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Permit (52) CITY OF TIGARD MASTER PERMIT 2, '- COMMUNITY DEVELOPMENT Permit#: MST2016-00324 TIcARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S 106DC06900 Jurisdiction: Tigard Site address: 13718 SW SABRINA AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 69 Project: Polygon at West River Terrace, Lot 69 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $219,579.26 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves are SCOTTSDALE,AZ 85258 required one side only PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,250.52 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 OA' '72-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / 4000 Issued By: ' • 4-7-1--C...._ Permittee Signature: /A✓ 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. t Building Permit Application,, . �c�' -, a . _.I, G " __ 2 .,7 / a City of Tigard qq Received �.// /( P6ermitrro p%/ Cit SW Hall Blvd.,Tigard OR 97223 I/ q 7 . 15 p�grew e Is `` Other Permit , Phone: 503.718.2439. Fax: 503.598.1960 Date/B : �/ 3 I .S `e ,21,1 ," T 1 C.:f:(� Inspection Line: 503.639.4175 " '/ t 1 ',t i' r Date Ready/By: �/ / -l'is: I See Page 2 for Internet: Line:www.tigard-or.gov Notified/Method: < r-� /4,- Supplemental Information V" l' n '4. "t{ 1,�.f3 a1 -r 'fL �,v �.� i f:�I k ".d Ifl"i a ry ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement iii Other: .. ,Y 7,2 ` F � , , ; r ,- 't work ed on this apCah- . . t+t` 5%.4 i„wr3C ,_.-. s ' -' . . valuation: $ Cf g— ki ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building El Multi-family Number of bedrooms: - ' 9/' 79 Other: Number of bathrooms: , ❑Master budder 03 r- 11:7 - r �, .fi ^az`3 �g_ 5. : =i._ P Total number of floors: 2 :�1.I C / 5(9 ri �, New dwelling area: (--4.14.._.\ square feet Job site address: 1 4111M City/State/ZIP:Sherwood,OR 97140 Garage/carport area: "1 v� square feet Suite/bldg./apt no.: Project name:Polygon at West River Ter Covered porch area:.T' J square feet CI ., 9 Cross street/directions to job site: Deck area: . I 0) square feet ' 0 j Other structure area: ', square feet r � �y .,aE.L-.,mss_L.. Subdivision: Lot no.:tpl ) Permit fees*are based on the value of the work performed Tax map/parcel no.: J Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the y.; 1 �- to �-� 3}- , - work indicated on this application.i,F ma -. i ' - -.." -. f" .t d ZICar,41c ,f-. .., • - , *,..- ,sw"„-,..,.,,„.,,,,,c�� , Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet 4,,7__:,-..:-.,. �r ,"` ,� �t V „,,,f,,,,,,,,,.„ „ Number of stories: Name: iipt _ r j!>Ir '// l Type of construction: �/ / Address: / / / ` / Occupancy groups: City/State/ZIF i / di. j Existing. Phone:( OZ *. 07? Fax:(360)693.4442 New: ;s ---477-'7,-:','"'-- T '� ms's -, t„' 'E "4cP.:k ".„;.4Z- 5 .'-',:it s 4 Business name:Polygon WLH,LLC Structural plan review fee(or deposit): . � ��" ,� �2 Contact name:Maggie Gordon Address:109E 134'Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98660 Total fees due upon application: Phone:(360)695.7700 I Amount receive Fax::(360)693.4442 d E-mail:maggie.gordon@polygonhomes.com � �w�;� ;, Commercial and residential prescriptive installation of , i::..t g =a r� . , � _ -£' '2-1,7-7--i•':-,:E4r ` , roof-top mounted Photovoltaic Solar Panel Systems Business name:Polygon WLH,LLC 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 City/State/ZIP:Vancouver,WA 98660 $180.00 and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $2L60 CCB Iic.:207247 Total fee due upon application: $201.60— Authorized signature to, V Twhiispermit applicationexpiresif apermit is not obtained thin 180 days after it has been accepted as complete Print name:Maggie Gordon Date:12711/15 "Fee methodology set by Tri-County,Buildmg Industry - Service Board 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) I e'z'V i-i 3-1 Mechanical Permit ApplicatW A ; 4 . City of Tigard Received , NYV-‘ - II 13125SW Hail Blvd..Tigard.OR 97223 11.i NI 9,7 2 n16 7°70/600 Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960..)i'' ''''' DatetEty Other Permit Inspection Line: 503.639.4175 1 R..5.P..-0 ,,- ,A' 5"1-•/'' -'.,„!,.)1 t Date Readyilly. Inns' Ed See Pagel for i Internet: www.tigard-orgov ; 5'" ''-' ' ':"' ;',5:'-"-'-'''` NotifiettiMethod; Supplemental htfurinatine :,,,...,,,,,,,, .;. ,,,,,,--:.,.•,,,,,,:,,,,,,,,,,,tin-4,,,-,,,,,-.4-ttkictipiwitir f'-!''''.-,, .,.- .:-..,,,':.:',..-,?,4?,.:::- ..--; :,;;',.:.::';', 0.1i.'.tkt;ISAA14:::::Arl 7.'"--::.,X14$4,04**0:0#14:01,"'":',- ,.-_,''''''-'-'----"'''''"'''' Mechanical permit rims*are based on the value of the work 0 New construction LI Addition/alteration/replacement ' performed,Indkate the value froultdod to the nearest dollar)of all 0 Demolition 0 Other: median:kat materials,equipment,labor,overhead.and profit. Value:S --- V *rf:4M4A-V:-gn:iin;•,,,z. ,, . ttwmivia,i1.,,„ ..- 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Per specird brfermation me eiterilbt 0 Multi-family 0 Master builder 0 Other: Description I Qty. Ea. I Total 16-it-Siritiiti :0(!tvtli*Oti,404 ,*Oithi*i'A4,04z,;„-.„.-!-; ,:3,1,.,zi,, • 1-1"tirirrit"lirtrz 1 , 46.75 lob site addres,s1 .") 10 SVJ '1 Sctbn% nYjt-.3- 1.,_Th Furnace 100.000 BTU(dricts,yeats) ;1 46,75 City/State/ZIP: l'- .)- 11 0 044ors., 1 l_....-1 \-1 1 : Furnace 100,000+ani(&cost/mots) 54.91 Beat pump 61.06 Suiteibldgiapt.no.: PmjeCt name:-PD K)(tlY1 aj- t)J04 - Duct work 23.32 I Cross street/directions to job site: Lc( 3,._ii4(Jflydmitte hot water system 23.32 Residential boiler(radiator or hydronk) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc, 46.75 1 Flue/vent for any of above 23.32 Subdivision;River Terrace Lot no.001 . Other: Other fed appliances: 2332 Tax map/parcel no.: - Water heater 23.32 ;.1....1;'..Arti'VyijOirtzti*'''''''''''''7,&„ /;'-'1;-;:' '.:i5I,WIntr,tIgliSK4Sti,..„.°0 Gas fireplacelinsert 3339 1Flue vent for water heater orgas MVAC fireplace 23.32 Log linker teas) 2332 Wood/pellet stove 33.39 Wood fireplace/insert 2332 , 1 : Chitrincyflineriflueivent 23.32 , :.,z0:,,S,V..54 ":- ,, • ,.. ., .,,,,,,,,tvc,, ,,,, :- Ii,;:;:e.,,-41;e:tj•--4,1,4IfiNit,' ,;:4-1:'..,:,47,--Tti.,,,,utotg„,,,,,,w,t.- , h • • -- .-,-:.-,',,i7-491.-,:,•:',t,77.1 ",,,-,7 .,...:wh-em.t---,-.-,44,-A.-A4,---y-..,–..7.---4-– - -----', - —----‘ 1 Environmental es. east arid ventilation: ' Name POLY tprd. Midi st . Range-hood/other kitchen t fir .rli, a . r---1 equipment Address:1;10a) f„, 6 i ..,41, '0__ ' r , ‘1,...rt 1 Lai 's---1 Clothes dryer exhaust 33 39 , 33)9 . 1 Single-duct I City/Statc/Z1P:1 - it a f' 0 197_ Q . exhaust(bathrooms. ,5-2_%-- , 4toileicompar,me„,3,,itility monis, 23.32 ' Phon-',-e: (n —..' (7:- '! iiV4.-5tVfi1IFax.,,1.:aM) Atticierawlspace fans 23.32 5k Other 2332 Fad piping: Business name:Apex Air LLC $14.15 for first tour;$4.03 ter tech additional 1 I Contact name:Stasi Hay Furnace.etc Gas heat pump Address:2210 W.Main St.Suite 107-272 . I . Wallisusperelediunit heater ! City/State/ZIP:Rattle Ground,WA 98604 ' Water heater Phone:(360)342-8109 Fax:;(360)326-1769 Fireplace 1 .. Range E-mail:stacileitapexairto.com Barbee ' ,,Z-.... -.,.. , ....,,,:,-.:?*;,iitee,'zia:,:,,f4;95:',:vi,.:4 --;-:,j-:'Iti:. 4ii':::*,04'i,zilitipif.,',. . 41 -04.- :oodles dryer(gas) :-.-.-',2"54,:i. :14444,',40:-,-Y:>Ait:-e2.5.4)...:.t..-...,:'-, > .. iAttfi: -.4:-r-L,,,,,-vact..a.,. *,..,,,,..,,,ett,,,,,'k,,,, •:, I Other Business name:Apex Air 1..1..C7 Weng-AttlFZZ-','''-iii.i i ''q .7;:.,i':', Address:220 W.Main St.Suite 107-272 t Subtotal City/State/ZIP:Battle Ground,WA 98604 hiitriurit permit dm(S90.00) Plan review(25%of permit fee) , Phone:(360)3424109 Fax:(360)326-1769 Slate surcharge(12%of permit fee) . CCB lie,:203034 OF I at& ' ' r ----- ... - TOTAL PERMIT FEE i_ This permit application expires ifs permit is not obtained within 180 / item. "".' 1'''' ,,, Authorized signaturcf ' ' :,,,.„,/,,1. ,, - days after it has been emitted as templed. * Pee inethodoingy act by Tri-County Building Industry Service Board !I • - ' . ,... „,/ Date:1/28/2016 Print name:Stites hay VAviMimp,enniuMECJ'aveRAIM-0'W"3*x 440-460711M72COMOXO” , ? .. )rept.." ItTL�7 &"t' 7 ia' 11g � !'err�� 4 ..; i3!?S S J Eis1 BtYt� 14ord OR:939223 ,€ � Y Y- S tone 3037!8.11139 flax.5O3 X59'1461)U Iii G ?nib. event • Keiat«!Perunta on l+rna 3 3 63gd175 I- ,A L IZa `t/kaliy s intenCt MY1� �dCa a101 "'a-wet/kali 1� 2lXaR2Yni -T -iir zfl 't r�£..� :sr : ,. pl-------•-.arnrohon onhc#�i '1:115.41,. .'...1:!.2.Z")::aa7�a1I71GiappT (3aTanR2sKtsfTarg lilfimngtbGcfitity : Cii14T!#70II: tt"Q.. •QSttYrcear{ecdrt400 wmora Bm rn `.Qtiacr ,l 7dcoVerkbra;atorie;. # ... dtcavafLtb7n(aniteuneu� Q M ff aad baa rds j AWO�t � , a .� ,',17.,,,,,,...',..,1 '..7-r„.-..!.- sQ�Oao anipJ i50 snits or Q Fo;ngbui}Tdingf. 1 and2 faintlydweiting 0'007*ercialindustl al ®Accessarybu1tdtng e4' 4 ,4141190011 Q,*mfimein meagdcultutal nit Qivtnttt-*1,4ly 0 terbnatdelr ,Jt3ter 0 pa �+'t - ' 9 P4'n er1 1.4*,!iilhtian1,4niCy!or I tiiaaYoru�.: 61$TT1 0�ltOWU 3';LTit.�710 , QEtnersecYSY�t�• luge[aepueietyderi+md t �dpb : dab site address; / L rtwa of no*miter toad al *item V IPCIIP«rtarc Q C` �', 1-3; City,Stat ZlP Sherwood4R9714p [37Sxormwrrrerrdentiaiouits; nVs Y • QiiealW oarataptw. �l2teereahonf veludi.pad6. 'Sllltet�f(tg.�BpF, Ft'ofGCttl tate: t7Ha�mdoas1ota4oae.., Qsr y Pltngeiormoralbxn Cin§sftreeVdireetiorisUi Job. Q ersicepif arGoOrrmps«mofr roo itsnomtryi Neya ratdeitiraT 1;oh ! > 1 -rwis• 1•. /� singta•or multi-ri011I ditrl#tog rami: Subrttvisioir•Rtret Te retie Lot# /1� lriclnde�3tia Erd gnru Tax mVP/Pa 4 (ill 1006 s It cr less 16�.a; i 44 'z ETt S€ l Tto 1,431? (#7tif •.... Fn add liQ6t q rc+uPat on r 33.,x? • ! Lon, gyL tri#dettival: 15.99 I+1s+ itiglt 0auiJy +vrthahuvui.-T1:) / 1, ott"dd enet3yf g 1411. ItIAIy resider: ! nri t1a1 tat abovesg rt.). 7S i}0' „ '" itiiiitvsbkEtxei y Q Serf e2 7GRCAi9T $exvtcss rt l #asiiitisttwiA,-til,, a°adlt reRaeaiiora Adtltxs 1� i / 10i.'* to fi06 mnps 4.'1_71:1';.3 3 SCA.- . altl;atnps to .t1358_142 .0 .. 111 116 -VAR/4 6.1 nails:;T5on Ott - .7 �_ LTJ :fir.{ ) to ua; ' 2 Ematl Tempaia servaces'ee seeders.lastailation.aitenition,auafor retorattan O 4gr htsfallatlon Thus lastailation is being made cur pia,OrtY Brat T own which"i$'lot' " ox less: •Intended for sate,tease,rent or.excbange,according to,ORS x#47,449,670,X701, 201 snips w 400 amps t25 08. 2: , OKIIerxignehitc . Date: 401 amps to amps 768 i# �( ► i'I t ATYrc [�'C4 ACC fEsR---: Branch eteeui s—ttesv,alteration,m. p - Vision, er airtL Business,name:Canter Electric Washington,LLC pabov sWice. . fee eaehbiatictt.dicgtot 7_13: 2 Ccraliktrtattiet410Daniels S FeeTarlrraltetrct""tstrir/mrr Address:6101 NE,1,,Tolins,ttd ismer:orfecder lee,6rs 36 t8 3 tasnrh ctrt star Cttp/Statt jLtP Vancouver WA 9$Stil Eac3i tt l branch clrcaTt 7.4?' PhOn� $20 6 3 1rfuie�lladanistseti;iteirrfeeder aotlnduded} Fax::{" ) iiClr taanttt3rcaGi ttiotlatar Emma! bd dFssxTttn€ ciY'recandtartccarr 6784 2 sate[ Weusu rata 2 . , s t�7N1ItAG`CtYlt . .;.Y pRecoR,cto, .. map tis'irn5ahgn iteJb 6?:84 2 B6smeas name Garner t;lectrce Wash ngtotl:LLC- Sign•o mtdale lig i S G7 4 n srgrtala�tdhtl{sj•prlt@utnd epergy /sdelttx:~aitli N StJa6ps Rte '02;14,4Iteta6oi f'or c ititsioit El Set ag 2 L'i01.$tats IP•Vnnemwer WA.98th Bach"*dtGhaaa1 zoaprc#totti;bver aTtotrabTe io.. .ot the above Phlxiac X$3 32t11 S/ P 0.40 tOsAeciiatt(i�'1ir!tiro) 66.251 tis' I .( ) (1.brnim) P0.0Wln, Bmatl°bdatiteY0gweusacavl ladiiiiii laauttl i t iirlh) 7 .!0* lasp*l�ais rolav i011i 4411 90;0144 C Lie•:,,,C),1*. i'lscttica.:Lip,:. . 208i74> '' s.ory.T.lc..4496$ b it i F hria S�rr Bfec{tielan aignalnrc,regnired: { • t r, 7:4� Gi i $ ` '. - ttblvtni. Pant aanic driaa P l belt 0.sty ail!tt1 Q Pt4i Ttevirw Reyulied !f'.�t .*r •g•ate•ialic4iarge 2 of:lobi 4 ... ,:.nzedstgl. ..,„ ; •• T©7ALFEfik3iTIT'E ,Pt RtilBiaC.„$i�tl�atllClS .,Ditf: T spa'udiolpplk*Ilieesptreetrape*11.lanotob'talmdivI!Eitt 180 1 k- Ito daysiito <iii w'deewiuttiid ribarplrt, i * Nomlierof iu ectioas aQwveil Oar:etarrlE ashen441iti reinitApp 17.4 taitt4,74 iiw+wiz ii aro aeisiiiltiiritxi+trivati I • Plumbing Permit Appiieati©n ,A.,,,. , Building Fixtures City of Tigard o j ,1 ��1 �ia Permit rloi f6 'fid 13125 SW Hall Blvd.,Tigard OR 97223, 4 ,®,''x Pian Review p Permit 33a.: : 2 ' Phone: 503.718.2439 Fax: 503.598.1'960. , Date/By Inspection Line: 503.639.4175sex-, :,11%,;e fr'77ate Ready/By: Juin: BI See Page 2 for I f t '�R C) Internet. www tigard-or goo 1.--';';).t. �.'f '1Vonh,.dMethad Su..lemental information For special information use checklist ■ Demolition Description I Qty I I New constructionEa. Total ■ Addition/alteration/replacement II Other New 1-2-family dwellings(includes 100 ft.for each utility connection) x ... 37a : a a 04 , r� ' v , �` � R(1) h 312.70 . ; - ', •' ,. p . _ s .', ''' SFR(2)bath ' 1111 1-and 2-family dwelling 'lime Commercial/industrial FR(3)bath i 50032 al Accessory building II Multi-family Each additional bath/kitchen 25.02 D Master builder CI Other: Fire sprinkler( sq.R.) Page 2 . 1�3 S Jobosite address: WS(Ijo ,n Catch City/State/71P: J A r 0 O(� �'ai �� basin or area drain a •i-' t*l J ,. Page 266 Suite/bldg/apt.no.: Project name: Q() no-y-, l ti-e '•home utilities 50.03 Cross street/directions to job site: U 1;k\tJwtf '�(e Rain drain connector 18.76 Sanitary sewer(no.linear fL: ) Page 2 Stortn sewer(no.linear ft.: ) Page 2 Water service(no,linear ft: ) Page 2 Subdivision: } Lot no.k901 Fixture sr item: Backflow preventer 31.27 Tax map/parcel no.: „, Backwater valve 12.51 r .,_,',,,.5.111:.!',,,, 4 ls . � aCohes Was her 25.02 fu - f1u-1 Jl.i Dishwasher Drinking fountain 25.02 Ejectors/sump 25M p . ,,a„,,,,,,,,,,t, .,.�. ' .. R Expansion tank: 12.51 II .€ s. _.. ..s FixturcJscwctcap 25.02 Name: MI-V � 1 i' IC' �'I Floor clraiu/flaor sink hull 25.02 Address: 1 /V� +.-°� 91 f i I t_1�, ' ,_%_ ,'A .f I *1 Garbage disposal ® 25.02 City/StateIL1P: 5(� I / & Hose bib IIIII25.02 Phone' '/ ._ I re rD `._ 111b. — `'1 ` Ik.inaker _ 12:51 25,02 „ . „ ,_ Medical Page 2 NM Business name: .}".i- t,L ?'', i' 1 LA... �1�l r;lax .e hillier II 12.51 Contact name: ('0-1(1/ k.>Fvt ---/V.--Irv-'r r-t+3 Roof drain(commercial) 12.51 Address: .k.) p. f y4.. t--),--7 + City/State/ZFP: X1"'1 t)42.,„ ) bk , Phone:PO i ) '3-3 Fax::( ) + wer pan 12_51 . Urinal • � ® 25.02 E-mail: 1<-1,---1.4 .k°^r"s st. 0. 1°t it `j• ,c I. ater25.02 ,. : .. ':;',,,-,:;,„.2',!,...,.. ...,i,,,,'t a ,,c;--.4, v ,,a-,,'-'71 %'''''.. Watt: t.- 37.52 Business name: 14.-1-'i ii(.I 1,-,ti..c, PI Lei l i t •�L-�. : ) 56.29 Address: po C DI_ 13-7z Other 25.02 Ci /State/ZIP: -7 Subtotal tY �' Minimum permit fee: $72.50 Phone:(q j1) i' -q/13 Fax:( ) Plan review (25%of permit fee) CCB Lie.: 2,(D62 A...„,_ Plumbing Lie.no State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE r This permit appiiratiun expires if a permit is not obtained within 180 days. Print name: V a.Y<- f i:f :. g cj.I., Date c” .G}I it,,, f after it has been accepted as complete t •Fee methodology tel by Tri-Cotmty Building Industry Service Board. I:1Btrilding'Fmnita\PLMU.P nn4tkpp.doe 10`01%09 440-4616TtiO432,COM/WEB) City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT T i G A RD Building Permit Review — Residential Building Permit #: /is 7-02c, - (C3 Site Address: 13^7 • LA) ScLbr-i nw . Project Name: -PU u rr o:(- We, j-f- 12; te-e- Tee-rotc-e_ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: r t,..) SFR .0 Verify site address/suite#exists and active in permit system. Oa River Terrace Neighborhood: ❑ No C7 Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3) copies of site plan ,Existing structures on site 1-Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Di-Drawn 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 17'Location of wells/septic systems Applicant information(name and phone number) ( Erosion control(including drainage-way protection,silt fence R'Lot dimensions and building setback dimensions design,location of catch basin,etc.) [ Lot area,building coverage area,percentage of coverage and JV5treet names impervious area(applicable if R-7,R-12,R-25&R-40) lStreet tree size,type and location Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) protection measures krClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: E Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: JlrYes,applicant was notified ❑ No Applied For: a-'Yes ❑ No,stop intake lc'Land Use Case#: 'p P R .o l 5 -(Do o o4- L-Zoning: Setbacks: Front Rear Q Side 3 Street Side -- Garage [ Landscape Requirement: .10 % 3 ES---Lot Coverage Maximum: $a % (�c ,2?'Building Height: Maximum Height N/A Actual Height Visual Clearance i r\ e-n U✓ Easements a Sensitive Lands: ❑ Yes Dii'No Type LN' Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: M tA- co r‘ S;-\-; uin S pr; ov -Iv bw L cl;n) p.e-r,),4-• Approved By Planning: aa. 0a.Zi.,A-2Date: (o a2 7- Revisions -Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: 6/�7//f., Site Plans: # :-5, Building Plans: # __; Building Permit#: EEnter building permit#above. Workflow Routing: E.-Planning engineering 7ermit Coordinator -Biiilding Workflow Sign-off: C "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 ginal plan review routing form. lir Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: .KC: , By Permit Technician: Date: ,S=7",/b,/,"x„- ANN r _ _ Engeering Review Slope at building pad: ?":Conditions "Met" to ince of buildingpermit prior 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: El Yes No El NOT Approv:d by Engineering: Date: Notes: s ._.. i_ . . ie_ !. — MV .- , .�. o Approved by Engineering: 27 Date: -j7 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit pproved,NOT Released: • 4(,--Date:20;z/// Notes: GGi �i% 4-e-G c.-44r 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: DC Fees Entered: Wash Co Trans Dev Tax: ya,Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit /l Approved by Permit Coordinator: ! /*V-Date: 9/7-7`S� I:\Building\Forms\BldgPermitRvw_RES 012116.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 1111 I T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /L-IS7-,6,/F, Site Address: t 3"71 '6 s S n eve Project Name: Po 1 Li el o,., a f- 9 �Z-,Iver Tia� Lot #: (0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards? L'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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep 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: a 6 /o 3. Entrances:At least one entrance must meet both of the following standards: Di'iv.tax. 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: 53'Yes ❑ No If yes,all the following apply: CR25 sq.ft. min. i"One street facing entry -NY12 ft.max. roof above floor of porch ®'S ft. depth min, o .a'30/o min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep IN-Recessed entry area min. 5 ft.wide x 2 ft. deep jk Wall offset min. 16 inches ❑ Dormer min.4 ft.wide Roof eave min. 12 inch projection I'Roof offset min. of 2 ft. El Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches 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 El 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. ❑ Yes ❑ No. If No (Check one): NOP -cr I it') I v°J" e ❑ 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 El 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Q c�� Q . Date: k;; I:Itt 6 -17- i b I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Albert Shields From: Albert Shields Sent: Wednesday,August 17, 2016 2:29 PM To: Maggie Gordon (Maggie.Gordon@polygonhomes.com) Subject: MST2016-00024, 25, 26, &27; Lots 69, 70, 71, &72. Attachments: Conditions - 08-17-2016.pdf Maggie, as you know, many of the conditions for PDR2015-00004 on the attached list have not yet been met. Accordingly, I am setting these permit applications on hold as Approved but Not Released. Plan Review will proceed. Albert. 1 Plumbing Permit Application . Building Fixtures , Ci of Tigard n P- D sed/O G (ll Sj,�/G li _ Pex�nit Na.://A L I' 13125S W Hall Blvd.,Tigard,OR 97223- L�;f • mai Reviw INPhones 5(33.718.2439 Fax: 503.598.1960 QthcrPermit No.; Datemr, .Inspection Line; 503.639,4175 T t G A R D ` " Readyrey: ours: $J Sec Page 2 far Internet www ugard-or gov 'Nori0edlMethad Supplemental Information x.._ .,: .�: y - ,1YI E F WORK • x ,-r FlF'F}SCID Z. 0 Demolition For special information use ehecklist tt--tt New construction Description ( :Qty. I Ea; I Total I....t Addition/alteration/replacement El Other• New 1-2-family dwellings(includes 100 ft,for each utility.connection) .c2�TF�C Rf' of co1QSTRilcrior '+ sp..(1)bath312.70 1741-and 2-family dwelling Ll Commercial/industrial SFR(2)bath 437.78 SFR(3)bath l 500.32 0 Accessory building 0Mul t family Each additional bath/kitchen 25.02 0 Master builder 0 Other: . Fire sprinkler( sq;ft.) Page 2 R B 3NFDRMA11O151'A1'D LOiCAT1(Ilcl Site utilities: Job site address 3-1 16 %\NI Ja Aly‘ i'kif 'L Catc basin or area drain 18.76 Drywell,Ieach line,or trench drain 18.76 City/State/Mt:Tigard,OR 97224 q7 Footing drain(no.:linear ft.: ). Page 2 Suite/bldg./apt no.: Project name:Pv 9 ett" 1- V.f..V� rf1('l r anufactured home utilities 50.03 Cross.street/directions to job site; J Manholes 18.76 Rain drain:connector 18.76 Sanitary sewer(no.linear ft.:, ). Page,2 . Storm sewer(no,linear t.:, ) Page 2 Water service(no,linear ft. ) Page 2 Subdivision: ®1 u1 Ul WY �+J°.�i)- ,46,�U c?2.e Lot no.:� /IQ\ Fixture or item: Tax map/parcel no:: Backilou preventer 31.27 121. .51 ,:ii:,,,,, . ., I3ackwHter YHI- D CR1PTIt N OF<WOEK j ��9. / Clothes washer 25.0 Ui 72( r(J1a,Y79e, Dishwasher 25.02 Drinking fountain 25.02 Ejectors/swap 25.02 ®� 73t)PRR1'X , TENANT Expans ion tank 12.51 Name:ADPL Land Holdings,LLC Fixa re/sewer cap 25.02.. Floor dninifloor sinkihub 25:02 Address:7600 EDoubletree Ranch Road Garbage disposal 25:112 City/State/ZIP;;Bcottsdale,AZ 85258: Hese bib 25.02 Phone:(602)6944031 Fax;( ) Ice maker 12.51 sy T 1VT, 6.. i i 4"rcept9r1S ase trap 25.02 • Medical gas(value:.$ ) Page 2: Business name:William Lyon Homes,Inc: Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sinldbasin/lavato y 25.02 City/State/ZIP:Vancouver,WA 98660 Solar wiits(potable water) 52.54 •Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.5 B mail:Angeia.Grajenwski a®polygonhoomescoin Urinal 25.02: Water ciosot 25.02 Water..heHter 37.52 Business name: tt,,yNU 114 617011 a„Wi "- WHterpipingiPJWY 56.29 Address: p.0. Other 25.02 City/State/ZIP; Sr. e G~„i •41113.1 Subtotal # +� Minimum permit fee: S72.50 Phone:( b,r Sur, 7Z�LL�+`1 Fax:(1 t.ii la ' :i/0 - Plan review{25"A of.peruut ) CCB Lie.: Jia .,. Plumbing Lie.nilly State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE: Print name: SL+ tilt, .W 4. Dater- : This permit appiteatetpireif a permit is stat:obtai .:d within 184 days afterer it has been occupied as complete. *Foe methodology set by Tii-County Sulking Industry Sen ice Board. toiulltding1Pentta\FLMU-PamitAppdoc 10/01/09 94O l5F(i0ld".(CO?,ttiwES) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13718 SW SABRINAAVE, SHERWOOD, OR, March 9, 2017 at 9:53:29 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00324 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Correction not complete for left side of master tub. Inspections to be scheduled when corrections are complete and ready for inspection. Investigative fee applied for re inspect with correction not complete from previous inspection. R103.5.6 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13718 SW SABRINAAVE, SHERWOOD, OR, March 10, 2017 at 10:09:08 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00324 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS Comments: Correction from previous failed inspections complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13718 SW SABRINAAVE, SHERWOOD, OR, March 10, 2017 at 10:19:35 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00324 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide slope away from house right side, 6" in 10' or approved drainage swale. R401 .3 Provide approved sidewalk and approach inspection. All else appears ok. Violation Summary: Inspector Contractor