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Permit (172) CITY OF TIGARD MASTER PERMIT ` 2 COMMUNITY DEVELOPMENT Permit#: MST2016-00427 1pfq TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016 Parcel: 2S106DC00500 Jurisdiction: Tigard Site address: 17050 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 5 Project: Polygon at West River Terrace, Lot 5 Project Description: New SFA. Building/Unit 6.1 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 101 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 543 sf Front: 12 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1380 sf Value: $186,781.23 Rear: 0 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 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 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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 p 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 1380 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,330.22 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 R 9 .. -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: f Permittee Signature: , '/V ' ,, e—'e:*7-7L/Al 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 Applicatio (,' j4ennai ,,o. NIT n FOR OFFICE l SF ONL1 City of Tigard Received /� L ry0/ / 9;27 7 Y, /-v/F' -(1,fr Permit No �(ei"©�/ / 11 4 13125 SW Hall Blvd.,Tigard,OR 97223 91,0 z 1 1 f ,�ii DateB /,‘1,,,,L. ■ Phone: 503.718.2439 Fax: 503.598.1960 Plan Revie y /y r Date/By: f 4 -'?1 ••- ) C ---j Other Perini alieRei/ v g_j r I ( A 1;l„ Inspection Line: 503.639.4175 Date Ready/By. Anis: H See Page 2 for Internet: www.tigard-or.gov 4 ` Nohfied/Method:///9 /4 ,rye Supplemental Information ti _� ,,,,,t..,_ !r !L t .,- At 1. ®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 � � '� .,i , � .. . work indicated othis application. ❑ 1-and 2-family dwelling 0 Commercialfmdustrial Valuation: $ j `j ❑Accessory building ®Multi-family Number of bedrooms: Q / ❑ ❑Other Number of bathrooms: Master builder 1 ' C t 1 l 1 7. . �f t r$ ®� ;c° -'7 f' : Total number of floors: j Job site address: fl( 3 SW Rocky Ramble Lane New dwelling area: I ✓ 1 L.+ square feet City/State/ZIP:Tigard,` �'OR97224 Garage/carport area: ,5L.I7j square feet Suite/bldg./apt.no.: bi.) I Project name:Polygon at West River Ter Covered porch area:"' "square feet h k - Cross street/directions to job site: Deck area : 9 u square feet ) 0 ) Othg'structu enia: .(_ square feet t k '4 4 - ,. "',2:.;-4--.7;,,07,<��o,, Subdivision:Polygon at West River Terrace � vue - d I Lot no.: 5 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 € � •-•:::,-7:17'i-,-- equipment,materials,labor,overhead,and theprofit for the > - 'L i . P•• work indicated on this application. p 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 p y 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 � . °s{ � =a `- ` t -' €h '�a-, ` ate,,. . ' � , --' .s .;;. ...)..2s. e.. 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 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 signature: .54 ,„„4 , ,I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dat 3/-6Z ( —I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) t Mechanical Permit-Applica;1,i• city of Tigard 1, IIIIIIIIIMMIIIIIIIMIMIIIIIIIIIII :), - • „,, L.,...,, i Roadved Datogy; Permit No,:ASAL20/6,„,-009:,17, 13125 SW Hall Blvd:,Tigard,OR 97223 . Pla—iir'evrev., 1 • *me:103:71E2439 Fax: 50330.190\0 V 1 8 2016 Data* Other Permit: ) ? hisPeetlen Line:•503.639.4175r. lima 121 SO se 2.for Internet %Am-lige:KJ04°v CITY OF"r1 GAR n eklad! Supphtsomstal Inforasstioa • .:,• . • .. -• •_,_,ID„.. . .,11):14a, • .........„, .:. •,,,,,„....---,•osegov* dll.j,.frkeri:r`V,q•v";••sr..-,• ",'Y'";:;Ii;i4.;,?`*.": ;',1`....?rkkagehrg...: 1Pgr*94*.r04f42.0.`ga,V,ahir4. .itig;*. -• - -------- -------- --. "---- -...-.• •--••• a ..... ., Mot:hank:10 permit thes*nretased on thl value of dm wolt w.Ncyt.'con,stniction 0 Additiontallerationfroplatitieni perforated.Indicate the value(rounded th the nearest dollar)dad 0Detriblitiatt 0 Other: mechanical rnaterials.equipment,labor. flierhead,and profit Vidire:s I itit4• 4::!?,::.*: -`.:?!.3.R:',„,'-_,:J ktiL .„ ,. .. .„, . . — tat,,,A.'!:.p.-- 4.:...-!:klegig.:'. otal** wojilitiriti-01,10W, .'AvA: Q&ioldi*iiiy dwelling Q Commercial/industrial 0 Accessorybuilding For;pedal kfirareffon zi4citorkils4 iiid-flarjily 0 Mister builder 11.9*Ier: DcaraiKtal Ow. l Ea. 1 Total lt Air coutbdoning, 46.75 '7,6sD S\NI 17,00vdti won w Pomace 100,000 atil(duos/vests) 1 46.75 tilyi8tateatO:Ilgard,OR 97224 Arrow 10000+MO(aeareverots) i 54.91 • ; Heat pump I 6106 Strite/bldg.fam.no_tp.1 Project mane:Polygon.at West River Ter Duet work '• - f 23.32 Gratis atieet/ditections to job site: Hydmnie hot water system t 23.32 Residesaial boiler(radiator or , . hydronie) , 1 doset;suntan,*etc. 4633 23,32 1..)011 keg_te.rs,(fuel-tYPe not eleattiO.in-wati.in• . . . flue/vein for envoi'.above 23.32 • Other: . 2332 $.14fiviiirg't'013i+11 Ilt*etc giver River I 44719'' Ohteilirel appliances: 1 T.40*X.Parcol PRA 'Watt:heater. _ 1 23.32 .. _ .,. . ..... .. ''.:21'51agefigg,-43VOtlifiERFfitiraVPOWOMITglirtMtfirMTNIPF Gas fireplaftiinsert 3339 " .. riii,a,Vr4)t for*atm-lamtor or OS . .... lireolace ' 2332 . firaitiehtmas) i 2.332 . . Woodipilletstove I 33.39 , . • Woodfeeplicenisert •. I 23.32 . . .._ Chimheidliimix/fluthreat l 23.32 ... • • 1 , ,. g ...-..,..•:•4L.:.„•; -,,L,. .-7.-,-.4;1,;:;;••:•v41-,•,•••.,m4.••,,,,`: ••••,•••-,•i•,-•,,..-....,,,,,,K1,,,D,-,tw,, ,,,..;.1.k.ie.:-,,,...-6,,;,,,,r---,.-f.. r -7,1%;-:0,,,,.,-;.;;;ii,se,,,,, .,7 -1;.1,-,c-.;,:;;-1,:•;t....%:;-,1,--,414,,,31.-:-e4.,,;1,''`'.:.,:s.'J;;;•W`«,',/:•e;'-,p+7,' '',"=-,i;z : ".744''''' -.''''''''''''4":4'As" :4''''''' Errviraisrieuliki exhaust and vest/IOWA 23.12 14:9111c 4014;LaWl.g941!ngs LLC Ranohoogotoa idichen i $ , -• •••• • • .cottoned. 3339 Agros.:700.11,A 0,0011 Radeh Road Clothes eirye4exieteirt i 3339 ' . City/StatiMIP:SelAnsdrile,AZ 85258 Shigla:cluet exhaust(balluvoiris. ,L toilet ionMartMaits,utility rooms) -a 23.32 PlaMM(001)44-401: Fox:( ) ...A...i..:1 ....,ciawisulee faus i I 2332 0,*eit•1144;f'•4:`iiF`;'.&67!,, ,,;:f4Vitat,:;:0:;AT4:Ac-i".•1 '''':7`, • .,;: .4 °I.bcf7,,,•._ 1 I 23.32 Willi . rue*piping: poshirlss naroot *..1,yoo!prod,roe. . i6 for first roar;$4.03 for lich additional Cattail ilantei.Airolit Graliworki Eirnia.4,42e...„. i .• . AdilMssi.J09*141.311t*ice• ' Gas heatpumo — • . Willisusmortedfunithisier 1 • .citplt.qc(1p:NUncotrief,174 913660 ' . Waite heater • . Piterie:.(360)695-7708. Fax :p60)693-4442 .. Fireirlaue Range , I oil: 1.1$41a4eitterld(gpulygnattemea.gont . . . , barbecue i"Vigg. 2-NI '',UPV,g..!.i.:04:4-ati71,1301r:AZZ4.5-g-.'..4A4i3i1415F-A ,Clothes dryer(485)' • Business irittrtgAtioerserr kiethanieol,foe. . ... , 1..,75.'-i-:t'1/4'4.*11.5F4YrWINT.FilTA:774.Tilitezj-"Wtk147:',1,74-a5N- MiirgF-)0*SW.W.4,.; .. . . . .. cstyisigoZO;iiiiiid,OR 97224 Mintriumu permit the'$90.00) Plan review(2514sof..••••th tee) Piton:6i(503)- 9924664. fax;(503)5364615 State surchwae(12%of Introit fee) , ir „, TOTAL PERIV4T FEE 03 lic.;10214 / ' - . This permit apparition expires ire permit 6 sot aloolaed within ISO • dip alter it has hese seteptedIss complete. AitiltOrlisui Oiiiiattiri: '•Fes. thadolegy set by Tri-CrAnty13ui ' hschtstty Service Board _ - ..• •. I Print nant6:1*tdit Grajewski. 1 Ne:.sr42114 • iiViiiiiini* C_Partelappi40112.110c 4404617TO voiccoewm ••••• :-.ArT,,,v. - x ' JVED Electrical Permit Application FOR OFFICE USE ONLY' iii ' City ofTigard V 0'J 0 ?_ 1 Pemtit g:/C/c57- 0/6 0/f s27 ii13125 SW Hall Blvd.,Tigard,OR 97223 Ilan Review Phone: 503.7182439 Fax 503.5 t�4 Related Permit 8: T 1 G A R D Inspection Line: 503.639.4175 Ready Date/By: loris: a See Page 2 for Internet www.tigard-or.gov BUILDING DIVISION NotiSed/Method: Supplemental Information --'''. "7,.-:-,'..4"•' 'r-4,+'` d -*-°- .... .1 ; "1-. .. i' ..,.:k - M-- c lia ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): T Demolition Other: Service or feeder 400 amps or more 0 Building over three suiries. m � rwhere the available fault current 0 Marinas and boatyards. ' �, --. © if, ,-r exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural 0 Multi-familyamps for other installations. • Multi-family.. _.. Fire pump 0 Master builder 0Other 0 buildings. ..�� ���;rn<z�,���Y�= - - — _ _ _ 0 Installation of 150 KVA or �N. -s c=-4 4M-J =:Bei `1T'� _ ;- ..,,. .. :��I?�?�1.. lam`= :='�Y} � - Emer c : ;; -` Q -� 'CIOPC>��=^__-- .. _ ❑ gen system. larger ...:-.:.-,..�..,........::i�.-.fir.°<:<_�: .. I.._..�.....__... •--- �..__-..�......,,...., *:.:._.M.,� : .::::.��. starry derived Job#: Job site address'Z OM S a 1/!►f1f '^,n+^`,, • 0 Addirion of new motor load of system. U F�'V\J (2.0 1`1J1(�`y 100HP or more. ❑"A•,,`•E","I.2^,"1-g". City/State/Z1P:Tigard,OR 97224 D six or more residential units. occupancy, 0 Health-Dare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Lp , 1 I Project name:Polygon at West River Ter O Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: , -.�'..rarer.,.�,�M .��� .�_.p . ..'-e`' . Description l Qty.Y I Roth I Notal 1 New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace 1 Lot#: Includes attached garage. Tax map/parcel#: 1.000 sq.ft.or fess ' 168.54 4 _ Ea.add'l500 sq.ft.or portion 3392 1 `'�— s ..4.�.�=�,: r.;---_.�:� Limited energy,residential 75.00 ,O�n� \ cTr \ J (with above sq.ft.) V t wC 1Ja� Limited energy,multi-family 75.00 residential(with above sq.ft) p �O)ER 1� 0.: Fr , r ._, Renewable En 14 ❑ See Pa:e 2 ,, ` Y''— ''" "''" '�-�1" IIA�`-" ` -3- Servirrs 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 amps 133.56 2 - 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 30I.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 • intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 .x r c cr,x F x. s"CO, . r(l r Branch circuits—new,alteration,or extension, ter ranel "` A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7'42 2 ! Contact name:Angela Grajewski B.Fee for branch circuits without 1 Address:109 East 13th Street service or feeder fee,first 56.18 2 1 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 TI Email:Angela.Grajewski@polygonhomes.com dwelling,service and/or feeder lv �� _ Reconnect only 67.84 2 .� yw .c ,0.r: e=. . ��0E- '. a Pump or irrigation circle 67.84 2 1 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy I Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr mire) 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 Lic.: 208174 Suprv.Lica: 44965 specifically listed(56 lir tin) 90hr Stiprv.Electrician signature,required Mill-P-7- .'_F. FJ IJ l' CjS1�/t. s'4 v 401 1 Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: <-7./ ._ ` � —'� TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Punt name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number ofinsPectionsallowed per permit ERE_doo Rev 06/17/2015 44O4615T(11/05/CORDWEB Pl nbing Permit Application $uidugFtxtUres ' . 4 (d i oh. Irl I Ii E t �} ()el ! " City of Tigard Receives ltamit No.: S% fG ' �l`.z 7 13125 SW Halt Blvd.,Tigard,OR 97223 11,a i� � 5 2.Q 10 D'itMet.aIN-V Reviaw Other Permit No.: : .Phone:....503.718.2439 Fax 503.598.1960 i 1=,4y'`,,�eR knit. 8SaePug♦2ter ` Inspection Litz: 503.639.41'75 (�,i�`g �.,��` ��-�x tea tteadr/9y: www.tigard-or.gov , 1 ' I TI ''`' ` Sap>tlesneatalloformudoa r Internet: ."tk !- I �' •° �+� 8 �`�r�,,..c`�+- a t 3_^1"r'.3�.'. '�� tY 7� b.3 F.�+"`a i' ' '�1. L.'2.".`..-r,',.', Z.1, -—iff,;1 s ) . IW : A,�K;x`3 -gk77 Fry r- .r& .A�z it fat SF 't� ... •,..a._saw._.. .. New special mfatma*oni rechecklist For �< ■ r Description I Qty. i 88. I Taal ■l Addition/altatatirm/replacapent ■Other New 1-2-family dwellings(includes 100 It,for each utility connection) 33�,� , .. ,3 ,„:,,, ” •s$.w SFR(/)� 312.70 7n '.`Y1atvk �7,�` 10t''k � 14,,4L.S S.t ..•� <,F _�,� .w.41 .'..4."'•• =T.r. .. I-mid 2-family dwelling ❑Commercial/indUatriat SFR.(3)bath 50022 ❑LTi'building r: Multi-family I 0 Mallet bines 0 Other. • e F '„1-131,,4--,.,--,..k,..„,.,,,,,,,:.f &. _j ry '•:.c''f,"'‘ •c c,�,t`!t;i.l'' ;, rr+ ,, . a"6 Site utilities: �� ��' 4i ;• ,. —^ C,A� ��M. Catch basin or area drain ith stp°address: /7 051) cJv� , a 1�"�'�+1 f` ! Dtywtll.leach line,or trench drain 18,76 City/State/ZiP:Tigard,OR 97224 Footing drain(no.linear ft.: 1 Page 2 Project name:Polygon at'West River Ter Maitltfactcued home utilities 50.03 S[iiteibltlgiapt no.: j 1 . 1. ''Cross stieetlditeetions to job site: . . Mmlholess 18.76 Rain drain connector 18.76 Saniteuy sccr(no.linear ft.: ) Page2 Storm sewer(no.linear ft.:____J Page 2 , . Water-service(no.linear R.: ) Page'2 Fixture or item: • .Subdivision:Polygon at West River Terrrace Lot no.: Btekttow prcventcr i 3127 9,tiS'' ?o....�- x t '-,. / c._ zg'@.�. t e� - .Y..itrj .L'.tHr ,! 41 $1teicWatEfva, 1 2.51 • •.3�-, riM•� yk �' " 5.z �,`.,Y02 ,'F� e �x �e `- �..�.YraacY� : *heswater im 25.Q2 mot. 0/1 I1!AK/r . t1I1 ta.1 f!/1(I ,. ....... • _ `Dish UM 23.02 3 t l 4 - 3 r"° }.T { Y,.4�.�i r4Y,•, '�, �� .'.337 cu.T-?-'l♦'• .24 G P r i.i ai.9a tank 1251 , 4 ,4,3' .: y � „����� .ri f.�,� 8vs l�+"Tr c.,,¢�a_� .:'� �s.�� ..ha r.....2 s w.ley, lilaitte:A i I Address: Doubletree .r t ) City/5tide/Z1P:,Seettadelei4a 85.258 Hose,bib t , .. -ern - ,�+” .xn y .. z +'1t J'l'jv�(,�.5*... `.'''.`.— �o I 1. r5T uhf "..1.„',..1-,...:.1„;..`,1 ...".V,.J_.• I-.:2",,,'.' uiiriCace :,1"...�_r.....,01..t1::•"'."?,....,. ---:•';',...1'4; - �a$irt�55 W tR�,y6k Roane Inc. .,. ._,. 1 thither • Addres9 F.Ut))30Stirat I s::.18 T SP:Yttria ave,WA 981144 Solar Units(prittible water) 62.54 , n };:it r � x '� � v�r4al' a ar' a, i a; 1 ,�,G -;,'.- ...r .1w _•*..4.a. Y-_ .._...<3gs..;,� Ais.,..`..,:... r.,„.,...:a�«a.si_., zk5 water heater 3732 _ . lykraterfiPhleDIPN '509. allt Damn% 2.5,02 City/State/ZIP:T utit aid,OR:9706 , . 1 Photic:( )404490 Fax:(50.3)912-6438 Plan review 05%Ofpennit fee) CCB Lim:i84608' Plumbing tic;no.:PB732 . . State surcharge(1,2%of peiniit fee) A'utho izai 1s permit ttpptlexttan yexptres Ita:pd mk is oat oi#tuigeit Within t80 days tti . . Date:5/2312016,Ptittti19h're:,gibed.IIBSlttti0ti ,. .. utter k,Lss been accepted es cea,Pktc. "Fee.methodo�logy.set Iry Tri-County Building Industry Service Board lAgtiA rilPumtait4t?tti=PeiltitAk dos 10/01/99 44D.4a161110102F1 V1t 8) 1. i City of Tigard a 1111 I COMMUNITY DEVELOPMENT DEPARTMENT T 1 cA RD Building Permit Review — Residential Building Permit #: /IS 7;2-076 -- CO y2 7 Site Address: 17050 SW (O Ck..4 (ZCI Y17 t3 LE L 1V Project Name: poij9 00 cel t vi ei i- Zt\f`c r Tf i"r' i c x - Lot #: -5 (New lwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N` A J rcow MC Verify site address/suite# exists and active in permit system. eRiver Terrace Neighborhood: ❑ No yr Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3) copies of site plan Existing 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 rawn 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 A ocation of wells/septic systems /Applicant information(name and phone number) "Fxisting 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,R-25&R-40) Street names /Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PDIZ2 o is—c0oQ1 ` SI/6201S -- 0000 (:), Zoning: 2 S Required Setbacks: Front i 2,.. Rear 0 Side 0 Street Side ' Garage 3 , Landscape Requirement: U) % 0 Lot Coverage Maximum: % /`J W/ Building Height: Maximum Height A' Actual Height ;e2 if Visual Clearance 1Easements ,7{ Sensitive Lands: CI Yes 1=1 No Type X�. Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: Iclifioe J f-v be e'' - Praia- +v fSS(Icinq 0G- bv'dctiNe), et Ifni"-. A Approved By Planning: ,l Q(l , 6 r )oc&.0 AA.. Date: /(:)// 8 j / & Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx I a Building Permit Submittal Original Submittal Date: alts /To Site Plans: # Building Plans: # -3 Building Permit#: B"Enter building permit#above. Workflow Routing: B'Planning +�Engineering [Permit Coordinator Oi-uilding Workflow Sign-off: [sem Sign-off for Planning(include notes from planning review) Route Application Documents: I;J-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and �original plan review routing form. ,� I�'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4 'ice_ Date: G1l� f//, NMIIIMEn,/gineering Review Slope at building pad: /�A ❑ 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 Approve by Enginee ' g: Date: � r�dNotes: . ' Joitsy le .,,,,r /,2 ,...4„.„_,„,,, Approved by Engineering: KG ? Date: lU--..75.—/Z:, 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: 4 i f Date: /D/2 qq., 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: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: `Yes ❑ N/A to Issue Permit X'OK Approved by Permit Coordinator: 4te: lv "7/Ac I:\Building\Forms\B1dgPermitRvw_RES_091216.docx r City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111 TIGARD River Terrace Building Permit Review Addendum Building Permit #: 00 7 Site Address: 7 050 S W IZO CAt i Ping(31. G L N/ Project Name: f o I ,,0 6 Gt t- Wei k- (24v .ef Tex rri Lot #: (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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f.wide ❑ ❑ ❑ 2. Eyes on the street: a minimum of 1,%of each street facing facade must include windows or entrance doors. Percentage Shown: t Lj, 5 3. Entrances:At least one entrance must meet both of the following standards: / Max. 8 ft. setback from longest street- facing wall Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch/ Yes ❑ No If yes,all the following apply: /25sq.ft. min. XOne street facing entry 412 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 ofe 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 AfWall offset min. 16 inches ❑ Dormer min. 4 ft.wide ARoof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 71Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide AAccent siding min.40%of street facade Window trim min. 2'/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 let. Ai'fl n , Pl {- Setbacks: w ,1 0.1 No closer to front or side lot line,than longest street-facing wall. ❑ Yes •. If o (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not . ted beyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and th• • 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) ❑ 12-foot-wide garage door ❑ 40%max. of street façade X50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: j1/0 nil-L., 19110 , Date: r of / 3 / r I:\Building\Forms\BidgPertnitRvw_RES_RT_062216.docx Plumbing Permit Application Site Utilities RECEIVED - FOR OFFICE USE ONL\' City of Tigard Received11 Date/By: 3! �/ Permit N. F 0 - � O L/2Z 41 13125 SW Hall Blvd.,Tigard,OR 97.►,ti R 1 5 2017 Plan Review {/ t :111 II 2 Phone: 503.718.2439 Fax: 503.598. '.b� Date/By: 3-.)n-tri �'L�A Other Permit No.: Inspection Line: 503.639.4175 Date Read/B TI G A R DCITY OF TIGARD Ready/By: Juris ® See Page 2 for Internet www.tigard-or.gov Notified/Method: f31 III DING DIVISIQN ��17 . a TYI OF ORT , 1Ci* �l 'IIJLI Supplemental tal In ormation ®New construction ❑Demolition For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ATVOORY OF G RUCTTO)Imo. SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(p8rsq.ft.) /310 J{ - Page 2 iO11' ITI .NFO1i Ti IS$Za l a T[Ol Site utilities: i Job site address:17050 SW Rocky Ramble Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.:5 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 '` i ;.. Backwater valve 12.51 � bES, , It OF � : . Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00427 Drinking fountain 25.02 Ejectors/sump 25.02 co .pg #p '' Expansion tank 12.51 �, (31 A. Y � � .. f Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 1 il<ppLic r -.--,i,,-"'"1 0 CONTA ' pp} ) F' Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) 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 f . CO Water closet 25.02 �w. Water heater 37.52 Business name:Alliance Plumbing,LLC WaterP €/ iP m 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: 7"7� TOTAL PERMIT FEE Print name:Gavin Thomes Date:3/15/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I_\Building\Permits\PLMU-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: ate'Ut t es Qty. a e eal ' rt tai are $age: APre'ell'm t F Footing drain-151 100' 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 thSt1On ;fie.., g e' f,f ,,.. $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 ther lispee ons o gees �? Eee each additional$100.00 or fraction thereof,to � r� � , pA4" ' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type 'u PlaMiteviefor,Plumbing S Fixture Type for Retl7aeel Plan review is required for any of the following. Work Performed: Capped Added ::--Relocate 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 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" etr i a 44 er . ram • Car Wash Drain Garbage Domestic-non-food ❑ 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 Pgmit.doe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17050 SW ROCKY RAMBLE LN, SHERWOOD, July 18, 2017 at 10:20:18 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00427 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Correction completed Violation Summary: Inspector Contractor