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Permit (40) CITY OF TIGARD MASTER PERMIT 74 COMMUNITY DEVELOPMENT Permit#: MST2016-00335 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S106DC13500 Jurisdiction: Tigard Site address: 17048 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 134 Project: Polygon at West River Terrace, Lot 134 Project Description: New SFA. Building/Unit 9.4 BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Total: 1625 sf Value: $203,364.18 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 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: 1 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1625 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 Geotechnical Inspection SCOTTSDALE,AZ 85258 Required before foundation PHONE: PHONE: 360-695-7700 FAX: Total Fees: $23,906.47 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. jel Issued By: � ,j am ()Permittee Signature: " �/ e�i fo'v 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 L 6 f /3 r _ /tv y4,.r t4 ECIV City of Tigard eee;ved 13125 SW Hall Blvd.,Tigard OR 97223JUL 72 yO�c Late': .137177f 6 Permit NW�7 j6 Qo2. s • Phone: 503.718.2439 Fax: 503.598.1960 G U 'i /=viewf .5 z r d 9 DateBy: �' -1'� OtberPermit(�%c ' / `L/0�173 T t( A R t) Inspection Line: 503.639.4175 CITY OF TIGARD N y Byod r 1 Jwis: Ea page 2 for Internet: www.tigard or.gov BUILDING �ON /'/ Supplemental Information Permit fees*are based on the value of the work performed. ®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the �p � �„,:%,:,,,,<,x�x` - 'IA'� �t t� • work indicated on this application. `� Est��us0;kC.tc, $, Oka a... ,: 2� El1-and 2-family dwelling 0 Commercial/mdustrial valuation: — 3 3 �` ❑Accessory building ErMulti-family Number of bedrooms: 3 ❑Master builder 0 other: Number of bathrooms:N y- t :i t t a W, ” , °, t Total number of floors: 3 Job site address: .17 0 i,` SW Jean Louise Road New dwelling area: 1625 square feet City/State/ZIP:Tigard,0' 97224 Garage/carport area: 327 square feet 63 . ---- Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: G 4- square feet 61 1..6 Cross street/directions to job site: Deck area: 96 square feet L.U. Other structure area: 1 ( square feet Subdivision:Polygon at West River Terrace I Lot no.: 1� Via' Permit fees*are based on the value of the work performed. Tax no.: Indicate the value(rounded to the nearest dollar)of all map/parcel equipment,materials,labor,overhead,and the profit for the h >"• t work indicated on this application. ES E U 1, �, Valuation: $ Existing building area: square feet New building area: square feet . d Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy p y groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694031Fax:( ) New: Business name:Polygon �a WLH,LLC :� •"„,„ „, ,., Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com a . � t. Commercial and residential prescriptive installation of " �� roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details Address: 109 East 13th Street and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 Phone:(360)695-7700 and administrative fees): Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 /J ,q Total fee due upon application: $201.60 Authorized signature: _,(i�//dI n( ' 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 Print name:Angela Grajewski Dater/20/16 Service Board. I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application i ` 1oRU1Fifd- t til-.°N1.1 1 Ci Of Tigard Received (�j '1 13125SWt1altBlvd.,Tigard,OR 97223 SEP 2 2 2016 p' "t t.::�,,►=/�(JIID'O079JS Plan.Review Phone: 503.718,2439 Fax 543398.19 ' $$j BOtter Permit: 1 i i.i, inspection Line:503.639.4175 1 Tit fI t lot: 1 Date Ready.Bw, 34esSSePce o It eniInternet www.tigard-or.gov tifiedrMethod ppNntnotonBUILDIN DIVISION ,.. ds'. .<. r .:.TYPE,OF WOatK t .; . CIAL FES. I)Xs'L ' 4' Sf Mechanicalit fees*ase based on the value of the work ie New construction 0 Addition/alteration/rcplacement performed.indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor, vcrhead,and profit. O Value:$ .: z , kiATEGOP „ff0* .., DEhI[ IIQU1v,, I/' !YT~1SFE ,,*--,,,,,b1-4,,,,, ❑t-and?-farmldwelling 0 Commercialrndustrial 0 Accessory building Forspedal injorlt on use the At ®Multi-family 0 Master builder 0 Other: Description {qty. Ea. Total HeatinpJcaNitlg: 41 1-70 Air candittanmg 46.75 Job site address: 118 1 h(`1On,� ( .� ,.�C tiv.14 x.�4 Furnace 100,000 BTU(ducts/veins) 46.75 City/Stater/JP:Tigard,OR 97224 y” JuN 1 t-� lJl� �1 Furnace 100,000+ETU Naos/vents) 54.91 Suite/bid no,: Project name:PolygonHeat pump 61.06 8/a#'tt� 1 at West River Tar Duct mark ,= 73.3? Cross strettidircc tions to job site: Hydranic hot water system 4 23.32 Residential boiler(radiator or b hydronic) _` 2332 Unit heaters(filet-type,not electric), in-wall,in-duct suspended,etc: 1 46,75 Rue/vent for any of above _--1 2332 Other: 1 Subdivision:Polygon at West River Terrrace Lot I10.: l�9 23.32 Otherfuel appliances; i Tax map/parcel no Water heater _ DI IPTION OF WORYC Gas fiireplaceiinsert 23.32 Cp /y /1 Flue vent for water heater or gas VY trel1 Vll t 'lamy fireplace 1 2332 Lon lighter(gas) t 3332 Wood/pad stove 1 3339 Wood fireplace/insert 1 23.32 Chimnev/lincr/fluefvent I 23,32 °= ®a, : Y O Chet 2332 ,_;..U... I_ ." ' l%1 1.; `" 11 -#141 " Environmental cxbaustand ventilatio, Names ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road t1ip"eq3339 Clothes dryer exhaust $ 33.39 City/State//LIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, t,;yr i toilet compartments;utility rooms) 5, 23.32 Phone:(602)694-4031 Fax:( ) Auic/crau'1space fans t 23.32 ,.Mme, ,1334-4-S- 4 Q GY?N ., 6P,E>50N Other i 1 23.32 Business name:William Lyon Hornet,Inc. Fuel piping: $14.15 for first four;S4,03 for tach additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street Gas heat pomp Wali/suspended/unit heater 1 City/State2[P:Vancouver,WA 98660 Water heater Plaine:(360)695-7700 Fax::(360)693-4442 Firephace I Range E-mail Angela.Grajewvskiha,,polygonhomts.cont Barbecue L-w,... .,1 . I lith `till .' 't .4441 ; Clothes,drvef(gas) t Business name:Andersen Mechanical,Inc. Other: 1 Address:16285 SW 85a Ave ubtotai City/Statr21P:Tigard,OR 97224 Minimum permit fee $90.00) Plan review(25%ofptrmmit fee) Phone:(503)9924664 I Fax:(503)536-6615 Stan surcharge(12%of of : permit fee) CCB lie,:168214 1 TOTAL PER14 T FEE This permit application expires ifs permit is not obtained within 180 days after it has been accepoedas complete. Authorized signature: * Feu methodology set by Tri-Cbuaty Bmldinit Industry Service Bowed Print namct Angela Grajewski Date:8/22/1.6 1° _Po App t4o113.doa 440.4617rtlliCatCOMfwEa) Electrical Permit Application RECEIVE FOR 01-1-1(I l SE o\1_l City of Tigard J U L. 2 7 2016 Datemy. Permit 11/1,STo-o/6-oo 3.3_5"' ;I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reims,, Phone: 503.7182439 Fax 503.598.19y r Date/BY: Related Permit#: Inspection Line: 503.639.4175 � Y ate/B : J2 T 1 G.. I:D D�� tt g�-yy l q "� + 1 ty l o S See Paget l Information ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked): 0 Service or feeder 400 amps or more 0 Braiding over three stories. ❑Demolition ❑Other where the available fault current 0 Marinas and boatyards. '''''.2,.',K.,'q ;:;,„ a,,, t,;,,; (*; 'Et,1?,, ,at-1„,' a exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-family dwelling 0 Commercial mdustrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial-use agriculnnat [v'Mu1ti-family ❑Master builder ❑Other amps for all other installations. buildings. ❑Fire pip. ❑Installaation of 150 KVA or .. :-;x, z.., >1 i `ftN e.Ae.)E k,.C 0 1 t,; . c)`.a m.,.x! 4.-. ", ❑Emergency system. larger separately derived y 0 , e ❑Addition of new motor load of system. I Job#: I Job site address: IB yJ Mon Q( C, IOOHP or more. 0"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldgJapt#: I Project name:Polygon at West River Ter El Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominaL Cross street/directions to job site: _ _ tiaa _..._ Qty. Each Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot it: 13l'i Includes attached garage. Tax map/parcel# 1,000 sq.ft. �or less � 168:54 0,5q 4 ° Ea.add')500 sq.R or portion 2, 33.92 (,1.$I{ 1 x .,,,, . u� .11- v`rL-.,-4 ti ct.A.-€ °-,4a-t e n' T: x- " 'tea°=� X residential� Limited energy, 75.00 2 (with above sq.ft) �e Limited energy,multi-family 75.00 2 residential(with above sq.ft.) I 1 Ta k°` Fa t"1`'14_ i. - T r : . "' Ser Tablor feed installation,a ration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax_( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 1 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps i 16834 2 ;,, �, � °, .1. .t .n > Branch circuits—new,alteration,or extension,per panel �.-. i z te_ _ ..t 3. ° A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7A2 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits without + or feeder Address:109 East 13th Street branch i fee,srstrcuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular Email:Angela.Grajewski@polygonhomes.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 ,-- ::_,,,;_-=,,__f-:2•,F c J P k5 t'r. '.W, �s -1--. ..f-731-;7,7------t'''-11 Pump or irrigation circle2 67.84 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension City/State/Z1P:Portland OR 97213 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:sotarpdz@me.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 s•-•,"1- listed 04 hr min Suprv.Electrician signature,required: Subtotal: Print name}\l I e Rol I Date: 05-24-16 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: A ‘ h, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: /) . arnew c Date: 72201/r„ days after it has been accepted as complete. L•Building\Pemits\ELC PemitApp ELlt ERE.det Rev oen 7/215 15T(i5//COOM/WEB * Number of inspections allowed per permit Plumbing Permit Application _ . Building Fixtures- REC IV City of Tigard UL 2 2(116 :nkritperinitt401,-5,... /F��1,b33�, 13125 SW Hall Blvd,Tegard,OR 9 ::::: iProne: 503.7182439 Fax: 503.59 u r i 1 IR Inspection Line: 503.639.4175 Date Ready/By• ),sis: 0 See Page 2 for Internet www.tigard-or.gov: BUILDING !\. "r`,gt •"` Notifed/AAdhod: Supplemental Information Y" d Ax xx ::R:lL -a :d&:`#: i.yp: 'Fv¢ '� ,�` 'Yaery �', -4 � r� 9`�'f�'b.'4 ,K'.R��yq� ,w to ❑Demolition For special information use checklist I New construction Descriptiotr ( Qty. { Ea I Total O Additiattatteta*ion(replacement ❑Other. New 1-2-family dwellings(includes 100 IL for each utility connection) i . .. F c g' '�" SFR i bath 312.70 i fJ, 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath ( ` 50032 500,32 Accessory builtfing [i Multi-family Each additional bathikitche n ( 25.02 075,b . D Master builder ❑Other: Fire sprinkler((146 sq.ft.) ( Page 2 1A_ ,90 , ' ' , 1a; i V t" e ? 4 Site utilities: ; • ic6 site cadre 1-1 04 8 Slil Sear, Lo vise Loac cater basin or area drain 18.76 City/StateiZIP:Tigard,OR 97224 Drya*ep leach tine, trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/Mg/apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes L 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 Storm sewer(no.linear ft.:_____) i Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace Lot no.: 13J_/ Fixture or item: Backflow preventer ( 31.27 3(,Z1 Tax map/parcel no.: Barkavatavalve I 12.51 Clothes.washer 25.02.. . 4I. _ Dishwasher 25.02 ..; Drinking fountain . 25.02 Ejectorsfsump 25.02 .4.'1:-X -- s x ; ; .;,..7:4:14t*.' Expansion tank 12.51 Fixtu elscap ewer 25.02 Name:ADVL Land Hollings,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 .; .- ` '. .. .. �_ r Interceptor/grease trap. 25.02 M Business r William Lyon Homes,liteMedicalvalue:$ ) Page 2 gas( 1 • Filmic 12.51 I Contact name:Angela Gra jewski Roof drain(commercial) 12.51 I Add.109 East 13th Street Sini/basinflavatory 25.02 City/Statc/Z1P:Vancouver,WA 98660 Solar:units(potable water) 62.54 Phone:(360)6951900 Fax::(360)693-4442 Tubf.showerfshower pan 12.51 S 02 E-mailAngela.GrajeWskiOpolygoahomes.com Uritis) , .. ` � r j Water closet 25.02 an ����,„�: : "- �� :....''';'..-,"44.;,:,....":.---,:.!: w.a ,�w e , water heater 37.52 Business t Alliance Plumbing LLC Waterpiping/DWV 5629 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: 572.50 Plan review (25%of permit fete) I CCB Lie.:184601 Plumbing Lie:no::PB732 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I • permit mit appticition expires if a permit is not obtained within 180 days Print flame:Robert•I#shutsn Date:5/2312016after it leas been accepted as complete. *Fee methodology set by Tri.Cowity Building Industry Service Board. I.iBuilaigtrcnd U-t tApp:oc 10101m9 440-4616T(10/021C0WvEB) l 11111 City of Tigard ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT L l GR Building Permit Review — Residential Building Permit #: Site Address: Li oyy, (rw 7-e6,r, Luise 6Zd- Project Name: eo I 9c,Y, `q t we,4- $ v — -re r- Lot #: 13 9 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N� Www II 0. 101 -- (-ins �c t 0,-) 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 "Existing structures on site //Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished Drawn to scale (standard architect or engineer scale) floor elevations orth arrow /Utility locations (required for new,may apply for additions) ite address,project or subdivision name and lot number j •.(location of wells/septic systems ,applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence /11 Lot dimensions and building setback dimensions design,location of catch basin,etc.) 71Lot area,building coverage area,percentage of coverage and Street names impervious area (applicable if R-7,R-12, & �iC!' R-40) XStreet tree size,type and location 4 Prfopoot dierty cornerffelevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree" erential) protection measures JZ Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: pP ❑ Yes ❑ No,stop intake Land Use Case#: pOQ 2.OiS- DD009 , S UG> 2--91.5 - oo3( , S _122.c. Ls --'c;c�Q3 p Zoning: �. 2 S 0 Setbacks: Front 1/. Rear /19 Side D Street Side V 3 Garage /8. r ,1 Landscape Requirement: '2...try 0/0 J21Lot Coverage Maximum: % o� -b 0- 7 Building Height: Maximum Hei ht J A g Actual Height 7 Visual Clearance • Easements Sensitive Lands: ❑ Yes ❑ No Type Urban Forestry Plan ii Conditions "Met"prior to issuance of building permit Notes: C 00 c(..t 11 U VI i -fr° be M,e-}- p Pio( +v 1 Ss t1C1 v7 u 17 L b V;I 06'1'1‘) Pert'I'';fi. Approved By Planning: /11 19-L.� '•' <- Date: 1 / -71 l / i. Revisions (after Building Submittal only) Reviewer Revision 1: ❑ Approved ❑ Not Approved Date Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Forms\B ldgPermitRvw_RES 012116.docx Building Permit Submittal Original Submittal Date: ��� WJE' Site Plans: # Building Plans: # Building Permit#: 2- Enter building permit#above. �- Workflow Routing: [Planning "E Engineering CJ Permit Coordinator { building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: E'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and yrigiil ilnal plan igreviiewl routiitng form. Buding: ornapermapplication, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ,' By Permit Technician: _.. Date: a �. Engineering Review Slope at building pad: .1/0, ❑ 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: 0 Yes 0 No 0 NOT Appr eve, by Engineeri g: Date: Notes: ... _ r_- _ am - .. "1. r.c. _I, Approved by Engineering: elz Date: --4, f& Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit NOT Released: Date: l! e 3 /6 rApproved, G67 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: A' tpSD {'�7 . ❑ C Fees Entered: Wash Co Trans Dev Tax: %Ptes 0 N/A ," Tigard Trans SDC: Yes N/A 1� Parks SDC: 211- es 0 N/A to Issue Permit /� Approved by Permit Coordinator: ' Date: I/� -o I:\Building\Fonns\B1dgPennitRvw_RES_012116.docx s w City. of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Ili I r 1 G A R o River Terrace Building Permit Review Addendum Building Permit #: /7 7 2 e/6 - Oe 3 3,r Site Address: 17 0 11'8 e C,r Lk) i Se 2d. Project Name: r 0 I,) 0 el '4 -i- 1/4"'t3J t— IZt I rt✓,rz-,,%...L... Lot #: 131 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.0701): Is the project subject to the plan district design standards?�J Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing façade 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 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer Pt ❑ ❑ /11 I/ 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: f b �j 3. Entrances:At least one entrance must meet both of the following standards: Zr f�l 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 es,all the following appy: %25 sq.ft. min. AOne street facing entry P'12 ft.max. roof above floor of porch 5 ft. depth min. yr 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: 7 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 Zi Roof eave min. 12 inch projection %Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood , Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ] Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40% of street façade 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./Yeso. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage odes not extend beyond the front porch. g Y ❑ 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) vr 12-foot-wide garage door ❑ 40%max. of street façade ❑ 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: /1/1 t9-L v - Date: '7 /17 / 4 I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx Albert Shields From: Albert Shields Sent: Tuesday, August 23, 2016 12:10 PM To: Angela Grajewski (Angela.Grajewski@polygonhomes.com) Cc: Kim McMillan; Mike White; Dianna Howse Subject: Polygon at West River Terrace, MST2016-00332, -00333, -00334, -00335, -00336, -00337, -00338, -00339, & -00340, Lots 24-28 & 134 - 137. Attachments: Conditions - 08-23-2016.pdf Angela, re the above building permit applications, there are still multiple conditions of approval under PDR2015-00004 that are Not Met. Accordingly, I have noted these applications as Approved but Not Released. Plan review will proceed but the apps will be on hold until the conditions are resolved. Please let me know if there are any questions. Albert Shields ' EIectrical Permit Application FOR OFFICE USE ONLY City ofTigard N 11Vf 10 2 01 6 Received AirAMIPermit#V 4161_1I1lil 111 i 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.19b0 x, V' (1Z, t ' ° ''': ' Related Permit#: ',.. r n 5 .,. Date/13 . Inspection Line: 503.639.4175 eady DateBy: June. ®See Page 2 for TIGARD wt it/A pp Internet: wwwtigard-or-goV 11@ )s i`v(� ) .A>.:t r' ti&ed/Method Tyr Supplemental Information ,h i - 44A' .:.-=ivi: •4t3 W .... WINC; 'i- , x' dn Te 1.. '-'21201 tis ^1�:�'=a ittilta ®New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): - 0 Service or feeder 400 amps or more ❑Building over three stories_ ❑Demolition ❑Other k � '. a where the available fault current ❑'Marinas and boatyards. - � y_ , 3. ter"'T'kt I,l€p) I„SS'( � - - . i exceeds 10,000 amps at 150 volts or El Floating buildings. ®1-and 2-family dwelling ❑Commercial/iridtistrial 0 Accessory building less to ground,or exceeds 14.000 ❑commercial-use agricultural 0 Multi-family 0 Master builderamps for all other installations, nstal buildings. Other ❑Fire pump. CIiInstallation of 150 KVA or - ^i 0 1�` IF"SY~z1 Mt ItL r�ws?' ❑Emergencyo system' larseparatelyderived ,:-. .-,���,Y-;,-^F��-arra-:,�. .�.����...___.� -.__...,:....:... TL _;�` _ y=°- =�:� _ larger Job#: Job site addres fl 614854,3 JPnt f `� 0 u,1�`e Ku. ❑100P Addition ofoe.motor load of systsut- t.�Uut 1 W 3t. 100fiP or more. ❑••A••,"8,,,"1_2""1.3" City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. I ❑Health-care facilities. ❑Recreational vehicle parks. Li Suite/bldg./apt#: 1,`' Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than Ob Site: 0 Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to J Mas e:r = ,~: -Wi=t N .arxs::*. Description I Qty. I Earl, 1 Total f • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: I bq Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less IL. 168.54 4 Y _ Ea.add'l 500 sq.ft or portion 33.92 1 } - C1 � ` X T SW -.r==- Limited energy,residential 75.00 2OY\ ' Q u e. (with above sq.R) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 3 A� 6 -, S ane or End 10 Stl P fd2/ �`F�"� --�-�' - =� •-�---� -��- - • --�--_-. ervi ee installation,a ra -on, or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. • 201 amps to 400 amps 125.08 2 ' Owner signature: Date: 401 amps to 599 amps 168.54 2 ' wY Branch circuits—new,alteration or extension,per panel k - r tr� � � 1 A.Fee for branch circuiLc with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 742 2 Contact name:Angela Grajewski B.Fee for branch circuits without i service or feeder fee,first Address:109 East 13th Street branch circuit 56.18 2 1 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit i 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • ' . Fax::(360)693-4442 Fe,-h manufactured or modular dwelling,service and/or feeder 67.84 2 Email:Angela.Grajewsld@polygonhomes.com Reconnect only 67.84 2 �: *-:(a0,5,!....0 .::- 7,74,Awa:z.. �+ .-_ Iv i _ Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 2 3 Address:6101 NE St Johns Rd Signalnel,alcteration(s), or limited-energy ❑ See Page 2 2 panel,alteration,or extension City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above , Additional inspection(1 hr min) l 6625/hr ; Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaaiels®gweusa.com Industrial plant(1 hr min) 78.181 hr Inspections for which no fee is 9000/hr 1 CCB Lic.: C1158 Electrical Lic.: 208174 Suprv.Lic:: 4496S specifically listed(1.4 min) ( Suprv.Electrician signature,required:1221/11 ) l WiL ..... Subtotal: ¢ Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): e-" State surcharge(12%of permit fee): Authorized signature: .. — — TOTAL PERMIT I.B.1:: This permit application expires if a permit is not obtained within I80 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. * Number of inspections allowed per permit :.I:1BuildinglPermitvi5S.0 PermitApp ELR ERE_doc Rev 06/17/015 440-4615 1/05/COM/WEB FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III I Transmittal Letter T I GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISIONRECEIVED FROM: Angela Graj ewski d l 1 6 CITY OF TIGAR ► COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212-2144 By: RE: 17004, 17018, 17034, 17048 SW Jean Louise RD MST2016-003321 "2)33, 330 3S (Building 9) (Site Address) (Permit Number) Polygon at West River Terrace Lots 134-137 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: ';Copies criptio. , 11,,'/X-%/.. , Copies:, , Description:% ,... 0 Additional set(s) of plans. 0 Revisions: 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain): Spaced deck detail as requested by field inspector REMARKS: Please pay fees owed with Trust Account. Vi -s-5 etc c. . e., 0,1 frtc-r;20/6 _0033_2 -w� \\ t ��\,, � �., * ' � ��,/ '� -���:.. "sr� . ' s FO Vii: ,/ r„ Routed to Permit Technician: Date: f 0 _ j 9— 1 6 Initials: Fees Due: Yes ❑No Fee Description: Amount Due: 'U M�� 4A6 iL- , 1.W rat/4c) $ 0' O t \ ; k4 $ ' \\ y \� \ti ; $ j / $ Special Gi- — cr F- C?A1 /tfs.77,20/(0 -©©23.2_ Instructions: Reprint Permit(per PE): n Yes ii=NQ Done Applicant Notified: ,q-i/G/L� Date: i//i`/c jo Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 / Plumbing Permit Application �x ! � Site Utilities 2`, c •?'Ia7 City of Tigard ,1 � r> ,_���; •Received � 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: / �7 C Permtt'� '/f�/� �td�D�3 : I Phone: 503.718.2439 Fax: 503.598.1960. PIQn Review/ / Inspection Line: 503.639.4175 ae/By /7/ „ S� Other Permit No.: TIGARD ;Ut Juns. ® S'ePage 2for Internet: www ttgazd or gov fe Ready/By Nvhfled Method ��G /7 Supplemental Information ®New construction 0 Demolition For special information use checklist ❑Addition/alteration/replacement 0 OtherDesc ip ion . 1 Ea. � Total r t �, New 1-2-family dwellings(includes 100 ft.for each utility connection) ' 6,1... .�R. '406Nglit1L1fiO§ AP �z z lik ' SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ElAccessory building ®Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other Fire sprinklersq.ft.)16,/0.--s-4 Page 2 t i Site utilities: Job site address:17048 SW Jean Louise Road Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: 134 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 4Y a i v Backwater valve 12.51 Multipurpose Fire Sprinkler System Clothes washer 25.02 Dishwasher 25.02 Permit#MST2016-00335 Drinking fountain 25.02 Ejectors/sump 25.02 P#01%14* OWN tt 'xk..... ` o- Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) 6110 '1" .t,::::: Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address:146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 ticl-• g Fl Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 '' sf Water closet 25.02 ,. Water heater 37.52 Business name:Alliance Plumbing,LLC Water piping/DWV 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) � State surcharge(12%of permit fee) Authorized signature: , / L____ TOTAL PERMIT FEE Print name:Gavin Thomes Date:2/22/17 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. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Footing drain-1s`100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to Other ingpeetiong, \. and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees* y 'Y ''. ,'@,'' '.` _ C � +II ,• FP-we j Replace/ Iy�for Plan review is required for any of the following. Work I armed. - g , Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower - -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pelmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17048 SW JEAN LOUISE RD, SHERWOOD, OR, June 20, 2017 at 11 :40:38 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00335 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test verified C of 0 left on counter. Violation Summary: Inspector Contractor