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Permit (44) y CITY OF TIGARD MASTER PERMIT I ' '' COMMUNITY DEVELOPMENT Permit#: MST2016-00361 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S 106DC 13200 Jurisdiction: Tigard Site address: 17066 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 132 Project: Polygon at West River Terrace, Lot 132 Project Description: New SFA. Building/Unit 10.2 BUILDING Floor Areas Required 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Drains: 0 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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 Fum<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 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 By: � 40, ,e7/1/ (�l'h t-!09-77e2,1/ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application 4-47-CEIV )< 84 gClc41 FOR OFFICE FSE O\Ll City of Tigard AUG 0 6 2016 Received 9 / 1•(/(e' 0GtTIf Permit No �/.- /6 bO34, Date/BY: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 } at y. 9 '7z,./7." ji , OtherPermu;ri f/po/6_4307 Inspection Line: 503.639.4175 CITY 1 I(jAR ate Rea ® See Page 2 for T I(; I I) dyBy: Iuris: Internet: www.tigard-or.gov ' /�Ati5ed/Method: [/ /��G ��� Supplemental Information BUILDING D1�/ ®New construction � ❑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 ❑Other equipment,materials,labor,overhead,and the profit for the ''� �� � : 'i : T°` work indicated on this lication. 1-and 2-familydwellingValuation: $1 ... Lj.. g ❑Commercial/industrial ' l ui ❑Accessory building El/Multi-family Number of bedrooms: 2 0 Master builder 0 Other. Number of bathrooms: ZS%„1 `i�` ` , :i• .. s Total number of floors: 3 ) G. 6 tJ Job site address: n0 ID IO SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet Lt O Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: J,� square feet\( Cross street/directions to job site: Deck area:4. 72 square feet asQ Other structure areea. 7 square feet Subdivision:Polygon at West River Terrace I Lot no.: '32 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 s ,�„ equipment,materials,labor,overhead,and the profit for the ' s " '` t, ¢ g work indicated on this application. IC5 b lit. (0,2. 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: Business name:Polygon WLH,LLC M �� Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street PP )' City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:An ela.Gra'ewski of onhomes.com t ' ''' '4 ''", g 1 GAP Yg � r� ��; � � •-; - g ' - , p - Commercial and residential prescriptive installation of 6 ', + 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 and administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-0442 State surcharge(12%of permit fee): $21.60 CCB lir.:207247 - — Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained '/ , within 180 days after y 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 Application IOR 01'11( € € €.(„€.1 City of Tigard s P 22 Rxcivsd 016 Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Renew " # •1 1 jai i.�/ e Phone: 503.718.2439 Fax: M03.598.190, ,a, 6-';y. 11_ p%Vii- l) DauBy: Other Permit: i rt, Insp iatLine: 503.639.4175 i tY. { . +- ' Daze Ready:Bw )ars: ta Seii Page 2 for Internet www.tigard-or.govBU IN s DIY!Si j!SI 'iSc riiediMelh°& SappiNnental lnforanation ' a TYP; OF'.wORIG , ?t }Ii4MBI `t ti.TEE”SCHED111,E �A'S'EM, NC>Y constructionMechanical permit fees"are based on the value of the work 0 Addition/alteration/replacement perfornud.Indicate the value(rounded to the nearest dollar)dull ❑Demolition 0 Other mechanical materials,equipment,labor.Ivcrhead,and profit Value:S r of " i ,lYii aril * * V $ 'x _ ._ .T`i'n`. ..F �.0 .f rm ,i`&,*#001**.i 0,44.* 1� ❑1-and 2-family dwelling 0 Cotmnercial,/mdustrial 0 Accessoty building Forspedaf information its'atoll& ®Multi-family 0 Master builder 0 Other: Description City. Ea. Total Heatittgltool[ttg: I 1: :' 6 111 ;14!* TiON Ai#,i71 1CA1TO1�T ',-.r,k34:, Aur conditioning 1 46,75 lob site address: ) YI//j(I, SW: I-0.111r- 4141 Furnace 100,000 BTU(daauvsrra) i 46.75 City/State/ZIP:Tigard,OR 97224 Furnaces 100,000+BTU(ductarvents) 1 54,91 1 Suite/bldg./apt.no.:: I�t Polygon Heat pinup 61,06 ,, Project name: at West River Ter ,)sad wvtk - 7332 Cross street/directions to job site: Hydropic hot water system 1 23.32 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 1 46,75 Flue/vent for any of above ' f 23.32 Subdivision:Polygon at West River TerrraceL no.:11)1, Other i 23.32 Other fuel appliances: Tax map/parcel no.: Water heater i 23.32 „ . $: �....,,a .. �' �.. bESCRIPTtON'OF WORK ..` Gas firc'(itaceiirisert 3339 '� . � � ��.l-� Flue vent for water heater or gas �VY tkr COM.C.� / y, fireplace 1 2332 �� �'JJ Lag lighter(gas) x 2332 W et stove p� 3 3339 Wood'fireplactlinsert 1 23.32 Chimncvilincxlfuelveat 1 2332 2332 �, . _ .. . , ,i, .. ,..I,: OtherR�gc ho ental c oust and ventllati Nam=ADPL Land Holdings,LLC kitchen equipment 14, 33,39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 3339 City/State/ZIP:Scottsdale,AZ 85258 I Single-duct exhaust(bathrooms, toilet compartments,unfits rooms) t 23,32 Phone:(602)694-4031 Fax: ) Atticicrawlspare fans 23.32 V.. ii$ 1tA ,N.,a ,.. �O t' 4" ! SON Other. t 2332 Fuel piping: I Business name:William Lyon Homes,Inc. 514.15 for first fear;$4.03 for ttdc>t additional Contact name:Angela Grajewski Furnace etc. Address:109 East 13th Street Gas heat pump Wail/suspended/unit heater City/State/4P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fimplace I E-mail:Angela.Grajewski pollygonhomsu.cwm Range M Barbecue k,.: " .:. .,. a Efgi .i iitt„l =s"-.,...r,..;+ �,/r;0 Cbthe$d YW(aa's). ?.... Business name:Andersen Mechanical,Inc. Other: Address:16285 SW$5*Ave gabtatal City/State/ZIP:Tigard,OR 97224 Minimum permit fee 590.00) Phone:(503)942-6664- Fax:(503)536-6615 Plan review(25%of !permit&e) I wState surcharge(12%of pccmit fee) CCD tic.:168214 i 1 TOTAL PERMJT FEE This permit application expires if a permit is not ordained within 1$0 Authorized signature: i days after it has been aeteptediras complete. Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski Date:8/22/16 P _PonsitApP 44att3.doe 44046 TO tIO2tt„O.WWE8) % r Electrical Permit Application A • ro R o r r WI r r ',r ()NI 1 City of Tigard Reece Permit 13125 SW Hal!Blvd.,Tigard,OR 97223 AUG 0 6 2016 l lB vi - /- ''� �' • Phone: 503.7182439 Fax: 503.598.1960 Date/B Related permit# Inspection Line: 503.639.4175 CITY OFTIGARD y BSee Page 2for 7 ,(_;_'., I? Ready Datr/B . anis Internet www.tigard-or.gov N /Me hod Supplemental Information . ; ^ ®New construction 0 Addition/alteration/replacement Please c erplans w/mems checked): r all that apply(submit 2 sets of ❑Service or feeder 400 amps or more ❑Building over three stares 0 Demolition 0 Other:: �� � '� _ 1F �s f _ where the available fault aunt 0 Marinas and boatyards. © may dwellingLz =coeds 10,000 amps at iso volts or ❑Floating buildings. 1-and 2- ❑Commercial industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ['Mutt family ❑Master builder ❑Other amps for all other installations. bmldmgs. ❑Fre 0 Installation of 150 KVA or - _. .T..._. ,�.) Y _�lakILD % ee. 77.1,'..!?:-1''i'.ii)- .a.>. "',..,. ❑ans'b7•�- �separately derived Job#: I Job site address: Il 010(p _\W/\' 1(Ari )(r " ❑1001IP or moew motor loan of system.A VV V v r ' t,Ul 100HP or more. ❑A;-E","1-2","1-3^, City/State/ZIP:Tigard,OR 97224 j ❑Sur or more residential units. occupancy. Ir Gi, ❑Health-cane facrlm''m. 0 Recreational vehicle padcs. Suite/bldgJapt#: I Project name:Polygon at West River Ter 0 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 Dnt-'1'-r-4-,--7-7--I'--g-',,.1-..--„T-3-it,tap Qty. Each Tota;" New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: 1 Includes attached garage. Tax map/parcel#: l 1,000 sq.ft.or less I 168.54 J(Pg 4 t .mar S'� z° 33.92 ,�,,-Y�o,. �, sq. or portion33 1 x Limited energy,residential ) (with above sq.ft.) 75.00 2 �' I Limited energy,multi-family residential(with above sq.ft.) 75.00 2 == _ «? ". : a t a: F L - Renewable Energy 0 See Page 2 `' „" - ' -g ,a 3 h T vi'` 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 snips 1 ! 20034 2 I 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 I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 snips to 400 amps I 125.08 I 2 Owner signature: Date: 401 599 "LX''':-.7.1.'"''' amps —n z` r i- ,- ',-z'-------,4'A• `we . e '". . Branccircuits new,alteration,or extension, Per panelM- CG „ , m., , —ss- .,!`. .L. : 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 Grajewsld 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'1 branch circuit 7.42 2 Phone: 695-7700Miscellaneous(service or feeder not included) (360) I Fax::(360)693-4442 Each manufactured or modular Email Angela.GrajewskI eQr polygonhomes.com dwelling,service and/or feeds 67.84 2 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 1 2 Address:3415 NE 44th Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 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 plant(1 hr min) 78.18/hr Inspections for which no fee is hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 --I,call listed hr min Gt �� Sum,.Electrician signature,required _ -v-•-m .w'.N°a� .__ A ..�,.. ._A Punt name 1 I e R o I Date: 05-24_16 ❑Phm Review Required(25%of permit Subtotal: State surcharge(12%of permit fee): • Authorized signature: TOTAL PERMIT FEE: Print name: This permit application expires if a aoit,wc, I Date: 7 2 0 /f„ I days after it has been a�as not . within 180 LlB�crme Permi[App E.R.ERE.daf:Rev 06/17/2015' f }v s Nummber of inspectio s allowed per permit 615T(I M'WEa Plumbing Permit Application Building Fixtures ' r €,i, „i i , if i 1 1 €i\i , City Of Tigard Parch No. 13iz5SWHall Blvd,Tigard,OR 97223 AUG 0 6 2016 >; r /757 /6-pp3(�/ , ill Phone: 503.7182439 Fax: 503.598.1960 Plan ReviewOtho Permit No.: Daie/By. �/ Inspection Line 503.639.4175 i A�j pate Ready/By: Jura B See Page 2 for Internet www ttgardor gov. }otsftedlhtetltod Supplemental Information Vii. ek��' i, X";�..s'' .. sx»M. : ".. . "il4 n�..£�4 : r''' .f•�.`" ;„' .'.'�' ®New construction Li Demolition For special iirjorrnm><ea use checklist Description' I Qty. I Ea ► Total 1 Q Addition alter ion(replaeement 0 Other New 1-2-family dwellings(includes 100 ft for each utility connection) r t ''t .,'„;=4,.-,,.',.'�"'`` f ;41.4:� � q SFR(I)bath 312.70 ,..H: a=-Ea,..34v",F ?C,`,'"''.'' - i Ci I-and 2-family dwelling ❑GommerciaUlndusfriai SFR(2)bath 437.78 SFR 3 bath O Accessory bw ng ['Multi-family ( ) 50032 5�/.3 m ❑Master builder Each additional batlilkitchen 25.02 Q i .@. -a ur a'�t"°. ^, ,qac, .. _ ,. Fire sptinIder -1� ) 1 1 r_I 1 .�,tk.� 's2-.. +.„a.P 6 ,�ffi t r�'Yl h` °''''�s�Z,.:. 5 �� ;qs. Site Rh�ltlesi (13 sq.It) Page 2 (a Job site address: 11 p(e(/ V Stan l_o(M st? Loac( catch basin or,area arairt 18.76 City/State/ZP Tigard,OR 97224 Dryweli,leach tine,or trench drain I8.76 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 • l8.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:•_} Page 2 ^, Water service(no.linear ft.:_) Page 2 x Subdivision:Polygon at West River Terrrace Lot no.: I >� Fixture or item: Tax map/parcel no.. Backflow pnwentet 1 31.27 3 l.u i °' �,:; r''';'.-.=:....7-d"" Backwater valve 12.51 Ctotltes washer 25.02. , Int,:. Dishwasher...... . 25:02 • Drinking fountain 25.02 r � Ejoctors/sump 25.02 ' .v Expansion tank 12. t£ 51 Name:ALIVE.Laud Ho lags;LLC Fixturelsewcrcap 25:02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:.Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694.4031 Fax:( ) Ice maker 12.51 tR ��°� ; � � sc� s. intcrCCptor/grease trap 25.02, ��«�� «� ��" - .: . , Medical values ) p 2 Business mane:VKriliam Lyon Homes,lac gas( age Printer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Adder 109 East 13th Street: Sink/basinJlavatusy 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-1700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail Aagda.Grajewski1poiygonhomes.com Urinal 25.02 Water closet r 25.02 Water heats 37.52 Business nine:Alliance Plumbing LLC Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy 25.02 1 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 372.50 CO3 Ltc:184601 . , A Plumbing Lie no.:PB732 Plan review (25%of permit fee) Authorized signature State surge(12%of permit fee) E _. .d,>� TOTAL PERMIT FEE 1 Print name:Robert DI hrnan Date:5/23/2016 This.permit application expires ifa:permit is net obtained within ISO dads atter it has been accepted so complete. *Fee methodology set by Tri-County Building industry Service Board. tiB ldmgwermitslrt,MU.Pe nitApp.doe toiatms 4er0-4516Tt113/02.WM/YESJ * IN I, " City of Tigard COMMUNITY DE9P:_ IjE -ARTMENT r c R D Building Permit Review — Residential Building Permit #: ,`is 7-!O/t — 06 3 6/ Site Address: ( 70 6t 'W sir) Louise 2s . Project Name: Pot yyor G1+ wQJ+ 12 ave-r- 're rrric¢ 3Z Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 2'_133 Proposal: (V NV VLO W RVaL.Q> (022222/9) 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 -❑Uxi,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 arrowIJty locations(required for new,mayapply for additions) /Site address,project or subdivision name and lot number ftLocatiorf of wells/septic systems Pp y )Applicant information(name and phone number) 19E i ring trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage�ff coverage and /Street tree size,type and location /impervious area(applicable if R-7,R-12,Ij-2�l&R-40)�� dpgtreet 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: Public Facilities Improvement(PFI)Permit: ❑ Yes ❑ No Required: ❑ Yes,applicant was notified CI No A lied For: PP ❑ Yes ❑ No,stop intake Land Use Case#: PpizZ.o is • 000,4 , sue to )5 _00006 jzi Zoning: (4-2.0 Setbacks: Front 12_ Rear S Side 6 Street Side 3 Garage / �,�( Landscape Requirement: 2A) % Y� )�`J{ Lot Coverage Maximum: 6 0 % JG' Building Height: Maximum Height /1//4- Actual Height ,Z Visual Clearance N Easements )Z1 Sensitive Lands: Li Yes Li No Type Zi Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: CncL- o n.r +o be met- prior -1-v i ai vol nu__ n b(d,'ici;n 'err)"H--. Approved By Planning: M 0 et /C- 13.LO Date: t�G/ r_/ (G Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\FormslBldgPernutRvw RES 060116.docx Building Permit Submittal Original Submittal Date: �''/// Site Plans: # 3 Building Plans: # —. 3 Building Permit#: Q'"Enter building permit#above. Workflow Routing: II Planning [Engineering lg-Trermit Coordinator [ uildtng Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: R'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: j2,5 .-'/4,4a._rt_c_.__ By Permit Technician: Date: 9////c=, Engineering Review �^ 0- Slope at building pad: v! l dl 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: Engineering: 14k K- ti) ' Date: I I S/ lb. Approved by ng ng• 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: i;'II es ❑ N/A Tigard Trans SDC: ►: Yes ❑ N/A Parks SDC: 4' Yes ❑ N/A 'AK to Issue Permit 9 ! Approved by Permit Coordinator: Date: 0(. ' I:\Building\Fonns\B1dgPermitRvw_RES_060116.docx 1 IfflCity of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 0 T 1 c A R D River Terrace Building Permit Review Addendum Building Permit #: riS 7 /C - 06,36,/ Site Address: (7 d 40 s W Te-An Louise ed . Project Name: Po t y So n ot+- Wei t- lZ►\ e r- Tema Le_ Lot #: BZ- (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 Yes 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. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 ,, J 3. Entrances:At least one entrance must meet both of the follo ' g 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 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 �J Roof eave min. 12 inch projection [ in oof offset m . of 2 ft. / ❑ Roof shingles either tile or wood ,J 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): ❑ 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 story above the garage that faces the street with a min. area of 12 sq.ft. 4/WAJ Width: (Check one) Ni 4 dadeLt ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: rV l-- 'J.; ..,n,„,1/4.. Date: j & & I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx ftr ,,L. Electrical Permit Application FOR OFFICE USE ONLY : ' City of`Tigard N O V 1 0 2 016 naze/s U "c//i , ' Permit n: -S�I iD - IDI 13125 SW Hall Blvd.,Tigard,OR 97223 • Phone: 503.7182439 Fax: 503.598.19 Plan Review 503.598.19t07Ty �r+ ( Date/By Related Permit#: T I GA R D Inspection Line: 503.639.4175 tv I A.. e` 3�i 4 s Ready DateBy: June la See Page 2 for Internet WWW tigard or gov jgy ANG gr$ r f - of 0ed/Method: Supplemental Information - ' F2-'i. .. ftc� + Fs '?5�� +4t7FtalgYr`,'.a:'�... j gCVrAW Ji17:7 t. -��.. .c. �_ - t t ®New construction D Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service a feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: `io . where the available fault current El Marinas and boatyards. ...z ,.:`` Q:.. 4 0- '6. "-" :. a.: - exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural ❑Multi-family 0 Master builderamps for all other installations. nsta ngs. 0 Other ❑ i Fire pump. 0 Installation of 150 KVA.or �v",T .i#, �''1�•� - _- ❑Einer stem. largerseparately derived - .- ... �b __ (SK14I�C 1�=i =`!; CA"EEO - BencY system--:w �ww Job#: Job site addresi:�O(J AO JP/A d1 i jays t i(n Ku ❑1001•I Addition of new.motor load of system. �/ wJlJ1Jt I VLJ U1L►,tC. aJ 100IIP or more. ❑°'A'•,"E,•,"1_2","1.3" ['Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 ❑Flealth-tiara facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: 10,Z Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage fur more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: St . . Description i Qty. I Bath I Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:/ 2_ Includes attached garage. Tax map/parcel#: 1,000 sq.R or less 1 168.54 4 ,�F pyo ;� Ea add'1500 sq.ft.or portion 1 3392 1 :-‹*.-7X-?;:,- -*-.- = Limited energy,residential /y� R} 75'00 2 O�\ SLJIW�� e• (with above sq.Limited energy,multi-family 75.00 2 residential(with above sq.ft.) MO � ,-: - „C,, �, µ , Renewable Energy ❑ See Page 2 0•13M + O'-' . ....:9,.;---' "'�_ .. -`' '= •-- - = Bmf? 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 601 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 E 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 16854 2 • ;,,_ ? . :A, " " m .; — rEONfAbOL. Branch circuits-new,alteration,or extension,Qer panel ri"z-"e..tu�' __ t ,r � ----,----!--4------;*- ,, r'`v- A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 742 2 i Contact name:Angela Grajewski B.Fee for branch circuits without r Address:109 East 13th Street seranch aannch circuit vice or feeder fee,first 56.18 2 i 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 Fach manufactured or modular dwelling,service and/or feeder 67.84 2 i Email:Angela.Grajewsld®polygonhomescoin Reconnect only 67.84 2 ' -F Z-. '1- i O,..-?6't!b' �''1 .•..-4-44--v;~` €,"gym° .. .- 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 Signalcircuit(s)or limited-energy ❑ See Page 2 2 panelel,,alteration,or extension. • City/State/ZFP:Vancouver WA 98661 Each additional inspection over allowable in any of the above l 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(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lie.: 208174 I Suprv.Lic.: 4496S specifically listed(h hr min) 90.00/hr '... -- -• s_.��v� ��'�,�+� ��-� ,a � �,l:s X3 0 -�i:' -�_�: Suprv.Electrician signature,required: - r i� Subtotal: •• Date: 4/26/2016 0 Plan Review Required(25%of permit fee): ' State surcharge(12%of permit fee): • Authorized signature: � �� -— TOTAL PERMIT Mk: -rte-_ -- 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:1Bulding\Permmts\4S.0 PermitApp ELR ERE.doc Rev 06/17/2015 440-46151111/05/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 ,IN ... Transmittal Letter T t G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DA ,. 's F, • DEPT: BUILDING DIVISION OCT 17 2016 FROM: Angela Grajewski C 'OF D COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212.-2144___.__- BY: RE: 17052, 17066, 17070, 17082, 17094 SW Jean MST20 -0035,n "3> 10 I ,:3C Louise RD (Building 10) (Site Address) (Permit Number) ' �7 D e Polygon at West River Terrace Lots 129-133 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: mops 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. ✓fes 62c4.,---e,„--E:6, ,,,J /1S"/- ,0/6 003S Routed to Permit Technician: Date: j o _ j 9 ,LC Initials Ili Fees Due: 'Yes ❑No Fee Description:p Amount ue: f lS i- /"4- / -Vic i $?® U7) $ , * ** $ . "" W i $ Special ('c i i C? /---&--E-s- On/ /y,(7',2O/6 00.3 6.�. Instructions: Reprint Permit(per PE): ❑ Yes SPNo - ❑ Done //� Initials:% Applicant Notified: / f is Date: / IABuildingTormsgransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Application' , , Site Utilities y r� Cl of Tigard FEB 2 3 ;''t j/ Received 02,-7 3 / Permit No. " / , 7 / 13125 SW HallllBlvd.,Tigard,OR 97223 Date/By: ��% �� 'G����/ Plan Review _ Phone: 503.718.2439 Fax: 503.598.190:, "a Date/By: ��7/17 „� Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: Juns H See Page 2 for p T 1 G A K D Internet www.tigard-or.gov Nohfied/Metho Supplemental Information RO OI1 L1tlCl '. ®New construction 0 Demolition For special information use checklist Description Qty. 1 Ea. ( Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ":'4,f,'-':,..!"4",-.',":- 11 SFR(1)bath 312.70 0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ®Multi-family Each additional bath/kitchen/ 25.02 0 Master builder 0 Other: Fire sprinkler(1,362 sq.ft.)f( Page 2 IOW i .,t a TION AID LOCATION ,p Site utilities: Job site address:17066 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 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: I Lot no.: 132 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 I f - • Backwater valve 12.51 S. .„,,z.,,, � "ORzit ,,. .,,, ,,..; » a...�.,, ,... v" N.:•.. Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00361 Drinking fountain 25.02 Ejectors/sump 25.02 . s L1N ' : �' Expanson tank 12.51c4 $ �I OWlER * - , i 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 t A PPLI AI ''' r.gt „ �w.r Y T ,, Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman 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 as Water closet 25.02 CONTRACTOR 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 Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) 1 -7-7 State surcharge(12%of permit fee) Authorized signature: -1 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.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: Ite Unlit s ge� e Ea. .,z €g .f l'YtS .. >1>lal e; oot i sa.:',""'e .. Footing drain-l'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 eq 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 "he � ..e each additional$100.00 or fraction thereof,to y „„ 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*. Quantityli 'ihture Type t° 1eview .., LLs1l ° ° % Fixture Type for Plan review . , Work performed Capper A1eaatc is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -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. -3,' Car Wash Drain R.. ist11itetri,C., . $ � Garbage Domestic-non-food l31 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 fixtureworkunderthis 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 Pe2mit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17066 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00361 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17066 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00361 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17066 SW JEAN LOUISE RD, SHERWOOD, OR, June 27, 2017 at 3:36:14 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00361 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Electrician correcting breaker for AC. Other corrections from previous inspection complete. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report checked. C of 0 left on site with contractor. Violation Summary: Inspector Contractor