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Permit (68) ,n CITY OF TIGARD . ' ' MASTER PERMIT '. COMMUNITY DEV �� '� DEVELOPMENT Permit#: MST2016-00203 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016 Parcel: 2S 106DC 10900 Site address: 13751 SW 174TH LP Jurisdiction: Tigard Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 109 Project: Polygon at West River Terrace, Lot 109 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Yes Right 3 Detectors: Total: 2532 sf Value: $302,583.62 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 0 y Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel TvDes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Furn<100K: 1 Other Units: 0 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 P W/Svc or Fdr: 0 Ea add!500 sf: 4 201-400 amp: 0 201-400 amp: 0 P 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: Y Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2532 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: $32,168.32 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. C.:0 Issued By: Permittee Signature: v� �f/ ��CC' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT 14 44 1 2COMMUNITY DEVELOPMENT Permit#: MST2016-00203 Date Issued: 05/25/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC10900 Jurisdiction: Tigard Site address: 13751 SW 174TH LP Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 109 Project: Polygon at West River Terrace, Lot 109 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2532 sf Value: $302,583.62 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 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'500 sf: 4 201-400 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 2532 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: $32,081.30 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law, All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19877or1.8800.332.2344. �/ Issued By: 41— ./°Permittee Signature: eAl ' 4/e�o" _ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. Building Permit Application F9-111...,4_, RECEIVED FOR(II•F1( 1, l S1:ON l -� 1):,::4-''117 Y! �r ry W Received ; Pecan No /6 .'G,e"'3 City of Tigard �/ 16 2016 natdsy. —57/6,0 13125 SW Hall Blvd.,Tigard,OR 9721960 I Plan Re`ievej/7 1/ Other Perna ��o2QJ�o 1291.67g--) Date/By:IN tel!)/ /`+ Oth B See Page 2 for i , Phone: 503.718.2439 Fax: 503.598.1960 Date ReadyBY S/j��� (( Inspection Line: 503.639.4175 CITY OF TIGARD Nethod,"' •'7 ^+o� Supplemental Information "``'' BUILDING DIVISION Internet: www.ngard or.gov ' J permit fees*are based on the value of the work perforined. • ®New construction —� _ _ _ u ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 0 Addition/alteration/replacement 0 Other: _ work indicated on this application. �: 'r r , as. ` ,. T, ., , ., , . Valuation30a; 1 3$ 09'3 - I x,,. .. = . ® 1-and 2-family dwelling ❑CommerciaUindustrial Number of bedroom„ ❑Accessory building 0 Multi-family Number of bathrooms: 3 0 Master builder 0 Other gangA', • : Total number of floors: 2 �F I New dwellingarea: square feet Job site address: ) "1 ../ - '-� Garage/carport area: - square feet City/State/ZIP:Sherwood,OR 97140 Polygonat West River Ter Covered porch area: a\ square feet ,9d, Suite/bldgJapt.no.: I Pro Ject name: `, w� Cross street directions to job site: Deck area: 7a square feet 1 W Other structure area: ', square feet , ,&b 3' C'tai t ^e .r ' Lot no.: t o Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the : work indicated on this application. �xL.,,,:,»ea:-a..a.:s .-; .a.,21,�„:„...--, ��. 1 .-� � -. valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet Number of stories: .....ter__ 4.1),i,/ p �t m465 t_LG Type of construction: Nam . on • Address:109 E 13”StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax:(360)693.4442 New Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 rr ,-; E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of 1.; - , 1 roof-top mounted PhotoVoltaic Solar Panel System b' /u l.61/ t 0/V � /�l Submit two(2)sets of roof plan with connection details Business nam / and fire department access,along with the 2010 Oregon Address:109 E 136 Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and aiministrative fees): Phone:(360)695.7700 Fax:(360)693.4442State surcharge(12%of permit fee): 521.60 � /CCB lic.:207247 Total fee due upon application $201.60- �FY ^ This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete.I *Fee methodology set by Tri-County ding Industry__ - __ k„, Print name:Maggie Gordon I Date`12/11/15 Service Board. 1:1Building�Permits�BUP RESPermitApp.doc 02/24/2011 440-4613T 11/02/COM/WEB) ,.. ,,,,, Electrical Permit ApPIICaRECEIVEQ ,,,i,f1 1 if I l x t1'r1 City 4T—ford a .; t s SW nail Blvd.,Tigard.nK 9 vvsws acne e — -Oar�G i is Phone;503.7182439 fax 50359 l 16 2016 , Retool Permit t: haPoction Lina 503.639,4175 �a.. w d > CITY OF TIGARD N '" t ,.t � ' ' �4 ter ^90ielSION 4 �;1 rISJC�W`49WSRt1C[t�R Q.f di0 .�. .,.•e 7'1ai�seepeelanllmlappiy{sub.iitjxlsofyltro+aiflla r,bvdcedx ❑�agohtroa El Other: °Service orfxder4OOmapsorm�ure ❑Bm'I wverl4eeestori'r, i r z ,w ow.d,taom'labb(whs'm+4N QMatins and boalyxds. 1.. { • .. .a� = ,:,,,t-z�:: .wG' r"tro '- � i:sg cr«dsl0,onaampsal150vOltsor Eine osiiundhitx 1 igii_and 2-faaa>dy dw las 60 gro.a.wrssopak 14,Doo ❑Cgmm eolow.agrltultwal } ComaieiciaUimlustria Aoctssory banding ss amps r..aother ku stlamr, aabii s. OMniil=fe ly ©Master Wilda ❑other. dfbepaep. ❑resbaka anftsexvAor SOB'WV I idA.TtoN Ami LO TION ❑Ect�lracaeyayatem. Wiersepatacc7eemra kb#: Job site address: L 11 DAda liar of now motor load or Mlle*.-15\ �n� t c) 100)1Por mare. d..A","b'',"1-';'Y 3», City/State/21P:Sherwood OR 97140 ❑siK aratwaresWutial tants: * + . Olte.ut-0 rsani ties. EIttseeseiorodvekielepeke Suite/bldg./apt.li: Project Raine: bttaaattkatalowidoor. ['Sicplyt'oli+S°forum*ram Seriasaradar 600Imps orwoo. bapwits mmiad. Cross streeddirecttions to job site. FEE 5Ci4EaOW/ melee 1 01,. I fano I Taal I . New residential Otte-or eoatti4smfly dwelling molt • Subdivision:River Terrace Lot P:IDA raeirsda attached garage. Taxi map/parcet#: .1,000 sq.R or ms 16654 4 Ea.add,500 sq.Et.apatite 3392 1 , . -' DESCREPTION OF WORK Limited enemy.rtrtaMmifial 95.E 3 New Single Family twithebovesq.114 j Limited energy,naukafamih 75.00 2 residentiaitwin,above so.R) ®w OWNER (., n TENANTRenewableErierpq CISeePatei Services or lbedrrs tnstallatrantalteration,and/or relocation t Name:Polygon Roma 200 dates or less 100.70 2 1 Address:ip9$13a'St 201,aatpl to 400 amps 13356 2 401aetpdio600imps 200.34 2 City/StaidZti' Vancouver WA 98660 6011015810 1,000 mops 391.01 2 Phone:(360)695.7700 Fax:( ) Ovef I,000ampsMvoks 532.26 2 Email: re7aoeatiorservicesor feedersinafallotlon,alteration,and/or Owaer installation:This installation is being made on property that cowl which is not 200 craps or less 59.36 3 intended for sale,lease,rent or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner eMnature Date: 401 amps to 599 amps 168.54 r 2 , Branch circuits-new,piteera on.or eatppsion,per panel la AFF,LICANT 1 ti CONTACT FJ Oln A.Fee forbrmdr dteails nab t Business name:Garner Electric Washington,LW abovcservice or feeder fee. 7. 2 each blanch Mimic Contact name:Rite Daniels B.Fee farbranch.circuits wieroat atvifeos oreder fee,first Adr 6101 NE S1 Jolene Rdbranch cant* 56.18 2 City/State/DPI Vancouver WA 98661 Path"WWI branch citcaa 7,42 2 Miscellaneous(service or feeder not Included} Phone(253)320-1657 Fax::( ) Each rnu>eticrigrd or modular dvtllfn rvlceanti/orfi der 67.84: 2 6sag Email:bdaniels@gweaaaxam Reconnect only 6744 2 (ON"illACrok • thuapartniplioacircle 67.84 2 Business name:Garner Electric Washington,LLC Sign ormniirrclighting 67.84 2 Addams:6101 NE St iobaa Ed Srgntdenials)or barred energy [7,Ste Paget 2 wetalteration,a ern+tsioa. City/State/ZIPVancouver V4 A 98661 •Each additional ineptri'ron over allowable Many of the above • Additional iaspecftoaU brain) 66.25/hr Phone:(253)320-1657 Fax:( ) brrestigat on(1 hr min) 9000/ttr Email:bdanieh(gtveusa.com ladasbialplant(1betain); 78.1E/la" Inapectla sforwhichnofoeis 90:00/Iq CCB Lie.: C1158 Electrical Lie,:208174 Suprv.Lk,: 44468 sOmficatly bated f%.bV mta) tt iE<{1 $Supv.Electrician signature,required: (Mit/ P/ Print name:Joan P Albert Date: al(I I(0 ❑Plan Review Required(2564 Operant task Stale sats 02%ofpernitr.fte): Authorized signature: ! _ TOTALPERLvilTFt : Thb permit appliance aepirer if a peen*Is eat obtained within 180 1 Prins dame:BEI Daniels Date 1119 034 atter k are bean seeepted es 01•01.1e, ' Number of inspections allowedpeep:neat. _E1,It EaEdee Rao controls 440.461STt11ais1O)9v1WE0 Mechanical Permit Application 1 tr1:Irl i It 1 i .I ()N1.1 City W Tigard RECEIVED Received Permit 13125 S W Hall Blvd..Tigard,[)R 972 3 r`17�/� f � Pip:::Phone: 503.718.2439 Far: 503.59$.1960 t?aleBy Otho Permit; Inspection Linc: 503.639.4175 MAY 16 2n tt R Eip: Jeans: id See Page 2 for Internet: www.tigard or_gov Nait+edxhdeefrod: Supplement tefermadon . r i f. OF IIGnR Wit# i k Mechanical permit fees'are based on the value of the work Ei New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other. mechanical materials.equipment labor,overhead.and profit. y� Value S =,is :' � {telt7� s�, ^p.` " s t 1 ,`�;��mR v -• t r •;p, -Y .� �i ,� El I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Far special liformathor use eheckusr Q Multi-family 0 Master builder 0 Other. Description Qty. Ea. _ Total :.. r :' * - TTF x * +K11( + `. ,. Neatiaq/coallag: \9y �� \--4-...\,0,-\ __ 3; , Air conditioning 46.75 Job site address: kr -4-C--31‘ �`J \�© Furnace 100,000 BTU Omit/vents) 46.75 City/State/ZIP: L4 &f 9 Qd, OR q- \\.4 Furnace 100.00 -13111 tthxxs'venis) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:,_PI1\ tj•In 0j-- 0 Duct work 23.32 Cross street/directions to job site: ,3 ,( J) Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type.not electric), in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above 2332 Subdivision:River Terrace Lot no.: !D 9 Other 23.32 Other fuel appliances Tax map/parcel no,: Water heater 23.32 r ',117'''''S • t 41" , Gas f tacennsert 3339 -- °` -+.ev a Y, �--- � ',.-r- 4 yi p r Flue vent far water heater or gas HVAC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert eplace/insert 23.32 Cbimttcy/finer/ftue/vent 23.32 t')dcer: 23.32 ' ''r Y, u ."� �, 4`i_ 1 t, Environmental exhaust and ventilation: Name: Polygon Range hood/other kitchen equipment Address:109 E 13*St.Suite 200 Clothes dryer dr 33.39 . yer exhaust 33.39 City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(baihttwrns, toilet compartments,utility rooms) 23.32 t Phone:(425)586-7700 Fax:( ) Attic/crawlspece fans 23.32 11 . : -y _ , a ° *f.17:I ‘:kigl -x.,,',,�.;,,7 Other 23.32 Fuel piping: Business name:Apex Air LLC S14.15 for first four,54.03 for each additional Contact name:Staci Hay Furnace.etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax: (360)326-1769 Fireplace , Range E-mail:stacib/ apexairco.com Barbecue . . ``. .< :a4,-;',74;" ` m t, a z Tr/ s 4. 'a 't ""% ,r , -r Clothes dryer(gas) Business name:Apex Air LLC tither Address:220 W.Main St.Suite 107-272 Subtotal City/State/7-IP:Battle Ground,WA 98604 Minimum permit fee($90.00) Plan review(25%ofpermit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 4 r _ - TOTAL PERMIT FEE -- This permit application expires if a penult is not obtained within 180 IF days atter it bas been accepted as complete. Authorized signatur T W . Fee methodology td by Tri-County Building Industry Service Board 1 b Print name:Staci hay Date: 1/28/2016 I tnuildun('Permits'AMEC Pertrebtpp_OW t 13 doc 440-so17T t t tiol,Mt9o'E8t I I4 Plumbing Permit Application Building Fixtures RECEIVED City of Tigard Received Pcnmt N°!41-s7v?d/6't'ao243 11/ a 13125 SW Hall Blvd.,Tigard,OR 972 -Y 16 2016 Plan Review r Phone: 503.718.2439 Fax: 503.598. Dategly. Other Permit No.: Inspection Line: 503.639.4175 Ty OF TIGARD Date Ready/By: Jar is M See Page 2 for t (t I.D Internet www.tigard-o god _ Notified/Method: Su lemental Information i....4,7:---:,,,:=7:-.17,754,,,..e.. = a, 6 tT'55s gi an. yds ..:sl.';$ ,..%'',..1:;%2 e 5 � ..:tea r o ?^ :`a 147..j T;s: '- •.' For special information use cherldist III New construction III Demolition Description I Qty I Ea. I Total ❑Addition/alteration/replacement Cl Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) -r',: " •11t :t I a� i� SFR(l)bath 312.70 ... . ;�'' . .-x' mow„ a.t`� z>',.,, 3r° SFR(2)bath 437.78 1-and 2-family dwelling II Commercial/industrial SFR(3)bath 50032 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.II.) Page 2 , ,';',".,t-11-- ` --;,,•" 4.-, f ;s��., ,, 4 .�� b � Site utilities: gi ��- Catch basin or area drain 18.76 Job site address: yb i J,,„ ' 1`t \ /� T)rywdl,leach line,or trench drain 18.76 City/State/ZIP: \ono o a O l 1-,4 ) Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: 11 Project name: V01\1�\ v (,A' k� Manufactured home utilities 50.03 ' Cross street/directions to job site: 1.i(1- 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: ( Lot no.: 1 V Q Fixture or item: Backflow pm-venter 31.27 Tax map/parcel no.: r ,' ,', „ :x Backwater valve 12.51 s -`.::-:-7,4';4- a a �s $ clothes washer 25.02 113 - plu.. D\.JDishwasher 25.02 V Drinking fountain 25.02 Ejectors/sump 25.02 ::;=a ,-5 �� t :- Expansion tank 12.51 Fixture/sewa cap 25.02 Name: pp n Uyl Floor drain/floor sink/hub 25.02 Address: 1 0 Q( J lj A fr- City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T1 n ri n Building Permit Review — Residential Building Permit #: s 0/& - DO c20-3 Site Address: /g 7-s---1 Siti 1 j'1,M 2__Exp Project Name: ,P0` c1 G,zi 2-/- Pf r- -Tcuc:e Lot #: /07 (Ne ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: ki-e-(.0 /`e vRerify site address/suite# exists and active in permititsystem. River Terrace Neighborhood: El E Yes,See River Terrace Review Addendum Attached SitVPlan Elements: A ree (3)copies of site plan �4 sting structures on site Ve plan must be on 8-1/2"x 11"or 11 x 17"paper IF ootprint of new structure (including decks)with finished awn to scale (standard architect or engineer scale) 9or elevations irth arrow Ltd Utility locations (required for new,may apply for additions) C . e address,project or subdivision name and lot number i� 1,i ation of wells/septic systems 1 4rA 'plicant information (name and phone number) It rosion control(including drainage-way protection, silt fence IP •t dimensions and building setback dimensions d sign,location of catch basin,etc.) 'P •t area,building coverage area,percentage of coverage and ,V,��reet names ip ervious area(applicable if R-7,R-12,R-25&R-40) 11Q5treet tree size,type and location perty corner elevations (2 foot contour lines if more than ting trees to be retained with drip line,and tree 4 foot differential) protection measures f/!1ean Water Services—Service Provider Letter lot platted prior to 9/10/1995): /Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No Public Facilitie Improvement (PFI) Permit: Required: "Yes,applicant was notified ❑ No Applied For: P4es ❑ No,stop intake Vg? and Use Case#: P 2oi� ooG,L, S'u1 /S= �6 je oning: ,e-9 etbacks: Front /� Rear /S Side 3 Street Side �/ Garage aC andscape Requirement: Q % of Coverage Maximum: s R Building Height: Maximum HeightI Actual Height Q � L 14 tsual Clearance asements Sensitive Lands: I!4 Yes ❑ No Type Z.div— 244 1h • i UrUrban Forestry Plan ❑ Conditions "Met"prior to issuance of buildingpermit Notes: �y1 air3G; .._c-,‘.._c-,‘ // be Y127u,71/ j'�!'�`�- fZ`�Cr ),}42.-mix (',.._ Approved By Planning: Date: 5—freke Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Fonns\BldgpermitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: —57/06 Site Plans: # 3 Building Plans: # Building Permit#: `Er Enter building permit#above. Workflow Routing: -2'Planning Engineering IEPermit Coordinator L•1�'Building Workflow Sign-off: .1;1,Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and o ginal plan review routing form. rr Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .. Date: �26//4 Engineering Review 7i Slope at building pad: /❑ 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 Eng'neeri g: Date: Notes: Approved by Engineering: � jJ Date: 5 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: • SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: IA Yes ❑ N/A Parks SDC: ( 1 Yes ❑ N/A it OK to Issue Permit —-� a4;on on I Approved by Permit Coordinator: C,Q,,,,u.÷_, 0 J2--a Date: S -18 -1(0 I:A Building\Forms\BldgPennitRvw_RES 012116.docx Ai City of Tigard III114 COMMUNITY DEVELOPMENT DEPARTMENT S River Terrace Building Permit Review Addendum TIGARD Building Permit #: t-157-626/6, --' DO c2 d_3 Site Address: J3 , ft) /92-1.4 22 /9 Project Name: Polygon at West River Terrace Lot #: /(' (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan 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 façade 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 t. deep ft. deep mm. 2ft., 5 ft.wide min. 2 ft., 6ft. wide Gabled dormer ❑ ❑ E ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: /7-% D 3. E trances: At least one entrance must meet both of the follo g standards: Max. 8 ft. setback from longes street- facing wall Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes E No If , all the following apply: 4,sq.ft. min. e street facing entry 10 2 ft. max. roof above floor of porch 5 ft. depth min. 30%min. porch roof coverage 4.detailed Design: All buildings shall include a min. of five of4,e following elements on all street-facing facades: E overed porch min. 5 ft.wide x 5 ft. deepPII'all Recessed entry area min. 5 ft.wide x 2 ft. deep letr offset min. 16 inches ❑ ormer min. 4 ft.wide Roof eave min. 12 inch projection K.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. ❑ rizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40% of street façade indow 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 façade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No loser to front or side lot line, than longest street-facing wall. ❑ Yes No. If No (Check one): lA ' .y extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. * May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 1 - oot-wide garage door ❑ 40%max. of street façade 50% max. of street façade with 7 detailed design elements Notes: Approved By Planning: c__S ��, Date: C l[,/0 I.\Building\Forms\BldgPermitRvw_RES_RT_031416.docx POLYGON /� NORTHWEST COMPANY April 27,2016 APR 27 ?015 1tI' 'O 2(1,1Rt Mark VanDomelen ��ilIL >lIN�z �I���:����,�, Building Official City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Regarding: West River Terrace Building Permits Dear Mark: I am writing you in regards to the understanding of the agreement between the City of Tigard&Polygon NW. Polygon is fully aware that we are being issued full building permits on the below list of 30 lot and agree that we will put in foundation only until certain site development conditions are met. We will not start framing on any lots in West River Terrace until the city agrees that conditions have been met. Lot 73 - 17307 SW Jean Louise Road Lot 74-17331 SW Jean Louise Road Lot 75 - 17349 SW Jean Louise Road Lot 76- 17363 SW Jean Louise Road Lot 77- 17387 SW Jean Louise Road Lot 78 - 13726 SW 174th Loop Lot 79- 13738 SW 174th Loop Lot 80- 13752 SW 174th Loop Lot 81 - 13758 SW 174th Loop Lot 82- 13766 SW 174th Loop Lot 93 -13749 SW 175th Ave Lot 94- 13765 SW 175th Ave Lot 95 - 13793 SW 175th Ave Lot 96- 13849 SW 175th Ave Lot 97- 13835 SW 175th Ave Lot 98- 13840 SW 175th Ave Lot 99- 13850 SW 175th Ave Lot 100- 13790 SW 175th Ave Lot 101 - 13776 SW 175th Ave Lot 102- 13754 SW 175th Ave --'T Lot 109- 13751 SW 174th Loop t7S720/ — OO -0_3 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.corn CCB#166871 POLYGON /� NORTHWEST COMPANY Lot 111 - 13787 SW 174th Loop Lot 112- 13853 SW 174th Ave Lot 113 - 13837 SW 174th Ave Lot 114- 17372 SW Jean Louise Road Lot 115 - 17368 SW Jean Louise Road Lot 116- 17344 SW Jean Louise Road Lot 117- 17328 SW Jean Louise Road Lot 118 - 17302 SW Jean Louise Road We greatly appreciate the City of Tigard working with us in order to get this project underway,we look forward to building this project along with many others within the city of Tigard. Sincerely, Chris Walther Project Manager 503-312-6213 109 East 13th Street,Vancouver,Washington 98660 (3601 695-7700 • (503)221-1920 • Fax(360)693-4442 W WAA'.Polvgonhomes,corn CCB#16687 I \ 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 13751 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 699 Mechanical final FAIL November 15, 2016 at 1:52:52 PM MST2016-00203 David Young Not ready for inspection, work not complete. Microwave vent not installed. No inspection done at this time. 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 13751 SW 174TH LP, SHERWOOD, OR, 97140 Residential - Master Permit 199 Electrical final PASS November 15, 2016 at 2:02:48 PM MST2016-00203 David Young Violation Summary: Inspector Contractor Plumbin2 Permit Application Building Fixtures 1 )R (Ill It 1 1 ',I OS1 ) City of Tigard Received fr.... : ms.ryi 16 ' 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 1. b 2016 DatelBY /0/10/1 Pemin No. .9293 Plan Review Phone: 503.718.2439 Fax: 503.5981960 , ,, _ .. Date/133, III Other Permit No.. 1 Inspection Line: 503.639.4175 t,„„,„i t 1J — , „. '.,,t Date Ready/I3y Juns 0 See Page 2 for -1 Internet: www.tigard-orgov t::,' l/i: II-1 l'I.-''...t I.I.I.I.I,:':;.' I.,,I' ' Notified/Method Supplemental.Information OF':. I.',i , I . . .. , . . il FEE* SCHEDULE New construction 0 Demolition For special information use checklist. Description I Qty. 1 Ea. 1 Total 0 Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) .CATF*ioRitOF U i...... .;,i zIcijoN ' SFR(I)bath 312.70 --: k I_and2-family dwelling SFR(2)bath 437.78 0 Commercial/industrial SFR(3)bath 500.32 0 Accessory building 0 Multi-family . Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.II.) Page 2 A' trz It.'1,00, . i• I,. . , Site utilities: ...--, II.; es f ,, i..... I' Catch basin or area drain 18.76 Job site address: I 31 n I ..D%A.J I ILI 4in i_oop Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 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 4 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace Lot no.: I OiC1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 12.51 r,,,I17,......1 t,,,II:f3.,T,II. * ,..,. ,. .f ,-- - - Backwater valve Clothes washer 25.02 an tra atiTY Dishwasher 25.02 Drinking fountain 25.02 _.. Ejectors/sump 25.02 ,il'-o.I'l2."III:III.: 1 : ......' ci.nimit . -1 '. Expansion tank 12,51 Fixture/sewer cap 25.02 Name:ADPL 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 —I . Hose bib 25,02 Phone:(602)694-4031 I Fax:( ) Ice maker 12.51 ' 'I .-I ti:;TII.*I.:.:I--;d:r...::...:;t:;I• Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc 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 --.1 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 I Urinal 25,02 ---1 E-mail:Angela.Grajewski@polygonhomes.com Water closet 25.02 ,. ,44,I' ,.:.',..,, .. . .. . ,,, . ., 37.52 ------1 Water heater Business name:Alliance Plumbing LLC Water piping/DWV 56.29 -----I Address: 146 W Historic Columbia River Hwy Other: 25,02 City/State/ZIP:Troutdale,OR 97060 Subtotal I Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72,50 Plan review (25%of permit fee) CCB Lic.:184601 Authorized signature: Plumbing Lic.no.:PB732 — State surcharge(12%of permit fee) TOTAL PERMIT FEE , Print name:Robert Dishman Date:5/23/2016 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 1\Buildineemiits1PLAM-PermitApp doe 10/09,09 440-4i16T(10AWCOM/WEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13751 SW 174TH LP, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Note: no AC installed at time of final inspection. Permit and inspections required at time of installation. Violation Summary: Tel: 503.718.2439 Inspection Date: November 21, 2016 at 4:25:36 PM Record ID: MST2016-00203 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13751 SW 174TH LP, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: November 30, 2016 at 2:05:47 PM Record ID: MST2016-00203 Inspector: David Young Fix exterior grade at front entry and rear by patio. R401.3 Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13751 SW 174TH LP, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Correction from previous inspection complete. Final erosion control approved. Street tree certification received. Moisture content form received. Vapor barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification checked. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 2, 2016 at 10:05:03 AM Record ID: MST2016-00203 Inspector: David Young Inspector Contractor