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Permit 1,1to CITY OF TIGARD MASTER PERMIT 2 : COMMUNITY DEVELOPMENT Permit#: MST2016-00166 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC05300 Jurisdiction: Tigard Site address: 13675 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: 53 Project: Polygon at West River Terrace, Lot 53 Project Description: New SF 3/9/3017: REPRINT to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $232,551.24 Rear: 0 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 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]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: king- 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) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,744.37 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'AR 952-181-00'i. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. IIIIIL' 4411",/ Issued By: Permittee Signature: c� 1,7)4:/�' �7c2� 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. Mechanical Permit Application ii, ,F ! ° rt)l2 til l N. l `l till 1 City o-,v, Beehive. . ... /,► ie N. / ,etv .. IN of Tigard A t sy: „viAi r 13125 SW Nall Blvd.,Tigard,OK 97223 i.1,-,R [di-, Delict permit. ,Pherne: 503.718.2439 Fax: 503.598.1960 See Patel tar inspection Line: 503.639.4175 s r t ' `'a Raedy4i3Y= liM it See atelented far Interact: www.tigard-ar goy # , 10 `j...f ''''''.;,'T: _.',i Lr.7 ciA ,• r'17.:.°; ,7r-Fa',yr4 P;i,• 'a ',"*. t.. .ai w`.,--.k,_C_,....,..,,,,.,'63 > &,-c.ft- - 3 W.,-- .,.,V.L:'•"..""`s.:5s....r` .mookoolcal permit ken* are based on the value Af the�work ®Nov construction 0 Addition/alteration/replacement performed..Indicate the value(rounded to the nearest dollar)of all mechanical matetmis equipment•labor.overhead,and profit, 0 Demolition 0 OtherValue.S � ,Jf2 w Y e+tt rz P&1 ;:C) fiQ k it �ti W. F`�y ri?fi 9"'-5. .....- r,.7/''*..a-M"tl Chi rt tee FrR Ff,,."s •i,t/f't ts'.'.'7Y. ,.� a-,� .-"�f�'-_`r_5,.r ''�.I�.i'u"i(; .+.,:x...... .., ."�:a{'t{ &�.uca: �.^ '1. ., . ' 13A.6u .u�,.w.. _ K1•and 2=family dwelling Q Commercial/industrial (J Accessory building Fur spews' t WormatIon nseote kttst Multi.family 0 Master builder 0 Outer• Description 1 Qty. I 8a, I Total 13eatlaPJcoar'mr: -. be ty 7:{, r-A ti+a`t a. to x try r a ,y 46.75 nwYe iS u". �Le ..c�&.`c�..a..�.� •z1,�'ad.,:k^»��(ti(,�s.��u:�.__,,._...s._..t, ?.��.�,' .,.... .Atfi•COndlt{onitltd. Job site address:../?&$J J 514 /IL F ► r J Furnace 100.100 BTU(dnetrAnmsl 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ckretsivents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:P yd3t*\,*w 1-p\earT.err Ductwork 23.32 tiydronic hot water system 23.32 Cross surecUdircclioas to job site: Residential boiler(radiator or hydropic) 23.32 Unit Maters(fuel-type,not electric), ..i41j in-wall,in-duct,suspended.etc. 46.75 Fluefvenl for any of above 23.32 �� 23.32 ''') Subdivision:P011.11011 q,�{- �{- (26IzrT rrac e.• I Lot no.:5 Other fuel appliances* 1 aK map/parcel no Water healer 23.32 � iV ` �ah p e'tia t<c-. °' ,--• fi••` . ;r - ,pas rita0ae used .1.4„i ,,,__ :..,: ._. �:,",*,, „�.,..c_-_�.�:4::5� . _. .4 •�. .t= ;'�.,_.�-.e.,t nue vent farwider hcateotos /! ~ A/C .9-7 Lj/ .Q(S r,e _ f9ace Loa lighter(gas) 33.39 23.32 23.32 N b�1, " bdtw Wood/pellet stove 33.39 Wood Emplace:insert 23.32 ee Chimrteyfline lneivent 2132 kx� Other 23.32 r- � i;,-.2_",...: )G :R @c ^.0`� ?r""h e.,-;:v.,,,,,�,,,,, rye+..is yk'r A,t, , N.,.,,,,„1 -,t,,-�= ..._m. <•r, _�..,, , .a_-,,,,,I._:-.1,-...S a. �;scr .r_, Enyirvnmeuto exhaust And ventilation: Name:Polygon.WI.ss LLC Range hood/other kitchen equipment 33.39 !\t1ilress:149 East 13°'Street t Clothes tinter exhaust 33.39 Single-dace e,,xhaust(b*Ihrooms. City/State/ZIP:Vancouver,WA 90664 Itaiiu t ompatlrmcins,utility rooms) 23.32 Phone;{360 195-7 Fax:( ) Aftieferawispnee fans 23.32 , 2132 ' •...:..-5.. - :;x t . . a.:H -w ._.d....+---,4 r ::-,-1, •:-- .-i. ti:4r `iI,,,;: 3. Other: Business name:I'btygbn 13'L 11,LLC $14:13 for Cast four,0.03 for eseb edditlneul Contact name:Angela Grsjewski ' Furnace.etc. Gas heal pump Address:109 East tilde Street Wapfsusnendcdtuoit heater CitylStateJZiP:Vancouver,WA 98660 l Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:AelgiIa CrxjesysltG jpolygonhomcs coin Barbecue < r w a ' '.r Clothes tllYer(gas) Business naiiic Apex Mr LLC O,:--,-,•,=-77.',77":'',"-'-.7"•:"--:','" 'r;-v .�rt w,ri 5 ? �' Address:18004 NE 7354 Ave Subtotal _ Minimum permit foe($90.00) CitylSiate2(P Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(3601342-$109 I Fax:(360)326-1769 ( State stn charge(12%of perretit let J[ TOTAI,PERMIT FEE CCB lie.:203034 This permitappticatioa sapires Ka permit is not obtained within 180 days slterIt has been accepted*komplett. mplett. Authorized signal s Fee methodology set by Tri-County Building industry Service Board _ Print name. • 1 Ie1. ''j 1 Dale: 4.141.14. I 1ianni roNnaletanx_nemitapp Mot 13.dna 440-4617r(4ifttliCOW5Re8) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13675 SW 172ND AVE, SHERWOOD, OR, 97140 March 22, 2017 at 11 :50:28 AM Record Type: Record ID: Residential - Master Permit MST2016-00166 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Wrong address posted on house. Provide correct address for inspections. R319.1 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13675 SW 172ND AVE, SHERWOOD, OR, 97140 March 22, 2017 at 11 :48:53 AM Record Type: Record ID: Residential - Master Permit MST2016-00166 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide correct address on site for inspections. R319.1 Address on site posted as 13765, correct address on permit is 13675. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13675 SW 172ND AVE, SHERWOOD, OR, 97140 March 23, 2017 at 12:13:34 PM Record Type: Record ID: Residential - Master Permit MST2016-00166 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: AC whip not installed. Not ready for inspection, work not complete. No inspection done at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13675 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00166 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Whip for AC not installed. Range not working, Gas not turned on to range? Not ready for inspection, work not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13675 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00166 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13675 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00166 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor f City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ T �, R I) Building Permit Review — Residential Building Permit #: 7 ?4/(v -- fo/(o Co Site Address: . 3 61 5 SW 1-'2 n aL ca v-L c Project Name: PO( V n U1- West- (64 -r t er�rz (,,�. Lot #: 53 ' (New d vehung=subdivision name;Addition or Alteration=last name of owner) Planning Review _ Proposal: Ke,� S FR- jile Verify site address/suite#exists and active in permit system. 7 River Terrace Neighborhood: ❑ No /3 Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan fisting structures on site /Site plan must he on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished prawn to scale(standard architect or engineer scale) floor elevations .North arrow . Utility locations(required for new,may apply for additions) Ate address,project or subdivision name and lot number . cation of wells/septic systems Applicant information(name and phone number) /Erosion control(including drainage-way protection,silt fence , �f2 t dimensions and building setback dimensions design,location of catch basin,etc.) t area,building coverage area,percentage of coverage and Street names pervious area(applicable if R-7,R-12,R-25&R-40) /Street tree size,type and location lit Property corner elevations(2 foot contour lines if more than -listing trees to be retained with drip line,and tree 4 foot differential) protection measures yClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): ' Required: 0 Yes,applicant was notified 0 No Received: ❑ Yes ❑ No / Public Facilities Improvement(PFI)Permit: Required: 0 Yes,applicant was notified 0 No Applied For: A Yes 0 No,stop intake F.1 Land Use Case#: f DR 2 015 000041 , Su£ '2.o S 00 00 b 4zoning: All Setbacks: Front ( -Z Rear _ 0 Side ir:2 Street Side $ Garage 3 Eli Landscape Requirement: 20 % 2.11 Lot Coverage Maximum: n /Building Height: Maximum Height .......--- Actual Height Visual Clearance Easements Sensitive Lands: 0 Yes ?No Type gUrban Forestry Plan j2'Conditions"Met"prior to issuance of building permit Notes: 90,114U-hogs • v he. MZ. p /ID r ' t.S kvtt OCA. V(r- iv �f.l Sti')" K,srm;t3 Approved By Planning: Al a it(1 6 t t a c/S- Date: 4/ ►3 I )kC Revisions (after Byilding Submittal only) Reviewer Date Revision 1: Approved 0 Not Approved j Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_012116.docx r Building Permit Submittal Original Submittal Date: 03`/P Site Plans: # Building Plans: # Building Permit#: G Entcr building permit#above. � � Workflow Routing. ©-Planning l Engineering Permit Coordinator L�Building Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: [ 'Engineering: (1)copy of permit application, (1)site plan, (1)building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 4:72-9//,E, Engineering Review Slope at building pad: �T ❑ Conditions"Met"prior to issuance of building permit Eliv ❑ asements (encroachments)per engineering conditions of approval and plat ❑ ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes No Assess Water Quantity Fee in lieu: 0 Yes No LIDA Facility on lot: 0 Yes 0 No O NOT Approv b Engineering: z I Date: No • x•, o r- 4 •W d ic- -7�'-� - � Y ����! Approved by Engineering: FIL 27 Date: �" /G AN-.27-4' Revisions(after B lding Submittal only) Reviewer J Date Revision 1: Approved ❑ Not Approved 1.-/i. ejl7 Q� Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit (/1 Approved,NOT Released: d, Q_" • „, , Date: S-LI -1 C. Notes: �l lco Co nA-:Ai 0”) Nui + - iv.. • 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: lir SDC Fees Entered: Wash Co Trans Dev Tax: M Yes 0 N/A Tigard Trans SDC: P Yes 0 N/A Parks SDC: W. Yes 0 N/A K to Issue Permit ppr d by Permit Coordinator: Date: 9A-?// , 1:\Building\Forms\BldgPermitRvw_RES_O12116.docx `0/a //�j f A 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ TI c n R n River Terrace Building Permit Review Addendum Building Permit #: A/.57.70/6 DO/(o 6 Site Address: 13 0 S , v`f i72 hat (A, Project Name: Pot.� o n i1+ VYei I- tV er -Fecal L .. Lot #: 5_? (New dwfng=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?,Yes ❑ No 1 ticulation:a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional ment required for lots with over 60 ft. of street frontage shall be provided every 30 ft. IV/ A' Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min.5 ft.deep Gabled dormer ft. deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide ❑ 0 0 0 0 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: II, 1 3.Entrances:At least one entrance must meet both of the following standards: r / f arallel to street,angle no more than 45° from street, /v1ax.8 ft. setback from longest street- facing wall ,{ or open onto porch Entrance opens to a porch: Yes ❑No If res,all the following apply: 25 sq.ft.min. If street facing entry )212 ft.max. roof above floor of porch • 5 ft.depth min. A-30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min.of five oft e following elements on all street-facing facades: 71 overed porch min. 5 ft.wide x 5 ft. deep of entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches 0 Dormer min.4 ft.wide /Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. 0 Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide Accent siding min.40%of street facade Window trim min.2 1/2"wide by 5/8"deep ❑ Window recess min.3 inches for all street facing 0 Bay window min.5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35%or less of street facade 5.Garages and Carports:May face the front or side lot line on a corner lot. c _- J j Q u.ka Seth cks: No oser to front or side lot line,than longest street-facing wall. CI Yes ❑ No. If No (Check one): ❑ ay 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. eWi : (Check one) 12-foot-wide garage door 50%max.of street facade with 7 detailed design elements 0 40%max.of street facade Notes: /� Approved By Planning: /hvo, 61)c9 slim-A,- Date: 4/ (5 / I co 1W3uilding\Porms\BidgPermitRvu RES RT_03]416.doex yr FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 71 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED OCT 262016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVIS O(� PHONE: 971-212-2144 By. RE: 13675 SW 172nd Ave MST2016-00166 (Site Address) (Permit Number) Polygon at West River Terrace Lots 53 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: °e s iption: t'y,;? - ... Copies: D+eserip1 .. 0 Additional set(s) of plans. 3 Revisions: flip plan on lot 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. /v2 2 /2( !" h F OA OFFICEUSE ONLY Routed to Permit Technician: Date: ) )- 2 - j ,( Initials: Fees Due: V. Yes ❑No Fee Description: Amount ue: a ,: & 0 '.40,` `: $ Special Instructions: Reprint Permit(per PE): n Yeso [1] Done Applicant Notified:/971/61—&-- Date: II/V/4,R//� // Initials: ,<G I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ►� , Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Angela Grajewski OCT 2 6 2016 CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVIS Of?1,�, PHONE: 971-212-2144 I By RE: 113675 SW 172nd Ave MST2016-00166 (Site Address) (Permit Number) Polygon at West River Terrace Lots 53 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: flip plan on lot 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other (explain): REMARKS: Please pay fees owed with Trust Account. FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012