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Permit (32) A� ` : MASTER PERMIT 11 p CITY OF TIGARD � �, ; xr ' COMMUNITY DEVELOPMENT Permit#: MST2016-00054 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 251060003000 Jurisdiction: Tigard Site address: 13850 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 98 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/14/16, REPRINTED to add a/c. 9/16/2016: REPRINT to correct address from 13840 to 13850. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2504 sf Value: $341,215.53 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 4 201-400 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 2504 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 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,552.43 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 9 -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: Permittee Signature: /2/(/ /f f�09Z.le 7007 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 k i;,7p , MASTER PERMIT III li I r.. COMMUNITY DEVELOPMENT �{7;:' Permit#: MST2016-00054 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /5r// Date Issued: 04/28/2016 Parcel: 251060003000 Jurisdiction: Tigard Site address: 13840 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 98 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 20 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 5 Total: 2504 sf Value: $341,215.53 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 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: 4 201-400 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 2504 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 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,552.43 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 952-001-00 h 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. t..--.04,d—.114Permittee Signature: 61-7/e l Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V 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 AppJica IV FOR OFFICE t'SE ONLY City Of Tigard Received Date/By: 7 /4e A / Permit No.: c - , ,1111 w 13125 SW Hall Blvd.,Tigard,OR 97223 A U G 2 2 2016 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit: T[GARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/By: 7uris: H See Page 2for Internet: www.tigazd-or.gov BUILDING D31 7ESiON Notified/Method: Supplemental Information Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value $ q +0 'IGOXOeoN nuL 1QN 4 -2g .._ . . � '7tE3DEVITAIi tiIP T!zs 'EMsvE- ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builderI 0Other: Description Qty. Ea. I Total - r fot B Heating/cooling: , �� Q11�.ABR 1(.�E',1! 7��q Air conditioning 1 46.75 46.75 Job site address: I J 1.t C) 3 t J J 11c I Y1 j l s Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: J Project name:Polygon at West River Ter Heat pump 61.06 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:Polygon at West River Terrrace I Lot no.:clo Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 -- - " �1Gas firelace/insert 3339* f S fUNflEIII I " p: -.,-,--4--,,,--,--'-----,•-----'--••••'_ Flue vent for water heater or gas Add AC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 F1tD1p.FdtT1' Other: 23.32 _.. :.�._: ..._. ,,_...g .._._` _.....:ti..,__ "1 NA1N1_ :: Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC y Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 33.39 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 ( ) Attic/crawlspace fans 23.32 ` 44 th Cfl -tea Other2332,w. o-e _ °. - �. 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 Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue .,. t ,� Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72nd Aver 4 Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE r R This permit application expires if a permit is not obtained within 180 1111/31Ciat * days after it has been accepted as complete. Authorized signature: ,Aiiii Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 I I:\Building'Permits11V1EC_PernitA.pp 040113.doc 440-4617T(I1/02/COM/WES) CITY OF TIGARD � �� MASTER PERMIT 1111111 COMMUNITY DEVELOPMENT Permit#: MST2016-00054 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 2S 1060003000 Site address: 13840 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 98 Lot: Multiple Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1108 sf Basement: Repaired 0 sf Left: 5 Height: 32 Bathrooms: 3 Second: 1396 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 385 sf Front: 20 Smoke Third: 0 sf Yes Right: 5 Detectors: Total: 2504 sf Value: $341,215.53 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 TSewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 2 0 Storm Sewer: 100 Tubs/Showers: 3 Water Lines: 100 Drains: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Natural Gas Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 4 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 2504 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET RD,STE 1 A Geotechnical report is VANCOUVER,WA 98660 required before the footing SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,455.07 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 O•r •52-0r '90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: "` > //.; Permittee Signature: CAI <9/ /e22.--/ j—/(�� 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 COMMUNITY DEVELOPMENT Permit#: MST2016-00054 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016 Parcel: 251060003000 Jurisdiction: Tigard Site address: 13840 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 98 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1108 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1396 sf Garage: 385 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2504 sf Value: $341,215.53 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 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: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 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: 4 201-400 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 Ecom asin Other: N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2504 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 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,368.05 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: — Permittee Signature: Call 603.639.4176 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. f • I _ / Building,Permit Application C—0 7--- ?., ..........., ....., ............_. ,_ _, 1.') -1 r . RECEIVED Fc)la 01'1'1(_ 1: 1 �l:Obi 1 - CJ Reuived a .2y rP Permit1404f " D/b-,vast'_ City of Tigard Dat�ay: 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 a 2016 Plan Review ��P� l2o?p/6-00�939 Date/By: 3 9) '� _ J Phone: 503.718.2439 Fax: 503.598.1960 Dace ReadyBy� ru,is: I � See Page 2 for Inspection Line: 503.639.4175 CITY OF TIGARD DateReadlethod Supplemental Information . I(i:-.) Internet: www.tigard-or.gov BUILDING D11/iSEfl :_ _ Permit fees*are based on the value of the work performed ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement Other work indicated on this application. Valuation:3 $ I ® 1-and 2-family dwelling 0 Commercial/industrial ga Number of bedrooms: ❑Accessory building 0 Multi-family Number of bathrooms: 0 Master builder 0 Other _ _ p Total number of floors: 2 11YI New dwelling area square feet. S93 � e site Job site address: 1c.J 11-5x . � � - ', _ " Garage/carport area square feet City/State/ZIP:Sherwood,OR 97140 at West River Ter Covered porch area: - square feet 55 Project name:Polygon 9' 139 • Suite bldg./apt.no.: I 1G Cross street/directions to job site: Deck area: 1 0 square feet , Q O Other structure a1ea: ', square feet , Lot no.:q /J d Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this ...hcation. =1..��.;�. � ex . , .` � .. �.r ,r�w, �s.,w tet. ,., ..� . . „ . . Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet Number of stories: Name: alygoa W LH Abt.v J 46 1-/-0 1..2s/A/6-S Type of construction: Address-109 Filth street _ Occupancy groups: City/State/ZIP:V Existing: Phone:(360)695 7700 Fax(360)693.4442 New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 - - E-mail:maggie Bordon@polygonhomes.com Commercial and residential prescriptive installation of x:-7 - roof-top mounted PhotoVoltaic Solar Panel System. ' Submit two(2)sets of roof plan with connection details Business nam . c7ES //V C and fired department with the 2010 Oregon 4//CC/!�� L�0� � M ep access,along Code checklist ' n S.�tial C r Installation S Address: 109 E 136 Street Sola Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(120/0 of permit fee): 521.60 CCB lit.:207247 Total fee due upon application: $201.60- This permit application expires if a permit is not obtained Authorized signature: '4* within 180 days after it has been accepted as complete- ' *Fee methodology set by Tri-County.,Building Industry Print name:Maggie Gordon I Date:12/11/15 Service Board. I:\BuildingTermits\BUP-RESPermitApp.doc 02/242011 4404613T(11/02/COM/WEB) , r EEIE ! Electrical r�L+'6i!!I$.>�,�} ��i CatioYFi t v:14,,l 1 1 r I ,5, t,,\r 1 ts,�7[�gatid FEB 2 5 2016 D P«mttis,,%�15 ,.;�,> -e►i x, 13125 V flea''Wyk Tisard,OR 9'1223 Phones 503 7182 39 :1 sou ass y �^. -� ! rufarw Permit otianu 503.639.4175 �g !�''�t ,� i �St��1. ••_Tnteine5..tigatd.rgov 1.31.1I1.,VS\if Of'JiS;�Li SaP loiTnfmmal44e 2?ItOitilSittletiOn El Militiontalteietthilfreplacetiztit ll,4c1uekill.that*Ref c 144•ots ., ems ea3: ❑ ntP1lb -®�� n CISer Ica ar ke er4Oaao s orator* D a,Od a4nror airce lea so.....a.. A*4 Auk«meat 17 t4tnant out boely r ,ter-�':�wmz' - ;,`,,u4` „` ��coo� s:4:' ,. , exp;S�Bampsw 13Divttsor QFtatlmSltw`binss. ®1-and 2-fanijly dwetiing 0J comauicia Tiiulus alai p Actxssoty building tris.0-amd or,;,..0,:„4,t4Aoo 17 conn ifoid:we sgtcuit.at wpm 61rAiDelor tstatistoas: %N... Q Multi family ❑master builder 0 Othar. Ofireporni. El losi.1 th oflsO KYA or ' 1t`R> $fA77Ol t ANA,LOW•1" Citoterseacy swum. ististsinviiely derived Job#: i `. `�} ' 0 Addidec c4cwino#artoadaf lob site address:k 3cg1Q4ftPormom *Mom. -it","E",1 ", 1.2'"1:3.: CityiStatelZTP:3hsdctvacdOR�7IdB 0Skormatsresideatioloak. orOOPOry. 1311oalikoara(sedates, 17Rnstsiionstwhich pada. Suitt/bldg./apt.#: Project name; CIHsantous!mations, ❑ Hiso ClSnn4000rtwdsr600eterscraiora. 6aavobr12nan t Cross streeddirections to job site FEE 'oycirdee : : 1 Qtr. 1'ace 1 'Tater I s. ! $e* de 1sing1eoror mukt.hirillydwellisgems. Subdivision:1Tiver Terrace Loth: Tocttsdes atttebedgaaage- Tatrmap/patcel#: 1000 sg R or less ) 1685$ 4 , Ea.*1*Si.h mpotiloa 4 A 33.9.3 1 '' SEriatr11.311 tJT''WORK Umrti4mtesity;ms 0attia7 twit abovesq.it) ySOD 3 i Single Family Limited[ melti-latnity ?3.tm 2 t�l(With above sq.2) 'iP 1a 1?Y OWNER I El TENANT SeaBct4Or srrt Q tlesPaga2 " Servtieseir[eedersitas4dtatiat„alkratsn;aadJor relocation Name:Polygon floss y$ _ 200 sows or1&s 100_70 2 Address 1891 136 St 2of naps 44 0 U pI 13356 2 401 Iran to 600 tmyn 200,33 2 City/State/ZIP;Vancouver WA 98660 tit aatpe 101,000 snaps Sot A4 2 i Photic:(360)6957700 Fax:( ) Oe 1,000 amps or volts 55226 2 [ Email: Temporary service.*or feeders intonation,alteration,and/or relocation 9�� Owner installation:Thisinstallation is being made on property that I own which is not 200 amps or kis 59.36 I k intended for sale,lease,reit,or exchange,according to ORS 447,449,670,and 701. 201,arils to 400 amps 125,08 2 Owner signatur Date: 401 ramps to 599 amps 168,54• 2 ±iT!lft c4Nr - , 0 CON7CACr PJtRSOIY Branch I:kasha—Oaw,alteration,or extetuton, r panel A.Pae forbJaMPf ciicsls s lrh Business own=Garner Electric Washington,LW abonn service or reedar tom; each branch circuit 7.42 2 Contact name;13111 Daniels PJ.Fee iorbnttch cik+dts Wawa! Address:6101 NE Si Jahns ted: =rice aRedcr Tea.first 56.16 2 branch eiredd City/Sta#c/ZI1':Vancouver W.A.98661 Eachaskilbtandtchrcuk 7.42 2 Misedlaaww{aervted or(ceder not included) Phone:(1/5;3)324-1657 Fax::( ) Eac»:»lanthmucd or Modular 67.84 2 - dwelling.'opvaceand/oribeder Bnaii bdatriels@gwsnsrt.coat Rccomectoidy 6784 2 l ,"11,i,„ '. t' ,tg7'tiACroit . ramp w jip)Oig1 circle- 67.84 2:. Business name:Garth Electric Washing(on,LLC sign or otulinc ligiwog 67.84 2 Signal ei o afs)er timikt-energy. Address:6101 NE 5t,loons Rd CJ See Paget, 2 Panel.alteration.or.esttensian, _ •Etch add5ifanaaltotyable in apl inspection over of lite above City/State/ iP:Vancouver WA 98661 Y All#0loosi intlwrinn(1 ter thin) 66;25/br I Phenix(253)320-1657 Fax:( ) fns stlgation(l hrmin) 9000/hr Serail:bdaniels tvetisa, lnriastsielPtant(1 Uritis) 78.18/hr Ltspaotionsforv4ikhnofeels 50.Q0yhr CCB Lie,; 01158 Eleatical Lia:208174 Supty.Lic.:44968 sPe a6catty lined t'ht,r mi) Sum Electrician;Ignatius;required' 4 i] / pI A.JL Subtotal; Print marts:Joan P Albert v ail I(tt ❑Plan Review Requited(25%of pendlt Ike): State surcharge 02%ofPtrmit rem): I Authorized signature:--a....____------ TOTAL PERh11TFEE: 'fhbPesaro err entInnrspirwrita;penultbnet•,oblaiueafield.180 Printnalne:Bill Daniels bate: l��'act 1U day:,SKttbubeta segotedeaeorap • Make(ofiasiYidlodgallawwdperpermik re .e.. lil n„ES£dce Rtr:Ord171:at$: 4464615T 11NSiCOMewEa 1 1 t Plumbing Permit Application Building Fixtures Ct-� Received PermitNo.:"S7 /b"C)OO5"/ City of Tigard iEdlIllIllIllIllIlIllIll1.11111lMm l� Date/BY: 13125 SW Hall Blvd.,Tigard,OR 97223 Pfau Review Other Permit lio. Phone: 503.718.2439 Fax: 503.598.1960 FEB 2016 Daisy. Inspection Line: 503.639.4175 Date RcadyBy furls. Si See Page 2 for I s C5 ' � NoutrodlMethoei Su lementalinform n Internet: www ngard-0r gov 1- r► „ , ..-; For special information usa checklist III ®Demolition Description 1 �+: 1 Total New construction ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) #.' �.. _ = l T° SFR(t)bath 312.70 *°r '''''':--4"': ' y.3�x b i t'-n k',sero i tis.�t� �`m S,(_j "5i y,r'''''''' *. 'n I .�. ,�-''t- u� ,6 ,>. k._a, ��,»� u ' :41 437.78 SFR(2)bath II 1-and 2-family dwelling 0 CommcrciaUindustrial SFR(3)bath 50032 Q Multi-family Each additional bath/kitchen 25.02 ❑Accessory building ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 , �'M ' "�' 3:1 ® 1 A Site, cs: Catcb basin or area drain 18.76 Job site address: �` '1- -.)+N(J ], ' t�ywell,leach line,or trench drain 18.76 City/State/ZIP: �h Q r �'�0 C a 10 �Cl-1-I,��L� Footing drain(no.linear ft.: ) Page 2 Suitc/bldgiapt.no.: Project name: 9011 ory-1 at- 1 :k' Wt W5`l/C� Manufactured home utilities 50.03 t f,ellt''i�/1 M 18.76 U 1; \ , Crass street/directions to job site: p� uQ,� Y .t - 18.76 Raioles n anhdrain connector Sanitary sewer(no.linear ft:_) Page 2 Storm sewer(no.linear ft.:_J Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Backflow preventer 3127 Tax map(parcel no.: Backwater valve 12.51 .. ' ---$:;7.4-4.44,44'.'57, 1, "- ,,,,,,,-.'sk5 a' x `x`�. 74. s. as2 »iclothes washer 25.02.t a § . ;a „,..?,.-42,..1._1{ -.. irk n i n l�m ,\..i Dishwasher 25.02 t t C t/ Drinking fountain 25.02 Ejectors/sump 25.02 @ra ., _Lxpansiontank 12.51 .a 25.02 „. . . .._ Fotturelsewa cap Name: pp 5,,--y\ W l� 1' Floor drain/floor sink/hub 25.02 Address: i '- '-� , ` - Garbage disposal 25.02 1�� i �' A q a (O1� Hose bib 25.02 City/State/ZIP: j a h,, �) Ice maker 12.51 Phone:( D i 0 Fax: 0 o0 -� L , 25.02 �Yinicrccptor,grease trap `' ar r Page 2a :41.1 ._r. % x� �«,=.1.......-..,.....,.. sMedical gas(value:S )aB: usin-essssname1tt /r�rl'ric3` .jt_ xr�l�iv} 1., L C Primer 12.51 Contact name: M.ei A k,;}-1,4 .....k_.r#'v Roof drain(commercial) 12.51 Address: 2 D.4_ (' "j' Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 City/State./ZIP: ,7u E'�i ttv1 D~} l� - 12.51 Tub/shower/shower pan PPhone:Al i ) gQ(A ' 'KN.-3 Fax :( ) Urinal 25.02 �� 25.02 E-mail: * b�, s •A• ../ ..+ Water closet . , 3T'"�7':-.,-.;;-...,."Z,'21:,,,,,'?'0s 'a ..:..•.a. ^" " t a r ,,... 37.52 r w .�. cva�' '' -,..-c3 S'. k �' Water heater � �.� �� tib.. �. � � � �� Business name: t� ) t �3 ,1.,_, � Water pipin�DWV 56.29 K,i--vi T �1,..y.„64,^ T �lrt.klrltirr 25.02 Address: PD`1- 13?z -Other: td 2 Subtotal City/State/ZIP:�'jy-ctsha,An OR_ czo Minimum permit fee: S72.50 Phone:(911) I- 1'1433 Fax:( ) - Plan review (25%of permit fee) 2 Ft2 CCB Lie.: ,(��p Plumbing Lic.no State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This it application expires tf a permit is notampler_obtained within 188 days I Print name: M a fr ilrte'MA J, I Date a-`9/t/r I after it has been accepted as comptete l f 'Fee methodology ser by Tri County B uldmg Industry Service Board. 410-46r6T(VO,OZC0.ti1/WEH) 1:Building`Fu \miraPLMU-PamerApp.dx 10/01/09 1 4 , • Mechanical Permit AnnlicalltECFrVED I .)1,1()1 1 1( 1 City of TigardReceived Date/By Pmut Na.' '"000--<7f II --- 13125 SW Hall Blvd.,Tigard,OR 97223 FEB9, a 2_016 Plan Review ' 16 Phone: 503.718.2439 Fax: 503.598.1960 ' I--- " DareBy• Other Permit: .., Inspection Line: 503.639.4175 tutu- RI See Pagel for Internet: www.tigard-or.gov r .- r i\Il !ON Noofiedqvitthed- Supplemental Information 11tPt*,:otorl-L-r°v'',..19;:::.':-.113:1A!:3::3-., :.-Da:77 71 - .,:cpmmxAcieti„, ,-:_FEE ':.. :sclo:Di:_ .(tz,-tRsg.lptitcla.ttn, Mechanical permit fees*are basal on the value of the work Egi New construction 0 Additionlalterationtreplacernent performed.Indicate the value(rounded to the nearest dollar)of alt 0 Demolition 0 Other: mechanical materials.ecaftiment.labor,overhead,and profit. ' '''' '''"-'''' •?:'''''-''''''':'::-470:*04341**.' „ -----=-=*;,„4- -, -..,4 -1---,, . ,.,_ „ , _„ Valu!:=S ,_...r.t......_=,........_,,, ..,._ ,, , -- , , , , , ,-„„.„,. , „:„-„.—,...., =-,--, ... ==ze,-.-,-------n,-4-'2, , -t-'- ev--,-. .:,7k.,!:pirrz.;,4,...,r. i 1,r. , Ic,,i 7 ', " c: „MT, •.,,,a, ,,',-''''-N....:-' ' I-and 2-family dwelling 0 Commercial/industrial 0 Accessory.building For special Information sae ekerilim 0 Multi-family 0 Master builder 0 Other. Description _ Qty. Ea. I Total , .„:, ,..',,,„ .:,,,,itit-,'', ',.-.'..,' ..-1‘.:;;e:'-4146,10cAtiott 7..„, ,_, , '.,,',•,,, '-'-'„ Heatinifeanlinet . ...c....,A.4 Job site address-. 1/53.t..,k0 1 0 Air conditioning 46.75 Furnace 100,000 BTU(ducts/vans) 46.75 City/State/ZIP: ‘"'NS).,("sV,, ipocc. C) q- _\\-1 0 , Furnace 100.0004-BTU(ductstvents) , 54.91 , 61.06 Suite/bldg./apt.no.: Project mune:..pC)K t,,,,,-, cj_ t,J04- ,.Ileat pump Duct work 23.32 Cross street/directions to job site: ç2LQfn.,a,cp 11ydronie 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 Other: 23.32 Subdivision:River Terrace Lot no=:q (3' Other fuel appliaoces: Tax map/parcel no.: Water heater 23.32 Gas fireplaceinsat 3339 Flue vent for water heater or gas HVAC fireplace 23.32 Log lighter(gas) 2332 Wood/pellet stove 33.39 Wood ftrepbcefinsert 23.32 Chimney/liner/floe/vent 23.32 ' ' .1EtSibit4*le,1*---r';'=:7471'.',:r„. •,',Ig:::‘, -,!ITIN-i'.,,..:.--;,:,-5.:,..E-1;,-- - k=---6,-.„.. -tg,,g ,5;.4 Other: _and ventilation: Environmental exhaust 2332 -" -:'," ----' • .t.'-`414 '-'4"• ' ''''''''' ''-'''''''' -'''''''',' ---: --"----'14'''''''-""''''''.," st Name:Polygon Range hood/other kitchen equipment 33.39 Address:109 E 13*St.Suite 200 - Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathmoms, toikt compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax:( ) Attic/crawlvace fans 23.32 '',,-;f,.4::,0!'"Z44:::,.'-',,,,iii,:•iii,1::.,.,1-1;11;;;,girost'-",-*-,A41;-,4',",'‘-'i t-,Ct Z 4,,a t,,,i,e's:;*.s,„, ,i 4:t, n-'''')"..A.A Other: 2332 Fuel piping: Business name:Apex Air LLC 514.15 for first four;$4413 for each additional Contact name:Staci Hay Furnace.etc. Gas heat pump Address:2210 W.Main St.Suite 107-272 Wall/suspended/unit heater City/State/Z1P:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace , Ranee E-mail:staeib*apenaireo.com Barbecue '''',2'f,:3--!:.` ,.-L'',..;',:i7.:::':i::::.:E•::,..4'',4''g '4.74',,,,k,:=4,',,'-V;"? ,' ,.'":.- .'4-7k4,k17,5i,t.:',..',-''''',•-..."':',4T:,'4.:-.',,it':1:- Clothes drYer(tas) Other Business name:Apex Air LLC Address:220W.220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(361))342-8109 Fax:(360)326-1769 State surdtarge(12%of permit fee) CCB lie.:203034 - - - TOTAL PERMIT FEE - This permit*optic:anon expires Oa permit is mit obtained within ISO iffilt — days after it has bees accepted as eartplete. Authorized signatur.. r r 0/ r` illir • Foe methodology set by Tri-coonty Building industry Service Board - ... - I Print name:Staci bay Date: 1/2812016 t tfludtholiPernonAMEC_PcoreitApp.,040113 doc 440-1617i(11,117-cOMAKEB) . . -, IIIICity of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 c n lZ D Building Permit Review - Residential Building Permit #: /11S7-ap/4 -- eve, Sy Site Address: 13q.14 O SI l-154-1 Ave, Project Name: Po\\)c n a+ \Nes- R`Ive v T e,Y a ce, Lot #: 9(3 (New clling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: n eN j Sc Verify site address/suite# exists and active in permit/ystem. gi River Terrace Neighborhood: ❑ No k Yes,See River Terrace Review Addendum Attached Sit- Plan Elements: h7 ' ree(3)copies of site plan sting structures on site .7i Site plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure (including decks)with finished VA 'rawn to scale(standard architect or engineer scale) floor elevations VA orth arrow 'Utility locations(required for new,may apply for additions) 44 to address,project or subdivision name and lot number of wells/septic systems Ac? plicant information (name and phone number) MErosion control(including drainage-wap protection, silt fence D'/,t dimensions and building setback dimensions ksign,location of catch basin,etc.) ! ot area,building coverage area,percentage of coverage andC�'I SS reet names impervious area (applicable if R-7,R-12,R-25&R-40) p�Street tree size,type and location ,�� froperty corner elevations (2 foot contour lines if more than ¶'existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): /Required: E Yes,applicant was notified No Received: ❑ Yes ❑ No L`�J Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No 1 , Applied For: LYes ❑ No,stop intake nd Use Case #: B2O1S— 6O(0u �oning: 1 etbacks: Front Rear 1 5 Side 3 Street Side d Garage 7_4 $ot Zit/Setbacks: andscape Requirement: 2-0 Coverage Maximum: SO Sit Building Height: Maximum Height 30i Actual Height 16 1 --Visual Clearance $ Easements ensitive Lands: ❑ Yes ' No Type Urban Forestry Plan ❑ Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: 41,0 - i )_ 6 ii 0 10 y_-L, Date: 2/0S / 00 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennit Rvw_RES_012116.docx Building Permit Submittal Original Submittal Date: o?7o2s//� Site Plans: # 3 Building Plans: # 5 Building Permit#: Enter building permit#above. Workflow Routing: Planning - ngineering 0-Permit Coordinator C—uilding Workflow Sign-off: 0-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. [ uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: / / ,,i. Date: Q2 9 / Engineering Review Slope at building pad: f� ❑ Conditions "Met"prior to issuance of building permit ❑ 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 ❑ N( Notes: Condition remain unmet that are required prior to issuance of bldg. permits. Approved by Engineering: /%l. j) Date: 27:„/"9•-/C. 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 igPApproved,NOT Released: der Date: %Ø'ç' Notes: /yC .- e-An4114-, 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: ?g'SDC Fees Entered: Wash Co Trans Dev Tax: l'es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A yOOK to Issue Permit �j � /' Approved by Permit Coordinator: ��e�%�� Date: / ` / 1:\Building\Fonns\B1dgPennitRvw_RES_0121 16.docx 1 z . - 111 li City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /'/S7 z,j/&— 0005( Site Address: i 3�L D SW 054-h Ave.. _ Project Name: Po\\)010(1 a-i- JJes* R►NIe.v \ef face. Lot #: 9S (New fling= subdivision name;.Addition or.Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1.): 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 in Porch m . 5 ft. deepGabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12°o f each street facing facade must include windows or entrance doors. Percentage Shown: IT 7 . .r 3. Ftrances: At least one entrance must meet both of the foll• ng standards: Max. 8 ft. setback from longe t street- facing wall Y1 Parallel to street, angle no more than 45' from street, or open onto porch Entrance opens to a porch: Yes ❑ No —/ Iir,s, all the following apply: CSL 5 sq.ft. min. ne street facing entry ,Vt 12 ft. max. roof height above porch 2 5 ft. depth min. �d 30%min. porch roof coverage 4. etailed Design: All buildings shall include a min. of five of he following elements on all street-facing facades: overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep AVall offset min. 16 inches ❑ Dormer min. 4 ft. wide glA Roof eave min. 12 inch projection ❑yoof offset min. of 2 ft. ❑ Roof shingles either tile or woodable,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 ❑ 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. ❑ 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) 0/12-foot-wide garage door ❑ 40%max. of street façade V50% max. of street façade with 7 detailed design elements Notes: Apprdved By Planning: , ` I irn Le})ADO Date: 2 2Z 16 1:\Building\Fonns\B IdgPenni t R v w_R ES_RT_0121 16.doc x Albert Shields From: Albert Shields Sent: Monday, March 07, 2016 4:44 PM To: Maggie Gordon (Maggie.Gordon@polygonhomes.com) Cc: Tom Hochstatter Subject: River Terrace Northwest, Multiple permits Maggie, here are eleven more that are going on Hold as"Approved but Not Released" pending completion of required conditions of approval. Albert. MST2016-00051, -00053, -00054, -00055, -00056, -00057, -00059, -00060, -00063, -00064, &-00065. 1 POLYGON /M NORTHWEST COMPANY RE ..gee April 27,2016 APR 27 ?016 art OP' 1NI Mark VanDomelen (1r Building Official BULL lN( y),I`?:Sft)i City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74-17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82 - 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94 - 13765 SW 175th Ave Lot 95- 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98- 13840 SW 175th Ave /MST ,/ — 000.5"Y Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102- 13754 SW 175th Ave Lot 109- 13751 SW 174th Loop Lot 110- 13769 SW 174th Loop 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygon homes.com CCB#166871 POLYGON /� NORTHWEST COMPANY Lot 111 - 13787 SW 174th Loop Lot 112- 13853 SW 174th Ave Lot 113 - 13837 SW 174th Ave Lot 114- 17372 SW Jean Louise Road Lot 115 - 17368 SW Jean Louise Road Lot 116 - 17344 SW Jean Louise Road Lot 117- 17328 SW Jean Louise Road Lot 118 - 17302 SW Jean Louise Road with us in order toget this project We greatlyappreciate the City of Tigard working PP . underway,we look forward to building this project along with many others within the city of Tigard. Sincerely, Chris Walther Project Manager 503-312-6213 109 East 13th Street,Vancouver,Washington 98660 (360)695-7700 • (503)221-1920 • Fax(360)6934442 www.Polygonhomes.com CCB#166871 Plumbing Permit Application Building Fixtures R - Cityof Tigard Received g L p 1 b 2016 Date/B I // Permit No.: r,�St ., Oo lig U 13125 SW Hall Blvd.,Tigard,OR 9723 y" ��L /f '"4 �� VV(1�� • Phone: 503.718.2439 Fax: 503.598.1960 r°,, Plan Review _ Other Permit No.: Inspection Line: 503.639.4175 CITY r i/tom t`� Date/By: I I l Alt t) . /C.`1 Date Ready/By. Juris: ® See Page 2 for Internet. www.tigard-or.gov F3 LD N.,`_ I f,o,_ �- Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 0 Mash . ' a er 0 Other: Fire sprinkler( sq.ft.) Page 2 /3,95-O. JOB SITE INFORMATION AND LOCATION Site utilities: Job sl a a., -ss: 6/1/1) /7 5417 4 KL 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.: I Project name:Polygon at West River Ter 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:Polygon at West River Terrrace I Lot no.: iv Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 C4 flay c/ s'K t 7o ,` Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 E PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski 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 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Inc. Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:102535 Plumbing Lic.no.:34-276PB State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 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.doc 10/01/09 440-4616T(10/02/COM/WEB) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13850 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00054 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13850 SW 175TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00054 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Vapor barrier form received. Insulation certiﬁcation checked. Blower door test report checked. C of O left on site with contractor. Violation Summary: Inspector Contractor