires Ifs permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Boani. 1:\Building\Permits\PL191U-PermitApp.doc 10/01/09 440-4616T(10/02/COWWEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17267 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: January 23, 2017 at 8:33:07 AM Record ID: MST2016-00225 Inspector: David Young Provide approved plumbing final inspection prior to building final as noted on previous failed inspection dated 1/19/17. Re inspection fee added for 3 failed plumbing inspections without correction. 103.5.6 Violation Summary: Inspector Contractor