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Permit (60) , ,, CITY OF TIGARD MASTER PERMIT li. . Ill ' '` COMMUNITY DEVELOPMENT Permit#: MST2016-00339 Date Issued: 09/22/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DCO2700 Jurisdiction: Tigard Site address: 17083 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 27 Project: Polygon at West River Terrace, Lot 27 Project Description: New SFA. Building/Unit 8.4 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 Yes Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Total: 1371 sf Value: $172,653.33 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 Rain0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 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: $23,047.56 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: 1. Permittee Signature: l�A `/7- /G /C' 'r4e/V Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Z-© r e:77 l<-. S`" '1'o *yn�s,�dr�g 'y'S i'§4 RRECEIVED FOR OFFICE ISE ON LN •.r V tvv./rA:Y....a City of Tigard Received 111 131 SW Hall Blvd.,Tigard,OR 97223ateat •• a Id 1� 44t PermitNyyS' i6 6CjSI7 sJULJ U L 2 8 2 016 Plan Revieyr„' ),S.*w)4 Other Per f� //6--De,,A9 7 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: y / l_r(,,,RD Inspection Line: 503.639.4175 CITY OF TIGARD Dat R eady/By:: ?/7e/t6 Jun'" Supp amental fWormation Internet: www.tigard or.gov BUILDING DIu'SI® m ' ..<4. a.. /6" ®New construction 0 Demolition Permit fees*are based on the value of the work performed. 0 Addition/alteration/replacement ❑Other_ Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ; ' .• � �'`.'„'-!1-Z4-"'- ' ' --n.:','',... ,;,,,--;;;;in-:‘,„:4",:,, "'` work indicated on this application. Valuation: $16x'942,. 0 1-and 2-family dwelling 0 Commercial/industrial 7 '� 0 Accessory building Multi-family Number of bedrooms: 2 ❑Master builder ❑Other: Number of bathrooms:.--2-.4.S rITA:.,;;-W7,72,14743:71'' " Total number of floors: 3 ) (1/4.S' Job site address: 11 On 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: .g Li, square feet c6 i.). Cross street/directions to job site: Deck area: 72 square feet s(,}.9 Itl Otherstructure area: 7a square feet ;''..,'''.."1,;-.':to Subdivision:Polygon at West River Terrace I Lot no.: �� 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 " t t % work indicated on this application. IC5 flu ; x,14 Valuation: $ Existing building area square feet New building area: square feet ' W 'v `" mit: 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 ,. ; � .t_ T a Structural plan review fee(or deposit): Contact name:Angela Grajewski FLSplan review fee(if applicable): Address:109 East 13'h Street PP ) Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 J Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.com - ' Commercial and residential prescriptive installation of - , roof-top mounted Photovoltaic Solar Panel System. 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): 921.60 CCB lic.:207247 - — Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 daysafter it has been accepted as complete. lete. //`/ P P Print name:Angela Grajewski Date:7/20/16 *Fee methodology set by Tri County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) v i Mechanical Permit Appii f. -d - rOU Ol FIt I- I ,,I_t»1 v [ Reedited City ofTigard DsteBy Permit No.: ►A r,s, /" $ I -.I 13125 SW Hall Blvd.,Tigard,OR 974tf L 2. 2016 Plan Review • Phone: 503.7182439 Fax 543.598 DateeBy: Other Permit i .I.t Inspection Lite: 503.639.4175 � Date Ready/By: 7uric 91 Sec Page 2 for Internet www.6gard-or.gov 1 I 1"0t: i'S"' ?votifi etltod: Snpplmnentallnfornabon ,-., ' ,.D ''K. :1YP RK coMhERclAL FEE* EDVI+ te—i ..,.�, Mccllanical pit fes"are based on value etfUte work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded the nearest dollar)of all ❑Demolition 0 Other mechanical materials,equipment,labor,iwerhead,and profit Mifi� Ri+SID�3�`i'IirtL�QC11�!''I�y�TJt `i'Irl1+>SFLE&#,.,„.. ❑1-and 2-family dwelling 0 Commerciallmdustrial 0 Accessory building For special information use oteddist. �4 Multi-family 0 Master builder 0 Other: Description Oty. Ea. Total fir I; ,. , 'UON l _ QCOw `. iAiresttnWdreiirgng: j #6,7s . Job site address:/ 0B3 :jean LiAlfseF2'y Furnace 100.000 BTU(duce:vara) 'i 46:75 City/State/ZIP:Tigard,OR 97224 Furnace 101000+BTU(ducts/vents) = 54.91 Heat pump g 61.06 Suite/bldg./apt.no.: C3 4 Project name:Polygon at West River Ter Duct work ° 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-ductt,suspended,etc. i 46,75 Flue/vent for any of above I f 23,32 Subdivision:Polygon at West River Terrrace I Lot no.: 1 Oder: I 2.332 Other fuel appliances: d Tax maptparcel no.: Water heater t 1 23.32 ; eRa M 1 '" l)I RiPTION OF •WORK "_ : ", Gas fireplace/insert i 33.39 . Flue vent for water heater or ass Cts n 4tre n D i/11„�,;^^,a fireplace 1 23.32 VY t 11(�l/�UV lel/�I/U{/JI'l. Lag lighter(gas) € .2332 Wood/pellet stove I 3339 Wood fireplace/insert I 23.32 Chimnc Iinerlf)ue/vcnt 23.32 .w. j1: `� 2332 O)Uter I .ti F, -..,� ..� ;� ..� Environtitcntal txbaust and vmtilationt: Nam=AAVs.Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road Cleqothes I 33,39 Clones dryer exhaust 1 3339 City/State/ZIP:Scottsdale,AZ 8525$ Single-duct exhaust(bathrooms, I toilet compartments,utility rooms) “ 23,32 Phone:(602)694-4031 Fax:( ) Attic1`ixattispaee fans I 12332 ` i®a "C,)CAj� *,_._., . ,i.A- I;C01+,�' ` ' P lit Other. i 123.32 I. Business name:William Lyon Homes,.lnc. Fuel piping: $1435 for first four,S4.03 for each additional Contact name:Angela Gra jewski Furnace,etc. I Address:109 East 13th Street Gas heat pump I Wall/ led/unitheater City/State/ZIP:Vancouver,WA 95660 Water heater Phone:(360)695-7700 Fax::(3611)683-4442 Fireplace Range E-mail:Angela.Grajewsid polygonhom m Barbecue K IY ., 'I ' : 75:4'" 0 ��.ik�l .a.0.4,41PlilitClodtexdrver(gas) Business name:Andersen Mechanical,Inc Other: , Address:16285 SW Sr Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee S90.00) Plan review(25%of permit fee) Phone:{503)992-6664 I Fax:(503)536-6615 ' 1State surcharge(12%of permit fee) IF CCB Sc.:168214 % TOTAL PER > FEE 'This permit application expires if a permit ids not obtained within 180 days after it has bees aecepred?rs complete Authorized signature: • Fee methodology set by Tri-County Burldin Industry Service Board Print name:AngelaGrajewski Date:8722/16 t:;Bulldinal['ermidi3EC_Pe n App triit1IA.dae. 440.4617T0lieliCONVWEB) Electrical Permit Application FOR O F F I C E l "F 0\1_1 vIETCity of Tigard R E E I5 Received IN13125 SW Hall Blvd,Tigard,OR 97223 DAB ' Permit#:/�Sel/6-0°33 Plan Review ' Phone: 503.7182439 Fa,c 503.598.1960 J U L 2 8 2016 ate/B . Related Permit#: Inspection Line: 503.639.4175 Ready Date/By. June B See Page 2 for Internet www.tigard-or.gov CITY O It u,,-- t NenfrediMegred: Supplemental Information ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked): 0 Service or feeder 400 amps or morestories. 0 Building over three ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. s5! 'c -'- ,c2La j t.Ei I ria .,., -c. -a exceeds 10,000 amps at 150 volt or ❑Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/mdustirialK less co 0 Accessory building ground,or exceeds 14,000 0 Commercial-use agricultural ('Multi-family 0 Master bud ❑amps m der 0Other' other installations bmbuildings.ph 0 Installation of 150 KVA or r .... ,., . -..__: )' y_;t''' st, ' ,P I t(� t 2€moi,P c j ❑Emergency system, larger separately derived Job#: Job site address: 13 �'�/��yg �/���� '�� 0 Addition of new motor load of system. Y learn L 10013P or more. 0"A",`E,`1_2","1-3", City/State/ZIP:Tigard,OR 971.24 ) 0 Six or more residential units. occupancy. GL ❑Bealth-care facilities. 0 Recreational vehicle parks. Suite/bldg/apt#: I Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: Descriptimm I Qty. I Eath ToW • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Ten-race I Lot#: "'j Incudes attached garage. Tax map/parcel# sq.8 or less 168.54 4 ,: �m� add'1500ft.orI ��Og 1 . ;a t'- sq. portion 33.92 33.9z l . a_::: Limited energy,residential 1( S'.1-1^ (with above sq.it) 75.00 2 Limited energy,multi-family 7500 2 residential(with above sq.ft.) F' r T :j r i - _ �. Renewable Energy 0 See Page 2 + � t 4- ' y I h'' ren '" Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 snips 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 20034 2 I 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 55226 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 less5936 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I 125.08 2 Owner signature: Date 401 amps to 599 amps I 168.54 2 _Cc sof y -------.P- Branch circuits—new,alteration,or extension,per panel Business name:William Lyon Homes,Inc A.aboveo forbranch circuits with service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Gra jewsld B.Fee for branch circuits without Address:109 East 13th Street service or feeder fix,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 manufactured or modular IIIII Email:Angela.Grajewslti@polygonhomes.com service and/or feeder 67.84 2 ----- --.4-1-i Et t t t� Reconnect only 67.84 2 - Pump or irrigation circle 11111 67.84 2 Business name:Alameda Electric Sign or outline lighting MINI 67.84 2 Address:3415 NE 44th Signal Vis)er limited-energy 0 See Page 2 2 allerati or extension. City/State/ZIP-Portland OR 97213 Each additional inspection over allowable in any of the above I Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 br min) 90.00/br Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 - ''call listed hr min l - � � Supra.Electrician signature,required -_ Cite R Subtotal: Print name O � Date: 05-24- 1 6 ❑Plan Review Required(25%of • State surcharge(12%of permit the): Authorized signature: ��jlV TOTAL PERMIT FEE: Print name: This permit application expires if a permit is not obtained within 180 of,„„ (' I Date: 72,„Q /D I days after it has been accepted as complete. L\Bulldmg%Pezmits�ZC PermisApp 1a Rev 06/17/2015 ( * Number of inspections allowed per permit 1sr11 s/convwiB 1l C-t.d 1 @9 1_t,,,-, Plumbing Permit Application . JUL 2 $ 2016 ' Building Fixtures i ,k i > > t,.i City of Tigardgli CITY�F jail 13125 3W Line Blvd.,Tigard,OR LDI NG DIVISION Deceive. Pah No.-&_<7;20/6•...eb 337 Plan lte�Kew Phone:.503.7182439 Fax: 503.598.1960 Date/By: Other P No.: Inspection Line: 503.639.4175 Dare g yfgy ruris 0 See Page 2 for InteilleC wwW.tlgard or-gov: Notified/MethodMldhod Supplemental information 44 '.'-';`,1‘., w �' .. '- --,,/ ' � ; s' "ti 7-A ?4,,,tdi �n#.:fr� 01!--.>Ya •_'w: s , . 'm • d'. . . For rptcic/information use ckecrtlrst _+ New cxrnstruction 0 Demolition DesCriptwtr I Qty. j Ea. 1 Total 0`Additio vaitcration(replacement 0 Other' New 1-2-family dwellings(includes 100 ft,for each utility c mnection) .: ., ' � € r-- • k ",. ,41;14.40.,,,:t� �� SFR(1)bath 312.70 '�...- _^^<ua. .Ra^ate;��`...C.:., k ., ,. .t, . ,; 5 <...,,o.tk,,, z••.. ...,d,.�'a'�., , - ' C I-and 2-family dwelling ry 0 Commercialimdustriai SFR(2)'bath 437.78 SFR(3)bath 50032 ❑Accessory Inti ding (Multi-family ��'� Each additional badVkitchen 25.02 ❑Master builder 0 Othern a l.q 0 Fire sprinkler(13�I sq.ft.) Page 2 - -` .', .c s f_ i J ",, "G' k . .p. ', , k *r Site utilities:A.1"-k..--.1S. ! L%4>v Job site address \1,0 V JLa I.ta n Lo(h(se 1_0a� Catch basin or area drain 18.76 1. City/State/ZIP Tigard,OR 97224 DrYwen,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River TerManufacturedhome utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 i Storm sewer(no.linear ft.:_) 1 Page 2 Water service(no.linear ft.: Page 2 Subdivision:Polygon at West River Terrrace l Lot no.: a,.--7 Fixture or item: Backflow preventer i 31.27 3'.?1Tax mpparrxlno ; Baatavc 12.51 �1. . „ m< e � _€ � .s rg Clothes washer 25.02.,, t/t '- Dishwasher 25.02 : Drinking fountain 25.02 Ejectors/sump 25.02 P 2 Expansion tank 1251 mss. " § 4 ek z '.-- . 3:�,h. { ... tab'. , �§.�, r*� ��e�,ri��` ,.. �,:•�.. Name ADVL Land Holdings,LLC • Fixtute/scwer cap 25.02 Address:7600 E Doubletree Ranch Road Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 Phone-(602)694-4031 Fax:( ) ice maker 12.51 s= a ' - , V" �� q Interceptor/grease trap 35.02� s Business name:William Lyon Horned,Inc Medical gas(value:$ ) Page 2 I Contact name:Angela Grajewski • Primer 12.51 Roof drain(commercial) 12.51 Address 109.East 13th Street Sink/basitr)7avatory 25.02 City/State/ZIP:Vaacoirver,WA 98660 Solar units(potable water) 62.54 I Phone (360)695-1700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:.A, ela.Graj Gomes com Urinal 25.02 ng �lygon. - Water closet 25.02 1 ,: . w. � .. : �' Water heater 37.52 Business name:Alliance Plumbing LLC Water pipingfDwV 56.29 ' Address 146 W Historic Columbia River Hwy Other. 25.02 City/State/ZIP:Troutdale,OR.97060 I Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 ' Plan review (25%of permit fee) CCB Lie. g 184601 Plumbing Lic:no.:PB732 Staff surcharge(12%of permit fee) Authorized signature: if filivi,..... TOTAL PERMIT FEE t Print name:Robert Dishman Date:S/23/2016 This permit application er prees da:permit ss not obtained within 180 days after 3thas been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. 1:\Eluil3mgWe,aSPLMu-Permitlppdoe 10r01x9 440-46t6r(tatt2COM/WEB) City of Tilt. COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c n ri Building Permit Review — Residential Building Permit #: /"/S T--.ao/6) -R 0O :3; Site Address: 11 0 'B 3 sw Project Name: Po ty o n ol+ wJ-1 2 vr- T-e rrg c e Lot #: 7_1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: p'v e W k o rn.e Verify site address/suite# exists and active in permit system. ;d River Terrace Neighborhood: ❑ No )2'Yes,See River Terrace Review Addendum Attached Site Plan Elements: ZlThree(3)copies of site plan xisting structures on site /lSite 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 4North arrow ZUtility locations (required for new,may apply for additions) Site address,project or subdivision name and lot number location of wells/septic systems `Applicant information(name and phone number) ,ZErosion 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 o coverage and 'Street names impervious area(applicable if R-7,R-12,R &R-40) ZfStreet tree size,type and location ,Property corner elevations (2 foot contour lines if more than $Existing trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No /21 Public Facilities Improvement (PH) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: QD(ZZWIS - 0000y SU6 w,1 - 0000(o , SL12 z.01 _ 000,22 Zoning: 12- 2S Setbacks: Front 1 2 Rear 0 Side 0 Street Side e Garage /e, s Landscape Requirement: 2.d % Lot Coverage Maximum: )0 T Building Height: Maximum Height N I ft Actual Height N// Visual Clearance J`I Easements gi,{ Sensitive Lands: CI Yes CI No Type ,1I Urban Forestry Plan VConditions "Met"prior to issuance of building permit Notes: CAnot,i'i'i 0 nJ fro be r1Q. }— pnb1 t"° id.Sv C1 nLe oL Lo '1614 /7_.t i Approved By Planning: /1' ytt_ v Date: 7/?V/ , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:ABuilding\Fonns\BldgPennitRvw RES 012116.docx r Building Permit Submittal Original Submittal Date: /rte//J Site Plans: # Y3 Building Plans: # 2 Building Permit#: `Enter building permit#above. Workflow Routing: '$Planning gr-Engineering ' Permit Coordinator trtuilding Workflow Sign-off: Q.--Sign-off for Planning(include notes from planning review) Route Application Documents: ErEngineering: (1) copy of permit application, (1) site plan, (1) building plan and yo iplan reving form i�J buigilnalding: original ew permitroutiapplication, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: `, / ; -7t._ Date: ce/ .76, Engineering Review Slope at building pad: J�� ❑ 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 A• troy• , b ngineerinp. Date: Notes: , I _ ' r RIMY i e r i r., ! i11I,li... Approved by Engineering: ,4 ? Date: —1440 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: 4e// _ Notes: (GGtc / -t-- 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: . 92aDC Fees Entered: Wash Co Trans Dev Tax: 1• es ❑ N/A Tigard Trans SDC: M.Yes ❑ N/A Parks SDC: Mr Yes ❑ N/A K to Issue Permit Approved by Permit Coordinator: Date: q7- -((6' I:ABuilding\Fonns\BldgPennitRvw_RES 012116.docx 1. 111 City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT 2 r l c A R n River Terrace Building Permit Review Addendum Building Permit #: /7 r- ,/c — 0p 3 35.. Site Address: ` 1 0 5 3 SJ j ec,n L o v i 1-e.. a d. Project Name: Po I y 9 o n ci-t vie.,i- (2.,v-e, Te rno)cc Lot #: 21 (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 Aft. deep min. 2ft., 5 ft.wide mm. 2 ft., 6ft.wide Gabled dor er ❑ ❑ yr"✓ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 2 Z , 2-- 3. 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall ZI Parallel to street, angle no more than 45° from street, /// or open onto porch Entrance opens to a porch:/1ZYes ❑ No If yes, all the following apply: ,25 sq.ft. min. FOne street facing entry g 12 ft. max. roof above floor of porch ,,Z 5 ft. depth min. j21/30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing facades: Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep ja Wall offset min. 16 inches Ziaarrner min. 4 ft.wide gf Roof eave min. 12 inch projection ORoof offset min. of 2 ft. ❑ Roof shingles either tile or wood JZ( Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. prilorizontal 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. ❑ 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 tory above the garage that faces the street with a min. area of 12 sq.ft. i�a �, Width: (Check one) /Pt ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: Al, a'k-."^--. V\.,----,-1- _ Date: 7/'Z$/ /(o I:\Building\Forms\B]dgPermitRvw_RBS_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 1.tECEIVE1) Electrical Permit Application FOR OFFICE USE ONLY NOV A ® 2016 il ' City of Tigard /' Permit ) /— b jii l 13125 SW Hall Blvd.,Tigard,OR 97223 Ce°y �' T I _�. N Phone: 503.718.2439 Fax: 503.598.1'96 Related Permit II: T I G A R D Inspection Line: 503.639.4175 BUILDING i/ Y D y. Toric la See Page 2 for Internet www.tigard-or.gov oti6ed/Method; Supplemental Information 7.6WWfay ati,.�.-_ . .. ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):~ El Demolition ❑Quer 0 Service or feeder 400 amps or more 0 Building over three stories_ _� inti _ where the available fault current ❑Marinas and boatyards. teIN.,M<,d� , ' z+ #KWCIG[t -t • -' .E• :_ exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/indtistrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi family 0 Master builderamps for all other installations. buildings. 0 Other: ❑Fire pump. ❑Installattion of 150 KVA or -Ye-.Wrila`._ _.:F - �..r= -*- - _- - r�`1� _ _..O _�T_ly�'.N*-A15D-� - - - ❑Emer system. larger_ .. � .ZT .1�� Q TF _ B�Y "d--::x�as.�5,,•-�.r..v-.� .' _.....=-d T�1�_•� _ separately derived Job#: Job site address 08 deaf) `( t��^ (� 0 Addition of new motor load of system. SW W usw,`RD. 100HP or more. ❑ A, 8, 1_2", 1.3", El Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97224 ❑Health-Dee facilities. 0 renal vehicle parks. Suite/bldg./apt.#: Li 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: WitiM.'..-s .,:•^^'^•-=^� `1, r—. •-., • Description I Qty. I •Bach I Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:'J Includes attached garage. Tax map/parcel#: (J 1,000 sq.R or less 1 168.54 4 ....„._ Ea add'1500 sq.R or portion ( 33.92 1 ”.77-1 ,iE.S L t a'. .aa° '. a.., ' ; �-,-_ Limited energy,residential 75.00 2 c 'o t t iV ,�/�cyllJ,,e. (with above sq.ft) i V� 1 t1, 0 Y \ l j J J\l Limited energy,multi-family residential(with above sq.ft.) 75.00 2 w �3 � r, a Renewable Energy ❑ See Page 23 a'•,-d` jM `kVt s"- `Q � ,Z Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E 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 60]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 16854 2 • ' _ cs Branch circuits—new alteration or extension,per panel ': _r ,"_ �->".`"'"..` ''t'"''" � A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 l each branch circuit l Contact name:Angela Grajewski B.Fee for branch circuits without l service or feeder fee,first 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.Grajewsld@polygonhomes.eom dwelling service and/or feeder 67.64 2 Reconnect only 67.84 2 W _,.rte 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 alteratio(s)n, oretnsion.limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above � Additional inspection(1 hr min) 6625/hr ; Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(1 hrinin) 78.18/hr , Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 I4496S specifically listed h hr min 90 , linSuprv.Lic: Pce �h ( ) ':" ":2S-412741.:15=:,,r;751 -..':- .:4,7'; P; Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of pemtit fee): 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 pea permit. ':::1:1BuildingtPermits\ELC PermitApp ELR EREdoc Rev 06/17/2015 440-4615T(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. 711 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 4 Transmittal Letter T t G A R t? 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE RECEIVED: DEPT: BUILDING DIVISION RECE OCT 17 2016 FROM: Angela Grajewski CITY OF TIGA D COMPANY: Polygon Northwest BUILDING DIVISIO j PHONE: 971-212-2144 By: __ �� RE: -- 17059, 17067, 17075, 17083, 17091 SW Jean MST2 -003,6 ..,�.,.7, 3B, Louise RD (Building 8) ,�?�j U 0 (Site Address) (Permit Number) Polygon at West River Terrace Lots 24-28 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: 'OPIK: n � � ,ice % ' -.M: � sem, ,.,IE� :��. eIipt1Q.,* �,,�� ; 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 ✓Cu.7 REMARKS: Please pay fees owed with Trust Account. i - 0n/ /-1S72CJ/ 60334 .._ „may,` .r , .. A7 Routed to Permit Technician: Date: j o - j `9 - 1 4 Initials: Fees Due: MI es ❑No Fee Description: Amount Due: - 42- ji- //1A/ £-Vti) $ '?so , er- $y ,,, 2 ' , , by y $ §t /C e.``r+l ..a :y'`i .--- ,,r , ,/ $ Special C'cl L t-6-C i /-��---s p "45"i.� y —4033 Instructions: Reprint Permit(per PE): ❑ Yes ,No ❑ Done. Applicant Notified:.1�A/G/E" Date: //////(0 Initials:4174 " I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Plumbing Permit ApplicationRECEIVE Site Utilities I FOR OFFICE USE ONLY City of Tigard JAN 2 3 2017 Received �/-�Date/By: //23//7 � Permit N�'y1r151 O`6 l �T V jr,J 111 13125 SW Flail Blvd.,Tigard,OR 97223 _ Phone: 503.718.2439 Fax: 503.598.19 Plan Review CITY OF TIGARD Date/By: D-3-ap I i C Other Permit No T I G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE UrWOR ti,,. N... ,. ." :FE* SCftEDULE ®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) VAfTE OR .UFAM . . ': i SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building ®Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler(1,371 sq.ft.) I/ Page 2 JOB SR ttwoRMA ON Al 1D : *Oly _ . , Site utilities: Job site address:17083 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 Area 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: Lot no.:27 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 t 1 V ON OF ' bRI Backwater valve 12.51 Clothes washer Multipurpose Fire Sprinkler System 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 6 PROPERTY 4 WN p 'TE TA1 't , Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 s® Ati LICANT " t`covrAr ' ilsoN , Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 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) -7-74.___) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Gavin Thomes Date: 1/13/2017 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Residential Fire Suppression Fee Schedule: PP Systems: z r,,.. f'ei ft►.01 Si# 'z o 'ag Piri' tt Fee. ^ Footing drain-Pt 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty.' Fee,{ea} Mai: each additional$100.00 or fraction thereof,to Other It1S,peCtiuns or Fees 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*. Quantity by Fixture Type "' _i *view , „, , , „ „,,v , o s Fixture Type for , Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate , Please check all that apply. Baptistry/Font Bath -Tub/Shower 111 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ 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. Tspinetrieor S et=Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related 1 -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17083 SW JEAN LOUISE RD, SHERWOOD, OR, June 5, 2017 at 12:45:00 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00339 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Fix broken outlet cover at top of lower level stairs. Install missing outlet covers removed by drywallers. No AC installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17083 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:37:35 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00339 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Corrections not done for penetrations in mechanical room ceiling. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17083 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:45:39 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00339 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: cleanout body not glued in place at sanitary. Provide approved thread sealant. 316.1 Upper level FPS scussion missing at back bedroom. Provide approved fire collar at AAV thru penetration open to atmosphere at times in garage that can allow free passage of smoke and fire at supporting member wall to living space above. 2012 IRC code commentary 302.6 No further inspection done, work not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17083 SW JEAN LOUISE RD, SHERWOOD, OR, June 2, 2017 at 11 :56:34 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00339 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide address on site for inspections. R319.1 No inspection done at this time, to many workers and debris for complete inspection. Violation Summary: Inspector Contractor