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Permit (173)
CITY OF TIGARD MASTER PERMIT =' COMMUNITY DEVELOPMENT Permit#: MST2016-00428 Date Issued: 11/10/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC00600 Jurisdiction: Tigard Site address: 17042 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 6 Project: Polygon at West River Terrace, Lot 6 Project Description: New SFA. Building/Unit 6.2 BUILDING Floor Areas Reauired Setbacks Reauired Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $162,271.65 Rear: 0 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 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: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 1 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1221 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: $22,662.58 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•- o. 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. f Issued By: "41 '% 1 ---... Permittee Signature: OA/ S eT4' 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 Ap lication Z.-0r-co* lil �.... FOR OFFICE ISE ONLI City of Tigard 1 y C Received 14 "I 13125 SW Hall Blvd.,Tigard OR 97223 �� t 1 -)I�i l? DateBy: ID Z© 4) t'. Permit N �T— r/6 Q0 y�� Phone: 503.718.2439 Fax: 503.598.1960 DateReview // // Other Perini w /�,_00,1 , 7 t� Inspection Line: 503.639.4175 t g a� 1 " , Date Re /B auris: By _ ., a h u. adY Y 1 See Page 2 for Internet: www.tigard-or.gov Notified/Method: ��/ , Supplemental Information til I C'Jr'' n TD i 1.9 i J 7 ty/` -0,-/v6---/&---- .,, Vi^,+ !l 7 �. S �. a ; , ki - ta ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ��, � : ,i !, • ' work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercialfmdustrial Valuation: \ ?a , �'�J'a:34..❑Accessory building ®Multi-family Number of bedrooms: Y+2. 0 Master builder ❑Other Number of bathrooms: 2 � �,' Total number of floors: 7 Job site address:n 0„Q SW Rocky Ramble Lane New dwelling area: 11'L( square feet / City/State/ZIP:Tigard,OR 97224 Garage/carport area: 1 LAC50 square feet r a, Suite/bldg./apt.no.:19,L I Project name:Polygon at West River Ter Covered porch area: ,,c square feet..,:c C'y� Cross street/directions to job site: —D ck area P ` square feet 9 `7 Other structure area: 7 2 square feet ' r .. ' ;,L, ' Subdivision:Polygon at West River Terrace I Lot no.: Lp 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 " I ` work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet � Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: � 'a'�``.L' E P� ` 'ia taw -` #�,.�; � 3'€' a "" ¢r [�# ". s1 , ar <s Business name:Polygon WLH,LLC , -- - . Structural plan review fee(or deposit): Contact name:Angela Grajewski 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 � .. �9"&f g , a'P � r �..;x.., t. �.. Commercial and a p ti ��on of � z•`� roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with-the-2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: 54 4 i 41 This permit application expires if a permit is not obtained n• , within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dat (1/2 /j/ , *Fee methodology set by Tri-County Building Industry r Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical PennitApplis4stErFpfFnollimilleillellaimilli_. 'City of Tigard Datelly; Portnitlio./1.SW6-(2'q 7 . . Blvd..,'Tigard,OR 972.2.1 , ,,,, pianitvicw . 6: • Phone:101718.2439 Fax 503398.1960 NI .1 UV Z.y 10 Daisy, Other Permit: i i , .1, ,, •Iiisi.SeotiOis Line.:503.639.4115 Date ReatAdr• 3taitz I El Sep'airx 2 for Internet www.tigard-orgov CITY OF] IGARD NaMadtkiettotb Supplpoestal Information r ;;,..7..,-”ici-_, ;;;:r.;.ViteMiltifikiiMt#MANikpliittottegtlectirair Rikitcowit #6,--:segglorif4i*:-. -31 Meetutnical pemtittbes*=hissed on the,value of the Wok Oeyr.'construction 0 Additiortfalterationfreplatistricii: pctronicd.Indicate the value(wander,to thenearest dollar)of all 1.3 Dttiolitkin 0 Other mechanical Matettals,equipment.labor.tsvesbead.and profit. Valise:S 1 ,,,*,,,.•1,-,...s...;77 -,;•• ,..,... ,,..,vo,.-•-••, '",10..V1fOrWilr "'''irittyyt-47,20frzeilsob li• T•'.',1'.0,'.0,.;•,',4.,''W '•••:•.,'s.7”."''''''...-','-•'....,°,4,W01,-....,..,- , ' .....* •'‘FA.,v1.2:241'11;ftglYitals,.: iV,144,kg-itTatlya,‘rukard*WilikW-00-tie% 0&'and 14arnily dwelling 0 Cuwansreialtntdrenrial 0 Accessory building. ror spedat infonnatioft 01.4theeklis4 .NMtWariOY 0 Master builder E--)Olen Deraindon Lgty. Ea. Total ( ' m •- Au'conditioning, 46.75 1-,04410.11*.'. /7042- ¶J\14f 4 VA1 Itittrnitilt W . .1o,0 AlttlattO 0 EMI(duarivss)ei 46.75 Gity4int4it:Tigard,OR 97224 Furnace I 00.000t-MG(dousivects) f 54.91 seat pump I 61.06 StSite/bIdgJapt.no.tli 1 Project name:Polygon at West Rivet:Ter Duct work '• i 2332 , Crs Streetftrucctions to job site: Hydroule hot water system I 23.32 Residential boiler(radiator or hydionlc) ' 23.32 1,../nit heaters,(fuel-type,not electric). I MAW,.ht.duct.suspended,etc. j 46.75 . . . P ne/vent for'any of above 23.32 Othet' , 2332$44y4nn:rely*etWeq!dyerTerree Lot pa.: p •Ornekbet*PIA:meta: 1 23.32 W''''.'t•TOMISIERVO14,110702::ak001:<:41,VMMERTT,•MMIRE Cras IfrePincetinsen1 33.39 , , flueviatt for.41ter heater or gas i 44".?. .441441iii441"i''. efiefteltbr 0/tile ' • . fin:place 23.32 f.OU itahteitlesl • 2332 Wooci/pellet atove 3339 , . ,. . 'Welodatepliiiiitiscit-. 1 23.32 ' . . .._ ChisaiiirifthirateNstt 1___J 23_32 : • . 1 23.12 F;-'5,!:f4f%111-7n.IT";Kr,•?:VI :i.';'.; ' .. . Envitiiiimenust eabaust and ventflatio*. Name 14Pq tand•Rf#4WP 4C ..,.,..,, Rengebougqther kitchen ., •enickl, 33.39 All.dr94$:' gi4904144r00 Ratich Road . • tiatiks dryexistiA t..: . 33.39 CilY/StatifZIP:Sciattisdalot AZ$S258 Sfriglezduet exhaust(bathrooms. , toBet ionapartriterits.utility rooms) t 23.32 l'ItOn :.(402)094-40.1i: Fax: i Attid/cwisoace falls 23.32 . 1I 23.32 I ' MX.L4t:ftN'Ail5,1 `, iguif,7-,,i'1,:iltfangtgraf105frs.Fi,J,:i if.;::,p,;:rA:.'•"74e Other ruts piping: )314.iiip:s0stin4Wfahkini..yon ITOnteit Inc. • SIALt5 for first tourl S4.03.for k additional . • ' C.o/Mkt ilimei kigela Grafewikl Addiess1,100.1sit.;.1tIt.ifilieed• ' Gas teat pump , VhdliSUSPenthAttilift beau' C4304,441P;:"VaDOli'veis-WA 98660 . Water heater• . Mint(360).095.-7700' Fax :(360)03-4442 .. Fitfolice *Ante ail):.AnffisitsOtialesvaltl@polygonlsenses.com liarbecue • ... . . - q"-Mt5f0AM1,44-04t14-iqt0:71:16,**VO,AAMOONF dothes dm;(gas): .. •..,. .. tithe:: . . 1!Usines0.11a1M5' stierSelf Meehnnical,,rst. . :._ . CgrViiti'tqWerr•:,-;! ‘'''''''PI'7'.4•4.;47.:7;i:„. :.,aegtiip,ilki Address:litii;.SW/10'iiivc • . -ibtOtal Ciiii,S*417-0:;Tilliked,OR 97"424 Mifflin=permit fee 'i.60) . Plan reviesv(25%ofpptnit fee) P#Ottelf50.))912-6644. 1 Rim(503)536,6615 Stale surcburp(12%.of It fee) . sv CBHc.:1(1.014 .. ' ' . TOTA2,3TRIT FEE • This permit applIctetion expires It i penult not obtained within MO days after k bas beta accepted• complete. 046'Tlied*iO/tUr°: • • ''FeufriellsOdolOgy set by Tni-Caunty Rundle ladustry gertice hoard .. - . . Print EttiMic AisgUlit Gratjewsk/. p* 7.2/16 faiiiiii4tuesse44Ec_... 've.wkapp.e.tai ta.a0v 44046177(11/621COACW061) ,-.,, RECEIVED . Electrical Permit Application FOR OFFICE USE ONLY' ' City of Tigard NO V 2016 rliNgfi 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax: 503.598C-11y OF 1 1 Related Permit u: Inspection Line: 503.639.4175 ` !I �``�° Resad y I�,See Page 2 for TIGARD yDate/B kris: Internet www.tigard-or.gov BUILDING j I - s Notified/Method �f )� �4� 1 Supplemental Information ' ' _., r- ' ';. ,n..: .. ei 1 '' `' ":--WAi-MS. `;:g: .? -xts -- - - -R'a.s- --t giti ®New construction 0 Addition/alteration/re lacement Please check all that apply � - ' ' Addition/alteration/replacement PP Y(submit 2 sets of plans w/items checked). ❑Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories. r where the available fault current 0 Marinas and boatyards. "' 4'` `-- - -0 ��' exceeds 10,000at 150 volts or - amps ❑Floating buildings. ®I-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-familyamps for all other installations. buildings. 0 Master builder Other t�:r��+w}��^:x r;: _ - -- - - 0 Fire pump. ❑Installation of 150 KVA or `3 rt;h"`-;r_r_.,_.:::�-.... .., .._..,_ � ^TTQI�� '�cn�istVl�L:_. - - - _ Emergency Sem. .�.. ��t - , " .,.�{ .,,, ._.,. __ _ _ _ - ❑ Ben Y� larger separately derived Job#: I Job site address' /ULn\A� •0.,(1 t,1 J ` 4 n n,tv�lam\„ liel ❑Addition of new motor toad of system Y V" r vUa� �.fl�1Y`",►K. 100HP or more. ❑••A,',••E,•,"1-2","1 3". City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: 'l n ,L ! Project name:Polygon at West River Ter ()Hazardous locations. 0 Supply voltage for more than Cross street/directions to jf Ob Site: ❑Service or feeder 600 amps or more. 600 volts nominal. Description '" c� I Qty. I >�rh � Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: t-Y Includes attached garage. Tax map/parcel#: 1,000 sq.R or less i 168.54 4 v �3,� /tp Ea.add'1500 sq.ft.or portion 3392 1 - " a �:):X. ,�`ftWar�,.g - ` '2, E' .w.: residential ��r= �`' ". - ':� �:= Limited energy, 75.00 2 Oy\ .01Y \/ 1J yll /+Re, (with above sq.R) Limited energy,mufti-family 75.00 2 residential(with above sq.ft) ' p--- E � a�3 W` - Q3LAF1r RSernviewcesabolerEfenederegrys installation,al❑teraSteieoP, 2/o r 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 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 1 5936 1 1 I 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 ,.Via» t3 M . r ©a Branch circuits—new,alteration,or extension,per panel ``�` A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, r 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 addi 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 cum dwelling service and/or feeder a xe®A_s ttQ. Reconnect only 67.84 2 ., .- Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 Address:6101 NE St Johns Rd panel,circuit(s)or limited-en ❑ See Page 2 2 On,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66,25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.0W hr Email:bdaniels®gweusa.com Industrial hr min} 78.18/hr Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lie.: 4496S specifically listed('i4 hr min) 90.00/hr • t'. S a .!'A: t �Suprv.Electrician signature,required ��fi ; /c Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): e.,,,____,./ .._ � a State surcharge(12%of permit fee): Authorized signature: (2.__________.---—�-- TOTAL PERMri FEE: Print name Bill Daniels this permit application expires if a permit is not obtained within 180 • Date: 4/26/2016 days after It has been accepted as Complete. * Number of inspections allowed per permit 'I:1Build-mg1PennitalELC PennitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB ritturn'bing-Perm it Application . . . . _._,. . ... Building Fixtures ., , ‘ RF(7,,ETII Fr ..._ .. . 1 (0, 0111, , ., .... _.. ... - City of Tigard .DarelBy; Panat/4°':ittS72(7/6-7,90902, 1 Q ,;, , ' 13125 Slit Hall Blvd.,Tigard,C41.97W)V i t, , „;'r, k., . .Phone:.503.7182439 Fax 503.598.1960 )11''• • Plan Review Date* Other Permit No.: T . kl.wection L.ine: 503.639.4175 GI% ., ,,,,...„.! Data Raa,t,n3y, 7isrix. 121 See Page 2 tor ' Internet www.ligard-ccgav .• ' ' '--•, !“-,,,i 1,,, NotifsediMerbod: . ,a,... „....Ba..... ,ntatInforanation „0.-,,z.1,1..74,..-;,--,-,-;w:m.acli-P. -....^:wg,1%.v.,,,:z.,.,,,-s.,,r..fgr.,ci,r,--r&--p.'-;::::!;T,,--7.4y..;,tA7NtgN*-e-TieZ,"fflr4-V-S,.. ilf-J.-IreT:':,,;... .',.1'1,5ffntlifi.-T 74'...1'.'''1',.;71•••••::;..'';F,T•••,:"4 : 'i.4:1'".-1,0:19..-%).i!...kr6;..-.0P,•W'.'':A', ..;;...',V.:,,,..0(rA,.0.4..1 '''vq.,..t ts.,T.,,,Vi-ar..7).?•„ .••.?•...t.', • P --: , •','.. - , -,-ti.,.... . m. ,- art.,,.....e•..,la a,....,.. For special htformatioli eat:checklist [23 New eonstriution 0 Demolition Description 4 Qty. i Ea, 1 Total 0 Addilion/aiteraticm/replacement 0 Other: New 1-2-family dwellings(ineludes 100 ft.for each utility connection) ''',„ ,----„(t'•••••?-",,••••1•,..,,-,7,,,,,,••,••• ,..le •,. ..a. •-.,4:,,••-•-4... .,....,..7x- ,..C."1,, .:-,,,,' -,...:,74',"5".....;,/,,,V 4 elo .sn't 0)bath 312.70 ..i'4,1t44.;',',:ri.41.-'r?„*,_r4;'x' ° ;:,t,L;1•,',.;,. !'_ ' -',•4.:--..„,6.. t.,..,..;t..:',,,,k.b., ,r,.. m4T.•;•-',..,.4, • • 17-m0Z-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 • SFR-(3)bath I 5002 . 0 Accessory building 1544dulti-family Eadr.additional bath/kitchert 25.02 i Mister.iniiiiig p Other: rue itiritikkr1._ail-8.) Page 2, - •,- „,,,,,,,,=,i--1-.7,-,:-,e• z,•-•-^-.:2••M•r"-.4'•S';',(1:1‘7•.:Zfc,'•'.1.7•Pq.,:',:xt,1,-.1.-.7-•:I',4, te nigg Siles: 1 1 A - Illit Lcuilt, Catch basin or arcadrain Job site,address:/7O t_ ‘ pim i . 18.76 . Drywc11,leach line,or trench drain k., 18.76 CiiY/Stated.JP:Tigard,OR 97224 ...... .. . , Footing drain(no.Eimer ft_:___,) Page 2 ,S(liteibldgiapL no.:(2,/... I Project name:Polygon at'West River Ter Manufactmed hem utilities 50.03 'Crosrstreegdireetiont to job site: Manholes . .. . . . 18.76• . . - .Rain drain connector 18.76 .. • ' .. 'Sanitary sewer(rto.linear it.:___) Page 2 Storm sewer(no.linear ft.:_____) Page 2 ,... . . , . •, . Water serviee(rio.linear R.:__,) Page2 . . . • . . - • , 'Subdivision:Polygon at Weat River Terrracc I Lor.rto.41 Fixture or item: Tax ritapiparea tux:, Ritckflow rireventer I 3127 -',..?.7.' ... ..'177,.,717t.;"WY:.'i*,::.;-'1.f2Z74 ^.15:. 1T5 ,:e7: 7/77:3:7%.*:%:717 `. • Backwater valve • I 12.51 .. ';,',7-•,,.. .'5.',,,i. -,.•.,:y. n`-..„'s.:,.:t.. -,,V-: j4!-..i;";-,1: ki.!•-',4:".A,'",-4,.)--`4%.'!;:'''''':4:,'•'('' ,:it7.:-''''.14"1''''',':,,:i'l-Ci'f' , thiacs mgher ;5-c2.. . tohearihe . - _._ ... .. .,...,..,..., Dispwa.chti , 1 25.02 25.02 EjeCtinsAnnhp ..,.. ,. .. , 25.02 ' ,„,,,,,-.-,-,-,1,,".4.1-_----,,.. - ..-.:,',sr.,t•--,.‘.,.,'1,1-e, •••<••,71,•'.',•:,.-,•:•-,,,,.„,.4:::.•'..*c--iif-",•i,•:7:i='4--.--..A.--Ti71-rf-';' fgparitiCal 12.51 • • • : Fixturotewer cap' 25.02. 'Neale ADVL,Latinillithilitife,LW . . ' ------ • • - • • . ,, • • • . . . - . -Pled!driiii/goor sink/hub 25.02 . .. . . , ., AddresS:7600£Oonirletree Ra itch Road . 'Garbage disposal 25.02 . .. _ . .. . .. . , . . City/Slide/ZIP;Sciottsdithli AZ 85258Hosebib 25.02 .. Phone(602)694-493) Fax ( ) lee maker .i 12.51 -•;;;•,..'C--'.:4';'-'..;!.:,:%,`..:'''•-,:,..,..,'„....:S.,:. 24 .,-4.44.-.,>_z.„747-.:1.1.,-;r.,,,,.4-.:-4,,. ,,,-„,,,,,,,T-,,,i.•.4.,;it,,.;,•-•:f;-•?••••=-,:,; ,,,,o,„.!:„.0', tateacittwegpos.•a trap 25.02 Page 2 , O BuSiatalt pm110*11.0iiiii Liffin Holm*inc. - .. . .... ..... ,Prinks . •. 1231 •. terttad:ipune:Angeh GriijeViald ...., . . . ._ . . Roof drain(commemial) . ,.. . . , 12.51. Address:Lit*Erni 1314 Street . Oatory alOMinflav25.02 • _. . eitYrStateIZIP:Veriatitittr,WA 9966 ,0 ' Solar units(potable water) 6234 .........._ ... ,.• ,. . . , ... P!!q9e. :( 40)05-1108J Fax •(360)693-4442 aTWsltOwedshower pan ..„. . ., • 12.51 • Urinal 25.02 E-mail':Affigeb:Crailewskiatiolygonhornerteoca• .1- 0 .. Wdos 25,02 •--:,:';',-9i-:i'':'-c-: :•,-,',,'4"-*:'.•:'.i':;•'.: '-i'7`-',-':';:N.'4,-T:--17,;V:•` :-",‘:,-1,'-'..?.r7,--. .; -:'*•:.e.-:-'/-1'''?,,''' - . 1 Fiala heater 3732 Btaihiitit iMMet...Afflitraift#Iiimlihig IW Waterp1Phig1DWV • . ...• . • 56 29 _. . - . Addrela):.,146 W,01i,fo4e rolnalbii River Hwy qht-r•. ,25.02 , City/State./ZIP:Trrialdale,OR 97060', . , .. • Subtotal .. . . , Minimum permit foe 272.50 PhoW(503)492-3490 Fax (503)912-6438 • . . _.. , Plan review (25'0Ofperrnit fee) C.*6 Lic-;t184601 Plumbing tic;no.:P11732 ,. . • Stale aawharge(12%of perMit fee) • AOthttriaPci,sigilalffle: , TOTAL ppimIT FEE. ...._ .. . Tilts permit appricittion,expires Navin&is got*Malted Wititi4 1130 days ortilltftaiftft!.itft!ieti pishftiftd ' _ 7-162,17-5./23.120!6 after ii bits been steeped as cranghti. . . , . *Fee rnethodtilogy set by Tri.CountY Building industry Service Board MakilistiffermitoumpPeivikAppAke woman 44o-4alovotozicommus) N f City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT 1111 II T 1 c lz o Building Permit Review — Residential N.,„-..a, s :azs.:+. .-_ s E' .u,;-.: .-.,...-..-ss.. :,tzvu,:.n .�._—„,+,.:i-��...--4.44.-.5.,,,...--- ,z;,- Building �as :.iu ,zaari::, Building Permit #: /A/S r / O®yp e Site Address: 1702- SW R(2CVt LI /2.01t118 LE L-/V Project Name: Poij9o0 cif t!J - gtv�t I a, (. Lot #: fr (New welling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (VPJ%AJ rcow ftome Or Verify site address/suite#exists and active in permit system. River 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 ,ocation of wells/septic systems (Applicant information(name and phone number) ,,Fxisting trees to be retained with drip line,and tree //Applicant 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 T Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was� notified ❑ No Applied For: ❑ Yes ❑ No,stop intake /`J Land Use Case#: P V,1Zi 0 IS`—0()001 SU a 20 I "' Ow() fo VC Zoning: k.-2 s ORequired Setbacks: Front j'2. Rear 0 Side 0 Street Side ' Garage 3--4' Landscape Requirement: 'O % Lot Coverage Maximum: ABuilding Height: Maximum Height IV A Actual Height 3D Visual Clearance iir Easements 7Sensitive Lands: CIYes 0 No Type 4 Urban Forestry Plan ylConditions "Met"prior to issuance of building permit Notes: 0 ndi il 0 en ti: be h et Pry'c 1 SS(/C- rick 0C- v decd, refrh1+. Approved By Planning: MO itli .-e-L- 61)o ff;(,, , Date: /0/19 J f 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 N. Building Permit Submittal Original Submittal Date: /6/// Site Plans: # Building Plans: # 3 Building Permit#: [9"-Enter building permit#above. Workflow Routing: CZYPlanning Engineering 'ermit Coordinator I wilding Workflow Sign-off: 1 "--Sign-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: AO By Permit Technician: lis�r� a-716--- Date: rfw4/,/6 Engineering Review e Slope at building pad: /ft, ❑ Conditions"Met"prior to issuance of building permit f Easements (encroachments)per engineering conditions of approval and plat //1 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved .y ngineering: Date: Notes: �� /',. j / - .> Ar i 'tor al . ''-hd'141r Approved by Engineering: 42 Date: Zp 3,0*—4O 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: 0 Y otes: 4 '/1Earte: /0/2,0‘' 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: yPSDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: p Yes ❑ N/A 4,K to Issue Permit Approved by Permit Coordinator: / / Date: /v/ 71%6. I:\Building\Forms\BldgPermitRvw_RES 0912 16.docx N City of Tigard • " COMMUNITY DEVELOPMENT DEPARTMENT 11114 T I GA RD River Terrace Building Permit Review Addendum Building Permit �, g #: 572-/ 00 V C,. Site Address: Ii 0 4 i S (ZU C,14-4 Rci m t L G L N' Project Name: PO I /v/0 t) C. mit- 104 v‘ef Terri U 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. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a f ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6f.wide Gabled dormer /p—f j 1:1 CI �j ❑ 2. Eyes on the street: a minimum of 1 %of each street facing facade must include windows or entrance doors. Percentage Shown: i!a` 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: ''25 sq.ft. min. Al ,LTJ 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 he following elements on all street-facing facades: IleCovered 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 ARoof eave min. 12 inch projection 'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide AAccent 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. I JA 0'1 (elik:wI Setbacks: / No closer to front or side lot line,than longest street-facing wall. CI Yes A No. If No;Check one): A4 ®n May extend up to 5 ft.if there is a covered front porch and garage does not ext: d .eyond the front porch. May extend up to 5 ft.where the garage is part of a two-story building and there ' 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 facade 1 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 0 v L 00i o Date: l 0/ 10 / I I:\Building\Forms\BIdSPeTm1IRVW_RES_RT_062216.docx Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY RECEIVED Received -00t/ Ar of Tigard Date/By. 3/i(p/i7 0 t Permit/Nag-aka-6, 00 /� 13125 SW Hall Blvd.,Tigard,OR 9722��AA nn C 7N�, 2 Phone: 503.718.2439 Fax: 503.598.1 1 1R 1 5 201/ Plan Review s� p� �-` Other Permit No.: DateBy: 3-.y�- l ':I ' T 1 G A R D Inspection Line: 503 639 4175 Date Read B luras H See Page 2 for Internet: www.tigard-or.gov GI i Y OF l►CARD Notified/Method:,_,s �� Supplemental Information DIVISION e._ SCH h1) 1 ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ATlY �' ',CONSTRII __ ; - SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ®Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(1 sq.ft.) Page 2 .CN It= rl'1 1 1 V ='ION s1i i r1 Site utilities: Job site address:17042 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.: 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.:6 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • 's Backwater valve 12.51 DESCRIPTION SON CIF C!:tf w.,.. Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00428 Drinking fountain 25.02 Ejectors/sump 25.02 0-PROPERTY OWNER PI ANT 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/Z1P: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 A1'PtCANT 'M'' 1 ❑ CONTACT '1g �t Interceptor/grease trap 25.02 • e x., , 6 LLC Medical gas(value:$ ) Page 2 Business name:Alliance Plumbing, 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 Water closet 25.02 1�RACTOR ,w... w 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(12%of permit fee) Authorized signature: lr ��/___...., TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Gavin Thornes Date:3/15/2017 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: St I� E!3 � r Pee{r } T�, p: .K.iu..,: ;': ... "'+ 5 ':w. ".:^ *• '. Sf.rti'.F «... :: �� MM €t'.. .. ..t„ 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 Otherpectit"i'ns t r Feet Qty, lee ; each additional$100.00 or fraction thereof,to 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 or Fixture Type for Ideplae�f et, Revs or tt l l ''�¢ a Ion Work Performed: Capped Added' Ret4cate Plan review is required for any of the following. Please check all that apply. Baptistry/Font pp y Bath Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ 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 ❑ 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 �o tith �: er g " 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 *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pqmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17042 SW ROCKY RAMBLE LN, SHERWOOD, September 11 , 2017 at OR, 97140 11 :05:31 AM Record Type: Record ID: Residential - Master Permit MST2016-00428 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Impact protection bollard for exterior gas line not filled with concrete. Fig. 1307.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17042 SW ROCKY RAMBLE LN, SHERWOOD, September 18, 2017 at OR, 97140 9:54:09 AM Record Type: Record ID: Residential - Master Permit MST2016-00428 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17042 SW ROCKY RAMBLE LN, SHERWOOD, September 18, 2017 at OR, 97140 10:02:57 AM Record Type: Record ID: Residential - Master Permit MST2016-00428 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 verified C of 0 left on counter. Violation Summary: Inspector Contractor