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Permit CITY OF TIGARD MASTER PERMIT ° " COMMUNITY DEVELOPMENT3/s � 7 " Permit#: MST2016-00102 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13667 SW 175TH LN Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 87 Project Description: New SF. 3/15/2017: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sfRight: 5 Detectors: Yes Total: 2909 sf Value: $337,903.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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'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 Other N 4+h®r Ewnipaamg. v BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2909 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: $33,070.27 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 1.800.332.2344.1.8 Issued By: s"7-- .>- Permittee Signature: G� ,0C..te1:470 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. RECEIVED :,. , :: .:....... ... , , .. .. . . . . : ... . ... ' . . .echanicat Permit A'•I lication• . • ..•--•-•,-- • ,. •1.1)R 1)1.-.Elitli0-'1()N) i..' r :':r' : ' '-' '':: ' fT -,'. 1 4 2.,0 1 7 ty of Tigard Ilit..--,„,,,--,i•.-: 131.25 SW Hall Wed.:river),OR 97.4,1, ,.-- i..-. i i jr, '.1.ri IA cPhone: 503.718.2A39 .'.Fax: 503.5t.M01 A t.l',"' i'li...;1-1A;LP Phan Review thnettiy: Oilier Permit: T)c.i.A i,i., !inspection Line: 503.639.4175 g, ..„4 ie' -1-,ri Trrci/III bate ketutoty.. Itutv I 13.Stie Pete tor :• : 'Attract: www.tigird,orgov BUILin!1 43 VI 1,..L31 qj 1 n hiptifigokthad, suppIemeniet Intormodon :g.:•t,';'-;:::',...!--cll',;ff,'.. :',::rN4i:6,V., .....';',...•,:...-.440i.,t..!WW.0.(tR.,: •-'.•.! ;:.,''...A,i',:::'J''s.' ''....'','..,•;•:.'f<"';.:::::!'•:F.!:',',...:..-.',,,•::.,: ii":.. '-'.;•;:.'.!•.:0).01.4r4.1.CPW.O.r.i' ..cf1E-1.4.4 .11,*cliircka..-.0t,. ....:-----,-------,-,_____-- ---- . . Meeharocal permit fees*are based.on the value of the work-• ig)New construction U Addidonlalterationireplacement pert-Orme&hid icate the value(Tannited to the nearest de tier)of ail 0 Demolition 13 Other: moehaniol materials.c4MPinept,Inhor,et;orhend.,anti..PrOftt . VilitetS ' :,':;:.'•:'":,... 1*.rt;0!i.'..i.'...i.0.12:0#0.4*009N:i:';'-' . .::'.!.....',....k.....::,!.:.•:.;•::::',..'",:, •' ' •••''-,'''-• ''• - '• - '• "''•- ; •' •• ' ' • ..-•-- • - --•- ••- . )294.and I-family dwelling 0 Commercial/industrial 0 Accessory building - •.';,,'?'•'!i,-:!.:riOPPO.PFYAM+AQP,T.M.RiVIP)07410..},*gg§ i'::..-,: '', •-Forvecial information use aokilirt. • 4talti4amily 0 Master builder 0 Other; Description , , A Qty., 1 FA. 1 Total :...1:',.!••..',:,..,iF,-:,J'.4',,i.*::,',N•,,,-.'f.:1.46.ik,:gtri:ofitiiittioii,,,:-Aiiiii..i,ijitisitiitist.,..,,.f.::,;7':i'•,..''.'.,,.;,., -, litatinritoolitw Air Uoridi Ionia! 46.75 —1 Job site'address: , ., S-111 ,..i.Lit, Furnace:100 100)3 ikluctsrvon 46.75 --- City/State/VP:rkstrd,OR 97224 Variance 100,000+BTU(tlectsrvents)- III• 54.91 Beat um. 61.06 Suite/bldg./apt.no.: 1 Project finale Pelmonr 1,11._ *.. . -(% , - (Al • , _1 /_,_ Not Ivork 221-22 Cross stmettilirottions lo Job site: (lyttrunie haunter system - . . . lteanlennal hailer(radiator or hYdronie.) -3 Unit bows Plutl-typu not electric), _ .ht-wall.itt-titto saSpendect.etc. 46.75 Pluefivnt for any of'above 22.32 , t.h . Stibilistision:tkit ./DA k• i .: 1. , AIL,i , , L,01 no,• 2132 ib .0ther fittlX.PPlinocesr Tax maplinneci no,: Witter.beater ' 2332. .'...*".?:1..'ji.i.'.1';'?.:1•:Alli•„4':-• ;...53';',4,..6.'...I00.00004#...t-.0 ...;:.*ORki. .:'.•.;: ,.]-,:,(;•,':;:•;...::::..'‘'.'f,•;,:•••',..,•].7.'..-•.':.'.',t':.:', '°4-5 firciAlccrumwt . - Pine vent for water heater Or.gas fireplace , , 2332 OfftbillIJA , II i . 1,0R lighter(psi 23.32 . Wood, 'net stow, 33.24 ._. Wood ilrettleectinsert , . 11 ..:32 ' Climneyrlineriffuefrent 2 2 3... ...•,.. ,•t;:_f;',..-2-1',..4414Y,),,11..**•tit,410:0.-',.. ... ''..''..-1 l':':.''-:..',.'!..•..............' 1...*krtrOt..t::;,• ,..:... :.• ..I: : -- .-••• ,-..--• -,••-;•••,-.•-,-- --:•,:‘,-.,•'' 1',.*:•- ••-•'''.. •• ' - •-- • '''''.-•' Ravironmentst exhaust end*entilittiont Nanto:Picly$Ott W1.31,LLC Range hoodlother k halm ettni mat 33.39 Addross:109 East 13'it Street Cloches Myer exhaust 3139. .1 City/State/Zip:Vancouver,WA 98660 Single-duct exhaust(bathrooms. I toilet tximpartntortS,utitity moms) 23 1 Phone:(360)4934700 Fax ( ) Atneternwis cc runs 23.32 ' - '' - 2V . ;.;;A-:. 4.:±!T•lik..."?.'Lil:`e:',e .'-2,..;:l'.- '• •-•',.. .:.:,:.- . ...:i:.,•,,c.'••• •... ,;-- -.'.',,-,i: • - "TM. 1111111111M- . mml - ,' Fuel prpingi Business name:Polytott W143,LW • .S1445tor'nrst fecrt$4.03 Ihr.cisclt tiddiaklial Contact namp:A4Oge1aEoklewsid Forme&etc. •Atittresst 1010Rnst 13th Street Oes.heat pump • .' Wallisistended.traft heeler City/State/Z(1):VAncottrer,WA 98660 Winer heatei- • ' . Phone:(360)05-7700 I Fax:,,(360)693-4442 . : Pireolace „. • ittuAe E-rniiii:Aegela.G:tujewsktgpolygonhomes-cein • Baikecue - ..',.'13,07-V-.R5:1-..ZN,45,:gg 5r -.4-L :;'--.•i:,;: - ' T:•1::- C**Mil Cr_:•-, - - -. . . • Mistiness name:Apex Alr LIR Other! ,,'i.'..?.•:::.V...•.,:f..-4• 10.040404.4111,601'$1..*t;''-•:.i.:-.: •• ';'•:-'...:: ' Atldros.s: ISOM.1`,1t12"Avie Stibtottif CilyirState/ZIP:Vancuver,WA 98686. . S Minim:in)permit-Mac 00.00) Nan ieviey(25,l,otUtrotilfeel- Phone:(360)3424109 1 Faro CCB lin,:203034- . w 326-11169 Statesurcllarot(12%of permit tbe -T0t*.t,Pf3iMerget - This permit application*spin-4 if a/serum Is not obtained within 180 days afterit lam been aeorpiett es trimpterr. Authorized*mat- _ • - *- Fee Ti 64 by Tri-eciiimy littildinginitesoy Sentiee Board • smoo.evp,,miogArt_petritAprt.,9401040,... .44o,44(Tro troaincy.mwm .... CITY OF TIGARD MASTER PERMIT IN .' . COMMUNITY DEVELOPMENT Permit#: MST2016-00102 Date Issued: 09/15/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060002900 Jurisdiction: Tigard Site address: 13667 SW 175TH LN Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 87 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 1254 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Yes Ri ht: 5 Detectors: Dwelling Units: 1 Third: 0 sf 9 Total: 2909 sf Value: $337,903.85 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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!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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2909 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: $32,927.91 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: 1��- ' -/�' CdA!' Permittee Signature: �� 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. poi ?7 $uildrag Permit Application . 144 A.,, 4 -,, RECEINIED FOR OFFIC'E l SE()N1,1, •" "/ City of Tigard MAR n Received 2 /-5' /� isy. Pe intro, J7 / t,C, 't(J.�- 13125 SW Hall Blvd.,Tigard,OR 97223 I'j AR ® 9 2016 Plan Review ��� other Pe 41e /. -4941----1- T a O/ Phone: 503.718.2439. Fax: 503.598.1960 _ g DatdBY: ---jt Inspection'Line: 503.639.4175 1�1t-I DateReadyBy: rte: Ed See Page 2for T!C,:I:11 �r r l NotiSed/Method Supplemental Information Internet: www.tigard-or.gov l yg €� p ----- Permit fees*are based on the value of the work performed_ ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other equipment,materials,1.... .verhead,and the profit for the s ,F work indicated on this application. _div 41111_ ,'s .ars --'17e--7`-'--7 kkI , Lr.:^ s..,_i �` ..,.. < �.`".` . Y-v,,,,, 4..,,g.'z; _ •. .:,._- - _ ,. . s.... . Valuation:2.�-7 • M ® 1-and 2-family dwelling ❑Commercialfmdustrial �1�� $ • ) Number of bedrooms: ❑Accessory building ❑Multi-family ❑ Number of bathrooms>3.5_') El Master budder -3...17 ,-.'w--..7,-. T 1"x `a "'`, v,. i ` p. Total number of floors: 2 4-M0 ' I 1 I/1, fn - 1 New dwelling area: a e(0 square feet Job site address: (Ai'�/ City/State/ZIP:Sherwood,OR 97140 Garage/carport area_ 1,4 j. square feet Suite/bldg./apt_no.: Project name:Polygon at West River Ter Covered porch area: l q square feet j(S Cross street/directions to job site: Deck area: square feet);Si Other structure area: ', square feet • .,„-�Tr-€ ,. _� a �� � I 5 3 z i ss,:-.,--,1--„,.. ..'� I< �. Subdivision: Lot no.: (61 Permit fees*are based on the value of the work performed_ Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the :g„! . ' .- work indicated on this application. .� s k -a 's ;: U.-*-c F -?.- ..0':--.,... .,;T--.7i. -,:..c£': ."".,..,,,_?; 1,,,-t--.., p� k # ' _ ValuahOIl: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet .7 r ;7 J1, -7 Number of stories- Name:'� 7 C' ` Type of construction: s: °lit Y ti. ') 'l Occupancy groups: Address: I r City/State/ZIP:`�� ft-2, Existing. Phone: t l / '117 Fax(360)693.4442 New: ar z a -s ilp:_F—..— "s -I-1 f 1 -rte '' ''-------'-'s"''''''''''' 4,-- 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/LIP:Vancouver,WA 98660 Amount received. Phone:(360)695.7700 I Fax::(360)693.4442 o E-mail:maggie.gordon@polygonhomes coin 2. n'a4 -` -Z Commercial and residential prescriptive installation of ' a ", " �'y ?-`-'-'-'-'4'1,.--°. — ?�..n. .�.;;_ ,. . ---r . roof-top mounted Photovoltaic Solar Panel System- 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 13th 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 lie.:207247 Total fee due upon application: $201.60—— Authorized signature: t* This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:1T/11/15 *Fee methodology set by Tri-County_Building Industry Print name:Maggie Gordon Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) -- _. IIMUMMMMENNENImml.mmm- „ . - :, ... ,,,:,.,.,...._.,::.::...,.."...:,::s.:,..,. .'` . ' :.:::'..-: -—: :'::.:1.: ,•:...::•-,, .., ,„,.. : „:.---.-..----.. .-:,.--.: .„..-..,i.,-..„.:,:;-_,.,(-,...,•,..„...,:-7,7„,,,..„,,„,,„,„,„:,,,„,,,,..„,..: ' '- tt4i.taiiilt14iwt:„Aiotijik.ttAk RECEIVE . ? .FT..f..:Fl..-Ii:::‘$ t..) 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J,. :.'. cbrrilAcroR„-, '• 44„..10...4,, jti,.:.ret: o670 13figio4.0.0mp..,y9ori.oft gioctrx 'W-1011.0-gto Ti:•,.Lite: .,.....„,„ , : . . - tf.0•0!,T!1i#11g110g1 ••6114' ,. . d tt6.1...at0,-1:- ,A4**ft01:11000411sAtt ., *6-01,,ille.iiida4;tii;iiiii&iiitai: . --- 2 ,-zi.o.fiodott-iii*Iiiiiiiipto•it ti*0-.--iati4iibloo iir4.artho abaii..i ' eitymtoolp:::.yogot,orw4:. 80-6-:1 , . 40,0*0.1447sii404*.„(t*iiiii) 6625!hr . . yo,t04::(2.0y4*1..‘.s.:.t Fax:{ ) go:.114"):#1##‘0yfiftpsa...cp.m: --.ligg ' Iii:4040.0:440ti,00. . . . 7:44-i0.,b:tH . ..„ COB ir•''''ei.1•0 tfOirictitit.,g0817.4. ' 4 Or*.Lio: 4496-$. .: .***44:44tspotio.,;,:.,tat6Hf.r•1:tia''*:itd-)::iiii1;iiiii'ilth);1:1 : . :'..:::1,7:...---„11::'!.. : ! * ' ' '• • - . - '-•'”• •"•:: ''''*-. :•• .. • '•' • : •-•! 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Xia0,400000*0-iiiii4Awittti.iktitoi Ito oanimiS ,44O40*!IfSICO-- WIYa.p, 1 . . . f 1- i'' ehlcupal Permit ApIlicatiaflEC,EiVEl tt ea 1 it 1, 1 • _titil_1 A 0 9 2Q1Q Receiu«t it No./1-,!5 _4,01/6—06,9/ ix of Tigard (`r'IAR r>�€t :_ 1111- t 3 t25 SW hall Blvd.,Tigard.OR 97213 t'la+r Raviccv Other Permit: Phone: 503.718.2439 Fax: 503.598.1960,..,1-i.,‘ �.t (T:Al E., r}atet`Br. inspection Line: 503.639.4175 ¢ i t 'I r�t Readydty: his; to Sec Page 2 for 1 ii' a1zI7 BUtLuIty t_rI`"r.; S' 6e,,,,„„hod: SuppiementatInformation Internet; wwvc.tigard-or.gtzv 11 , PEM 61 ..;'w 3.w, . : . -.:. W , 2' .. .a .e, W -. :� :tiithteaEtantcat permit fees*are based on the value of the work ►i. New construction 0 Addition/alteration/replacement perfoTrtresf Indicate the value(rounded to the nearest dollar)of all 0 Other: ttrechanical materials equipment,labor overhead and profit DemolitionValu S s F "& a, rr' �. ... gi*, ;: A a s . ,,L;„, '!1.,:g.:,44.,.,.. ,,..,...-„,-.:,,,„,,.1.„,,,,,...,..,,.,,, n 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For specJat brfort ration use aerial, 0 Other Description I Qty. I Ea. ! Total Q Multi family Master guilder . mow. ..... ..-#s4. .,-. ,` ,. , Airconditoning 46:75 Job address: 5� 1-1 1 C. ` f Furnace 100,0t?0 BTU(duets/vents) 3 46.75 r J 1 < 1 1-\ `1 t Furnace 100.000+1311J td vents) 54.91 City/State/ZIP: ` >�, dod 61,06 I ^ t.),(--.1 1 heat pump 1 Suite/bldg./apt.no.: Project name: f1J ��/ t /� Dud work 2132 „ ( n j, ( ,`-(/ tiydronic hot water system 23.32 Cross street/directions to job site: � 1 I Residential boiler(radiator or ' hydron c) 23.32 Unit beaters(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 fre rue.,)l O he r fuel appliances: Water heater 2332 i Tax map/parcel no.: 334 .., . tee° Gas fireplace/insert 3 r' s: '44,,,a:,.. ,. -7,..W.,',1,0,,,-;.,;....,,,,- .„- � F,,-- Flue vent for water heater or c� � � freplat'x 23.32 H VAC I Log Helder feast 23.32 Wood/pellet shave! 3339 Wood fireplace/insert 23.32 , . Chimney/liner/flue/vent 23.32 a z? . N tither and ventUattoa. ,�,.x,��..� �. _`. ' .�. Eav#roamcatal ezhaust 2332 /►� j � , Range hood/other kitchen t`,larne:/FYI 1L� L1, . �1 ; i.di s ipment 33.39 r t 1f Address:-141)/n Flwju., te-"kareti ytra Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms. City/State(L P'SC LY d . i fit 65Z-Cb toilet compartments,utility rooms) 23.32 �'�/�if q� Fax::( ) Attic/crawlspace fans 2332 I Phone:i// i-r r t`�''V',� - ,,,,,,. ' , other: 2332 �. �s�..M• ;s 1 ,� Fuel pipirta- Business name:Apex Mr LLC $14.15 for Ikat four;S4.03 for each additional Furnace.etc. Contact name:Sta€£i Hap Gas heat pump Address:2210 W.Main St.Suite 107-272 Wall/suspended/unit heater . City/State/ZIP:Rattle Ground,WA 98604 Water heater 1 Fax::(360)326-1769 Fireplace Phone:(360)342-8109Ranze E-mail:stacih apexatrto eom Barbecue ' 3 ""E e " � t`t_ . t:, - �> # �: 4 s.: Clothes d ryer(ens) + w " 4 ,,, . Sus nes name:Apex Air LLC x t ., ,.`''',..Z,,-,..;,.-..'..,,4:...,,,.. . . s. � Stthtotst Address:22014.'win 5t Suite 107-272 Minimum permit fee(ubt t0) City/State/ZIP:Rattle Ground,WA 98604 Plan review(25%ofpermit fee) Phone:(360)3424109I Fax:(360)326-1769 State surcharge(12%of permit fee) • TOTAL PERMIT FEE — -- -t. CCB lie.:203034 7This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. . ''' { * Fee methodology id by Tri-County Budding Industry Service Board Autboriled si nater' I / : . Date:1/28/2016 I Print name:Siad Asp 1 440-46 7T€t t "i:.!COMe Esj I`,atradirtgiPegmetiMEC_PensitAM.940 t t 3 d€c .-.. 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'.:, .m.n.-oup.1. ..m� �/C� Z aged —:•tlNUM rots)PAWS sasoSS r#141 's ("""; s2;7oot[roa).ravaas 6.rslsaGS 9/11 soPstraco tquIP*Mt • 9L'ST • sarotr<t OI L V3)A ...Z.,,S9/V 401F4suow )P/x�ns.ss013 £4.4C 0141911 awoq P /--6 :M(39 X7 rJ�f:mut pe ford I :aac idersprciparaS E.awa (—ni Man roe)er!gsp ILMCG1 r L'farelSA!D. . 94'81 a!>nP Sao 3t T`Usl Pi 7 I••: f r L� i f S L'1 I ;ssaspps-4s qor 9E11 , aFIP EDI")ulsaq t�sJ :n :r : a,., r.. ,, _, ..,. .,...1-.*.� :sof ou mg ;•`.' , ;?.. s ".i0 • .ice`.�''• 4 ,.1:-..,„,......,,` A„ , • zseed (- 'ba_..-1rdOtnsds*Tsg , J.atrro Q s2Pr3it9'msnAl 0 24'£z A=rnPgi I rttPP*R+ 3Airangillan❑ gmpJmq Alossvoy Q . Z£'OOS ' RI4(0 ZTdS - arta, t(z)*is b • Ta /1grO 0 ....,••- gmaICLa - � '�'a«: e1 x.. :...r•...s:?c.'::,•'-:v! 0LZT£ 4r4(1)ms t `> '.? :,:'f.> .. t. .•,• t. mo'a.Mr ;iP-.;•� i; •.i..(.. (uormucao Amyl yin30/ m i•sP'P, !)IURPMP °e. -I o ' mii0 0 � S- 7aawacterra fons/eroYpPY 0 . P9°L •o , 7sarg�asn tlu _~ 401 4Q 0 ttoY ►SS+o MOtral 'r•.13:.• '; v.sn:.•e.. tf'�ij - :.y: ::, i. • F .............................................. :•J _ >W ..••s^ ;•� ,..,, �>" s2Y7^,f,j =10:.... - • Yx.t�:7ti :•�:'h:'••• 0,3.:: :..t yl iloPellaclul lslnatold SWIPS:9014 zno8•so-pn rAuva 3att atat ` a Za aag A! mPut :41141 11MI SLrb6c, '65 :aT ttoladstsi �,.=tt • o mrd Step sl m1 09611010; xeI• 6SI SILS05=Ka ,■ i '-'4 £ZZL6 2r0' /`TAXI MUMS S2r£r zCtAX,- 9/ c 4I4WV Wall S Xj 2u!P $1 r 114 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: �"� /6 00/ -- Site Address: f Project Name: poi,000 g00 G .t VAS 1-- 126rer F ((r-e4 L. Lot #: 161 (New d c ing=subdivision name;.Addition or Alteration=last name of owner) Planning Review Proposal: 1\1 ew c 'z. Verify site address/suite# exists and active in permit s stem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three (3) copies of site plan - kisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper ///Footprint of new structure(including decks)with finished %Drawn to scale (standard architect or engineer scale) floor elevations 7r-North arrow .tility locations (required for new,may apply for additions) /Site address,project or subdivision name and lot number 'Etacation of wells/septic systems Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence /Lot dimensions and building setback dimensions design,location of catch basin,etc.) Al Lot area,building coverage area ercentage of coverage and /Street names impervious area (applicable ifR-12,R-25&R-40) treet tree size,type and location ?Property corner elevations (2 foot contour lines if more than LJ Existing trees to be retained with drip line,and tree 4 foot differential) protection measures pClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: E Yes,applicant was notified ❑ No Received: ❑ Yes E No XPublic Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: E Yes ❑ No,stop intake Land Use Case #: f Pr.201I -()cool / cue 2-c1s -- O000G , SLRLcis - 00003 XZoning: Q- 1 ASetbacks: Front t 2Rear 1 s Side 3' Street Side i 0 Garage IDA Landscape Requirement: jZi Lot Coverage Maximum: 9 Q % l Building Height: Maximum Height 3 s. Actual Height el° If Visual Clearance Ct Easements v Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan aConditions "Met"prior to issuance of building permit o (ites: ncL 1t°nS be me-i- (0 0-1, Lr Io 1cSuCSI 1- c ht ii l c.Gri rex - t (- n Approved By Planning: ;/vj -1'1 1310 e m,.1. Date: �l q l 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\BicigPennitRvw_RES_012116.docx A v Building Permit Submittal Original Submittal Date: 3t /k Site Plans: # Building Plans: # `' Building Permit#: [ -Enter building permit#above. Workflow Routing: LI—Planning Er-Engineering 1ermit Coordinator 1�3- iiilding Workflow Sign-off: la-Sign-off for Planning(include notes from planning review) Route Application Documents: Ja-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. R".--Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: '� r Date: /�' , Engineering Review [Zil--o-pe at building pad: 5.2: 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 LJ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved�� .i by Engineering: Date: Notes: (::;14.1 ci t ,t3J5 4 .,. : n-rt { 6"' c7 ©es1 7°- Approved by Engineering: /4Z-i' 7-) Date: 3-45"--1,6. Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit7-4P / Approved,NOT Released: /W.—Date: 3//�/ Notes: 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: JSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A / Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:ABuilding\Forms\BldgPennitRvw_RES_012116.docx City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT r 1 G n R n River Terrace Building Permit Review Addendum Building Permit #: /if 7 / 0O/0 .-- Site Address: j3 G(ci S vv 11 S. H^ I n Project Name: PO))90 n 0 + We A fa%fir Teote—c4 L Lot #: g 7 (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 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 ❑ ❑ )2f ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: l €1. , 3. Entrances:At least one entrance must meet both of the following standards: U 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 app y: /425 sq.ft. min. One street facing entry /'12 ft. max. roof height above porch XI 5 ft. depth min. )21-30%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 gRecessed entry area min. 5 ft.wide x 2 ft. deep Z Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ,Z Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood jZGable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. /Horizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade ,Zi Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. E 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. VMay 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) q Q 7 ., ❑ 12-foot-wide garage door ,'40% max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: f,-(} 0 I L(il 5,to Date: 3`0i/iii 1:\Building\Fonns\BldgPermitRvw_RES_RT_012116.docx Plumbing Permit Application= Building Futures ' I( R c,tlic 1 i `,1 ()NI Ci of Tigard Received r� Ilh ■ 13125 SW Hallll Blvd.,Tigard,OR 97223: Date/By. /D/�l ``tf N° frt S��U/G `4Z Plan Review �t�+t 11 Phone: 503.7182439 Fax: 503:59$.1960 DaWBy: Other Permit No.: r ,K n Inspection Line: 503.639.4175 Date Ready/By: Jona: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information `:-';:`., T3'PE OP WORI£:: F ►.SC S. ®New construction []Demolition For special information use checklist Description I Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION" SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath I 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION _ Site utilities: Job site address: 13149 i A, S� r- < v kir , Catch basin or area drain 18.76 v Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear 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.: V� Fixture or item: Tax map/parcel no.: V Backflow preventer 31.27 DESCRIPTION OF.WORK Backwater valve 12.51 Clothes washer 25.02 CADOMIctur (i C7 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 ®.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)6934442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater l 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 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 Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days Print name:Carolina Malmedal Date:04/25/2016 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:1Buiding\PermitslPt.MU-PermitApp-doe 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13667 SW 175TH LN, SHERWOOD, OR, 97140 March 17, 2017 at 9:39:05 AM Record Type: Record ID: Residential - Master Permit MST2016-00102 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: No power to range, all breakers appear on. Smoke detector upper level master, chirping. Switch plate not installed in master water closet room. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13667 SW 175TH LN, SHERWOOD, OR, 97140 March 22, 2017 at 12:21 :46 PM Record Type: Record ID: Residential - Master Permit MST2016-00102 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13667 SW 175TH LN, SHERWOOD, OR, 97140 March 22, 2017 at 12:22:32 PM Record Type: Record ID: Residential - Master Permit MST2016-00102 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Finish caulking at upper level main bath tub/shower. Seal counter and backsplash same bath. Seal master shower base, vanity counter to backsplash. Violation Summary: Inspector Contractor