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Permit (61) si CITY OF TIGARD It 'r COMMUNITY DEVELOPMENT MASTER PERMIT Permit#: MST2016-00337 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S106DCO2500 Jurisdiction: Tigard Site address: 17067 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 25 Project: Polygon at West River Terrace, Lot 25 Project Description: New SFA. Building/Unit 8.2 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 249 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 562 sf Garage: 294 sf Front: 12 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1371 sf Value: $170,644.98 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 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 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 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: $23,029.36 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. 42 4 Issued By: Permittee Signature: ON , n/'G 4e9--7-7e, 1A. 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 -fit% c,Z -- )( WolinRECEIVED FOR OFFICE I SE ONL) Ci}�,of Tigard Received `'f g J U L 2 8 2 016 Date/By: //',/6p Permit N94f-CT�%6°°j3/ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598(� vDateBy: ci- .1��.. l(: -H Other permit z 7/4, a - Inspection Line: 503.639.4175 r OF TIGARD Date ReadyBy: loris: ® See Page 2 for ,.Rt' Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: V �i‘ Supplemental Information a �� �� _ a t 9 g, 3 y� .. :f l ak. ».2 a €�.�.� .: .- ` ° $ �$ i 1 l t $ av Permit fees*are based on the value of the work performed. ®New construction ❑Demolition 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, : work indicated on this application. L0 1-and 2-family dwelling 0 Commercial/industrial Valuation: -1768� ��) [�.�( u Number of bedrooms: 2 0 Accessory building ER/Multi-family ❑Master builder 0 Other: Number of bathrooms7-'2:k3,3 C,C : , f =i°_ 5 -. Total number of floors: 3 Job site address: 11 00 SW Jean Louise Road New dwelling area: 1371 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 294 square feet up Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: S tf square feet,S a Cross street/directions to job site: Deck area: 72 square feet a‘4....9 .'irGvfcj Other s�fructure area: 7 2.. square feet : ;; it t .t .1i gat Subdivision:Polygon at West River Terrace I Lot no.: a5 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. KS (6 1 e Vt , c ' a Valuation: $ `/ O Existing building area: square feet New building area: square feet ` • t a 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 Structural plan review fee(or deposit): Contact name:Angela Grajewski Address:109 East 13th Street FLS plan review fee(if applicable): City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewski@polygonhomes.coro sus . • - .- ' Commercial and residential prescriptive installation of -1;,:--,„1 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): $21.60 CCB lie.:207247 Total fee due upon application: $201.60 Authorized signature This- ii.: permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri County Building Industry Print name:Angela Grajewski Date:7/20/16 Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) E1NMechanical Permit Appiic1 'it�` _ t(►x c►itit. h € ,.[.t)N1 ‘i s/� City of Tigard0i ' M 1.11 1,1 ,,�' 13125 SW Hall Blvd.,Tigard,OR 97223 r Phone: 303.7182439 Fax: 503.548.1 P 2 2 2016 Plan Review Date/By: Other Permit Inspection Line:503.639.4175 g�f g p @, Daze Ready/By: pais: 0 Seg Pagel for Internet titww.tigmd organ .f Y F p I CA Sia a 0 Notified/method: Supplimeetal information .. .° ,-"?-."--'., . _ . <.. Y VI i t ,.t it ltl4RCIAL FEB,scRED[ . ,14,,.}.%-., Mechanical permit fees*axe based on thu value of the wed bd New construction 0 Additionlalteration/rcplacement performed.Indicate the slue(rounded to the nearest dollar)of all Q Demolition 0 Other: mechanical materials,equipment,labor,'Ove head,and profit . V2 1ue S t,i�1 ' � � 11EGORY OP OS ;t ',? . ..r'_ '7�ESDEi�I'tiEQIJIPY�94 3$ 5;; Q I-and 2-family dwelling 0 ComnerciaVindustriatQ Accessory buildingFor special Gejornation u4 ekrrktiet. ®Multi-family 0 Master builder 0 Other: Dtsmiption City. Ea. Total r ' QB` [TE 11h'Ft311 1 'nON:.tr Lt ► !( I, .- ., Iieatfttgleaolittg: (:Ray\ z Air diithing J 46.75 Job site address:/10( 7 S `lugf t 5e. �,y Furnace 100.000 BTU(ders./vmzs) 1 46.75 City/State/Z P:Tigard,OR 97224 / t'V Furnace 100,000+BTU(deas/vcnts) 54,91 Heat pump ;Suite/bld no.:t61.06 Suite/bldg./apt. Project name:Polygon at West River Ter Dud work 2332 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-duct suspended,etc. 46,75 Fiueivent for any of above ___i 23.32 Subdivision Polygon at West River Terrrace Lot no.:`L� mer' 2332 Other fuel appliances i Tax maj/parcel no Water heater 1 .23,32 i ; `1 '')5 fiON bi iii6iuc freplaceiirtsert 1 3339 Flue vent for water heater or gas Cmtikenv rAt\�1 ,C, fireplace 2332 „`" r� Log lighter(nos) I 2332 I Wood/pellet stove 1 3339 Wood'fiteplacefinsert j 23.32 Chimneviliner/f udvent 1 23.32 ;�; 2332 n..Ax• r��, .,-_.. ,. Eorirmtmentai exhaust and veattlatioth Hamm ADVL Land Holdings,LLC Range hood/other kitchen Address:7600 E Doubletree Ranch Road equip33.39 Clothes dryer exhaust 33,39 ' City/State/ZIP:Scottsdale,AZ 85258 1Single-duct exhaust(bathrooms, s toilet compartments,utility rooms) '7:1 23,32 Phone:(602)694-4031 Fax:( ) Attic/ora ispace fans 23.32 4 cli#::P L Nx _ - f..4 ...:1=1*Col oN Other; 1 23.32 Fu el piping: Business name:William Lyon Homes,.Int. $14.15 for(seat four;$4.0.3 for Each additional Contact name:Angela Grajewski Furnace,etc. I Address:109 Fast 13th Street Pump I Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Angela.Grajewsk polygouhomes.com Barbecue i E '' v•41,-11 .. w i, liti 4r,t'Q,' .•„' ..ar"tt Clothes diver(gas) i Business name:Andersen Mechanical,Inc. Other: Address:16285 SW 85th Ave subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee 590.00) Plan review(25%ofpeMiit fee) Phone:(503)992-6664 Fax:(503)536-6615 I ,r State surcharge(12%of permit fee) CCB lie.:168214 I TOTAL PERMIT FEE This permit application expires if a permit h not obtained within 180 days after it bas been acceptedps compkte. Authorized signature: .• Fee methodology set byTr-County Building Industry Service Board Print name:Angela Grajewski I Date:8122116 x t.§Eoad'miPer aums,C.,p +4pp aunt 13.doe 440.46133(t 1/02/0),2 'EB) Electrical Permit ApplicationRECEl FOR OFFICE t Si 0\l_1 Ilh....— City of TigardReceivea Permit#: S7-o2C1f6-til 33 7 L3125 SW Hall Blvd.,Tigard,OR 97223 J U L 2 8 2016 Date/BY Phone: 503.718.2439 Fax 503.598.1960 y Related Permit#: Inspection Line: 503.639.4175 �!TY OF i t -i i,`' Ready DateBr J'ric Ss."age 2 for 1 ill Internet www.tigard-or.gov ■ 6 DING rs ISupplemealal Information rile .� -`i cN :.: �.... _ ,<, ,.....�.,., _.-. _� .�,.T.....t.. _..,,.�.,.� ��-,..�,.,,,...:f �^� -. S _.NcA e�-.-., ;`r f .e.4� - = ®New construction 0 Addition/alteration/replacement Please check all that apply(submit z sets of plans wrrtems checked): ❑Demolition 1:1 Othox: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and .- 1 'P''..,t:1-1.) :2.,V tQ1.) ?.1 t -'74`#2,,,-, -,.. - exceeds 10,000 at 150 volts or �'�] 1-and 2-family - � ❑Floating bmldings. „ dwelling 0 Commercial/mdustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Ef Multi-family 0 Master builder ❑Otheramps for an other iastailabons. buildings. 0Fire pump. 0 Installation of 150 KVA or tom. _, .. .. y d' tg;Td :. lo1 0(/ s1n'ra/: 1t: :1f 4.5.)- ., .. .;: , ❑Emergenysystem. larges separately derived Job#: Job site address: I i f r ❑Addition of new motor load of system. V v JC t') 100NP or mole. 0"A-,"E,"1-2","1-3", City/State/ ZIP:Tigard,OR 97224 i 0 Six or more residential units. occupancy.4 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldgJapt#: I 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: Description I Qty. I w Rath Teta_ • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River Terrrace I Lot#• aS Includes attached garage. Tax map/parcel#: 1,000 sq.ft. l( or less I 168.54 ' , 4 '� g) h f7 [ Ea add'1500 sq.ft or portion ' 33.92 331 1 r '.,.s�_ °^ Limited energy,residential 51 I I O ^ (with above sq.R) 75.00 2 VI 6 0( Limited energy,multi-family 75.00 2 residential(with above sq.ft.) —. �....() u � I �,-r!�` F :ir , .��4 —1-,,,,:.,..-.,,,--72 :-.- „..---,-=._i...7.:4- -- pRenewable Energy 0 See Page 2 ...,u2. Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/Mb:Scottsdale,AZ 85258 401 amps to 600 amps 20034 2 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I 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 I 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 I 16834 2 , 4 m7,...1,.:77 :71;a1, , - .,e, Branch circuits—new,alteration,or extension, r panel - A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Grajewsld B.Fee for branch circuits without Address:109 East L3th Street service or feeder fee,fast 56.18 2 branch circuit City/State/DP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Phone:(360)695-7700 I Fax Miscellaneous(service or feeder not included):(360)693-4442 Each manufactured or modular dwelling service and/or feeder 67.54 2 Email:Angela.Grajewsld@polygonhomes.com only 67.84 2 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 panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Portland OR 97213 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 lir min) 90.00/hr Email:solarpdxtme.com Industrialplant(1 hr min) 713.18/hr Inspections for which no fee is90.00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 'call listed hr min Suprv.Electrician signature,required: ' .s b. . .'.! _ j u;= Y Print nameklle R p • I 05-24-16 a s. Subtotal: Date: ❑Flan Review Required(25/o of petmitfee): State surcharge(12%of permit See): Authorized signature: ! TOTAL PERMIT FEE: 7 O This permit application expires if a permit is not obtained within 180 Print name: , ar,I t'IA/s Date , days after it has been accepted as complete. * Number of inspections allowed per permit L\Bullding\PesmitssELC PermitApp Flt ERE Rev 06/17/2015 615T(1/05/COM/WEB Plumbing Permit Application Building Fixtures RECEIVED I i, i t i t,.1 Received City of Tigard 8 Z O 16 U Pertitit No.,tif C?2 /& O 33'7 la 13125 SW Hall Blvd.,Tigard,OR 91223 Plan Review Phone: 503.7182439 Fax: 503.598.1960eiu Date/By Other Permit No.: Inspection Line 503.639.4175 �,` .t 4>l p�R 9�Y runs: 0 See Page 2 for Internet www ttgardor gov w )T‘.1:‘€ Nottfi M 4hod Supplemental � � a •" t Z•Aar a�.'`-,r# ` t ` ��31� ,. ..ma�yy .. .. a ■Ormatl0a For special otformwioa use checklist ®New construction 0 Demolition Description i Qty, I Ea. 1 Total ! D Addition/aiteration/tepl�errtettt Other New i-2-family dwellings(includes 100 ft for each ud7ity ccutnection) � �" e �. ` ,.. SFR(t)bath 312.70 , Ci I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath r 50032 .3 21 Accessory balding Multi-family Each additional bathlkitchen 25.02 Q Haslet builder ❑Other Fire sprinkler(L37 I .ff.) Page 2 , ,-. ='"-----,J1:':'-,-.ce •: ''' .. d Site utilities: N � /QG.ry y� Catch basin Of area drain ]1 18.76 1 Job site add \10(pi S61 Stan Loot se Goad DryweQ leach tine,or trench drain 1836 City/State/ZIP Tigard,OR 97224 Footing drain(no.linear IL:_) Page 2 i Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manuf turgid home utilities 50.03 i Cross street/directions to job site: Manholes 18.76 , Rain drain connector 18.76 . Sanitary sewer(no.linear fl.:_) Page 2 Storm sewer(no.linear IL:_a Page 2 Water service(no.linear ft.:__) Page 2 I I Subdivision:Polygon at West River Terrrace Lot no.: d6 Fixture or item: Backflow preventer 31.27 31.o ` Tax map/ attxl no. J P "- Backwater valve 12.51 ., Q >.•s ', • I ; �. t : y lei �a Clatnes,t�her • _ 2s.o2. 3 (/� . Dishwasher... 25.02' Drinking fountain 25.02 Ejectors/sump 25.02s. " t Expansion tank 12.51 i 7-f-;.'77'..--'- ma r , . . .. Fixtut/sewer cap 25.02 Name:ADVL Land Holdings,LIE Floor drain/floor sink/hub 25.02 E Address:7600 E Doubletree Ranch Road Garbage:disposal 25.02 City/State/LIP:Scottsdale,AZ 85258 Hose bib 25.02. Phone {602)694 0831 Fax:( ) Ice maker 12.51 I tor/grease ewe 35.02 � � � . � *� ',;r•-•,,, TttctceP. g trap ) { Business name:William Lyon Homes,Inc Medical gas value:$ Page 2 Perrier 1251 Contact name.:Angela Grajewski Roof drahr(commercial) 12.51 Address:109:.East 13th Street: Sink/basin/lavatory 25.02 City/State/Z1P:Vancouver,WA 98660 Solar units(potable water) 62.54 j Phone:(360)695'1700 Fax::( 360)693.4442 Tub/shower/shower pan 12.51 Urinal _.. 25.02 E-mail Angela.Grajewski®polygoahomes.com - � �� - wa ter closet 25.02 � �-- � Z,-` ,r tei t,A1 rwater beater 37.52. Business name:Alliance Plumbing LLC Water piping/DWV 5629 Address:146 W Historic Columlris River Hwy Other. 25.02 [ City/State/ZIP:Troutdale,OR 97060 Subtotal, Minimum permit fee:$72.50 Phone:(503)492-3490 Fax:(503)912-6438 Plan (25%ofpermit fee CCB Lic. 184601 1 Pluttibing Lic no.:P0132 .review ) 1 State surcharge(12%of permit fee) Authorized sig4 TOTAL PERMIT FEE l Tttis.persnit application ezpttrs ifl:perniit is not obtained within 180 days Print name:Robert Dishman Date:5123/2016 atter hints been accepted as complete. *Fee methodology act by Tri-County Building tndustty Savin Board. IiBuatffmgWe tApp:doc 10/01/0946d 36 t6T(rtgehrOM/SYEIi) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT T 1 cJ n R n Building Permit Review — Residential Building Permit #: '-7 IT,20 /6 — .0 3 3 2 Site Address: 11 p(0-7 Svv 'ec,,n L ou iL-e_ rz,L- Project Name: Po19 yon & wei Lot #: ZS (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (A/ern/ 3 W V-J O✓n.e Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No J,a'Yes,See River Terrace Review Addendum Attached Site Plan Elements: ZlThree(3)copies of site plan "listing structures on site At Site plan must be on 8-1/2"x 11"or 11 x 17"paper ,Z/Footprint of new structure (including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations ZNorth 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) ,JZErosion control(including drainage-way protection, silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) ,ot area,building coverage area,percentage o coverage and 'Street names impervious area (applicable if R-7,R-12,R &R-40) ,lStreet tree size,type and location 7Property corner elevations (2 foot contour lines if more than -El-Misting 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(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: i Dl<fQIS - DOOo4 S ' Zoll - 0000(, SLl2 _ 00003 Zoning: 2.5. Setbacks: Front 1 2 Rear 1 0 Side Street Side e Garage /$, s- 0 0 Landscape Requirement: ?.d % Lot Coverage Maximum: )Q % T2 Building Height: Maximum Height N//t Actual Height Visual Clearance 0 Easements jZi Sensitive Lands: ❑ Yes ❑ No Type 21 Urban Forestry Plan 19 Conditions "Met"prior to issuance of building permit Notes: C,U i d i^h 0 n i 1 n o e rn 1- P nb f f I s s u O n ct. o f 10✓i I cti h, /ZC/m i-f-. Approved By Planning: Mme _ Date: -7/2 .a/I b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\BldgPennitRvw REs 012116.docx V Building Permit Submittal Original Submittal Date: 7/vac; Site Plans: # s/ Building Plans: # .3 Building Permit#: Er-Enter building permit#above. Workflow Routing: Planning Engineering D"E---Permit Coordinator Building Workflow Sign-off: O'Sign-off for Planning(include notes from planning review) Route Application Documents: ®'"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: MiP By Permit Technician: 4 Ar ♦ _ Date: 1 /, /e, Engineering Review Slope at building pad: IA ❑ Conditions "Met"prior to issuance of building permit E 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 Appro e 1 by Engineering: Date: Notes: s . . .- - _ ,« .. Approved by Engineering: / L,P Date: , ze.-/4 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 pproved,NOT Released: We-Date: Z 3 l�o Notes: C'1^-a10C c..."- Revisions (after Building Submittal only) 'P'‘° Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ��� '"IeS1DC Fees Entered: Wash Co Trans Dev Tax: Di/ es ❑ N/A Tigard Trans SDC: I,Yes ❑ N/A I \1\ Parks SDC: 'rip Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: tDate: q //i .• 1:ABuilding\Fonns\BldgPermitRvw_RES_0121 16.docx r City of Tigard 14 Q v COMMUNITY DEVELOPMENT DEPARTMENT TI c R D River Terrace Building Permit Review Addendum Building Permit #: //--C 7762e77&) Oa 3 3 2 Site Address: 17 067 Sw Jrcin Loui1-e Qa. Project Name: Po I y 9 o el oi i- Wes t- (2-tv'er Te rcol c. - Lot #: 25 (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. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a ft. deep min. 2ft., 5 ft.wide min. 2 ft.,6ft.wide Gabled dormer A CI g ,E( 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: Z 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 Parallel to street, angle no more than 45° from street, or open onto porch Entrance opens to a porch:yif.Yes ❑ No If yes,all the following apply: p/25 sq.ft.min. XOne street facing entry gr 12 ft. max. roof above floor of porch 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: yi Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep /P Wall offset min. 16 inches ZiDormer min. 4 ft.wide Roof eave min. 12 inch projection Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood /0 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 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 u / / above the garage that faces the street with a min. area of 12 sq.ft. ( l Width: (Check one) '"/� G� ole ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: /r e\--‘,--. _. Date: 7/ 2 S I No A I:\Building\Fauns\BldgPermitRvw RES RT 062216.docx PktECF,AIVrt Electrical Permit Application FOR OFFICE USE ONLY City of Tigard N O 1V 10 2 016Date/I3 . %J `] q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev;ecv Phone: 503.7182439 Fax: 503.598.1 �lr' a 1 1 i" Date/B : Related Permit 8: Inspection Line: 503.639.4175 Ready Date/By: Jurir H See Page 2 for TIGARD -.1"74.,,,, n Internet: www.tigard-or.gov UILDi ivIsi£ s..hfied/Method: Supplemental Information ....... , _.4;'-. k�,:,--' _�.s•A-* - 2,-1,4-...-- '4r -.vz stn -,,, Ps- .:°x� t; -_- rzn-.e,r.;:c.-,x.:u___y...: - _ ,s,- a:r-rite ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition CI Other ❑service or feeder 400 amps or more ❑Building over three stories. i 2# where the available fault current 0 Marinas and boatyards. x .. ,.- ` l © exceeds 10,000 amps at 150 volts or ❑Floating buildings. @ 1-and 2-family dwelling 0 Cornmercial/indtistrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural ❑Multi-family 0 Master builder 0 Other amps forallother installations. bnihliatio _ _ ❑Fim pump. ❑tna tiation of 150 KVA or tx.�:: 'r -7' -:f.. Einer rem. ^:r- - "b1 +''I7''V ':a�-"� - ❑ lar ,..... ,-�.-r='-�_�...-..... = 1>,="�dEiT�O1tC:`� - g�Y� separatelyderived , 1 RD. ❑Addition of new motor load of system. Job#: Job site addressll�1 S N3 C e Low_KU. 1001.1P or more. ❑"A^"1s"-1_z^ 1-3 City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. El Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Q .L. Project name:Polygon at West River Ter 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions ❑Service or feeder 600 amps or more. 600 volts nominal. to job site: :K n 7_U 2 Description I Qty. I Rath Total I • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:Z< Includes attached garage. Tax map/parcel#: 1,000 sq.R.or less i 168.54 4 11E3 __4 s _ y Ea add'1500 sq.R or portion r 33.92 1 - '. : ag Limited energy,residential ���r���y///(}}y���� I (�`• Q (with above sq.ft) 75'00 2 ' ` "`^ QV\ rc Limited energy,multi-family 75.00 2 residential(with above sq.ft.) r . ., ,..._ Renewable Energy ❑ See Page 2 "'J t6) Nt 0VAE,rr - .•NS - T 1 A 7P � 'R- Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC MY 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to City/State/ZIP:Scottsdale,AZ 85258 0 1,0000 amps 301200.34 2 601 amps to .Q4 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 Iess 59.36 I 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 -mss ,a - -<_ l. Branch circuits—new,alteration,or extension,i er panel _ r ?w .t`5 � � A.Fee for branch cireuitc with Business name:William Lyon Homes,Inc. above service or feeder fee, 742 2 each branch circuit 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')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • • ' Fax::(360)693-4442 Farb manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewski@polygonhomes.cotn _ Reconnect only 67.84 2 7.144. .Z:` ,;_,�* iaay A" _7.7 ® 5 7.4- f k4.'''";`, ="7* :,.4 -1.-" 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 energy Address:6101 NE St Johns Rd panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: C1158 Electrical Lic.: 208174 I SupJv.Lic.: 44965 specifically listed('f,hr min) _ V Suprv.Electrician signature,required: [ :tail / n :"�' ` _ .. F. A-X,�/ .f... C y(' Subtotal:�.- -^•'- `��.-". Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): <. ___-.72.:-.L.__--:_-_-_,,,__ State surcharge(12%of permit fee): Authorized signature: .7 _,.: _- Vr___ 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 ^I:\Building\Permits\ELC PermitApp_ELR ERE.doe Rev 06/172015 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 Application Site Utilities RECEIVED ED Received FOR�OFFICE USE ONL\' City of Tigard Date/By: f/.7//7 ,! Permit blytti!'?'7 /1/�_62/7 7 11 13125 SW Hall Blvd.,Tigard,OR 9722 2 3 2017 ✓"t 7�/w (/wi Q Plan Review Phone: 503.718.2439 Fax: 503.598. Date/By: a-"5-,a(j irl Other Permit No.: Inspection Line: 503.639.4175 (;1-y OF TIGARD T I G A K D Date Ready/By. luris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUIIDI�I Dllfli ? • - ''TYPE.OF`t }RBS 1 SCHEDULE ®New construction El Demolition For special information use checklist Description Qty. Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATtGb12Y O ` orisI R lc SFR(I)bath 312.70 El1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 IDAccessory building ®Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(1,371 sq.ft.) v.,/ Page 2 JOB SlitiNFORMATION AN11► 1. "11ON. Site utilities: Job site address:17067 SW Jean Louise Road Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I 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: I Lot no.:25 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 A Backwater valve 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 t OERTY'fiWNEIt ,u^FEAN Expansion tank 12.51 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 r4 APPLICANT, 'i 0 CONTACT PERSON 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 s Water closet 25.02 ' #N'T'1A!CT ,W4-...It'tWater heater 1ttirF 37.52 Business name:Alliance Plumbing,LLC WaterPp t m 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 /� State surcharge(12%of permit fee) Authorized signature: / 1 77 ) 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.doe 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: Site Util t es �:T Fee(ea) Total ` Square"footage: ;' PernaF e. Footing drain-1'100' 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 "Fees �t Cita each additional$100.00 or fraction thereof,to Other Ins hectionter �• I 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*. Quantity by Fixture Type " Rew fttlrF� astlons 'fixture Tyk for Rte/ Plan review is required for any of the following. Work Performed: Capped Added Rely Bate, Baptistry/Font Please check all that apply. Bath Tub/Shower El 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 0 Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isomietric or Riser i am Car Wash Drain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17067 SW JEAN LOUISE RD, SHERWOOD, OR, June 5, 2017 at 12:56:22 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00337 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: 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: 17067 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:12:37 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00337 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Corrections from previous inspection complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17067 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:09:47 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00337 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Cleanout cap not glued in place. Provide approved thread sealant. 316.1 Not ready for plumbing final inspection, work not complete. See previous failed final plumbing inspection results. Investigative fee for re inspection applied for scheduling re inspections with work and corrections not complete and ready for inspection. 103.5.6 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17067 SW JEAN LOUISE RD, SHERWOOD, OR, June 2, 2017 at 11 :57:33 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00337 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