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Permit (18) IN q CITY OF TIGARD MASTER PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MST2016 00241 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC06700 Jurisdiction: Tigard Site address: 13746 SW SABRINA AVE Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 67 Project: Polygon at West River Terrace, Lot 67 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: 25 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke DwellingUnits: 1 Yes Third: 0 sf Right: 3 Detectors: Total: 1858 sf Value: $232,247.86 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=10OK: 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 one side only PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,489.15 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 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: ��-' . ,�J" _ ' Permittee Signature: e/(1 462°4/Cy9'77e 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 4; frill;- FOR OFFICE I.SE O\I i d RECEIVES ed 4 /ft ;a, � �--c, �' �I �- PermttN _ City of Tigard g OR 97223 Plan Re.se /93 111111 13125 SW Hall Blvd.,Tigard, ` Other Pami�J� J/6'� Dam/By: �C`/ J ', leis: H See Page I for Phone: 503.718.2439 Fax: 503.598.1960 JUN 0 7 2016 Daze Ready Y: �Ua J Supplemental Information Inspection Line: 503.639.4175 Notified�Meth /�� PP TIC,;RD ti and--or. ov CITY i'IGARD Internet www.tigard-or.gov g CITY 1 i o =– --- . "-----'— �_— Permit fees*are based on the value of the work performed. ®New construction t �� ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the �s work indicated on this application. rr..�.��. , . M; � ,r... .. :4-c......_ Vall1at10II:. 1�� rte •.:r -...,;,..r.,._„ tititi.77T7��4111 . a �►�-_ ® 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: LA 0 Multi family ❑Accessory building Number of bathrooms: ..� 0 Master builder ❑Other 1 ,t,. 4-, ' t .M Total number of floors: 2,r0 '.5---=';','-'..''';,..- , :-�..: :.�-^ � square feet/p� I New dwelling area: Job site address: ��4� S W nVL Garage/carport area; A5 ' square feet City/State/ZIP:Sherwood,OR 97140 Suite bldg_/apt no.: Project name:Polygon at West River Ter Covered porch area: '1 gC5 square feet Deck area: 0 square feet )04 Cross street/directions to job site: ', square feet 4 Q Other structure area: - • I Lot no_:� Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no equipment,materials,labor,overhead,and the profit for the �, s work indicated on this application_ .� .1., � � ,-----------,--` _: m, Valuation: $ New Single Family Detached Construction Existing building area: square feet New building area: square feet _r=te 4-`,3 �c - 7. -, yj--.r e f Number of stories: '�"a` . / /? Type of construction: Name:'�w � j ��1��._ l�l� �� V�►Oi _ O 1,� Occupancy groups: Address: / _1 , Vv, �+ (J11 City/State/ZIP: ( ./ / Z BJ2 Existing. / Fax(360)6934442 New:��. _ -�--e-" `� �� ^. ,�" -.-1-_,----z---,-,,-,t--,,,,I,.,-5, RSI a'1Ix3J-' e.� ,z,�-r � ",x �� , eta = �x . __. Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 13"Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660Amount received Phone:(360)695.7700 I Fax::(360)693.4442 r .-�-- -ate - ,� ,. Email "P f_ maggie-gordon@Polygonhomes.com corn Commercial and residential prescriptive installation of , C -,. L r roof-top mounted PhotoVoltaic Solar Panel System. _ss Submit two(2)sets of roof plan with connection details Business name::Polygon WLH,LLC and fire department access,along with the 2010 Oregon Address:109 E 13d'_Street Solar Installation S.-tial Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees : Phone:(360)695.7700 I Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60-- This permit application expires if a permit is not obtained Authorized signature: V within 180 days after it has been accepted as complete. I *Fee methodology set by Tri-County Bvuamg Industry Print name:Maggie Gordon ( Date:12/11/15 Service Board. I:\BuildingTermitslBUP RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r Mechanical Permit Application , City of Tigard Received Rennie Noiltts-4,20 ,-e9e,2 9/' ,71--- 13125 SW Hall Blvd.,Tigard,OR 97223 RECER/ED:R4cvYijew • ' as, Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Penn& ,,,1, ,,,, Inspection Line: 503.6394175 l ReviBv:. Jun*: I kJ See Page 2 for Internet: www.tigard-ortov JUN 0 7 2016 Ntfietifbies‘ 114 Supplemental Information C — ' 0 .....:::. : r, .,,', :.,:-:;,:do;;mttfg:,tii*Qttruttijiiift5,- :.; 123:-C---M-5' ,',W,,,4.-----,,,,•."1 ,41,8,t;,i- —..,:„...„,]'::. Mechanical permit fees*are based on the value of the work New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit. Value:S ,''''.'',. .t, A',- :,.kilif,,...f•V .,4--i:*-"ief)it.*:iiPf"- ,'-';'-i,-''..q,k,:i.;:•i--,ff*,'.nt.f,,,:qkZ.'. „.., .-,, „:-,:„.,,,,,,;,..---,.„,,, .. ,,— -,....,„ ,.-—, „,,,„ „,,, . ,- .-2- .. ' , .,,;,x,„,...• .,,,.„'..,—..-.,.,..„..„,„..,,„.., ,-.,,,,--ii4,,,,,,,,,,--,,,,,,..,...-..,,,,,,,,,S.'," 44- ,,,Z",,.'"'.'"l'.'.,','?",4,'.,--,',40, ;:ta16-rAtzsupealo 4 t':. :,,:*.:.the' '4 :4..;...4,0,0?)*;', I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 1 For spedal informatioff ate riterkitst 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. 1 Total -.•:..',:;'.-':,:::-...;'.:4;.,'•,:"'••::' :4tk*sit:it*tititit*:tto*1,4*1;i -.,-",,,,, c'I''';',,,', .,1,.,:,a&,,, -';‘,.,' fleittiagicoroliaz Air conditioning 46.75 Job site addressp,,te svj 56,1901, Furnace 100,000 BTU(duets/vents) i 46.75 City/State/ZIP: A,r-13 Oa 0 '---+-1q 0 Furnace I 00,000+-BTU rductsAvors) , 54.91 Heat pump 61.06 I Stritaibldgiain.no.; Project name: poK tiy7 cd— i•.' Duet work 23.32 Cross street/directions to job site: 11),dronie hot water system ,n3i--4\r(c CP ' 23.32 Residential boiler(radiator or I hydronic) 23.32 Unit heaters(fuel-tyPe.•not electric), in-wall,in-duct,suspended,etc. 46.75 .. Flue/vent for arty of above 2132 I 23.32. Subdivision:River Terrace 1 Lot no.t al Other. Other(ad appliatievu ; ' Tax map/parcel no.: Water heater : 23.32 • ' ,,,,,--..-. ...'-.,,,-,,„,.;,4-C:::•:..447',...,:i..Z4s,,,,,4> ':-..7,„,—It':;':'.'".4..7.4,41.-.;',V .!"??.0.4'...7,74-7arl:..''..-404r.04tliti:-=4:" Gas firePlaectrasert 3339 .-...-,4',,-,--„-.1:,'Ail,„„li. .1'-'4;fia-4":.:Villll4t,;.','-'17f,'„,,,"' ''..f„,„Jrn'rfc— v,;,VAnu74-4ravirr*,,v V''''''`,4,7'r*'• Fine vent for water heater or iros ' HVAC 1 fireplace 23.32 Log linker(Ps) 23.32 ' I Wood/pellet stove ' 33,39 _1 Wood fireplace/insert _ 23.32 _ I : Chininollinentlueivent 2332 Other 1 ;-',4;-=0ivt,7.,,,vi rmmeigtiritlak;m:v Environmental tonmst and,ntilation: 2332 Name:_ V I -FARML, Ranee hood/other kitchen t ; equipment 33,39 rAchims- s: . -- 0 liefttit 1 I nrmw. 4 0 1 , Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, I City/State/ZIP; 0 - A F)) . toilet compartments,utility rooms) 23.32 1 Phone:10%_.,01 .14 L Fax:( ) ' Alticicrawlspare fans 23.32 ',9.PC4tc, V -;-i,;': '''.;'2i*'4:, ;`V''''W':.:k.a,,`^'::.14*,,=e;.ti:;i:';,ir.--4' '4 '-,!',,../:,•.'-",1 -V;"`V`..-i'-','''S:;'....;24ti Other 2332 ::''' ,4-,'".:i''' '•".1 .."-„,;IPX:.'.-...';,....:,',..o,:t•.„.0.1 •::.' Fad piping : Business name:Apes Mr!LC •_ .. . St 4.15 for first roar:S4.03 tor each additiOnlki Imimi id Contact name:Statei Ray Furnace,etc. . I Address:2210W,Main St.Suite 107-272 Gas heat pump Wallitustimodediunit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax::(360)326-1769 Fireplace Range , E-mail:stacil4apesairco.com Barbecue :.':.:„-•:.A.-.":,.'-',--,.',W,V143.).W;;W,"*.I.--`' ifir4.;n1,45:44-V-41,1V-a;Oi'l.--tOgVie----111 Clothes dryer(gas) ,,,' ', .,,oC;-•',. ,;a4.1.,„,l*M.Z4f:i•ii•i,ItAtv*. e?,,, -3r-,,,,ii,", „ — Other Business name:Apex Air LIE i2,901-44f,Spin.!.:i''.1',..,'"i:: ''-'h f "': ‘-4-;..,!.4*.61 ;-::'':. ..;,he:-.° .:.!.t:'''''''''; Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground.,WA 98604 Minimum permit fee(590.00) Plan review(25%ofpermit fee) : Phone:(340)3424109 1 Fax:(360)326-1769 State surcharge(12%of penult fee) ..„, I CCB lie,:203034 of - TOTAL PERMIT FEE This permit application expires if a permit is ant obtained/titbits 180 days after it km been accepted as complete. ./, Authorized signatu.: , ' . / . 'sli . ' * Fee methodology set by Id-County Building Industry Service Board i ' t I Print name:SiAti hay Date:1/28/2016 i I,n,..utswga.orniuwiccPomaArrigo;o doe 44046 i..71't 1 tAtizzCOmnxislut r t ,zr1�1�#crcrx 13t2 �SW Ii&[l BlvtC,Tt;and art�7iz3_ q �+ Whim I ,nt.t . t' �~ l 0..7.:rj ':. Mosta S,0.; 39 F'asc 563591 i9.i N 0 ! 201l} e7B fLc7atdPern,it:_, erxtolt,, itter 3Q3 634'41?3 t IC RL �natPagaITat Trt�,>Ft. nv Lgard-grgov y i/^ (+y ,anr $ . " 't.t 471Ai..p a.. `�'�+P.Pnaeats[l',t'ormnbnn .Li I IA • tTOW yr"j..�..£��y� 1 Y . miet� I r�rL i,...i(�eita! pWy(lnln otaarls.o ittl�Rt Yi prol Iolcod) �,. lk 4: n S Of.OG c4OOa n)f.R ormDr $111•ldfa`(CYI'.rf StO[)CS: Q i11C a.{'t111a�tllR fault 4 o ill_ �w,cnt 0-Matptal aad•boatyoriis. £� ,. - exee?ds l0 000.sapsat 150 molts Q Ftisstmgktin)d#ngs. ts4 i-atuj ,X,jm lj>dt4Clltng ❑COntniereial'uidnstiSal ❑Acee'aety bnlldiri gaP,a or exweds l4 DDD Q Z:nm°nretciit�ese sgricti al Q'Mnitt tamriy • ]] aSterbntlder Q C3fller• Q�+psf4.etotlxerrnratlatilis. UnidNgs. 04P.: QSa;tallatiaaufl3UKVA or 11 c ' '� JO$GSIT�� iO;�T p1t Al+ti)L ("titt1ii, UE-•T rg'''.711t.'n. luserspa,atetyder ved dn- I J9bss[eaddress.� _I�f� 51`1 �yy Il�t��swnni, �tnoiorloaaor Acta. 4011-#: .. „. ... ,,P Sherwopd O97141? QSccor morr:rtisidentiai inskg; oc nP 5 $rtittb! tv QHta"Iih-o8re r•aaUtw. 71ireationit s tlti�.jiar�cs. Suite/0 .,,• ] Pcoject�lame: QHazanlous"locations. QS+,pptY.4pliageYorrioia llta>; Cf<it tteedaitr.;ation"s to.1p i '- Q'§erl7rxur ,frsdu. ampr a more.. 6r746fN{t4ttts no,mnal Sites �` 1E aercrQ,ifob ! ob l„.,...w,. ! 7wi4 ! Ne*r re5idenbi7 s#agle`or moth mtlly tk9e#ting rmit. Subgttvisson RfS'er'T 0- 1 Lot# liiclr>rleg 11k.:0 ed gars e- Tax rstap/parccl • aop6 It or;l tea r„ EDFES�1�I�'?ilQ•hi€T}'�(kYdFC_. . F-Q-iia` .Sq'Cr griilial ou 33.92: f iTew 5ta • Ie mit c,ms s>s,aeaGsi 75.tIq $ a Y ..livtih-abovesq.n3 , . Liotiuedanet�y'm,a, fatnslY rrsrdepUai{svth abnvesg_R) •5 tan 1, T�''' 7dit(i_.,- V f"�w” .13;?ENAN '. '. .. S>srritesoir ' Q SeePa1 2 N / ers`#fists!iaiion'�ltrxbhon,antlhreti3cat#ort 1 J / 111 i, Ai i .ainpror#ess ang io ' �AuurW' --- ,` l'AC0D AtO - 2. 1 • tti anianptoksp;" 4.L� p ._.` ►Ti1 • -‘114° dlaagsip3`�bfli>s 3nn4 - aP .. 2 fax t ) 1 smp or `' s� zs,: EsnBnL Toot—krto'serest "orteedeeslbsta#la4ois,iil[trai#oii,andloi, retoattaa ? ,,,,_ ;natiii fr<ion This installation is being made on proprriy3ftat 1.o n wltic1f"is riot 200 ei '.; 54 3G I. intim for sale lc asc,.re .or exclarrge'aecordmg fo OlkS 417'X49 670 701. 201"ait p.t 401 izs as O'nzet4_g�ttahue DHtC" dnt amps Eo 549 amps 1 + 758 id: 2 ,` Z... ., { ..., • BtOptb eirgti - tolyl kt erat1oar Ot; 2; sII- •...° n'COIVTACC,,,stotl tasigpsloa;+erpanrl Bustness;name Ga'r serIRIect le Washstigtan,LLC A ssc#icu • edc sru& service lir feeder fee, Clittli titatite All 4aite13 t•o Waruas tmixitt •7.43;. 2 li FeG3rn bsalteb arcu>4tsrirrmxt Addti 41.T174P.-Jtiltns.Rd sstvaxvi ter,Fnst st:.ts 2 ,btEtseb Y'J7C,tlit ClkyIStatcIZIP Vancouver WA 98661 Fac6 addJ.r+ncDirarasit; •• 7.4? 3 Phos .(053}32.1 $ :y lixeett>atremes ee or feedrr.ubtinebzderl} • I } ,Email 6daniels�givettsa aotn d c!x !big smite :fncdcr s�8 +Er . ,, ;; COIL!(?iAG�tIR )Y G?8d ltec�iltcct :.. op' „tow- 11tinssst%ta, •G1 Sd Busi•ness Biome Gap Electric Wast ongtvri,.L C sign oroudtttettgt,iidg • 8784' Atidtes>w tt)1lYL?�5EJo6tisRefStgr�alcactotlsjitrlmoted.errergy tsa0c�„attettiGoo,preatottsion. C Sre.Pagt3; 2 O.1tyttP;•danet►it�er WA l 98tH seb tidshisassal insp`ation Aver attot{•eiblcj�a kisY ortLe above ttte{ionthiinA Phone.(45•-•3).— .4.29462.0.. jJ Fax;{ j I noa(i brmtn}. 411 OW bx. gntatl b k.1/1 isegYye418•4 com •• ltidsrsinat tatutc l Sr dila) z81871Fr' Lic 'CUSS %spa alis*a+dttcli:;olxti fecttical tae..208774 S ry Lie 4446S + Ctlirsilytista#(Y hrioii4”; °?'r Supry BIecttcipn lgosit{rtl;,requited, 0. 'T Sap dlrltSS hint Elaine..aoau.l, , ..„..• t Date is 1 Qt')anKevrew „ 111x1... . ,,„„raft„„.„E fpF}:. X Mats*t r4.t*rge tj2'.Gofptiutit:l Audtonzed;stgnalure• / r, Tt3TAlr?Elllvii:m: 1,PutCra4104,OEsltDDaniels 1 Date; `'{ 1Ito p as�aa,ptite.. 1•P cep,. ptrrntt ittiiin 180 p mft a rst it# days alter it flair atxg�#d": L' a aioftsriZO pmr 4903141 iloc Rena iii t+t$ ,. iatietmAin seeTttins aDatt'td perppmtt. 440-r61,-. tht3lL"03tttYEO I • 1 I, Plumbing Permit Application Building Fixtures RECEIVEDReceived Pexant No City of Tigard Date/By: ,15 Tom'/6 oo..2_ / 111 t 13125 SW Hall Blvd.,Tigard,OR 97223 Pian Review e Phone: 503.718.2439 Fax: 503.598JUN) 0 ( 2016 Otho Pemsit No.: Inspection Line: 503639 4175 Date Ready/By• hen:: 53 See Page 2 for 1 1(:1 it D Internet. www.tigard-or.gov n tl Notified/Method Supplemental Tnformattan Demolition Far special information use checklist ri New constniction am _- Description I Qty=. ( Ea. I Total 111 Addition/alteration/replacement 1 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) U ., , a SFR.(I)bath 312.70 1-and2-famtlydwcllin4a �� C �l s a e SFR(g)bath 437.78 D111 g II Commercial/industrial SFR(3)bath 50032 Accessory building Q Multi-family Each additional bath/kitchen 25.02 ❑Master builder D Other: Fire sprinkler( sq.fl.)- Page 2 1 Site utilities: Job site address 31 9t, / VY/l f e Catch basin or area drain I8.76 i " Drywell,leach lines or trench drain 18.76 City/State/ZIP: h ft r 0 0 Cj • D Ek p q w- Footing drain(no.linear it: ) Page 2 Suite/bldg./apt.no.: 1 Project name: r o\\I �5Y C(j.:$" t*QManufactured home utilities 50.03 Cross street/directions to job site: U "fe '_`"'`. Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no,linear ft.:_) Page 2 Subdivision: Lot no., Fixture or item: Backflow preventer 3127 Tax map/parcel no.: :r n tt .,E ,p Backwater valve 12.31 7,F �W 1 o t .4 7 .a _ '' -Clothes washer 25.02 , pl , bl_.i Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25:02 - 4 Expansion tank, 1251 lip r Flzcture/sevrcr cap 25.02 Name: lip 1� s. Floor drain/floor sink/hub 25.02 Address: 1 r410 CU e(YtrukyTh fv v /. N Garbage disposal 25,02 lis City/State/ZIP: � � ( 'ca Hose bib 25.02 V vJ v ` e Ice maker Ph ,1`'1 �-1 12.51 . �; � sI ' , Interceptor/ case trap 25.02 Business name y Medical gas(value:$ ) Page 2 V-1---1-4 t'E�^'...-i"r,.'t<t5-b`•) t 1 t.,.t_,"�i'\Yf-.'!e !1 u' ; Primer 12.51 Contact name: Mei : 1,- 4 .6.----1V- 0 .-1.,33 Y } Roof drain(commercial) 12.51 Address: It) ty4., 1°).)--T Sink/basin/lavatory 25.02 City/State/ZIP: t\A '} Solar units(potable water) 62.54 f Phone:elf{ ) t J4 7j Fait :( ) Tub/shower/shower pan 12.51 4 Urinal 25.02 E mail: 1 r► _ KA . Water closet 25.02 . :: ; � - t ` ... ,, Water heater 37.52 Business name: k.1- f r K '1'YA/.:1.-/(1 1)1 tA Water Water piping/DWV 56.29 Address: PC) GD-1. 13.7z Other: 25.02 City/State/ZIP: y_. ,,,a_ -7 L Subtotal Phone:(9")i) -• /1 Fax:( ) Minimum permit fee: $72.50 {_ Plan review (25%of permit fee) CCB Lie.: Z tf 4Z.--. Plumbing Lic.no I l;)U^ State surcharge(12%of permit fee) Authnri7ed signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: � !,/t 1-, Date SGA/j{ after it has beta accepted as complete ( ( *Fee methodology set by Tri-County Building Industry',Service Board. :1,Unai iag`Permas\PLMU-Pemet.App.doc 10/01/09 440-45 taT(10.02 COM/WEB) - 4 City of Tigard Iii ■ o COMMUNITY DEVELOPMENT DEPARTMENT T c n 1z n Building Permit Review — Residential Building Permit #: /Vs'j /6 00,2 9"/ Site Address: /S927!(0 &') —S.?. .6i-jit2 flve, Project Name: ,,gip/ , c r� riaor- y7- ce Lot #: �Z (Ne nn g=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 8, ) 92erify site address/suite# exists and active in permit system. R vle er Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ree(3) copies of site plan sting structures on site Pike plan must be on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished I(� rawn to scale(standard architect or engineer scale) 9or elevations rth arrow L14Utility locations(required for new,may ap ply for additions e address,project or subdivision name and lot number >: ation of wells/septic systems p 1 ) {� V .plicant information(name and phone number) 1I,Erosion control(including drainage-way protection,silt fence 11 •t dimensions and building setback dimensions sign,location of catch basin,etc.) 1E Lot area,building coverage area,percentage of coverage andreet names i ervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location roperty corner elevations (2 foot contour lines if more than Ofiasting trees to be retained with drip line,and tree 4 foot differential) protection measures / lean Water Services—Service Provider Letter of platted prior to 9/10/1995): [Required: E. Yes,applicant was notified No Received: ❑ Yes El No Public Facilitie Improvement(PFI) Permit: _/Required: yes,applicant was notified ENo Applied For: UQ Y"es ❑ No,stop intake VIjd" Land Use Case#: Pbt / ;4`.)01.71-1 Su /5.., -6 oning: ,e' Vetbacks: Front /& Rear 0 Side Street Sideii V � ���- Garage 3 , andscape Requirement: Lld of Coverage Maximum: *2_ % Building Height: Maximum Height __ �/ Actual Height pq isual Clearance asements ensitiveLands: U Yes ❑ No Type Lcit)—Lib a-412.74-- 0 Forestry Plan ❑ Conditions "Met"prior to issuance of building ermit / Notes: �/l di/4e); ---SA--1 II 71'10 1 isS �.4c_e Approved By Planning: / Date: �N7/ , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved L•\Building\Forms\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: 4/7//k Site Plans: # 3 Building Plans: # ,? Building Permit#: [l' Inter building permit#above. ,_,,,., �__,__.�� Workflow Routing: �-Planning 4D--EngineeringPlsermit Coordinator Ei—ISutldtng Workflow Sign-off: -Sign-off for Planning(include notes from planning review) Route Application Documents: 42rEngineering: (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: Z44=—zYZe1--. -- Date: 0 V/ Engineering Review Slope at building pad: Oji ❑ 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 Approv b Engineering: Date: Notes: —Z!ig ell %�� ' Approved by Engineering: e/Z-- Date: ,k-//—�6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit APp roved,NOT Released: ^1---Date:6(707/6 is 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: :' Yes ❑ N/A Tigard Trans SDC: tiR3 Yes ❑ N/A Parks SDC: 'Yes ❑ N/A 22rf OK to Issue Permit ���1 7��//Y Approved by Permit Coordinator: 1111---- Date: I:\Building\Forms\BldgPermitRvw_RES_012116.docx 114 I City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: /7/---(7;2-0/6 — OD-217/ Site Address: /,, ?-1-* , ') -.C.-A6✓0i2 Project Name: c/ Z e,g,i .,e1/..er - i�c t Lot #: 6 (New w g=subdivision name;Addition or Alteration=last name of owner) Planning Review of 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. Porch min. 5 dee Balcony w/access 2 Window Projection Vertical Wall Offset a P ft. deep min. 2ft.,5 ft.wide min. 2 ft.,6ft.wide Gabled dormer o CI ❑ ❑ ❑ 2. Eyes on the street:a minimum of 1 %of ea h street facing facade must include windows or entrance doors. Percentage Shown: ��j, /. � ° C 3. E rances:At least one entrance must meet both of the follo ' g standards: Max. 8 ft. setback from longes treet facing wall arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: es ❑ No If y ,all the following apply: 6 sq.ft.min. III e street facing entry lei 2 ft.max.roof above floor of porch 1 5 ft. depth min. 30%min.porch roof coverage 4. etailed Design:All buildings shall include a min. of five of e following elements on all street-facing facades: �overed porch min. 5 ft.wide x 5 ft.deep iRecessed entry area min. 5 ft.wide x 2 ft. deep all offset min. 16 inches ❑ v ormer min. 4 ft.wide Roof eave min. 12 inch projection !I 'oof offset min.of 2 ft. ❑ Roof shingles either tile or wood ii Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Uprizontal lap siding min. 3-7 ft.wide ❑ Accent siding min.40%of street facade T&indow 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 . . • . 1 es and Carports:May face the front or s'cW line on a corner lot. Setbacks: No closer to front or • of line,than longest street-facie• ; I. ■ Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there' . covered fro :.rch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the gar.:- ' t of a two-story building and there is a window at the second story above the garage that faces the - with a min. are; : 2 sq.ft. Width: (Check one ❑ 12-fo. • .e garage door ❑ 40%max. o s. :- facade 0%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Date: I:\Building\Fomes\BldgPermitRvw_RES_RT_031416.docx Plumbing Permit Application,-.„-- --..r--q-, Building Fixtures City of Tigard Ss ED 1 h 2016 Received 13125 SW Hall Blvd.,Tigard,OR 97223 ' Dates : i Z) ,(4,,, Jo Permit No.: M41 I •. • • i ,,, Plan Review I Phone: 503.718.2439 Fax: 503.59800 y (..)i--, i ic-.1.,1A.i.:-:,.,_, Date ill Other Permit No:. 1 it.A lz 1 1 Inspection Line: 503.639.4175 8 t il n (7:: r)rvcc.,F, c i:\ Dec Ready/ay „kris: RI See Page 2 for Internet: www.tigard-or.gov ' - ".- Notified/Method: Su .lementai Information 07741-''''''' ''''''''''s Pj-lir%':',1:4-gltgi;lqqiPAE:t'tnTPT.:;f4''!'V':'fr '!lrfQieiliigiqignFArggFDSAtfliLVIV4r. Alitliadietigilllhallitega '.!:ffiqkc.P:T!'.11-'ilt.110-MittaVaelfiRigreltieT New construction III DemolitiFor s Erie!information use checklist '40 on Description Qty. I Ea. I Total 0 Addition/alteration/replacement II Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ''''''"111741711,4111.vkinkrellil%'•::71'''''.*21•. '"A's'i':Wras7:71,10nalillileakilligg SFR(1)bath 312.70 "."'"siP4"m",04"-,"1""lilwa,,...4,-,..Arr.--Illfg:4,--'""t' 'i';''''O'rt,,,- ,,,44:±.-.--,' " .1,,,,,,!!'..,,,,,,..1,44gam.mr•!•,.timilittdw,Fr.osoreipqiiiii4-• 0 Ah• 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78 0 Accessory buildingMulti-family II SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder Other: Fire sprinkler( sq.ft.) Page 2 ;;;',4I414'.-4'41 a,'iigimltr4tffalm44plm4Tp Site utilities: Job site address: 1-5-7 1.4 t, S to br 4 „, A v 1'hn A - e. Catch basin or area drain 1111111 18.76 Drywell,leach line,or trench drain 8.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:IkkikraitRiver 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 PO ',• filek Water service(no.linear ft.: ) Page 2MIN IMMO Subdivision: ' V 4°,',.,'., River Terrrace Lot no.: 4,7 Fixture or item: Backflow preventer 31.27 Tax map/parcel no.: liatfli4A00,49tomignirayi,:yfirrain.,.:-...r,:t.42. ,9 %.71... .onamipotz...,milip,45.w.,:maivoo Backwater valve 1231 '"le"l'4141,181'0,11-f:',7",,tr-Or*R1-'''''''''''.4'tg,1%,,',Alitlif:':,,:--4 'Ftio4-11 -Aglit-ARFAIMIIATAVAE,12.L ' Clothes washer al 25.02 MEN 0011 , i tf ^ / I Dishwasher IIIIII 25.02 NONE Drinking fountain II 25.02 I. Ejectors/sump 25.02 t1illailiV .`"gv.;1....iYM::'•F,.'-4...:1'.1r11116,-??..1(PlFzifrAfrliAliii,j1114.6.1115ifigia4 MI eFt'!:-eititil.:•414b:•.:451111-:,-Ef::! 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 1251 ''''J.P111014..,...,,MTM,;::lr,,,.91'114.4t.'`:;:"'":fgirWlaf:VNEPZ,,VZESH'r.MFgi9:411":'Itell':',1:41:15771144Eff. Interceptor/grease trap 25.02 r;ii.T4-'0E1111tiMft..'7.!t;:**-4,i111..:,,'t'l-.'t:s2-tr'llgarlfgRF:fi#V1F:tiffrbi. .A.!f;,:t',;t.f.'.'.'.'.':!,l,:'...1;...7., :•.....7.,,....-410,1111 Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewsld 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.Grajewski@polygonhomes.com Water closet 25.02 '''''P,'",----,,,lw-":"--iiramir.v4A-011LamFgotdoexAsfw ;„iv,, 1. , '.'1141.4v,i,kilvitr.,..fr,R.:e.5rew4g.i.v.z.001,pir4,4,4milnri......K.*1...0.4: '14ilinififfiREFIRIAR.V.PIERKIETS4401itf,',.....7gAr:i2,..Z..,,;,:.„,1,,,,k,,Ri•Mt3g4R,?;iitit-#114111,T414:NiNallifiNetamiNt411441, Water heater 3732 Business name: crrsovss, /3.0.4.._ Water piping/DWV 56.29 Address: p.t. $ ,„„, cp., Other: 25.02 City/State/ZIP: Si ",, e....,k 0,„.., crit3i Subtotal Minimum permit fee: $72.50 Phone:(SO,,--I;(tS•-• 1441 Fax:(411 Plan review (25%of permit fee) CCB Lie.: 1813-a, Plumbing Lic.no,itt (311 State surcharge(12%of permit fee) Authorized signature: S:takt 7:5v4) ,t0".............. TOTAL PERMIT FEE Print name: si.f,4,Ji„„ itio tce, DateS-3 b-1 10 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. 1:\BuildinglPermits\PLMU-PennitApp.doc 10/01/09 44046 I 6T(10/02/COM/WEB) 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13746 SW SABRINAAVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: FA I L Comments: Tel: 503.718.2439 Inspection Date: February 1, 2017 at 10:39:18 AM Record ID: MST2016-00241 Inspector: David Young Breaker for furnace not on. AC whip not done. No access to fan switch in master. Not ready for inspection, no inspection done at this time. Violation Summary: Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13746 SW SABRINAAVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: February 2, 2017 at 2:11:58 PM Record ID: MST2016-00241 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13746 SW SABRINAAVE, SHERWOOD, OR, 97140 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Correction from previous inspection complete. Violation Summary: Tel: 503.718.2439 Inspection Date: February 2, 2017 at 2:13:28 PM Record ID: MST2016-00241 Inspector: David Young Inspector Contractor