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Permit (60) gCITY OF TIGARD MASTER PERMIT 11 COMMUNITY DEVELOPMENTPermit MST201 - 6 00357 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S 106DCO2300 Jurisdiction: Tigard Site address: 17041 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 23 Project: Polygon at West River Terrace, Lot 23 Project Description: New SFA. Building/Unit 7.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 12 Smoke Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Yes Total: 1625 sf Value: $202,203.54 Rear: 5 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 Tubs/Showers: 0 Garbage Disp: 1 Water Heaters: 1 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!500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1625 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: $23,727.67 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 952-001-0 90. 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: el4,4 �/0'G-/er l"7U/v' 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. eA Building Permit Application z' V `" �J bRECEIVr4u FOR OFFICE lL O\I_1 City of Tigard Receives 41 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 0 6 2016 Date/By: ��Ys - PermitNyy(-7-f©//�d3-57 Plan Review, Phone: 503.718.2439 Fax: 503.598.1960 Dafe/By: / f Other Pere ������ n Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: 9/2-/A, y iwis: la See Page 22�for Internet: www tigard-or.gov 9 1 n,a Ct *,I Notified/Metbod:! f/ �l Y lJl�1� AT Supplemental Information ING •� ®N construction 0 Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacementOther equipment,materials,labor,overhead,and the profit for the work indicated on this application `.`��., nk:,,.a �� k%,h,hiiA?.� n�; ,«,543`w"r•''�,4s�t„c.`."�,�'i.�e..: .�..,.: # �-�.+ d? a-i-,•:i 1-and 2-family dwelling 0 Commercial mdustrial Valuation: $ 9 303 vc.«� J ry J ❑Accessory building [Multi-family Number of bedrooms: 3 0 Master builder Oar Number of bathrooms (4„ Total number of floors: 3 lob site address: 1 04 , SW Jean JA uise Road t 1ou New dwelling urea: 1625 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 327 square feet tfSuite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: t) square feet cross street/directions to job site: Deck area: 96 square feet 3 T 1/.. Other structure area: * (E, square feet ,. Subdivision:Polygon at West River Terrace I Lot no.: 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 Tax • equipment,materials,labor,overhead,and the profit for the work indicated on this application. ES b I U 7 I Valuation: $ Existing building area: square feet New building area: feet a � J 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)694031 Fax:( ) New: Business name:Polygon WLH,LLCc- Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13m Street FLS plan review fee(if applicable): City/StatetLlP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Gralewski@polygonhomes.com Commercial and residential prescriptive installation of 'a �a�,bf' _ �:?. a €'�a, Jx � r : roof-top mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/StatetLiP: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 fic.:207247 /] alyto Total fee due upon application: $201.60 Authorized signature: _�(1 fl?,'/"'X(�/, � This permit application expires if a permit is not obtained (� within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:79/20/16 *Fee methodology set by Tri-County Building Industry Service Board 440-4613T(I1/02/COM/WEB) I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 E �t Mechanical Permit ,E E1) , ., 1 oit dlrtie 1 I �[.t)N l City of Tigard11=111M7MTE111 13125 SW Hall Blvd.,Tigard,OR 97223 (,,..... a ,) i c. Plan Review Phone 503.718.2439 Far.: 503.598.1960 ° `? ' H' Dewily, Other Permit: ., .t. Inspection Line:503.6394175 tit Ready:By jus: 0 ilei Page 2 for Internet: www.tigard-or.gov 1` `d t_f i !1.(iriA it Y.➢ lvctifieehMethod: supplemental Information ik I C.A yC°I RCr1► FEE*-SCH£DL'L ru .-rte Mechanical permit fees*are bascd on „ value omf the work New construction 0 A.ddition/ahcration/rcplacement performed.Indicate the value(rounded the nearest dollar)of all ❑Demolition 0 Other. mechanical materials,equipment,labor. vcrtead,and profit . •vqI,C .`EGORY OF COI 1Z1 '10 , H, ET 1i4f LI1Pt4iE1,ti Vit`'STEI4S , 'r'e41, Value:S 0 1-and 2-family dwelling 0 Cotmnercial/mdustrial 0 Accessory building For'pedal inform atop cast checklist F:e Multi-family. 0 Master builder 0 Other: Description L City. Es. Total 1,. 3OH iiT4,Q 3IUN A1111!I CA (N . r ,t i HAetimgong: 46,75 Sob Site address: '� / Svjea laXi G414 Furnace 100,000 BTU(duos veins) 1 46:75 City/StatedZIP`Tigard,OR 97224 Furnace 100.000+BTU(duos/vents; 54.91 Heat pump I 06 Suite/bldg./apt.no.:1 it-4 Project name:Polygon at West River Ter Duct wvr3. 23. Cross street/directions to job site: Hydropic hot water system I 23.32 Residential boiler(radiator or I hydronic) I 23.32 Unit heaters(fuel-type,not electric),` in-wall.in-duct,suspended,etc. 46.75 I Flue/vent for any of above J 23.32 Subdlivisuxt:Polygon at West River Terrrace Lot no.: . Other 1 23.32 Other fuel appliances; i Tax map,°parcel no.: Water heater. I 23.32 I t a ¥bPSCItIPTION'DP WOiu c Gas fireplaceiinsert I 33,39 i _. CA CA(ViuM,C 1:et vent for vrata heater or�ar firrpiact I 23.32 Lag lighter(gas) 2332 Wood/pellet stove 3339 Wood'fireplacefinsert i 23.32 Chiumev/lincr/fluelve at 1 23.32 g �' 47, tJther; I 2332 . ,,, ,... ,.x__., �..�.� ... ....�s:t Envirunraentai exhaust and venGlatiotdt Name ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road Clothes dr 33.39 Clothes dryer exhaust I 33.39 Sin educt exhaust(bathrooms, CityiState2TP:Scottsdale,A7$525$ � toilet compartments,utility rooms) 23,32 , Phone:(602)694-41131 Fax:( ) Attic/craaispace fans I 23.32 file;;;',..' `f ta'1PI+f 1S" £. .... , ,_ .j]CON'' pr-0,01SQtsi , FuelMei': I 23.32 ping: Business name:William Lyon Hemet,Inc. $14.15 for first four;64.03 for 6ach additional Contact name Angela Gra jewski Furnace,etc, I Address:109 East 13th Street Gas heat pump i Wall/suspended/unitheater City/State/ZIP:Vancouver,WA 98660 Watery heater Phone:(360)695-7700 Fax::(360)693-4442 Fmtolace 1 Range E-mail:Angeht.Grajewskltpo13'gonhomes.com Barbecue £k ' gy-�����,�„ '.,�.»rrb '<;'ew.six.x"x>fi3WA K.,g J',5� ,..x x _"____'. -'_`(S+.,). 3Other I ... Business name:AndersenMechanical,Inc. Address:16285 SW 80 Ave 5uhtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee 590.00) Mom-003)9924664 I Fax:(503)536-6615 Plan review(25%of orintit fee) I State surcharge(12%ofpersnit fee) CCB fie.:168214 TOTAL PER>1T FEE This permit application expires if a permit Is not obtained within 180 days after it has been accepted*complete Au'lhotized signature: * Fere methodology set by Tri-Caunty Buildinp Industry Service nosed Print nAngela Grajewsld I Date:8t22/16 t:. _PeraaApp c4*tt3.das 4464617r(111e2co wwE,a) a i V V w Electrical Permit Application lou o vi n e r_ t SF o\1_1 City of Tigard AUG 4 6 2016 Dam Permit#"7--f -0/67 •'4I, 'S 7 III U 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182434 Fax '/O TIGARD Date/B Related Permit it: T G. I. Inspection Line: 503.639.4I75 Ready Date/By: Jude: H See Page 2 for Internet www.tigard-or.gov BUILDING DIViSIO Notified/Method: Supplemental Information .. . � . f +` t a .:hie 6i `,a a .. .,;: " E ` *- ' : �., ,��W� ��i3.ttF' .,fir -7: " v. New construction ❑Addition/alteration/replacement Please check all that apply(submit z sets of plans w/items checked): ❑Demolition ❑Other 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. ::::''SJ ''''F.-.:''4'.:72- o 7V E`76 JT sW>, 3 7_ , ,` exceeds 10,000 amps at 150 volts er 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Cormner cial/mdustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural [�Multt family ❑Master builder ❑Otheramps for an other installations. buildings. ` {j @ _ _�a_ e' 0 �e pp�,�p. 0 Installation KVA or ,4•721.-...1:7 7-...�.a.....>a...� .:C:3_1'zi t imd� I!I,LIA W i ` t -.........f.4 � G...is'....c. �r 1-13.cu v.r ,:i ❑Eme gene "J= larger separately derived Job# I Job site address: O/I I ,^' 1t�n 0 Addition of new motor load of system. 4 iV �+ ou, 100AP or more. 0"A",`E","1-2","1-3", City/State/HP:Tigard,OR 97224 e 0 Six or more residential units. « cy- t#: I name:PolygonLk ❑ 0 Recreational Suite/bldg./apt&/aP Project at West River Ter 0 Hazardous locations. 0 Supply voltage for m ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 5 frseripiloa Qty. Each Total Subdivision: New Polygon at West River Terrrace I Lot#: a3 Includes a ch d�G multi-family dwelling unit. Tax trap/parcel#: 1,000 sq.ft or less I 168.54 I68.511 4 z y a �a t N �a Ea.add'l 500 sq.$or portion 2 33.92 (d'1.aq 1 -� M- _�. Limited energy,residential 7,' f (with above sq.&) 75 00 2 �I u `1 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ::::::--55.„,r F -le 1 E 'gr` E t; '1 7 • Renewable Energy ❑ See Page 2 �y Services or 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 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 20034 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: 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 I 59.36 1 I 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 1 168.54 1 2 4 AYE A a 'd; F; 7 e ,`,t:1 - Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:William Lyon Homes,Inc above service or feeder fee, 7A2 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Phone:(360)695-7700Miscellaneous(service or feeder not included) I Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewski@polygonhomes.com dwelling,service and/or feeder '_:_--71--4-=' rtlijr- tar —ti f,-',, �`r ,L.—t Reconnect only 67 84 2 x - Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Signal circuit(s)or limited-energy ❑ Six Page 2 2 panel,alteration,or extension City/State/ZIP:Portland OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial Plat(1 hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 s listed hr min --,-..,-2.-.'2:,,-i, +s agi. vE Elf t i s Suprv.Electrician signature,required: ' ,_...kw Print named le R 0 JDate.: 05-24-16 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: h TOTAL PERMIT FEE: + This permit application expires if a permit is not obtained within 180 Print name: el/I/S Date:t rQ 71.2"0//(0days after it has been accepted as complete. N/ * Number of inspections allowed per permit IABwlrti"g\PmnitslELC PermitApp 1=.R ERE.a�Rev 06/17/2015 15T(1 /COM/WEB , Plumbing Permit Applicati°11"ferIECEIVED , Building Fixtures i ,i i. i , I( I I. '`I (,\l SI City of Tigard AUG. �Q 16 PermitHo.MS7 ri//• e13SJ7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1t1--IY Of TIGA D f earOther Permit tufo.: . Inspection Line: 503.639.4175 1 r.nre Ready/BY .1u. a See Page 2 for Internet www.tigard-or.gov. ! jy1.9 otified/Ma Supplemental!•formation ::.p _ Y' j err .� -e ' a� �. d�� � 1�"" .°t wx�%: � v 3� :u' t�,. 'e. Asa. - n,' `�, - u?4;.�sw. ... :,,.% ;.�' `..,�."" rT�`'`f-i "�i 4 `_7." ? ®New construction ❑Demolition For speaal information use checklist f Description ( Qty. 1 Ea. J Total 1 ❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utilityconnection) i r::l,_ ..- :..; s.£ ,�..h ,,n.:,,at a;n ".,a tx...,-ix' . ?,,.s,.+' ,,,,... .. = SFR(1)bath 312.70 . Cl I-and 2-family dwelling 0 Commercial/industrial ' SFR(2)bath 437.78 . SFR(3)bath I 50032 600,3'2_1 ❑Accessory building Multi-family Each additional batlekitchenn ' 25.02 ,,g5.02 i ❑Master builder . 0 OtherFire sprinkler(11,7A sq.ft.) ( Page 2 I '1 t , r. , : :,`°"1f v .t. 'a g ..,y Site utilities: • ' Job site address: I, 0 4 1 S Stan Lo vise Loac( Catch basin or area drain 18.76 Dryweli,leach tine,or trench drain ► 18.76 City/StateIZIP:Tigard.OR 97224 . Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 V 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.:_) 1 ' Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: 0.3 Fixture or item: Tax map/parcel no.:, Backflowpreventer 1 31.27 31.27 Backwateri a.5 3 e z .,: :. ' ,• valy 12 51 c ClOthes washer 25.02 t� 'l I I:51 ti ,....1 14 Dm' hwasher'...._ 25.02 • Drinking fountain 25.02 • Ejectors/sump 25.02 '�- Expansion tank 12.51 � sat � ? Name ADVL Land Holdings,LLC A Fixture/sewer e/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 1 : w a i ,t " :1,M s IrtterceptOt _/grease trap 25.02. Business panne:William Lyon Hornet,Inc° Medical gas(v $ Page 2 pruner 12.51 Contact same:Angela Gra jewski Roof drain(commercial) 12.51 Adtlzss:l09 East 13th Street Sink/basinflavatory 25.02 , City/State/ZIP:Vain:Gaver,WA 98660 Solar units(potable water) 62.54 Phone(360)695-7700 Fax::(360)893-4442 Tub/shower/shower pan 12.51 E-mail:.Ange a.Grajoeski®polygonbomes.com Urinal _ 25.02 Water closet 25.02 � � Water'heater 37.52 Business inane:Alliance Plumbing LLC : Water piping/DWV 5639 Address:146 W Historic Columbia River Hwy Other 25.02 City/State/ZIP:Troatttale,OR 97060 Subtotal Phone(503)492-3490 Fax:(503)912.6438 Minimum permit fee: $7230 Plan review (25%of permit fee) 1 CCB Ltc:184601 Plumbing Lie:no::1'13732 f State snrdtarge(12%ofpermitfce) f Authorized.signature: TOTAL PERMIT FEE j This.perrait application expires ifs:perniit i s not obtained within 18t1 days Print name:Robett Aishman Date:5/23/2016 after itbas been accepted.as ea®plete. *Fee methodology set by Tri-County Building industry Service Board. 1.1Buil i App.doc 1010009 440-4616r(sWv?ACOMitvES) Dr rtlirtiVrt City of Tigard w COMMUNITY DEVELOPMENT DEPARTMENT S r 1 c R D Building Permit Review — Residential Building Permit #: /VS-7;2a/- _.,. e'Q 35-7 Site Address: 17 0 4 / SW j' Ar) Louise 2dt Project Name: Polygon G+ W )4- ThV tr Te rrm u Lot #: 2 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NVQ,W 12-0W RV fn-e... (20 - 23) Verify site address/suite# exists and active in permit ystem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan DFAKiating 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 North arrow /Utility locations (required for new,may apply for additions) iiiSite address,project or subdivision name and lot number $1.ocatiorf of wells/septic systems Applicant information(name and phone number) ung trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage f coverage and /Street tree size,type and location /impervious area(applicable if R-7,R-12, R-40) l treet names Property corner elevations (2 foot contour lines if more than 4 foot differential) /- 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: ❑ Yes,applicant was notified CINo Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PQl2 w Is - -OOO pl , Suez/015 -0000& O Zoning: k-2.l; Setbacks: Front 1'T_ Rear S Side 6 Street Side 3 Garage / q /If Landscape Requirement: 7j0 % 1v yl Lot Coverage Maximum: —6-5---- % r Building Height: Maximum Height WA- Actual Height rJ Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type e Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: C nd%tfio of 1-o be met prior -v i s`-s v°,rc_c_ d i^ bv,'ich;r1� refit')i t. Approved By Planning: M 0 1-1.142---- 13 i Date: g/ ( /2,0((I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgpermitRvw RES 060116.docx Building Permit Submittal I L Original Submittal Date: O,w/(4 Site Plans: # Building Plans: # 3 Building Permit#: 0 Enter building permit#above. Workflow Routing: Er Planning Lngineering Er-Permit Coordinator E building Workflow Sign-off: 62"-Sign-off for Planning(include notes from planning review) Route Application Documents: 0-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: ,r-pe Date: cp- , s-» � iia P.:.v...,....a.Y1 a a.at,.a.... ,�. ..�.�._ Engineering Review 7 ❑ Slope at building pad: 2 b ❑ 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 Engineering: Date: Notes: Approved by Engineering: Vk t k ' Date: 1 I r;/ /'4' 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: 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: DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A ?33OK to Issue Permit Approved by Permit Coordinator: Date: 7 J / I:\Building\Forms\BIdgPermitRvw_RES_060116.docx City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT 11111111Q CARD liver Terrace Building Permit Review Addendum Building Permit #: HS1 -0/G, 00..3 5 Site Address: i —1 041 ) SW J'ebin L pulse go( . Project Name: Po 19 9 o n ni-- v v i t- RAve r Te rr-n c,e, Lot #: 23 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standardsXYes ❑ 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 ft. deep min.2ft.,5 ft.wide min. 2 ft., Eft.wide Gabled dormer ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: I G. 3 /, 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 /1 No If yes,all the following apply: ( ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ?Dormer min. 4 ft.wide lyRoof eave min. 12 inch projection /❑ Roof 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. ❑ Horizontal lap siding min. 3-7 inches wide Accent siding min. 40%of street facade /Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): NAIAJ ❑ May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second sto above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade 1V/Pr ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: . lGAD—ALmAtiDate: j„ (� E,Building\Forms\BldgPermitRvw RES RT 062216.docx RECEIVED Electrical Permit Application FOR OFFICE US ONLY- - City of Tigard NOV ® 2 15 EMil vers (( /l/��� ' 13125 o Hall Blvd.,Tigard,OR 97223 . ��A M, / Phone: 503.7182439 Fax 503.5 1�"�q F' 1 '' Ia" Plan Review 4� ! _ i( Datat .IIIII Related Permit(t: T1G�RD Inspection Line: 503.639.4175 ReadyDate/By:, kris Internee www•ttgard orgoV BUILDING RJ rora. Supplemental eePentl Inc �'���� � NonfierlMteth Information dna wammAilt ®New construction `a _ 0 Addition/alteration/replacement Please check all that apply(submit Z sets of plans w/Slums checked): ❑Service w feeder 400 amps or more ❑Building over three stories. 0 Demolition 0 Other: { # � - where the available fault current 0 Marinas and boatyards. '- s A+y+�v. -` _ exceeds 10,000 amps at 150 volts or CI Floating buildings. 0 1-and 2-family dwelling 0 Commercial/mdlistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-tae agricultural ❑Multi-familyother tnstallatmns. buildings.- -,-..--y.an'=�:��f-;�x�..,�a=7 - - ❑Installation of 150KVAor Master r builder Other Fite ❑ pump. •._,,...,,,._..T....:__...._... __. :� �1�F=�1Vi3'-��:��1•'TI01�I'` . - ❑ ._:.._ �.___-,... _..._......�:.-,_.-, ,-:�,::_.:_>.:,.�,.::�:::-;_--,w;�::_ Emergencysystem. larger separately derived Job#: C- , \ ❑Addition of new motor Load of Job site address o� STN V�..(:.�:1,(.�_..t:_,_f.�::::::-=(:�:,�:_s..:,_.,,1: system. 3ean 1 W 1t 1C..R i)- 100HP or more. ❑ A, $",`1 2", 1 3. City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. Suite/bldg./apt.#: 1, Project name:Polygon ❑Health-care facilities. 0 Recreational vehicle parks. J at West River Ter 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: r_ 0 Service or Seeder 600 amps or more. 600 volts nominal. Description I Qty. I Fact, 1 Total 1 New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: -22. Includes attached garage. Tax map/parcel#: J 1.000 sq.R or less i 168.54 4 - � � Ea add'1500 sq.ft.or portion "L 3392 1 a �" h Limited energy,residential K b� J Q,V\a f - (with above sq.R) 7500 2 t V�` Limited energy,multi-family residential(with above sq.ft.) 75.00 2 . .: fl- - r • r.=- r 1 Renewable En =xF-,r "��-�.,',,,,E;[�I�" gEI(� �z ��� � � �;.Q��i�l ��w'� T ❑ See Page 2 -.` `' m Services or 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 City/State/ZIP:Scottsdale,AZ 85258 40]amps to 600 amps 20034 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: 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 5936 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 • XA " '" _�,mCp1 � {,� Branch circuits-new,alteration,or extension,per panel -• - - �"��'���`��'-� -.�. A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, ! each branch circuit 7.42 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700Miscellaneous(service or feeder not included) Fax::(360)693-4442 Each manufactured or modular Email:Angela-Grajewsid@polygonhomes.eom dwelling service and/or feeder 67.84 2 { r 5 Reconnect only 67.84 2 >. s..-L= '° :74- 7, Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuits)orlimited-energy panel,alteration,or eldension ❑ See Page 2 2 t City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed(4 hr min) 90hr Suprv.Electrician signature req ��, � ' ' - -, .. i - ,4, required: i-l l'.c .� .... Subtotal: Print name: Joan P Albert • j Date: 4/26/2016 0 Plan Review Required(25%of permit fee): `_ -• — State surcharge(12%of permit fee): 4 Authorized signature: -fr - - --` TOTAL PERMIT FEE: I Print name: Bill Daniels f This permit application expires if a permit is not obtained within 180 ttI Date: 4/26/2016 I days after It has been accepted as complete III * Number of inspections allowed per permit :, I:"Building1Penaits\II,C PermitApp ELit ERBdoc Rev 06/17/2015 440-4615T(11/05/COM/WEB 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 )4 Transmittal Letter - ;G It l D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION -RE. CE OCTIVED 17 2016 FROM: Angela Grajewski CITY OFTIGA D COMPANY: Polygon Northwest BUILDING niv s ON PHONE: 971-212-2144 By: RE: 17007, 17015, 17023, 17041 SW Jean Louise RD MST2016-00354► 365, `3( 1-161 (Building 7 ) (Site Address) (Permit Number) Polygon at West River Terrace Lots 20-23 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS 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,/� s ori l`,S i flo D®35` \£... \\.. :"I � ✓fix . s� ... �.. ,�a�\�.. -11n; Routed to Permit Technician: Date: /2////(v Initials: Fees Due: Yes ❑No Fee Description: Amount Due: $ vz) Special L LE Cr i=ce G,"✓ e'`IS7"o2 / do 'O' Instructions: Reprint Permit(per PE): ❑ Yes 1lo ❑ Done Applicant Notified: ,/91t/((E-" Date: /////PInitials•,y,1� I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE USE ()NEN' City of Tigard 3 Received / �N 2 2017 Date/By. �,/� J"A Permit NoyiST JOIIO+00 13125 SW Hall Blvd.,Tigard,OR 9722U �it oC Plan Review Phone: 503.718.2439 Fax: 503.598A AN ` .-`..5-.)...0If) 63A Other Permit No.: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ions H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information ,•,TYPE 11i WORK , _ FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ` iEGORY OF40.4NS efioN SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler 1 q.ft.) I(���`j Page 2 JOB SSE INPORMATtOi"ASfi LOCATION Site utilities: Job site address:17041 SW Jean Louise Road Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:West River Terrace Area 2 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.:23 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 - tEgaiIPT1 -- Backwater valve 12.51 - ""' Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 r'°1 PROPERTY OWNER ' 3 TENANT : Expansion tank 12.51 ....E ..,.. Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax ( ) Ice maker 12.51 A ' P ' `„® APPLI $I � P El ONTA� P< N `� Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer I 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 closet25.02 Q 4TRAC'TOR Water heater 37.52 Business name:Alliance Plumbing,LLC 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 Lie.no.:PB732 Plan review (25%of permit fee) �� - State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE IPrint name:Gavin Thomes Date: 1/13/2017 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. I'dluilding\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site:Utilities PeileityTat l " q��'l+ .. " Qtly c'. . Footing drain-151 100' 50.03 Oto 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' 37.52 lua n LL. . r1t' eew 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 !cher tai 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. 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*. Quant f+by Fixture Type :Ply;Review,for Plumbing Installations Fixture Type for mac Plan review is required for any of the following. Work Performed: Capped Added Relocate Baptistry/Font Please check all that apply. 0 Any 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 ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ 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. -3" -4„ �trie of- Ir`r Thagi"am Car Wash Drain Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 Water Extractor increase of sewer EDUs,a sewer permit will be issued and 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