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Permit (52) . 11111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential Building Permit #: /`1S72 i/6, UO/,6 X Site Address: 13 lv 16 S\,1/4/ i 7e4 f-t L 00 P Project Name: PO1 j ty v n (Al- Well- (tom Te uL Lot #: (3 L (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review /Proposal: NP. / SSC{t, jl� I?[ on, (, ) DJ 7",e-e Verify site address/suite#exists and active in permit s stem. pirRiver Terrace Neighborhood: 0 No 0 Yes,See River Ten-ace Review Addendum Attached Site Plan Elements: e(3)copies of site plan xtsting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished ?brawn 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 • cation of wells/septic systems ,Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) [ tot area,building coverage area,percentage of coverage and 4 treet names , impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations(2 foot contour lines if more than . xisting 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): Required: 0 Yes,applicant was notified 0 No Received: 0 Yes 0 No Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified 0 No Applied For: 0 Yes 0 No,stop intake Z Land Use Case#: p()1Q 20K-- OOQO4j SU Q 2,01.0 -(2900(, %Zoning. a--1 0 Setbacks: Front ( 2 Rear i S Side 5 Street Side — Garage 7,10 y" Landscape Requirement: '2-'O % VLot Coverage Maximum: 6 g Building Height: Maximum Height '-- Actual Height Visual Clearance XEasements yi Sensitive Lands: 0 Yes No Type gUrban Forestry Plan Conditi ns"Met"prior to issuance of building permit Notes: G.,Ondtifi►bDns j v be mei- prior to 1SSueinic O( b/I(�nj pe( i(-. (Z4v i k A_ 1-c'e 2. p(u)r, -ei$ 1 e/0-ci .try o. ri f s(.i- t, 'vVM-t- r4--. Approved By Planning: •'i/10 4117-61 /3,)v.L t_eAA . Date: `111 a / 11. Revisions(afte B lding Submittal only) Revi Dat Revision 1: Approved 0 Not Approved ---- S f Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Forms\BldgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: ,r, Site Plans: # Building Plans: # Building Permit#: [ Enter building permit#above. Workflow Routing. 3"Planning ErEngineering ErPermit Coordinator Ergiildkig Workflow Sign-off g.-Sign-off for Planning(include notes from planning review) Route Application Documents: 9-"Engineering (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. III Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: t7:29/6„ Engineering Review Slope at building pad: Xi: Uonditions"Met"prior to issuance of building permit LJ Easements (encroachments}per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: ❑ Yes 0 No 0 NOT A/pprov by ngineering: L_ Date: Notes: �� 1 /lJ,Vj` 7till�/ �7 !"�Bf� Approved by Engineering: WZ Z2 Date: . Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review CPonditions"Met"prior to issuance of building permit ,ir Approved,NOT Released: ejtvAilit C cw�4„...., Date: 5 -`F -( C Notes: GI"- G e,ond;4 S nok vrt . 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: IF SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes 0 N/A Tigard Trans SDC: W Yes 0 N/A Parks SDC: 0 Yes ❑ N/A tclOB to Issue Permit Approved by Permit Coordinator: nirDate: /, //4" l:\Building\Forms\BldgPermitRvw RES_012116.docx in CITY OF TIGARD A <4 s MASTER PERMIT t COMMUNITY DEVELOPMENT g �''As Permit#: MST2016-00164 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S106DC08600 Jurisdiction: Tigard Site address: 13616 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: 86 Project: Polygon at West River Terrace, Lot 86 Project Description: New SF. 3/15/2017: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories. 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3644 sf Value: $437,358.46 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 Other Fixtures: 0 Drywell-Trench Drain: 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 Other`1+t -- Other ftrrnr tifm E�o"'Pas^9 x BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3644 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: $35,220.78 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5033 232..1198877 or 1.800.332.23444..7 Issued By: 1 Permittee Signature: DAV /i"'"�4-'/e�/70V Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 4-'1F,,CEIV}-1.41),„ Mechanical-Permit Application. ,. ' , ,, .14-)R(WUE FLt SLI. '11.‘ ' - . - --. , - •-•• . - • :'City of Tigard MAR 1. 4 2...01/ DRca'...rt'vyc'!--1-7-5 ./7 Ow- •11/4"'"No/157-.2'a/6,-a•)/6 1- 1 11.2$SW Ha Bled. Tigard,OR 97223 503.7182439.r : 539849y OF TIGARD t me0.5410f uwiny: ,,...„_ Other Penna.; . -1 R i A g D•PASPediett Lin5 3947S503.6 ' _ :... Dom Itemt,,,'Ily: roar 44.See Page S'tor . . . , firiternet: www.tiprd-or,gov B1jILD11\43 prk/ S1,11)r'i tsamitadt1yiethod: 1 ) Supplemental Information •-,.-:,-:...,..•,,,;•.,,:!kIni.:',,i;:,.',:i.:1,:..if::-;;',:';',•::::;eitvik:tit:4446:'17,:::::.,'.'''-:',3:',:', -1:':;1::::. :::‘: ,-,;!':':',',....:1:4,':i :j',..X0::601EAC4•444.YAIO$05iir:#0.*:;„:fit*s co.:calor. . Mocharueal permit fees*are beset-Ion the VANE of the work. 'r4 Nie consiraction 0 Adclitionfalterationimplacentent performed.tad ica te The vil ue Octutilod to tile nearest'dollar)ef all 0 Demolition 0 Other: tocchnnical nuktrials,,equiintleat labor,overhead,end otnik :;.:':'-:;-..k..::••:-..' 4.1*,0!ie:i:•.,.#.ti:g4:.*.0A0,011;S:fj'-:' ,..,!:.:,......-..;:.........',:,,••..':' ...•.''•. , ' ;1;.,-;j:.'i`:40)*64140fgo4010004ti$*100,40.94':, and 2-family dwelling 0 Comtnercialtinduslrial 0 Accessory building •For vedel informarkm nor(thee;fire ' 4triti-family 0 Master builder 0 Other; Description Qty. I Ea, 1 '.roial ' ' ,''• IllesttinekoollnAt ''.i.:0•4.•'-,;!,:•::.k'!%...?....;,:4004.t.*,01/4if04*t.o.:*:::00.::000.40:4:'-:::.-.,:i!:.:;Y:::: ',.'-::::::,:;;:-.:::: Air • • irionir ' —1 ' 46.75 Job silt•ltddr!iss: ) ) _ XN) Litt) 4,Jo Paroaed:100,0001qtr(decolveaul . 46.4 City/StutelZIP:Tigard,OR 97224 tz ce 1004000*Bill(dtasstoctos) . • A91. ,.• Heat pump 61.06 Suitetbldg.inpl.no.: Project name::1)'....A,A, t.. , 1. -._.1 Dian watt 21.32. COW slroetAlintetions to job silo: 11Ydronk hot woutr system 2132 Residential bailor Iradiattir or ' hydronie) 2132 Unit lienteriffitel-type,not electric),• . . _ irporal1 iii-duct,sutpeaded,etc. 46.75 . lquelvent for any of idiore .2332. r • Subdivision:I i t .,)-) .,, i 1 ii ,i ,AL 14 Ari,,, , Lot no,.: • i Othe • 2332 Odor Intl appliances: Tax map/parr:el no.: Wirer beater - . 2332•1 • — ' - " " "-' Ono fireplace/Mort ''':`.'''•"i:IJI.-*;!:•41!,•Fifi..!1.4.1 !,., V4.4,*0.000#0 #,'..-4'0* .:::-.:::..;.....',•:::,'.',.'-''''-'...-.....[::".j::'.';'''''''''' 'FNe vent illi Water-heater or.gas : 33.39 fh ddli\ r- , fireplace • 13.32 •Li 6 0 •-• 0 LAM Idgbbx rex, , 2332 Wood/pellet stove * .\ •-• • - 1 Wood fireplatetinsert 23.32 . . . . _ . Chiinneelliperiffueirein 2332 . • 23.32 .r...•:,:.,'-',;::::',W14*:00704*,; ;00,0.'4,.: .:'' 4'.,::,.T:'.','..,::: :::•.,.:07,tPT.;.0T:1,.;,..,.,,'-.-,--:::,.:,.': .0,,4,,,„menut exhaust ppd poofigion: • , ! , . Other: • Roulet Polygon W141,1,LC Range hoodlodier kitchen " 1 equipment 33.39 Address:J09 East 13Street Clothes arms exhaust 33:39 • . , CityiStaletZiP:Vancouver,WA 98469 Single-(Iuet exhaust(bathrooms, toilet annpartments.utility rooms) 2332 Phone:(360)69$1700 Far.:( } Atticterandspace ftats • 2132 2132 - •:,,',r.,,-..',i ,47 ': ', :.... :7...: :-...r rrfr..1771‘714re-f-.:. ':1. Fad piping 011tiness mune:Polygon W1.13,LLC . for-firer/our(64,•01,for:each natation( Contact ututt#:Altgell.Grsitwski Furnace,etc. ' I ' • OnShenipump • , Address;104 East 13th Street , Wall"fatiSpendeditmft heater City/StalciriP:Vancouver,WA 98660 Water-heater ' . . . . Phone:(360).6954100 1 Fax :.•(360)693-4442 r oplaca . lunge &ow:Angell,GistjewrilittpnlygonliamMennt Baultocue '' • . .1.flT:,74:g31A'4.4271,1efigie•g0•1:4',nit01100,401,;',;_,L7). "•••',F,':-...•'::,,'-•;');:;,:.=.f ,i 'llej!.:4'.;':i4.'. N.:•''.• 091.1Ms.drYor,(8451" • - . I . Other: Baldness=Me:Apex Air 1,1,,C ';',9.... .Ictik.:1'..•;:`;P..4-ktt:+1040- .. ::•'. ' ! Address:18004 Ng-7e Me Subtotal . CitytitateZIP..Vaneotrver,WA 98686 .. . Platinum peortiLfize E898,00) Plop owiew(2„,"1.otrienintfet) Phone:( 6O)342-8109 ' Pax 060)326-1769 Statesuroporge 02%qf pemtit floe) , — CCS lic,::20034• ' " "Mt AIN PONiftriVa 1 - -- This permit application expirto Wm permit is not obtained within Intl 's nficr it tuts hero acceptrotrapteic. Autiunized signature,: _.. ., : — *' reetnetitmlators;tat by Tri-Coinny ligkling hutastry Scriive&rad Print name.' 4^ ,•4.1 Date: 4,tit takoldiq.4p.Nrafair.e.yomaApp ma;oh= 44a4atnotiencolvawnal ... • CITY OF TIGARD MASTER PERMIT riAll ' COMMUNITY DEVELOPMENT Permit#: MST2016-00164 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 + G Parcel: 2S106DC08600 Jurisdiction: Tigard Site address: 13616 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: 86 Project: Polygon at West River Terrace, Lot 86 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1254 sf Basement: 735 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 3644 sf Value: $437,358.46 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 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 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 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 3644 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: $34,891.58 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 throug R 952-001-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.1 Issued By: �— Permittee Signature: t V (97 / '6'c 977. J 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 L— 0 -s79' t(,� x .°_'- ,« 1 y F012 OF FI(I l tiE OOI 1 RE(�, 1 � E Received City of Tigard Date/By: `( 29 f� Pennitrws f j4 0 6 1 1.11111 13125 SW Hall Blvd.,Tigard OR 97223 [� ] tj () Plan Review,/, /j 6 /�. o p�,� Phone: 503.718.2439. Fax: 503.598.1960 APR ` v DateBy: b/ �o /� ��� Inspection'Line: 503.639.4175 Date Ready/By: Jwis. H See Page 2 for T I Ci:t.1-1 P� CITY lei F f 1('J ilr n D Noti6ed/Method:C?//-774, / Supplemental Information Internet www.tigard-or.govDINBUN G @" 1 r tS i;,..,i`++ * ft-. AA/.i, _.. . u.- --.-. 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 �- r work indicated on this application ys _ J '''''''''It'''a,''.?-",.'1),,-;t11•14.;'-4. r �S 4 -, • �M6 �#f { ® 1-and 2-family dwelling ❑Commercialfmdustrial Number of bedrooms: ❑Accessory building ❑Multi-family Number of bathrooms-,_ ❑Master builder ❑Other ti p' -,-- rf.. 6.c , I ff a V. '''C Total number of floors: L f- j (� 7 I New dwelling area�j _\ � square feet Job site address: �/ I -i – ✓lI1 � City/State/ZIP:Sherwood,OR 97140 ,---- Garage/carport area: t- U�' square feet Suite/bldgJapt no.: Project name:Polygon at West River Ter Covered porch area: t 5-4. square feet) �� Cross street/directions to job site: Deck area: 1` square feet'a lir Other structure area: ', square feet 73S` • Subdivision: Lot no.9n Permit fees*are based on the value of the work performed �uWW Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the '-'^ _ Z: A r ;^;i 5„g e�; 4• rt work indicated on this application. -- _�` �` L7.1:-.5 , Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet �� �"�® i` - „,, „ >4 Number of stories: Name: L t ' -I Type of construction: Address:��� � .� '' 1' _3_04, ' t 1i/4!'14.i Occupancy groups: City/State/ZIP: t 1II ti 1 �_ . '�� Existing: Phone:( 1 0 �, Fax(360)693 4442 New: .sfee �,..-+ s- te. p i - ';� e1 `s. r. _I,Th4g $F • `c - , Ib � t .y....,,,-,_,,,:,„,,,.,;.__ -_,,,,-_.1 m. -r t. , '”" ma _ <r'T "' e , -^ __ = - ." '� �� i � .ate ; , ,,... 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 application: City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 Email maggie.gordon@polygonhomes.com Commercial and residentialprescriptive�install f Comm anon o f, " f 4 ., ' ._ -. ',• - '' roof-top mounted Photo Voltaic Solar Panel System. Business name:Polygon R �d C—I ,: ei i„ t-�,�1 i tii'ES �'1 Submit two(2)sets of roof plan with connection details �� /� and fire department access,along with the 2010 Oregon Address:109 E 136.Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 . __ - - _ `B lic.:207247 Total fee due upon application: $201.60 I_ Authorized signature: tr° J This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:1Z/11/15 *Fee methodology set by Tri-County.Building Industry Print name:Maggie Gordon Service Board. I:\Building\Permits'BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) --" c Mechanical Permit Application — --,r---g / ' neE( fr-1‘? /) "alainliMiMM11.1.11: City of Tigard 13125 SW Hall Blvd.,Tigard.,OR 97223 ''''''t''''''' A ID 1 9 2'116 413"Revicw Permit Noitis-7-;04,_at7/6,y Phone: 503.718.2439 Fax: 503.598.1900 . .r" ).. .../ i.: agedly (Mei'Pliiiiiit Inspection Line: 503.6394175 _ Date geadymv., tom- ' Id scf,psgr 2 for a Internet: www.tig,ard-or.gov C rry' ;: F '1' ':' A--',7j Notifietvmeth;x1: P:L!!;:,,l 'E '::, 0 ',0 N , Supplemental Information -Ttft:Alli44itijOt'','•-?--;';':". .. ,::.,,V:'4:.:;;V:'..:.':i..?; ;.,',1'.f-7, -;.-'1, : ;:,..:;:::,0-,,34: 4;.„wiogf,',',:,_ *A04-,* (i;:t*,.,,,i, ' El New construction 0 Demolition rn Mechanical mink fees*are based on the value of the work t_t Addition/alteration/replacement 0 Other: performed,Indicate the value(rounded to the nearest dollar)or all mechanical materials,equipment,labor-overhead.and Profit- „..-_,t•.,,;,,:.'.',..i.;:4;,'..--.- ti444..:...--'''-.`;':;:l=”''-i,r,',ST.*:.t-tAttefirit i'....•4----.',.:',...3.:',.':',,',,,,ite,--,.-Y'.A.-,ut,;.;.-',-....,-', --,,,,,,..-.-,,,,,-• • -0"---,,,,,-.-- ..,-•- - -,- ----- ''-• . -.,. ,',—-..,,-•.,,--. of ValueS 1-and 2-family dwelling 0 Commercial/indnstrial 0 Accessory building 0 Multi-family 0 Master builder Far spedal Information are eiteddist 0 Other: Description Qty. Ea, Total ''''24«-A.Ti: HeatineeonlinIC I Job site addres.s,:13(/*/ 3V\I n cop a : Air conditioning 46.75 _ Furnace 100,00013Th tduasivents) i 46.75 City/State/LIP: 5-N9.Jc'\.A.,1-0 0(3_ 0• q---+N 0 i Furnace 100.000+BTU(dams/Veins) _ 54.91 Suite/bldg./apt.no.: Project name: poK)(3ty---1 c,,A-- •-Qc. Heat pump . 61.06 Duct work 23.32 I 1 Cross street/directions to job site: iLifV(4(__40 Hydronk hot water system 23.32 1 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended,etc, 46.75 I Flue/vent for any of above 23.32 - I 90 Other. 23.32 Subdivision:River Terrace Lot no.; Other fuel appliances; Tax map/parcel no.: War heater , 23.32 ' ''-',--.''''',"'(•,::.',,i,g;:W'Zit;i4i$4,ii',14-1,37=':—.;:VIM'..-;7.';'714"!';;;'n:atftreS.W3IYVItt74, Ga5 firePlacelinsed 33341 bewr or gas 11VAC I fireplace ! 23.32 Log linker(gas) 23.32 , 1 ' Wood/pelkt stove. 3339 , i 23.32 o -...--,4,-fetQ,,o-le- ,' ',.t,..,, ,•;:::--.•.,•.,:-..:!.T-,',,,,::,,:q4a4••••'-z-: othechwrimcner7linelaedirifluelvik5crtent2 233-.3322 Environmental exhaust and yew:nation: 7 f' Name; AOLV Law ,thOims Addrms,,17 it At r, ile,eirci4 //Dad Range hood/other kitchen .., equipment 1 33 39 Clothes dryer exhaust 3339 crt-vlstateinp• Sel) F. f./ - rt e—B sing,....,exhaust(bathroom.% 1Li1 - - ' j ,)i., toilet compartments,utility rooms) 23.32 Phone: ( ) " ' — ' ' Fax: Anicierawispace fans 23.32 Gq0 —1t11LI 40 I 1141-''k.4*.;I :7-, -'! e-i-7:!..-.it.t7':',7:..Z;i44M1'144.-.1'44r4:M,.. 0.....--!"7747,..li,;'.+•::.•,471';1tT4;r4It% Other 2332 Business name:Apex Air LLC Fuel piping: • ii 5 Contact name:Staci Hay Furnace.etc14.15 for 4vst four:54.03 for additieuld 1I Address:2210 W.Main St.Suite 107-272 City/State/ZIP:Battle Ground,WA 98604 Gas heat pump/unit heater Wall/suspended Water heater Phone:(360)342-8109 Fax:;(360)326-1769 rirefilare Range E-mail:stneihulapexairto.com Barbecue .,z;.-',,A,',':,-- ''.--e.Sli'';'4-sii. 'Air,:‘IFV-r.,.:r.,#s,'"V•:V.':'A:4.,4:::', :',k.-::• '4'*',AN.ri-N-14r2V-:50-01:4 ,;:.,t, Clothes dryer Ct , 1 • gas) Rosiness name:Apex Air LLC , Address:220W.Mails St,Suite 107-272 ! subtotal City/State/ZIP;Rattle Ground,WA 98604 'Minimum permit fee(59000 • Plan review(25%of permit fee) Phone;(360)3424109 I Fax:(360)n6-1769 State surcharge(12%of permit fee) : CCB lie.:203034 i - - - ' TOTAL PERMIT FEE This peemit application expires if a permit is out obtained within 180 / .116, .i --- ..- „-- days after it has been accepted as complete. Authorized signMur: .. -,- -I - ' r - ' ` iillir . ' ..."...,! • --_,' Print nameStaci hay , Date,1/28,2016 I derdEC 1 - inilifingsfiennO _PoluitAgg_040113 don ' ' . . 440-46€7T i I linVCOMPATIO * Fee methodology set by Tri-County Building industry Service Board - —"-- 7lMIMMMMIMMMM.MMI.MMl.MMMM.M..l.l.If ' ' '� t? 31IEII. . #�R4' Lfi tFR rel I`IC F l-1 (INI 1 tit iri 'RNtfi f r)"i3 , f3125Sxr,latJBf d Tt OR_�7223 PI- 1 ,� Pcrmrts' '�. 1/ ," 7't 01..0,sO 7111431 lam.303 5 S.is 0 ,r � � ' X01 ,i"1"11'1:?. I*,40.U61tr 3na",Q3 639;4175' Date76y ,ltcfatcd P' .'" v Tti eC tii8102 �rd-Qrgoy Gi i Y t.) ,e1,1:7" ._'D dsr 'rumor c: sxcpn�az o� ', -33tb.'raG7ld1"fA :c+'mnfion i VPe'rets #roa r4 %fttitnntaliiiii tiiili ilaiietnauf 7rtc* xi to u0,ty� d $k at- r� Mara su7rmezasis�r Ta'i�ixwlitttns ' ' .t:y7 exnrtIift3n (sgittr . UStr e:'Oeeed�04Uampatumor2 i v+,�a ii-ai'fbmtatoree:�. `..M it ne " sr*. 1;;#:, k buk a of Cj a3 drill boltysrds ii,� 8i1��� ej nom• - f�'""i a� .,,,... Wgi exee?dsidUOsm�sai"f6vult3.pr 07040_gbtildtq„t j �Y welfutg d ammettisihidustnat ElAcccss buifdtii`' • tar arJ g, ff.p.11 ar s10; (� ,,Ria i- ute'agt7wlttUat ' C 3�6ttt7,aratiy .',0:‘,,,,,_,.,,_ Li Ot o sfarsdtotLer tmxis. ranttfmyx terbniider art s� ,izniA AIRFI Lt G iia Etn � 7lnsrai�ttoooeisgxvn or lobsite'ttddress ©JtdtFrttrY ttrgx[anpuatctyiierive$ .iob I n 1 i,�/� {°�r mPior toil Al sysi«a W —1-i r i lOttAP or mare fl.. ,o.* I-3 Criy'1SfateizTP Shervvuttd 0.09714[1 itsrxor xr ttlara tasrdea[reI twits, W+�Y ZUIftlbi .. - QTicatllt-airsTaalitw. IteY.ieahonsivebirlcparks. Prgjcct name; A • ;flits d014e 084. ©Sa "1/:witageror-mum 1.0A 'fl ,6"4,4<ti.4 .44 666vnksammtnal. i@6$8:3`fraat�teCtktU11.StojO$SltempsmlaaFk, `:t7rttaq�trda - 'f 96, i' ait f moons:- }..f_. 3,7es�tiegifentmi singtfe.or•040--fsm1lg0.4tw rmtt StebdivlstoirRiycr'Terrat Lott: /� Incl irs�fiacttydgarage. Tutt ma'p 4/�FJ 4,00a�q f�or leis I i >a a� Eadii40: k0iii-i6 i 639 t'aerozwersimi, ' bEFYO oR .. GY[ntiedtEsael;e ::.:-..441=4:14,-.':'.::- 5OIem8 4400.v Jr44tiadOattgY,alaIn faintly � rdea�l:(sstitk abuvc'sq_It) 7S.ft6 2 Cdr a + <,„.n '. .a.''',-71:1;31044114.r. ttedetvab--te err tt SeePatye2 7d ”" IServices 4r ixilr�s lnitnftation;-atteralion anti4ti A�� ��� Ea iasparatesa itxii6"" ��yy �� '� fFl maps io4p0mps 441.$6. ,2 - Ca [air i . /7 '44a ro 20634; ? 7�. -9�l�fl�� T � 80,1:'tis is 106b utt�ts 30ip4 � � t>sasu s� z6 a Einati' Tcmg4rar�s rsa s.ot 3ceders t ieta1ta64ri.alferatio»,and/or [}iiiii instafltit an This installaflnti isteeing made on ptoperiy that i ratocmhan . itt ^ for sel4,tense.re or i tg1ian own t n4 7 is nt7t 20a amts w less 59.36 g g* stxordroo tt>0715 x7,449,s70,and 7ft1, z t*iis m t2sas : Chmetr aigttatnre Hate Ott mps to 599 - • f stoops r :, CQI!3TA i PEtt$Uiy $► icbx€tetiits 64.*mtter8tlon,<or sioa,ierpane, Buatness claU t anger eirir w shtitgt6n,LLC' ..Fee Forbranc:.cuc d crab gbdiaserric arfeederkae, ( C -ntactjiaute.teltl Daatiels. +b}ana►td,r«m. 7:2 s �Fxlor`bioaitiittfrrxiitiliirirrnrE Addy 6101 NESf-Jo1in3 Rd servtttorfactkx fnst tst4nchrrre rtit 46.3:8.• 2 .041S0. ZTP t'.stt:ouv0!WA 38661 Eect add tiiiiidteittult.- 7,42 2 iattone 32[1 6 7 Miscr►iadaoa'sAiiiki ce or'reeder aot7rrelaileti) tai} I Fax r Email 6 daeue rnan atuiixl u rnq F� 67 84 3sQg»eusa tom dxtfljignotsaceeriOlor;f. r.r 2 a Rec iiiiii4.64y . 3 :,. ` ,00141.1*::3i.1t fi7 g4 22. 1'+Unp or: ga'�t�ioc7tcte; 67:1 ;' Busttlas natnc-Garner P,yeciri6 W plitugtop:.L7, 2 ue[gtiocwdtaeti„ .., G784' .4&irs`6idl N0°Sti'obtu Rd STg l ettrs4tts� i ftsptca energy 848.0.ak cxt orexieasarn Q Stt': 6-2- 2 `{:it ',p: &/ni!ouvet`,�7a�9866j .. tlCli Stdittan:fl7nt CfiOti aY,tr.81t4RPRGIC fP,St,J/j+,Oft'he above ?hone 30-1 S7 Fax:(' • 11taPe!0.4 ditr:ain} bb lie Bm231 bdaglei ala(3 br.7gi(�, 96vat1- s gweasa.cam lndttstnat pfant{!..„. „.kiiiiiaih) 78:t81hr L�.0. C11S8 I Electri.i400-:208'77.4 ^ I $itpri,tic.,,,:44.96: S l 4i£ficifiMi �mfai)3s 9- --1: stip v irtectrtciairsigrta tr re9urt /� _off,.' CT ' ttith a j t �' • su°lifoia( ,. PiitifnattiG Joan.P A(bett •AYE I f 0'PJanf;evieW,. ufrc4 15%ofl,e ; `c I' f, stthai iign£hire �' -.7:: • Stet's tares Z' n ei;iit teed:; . `;. r Tt3T, �TPRE.! tinttia�ne Bi�3T�attit is - tioxi ■ ica iA ALP Willi PP esiClsaftf4permr L+aatobtaigedwittxiaIRO , ate. .) atpOwttttas.'Imeeua x` . ltd ss`�raekCr I-V#16y1foOly, a pzi 40:10>tE.da Rev Oatfi oi$ • l�tuaabaat'ca eetions aAow�ed ttergtrar C ataaBt57{t9,q;tCp�ypeF I. i, , Plural:d Permit Appuc `ran Building Fixtures OR OFFICE C'E t S I: Cl\L 1 City of Tigard • Rear e 13125SW5I ail731vd.,Tigatd,.+tSXt P7273 Datehty, t'csmiliTosi/�%" /,��/ phone 503.718.2439 Fax 503.598.1.960 T1t:.yl:� Inspection LW: 503.b39fF17;<, . Ai x �xr'PowoitNa: �oterQet wwitr tlgatd of ggtr' _ Y Y•' Avis I g1 See z far :4V:F.: - -At�,.'f•• 1 �..•V t p �y y'Ltn•y.A.�U. .i.. ..�^••��.<�..•... :'t•. Z• "�eh Sapi! YH....1 WWII b ..... _...._'3.. •;''.'1-'.,;•t='�.�'/��'�?y'S!'!�: it ..ki^:; c .'r:'iJ` (';.•;r..'.' a• i,,�.� .r. , _ • gljg ew coitstXua(iQn _ D Demolition fort fnonitorons Q Add2uatt/alfciisfjgn/re tacement p ' °.tiOn EA New l-z amity&reotio ��':P;:''''••;r;''"..;- .,:• :,x ��y� � fiao103es.1Q0$.for each concoction/ :K'.=�!`,'ft:iiAi.;.:srt.�r':r::' " 1 ,'. R;:a.l.►.CS•i.'�,•A,{f, �` C.� �. �.r,;.».�`h'�r� �� �`u. . '4?"':.'t'. •..,. ���•' r...:i1?:•-. :r..-.,;:': SFR(I)bath1.11312.70 -tot12-ftwityd'wel ■ •,��... yi.: S%(2)bath Acctssaty bu ltrtng ❑ly -may SFR{3j bath IIIISaa32 MI D Mast builder 0 p 0lonai bB 25.02 t= t;.:s 's.1:z' a° .,.:� y, �.. Fite sprinkler( sq.ft.) 2 .•.t.:�.' $5,, ... :01*y*-AS 9. .0,•,�, .. .�.', SEC tlri llesr lob sits cid7eys: , ► t'7 '4t t ,4 600 • Cab basic ararca drain IMINEEMMIIIIIN • .City/Statel2 p: �} )>iytt s knob Hoe.or tf ench drain 18.76 Sttitei 1dgJapt no: 'Wed nan*,41 L y 6 n/ /9-% FooImgdtatrt(na linearit"„ ) 1$0. 2 03 Crossatreetidire ians•to job site. 4/65- /Z1v°E/� 7 tree_e 176 1.11 ... . ..•,. ... 18.76 Starts sewer(no.linear ft: ) Page 2 • Subdivision: eQ'++ %tarseviooOw-lin ,re: 1. Page 2: Lor na.: fJl� i or ft:em: Tax n2sp/patcel no.: Backflow pi e rater 31.27 111 12.51 .:- int w'^::�.i4�•'%;.r;� s'•'i,'•;„49:'z.d� o•'d:.,. ../y .r, ,�az.'�'•�''hr::'-. .3•:' {• BaClC4YNtCr'V0f'vC ' .i .. :T•��.;h•.SS.:f:�`+ilk:..�+.• ��G "4-44""746/4/‘-'` ` NTTL9 G'?"d�, Clothes w +ar 25-02 IN pishsiBslier 23102 Drinking fountain II 25.02 ✓d: is!tr'�r'`Ctc. .� ex ' : , ? �� :.;»• ,.,r.. � P 25.02 N 14.46 L 4r 1,47v6 f L,�/NGS LI V '" ,.... �. 25.03 Address; Hoer tha al8aors nk/1mb am 25.02 •City/StateiZlP: Pe disposal _ 25.22 :. . :C.. . iQdime bib25.02( ) Fax:{ ) mokor • 12.5 •`T'„ •;•:T` �:?Lf46) ti fv4zI FT: 1 IntacePtcegxea t.twp Httsirtass mune: /61e,Z. t�'ON L(f L �•, �" 35.02• MS Y // L! � (valor:S ) Cot,ta«"mai : MVS47..�¢ G/',.g,t7'&•Ac.7..f'/e / Address: /0 9 �3'= S i > ( taclal) • 111111111121111111111 stnidb2skaaratory 25,02 am cilestalTam 1/61A,eiera "fs 4 Solar make(potable water) II' 67_54 Mil . :(3 a 6 95- - 'o o Fes':4o 4.73 - Tabishowe ishowerpai 'ounimi Tizittal PoG S./A',/,' e..0/1MIN 11111 25.02 =11 " .,•~ ��d_�n,vr'�F'M:;r.,i=`r�•h'ii ,f {• .vr,�:.t'S;t...�»;�c:S.se::e ::;...�,� Btsl OleaAr rye •� 'C•'i:J•.'•" .= 4 •.�:.,.,,....h-�:;.�..G,;' •waif.•4f:.At].r:Y.y'.••iR_:...�y ::;.'�:ry'•.,:y' �'S. ,1 25-0 OttsiOMS rutin / v Vflataclreater 7lddres5: / ' �► • ,9 water. .i wv ���9�flea, / /y� W insrog'!G awsl(,z 4t: °tbat: 25.02 C(ty/SratefZ P ,� t: r Subtotal 1111 rlr _11E SicfD Fax'(5-03) R12--6456 minimum pgrazitfaw s7z50 CC/3 lvlo: Ce'fr�a Plumbing i.e.ua.: !o 3 , Mao review OM afpar it f Authorized signature: J/ / snrabatge(iz%afpetrttit fee) TOTAL PERMIT FEE • hint oalnn: �a'1' � , L/ L ,� 7le(s iRhsp�E aLY a$aa i tf i}tkc+aitt�e sot obtain'ea within 1R0 die36 �(� after It bac beat accepted mtw kie. 'Fee methodology set byTriNCountyBu$dmg Industry service guard. 1:111addi arnitsxltMEI-Naa6Arp.doc• ?nrn.Yay City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n u D Building Permit Review — Residential Building Permit #: d47. / -- e),/ Site Address: nI 3(v 1(, g\,../ I `7y tz, Lour Project Name: 1` "I j 9 o n ct Wee1- f 't Tec - Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N"e- 'J &'C R, Verify site address/suite#exists and active in permit system. pr'River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3) copies of site plan sting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper 7ootprint of new structure(including decks)with finished /Drawn to scale (standard architect or engineer scale) floor elevations S1North arrow /Utility locations(required for new,may apply for additions) ite address,project or subdivision name and lot number �� •cation of wells/septic systems - pplicant information(name and phone number) I Erosion control(including drainage-way protection,silt fence yLot dimensions and building setback dimensions ,{design,location of catch basin,etc.) P.ot area,building coverage area,percentage of coverage and /Street names impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than xisting 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): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes E No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: P( k 2O 1 C-- OOQO , S U Lois iS _W Co( Zoning: I z _-1 Setbacks: FronIt Z Rear i S Side S Street Side — Garage 70 Landscape Requirement: 2;L1 0/0 Y' Lot Coverage Maximum: S0 % 7 Building Height: Maximum Height Actual Height Visual Clearance 7 Easements 7 Sensitive Lands: ❑ Yes 'No Type Urban Forestry Plan Xi Conditions/� "Met"prior to issuance of building permit Notes: C v,cLifl r2,9 'tv the me 0=-0r- -17) IS5°VCIn� u( bl."(�ny p of r i(-. f (vl n Approved By Planning: 1/10 v1,i-.i �;)v te-C.vn• Date: `// .2 / ),L Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw RES 0121I6.docx 0 Building Permit Submittal Original Submittal Date: #y./2/.4> Site Plans: 3 Building Plans: # 3 Building Permit#: Enter building permit :ab ove.orkflowRouting: ❑'PlanningEngieeringPermitCoordinator tsuildingorkflowSioff: C�SignoffforPlanning( cludenotes fromplanningreview)RouteApplicationDocuments: [Engineering: (1) copyfpermit application, (1) site plan, (1) building planand originalplanreviewoting form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: � �---- Date: Engineering Review Slope at building pad: � conditions Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv b/Engineering:/ Date: Notes: 1Q - tom /� /710154704/1 Z- Approved by Engineering: tiL Date: _E--,Z--,g 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 ❑ ' onditions "Met"prior to issuance of building permit ,i Approved,NOT Released: e -i Date: 5 —`i —1 CP Notes: G IV G eon d:-i ur.s v104- rr.e 4-. 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: ® Yes ❑ N/A Tigard Trans SDC: E Yes ❑ N/A Parks SDC: 0 Yes ❑ N/A AIOK to Issue Permit Approvedby Permit Coordinator: Date: /' ?/2j I:\Building\Fonns\BldgPennitRvw_RES_012116.docx ti City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT 1 G n R n River Terrace Building Permit Review Addendum Building Permit #: 11S i',..20/& OD/kV Site Address: 1 3 6 1 (G Sw I -7 ill., I c` t, Project Name: ` t tenon cif W t'i F 04 T i-rj a Lot #: 66 (New we mg= subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards/Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a �( ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6 . wide Gabled dormer . ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 1 9 • i3 r/ 3. Entrances:At least one entrance must meet both of the following standards: `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:Yes CINo :If es the following appy X25 sq.ft. min. One all street facing entry )2`12 ft. max.roof above floor of porch 5 ft. depth min. 730%min.porch roof coverage 4.petailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: /`pj{Covered porch min. 5 ft.wide x 5 ft. deep `Recessed entry area min. 5 ft.wide x 2 ft. deep YJ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection 7Roof offset min. of 2 ft. ❑ Roof shingles either file or wood 7 Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. /Horizontal lap siding min. 3-7 ft.wide Accent siding min. 40% of street facade 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-facing wall. 0 YesrNo. If No (Check one): /May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. Clay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story /above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door /40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /{►0 V'?(JL 1 LO Date: 41 / l 2-/ I (o I:A Building\Forms\BldgPermitRvw RES RT 031416.docx Plumbing Permit Application- • - Building Fixtures City Tigard Received / /PlaL� �/l � 1111 I Permit N >� UIG '� Gyn 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598;7960 Date/By: Other Permit No.: 1 ;,tin Inspection Line: 503.639.4175 Date Ready/By. renis: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ..:..,....,_., , ,..:- TYPE OP WORK ,FEE"sCKEn>.uLS :, ®New construction ❑Demolition For special informalion use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other. Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION:AND LOCATION _ Site utilities: Job site address: ' t( Q Swl l.'1"' 1 oN v Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 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� Fixture or item: Tax map/parcel no.: Vim/ Backflow preventer 31.27 DESCRIPTION OF.WORK Backwater valve i 12.51 Clothes washer 25.02 C 7)r cj d oe Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 e.PROPERTY OWNER l 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) lce 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 I 37.52 Business name:Malmedal Enterprises Inc. Watert m WV P P P� 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 CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) C_____ State surcharge(12%of permit fee) Authorized signature: �� TOTAL PERMIT FEE Print name:Carolina Maimedal I Date:04/25/2016 I This permit application expires if a permit is not obtained within 180 days 1 after it has been accepted as complete. 'Tee methodology set by Tri-County Building Industry Service Board. I.1Building\Permits\PLMU•PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 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 4, COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: Tom H. DATE RE gfr DEPT: BUILDING DIVISION NOV 1 4 2016 FROM: Angela Gfajewski CITY fy OF MARI) COMPANY: Polygon NorthwestUIL I!T � ' PHONE: 971-212-2144 y. RE: 13616 SW 174t Loop MST2016-00164 (Site Address) (Permit Number) Polygon at West River Terrace Lot 86 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: p 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. 6f13 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. ✓. 4 ONLY s ,atiwRouted to Permit Technician: Date: J 1 — / — 1 Initials.` Fees Due: !l Yes ❑No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes VfNo ❑ Done Applicant Notified: t9-41616— Date: , 7-7,,,42-re— ,rr//�, �� Initials: 45/ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13616 SW 174TH LOOP, SHERWOOD, OR, June 1 , 2017 at 11 :09:16 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00164 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: 13616 SW 174TH LOOP, SHERWOOD, OR, June 1 , 2017 at 11 :13:58 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00164 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide approved UL listed tape for microwave venting. M1601 .4.2 Secure line set in crawl, 6' max between horizontal support. M1309.4 All else appears ok. 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal a Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: -1—Dry"\ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Imo. 6119k4r)y)-' $j4 OCT 25 2016 COMPANY: w,'\l ;c,ry-, mes CITY OF TIGABD 1 t BUILDING DI ISIO . PHONE: 9i! - ?ID - y `-'1 �BY RE: \? e s w (�Lk Lo (Permit V (ite � c\f,44kOn -24\pec very- W-fst, (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s) of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. SMT Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: `�I�, lb A AO- I • tut 41- Routed to Permit Technician: Date: ) O — — ,6 MEM Fees Due: �, Yes ■ No Fee Descri tion: Amount Due: c3 r ' c , • $ $ $ $ Special Instructions: Re'rint Permit .er PE : ❑ Yes No ❑ Done,, A A. .licant Notified: Date: AVM. 1.111.1.11.1111.1.11M703%1111 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012