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Permit (43) 1 ini CITY OF TIGARD MASTER PERMIT `> COMMUNITY DEVELOPMENT Permit#: MST2016 00333 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S 106DC 13600 Jurisdiction: Tigard Site address: 17018 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 136 Project: Polygon at West River Terrace, Lot 136 Project Description: New SFA. Building/Unit 9.2 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 249 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1371 sf Value: $171,046.29 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: 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,500 sf: 1 201-400 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 SFA VB R-3 1371 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: $23,011.63 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ' Permittee Signature: Oiv /©/16.. /e , l 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 ® 7 /2 (c, ) < -- S' i t6 RECEIVED FOR OFFICE I SE ONLI City of Tigard Received G Hall Blvd.,Tigard,OR 97223ate/By. d ���6 Permit No�ys 7"aoV6 D&333 2 Plan Revie ' = Phone: 503.718.2439 Fax: 503.598.1960 JULU L 2016 Date/BY: _ j if. _ C °tiler Permit. j� /�, ��g/ r I( ,,R I) Inspection Line: 503.639.4175 CITY OF �-I GARD Date ReadyBy. 9172e///0 � 1 runs: ® See Page 2 for Internet: www.tigard-or.gov Notifed/Method: </ /��O Supplemental Information BUILDING DIVISION 6' f— >A"i ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the ' • ' work indicated on this application. a 1-and 2-family dwelling 0 Commercial industrial Valuation: ---$1.68,74; 1,) I1 .(; 1:3Accessory building [Multi-family Number of bedrooms: 2 ❑Master builder ❑Other: Number of bathrooms: 'S :3 y 7` `i, .; , aI t = Total number of floors: 3 1 ()C Job site address: 110'8 SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet.S C.,(0 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: )Z square feet. b a Cross sbeet/directions to job site: Deck area: 72 square feet -c,;.:1Othef stru a acrea: -7 1., square feet Subdivision:Polygon at West River Terrace I Lot no.: (210 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the , I '- `, t ,'' " e work indicated on this application. K5 e2 � d q �1. Valuation: $ J/ Existing building area: square feet New building area: square feet -- ` , , ' ' Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: Business name:Polygon 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 k - : a ; 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 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Authorized signature - iir.. Total fee due upon application: $201.60 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 Date:x/20/16 Service Board. I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicati, F c9Ny ,� 1LH?O11i1- I til.0,0 ,. 1 City of Tigard Received hA a'' .L0113.6...% li 13125 S W Hall lvd.,Tigard,OR 97223 LL Y -t 7 Plc Re rdnart l(+ l`^ �)i..r �� G� l)I C1 Plan Review _` Phone: 503.718.2439 Fax 503.598.1960 Da[cBy. Other Permit , , , i, Inspection Line:503.639.4175 t 2 t)atc Itcad rBy; pix s; 4 p' {4 1.' (.;,. ) sec Page 2 for Internet www.tigard-or.gov t 1 v �,, *- Notihed/Meihod Suppe ental lsformation 1 i G Ii 'f 31'1t*E OP e t COMMERCML FEE*.=,SCRED'LEt 1.S;r1 Mechanical permit fees"are based on th4 value of the work W New construction 0 Addition/alteration/replacement perforated.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor,lwenccad,and profit. ,' �, ,C ► "EOORY 01~,t"t3r1S'i 0,0*± _ ..uv .. r ,3:- t Value.S i _::;RF.s''IIS17 ��L3,�14�iv�'i' EMS .�.� y.:; ❑1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedd Gr,forme4on awe chi tin. 2 Multi-family 0 Master builder 0 Other: Description City. Ea. Total 2 �Tla&5�'�3 *03 StTs li3* 07 .: '<A...-w... flestiag/coottn2 ; J lob site 8tidres5; /� l' '1 vnee.n I ' conditioning if 46.75 1 , Vv vU Ic. kYtai_ Furnace 100.000 BTU(ductsiventsts) I 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(duct ivenu) 1 54.91 Suite/bldgdapt.no.: q 1 Project name:Polygon at West River Ter Heat pump 61.06 Duct work 1 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) T,` 23.32 Unit heaters(hiel-type,not electric),` in-wall,in-duct,suspended,etc. 46,77 Flue/vent for any of above E 23.32 U Other: 23,32 Subdivisi�:Polygon at West River Terrrace Lot no.: I� Other feel appliances; t Tax map/parcel no.: Waterh eater 23 32 t ...., ,,, . -ti l" 7>I RTY iioN'7F,WORYC '' Gas firepTu:eiirlsert 33.39 Flue vent for water heater argas i CM a u (y III#Y fireplace 23.52 ""' �� Log lig.hter(gas) I 2332 Wood/pellet stove 1 3339 Wood fireplace/insert 1 23.32 Chimney/liner/flue/vent 1, 23.32 " Other, >, `,'s.._'e t ' "'"1 _A' _ .,..., _" ? '' . ?.45. ,f Environmental exhaust and ventitatioij 2332 Names ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equip 33.39 Clothes dryer exhaust I 33.39 City/State/ZTP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, Li toilet compartments.utility rooms) iFF 23.32 Phone:(602)694-4031 Fax ( ) ,.. p23.32 Attrcicraais nee fans I { .x a;l 'l. .. M,1, ,xp COI `A4te t..*OT Other. i 123.32 Business name:William Lyon Hemet,.Inc Fuel piping:< 51435 for first four,54.03 for Each additionat Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Street !mat pzanp Wall/suspended/unit heater City/State/ZTP:Vancouver,WA 98660 Water heater i Phone:(360)695-7700 Fax::(360)643-4442 Fireplace I Range , &snail Angela.Grajewsld@polygonhomes.com Barbecue Ii '^ _ t ; :m t.f,.�a ,� ¢C�,ay tl �` iii �, othes �., .. ?. '�; �r k'''"';'-'17c: �n.. .,,.,#..� r- y ,..� ��i�¢ e� --� F,x = y.�'�:" ClOthts dryer(gas) Business name:Andersen Mechanical,Inc. l Address:16285 SW 85*Ave gubtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fez 0590.00) Plan review(25%of permit fee) Phone:(503)9924664 Fax:(503)536-6615 State surcharge(12%of permit fee) t CCB lic.:168214 i TOTAL PER FEE This permit application expires 1f a permit as not obtained within 180 days after it has been accepter! complete Authorized signature: * Fee methodology set by 1'6-County Buildinit Industry Service board Print name Angela Grajewaki I Date:8/22/16 r;;BuulidinkPermiteMEG_Perrt App 040111.400 440-4637TO tlort*O:WWEB) I Electrical Permit Application-HE EIVE FOR R OFFICE ► •••,1- O ►_, City of Tigard Received is %mit#/./...5 7a2-0/6-'0©33.5 1111. 13125 SW Hall Blvd,Tigard,OR 97223 ev Phone: 503.7182439 Fax 503.598.1960 •J U L 2 I 2016 Y e"' Related Permit#: Inspection Line: 503.639.4175 I H See Page 2 for 1' Internet www.tigard-or.gov OF TIGARDD N�'e ,d J gaud-or.gov Supplemental Information ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans writems checked): ❑Service or feeds 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: _ a where the available fault current 0 Marinas and boatyards. __:_ = c.1-1 _r G�5 !'l sr! i�5 E.f ..u,} F-:„ exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-family dwelling 0 Commerctal/mdustrial 0 Accessory building less to ground,or ends 14,000 0 Commercial-use agricultinal I Multi-family 0 Master builder 0 Other: amps for all other ins�allabons. ❑Fine Pump. 0 Installation of 150 RVA or a`- . . ,_'r _., :.; . w.:.C.)•P:1:.!d?-1. E. 1 `..1 t ii-i.�?,':rJ ,:'j:,.7-1---'!.--'7::6- : . ❑Emergency sYslem- larger separately derived Job 4: I Job site address: 11/ I 8W1C(Ah 0 Addition of new motor load of system. t 1001 or more. 0"A",'11,"1-2","1-3", City/State/ZIP:Tigard,OR 971.24 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle pada. Suite/bldgJapt#: I Project name:Polygon at West River Ter ❑Haardons locations. 0 Supply voltage for more than Cross 0 Service or feeder 600 amps or more. 600 volts nominal. street/directions to job site: il T` n Qtr. Each Twat New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Tern-ace I Lot#: !36 Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less ' 168.54 1143, _.4 Ea€ "f a h£` t ��� 00 sqft o hal addi on I 33.92 33R 1 Limited energy,residential � (with above sq.ft) 75.00 2 j `' u z Limited energy,multi-family residential(with above 75.00 2 sq.ft, < u_;_+ c� t a: T .. � Ernie Fdr T Renewable Energy 0 SeePage2 Services or feeders installation,alteration,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 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 11 20034 2 I 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I I 125.08 I I 2 Owner signature: Date: 401 amps to 599 amps I 16834 2 ._._,,.,. .�- _ rl 70.,r �. �;„Tmg-T-6 ;��- � ,se-0 -�:,,,,,st ,,y: Braucb circuits—new,alteration,or extension,per panel �M”= A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Grajewsld B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone: 360 695-7700Miscellaneous(service or feeder not included) ( ) I Fax::(360)693-4442 Each manufactured or modular Email Angela.Gralewslu@polygonhomes.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 „,,_ - .. th e.•rt tf rt7 : Pomp or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address:3415 NE 44th P ,alteration,or extension. See Page 2 2 city/State/ZIP: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:solarpdz@me,com Industrial plant(1 hrmin) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Licc..: c923 Suprv.Lic.: 48715 'tall listed hr mm Suprv.Electrician signature, Subtotal: Print name 1 I e 111 I Date: 05-24-16 ❑Plan Review Required(25a%of permitf e): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMPf FEE: This,,,, permit application expires if a permit is not obtained within 180 Print name: ��n,,,� S I Date: '7 4Q D //„ days after it has been accepted as complete. '/ ( / ?� * Number of inspections allowed per permit L•1Bw7dineermhslELC PermirApp ELR ERE Rev 06/17/2015 15T(1 5/COM/WEB Plumbing Permit ApplicatioEI , ED Building Fixtures , (,i, l i r i i( 1 1 \i ().i t City of Tigard J U L i Z 15 Permit Nu.:,I��. 17,..' 13125 SW Hall Blvd.,Tigard,OR 97223 o 3331 Plan Review ill Phone: 503.718.2439 Fax: 503.598 y O I I `�� �� aper Permit No.: Inspection Line: 503.639.4175 (� �I Internet www.tigard-or.gov "11... d; O I S i( , nate 1t /By , 0 s«Page x for Notified/Met}wd Supplemental Information ,� wy h __�41-T-'^*::::: :• � q„,-% c14x� ...�¢ ,�..c�«- r,, .: �.�'.x*� a- r - �'�. ,":.7:11444W"--'''''''''.‘......)....,..,..::x-x ...,- ��r zS. ��r.�.'�`«��*".,-K'.'p'-. ��"�as�.._ s.. ^k ..�` S �tl a., ®Newconstrutxion 0 Demolition For specs!information use checklist D Addition/alteration/replacement ❑Other Description' I Qty. 'I Ea I Total New I-2-family dwellings(includes 10011 for each utility connection) M� -�' M� y 4( C k (r i ��,:. t t� t r < 'xxk" s.. n SFR(1)bath 312.70 01-and 2-family dwelling 0 Commercial/industrialSFR(2)bath 437.78 0 Accessory b n'Iding QrMulti-family SFR(3)bath 50032 .6003a Each additional badvkitchen 25.02 ❑Master builder 0 Other Fire sprinkler(1311 sq,fl.) { Page 2 Ia'I qn � ,-,t,,,,,,,,,-,,,-..-,7, w�4 44Q Site abilities- ,vim P r.itAiS Jell site Catch basin or drain 18.76 7 I`10 18 SII1 Stan Lo vise � i:act Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bkigfapL no.: l 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 Swim sewer(no linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace Lot no.: I`')6 Fixture or item: -i Tax map/parcel no.:: Bart flow pm-venter . / 3127 c3 /y ..� .3 1.x•7 C .,,'f� `. -,'ems'§ej , ' �k 4. ,E. BaC1Ci�'atQ VH1Ye 1 Pr )1.:.a Clo hes 25.02 washer 1j “ :,_°I. 2, D►s hwasher 25.02 , in Dr _ . . kmg fountain 25.132 r Ejectors/sump 25.02 F. • ' - a ,-•: '. Expansion tank 12.51 Narne•ADVL Laud Hollings,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 )6 ( ) Ice maker 12.5I Phone•(602 94-4031 Fax j a t .; , a a Inf tor/ east trap tiE. aH . e«p25.02 Medical gas(value:$ ) Page 2 Business name:William Lyon Homes,lac' Primer 12.51 Contact tame:Angela Crajewski Roof dram. (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 Pbone:(360)6954700 Fax::(360)693.4442 Tub/shower/shower pan 12.51 E-mail:A ngela.Grajeri+skir polygonhomes.com Urinal 25.02 :.�. _ Water closet 25.02 t i � Water heeler 37.52 Business name Alliance Plumbing LW 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 Minimumpermit foe: 572.50 I CCB Lie184601 Plumbingdi4L....... Lic no.:PB732 Plan review (25%of permit fee) I • State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I Print name:Robert DiShrnaa Date:5/23!2016 • This permit application ecpines ifs permit is not obtained within 180 days after bliss been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IiBtsi - 'Apptkc_10.101/09 44O-4616T(TO QM WEB) 'w City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT II I TIGARD Building Permit Review — Residential Building Permit #: r7S; r/6 — 00.333 Site Address: 170 1 eb So/ J-ecw) Lu c=-e 2d- Project Name: 19p I, 0 v, cq i- Weil g,v`e_r- Te rrz, Lot #: 13 s. (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N ItzW h 0+'1/Li--- 00i1f 1t1 C (10 v'i /E' Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No Xi.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 ;ZNorth arrow /Utility locations (required for new,may apply for j.Xite address,project or subdivision name and lot number location of wells/septic systems applicant information(name and phone number) Erosion control(including drainage-way protection,silt fence /1Lot 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/&R-40) 'Street tree size,type and location Property corner elevations (2 foot contour lines if more than ❑Existing trees to be retained with drip line,and tree 4 foot differential) protection measures 4 Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No X Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: p DRzoic- 0-0001 / 1Ut3 X11 - °ace)r� , SLR2-Ct3 -0°cam()3 Zoning: g- 2 0 Setbacks: Front 11E Rear i, Side 0 Street Side iV A Garage j g.S ,el Landscape Requirement: 0 Lot Coverage Maximum: 7 Building Height: Maximum Height IJJA Actual Height A//A- Visual Clearance yr Easements Sensitive Lands: ❑ Yes ❑ No Type y, Urban Forestry Plan 0 Conditions "Met"prior to issuance of building permit Notes: C,04o(:+n°eii tv l..-,-e Me 1- 10ri-o +o icfvG7v7Le_ at 6, rlcL,11 re,--•-„.4... Approved By Planning: M crl- - Vim-_. Date: 1 /Z 7 / I io Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw RES 012116.docx Building Permit Submittal Original Submittal Date: 7/` 7//j Site Plans: # 3 Building Plans: # Building Permit#: Q. Enter building permit#above. Workflow Routing: EM3lanning E r.ngineering _hermit Coordinator nilding Workflow Sign-off: D.-"Sign-off for Planning(include notes from planning review) Route Application Documents: al" Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. /uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Engineering Review /Slope at building pad: 0Y�, ❑ 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 Appr.ved ty Engineering: Date: Notes: ,.._.„ ,,% P_,._ ,• M 4 roll Approved by Engineering: ,G .0 Date: a 141 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 kin Approved,NOT Released: ADate: ��1 3 � _ PP �- ff Notes: L%�i12c c.�`z 4'u G% X24 47 Revisions (after Building Submittal only) 6 Revision Notice 1: Date Sent to Applicant: evi Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: �� 2;51DC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A `\ Tigard Trans SDC: ,'es ❑ N/A /1\ Parks SDC: /7Yes ❑ N/A LedbyPermCoordinatoC Date: � 1:\Building\Forms\B1dgPennitRvw_RES_012116.docx • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111111 TIGARD River Terrace Building Permit Review Addendum Building Permit #: psi,2p/•6 -0,�3 Site Address: lloig sw Tec,, LOV ir-e ,td. Project Name: r o ly f2,i,.,a 'i ± tai l-- re,,.t. re-,r-c4 Lot #: 13 (New dwelling=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?/21 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 ft. deep Balcony w/access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer PT ❑ ❑ fV I21/ 2. Eyes on the street: a minimum ofi� 12%of each street facing facade must include windows or entrance doors. Percentage Shown: I b, (A 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall /Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes El No If es, all the following app y: 025 sq.ft. min. nOne street facing entry '12 ft. max.roof above floor of porch 5 ft. depth min. 730%min.porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches ,'Dormer min. 4 ft.wide XJ Roof eave min. 12 inch projection ,Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood g'Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. /in Horizontal lap siding min. 3-7 inches 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./Ye�so. If No (Check one): CIMay extend up to 5 ft.if there is a covered front porch and garage oed s not extend beyond the frontorch. GI 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) V12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 41 (9--\-,-:,_ V .--N. Date: z / t 1- I:\Building\FormsUdgPermaRvw_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 1 Electrical Permit Application FOR OFFICE USE ONLY City ofTigard NO V/ 1 0 21115Received -- 2 �� 13125 SW Hall Blvd.,Tigard,OR 97223 plan Revi- - Phone: 503.7182439 Fax: 503.598.19 0 `'s, a #;`tom h -4.." Related Permit it: 'I/GA It D Inspection Line: 503.639.4175 *-:-i 1 ) k° ffi 1"- "' Ready Date/By: lurk H See Page 2 for Internet www.tigard-or.gov ,i iL ,;aDW d. ed/Method Supplemental Information a -�x.�rs . .`sy+�� t=, -k `�..:<Y--:W -M1Y�._:;�::f:�<�nn SWA 1M' +A ®New construction . ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 111 Demolition ❑Q gt- 0 Service or feeder 400 amps or more 0 Building over three shines. where the available fault current 0 Marinas and boatyards. T4." .-- -, - :a �srei tr(� 01- . r exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/induistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 Multi-family - 0 Master builder 0 Otheramps for all other installations. I n taunt o _ 0Fire pump. 0 Installation of 150 KVA or T yeti �'_zz. rte' _ - xf <•. : :.... [TIQ separately derived Emergency system. larger i ❑Addition of new motor load of system. Job#: Job site address 1 l 016� 3e° Lo LI); RD. 10011P or more. City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt#: ci ,7_, Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than ❑Service or iaeder 600 amps or more. 600 volts nominal. Cross street/directions to job site ei:moi lr '< ` .�,f Description l Qty. I Each I Total } New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: 1 )(./ Includes attached garage. Tax map/parcel# 1.000 sq.ft.or less 16854 4 1 Ea.add'1500 sq.R or portion 33.92 1 z'AX4-'a -,-- $`'' gifft. -�. -" 4. Limited energy,residential �� /y� r ' /�� Q (with above sq.R) 75.00 2 ` ` ""` ���" ` Limited energy,multi-family 75.00 2 residential(with above sq.ft.) � s Renewable Energy ❑ See Page 2 "r '" .-� a � - i-: 9 Qin ` W--M- 5, ='- Services or feeders installation,alteration,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 Fax:( ) Over 1,000 amps or volts 55226 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 16854 2 i sA.FeBranch circuits-new,alteration,or extension, er panel ' . � * , �f _.._, Q 4 NPeC LRS' P e for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 , each branch circuit i Contact name:Angela Grajewski B.Fee for branch circuits without service or feeder fee,first 9 Address:109 East 13th Street branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add']branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' Fax::(360)693-4442 Each manufactured or modular Email:Angela-Grajewsln®polygonhomes corn dwelling service and/or feeder 67'84 2 Reconnect only 67.84 2 . z ` . '~ 7 7,.. i ,' t..i c" 0-�k- '* Pump orirrigati ,,. ..._. on circle 67.84 2 Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 2 Signal cif uit(s)or limited-energy Address:6101 NE St Johns Rd panel, ❑ See Page 2 2 I alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr ' Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial hr min} • 78.18/hr Inspections for which no fee is 90.00/hr ! CCB Lic.: C1158 Electrical Lic.: 208174 1 Suprv.Lie.: 44965 specifically listed(rV hr min) K . �.ta, i-tal ,.' „., ., 4i'` 1,:t"X03 --?15:, �- Suprv.Electrician signature,required: _`,61,r1,--p-.r • 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 1.r.1.:i This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete. * Number of inspections allowed per permit . LABuildinglPermils\Et.0 PermitApp ELR ER .doc Rev 06/1720/5 4404615T(l 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 ' i * ; Site Utilities FOR OFFICE I1SE ONL\ �- t 1,; / Received City of Tigard U2 Permit N t ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: / 3� � ��p"��3J Plan Review,� ll Phone: 503.718.2439 Fax: 503.598.1960 Han Re 7 /7 ..As Other Permit No.: T I G A k D Inspection Line: 503 639 4175 Date Ready/By -7;7,'� Juns H See Page 2 for Internet: www.tigard-or.gov a M1 s. .,E, Nufified/Method.-' C'/� Supplemental Information k:'' 4*' ,';a!:'';41', -.',7,':',.:;:,,- ' , ski+ JP16 f 1 'f , I tit£ .,. ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. ( Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ,� ;i 3 ' # x SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building y SFR(3)bath 500.32 ®Multi-famil Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler 1sq. Page2 • ;41T ,t T1O1N1 Site utilities: Job site address:17018 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.: 1 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.: 136 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1 Backwater valve 12.51 D SRte10F ® . *6 ' ' . . : Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00333 Drinking fountain 25.02 Ejectors/sump 25.02 ® 1Rit 4 ' Ha ❑ TE $ ��, Expansion tank 12.51 Fixture/sewer cap 25.02Name:Polygon Northwest Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( _ ) Fax:( )_ Ice maker 12.51 r;1 , ❑ C Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman 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 Phone:(503)492-3490 Fax: :(503)912-6438 Tub/shower/shower pan 12.51 E-mail: robert.dishman@allianceplumbing.net Urinal 25.02 " l� gtWater closetoset 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 Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ��> TOTAL PERMIT FEE Print name:Gavin Thornes 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. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Sup t ression Systems 7'7114 Footing drain-151 100' 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 S stems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54T $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 WS-POW � each additional$100.00 or fraction thereof,to er �... _, 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. 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*. ` iau#ty lsy)1+'uitare•Type 1.1 l ' lEli> a•', , t SOP 10 Trtkture Type for RePlaLl Plan review is required for any of the following. Work Performed; Adtie 1Eclorai Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ 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. 3„ Car Wash Drain ,' a .. ►t�lliEtiC'1` � t{', '4t1E11 :' Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 Water Extractor increase of sewer EDUs,a sewer permit will be issued and 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 Pegmmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW JEAN LOUISE RD, SHERWOOD, OR, June 14, 2017 at 12:43:23 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00333 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Panel wet from previous garage pressure washing. Re schedule inspection when panel is not wet. No further inspection done. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00333 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00333 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: Previous corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW JEAN LOUISE RD, SHERWOOD, OR, June 22, 2017 at 11 :49:29 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00333 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Moisture Barrier acknowledgement form received Street tree cert received High-efficiency interior lighting form received CWS approved erosion Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17018 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00333 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Moisture Barrier acknowledgement form received Street tree cert received High-efficiency interior lighting form received CWS approved erosion Violation Summary: Inspector Contractor