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Permit (178) N, CITY OF TIGARD MASTER PERMIT '° I :.- COMMUNITY DEVELOPMENT Permit#: MST2016-00431 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016 Parcel: 2S106DC00900 Jurisdiction: Tigard Site address: 17018 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 9 Project: Polygon at West River Terrace, Lot 9 Project Description: New SFA. Building/Unit 6.5 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 DwellingUnits: 1 Detectors: Yes Third: 633 sf Right: 0 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 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: $23,159.72 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 throu AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. j Issued By: ` d ' 61-A/ . 7' Permittee Signature: "' e''9- L� "/ /f' 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 0 / 7 Wit#n,,: o, 4 ;, 1, 1 p FOR OFFICE ISE ON Ll City of Tigard Received TA" Permit N 111 li 13125 SW Hall Blvd.,Tigard,OR 97223 + �} Plan R r• , /�ky /&.-009g ■ Phone: 503.718.2439 Fax: 503.598.1960U1-I ' A t u'e Plan Review 0.Y i ) - i r_ 7 Other PermiSji,e 4/ ..I DateBy: J t� SS? i 1 c r,,\J;D Inspection Line: 503.639.4175 , Date Ready/By: a.. Juris: VI See Pae 2 for Internet: www.tigard-or.gov j 5 ,I p ; i ,-./4 Notified/Metbod:/1 b .t//6i Supplemental Information $; 9 I t r a . t tt i t ®New construction t � ❑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 a r � � , n0. 4 , `'���,r,,.: >7work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation:j g EJd 7 s i $ /e22....,2, ,AP ❑Accessory building ®Multi-family Number of bedrooms: VZ 0 Master builder 0 Other: Number of bathrooms: 2-.. .....A ,l _ .., t t5-f, T ; a. ., r Total number of floors: gQ ) 9 A 7 Job site address:11 0 le SW Rocky Ramble Lane New dwelling area: /3145/ square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 51....441/141,,,s, square feet / 33 Suite/bldg./apt.no.: (j), . I Project name:Polygon at West River Ter c --Covered porch area: square feet ‘t) 6 Cross street/directions to job site: Deck area: +�J 9 9 Asquare feet i o j ' Ol er • „r area: F, " square feet Subdivision:Polygon at West River Terrace I Lot no.: 9 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�° , 1 t. � work indicated on this application. , Valuation: $ Existing building area: square feet New building area: square feet i' i.1217.eNumber 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: 4 ¢ ° '17-7- 7 = 7.17-77.17'4`�` l7,°s µ 8 Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13th Street pp )' City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:An ela.Gra'ewski of onhomes.com '',!.'-`'''''''Y''.' w ��."'" � . x * ,,, g 1 @P Yg � . 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 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: $201.60 Authorized signature: A 44 , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dat 2 r6 —1 ' Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit A plica ' -IVF0 iillaiiiiiiiniiiiiiiiiiiiM City,of Tigard Dateft .. 1'arndt•N :-HATS/C-'QOVgl; 0125 SW Hull Blvd.,'Tigard,OR 97223 V 18 2016 PiaA.t ,►, Phone,'S03?182439 Fax 5A3.59$:1960 v U toateiBy: Otho Permit: �.;.1,�, t1 i0t1' Line: 503.639.4175 ! a n, 0 ri Dare ReadyB_v: Jwis: ter Sed Page 2 for interncz ►tww liffiprQ-or gov CRY' I $i,: 1 L. NotitiedrM id Supplimental Information hill c\. IVIS/,-)N. '''Al. �^:.,.� .�,�y, ,,'t r'Yt J ;y�} '.nrT ra x SyY .• ,S•i• as.F t ,rte l '� <.'f`tid'�� wSi` lnR�.r -M "' v�' ���_.. e • "�it1` t: - ''.41 lV �G i # !;. G Z]Ajkiil{.•.. . 44f, ..r44-1' :. � ..-'v'-wt.r. ' Meehanicat permit fes*ate based on ibt value of ttte work E New construction ❑Addiuon/alterationh cplacrtncnt' perfotinetf:2nticate the value(rounded the nearest dollar)of all 04)6tioiitied 0 Other: mechanical tt ateiiais.equipmeni,'kibor, �venc�ad,and*opt ..c;� '$=a,.+i:.�?i�r�`" - 'Ie�w�xt,� 4c� °�'�.i!Q�i�• .,� .�9,'�`'i.`,.s;M,� •c'�'..+ ��V.S:e_.s�� °��� � ewe. � �„x � •�'.�.,,,?r Q i=and 2-farriily dwelling 0 C:ommercialrmdustrial ❑Accessory building Toripedatlig!armagon oftealisi. ®_Maktt=famiiy 0 Mastter.builder 0 Other. DDesc iption j_gr. 1 Ea. Total 1 . {f .erg ,,�sKu:,rye.:1.'...''''....!:r:. .'Yr 'Yr rW.va .. ry ^+r�„`yc3F C+ 'S?.� ,i�t�ti� in�.: •5C', �2.7�k�+n�, ^.40F,, 6.vRR 34 I 'G) . ° �.Y, 1.1:7,',!'6 c0 i7' .:k. ;c;> . �'; 11,1tind'tianing. J 46.75 Job siteWdtcsss / i/5 S Oj yM i v >wrtaco 100400 BTU(ducts/vents) . 1 46.75 (ityiSt te21P:Tigerd,OR 97224 ,v,9 P v"`-' Furnace.140.000+BTU tdut z!v pts) 1 54.91 Suite/144ff no.:(, Project name:Polygon at West River Ter Heat portly 51.06 pt. Duct work 1 23.32 Crass street/directions to job site: Hydreatic hot water system ,_.1 23,32 Residential boiler(radiator or hydropic) 23.32 Pnit heate43,(fud-type,not electric). . - in-wall 1nnldu t:suspended,etc. 46.7$ . finetvent'Yoram at.above % 23.32 Other Sibdivision:Yellinn at We River Terrrace Lana,: 9 23.32 . . Otberfuet appliances: Tarr map/parcei un Waterbeater. 23.32 "i', 1a't r i;... �F<5•'u y Nemec•¢ c• x _1 d$n�2 t-'^+ ^ace.x: y heater ;r" •�*� ���„• � � '�y+���'�°��>-��. '�"e u�:• „. Gas fintpiaceJitssett 33.39 -..'�: veP: ? h• d:L'h*S.N . .Y..:WY7:1.bu-F'i�.irh'3` 1444444446"44.6i" . ... .. ..- _. Flet vent for water or a,,as r„1 ^ i' fireplace 1 2332 I n all IJ�J3 f}lf l.N�� iOg'li itter:ttas) • 1. 23.32 •Vlroojpelletstove B 33,39 • .,,_• ........ .. WbdQtSrcphiceliluert... 23:32 ,,,..„4,., ..4.4..4.,4,,,'r„;, trti�FY,',;;;.,,,''-‘,5;":':;'"f,1"),"' "'.'S.. y'"1,-.s }ca -Yc;ieN;'4, ..,,t4,' w' .- . _ 2 t tia►iicvIiinerflineiveat 23.32 tJtEicr 233 r _tr. . En'A60liental t:ithatst and ventilatinil: blame A:l)'VI:Lap0...Qd tlgsi.LLC.. .. . Range kitchen -.. elf . ..-.. equtjf 33. 9 •.. 44 s:.?�INI;1 T.gai[ettoRana Road :Ciothcsrdrygr,etltaust 4 3330 . . City/StatiZIP:Scottitdale,AZ 85258 Siitgle4ductexhapst(bathrooms, tante,cotnpaanierits,utility rooms) 'y1 23.32 i'horie:.(602)694-403i. ' Fax:{ ) •Atticiciawt:.: 'fans 1 23.32 _;+ "'Y?; r ,' F ltig y,..-.:s° . > o`g.01'xf ,'I' e" i' Goer 1. 23:32 . •Fud piping, • f R.usiuess)nable:Wiillatn Lyons•}bona,Inc. • • ' 51.4.15 for Lest firer,54.03 for lath additional Coated name:Angela Grajewski k5iinsee;etc..•..-. ... Gas beat punk - A�ressi°l09'East 13th Stied ..... . Wuilisuspended/anitheater... ' CltytStatsf>k!:Verae4r!Yer,WA.9N66Q Wets heater . klOW:.(360):fi9S-7700 Fax::(360)693-4442 Fireploce Range .E-mail:r#u els ,rajs",lrski'poly. gonhornes.com .... p e r w. q "ter+. `,w.-'SNL,:1'*r a.TJr> r tf s a a�.t.xa2 .1.W Business.ti8me:-Aa dersen'?1$echsakal,Inc. .Address:U S' 1156.'Aye... ... :, ..Ir,t. i.�Ct r c'„ !f plrtptil y' 'Z"...ar'Q.:?:r,-F�i. •C'Ity/St:tterZli?c Tigard,OR 97224 lvliniinurn permit fee 90.00) !Tion {503)9924664. Fax:(503)6364615 Alan charge C15%l2of-pp�#fee) « Stale surchtn�(.125'0 of a Erie) C�lie,:!68214 .. TOTAL .'ER11lIT FEE . hs permit ap'plientlon expires iia moat:notabtained within 180 days after b bas been accepted complete. At dttdri7ed signature: • Fra'itiethiidoingy on by Tri-Cni+nty Buildbm Industry Service Board Piiiiittintin AittelaGrajewik . Dste:•8/.2.211.8 iiiaaliaoasla«mt c naasopAitta.aa .4446e7cttMOCOa9,WIn Electrical Permit Application FOR OFFICE USE ONLY - City of Tigard Received �j ^r� II Date/B : Permit ir: /?5T�o/& 'W r7 f 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/13 Related Permit U; Inspection Line: 503.639.4175 y: 0,See Page 2 for T I G i1 R D Ready Date/B )uric: Internet: www.tigard-or.gov Notified/Method: Supplemental information -,.,-fi...r ..���.. .-; .:0 '.. zf'� %rr._rs�.ti: x�.-^..:a:F�_�.� � � Va._�.t �P�l kl� �v: ��.G-,f. ®New construction 0 Addition/alteration/replacement u ti a�._. . Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition Other. 0 Service or feeder 400 amps or more 0 Building over three stories. ti where the available fault current 0 Marinas and boatyards. z'F .` CQ =` ; `ter"'' exceeds 10,E ❑Flo amps at 150 volts or sting buildings. ®1-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building lass to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family - 0 sother installations. buildings. ;.;�.;yr;;:�;�,.w.:—sc.;�rs_ _ _ _ � Fire lm installation of ...,.�;a-�-s::r.,.,-�r,.�.,,,.,,.:� I) ?bR`1V1'/lTfUN'�'' --- - 0Einer seem. .... ��..-.... Pump. 150 KVA . __. .. �_..:....___.,<:<���� ,..-.;i�=Y;t`� :-"�=r-' BancYsY separately derived Job#' Job site addrts ' ❑Addition of new motor load of system. I �'7 O i 15 F V C �h 1 1�t 41: 100HP or more. ❑..A.,<.B,> 1 2" .l 3 City/State/EP:Tigard,OR 97224 0 Six or more residential units. occupancy. El Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: ( 1 ,S.- ( Project name:Polygon at West River Ter Cl Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: ElService or feeder 600 amps or more. 600 volts nominal. X01 = `"9V?_gr `` tom; ,ta.=.za. . ...: Description I Qty. I...Lath 1 Total I . New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:01 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 1 168.54 4 4 Ea add'1500 sq.fL or portion 1 3392 1 'w 'V.- "b ',a'.� ''—M ar *-d > s --r z energy,residential .. ���� �: '4.�; Limited 75.00 2 O\/l ��C e�� /\l-' (with above sq.R) ` 1 w\JLimited energy,multi-family 75.00 2 residential(with above sq.ft.) R x 1 . Energy Renewable En Y ❑ See Page 24" ' U44. s =" Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 30I.04 2 Phone:(602)694-4031 , Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 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 Ll "� x ,. - ' r Branch circuits-new,alteration,or extension,per panel, r ` - , }'Mtz. - A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit Contact name;Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' ! Fax::(360)693-4442 Farh manufactured or modular Email Angela-Grajewsks®polygonhomes cote dwelling,service and/or feeder 67.84 2 . Reconnect only 67.84 2 ,. �� _x". - 5 fi.,X, 3 # _15,6 ;, '*'141)x"-4 a 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 extension. ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr • Phone:(253)320-1657 I Fax:( ) Investigation(I hr min) 90.00/hr 1 Email:bdaniels®gweusa.com Industrial plant(1 hr min) • 78,18/hy Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lic.: 4496S specifcalfy listed(h hr min) 90.00/hr Vii= Suprv.Electrician signature,required: r�,� )- / , A ` _ �� v MA I lry� /` l •-e : .. . 5 Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): e'--- _ State surcharge(12%of permit fee): 1 Authorized signature: - —'�" _ -- --"--' TOTAL PERMIT t r>; 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 inspections allowed per permit '-:1:1Bielding1PermitAELC PermitApp_ELR ERE-doe Rev 06/172015 440-4615T(11/O5/COMIWEB Plumbing'Permit,A.pplicatio r C - . . , BilHdlig. HiiV 1 8 2016 1 (k ( L I it t "I Ovi.v �'iXtUrCCs r,tr ' • City;of Tigard }texi l PetmitNo.:pfs j�C/(�~'LfC�f 3/ A�geee 13125 SW Hall Blvd,Tigard,OR 972't23f 1\° 1 i 1 ,10. Ptata RRevww. �,, Other Permit No.: ,Phone:.503.7J81439 FaX 503. ,1��'�+o F ` ;--)..1‘ �t?atWBy: Inspection Line: 503.639.4175 Date RFadyfBy: : is See Page 2 for Iriterliet: www tigard•or gOv Notified/Method Su carat Informatwo , b e, iG' 1 'F�c,r-L t '74.S.ct Y"* 1n 71.1 SSS? � '_'"-C'rw" ,* c,7'.f. �'4: F,• • -4•RTa „ .,i �'r1. : ... 1 yam: ayp4t.'..', C+ri9 M> `tj' Demolition For spccfal information rise•checklist i. t.:4 Newcottsh'UCttoet 0 - Descriptioni Qty• 'j Ea. j Ti>tal. . 0 Addittonlaiteratton/replacement ❑Other' New i-2-faatily dwellings(includes 100 R for each utility connection) i _ • 312.70 SFR(1)•bath '."�v.Js. ra r"h ^'?`` .,��i'`{`'„g t f?���#-o.:w..� �''<4tF��'.i'>�`m?e � u�3�•�.r?t;�‹.t.;-..,,,.�� . . .. SFR(2)bath 437.?$ i-and.2tamily dwelling Commercial/industrialSFIt_(3)bath i 50032 OAccessory building i hilts-family Faith additional bathfldiebett • 25.02 d Masher t»nlder E3 Asher • Firs spr€akler(; s9 ft•) Page 2 V ''''-::'7,:' t'^ ?} '6.; a: V e;t?s>i K'gl' `: l fix. Y 'ra. w, ., i •Site utilities; €$.76 � •-�"= • . 7 �Q����Q, Catch basin or arca draiti J41i sitC'address; �,r t T"��t`�- • Drywall,leach line,or notch drain 18.76 C)ty/State/ZIP:Tigard,OR 97224 ., Footing drain(no,linear ft,:^) Page 2 S1lite/bldg.apt.Ito.: to •7-I Project name:Polygon at West River Ter Manufactured home utilities 50.03 'Crasss€ieet/directioni to job site: Manholes 18.76 • Rain drain connector 18.76 , • • 'Sanitary sewer(not linear fl.:,_,_,) Page 2 . ... ' Storm sewer(no.linear ft.:,___ .,-). Page 2 ri � ..r�E . .. Water (o .linear t.: ) Page 2 , w � 'Subdivision:Polygon at West River Terrrace I , . ixtureor item: Tax maplpatxel no # lkfiow Otventer � 31.27 - - z ^�rrxgr,�t �?� a " ' KBack�a vale 1 12.51 . ` ; ' ° M - Y- 2�-�'rvc ;3,.4t. '�i <_ ?' d' F '"3 ' 'fl25a2 . onrc ' �� io 02 , Drinking fountan 2 . .,. :" . . ` . 2502 . r ?KNa: 7 "d � a x ;Tt ^ . -3rc toY1^. 4v't z tf "y.,w r .p • .ExpaLi onank12.51 i � taL �z , ,N: E' G�lY �= r "...`417 --S;i: , o--- ,� -"'^-^•.•. Fixturetsewer cap' 25.02 Nalie:•ADYL,Lpil Hifdmg ,l .0 Floor drain/floor sink/hub 25.02, Address:760.E Doubletree Ranch Road . .. Garbage disposal 25.02 City/State/ZIP;Scottsdale,AZ 8525$ . . Hose,bib z5:02 Phone(104694-4031 Fax ( ) Ice maker 12,51 fi etise trap • .ra ,Ywa t c&{ t n �rg 25.02 u :r,d ','`.,..ru .,.`..ta. .,...:.fie, ...c, ''.'',::msa,as...P.v.a. �c.,,a..... ^...,<;,' . . • Medical gas(value:S, ) 1'aga2 Btt§ifttSs;rarilaw VI!iNitiio Lynn Hemet,Inc. 3?riitiu `. 12 St Cont :;name:Angels Grgjewslci Roofdrain'(commerciall • Address:la4:East 1 Street ... , nYlavetay 25.02 • C,t /Stitte?ZlP Vancouver,WA 986-60 ) •�, •,.,. wed Saar tents(potable water Fax (360)6934442 ,T bFShO shower pan 12:51 •Phrntie(35t1j b9S-Tlo>3` I Urinal 25• .02_ E-mall pgehr.Grajewsiti poly homea.eoet ' ` , •�- g Water closet . 25.02 ,z : t a w« ' ''' J , Y ' s ;- , kw laereric37.52 Bttsitiess i Allis ace PlImlfing 1-1,C ''Water pipinglDWV •56.29 ,:r. 25.02 Addre'ss:146:W liist'oric Columbia River Hwy Oilier• f .,. , Subtotal City/State/ZIP:Tanuttlale,OR 9706i4: . i Fax:(503)917.-6438 Minimum permit fee S72.50 _ Pharto 4s a � Plan review (25a, ofpe niit fee) ' CCB Licit 184601 Plumtiiag tic;no.:PB73 " State surcharge(12%of*kilt fee) Autlltirtzed sigr►atitrc:^ iOTAL PERMIT FEE . Date:5/23/2016 ridspermit appneatiioa expirn If*'permit is not obtained vvittni 180 days Pr nt:60Mb:R ibetrt iiiinitileafter it_Mts been accepted es complete. •Fec.mdhodOIogy'set by Tri•County Building Industry Service Board. t:lB uIdIz Jramintrtbty.tiMatapP.d0e torotros ,4O 4616T(iOVCOM WEB) /" 1111 City of Tigard a ■ COMMUNITY DEVELOPMENT DEPARTMENT T l c R o Building Permit Review — Residential Building Permit #: rts 7", /6 ©,0 yam, Site Address: 11018 SW R.0Cki ROM 8LE L.-IV Project Name: Poi j 9 Q,7 oi t W.-e)i- tZ V`t t j-i-r-,rrt� .- Lot #: CI (New welling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (/'N J RIM M le- //1 Verify site address/suite# exists and active in permit system. VJ River Terrace Neighborhood: ❑ No /r 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 ,_,D rawn to scale(standard architect or engineer scale) floor elevations XJNorth arrow ,ZUtility 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) ,QFxisting trees to be retained with drip line,and tree ;ZfLot 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: p� 1l,, Pp CIYes ❑ No,stop intake , Land Use Case#: PV 2.oI.s 00001 b Su&2o1S .,.. 0 o +, Z.Zoning: g.--2S Required Setbacks: Front ,1 Rear 0 Side 0 Street Side ' Garage 3-•4:2 yiLandscape Requirement: VD % 0 Lot Coverage Maximum: % Building Height: Maximum Height I/i° Actual Height 0 Il Visual Clearance r" Easements 7 Sensitive Lands: ❑ Yes ❑ No Type 4 Urban Forestry Plan Conditions "Met"prior to issuance of building permit •Notes: !1 di fi o Y J t be ()lei- Pr,- 1 SS a ci r7 c,q 0c- bis 1 Cc�A, per rh l..-. Approved By Planning: d I t)0112C.4„4", Date: /0/1 9 / l & 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\B1dgPermitRvwRES o91216.docx „.. ,414 Building Permit Submittal Original Submittal Date: /6////1f Site Plans: # 3 Building Plans: # `j Building Permit#: Enter building permit#above. _ Workflow Routing: Er-Planning engineering Permit Coordinator 1 wilding 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. El/Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /1),--7/-14--tole.--- Date:/O/20k f. ,. 4p #',,,. 4„ LLZ,,,w ,:., ,.., , ms,:µ „ ._, :�w_� ..._.<- :,, En neering Review Slope at building pad: /4 '$ El Conditions"Met”prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat El 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 El No ❑ NOT Appr.' - 1 by Engineeri .: Date: Notes: i -,.... y % :: i . *,_'.i.__ ir - -- 7_ . _IS' Approved by Engineering: L1) Date: AD 5',_7/14, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit PVi.PP roved,NOT Released: Date: IGA S/it (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: DC Fees Entered: Wash Co Trans Dev Tax: ►� es El N/A Tigard Trans SDC: W Yes ❑ N/A Parks SDC: M/ es ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_091216.docx , . - , 11111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: / 5-7 ca/(, - Qp413/ Site Address: j -7o(g S v Ito 04,4 ( ci m( L ( L Ni Project Name: PDIon c, }- vve.f.`-- iZoiNef 7-y- l— Lot #: q (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 ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6fx.wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimum of 1,%of each street facing facade must include windows or entrance doors. Percentage Shown: i L�s 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: , J r25 sq.ft. min. 7 One street facing entry ,LT12 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 ofthe 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 iti Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide fr Roof eave min. 12 inch projection ORoof 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 ,21 Accent siding min. 40% of street facade Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports:May face the f,•nt or side lot : e on a corner lot. NIA 01 VYv e) "(— „(-SeSetbacks: tbacks: No closer to front or side lot line,than longes treet acing wall. ❑ Yes YI No. If No (Check one): Al G'1 May extend up to 5 ft.if there is a covered fro, porch and garage does not extend beyond the front porch. yeMay extend up to 5 ft. where the garage is p. t o . two-story building and there is a window at the second story above the garage that faces the street with a - n. area cf 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: a Q,)0f.A.A A--.- Date: d CV I 3 ® r L- I:'Building\Forms,BldgPermitRvw RES RT 062216.docx Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE USE ONLY Cl of Tigard Received [� { /y��/�/ II 44 13125 SW Hall Blvd.,Tigard,OR 97223MAR 15 2017 DateBy: 1��7 Permit NojfiJJl /��W /y Plan Review �� �, I�1L/ Phone: 503.718.2439 Fax: 503.598.1 ^�. !, A L& Other Permit No.: Inspection Line: 503.639.4175 G�Y�Y Oi� TIGARD Date/By:TIGARD Date Ready/By. Juris ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 3/>-er/i 1 Supplemental Information TYP 1 •,,`• FEE BIT'nuLE. ®New construction ❑Demolition For special information use checklist Description Qty. Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) f- ,- CATER 1 CONSTR 3 ' ., SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinklerS1,382'sq.ft.) 1380A-- - Page 2 ..104..-Silt:INFO *4D (1C4,Tz 40 417-. Site utilities: Job site address: 17018 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.:9 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Dl Old �.W .: Backwater valve 12.51 Multipurpose Fire i ... :.; Clothes washer 25.02 Sprinkler System Dishwasher 25.02 Permit#MST2016-00431 Drinking fountain 25.02 Ejectors/sump 25.02 a *oPERT g WM i 'TENANT 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 APPLIII >.< ❑;C tP TAC PERSON••-. tY 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 + '" T•R = ,,, Water closet 25.02 �, mkt: - n4 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: � ,//___, 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 Suression Systems: Site ilitl Qty e(Cad 'guar tIt ,. 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 ii "77; 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 (INeach additional$100.00 or fraction thereof,to ?cher Inspections or Fees' ` `,.lee ,,Tota[ 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 TypeT r m t± t atlatio4 add :� Fixture Type fforply t'�� Pl1, R�an review is required for any of the following. Work Performed: app+ Re Please check all that apply. Baptistry/Font Bath Tub/Shower CI 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 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" Car Wash Drain „! m s lia `alt l 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 Peimit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW ROCKY RAMBLE LN, SHERWOOD, July 18, 2017 at 10:06:27 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00431 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW ROCKY RAMBLE LN, SHERWOOD, July 21 , 2017 at 9:08:08 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00431 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 65 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW ROCKY RAMBLE LN, SHERWOOD, July 24, 2017 at 9:25:51 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00431 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 C of 0 left on counter. Violation Summary: Inspector Contractor