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Permit (56) 11111 q CITY OF TIGARD MASTER PERMIT '. COMMUNITY DEVELOPMENT Permit#: MST2016 00170 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC05700 Jurisdiction: Tigard Site address: 13741 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: 57 Project: Polygon at West River Terrace, Lot 57 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 Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $230,080.86 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: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 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 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 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC VNLLIAM 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 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,481.76 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 *AR 95 -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. 1� _ Issued By: 4� `� i -(,x-" — Permittee Signature: �� ',4/e' 77G',\./. 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 37% /A e ' ( ___ 6 FOR OFFICE l 11:Ov1.\ City of Tigard � )Z ed '/Z9 /(o Pern. 2,44../. /4_,e0), d. _ �'� fx�l ;� IIII 13125 SW Hall Blvd.,Tigard,OR 97223 APR l 21 2016 plan Review t / / 0-41,62e7/‘-a9 ` / . Phone: 503.718.2439. Fax: 503.598.1960 DatrlBy: �l�01� I�4 Other � / 3/ 7I t._; h Inspection Line: 503.639.4175 i€ Daze RradyBy: ru<is: H See Page 2 for Internet www.tigard-or.gov NotiSe1/Ivfethod.f/ � . Supplemental Information ®New construction :'---- 0 Demolitions Permit fees*are based on the value of the work performed_ Indicatethe value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other. equipment,materials,labor,overhead,and the profit for the t s � S , �R r ?s work indicated on this application_ Valuation: 3s0 Jc ® 1-and 2-family dwelling ❑Commercial industrial o 0 Accessory building 0 Multi-family Number of bedroms: (. �1 ❑Master builder ❑Other Number of bathrooms.3 :14-.4::::r.;:: `;',,-°,27,.'i' , 7- 7:: e+; 7 t`a S r ` e4 7 i, '� £�"' Total number of floors: 2;,5 Ds.CI cJ.. P Job site address: / ') l/ S 1 New dwelling area square feet City/State/ZIP:Sherwood,OR 97140 Garage/carport area: .� square feet Suite/bldgJapt no.: Project name:Polygon at West River Ter Covered porch area: square feet;rJ Cross street/directions to job site: Deck area: If`j VD square feet S ij -, Other structure area: fa square feet d94� ,4di.';`2 `: 3,.. ! ms's ?t 'F m° Subdivision: Lot no.:S-7 Permit fees*are based on the value of the work performed Tax m / arcel no.: Indicate the value(rounded to the nearest dollar)of all aP P equipment,materials,labor,overhead,and the profit for the xa g r '" "` work indicated on this application Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet >7:-"5::-1.77,21:_::,44_.:444.4-A' , `:• ,;--- '-- Number of stories: - Name: 4 L / / Type of construction: Address:-TiG , • 1, arti_% 4 ,L A�J Occupancy groups: City/State/ZIP: ill ; 796 Existing: Phone: 0 ,/' , Fax(360)693.4442 New .5,4-- ,- yt-- ,; - x �1� �w��.' ...-� .77T, :. .,.v-'--"=-- '-----AE_ :at_ . - -u-4' 7lYB 1% 7 �, ..- s Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 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 Commercial and residential prescriptive installation of x c: ;'!''''-';')c ss 1 - i �n_.- ' �--- .''.:.--':-.1-.7';'''----''l_-: �-��,3���,. ~- _ _ r.-�-1-''''',„7/2--- �,�.�� -..��.. � �..�.- _°� = roof-top mounted Photovoltaic Solar Panel System- Business name:Yolygon WLH,LLC ),j �A,q.�r L ON /4, /A Submit two(2)sets of roof plan with connection details / and fire department access,along with the 2010 Oregon Address:109 E 136 Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver,WA 98660 Permit Fee(includes plan review 5180.00 — and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12/a of permit fee): 521.60 CCB lic.:207247 -" Total fee due upon application: $201 60 Authorized signature: t J 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 Building Industry Service Board 1:\Building\Permits1BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) -- i r Mechanical Permit Application City of Tigard < iyed 13125 SW Llan filed.,Tigard OR 97223 - • tSatG t3} Pem k Nn./Ys7�i`/_ /1/70 e ' tri, Phone: 503.718.2439 Fax: 503.598.19611 plan Review rkue>,i3 other Pettnitt t c, E;t) inspection tame: 503.639.4175 % . 1 2_�,� ea Internet: www.tigard-or.gov w mit Rrac€y'E3y, FF s S See Page 2 far 1 NotitiedNeihod: Supplemental information l.+ New construction Mechanical permit fees"are based on the value of the work < (]Additittnialtcrationtreplacement Q Demolition 0{fit} performed.Indicate the value(rounded to the nearest dollar)of all mechanical materialsequipment, ueS labor,overhead and profit. ` k �' �.ie;4. l � I r ' Vaalue:-,• -,�' ' .< ,,te '' : .., t +r 3 .. ,,r7 . '. , ,:? ; '. '. i 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Forsp,�frtthjvnrr�fortrTcc7lrarki� Q Multi family 0 Master builder 0 Other: Ea. Total ,{ Description � Ota', r ;' = .� ", i l , . i 'Ja4 r, fleatttngkooling Job site address: 13711 f S 1 j R '-P7► d °` ' Airce1conditioning0, 046 75 77 Vii 1 Furnace 100,000 BTU{ducrs.`vents) 1 46.75 City/State/ZIP: 'c^u f O O S. (91::2, -.'\C) 1 Furnace 100,000+BTL iductstveausl 54.91 �/ 1 Heat um Suite/bldg./apt.no.: Project name:,_poi tt l oipump 261,06 3.32 tAr/( /� Hyd work 23.32 € Cross street/directions to job site: �� ,r-C`Y liydranic hot watersystem 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46.75 I Flue vent for any of above 2332 Subdivision:River Terrace �" Other23.32 Lot no.: Y Tax m ap/parcel no.: Other fuel appliances: Tater heater ler 23 32 '° k � a � �a fktat �� � ra�� ' 3334�.. .'. k>,., _-_>� ' , � ~ re vent for water heater or gasHYAC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove ' 3339 Wood fireplaeefinser€ 23.32 /linerifl urinev ue/vent 23.32 Other As . t ° .,._x 4W ice. ` 'fit° " W; � ' 7> 23.32 '' i ntirasmea,al extra and ventilation: , ALV _ I i 'tca j, �j. Range hondlother kitchen 1 Address:1 •at^'�✓ 6ay Cloequthes . . 33.39 Clothes dryer exhaust 33.39 Cit fS:; ( , / / Single-duct exhaust(bathrooms, CitviS[ateiZlA7 / toilet compartments,utility rooms) 2332 F (put ' ( Attic%raw s#a 23.32 �_ ;� �._< . _.�'e yr tit :^ ,iia i `d 2332 Business name:Apex Mr LIC Fuel piping S14.15 for first fear;84,O3 for each additional Contact name:Staei Bay Furnace:etc. Address:2210 W.Main St.Suite 107-272 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax: (360)326-1764 Fireplace Range E-mail_statil4apexaireo.rnm ,.,, Barbecue iL .,;, ,° l ,-,;„,,,,,,,,„.„,,,,t r :. . . r � ., Clothes dryer F Business name:Apex Mr LLC Other Address:220 W.Mara St.Suite 107-2721. n '.; e`. _ ° t . : . Subtotal City/State/ZIP:Battle Ground,WA 98604 Minimum permit fee($90.00) Phone:(360)3424109 Fax:(3£0)326-1769 Plan review(25%of permit fee) 1 State surcharge(12%of permit fee) CCB lie,:203034 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within inn Au[hc3rircd signator , ,/ days after it has been accepted as eantpteta. l✓ . Pee methodoto :set by Tri-County 13uit titig IndustrySerest Roan! 1 Print name:Staci hay . � Date:1/28/2016 1. €:<CtaitaimepcxmiiYME.0 Pcnnii,spp_040113F dac _y.... 440-fee7Ttt€.i3"'..C'Oti£3t EH1 a di � �� a > tuR rtcriSIrt\i y � , .Sr OO/'1O I3t25SWRfftBiyd�Tigard,OR97223 ,t „�. Pi bne 5 31s 439 Tac."263.59.19i6,,tl` ' {' ' 2 L;u Da(e1By Kctatc i Pemut K. '` lnpaehon3 itto:�3113 639.4123A y Bp tcmr iri KPnyzt fog TIC R U "jai Cd7iEt SdpptemenfeT[tE'armnfron �"� s '� -t . t SAT . ° ,. x �1� el y .uagd du - n£ a • w `r, taii QA ,,,,, r�re tcplat Enenl Tt �}tl f pty escar pt.nswrtrn�r u u Q I)uttvltG� �Otlicr •9S taodadoo armorb fur` '"iiiovulhu: i ' Plumbing Permit Application ,--,„ Building Fixtures City of Tigardr Received IS 13125 SW Hall Blvd,Tigard OR 97223 '; i ti) I3atelBy: Fend %1/.5 7t No.: /6 (20/70 a pian Review Otho Permit No.: Phone: 503.7 i 8.2439 Fax: 503.59$,i 96Q. `Datemy: I t G:\1Z L7 Inspection Line: 503.639.4175 + b‘te Ready/By: Jutis. B! See Page 2 for lntemet: www Ltgard oT goV Notified/MethodSu tementsi Information Neto construction Demolition For special information usecheclFditL Description I Qty. I Ea. I Total ❑Addition/alteration/replacement Q Other New 1-2-family dwellings(includes 100 ft.for each utility connection) ?04'a Oz2 s ' t A, (I)bath .. ate .. ... �:„ m �� SFR312 7© 111 SFR(2)bath 437.78 1-and 2-family dwelling II Commercial/industrial D SFR(3)bath 50032 Accessory.building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.fl.) Page 2 r, i=i t a - a- is it -q Siteutilities- , basin Job site address: /31`9 i �J V O! 1 !L ''‘ e Catch basin or area drain 18.76 /� t)rywell,leach line,or trench drain 18.76 City/State/ZIP: �Q r i\� O Crl-k L` C J Footing drain(no.linear t:_____) Page 2 Suite/bldg./apt.no.: Project name: 99\1 I"I I n15y\ - �f � Manufactured home utilities 50.03 L--)Cross street/directions to job site: ,fe '_i /� Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fl.:_) Page2 Storm sewer(no.linear ft: ) Page 2 Water service(no,linear ft: ) I Page 2 Subdivision: Lot no.:�� Fixture or item: Tax maplparcel no.: Backflow preventer 31.27 � . •', : ,,. . , ; Backwater valve 12.51 a3 t t ,. -� fiw . . , , . . clothes washer 25.02 t tDishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 I> ° ; ' .. i` h„k w ,4- Expansion tank: 12.51 Name: � , ' ,��,�r Fixture/sewer cap 25.02 //fJ/�J Floor drain/floor sink/hub 25.02 Address: E 0 0 � � Garbage disposal 25.02 City/State/ZIP: ST Lose bib 25.02 I Phone: i iyeitthrFax:' op `D` U L Ice maker 12.51 interceptor/b ease trap 25.02 Medical gas(value:$ ) Page 2 Business name: 1"-t--4 e 4-se l -1-ri r'440‘, t.k., r Primer 1251 Contact name: r --/ Roof drain(commercial) 12.51 Address: 2( „ 1-.),---ic, Sink/basin/lavatory 25.02 City/State/ZIP 'y .1.% 4„,..\ t "I C Solar units(potable water) 62-54 T 3 Fax::( ) Phone:ell i ) �..p ,. t ' Tub/Shower/shower pan 12.51 E-mail: 25.02- Urinal r " .02 Water closet 2 s.9 W.--1-1--4 .�,. ' ... � water heater 37.52 Business name: I'c... -`vt(' CAA' f(tv,t AleiAH irA A 1,1-.0 ., WaterpipingfDWV 56.29 Address: Other. 25.02Cr CityiStatelZlP: - Subtotal Phone:(C")..1) q./13 r Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 2,D j .4- 1....,,,,.._ ,,. f Plumbing Lie,noAi f 1;62_ � State surcharge(12%of permit fee) Authorized signature: TOTAL PERitiTf FEE r / This permit applkatiun expires Ifs permit tt not obtained within 180 days Print name: ,i+ #l tL'..1 ;v' r , Da� 9 I(14r.. l ' '� � ( � after It has been accepted as complete. 'Fee methodology set by Tri-County Building Indnstry.Service I;' ididiaaTero is;PLEB;-PmnitApp.duc 1041/09 440.4516r(iO4VCO.M/Wru) I City of Tigard A COMMUNITY DEVELOPMENT DEPARTMENT IN ■ T I G A R D Building Permit Review — Residential Building Permit #: /1-457720/6 --- (7 p j 70 Site Address: 131(-1\ j iti '' SW 172nd Ave- Project Name: polygon et+ Wes-- Rive( Terrace, Lot #: 57 (New elling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: nQW SF Verify site address/suite# exists and active in permit stem. River Terrace Neighborhood: E No permit See River Terrace Review Addendum Attached Siy6 Plan Elements: 7hree(3) copies of site plan ,fisting structures on site Ni/Site plan must be on 8-1/2"x 11"or 11 x 17"paper [ Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations L1ANorth arrow Utility locations (required for new,may apply for additions) '�/Site address,project or subdivision name and lot number N •cation of wells/septic systems LSO}applicant information(name and phone number) ►'Erosion control(including drainage-way protection,silt fence LILot dimensions and building setback dimensions d tgn,location of catch basin,etc.) 'Lot area,building coverage area,percentage of coverage and treet names impervious area(applicable if R-7,R-12,R-25&R-40) treet tree size,type and location gProperty corner elevations(2 foot contour lines if more than xisting trees to be retained with drip line,and tree 4 foot differential) protection measures $Clean.Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified $ No Received: ❑ Yes E No -l- Public Facilities Improvement (PFI) Permit: �/Required: ❑ Yes,applicant was notified e+No Applied For: ❑ Yes ❑ No,stop intake Li Land Use Case#: ?UM-01S- 0003A 41/Zoning: R-1 2/Setbacks: Front 12' Rear Side 3' Street Side — Garage 3 i Landscape Requirement: 20 Yil Lot Coverage Maximum: b0 —�' uilding Height: Maximum Height Actual Height �/Visual Clearance NJ Easements $ Sensitive Lands: ❑ Yes '$No Type ljrbaForestry Plan n onditions "Met"prior to issuance of building permit Notes: Approved By Planning: - d i f/Q Date: J4`21116 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:ABuilding\Fonns\BldgPennitRvw_RES_012116.docx I' y. Building Permit Submittal Original Submittal Date: 72i/" Site Plans: # .j Building Plans: # j Building Permit#: E Enter building permit# above. Workflow Routing: ErPlanning Engineering Permit Coordinator ©Building Workflow Sign-off: El—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: 4,4,4‘,„„e. Date: '/ Z Engineering Review Slope at building pad: / d ❑ onditions "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 Approv d lye Engineering: Date: Notes: .r� i� Oi id 'i AII Approved by Engineering: / 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: C _ C a � Date: 5- `F- 140 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: SDC Fees Entered: Wash Co Trans Dev Tax: g. Yes ❑ N/A Tigard Trans SDC: , Yes ❑ N/A Parks SDC: Cg Yes ❑ N/A +Ws K to Issue Permit Approved by Permit Coordinator: Date: -9--27/}1 1:\Building\Forms\BldgPermitRvw_RES_012116.docx Is City of Tigard IIII COMMUNITY DEVELOPMENT DEPARTMENT T l G n a D River Terrace Building Permit Review Addendum Building Permit #: /'Si r,,,�p i 6) 00/70 Site Address: 1 -1111 Stnl 112nd Ave Project Name: Polygon a+ WPc-1- Riv ex(New d ellin subdivision name;Addition�Al���o=last name of owner) Lot #: �� g=: Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards? ❑ Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing 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 ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 31. 4 % 3. Entrances:At least one entrance must meet both of the folloying standards: facing wall W Parallel to street,angle no more than 45° from street, liMax. 8 ft. setback from longest street- Entrance opens to a porch: Yes ❑ No or open onto porch X71 If s, all the following apply: fi(2ing 1;0 5 sq.ft. min. /One street facing entry 2 ft.max. roof above floor of porch 5 ft. depth min. LTJ 30%min.porch roof coverage 4. etailed 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 R Wall offset min. 16 inches ❑ ormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ Roof shingles either tile or wood oof offset min. of 2 ft. ❑ Roof pitch oriented south min. 500 sq. Gable,hip or gambrel roof design ft. 0,1-Iorizontal lap siding min. 3-7 ft. wide ❑ Accent siding min. 40% of street facade V 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: o\\Q-31 o closer to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): \,00(\%1‘ ,0 %1 May extend up to 5 ft.if there is a covered front porch and garage ) eyond the front orch. ❑ May extend up to 5 ft.where the garage is part of two-story building and there isd a window t the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: 1 Approved By Planning: `� l �_ If --StlY!Cl Date: 1-1 I21 16 I:XBui l ding\Forms\BldgPermitRvw_RES_RT_°31416.docx Plumbin2 Permit Application, _,,,,--,T, ;,,--r, Building Fixtures FIL--, 1,.„ -ii,q '',''''"4 ,'-' City of Tigard SEP 15 2016 RecDatee-i1B.vedy: IO/e,nee ,9---- Permit No.: 1,,45-20(6..O0%lc, II . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit No.: : N Phone: 503.718.2439 Fax: 503.598.1961917-v 0 F -1- (-7-ip,.:AD Date/BY: JIG r 11 Inspection Line: 503.639.4175 r.,‘..1". 1:!,,,N 1, ,...,,,,,,,,,,„-)N,Date Ready/By: Jura: I la See Page 2 for ''-*. Internet: www.tigard-or.gov 0 UlL U',1',..'',,,: ,..7.i• '..,-..:: ‘.:`'".,,,,-'i;,-,'*,' Notified/Method: , , Sopplerhealtat.r1,o!ornattioaxat ;'1;".!1"917'.,'''."'''',,E"-18.,,,IIEro"':rfr,it-"$":1044,401111411,414tift: tbititrittlANKRINII:4123i,-,-4..-4,',..ji.!:::,st i k.1 ,•.,it'll',:,,,,ViAirelgiBhkdIF:bf,ifVi9F4 1775-4"11''''''.2:2.1111*11111'4104V:ill°211;17:1'2:'•f-''''.:' '''..1.:-'''''''''''''''''''-''''''',41144,,,PJ'''''&19.46%''.4-44144.12S150. gibtr.A.44,•tiaiLVIVAI..r,•••,:$,L,f.ii•SR.m.:.14'••••..••,.......,• -T.••-.••.-.• ..,-.•••--• - '''''IrIVIll'::4441'6114121*5161"466147-'411:442-''''''';'''4"P"14:4' New construction tri--Demolition---4..g-'.---------- ----'- - For special information use checklist r...„ Description * j Qty. I Ea. I Total 0 Addition/alteration/replacement Li Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ' t..,nli,,,piii,i,.. .F.1,,,r,h..,;',.-1-itiiPt433-,BRIURI.,,,ii:iZiStiyali:41,54.tinizziiv#2,41,12iir tnitignaltilenir..7:ire:',i,F;,4,.*c'..A.th,t:,',:-.#4.;I,t,ex:lijA.:,.'athliffillatilleinalltig: SFR(1)'"" 312.70 H- 1-and 2-family dwelling 1.--1 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 .-mi RI:144!. . .5t-,. ,D.i,,T.p.,„N„4F.,„p,...jiiii.,Hlii,„ihr„Ia sire amides: tlt,t„titAtti-04,tistaittolittizie t.•tt t,t-..tti t i t, •:'.;,71,..,t)!4."<O.'''.•L AN'iii ..i.v.&?` • .. '..",,TlekiiiimligiNAAAIR-0;314 -AiNt*gqi45-11-filtif4,41riiitill•rd'Otr'''r,--;•,,,,;•,,..:4'''!.-FA.,L'• '.6,....R.F,••-....i•MR•'.1,4.0,,,,,....,,,I,•••-,,,-,,,,-,,,-••, .---.....-- -.-,,--- Catch basin or area drain 18.76 Job site address: I-6-741 Sw t--12.na 4\ve. Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_2 Page 2 Suite/bldgiapt.no.: Project name: alifilZ4t 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 paftivo 441- wesr Water service(no.linear ft.: ) Page 2 Subdivision:f4t :er*eRiver Terrrace Lot no.: S7 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: _ .. ''''''',,,,ARliogroliorgzipiatirgo4i .,,.. „Taaiutim,o,„ii,:igt,g,FRiagTggvtitjp„tijK Backwater valve 12.51 Clothes washer 25.02 "---6:60frdd3r e nof-- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 . Expansion--.- tank 12.51 ,„7-,,,-,...A. 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 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 interceptor/grease trap 25.02 ',''''''':-*-nd"'”:,::**7----',PRA-..4:-:, "i ' :-,,•- '''6" Of•SP'0:Vil44FlingiArgi .;111Eitr.•:, ,,,'.11..4 6,?.4.a 4!..,:l.,...,tt;,...!).•ffilaillilt 145.104-‘104427::'''''''''''''''1"•.:'''''''''4t4rA'''''''''''.4.4'''''''''''''''''''-''''''''''''''''1/4'.-- ' .' -- ' - - - Medical gas(value:$ ) 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 12.51 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan Urinal 25.02 E-mail:Angela.Grajewsid(kpolygonhomes.com 25.02 .?', a,i9Valigllititirmi,1011412,,A94git'a14,,,,lifit Water closet • ,11-It'lfitilt,'itillr4ird!ilifleriliT,0.APA14,1141;11.".:%-6;1/„.4.11-*„:„`,-,,t-k...!:',";34'41N454.mitarliotAmMistoiiixg:HgaiRrsitr,,:-B-, Water heater 37.52 Business name: 44....1 k)4ivA j, is ,c1,4-5.004, 34L- Water piping/DWV 56.29 6 m Address: 9.0. 01.2. Other: 25.02 City/State/ZIP: 5-r, e 4444 cylv,... CO 131 Subtotal .. Minimum permit fee: $72.50 Phone:(,,,,T.b.,3- (& - 1441 Fax:(ell V .0-741-e.114' Plan review (25%of permit fee) CCB Lit.: iggf 3-a, Plumbing Lic.no.fb (all State surcharge(12%of permit fee) t Authorized signature: 4..101 CI ...,. i -C)‘°6. "*".'--- en, j TOTAL PERMIT FEE Print name: ,Sq"f,tit, IV I4_€.. h 1 t., Date: -,.)- "'"- ... This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1Buildirig\Permits1PLNIU-PertnitApp.doe 10101/09 4404616T(10102/COWWEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13741 SW 172ND AVE, SHERWOOD, OR, 97140 March 6, 2017 at 10:27:50 AM Record Type: Record ID: Residential - Master Permit MST2016-00170 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Provide separate permit and inspections for AC installed without permit. AC not part of this inspection. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13741 SW 172ND AVE, SHERWOOD, OR, 97140 March 13, 2017 at 10:18:21 AM Record Type: Record ID: Residential - Master Permit MST2016-00170 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections complete from previous inspections. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13741 SW 172ND AVE, SHERWOOD, OR, 97140 March 15, 2017 at 12:55:00 PM Record Type: Record ID: Residential - Master Permit MST2016-00170 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received High efficiency lighting form received Insulation certification verified Blower door or duct seal test certificate received C of 0 left on counter. Note: corrections completed from previous inspection Violation Summary: Inspector Contractor