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Permit (38) CITY OF TIGARDMASTER PERMIT c .III COMMUNITY DEVELOPMENT '1.,'2..i..Iiii z' . Permit#: MST2016-00161 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Ak" '�?«?'aI Date Issued: 05/09/2016 Parcel: 2S 106DC 11300 Jurisdiction: Tigard Site address: 13853 SW 174TH AVE Subdivision: WEST RIVER TERRACE Lot: 113 Project: Polygon at West River Terrace, Lot 113 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. 9/16/2016: REPRINT permit to correct address from 13837 to 13853. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2917 sf Value: $349,615.31 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: 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 add9 500 sf: 5 201-400 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 2917 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: $33,090.44 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. - i 1110 t Issued By: iI Permittee Signature: I A / 6,,a ,( , ��N/ 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. 111 -uCITY OF TIGARD , A MASTER PERMIT ' COMMUNITY DEVELOPMENT t 1 . Permit#: MST2016-00161 v Date Issued: 05/09/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC11300 Jurisdiction: Tigard Site address: 13853 SW 174TH AVE Subdivision: WEST RIVER TERRACE Lot: 113 Project: Polygon at West River Terrace, Lot 113 Project Description: New SF. 8/4/2016: REPRINT to add 2nd water heater. 9/16/2016: REPRINT to correct address from 13837 to 13853. 9/26/2016: REPRINT to add NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2917 sf Value: $349,615.31 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 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!500 sf: 5 201-400 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 2917 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: $33,187.80 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: C•T ---- Permittee Signature: 1,17',4'4-/- �' ''ate� �� 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. tEleEIVED Mechanical Permit Applica 1 ,i,, ,olit 1 1 ,1 ,),,,I , City of Tigard g11025ne:Ssvionl:Is°7-14-1;Tax: gad.OR 97223 Inspection Line: ,.., gli SEP 2 2 2016 EE3iff,MIMBi=ltiit.ilirC01Will 503.639,4175°5 3.598- TY OF TIGARD EEraIIIIIIIIIIIII Hil nINC DIVISIO Dareltoadyilly. im sa set page2 for . Internet: www.tigard-or,gov 401,,.--. 1 ' NottriettAtethod: SuppItnientat internist** mechanical permit fees.are based on the value artha work El New construction 0 Additionlaltemtiontreplacement perfonned.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials.-di, - labor.overhead,and fit. Val=5 ,„„,„-v,vv,',..',,,,,,,,,,-.-,-, -c.,-.v„,„,e li.,,....,.,gr-'11. ',...-s,`-ly:...,t,',„ ,..--.tri. .,,•-". ,„,-','- ',--,,AV-4a-"7-,n,'„.„:1,S,"'!.. ,x,v1...,-,,isrthrTy-;vmair, „”crit-xpruror..--rryritsly;:v,„„ [:::1 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For*vial befonwation;or chealbt. El Multi-family 0 Master builder 0 Other Description Qty. mos Total :4„,,--,,-,,,„,,,.,•-(-...,--`,._,,,?k, 2.`„„:- ':.•„`."-,,,.','l-'1-'1: ,„°,,''''---..-r'.-,,z,fr'sr', ',i-.':-2..-..i.,14`4,v‘reo v:,fti:::,---..il netts*-t • Job site address: I 'S 3 svd fl 4t" rive. Furnace 100,000 BTU tiluersiverits) 111111 46.75 1111111 City/State/ZIP:Tigard,OR 97224 Furnace 100_000+8Th tductslvents) 1111111 54.91 Heat s,a,L. 61.06 MIMI Suitt/bldg./apt.no.: Project name: Po wat_vact:124wrrec- ryaci m,ark IIMI Cross streetAlirections to job site: 11 dronk hot water system 111111115111111111111111 Residential boiler(radiator or 11111111 hydronic) Unit heaters(fuel-type,not electric), in-wall in-d -...-.....- etc„ Ill 467511111 Flue/vent for any of above 2 3 MIMI Other 1111111141111111111111111111 subdivislimPolvovx et,f iNlect 124,/.4c fkoftv-e I l'''M.n°.. 116 . Other fuel*.,httItt% fax map/parcel ti : Water heater IIIIIIrgrgll.III 4"..,......-' .,n-P.)-•,,,r,,,rs, ..--4 ',., ,,,,,,,-.42›.... X.".'"?,,,,-,N.7.,,,,,,,..,, ...."pi,,—....,,,,•,,,L, ,,„ ...,..4,4 ,,,,,,"<-44,, ,-,.,.2,.,',.,... Gas fi , ..insert 1 9 11111111 ,,..10:-,;;',':: ' '1.1','1.,,,:".7. ,:.'s'','.';',-:,'''.-:44•,':7°,7,:e..! t'•:,r:"1,g'si''-la; ' ''''t.''''''''414'li.."' 4---;4-°`'''''''''''‘''- —' Flue yent for vyata heater or gas NM= / 7 I fi - • .:li_, .. 111111111131111111111111 wo,,d, let stove 3139 Milli Wood Ii -.laceinsert IIIIIIIIIEOIIIIIIMI chumodiii.inueverit IIIIIIIIIrraIIIIIIIIIII 111111121111111111111111 e.',;;. ..,'4,,,'t„y'''.--` ',1.,-.„4„--°,7); i i ,=';',-4 s,- .,'"'''','S'-`- 'AVe''' '--,,'f• ''•; ..% alsfq"•A'..,:a'' A •f, .., govironottot,a1 exhaust aiid reotihsthott Name:Polygon WLH,LIC Range hood/other kitchen III .3 39 NM e iii inent Address: 109 East 13"Street , 9 11.1111111 Clothes dryer exhaust City/StateZIP:Vancouver,WA 95660 Single-duct exhaust(bathrooms. miff/ ...a.co ,.aliments,tail. 'rooms) Phone:(360)695-7700 Fax:I ) Attie-crawl .-cc fans 11111111B2E111111111111 --,,,,,:',. ,' c:4v.-%,-..:`,-,'.::''''4.1.1,5:1 •,-..,,,,,,,°,,,N,,I:III',.,:t'',rw..4-4,;7;*1'444 1-7,r:;,i'''-'7„:)33 1/.:-_z#3, °dIer: 11111111EME1111111111111 Business name:Polygon WI.31,LIC $14.15 for First four SW for each additional Contact name:Angela Grejewski Furnace.etc. IIIIIIIIIIIIIIMIIII , . IIIIIIIMIIIIIIIIIII Address:109 East 13th Street Cats beat . Want- -.-.-. unit heater Mill City/State/ZIP:Vancouver,WA 98660 Water beater IIIII Phone:(360)695-7700 Fax::(360)693-4442 F" -.1acie MINI 1111111111 E-mail:Aagela,Grajewskkgpolygoattomes-cam Barbecue 11111111111111111111 -1.:!•,;4:",. , :t°- . ' `',.-.'' [....:,,,,,t; l'.',,,i''',..',',.riL.,..!--.-i-Sc..4 10;f1,41: r 12,&72: <;°---Mmr.,:: :-,47,:;; - Otticr 0111.1111.1111 Business name:Apex Air LLC Address: 10404 NE 72 Ave Subtotal IIIIIIIIIIII City/State/ZIP:Vancouver,WA 90686 Minimum permit fee($90.00) 11111111111111111 Plan rev ien(25%of penriit fee) IIIIIIIIIIIII Phone:(360)3424109 Fax:(360)326-1765 State surcharge(12%of permit lee) CCB Lie.c 203034 i TOTAL PERM tT FEE This permit application espires Ifs permit is not obtained within In days*Omit has been accepted as complete. Authorized signature- * Fee methodology set by Tri-County Budding Industry Spec Board Print riturteTrA."- Date: 4-11.It... 141 ui144V1kronicsItirri1erventApp_NO I 13 Oar 4444617T 411/M,TXWIATB) s CITY OF TIGARD r441 i MASTER PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: MST2016-00161 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016 Parcel: 2S 106DC 11300 Jurisdiction: Tigard Site address: 13837 SW 174TH AVE Subdivision: WEST RIVER TERRACE Lot: 113 Project: Polygon at West River Terrace, Lot 113 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front 15 Smoke Dwelling Units: 1 Third: 0 sf Yes Right: 5 Detectors: Total: 2917 sf Value: $349,615.31 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 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Bckflw Prevntr: 0 Catch Basins: 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 add9 500 sf: 5 201-400 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:Y Square Feet: NEW SF VB R_3 2917 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: $33,090.44 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 throug .A R 9 .01-00.0. 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: , /✓ /"/oz../CCi2- f0,Ni 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 114 qCOMMUNITY DEVELOPMENT Permit#: MST2016-00161 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016 T[G AAD Parcel: 2S106DC11300 Jurisdiction: Tigard Site address: 13837 SW 174TH AVE Subdivision: WEST RIVER TERRACE Lot: 113 Project: Polygon at West River Terrace, Lot 113 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2917 sf Value: $349,615.31 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 Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 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: 5 201-400 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 2917 1 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: $33,003.42 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: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA- •4-00 -•090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i �.l Issued By: Po Permittee Signature: (�N `/ / / L'7 C`��p 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. __ _ .*.k,ee'r -. stn: —- - `` 1113iiiimemitiiiiiiiimi _ Permit A licafion LS Eudilit • if°. : �G b•� RECEIVED ! P1r� t 40 p �' 2016 PR p tis: I H See Page 2 for I S Inspection Zine: 503.639.4175 Dare ReaMethod Supplemental information Tic :;tz i Internet www.tigard-or.gov CITY 0E- i� IG ARD 1 _ ,. , . 7 x _ ----- -'-".`� ."'_�-"�,�- Permit fees#are based on the value of the work perform ' e------ `�n�vP 0 Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction C3 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. 0 Commercial/industrialtA ® 1 and 2-family dwelling Number of bedrooms: ❑Accessory building ❑Multi-family Number of ba#hreomse>$4 S ❑Master builder ❑Other. 7 3 8 t Total number of floors: 2 ,, r,..—71. - ,�: j""-' ." ,.t� 1/14 ;'# xl New dwelling area: l- square feet Job site address: t i/ J-�—. ` A'.' Garage/carport area: L , square feet _1� City/State/ZIP:Sherwood,OR 97140 Suite/bldg./apt no.: I Project name:Polygon at West River Ter Covered porch area: 1'Z square feet 6s Deck area: �� square feet as • Cross sheet/directions to job site: ', square feet Other structure area: r 7,,`,L , p 1 Lot no.: 1\r -) 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.••lication_ §*'?ns: I • a 1:1Iectricai Permit A, lecyl....x t,I�;it I. r ;, r1, City of'Tigard APR 2 6 2016i. „�►_ Permlb . i; 1312s sw Hall Blvd..Tigard,OR 97223 _�3�rry-� Nut Review Related Permit-: 1 Phone 503.718,2439 Fan[ 16) i,1_,ARD Dada El saeFepo2sx inspection Line:503.639.4175 1 vi- i t xeadyDaWBr.• torasmtea Internet www Qgardroe: :. 4f l\,l S,f Noaifid mod A, 1 °t Hi Soppiusoutib " :,',„,„130E,017 WORK lit ' ' `" L. �' ®23ehveo;nsntotion ❑Atlduion/atterationJrnplacement Alone&sok an that apply(sub air 1 sets crakes*sodium asckad): ii Savior«Ie save or aror, ❑nundeaover Mae Corks. t ❑Demolition 0Other. • whose the available fault amid ❑Mohan owl boatyardL t .„ckittfOlktor CONS77tUCI1t3td mused*to,ortomarmot ISO oats or DFlwtinibaadiags. ®1-and 2-family dwelling 0 Comm eicialfindustrial 0 Accessory building Iera lo rowbd,or mamas 1000 0 Ca ameivia•ase agricultural amps for A other installations. buildings, ❑Multifamily El Master builder ❑Other: afire pump. El JanMSatiaaof150KVAar JOE En14 OfFoKevikTiora AND LOCATION DEnieraeaaysplem. Ismer separately derived ❑Addition of new motor load or mom. Job 0: Job site address:\3q,._. i Sihi -.1.1-1.v,i�.1' -: tooHP or more. ❑"A",,"E,"1-2;"1-3", t City/State(7JP:Sherwood OR 97140 Oak or-omMU%&i tka.l anis ottat Y' d H4adhea»lixilitles ❑Raasaaioaad veluda pairs. CInazs,dens looatiaas. El Supply voltam.for more lion Suitdlt[dg/apt.0: Project name: a ServiCe or feeder 600 mops armors. Om Gaeta uamioil' Cross streettdireetions to job site: FEE SCHEDINA- erscrirae. I Oh, I Sam I Tata I s. New residential single-or esnttt-fatally dwelling wit. ' Subdivision:River Terrace Lot#: , includes attached garage J,000 sq.R alas j I68.54 4 Tax map/pamel#: Ea add'l 500 sq.it or pardon 3392 1 9 DESCRIPTION OF WORIC Limited energy.teskential i 75.00 2 I (1vilhabovea9 OJ New Single Family (with energy,maid-fatuity 75.00 2 residential(withabove sq.it.) Renewable Everest 0 SeePage2 P12ofRTV OWNER I Cl TENANT • Services or feeders installationtatkration,and/or relocation Name:Polygon Homes 200 amps arias 10030 2 201 amps Io 400 amps 13336 Address 109 B Iia'St401 amps to 600 amps 200.34 2 j City/State/ZIP Vancouver WA 98660 601 amps to 1,000 ores 301,04 ' 2 over i,000 amps orvails 55226 2 Phone:{36695 77011 Fax:( ) Temporary services or feeders inahllatiop,alteration,and/or Email: relocation Owner installation:This installation is being made on properly 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 400amps 125.08 2 Owner signature. Date: 401 amps to 599 amps 168.54 2 , CONrRep PERSON Branch circuits-new,alteration,or extension,per panel APgLIt XNT , A.Fee for branch circuits with Business name Garner Electric Washington,LLC aboveservice orfecderra, 7.42 2 each branch circuit Contact name:Bill Daniels B.Fee Tor breach circuits without service orfeeder ree.first 56,t8 2 Address:6101 NE St Johns Rd branch circuit City/State/ZIP:Vancouver WA.98661 Each addl bezels circuit 7.42 2 Mistcllaaeoes(service or feeder not included) Phone:(253)320-1657 Fax::( ) Eads momufaeann ed or modular 67:84 2 dwelling, a vieeand/or feeder Email:bdnniel C wensa.Cotn Reconnect oat' 67.84 2 CONTRACTOR • Plvnp or irrigation click 67,84 —2— Business Business nam:Gartner Electric Washington,LLC Sign ormalinelighting 67.84 2 Signed drool*)or limitod-energy Et Ste Pige2 2 Address:610I NE St.Iobna Rd panel,alteration,or extension. Each additional inspection over attotyabk in any of the above City/State/2tP:Vancouver WA 98661 Additional inspection(i brmin) 66.25/lir Phone:(253)3201657 Fax:( ) Investigation(1 hr min) 90-00/h' Industrial plant(1 he min) 78.18/in* Email:bdanle.laggwwsa Inspections forwhichno fee is 90,00/lir CCB Lic.: C1158 Mc cal lee.:208174 Suprv.Lie.:4496S specifically listed(Iihr min) ELECTRIC,AL PER11i1T FEES Suprv.Electrician signature,re:Pi ed: t ./ ter itt he,ut Subtotal: Print name: Joan P Albeit Date: al k 11k0 D Plan Review Required(7.6%of pemlit Ike): Stale surcharge(j2%ofpermit fee): Authorized signature: / .- ?HamaTOTAL FEaMFBE '^ This permit appiicatiaa eapiteu Ito peradt Is wt abtalaed within ism as...,Print name: Bill Daniels Date: l 'Wdays fleet it boo ad bemewed as complete. • Number of isspeetions allowed per wank etscarelys, Jmolos p_suumEdx ha 00/17:2013 440.4eiRlthAsrCO3UWEa I I t Mechanical Permit Applicatio C �� EDnimimmilimmoimmi Received City of Tigard :71i 13125 SW Hall blvd.,Tigard OR 97223 A° 2t) 2016 1n.n Rem Phone: 503.718.2439 Fax: 503.598.i 968 r}uaBy. Other Permit: Ins n mine: 503.639.4175 �` 1 i ,: +K 1611 Ready?fiy: Judi.' t See Page 2 for i.� , . Pectic Internet: www.tigard-or.gov ; l'" rl IN K' (r'' ifedf h Supplemental Information �'`,�: � 3eSGKE�ST .:.+-: ,.�, wa r-a.,e. ^.�" ns::, �., x,.,.a '--x. ': Y..-'''4. `''''''''''''''''''''''';''''"*.- T a,sz _:•1-''''''''�t,,. _-� - -. Mechanical permit fees*are based on the value of the work 1 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Q Demolition 0 Other: mechanical materials.eturganem.labor,overhead.and profit. �a. Value S ; •c ar3 - r ri s ' ri ,- • fr{r;7 "=7�f � r ' te,, l. , ,T x" i a a} r 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special Information use e.ter*tisx, Q Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total -. 4'. • ® z r ss ‘'c' a t t) ar :•. Heatiaglcootiag: - ii <.,r:';'.i` •;'s„sa',..6.1M-1301K . ' .x, .1,....-":4-. '.''•....p2sr a. --s r �, -''.w;.''„ .3 .:,, . Air condition ine 46.75 Job site address: \' \ Furnace 100,000 BTU(ductslvents) ] 46.75 City/Sta1e1ZIP: A-kik.. D ted, Q f. q-3--\\-10 Furnace 100.000+BTU(ductstvnt cs) 54.91 aP POk 1.7{-) 0- q Iscatpomp 63.06 Suitr161 L no.: Project name: w Duet work 23.32 Cross street/directions to job site: n j, 1 t-'t4 (j Hydronic hot water system23.32 Residential boiler(radiator or hydropic) 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 I Lot no.: 1 r Other. 23.32 Other fad applies/tits: Tax map/parcel no.: Water heater 23.32 ... . �, ,,,7' 3 s s i t ` >.t Gas fireplaccfitsscn 3339 - Flue vent for water heater or gas HVAC 1 fireplace 21.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimneyiliner/fhrdvent 23.32 -1"-2:,..:5;'i+-1:C''45,4:4 j `' ` r� ' `" Environmental exhaust and ventilation' � ._ 2332 Name:PolygonRange hoodiother kitchen equipment 33.39 Address:109 E 1.3' St.Suite 200 Clothes dryer exhaust 3339 City/State lP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. toilet compartments,utiility rooms) 23.32 Phone:(425)586-7700 Fax:'( ) Attie/etawlspace fans I 23.32 � � , -u� "C.':- parer�j W� 2332 Business name:Apex Air LLC 514.15 For£irat tour,54.03 for each additional Contact name:Stasi Hay Furnace.etc. Gas Address:2230 W.Main St.Suite 107-272 heat Pip - Wallisuspcnded/urilt heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342.8109 Fax: (360)326-1769 Fireplace Range E-mail:stacipexairto.com Barbecue U'.'„I:4 . �A., xr `7..A s` • ^.�' " ,. a" 1: Clothes dryer teas) , Business name:Apex Air LLC 011ne�l Address:220 W.Main St.Suite 107-272 Subtotal Minimum permit fee(590.00) City/State/ZIP:Batik Ground,WA 98604 Plan review(25%of permit fee) Phone:(360)342.8109 Fax:(360)326.1769 State surcharge(12%of permit fee) - CCf31ic.:203034 . TOTAL PERMIT FEE t This permit application expires if a permit is not obtained within 180 fiff, days after It has been accepted as complete. Authorized stgnarur•. T (//' / 4 • Fee methodology ad by Tri-County Building industry Ser.-ate Board Print name:Stasi bay Date.11281_1'016 I till,1drng rs'MEC_PPemsiApp_Ldt3 t 13 doe 440-Mt?tttf6:!'(Y1li1K-E8) , t • • Plumbing Permit ApplicatiRECFiVED Building Fixtures City of Tigard APR 2 6 2016 , ,; Permit xo:,c1S7-?o/(o" )/6/ 1/1 13125 SW Ball Blvd",Tigard,OR 97223 Pian Review Oche Permit No.: g Phone: 503.718.2439 Fax: 503.5?$ ' ',,P i t( ( � inspection Lina 503.639A175 r:-.0,,, , r 1 t r l.,t c'"4 t',9 Dare Ready/Ey June 81 set page 2 for et ZvwW•h ard-or.gov '*2-, t ' ° " Nouhcd/Method" Su S lemental Information Internet: g _ ' tV. W < '4i ac:,. a + 74 ".: 6 « &'.a .fie:" • � Forspecial inforrusaturn sire checklist_ IIINcw construction ®Demolition Description I Qty. I. Ea I Total . ❑Addtuon/afteration/repl acement ❑Other Newt-2-family dwellings(includes 100 ft.far each utility connection) a� � '°'o € aeicm tt ��ri ,. SFR(1)bath 312.70 -., � _ gFg bath 437.78 • 1-and 2-family dwelling ■ Commercial/industrial SFR(3)bath 500.32 D Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2 ; rb � ff c a 1<,. s�a •t a''`'5 e n., _Site utilities: 'ti. L."J,G.' , ,4'•" t :15.-�� .:' k --:-.1''''�.'",. x Catch basin or area drain 18.76 G.-� \ ' lob Site address: �� ✓ �j Drywell;leach line,. or trench drain 18.76 City/State/ZIP: �h It ( 1\)0 O a Dick_ "-1-kk-I l ) Footing drain(no.linear ft:_) Page 2 Suite/bldg./apt.no.: 1 Project name: Vb� (5Y (! i-et Manufacntrcdhome utilities 50.03 f U Manholes 18.76 Cross street/directions to job site: C\1, ("ec gke - Rain drain connector 18.76 Sanitary sewer(no.linear ft _) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft'_) Page 2 Subdivision: Lot no.: 1 koj Fixture or item: Backflow prevcnter 31.27 Tax tuap/parcel no.: 12"51 ,�, _$acicwater'valvc i =+.A...." - � clothes W2c1irY ?5.02 f tel i t p LL1- p\J `Dishwasher 25.02 t Drinking fountain 25.02 Ejectors/sump 25.02 t -1..--:-.-----t-44,4-•._-<,¢ .z t '" y Expansion tank 12 51 "4 25.02 1 Foctltrc/srvvla cap Name pp ,. n i'V\ ... \f.)\... . Floor drain/floor sink/hub 25:02 Address i 0`^ J �j 1',../-T-' i Jk Garbage disposal 25.02 V� _ City/State/ZIP: \M in 6 lk,, t N "I I}C u v/ Hose bib 25.02 <-7.,:i.4-^,4 12.51 Phone:(Nn) a 0 Fax:' ) - Yi - ._, .; .. . iae � ; rinterceptor/grease trap -OZ ..�? "" y ,, I t4�-,n -: - : d ,,. -qt) c ,.-. , medicalgas(value: ) Paget Business name: [ ...1,,.....%(...144,-,„--,4i- t I L...xv\VN v-N Ut., r -primer 12.51 Contact name: 0 ill ti..A-1,4 --.4'N"iPri0 Roof drain(commercial) 12.51 Address: P ()'4- I'")-ii'Gs . Sink/basin/lavatory 25.02 City/State/ZIP: C -)( Solar units(potable water) 62.54 ' � { Tub/shower/shower pan 12.51 Phone:ill ) $- $3 l Fax::( ) Urinal 25.02 E-mail: K r •Lookap r .,Q A. „`ia _ Water closet 25.02 M � aiZ&;.:_,.awb-axa� � ae-..wa:.�T„ ta.+.,�.'.�, . .,.. .,A k^�.�Aa�T�!.,��Sw':`.�'uts�^Y` Water heater� � ... .u+.�Y.� w" ....2t4-.4't _.ti<�'4..�� _ 3732.. \ Business name: ,,.1-vl r.V .YYti nt.f\ P�U 11,4A-1 t-N( 1. C.-.. Water pi • WV 56:29 �/ wJ Address: P` 6 t' 13 7 Other" 25.02 Subtotal City/Statr/ZIP y t.4 Q_/y 1 c8e +F' Minimum permit fee: S72.50 Phone:( 71} j j'G q' Fax:( ) Plan review (25%of perm ii fee) CCB Lie.: 2,ID& 4 CL,,... Plumbing Lie.noFfs f IA52, State surcharge(12%of permit fee) Authorized signature: TOTAL PERMTf FEE This permit application expires if a permit is not obtained within 188 days Print name: Ma YK. c 4mj. Dat$l aq/fl� after it has been accepted u complete.. ( t *Fee methodology set by Tri-County Building Industry Service Board I:\Buildn Pmnits`RLMU-PcmitApp.dix: 10/01109 410-46 r6T(I0.92�COMP EBj POLYGON /2 NORTHWEST COMPANY April 27,2016 APR 27 2016 Mark VanDomelen Building Official BUILDING !V . l( 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 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.Polygonhomes.com C'C 13#166871 POLYGON n 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 We greatly appreciate the City of Tigard working with us in order to get this project 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)693-4442 www.Polvgonhomes corn ('CB#166871 City of Tigard ililli ■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G n k D Building Permit Review — Residential Building Permit #: /fSTo20/6 OD/6, / Site Address: /se, 7 a /9. i-A_�ve Project Name: Pviti - iC,eg,Z. ,ez-- /m2e.e Lot #: /1 (Neing= subdivision name;.Addition or.11tcration=last name of owner) Planning Review Proposal: erify site address/suite# exists and active in permit s .tem. I(4 River Terrace Neighborhood: ❑ No Lld Yes,See River Terrace Review Addendum Attached Sit Ian Elements: ree (3) copies of site plan 0:t isting structures on site e plan mu be on 8-1/2"x 11"or 11 x 17"paper 1 ootprint of new structure(including decks)with finished wn to scale (standard architect or engineer scale) or elevations T rth arrow tility locations(required for new,may apply for additions) address,project or subdivision name and lot number I ; ation of wells/septic systems plicant information(name and phone number) it Erosion control (including drainage-way protection,silt fence I6 . dimensions and building setback dimensions sign,location of catch basin,etc.) L Lot area,building coverage area,percentage of coverage andeet names i7rpervious area (applicable if R-7,R-12,R-25&R-40) ,ulu�Street tree size,type and location roperty corner elevations (2 foot contour lines if more than Pisting trees to be retained with drip line,and tree 4 foot differential) protection measures tti3)klean Water Services—Service Provider Lette of platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Tiii Public Faciliti Improvement (PFI) Permit: ,_ quired: Yes,applicant was notified II Applied For: IJ;1 Yes ❑ No,stop intake g2 and Use Case#: /62)1,0Q0 c-00C �� i./z4 .2(0/S--- a6 )(' /oning: Il/ etbacks: Front / Rear JS" Side ..q Street Side 49 Garage cQ?) andscape Requirement: o�� o Zueof Coverage Maximum: _al_ 3uilding Height: Maximum Height Actual Height �9 dikisual Clearance 4asements ensitive Lands: 2/Yes ❑ No Type 4- VO2hp - 1.01 Urban Forestry Plan ❑ Conditions "Met"prior to issuancey�/�of// building permit �Q Notes: %�4i_ ,s-Ad yYL21- A pei-fni/- 1ik) is Approved By Planning: / — Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: E Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: //Z CIO' Site Plans: # _1 Building Plans: # 3 Building Permit#: 1'J Enter building permit#above. Workflow Routing: Et-Planning EL.-Engineering "-ET-Permit Coordinator 12M1uilding 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. uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: ,/j—f,e__r_ Date: y/2{0//h Engineering Review Slope at building pad: Z2>' 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 ❑ NOT Approv• • b Engineering: Date: Notes: �s _`: _ ' � i. . A...-lit .0 t As a sr.. 4 .r..� Approved by Engineering: ,41 ___ Date: Y�� -- 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 ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: IAINIC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A K to Issue Permit roved byPermit Coordinator: /1 / Date: 1/2-18-7/ l:\Building\Forms\BldgPennitRvwRES_O11I2'116.docx R-de ry01_ 7ir7� �/S-c.L.6�C . i/C &Ir 4..4 _ cu. -ryt +, , 4 City of Tigard i IICOMMUNITY DEVELOPMENT DEPARTMENT ■ T l c n a D River Terrace Building Permit Review Addendum Building Permit #: /1STae/6 -Q0 46 Site Address: /383 3lr> / 4 Project Name: AJ tuefir--pris76c Lot #: //E (Newi g= subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan Distrigf Design Standards (18.660.070.I.): Is the project subject to the plan district design standards? ®''Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 t. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a P ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6f. wide Gabled dormer ❑ ❑ ❑ 2. Eyes on the street: a minimu of 12% f each street facing facade must include windows or entrance doors. Percentage Shown: 7g./ t'°' .MMax.ances:At least one entrance must meet both of the folio 'ng standards: 8 ft. setback from longe street- facing wall arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If y s, all the following apply: ////sq.ft. min. 9ne street facing entry ft. max. roof above floor ofP orch 5 ft. depth min. 30%min. porch roof coverage 4. etailed Design:All buildings shall include a min. of five oft following elements on all street-facing facades: Iovered porch min. 5 ft.wide x 5 ft. deepRe¢cessed entry area min. 5 ft. wide x 2 ft. deep all offset min. 16 inches ❑ rmer min. 4 ft.wide Roof eave min. 12 inch projection : .of offset min. of 2 ft. ❑ Roof shingles either tile or wood IG 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 LiAindow 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 No to front or side lot line, than longest street-facing wall. 111Yes 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 [ f above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 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: - i 1-4Building'Forms BldgPermitRsw RES RT 031416.docs Cheryl Caines From: Dianna Howse Sent: Monday, May 09, 2016 7:29 AM To: Albert Shields; Cheryl Caines Cc: #Building Permit Technicians Subject: FW: Polygon at West River Terrace (Foundation only permits) Attachments: Mike White.vcf Please see Mike White's notes below. From: Mike White Sent: Monday, May 09, 2016 6:40 AM To: Kim McMillan; Tom Hochstatter Cc: Dianna Howse; Debbie Adamski; Mark VanDomelen Subject: Polygon at West River Terrace (Foundation only permits) Kim, Polygon and NEI have completed the requirements for the thirty(30) foundation only for the west side of"West". Tom has a map and the geotech report for those lots. He knows that only those may be permitted at this time. Thanks, Mike White Mike White City of Tigard Senior Engineering Technician Engineering TIGARD (503)639-4171 ext2-164 Mike';';itigard-or.gov { 13125 SW Hall Blvd Tigard,OR 97223 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules City General Records Retention Schedule." 1 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 13853 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00161 David Young Clean outs to be brought to grade. All other corrections ok. Will check at building ﬁnal. 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 13853 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00161 David Young Violation Summary: Inspector Contractor 2. Plumbing Permit Application Building Fixtures RECEIVED City of Tigard SEP 1 6 2016 ReceiPlaved/d ij Permit NoMST WV 00161 111 .: lig I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan n Review Phone: 503.718.2439 Fax: 503.598.10�- r: Other Permit No.: Inspection Line: 503.639.4175 l,l 1 � � Date/By: I K., Et C) Internet: www.ti ardor. ovBUILDING ( NDate Ready/By: runs: ® See Page 2 for g g Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ; ®New construction 0 Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement 0 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 0 Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 fifs-s JOB SITE INFORMATION AND LOCATION _ Site utilities: Job site address: SIN 1-7 Hill 10, Catch basin or area drain 18.76 v A 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.: I 1'3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 �/1 / ' ei C iT Clotheswasher 25.02 (i /�/ Dishwasher asher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 1 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 ® 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: 4::: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:Carolina Malmedal Date:04/25/2016 after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:1Building\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 13853 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00161 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Vapor barrier afﬁdavit form received. Blower door test report checked. Insulation certiﬁcation checked. C of O left on kitchen island with approved plans. 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 13853 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00161 David Young Provide nail plate protection at moved outlet for microwave. 300.4D 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 13853 SW 174TH AVE, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00161 David Young Correction complete. Violation Summary: Inspector Contractor