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Permit (35) INCITY OF TIGARD MASTER PERMIT IV COMMUNITY DEVELOPMENT 9 �l: Permit#: MST2016-00266 TIG"irARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016 Parcel: 2S106DC12100 Jurisdiction: Tigard Site address: 17248 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 121 Project: Polygon at West River Terrace, Lot 121 Project Description: New SF. 9/26/2016: REPRINT to add NC. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 625 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1642 sf Value: $203,603.32 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: 2 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 Other Fixtures: 0 Drywell-Trench Drain: 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 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.'500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1642 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: $30,083.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu.. OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1 e9A (---- Permittee Signature: V- /C.; 7—itA0 / 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. Mechanical Permit AnnlicatRECEIVED amilimg!ilimigium gi City of Tigard 0..sy, P , 13125 SW Hall Blvd..Tigard,OR 97223 SEP 2 2 2016 9/ -C pi.Recaaved, //6 ft-4 N°-MStatko — 002140 Phone: 501718.2439 Fax: 501598,1960Other Permit. Inspection Line: 503.639.4175 CITY OF TIGARD D4tthecelBr fay: boo fa SVC Page 2 for Internet- www,tigard-orgov BUILDING DIVISION N9111.*:(VMehod: Supplemental Informatioa ',t-liatiletie.4,114.15,E,,;,,,:.,;?;;;'./. 11:41trlt142fg-a,41.4,24A44:1a:462:4kA.4:1"V&'‘44.46,Etzal,L:a. '•"•4.4"''''''''''''''''''''''''''';''''''''"'...4.4S"''.4"**4'4'44'1' '''4'44'4"2'•' ' .'' Mechanical permit fees*are based on the value of the work IS1 blew congmetion 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all _.. mechanical materials.NoValue:S labor.oetbead, t verhead.and profi. ----cs,ontscriAldikt4,14421-.i;',41ate.41ZW;t. ',,,--,-- •'--''- z..'"' • '"1,k, - -----', --, ' • -- ric`S`cssises-oi:vs.:,..isac,:. 1011111=111=1.-and 2-famil dwelling 0 Commereialfindustrial 0 Accessory building for special frefirmation are checklist 10 Multi-family 0 Master builder 0 Other Description , Total I QtY• I Ea., i . . . ''' , • ' - ' ' - ' % - ' Heatingicoobar - cw...:v•c's•-„,...-„, fil,..,..ZIA,..1....t-,:<4;,,:s"47,,..04,,A=7ibh...r.=--14,4.7-e....,.4.,,,z1,-..ms.v.- -'17140?'' --`4 dee-V ' •"'" '"-..-"*. -''' Air conditionike I 46.75 Job site address: I 1 2.4t, 51/4k) ---s tap t,0 liAct klbael Furnace 100.000 BTU Our:resents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace I00,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bkigiapt.no,: Project name: Poll tlar_at_mac . 12,0 ,f Duct work 23.32 Cross streetidireetions to job site: Hydronic hot water sxstem 23.32 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,pot electric), in-wall„in-duct,suspended.etc. 46,75 Flue/vent for any of above 2332 Subdtvmpo IMOVI a west 12 ,k 4ir ftylav_t I Lot 11°..' 2332 121 °ther Other fuel imPlia ace= Fax map/parcel jib.. Water heater 23.32 3339 for water heater or gas / fireplace 2132 Log lighter(au) 23.32 Wood/pellet stove 3339 Wood fireplaceinsert 23.32 Chimnevainerlfluetvent 23.32 Other iat2332 Environmental exhaust and ventilation: Name:Polygon WLH,ILC Range hood/other kitchen 33,39 Address: 109 East 136 Street equipment Clothes dryer exhaust 33.39 City/State/ZIP:Vancouver,WA 90660 Single-duet exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(360)695-7700 Fax:( ) Atticicrawlspace fins 23.32 . . . - .. . . . 1?;., s ;:-.**...is,\.,,\*ch‘c.,,,,4. ,.',.b. ,.,....a..t s--, , , ,,,:,- .4 0 ,4 4,•,,, 4.- other 23.32 '; ,A4,44AILOdiair„ ,4*.li&01174:iAgid:'414:41;4‘111c11,Atl• ' Fuel piping: apNIIIIIIBusiness name:Polygon Wth,Lle, Barbecue$14,15 for first four:$4.03 for mit additional Contact name:Angela Grajtwski Furnace.etc. Address:109 East 13th Street Gas heat pump Wall/suspended/unit beater City/Sate/ZIP:Vancouver,WA 98660 Water healer Phone:.(360)695-7700 Fax::(360)6934442 Fireplace itange E-mail:Angela.GrajewskItipo' lygontiontectom •41,•,,,,---t,...sete-- =3,4*----`g-*- Clothes dryer(gas) ,tk.'f.';`2', ,,,,,..'1: '. f.;:i.'-rzf"..::''•-:;::,7,:;1;.•..7,41L:4,21II,S-4A14:'411XPI.164-4:7..11aaks-4- ,ic,s".4,2-iti Business" name:Apes Air LLC Other. " Address 10004 NE 72 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phonc:(360)342,0109 Fax:(360)326-1769 State shoe(12%of permit fee) CCB lie.:203034 1 TOTAL PERMIT FEE This permit apptiration tapir**Ifs persait iS Oat obhdoed within ISO days*Aar it has brew accepted as romplete, Authorized signature' * Fee methedolca set by Tri-County Building Industry Service Hoard Print namer17THN I Date: 4.PT.go. t 1S1kstineftrmittMEC_Pmtwapp_5401 13 doc 44044 ri(1 JAMATAVWEBI irhqCITY OF TIGARD MASTER PERMIT li COMMUNITY DEVELOPMENT Permit#: MST2016-00266 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016 Parcel: 2S 106DC 12100 Jurisdiction: Tigard Site address: 17248 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 121 Project: Polygon at West River Terrace, Lot 121 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 625 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front: 15 Smoke Third: 0 sf Detectors: Yes DwellingUnits: 1 Right: 3 Total: 1642 sf Value: $203,603.32 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 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 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 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 1642 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: $29,986.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.� You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. // Issued By: � �Eq�7"—v e — - Permittee Signature: !/� /"�/ ��06�! 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. t _ Building Permit Application t/ i?./ /k ° IVED FOIL OFF1C1t 5F.ONi.I City of Tigard 2 2 2016 Y f�/Z3//v t penaitNo.,/YS7.20/h-O® 111 13125 SW Hall Blvd.,Tigard,OR 97223 JUN _ Plan Reveals: 7I 0IGARD Y Other Permit 7iJX ` Phone: 503.718.2439 Fax: 503.598�i�b� Date1BG•.44A J� RefP Inspection Line: 503.639.4175 BUILDING`-" ° Date R June Bl See Page 2 for Internet: www.tigard-.or.gov DIVISION NouSed .(ethod. Supplemental Information • ni tIP I 1K ..�J`�C l .s..�i F r1!»�7 ( G F - .....r...n ;3.:.._. ..,A .e.'�k t.,'� Sk'sr . ,y^-;. _,...: �, ..-,.., .✓„N:•. � ._ . .:� � . 4., �it•:• :. ►.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/alterationlreplaceanent 0 Other: equipment,materials,labor,overhead,and the profit for the ®�� r—✓I:� ti �.rE g s t r� i6r: work indicated on this application. ",•,` Valuation: $203,603 3 1-and 2-family dwelling —J 0 Commercialfmdustrial ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder 0 Other. Number of bathrooms: 3 Total number of floors: 2 a� Job site address: I-12 j S' .Sewn Louise & New dwelling area: 1642 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 418 square feet Suite/bldgJapt.no.: I Project name:Polygon at West River Ter Covered porch area: 24 square feet,017 Cross street/directions to job site: Deck area: square feet 6a Other structure area: square feet Subdivision:Polygon at West River Terrace I Lot no.: 12 E Permit fees*are based on the value of the work performed. no.: Indicate the value(rounded to the nearest dollar)of all fax map/parcelequipment,materials,labor,overhead,and the profit for the ti j r. r '* r j ' ' rP �. work indicated on this application. Valuation $ Existing building area: square feet New building area: square feet ► Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing Phone:(602)694-4031 Fax:( ) New: \ r: r 1 .r i �.ir. r� � rte Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewsld FLS plan review fee(if applicable): Address:109 East 13t°Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application Phone:(360)695-7700 I Fax::( ) Amotmt received E-mail:Angela.Grajewski®polygonhomes.com 1 9 Commercial and residential prescriptive installation of h roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc 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 Fee(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 Iia:207247 Total fee due upon application: $201.60 Authorized signature: ./4,66 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewslu Date: l 1/4-1/, *Fee methodology set by Tri-County Building Industry "� Service Board. 1:1Building\Permits\BUP-RESPermitApp,doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical Permit Applicati LOU OFFICE t SL ON L1 City of Tigardved RECEI Dania Permit No-. /6 Oa 13125 SW Hall Blvd.,Tigard,OR 97223 f Plan bteview n Phone: 503.718.2439 Fax: 503.598.1960 JUN 2 2 2016Date/BY: Other Permit: ,. Inspection Line: 503.639.4175 DateBy- I G!�.ill p Date Ready/By: loris: 0See Page 2 for Internet www-tigard-or_gov CITY OF TI GA R D Noti5ed/Metbod: Supplemental Information • Y`'7 -.fi[ "4 Y" � k r -17; ';_,t,.`4'.�w.�°; ;,��_u._'ti�.�r.: .c2�-��.u�.��r,J.�t. .....�.,_,.,,.0 ..,„��_w.......-�_iv�_ t ra"S,r-.ice_,, fee� -=e.. _a..,.?on tie e value of the work ®New construction ❑Addition/alteration/replacement el permit s*are based rep performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. � �Y Jic;1 dry3 � Value: t ®1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For apedaiinformation use checklist ❑Multi-family 0 Master builder 0 Other. Description Qty. I Ea I Total } 5 j Y6j r it 2 a J(6 i . 'j.y E.(xe :.� feahug/cooling: Aix copditionip 46.75 _ Job site address: 17 248 SW Jean Louise Road Furnace 100,000 BTU(ducts/vents) ) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duets/vents) 54.91 Heat pump 61.06 Suite/bldgapt.no.: I Project name:Polygon at West River Ter Dui work 23.32 Cross street/ditections to job site: Hydropic 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 l ' Subdivision:Polygon at West River Tern-ace ' T� Other (p'7 Other fuel appliances: 23.32 Tax map/parcel no.: Water heater 23.32 .. ._. ___ ` ...... ._ .. Gas� 33.39 Flue veracwater heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 r ; , tin Other 23.32 ".. " Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment Address:7600E Doubletree Ranch Road Clothes 33.39 ht krtlws dryer exhaust 3339 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attie%rawlspace fans 23.32 r Otber 23.32 Fuel piping: Business name:William Lyon Homes,Inc. $14.15 for first four;$4.03 for cacti additional Contact name:Angela Grajewskl Furnace,etc. Address:109 East 13th Street Gas heat pump WalUsuspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewski@polygonhomes.com Barbecue Clothes dryer(gas) Business name:Apex Mr LLC Address:18004NE 72"d Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)341x8109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lic.:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO // days after it has been accepted as complete. Authorized signature: G� • Fee methodology set by Tri-County Building Industry Service Board Print name: A k ara IP,WS14. Date: 4/41 1 r:lBuiidingtiPermits\MEC Y o40113.doc ���.....��� 44 in( ma/commmoa) ' Electrical Permit Application FOR OFFICE l.SP ON L1 City of Tigard JUN 2 '2 2016 1, s _ .W 13125 SW Bali Blvd.,Tigard,OR 97223 per,Revises Phone; 503.7182439 Fax 503.5I 7iy-y` e-brkJ: ' GAR � dy .t� l I GA R D Interval: www.ti 503.639.4175Inspection Line:gard•or.gova �. t ,1..1 t <t :°;,3 ,V t ,O �° C� ------Mathad : .-... 7-�: J c i s s.a -*.i',*.-,; ? yiz#r,_0-'�-c- r .. �� } ,j�:'� ��'�>x .�� 1'?F�94A`4,i' ,:;,i� t « ; bII New construction 0 Addition/alteration/replacement Nesse check all that apply(submit ssets of plans Wilms checked): ❑Demolition ❑Other: 0 Service or feeder400 maps or more 0 Building over three st&tes. whom the available fault cement [Moines and boatyards. 5,., wa" a£-ic5i '>:�1 45 °0, 0i4 cii ,11.01,041: i; - ` .r . ., r,"?. exceeds 10,000 amps at 150 volts or 0 Floating buitdmgs. ®1-and 2-family dwelling 0 Colnmercial/indtistrial 0 Accessory building . less to ground,or exceeds 14,000 D eommeraal-use agricultural amps Re all other installations. buildings.• 0 Multi-family •- n Master builder 0 Other: 0 Fire Pewit. 0lnstallatio t of 150 KVA or '''F's a •4 �, l of -.'",--1-' - p19:.& rt.:$ r%1 4 uZrAdditem. lar derived 5.... �� c^ t E _�tt D EmrrBY g�eY • Job#: Job site address: I-12418 .3u e n Lot4iSi D or mese. motor load of m„"m� City/State/ZIP:Ttgerd,OR 97224 0 Six or mom maldentisl units. occupancy. ❑Health-ams facilities. D Reccealionel vehieleparks. Suite/bldg./apt.#: I Project name:Polygon at West River Ter Cl Ha:ardooa location. D supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: .Q ,? 'x'-3G-r.,-.x,,�4a?'•.4"y'7bl�l.,:,+. rte`+,•: ne;(.v Description j Qty. Sash Total • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace I Lot#: )9 1 Includes attached garage. 1 ill map/parcel# 1.000 sq.it.orless 16854 4 •Y 1 ,z,- sq.ft orportion 4.. yiH-1_�.l.0}�•..i �{0"�.f A��i.5 - I . • $..."' &f,. - _fi Limited energy, 33.92 residential ., 1 (with above sq.ft.) J 75.00 2 Limited energy,mul8-family 7510 2 residential(with above sq.ft.) '..-.-,_-..*,:,,1:.":''11,17.1D 4 ,},i�l�i Renewable Energy 0 See Page 2 --z.,:',.; G i''^ a ' -i'-4 -— .-' '' Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 206 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 temps 301.04 2 , Phone:(602)694-4031 I Fax;( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installatiHon,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, • 201 amps to 400 amps 125.E 1 2 Owner signature: Date: 401 amps to 599 amps I6834 2 aF;< >a , ;" _ s ,t.c, lei 1j. J 1311, V. ,� )` ci $rancL circuits—new,alderation,or extension, panel - _; A.Fee fox breach circuits wtrh Business name:William Lyon Homes,inc. above service orfC de(ibe, 7.42 2 each branch circuit Contact name:Angela Grajewaki B.Fee for branch Circuits without Address:109 East 13th Street service n c rwafeeder rDe.first 56.18 2 City/State/ZIP:Vancouver,WA 98660 ' '!branch 'u 7.42 2 Miscellaneous(service or'feeder not included) Phone:(360)695-7700 • . ' I Fax::(360)6934442 Each manulitctnred or modular dwelling.service asld/or feeder 67.84 2 Email:Angela.Grajewski®polygonhotnes.com Reconnect ey • 67.84 2 {= , 7-2 . . -,, .` C�1,' ;',,,,::07o : -.z s "'`y .•s? ''t^. Pump or on circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 e, Signal circuit(s)or limited-energy 0 See Page 2 2 Addr�:6101 NE St Johns Rd panel,alteration,or extension City/Stata/I.LP Vancouver WA 98661 Each additional inspection ever allowable in any of the above Additional inspection(1 hr min) , 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hrmia) 90.00/hr FmA€t:bdaniels@gweusa.com Industrial plant(1 lir min) ' ` 78.18/hr Inspections for which no fee is 90.00/1v CCB Lia.: C1158 Electrical Lk,: 208174 Suprv.Lie.: 44965 s;4abe„R:' Issue aura -- - _...,_ Ott i a_ y Suprv.Electrician signature,required: ifpl, A Subtotal: Print name: Joan P Albeit • I Date: 4/26/2016 0 Plan Review Required(25%of permit fee): f _ State surebe ge(12%ofpermit fix): '`` Authorized signature TOTAL PERMIT FEE: a; :... 17,k permit applimdon expires if a porn*Is not obtained within 180- :" Print name: Bill Daniels Date: 4/26/2016 daysacceptedcomplete. .,,.. attar it has been as con ate ;f•::,.;:[=s= • Number of inspections allowed par permit. f u9d'maU+awiea\II C PermitApp E{aL1utS_MAK Rev 06/17/2015 440461STa1l/OS/COMlVV$E • ' ' ' __ , "-,•t, i PluitibiEetinit.Applit g. e -.(-1i '.''. Er) '' ' - . _ __, , ., _ ,_.. - - - — • ...----- — • .. - Building FiXture$ UN 29 Z016 : 1 OR Oil ft 1 I [-:E, o\L‘ City of Tigard .• 13125 SA14-011:131-Ydzr'Tigard,OR strio , ,.) 0,...7.1-,,h0,.) :Dateill0 • .:. . . igy _ .,:Plan)terthiiir. ' -V- '..• Pifthie:'503.71.4243 9 Fax 5080819,112„':.e'; ;') V1'-7-3,rr:-)r;Dioasii.•: .. .i other peraja No.; .• Inspection Line 503..030,4175 --. - --- - . ._.._ _ .. 7:' - . -, - .* . • '.- . . .. i Dare iteady1Bir brig: , IN SeePigel for Internet. wwictliard-orgoy Nagged/Meth-64: . ._ . . f-.SriPplemintritinfonearthe. .... . . i•-...E-,f,-4:-?,t-i:k.,.,:44-4-k.,;.4\-ei-.1k-. *-1.* .,---- --.-•;:_..,;:i tety cortstrUctium : •,E1 Delnlifttiori •- : - . •., •Ferri/tic/at inforiiiatIorrnse r*ookfirt • Cl -— •- . . '. Descripfion • , ,I.''Qty. '1 Eat „I Total - ciditiontaiteretionhePriiterberk. .i..1 Other! '.New 1;2-familydwellings(inclades10(1)1.for cach•utility cobwebOn), „:%3'4-'7• •-1::-::,...VA:;!- -- ---.:-*.-7.0S444- V-421t7. ?*-4.-- WA*. *': 'SEF'-(.._1.i bath- - --- - '..• :_. • • 127.1) " _Th ik- ; Pt f-ang.12,11111110-owel4114. _ -1- ,.Q-Cnnttnerciairtndustial .. .... . SFR(2)bath .... ., , _ • ,437.7S: • , CI Accessory buildingtj- lifulthfainily ,S32 .500 . . . ,-; • Each additional bath/kitchen ' Master builder b.otifer. 2S.02 ffid .. _ __. .., Fire spririkkr44_24,8.) '.. Prise 2 _ -, ,,.. ,,,'4,PL.,:-_,!,,c:!•0:!.,,,e5.,- **„.--,A,Tiv_a_ : Site atilitim- , • . - . ! - •--- - Catch'basin or area drain- lab Site arkirese!: 7 _10 540-21 • Lui%90.4,12ii - . .. - • - • : . , . 1,8.76.;. , '18.76 ity/Strite/ZIF: 'i&ity2i: . 13tywell,leach.tine,or trench drain• - . - - -— .• . tooting drain(no.iinetti ft.: _) - Page. 2 • . • . ,:.•"le . _. ... . V Suitelbldgdapl no:: JPrect name: .Maritifseturpd home eglitiek 50;03 . 1 ,Cross streetidirictionslolobsito: . • . Manholes • 111,7 Rain drain cod**. . 18.76 . . .. _. • _. . . . . . Sanitary sewer(n6:11near ft.:, -) ; Page 2 , . .. •• Writ* ..S 'sewer(no..41*ft::, ). • . ... , •Pafte2. - _ ,.. ._ _ • •..... . ..... ,..... .. - . ••• • .•• i- 7..I;n -4 -• ' .:'NVIatortervict(no.11pear1130). • . ,.Page_:2 _ . . ,, • sab8i00915124VeFeWitti • .1 Lot no4-ii.4, , 4 Fixture Or item n• . • •• ... • TaVirraptOrfter am: . • Bittleftow.viventer ., . 31.27• _ _ . T .._-_-_ ,;, ..:4-,--.,-- .--i.s....7-=',_•..V-.1...-,17,J.- ,, ,,•- - . . . IktfotA).-i )...COM' . ..k :---'''Mitn"-- ?MIA:tot' - . . Clothes, ivashor. _ . -. Drshwas ber 25;02 . ., .25,02 ". - • .... " ,. -• _ , .- .. .—. „. - _ ,, Dfin- king' fountain 25:02' .. _.— - ._ . _ ... . _ • . • .... . . „ . , . . - Eject,O.rs/surnp. 25X12 .. ... .. ._ . ,,- -- . - - .4-4, - .-•••-.4c--,''''•-•,-,---.•e--!. '4 - - - -44. . •_••!...4'i''ZI‘V,1.4-7.ADAT:t.*:;',.7i- -.:..71.‘1,-,,,:-41W i Expansionlank 12.51, r-‘*---'7:7'......-"-4.•...t.t1.7*-2.:: '.1•-•c•f-*!•• '::`,1/4i.i);•-!7,4.11-7&:-'-. .:•-4"t‘g4rtle-V--i*".44-1,.:4. --.7.-!-. : .'-'.,-,""'a4-a0A-p-f ' -14-441-e:1.121U La • P. . c i‘i .. . _. ._ _ _. III Flit&drain/floor ain11/hub 21.01 , _ 2502 Addros : .,_.. . __ _.. • ' • ' -02-121i..n-' rf•-ci . Gartdodi.:stikiik . .. 25.0. tity/SiatrIZE111 ' 0 ‘ • .7, .9,52.% }losebb - .25.02: _ _. _ • .,,t, Mum( 4 f i, -. itie ”.' . • Fax (* ) * - - •... - „- icernaker - - ib - 125.1 • . .-.. . -Ti ..!•014.f...4 ,t,,,„: - ,-.;.'.,: . -,-1.7fr.,: hiterceittinItgosSOTtrait- .. 2102 •'4:411tmess.------'kunc------• TV i t.. 61142) ivy DY1 li i's /II C:0 ., Medical gnsimolum S.- ) __. Page'2 1 .... __ .._._. . ',.C45--n-*thallig•t :II. gr•-la, )( i,,_ twsb• .. . . . .. •• .. ._. . .. : Itobfdraintconnuercial), :Address:/ ? fgi1 si—... . _. . ,001cibeisinRavatori. _ . 25.02„ City/State/ZIP- '' bU41(---- K./A- . qt/W) .: : ._. . Sitiannaits(pittablo water) •• 62.54 1111.5°•4 y .'fict."--7 00 fax::( /4 9 l.,.g-....(7/4//./Z : •, Trib/showeilaho!orpun ..„,...,...,.._ 12 51 7 „ • :4 ••• A _. • - Utinal 'MN 2 -0. ._.. -- .f.411.*.111:14 f i 1 i .. 0 . i ..A.- _.-- i • , ../- •J.,, 14, ' ..i6 • • • • - -- • • : ! ,,...,.;...:,,,t,.„,,,;,..t.,,,:_,:„,....,,,,,,.„....4,.4,..,..,-,N!,:,„_,0., ..!,,,---__.'w,::,;--',-,,. -_.::,:-:--9-ti-•-•.!'. ..7----.,...--.4.,,, w wheat „.. . t - - , - a or 37.52 , - - •,. Businds name:r A ' agilvii : - ... LLC ._ ..„ - 1 i . . Vtite.)P ie, 4 ... _ .. _ . _ _ 1-ivottriipiiiotyv. . . 56.29' . . 2S 02 ' • - .•'• d9ditss. 'lilt -' :' ' . .:. 1 - '..t':C6' ' -• 2.,: .:fit.00?- *I' . Other... . _ . _ Pity/StittegIP:• •it .• ''. itt.,ti14;,..... ”4 ate _ • . _ .., ..__ __ Subtotal - 1 .. . . . . P.1161-1-6:191): *.- jet!,i•a 1. . ;.-PA''f0..t 4/1. .. ,4t._.. ...:, l ,i ? _ • _minimom mg*kit.S7250 Plan ritlity(I25-4-s•dritottnii:feej"• • . _ -..S-Iakaatc1-laieli•ISIarPagal(fec). ..._ _.. _ t cc.Blieg t• ... . t1, - ' :•-•PlumbiniLic. ....,p-it-7 g2 - • • tl: Authorized$101(iref-- f 1 .' `.: 11401.01....• TOTAL'li.p1M117 FEE . • .., i . . . . . • . • • , ,. - . ..... • 1 r, t_17 ../t,jr•- joicekii-I. iti;:perra-rit•nt;:- pliet-Uionestitroi irioeonith net obtained wan!toottara .Prirlt.704rne: I !.:./ :-,4.' I /). . - I`.'.4461.71.111-/2.111414,-; ' .101-rithaa beenaccapted•14 corapicte.-. - -— .Fee therbodoloyysth by Tri-County'Bitfidieg Industry 8ervia Said i ,I 1:113uildiasTenniulPLMU;PcmittApp.d6o IGO I/09 440-1616T(10(02/COWWES) •' � City of Tigard 41 ,111 COMMUNITY DEVELOPMENT DEPARTMENT r1cARo Building Permit Review — Residential Building Permit #: /t-is 77,20/6 - 00,2-06 Site Address: n2)-6 3i JVC.-c P- Project Name: 04 v-wer T--eYrai, Lot #: 12.1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nie-Vi S 7y2- Verify site address/suite# exists and active in permit system. 38,1 River Terrace Neighborhood: E No X Yes,See River Terrace Review Addendum Attached Site Plan Elements: V. ree(3)copies of site plan 411 is"sting structures on site ite plan must be on 8-1/2"x 11"or 11 x 17"paper i i Footprint of new structure(including decks)with finished )rawn to scale(standard architect or engineer scale) floor elevations '<North arrow Utility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number *Location of wells/septic systems %Applicant information(name and phone number) 'Erosion control(including drainage-way protection,silt fence .ot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentage of coverage and .treet names impervious area(applicable if R-7,R-12,R-25&R-40) ..;SiStreet tree size,type and location ,Property corner elevations(2 foot contour lines if more than ilkxisting 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 ❑ No XPublic Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PC)tS--OCV Zoning: 12-71 EL/Setbacks: Front \24 Rear Side 3\ Street Side �M Garage N). Landscape Requirement: Ll/ Lot Coverage Maximum: 0/0D Building Height: Maximum Height 1?1 _Pk Actual Height t-2- ,K Visual Clearance Easements , I X Sensitive Lands: ❑ Yes ❑ No Type t) `NI Urban Forestry Plan 3gConditions "Met"prior to issuance of building permit Notes: 21.Anoinl Corot-hl c • ej/1r lh'ee4(\ni) rif lAMttrn ,Y111 I Vold(tia). Approved By Planning: 4t-a�-- Date: (Q f 224 LP Revisions (after BuildingSubmittalaofil Reviewer Date Y) Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_012116.docx Building Permit Submittal Original Submittal Date: c'772.//f, Site Plans: # ,3 Building Plans: # ,_3 Building Permit#: ©'Enter building permit#above. Workflow Routing: t]-Planning EvEngineering [I 1 ermit Coordinator [Th uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 21'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: 4d92074,, Date: 4A// Engineering Review Slope at building pad: jg ❑ Conditions "Met"prior to issuance of building permit El 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 A•prov d by . ngineering: Date: AlPr Notes: / . . - s -o Approved by Engineering: � 1 Date: „j„:z,e -x 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: �-3SDC Fees Entered: Wash Co Trans Dev Tax: " Yes ❑ N/A Tigard Trans SDC: ^eyes ❑ N/A Parks SDC: ❑ N/A �K to Issue Permit j Approved by Permit Coordinator: / Date: G7 I:\Building\Forms\BldgPermitRvw_RES_012116.docx a IICity of Tigard U COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /1ST /6 -- CO 2 6, a, Site Address: /7,2yF 54) ----7Z-7-67-.,1 40kt/SC 46 Project Name: VV2-Wer 1--Cry-ax-e. Lot #: 12 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards? ""Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep Gabled dormer ft. deep min. 2ft., 5 ft.wide mm. 2 ft., 6ft.wide ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12% of each street facing façade must include windows or entrance doors. Percentage Shown: Ia_r-917 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: g.Yes ❑ No If yes,all the following apply: '25 sq.ft. min. IOne street facing entry X12 ft.max. roof above floor of porch X5 ft. depth min. .):%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: ,34 Covered 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 ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood Y.Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. El Horizontal lap siding min. 3-7 inches wide t Accent siding min. 40% of street façade OWindow 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. 01 t 1� r-ces j I Setbacks: �t 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 facade N/kr ❑ 50%max. of street façade with 7 detailed design elements —N/f°C Notes: Approved By Planning: li li i../ 4 #.1.4( Date: 1//2Z/((Q I:\Building\Forms\BldgPermitRvw_RE S_RT_0622 16.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17248 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Tel: 503.718.2439 Inspection Date: December 5, 2016 at 9:14:27 AM Record ID: MST2016-00266 Inspector: David Young Maximum breaker size for AC unit 25 as posted on unit. 30 installed in panel, non fused disconnect. Electrician on site making correction. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17248 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Tel: 503.718.2439 Inspection Date: December 5, 2016 at 9:15:53 AM Record ID: MST2016-00266 Inspector: David Young Breaker for AC exceeds maximum posted on outdoor unit. 25 max fuse size. Electrical contractor on site changing breaker. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17248 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Provide city required documents for final inspection. No inspection done at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: December 7, 2016 at 8:49:47 AM Record ID: MST2016-00266 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17248 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Provide crawl access cover. All else appears ok. Violation Summary: Tel: 503.718.2439 Inspection Date: December 8, 2016 at 12:05:30 PM Record ID: MST2016-00266 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17248 SW JEAN LOUISE RD, 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. Insulation certification checked. Blower door test report received. C of O left on site with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 13, 2016 at 1:00:03 PM Record ID: MST2016-00266 Inspector: David Young Inspector Contractor