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Permit (48) CITY OF TIGARD MASTER PERMIT 14 t* p COMMUNITY DEVELOPMENT Permit#: MST2016-00182 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016 TIGARD Parcel: 2S 106DC 11600 Jurisdiction: Tigard Site address: 17344 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 116 Project: Polygon at West River Terrace, Lot 116 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 633 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1650 sf Value: $204,417.84 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes 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: 2 201-400 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 1650 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,024.23 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: ,A V et,c../E1-770.1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , Building Permit Ap licatio // r L S ` '/ 2/i/0 Vit. sn ECEIN(E411 / F( ROI FICF 1 ,1 O\i. City of Tigard MAY 0 2 2.016 nes y /rO .i• Permit No/15V°/6//,2- 7 1, - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review A l o,y�P llf/?.Z(�/6 /L�`f 'an Line: 503.639.417503.598j1 I �C l 1 V ARD Date/By 'I/ i r„ w Page 2 for i 1C,,:G3> Inspection 1..[1 11 t l :�/0 /b Supplemental Information Internet: .tigard-or.gov BUILDII"G DIVISION �. ic- -N. /C v__.t� ._—:,._-- ----- Permit fees* _._.. -...'''1;'..'.;-',':'.e , f _ __ _ - ees'a are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipmeValuationnt:,materials,labor, hd profit for the work indicated this „` S204,418 (”" / ®1-and 2-family dwelling 0 Commercialrmdushial Number of bedrooms: 4 ❑Accessory building 0 Multi-family ❑Master builder ❑Other: -- numberof floors: ono G8 Total 2 Job site address: 0$114 5V) �R_ \ Lou+d Re, New dwelling area: 1650 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 418 square feet Suite/bldgJapt.no.: ` Project name:Polygon at West River Ter Covered porch area: 20 square feet)O 1 7 Cross street/directions to job site: Deck area: square feet 6 3 3 Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: %`�j 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 work indicated on this application. _ _ _ -- -_ Valuation: S Existing building area: square feet New building area: square feet I -- _ _ = o£stones. Number ' Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State•JZIP:Scottsdale,AZ 85258 Existinx 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 Amount received: Phone:(360)695-7700 [Fax::( ) _ E-mail:Angela.GrajewskiQpolygonhames.com Commercial and residential prescriptive installation of ,, ,y, :-, ,�_._ ,; 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 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 of permit fee): $21.60 lyCCB lie.:207247 _ Total fee due upon application: $201.60 ((��Q /y 1.4/jk/ This permit application expires if a permit is not obtained Authorized signature: ��i yV%�i"d V/� within 180 days after it has been accepted as complete. - L /1/74// •Per methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: Service Board. 1:\BuildinglPermits\BUP-RESPetmitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) TI Mechanical Permit Apulica INE I ulz of r1( L 1 Sr:Oil ) City of Tigard Received Date/By: : r il • 1nS .1Od � 1u Review Phone: Fax: 503598.1960MA 1 / Other Permit: l IL^.,'1, Inspection Line: 503.639.4175 I) Date Ready/By: mss: ®See Page 2 for Internet www.tigard-or.gav CITY Of flG t u' HaifedMe hod: Supplemental mfornaaon - - •t • I t wr Io 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 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value: ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For'pedal lu ormatian use checklist. ❑Multi-family 0 Master builder 0 Other Description I Qtr. 1 Ea. I Total fir" Heating/cooling: Air conditioning 46.75 . Job site address: 11344 SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) i 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(dams/vents) 54.91 Heat pump 61.06 Suite/bldgfapt no.: I Project name:Polygon at West River Ter 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 2332 Other: 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: 1 ,{p Other fuel appliances: Tax map/parcel no.: Water heater 23.32 water heater gas 3339 eras ftreplaee/insert .. ... �< _ _ � . : __ _ �_ .:::..... .... . _.:. Flue vent for or fuep1Ce 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other 2332 _ - - _.- _ - _._ Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33,39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 3339 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 2332 Other 2332 Fuel ping: Business name:William Lyon Homes,Inc. 514.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. l 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(a)polygonhomes.com Barbecue Clothes dryer(Sas) Business name:Apex Air LLC yC S 1 Address:18004 NE 72°11 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit gee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)3264769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is set obtained within 180 _ c.. /�( _�, �/ daysg aftersetIt has been accepted asIndustry complete.. Authorized signature: ift�- N-QQQY`J G �/j' Fee methodology set by Tri-County Building Industry Service Board Print name: A , � A ra k. Date: 'b BundieePermirs\MEC_Pt _oa113.doc 17T(1 2/CO Mvrsl I, EI/11E1)Electrical Permit Applicant lou On 1( xs1_0 I City a/Tigard1 ),An Y 0 22016 Received D, Fear"�l S7"�07, .-190/, ,,1 i 13125 SW:tali Blvd.,Tigard,OR 973' Plan Review Phone: 503.7182439 Fax 503.598.1960 p rt Date/B. fisted Permit e' hapecffwnLine: 503.639.4175 lily UI TI(jAA RadyDabar tea: ei SuPage 2for 1 i( , U Litems: www.tigard-or.gov Notified/Method: Supplemental Information ®Mew construction ❑Addition/alteration/replacement Pressecheck ell that apply(submit'sets of phren*diem checked): 0 Demolition ❑Other: O Service or feeder 400 amps or mon O Building over throe arenas. where the available faaht amen: O Marinas and boatyards. _ ,•-'--...-1r-7`-'-. ''' t:et7 r'•'O..^; ( -(.6 i h _A i)i t i 3(3) monis wpm amps at 150 vas or 0 Madan buildings. ® m 1-and 2-family dwelling ❑Comercial/iiidustrisl 0 Accessory building ten to ground,or exceeds 14,000 O Commercial-use agricultural maps for an other maWnations. buildings.• ❑Multi-family 0 Master builder ❑Other. One pump. 0headtationof1501KVAor r a- -< ' �-'`.o � (07 E.r: ,uf;_sr a-.�x :r. 0Emerpenaysystem- knee�loj .- dY, S�i;f e X01 r� .__ 3r, 1 l-734{ •3� in LO`„ ClAdditionoewmerarladof sria>n Job#: Job site address: t „tet loosfP or more. 0"A",`s"."1-27•"1-3". City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. zon• OHe.Nh-are facilities. O Rea ai vehicle parks. Suite/bldg./apt.#: I Project name:Polygon at West River Ter O lima Icon locations, O supply voltage for mon than ❑Service or feeder 600 snips amore. 600 void nomieal. Cross street/directions to job site: - ,,i''-',...,:'--_ y ti„_-.—p J_y_ '�I y `?s''' DucAonoa -Oil. Rash Tots', New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: f r to lneindes attached garage. 1,000 eq.it or less ) 168.54 4 Tax map/parcel#: 8e.add?500 sq,R or portion 'Z 3392 1 tr), 1 ,1 F(if i-i J) 1 ) - .._,'_.. Limited mercy,residential �__ .. `f • 75.00 2 (widt above sq.R) j L ironed energy,multi-family 75.00 2 residential(with above sq.8) L ) .-:.-,_u ,_=. ' - • _- Services or fades installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 maps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 oto 400 amps 133.56 2 - 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1900 amp 30I.04 2 Phone:(602)694-4031 I Fax.( ) Over 1,000 amp 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 Ins 59.36 I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125.08 I 12 401 to 599 amps I168.54 I 2 OA'rler sigaagm Date � . , . Branch circ+dts-tern,alteration,or eYtendoa,per Pane! y< i A Fee for bnm:h ertwda wftle Business name:William Lyon Homes,Inc. abort service or feeder Re. 7.42 2 each branch t im& Contact name:Angela GrajeWski B.Fee for branch circuits without Address;109 East 13th Street service 'first a 56.18 2 City/State/ZIP:Vancouver,WA 98660 Bach addi branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • I Fax::(360)693-4442 Each manufactured or modular 6724 2 dwelling,service and/or feeder Email:Angela.Grajewski®polygonhomes.com Reconnect 67.84 2 - ; - '.r 6 k,_ - 7'7 `'• , Pum or brignion curie 67.84 2 Business name:Garner Electric Washington,LLC Signa outline lighting 67.84 2 .r..: Signal circuits)or limited-energy El See Page 2 2 Address:6101 NE St Johns Rd Panel,alteration,a exteasloa. City/State/ZIP:Vancouver WA 98661 Each additional Inspection over allowable hi any of the above Additional inspection(1 hr min) 66.251hr Phone:(253)320.1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdanlels®gweusa cum hada hl&phut p hr min) 78,18/hr iasnationa for which no foe is WOO/hr CCB Lie.: C1158 Electrical Lit.: 208174 Suprv.Lie.: 44963 swill '. listed A hr men 1, - 'i J -i- II 0- i < i-" CJ y-; Suprv.Electrician signature,required: _ it ' 1), Subtotal: Print mime: Joan P Albert_ • Date: 4/26/2016 O Plan Review Required(25%of permit fee): l State surcharge(12%of permit fee): -,,,,.., �� TOTAL PERMIT FEB: .2-,•,...-., Authorized signature: �..--� This permit a ppliwtion expires If a permit S not obtained within 180 '''1S"` Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. ''' ` Number of inspections allowed per permit :'ii Ve:'s':-Y.'5aidi t'caa6ELC_Pmdt•p Ellt ERE.doe Rwa6177/tat5 44o4sisniims/cosf/Wm RECEIVE') Plumbing Permit ADalication Building Fixtures MAY 0 2 2016 City orTig,a1a 2;ITY OF T1GAK may: Pam"No.'-t5'1-AVL Do e- _ a 13125 SW Hari Blvd.,Tigard,OR 97 1 I Phone: 503.7182439 Fax: 503.59RITLDINGDIVISI :vieW 0th Pmh No.: i i. Inspection Line: 503.639.4175 Date R�y/By: km. H Sec Page 2 for Internet: www.tigard-or.gov NotifiedlMetbod: Supplemeae!laformadoe . � � „'...L+:^inn,,:r:. �, .•. ..�;s`: .;: .. ..• - ...o. ! �•�. X .;u .:::....?...,,.....4,,.........1.,v );.ey.:3 ®New construction 0 Demolition For sped.!WermamTen use eheekNat Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft fa each utility connection) .- CATEGORY OF COhlSJ1IUICPION' SFR(1)bath 312.70 ®.1-and 2-family dwelling ❑Commercialmdustrial SFR(2)bath 437.78 •0 Accessory building 0 Multi-family SFR(3)bath 50032 500,51 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler L sq.1) Page 2 .. '.,Ips..13111 I NFO141VIA ION AND LOCATION .. Site utilities: Job site address: 11 `7 4 $va ma Lows,. Catch basin a area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywall,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear 8:_) Page 2 Storm sewer(no.linear ft.:Ta Page 2 Water service(no.linear ft.:,_J Page 2 Subdivision:Polygon at West River Terrrrace I Lot no.: I lb Fixture or item: Tax map/panel no.: Back$aw preventer t 31.27 31.2.-r , DESCRIPTION OF WORIGvalve 1 12.51 12.61 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejecton/sump 25.02 ®.PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixdms/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doabletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Bose bib 25.02 + Phone:(602)694-4031 Fax:( ) Ice maker 12.51 .'®,APPLICANT . , . ❑ calmer PERSON: Intaceptortgrease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) _ Page 2 Primer 12.51 Contact name:Angela Gnjewski 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::(369)693-4442 Tub/shower/shower pan I2.51 E-mail:AngeJa.Grajewslri®polygonbomea.coln Urinal 25.02 Water closet 25.02 CONTRACTOR • . Water heater 37.52 Business name:Mahaedal Enterprises Inc, WaterP rPmPN WV 56.29 Address:PO Box 207 Other. 25.02 City/StateJZIP:Banks,OR 97196 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: 572.50 CCB Lic.:102535 Plumbing-11c.no.:34-276PB Plan review (25%of perm fa) State surcharge(12%of permit fee) Authorized signature: G,,.- ,-,:. TOTAL PERMIT FEE Print name:Carolina Mahnedal I Date:0425/2016 This permit application expires if a permit is net obtained witain 180 days after k bas been aocepred as complete. "Fee methodology sot by Tri-County Bolding Industry Service Board. I:BtuadatPerndtstPLMU.PetmitApp.doc 10101I09 440.46t67(1002/COWWE9) POLYGON CO. NORTHWEST COMPANY April 27,2016 Mark VanDomelen Building Official 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'CB#16687 I POLYGON CLII 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 /07702-0/(o — 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 Polygonhomes com CCB#16687 I City of Tigard IINI COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1(,AR n Building Permit Review — Residential Building Permit #: /1.S7-0 a/G — DD/oPa Site Address: 1 X34 � o �LpuEd. Project Name: Ai .n cS /T. ✓e, �. ,cp Lot #: me (New ng=subdivision name;,lddition or.Aiteration=last name of owner) Planning Review ,� Proposal: iU,) � la' /€- rify site address/suite#exists and active in permit sem. rivyir River Terrace Neighborhood: ❑ No P Yes,See River Terrace Review Addendum Attached Sit lan Elements: ree (3)copies of site plan til sting structures on site to plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished awn to scale(standard architect or engineer scale) or elevations 7 -.rth arrow Utility locations(required for new,may apply for additions) 74 S. e address,project or subdivision name and lot number !J tel of wells/septic systems I plicant information(name and phone number) V. rosion control(including drainage-way protection,silt fence of dimensions and building setback dimensions sign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and 4 eet names pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location 'roperty corner elevations(2 foot contour lines if more than ting trees to be retained with drip line,and tree 4 foot differential) protection measures tihFClean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie mprovement(PFI) Permit: equired: WYes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: 4 X07 C-- V.,..626JS r V, �; � � / ning:Pt/Setbacks: Front /g Rear a Side S Street Side AA—Garage S'4' P andscape Requirement: of Coverage Maximum: O Building Height: Maximum Height NY+ Actual Height QS iisual Clearance i5 asements11 ensitive Lands: /Yes ❑ No Type Z--0/0*—Z--0/0*— ��,IAhLe /r, / -- Urban Forestry Plan ❑ Conditionj��"Met"prior to issua-nce_o/ff building permit Notes: —Ct/7 756'l� _�h1/ Ze /9'CP i>>r 7i �1, / CL*b?AC,e_ Approved By Planning: isim,,.... .44,_ Date: ______57/ 1/14_ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:ABuilding\Forms\BldgPennitRvw_RES_0121 16.docx 0 Building Permit Submittal Original Submittal Date: _5 4,/"b Site Plans: # Building Plans: # ____; Building Permit#: ErEnter building permit#above. Workflow Routing: 4;1'Planning Engineering - Permit Coordinator Building Workflow Sign-off: O'Sign-off for Planning(include notes from planning review) Route Application Documents: ,12' 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: -.5-1�/,6 Engineering Review Ll ��Slope at building pad: /� Conditions "Met"prior to issuancee 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 Approved blE 'neering: Date: , Notes: .� � � ,_Ar' u --4/ yy.;y� Approved by Engineering: Date: `-7; 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: Er SDC Fees Entered: Wash Co Trans Dev Tax: W- Yes ❑ N/A Tigard Trans SDC: ® Yes ❑ N/A Parks SDC: Yes ❑ N/A E OK to Issue Permit — Fou.„,,cl a-I;qn o►z r ) Approved by Permit Coordinator: (— C cw„ -' Date: 6 -l 0 1 I: Building,Forms\BldgPeimitRvw_RES_0121 16.docx A , . 11111 IIII City of Tigard ll COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /Yf r,=2e/6 — a0/cFc,2, �J Site Address: /73I/4/ S k7-- Iii L e ped Project Name: Polygon at West River Terrace Lot #: ///„ (New dwelling=subdivision name;Addition or Alteration=last name of owner) `�' Planning Review of River Terrace Plan Dist/H t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?PYes ❑ 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 . deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft/�ide ❑ CI 2. Eyes on the e street: a minimum f 12%t each street facing facade must include windows or entrance doors. Percentage Shown: //.5.gYe ntrances:At least one entrance must meet both of the follo g standards: 3. Max. 8 ft. setback from long t street- facing wall Parallel to street,angle no more than 45° from street, or o en onto porch Entrance opens to a porch: Yes ❑ No If yds,all the following apply: �5 sq.ft.min. x)ne street facing entry �/],2 ft. max.roof above floor of porch +ley(5 ft. depth min. 30%min. porch roof coverage 4. tailed Design:All buildings shall include a min.of five of the 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 }YJ'all offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ ' .of offset min.of 2 ft. O Roof shingles either tile or wood E Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 rizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of street facadeWindow trim min. 2'/z"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 co ergot. Setbacks: rf��'' No closer to front or side lot line,than longest street-facing wall. I1 Yes Ell No. If No (Check one): 0 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) NIA ,t l� 12-foot-wide garage door C�l�4v0%max. of street facade �`' 50%max. of street facade with 7 detailed design elements Notes: j� Approved By Planning: �—' ,* Date: s' ,624, 1:\Budding\Portes\BldgPermrtRvw_RES_RT_03 1416.docx / 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00182 David Young Work not complete, not ready for inspection. Microwave vent not installed. Register grills not installed. Inspections to be scheduled when work is complete and ready for inspection. Note: provide address on site for inspections. R319.1 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00182 David Young Work not complete, not ready for inspection. FP and tv outlet wiring exposed with no faceplates, outlets covered with tape in dining area. Work is to be complete and ready for inspection when scheduled. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00182 David Young Provide address on site for inspection. 319.1 No downspout installed on front entry. Cleanout plugs need approved thread sealant. 316.1 Work not complete, not ready for ﬁnal inspection. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL September 15, 2016 at 11:54:48 AM MST2016-00182 David Young No hot water at ﬁxtures, water heater breaker off. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00182 Chip Barnett No A/C installed 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00182 David Young See inspection dated 9/20/16. No building ﬁnal inspection prior to planning and engineering release of conditions. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00182 David Young No ﬁnal inspections or C of O's issued prior to planning and engineering release of subdivision requirements. Provide city required documents for ﬁnal inspection. Note: no AC installed at time of ﬁnal inspection. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00182 David Young See previous failed inspection results. Re inspect fee applied for scheduling inspection prior to correction being complete. Third failed inspection without correction. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00182 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test results checked. Insulation certiﬁcation checked. C of O left on site at kitchen island. Note: patio encroachment on next door property, patio poured over the property line. No AC installed at time of ﬁnal inspection, permit and inspection required at time of installation. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00182 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2016-00182 David Young This inspection passed previously, see inspection dated 9/19/16. 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 17344 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2016-00182 Chip Barnett Violation Summary: Inspector Contractor