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Permit Ilk, 1 y 3 i n CITY OF TIGARD �� � , , 'r MASTER PERMIT III COMMUNITY DEVELOPMENT Permit#: MST2016-00136 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 2S1060002900 Jurisdiction: Tigard Site address: 13728 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 104 Project Description: New SF. 8/4/2016: REPRINT to add 2nd water heater. 9/21/2016: REPRINT to add 220 sf patio cover BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2914 sf Value: $354,187.76 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 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 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 Fum<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: 5 201-400 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 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,260.56 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�gh`J OAR 952- 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1x99877 or 1.800.332.2344. Issued By: �a/ '`��_ Permittee Signature: e� '/ ' /0G/ei---77c1 Aili 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. R City of Tigard 71 . COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: H '--T c 1 L —occ 1340 Site Address: 2)-7 a% 6 75-t- . L 40E.- Project Name: —Po Lyee o0 4Jts-r JE/2_ ,4 e. (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: !( Planning Review ) Proposal: A/40 sie ( F,L,p,,e,6,/,,da /r'o P AtJ Cl4erify site address/suite#exists and active in permit stem. tW River Terrace Neighborhood: 0 No al See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan i?og ta 0to plan must be on 8-1/2"x 11"or 11 x 17"paper Foo n structures on site rint of yawn to scale(standard architect or engineer scale) .orelevations structure(including decks)with finished orth arrow ir,Utility locations(required for new,may-aPPy 1 for additions) e address,project or subdivision name and lot number plicant information(name and phone number) U anon of wells/septic systems 1/,Erosion control(including drainage-way protection,silt fence IIVVtp t dimensions and building setback dimensions sign,location of catch basin,etc.) t area,building coverage area,percentage of coverage and eet names pervious area(applicable if R-7,R-12,R-25&R-40 Property corner elevations(2 foot contour lines if R-40) °"`•"`eet tree size,type and location 4 foot differential) more thanlisting trees to be retained with drip line,and tree protection measures N'Q lean Water Services-Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified 4; No 1211 Received: ❑ Yes ❑ No Public Facilitie Improvement(PFI) Permit: Required: P Yes,applicant was notified ❑ No Applied ,� ,� For: rd Yes ❑ No,stop intake 11d and Use Case#: PM�69j 5--,_ 0000`l Zoning: / ���'42 OAS=6t ��j etbacks: Front /c Rear �� Side 3 Street Side p OGarage QC) lq(pSndscape Requirement: © %M9t of Coverage Maximum: Pf uilding Height: Maximum Height ac V?iRfisual ClearanceActual Height o?� j4gements Or ensitive Lands: t1 Yes 0 No �,�,� Di Type !/may �� — Urban Forestry Plan ',� ❑ Conditions "Met"jorior to issuance of uilding permit Notes: . g /PIP' 01077dy- '7`ij dexeiNiA /4S L421iCe_ Approved By Planning: c.----\--,. .:". 411.0,;, Revisions (after Bu'ding Submittal only) Date: D Revision 1: A rovedReviewer Date pP El Not Approved Revision 2: Approved 0 Not Approved Vi 01Is-II Revision 3: 0 Approved 0 Not Approved I 1:\Build ing\Fonns\BldgPennitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: 0 Enter building permit#above. Workflow Routing: 0 Planning ❑ Engineering 0 Permit Coordinator ❑ Building Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review) Route Application Documents: 0 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. - ❑ Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review ri Slope at building pad: jf ❑ onditions "Met"prior to issuance of building permit El , asements (encroachments)per engineering conditions of approval and plat ■ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approv- I by ngineerin.• Date: Notes: �i _ r__ i �. i" r_.- r =-- - Approved by Engineering: �2 27 Date: e.A ►Z_, Revisions (after Building Submittal only) Reviewer ,ate Revision 1: .Approved 0 Not Approved /K i k<K_. 1--) 9f 1 , Revision 2: El Approved 0 Not Approved Revision 3: ❑ Approved 0 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 El N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes 0 N/A 1711OK to Issue Permit /Approved by Permit Coordinator: Date: 2 - a 1(-- .4-b ;s5 Lc, C, . C.,.,, y,.,,.<... c) -A -1 I::\Building\Forms\BldgPennitRvw_RES_0121 I6.docx 1 City of Tigard INI1 COMMUNITY DEVELOPMENT DEPARTMENT ■ T G n R n River Terrace Building Permit Review Addendum Building Permit #: P6-17,90/(.9 -6e,136 Site Address: g7tQe ) ,c c �,-Project Name: G S�� � i-� ` -eaVee Lot #: __ ___�-(N . elling=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 0 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 ffset a Porch min. 51t. deep Gabled dormer LTJ/ ft. deep min.2ft., 5 ft.wide 0 min. 2 ft., 6 .wide 00 2. Eyes on the street: a minimum of 12%f each street facing facade must include windows or entrance doors. Percentage Shown: /e. c/%, 3. E trances:At least one entrance must meet both of the folio g standards: Max. 8 ft. setback from longe 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 s,all the following apply: sq.ft. min. (One street facing entry *12 ft.max.roof above floor of porch ft. depth min. HI 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: overed porch mm. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches 0 Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood !�J Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 orizontal lap siding m . 3-7 ft. wide in ❑ Accent siding m . 40%of street facade in Window trim min. 2 1/a"wide by 5/8" deep ❑ Window recess min.3 inches for all street facing 0 Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a co er lot. Setbacks: • closer to front or side lot line, than longest street-facing wall. Yes ❑ No. If No(Check one): ay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ror 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 a e ve 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: _ Date: .0 8 1:\Building\Forms\BldgPermit Rvw_RES_RT_031416.docx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111/ Transmittal Letter T:G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION _ FROM: Angela Grajewski S p P 1 b 2016 COMPANY: Polygon Northwest ` PHONE: 971-212-2144 BY~f RE: 13728 SW 175th Ave MST2016-00136 (Site Address) (Permit Number) Polygon at West River Terrace lot 104 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: t! C©pies .... ,D scriptio t.. 0 Additional set(s) of plans. 3 Revisions: Add Covered patio 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. FO O ` ' E Y Routed to Permit Technician: Date: q ' Initials: Fees Due AS Yes ❑No Fee Description: Amount D e: 0 /92542. /0b9"// i Loc) $ 90 s � ,9 Y7,4j 1 $'14 4444*44444 f:9z6:. S. = /'6 'V,7 $ : .. iH-N 4.0 4.) $ fy,3 7 Special S o /2-;‘7,) C, Instructions: 77,E t /.? /3 Reprint Permit(per PE): 'Fa Yes ❑No (Done Applicant Notified: .4,1/676,- Date: 9/3-//i Initials I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 71WS CITY OF TIGARD e MASTER PERMIT COMMUNITY DEVELOPMENT Permit*: MST2016-00136 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 251060002900 Site address: 13728 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Project: Polygon at West River Terrace, Lot 104 Lot: Project Description: New SF. ,8/4/2016: REPRINT ermit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Stories: 2 Bedrooms: 4 First: 1248 Required sf Basement: 0 sf Left: 3 Height: 32 Bathrooms: 3 Second: 1666 sf Parking Spaces: 0 Dwelling Units: 1 Garage: 464 sf Front: 12 Smoke Third: 0 sf Yes Right 3 Detectors: Total: 2914 sf Value: $349,277.36 Rear 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Urinals: 0 Tubs/Showers: 3 Sewer Lines: 100 SF Rain Garbage Disp: 1 Water Heaters: 2 Storm Sewer: 100 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Bckflw Prevntr: 0 Catch Basins: 0 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Natural Gas Clothes Dryers: 1 Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Furn>=100K: 0 Gas Outlets: 4 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders 1000 sf or less: 1 Branch Circuits 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'500 sf: 5 201-400 amp: 0 201-400 amp: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 p W/O Svc/Fdr: 0 P 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 Other: N Other Description: All Ecompasing: Y BUILDING INFO Class of Work: Type of Use: NEW Type of Constr: Occupancy Group: SF VB Square Feet: R-3 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET #150 1 A Geotechnical report is VANCOUVER,WA 98660 required before the footing SCOTTSDALE,AZ 85258 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,086.43 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 952-00 -1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. .104 Issued By: e'er-- JP Permittee Signature: e9A/f "7147.4—/e f7-7C) Call 603.639.4175 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. r ,, CITY OF TIGARD MASTER PERMIT ' -> COMMUNITY DEVELOPMENT Permit#: MST2016-00136 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13728 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 104 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1248 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1666 sf Garage: 464 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2914 sf Value: $349,277.36 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: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 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 2914 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 E DOUBLETREE RANCH RD 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 #150 VANCOUVER,WA 98660 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $32,999.41 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.eYou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: .� L y - Permittee Signature: 'A '87l�`i t I( /77zTr1/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Z-- 1din UP Permit Application �;,,�.__. ` ,) FOR Dwelt t.l SE()NI.) PR 20 6 y 4 ,4, Pe tNo- / 64V City Wof Tigard - F r'V„'a-' Plan Review/ II 13125 SW Hall Blvd.,Tigard,OR 97219 ` +V(reAt, r te/By: ) ) ) J 1 Other Permiol414'Z0/kij—ail/0 Phone: 303.7182439. Fac: 503.598.1960�,`l�� 1„A�` 1�a �� gaze�y y. � -7�iz: H SeePage2for Inspection'Line: 503-639.4175 13 4 111 ' I9r, +` ,a�1 i"�1Supplemental Information T(C l (� and-or. ov S r R'"4..n Noosed/Method: Internet: www.hg g r ' F Permit fees*are based on the value of the work performed_ ®New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ts _`, e��a,: c) 7 1$ \ Valuation: 4".4,.:.:.:',...,-2-,.- i ❑Commercial/industrial Number of bedrooms: ® 1-and 2-family dwelling ❑Accessory building 0 Multi-family Number of bathrooms:�3 ❑Master builder ❑Other Total number of floors: 2 3 3 ,; .. 1 15- �n I New dwelling area: aG'� square feet Job site address: S I c •'f "" '-� Garage/carport area sqcare feet City/State/ZIP:Sherwood,OR 97140 , ( square feet� 6 6 Suite/bldg./apt no.: l Project name:Polygon at West River Ter Covered porch area: k q Deck area: » square feet I aq.8 Cross street/directions to job site: Other structure area: ' square feet Lot no.:/V 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 :, c_.. y. /F -- , work indicated on this application- §i" �� ' r.,...w�_�� <,t.,,,. Valuation: New Single Family Detached Construction Existing building area: square feet New building area: square feet a 'Y k. � ,' =` . - " f ;. . - . Number of stories: r s:::`,."---,,,,,'",-,,-...4-1_.-,---„,. _)) Illy ' � Type of construction: Name:�i l .1 ° '' ` -, - r/ Address: Le 0 0 ,,h ' ' (Al' 1 � I,, • Occupancy groups: City/State/ZIP: v. ilk1 ir: Existing.� 1 — Phone tFax(360)693.4442 New: �� --..4-4,t-.2:-7--,1--f.,-.,3,---vt .¢ w...x' - - tp •i3 a:)%fi:,• k' f: a� .,,k ! 6d 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 98660Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 o- A 51i � E-mail:maggie.gordon@polygonhomes corn ..L-..''.....'2!71-",.'I,:''''-',.2'2='.'.1 .1-+-`2.7.--E:.' „' � s f ' r Commercial and residential prescriptive installation of -:v ,r , s�,- -- - roof to mounted PhotoVoltaic Solar Panel System- .. ._ _ Submit two(2)sets of roof plan with connection details Buusiness name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:109 E 13`x-Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and ministrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lit.:207247 Total fee due upon application: $201.60-- — This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete.1 *Fee methodology set by Tri-County Building bidustry LPrint name:Maggie Gordon Date:12/11/15 Service Board. I:\Building\PermitslBUP-RESPernitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) chanical Permit Application rt,,,---,f--,r:t i., 4.c: ritk,dt..t IA 3,- Received City of Tiostestly: Pcnnit Iv't157320/6-e0/.3k, t,.... .3.5 SW Hall Blvd.,gard Tigard,OR 97223 Aig Plan Review Other Pernik: ' Phone: 501718/439 Fax: 503598.1960 m i DD IN. 4 i-?nk) , Inspection Line: 503.639.4175 _ ,, , -Date ReadylRy. Jutiv 0 See Page 2 for '' ''1 Internet: www.ligard-ocaos CiTY OF 1 c(7,-,;,,,:,-i.:iorifiediMetitod: Supplemental ltiformadon BILDN(.;,, , Mechanical perm fees*are based on the value of the work ) New construction U Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all 1:3 Demolition 0 Other: mechanical materials,equipment.labor,Overfre3t and profit. Value;S ,,, ,... ',---el„,,,•-'1,-,-,...,-,-•,,,-.,-,`m.= -.'",'."-r- ;r, - - i--q- ,4i-gi . St:t:Vf. 4.• *--•, ,--:.t, ---- '•e 1: ,-,'-!'--.. ,-'''":< ,::.,:. :-.i.,.'..:'"-:::`..•.',14-..ti.1.,..,....--,,,i,:".,;:..,'., :ti n et,:."4.,ef 1*-.,.ip...,1,,,u.,,it ,,,,? 0,4.i .7.446.: .inlf..„.0,,,,i„,,t;w., ,,i0,77iN ,,i...-, .•p..z. a.i4i•::::,1 ,,- , ,0 ,,I ,„..e. ,!..„„,1.„.4.„,,,50,,,,,, Eg 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information mse checklist ,. El Multi-family 0 Master builder 0 Other: Description Qty, Ea. Total ''''''''''''''''''''''••:"." '''''''''IL4---•C't 7''''''''IL',•t.-dt,` ,2,./:;,Z5,;,,,,;„:44i..::".,,:-:::,:, fleating/ronlIng: • ''.i.:-;':.,:1';:''':;', ,sii,?..ii:4-.a.-414aFTWV,;;-. . ..;',..:J'.e;:-.!:,•1,,M1--,....,...;., ,-:,,,•,---,-- ,-..;----- ,.-./.-: Air conditionine 46.75 Joh site address: 1 3J23 SW 11 S.--7 .f. i/e., -1-- Furnace 100_000 BTU(duets/vents) 1 Furnace 100,000+BTU(duets/vents) I 54.91 City/State/ZIP: 5-NOJr\Art)Oct 0 -TA\-1 0 Heat pump 61.06 Suite/bldg./apt.no.: Project name: POKJ tyi 0J-- tiii -)A--- Duct work 23.32 I Cross street/directions to job site: ni-411V1 CP flyclionic hot water system 23,32 1 / Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct. sm-tided,etc. 46,75 . Flue/vent for any of above 23.32 Subdivision:River Terrace Lot no.:/0 q Other: 23.32 • Other futd appliances: *fax map/parcel no.: Water heater 23,32 - -- -. :,-,,,,,- -.17--...,••: , ,-t-'1,ke.'s'-''''',.*, '.-"'..I4',-,.- -si'lW4".",:i.-,t-V;'''!-,-;,i‘terill*-4.41 ' Gas firePlaeennsert 3339 ,. :',iM1,:',-;V;:**;; •::7. 414:17,10*IV'.44.:44-.IL'',2'4'..:!--t-':444':-,,,,,,,.;), 4-,,-,:-0,:,-',,f, ,,,,:...,,,, ,, ,,,,,,,,,,,.„: Flue mit ler water It ea ter 0 r gas I. HVAC itteislaee 2332 Log lighter(gas) , 23.32 WoodAsdlet stove. 33.39 ' Wood fireplace/insert 23.32 , Chimney/liner/flue/vent 23.32 2332 -,--:,:':ii47.- Environmental exhaust and ventilation: .;,,l'Z•;:r.,-..Z::.iZ...t:'''',.;.:,4.044' . .:.';,..f'•.-`..-,-w:.•,,--'%-, •: --.--- -- , , ,, ,_ Name:0 Wei ttgaik4S 1,e Range hood/other kitchen equipment 1 33.39 Address. / 0 0.4, / / Ili 1 1111 . i 41.41_4 Clothes dryer exhaust 33.39 I City/State/ZP: p / 6llW Single-duct exhaust(bathrooms, ii2A1 toilet comparpnenta WIRY rooms) 23.32 I Phone: uoz- ..., 0 Fax:( 1 Atticlemwispace fans 2332 Other 2332 Fuel pitthth: Business name:Apes Air LLC St&is for first four;$4.0.3 for etch additional Contact name:Strad Hay Furnace.etc. Das heat pump Address:2210W.Main St.Suite 107-272 Wall/suspended/unit heater City/State/Z1P:Rattle Ground,WA 98604 Water heater Phone:(360)3424109 ' Fax::(360)326-1769 Fireplace Range E-mail:staellatjapeuirto.com Barbee .."...(,tilina:,..',ne.:41`;.-4';'107erW44413,1,:i.VVA-#":40,1%,-444;:';',:!?:'," Clothes dryer(gas) .. -„,;,*4416.,. ,,e.0-,,,4-::,,,,,a...--,,,a, ,,,,,,:,,:: ...--;-- • ---4 - - - - other ( Business name:Apes Air LI.0 , ':',t:.',...::-'''.:3.W.:*:'; ',:tii4.'".':.i0,4-.!1'.•--1.q::,;$,..':-. 7-..tr!-*,'..r.r:-.4....,::7::.!.;,' 4 -----' 4 Address:220W.Main St.Suite 107-272 i Subtotal . City/State/ZIP:Rattle Ground,WA 98604 Minirmun permit fee(590.00) Plan review(25%of permit fee) Phone;(360)3424109 Fax.:(360)326-1769 State surcharge(12%of permit fee) I 1 - . , . 1 CCB lie.'203034 TOTAL PERMIT PEE This it application expires if a permit is not obtained within ISO . , - , , ..,ias days after it has been accepted Authorizedsignaurv. ,, complete. * Fee methodology set by Tri-County Building industry Service Board i . ' :Print name:Staci hay 1 i . Date:1/28/2016 1 I‘fluildirstekPermer0,4EC PennitApp_9401 0 dor 440-1617T It W.7.:1COM,WEE/1 . 3 a ., ;� Ai Isc tumi J URR t 2016 IPitfllC3J Ri<00 1e A� , f es i - Ii12 ,itt tilt Bl ii atd OR^912 r , , x nnfft� - Y i , { At {{i t.f r+y a Il',„ +� ' d •� �1�14'�JvJ�1E,�13� ��. �Oj 5}"1 $C Y Lir � 4 e"�9ffi�L j �1atCLt pCiT117t y� 1..T,C R U * n °'.44449;07r ' ; `,�,i F;''-,..,'':::::<,..Yf,? '' . i 4.f.,!..,::,72.- -44:,.--:!]dkes1Uns 'C+i fixet eY'm 1nCWex W...gad-or rfhoii S.a pie,3e,tt3[i ormnhoes °� t& " .loto} w„ ” moi f a £ t,Itwftera +. r 4' 4' z i —"4: ''-'- a'1 toa' Zaa.voriilenswfitemuleckaj:is er9 :44"OmpsoranDrb [ Buf4n0fhesenes.&iiiiii-oa er tm-W.;autnui t144441f*4s " � iiit' r :•-,47tdn';'',17&12. exe'e...sI0 G.mrt 4 isp its or 0..',#(#.0.-iO4). .. t04 14'.auil Yamfydwelfhtg``�'_❑'C' mui i-cla1/*4.-ltiai 13 Aecessoryitultd`uig q .pxceds`14,000 f3 t7itmmeneM-'- ncaltwa1 ' sfat�II°4hetnstnllafionc 1aiYp •OMuifi-. wiY j Iasierbnttde 0 Othfr. f3 pu mt>eHea>7f stiY•v�a or. Rmn Dl'aa.Y motor load dr ay Ivo, 1Db# 7 Sb„.-,, ,.::•,,,,,,,,,,.:.:•-•-,.71512t)cyte addessI�� 1 y faaitl or more. D"A ,...v!..4._, i-3 Gi S1lcrwottd b!A 3'rlEiD ,_ Asa mu..... t teuits: �?Nv t Giiia'1HroaearapH(xs, ❑lieimntwnaiyeteelcpada:: Suttrliildg/gpt Ptojrctname. 11.6. rdonalo�aitons, f�sapplykvifage;f'nrmOr th n E} mnznrfee$erG6D-ampsamarr 60tlYo} unmi Casss4ee dtiecttotis(o)abasle � � tz.l h,.� 3 azsrm idia. . l A.r.,r a f :roi ,I x¢, ,i • re den4 sh Ie rn roult�-i teff tlt elfin is Tl Subdixiston ItiYcr TcrroCe, l l of : '”Y ti :1444.40.404-!0.::iasri : Tax r t aix ess • �16sq. t t 5 ` Ea,)f.013,t-sox -.0,4tti. 1. 1 ` n i x 1i4 41$5 0TfORt,o afz " t��t rEsldenGal It3W 1!+$irlrathiiy llvtthabovesq f):) . , „ 7500• 2 : =y" :.'1 ''' iiirt4bi1e D Seep er? = z , .. V :1✓1 TLN*NT R r � fn�ftistGilatiouileroitoni /ri eelocaiio>t 148tneIL .` tef4 10070. 2 �, � � " 1p1�,y��i� �11�1s400amp�5 '139� 2 +;'i` $ ' w Willgi /• PrP 11�.r 401**t4 :701 Rd. "' 2 li`.t{yj / a / .'.�rL� - f _ O1 , 1mpaor''olts 552.26 '2. P kiMeeitoefood eitietillitfon item t07ta'8ita{or Brr aiL a'3 retocatttin O ierf taitntdenc Ths vistailat m is being made oxt property xhat to.vep avhicit 1i5 riot200amps or,less. 59..40; T lattouded fvrsaic,teaso.retft;•or cxc1iange;according t O1 S 4d.7,449,670,and'701. 29.400:1p,:.40.0.:000., 125.08 2: t O k7.0.44 Te', •• • .. Date 401 i4iiiiS99 etms:' 168.54 2: , 1 [CAIs1Z ] C'f)ly7rlt C PlsiiSD1Y B1aitch;cltetii new,slteratign,ar-eitriga1oa,perjiane) - fee ktandi tarcuits i--- Bustnes nafite•�er.Eiec'trie Washu gtaii,LW` G c ica ortc•eider tee, 7 � 2 i;b4eith. t." •Cli itnct itame..BzIl M)Tiitls B Fe1bi-#0:, ts4txtirh oitt _ sstN000rneared;hestf SG:ls 2tdde6I01 Si Toltnsfti iicleisetiit ChytSii>te�ZiP:yxnequper't?f'tl,98661;. Eaclta40..-• **A!* 742 A Misedtaiiaoii:(aetvli d or•feeder notlncln let!). P1mn 253)$20-J 1 ,F74.;-4 ) 1 tmanutltcuued :m mar i lidani.4.0gweusn cote tx'Clreig, eeattdror:fccder_ s,sd 2 gx wt�i?iY f itAGTt3R RtcmiacEtunly' { X7:84 2 • • • *,.41 ore44001eitcic B0sr,cesname Gat#,iiSIeetric'Was€lingtatt,l. :: Signorouthnollghtmg 61.34 ' 2 510i;Ntn6xts Bt¢�taf,eudutfs)4rtmutodeitetgy' Sta•3'a e2 2 Paha �ttesa6oa,,ortoa g ti• h.Eichiddiiiona1inspidtobAvitrilkfttlilcnieg ofte otiOiOiytt IZlPa*nput*WA9661. i*teipefm} Fhua66Zirr. "1he2S3 O13 ) e Li3;, 9• 0Olw lndnsapKftn ) 7818hrlltlttI3 gwtusa cum CC ,Ltc iC1 Stt Li tfisaiIa 08174 S tnspEclitatstoravificbllofeei3 90.10/iv • ..: W*rLte.:':44965' 0 Nsi8 C fir Sup v$Irxhtt gttslgo$ i>e,reg ed {4 w �� Bcr w " , 'l ' . 0 I •Pant Deme loan P 04,11 t B,8t a 1 I kke °D PPm lie<wlew 040,1Ra(a %;*rfpetmtt f) at`talg i8 gd !X..oTifnnit: Aut onzedsignattira " fic3TALPEfti t? 'EE. 7Ymper tis LuHwr lFartt3pstaeijltsepnb3piatii3rfih5n£80 1 Pgtxt:nanie,8i11T)a ik tDate: `1 .44:aftarltttasl-a'i 3�asiuutepkec. " 1?>rmSer uEieeciloiit afTotveii peipetiL LW.,141 cJitnd!hFA.tto.eitt.-40a-R.Oatizt1i1$ 44W@15T{'t111tf/L'03F1 W.ga i . ' yti sorbing Permit Application 'fi e )A 'M Building Fixtures A°R, 4 'Z010 City of Tigardf,,,, .: .a.w 13125,SW Hall Blvd.,Tigard,OR 97223,` k V l•)t t. : '° t' Phone: 503,71$.2439 Fax: 503.59$.l,964,l '° 1.. si\,t1 tit,gk ,.• • " T(L;1 i D r Permit No.: Inspection Line: 503.639.4175 Date Internet: www.tigard-or.gov ..lemental Information constructionDemolition For special information use checklistII New . Description I Qty. I Ea. i Total • Addition/alteration/replacement ■ Other: New 1-2-family dwellings(includes 100 ft.for each utilit connection .... 1, -..., � SFR(1)bath 312,70 SFR(2)bath 437.78 11-and 2family dwelling alCommercial/industrial SFR(3)bath 50032 111 Accessory building a Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq_111) Page 18.76 Job site address. 'y'� ri Site utilities: ( � 1 r h S Stir) D r) • 18.76 -. City/State/71P: \Q .( o l�o O R q1- '-1 Footing .. Page 2 SuiieJbldg.lapt.no.: Project came: VII $. at 50.03 Cross street/directions to job site: p. (''t' U e Manholes Rain drain connector 18.76 Sanitary sewer(no.linear fL: ) Page 2 Storm SCATer(no.linear tt.: ) Page 2 'Water service(no,linear ft_-: ) Page 2 Subdivision: ( Lot no./011 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve & � : i e " , sl's . , . ,e 25.02 fl ) p\Lf \.1' Dishwasher i Drinking fountain 25.02 Ejectors/sump 25.02 Fixture/sewer cap 25.02 le Floor drain/floor sink/hub 2.5.02 04 / ' / / `/ ill Garbage disposal 25.02 ' 0). 1, NM 25.02 Phone: / tilg / nfigo Fax: . ,D , "1 q 1- Icemaker 12.51 > � � st� ��n .. 25,02 e2 Business name. V-1.--1-4 f 1;+..Ar4,`. P I L.Lx*r N\f tt t l _(' primer12:51 Contact name V1,/ 1L i""v4 .. .../ i r 1 -J Roof drain(commercial) 12.51 Address: - i 1 Cs n i City/State/ZIP: e,: t-E's1""l.. s ,A (),42.....C C. E Solar units(potable water) 62.54 Phone:(111 ) Fax::( ) an 12.51 ' Urinal 25.02 .E-mudj_<-;,r1-4_ T" ,e: C t"i -4,99/4-k, n9/ s i ` tu^^‘ Water closet25.02 e � IIII31.53 Business name: kJ' At r .k" ‘to"A P(1.t..:i`Y4r til c 0 • i63t9 Address: 1)0 D-1. 13 Other. 25.02 City/State ZIP:(, C;'c 'tr -•,v CV, . Subtotal Minimum permit fee: $72.50 Phone:(91/) - 11 Fax:( ) Plan review (25%ofgermit fee) CCB Lie.: 2, (0 -4- '2... Plumbing Lie.no State surcharge(12%of permit fee) Authorized signature: F")„___________ TOTAL PERMIT FEE _ This permit appileation expires if a permit is not obtained within t84t days Print name: 10. .. T`..-- Sf ' ✓L Da { t (1j after It has been accepted as complete j f *f ce methodology set by Tri-County Building Industry Service Board. 1\Building'Nnnas;FLMiJ.PcnsitAPp.dic toni/i9 440-46167(042iCO.MNJEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: H - OLS 1 (p —co 13 p Site Address: L 7j`7 a% ( I -7 5 ✓4 v Project Name: Po Lyi°e,o,v Le-r- J2..ttJf._2�/2a2A cE__ Lot #: // (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review / Proposal: A/40 Site ( j a, ext�-�-4 c., 4 u_S t Ago) erify site address/suite# exists and active in permit/stem. R River Terrace Neighborhood: ❑ No V Yes, See River Terrace Review Addendum Attached Sit Plan Elements: ree(3)copies of site plan sting structures on site ite plan must �e on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale (standard architect or engineer scale) •or elevationsorth arrow ITA Utility locations(required for new,may apply for additions) e address,project or subdivision name and lot number t ation of wells/septic systems ,a Erosion control(including drainage-way protection,silt fence plicant information(name and phone number)/p t dimensions and building setback dimensions sign,location of catch basin,etc.) tot area,building coverage area,percentage of coverage and reet names pervious area(applicable if R-7,R-12,R-25&R-40) QdStreet tree size,type and location Property corner elevations(2 foot contour lines if more than to ,+a'sting trees to be retained with drip line,and tree 4 foot differential) protection measures pifklean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): equired: E Yes,applicant was notified No Received: ❑ Yes E No 1LJ Public Facilitie Improvement (PFI) Permit: Required: V Yes,applicant was notified E No Applied For: Yes E No,stop intake �V2 P,��and Use Case #: :90i '' 00(.96x7; C1/.6-2 bI S= 0 7�(,? 'oning: etbacks: Front /,:: Rear /7 Side 3 Street Side AO Garage o'() PV ndscape Requirement: 2© L(J' of Coverage Maximum: Building Height: Maximum Height 3s Actual Height cQ 0 0) sual Clearance sements J /' /sensitive Lands: �I Yes ❑ No Type Lax) k 2- /" `a% . V Urban Forestry Plan ❑ Conditions "Met"porior to issuance off building permit Notes: (-011 7Sl2 --Shz. �"l he ,21.00 ,o y- .'A iitxeerA2,tA /s'SZA.ViC __ .,://teheca_ Approved By Planning: <-----_:5 " = C o , ' .-- Date: Revisions (afterBui ding Submittal only) Reviewer Date Revision 1: lApproved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ 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 original plan review routing form. ❑ Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: Engineering Review • Slope at building pad: .37; ❑ onditions "Met"prior to issuance of building permit ❑ I asements (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 Approves by ngineerin_: Date: Notes: ,.. , _,„,. _ .+_ _MAE" O. _ .11_.r : --- _ Approved by Engineering: 42 tr=tf Date: /.- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: VSDC Fees Entered: Wash Co Trans Dev Tax: Yes El N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A lrOK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fonns\BldgPennitRvw_RES_0121 1 6.docx City of Tigard 111 II COMMUNITY DEVELOPMENT DEPARTMENT ■ T c n R n River Terrace Building Permit Review Addendum Building Permit #: 6-r i(p -ex>t 36 Site Address: 1.S tQF-3 /) .5'- Zis _zic.2/ Project Name: -ere Vis/ ,e/Veir "TQC Lot #: (N.''iI ening=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.I). Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall ffset a Porch mint. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6'.wide ❑ CI 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: /e. yc__ � 3. E trances:At least one entrance must meetboth of the folio 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 ❑ No If yes, all the following apply: [6 sq.ft. min. 45ne street facing entry 2;12 ft.max. roof above floor of porch ft. depth min. YJ 30%min.porch roof coverage 4.p etailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: overed porch mm. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep Rall offset min. 16 inches El Dormer min. 4 ft.wide oof eave min. 12 inch projection ❑ oof offset min. of 2 ft. ❑ Roof shingles either tile or wood VJ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ orizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade 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 co er lot. Setbacks: closer to front or side lot line, than longest street-facing wall. Yes ❑ No. If No (Check one): ay 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 May ove the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) 11112-foot-wide garage door , 40%max. of street façade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: r _ Date: Air 8 , 1:\Buil ding\Forms\BldgPerm itRvw_RES_RT_031416.docx City of Tigard Is> ~ COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G n R D Building Permit Review — Residential Building Permit #: /IS 732o// --OO/3 . Site Address: 1 3'7d 8 S40 ) -7 S"F'" AvC-, Project Name: Poi Li I o,., z f. Iki e St- Ri'rer- Terra-c--Q-- Lot #: f 0 T (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: e i,,3 S r R Nr Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: E No L Yes,See River Terrace Review Addendum Attached Site Plan Elements: 'Three(3) copies of site plan Existing structures on site WI Site plan must be on 8-1/2"x 11"or 11 x 17"paper NiFootprint of new structure (including decks)with finished Drawn to scale (standard architect or engineer scale) floor elevations 5Thiorth arrow C 'Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number Location of wells/septic systems l Applicant information(name and phone number) .Erosion control(including drainage-way protection,silt fence LSLot dimensions and building setback dimensions design,location of catch basin,etc.) ®"Lot area,building coverage area,percentage of coverage and L treet names impervious area(applicable if R-7,R-12,R-25&R-40) R'Street tree size,type and location G5j'Property corner elevations (2 foot contour lines if more than existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ ,Yes,applicant was notified X No Received: ❑ Yes ❑ No IN'Public Facilities Improvement (PFI) Permit: Required: 1)4'Yes,applicant was notified ❑ No Applied For: ( '"Yes ❑ No,stop intake LA" Land Use Case #: PDR aUtS- Vcoo Lf/ Su-r3 . Li5n- (.3u oda RI' Zoning: R-1 ❑ Setbacks: Front id, Rear I S Side 3 Street Side Garage a c, Jf Landscape Requirement: :�2 U 0/0 IX-Lot Coverage Maximum: (* r. % — ac-i-v- l S 3 c/Q Building Height: Maximum Height N 1 \ Actual Height Pr Visual Clearance ❑ Easements Sensitive Lands: 111 Yes No Type ❑ rban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: rt:ntAi--{; o cl S ph u✓ . b,. ; (8.( r\ei pLc ryn i 4- t-,1 u,!'-(- be ry,e4 . Approved By Planning: /140 h P'l/` g i t o JJ4 _ Date: Ver/ /0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: E Approved ❑ Not Approved Revision 3: ❑ Approved E Not Approved 1:\Building\Forms\BldgPermitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: G� , Site Plans: # /�3 Building Plans: # 3 Building Permit#: ' nter building permit#above. Workflow Routing: 'Planning Dngineering Q--Permit Coordinator Building Workflow Sign-off: 2" 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 original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: id Date: Engineering Review Z Slope at building pad: 54 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 Approv d by Engineering: `_ 4/14 ,--(4....47.-/- I / Pate: Notes: &„.4.2.147/.42.0.)0 _I> h s�VJ (d_ '9 F� Approved by Engineering: fr4ZJ7 Date: 4/—7-/8 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: CA(m-YL C614."."✓ Date: ' - 7 -(10 Notes: Rin,S w.4-tX p l h at •er- t el S i -.t,c-c-i 11 Gu n c(1 -k o rt S p..-; v— 4o 6 u.t t L rt..) 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: Ig- SDC Fees Entered: Wash Co Trans Dev Tax: ® Yes ❑ N/A Tigard Trans SDC: ® Yes ❑ N/A Parks SDC: ® Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BidgPermitRvw RES 012116.docx • City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT ■ River Terrace Building Permit Review Addendum TIGARD Building Permit #: HS/-- -0/& ea / 3 ' Site Address: 13`7 e) SLA t-751'' el A-y-t- Project Name: Po i L e , ,i e, We sf f2.21 ire- "ref(a CC- Lot #: j o`-F (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): 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. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ 1a- ❑ 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 17 . S Vo 3. Entrances:At least one entrance must meet both of the following standards: 'Parallel to street, angle no more than 45° from street, i Max. 8 ft. setback from longest street- facing wall or open onto porch Entrance opens to a porch: Yes ❑ No If yes, all the following apply: I7 25 sq.ft. min. W One street facing entry kh 12 ft.max. roof height above porch 0 5 ft. depth min. E 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: —9 Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ki Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection- does n a t' ❑ Roof offset min. of 2 ft. lye 's l- ❑ Roof shingles either tile or wood 2rGable,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'/Z"wide by 5/8" deep Cil 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 closer to front or side lot line, than longest street-facing wall. 4Yes L'No. If No (Check one): NMay extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. L'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) ❑ 12-foot-wide garage door '40%max. of street facade ❑ 50% max. of street facade with 7 detailed design elements Notes: 171 a,,x SLS '1.,c cokci ( - ,A' eaikJ-LS i-nCI' le)--'` p"32.c i01 11.4_4` ck,8 not luVu�ectfr � 0-11 er deiici,-t St6nt1LG�r<?1i Wfr-e_ YrL.-I- f Approved By Planning: C l_U-4-✓ L- - Date: 3 - 0 f3 • I 1:\Building\Fonns\BldgPer nitRvw_RES_RT_012116.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 141 Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DATEli ` ED DEPT: BUILDING DIVISION " APR 142016 FROM: � -� G - CITY OF 1-1(.. AtiD BUILDING DIVISION COMPANY: PHONE: Q3._Y:A / RE: / Sw �� s/ e M5i Q9O/Ce-00/3�P 'ZSlte Addres (Permit Number) /012/Ve Z- 07— /O V (Project name or su,•rvision name an' 5t num er ATTACHED ARE THE FOLLOWING ITEMS: f Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. a. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: /GcvP--.,Se- Routed to Permit Technician: Date: ' _ Fees Duel Yes • No Fee Descri.tion: Amount Due: $ , $ Special Instructions: Re•Tint Permit ter PE : ❑ Yes ❑No ❑ Done A. •licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 • LibinhigoAcatuminfoi - h Building Fixtures FOR 01.1.1CL USE ONO,' City of Tigard Received 7/? Dateft V 10 4h(Cr FormitAx17..0 7;26 v 1,--110/3 .r N___ 13125 MHO Blvd.,Tipcni,OR 97223 Van fterie711- : • ' Maw 503.718.2439 Far 503398.1960 Date*: Otim•Pamir,No4 TIC ,1,‘p Impaction Lim: 5016394175 . . Dait Ready/Br Attilt I la Saab/go 2 tor Internet:www.dgard-orgov , ' Ntatedftetherk SappktacnudItdormados ":;.:4T;1445.*::.;M:44*,::::;:;.;P•ZIA?..0.**,..#04:F.;':%r 4::::''.1;;'*1 ';'4";i:-.:.;:; ;:. '1,:gl, ':1'..:;1:.:7'".i;;;.:1':4:-..... ..;),*.*.';4(.0 OW!...;;' .1..;t'Y,:f.:%::.:•,-;:4:. :,i nr° nonstaretion 0 Demolition For-,- , hi orourtion fist cheaBoi ritti.,=.mu ICZNI1110. Total. 0 Additiontalterationhopiacement 0 Ohm New 1-2-famii. dw ,',..., includes.100 for each utility connection) .. k;:';•;.:!ii.1:01".;;C::%?:ti:4.#44**:4C:40.#.****0.?:.5,Vil.::?:::22-;::.: : -; SFR(I)bath 11111 31170 nO-mW2-bmilydurelliaig 0 commertai.dustai SFR(2)bath 1111111111221/1111111111 ' SFR(3)bath III 500. 32 IIII 0 Accessory Wang 0 WO-family Each additional badylotchen 25.02 I 0 1485tat.builder0 Other: Fite sprirdclar(____,_sci.ft) .11102111111111111 ...1 **.tOtA****4.0.PR:•cAf;lir'.: :..,. ,,...;ii2; Min Wales= J ob site Wren: j-7.,--7 (.6 (3 to i 75.4.1-1 five Catch basin or arca drain 11111111111:0111111111111 . Drywall,lead;Ex,or trench drain III 18.76 1110 City/Stem/21P: • , Footing driin(no.lineft ar Sulte/hIdglapt.no.: I Pzoie num/0a Ly 6 a") "9-7- Ddanufannued home unities $0.03 .1 Closs-strcetOntoionatijob site: ell6S1.72/.44-4 n'Xiee. EEFRIIIIIIIII 4836 18.76 1=1:23/E.1111111110/1111111111 Sloan sewer(no.linear ft.:_____) Page 2 . • Water streies.040.linear IL• ) P1402' Subdivision: Lot go.: °0 Sanwa or hem: ' -- Tx map/pared no.: Badcflow preventer 31.27 • Y:•••„....1:-:,•;,:s..z.$:?4,7.,-.itiagis.iiiiir.•iy.A.,.•IA.,,.,*paijiii;-;.:+ v,,.i ;;;„ro ,.:•:.?.%,;4,: .."::•,!".:::•fl,...:+?:..N..1.f: ' BeekWater-Vel" 1111111M11111111111 ;f.i.41":•';';31,4 -4._.;.41,:$":4x.:-:.;',1:0",--.7*7-eo-r-7,..n.7.:•..-rv:,, ,,7:',,,75m .,'., .-:• ,,„,;,... ,,.....,.4 • clothes washer al& MIMI ,7 eleft/V6e. /4444/7 /6. e ,v77e,te.,77/R., Dishintsiter III. 52.551:2 II. Drinking fountain Ejecturnesurnp 25.02 .0i17:;=.41':\ •:3:*i ::*1.0.10,:: :: :::i:.•?;iZ ie:if;.r444*.i.t0: .i' .:7.,;:i . EV"sicm tat* IIIIIIIIIIMMINI Lllu'w: 144 1-1' zd9-A/6 /-/ev46//v6s 44-e... Pirturreisower cap, IIIII 25.02 1111111111 Floor sinainjftoor sialc/hub 111111 25-02 ill Addresa: )P: •Garbage disposal MN 25.02 City/State/2 . 1=121111111111111111111111.1111111 25.02 Phone:( ) . Fax ( ) C=1 I ill II I I 111 III........._11111 '' 1 1 M 11........ ...._111111111111 '44-it%aftW,,,,,t..:Alit:T?:7•:7:;;.:°•eil:;:-'F. 14q latcreePt439gre2sel°1P 11111. 25.02. 1.11.11 Business namm Pe L.y460A./ 4411/ 41,-C,, Medical gas(vat=$ ) 111111V2111111 WM Printer . Coml.:era:me: hi-vy$74-z.efr a/el-0"E 4).11C../ Rerofdrain(mummereial) 11111ffillal Addmss: /09 6.- /3 e-',' S 7' Shdribasionavatory =II 25.02 CIVIStatorZIP: v etre,f 1,7 EA. $(/4- -V-4 6 0 Solar units(posh'.wake) . EIS 6234 111101111 .Pao (260) 4 )..c- -7 700 y,,,,:-.:40)6%5 -9q7a..., Tutilskoweeshow,p. EN_ .12.5/ Sloall:hlet/6014-•C1.014creet9.5".6.?&...POZ:re.p.i//c/aWC. 6-5 4,07 tWind MI 25.02 111 .1';:':•iF:e.'t*&0'4* 3":.. -. 2502 „jaw Mi. 25-02 ettsitleSS mune: g 44_, .. e. P_ , . A: . Waterpiplag/DWV 37.52 56.29 MIN Address: Is, i; I ;.• - .- W . 1 a ic. 1. • ;- , 4., Othey. • 25.02 CilY/ST4/.gil.7115: 77o ei7D0 z.a- '' - a ,i Stibtond lial Ph64e:4505).,'gill Far(5-03) 41.1 4#56 . Mahn=permit fee S72.50 Kan renew 05%ofperedi fee) MB Li= feziteeci Plumbing Lie.no.: icy 6 65 . State sarc1mge(12%ofpelmit fee) Authorized signature: Ail/4 TOTAL PERMIT Print oamm jetilnirten v.. Duty- • 4,01ffAiffle II 11171$permit smoStattoa expires Ka sera&Is tart Waived within l 80 dayr after it hos been accepted m complete. • ' *Fee methodology sat by Tri•Couray Bung Zodusuy L-.• - _ imundinelhaale.421-kathanirApp.doc maths) 440-1614R1042,COMMEGI) -- City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13728 SW 175TH AVE, SHERWOOD, OR, 97140 March 8, 2017 at 8:57:12 AM Record Type: Record ID: Residential - Master Permit MST2016-00136 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13728 SW 175TH AVE, SHERWOOD, OR, 97140 March 9, 2017 at 9:14:23 AM Record Type: Record ID: Residential - Master Permit MST2016-00136 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide tempered window upper level main bath within 60" of tub/shower. R307.1 (5) Fix exterior grade at back porch to slope away from house 6"/10' or provide approved drainage swale. R401 .3 Install missing register cover as noted on mechanical final inspection. Violation Summary: Inspector Contractor