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Permit (73) CITY OF TIGARD MASTER PERMIT i `' COMMUNITY DEVELOPMENT ,. Permit#: MST2016 00095 i /7 �� Date Issued: 08/03/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 8/03/2 003000 Jurisdiction: Tigard Site address: 13775 SW 171ST AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 42 Project Description: New SF. 11/17/2016: Add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 805 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 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: $216,523.79 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 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 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 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 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 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,370.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr•.• OAR 952-00 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B : PermitteeSi nature: '' �'L-J(' OAl Y 4 9 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Ap l- r()1z til l iC 1 t sl tivl.v i City of Tigard Received o 13123 SW HanBiavd.Tigard,OR 4 tt 1O llutE '/".7//1Q , Pro Na 1 W ., 0 Ul J_`sl ' k: Phone: 503.7182439 Far. 503598. 'd t 2 6 Planliy: Other Permit: Line: 503.639.4175 TS Vie. i . t ;i g�J('� y( y�yy I)atc ?Sv; )oris: 0 Ser.Pa �for Internet www.tigard-or.gov I9 i g l_F I fGARD hatifie etiutd: Su NnenW information pPl;. I G DIVISION . : '�'244� wow ,... �.E. . .:.,- �allkntitirx�hiL E*.a ��=1�5E1'. ; Mechanical permit fees*are based on the value of the work r.'4 New construction ❑Addition/altefation/rcplacement perforated.indicate the%mice(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,Overhead,and profit 0 t f;., . ..s '„ASR'*,oi, i]4 Rvgit?I aloe:$ 51 - V ,.,. . .... RESILiE1�137z�LTQiit�4il;.'+t'T� ,.. .�:F ,: .v ❑I-and 2-family dwelling 0 Cotmnercialrindustrial 0 Accessory building For special information=4 chi, ®Multi-family 0 Master builder 0 Other: Description trity, Es. Tota/ �-KR .._. Oi l *t0*I AI1O t11SD, i( + 1 Aire nditionitq Job sire address: S Air conditioning 1 46.75 1���� ,,\j'\) 1 1`�� RNI-e, . Furnace 100.t}00BTU(ducta/vents) 1, 46.75 _ City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54,91 Suiteibldgfapt.no.: Project name:Polygon at West River Ter Heat pump = 61.06 Duct work i 2132 Cross street/directions to job site: Hydronic hot water system r 2132 Residential boiler(radiator or I, 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 1 46,75 Flue/vent for any of above i 23.32 Subdivision:Polygon at West River Terrrace 1 Lotno.:� Other: I 23.32 Other fuel appliances: Tax mapfparcei noWater heater a 23,32 >`` Gas fireplace/insert e: b e)tv ' ' WORK vent33.39 I D O A t^ Fluefor water heater or gas i. lh'``_`-'_ fireplace 23.32 Log lighter(gas) € 2332 Wood/pellet stove I 3339 Wood ftreplacermsert - 23.32 Chimney/liner/flue/vent I 2332 x Other; 23.32 4:°2.:,:i:, Environmental exhaust and ventitatiortc Name:ADVL Land Holdings,LLC Range hood/other kitchen Address:7600E Doubletree Ranch Road equipment33,39 Clothes ddrryer exhaust i 33;39 City/State,ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments;utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Atticfcrawlsoace fans 2332 r 1. 4fhl :. ,'l]:GOI 1 P. $ 2332 ,.., �1 A.���..,. .�,.. .,� Other' Fuel piping: Business name:William Lyon Homes,Ina $14.15 for first four,$4.03 for each additional Contact name:Angela Gra jewskl Furnace,etc. Address:109 East Street pip Walltsuspendedtcmitheater 1 City/State/Zip:Vancouver,WA 98660 Water beater Phone:(360)695 7700 Fax::(360)693-4442 Fireplace Range I E-mail:Angela.Grajewskpolygonhomes.com Barbecue .,. d 1;;;$ , , `t' „,. . - gr n Clothes dryer(gas) Business r.'e,. ' -a, t.a',. _ �E X. i9/,— fi � /�� .., �,- .2A/0 �f/^/ -S% �j'`%O� g^r''�'�-' Subtotal.. . City/S- .t.. .7., s • .---- t 'TL��Qzzc./� / G Minimum permit fee-090.00) ' -e•'. -3(/'-ice J- /e' Fax:(503)536.6615 Plan review(12%ofpe)m it fes) l �. Statesurcharge.(1 %ofpetrnitfee) CGl31i ' t,3t?3 TOTAL PERMIT FEE This permit appticatfon expires ifs permit#not obtained within 180 ..,._ days atter it has been acceptedhs complete. Authorized signature: fee methodology set by Tri-County BuildiAindusuy Service" Board Print name:Angela Grajewski Date:8/22/16 i T _Pamiappo40tl3.tloc 440.460T{t 1102ACOlEWm) bee' CITY OF TIGARD MASTER PERMIT 11111 - II 1t ' COMMUNITY DEVELOPMENT Permit#: MST2016-00095 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2016 TIGARD Parcel: 251060003000 Jurisdiction: Tigard Site address: 13775 SW 171ST AVE Subdivision: WEST RIVER TERRACE Lot: Multiple Project: Polygon at West River Terrace, Lot 42 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: 23 Bathrooms: 3 Second: 939 sf Garage: 423 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1744 sf Value: $216,523.79 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Noes 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 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 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 2 A Geotechnical report is SCOTTSDALE,AZ 85258 required before the footing PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,228.16 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 0 952-001-0090. 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: 44-1 S-�-_ Permittee Signature: �//17.- �c._`,9` if C.- /7 49^/ / 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. l:-- - fir-'• z-•rte. - Permit Application L- 0 " Y4 .'ED S i Bu><Xd><ngP PP �� e 0 2416 Received y�v Permit No W City of Tigard ci AR9 Day: /��/�(D .+ fT�-Os'f�"df " 1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review1) other P t.{t jx Qir� �.,y, Phone: 503.718.2439 Fax: 503.598.1,q,(10mv C�' 1„„,n-4,.„r1, BD DateBy: �i et�t/ / Inspection Line: 503.639.4175 '..jj``1 , ,�s Date ReadyBy: Jig: SeePage 2 for 7IC'\' .) � g R��± i Internet: www.tigard-or.gov BlJILDi1�iS� Rt :3fO� NotiSed/Method: � � SupplemeutalInformation ------in-/4-ft--• rrC'y/E e..- --- -._ .-----',---u-•-•> ❑Demolition Permit fees*are based on the value of the work performed ®New construction Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicate on li � � �'� � �� d this app ratio 6i:',,,,::;',�.:} . .. . ,. , ...... .... . . Valuationr ! . ® 1-and 2-family dwelling ❑Commercial/industrial b` i-3 $ [�o /- Number of bedrooms: 0 Accessory building ❑Multi-family Number of bathrooms: 2.5 ❑Master builder ❑Other ^� /' a `,y-. - s t x e rEpi c 4 `` ',i''i y- fr Total number of floors: 2 d) b 7 �], New dwelling area: .'11'/„.1 square feet Job site address: /'1 5L0 11'I t City/State/ZIP:Sherwood,OR 97140 Garage/carport area: L> ) square feet Suite/bldg./apt.no.: Project name:Polygon at West River Ter Covered porch area: 00 square feet 939 Cross street/directions to job site: Deck area: ,I square feet $o Other structure area: 0 square feet Subdivision: Lot no.: LI Z 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 ", mm F �� a ,.`°�� ,, �,^� work indicated on this application. New Single Family Detached Construction Valuation: $ Existing building area: square feet New building area: square feet ; a Vi ` � Number of stories: Name: '.l1-6-.,..W ,bbC nb L V L47'Jb /h Ll5/A/(S' eel_c_ Type of construction: Address:10,L if'Street- /4 _' Occupancy groups: City/State L-`tancurerr fix Existing: Phone:1,60)695.7700 Fax:(360)693.4442 New :t a ° Da ' te.4' ^� 7-'''': �, +�' sC .:.1\I'41?-' '''''"':..,:,'''''' '.?"4'. ..--V. 'z7S f i # 'mak ' S 7: x 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 , Fax: :(360)693.4442 1 ' ; '--- ':,,Z,p < i --.'.1.-",-..<"' s •' E-mail:maggie.gordon@polygonhomes.com H- �� , r Commercial and residential prescriptive installation of } '; 1 -1,, ,#o- ; '' ' ` .-,. roof-top mounted PhotoVoltaic Solar Panel System- Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:109 E 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 lit.:207247 Total fee dueuP on application:lication: $201.60- Authorized signature: *i� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Maggie Gordon Date.12/11/15 *Fee methodology set by Tri-County.Buildmg Industry gg Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • RECEIVED , Electrical Pe 't Anti) atioia HAP 0 CI 2016 « ) (lid fWi It-r t 5ti'.)\IT' 4 13225 SW ball Blvd„Tigard OR 972 fly OP t 1 t `l9• uw Pcrmn / ` J y Phone 503,7182439 Rafe'SOi S P � yf .'p,.,i.. Retatcd Pernik'.. ttGAR Inspection Li=.51)3.639.4r75 .t.''`' •' '''''"f " .1", erBps Internet•wwsvogard or.gav' nevi taihtcWcd Sa ploortQaBrai lueir. I Or, , 3'YrE OOA'WORK., tST'Pltlntdl information • fll Nelvconstruction `� rn t—� El '7y+xse, alltlwt,�%.ln,we,'ils�of�r.�tx � nt. «��: ©Deincirtlont ,©flJir«•:, CJServiceor feederaaaaunps or mato 0 Heatdie-sovertbeec dries, . s where the aysibble faodtotoroot CI Kokos out bgabada L'4 T ;pf_O 4fN "ULON �.� 1-and 2=f ! dwellingry g esca-1A�patsovona�r CltiAtm �z emit' ;t,..O Cotmmierdal/induslrial l�Accessorybuildij gTensd,or t:eerts 14,00o 0 Con n4rkf t-ua teotutat Q Multi famsly Master builder ❑L7ttiu: asuman-all.vosuitumttatio�s. tni„ ; pump; C1iosratl idnoEr5oKVAar Jos SrtLq 1i�( t311Yt+TATICllV.1ND iL66111044L66111044L3EntEfFirOSmerraeacyyysa. taraermppratetydarivzd I. Jab d: --•" �).. EiAdd,tten 01'117 tamer of system. Job site address�_!'` i r I tools or I. edea. Ci A";G","lam: 3` city/State/ZIP:&I:ervraod OR$7190 or otmGresiaeailal CI ua;3swy. °Heaatnoama:4mhz, ClRonestieuatvetuctepadR• 1 Suitclbidgfapt#: 1 Project name•- 0ttazontoustor4tioos. Clsupplys»Imyeincmoretl,aa Cross stteedditections to lob site: I3 Sertice or feedsrb00.aaps ormom,. 600 vaksnom incl agls or t. I . _ . ge 1 ' nss{�irtya� I Oh l Lar!' 1 von 'f* r, Subdivision:River Terrace Neto residen#aT sl' ley dwell!i14 t Lca! Includesanaehedgorzsge T"maplParcel L000sq.lt'orfess 1 161$4 4 ), NDES�^k�l E%rrd OF WORN Ea add 1500 ft p on 7, 3392 ! l invited en' New Single Eaaail t ar rrslderuial I y !with abovo sq.R 75.00 2 Limaad saergy,muftj Emil}• ?SUt) 2 resideatiat livith abox sq,it J 5.5. D`ftf 7•V[i'4`dr+lirlt , PGP3IeNT RenerrableEaa y 1]See e2 Name:Polygon domes Secvlces or,faders instaiWisen,attcratian aniltcr relocation 200 amps*Ieas 10030 2 Address:109 E 13h St 2ti amps to 4 nays 733.36 2 1 t IP;Vancouver WA 986613 401 amps to 600 amps 2170.34 2 City/Stat1 Phew(360)695-7700 �t to fi s amps 2 ai Fat:( ?Over 1,000 ammpsaxvolts 5 ,26 2 Email: Temporary services or feeders installation,alteration,antt/or relocation Owner installation;Tins installation is being made on property that I own which is not 200 amps or less intended for sale,base rent or exchange,according to ORS 447,449,670 and. 701. 201 ma to 400 ampss9.3&2.5.011 91 Owner signature: Date: 40l:amps 10599 amps 168.54 2 ' ' ArmicA241. I ; j CONTACT PERSON Branch arnica—new,alteration,or extensions pane Business Warne:Garner 8lectric Washington,LLC A.Pss senaar circuits trirh e aboveservice or reader fee. Contact name:Bill Daniels branch circuit 7.42 2 8,Fee for branchcircuits tvithpnt Address;6101 NE 5f£anus Rd service orfeeder fes,firer brmMh avant56.18 2 City/State/LIP:Vancouver WA 913561 a Eachadd'tbreuchclrcait 7.42 2 Phone(253)320-1657 Fax:;( Miscellaneous(servlet or Feeder notinduded) t. Each manulhsotret}ormalahr 6784 2dsyi))agseviaeaflcder EmatLbdmtiblsOgvetsa tom CONTRACTORReconnect only 67$4 2 Business name:.Garner Electric Washington,LLC SignPum'eternization• arrk 61.84 Slip praudine 1tght ng 67.54 2 Address;6101'NE SfJoi,ns Ed Signai cinvtt(s)orlinutcd-encrgy Q Sec Pagc2 s' i pane atreration,ok erdensiat, ! 7 City/StnteIZIP:Vancouver WA 98661' •Each additional Inspection overaliaXable to a y or the above none: J Additional iaspedksn(7[Iridin 66,251 hr 0)320-1657 i Fele( ) Jtvistitaden(I.hrr tin) ) 90.O8/1tr Etuail;bdanlels[r gwettsa«coax 11 (1 hr min): r is CCB Lie.: 01158 j lnspeetttm ichnofceis 9tf0�)n 1 Electrical Lie.' 208174 Suprv.Lie,:44965 oei6eailylisted llsted1;Sk1trndr) Suprv.Electrician signetare,required _ I r /� ELCTRJL 1!BEtAJ TrGI?S' Print name:Joan P Albert Subtotal: Date:ail I}thy C7 Pian Review Required 025 ofpertnit fest ,i/'�: State Marge 02%ofpreteritfee); Authorized signature: f TOTALPERMuTFEE: Print name:. Bill Daniels '` ?hit tyer*nle appurattan 1 Date:I }}JJ,�, eauseaif a cecina t nerebMinse within iso r I�(r s days(Merit ion beee accepted as tpmptetc, 118uikti*APrmbtEtC P+uaptApp ELR tu2Eilao asveali7TiOIS: Number ofinspedionsatlofted PesixnAii. Number i i Plumbing Permit Application Building Fixtures FECENErt City of Tigard Received Pcxm;t)to. N * 13125 SW I-lal l Blvd.,Tigard,OR 97223 IA AR 0 J 2016 �`ISi /E V 0yi Plan Review ' 0 ' Phone: 503.718.2439 Fax; 503.598.1960 u{ Datr/By: OthaPennitNo.: Inspection Line: 503.639.4175 q"‘1TY z 1$. ' Date Read' y Ions: M See Page 2 for 1 1( '} 1' Internet: www tigard-or goo ii..66&&i t'ooteed/Method Su lemental Information s '**'� . - N�,� ',4,4,.-/i;,* ` t ''z ax' '-a' l;�3 i „-. .», ,..Pow. ' ,.'�"'*a.. � ..� .,... 4..... "^" '+ ate` 0Newconstruction Demolition For special information:use checklist Description I Qty. I Ea. I Total Ill Addition/alteration/replacement I Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .4,,.,: ,,,,.A a ' 9 f» 4 ,w. _ SFR(t)bath 312.70 Il 1-and 2-family dwelling IICommercial/industrial SFR(2)bath 437.78 SFR(3)bath 50032 D Accessory building ®Multi-family. Each additional bath;'kitchen 25.02 Q Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 • f--, t,00:,= :. t. a),--;,,;;:;(titer,...'*,-o,,,,,0, e ,.. Site utilities: Job site address: �) 11---) t A Catch basin or area drain 18.76 ' Drywell,leach line,or trench drain 18.76 City/State/ZIP: Gj\ t T hr1 0 0 t\ O� C(- to (--) Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: J Project name: Q()\\.1 6Y) Q \).../e&- Manufactured home utilities 50.03 Cross street/directions to job site: 1.J'e� , ' / Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fl: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: (-'t'/j Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 nrikts Backwater valve 12.51 ''-.'47.4,:-. ., , ..<. :::_a-,:.. - , clothes washer 25.02 F )- U3 - p lU,../1 UD\ Dishwasher 25.02 I Drinking fountain 25.02 Ejectors/sump 25.02 F �4r;� ✓�� _, 7-1-**--*:'*:.* Expansion tank 12.51 Name: Pp C 1 \ Floc rdsewrr cap 25.02 ``Jti t" ` Q� Floor drain/floor sink/hub 25.02 Address: 1 1 g a �/ l J Garbage disposal 25.02 1V City/State/ZIP: t , L b ♦ I (0 Hose bib 25.02 Phone:olio _ i 0 Fax ; ,Dt0 \...\ t Ice maker 12.51 .ter. , y M.,. ' Snitrceptorfgrcasc$P 25.02 Medical gas(value: ) Page 2 Business name: ,,/.1.'i.t P"'Lj,ry-,1 -s.:) I L.k._n- i r.Gtr , .r Primer 12.51 Contact name: ei yv v.; W .J Roof drain(commercial) 12.51 Address: . t) s ( 1').0 Sink/basin/lavatory 25.02 City/State/ZIP: ,1.e h of-) Solar units(potable water) 62.54 Foe:: Tub/shower/shower pan 12.51 Phone:011 ) 1, ' 3 ( ) E-mail: 1,C ,� ,,, „;, ► , 0 Ai r.i Urinal 25.02 Water closet. 25.02 »� : ,:° .1 Water heater 34.52 Business name: k.1-v!!'k Ael-1 l..-t'\ f'(Vic.S Y"1 r i t t,1 .( Water pipingIDWV 56.29 Address: Pt to J "I. 13` Other: 25.02 City/State/ZIP: 'jha�, cZ Subtotal .l Phone:(� () i'OLtg ..`-i1'� Fax:( ) Minimum permit fee: 572.50 CCB Lie.: � i)tt, .4-/ 1,,.. Plumbing Lie.no tU(.52_ Plan review (2590 ofpermitfee) State surcharge(12%u of permit fee) Authorized signature: TOTAL PERMTT FEE This permit application etrpires if a permit is not obtained within 188 days. ma after it has been a as complete. Pratt name: i"I r-��:.R�6'�`��'t�, Da, �,-�//r� accepted pt *Fee methodology set by Tri-County Building Industry Service Board_ :I:tBt1diuual'amits\PLM1S-PmnitApp.dx lornt:tf9 440-4616T(OOiO2+COM1WEB) Y . . , Mechanical Permit Appli 1 OR(11.1 It 1. 1 Nt. City of Tigard cat4allECEIVED Received 13125 SW Half Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.16"-n' 7111 DateiBr, Pl3ts Review Dateitay PciThit N'/Yire2eilfe;---oe)o95 Other Permit: Inspection Line: 503.639,4175 '7IAR 0 9 2016 Date Readyitty: Jotiv. . 121 See Page 2 roe i Interriet. www.tigard-or.zovCITY OF GARD Notified/Metimd. Supplemental Information TI f3ulaili\ICi DIVISION , ,;:t00EIW.,1, , 0.::4*: :014:"....q.‘;447.;,, Mechanical pck fcts are baacd on the value of the work Et New construction ID Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead-and Profit- 0 Demolition 0 Other: „ Value:S I'fs„.:,,es9.,,fI W2M-43P:;1:--Ag',.;:4:,,,s'.4,i',7-' 2,'5,4i-;. EO i-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special Information NW ekeetliat , 0 Multi-family 0 Master builder 0 Other: Description I Qty, Ea. Total - fleeting/coolingAir conditioning: 46.75 Job site address: r51 --.3-5 Cs' 177-1 I Furnace 100,000 BTU tductsivents) 46.75 City/State/ZIP: 5-‘0..4kftlif)C)Ct. C)R q-3-\\-Io I Furnace 100.000+BTU(ducts/vents) 54.91 Heat pump 61,06 1 Suite/bldg./apt.no.: Project name: Pe K ty--1 cJ- 0,444 Duct work 2132 I Cross street/directions to job site: 3.1.-Iff((LP llydronic hot water system : 23.32 . 1 t Residential boiler(radiator or hydronic) 23.32 , Unit heaters(fuel-tYPe,not electric), in-wan- ucsuspene ,etc.1 i .in-duct,, ddt46.75 I Flue/vent for ally of above 23.32 Subdivision:River Terrace [Lot no.; -k Other: 23.32 v Other fuel appliances: . Tax map/parcel no.: Water heater 23.32 I ••..-'.j.P,,.j.,7;,:',-;104.4*Viti0.5.".4.1:4AritTifiiill'iiI....-477i41**44::'..'4A7Wi-..- 4,1,,,,v,0,2, G 33_39 .''''''' ''''''''''''''''''".4".'*'•''''''''. ' ' '''' " -'‘.."4' '''.-".-' ' -. '''''' ''''''. '' -' ' ' Flue vent for wateer heater or gas UVAC fireplace 23.32 i t Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimm.-vilinertfludvent 23.32 -,,.,..,„,.-„,,,,:it....:.,,;.r.:,,..,,---.4•,;.-;;;4''4,4*;":.:34'14'.:4;r#1;.-1,1.1,02V40,:ti*. #44,44.1;104: Cither: 2332 "''''''''''''"-'''' ''('''":-'-'''';'-':°`"''i'*•';'''''''''''''''''';''-'"""':'"'''''w---'•''''S ''''''''''"'41-; "1'44:''''''--- 4.'- '''-' '''''''''''''"'"°"'°74<'"''' Environmental exhaust and ventibition: Name:Polygon Range hood/other kitchen equipment 33.39 Address:109 E 13th St.Suite 200 Clothes diver exhaust ' 33.39 1 . City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms. 1, toilet compartments,utility rooms) 23.32 Phone:(425)586-7700 Fax:,( ) Atticicrawlspace its 23.32 '.:,..-:::,,,,,,Ayx:-:,,;.:4-:-:=Iii-,r1t7::•;:•,i4,i.'',..4.,...:.1::-.:0''''.:4,P,:,•:711:-;-•„-."...ft:,,,11....:'.,,„,,m,g,,,,:..,.....,,,,k.t.,,4„,,,,t Other 2332 Fuel piping: Business name:Apex Air LLC 514.15 Ow Ant tour;84.03 for each additional Contact name:Stasi Hay Furnace,etc. Gas heat pump Address:2210 W.Main St Suite 107-272 . Wall/Suspended/unit beater City/State/ZIP:Battle Ground,WA 98604 Water heater , i Phone:(360)3424109 Fax::(360)326-1769 Fireplace Ranee E-mail:staciliajapexairco.com Barbecue -,,,,,!:.,H;•;,..k.,..',?„.„„4,1-,:-'„vz,rii-F:k'•: .;:;..'•:4.1:064',V";': f.; si.,--fiXirti,,,sfx2,41gtiv-4 Clothes dryer teas) .-.--,'...,,,,:',.'"4";t:Zikirf--'keiOrgt.,i':.'i,:.'5.1.1;t,tf.'.,.;04.,..'°:41 044, --..,,,*:A,,t,w2Novr ,':••,,,-..,,,- 0-54- ,' 1•41,-.mr;,, •- Other Business name:Apes Air LI.0 , r,,,tyv,,‘,„,:ii„,,,,„:,.. -:-,,-,,:i.,,--„Ii•-,--.„';'1,--4',-,-,7---,--,7'. '.,„,.-,r,Igiff.UtAg?..,:, Address:220W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 MMinnun permit fee(590.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fee) CCB lie,:203034 ' - -— TOTAL PERMIT FEE This permit application expires Ua permit is not obtained within ill0 .AM. 4010,-", days atter it has been actepted as(*moot. , 4 Authorized signatur .„ ,., ./: .,.., ,^` Fee method:Ailey Set by Tri-County Building Industry Service Board Print 1 1 !..tv. . , 1,- ,name:Size;hay Date: 1128/2016 il 1 illuilt5ne,P..."-ts'AIEC_PermitApppg1 t 13 doe 440-46171(1 WAXIMIVIEBS p City of Tigard IIi r COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: Jr a 2 '/6 — 12ar 9 Site Address: /399 ' S 79-/c7` oi, .. Project Name: e)/ >;r, ,x,71 to •71 'vg.,r- '7 r;26e Lot #: `7" (New g= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: AJety SFi erify site address/suite#exists and active in permits tem. fir River Terrace Neighborhood: ❑ No g Yes,See RiverTenace Review Addendum Attached Site Plan Elements: w ee(3)copies of site plan f.),..A sting structures on site /A i e plan must be on 8-1/2"x 11"or 11 x 17"paper l7.'ootprint of new structure(including decks)with finished Fp I awn to scale(standard architect or engineer scale) fl or elevations ,I. .rth arrow tility locations(required for new,may apply for additions) /.S.te address,project or subdivision name and lot number 01 ► ation of wells/septic systems ppplicant information(name and phone number) 7 rosion control(including drainage-way protection,silt fence dimensions and building setback dimensions sign,location of catch basin,etc.) ott area,building coverage area,percentage of coverage and 'reet names i pervious area (applicable if R-7,R-12,R-25&R-40) reet tree size,type and location pervious corner elevations (2 foot contour lines if more than Q fisting trees to be retained with drip line,and tree 4 foot differential) protection measures rdiAlean Water Services—Service Provider Lette (lot platted prior to 9/10/1995): equired: Yes,applicant was notified 4P No Received: ❑ Yes ❑ No PCI Faciliti Improvement (PFI) Permit: Required: V es,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case#: a ie. ( --- ()( S/ // r/`.-- SQz)6(249 ,2 6ftoning: k Q IId Setbacks: Front AR Rear 0 Side 3 Street Side 3 Garage 3' " Vandscape Requirement: 6267 11G Lot Coverage Maximum: 00 % 0 4 i 'ding Height: Maximum Height Actual Height YL Visual Clearance Vasements ensitive Lands: Zes El No Type Zjix.)--f ,,yam AzilizOL Urban Forestry Plan ❑ Condition "Met"prior to issuance of buil ng permit Notes: j ,91 Ai l y lG��'IG '77Gn2 /'7'IL{5� �/lL)f L9f C i � v'7j'J I Approved By Planning: e-t Date: 8/C:///(6, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved D Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw_RES_012116.docx - U Building Permit Submittal Original Submittal Date: c n . �k Site Plans: # Building Plans: # Building Permit#: — Enter building permit#above. Workflow Routing: [ -Planning Engineering 2"fermit Coordinator ElliUilding Workflow Sign-off: R- Sign-off for Planning(include notes from planning review) Route Application Documents: [JEngineering: (1) copy of permit application, (1) site plan, (1) building plan and iginal plan review routing form. IiB Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: _ By Permit Technician: .C' tom_ Date: � //6, Engineering Review Slope at building pad: 02' Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat Q 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: ,-:—+ 4_ .. - .A,' .i,_ /Lax - ...Ad f Approved by Engineering: ,j Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Approved,NOT Released: �` Date: -3,A Vik 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: IFQDC Fees Entered: Wash Co Trans Dev Tax: Cdres El N/A Tigard Trans SDC: gr ❑ N/A Parks SDC: (eYes ❑ N/A PIP K to Issue Permit 0 t Approved by Permit Coordinator: ArDate: 4 //�/ 1:\Building\Forms\B1dgPermitRvw_RES_012116.docx M71City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /75732e/6 -- 0 009 Site Address: /3 '?S--. $ '/) 797k-1 ,%/.� Project Name: P / . 117cla /y�L e-v - hence Lot #: -44 (New,d'�ng= 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. Porch min.cii5 f deep Balcony\v/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ElEl ❑ 2. Eyes on the street: a minimum of %of,each street facing facade must include windows or entrance doors. Percentage Shown: 3/, 3. Erances:At least one entrance must meet both of the folio 'ng standards: Max. 8 ft. setback from longes treet- facing wall I' allel to street angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If s, all the following apply: '4(3sq.ft. min. Vy ne street facing entry 5 f!Q 1 ft. max. roof height above porch ft. depth min. 30%min. porch roof coverage 4. D -tailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: 1 covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ball offset min. 16 inches ❑ ormer min. 4 ft.wide Roof cave min. 12 inch projection �oof 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. ❑ orizontal lap siding min. 3-7 ft.wide in ❑ Accent siding m . 40%of street façade Window trim min. 2 i/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. Setbacks: Nol.closer to front or side lot line, than longest street-facing wall.OkesOKo. If No (Check one): Oiy extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. 1 'ttly 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) piN-foot wide garage door %max. of street facade 0 %max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: s. I:\Building\Fonns\B1dgPennitRvw RES RT 012116.docx Plumbing Permit Application BuildingFixtures res I OR O1l7( 1 I tiL l)\L} City Of Tigard s� 2 )r Received / / Z016 0 Date/By: /0 - Hl/ /i Permit N°'4(67?O1(,-0,0c-- • 13125 SW Hail BlvdTigard,OR 97223 / lifAl • Phone: 503.718.2439 Fax: 503 5 8.1960 Plan Review � D�By. Other Permit No.: n Inspection Line: 503.639.4175 Date Ready' Juris: See Page 2 for Internet: www.tigard or.gov I g Notified/Method: Supplemental Information 1'ETErOIz,WORK-- r ... �. �+F�..SEREllt1i,�._:.:.,,...; 't:;�;.•�� `:ii ;._i CI New construction . 0 Demolition For special injornwlionusechecklist Description I Qty. .1 Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1'-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION' SFR(1)bath 312.70 ®1-and 2 family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building IDMulti-familySFR(3)bath _ 500. 32 ❑Master builder Each additional bath/kitchen 25.02 Other: Fire sprinklerqPage s .ft.) Pa e 2 JOB SITE INFORMATION AND LOCATION _ Site utilities: 1' Job site addressi; \ i-j ,t ®� Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 tt t D Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg.Japt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) - Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: 1..4')_ Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ' . • DESCRIPTION OF.WORK Backwater valve 12.51 j Clothes washer 25.02 "'"r t® e r Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 .'PROPERTY OWNER - I. 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 ®.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E mail:An j els.Graewski Urinal 25.02 g Qpolygonhomes.com Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Ina Water piping/DWV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 'Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) ^ State surcharge(12%of permit fee) Authorized signature: c ' TOTAL PERMIT FEE IPrint name:Carolina Malmedal I Date:04/25/2016 I This permit application expires if a permit as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1BuildinglPetmits1PLMU-PermitApp.dos 10/01/09 440-46i6T(IO/0vcoMAVEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13775 SW 171 STAVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Corrections complete from previous inspection. Violation Summary: Tel: 503.718.2439 Inspection Date: December 21, 2016 at 12:50:40 PM Record ID: MST2016-00095 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13775 SW 171 STAVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Tel: 503.718.2439 Inspection Date: December 21, 2016 at 1:01:42 PM Record ID: MST2016-00095 Inspector: David Young Contractor fixing condensate drain for AC to provide slope to hub drain. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13775 SW 171 STAVE, 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 with contractor. Violation Summary: Tel: 503.718.2439 Inspection Date: December 22, 2016 at 2:45:04 PM Record ID: MST2016-00095 Inspector: David Young Inspector Contractor