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Permit qCITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2016-00601 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2017 Parcel: 2S106DC00100 Jurisdiction: Tigard Site address: 17096 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 1 Project: Polygon at West River Terrace, Lot 1 Project Description: New SFA. Building/Unit 5.1 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 321 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 646 sf Garage: 326 sf Front: 12 Smoke DwellingUnits: 1 Detectors: Yes Third: 637 sf Right: 0 Total: 1604 sf Value: $199,793.26 Rear: 3.5 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 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: Ice Maker 1 Hose Bib: 1 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 1604 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,702.67 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through R 952-001-0 90. 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: e� -e---- Permittee Signature: C',v ' ,,(-%%`e7, 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. I Building Permit Application RECEIVED Z___67--- / - E - 6 L Ire s; ential FOR OFFICE 1 SE oNL1 City of Tigard 0 C T 11 2016 DateBy:,.',2A/ /Cc W'- S7 /( Permit N 13125 SW Hall Blvd.,Tigard,OR 97223 0/ _ Plan Review ���^^ r��, Phone: 503.718.2439 Fax: 503.598.1 TY OF TIGAD DateBy: I a. Other Perna1S;t iege1/, tt'SA .e I 1 G A R n Inspection Line: 503.639.4175 Date Ready/By: /// Juris: See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Methodf 4/ Supplemental Information fDvdia DIVISION lUll� ,;,,,,,,,4,4%,„,,,,P ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the t t -'N'. _ t work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: � $ i ❑Accessory building ®Multi-family Number of bedr ms: 2 Fig 9 7 93 , o Master builder 0 Other: Number of bathrooms: "2 s = ° ".7a t t Total number of floors: J J a O 4,— 1 1�'0 Job site address: SW Rocky Ramble Lane New dwelling area' square feet 1 City/State/ZIP:Tigard,OR 97224 Garage/carport area y 2 hsquare feet 6 37 Suite/bldg./apt.no.:S 4 I Project name:Polygon at West River Ter Covered porch area: j 81. square feet 646 Cross street/directions to job site: Deck area: ci(/' square feeta • Other area: qc square feet 1 Subdivision:Polygon at West River Terrace I Lot no.: l Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the k _"1 9:. .s. ' work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet t� f i 3 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: # r Iri''Tr 1 [ Business name:Polygon WLH,LLC Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com ' I a t `i t , Commercial and residential prescriptive installation of r " '- '^" 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: 54.,D/t111/101(--A 4., 1 il,1/�'1�/1K� Y1 �' This permit application expires if a permit is not obtained �( ' / } ���KKI.//� within 180 days after it has been accepted as complete. Print name:Angela Grajewski tttJ Dat 2 (6 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) A r ,) Mechanical Permit AppIlea v .city of Tigard .:13125 SrW It&Blvd..Tigard,OR 97V.3 N 0 V 1 8 2016 M Maar Pbmiteview : - Plione:-931112439 Far, 503.59PO6y 04,7, TI tr,:-.4Ap r''). DatcW Iti.*tionLiar.: 503.639.4175 .. , •„;:-.., ,-,1 :"' ,..:; ,...„." rtuteltuady/Sr. Internet www.tigiud-orgoy '...-Il.„i•'ILL!!..'•% :;.7, ';.,;F;';.;;Z‘.... ;..j.;•:,1 NonTwpmegio,h NrmIt-t41*-Y67,5 2' 67/e., '1)196 Of Other Pemait: I ha* IEt S4 Pew 2 for Supplemental information '4VT.,:liataUllgratalg7:10441, *Ati*:Illatealgiratirlint *30031114*.t.44.iiittl*TiO.#5`:-.../...15.7..t..'1. IS .,_ 1 141Mallanieni permit Sam*=bisect an 'rake°taw ivpit [8:114cw•construction 0 Additiontaberation/ropleentient. perfOrtitaL indicate the value(p:Wed the neanst dollar)of all ObittolitiOn 0 Otherlabofvcifead.andpwa vsfur s „ ,. ..„.,1 ,,, !„, ...,.„4.!,1,,,, ..s:.:4:1„...w 0 l°-and Ifittilly dwelling 0 CommendaYindustial 0 Meessory building For speriat Igionniztion • chatlisz CI.Milid-rtuily 0 Mister build& 1:1 Plher• Dmenpd—On I 0IY- I Ea- I Tote . . -•. • - Ai. , , ,3Mie,,1.,a.f ,:fr.t,i.,', .T.T,P.:.•*::','i:,.-,"Z:1::1,r.r:A Ireadimie,li,' 4635 ---addie6: I:/ibli*-• • : (tO Sv4 ' I iteLj Puttatolt, (.,0 tura=J00,000 BTU(duasiveras) t 46.75 dity4fateik*lizard,OR 97224 Fornace.100,000+13Ttilduergvento I 54.91_ Heat pump 1 61.06 Seiteibldgfait.IIEL:S,1 Project name Polygon at West River Ter Duct work •• I 23.32 Cos atieet/ditections to job site: Hydranie hot water system , f 2332 Residential boiler(radiator or Alronie) 1 23.32 Pot heattasSfuel-tY130.not electric). I . in-wall,in-duct suspended,me, 46,75 . • flue/vent for anyof.above 23.32 • $it ot ma. I Other: 2332 bdiyiSbm;i!nlygon at West River Ter:Trace I L : lither-fuel Apulia:mar '1"*.itligi1pittcfd no.;' Ittaterteater. 1 I 2332 ,',Ms":WliftIRF,11.0WittWitirSinkltAltrgill79:1,r7.trargin Gos•ftrettlaceitnsert 1 1 33.39 I -,--.• -..' '=44- • -^'-' -.....' nut'wept tor.*ate:heater or gas ephtaChr ittliele . fireplace 2332 . .„ . ... . iimilithterikes) 2332 itiolxiipeliii1 stove I 33.39 . VOodtrOlaiernisat„ L. 2332 .,.. , • • ' - ChinnieSiffrfier/fluetvern I , 23.32 Other .,. • , , 1 2332 t-,gf-K.'f,4,:iria-a•At'a3r,!':',IT,ORft,lh;•,-M:KF.Via_Elnk. "''.e4Xt4'Viq:-'•<'il.'4t p,p,orkiisrien,b0 almost ang vesitilafio4 1611M:401:44E#••• An*ft 44 „ • -, RtutgP.b09,014ttr kftelmo / 3339 A4.*08g:700.A 00ab1efree Ran . ldut ch Road Cothes dryti,exiti _ . 33.39 City/State/Di:Seirttirdili,AZ.85258 ' SinglelduCt adraust(bathrooms. I i toilet tompartnients,.utility rooms) '' 23,32 4 PhOni:.(602)04-4031: fax ( ) •Attic:/thawittrace tins i 2132 47-iftrifi:•1641P,'P:'''4:firtNiki,';i0.1'4::!4&;'';,:1?J'Art vi'?,,tplzrA: ,-••$::,:A-.•. .;;1,14:,'‘.1y4 ma,_. . I 2332 I -ran piping: poi*ittx*Willi*Lyon*Mao Inc. . • ials for S'rst four;$4.03 rodach additional Coined,iiime Angebt Grajewsid fiiitiaok otc..:.;,. , 1 Mitiessi'109'-fr441,40.(4111.44• Gas headlamp € , . • . stiaisttspeactedfunit'bilis( •' ' . • cily0,540:Nio4vei•—;*`A 98660 . Water heater . 1 PlOk=i360)0sTrao. I Far:(360)6934442 .. Roane , train:4114441t4rnjer,4040POb'Sonh5tute*mnn . Barbecue . . '4'MV.Leitt?.;:.4T:U.,yrf;_i7gtt$,..UPtMs,a .4iittgn% 6°04 drVer(264' ROsinostiiiiii4nderami Meek:Wad,inc. Mtn:. „. • .44. .gv:fi...c. 7 73-1z..;!0::=J;;:,4WR,R.f-e... .**Pig 400.0*.e.4./ . . ilitotal cityl,Snder&„;tigitid,OR 97224 Mininsum permit - -. 90.06) Plan revkw(2S%of. ., it fee) Plioti f50,3)0924664. I Fax:003)536461S Stare surcharge(12%of Omit fee) , iir. .. CCB HO.:104 . . . TOTAL P. Er FEE a_____ _ Tus permirappiteadoe expires ire pent:no not obtained within 180 --__...— der after 11 has toCiA.=wed ire complete. ....t.N0i0Std$ilitttlialrf.:: _ , * fee.iriethbdoltigy set by Td-Comity Build Indosay Service Board . . . • Print min*AOgelit Grajpysk$. Nte....S*2/16 ,.. • , ••• fraiiihbutkoato*se„pamatapp_Ovit:met 44O-4T(marcoroamo „.-. -,•:':•:-,,, . Electrical Permit Applicatia FOR Orrick.t SE ONL\ City of 7['igardReceived I.1 J v1 8 2 016 rem* �i /6 —00 / . Plan Iiii,o 13325 SW Hall Blvd.,Tigard,OR 97223 pReview Phone: 503.7182439 Far 503.598. RelatedPermit u: _ V r ' > I_.,_ OIt Line: 503.639.417$ , �.,�_ ` : s° Judy: I'GAP,I� Rcedy n�Y• H See Page 2 for Internet www-tigard-or goy BUILD 1'1, 7: �' ,(.'.' '''!.•'\ NbiiSedl fetiwd: • Supplemental Information r ...�::� _._�.�..:..__�....__..'K' ;..X:.r.-.-cr_�_- ,�..e� � a���- �_"`v,,.�':T.y..�,..�-��_�.'�`iiV--- -7:; i '" '�::-.:',43;':%;,,,',' ...- ovi.('r ,,e�:�,-l. r� at T � --'.ac 7 .., P �} ®New construction 0 Addition/alteration/replacement Please Check all that apply(submit,/sets of plans writams checked): h 0 Demolition Q Other: 0 Service or feeder 400 amps or nae Bw7d'ing over three stades Demolition r F 2 N '' ��'FYn f} i y, +�heethe ataiia�ultma al Winesand boatyards. .} :..3a,.-*Vi ;cam. -:5�.;;s 1§1414 i t a 4-3- -..�� -' r,3 exceeds 10,000 at ISO volts or Q floating buildings •and 2-family dwelling 0 Commerciabbidistrial ❑Accessory building less to around,or exceeds 34,000 0 Commercial-use agricultural amps for all other inllations. buildings,• of Multa family •• j]Master builder 0 Other ; . ©Fixe pump. 0Installation of ISO KVA or ,: ;-''F•r- ,;; Y.V.0 II; 'e a,44'pf:L O3A.''N.'- ©,$c'' 6.,,,1„`' `f-;,scit S,„R{ D� Y�em. larger sv'parah'Iyderived lob#: [Job site address/7P r tag,t .} i �ie'� .1 El Additioa of new motor load of sysxm ❑ V 1o0F1P or more. "A",'"Fi,,"1-2;"I-3", City/Sta :Tigard,OR 97224 ©six or more resident-a units. cry. OHealdhease facilities. ❑Recreational vehiclepades. Suite/bldg./apt.#: 56 t 1 Project name:Polygon at West River Ter 0/1=rdous locations. 0 Supply voltage fur more than Cross street/directions to job site: ©Service or feeder 600 amps yor mom 600 voila nominal. Daerl• ,. Qtr. Situ Teed i; New Subdivision:Polygon at West River Terrrace 1 Lot#• f IDeh desresiattach single-garage.multi-fxmilq dwelling unit. Iot:ludes attached Tax map/pared#: I.000 sq,t3 ode= l68 54 4 h. mow, h; .fit. X37 t f�1# ;r}a; { >a add'1500 sq ft or ponun 3392 1 y � ' F1 al.; , .:;0",„ sr :,,' }''' >s, Limitedcacti,residcotlal ' D i a 1 cif t vs V��Ah�1L� (with above sq.ft.) 75.00 2 ! Iamitsd energy,mall-family 7500 2 residential(with above sq.ft.) ''.-- ;;C:.:-='''-"--1y Cm ? a' sus vA_ d y..q� rr z Ia arV...,. ..'----4;: -; silenti1cveasbokr lEenergy tU See Pa~e 2 eders instaaon,alteratioet,and/or Name;ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 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 , 55226 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 net 200 amps ar less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 1 I 125.08 I i 2 Owner signature: Date: • 401 amps to 594 amps 168.54 2 x - * 1 >u 'I M 3 f y m' -== ABr•aFeenchforcibrracuincs-neuwalteration,orextension,perPanel Business name:William Lyon Homes,Inc. above service or feeder fie, i each branch circuit 7.42 2 ' Contact name:Angela Gra jewski B.Fee for branch circuits wilhota Address:109 East 13th Street lee,firstbranch circuit 56.18 2 City/Stab:TIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not Included) Phone:(360)6957700 • ' ' I Pax::.(360)693-4442 Each manufactured or modular 67.84 2 Email AngeIa.Grajewsld@polygonhomes.cont °r dwelling,servicefeeder Reconnect only 67.84 2 ,`Y :- .__ ''''-43•3:'•B C).6!.ra�'s 3- s. 1,-- ..;. . . Pump oriffiStallonchic 67,84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 4'"'" Sigusi cmaritls)or limited-energy Address:6101 NE SCIohns Rd pard,alteration,or extension. ❑See Palle 2 2 City/Statet. .Vancouver WA 98661 Each additional inspection over allowable in any of the above t Additional inspection(I hr min) 6625/hr Phone:(263)320-1657 I Fax:( ) Investigation(1 bruin) 90.00/hr Email:bdaniels@gwensa.com Industrial plant(3 hr min) 78.18lhr CCB Lie.: C1158 I Electrical Lie.: 208174 I Suprv.Lica: 44965 Inspections for which>m fee is90.00/br s listed %broths Supra.Electrician signature,requited ' / � r " : . btotal: Print name: Joan P Albert _ Date: 4/26/2016 0 Plan Review Required(25%of permit fee): ' 1e _ State surcbmge(12%off/malt lice)::; .PiA.% TOTAL PERMIT FEE:. : Authorized signature: -1f = ; ti ibis permit application expires If a permit is soobt t ained within 180 •i Print name: Bill Daniels Date: 4/26/2016 F days aftsr it bas been accepted se complete. ib lIt 11 t Number ofinspeeiioasallowed per permit. 1,L .�satrergIrensitAILC Peraviapp ELR>t doe Rev 06117/2015 440.46151701/05/COM/WER :r^e {'t. ‘ • • • 1 Plumbing-Permit Applicatio41 E G r.7.--1\i',,- . . . . ...• lituildjpg:Fixtures 10k 1)1IN 1 `-.1 1)\! , 4.. ,....... ., C131175 SITHinrithli, gl I ION 18 ?016 Readied Tigard,OR 97*il- --\ (-it_ i ,, D.temr- ,Phone:.:$03.7182439 Pax: 503.598. f ".-`' ' **-'J.',c.'.: Pim Revig* . . t-..t ii. 1-,--v,'4,,f,'‘ -' '''' ' atfiEjr. Inspection Line: 503.639.4175 cs.t I Lt.,i,1 1 k Dm&attar _ Internet. www.tigard-or.goit Notified/Method: Permit No.:/4--Z.S 2772c-7/6--CV 6 eV Other Permit No.: ark, E5 See Page 2 for , tat inforniatiou l'A.Y.• :;•: '7..W07.P.,rtr-;;„..-WIrV.,.., lttlei7'7?; 57.A11*-,1-,:',1..':Irlrg',;41tTar•rii4;‘:• 7,1',4,2`,4".V:•Y.411*1.0,AUT: .7.=‘;'.,.;•,T,i',-1114,:fekl: ,...,-•':•4-..-,- .•,,,,7,..4A0.2..,.','?",- .''--4..r.-.' . --*-', •'~ .=,..---'---?'0,-;,.°' -t - •---Yr.v a%sr ..W.k‘v. .••4 .f. , ,'Afil,., "P}Kii- ' -.,...,,o,..,... ,„..:,-.,.....,..,41.-:.,...kr,' '; . ... - - New con,stritction 0 Demolition - .• ion For specie!informatieti Jae checklist- Descriptl Qty. 1 Ea. I Total 1:3 AdditiOniallantiordzeplaceMent 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility cortrrecircel i1A-041P';31e $"-*2$114,,W,:rs:i.5. :,,.A,c,';p. ..,,f'c- ri ':1, t ., itv•„1.-.V•i„;, "MN SFR(I)bath 31230 I-7 aod.2,4innily.dwelling 0 Commercial/industrial SFR(2)bath 437.78 .., 'SFR.(3)Bath 1 50032 •i Accessory building 16114i-family Etichadditienal batWkitelwa 25.02 tit..4604** . r]Other: • Fitt Sirrinkler.(____sq.ft.) Page 2 _ t.,.. ,,,,,:.;1,..._ t, '1 a N,.111:.,,, i 1,4'C•,,*1 1 so W q'0 •ti 1 'N:'1,44'-A-fr:',11,1-4r*,44:'-'1,17,-, She mange= •I°15 s#02#1r9s$: 11 bolt, SW f ‘ tAvAtir i ula Catch basin or area drain .. 18.76 j Cowell,leach line,or trench drain 11176 .My/State/Z.1P:Tigard,OR 9/224 ...... ... • Feeling drain(no.linear ft.: .) Page 2 i.Suitt/bldg./apt no.:S i I. I Project name:Polygon orWest Rirr Ter Manufactured how utilities 50.03 'Cresslireet(direetiona to Job site: . Manholes . 18.76 Rain drain-connector 18.76 .. • .. Saaltary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft: i , Page 2 1. ' Ws ater ne(no.linear ft.: ) Page 2 . . , . . . . .. . , . , $ubdivi!ion:.Polygion at West River Terrrace 1 Lot no::i . Fixture or item: c ' • Tax.snap/pared no..:, Backflow*matter 1. 31.27 Xi!:7:FF%-.......r./-iztlY.Z..,,..Trz.v.T,Z.'4,-,'*.".:74,-?-,";,7X,Y,:,,,F77,7-',;*4.e..7.7:7:,1W-5.7.vr-47,, Backirte.realve I 12.51 j • ' " z--,t--;.,, , ,._;.,._:' • . `.AuMw°v"INnll Dishwashir . , .. . . Drinking fountain 25.02 . —. .,. .... .., . . ...,_ . . . ' ..::::`:-;..,. .,,:::.,..;',...---'-','''.'''',1•'1,.7..,,,',---i.`777., fie.'7.:^`Ib'..I.7Q1,,,,i'',.',. .. ..c';',7'-'m r;?.,:c.i;'5•.,,'''i,•11,-LI.T6'.1;Vt•6"14-,'. t.tpafriSiOn lack ' 12.51 Ne. Affv,!..LA00 Ha .'LW Lit?C' . • Fixtuiiisewer cap' ,... ....... . . . 25.02. ' • ' ' -Fl*dAiii/floor sink/hub 25.02 Address:760 S Ocoel)letric Fianch Road Garbage disposal 25.02 : . , . ... .. . . City/Stift/ZIP:Scottsdale;AZ85258 tiosd;bib 25.02 ..... ..., .. • .,, . I ' Atte(02)09440 .Fax ( ) _ Ice maker , 12.51 o , . . .. Intarcepturigtellse bap • . 25.02 . 1 „,:7-2,,,.;:.::::,,:l'..'.:::L-1.1.--f.,..-1.'';:::::::-:;L'IL.1:Z;''ZIA.44-.1',.,:::,,-.4:'-"„'_'.21,''.. ''-..'"--.. -•-•,-,ti'-''''.•."'''''s--,- . BuSinist ogrog Williiiii Lyasi Hontea,hit. MOW Ass(value$, ) „ . Page 2: .. . ' . ... .... . 1Priniet , 1251 . eohtikkttame:AstActi Grik*ski" . .. ... . • .- . • • • Roof drain'(commercial) 12.51, Addressi„Itlf Plait 1*Street . , ' , ,.. .. . , . SittiOniSinilivaloty. 202, 174y./...Byi;YZIP:Vitstouver.,WA.0660 Seta units Ontalsle water) ., . • P.1.19thx13141)05_174100 Fax::(*0)6914442 _Tobishowerishower pan 12.51 * ' • . Urinal 25.92 EquailiAstgeln.r!ra)awskiSpelygonhonsea.eont . ".'"1''"'"',"--',,r-'',' ''....g ', -' ,7-, ' ,'''''''''''7'4:' ter clet . . •;;4':,, F,,?..7;-z. Waos25.02 --- •-,•1-•r:4 '-4:"Q.-1,.... .:tq-,,' i_.•Fy-,7.-„1",e'r,,•, ..;;i.,.".";*.W.:•ii'',c4.-•,::t•t:•;,1•;,',.::7,;.4.-.1.,',::,.-..,.'• ' . 3;7.52 )3 -CM/kat*Met AliiiititethitolfinLLC g .., walfrPIPIllf7D'WV. - $6.29 , r Aldre5:-,1,..0.w,lifife0etotumbill Rhee Hwy Other:. .25.02 ' • I . City/Stale/ZIP:T.'T0'104101 ORF/060; . , ,.. Subtotal , •- • ' ' . Pbtthe(504)44444 Fax (503)912-6438 .. . Nlinlynturi penult die 872.50 f 4 cee Lie4:.184603 Plennbing IAA;no.:11032. .. , Map review (2.51,of Omit fez) .,.. . , .. .State surcharge( 2%of permit fee) ,. Afttbtirizesisignalitzt: • , TOTAL PERMIT FEE. . .Pzitittank Robert DIshrogii Date;5123/2016 This permit application expires if a:permit is stet Waisted Whin 180 dam . after it bin bee*accepted as complete. *Fee methodology det tyy Tri-Cotutty Building Industry Service Scant 1:WillftigihrinkaLMU4PintikAppaloc F0/01109 448-4610(10/02COINWEB) Tk City of Tigard n COMMUNITY DEVELOPMENT DEPARTMENT 11111 r 1 c A R D Building Permit Review — Residential Building Permit #: /1S ;20/x, — 2O 6 / Site Address: I ) ci(a niki `Pacjcxi Ra,,t b(t L1 Project Name: Po iy 9 o n cit Vie-S+ R,vet- ren-0. cA_ Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N2,a + i n (e Gt m(-6-krP(e ) 5� y -� ,(1 6,44-(Ackt eri . /1‹. Verify site address/suite#exists and active in permit system. .A11River Terrace Neighborhood: ❑ No f�'Yes,See River Terrace Review Addendum Attached Site Plan Elements: fThree(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 Drawn to scale(standard architect or engineer scale) floor elevations North arrow (Utility locations(required for new,may apply for additions) J+S1 Site address,project or subdivision name and lot number ,PILocation of wells/septic systems ['Applicant information(name and phone number) (/Existing trees to be retained with drip line,and tree f Lot dimensions and building setback dimensions protection measures [rLot 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) tgr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified % No Received: ❑ Yes ❑ No V Public Facilities Improvement(PFI) Permit: Required: X Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake IV" Land Use Case#: PPRaoLe'-Coo `{-/ sU 3a0I ...... 0 00 0 k Zoning: R-i PD •N Required Setbacks: Front i A Rear 1O0 Side 0 Street Side -- Garage 3A, I NI-Landscape Requirement: 0 0/0 lLot Coverage Maximum: ei0 % .E'Building Height: Maximum Height �/Pt Actual Height * Visual Clearance 81 Easements cil Sensitive Lands: ❑ Yes lxr No Type KI Urban Forestry Plan xlConditions "Met"prior to issuance of building permit f Notes: let, (.11--i '3 - c_wtQd j©4- C8'V4Y44 u hitt ,cyrr�. - e.Vise8 p(Gvi. Slllni*rtt tkd Lt)— . Approved By Planning: C AP ec4k./, .2.. Date: 10 17 -( +�1.2.-1.1 -No Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\BldgPermitRvw RES 091216.docx I A , Building Permit Submittal Original Submittal Date: /0�/p ., Site Plans: # '3 Building Plans: # 3 Building Permit#: [WEnter building permit#above. Workflow Routing: 6e'Planning 6VEngineering ❑%Permit Coordinator Gilding Workflow Sign-off: D Sign-off for Planning(include notes from planning review) Route Application Documents: 12/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: 'i ♦ By Permit Technician: A- -, - _____. Date: // �/ Engineering Review Slope at building pad: ./ Zy conditions"Met"prior to issuance of building permit j Tiu Er Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /4Z 72 Date: 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 NOT Released: $' kpproved, Date: , otes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: / Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: .SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A / Tigard Trans SDC: 13 es ❑ N/A Parks SDC: Xi Yes ❑ N/A MOr1 K to Issue Permit Approved by Permit Coordinator: Date: 7 7` 1)/i I:\Building\Forms\BldgPermitRvw_RES_091216.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT N T l cA R o River Terrace Building Permit Review Addendum Building Permit #: /1-s 7-,10/6) - QO 6,p/ Site Address: (42 S VJ 1 o Rar-A6Iti Project Name: MI n ex i- SI- P'; we i'Te—c(c)t Lot #: (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?*Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ' ❑ ❑ { .6n1-4t bccdk 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: ', 4-- '(p 7 % 3. Entrances:At least one entrance must meet both of the following standards: -un f P n"h'2'i i(.)(44t) J'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: sq.ft. min. ix One street facing entry X] 12 ft.max. roof above floor of porch Rj'5 ft. depth min. 30%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: (reg,-) I1 Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep Suk ['Wall offset min. 16 inches ar Dormer min. 4 ft.wide ®'Roof eave min. 12 inch projection 'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood (1-Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide C Accent siding min.40% of street facade 47 Window trim min. 2 I/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. 11() Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): 4 CIMay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. l,Y ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story It 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 cg.50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: C,hh !` ea-in 4,21 Date: Jo 17-110 I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Plumbing Permit Application Site UtilitiesRECE'v FOR OFFICE USE ONE\ City of Tigard FOR g Permit No.' it..., /�t 6, .4 `J Date/By: 7 Ar II III 13125 SW Hall Blvd.,Tigard,OR 97 y C 2017 Plan Rev. / ■ Phone: 503.718.2439 Fax: 503.59 1. J Date/By: j--o��^ )ri W'r., Other Permit No.: Inspection Line: 503.639.4175 Internet: www.tigard-or.gov CITY OF TIGARD Date Ready/By: .sI, luris: ® See Page 2 for TIC.AKD Notified/Method: l t', Supplemental Information [ gip,, ("'' = x t �i r� y ,� a dril .,, i a � ' adn "< / . �:"R'ta??•t4` `.. "' .. t. ` ,,,:o .. ' ," ' .. .F.`.,.� .'mss R�<+ '.`-� .�£'";, a w, r.-=... � .r.« �.,.. yE New construction ❑Demolition For s.ecial information use checklist. Descri.tion Q . Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) t, i�,t' x "':"-,,1-" ,, ,-.°',:t.;„:,„,,,,,,44,;=,,,,, ,'0 " 'I F =� ".. R iy a., SFR(t)bath 312.70 10 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 I--- SFR(3)bath 500.32 0 Accessory building El Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) `(�y LIL Page 2 u r SITE Ql€ ,1,,f,}+LT "��� . a ... , ..,.", ' Site utilities: Ni Job site address: 17096 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: 1 Manholes1 = 18.76 Rain drain connector 18.76 1I Sanitary sewer(no.linear ft.:_) Page 2 - Storm sewer(no.linear ft.:_) Page 2 ___I Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: 1Fixture or item: _ Tax map/parcel no.: I Backflow preventer 31.27 _) x ik ` ,.,1-"'"-": W �p 1,, ,t, Backwater valve 12.51 25.02 k ''''7,,'"---'1)",;-,:-4!4,'' Q i '' a;Multipurpose Fire Sprinkler System Dishwasher 25.02 __1 Permit#MST2016-00601 Drinking fountain 25.02 Ejectors/sump 25.02 �" a r ,„0 , Expansion tank 12.51 Fixture/sewer cap 25.02 I Name:Polygon Northwest Floor drain/floor sink/hub 25.02 1ii Address: Garbage disposal 25.02 -_i City/State/ZIP: Hose bib 25.02 _ Phone:( ) Fax:( ) Ice maker 12.51 Interceptor/grease trap25.02 'e:Alliance Plumbing,LL ,��. F Medical gas(value:$ ) Page 2 Business nam C Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 I 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 -i 4 . . � Water closet 25.02 w. 4 ,.,,A ,' � . _' 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 Lie.:184601 Plumbing Lic.no.:PB732 - L- State surcharge(12%of permit fee) Authorized signature: E."�.,-,-.."----n-----J TOTAL PERMIT FEE I 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'sBuilding\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 FireSuppression Systems: Footing drain-ls'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 �, r , 5Y ,l 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 5 w ,`V tt ee ea Tg g each additional$100.00 or fraction thereof,to t � p � wl � � 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*. i %ltl f !....1 ".1:;i' , , Fixl� y a fin =, _. MAL Plan review is required for any of the following. Please check all that apply,PP1 Y Baptistry/Font Bath Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 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 ❑ 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" a ei Car Wash Drain .. ` £`. ,, ... � t`t .,ir `.. ; ._. . ; Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related - -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgrnit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17096 SW ROCKY RAMBLE LN, SHERWOOD, August 23, 2017 at 11 :43:38 OR, 97140 AM Record Type: Record ID: Residential - Master Permit MST2016-00601 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Water pressure = 70 psi Violation Summary: Inspector Contractor