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Permit (31) i CITY OF TIGARD 1' MASTER PERMIT !PI w- COMMUNITY DEVELOPMENT `4 Permit#: MST2016 00124 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13674 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 84 Project Description: New SF. 3/15/2017: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3652 sf Value: $435,767.61 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 6 201-400 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 -0uic —FaL4,C, - Y - BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3652 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $35,297.58 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: +� r .. Permittee Signature: O /'‘__rC`17-7©/V 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. _. , E echi it Permito 11heahon: lORt)fFSI( ) I 'i Ovi.i, 'rte o? Tigard MAR 1 4 201/ rtet7en'ad -,:. . 11 I.*. 13125 SW bell BlVd.,Tionnl,QR.97223 19an itetaew ' ,;,Phalle: 503.718.2439 Fax: 503.598.1 F I I a k x) lei atelBy: £hherltendat 7ttt; ata Lint 503.639.4175 hair. •i EC -,Ittj 2 Q� ({ y {/ [ pate el.sccri 2.far 14kInet: A'WW.tigard-or. .ov BUILDINC I ill()Vitliactllvielhotf: -;.',:':?•::,..; Supplemental tntnentatino. ^ F7E )P i,,i, :1. 1IN.. * a:.0kt!. fM.X. iacVg:CStFr.':.: _ ., . Mechanical permit Jb&are based on the value of the>,rrk' 13 New oat,sirtict'ron 0 Additionfolterationft placx merit perferaned.to dcate the value(rotnidi d to!be rtearett duitar)atoll []De volition 0Other. mechanical materials,etiuipment,labor.overhead,and.predit. :.., Glue. r.i. k '.,. ..CA1T (yOR1r.OF C5,.. -.00t1i) . -� RPS! k1 'el:'41f.:0!* t't $''S'1"£ 004 r,•i::-.:: .. t •mid 2afatnily dwelling 0 Commercial/industrial 0 Accessory building -Far special iiafarmarien use checklist • efulti-family El Master builder 0 Other; Description Qt.'. ! En, I Total ^" a ` ,: 3bf'S tiiitMIL4Ttt313 A?+li3 it:13GAT7U?k stir riolia*: ••, -..,• _., t'1,1r condltdOmt 1( .. 46.75 • . io adds ss: t??t(�}9 3!N 84Th Lapp l?uruat:clt)o�16Q `Utttads%vis3 46.75 City/State:fZlr:Tigard,OR 97224 Pentane 100.00Of BM t t ) 34..91 t3ealinntaP 61.06 St itedbidgJapt,no.: Project mune:96 ,,4 l; '.. !'. ! 404 avatic. 2132 (runs stteeitltlareClions 10 job site: Ur:book bot.wator sysl nt 23,32 Residential lit7iier(mdiatriror ' ltydronie) . 2332 Unit heats(fucl gpe not elealtrie,),.' .imenti,in-duct,suspended.a c. 46.33 Flutivtent for any of above .2332. Other; 23. 2 Subdivision...Val /(I a Viet-kiveloyauLot.no.:e f Other Nei appliances: Tax orapP,psrrcel'ino: Water beater p - , 2.3322. • r.. l.i_.'aP•ryitaijti' - a•.- Cht1PTI�7 �lTl� '% :: !F:•. - _` A! .Ons reptht _t"rnseit 33.39 - ..n.t_., .. ,..,:.• ? : :...:. f it A G Fide vent ibi utter heater iur.gas fireplace 123.32 - VIS to.aoI7y - uml :11.10:0 . — 2�.3� Woo 1ttelrersto 33.39 Wood ifitvptatx ascrt , 23.32 r Chitnneso iner{true'em 23.32 l .... .. ... .:.. 2 ter: 23. ,. . .,..;-,:. .. :�. k :1'. r, ventilation,.1t iniraentenfitl west and NOW Polygon WL11,11,LC i Range hood/otherkitclum t Addtass:109 East le Suet:!' Clothes d3339 rmentt fClothes exhaust 33'.38 • t:ityl/talelZ[P;Vancouver,WA 911661.1 Single-deet exhaust(bathrooms; ' la et conmartmentt,utlTty rooms) 2332 Phone (360y4.5 4700 Fax:( ) Attieltrawispace 15trs I 23.32 ' } ` ; *kr = _ WIA LLC Ratan name Poi one Fuel t11n1» l$1441S tlatticst i'nettr S4t11131'or,xieb srltEiiitenai. Contact name:Aage1a.GtajeWS16 Furnace:etre . AAddress;ilt4 East 13th Watt , tbislaeat pump , . . . Wtititstispendexlkmt heater CityfStatef.?'tP:''Vancouxer,WA 98660 Waterheafct I • Plante:(361469S-7700 I Fat: (360)693-4442 Madam . . Range Gauitll.Angula.GI'afeWSk polyguaih[1Mntacoan .Batelle •' - ,y.F U!...5aF ,w`,.;m;4 t x:t.f .k 4 :-4 ...6 yyVes,1^ ""19 .. L..:-. r ..fi...t•, ylothes, Msyw �.. ' flatness 11011)C;Apra Air Lig Other ] 0* gp 04•0 Address: SO440NE IV Ase Subtotal1 'ty/Sfateg,I':Vancouver,WA 9868 ' . Minimum.perMitefbr S ^fife) Phone:(36)3$:$1 Fag(360)3212-19d9 Man rey :t2 Ya of'tiormit•1'ae) intesurt h c(12%gtperrltit 14) CCB 10.01.,1104 20304' . r PEIrthittrEE I This pausal'application ta7lirrs if a permit ii not obtained 4,'ithin ilea pays itter it has been nccepteit as etiniptete. Au hoiixod signatureJ * Fleinsntlusto Bate: 4,(I.A.,, 1.VIAtiinete„nirr 1tt.intmitAp,.,a4p!t74ae 44-4641/T 0 001100WW1111) N q CITY OF TIGARD MASTER PERMIT '- COMMUNITY DEVELOPMENT14 Permit#: MST2016-00124 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S1060002900 Jurisdiction: Tigard Site address: 13674 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 84 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1259 sf Basement: 735 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 3652 sf Value: $435,767.61 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 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]500 sf: 6 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 1 601-1000 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 3652 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $34,863.62 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: -- Permittee Signature: £'(/ e, A��e- ��✓ '9-77a^✓ 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 / — .- '` ' i lk!YE �` FOR OFFICE 15e t)oi � City of Tigard . MAR 2 3 2016 Received 2-/g • �"m'`xp �7Ao/; — � ' 14 13125 SW Ball Blvd.,Tigard OR 97223 Pfau Review .1 1 J ptba P iel/z�,e„,-e/ev,9? Phone: 503.718.2439 Fax: 503.598.19¢9.ITy OF TIGARD Date/By. "�� l huts: H/SeePage2for Inspection Line: 501639.4175 v Date ReadylBy: C�r2��f Vii. TI Ci::R l t. ww .tigard or.gov BUILDING DIVISION Notifed/Method / ' Supplemental Information _- PermitInternefees*are based on the value of the work performed. ®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the �`s air, E is' t4,.:.., , ` .' '. .,...r.� . . ,�,, o�.x ct, c:° wort s c r” k indicated on this act.h anon , , j__y ,.,.�,.,,, ,< . . . ,. .., , , ��.. � � � Val ,� $ 0 1-and 2-family dwelling 0 Commerciallmdustrial Number of bedrooms: 0 Accessory building 0 Multi-family Number of bathroom ,3 0 Master builder 0 Other. �� ..- � Total number of floors -i') I New dwelling area: square feet Job site address:t �� n 0 I _ ,f �-' Garage/carport area: square feet '6$8 City/State/ZIP:Sherwood,OR 97140 Suite/bldg./apt no.: r 1 Project name:Polygon at West River Ter Covered porch area: 1: square feet J�j 9 i Cross street/directions to job site: Deck area: Vss( ''11J1 square feet 73S Other structure area: ', square feet Subdivision: I Lot no.:gLi 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 ., u ,�.����:-ms.a s $ .,t 'ist" z �� �. Twork indicated on this application. Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet t 31,17 Number of stories: Name:: 1 o k a t f it 1 L� /]/� ,gyp Type of construction: Address:. tog, 1, 1-f ? h 1 JYI Sit t � - Occupancy groups: City/State/ZIP: i Ira( A 2 • 25$ Existing: Phone: L `� Fax(360)693 4442 1.T ,.'b" ' -.7c-7m.t , 4I PT-7,- -''-"l'-'''-'-'''-''''''-'-''''''-" --'-'' �u,'_ .im,- -:-,i --;7: - . - a la t 2 k` s,a :-� Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 f Fax::(360)693.4442o j'-''',',1,,,;-,--.%---- E-mail: E marl maggie.gordon@polygonhomes.com Commercial and residential prescriptive"installation of _t' , -.::'2 '1- 4 i - _ ''� roof-top mounted PhotoVoltaic Solar Panel System. �` Submit two(2)sets of roof plan with connection details Business name:i'eirgen-Aziar of u/•,$ei L70nI /Lj� /Aic, and fire department access,along with the 2010 Oregon Address:109 E 136 Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): 1 Fax:(360)693.4442 - 521.60 --—Phone:(360)695.7700 State surcharge(12%of permit fee): CCB lic.:207247 - Total fee due upon application 52°1-0A -uthorized permit application expires if a permit is not obtained Authorized signature: /`� within 180 days after it has been accepted as complete-__ -- *Fee methodology set by Tri-CountY_BuiVmg Ina' ' IPrint name:Maggie Gordon Date:12/11/15 Service Board 1.\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) - '11.1111111111.11 S e. r Mechanical Permit Applicat' t.! ......„.y., l t)l;tli 1 €t I, I sl_()N1.1 Cityof Tigard I Y E R.ivw t t k: lett No..;,C/Sj lf/(o,y!)04.),,,,, 13125 SW Hall Blvd.,Tigard.OR 97223 ' Phone: 503318.2439 Fax: 503.598.1960 MAR 2 3 2016 PlanRrvicw aBy Other Permit H. \€'17 Inspection Line: 503.639.1175 Date Ready.fay, ,laic• laatemet: wv.w.ti rd-or, ov 6d See Page 2 for CITY OF TIGARD rt°ifteaMettttatt> : ppkaseat:l tpfartwhaa suiLDING nIVISInN Mechanical permit foes"are based on the value of the work ►� 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 profit. �' A Value S a a t«' ,‘, #yx tout tX ''..h .,, 4 'a.,*_ea' ?. eta s F s+ ►... 1-and 2-Family dwelling 0 Commercial/industrial 0 Accessory building For speck Iinformation use ekrertlsr. 0 multi-family 0 Master builder 0 Other: Description ' Qty. I Ea. Total * Hex#tagJeooIls�: Job site address:131p—}11 5V4 fl oop(� Air conditioning 1 46.75 r, Furnace 100,000 BTU(duets/vents) 46.75 CitylStatt:JLIP: /C'�-rood. O "I i-1 0 1 Furnace 100.000+BTL(dam/vents) _ 54-91 1 l Heat pump 61,06 t Suite/bldg./ t.no.: Project name:_ po I\ t' --1 cJ— �,,? Duct work 2• 132 I Cross street/directions to job site: LUrn j (,, , llydronic hot water system 23.32 Residential boiler(radiator or [ hydronic) 2• 3.32 Unit heaters(fuel-type,not electric). in-tall.in-duet,suspended..etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace I Lot no,fito Other: 23.32Other fact appliances: Tax maptparcel no.: Water heater 23.32 • t t �� • i x ..;... lftc' ., 4il. 0 lue yore Etre insect 3339 • �. ,`�fz- � �, ser_°'s. x., ..�, ,8 �"' Gas arep ... _... water'heater or gas . E14':AC (replace 23.32 Loe lighter(gas) 23.32 Woodfpellet stow • 3339 Wood fireplace/insert ' 2• 3.32 Cbimney/liraer,'flue/vent 23.32 ,. 23.32 � c"� °� � ' _ , Environmental exhaust and ventilation: Name: l ` ' MOD 1:1)I t\Ld i 11` Ranee hood/other kitchen I Adtfres:—7 Loot) f�{{ 1/ p r �/} ; equipment 33.39 ` � 4��� �S l�rl It �� Clothes dryer exhaust „33.39 City/State/7.W:3P: '1 Single-duct exhaust(bath ores, toilet compartments,utility moms) 23.32 I Phone: it -4 Q�?1 Fax I. ) t Atticicrawispace fans 23.32 1 ..__v S''-,: ” ®, : ri . a ,- :. ,rte Other: 2332 Business name:Apex Mr LLC _Friel p pl z 514.15 for firs#four:S4.03 for each additional Contact name:Staci Hay Furnace.etc. Address:2210 W.Main St-Suite 107-272 Gas heat imp Walltsuspendediunit heater City/State/TTP:Battle Ground,WA 98604 Water heater Phone:(360)342.81.09 Fax::(360)326-171 9 Fireplace Ranee E-mail:staei apexaireo.com Barbecue I l3ttstness mune Apex Aur 1 1 C Othe :2,71 !,.,,,, ,t, . `t ,:i*44. Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:mottle Ground,WA 98604 Minimum permit fee(590.00) Phone:(3 )3424109 Fax:(360)326-1769 Plan review( 2%of permit fee)) € Slate surcharge(l1.+t*of permit fee) { CCB lie.:203034 - • TOTAL PERMIT FEE € f This permit application expires ifs permit is oat obtained within 180 / - ^''"`,e�� days after it has been accepted**complete, Authorized sign• >: ,,. t,f 40107,/,` ,I _.• tee methodology by Tri-County Building Industry Ser. Board_; IPrint name:Steel bay Date:1128/2016 t` nttt£n...irsMtC Pentvtxpporat 13 due 440-6€7 Ft l.s_'LOM,WEBT , , nitlt�li0 f+1Lnl I It r'' 1 � EI , w .. .. 13125 SLY iati Biyd�,t:Ord i�R;9 223 PL9a v ' Pi n 503118243f 503.59'.2'960 MAR 2 3 2016 rz attrer„t�t e; Ic rtU 1P, s Low aG36639r411S ttx tJ e1By , ,r F8 SecPn terns edltlsi),pa S £x t�nfbrmahon r. ITY OF '1GIaRL� ( W,Ir0ii�e&ph 4 tifatret^ar 4"PPI.cei iex# � l 4---** a segs r t mrtrtr n r,t rop •i�5er'alike:•rae 4;4.O,ifil mora [ soib ingoa.,;:b iill.mr. eiDQlitloh 'C}tft�r' -- �;, s 4 o t d�rYcYuLtSk�wk a fryEni ti Mui is and hwty�rds., '' .a "�s"( (�Net, �ik;j�k""z_ e nes t111t00.s7,. .al 111,0 halts or ]Fio4lm4kiilkfiaos a - - (ecttogot n�,ercmd ,04D Q>ra�nm,.,. ea�iaitttuat ' 1 a tdi.,faint i.Awe-trig' GI Comexett.tsUuldusi_.. Q.Ac,- •g. � f�r3t[ptbertnaHdtarrons. Enutdmgx. [*IW'', TEYY Q agt X Sulkier El O f;1_47'-.,,,..., Lrtai no o i5i envied s', �,* _ ' 3CQQS'SIr �OttR itoliI.At11}ii TrE t� megemlysyattm• ter aapuete[ydrsfvzd � L �U�11 ' stop j�Ad�InwaorrYewrnotnrio dor tern Jdb# Jab site address; ,,,,q,,-0.-...,. 0.,....,,g,,,,/..4' }t", * ®SlXarmorrresuteaaatuuits, acupnacy.: City/Statl :S1icrwood O137i9Q Q}caldreararapt]tia, i Recteatwwl veWedcpaiks. C7Hsztdoasto »w amQ$ ykrotiag a7otr � tap uttafEs g Pojr#nade iUtticepirxderroo�a,mmoe.. .0. iso .:„ Ctoss.sfreeT7rtireci nsto nti site '> IV,7"S '8na}PP�eC t fYt/1 E"oc7s': 1 Tastd t•. O' dcpirat1singfo-•or multi=feiujlqOi�elYti+giautt. SubdtvfstotrRiyerT r8ee I.at#^ neirti&attaetiedgn;tre. 1:606sy.Th artess ) 16834, 4 TttlC:4;.4).i.Patt e4'.. • r. Ea ad Imo? f•brpot � 3592 _ f x c. .'� ..ST0.1 ii ,—1�:OA: .. . `i. � iiii engKoitiat. 700" 2ti hato s9h 1 i P$ #ia81e mt o . utttfaily S -LaM • m2 taih'aliova4¢4.) Reil ahkLrti [I Bee Ps e2 r , tf1+ RTS i, ', LJ;3%11—.AN - . _ szrrica�r.fc ersiastplia6oa,•atterahon antilor kilo- ' al„y 111 1 I ` i'iil�' t am art 10070 3 1/L. l ,v 2 aiiii4 0,4,mfis 133 36' 3 �► �, , ' 10 s � ,414,7_ z CIfr +Z ' 1��+' • i� �s �r � Halal r 3n} •�'ltdtit�"w ��V 1�_ 1''i Fax:( ) °A Q nrrPsoi poles • 552.26; ' Tanpararyservtte orfeeders:instaltabon,alterottoii,and/or Email' .. .rciccatian O vner Fnstalbttiott Tli%s iristallaiio i is beingmade b,ii property that',I own whfrh=as Clot. airy or less. 5936 itttalAt ,torsato,tease,rant,or cttcbauge,according 0o QItS 447•44P,67Q., nd-Iv1, 201xsitps to 4f19 ariyrs trs;Pg. 4, Ownera gnahtre Date, ddi a:tpt ro 599 amps 768,5±1 •• .. $toiicatittfrits'-tmsv niteirattonror-exteosi0n,•erpaitei ' �u 't{lint :CQ TALC PERSOLY A.F,a b ilibindi,tircviis+rith" . Biiiiss ram Crart►er Eieetrk Washington,SLC` atiutcservtcv orfaxpier iee. 7.42; 2 . 4gii3litiaiichlirtitfit ' • Co 'iatrte.0111'Daniels 8 fitfor7matchcitatfts,o,thv rt • a uvsrxor*cdertec,first .;2 2 Ad GIUh.�S.dol nr,Rd brai+ctt circuit; ty/Stu , IP ancouverWA 9$611 l ct**11brrrschcimric 1, .• 2 • h!is+ealanonue eeor,lardernotirrcludedy PhOli4(?53}320=:1657 •F, ,-(" ) i iatruFscau: wr+=wdutaf 6 8#: .2 .., 1tK'elf th ecandtor:fadcr Eutak Imitntel eusu-coin ?} Recoppcciorfly 6784 .2 �-.,,,, ]hri»jiverrigatfcnCirctB: 57.$4 2 •ternLrhta1,BuseamGrlectcttgr ) t +gorwu2lgiug 6$4'' 2 W sra 1,41rO:d0),*lfaut4d-energy Et S'ed'agt 2 A441—Pik 6101 NESt3'o6ttsRd t> 4 Attirift titextc ' Eae3ddifonal ait Ileo overaIIoyabeinay ofLe/bon t4r/StalIP iianeouir.4' A9$66] . .. tsntne 5 hAap ?hone,�30161 fa ( ) ( brm) 9ON.reZ Email'bdanieit(Ogweusa.coi� lndustnat�aot(t hr tnio) 7818/hi OM tit'..., 005$ Electrica3 MP- 308.17'1 Strps4:Ltc 'd496S etc f hr$m) .--°;4i-CV. ,. S'z}pry•Eft ctttCton.s}gtta-lsitts,recln}. '. t a t/ P�' y,k'1'h..•{}- �yirr10ta1 Prai#name;Joan P lj¢ej t r AabC' (t D Pt n ltevieir Ralutred(35Y. tpesit►t yr / }aEe$tlr }>jtge 1 �+ofpeimt fsey Authorized si ture ,,-----:- „. z____________ X731' I.PEK1.0 �E , . , i 'AN pprrriitoisurittpAestriireiiiritpera1ttalmrtwhlein180 Prhttttsme. BiltD ttiels Nate aayssfteriftyas eaasi p3E is azptGCe t Rtimbernf t4iiaSsrsns a£iiwved perpasut I siBu aiit'.i64iiiLt Prtaio.pp_ .+see rtnrusvi 40 44046 rtilksiOMME0 #i _ , . . 4 . . , flumbine Permit Applicatipu , ' . 4 . • Bui.kliug Fixtures yoh, oui..tcL usi.: om_...v . City of Tigard . t :.:r 7 1-:::' Accenvd Vasa/E. A/ Permit No./4,cr,,2&,6.-..eleil4,7y 11 0 q "125.703,71381.32=rtd'a :31;e9166 ' '1"6.gcrsew Odscicrrokiklo.: , 'haIleetilfbe - -. Thapeet10,1 Met 503.639,4175 ,,•.• . ` " " ' ' ':' Date Readyally: Ade lif Sec toge 2 for . T 1 C''A T-ID Wane& www.fteacktr.gOv -. •' .,,. , 14otiftecifbietirod: , Sopptunurtal Information' • . - - -.•.• •.4-. ''''''''4'''' '"'"•-.. '''. ' "':••••of,..9.-,:er;•••.- ••,..;,,,•.. . ,:-'..-..:1:V,,,tt•S:.?!'•:1'::t Q':.7v.P.".;'QIM;r11:6:`,Ii..iiikefit ,,-41ijsz''';'•10(4.?e,,Y;•:. K, .C.57t4i.:f.r.,:.1f..,..... . i:4 ,....:','..... . .i.:;::•Y•:.-;•,.. ,;z11.- .10'.:4;-'1 "....,!:/.1.. •:,..Y,:-.;'-•'.::.l'..' 7 7-itn's.t.;%,",e41.-:''..,'^r•-'ver's'4.5':-..1",”';Z, •••••••w %. ., .,,..1. ('•••=•.::•7'......7'Vt`':,'.,-,• -.,+-***•-,', -•••• • • --..., • . , ,.-• ••=-,--- .FOr alien mutchaddist rstew corstruction 0 Demolition t osculation, o Qty.' Eat. • otal. . 0 Adtiition/ailon/replacernent c)Other: New 1-z4amily dwellings(includcs.100 IL for each uttlity connection) ::'':;:-•."‘:',../14•1 -.4:1.C.:.:4?•;:'.:: 644.66144ii.Wirk*Ifei;10#eftl:'•4;.:::::. ..?*• •'5.•''''‘ : al(1)13adi , 312.70 '42-azi.2-fatogy dwelling 9 Commercialimtinstrial Mk(21 bath 437.78 SF1t.(3)bath 500.32 , DI Accessory building LiNtliti-faMAY Each additional badyltitchca " 25.02 0 Master builder0 Other knevetir, Fire sprinkler( eq.it.) Page 2 .. . ,..... ow :•i':••';.::.":,g''':;•:::.1...•:••;•;t:i.:•Y,;,•'; ..*****10,.., i Vc1:14:,. ,:41100. ,, ,,, ,.,.,. _Sim mina= • • 113.76 Job site address: (3Q,711cs'a 17Lpyi Adricp Drywe/J,ictaab Un.or trench drain 18.76 . . City/State/Ze ' . • Footing&din(no-linear IL:..„..._,) Par 2 . " - " - StriteJlaltig-lapt no-I. I Project AIM*1 A 1.-Y 6 0"i e9-7- Manuktanued home militia 50.03. . _ Cross'street/directions Injob site: Ga6s1- ,0,4-4 7Z7Zte9'-E '14.60h. . 10.76 • Baba diain connector 18.76 SanitaryWear ___) Page2 , Sturm steer(no.linear ft.: __) ' Page 2 . Waver sereice.(no.linear ft.:• /. ' PeS02' , . ...,, Subdivision: I Loop.: 20 Howe' (*.Wog Backflow prove/der 31.27 . Tax map/parcel no.: ,,, . _... .. . _ . ..1....-•,......,u..4.:-••••• -z...- ''•::.••.....,'"-.4.;..4..-' • 44.64;::,::...:.•r,•,4h:.,..•;.,-.,:_t•,::,;.f./...:.&!.;4 ' Baeketatevealve • ,.::...,..-::,,•;,--.;'4';it'.•;',. -0•4'...1.•/•:::;.;4,:•:`.14gr,cau4aavrt:r:tu7::.afa,aAW.1.0'',,,f. '..1.•••.7.,,o,'..•••••,•• r•:::•..,‘ • 1231 2642 teg-ri6-6- .44 .-Aic- CeNTieetd-771e._ Dishigulter . . 25.02 ' _ . . Drinking fiannuin 25.02 • . nectors/samp 25.02 1 ' 4?`70.,;f4,-reiiiik''.-Vittf•Wie0.1iXiVi. ;ri,.?\11,1;t:'4;4r.:;PW:#1,-...4•14.Wf.::ot.7,4:•;;.;' ExI*85i°"1"jc 12.51 25.02 Ilk= A at6 4 ile 4447V6 /4/046 Pie& Lz-C-- ------/ . Poor dtain/tioor sinktimb zire 1 --- Address: Gatbage disposal 25.02 o City/Statelte time bib 25.02 .. . Phone:( ) Fax:( ) Ivo stoker 12.51 '- ,.4.1,..'4,':..;,..f.`;;1:fer .* ‘Vier:Wii.,•::',.•',F;•.•,i;s:oz."1.i4?!:t'.,?;',;','..''.:•CI,'';414461 ...iriiii'alii-ii,f:.,7;f:;' lateteeraarigreeseVID . 25.02. k...J?:..::':•..g."..i ii..4:::7 .....„,u.1:.'1••••?• ...•-........:,:r"::.::.'1.e....vi.'4•••.:'/•,,:',•,-..:.•,. ..e. ,..,-=•.-:: .••••.••-..•-•-••--Y•t-...:•••'• • Business name: fda er I-y6'A/ /J4 GI.-C,... Medical ipts( ahe*:S_) ' Page 2 • • Primer • 12.5J • Contactual= Al Ate - ,,/e/977-e ids/c- ROO drain(egotoldtertial) 12.3 l Address: AO 9 6- /3 7- S 7-- Sinkibasinflavatoey 25.02 4 CitliStateain 1/47rvr ,a ve-g- A../4.- "rd()-6 4.a Solar units(potable water) limos:kYke 6,95- .9 700 ya::ae,49?..5 -.yvya.., rnbrstiovierloover pa. , _ 12.53 1 „. .. Urinal 25.02 ' E43141;Air6S-1.141.-.Ca/zokTEz49,5.4,/A.,0 e-yeeviihtrs.,c:fri , , w , r 25.02 , •••Lo,,..';.,:,-.,),e-,-,:v••••..v:Iti•-14.-Poice:::*t;•••4'.,•,,..,'„4.6,i.;;44ti:Aqi'xi.:4; ;;••••••,-.:•K?",.?":.. ••," ',:tz,.'•...:,,..4i....',",!•,:/o. ,,./' -. :•,;:4•••;..,....;:.:•"?..:47.:34',:-;,.....;;;: •.kfl.'::•?7.,,.•1.1 .7'.';--1v,•...•"ik.'..c.;4-c•••-J).•;P••:•,-4v,••••,,,••,„,a,, - --4. watedleater. 3732 • Ottsiits Ms_ nag= 44.1.1,04,01.1to p44)4161 ticie.7 ' Water piping/DWV , , 56.29 Address: •••0 A; 40, o. U., t. _ •,:- , 4., olii. • 73.02 ..... cOyisnoetriis: 7-go urop La- 0 le .i 10 1,40 Sttbkaad Minintwa permit fee:S72-50 (5-03) qi?.-(,4 343 . map Karim.,(25%ofpenwit foe)) CCB LIC.! f Ogee° Plumbing Lie.no.: 10i3 es 5 statts.ropArge(1.2%ofpernalt fete)* - • • Authorized signarare: "...„,d1Y..,o, TOTAL?EMT FEE . -Thke vent*ramreatioo eaptete 114 Smolt*mot obtaitied vdride 180 dere 1...Print name: Artuarimi A,: Dtd1_ after it ha been accepted as compkter. *Fee methodology set by Tri-Caumy Bating Todusay Service Board. . LIBuildbolPeooltatPlInt-Peoefotaodoe nvozato 44o4fiter0102‘rOMAITS/ ' 1 0W. . City of Tigard N Ill COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n iz o Building Permit Review — Residential Building Permit #: /f72 ,/6 —e), /:.., rNoissommassismon Site Address: / i3 `v ) /-� ,t zyo Project Name: f 1 4 (Ne 'd ling=subdivision name;Addition or Alteration=lastname of owner) Lot #: Piz/ Planning Review Proposal: ti() S,4 .-/C erify site address/suite# exists and active inermit stem. tem. fit tver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Ian Elements: ree (3) copies of site plan NJ".F:sting structures on site 'te plan must be on 8-1/2"x 11"or 11 x 17"paper L Footprint of new structure (including decks)with finished ►prawn to scale (standard architect or engineer scale) oor elevations iF� orth arrow Ian Ube. .ty locations (required for new,may apply for additions) VP ,,., ��S e address,project or subdivision name and lot number UQ pplicant information (name and phone number) � ation of wells/septic systems Erosion control(including drainage-way protection,silt fence .t dimensions and building setback dimensions esign,location of catch basin,etc.) In of area,building coverage area,percentage of coverage and S eet names pervious area (applicable if R-7,R-12,R-25&R-40) treet tree size,type and location 'roperty corner elevations(2 foot contour lines if more than posting trees to be retained with drip line,and tree 4 foot differential) protection measures Pliklean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified Received: ❑ hes ❑ No Public Faci i s Improvement(PFI) PermiNo t: equired: Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake fzR o/. and onacing: _ 60004,(P f!J Setbks: Front • Rear Side 3 Street Side Garage j IV/Landscape Requirement: � %90 /o Pli;Lot Coverage Maximum:;uilding Height: Maximum Height fa Visual Clearance OA Actual Height ltbasements rW�/ ensitive Lands: I1 Yes ❑ No Urban Forestry Plan Type if Lori ' s ' sir ,� ❑ Conditions " et"prior to issuance .f buildin permit Notes: /76. .."-vi • s - Approved By Planning: _ IT Revisions (after Building Submittal only) y Date: ` Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw_RES 012116.docx „ow Building Permit Submittal Original Submittal Date: 3A3A Site Plans: # g Building Plans: # �y� Building Permit#: f 3 Enter building permit# above. Building Workflow Routing: Er lanning engineering g--Permit Coordinator Workflow Sign-off: 2-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 �o iginal plan review routing form. �J Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: Date: /Z5/ By Permit Technician: •C✓( Engineering Review ❑ Slope at building pad: Conditions "Met”prior to issuance of building permit ❑ ❑ Easements (encroachments)per engineering conditions of approval and plat D 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 D No Date: ❑ NOT Approv'd b, Engineeri Alltirr Notes: j►�_ _ Approved by Engineering: Date: 671- y 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(ka //� pproved,NOT Released: Date: / Notes: 4124" `'��'� 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: Zes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 1'es ❑ N/A ‘r."15to Issue Permit / Approved by Permit Coordinator: Date: gl7/1fr 1:\Building\Forms\B1dgPennitRvw_RES 012116.docx i City of Tigard i M COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: /4S7.20/& - 0 /...7 V Site Address: /3(j? " ,S'GC) /?1-11-72/2_ Lat7 Project Name: / e) )n c, /t r 1/•er- x2Ce Lot #: ez/ (Newd �. g=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. t. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft. wide min. 2 ft., Eft. ide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum o % of e ch street facing facade must include windows or entrance doors. Percentage Shown: j'4)0 73. trances:At least one entrance must meet both of the follo ng standards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, Entrance opens to a porch: Yes ❑ No or open onto porch If yOne, all the following apply: 2�sq.ft. min. street facing entry LIJ'1 ftmaxroof height above porch /i 5 ft. depth min. g 0%.min..porch roof coverage 4.J�etailed Design:All buildings shall include a min. of five of ee following elements on all street-facing facades: �' overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. Call offset min. 16 inches ❑ deep R000f eave min. 12 inch projection 1! II rmer min. 4 ft.wide ❑ Roof shingles either tile or wood ' sof offset min. of 2 ft. ❑ Roof pitch oriented south min. 500 sq. ft. � Gable,hip or gambrel roof design ❑ I�,orizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40%of street facade ❑ Window recess min. 3 inches for all street facingendow trim min. 2 '/2"wide by 5/8" deep ay window min. 5 f wide ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35t% or less of streetfacade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No loser to front or side lot line, than longest street-facing wall./Yes ❑ No. If No (Check one): N �ay extend up to 5 ft.if there is a covered front porch and garage does not exte ay extend up to 5 ft.where the garage is part of a two-story b g nd beyond the front porch. u above the garage that faces the street with a min. area of 12 sq.ft.building and there is a window at the second story Width: (Check one) ❑ 12-foot-wide garage door ❑ 50%max. of street facade with 7 detailed design elements 40%max. of street facade Notes: Approved By Planning: '4"11111111111111, . Date: ,tri 1:\Building\Forms\B1dgPennitRvw_RES_RT 012116.docx 4) Plumbing Permit Application Building Fixtures I(41 0l l 1( 1' 1 "Sr (I\I City of Tigard Receive d a Permit No. 1111 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 PIS /� / G `''S����r! C Y)/)r eview • Phone: 503.7182439 Fax: 503.598.1960. Date/By: Other Permit No.: Inspection Line: 503.639.4175 ® See Page 2 for T i`'1 1,n Internet: www.ti ard or. ov Date Ready/Br kids g g Notified/Method: Supplemental information .:,:•. _ ::. TkTE-4)F WORK- :_ .-.. FEE*-SCITEDUL2 ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑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 ®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 0 Accessory buildingSFR(3)bath I 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder Other Fire sprinkler(_sq.R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1�tp�q 5W1--mon l 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.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.:Q�q Fixture or item: Tax map/parcel no.: vv Back low preventer 31.27 DESCRIPTION OF.WORK Backwater valve i 12.51 Clothes washer 25.02 Z ►J r c,imcie Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ®.:PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®•.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@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 Lie.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: C , TOTAL PERMIT FEE Print name:Carolina Malmedal I Date:04/25/2016 ! This permit application expires if a permit is not obtained within 180 days 1 alter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1auilding1Permits\PLMU•PmnitApp.doe 10/01/09 440-4616T(10/02/COM/WE6) FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT � ' Transmittal Letter liki T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVE DEPT: BUILDING DIVISION RECEIV r . NOV 1 4 2016 FROM: Angela Grajewski COMPANY: Polygon Northwest BUILDING OW 1 : , PHONE: 971-212-2144 Bx . RE: 13674 SW 174th Loop MST2016-00124 (Site Address) (Permit Number) Polygon at West River Terrace Lot 84 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: p1e b •r� ,��: � ,: - -� �i pies: ' ;'IA Pt aid ... 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 2 Floor/roof framing. t, s rMi 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. seem oringinal submittal was the floor plans for the 2 story,not the daylight basement as this plan is. :. : .: .., . ' ESE`O ,��;f Routed to Permit Technician: Date: j I - - ) 6 Initials: ` ' Fees Due: Yes ❑No Fee Description: Amount Due: , $ Special Instructions: Reprint Permit(per PE): ❑ Yes Td-,No ❑ Done Applicant Notified: frAiCig Date: -j,9i hyjk/14. Initial -- IABuilding\Forms\TransmittalLetter-Revisions.doc 05/25/2012 of.., . R City of Tigard 1;111 COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Residential TIGARD Building Permit #: /"f-CT2/6 --00/..)7 Site Address: /.. 4 mak) _fi.f-i - ,Jr Project Name: n c� �L�`� ,�vP - ->�i�.aGP Lot #: y . (Nc el ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: /1)(40 &f. Verify site address/suite#exists and active in permit stem. River Terrace Neighborhood: 0 No Yes,See Diver Terrace Review Addendum Attached Sit: Ian Elements: I! r,ree(3)copies of site plan I; ;sting structures on site tI .to plan must l&on 8-1/2"x 11"or 11 x 17"paper tU Footprint of new structure(including decks)with finished P' o rawn to scale(standard architect or engineer scale) poor elevations r4 ' 4 orth arrow U U. 'ty locations(required for new,may apply for additions) '1,,,�S e address,project or subdivision name and lot number IP i ation of wells/septic systems 11 4 pplicant information(name and phone number) 7Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions esign,location of catch basin,etc.) IF .t area,building coverage area,percentage of coverage and eet names pervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location '10Property corner elevations(2 foot contour lines if more than liAcsting trees to be retained with drip line,and tree 4 foot differential) protection measures 1lean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: 0 Yes,applicant was notified No Received: 0 Yes 0 No 01 Public Facile s Improvement(PFI)Permit: equired: Vit Yes,applicant was notified D No Applied For: /Yes 0 No,stop intake vItizR and Use Case#: `< O' a 7` slas='2 ' Occexe /oiling: Vi Setbacks: Front la Rear / Side 3 Street Side it)Jfi Garage e2 O OF/Landscape Requirement: c,7O Od Lot Coverage Maximum: 90 Oi°:uil.ding Height. Maximum Height 44' Actual Height 0 r isual Clearance VS1► , asements ensitive Lands: Zes 0 No Type 4,/f r—L,�, te J - li, Urban Forestry Plan 0 Conditions " et" rior to issuance��f/bbuildin permit // Notes: � q 9 �/� 7 MA/ /not— 7f) .ter/it fssckarree _ Approved By Planning: 1 --..i....._ . ,f` r Date: a.....4:17 Revisions (after B ilding Submittal only) er ,0 Date Revision 1: Approved 0 Not Approved �G �1' `�` /- .of (7 Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Fonns\BidgPeimitRvw_RES_012116.docx f Aft Building Permit Submittal Original Submittal Date: 3/23/f Site Plans: # 7 Building Plans: # `� Building Permit#: O'Enter building permit#above. Workflow Routing: iRilanning Q- igineering EPPermit Coordinator EBuilding Workflow Sign-off. IR-Sign-off for Planning(include notes from planning review) Route Application Documents: [J'Engineering: (1)copy of permit application, (1)site plan, (1)building plan and ___original plan review routing form. int Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 7-�- ' - Date: __�_ Engineering Review ❑ Slope at building pad: 706 ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fce in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No ❑ NOT Approv • i, Engineer _: Date: Notes: - Approved by Engineering: eyzi Date: Revisions(aft.Q Building Submittal only) , Reviewer Date Revision 1: Approved 0 Not Approved X LE 1o/ Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit 04/n/pproved,NOT Released: Date: f Notes: �y`�e rs-n 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: ,}""IDC Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: eyes 0 N/A Parks SDC: 'es ❑ N/A ‘tn2."OK to Issue Permit A owed by Permit Coordinator: J(a�7/ Date: V/V11.0. �-cI f 1:\Building\Forms\B1dgPeimitRvw_RES 012116.docx .fes 6/20/2017 Tom Dicianno-Outlook Web App /1(757- 19/(— /ALy From: Monica Bilodeau [mailto:MonicaB@tigard-or.gov] Sent:Saturday,June 17, 2017 6:59 PM To: Ben Holmes<ben@pacificcommunity.onmicrosoft.com>; Gary Pagenstecher<Garyp@tigard-or.gov>; David Young <DavidY@tigard-or.gov> Cc: KC Schwartzkoph <KC@pacific-community.com>; Kerry Lankford<kerry@pacific-community.com>; Morgan Holen <morgan.holen@comcast.net> Subject: RE:West River Terrace-Street Tree Adjustment- Lot 84 Ok,we are good with this change. I will update the file. You may still need to submit revised site plans to the building department. Thanks, Monica Bilodeau Associate Planner City of Tigard I COMMUNITY DEVELOPMENT 13125 SW Hall Boulevard Tigard,Oregon 97223 www.tigard-or.gov Phone 1503.718.2427 Email I MonicaBc tigard-or.gov From: Ben Holmes [mailto:ben©pacificcommunity.onmicrosoft.com] Sent: Friday,June 16,2017 2:49 PM To: Gary Pagenstecher; Monica Bilodeau Cc: KC Schwartzkoph; Kerry Lankford; Morgan Holen Subject: West River Terrace- Street Tree Adjustment- Lot 84 Gary& Monica, The contractor needed to place a street tree in the front yard of Lot 84 to maintain required utility separation. I believe this is holding up closing on this property. Please let me know if you have any questions and when approved we will submitted an amended plot plan for approval. Thank you, Ben Ben Holmes, PLA Landscape Architect https://www.lyonsync.com/owa/ 1/1 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _ ~ Transmittal Letter I 1 t,n k n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Ta/In 7'',71 Gte-fAel-rheAti. DATE AEGETVED DEPT: BUILDING DIVISION JUN 1 2017 FROM: b w\-D�tAciw"O C;1 N G TIGAID a DING DIVISION COMPANY: PO 14 Go At 106"4 6 5 PHONE: 5-09 57'791 (40 By: . RE: 13 G7 `f fi,17p tW�� S C'�)/al (Site Address) Perm t ,m,er Gds- QW eitereVA4 cg (Project name or subdivision name and lot numb;i . I ATTACHED ARE THE FOLLOWING ITE S I Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: 55et?7 neei Cross section(s) and details. l' Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. _ Engineer's calculations. Other(explain): ,, / , REMARKS: FOR OFFICE USE ONLY Routed to Permit Tec 'cian: Date: Initials: Fees Due: ❑ Yes • No Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑Yes ❑No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmivalLetter-Revisions 061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13674 SW 174TH LOOP, SHERWOOD, OR, May 26, 2017 at 9:25:04 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00124 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13674 SW 174TH LOOP, SHERWOOD, OR, June 20, 2017 at 10:14:16 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00124 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Previous corrections completed. Street tree approval for alternate location received. Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor • FOR OFFICE USE ONLY–SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 11'SCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ,.m4. Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: '1-6m It DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: -- 0 �C�,ca:e`'uS�'`' OCT 2 5 2016 CITY OF TIGARD COMPANY: tel; \ ,Iy\ LityVres5 Iii\C BUILDING DIVISION PHONE: Ctrl - 9-I p'l—?-1 Liu( Ur" RE: 1 $1 Li Bw \i- Ioy c eol(o—covaLk Si dress) (Permit Number) oL fi VAX �r �C� roject name or subdivision name and Lot numb ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. 3 Floor/roof framing. Bsrn Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: rc ss is o m c- -'(,,. 6bry\�' L VU cue.. ) C.hax'/_ 'ca.-% owCC 'fib tvusk- c . Routed to Permit Technician: Date: inFees Due: I4 Yes • No Fee Descri tion: Amount Due: $ $ $ Special Instructions: Re.rint Permit •er PE : ❑ Yes ' o ❑ Done A.•licant Notified:9iv$y c-^ Date: 47/231111111111111111111111111EZEMW111 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012