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Permit (50) CITY OF TIGARD `. MASTER PERMIT 3COMMUNITY DEVELOPMENT 3�S �� �''' Permit#: MST2016-00163 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2016 Parcel: 2S106DC08800 Jurisdiction: Tigard Site address: 13685 SW 175TH LN Subdivision: WEST RIVER TERRACE Lot: 88 Project: Polygon at West River Terrace, Lot 88 Project Description: New SF. 3/15/2017: REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front: 12 Smoke DwellingUnits: 1 Detectors: Yes Third: 0 sf Right: 5 Total: 2532 sf Value: $302,583.62 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y -Other Kt O3her Oessriation -Ecompasirpx_ BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2532 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: $32,341.36 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 thro IAR 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: f /4-&— Permittee Signature: 6A ," 7°,9 ' /C ,ii-%7dAil 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. RECEIVED Mechanical Permit Applicati'on.. , . ... . : ''.'. ' : -.,.... ,. .-..•::.1-OR OiTit.'1:. 1,4:;()Nl.1.,• •' ..; •-- ';'..'-.-.'.• ,,.• !I4AR .1 4 21.11( • ,,a..:•-;.,.L.,-..„,,_. - . 1.,,.-----.-: ''-:...i:.,.,... ,,'-;-:.- .-„:-;..,-:,,,:----„.,.-,,;,::,,,I,;...•;.•-:-.....;..;,.-:„. • . 'City of Tigard Dato13,, ," f-...7//, dtj-ty •Nonit 149(..7.5.7-.2iiii ..._th ‘.,:23 •;1111N „it-;'13125 SW Hall MIL Tigard,OR 97*3.Tv iJk n.0,,-r • . V '• 'Pho.ft 503.718.2439'roc 503.598.10601 1 11" - - Datcaly: If(..ii,RD 9 bspection Ltha: 503.639.4175 ri Tr. pry Ntop Dot itesdyilir. /9"' I la A*Pakge tor •!,bnernf: www.titzard-or.gov ),3 k,i i..d A.,i 1 kir,A' , ,Li i mylitimmethod: $1.1,ppieMent31 InfOrntfltkill -Mectiamcal penarc based on the value of the work 0'4 New constrUction 0 Addidonialtemlionfreplacenimit performed.bidieam the value(rouaded to the nearest dollar)or all 0 Demolition 0 Other: medardead materials.enuiPment.'stbon.overhead,andorofil. . Value:$ '.,,,.:,,:;;;::,,;,:.:!: •:.,, P..1',..ii'?a,':Vg.,01,00•11*..'.0t P-41;;I##00;01, : r....:'::::'':.'',':. i.''''..'rs,'!..:.:-:1%,::;' ,,::'•;'::: :'•1:41tSit6ititl'Ata- ' ' '. - . ' - '." FEES* an .. .-- . .•• ...,....•.....-,. •.,: .-0a.P!...W4NTO)Vgi44, ,,:..-;-' •: and 2e-family dwelling t3 Commercial/industrial 0 Accessory building •Fors:mitt!Infirmatien ma,chec4fist 4ulti-futrally 0 Master builder. 0 Other; Description • Qty. • Ea, Total •7..:-.:',.';.!.:;:i:l..,:•':C .:4;'.?,• :;'1•40*..$*..i:t0:004.41.10,1.::'Otoi'lA**ItiOsti-::-.:1.,..,':'..'••: )::_.::' ,';',::: ':': Air oondirionin: 46.75 -I lob site-address: . I, - - VaIRMIIIIIIIIIIIIIIIIIIIII Furoate1001)0011711(dacttheat0 . 46,75 CitYkStatcarP:Tigard,OR 97224 Paulette 100,006t BTU Oedema)• • 54.91 Suireibldgiupt.no,: ratio0 nan1611) r,s /2 it.A." .-/att. ' • CA i. Duct work 23.32 Cross sireetidireetions lb JO!)site: Honk hol.water system 23.32 Residential heilei(radiator or lwdremie II 23.32 Unit heareri(fuel-iype,not electric), ,.in-well.ffl-dircr,suspended.etc. 4675 Flueivent 1hr any of above 2332 0. Subdion:?bk co, oi i, i Lomb.: 4.14. Other: 23.32 Other rim/appliarteest Tax rnap/partel no.: Water heater , •• 23.32. . 3Ve4;, .;;15/14t1r. .141i314,43P,;JP.ottit :...: i!-•,,...:•:? .r..",..,•:::.;..,.:'.:,;;:••'...f7;'1.,. -Gas 143km/insert; 33.39 A°kr/V._ Flue vent tor waterheafer or.gas fi ,4sec 2332 NIFV10 —0(9 /6 3 teg lig)itcrOsi III 23.12 1111 . Woo. • Ref stove 33,39 Wood tiro:ace/insert II 2332 ' atimacOinerilluthent 23,132 23.32 I On'O)0 ...:j. ::'i s!::4,..-.: ,.,,:::,,,,,,...:..11:Iitakeir.'.;:'•:'-:••••,.::.•-,.',. :.::. (C)lher' . Wane:Polygon Wit41,1,1..0 Range hoodiether kitchen 1 e,isi went 3339 • Address:109 East 13*Street .1 clothes Amer ts,dwntst 3339' ci19612162/P;Vancouver,WA 98460 Single-duct exhaust(hathroonK toilet compartmenrs,utility rooms) 23.32 ' Phone:(360)69S-7700 Fax:( ) ick/awl. e lints 23.32 :.::',..-,-:;..;;;•'••-:f,i";.'',.. .',:;:•f-,-q'.P.'-'..*Pt,:k10.:01r.:_:;:',;::'..:::.':'!:.-:.''''''',=.:.•'..:,',':::::,''...;,a..tol:':' L•:j:.;;: —_00= --- IMPIPPr!INEEmen ; Fuel t'rosiness name:Polygon WI-nt LLC i $14:16 rettlist rimr.r$4,03 foetid anditionst • Contact name;Angels.6 rajewslci Furnace.ate. Address:4109 East 13th Street Otis hear num Wirlitsrisnendedrunk healer 1 City/StaterdP;Yantetreer,WA 98660 witerheater . Phone:(360)693-7700 Fax:.1(360)693-4442 Ftreplace • Range • E-miril:Angela,Orajewsktiitpolygonhomes.coin .Maintain •' •'011RMP-EfliRl'ij.*•:VAP' '' '';i;":••,'::.:''. :': •:'.4'•::-;,1"-:';: '-';1°:i...',;'::: ••';::.::••':• : .• cbegs 0 sF14".." • • 11111.1111111111111 eto:sines1 name:Apt%A Fr LWOther: . . .. ',..,'•: .;':::_1;".!. ..1.e..:••1.',1* tiitit:4tielOiftt00%,.;1'.:- :".. , .....; '.., Address:18004 PAT./2'd Ars Subtotal C .ity/SettalP:Vancouver,WA 98686 Minhourn pm/raft iM,00) Plan orriew(2%of iiemiir fee) Phorio:(3601342-8109 Fax:MO)326-1769 - Stares •! t .;402%Of • , Cal lie.:203034. : TOT414 6:114ef-Ptit — This permit application*vim if a permit is not obtained within ISP • da ifitr it has heart actsplia as ticilfitett. Authorized signature; / -: * Fee melhodelov sei by Tri-oniony leinticlinv industry Sco.icc Soard - . PrintnalneirTek .' '..1 [Date: eq.pi.4.. — • — 1:15gilding.T.TAIlv.,Mre_Nre*ApttpollI 7.4m.• 404117,0 ti0240.,MAVF/1) • -- 11 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00163 Date Issued: 09/15/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DC08800 Jurisdiction: Tigard Site address: 13685 SW 175TH LN Subdivision: WEST RIVER TERRACE Lot: 88 Project: Polygon at West River Terrace, Lot 88 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1105 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1427 sf Garage: 385 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 2532 sf Value: $302,583.62 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2532 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: $32,098.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987988ora1.800.332.2344. Issued By: 7 Permittee Signature: t�A7 `7 �e'"fe �e9 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit App1icatlon N FOR OFFICE I,SE()NEN e ;<9 •tea, �j t a 4,.+ :+, Received Pe[mrt Non �� fi- City of Tigard At 2 n 7 Dater. Zq `� . - c / Blvd.,Tigard,OR 97223Plan Review rt I , Otha Permit e e ik /02 7 74 1 Phone:SW Hall DateBy: J /6- I 1i : B See Page 2 for 1. 503.718-2439. Fax: 503-598-196���'•� �,, lYnt"�?€� DateRcadyBr1•9* Inspection Line: 503.639.4175 9 .1 . ti t NotiSem'etbod: ` ,3 �� Supplemental Information TIG ,i h Internet www.tigard-or.gov ° ' �� "ti a t 1 � 6 "FL. � 6-/&--- ' °-_—` -"""— " ` Permit fees*are based on the value of the work performed- -` _ a �$ 0 Demolition Indicate the value(rounded to the nearest dollar)of all ®New construction ❑Addition/alteration/replacement Other equipment,materials,labor,overhead, verhe ad,and the profit for the s � �� work indicated on this application. k5 Fr ; t s ,'' a . 7 , , , --- ,r o � Valllation 0 A S ,c,. -3s ....i./ 3b,2....>, ci ,1...„, ❑Commercialfmdustnal Number of bedrooms: ® 1-and 2-family dwelling ` El Accessory Multi family Accessory building Number of bathrooms: 25 0 0 Other `1 Master builder %' Total number of floors: 2 w = I New dwelling area: V square feet Job siteite a address: /Awl s- l/ I - square feet Garage/carport area: q City/State/ZIP:Sherwood,OR 97140 square feet /� Suite/bldg./apt no.: Project name:Polygon at West River Ter Covered porch area: guar � 1 r11 Deck area: iv square feet ! I 0 Cross street directions to job site: ', square feet Other structure area: Lot no.: �,� Permit fees*are based on the value of the work performed. Subdivision --�� Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Tax map/parcel no work indicated on this application. W: Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet a a " ,11 , a . 11V 5 _ c Number of stories: ' -u �� Type of construction: Name:-111.717 t:a 4 � 4 , `' '�i'� AI�t Occupancy groups: Address: t �. ���. � ( G (,� f9 +wi7A. i) Existing: City/State/ZIP: I� Phone: /S iFax:(360)693444 2 New: . ," 7 " �- ' .-.., . t iZ - �¢7 ai -✓ i, , a � � r,� in -a , � �k--1; .,e :�-�_ e "� " r;P , Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 13th Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received: Fax::(360)693.4442 r - Phone:(360)695.7700 1 i = i,--- E-mail:maggie.gordon@Polygonhomes.com Commercial and residential prescriptive installation of I ,.7. � a '�,�1 �" r _^ .� ) r ,7 ''''-±:::'''-'4.-"- roof top mounted PhotoVoltaic Solar Panel System. ����-�s - �� � -� .�..-ti- �� - Submit two(2)sets of roof plan with connection details Business name; -til/C-.Ae, L-- C/ l*/`1 . -✓ and fire department access,along with the 2010 Oregon Solar Installation S.•tial Code checklist Address:109E 13`x-Street Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver,WA 98660 andadministrative fees : Phone:(360)695.7700 Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 $$21.60 CB lic.:207247 Total fee due upon application: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Authorized signature: '� *Fee methodology set by Tri-County-:Buildmg Industry Print name:Maggie Gordon _� Date:12711/15 Service Board 11/02/COM/WEB)4613T( I:\Building\Permits\B1JP-RESPermitApp-dot 02!24/2011 440- "11.11.11111M_ i • IVItchanical Permit Application 1()1i.oil I( f_ I .1.ON 1.1 City of Tigard _ eSr l Eit ,r07.- __0/‘„,•00/-4,3 1,1 . 13 125 SW Hall Blvd.,Tigard:0 9, Pats Rt;view Phone: X3.71$X439 Fax: f63_s98.€�gy 7 ��6 kurtByOther Permit i €c :rIns ion Line: 503.639.4175 , .t � Dare t dpaBy: J is Set tit 2 for r i Internet: www.tigard-ot.gov .- Notitied dethod: Supplemental Information CAT Y 9 ai,t I. a L s�4a�� �°� I' , .e :, , t em. ''' ,/ t0/ 1t('€i r "' ' �1tEt" �¢ Mechanical permit fors*are based on the value of the work 124 New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: mechanical materials,equipment,labor.overheat and profit. Value S Et I-and 2-family dwelling 0 Commercial/industrial0 Accessory building For special fnformm/aa use theekfisa 0 Multi-family 0 Master builder 0 Other: Description Qty, Ea, Total fleatingkooling: Ai _� 6 J 1 I t ((A 1� Furnacer conditioning 46.75 job site address 1 100,000 STU tdttcts vents) 46.75 City/State/ZIP: Qic-'1.!"r`t}Qd. C)R q---1 0 I Furnace 100,000+BTI.;€ductstventst 54.91 • Hear pump 61.06 Suite/bldg./apt.Ito.: Project name. C� Il. l � ? Duct work 23.32 I Cross street/directions to job site: n i_4\ ((-f/ Hy dronic hot water system 23.32 Residential boiler(radiator or hydropic) 23.32 Unit heaters(fuel-type,not electric), . in-wall,in-duct.suspended,etc. 46,75 Flue/vent far any of above 23.32 OtherSubdivision:liver Terrace Lot rto..i/1• 23.32 `� Other fail appliances: Tax map/parcel no.: Water heater 23.32 �„ s d' a `d`''''''''','''"I'''''-' 4-''`" � lT,"'7'''''''''1'''''''''''''''4''''''t' '� Ise vent3' Gas �waat 3339 role 4 'Y.;•;. ...ws, A°"w�auz „t- ....e�� as € hearse or Ras HVAC fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood firepla€eclinsetd 23.32 Chimney/liner/flue/vent 2332 a� 2332 �. �_€ � Environmental exhaust and ventilation: 47t V�` ,!,�� 11e_ e ' Range hood/otht r kitchen I _ `, ,,qJ /� a equipment 33.39 Address:' l LI E `A , A '- 1 , 4 �' L Y �W(AC) Clothes dryer exhaust 33 3c# City/State.//IP;'i' / 7 tic z„ V Single-duet exhaust(bathrooms. ._-, i L toilet compartments,utility rooms) 23.32 I Phone IOVl lY q- t lhl crawispace fans 23.32 , Fax:,( ) Attics t s a 2332 Other Fuel piping: Business flame:Apex Air LLC SI4,15 for first fourS4.03 for each additional Contact name:Staci Hay Furnace,etc. Address:2210 W.Main St.Suite 107-272 i Gas heat pump Wall/suspended/unit heater City/State/ZIP_Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax::(360)326-1769 Fireplace Range E-mail:staeiapexairco.com Barbecue . .« a t a-. < tri; _-40,-..„. „ ' 4 Clothes dryer(gas) Other Business name:Apex Air LLC Address:220 W.Main St.Suite 107-272 t _ Subtotal I City/State/ZIP:Battle Ground,WA 98604 'Minimum permit ke(S90.00) Plan review(25%of permit fee) , Phone:(360)1124109 Fax:(360)326--1769 State surcharge(12%of permit fee) CCS Ile,:203x134 TOTAL PERMIT PEE €__._ This permit application expires if a permit is ant obtained within t*0 ,+ r days after it has been at-muted m complete Authorized signature. 4 fr Fee methodotopy set by Tri-County Building Industry Service Board € Print narc:: asI hayDate:1/28/2016 _ I tsst a smitomec_PersnitA tt4AC 13 ilac 446-46i 71'(I E.,51—COtit44 Eat 1 171 Pe 1ft� �teo iiOn. T ;- rr q (}q G 1 U l'IJ t T l .t"i '4.) : lef$ r o, 3[trAill .. A P I 2 0!U R1-$0 tr a•s o^z T* `;o' 1t�12 SY't�attBtvd, r L}R;9' 7223 Phones SD3 i1ig.2d39Eax. 503.59 "F �,.. i �Rv ftaYatcd Pemat rispecxioir Lliia a03 630�t1S. RF�i • • • T i C T U nd i G YTtdBy tutSC T3 SxajtaZ foi r.r4 iiliiiiii-ot_ii* F , o4Sapptamudhturormafioa ' ISI �� a tiiti(bIt>i!3It04i'0nJilr�i8ceiiicnt 19CaTt l,f1 I #,i4gm1NR26elsaffit0n7 [tm4C130:4 dj. 3 $inailfr07i 'I ''f � f Sark,«or ee�tx�4 :ii::pswmar8 f $m7arny16 1'"`fb .ictaries. 'g ��".'" I" ttliere ihcYfr3iLt6'1a Iw1,t sla�enl amtli3.and bt��,,. �'4 �4'+ 'tiLo 3�5 .; 's, exat~ds it1,,000 amps o!'Fso tt o>•- i#4 g onldirt ,rda 03 and 2i.famllp dweilll g tj' orgmerciiiifindustrnal 0 Mcessory brilldin iess io powxl ora s 1a 000 1;10,;",1.17..„i-r a iculeUfa' �i l nit/ WIY. � pla t$rbuilder Q t]4ier 'a'Pt44:P�ier-001 fions .....**0;..oP15DKv dErm3A �,,,...�rzHon or: t#374.rJr��b> X? o Af Ltitd(oi+� d syMicm. ©I sapa,atetyamrveil yr I fob , �j a f n .�/� ��e t LJIitan Det eAM i/10{of:lOad of #0:(..#4,„, lob site address. 'n �1�1 {C1 Y 1 , `�' i,9kRermWr:. A c` 3',14 CitflS�atgZwP Sherwoodt71t97140 Sxprmorereudentrsi•iiuits, W Y C3w,altlrcr aa>44;.„. 7$ICezzsajioAataeliidcpada. Surtelisidg/> : Pcojcct name Liftiadous1oaahoas. © poliaseto more thon • ❑,enneeorfee&u*.„-An orpore `' Cross S`tn ct11 zI'eeti+6Its Eo jrob stt?.,' .k s _. tea lstl aawq 1 iciiiiitea Aha sai i'`;T orii I . . ide»tiaisnge r OUtS=( 141 ellii�iL; ubdv ion River Terrace: ..I Lock'�eJIrcatfardgirade. i_0o0 it aress eps168ad tTax ?4 Eo. dt5Ktsq hopoiton 4332, j m ; r ?0: t. 14 3P 4Ydi LiildegyrEstd7 Plug Si iglg F,oko y :s,-,...: 416:-,16:1-i44::0.,. , ,...: ; - 3 75:OD 2 Llmgcd 0it _10, ra m (iamilY 75.E" 3 fi,iid aria!401 41e.A2} tieaeiva 1i2-iif y C3`fieP t2 + 01%-t iiTY.f i /;, ,0'0.1 4N'C �2ctsw3 erslostpitntion,.olterebjnsdlor•ralocalioi Nan�t.. LVAtli„ :)icLiJ 1 +�-; �3sungsnrless �D0 782�- , 0'93 !d.ttit^ t2 o ) • i to p-taatlrlamps 13336 11.1111n , 4Oti (, 4ttlIlptwQbamp3. Z0039 �® 6641411P.-� �} 1/V ,r 1 7_ �1"_� tl *0 o06nmps 30144 IS Atoilu t pO2. L V'3( • F'aiC:{ } am Sotnvilt 3.s' & 2 F�tialL �-C 'rein iai oy-tir ire urteedete TiistaIFaUoiya1fe 2tion,an8/or rttoeatian O rawer nstalbttio t This iistattatioii is being made oft property that I.pwu whit2►is riot200 a or less: 59,3E, 1 3ntonded for saiq,iea3T,.ran 0:exebaugey arxiirtding f0.',.9),§,5:,447.,449,670,aIY11;101, 201 amps to 400 eznpo • 125.08. 3: 0,0.*0ignatm Dom; 401 ampsto399amys •j{ 768.54 22: .-. DE% tT , z,4,, ,u :rd AtAAGt PERSOLY Se4iich lrt Rs-new,#itteta#ina,orexteitsiOnp , eraiiei d.Ft ef#'7»anc$i csrcnls.rich Basad rami Oarfrer Electric Wass iugten,LLC .400serva orfecderf e, 7 2. attnarnc.18W Daniels- t ae�rbrarldi.oirtxtrt. K FeGTor'braiiely rcu3tstrirhost sriowfec YefiAdel** 6tUf 11FEStjolinIt 5&t8 2s Manch I irbmt CityfState(ZIP Vancouver'IWVA,38661 ch 'lbiaas ccirein 742 2 Phone(253)320~16557 I_Fax-;-..,( MIste71>aiioiiiti er+ee br teedrr abtinrindell} 40.naiiutietfii> oillpiluter dRgtiigg.sorv+taaridiixfctdu. 67 84 .2 Einall bdanrelsggivensu zoin Rxmntixtarif 69.84. 2 1'ot.:r:.„irrig,,::.. iidc G7 84' 2 'Business name-Garner Elentric W.usltingtort,LLC 1gn o(-oudmei;giitjn 6184 2 Ad&tt AO NS5i,tti6nsB Slg3abenaiit(s)Srttmitodeliargy l3 Set1'lg...'",, 2 P ie{iitelaSon.x.1--.: nston ”' • Etth s ldiRohat ins ii t ifylS ti�?d3? Vaneouvt r X'trA 986ti f. pcttioit pvcr pltii Y>ibi. arry.. . above • Addiftw101ibspecfiott{(�in'<ihin) Sb.�hr' diene;(2S 320-1.57 3rax.( ) a [iP aiCl,,,.... , 90OWttt Email brdanie1o13a'ensa.co?n baa*.lat,ptaie (1 br.infn) 14IZfbr i Ltc 0,..1,,,X• $$lineal, ic.:208174 '.. S4pty L►c. 4496. ( lurtTm : 940011v •Supry Bfectrrcran signlit}ire,required; t/W Pi` Suhioitt: .. Pant name: Joan P,Albert D 1 1 lIl! 0 Plan Rtwtru'ttequhed lz5%o fi iii!t'fef ;xlate Sv414r1 hofpcn .lt fee).: A tbortacd,sfgtatott; '•I r _ tOTALPERz1Lf 3?ivttiaame+i31ii)�4#i1C1S f Tlmpeeut1(10441c>ui0�eetliIFe>tirirpera$tl,ge aai0010tti4Yntiiia180 • 1?IIte ( 1` days atesrit6as eeii a 44.4 ss'ioiaptiiz. - • ` ' Nnintitroiidt it ens inAid lierpatiuit stadlA¢pEfd[,itEdae Itwtari7it 44tH615T1t1Aif/Co3t1{VF,g • • • t ' ' i Plumbing Permit ApplicatiOu. ., ,. ,: - . _ Building Fixtures IIIIIIIIIEIIIEIZIIIIIIIIIIIII. • City af Tigard Received paorays. Famitmx;17.J.73-e/L-D )/&3 Ai tfr-" 13125 SW gigi°Iva,778ard,OR 97223 No itakirtf Phon n 503.718.2439 fax: 503:598.19S0 - .. .! 13,24,By, Mho Permit No4 .„ ,,_ /impction Linn. 503.639.4175 : . • Da„Radymy: leie El Ste Pogo 2 for ' ''':k''J Internet: enew.tigaid-or.gov ....; , -,,,•:.:-..t,,-;„.S.A.,t2;-.;%.'§:Q.:,g.:,'',..4'.1.:.:IM:.!77:4":„y17*icii/Ktifaui7Xe:.fiP'A''• ••••:*.i!;':1'.'Q'M::,:•;:;1(:;:.';`,. 3.f...'?....".,..";:.',..:'.i:7:,:P.z.:;;;;";:,.,;,,I*4.4,,,.._cp4*-1,, .;.?....2.117.1;;t::-...•;..:::.„,..,,..:..:...,, -..,..1,..,e.,4,,,,,,,:ntv5....t..;,-,..w.,,,,,,,:,-,::!.!-&,. ..;:g:Ly .,,.,,,,,.:• , 'U.,.eel.'..t.:•••••, ".•'-'4.• , i ",` •••^ . • fOr't,-.0,, , ,ratruialt pre checklist • pew construction , 0 Demolition - + -—.non . C! : RA- seal. El Additionisliendicm/replacement 0 Oilier: New 1-2-fauilly dwellinp(includes.100 ft.for eat&unity coanection) : 4 '•' •'. 'iite.(ilkir Ole 6:iNtifitlikii:. e•(X...'?'. .1." •:-'.:.:=;,....:..r.::::,.. SFR(1)balk .,,:,;.',....4•,,c&.,,„, , ..,,,.... .„...,.,,. ...•..t.,..: `.• -‘,,` '',• .• e••F''' 312.70 SFR(2)bath 437.78 F2_and.2-fatosly dwelling 0 Commercithimdusidal Wit(3)bath 50032 . 0 Accessory building 0 Ivlultnaily Each additions!bathrldichen 25.02 • 0 Master builder 0 Other Fire sprinider t__ q.fi-) Page 2 ::::',...:".1:!•; .?:::::....•i:v.:-: :**,*:...,S017:1#, *14110,it,,'...•:403:),i040-.0.F.:;•::.....f..,-..71-....... ,::, Site nillitkar Catch basin or arca drab' ' 18,76 ;t*Site ElthVOSI / I '5 6 w 17 -4-i'l Lw rvyweg,leach ilea,or trench drain 18.76 • City/State/ZIP: . • Footing drdin(no.linear ft.:.....,) Page 2. - Suitaibldgfalpt.on.: 1 Piteet 1:13n1 At tyao/4 ef-7" Manutinatted home minden Crow stmetidirectionslOjob site: 4/657-/2/4-4 7-4-AgeeE- .M'Pholc5 18.76 • Raja drain connector 18.76 - ' 4 Sanitary sewer(um Rung ft.i_.) Page'2 MStorm sewer(no.linear ft.: ) .. PaR, 2 aw sarvice(ne.linese ii.:• ). Page2, . . .. Subdivision: I LotO.: 3 'ir Miura or item Backflow onger Tax znap/parcel no.: m 1251 ••:::::,...:',:.'":-..:'.;-'..-;,. .':i.',N::::?...;.•$:•:.'4:44',:.,•Attgemnotr.)*wiety.:;;;, ,,:.-..::ct.--:-::.,?,-',.:,:..-:;. e.,1/44/V6-6. "Z-.l.A.,/ie./AJ6 etvA/77Z4-d-7?)ie.., DiShirasber 2542 Wail*aura& 25.02 • Xleeuvetsutrip 25.02 — i';;':':'31.;:-'.4:'•.V;Zft;*6iiier:T*t.',•iiii.'Okki'l :;::':zi.!.f.,,''-i'..•j',-31.,t:, T37:-';.•%;.;ii...Pi'Vga'47.X...$4-1,4.*:.•:A••••4::;..:, last Nom ,41.,a L 111 44-Al6 nee41-16/A/6:-C 1.4.C.. --....4 Floor drain/floor sinlohnb 25-02 Address: III . — •Garbage disposal 25.02 , •CitylStatediP: ' liose bib 2/02 Phone:( ) Fax:( ) Ivo maker 12.51 0. ,6* it:;4449.19 :?: ':". bitacePt"greme txap • 25.02 , Metrical gas Oak=5 ) Page 2 Buskins name; '0 L y 60 AI / / ,y 41-C. — Pious 12.5,1 . Contact ntunc /9-jovc azot 6:e.P...4-era- ...,c/t.,ALeI _ i Rootdiain v;omicerclal) 1231 Address /09 £ /3 — S 7— shiknoodnuaratory 25.02 —__, — . CAY/Stater": ior47Cr eira VEX. 604- ?'e$4 o Solar xtaks(potaWe water) 6234 Phono:(g6,9) 695- "7 70 0 1 Yar:40 49.1 -.9v,..2.., Tulifahownishower pan J2.5•1 Urinal 25.02 • EPulail;heAr6E-LAL,641-.7M4t5til&Pez-Ye9,1V!`le"./E:s ,e-!Ii. 25.02 0..',;';-i. ntiAs**0A0*::6':.: .I .,',:a; ::V2:' ,:i.: -.1:.!",;... wwerbtater. 3752 • Business nom /44./..iatizterz..._ ' _Water Oplag/DWV 5619 1 - ' r 'I 0 _ i!., _ .c-"- ' *...,.... °then ' 25.02 SLy/SLatef.. ._22.E, - • 0 Subtotal i Pbcgic:.60 ) 4fore-34Mo Fax' '5-03) el/2. 4040 . Minimum penut fee 572.50 Kin review(25%Ofpwre—a fee) CCB Lim: tegep0/ Plumbing Lie,no.: /0 e 65 sta.surcpacse(12%ofpamit fe.) , , . Authorized signature: 1 ifi A f .di • TOTAL PERMIT FEE ' lbDate:41-77Z— This nermit monodies noires if s nem&is eat obtained With'ia 1110*IP . Pztint tisane: , ex• ,/,. wigi . off=it has been accepted ItS compfrtc. *Fee extbodoloto set by Tounty Radii*Industry Siroke Rend. tigh.W.INAPannie&L.k63-PtrmirAp1.doe Jam^ 4$n..4aurnicie2'rows79) City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT i T 1 G A u D Building Permit Review — Residential Building Permit #: 5 /40 00/4,3 Site Address: t 36. 2) S l is A-'1--, Lo(1.U: Project Name: PO i j_90Y1 cit Weft- R -r Te.�a Lot #: e V (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: 1 V ON .-CC-R. Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No je Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3) copies of site plan --existing structures on site tte 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 North arrow Utility locations (required for new,may apply for additions) XSite address,project or subdivision name and lot number —erocation of wells/septic systems pplicant information(name and phone number) rosion control(including drainage-way protection,silt fence of 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 - ❑E)eisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes E No zr Public Facilities Improvement (PFI) Permit: Required: E Yes,applicant was notified ❑ No Applied For: E Yes E No,stop intake Land Use Case#: P C) R ) i 0000/ / S")L32OIS - 0000 G Zoning: R-1 Setbacks: �Front 1 2 Rear I Side ,S Street Side — Garage 'l.0 AfLandscape Requirement: C..0 % Lot Coverage Maximum: 0 0 % tYp0 BuildingHeight: Maximum Height � S Actual Height IV/A Visual Clearance Easements yr Sensitive Lands: ❑ Yes Ai No Type Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: (ovid tioiii t,-,vA� b fry et Bibi- ltJuo,n G c V19Ac4.iv 1 rm i-t-, (L" I g ct .-i-y ' r(o n e i;rvl;n a•k, .tt\a. n ex f- %) W&1f� ti1-c.. Approved By Planning: t-�--N a ,)v 6LL-ci A_, Date: y/, i-/ i 4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Fonns\BldgPennitRvw RES 012116.docx w J Building Permit Submittal Original Submittal Date: 'V/ %a, Site Plans: # Building Plans: # -5 Building Permit#: [ nter building permit#above. Workflow Routing: -Planning CJ erEngineering Permit Coordinator li"lluilding Workflow Sign-off: 11'"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 yriginal 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: Z)P4Date: A 0q//' . Engineering Review Slope at building pad: gA, onditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date: Notes: (Ad..r;�'///E -g le, de yogi, - d-- #4-i-÷ Approved by Engineering: )4L J7 Date: 5.:1.0.--/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit jApproved,NOT Released: C,I �--, Date: 5- q�f So Notes: e h 1 el el et, -A.ei 4 J -iv be- nt e fi 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: tY SDC Fees Entered: Wash Co Trans Dev Tax: 1E1 Yes ❑ N/A Tigard Trans SDC: ® Yes ❑ N/A Parks SDC: R Yes El N/A (f4 OK to Issue Permit Approved by Permit Coordinator: ate /V4.2 I:\Building\Forms\BldgPermitRvw_RES_O 121 16.docx City of Tigard and IIIu COMMUNITY DEVELOPMENT DEPARTMENT River Terrace Building Permit Review Addendum TIGARD Building Permit #: MST,2--0/0 — C20/(.g Site Address: i 3 BS SW 11 S' t-tt L C n e Project Name: Po(u G��0 n u t vVei f- a� (- L., Lot #: eg (New vi lling= 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 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 Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide ❑ ❑ C ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 17 `¢ 3. Entrances: At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street facing wall 'arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: 'Yes ElNo If es, all the following app iC '25 sq.ft. min. One street facing entry ft. max.roof above floor of porch 5 ft. depth min. /30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep 7 Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide 71 Roof eave min. 12 inch projection /Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood /6 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 1/2"wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing 'Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade 5. Garages and Carports: May face the front or side lot line on a corner lot. Setbacks: No closer 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 above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door 5I' 40%max. of street façade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: (k) fl i2 01 I:MO j wM- Date: II/i L/1 6 I:\Building\Forms\BldgPermitRvwRES RT_0314I 6.docx Plumbing Permit Application Building Fixtures iOK (11x1( 1 1 `I uNl 1 City of Tigard Received Petmit No INDate/By: /0/� lit: pc__ �15�� �/� Y�■ 13125 SW Hall Blvd.,Tigard OR 9722301 3 Phone: 503.7182439 Fax: 503.5951960 plan Date/By: Other Permit No.: I 1 ,;,tin Inspection Line: 503.639.4175 Date Ready/By: rads: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information • FEE*5CIIEDJLE. ✓,. ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION. SFR(1)bath 312.70 ®1-and 2-familY dwellin SFR(2)bath 437.78 g ❑Commercialfmdustrial ❑Accessory building ElMulti-familySFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AM)LOCATION _ Site utilities: Job site address: 1.1J j'P SVS tic-114 1/► In Catch basin or area drain 18.76 VW�C 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:Polygon at West River Ter 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 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.:Q1 Fixture or item: Tax map/parcel no.: V V Backflow preventer 31.27 DESCRIPTION OF.WORK Backwater valve i 12.51 Clothes washer 25.02 Ciun° 'all 'J r cA ci1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 E.PROPERTY OWNER I. 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 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 ®.APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Angela Grajewski Roof drain(commercial) 12.51 Address:109 East 13th Street Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:Angela.GrajewskiQopolygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater ' 37.52 Business name:Malmedal Enterprises Inc Water piping/DWV 56.29 Address:PO Box 207 Other 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Minimum Phone:(503)324-0759 Fax:(503-)324-0580 permit fee: $72.50 CCB Lie.:102535 Plumbing Lic.no.:34-276PB Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE IPrint name:Carolina Malmedal I Date:04/25/2016 I This permit application expires if a peris not obtained within ISO days I after it has been mit accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t:lBuilding\Permits\PLMU.PermitApp.doe 10/01/09 440-4616T(/0/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13685 SW 175TH LN, SHERWOOD, OR, 97140 April 6, 2017 at 12:21 :15 PM Record Type: Record ID: Residential - Master Permit MST2016-00163 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13685 SW 175TH LN, SHERWOOD, OR, 97140 April 6, 2017 at 12:22:05 PM Record Type: Record ID: Residential - Master Permit MST2016-00163 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: No AC installed at this time. Violation Summary: Inspector Contractor