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Permit (38) qCITY OF TIGARD f MASTER PERMIT COMMUNITY DEVELOPMENT14 NMI Permit#: MST2016-00267 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016 Parcel: 2S106DC12500 Jurisdiction: Tigard Site address: 17172 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 125 Project: Polygon at West River Terrace, Lot 125 Project Description: New SF. 11/17/2016: Add NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1744 sf Value: $220,034.33 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add''500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,564.91 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 thr.,. OAR• '01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. Permittee Signature: 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. . C II Mechanical Permit Appli `}t a + PP 1 Olt(IilIt 1.1 si_t>'N1.1 j City ofTigard C // /7 /4, ( ,'_/ 13125 SW Hall Blvd:Tigard,OR 9722N 0 V 10 20111.► t+1 Phone: 503.71112439" Fax X43.59$1964 I 13atellp. Other Permit , ;, Inspection Line: 503.639.4175 '�i`� Internet wwa tigardwr,gov i �r+� e j Date Readymy: limit: S�P Ste Pape 2 our fip q{ H SION �athod: Ser Ii'nntal information § RiiiLING Dr Mechanical permit fees*arc based on the value of the work jEl New construction 0 Addition/alteration/replacement performed Indicate the value(rounded t€7 the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value ..' $'" M � � � _, �, ATEGOROC DCt .. _ :„;,.._. IESiDIL�Quipiv itY5kSS+ ❑1-and 2-family dwelling 0 Commercialrmdustrial 0 Accessory building For ra Multi-family rspecial information xsF dtalrlfst. 0 Master builder 0 Other: Description Gtty. I Ea Trial ;° . ,_,, Ol tit.:l 'ORMA A11►iD I t?c1T1O}`f Ah"""ag/tt o!.' ``,, '' --(' n Air conditioning 46:73 Job site address.:I- I—1 2 S11V --St an u�,S 1C-,A. Furnace 100,000 BTU(ducts/vents) i, 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) ......; 54,91 Heat p Suite/bldg./apt.no_: Project name:Polygon at West River Ter Duct Nork 1 23 ,32 Cross street/directions to job site: Hydronic hot water system i 23.32 Residential boiler(radiator or 1 hydronie) 2332 Unit heaters(fuel-type,not electric), g in-wall,in-duct,suspended,etc. f 46,75 Flue/vent for any of above F 23.32 Subdivision:Polygon at West River Terrrace Lot :I? i 23.32 TeX ntaplparcxl no.: Other fuel appliances. Water heater 44, ., DESCRIPTIOlt:OF woluc Gas fimplaeeiinsect 33:34 1JFlue vent for water heater or gas ^' LJ , fireplace T 2332 Log lighter(gas) '' 23.32 Woodlpellet stove i 33.39 Wood fireplace/insert , i 23.32 Chimncv/tiner/tluelvent s 2.3,32 23324.':,t4:0-",:..0,!, � : :.rx� .:! 74 1-” , ;;'z. ` � x' � „ 41' ' Environmental exhaust and ventttaha Hanle:ADVL Land Holdings,LLC Range hood/other kitchen I Address 7600 E Doubletree Ranch Road equipment _ - 33,39 Clothes dryer esliaust i 33,39 City/State/ZIP:Scottsdale,AG 85258 I Single-duct exhaust(bathrooms, toilet compartments,utslityrooms) 23,32 2 Phone:(602)694-4031 Fax ( ) Atticferaw !space trots. 233 :: 44401 ,'acA Other i 23.32 • Business name:William Lyon Huel piping: y pmt Inc.IaG514..15 for first tour,$4.03 for each additional Contact name:Angela Grajewsati Furnace.etc. Address:109 East L3th Street C pip a Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater I Phone:(360)695.7700 Fax::(360)693-4442 Fireplace E-mail An Gra'ewskc of nhatnes.rom Range 1 g 1fi Yi'a Barbecue . ` l"- ,'Y � ., Clothes dryer(gas) t Business, :Anderse, : satanical,Inc. ,97 g e./_ E? Address:16 : .W ',' Ave a2/O 4/ ,/A/S 7—..,/"."—e-/©7 r • Subtotal City/State/71P: OR 97224 L Cr, Lr7e,V,d s G,1/.9 f'd'-,-.,y !Minimum permit fee090.00) Phone:{ rflan review(25%ofpmit fee) " ��7 ax:(503)536-6615 State surcharge(12%of permit fee) CCB 1` .163214 ,.?„03e,. / TOTAL PERAOT FEE This permit application expires ifa permit#not obtained within 180 days atter it has bees acceprodps complete. Authorized signature: * Fee methodology set by Tri-County Builditi Industry Service Board Print name:Angela Grajewski Date:8/22/16 I t:' 3'amiaa oaait3.dae aaaast±rct tgzrcat two Q6-, CITY OF TIGARD MASTER PERMIT s 14 Permit*: MST2016 00267 COMMUNITY DEVELOPMENT Date Issued: 06/29/2016 TIGARD AI9 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC12500 Jurisdiction: Tigard Site address: 17172 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 125 Project: Polygon at West River Terrace, Lot 125 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 SmoDetectors:ke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Total: 1744 sf Value: $220,034.33 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywall-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 _ 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1744 Owner: Contractor: Required Items and Reports(Conditions) ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC 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: $30,265.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 ora1.800.332.2344..8 `, Issued By: Permittee Signature: r./V- `fes`,' 6' %7 " Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r. Building Permit App__�licatio Z-0/ / 5 Li JO `'< L I VED I OR 01 1 1('i: l tiF O\1,1 PO City of Tigard Received JUN 2 2 2016 pe,igt140 7-(7:20/h—d0 7 q 13125 SW Flail Blvd.,Tigard,OR 97223 plan Review / 1 p I �j b ai ' 3 Phone: 503.718.2439 Fax: 503.59$�g� ¢ f)atdBy: ����'`��r v Inspection Line: 503.639.4175 .,..-7.11`1,/,`Y 1 L) Date Ready/Sy: hail: @f See Page 2 for 7"i G R[� t.;i L. 1::,- ,, Q a`? MIS-/ON No66ediMethod: Supplemental buformation Internet www.tigard-or.gov €$`�€s,., �;�a,,. 1 1 F` r 7 -c .4 v}tc-- :,,z r 1Y z } 1. 3 V ' '-,G i' .; �c? $ r z ,-' i 3 ti > e a �2-.:7-.."r ''' 5 { , 1 t r ,' ,:. l z Fl;*,�7, '.fit Yeti Y- ''.•,,,1 1�.a .J^� ,..,. " ''''';'..1"''''';i .. Sw�,�1.�k, :r'',--LL--‘,"-.„ 'i -1.' '1? '"P .�rs..z ter ..�. -_ 'S.:, �, k :,� ,; ?,-” • ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the C t 7.,—:'' .-. .,.fr .. F ¢ - �4� ^ ^"S.�R_-Y1 a tUi°b c "r j' " ...., work indicated ated on this application. . 9_. m.'-a„''.'„::,-,-:'S.._1•.o.. S_a ,..:a-h -.1.�zT Lr• !, :". .„.b.,L ,, „ cJU ,, _s ..ca. valuation: 40,.; V �0 / ® 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 3 ❑Accessory building 0 Multi-family ❑Master builder ❑Other: Number of bathrooms: 3 C7 :r Jr',..27,-.."-:,'� ...:'f`` rf b`d/ ,.,10Ez.F,Sy #u, ..,' ['. ^r Total number of floors: 2 �J Job site address: ,'"1 1'7 1,. 5n—) t,ea fl (se . New dwelling area: 1744 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 423 square feet Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Covered porch area: 221 square feet 939 Cross street/directions to job site: Deck area: ! , square feet 8 Other structure area: /"r' square feet Subdivision:Polygon at West River Terrace I Lot no.: , Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the t ? F ,y b<::'i:',—.‘. S t f F3 _ " '. _ work indicated on this application. n , w....=';',.',“._ -.� _,_. ,.-/.> ,. ., Valuation: $ Existing building area: square feet New building area: square feet k t' ,, t ,'7,--;',.-..-', ' i ' bi Number of stories: � Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road,Suite 700 OccuPancy groups: City/State/ZIP:Scottsdale,AZ 85258 Erdstitng: Phone:(602)694-4031 Fax:( ) New: t ' `s t F Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street Total fees due upon application: City/State/Z1P:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) E-mail:Angela.Grajewski(gpolygoahomes.com -..., .`. .. 7 Commercial and residential prescriptive installation of ~ " ::-.-1.;:', -;',:-` i� f 1.. : roof-top mounted PhotoVoltaic Solar Panel System Business name:William Lyon Homes,Ince Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver WA 98660 Permit Fes{includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 /�/� l Total fee due upon application: $201.60 Authorized signature: ,,Airy-6AAfecti oh• This permit application expires iia permit is not obtained within 180 days after it has been accepted as complete. Print name: h/ �!I Angela Grajewki Date: ' ,� *Fee methodology set by Tri-County Building Industry gl Service Board. \ 1:1Building\PermitsBUP-RESPermitApp.doc 02/24/2011 440.46131(1!!!1/02/COM/WEB) Mechanical Permit A "" CF v'ED l(A oi=l icL 1 SF o"W.Y City of Tigard Receivedr Permit NoiY �6-V 7 13125 SW Hall Blvd.,Tigard,OR 9722$ 2.016 Plan Review e Phone: 503.718.2439 Fax: 503.598.19 J Date e• Other Permit: \ Ispection Lire: 503.639.4175 Date BCITY OF (.7hriSee Pent 2nr Internet: www.tigard-or.gov Supplemental Information rmstioaB3 !L, ir3Di FON ®New construction 0 Addition/alteration/replacement lacement ... _ ,tiN., ., Mechanical permit fees"are based on the value of the work P performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value $ a S t "+t,s 1 4 f . t..._.....� >.r '1;1 ,:..:.......�_��._,v�.... , '4f r,4l eF t.s1_ r , Ct 1-and 2-family dwelling 0 Commercialindustrial ❑Accessory building For sped&infornation use checklist 0 Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total lleating/cooling: c s Air conditl�ing 46.75 Job site address: J 7/72„SW Jean Louise Road Furnace 100,000 BTU(ducts/vents, I 46,75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bidgapt no.: l Project name:Polygon at West River Ter Ductwork 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Polygon at West River Terrrace I Lot no,: J a5 23.32 Other Ebel appliances: Tax map/parcel no.: Water heater 23.32 °! l,rs ;�1� Gas 6replacc/insert 3339 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 2332 Ober 23.32 - :__... ._._.__;___ .. J Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-41)31 Fax:( ) Attic/crawlspace fans 23.32 t Other 2332 Business name:William _. ... . Lyon Homes,Inc Fuel Pilling: $14.15 for first four;$4.03 for each additional Contact name:Angela Grajewskl Furnace,etc. Address:109 East 13th Street Gas beat pump WalUsuspended/unit beater City/State/ZIP:Vancouver,WA 98660 Water hem Phone:(360)695-7700 1 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski®polygonhomes.com Barbecue t ,, '__<.. Clothes dryer(gas) Other Business name:Apex Air LLC 3 v, Address:18004 NE 7214 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. * Authorized signature: + 1 Fee methodology set by Tri-County Building Industry Service Board Print Baffle: P n .�, (lP Ieu)St4 Date: 414b IBuildingTennitsMQC PtApp o a 4o113.doe 44 /COM/WEB) IVE1 Electrical Permit Applica ' a FOR Orrlrr z_SU ONLY City of Tigard JUN 2 2 2016 ReceivedDat ��� 13125 SW Hall Blvd.,Tigard,OR 97223 e�' �"'" `�" i! ' Phone: 503.718.2439 Fax: 503.49814 ` 1 ) pawn Plan : Related Permit d: Inspection Line: 503.639.4175 tt�s�tcot r 1 �' for T 1 C�i it D Internet: wwty tigard-or g" § ! � i 'g�i € ..� a 1, � Notifed/Meth1 ®See entalage 2 Inf ?-f�s..'b-e�� ® 8npplemest'at rafOlraa9gen _.5,'';' y -1, f✓t k •T:1"5.',0--; �,,•.+. . i.41N ? 5s,,sn7-5 .✓�;w ;-',. ,,,:-&-.7;:,;,-, s'..- .... --',.$ 7 1,,;-itc-,-..,4:-.,;,-.44.---;-' ®New construction ❑Addition/alteration/replacement Please clink all that apply(sobrnitl sets of plass wiltems checked): ❑Demolition 0 OtherDServic a or feeder 400 amps or mors 0 Belding ower three scones. ;., .. _; :s.4i5 fl G i- ., . where the mailable fact! D Nand[ ds. Y _.t't. i r F ' ka] a):Tsa) a7.;`,7,j � ,,� _ ✓. �: Demed10,000 scope at 150 yob or17Fowinbvitdropy 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to around,or exceeds 14,000 D Commercial-use agricultural mops for all other installations. buildings.• ❑Multi family ❑Master builder 0 Other ❑Fin tamp. D Installation of ISQ ICVA or r t i7a'W3 '.d,0, 01%,ter a fa.,,(;.-V Q 'r. 'v+'ii Lc3 ;..,'1, F' t x r' �,,�s ❑B3mergepn'system• iacgerserestelyderived Job#: Job site address: 1,, . /, D Addition of new motor toad of system. 1 f /7� 3� Je.a,h 1.0( • 'e 100HP or room. D"A","E".n-2",`1-3", City/State/ZIP:Tigard,OR 97224 0 six or more residential units. = ane*. D Health-care facilities. D Recreational vehicle parks. Sultelbldg./apt.#: I Project name:Polygon at West River Ter ©Hazardous locations. 0 Supply volarga for more than 0 Service or feeder 600 amps or more 600 volts nococoal Cross street/directions toJob site: i ,,, -v--„1.--,.:4•1-,1.4.-.41.,,ev 7ti61 Ca ,+r; 'a - 9.-t= 'Description - Qty. Each Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace 1 Lot#: /c).5 5 Includes attached garage. Tax map/parcel#: 1'00°9?' Tess Ea.add'1500 .ft or poi ion t.-.5..--.;' - _ -�-r-+ '1 JI;r_- 1. rs } . -s t� s -;} a tial 168.54 4 ' 33.92 1 ".'. _ :-r ) ..�7� a €:�a X11�..__, -�yM- .t , -, , �_J Limited energy,residential (with above sq.R) 75.00 2 Limited energy.mule-fluruly 75.00 2 yy���� residential(with above sq.It) r� See. Page5. °i1" .7I1 4L 1A 4 �.x�.�4F.I._+h } .'.y' - F ��f^3 ti Renewable Ener (J t 1 .._ ._._.__. _ .—. ;tr..z.', _ :�_t. j'j :;.i,-`�._._ Services or feeders installation,alteratioth and/or relocation ADVL Land Holdings,LLC 200 amps or less 100.70 `2 Ad + 7600 Doubletree 201 amps to 400 amps 13356 2 - 401 amps to 600 amps 200.34 2 MY/State/ZIP:Ecottsdae,AZ 852S8 601 amps to 1,000 alters 301.04 2 Phone:• (602)694-4031 Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or relocation Owner Installation:This mode on property that • , 200 amps oriels 5936 1 intendedforrent, •' according to•' 1 t 201 amps to400 amps I I 125.08 I 2 0 Date: 401 amps to599 amps 168.54 I 2 ' '9._- _,!::::.--,2,0 v.,1 4-i-,,,1, U a_,*• s tD r .1z,i* : ,,,7 3, ) ez. Branch eh is—new,altera+on,or extension, panel Business _M ' A liar forbrooch cirtxtius tsid4 name: ' Homes,Inc. above SCEVioe or feeder fee, f each brancircuit 1.42 2 ch name:Contact B.Fee for branch circuits without service 0.r-feeder fee,first 2 Address: 1 branch circuit 56.1 8 City/State/ZIP:Vancotrver,WA t Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: r 695-7700 1 Bad manufactured or modules 67.84 2 dwelling,sendee and/or ibeder Email:Angela.Grajewski@polygonhomes.com f::,„-_,:i { r EB C t -t < s a Reoonnectonly 67.84 2 :. 3xrz Pump or inigatiDn circle • 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd panel,alteratioan,ircuit )or extension. D See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 brmin) 66.25/la Phone:(253)320-1657 Fax:( ) Investigation(I hr min) 90.00/br F�1ail:hdanielatg�gweuaa.eom �dtakielp�ntp hr min) • 78.I8/hr Inspections for which no five is 90.00/ CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lia: 44965 •-„ listed 94 br grin) *4r':,. � �,: x�7.��el rc,,, ,::::,ii��i,eL h,�+ t,,f „fix_ { Suprv.Electrician signature,required: ' 'j I ' 1 . I • Subtotal Print name: Joan P Albert Date: 4/26/2016 D Plan Review Required(25%ofpermit fee): ': e' _ State surcharge(12%of_permit fee): ti is r 1 -' ` .•. Authorized signature: - r TOTAL PIiRMTf FEE: :;,_„,.,-- ----- :,-;,a,:.... This application piss if a permit is not obtained/46411180 '•(•:::: peranitn rRfleAex ;= r Print name: Bill Daniels Date: 4/26/2016 drys rya after It hes been accepted as complete. Ksn,::•e• • Humber ofiaspavtionsallowed per pennit `,;'�'''?'• lPennftsl6LC PemdoApp_ELR ERBdoc Rev 0613712015 410461510WOSICOWWEB "-�*itilt'`. Plunibiuk_Petinit Appliellla,-- -4.., ... _. ._ .. _ .. .. .Buildiug Fixtures I OR OFTIC . • t• City of Tikare. JUN 2 9 )0 lb • 1"1,44Y141,.:-.'.' - '--' --- ' .. -- - , -----. ,1 0125 ii/aii11431a4 Tigard,.OR 97223 -----• .r. : •• 3-: Plan Reinowi. .0111108:103.11k2419 Fax; 5-0t#4,-1#6(3'''-' .3. ;.;3,.::A j:3•P.,,::‘: - -•- • :Other Permit No• • 5 Inspection Lim' 03,6354417-1;IM I 1 C)'1••!..,';(.., .'•-•, I.;•,i'7. f.(•1.7!•.3. Dategia-6,-/g3;r- -• , hair ift&trigs-11o! laic:net www:tigard-ocow •'-------•::;---°---,•' ' •• -r- ' ' • brod-itedimaitz, .. _ • J.8111iNeasentallo1orstadoo .. it:;-%_-;-:174.t.".;1't.:?'94.'-: eg,--.f44.:*--40/41A0CM:k;,$&;;I. E.M •.:•!r-t-d...L.',7•-;;:tiMil,a4---47Clet.-• .6fikitlt*Oit''.-..4.1,74,-.:iir ::: ;4-Nay corisip/ctiors ' l 0 Deinbft.iion. -Foci,-'0wiiiatio'inylise ckeaRst .._ .. .. , . _ .. , .,. , „ ,.,... ,. ..., . . •' Descri,fion . " • NMI Ea; . .. 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'` Job the eddies s•i: -7 hi __ . . . _ s-W., # Air ...L. izl Catch fbasin°karts drain- • • .E0311.11111. --- -• . - DIITvii,leiniOile%b./iten;:h dfaIr; 1111111111111111111111111 City7StateiZT: --t- 11 -;• it . • •-• - -•- - : Footing drain(no.linear ft.:: ) Faze 2 Euite/bldVaRl.ito::I Troject Came: • Mantifiaihated home atilities, 50,03 . . . Cross streettillrectionslo job site: Manholes 18,76. - . . .. • .,,.... Rain drain soriiiitoi• isi '.0 ._ . . Sanitary sewer(ndAirlear ft.: -.4 ; page 2-, _- . .. ,- . - , - . • •" StOrift-seWer-(no..liticar ft::____). • .Fate.2.. ---- --• • ...-... -,".-.-.....- - . . • . • :- -- -.. •-• -- .• :Water:service(niracat kVA) -NM_Pa2 Subdivision tri/af.1 ._ Lot no 1 .F4 hi or s an. - . .. ty• ' , '. . - le- - .:. . . .. . .._ .... ..... -„.... .. ." •- :". • . . . . • : Tat iffttp/Pluftet ad:: , Briektlow-me_ventei- - . 31.27 . .- . . . 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' . .2...og_1111111111111 1, Address* 74 . - • b ,e0_, vaildli- [2.•Itir4 • Floor drainlfledrianicthe . . . . . entrbige iliSpOSSI: _ 111111111 2502 • . .. ;11111111111111.•.;55..(°)::1111111111111- Cily/State/Z1#1 ' ' . • ! .1 1 •fi) 2-Sle) ... - Hose biti _. _.. . Pigifter(/ / 4,, - F .. . cpc:( ) , •'Ice maker ... III 124.1. 1111. . _ . ,-'''.3';',!.---.---2,-..e:,i,-e'r--47'"-a-----'- `-ir- ----,---itila:P4-,:-- •.':iii;;:li,*".`'..,--e'`...:".-..,'','',,'''.-niigi littemeinaiveatetrito - 25.02.: '';,,;. --7-a.,-- -.'-i.T.'"•'• -.''•'---,:-. ..54-1-..... •••,,.--,_----T- ..•." .t...-,..e.:4.-Ni: _..,, .i../4.r e4. o_...... .., ,..k..______-_, „. . ..-. .. . , iiii6s1 Nagle- 1 i I il/ y D VI ._ . _ I i _ _ i , Medical gps(salue:S.- ) Patio'2• - -- - ' - /5/li)e--' --. -- --: •••.' -.Primer _ ,, _ . • __ _ . . 12.5):•_", - I Contact---•,_*inlet•. .xia ..f j.t, sk, . _. _ __,. . . ROaddraint Comma:084 _ -, 1.451 ';....,,Addrecsi./0 7 jgt- 175 • . _. • Sink/basin/lavatory-. _ . . .. •2.5.01 MEEK Citylfttrite/ZIP:_ VA, to . (A) A ge)&610 12.A1/_ units1pistable-water).. . III ._62.54 1111 ., . i-1-f/CI-. -.7 00 fax::(r1/0)_1143--....(///4/Z ! , Tids/sboweilshower,pan ........,,,,.,_ . • 0- - -, : tiiinal ' 111.11-- 4-0.MEM c •f'n_nl: i-A. - --.. . -_-:'4 -i.i'... . 6 .1_1 1.4' ;-. . .i . - - ' - -- ' • .-• - 5.--- --,,•--.-..-.4,1,7 E.-.....,...,:r.. .-ywe,*.--,-,.v.1,..,4.,i,,.7.7 t r..,N-t-tr. ,-,7.1-..''..4.7..i,47,.. .,_.,-7.AL,,•:,,.7,,,,.-4.w.,v,„...„.v..:,..-r,:,..,,s,,-. Ilyatex duet _ _ ME ,.„.....7,•, .--4::?.:4 ,,,..,,,,,s,. ..7..,r.:.,,,,,:„.i..-,..4.3,....y7,1,3%, „.3..„„e,-...0.,',...--.3.,,..Z.,'-,-,-....'A%-."31,''''''a.!:.,-,-,,,'_-'ci-:..,:i34-.......333''''-`'.r..3,3--:'.-3,-, water heater . - • MIN 373 2.IIIIIIII ! .B_Oneis. _9__anle-1,F_ . t • ' : ii...044 41- L• - -, .. ... ..... - • **qp ifibiglowv_ t .. . 5629'. Addresst 1.1. 47._ • ‘ . . .41 - -t-- •• -; .-• :•„,4••- , ._.tii. :, - ,. , _ - , . . . . , (t. AA/ _ . . , .• . I,Ny, Other . . a.02....__ _ • 1 „._ . _ _ • PYY/StalCIP: -P ' -/ ;#tt- Y14,.,:. 'j.All ....... . _ iitbuitat. . minimum permit fee 572.50•IIIIIIIII I __....., . . . • •'P,16--- 13).,, 1- ).1•-L:4 -!4_••••:4 ,-.A.I.:;(9.•: 4/2 ' • itt - • _ ... .. . .. .. . . . _ • _ _Plan i-.0-iew-(25-%-cif.ponoit.fee)•• _ .., ; CGS'fiat: • „ ftb1• 1-• Lib ' _ . .7 0 , -2: ,Pltnnbing-Lic nolm, -.tiattiaicharge iit4of-perrairice) NOM _. ACtft-Orlied signature:-: ." .. 1...-,ff.i..,..• :,.,,,,! , . .. TQTAL'Pqmg FEE . • .., i - -- . - ' - . -I at.; a. . ' Tbil,:persoitsoaN4fisnexiiir.11-110etinetiathot ob0daed IMMO 180days, , Prigi'.4n16: 1 1, / "•--. , • I i)- _ -, JD.e, . -- . ,-a ,, .ifiet.11 has bees accepte,1 as contphite.. .• i. ._ _ . ..: .., ' • , .. - . .. - .. -. *Fee inetb-odologrsai by Tri-Cour0rE01804wIndvaliT Servicii Ewa lAnuildinehrmitAPIAthrenahApp.ddo 10/01/09 440,46161-(101.021COMWEB) i I 4 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT II TIGARD Building Permit Review — Residential Building Permit #: /Y,..‹.7;7--0/6, -< 00-2-6, 7 Site Address: f t-72- S\A! ith I p-a Project Name: WO R\V-a4( Lot #: 12S (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NnAl j2— 'Verify site address/suite# exists and active in permit system. JR River Terrace Neighborhood: ❑ No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan I%" xisting structures on site M Site plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations ,orth arrow Utility locations(required for new,may apply for additions) �X ite address,project or subdivision name and lot number 6 'cation of wells/septic systems ��,// Applicant information(name and phone number) rosion control(including drainage-way protection,silt fence ,Y�,I. t dimensions and building setback dimensions design,location of catch basin,etc.) of area,building coverage area,percentage of coverage and treet names pervious area(applicable if R-7,R-12,R-25&R-40) Street tree size,type and location Property corner elevations (2 foot contour lines if more than t‘ikExisting 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 No Received: ❑ Yes E No X Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes LI No,stop intake .-Land Use Case#: PDP-2Q1 -- 0D Zoning: t2_— Setbacks: Front 12 Rear 3 I Side 31 Street Side N1/1- Garage Landscape Requirement: ZD Lot Coverage Maximum: f„,,, D Building Height: Maximum Height 35/0, Actual Height t 2-4 Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type N C - Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: '?vi h 11 ce/yvirtivv S h'2" ;6NP(1✓1 ee-ffl il (Ar4 t tf1 vw & S'rl I ( v./4(wJ. Approved By Planning: j� Ai i A Date: t lP Revisions (after Building Submitt: only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES 012116.docx l City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IN a T 1 G A K D River Terrace Building Permit Review Addendum ingegetim Building Permit #: "f.i:T" i . — a),2_c 7 Site Address: 1l U 7' ctrl LW Project Name: VIS I2-tV?'Y . -ryn 7A..( Lot #: \2,s (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Distri t Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?KYes ❑ 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. Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft.,5 ft.wide min. 2 ft., 6ft.wide Gabled dormer X ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 7 1 .. V Ia 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: ' 25 sq.ft. min. street facing entry �e ft.max.roof above floor of porch 'One ft. depth min. ►: 30%min.porch roof coverage g 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: XCovered porch min. 5 ft.wide x 5 ft. deep ,'Recessed entry area min. 5 ft.wide x 2 ft. deep JSr Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 'Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40%of street façade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access Attached garage is 35% or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Ns / 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) 12-foot-wide garage door ❑ 40%max. of street façade .�\J ❑ 50%max. of street façade with 7 detailed design elements— NJ /4),c--- Notes: Approved By Planning: - b(ilhei— Date: / 2i" I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx s Building Permit Submittal Original Submittal Date: 0,/Z4/X.2 Site Plans: # __? Building Plans: # ? Building Permit#: ( Enter building permit#above. Workflow Routing: Er-Planning -ErEngineering B---Permit Coordinator `7i Building Workflow Sign-off: 0-Sign-off for Planning(include notes from planning review) Route Application Documents: D--Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Er-Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 6 ;5 fy-Se__ Date: c/23//4. Engineering Review Slope at building pad: .01: ❑ 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 Approve b Engineering: Date: Notes: l� _ ' t .�'� i . ..- . <<y � Approved by Engineering: /1,Z L Date: _4(x.:-.-gel)--/Z Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved immaism 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: L f DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: 7 Yes ❑ N/A OK to Issue Permit iy 'Approved by Permit Coordinator: Date: �'7-24/4' �: I:\Building\Forms\BldgPermitRvw_RES_012116.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17172 SW JEAN LOUISE RD, 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 8, 2016 at 11:33:43 AM Record ID: MST2016-00267 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17172 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: December 8, 2016 at 11:36:11 AM Record ID: MST2016-00267 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17172 SW JEAN LOUISE RD, 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 9, 2016 at 10:13:22 AM Record ID: MST2016-00267 Inspector: David Young Provide approved final erosion control inspection prior to building final inspection. No inspection done at this time. Violation Summary: Inspector Contractor