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Permit (42) ipi CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00359 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S106DC13000 Jurisdiction: Tigard Site address: 17082 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 130 Project: Polygon at West River Terrace, Lot 130 Project Description: New SFA. Building/Unit 10.4 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke DwellingUnits: 1 Detectors: Yes Third: 560 sf Right: 0 Total: 1362 sf Value: $171,046.29 Rear: 5 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 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 addl 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 1362 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: $23,000.83 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 AQR 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: 4 _ Permittee Signature: (7/1/ /7P4Pe-/(.11-77e-' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Loi /_30 Building Permit Application RECEIVED FOR OFFICE 1 SE ON Ll City of Tigard AUG 0 6 20 fib R i"� DateBy: �/��(rr Permit No0TO�!������fd 11,1 13125 SW Hall Blvd.,Tigard,OR 97223 1 Phone: 503.718.2439 Fax: 503.598.1c�(� (� G Plan Review ,°IT( OFTIGARD Date/Be ' I OtherPermi e;20/6-00 �,5— l.l(_ i Inspection Line: 503.639.4175 Date Rea /B : 9 Janis: e`4✓ V(.� V-+ BUILDING DIVISION 4 y </ / Supplemental Page nn Internet: Wwtv.tigard-or.gov NotiSed/Method: 2 Q, �� RIageInformation2 New construction 0 Demolition W 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 thePr profit for the 7. work indicated on this application. $168,742 Q 1-and 2-family dwelling Valuation: i J gJ if ❑Commercial/industrial C7 ❑Accessory building [Multi-family Number of bedrooms: 2 ❑Master builder ❑Other: Number of bathrooms: 5 f a _ Total number of floors: 3 Job site address: f,022_ SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet /- Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: ) 2 square feet,:s— (C7 Cross street/directions to job site: r? Deck area:.- 72 square feet �(.�,0 Other structure area: - square feet Subdivision:Polygon at West River Terrace I Lot no.: I?)0 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 work indicated on this application. K5 b u +O�I L Valuation: $ y "1 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 13m 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.Gralewskt@polygonhomes.com :! • r's6 • , • � qh � F.- E Commercial and residential prescriptive installation of � � a« �ti roof-top mounted PhotoVoltaic 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 Authorized signatureTotal fee due upon application: $201.60 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:x/20/16 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applicata (/ J a Cityof Tigard r Received 'V 13125 SW Hall Blvd.,Tigard,OR 97223 t j`p 4+ _016 Plan Review it Phone: 503.71$,2439 Fax 503.593.1960 Other Permit: anspection Line: 503.639.4175 Date Le Internet w�vsv.tigard ,gay h j 4 I, l Date Readyaly )was: to Ser Page 2 for Cali a Nntifiedmethed: Snppl.mentat Information DINTS ` ', � th.. ,'Y1"E EOF. : . COMMERCIAL FEE* SCggPUL Ef ,USE CIIEt7-kit,,fit'..,. New construction ❑Addition/alteration/relacement New permit fees*are based on the value of the work P performed.indicate the value(rounded th the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor, verhead,and profit 1 >�= :, < Gr1 G0$Y OF G01+1S1(IR1 O14i, Value .. ° M, , lass! l .is Q t1PM�TITAY aEi ss; . s* , ❑1-and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building : ®Multi-family For sprdct'fr<jorra�lcrt tai':checklist. 0 Master builder 0 Other: Description City. Ea Total e i OI kT1 WG1 ,TION 4fo:4 Oc ON ' Hetttinweemit g: ��_.., "' AirdAir conditioning I 46,75 kb Sitqaddress:i'l/0 B7_—SW J r— UI _ I�-�Y C_ Furnace,000aoBTU tauctsr. } ;1 46:75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+13W(ductsfvents) 54.91 Suite/bit/apt.no.:k D s LA Project name:Polygon at West River Ter Heat pump �< 61.06 Duct wmk 23.32 Cross street/dircetions to job site: Hydronic hot water system i 23.32 Residential esidedential boiler(radiator or 1 23.32 Unit heaters(filet-type,not electric). in-wall,in-duct,suspended,etc. i 46,75 i Flue/vent for any of above _I 1 23.32 Subdivision:Polygon at West River Terrence I Lot no.:I9)u Other23,32 Other fuel appliances; s Tax maplparcel no.: Waterheater I 4, [ 23.32 "=�" t ,. bL5C--' ' )N'OF WUItK 'z Gas fireplaceiinsett it 33,39 t1 �rAW C� Q Flue vent for water heater or gas 1 ' f fireplace i 1 23.32 Log lighter(gas) 2332 Wood/pellet stove i 3339 Woodfireplacennsert 1 23.32 Chimney/liner/flue/vent 1 23.32 A tOther. 1 2332 .i=„ „„,...t.,-`-%1•1,,, ,, ,,,R ,-,-.5/t ��; �"` '' '.'4 Environmental exhaust andventilatiors°: ?.earn=ADVL Land Holdings,LLC Range hood/other kitchen Address:76110E Doubletree Ranch Road equipment 33,39 Clothes dryer exhaust 33,39 City/State/ZIP:Scottsdale,AZ$525$ 1 Single-duct exhaust.(bathrooms, ' toilet compartments,utility rooms) ;',1 23.32 Phone:(602)694-4031 Fax ( ) AnicicraNisPnee fans 23.32 i ,:-. IP L`Als*e.F,. l]4CONTA4 . E RS011, . Other: 2332 Business name:William L on Ho Fuel piping: y ►nes,.laa 514.15 for first four;54,03 for tach additional Contact name:Angela Grajewski Ft:mace etc. I Address:109 East 13th Street Cres heat pump i Wallisuspendcd/unit heater City/State/ZIP:Vancouver,WA 9$660 Water heater --I Phone:(360)695-7700 Fax::(360)693-4442 Fireplace I ' Range I E-mail:Angela.Grajewski@u,po)ygonhomes.com Barbecue %,`> °_ 'P v . j'i mt" ,. 1`"" gg :; . nt,,, . ; Clothes dryer(ass) Business name:Andersen Mechanical,Inc. Older i Address:162115 SW 8514 Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee $90.00) Plan review(25%of permit fee) Phone:{503)9924664 I Fax:(503)536-6615 State surcharge(12%ofperatit fee) CCB lie,:163214 / TOTAL PERMIT FEE This permit application aspires if a permit Is ant obtained within 180 Authorized signature: days after It has beta accepted?!complete. * Fen inethadnlaty set by Tri-County Buildle Industry Bence Board Print name:Angela Grajewski I Date:8/22/16 taita ing ngin nic_PermuAnn 446tll.4m 44046l'T 1102 0M'WE:aj I s Electrical Permit Application 1 o R o► ► ►c r ► ,,I 0.1 City of Tigard AUG 6 6 2016 Received r ' 13125 SW Hall BlvdTigard,OR 97223 LlLW= gat SIA : II D _" Phone: 503.718.2439 Fax: 503.598.1960G1fl1 OF TIGAR'1 ,C' iiiiillillIlIlIllRelated Permit#: , C;,,i t� Inspection Line: 503.639.4175 Internet www.tigard-orgov BUILDING DIVlSI 11-.;.fir- '�" �p�ental Information ®New construction 0 Addition/alteration/replacement Please dcedc all that apply(submits sets plans w/rtems heof checked): ): 0 Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. �e Q? F ' 4=' ?1.t ;! r where the available fault=rent 0 Marinas and boatyards. S E-,-' . ,�r-4-- �. exceeds IOW amps at 150 votes or ❑Floating buildings' 0 11-and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building to ted,or meds 14,000 0 commercial use agricultural tJ 1Vlulh-faintly 0 Master builderO ump other for an installations. buildings.ati � ,e� e c]� � t 0�� 0 Installation of 150 KVA or : . r--.--i-'fl:'..:.L_ y_e.N-sT.:_dam . , k C 1 --= it ❑Emergency system. larger separately derived Job#: I Job site address: I,D O S\/�Ii7 'a c v- ' ' {rr ❑Addition of new motor load of system. V v ltiw OIJ 10013P cc more. 0"A"," ,"1-2","1-3", Cil3dStatdZlP:Tigard,OR 97224 0 Six or more residential units. ocwpaocy. 0. ❑Health-cane facilities. ['Recreational vehicle parks. SuiteJbldgJapt#: I Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: 0 Service or feeder 600 amps or more. 600 volts nominal Descriptiroa Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: t N) Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or lees168.54 x: .. Ea.add'1500or portion 4 ��g - . .df� ��.„.�„ erri n m 7 €m .....,`"r r . sq. P 33.92 3 9 1 Limited energy,residential I (with above sq.$) 75.00 2 O 1 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 r F p h Renewable Eaergf 0 See Page 2 v 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 13336 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 20034 2 I 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 3Q26 2 Final 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 less5936 intended for sale,lease,rent;or exchange, I 1 according to ORS 4-47,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps i,„- , p i q 4_ 41 li 44,2 ., .41L.,:-.1:14t,-,-_,4,,,,,,,,,_ Branch circuits—aew alteration,or extension,per panel Business name:William Lyon Homes,Inc A.--",, service or feeder fee, Contact name:Angela Grajewsld each branch circuit 7.42 2 B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee first branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone:(360)695-7700 I Fax (360)693-4442 Miscellaneous(service or feeder not included) Each manufachaed or modular Email:Angela.Grajewslti@polygonhomes.rnm dwelling,service and/or feeder I67.84 2 _. �- � _ Reconnect 67.84 2 Pump or inigalion circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 Address:3415 NE 44thSignal circuits)or limitedeaagyPanel,alteration,or extension. DSeePage2 122 City/State/ZIP:Portland OR 97213 Each additional inspection over allowable in any of the above I Additional inspection(I hr min) 6625/hr Phone:(503)319-2192 Fax:( ) investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr CCB Lic.: 199188 I Electrical Lic.: c923 I Suprv.Lic.: 48715 tions for which no fee;s 9000hr Inspec�,call tested hr mm Suprv.Electrician signature,required; _ v_._n _' ��" _ Printnameki le R 0 I Date: 05-24-16 a subtotal: ❑Plan Review Required(25/a of ptxmR fee): State surcharge(12%of permit fee): Authorized signature: VG TOTAL PERMIT FEE: This permit application expires ifs permit is not obtained within 180 Print name: ar/pwc I Date: 744/40 /D c I days after it has been accepted as complete. L�1°ry ��� ' PAPP 1 'dad" Rev06117/2015 ( * Number of inspections allowed 15TO 5/COM/WEB Per permit Plumbing Permit °I4RECE VEI) s Building Fixtures i {,,, „i i tt , t H ,,.i , City of Tigardgli AUG2015 13125 SW Hall Blvd.,Tigard,OR 97223Y Permit No / �� ` Received ,,A y Plan Review Phone:.503.1182439 Fax: 503.598.MI(OF FI V t1llD DaidBy Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By tuns 0 See Page 2 for Internet www tlgard-of gov GILDING 19I'1071S10� Notified/Method:, SapplementaF Information 'r a ' s4 "::;ta 4ts 'x:, , fi*'.a&`y yy„ ,-::y z... 3 r",,,,o,,,,„ r - '� a:. . ,,: �x � -1. ., ,A� ,, ,: rte . - ; arae el New construction 0 Demolition For special information use rheckiist C3Addition/alteration/replacementpt} DescriptionI �• I Ea. I Total New i-2-family dwellings(includes 100 ft.for each utility connection) 1 ....'., ..a �-mow.8 ,. ' 3 SFR(I)bathall � , r t a t r a ���#}e =, 312.70 1I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ,. / 1 SFR(3)bath 1 ' 50032 5OO,321 ❑Accessory building Lrry Multi-fallibly ❑Master builder Each additional badvtitchen 25.02 t �, El�: Fire sprinkler 0311 sq.ft.) ) Page2 l'a' I.1 a '� r, - :` , 6:9-`44.--&-.'-i d` e .i i� s t .:;-: 5 Site nhlfties: Job site address: 11 t/U v W Llan Lo(Ai se Load Catch basin or area drain 18.16 Drywetl,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:,_) Page 2 Suite/bldgiapt.no.: 1 Project name:Polygon at West River Ter Manufactured home utilities 50.03 i 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 I Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: 130 Fixture or item: Tax map/parcel no w Backflow preveater 31.27 , --A-----. .-:,,,,- , t .,. Back atervalve I 12.51 a Clothes washer 25.02 I(..) . y I Dishtivasfter 25.02 "� Drinking fountain 25.02 Ejectors/sump 25.02 .+,. x 't x s € i `x`< ,,u'R no ,' ` .E 8n5lotl tank 44 Name ADvi Land Hold' t� , ii ,A. 1 :.. xA 1251 Holdings,LLC Fixture/sewer r cap 25.02 1 Fioor drain/floor sink/hub 25.02 [ Address:7600 E Doubktree Ranch Road t Garbage disposal 25.02 City/State/ZiP;Scottsdale,AZ 85258 Hose bib 25.02 I Phone:(602)694-4031 Fax:( L, ) Ice maker12.51 ; Interceptor/grease trap 25.02 �. �r -'fit! ys:.. . Business name•WilWro Lyon Homes,Inc Medical gas(value:$ ) p 2 Contact name:Angela Grajewski Primer 12.51 Address 109 East 13th StreetRoof drain(commercial) 12.51 , Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 I Phone.(360)695.7709 Fax::(360)693-4442 Tub/shower/shower pan 12.51 jePUrinal 25.02 IE-mai:Aaeela GtiwsksLSoIMIIorres.rnm • ,�� - k r water el aset 25.02 x _? :''',7^''',-,:i':. • ' ' mita.heater Business nameAlliance Plumbing LLC 37.52 Wate v.i.--glDWV 56.29 Address:146 W Hiatorie Columbia River Hwy Other: W 25.02 I CitylState/ZIP:Troutdale,OR 97060` Subtotal Phone:(503 492-3490 Minimum permit fee:$7250 Fax:(503)912438 _ Plan review (25%of ' CCB Lie.:184601 permit fee} Plumbing Lic:no.:PB732 I Autltorizcd signature: State surcharge(12%of permit fee) I TOTAL PERMIT FEE Print name:Robert Dishman Date 5/23/2016 This apptlNariea expires of a:perniit is not obtained within 180 days after It fins been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. l DWldmerennitsu'I,MU-PernttA doe.ramtrt�9 PC 4e0-4e16T(s0/02/CoMrWIE9) RECEIVE!) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT III I T l c o Building Permit Review — Residential Building Permit #: /'''j�.. -7320/E, — 0035 Site Address: (-309 Z 'W J'..eC4r) L.ouis e (ZcC . Project Name: f o l y y O r\ 0i-t-- W4 Th\te..r Terra c . Lot #: 1 30 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 123- 133 Proposal: (VV/V OD W fr O(Y ( C Verify site address/suite#exists and active in permit ystem. 71 River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan CJcicting 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 /North arrow /Utility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number Ift eTflM'of wells/septic systems Applicant information(name and phone number) €fLo ttng trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage f coverage and /Street tree size,type and location jZimpervious area(applicable if R-7,R-12, &R-40) [ treet names Property corner elevations(2 foot contour lines if more than 4 foot differential) FfClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No l Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant}� was notified CI No Applied For: CI Yes ❑ No,stop intake Land Use Case#: T p(w(s ' 0OOQ1 , Suez/815 -mmoo& 71 Zoning a-2.s Setbacks: Front 12 Rear S Side 6 Street Side 3 Garage / 4 XLandscape Requirement: ? % Lot Coverage Maximum: 6 0 % )2 Building Height: Maximum Height '% _ Actual Height Visual Clearance /8� Easements J`JSensitive Lands: ❑ Yes IDNo Type e Urban Forestry Plan Conditions "Met"prior to issuance of building permit otes: CncL o 04. +0 be met prior -IDj Sys VOl° C C_ 0 C- bvl l airi9 germ i-i--. Approved By Planning: M 0 it c-.-- l3i Lo Date: g/ (l?,d l(i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgpermitRvw RES 060116.docx Building Permit Submittal Original Submittal Date: O��4, Site Plans: # 3 Building Plans: # Building Permit#: D-Enter building permit#above. ,r Workflow Routing: [ Planning Engineering �ermit Coordinator [ Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 2'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: /v/tr ---- Date: 9/40�/ Engineering Review 7-13 LiSlope at building pad: ❑ 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: Cl Yes I No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: wt,, — (_c.) , Date: 'q Jic/t6 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 ❑ Approved,NOT Released: Date: 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: p SDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: ig Yes ❑ N/A OK to Issue Permit / /i � Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES 060116.docx a 11111 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A li o River Terrace Building Permit Review Addendum Building Permit #: /YST;20/6 — C203.3"-9 2O3, `9 Site Address: 17062- SW Te-cin Louise (Zof . Project Name: PoI ygon oil- We1i- RA r- -F rr i Lot #: 130 (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 Yes 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 ❑ ❑ ❑ 7 /°"21° 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: 1 ,, J 3. Entrances:At least one entrance must meet both of the follo ' g 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: ❑ YesNo If yes,all the following apply: // ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch 0 5 ft. depth min. 0 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 0 Recessed entry area min. 5 ft.wide x 2 ft. deep Ail Wall offset min. 16 inches ,,.Q'Dormer min. 4 ft.wide /Roof eave min. 12 inch projectionoof offset min. of 2 ft. // 0 Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. 0 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 0 Bay window min. 5 ft.wide by 2 ft. deep 0 Balcony min. 5 ft.wide x 3 ft. deep with inside access 0 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. 0 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. 0 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. (akiAj Width: (Check one) �i 4 OadU ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /1/16"1"t": G:,-tieri.„,,,,,,,, Date: j. & , 1 I:\Building\Forms\BldgPermitRvw_RES RT 062216.docx EIV Electrical Permit Application FOR OFFICE USE ONLY IN City of Tigard N 0 V 1 0 2[]16 j4 ii__i�lll�l//v / IMNII 41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax 503.598. $ #' 01," `a 9Date/13InsRelated Permit rg: Inspection Line: 503.639.4175 r J p ReadyDate/B runic: TIGARD T g Y 0 SeePage2for Internet www.tigard-or.gov IJILD N G Dfl' '1 OO k ntifed/Method: Supplemental Information .,,--c- ..�4. .�`�'w-.gn:W�y,�y-.'t''.s.,. r ice. ::.`=-Y'..�.-. r .:_Tt4MM. t.:S ''��, •1 XEMTZTMN:;r ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition El Other: ❑Service or feeder 400 amps or mon: ❑Building over three stories_ T '> where the available fault current 0 Marinas and boatyards. WEi ! exceeds 10,000 amps at 150 volts or ❑floating buildings. @1-and 2-family dwelling ElCommercial/iridlistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. bnihlings. ❑Multi-family - 0 Master builder0 _ _�� 0 Fire pump. 0 Installation of 150 KVA or -.s. .. __ ,,O ~``l7(b1�= S=�11,;'Oei1�ZTd1�';"' - ❑Einer c stem. larger ��_-�:;�;„;,_:�r<:,--.,,,._�.z.�..__:., ...........:...__.:...;,' .. ..: ..-_......_..._._ _ _ g�Y b7' separately derived Jab#: Job site a �(r��.�/ �`, p� +� ❑Addition of new motor load of system. ddresf l DVLWv J l t t,l�RD- 10011Pormore. ❑ A, E', 1_2n 1.3, City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-Dare facilities. ❑Recreational vehicle parks. Suite/bldg./apt#:1.D,y Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to Ob Site: 0 Service or Seeder 600 amps or more. 600 volts nominal. Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:11,1) Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less 168.54 4 1 ,y 7 i Ta).4 mm 4'+0'e:'*-4::;,-",f'.:': '77.:*_.:' * ?r te` Ea.Limitedaddenergy,l 500 sq.es or portion ( 33.92 1 /y3 -;' residential 7500 2 OJAA t 7 "x100 .w /\/tt � (with above sq.ft.) T t 1 t IIVLJI V Y �l Ju Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ewable ergy See .'-;e+, b9'`' ©' "”- - :111 i �' Services orffeedinstallation,alt❑eration,a 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 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 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 x : � ( --c Branch circuits—new,alteration,or extension,per panel Y. -g_'.4'.. El—r: IN'PAgF, gg— -- _:ta"t- 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 Grajewski B.Fee for branch circuits without I Address:109 East 13th Street service or feeder fee,fust 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ` Fax::(360)693-4442 Farb manufactured or modular Email:Angela.Grajewsld®polygonhomes.coin dwelling,service and/or feeder 67'&4 2 e...701, ti- Reconnect only 67.84 2 } u ®qfi' 4'° , nz ,x` : Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 '`"" Signal circuit(s)or limited-ene •rgy ne Address:6101 NE St Johns Rd El See Page 2 2 panel,alteration,or extension. 3 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(I hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(l hr min} • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 ( Suprv.Lic.: 44965 specifically listed Ch hr min) / ��,� , t ': :^'tea tea t Suprv.Electrician signature,required: / 1� r► E � Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): l __ State surcharge(12%of permit fee): Authorized signature: _ `�� TOTAL PERMIT FEE: 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 `:s.LiBaildingtPermrtstEt.0 PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615Tt11/O5/COM/WEa 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 ,IN ... Transmittal Letter T t G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DA ,. 's F, • DEPT: BUILDING DIVISION OCT 17 2016 FROM: Angela Grajewski C 'OF D COMPANY: Polygon Northwest BUILDING DIVISION PHONE: 971-212.-2144___.__- BY: RE: 17052, 17066, 17070, 17082, 17094 SW Jean MST20 -0035,n "3> 10 I ,:3C Louise RD (Building 10) (Site Address) (Permit Number) ' �7 D e Polygon at West River Terrace Lots 129-133 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: mops 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. ✓fes 62c4.,---e,„--E:6, ,,,J /1S"/- ,0/6 003S Routed to Permit Technician: Date: j o _ j 9 ,LC Initials Ili Fees Due: 'Yes ❑No Fee Description:p Amount ue: f lS i- /"4- / -Vic i $?® U7) $ , * ** $ . "" W i $ Special ('c i i C? /---&--E-s- On/ /y,(7',2O/6 00.3 6.�. Instructions: Reprint Permit(per PE): ❑ Yes SPNo - ❑ Done //� Initials:% Applicant Notified: / f is Date: / IABuildingTormsgransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit Application x.., Site Utilities :3 w FOR OFFICE ll SE ONE)" City of Tigard Received a� Date/By: t��/i �� 'ermit No. N I 13125 SW Hall Blvd.,Tigard,OR 97223 2 c� , vir ' ' , /��,- „,---) Phone: 503.718.2439 Fax: 503.598 1960 Plan Review, j T 1 G A R U Inspection Line: 503.639.4175: a Date/By: •�--I f/7,/f Other Permit No.: Internet: www.tigard-or.gov e a 3 Date Ready/By: tuns H See Page 2 for Notified/Method 3 Z� /' , , ementalInformatmn z �3r .:: u 1 For special information use checklist ®New construction ❑Demolition ❑Addition/alteration/replacement 0 Other: Description Qty. Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) '.. ., ..:. ..� ., . ,. SFR(1)bath e i � �1 *4��� 312.70 437.78 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 0 Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builder Each additional bath/kitchen , 25.02 ❑Other Fire sprinkler(1 62 sq.ft.)144'' Page 2 ' .ori � to * IN,. • Site utilities: Job site address:17082 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 Suite/bldg./apt.no.: Project name:West River Terrace Footing drain(no,linear ft.: ) Page 2 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.:130 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ,. rofi g F: PPagelumbing2Supplemental Permit ApplicationInformation- City of Tigard - Fee Schedule: Residential Fire Sup s ression Systems: t'�,� :Y. �'�,� � .mow....•, Footing drain-1"100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100' 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 ipthlC" dlpc >�1 # � �� 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* C A tY lly:l ithl*' i ilatiOnS Fixture Type forN feel ' Plan review is required for any of the following. , ,A Relnc�te Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed Jacuzzi/Whirlpool engineer. Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher -Commercial -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 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food that meet the qualifications above. Disposal -Domestic-food related -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 Clooss Water Extractorfees assessed for the sewer increase must be paid before the et-Toilet Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard P2Fmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17082 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00359 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS Comments: No A/C 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: 17082 SW JEAN LOUISE RD, SHERWOOD, OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00359 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS Comments: No A/C 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: 17082 SW JEAN LOUISE RD, SHERWOOD, OR, June 27, 2017 at 3:23:18 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00359 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Corrections from previous inspection complete. Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Insulation certification checked. Blower door test report checked. Violation Summary: Inspector Contractor