Loading...
Permit (63) allil ,� CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2016-00360 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S106DC13100 Jurisdiction: Tigard Site address: 17070 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 131 Project: Polygon at West River Terrace, Lot 131 Project Description: New SFA. Building/Unit 10.3 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 24 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: 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: 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'l 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 952-01 -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: �ce� / Permittee Signature: ate. 19-1°,G./ c ' "' 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 1"d T 43 i W �1V FOR OFFICE E SE O\L\ City of Tigard Received 1111 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 6 6 2 016 pi R V1e / • '- permit rys<���- /g��� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ci Other pe,.miLS'G�,//evc T t c; R t) Inspection Line: 503.639.4175 CITY OF IG A R n _ , y J ��-?�S� t ilii R D Date ReadyBy: Turfs: ® See Page 2 for Internet: www tigard-or.gov Notifed/Method: '�/ /O Supplemental Information BUILDING DIVISION �M*6 "i6-./ - TI,,-5,-,,,i:,,‘ ®New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application a 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ (`J ) ;fl 6 ❑Accessory building [Multi-family Number of bedrooms: 2 ❑Master builder O Other Number of bathrooms: 2.5 '°' T. tf , ��ra, Z i - - Total number of floors: 3 �' Job site address:'01 O SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet , Co Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: square feet, S Cross street/directions to job site: ) `� Deck area: 72 square feet a4.1..„,4TJ� Other structure area: -, square feet Subdivision:Polygon at West River Terrace ILot no.: 13 ' Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. K5 e) a . 103 Valuation: $ ZJottJ Existing building area: square feet New building area: square feet Ell: 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 Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th 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 ._ : :„ ,. , :, Commercial and residential prescriptive installation of " roof-top mounted Photovoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:William Lyon Homes,Inc 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 and administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 _ Total fee due upon application: $201.60 Authorized signatures./%���//`/ /yvAL 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:kBuilding\Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicata it'''''. City of Tigard ' Received n -': 13125 S W Hall Blvd.,Tigard,OR 97223 DateBy, remit No':s = W 4V OD/Up Phone: 503.71&2439 Face: 503.598.1960 sop P 22 ?016 P1an Revie�' V'� V nspection Line 503.639.4175 I) iRc Otho Permit; in trxnci wwne:5 3.639.41-orgov Date Readymy, runs: ' ' )`Nati iedNtethod: *Page for A,i.a `d vtk s Y Snppl eatat iatormatioa 1: .,. ; z: �-iii ;.:r '1 vi...E ' ' 4i 9,t '` ,:., CQ31ll4i£RLA Flv£",.84'H£IfL'S,£k==tti'fts�rza�r�6 �+New construction ❑Addition/altetati{tl3rrcplaCcmetft Mechanical permit fees*arc baud on the value of the work ❑New tt performed.Indicate the value(rounded tFi the nearest dollar)of all ,v Demolition g 0 Other mechanical materials,equipment,labor,overhead,and profit. LS'�13G I2Ohl $ I#1�IDEI+t'TIA3,IEQ• UII�34?iEl�`�;9s>E�TEMS�' 4, 0 1-and 2-family dwelling 0 Commercial/industrial specialor a �Accessory building 10 Multi family ❑Master builder 0 Other � ` ' ychecklist. � .� Description I C?ty. { Ea. � Total p o ti Ali O8 ORMAiiOx ai r I ?I(DIY ;,F Air c nguuianmt" i lob site a Air conditions* 46.73 ddrt ;/ SW Jew L 1,�5e. a4 City/State/ZIP:Tigard,OR 97224 Furnace 100,0001311J(duashsrxs) 46.75 Furnace 100,000+137U(ducts/vents) i 54.91 Stritefildg lapt na.:1 l 1 I Project name:Polygon at West River Ter Heat pump l 61.06 Cross street/directions to job site: Duct work g 2332 Hydronic hot water system i 23.32 Residential boiler(radiator or hydronic) j 23.32 Unit heaters(fiiel-type,not electric), in-wall,in-duct,suspended,etc. : 46,75 Fluelvertt for of,above 23.32 Subdivision:Polygon at West River Terrrace i Lot no.:1-5 I Other23.32 Tax map/parcel Other Intl appliances 1 , .M Water heater . ._; ..,-.��� . DFRTP:TlOt9 OF',WORK e 23 32 _ -` Gas fi �.la;,ciiitsert � 33.39 ' r t�/� (y 1-t,//t� Fluereace for water heater or gas 1.i ` ol1/1lJV �� fireplace aswerwontrcurretntet2332 Lag lighter(gas) 2332 Wood/pellet stove 1 3339 Wood fireplace/insert - t 23.32 Chiatirtet inceItlud v !1' cAt i 2332 ilA5 2332a'..aiY � 9 fs 7, , . M, Layihentai t and venYtaGo1:Nam=ADVL Land Holdings,LLC Range hand/other kitchen Address:7600 E Doubt:arm Ranch Road equipment33.39 City/State/ZIP:Scottsdale A7 85258 Clothes ryerexhaust ) 3339 Singleduct exhaust(bathrooms, Phone (602)69#1p3a rax:( ) toilet compartments,utility rooms) 23,32 . Atticcrawlspare fans i t cik . ) m � 1,.. ,.; r,., .,. t :loo A �FiSOi4 x Oher: 1 23.323 .32 Business name:William Lyon Homes,IncFuel piping:. Contact name:Angela Grnjettigl<i 514.15 for first tour;54.03 for ch additional Furnace,etc. .. Address:109 East L3th Street Gas heat pump City/State/ZIP:Yaoconver,SVA 9$660 Wall/ - ithcate r 1 Water heater Phone:(360)695-7700 l Fax::(360)693-4442 Fireplace I E-mail:AngeHl.Grsjewskipolygonhomesmm Range 1 meg.. Barbecue, 1 A l ., €w., .. ., fav ,"-- '. Clotho:dryer(gas k Business name:Andersen Mechanical,Inc. ply Address:16235 SW 35a Ave ;P' � ,.,* Itil tea City/State/MP:Trgard,OR 97224 abtatai Minimum permit fee 040.00) Phone:003)992-6664 I Fax:(503)536-6615 Plan review(25%of pe wit fie) CCB Sic:I6822d t State surcharge(12%of permit fee) I TOTAL FERN T FEE This permit application aspires if a permit is not obtained within 180 signature: days after it has hems sccepted rs complete. Fee methodology set by Tri-County Radial Industry Sense Board I Print name:Angela Grajewskl Date:8/22!16 1 MulldioaTermittiMECjemitApp_040 i t 3.doc. Electrical Permit Anulicatio t City of Tigard I OR OFFICE l SI. O\l_1 :I 13125 SW Hall Blvd.,Ti2 01 Reserved Tigard,OR 97223 A U G 0 6 DateB Permit KGs/.. '"/ Phone 503.7182439 Fax 503.598.1960 °mew 1, �SPecer503.639.4175 Date/B . i t, 1 Infonet n Line wwwti8d-0 9.41 CITY OFTIGARD �'�r: • • ° of d/Method• El See Page 2 for ®New CO = _ z = - __ Supplemental Information ❑Demo construction 0 Addition/alteration/replacement = ease check all that T_ (submit o•`L t l apply(submit � Demolition ❑Other ()Service err feeder qpp ��sets of plans wlrtems cbxlcedr .". amps or more p Building over three (�1-and 2- dwellingFI 1 . i'. 1,TEi 5 �- -- _ where s 1 ,000a m faun 50 volt 0 Marinas boors. exceeds a avail ,�/ Y 0 Commercial industrialsans a 15o volts p Clog buildings. Ler Multi-family ❑Accessory building s to grad or exceeds I4,000 0 Master builder 0 Other: amps for all other installations. buildings.Commercial-use agricultural Job#. rt id� 6< 11:IT ilP �.� s �.. _ DEm 0 Fire pump. ❑lInstallation of150 rived Job site address: I Y1 /- �$C°`y wpm >a separately derived C L 1MM Addition of new motor load of system. City/State/ZIP:Tigard,OR 97224 �` loom ammo p"A",.E.,"l_Z,•41_3^ Suite/bId an 0 Si:or more residential units. #: Project name:Polygon at West River Ter s ['Health-carefacilities. D Recreational vehicle pada. Cross street/directions pHaz locations. 0 Supply voltage for more than directions to job site: ['Service or feeds� dal- _-_ amps amore. �wits no rte .- j Subdivision:Polygon at West River Te ace New des dentihl si af �" -rad. -T°� ii Lot#: laclodes attached garage,mnlh-family dwelling unit Tax map/parcel#: 1,000 sq.ft.or less �•I — , , 4.,,,,,,,,,-,„„,-,..,;„.--„,„-_,......, t .;: , _ ... ,: ' Ea a ca net sq. s orportion n 33.92 0 v ` `—„ a Limited energy,residential aMIME. with above ft 111175.00 -© Linut—ed energy, Y _. r C ¢ <t i residential �e .8 III 75.00 -© le Name:ADVL Land Holdings,LLC s `— Services Renewabor feEneders installation, p P .e 2 -- alteration,and/or relocation Address:7600 E Douhletree Ranch Road 200 amps or less 1111111®-© 201 amps to 400 amps City/ e/Z P:Scottsdale,AZ 85258 401 amps to 600 amps _— 20034 _© 1.04 mom Phone:(602�94_40g1 601 amps to 1,000 amps Over 1,000 IIIII 505226 -© Fax ( ) Email: amps or Temporary services or feeders n,alteration,and/or Owner installation:This installation is being made onown relocation 4 intended for sale,lease,rent,or exchange,according to RS 4,49,670,and 701 which is not 200 amps or less - 25.08 mom Owner signature 201 amps to 400 amps _© Date: 401 1111 1IEC �-© r �-'�'4 f C s _���--�-..-a � � �t0 599 amps - ,' t_,11 ti a Branch for rcnch Li new,alteration or extension, and Business name:William Lyon Homes,Inc " — A.Fee branch circuits with Contact name:Angela Grajewsld above cicc orrc feeder fee, .®. each branch circuit Address:109 East 13th Street B.Fee for branch circuits without service or feeder fee,first 111 111111 City/State/ZIP:Vancouver,WA 98660 branchcircui Phone:(360)695-7700 Each add'I branch circuit 111111111231111111E1 Miscellaneous Fax :(360)693-4442 service or feeder not included _ Eaci� or modular ■® BusinessW t r �` r r}; v Reco111 nnect aad/�feeder Email:Angela-Grajewsln@polygonhomes.com - name:Alameda Electric Pump or irrigation circle _© _ Address:3415 NE 44th Sign or outline lighting _© Signal einact(s)or limited-energy —© City/State/Z1P:Portland OR 97213 •.- d ce eitension. 0 See Page 2 -© Each additional , •. lion over allowable in of the above Phone:(503)319-2192 Additional inspection(1 humin) Fax ( ) Email:solarpdx®me.com Investigation(1 humin) 1111190.00/hr 11.1111Industrial plant(1 hr min) EMI 78 _ Inspections for which IMTCNMMIN Electrical Lic.: 01,23 Suprv.Lic.: 48715 n fee o is Suprv.Electrician signature,required: �� fisted hr mm ■ 90 00/hr -. ' Print name :� _v.- _m_.,... ■ • • •on= Date: I — • _ • 0 Plan Review (25% Subtotal: — 'n Required of permit fee); — Authorized signature: ��� / State surcharge(12%of pmt fee): — ��/�■�� ar 1 I k TOTAL PERMIT FEE: — Printname: iJ P �� E�BmI ' �� Date: + / This permit application after has if a Permit is not obtained within 180 dms�'cmitslELC PermitApp EU EfE• / * days after it has been accepted as complete Rev x6/17/2015 Number of inspections allowed per permit . 615TO1 , rsEa Plumbing Permit Applicatio 1 Ci • Building Fixtures r t/a i,i 1 ,t i 1 ',1 (1\1 City of Tigard AUG 0 6 Z016 Received 13125 SW Hall Blvd.,Tigard,OR 97223 �Y Permit No. �'/^ �b ��:349 Phone: 503.7182439 Fax: 503.598. y O. TI6ARD "O`° Other Permit No: Inspection Line 503639.4175 Internet www ager Bail Iill L'�ING DIVIIO , Aum 0 Page 2 for : w Supplemental taformau ®New a onsiniction 0 Demolition For special information use checklist 0Addition/alteration/replacement ❑Other:' Description' Ea. � Total 1 Cm l New 1-2-family dwellings(includes 100 ft.for each utility connection) i ~ 4 ' � `>. SFR(I)bath312.76: . , : e-, �<; , ..:',»: „ k. e, r 0 I-and 2-family dwelling i 0 Commercial/industrialSit(2)bath 437.78 f SFR(3)bath 0 Accessory building 1 Multi-fatuity I 50032 506.32; ❑Master builder 0 Other Each °"�badilkimften 25.02 Fire sprinkler(13'1 I sq.ft.) Page2 i P t --.7.1., pe€ .ti I � � �.�,,� ... � Site ad'lities: site address Catch basin or area drain 18.76 1 Job 11 p10 S ?'.cern Loot se �Coac( City/State/ZIP:Tigard,OR 971,24 DrYweO.leach tine,or trench drain t 8.76 Suite/bldg./apt.no.: Footing drain(no.linear ft:_) P 2 I I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 I Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 i Storm sewer(no.linear ft.:_„__) 1 Page 2 Water service(no.linear ft.: ) I Page 2 I Subdivision:Polygon at West River Terrrace ( Lot no.: 13 1 Fixture or item: Tax map/parcel no:: Backflow preventer 4 I 31.27 31.a'-7 , � : �'`< Backwater valve 92.51 rJ 1 , (O � Clothes washer 25A2 i Dishwasher..... 25.02 Drinking fountain 25.02 fn Ejectors/sump 25.02 1 v s f `Y 4 '; Expansion tank 12.51 Name:ADPL Land Hollings,LLC fixture/st wer cap 25.02 Address:7600 E 13oubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose:bib I 25.02 I Phone:(602)694-4031 Fax:( ) Ice maker c„. a', tor/ ease 12.51 1 .�,.� �. �-,�,.: rnerceP gr trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) page 2 Contact name:Angela crajewsw Primer 12.51 1 Roof drain(commercial) Add<ess:109 East 13th Street 12.51 2502 Sink/basin/lavatory 1 City/State/ZIP:Vancouver,WA 98660 Solar units(potable warier) 62.54 360 Phone;' 7700 r )695- Fax::(360)693-4442 Tub/shewer/shower pan 12.51 E-mail:Angela l polygonbomes.com Urinal 25.02 � ,. Water closet 4_r,. 25.02 �. � �- ��� ,_. ' Water heaicr Business name Alliance Plumbing LLC 37.52 Waterpiping/DWY 56.29 Address 146 W His-brie Columbia River Hwy Other 25.02 City/State/ZIP:Troutdale,OR:97060` Subtotal Photic (503)492'349° 44...„.... Fax:(503)912 438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic:no.:PB732 Plan review (25%ofpennit fee) I State surcharge(12%of permit fee) Authorizedsignature: ; TOTAL PERMIT FEE I Print name:Robert Dishman I Date:5123/2016 This pew application expires if a:permit as net obtained within 180 dais . ,:. after Ulm been accepter!s.s complete. *Fee methodology sec by Tri-County Building Industry Service Board. 1.l8uili ngWe mitiTIAU-PemitAppdoc tonniite 440-46167(10,32'CQf+UtvEB) 4 I illhlCity of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T l c a n Building Permit Review — Residential Building Permit #: / ç ) ,'6 Site Address: 170 7(3 ,W T W r) Louise P.S. Project Name: 4,0190 o ri Ci+ WQJ+- (2,fir Te rr- 1 cc Lot #: 13 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 1124 '133 Proposal: (VW Q eO W ( - WYLQ, Caos.e) Verify site address/suite#exists and active in permit ystem. /l River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan - ❑ xicting 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 of coverage and Street tree size,type and location /impervious area(applicable if R-7,R-12, tgp&R-40) Letreet names Property corner elevations(2 foot contour lines if more than 4 foot differential) jzf Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes CI No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: P042.20 1s - -J0004 , Sue 7_0) 15 - DODO( izS Zoning. 2_2.S Setbacks: Front 12_ Rear S Side 6 Street Side 3 Garage / q X1 Landscape Requirement: ?X % !v Lot Coverage Maximum: 6 0 Jam' Building Height: Maximum Height tv/4' Actual Height ,,LJ Visual Clearance Easements J`J Sensitive Lands: ❑ Yes ❑ No Type 6 Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: C nd-ifih o n.r - , be met prior -iv 1 as von r7( n t- bvl'lc lr1� Perm 0'. Approved By Planning: M 0 YL+c.c.-„ /31 LoDate: (:.??/ 4/ i ' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\BldgPermitRvw RES 060116.docx n 1 Building Permit Submittal Original Submittal Date: z9/4,Afr Site Plans: Building Plans: # 3 Building Permit#: Kl-Enter building permit#above. Workflow Routing: [4-Planning 2rtngineering 0.--Permit Coordinator 3313uilding Workflow Sign-off: la-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. 21Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: AM4,, � 9 By Permit Technician: Date: y/A, Engineering Review I°❑ Slope at building pad: 3 ❑ 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 th No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes p No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: Mnl K CZ-- t-`--9 Date: Gl /S/ l.6 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: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: or Yes ❑ N/A OK to Issue Permit �, / 57� ' Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_060116.docx s l 111111 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T l c A R D River Terrace Building Permit Review Addendum Building Permit #: /` ....C7 /c, 0613 Site Address: 110 7 0 E W Te-fin Louse ed . Project Name: Po I y S o n ct+- WQJ i- lZ,Vr T-e.m',Le_ Lot #: I .31 (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?,d1 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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min.2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ 7 A 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 ,, / 3. Entrances:At least one entrance must meet both of the folio 'ng 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 Roof eave min. 12 inch projection oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide Accent siding min.40%of street facade Window trim min. 2 1/2°wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ 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. Width: (Check one) CI ❑12-foot-wide garage door 40% 1\614 dp max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /14 l 91 , G.;,teri,.,,A, Date: �� I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx p 14--t, ItFIFI 2 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard NOV 1 0 ?nibReceived ` _ • 13125 SW Hall Blvd.,Tigard,OR 97223 /� '>U ii / ,� Phone: 503.7182439 Fax: 503.598.19g0'`r l' ii' l ' 1i a (' �Review � `�� � �;� � �t� � Date/$ Related Permit f/: Inspection Line: .. 503.639.4175 1e ady Date/By: kris H See Page 2 forT1GAkD Uw t 3a i s hed/Method Internet www.tigard-or.gov Supplemental Information rmation fi , - - s, O.13 F 'y;. i _f f_-'.' ': ®New construction ❑Addition/alteration/replacement Please check all(that apply(submit 2 sets of plans w/itemss checked). ❑Demolition 0 Offer ❑Service or feeder 400 amps or more ❑Building over three stories. y;,. . o y ., _ where the available fault current -r i r.at W g .: 0 Floating and boatyards. _ - .,�-�1��� -: ��- t- F exceeds 10,000 amps at 150 volts or Q Floating buildings. 0 1-and 2-family dwelling ❑Commercial/indiistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Cmnmercial-use agricultural ❑Multi-family 0 Master builder 0 Other: amps for all other installations. buildings. Y, ,_ _ __ 0 Fire pump. 0 Installation of ISO KVA or .:�,.-�.��x.-c;r.;r...�::.�-=;�:.._ . .'�5.:. _ OK1Vl1l- 'N`?z�13";�-;fI _ G<�.:�_ _ _-- Emergency' `'-'Q - fe'£�OIiT'•`� - _ system. .`�'... -. ':''"�:` 0 g�Y larger separately ,1 ❑Addition of new motor load of system. Job#: Job site addres f 7 U J Lk 1(e R 100fP or more. City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg apt.#: L D,.5 Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: _FLK =-fir Description agtkit: .._.:.x2=- '"-'. ^al.' -.. . Qb- �_ Each I Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:' 1 Includes attached garage. Tax map/parcel#: 1.000 sq.ft or less I I68.54 4 *`'. , . # • P 9 g e's " `rte Y.f Limited addenerI 500gy, sq.ft or portion i 33.92 1 ^ k _., energy,residential 75.00 2 b� J CV frl y)0)-t, M (with above sq.ft.) CV`vel ]J J1 Limited energy,multi-family 75.00 2 residential(with above sq.ft) W14M2,6 e :Wig-4 -MX/Platt .. . ��-r R Renewable Energy ❑ See Page 2 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 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 168.54 2 • ' �,_ala- j""" : � • f� � x k.; Branch circuits-new,alteration,or extension,per panel `.i--`E.s. Y�. .rnnn.T«r>`o:.s -.?.^_^ �..i�� �..�» A3• .. �.r..+..m�.'xa- - �`' A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 i 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 • Fax::(360) Miscellaneous(service or feeder not included) 693-4442 Each manufactured or modular 67.84 2 Email:Angela.Grajewski@polygonhomes.com dwelling service and/or feeder r Reconnect 67.84 '- n - ,:'''-':7'1'-'-7":41';':4-:7: 7: ` _' 7: ®,�.it.1:-e-,o . -.'.:1-; � ,.r.',. .1'7,-:::._- 2 Pump or irri oa circle 67.84 2 Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or limited energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr ' Email:bdaniels@gweusa.com Industrial plant p hr min) 78.18/hr Inspections for which no fee is - CCB Lic.: C1158 Electrical Lic.: 208174 1 Suprv.Lic.: 4496S specifically listed(16 hr mm) 9000/hr Suprv.Electrician signature,required: � � / '' r" - -' -.,: ,,-1: / Irl Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): l _ State surcharge(12%of permit fee): Authorized signature: .c:.._..._____,__-...—- 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 ::-1:1Baaildingioermits\EI.0 Pern6tApp ELR ERE-doe Rev 06/172015 440-4615T(1l/05/COwWEB 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 4 Site Utilities ��pp FOR OFFICE USE ONLY FEB 2 3 l r; . Received . City of Tigard ?1 j iI- 'ermit No/47J-.77,20/4,_�0 3�d II 13125 SW Hall Blvd.,Tigard,OR 9723 Date/By: �� , Iiii 2 Phone: 503.718.2439 Fax: 503.598:1-9b0 .,7_,*, Plan Review:2 ./7,//, t SOther Permit No.: TI G A R D Inspection Line: 503.639.4175 -x . Date Ready/By: ,� Juris ® See Page 2 for Internet: www.ti ard-or. ov " ` g g �� ` ' Notified/Method.•'��77/7 r Supplemental Information flF W a • ,;.., TAV ' FEE*.SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) '` jGORX OF CONSTilC iiii tt40SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 1:1Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building Z Multi-family Each additional bath/kitchen , 25.02 0 Master builder ❑Other: Fire sprinkler(1,362 sq.ft.)� Page2 « = ITE 1 1 to 54 A14 L C TI( a i Site utilities: Job site address:17070 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.: J 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.:131 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 I11ERI •PTION OF " Backwater valve 12.51 --z-- , �,. , , - -.. Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00360 Drinking fountain 25.02 Ejectors/sump 25.02 ci )p'ito1' RTY 0t,i ,"� `. ❑ .;,„;‘.'-;&'.:2= ',',., , 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 - ® APPL ® ,r 4 1 r % 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 CONTRA+ TOII ,„-- - �' � ` Water closet 25.02 , .l..,, �,.,... � : 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 Lie.no.:PB732 Plan review (25%of permit fee) / State surcharge(12%of permit fee) Authorized signature: C. 6 .2 TOTAL PERMIT FEE Print name:Gavin Thomes Date:2/22/17 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Silt i Re ntial Fi re Suppression u pres 1 �st ms Q �$4p : � . Footing drain-1s'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 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for � ) ' each additional$100.00 or fraction thereof,to Q7 pttlk ...: � .. •.', �: 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 'yp F%%tulre Type for Replace/ Work Performed: Capped �', Relpg t Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 0 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 ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 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 Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an 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 Pdmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17070 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00360 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: FA I L Comments: Garage- 1 . ABS pipe penetrating required separation wall. Provide adequate protection of separation wall as per ORSC Chapter 3 2. Provide missing AAV at 2" DWV (ABS) pipe at rear of garage House water pressure is 38# Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17070 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00360 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: 17070 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00360 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: No A/C installed at this time Violation Summary: Inspector Contractor