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Permit (44) n CITY OF TIGARD MASTER PERMIT !PI // .' COMMUNITY DEVELOPMENT Permit#: MST2016-00334 Date Issued: 09/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC13400 Jurisdiction: Tigard Site address: 17034 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 135 Project: Polygon at West River Terrace, Lot 135 Project Description: New SFA. Building/Unit 9.3 BUILDING I Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 249 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1371 sf Value: $171,046.29 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 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: 1 201-400 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 SFA VB R-3 1371 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 Geotechnical Inspection SCOTTSDALE,AZ 85258 Required before foundation PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,011.63 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 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. r ®� !9 .°4 'e977t Issued By: ,,,d,,,,,,, _ Permittee Signature: ri Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Z 0 % /3-5 )( /> e t a RECEIVED FOR OFFICE FSE()NEI City of Tigard Rivedece 13125 SW Hall Blvd.,Tigard,OR 97223 JUL2°16PlanR �•�a�j /�' PermitN - /�—0033/ B Phone: 503.718.2439 Fax: 503.598.1960 Date/By: " '7—j 1 Other Per // 9/ /!jam Inspection Line: 503.639.4175 C`-I YOI I'�jjA Date Ready/By: J 7u�s: H See Page 2 for Internet: www.tigazd or.gov BUILDING DIVISIO Notified/Method:/ge//1 „ Supplemental Information oa. ra. ` . t ° to ®New constructione ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the . � ��? ,� �, � � � t "�. � � .�• t work indicated on this apAlication. '. fan a H.H..:v�ASzs"� "..:, ,R• - vm, � .. - F 1-and 2-famil Valuation: Y dwellin $168 g ❑Commercial/industrial ❑Accessory building (Multi-family Number of bedrooms: 2 )l i 0 CT/ ❑Master builder 0 Other: Number of bathrooms: X . ° t i Total number of floors: 3 g Job site address: 170 3(„j SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet IJ Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: ;*I__ square feet,, E Cross street/directions to job site: Deck area: 72 square feet a tt C. }v'Nv Other structure area: 72 square feet Subdivision:Polygon at West River Terrace I Lot no.: 135 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. IC5 �3 V`I,t 9,3 ,3 Valuation: $ Existing building area: square feet New building area: square feet ' Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: �, i'd� �"'r�-��P � sass �€ �€` �<;. %• ,,<� �_�� ' S f Y'� 4 �` � �� �� Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street )' City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: t . E-mail:AngelaGrajewski@polygonhomes.com � � � w �� � Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 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: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days ys after it has been accepted as complete. Print name:Angela Grajewski Date: /20/16 *Fee methodology set by Tri County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r , et Til II Tri II Mechanical Permit Applic 1-i t City of Tigard Received 13125 SW Hail Blvd.,Tigard,OR 972 t DateBy: 1 . - Phone: 503.718.2439 Fax 503.598.I96 L L. Fr; Review""" Other Permit: , n Inspection Line: 503.639.41 75 ' Dented/lyByi ruxis SePageforinteneeww.ligard'agov . _ v isNotified/Medoff: Supplental Information g l . .,. . a s . .'V_ COMMERCIAL EEE'* £DVLE F ,,, Mcctutnical permit fees•are based on th value of the work ®Now construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other, mechanical materials,equipment,labor,Overhead,and profit Value ;:,. � .1 li CATE RY,OF.CON V old, S WI1PSIDEKZAL IEOTki4iEh'TJW '1'E fir£$* z :. ❑1-and 2-family dwelling 0 Cotmnercialfrmdustriai 0 Accessory building Forspeddt infrnnaltem tar cherba a ®Multi-family 0 Master builder 0 Other: Description ($tv. Ea Total . oi& . iFO 'liONAWefkt"gfc".441.': Air conditioning 41 46,73 obsiteaddross: I S ` � n �(� Furnace 100,000 BTU(duce'enss) I] 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duua au) 1 54.91 Heat pump 1 61,06 Suite/bldg./apt.no.: O ti) Project name:Polygon at West River TerDuct-week 1 23.32 Cross street/directions to job site: Hydranic hot water system r 2132 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fitd-type,not electric), in-wall,in-duct,Suspended,etc. 46,75 Flue/vent for any of above [ 23.32 Subdivision:Polygon at West River Ter Trace Lot no.:1-55— , mer 1 2332 Other fuel appliances: ) Tax map/parcel no.: Watereater 4 23 32 tip h , _� . ... ' '_` tl�SCRIPTit)N TlF"R'i3RK ` ' >' - Gas fireplace/insert .3339 C /� n. ,,� n " Flue vent for water heater or gas ,VY tIT(A:/t VH L.V\rinOlf., fireplace 1 2332 Log lighter(Ras) 1 2332 Wood/pellet stove 1 3339 Wood'fueplace/msert i 23.32 Chime evllincr/flueivent 1 23.32 Zk +i ;;:'47-'7"-'1—:4°444*, " . �� �`_° Other, 23.32 ,..T,.. �. --xn rte.,r ., vim: ._.. :. �,. _"..,,_� ,, ,.., � £aviroatuental exhaust and ventila6ors: Nam=ADVL Land Holdings,LLC Range hood/otter kitchen Address:7600 E Doubletree Ranch Road equip33,39 Clothes dryer exhaust 1 . 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, LI g toilet compartments,utility rooms) Tr 2332 Phone:(602)694.4031. Fax;( ) Atticicravelspace fans e 1 23.32 . ,_i; l 17141 11 ,e. w,. cfl'' cr P.1 N other: ] 2332 Business name:William Lyon Homes,Inc. Fuel piping: 1 S14.15 for first four;54,03 for ehch additional Contact name:Angela Grajewski Furnace;etc. Addie ss:109 East 13th Street Gas heaping" Wall/suspended/unit heater t. City/State/ZIP:Vancouver,WA 98660 Water heater f Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Aag .Grajewski@polygonhomeacom Bea i r ., :_- a 4e1?4 t#4!; f „ , ? t3 ,g "i Clorlu s sheer(¢as) Business name:Andersen Mechanical,Inc. i .eIV�, ti `.. .. . ip,.T,.. it -,til, Address:16205 SW 85"Ave ubtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee k$90.00) Plan review(25%of peamit,fee) Phone:(503)9924664 I Fax:(503)536-6615 State surcharge(12%of permit fee) CCB lib.:16821# ••• TOTAL PERMIT FEE .„,...2.______,___ This permit application expires if a permit*not obtained within ISO days after it bas been accepted complete. Authorized signature:0 • Fee methodology set by Tri-Cunty BuildMi Industry Service Board Print name Angela Grajewski Date:8t22/16 1 i 1:4Bulkfints'eratitalEC_ pp ba0)t3.400 440461rr(1t1CliCO.tit.WEB) i Electrical Permit Application 10 R 01 I 1 CI 1 <<= ON i_\ c. City of Tigard 79 ECEIVED Received Permit# e DatrJB . /�lS% v/� DO - 13125 SW Hall Blvd.,Tigard,OR 9Plan Review Phone: 503.7182439 Fax 503.598.1960 �y r� 20 C D mated P #: Inspection Line: 503.639.4175 J U L h' t U Ready DatelBy kirk H See e 2 for l iG:.i.D Internetwww.tigard-or.gov No Supplemental Information _L...„1.„±". ', :K c).t i� r ®New construction �u 0 Additional ur t.0••�J ,el ent „ry Please check all that apply(submit a sets of plans it w/tems cls: 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other where the available fault current 0 Marinas and boatyards. _--- . _..:: __ ._ • :; s.t a1 ? FJ_,ti,; a ri mg ..s . ti - - exceeds 10,000 amps at 150 volts or ❑Floating buildings- 0 uildings❑1-and 2-family dwelling ❑Commercial/mdustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural (Multi-family 0 Master builder 0 Other maps for an other installations. braidings.❑One P®P• 0 Installation of 150 KVA or _ _ f- .. T.. N,. ?ea��-t 1g).: 1!�L-_, ,E `! ..`.�� _T1)-:...,.9, ,..,_.. r ❑Emergency system. larger separately derived 2 (� I ❑Addition of new motor load of system. Job#: I Job site address: I-1 D?)l.� V �C i i our IooBP err more. ❑"A",`3:,"1-2",9-3-, City/State/ZIP:Tigard,OR 97224 1 v 0 finer or more residential units.0 Health-care facilities. may-0 Recreational _ Suite/bldgJapt#: I Project name:Polygon at West River Ter ❑�d�locations. 0 Supply form 0 Service or feeder 600 amps or more. 600 wits nominal. Cross street/directions to job site: Dema Qty. Bath Tota • Subdivision:Polygon at West River Terrrace I Lot#: I Z S New residentialtth d sior multi-family dwelling unit. 7 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less I 168.54 J( 44 p , Ea add'l 500 sq.ft.or portion ' 33.92 33.92 i ,.,. : ----�-� 0'� . ,as..,`-�'�--'" �- - _ Limited energy,residential 75.00 2 I* . Q 2 (with above sq.ft.)energy, • ` '-Jmulti-family 75.00 2 residential(with above sq.ft.) - Renewable See Page 2 „ _Fra— � "E`.•:'k- d, rs -- -- ervicesor feeders installation,alteration, and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 _ ._,. -~~ - . , Branch circuits—new,alteithration,or extension,per panel a Cis§ .,,,,777-„--7.1,,,, r. - ._�:.. y._e-"-ss--s.— A.Fee for branch circuits w Business name:William Lyon Homes,Inc above service or feeder fee, 7A2 2 each branch circuit Contact name:Angela Grajewsld ' B.Fee for branch circuits without Address:109 East 13th Street service branchh oc rc er fee,first 56.18 2 City/State/LIP:Vancouver,WA 98660 Each edd'l branch circuit 7.42 2 Phone:(360)695-7700 I Fax::(360)693-4442 �ne ufactured m modfeeder not Included) Email:Angela.Grajewski®polygonhomes.com dwelling,service and/or fader 67.84 2 Resect only 67.84 2 - _, - t'� r,O,'_ti�` r rr -= Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address: � Signal t(s)or limited-energy 0 See Page 2 2 panel,alteration,or exteasiam City/State/ZIP Portland OR 97213 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx me.com Industrial plant(1 hrmin) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 'call listed hr min Suprv.Electrician signature,required: Subtotal: Print namek I le Roo • I Date: 0 5-24-1 6 ❑Han Review Required(25%of permitfee): A,:::,i o State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: v This permit application expires if a permit is not obtained within 180 Print name: ,i.) {W Date: 7 O /(„ days atter it has been accepted as complete. L•\Buld'mg\PnmhslELC_PemitApp FLR EIiEdet Rev 06/17/2015, 1 61 / 1� s Number of inspections allowed per Permit 5T(1 SK;OM/WEa Plumbing Permit'Application Building Fixtures RECEIVE() r 4>k 4,i > 14 4 t `,1 (1\1 ) City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 ' i dJUL 2 7 2016Received Phone: 503.7182439 Fax: 503.598 . riPlaneB ey. lew Inspection Line: 503.639.4175 Internet www.tigard-or.gov13 OF (i(7 BUILDING q1 � tketifiRed/ead yMeByod Pia N°/7,3 % / 6 r'Z633r Other Permit No.: turfsia See Page 2 for Supplemental Information _®New construction 0 Demolition For special information use checklist Description' 1 Qty. j Ea. I Total l 0 Addition/alterationheplacement 0 Other New i-2-family dwellings(includes 100 R.for each utility connection) SFR i bath 312.70 -:; , s�# 3 nr»,G*a ra5.e �rs,+...sgpy �.-.I�R,+nr+�.°`,,..;�A °'t,.7ti#9.,� b� £z'_ 0 I-and 2-family dwelling 0 Commercialrndustrial SFR(2)bath 437.78 I SFR(3)bath 1 50032 � .3 0 Accessory building (j'Multi-family 1 Each additional bativkitchen 25.02 ; 0 Master builder 0 Other. Fire sprinklertl�(sq.ft.) ( Page 2 ra(gpr o-, .''''-;',';,44.2:t7 ; e 7''f „ '°\E r Site utilities: C 1 Job site address: 11 D 3L4 S S1.an Lc,vise Gaol Catch basin or,area drain 18.76 I City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 I I Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross sheet/directions to job site: Manholes 18.76 Rain drain connector 18.76 ( Sanitary sewer(no.linear ft.: ) Page 2 i Stormsewer(no.linear ft.: ) Page 2 Water service(no.linear IL: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: /35 Fixtureor item: I Tax map/parcel na. Backflow preventer / 31.27 3!.a-7 � � , .. � / 1x51 J 3 Backwater valve12.51 �. ` Clothes washer25.02 GG11 B, G .'• . .. 1•_3 Dishwasher..... 25.02' Drmking:fountain 25.02 F sump 25.02 : slop tank 12.51 s Name:ADVL Laud Holdings,LIG Fixturelsewer 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$5258Hose bib 25.02 Phone:(602)694-4031 Fax ( ) .. Ice maker 12.51 - ,' s 4 Interceptor/geese trap 25.02 Medical gas(value:S ) Page 2 Business name:William Lyon Homes,Inc - primer 12:51 I Contact name:Angela ra 8elG ... 1K+iski Roof drain(commercial) 12.51 Adm 109 East 13th Street. Sinktbasinllavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 6154 Phone`(360)695-1'700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:::Aa ela.G homes.com Urinal 25.02 g �J�'' PoIY� a„ ( weer closet 25.02 Water heater 37.52 Business imine.Al iance Plumbing LLC Water piping/DWV 5629 Address:146 W Historic Columbia River Hwy Other25.02 City/State/ZIP:Troutdale,OR.97060 Subtotal ` Photic:(503)492-3+190 Fax:(503)9126438 Minimum permit fee:$7250 Plan review (25%ofpermit fee) CCB Lrc. 184601 Plumbing Lic no.:PB7'32 Stale surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I This.permit application expires if a permit is not obtained within 180 days Print name:Robert t)isbman Date:5/23/2016 after Bliss been accepted as complete. *Fee methodology set by Tri-Coanty Budding Industry Service Board. tiBuil App:dec IoliUa9 440-4616r(10/022C'oM/WEn) ... ■ II City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T c n ti n Building Permit Review — Residential Building Permit #: ��S%,2.o/ Cid 3 3 f Site Address: 17 0 3 y Svi g e.4 r► t oviie. 12_4_. Project Name: eo I 0 r, cc4 t Weil- g,,te- Te nrz, Lot #: ( 3.5 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N-04.,/ (w w Ii o tiolr- 6.0V'f rrli c t-1-0,--) Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three (3)copies of site plan "Existing 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 ?orth arrow /Utility locations (required for new,may apply for additions) ,'ite address,project or subdivision name and lot number ..❑.location of wells/septic systems %Applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence /1Lot dimensions and building setback dimensions design,location of catch basin,etc.) i6Lot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12,R/&R-40) 'Street tree size,type and location Property corner elevations (2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree 4 foot differential) protection measures XClean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified El No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: pDR iS- f771co9 / Sue '2-7I J -. OOcx2 cf , SLR 2A.) Ls —00 ck.s3 Zoning: g 2 S 0 Setbacks: Front I j. Rear /.C) Side 9 Street Side /— 0 Garage ((Z7.S' , I Landscape Requirement: ` 0 Lot Coverage Maximum: O 0,0 7 Building Height: Maximum Height N/A Actual Height N/A Visual Clearance XEasements Sensitive Lands: ❑ Yes ❑ No Type y.Urban Forestry Plan Vi Conditions "Met"prior to issuance of building permit Notes: CAD dU-hb el•S t-o 6-e me4 pri-Dr to isJ ci oi h k o L 1✓41 I o{nt p-e.r.-.,-r f.. Approved By Planning: /1/L0-1-^-1-..,- (1 , Date: 7 1 Z / )b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved Ill Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: 7/.2 7///e>Site Plans: # 5' Building Plans: # _.3 Building Permit#: $Enter building permit#above. Workflow Routing: B.-Planning Engineering 'BPermit Coordinator wilding Workflow Sign-off: 2-"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. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: #6,544W-1-e----- Date: �/ci , Engineering Review 0❑ Slope at bonsuildinget"pad: "Mprior to issuance of building permit D Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appro ed y Engineer' g: Date: Notes: _ dt, AIIIIMir 41 i i <<.I# Approved by Engineering: M.,2, Date: g -- j 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 ❑ Conditions"Met"prior to issuance of building permit �� ' Approved,NOT Released: Date: 5-4 3//.. Notes: / e c=-L. 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: i! SDC Fees Entered: Wash Co Trans Dev Tax: cYes ❑ N/A Tigard Trans SDC: ›"Yes ❑ N/A I\I\ Parks SDC: Yes ❑ N/A 2030K to Issue Permit / / Approved by Permit Coordinator: ( , Dater/7/&' 1:ABuilding\Forms\BldgPennitRvw_RES 012116.docx / F City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT IIII0 TIGo River Terrace Building Permit Review Addendum Building Permit #: /7157,:2-0/6 7/6 0033y Site Address: ( -7 03 41 sw c'ec. Lout 2_4, Project Name: I'a 1)`J X11 G1 t ''�' i`v?- Te - . Lot #: 13S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards?/2:1 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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ /131 21/ 2. Eyes on the street: a minimum of 12% of each street facing façade must include windows or entrance doors. Percentage Shown: I b, 0 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 CI No If es,all the following app y: ,125 sq.ft. min. AOne street facing entry P'12 ft. max. roof above floor of porch 65 ft. depth min. W30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: XCovered porch min. 5 ft.wide x 5 ft. deep ,Recessed entry area min. 5 ft.wide x 2 ft. deep XWall offset min. 16 inches Dormer min. 4 ft.wide Roof eave min. 12 inch projection 0Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood X.Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. /in Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street facade liZiWindow 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. Setbacks: No closer to front or side lot line,than longest street-facing wall./Yes o. If No (Check one): ❑ May extend up to 5 ft. if there is a covered front porch and garageodes not extend porch. th d an beY front ❑ 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) C,i 12-foot-wide garage door ❑ 40%max. of street façade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /V1 p _ Date: 7/ 2-7 / 1 6 I:\Building\Forms\BldgPermitRvw RES RT 062216.docx Albert Shields From: Albert Shields Sent: Tuesday, August 23, 2016 12:10 PM To: Angela Grajewski (Angela.Grajewski@polygonhomes.com) Cc: Kim McMillan; Mike White; Dianna Howse Subject: Polygon at West River Terrace, MST2016-00332, -00333, -00334, -00335, -00336, -00337, -00338, -00339, & -00340, Lots 24-28 & 134 - 137. Attachments: Conditions - 08-23-2016.pdf Angela, re the above building permit applications, there are still multiple conditions of approval under PDR2015-00004 that are Not Met. Accordingly, I have noted these applications as Approved but Not Released. Plan review will proceed but the apps will be on hold until the conditions are resolved. Please let me know if there are any questions. Albert Shields 1 g, Inis t, rn � .' .: Electrical Permit Applicatio> . FOR OFFICE USE ONLY City of Tigard NOV .� C�7 Date/8: It 10- 0 �k 13125 SW.Tull Blvd.,Tigard,OR 97223 Review • Phone: 503.7182439 Fax 503.598.196 Related Permitil: Inspection Line: 503.639.4175 Iv i ) .31 1\i•`-1_ Y Ready . T I GA R D $ Ready Date/By: kris: See Page 2 for Internet www.figard-or.govT n NotifiedlMethod 1`. (�^y '4` l5 � Supplemental Information p C;, 2-t,7.,-::: ;,:. * i � ,`3 3 : 3 w,wa--A. - ' -.Yam= �: t . � �,.�-`--,.T�-.-.'a�.'.r.,.�. .... _�L,.- ,f% rx�'T FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III I Transmittal Letter T I GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISIONRECEIVED FROM: Angela Graj ewski d l 1 6 CITY OF TIGAR ► COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: RE: 17004, 17018, 17034, 17048 SW Jean Louise RD MST2016-003321 "2)33, 330 3S (Building 9) (Site Address) (Permit Number) Polygon at West River Terrace Lots 134-137 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ';Copies criptio. , 11,,'/X-%/.. , Copies:, , Description:% ,... 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Spaced deck detail as requested by field inspector REMARKS: Please pay fees owed with Trust Account. Vi -s-5 etc c. . e., 0,1 frtc-r;20/6 _0033_2 -w� \\ t ��\,, � �., * ' � ��,/ '� -���:.. "sr� . ' s FO Vii: ,/ r„ Routed to Permit Technician: Date: f 0 _ j 9— 1 6 Initials: Fees Due: Yes ❑No Fee Description: Amount Due: 'U M�� 4A6 iL- , 1.W rat/4c) $ 0' O t \ ; k4 $ ' \\ y \� \ti ; $ j / $ Special Gi- — cr F- C?A1 /tfs.77,20/(0 -©©23.2_ Instructions: Reprint Permit(per PE): n Yes ii=NQ Done Applicant Notified: ,q-i/G/L� Date: i//i`/c jo Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 / Plumbing Permit Application Site Utilities " FOR OFFICE USE ONLY City of Tigard Received �., - q 13125 SW Hall Blvd.,Tigard,OR 97223 FEB. s'' ")[!1-/ Date/By: 7 Permit N �% ����� � Plan Review 0 Phone: 503.718.2439 Fax: 503.598 1960 DateB .47/7/i 7 L 11111 Other Permit No.: TI G A R D Inspection Line 503.639.417 Date Read/B y Duns See Page 2 for www tigard or gov 2 Nottfied/Method_� i % 4 Supplemental Info rmation- t ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. f Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 4-. Gbl ' Ui± $ ;. t 7 � SFR(1)bath 312.70 0 1-and 2-family dwelling [1 Commercial/industrial SFR(2)bath 437.78 0 Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other f Fire sprinkler(1,371 sq.ft.) / Page 2 ' SOB`.S1'!G' ; 1, w'4''''' �;. 0' ,OGATIQ a„,i.,.,,:,,,,,:•r. ,.r Site utilities: ww Job site address:17034 SW Jean Louise Road Catch basin or area drain 18.76 City/State/ZiP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:West River Terrace 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: Lot no.:135 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1� �6� � Backwater valve 12.51 Clothes washer Multipurpose Fire Sprinkler System 25.02 Dishwasher 25.02 Permit#MST2016-00334 Drinking fountain 25.02 Ejectors/sump 25.02 - xoa T A T �a,. Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Polygon Northwest Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax: 2® �1 081 .. ) , Interceptor/grease trap - 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 Water closet ' 25.02 DUs,a wi .„ .. �� 4- .ai-.;`zl ': ... .: Water heater Business name:Alliance Plumbing,LLC 37.52 Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZiP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) /` 771--___s State surcharge(12%of permit fee) Authorized signature: / � TOTAL PERMIT FEE Print name:Gavin Thomes Date:2/22/17 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information FeeSchedule: Residential Fire Suppression Systems Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52is" w. Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to g $ so11': 7CC- �i-t and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. ' i uat►tt iixtcirn . ,, , ,, k l<E1 I >lsti�'rypt.for ''''),V i ep1ace' ;rk r± aar .. )a • 0 . iiatc Plan review is required for any of the following. Please check all that apply. Baptistry/Font ElAny new commercial building with water service 2"and Bath -Tub/Shower -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: - \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pqmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17034 SW JEAN LOUISE RD, SHERWOOD, OR, June 14, 2017 at 12:58:24 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00334 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Panel wet from garage pressure washing. Re schedule inspection when panel is dry. No further inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17034 SW JEAN LOUISE RD, SHERWOOD, OR, June 14, 2017 at 1 :05:47 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00334 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Work not complete, not ready for inspection. Condensate for furnace not ran to hub drain. Inspections to be scheduled when work is complete and ready for inspection. R109.3 Violation Summary: Inspector Contractor