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Permit (60) 111 CITY OF TIGARD MASTER PERMIT ^ ' COMMUNITY DEVELOPMENT Permit#: MST2016-00336 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2016 Parcel: 2S106DCO2400 Jurisdiction: Tigard Site address: 17059 SW JEAN LOUISE RD Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 24 Project: Polygon at West River Terrace, Lot 24 Project Description: New SFA. Building/Unit 8.1 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 3 First: 344 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 34 Bathrooms: 4 Second: 646 sf Garage: 327 sf Front: 12 Smoke Dwelling Units: 1 Third: 633 sf Right: 0 Detectors: Yes Total: 1623 sf Value: $204,904.26 Rear: 10 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 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'I 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 1623 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: $23,945.93 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 OA' • -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: i 7 - Permittee Signature: , lit/ 9/5/G'4./e,9--770/Ni 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. 1 Building Permit Application 1-0 7y E - . �k s t 4 RECEIVED 1�t�` . ,� � FOR OFFICE ISE ONLl City of Tigard J U L 2 8 2016 Re"� fyief//6 .1X" Permit No/yi /6�-DO3.3,6DateBII 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReviePhone: 503.718.2439 Fax: 503.597223 �-YOF TIGARD Dateiay: J S -I ' OtherPermi lrl��(f2 for �9 r ,;R I> Inspection Line: 503.639.4175 BUILDING V�R O Notified/Method./ ► / L. Tuns. H See Page 2 for Internet www.tigard-or.gov �j ,(, 412 Supplemental Information ✓�uSu'�e ®New construction ❑Demolition Permit fees*are based on the value of the work performed Tn4 0 Addition/alteration/replacement ❑Other Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ,,,' �,� � x y `` - work indicated on this application. ��. `��, s (3 1 and 2-family dwelling 0 Commercialfmdustrial Valuation: �"I99 0S ; Q J Q 1�- j\- ❑Accessory building dMulti-family Number of bedrooms: 3 I ❑Master builder 0 Other Number of bathrooms: /_I xi Total number of floors: 3 ) 96--a Job site address: j�Q5 SW Jean Louise Road New dwelling area: 1625 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 327 square feet .3 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Covered porch area: j 3 3 square feet 6 it 6 Cross street/directions to job site: Deck area: 96 square feet 3►-j.it O er struchue area: % square feet Subdivision:Polygon at West River Terrace I Lot no.: (21-, 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. E5 6 u : ri Valuation: $ Existing building area: square feet New building area: square feet '' a �r amu' ° � ` t " 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 FLSplan review fee(if applicable): Address:109 East 13th Street pp )' City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:Angela.Grajewslu@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)6934442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 /j 1' Total fee due upon application: $201.60 Authorized signature: (74/ 61400 1 f i ^� This permit application expires if a permit is not obtained AFF///111 within 180 days after it has been accepted as complete. *Fee methodology set by Tri County Building Industry Print name:Angela Grajewsld Dater/20/16 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 1 } Mechanical Permit A •ll (: . il, viviiilii .outeliItFt :-.i_uNt.l ?cunitNo.. City of Tigard a _ • Received te .U S it 1 .. 1, ..i , 13125 SW Halt Blvd.,Tigard,OR 97223 Plan Review t. Phone: 503.718.2439 Fax: 503.5911 Itt p 2 2 -alb DateBy: Other Penn& i Inspection Line: 503.639.4175 Date Ready/By: aAmy 121 Se Page 2 for Internet www.ugerd-or.gov Supplemental Information ct �a tti_) Notified/Method: , ami -4, -i., -.t0iitlrtOkel/ %.*E£*;&Cf1ED„L'4 ,11SFs.CiEi��`KLI `i;,: � � �� Mechanical permit fees*are baud on mvalue of the work ►:1 New construction0Additiott/a1terationircpIacetnent performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: tttechanicat materials,equipment,labor,lyverhead,and profit . _ Value :_ t 2 , CiEOzRY PC . STCFIf?i _ '_ � � - E�AL ^>�' t .. ./t t,it� . :xPV ❑1-and 2-family dwelling 0 Commerciallindustrial 0 Accessory building Forspec/d&formation ns c*e*1ist. ®Multi-family 0 Master builder 0 Other: Description Oty. [ Ea. Total 4- OB?'LT ;i £tlt l`nigin.�iVllt:thotti(Ie7 IitatthlRiwoltn : _a< Air cdittaning. 1 46,75 Job site ad d r es s : l 1� /1OSzI SW iSe�.jeray� 1?-OrlaI Furnace 100,000 BTU(duets/vents) j 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/veins) I 54.91 Heat pump 1 61.06 Stdteh3ldgfapt no.: %.\ Project name:Polygon at West River Ter Duct wvd: 1. 23.32 Cross street/directions to job site: Hydronic hot water system t 23.32 Residential boiler(radiator or hydronic) !23.32 Unit heaters($td-type,not electric), in-wall,in-duct.suspended,etc. i 46,75 = Flue/vent for any of above ---E 2332 Subdivision:Polygon at West River Terrrace Lot no.: 23.32 Other fuel appliances; i Tax map/parcel no.: Water heater 1 23.32 t, .1 `ri i ltitTPTTON OF WORK g , ' "5 33.39 Gas fireptatxaiost;rt = 1. ��/1iht_y Flue venE,far �reicr hcaou or gaa UY t�Ut a) 1 fireplace ' 23.32 Log lighter(gas) 1. 2332 Wood/pellet stove i 3339 Wood fircptacoluisett I 23.32 Chitnnev/l'uux/Atutvcnt i 23.32 Other ig 2332 .' ..`. ....,� .'_ - .E, t, 'L" '.. `" - ,.LAN-`1 S.,--S.. Enommenta)C><baust and ventttatiott: Nam=AAVL Land Holding,,,LLC Range other kitchen 33.39 Address:7600 E Doubletree Ranch Road • Clothes dryer exhaust 33.39 City/State'LIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, 4 = toilet compariatacnts:utility reams) 23.32 Phone:(602)694-4031 Fax;( ) Anielcrawlspace fans l 2332 .,,iti c 'I ,ti, _ x , .- ,,C OT .: p x a' Other: i 2332 Fuel piping: j� Business name:William Lyon Homes,.Inc. $14.15 for first tour,$4,03 fort*ch additional Contact name:Angela Grajewski Furnace,etc. Gas Address:109 East 13th Street l Wall/suspended/unitsp 1 heattr City/State/ZIP:Vancouver,WA 98660 Water heater r Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Ij Range E E-mail:Angela.Grajewskitpolygonhomes.com Barbecue a t '` Clothes dryer(gas} t ,. ter.« 2, ,.... 7 A f _� - tiVis_-.., Business name:Andersen'Mechanical,Inc. Other 40: 1- ^ R4 2y 0 Address:16285 SW 85"Ave Subtotal City/State/ZIP:Tigard,OR 97224 Minimum permit fee a(S90.00) Plan review(25%ofprkrnit fee) Phone:(503)9924664 I Fax:(503)536.6615 State surcharge(12%of it fee) CCB lie:168214 a„......., TOTAL PER.FT FEE This permit application aspires if a permit k sot obtained within t$0 days after it has bees aceepted!s complete Authorized signature: * Fee methodology eel by Tri-County Bolin Industry Service board Print name:Angela Grajewski Date:8/22/16 ( : t;. _Pa itApp 4401t3.dos 4404637 OliCO CO.W E ) Electrical PermitApplication® � ��i�, Fou OI I ICE SE ON El City of Tigard �"l Lam" DReceived Permit#:/t?S" f6-0 d 'j 1114 U 13125 SW Hall Blvd.,Tigard,OR 97223 J U L 2 8 2016 Plan Review Phone: 503.718/439 Fax 503.598.1960 Date/By: Related Permit# Inspection Line: 503.639.4175 CITY' Ready 1)ate/By. A H See Page 2 for T 1 G:;1:D Internet www.tigard-or.gov OF TIGARD NotiSed/Method Supplemental Information n ®New construction ❑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 C1 Other: -is nq,.( _i f- ai Lti f e ,A ^F�� E ,. - - F exceeds 10, ps at 150where the available fault current lts or ❑Floating build boatyards.0 Marinas and ❑1-and 2-family dwelling ❑Commercial/mdustrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Et amps for all other installations. buildings. Multi-family ❑Master builder ❑Omer ❑Fire pump. ❑Installation of 150 KVA or 7- . z.. z. --t ,. i 4)s .a a?=, 1.. h 4. ;ft'::F, rid:'g:-:.n .,. b q ,ma : ❑Emergency system. larger separately derived Job#: I Job site address: 1-105(1 S\/�I lt�n ❑Additionoew motor load of system. 1 Y " v i 101001:113 or more. 0"AA;"E","1-2","1-3", or more residential units. 1- City/State/ZIP:Tigard,OR 97224 Six 0 Health-care facilities. 0 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: - SYN: - `. �` - ^ Atka Qty. Ead. Total • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: a(4 Includes attached garage. Tax map/parcel#: 1 1,000 .., - , ,, F Fa add'I 500ft.orportion 33 92 or 168.54 6 ,'jt f 4 sq. Z Le.8q 1 >'+ ...,w- � ,- - ''‘,,t,./.27,W�+.�� -; � .sxi- '�� °�" Limited energy,residential �( • (with above sq.ft.) 75.00 2 v v • I Limited energy,multi-family 75.00 2 residential(with above sq.ft) .,.. . . - r' 44 7 ,' Renewable Energy 0See Page 2 q;.:7-..,-;:,. . _' e, . ' � _.+::::7 x 4 "-'414',17a,'°it3- 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 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 I 125.08 2 Owner signature: Date: 401 amps to 599 amps I 168.54 2 a , , - Branch circuits—new,alteration,or extension,per panel — ----- A.Fee for branch circuits wish Business name:William Lyon Homes,Inc above service or feeder fee, 7A2 2 each branch circ Contact name:Angela Grajewski B.Feefor branch circuits without service or feeder fee,first Address:109 East 13th Street branch circuit 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 dwelling,service and/or feeder Email:Angela.Grajewski®polygonhomes.com Reconnectonly 67.84 2 . „ ' ,. '..-4-,---',7:----•'-'_.. ,.'• -:6-1(k-11 t-7:-. w'k_=_ 7 :: ,F';'' F- 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 ❑ 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) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr mm) 90.00/hr Email:solarpdx®me.com Industrial plarrt(i hr min) 78.181 hr Inspections for which no fee is 90,00/hr CCB Lic.: 199188 Electrical Lic.: c923 Suprv.Lic.: 48715 s'` •'call listed hr min Suprv.Electrician signature,required: ' ;:ii-.-'f_;.:::-:_--1.... . ,:51 t i; ill t , e t `4 03.- Subtotal: Print named I e III ( Date: 05-24_16 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: k TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: /) , rQ ew S Date: 72.2 2 0 /}" days after it has been accepted as complete_ / / 1" * Number of inspections allowed per permit L\Bvild;ng\Pamits\ELC PermitApp ELI&ERE.de6 Rev 06/17/2015 615T(1/05/COM/WEB Plumbing Permit Application - Building Fixtnres RECEIVEr i ,��t (n i ], i 1 .� ,,.i ,, City of Tigard Permit No.yurcpd/(v-0033 f� 13125 SW Hall Blvd.,Tigard,OR 97223JUL2 Plait Review gi Other Permit 1�.: I Phone: 503.7182439 Fax: 503.598.1960 Daisy: Inspection Line: 503.639.4175 Internet www•u�ard-or.go�: I:ITY�� .!�a,��r'-�P.,� tete Ready/By: >�. a s«Page z for a ,-v .»' x i i fl ,/ , .'NNOU dl10a. ,, ,z,, a. s (�I tap mew a erma on ®New construction 0 Demolition - For special information use checklist Description' I Qty. I Ea I Total 0 Addition/alteration/replace:neat 0 Other:: New 1-2-family dwellings(includes 100 ft.for each utility cxmnection) I. '.f.. i. a / e v.f4 SFR(I)bath 312.70 iL I and 2-family dwelling ❑Commercial/industriai SFR(2)bath 437.78 o Accessory building Eg/Muhl-(amity SFR(3)bath 50032 600.31 Each additional bath/kitchen I 25.02 ❑Master builder 0 Other° Fire sprinkler(1(ITS sq.ft) I Page 2 i .q(), r z e € t < # n Site utiliti : /✓ do ./� , ,` 4 a+ ... ... �. i-r: basin or drain i Catch ba Job site address: 110 5d1 SI Scan Lo vise Loa`/�'yl 18.76 City/State/ZIP:Tigard,OR 47224 DryweQ leach ,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Polygon at West River Ter Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 j Rain drain connector 18.76 W Sanitary sewer(no.linear ft.: Page 2 ( _- Storm sewer(no.linear ft.: ) Page 2 I Water service(no.linear ft.:_) Page 2 [ I Subdivision:Polygon at West River Terrrace Lot no.: e9 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 3 i.a1. t 7 Backwater valve i 12.51 raa `' Clothes washer 25.02, yy�� t J(1/ pi_. ,.p .. 1 Dishwasher 25.02 Drinking un25.b2 Ejectors/sump 25.02 '. ` � I4 ,A Expansion tank 12.51 Name ADVG Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 ' Address:7600 E Doubletree Ranch Road I Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02 I Phone:(602)694-4031 Fax:( .) Ice[Wako 12.51 " , F � r _._ Interceptor/grease trap 25.02 ns. -- Business name:W'illiain Lyon Homes,Inc Medical gas(value:$ ) Page 2 Primer- 12.51 I Contact name:Angela Grajew•ski Roof drain(commercial) 12.51 Address:109 East 13th Street. Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phones 1360)695-1700 Fax::(360)693-4442 Tub/showerishower pan 12.51 E-mail::Ao eL:Graj is bornes.cont Urinal 25.02 g J�' lyi� Water closet 25.02 ` , frc ti'�- -, ,,,-4,-„,-,,- --41.-7-:::-.:.„ VET" Water heater 37.52 Business name.Alliance Plumbing LLC Wtrtar piping/DWV 5629 Address:146 W Historic Columbia River Hwy Other 25.02 I City/State/ZIP:Troutdale,OR 97060 Subtotal Minimum permit fee: $72.50 Phone:(503)492-3490 I Fax:(503)912-6438 Plan review (25%of permit fee) CCB Lie.:/84601 Plumbing Lien no.:PB732 State surcharge(12%of permit fee) I Authorized signature: TOTAL PERMIT FEE I Print name:Robert Dishrnan Date:5123/2016permitapplication expire;da:permit is net obtained Within 180 ds?s after tits been accepted as complete- *Fee methodology set by Tri-County Building Industry Service Board. t.'180ili gwermis\rtMU PennttApp.doc.10/01/09 440.4616r(10/02/COlt/urEB) City of Tigard 11111 w COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: "7:_f-7 -es/6 -- 603 3 Site Address: 17 0 SC2 SW SCG►✓1 L ou;4, Project Name: Po 1, So n orf Wer i g-iv'e,r- T-e_rr4u2 Lot #: 21J (New dwelling= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (!\J eAA/ RAO LA/L1 Orr-Le r Verify site address/suite# exists and active in permit system. ,.L1 River Terrace Neighborhood: ❑ No ,!]'Yes,See River Terrace Review Addendum Attached Site Plan.Elements: ZIThree(3)copies of site plan 'Existing structures on site At 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 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) )dErosion control(including drainage-way protection, silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) Lot area,building coverage area,percentagecoverage and 'Street names impervious area(applicable if R-7,R-12,P, 8,c R-40) ,IStreet 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 E No /`1 Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: FDQ201S - 0000q SU3 2015 - OOOO , SLre Z,piJ 00002 Zoning: y 2s Setbacks: Front 1 2 Rear I 0 Side 0 Street Side 8 Garage 1'3, S jzr Landscape Requirement: 2,0 Lot Coverage Maximum: 5 0 0/0 T2 Building Height: Maximum Height N/ft Actual Height N//i' Visual Clearance JZ Easements 0,{ Sensitive Lands: E Yes ❑ No Type ,�1 Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: CA r GL-h10 n i to be Yfl .}- p nb z t-i, is S u 0 n cc 0 L to✓Act/0,9 /2Cr - i'4-- Approved By Planning: M ti V_ Date: 7/26/ /' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved E Not Approved Revision 3: ❑ Approved ❑ Not Approved l:\Building\Fonns\BldgPennitRvw RES 012116.docx E Building Permit Submittal Original Submittal Date: 7A,0� Site Plans: # 3 Building Plans: # 3 Building Permit#: @--Enter building permit#above. Workflow Routing: (�-Planning 1:;1---Engineering C rmit Coordinator ®--B'uilding Workflow Sign-off: e'Sign-off for Planning(include notes from planning review) Route Application Documents: rB-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: `- 11 A .__.. Date: OP/%//-6 Engineering Review Slope at building pad: ,his ////❑ 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 E No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Appr ed by Engineering: �,p Date: Notes: f�� f ielr lfj�- �:�vr r•e Approved by Engineering: Arz P Date: �_,?_ 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, /`7NOT Released: Date: ' 3//(s Notes.. GG�12Gevi � �✓� Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: "7 Revision Notice 3: Date Sent to Applicant: /47 SDC Fees Entered: Wash Co Trans Dev Tax: (S Yes ❑ N/A +I Tigard Trans SDC: Yes ❑ N/A1\ 1A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved/a7 /0/f ---Date:by Permit Coordinator: 1/?//e-- I:\Building\Fonns\B1dgPennitRvw_RES_012116.docx City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT 0 T 1 A RD River Terrace Building Permit Review Addendum Building Permit #: ri_s- e^/- --(,gip 3; , Site Address: 110 Sd sw Jeci r C.Ov r-e., Project Name: Po i y 5 0 vi oi t Wei - -t\rer Te rr--0,oz_ Lot #: Z1 (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. Balcony w/ access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled �f ,2] 111 CI XW 2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors. Percentage Shown: 2.2- . 2- 3. Entrances:At least one entrance must meet both of the following standards: Max. 8 ft. setback from longest street- facing wall Parallel to street,angle no more than 45° from street, /// or open onto porch Entrance opens to a porch:/Yes ❑ No If yes,all the following apply: ?I/25 sq.ft. min. yr One street facing entry 7 12 ft. max.roof above floor of porch 5 ft. depth min. ,Z(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: 21 Covered porch min. 5 ft.wide x 5 ft. deep grRecessed entry area min. 5 ft.wide x 2 ft. deep /gr Wall offset min. 16 inches zf Dormer min.4 ft.wide JZ Roof eave min. 12 inch projection ORoof offset min. of 2 ft. ❑ Roof shingles either tile or wood /171Gable,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 fQ a / _ / above the garage that faces the street with a min. area of 12 sq.ft. f/� 6G� ole Width: (Check one) i" ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: M, V/---- Date: 7/2-9/ 00, I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx Albert Shields From: Albert Shields Sent: Tuesday,August 23, 2016 12:10 PM To: Angela Grajewski (Angela.Grajewski@polygonhomes.com) Cc: Kim McMillan; Mike White; Dianna Howse Subject: Polygon at West River Terrace, MST2016-00332, -00333, -00334, -00335, -00336, -00337, -00338, -00339, & -00340, Lots 24-28 & 134 - 137. Attachments: Conditions - 08-23-2016.pdf Angela, re the above building permit applications, there are still multiple conditions of approval under PDR2015-00004 that are Not Met. Accordingly, I have noted these applications as Approved but Not Released. Plan review will proceed but the apps will be on hold until the conditions are resolved. Please let me know if there are any questions. Albert Shields 1 Electrical Permit Applicatio - ' FOR OFFICE USE ONLY City of i'igard 0Re ved 1/ I'-/ /� /� Pert SPUD—Q b3� 1,1 • 13125 SW Hatt Blvd.,Tigard,OR 97223 N 0 V ?_()16 Date/sY: (.,Q Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit ft: TIGAInspection Line: 503.639.4175 CITY i IG`* D Rea Date/ Iurir. Si See Page 2 for RD -�Internet www.tigard-or.goV Notified/Method: Supplemental Information IM( m�wFc..1,7.`::'-. -1b7- -.'—^may W_;A 0-r;--4?-1'...'•'... *' 71,,,.T, µ '_' c Vfc j.:'' lt- '" r j ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): El DemOlit- Other 0 Service or feeder 400 amps or more 0 Building over three strides. _ o z where the available fault current 0 Marinas and boatyards. r ,. ,.`- _ ' :w j db tr( :'s "rt - ,. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family El Master builder Other amps for all other installations. buildings. Fire pump. ❑Installation of 150 KVA or ._:MirtOti=r`,»"J .�b`FI Yt;-•; .t3 �Tl?UN=` �tA:�'011r`� _ _ ❑Emer c tem. larger-. ,.T...:......,�..:..__.1 _...::._.,.,...,�:...�..._.�.._�_...,_....=w�:-� g�Y� separately derived Job#: Job site address (� �y � �' s 'V'~ ❑Addition of new motor load of system. 7 on i Wim+ `)fO,. t L e,�,�€.��" 10011P or more. ❑ A,E, 1_Z" 1 g. City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-Dare facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: ,, Project name:Polygon at West River Ter ❑Hazardous locations. ❑Supply voltage for more than Cross street/directions to job Site: ❑Service or feeder 600 amps or more. 600volts nominal. - Description I Qtr. I Each I Total New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:Zy Includes attached garage. 1.000 sq.ft.or less 1 168.54 4 Tax map/pa[cel# 4 d4e-l-�-4 . Ea add'1500 sq.ft.or portion 1....„, 33.92 1 r' "` r;tt t s' a Limited energy,residential 75.00 2 0�'VOX i r A ` t J e.V Limited en above sq.ft.) energy,multi-family 75.00 2 residential(with above sq.ft.) m Renewable Energy ❑ See Page 2 ' �si ;`� ri - SMA W' 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 , l f Branch circuits-new,alteration,or extension,per panel �__ ___. _. _ .._ _._- m A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 1 each branch circuit 742' 2 !. 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 Each manufactured or modular 67.84 2 a- - ceand/orfeederEmail Angela.Grajewski@polygonhomes.com dwelling, 67.84 2 s �" `` ak Vi - 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 cirrxmor limited energy El 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(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/lir i Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is hr CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lic.: 4496S specifically listed('A)u min) 90.001 Suprv.Electrician signature,required: MA ll nn Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): r- — State surcharge(12%of permit fee): Authorized signature: ,-.. �--- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete * Number of inspections allowed per pewit 1:1 Bmid,ngtPermihuELC PermitApp ELK EREdoe Rev 06/1712015 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 Applica! CEIVED Site Utilities FOR OFFICE USE ONLY JAN 2 3 2017Cl of Tigard Received41,..2 /ZDate/By: � �/�7 1/4.7"--h Permit N,v 4 J 7-,2,016,._i/ IIII 1.1 13125 SW Hall Blvd.,Tigard,OR TIGARD Plan Review Phone: 503.718.2439 Fax: 5 UL Date/By: --3 aon (04 Other Permit No.: Inspection Line: 503.639.4175 G DIVISION TIGARD Internet: www.ti and-or. ov Date Ready/By: Juns: See Page 2 for g g Notified/Method: Supplemental Information �" l' _ , "1Plih L}.F WOR } FEE* I�G) El:«ttLE!®New construction 0 Demolition For special information use checklist Description Qty. Ea. Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 16A�.'GORY OF 31.,STRV,„C 'It SFR(1)bath 312.70 0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ®Multi-family Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler(1. --4.ft.) j Cj'2+' Page 2 JOB S TE t TION AM) LOCATION N Site utilities: Job site address:17059 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 E Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.:24 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 1 DESG ZIPTION OF" 0�,• _-1 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Drinking fountain 25.02 ---- Ejectors/sump 25.02 't:�'5,41toPERTir OW1VE # '. x Y'1 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 ( Al I I4CANT _", ❑ * 0,-11*Eitgoi -- 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 I 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 NT1C ' Water closet 25.02 y RAOR 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 Plan review (25%of permit fee) CCB Lie.:184601 Plumbing Lic.no.:PB732 - L State surcharge(12%of permit fee) Authorized signature: t )( -77 TOTAL PERMIT FEE A A A 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. 1'\Building\Permits\PLMU-PermitApp_doc 10/01/09 440-4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities leech} ► > soil*EQcrte� 3 Permit°Fee: Footing drain-P1 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 Pei�mlit ee�.- $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 Total ' each additional$100.00 or fraction thereof,to �Irlspeetta)I>1S 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 Revll W,>fo r P ..i- )Gill I tions Fixture Type for Replace Plan reviewviewis required for �.. Work Performed: Capped Added Relocateany of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 111 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ® Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" .;•;,=.1...•. Car Wash Drain b R iletti 4 or Rased lram . 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 Pqmit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17059 SW JEAN LOUISE RD, SHERWOOD, OR, June 5, 2017 at 1 :50:25 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00336 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17059 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:02:50 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00336 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Finish sealing penetrations in mechanical room right side lower and ceiling around duct work. R306 AC installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17059 SW JEAN LOUISE RD, SHERWOOD, OR, June 7, 2017 at 12:03:37 PM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00336 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide fire collar on AAV piping thru penetration open at times into garage which could allow free passage of smoke and fire into supporting construction below living space. 2012 IRC code and commentary R302.5.3. Correction for storm cleanout cap not done as noted on previous inspection. Provide approved thread sealant on cleanout caps. 316.1 Water pressure 50 psi, taken in garage. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17059 SW JEAN LOUISE RD, SHERWOOD, OR, June 9, 2017 at 10:05:05 AM 97140 Record Type: Record ID: Residential - Master Permit MST2016-00336 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Correction not complete, approximately 1 "+ gap at rear furnace and gas line at ceiling location. Violation Summary: Inspector Contractor