Permit (127) CITY OF TIGARD MASTER PERMIT
II11
: COMMUNITY DEVELOPMENT Permit#: MST2016-00578
Date Issued: 01/30/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB04800
Jurisdiction: Tigard
Site address: 17285 SW GRANITA LN
Subdivision: RIVER TERRACE NORTHWEST Lot: 48
Project: River Terrace Northwest, Lot 48
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left 3 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 8 Smoke Yes
Dwelling Units: 1 Third: 0 sf Right: 3 Detectors:
Total: 1858 sf Value: $232,226.19 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 Rain0 Storm Sewer: 100
Tubs/Showers: 3 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 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 Temo 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: 3 201-400 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 SF VB R-3 1858
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660 2 One Hour Fire Rated Eaves
STE 1 Required
SCOTTSDALE,AZ 85258
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,563.98
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 0 R 9 01-009 . 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: 71-e._ Permittee 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.
Building Permit Application ® ""
RECEIVESrola orFlc i l._SI O®I
,� c( t `f�a Received y �y JJ9'
�� �. Permit N19 !✓� /F1 ' �\
City of Tigard D gy: % r /jay
FEB 0 3 2015 Plan Review OthaP ii /6'60107 w
13125 SW Hall Blvd_,Tigard,OR 97223 DatdBY" � ��� ��
F
Phone: 503.7182439 Fax: 503.598.196R�}.y p-ti T' D�eReBy S�ui:: H See Page2tor
Inspection Line: 503.639.4175 l> J N e��//Z-. //7 I Supplemental Informahou
TI(�',B.i+
Internet www.tigard or.gov ���� � ��P+ I lit i - /�
_ _ _ 3,_. .'--_.-_ — the value of the work performed_
_ Permit fees* based on
—" �s ❑Demolition Indicate the value(rounded to the nearest dollar)of all
o Add'construction equipment,materials,labor,overhea and the .ro' •• the
Addition/alteration/replacement ❑Other work indicated on this application_
-,..-7,--,,--, .. apPc on. --�
y`- ,- r1:-) P ® if ; ',. niX -` , -- ,..s .' .ss?xn ViValuation: a
® l and 2-family dwelling 0 Commercial/mdustrial $ IrillI
Number of bedrooms:
❑Accessory building ❑Multi-family Number of bathrooms:
0 Other
a`
❑Master builder - t ,- = Total number of floors: 2
�`°�z ` A — •;10.- square s uare feet
r __,..�__-_._�-�===-•-- I New dwelling area: \ �, q
Job site address: /7?ir-s ,e-ung ' timet Garage/carport area: square feet
City/State/ZIP:Sherwood,OR 97140
T_ Covered porch area: \ % square feet
SuitelbldgJapt no.: Project name: 111F\
Deck area ,a square feet
Cross street/directions to job site:
Other structure area: 'i square feet
Lot no.: 1/ ir Permit fees*are based on the value of the work performed.
Subdivision Indicate the value(rounded to the nearest dollar)of all
map/parcel noequipment,materials,labor,overhead,and the profit for the
Tax map/p ---:':::-:-f on this ap on.
� work indicated Phi
•
�,.�., ,.. • .�:��,. .�e,..w..._,. .:_ � Valuation: S
New Single Family Detached Construction
Existing building area: square feet
New building area: square feet
j: _ .W Number of stories:
�- . _--t- ," Type of construction:
Name:Polygon WLH,LLC
Occupancy groups:
Address:109 E 13th Street
City/State/LIP:Vancouver,WA 98660
Existing:
Phone:(360)695 7700 Fax(360)693.4.442 New
r."' 7,:'-',4,..V:/47-'1.-7 : 1.---=_-,- t � ?_
an
- A4 �� `
�=- .. k �- - :�� -• __ - � ?�'_-x-._-..,.w�....-.v..c+seam.���..:.m..n.✓F..,.,.�%%N�-,..A—v.,-- t� rer <.s �4.... ,..
_ �' --�_- - -
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Maggie Gordon FLS plan review fee(if applicable):
Address:109E 13th Street Total fees due upon application:
City/State/ZR:Vancouver,WA 98660 Amount received:
Phone:(360)695.7700 I Fax::(360)693.4442 7
E-mail:maggie.gordon®polygonhomes com Commercial and residential prescriptivef
installation o
_' = .,, roof-top motmted PhotoV°ltaic Solar Panel System
= ` " , '-'7'-‘=.‘1?--4>-'-f
._._ _�-. � _ Submit two(2)sets of roof plan with connection details
Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon
Solar Installation S.-tial Code checklist.
Address:109E 13th Street Permit Fee(includes plan review $180.00
Ci /State/ZIP:Vancouver,WA 98660 and administrative fees):
tY
0
Phone:(360)695.7700 I Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60
CCB lie.:207247
Total fee due upon application $201_x--
This permit application expires if a putt is not obtained
�i • within 180 days after it has been accepted as complete. _
Authorized signature: wldmg Industry
*Fee methodology set by Tri-Cotmty.B it
Date:12711/15Service Board.
print name:Maggie Gordon _ _ s
dot 02/2412011 440-613T(11l02/COM/WEB) 1
I:�BuildinpPeanits�BUP-RESPermitApp. ".��4,_._
Mechanical Permit ApplicatRECEIVED 1111111111111111111111MMMEN
City of Tigard Received 111
FEB 0 3 2016 Permit No4/I repevik —00_5'zp,1 13 t25 SW Hall Blvd..Tigard_OR 97223 Ciatelay:
Plan Review
' wn Phone: 503.718.2439 Fax: 503.598.1960 . DatelBy: Oilier Permit .
Inspection Line: 503.639.4175 CITY CiF r1(3,P,HD Dane Readyirly: Juris: la See Page 2 for
Internet; www.tigard-or-gnv sup DiN( - .*,i....7'1 n n,:, NonfierMediod: Supplemental Information
-'-r:ls''-!1"':: :'':':':;°.„' :0:-'-j':4;:;V:!.'44;Kitr..,:tld*o;1-.**::t-V'ie:'j;.:3i,:i.,i-',V:',P:::,..i:':'Zift4';?gAi;::'W.::'' ‘VAZg:914110-4R-:: :::1-g-ttaliLila.,0.447=i:LIt::•:::: :::'''.
,..' Mechanical permit fees*are based on the value oldie work
ist New construction U Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all,
0 Demolition El Other. mechanical materials.equipuumt.labor.overhead,and profit.
.. ._e-stF,14:.=:4,eatk-- '-',-:---.ms - t' o.-',.--'-'s-i:k,-.wAxxavt:folz,,!-sg,, ,..,„• ----.„,. -- ,, --,------,--. --,-,,,,v,,,.
,.,......,..7,-:._..,,,,,,.....„,„,..,,..,,„,,,,,,......„,,,,.,....,,,.,.,„.....,..,,,,,,,- -„,—,.._,,,„,_„„,,, ,,,, ..,. ....A,s- ,,,-).. ,,,,;:ly,**:..1D? ;,,...t t1,..,.:..,14;;•,!,•21_,.,,,,,,,.,Jr- 7,,,,:,•,*","l",v,',.."A....,„„•,,,,A.I.:,„.N.-„,.
Eit I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special infonnolion use cheeditst.
0 multi-family 0 Master builder 0 Other: Description . Qty. Ea. Total
•-',:""•,4".VAi.7......t.l.5,1";g4"•: r2u4:;,0iN17, 14-4.*:7;.'t'•,,".9•''‘t*,2:74‘.47,,l1,-lagii.-.i..14")-i'4*J2X :
,,,,,e.:,,...,...,-7,,,,',...-,4,,s.,•k,,,,.•.v„,,,,- .......,,,•, ..,.,,,,,, ,-,-...,*--•', -',0••-*-•---°*--'%-''"'' -11: ::.. -- • ''' Air conditioning . i 46.75
lob site address:t -g al—) C6- 01-1\93:0--' e Furnace 100.000 BTU(ducts/vents) 46.75
,rr.--.
City/State/ZIP: TO QA) OR Q.11 . .j Furnace 100,000+BTU(ductsivents) 54.91
Heat pump 61.06 1
Suite/bldg./apt.no.: Project name:River Terrace n tO Duct work 23.32
ICross street/directions to job site: Hydronic hot water system 23.32
• Residential boiler(raclitdat or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall in-duct,suspended,etc. 46.75
Flue/vent for any of above 2132
Other: 23.32
Subdivision:River Terrace 1 Lot no.:tA ?
Other fuel anPlia' item
Tax map/parcel no.: • Water heater 23.32
.--,-4.,i.:1*-..Rt'l,...77.,A4.;....*,z;.-•,:r-...7.4-c-ittYA e:-.'',"•!'"--'.' ' •ef''' -:-,..-`1'...' :'.':,:,-'..:',4,.$4.:-77 .-`, Ati'P:te"r-,tK-fa*--a-j Gas fireplacelirtsert 3339
,:.,p4,;..,..rrw=',-,--r,,..,=-,--,:r4t.*texm,,1e--*-- '4 l A 1.4.-a..A.i* **Lc.,..,,,,4i,1....t----.4, '',•v-,0*.4.-.,..=,
1 Flue vent for water heater or gas
HVAC 1 fireplace 2132
I
1 ' Log Heiner(eas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
' Chinuteyilinexitlueivent 23.32
23.32
-•;;,:',-- ,',-*-i,a:..-,-**-•-• ••- .:,*`-.*1*. •*''','A, ,''1,„tti"' , ':'...'*:' -
..?41 tg414 ?"'':45:-..'741'..'.'''',-3*''' 4'; .-- ''' ''' ' Envirtimocutal exhaust and ventilation:
Name:Polygon Range hood/other kitchen
equipment , . 3339
Address:109 E 13°St.Suite 200 Clothes dryer exhaust 33.39
Single-duct exhaust(batinooms,
City/State/ZIP:Vancouver,WA 98660 : toilet compartments,utility rooms) 23.32
Phone:(425)5g64700 Fax ) A.ttkicntwispatte fans 1 23.32
Other?444,,t4'F',.'''.v*j;:;-;:0''..":-F,:i'V''.•.riniTiYi.::ilitAVY.,:f*Ii:24: ,•4:ir'lliAirii.i iv.;`!4 q,'F F;4 IV''ill',-,3t i'V 6,, i'''' ,". 2332
Fuel ithltingt
Business name:Apes Mr LLC 514,i 5 for-forst lour;$4.03 for eaett additional
Contact name:Sizes Hay Furnace.etc.
Gas heat pump ,
Address:2210 W.Main St.Suite 107-272 Waillsoapendediunit heater
City/StateiZIP:Battle Ground,WA 98604 Water heater
Phone:(360)342-8109 I Fax:.'.(360)326-1769 Fireplace . -
Range
E-mail:statibOapexaireo.comBarbecue
:;.0i,f.'4a.:fr .11..!, .45'ilZrii.i.lCtii.Olt.47., i'-;:t?SlIft'''Rfilif.•%. •;.,7:14-i:•;Ati .iti*''."1.1•Ifl'. C1°Ihrs d'Yer(aas),
Other.
Business name:Apes Air LLC
‘-#1-.' ,'-'r*.,-4,--t"-**•., *11,-,.":l'ii'lCii•9-ef';.,',,*-l;,..7.'i--.;7/...:'ltilZVa•-l*:: "...-?°:t,/i
Address:220W.Main St.Suite 107-272 Subtotal
Minimum permit fee(S90.00)
City/State/ZIP:Batik Ground,WA 98604 .
Plan review(25%of permit foe) I
Phone:(360)342-8109 Fa9:t360)326-1769 • i
State surcharge(12%of permit fee) •
, 1
CCB lie.:203034 7? ' •
. - -TOTAL PERMIT FEE • - -- --- I—
•
This permit application etpira Re permit isnot obtained IVititid 180
days after it has been accepted as complete.
•
"IV •
.'1 , . _
Authorized si• , / / i, • 1 " • Fee methodology net by Tri-County Building Inotinny Service Romtl
,1
I . ,Print name:Staci hay ' : I Date:1/28/2016 •
I'334,413teretl'ermits%MEC PerrnitApp Gun 13 dm 440-4617T(11,4-3.1COMAVO33
• t w
.+iectr iea Permit A� sk;..f�€�>1
City of Tigard FEB 0 3 2016 aaszt► �
DentarPtrrsnitS -0.4957
lq ,, 131256W Reli'ttivd:,Tigard,OR 97223 Elan Review / �Ga
PhodeZ S03.7162439 Fax:5E13. Ate, �r aahlay actatcdPsmnlB:
is t x1 Invention Law:503.632.4175 t T LJF 4 .'LA f'-," ,yt sy: if m SefrPagelfar
Tatdnet ww .tigard-or gov Fit 111 T'1,I A t�',�,, r£ta f i g i r 41444tbod: 1-Satp}Grsan ut Inforsastiou
r ' 'j1, .. -.�•a'P CV WORM Y, F1E1r(1B ` .z j
3' <Newiawshxfction 0 Ariditionla1raradonireplacement Neese_ d;40t tr t'vbraillsdr etpt wr4;44 a etii: I
�Damaliliaa Other l3Sersdceorfee er400ampsormore [ notidaagoverltueeiteriet
� }hero thaa
e . tble aultsanest El t,#aruaas aaad boatyards.
1 ;& :C,ii3't228V;OV CU 0C11O , camas ippon.awlsat ISO',VHSor fjPloatinglluildiags,
Eli and 2-famdydwelling 0Coininercislftndustral 0 Accessory building tesi1o0oua4dre,ceee4s140aa D saaucreis1 seap}est}tarai
£' E l inti-family 0 aster builder 0 Other: ? t'aradoN,erinstaamicas. ba i,Gag.
11C7Fi ptaaR3it�fatlathauaf150KY/4cu 311$'',SITE i1 7411 1 Atfo1� 97110 LOCttYX V QEtnet&nucysyaten taYgcrscpuatetydzrived -
_____*_____________Jobs' Job Site }( ❑Add7sonorsawtoraf at.
atidfeS3: .t`a �a -.,t if)1) � ��ta�.:. j�liF tx aaA/heaaoi.]"aystoA."E"; �"�a3"I J "
Cif}F/$tEtC(ZT :8iier�YOa##[#' 99/40
DSccormoresetidentiaiuniits. +9ffitey,`
❑fieash,ca erealities. 0tterran amiv+eluetepx10 : I
Suitelbldglap#.ff: I Project name: C]Hneweaus iaaatio as. E]Supply voltage far-morn iban
laCen.3cag feeder coo amps or mem 400*d A mi= r.
>ossstreatldvecGonsta job site: `= FEE;s,,'L#1?,i ti _;,-
assesipaaa i',tn's i Lash i vete 1 =
New residential single-or uxdti-family;livening unit,
Subdivision:River Terrace I Lot#:Lt Incl+ sattached garage. i
Tax map/passel l3` 1,00tt.se.
aar less
tbs.s# 4
6a.add':500sq..fL orportion 3392 I
_ _: DESCRIPT1ON OF WO trc Limited energy.tvsidettliaiI
New Single Fancily (with ahavesq t1.) 75A0 2
Limited tatcrry,ri uhi tamily 75110' Z
residential(udth above sq.B:)
L';PItO3't8RTY O (L'" I ..0 TEt//NC Renewable Energy C]SeePaRez,
• Serviices or feeders installation,alteration,and/or relocation
Name:Polygon Homes
200 amps or teas 100.70 2"
Address:i®9 E 133e!S# 741 amps to 407 amps 133.36' 2
t
City/Stale/ZIP:Vancouver WA 98660 901 amps to amps 200.34 2
60i amps to 1.000 amps 301,04 2
Phone:(360)695=7700 Fax:( ) Over 1.000 reaps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or'
relocation
Owner installation:This installation is beirm made on property that I own which is not 200 amps or las 59,36 7
intended far safe,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: DaEe: - 401 amps 10599 amps 158,54 2
i.. ;i4P1:101.14'C J .0+C+DlV7'ACr pgggort Branch circuits—sew,alteration,or eetegsion,per paue1
- A.Fec forblmtt3t circuits Irish
Business name:Garner Electric Washington,LLC abovB eservice or Ibedrfee.
cash branch cirouit 7.42 2
Contact name:Bill Daniels B.Fee for branch circuits without
I
Address:6101 NE St Johns Rd service or feeder t fust 56,1 8 2
branchetnnit i
City/State/ZIP:Vancouver WA 98661 Eardradd I branch circuit 7.42 2 II
Photic{z53 3Zi11651 Mistellancooss(service or feeder not included)
} Fax::( ) Eagh mannfaehued or modular
dwelling srryiceatndtorfceder 67.84 2,' :,
Brasil:bdattte!t®gweusa,com
Reconnect only 67.84 2
t
',, COMTRACTOR • Tatuttpistirrigafoucock 67.84 2
Business name:(,arae,Electric Washington,ILO sign oroutline lighting 67.54
Address:6101 NE St Johns Rd
divot cinsuitfs)ortim3kd-energy 2
Patel.alteration,or=tension.. "Seexagta 2
ty/State(ZdP:Vancouver WA 98661 =Each additional inspection over allowable in any lithe above t
Additional inspecttwt(I hr Bain) 66,251 in K
Phone:(253)3201657 Fax:( ) investigation(I hr min) 90.00/hr
Bmail:bdanlels®gbreusa,com Industrial plant hr miss) 78.10/hr
Inspections forwhichno fee is 90.001lir
COB Lir.; 01158 Electrical Lie.;208174 Suprv.Lie.: 44965 ooificaOylicted(`Abrimin)
Seprv,Electrician signature,required; 1R1CA1 ePLRhf)t:ISS- ;,
/ Sabtofai;
Print name:Joan P Albert Date:a j)i kio C3 Pian Revkw Requited(25%of-penult fee):
State surelrarga(1214 ofpa it fee):
Atuhtrlizedsiga>tture 7
TOTALFER1ti12TFee
Print mune: Bill Daniels- This
per t application expires(ifs permit is eat abtaivad',Wills tan
Date: , 'act lea days after it bas been accepted es complete
- , — • frumps(ofiaspeeiloes allotaed pespennit...
1.42it taaglPermi MIC.:PwskApp 8LRfH4E.dac RosAssn/401S... Asa,61STftLfiWC0/SAvsS
F,
0
� 2ie
`,.',13 �
Plumbing Permit Applicationt''! Sd 1 �
Building Fixtures
NOV 3 2016 1: P No$ 7 / -.00_5"7/
N, City of Tigard Date/By:.
13125 SW Hall Blvd.,Tigard,OR 97223, Pian Review Ot6aPumit No::
a f
503.7182439 Fax: 503598 1�6(! f
4 A Re dpd3T June is See Page 2 far
Inspection Line: 503.63.gov a
tilt
s1 1 1 p .t;� �i 9 ��puuuvmGt� $q iiRferOtaKail
Internet: RM1VW ng:: 14:gOY ,�i 4 v j.:vi 2*4 L' - ai dA,C -,:-.7_`..z.`; - g ,4,,
. � � ' For rotor we the Total
►:4 New construction ❑Demolition Descrit>tiac Qty
❑AAddition/alteration/replacAddition/alteratioAddition/alteration/replacementplarxmgent0
Other: New 1-2-family
ily dwelings(Maludes 100 ft.for each utility
connection)
:Y-1:-. ay . c �f.;",, I ''-C ' °-' _SFR(1)bath 312.70
SFR(2)bath 437.78
C.1 1-and 2•far my dwelling ■ CommecciaVwdnstnat SFR(3)bath 1 500.32
a Accessory building ❑Multi-family Each additional bath/kitchen 25.02
0 Other Fire spiinlder(__sq.ft.) Page2
0 Master builder Site utilities:
r � �. � i' ° /t�t'.1.� _� .'�� Catch basin or area dram 1 B.76
Job site address: j 72 j S- S W l)r t'� Catch b sin or line,or teach drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Stiitdb]dgJalrt.:no.: I Project name:Northwest]Liver Terrace Manufactured
home utilities 50.03
Manholes 18.76
.
Cross street/directions to job site: Rain drain connector 18.76
Sanitary sewer(no.linear ft.: J Page 2
Storm sewer(no.linear ft.:_„_,, Page 2
Water service(no.linear fL:__) Page 2
L4$ Fixture or item:
Subdivision:Northwest River Terrrace I Lot no.: gaekllow preventer 31.27
Tax map/parcel no.: Backwater valve
12_51
�� °. ---,-may• ' °;: fi , -1-#.1; i . Clothes washer
25.02 at/RIC/At( n
t(. C 1 Or, nls!masher 25.02
Drinking fountain 25.02
Fectors/sumP 25.02
r:fe-" v��.- * f a. ` +€: :iyFn ; rl S +. M . z Ejsio1ntank "
1251
Name:ADVLLand Hndtgs,LLC Fixture/sewercap25 02
Floor drain/floor sink/hub 25.02
Address:7600 E Doubletree RsuGarbage disposal 25.02
ch Road 25.02
Hose bib
City/StaWZIP::Scottsdale,AZ 85258 12.512
Fax ( ) Ice maker
Phone (602)694-4031 � �' ? tgr/grease/n11 25.02
Page
�.�� ``-.€rtE &: r�=� «�-�::v1..... €?A
Medical gas(YSlnB:$ )
Business name;William Lyon Homes,Inc
Primed 12.51
Contact name:Angela Grajewslu
Roofdraiu(commercial) 12.51
Sinkhmsinllav�y 25.02
Addt 109 Fast 13th Street 62.54
Solar units(potable water)
Cnj:/State/Z1P:Vancouver',WA 98660 Tub/showerJshowerpun 12.51
Phone:(360)695-7700 I Fax (360)693-4442
-�' ;ra '''•. . �. ±: UWrUrinalE1f
eB
25.02
E-mat.Aagev.'ntl�ki@polygonhomes.com � Water closet 25.02
n � N�- t,:.'..�6m 1+,i�,�t�.. T� �ea„ter «,� 37.52
Business name: ij
k . s.tt',Sws Yv � _ waterpipiug/DWV 56.29
25.02
other
Address:.; P.o.; .$-E °'(�
.7 - Subtotal
City/State/LW: 5r. e4944 cm. q i(.3 e - M Pamir fee:-$72.50
total P=(11{ .'�Q"1+ 7'"�.111° Plan review (25%of permit ftp)
Phe (SDI r�SG�- f'�E'"� I �:
Plumbing tic.no. km State surcharge(12%of permit fee) _
CCB LJc: ��� TOTAL PF.RD+ftT FEE
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City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
M
BuildingPermit #: /7,-ST- 67.76, — 9t 5 7 P
Site Address: i12--SS S\\/ Orowitteri woe.
Project Name: - Ver �� ot- v•/.eS4- Lot #: 45
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: rJC'.4 ,
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ No E, Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
Three(3)copies of site plan existing structures on site
,:i\ite plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished
. 0 rawn to scale(standard architect or engineer scale) floor elevations
, forth arrow 'l.Utility locations(required for new,may apply for additions)
ite address,project or subdivision name and lot number Otocation of wells/septic systems
,Applicant information(name and phone number) �- fisting trees to be retained with drip line,and tree
iNf of dimensions and building setback dimensions ��"" ]]--afrotection measures
Blot area,building coverage area,percentage of coverage and 1' reet tree size,type and location
impervious area(applicable if R-7,R-12,R-25&R-40) treet names
Property corner elevations(2 foot contour lines if more than
4 foot differential)
XClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified V. No Received: E Yes E No
N.Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified I. No Applied For: E Yes ❑ No,stop intake
12(Land Use Case#: = D(2 Q1S-- C3
'XLZoning: Vim' II.. cp D
❑ Required Setbacks: Front Z Rear 0 Side 31 Street Side With- Garage
Landscape Requirement: '
Lot Coverage Maximum:
Building Height: Maximum Height pi A- Actual Height ±24
'Z' Visual Clearance
•re asements
,Sensitive Lands: ❑ Yes No Type
Urban Forestry Plan
tg Conditions "Met"prior to issuance of building permit
Notes: Cver�,IGt lt1(NLS shmi1 MO- pnDr tt% t& CtV1CL
Approved By Planning: AIL- d'� Date: l 1 e . K e
Revisions (after Building Submi II only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_RES_091216.docx
4
Building Permit Submittal
Original Submittal Date: e /fv
Site Plans: #
Building Plans: #
Building Permit#: E Enter building permit#above.
Workflow Routing: Ek Planning Q'Engineering •a Permit Coordinator H uilding
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: Er Engineering: (1)copy of permit application,(1).site plan, (1) building plan and
original plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ,�
By Permit Technician: � /"I f i- --C—____... Date: /,.Z/ ?//ic:,
Engineering Review
jLf Slope at building pad: _,...,4
--- -❑ Conditions "Met"prior to issuance of building permit ,fd , J
❑ Easements (encroachments)per engineering conditions of approval and plat
Water Quality/Quantity Facility:
zEr
Assess Water Quality Fee in lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
❑ NOT A A.prov-d b Engineering: Date:
Notes: a: % r_ _.„.-
Approved by Engineering: "e1L7-0' .
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 RECEIVED
❑ Conditions "Met"prior to issuance of building permit ,
/EB 0 3 %.U1E__._ __
Approved,NOT Released: ,
UCISY (7)t ,ii,.4Aft�._
Notes. l o6NG ;Div,. :IoN
Revisions (after Building Submittal only) •
�<) } �"� ""E" S C
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant: - )C f G`f
(eSDC Fees Entered: Wash Co Trans Dev Tax: es - _,
Tigard Trans SDC: Yes
Parks SDC: �f'Yes
KOOK K to Issue Permit
Approved by Permit Coordinator: Date: 1,16 3'7/
I:\Building\Forms\B1dgPennitRvw_RES 091216.docx
City of Tigard
.4 COMMUNITY DEVELOPMENT DEPARTMENT
1
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: /`7S jam,(d - NQS i 1
Site Address: 11-2.9)5 &NI 61 raY% tin tet g-
Project Name: give, Teatke Noittnww ' Lot #: LAS
(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 Gabled dormer
ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide
❑ ❑ ❑ ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: 31-Colo
3. Entrances:At least one entrance must meet both of the following standards:
„ CMax. 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: 5 sq.ft. min.
,XOne street facing entry12 ft.max.roof above floor of porch
15-5 ft. depth min. X30%min.porch roof coverage
4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades:
X Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep
❑ Wall offset min. 16 inches ❑ Dormer min.4 ft.wide
,Roof eave min. 12 inch projection Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood Gable,hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide
❑ Accent siding min. 40%of street façade ❑ 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 façade
5. Garages and Carports:May face the front or side lot line on a corner lot. 1' f/�_ r r.e k(��
Setbacks: /1'�
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.
❑ 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
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one) N l..f.A. 1FACt.c otiel
❑ 12-foot-wide garage door ❑ 40%max. of street façade
❑ 50%max. of street façade with 7 detailed design elements
Notes:
Approved By Planning: / Date: 1(.o'
I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17285 SW GRANITA LN, SHERWOOD, OR, August 23, 2017 at 11 :24:27
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00578
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS
Comments:
Water pressure = 45 psi
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17285 SW GRANITA LN, SHERWOOD, OR, August 23, 2017 at 11 :24:59
97140 AM
Record Type: Record ID:
Residential - Master Permit MST2016-00578
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor