Permit (18) CITY OF TIGARD MASTER PERMIT
:'' COMMUNITY DEVELOPMENT Permit MST2016-00226
Date Issued: 09/08/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 9/08/2 C06400
Jurisdiction: Tigard
Site address: 17289 SW JEAN LOUISE RD
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 64
Project: Polygon at West River Terrace, Lot 64
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke
Dwelling Units: 1 Third: 0 sf Right: 3
Detectors: Yes
Total: 1744 sf Value: $215,852.02 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 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 1744
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves are
SCOTTSDALE,AZ 85258 required one side only(East)
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,198.47
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 throug 'AR•- 6 61-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1998877 or 1.800.332.2344.
Issued By: , '� '� e- --- Permittee Signature: d� /971, L./C�/70�
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.
iivading Permit Applicatio `
a , .+ G ,, FOR OFFIC 1 l'SE(./0 LI,
City of Tigard 2y AY 1 9 2016 ReceivDa yea: 40/s/ c ., Pennitx_- f St - '
114 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review /�
Phone: 503.7182439 Fax: 503.59 _ a Date/By. , ` �B7 P � 9 y/4 /fo
TIC i;I;I� Inspection'Line: 503.639.4175 V t+1‘3,,,,:i., 1 Date Ready 9! , Jas: H See page 2 for
Internet. www.ti ardor. oviv v� Notified/Method V� 7+ SupplementalInformation
g g uILD l Gini 1 io � MJF PP
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
.2-7,11.7.1'77a . ,_, _ t r. 17 _.moi„ ,._-s .} K,;;_v. . _` _ „,I=.,,, ,,,-t-,.;:,„&,-..:45,_ work indicated on this application.
® 1-and 2-family dwelling ❑Commerciallmdustrial Valuation:).1 S` $ ). ci J
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder. ❑Other: Number of bathrooms 3
-,m 5 e K--”' _ _r -.�°g Total number of floors: 2 7
Job site address: /. i. s n�t:�� ��� I
New dwelling area: q 4 square feet
City/State/ZIP:Sherwood,OR 97140 LOU/S—&---- �' Garage/carport area: `.'l2-5 square feet
Suite/bldgJapt.no.: Project name:Polygon at West River Ter Covered porch area: U CA square feet c13 ci
Cross street/directions to job site: Deck area: ,a square feet t,
•
Other structure area: ',, square feet
Subdivision: Lot no.:�/]I./ Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 111YYY ///
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
a'' fi ' : ` €' ig l't:°`" 2 j - { e I, work indicated on this lication_
'4W i l,V " m a .,a a --7,....- -..,-,..„.,,,,,,,,----- application_
New Single Family Detached Construction Valuation: $
Existing building area square feet
New building area: square feet
' �a� ' -V ` ,-a i- _. - -"� -7``•• Number of stories:
Name:4.9.,��/` — '-,' I i l Type of construction: `
Address:
R _ ' L , /�>_1 > l Occupancy groups:
City/State/ZIP: S ' 1 IJ I / �P ._ ti _ Existing:
Phone: Fax(360)693.4442 New-
Business name:Polygon WLH,LLC
T ?:.. s....}r_
Contact name:Maggie Gordon Structural plan review fee(or deposit):
,� FLS plan review fee(if applicable):
Address:109E 13 Street
City/State/ZIP:Vancouver,WA 98660
Total fees due upon application:
Phone:(360)695.7700 I Fax::(360)693.4442 Amount received.
E-mail:maggie.gordon@polygonhomes.com
� F � ° '_
� � Commercial and residential prescriptive installation of
_t - .l roof-top mounted Photo Voltaic Solar Panel System.
Business name:Pely nrI L1 , C Wf�/4'i`? vg4 j/`�es f/[( Submitand Sretwo
o(2)sets
of rooess,plan
lang�thcone 010ctio Oregonil
Address:109 E 13`h Street / Solar Installation Specialty Code checklist _
City/State/ZIP:Vancouver,WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)695.7700 Fax:(360)693.4442
State surcharge(12%of permit fee): $21-60
tCCB lic.:207247
Total fee due upon application: $201 60--
Authorized signature: /// This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Maggie Gordon Date:12/11/15 *Fee methodology set by Tri-County.Building Industry
Service Board -
I:\Building\Permits\BUP-RESPennitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) -- -
-....--,
Mechanical Permit Application 0 F( ,;1,..; -112 k:,4 i OR(}i i i( I. i NE ()NI N
IA 2,i .,."k-4 '-..ivOti
City of Tigard tiatetty Kmat No-./17vg
.11 13125 SW Itall Blvd.,Tigard.OR 97223 , Plan Review
' Phone: 501718.2439 Fax: 501598.1960 iMI sv J 1 9 21'I b Dalefav" Other Permit
A 1 -- - - ,
inspection Line: 503.639.4175 1 Date Rr.adyiBy. kWh: RI See Psgt 2 tar
Internet: www.tigard-or.gov
`''' ..'''1'r`i 4)ft4MifietbMethod: Supplemental Information I
t.. ,',.:::';:,.:,:,.::...,rtt.,:;,,I.-,--?:-:,:ii-k!..-4.d.....?;iii*::ki,:oe:*ootlitiyiNG11146j#1,':°.6!;,-;.: 4.::
_ - ' ---- Mechanical permit fees*are based on the value of the work
: IS)New construction LI Addition/alteration/replacement ' performed,Indicate the value(founded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment.labor,overhead.and profit.
Value:S
,:c.',.”-,":!, -,•,..:,,-!;,?'' '!10. !;,:,:,,.:.11,,:. 1*„:< $ q,1 -1;i'i;:,,:'.Si :4teoWttNAti!'"t';Yi 44:"Ilk::4-..i,i ..i ''.
I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far wdal information usediet-Mist
El Multi-family 0 Master builder 0 Other: : Description Qty. Ea. I Total
__, „..,
•:%;;',;',.i;4'-i"--' Iltatilivt°°"61:
, ,-, Air conditioning ' 46.75
Job site address:/ 0 5k„,ije6iii .,;,.....-.-
_,,,,c, ci Furnace 100,000 BTU(doctsvents) ) 46.75
,
City/State/ZIP: k,u—to(Da Q•P --f,\_,0 , Furnace 100,000+BTU(duets/vents) 54.91
i SuiteibldgJapt.no.:. 1 Project name: pe k 1-.71(--i al- I "eat PumP
0\1-V214 Duct work - 61,06
2332
I Cross street/directions to job site: K...t sa 3.._,p(E.((_1) Ilydronie hot water system 23.32 ,
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 . 23.32
Other: I 23.32
Subdivision:River Terrace Lot no.:iO4/ 1
Other fuel appliantes: .
Tax map/parcel no.: t Water heater 23:32 ,
heater or gas
HVAC 1 fireplace 23.32
Log lighter(gas) 2332 '
Wood/pellet stove. 33.39 -i
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2332
I
Other.
Environmental exhaust and ventibit 23.32
-''''- ------li'''''''''''''''''`'--' - --- '- ' -i-•1. 'ios- '---- --,;-'''''- - - -- - -- • tion
Name: i i,
i dk.'ki Range hood/other kitchen
erroMment I
33.39 I
i i_
Address: it 019 , lip lki, uil 1(20004/2,1 Clothes dryer exhaust 3339
t
City/State/DP: Single-duct exhaust(bathrooms.,
I - 1 0 0 • el C1234 toilet compartments,utility rooms) 1 23.32
I Phone4()Le.(0 .... Fax ( ) . Anicicrawlspace was 2332
ii:.•-•,'a,',.:',..,".i-:, ..-zavi.q.,-/,.,.-..,=*),...!';:,,,-,'.4,-0:"AlvdetliA-' AAAVP.-i-s!:-;','4it•.t.•,V-r:-',':,.i-/i4...'e..ari!'7"'•i,,i:.1','.'4"2.•,,;,,':,-.'••t•-r•,,;r ':•,-,:r.:.,,,.,,::',7 ,.f•-•,.-:,.. Other 232
Fuel piping:
Business name:Apex Air LLC S1 tis for first four;54.03 for each additional
i I
Contact name:Stud Hay Furnace.etc. . 1
, I
Address:2210 W.Main St Suite 107-272 Gas heat pump I
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:stacilt(aDapexaireo.com Barbecue
,'"•.1,,4,,-'•.:••:•:,,-'4,,,,..,A.,.,::,%'4.,,,, „4* W 1N' • - •
e.hes dryer(naS)
Business name:Apes Air LLC
i 1 iFit4fr''.: ,r,'..2t-FiJii:1‘.../.114,12-7•:::'.';;::41..::;;1•:,..;.:L:';11:4:11•L'1•'.;;;,,,;.".c.*40:3!:Yq "
1 Address:220 W.Main St.Suite 107-272 • Subtotal 1
City/State/ZIP:Battle Grounds WA 98604
1 MittifIltiril permit fee(590.00)
• Plan review(25%of permit fee)
Phone:(360)3424109 I Fax:(360)326-1769 State surcharge(12%of permit fee)
i
CCB lie.:203034 Arir • • TOTAL PERMIT FEE •
' • This permit application expires if a permit is not obtained within 180
W.A., / VI. .....: • days after it has been accepted as complete.
Authorized signatur: Pr , - / ,-• .. Fee methodology set by Tri-County Building Industry Service Board
I .
I Print name:Starr bay Date:1/2812016
I lioiidiottiAennitsAfEefterd4tApp_,04rif 13 doe •4•40-46;Tr cf Lvzromm.F.a)
ML t t it -a Pad . #�a r
Plumbing Permit Applicah ,, ,, .
Building Fixtures . ' ' K.L .J
t I I, IIIIIIIIIIIIImlllIlMllilIl
City of Tigard r� Received r xV7 /6'66.2.2_4)
III +�[ 13l25 SW Halt Blvd,Tigard OR 97.*a,0 Z V Plan Review
� p't 1 Other Permit Ne.:
Phone: 503.718.2439 Fax: 503 598 ' DarrlBy:
Inspection Line: 503.639 4175 yi ',r i' i?,::`, Date Ready/By 3utts rid See Page 2 for
I i i;1 is D b .. i houttcd Method Sup•lementzl information
Internet: www tigard-0r goy ti k
IT,'
"" > -- „ •; -'*- ,. x , &� ,;,,,.,4:....‘t,-.:::,: s.: ,,--7 _. i ,- '°n�' i .;.i y ..e. .a_l_ 1�
,� _< a1 . ., For special information use checklist
r' a DemolitionEa. I Total
L1 New construction Description Qty.
CI Addition/alteration/replacement El Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
„. n '' .
SFR(l)ba 312 70
� '
SFR(2)bath 437.78
111 1-and 2-family dwelling f t CommerciallindustrialSFR{3)bath i 50032
Accessory.building 0 Multi-family Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.R.)_ Page 2
aitt '; • s:. Site utilities:
- Q=;,. ,'" _ "`. ? �; "�r'r�ri�'�* - Catch basin or area drain 18.76
Job site address:/72A9 SWjeT / rDrywell,leach line,or trench drain 18.76
I ` ` e2
Pa
City/State./ZIP: �h Q r �'� � 1-l`'I�(� � 0 Footing drain(no.linear ft.: ) g
Suite/bldg./apt.no.: 1 Project name: Po '1 (jJ \),...)-ek Manufactured home utilities 50.03
I Cross street/directions to job site: `i 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: I Lot no.tall Fixture or item:
ll%% �� Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve
' a r m� r qL�
1251
. ' ; 6144-4... is y . 1 Clothes washer 25.02
_u -0
n t�/1 \ Dishwasher 25.02
C Drinking fountain 25.02
Ejectors/sump 25.02
.,..v-,..,,;:%,.`:,.., M ; I '� Expansion tank. .
� 1251
�$ 474:4,. ":*"vv.=/ T = -., s _ .;^ � 25.02
i OW j 4+`/' y Fixture/sewer cap
Name: LiA Floor drain/floor hub 25.02
Address: 't + IPI I '1 l /i i / Garbage disposal 25.02
Ci / / Hose bib 25.02
City/State/2IP: 1 �/ / �r ` ,, - .y --
Phone: / 1 rr y Fax: • ,D `0•, _ �y��Z. _Ice maker 12.51
',a* Intercep case trap
gas( 25.02
a
......- g . ...� Medicalvalue:$ ) �e 2
Business name: k y t e y r!tom,} t.1 XY 1 t r Primer 12.51
Contact name: IPV1 0) 01 1V.:v--1-4 .-k,;4-y-y -r,,) Roof drain(commercial) 12.51
Address: u y°.4- 13,--/C=3 Sink/basin/lavatory 25.02
City/State/ZIP: , a.ti ""T.j ' t)12.,._qSolar units(potable water) 62.54
Tub/shower/shower pan 12.51
Phone:
pill Fax::( ) € Urinal 25.02
E-mail: ,« ' ^yc 0.x"1 t s . s i{ a-y 25.02
�'C.. t �r t �tG.` p A, _water closet
. s »..::.; 1: Watentearer 37.52
Business name: .l-'vt f !try,niA (l 1 1^+'4r1I 1. t l..-•C... Water piping/DWV 56.29
�.,j
Address: PC) IS 1D 1"` 1 )-2 Other 25.02
J
��* Subtotal.
City/Stam/ZBP:V`}-c sha L-• i -
y}r Minimum permit fee: $72.50
Phone:(G )1) i'01.0 - I}F i# y Fax ( ) Plan review (25%of permit fee)
PlumbingLie.no State surcharge(12%of permit fee)
CCB Lie.: -
Authorized signature: ! TOTAL PERMIT FEE���"` tm.s ,t - This permit apptieation expires if a permit Is not a-tasted within 188 days.
Print name: NI a.a�< `#°-f. c.. s t�C�.'1, Datil C /jt alter it has been accepted as complete.
t 'Fee methodology set by Tri-County Building Industry Service Board
I:lthaldiusTrnmita'8L'MII-PcrmLApp.aur 10,0019 440.4616T(i0/0.VCOMFWEB3
1
a
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
11111
T T G A R D Building Permit Review — Residential
Building Permit #: /`Yf r" p/& -- 2C7 0
Site Address: l 72 °i S W 3eci n L o U I Ss2-,
Project Name: Po I y 9 o n �J W eJ rr 21v'e r Te rtir Lot #: („,e1
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: N eAiv SC- R_
0 Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: E No Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan gExtsting structures on site
/Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
prawn to scale(standard architect or engineer scale) floor elevations
• (North arrow 'Utility locations(required for new,may apply for additions)
• Site address,project or subdivision name and lot number XLocation of wells/septic systems
pplicant information(name and phone number)
pt rosion control(including drainage-way protection,silt fence
Lot dimensions and building setback dimensions design,location of catch basin,etc.)
L 'Lot area,building coverage area,percentage of coverage and Atreet names
• impervious area(applicable if R-7,R-12,R-25&R-40) szrStreet tree size,type and location
�Property corner elevations(2 foot contour lines if more than -5-Misting trees to be retained with drip line,and tree
4 foot differential) protection measures
)Z Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
xl Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: 17pa 2011- 00009 J U132ogc- 00O0E,
Zoning: n,-1
721. Setbacks: Front (Z Rear 0 Side 3 Street Side .1 Garage 3
)Z Landscape Requirement: vo %
0 Lot Coverage Maximum: Q %
0 Building Height: Maximum Height N l ' Actual Height
7 Visual Clearance
8"-Easements
c--Sensitive Lands: ❑ Yes ❑ No Type
l ' Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes: ClOncLi bolos fb be rY)e t- pry r to i SS UGrn c( v L
%.)11 ,4,0-19 Pe..r. rn i (-
Approved By Planning: /Y) :- (3 Date: Si 19 1 I 6
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\BldgPermitRvw RES 012116.docx
IF s
Building Permit Submittal
Original Submittal Date: ---5/iq /*
Site Plans: #
Building Plans: #
Building Permit#: ®-tenter building permit#above.
Workflow Routing: p-Planning +❑'Engineering i2--Permit Coordinator g Building
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.
Notes:
By Permit Technician: Ue- Date: 6/"_.7/<6,
-F: ;.. ,._,;.• 3sr:.:�. . . sA _. ,:xx:,r+r.:... .,T. =�ru,..� . . s:x. .,.. ._. s �.°.e t,, �, ..: :s•,-°� v. =�r
Engineering Review
Slope at building pad: P ,
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:s by ngineering: Date:
M
Notes: ii r._ /i wr .. ,-
AV
Approved by Engineering: AW Date: _ --
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
FAY Approved,NOT Released: (-» d' - , 0 Date: `. ,a /
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:
VSDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A
Tigard Trans SDC: ,Yes ❑ N/A
Parks SDC: ,es ❑ N/A
e:13K to Issue Permit ,�
Approved by Permit Coordinator: /dyw/ Date 's 97`5/
I:\Building\Forms\BldgPermitRvw_RES_012116.docx
i
IIICity of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
. _
TIGARD River Terrace Building Permit Review Addendum
Building Permit #: /1/....r7-,20/6 - O/ ,2. e)
Site Address: ( 12 g GI. LW 3'eo)n Z'Dv ►S2.
Project Name: POi jo�o n 01+ W-ejt- (2 u1°r Fe-kr Lot #: 6.41
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review of River Terrace Plan District Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? Yes ❑ No
dillticulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
ent required for lots with over 60 ft.of street frontage shall be provided every 30 ft.
Balcony w/access 2 Window Projection Vertical Wall Offset a
Porch min. 5 ft. deep Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide
C ❑ ❑ / ❑
2.Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 2. 3 i•
3.Entrances:At least one entrance must meet both of the following standards:
ZMax. 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:Yes ❑ No
If yes,all the following apply: �/ 25 sq.ft.min.
One street facing entry /12 ft.max.roof above floor of porch
5 ft.depth min. 730%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 El Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset min. 16 inches El Dormer min. 4 ft.wide
7Roof eave min. 12 inch projection Roof 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
1:1 Accent siding min.40%of street facade Window trim min.2 1/2"wide by 5/8"deep
❑ Window recess min.3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports:May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest street- ,cing wall. I Yes ❑ No. If No (Check one):
❑ May extend up to 5 ft.if there is a covered front por. and :rage does not extend beyond the front orc .
❑ May extend up to 5 ft.where the garage is part of a tw. s .ry building and there is a window at the second story
above the garage that faces the street with a min. area of 1 ..ft.
Width: (Check one)
El 12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max.of street facade with 7 detailed design elements
Notes:
Approved By Planning: M 9-1-1-=_ e...:64-4.t_-_, Date: -r// C / / (
I:\Building\Fortes\BldgPermitRvw_RES_RT_031416.docx
Plumbing Permit ApplicaticinAt,--,-,v.'k', 11 i'''''r",
ri t,..i? !?,-- P
Building Fixtures
City of Tigard SEP 1 b 2[116
, . 13)25 SW Hall Blvd.,Tigard,OR 97223
; $ Phone: 503.718.2439 Fax: 503.5*':, 1.4* OE l'i°.,,I,2):A.',''.1.i.-)
Date/By, (0 6, /c,, Penult No.: i .00
Received / . it.tzsr2t 6 zaly
Date/By: Other Permit No,:
Plan Review
1 I k .\R o Inspection Line: 503.639,4175 3;„II L D 1;,,,,::,,,,; 77,,,,,,,,.n.,:::;;:,!.,,c)i,,!
Date Ready/By: Tuns 1 fa See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Sc.,Iemental Information
,
New construction *-''''.-7-'-
1,....▪,▪:l...7,:::''',.:,,k,,`",',tj,,,,,,glae 'Im 0-,:.••X••••'"''4,t:I.:1.27,-mortriemolition eggiANAIPSIMPlitifilittifomAPritepAiii ,,et.4,161N-expeffirtirgitOKNIN,...:'tK*.o.,,titttt tt t t 3,11t t,4 AiAliiitTaTtliptitatqa,ttilitittttai:,7
For special information use chec&t.k
4, D
Description I Qty. I ha. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
l'•5.1"mi•PSDIffite414elAtiretaooNa":•:Is f."',(1.,':7:...,2:5'.7."'",',*.1,4'•,'•:',.1i7,7,r:77;,..:-tM''fjfjfSjffliOilialPtetiaiEili:itrA
SFR(l)bath 312,70
1114144B-4'4W°104tutet--1-e4•14%-7'il2."‘•,4:".14`.."-","•1•!--ii"-.4261,',....4.',.17‘..r:!.;,t2atpsNorgf,,zarregftiimnya
4
1-and 2-family dwelling LI Commercial/industrial ' SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
C]'Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
'"!,i•id'i ''-iro,",•,•-''•'ixtdvvis-,'• ,i,.,•-4., •'‘,•'•'•,••s•':;.;;;;•-f.,'t =
1•• f' S.'• '#'• il 4 e'' ,N,niViMrgiaik4i Site utilities:
qiffiltaga$1.411ims11411,1.7:!-•',' ' ,,,i ,,..4.3:....1.,,,•;-',„....„,,,„..,.., ".04:r24:fflaitlitgl,swili
Job site address: 11 1„,(601 1A..1 . .(..,a,y1 1.4)UAV Catch basin or area drain 18.76
`..- It. Drywell'leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 D
west Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:Northwest 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 it:___) Page 2
po - on at UOlcA Water service(no.linear ft: )
Page 2
Subdivision: --.'1'^' River Terrrace Lot no.: 104 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
gligall,MlirlEIWillr
S ' Backwater Backwater valve 12.51
' Clothes washer,,,..s.„.„s•-- .14,1,.,L4,-,-.3%;,:i.‘,/,:.4:4•9u.,clig,,,,,,":','0`'. 4.!3',',.-'1,1; -,tiittt it'•t:-",,;-V4-46-ztirrittiqtortnt tAttiffli„ai,-hvgi,Aga
25.02
i f I Dishwasher 25.02
1 ,
Drinking fountain 25.02
Ejectors/sump 25.02
InEssiotAlnsh.,.,-;.:40A-.....Aggwv-aL.,„vmaiiiiiratiii,m4,11,012 to ig.. 7,: z311404a Expansion tank 12.51
Fixture/sewer cap Off,tinstER:7•••-"'.414.4,':f.,;,:a.2::..41.,,k sk,:,..,,,,,,:i.....11,4wAIRTFA mitorm,0„,:„..9,,,:,.,1,,.,,?..,,,,,,,-„itedwg-AorTior
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
aktetriftiM:::ii.'`',.E TV-Y.-.1-1-.7-romoiiiivninattisitag
,) PP
K4-et7n:-irl-'!bn',r. ..q::,ziitaisi Interceptor/grease trap 25.02
lirgkilliftftr4121`,•:!,..÷-:47,-,T:'''tr'4Y.-,;114,,:ePliiii-F40,NON110.124,,,,..,,,,,,. ;; it,.=',.)„,,t.,..,; lliwit
Medical gas(value:S ) 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/ZIP: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.Grajewski(0)polygonhomes.com
"''Illnnt'kafit•Ndj3tgliftifEMNPP3V,IPET'nr'":T.4P" ''•"'•"'"':'5,t1!4,PigR4Qej;ASERsttijlpsA„tiA:s„,u Water closet 25.02
a•19triItigligtiTiaPig..Eia'gnf•MT'Ml•:,!;!,,",:t„;.,„,:.:!,",•-:,,,,!••",;:?RtRiZ-Fini.r•IAM'f$M1'MiletTtqtlNSA Water beater 37.52
Business name: ,44 1?4„,wa)n,,_,,,,,vvi , Water piping/DWV 56.29
Address: p.b. 3. c9,, CIA Other: 25.02
City/State/ZIP: 5-1-, e 4.4 of. 11131 Subtotal
Phone:(3)3.--$Gig- igti Fax:(11 V.s.141.4,i1,0 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie,: lei 3-7,3_ Plumbing Lie.no.Pb (231.1
State surcharge(12%of permit fee)
I
Authorized signature: !Oa ill 7itak's.'"*"......-,. TOTAL PERMIT FEE
Print name: .61-fAit, F)w Dates-36-110 This permit application expires if a permit is not obtained within ISO days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
IABuildingTermits\PLATU-PermitApp.doc 10/01/09 4404616T(10102/COWWER)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17289 SW JEAN LOUISE RD, SHERWOOD, OR, March 6, 2017 at 9:30:47 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00226
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Provide separate permit and inspections for AC installed without permit prior to final
inspection. AC not part of this inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17289 SW JEAN LOUISE RD, SHERWOOD, OR, March 6, 2017 at 9:30:47 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00226
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
Provide separate permit and inspections for AC installed without permit prior to final
inspection. AC not part of this inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17289 SW JEAN LOUISE RD, SHERWOOD, OR, March 6, 2017 at 9:47:07 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00226
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Provide separate permit and inspection for AC installed without permit.
AC inspection is not part of this permit.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17289 SW JEAN LOUISE RD, SHERWOOD, OR, March 10, 2017 at 10:03:18
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00226
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide access for inspections, house locked 10:00 am R109.1
Violation Summary:
Inspector Contractor