Permit irli ,, CITY OF TIGARD MASTER PERMIT
' '- COMMUNITY DEVELOPMENT Permit#: MST2016 00340
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016
Parcel: 2S106DCO2800
Jurisdiction: Tigard
Site address: 17091 SW JEAN LOUISE RD
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 28
Project: Polygon at West River Terrace, Lot 28
Project Description: New SFA. Building/Unit 8.5
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: 633 sf Right: 0
Detectors: Yes
Total: 1623 sf Value: $204,904.26 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 4 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 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 1623
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: $23,770.43
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: if" 'Ai Permittee Signature: /e 47-77C9,1
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 L eO % E -s--- ti
tir
est 0.41. RECEIVE ; FOR OFFICE t SE ONLI
City of Tigard 8 C Received
13125 SW Hall Blvd.,Tigard,OR 97223 J U L 2 2016 Plan Rev ��/�' �l tT Pernut Ny -��-��6 ►D
�� i Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 9 -.1.. ---- - G --Ji Other Perms-w ,,k. ), yP
11i,;,,r, Inspection Line: 503.639.4175 CITY OF TI G AR D Date Ready/By: ✓/ Juris: ® See Page 2 for
Internet: www.tigard-or.gov
BUILDING
UILDING ry I V g S t n otified/Method: Supplemental Information
��i`��,€� z� �c� ,°.�`� �. ��� � t�•' t'A y ,� s sem+ �.s s'
®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
�'' ,.,' , , .€ �- work indicated on this application
D 1-and 2-family dwelling 0 Commercial/mdustrial
Valuation: g30 �I+, t i
❑Accessory building M'Multi-family Number of bedrooms: 3
❑Master builder o Other. Number of bathrooms:-..3:5..: LI„
i °, ',, t, . - Total number of floors: 3 t 9
Job site address: 11 0i I SW Jean Louise Road New dwelling area: 1625 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 327 square feet (., 3
Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: i 33 square feet‘Li. 6
Cross street/directions to job site: Deck area: 96 square feet ri`r T
Other structure area: 9 (; square feet
Subdivision:Polygon at West River Terrace I Lot no.: ag Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
� equipment,materials,labor,overhead,and the profit for the
-.7- u; ::s x a work indicated on this application.
E5 e, k` ,� Valuation: $
t(]� Existing building area: square feet
New building area: square feet
5' :‘,,,i'::.:,Xgrii4c4.5i:ILiliNumber 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
Contact name:Angela Grajewski Structural plan review fee(or deposit):
Address:109 East 13t°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
�� � , r Commercial and residential prescriptive installation of
, . •° ,, roof-top mounted Photo Voltaic Solar Panel System.
Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details
Address: 109 East 13th Street and fire department access,along with the 2010 Oregon
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 lie.:207247
/j Total fee due upon application: $201.60
Authorized signature: _,.,(t h1 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://20/16
Service Board.
I:\Building\Permits\BUP-RESPecmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i7
Mechanical Permit Aplit
+t-1IXTV Illull tit l is h € ,I..«N 1.1 ti
4 ", -i Rived
City of Tigard (tti•l" 11 r.M 11 1
13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReneW
6,. Phone: 503 718.2439 Fax: 503 548.i 60 Other Permit. p
Inspection Lille.503.639.4175 k 'C 1(0 >>a c
., i.1, nSpt t 7 Date Rradl iy osis: RI see Peer 2 for
Internet: wwa ttgard-or gov Notified/Method: Suppf mental Information
$111/ 0G. RD
<..j 4 A . t o t a is DII etc I t ei
laMechanical permit fees*are based on the value of the work
New construction 0.4e1 ajtcration/rcplaccment performed.Indicate the value(rounded ter the nearest dollar)dell
❑Demolition 0 Other. mechanical materials,outtipmcnt,labor,Irverhead,and profit.
�,f �: .. o XE'O1Y OT''- .S'rRp '1)N Z' a 4' '. '. .1",.,. 1 J7 I Sr
Value:S �
❑i-and 2-family dwelling 0 Cotnmercialtindustrial 0 Accessory building Forspeaut Information Jai.checklist.
®Multi-family. 0 Master builder 0 Other: Description Otv. 1 Ea. Total
.ori a O :$:t >lx*OT:: 1ft4'TIOT,! TOC?�1T( i..,` ., .4 d;. i ettingicAoling: i
- Air conditioningI 45,75
JobSite address:/ tU I' Sw�jea, t-r-1 Zf: V.A) Furnace 100,000 BTU(ducts/yews) I 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+811J(ducts/vents) I 54,91
Heat i
Suite/bldg./aptno:g Project name:Polygon at West River Ter pum' 61.06
Duct wok x 2332
Cross streetldirections to job site: Hydronic hot water system i 23.32
Residential boiler(radiator or
hydronic) z 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. i 46.75
Flue/vent for any of above r 23.32
Subdivision:Polygon at West River Terrrace Lot Other: 23.32
Other fuel appliances;'
Tax mapiparcel Water heater 1 23.32
`l ,.9 T)ESCR PTION'b ,WORii ''` `z ' " Gasfireplaccihisert I 3339
Flue vent forwater heater or gas
C l3t(1 " rI /elkIkrOkO
firtplacc I 23.32
Log lighter(gas) I. 2332
Wood/pad stove 1 3339
Wood fireplace/insert s 23.32
Chirtniev/lincritlurlvcnt ( 23.32
'7, : : Other, 2332
. 1rRY11`OnmeAtal tathsustffRd YeAC,lat14trt:
Name:ADVL Land.Holdings,LLC Range hood/other kitchen
equipment 1 33.39
Address:7600E Doubletree Ranch Road Clothes dryer exhaust i 33.39
City/State/ZIP:Scottsdale,A7 85258 Single-duct exhaust.(bathrooms, LI
toilet comparunents,utility rooms) 23.32
Phone:(602)594-4031 Fax:( ) Atticfcrawlspace fans 23.32
14gg PI' C Z CONTACT PE[iSON2332
Other
Fuel piping:
Business name:William Lyon Hemet,Inc. 514.15 for first four;54.03 for tach additional
Contact name:Angela Grajewski Furnace,etc. I
Address:109 E*st 13th Street Cas heat pump
Wall/suspended/unit heater
City/State/DP:Vancouver,WA 98660 Water heater i
Phone:(360)695.7700 Fax::(360)693-4442 FireplaceI
E-mail: Range I
Angela.Grajewskitpolygonhomes.eom
_ Barbecue
:trootti :` w , , ;; r.,.. �14Sat Clothes dmf(gas) i
Business name:Andersen Mechanical,Inc. Other
Address:16205 5W 85th Ave •}ubtotal
City/State/ZIP:regard,OR 97224 Minimum permit fee k$90.00)
Plan review(25%ofpdtmit See)
Phone:(503)992-6664 I Fax:(503)536-6615
State surcharge(12%of permit fee)
CCB lie.:168214 J TOTAL PERMMT FEE
1365 permit application espiree if a permit(s not obtained within ISO
days after it has bees accepted complete.
Authorized signature: * Fee methodology set by Tri-County Buaidi Industry Smice Board
IPrint Angela Grajewsld Date:8/22/16
r.:lBaiidineerrtiteMEG_PernitApp 040113.doc 450.4617101 110X0, 'En) e
1
)
Electrical Permit Applica of El V L FOR OFFICE I SE ONE)
City of Tigard J U L 2 8 2016 DReceB . Permit 1f.141-1T32oV —,0 34 0
;11 II 13125 SW Hall Blvd.,Tigard,OR 97223 P�Review
Phone: 503.718.2439 Fax 503.5 ��p Dee/B , Related Permit#:
Inspection Line: 503.639.4175 �p¢�]'�T1 . �F I i%ii n NI Ready Date/By: 2
11 D:A 1;D Internet www.tigard-or.gov 0 LI�LD t!NU p l'i' '`-'' J See Pent Supplemental for
Notified/Method: Information
--,. ...:, _._..Kx' en' lo-rt 0':� _ 1im FZ; �r r � " yr� -61 l�:�E� �ae� �-4
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlrtems checked):
❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories.
_ where the available fault current 0 Marinas and boatyards.
n 6 ,)_ ; xoRt-z` p3-.-0ci,1, ,: "'-zat. , exceeds 10,000 amps at 150 volts m 0 Floatin buildings.
,. B
❑ 1-and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
[Multi-family ❑Master builder a for all other installations. bmldings.
❑Other ❑F=pump. 0 Installation of 150 KVA or
s -. z..,._- S E i__a ^ i_ ��w>, k 5 e�� -�1?. .,.,x ❑Emergency system larger separately derived
fl 1 V� 5eitn O. ❑10011?n or new motor load of system.
Job#: Job site address: 09 -VI Y` our, 100>�or mom. 0"A",`E","1-2^,u1-3",
City/State/ZIP:Tigard,OR 97224 1 0 Six or more residential units. oma'
Suite/bldgJapt#: I Project name:Polygon4 ❑Health-care fomes. 0 Reerear oral v chicle packs
g✓ap at West River Ter 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal-
Cross street/directions to job site: — ,
.. .
L,« �
il�;-
.:�� ..'�.�.:..c ...r, J�'rte:_,-�i"a.��ti Ger�°:�-c�#rr
puna Qty. Each Total •
,„)g New residential dsingle- r multi-family dwelling snit
Subdivision:Polygon at West River Terrrace I Lot#:
Includes attached e.
1,000 'ft.or less
Tax map/parcel#
Ea.add]500 sq.ft 2. (p?or portion133.92 .$I 1
.s%1417,'--2.:'5,7L'... -11'.�yiA, g i .4.W.4 t'lir€ E r '-t} r _ - Limited energy,residential
/� (with above sq.ft) 75.00 2
` .5 Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
> : z:---4:-;: it-,:'.4,u.x ., ,
Renewable Energy
Page
�;� � a j i � i3 '' _l-i- ar . s ` 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 I 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 I 59.36 1 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 I 168.54 2
- Branch circuits-new,alteration,or extension,per panel
°^. •,-� ,rc�e.. _ -.- ..._.__•. 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 servicerncstet fee,first 56.18 2
City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2
Phone:(360)695-7700 I Fax Miscellaneous(service or feeder not included)
:(360)693-4442 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:Angela.Grajewsln@polygonhomes.com Reconnect only 67.84 2
6-jr tr .t-" til ',.. - .
. _„-r k .... •-�.� ... 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 0 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(1 hr min) 6625/hr
Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/br
Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90,00/hr
CCB Lic.: 199188 Electrical Lic..• cc9923 Suprv.Lic.: 48715 c hrmin
Suprv.Electrician signature, '( /mo i __ \ m."z.6 >,..-=',—:24.fn{i'+'^ t<e�E� .�- .-. N,47--'",AY-1.7 .
P � __CC Subtotal:
Print nameK i I e R 0 I Date: 05-24-16 0 Plan Review Required(25%of permit fee):
• State surcharge(12%of permit fee):
Authorized signature: VG TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: A , (ra swc Date: 7/2 o /!„ days after h has been accepted as complete.
L\Building%e Pe'maArr�t •dxev 06n7nors, r I }'v * Number of inspections allowed per permit
sT(r oil
Plumbing Permit Application 1
Building Fixtures RECEIVED
Ci of'Tacrd
IS
13123 SW Hall Blvd,Tigard,OR 9 Y•Receiv'cd Permit No./yj /6 Qe2aFL/
Phone: 503.7182439 Fax: 503.548.1 16 �a"ReviewDatOther Permit No.: I
Inspection Line: 503.639.4175 �ea
Internet www.tigard-or.gov 17 Y O I" 1 a i � r�r ,t S See t=ent 2 for
a a ! N°ttf /tNdhod Supplemental information
.,.ii ',e„ kz y
. „^ - i res'. ▪,▪�.,m, ,,„,..r;"'4,4;1171:17''' a'3i,w ,�.5.�'t <1�,.s ,. :. _ ^% 7'f�". !,. Ve#,n� 04 . t
®New construction For at information use checklist
Demolition � f
Addition/alteration/replacement () drip tion I Qty. I Ea. I Total {
New 1-2-fam y dwellings( ! IL for
x:-, . < ;*,.�i. .--. 4 r. 't 1.,17:.,;- SFR(I)bath
it d Ifi includes 00 each utility connection) �.
3(270
07-and 2-family dwelling 0 Commercial/industrial S (2)bath 437.78
-D Accessory building "WMuhi-family Spit(3)bath ( 50032 �0.32 1
❑Master builder Each additional batitlkitchen I 25.02 ;g5.02 ;
Other Fire sprinkler(fsq.ft.) I Page 2 i
c0::::::'-',. ; a i � Site udlittes: /✓C.----13. /e' .--'}-w`-l-C i
lob site scat= Catch basin or area drain 18,76
11 oq I S Ie an Lo��se Load
City/State/ZIP Tigard,OR 97224 i,leach tine.a trench drain !8.76
i
Footing drain(no.linear ft.:_) Page 2
I
Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2 i
Storm sewer(no.linear ft: ) Page 2 I
Water service(no.linear ft.: ) Page 2
Subdivision:Polygon at West River Terrrace 1 Lot no.: erg Fixture or item:
Tax map/parcel no.: Backflow preventer
z _
`- .. ed i s , Backwater alvc ( 12.51 �a.1.
pt. - .Clothes
12,1m D 5 washer 25A2
. , Dishwasher
25.02
. . _ Drinking Eotintain ,. 25.02
Ejectors/sump 25.02 V
` r a t:;tea a Expansion tank 12.51
Nane:ADVL Land Hollings,LLC Fixture/sewer r cap 25.02 a
Floor drain/floor sink/hub 25.02 I
Address:7600 E Doubletree Ranch Road
Garbage disposal 25.02
City/State/ZIP:.Scottsdale,AZ 85258 Hose bib 25.02 a
Phone:(602)694-4031 Fax:( ) Ice maker 12.51 1
,i v 7; Interceptor/grease trap 25.02.
Medical gas(value:$ ) Page 2 ,
Business mix:William Lyon Homes,Inc
Printer ,
Contac name:Angela Grajewaki ;
Roof dtaun(commercial) 12.51 (
Address:109 East 13th Street:
j
Sink/basiMavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 6234
I
Phone.(360)695-7700 Fax::(360)693-4442 Tublshowerishower Pa 12.51
E-mail: 1 Gomes cam Urinal 25.02
. ��-$� � � Po Y . Water closet 25.02
Water heater 37.52
Business name:Alliance Plnmbag GLC .
WaterPfi" in
P 56.29
Address:146 W Historic Columbia River Hwy Other. 25.02
3
City/State/ZIP:Troutdale,OR 97060Subtotal
Phone:(503)4923490 Fax:(503)912-6438 Minimum permit fee:$72.50
CCB Lir.:184601 Plumbing Lie:no.:P8732
Plan review (25%ofpermit fee)
•
A.irthorized signature: State studtargc(12%of permit fee)
TOTAL PERMIT FEE
Print name:Robert Dishman Date:5/23/2016 I This t twat:mien expires ifa:permit is not obtained within 180 dada
after it bas been accepted as complete,
*Fee methodology set by Tri-County Building Industry Service Board.
I.ileikringWe,mitteLMu-Panic :lac.10/01/09 440-4616T(10m7,+rotuwt:a)
I
City of Tigard
41I
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 n R D Building Permit Review — Residential
Building Permit #: /`i.5-77?e7/6 00 .Vo
Site Address: 17 O°11 Sw Teo,r, Lou la-e 20(.
Project Name: Po I9 9o0 0)4 WerI (Live"- T-e-rrLot #: 2 `v
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: \/ei tn/if-)0 v rLe J
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ No )2`Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
,IThree(3)copies of site plan ) xisting structures on site
/1`7 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
,21North arrow Utility locations (required for new,may apply for additions)
/Site address,project or subdivision name and lot number kation of wells/septic systems
`Applicant information(name and phone number) ,7Erosion control(including drainage-way protection,silt fence
,Z1 Lot dimensions and building setback dimensions design,location of catch basin,etc.)
, Lot area,building coverage area,percentage o coverage and Street names
impervious area(applicable if R-7,R-12,l &R-40) ZStreet tree size,type and location
Property corner elevations (2 foot contour lines if more than B listing trees to be retained with drip line,and tree
4 foot differential) protection measures
7 Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: ❑ Yes,applicant was notified . ❑ No Received: ❑ Yes ❑ No
)21 Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Land Use Case#: 12D42-01s - 0000y Sv3 '2pls - 0000& , CLl2 to/s - 000,72
J" Zoning: 12- 2S
7 Setbacks: Front 12 Rear 1 0 Side 0 Street Side e Garage /$, s
. 71 Landscape Requirement: 7,0
gLot Coverage Maximum: )0 %
Building Height: Maximum Height N/ft Actual Height N/Pr
yi Visual Clearance
Easements
gi,{ Sensitive Lands: ❑ Yes ❑ No Type
21 Urban Forestry Plan .
(tY Conditions "Met"prior to issuance of building permit
Notes: Co rl Gu'fl 0 n i to to e P'142 1- p nb' t'° i.(.S v o n U. 01- l&a 11,14 Y),, /2,C/m i f-- .
Approved By Planning: Al .t Vim._. Date: 7/Z 6//to
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw_RES_012116.docx
i
r
Building Permit Submittal
Original Submittal Date: 2/Z�,/ ,
Site Plans: # 3
Building Plans: # .._.3
Building Permit#: P.-Enter building permit#above.
Workflow Routing: [Planning P--"Engineering a"Permit Coordinator I i ilding
Workflow Sign-off: E rSign-off for Planning(include notes from planning review)
Route Application Documents: ['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: k17-e Date: � �
Enineering Review
rg
Slope at building pad: it
❑ 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 A l l rove. I y ngineering: Date:
Notes: -iv �', ,i , AI tur
Approved by Engineering: 42 ell Date: -21 :--/ .
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: j/Thate: ?�
Notes: �;;i-1€76--(4-1--%
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
OV
Revision Notice 3: Date Sent to Applicant: ,Y
715 SDC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A t
Parks SDC: Yes ❑ N/A
K to Issue Permit
Approved by Permit Coordinator: Date: 0/4
I:\Building\Fonns\BldgPeimitRvw_RES 012116.docx
City of Tigard
NI COMMUNITY DEVELOPMENT DEPARTMENT
illil 1
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: 47.5-77,2-0/& _ ,3 eye
Site Address: 1 10 °I I SW J ea' Lou 4. .. (?_t.
Project Name: Po I j 5 o n & -i- vvei t- d24v-er Te rr-e4 c_e_, Lot #: 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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer
A ❑ ❑ ,IZ
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: Z Z , 2-
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:XYes ❑ No
If yes,all the following apply: p/25 sq.ft. min.
yr One street facing entry 7 12 ft.max. roof above floor of porch
/I 5 ft. depth min. ,Z30%min. porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
yiCovered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
izr Wall offset min. 16 inches ZDormer min. 4 ft.wide
Roof eave min. 12 inch projection j2rRoof 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 I/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 tory! a /
above the garage that faces the street with a min. area of 12 sq.ft. p�,
Width: (Check one) '"r lp
❑ 12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: i\iems-• —. Date: 7/'i.e//
I:\Building\Forms\BldgPermitRvw_RES RT 062216 docx
Albert Shields
From: Albert Shields
Sent: Tuesday,August 23, 2016 12:10 PM
To: Angela Grajewski (Angela.Grajewski@polygonhomes.com)
Cc: Kim McMillan; Mike White; Dianna Howse
Subject: Polygon at West River Terrace, MST2016-00332, -00333, -00334, -00335, -00336,
-00337, -00338, -00339, & -00340, Lots 24-28 & 134 - 137.
Attachments: Conditions - 08-23-2016.pdf
Angela, re the above building permit applications, there are still multiple conditions of approval under PDR2015-00004
that are Not Met. Accordingly, I have noted these applications as Approved but Not Released. Plan review will proceed
but the apps will be on hold until the conditions are resolved.
Please let me know if there are any questions.
Albert Shields
1
RECEIVED
Electrical Permit Application FOR OFFICE USE ONLY
City ofTigard N O V 1 0 2 016 Received ,1 f '
111 i 13125 SW Hall Blvd.,Tigard,OR 97223 Dan R ' `�
Phone: 503.718.2439 Fax: 503.598.1Ti 0 Ply evrery Related Permit k:
TIGAZD Inspection Line: 503.639.4175 , adyDate/By'f
BUILDING $ frealMetd Mr
H See age 2 for
Internet www.tigard-or.gov Supplemental information
a# s35r-� �...�» ,....�`.•+ . '-�,r� eaV�-`-Er '�._.--:;�:-- ='kms :.:t,� f�....:r._ ...���s iM ..�a
®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whams checked):
❑Demolition 0 Other: ❑Service or feeder 400 amps or mote 0 Building over three stories.
• _ where the available fault current 0 Marinas and boatyards.
a" 4e -':I : �M a W_> Se. _' ' exceeds 10,000 amps at 150 volts or Q Floating buildings.
►4 l-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural
amps for all other installations, buildings.
❑Multi-family - 0 Master builder 0 Other
_ _ ❑Fire pump. 0 Installation of 150 KVA or
e,- �,y�.,�U 1T^ Addition
iem
�n �=:c=4- =�r�-,... PF �?t '"C-te•'P . ❑ !err
�;_. '.....��,5+'�=F' > ,S?.`�1 ,,.. y.. . - - Emergency separately derived
Job#: Job site addres T/ V ❑Addition of new motor load of system.
`-`�`^ 1 uta 1C..R.0- 'Imp or more. ❑ A,E, 1.2- 13,
City/State/ZIP:Tigard,OR 97224
0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: czi Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: t>_Y. &Mg. - RC .,, = .^ r,Z ; : ,.
Description I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision:Polygon at West River Terrrace Lot#:-zit, Includes attached garage.
Tax map/parcel#: I.000 sq.ft.or less ` 168.54 4
�'��`}p er _ _ Ea.add'l 500 sq.ft.or portion 'La.... 3392 1
C`- - v--..,�(.�1Y� �/�/r� y� ,p--=, - .A l Limited energy,residential 75.00 2
! \ J %C,Y 1e 1 S l . (with above sq.ft.)
J Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
�� , 3 Renewable Energy ❑ See Page 2
-• " "E __IMO -. -... -- Y- Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600E Doubletree Ranch Road 201 amps to 400 snips 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
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 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 16834 2
p tpanel
!SS � „ Branch circuits-new,alteration,or extension,per, Q SR xi
A.Fee for branch circuit 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 i
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
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 • ' Fax::(360)693-4442 Each manufactured or modular
Email:Angela.Grajewslu@polygonhomes.com dwelling,service and/or feeder 67.84 2
_ _ Reconnect only 67.84 2
,�,Angela.Grajewski@polygonhomes.com
'' €'-" ='�""-� .�^ * ?=�.: Pump or irrigation circle 67.84 2
Business name:Garner Electric Washington,LLC •
_ Sign or outline lighting 67.84 2
Address:6101 INE St Johns Rd Signal circuits)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above !
Additional inspection(I hr min) 6625/hr i
Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bdaniels@gweusa.com Industrial plant(l hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: CUSS Electrical Lic.: 208174 I Suprv.Lic.: 44465 specifically listed(54 hr min)
Suprv '�l� %
.Electrician signature,required: '� ��
Subtotal:�.
Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
-7 —_ State surcharge(12%of permit fee):_
Authorized signature: '�' '' TOTAL PERMIT Fes:
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:1anilding\Permits\ELC PermitApp_ELR Elt&doc Rev 06/172015 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.
711 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
4
Transmittal Letter
T t G A R t? 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE RECEIVED:
DEPT: BUILDING DIVISION RECE
OCT 17 2016
FROM: Angela Grajewski
CITY OF TIGA D
COMPANY: Polygon Northwest BUILDING DIVISIO j
PHONE: 971-212-2144 By:
__
��
RE: -- 17059, 17067, 17075, 17083, 17091 SW Jean MST2 -003,6 ..,�.,.7, 3B,
Louise RD (Building 8) ,�?�j U 0
(Site Address) (Permit Number)
Polygon at West River Terrace Lots 24-28
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
'OPIK: n
� � ,ice % ' -.M: � sem, ,.,IE� :��. eIipt1Q.,* �,,�� ;
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
✓Cu.7
REMARKS: Please pay fees owed with Trust Account. i - 0n/ /-1S72CJ/ 60334 .._
„may,` .r , .. A7
Routed to Permit Technician: Date: j o - j `9 - 1 4 Initials:
Fees Due: MI es ❑No Fee Description: Amount Due:
-
42- ji- //1A/ £-Vti) $ '?so , er-
$y
,,, 2 ' , , by y $
§t /C e.``r+l ..a :y'`i .--- ,,r , ,/ $
Special C'cl L t-6-C i /-��---s p "45"i.� y —4033
Instructions:
Reprint Permit(per PE): ❑ Yes ,No ❑ Done.
Applicant Notified:.1�A/G/E" Date: //////(0 Initials:4174 "
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Plumbing Permit Applicatipit
CElVED
Site Utilities FOR OFFICE USE ONLY
- City of Tigard JAN 2 3 2017 Received
1111 Date/By: lc-, �,-b 31 7 Permit No/LfST�D�G`�03 ye)13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.59006V OF TIGARD Plan Review
Date/By: D�3_)(..in c Jr Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Ju s: See Pa e 2 for
Internet: www.tigard-or.gov >;
Notified/Method: Supplemental Information
T"It'PE:.UF IIIVORk • - FEE* 8 REDt1L ,„
®New construction ❑Demolition For special information use checklist
Description Qty. Ea. Total
0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
t, l Arf.q.�Y'( t 1711 Rtlt�it}l?) SFR(1)bath 312.70
0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
EIAccessory building ®Multi-family SFR(3)bath 500.32
El Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler(16j.ft.) //_'fj,3 Page 2
40.B SITE 1 tM
1F `°t'IOO"�Acl�lli•J. ?, TIQN y Site utilities: tv
Job site address:17091 SW Jean Louise Road Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 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: 1 Lot no.:28 Fixture or item:
'fax map/parcel no.: Backflow preventer 31.27
A) If{) „,;:i;;;• + RBackwater valve 12.51
" "I '77,7 -'- '
Clothes washer
Multipurpose Fire Sprinkler System 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROD R QN) ..: ,i.. , " z . m , Expansion tank 12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib
25.02
Phone:( ) Fax:( ) Ice maker 12.51
• . �® APPLICANT-, ... ❑ `ON '"A p Interceptor/grease trap
25.02
Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2
Contact name:Robert Dishman Primer 12.51
Roof drain(commercial) 12.51
Address: 146 W Historic Columbia River Hwy
Sink/basin/lavatory 25.02
City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54
Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51
E-mail: robert.dishman@allianceplumbing.net Urinal 25,02
Water closet 25.02
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: $72.50
CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee)
State surcharge % f permitfee)
Authorized signature: / -----, -7LJ TOTAL PERMIT FEE
Print name:Gavin Thomes Date: 1/13/2017 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
l:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Mk VltYte syF �at$t :; 8e FAO** 'm
: ° ,
Footing drain-181 100' 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 ''
A?ahlta •��n ';Prmit 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
Fee each additional$100.00 or fraction thereof,to•' otai
Other Inspections q>"li eeS `" and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture Type , ..Plan14e ew fot mbl*g As a*ruts
Fixture Type for Repbieel Plan review is required for any of the following.
Work Performed: Capped . Added Relocate
Please check all that apply.
Baptistry/Font
❑ 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 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"
4 As ! ltri�,or' Ser".Diagram -
Car Wash Drain
111Isometric 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
Washerincrease of sewer EDUs,a sewer permit will be issued and
WaterrExtractor
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 Pd mit.doe
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17091 SW JEAN LOUISE RD, SHERWOOD, OR, June 5, 2017 at 12:29:14 PM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00340
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Remove tape from outlets in upper bedroom for testing.
No AC installed at this time.
All else appears ok.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17091 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:30:07 PM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00340
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Front door locked, provide access for inspections. R109.1
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17091 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:28:30 PM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00340
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Front door locked, provide access for inspections. R109.1
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17091 SW JEAN LOUISE RD, SHERWOOD, OR, June 9, 2017 at 9:33:13 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00340
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
No AC installed at time of electrical final inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17091 SW JEAN LOUISE RD, SHERWOOD, OR, June 13, 2017 at 1 :43:29 PM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00340
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS
Comments:
Correction from previous inspection complete.
Water pressure 58 psi.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17091 SW JEAN LOUISE RD, SHERWOOD, OR, June 14, 2017 at 12:34:54 PM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00340
Inspection Type: Inspector:
299 Final inspection David Young
Result:
FA I L
Comments:
Provide approved approach and sidewalk inspection, previous inspection failed. See
inspection dated 6/9/17.
Provide insulation certification.
All else appears ok.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17091 SW JEAN LOUISE RD, SHERWOOD, OR, June 16, 2017 at 9:36:05 AM
97140
Record Type: Record ID:
Residential - Master Permit MST2016-00340
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
Blower door and/or duct seal test certificate verified
C of 0 left on counter.
Violation Summary:
Inspector Contractor