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Permit (7) 111 RI CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MST2016 00356 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S106DCO2200 Jurisdiction: Tigard Site address: 17023 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 22 Project: Polygon at West River Terrace, Lot 22 Project Description: New SFA. Building/Unit 7.3 BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 2 First: 240 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: 1362 sf Value: $171,046.29 Rear: 5 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: 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: 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 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: 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 1362 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: $23,000.83 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 B /� L e"1-7741`1 Y: "� r Permittee Signature: �I/v /6 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ' 7 7--— .1— Building Permit Application Lo % c ov RECEIVElb FOR OFFICE ISE O\Ll City of Tigard AUG �p t1 C Received _ 1,1 13125 SW Hall Blvd.,Tigard,OR 97223 G V 6 2 Q�6 Date/By. 9/�/& Permit No/1j7 / 3S , I Phone: 503.718.2439 Fax: 503.598.1960 plan Resew Other Permit: / 7 [; rA nate/sy: 1-2.) - )C Sly!/C v�d/L^--d0.�©ov I I C,;R I) Inspection Line: 503.639.4175 CITY i!OF TI V tlR )Date ReadyBy: ex/ Juris: ® See page 2 for Internet: www.tigard-or.gov l tiSed/Method: �/ ��, Supplemental Information LDING DIVIS11 `/1- , ,6I ___ ®New 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/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the �7T " ''„� f work indicated on thi It � < - �`�. €� � �'� �; �• � � i' , � � '�� app cation. � Q 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ t /i U / ❑Accessory building Multi-family Number of bedrooms: 2 1 t�—T/ / ❑}aster builder ❑Other: Number of batbrooms`21-5`3 f �' i 1' ' :I Total number of floors: 3 1 G' 1, �' Job site address: ('l 023 SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet,5( O Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: ,) square feet 3—‘,„F,„ Cross street/directions to job site: Deck area: 72 square feet c.),,_U,0 Other strucctire a 7 2 square feet V Permit fees*are based on the value of t4w t r Subdivision:Polygon at West River Terrace I Lot no.: �a 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 .,-.7"4,--,! , work indicated on this application. x5 e I vi - 1 3 Valuation: $ Existing building area: square feet New building area: square feet , om �; a Number of stories:s !t� � r 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: �w � _T : 7 3 7 , V7V- 7:a Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski Address:109 East 136 Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ;;';';'."'";'`'1.3 4y �' r E ':n • ` � Commercial and residential prescriptive installation of � ' a-���• roof-top mounted Photovoltaic 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 i (rAuthorized signature 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 Print name:Angela Grajewski Date:7/20/16 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Appli' ' P ��_-r t Uil of ! RI- t tiE OAt.l City of Tigard - ` Received Dateild13125 SW Hall Blvd.,Tigard,OR 97223 / "�lnIrlrinw e* Phone: 503.718.2439 Fax: 503.598.1960) i Plan Review Inspection Line: 503.639.4175 Datelltk Other Penult Internet www.dgarflroegav . . Date Ready/By: June, 0 SOc Page 2 for tit 1 j a: Notified/Method: S1uppr ental Information to>txt > ill""L :21Eacpsy a permit fees*are based on the value the woit New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded t1 the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment, profit. *£y w E E RY OI,G'D S LtCnaValue: IDEILT�IL,f;Q�J�341 �14Lfi� ,�., ❑1-and 2-family dwelling ❑Commercial/industrial Master builder ❑,Accessary-building For special i'afommt}om x�dttrlltd 0 Other: Description COY. Ea. Total ltV tA33UN Atli}I TIQ15i y, Air d gg lob site address: 130 w Jf+JU ' � A14Furnace i00 000 46.75 I � �_ 100.000 BTU{data>vwtsi 4 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duan nts) p 54.91 Suite/bldgJapt.no.: 1 c7 pump Project name:Polygon at West River Ter Duct work i 61.06 f 2332 Cross street/directions to job site: Hydronic hot water "stemt 23.32 Residential boiler(radiator or hydronic) s 23.32 Unit heaters(Eitel-type,not electric), in-wall,in-duct,suspended,etc. 46,75 Flue/vent for any of above 23.32 Subcfivisiott Polygon at West River rewrote [ot ,;2Z ' Other: 2332 Tax map/parcel no.: Other fuel appliances: i Water,.,, bIP 1It7NOFWORK eater 23.32 as fl33,39 Flue vent for water heater or acesCA \W.CalV bA/y'n0K., 2332 Log lighter Inas) 1 2332 Wood/pellettstove 33.39 Wood'fia elaeelnuert i 23.32 Chimrrcvflincr/fluthent i 23.32 '10-1145'" �.�� . ., .� ��:: 1���� �.,.�, � Others � 2332 Environmental exhaust andventil do . Name:AD VI:Land Holdings,LLC Range hoodlother kitchen Address:7600 E Doubletree Rano h Road equipment33,39 Clothes dryer exhaust 1 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, [ Phone:(602)694-4031 Fax;( ) toilet compartments,utility rooms) f 23,32 Atticicrawispace fans p 23. 2 m � CzITS 1],CO3"ilv�T 1' Other ? 1 2332 I Business name:William Lyon Homes,lac. Fuel piping: S14.15 for tint tour;54,03 for Eat additional Contact name:Angela Gra jewski Furnace,etc. Address:109 East 13th Street Gas heat PUMP City/State/ZIP:Vancouver,WA 98660 Wall/ unit heater Water heater Phone:(360)695-7700 Fax::(360)693-4442 FireplaceRange E-mail:Augela.Grxjtwsk polygonhom m ,. aBarbecue Business name:Andersen Mechanical,Inc Other "AvAddress:16285 SW 85"Ave �teittt..11248,4*,� .._ '. Subtotal City/State/l?:Tigard,OR 97224 Minimum permit fen $90.00) Phone:(503)9924664 Fax:(503)536-6615 Peen review(25%of pt &nit fee) GGA lit:168314 i ♦ State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit alrptiestiaa expires if a permit h not obtained within 180 Authorized si nature days after it has baa a � accepted--cam Fee methodology set by Tri-County 0wldin`t Industry Smite Board I Print name Angela Grajewslti Date:8/22/16 r iaunai ioSTenntteldF.C_VermaApp 440it3.doc cs@-lst rr(t t.Fa2flCo'+t'IUEt3l Electrical Permit Application' ro►z our ►cr_ lsr oNl_1 11 City of Tigard C ReceivedPermit 13125 SW Hall Blvd.,Tigard,OR 97223 AUG ' L U I l! Plan R eview . ST2C1��j Q/3�(� ' Phone: 503.718.2439 ROC 503.598.1960 Related Permit#: Inspection Line: 503.639.4175 CITY OFTIGARD ReadyDate/By: Jerk Ei See Page 2for 1 ,' - , 1 Internet www.tigard-or.govNotifed/Method: Supplemental Information '! I 1, I r i r< � . l.t_c -i.} t 7,1a".7 ... ..".r._ 77 , -t.: " er,., "5 tom _ 1:.-,r E � ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. _-.; ____ H•_,,t•-•,111,..;;:_,,{),.;,i'..20,:i;,,_5 11w cs a.,, .,,._ .— - exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-family dwelling ❑Commercial/mdustrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps( 'Multi-fam17y 0 Master blinder 0 Other: for all other installations. buildings. ❑F�Pump. ❑Installation of 150 KVA or r . :,.. 2 _a'<,?-1' ?.).:S Ct.C l tC'?.,-''''s-,roar-V:::.,. ` f.. . 'f ,-- ❑Emergency larger separately derived Job#: I Job site address: (4sA;"E"',1-7O a 3 S\/� �«n 0 Addition of new motor load of system. V 1001 P or more. 0 "1-2","1-3", City/State/ZIP:Tigard,OR 9722 0 Six or more residential wits. occupancy. facilities. 0 Recreational vehicle parks. Suite/bldgJapt#: I Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more. 600 volts nominal. Description Qty. .Eact. TOM; • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: a2 Includes attached garage. Tax map/parcel# 000 or less 68.54 g _.4 �r a t c i e ., y500 sq.ft.or portion I 133.92 3, 1 sq.f< , Ea add'] 3 92 il) .�, -, . '''':1— - a T Limited energy,residential j� (with above sq.S) 75.00 2 [l U • . 3 limited energy,multi-family residential(with above sq.ft.) 75.00 2 Energy 13 See Page 2 . ---j ,-°F% L ; _, . , __ - _k m_; �,, ,j L-1` F r T m-w 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 F.roail 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 Ij I 125.08 I I 2 Owner signature: Date: 401 amps to 599 amps i 16834 2 ,I."-- ---,----."'"'-7-- e,I C;mz g .� E "- e •' '—"t Branch circuits-1171,alteration,or extension,per panel � � . a a - — - A.Feefor 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)695-7700 Miscellaneous(service or feeder not included) I Fax::(360)693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewslu(a3polygonhomes.com dwelling,service and/or feeder c� r ti ccs Reconnect only 67.84 2 — - 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 ❑ See 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(I hr min) 6625/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx®me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 9o.ow hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 strecl8cal1 listed hr min Suprv.Electrician signature,required: �_ � ,_.,. :�' Print Darnel\i ie R o - 05-24-16 ° Subtotal: Date. ❑Plan Review Required(25/o of pemJitfee State surcharge(12%ofpermit fee): Authorized signature: , TOTAL PERMIT FEE: + This permit application expires if a permit is not obtained within 180 Print name: . �I r�A ewe, Date: 74142 o /p days after it has been accepted as complete. �!I NI ( * Number of inspections allowed per permit. L�ml�mg PermitApp MR EREdof:Rev06/17/2OI5, 615TO OM/WIB - Plumbing Permit Applicati , E . Building Fixtures i ,,i; 1,i , ,( t ••1 (1\I \ 111 City of Tigard AUG 0 6 2i16Permit xoi�'! /��G'L'�35 f 13125 SW Hall Blvd.,Tigard,OR 97223 II w Plan ReviewOther Permit Phone 503.718.2439 Fax: 503. 1 OF TIGARD oatdBy: Inspectiar Line: 503.639.4175 j�tt t�tf�a nHtt / Dere q y/gy lads: a See Page 2 for Internet www.tigardor.gov. �V 1��11�V DIVISION� Notifu&4CdIod Supplemental Information ..� nes. .+. r -: � :.-4,,,,,,,,,,A, e�,�: , .. : ❑Dettlohtion For spec& information use checklist 1 El ®New construction Description 1 (qty. I Ea I Total 0 Addition/attention/replacement 0 Other:' New 1-2-family dwellings(includes 100 ft.for each utility connection) � Z ':''''''''.;."''''''"''''''� 1,� t:7-.5.'%,-,£ 0 F,7 SFR(1)bath 312.70 SFR(2)bath 437.78 o I-arid 2-family dwelling 0 Conunercial/industrial SFR(3)bath I ' 50032 500,321 Q Accessory building M Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(1311 sq.ft.) , Page 2 I j I.1 D' . . x� h ' up 6 E � .' " 43 Site utilities: s '-*'''?3. -'' 'ham--/.H .. mak._s.b:T- p:. - i Job site address: I t O Y3 Sip Ilan kG vise. IWa� Catch basin a area dr trench 18.76 Drywell, each tine,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: , 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 ¢{t . 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 Tern-see I Lot no.: aa. Fixture or item: ..... 1 3127 a1.alTax map/parceno: BadcvaBackfwterprnv valyeacter ' : , E t cte ' 1251 11 51 . , . ; !,;, _ 3 -moo . � . . � Cotheswasfur25.02 . . 1cn ._ 1 . Dishwasher25.02 . Drinking fountain 25.02 Ejectors/sump 25.02 �,;° ; ,� ' 7,-"v.7` ; Expansion tank 12.51 x Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 _ Floor drain/floor sink/hub 25.42 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phare:(602)694-4031 Fax:( ) Ice maker 12.51 • � � - - 4 , Interceptor/grease trap 25.02 � kms,„. Business mine:. ine William Lyon Horner',Inc Medical gas(value:S Page 2 Primer 12.51 Contact name:Angela Gra' sW � > ... �' Roof draul(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 ' City/State/ZlP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51. .: E-mail:Aogeia t rn je*ski alpolygondomes.com Urinal 25.02 Water closet 25.02 �.. .. '„--•2� � � :4 � � 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 97060Subtotal Minimum permit fee: 572.50 Phone:(583)4n-3490 Fax:(503)912-6438 CCB Lic.:1114601 Plumbing Lic no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a:pemiit is not obtained within 180 dais Print name:Robert Dishman Date:5123/2016 after Blum been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\8ui 'Appdoc 10101/09 440-4616T(10a55CoWNEE1) City of Tig9rE er a COMMUNITY DEVELOPMENT DEPARTMENT 1111 T 1 c n a D Building Permit Review — Residential Building Permit #: /JS ?'-Zi /4, Site Address: 1 1 02-3 'W J''eCA r) Louise gs . Project Name: Po 195 o r' ot-4.- V QJ+- T Ver- Terri ca. Lot #: 22- (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (YAW 4Lo w 1-1-00-...e.., (2.D - 2,g) Verify site address/suite# exists and active in permit ystem. 1 River Terrace Neighborhood: ❑ No permit See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan k ❑ i;ting 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) Site address,project or subdivision name and lot number /Utility of wells/septic systems /]Applicant information(name and phone number) ' ring 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 Atreet tree size,type and location impervious area(applicable if R-7,R-12, &R-40) /[ trees names ,/Property corner elevations (2 foot contour lines if more than 4 foot differential) 71 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 1:1 No Applied For: ❑ Yes ❑ No,stop intake / Land Use Case#: T 1 R-W II • 00001 , SU(3 to 15 -moo ftp Zoning: (-Z-2. Setbacks: Front 12_ Rear 5 Side 6 Street Side 3 Garage / q yi Landscape Requirement: ?X % 1v Lot Coverage Maximum: 6 0 % y Building Height: Maximum Height WA- Actual Height /21 Visual Clearance )l Easements Si Sensitive Lands: ❑ Yes ❑ No Type e Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: CAndiifio of +0 be met r- -I prior j scs Vol r3 Cc n c.- bv1'Idir2r� l' era) H-. Approved By Planning: 0 let,; c-- 13.Lo Date: 63/ 4,/-2,014 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw REs 060116.docx Building Permit Submittal Original Submittal Date: Cf" op Site Plans: # Building Plans: # i Building Permit#: E'Enter building permit#above. Workflow Routing: B'Planning engineering i;0'Permit Coordinator 112'13uilding Workflow Sign-off: 2—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: Date: ��V/ i Engineering Review a Slope at building pad: ❑ 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: k l v -1 Date: 1 451/A, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved Cl Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit El 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: 2DC Fees Entered: Wash Co Trans Dev Tax: irDYes El N/A Tigard Trans SDC: Yes El N/A Parks SDC: Yes El N/A OK to Issue Permit Approved byPermit Coordinator: 47/6/1134ate: 9/I C A.. PP I:\Building\Fonns\B1dgPennitRvw_RES_060116.docx 11111 City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum 1_ Building Permit #: /VS T:2-0/&- 0®3;56 Site Address: 11023 Ew J'e& n Louise. IZc . Project Name: Po 1 y g o n ot+- dues t- (Z eVr T�re—el Le_ Lot #: 2_2- (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 standards ,'Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer / ❑ ❑ 7 )2, 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: Parallel to street, angle no more than 45° from street, ( Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: ❑ Yes No If yes, all the following apply: ❑ 25 sq.ft.min. ❑ One street facing entry ❑ 12 ft.max. roof above floor of porch 0 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 Roof 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 yr 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): / � tliCIMay 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 iv ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: .A4 0-1.v-,..:- j Acrite.!/W‘.- Date: j & 6, L\BuildingTorms BldgPermitRvw RES RT 062216.docx rEINED . .. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard N V 1 ?016 e/B / ' 1 �� i �� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit k: Phony 503.7182439 Fax 503.59 � ai"q , 'I'I� DetrJ$ . Inspection Line: 503.639.4175 1. �1 1-I‘a.1Ready y H See Page 2 for TIGARD. pDate/B : hair. Internet: wwwtid or. ov Tin Nae /esv Notified/Method: Supplemental gar g i It ts q a y�l pp Information -�y, ��m 9 r tRa Ei New construction C]Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked):` 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: �.� - r- - �� � __ ��• �z where the available fault current ❑Marines and boatyards. -rte_,.�_,�..,- 2 �r k`' C 1r "?0y , ;,M exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/iridlistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Master builderamps for all other installations. buildings. ❑Multi-family 0 Other: 0 Fite pump. ❑Installation of 150 KVA or �-: -�-e- -,--_ : - _" Emer stem. largerderived :�-, .�? .,r'J+ ___ - _ - - ❑ B�Yry separately d �.O "'1�°1�=2i1�>'>;'Of:� .619*~:.. - g Job#: Job site address O S w' 3011.1 Y` -y �•r,„ t,IN ❑Addition of new motor load of systaun- �, ver" 3C../CU- 100HPormore. ❑»A» City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt#: ,5 Project name:Polygon at West River Ter 0 Hazardous locations. ❑Supply voltage for more than D Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: w> *siett-t311110010WaS _ ..r-=.�r., Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: 12.....7 Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less i 168.54 4 4 Ea.add'l 500 sq.ft.or portion I 33.92 1 �" `3n- -"te -f,....,�.''4`.. r :-�-'..',p. _ re r` ' �:: �n �_ `E�Z ��.`^=` »..;-�:< Limited energy,residential 75.00 2h`/\ LQ nN p. (with above sq.f.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 4 fl -_ R Renewable Energy ❑ See Page 2 eW y� -. ~= �- MM ,T - 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 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 60]amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: • 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 I' �t,-i. e - �z �: --< Branch circuits—new,alteration,or extension,per panel t4 e., :-- -",•;•,----'-'-'''''"-'4"'d•'••' w ` x``,-�. ``Q-, ,.. �' -""s 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 service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' Fax::(360)693-4442 Faeh manufactured or modular 67.84 2 Email:Angela.Grajewski®polygonhomes.com dwelling service and/or feeder Reconnect _ wily 67.84 2 3. :-%1 . - f Z`"UT® �,� W '4-•7'. - . x Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal iter it(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension City/State/Z11):Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 lir min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) • 78.18lhr Inspections for which no fee is 90.00/ht CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed C'f.hr min) D'T -- eat as ..-611,--,"751 :-•-•,,,-,":Wg Suprv.Electrician signature,required: - 'At A Aid a _ • .. .�.. Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete * Number of inspections allowed per permit ..I:VBaildiog\Permits\ELC PermitApp_ELR ERg-doe Rev 06/17/2015 440-4615T01/05/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 ESE ONL\ City of Tigard Received Date/By: �/Z3 /�7 ',� Permit N • 13125 SW Hall Blvd.,Tigard,OR 9723'N 2 3 2017s7o2�l�i ...a:3 Phone: 503.718.2439 Fax: 503.59 61960 Plan Review ��_ OF TIGARD Date/By: 1-3-Irl Other Permit No.: T I G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Read/B y Yd Juns: See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information .,n� TXPI WOR ';'4,,... 20f .., 7{ *3 • ®New construction ❑Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ';:CATEGORY OF CONST1 IkTIO SFR(1)bath 312.70 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 I=1 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,362 sq.ft.) �V Page 2 JOIl SITE FOSite utilities: �� TI+C�N"AND LOCATION' ..,a . Job site address:17023 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.: I 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.:22 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 wOitic Backwater valve 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ;� PkOPER1 O R ,„. -1;1-TENANT, Expansion tank 12.51 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 r4 AppL o FrA , PS N 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 ._ z Water loset 25.02 '" Water heater 37.52 r Business name:Alliance Plumbing,LLC Water piping/DW V 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) �---�rState surcharge(12%of permit fee) Authorized signature: / TOTAL PERMIT FEE Print 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.\Building\Permits\PLMU-Permi[App.doe 10/01/09 440-4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: SiteUtilities- sty. Fee:(ea _ dotal " $ ua 1iFotirtage: Permit Fee: Footing drain-15`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' 37.52 Yluatt►: I' 1 ; 'ee: 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 __ r Fee„,00 each additional$100.00 or fraction thereof,to Uthelr InSpti021s a>l•FeeS" 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*. Quantity by Fixture Type 'Mai Review;for Plumbing installations Fixture Type for jteplatel?•, Plan review is required for any of the following. Work Performed: Capped A 'tided helmet* 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 ❑ 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. -3" Isoineti t.or Riser Diagram 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 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 Pemit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17023 SW JEAN LOUISE RD, SHERWOOD, OR, May 19, 2017 at 9:37:35 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00356 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Carpet layers working, have upper level registers covered, working in stairs. Re schedule for access for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17023 SW JEAN LOUISE RD, SHERWOOD, OR, May 19, 2017 at 9:39:21 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00356 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Remove screens and doors covering outlets, carpet layers working in stairs and upper level. Re schedule with access for inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17023 SW JEAN LOUISE RD, SHERWOOD, OR, May 24, 2017 at 12:53:02 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00356 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified C of 0 left on counter. Violation Summary: Inspector Contractor