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Permit (77) rt CITY OF TIGARD TgZ7 .Ii. MASTER PERMIT 711 I COMMUNITY DEVELOPMENT Permit#: MST2016-00138 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016 Parcel: 2S1060002900 Site address: 13717 SW 175TH AVE Jurisdiction: Tigard Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 90 Project Description: New SF. 8/4/2016: REPRINT permit to add 2nd water heater. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Dwelling Units: 1 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $351,093.51 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 LaundryTrays: 1 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 Footing Drain: 0 Ice Maker: 1 Bckflw Prevntr: 0 Catch Basins: 0 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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 Grou NEW p Y p' Square Feet: SF VB R-3 2909 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: $33,090.77 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 952-001-00 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: De'f't/(' yip"/ 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 A COMMUNITY DEVELOPMENT Permit#: MST2016-00138 Date Issued: 06/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 251060002900 Jurisdiction: Tigard Site address: 13717 SW 175TH AVE Subdivision: WEST RIVER TERRACE Lot: Project: Polygon at West River Terrace, Lot 90 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 2 First: 1254 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 1655 sf Garage: 464 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2909 sf Value: $351,093.51 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 0 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 2909 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: $33,003.75 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 AR 95s 1-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. *4.' • ,pIssued By: , / 7'GE Permittee Signature: //V / e-V "177®,1 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�. , _A s Z B11adin�Permit Application __ t FOR OFFICE 1 SE 001 1 ` ,. _�6t4 Received PefmitNo City of Tigard �� ZO�� Date/By - 4 / - fr r Sf /,6 P OR 9722 Plan Review i j ) 1 L other Permits / y"( j�j/a�—+ 11 13125 SW Hall Blvd_,Tigard naris: I 'H See Page 2 for Phone: 503.718-2439, Fax: 503-598,1}¢Q< r 'pri. ., r;) D eBy: 1By. J i}}t ��`°¢J k ka' Supplemental Information Inspection Line: 503.639.4175 i ty, N edimethod: T 1 Ci^,R1-) Internet: www-rigard or.gov d ., 1+z _3. -- 4 r -_-"--`-`.` - "- Permit fees*are based on the value of the work performed_ "- ` � �0 Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction equipment,materials,labor,overhead,and the profit for the -� ' work indicated on this application. ❑Addition/alterationlreplacement -_� w (`' � " t 0 L s 51. r" .-----,1--,:'.:144,;,,--,,,,,,,,,--r-, Valnation $ :� ® I and 2-family dwelling Commercial/ndustrial Number of bedrooms: 0 ❑Accessory building Multi-family Number of bathrooms: 0 Master builder 0 Other 3 3�7 r Total number of floors: 2 ' ;T T ` E �?`3 a i. ` :L D. V ,a.F t square feet -- ---�'' '' I New dwelling area: G q Job site address: 1 ` ,- �age/carport areasquare feet City/State/ZIP:Sherwood,OR 97140 {�� square feet Pct name:Polygon at West River Ter Covered porch area ‘ ,.1'' q 16 5J ! Suite/bldg./apt.no.: Project Deck area: Q square feet�D...6-Cross street/directions to job site: ♦i square feet Other structure area: , Lot no.:F / Permit fees*are based on the value of the work performed. h. Subdivision: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Tax map/parcel no = work indicated on this application .„� ' �*'� �-'47:74 ."5�. .� 'L.''..,"'÷'11 t �-t+, k ��•�•a, .« -w�, 7-;--,- ..�.> P �.�.FR""�...�, ',� -^^,� �. .''�,..,z... valuation:�.�,t�..r1�.��:,i,xM,.o,.. �a a „,:,..�.��s New Single Family Detached Construction Existing building area: square feet New building area: square feet ..� =�»;, Number of stones- } 4:tr s. x n�'*4'4-,'fi= "'fie~ :._ -^_ -,---,------,;,:--.,..-:;.t;----_-,..-:.• • 2,-_,...-__-_--_ •- a Type of construction: Name: th (tate] Occupancy groups: Address:1'1 � �/ . ,� � � Existing: City/State/ZIP',( 1 1 i Z„ Fax(360)693.4442 New- Phone a�R `.-F''-"1 7 I 3' ':,,'_-1,-'.-',,`:5,-:;17-7--47-1-".±- ,' n't' -5 . 11L,f-':",-r.-,",4- '..." ., r-r __spa.-'----- -i '?. a..--,.r a. rd,n..... <.,..-_,, . .-ciT .. ..t." j Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received. Phone:(360)695.7700 I Fax::(360)693.4442 Email maggiegordon@polygonhomes con Commercial and residential prescriptive installation of : • Wz. zrr . t (-, FT _{ :_ roof-top mounted PhotoVoltaic Solar Panel S oystem e s- v_ y n_W:' '- c Submit two(2)sets of roof plan with connecti n details Business name:Polygon WLH,LLC and fire department access,along with the 2010 Oregon Solar Installation S,ecial Code checklist. Address:109E 13'x-Street Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : $21.60 Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12°/o of permit fee): CCB lic.:207247 Total fee due upon application: $201.60- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: It° *Fee methodology set by Tri-County Building Industry) Punt name:Maggie Gordon I Date:12/11/15 I Service Board. I:\Building\Peimits\BUP RESPemiitApp. doc 02/24011 440-4613T(11/02/COM/WEB) Mechanical Permit Application Ci of Tigard , lel i:, Rea:tivcd City $m: r Oa1er Pers+tie" S 7 �� as/3 Ili ' 13125 SW Hall Blvd.,Tigard.OR 97 .r.,, l' r } Phone: 503.718.2439 Vas: 503.598.19€0 Date Review ether Permit: Date/By I = Inspection Line: 503.639.4175 A p( 4 Z Q Date Ready_/By Ian: 53 See Page 2 for Internet: www,t Bard-or.gov t t Ncaifiedi`hirthod: Supplemental Information ggy, 5;g ,.- x, .n .ziti „,- .�N �.,. Mechanical permit fees*are based on the value of the work It.+ New construction 0 Additittniatteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all- ED Demolition 0 Other: mechanical materials.equipment,labor,overhead.and profit o..� .�. Value S e qt ,rt 4" `r � hkA . a , ' x rg"ttPk;:A:A_ : i # 5i,:t�.'` toma, Its r 4 ' I-and 2-famity dwelling 0 Commercial/industrial 0 Accessory building 1 For special bafo moron use chec Q Multi-family 0 Master builder 0 Other: Description ( Qty, Ea. Total HeatlsgfraollnR: ''''"'''''''''''''':'-l''" '5- �.i ..',., --•"-.x, t,l. °....,. '• .re, �'''-.- _. .a••—• z _., ate. .,., Air conditioning -tLr,75 .... Job site address: 1.31 l svj f-6-Th leek { Furnace 100,000 BTU tduosvenis) ) 46.75 City/State/ZIP: 5V.r ac OR q---4-\\-11---) Furnace 100,O00+BTU(thxxs'vettts) 54.91 Suite/bldgJapt.no.: Project name: JC) Heat pump 263.32 Ii L`tl� ��/ � /� Duet work 23.32 Cross street/directions to job site: n.C-,�3(C.`-4� 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 t Flue/vent for any of above 23,.32 Other. 23.32 Subdivision:River Terrace Lot n°29 D Other fuel appliances: Tax map/parcel no.: Water heater 23.32 :: �. . . # .,1 tt v�t ' u ,., � Gas fireplaceiinsert 3334 s Hue vent for water heater or gas . HVAC t fireplace 23.32 Log lighter(gas) 23.32 Woodtpellet stove 3339 Wood fireplace/insert 23.32 Chintney/liner/ftuevent 23.32 R„s.;,..,":;:i.,.,.h =i •e` ` t- 4 ' `. ver .- rz ":.a. .day .v i i 0 "' Other.. . _von _._.._ 23.32 t_ .- Environmental exhaust and t"li tlen; Name,1!I a ^fit Range hoodlother kitchen Aft r n shipment 33.3c1 Address:1 i I /, �. i I �i J( , Clothes dryer exhaust 33.39 C� M� A 8 S ilet ct exhaust(bathrooms, I City/State/73P: V ' �' - � toilet compartments,utility rooms) _ 23.32 Phone:f e oz-- p i-) -1 ( -3 Fax t ) Atticicrawl pace fans - , 23.32 f1€her 23.32 0 : l tt 0 :!, ..q ,4,p n' t . _ Business name:Apex Air LLC Business piping: 51 51X1.15 for first four.54.03 fur each additional Contact name:Staci Hay Furnace.etc. Address:2210 W.Main St.Suite 107-272 has heat penile Wallisuspeneledtnnit heater City/State/ZIP:Rattle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace Ranee E-mail:staei apexairco.com Barbecue t44.4;;;;;;,14!;::::;;;;!:$45 '%012t 2 ; r z .. : 4 Clothed rer teas) , s Business name:Apes Air LLC Address:220 W.Main Si.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee(590.00) Plan review(25%of permit kc) Phone:(360)3424109 I Fax:(360)326-136e# State surcharge(12%of permit fee) CC13 lie,:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within t8! r / er w+` " clays afterit has been accepted as complete Authorized signator'' T -` 0/ ,Y"` 1 1 ec entthtx Mgv<ser by Tri Cowry B�€tditrg tale }Ser ice Roan! { Print name:Staid hay ` Date:1128/2016 t4iuilditsgcPennixslt E^PermitA 640€t3.Am 440 €7Tf i LY_%COM/WEtt) Cktt r0f'$`Q� Yc ria nar Y.! ' 2('/c- e'/3 a , 13I256W.fi iIBIvd., lgaid,OR 9722"3. SPR 4 2016 , , - , n Phona 5037(3 4 Tax .s(Y3.59fi 1961 x jjat /tc<tcd Pernnr R, f2 • R- �ecgnn a 503 639; 7a �' ¢; =,4,‘ L R �,yClatelBy „..jinx....... ( t Pay�.ZYas t ` femCkh�t1 3;orppK ' ” ,,, C 9p �rsNMeWPd .,:—t4cment["Ge brmetion js 6 .� s n Ey� a'- FFFFF �� i ' �6� r EfAdddition/a1£eix8 on/repjaccrncii °7H�Iyallihuspptx( �2sdsolpiinov iiWnrcheckedl: i emolltio;z Q t'y • ❑5 e ssei amp, rmara 049#040.Y.0 kueatotus _ 9171#(1,i.„-.11q:177: " > + e +at fauj ewrtnt 13iMlarm tyards.. . - - L�L'1i. N4 ..,.�. axr ds 10,,000,antpan 1.101 hs r 13Flnlin iegi e 1 and 2.family dwel ling 0`CnmmercialIindusfisal [Ti Accessory building less to.gound,Or is ia,000 p t aanimeial a5ricmmrat .0 MuUi-.i`eln ty :1.06:terbndder 0 Other' s orsttt fi er�rsr+asarmn ins iliali ,,.� ❑fi,�epdmp, Q Ins eillatron of 1p:KVA or. ��,,,. :; C#$�� f?� Q. 'E7R�S&eulixtmR iansssepuete[yivzd t Job L © tint orfrow o otor load of 0)* r41 J¢b site and W 11 l� , ❑...,..,,.1:-.4,... 1,,ut-3 Ctty sherwood€ilt9Tl l ❑sets ttioreres ennalouus: occupancy • ❑FItol uamticoitifs. 1-11Zgc:#;1,Dal yetuc4•-330 s: t 'SOrff ldg pt Projecttlarnt: _ Qth3atdouslowirats„ ❑Sapp€yu0liagotormorailiur , " ❑Sert'lcearfcudaruooampsurmore. 6 roilsnommal. crossstreeHdueo6 iojobsite: a�lnlinn € O Euth €v Teat 1 . Viet t esidential single,4,r tartlti Family t3�velih im(t gubdiviston :RriveTorrafie. Lot/Y:(0 Inelrmies attached.gms , ` 7alt malJparccl 1,AO t st€Ti or ten 1 16844 4 . �i' � -' ES FI ..O2' O;Ri{:..'- Liml frt 7 y,ses de lial ri 339.? D•, • Gmteil rg}r risWeii6ai i Net Singe Family iwithabcwasq lh) J nob 3' la0a'i eifen mold-Famtb „resider W(with above sq.8 3. 791:.' + i tt 15!- Ct 4. ° `LD 1'CPd fVT R e1,nb'le oengy: ❑S Poge2 Servic tsr fe rs iaslwilation.niteratinir,na w'rekocat€oti. N;lc 11 .�'t X300 ps or less (00.10: 2 ,' 2t€i am l6400.11tp�pi i 1 1 ��1,4 SLP -t;._ C it i �aoi�: cro : i. ` lZl' tgii P • hot 11�02,Jld! 4 - a 1 i 1 ) � r>s szs 2' - ., Tetapar cervi 'oirfeedere instaltatitiii 41 eratio i,and/or- .;relocalian Owner Thus installation is being made on property that row])•wtiieii.'18 not t or less, 59.-16 7 11400ik4 for safe,lease,.re or rxchaltge,:.according to ORS•447,449,670,and 701. .201 ami}is to 400 amj s ;125.03• 2. Owner 0.t*r Date,' 401 amps to 599 amps: '168.3±1 LA eevusciutwith Biauhhci cuitflew aitetatvn,,or exte4sina, e onel4 `"b� $- [� LONTAtrvitRSnv. _Ptsa, cisBusinessrame Gafree$iecic Washirlgtort,LC aboeevieorf ene, 2 . inch b,r c7.42 Contact name Bill•Dail els 8 Feerar branch eircuila rr rha rr ttitxte rarferfirstAddrs 4)D1 blJo nSRs -b airthvirouit fib t8 2 , ity/Stat4ZlP,ValtncouveriVA98661 .0i a4d2hr icirwr, 742 2 . )441ccllsneoua(eer tebr�'feedes.aotinrlpded Phone.(ZS3}320-:165 Fain :( ) Eachmai+iitaettu cc mo u lar . dwell jog.sclaricmidiorfccdw 678$ 2 email bdattrels glveasn.evm Racnttrdant 6'3.84 . 2 .�_.',3: CONTRA.I Ult : .: ,....__� ._ Or lrr, „..,,3L4 . .67.84 'j l3usiuccs natmc GarnerElectric Washington,,LLC :Signcrurrinclighwg ` 653:84••; ? Aiidl 6L01; `StJolj z Itt1 it' 1 c 0.01 s1 or€44,4 rnrgy vattia:titttaton;nttniibp C Sri Pag2 2. •Each ad,rNwn linpection ver alowableiii any 0 1the abois rhZiPVieauWA X8661, Foalinpcton(Ihrmiy 66lh� n PhOte657 FasC ) t bmi i) . 91 fU7z, e mail:btlattiefgt �tU 2.Foul Indata ldantll hr miii) 78.18/be ! rwhich no fea h 90 OCht;hr CC Lte,�, Cl158 ,ElectricalLie.:208174 Sopor Lla'44968apoafadtylisicd..1W.4,480`-: stitiNAtectriattOlkiiali#14 required; tail/ r n Suirtotai. Print name: Joan P Albert Dote. a li..I kto ;0 PlanRev ew Required(' %rfpermmitfef) State sxtrblrairga"' *�rGxrfpiiiititfea}• Authorized signatre •T TOTAeLrrPteT FEE:Ir ' :T,peitiitu epre 6 itis g auedwiliin t80Pttpalte $113T4kt01S• A8[e: lartt ; YW'St6asie� edaS'iapteta. • . Naatb,r ofsnsvtloat allowed per perm1G. jJ L. ii:0140.. „..Eut_E1tEdaw(tw00.6x... 1,1$. 440.4lIktviO O.sIWF$ 1 • I Plumbing Permit Application Building Fixtures rel Cityof Tigard BPermit No �S/2-c f(a-'00/'3cf 13125 SW Hail Blvd.,Tigard,OR 97223 Plan Review >Q Phone: 503.718.2439 Fax: 503.598.1960Other Permit Na.: R,pp 4 � � atdBy: T'i i;A K tD �v Inspection Line: 503.639.4175 Y Date Ready/By: Jutis: BJ See Page 2 for Internet ww .ngard-0T:gov Nqa tifestiod Su;elemental Information ma3i4.7°n '..a._. �o.,�W 9 ' 'aX4 `sk .:u "..bx d°ia. For special information lige checklist 1 New construction = Demolition Description 1 Qty. 1 Ea. I Total 0 Addition/alteration/replacement Q Other New 1-2-family dwellings(includes 100 ft.for each utility connection) t - e'-#_ . _a ,. FR(€,)bath 312.70 Bei,` Ao X56 '� t : s 1111 1-and 2-family dwelling Po •U.Commercial/industrialS (2)bath 437.78 SFR(3)bath 1 50032 111 Accessory building 111 Multi-family Each additional bath/kitchen 25.02 0 Master builder El Other: Fire sprinkler( sq.ft.) Page 2 ' „� *vim - ��. .. , ,..� ,. ,�n Catchin or area dram 18.76 Job site address:( 111 1---)5-tvi, e /� 1 Drywell,teach line,or trench drain 18.76 City/State/ZIP: `jh 1t 1 k)op a O gi lk-'` t Footing drain(no.linear ft.: '1 Page 2 Suite/bldg./apt.no>: Project ntame: cal L9 6y--) (i k 1€E Manufactured home utilities 50.03 Cross street/directions to job site: ,,,,,e(' (7 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear IL:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear$:_) Page 2 Subdivision: ( Lot no.:C'0 Fixture or item: Tax mapIpareel no.: Backflow preventer 3127 - -...y '9s- -...a Backwater valve 12.51 0 ` Clothes washer 25.02 n-wJ plu,JmNia.IN,41 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .,.• ' Ex ion tank: 1251 PLV L&n I i Fixturdrain/r cap 25.02 Name: I Y_I'1J ,, Floor drain/floor sink/hub 25.02 Address: r�. k��� 1 s..I/1,�t� � � Garbage disposal 25,02 Ci /StateILIP: r Hose bib 25.02 Phone: ) -.l 11 ' ) Fax: ,� `0 / \ 1�'Z Ice maker. 12.51 ; ” � V�,,t 'fir$ ON Interceptor/gr,ease trap 2$.02 Business name: y� Medical gas(value:S ) Page'2 V.,1..... �t z___, ...4,,.."1.i'` 1-'1 UX. \\'tl r s,. •f = Primer 12:51' Contact name: tVi el040 )l; -'ir°i Lt'Yi Roof drain(commercial) 12.51 Address: . t".4.. 0)--7,G3 Sink/basin/lavatory 25.02 City/State/Z1P: µ}gam. Solar units(potable water) 62.54 Phone:POI ) c - i 43-3 Fax::( ) nib/shower/shower pan 12.51 Urinal 25.02 E-mail: �_` 0, 0_71 n r av ,s 1 • c' Water closet 25.02 r, s. z� -Water'heater 37.52 Business name: ;,.... ,, WaterpipinglDWV 56.29 #G .i 11" kY�sl �'1i l ..,-3----1---41,,,„,,,e3 Address: pl ks l'3;. 13 25.02 City/Stat«rzlP: cbc- -7subtotal Phone:(91i) ¢ `j Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) tI?:CCB Lie.: 2,C) 4 Plumbing Lic.no 1� - - State surcharge(12%n of permit fee) Authorized signature: TOTAL PERMIT FEE This,permit application expires if a permit is- h"------ not obtained within i80 days Print name: g ^ - ` { Da after It has been accepted as complete. iLfC l i' ts ( ePtud lit *Fee methodology set by Tri-County Building Industry Service Board. c\\iildinePamits\PLM1;��tApp.dse 10101/09 oto-rai6Tliarol oauwes2 t 091 a 1111 I City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential TIGARD Building Permit #: /1'STc,2O/6 0O/3(F- Site Address: (311`7 SW r154-11 A\Ie. Project Name: PO\ Qon act- West Riven--Tex I-ac.P Lot #: % (Neu/ elling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: nem 5c ge Verify site address/suite# exists and active in perm_i_tpystem. gill River Terrace Neighborhood: ❑ No MJ Yes,See River Terrace Review Addendum Attached Sisq Plan Elements: `Ci' hree(3) copies of site plan : :xisting structures on site N: e plan must be on 8-1/2"x 11"or 11 x 17"paper n Footprint of new structure(including decks)with finished Vrawn to scale(standard architect or engineer scale) poor elevations orth arrow 00 Utility locations (required for new,may apply for additions) to address,project or subdivision name and lot number ocation of wells/septic systems pr- pplicant information(name and phone number) ►1 Erosion control(including drainage-way protection,silt fence Vir of dimensions and building setback dimensions sign,location of catch basin,etc.) L`�JLot area,building coverage area,percentage of coverage andreet names pervious area(applicable if R-7,R-12,R-25&R-40) RStreet tree size,type and location 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 —El--Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): quired: ❑ Yes,applicant was notified ' No Received: ❑ Yes ❑ No 1 Public Facilities Improvement(PFI) Permit: E/ ❑ Yes,applicant was notified ❑ No Applied For: �J' Yes ❑ No,stop intake lequired: and Use Case#: )�ZO 1 J— tbackng: �- nn Setbacks: Por , g Front a l Rear 151 Side 3` Street Side -- Garage O Landscape Requirement: 20 of Coverage Maximum: {j 0 % I uilding Height: Maximum Height 3 S' Actual Height 11 i FA Visual Clearance ❑ Easements --p-Sensitive Lands: ❑ Yes ' No Type ❑/Urban Forestry Plan 5 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: 44 01[1 /1(0 LeVAM Date: 4/ q/ I(o Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_012116.docx e' 4 Building Permit Submittal Original Submittal Date: Al//M Site Plans: # 3 Building Plans: ## Building Permit#: Enter building permit# above. Workflow Routing: e--Planning LJ Engineering 'Permit Coordinator '1:7-Building Workflow Sign-off: et-Sign-off for Planning(include notes from planning review) Route Application Documents: g---Engineering: (1) copy of permit application,(1) site plan, (1) building plan and original plan review routing form. 12"-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 'J - Date: ,e'/IE, Engineering Review L7 Slope at building pad: Sf 4 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 Appro ed by Engineering: Date: Notes: - - �r_ -.11,. .. IiIr ve— WI .. t N Approved by Engineering: G 17 Date: II-7--/z. 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 X Approved, NOT Released: CAAJA,4p. CGwwo Date: ti? -7-- 1(o 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 E N/A Tigard Trans SDC: J 'Yes ❑ N/A Parks SDC: 21/ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPennitRvw RES 012116.docx City of Tigard M COMMUNITY DEVELOPMENT DEPARTMENT ■ T(G A R D River Terrace Building Permit Review Addendum Building Permit #: MS 7,o2o/6, '" 60/3 tP Site Address: IV ii SW f 5f1.1 Ave. Project Name: P©lyo on a\ West RNe,CTefrace. Lot #: clip (New ding=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 facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch mM. 5 deepIt Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of`12% of each street facing facade must include windows or entrance doors. Percentage Shown: )% .% /.. 3. Entrances:At least one entrance must meet both of the follo�ing standards: Lid Max. 8 ft. setback from longest street- facing wall 1 arallel 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: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max. roof height above porch ❑ 5 ft. depth min. ❑ 30%min. porch roof coverage Ietailed Design:All buildings shall include a min. of five of�he following elements on all street-facing façades: overed porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ^❑ ormer min. 4 ft.wide Roof eave min. 12 inch projection G�Loof offset min. of 2 ft. Lid' ❑ 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 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. Yes ❑ No. If No (Check one): ❑ May 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) / ax e P� Ay ❑ 12-foot-wide garage door 40%max. of street façade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: e T1 Cl�ti t..x,YIY'b(�l C,� Date: 1:\Building\Forms\BldgPennitRvw_RES_RT 012116.docx • �uXII � uUi� T# t111 11111111111111 • Building Fixtures FOR Ol Fic'L USE t1 11.11: • 131��J5SI RTallit, a; �a Olt 97zi i" r«�t -- 4 (v-pfd/' ' 1 Phone: 503.718.2439 Fax 503.598.1960 O1b4•Pconirl+tim T r t,,)i 1) Inspection Lfiae; 503.639 4t 75 2�eRY- T4teet: www.tigard.ot' ov ) 63 Sks g � DareReadylBy. Saris plo>rf-tedMetbpd: { R for 39"�'a�{4f rtf+ v.,�'.,,n rr�k• ...� i Sappltmearallafornerrion y<LY;"^•Ght. ,.`r .6k.� 'i.3t;'t•-v::(.i (I{�t$�� Wy 't i ';4".r`r �, ',.R...` ^a':''- y y•', .`.•;. ::-F" Y3,•i,:v!S',. -...., ,'�,�.�•� ,3•i•• •S'h'• :':. qr' 'C+!:' y" v, 'f°"' •: �TiQaP4uconstruction I-f r ...,r /.: r .;:! •r.'r':^i.y.'y:�:�• L• •.. , `Jt.,•N.lJ:.7119:,•.�'.{':.:;.:••�. Li Dem olitioD' rat .�.• fOl'S�IPlJfil�FllfOJ'drtQlPP11l�SCchecklfsL ❑Additiontalteation/repldl ement 1er: D--.• '•dolt • .fib Total. .. . ;�• New 1- inciudes.1001£for each utility c +:w's:E:. s;:i ::;.":;:L�*►E ' x0!�C`i] "x r.,-:: as,Y: SFRcI lath onaeetion) 1 312.70Mil f - .i- AWS{ u., s'I (?)bath 1111111=11111111111. Accessory building 0 Multi-fly (3?ba� ,,• 50032 blob additiemei bade chen storbuilder ElOther. 25.02 0 Ma ;+;,""^"" ,.: ? .. �Y1y��l�e}Vy pt��yw�n. 4. _.. ��y.u'.A,.:'',:".: '.;•..':^ riresprinkler t_-sq.ft.) Paget �{,�'..''.' 4•t �,''`n:`V•� •..t• i.•-,'.vr.}'`.'+:5.'!:Y) '•T"_::r �-• Lj.Z•LI`•.:'l,tf. .. ,:t•tJ`i�r s slr� Job site ' address: 3717 C3 �• >� f f J� Catch basin rums drair. 18.76 rill •City/Statd2(P: Dowd,./mob 13rtc or trench drain 18.76 Suite/bldg./aptmo: - Footing drab(no.linear fk: ) Paget Project datne:Ap LyG 0 Ai �}/ Manufactured home utilities $0.03 OMEN Cross streethilmeiorts•to'.obsite: 11.1657-/e/.1474 re-Age " 24""e' 1$.76 Pais drain wan•ctor 18.76 Sanitsryse (no.huear fr.:.....,) Page 2 Storm sewer(no:linear ft.: �} Page 2 Subdivision: Waleror:ni:Ono.linear/1.: . P r: 1 Lot no.: i/,S M''•"f y:r5'",n.."'"Z'1E�.�•'•`'•r'r�,x'fie••�'!L�::.&Y(r:'vyr'x>s;^m:tiy:•,.:'�+�"3d� r ,A�!.l.l,.{..'1.-V,,..{,,{!4.':.,', :-.•,v:�:•y-.F:�• :•li,�.' _ ,rfluozraoz 3acl�aw p mp t _ 3ITax nutp/patrei no.: m .4 �"[75SChh1idery . 12.5 1 -t•.L:'"'r'.x.'.s:. art C�f13/�/G " /pL�/7,C3/�I� JA/7724-e..?71 ctod,•s wusbcr 2S 02 Dishwasher^ 2SQ? IIIII Drinking fountain 25.02 Vectors/sump 25.02 ThP'3"4�ranlC 1111221111111111111111 _ . :.u:?t :..a .a•'r.i>,..:rt_ .v'. t :"i..��'.0 Fro: G::�� �'.i:.��',•�.•.,F-!�+,Sv?;'t,r• K+,;�•.7•. �"�®"Pa 111433= Zdf-N6 •' >Gb/Ne'S G•�G-� FirmrrJsewercap. MN zs)3 NM Address: Floor dralaraoorsink/hub ENO 25.02 •City'Saated P: •Garbage disposal25.02 they bib In 25.M MIMI • _ Icemod- ` r;;""�,`" is i.....s. .r.:.•.r:.�,..:` r:>`:'�,:;•...S;s•'M"•t2:.s'�i%.., II: �,,;,�:��•' '''�i,:iza.'i sS. � i a _ e. c r • . .. .., •>f *. :e.'. .; ...'..." �•YY �a t,.',� tc grecs mP 25.02 Business name; f_0 L y60 Ai la Z/71/ -L Metrical gas(vacua$ ) Page 2 III Contact �` ��'cTE dc?S/�/ Primer 12.51 Address: !Q p E /.3 �' Roof drain(+co®meadat) 111111111:221= City/Sint/ZIP: ��iv Gf11 2. GtJ,9- inwbaslnfla ry NMI 25.02 .�iaa(.74o) ��� ♦ � 6234 MEM 95- -7 700 .FFa7X:40 pp) 3 "q'y/w2i Tubishowerisboverpan 111111111113/2111111111 E-mail;,61 rG:r 4-rCoark 11'4, PetyGpNf/Sv/y&-s .C0/7 [hfaal 25.02 In NUN-1•"'' '•,y: •�<r,1 q y� .>. ICs' +::„•'::'*w'i• : i`;iwY:::f j;'.P 1NateroloKet 25-02 .t: J 3' -`. r.''s i :• s t'.Y'!4 t �h ••.J''!.•::.'.i>.e•';.r. r:ri�.S }i.�',• Watt:cheater. 111.1111E91111111111 BMW eg,,naff=.N, 4Z,t,./Fide.. '_ ace//7f1/tJ(7 water wv .Address: yrs ..0 - Y / f0'!G R y Other. ' � X25.02 IMO City/SrataZ�P: ♦ • M / St"" ENE P' `:'603) 41-V"3gio Fax:(503) 6ti if go Minimtunnem*fee 57240 CCj3 J lc /956,0 Plumbing Lia no.: to $ Mao renew(2514°fume, t fee) Authorized signature: /� 1/ Stene batobgrge(12%o�fpermit fes) "'f -' 1DIA,LPERM-REE 1'zitrt a _`# / Dndc: �� TM%t,erndrea rierfo rest(a is not obtained In doss •+ saw ithas bema tedm *Pee methodology set by TA-County Baildlgg Industry Service Baud. ktguitatittPcrtaitsT lt=PcrrairAmdoe minty 4.4n4416Timerowers) - 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13717 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: CNCL Comments: Cancelled by contractor. Not ready for inspection. Violation Summary: Tel: 503.718.2439 Inspection Date: December 6, 2016 at 1:37:48 PM Record ID: MST2016-00138 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13717 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: No AC installed at time of final inspection. Violation Summary: Tel: 503.718.2439 Inspection Date: December 9, 2016 at 10:05:06 AM Record ID: MST2016-00138 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13717 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 16, 2016 at 9:22:04 AM Record ID: MST2016-00138 Inspector: David Young Front rain drain not terminated to available storm location. Existing location not approved by AHJ. 1101.1 Oregon Plumbing Specialty Code. Approved plans show downspout at needed location. Hazard created at main egress pathway. All else appears ok. No AC installed. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13717 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 13, 2016 at 7:03:37 AM Record ID: MST2016-00138 Inspector: David Young Provide approved final erosion control prior to building final inspection. No inspection done at this time. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13717 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: December 6, 2016 at 1:52:04 PM Record ID: MST2016-00138 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13717 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: December 28, 2016 at 12:11:24 PM Record ID: MST2016-00138 Inspector: David Young Provide blower door test report. Provide moisture content form. All city required documents to be on site for final inspection. Note: rain drain correction complete. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13717 SW 175TH AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: 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 for contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 29, 2016 at 4:36:47 PM Record ID: MST2016-00138 Inspector: David Young Inspector Contractor