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Permit CITY OF TIGARDMASTER PERMIT I ', COMMUNITY DEVELOPMENT � f Permit#: MST2016-00198 T 1 G .RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S106DC08100 Jurisdiction: Tigard Site address: 17325 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 81 Project: Polygon at West River Terrace, Lot 81 Project Description: New SF. 9/14/16, REPRINTED to add a/c. 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: 1853 sf Value: $310,588.00 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: 1 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: 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 1853 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: $31,515.78 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�1may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued Bt &A Y 4) Permittee Signature: � O--" �np,.ice qx .O Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. -Mechanical Permit Application FOR OFFICE USE O\L1 City of Tigard j_ _ ECW PermitNo.:�'d �� y �, /13125SWHallBlvdTigardOPhone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 AUG 2 2 2016 Date Read B : Juris: Internet: www.tigard-or.govReady/By: 0 See Page 2 for Notified/Method: Supplemental Information 1� , .. . _ S - R t Tf7;Sr *-«4` - ^ :MIL ®New construction Mechanical permit fees*are based on the value of the work ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value $ 41:ki it .s,.._. _' _ __ 3L GOR7 OF C i1Vs1RUCU JN r .RE iiioli miiiF-113)ENf I: TEMs EES# ®1-and 2-family dwelling 0 Commercial/industrial ❑Accesso building `� - ry For special:nformalron use checklist ❑Multi fanuly ❑Master builder ❑Other Description Ea. Total 3 Qty. iti JOp i t � p Heating/cooling: ,.÷ , Job site address: [�y� (' Air conditioning 46.75 46.75 I �� "�) Anne 1 1�� (�, 1 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 • Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: 0 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 rt g Gl FJ401 11 a Gas fireplace/insert 3339 Add AC 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 Chimney/liner/flue/vent 23.32 3v i ItOPRRT Other: '� 23.32 - - ' Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equipment 3339 Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: 602 694-4031 ( ) Fax ( ) �� -1-11.4:7±''t4-,—. '''7'2.--', ..a7,-- Attic%raw p ce fans 23.32 sa Other: 2332 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.com Range i x - �9. E�P ... r v .. Barbecue _.. . ..mom -a - .... ._..,444:,.;,�,' 4�, �---#:: .-r_.. �M -''''77--, Clothes dryer(gas) Business name:Apex Air LLC Other: t 1Y at-1 pEiilPiTt"'� < Address:18004 NE 72nd Ave � ri..n �•,. �---' Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of pemut fee) Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE y�0/�} P � This permit application expires if a permit is not obtained within 180 ��(] � days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 I 1:03uilding\Permits\Iv1EC PermitApp_040113.doc 440-4617T(11/02/COMMEB) CITY OF TIGARD MASTER PERMIT la 111 COMMUNITY DEVELOPMENT Permit*: MST2016-00198 - 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 TIGARD 9 Parcel: 2S106DC08100 Jurisdiction: Tigard Site address: 17325 SW ANNE GRACE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 81 Project: Polygon at West River Terrace, Lot 81 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 Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1853 sf Value: $310,588.00 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: 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 add9 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 1853 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: $31,276.58 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 R 952-0 90. u may obtain a copy of the rules or direct questions to OUNC by calling 1503.232.198787or 1.800.332.2344.80 Issued By: !/` U Permittee Signature: /V - r4<G4—T70A.) 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. 1 * z_e- 6P/ ,,, Building Permit Application Ls . > v Ze /Jo ° z l" . RECEIVED 1 01(011 1( 1_ 1 ‘,1_0V'1.1 City of Tigard MAY 12 2016 -S'�3,//6, 19i. remit No.: s'��/e -Ov/9� •riZ 1,11 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 2 / p Permit��Q�/��QQ/SP Phone: 503.718.2439 Fax: 503.594Q�OF TIGARD r r: Inspection Line: 503.639.4175 l 1 ' Date Ready/By: Ju^s: 13 See Page 2 for �' ° ‘ - Internet www.tigard-or.gov BUILDING DIVISION Nodeedirdethod Supplemental Information ®New construction 121 Demolition Permit fees*are based on the valueperformed. of the work Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit ttjfoorr the c r E ,;;;;17--, r work indicated on this application. O O ,! / tion. 3/ f Valua' • S'Z'29 4I0h J ®1-and 2-family dwelling 0 Commercia thdustrial t Number of bedrooms: 4 0 Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: 3 ---,--_^-z--- Total number of floors: 2 a a9.c" Job site address: sitltrs .�mm>i...■if,w'.....<�� New dwelling area: 1858 square feet City/State/ZIP:Tigard,OR 97224 1 17 A,5 so ila-r4 N <r?)Aite.e- Garage/carport area: 437 square feet Sr "bldgiapt.no.: Project name:Polygon at West River Ter Covered porch area: square feet I 04 9 C: et/direct, '$s to job site: Deck area: g square feet$p 9 Other structure area: square feet j Subdivision:Polygon at West River Terrace Lot no.: a Permit fees*are based onf 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 _ . r work indicated on this application , Valuation: $ Existing building area: square feet New building area: square feet i. Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: 1 City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon WL$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.Grajewskt(a�polygonhomes.com installation off II :�c t I r Commercial orad residential prescreptrve ' E' - '.._ roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 i Total fee due upon application: $201.60 . Authorized signature: (....4,(46,/,‘,...A11/y..411/0This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Fee methodology set by Tri-County Building Industry Print name:Angela Grajewski Date: f aj t& Service Board. I:1Building\PermitslBUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) RECEIVED ✓ Mechanical Permit Application MAY 1 2 2016 FOR OFFICE: I ,t..t)\Ll City of Tigard may. Pmm$Nofys7;76./C 01i°e Ill13125 SW Hall Blvd.,Tigard,OR 9722CITY OF TIGARD plan Review Permit: I. Phone: 503.718.2439 Fax: 503.59$tILDING DIVISION �By: i t Inspection Line: 503.639.4175 Rata ®See Page 2 for Internet www_tigard-or.gov Notified/Method: Suppiemertai Information '' _ -' ' Mechanical 't fees•are based on the value of the wait .__ permr ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit i Value:$ i ®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building Fes:pedal bfbnnation use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Fa. I Total — Heatimgfcooliug ( . .. 46.75 Job tate address: eff5e)=113Eittfeep— Furnace 100,000 BTU(duoWvents) ) 46.75 City/State/ZIP:Tigard,OR 97224 173 e2 5 5 CJ 4/JDe— (L4-eE- Furnace 100,000+BTU(dads/vents) 54.91 Heat pump 61.06 Suite/bldg./apt no.: [ Project name:Polygon at West River Ter Dud work 23.32 Cross street/directions to job site: llydronic hot water system 23.32 Residential boiler(radiator or hydropic) 2332 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 Tartrate Lot no.: 1 Other feel appliances: Tax map/parcel no.: Water heater 23.32 iw heater 3339 : plauxJitlsert :.._ .._ Gas firePlue vent for afar or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood freplac e/wsert 2332 Chimney/liner/flue/vent 23.32 23.32 • _ :: _ -- -' - —: .. Ocher _.. ,___ _. __ _ - Environmental exhaust and veoilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 3339 City/State/ZTP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans - 23.32 Off: 23.32 Fuel piping: ping: Business name:William Lyon Homes,Inc. 514.15 for first four,54.03 for each additional Contact name:Angela Grajewsld Furnace,etc. Gas heat pump Address:109 East 13th Street Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 water heater Phone:(360)695-7700 1 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski®polygonhomes.com Barbecue , othes dryer(gas) mer- Business name:Apex Air LLC r Address:18004 NE 72 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)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE I This permit application expires if a permit is not obtained within 180 GrI�i��/�`/'y/ i days after it has been accepted as complete. Authorized signature: y4 t f'((//{{��// • Fee methodology set by Tri-Comity Building Industry Service Board Print name: At n„jra f �� Date: )61I if, I:1BuildingTerutits rb:C PennitApp_0401134c 17T(11 v2/COM/WEB) P • i . I Electrical Permit ApphlaWE VED IDI:Oil JUL LSI ()\I 1 ' City of Tigard MAY 12 2016Reoeived Date/B . Ps1111il krt_s-raorc,-oo t 91> 13125 SW Bali Blvd.,Tigard,OR 97223 Plan fteriew ' 6..' Phme: 5033182439 FAVIltseP TIGARD Datelft. Related Permit g: ; Inspection Line503.639: Ready Dtda/By: ho. ra See Page 2 for Irdernet: "trim-tip/a-0.W I LD I NG DIVISION Notifiendathoct ftemplanntehl Information ' .--- -- f1.11 ._:,t 7.,Of',-':2:1)-_',51:'::'-' ,,._7-..-,,,-,'-- .,-,,...--, ..-_,-,,,,..,-.;-:--,7-2,-, ,?_-,-,,-ati,,..?„,,,_,,,-.„._. -4,-,..11-•:N.Lilii,',3_,:•••• : -,_,;.-..-..-3..:-:1,2;%<:.,-;_:. ID New construction 0 Addition/alteration/replacement -Please cheek all that spply(submiti sets of plaes%AMU ekeeke4 0 ServiDa or feeder 400 amps or more 0 Buildinp over three stories_ , D Demolition D Other: vitiate the available hen current 0141.dass and boatyards. .'-`--;-'1'• '••- '''--:----,'••-•-•1k''..i,'-'''l\';-.0•:-.64-)'-l•'•-'..A.:_t 171(3g-_`_. -, =- r,,'::'_ c -'_..".1- eccoWdit io,000 amps at iso vow or [anemias beildiap. 11.4 l•and 2-famBy dwelling 0 Commercial/Mdtistrial ID Accessory building less to ground,or erteeeds 14,000 0 commemin-ase asmear' trend loops for an other lamination. . Wan,.• 0 Multi-family ••• ID.Master builder 0 Other: °Fire pump. 0 Installation of 150 KVA or 6...;a;..OW: 0 Etnervecy Modem. larger separMely deriAme 0 AdditMu°fees/raotorioad of system. 1 Job#: Job site address: pm.-lop 3 . -rr -i,...,,.. 10011P Of 112010. OW,"E'".-1-2",'1-3", , 0 Sur' or more raidential cabs. 00411PancY• eitY/StattalP:Tigard*OR 97224 I'13 9,561d A-AWE GIZACE" (-Ai Damithcore facilities. 0 Recreational whicJe parks. Sulte/bIdgJapt.#: I Project name:Polygon at West River Ter 011asareems toestioas, 0 Sappty voltage for mom than , n Service or feeder 600 amps or more. 600 val nominal, Cross streetklirectIons tojob site: ,-.:..'-:::e;;-'.`;'-;.-;•,,,,:::.c.-:',2::1;,:.-4-1.tj.,.,.:1::.1 ijqt,,,,:',..,;:,,,„-,-. :',.-t-,..,.,,..,.: Dtswirdon ' Qtr. Zack Total • New residential single-or multi-Dually dwelling snit Subdivision:Polygon at West River Terrrace I Lot It; 31 Includes attached garage. 1 1.000 sq.&or less 1 168.54 4 Tax map/parcel#: Ea.add'1500 sq.I or portion j 3392 1 _, - .-,--_ _. ..-"-:,ii)... .:Cz:,..,1-"s,f:ah:t_',1:3.,•k,.);1',„ - ''•-' '',' 7---.."'-, - •-;-:‘-;- Limited cony.residential (with above sq.ft.) Linked enttlY.multi-family 75.00 2 residential(wilb above wi.ft.) 0 See Page 2 i)--Li Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 203 amps or less 100.70 2 201 - Address:7600 E Doubletree Ranch Road amps to 400 amps 133.56 2 401 amps to 60D amps 200.34 2 City/Stab:1MP:Scottsdale,AZ 85258 601 maps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax ( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders Installation,alteration,and/or Email: . relocation Owner installation:This installation is being made on property that I own which is not 200103:90 or ISO 1. i ! 59.36 I intended for sale,lease,rent,or exchange.,according to ORS 447,449,670,and 701. ' 201 amps to 400 amps 125.08 -- I 2 Owner signature: Date: • 401 amps to 599 amps J 16834 2 . -.7- ._, 7', ,,•,. 1., ,,:.,-.*-:3-.,_T17-7s— • - : _:-..11,_ J.c,,,t,-,-i-,1,..-),_..:-,_:$2,,_.: ;.7--,1 Inizcke:rdrerdts-new,alteration,or extension,per panelabumchctresittw Business name:William Lyon Homes,Inc. above service or feeder Ow, 7.42 2 each branch&cult Contact name:Angela Grajewski B.Pee for breech circuits without service or feeder fee, that Address:109 East 13th Street brand cheek 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add')branch circuit 7.42 2 . Miscellaneous(service or feeder not included) Phone:(360)695-7700 • . ' I Fax::(360)693-9442 Each manufirmured or modular 67.84 2 dwelling,service and/or feeder Email:Angtia.Grajewskialpolygonhomes.com Recession only ' - 67.84 2 Potiiitoe 67.84 2 Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 Signal eirenit(s)or limited-energy Address;6101 NE St Johns Rd panel,alteration,or extension. 0 Ste Page 2 2 Each additional Inspection over allowable in soy of the above City/State/ZIP:Vancouver WA 98661 Addidonal inspection(1 hr min) 66251hr Phone:(253)320-1657 Fax:( ) Investigation(1 br min) WOO/br Industrial plant(1 br min) • 78.18/br, Email:bdanielstggwense..com kopeetions for which no fee is 901a• ; CCB Lic.: C1158 Electrical Lic.: 208174 Simrv.Lic.: 4496S — 4-17.7t-.'-'-'F':' . —..... ..-...... ..- 71 - -_, ..,.„.. •' Suprv.Electrician signature,required; 't.li*/?"1 i_p„ . ile/ct-, - Subtotal: -• Print narne: Joan P Albeit -. Data: 4/26/2016 0 Plan Review Required(25%of permit fee): ' State surcharge(12%of permit fee): ••••:.. _ ‘.1;• TOTAL PERMIT FEE: Authorized signalint. e.---7 ------- - ?eV.... This permit application expires V a permitts net obtained within 185 Print name: Bill Daniels Date; 4/26/2016 days after it has been accepted as complete. :5%.,,,q,,',.,•,:,,t, • Number of inspections allowed per permit 'VevildirOPerielts\ELC.Penrstapp ELR_ERIL{Soe ato.061)712015 4404615T(1)/09COM/W1313 • r Plumbing Permit Aaplica CEIVED Building Fixtures MAY 12 2016 it tl, ()l I I( i 1 ,1 t,.1 City of TigardRecei ed Pam11�°./tl�T/6i( /!�J 13125 SW Hall Blvd Tigard,OA .t OF TIGARD Detenay: IN irk Phone: 503.7181.439 Fax: WA.u.. G !\/I C 1('1t\., Da a By: W Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By. lush: El See Peas 2 for Werner www.tigard-or.gov Notified/Method: Supplemental Information 1 c-, =ur%; .. 41117,. 4-4-:, .,._.. ;tet.;; . ._ti. " :') ®New construction 0 Demote For'pedal lnlo>+ in use checkd ist- Description I Q . I Es. I Total ❑Additionla terationheplacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each ulii connection) CATEGORY GF CI:NETRUCTION' SFR(1)bath 312.70 ®I-and 2-family dwelling 0 Commercial/Industrial SFR(2)bath 437.78 SFR(3)bath i 50032 500.32 ❑Accessory bin7dmg ❑Mull-family Eitel,additional batb/lotchen 25.02 ❑Master builder t ❑Other: Fire sprinkler L sq.It.) Page 2 ... JOB SITE INFORMATIONAND 11OCA11ON Site utilities: Job site address: (�� ( ( ') Catch basin or area drain 18.76 ��rGDrywell,leach line,or trench drain 18.76 City/Stale/ZIP:Tigard,OR 97224 `i 3 S(� l4 NI J� u i2 Footing dram. (no.smear 8.: _, 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.:_J Page 2 Storm sewer(no.linear R: ) Ptd 2 Water service(no.linear R: ) Page 2 Subdivision:Polygon at West River Terrrace 11-ot no.: %( Fixture or item: Tax mapJpm+cel no.: 13eddtowprevents I 31.27 31.21, . DESCRIPTION OF Wt)RLty Backwater valve I 1234 i 2.5 I Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 EjectOm/suorp 25.02 , A.r Expansion tank 12.51 Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/Boor sink/hub 25.02 Address:7600 E Doubletree Ranch Road . Crarbagc disposal 25.02 City/Stater P:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4131 Fax ( ) Ice maker 12-51 0 CONTACT PERSON• ln> 1D trap 25.02 PageBusiness name:William Lyon Homes,Inc Medical gas(value:$"`-) - 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)69314442 Tub/shower/shower pan 12.51 E-mail:Angela.Grajewski@poinenboma.com Intl 25.02 Winter closet 25.02 CONTRACTOR •• Water heater 37.52 Business name:Malmedal Enterprises Ise. Water piiping/DWV 56.29 Address:PO Box 207 Other. 25.02 Clty/StateZWP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lia no.:34-27611B State surcharge(12%of permit fee) Authorized signature: C,,. ----C":" TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 This permit applicationafter k accepted as within ISO days •Fee methodology set by Tri-County Building Indusay Service Board. - I:VkilkfrOPormitOPL.MU-PavStApp.doe 10101109 440.4616T(10d/WEB) City of Tigard t r COMMUNITY DEVELOPMENT DEPARTMENT 11114 T 1 C;n Il 1) Building Permit Review — Residential Building Permit #: / 7 ,2i/ , — 00/Rce Site Address: L- Sk.) A ite ,3 � L.2-4X_ Project Name: PDZGc__ 1- /e/t,ze.- �errra Lot #: 8/ (N ew ng= subdivision name;Addition or Alteration =last name of owner) Planning Review Proposal: /l.J iu F/ 07erify site address/suite# exists and active in permits tem. giR ver Terrace Neighborhood: C1 No [.]Yes,See River Terrace Review Addendum Attached Sits Plan Elements: pyhree(3)copies of site plan isting structures on site rto plan must i on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure (including decks)with finished prawn to scale (standard architect or engineer scale) or elevations orth arrow Utility locations (required for new,may apply for additions) tte address,project or subdivision name and lot number • .cation of wells/septic systems pplicant information(name and phone number) Ir;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 pervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location ClIgProperty corner elevations (2 foot contour lines if more than IN : Q ting trees to be retained with drip line,and tree 4 foot differential) protection measures Olean Water Services—Service Provider Lette of platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No tin Public FacilitifImprovement (PFI) Permit: t -quired: D Yes,applicant was notified ❑ No Applied For: Yes E No,stop intake lG jand Use Case#: PU'.20/c- t � • D/c ( /2 ? oning: /'C.- -- etbacks: Front /a Rear 0 Side 3 Street Side f !//- Garage 31( /s � andscape Requirement: �(] 0/0 ' r Of/Lot Coverage Maximum: 00 0/0 V Building Height: Maximum Height AM- Actual Height o2s id tsual Clearance vp/C Easements 1.31 i.ensitive Lands: ❑ Yes No Type Ira Urban Forestry Plan ❑ Conditions "Met"prior to issuance of buildingLpermit Notes: eD�tr,21hU19_C' 5 A//A' a/ yhr- 710 /ht i/ J.. c .in Ge Approved By Planning: . ,:,,,;t-• Date: S`aZ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B IdgPennitR vw_RES_O 12 116.doc x Building Permit Submittal Original Submittal Date: .51/2—A(c, Site Plans: # Building Plans: # _J2 Building Permit#: Enter building permit#above. Workflow Routing: e'Planning Engineering !J.—Permit Coordinator C�-') uilding Workflow Sign-off: .2'Sign-off for Planning(include notes from planning review) Route Application Documents: fEJ'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ,p riginal 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: --3//6 Engineering Review Slope at building pad: El 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: El Yes El No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: El Yes ❑ No ❑ NOT Approved by Engi eer' g: Date: Notes: , �� Approved by Engineering: !, .17 Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El 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: SDC Fees Entered: Wash Co Trans Dev Tax: Ti Yes ❑ N/A Tigard Trans SDC: Yes El N/A Parks SDC: Yes ❑ N/A m OK to Issue Permit - .cUun8a4-;o a V1k1 Approved by Permit Coordinator: CjDate: 5- 19) -I b I:Building\Fonns`\BldgPennitRvw_RES_012116.docx City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT 1111111 -st ` River Terrace Building Permit Review Addendum Building Permit #: Af-r7 ,2p/, — 00/9F Site Address: / S/C) ,, 'y e LLe Project Name: Polygon at West River Terrace Lot #: 8l (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist 'ct Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? VYYees ❑ 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 f. deep ft. deep min. 2ft., 5 ft wide min. 2 ft., Eft.wide Gabled dormer ElCI ❑ ❑ 2. Eyes on the street: a minimum 14- 12% f etch street facing facade must include windows or entrance doors. Percentage Shown: 7 o o 3. E trances:At least one entrance must meet both of the follo ng standards: Max. 8 ft. setback from longe t street facing wall Parallel to street, angle no more than 45° from street, or open onto porch opens a Entrance to porch: Yes ElNo If es, all the following apply: iiiiiS sq.ft. min. V5ne street facing entry ft.max. roof above floor of porch ft. depth min. 30%min. porch roof coverage 4. Detailed Design: All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ overed porch min. 5 ft. wide x 5 ft. deep ❑ cessed entry area min. 5 ft.wide x 2 ft. deep .. (all offset min. 16 inches , prmer min. 4 ft.wide I/. Roof eave min. 12 inch projection [2 . .of offset min. of 2 ft. ❑ Roof shingles either tile or wood 1/ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. E❑ orizontal lap siding min. 3-7 ft.wide 111IJP Accent siding min. 40%of street facade Window trim min. 2 '/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 El 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's- .t line, than longest street-facing wall. ❑ _- il No. If No (Check one): ❑ May extend up to 5 ft. if there is . •vered front porc -. garage does not extend beyond the front porch. ❑ May extend up to 5 ft. where the garage is ..` -•l 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) El 12-foo se garage door ❑ 40% max. of street a . _ 1%max. of street facade with 7 detailed design elements Notes: Approved By Planning: - _________ , ' Date: SA °V .,0 I BuiIding\Forrs\BldgPernitRvw RES RT 031416 docc POLYGON ea, 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 - i 'I3 o, 5 -S vJ A-A) /75-7; /6-G,/?f 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 CCB#166871 POLYGON /I 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, zaewmapitr Chris Walther Project Manager 503-312-6213 109 East 13th Street,Vancouver,Washington 98660 (360)695-77()0 • (503)221-1920 • Fax(360)693-4442 www Polygonhomes.coin ccs#t 6687 I 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00198 David Young No power at entry GFCI and plug in wall behind in living room. All else appears ok. 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00198 David Young Previous failed inspection results sent in error, corrections were for 17335 not scheduled for ﬁnal inspection at this time. Electrical ﬁnal for this permit ok. 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00198 David Young Inspection results for 10/21/16. 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 28, 2016 at 10:23:36 AM MST2016-00198 David Young Corrections complete. 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 28, 2016 at 10:23:36 AM MST2016-00198 David Young Corrections complete. 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS November 9, 2016 at 10:44:20 AM MST2016-00198 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - No C of O November 9, 2016 at 10:50:27 AM MST2016-00198 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 received. Insulation certiﬁcation checked. 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O November 9, 2016 at 6:27:30 PM MST2016-00198 David Young City required documents received, see previous approved 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 17325 SW ANNE GRACE LN, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00198 David Young Fireplace not working. Gas range controls taped over. Not ready for ﬁnal mechanical inspection. No AC installed at time of ﬁnal inspection, permit and inspections required at time of installation. Violation Summary: Inspector Contractor Plumbint Permit Application Building Fixtures1111111111 G r r RecesZB7/ / Tig (cam P t13125;51 Hail Blvd..Tigard•OR 97.4A` : Phone: 503.718.2439 Fax: 503.598.4960 Other Formic No.: DateYBy 1 T i 'i,l.z Inspection Line: 503.639.4175 Date Itcady?9y: Juris. id See-Page.2 for Internet: www,tigard-or.gov Notihedr'k4ethod; . , Supplemental tnformacion TYPE OF WORK FEE"- EDULE � -New construction Demolition For special irrjarnrariort srse checklist . Description 4 Qty. 1 Ea. 1 Total 0 Additionlalterationfreplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection). ,; CAT'EGtiiyOFCO?tISTRLIMON SFR(f)bath 4 312.70I ®I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 , 0 Master builder 0 Other. Fire sprinkler( sq.ft.) • Page 2 JOS'alit'`II+tFORMA'1I17N AND LOCATION` Site utilities: ^ �(� (� Catch basin or area drain ' 18.76 Job site address: l?J"L S• ' VMCe \Qh ' Drywell,leach line,or trench drain 18.76 1 CitylStatelZlP•Tigard,OR 97224 ---- l ,._._. Footing drain(no.linear R.:_) Page 2 Suite/bldgapt.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:Polygonat West River'ierrrace I Lot no.:b 1 , Fixture or item: Tax map/parcel no.: Backflow preentrx 31.27 -- Backwater valve 12.51 ' DE>�CklP3'�17NT OF M'oRK � - . - - Clothes washer 25.02 tkeirie C city— Dishwasher 25:02 Drinking fountain 25.02 Ejectors/sump 25.02 tk I. o TENANT Expansion tank 1251 Name:ADPL Land Holdings,LLC Fixturefsewercap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 _ Wii City/State/ZIP Scottsdale,AZ 85258 Hose bib 25.02 Phone (602)694-4031 Fax ( ) Ice maker 12.51 „ Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:S ) 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 Urinal 25.02 E-mail:Aogela>Grajewski(s polygonhornes.eurn .,:;-`7,..+ iiiiiiiiaxtoi _ Water closet 25.02 ' Water.healer 37,52 Business name:Alliance Plumbing LLC Waterpiping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other:. 25.02 City/State/ZIP:Troutdak,OR 97060 Subtotal ; 7-1 Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 ; CCB Lie,:184601 iPlumbing Lie:no.:P5732 4ifitteir... Plan review (25%ofpermit fee) ' If State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE f Print name:Robert Disbttiian: Date:5/2312016 This permit application expires if It.permit is not obtained within ISO days after it ban been accepted as complete_ *Fee methodology set by Tri-County Building Industry Service Boaard. 1leuildiiis"PermilallAt(J4'..0itApp.4oc lcol/59 44tv4t1sT(la/022'6i a)