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Permit (70) iiii CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00171 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC05800 Jurisdiction: Tigard Site address: 13753 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: 58 Project: Polygon at West River Terrace, Lot 58 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: 24 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: $232,139.51 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: 0 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 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: 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 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 on both sides PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,506.52 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / ✓ ?-121-1-C--- Permittee Signature: /XI /QG./('.f/70,1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r Building Permit Application 1- of T , - '• .:f rf�` it X City of Tigard Received �// SiDaty/7 � -- -Permitrx/71 II 13125 SW HaII Blvd.,Tigard,OR 97223 a G J +}U i6 Plan Revievt /C//• / other PerraisFid4q:2/4 2 /`?5....Phone: 503.7182439 Fax: 503.548.1960 T.;.6: L Date/By: b T l -r h Inspection Line: 503.639.4175 ,,t Date Ready/By: {� --Iwo, See Page 2 for Internet: www.tigard-or.gov 1 n,y' € ,,, % Notifed/Method:/ �Gj i Supplemental Information ✓ # ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the .a. 7.- -�� - . . - work indicated on this application. Valuation: . / ®9$ ^ ..� ' I ii® 1-and 2-family dwelling 0 Commercialfmdustrial t� Number of bedrooms: ❑Accessory building 0 Multi-family ❑Master builder. 0 Other. Number of bathrooms: i ��a y. '.. Total number of floors: 2 a t 1 C , �:�3.��i - _� �..��� ��� I New dwelling area4. square feet Job site address:/3-753 svj,.I 7zpd Pl ie _ _ ., _,� City/State/ZIP:Sherwood,OR 97140 Garage/carport area: 1 1 square feet Suite/bldgJapt.no.: Project name:Polygon at West River Ter Covered porch area: `11 4310 square feet/J i-j.9 Cross street/directions to job site: Deck area: ,A square feet cgirifj Other structure area: fa square feet Subdivision: Lot no.: 58 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 rr' . , ' '° l .V .,Y . .fiTii.-: ; work indicated on this application New Single Family Detached Construction Valuation: S Existing building area: square feet New building area: square feet a `� M, ,11 c" Number of stories: Name: .Lv LQ4 �1/l - . LL(, Type of construction: Address:' (A U �� 41 rN t24 Occupancy groups: City/State/ZIP:PP )5 a / ,t SS v 1 Existing: Phone: /0 -, i/4 lit, Fax(360)693.4442 New: Business name:Polygon WLR,LLC ---.,_r^ - , F.n`471-- ,--;,'.-i . —,a _. �,� ,o ,...:--...M Structural plan review fee(or deposit): Contact name:Maggie Gordon - FLS plan review fee(if applicable): Address:109E 136 Street City/State/ZIP:Vancouver,WA 98660 Total fees due upon application: Phone:(360)695.7700 I Fax::(360)693.4442 Amount received E-mail:maggie.gordon@polygonhomes.comm..-,-- :,-:.....a.7:-.,-...•,-..2� , -.0 - ---� - Commercial and residential prescriptive installation of .._,,,ff ":.,._ , m . .,>F� _n g� 4f _4 t-. _ -_ Ma-'2: ---'1;;:--,'.., .f, : _ roof-top mounted PhotoVoltaic Solar Panel System- Business names Jaron 2 /4_14.4./'7 Gxe,,) f l,,, , /�� Submit two(2)sets of roof plan with connection details /t/ C7C' and fire department access,along with the 2010 Oregon Address:109 E 13th Street Solar Installation Specialty Code checklist City/State/Z1P:Vancouver,WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:li(360)207247 695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 01......„ i,'/CCB Total fee due upon application: $201.60- Authorized signature: V 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 TriCounty.BuidUiB d�y Service Board. I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) --- Received City of Tigard wicar Pt'n't14(Vii-Ste,20/6—,00/7/ Phone: 503.718.7439 Fax: 503.5911191W --- ' • '',- , '-i 1A... D,,,,B,_ Other Permit inspection Line: 503.639A175 . Daft peady,iny; Awry 0 see page 2 kr . Internet: wwwtigard-oraov - ,..,, Supplemental Information Z.0 b 'el:rfP::::#*PPlie:::::Pln#X!:fAW:?'4;:408Z:: :?:fWVMechani1 peir feesk are based on the value of the wrk New construction 0 AddiliOritalteratinnireplaCentent- ' •' '?'`" ' performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit Value:S ' ' ' " '' ifteloi.-Ar.*Oitiettitkl5,4:(4•'''',.-I,‘ON:, 14-:1 -4;.. ..";,. .ii,.--,4..,....-..,— ....-. ---,„,--„.0*.ovi—,#,,low,„v.,:..... -'::'..,.:'1''';':'1:;-:''`A':'"::'A"Zi:StFA:4 -0.",,('„,••,.....,.. .,,,,,-.>:.... ',-,...,,,,,,,,..,...,'',',.:,..„.,,,,°ft;,W1-,t,-,4:W.*,, ,r4. '-',",nt - --"'-:,:L,,,,,,,r,,,,,,t-:'i.,,..:*,;;.:,':,:%."-'41,9,!..4..:,,'4.:1','.!..,,,, ,. .,,,,.,,r''''''il'e,:i.7,t- 0 I-and 2-family dwelling ID Commercial/industrial 0 Accessory buildine. 1 ' Forspecia;;I;eur-arhur use—dtedflo: 0 Multi-family 0 Master builder 0 Other: , Description I Qty, I Ea I Total • ...:..,.:',.f..'-` ,-..;•::::•:••\,`,:;;;'.. .-•'..'''''riit),***-":':r-:',:•:41'11'!'•.';'*1.4'''''"":10:64-0**.;;;74k,•:,,k,5.4,•:.. .„,. .7' lleatiarfrooline: • Job site address:i 3-753 s\Ai rrim v t..4,. . i . Furnace 100,000 BTU phlox/vents) 46.75 ,,,,A, 4A City/State/ZIP: 1.--,„4- , 0 q---+„\4(D 1 Furnace 100.000+BTU ideas/vents) 54.91 Heat pump 61,06 Suite/bldg./apt no.: 1 Project natnc.,po4tyl CJ- Ul..)04- Duct work ' 23.32 I Cross street/directions to job site: 7)31_41--(4.(I) Hydronic hot water system 23.32 1 ‘.. Residential'boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric). in-wall.in-duct,suspended,etc. 46.75 Flue/vent for any of above 2332 I .sok Other 233-7 I Subdivision:River Terrace Lot no.. Other fuel appliances: Tax map/parcel no.: Water heater :-. I 23.32 ;,::::::,,';'::-;:f4.-'-OV:77'.Zaiit., :isia''''''!,•i.itZlill'-'1:';;S:i!".17:4'':.:iiii:!-Akif;,4t.;:';:....eirq:.'''''=7**S Gas firePlacentsert 3339 - -,"-•:.'titt:,,,x1,2,-78,. .::::‘,:k.'"=•;!", - --i Flue vent for water hearer or gas HVAC fireplace 2332 Log liahter(gas) , 23.32 Wood/pellet stove: : 33.39 Wood fireplace/insert 23.32 Chirrin /lineriflue/vent 23.32 23.32 '',.':'•:-..:".*. <„,,Ati,-1,4'''.,:it'r.''''tl4i ,,, ,t,V . .:14i..W7, earl'''M'rx-'''4.'ti.SV,,nrili, Other . - - . '-----,,---- --- ° -''''- ' : '''''Ll'''' "''''''''''''''''''''.-'''''''...-'-`-'' Environmental exhaust and ventilation: i Name: Att,11 ' ttiCli _Cuell Range hoodMther kitchen equipment I Clothes dryer exhaust 3339 33.39 1 i Address: q, itetV ....0 (II ‘9.110001 110i0 Stoingiletk"duccomparnneni"haustst!uibathn"rnsdity moms' 1 23.32 i City/State/ZIP: cbit vi=1„. -- tiS Phone: .) ---, thi.,i — 0;1 Fax:i( ) Atticierawlspact fins 23.32 Other . 2332 Fuel...,...Hir.: BuSiness name:Apex Mr LLC P ";41sis for ant tour;sto3 for etch additional Contact name:Staid Hay Furnace,etc. i . 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)342-8109 Fax:::(360)326-1769 FirePtaceRanRe ,. E-mail:stacib*apexatreo.com Barbecue '- ''',i'"..,:a'e.'44.;:-*':... ''''',=.4'.':1' ii,'**VV.,':.::,.'•r-i'Ver''''''1•''.: -;r1"•ritr*leMAPgl'''-'‘A::•''44 it''''.401FaNle` Clothes dryer ) "',- '''''' ''--' '"z--,..-"''=": k 4,:',,N''' •=t•.: -.--:,i..."'J.',',,'.,=/'y-4 ,..3,,r.nt,',.,-i,'.-w.,!,i.;,..:.;.,.,,,r.1,- .,,,,,:,4.(Atf,,,,zaw, -,„0,,,,,,,,, (gas „. Business name:Apes Air 1AX Address:220W,Main , , ,(::‘:;,',:,-Z.,c, .';';'..i.; St.Suite 107-272 I Subtotal City/State/ZIP:Rattle Ground,WA 98604 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of permit fee) I CCB lie.:203034or - - - •, TOTAL PERMIT FEE 1 . This permit appiimminte expires its permit is not obtained within itte / • 411104 --":'°:.- days niter it bss been steepled as template, ... Authorized sig , ,. r LApAprfe::„ja// • . Pee methodology So by Tri-County Budding industry Service Board Print name:Mimi hay . • Date:1/2812016 t 4,461‘1*1.emit*AIEC_PcnnitAppi40113 siac 44046€77(1 VOIrakitiKEtt) n. Pc t, t ,l _ . ---z T 1 err t.ft x �cr yrs ", 131253w,f141$t 2,., ` ro nqy` n k'"a'tq e/w: 17 Y Ttcne 503715.2439 Fax.3$3.59x1480 ', ,,' `) u I i ,P t" nve.gc" Tic n U +eedortLute.:` 03.639..175 Da dy Ytetatat Pen�ot" tL tigazd:Pr.1oY etbod :::,!#:#.5,--- s p 4 Polio I roe -.J 'va ) 's eniatnfml>lIlOb 1 ' 'i,WOYti •. cam.$ " . s 'x71 r> It. i a ' h "dittankalrerfltlonri 1acetm ciit r ,"1`°` '11871701`°, � ':?'tcaYtcTud�aO[dia���x(lu�tlrtsaeiswililanxitimscdretce:dl• � etnoitfitxi .1it r Os�o,,{,��or 1oodcdot s�.' . '`lt _ y f whom th0 avm•Ltbie fav�eenl 0 Mutpss mrd boa rdsrdsozres.. t d-x w `. .. exceeds t 000 nn :ti.-,04i#444:(440,' '..c 1-and 2:family dwellntg T]Ca'omuteci�tairiadu o,y g less to tjo uid.o reuets t4 000 w 0 Comurereial-iiu agiwlturaf i f-Y , Q Access 'bttitdfn t_!,h[ttlii fHtntly master bUFtdt F Q 1 t1tEf amps for al other1.04lario is. Em, OFuetsump 13tos Hoaof3SOK:VA or- � 6:*.S1T p#'tA ti A# 1:1,eiktft>F±f 11 mer �f tt 'fU�tem. lugeiseyarotetydriivztt 1 7#b Site add[ess:t:777.--,p..—,1c35.160_71✓ D�ddrswn oi,#w motor io.a of mte�n • • • • top or.oie. CHo 0 A ,,£' �, 1•3", t}!�StB€dZTP ShCt WOfJi1 d3 ,9,7 Ail Clsirot b enscdeutTai uuds: o etip acy, a�tL ��ta7 v� _ , - - ❑ L#10hCird{afi{lriW. �� :s,:p n9€Ycio.o4 6, Pit.I , Project name 1ta4asilonstocatitias 0 "caoltageformomShan Cnosss eeNdiFeettoris" ©Sen9aarfeedartip0,. orm .:;P1,00,1-04,7.0.i, to job silo: t m .� i:Oh"i Eild, 1Tons . 1:°- New residential single:or mulct;Fatallydiselling nuie. Subd vIstom River Terrace. 1 i of Y: 1srI des mtlacltadgarag Tax,rt pat' , 3;006sq.tkurless ,a r t&8 4 r , pE Ftt)> � (k iif" . &a atoll itiAIf fr 6r pn tioA 3 33.22, i i tttglt iht Limited energy idenUe7 linUsabbvesq,`R) j : 7390 2 Limited en y multi-fatuity 75 c o „res iiiiii ai(with above sq.tt) • t r ., ReuetvableErie 2 t.; , s:1g•5 ., Q,TENA.1d2' ` Le See .and/ N 11/ ` a g i1 ,s Se rvices or# rs€tistaltatioti,:alteraltmt1 0.70 irrekoeati Address4 i y �1�1��L11 ��1'�� .d„.,,, �J o,nps lodfl©ntaps 10070 �i 11�_ � � T33:56: • 3: lel 601: tP 1 ODD a "" Phone , I — •--14 ,r. fax:(.' i .., 52 ai 2 ***iitarvntts' sa 'g•` 2 gailiL: p ar servim-, irtcederslitatalfa6 Tam :ii *,iilki4tibii,and/or 4wna instaitilt sn This ict taila6 is hent it td'apt ro rthication ant faraatc *066014 g i?..p Y-stair win*t; 20om4orIts" s9 7 or cxchaitge,aeco ding ro.0)...;,s,•44.1.,,449;,G70,. nd 74.t. eat amps rn Owner gtmhn� 125.08. 2" mate' ,01.11mps to 5998 o 7683+1 It r.ANT I...--,.,:a--,,,---,-...,_ (ti CONTACT PERSD1tf Branch circuits naw,altettition,orextensi oaa erpanrl 2 $asm t> artier Elec tic Washington,LTC A F ce ifee,` Service tr ro, Contttidnames[till00,0els rtxartdtcitxtit 7-' 2 H.Feeror b anch':circuitstrnh d Address:-6101 0.M Jo�ns,Rd b tc}rcr uit 1• -Mid:' 5.6.3.g- 2 �Y atoll—P Vancotuver WA 98661; Each add']bran?circuit; 7.42 ,2 Phone 820=6371 --.F.;(7, Miscclladeou's(servlee or feeder not nclnd' I :( ) 1 Sb mat,tit ucd or tnoilttiar eti} $mots b duttet gwrnau zPrtt dx Iflne. ice o dtorfcader �?8�1 2 t> er � �,.,-gra . .; - `1G0 6W_ � � lu'1'RAi.�t.itt Ite<smihe�otliy 2 Business Famc Garner Elec tic Washington,LLC 1'"' 'dr mine ionoircic: 1. 6x 84` 2' Sign QraudutcYiShmtg• 6x8¢` a Adm 61.)3 NE St Johns Rt[ S' Ks?ar tFwta t energy t�ltel&iWaSoa tyrextct 0 SetYig6 2 EahScdbwnalinp €iorxtebc7uatyoft a above dpancvrWA98 o - A� l Intio ( hmust) d�25 hVu Roe 320 Fax-( pp(1 hr in) 90 00/Iw Bmaii:101taiiels g,ensa.c•a h duatrial plant(I luso) aS 18fh: C LlC C1 S$ �for whlchnal'eeis 90 0W echtcalLie:20817 Suupr I is 4496S ct6rflly titled(34ltftt€at) Supry Electttctan signature,required; t / fit " L .� #T,IP ¢&5 Print attttae Ivan PAthgt Subtotaf " r Date: ltIlti) 0P -'-'iewRtequiied(25%ofpetrajtf j. Autitrtrizeii sl8rtatt�tE ' �: €iii;,ai urge 2%ofpta isit fee} . TOTALPERMIT . 1 PrFu(tprttme;,Billfi i t 1$ pptic&iea " Date: Tisipe ntltr ,rmritapeiirilri entoblernea4vsne;■tsa l( 1I1 dpsaietr#tiurjixate7lsxbpfet i Fero4AtA=t Eit dan Rtv4s±fTatriS mberofiissposiio nallowedl P ,t ! "40.4q;3(lt!l1*tpl iyEB. 1 Plumbing Permit Application Building Fixtures City of Tigard Received Penni{No.://...(7-020/6-D�/7 f 13125 SW Nall Blvd.,Tigard,OR 47223 9 v '0.j'1,(1.i, PPlann Resew / Phone: 503,718.2439 Fax: 503.598:1960 Date/By: OtilerPermit 14°.: {'{Z;y}�1) Inspection Line: 503 639.4175 Date ReedyA3 Suns• lil See Page 2 for Internet: www ngard-or goy 7%4 Notified/Method:, Sup !amental Information • ' , °'> iTi , a' '0"d: 1 .-:10, t$ - #4 zap 6;a1� , " x IJ Netvconstruction IN Demolition For special information use chec7Ftist Description I Qty: I Ea. f Total ❑Addition/alteration/replacement El Other New 1-2-family dwellings(includes 100 ft for each utility connection) m €r f .*,.r ',,, mac zfr- ", , h 7.' . ,F 81 SFR(I)bath 312.70 1-and 2-family dwelling al Commercial/industrial 0.°4, SFR(2)bath 437.78 SFR(3)bath 50032 ❑Accessory building E3 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: - _- Fire sprinkler(- sq.ft)- Page 2 . ... �t x v 0'.. ..14,1 s s s f ' Site utilities: Job site address: 1 Z7 53 Svcvp / 2 1 JCatch basin or area drain 18,76 /--1� Drywell,leach linesor trench drain 18.76 h 9. City/State/ZIP 1\,,)0 10 O� ai1-'l.` l Footing drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: I Project name:• Pbl n6Y1 l,. � ViL'� Manufacturcdhome utiliucs 50.03 Cross street/directions to job site: U .� e�(1(j,/ /1 Manholes 18.76 �`�� Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear ft.: ) Page 2 Subdivision: Lot no.:( Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 -. - Backwater'valve 12.51t a ! '1::2,4; G7othes washer 25.02 � n y t�W n'ii_im Li" Dishwasher 25.02 f Drinking fountain 25.02 Ejectors/sump 25.02 t t -47, 17b:;4,"--4V-1,4"4' rte--: Expansion tank: 12.51 Name: �Y Fixtorefsewer cap 25.02 ` Floor drain/floor sink/hub 25,02 Address: U Ciatbage disposal 25.02 City/State/ZIP: CAI _ Hose bib ��� ���v,y 25.02 Phone 11G-� ,• -,4' ? Fax • ,D ko(}� r L Ice maker 12,51 _" - ,max' 4 '"-j , ° :.. ' t f ,' Intcrceptorf case trap 25.02 Businessname: Medical gas(value:$ ) Page 2 1,-.1-,i ,v_,4,r)`t,,,i., j LL,.NIN 1 v- l.Jq t- .e Primer 12.51 Contact name: 1 V.:i» tea ..>Y�'^t, } Roof drain(commercial) 12.51 Address: Pr) D''4- 1-)...)-t Sinklbasiis/lacatoty 25.02 City/State/ZIP: ems,,_ei,.,, ;‘ ( '--).().S.-0 Solar units(potable water) 62.54 Phone:E:111 ) . ct" .T3 Fax::( ) Tub/shower/shower pan 12.51 , Urinal 25.02E-mail; } ' , C.', rt} ' > f� .C.6). G)1 Water closet 25.02x . , ,. :',! a q :! ):" £,-u, -z. Wateheater 37,52 Business name: k i t' I/..Yy"s,r-4,41 P(tAon(A)t-ti{ L.,, . Water piping/DW V 56.29 Address: 1,0' G lD I• 13 7 ;} ;� Other 25.02 , City/State/ZIP: yxstu-v/1 . 9' )L ' Subtotal Phone:(9')1) fax, -q"//-3Fax:( .) Minimum permit fee: $72.50 _ I D 2-- an review (23"fa of permit fee) CCB Lie.: Plumbing Lic.no3 f (,j State Plsurcharge(12%a of panni fee) Authorized signature: TOTAL PERMIT FEE / _ #,fi f Date ,, /7/ This permit appti tion expiresas e a permit is not pl obtained within t88 days Print name: ( attar it has been accepted as complete,. *Fee methodology set by Tri-County Building Industry Service Hoard Becitdiog\PcomutPuvu-Pennuapp.di r 15.51/09 440-4614Tti0.+D2?CO.M/WEB) r • 71 City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT a T 1 G A R D Building Permit Review — Residential Building Permit #: / S7 ?- '/6, — 9 e/ 7/ Site Address: 13 7 S 3 S vv 17 2 n d Qi Project Name: rr Q) p o,yo n c-1V 2 3 t- 12124v-e. 'I'-e. 124v-e. Lot #: 5 (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: IV&'A/ S F /Verify site address/suite# exists and active in permit system. XRiver Terrace Neighborhood: ❑ No ,12r Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three (3)copies of site plan LIExiating Structures 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) floor elevations Corth arrow /Utility locations (required for new,may apply for additions) //Site address,project or subdivision name and lot number s/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.) /Lot 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 C Property corner elevations(2 foot contour lines if more than "fE-4Eist,ifig-t.gges to be retained with drip line,and tree 4 foot differential) protection measures yrClean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: E Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake / Land Use Case#: I-2..2 )1 -. 00001 r Su 6 Z-U 'S o o o o 4 Zoning: ._,"'1 gSetbacks: Front I ti., Rear V Side 3 Street Side Garage 3 Landscape Requirement: / Lot Coverage Maximum: Q fLJ Building Height: Maximum Height N/ Actual Height z.9 / Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type C7 Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: ei.m fi n r s to b•e, vn.e,3- e nb f to isS v o n j o � /o I/C(4 n7 Approve By Planning: / V) 1-LGti �,t 0cLe- vlti. Date: y I u i ,6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw RES o12116.docx l , 1 Building Permit Submittal Original Submittal Date: /.Z4//, Site Plans: # 3 Building Plans: # Building Permit#: Enter building_permit#above. E Workflow Routing: ErPlanning r;ngineering ''Permit CoordinatorBuilding Workflow Sign-off: ,Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan, (1) building plan and /original plan review routing form. CJ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: e - Date: rf/2//, Engineering Review Slope at building pad: ...3�j 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 I Engineering: Date: Notes: I .� .1 ,.i»L s ��/ Approved by Engineering: gfL, , 17 Date: .5-.. "—/Z 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 onditions "Met"prior to issuance of building permit gApproved,NOT Released: ay.. . _ C Date: S. - `-F ` I (o Notes: -N Co Con i 1-;Un3 - (n-4- n ki---, 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: .® Yes ❑ N/A Tigard Trans SDC: N Yes ❑ N/A Parks SDC: ( Yes ❑ N/A ?*:;)Kto Issue Permit Approved by Permit Coordinator: Date: -9/3 -47/(e=/ v l:\Building\Forms\BldgPennitRvw_RES_012116.docx A • City of Tigard iiCOMMUNITY DEVELOPMENT DEPARTMENT IIIT l G a n River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1 31 S3 SW ("J`Z h a Ot v-e Project Name: Poly 9d n G-4 weJ - (,ver T--e,„,, Lot #: 5 Q) (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 standards?/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. 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 ❑ 0 0 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 3 J •/ 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall peParallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 'Yes 0 No If yes,all the following apply: 2'' ►a 25 sq.ft. min. One street facing entry [a^1 ft. max. roof above floor of porch /e5 ft. depth min. Ld"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 Wall offset min. 16 inches 0 Dormer min. 4 ft.wide Roof eave min. 12 inch projection,g2/ Roof offset min. of 2 ft. Roof shingles either tile or wood Gable,hip or gambrel roof design 0 Roof pitch oriented south min. 500 sq. ft. 0 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 0 Window recess min. 3 inches for all street facing 0 Bay window 0 Balcony min. 5 ft. wide x 3 ft. deep with inside access 0 Attached garage min. s 35% or less of street fa ade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No c ser to front or side lot line, than longest street-facing wall. 0 Yes 0 No. If No (Check on : �����-C_t�- ❑ ay 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) 12-foot-wide garage door 0 40%max. of street facade 0 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /I//ng- vim;` iii/N„--:_` Date: 4Z(o , I:\Building',Forms,BldgPermilRtw RES R7 031416.docx Plumbing mit Application Building Fixtures ,ti7vCO City of Tigard SEP 1 5 2016 IttceeBiveyd: /0/6, /(e Permit No.: M121)L12DO i-71 71 14 13125 SW Hall Blvd.,Tigard,OR 97223 L. plan Review 'I Ill Phone: 503.718.2439 Fax: 503.598.1:WA ()F. -1-11ARD Date/By: Other Permit No.: 1 1 ‘1z 11 Inspection Line: 503.639.4175 1`.-"'I i „,,, n R tr,:., r,f\1Date Ready/By: Juris: 63 See Page 2 for '' .k'''-'. Internet: .tigard-or.gov BoiLli t;"t k.:711 ',....,111.,,,r 'Notified/Method: Sappiementai,Itifnrmation,r,„„„,,.;,. tilri14''':N"Igg-g*1-'--RDII:074r1;'"tl.NaMr:ttMVIBIN16"''''rVIC'r:41:;q trEBBilltilldPJLK:Erfii'':l:,,:t'7:ai,:(ii::::H;jrjtlj,PwftPjttatti New construction 111 Demolition Far special information use checklist. ° Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1 bath MritOSTINNI11141Li;411 .7;ri‘064%1P:Ti. i6ITagli40:040410ii0MEINIT, ) 312.70 F.,..sssiss:-.:4 ---)IssfLss=1,-,........;:.."-.;',..-•,..,,..,7.-:„:,._3.4,,- tt,."...,,,',..;:s: -,,,,,,....„.:t"-.440,1,..,,,,,,444-4siss_.-..,,,a,..s.„....: . 1-and 2-family dwelling 0 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 j 0 Other: Fire sprinkler( sq.ft.) Page 2 ".",,,,,,""Nattssm.sx'rtsuwit. W4-,I11/41- ; . . , ..n.nr......14`.. ".0.4.1iiiigiaiII1141.110 Site utilities: rafel,444.1.4,411atistrAislilkik:.;::141,!..,,LA.=a4 , ,„t!,,,,, --,,,,,, -..t.:„",.."-,....,„... 17:„. ,,.....mssAs.Amis-sAtlinstssism Catch basin or area drain 18.76 Job site address: 137 55 S(Al n 2 twit> t,,ve, 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.: I Project name:Itiialegal 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 otmon 041 1Negr Water service(no.linear ft.:____) Page 2 Subdivision:tio,stbwest River Terrrace Lot no.: 59 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve 12.51 - --"'""'"'"'-'=".4,-Ilrilxotsxotgososste B4r.,,IFfitt4s..PRIIII,,,C4k1141, rIlif-,IVT",'"ni'V'I.717P1*-r:''allINSIVRaliffigeriIMIII$01#S Clothes washer 25.02 Oil d r Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 ,,Eili.,;:pilatt.„,...?:t,-t.:.-7:rf.,, .-4......;••.7.:......14,..,...4...,,11,-.,,.-....., fr:414.5.:,..m..,1.E..amfat,..m..---.,-... -,.........., ,. Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 Interceptor/grease trap 25.02 '2IIIIIISMISPIP:i"St Irttr.".:''',";,--1'. -t-z9."'"ftgriPtirsspi:MIA4NATIIATJ .:7o s'.," .• iti b., .;‘:,....s h.ikkg-A.A. medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewslci 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.Grajewsid@polygonhontes.com Water closet 25.02 tEi",:s'Sf'''''''''-',-mlsl'I''''''IIIII.slrS,III;t4,''Iw"iWkg.--qII"'Im'o'4'"I''AI.'Pn"I'''P.'''VRIPRQI$iiIiiaiqliVtgiIIagjtil,-*MII.dtR . '--I.."-';'"31.4.5145P`s,MIAIIIII:441-WILJATT-10 ta'!:-.0 II!.;,::s.-7.4, l's::„'":',"W'"M'Vls.O.Sf,tAfdtg'I'Sili:R4t:MftthW.-tigith wat„heater 37.52 , Business name: G±Lt )Lima),x.s.1,4-5..„„,,,,, 30.4.- Water piping/DWV 56.29 Address: {).o. $ kt*,, Of A. Other: 25.02 City/State/ZIP: 51". P44.44 .04-cSubtotal, 411131 Minimum permit fee: $72.50 Phone:(„5"03 41S.... 1(4/1 Fax:(stii Plan review (25%of permit fee) CCB Lie.: 181312_, Plumbing Lie.no. )t) State surcharge(12%of permit fee) Authorized signature: 100 Oil i 17,0041.. "`"*"---. TOTAL PERMIT FEE Print name: ,si-evt, F)wi4..e__.. Date: -3b-it" 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. 1:1Building\Pennits NPL1911.1-PennitApp.doc 10/01/09 44046161(10/02/COWVIES) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13753 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: January 30, 2017 at 11:44:03 AM Record ID: MST2016-00171 Inspector: David Young Reschedule inspection when exterior painters un masked outlets and re install light trims. Not ready for electrical final at this time. Provide permanent address on site for final inspections. R319.1 Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13753 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 2, 2017 at 2:37:07 PM Record ID: MST2016-00171 Inspector: David Young Provide slope away from house at left side 6" in 10' or approved drainage swale. R401.3. All else appears ok. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 10980 SW PATHFINDER WAY, TIGARD, OR, 97223 Record Type: Residential - Plumbing Inspection Type: 399 Plumbing final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: PLM2016-00581 Inspector: Don Sylvester Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13753 SW 172ND AVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 2, 2017 at 2:37:07 PM Record ID: MST2016-00171 Inspector: David Young Provide slope away from house at left side 6" in 10' or approved drainage swale. R401.3. All else appears ok. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13753 SW 172ND AVE, 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: February 2, 2017 at 2:39:46 PM Record ID: MST2016-00171 Inspector: David Young Inspector Contractor