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Permit CITY OF TIGARD MASTER PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MST2016-00167 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC05400 Jurisdiction: Tigard Site address: 13707 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: 54 Project: Polygon at West River Terrace, Lot 54 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 625 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1017 sf Garage: 418 sf Front 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1642 sf Value: $203,624.99 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: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<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'l 500 sf: 2 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1642 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $29,982.67 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 throu AR 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 B / y �r �"�"'�� Permittee Signature: erki 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 } w O e -�gt ., - �, FOR OFFICE I SE O\L1 48''r rSO �ik�'. qL City of Tigard �� 201b Date/By: PamitNot IN 13125 SW Hall Blvd.,Tigard OR 97772 y/' �f` �` / 40/ 7 Plan Review 1 o i Other_ {"-J/J ey,e J),2 iv^fid Phone: 503.718.2439. Fax: 503.598.10 ,: ; , Y Date/By: Jot'�:..MZ i�°� G/G✓!.J Inspection Line: 503.639.4175 } Date Ready -)this: H See Page 2 for TICi f I? //J Internet: www.tigard-or.gov �s,'l l„ .. Notified/Method: �/�j�p _ supplemental Information /9/t-- 7VG1 C ®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 fc�2.t.�s S -- e i, i e � , `�,i tia workindicated on this application. Valuation S ® 1-and 2-family dwelling ❑Commercial/industrial • ,i ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder. 0 Other. Number of bathroom��� , T47zb r`,, 1, ii,3 %. yk-.7 ,.yam w Total number of floors: 2 •� �� �j 0 ti i• I New dwellingarea square feet Job site address: Y 3,0 s w n, ti ,,, , _ __./ ._,....__ / v v q City/State/ZIP:Sherwood,OR 97140 Garage/carport area: U t square feet Suite/bldg./apt.no.: Project name:Polygon at West River Ter Covered porch area: Ob square feet )0 J'7 Cross street/directions to job site: Deck area: 0 square feet Other structure area: ', square feet - -4',. €-'17::, 3 _€ e ..: i;--,-.---,-;=-7,-, -,,,,., Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all '-i—_ Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the y _$ , " ' work indicated on this application New Single Family Detached Construction Valuation: S Existing building area: square feet New building area: square feet ����� r A r z : , g iq-D - Number of stories: Name:' i iL � �1$5j(,fj( Type of construction: Address: iiCity/State/ZIP:N- O j/ fil 2SB Existing. Phone:(" , , ... �, ^i b Fax(360)693.4442 New: Business name:Polygon WLH,LLC , t Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street City/State/LIP:Vancouver,WA 98660 Total fees due upon application: Phone:(360)695.7700 I Fax::(360)693.4442 Amount received E-mail:maggie.gordon®polygonhomes_com ---,,:,-10-1,- €� , � ,-, Commercial and residential prescriptive installation of n o-,,,,f,' t � ...� a ra ,_ , n, roof-top mounted Photovoltaic Solar Panel Systems Business name:P 18 `4L IIs*T r�__ ‘c,)/e..././,49"-7 £ /./ekti� /Ale_ Submit two(2)sets of roof plan with connection details and fire department access,along withthe 2010 Oregon Address:109 E 136.Street Solar Installation Specialty Code checklist City/State/ZIP:Vancouver,WA 98660 Pt..anit Fee(includes plan review 5180.00 - and administrative fees): Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): 521.60 Ki' Blic.:207247 --$2x1.60`- Total fee due upon application: Authorized signature: � This permit application expires if a permit is not obtained llir, within 180 days after it has been accepted as complete__ Print name:Maggie Gordon Date:1Z/11/15 *Fee methodology set by Tri-County„Buildinm Indust[)' Service Board. 1:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) -- 7 Mechanical Permit Application:, ; :' . F -MIIIIIIIIIIIIIIIIOIIMIIIMIIIIMIMI City of Tigard Reetive t t letly: Permit No./../...c.70/(7....49/ 7 , , Ic.-- - 13125 SW Hall Blvd.,Tigard,OR 97223 it,-,,r ri rt'`:``.1 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 c:t ( ' , t?ete,By, Other Permit i c, \tz., Inspection Line: 503.639.417$ DaFe Read €ip ` Internet: ww tv.ti ed c>r.eflv 6d See Paget for NotifiedMethrd: Supplemental information ss Mechanical permit fees"are based on the value of the work tEl New construction 0 Addition/alteration/replacement perforated..Indicate the value(rounded to the nearest dollar)of all Q Demolition 0 Other mechanical materials.equipment.labor,overhead,and profit � ca€ Value S r ,r, .. , IDl-and 2-i`alttily dwelling 0Commc�rctal�ttdustrial' 0 Accessory building Fat-speck/tr orr:rm°rax use - �, .� Q multi-family 0 Master builderrr 0 Other: Description ` tom.. Ea. Total • ,."s . •.: ar .. .E ..d... ls?'�, �`a '` .:r-0. z .x.. Heatiattcooling: z __ Air conditioning 46.75 93513 S\iJ 1"12Y�c1 , p Job site address: 'j , ' Furnace 100,000 BTU(duets/vents) I 46.75 . City/State/ZIP: 5-Virv..)-008. OR 1-1\-10 t Furnace 100,000+BT1J(ducts/vents) 54.91 Suiteibldglapt.no.: Project Warne: O Heat pump 61,116 t L� (��f w / Duct work 23.32 Cross street/directions to job site: �9, 3 c-�/C( n Hydronie hot water system 23.32 1 Residential boiler(radiator or hydrone) 23.32 Unit heaters(fuel-type,not electric). in-wall.in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision:River Terrace Lot no.: father Nei appliances: Tax map/parcel no.: Water heater 23.32 . 7 , t ' t`` *1� Gasftreplactn. t 3334 , 4 . , re vent for water tear or eras HV AC fireplace 4 23.32 Log lighter(gas) 23.32 Wood/pellet stove. 33.39 Wood fir /insert 2132 Cbimncytlincrrilluefvertt 23.32 g4 28'I `e;,i '',. t .# L Ni --440102-- -2,<,+e. _ 2132 ,: Mrs.., .<'. ''''''-'''"-'''''''-'"--t"'..'"'°'''''''' Enviroas:I:cnt'1 exhaust and ventilation; Name: 1ti f.I /. 4 4 Range hood/other kitchen Address:9(o.U 0 Al 4 t / 1 ' ► a. A f i , equipmentor 33.39 . Clothes dryer exhaust 3339 City/State/ZIP; 5t Ajai", 4 BS2 • Single-duct exhaust(bathrooms,athooms, toilet compartments,utility rooms)s) 23 3 2 I Plume:W ) _`K�► (jj$' Fax t ) Attelcrawispace fans 2332 ▪ 9 ; "(` � � , °t . i other2332am ' .44 Business name:Apex Ahr LLC Fuel piping: 314.15 for first tour,$4.03 for each additional Contact name:Stars Flay Furnace,etc. Gas im Address:2210 W.Main St.Suite 107-272 brat pp , allisuspentledlunit heater 1:Y City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace u ...... ., . E Range E-mail_star apexairro.eom ' Barbecue .:: t '`•r: ' � Clothes dryer(ens) .• 4,, _ , t X ,: t,. { Business Warne:Apex Air LLC Other Address:220 W.Main St.Suite 107-212 Subtotal City/State/ZIP:Battle Ground,WA 98604 !Minimum permit fee(S90,00) Plan review(25%of permit fee) Phone:(360)3424109 Fax:(360)326-1769 State surcharge(12%of penult fee) CCB lie.:203034 ' TOTAL PERMIT FEE This permit application expires iia permit is not obtained within ISO *" ' days after it has beta accepted same* Authorized signatur,. r ' r .k , • Fee methodology set by Tri-County Building Indosny Service Board Print name:States hay '„.. Date:1/28/2016 I t'+nu biir iPu.in 4EC Prnsat 1pp i Li doe 440-4eiT t f 1-N*Y'4WWEB) i tc.rs 'r� €u 1 ilad 47 r , 1 vrz z z sc r Lir c��, r nVa x B * - NT4F ,mss .-e�1 3125 SSy jii,8tyit 3ygaid-d x1t 9'7223 Ptaal tvv • )Ilona 60$�71s,�2439 a1C"&.? 'I9 Il' , n;?0 -..., - ftclatcdljernnt". os1}ulo' 0 639s 17t `" `qta • ,r,„ IIS .,„„p t'ol �nfet;rct }vwi GgaKLrgoY iP.lttam� .o''^' od 'fst a$on � ..ds :''off.,,. _. ..__. z ..,.0 ..._an �'i ` _. . '@'> x (3F{ �.`e'.,1'.,i,: ::. F .?rte” k,.1T,.. ,.� t2,,. t 4P of sttu It ni$1Eerfitl07t p)acCI cnt ENauc et s� a 3.sdsxf'p:"Xm.„4 an,„„„.rBR 9u(r �� � ❑8t�r�eor� d 3mpantmore 1�_��+n�nn�tlp'theexslonis: d iuunv3tstn c YmaIt«nent C�nteumas6wtysras 0 e ti [7de1 a axtad: o o em s"nl Iso-*Ats or FMslms mWmgs �1°aid ,tam,ty lwe)ttng` j C'omnietctaUtndushias. "ETAcrsssorybut[din trssto n�ol asta,oiiu p aalmeru�l icutiur l sin¢slfnr'SIIathelT�etiallatiugs batldd# QMuttt4*.iiY 0..vfaster'builder f Other d p • aliiiidbitancl•130XVAor .c, J(tB 1fe 4!lim-1,Zt?41=A19i)I.`tthb1jC"" d 7&gxsvucm. tacgerseparetetyi acted'' i 1 0 �� 4.�.��„` 1 ©l nwnofiuwtrlaiorleadof *Pint. 0s 7ob'mte address tl 6 1 /1 Y''/Y � V log4lp ar more, C3"A ^c eta a 3 - `' -asanr momiYs 4410iat nui0: etW 3 Ci Sherwood(}t 97110 i. . ,,, p kalul carafxi tus. � hnn�tvdade£adcs. t' r #44y#4�4i0t,0 r8 ihan Silk/ k/t 1rrOfr4:W4 Re:' Ejtt�z4e *Iii,>01;.. , Eft- vrfae-i*-06 or more. LQDvb7bslomma{, mss s eeridgections to job site: • °"' CE ;v ;Ptssellrimden, . ,,.I ot3..:1..from -I 43..1 .,,.4,-.2-.:•: :1 N �f idep"tT1 suer or inuttl4aiixll deiih umi( Subdtarision River Terrace I.4t Inelruies stlacI5dgara 1 ool q it.or fess ) 169 d • Taxrnaplpa 0. Ea. itilliaari h arpnrtcon , as 23.92.. i -as s d am = 4 1)ES TfON„f3F 1 IW; • LtmEt "eSlergy tesfdeh6si. 75.24' 2 ) 1det4$inngIg laity ltvtibabovcaq>?3 , lameeny,mglh Tamely 75 t?ti rest 46641{ts'1t11'ehiife. -R-y i. : t. . •r`z El ?'GOTH tterte able Ei c O i eePa e2 S�aYe s nir �u tastalta on, tterat arist7 rxlaeatioii' j!t!L / r ► rte 1007b • 1 lA �mps ,33 iD Z . J /1sl.(It-Ylitli.ai»pistd <nmS?s. .39 t'sthfiste1L'b / i v L® _ l�_� bbl a 10) anis 301 Qd 2 p1 tion Dal >�( t ,ui>�ampsasstalts 55226 • T`rutgeksrrysersnice orteedersiieataltatton,alteta#•ani,sandlot Ftnai#: xdot4tbii Ow,rermd3aitatton•`Tics Installation is being made ori propyrty 1fat T:owu•Which-is lint' 2siu ar c or lass 5426 1 intim far sale luso,rent,-111.10, or exdlangiti according to 41.4<549,X49;t,70,atux k1. 201 !a# anima: Its os, 2. C}tv1. nrsstgtra Date; rt01 amps to 599 amps s+t 7k8 *�# Y � '- ' . ,..; ...�'et.)71ItAtt:AligokJ.;: ma6ch�tiircutts itaw1flliet iuon..or:ext asain,perpenel A t'eg$art>larecll ctrcads er"i ' Busmecs -Ga. er,FIe&}e i'asliingion, Ie tibnecsertrFaeor:tc�derCee, 742 2 tae(rbtaatntr oircic, 1 •Goble inauta.aatll'Dantels B£eeSar'bratrctrdreultswif,/ip t 1 ddreSIUiISIE3iT4bns.Rsir+nxcrfeaterfec fisss S&.ES 2 I itre,0144s wt CitY Varicattv:: i?i!11 $t,fi> cellaaaiu eec to or feeds ant't4eiuded) 2 Pbon 320-16557 Fax:/{ ) .T slitii.04crtttrcd*nodular - , . dFxd stiecslndtoraceaer;. 6 8 :2 triiBI isdattteistwg**ii to.tr1 a ,. , : umutxct iy 57 8d 2 etw : . ,, .w < „.,£ONIRAGT.t3R .` . - l'wnp inngaioncncic 67:a4 2 R $ustor name-Gart er f':lcetr c Yt'sahting oL,C n,.L : ' 21.gaor ute1tghtmg 67 4' S160lSKS)pr1,700 odtt rBY tah • D�tr'ag 2.0..011�B •iobitsItd li. itnrt .S • aE4 ,yi peflon Vrizitsrtrsbiea xtty•oftixabove .,Ctt�lSI1:Yt,ne� �rY498�1. iNtigttpx {dtt > . I + . m' Rhtxlei S 320437 !x{ ) mn(tfi?min?: `90.,•OWbr . Boat(1Sdanielsegweosa.cominifitsptai;ptant(1 irtnhi) 78t8Tbr Lac. 1�� GCtnceIL c t TUBI?4 Stcpry1.ic:-4496$ �s�icltnim0„ti' ,90- ill 0 (lhrr .Iec kt..,„ ..0.„..-41414..—.„. gUklcd: � � � k Nil/ P� 'Z P:cint name loan P A(bgt .3ata a li'l tto D Piaii'fttx�t pr i gu#rcd(35Y'. t peinlie*fk < e ttcltargd 2%If 1?�signt...!-5.'"/-:.:-... .,.. 3C LPJ�[ 'tTda�is per ul7t spptica{I O esptrar iti pelaittls aa�obtsitkd lvuhSn x1"nl#llaine:,.::;Blt gloats Date. V.ai ` darsaffsrit s2eella£ ttflase pTpteCs ' 2�aberofmspeatsonsAwed perparattL I i P.statllepg, Et,R tiatitee a:YoatzhoiS :44444,00*-iLpolvE$ Plumbing Permit Application Building Fixtures City of Tigard Ipi 'R 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No.:�1, �� ©�J�(63 7 Phone: 503.718.2439 Fax: 503.598.1960 "7,) ,} R eviewate/By: Other Permit No.: inspection Line: 503.639.4175 Date Ready/By: furca; only y l S�Page 2 for I (t;;1} I3 S Internet. www.tigard-or.gov Nobel d'Method. Suilementai information New construction For special informationusechecklist ■ Demolition Description I Qty.. I Ea I Total El Addition/alteration/replacement El Other New 1-2-family dwellings(includes 100 ft.for each utility connection) g, . 4,4-,,r...,,i s :47,4*.;',.;4'''''',444' k ; SFR(t)bath 312.741 •�- ;„,.~t-447,-.=;w � . .,� �,a, „ tai III SFR(2)bath 437.78 I-and 2-family dwelling II Commercial/industrial SFR(3)bath j 50032 lill Accessory building IIII Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft) Page 2 -r :•. };'-'4',.0, 40 3` t � . io a, Site utilities• �rt Catch basin or area drain 18.76 Job site address: 12;1 01 Skpj Ii2 ,y l y e DrCity/State/ZIP: Klt .��ilc p A o a-1-tH 0 Footing drainl (nine,linearor trench drain 18.76 I L./ Footing (no. ft: ) Page 2 Suite/bldg./apt.no:: Project name: Q0\\,1 (lay) CL \Kle., Manufactured home utilities 50,03 Cross street/directions to job site: U r'�ert(( ) Manholes 18.76 "' "C Rain drain connector 18.76 Sanitary sewer(no.linear fL: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 i Water service(no.linear IL: ) Page 2 Subdivision: I Lot no.: ,t- Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: 1251 04 . b " Backwater valve . , . .r w _ s uClothes washer 25.02 t -e -k p l mt) -- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 n` , l 32,'‘V‘ Expansion tank 12.51 Name: t /tJ / - u `/J/r/(� Fixture/sewer cap 25.02 ' Floor drain/floor sink.hub 25.02 Address: �/� I , 0 .ft,--11 i e L `�- Garbage disposal 25.02 City/StateIL1P: u� _ ty, fl IG _ C Hose bib 25.02 Phone: I .. Mel -44G I Fax: f] tD U 14 L Ice maker 12.51 * �«, s i s1 4 e' lntcrceptarigreasc trap 25.02 k Medical gas(value:$ ) Page 2 Business name: ,:1„'1,-4 f.V.-3'Y) ,,,) I L t----'Y3 1 4 t,,V-(' Primer 12.51 Contact name: 0_Vie LP^'1;-°14 ~.) Roof drain(commercial) 12.51 Address: t 1--)5.3 Sink/basin/lavatory 25.02 City/State/ZIP: !„„y.,e,s (NZ.....,CI-)C..)-S-0 Solar units(potable water) 62.54 Phone:ell ) eZOLp , ( f T-3 Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.0.2 E-mail: I t' Xr1tf a tt {.1 _ _ '> Water closet 25.02 . E . Warcrheater 37.52 Business name: 14 f'' 6i,, '\ f'( k Yltr iv C} Water piping/DWV 56.29 t' Address: (. 6 1D`; 13 Other: 25.02 City/State/ZIP:a..,).. ,5ba,.., Cik 97 4155oSubtotal_ Phone:(9')/) g.01.0 - /`t Fax:( ) Minimum permit fee: 572.50 CCB Lie.: I,..C) 4 2_ Plumbing Lie,noF( Plan review {2530 of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires If a permit Is not obtained within 180 days Print name: M a ,. f 1,#_3 f< Date , 9/i( after it has been accepted as complete. #� 'Fee methodology set by Tri-County Building Industry Service Board 1.‘Scuidiug\Famira\PLMU-Pcmit pp.doe 10401!49 440-4616'100.412?CO..1M'EBl c Cof Tard N COMMUNITYityTigard DEVELOPMENT DEPARTMENT 1 II T 1 c n lz Building Permit Review — Residential Building Permit #: /7,5/- ,,,20/C — gip/, 7 Site Address: 13101 SW ri 2m a U v-e. Project Name: o' ci± vv/y+ 'tv Te.al uz. Lot #: gee] (New welling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NedatA .V--R. "Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No ,Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3) copies of site plan paper ,,Site plan must be on 8-1/2"x 11"or 11 x 17" �Ri�iingstructures on site ACF=Lootpcivit of new structure (including decks)with finished Drawn to scale (standard architect or engineer scale) floor elevations North arrow Utility locations (required for new,may apply for additions) ASite address,project or subdivision name and lot number 04,,,,Ation of wells/septic systems ,Applicant information(name and phone number) AErosion 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 ]Property corner elevations (2 foot contour lines if more than .^1frEZ3ting trees to be retained with drip line,and tree 4 foot differential) protection measures j4 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified E No Received: ❑ Yes E No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake X Land Use Case#: P D4 Za ( S -- 00001 O SUB 1.0i S - )Coo co 0 Zoning: k -1 2ISetbacks: Front ( Rear 0 Side ,' Street Side a Garage 3 jZ Landscape Requirement: f2X % /J Lot Coverage Maximum: t—CYO— J `1 % jz( Building Height: Maximum Height 3 Actual Height Visual Clearance Easements Sensitive Lands: ❑ Yes ❑ No Type 0 Urban Forestry Plan .. Conditions "Met" rior to issuance of building permit Notes: (iefl..rl to n S tO be. Q.fi .- -r •i- Approved By Planning: / f) r? I- '- f i i k f2. A. Date: s4/ )3) / 0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingTonns\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: 03//. Site Plans: # .3 Building Plans: # --3 Building Permit#: ©'Enter building�pe t#above. Workflow Routing: 6� Planning E Engineering Eermit Coordinator wilding Workflow Sign-off: []'"Sign-off for Planning(include notes from planning review) Route Application Documents: .Engineering: (1) copy of permit application, (1) site plan, (1) building plan and riginal 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: j`�;! Date: �Z�je Engineering Review 4 Slope at building pad: ....17e> 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 Appro d biy Engineering: Date: Notes: 1��%�/7��%�y ;e/ f!3't Approved by Engineering: SIL, < 7 Date: Revisions (after Building Submittal only) • Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved E Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review Oonditions "Met"prior to issuance of building permit ;1 Approved,NOT Released: c _ C`'�^.,,� Date: 5- —t Notes: ENG Co r.A.; - o&..) -b ht 0^-4• 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: V Yes ❑ N/A Tigard Trans SDC: [Y. Yes ❑ N/A Parks SDC: 13Zt Yes ❑ N/A A2OK to Issue Permit Approvedby Permit Coordinator: 4r- Date: a`T/ I:\Building\Fonns\B1dgPennitRvw RES_012116.docx 4 City of Tigard 44■ illill COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: hi-57:2-0/(o ,_ 00/67 Site Address: t 3'101 W 1--i Z n a cA v Project Name: PolJoel cif SQA gN ,r- Te wrcl Lot #: ,c_,r- (New Melling=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 ❑ No OlArticulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage. An additional ment required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a �j ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer , A ❑ ❑ 2.Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 2,0, 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 yes, all the following apply: A25 sq.ft. min. One street facing entryfL12 ft.max. roof above floor of porch /5 ft. depth min. < 30%min. porch roof coverage 4.,Detailed Design:All g 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 ❑ Dormer min. 4 ft.wide /Roofeave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ,z Gable,hip or gambrel roof design ❑~Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide Accent siding min. 40%of street facade Window trim min. 2 '/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 ❑ 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: aAi�j-- 1 l 0 G`i G`s4.C., No loser to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story bove the garage that faces the street with a min. area of 12 sq.ft. Wi h: (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: Th 0 r)i2-cA__, i) o d.S21144-4- Date: '9/ , : ) / k, l:\Building\Forms\BldgPertnitRvw_RES RT 031416.docx 1 Plumbing Permit Applicatiodii Fr r---IVFD Building Fixtures SEP 1 b 2016 . City of Tigard DaRecerved. j,....,//ho / i Permit No,: litilop I(0"CO I(0-7 14 13125 SW Hall Blvd.,Tigard,OR 9722t3fy OF 11(3 A',R,D plan R:,,,iel,,,/,--// : a Phone: 503.718.2439 Fax: 503.59kllY4 , ,.,,,,-, r);‘/ Fi.!,0' !DateiBy: Other Permit No.: 1 IC.\tz 1.) Inspection Line: 503.639.4175 a,... -' 8.---,.' -: ' Date R„dymy.. June Fa See Page 2 for Internet: www.tigard-or.gov Notified/Method: Stipplemental Information SOL4 ''r f:,:t!'v'' irlgrg4,....vr5Z-TgvllBtfr:':;;'Ib:':' Ir -'54•''::g.iiga"FkE:RMRicdfn-fifiaielinf 14401025544140iiigrr:..rlgtr:'il.f:t'''',1.7,W:11111g14,10114131214-KiiillEt! lighadtti::ejtig.L.'ittedEaghftlikiffgfri.Vffg:'r.,..,,;;.,.' ,.., f2 New construction L :.Demolition For special information use checklist Description [ Qty. J Ea. I Total 0 Addition/alteration/replacement 0 Other: New 14-family dwellings(includes 100 ft.for each utility connection) ''`gROMPrii111,616111,0,1r;?':VitfnnW.I:V7::-:=1,7:44',W70814,416Mittligi SFR(l)bath 312.70 1-and 2-family .i...4Co„:„....:,, SFR(2)bath 437.78 III I dwelling LCommercial/industrial 500.32 0 Accessory building 0 Multi-family SFR(3)bath Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 -aa,aav,--aarvilaamffiatiar:101Errii.,",:wtrimi, laiataagrafitiliaagitilft*” 17n.!rl:WiTilr 'a-''''.-a t a '`I-661arigaisigariaiaaraiiitiinir, Site utilities: ,, -, - ., , Catch basin or area drain 111111 8.76 1111.111 Job site address: 1"S"1 01 SW klin If ' Wes 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:VagiellRiver Terrace Manufactured home utilities II Cross street/directions to job site: Manholes 1.8.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 -PD 11A CO'r) Cli- k&k.A.1- Water service(no.linear ft: ) Page 2 Subdivision:Nerthwes‘River Terrrace Lot no.: 5 4 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: Backwater valve atiirair6r6StiErtlliaIAFi-71F.::i'%r::',,W:.964r,1%;4:64. ..aar,qiir<.a.,apkiarsiitiftap4ctto.r,titkti,L, 12.51 l'i44662614:6'''''. 11111-4117'11 AW fit',. ...Letiat:2-7'''''' ,""37',.t,.:'j,,7",:::liqicalgRh'AN,Miqih,Z.,iif4V2-411.Mr Al Clothes washer 11111 25.02 11.11111 NO de ' allfae" Dishwasher 11112"2 1111 Drinking fountain 25.02 Ejectors/sump 25.02 4.-9'''''Play.6!F'''''''-'4' ;':':''I'''''''b:f''''''r::':6''V'6ER616,64e,•aiiraViifiF46- ig ri:dvinvzrvissiii-kgz: 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 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 Wal6616611.iiihrnlial in:'irar-'rt9t7666;41‘66666ttii6RAHid gikaiii-aa'ff4:.:*tfA6166,6%-i-,-. ..;'...?,6,54;:04-14, Interceptor/grease trap 25.02 'a6644RIEWE46666'.6-,‘V,--t:i.a...6j"':-t.'''‘'.."'RaPillitiaffaii666461ifragi,„,......•.-„7:,..,;;a6 6 1.t.'iig.l:',7•,,f,::*•.N.).,144.1.,* Business name:William Lyon Homes,Inc Plag2,e521 Primer Contact name:Angela Grajewski Roof drain(commercial) Address:109 East 13th Street Sink/basin/lavatory I 25.02 111 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.Grajewski®polygonhomes.com Water closet 25.02 ''''''''''''''''6"6-6'62666-'''66616661aiaaigiagaintanzat 4 ,..h,,,,:::„i„.„, ..w.35_:L:t4t:,,,litta,,,a2;10,02:740.tokior,44. '''A''ar'i46i41:{Irlhgm'tqbn'F'ir4"'L'5'F-6''"wg'sw'''616' 14:4-'s 6: 4 1. AN50:10,ib jafithigtg: i.,,,---b S-.,,,,,''':''AV,:PnR,-,Ei,,-,4,q,-.iliZ.Hi. q...i.1iraliiE+o-.A.E.IF'FiFS• Water heater Business name: G47,1 i)4,„„kiisk,c.„ ,,r_s_ov704 ,47 . _ 37.52 111 Water piping/DWV 56.29 Address: p.6. 3C,,, 01A Other: 25.02 City/State/ZIP: 5y. e444.0vk 0.rt, qii3-1 Subtotal Phone:(5.43 0-•844.* igti Fax:(efal V i‘rt"74/..-4?/10 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: igif3-a, Plumbing Lic.no.(45 kati State surcharge(12%of permit fee) i Authorized signature: !OP ft" 41-C.IXAO„,fri*".**.---,..„ TOTAL PERMIT FEE Print name: St*Vt. F?tok - eDate:'S?-3 6-I ir, This permit application expires if a permit is not obtained within 110 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. BiluildingTerrnits 1 PLMU-PennitApp.doc 10/01/09 440461617(10/02/COMME8) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13707 SW 172ND AVE, SHERWOOD, OR, 97140 March 6, 2017 at 10:31 :51 AM Record Type: Record ID: Residential - Master Permit MST2016-00167 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide access for inspections. R109.1 House locked, 10:31 am Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13707 SW 172ND AVE, SHERWOOD, OR, 97140 March 9, 2017 at 9:40:26 AM Record Type: Record ID: Residential - Master Permit MST2016-00167 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Inspector Contractor