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Permit (175) CITY OF TIGARD MASTER PERMIT .. COMMUNITY DEVELOPMENT Permit#: MST2016-00429 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2016 Parcel: 2S106DC00700 Jurisdiction: Tigard Site address: 17030 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 7 Project: Polygon at West River Terrace, Lot 7 Project Description: New SFA. Building/Unit 6.3 BUILDING Floor Areas Reauired Setbacks Required Stories: 3 Bedrooms: 2 First: 97 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 562 sf Garage: 456 sf Front: 12 Smoke Dwelling Units: 1 Third: 562 sf Right: 0 Detectors: Yes Total: 1221 sf Value: $162,271.65 Rear: 0 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 3 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'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 1221 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 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,662.58 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 throu• •'R• 2-001;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: L c�+�► 6r✓ ,4-/C)7DiV Permittee Signature: 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. to -T. .7 Building Permit Applicationf, k , ' FOROLF1CLISEO\LI Cityof Tigard ?01Received wi0 2, /0 sem. Pecmit No jtarA/t,-ea 9029 III 131SW Hall Blvd.,Tigard,OR 97223 �� ' pan RR neW �� ����©y��� = Phone: 503.718.2439 Fax: 503 598 190V, DateBy: ', G cher Perms Inspection Line: 501639.4175 t a" !) Date Rea yyBy: Juris: H See Page 2 for TIGAFl7lsil /� Yp� Internet: www.tigard-or.gov 4 r 1\ Notified/Memod: j P yrs Supplemental Information New construction ❑Demolition Permit fees*are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the E a a 'G � " work indicated on this application. Valuation: � ' $ ❑ 1-and 2-family dwelling 0 Commercial/industrial ` 0 Accessory building ®Multi-family Number of bedrooms: 2 ❑Master builder ❑Other. Number of bathrooms: 'L Total number of floors: Job site address: 1163 O SW Rocky Ramble Lane New dwelling area: $ ')'L, square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: (LkStp square feet S' Suite/bldg./apt.no.: U. I Project name:Polygon at West River Ter Covered porch area: sc.3 ,S-2square feet s G Cross street/directions to job site: Deck area. 1I._ square feet (') er s c area: square feet 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 s r work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: e - Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13'Street Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: dY a 2 6? E-mail:Angela.Grajewski@polygonhomes.com ��t �� ����°����� Commercial and residential prescriptive installation of , roof-top mounted Photo Voltaic 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 lic.:207247 .. Total fee due upon application: $201.60 Authorized signature: (� This permit application expires if a permit is not obtained J` i1 within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dat 1(l2 8/1 eryice oard.b *FeeSmethodology set by Tri-County Building Industry I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Mechanical PermitApnli."1: i' rIVFD - -ic - ,,),; (,) FR I t L. ()M.\ City of Tigardacocivo _ Ducar Nnnio4Q.,"-ff. ,29/6 --00‘422. !ill .4r. :13123 SW H*11131vd-:1-4ard'OR 9".ti V 1 8 2016 mime,. 1 - Phone!'503318,2439 Floc 503.598.1''.1 - Dy: Other Permit: _, . , lacpcntsonLatt: 503.639.4175 4,--,try (lc. 1 ,‘,it 5....,n Dila Rosayn* . ham I El sels"Page 2 for Internet www.ligandorgov ',u-t i o i ",....."i- 4 V,--24-1.fl Lor Notiowimetboth Supplpoestal turonoitfloo BUILDING 1.1)0VIsSION , _,...., -. Medullae:al peonir rem*arctimed on thi,.,value of dm Work tItil.Nerr..coustruction 0 Addition/alterationiroplaciticii: perfOrrimi Indicate the value(rotmded to the nearest dollar)()tali cl DetinflitiOn 0 Other: mechanical mated:as,equipment,labor.1averiteart,and ploBt. Value:S 1 140';,'-'•';'''V`L7'4,W::,,,t,V,17t,i,e..: 4-77.'-jlif*Eit". ,'„':1,:1:-.. ' r,(1-,,Vagerejjerialr -'tlqfpwAriajijk/s1T4--rithridiaii, '""'"`''" '1*Eit'''''''''" LI 1-ad l*fily dwelling 13 Corrunercialfinduslrial aiktOessorY building For'pedal Infannatioa (*.Olio', 01406-4:Oily 0 iviaster builder El Other • • Deserintien I egty. Ea. J Total 4iiVs! :i;.g.;,:.1",7,:q1,il#0,,tr-:),.A-1,,„c,2r,ATT a, .;:-.:414,:vittli, "ithigkowim n J..4* • Sv4 turAtti n '12.giin I. ,0 " .. .. Air conationing 46.75 ***. i turn=1 of).000 stu oxisivents) 46.75 dityiSratelZIP:Tigard,OR 97224 Furnace 100,000+int(dnctsivertts) 1 54.91 lima punm 1 61,06 • StriteibldgfaPt.no.:(p Project name:Polygon at West River Ter Duct work • 23.32 CroaS Street/auctions to job site: Flydranic hot water system z s 2332 Residential boiler(radiator or j bydronie) 2332 Unit luaders,(fuel-type,not electric). .; • • . in-wall,in-ducr.suspended,es/ I 46.75 Pluevern for any ot_ahem 23.32 Ott*: 23321 SUbdivtainnt Pitlygen nr West Id*cr Terrrace I Lot ao.:1 • •dthertirel appliances': T.**;Iliflikcjg!IPA "Vateilleater, I 23.32 ';,ii•%.;•7 •.v• ,....t4 , . , ,V,,iM;.. ..i,.k. •FA,M,...F.W,,,, 4,.3..,'i„f,f ...,.7ifmft,e.t,.V..rii,:ia,,t,,,ir:.•••i,'V,,,.ff9,.1i,r, %,4,1, *; Gas firepla1 1 33.39 0 • .. Floe vont for Ocatcr ficatcr or gas p liii**049014091i niefirbr OrYiAor . C-1).. iimplacc Lon'fithaerflas) • i 2332 1 2332 Ivoixiipatit stave I 13i0 ,, . -WiladarealiciThisart... 1 23.3.2 • — ..... i Chinniarlineriflucivent i 23.32 :i:, 7,,-, . .„':.:.,,_, .„,_,,. ,,,,,,, .,_ _ „ „, .„,,„;,,,,L - , ,,..' •-_;•- •••:‘,.,„•,,,,,,,, ,„,,,,,,,,„„,;:. •,,., „,„,. Other:, .- 1 23.32 .,A,...ii,.., ,, ,_,;,j7.,•_,4iL,,,,r.i.,-,,a,r),.,,j4,QD,i,2:4 ;,;-,:;':,-,-0.,,,,:ft,,,z,,,.,;,4,.....0.4i...i,A,.41,-.4,7,j,,vfr„.. ..._,,,::.,,RL•,,, r.viiiii.i.tio ethaust and vmdittio ... NiorwA04203(.40're• .144. Rengeboorg011ter kitchen •p • - .-. , .. •anaillneelt, 4 33.39, Ao*sg::7004H .p. S igbicity*Ranch Road ,. . • 'dairies drym!eichinist 4 3339 City/State/ZIP:SniitOodnir,AZ 85258 . SiOg4•kinc't etthaust(hatfroords, toilet eon:mart:Mails,utility rooms) 23.32 Pitnii:002#94-4cdt: Fax ( ) 'Attie/crawisonce Fans 1I 2.333. 2 I . ',;;',423-3..itit;"In.l.i'.;?:;,;.,1.tq,401t:Viii;:.'4;.!,•111.4",'1.45, 't.:';.;14:',E;--j-kq6,-,-J,,..:7*.y.,::-,:. ..<.„..,;4,.t, °met / 32 , .Fuei WOW' Illet:MOsa,nab*:Willi*3,yots 13,(Orneet me. , • ilti5 for first rout;$4.03 or additional Coated nemei Angell Cialowdsi • .Ailditssi•100*-1•300titet• . . Gas heat pun* _ , • . AtithisuspesuieNtuift herder 'Ci.i.70.4.843*.vii*A got* • Water heater , .... Mot*.(360)695-'7700 Far:(360)034442 .. • Range tolit ItioOrajlArt.klibtftgoalrmisxmn . _ . . Barbecue 'i:-,',_-::*VAi;P•WIRA'R;;*;-.d,42tc;,Zij:;*.,5clii&AMS.M.*VilFigii..,?,:n1:044dothat dzyw(R./6v AnsinesdrintkAndorranileteehanical,Inc. . ,,„ :11 ,.‘,0-P.I.EAP• 'if -,-e,_1:•,'itt:.'!'?..::g..;,?..P44;TW.,ki' .... .. 64,11:*-102#0..W.Air, . . • - i . citlY,Siate10;11iiiii,OR 97224 Miran:um permit fee ^f 40 Plan revi!!ssv(25,4 of it fee) Php.tietS03)01-.6664• Fax (503)536, . 6615 • State surcharge(12%of it fee) As CCB 1104 1014 . • This permit application%expires ill permit not obtained within ISO •--.... day:alter it bat been accepted' complete. ..4*Tiied signature: _ a.Fee itietbOdoinny set by Tri-Coomty build' hoinstry Service Board „ Print kaintis.04*Grijasyski Date;842116 . Iiiidaisix4trogleiiiscAi1Is*. 440-4617Tti1/027COMMEB) I .-.. CE . Electrical Permit Application FOR OFFICE USE ONLY City of Tigard NOV '4 `r 2 016 Received Permit li �j-.60%21 • r 13125 SW Hall Blvd.,Tigard,OR 97223 ll V J Dan Review . T Plan Phone: 503.7182439 Fax: 503.598.1960 .../ ,,'1, i • pate/Byr Related Permit it: Inspection Line: 503.639.4175 (A A3 I ,rf It TIGARD eadyDatelBy kris: 0 See Page 2 for Internet: wwsemw tl Te.dor goV , I N' q eaM effind: Sb lemental Informa t on _A;,r5';:; �� �s-' . :. .����9l � � P_-- l�Yt�� 4MI4MT.r sI 4.7 s • � ck Vma - ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other. CI Service or feeder 400 amps or more 0 Building over three stdries. where the available fault current 0 Marinas and boatyards. - •-=-�.,, .,� ;;1�� Q =(� g .;�-,- � sl,:,,:.i. exceeds 10,000at 150 volts or Flo '-"'��- ,e,., ��-r amps ❑ atiug buildings. ®1-and 2-family dwelling ❑Commercial/ilidlistrial ❑Accessory building less to ground,or exceeds 14.000 ❑commercial-use agricultural 0_Multi-family 0 Master builder 0 amps for all other installations. buildings- yM^ 4 ily -_+ rV ❑Fire pump. ❑Installation of 150 KVA or . .w;,,.:_--,._,_. �' 16r,ry����TiiQ�?'I�1!11f.��d :'EfIT]iG:_� _ - ❑ ..,,3-:.-;<s,c-,-,_a�:r_c,,�a<,_v..,;....._,.� ...'_�.-'.±"_[�: Y ._.; ..:_,.T:.,-_,;r_:�`. Emerganey system- larger separately derived Job#: Job site address/7 Dur�\n� C (�n iM tn�p 14 ❑Addirion of new motor load of ❑system. 4_ � F-el�M 111J iL IOOHP or mote. •A,••E",`I_2","1 3". City/State/ZJP:Tigard,OR 97224 J 0 Six or more residential units. occupancy. I . ❑Health-oars facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: (.[ .) I Project name:Polygon at West River Ter ❑Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: .- -- • GYM -...ti.. Description l Qty. l Each l Total I • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace l Lot#: Includes attached garage. Tax imp/parcel#: 1.000 sq.ftor less i 168.54 4 Ea add'1500 sq.ft_or portion i 3392 1 A ._ Limited energy,residential 75.00 2 0y ` 1I,J1.Ut V't C�/S A/>Rp (with above sq.ft.) 11 ii v+v, U.n W\ll� Limited energy,multi-family 75.00 2 residential(with above sq.ft.) y eq m- ,� , _ Renewable Energy El Page 2 "O '•" " a"' ' 4- i - � T 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 30I.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 1 59.36 1 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 k `; t T � _' 4 SCO Cs-- 0 --,,.' Branch circuits-new,alteration,or extension,per panel C""` 1VT ' - �: A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Grajewski B.Fee for branch circuits without Address:109 East 13th Street service or feeder fee,fust 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 . ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewsk1( polygonhomes com Reconnect only 67.84 2 .. ` x.-.•-a t,Aig.:1 0 . ' a ,`.' ." " 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 El See Page 2 2 panel,alteration,or extension. Each additional inspection over allowable in anyof the above City/State/ZIP:Vancouver WA 98661 p Additional inspection(I hr min) 6625/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(I hr min) • 78.18/hr Inspections for which no fee is hr CCB Lic.: C1158 Electrical Lic.: 208174 I Suprv.Lic.: 4496S specifically listed(h hr min) 90 gATIAM-TtiPlkElectrician signature,required: - '�(iifi , Subtotal:µ` Print name: Joan P Albert • Date: 4/26/2016 ❑Plan Review Required(25%of permit 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 per permit `. l\Biulding]PermitdRS.0 PermitApp ELR ERE-dor Rev 06/17)2015 440-4515T(11/05/COM/WEB .. , • il ET cl\#r D Plumbing Permit Applicatio .s. /L,L, Building Fixtures ‘l(r,/ 18 Z016 Hd, w I City of Iligarci _ „ , .. Received i 1 •i , .el DaterBy: .. , TN „-- 13125 SW Hal Blvd.,Tigard,OR 9722011 Y tir ,A •,(,--,,,1-\;--, . plan Revicw . . . Phortm.503.70.2439 Fez 5034 1960j!NG 7),,,,,,t i,.:l c": ''Dale*, Other Penni!No.: -'' Inspection Line: 503.639.4115 "" " Date Readigtn kuis. Eit See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental informadoe r,i:. ,).•.....,,,..,,. : tig 14ew oonsgetgotion 0 Demolition .. . For spedtd.infaramaion ase checklist. Description i Qty. rl Ea. 1. Total 0 Aon/ placement El Other: New 1-2-family dwellings(includes 100 R..for each utility connection) ',...-7 ... +,7-1----,,,--44:-:,&---:, .- .,i'..."- ..c,,.., ..,4r, SFR 0)bath I 31230 t ,I1' ‘:'..t.V .41 ' ,'.:' !,..a.,-t.--,,..v.mN..,, ..:. ,, , 17 and 244bmily dwelling Ei Commercial/industrial SFR(2)bath 437.78 'SFRO)bath I $00.32 . Eat b Accessory building Multi-family -kadditional bdJch akiten 25.02 CI masterin:likior • E313ther: Fire SPrinkler(„____.50,113 1 Page 2 -1,-,...7--r,FLE•rx---,,,,, - k,.,, .. • Ffiltr-F,7,7;',: g:4•47./F-7.1.M.frtr-7,-7T'HT1"-,IM7,471,V.PME-,--iv.,,„:iifacivWcp,% Site utilities: )th Otc!riciTss: (7.4j,4 S f ‘ , figit , . Lail, Catch basin or area drain 18.76 1 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linen ft.: ) Page 2 SOW/bldg./apt.ito.:Lt/7 , I Project name:Polygon ufWest River Ter • Manuracture4 home utilities 50.03 'Cross sireet/direCtionS to job site: Manholes . _ . 18.76• ' . Rain rain connector 18.76 ... . . Smunuy sewer(no.linear ft.: ) , Page 2 . .,... . StOrm Sewer(no.linear ft.: 1 , Page 2 ' • • • W,Itter serviee(no.linear ft.: ) Pagel •Subdivision:Polygon at West River Terrrace Lot.no.:--7 Fixture or item: .,,. 'Tax Map/pamel rioz, BaekfloW Prevell.leir _ t 3127 Badtont..'te.c.aalve I. 12.51 . :14--",;;',..A,-;,...-.,.,',-:_&,-,- i',11-.,,,,,,,;;_,,,,,..;,,..-;v 0,i,-,r,:,.i't.2 t,i tO,.0.v W.,0.1,9:''"r''''':'-''''FA':::'""Z'i';'$'442, j'-'-'f'-',1 ' . • ' - ... . Onetrathe bhelAbit .. „.. , \--,--f•ishwasher PIP. :- 25.02 . .. . . , . . , .,..,_ , , • • . . . .,. . Dria)tiag.gRotala 25.02 . 25.02 ExPail*n!A* 1151 ,,141016e.APV,!'4,1114.000$14'.C , Fixturc¼ewercap 25.02. ' flak Milli/floor sirddhub 25.02 Address:1600 boubletrte Ranch Road . • Garbage disposal 25.02, City/4taterLIP:Setitiaditlei•4z 862.58 • HoS'e.bib . 25.02 1 .....•..... , , . :.., , . - . ., . . ...i'llbliFt(42094'14V .Fax.( ) tpc maker • • . 12.51 7.,----:-.":,-:.,,,-.•,.-1 .::`'L'...'l---,:''','..,-'-'''-'-‘:1-.:'"-'`,4,;'.:',.; :f,,,; ,-:',-il,/,',4:4,-.4. .,,,,,::-i'-‘,-t,.i-v-,..-,,,..-7,-.:::-..,,,;-,'-,:,,..,-,,,f-,:::: InteteePlotighease hall 25.02 0,..,.''','...,-,--'-'.4-:”..1,' ::::::,..":,-„,"i„:-,.-....:-...1e.-,,,,,:•-•-t.W:,,,',..1,.;..Egi..:.,`-'1,,-1,.-..,,,z,0-...:4-,,;„,:-.•L.,,,,.•.„-„,]...„-..-„,,..,.„.1,,,,,....„.„,„„0-•...,.,....., . . •• .• . . : — '''---- •• • ,. -,.• . • lyiiilicil vs(value S. ) 'Page 2 Business MOM Writiont 11..yOn Homes,Int „ . - - ,. ,,,-, ,,• , .,•• . . • . .,Piling! •. 12.51 ', exintietitame:_Aory GrnjeWalti . . _ Roof draiti(counneycia1) 12.51 AddreSS:)0#&mit 130 Street , 25.02. • Sirdt/basionav,a1017 ••,. 1 . , • - qtyiSonetziP:Vairitbliver,WA 01660 ' Solar units(potato water) 62:54 .., ... . . . Phothx",(360)695.4709' I Fax::(36 )693-4442 •Inbir,hOwerIshower pan 12.51 • Urinal25.92 !E!mitif:AargelinCrile_wahl@polygontromes.torn . closet . 25.02 ,.,;'-','(?',1',2,--, -..f.!.--,i'f'4;:.:,';',-i,../A7:';'- c';,•;1'i•-•;.fsi:;--i:;--1,i.e:?1-"ni-,`'41,44W.,t , Water healer''):: !ea ,;:r.R.i' • 3732 Bthiiiiieit ninny:AfflitieePliimbing LLC ... 5 WMerf1P111111DWV •••- , . 6.29 . .- . - ,, • ,_ .. , . _ . 1 Mcirsio:,146 W Ilfsonc Cotombiii River HwyMet' ' .25.02 . .. City/Stole/ZIP:Triuttthile,OR,97060. = . ., , Subtotal Phone:(504)44444 Fax:(503)9124438 Min-morn pennit fee: $7230 , Plan review (2.5* ,'or Pewit CCB tic::104601 AI Plumbing tic:no.:111732. , ' ., State Surcharge(12%of pith%tee) . , AOthorizedsiginture: •. frØ, viv_ . ., . TOTAL PFEE AERMIT , , . . ,. .. ... . ..Print•Ittithez 11dhertDIAturtn I Date:5/23/2011 This permit oppliestion expires Ira:permit is not olitaltted Within 180 days afterit bis been accepted as complete. 'Fee:actinide:logy iet liy Tri.County Building Industry Service Board M.BaillaieermitsTLIAPPsinnitAiip.doc 10/01/09 440-4614T(10102/COINWE5) 4 ' ' City of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT Ill1 T l c a e Building Permit Review — Residential Building Permit #: /7J 77: 2t7r6 DD X l9 Site Address: ` j 7`O S W (O C k`-1 RC1MB LE Le IV Project Name: P011,00 tr('cif J i-- ,�r I gtV`€ C rte '( Lot #: 7 (New awelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (WAN/ rLow t-i-o i E1`'' Verify site address/suite# exists and active in permit system. VJ River Terrace Neighborhood: ❑ No Yes,See River Terrace Review Addendum Attached Site Plan Elements: /Three(3)copies of site plan "Existing structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper /Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) floor elevations North arrow /Utility locations(required for new,may apply for additions) //////Site address,project or subdivision name and lot number ,ocation of wells/septic systems (/Applicant information(name and phone number) Fxisting trees to be retained with drip line,and tree %Lot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) /Street names /Property corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: PD o tr-0000q Su 62o 1 S w 0 ajo c Ze Zoning: 2 S Required Setbacks: Front ,j Rear 0 Side 0 Street Side ' Garage 3-4-2 Landscape Requirement: U) 0 Lot Coverage Maximum: i Building Height: Maximum Height IV A- Actual Height �� XVisual Clearance Y" Easements 7,�{ Sensitive Lands: CI Yes ❑ No Type �I Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: !1 fit 0 0.1 h: be f"Y�e t- f t'r c 4v I SS v ei lr7 0c- la ii 1(c(,a tn, € rhi"-. Approved By Planning: M0 0 Y1i . 61,)O CitA..&. Date: /0/i 9 / ) & Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw REs 091216.docx i Building Permit Submittal Original Submittal Date: f�//// ,6 Site Plans: # 3 Building Plans: # -3 Building Permit#: ®''Enter building permit#above. Workflow Routing: Planning Engineering Permit Coordinator © ilding Workflow Sign-off: l Sign-off for Planning(include notes from planning review) Route Application Documents: .0'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and ,p riginal plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 0,1 Date:l[3�2V/,, Engineering Review 6 Slope at building pad: 7.27; Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat 0 Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approv-d b Engineerin': Date: Notes: t/ i /J i 40:., .. r.--- i44/ Approved by Engineering: 20e14`P Date: , ;7F—f, Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit �- pproved,NOT Released: 42 r0 Date: 10/2'�//C/ otes: y� 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: DC Fees Entered: Wash Co Trans Dev Tax: 'Yes 0 N/A (( Tigard Trans SDC: -1=i'es ❑ N/A Parks SDC: pYes ❑ N/A 'ICSK to Issue Permit pproved byPermit Coordinator: 4/ 1/---Date: /3/4 i P I:\Building\Forms\BldgPennitRvw_RES_0912I 6.docx s. • IICity of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT X T 1 c it D River Terrace Building Permit Review Addendum E1A_?..' -., ..._+.:L�n ulvx!� .y•'. ,. .,._ .+„"a"... . ,_ ..v2llts_1 3 e.v+�.. u. _-xli s._,u.a,.. .«s..�_,c r,�.v... _ Building Permit #: /7,57c:20/6 00 ',j 9 Site Address: t 1 030 S W leo Gr.y Rcj n1 e L G L NJ Project Name: POI y r Of) GI+ Wel i- /vim Tey Le._ Lot #: `7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.L): 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 �j ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6fr.wide Gabled dormer /_i ❑ CI CI 2. Eyes on the street: a minimum of 1. %of each street facing facade must include windows or entrance doors. Percentage Shown: I L1 t 5 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: /25 sq.ft. min. le One street facing entry Z12 ft. max. roof above floor of porch 71 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: /1 Covered porch min. 5 ft.wide x 5 ft. deep Recessed entry area min. 5 ft.wide x 2 ft. deep Wall offset min. 16 inches Li Dormer min. 4 ft.wide ARoof eave min. 12 inch projection ORoof offset min. of 2 ft. ❑ Roof shingles either tile or wood Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide .„,21 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 ide lot line on a corner lot. Nr n on (Vv, - Setbacks: i'7 No closer to front or side lot line,tli. longe street-facing wall. ❑ Yes Z No. If No (Check one): A May extend up to 5 ft.if there is a c. - ed front porch and garage does not extend beyond the front porch. yhi May extend up to 5 ft. where the ga .g: 's part of a two-story building and there is a window at the second story above the garage that faces the street 'th a . 'n. area of 12 sq.ft. Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade 50%max. of street facade with 7 detailed design elements Notes: Approved By Planning: 0 rii?-e-1 0110112_04.4-A— Date: r OJ / Ei / r 1:\Building\Forms\B1dgPermitRvw_RES RT 062216.docx Plumbing Permit Application Site Utilities RECEIl/E City of Tigard Received DMeBy: 3 /e///7 pc Permit Ni ftS'7 v// ,.U0L�}9 14 44 13125 SW Hall Blvd.,Tigard,OR 97223A A R 1 5 2017 ft��Jas` lV `mss[ _ 9190''+ Date/By:view 3_-al_1r\ A44 Phone: 503.718.2439 Fax: 503.598.1 l (� Other Permit No.: T I G A R D Inspection Line: 503 639.4175 Date Read /B Juris ® See Page 2 for Internet: www ti and or ov CITY OF TIGARD Ready/By: 3 ( g g Notified/Method: Supplemental Information It rii#E:flF WO- iNt D1V SIQN ` i '---.', 40- FEE* SCHEDULE n . :-.;',.a1:4--,,':,-,.:: : ,, ®New construction El 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) AN`Elr o F C ® i i SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 El Accessory building ®Multi-family Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler(1,221 sq.ft.) dg. Page 2 JOB,• ITE INFORMATION.AND EOCATK).$ Site utilities: __ ... . Job site address:17030 SW Rocky Ramble Lane 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.: I Project name:West River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.:7 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 E (* OF , 0� 5 Backwater valve 12.51 "`"' - Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00429 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion ansion tank 12.51 ISPPROPER-1YO"1t2 r 4, 4 �` x P 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 i PLI+ AN y t i _.pr R QN Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Robert Dishman Roof drain(commercial) 12.51 Address: 146 W Historic Columbia River Hwy Sink/basin/lavatory 25.02 City/State/ZIP:Troutdale,OR 97060 Solar units(potable water) 62.54 Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail: robert.dishman@allianceplumbing.net Urinal 25.02 „ Water closet 25.02 C `RAG''OR „, �.'r,,, .".". •-,--;, " ,' 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 Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: 7L,-P TOTAL PERMIT FEE Print name:Gavin Thomes Date:3/15/2017 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(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Utilj Qty; lee{ � Footing drain 1S1 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 ttatift p" i F $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 Other pctioa* es Fee{ea) otal,; each additional$100.00 or fraction thereof,to 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.., € RelflieW,*f„riumftvgAnst Nati ns Flxture F r _ y�fur Reel Plan review is required for any of the following. Work Ferfor m , _. Capped a Rel ate Baptistry/Font Please check all that apply. Bath Tub/Shower D 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 ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain s. el ' 11",...Risell gr .: Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter * Washer-Clothes Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pgmit.doe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17030 SW ROCKY RAMBLE LN, SHERWOOD, August 4, 2017 at 9:18:28 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00429 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: 17030 SW ROCKY RAMBLE LN, SHERWOOD, August 4, 2017 at 9:19:06 AM OR, 97140 Record Type: Record ID: Residential - Master Permit MST2016-00429 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Remove tape and paper over mechanical duct at dining area ceiling. All else appears ok. AC installed. Violation Summary: Inspector Contractor