Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY TY DEVELOPMENT Permit#: MST2016-00223
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016
Parcel: 2S106DC06100
Site address: 17243 SW JEAN LOUISE RD Jurisdiction: Tigard
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 61
Project: Polygon at West River Terrace, Lot 61
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
Dwelling Units: 1 Smoke
Third: 0 sf Right 3 Detectors: Yes
Total: 1744 sf Value: $216,372.10 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 0 Washing Mach: 1 LaundryTrays: 0
Y 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 Drains: 0
Water Lines: 100 Catch Basins: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0
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
Fum>=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
SCOTTSDALE,AZ 85258
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $30,231.98
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- -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: ,971,eGf('� ��>�,,�
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.
Building Permit Application
a5,.+:i.J, D— N rte°
City of Tigard " Permtx
IN 13125 SW Hall Blvd.,Tigard OR 97223 t iAY 1 9 !.1.!1';
Plao Revie w/�� 9' "� G'7 �l ar
' Phone: 503.718.2439 Fax: 503.598 1960 DateBy: (`. 1 Other Pent
Inspection'Line: 503.639.4175 ='t' early y / r `��
/79
TIC,:R(� Daze R B �� Juns: 1s See Page 2 for
Internet www.tigard-or.gov Notified/Method lyI/1 249iSupplemental Information
Z, e1t3s > t
®New construction 1:11 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 ❑Other_ __ _,,,,,,,, __,____,_ ,, _ equipment,materials,labor,overhead,and the profit for the
as -ri work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/mdustrial Valuation:., /,3 7 $ c -lT
El Accessory building
0 Multi-family Number of bedrooms`\
❑Master builder. ❑Other. Number of bathrooms: Z"3-v
.-7�1 7s 3 i 3. '"t�d.k"� ex.i-ii.. 9 ���y �5� _ -.3t' Total number of floors: 2 a,' 6 J
..,.;i_ .� ^ 4'�.. ,..n +•,-; .-r,-..c""."Si.'_e.c+s ,,7.4.--,..---&_,Y.,�' —.c ri5,.-. :d
Job site address: /7? 143 ( 7-e //) - / New dwelling area t'�Uu square feet
City/State/ZIP:Sherwood,OR 97140 Loa/St Garage/carport area: X23 square feet
Suite/bldgJapt no.: I Project name:Polygon at West River Ter Covered porch area� square feet t'j 1
Cross street/directions to job site: Deck area: square feet l /, �
�J
. Other structure area: ', square feet
Subdivision: I Lot no.:0/ Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
-:; X € i : :- 'c ` ^ work indicated on this application.
� �� �
New Single Family Detached Construction Valuation: $
Existing building area: square feet
New building area: square feet
r7 ,. x �s_ `,__, ... _ --- Number of stories:
Name: %iFiii' it�� 4 i,t/l �` Type of construction:
Address: / l'
�_� 1 ,�, (_��_ Occupancy groups:
City/State/ZIP: ,� 1I. /a. �' A� � J Existing:
J L
Phone: r — dijo Fax.(3.60)693.4442 New:
� s ' YYxR �
4' J t E- -,. g 1, " -r ' -' ,-n_ --'7' .- -*
Business name:Polygon WLH,LLC
Structural plan review fee(or deposit):
Contact name:Maggie Gordon
u FLS plan review fee(if applicable):
Address:109E 13 Street
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
Phone:(360)695.7700 I Fax::(360)693.4442 Amount received:
E-mail:maggie.gordon@polygonhomes.com .,...,,,-
e.- £s-z v� I �«. T- _ , ,r .- Commercial and residential prescriptive installation of
a� .= roof-top mounted Photovoltaic Solar Panel System.
Business nam�Edi'a^ ,C aJ/2,/rtj7 Z O/�/?,.f-s /M� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:109 E 13 .Street Solar Installation Specialty Code checklist
City/State/ZIP:Vancouver,WA 98660 Puuiit 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 lic.:207247
Total fee due upon application: $201.60 —
Authorized signature: trf
) This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Maggie Gordon Date:12711/15 *Fee methodology set by Tri-County$uiiding Industry
Service Board.
''niiilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) --- _-
lalit!
Mechanical Permit Application ,
iOH (II I1€ 1.1 ',t:O!t-}
City of Tigard + _ ' Received
tett°C'''/4145.7:=P0/6
��, E3t25 SW Hall Blvd.,Tigard OR '-'0C)402.2
'Oc 2
' Phone: 503.718.2439 Fax: 503.598.196Ef Plan Review
Inspection Line: 503.639;417$
MAY
q {p t)eRe Other Permit;
3 [i, 's t !VI1 q i E} e Readg:ti
Internet: w .Eigarrd cxr. av Y . y: Vis; 8t See Fane 2 for i
Neus ethtxt € Supplemental Information
fed�ht
':- ':,:. '''f:,f,,"-:,3'::j':-:. :''''.:-ii,:'ti.:::.'4,:',5N,''-5jlii,j;':.V,.?**':'':']„,,g,f'•,..n':'4' -e:;'t''4''',v:':,tii,':':':V.,':„:1' --::::2:,4:'-' .-.-.;;;:,-02 ,
New construction 0 r'Idditionl itteta ieni p acemeni
Mechanical permit-
fees*are Mused an the-.rahre of the—
work
Demolition Q Other performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials equiptrent,tabor overhead.and
profit
>.: i-" Ia�� N " Value S
7:: I-and 2-family dwelling 0 Commercial/industrialr Fri
0 Accessory building Forspedaiinformation use tReridiist
0 multi-ram ily 0 Master builder 0 Other: Description
i � ': rt waa. Total
•�; A �.'�.-i ,�r',-...:„ ., a... ... �.... a � 0 � SC� �, �., �, �,. tleati�/tErQlln¢�: ..
Qty.f/2 SAA) _ Air condi-nom:se
Job site address: /3 I / �dti,73
City/State/ZIP: /r / Furnace 100,000 BTU(ductsvents)
� �'w o ''-+-t\-I i ► $4.91
Furnace t00,040+BTI ideas/vents) 5.1.9E
1
Suite/bldg./apt int nu.: IProject name: (� Heat pump b 32
(�� �' Duct wnrk 23.32
I Cross street/directions to job site: „ ,� ��,,,��^ n
.'C--Y '1 i--C L.f/ I l}Hien is hotwater system 23.32
Residential boiler(radiator or
hydronic) )3.3"./-
Unit heaters(fuel-type,not electric),
I in-wall.in-duct,sussed,etc. 46.75
I flue/vent for any of above 2332
Subdivision.River Terrace I lot no.:/// , Other: 23.32
Taxn map/parcel no.: Other fuel apptianeesc
.5 : ;,,,,,-;-!',17.'";:‘,°.-$1.--,741:'-•74:7;:",;:.;',J'::. 7 `*- 2 Gas fr Iacthasart
3339 :
23 32
F1VAC flue vent for eater heater or gas
fireplace 23.32
I Log lighter(gas) , 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 2332
Ctd
finer
tucivc
of
23.32
M - t - , � . # 23.32, -,ii,,,,,,,,, / ._ x E Environmental exhaust and 4rntilgtioa:fame: Y Jlr� iLt jl tlrqs t I,l_ Range hood/other kitchen
ai ' equipment 33.39
Address:1 / , Kt/. ie "� 1A{\ .�rd Clothes
dryer exhaust 33.39
t City/State/Zip: ? / r Litz_ t,3-z
_. Single-duet exhaust€badlirotairrs,
Phone: / - 1 ) Fez::( ) toilet compartments utility rooms) 23.32
,, t:t 1 1� t ( a Z, � a A a tsttas fans 23.32
Business name:Apex Air LLCFuel piping:
S14.15 for Arst four:54.03 for each additional 3
Contact name:Stasi Hay Furnace.etc.
Address:2210 W.Main St.Suite 107-272 Gas heat pump !
City/State/7-1P:Battle Ground,WA 98604t'atd suspendetdlunitfuster
Water heater
Phone:(360)342-8109 Fax::(360)326-1769 Fireplace
E-mail:stsrihE apexiiireis.rom Range
.>.. � Barbecue
frA
Business name:Apex Air LLCOther
•
i ;F ,
Address:220 W.Main St.Suite 107-272 � •. .-..� .
Subtotal
City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00)
Phone:(360)3424109 Fax:(360)326-1769 Plan review(25%of permit fee)
State surcharge(120 of permit fee)
CCB lie.:2€13034 TOTAL PERMIT FEE
/ «+* ., T permit a expires ifs permit is not obtained within tan {
' daysafter it has been
Authorized si: accepted as is ttapitte.
t' d!' r r.
* Pec methodology set by Tri-(onn y Building Industry Service Board
Prim name:Stasi hay Date:1/28/2016 ''
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Plunxbing Permit Application ,-g4 :7
"
Building Fixtures ' .-.
Received / 0/G,
City of Tigard ;r DareBy: rpt No � ��
IN '4 13125 SW Hall Blvd.,Tigard,OR 97223 i, as ( U,k Pian Review
0 Phone: 503318.2439 Fax:503-598.19617 Dae/Ry: t7dra?emtit 30.:
I i 1 ft L) Inspection Line. 503.639 4175 Date Ready/By. Tuns: 5!See Page 2 for
Internet:
nternet wwW itgard r goy Nowt ed/Method" Su..lemental information
0 M For special informationusechecklist
r
.New construction Demolition Description I Qty I Ea. I Total
■ ■ Other: dwellings(includesconnection)
Addition/alteration/replacement New1-2-family 100 ft.for eachutiGt
, v: .. ,.,_ ,7:,"
: SFR(t)bath 312.70
1-and 2-family dwelling ■ Commercial/industrial SFR(2)bath 437.78
SFR(3)bath I 500.32
D Accessory building El Multi-family Each additional bath/kitchen 25.02
D
Master builder 0 Other: Fire sprinkler( sq.LL) Page 2
�'" ?....2,1,1,-s,1 s�Yt ' a alp e a s Siteutilttfex:
Job site addres Catch basin or area drain 18.76
/� ir•�ter•: I r Dryweil,leach line,or trench drain 18.76
City/State/ZIP �h f. k'c)c) . 0 ,ill° l‘-'` r) Footing drain(no.linear IL: ) Page 2
Suite/bldg./apt.no.: I Project name: cd1 'ay) ( ` Manufactured home utilities 50.03
Cross street/directions to job site: I OJ��
( ( e Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear fL:_) Page 2
Storm sewer(no.linear ft.:i) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.(J/ Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
tiMa l4 4
, " * ." Qothes washer 25.02
F -efl - n'L.11 \.i' Dishwasher 25.92
i" Drinking fountain 25.02
Ejectors/sump 25.02_
% on tank 1251' .ti, pansi��. Lif 4� . "- tu,t,,, ,44,$;.#t.' 13.1,e,,-"All. �__ Fixture/sewer cap 25.02
Name: -'` rH-01y, Floor drain/floor sink/hub 25.02
Address. �•6 , I Gattidisposal 25.02
Ci /State/ZIP: C 0 z . „ ! Hose
25.02
Phone: `II Li 03 - / Fax: ' /D loIA k-11.--„,
Iee maker 12.51
'°` a interceptor g casc trap 25.02
Medical gas(value:$ ) Page 2
:..mess name:/`,}^..,-,1 t"". :-...„ }� y i LL.X C i1 rt G ': Primer 1251'
ontact name: 1s\'il 0 v1 '. -'1e.:- .1-Y^vic r-f'3 „} Roof drain(commercial) 12.51
_ddress ,`,. t>t..)°4- 1 7i1 Sink/basin/lavatory 25.02
ity/State/ZIP; - t- ' t -o Solar units(potable water) 62.54
V
J4"- Tub/shower/shower pan 12.51
•hone:( "3 j ) LO > E ' Fax::( )a Urinal 25.02
mail:
�� � ...aa ik ``t i' �i;, �+€ • Water closet .25.02.
a
.
.� - _... .... ..... " a .,.._ ... . _ ., . ",. waxer beater 37.52
Business name: Fes. f.j.rY ,'.i-«\ P(lA...relit i l ie-\j3 .... Water piping/DWV 56.29
Address: PO G '' ' 1;2, Other: 25.02
�r Subtotal
City/StateMP:L�-1-csh r 9' 1. )l) Minimum permit fee: $72.50
Phone:(911) O„ts - /43 Fax:( ) Plan review (2590 of permit fee)
CCB Lic.: 2,C)(- Li- 2- Plumbing Lic.no t ) ;., State surcharge(12%of permit fee)
Authnrived signature: • TOTAL PERMIT FEE
��yy ,fy� This permit appiicailon expires if a permit Is not obtained within 180 days.
Print name: t R X €il Dnt4 9 1/
after it has been accepted as cornptete
t i *Fee methodology set by Tri-Cramty Building Industry Service Board.
mairidiag4Pomimeth L-PmnirApp4o'tail:009 44046 t6T(i0/01,COMPssa)
i 11 ■4City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A lz D Building Permit Review — Residential
Building Permit #: // S'7 0/6 -- 11O,22,3
Site Address: i 7 21 3 Tec, n Lo v i 0-0(_.
Project Name: i)019 9. o rl ot-(-- w eif ( -veee T P r r- Lot #: G )
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
Planning Review
Proposal: I V {>AJ\ S c R.
4 Verify site address/suite#exists and active in permits stem.
iRiver Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached
Site Plan Elements:
/Three(3) copies of site plan tructures on site
Site plan must be on 8-1/2"x 11"or 11 x 17"paper ?Footprint of new structure(including decks)with finished
Drawn to scale(standard architect or engineer scale) C 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
,Lot dimensions and building setback dimensions design,location of catch basin,etc.)
;2tot area,building coverage area,percentage of coverage and ?Street names
impervious 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 8£xrstiiig 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: E Yes,applicant was notified ❑ No Received: ❑ Yes E No
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
fl7Land Use Case #: pOte 201S - 0000'J , Su (3 Z-OI S - 0000k,
x Zoning: 2_7
IV,Setbacks: Front t Z Rear Side 3 Street Side Garage 3
WLandscape Requirement:
Lot Coverage Maximum: —far %
Building Height: Maximum Height ,n`1/ A- Actual Height
Visual Clearance
Easements
e Sensitive Lands: E Yes ❑ No Type
Urban Forestry Plan
Conditions "Met"prior to issuance of building permit
Notes: n�in G(,1 t112 P1 J '� be M e f prior f° (S.S V G( n C� C7 C
DIY)V I[G M PeerY1 l E-
Approved By Planning: (1/-161-1/4."—\::___. Date: f 1 9 / j !�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
i:\Building\Fonns\BIdgPermitRvw_RES_012116.docx
e
Building Permit Submittal
Original Submittal Date: .5-7if
Site Plans: #
Building Plans: # .3
Building Permit#: D Enter building permit# above. �/-
Workflow Routing: [Planning L`S Engineering ErPermit Coordinator Building
Workflow Sign-off: ['Sign-off for Planning(include notes from planning review)
Route Application Documents: Er-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
K Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
illk
By Permit Technician: . / ,,-yam. Date: 4/�..r7 /',6.
Engineering Review
Slope at building pad:
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 Approved .y E gineering: Date:
Notes: ,. . _I . . -M...i J/ - NM .A.,.
Approved by Engineering: 'NW Date: , _% — -mora,
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
pproved,NOT Released: c„i77 Date: 6/6///f :!'
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:
?Kt.SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: p'Yes ❑ N/A
pOK to Issue Permit
Approved by Permit Coordinator: /fit Date: �''-?//c""
1:\Building\Fonns\BldgPeimitRvw_RES_012116.docx
City of Tigard
11,11 . COMMUNITY DEVELOPMENT DEPARTMENT
TI G A R D River Terrace Building Permit Review Addendum
m000monommov
Building Permit #: /iS .?0/G ..--0122 3
Site Address: F7 24 3 Ito, r\ Lou i l-t.. K2d.
Project Name: Po 1 9 9 or) 01 - 2.,v�-W211r. c� Lot #: (o/
(New dwelling=su division name;Addition or Alteration=last name of owner)
Planning Review River Terrace Plan District Design Standards (18.660.070.1.):
Is the project subject to the plan district design standards? 21.Yes 0 No
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
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
/ CI 0 ❑
2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors.
Percentage Shown: .21 , 2 1,
3. Entrances:EAt least one entrance must meet both of the following standards:
t e 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 es,all the following apply: / 25 sq.ft. min.
AOne street facing entry Z'12 ft.max. roof above floor of porch
Zi 5 ft. depth min. 7-30%min. porch roof coverage
4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades:
/Covered porch min. 5 ft.wide x 5 ft.deep ZiRecessed 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 gRoof 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 ft. wide
❑ Accent siding min. 40%of street facade , Window trim min. 2 1/2"wide by 5/8"deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft. wide by 2 ft. deep
❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade
5. Garages and Carports: May face the front or side lot line on a corner lot.
Setbacks:
No closer to front or side lot line,than longest . eet-facin: wall. ❑ Yes ❑ No. If No (Check e):
❑ May extend up to 5 ft.if there is a covered front .o , and garage does not extend beyond t e front porch.
❑ May extend up to 5 ft.where the garage is part o . two tory building and there is a window t the second story
above the garage that faces the street with a min .rea of 12 sq. .
Width: (Check one)
❑ 12-foot-wide garage door ❑ 40%max. of street facade
❑ 50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: Ai`c9' ►n. -\_--� Date: .&/ (` 7 1
I Building\Fauns\B1dgPetmitRv.w RES RT 03141 6.docx
Plumbin2 Permit Apulicatiol,
Building Fixtures
City of Tigard I:3 1 43 2016 Day:Receiv°d j9 ‘0 7t
_t... - r- 1teiBPermit No,: Rs-2016,196 2.7.3
, 13125 SW Hall Blvd.,Tigard,OR 97223
111 Plan Review
: I Phone: 503.718.2439 Fax: 503.598.0atty c)i..:- 1.;k-... .R D Date/By: Other Permit No,:
.1 1 t \'tz 1,) inspection Line: 501639.4175 ,-: ra., ral,,,,;‘,5-1/,:;:.i,n,,r,f Date Ready/By: Juns: 0 See Page 2 for
' Internet: www.tigard-or.gov 1-.'''.._' V.-L..5 -' '--4'"''';'-';"-[Notified/Method: Seerentilltinfarmatioriim,„
4.5,.:Ifikigirailektr,fill'iMgr:15 d'afalajWillittglearptial.afr;;::::';','1%.-ii'rr;.4,'47::;1154.phialtiliagAir,Wtril*pi
Pf.ditihfttititilre'EPL7W2jirYil;::Ak:?:r,Nnr0..r4rsTi.'3:::;:;GliiPgiej;i'V''T12ka*rgPe-A1SL.SIOPMAMCFJ PAILEV551114AVAit-4447";LIT-E.-lir'ii-".--" -; '';-'[$x"!'".".....- "';'''"v•-";vmW'"1";;VVI'Mi'.1"?.;"-vvtv"VvIrv.vv",:
AN; New construction 111 Demolition i
For special information use checklist
- Description I Qty. I Ea. I Total
Addition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
1 t reinafelaiel12111:::;t=7t -I -f;r4f; ;.di7411.4,i,':41:aligirr011iatzeraliecam,„ SFR( 1bath 312.70
ANr-na-Tar-fmagirarLarragaa`444•--a'a';a:a.--;:,-,;:a7ainia,:t., .,.,'....i......,,,i ..,
AI 1-and 2-family dwelling LI Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
ID Master builder EI Other: Fire sprinkler( sq.ft.) Page 2
" . -VTP,r, , i=q:taa:;,aftiTt:. ,-;411.,,a-,3f*aa.;a_.,;;;:,..,F.aaatliaRguarp, Site utilities:
""444444P4411.4f4°"7 ,1%,"1, -4".'1,i..'","'''-% "!',"!'tt;;... .",'
18.76
Job site address: Catch1`12.43 SW-Itan tst Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project name: River River Terrace 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
C. k/kiat<7 Water service(no.linear ft.: ) 1111111111111311
Subdivision:PlosAssuosMver Terrrace Lot no.: k jt) 1 Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve12.51
al,;;;;;;,&ar„),sepealtitrailla,,aaala,m, g;-;.,--.....;,,:a•,...,ei'::i;a:a:•,..;;;;XW'.;V;'"" virltinittdruil41-41491110.01-dt,-4,444 .
Clothes washer 25.02
etinfrai,ttr A •
1 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/slum 25.02
j
.
.'.
atkElilittilgiti4V44al.2l -".""1. Expansion tank 12.51
litmgeaMto. Fixture/sewer cap
25.02
Name:ADPL Land Holdings,LLC .
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
g;''''''-:;'NePtlAaa.4,144Tat int'wit' '•'ilf';'1'4;;IPAE'iiagiEifaNaa4%::iiimiti is fFfi,RiFy4-,*L,i:",:::-1::;,:ts.o..:h.!n:NgRilietf
Interceptor/grease trap 25.02
(value:$
)
Medical gas Page 2
Business name:William Lyon Homes,Inc
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
Urinal 25.02
E-mail:Angela.Grajewsld@polygonhomes.com Water closet
25.02
ilia-apaa;;;;;;aaaaar-"aitiw•pa,„-aka
la"::;T;asc-'ardf.L.S";az'aaar''"T.A„;.,t:F,44,Ra;J.LS:jl'Ebliiifr Ca, : eX'ZialiiinglitallE,;,,,zaa.9.,„„)::,,,„,,,r"''''''4-R4r"iiiiliPat'alilatirgialialkaa'aiaffaltrWa *-.'aIlaf- ' "Zia";A:a2;;;;;Nitailatagial;:;;Maarasaaazaraliaaao,,aae Water heater 37.52
Business name: C.14-1 kik/VVO/lNk....,C Ni---501", 2.701....- Water piping/DM/ 56.29
Address: p.6. $ cres4 CIA Other: 25.02
'1
City/State/Z1P: y 9w 41 i31 Subtotal
4 0,..
Minimum permit fee: $72.50
Phone:(3)3 a-^13(4.- ictii Fax:11 v..Iv-*,1•10
Plan review (25%of permit fee)
CCB Lie.: 18413-1.3„ Plumbing Lie,no.195 tag -
Authorized signature: 1;f3E;CAi 73‘4 . ..- State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Print name: Sof'fAii, p,w14_,e, Date: -3b-It, This permit application expires if a permit is not obtained within180 days
after it bas been accepted as complete-
*Fee methodology set by Tri-County Building Industry Service Board
I:\Buiiding\Pcrmits\PLMU-PennitApp.doc 10/01/09 4404.616T(l0/02/COWWEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17243 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type:
Residential - Master Permit
Inspection Type:
199 Electrical final
Result:
PASS
Comments:
No AC installed at this time.
Violation Summary:
Tel: 503.718.2439
Inspection Date:
January 25, 2017 at 9:53:07
AM
Record ID:
MST2016-00223
Inspector:
David Young
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
17243 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:
January 25, 2017 at 9:55:25
AM
Record ID:
MST2016-00223
Inspector:
David Young
Note: no AC installed at this time.
Seal electrical wire penetration in mechanical room, will check at building final
inspection.
Violation Summary:
Inspector Contractor