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Permit (53) CITY OF TIGARD • ' ' �, MASTER PERMIT 71 .1 ME Permit#: MST2016-00165 COMMUNITY DEVELOPMENT Date Issued: 09/15/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DC08500 Jurisdiction: Tigard Site address: 13632 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: 85 Project: Polygon at West River Terrace, Lot 85 Project Description: New SF. 3/15/2017: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1128 sf Basement: 812 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 3385 sf Value: $403,831.53 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: Catch Basins: 0 Bckflw Prevntr: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 Y Ecompasing: RtlaPr. N - Other r,e..^ or BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3385 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $34,426.80 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 thr ugh 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 y. i , -CTx'ePermittee Signature: ei✓ ,4/e i/e Al 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. - -..., „, 7, T„,-, ,., 1:414,..,(,11,,IVtili . Mechanical Application , . . i ,, ,. . - FOR OEVirl:.l'S:i.,'11N1.)... • . 1.-- City of Tigard MAR 1 4 7_011 r..61V, ' j'&./ ..4-0i,'•4:.1.(-1""'':: ;‘-':;93.`-i-- 3.2.i;-::-.1;'e.4 It .- lc 13125 SW 144 Bled..Tigard,OA 97223 pion Reck„ ' t" ,;Phone:503.7181439 Tax: $03.594 yry oFTIGARE) mitair OtherPartnitt . -T 1 ci m,,..T1, .!:.61,11)C000111An!!: $03439.4175 - ' Date iteatlygty 106: et.Set Page 3 for . -,,Ateractwww.tigarciror goy BUILDING DIVISIONL'i'q'' Supplemental toterotattan M - . '' ••• •'' '-• ''''•'••:. -' ' ''-''''-•• '''''--'''•-,-- , •...'"-•'-- -;•;•ttittiiiitiblkiiit,iPtEst:Be'Rti3iPLEC:riiSk aigactisr. -cbalocal permit fees arc aAc1 on the va.IIC 0 e wit El New coOtriellon 0 Addition/alteration/replacement poloritted.Indiemethe value(rouhaid to lint nearest dollar)of an O Dernolidon El Other mechanical materials.4:gatemen'.labor,crafted.and:profit . Value:$ , „. . - F:',:::;.,,,,-,:a.?:::-.,.'-14. -',,::,,;,•‘4i:04.**0.00..,07::01#0:01.9*:,.':-.: 2,-..:ii':!,::...ii.:• ::;:.: ,.,-..,,: ..,;.:,.„..;,., i,t§i000.4itoti**froy#0010 ty8.1.-and 243jmiiy dwelling 0 Commercial/industrial 0 Accessory building .For xpedut iiiformatlini sae cher-Last • 4Ulti4atilify 0 Master bulkier Dottier: •Description . ' I Q ., I Ea: I l'etal • , :•'''. .:.'..'iii';'"....':1F',.-?:!;;J2,. .'it,i'.i.;.10,14tr0:**?/41.i,.:.*10K-0.4-40.44-71703 ::::?::-.;:.;.,i..;•••. .,:,:•:,-,-.. Air couffltiomng_ I ' .75 - .rob te.arldri0.5: 11?)(057... 3V\I /7I111/7I111LODI) Purna66:101000117`11(Aivogor4 . 46 . 46.75' City/Statet7.11):Tigard,OR 97224 Funtacc 100,000 BTU idecutftental•, $4.91 Nerd Punte 61.06 Suirefbldgfopt.no.; Project name te i.1 C.' 4....•:, ilit‘, ' di z.1 i.,_ nuctwork . Cross sluguiditcotions to job at : Unimak botwater system 23,32 , Residential boiler(rad inicir or • hydronic) 23.32 thgt heinri(ra61-1Yile,not electric), e-wall,irt-duec so-treaded.me. . 4675 Pluetvont for gay of above , , 23.32 SubdimisiorefilbliCin et t1\RS.1--19,4ki,velaract j Lot no.: 5 Other Biel#30/iancts: . .. , /P11 °•' . Water'heater . „ • 23.32. ...,"-..- i.c ...:5:::fi.:;:..:i.,"13,:-,.:*.:.:iigtotitk.wq,:kw,;r:45itie,,.,. .;,?.:.2 iif•' !-7.'''....,.:.::?,.;-.....:f.....;.:...;,:,':',....''.. .Gas fireplace:rinsed 4 ' A'''''''''' '''.4' '':-'' -'' -1 '''''''''.. '''' ' '''''' '''' ' vett for.water beater argots 33j9 ciciAted litephee, . \itS11)()4*00t ViSr 'Log iighter(gas, • 21.32 . ,Wood/pellet stove 33,39' ,Wood Brqdratclinscrt ' 23.32 Cltirrinerifincriffuevent 23.32 • . " , . . i'''.::•,!:''..':•i'-'•gA4,*..0.001T.Y,;40**01-1:';"::::'.:..:',:.-',:-."':.•,-;....7..;.:;,.. :..:*:-,\-....:':::- ...1:31:P•44 NV.:t.:''5 .-":..:.;':',.". Eileivonmenilvi caboose and ventil23.32ation:, blarnr.Polygon WLB$1,14 Range Itoodierher kitchen etlapriteilt 33,39 Address:109 East 1,3"Street Motes drier exhaust • - 3139 City/Stattd7.0;Vancouver/WA 94660 Single-duct exhaust(bathrooms', •- • toilet compartments.utility Pawns) 23.32 Mon!:(300) 05.1700 Fax:( ) Alticktrawilsrmoc fens • 23.32 • - 1:''..'•-••,a'i-....L',I'i.,'''.1..,:-'4 ,6111'#:-_.it .:7--.:',. ''.'''.1:.'7.'''.''..,‘.,,•,:. ..:"..., '.'.7,rit-q't,f117.":: '-r:• :- .i.t.-0,-. Fuel piplogi Business-name:rebxgon WI-tit'IC . • ,41434 Pot-fitst,feart$4,03!artielt"ddittorrat_, Contact mpg:Attgelit.GrajeWSIri Furnace.eir. • Oga•hcat Puke) . Address:11)9East 130i Street - .• • WelliseSpendcdfunit healer I , City/Slap/Zit,:Vanerwer,WA 94460 water kola. moue:(360169S-7700 Fax: (360)693-4442 Fircotace . . I3-m Aogellt.Grajewskrepolygonbootectorrir ,Barbecue '' • ... i.',i'?A:.5.11:41r,', .).•,?-*Spid-W,-.1pAriti.ei5:);,1,'CliittfistaL!,•:'„It.'4:::r.i.i.r: •'.."...••••":1-;;'','.••••• . t-, .. .':' Clelbtts OA!(P)- • • , Other • BuSiness:aortic:Apex'Air LLC :3i,'•2:,fiN,5'''s:?,'Z ''i-i'...'30.til.,04it.iiiiPE-1181114%.4:8*.:'',' !:'.. '' • ",'•,'. Add=18084 NE'llwi AtilSabt0fat • CilY/SlateaM. tX Vanurrer . , ,, ,WA 98686 • ittertnit,0k0($90,00) " Plan orelmv-(25%Ofirentlittite) , Phone:(360342-4109 I Ku:(360)326-1769 .. sudo$oivlunt(irAtttPcmit. ca)tio.:203034• - ' .170tikt PPINtefftt TtliT permit applkation trpires di permit is mit obtained within UM , days atter It has hcett giccopti4 as Wimp-6lb. Authorized sigurdurix ...,_ .,• • • • * Pee methodology sti by Tri-theMity Voila%tadatery Service Hoard • •Print Olette;• Fe^ Dale: 4 ti• .. ptOgAiintetoriipiArt_rtreakpg,P4011:44ac 444,4013*(I Wattl0h1AVER) • . .. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00165 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S106DC08500 Jurisdiction: Tigard Site address: 13632 SW 174TH LP Subdivision: WEST RIVER TERRACE Lot: 85 Project: Polygon at West River Terrace, Lot 85 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1128 sf Basement: 812 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1445 sf Garage: 385 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3385 sf Value: $403,831.53 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 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 3385 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $34,194.44 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 througR 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: t i' / _ . y l Permittee Signature: e,4r e. '7°/AL-/e 01' 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 3 ' fr FOR OFFICE t SI O\i 4 City of Tigard D Received : ; g 13125 SW Hall Blvd.,Tard OR 972 /� 201 - Plan Review� ' Phone: 503.718-2439 Fax: 503.598-1 DateRYe: Y Date adyBy: J 0 See Page 2 for T I Ci R D Inspection Line: 503.639.4175 l µ Notified/Method:/ �� Supplemental Information Internet www.tigard-or.gov ( •'l l i. ,g a `,,,1 F.:.' Y - 1 .amu.- P-ix`4'.£�'"_ `Y-.Xn='4 ��9z. .- a....... .. .<., --:— -- ----'6--- Permit fees*are based on the value of the work performed ®New construction 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 t work indicated on this application. - Valuation:if $ ® 1-and 2-family dwelling ❑Commercial/industrial i' Number of b ooms: 0 Accessory building 0 Multi-family Number of bathrooms: 0 Master builder 0 Other ' . ". 4.s1ta .i i�rer"ca � 1Q Total number of floors: 3 _ j 7 Q4 �,. sr Y " n may^ I New dwelling area:�-/c:6CD square feet Job site address:' . itil - r� v v C ` Garage/carport areag square feet City/State/ZIP:Sherwood,OR 97140 Suite/bldg./apt no.: I Project name:Polygon at West River Ter Covered porch area —t square feet i 1-1.6 Cross street/directions to job site: Deck area:a)J-4., ��410‘,. square feet 1 i �.5 • Other structure area: ',i square feet £ I Subdivision: I Lot no.: U6-- 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 wk ndicatednthYc licaho n V � l " - ' . iapp , ; - Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet >� , w++� _ ' 7;j° .1 g -' Number of stories: - Name .rt,J LV A ,i (� �l, Type of construction: � 7 . Address-1 � �F r / �,�ll��I 12,0174 Occupancy groups: City/State/ZIP: ��� �ii' 2 V 7 L., Existing: Phone: / + {L1 03I Fax:(360)693.4442 New: v ..' y;� vT �'5;•'- ' , -ser [ .,' � yi li €` t 1; i.7: #4r - - - - _..., -.�.�., ,..,.�_ �..,.,�f, ..�,. 1...,..u..,-.-6., .T ,1:1i,,. .,o ,..n.. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 I Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com cyal and residential prescriptive installation of Commer P 'N -,� s a a u �- f 3 ,�r. __ •:_ roof-top moimted PhotoVoltaic Solar Panel System- Submit two(2)sets of roof plan with connection details Business nam_ stly.gai Wi H 1.T C al,,,,,,,4/7 L,/,e /teAJE3 //I ets. 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): Fax:(360)693.4442 $21.60 Phone:(360)695.7700 State surcharge(12%of permit fee): CB lic.:207247 Total fee due upon application: $201.60`- This permit application expires if a permit is not obtained Authorized signature: �i within 180 days after it has been accepted as complete_ Date:1T/11/15 I *Fee methodology set by Tri-County.Build>ng Incl_ustn' LPrint name:Maggie Gordon Service Board 440-4613T 11/02/COM/WEB 1:\Building�Permtts\BUP-RESPermttApp.doc 02/24/2011 ( Mechanical Permit Applica' ir : .7 �� ' r,(.,. 11111/1111111MIMMIIIIIIIIIII,1 City of TigardwiRectesai 13 t25 SW Ball siert„Tigard,OR 97223 A,-` �2�Uy1P Peomr No a+TJ D© `�S Phone: 503.718.2439 Fax: 503.598,196(} 1 fel Pars Review. tat 1 i,1'is, ;, Inspection Line: 503.639.4175 Ra Other Permit:, r '.. Cratee Reade iy. brie id See Paget for Internet: www,tigard-or.gav .: :,' Naifiedihtethed- Supplemental Information I ►+ New construction 0 f dtf tit3ttlatiCrditntt°trpiacettttttt Mechanical permit fees*are based on the value of the work Q New n performed.Indicate the value(rounded to the nearest dollar)(Mall �,.�. 0 Other: mechanical materials_equipment,labor,overhead,and profit. ' �.. ,, i,7i-ti L t +t•g" z ' ,zv^ . 'T': '' Value:''' S ►� 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Frrrspecial tr��or>aratiarrate checklist ❑Multi-family 0 Master builder0 rt Description (�,? 3 ,( n � Ea.. Total ..� ��` ;9 t'ffi4# z FleatlnrAooilaE: v`r -1 p r coral i 00.000 6.75 Job site address-13(0932g 1 Furnace 100,000 BTU(duets/vents) 1 46.75 City/State€ZIP: of 3Od. 0' q-3-'\-1 0Furnace 100.0 BTU(duets/wens) 54.91 I Suite/bldg./apt.no.: Project name:. o • ( k 'w 0.7A-K Heat Duet work 1.0 2132 2 lI Cross streettdirectionss to job site: °' a , K.10 t-'c t Hydronic hot water system23.32 1 I i 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 2132 Subdivision:River Terrace Lot tar.,�S Other: 1 23.32 Ether fuel appliances Tax map/parcel no.: Water heater .32 '_ ,_., r,, € r `., '� n ' Gari tacdinsete ..4s. ',',c1,,.',....„--;'27:1'.,'!"." ,, ,x .. .r.�". ,R��. -.:',"..t..1:,.',.; �d-, ' 33.39 HVAC Flue vent for water heater or gas . fireplace 23.32 Log lighter(gas) , 2332 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/linertflueivent 23.32 - Other°....z . _...�.a.�,... 23.32. z1.17: � w� � �g � � �iety'. - iEnvironmental exhaust and ventilation: Name: 'OI))���/�� r1i4 iV id'f {/I c /� U Range hood//otherkitchen t i Address:tt 7 lQ)l r I ki�1y l/l lr-W 1/ I'u 4 - equipment- Clothes quipment 33.39 f�. t /Y Clothes dryer exhaust 3339 City/State/ZIP: tit Single-duct exhaust(bathrooms. - • ' toilet compartments,utility rooms) 23.32 r Fax . Phc6rre ��� �/ l:"7� Atticicraa�vtslsate farts 2332 �m� . a+. .-..`', s... ., °� � .n( 3 `t ) '.1.,,.',--':...''.'• e 4 i,_ other 23.32 Business name:Apex Air LLC Fuel piping: t S14.15 for first four:54.03 for each additional Contact name:Stater Hay Furnace,etc. Address:2210 W.Main Si.Suite 107-272 heat fair a1f,Fsuepcndcdlnnitheater City/State/ZIP:BattleGround,WA 986I14 Water heater Phone:(360)3424109 Fax: (360)326-1769 fireplace Range E-mail:ataei aprxairfo.eoln Barbecue ,..., .•., „i`1? ,1 �3 .e_ . , , .. jifbtk'aQ�#1,,ffc;TFYMVa ,. Clothes dryer(eas) Business name:Apex Air LLC (cher Address:220 W.Main St.Suite 107-272 Subtotal I City/State/ZJP:Batik Ground,WA 98604 Minimum permit fee(S90.00) Phone:(360)3424103 Fax:(360)326-1769 Plan review(25%of permit fee) State surcharge(12%of penult fee) 1. CCB lie..:203034 s° TOTAL PERMIT FEE F, ° This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatu �. ' /� ,' '°'' * fee methodology tel by Tri-County Budding indest€y Service beard I Print name:Stasi hay Date: 1/28/2016 t`. nldil*Ptsmiss,MEC_Penn i tpy_1340€l3.doe 4430•-$6176(F LA3%( KtiSt*E.t1,S - • •-, -, .--•... .,,,.. • .-. .„,.-,. !..:.:t•'`,..",,,,-,,---,---',-',0,"!,!.*•-•''''',"=4•'•''1,!!1.!--`'''.---,-.!2,92.,.!...--„,..-,- -..,•:-:'...--.-L----,t-----'---- -::--,t--,::-. kii:Ntitdit*Otike :---i ''', ''''---',-'''',:'''''i '''.' ''' ' 0-1;rt.VF ICI L'4 6Ni"1.:' ' ' ' ' ..'- -;:;" E.165f.O.:ITikated .' ::--..' .;,..:'...::T'!.:..-,.'::',,:tiikt4'/Y,7-.2:t4i041/0-, O:g41*tiD R tefri. 1 016 '...,.iii.1,_-:1 ,:v -' - .- ' • '•.-. .4.g.,i;i;'"-------• .,,...1 -.T.. •'-'•:'iiaiik„SO.:4414.209 tax.3bI591....1'960`' i 0 - te".#.-- 14,ye,-,,:. , 7.7,,,...!..,.71...7,-. :.•••: - . *,'•:',00,14-ti.,37T*0,.;•63.0$'05 ,, - . v-,./‘.'' T i GA-RD' -IiifiajiEf!ifiii:ii-giii;1;:64,6*: ';,„., i "e.,` ,. ,'-• : . :',;',.;,-,.,.'. ,s„W.„,,„,,,P...h.f..,,P0;'.. ,.„ .„. ., ..., ...... ...,.,'.. .,•,:-PV,1,41F1P.,141gror,,1.atmn -',.•.:,:.'.«:.':•.."....,,.<-=`,,M.::4...V•kis:Awoe'4',•.4.:441;:.,Q,''';'-',.ra'.', ',-i?,i.'4firtaitet4::.";141-,:.tirl,,..q.`1.71 `..`4!'1'` -.gM-`111,-,`, .kil7MNI.1.-tr`,- -.14,19'...',44:'`:'`'fi,-ITIVI'',..:;:".f. ' ';diroIT'`'.7. '-:A1Mtio'Wieitifibli/rifi „thii* i,u.114-1,f04t,tej14-.4iitirati?1 !/1-#.5,4,0), ,. ',.•;. CI i-..°4*-. .:*''"4°Q amifmr6 64 t3.4thiii,t^ti`OVie.-1.610,-,4*Ies; : . -3.it DeirfaIrffeli, . . , .lataffth'i-;,. ,..•-.,,,:v.,, „,• .:,.. •,,• -• . . ,• -, • '' -,,,444-,V4:;;144-aig.11...i4i dlia44.Viiai,... ' .- '''. 'St-''''' ' . "'t,l'"d4i. ,:''''.4 .':!.'?ffc.-."*.;;:V::',''..';,.,,'-,-;" ' x ".'.:4o;i:i4):;,1ii-i.iti.%iiivi iiii4ii,iii4c(iiiie." ' . rculturat 18)4'''aiid i i:fainti dwelling .0 *iiiiotitiiii4's,14ii C-1-40 *6!iiiiitioe : .[,$1.(pftm.4.P.F,.. .,...f?!3:.,,:., IP,:c?„.!7,.1,,,m! .-Ii'.! !..iiiiii!=i-42AirliiitAlar04,.1 ...,.49i.44130- . . or 1:1*KtitAffu'..-.,i3r, ... ..„. .131.11 42:1*ht11-0....*,. . flother itikii4i!,.:. . .0*.oti,:,!404.0x-yA ,,,,A.." '. ' ---TtoptgAnitv-LcreATtopl<' . - . __05. SiMan• LlAdrrili',0414roow oilotor toad or lariki0ins*ty draivcii ort,F4, Job#: Poi)site address.• SW iiiqiii t co 0 -'--S(137- to910-orm;fe. P",A:'.,'.7P7."1-r.'1-3". ., ... . .., i .. , .. ... . . . . . . ...,_.. -., . ....044:1,400,3.1..,0..ria, 13t6c4iiiort.i.o,fenta auks, ciitup.-o4 0.ity/stat S,;0.:-$1,erw06 .0it0:7114# 1:144,roo„floaat yellidc.parlrs. 1 ...,...... - - , Sididliidgdapti/I" Project name- Oiliz'er4 El 0,„ii-141*il-more-14an .,.. ' . . bii.«4i.-..akasna*.„9,,n4pio.,. .fPf! :ilsr.,P7q1',!, Cititts`freetid-.ii*Cu-onvrOjob sit '',"•.2--V-41.7Zyi.1%.e.;,'- 'det#7.:i• • ..tb--a-Julie:7.-: .-.- -'..--..--.;11,:,,w 1.;',•-•-ttid.' 1'..•.7.0t=5.. 1-•, NeOxe4rtiadent•sinjitit:l1r aaitti4aratiiiiiivag thin:, , , „...,.. . . . .. ...., . . . .... , ... ,, ... . . ' -$ttli4iVisiorr:*bier Tarrnee. Lot-11.• ia'S-- ! : fne10.4401000,060,-e. .,, ., map/ .. • . . , ..);PQ91t.':.0t44 ) ,I0 0'44 4 Tax . ... ,_- .. . ( - . . . . Ir-A;,4.4fil„*0*,±140"Pikidon 3.-9,2-„ . • .Z.i..iatittr!!? gT,i-g17,'-e'2'.',"*Y;$OR,-110fl'iAti*A14:1,:„:.',' '` .. : ...." •tiiii41.11ri;iwiresI44!"1...f,i.41 . . i 1 .90 ..,,,,,,,,,44,, n . . 2 -Newznigia,rainily . _ . . . . , .. ' • 1,m14tteaagimth•,.... /1y. . 75 00 • a .„ .. wtiiiztt) -. --- -,.----' .. ,,.... . .. ....„ .....: . ., ,,.„ . - ....... . .,. ... ..Riiiiiibliziiii*:•-....' . '..ErSeikaael• . . , ;';''''.1-414,0FIAL AtAKitg7140,4*-.Tt:41144;i: ::'•-;',:.',.'''' Z.-:,'1.---;-"•1''''' 'n'1, 0NOtT 1143 • mA1 . •'.'.,- ' .,-'- i:",S":6„i.i/...iIi4ii:*.4`6.:464-r6&6ii'r'i''iiU.,1_'i0....0A.7.t.l..0ir2 : 2%41 1li t336- 2 . . 4(.4.4tio.po_ Apio.- :AP+. aw 4 bgeizip, lit i 0 _ & ' . .... . , .,__..... .. .. . ,, :$14**.iatooPittit* 3P104 .?, - • _ . , - i --9 { ) ....,. •• ....,-.,,..„:,, / - - , : F-ar 4iiiiiii.i.ariolls- '5416; '1 ,. .„., ...._ ..... ....„ ... Te14,6fariiierifeeitiefeedersinstallitiOitiralferatiati,and/or Enradt:: iiiiiiaii- -..,..... 9*. Liiiii*14tijo;:This16#01100.4%461E*:made on property That 1,own-which'is not jo,01....f.,:iio...,,,-,to;, f- iatoideil;,fafaile.,Icaiii.rept or.exebangC,aeChtding't.p its 447,.449,Ohl and 701, • 101-*ifoss.:404 oij,i. 1.4-,..9?, 2 . . : .0*0-..-Atiiia -- - Pate;• amps ,.„ ,. ... 401.Bratifilttitio57:11ineL7ittekatkin,argil' tati18.5(91:5,-14R:er Panel 21 . ,.,.. . -• oboicfro6f0,;eivicelon. orlktftrteeder.lree.kk . • -w,,,t-4,4,,-. .-----;;.:A1.17„:.- --,i,e..)-04-t-::'---"---,,-.. ,,•-.1' : .-- '-''‘u,'coNTALT.FERsoN ' ' ' - • • . ' Business nam*-Otjlettile Washington.LW . 7.42. 2 •ocittiranehtiinittit- - . etitibiiiitaito:ftill pilliot ti oiteireuffiO.rithant ,., „ „, . . . . gemccatiedcr' fk Nit, Addresk 61111,1STE*,4TallaS.Rd tuaaehtliedit sfias• .1 • „ . - • - OtY/„.$14.e.g.I.P..1YncOuyerW.A 9860./ ' EitekOitill 71)$!ahOli0i*T•• 742 , 2 . .,.. , :.,....- . • . MataiiiitiOitsttiaii.ti.oerer-dir not included) . . • PbOaP',12573)1*.i.651 Fax::c ) ' "Eadialiadieat-raofhiedater • , - ' . . . .,... . • . •Aatifing.Icrmearakor„teeder . . • • • Email:brlancela@glittisnxom .:, , ,,,,,...,,,....... , . : AigOigt**Y. . 67.64- .2 ▪ .▪ .m.'i.-ra....,--?;....:14..-. ...,« :,,,,,..X,.,,w.......4.1.,.f314W.!..vr,"P,- ,.,•. ' " ' •... ' ... •... 1?0 liorirrkgtoncircid., .6.1..04 2 . ..... , , .. .... , :. , ... .. .„, . .. •. . . .... . .. 'BtIsibegs-1,1amP:Gtov*fEiftrit.wptap.gtoTk,tLc oloot,004104withig... -67;#4--. 2 ..„.„. ,,,...,. • .. . -• ' : -. ' ' Otital,44**.?:zit'4intc,.17etgirlY -• Mittit...61-0.1 NOSktfabtfa 114 .••••.. .......,..: „...,.. ... Cf Stel'agel 2 t014,,Alierall.Oni3Or=01,11012. '. -. . - „:„.,•...........•....:........ ..., ........,.. •• . . . . . . . ., . ... .. ,• .... - - . •Eaell*dirtgenaliaitverft'a Over oftbe abort Ci4eStat*OrP:VineronVerA* 98661 , - . , •. - A1101101011 taga,10011(L1trolfe) ,. . PhqtiOos.4y3.4stlw Fez:{ ) .111.*4deiiiiii{f.teintn) „ .. .. • . . -• . - ..„. .,.... • hithisuiii Okan{1 bi thin) Fttitihr• ' Email:hrlint.134tgW..644a.aoln .,..,„... ._„ ,..„. . . • .h1,41.teliivo--tariiihjet ntifeoli ' • • ...: , .. . .. ... . . ....... .... , , • . ,, _,,,_,. ,-,..,., ... • Oakhr deP140,..t,01.:1411 4 ,Li 0ctrical .i g08174. ' Saprv.Lie:::.1496$ :..60-i4iftiiiity ititedie4htrida)".... . .• . • !r7-•- . . . ...•.„,,. , ... ., - ' • ',..7,7•Millttrtlitttit-Wiig.,401..10_41:,::;-.:-.Z:;FE,;`,,-,!:-.'",',,;','-',.';'',,.1 ! ,. atiOn,Vectrietan signature,required. t . 1-1/ ,ID b,,,, . . , Piiitnaine;•$Oan.PAlbayt • ' Date;a i 1 I ktb . , "ElPiaiiteviiive•Reciatie'd(25%ttrikfiattlft.e):' , . , . . , .. •• • • . -&-.0.*:04.0.t,geli ..*Of:001-01t,Ii4... , A.ut,hori,ze signature, 7 •- TOTAL„-FR„..A....T..„PRE . .,. Dee: k..act. ...t.0 .111);P',4n/t.,,PP4011PPAgiricti Prktogidtk7 Pet DIAmOtilAyilliiit 180 t!rillIMP34:.1§04)?anielS. ., . . - --", ' '- Thinstien ictinsilichiti allowed*point!: . ... ,. Liqii!Ifint?ostgOstflth tizbalOpp'Et4:ALE.4#4 Roe beeitZit 440-461SVWCO.MAVEB , . 1, 1 • , 1 . 1 1 ?Iambi nn Permit Auul icai of Building Fixtures l'UR ()i i;lci: i:til: (lti1 \'. City of Tigard Itaxiva$ P aink w l—/S /46—eV/ Ai • III �.c■ 23225 SW Nall Blvd.,7404 oa Date_ • sl Thona 503.718.2439 Pam 503.59$61.960 . . 2'724Itccw 01GctPers irtiw • TI , i, l Inspection Line: 503.639.4175 • • AaeRea a See rage 2 far Liateruet www.tigatd-or.gov Naafi f�,t I Supp Iafocauatioe 1•,+ro""?�,`}....4: .Li:,"'°'y ''� 'w •� ( �[7J(^y.'s r".-:,Ss L•.� ;r.r:••r•,:.r' +:C:�ir:-n;'.,i. .:, ;r•-;'•' - 1}.::•teal t..•. ..-f: , ".?:�";;;P• �' �y',FI•;+`�.'!^ey`5�_'_^. fr�'•.S,':.;:i.s•:.i, ..•::;f 1:• ,.'•i• •t+i.'..;, 'N.i'::. . �•' 1 ,r1.:r.::;:.n. etvr.ortstr:etiAn El Demolition Ear •- , won'r/sechEr, s2 Addition/alteration/replacement fez; *D7 ' --tion Qhs Zs- •Total •r Now a.-21-fanny tweak s(iucludes.1001t for ea dtot Illy co ncction) : r.s; ;a�'r` °: =:w;;''i::ir5;`.��'• , k4 ut ,' ,4:.yrs�;:.";'; SFR(1)bath "xiy`'•: a+ •-•s."•^Z• wa, .�L�•• .•'• "�.^` •i:' .g1a.7Q yii- •2- ly dwelling 0 Comnlercialindastlie1 L. SPR(2)bath Ems 437.78 Q Multi- Y 5FR )bath 11 30032 11111 i.3 Master builder doter Barb additional badski cher .7.3:02 �• ' Fire spiader(__�sq.it) Page 2 „^:. I� ,.,,.11'S;S.:::" {r.0.*�.r ^0.0Seas. V^ 'yy;:.'t n":. :?:- ti dD t I"; El !ob sit°sdcbress: ' gm' , Catch basin arareaa drain 18.76 City/Staitel2 P: a ��leach Ilea,or bench drainIII 18.76 Stuiteibtdg/apt t IProject name/'�rJ L Goof ��• Footing dsditi{iia a linear : Page z `� Maauittcnuea home Wilda 111111130,03 IIIIIIIII Cross stroefidirr ctiomis-tojob site: Gt:M..r,'e,// TEX/0 - •3'1aa114lea 16.76 • Raja drain connector 18.76 &en1talysewer(no.Anew Itt,......) Pagc2 Storm sewer(no,linear ft.:, ) Page 2 • Water serviieo.(no.•Iinewrfr.:;), P 2 Subdivision: f Lot no.: g',5 Rowe or Irmo - TaxtAap/pstnceltlw: B9ckHawPue�+ tr 3127 1.11 - •'•.: : W Ill ., Y •• Bac arery lve • 12J1s�:,� • •: y.. F e4;Vw•:: . -•^• •° ,'i} V +: dF.••t8`:•.«'•r•'�-`.:.r..: '.::`Y. •^. . �f •.' _%i3e'r%5� A� �?.,� r ,.,,,„�,.,.:+3:... .1•` .•.t +>ti+tit.. .r. ::• .•,x. :y; tl: Cioiai W1Sbzr 2-02 MIME 1N6-6 . / G-c4/7,8 /4/6. efeNTn/-C .0Je. II. Dish astits 2 II Drinkingfountain 25.02 jsrenp 25.02 {'`•r�h'..f 1\i**''' i ri '' 1i i'`;n.9'•^'.4A. >^r• •:;'�.^,'. �-•f„ 4.q,. ?.;i,w:•. •:'. tan ? ,.. k'��.•n•r:r�:.�l'�:• .:~�.•.,s .n�-�:aw"", :•.•::,c>t+^�'isT,+,Fr�.��,a:.•�'}.,.`:� .: '"s' k 1_51 0 /l-•b 1.d/ L,,g7s/6 Lbr/1/�..s Lie.,. :+ Fixture/sewercap. 25.02 Address; Moor drain/aoorsinkThub III -62 iiii •City/Seatta//2�P: G bag*dispose! 23.02 111111 Phony( ) Fax:( ) 25.92 Business uan'1 ",4 cf 6 e9 A/ LfLif44- Marvel (vain:S ) 1111111=111111., Printer • =111111111111113/1 . =iAtnatl8Qa '7 / / cam (1.C/4•/ Roof drain(own/nerds!) . Address; /095' i3f` s 7- 13==111 CiteP' ll4weeat/ (14' r 4Q Sotartaa (potable water) 6254 •Phu C260) 4 95— '7%o ci 1.F.x,:410)!93 -Wya2, TnWshoweifsbowe•pan _ 12.51 • E•mail:/fico 19-•C¢!Lg7?ycp9� , , 4,2 6,A//fr� Ctfr1 Urinal 25.02 111 ."iy:.-.6t:' 4.k,-tt,•^. ::,!! .:,'?•r-.p:::.'a"�}K::15.',4. ki6'..�.i s• ! it:*,C!:,:.�y+.r;•.,4'�,,sa.•�a Water closet 2502 /� a} „w y�„ .. x� t;..-.., r 7 Wateelieater • OIIsirleSS mat= iu.,fl�E• t'/L �' , • WaterplpitgfDwv 7Sy 'Address' o 8e75 4 /i�f4 W tsroa�/e. Pile Q • — 225.0022 MN cxry/statetZ 7�Lo tl ,,,e Q,' •` 10( 2 stdbtooraa migi Photre:.( p.0,) /p z-J5` -!o Fax'(5b3) 611Z—((46 ItflaimwnRemit few 57250 CCB Lim: 19114,01 Pftunbing,C..ic.no.: (p s el�, Piaa OA otpermft fide) State surcharge(12%otpetruit fee) Authorized signature: Al/. TOTAL PERMIT FEE p ile mune: r.Ylli* a /l1 tM TIAt perteir 5tsliM k QxMres if a*emit*Piot eberbisd vritbis 280 Bess / : Datc: r ! after hhas been accepted=complete. *Famcthodowgy set byDi-County&:`ldmp hallway Baud. '" • i:rauadAQ,}amilsIPLMt v m,•eai elx )anr:ay a444416'g10,02417ug331 t City of Tigard 1111 ■ COMMUNITY DEVELOPMENT DEPARTMENT • T I G A R D Building Permit Review — Residential Building Permit #: /-ffT,2a/C —00/6S' Site Address: 13 Co3 Z S' 1 - q .0, Le Project Name: Portion c4t Wej f- R.c Terms, Lot #: 9 5 (Newelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: tv(M/ &1R / Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No X.Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three (3) copies of site plan QE-ieisdng7tre-ctures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper QFootprint of new structure(including decks)with finished //Drawn to scale(standard architect or engineer scale) / floor elevations /J forth arrow Jtility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number err 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.) Lot area,building coverage area,percentage of coverage and /0/Street names impervious area (applicable if R-7,R-12,R-25&R-40) gStreet tree size,type and location /Property corner elevations (2 foot contour lines if more.than 'trees to.be retained with drip line,and tree 4 foot differential) protection measures 7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No A Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake X Land Use Case#: 1 U(' 20 is • ©V®laml ,s-vs 2.,,c)i , 0 0oO.E; / Zoning: R-1 Setbacks: Front I Z Rear 15 Side 5 Street Side -- Garage 2 XLandscape Requirement: zv % I, Lot Coverage Maximum: 0 0 % Building Height: Maximum Height Actual Height ,zi Visual Clearance yEasements _ Sensitive Lands: ❑ Yes //No Type ye Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: 44i-tx0nc {-o bC (Y a' pro) i� 'is SL,'e-nkJ_ ac 1,1/4.;;lcf.+'ly ryli+ v i.e.cC t ey., e(G1v1 e.i rM/�.(ioxt-c.- 1- ( K i to L"-/c t--,,- v Approved By Planning: 4 0 t'71"),t/- Y�d lam' (AAA- Date: /1)2/& Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B1dgPennitRvw RES 012116.docx or Building Permit Submittal Original Submittal Date: Y/3/ Site Plans: # Building Plans: # _3 Building Permit#: ''Enter buildingpermit#above. Workflow Routing: [Planning P Engineering ff.—Permit Coordinator uilding Workflow Sign-off: [g'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: , , - Date: 29��4::, Engineering Review 4 Slope at building pad: 54 0 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 Appro ed I Engineering: Date: II Notes: ea, a /�- " - i « f_Awiliw Approved by Engineering: AZ 27 Date: 5:-,-,—ZA 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 6[ Conditions "Met"prior to issuance of building permit ` Approved,NOT Released: G Ca. —) Date: S - `l' - I Notes: EN ( Go�, a.; --:o,r,s -{v b- ,e n,c t—, 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: Ldl/SDC Fees Entered: Wash Co Trans Dev Tax: ki Yes ❑ N/A Tigard Trans SDC: [$ Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit � q1/4/6A Pby roved Permit Coordinator: �'f�� /0 Date: I:\Building\Forms\B1dgPennitRvw RES_012116.docx '' 1 , City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT i T t G n R n River Terrace Building Permit Review Addendum Building Permit #: /-S / C-, --y 00/6, Site Address: t 3G 3 2 S i f 4 `zt L e Project Name: PQM)Jcrl vet- rieit-- (R., - Tera,e,Z, Lot #: eS (New dwelling=subdivision name;.Addition or.Alteration=last name of owner) Planning Review River Terrace Plan DistrictriDesign Standards (18.660.070.1.): Is the project subject to the plan district design standards?SCJ Yes E 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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.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: 14 4 ` . 3. Entrances:At least one entrance must meet both of the following standards: /Max. 8 ft. setback from longest street- facing wall i'arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: jYes ❑ No If yes,all the following apply: / 25 sq.ft. min. One street facing entry 12 ft. max. roof above floor of porch /jii 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: 0 Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep 'Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide /Roof eave min. 12 inch projection C� in 'Roof offset m . of 2 ft. ❑ Roof shingles either tile or wood / I 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 '/z"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: IX No closer to front or side lot line, than longest street-facing wall. ❑ Yes LGNo. If No (Check one): May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade /50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: /1V12K)i al/odes. 1.4, Date: V /2-/ /1e; 1:ABuilding'Forms\Bldg Perm itRvw RES RT 031416.docx Plumbing Permit Application Building Fixtures 1 OR OH 1( 1: 1 ‘,1: ()N1.1 Cl of Tigard Received i�/�� � ��J/-�` g DateBy: !O ; J Permit No.: "r?/2 ..7....0/65- :71 �J( 5- ■ 13125 SW Hall Blvd.,Tigard,OR 97223 . Plan Review t0 Phone: 503.7182439 Fax: 503.598.1980 Other Permit No.: Date/By: Inspection Line: 503.639.4175 t i`'1 1;n Internet: www.tigard or.gov Date Ready/By: .runs: H See Page 2 for Notified/Method: Supplemental Information ®New construction El Demolition For special information use checklist Description 1 Qty, I Ea. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION" SFR(I)bath 312.70 ®1-and 2-family dwellingSFR(2)bath 437.78 ❑Commercial/industrial ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler l_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: t 7 (4e') '3� n L.}tin t tw 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 IL: ) 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.: gs Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF.WORK_ Backwater valve i 12.51 , f mss' Clothes washer 25.02 ` V' g '(.4 r c, e ge Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 El 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 ❑ 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/D56.29 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 1 This permit application expires if a permit is not obtained within 180 days I after it has been accepted as complete. .Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(IO/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. Ifil City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT li 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 Rtre 4 ': Ei DEPT: BUILDING DIVISION NOV 14 2016 FROM: Angela Graj ewski CM'OF'I IGARD COMPANY: Polygon Northwest BUILDING D1115101'1 PHONE:. 971-212-2144 BY: v' �% RE: 13632 SW 174th Loop MST2016-00165 (Site Address) (Permit Number) Polygon at West River Terrace Lot 85 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS:6:4 . p Des tion �� 4".-*.;'," y ,` cop :vl'IDgio *“ik% ,. , 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. -CMS/ 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. FO ►F E',MOW Routed to Permit Technician: Dater ))_ 1 ) C Initials: Fees Due: -0 Yes ❑No Fee Description: Amount D e: %,--:' * ;-, p mie $ $ y t . . , $ Special Instructions: Reprint Permit(per PE): ❑ Yes rNo ❑ Done Applicant Notified: /97U6-/67— Date: ©tel s I-- ///j 4/j Initia"". I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 C [ o--pL,-----71-17-i-4 5 vit City of Tigar LkAl\- — . la COMMUNITY DEVELOPMENT DEPARTMENT N l i<;A,,a Building Permit Review — Residential Building Permit #: Nlfi 7-e /6, --pp/6,, Site Address: 13 63 L g vv 1 y + , LP Project Name: Pc31 yq0 n of We.)f• (2--Wer (erre,Le.. Lot #: 9 s(N welling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: J\IQ/NA/ . i (Z. Verify site address/suite#exists and active in permit system. ,pi River Terrace Neighborhood: 0 No Yes,See River Terrace Review Addendum Attached Site Plan Elements: );26hree(3)copies of site plan BEaisting structures on site VSite plan must hu on 8-1/2"x 11"or 11 x 17"paper J�Footprint of new structure(including decks)with finished brawn to scale(standard architect or engineer scale) / floor elevations orth arrow [ tility locations(required for new,may apply for additions) • Site address,project or subdivision name and lot number 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.) 91..ot area,building coverage area,percentage of coverage and ,,ergtreet names , 1 impervious area(applicable if R-7,R-12,R-25&R-40) ,'Street tree size,type and location 2 Property corner elevations(2 foot contour lines if morc'than : `fees to be retained with drip line,and tree 4 foot differential) protection measures si 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 Zi Public Facilities Improvement(PFI)Permit Required: 0 Yes,applicant was notified ❑ No Applied For: 0 Yes 0 No,stop intake • Land Use Case#: P p a.,2.11 I S O0001 , Sw3 2.o{S _ 00.06 . )6 Zoning: g-7 Setbacks: Front 1 Z Rear 15 Side 5 Street Side Garage ry ie Landscape Requirement: 2.0 i,Lot Coverage Maximum: 0 Building Height: Maximum Height Actual Height /# Visual Clearance I2'Easements /kr Sensitive Lands: 0 Yes /No Type ie Urban Forestry Plan IZi Conditions"Met"prior to issuance of building permit Notes: Cndit0nc to be. (Yo ' Brisk r i'v .IS I VC4 n LA. 0t bLi(c(AV1y Per 4,v1t+ , - kii>.-ea tree, f(Cln elan,nc1t-cg.(. trezz. rlexi t•0 vv(:,t-Y at-er. Approved By Planning: 470 r7 j) f/)OeL .C4A-A- Date: gf 12/j 4, Revisions (after Building Submittal only) A Reviewer ,. Revision 1: A Approved 0 Not Approved / .7 5� to Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:1Building\Fonns\B1dgPennitRvwRE5 012116.docx 0 t Building Permit Submittal Original Submittal Date: / 47 /b Site Plans: # Building Plans: # Building Permit#: P.-Enter building permit#above. Workflow Routing: [T-Planning CI -Engineering Permit Coordinator 1uilding Workflow Sign-off: GYSign-off for Planning(include notes from planning review) Route Application Documents: IfrEngineering. (1)copy of permit application,(1)site plan,(1)building plan and original plan review routing form. Er Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: e—' Date: x//29` 4" Engineering Review 7 Slope at building pad: 54 Conditions"Met"prior to issuance of building permit ❑ Easements(encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot 0 Yes 0 No ❑ NOT Appro ed x Engineering:1,e.------W Date: Notes: a.J9, ./ 41 p19,141,7- / J7 JApproved by Engineering: AL Date: gS'Z�ZA Reviewer ate / Revisions(after Building Submittal only) RLt--3 "7 ? r� . Revision 1: Approved 0 Not Approved ihtk,.� Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review (9Conditions"Met"prior to issuance of building permit Approved,NOT Released: C C Date: S - 4f, - V0 Notes: EN ( Go.. a.; 4-+ovvs h b-t v J 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: f15( SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes 0 N/A Tigard Trans SDC: 21' Yes 0 N/A Parks SDC: 1 Yes 0 N/A 17/J-7— �� OK to Issue Permit // ito A'proved by Permit Coordinator: I i Date: 1:\Building\Forms\BIdgPermitRvw_RES_012116.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13632 SW 174TH LOOP, SHERWOOD, OR, July 18, 2017 at 10:53:32 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00165 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13632 SW 174TH LOOP, SHERWOOD, OR, July 18, 2017 at 10:54:20 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00165 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13632 SW 174TH LOOP, SHERWOOD, OR, July 25, 2017 at 3:10:22 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00165 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: p rn DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED G OCT 252016 "�� FROM: t / / 1 WS�t CITY OF TIGARD BUILDING COMPANY: �; ;J,,,n n \'�, S l(1� DIVISION PHONE: crli ala_a�1. �' By: WV RE: (Site l dr�J- `S" ` '-1 1.-c°P enmtTumbe (0_col 405 b GZ. cued name or subdivision name( lot numbet ATTACHED ARE THE FOLLOWING ITEMS: �. ... .... •,:ern � Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. 3 Floor/roof framing. -bSt`il'T Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: m C2-Q..1 . 8U�b� c cp\ke.Cv Citi cQYl�l�l . S . ', 4-6 '\A k Routed to Permit Technician: Date: ) Fees Due: ►.f Yes ■ No Fee Descri.tion: Amount Due: r $ Special Instructions: Re.rint Permit .er PE : ❑ Yes !'No ❑ Done 4, A. .licant Notified:G! _ Date: _jEhaifil I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012