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Permit (48) 14CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2016 00173 Date Issued: 09/08/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC06000 Jurisdiction: Tigard Site address: 17201 SW JEAN LOUISE RD Subdivision: WEST RIVER TERRACE Lot: 60 Project: Polygon at West River Terrace, Lot 60 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $232,941.30 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 Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1858 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 1 hour fire rated eaves are SCOTTSDALE,AZ 85258 required one side only PHONE PHONE: 360-695-7700 FAX: Total Fees: $30,514.98 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 941-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,f .�A/ '/'e_'„i'.n1) Issued By: � y '"l`�'�..-- Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application g FOR OFFICI t St.c1\1 X11 � r�Y R t j��� . Llir*' i. .. -' L.- .1-- Received �! c' permitN '' '`ea:1; City of Tigard Day- Xo Ill 13125 SW Hall Blvd.,Tigard,OR 97223 q n Plan Review Other Permit:j j, ,' � Phone: 503.718.2439 Fax: 503.598.1960 Ap g Lr Lulu Da i"- b I 1 ,,uu: H See Page 2 for Inspection Line: 503.639.4175 Date ed/Me Ready/By: �� Supplemental Information T!G A fi i? ° Notified/Method:97 / pp Internet www.tigard-or.gov C c i 4 +.,, r �§ �- /[- /✓G�/ "'� B - E ria � tis .�•t G � '''''''' ----::----:-.-----1—: �-_- —= r— .- " t -n Permit fees*are basedon the value of the work performed. ®New construction D Demolition Indicate the value(rounded to the nearest dollar)of all D Addition/alteration/replacement D Other equipment,materials,labor,overhead,and the profit for the H workmdicated on s cation. • d ed tlu app p„x ' .: ,-, ..-, , ,- Valuation: C g . . � 4 ® 1-and 2-family dwelling D Commerciallmdustrial Number of b o0 D Accessory building D Multi-family Number of bathrooms: D Master builder D Other CI`�`iy er .. _..r Total number of floors: 2 J. ,_ 1 �' ' 4T4-;6''''.=:.-'-`,....1. ',” r''ti� " --'''*' `-" I New dwelling area: 1 square feet Job site address: / 7•ea�- - eft, .1 ., square feet City/State/ZIP:Sherwood,OR 97140 L4 a/S ' 1i Garage/carport area: �,1 Porch area: ti ri Suite/bldg./apt no.: I Project name:Polygon at West River Ter Covered1 Cross street/directions to job site: Deck area: )-7 f square feet a square feet (j 9 Other structure area: ',i square feet . Subdivision: I Lot no.:(O co 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 -` ,F,s & �H g,,, . t .. 1 m ,� _47 f. work indicated on this application. Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet 2� p Number of stones. Name: 4 r)LSV E.il 1j � i _ Type of construction: q a yMN . Occupancy groups: Address:.�� `� 1�Y, c �'l.C. �! l-' 2s-t) City/State/ZIP: (1. 4-- 7 �'� Existing Phone: )2. g L`)3 j Fax(360)693.4442 New: D % �. a.:•-- n Y� . n.. �-_... _ ti- " i,t1 . t � ��� e ��7s`t4 -" rs - -- _ -n - Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Phone:(360)695.7700 I Fax::(360)693.4442 7 E-mail:maggie.gordon@polygonhomes corn Co C1 and residential i tiP phve instyllation of t.; �-s- r - 4e :tr , - „„,-„,`.._.„7.,7;,.• .v �=. . _ roof-top mounted PhotoVoltaic Solar Panel System. U-. 7' ' '=` " `_' _ - Submit two(2)sets of roof plan with connection details fc//LLI M G�aitl / /"'/�3 /titer Business name / and fire department access,along with the 2010 Oregon Address:109 E 136_Street Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): Fax:(360)6934442 $21-60 Phone:(360)695.7700 State surcharge(12%of permit fee): ti, CCB lie.:207247 Total fee due upon application _ - ---$201.60— ��Q/ This permit application expires if a permit is not obtained Authorized signature: /`� within 180 days after it has been accepted as complete-_ �,� 1 *Fee methodology set by Tri-County Budding Inaustr} Print name:Maggie Gordon Date:12/11/15 Service Board. 1:\BuildingTermitslBUP-1tESPermitApp.doe 02/24/2011 440 46132(11/02/COM/WEB) Mechanical Permit Application 1 tali ori It I. 1 '..1.ONLA ..„,..... Received City of Tigard Doleflar -'6V/2-3 Permit 140.4,1•74.2e/6 Ihi . 13125 SW Hall Blvd.,Tigard,: Plan Review igi. Phone: 503.718.2439 Pax: 5r.498;1960 rxneitte Other Permit Inspection Line: 503.639A175 r‘p 26 zolb .11,,..\KD Date Ready/By: loris- IR Sc-r Page 2 for Internet: www.tigard-or.gov 1\1 , ' Notitied,Metaxt: Sopplentental information . - . . , • =--.=.,,,..:.=•,:.- --.=.:......?.--;.-,,=--='-- 44f;.:‘,. =r"(.,4.4),=)i...,4,)--(y--.., :',1-',;C::,,,.`-','-..----'..::'-'",:--,":,.. OR.OftlH l)."M,*.i ,:.;. :,!„ :;;-1.:44,1V.L.," ;"... • . ,':::::.".",...,',":,,,,;:•=,,J.,;:::::,:2-,-,-',‘.:: ::'''', E,:,STI'-'4X/Sr *743Trfrv.:;k''' '-''''''''':'''''''''''''' ''''.'1';.1.0 '''''-'4-r.'-';': ';''''''' Mechanical perinit-fees*are based on the value of the work ..., . .... 11.. New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all' ID Demolition 0 Other: mechanical materials_equipment,labor.overhead.and profit. Value:S :r 5, -,F, E4:.. .-::t.", o I-and 2-family dwelling 0 Commercialfindastrial 0 Accessory building 1 For special information iise rhealist. 0 Multi-family 0 Manger builder 0 Other Description Qty. Ea. l Total .....-...„2,,, ,,,,,,, -,i/.-iiiithitotit,-;;...-.v4iv. ..r- 1.4 ,,,,,,-x-,;:,....,,,,..,-_,...4'........,:,',..„ ::.,';',.: :•." Heating/tooling= .'",.•.'--=.,7i '=:::":,-.i;-440grsil .. ,kisure.-1.Ixerutaa,7 vokaguri.--,I,:?r, -:...,,,t.....', - ..*-, . .. . . 46.75 - Job site addresKrnolSkit)jety I WS y: 124,# I c Furnace 100,000 BTU Num/vents) i , 46.75 CityiState/Z1P: 1-‘cLi \A,r- 0(j 0 0 N( i Furnace 100.000+BTU(dem/vents) 54.91 r Heat pump ` 61,06 Suitelbhigapt.no.: iProject name:-Pok ty-i cx._+- t..0 ,-4- Duet work 2132 I Cross street/directions to job site: ni_41\4(_ ) 1 Hydronic hot water system 23.32 i 1 Residential boiler(radiator or I hydroinc) 2132 Unit heaters(6ml-type.not electric). in-wall.in-duct.suareaded,etc. 46.75 Flue/vent for any of above 23.32 Other Subdivision:River Terrace / Lot no.: car) 1 23.32 0„trr fuel appliances; Tax map/parcel no,: ' Water heater 23.32 ...,,. ..-- ..- , ,4,..;,:„..„.„,,,,,,,--_, ,,,,,7;.,,,,---,-:--,.,.....„..„:„.---,,,,,&-f.,,,,,- ...t"- ,,..------,.w.,...,-, :g .,:t.'.:::.b..';',f.,,,,-,,---.,. :!,•„'•,;(4.1,./' Gas ripaataathased 3339 .....,....,.,...,,..,a174.iii.;,.., ,-- .orms..........zewf,i '.a..:..m. i:,', •ci3,il ActileittOZZA ,00:44,:,4.: -..krVONIal, --r ' I Flue vent for wales hearer organ i HVAC I fireplace 2332 1 I Log lighter(gas) ' 23,32 Wood/pellet stove. 33,39 Wood fireplace/insert 2332 ChimnevAineriflue/yent 2132 1 Other '''''''''•' 2332'IS.M:fk-iI4-' j-::' : tOP":1'2;lkg1!.1:,...-.:-!-'',....:-:,Tr'.-3ik;.t-E4';.;';W*;Z Environmental exhaust and ventilation: Name:ith&f/Ark 71,,, , ifyis / Range hood/other kitchen i 33.39 i i Addrcss:-1(.1 )3 q : 4A491eV,ef' e,,ektr\c'IA t2--naci :equipment Clothes dryer exhaust 3339 1 CitySingle-duct exhaust(bathrooms,iState/DP: C ,.. ' 'ttc . / . I - A) e, PrZ 'e,c2S1) toilet compartments,utility rooms) 23.32 1 I Phone:620L aCi(... --' 1 '11J t Fax: ( / Articiemwlanace fiens 23.32 - ---' -„,, -,..;',. ..,. -...---.-'---- -;,----V,.-4,,,i4.4p.a/*14;;A,,,..::-;.:'„'--/atelor‘r.$14 ,;air,'4.•;:,4`,;-,..1-42,4)-1:..tp 'Other 2332 .',-:4,,,-- 1:''.*--4,-0,41=1,4.P.f':,t I,, 't.-,„Veig:*04'•?:.,:•i.:,,:• ...'1-*,;,-44g, . 'NAVA.',':.,'' %,-'"-/-','-',"''`I'''''''''''''''' Fuel plplag Business name:Apex Mr LLC Sit.t5 tor first tour;$4,43 for each additional Contact name:Stud l Hay Furnace,etc. Gas heat pump Address:2210 W.Main St Suite 107-272 Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 ' Water heater t Phone:(360)3424109 Fax:;(360)326-1769 Fireplace Range E-mail:stacils(i)apesaireo.cont Barbecue ,,.., ., ,„ ,.,../..,...,...:, 4.. ...:40.: ;o..: -; kt,,,-": -...? . 4—.1 ,er ;„,..,4,;hygo,,v : .'./.1NiXtV,i- P,4 yi ..,,!:4.4.*,g 1-,,qt.,,:,g44Z4-VP--.44.4,,,"..-',%:.,e,.1**,,,,,,,,aiv,,,,,,3-1 ciot—so) (PO: ,,,,,,,.--,...,,,,,,,po owm.4,4*-4,-3,..,n,,,&w,,,,...., ,•••: ,,,,,,,.., ,--,,,--, Che, 1 Business name:Apex Air 1.-1.„C iikt.ra.A.f.41,11A;. ..1%Iii;i ii...i':4,--i--.-...4-.. -., ...;!A-,z. r'..".',....••:.%!r,.. .,..,,,-„,-,,,,n,,,,t Address:220 W.Main St,Suite 107-272 I Subtotal .Minimum permit fee(S90.00) City/State/ZIP Rattle Ground,WA 98604 Plan review(25%of permit fee) Phone:(360)3424109 I Fax:(360)326-1769 State surcharge(12%of permit fee) ' I CCB lie.:203034 - - - . TOTAL PERMIT FEE • 1 All pir This permit apprication expires ifs permit is not obtained within 180 , ..„ , _. days after it has beta accepted as ,. ..,e, Authorized signatur:. ,1, 71r' . ..., ,,, ...- 1 r_„0" * Fee methodology set by Tri-County Building Industry Service Board S Print name: teel bay ,. Date.1/28/2016 1 . 1 i II I,suildinte:PrmtiONIEC_ParrtitApp_040 f 13 dor 440-4617T II 1,131'C4INONES • 4c ' I tAp n �1 t urz T rrc r 5 ,39 � et"2r" y,fin, ta y < © 230 A0 . ,G Z G 3t bV HsII Bfpd �ygrd flt:. _ V tcdPe/ � siPPt6e 4371F2439Fate. ",0 59.16 ,:.,_.:y.:::.:_.:_:„..,.„.. .: u ,,,:, II se ay�Zroi, n03 634115 ( . zR2dyc/BruveneF€oon, tone9 \ J orf ;_-:,,,,--,---;.z ..,;;;z;..,;-,:;,,,„.-.„,,,,,,. 'I i G,1 R v Tas tlgrB4gov � fAS[fi2c#t011` []� t}aufil[CtaIOn�IGp�CEmC1t PPIs t wliCrmschrct�ed3 7'iutr ai{tluta erifim,t2susof ais � v - �5erv3eeatKxdetrlooari�psarmora [�H+n`i�nfib+t'Yfk.rutoies. Q I?Gln0iltton eT for j`:41kiifafc3tsunent 14oal a .* .,_ ,i,heta xvat dtrlagn3{ ntF;. . 4-•-M-M- a' 9�'Ol`.+- 4-7 t.. "„ ; s xa _ ez 4411,0.0smAc51fi50votesor 9F[ gbusMngs. 0 P a d 2 t'amuflp d+e'Iitrsg D m erctat iidusbat Q Accs�sorY" et[�iiri0 r sm.aom a;or a«�ea:7a no6 Q nnri t ricuYitu ? amp,fornRoNxrinsm4afions. bwtEm�. ❑Adut#tfenuiy [{ Iasterbudder Qt3ther drys , Ib Uafooaft5OXVAor " _ aaz; ita�ol cn .�Ivn of ; rsx ler0eepa atetydanved dpb# 7 b ate ad i ss� i� M6wn of.. oK,tor roa3 of t ��►Je �o�sie 30IIt3Pa mare Q A "C 3, 1 3 j a Silt'or more ru,d<at;a3 oohs, nCi u*4'.:,. CtrylSiatt lP Sherwood Q2%€97140 . _ .. Q .7th-cira fspiittts. r( .(Wpi.cA pa cs. Sntte!ttldgJttpt# t'rojrctname [Ilizt loasidyaY,rnw, �sapptykro3lagefrmo,»!than 131.40 earf err,Ot3ampsormore 6imYn10rwmunI tit+DSS:3` Eeflt'�ICe,Cti+6nS t6t}b•5i1E: vs eta"°'" w:� . Octsmltea ( oH°i >am - ) sok9 1 . t � Ne v restdanbiiiAlt gle-eri> it*-E m}I dwelling unit. Subdtt!Ision IYer Terrae': Lot </N I tnr7 rtes attacbrd gnra ���s�''11v// a 000 ft cmless 16a a1 4 Tau mapJparccj FA acldlTSq fr---((neem 33.91 t a ;M��` +.-� ;": i.x .ES(.*.11.01.ls4 '' (�YiE[;_ ed 7d Gmst, rBY fes eutta7 75:Oa 2; i*iew§ixgii`l�'amtty t►v r xlwv�sq"} ) Ltmttaxl en utotthf,:-.fly. 750tt 2.. mcrde6tlat ivit#t bove'xj_ t) t ., , ` TENANT elteeva , eePol:t2 R bkErter' Q� i - 'Sr,, ,,- ,r rrs tnsiattstco ,atternhon nuttlrtr txlacaiion ' Nue • p1.-= q . I�RI/lll A.e / .' �" / mps to s : 10.94-A.."... 2: lsi�ll - . l! - i li't �'/ V 2dl stlips fa�tOtinm 133 2 y' , 401 to60t}umpS- 2(30.3-$ 3 qsa -. ��f, 'gm3r,to takii. _ 301 tSd 7 u IrAQrrpogolts `3x226.;Pax { } QP1to1Cll FffutiL Temporary eiaiersordeeders.inehai[afioty" iteiatiotyan dr, relat atian. Owen r lnstalldtlon Tie•s installatmn is=being ntadc to property thhatI:4'1'71, 1015-6-.JS,not 200aani s or:•.,-;.,, 54.36 lntan ded•for sale,lease,rent,,or iazrbange,a cotrdrng to OILS 447,449 70,art720• 3' s to 0gimps. ; 125.o 2. f}yYnrtsi . . ..,...pate;., �i0tamprig549nntps 7683±( 4 „......,......,..,,A,+.. .... _ e 1,, Dp nsoly, ,r $tFoi„f rnCctits stfet tlonror"z tgtcslo6,Eet liana A Fpq.�3iattcSi>ucnRsirUh: Busm s c atii t�arner.Jleetrle Wgstti tgtan,LLC abareservtct.orPeciiertee. 73 2 t0d le4r0Pracn ' Oitit name$dl T antels: E.fee tbrbraftc3r cirecifts rrirl ,et taiir.a:iirfecdsrfea,first Address 61011E t dol ns Ei s1 3 t8 2 branctleirt:uit . Ctt}lStntC IP 4rancouver.WA 98661 Earitgatt oiancttr olur.„ 141 : . r> Muserzitiade otfs 6iitirec or reeder aotlndudeii} . Ptron .S3}32f1=1GS7 iax ;{" iartufizeauoettwilular Ettteil:bdtitttets treysn t em - . dv,tll'tnB,•s10010dtortmdrr 6784 Y i'ii s ,. ° > 4N RA 1 Wronnr 67:84 2 iY CI' -' - >_ ... �trtfpt+rtmgattunetcld 67Bd 2 Bustttoss name Garnet Electt rt:W isltingtc+tt,.LLC 56ga orwrdute itghting 6124 ' stgtiiii,cteittt{s} r tprutodtrrergy : kites;.41,0t...04,400s0-#4,40tuRd t46 .ettaa6on.orcr:tcnsiau. C-,StttPage�. ' 2 IyJSt P:aneou r 98661 Eacb`iidditronaloapecfton 4Ycraitteit. 0temu ictry Drove above . . . . t4rlditiwt7d tpsp�c'riinn t3 iu4hiit} GS for l'hone.C 320-1 57 Fax:{ bpm(t.brut n} sp.o/1x llmall bola tibi•-' ':sa.eom lirditslnali>1a3;tt3irr ntu} 78d8fhr • • .#01 s ar 101*4:4.?Ts •90.40i L'£ LIC t~I S* ElsctncalLi. 208174 ' Sider..Lie` d496S' apca iiYl{st�(3 trtrstW Sapr,t Stec octan als tatutra,t egutt • ` / � ' Ia+Ltf'T & 1tS .. Psmt name 1oau P Atbc�t J3:-.-4::::ali-'1-- Q P.Jan Rwicvr rtequited • l35%e(pentik se}: r '''-- , •,::Z____________ §tats sil%c yt4 8C44..ptrm3,f14.: Authorized:signature: ,..: '" 1 I PFti Ti3 �" r 7tmpe twtt kt3 sesprfiesi(4pe1•mtj raatebtaipedtvtthinR80 riatrisme;;$t�iDattiel; ibate a +J+ anYs*rttfaz t,ce%ptted srboa�tct ' T Ratlio,titcn teitIonfiilidwedparpe,ii L pio#10i.. rmat44: „ .da rtsvnbti ois' osatst iatesri ww>a • ,,. Plumbing Permit Application,,- .a. -•,, ',, ,-;--;.: lir::, , 1-,,,,1.7„'t`' ''.•'. ,- ' Building Fixtures City of Tigard AP P, 2 3 2_01b DaReceived Pmnit14°;"/S 7;20/6-00/ 7:3 tr./By: 1 . 13125 SW Itall Blvd.,Tigard,OR 97223 • Plan Review 2 • Phone: 503.718.2439 Fax: 5O3.598.t96 ‘1, - .; ' ,"'••-", -• Datc/By: Other Permit 1.143.: - inspection Line: 503.639.4175 ,.,. , . .:- •'.. " .-' . ,\.:Date Ready/By: latis: 111 Set Page 2 for \R D Internet: www.tigarci-or.gov :'.!'•.•,'.`- -; . Notitiedrivtethod: Supplemental Information '-`-'-''` '--,';'•*''''g'N''''''"IY"Se*,'''''''i ''''''''' e-r-S"-,..,„ ,-;Aiz,...;F-4 ..ez,,,,,-.A For special information use checklist 111 New construction E3 Demolition Description I Qty. 1 Ea. Total ID Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft for each utility connection) -41;•t v-`----j''-.‘te •VY-2.1:::4,..• •tv*' elte,,,,,.1-.,',:•.'-`ti''''4';'-g.0'.,;:'-';,4,.*!1:4-1 e Ilte.,4"'4,:..1.:S'.-i: ',411'-;:f...1 SFR(1)bath 312.70 SFR(2)bath 437.78 III 1-and 2-family dwelling 111 Commercial/industrial SI-R.(3)bath i 50032 D Accessory building [21 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other Fire sprinkler( sq.fL) Page 2 00Ar ' ,t:i4.--i'-sr.4-P- site utilities; Job site address:/77])/ SW 1P(1/\ iousie :4 1 I Catch basin or area drain Drywell,leach line,or trench drain --' 18.76 18.76 City/State/ZIP: Co\-\ft 1\I,)0 0. a, 0 C.': --i--- --, (---) Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: Project name: 901 goy\ 0- k,ii-e Manufactured home utilities 50.03 Cross street/directions to job site: c. IN.),.".(1-/re, 744 Manholes - 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear(I.: ) Page 2 Storni sewer(no.linear it.: ) Page 2 Water service(no,linear it: ) Page 2 Subdivision: I Lot no.:( )o Fixture or item: Backflow preventer 3127 Tax map/parcel no.: Backwater valve - 12,51 VD p kt_LJMN-D\-1 -?r Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 EXpanSiall tank 'ti;/;i,I.;77 rJ,:,,-.:4,,,,i'l.r.4- ',:;•t;-;:+15: ,:f;-:' ,,,,„;-:..rol-,k,,ftL,Atf6,,, , 12.51 - Name: C6Ind tio - 6 3 • ( Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1(pt)) E h Garbage disposal ' UA Q/0,(V) - . 25.02 _ city/sate/Lie:5 colt _ , : f2-tsIc6 _ . ..., _ Hose bib 25.02 v-) -, i ...k 1r.-7 Phone: /02,^ iii ..... 0 ---.' Fax: • ,D ko t ... IA Ice maker 1231 r, ;474n‘14M. ,3 °Ti( -2t'''''W' •WS1.7hnereePtorigrease trap 25.02 Medical gas(value:$ ) Page 2 _ Business name: V-1---1---i.r...1/2--ne")-15--is---... V-.)I k---A---rNI v"Nt t.A.-C primer 1231 Contact name: M ei r-i/ ti..A,-.L4 -4,--__Xitylic.N..t3 Roof drain(commercial) • 12.51 Address: .0) p. u"..1_ 13n C-3 Sink/basin/lavatory 25.02 City/State/ZIP: 4-,,,f. ,I.e,s1-)..pri ,A ( P q--)Oso Solar units(potable water) 62.54 Phone:(:111 ) SOLp - S14K3 Fax::( ) Tub/shower/shower pan 12.51 - • Urinal 25.02 ::;.c.,*".„.1:,1:47,1:5 ,i'tf.0'Z'a'.'::''.;Ze,':''.Vk?''',;°°;I:X•ariz:iic.10.4:71`it,a'VOiti't4'2e:'-'-°:-..-"'',21-.., water heater 37.52 Business name: t4.1-1.-•'1 r .1/ ArY't r.4,4"‘ p(tA ileiAl IA3 t -1_C , Water piping/DWV • 56.29 Address: PO 6 D-.1, 13 7 Other. 25.02 Subtotal City/State/ZIP:a. ,,s71,-)1:/,,,tv CJR.... Ct1 k--. 0 Minimum permit fee: $72.50 Phone:(91/) i'a-10 -q113 Fax:( ) CCB Lie.: 2,()kb, .4 i_ 1- et,..,.. / Plumbing Lie.noFei 1 tji()2, • Plan review (25%of permit fee) State surcharge(12%of permit fee) • Authorized signature: TOTAL PERMIT FEE i This permit application expires If a permit ti not obtained within ISO days Print name: Ma),(< kxtitt.-:x eibk....0. 1 DA a. fir 1 1 9 I after it has beta accepted as complete. *Fee methodology set by Td-County Badding Industry Service Board. tz\Buildioecmaestruftf-PcmitAPPA0c 10104/09 444-4616T00/02COMMED) 1 City of Tigard 41 Ili COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D Building Permit Review — Residential Building Permit #: /y. T p/6 C e/ 23 Site Address: ( 7 WI Ew Teri L o u i 2i Project Name: Poly 90 n H- wever T€rr. Lot #: �0 (New dwell ng=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (V.eMJ SF 1'L Verify site address/suite# exists and active in permit system. ////River Terrace Neighborhood: ❑ No X Yes, See River Terrace Review Addendum Attached Site Plan Elements: Three (3)copies of site plan g'Strtretures on site ;21ite plan must be on 8-1/2"x 11"or 11 x 17"paper ,PJFootprint of new structure(including decks)with finished �rawn to scale(standard architect or engineer scale) floor elevations orth arrow ,Utility locations (required for new,may apply for additions) pSite address,project or subdivision name and lot number LI gat F__ Pll ,/septic systems plicant information(name and phone number) Erosion control(including drainage-way protection,silt fence of dimensions and building setback dimensions design,location of catch basin,etc.) Cot area,building coverage area,percentage of coverage and Ctreet 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 ZLE, istisa trze4 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 Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake 71 Land Use Case #: ?D 12 -2A0I S- Do oo 9 , .c ye 2x'i S - D oc7 06, Zoning: 2- -7 Setbacks: Front ( 2 Rear Side 3 Street Side Garage 3 Landscape Requirement: lC0/0 VLot Coverage Maximum: -e 0 % / ^ Ft X Building Height: Maximum Heightl'i Actual Height 21 Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type 7Urban Forestry Plan 7 Conditions "Met"prior to issuance of building permit Notes: Con c 111 or�n s to b e me-F prlo r -1-o 1 SSS UC 0 Ca d A Approved By Planning: 44 �y _ a AQ_t— Lg 2 CA/1. _ Date: 412-G1/ (a 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\B1dgPennitRvwRES 012116.docx s Building Permit Submittal Original Submittal Date: i72o/4.) Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Er- Workflow Routing: y0 Planning aEngineering Lr --Permit Coordinator Building Workflow Sign-off: V Sign-off for Planning(include notes from planning review) Route Application Documents: 0 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: ':i Date: y,Z/%0 Engineering Review Slope at building pad: 2,;„ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appro d y Engineeri � Date: Notes: � p © o►�� _Z""7/ irk ,v Approved by Engineering: L. 2 Date: .S,;,z jb Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building permit .Kt Approved,NOT Released: e 0.,,.V.a-� Date: S - `E - 1 CP 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: 51-SDC Fees Entered: Wash Co Trans Dev Tax: X Yes ❑ N/A Tigard Trans SDC: g Yes El N/A Parks SDC: X Yes ❑ N/A rlOK to Issue Permit Approvedby Permit Coordinator: dliK Date: 4.7(17 1:\Building\Fonns\B1dgPermitRvw_RES_012116.docx 1 . • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D River Terrace Building Permit Review Addendum Building Permit #: / 7 /C — D©/'3 Site Address: I7'W 1 £vV '€n Lc ui e 2d2 . Project Name: 17010011 0H- W.ei ,1_ r2k _ T-err. Lot #: (p 0 (New dwelling=subdivision 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 standardsil Yes ❑ 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. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer A ❑ 0 ❑ ❑ 2. Eyes on the street: a minimuyf 12%of each street facing facade must include windows or entrance doors. Percentage Shown: J1 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: ❑ Yes ❑ No If s, all the following apply: 5 sq.ft. min. /One street facing entry �2 ft. max. roof above floor of porch 5 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: Covered porch min. 5 ft. wide x 5 ft. deep Recessed entry area min. 5 ft. wide x 2 ft. deep ,�/ projection Wall offset min. 16 inches LI Dormer min. 4 ft. wide I,d Roof eave min. 12 inch pri / Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood C�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 d fa ae � � Window trim min.2 '/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. Setbac � �(/1 G� No cl er to front or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ y extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ lay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story ab ve the garage that faces the street with a min. area of 12 sq.ft. idth: (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: /4 04"/L"--' 1 ( te Date: Z,fo/ I:`,Building`,Fonns,BldgPermitRyw_RES_RT 031416.docx i la li s % City of Tigard r COMMUNITY DEVFI OPMENT DEPARTMENT Phf Gli�� Building Permit Review — Residential TIBuilding Permit #: /f—C72,0 /6 — O'/ 2,3 Site Address: 17 Z,O 1 Sw Teo el 1, o V i,.i_e_. 2L, Project Name: Poly o o n a-i- welt- RN/v.4- Te rr. Lot #: 0 (New dwelllnng=subdivision name;Addition or Alteration=last name of owner) Planning Review ArviSc�J Co77 .cc.7 o,vf /4 7VS ii'fi— Proposal: (�eAw SF 1'LEZel ��ruw ZF ©� ` 47/____ 0 Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: 0 No X Yes,See River Terme Review Addendum Attached Site Plan Elements: ?three(3)copies of site plan SLExisting-traetures on site ptite plan must lie on 8-1/2"x 11"or 11 x 17"paper ,Footprint of new structure(including decks)with finished prawn to scale(standard architect or engineer scale) floor elevations orth arrow /Utility locations(required for new,may apply for additions) S-te address,project or subdivision name and lot number D. ee o-�. septic systems plicant information(name and phone number) Erosion control(including drainage-way protection,silt fence of dimensions and building setback dimensions design,location of catch basin,etc.) Coot area,building coverage area,percentage of coverage and , treet 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 ElUxissis g trees to be retained with drip line,and tree 4 foot differential) protection measures JOClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: 0 Yes,applicant was notified ❑ No Received: 0 Yes 0 No Public Facilities Improvement(PFI) Permit: Required: 0 Yes,applicant was notified 0 No Applied For: 0 Yes ❑ No,stop intake XLand Use Case#: PDR WI S- Po 001 , _cue 7,01 s - 00006, Zoning: P.-71Setbacks: Front ( 2._ Rear 0Side 3 Street Side Garage 3 Landscape Requirement: 1 vr Lot Coverage Maximum: f? v Building Height: Maximum Height lV/ Actual Height Visual Clearance Easements Sensitive Lands: 0 Yes 0 No Type / Urban Forestry Plan 7 Conditions "Met"prior to issuance of building permit Notes: COO 04 bOn s to be m - prior 1-o 1Ss UG1in ca O F boil in 1 p•ermi 4- Approved By Planning: /4 ax."--;_. a 2.*--,L e.,WL, Date: 41.2-4,1/ (o Revisions (afteruilding Submittal only) Reviewer Date Revision 1: g Approved 0 Not Approved /1/)(2 n j c /.5- /%p 6/ 4/2_4 /1(, Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved i:\BuildingWorms\BIdgPertnitRvw_RES_012116.doex t ,^ • Building Permit Submittal Original Submittal Date: 1(770/62, Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing. v0 Planning QJ Engineering ' Permit Coordinator Building Workflow Sign-off: .21/Sign-off for Planning(include notes from planning review) Route Application Documents: 0 Engineering: (1)copy of permit application, (1) site plan, (1) building plan and original plan review routing form. LBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: 6 r :✓r _. Date: yfZ-//b Engineering Review Slope at building pad: 2�o 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: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No O NOT Appro d y Engineeri : Date: Notes: 4:3,e_y .G�?.. itRed ,!-Tfiersi!4- Approved by Engineering: 1IG ,o Date: S // Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ()Conditions "Met"prior to issuance of building permit R"Approved,NOT Released: C' da..,, A.� Date: S - `t - L ke 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: I -SDC Fees Entered Wash Co Trans Dev Tax: rg Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: 0 Yes 0 N/A f PPby OK to Issue Permitp /A roved Permit Coordinator: A,- Date: ?il 1:\Building\Forms\B1dgPermitRvw_RES_012116.docx b City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ill ■ I �J n f,n River Terrace Building Permit Review Addendum Building Permit #: •f.S j, /6 pp/.23 Site Address: 17249 1 SW Tenn Lou;, (Zc . Project Name: FOl o r) 01.+. .W i-- rz&v-e4- , Lot #: (p 0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan Distript Design Standards (18.660.070.1.): Is the project subject to the plan district design standardskill Yes 0 No 1.Articulation:a minimum of I dement 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 0 0 0 0 2.Eyes on the street: a minimulp 12%of each street facing façade must indude windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: /Max. 8 ft.setback from longest street- facing wall fj2rParallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 0 Yes 0 No If s,all the following apply: 5 sq.ft.min. , One street facing entry �2 ft.max.roof above floor of porch /5 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: Covered porch min. 5 ft.wide x 5 ft.deep Plecessed entry area min. 5 ft. wide x 2 ft. deep Wall offset min. 16 inches ❑ Dormer min.4 ft.wide yRoof.eave min. 12 inch projection Roof offset min.of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 Horizontal lap siding min.3-7 ft.wide /Accent siding min.40%of street facade ,2I Window trim min.2 '/z"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 0 Attached garage is 35%or less of street façade 5.Garages and Carports:May face the front or side lot line on a corner lot. �J��t� ✓ . O U Ga_Gti.. Setbac No cl er to front or side lot line,than longest street-facing wall. 0 Yes 0 No. If No (Check one): ❑ y extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ lay extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story a ve the garage that faces the street with a min. area of 12 sq.ft. idth: (Check one) O 12-foot-wide garage door 0 40%max. of street facade O 50%max. of street façade with 7 detailed design elements Notes: �,, Approved By Planning: /14 94A"'"-° 4,t, Date: q /2.30// to, l:iBuilding'.Forms'BldgPermjtRyw_RES_RT_031416.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 Ai Transmittal Letter T G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVE!) . SEP 22 2016 FROM: Angela Grajewski CITY OF TIGARD COMPANY: Polygon Northwest BUILDING DIVISJO PHONE: 971-212-2144 By. RE: 17201 SW Jean Louise Road MST2016-00173 (Site Address) (Permit Number) Polygon at West River Terrace Lot 60 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: oPmoDescription: i. �/ q/ / /,De scription ffir - 0 Additional set(s) of plans. 3 Revisions: correct for Reversal of plan 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. \. .. , . FOR OFFICE Routed to Permit Technician: Date: 9- (- ) Initials: --d/ Fees Due: El Yes ❑No Fee Description: {' /1✓ / Amount/�'� Due: \\ , / � � is� /-7 I ✓I G`� 1 CV [� $ 9 0 a✓ Special Instructions: Reprint Permit(per PE): ❑ Yes .!i No one Applicant Notified4' r,,2-7//&/j' Date: nitials: I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Applicatiorh Building Fixtures -17 a4 in City of Tigard SEP 1 5 2016 ft3aez/Bivey, te,/ e iCe Pemfit No.: KS120tb••00 Pi 3 13125 SW Hall Blvd.,Tigard,OR 97223 „.. _,....,,-,t,,..z...,--,.., Plan Review Other Permit No.: I Phone: 503.718.2439 Fax: 503.598.0W Y 0 r' 1 t k,*,:::(... .,i...) Date/By' Inspection Line: 503.639.4175 3ull 011i3 DiviS"3101\ Date Ready/By: Juris: fill See Page 2 for I it,\RD ,_ __ Notified/Method: Supplemental Information • Internet: www.tigard-or.gov ,„ „,,sug.c, werif„ ,in„„JimmIre..,„:,,,,,v7 .1„:7"..„.....,,t,01,,:xstyril.....:-..J.,„-Alk„,:„7, 711,-.4;:rilli't*T4F4411:41,11t',:-11414:111#: 17 !):71,1101.1111,1,10-.0410.41 littliiilitioptii!TAZ...',L .!'....!':',4',...1.,.. kill New construction I Demolition For special information use checking,. Description I Qty. .1 Ea. 1 Total 0 Addition/alteration/replacement 0 Other: , New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath312.70 1410401iiiiiViiriittlibl:$714.1W,....r.„7"-:.•„.Ti„r'...::-.A.---ib.`:xl,..„-„:-.:-r„.-„,...„:„F.,,,,,,„„,..:-...,,,,..„:„,...„-,M,Th„..,..4M--,,„„..,rs:',..,--°AO 1-and 2-family dwelling U Commercial/industrial SFR (2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 iiiii,111111111W' Z ' ;?'''''..5)l'':-t'ftN""iHghT'4?31111S,r, caSitetehutillbastiesin 0:r area drain 18.76 . Job site address: 11 2.01 SW , e...a.v\ LotA.Lse r-cA Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Muktrast River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:__) Page 2 Storm sewer(no.linear ft.: ) Page 2 --?thitA. 0 63 Vel Water service(no.linear ft.: ) Page 2 Subdivision: . , ' River Terrrace Lot no.: Leo Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve 12.51 1,01705,01,1r1-5TIIK-71. .t0---iT'-'11.(1)'.:02 j.':".,PS.i:31.21,15.119ftedietkigs" Clothes washer 25.02 Can- ra-613 V t.2 °. 1/ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ,!,,,,,--..„..:,-„-Ar,',-;,-.1-.7,4#7,-*ii7-:„:01-1-441,'Mh'-',114'e:rililltrilikilf4ig„irifili..00142R:T-4,.. •:it::q.,...---,,,,,,,..„-,::::„.77 Expansion 'tank 12.51 Fixture/sewer cap :* 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal . . 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Fax:( ) Ice maker 12.51 Phone:(602)694-4031 /aterceP tor/grease trap 25.02 '444',,,,'''''''Ri'l-,R''''44L442:3:','.,itilmir• 'n'iltP,,,,,,Iiiiialit/iiiitiggiiii,Agligtk.'2'',,..',/ ;';':**.,'4';:.`-',1,'•:,`7:4,,f:.,,i'i:i titakr,i 11PANS,,e-t174.%,-,''''Ekitr.;''.Y.•44404544.404744744P'1~'--'''''''''.-''''''"'''''''''''''''''''. 'd'''' '' Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Int 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 Tub/shower/shower pan 12.51 Phone:(360)695-7700 Fax::(360)693-4442 Urinal 25.02 E-mail:Angela.Grajewsld@polygonhomes.com_ ,, 25.02 - woGrio4rtatrareif..,, Water closet Vsr.;'n,470:;:'.itjSfaiglli'Afkaisac4ffViqprlhrjlt water heater 37.52 Business name: 1-- t 1,,,,v.„,,n,_,v,„ „..-5,. ,,,,..__ Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: 5T, P arc, ell t3i Subtotal Minimum permit fee: $72.50 Phone:(sta.-S(4- 1'4(1 Fax:(4:11 -i--a, 1-i?110 Plan review (25%of permit fee) CCB Lic.: 18.13-7.2..., Plumbing Lic.no.Pt) (ail State surcharge(12%of permit fee) Authorized signature: 11; 55;r4t173t0441 TOTAL PERMIT FEE Print name: Si.fot)f.- F,w14,...e__ Date: -3b-I to This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 44o-mierti0/02/C01WWEB) IABuilding\Permits1PLMU-PertnitApp.doc 10/01/09 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17201 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 23, 2017 at 12:04:23 PM Record ID: MST2016-00173 Inspector: David Young No AC installed at this time. Finish installing register grills by final inspection, seal hole by line set in mechanical room floor. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17201 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: January 25, 2017 at 9:34:12 AM Record ID: MST2016-00173 Inspector: David Young Sidewalk at main egress not poured at this time. Re schedule final when sidewalk is complete. Not ready for final inspection. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17201 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: January 24, 2017 at 8:57:22 AM Record ID: MST2016-00173 Inspector: David Young Provide approved plumbing final prior to building final inspection. No inspection done at this time. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 17201 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Inspection for final completed Violation Summary: Tel: 503.718.2439 Inspection Date: January 24, 2017 at 9:57:58 AM Record ID: MST2016-00173 Inspector: Aaron Cillo-Gobel Inspector Contractor