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Permit CITY OF TIGARD MASTER PERMIT ,II! 11 1 .' COMMUNITY DEVELOPMENT 6 : Permit MST2016-00174 ` Date Issued: 05/25/2016 T[t,iARL, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243'. r S', ai _''1 Parcel: 2S106Tigard C07600 Jurisdiction: Tigard Site address: 17363 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 76 Project: Polygon at West River Terrace, Lot 76 Project Description: New SF. 9/14/16, REPRINTED to add a/c. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $219,579.26 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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: 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 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves on SCOTTSDALE,AZ 85258 east side and fireplace PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,346.38 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 throu hh 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: n 0.—(;•__� .—k 4, Permittee Signature: ,.,Q.l,Qe�„,,2 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. d 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 ONE City Of Tigard ! ew ived s IM !7<i . i e Permit No.: �+1 �!q 13125 S 0 Hall Blvd,Tigard,03. rN; EPhone: 503.718.2439 Fax: 503. 9 . Ry: Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Read B Iuris: Internet: www.tigard-or.gov AUG h 2016 y y Notified/Method: SS See Page 2 for j pa y upplemental Information * '''-'Fr'CIE1: ''''';'*!4'4'4N-74i, "'ll'a 124:04iiiiiir'Sdkilit*VArgektiate Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition CI Other: mechanical materials,equipment,labor,overhead,and profit. 'GAGOR7iT C+t)i ]� Value $ ---,_.._ _._ _ r.. :* IIffi�t77Ai:*( PAI0TIS.® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information I►1<St{�c# use checklist ❑Multi family ❑Master builder ❑Other: Description I Qty. I Ea. I Total a�+ x Z, ...t OB s 33Yi=0,01,4 Heating/cooling: e�9 Air conditioning 1 46.75 46.75 Job site address: 13 S\Ni LQu.1 Jl, eci 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.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heatertl 23.32 s ., .* ,_ Ol�l OF �yORi ,t Gas fireplace/insert 33.39 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 �:Y,itf1'Ei�1"Y Other: F------ _—.= -._._.;_ _ ._ Environmental exhaust and ventilation: 23.32 Name:AD VL 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 ( ) . ..,,. - Attic/c rawlspace fans 23.32 -� '- �-. ,T _ E� Other: 23.32-: me . v �-:" si.,,.:.. 1�*;. .. `fit . , ��.�.�,>' ; Business name:William Lyon Homes,Inc. Fuel piping: 514.15 for first four;$4.03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace E-mail:Angela.Grajewski@polygonhomes.coin Range Barbecue at'Si hf ��,�� '�-��g -$` �'`�"�n''�, ,� '� �_:�� Clothes dryer(gas) Business name:Apex Air LLC Other: Address:18004 NE 72°d Ave = Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Phone:(360)342-8109 Plan review(25%of permit fee) Fax:(360)326-1769 State surcharge(12%ofperniit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 r / a days after it has been accepted as complete. ,✓✓/�� Authorized signature: "" N l/t * Fee methodology set by Tri-County Building Industry Service Board Print name:Angela Grajewski I Date:8/22/16 I I:1Building\Pennits1lvlEC PerautApp_040113.doc 440-4617T(11/02/COM/WEB) a CITY OF TIGARD MASTER PERMIT sI 1 COMMUNITY DEVELOPMENT Permit#: MST2016-00174 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S106DC07600 Jurisdiction: Tigard Site address: 17363 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 76 Project: Polygon at West River Terrace, Lot 76 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1744 sf Value: $219,579.26 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp p 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 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 2 1 hour fire rated eaves on SCOTTSDALE,AZ 85258 east side and fireplace PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,249.02 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: <12;e572174Permittee Signature: _0/17. l 42-/ctz70,`1 Call 503.639.4176 by 7:00 a.m.for the next available inspection date. Thls 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. L® / ? (40 _, 'Building Permit Application _ « Gni-'F) !CI City of Tigard a" ved 1//Z// ' Pent*No/S7o�/fOd/7/ O • 13125 SW Ball Blvd.,Tigard,OR 97223 APR K 2 i 2 016 plan/eviewl S ) Q 1 ' p pmm y j��p/6 OO,,3F AQ Phone: 503.7182439 Fax: 503.598.1960 Datetay: ` !/ (1� r i f;S ;,;r Date Ready/SY: 4 Duni: 8 See Pa 2 for I i c, i t Inspection Line: 503.639.4175 G Q No $/Z ,f' ®6 A/�f Supplemental Information Internet: www.tigard-or.gov BU i LC;,r' fD' s`i q�v N 691- ;t..! " Permit fees*are based on the value of the work perforn e.d.4 ®New ❑Demolition Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the ❑Addttttm/alindicated on this application. Valuation: pS2 9,579 Q )c4.-i CI 1-and 2-family dwelling ❑Cornmereialfmdustriai Number of bedrooms: 3 ❑Accessory building 0 Multi-family ❑Other Number of bathrooms: 3 ❑Master builder 14.7 1 ,., . ,t r a , I ..i, • Total number Of floors: 2 ' :.._ _ .��.�. _.._ dwellingarea: 1744 square feet Job site address: 1'1'6 OS SW J[A(\ 1-ow►se, ' di‘ N� ew City/State/ZIP:Tigard,OR 97224 Garage/carport area: 423 square feet a Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: 221 square feet C!3 7 Cross street/directions to job site: Deck area square feet g 05 Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: 7G, 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 i � work indicated on this applicaton. Valuation: s Existing building area: square feet New building area: square feet Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 Occupancy Soups: City/State/ZIP:Scottsdale,AZ 85258 Existinv Phone:(602)694-4031 Fax:( ) New: --- — r Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13*Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) Ctrrome'•' rand .- g onhomes.com E-mail:An ela.Grajevvskr®PoIYB _ residential prestxiptrve installation of 'r 1. roof-top mounted PhotoVoltaic Solar Panel System , :__.,, .. Submit two(2)sets of roof plan with connection details Lyon name:William Homes,Inc and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. Permit Fee(includes pian renew $180.00 City/State/Z1P:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 I Fare(360)6934442 State surcharge(12%of permit fee): $21.60 ,/�CCB tic: .207247 - Total fee due upon application: $201.60 Authorized signature: V Atte,,/4K4 This permit application expires if a permit is not obtained Wv VJJJ��lll within 180 days after it has been accepted as complete. ! Print name:Angela Grajewki I Date: IA/ *Fee methodology set by Tri-County Building Industry j l Service Board L1Building1Petmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit APPlicatio4, t ! 1 (Ar.Ol i I( c t S1 O\l_1 a ;ry , t ati Received City of Tigard rt t�s.,. �,r., Date/By: Permit No.: _ 1.20/. _.., //7,d 11 — U 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit: 11 Phone: 503.718.2439 Fax: 503.598.1960 iv?R 2 1 2016 Date/By. Inspection Line: 503.639.4175 --,r Date Ready/By: rte: 121 See Page 2 for 1 1 I;L) Internet: www.tigard-or-gov ii" -1;i 1"f�L Notified/Method: Supplementallaformation { { iF iif , . ,. -- Mechanical perm fees'are bas on the the oris ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit ❑Demolition ❑Other: A• , Value 5 • ® 1-and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building For apodal information use checklist ❑Multi-family 0 Master builder ❑Other: Description I Qty. I Sc. I Total ,: coir ung: .. . Air conditioning 46.75 Job site address: fl%3 SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(dnctslvents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Dud work 23.32 Cross street/directions to job site: Hydropic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit beaters(fuel-type,not electric), in-wall,in-dud,suspended,etc. 46.75 Flue/vent for any of above 23.32 (� Other: 23.32 Subdivision:Polygon at West River Terrrace I Lot no.: 710 Other fuel appliances: Water heater 23.32 map/parcelTax no.: 3339 ..._ fireplace for water heater or gas Flue vent 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3339 Wood fireplace insert 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 _ Envire►nrseatal ecrbau t rad vendlation: _ Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7601)E Doubletree Ranch Road Clothes dryer exhaust 3339 City/State/ZIP: SScottsdale,AZ 85258 toilete�duct r exhaust(bathrooms, compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 2332 Other 2332 _.. .__ . ... .. Business name:William Lyon Homes,Inc. $14.15 for first four,$4.03 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 beater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski®polygonhomes.com Barbecue ,,,I.:1-' clothes (gas) --- . - Other Business name:Ape:Air LLC ` _. Address:18004 NE 72°s Ave Subtotal Minimum permit fee($90.00) City/State/ZIP:Vancouver,WA 98686 Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)3264769 State surcharge(12%of permit fee) TOTAL PERMIT FEE CCB lic.:203034 Thislelpermit application expiresifpermit is not obtained witbia 180 � pplica _ J41 �- days after it has been accepted complete Authorized signature: 1V * Fee methodology set by Tri-County Building Industry Service Board Print name: A x (ra iAlSkt Date: /( J (1. 67/CO bVAE ) L1BnildingTormiuMECP040113.doc J , Electrical Permit APPlicatiefk';-U.::.:-.A ',-: *—t- 10R 011.1(1..t SI 0\I\ City of TigardP Received canit a: r7S702,4-a0/7 'pi.„,,_ 13125 SW Hall Blvd.,Tigard,OR 97223 tv,-)R 21 20.\b D.I./B • Plan Review 6r Phone: 503.718.2439 Fax: 503.598.1960 ' - Inspection Line: 503.639.4175 . .t: (It: I:c-"'''l"':',f1-1 Date ,, . ;urn Pcnnit L 63 See Paga2 for a '-' 'I I-) 'Mb:Met Marwligard-orgov (.1',Ik N ,.." ,..,,,,ik.‘'r° ..; • ••• Suppkunental Information 4s r. ' t ' ...''' I@ New construction 0 Addition/alteradon/replacement Please amok all tint apply(submit Islets replan wAteras cheeited): 0 Sasvica or feeder 400 amps armors 0 Building over lice,entries. 0 Demolition 0 Other: where the available Soft canna( OMariass and boatyards. 40.., 2./,-_,,,) ,_1„) 4,:;,,f.--,1.3 c-'t,Q el:_ ---- exceeds 10,000 tact Si ISO voits or 0 Rowing buildinp. El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building ku "catch li'°°° 0 CDnumicid-use aSri"Itund amps ibr all other iustallatioos. buildings. 0 Muld-family - 0 Master builder 0 Other: 0 Phis pump, 13 installation of 150 KVA or -,;•".':',..c.- 1 0..;I:a41,.w.;.4.-; •,:!,e,iiio~:A,',,:zupy,t}„c 4,4 ..;•1, 3, 1E:'._-, •-:,-::.:1,-,-1,;$-_-r-42.4.3i,--51- Cl theerseney/Pie= larger separately derived 0 Addition of of new mor otload of system. Job#: Job site address: I-7.3 b a:3,, ta,,,, LO 44.54. 100EIP or more. City/State/Z1P:Tigard,OR 97224 0 Six or more residential units. 601:11191WCy. 0Healtivoare fatalities. 0 Reerestional vehicle padre. SuitabldgJapt.#: I Project name:Polygon at West River Ter 01breardous locations. 13 Supply voltage for more than InService or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ''''• -:'",''-':`:- f'-':,`-'-”-'-'7.'4':V.':5;•S'T_I:'1 LI kll::-..',"., '--,''''';,';`,1;-,1''''',.' ' Dendltkili Qt'. tad; Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrace I Lot#: 7 , Includes attached garage. 1.000 sq.ft.re less 1 16834 4 Tax map/parcel#: , Be.adrl 500 sq.It or portion as 33.92 1 _.._ .__ . __C._____ _ _. .2.-?. ,.;- _.-it-'r.i..tj0'_0' '''':`32- (with above se.ft.) j 75.00 2 Limited alarm multi-famlly 75.00 _ 2 tasidendal(with above sq.ft) Renewable Energy 0 See Page 2 .- z.1._ ,_..1.: 4.1_,'. )L.'11-F, 7:.:1,_21_17.; '• -.-_,'-_-:"E___,. ?-_,-,-_ '",.'`-,,!.:=L:1-.1.•:„;,- -II' __--__-.-__-_ :-. services or feeders installationtalteradon,and/or relocation Name ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 _401 amps to 600 amps 20034 2' City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I 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 200 snips or losi 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 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 -7----i- ;,-j--;-:--.,-57,-_::-).7,47, ,_ 2 A.Birozne:.1tibreircults-nelv,rtlittwatIon,or extension,per panel bamthcts Business name:William Lyon Routes,Inc. above service or feeder fee, 7.42 2 Mk breach circuit Contact name:Angela Grajewskl B.Pee for branch circuits without service or tbeder fee.first Address:109 East 13th Street branch circuit 56.18 2 Cily/aste/ZIP:Vancouver,WA 98660 Bach addl branch circuit 7.42 2 Miscellaneous(service orTeeder not included) Phone:(360)695-7700 • I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or&oder Email:Angela-Grajewsidippolygonhomes.cont R000nnect only 67.84 2 --7 'zt.- ,:. 1_ Ponce 67.84 2 s, Business name:Garner Electric Washington,LLC ' Signor outline lighting 67.84 2 4,.. Signal circult(s)or lached-energy ,.., ,,,.*"...'., Address:6101 NE St Johns Rd panel,alteraticm,or extension " """" 2 Each additional Inspection over allowable in any of the above City/States/ZIP:Vancouver WA 98661 Additional inspection(1 lir reit) 66.251 br Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/lir Industrial plant(1 hr min) ' 78.18/hr Email:bdanlels@gweusa.com inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic4: 44965 , -,, . listed %hr min f,-..‘`I. 1.. if, 4... Snore.Electrician signature required. • .•. i je he_A.4;t- ' . Subtotal: -• i::• • Print name: Joan P Albert lDate: 4/26/2016 0 Plan Review Requinsd(25%of permit fee): `..;*. State surcharge(12%of pemdt foe):‹"----.7 --- TOTAL PERMIT FEE; .;:,....',. Authorized signature: - This permit application expires if a penult's sot obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after ft has beam accepted as complete. • Number of impectioas allowed per pomait L' '''...‘t..'filkilidinePergoitieLC_ParrnitAppfirl ERE.doc Rev 06/17/3015 440-4613101/051COINWEB .1:-,--*.: :.•, , Plumbing Permit Application Building Fixtures ..,-,.-.1...-----,,..._ ; ,f City of Tigs3ird P« JST /6 770/7y II 13125 SW 'S03t`9ii`8 39 Fax: 503$998.3 0 `� 20 16 Pi Roview oinnin«rnitNo.: Inspection Line: 503.639.4175 �) Dace Ready/By: > 0 See Pie S for Internet www.tlgmd or.gov E F ; >� �- etaod SupiemmtalInformatlon ®New const ucdon ' a Demolitiam For spedaiWormWien srsechecklist. Description I Qty. 1 Ea. I Total ❑Addition/alteration/replacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONST ItI KION' SFR(1)bath 312.70 ®1-and 2-family dwelling 0 Ccmmerrcialfmdustriel SFR(2)bath 437.78 • SFR(3)bath , 50032 :SOLO.62. ❑Accessory buile5ng ❑Muhi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Otho: Fire sprinkler L___sq.R) Page 2 . 'JOB SITE INFORMATION AND LOCATION •. . ' Slat utilities: Job site address: l-1 Vo5 sw ,ODA/. LO Wse- Catch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 City/State Z1P:Tigard,OR 97224 Footing drain(no.linear R-: ) Page 2 Suitelbldg-Japt.no.: I Project name:Polygon at West River Ter Manufactured borne utilities 50.03 Cross street/directions to job site: Mtmholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:,_) Page 2 Storm sewer(no.liner it:,_) Page 2 Water service(no.linear ft:_, Page 2 Subdivision:Polygon at West River Terrrrsce 1 Lot no.: lb Fixture or item: Tax map/parcel no.: Bacidlow preventer ( 31.27 31.Vi AESCRYPTION OE.WORIL -Backwatervalve 1 12.51 12. Clothes waster 25.02 Dishwasher 25.02 -Drinking Towanda 25.02 Ejectors/sump 25.02 ®.r eorzory OWNER ' . J. 0 TENANT Expansion tardt 12.51 , Name:ADVL Land Holdings,LLC Fixdudsewer 25.02 v Floor drain/floor sb*/bub 25.02 Address:7605 E Doubletree Ranch Road (leQbage disposal 25.02 City/StaterlfP:Scottsdale,AZ 85258 Bose bib 25.02 Phone:(602)694.4031 I Fax:( ) toe maker 12.51 . jt ArIn.iiCANr . • 0 CONTACT PERSON lame:ptot/rease tap 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/ZW:Vancouver,WA 98660 Solar units(potable water) 62.54 Phew:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pea 12.51 Urinal 25.02 E-mail:Ange1n-Grskwsld@polygoahomes.eow Water timet 25.02 - ICONTRACTOR , • Water heater 37.52 , Business name:Mabstedul Enterprises Inc. Water piping/DW V - 56.29 Address:PO Box 207 Other 25.02 City/State/ZIP:Basks,OR 97106 Subtotal Phone:(503)324-0759 I Fax:(503-)3244580 Minimum permit fee: 572.50 Plan review (25%ofpamit fee) CCB Lic.:102535 'Plumbing Lieno.:34-27611B State surcharge(1256 of permit fee) Authorized signature: C,,,..--- c.....:. TOTAL PERMIT FEE Date:44/25/2016 This permit expires pires Its permit is ant obtained within ISO days Print name:Carolina Malmedal aster It has been accepted as conspirer. *Fee mdhodoloer set by Tri-County Buidb, Industry Service Board. 1:18eifd-wg\PaaeusPLMU-PamhApp.doc 10/01/09 440.4616ThGo7/COHYWES) VII 11111 City of Tigard i 11 II COMMUNITY DEVELOPMENT DEPARTMENT T l G R Building Permit Review — Residential Building Permit #: /VSTa.p/(p --00/ 75/ Site Address: 17% 3 c1t aleUn t O Ui1e, reit Project Name: poly yon m+ west- eAfer Te ryeRsz.. Lot #: 7 j0 (New dwelling= subdivision name;Addition or Alteration= last name of owner) Planning Review n Proposal: New SFR. Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No /Yes, See River Terrace Review Addendum Attached Site Plan Elements: Three (3) copies of site plan 2C—milting structures on site' 'Site plan must be on 8-1/2"x 11"or 11 x 17"paper tOtootprint of new structure (including decks)with finished ,Z1Drawn to scale (standard architect or engineer scale) floor elevations Forth arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number ElLvLation of wells/septic systems )applicant information(name and phone number) rosion control(including drainage-way protection,silt fence ,'Lot dimensions and building setback dimensions design,location of catch basin,etc.) /Lot area,building coverage area,percentage of coverage and , Street names impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Aroperty corner elevations(2 foot contour lines if more than rl*xisting trees to be retained with drip line,and tree 4 foot differential) protection measures .,a7-Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 0 Public Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: /Yes El No,stop intake Land Use Case#: PDR Gam/I S" 00001 / Su 8 Z.01 S -- 0 000 (7 Zoning: R.--7 / Setbacks: Front 1 Z Rear Q Side 3 Street Side — Garage g--( XLandscape Requirement: iO 0,/o Lot Coverage Maximum: $0 % /`1 Building Height: Maximum Height Actual Height tVisual Clearance jai Easements Sensitive Lands: ❑ Yes A No Type ,46 Urban Forestry Plan XConditions "Met"prior to issuance of building permit Notes: Glprldt j onf 4 h42. -t prior tin iSSoAnc..¢, p by lin y p,Q.f on i t Approved By Planning: M 0 n i-7/1/1 ',)(J 6Ler V(/t- Date: 9/111 l to 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\BldgPennitRvw RES 012116.docx A Building Permit Submittal Original Submittal Date: y/Z/fo Site Plans: # Building Plans: # 3 Building Permit#: L5 Enter building permit# above. Workflow Routing: Cr'7'Planning L7 Engineering ©'1 ermit Coordinator `Building Workflow Sign-off: B''Sign-off for Planning(include notes from planning review) Route Application Documents: el'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and /original plan review routing form. �J Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Cie— Date: 9/2,9// Engineering Review / Slope at building pad: .....71,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 ngineering: Date: / �� Notes: � � S Zs d7el 1_4/1674v--poor/ Approved by Engineering: WL 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 El onditions "Met"prior to issuance of building permit Approved,NOT Released: Ci/ C ^, Date: s -(4 - (co 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: ISY'SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: [ Yes E N/A Parks SDC: [ Yes ❑ N/A ar-OK to Issue Permit - -f-i, el u.1,; sn, 0,Y,.l.I . Approved by Permit Coordinator: C./1 �"Y.' CG4-4.....-4--d Date: S -1 I - ((,- I:v Building\Fonns\BldgPennitRvw_RES_012116.docx III City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 G R n River Terrace Building Permit Review Addendum Building Permit #: MS / c770/0 QO/ 7 Site Address: 1 7 %3 Svi Jeci n Cvuss-e . Project Name: Po 1y y o n cl+ vve✓t- temex T€r-r-oi(R. Lot #: 7 & (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 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. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a �j ft. deep min. 2ft., 55ffJt.wide min. 2 ft., 6ft. wide Gabled dormer /- P (PI ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 2.1'. 8 */, 3. Entrances:At least one entrance must meet both of the following standards: ,YJ Max. 8 ft. setback from longest street facing wall Parallel to street, angle no more than 45° from street, / or open onto porch Entrance opens to a porch:/Yes ❑ No If es,all the following apply: ,'25 sq.ft. min. AOne street facing entry /Zr 12 ft. max. roof above floor of porch g5 ft. depth min. 0 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: X'Covered porch min. 5 ft.wide x 5 ft. deep gi Recessed entry area min. 5 ft. wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min. 4 ft. wide 1 /Roof eave min. 12 inch projection ❑ Roof 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. ❑ Horizontal lap siding min. 3-7 ft. wide Accent siding min. 40%of street facade /Window trim min. 2 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. G,� , ,^ f 0 G1 Cc, Setbacks: J No closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft. if there is a covered front porch and garage does not exte,d beyons he front porch. ❑ May extend up to 5 ft. where the garage is part of a two-story building and there is . wi•i ow at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: Approved By Planning: Al 0 01Zeiv (3l)O Date: // 2 1/ 1 0 I:Building'Forms,BldsPermit Rvwc RES RT 031416.Boca 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2016-00174 David Young Hard cap all unused rain drain stand pipes. Glue cleanout couplers. Water heater breaker not on, no hot water for inspection. Not ready for plumbing 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00174 David Young Fireplace not done, unable to test. Not ready for 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00174 David Young Fireplace not done, not set up for inspection as noted on previous failed inspection dated 10/5/16. Upper level main bath fan not working. Re inspect fee applied for scheduling inspection prior to corrections from previous failed inspection being complete and ready for 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical ﬁnal PASS October 12, 2016 at 11:14:33 AM MST2016-00174 David Young Corrections complete from previous 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal PASS MST2016-00174 Herb Stabenow 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection PASS - C of O MST2016-00174 David Young Corrections from previous inspection complete. 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 at kitchen island counter. 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 299 Final inspection FAIL MST2016-00174 David Young Not ready for ﬁnal inspection, work not complete. Provide approved mechanical ﬁnal inspection. Seal base of master shower as noted on previous plumbing ﬁnal inspection. Steps from garage to house exceed 8" rise maximum per code. Provide approved electrical ﬁnal inspection. Seal all penetrations in garage wall and ceiling at added or found outlet. 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 17363 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2016-00174 David Young Work not complete, not ready for inspection. Outlets above ﬁreplace covered. Outlet in kitchen missing faceplate. Fan in upper level main bath not working. Violation Summary: Inspector Contractor