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Permit CITY OF TIGARD MASTER PERMIT Ili u COMMUNITY DEVELOPMENT Permit#: MST2016-00604 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2017 TIGARD 13125 2S106DC00400 Jurisdiction: Tigard Site address: 17064 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 4 Project: Polygon at West River Terrace, Lot 4 Project Description: New SFA. Building/Unit 5.4 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 Yes Dwelling Units: 1 Third: 637 sf Right: 0 Detectors: 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 RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 1604 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 109 E 13TH ST VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,546.75 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 OA ,952-00 - 90. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ` , ,y-k, Signature: 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. • Bailding Permit Application L,U 7 kaw-ti ia; RECEIVE __' FOR OFHI('F. I SE ONLI City of Tigard Reer�ved -2 . ,� 6(74 Pe�tNo. 1 III is 13125 SW Hall Blvd.,Tigard,OR 97223 ry DateB�'r� ^l ` ��%rCt�� ��jzJ ■ Phone: 503.7182439 Fax: 503.598.1960 0 C OCTT 1 1 2016 P)1 Review)—10: other Perms cZ2 // T t_ n Inspection Line: 503.639.4175 CITY OF TIGARD ly y Date ReadyBy: Juris: H See Page 2 for Internet: www.tigard-or.gov f AIGARD li lTa0 d/ 2,d: /�0 2 Supplemental information ®New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the • � � � �� <. �":" - work indicated on this application. ❑ 1-and 2 family dwelling 0 Commercial/industrial Valuation:,C() 1 3 $ 0 Accessory building ®Multi-family Number of bedrooms: i 0 Master builder ❑Other: Number of bathrooms: 3 �� _ €��` t , � Total number of floors: 1604 . 1 93 Job site address:11 01,N SW Rocky Ramble Lane New dwelling area: 5 .1square feet City/State/ZIP:Tigard,OR 97224 Garage/carport areae3 uare feet 3—) Suite/bldg./apt.no.: C3,Lt I Project name:Polygon at West River Ter Covered porch area: square feet 4 6 Cross street/directions to job site: Deck area 9 square feet. a Cow `+'n Other structure area: • 4. square feet Subdivision:Polygon at West River Terrace Lot no.: 4 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the sbP a � uo work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 777 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:( ) ;t t New: 77 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 )' Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com 11-'111‘ s 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— -Y~ 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: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dat 2 ( *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical PermitApplicatiRF.,— )f;;- .City of TigardIN SW Hmo'-V; 18 ?..016 Poier all Blvd.,Tigard,OR 9732,3 Plan.Review R5fin"QiiiiSi.,PeVe2 --006.0Z I • • Phone,:.W718.2430 Fir 503.5913.1960 . . . -, Damay. Other Permit , .. .. c‘i IV t•-•$V-111-' - • • — - Inspection Line:503.639.4175 ‘... i ‘....).- l ,/,...,,,,r3,,,t..i..;., ...........43%, bog 0 seirrate I tor 'Internet www.tigar-or.gov .. , ,--. i.‘''.. .'----„".\l'i47:`l T. , • 42,,;d: Supplinnestal latortnafion 'i-.."3 - - W-efliii. MecangaralatOWWW*46141elfiNgattr';'.in 6344**"*"264463"116t,;"*2:144*411-- 1 hanical permit:fees*ate'bided on value orate;wort .„., *...4 New:construction 0 Addition/altcrationireplacornent': pertiartheth indicate the'Moe(rounded to Me nearest dollar)of all 0Diatitilidcia 0 Other: mcdwnical materials,equipment.labor. vcrlicati.and profit • ,,.„...,-vcir, r.,.,,,,,,,,,,h.' ff-w6..:r,V.,g.:,,,,,,=, .x.. .r.r.ot, ,,,,, .., MX .,1,,'—'toli&Ogerpiet,traPpp.A. . —-- ,. '• '' ' ' ' 'k..V4CAY,:iir,7'''',:7'....;Ir!;9*l'.%!.'''''4,.'''Ail:2111,4,Attf4r.N:",MP.05‘,NLA9:11..MAMEM'aiat:ka-C4Z17,tilatit.a51.: '11%-"igjot—tiNtrulUtbitti#''''','-:''''''''frilsiTiclirlWatfar 0 1-and 2-family dwelling 0 C.onniterciaVtaduattial d Accessory building . ror speclat Wan:salon uNkciteditist, El.lyWu-Outilly El/Anger builder 0 Other: DeSittifidon I ON- Ea, I 1-0120 1.1'461.1.?gikt-.*:WfiN.:1-.0.7;:".•;t'e.t,'",7"77''''..litiMPOrktkylli, —itilltraStaleari ne""g4"Ii.nv 1 10 *•40*.s:!ri _ 46.75 ./V,A1 Purnace 10000 BTU(ductsivents) il 46.75 bi s;1 Ito( 12.1uAdl i uo-- - 1*ecadillfnint dityi*041P:Tigarit,OR 97224 Furnace 100.000+BTU(ductevevis) .- , Heat pump 1 61,06 State/bldg./apt m:44,5 ill Project oat=Polygon at West River Ter Duct wotk '• t 23.32 Cross iticetfcfirections*0 301)site: fiydranie hot water system IL 23.32 --- • -- Residential boiler(radiator or ' . hydronic) __ 7.3.32 Vrtit heeteis(fuekype,not electric), 1 L .,, . . . inoivall.ht-duct,suspended,etc. I 46.75 flue/vent foi"any of above I23 233322 Other; $tthratui*yinti at.West rwer Termtee Lotto.: 44 Otheifeel aPpliancec TAX:ilitilikc.04 PP.;. .Watcrbeater. I 23" I . ., . '''.4.-4,`".:W,;.'!:i'Vttrliniqc.MgifiT".'Fit:SitViiieggiVW.4t4i4i-lin'il-L. 1,1*F' IMI,....i.W.,..f, teas fiPtPlaceiinse" 3139 ,5,:".'',i"''..'-".':'''''''Ff''''''''''''''''. Pio vent for*Water heater or gas 14"44.44a641*44.4' Diltatabr(itiViA912 &place 23.32 . Lttglialder(gas) - 23.32 Woodihtellitstove 33.39 , . . . Vixtdrittillioilltisen-. I 23.32 . . .... Chiiiterilluetwatt , 2332 ,..., ..,,,. • • ' -,. ' ';" . .... - • 2332 .-vn;:i-,-41,-. -'4:z.f.:47,;-..:1-7tzlt•-,-4-.1-,-,t,:i ft,o•,,,t,..: i 4,:cp,,,,,g4q1.,...,,... x.,.....,-qv.A: ;:l.y.74,.4;-1-4;‘,...:144p.rwti "ha': '-/-' ..' .-. '' ' . ' '''''4'6'''''''''' '' '''' Enviroitritental e.thanst aud ventilatio4 1644=240/1i tar0.#0d!LIfti.44 .- - -.-' Range hq901.01*kiichen -4.#'nei4' 1 3339 Ackl.lCsA:76.Oft A rt;OttlgOttee Hilda Hoed .aollies. 4r3tr.,exittatitt 33.39 City/State/ZIP:Schttirdide,AZ 85258 Single...411a(=beast(hadtrocarisa. toilet ennpartnanits,utility rooms) 23.32 23.32 Plitin :(402)694-403t. Fax;( ) 'Aid/ciewisetace In 2132 1 I 23.32 1 - °1.,... ct' E.14.00s.s../164;wgthitin 1:06 ffortletit No. 'End Pitg"'l • i14.15 for Rrst fmir;S4.03 for earl additional Colitietiterite Mizell Grajewdd f`ir-tiacia.etc.. „. . I .. . , . .A ' Oa butt:nano 1 ..ildiessi,10tfrAit 430$tieet• . . Wailisuspenciolhuiitiiiii x •. . . : ' CilY0.1.4WfV404.Fir-4VA 98660 . Waier heater . . PLO*.(360)695-7708, I Pax :(360)693.4442 .. FirestfaCe Range E-mail;4..ttlfe!a.O...rtt4en:4$®.polygonitenner..com • ' .. . Barbecue 1'.,k-',- .4.,P.:!:,. `•1M,T,;04.401;'::44i,t:':72, ...%147'*:9;a4t.i4.-tAkft'.4.0290,14W:...14 6663 drver(061' HusiUida.tiiiiiiiP*Oerattaf Meehankati,Inc. • . • tmof.0,,,,,ic::,$,:tti, itr_,-2 '-..,: -3,7•11151.:•5:1t? .4frt:44:1045;SW*Ave . . ... •... .. 1.. • -. '°146tal , . ciState(ZIPt Tigifd,OR 97224 Miniimun permit fee $90.00) .. , Plan revles;v(25%Old fee) . Pliotte(503)4924664. Fax(503)536,661.5 Stele sorclungc(125i of it fee) , w cct lic.:1014 / .. • - • , TOTAL rEtattr FEE - • This permit toptieation expires if a permit A not obtained within(SO • dip after if has , • .. . •• Otllma.tayei3etapitr•scomplete. 0# 4100* . . . Feiehdoliy setCuntutIndway&n it=Board I Print name:440M GEPiorkl. I Pi4e:MI6 . thawiiit4hrattuvinsej, 'erajtAPP-444i112.4e 440-4617TO UOVCOMISVER) 1 .: a Electrical Permit Application t' yJ i ___ -. FOR 0I•lICE USE oNl_s City of Tigard 1,,U 1. 201 Pmt 0:/tjs'T o,' et) e ,• 13125 SW.Hall Blvd.,Tigard,OR 97223 Phone: 503.71$2439 Fax 503 598(9 t i‘ , P my ' Inspection 503.639.4175 I %'A ° Date�B _ Tic,-,,,..2, interest www tigani-or goo 1 d 1 J i e l .i Ra t w }1 $'1 •5 \ Notated,Method. .SSuppNMI El pllemeental faforreatioa _r.. .._ {-- r rj` ;.0 .-f, : k, ,. .•J-.l'n,'°ry..� ?.-.'1"64Zni--,4 1.14 e- Ey '>� ,,i- s qs- �a 4 tt74 if _.;,k o.`�� ®New construction 0 Addition/alterafionfreplacetntat Please cheek all that apply(submit 2 sets of plans,,,v/hems checked): 0 Demolition ❑Other D Service or feeder 400 amps or mon 0 Budding over three Writs. where the available fault current ()Marinas and boatyards. ',z:;4't. ;q Z - if errs:it Y.. ,j?c5ci .?Xi P ti rE•(5 7. •• . ;.^1 - ;-"'c exceeds 10,000 amps at ISO volts or Q F7oaling buildings- -and 2-family dwelling 0 Commercial/uidtisi ial 0 Accessory building less to ground.or exceeds 14,000 D Cona,ercfai-ase agrieu1 tact amps►A Mutli-family -- ❑Master builder 0 Other for m other;astsnasvns. n�a,�.. � '1"'0,"0-1 �,. ,� , c, � ❑i'in pump. D Installation of 150 icVA a r'rn 7 *",.;.i= 00 BJ:%l '!.kr.''..,:,4.1.-f' g,kil, y�i1 s�o '-fit i r,,,.k4'y: `<..,, 0Emaaencysystem. larger separately derived 7i j15„i U4 rCs`,, tZ,,.y,,�e a ©Addition anew motor load of system lob#; Job site addres : `f jN �(/U[A(dlt ,t�({it/, (� loaraP or more. ❑"A": ;-1-2;"I-3". City/Statc/LIP:Tigard,OR 97224 D six or more residential waits. occuPme1: D arsithwere facilities. D Recreedional vehicle parks. Suite/bldg./apt,#: 5,Li I Project name:Polygon at West River Ter D liamrdoas location= D Supply voltage for more than D Service oriaeder 600 amps orator 6O0 vans nominal. Cross street/directions to job site: s Daseefptloa Qts. I Rad Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: i Includes attached garage. Tax raap/parcel#: i 1,000 sq.ft.or less ' 168,54 4 .Y- ,5A1) c �t at3ali l:�i'-7 : "ti.f.'�.�,.:'.s'", ,.. .�, w..c?!..r- -b;"µ? ,, Limited energy.resident h 33.92 1 ti i t y �t e, .t / p (with above se.ft.) 75.00 2 L.� Limited energy,multi-family 75.00 2 residential(with above sq.ft) Renewable Energy Q Sec • ''41;7: Page 2a� ,g --Lul , .a6 5- -,: �ry� - i' v; 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 auger 200.34 2 City/Statc/ZJP:Scottsdale,AZ 85258 603 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 wade on property that I own which is not 200 amps or less l 59.36 i intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.08 2 Owner signature: Date: , 401 amps to 599 amps 16854 2 ,.,,-.".F:;,...,..r ,<•I f -_-_-_,........,....,.,,,A.-..4.r .,,. f 1' i -,�t, s Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Grajewski B.Fee for branch circuits without ' Address:109 East 13th Street ran h circuita or feeder tog titre b 56.18 2 breac City/State/ P:Vancouver,WA 98660 Each add'i branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • 1 Fax:(360)693-4442 Each m raulka sed or modular 57.84 2 Ronal:AngelaGrajewski@polygonhomes.com dwolliag,Reconnect mayervice 67.84 feeder 67,84 2 - .. :. r r:"'),,p,k,v 3" iA tict 5 a .'..-r'17-7.- `, =._--, s..;i?.:.`--.. p or� Oncircle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Set cheeks)o ��` O See Page 2 2 t>m+d,situation,or extension. � City/State/ZIPVancouver WA 98661 _Each additional inspection over allowable in any oldie above Phone:(253)320-1657 ! Fax; Additional inspection(1 hr mitt) 66/5/hr I ( ) Investigation(1 ttrnein) 90.00/hr Email:bdaniels@gweusa.com Iodtastrialplam(1 hr min) • 78.18/hr Inspections for which no fee is 90 00/hr CCB Lia: C11S8 Electrical Lie.: 208174 Suprv,Lica: 4496S1-:,, ,=='-'..``,:.: ',7:): k t (4 hr mm S` ,t d Suprv.Electrician signature r / 4 • equlrcd: ' .2�L f Print shame: Joan P Albert Date: 4/26/2016 D Plan Review Required(25%of permit fee): "-. State surcharge(12%ofpemhit tee) Authorized signature: - `~• TOTAL PERMIT FEE: k5.*:.':-:. Thin permit application expires ifs penult is not obtained within 180 •;i!:: Print name: Bill Daniels Date: 4/26/2016 days idler It has been accepted es com tete. ;•kit • Number of inspections allowed per permit t:t. ".,:,. 48utldhtglPenailAREC Pernik Ail.`4,> App _>3tEdea:Ravo6117hoI5 4dG46tS7jIilOSHDM/Wr+E au v:, PlumbhtePermit Application F Building Fixtures - 'City of Tigard . . Received ' ' _ . PermitHoitUrdc/6'''GIO e 4/ 4./ • NI 13125 SW Hall Blvd.,Tigard,OR 97223 1\10 V 1 8 2 OA A'templanRevi,,,,Y; ,Phone„503.7,1?2439 Fax 503.598.1960 ,.„1 Dategy. Other Barna He,: Inspection Lite: 503.639.4175 Gay 01- t i(z.,,,,A..---;L.. paie Rewymy, Ark. Id See Page 2 for Imeniet: www,tigard.or.gov ... , •:,;;=,17,., i--.,,II,.,i'F.!,tr., Nlliertfiedndeditut Su,Oneonta1 infernation b,,r-7,-q,,:-.45- EiT.,:*7-c-;i74vrilwv,ff,.- 4.... P1 -',T,-1,f,:s;,3;kiNFS;- .,,•,,,I•F-17,747iWv- ,-(--lit '-...rc .,•?-0 4"-1".-0.3-3:',7Fil-TsiT-....st. i.‘..,-.t-;, :, -,. ...... • .,,, ..1i,47,,.t.:::&;.".';•',A,'-s'Z'trt`',"5't'r':''-'4 1-4,-t;14,' ,,c,„.,,a4..."4"11&.•,4,,,dkdW.,,,-: •-27.,'"',:''''•*rdl ,,:..4.,.•.' ,'' ,, 4.,,,,,' ,.....go‘' talt...,,;.;..... .:4-,,:- Z.,-, .....,tz-,..,-.:...1.7- . 2 ',, ta New constritetinn 0 Demolition For spedat infornunkus use checklist. Description I Qty. i; Ea. I Total 0 AdditiOn/alkratiantreplaaaltent 0 Other: New 1-2-family dwellings(includes 100 ft.for eac:h utility connection1 ., .. .-4,74„,,,,c,,,,,...1„,-,,,,F.,„,,,,,,,,,...,74,..,,:v,1,(''fi-v-`• 1- , ' ,---.7-,'4'4:2,1 .--V';'*(-e' ,',,3:V-,..- --f,'1'., '-iti4, SFR(1)bath 31230 , ,4:4:47445.-4f2.tar$21'. ". :,'.1' ,,2'T,t..7:...4§',;,, ,:,,t'44.!...,,`,1,4",.t.,,,,, ,t, :;•4''.;',4,h,''''' .li.2,,',ti' 1-end Vanity dwelling 0Commercialiindestrial SFR(2)bath 437.78 .SFR 0)bath 1 50132; O Accessory building ,1tilti-family EackadditiOnal bath/kitchen 25.02 b MastitQlaes' 0 Other: • Firtiprinkler( sq.ft.) , NV 2. .,; •10-''':..-r''.'', ;ftl-P.:' ':''.-:.5:Ajirkj:'Z. 031t'*'I''AtYI, S°e utilities; Joh ste'Odress: / otoy s 11,taitikvaltz LouAL Catch basin or area drain 18.76 ._ _. . ., Drywell.leach line,or trench drain 18.76 'CState/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 -,.Stlite/bldpiapt.no.: 54 I Project name:Polygon at'West River Ter Maltufactuted home utilities 50.03 Cross'streelidire4innt to job site: Manholos . , . 18.76 , Rain drain connector 18.76 - • . ' ' 'Sanitary smyer(no.linear ft.: ) Page 2 Storm'sewer.(no.linear ft.: .} , Page 2 I, 1 . . '• i • , ,' W,Met sirvice(iro.linear ft.: 1 Page2 . . .S.ubdivision:Polygon at West River Tern-ace I Lot.no.:4.4 Fixture Or item: Tax simplriarcol no.:. Backflow preventel • t 31.27 ..,i—. .- , Ba•Co.Nw*sfaler a:tW-hIeNr * I P12-.c5a1 Lntroaeati .; - Drinking formtain , , . . • . . ; • . • .., _ 25.02 Eicit4ilsistly1tE ... 2.5.02 • . . . ...... .. .,. ... .. .,, . . ' ;,,,,,_.,,e4,-...,,,,,,-,.,,,i:,---,'-,•,=4,-,,,,--:',-,,-;,-,1--.,,:z";--$1,-.4..-t,,.,T.--.3.,-,.*,..',,,--...;:i;=,-,r6,e,f.,7-2..;-,;,--4.-,,,-7,.i..w4e,-,-,14-:.se.' iconlank 1251 1 e'..-i.`,.tc,..:.'..--,..',-,7%-,,c.;..,;:,.;,4,t- .,!..i'il.l'1,.1.-4:-7'.k.'-'"':,:'''."*'"f"',O-14•'''' ', .'''' ).:?-4',-. ..,",•,4-''.."*.14i=4",1' , - ' " * Nene':ADvi...4-afi fr:Lw , rtxt4r.'00ve!04P.' ' 25.02; '• ' ' lit/floor sink/hub 25.02 Adthesa:7Goo E floubletre'e Ranch Road Garbage disposal 25.02 Cit)4Sta. te/ZIP;Seoftsditlei AZ 85 ,• .258 Hoye.bib ; • 25,02 -. -„. ... ,... . , . .. , .1 ilibne:4)2)09440) Fax ( ) Ice maker 115! ' 4 . . fritekViitOtigteaSe traP 2102 Y4-_,-.,`-',',/,'-'-',F1,-. ''-','-2---::,-.-'"?.1, 11-:f'%,',1,f',C,4`‘'..^-; ''.:1•,'W„'-',,'.''' '''';''''i..'g'•,”;>1,1;5,','4--:—;-.4'-'''':-',..I F,';' ,. “ - •'' "• • - — . . atoms(*mei*ffiiiii 8.7on Homed,Inc. Midical Sas(ValUe S—) Page 2 • . ,„ ..... 4 ralier 12:51 Contact n natnet A.,gala GriVOititt • . ( .. .-. .. .. , . Roof drain 12.51 Address::.):0#14si 13th Stieet , • Sitilr4;4411111tv9101Y, 25.02, . CityiStatelliP:Vantonvitt WA 0860 . ' War units(Wattle water) 62,54 Pl..109e1,'4.60) 957i10°' .Fax::(360)0844442 .IttlIshowerishower pan 12.51 . - • ,Urinal 25.02 ,Eetnalb-An,..gelm‘Crojewskl@polygonhomeir.tom •. oset -:o,„', 4.. . if _ L 25,02 ytor heater 37,52 WeigiPingiDWY 5629 Address:-,146.W;Illiforie Columbia Riker iiwyOther 25.02 .. .. . City/Stole/ZIP:Tr0014,4107.0R.97060. . . , . . .. . Subtond ittalia:(584);19/--349b ' ' Fax (503)9726438 Minimal mit*fit: $72..50 CCB 14cy:',11146q..!; / Plumbing Lin;no.:rwal• airlds.. „. . . Plan review (25%Of Permit fix) State surcharge(12%of pond!lee) Authorized Aigoatinv: r • 704:1,PE.44rr FEE. Print nadte:1861liert Ofitnnati . Date:Sa3t2816 This permit applicationit expires If a:permit is not obtained Within 180 days .” , ....,, , ._ . atterbis bee*accepted as complea. *Fee ncethainlagy an by Trl-County Building Industry Service Board lAne4ltidgPennlealldU4'eneleA0p4et torottao 40-46162(10/02/COM/WEB) • 0 City of Tigard III 1111 COMMUNITY DEVELOPMENT DEPARTMENT 111 T I c A R o Building Permit Review — Residential Building Permit #: AI57- /6 od6erf" Site Address: t -7010 `l- SjyV Rom *R.6c,,,,6 IE Ln Project Name: 1 o t 9 e 0,,, at. W Cs+ River -re Ara CR— Lot #: if (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nie w` (- Dur p(e -) 6'14e cl(e v,-,d 1 0.-14-ach e ri .f Verify site address/suite# exists and active in permit system. Ati River Terrace Neighborhood: ❑ No f�'Yes,See River Terrace Review Addendum Attached Site Plan Elements: %Thxee(3) copies of site plan /Existing structures on site Site plan musttie 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 $1Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number ZILocation of wells/septic systems ['Applicant information(name and phone number) `Existing trees to be retained with drip line,and tree tNtot dimensions and building setback dimensions protection measures kLot area,building coverage area,percentage of coverage and tiStreet 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) igi 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 kr Land Use Case#: fi PiR at) ►,"--woo(IV Su a 0 15 -- o Qty 0 ( k Zoning: R_i 113 Ii Required Setbacks: Front j A Rear gp() Side 0 Street Side Garage 3 A,, 1 [-.4-Landscape Requirement: 4.20 cyo ,,_../Lot Coverage Maximum: )V % ,EJ Building Height: Maximum Height Nf A Actual Height .V Visual Clearance 4. Easements 114 Sensitive Lands: ❑ Yes g No Type LIQ Urban Forestry Plan iitl Conditions "Met"prior to issuance of building permit Notes: Lc4-s 3a-?a -eXC2tazcI. rti�t',.'i i .Yl;...„ 1 0 � C,6'uZrace..... i �-Q v.S-e'cl plc,r"1S Approved By Planning: 4 .. o 0CCi.t.„A.i.•.v Date: i t? 1'"7 -I VP-14-1‘' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw REs 091216.docx I Building Permit Submittal Original Submittal Date: /d/////� Site Plans: # 3 Building Plans: # Building Permit#: CL.-Enter building permit#above. Workflow Routing: '0'PlanninglR Engineering cErPermit Coordinator ❑gilding Workflow Sign-off: CI.-Sign-off for Planning(include notes from planning review) Route Application Documents: C Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [Y uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: •-,c.__ Date: /�/a //f Engineering Review Slope at building pad: 74 �, I Conditions"Met"prior to issuance of building permit y�% 4/6-1---- Z 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: 4 0 Date: a 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 ‘716 Approved,NOT Released: 47/4Date: i 3/q--- 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: ( 1 SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 7t Yes ❑ N/A K to Issue Permit AppI (CIroved b Permit Coordinator: Date: �/� ��� PP Y I:\Building\Forms\BldgPermitRvw_RES_091216.docx il • City of Tigard il COMMUNITY DEVELOPMENT DEPARTMENT 11111 to TIGARD River Terrace Building Permit Review Addendum (u Building Permit #: /--is' je _ ()e 6 e y Site Address: IAA°4 S w R o c,(ci R a erk.b(e Lli Project Name: eFo 01 o o of Viesf R.-,vec T ((are. ecLot #: 4- (New d e ing=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): 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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ - too+v... .e levoiuris 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: ,28.'1- -4-- ((o .7 O/0 3. Entrances:At least one entrance must meet both of the following standards: ❑ Parallel to street,angle no more than 45° from street, ,i Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: 25 sq.ft.min. ,krOne street facing entry a-12 ft.max.roof above floor of porch [X'5 ft. depth mm . 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: Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep 5.Wall offset min. 16 inches $Dormer min. 4 ft.wide Cif Roof eave min. 12 inch projection Al Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 'Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. Horizontal lap siding min. 3-7 inches wide CR-Accent siding min.40% of street facade ❑ Window trim min. 2'/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. NIX ❑ 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 620above the garage that faces the street with a min. area of 12 sq.ft. , ',/ & Width: (Check one) Ju� I ❑ 12-foot-wide garage door ❑ 40%max. of street facade 1Z50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: ('K Cot-c,-..c.o Date: i t - 5 -( ko I:\Building\Forms\BJdgPermitRvw REs RT 0622I6.docx Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE USE ONLY Received City of Tigard AR 15 2017 Date/By: .�le/i`? / , Permit N��� /6/`/`Yye 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review l�i r v v� (/� = Phone: 503.718.2439 Fax: 503.59 Date/By: n iik • -t i•- I ''I Other Permit No.: Inspection Line: 503.639.4175p Ut TIGtiFiD T I G A R D p BUILDING DIVISION Date Ready/By 7 tuns El See Page 2 for Internet: www.tigard-or.gov Notified/Method)�� Supplemental Information y aE WORK �� r * ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) •CAVEGtRIV OF i ' uCEION • - SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ®Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(1,388 11.ft.) /4 7'ft" Page 2 JOB:ATE INFORMA ON AND;LOCATION Site utilities: Job site address:17064 SW Rocky Ramble Lane Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.:4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 #j SIP'1'iE11" �'40� �,, , Backwater valve 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00604 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 ��._'pRt)P1�13.T�' OWNEI+C�" ._: ',0;'I'1w1�TA1KT p 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 Ai4Ct .tin '''❑'CONTACT PERSON 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 Watercoset 25.02 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: �L TOTAL PERMIT FEE Print name:Gavin Thomes Date:3/15/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I'.\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) 1 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site � 3' t4e�* TOO, 'Are gs a: - 2,%j' Footing drain-l'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 , �{ Tttal each additional$100.00 or fraction thereof,to Other 1 pcctions or.Fees 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 Irc PI Vit ' in.. `�>� Fixture Type fir _ r. R Plan review is required for anyof the following. Work Performed. • Cal ;. Added-, Relocate 4 Baptistry/Font Please check all that apply. Bath Tub/Shower 111 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" -4„ tc• - •*,• Car Wash Drain ,' l rite, Garbage Domestic-non-food El 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 fixtureunderthis permit results in an Washer-Clothes work Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.doe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17064 SW ROCKY RAMBLE LN, SHERWOOD, September 15, 2017 at OR, 97140 9:10:21 AM Record Type: Record ID: Residential - Master Permit MST2016-00604 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Correction for locking access port caps not done as noted on previous inspection. Gas line not connected at furnace as noted on previous failed inspection. Work not complete, not ready for inspection. Investigative fee applied for scheduling inspections prior to corrections being complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17064 SW ROCKY RAMBLE LN, SHERWOOD, September 15, 2017 at OR, 97140 9:18:04 AM Record Type: Record ID: Residential - Master Permit MST2016-00604 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Debris in sinks and tub upper level. Remove for inspection testing. R109.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17064 SW ROCKY RAMBLE LN, SHERWOOD, September 15, 2017 at OR, 97140 9:22:49 AM Record Type: Record ID: Residential - Master Permit MST2016-00604 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Ac installed. Violation Summary: Inspector Contractor