Permit (44) CITY OF TIGARD :c MASTER PERMIT
IN qCOMMUNITY DEVELOPMENT WAWA Permit#: MST2016-00162
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016
Parcel: 2S106DC08900
Jurisdiction: Tigard
Site address: 13691 SW 175TH AVE
Subdivision: WEST RIVER TERRACE Lot: 89
Project: Polygon at West River Terrace, Lot 89
Project Description: New SF. 1/17/17: Add A/C.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: 2914 sf Value: $349,277.36 Rear: 12
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!500 sf: 5 201-400 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 2914
Owner: Contractor:
ADLV LAND HOLDINGS LLC VNLLIAM 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: $33,286.63
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•A R 952-1 I -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2232.11198877 or 1.800.332.2344. /
Issued By:
s 4 -o"" ° G 7t'7 Permittee Signature: ,i/k/ '9/���/ (142-770/I
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 COCITY OFMMUNITY TDEVELOPIGARDMENT MASTER PERMIT
Iiii vPermit#: MST2016-00162
Date Issued: 09/15/2016
TIG.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC08900
Jurisdiction: Tigard
Site address: 13691 SW 175TH AVE
Subdivision: WEST RIVER TERRACE Lot: 89
Project: Polygon at West River Terrace, Lot 89
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 23 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 15 Detectoke Yes
Dwelling Units: 1 Third: 0 sf Right: 5
Total: 2914 sf Value: $349,277.36 Rear: 12
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 Rain0 Storm Sewer: 100
Drains: Catch Basins: 0
Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 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: 5 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: 5 201-400 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
Ecompasing: Y
Other: N Other Description:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R-3 2914
Owner: Contractor:
Required Items and Reports(Conditions)
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC
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: $33,047.43
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 95 - 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
]' Permittee Signature: Lam ,6./ei -J7t,Ail
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.
BuildingPermit Application , ;,>. ; -_
t :a r--nl . rola OFFICE I. `L()N1.1i
City of Tigard . APR 11 2.01614 0,,‘:2/146371—,
PermitN
n y Z4/6-Df2/ i
13125 SW Hall Blvd.,Tigard,OR 97223 ,, Plan Revie / Other Permit: 447:26%•e70�o
Phone: 503.718.2439 Fax 503.598.191 1 (.a€ ;t r ) Date/By v )) 7 f b
, 7, r 3 Cl( .,°s,) Date Ready/Hy: -hail: H See Page 2 for
TIG:1•11-) Internet:
Zine: 503.639.4175 But: a ,y Supplemental Information
Internet: c ww.tigard-or.gov _f..F. Noted/Method:7��1/( �'T"Y"'
//— 'A-- ' 6-/E
# `,��",iii s : 5`x' ,�4 ,.€.`"-
. , . :. ee *arevalue of the work perform
- . Permit f bas on the
®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other:
:`
equipment,materials,labor,overhead,and the profit for the
-- work indicated on this applic ' .
t€rr t, } ti(6� t, s �4 , a ,I,-- .3 .<1j-
i ,..,wnx,.,... Valuation- l/ I �
® 1-and 2-family dwelling ❑Commercial/industrialt ` -»
Number of bedrooms:
❑Accessory building ❑Multi-family
Number of bathrooms:--23..
❑Master builder ❑Other 3 3 7
��.t 2 Total number of floors: 2
"' '>'_ =' '.> '." ' 4 Y� , i New dwelling area: �11,\ square feet
Job site address: / /7S r(/liJ,f (/ t v �'
Garage/carport area: �LA square feet
City/State/ZIP:Sherwood,OR 97140 ect name: (��
Polygon at West River Ter Covered porch area: L) square feet' 6 6 6
Stuite/bldgJapt.no.: I Pro J v
Cross street/directions to job site: Deck area: square feet 1 a4 s
Other structure area: ') square feet
Lot no.: v V I 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
l 4 y -.I;..,-;.----::‘,',..-7,, . work indicated on this application_
t Valuation: S
New Single Family Detached Construction
Existing building area: square feet
New building area: square feet
�5, � a e ` ' 2 Number of stories:
' ' Type of construction:
Name:. �l� �I!� / y-- /
Address:`` / 11 1 1 I ' ' l ii i /I Li Occupancy groups:
City/State/Z1P:-<o UU • I f)c 41"Y Existing:
Phone: /j ' IA I Fax:(360)693.4442 New:
iilt "�a3:s':... .., _ ..�, p +N w.. .._.
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 ( Fax::(360)693.4442
E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of
'ma i s ' ` `
-' xc y � y .,'` ',�>, �,; ~9nI_ roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:RelygglreVEIrrrn/.,t),L,Lely I ye Aj /f0/-/'E3 /A)C____ 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 andadministrative fees):
Fax:(360)693.4442 $21.60
Phone:(360)695.7700 State surcharge(12%of permit fee):
. GCB lic.:207247 Total fee due upon application $201.60`
L' This permit application expires if a permit is not obtained
Authorized signature: towithin 180 days after it has been accepted as complete
*Fee methodology set by Tri-County Building Industry
IPrint name:Maggie Gordon Date:12/11/15
i Service Board
I:\Building\PermitslBUP-ItESPermitApp.doc 02/24/2011
440-4613Thl/02/COM/WEB)
Methanical Permit Application
-,,,,4. 111111111111111111=11111111111.1111
, City of Tigard B. f;:k‘,I k,.... w Retetvad
;...,..‘ t.ig ;-,---,-, °altar Permit No•
- -&-C7020/ 2 /6,
.. ' , 13125 SW Hall Blvd,,Tigard,OR 97 1 ''' . Platt Revicw
'9 Phone: 503.718.2439 Fax; 503.598.1960 DateiBy.: Other Permit #
1 i,.,,,i,,,,,, Inspection Line: 503.639.4175 A,r,-)R I 1 2.016 Dat 'flv' 0 See Pagel far i
' Internet: www.tigard-or.gov ' Notiftedihiethod: Samsiciaratai hiforatatical
:,•• -.', ,,.,),-,'.:. , , ,-F,,-ai:;*A7),41nt„ -..,,,,,,-.: :,,,,,,. ,, . ,,.:f;4',",-k.'z'- ''..*.4i.' ",''''.'d.
Mechanical permit fees*are based on the value of the work
0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other mechanical materials.equipment,labor,overhead,and profit.
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special ittfantration use elteekifst.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
.,4.,...,..', 14,114t.t.t.0 ,*-0 14*10t,t,,11tyif:.";;,,i,;„-,-,.,.-;;:,.,-.. ,....2.i.',-.'.-;: Heating/cooling:
Job site address: 1$kfl I SV1/41 I'lc k Ck.. .\f2-.
tit..., Air conditioning
Furnace 100,000 BTU(duets/vents) 46.75
46.75
City/State/ZIP: ‘"-\..(1/r,A.„ o°a 0 1-\\-io . Furnace 100.000+BTU(duets/vents) 54.91 ,
Suite/bldg./apt.no.: Project natne:,..PO K 17{1 cd— kA.), L1-j-k"--
Cross street/directions to job site: ,R jr n A IM7,C.40
14,
"-A 1,--\ Heat pump
Duct work 61.06
23.32
Hydronic hot water systern ' 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 23.32
Other: 23.32
Subdivision:River Terrace I Lot no.:t5C1
Other feel appliances:
Tax map/parcel no,: Water heater 23.32
Gas flreptacel uteri 33.39
,,LI ,,'- •••'..,!,?;.--44„-,, '„..>-.'.,,Itb..;,,,-41.) -eo...4.,.;;Si.,l'.4,.:::f.,.,..SAt,'.,.;.,,,i, _
Flue vent for water heater or gas
HVAC fireplace . 23.32
Log lighter(gas) ' 23.32
Wood/pellet stove 3339
Wood fireplace/insert 23.32
Orinatevilinerfilueivent 23.32
_ . .,,,, ,„ ,, 23.32
s..,..i.;.:....4i,...1, ,c" .:,.1-.,.. ,:„..,,...,: ----;---.. e.,,,*.?,,,,,,,,,..,,,u.,,,,,,,.4.,,,,,A,,,,,,,,,,,,,,,1%,....;,,,,,,,,,,410,, - -„rx,K44,,(*. , _.4vA,,,,,,,,,.*V,„..,,,,,,l -
-. '''.44'''' 5"- '''''t'''‘I''''V''7 .: ".4'''"--'''''''''''''''':f'''''''''A'4:''''a''':' Environmental eshaust and ventilation:
itic
-0 ' , ,
Name:Ili 6 kiteo• II I Ranee ho-odiother kitchen
, I
33.39
Addy :ess —„ t iy ,a, , na
/1 (lke, , equipment
Clothes dryer exhaust 3339
' City/State/ZIP.
' ' (-41:iktOU ./---1°12- Ceilas's- Singie-dtiet exhaust(bathrtaorns.
. . i
1 - toilet compartments,utility rooms) 23.32
i Phone:( — AL.,- ,03 Fax / , Atticierawlsottee fans 23.32
.,,,.-i,,,,,,,..:"..4t,•3.c.,igt.:4....z.,;,-,;,,,i .;,',,,,,'`-:i;,-.,',',,,';',, „,r.,-, -tp4a0,.,,,Nr,,,i.;:-,--6--;,...-1,-.,,%...„;;..-,...,-5,-,-:,-,..,-;,,....-.0,,,,,,o, other 2332
,-.......`...• ,-';.., ..,7,,‘..1' -
•
Fuel piping: •
Business name:Apex Air LLC S14.t5 for first loon S4.03 for each additional
''.
Contact name:Shari Hay , Furnace.etc.
. Gas heat pump
Address:2210W.Main St.Suite 107-272 Wall/suspended/unit heater
City/State/Z1P:Hattie Ground,WA 98604 : water heater
Phone:(360)342-8109 . Fax::(360)326-1769 Fireplace .
Range
E-mail:stacibfilapexairco.cont Barbecue ,
ittativer.,ietio Vi 4..4 t--- -..-'-i.,;,.;Vtd-Ilkip-P4,4;wy,v,..,,,,;,,,,,,4, Clothes dryer taas)
..t46'..,- - ,,,tt" .. •-4'Y'f,t,t4 --i- ,t'...,-=', ,-,'AtZ ,-4:14:i'.,-.FA' td,tw ,.,,e10%14.1'.;* , .,
. .
I
Business name:Apex Air LLC Other •
I Address:220 W.Main St.Suite 107-272 Subtotal I -
City/State/ZIP:Battle Ground,WA 98604 • Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:(360)3424109 Fax:(360)326-1769 State surcharge(1294 of permit fee)
. .
1 CCB lie.:203034 77/1 • - - TOTAL PERMIT FEE
v". .
; ' ' 7/';::'
.--- /1------'' This permit application expires if a permit is not obtained trichia taa
days after it has been accepted as complete.
Authorized signal * / 6
* Pet methudedoey Set by Tri-Cataity Sitildiag industry Sert,iix Bowl
I Print name:Start bay ',....-.-, Date:1/28/2016
i
I Iiiiif&rig‘PerntiorME.C...PtiviitApp4ut 13 doe 440-46i rr(I txrzramNvm
r.- •-•,,,,, -'-‘r- ,.,,i""4ir* ' •,-,.,4,,,''•,'-;;',....i4,..:'':::,•,%i. -', ...,.-. ','," .--.•-•.,,,, .,,. ...-...........: ,..,..,Z,..tZ,.'..»,,,,,,.-',..,, ,'
t ..' .84-6401t1'thl-P6ritill'% 4401B-gg.:____..-.t.116 '''''''''''' '''' '' '.-'''' ' '! );.t)R 0 Fi;i f:ii-1_.:':NE ONI),•:„' . , ,i
. ---f-...-..---,----•:1-,,r-'-'1-.7.-,,'.•:','''-...7LL'-i-',*•,:';.r.',',',"'•`•:'`" --': ' ,.„, . „ „. . ._ „.„.....__..,. ....
. ....... . ..,...„._,..„.... ...„... .. .. ..„
'•' -1'nrrn-.-,-T--z-lr--::, -,--,--F:•,-..7t-I m..--7•,-.:;,:z----,,-:--•-,,,,,- -.---L-,-.."--- -::•-•:-.1--,,---7:1--17.:;.-,-;.<.-----• -
.. . . .
APR1 I 2 0 10 :diiiskl-,. .
)321.1k-Tiggr4. '
.-11;iir**-,-,iv
, . .
Plititr ' IS faith''5 59.-I 6 It-Rited•Pci-mit,t;-•-
i. - -•, • 46•,*41i15R CI'f:'''i.' .i-,,t.,t',- '.. •-..:-t•tr-;',F-,1, A413,1;gal:„.„0Ak, " • ' -1Y.65' • Vatiator
!iffft•--t.,..-t, ,,- . •
- 1 6' -.',-7ii''''"'''' 'Viiira4itil. t t •,,t, ,'-, -,--'•",,(.., r.,,... -• :.4td; . . . ',s‘di. p,ittg, penta.,,I,T,,nr,ortn,„.1160.b
C]AA iilairtitifatiiiiiipjace
t
......,,,.....,f.-fn.",-;;.,
Donglifidri ,.- . :JI:119,-61-'..r-,..!-',:-.--:,,",--',-,••<;,--,,,-,,----,.,-.-- - -. - : '-. , '•0*-,.,chl-.4.#10tiff..,.1!Fgo,ii. .,,,,„ .: ,AT.,tv,-.,,41",-,--''
" , ..
. - - cri---,r,,,t,..,--,,,,,•:.•,••'.-•..er,t',,,,,,, '.•,• -, --i-.4; Aii-toiteio.iieits'er Ei FteAtitinlitdedot.it•
'iliiiii 4;taikity a4;4ifiii El tV*7444/41,..d.itsiiiof 111 A''cOi--.. 06i:66:114i : i ..1'-'1P:rrl.;!.!,::,...,,-:-.-....-::- --,,,r,„:-.-..--,... --
uRwa1
I . :4641:,kr.A..gt*i.p.u.og*iqim ...',*;4.4F-, ..... . .
.F.A.**0-..4*14*--. . -,E3 Qt4er: ..„ Li e*404..
Wkit611-1 - ''.:..:'i. . ''' 01!!-F-f ''5%/:* fi'' 0 rik,=tiw
u h7:1::::3,v,A:r
.:--..- ... i .,01, 1 5xiswszti/i ia op ijOoiliim*-0.,.y*opt.-to.id r
;44.-Ote.tidilfr*:
4:18,41*(iVig YagCk-P
, _ ,--t. , .,
. . , . W 11- r,,,16°•..--4-2F",..,:-.006r,...0."'",..**,,iden..,. ial owt,,
•ix
1 Ws- .,...,,S ,... t. .
, ,,,.. :_ ,„.. pc...cttPATt5Y,
.' ---SbetwOOd'OR-”144) EiTit4th-04f0,.#6e4.
0017Sk4g1P . ... ,,.
dc
.„. „.., 13i1;;;:totttalitins.
i Projoct Dame.; -------„... ,
. „ . , .
'SIMIHILIV 6Pt....,..#...-7. . . '... El...';.R."):t6.i.1;.*L:1-°Da. 4.44n
Chitsystive oxi'llojo, b.si*
,
- . - -
. - .
a
•
tali'.1.4'wil ,i0B.1-17„,ard .1''
. .
o r multi-': II*. t.
.. ,
. . .
. . .
. . ...... ...
'dilifitatrTerrace
:' 411... ..... 'RiverL*til 0J9 iiiiiiii4Otineha ininee.
•.-' -'-• - - . - 4,..960sq.,11ortess • i ien.,'.2.4 4
.,, . „,..
114 IWPRFP.,4'.,,,.. .• . • . ''':like)*ii'L'iii-iinitien: :2192 I •
.?,.V.M.ZirtetZ,i;-,43•:Ri.'•':',".000.03(0/C:07'.*P..Ar-C..',I.?. 2
....7:(4iniiiiiiie*aitia ' ' ' • 'Ainiabeireen'ill . .. - • '•
• ..,.., ,,, :.,- ._,... ,_ . .:".1:11d.t„er,Id#0!):1„volti,),11:4,1iTi.i.b'. ). , 75).36-' ' 2
litie
, . , ...,, „ ..... - •
, .. .
4 It. '•
..„. . .. . .. , , . - .
„, ....,,,'4...____,, „ ,. • ' ' - - - -: .'AliitYollblettileir,'. ,...''.:: .EISeilinne•2'• __ ,.,
• coat mine on.. t.r0 tkoi,nn er. 0
Si .1* 'itilliiii Mt'IC -iiiref atioa•
ti
I ' 'll4. '
, . ' - 0tiAii"-;;;i:.'il-' . --- - --. - -fdoJci-
.• 21:iVeinfeW,Atio"-ifinin ": • 121.$16: . 2-
• it11(' ittilii li 14t-4 . _......,... .,,,,
C I ..: ..401:
. ays.
,,,.„.„„„:,,_„. ,,„, ,
- -•thiiiiii.si;I:opplifo.. .. 301f04.- * , 2• .
,
-LW
' . ---%1 F.OX:t )
'' ''-lit' ..iiii•Wlik4.4ts. : 50426-,. '* .
TatiltitlitiYiitriltralirlietteratisbllatittit:i-Aitikailiaii,itidiar
,,, .
•-•F;,l'iittil:-:'
, ...
,sti4i6tifion
OwnermsaItatonThis m.stallat on' being made on properyhatLorn which.i not .:200...':aiiii, ...,,..'less. : i 59,10• ,I.,•••-
,
intoiddd,for sal%loss;' :1'04•91'.,ix duulgo., . -atcor.drng' to- Rs 447,44..%670%And/.0.1- ' 12505.
IQ..li.717400,.. LU 599
ps,,„... •. ',' 2'
C6X`Iiaiti.iti.8$3im - ' ' • ' Date . '158.54.
..2
' - •- - - :-..,-,2----=.---,--1.•-=-4:: - ----;•- ., .--, .-•,--i--.",----------•.' - -----.•--, .;'• .Brittelzeltenite,niwitlieration.or:intention,Ref panel
t1;-2/11;::: :41)1W:rAili,-4:Mt;,--,;:-,,.--',---",..,1,k,:-,..'.1,: ',;., .-:,:,',.,,LLI- .M.7117.4c7c,f-E459,N . --,'.. A.p,•sze,b4iiicii ---, - h
P0740##ktFPOCP;0#:,r1Afget4c.:W0Shington,Labisi
.LE
ceerWee. ..o.rredei-e., fze,
„ .. .. 7.42 2 .
,,...
.., • <pitth.tiatidtArtm..it. .
' • - '.-:.. . - --
COtia4t.i„„atitOititk1;$01.110*, . Et'Fi***17T01H eh' i...ritg„nstri00*—
,... ..
.. , , . -sr.rtnce-6i--*ctitte fee,futt,
Mansw_:,', 'ODA 11.,P.61..'.7011P6--gd .
• „Each.bran.:2.741:sib,,:j.c:toovianchitt it::,41. rte it. . aSe6S. .2
CIt
742.. 2
.. .. ..
IStEttc1ZIP-:Vancouver WA 98661 , .
,
Pborie.:(253)3204651 Fax:. ( ) ' ,• 130,01,41ec;!:-.4...* '- vte--e•Or feeder not.intin ,
. ,
.. „.. .. '•- tinatiiiinaninedatar - : 6724
., 2
'. -' • ' • awalreignitineientlIoaaeler : "`
,
... , .
... . .
e
Email'lid niiiit@g n'atisii..to.' in
• ... ' ,... „ -Recent:ea ' • ,, ;614 2
cotitit8A. (;,.14yit,,,:..,... ,', : . - - ,, ,': ,,. • 1, -1,uni 13,0r: iriifition.. sircit, 67:84 .
..S,EP,Priutifittlietillg 6724-'• 2
P0.06ces....,•,,.0#1or,.P'404!!":Eler-.4'ic.Wip.11.iogstert,LW „, .,...., _.
, . .-..
. ... .,., .. . slioal--41tblics_ .)tirliiiijoi7gY- .0 ste‘. 1,-..- -.. 2
4k441vik.01,0S-0 ..k10#43*4 ' 'iti..alit:nil ''ormricoston.
,.
-Entalittrriletialielpienen eVer'eAtatiablele am-.of the abot
98641
... ,... , .
. --- aiiiiiedialilif.tein -452-.,lir
' . '. .. •
Phone,
. , .
' FaX{ ) .inveogaton.,...: ..,.,,...,:ttlietho ,. . .
900011it
.
,..... , .
,. . .
....
MI)320-107
. . . .. . . ..
. .
. . ... .„
. ..,. Indiniiii i(ileinin) 7.4.IArba..'
itm--all,'Itdini " •. sn.nen
•,-..'•,.-.,--„,P•13@PY-eue
........, ,...,...., ,.. .,
'need-ff' **41..‘I.'l.6.r°61i
' E. ' 'telLit,..208114. ' S' IY.Lie.:;4496S
..''--`•-•"'"'''Ilee'it'eAbi'rein) ' - 'P';??'
• ,..,.. •!4Iiilt.4. C,J.!,,, i.i;.:..Ftu,.r....:.:,I°1r1: ret. ,:. t. ta..... it• i p ..;'17,:i, , ,.... . . .... . .:”."Ea-WT-M:;.:(;#1;f2Te1144.6...idJ,...10:41itkii*Teg.;..4:::-.,:I;;,`,:.::::.•`:1;',' '
40,0. nc#9,940gon. 9..reqm . • : . - . i. . . : ... • .:.
ubfuI
:'.:.•.. ..:,-„:• :-. . ,.,
Print naiW.loan P•Albett Dilt -a t Ikkb . o..z.
. . . .... . ..,..,
.,
. . .,.., „... .
. . . ,....,.
. ,
. .i .14 li-. 41e4....4.tiot2lisij...,t252,4X141t-pixviiiiii,---r1,.:.,f,c41:::
,.,... .
TOTALPERMITFRP...
•
Agth9F;;!4st44lure4.-..--, • • - : : ''
Friat-,am t.-...Bil ti)..aftiel. s' ., 141.0000 M.04,01.0.W1:.0.#1.140iiiitti.#,4-01Pined-Avithin 180
littekjtiiii0104tiaidAtd t.Olitiltett.
410$. .. .. , .
Dfite.: _...•a.ck._vo,„ . , ...mit4bertitio,*tidits 448iii,448,ipvidt..
Li8af4p.mttAittimiratt.pit'EL0,.Entittpc tirtotitit%tt$ .440.40iscivolemywEB.,
i
,
i
Plumbing Permit Applica ii .
F•OR OFiL (ii: ciBuilding Fixtures IC '
Ir City of Tigard tNw/I1J- /4...."l�d//
a 13123 SW Hall Blvd-,Taga•rd,'503.5983960
01i 97423 fkw OW Posh to
Phone: 51)3.718.2439 Fax 503 59E I964 • i?� Y-
,) Inspection Line: 503.639,417/ '" DmmRsa4ysy: I H See1P9gcal far
aror�ados
r t c'a r Internet www ti�gard-0t:gov Nail ed/M od: art
c....,•4:,••:::,;;;,..?;,-.1:. .. ,41,a:/:0; t X 1.5 • .,:, ,Y;Yr i a,..7':r:; '•''r,.' •, '")'':,' .••gin F.a. +..',.•7... .. �f.
:!%�',j`A'l!td;'.+;7.Y'1r1."�.a :.p°:1rxy j.l�l:.iF �.�Y� '• .`,.t"�•':, r::q.e•, v ,• , _ .,..:.J,� « r�• .. .1-.r .`...:.tif•' •• .
' ,=
,r
City of Tigard
iIII
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #: //S ,0/6, —00/6 ,
Site Address: 1369 i FT 5+h k
Project Name: Pd qo,n, �' We.6-f. Ri`verre.tface, Lot #: c69
(Nem/ elling= subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: (' SF
Verify site address/suite# exists and active in permit ystem.
River Terrace Neighborhood: E Noill Yes,See River Terrace Review Addendum Attached
Sit/Plan Elements:
144 ree (3) copies of site plan ,xisting structures on site
Fite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
VpIP rawn to scale(standard architect or engineer scale) oor elevations
Er. orth arrow Utility locations (required for new,may apply for additions)
E to address,project or subdivision name and lot number cation of wells/septic systems
27>pplicant information(name and phone number) Lf Erosion control(including drainage-way protection,silt fence
Illflrkot dimensions and building setback dimensions design,location of catch basin,etc.)
INLot area,building coverage area,percentage of coverage and Greet names
pervious area (applicable if R-7,R-12,R-25&R-40) NJStreet tree size,type and location
VProperty corner elevations(2 foot contour lines if more than II Existing trees to be retained with drip line,and tree
4 foot differential) protection measures
❑ Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified ' No Received: ❑ Yes ❑ No
Public Facilities Improvement (PFI) Permit:
—/Required: El Yes,applicant was notified ❑ No Applied For: iSt Yes E No,stop intake
L�' Land Use Case #: PcR2O15-O MJ�.1'l-",{
5,Zoning: R---7E-
.--7
Setbacks: Front f 2 Rear 1 5' Side 5 Street Side --- Garage 2.01(Landscape Requirement: 'G.0
0/0
Ni/Lot Coverage Maximum: S'0
f
1/Building Height: Maximum Height 35 Actual Height 30
1 Visual Clearance
Easements
Sensitive Lands: ❑ Yes X; No MI/Urban Forestry Plan
Conditions "Met"prior to issuance of building permit .11
Notes: Qe,r new Siff, -Vr2e_ p\an, cyni4 me, volt pick e4
Conctilivns • rre4- ert,. tv tssticlrlt(i cG lev;(cuh c PJenttiM
Approved By Planning: ---1' yyt 1 Date: H 11 I e
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:ABuilding\Fonns\B1dgPermitRvw_RES 012116.docx
ot
Building Permit Submittal
Original Submittal Date:
9/06
Site Plans: #
Building Plans: #
Building Permit#: E rEnter building permit# above.
Workflow Routing: B'Planning 2rEngineering L 'ermit Coordinator C wilding
Workflow Sign-off: 'Sign-off for Planning(include notes from planning review)
Route Application Documents: 2' Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
UBuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Z � _. Date:
0k,
Engineering Review
Slope at building pad: 31'
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 Approved by r gineering: Date:
Notes: _-I-...or . .►_ -. ..r .r__� d/ .417 •_ - 1,i 11
Approved by Engineering:„ �' Date: _C>-_-;%`
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
0 onditions "Met"prior to issuance of building permit
Approved, NOT Released: C , ex,,,,,,A.,..) Date: S - 3 - 16
Notes: -F,nc‘lVNce,Anc, Con1:'h0,,-,J .\ \rj,e. - -€k .
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
'SDC Fees Entered: Wash Co Trans Dev Tax: ®- Yes ❑ N/A
Tigard Trans SDC: a Yes ❑ N/A
Parks SDC: N Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: /eirate:
1:\Building\Fonns\BldgPennitRvw_RES_012116.docx
City of Tigard
111111 ■ COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D River Terrace Building Permit Review Addendum
Building Permit #: /1.57:„7-6/Co --00/6?---
Site Address: X360 1 WI 1-1911 A\f e,
Project Name: s Lot #:
(Nc clling=subdivision name;,Addition or Alteration=last name of owner)
Planning Review River Terrace Plan Distri9t Design Standards (18.660.070.1):
Is the project subject to the plan district design standards? gA Yes ❑ No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., Eft wide
Vti
❑ El ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: i 1 , 5`)/n
3. Entrances:At least one entrance must meet both of the folio standards:
Max. 8 ft. setback from ion t street facin wall u Parallel to street,angle no more than 45° from street,
g or open onto porch
Entrance opens to a porch: Yes ❑ No
I,_f(�es,all the following apply: JJ 5 sq.ft. min.
LJ ne street facing entry �n ft. max. roof above floor of porch
L� 5 ft. depth min. EL 30%min. porch roof coverage
4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
overed porch mm. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep
Wall offset mm. 16 inches ❑ Dormer min. 4 ft.wide
❑ Roof eave min. 12 inch projection oof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.wide
v2r
Accent siding min. 40%of street facade—br1Gk IJ Window trim min. 2 1/"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:
❑ closer to front or side lot line, than longest street-facing wall. KI 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.
LuJ 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 V40% max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: %._ II f 6 O. J Date: ` \—
I:`.Building'Forms\BldgPermitRvw_RES_RT_03 1416.docx
Plumbing Permit Application
Building Fixtures foR 011 1( F t til O�l_1
City ofW Tigard Received /l^ G �� / Pewit No.�f,J //
n 13125 SW Hall Blvd.,Tigard,OR 97223
Date/By:
erg/ • `_c p�l V��i
Phone: 503.718.2439 Fax: 503.5981960Day. Other Permit No.:
1 i `is n Inspection Line: 503.639.4175 Date Ready/By: Anis: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE t)F WORIF..: . ....
FEE*,SCtfEDili,,E• -
®New construction 0 Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other:
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORYOF CONSTRUCTION" SFR(1)bath 312.70
®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 OtherFire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION _ Site utilities:
Job site address: 172 11 Ol S1,1\) 1 111 e Catch basin or area drain 18.76
City/State/ZIP Tigard,OR 97224 6 W t K• DMuell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision:Polygon at West River Terrrace I Lot no.:?DCA Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF.WORK Backwater valve i 12.51
Clothes washer 25.02
(./00/1141`/^ J"j r cjimoi Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
.:PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25,02
Phone:(602)694-4031 Fax:( ) Ice maker 12.51
Z.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Angela Grajewski
Roof drain(commercial) 12.51
Address:109 East 13th Street Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51
E-mail:An ela.Gra'ewski Urinal 25.02
g rQpolygonhomes.com
Water closet 25.02
CONTRACTOR
Water heater 137.52
Business name:Malmedal Enterprises Inc. Watert m WV
PP f� 56.29
Address:PO Box 207 Other: 25.02
City/State/ZIP:Banks,OR 97106 Subtotal
Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50
CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee)
/' State surcharge(12%of permit fee)
Authorized signature: ( c� TOTAL PERMIT FEE
Print name:Carolina Malmedal I Date:04/25/2016 I This permit application expires if a permit is not obtained within Igo days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:IBuiidi`gWermits\PLMU-PemitApp.doc 10/01/09 440-06167(10/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13691 SW 175TH AVE, SHERWOOD, OR, 97140
Record Type:
Residential - Master Permit
Inspection Type:
299 Final inspection
Result:
PASS -CofO
Comments:
Street tree
Moisture content
Lighting efficiency
Insulation certification
All forms received
Violation Summary:
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00162
Inspector:
Jeff Grove
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13691 SW 175TH AVE, SHERWOOD, OR, 97140
Record Type:
Residential - Master Permit
Inspection Type:
699 Mechanical final
Result:
PASS
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00162
Inspector:
Jeff Grove
Contractor