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Permit CITY OF TIGARD MASTER PERMIT 1111 y a , COMMUNITY DEVELOPMENT Permit*: MST2016-00197 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S106DC08000 Jurisdiction: Tigard Site address: 17345 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 80 Project: Polygon at West River Terrace, Lot 80 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $281,020.84 Rear: 15 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 RainStorm Sewer: 100 0 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: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N •HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 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: $30,934.23 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 52-001-0090. 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: eN "'L/ C�77U" " 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. v , to-i CU Building Permit Application y/2///k7 RECEIVEDS t' f `nk -fs {,L I OR orficE lf::O\I,\ City of Tigard 12 2016 Rem - i3 **-40/9 ` -7 Dat my: �p ��i� Permit No/1(��j�/�j�/9 ,-a 13125 SW Hall Blvd.,Tigard,OR 97223 MAY _ L Y r Phone: 503.718.2439 Fax: 503.598.1 Plate/B Wv J'�.))4r PrP edse�/6-�/ 7 ,` , ,,r Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/a Jurist 0 See Page 2 for Internet www.tigard-or.gov BUILDING DIVISION Notfied/Methad: Supplementallnformatioa � � F a: �.� t� s � s.� b!/,'.4.:-T.cfV I t' C -°.,biz p.. p /;��.��4I I� ®New construction 0 Demolition Pennit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the k P i [ 5.4 - u work indicated on this application. � . .. <., ,._. _, ... .. -.,.-.1 Valuation: Eig 1-and 2-family dwell ng 0 Commercial/industrial 531`793 a'1 j 0 a 0 4 ❑Accessory building 0 Multi-family Number of bedrooms: 4 El Master builder 0 Other: Number of bathrooms: 3 , , , ,. u ,, r'i, Total number of floors: 2 Job site address: :_-;..1.;-.7.-z- - r. —-v vm r:*�^..�_ New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 113 lis Svo 14-Aini- &7?i}-C Garage carport area: 437 square feet SuitelbldgJapt.no.: I Project name:Polygon at West River Ter Covered porch area: 164 square feet 10 1.1 Cross street/directions to job site: Deck area: square feet 3 0 1 Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 1 e work indicated on this application- Valuation: Existing building area: square feet New building area: square feet r Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy.groups: City/State/ZIP:Scottsdale,AZ 85258 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 136 Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewsiki®polygonhomes.com . _.f Commercial and residential prescriptive installation of —_ rooftop mounted Photovoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist, City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review x180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 4„...CCB lis.:207247 Total fee due upon application: $201.60 •Authorized signature: �-- /( This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date: .'7 f0 J/�/J// / *Fee methodology set by Tri-County Building Industry Service Board, C\Buiid ng\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) y - Mechanical Permit ApplI O R 0 i 1 I C I. l (\l.1 City of Tigard V IVED Date/Ery: Permit NoilefTao,e,_00,9 W l Blvd., igard,OR Plan t1 • Phones 03718.2439 TF 503 5 8190 M AY 12 2016 Dat R`""`" Ili Ocher Permit: Date/By: Iii.;,' 1 I Inspection Line: 503.639.4175 pate Ready/By: +r is See Page 2 for Internet: www.ttgard-or.gov CITY OF TIGARD Noti ethod: supplemental Information 9 I. DIVISION _ =. . Mechanical t f "_ on the valueof work _- _ , ,. _- ....� _ - permit fees*are based on the i ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment',labor,overhead,and profit 0 Demolition ❑Other: Value:S > , ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal information use checklist 0 Multi-family ❑Master builder 0 Other: Description I Qty. ( Ea. 1 Total Heating/coolieg: 46.75 a -; i _.` .._., .- :` ..___ .._,.,... ... ., .••. AiICOnditlorlirlg Job site address: Furnace 100,000 BTU(ductanr«us) 1 46.75 City/State/ZIP:Tigard,OR 97224 I'73 t,5 51,v A-1 NI E-G-1 ( Fumace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Int work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 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 �� Other: 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: bV Other fuel appliances: Tax map/parcel no 333 Water beater 23.32 .: :-'; Gas fueplacedinsert :.: ... :__ Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert , 23.32 C binmey/liner/flue/vent 2332 _ Other 23.32 _ .._.. ,_•_ — --- -•- 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 , 33.39 /State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, Citytoilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax ( ) Attic/crawlspate fans , 23.32 Other 2332 _._. Fuel ullAugt Business name:William Lyon Homes,Inc. $14.15 for tint four$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. (has heat pump Address:109 East 13th Street 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.Grajewsld®.polygonbomes.com Barbecue , E t: �._. i - Clothes dryer(tors) _ .. ___... Other. Business name:Apex Air LLC Address:18004 NE 72nd Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) _ Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)3264769 State surcharge(12%of permit fee) CCB lie.:203034 A TOTAL PERMIT FEE • �/G.,(411/3a44141 This permit application expires if a permit is net obtained within ISO d��i��fi days after has been aytxx as ed sty e Authorized signature:n l ` Fee methodology set by iii County Building Industry Service Board Print name: 1J aira t,w� Date: yjl I�p r I:\Bul)dingWertnits'1MEC PmnitApp_04011 M/-(P6/I4 ): Electrical Permit Appliea CE�V EQ ri rolz(WI It1 t'NI Ov1 1 I City of Tigardu /f�S%�v/6 or!9 13125 sW Hall Blvd.,Tigard,oR 97*AY 12 2016 Phone: 503.718.2439 Fax: 503598,1960 . . Related PefD"t Line: 503.639.4115 Dste/B Lair H Sss Paget for intentline: r.�gam _C1TY OF�IGARD, 1`� �'��, > Supplemental Iaformattoa ®New construction 0 Addition/alteration/replacement Please sae&all that apply(submatg sets ofplLo wnwaos owed): ❑fie[ ['Service or Reeder 400 amps or more 0 Bidding over three shirks. • ❑ where ate evat7able halt currant C)I:Ca[inaa and boatyards. I ; .' ` fir 'JZ _ )' L '&F j_tia at1_01E(i) ' at aseeeds10,000ampsi50vollaOr I l floatingbudings. ®1-and 2-family dwelling ❑Cornmercial/bidtist ial 0 Accessory building b0e to ground or exceeds 14,000 ❑eommerofai-mo agricultural amps❑Multi-family ❑Master builder El Other: for all other iastanaalona. baddlatioest.. ❑Fhs pump. ❑Irrssallatloa of 150 KVA or ;;i'"�"..:t.;Y > fel_i,: y 1.�.r.A.:0rteau(a).,,`,g t }:jai 9`-`,1'-2.`,-',..1.;,..§",,-‘,¢t�-J 0E eergancysyatsm. larger sepeessedyderived Job#: Job site address: _ Cl Mdaiou of new moral toad of system- Job —��.:��ws>♦ga sa►r•raw.=s7 10011P or mora 0"A"."$"."1-2"."1-3' City/State/ZIP:Tigard,OR 97224 ) � e,5 cJ /9-/1(/f e— (j }( (� D seer or more residential units owrp�6y. City/Stat 3 S 131iwi<d-cera faaitities. D Rwesational,wheats packs. Suite/bldg./apt 4: I Project name:Polygon at West River Tar ❑Nedoos ❑Stay voltage ter more than 00 mrservice or feeder 600 amps or mere. 600 volts nominal. Cross str eet/dire tions to job site: �t s 1 tc:7:1,1„171,,,,'P', Desstion, I Qty. seav Total • New residential single-or milli-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: / Includes attached garage. Tax map/parcel#: 1.000 sq.R or less 1 168.54 4 Ba.*del 500 sq.R or portion 3 3392 1 111_ '� '' Lingle() residential _.. .•--- _. __ .�. __ _�:.._ _.. . __„�_:._ .�.,_�..:� _..__. _ _:.,, (with above sq.it) 75.00 2 I Limited energy,multi-family 75.00 2 residential(with above sq.ft.) _ ` ,..'1-'i c ;. Renewable Enemy Cl See Pate 2 w__ .. ...�.,_ __. - screteea or feeders lamina altemdoa,and/or relocation Name:ADVL Land Holdings,LLC _._. _ .._w 200 amps or leas 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 a 13356 2 • 401 amps to 600 amps 200.34 2 City/StateIZiP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: .• relocation Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 159.36 1 intended for sale,tease,rant,or exchange,according to ORS 447,449,670,and 701. 201 steps to 400 amps 125.08 1 2 Owner signature: Date: • 401 amps to 599 amps 16834 12 _ T . .,,,-h_:.:-.. iBliCtb circuits tion,or extension,per panel •L'`I _,l'.- �— . .� - . r ,..� _ ._:.. A.Fee ecu branch wfth Business name:William Lyon Homes,Inc above service or feeder fen, 7.42 2 each burnish circuit Contact name:Angela Grajewaki B.Pee far branch cetraria without Address:109 East 13th Street service' fust anch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each addi branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' Fax::(360)693-4442 Each manufacbsed or modular 67.84 2 Email:Angela.Grajewski@polygonhomes.com dwelling, Reconnect onlyervice 67.84 nly 67.8a 2 ,r-'cr51 0"7: _--C.<-::.:._ _ Pawl)orlaigatioacircle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 or limited-energy Address:6101 NE St Johns Rd card.alteratioignal circub(sn,or exteas 0 See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable to any of the above Additional inspection(1 hr rain) 66.25/hr Phone:(25.3)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels'@gweusa.com lndcetridplant(Ihrmin) • 78.18/hr lespections for which no fee is CCB Lic.: C11S8 Electrical Lic.: 208174 Suprv.Lia: 4496S90.00/ 4965s liskd ” . tamasmanintemosmit Suprv.Electrician signature,required: f Subtotal: Print mune: Joan P Albert •- Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): t, Authorized signature: % _ TOTAL PERMIT PEE -`•c'`'. rids permit application expires if a permit ie not*bodied within 160 „ti Print name: Bill Daniels l Date: 4/26/2016 ( days after It has been accepted as complete !Y:`s:, • Number of inspeaioos allowed per permit. 3e:>!t•.t: � C PenattApp EIA EAE0oo Rev 0617l101$ 440.461ST(1 t/05/COMJVVES ani 's, ' `.` ztr -_ �. Plumbing Permit Application Building Fixtures RECEIVED iOR t/I11( 1 I `a tl��\yi City of Tigard ter. Permit N°.: /S T�i6-09/g 7 13125 SW Hall Blvd,Tigard,OR� 1 p cPlan Review , i Phone: 503.7182439 Fac 503'5"98.194 ` 2O1u DaeeIB OthePermit No Inspection Line: 503.639.41A .r1 I T OF TIGARD ' `: See'se``:for Internet www.t,gard _ _ snppiamwbl Information msµ' ...✓•.. DIVIS.ION•....._,_ ,... �. m;.;,f. :; '(-4x.'5.:.• ®New construction ' 0 Demolition For ape [Woe atfea rare nher at - Description 1 Qty. 1 Ea. ( Total 0 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 SFR(2)bath 437.78 ®f-and 2-family duelling 0 Commereialrndustrial SFR(3)bath ( 500.32 500.52. 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(..__sq.R.) Page 2 JOB SITS mitiot 1'1A'l1UN"'AND LOCATION Site utilities: Ca tch basin or area drain 18.76 Job site address DryweB,teach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 17 3 9S .9,L) l JG- LA Footing dram(no.linear R.:__) Page 2 - Suite/bldg/apt.no.: ' 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 it:_ J Page 2 Water service(no.linear tt:,_ ) Page 2 Subdivision:Polygon at West River Terrraee 1 Lot no.: 50 Fixture or Item: Tax map/parcel no: Backflow prev� ? 31.27 .51.VI Backwater valve ( 12.51 i2.„6 I Clothes washer DESCRIPTION OF.iYORR 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 taT* 12.51 ® PROPERTY t3'WiNFR ' - I Q TENANT . 25.02 Fixture/sewer cap Name ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 Clty/Stata2IP:Scottsdale,AZ 85258 Hose bib 25.02 Plum=(602)6944031 I Fax:( ) Ion maker 12.51 ® APPL{6AN1 It 0 CONTACT PERSON: InixrcePlcattaase tap 25.02 Medial gas(value: Business name:William Lyon Homes,Inc S ) 2 Primer 12.51 Contact name:Angela Grejewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sinklbasin/lavatory 25.02 _ City/Stale/ZIP:Vancouver,WA 96660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tubhhowerishower pan 12.51 Urirnl 25.02 E-mail:Angela.Grajewsld@potygouhomes.co>a Water closet 25.02 CONIltACTOR , Water heater 37.52 Business name:Maimedal Enterprises lam Water piping/DWV 5629 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97116 Subtotal Phone:(503)324-0759 Fax:(503-)3240560 Minimum permit foe: $72.50 Plan review (25%of permit fee) CCB Lac:102535 Plumbing Lie.no.:34-276PB State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: C_, Thispenult application expires i!a permit b set ve obtained widget 180 drys Print name:Carolina Malmedal Date:04/25/2016 atter k las been accepted s ete. "fee methodology set by TriCovoty Building Industry Service Board. - Iu ads, PermitAPtMU.PermhApp.doc 10WII09 4404616T(10r37/COWWEa) • City of Tigard 1111 r COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /`YS j f p r (, (20X 9 7 Site Address: / 4S--. Sk) 47n, ( ee Project Name: PDZ27 1 /,iJ - /,�-/(i1el -terra e Lot #: e0(New ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Aie.A) T/C erify site address/suite# exists and active in permit stem. viVr R ver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit'Plan&Three(3)copies of site plan to isting structures on site Inpfte plan must Ile on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure (including decks)with finished prawn to scale(standard architect or engineer scale) or elevations Forth arrow Utility locations (required for new,may apply for additions) I% ite address,project or subdivision name and lot number • +cation of wells/septic systems pplicant information (name and phone number) II,Erosion control(including drainage-way protection,silt fence t dimensions and building setback dimensions esign,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and reet names ;impervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than IP 1 1 ting trees to be retained with drip line,and tree 4 foot differential) protection measures Oklean Water Services—Service Provider Lette of platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified fV No Received:. ❑ Yes ❑ No FJ Public Facili�ti Improvement (PFI) Permit: •quired: IV Yes,applicant was notified ❑ No Applied For: ® Yes ❑ No,stop intake Ig and Use Case#: PAC a).001-71- S'l( OlC---- 2.stj(c, oning: k--.. - Ig/Setbacks: -. -,Setbacks: Front AR Rear Q Side ,3 Street Side NO Garage 3'&" /,Landscape Requirement: ::2C� % Er Coverage Maximum: IId Building Height: Maximum Height A)M- Actual Height o,Q3 �I isual Clearance /Easements ensitive Lands: 1Yes ❑ No Type -- 142tai A L Urban Forestry Plan ❑ Conditions "Meth prior to issuance of building permitNotes: eel/et/JONN t' --S //ize /11.44 f7'l .)r j tagrikt1/ J1 /� Approved By Planning: Date: S7ARAtr:2 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: D Approved ❑ Not Approved l:\Building\Fonns\BldgPennitRvw_RES_0121 16.docx i Building Permit Submittal Original Submittal Date: --s//e'�//fo Site Plans: # 3 Building Plans: # ._9 Building Permit#: [ —Enter building permit#above. Workflow Routing: Q---Planning RT1✓ngineering hermit Coordinator wilding Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: [rEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er—Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: SA-7A, Engineering Review Slope at building pad: n ❑ 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 Approved by ng' eering: Date: Notes: A;;;7,-- 44"-4..e.7' e ,,.. 7. Approved by Engineering: ,Z 77 Date: 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: ISDC Fees Entered: \X'ash Co Trans Dev Tax: 51" Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: lX Yes ❑ N/A il OK to Issue Permit- To,,�G‘.a 0,-, oh(,,), Approved by Permit Coordinator: l n/J Gc.liv,1,0 Date: 5 -( a I:A Building\Forms vBldgPennitRvw_RES_0121 16.docx City of Tigard III III COMMUNITY DEVELOPMENT DEPARTMENT s Y, Y o ¢ River Terrace BuildingPermit Review Addendum s. Building Permit #: /YS'2-A/6) 'OD/9 Site Address: /904/S- `sy,<> Y�cp 1 .2 Project Name: Polygon at West River Terrace Lot #: eo (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft. wide min. 2 ft., 6ft. wide Gabled dormer VII ❑ ❑ ❑ ❑ 1 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: / /a 3. trances:At least one entrance must meet both of the follo • g standards: Max. 8 ft. setback from long st street- facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No Hies,es, all the following apply: sq.ft. min. ne street facing entry IIQ 2 ft.max. roof above floor of porch V(5)ft. depth min. 30%min. porch roof coverage 4. tailed Design:All buildings shall include a min. of five of e 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 Rall offset min. 16 inches ❑ ormer min. 4 ft. wide oof eave min. 12 inch projection V oof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street facade la 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. .. . a.es and Carports: May face the front or,side lot line on a corner lot. Setbacks: p h No closer to front or s'. - .t line, than longest street-facing wall. ❑ ,- % No. If No (Check one): ❑ May extend up to 5 ft. if there i . .vered front port •. garage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is . -4 a two-story building and there is a window at the second story above the garage that faces the stree a min. area o ' .. ft. Width: (Check one) ❑ 12-foo - ..e garage door ❑ 40%max. of street a . C 1%max. of street facade with 7 detailed design elements Notes: Approved By Planning: =_____ Date: SA03k{, I.\Building\Forms\BIdgPermitRvw_RES_RT_031416.docx POLYGON NORTHWEST COMPANY 6-1 April 27,2016 71 EIVkij APR 2 7 ?016 Mark VanDomelen � 1(1,110: Building Official BUILIflN � � § 4 k 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. is fullyaware that we are beingissued full buildingpermits on the below list of Polygon P 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- 11.311S Sal /,-n1 nl e C it- 1./.) /1S7c2a/6 -00/97 Lot 81 - 13758 SW 174th Loop Lot 82- 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94 - 13765 SW 175th Ave i 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.Polygon homes.com CCB#166871 POLYGON /O NORTHWEST COMPANY Lot 111 - 13787 SW 174th Loop Lot 112- 13 853 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 9866(1 (360)695-7700 • (503)221-1920 • Fax(360)693-4442 www.Polygonhomes.com C'CB#166871 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 17345 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00197 David Young Provide approved erosion control ﬁnal inspection prior to building ﬁnal inspection. Provide approved plumbing, mechanical and electrical ﬁnal inspections prior to building ﬁnal inspection. Not ready for building 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 17345 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 25, 2016 at 10:57:42 AM MST2016-00197 David Young No AC installed at this time. Permit and inspections 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 17345 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O October 31, 2016 at 11:02:33 AM MST2016-00197 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Blower door test report checked. Insulation certiﬁcation checked. C of O left on site with approved plans on kitchen island. No AC installed at time of ﬁnal inspection. Violation Summary: Inspector Contractor Plumbing Permit Application : - .. Building Fixtures 1 Received City of Tigard Dare/By: 1 Perin' N°�I.5 / III f.-- 13125 SW Hall Blvd.,Tigard,OR 97223 i"t'd�� "'" f Plan Review Phone: 503.7182439 . Fax: 503.598.10- Da .... Other Permit No.:96 T!t,tH ' Inspection Line: 503.639.4175 Da.,, 7usis: 0 See Page 2 for Internet www.tigard-or.gov Notified/Method: , Supplemental information TYPE.,OF WORK FEES SCHEDULE r t New construction 0 Demolition Far special information use checklist Description i Qty. I Fa. I Total 0 Addition/alteration/replacetnent 0 Other: New 1-2-family dwellings(includes 100 tt for each utility connection) •, CATEGORY OF CONS`RUCTION SFR(1)bath I 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 i. SFR(3)bath 1 500.32 V Accessory building 0 Multi-family Each additional bathtkitchen 25.02 0 Master builder 0 Other. ..` Fire sprinkler( sq.ft.) Page 2 J�.4�INFORMATION AND LOCATION Site utilities; Job site address: Catch basin or area drain 18.76 �� r '`� "� ` � Urywell,leach line,or trench drain 18.76 j City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 - i Suite/bldg./apt.no.: I:Project name:Polygon at West River Ter Manufacturedhome utilities 541.03 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 on at West RiverTerrrace Lot no.:e:00 -.- Subdivision;Polygon Fixture or item: � Tax map/parcel no.: Backflow preventer 31.27 ' D1 R1F11014 OF WORKBackwater valve 12:51 , Clothes washer 25.02 _ -(�� ' : a (� r Dishwasher 25.02 Drinking fountain 25.02 V i Ejectors/sump 25.02 ® if 1 OWNER : i ., 0'1 atci r Expansion _. tank 1�51 sFixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25:02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 npor/grime trap 25,02 } iiisisoti name:William Lyon Homes,Inc _ Medical gas(value:.$ ) Page 2 Business Primer t12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th'Street - Sinklbasitt/lavatoty 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)6934442 Tublshower/shower pan 12.51 Urinal 25.02 E-mail:AngelaGrajewaki@polygonhomes.cam: Wat�closet 25.412 Water heater 37.52 Business name:Alliance Plumbing LLC Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal . Phone:(503)492-3490 Fax:(503)912-643$ Minimum permit fee: $72.50 , CO3 Lic.:184601 Plumbing Lie,no.:P13732 ! Plan re• view(25%of errtlit fee) "itifitetr.... i State surcharge(12%of permit fee) Authorized.signature: TOTAL PERMIT FEE f Print name:Robert Deshtnao Date:5T2312016 This permit application expires ifs permit is not obtained within 180 days after it has been accepted Its camptct *Fed methodology set by Tri-County Building Industry service Board. I:iitildiiig4P nniis;PLNIU-PamitAppdoc 10/01/09 440.4616T(10//t2/CONVWEB)