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Permit (51) CITY OF TIGARD MASTER PERMIT IN wi '' COMMUNITY DEVELOPMENT Permit#: MST2016-00327 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S106DC07200 Jurisdiction: Tigard Site address: 13678 SW SABRINA AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 72 Project: Polygon at West River Terrace, Lot 72 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 628 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1645 sf Value: $206,541.67 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: 2 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 1645 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: $29,985.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: �L L 1 — Permittee Signature: . /1/ ''/ "�'--j?1/N 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. V C Build><ng Permit Appiicalt -'I; 0 , ,,„ a '—" - '‘ 41 FOR OFFICE 1 SE WsLl * ''';4-,-1-',.6:-'411,---T4-1 I Re a ive ,f//�' /�_f' Permit No /�,F'✓`E 0J;17 City ofTigard J lJ Py 2 i 2 016I c - other penii,J-4,/e.26,6 11 13125 SW Hall Blvd.,Tigard,OR 97223 Pian Reviev.�} Date/By: Q MM. H See Page 2 for Phone: 503.718.2439 Fax: 503.598 196Q i c,'i' Daze Ready/By: �/ j�� / T I Ci R 1-` Inspection Line: 501639.4175 NotiSed/Method /3 dS( L Supplemental o Su Iemental Inf rmahon Internet: wcvw.tigard or.gov 11 "T � 4,4 a 4/1- ' /r - - .rf ? '. ,---z, z.t.e.._ A` 3E,-,P" :^A�u:2-ri.^ `,--,- ,- .,----...e':• -e..,s - , ......a-...-.-.a.. _ _ I Demolition --------------- Permit fees*are based on the value of the work performed_ -----::-2- "' ''''I'----''''-' ❑Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the 3 work indicated on this application. :, z ® 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: ❑Accessory building 0 Multi family Number of bathrooms: 0 Master builder 0 Other. Total number of floors: 2 _3 }. ?«€ .4 4 c� � square feet J - a a. I New dwelling area:` q Job site address: ' iliriir414 ��poi / - .-- square feet Garage/carport area: IA r q City/State/ZIP:Sherwood,OR 97140 Coveredporch area: `�� square feet 1 0 17 Suite/bldg./apt no.: I Project name:Polygon at West River Ter Deck area: qj square feet g a.8 Cross street/directions to job site: Other structure area: ' square feet • e, ,-€ ag b �{ - G Y : 9x 3 3 '-°::,_ ``.-Pi --d' f-, ,` . _.-. fit:r:. Lot no. Permit fees*are based on the value of the work performed Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the w _-, Y, e M : `, work indicated on this application. i � F a Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet m ;, ` YL � il =z f� '-":x €a', :4. . ., Number of stories: If Name' . IA II% . `I_ [ Type of construction: tructio n: Address: / � ` i '; i7 'aI �LOccupancy groups: City/State/ZIP: ♦ �. . t 1 s ' Existing: A 1 Fax:(360)693.4442 New: Phone �� e / ,n-� .._.._._ .... *_. � �-1,-:::',-;::,--,,:.,-;:-aCFa r F' `.'Yr9 < ."? » -� . s, . Business name:Polygon WLH,LLC Structural plan review fee(or deposit): `Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13`h Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660Amount received: Fax: :(360)693.4442 =` Phone:(360)695.7700z-`-� `z � �`�: h>t�`"^' � <s �� ��3 t b a�� z s�C��.. E-mail:maggre Bordon@polygonbomes coin Commercial and residential prescriptive installalion ofg ki r _ �2— M `e' a, '"'2"";!t'''''tf' _,, "''''''.-7'T'''1,4—'1:. roof-top mounted PhotoVoltaic Solar Panel System. �- Submit two(2)sets of roof plan with connection details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:109 E 13`x.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 CCB lic.:207247 Total fee due upon application: $201.60--This permit application expires if a permit— is not obtained Authorized signature: within 180 days after it has been accepted as complete. ill,v. *Fee methodology set by Tri-County-Budding Indus Print name:Maggie Gordon Date:12/11/15 Service Board. I:\BuildingtPer<nitslBUP RESPermitApp.doc 02/24/2011 44046132(11/02/COM/WEB) Mechanical Permit Applicatiob,i,-,".------- Received '''' City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 Dateilay: JUN 2 7 2016 , P'"NG/V---(720/A —Oe23.,17 pl.R... . 1... Phone: 503.7181439 Pax: 503.598.1960 TmeiBy Other Permit ,.,,,...,,) Inspection Line: 503.639.4175 . '-, ; ,.. = '.- - ' JDate Readv43v- Jittir ee,Page/for I Internet www.tigard-or gov '-' ' ' ' Notified/Method:- . Suppiententad Information , Mechanical permit fees*are based on the value of the work Li 1 1.4 New construction Addition/alteration/replacement perforates"Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials_equipment,labor,overhead,and profit Value:S (t ;',4.:Li..g..W-,;,40t,,',:+t•..,i,.,;,.`;*w,,.,ai „ .„.,„_ ,,,,.•, . . , ,, ' :''...'''';'-"'''.7':;.:,.•'','':-.'.-2''.--;,.....2F-7,7",..,,,i, ,i., ' 4ik, `,...::.5.,-..,,,!".4,..,.....,.....„..',.._. -.444E3.40,4X.-f.,.V: ',...;:.. '0:04 ,-,,,,,,i.4 ,.,.;;-,-,,," ••.,,,-V.,":',. 'A--It,'P,,,S,--=:r,-,Z,Z,,-7,-•e-.. :11.5'2,L.,',-,'''I.,,,;N'',,,i,:,.''.':i:' ''.;',:',42,`A'-' -e' I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special inforreethot use checklist. 0 Multi-family 0 Master builder 0 Other: Description - Qty. Ea. Total • Head")tooling: Air conditioning 46.75 Jobsite addre&st F±:t S\A) &IgvIna e„ ' Furnace 100,000 BTU(ducts/vents) to / 46.75 City/State/ZIP: l'-'\51.4V,..r73 08.. 0 R --3-\\ 10 I Furnace 100.000+BTU(ducts/seats) 54.91 pump 61.06 Suite/bldg./apt.no.: Project name:_PO k 17)(-) cd- 0,c-e4 Heat Duct work 23.32 ICross street/directions to job site: ,3 (..j) liydrunie hot water system 23.32 . , Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46,75 Flue/vent for any of above 21,32 i Other 1 23.32 Subdivision:River Terrace Lot no.::—1 .,..... Other fuel appliances: i Tax map/parcel no.: : Water heater 23.32 ,.. . ':‘gilieW.'l*tlitA-4-00i:::4. 144,,,,,-!;:=AK(W Gas fireplaediusert 3339 ..- .. .•')i. ..,.:.2.. .,,,:....',.., . . ii,eltZ.,..' --- ' ----'' "I''''174""< neater or gas FIVAC i fireplace 23.32 Log lighter(gas) . 23.32 Wood/pellet stove- 33.39 Wood fireplacelinsert : 23.32 _ Chiameyilinerifinervent 23.32 Other - • -,,,,,-•,,,,,,====-- --,.--,A,' ''''',',,Xt'",`'''-' .''''''''Nien.',V7,,,A ,. AV!,:t''',...!..k%b.,,;:r i;* ;',r ''''''.':WANNP*1Zf'1114.: , • , _, . A,0:. "''."'''''''r‘i:t;14`,It'..:.'7 !t':"..t."Mrlri .t-"- Environmental exhaust and ventilation; 23.32 Name;/947LA./ , 4 / 4 AO' Range hood/other kitchen i I a im equipment 33,39 Address:-low Q 0 vywir• / •'' 1 'F .t Jlt....41.11 tia....4,....tanii Clothes dryer exhaust FC'ity/State/ZIP: S'. Ai 6 i y / ,A Z, irdWoyao Singk-duct exhaust(bathrooms, 3339 toilet compartments,utility rooms) 23,32 I Phone:( / 7 i i _ .,,,,,,, Fax:( ) Attic/crawispace fans 2332 :,-:';-.•,,'."-;<5.vt'f.f.4 ..:77-1,TMIrit.liall.,..:...,t;ito,.4.P1:--1.*:Z:74:1!Will 7:,.84,...VW9*.t,:4•4" ,: Other 2332 Fuel piping: Business name:Apex Mr LLC 514.15 for first four;84.03 for each additional Contact name:Steel Hay Furnace.etc. Gas heat pump Address:2210W.Main St.Suite 107-272 Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace 'karat E-mail:shicih®apesairco.cont , Barbecue , le'L,'''1,11.4`..6%14t1,:r4:St;::.iix,M4'.44;i4::::4-1'4''4't%''nV'?*4':-„,-.0---L4?;--iia:OS:..u°7:21'-'4,4ri."40'W-,,,,,492,3*4,1'15', Clothes dryer(gas) Other: Business name:Apex Air LLC , orio-,..rtye::...,,t,',-:',..-.4,,N'..";`,-,'4 •!'n'i,-'::"4 4;4'4.-4 4'.`,4'.-47.444,-;.4-4.6,r---Au Address;220 W.Main St.Suite 107-272 Subtotal , City/Slate/ZIP:Rattle Ground,WA 98604 ' Minimum permit fee(590.00) ; Plan review(25%of permit fee) : I Phone:(360)3424109Fax 6- (360)32• 1769' 1 State surcharge(129k of permit fee) I CCB lie.:203034 Ai/ _ _ _ , TOTAL PERMIT PEE - 1 This permit application expires if a permit is not obtained within ISO ir i .441fr days after it has beta accepted as COMplete. Authorized signatur: - /.':/ -' 4 or". i Foe methodology set by Tri-County Building tndtuny Sessioe Board ,,......,- . I Print name:Stasi bay Date:1/28/2016 1 I\Building\Prmits'AfEC_PermitApp,p4C11 l 3 400 44046€7T(11,V7ICOMAVEB) 1 .wry.. i e ie j!i h., i� , . i isr 1 i l(r'zsr e 12sw ti #v� herd z ail 9�I �, �,1 r�[ �v' �. , Phone 50371f:.2439 faid'383.59n.196.0 Da`ie7E5'"«:' Rdatcd?cnmt?` Lir' dor .iw eO3 639,4115 Rtady l tNByw, Jwis;' 13 4eePay�te2 fo I C1 R L> Jii1 i7tet:� L�+Lgard-or gOi� . � _ "r•- " 3:t�ifi.NMeWod 444.44m441i orma6on a &''''' r s. -,-.,,,,,r,.a .ply t ` E1.4i-t' . . t ..iif -fit`. r,4 1'0yg a `' .4 z,` �" Ilk a eon ete;f 7stp . f(�diiio= 40 on/replaceinent' ► ek:u i apply(su7+nrt2sds orp#ercF lite s r xwt • " Lis orfeedrr400ampsorsnore '[ tiui7dingovAtthterFlanks; �,6G11Q1lfi '� }.fiie3' • • • gfi�.cr 4.thtavm,*4 bukcuncni j 3 rrsorez« a75ls OLMloo2nomatw#wmalys. ds. *m, ? f� l3W misi9,r ,_ ecs totlo TI*:: 0wr -,,„,,,,,.5.,#uy . ,tio�irid.oraos,0 6ouQtvyme[tat-tile agidil tural'481l and amity rivelitUi [� mmercasUuadstnal Q A0*sety buildug 4g3f5Rotlri4stn(lfnns. rautd* ❑hdniti--Samily a.l asterbnilder _ ,9....., -., CJFcopump. LI"LatattaHauof7YitK'Yi1or �..._ 7 34B S T•E�„ —Blatt g.T(O$'AND Lt t:.Zt( t Eiqugeacysyatan targeracpa7ateryderivcd #iddtSwm ortraw motor ioait of sYsten Jab ' o site address (' X111) I�/1- its l3 p ,-1:� City t 11).;Sherwood OB;371411. L3Sccor mort rrsutennal uuirs, tw> Y • CITIA Jih-eife fault{its. r72tecscr,kiae i velucleparlcs. Suitelbldg.lapt.$: Frujcci nag= ❑Hzzaitdrntslowhmts, El Sapply 4roliaeefurmare than __... . . .. 60vb} mEtlen ieRI:*vim400.,mpsomart ,,.,' ,, GiossA0.4thdireclfd#to•;tub site s ru. Sn+€ 'rw3, k ,`�., s� ,a;,x.,a "'eraretiradri • • l•-olfll Pom t l"Yotc7':af Neiv„`te4tdendm1S#agto-ormottr-fibelly dwiltingnnl!< Subdiv•ision River.Tet e6ee: I tot7� ri Y Jndue es otta ted gars Tax mait7patvcc 1006 r ft 16n 4 • .i ii4;414 Cr.orpoiti 33.P7 t ikl ,� , ,i;: DE.S,, 13."F1O>a,o tk, :.*: Lim"sled er [gy 7estde 691 hfetdt ingip l7emtly • +viii above sq n) J 75.00 2 • Lim0edcneigy muttl family 75OQ•" 2 resracotat t�xs±ich biiovc:q_'it) 1 T.-1,44,. .*its ,Titit!.-! ,e` i'CPI4N t cis air Rene Zer i y Q"SeePege.2: � , -. ... �, ° ._ .�"_ tJ<:. ' ., f tin a or Serra Fra#tistatf46onLtterah mt/ refocatiati N y ®� J , , 2 a piitx#ess 10010 3 /I, 2tiimsl`a406--' 13336 2 .. 1✓ `.� ., G. , i 401. toSO4. .. 2003.'4:. • 2 �''� SP 6 i / .: . 2 dht gp io3`0 amps Sot u•4 2 PCmttc t�1/d � tt.�� { ) 0v 'l O ampsarvolts s•2.26 2 E7aBiL • _ Tem01'a servit r of feeders lnitaitati©itailteiatioit,andlor • ,retocatian O)ilersnstallatton.This installation is betng made oar property•that f aivn which is not 200 ar p,or fess. 54.36• .1 fittestCO'sale lease.runt,or exchange,aecording to OILS 447,442;676,end 701. 201a i pe 14.0 maps. 125.08• 2 . • 044*:.sigiiith Date; ao•9p1642tmps t59} •ras & T •, — • $334th carees-new,niteraton,or-rsttts1On, erpanel •z. { -- A.. or6X.,- carcuils who' Business batt GarterItleetr1cWashington,LLC abo4cservicaorfccderfee, 7. ' Contact name'BLU Daniels 0 Feelerbsaiie r clicu{ts seirnnut Address_6101 NE8i•Tolins,Ri1 xic a orfadcrfx,first ,,,,6.;. 6'is. 2 • #atatnc�irCoir - ity/Sttite7ZIP YatieriuverWiA98661 goi.0ddlbiaachrareast 742• , 2 tirccltan is.( ee orreeder notincinded> • Pbonci(2 3204657 Pan::{ } nth inai+a0ica>t>x7 modular �d bdaflaets( gircusa.com aaYfiOtg rcaviecsiidlortr 67,84 Retmee eatonly :6724. 2 ,l lam. y,.e , t:ONTRAt.it ,. Paauportrrigahonsirt1>: 6784 2 DusitKss:t atn5 Ganser Electric Wnshimgtort,.L1>C Sigao"raudnieilghtiag b7 84 2 Addtus:Sidi N1S5$3obns Si iKs}w t#nurexl�netBy Q�rea3'age , 2 hitt..altesa5oa,`ot'xtcit{ron £5ty15tad ZlR:Ysneoii. ••PYA 3$66{ Eleb additional l ispectton*Verattervabiein t<iy of'tlte abirve Mditt i it spection t;tllr1uiny 66,157 hr' Pho3Z0-1SFax:{ ) hum it brminj, 900✓l�0. :n7 rn Small bdanie eusa.coin. In tistnat gJ 7tl 18/hr I IY tip s Wildlife,foe ii C{ I;ie `iCUSS lectdcalLic,:208114 ' Supw.Lie.:•44965 a0ic3Eeatlyf#strd(;air*tm} .,.'5°.*4'f_ a.4'sr '�` 'bi,�G• t17{I#1C�t'"7SS„,•. Sultry$lectnciaar#igna''tnr;requited ;Mit/ t' Solriotnt. Fruit nanx loan P 4l Efe�rt Rata: p i l I kti D Ptah Raview Rcciuhed{25%1rrpenflit } ' . _ • • • • .toie stl.4.*.0,(4]2'..inff}p�{uy?�nit fur •Intho ized Signature: it'!, , T epermit. ri40.o�i *pWeirii4"p,404,ls ob'latntdlWiihia180 glintna[ne; BdtDatuels Date: 's�srieritf,asi ala 4d`4-6114ktL .... `.-. • eref ne tGtiaai 8 awed perpM 1:- i.. .I.4Blxlfieilgaiititesta Peiirhapp_Eti[ESE4DC Rero9-17nol$ 440463rsT WRS..COMAVEp. . . (11 • r Plumbing Permit Application „Y z i ':4 Building Fixtures s, ' City of Tigard a ,;t 'n l civ PrzmitNo./y.37" )/6,'_ ✓ 1Uiv Daffy. li !it 13125 SW Halt Blvd.,Tigard,OR 97223 Plan Review Other Permit No.:' Phone: 503.718.2439 Fax: 503.598.1960 ,. "'Datu/By: Inspection Line: 503.639.4175 , % Data Ready/By: Surfs: M See Page 2 for 1 1 C 1 K C) Internet: www.tigat-d-or.gov , hintiricd/Method Su 4,tententai Tnformation n � Far special information use checklistn New construction 11 Demolition Description I Qty. I Ea. l Total • Addition/alteration/replacement ■ Other New 1-2-family dwellings(includes connection) v F -- := z e,-4,-vii.-",34..- SFR(1)bath �V .70 I d •n s in hides 100 ft.for each utility esd .9991Z970.19.,..1; a: 910/,,,l,„. . 312 ._ SFR(2)bath 437.78 - 1-and 2-family dwelling - Commercial/industrial SFR(3)bath 50032 i��.�{{I Accessory building 0 Multi-family Each additional bathtltitchen 25.02 El Master builder 0 Other Fire sprinkler( sq.fl) Page 2 I r: 0r ,.4 1, 1 `;' 0 `9c s L� s ,a �_. _siteuu utilities: t . '-/�� '. Cate basin or area drain 18.76 Job site address /is S �f IF/l Dryw ` ell,leach line,or tench drain 18.76 City/State/ZIP: \ k I n10 C 0 C(1-1k- C) Footing drain(no.linear II:_) Page 2 Suite/bldg./apt.no.: Project name: r r •, Cut Manufactured home utilities 50.03 Cross street/directions to job site: ckvitf 'rej1(t Manholes 18.76 "l Rain drain connector 18.76 Sanitary sewer(no.linear ft:!) Page 2 Storm sewer(no.linear ft.: _) Page 2 Water service(no,linear ft:_) Page 2 Subdivision: I Lot no. ,7__ blxture or Item: Backflow preventer 31.27 Tax map/parcel no.: Backvrater'vave 1231 wl a�, :-s l t fi.,; Clothes washer 25.02 5t" nku (1 1.,1 Dishwasher 25.02 1 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 :i`sem &r . 410 ; v.1r. . . D, ,. Fixture/sewcr cap 25.02 Name: I I _ _ .4 l,qi /�k� �j�� Floor drain/floor sink/hub 25.02 Address: ) �l/ . ' ' u� t I /�/ �Y Garbage disposal 25.02 City/StatePLtP: ILi1,$t A // / �ti,, Ado _ Hose bib 25.02 Phone:' #IlMin s i� `(J Lk' Ice maker r , '1 Interceptor/grease trap P 12.51 25.02 � ''-'. .,,. ,,._ Medical gas(value: Page 2 - im. �> � � ,• $ ) Business name: f 1 t L x 1f-1 t 1231 Ki -�l '€�.-x'r"1. '�R � ��,.� Primer Contact name: ^11\11 0 i'_,v- t ,, ',.,,.ry-y Roof drain(commercial) 12.51 Address: . Y p .4.. ‘31-3 Sink/basin/lavatory 25.02 City/State/ZIP: er..„ c ()42„.„,_ -)(..-S-(-) _Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone: 7 j ) { tsgf` Fax :( ) Urinal 25.02 E-mail: KA,..--t.4 a► ,_041 no.04, �► c, Water closet 25.02 r- • % '' -*. s Watetlrcater 37.52 Business name: 14 t' j( . ^ti("t..,i'1 p( 4..,4_,.,..11,,v3t -_c.- Waterpiping/DWV 56.29 Address: p G D -2Other 25.02 1 - Subtotal city/State/ZIP: ..�' - ($ha.,t "t �.. -7 t - Minimum permit fee: $72.50 Phone:( ) } ,q/q3Fax:( ) - Plan review (25%of permit fee) Plumbing Lie.no (12% CCB Lie.: t' (0 4 Ii 2 State surcharge of permit fee) Authorized signature' rTOTAL PERMIT FEE {� This permit application empires if a permit is not obtained within 189 days Print name: M IX ,, `�ir-d ; Date a-C /fi after it has been accepted as complete. t *Fee methodology set by Tri-County Building Industry Service Board. S:wits iag,P9?lie\Plsn3-rcarirnpp.due 10`01109 440-4619700 n<ECOMN Eai City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT 4: T I G A R D Building Permit Review — Residential Building Permit #: ' :S i cy /6 -- O11 7 Site Address: 3b QS S W Sa_br, R Project Name: {Polo u n a f LJe,rf 12.: ,. —Ten{a-cam- Lot #: 7c (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: n C 'Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No At-Yes,See River Terrace Review Addendum Attached Site Plan Elements: IN-Three(3)copies of site plan �xisting structures on site .E7 Site plan must be on 8-1/2"x 11"or 11 x 17"paper ,'Footprint of new structure(including decks)with finished 1$Drawn to scale(standard architect or engineer scale) floor elevations North arrow [$Utility locations(required for new,may apply for additions) I2ftSite address,project or subdivision name and lot number ,2f ocation of wells/septic systems CR-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.) f Lot area,building coverage area,percentage of coverage and I:SStreet names impervious area(applicable if R-7,R-12,R-25&R-40) IN-Street tree size,type and location 'roperty corner elevations(2 foot contour lines if more than )26-Listing trees to be retained with drip line,and tree 4 foot differential) protection measures Itt—Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified R'No Received: ❑ Yes ❑ No 'Public Facilities Improvement(PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: A. Yes ❑ No,stop intake FX Land Use Case#: -pp(Z -000o • Zoning: j -7 p" Setbacks: Front I o- Rear 0 Side 3 Street Side -- Garage 3—' al-Landscape Requirement: a.o % .1k Lot Coverage Maximum: 80 % Ni'Building Height: Maximum Height N/fic Actual Height L Visual Clearance ci.4- E1-Easements E1'Easements Sensitive Lands: ❑ Yes Type Urban Forestry Plan ()Conditions "Met"prior to issuance of building permit Notes: rd u,"1-5 u✓ -\-o b u; ( � f .Lc1 p e - . .--4- • Approved By Planning: CI' " C:t • Date: lv - -1- 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\B1dgPermitRvw_RES_012116.docx ,r' Building Permit Submittal Original Submittal Date: WAS 7//,G Site Plans: # 3 Building Plans: # Building Permit#: BEnter building permit#above. Workflow Routing: 8-'Planning eEngineering 'CJ hermit Coordinator C Si lding Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: 'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal 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: ', J 7 - _ Date: 6P�/,�A,6 En•ineering Review G� G Slope at building pad: El 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 Approved , ngineering: Date: Notes: , _ � �/ APl+• �.✓ .rr Approved by Engineering: j .L'- Date:/ / , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: Date: d//4//to Notes: 614,d17frL.-+.t„s/ /N.t Gas 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: i'es ❑ N/A r Tigard Trans SDC: `B--Yes ❑ N/A 0 , Parks SDC: Yes El N/A r xOK to Issue Permit Approved by Permit Coordinator: J/l� jf Ct Fate: / �► I:\Building\Forms\BldgPermitRvw_RES_012116.docx .` c City of Tigard :114w COMMUNITY DEVELOPMENT DEPARTMENT 111 River Terrace Building Permit Review Addendum TIGARD Building Permit #: /-7 f f , 6)693 7 Site Address: I 3co -7 2) S l.3 Swbv, Project Name: la 1i s f R; V -ra c v Lot #: (New dtvelj h g=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? 'Yes 0 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12/%of each street facing facade must include windows or entrance doors. Percentage Shown: „„a..3 �C o 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 ❑ No If yes,all the following apply: k25 sq.ft. min. Er One street facing entry R-12 ft.max.roof above floor of porch Q5 ft. depth min. Li"30%min. porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide R Roof eave min. 12 inch projection ,_,/Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood R Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 129 lorizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade ❑ 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 façade 5. Garages and Carports:May face the front or side lot line on a corner lot. — et cl-e 1 d as e NI Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. 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: (' C-�,`'v�°''" Date: (o "1- 1 1:\Building\Forms\B1dgPermitRvw_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 -` _ . City of Tigard � 2 a permit No.:�l alexc„co - 7 ■ 13125 SVS'Hall Blvd.,Tigard,OR 97203,,_� ' /- -- - Deer y (2/(v,-, �l U l �� Review C Phone: 503.718.2439 Fax: 503.598.1960 OerPenni/No.: Inspection Line:5©3.639,4175 Other TiG Ah D = Date Ready/ay:- lune lil See Page 2 fa r Internet www.rigard or: ov Notified/Method: Supplemental information " yxim �`New construction 0 Demolition For special information use checklist Description I Qty. ( Ea. I Total 0 Addition/alteration/repiacemeut 0 Other: New 1-2-family dwellings(includes 100 ft for eech:utility connection) x 4 TECORY OP'_CONSTRUCTION I SFR(1)bath 312.70 I-7 SFR(2)bath 437.78 LI Connnerciallindustrial ®1-.and 2-fainily dwelling SFR.(3)bath.. t 500,32 0 Accessory building0 Multi-family Each additional bath/kitchen 25.02 f-� Lt Master builder ❑Other: Fire sprinkler( .. sq.ft.) Page 2 bB;$iUE '.$.1','r,'-', . ...` .k.- <. ....qra!4RIi1i17T.OlY Ai4T?LU!t✓ATI614 { '- Site utilities Job site address: I 1 $ C1 ^I Srt lo1n n a. Catch basin lir area drain 18.76 City/State :Tigard,OR 97224 J V v DcYu ell,leaeB lino or trench drain 18.76 p� Footing drain(no.Iinear ft,: ) Page 2 Suite/bldg apt.no,: Project name:Pv 9 it.°r-f ' , ufactured borne 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 ft:, ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: io 1lA./4 t i, CJr.-TT11 brz,e,I Loteo.rl2 Fixture or item: Tax mapiparct l no:: Backflow preventer 31.27 73>J�CRIIRTTOF A?ORIf ,. •.= e ve Ba kivater vaI' 12.51 ,._z x t ON Clothes washer 25.02 Vn i ! u' (/I1 a. L� Dishwasher 25.02 Drinking fountain 25.02 gectossisump 25.02 , i°4-, BOPERTl(O iER , f TEN, IT Expaus ion tank 1151 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drainifloor 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 , mterceptorlgrease trap 25;02 Business name:William Lyon Homes,Ina: Medical gas(value:S- ) 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) 02.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51. E-mail:Angela,Grajewskli®poly'gonhomes.con1 Urinal 25.02. 4,' � . RA TOR 1,- i • • Water closet 25,02 „� 4_., L.. .., Waterlieater 37.52 Business name: ,4--J t )Via<. 'et- vJ Ti/Le---7 Water piping/DWV 56.29 Address: P.13•.. i„, , Other: 25.02 City/State/ZIP; 3' _,fir a art.tart. qr.,i3” Subtotal Phone:(51)3`- stir..., (4L-1 Fax(41,1 V_laid¢no Minimum permit fee:$72.50 Plan review(254 of permit fee) CCB Lie.: I a2, Plumbing Lie,no, State surcharge(12%of pennit fee) Authorized signature: This TOTAL PERMIT FEE Print name: ,L. w Dates-3b--if:,; permit application expires if a permit is not obtained within 180days after it has been accepted u complete. *Fee methodology set by Tri.Courity Bznuding Industry Service Board; 1:\s uiwieslfmmitsePtMU-PamiitAppdoc I0ro1109 44a-4bisr00/l2fcOWw"Ea) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13678 SW SABRINAAVE, SHERWOOD, OR, March 17, 2017 at 10:09:54 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00327 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Lower level smoke detector to close (30") to forced air heat register. Must be 36" min horizontally away. R314.3 All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13678 SW SABRINAAVE, SHERWOOD, OR, March 22, 2017 at 10:46:54 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00327 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete, photo electric smoke and carbon monoxide detector installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13678 SW SABRINAAVE, SHERWOOD, OR, March 22, 2017 at 10:46:02 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00327 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Expose cleanouts and bring up to final grade for plumbing final inspection. 719.0 Violation Summary: Inspector Contractor