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Permit (45) 7,1 , CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit MST2016 00358 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S106DC12900 Jurisdiction: Tigard Site address: 17094 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 129 Project: Polygon at West River Terrace, Lot 129 Project Description: New SFA. Building/Unit 10.5 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 646 sf Garage: 327 sf Front 12 Smoke Dwelling Units: 1 Third: 635 sf Right: 0 Detectors: Yes Total: 1625 sf Value: $202,203.54 Rear: 5 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 Catch Basins: 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: 5 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: 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 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 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: $23,911.17 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: � �� 'G� �f'TjCJ/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. L u AR ? Building Permit Application RECEIVED 8 ho g iii �� FOR oFr►cE Ise oNLN City of Tigard AUG 0 6 2016 Received /y p 1111 . 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ——° PermitN � ���tQ 1n�4 Phone: 503.718.2439 Fax: 503.598.19 1 I'ir()F'TIGARD Plan '9 J 9., l 6 '! OtherPermi uXP2 j/6 00..foy r I G ;R D Inspection Line: 503.639.4175 i �( Date Ready/By: I. orris: H See Page 2 for Internet www.tigard-or.gov BUILDING DIVJSUQ Notified/Method: f/2/jk 411 Supplemental information Sc- qi <'�:7:27i: t .- tA� � t ' k t - ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other equipment,materials labor,overhead,and the profit for the : . t � � k work indicated on this application. El 1-and 2-family dwelling ❑Commercialfmdustrial Valuation: $ / �3---0 ❑Accessory building (Multi-family Number of bedrooms: 3 ❑Master builder ❑Other Number of bathrooms: 5 i' .. _ i 96_0,1 ;:j.,„_...,....,.....„,..,,,, 03:3;:13-;i- € ,`i t - t Total number of floors: 3 Job site address: I (.4 SW Jean Louise Road New dwelling area: 1625 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 327 square feet 6as~'T Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: j square feet( q., Cross street/directions to job site: Deck area:-f-- 96 square feet...3 Ltit. cov ,ur Other structure area: 9 C., square feet Subdivision:Polygon at West River Terrace I Lot no.: l aci 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 sRFsequipment,materials,labor,overhead,and the profit for the a � 4,;T, t t work indicated on this application. E5 ) lot I o.5 `5 Valuation: $ 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:( ) s New: ry Business name:Polygon WLH,LLC Contact name:Angela Grajewski Structural plan review fee(or deposit): Address:109 East 136 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 • f - t�" Commercial and residential prescriptive installation of mounted Photovoltaic Solar Panel System. roof-top Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street 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 /j Total fee due upon application: $201.60 Authorized signature: _2(i /g/l5A0 � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski *Fee methodology set byTri Coon Building Date:�/20/16 Tri-County Industry Service Board. I:Building\Permiti\BIJp..REspermjtpp doe 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Applies tsv�t ,� i()I2 ill flt:1 t til:e,Nl.1 City of Tigard Received 1J`1 13125 SW Hall Blvd.,Tigard,OR 97223tt, Dan Re Phone: 503.71&2439 Fax 503.59&1960'F P 2 2 2016 Plan Reriex ; Dau<By Oiher Permit: lnspc tient Line: 503.639.4175 r Date /Bv loris: Internet www.tigard-or.gov (,, \� 'V I 1 ;-1�-il L I Notif�lediod: S moi'Peat l for I yyy DIVISION, 1�aat��asy��y !fS(a�p�pet�elCatt�alita[ormafipn titR 4.-A-A J 8 }1,4 v,, fp44010AL E*< YL,"LL u w , �`' ,-tea!€; 'f' .., <&. " 1,83 New constructionMechanical permit fees"ate based on the value of the work 0Addition/alteration/replacement , Q Demolition performed.Indicate the value(rounded tet the nearest dollar)of all 0 Other: mechanical materials,equipment.labor,hvcrhead,and profit. Value.$ t ,.,_.. . ., I ID 'flA.Et'U�"i<`f ,,mg,14S3 , .. . 01-and 2-family dwelling 0 Commereialrindustrial 0 Aceessa 13'building Forsprctuf information rrsg checklist, 4 Multi-family 0 Master builder 0 Other: Description City. Ea. Total r ` J 1IL II t:A 074iaA 1,2 I [QN F Heatingtcooling: Job sits address:/7d ! 9 SW Je+.V, 1SL �41 Furnacer conditioning 46.75 .l . 1{10,000 BTU(dominos) i 46.75 City/State/ZIP:Tigard,OR 972/4 Furnace 100,099+Eau(ductsivcnts) ` 54,91 Suttelbldgfapt.no.: I O Project name:Polygon at West River Ter Heat pump 61.06 1 Ductwork E 2332 Cross street/directions to job site: Hydronic hot water system 1 2132 Residential boiler(radiator or hydronic) 1 2332 Unit heatets(fuel-type,not electric), • in-wall,in-duct,suspended,etc, I 46.75 Flue/vent for any of above J 2332 Subdivision:Polygon at West River Terrrace Luno.:121 Other € 23,32 Other fuel appliances: i Tax map/parcel no.: Water x• heater. i1 ..,. ,.' 3S RIP°T1t5N th WORK Gas fireplace/insert ( 33.39 (1 ,`,^ti� �,y.., n� , Flue vent for water heater or ens `W 1 lkl/1(Jt/ ( fireplace x 23,32 Log lighter(gas) I 2332 Wood/pellet stove I 3339 Wood firenlace/insert- 23.32 Chimney iiner/flue/vent I 23.32 a s '?''i'''';':';'''' t i . A .v x : Othen 1 2332 Envlydumental cabaust anti venfi jot: Name ADVL Land Holdings,LLC Range hood/other kitchen equipmem Address:7600 E Doubletree Rauch Road 33.39 Clothes-dryer exhaust 33,39 City/State/ZIP:Scottsdale,AZ$5258 l Single-duct exhaust(bathrooms, iii,Phone (602)694-4031 ' toilet compartments,utility rooms) T 23.32 Fax:( ) Atticicra>44spacefans _ — 2332 l,., _„ V4$ _ , ,o :X:*1"I'1L:Ts Other: 23.32 Business name:William Lyon Horner;Inc. Fuel piping: 514.15 far first four)54..03 for each additional Contact name:Angela Grajewski Furnace,etc. Address:109 East 13th Sweet Gas heat pump Wall/suspended/unit heater 1 City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace 1 Range I E-mail:Angell.Grajewshiapolygonhomes tom Barbecue l. „'k:t!;:4 1 2!3##I Cl Oltg4,, ,.,rtti.. 'rte anthts dryer(gas) Business name:Andersen Mechanical,Inc. Other' l 1 SW r , .3:.. a ,. SW � Address:16285 $5'i Ave �y 4ti .$ *� , ° ubtotai City/State/ZIP:Tigard,OR 97224 Minimum permit fee 050.(10) Phone:{503)9922-6664 Fax:(503)5364615 Plan review(25%-of pt mittic) CCB lie:16$214 ! ♦ State surcharge(12%of pe2mit fee) , TOTAL PER T FEE This permit application expire if a permit h not obtained within 18O Authorized Signature: days after it has been accepted as complete. Signature: * Fee methodology act by Tri-Cbuntr Buildin Industry Service Board 1 Print name:Angela Grajewski Date:812211.6 1 I 1 Oink insiP«miit nfEti_PeKaaApt 04d1 tl4oe 440-4617r(1aiO2tOM,N.'E8) _ Electrical Permit ApplicationlitELEIViti F O R Oil F 11 E l SL ON Ll City of Tigard Received D Permit#;,-/S72:20/6 ,.003-5? :74 41 13125 SW Hall Blvd.,Tigard,OR 97223 A U�1 0 6 2016 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 CITY OF TI G AR I) Ready Date/By: Auris: H See Page 2 for T 1 C;;1:D Internet www.tigard-or.gov Notified/Method: Supplemental Information 7' "AIs r a r e A z ` - t ..".'. i;a , .v4a 61 ` i-n- i:-m. ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other —r - ti " g available � 0l �gbu rds. ,r—T,.., v s � a. piE e71� s '"_t exceeds 10,00 amps current or 0 buildings. 1-and 2-family dwelling 0 Commercial/mdustrial ❑Accessory building less m ground,or exceeds 1a,000 0commercial-use agricultural Q [Multi-family 0 Master builder 0 Other: �umpfor u other installations. bmla latio ❑Fire pump. ❑Installation of 150 KVA or w 7.7,1 .C'-. `i_ - 1I dM,T..5toRi,-it c�F..w1: ,r,,,1 n,> ; s HE - larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 110 q q sw lean Q(J I, 100HP or more. 0"A","F',"1-2","1-3", City/State/ZIP:Tigard,OR 97224 v 0 Six or more residential units. occupancy._st D Health-care facilities. 0 Recreational vehicle parks. Suite/bldgJapt#: I Project name:Polygon at West River Ter D Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: , .f. � .:'j` V.f]g ia _. -. Description— Qty..•• Eact Total • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace I Lot#: I Doi Includes attached garage. Tax map/parcel# 1,000 sq.ft.or less I 168.54 60.54 4 " �s ¢ :erg€ tj € € Ea.add'l 500 sq"ft.or portion 2. 33.92 (n.84 1 "'Y - 7 F n-� "r L. L 44 P' Limited energy,residential B a 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 77.::::::4;--,51:-:;-..,-., ,.r �,..„. ,a= r_ -;,,R.. t,,, i z;v r. , Renewable Energy ❑ See Page 2 - 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 I Fax:( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Rmail: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 1 5936 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 168.54 2 .,.:..,14. -:-..,—'--' i..+41'.1,,r.,,,,..-4-.. --, ,,, * wz-r. ¢ , _Ytl�lit„,,-,-,----:-,. Branch circuits—new,alteration,or extension,per panel ---,4-.^,n _.__ _..-- -- 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 Address:109 East 13th Street branch scam``fCe'fast 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwellingEmail:Angela.Grajewski®polygonhomes.com a service and/or feeder Reconnect only 67.84 2 ;`-.- c i l;I.t ° 'i' .:: _ 4 7.i L..i=_-P Pump or irrigation circle 67.84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Address:3415 NE 44th Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension 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 Industrial plant hr Email:solarpdx@me.com p (1 mm) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 199188 Electrical Lice.: c923m Suprv.Lie.: 48715 s' "'call listed hr m Suprv.Electrician signature,required: / Subtotal: Print named I e 111 I Date: 05-24-16 0 Plan Review Required(25%of permit fee): • State surcharge(12%of permit fee): Authorized signature: I !/7,t� TOTAL PERMIT Fhb: This permit application expires if a permit is not obtained within 180 Print name: 7) . L rdieW S, Date: 7 42 D /(„ days after it has been accepted as complete. L•\Bulding\Pennits\ELC PeImitApp E1.R ERE.dot Rev 06/17/2015 1 615T(t /05//CO1` * Number of inspections allowed per permit • Plumbing Permit Application RECEIVE I. Building Fixtures r {)i. {)i I I( I •i {,.i } City of Tigardill y. AUG 6 2 16 Permit ao.: -S%,24/6 'OU S 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.7182439 Fax:'503.598.1966 r.1,' �®�T�l�p Fe p�vgy Otho Permit No.: Inspection Line 503.639 4175 L.lt Vtitl _ Internet www tigar�r gov 1 PF . IY) t r Ready/By: ethod. )3°u Supplemental ppl Pent 2l for i,, )l2!= b.47 -4 ementat laformatioo ®New construction 0 Demolition For special information use checklist Description p Addition/alteration/replacement ement ❑Other1 Qty I I Total �`1 fryC { ' ;a '' 't 4 1 1 SFR(1)bath 2-family e ! ft.for 312.70y ) ,a.*' vs.', `...-`°t. - -t t-t,.,v44, .err--rm --,i,...--4 ;°,i-ii. .,: .tore 'vi' dwellings includes 100cxxmection Cl I-and 2-faauiy dwelling 0 Commercial/industrial SFR(2)bath 437.78 El Accessory building [mold-family - SFR(3)bath i 50032 ,50()32 Each additional badh/kitchen ( 25.02 d5,0-2.1 ❑Master builder ❑Other Fire sprinkler(1b15 sq,ft) 1 Page 2 b` :., 4-,;1: °s--' �� t: � �f , ' ra,a� ' } ri,-., � . � s s �Rws :� '� Site utilities:Job site address 11 09 L4 Slia Soman LG(,u se toad( Catch basin or area drain 18.76 City/State/ZP Tigard,OR 97224 Drywell leach tine, trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Sutte/bldglapt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 Storm sewer(no_linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:Polygon at West River Terrrace I Lot no.: (?451 Fixture or item: Tax map/parcel no. Backflow proven 31.27 � � ° ; { a a Backwatervatve e i 12.51 a•.5 1 Clothes washer 25,42. P)/(,t ` J©' Dishwasher...... 25:02 Drinking fountain 25.02 Ejectors/sum25.02 p E x t Expansion tank 12.51 { Name ADVL Land Holdings;LLC Fixture/sewer cap 25:02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/StateTL1P:Scottsdale,AZ 83258Hose bib 25.02 Phone:(602)694-4.031 Fax:( ) Ice maker- 12.51 � �, , . - Interceptor/grease trap 35.02r, _ ' sat :x; : s Business name:William Lyon Homes,lac Medical gas(value:$ ) Page 2 Primer 12.51. Contact name.Angela Gra jewski Roof drain(commercial) 12.5 Address:109 East 13th Street Sink/basin/lavatory 25.02 —' Crtyt /State/ZIP Vancouver,WA 98660 Solar units(potable water) .. 6234 Pte:.(360)695-'x700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:A■ eia.Grajrw_sl�Pulygoaiomes.conUrinal 25.02 F _.:.< 4 i. 4 , water closet 25,02 Wats neater 32.52. Business clang Alliance Plumbing LLC Water piping/DR'V 56.29 Address:146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(583)442-3490 Fax:(503)912-6438 Minimum permit fee: $7230 CCB Lie::184601a„....... Plumbing Lic:no.:PB732 Plan review (25%of permit fee) Authorized signature: State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires ifs permit is not obtained within 180 days Print name 'Kobelt Dishman Bate:5"23/2016after Slim been accepted as complete. Fee methodology set by Tri-County Building industry Service Board. LiBaingwermifs'M,MU.Pis ftApp.d a lustros 440-4616t(raOZVOM/WEB) City of Tigard . 4 Ili S COMMUNITY DRVELOPMENT DEPARTMENT T►c Ao Building Permit Review — Residential Building Permit #: /7<:S"�v/C -67035cP Site Address: 1-1061 q s.w Sir, Louise 2l . Project Name: Po 19 y o r\ G+ be.)-v- 0 Are-t- Te_rrrm cz. Lot #: ) 'Z cj (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review ( Zq- 133 Proposal: MJWN (?L )W i+On'i-e, ( e&) Verify site address/suite# exists and active in permit ystem. River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan •- xi ting 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 /Utiuity locations(required for new,maya 1 for additions) IZTSite address,project or subdivision name and lot number $Locatiorf of wells/septic systems apply /Applicant information(name and phone number) •P•ExiSting trees to be retained with drip line,and tree Lot dimensions and building setback dimensions/g protection measures Lot area,building coverage area,percentag�e�]j coverage and /Street tree size,type and location impervious area(applicable if R-7,R-12, tf�2 &R-40 ��..// ) `treet names /Property corner elevations(2 foot contour lines if more than 4 foot differential) /- 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: ❑ Yes ❑ No,stop intake / Land Use Case#: P1)I2.w LC ' '3Qoo1 , Sue to )5 - 0000& gi Zoning: rz-1.s Setbacks: Front 12 Rear S Side 6 Street Side 3 Garage /_ /_ yi Landscape Requirement: % iv Lot Coverage Maximum: 6 0 % ��'`� Building Height: Maximum Height �/- Actual Height -- 4 Visual Clearance /6Easements ) 1Sensitive Lands: 0 Yes ❑ No Type e Urban Forestry Plan Conditions "Met"prior to issuance of building permit Cil?otes: C ndIhttlC of +0 be. mei- prior -Fv j S'.s Vol r)( O c- bv1�Idiri.9 perm ii--. Approved By Planning: / ' I 0 YU x.. 13'(A Date: 6:/ ‘,/7„,,,, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\B1dgPermitRvwRES 060116.docx Building Permit Submittal Original Submittal Date: / �� Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: { .-Planning Engineering 'ermtt Coordinator L lig Workflow Sign-off: -`Sign-off for Planning(include notes from planning review) Route Application Documents: g"-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: Byrte`.—" Date: 9/./� Permit Technician: Gam . .�_ . ,, Engineering Review Zr Slope at building pad: 3 l'Z' El 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 dl No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes CO No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: i/rtt KC- t.., • Date: ' ( I 57 l.6 Revisions (after Building Submittal only) Reviewer Date Revision 1: El 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: SDC Fees Entered: Wash Co Trans Dev Tax: IIP-.." es Cl N/A Tigard Trans SDC: '��Yes CI Cl /// Parks SDC: Yes ❑ N/A OK to Issue Permit !�.J1 Approved by Permit Coordinator: Date: ✓ (�!/ I:\Building\Forms\BldgPemutRvw_RES_060116.docx City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT Ill 111 T I G A R D River Terrace Building Permit Review Addendum Building Permit #: /'Jj72,76 --ea...35-d° Site Address: 1106)4 SW T &in Louse Oct . Project Name: po 199on ot+- WeJ (ZAfr-r -Fe r-11 Lot #: f ijq (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 ❑ 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 ,712( 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 1 ,, / 3. Entrances:At least one entrance must meet both of the folio -ng 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. El One street facing entry ❑ 12 ft.max.roof above floor of porch El 5 ft. depth min. ❑ 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep El Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches Dormer min. 4 ft.wide eave min. 12 inch projection roof offset min. of 2 ft. ARoof ❑ 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 facade ;2/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. El Yes ❑ No. If No (Check one): ❑ May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. (�^�A,C�n Width: (Check one) 1 da _� ❑ 12-foot-wide garage door ❑ 40%max. of street facade Wil f ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 114 d C 12,..,-,1,4„,,„,,.. Date: I (p 6, I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx FC iV P, EIectrical Permit Application FOR OFFICE USE ONLY City of Tigard NOV 1 0 2016 pails: ,��1(,0 , % t-IA 11 10-1 4 13125 SW Flall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax 503.598.1'.' 9i- �'i(,: 1 Date/B . Related Permit g: T 1 GA R D Inspection Line: 503.639.4175 Ready Date/By: kris: H See Page 2 for Internet www.tigard-or.gov BUILDING y•e Vi cl oti0ed/Method: Supplemental Information -_�"f,,A....-:71. -7-::, --,, ,{•� ...�' - "x= ,�.;.rz eta-- �r��,a� i ..,_r, �-�'Y�a,�` s�,-�}_ d : . � ���i-mo .:a- •s�:-'k<-Y..r�_a-.,.,t..._ =���"„ a::� . ?.:� IrJCiYkF�' �..,.<..%c,s ��� -C ®New construction 0 Addition/alteration/replace anent Please check all that.apply(submit 2 sets of plans w/items checked):a ❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories. �r7S.3;x�;. , g� where the available fault current Marinas and boatyards. "=�...-.�.-'_,.•le,3�� �. '<;_ *,._�F ��� exceeds 10,000 amps at 150 volts or []Floating buildings. ®I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural ❑Multi-family builder amps for all other installations. buildings. Fire pump. 0 Installation of 150 KVA or :n ,e =:�r : .ng- * d..r T � � ����TFO�� - - t ❑Emer encY system' larger sepatately derived Job#: Job site addressJ}V\ ��(g�Wv 3e 11 1111 ` _ `l1Jlill anew; R,` ❑Addition motor toad of system. 10011P or more. ❑"A "fi "I.2" 1.3 ❑Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg.apt.#:1 lJ s- Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: :.0 Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#: l 25' Includes attached garage. Tax map/parcel#: ` 1,000 sq.R or less I 168.54 4 Ea addI 500 sq. or portion 733.92 - m05i is 6 t .... ��.���"' _ , Limited energy residential 75.00 1 bl\ - WC C, \elfnA, (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) - 2...,,,,,,, ,_„,..„,_ Renewable Energy ❑ See Page 2 . �AfWeri �:- ' * * " "' ; t mt-- : 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 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 a _ x � rQCt'f3 Branch circuits-new,alteration or extension,per panel ' _>.,.... ..., .- wit- = = A.Fee for branch circuits with , Business name:William Lyon Homes,Inc. above service or feeder fee, t '1.42 2 1 each branch circuit I Contact name:Angela Grajewski 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 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • . ' Fax::(360)693-4442 Each manufactured or modular Email:Angela-GrajewskiaC3polygonhomes corn dwelling,service and/or feeder 67.84 2 - � t? p 0'�t ,'p" - �r Reconnect only 67.84 2 s Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZEP:Vancouver WA 98661 Each additional inspection over allowable in any of the above ' Additional inspection(1 hr min) 6625/lir ' Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(I hr min} 78.18/hr ' Inspections for which no fee is CCB Lie.: C1158 Electrical Lie.: 208174 I Suprv.Lie.: 4496S specifically listed(%hr min) 90.00/hr • Suprv.Electrician signature,required: Subtotal: Print name: Joan?Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: �' -',o111-. --- _ --_ ... ` 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 es complete. Number of inspections allowed per permit `-I:t ,lding\Permits\ELC PermitApp_ELK ERE_doc Rev 06/17/2015 440461ST(11/05/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 ,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 - r.- • 'N, Site Utilities ,.,..i, . , FOR OFFICE USE ONLY City of Tigard Received ,,�j 3 y:c of,...///:,7 . Permit N9/15 /(t9 IN 11 13125 SW Hall Blvd.,Tigard,OR 97223 r to d ,_ aI ` Date/By: Plan Review ! .S Other Permit No.: Phone: 503.718.2439 Fax: 503 598 1960 Date/By: -;;;//7/12 T 1 G A R D Inspection Line 503 639 4175 .' Date Ready/By ? . Juris El See Page 2 for Internet: www.tigard-or.gov Notified/Method: ,Z(./S / Supplemental Information t , 1vu: "vat UI ,,...�f..1 -44.11,94:4,-4160.-- PEI~* saint l,, ►� New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) c ' r#GoRf:oF' I a► i3 ` ': SFR(1)bath 312.70 , ., ,,, ,. -----.4,---- -A-1,--,,A,' [I1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ®Multi-family Each additional bath/kitchen e. 25.02 ❑Master builder ❑Other: Fire sprinkler q ft.) (, may/ Page 2 �K 0cATION ...0 X021 1�j'R i t # � ���� Site utilities: Job site address:17094 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.: 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.: 129 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 .,., -...._..- l l g )(Zi0 ,,. ,1 all1::,''.'.-' Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00358 Drinking fountain 25.02 Ejectors/sump 25.02 ROT`j : THAI Expson tankPS- i : ' r ', ani12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 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 - ® APPIGANT ° C# TAcpEi1„N:t „ 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 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: �Z.-1 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. 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 Suppression Systems: ��1 Fie • Footing drain-In 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 * v. t- 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 70 ' each additional$100.00 or fraction thereof,to theY Insectiol��' fie z 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*. Qua>t 1 Fixturesl Plate evi+ w.f r PIu n11 1 I II Flair 1-7 Fixture Type for RV1ace/ Plan review is required for any of the following. WorkPerformed: .fl R> ti� Please check all that apply. Baptistry/Font 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 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. -3" Car Wash Drain a x. ., , gr 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 Washer-Clothes *Note: If the fixture work under this permit results in an 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 Pqmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17094 SW JEAN LOUISE RD, SHERWOOD, OR, June 27, 2017 at 8:33:16 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00358 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved final erosion control inspection prior to building final inspection. No inspection done at this time. Violation Summary: Inspector Contractor