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Permit (176) liki ,� CITY OF TIGARD MASTER PERMIT R.' . COMMUNITY DEVELOPMENT Permit#: MST2016-00430 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016 Parcel: 2S106DC00800 Jurisdiction: Tigard Site address: 17026 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 8 Project: Polygon at West River Terrace, Lot 8 Project Description: New SFA. Building/Unit 6.4 BUILDING Floor Areas Required Setbacks Required 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 DwellingUnits: 1 Yes Third: 562 sf Right: 0 Detectors: 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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 4104.R• -101-0090. 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: � / r Permittee Signature: �/� /C-5z-r-ze� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L'o �Sla" . `, : � n.�;t.. f aFOR OFFICE I SE O\LI City of Tigardy Received 2C i'y,t/ Permit No/ /6�o 9,3o " 13125 SW Hall Blvd.,Tigard,OR 97223 o r T A 1 2016 plan Review B Phone: 503.718.2439 Fax: 503.598.1960 Date/BY: J 0 _�1 1--)C T Other P�11 X42.20/ �-cca t.t c;,\R n Inspection Line: 503.639.4175 a"" s 1 ..,.:2!„f t) Date Ready/By: /A Jens: HSee Page2 farInternet: www.tigard-or.gov a Notified/Methodly,.,7, t ArAr Supplemental Information 1 ' ie ttv#; ,L 'a'il0rh L -/L.+ / ®New construction 0 Demolition Permit fees*are based on the value of the work performed. El Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the t �7�4i: work indicated on this application. �� l�y"I ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation:)Ca/X7 1 $ rt El Number building ®Multi-family Accessory Number of bedrooms: I O Master builder 0 Other. Number of bathrooms: 4t t ,",-`t t ;. Total number of floors: 7 Job site address: 11 U SW Rocky Ramble Lane New dwelling area: 1221 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: (4S1 A square feet S Suite/bldg./apt.no.: (J,L I Project name:Polygon at West River Ter Covered porch area:.t, , square feet A to Cross street/directions to job site: Deck area: '1Z square feet q ) Oteer structure area: 7 square feet '--±i-'rt Fay h` Subdivision:Polygon at West River Terrace I Lot no.: (3 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 " m t �.., work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 5 ' t : ,. " " 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 � �,...w, .. ..��.....',.., 4 ..m �� t1E3 ,�-� Polygon WLH,LLC :-_ ... � ",. , . Business name: Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street ) City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 I Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com ., � � ,; : Commercial and residential prescriptive installation of t roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,-along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $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: A 4 ,dF/, 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 2 ( 7 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) ... Mechanical PermitApplica ot,. GHVFD I 01.?. OF I]( 1 I sf. . 'city of Tigard Roodved CabaSy: t rennis.No.:/75•Ve/b,....00 iy3 0, IN-:7 :13125 SW Ball Blvd.,Tigard,OR 973.23 \1nv 1 8 •7016 Plan Review I • 6. .,Phone:*$83:718,2439 Fax 503.598.1960 h- - 1aet8y: Other Permit': 1 . . _ . . Line:-503.639.4175 ,..,... , ,.,‘s ,..,_ .,.., ‘t...,r,., Dia,Rndy.13y,. W being*2 tor ' Worn=wwwaigard-or.gov LA-I Y. (....)!'" ?k.7.i-,,ri i., NoottumeifrukSupprianstal Information BIJILI.:ING 171\liSrA'4 _ gr,%.''4'ii--:"ITARNS:01131:.:IWO,WAI*14-Iikilittattegagnini 12110140*-•!:::1 is-',0 SPOPPX1404###~144', Meebardeol permts fees*art:based on the,value of the Work 14007.'constrUction 0 Additiontallergionimplacianciti': perforMed.Indicate the value(rounded to thenearest dollar)otali o'Di:MOIltiiiil 0 Other mithankal mluerlals.equiPfnent,labor.4verheed,and profit n01.4 i.';',ift.t.w.IBI -§WOrii).•'-f..s ,)-1,17.tt4,:'t ',4:=p;sgo,fiagwikiPgi --4, ---,-- ,-- ---valii-4-s-----1---- - ,:t414m,Inglei****Aftqa 0 I.,-inld 241unily dwelling 0 CommercialrindustriaI 0 Atoessori building 1*Np:dal ifonmiagon checklist g miiitiaiiiily 0 IvIttstor builder CI Q!her Desairdon I Oty.. 1 Ea. Total 4635 j°***; /70111 Noti IYt8It (_kS Furnace 100,000 BTU(duetakeats) .I 46.75 Ely/Site/ZIP:lizard,OR 97224 Ponutee.100.0001-Hai(dactsiverits) f 54.91 Eleat pump 61.06 Suite/bldg./alit.no4p4 I Project name:Polygon at West River Ter Dust work ' 1 23.32 Crass itseat/directions to job site: Hydeonic hot water system I 23.32 Residential boiler(radiator or . . hYdronic) 23.32 Unit kcatets(fuel-type,not electric), l - • in-watt.in-duct„.suspended,etc. • 1 46,75 flue/vent for:, of Above J 23.32 • , ScEviialOm Poly*at.West River Terrrace I 44 31(54 •Othertinel*indium= 23.32 T*i".60iirc#•'. no 23.32 Water lursact. 23.32 1 '.'.:Prv.121101,171ARtIAROit400AINPA4AltiOnttiVOMMtall G2"1"lacerntsevt 33.39 I ' .. .. Moe:vs:01ot/*eq.heater or gas 0Sger.i4eOki4lesi. ' ' ••• -•• CDMYD-OhY-VAfthor . . fin:place __. 2332 tot ilibualfgas) • 23.32 WoodipelketUve 1 3339 • • • . • .... -.Wired finidicifisisett-, 1 23.32 Chisnileillinertflueivent i 23.32 , 1 23.32 .-,:;if'lli !•'.";f:-;''''':•l‘),4''',:',:.1:`..rge,ii• .,4-;-Agk5::::Piin.'4i,.:. i.1,01*Z5'04V.IV Walt. - . ' Environmental 0:henst and ventilatIO Nam="toqi.410.rtnidosa4Range MO/0er kiichen •., • . ......,,..,• .ement, 3339 Address WoIgettee Rana Road . _ • tiOthes Sloti..tchatist V 3335 . City/ShitalliP:Sr:Resale,AZ 85258 SingleAstet exhaust(bathrooms, toilet:cOmparenesits.utilityrooms) 45 2312 1 • (602) 944031 Fat:( j. Attir.../eiawistutre fans 2332 A7,...P4.".l.:.;;'-:-9,tgriliNi-r.r.::-.4'0 i..;11'14,'f,„44t.--', ” .,- 4.'i••;.1,,*•ith,,t,-.11t) .r.;i;'!•47:' •:','-zr6,-i:._,e..?::'`t.". Other: i 2332 .T.---*---.!.-...--,,•---,,,•-• :A%,-.,' -1., - -4,'-7k,4'.!..'.-,e."'=, ••'•L',- . t -A-,. 4.,e,,•:.',.'eu-•-,7,T End ploam: 4i0i10spitt*WOO*A.yola}Teruel,Ism. . • 1.4.15 for list tour;$4.03 tor additional Conlia.iiititeAilebt Girajc%olki Ainina,4.to.. ,. . Aildfos-*109'imit.13t1t*toot• oas bat mop - . Virilesuspatiboltunitliciter Cii)400,,rgript4ufi4voiiik'A 98660 Water heater . riiot 060)095-7700- I Fax::(360)6934442 .. Fir.t0100e Riate trnin: ,140. .ratieri)4@,91?1,2004Prfle*.cont • ' 13ntbrcut ,-.0-74Mig -t:11.Iql.',.:','N. .4'6- .5!:\i7Pric ,W11.4.0,47g2-.5.,.APZ,',110.tq,,,, ,, Clothes&Jo(61(0' {' •13asineio.tditir;f'864erarf MetthanicaL Inctjthet: . . 'ArgaiSfir..tr..ea.,.;:r,Sq'of: tl Or-tg I v.77, :11'-'-'*`.' 4',"kif;:g,.i:ki...,t., :,!iji; ... . .M.ArWS*416/.8.r9.4t4q • • . ' " city,linlor .tWird,OR 97224 Mlninturo ptxtnit fee: ., Plan review(2"of.+tit fee) Phone':-(50.1)092-4664, Fam(503)5364615 ••- State surcharge(12%ofp+nit foe) ... ar CCB lin.t,10414 / , TOTAL PERWr PEE Thispertais application expires Ifis portals not obtained widths 180 days after ii baa been accepted complete.. .?).401*.ited 0i04111#: * Fee.talabedolegy ses by TriCautay BAB Indanry&smite Board . • ._ • Print nimix 40*driticrsici Date:&22n6 ,. ... f tivisti‘alisnamitacyteaApp_esit ma. 4.2,4617t0 1/02/COMMER) .• R,ECEIVEP Electrical Permit Application FOR OFFICE USE ONLY NOV 1 0 2016 City of Tigard Received rffilaiiiMIOIEFA Date/B : , 13125 SW Hall Blvd.,Tigard,OR 977A Tv 0i,Tl(:A R0 Plan Review 11111 Phone: 503.718.2439 Fax: 503.598‘9101 x •-," ••"' Related Permit it: Inspection Line: 503.639.4175 'Ready Date/By: iurir. El See Page 2 for TIGARD BUILPING D IviSIOr Internet www.tigard-orgov - ' k Notified/Method: Supplemental Information -2-"*"7:4W3414 ,41-11- :‘, ;----7777.ATAW:i."111 -0 --14-'1X4M-,•11-t 4.-V-g-titait,WalgIA,USTWLISM-MMEtiti 10 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked): El Scrvice or feeder 400 amps or more 0 Building over three staries. 0 Demolition D Other: where the available fault current 0 Marinas and boatyards. ir77Fi.itili2s... .-7;s: r-f - exceeds 10,000 amps at 150 volts or IZIFloating buildings. El 1-and 2-family dwelling 0 CommercialThichistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family -- 0 Master builder 0 Other 0 Fire pump. 0 Installation of 150 KVA or MaRt4t17021010117-4W-016.WIIIKAPIPSOMOVMS,VtgatAM 0 Emergency eYetemlarger separately derived 0 Addition of new motor load of system. Job#: I Job site address/7114,1 \j- IOCALA.,\ 12.04y0t 1.0., tooHP or more. City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. 0Health-eare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: LP14 I Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 wits mminal• Cross street/directions to job site: --ftwAL-irm-tp-,altif-- - Description I Qty. I Each I Total 1 • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#:2) Includes attached garage. 1.000 sq.ft.or less 1 168.54 4 Tax map/parcel#: Ea.add'1500 sq.fL or portion i 33.92 1 ar720.m-matitvammemormtmeg Limited energy,residential75.00 2 Dy\taCiThr Q,N,INCT, Li(with above sq.ft.) mited energy,multi-family 75.00 2 residential(with above sq.ft.) I Services or feeders installation,alteration,and/or relocation Name:ADPL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: .. relocation Owner installation:This installation is being made on property that I own which is not 200 snips 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 ,a,.,..vmmisworeag-tr-vmas.f.moRtrowetlwoollec, Branch circuits-c-fittceul alteration,or extension,per panel Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without service or theater fee,first Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' I Fax::(360)693-4442 Fe-h manufactured or modular . 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewski®polygonhomes.com Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd panel,alteration,or mdension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver WA 98661 Additional inspection(1 hr min) 6625/lir Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) • 78.18/lir Email:bdaniels®gweusa.com Inspections for which no fee is i 90.00/lir CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lic.: 4496S specifically listed(14 hr min) * ' IF.7-1111; :::... Suprv.Electrician signature,required: '4f.I_ . 4.11 • . . , .i,. Subtotal: ' .:: :., Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): —_ --.- ._ ' TOTAL PERMIT FEE:Authorized signature: --------- 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. 1 * Number of inspectioas allowed per permit. '::..ij'; ' ":',:..1:113ullilitig‘Permitikstx_PermitApp ELR ERE.doc Rev 06/17/2015 440-4615701/0S/COM/WEB 1 1 Iiii. :.. . .....—__. PlumbingPermit Application "' C i - t, ; SG" Building Fixtures l,i{�i� 1 ?.016 City of Tigard Permit No.:/'-7S7.�?77/&-GOY0 13125 SvV Hall Blvd.,Tigard,t?1i 97223 ' r +Rcvicw .PhOttm_:503.7.1.8.2439 Fax: 503.598 .- (.� ., ` ` other PeimtI No,: Inspection Line: 503.639.4175 k,. /-1-.)!1"0 pate Rei,dytgy, rte. B See Pate 2 for Intettror www.tigsrd-or.gov Notified/Method:`@ . Savpte lWentzville*.,,,,V iay.. as E. -e344ir; rxTr .1 •_ w -w ',11.4')-',4t,•"`'-`Ea"u . .;�'' w .'fMf , sw ` :ir1 ( My :-.".• ••,,••.wY - ` ,^ lx •. ts, b iiFors rJ rmatrduse.ch >',New c?ams4Yttxion ❑Demolition Description 1 Qty. '1 Ea. 1 Total E]Addition/alteration/replacement ❑Other' Nen 1-2-family 3vvelliags(includes 100 It.for each utility conriectionl iii'. 1. �. �, ) 312.70 '�• u ,: y ','''',2':'7 ' 'Via} s,e ,f)...'....e,' i7-r. .tit;5 .,a' .•� _.�,, ,t SFR(1 bath R, .; ca, S -x-,�'I4_.,N°" ,v .. SFR(2), h 437.78 ' I-and.2: dwelling ❑Commercial/industrial -fatnilY ' SFR(3)b , 1 500.32 .0 Amory huild'mg Multi-family F,aiis additional bath/kitchen25.02 Q M Tteitder ❑ 4, Foe**inkier(, sq.ft.) , Page 2. t,,'.,(.c'' •$I;...,l,,v., r Ye 'a•r�1•i Al ^' E y,f� -�S"ri k fes"4. di�,t'4ft J ,Ili +�s,S'_i,;Y She oolities. Catch basin or area drain18.76 Drywall,leach line,or trench drain 18.76 •City/State/ZIP:Tigard,OR 224 Footing drain(no.linear ft:,__,__) Page 2 St9 tetttldg/apt no-:V,L Project name:Polygon at'est River Ter Manufactured home utilities 50.03 'Cross'sfreet/directions to job site Iviard►oles 36 • Rain drain connector 18.76 r Sanitary sewer(no.linear ft.:,._ J Page 2 6 _ - Storm sewer(no.linear ft.:_,___) Page 2 .. Water service(tax in ft.:,,,,,,-_) Page 2 'Subdivision:,Polygon at West River Ten race Lot no.:' V Fixture or item: t 31.27 p Tax trtap/ arc6 no..:, Backflow u vcnt ., l r " �. �, h• t a '•tti .'t7'-•7;k. 1"'t,:rte?'' „tl + %itiar . , "c,�"', ....dC1v•8ie1' ah-C I12,51 25.01 Vnr- / /y aAmf, .. 25.02 s Dririk . ii fountain 25.02 _. 25.02 , x f * r on tank. 12.51s. ) Fortgrc/sewer ca 25.02 Waffle:Aim.. : ilaldii+ ;LLC p. 'ROW!diain/Root'sink/hub 25.02 Address:7600 E`Dou 4ctrer Ranch Road 'Garbage disposal 25.02 City/State/ZIP:Scattsdaikr AZ 85258 Hose bib 25.02 Phone: 6e2j0r94-4}1311 Fax ( ) IcC matter 12.51 trap 25.02 4 r r V'tri ,y�"i .µ„ ,r,•,:,,.--• ti.,-=',F.'':-$''',..7-•.",,,::-.7,--•-•.-.-... . } w1 Int.. -•orifi••. , siiicai gee(value S: ) Pegy 2= . 13tt3etlYkS Mine)WIN'gitiu 1,3!Otd Ho>ite Inc. ... ...... 12.51 • Cthiltilct;itatltat a4ng I C!flu!!i 1 • Roofeiraiti(cotamerciall 12.51• A.dt11 :�i89 Esau 1*Sti7eet . Sittlt/basinftdvatory, 2'5.02 C'tt are ft/P:VantotiVer,WA*to , Solar units(potable Water) 62.54 • pilula:;(i60)695-7700' Fax::(36O)03-4442 Tu Jshowe shower pan 12.51 • 25.02 E-mail A tgela rajt:w> polygonh4:k►esncam Urinal _. 2502 t s .w.c L 'd 7 -j' :F ai Wat't��SIOSCt , .. ,,� , :.,,,;.7,!, ,..11,44` J ; nom ,`_ _ ts., • ., • water 37.52 Btfs it>: •AW*ffce'Plumb ng LLC 'Wafer0pillg7DWV 56.29 Address:A 4 W li !otic Cotumbia.Rlvet Hwy Ot1*r.• 25.02 _ City/Ste'teZIP:TnitR410.„OR 71/60; . .. Subtotal Fax (503)9126438 Minrtnu n prink fee: 572.50 Plioite(S03}492-?tri9t3 . .. . : . „ Plan review (25%of permit fee) C Ljts»s�S+ OI Plumbing I.ia:no.:198732` State surcharge(i,24 of pet itit foe) Anthorized signature: tOTAL PERMIT,FEE Dale:5/23,441!f,- T perntR appSertdoa expire/trsptrmit is net ob'ttdxed Makin 180 days Prittt ria roe:Rom Dlkbtmf4u , alter h tris been accepted ss complete •Fee maiwdology:set by Tri-County Building tndustry Service Board INtuillatoamatedualtatUmnuitapp.doe)oseitoo 44O.46'167ItO82 OM)WEtt) City of Tigard e COMMUNITY DEVELOPMENT DEPARTMENT 1111 T 1 cA a o Building Permit Review — Residential ot,,,,t,,, A,2,,,,,,,♦e�q'i,,,,,A4 &,,,,,, .'.t,.,,,.",,,,..,,,a. .4.. w.74./ *3: ,-4,- &riK:1 51:: .`4nRx,,,, ..m?,:&. `:s..11.1,.tsktt+tiiii .W.,.:# .,,::r. Building Permit #: riS; /6 00 y 6 Site Address: 1.302(4 S W R Q C k- 1 ci m t3 LE L IV Project Name: �tJi�P011,00 Cl t VYeS i- (Lcvv...t I�r-rLg.— Lot #: (New 1welling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (Ve./V'J rC,owM /1 Verify site address/suite#exists and active in permit system. VJ 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 1,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 /`J Land Use Case#: PV 2.O IS -O'0®0' SV g2OiS - 0000 Z. Zoning: 2 S Required Setbacks: Front 11 Rear 0 Side 0 Street Side 3 Garage 3-4' Landscape Requirement: ' O cyo XILot Coverage Maximum: (� % ee / ABuilding Height: Maximum Height N//4 Actual Height 30 VVisual Clearance Easements ,7{ Sensitive Lands: CI Yes Cl No Type y i Urban Forestry Plan ilConditions "Met"prior to issuance of building permit Notes: 0(1dj'ha 0J tO b ell- P .M"- tSDI CIrig 0C- b ii 1(c iV, Fat 111I" '. / Approved By Planning: 0 6� /)o cfc,�. Date: /0/ 1 9 i 1 & Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPermitRvw_RES_091216.docx Building Permit Submittal Original Submittal Date: /O/// /A. Site Plans: # P Building Plans: # j Building Permit#: D---Enter building permit#above. II Workflow Routing: Planning Engineering Q15ermit Coordinator g uilding Workflow Sign-off: C'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: By Permit Technician: C---- Date: /'yam//4 Engineering Review /Slope at building pad: /j, ❑ Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes ❑ No Ci NOT Approve• by ngineering• Date: Notes: „....- /,.s,.- ' i�� ,'_,ir Ilk __� / A.'_<<!_' !a Approved by Engineering: i& 0 Date: Jae);,.7:57./4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit pproved,NOT Released: 04 / Date: /0 ZS�(O 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: IlgDC Fees Entered: Wash Co Trans Dev Tax: 1°Yes ❑ N/A Tigard Trans SDC: Gi Yes Cl N/A Parks SDC: rYes ❑ N/A lS K to Issue Permit Approved by Permit Coordinator: / / Date: g Y1/4" I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard IN Il COMMUNITY DEVELOPMENT DEPARTMENT 2 T 1 c A RD River Terrace Building Permit Review Addendum Building Permit #: j 076 f 0e94/ Site Address: 0020 20 S w ito Cit4 RCi m e L G UV Project Name: ?o I j o/) C1-1- welt-t- v\ef Terr-.t cc_ Lot #: g (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 �—j ft. deep min. 2ft., 5 ft.wide mm. 2 ft., 6fr.wide Gabled dormer / ❑ ❑ J� ❑ 2. Eyes on the street: a minimum of 1 %of each street facing facade must include windows or entrance doors. Percentage Shown: t L1 t 5 3. Entrances:At least one entrance must meet both of the following standards: /.1 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. 7One street facing entry /12 ft. max.roof above floor of porch 7 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: jZi Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep 11 Wall offset min. 16 inches 0 Dormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. 0 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 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35% or less of street facade 5. Garages and Carports:May face th; front or side lot line on a corner lot. V^r jA v F) (viH Setbacks: ' / No closer to front or side lot line, than long: t stree acing wall. 0 Yes ZNo. If No (Check one): Ci 1'101 May extend up to 5 ft.if there is a covered o porch and garage does not extend beyond the front porch. May extend up to 5 ft.where the garage is p. of a two-story building and there is a window at the second story above the garage that faces the street with a P.n. ar.. of 12 sq.ft. Width: (Check one) 0 12-foot-wide garage door 0 40%max. of street facade jZ50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 0 `ni 1-44 04 o > Date: l o/ l 13 / I L 1:\Building\Forros\BldgPermitRvw_RESRT 062216.docx Plumbing Permit ApplicatioiECEIVED Site Utilities FOR OFFICE USE ONLY Cl of Tigard MAR 15 2017 Received P-- Date/By: `��/v z./36 City ll DateBy: ,�/-//2 ' , Permit No.A ��4't/I ,•/6z. 13125 SW Hall Blvd.,Tigard,OR 97223 !v` r� (/v Plan Review /^ : S Phone: 503.718.2439 Fax: 503.598 19Abn'OF TIGARD Date/By: 3.-Dr)- Ill 4G V/ Other Permit No.: T 1 G A RD Inspection Line 503 639.4175 BUILDING DIVISION Date Ready/By: + _r luny ® See Page 2 for Internet www.tigard-or.gov Notified/Method: 3 4z�1/7 -' Supplemental Information "TYPE OF CO New construction ❑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) .'TEG 1 ''� ' '?NS '),CTI°�i ' ': SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(1,221 sq.ft. Page 2 J6B I ,:INFORI 1ON ) LOC+iTIO1I'' - Site utilities: Job site address:17026 SW Rocky Ramble Lane Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 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.:8 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ti DE91 O1 tif# WOT Backwater valve 12.51 ,,,,, . ' Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00430 Drinking fountain 25.02 Ejectors/sump 25.02 !'1'"'PROPERTY � NER ©•TENANT ...Y 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 • ii4 APP ANTI •:.;.t''''',-,-'l C F CPERSQN Interceptor/grease trap25.02 z..,: • 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 » - Water closet 25.02 -,. .ems, - 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: �L--3 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.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: Siete tT>****".. Fee a) 1 ujiic ootage: r a Footing drain-1"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 i. Qty4 Fee(a each additional$100.00 or fraction thereof,to Ilip,ctio � ,,,` 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*. Quauht by FixtttreType Q Fixture Type for 'Replace �+ 1�for ' '.Instill Wier Pei�f rmed: Capped Added >t r ,, Plan review is required for any of the following. Please check all that apply. Baptistry/Font Bath Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall - engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ 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" t 4„ t}mc,,,.- or Riser F1 ram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an 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 Pdmmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17026 SW ROCKY RAMBLE LN, SHERWOOD, July 18, 2017 at 10:23:10 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00430 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 High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate verified C of 0 left on counter. Violation Summary: Inspector Contractor