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Permit (23) CITY OF TIGARD m MASTER PERMIT t - 2 COMMUNITY DEVELOPMENT Permit#: MST2016-00598 ger d�� TIGrAR:D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/20/2017 Parcel: 2S106DB00600 Jurisdiction: Tigard Site address: 13555 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 6 Project: River Terrace Northwest, Lot 6 Project Description: New SF. 5/4/2017: REPRINT permit to correct the number of lays to(4). 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 Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $232,913.89 Rear: 3 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 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 Tvaes Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodatoves: 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: 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 Fire Rated Eave both sides STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,284.55 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 thro • 04:952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 17 Issued By: 41`. ' Permittee Signature: �� {// �L./e'7-;-7e"v 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. CITY OF TIGARD MASTER PERMIT q COMMUNITY DEVELOPMENT Permit#: MST2016 00598 Date Issued: 03/20/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB00600 Jurisdiction: Tigard Site address: 13555 SW CALABASH TER Subdivision: RIVER TERRACE NORTHWEST Lot: 6 Project: River Terrace Northwest, Lot 6 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: $232,913.89 Rear: 3 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 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]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 Otttr: hi o — OtherDescription: -- - 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 Fire Rated Eave both sides STE 1 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $31,284.55 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Ye" -C---__ Permittee Signature: Orj /a4/C177c' 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. 10 . Building Permit Application L 0 T CA , ResidentialRECEIVED FOR OFFICE USE ONLY City of Tigard Received 4� {�// �j r rt�t i DateBy: /'�-�j��O 15•y 'ermit No'.!,J�'�f�4a`'(E 4'�4/l lki 'I 13125 SW Hall Blvd.,Tigard,OR 97223 S h P 1 2016 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 i- �-// Date/By: Other Permit //C."-00- Inspection Line: 503.639.41 75 Juris: H See Page 2 for CITY ¢ � �Notified/Method:- (0 /2 Supplemental Info rmationInternet: www.tigard-or.gov BUILDING s,twi i., ff a '- sy. � ,a,r o *o "r..t'tio a a."�`-'' `kr'`3 z``, #^ K'�a" ' `�. +a, "� 'X: .. ria..G- T g'LL, `zv o g.� ,':�k.a4 ., ._?r:...4„` _,4,......s=`., r `.;. .:...' -�?,.. :?, .41#_r o p«.:�r-_ `4„404.: :.c. N4-4,:rr� , �•; ;:w.Y. �...''4� 47.,_.„' ®New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the Tytrro r tw ��-��„ ,,,,� � �� '€1t'1�'A�� g ,� aM,£--�� work indicated on this application. f�.,ttkiVta -� fra,a it -•=i.«. tom, .ic. 4.II("1<(l T 1. ^.�a," : 4ffe .tt a? ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: Li i ❑Master builder ❑Other: Number of bathrooms: 3 r R �8j Ar1l {j Total number of floors: 2 c�.O19 S Job site address: 13 555 5 W 1 G O, CV) I e ry o('p New dwelling area: I (Pj 3 square feet City/State/ZIP:Tigard,OR 97224 ��w+ �I 1 "`"� Garage/carport area: 4 i square feet Suite/bldg./apt.no.: Project name:River Terrace Northwest Covered porch area: `" "j square feet'0 if 9 Cross street/directions to job site: Deck area: J $�^square feet $0 q Other structure area: square feet , Subdivision:River Terrace Northwest I Lot no.:Lp 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 � Z4t tagrigatairfer f #RVW work indicated on thisapplicationr�tea , 4. 14,4 . **4 774" ..,.�. � _. ,i. Valuation: $ Existing building area: square feet New building area: square feet Y'-. r a -] � ma,'v:-�.`•A`L`€`r AttAiLigs:xtt - {1Ef �S'h,,P s �-, 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: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: iiiE-mail:Angela.Grajewski@polygonhomes.com r t ;Jr t _ . l ... " c Commercial and residential prescriptive installation of e..- _ :r _.._ .L-�. �V24. � 4t�, ,1AV. 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:c.....441 $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: �',�' Service Board. Suilding\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit ApplicalW IVFn FOR OFFIce l SE O\LI City of Tigard Received _ 7� / �� DatelBy: Permit No s7-71 /6 "01157,7" 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 2 0 6 _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T 1 G R D Inspection Line: 503.639.4175 -�- Date Ready/By. Juris: ® See Page 2 for Internet: www.ti and-or. ov �+�� Ca ,1- g g NotiSed/Method: Supplemental Information BUILDINIG I-V/15-710N ®New constructionMechanical permit fees*are based on the value of the work 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. Total Air conditioning 46.75 Job site address: I \A 1 a & ' V r'Qce__ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJapt.no.: I Project name:River Terrace Northwest Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above ( 23.32 Subdivision:River Terrace Northwest I Lot no.:U Other. 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplace/insert 33.39 Flue vent for water heater or gas new home construction fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 �� ; Other 23.32 - Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen — equipment 1 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust ( 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax: :: , , Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Fireplace Phone:(360)695-7700 Fax::(360)693-4442 Fp Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue E ,_� _ � a a a Clothes dryer(gas) Business name:Andersen Mechanical,Inc. Other - Address:16285 SW 85d'Ave Subtotal ' City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)992-6664 Fax:(503)536-6615 State surcharge(12%of permit fee) CCB lie.:168214 TOTAL PERMIT FEE 415,44 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 4 • Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski gDate:8/22/16 I:\Building\Pe,mits\bMEC_PemtitApp_040113.doc 440-4617T(1 I/02/COM/WEB) , RECEIVED Electrical Permit Applicati FOR OFFICE USE ONLY City of Tigard SEP 1 2016 `� Penult 9IS 77.7/-e7/& --t>eSr III - 13125 SW Hall Blvd.,Tigard,OR 97223 Pian Review Phone: 503.718.2439 Fax 503.5 w I` DaWB • Related Permit#: 6 L'" Juiir. Ed See Page 2 for Inspection Line: 503.639.4175 � .� g,� (''� Ready Date/By: TIGARD, Internet wwtv_tigard-Otgov BUILDING 1V1S1`�-- Supplementallnformation [ �) l 3 ... J t Notified/Method U .�., . = .�.5 'F6 ='F ' : + � -. •�r'�s ,�'^ z' � ,`;:.��`n= Ta^i+:Hsa u_*...-. -Nc:.� - iEa...�aS-a .�: .max<r�-.rte'-'r, ®New construction 0 Addition/alteration/replacement ^Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Butwding over three stories. D Demolition 0 Other where the available fault current ❑Marinas and boatyards. _.. .___.�:,: - C qua' F-_ t <-.,b - ' 4#� exceeds 10,000 at 150 volts or CI Floating buildings ®1-and 2-family dwelling 0 Commerciallindustrial 0 Accessory building lass to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations, buildings.• ❑Multi-family 0 Master builder 0 Other ❑Fire pump. ❑Installation of 150 KVA or _ _ _ �=;��'-=="-- _ 0 Emergency system. larger separately derived .,4-..., •^i14., ONY12L•1=111 -c�..... �...-.. -<._. '.c.-....- 'i:...-:��;i�:`.G..,,r�;._�.-.<�::��.. r�..q�,��-.r.�,.-._�.. ,� (tL`ii:s' ''��rv:;;�a.. l OII ,4Jj ""-- ❑Add•ti ofnew motor load of system lob#: 1 Job site address:f 3c55- k/ h T -- ,...,or more. ❑"A;.E, i-2,"1-3^. ❑Six or more residential units. occupancy, City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks. ...--- El Supply voltage for more than Suite/bldg./apt.#: I Project name:f f.// /-Ari ,�// wed ❑ 'rdoIIa locations. ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site ' ` "'"1 Description I Qty. I Sack I Total 'I a.." New residential single-or multi-family dwelling unit. Subdivision: yy,,f�/re/n a. .,, May- upit- I Lot#: `i Includes attached garage. (� `i I,000 sq.ft or less 168.54 4 Tax map/parcel# _ Ea add'1500 sq.ft.or portion 33.92 1 �. •� 4 r "-- 'r�-�iZ�S .._.�. _... -_r-�. -.....SM. �w=... �: tis =: Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft) s ,Yw � T�" w_Renewable Energy ❑ See Page 2 _ Z-, -,40T r - _"z-1-4: t = Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 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 not 200 amps or less 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.08 2 , Owner signature: Date: 401 amps to 599 amps 168.54 2 t; .,-r.,;.._- _ :-�--_ it._ 2=4c Branch circuits-new,alteration,or extension,Per panel ��``- . - . "----'"'- _ .--,,a- --''.�O CI t50 ;Y A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address:109 East 13th Street branch circuit City/State/ZIP:Vancouver,WA 98660 . Miscellaneous(service or feeder not included) Phone:(360)695-7700 . Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela,Grajewsid®polygonhomes.com Reconnect only 67.84 2 iY td!- e -'7_1*.; Pump or irrigation circle 67,84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address:6101 NE St Johns Rd panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:bdaniels®gweusa.com Inspections for which no fee is 90.00/hr CCB Lic.: CI158 I Electrical Lic.: 208174 I Suprv.Lica: 4496S ;P,5 specifically listed CA hr min) .,. .,,,_. - ate= Suprv.Electrician signature,required: Air A- "ij . :-- Subtotal: Print name: Joan P Albert Date: 4/26/2016 a ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): � TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name• Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. * Number of inspections allowed per permit. `:I:\aaildingwerroit.MC PerndtApp MR.ERE.doe Rev 06117/1015 440-4615T111/OS/CONW/EB • Plumbing Permit Application_ Building Fixtures • Received of Tigard 2Ep 1 2016 Permit No % a2c / fc? 13125 SW Ball Blvd.,Tigard,OR 972 ■ hoe: 03.718.2439 Fax503g1gDate/By. u I T ) jrr PlanrRevrew Otho PermitNo.: ii,, 1 ,,II Inspection Line: 503.639.4175 . �ps - r) 1ig,sJi batsReady83y dmia H See Page 2 for Internet www.tigand-or.gor . i`_• I 1 s Noti6eNMethod: 4.hmsntai infamatlon " l?*?New construction I DemolitionDescriptkon Far informs> n wee ch Total NI Addition/alteration/replacement I Other: New I-2-family dwellings(mcludes 100 ft.for each utility connection) . e t 17 FR(1)b I 312.10 , S SFR(2)belt 437.78 t•��v 1 and 2-family dwelling ■Cotnmercial/industrial SFR(3)bath 1 500.32 ®dory building ❑Multi-family Each additional bath/l itchen 25.02 0 Master builder 0 Other: Fire sprinkle'(_sq.ft.) I Page 2 .e v _ ; r $+ €a Ca; l. Site utilities: Job site address: C M SV\I va ShTe/ ar-eh basin or area drain 16.76 Drywelk,leach kine,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Northwest River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear it: ) Page 2 Subdivision:Northwest River Terrrace I Lot no.:i P Fixture or hem: Tax map/parcel no.: `�t' Backflow P 31.27 �� ° : ., Backwater valve t, 12.51 t: othes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 �;S4',4:-7:f. ° ,4,•; on stink 51 12 Fianna/sewer rap25.02 Namet ADPL Land Holdings,LLC . Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 8525$ Bose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ro 4t- Interceptontrease trap 25.02 1�4edicel Pape 2 -- Business name:William Lyon Homes,Inc- - Primer 12.51 Contact name:Angela Grajewskl Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62-54 Phone:(360)695-7700 I Fax.::(360)693-4442 Tiub/ahowet`%shower part 12.51 Urinal 25.02 E-mail Angela.Grajewski®polygonhomes.com 25.02 s a tr W kreatCS 37.52 Business name: 1 k . 1X, 'e'' 4" Water pip ng/DW V 56.29 Address p.6. 6-coc, 01, Other 25.02 City/State/ZIP: ,,5 ; e11 AA Ort, iii3i _ subtotal Phone: 3 B(St' 1'YL t Fax (Gil V".-79.1-t 110 Minimum permit f�2 50 Plan review(25%of i fee) CCB Lie.: ., Plumbing Lie.no State surcharge(12%of permit fee) Authorized signature: s TOTAL PERMIT FEE '" fgt- jv W Date:S.-.3a...1 L'3 Permit app on exptres If a permitis sat obtained within SW days Print name: atter#t has been acted as sempkta. *Fee methodology sot by Tri-County Building industry Service Board. I Buildinee mitsli'Lt ltl4'amitApp.tbc 10/01104 440.44161'(10102ICOMMEa) i ,. City of Tigard 1111 q COMMUNITY DEVELOPMENT DEPARTMENT III T I G A RD Building Permit Review — Residential Building Permit #: /(7S7.2e76,2 -- QQS-rc Site Address: j 0555 v\i' Gebel INIS rl Ier I C- Project Name: 12-1v-e v It- Y(t a Nor`tywveS-f- Lot #: 4.2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: New S{i2- ljd Verify site address/suite#exists and active in permit system. IA' River Terrace Neighborhood: ❑ No Igt Yes,See River Terrace Review Addendum Attached Site Plan Elements: ,►' ree(3)copies of site plan 46kxisting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper ,,Footprint of new structure(including decks)with finished ;brawn to scale(standard architect or engineer scale) floor elevations . North arrow ,Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot numberocation of wells/septic systems .$Applicant information(name and phone number) xtsting trees to be retained with drip line,and tree �'= of dimensions and building setback dimensions ,�// rotection measures et area,building coverage area,percentage of coverage and M�keet 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) .P:Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: IX Yes,applicant was notified ❑ No Received: ❑ Yes E No *P Public Facilities Improvement(PFI)Permit: Required: 0, Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: P912-21 6-J1 it uS Zoning: (C-i 2(p'D1 Required Setbacks: ront J Z Rear 3 Side .31 Street Side O'\ Garage ?I Landscape Requirement: 14 Lot Coverage Maximum: % Building Height: Maximum Height N/.1).5- Actual Height VI Visual Clearance 4 Easements Sensitive Lands: °,<Yes ❑ No Type ,,LV\) Vikk(A , het t91 tLf .)K Urban Forestry Plan XConditions "Met"prior to issuance of building permit Notes: f'('j 1(.i?1^✓y(flYIS ,S'lrlii l I le, j'YlP Ipl c r . c 1 S .1,iri VV.-4 Approved By Planning: Ir el A / f Date: Q._ Si I(p Revisions (after Building Submitta le nly) 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 it .. Building Permit Submittal Original Submittal Date: 9//4 Site Plans: # 1 Building Plans: # _� Building Permit#: [''Enter building permit#above. Workflow Routing: ['Planning Er Engineering g--Permit Coordinator L9-'Building Workflow Sign-off: E'Sign-off for Planning(include notes from planning review) Route Application Documents: E'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: /� y//k, VISIMIN Engineering Review -Er Slope at building pad: / .. Conditions "Met"prior to issuance of building permitTe 0.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: L J Date: /2. ..:)-,-/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit /� proved,NOT Released: )��`11)ate: //3 d Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revison Notice 2: Date Sent to Applicant: Revison Notice 3: Date Sent to Applicant: roc Fees Entered: Wash Co Trans Dev Tax: es 0 N/A Tigard Trans SDC: ,! es 0 N/A Parks SDC: / Yes 0 N/A OK to Issue Permit Approved by Permit Coordinator: Date: Jl iLi I:\Building\Forms\BldgPermitRvw_RES_091216.docx 1, City of Tigard 11111 COMMUNITY DEVELOPMENT DEPARTMENT I T 1 c A RD River Terrace Building Permit Review Addendum lessamommmum Building Permit #: i`1_5j 0/ , — 0.-5-7-. Site Address: 1. ..)55 sV C11c&Vx1Sin Tem G.A ce Project Name: Rives jeirrac( NUt mect Lot #: (S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distfict 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 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: 2-q1 v 3. Entrances:At least one entrance must meet both of the following standards: =EL-Parallel to street,angle no more than 45° from street, ,Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: linCes ❑ No If yes,all the following apply: 25 sq.ft.min. . One street facing entry .....V.12 ft.max.roof above floor of porch . .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: Covered porch min. 5 ft.wide x 5 ft. deep _kecessed entry area min. 5 ft.wide x 2 ft. deep X7all offset min. 16 inches ❑ Dormer min. 4 ft.wide oof eave min. 12 inch projectionIS 'Ioof offset min. of 2 ft. J Bnof z1-tinglr3 CtthPr tyle or-wood --- C;nhly hip nr gnmhrel rnnf design - ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide El Accent siding min. 40%of street facade _2 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 El 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. El 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) El 12-foot-wide garage door ❑ 40%max. of street facade '50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: 1-21151)(,) I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx . ilrivilivfl Mechanical Permit ApplicatWA,,L1 7 "UN FOR OFFICE USE ONLY City of Tigard Received ..-. tuiany: r r /7 lPermit NV-Zs 3320/ ...c 6 , ill . 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 1. 5 2017 J. L.) fry Plan Rtview 5 a Phone: 503.718,2439 Fax $03.59g,i960 Datelliv: Other'Pk:mil:. ' hnis Fa. Sef Page 2 for inspection Line: 503.639.4175 T.,.-,m,. crn.iofil)GAR.D Daie Ready.,By Internet: www,lieard-or.gov t•totifitaiNtertiod: I Su pplemrnial En furntation BUILDING DIVISIW::4 ----- , , '''-'-':''''''''-''''''''':'7''''-'':'"'''':7'''•'I':''''''''''-;.':''''''''4''" ':':-lit'''oPVVIiftik.•::!:L7,?:,-7,I:,,•,7:-:: -.,:7-f.2.::Z::r-i: :i!< ts-,--.. ,-:: .'PW'.4T.,gcl4W1rEP=':ScfPiPtI.P. --3/SP.Pf!c7,04..S1:., Mechanical permit fees*are based on the value of the work El New construction 0 Addition/alteration/replacement pcIfturned.Indicate the value(rounded to the nearest&Mart of all 0 Demolition 0 Other: mechanical materials.cuuipment„labor,overhead,anti profit, _ -... „ . . .. ......... _ .. .„.... . _. .. . . ,, - • ' Value-;S '-----:: '--•-•---...--:-.- ,CATEGOitVtit.:CONglitiletititirc:_:,,';77-cf,,,:,;:,:-3-::,-1,,,..--'--7.:j;- z', .,.=_ .. -.-. -. -..-- ---.-.- ,-,_ .,...,,-,...,r. •-•-, ,, _,. --,--,-,....-,,,-----,.,.....,_•-,-...,--_,,-..—..„..--...„,--,-,_.-,._,,.,-_, ,. -,._ , , ..._. .. 0,I_and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal information use checklist MU Iti-fionity 0 Master builder 0 Other: Description Qty, Ea. Total . ••••:',''''''''''''''''''''' '''''a-401V,S171K-ANFOtildAIION:AN)IIOC41108,:',,.----;,.---:-.--•:•,„,----,,,---,-.j--- I I 46.75 Job site address: /3555 il././ CMck,basf4 Terra z40 Furnace 100,000 Bit)(doci&iveni.,) _ 1 46.75 City/State/ZIP:Tigard,OR 97224 j,umnace 100.000+BTU i ducts/veto) , 54.91 — Ileat pump 61,06 Suite/bldg./apt.no.: Project name: ' qe,y-7e_.x.racc,,Oorit1iNuics4--- thIct work 23,32 Cross streetidirections to job site: Ilvdronie hot water Astern 23,32 Residential boiler(radiator or hydronie) 23,32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended,etc. 46.75 Flue/vent for any of above I 23.32 _______ Other- 13,3, Subdivision: -2Qx- L e_x\re_kce, it, c.,g-k-v\,_‘,...,z,s 4.__ _ Lot no.: i9 _....., Other Nei appliances: Tax map/parcel no,: Water beater 23.32 ,_ . .. _ ....,_ .. :.,::...'..',,•1:1-,--, :::',I:,:-. .r.=„7:--i.f.:_,:7Catriliatt•,=.00., ,Wt.klittX.,,,1 -.j . . ,:_--,::;:.?,;-_•:--:,:_,1::?.„ (las fireplace/frail 1 33.39 ...._ ' * '' Floe vent for waterheater Or gas (7-- Coqiyar-ITA7 C.ha.ri(_1(.. , fireplace 23.32 A , Log lighter(gas) _ 23.32 MST2,01.(0-0.° e) - - _ ..... Wood/Nile!stove 33.39 ' Wood fireplace/insert 23.32 Chintrit.11incrillueivent 23,32 :' ma'.::-..•-... ..---....-' . .- -...-.:: - .-- - '.-,-- ' .----- -:- - - -- - --- ,- - --:. -,, '' Other: 21.12 .'=:-.: -',':- r'.•T!-'1-41',rit40..r4.4„Lx.-41wN.E.It .'::':...'.Fj_:'.-',.!'::--,' .-::::::-.,,i'l'f'..:':.'':.i-::•7,.0.4T.EINANT.?..;.-77,-.'' .'",:7.7; - -' ' ---- - ------"-:-- --- ' -- -'----'' - -'--''----'--"-- .-••- -' --- ''''''' '-'' - ----.- --. Environmental tvhstist and,yentilation: . Name:.h. , '-Range hoodlother kitchen equtpment1 , 33.39 Address:-1topp ,..E, Dcuaotr ANs---ee (2--45)c-v-N. '-2--oct,--t , Clothes dryer exhaust I 33.39 City/StutealP co-Irli-s•ciza °(:) e)cS1.Slat , single-duct exhaust(hathromns, toilet emapterments.utility rooms) Li- 23.32 Phone. L002-trmq_Li -2 Fax:( ) Artic/crawlspace fans 23.32 -. . ... • ., _ 'or „,,,. ..f.--_-1 1r- , . .,...., : , , . _ ....... , - ''''AirPLICA141-'•';':';';:::''''':-..=:'---...'-''''''-t-t'CONTACT rtit..SVNi'•:-.::,',:'-:,'' Other; 23.32 Fuel piping: Business name:Polygon 33-1.31,LLC 514.15 for first four;54,03 tor each additional, Contact name'. &it-hde '4 i AMA' _ _Pomace.etc.ops hem pump . t... Addresin32.)r( L)-..r-Lx st u.)1e-.c1,0 , Wallisuspendannit heater CitylState/ZIP.Vancouver!WA 98660 ---- ----, Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1 - Range 1 , 1nal 1 ' ' t. NI(.._.killQ,171/Aorvel polLicrxiocrin ,s,,c_(--4t,n zi-'::::::::-:-,-,':-,: -. .,-..;,,::::,•=i,..727.--, ',,#(t'ivat-,i;,-.::,.-.-i,,,i.i.,:::it=4iffAi...-,::::-.45.:,;:,:ii,,:.:.:-4Zk -.--.::.;;,-.,:i.-± (iothodryv'(gas) Business name:Apex Air LIC Other: _, __ .•_. ,..,., -r±,:•-,;',-,;,-;1.:2,--,, ..--:_-;:-...,•,:,Alrfttii***t*„.i,4**.grinS*:.7,:•:-:',.'_-.1 :-',.:-:,,,,•_,:',.: Address:18004 NE 72*d Ave Subtotal • City/State/ZIP:Vancouver,WA 98686Minimum permit fee($90.00) „ — Plan review(25%ofpermitfee) Phone:(360)342-8109 Fax:(360)326-1769 . Siale.surebarge(12%of permit fee) — -- CCB lie.:203034 4 - To-rA I PERMIT FEE 'Ibis piMitit application etpires it'a permit is not obtained within tau days after it has been accepted as complete. Authorized signature: * Fee methodology NCI by TriA:ourny floilding inthisny Service Board Print nanterTi eA. / -Date: 4,//.it,.... I li.iltliniA'etmitsAIEC,PtIttrit AM_NO I IS'do: 440-36.7-r(I t.u.lcostAvou City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13555 SW CALABASH TER, SHERWOOD, October 26, 2017 at OR, 97140 11 :30:20 AM Record Type: Record ID: Residential - Master Permit MST2016-00598 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Dining area outlets not gfci or arc fault protected. OESC 210.12 No ac installed at this time. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13555 SW CALABASH TER, SHERWOOD, October 27, 2017 at OR, 97140 10:27:36 AM Record Type: Record ID: Residential - Master Permit MST2016-00598 Inspection Type: Inspector: 399 Plumbing 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: 13555 SW CALABASH TER, SHERWOOD, October 26, 2017 at OR, 97140 10:58:36 AM Record Type: Record ID: Residential - Master Permit MST2016-00598 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Water temp appears to exceed 120 degrees. Water pressure 60 psi. All else appears ok. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13555 SW CALABASH TER, SHERWOOD, October 27, 2017 at OR, 97140 10:27:00 AM Record Type: Record ID: Residential - Master Permit MST2016-00598 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Correction complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13555 SW CALABASH TER, SHERWOOD, November 9, 2017 at OR, 97140 11 :12:00 AM Record Type: Record ID: Residential - Master Permit MST2016-00598 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor